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
SIMPRO
ESTRUTURA
265471
144786
144785
7080117
7080119
5440068
6420087
6420155
6420047
6420049
6420046
6420043
40954
6420042
6420156
113943
102005
102006
119944
106754
72549
72550
72551
72552
72553
37928
37926
37927
37930
118528
37929
102092
76292
128547
1020042
1020001
17147
17149
30055
91733
145403
111813
140345
169834
98954
57188
91620
87285
DESCRICAO
VACINA CONTRA GRIPE VAXIGRIP 1FA 5ML - - SANOFI-AVENTIS
8Y 250UI 1FA+DIL 10ML - MEIZLER
8Y 500UI 1FA+DIL 20ML - MEIZLER
A CURITYBINA 0,23G/ML 12X5ML - UNIAO QUIMICA
A CURITYBINA 0,28G/G PASTA 12PT 13G - UNIAO QUIMICA
A SAUDE DA MULHER SOL.ORAL 150ML - EMS CONSUMO
AAS ADU.10CPDS F.V - SANOFI-AVENTIS
AAS ADU.2X10CPDS - SANOFI-AVENTIS
AAS ADU.4CPDS F.V - SANOFI-AVENTIS
AAS ADU.50X10CPDS - SANOFI-AVENTIS
AAS ADU.50X4CPDS - SANOFI-AVENTIS
AAS INF.10CPDS F.V - SANOFI-AVENTIS
AAS INF.120CPDS - SANOFI-AVENTIS
AAS INF.20X10CPDS - SANOFI-AVENTIS
AAS INF.3X10CPDS - SANOFI-AVENTIS
AAS PROTECT 100MG 30CPDS REV. - SANOFI-AVENTIS
ABC CRM.20GRS - KLEY HERTZ
ABC SPR.30ML - KLEY HERTZ
ABELCET 5MG/ML SUSP.INJ.1FA 20ML+AG. - BAGO
ABILIFY 10MG 10CPDS - BRISTOL
ABILIFY 15MG 10CPDS - BRISTOL
ABILIFY 15MG 3X10CPDS - BRISTOL
ABILIFY 20MG 10CPDS - BRISTOL
ABILIFY 20MG 3X10CPDS - BRISTOL
ABILIFY 30MG 3X10CPDS - BRISTOL
ABLOK 100MG 3BLX10CPDS - BIOLAB SANUS
ABLOK 25MG 3BLX10CPDS - BIOLAB SANUS
ABLOK 50MG 3BLX10CPDS - BIOLAB SANUS
ABLOK PLUS 100+25MG 30CPDS - BIOLAB SANUS
ABLOK PLUS 25+12,5MG 30CPDS - BIOLAB SANUS
ABLOK PLUS 50+12,5MG 30CPDS - BIOLAB SANUS
ABRILAR 65MG PO EFV.10SACH 3,4G - FARMOQUIMICA
ABRILAR 7MG XPE.100ML+CP.MED. - FARMOQUIMICA
ABRILAR 7MG XPE.200ML+CP.MED. - FARMOQUIMICA
ACARSAN SAB.70G - BIOSINTETICA
ACARSAN SOL.80ML - BIOSINTETICA
ACCUPRIL 10MG 28CPDS - PFIZER
ACCUPRIL 20MG 28CPDS - PFIZER
ACCUVIT 30CPDS REV. - ACHE
ACEBROFILINA GEN.10MG/ML XPE.120ML - MEDLEY
ACEBROFILINA GEN.10MG/ML XPE.120ML - CIMED
ACEBROFILINA GEN.10MG/ML XPE.120ML - NOVA QUIMICA
ACEBROFILINA GEN.10MG/ML XPE.120ML+CP.MED. - PRATI-DONADUZZI
ACEBROFILINA GEN.10MG/ML XPE.120ML+CP.MED. - TEUTO BRAS
ACEBROFILINA GEN.10MG/ML XPE.ADU. 120ML - NEOQUIMICA
ACEBROFILINA GEN.10MG/ML XPE.ADU.120ML - EUROFARMA
ACEBROFILINA GEN.25MG/5ML 120ML - LEGRAND GENERICOS
ACEBROFILINA GEN.25MG/5ML 120ML+CP.MED. - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
89494
88742
87286
89495
90230
128187
91732
145404
101098
98953
57187
140343
169833
69851
69852
167806
167741
167698
167807
119429
119915
170635
84486
145515
1280001
2120095
121767
121768
129343
129345
122630
107315
124365
140346
153594
141275
107317
141276
141277
71390
92751
92750
55789
103094
114555
111862
57203
165965
DESCRICAO
ACEBROFILINA GEN.25MG/5ML XPE.120ML - GERMED GENERICOS
ACEBROFILINA GEN.50MG/5ML 120ML - LEGRAND GENERICOS
ACEBROFILINA GEN.50MG/5ML 120ML+CP.MED. - EMS GENERICOS
ACEBROFILINA GEN.50MG/5ML XPE.120ML - GERMED GENERICOS
ACEBROFILINA GEN.5MG/ML XPE.120ML - BIOSINTETICA
ACEBROFILINA GEN.5MG/ML XPE.120ML - NOVA QUIMICA
ACEBROFILINA GEN.5MG/ML XPE.120ML - MEDLEY
ACEBROFILINA GEN.5MG/ML XPE.120ML - CIMED
ACEBROFILINA GEN.5MG/ML XPE.120ML+CP.MED.10ML - UNIAO QUIMICA
ACEBROFILINA GEN.5MG/ML XPE.INF. 120ML - NEOQUIMICA
ACEBROFILINA GEN.5MG/ML XPE.INF.120ML+CP.MED. - EUROFARMA
ACEBROFILINA GEN.5MG/ML XPE.VD.120ML+CP.MED. - PRATI-DONADUZZI
ACEBROFILINA GEN.5ML/ML XPE.120ML+CP.MED. - TEUTO BRAS
ACECLOFENACO GEN.100MG 12CPDS - RANBAXY
ACECLOFENACO GEN.100MG 24CPDS - RANBAXY
ACECLOFENACO GEN.100MG 2BLX6CPDS REV. - GERMED GENERICOS
ACECLOFENACO GEN.100MG 2BLX6CPDS REV. - LEGRAND GENERICOS
ACECLOFENACO GEN.100MG 2BLX6CPDS REV. - EMS GENERICOS
ACECLOFENACO GEN.100MG 4BLX6CPDS REV. - GERMED GENERICOS
ACECLOFENACO GEN.15MG/G CRM.DERM.30G - GERMED GENERICOS
ACECLOFENACO GEN.15MG/G CRM.DERM.30G - EMS GENERICOS
ACECLO-GRAN 100MG 2BLX6CPDS REV. - LEGRAND TARJARDOS
ACEINA 200MG/ML 200X20ML - HIPOLABOR
ACEINA 200MG/ML 20ML - HIPOLABOR
ACEMEDROX 5CPDS - BUNKER
ACERATUM SOL.OTO.10ML - DELTA
ACETATO CLOSTEBOL+SULFATO NEOMICINA GEN.CRM.DERM.30GRS - MEDLEY
ACETATO CLOSTEBOL+SULFATO NEOMICINA GEN.CRM.VAG.45GRS - MEDLEY
ACETATO DEXAMETASONA GEN.1MG/G CRM.10GRS - TEUTO BRAS
ACETATO DEXAMETASONA GEN.1MG/G CRM.50X10GRS - TEUTO BRAS
ACETATO DEXAMETASONA GEN.1MG/G CRM.DERM.10G - EMS GENERICOS
ACETATO DEXAMETASONA GEN.1MG/G CRM.DERM.10G - UNIAO QUIMICA
ACETATO DEXAMETASONA GEN.1MG/G CRM.DERM.10G - GERMED GENERICOS
ACETATO DEXAMETASONA GEN.1MG/G CRM.DERM.10GRS - PRATI-DONADUZZI
ACETATO DEXAMETASONA GEN.1MG/GR CRM.DERM.10GRS - CIMED
ACETATO HIDROCORTISONA GEN.10MG/G CRM.DERM.15GRS - TEUTO BRAS
ACETATO HIDROCORTISONA GEN.10MG/G CRM.DERM.20G - UNIAO QUIMICA
ACETATO HIDROCORTISONA GEN.10MG/G CRM.DERM.30GRS - TEUTO BRAS
ACETATO HIDROCORTISONA GEN.10MG/G CRM.DRM.50BGX30GRS - TEUTO BRAS
ACETATO HIDROCORTISONA GEN.CRM.30GRS - ATIVUS
ACETATO HIDROCORTISONA GEN.POM.15GRS - ATIVUS
ACETATO HIDROCORTISONA GEN.POM.30GRS - ATIVUS
ACETATO PREDNISOLONA GEN.1% SUSP.OFT.5ML - ALCON
ACETILCISTEINA GEN.10% SOL.INJ.5AMP 3ML - UNIAO QUIMICA
ACETILCISTEINA GEN.100MG 10ENV 5G - EMS GENERICOS
ACETILCISTEINA GEN.100MG 10ENV 5GRS - LEGRAND GENERICOS
ACETILCISTEINA GEN.100MG 16SACH 5G - EUROFARMA
ACETILCISTEINA GEN.100MG/ML SOL.INJ.100AMP 3ML - BLAU
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
165963
140353
156483
114556
87288
57204
55290
55291
140352
166037
140348
124727
97098
140349
98456
98396
140351
156484
140350
98454
98398
114557
111865
98459
98390
98306
57205
98305
98304
2380140
88798
88799
95021
94157
57206
145577
57207
97078
97079
97115
156984
156985
95040
140354
156657
108408
133651
95000
DESCRICAO
ACETILCISTEINA GEN.100MG/ML SOL.INJ.5AMP 3ML - BLAU
ACETILCISTEINA GEN.120MG/G GRAN.16X5GRS - PRATI-DONADUZZI
ACETILCISTEINA GEN.120MG/G GRAN.200ENVX5GRS - PRATI-DONADUZZI
ACETILCISTEINA GEN.200MG 10ENV 5G - EMS GENERICOS
ACETILCISTEINA GEN.200MG 16ENV 5G - EMS GENERICOS
ACETILCISTEINA GEN.200MG 16SACH 5G - EUROFARMA
ACETILCISTEINA GEN.20MG XPE.100ML - EUROFARMA
ACETILCISTEINA GEN.20MG XPE.150ML - EUROFARMA
ACETILCISTEINA GEN.20MG/G GRAN.16X5GRS - PRATI-DONADUZZI
ACETILCISTEINA GEN.20MG/G GRAN.200ENVX5G - PRATI-DONADUZZI
ACETILCISTEINA GEN.20MG/ML XPE.100ML - PRATI-DONADUZZI
ACETILCISTEINA GEN.20MG/ML XPE.100ML - BRAINFARMA
ACETILCISTEINA GEN.20MG/ML XPE.120ML - UNIAO QUIMICA
ACETILCISTEINA GEN.20MG/ML XPE.150ML - PRATI-DONADUZZI
ACETILCISTEINA GEN.20MG/ML XPE.INF.120ML - EMS GENERICOS
ACETILCISTEINA GEN.20MG/ML XPE.INF.120ML - GERMED GENERICOS
ACETILCISTEINA GEN.40MG/G GRAN.16X5GRS - PRATI-DONADUZZI
ACETILCISTEINA GEN.40MG/G GRAN.200ENVX5GRS - PRATI-DONADUZZI
ACETILCISTEINA GEN.40MG/ML XPE.120ML - PRATI-DONADUZZI
ACETILCISTEINA GEN.40MG/ML XPE.ADU.120ML - EMS GENERICOS
ACETILCISTEINA GEN.40MG/ML XPE.ADU.120ML - GERMED GENERICOS
ACETILCISTEINA GEN.600MG 10ENV 5G - EMS GENERICOS
ACETILCISTEINA GEN.600MG 10ENV 5GRS - LEGRAND GENERICOS
ACETILCISTEINA GEN.600MG 16ENV 5G - EMS GENERICOS
ACETILCISTEINA GEN.600MG 16ENV 5G - GERMED GENERICOS
ACETILCISTEINA GEN.600MG 16ENV 5GRS - LEGRAND GENERICOS
ACETILCISTEINA GEN.600MG 16SACH 5G - EUROFARMA
ACETILCISTEINA GEN.XPE.ADU.120ML - LEGRAND GENERICOS
ACETILCISTEINA GEN.XPE.INF.120ML - LEGRAND GENERICOS
ACETOFLUX 10MG 5CPDS - EMS
ACETONIDA TRIANCINOL+GRAMICIDINA+SULF.NEOMICINA+NISTATINA GEN.1+2,5+0,25MG+100.000UI POM.30GRS - EMS GENERICOS
ACETONIDA TRIANCINOL+GRAMICIDINA+SULF.NEOMICINA+NISTATINA GEN.1+2,5+0,25MG+100.000UI/G CRM.DERM.30G - EMS GENERICOS
ACETONIDA TRIANCINOLONA GEN.1MG/G POM.DERM.10G - GERMED GENERICOS
ACETONIDA TRIANCINOLONA GEN.1MG/G POM.DERM.10G - EMS GENERICOS
ACETONIDA TRIANCINOLONA+GRAMICIDINA+NEOMICINA+NISTATINA GEN.CRM.DERM.30G - EUROFARMA
ACETONIDA TRIANCINOLONA+GRAMICIDINA+NEOMICINA+NISTATINA GEN.POM.30GRS - NEOQUIMICA
ACETONIDA TRIANCINOLONA+GRAMICIDINA+NEOMICINA+NISTATINA GEN.POM.DERM.30G - EUROFARMA
ACETONIDA TRIANCINOLONA+GRAMICIDINA+SULF.NEOMICINA+NISTATINA GEN.CRM.30GRS - LEGRAND GENERICOS
ACETONIDA TRIANCINOLONA+GRAMICIDINA+SULF.NEOMICINA+NISTATINA GEN.POM.30GRS - LEGRAND GENERICOS
ACETONIDA TRIANCINOLONA+SULFATO NEOMICINA+GRAMICIDINA+NISTATINA GEN.CRM.DERM.30G - GERMED GENERICOS
ACETONIDA+HIDROQUINONA+TRETINOINA GEN.0,1+40+0,5MG/G CRM.DERM.15GRS - MEDLEY
ACETONIDA+HIDROQUINONA+TRETINOINA GEN.0,1+40+0,5MG/G CRM.DERM.30GRS - MEDLEY
ACETONIDO TRIANCINOLONA GEN.1MG/G 10GRS - LEGRAND GENERICOS
ACETONIDO TRIANCINOLONA GEN.1MG/G POM.10GRS - PRATI-DONADUZZI
ACETONIDO TRIANCINOLONA GEN.1MG/G POM.ORAL 10G - EUROFARMA
ACHEFLAN 5MG/G AEROSOL 75ML - ACHE
ACHEFLAN 5MG/G CRM.DERM.60G - ACHE
ACHEFLAN CRM.DERM.30G - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
30189
94072
124730
68380
148223
154330
57209
124731
91003
150846
41311
140356
41312
41313
66337
84295
41314
154329
101562
102878
35283
140359
146691
131052
34463
148224
1830051
111814
139594
43733
103912
101983
49681
101589
148465
114500
120908
94424
119936
91269
91268
144204
119937
47224
137663
138626
144897
159213
DESCRICAO
ACICLOMED CRM.10GRS - CIMED
ACICLOR CRM.10GRS - KLEY HERTZ
ACICLOVIR GEN.200MG 10CPDS - BRAINFARMA
ACICLOVIR GEN.200MG 25CPDS - SANDOZ
ACICLOVIR GEN.200MG 25CPDS - BIOSINTETICA
ACICLOVIR GEN.200MG 25CPDS - ACHE
ACICLOVIR GEN.200MG 25CPDS - MERCK S.A.
ACICLOVIR GEN.200MG 25CPDS - BRAINFARMA
ACICLOVIR GEN.200MG 25CPDS - NEOQUIMICA
ACICLOVIR GEN.200MG 280CPDS - PRATI-DONADUZZI
ACICLOVIR GEN.200MG 2X5CPDS - RANBAXY
ACICLOVIR GEN.200MG 30CPDS - PRATI-DONADUZZI
ACICLOVIR GEN.200MG 5X5CPDS - RANBAXY
ACICLOVIR GEN.400MG 2X5CPDS - RANBAXY
ACICLOVIR GEN.400MG 30CPDS - MERCK S.A.
ACICLOVIR GEN.400MG 3X10CPDS - SANDOZ
ACICLOVIR GEN.400MG 5X5CPDS - RANBAXY
ACICLOVIR GEN.50MG/G CRM.DERM.10G - ACHE
ACICLOVIR GEN.50MG/G CRM.DERM.10G - GERMED GENERICOS
ACICLOVIR GEN.50MG/G CRM.DERM.10G - UNIAO QUIMICA
ACICLOVIR GEN.50MG/G CRM.DERM.10G - EMS GENERICOS
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - PRATI-DONADUZZI
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - SANDOZ
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - MERCK S.A.
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - TEUTO BRAS
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - BIOSINTETICA
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - CRISTALIA
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - NOVA QUIMICA
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - CIFARMA
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - NEOQUIMICA
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - CIMED
ACICLOVIR GEN.50MG/G CRM.DERM.10GRS - BLAU
ACICLOVIR GEN.CRM.DERM.10GRS - MEDLEY
ACICLOVIR GEN.CRM.DERM.10GRS - LEGRAND GENERICOS
ACICLOVIR IV GEN.250MG 50FA 20ML - TEUTO BRAS
ACICLOVIR IV GEN.250MG 5FA 20ML - TEUTO BRAS
ACIDINA 300/200MG/5ML 240ML - VITAPAN
ACIDO ACETILSALICILICO GEN.100MG 100CPDS - EMS GENERICOS
ACIDO ACETILSALICILICO GEN.100MG 200CPDS - CIMED
ACIDO ACETILSALICILICO GEN.100MG 20BLX10CPDS - EMS GENERICOS
ACIDO ACETILSALICILICO GEN.100MG 3BLX10CPDS - EMS GENERICOS
ACIDO ACETILSALICILICO GEN.300MG 3BLX10CPDS - EMS GENERICOS
ACIDO ACETILSALICILICO GEN.500MG 100CPDS - CIMED
ACIDO ACETILSALICILICO GEN.500MG 20BLX10CPDS - EMS GENERICOS
ACIDO FOLICO 5MG 500CPDS - HIPOLABOR
ACIDO FUSIDICO GEN.20MG/G CRM.15GRS - NEOQUIMICA
ACIDO FUSIDICO+VALERATO BETAMETASONA GEN.20+1MG/G CRM.DERM.15G - EMS GENERICOS
ACIDO FUSIDICO+VALERATO BETAMETASONA GEN.20+1MG/G CRM.DERM.BGX15GRS - NOVA QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
143867
131765
131766
97601
134936
134937
133675
150681
156457
144389
93833
26786
101188
1280101
79497
130039
115736
133482
31255
135388
119938
153593
161172
161173
137972
137971
6960002
35570
37218
6960001
34962
6960015
3080008
3080026
165732
165733
1060300
145034
63600
63601
35252
35253
35451
35452
35453
260042
164331
164332
DESCRICAO
ACIDO FUSIDICO+VALERATO BETAMETASONA GEN.CRM.DERM.15GRS - LEGRAND GENERICOS
ACIDO MEFENAMICO GEN.500MG 12CPDS - MEDLEY
ACIDO MEFENAMICO GEN.500MG 24CPDS - MEDLEY
ACIDO MEFENAMICO GEN.500MG 24CPDS - BIOSINTETICA
ACIDO MEFENAMICO GEN.500MG 2BLX12CPDS - EMS GENERICOS
ACIDO MEFENAMICO GEN.500MG 2BLX12CPDS - GERMED GENERICOS
ACIDO MEFENAMICO GEN.500MG 2X12CPDS - LEGRAND GENERICOS
ACIDO TRANEXAMICO GEN.250MG 12CPDS - EMS GENERICOS
ACIDO TRANEXAMICO GEN.250MG 12CPDS - LEGRAND GENERICOS
ACIDO ZOLEDRONICO GEN.4MG SOL.INJ.1FA 5ML - EUROFARMA
ACINIC 500MG 30CPDS LIB.PROLONG. - BIOLAB SANUS
ACIVERAL 200MG 25CPDS - BUNKER
ACIVERAL 400MG 70CPDS - BUNKER
ACIVERAL CRM.10GRS - BUNKER
ACIVIRAX 200MG 25CPDS - CIFARMA
ACIVIRAX CRM.10GRS - CIFARMA
ACLASTA 5MG SOL.INJ.100ML - NOVARTIS
ACNASE 50+20MG/G CRM.DERM.25G - AVERT
ACNASE 50MG/G GEL 20G - AVERT
ACNEE LOSS GEL 20GRS - CIFARMA
ACNEZIL 50MG/G GEL 20GRS - CIMED
ACNEZIL BASE 100MG/G 20GR - CIMED
ACNOVA 10MG 6BLX5CAPS GEL.MOLE - GERMED
ACNOVA 20MG 6BLX5CAPS GEL.MOLE - GERMED
ACTEMRA 20MG/ML SOL.INJ.1FA 10ML - ROCHE
ACTEMRA 20MG/ML SOL.INJ.1FA 4ML - ROCHE
ACTICALCIN 100UI 5AMP 1ML - TRB PHARMA
ACTICALCIN 100UI 5AMP 1ML+5SER.+5AG. - TRB PHARMA
ACTICALCIN 100UI/1,1ML SPR.NASAL 7DOSES - TRB PHARMA
ACTICALCIN 50UI 5AMP 1ML - TRB PHARMA
ACTICALCIN 50UI 5AMP 1ML+5SER.+5AG. - TRB PHARMA
ACTICALCIN 50UI/2,2ML SPR.NASAL 16DOSES - TRB PHARMA
ACTIFEDRIN 2,5MG 20CPDS - FARMOQUIMICA
ACTIFEDRIN XPE.100ML - FARMOQUIMICA
ACTILYSE 10MG PO LIOF.1FA+DIL.10ML - BOEHRINGER
ACTILYSE 20MG PO LIOF.1FA+DIL.20ML+CANULA TRANSF. - BOEHRINGER
ACTILYSE 50MG PO LIOF.1FA+DIL.50ML+CANULA TRANSF. - BOEHRINGER
ACTONEL 150MG 1CPDS REV. - SANOFI-AVENTIS
ACTONEL 35MG 2CPDS REV. - SANOFI-AVENTIS
ACTONEL 35MG 4CPDS REV. - SANOFI-AVENTIS
ACTONEL 5MG 14CPDS REV. - SANOFI-AVENTIS
ACTONEL 5MG 2X14CPDS REV. - SANOFI-AVENTIS
ACTOS 15MG 15CPDS - ABBOTT
ACTOS 30MG 15CPDS - ABBOTT
ACTOS 45MG 15CPDS - ABBOTT
ACULAR 5MG/ML SOL.OFT.5ML - ALLERGAN
ACULAR CMC 4,5MG/ML 10FLAC 0,4ML - ALLERGAN
ACULAR CMC 4,5MG/ML 20FLAC 0,4ML - ALLERGAN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
164333
119755
142281
103032
153555
140202
165955
760001
760060
136607
760032
136608
760005
136609
760045
760002
41504
97118
96269
96144
115438
96183
146093
148554
148555
145762
166054
45135
3180001
61421
3180006
1960090
4560053
4560071
3440168
154829
154830
165259
165260
83149
5400001
76290
23472
103524
103523
84335
94221
7060027
DESCRICAO
ACULAR CMC 4,5MG/ML 30FLAC 0,4ML - ALLERGAN
ACULAR LS 4MG/ML SOL.OFT.10ML - ALLERGAN
ACULAR LS 4MG/ML SOL.OFT.5ML - ALLERGAN
ADACNE 1MG/G GEL 30G - GLENMARK
ADACNE CLIN 1+10MG 45G - GLENMARK
ADACNE CLIN 1MG GEL 30G - GLENMARK
ADACNE SEC 90G - GLENMARK
ADALAT 10MG 60CAPS GEL - BAYER
ADALAT OROS 20MG 15CPDS - BAYER
ADALAT OROS 20MG 30CPDS - BAYER
ADALAT OROS 30MG 15CPDS - BAYER
ADALAT OROS 30MG 30CPDS - BAYER
ADALAT OROS 60MG 15CPDS - BAYER
ADALAT OROS 60MG 30CPDS - BAYER
ADALAT RETARD 10MG 30CPDS - BAYER
ADALAT RETARD 20MG 30CPDS - BAYER
ADALEX RET.20MG 30CPDS - HERALD'S
ADAPALENO GEN.1MG/G GEL 30G - GERMED GENERICOS
ADAPALENO GEN.1MG/G GEL 30GRS - BIOSINTETICA
ADAPALENO GEN.1MG/G GEL 30GRS - LEGRAND GENERICOS
ADAPALENO GEN.1MG/G GEL 30GRS - MEDLEY
ADAPALENO GEN.1MG/G GEL DERM.30G - EMS GENERICOS
ADAPEL 1MG/G GEL 20GRS - MEDLEY
ADCIRCA 20MG 30CPDS - ELI LILLY
ADCIRCA 20MG 60CPDS - ELI LILLY
ADDERA D3 GTS.10ML - FARMASA
ADDERA D3 GTS.24FRX10ML - FARMASA
ADEDERME POM.45GRS - EMS
ADEFORTE 1AMP 3ML - GROSS
ADEFORTE 25AMP 3ML - GROSS
ADEFORTE GTS.15ML - GROSS
AD-ELEMENT 1AMP 2ML - DARROW
ADENOCARD 3MG/ML 2AMP 2ML - LIBBS
ADENOCARD 3MG/ML 50AMP 2ML - LIBBS
ADEROGIL D3 GTS.10ML - SANOFI-AVENTIS
ADINOS 0,5MG/G GEL CRM.15G - ACHE
ADINOS 0,5MG/G GEL CRM.30G - ACHE
ADITIVO P/SOLUCAO NUTRICAO PARENTERAL GLUTAMINA ENDOVENOSA 1ML - NUTRO
ADITIVO P/SOLUCAO NUTRICAO PARENTERAL LIPIDEOS COMBINADOS 1ML - NUTRO
AD-MUC 10OMG/G POM.BUCAL 10G - BIOLAB SANUS
ADNAX ADU.GTS.20ML - COSMED
ADOLESS 0,060+0,015MG 28CPDS REV. - FARMOQUIMICA
ADPREX 30CAPS - INFAN
ADRECON 1MG/G CRM.DERM.100X10GRS - ASPEN
ADRECON 1MG/G CRM.DERM.10GRS - ASPEN
ADREN 100AMP 1ML - HIPOLABOR
ADRENYL XPE.100ML - UCI-FARMA
ADRIBLASTINA RD 10MG 1FA - PFIZER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
7060028
1300001
166442
21057
44306
21058
130596
340035
138709
130448
130597
130446
93215
71709
161027
3080001
133539
47700
93829
61133
2540001
3080006
152127
3080004
3080005
3080129
34964
156527
34965
6310043
141053
164605
141052
144885
18033
6500116
6500117
6500003
6500119
6500006
79498
128213
103525
103527
80028
6380002
6380001
26837
DESCRICAO
ADRIBLASTINA RD 50MG 1FA - PFIZER
AD-TIL GTS.10ML - NYCOMED
AD-TIL GTS.20ML - NYCOMED
ADVANTAN 0,1% CRM.DERM.15GRS - BAYER
ADVANTAN 0,1% LOC.DERM.20GRS - BAYER
ADVANTAN 0,1% SOL.TOP.20ML - BAYER
ADVIL 200MG 1X2CPDS F.V - WYETH CONSUMER
ADVIL 200MG 2X10CPDS - WYETH CONSUMER
ADVIL 200MG 50X2CPDS - WYETH CONSUMER
ADVIL 400MG 12X3CAPS GEL - WYETH CONSUMER
ADVIL 400MG 1X3CAPS GEL F.V - WYETH CONSUMER
ADVIL 400MG 8CAPS GEL - WYETH CONSUMER
AEROCORT S SPR.200DOSES - GLENMARK
AERODINI 100MCG/DOSE SPR.200DOSES - TEUTO BRAS
AERODINI 100MCG/DOSE SPR.200DOSES+ESPACADOR - TEUTO BRAS
AEROFLUX SOL.120ML - GLAXOSMITH
AEROFRIN AEROSOL 100MCG/DOSE - PHARMASCIENCE
AEROFRIN XPE.120ML - PHARMASCIENCE
AEROGOLD 100MCG AER.200DOSES - GLENMARK
AEROJET SPR.200DOSES - CHIESI
AEROJET SPR.200DOSES+ESPACADOR - CHIESI
AEROLIN 0,5MG INJ.5AMP 1ML - GLAXOSMITH
AEROLIN 1MG/ML SOL.NEB.20AMP 2,5ML - GLAXOSMITH
AEROLIN 2MG 20CPDS - GLAXOSMITH
AEROLIN 4MG 20CPDS - GLAXOSMITH
AEROLIN 5MG/ML SOL.10ML - GLAXOSMITH
AEROLIN SPR.200DOSES - GLAXOSMITH
AEROLIN SPR.200DOSES C/ESPACADOR - GLAXOSMITH
AEROLIN XPE.120ML SUGAR FREE - GLAXOSMITH
AEROTAMOL 2MG/5ML XPE.120ML - ROYTON
AFINITOR 10MG 30CPDS - NOVARTIS
AFINITOR 2,5MG 30CPDS - NOVARTIS
AFINITOR 5MG 30CPDS - NOVARTIS
AFOPIC 5MG 100CPDS - TEUTO BRAS
AFOPIC 5MG 20CPDS - TEUTO BRAS
AFRIN ADU.12H 10ML - MANTECORP
AFRIN ADU.12H 30ML - MANTECORP
AFRIN OFTAL.GTS.20ML - MANTECORP
AFRIN PED.20ML - MANTECORP
AFRIN SOL.NATURAL 30ML - MANTECORP
AFTINE SUSP.ORAL 20ML - CIFARMA
AG DERM 10MG/G CRM.DERM.100GRS - ASPEN
AG DERM 10MG/G CRM.DERM.50GRS - ASPEN
AG DERM 10MG/G CRM.DERM.50X50GRS - ASPEN
AGAROL 0,334+282,25+2,72MG/ML EMU.ORAL MOR.240ML - J&J CONSUM
AGASTEN 0,05MG/ML XPE.120ML - NOVARTIS
AGASTEN 1MG 15CPDS - NOVARTIS
AGENERASE 150MG 240CAPS - GLAXOSMITH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
26838
1300002
1300126
1300003
156463
156464
156465
156466
101106
101105
15539
3555009
3555007
37068
169706
28635
6260011
158271
169707
169708
169709
81111
81108
94078
81109
28282
157859
133995
2397044
157860
133994
133992
133993
133991
133990
141684
134830
134827
134828
134829
108834
3555013
1905058
6260022
108831
1905059
6260190
108833
DESCRICAO
AGENERASE SOL.ORAL 240ML - GLAXOSMITH
AGIOLAX 100GRS - NYCOMED
AGIOLAX 20ENV 5GRS - NYCOMED
AGIOLAX 250GRS - NYCOMED
AGLITIL 15MG 15CPDS - SIGMA PHARMA
AGLITIL 30MG 15CPDS - SIGMA PHARMA
AGLITIL 30MG 30CPDS - SIGMA PHARMA
AGLITIL 45MG 15CPDS - SIGMA PHARMA
AGLUCOSE 100MG 3X10CPDS - SIGMA PHARMA
AGLUCOSE 50MG 3X10CPDS - SIGMA PHARMA
AGRASTAT 0,25MG/ML SOL.INJ.1FA 50ML - ASPEN
AGUA BORICADA 1000ML - ICAR
AGUA BORICADA 100ML - ICAR
AGUA BORICADA 100ML C/CGT - ICAR
AGUA BORICADA 1FR 1000ML - VIC PHARMA
AGUA BORICADA 200ML C/CGT - ICAR
AGUA BORICADA 3% 100ML 0028 - RIOQUIMICA
AGUA BORICADA 3% 250ML - RIOQUIMICA
AGUA BORICADA ALMOT.100ML - VIC PHARMA
AGUA DESMINERALIZADA 1FR 1000ML - VIC PHARMA
AGUA DESMINERALIZADA 1GL 5000ML - VIC PHARMA
AGUA DILUENTE P/INJECAO 50AMP 10ML - NOVAFARMA
AGUA DILUENTE P/INJECAO 50AMP 3ML - NOVAFARMA
AGUA DILUENTE P/INJECAO 50AMP 4ML - NOVAFARMA
AGUA DILUENTE P/INJECAO 50AMP 5ML - NOVAFARMA
AGUA ESTERIL P/IRRIGACAO 3000ML AZB7117 - BAXTER
AGUA INJECAO 100AMP 20ML POLIET - EQUIPLEX
AGUA INJECAO 12FR 1000ML - EQUIPLEX
AGUA INJECAO 1AMP 10ML - EQUIPLEX
AGUA INJECAO 200AMP 20ML POLIET - EQUIPLEX
AGUA INJECAO 20FR 500ML - EQUIPLEX
AGUA INJECAO 40FR 250ML - EQUIPLEX
AGUA INJECAO 48FR 250ML - EQUIPLEX
AGUA INJECAO 70FR 100ML - EQUIPLEX
AGUA INJECAO 70FR 50ML - EQUIPLEX
AGUA INJECAO SOL.INJ.24FR SIST FECHADO 500ML - EQUIPLEX
AGUA INJETAVEL 1000ML KABIPAC 1510124 - FRESENIUS KABI
AGUA INJETAVEL 100ML KABIPAC 1510121 - FRESENIUS KABI
AGUA INJETAVEL 250ML KABIPAC 1510122 - FRESENIUS KABI
AGUA INJETAVEL 500ML KABIPAC 1510123 - FRESENIUS KABI
AGUA OXIGENADA 10VOL.1000ML - FBM
AGUA OXIGENADA 10VOL.1000ML - ICAR
AGUA OXIGENADA 10VOL.1000ML - D.G.L
AGUA OXIGENADA 10VOL.1000ML 0031 - RIOQUIMICA
AGUA OXIGENADA 10VOL.100ML ALMOT. - FBM
AGUA OXIGENADA 10VOL.100ML ALMOT. - D.G.L
AGUA OXIGENADA 10VOL.100ML ALMOT.0329 - RIOQUIMICA
AGUA OXIGENADA 10VOL.100ML CTA.GTS. - FBM
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
169764
169711
72205
37070
169710
6260015
6260029
6260030
6260031
3865024
21406
17859
43338
91670
3425103
3425104
3425102
3425101
21403
151393
151402
153768
143158
143159
143157
151396
151401
153769
3865026
21404
102936
151395
153770
151399
3865025
21405
151397
151394
151398
105273
105275
105271
105274
105276
138263
105272
138261
115175
DESCRICAO
AGUA OXIGENADA 10VOL.1FR 1000ML - VIC PHARMA
AGUA OXIGENADA 10VOL.1FR CTG 100ML - VIC PHARMA
AGUA OXIGENADA 10VOL.90ML ALMOT. - ICAR
AGUA OXIGENADA 10VOL.90ML C/CGT - ICAR
AGUA OXIGENADA 10VOL.ALMOT.100ML - VIC PHARMA
AGUA OXIGENADA 10VOL.GTS.100ML 0032 - RIOQUIMICA
AGUA OXIGENADA ESP.20VOL.90ML 0802 - RIOQUIMICA
AGUA OXIGENADA ESP.30VOL.90ML 0803 - RIOQUIMICA
AGUA OXIGENADA ESP.40VOL.90ML 0804 - RIOQUIMICA
AGUA P/INJECAO 1000ML - JP
AGUA P/INJECAO 1000ML ECOFLAC PLUS 200105 - B.BRAUN
AGUA P/INJECAO 100AMP PLAST.10ML - HYPOFARMA
AGUA P/INJECAO 100AMP PLAST.20ML - HYPOFARMA
AGUA P/INJECAO 100AMP PLAST.5ML - HYPOFARMA
AGUA P/INJECAO 100AMP VD.10ML - HYPOFARMA
AGUA P/INJECAO 100AMP VD.20ML - HYPOFARMA
AGUA P/INJECAO 100AMP VD.5ML - HYPOFARMA
AGUA P/INJECAO 100AMP VIDRO 2ML - HYPOFARMA
AGUA P/INJECAO 100ML ECOFLAC PLUS 200101 - B.BRAUN
AGUA P/INJECAO 12BOLSA SISTEMA FECHADO 1000ML - SANOBIOL
AGUA P/INJECAO 12FR SISTEMA FECHADO 1000ML - SANOBIOL
AGUA P/INJECAO 16FR 1000ML - BASA
AGUA P/INJECAO 200AMP PLAST.10ML - HALEX ISTAR
AGUA P/INJECAO 200AMP PLAST.20ML - HALEX ISTAR
AGUA P/INJECAO 200AMP PLAST.5ML - HALEX ISTAR
AGUA P/INJECAO 20BOLSA SISTEMA FECHADO 500ML - SANOBIOL
AGUA P/INJECAO 20FR SISTEMA FECHADO 500ML - SANOBIOL
AGUA P/INJECAO 24FR 500ML - BASA
AGUA P/INJECAO 250ML - JP
AGUA P/INJECAO 250ML ECOFLAC PLUS 200102 - B.BRAUN
AGUA P/INJECAO 25AMP 10ML - ABL
AGUA P/INJECAO 40BOLSA SISTEMA FECHADO 250ML - SANOBIOL
AGUA P/INJECAO 40FR 250ML - BASA
AGUA P/INJECAO 40FR 250ML - SANOBIOL
AGUA P/INJECAO 500ML - JP
AGUA P/INJECAO 500ML ECOFLAC PLUS 200104 - B.BRAUN
AGUA P/INJECAO 80BOLSA SISTEMA FECHADO 100ML - SANOBIOL
AGUA P/INJECAO 80BOLSA SISTEMA FECHADO 125ML - SANOBIOL
AGUA P/INJECAO 80FR SISTEMA FECHADO 125ML - SANOBIOL
AGUA P/INJECAO AMP.PLAST.100UNID 10ML - ISOFARMA
AGUA P/INJECAO AMP.PLAST.100UNID 20ML - ISOFARMA
AGUA P/INJECAO AMP.PLAST.100UNID 5ML - ISOFARMA
AGUA P/INJECAO AMP.PLAST.200UNID 10ML - ISOFARMA
AGUA P/INJECAO AMP.PLAST.200UNID 20ML - ISOFARMA
AGUA P/INJECAO AMP.PLAST.200UNID 2ML - ISOFARMA
AGUA P/INJECAO AMP.PLAST.200UNID 5ML - ISOFARMA
AGUA P/INJECAO AMP.PLAST.50UNID 2ML - ISOFARMA
AGUA P/INJECAO AMP.PLAST.50UNID 5ML - ISOFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
143126
143125
143124
143123
169456
150806
130514
153676
130512
130513
150818
150815
141454
141453
141452
148341
148336
148337
150674
148338
148340
148339
70406
133686
146736
133684
146734
133685
146735
4080097
4080002
47702
47703
47704
140361
83879
84881
99922
104014
140360
33965
45146
36416
140362
94422
111851
117711
100082
DESCRICAO
AGUA P/INJECAO C/10BOLSAS PE 1000ML BLOWPACK - HALEX ISTAR
AGUA P/INJECAO C/20BOLSAS PE 500ML BLOWPACK - HALEX ISTAR
AGUA P/INJECAO C/40BOLSAS PE 250ML BLOWPACK - HALEX ISTAR
AGUA P/INJECAO C/60BOLSAS PE 100ML BLOWPACK - HALEX ISTAR
AGUA P/INJECAO SIST.FECH.25FA 500ML - EUROFARMA
AGUA P/INJETAVEIS BOLSA POLIPROPILENO TRANSP.SIST.FECH.SOLUCAO 50ML CAPACID.P/100ML MEDFLEX - EUROFARMA
AGUA P/INJETAVEIS BOLSA POLIPROPILENO TRANSPARENTE SISTEMA FECHADO 1000ML MEDFLEX - EUROFARMA
AGUA P/INJETAVEIS BOLSA POLIPROPILENO TRANSPARENTE SISTEMA FECHADO 100ML MEDFLEX - EUROFARMA
AGUA P/INJETAVEIS BOLSA POLIPROPILENO TRANSPARENTE SISTEMA FECHADO 250ML MEDFLEX - EUROFARMA
AGUA P/INJETAVEIS BOLSA POLIPROPILENO TRANSPARENTE SISTEMA FECHADO 500ML MEDFLEX - EUROFARMA
AGUA P/INJETAVEIS FRASCO POLIPROPILENO TRANSP.SIST.FECH.SOLUCAO 100ML CAPACID.P/250 LINHAMAX - EUROFARMA
AGUA P/INJETAVEIS FRASCO POLIPROPILENO TRANSP.SIST.FECH.SOLUCAO 50ML CAPACID.P/100ML LINHAMAX - EUROFARMA
AGUA P/IRRIGACAO 2000ML IRR 1520125 - FRESENIUS KABI
AGUA PURIFICADA KABICLEN 1000ML IRR 1520124 - FRESENIUS KABI
AGUA PURIFICADA KABICLEN 500ML IRR 1520123 - FRESENIUS KABI
AH-ZUL 100MG 4CPDS REV. - LEGRAND TARJARDOS
AH-ZUL 25MG 2CPDS REV. - LEGRAND TARJARDOS
AH-ZUL 25MG 4CPDS REV. - LEGRAND TARJARDOS
AH-ZUL 50MG 1CPD REV. - LEGRAND TARJARDOS
AH-ZUL 50MG 2CPDS REV. - LEGRAND TARJARDOS
AH-ZUL 50MG 2X4CPDS REV. - LEGRAND TARJARDOS
AH-ZUL 50MG 4CPDS REV. - LEGRAND TARJARDOS
AIRCLIN 0,5MG/ML SPR.NAS.15ML - ACHE
AIRES 120MG/G 16SACH 5G - EUROFARMA
AIRES 120MG/G 8ENV.5G - EUROFARMA
AIRES 20MG/G 16SACH 5G - EUROFARMA
AIRES 20MG/G 8ENV.5G - EUROFARMA
AIRES 40MG/G 16SACH 5G - EUROFARMA
AIRES 40MG/G 8ENV.5G - EUROFARMA
AKINETON 2MG 4BLX20CPDS - ABBOTT
AKINETON RETARD 4MG 2BLX15CPDS REV. - ABBOTT
ALBENDAL 200MG 2CPDS - PHARMASCIENCE
ALBENDAL 400MG 1CPD - PHARMASCIENCE
ALBENDAL 400MG SUSP.10ML - PHARMASCIENCE
ALBENDAZOL GEN.400MG 100CPDS MASTIG. - PRATI-DONADUZZI
ALBENDAZOL GEN.400MG 1CAP - NEOQUIMICA
ALBENDAZOL GEN.400MG 1CPD - EMS GENERICOS
ALBENDAZOL GEN.400MG 1CPD MAST. - MEDLEY
ALBENDAZOL GEN.400MG 1CPD MAST. - TEUTO BRAS
ALBENDAZOL GEN.400MG 1CPD MASTIG. - PRATI-DONADUZZI
ALBENDAZOL GEN.400MG/ML SUSP.10ML - NEOQUIMICA
ALBENDAZOL GEN.40MG SUSP.10ML - EMS GENERICOS
ALBENDAZOL GEN.40MG SUSP.ORAL 10ML - TEUTO BRAS
ALBENDAZOL GEN.40MG/ML 10ML - PRATI-DONADUZZI
ALBENDAZOL GEN.40MG/ML SUSP.10ML - MEDLEY
ALBENDAZOL GEN.40MG/ML SUSP.10ML - NOVA QUIMICA
ALBENDAZOL GEN.40MG/ML SUSP.ORAL 50X10ML - TEUTO BRAS
ALBENDAZOL GEN.SUSP.ORAL 10ML - LEGRAND GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
47554
47555
47556
40366
40367
6920088
2540002
1300006
1300005
1300004
53605
57843
57844
58575
119293
139356
71772
142140
142139
470001
153149
78234
145240
145241
145239
140955
1280104
1280103
111148
114516
111149
159196
159208
159209
159203
159192
1905063
6260163
152615
142290
142288
170152
170151
170153
78600
78601
6485002
31257
DESCRICAO
ALBENDROX 200MG 2CPDS - ROYTON
ALBENDROX 400MG 1CPD - ROYTON
ALBENDROX SUSP.10ML - ROYTON
ALBENDY 1CPD - KLEY HERTZ
ALBENDY SUSP.10ML - KLEY HERTZ
ALBENTEL 40MG/ML SUSP.ORAL 10ML - TEUTO BRAS
ALBICON 20G - CHIESI
ALBOCRESIL 2STRX3OVL. - NYCOMED
ALBOCRESIL GEL 50GRS+APL. - NYCOMED
ALBOCRESIL SOL.12ML - NYCOMED
ALBUMAX 20% 1FA 50ML+EQP. - BLAU
ALBUMINA HUMANA 0,2G/ML SOL.INJ.1FA 10ML - GRIFOLS
ALBUMINA HUMANA 0,2G/ML SOL.INJ.1FA 50ML - GRIFOLS
ALBUMINA HUMANA 20% 1FA 50ML - OCTAPHARMA
ALBUMINA HUMANA 20% 1ML - HOSPPHARMA
ALBUMINA HUMANA 20% 50ML BIOTEST - BIOTEST
ALBUMINA SERICA HUMANA 20% 1FA 50ML+EQUIPO - BAXTER
ALBUMINA SERICA HUMANA 20% BOLSA 100ML - BAXTER
ALBUMINA SERICA HUMANA 20% BOLSA 50ML - BAXTER
ALBUMINAR 20% 50ML S/EQUIPO - CSL BEHRING
ALBUREX 20 200G/L SOL.INJ.1FA 50ML - CSL BEHRING
ALBUREX 20% 1FA 50ML - MEIZLER
ALCACHOFRA CELLOFARM 100CPDS - ASPEN
ALCACHOFRA CELLOFARM 200CPDS - ASPEN
ALCACHOFRA CELLOFARM 30CPDS - ASPEN
ALCAFLOR UNO 120CPDS REV. - LUPER
ALCALONE PLUS 20CPDS - BUNKER
ALCALONE PLUS 40+40+4MG/ML SUSP.ORAL 240ML - BUNKER
ALCANATAN 250MG 100CAPS - PHARMASCIENCE
ALCANATAN 250MG 150ML - PHARMASCIENCE
ALCANATAN 250MG 30CAPS - PHARMASCIENCE
ALCOOL GEL C/ALOE VERA 300G - EUROFARMA
ALCOOL GEL LABOR 70% 430G - EUROFARMA
ALCOOL GEL LABOR 70% 740G - EUROFARMA
ALCOOL GEL LABOR 70% 95G - EUROFARMA
ALCOOL GEL NEUTRO 300G - EUROFARMA
ALCOOL IODADO 0,1% 1000ML - D.G.L
ALCOOL IODADO 0,1% 1000ML 0834 - RIOQUIMICA
ALCOOL IODADO 0,1% 100ML - D.G.L
ALCOOLABOR 70 1000ML - EUROFARMA
ALCOOLABOR 70 100ML - EUROFARMA
ALCOOLABOR GEL 70 1BOL.740G - EUROFARMA
ALCOOLABOR GEL 70 1FR 430G - EUROFARMA
ALCOOLABOR GEL 70 1FR 95G - EUROFARMA
ALCYTAM 20MG 14CPDS - TORRENT
ALCYTAM 20MG 28CPDS - TORRENT
ALDACTONE 100MG 16CPDS - PFIZER
ALDACTONE 25MG 30CPDS - PFIZER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
28636
34990
5920002
5920001
169818
84591
136957
84590
117134
150976
166443
166444
145144
41560
64049
108152
102094
98400
98466
146697
98403
98470
98308
146698
144946
144945
103799
103798
74348
144943
144944
74349
93820
117143
131997
151721
169680
142240
117140
131998
159612
74327
94396
94397
101104
96395
96394
132059
DESCRICAO
ALDACTONE 50MG 30CPDS - PFIZER
ALDAZIDA 50MG 30CPDS - PFIZER
ALDOMET 250MG 30CPDS REV. - ASPEN
ALDOMET 500MG 30CPDS REV. - ASPEN
ALDOSTERIN 100MG 10BLX16CPDS REV. - ASPEN
ALDOSTERIN 100MG 16CPDS - ASPEN
ALDOSTERIN 25MG 200CPDS - ASPEN
ALDOSTERIN 25MG 20CPDS - ASPEN
ALDOSTERIN 25MG 30CPDS - ASPEN
ALDURAZYME 2,9MG SOL.INJ.1FA 5ML - GENZYME
ALEKTOS 20MG 10CPDS - NYCOMED
ALEKTOS 20MG 30CPDS - NYCOMED
ALENDIL 70MG 12CPDS - FARMOQUIMICA
ALENDIL 70MG 4CPDS - FARMOQUIMICA
ALENDIL 70MG 8CPDS - FARMOQUIMICA
ALENDIL CALCIO D 70MG 30BLX4CPDS - FARMOQUIMICA
ALENDIL CALCIO D 70MG 60BLX4CPDS - FARMOQUIMICA
ALENDRONATO SODIO GEN.70MG 2CPDS - GERMED GENERICOS
ALENDRONATO SODIO GEN.70MG 2CPDS - EMS GENERICOS
ALENDRONATO SODIO GEN.70MG 4CPDS - SANDOZ
ALENDRONATO SODIO GEN.70MG 4CPDS - GERMED GENERICOS
ALENDRONATO SODIO GEN.70MG 4CPDS - EMS GENERICOS
ALENDRONATO SODIO GEN.70MG 4CPDS - LEGRAND GENERICOS
ALENDRONATO SODIO GEN.70MG 8CPDS - SANDOZ
ALENIA 12+400MCG 15CAP+INAL - BIOSINTETICA
ALENIA 12+400MCG 15CAPS - BIOSINTETICA
ALENIA 12+400MCG 60CAPS C/INALADOR - BIOSINTETICA
ALENIA 12+400MCG 60CAPS GEL DURA - BIOSINTETICA
ALENIA 6+100MCG 60CAPS C/INALADOR - BIOSINTETICA
ALENIA 6+200MCG 15CAPS - BIOSINTETICA
ALENIA 6+200MCG 15CAPS+INAL - BIOSINTETICA
ALENIA 6+200MCG 60CAPS C/INALADOR - BIOSINTETICA
ALENIA 6+200MCG 60CAPS GEL DURA - BIOSINTETICA
ALENTHUS XR 150MG 15CAPS - MEDLEY
ALENTHUS XR 150MG 30CAPS - MEDLEY
ALENTHUS XR 37,5MG 15CAPS GEL DURA LIB.CONTROL. - MEDLEY
ALENTHUS XR 37,5MG 30CAPS GEL LIB.CONTROL. - MEDLEY
ALENTHUS XR 37,5MG 7CAPS GEL DURA LIB.CONTROL. - MEDLEY
ALENTHUS XR 75MG 15CAPS - MEDLEY
ALENTHUS XR 75MG 30CAPS - MEDLEY
ALERADINA 5MG 10CPDS REV. - GERMED
ALERFIN 100MCG 120DOSES - CHIESI
ALERGALIV 10MG 3X5CPDS - LEGRAND OTC
ALERGALIV 1MG/ML XPE.100ML - LEGRAND OTC
ALERGALIV D 1+12MG/ML XAROPE 60ML - LEGRAND TARJARDOS
ALERGCORTEM 20MG 20CPDS - PHARMASCIENCE
ALERGCORTEM 5MG 20CPDS - PHARMASCIENCE
ALERGIDEX 0,4MG/ML+0,05MG/ML XPE.120ML - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
153595
153596
6460020
6310046
26787
26788
87370
87270
87271
94156
96712
96702
96711
96699
96692
96691
96714
96704
96713
96703
96674
96673
96690
96689
96716
96676
96707
96715
96675
96705
96694
96693
96718
96686
96700
96717
96685
96697
136666
136665
96722
96710
96721
96709
96720
96688
96701
96708
DESCRICAO
ALERGOMINE 0,4MG/ML SOL.ORAL 120ML - CIMED
ALERGOMINE 10MG/G CRM.DERM.30GRS - CIMED
ALERGYO 2MG 2X10CPDS - SANVAL
ALERMINE XPE.100ML - ROYTON
ALETIR 10MG 6CPDS REV. - BUNKER
ALETIR SOL.ORAL 75ML - BUNKER
ALEXA 0,06+0,015MG 24CPDS - SIGMA PHARMA
ALFA INTERFERONA 2A 3.000000UI 1FA+DIL 1ML - BLAU
ALFA INTERFERONA 2A 4.500000UI 1FA+DIL 1ML - BLAU
ALFA INTERFERONA 2A 9.000000UI 1FA+AMP DIL 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 10000UI 12AMP 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 10000UI 12SER.PREENC.1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 10000UI 1AMP 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 10000UI 1SER.PREENC.1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 10000UI SOL.12FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 10000UI SOL.1FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 1000UI 12AMP 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 1000UI 12SER.PREENC.0,5ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 1000UI 1AMP 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 1000UI 1SER.PREENC.0,5ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 1000UI PO LIOF.12FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 1000UI PO LIOF.1FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 1000UI SOL.12FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 1000UI SOL.1FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 2000UI 12AMP 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 2000UI 12FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 2000UI 12SER.PREENC.0,5ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 2000UI 1AMP 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 2000UI 1FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 2000UI 1SER.PREENC.0,5ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 2000UI SOL.12FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 2000UI SOL.1FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 3000UI 12AMP 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 3000UI 12FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 3000UI 12SER.PREENC.0,3ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 3000UI 1AMP 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 3000UI 1FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 3000UI 1SER.PREENC.0,3ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 3000UI/ML 12FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 3000UI/ML 1FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 40000UI 12AMP 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 40000UI 12SER.PREENC.1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 40000UI 1AMP 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 40000UI 1SER.PREENC.1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 4000UI 12AMP 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 4000UI 12FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 4000UI 12SER.PREENC.0,4ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 4000UI 12SER.PREENC.1ML - BLAU
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
96719
96687
96698
96706
96696
96695
1020094
1020092
1020093
137848
57271
78562
13946
101605
101988
127938
101590
3480006
166064
103725
4070013
12093
95448
97149
143239
131048
40368
1280155
1280154
103245
137936
165865
165864
103246
137937
117783
146774
91609
20251
76052
79499
115330
142022
101852
76150
101930
101929
3080028
DESCRICAO
ALFAEPOETINA HUMANA RECOMBINANTE 4000UI 1AMP 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 4000UI 1FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 4000UI 1SER.PREENC.0,4ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 4000UI 1SER.PREENC.1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 4000UI SOL.12FA 1ML - BLAU
ALFAEPOETINA HUMANA RECOMBINANTE 4000UI SOL.1FA 1ML - BLAU
ALFAINTERFERONA 2B 10.000000UI 5FA+AMP DIL.(ICMS 0%) - BIOSINTETICA
ALFAINTERFERONA 2B 3.000000UI 5FA+AMP DIL.(ICMS 0%) - BIOSINTETICA
ALFAINTERFERONA 2B 5.000000UI 5FA+AMP DIL.(ICMS 0%) - BIOSINTETICA
ALFARE 6X400G - NESTLE N.C.
ALFAST 0,544MG/ML 10AMP 5ML - CRISTALIA
ALFAST 0,544MG/ML 25AMP 10ML - CRISTALIA
ALFUZINA 500MG 30CPDS - BUNKER
ALGESTONA ACETONIDA+ENANTATO ESTRADIOL GEN.150+10MG/ML 1AMP 1ML - EMS GENERICOS
ALGESTONA ACETONIDA+ENANTATO ESTRADIOL GEN.150+10MG/ML 1AMP 1ML - GERMED GENERICOS
ALGESTONA ACETONIDA+ENANTATO ESTRADIOL GEN.150+10MG/ML SOL.INJ.1AMP 1ML - EUROFARMA
ALGESTONA+ESTRADIOL GEN.1AMP 1ML - LEGRAND GENERICOS
ALGEXIN 10DRGS - CIMED
ALGEXIN COMPOSTO 6,67+333,4MG/ML SOL.ORAL 15ML - CIMED
ALGI TANDERIL 12CPDS - GLENMARK
ALGI TANDERIL 30CPDS - GLENMARK
ALGIFLEX 200MG 20CPDS - EMS
ALGINAC 1MG+50MG+50MG+50MG 15CPDS REV - MERCK S.A.
ALGINAC 1MG+50MG+50MG+50MG 30CPDS REV. - MERCK S.A.
ALGINAC 1MG+50MG+50MG+50MG 4CPDS REV. - MERCK S.A.
ALGINAC 5000MCG+100MG+100MG+75MG 3AMP 2ML+3AMP 1ML - MERCK S.A.
ALGI-REUMATRIL 200MG 20CPDS - KLEY HERTZ
ALGIRONA 500MG 200CPDS REV. - BUNKER
ALGIRONA GTS.10ML - BUNKER
ALGY-FLANDERIL 300MG 20CPDS - VITAPAN
ALGY-FLANDERIL 300MG 500CPDS - VITAPAN
ALGY-FLANDERIL 50MG/ML 50FR 30ML - VITAPAN
ALGY-FLANDERIL 50MG/ML GOTAS 1FR 30ML - VITAPAN
ALGY-FLANDERIL 600MG 20CPDS - VITAPAN
ALGY-FLANDERIL 600MG 500CPDS - VITAPAN
ALIMAX 10.000UI/ML SPR.50ML - CRISTALIA
ALIMTA 100MG 50ML - ELI LILLY
ALIMTA 500MG 50ML - ELI LILLY
ALITRAQ BAUN.1ENV.76G - ABBOTT
ALITRAQ BAUN.6ENV.76G - ABBOTT
ALIVIOL POM.20GRS - CIFARMA
ALIVIUM 100MG/ML 20ML - MANTECORP
ALIVIUM 30MG/ML 100ML+SER.DOSADORA - MANTECORP
ALIVIUM 400MG 10CPDS - MANTECORP
ALIVIUM 50MG/ML 30ML - MANTECORP
ALIVIUM 600MG 2X5CPDS - MANTECORP
ALIVIUM 600MG 4CPDS - MANTECORP
ALKERAN 2MG 25CPDS - GLAXOSMITH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
3080032
3440148
118327
3440149
118328
35251
84188
18781
133463
133462
159298
133650
142114
74432
92788
92789
115403
167092
123121
93600
119381
162620
140364
139397
162621
140366
48114
139398
37013
2900018
62543
137925
150233
150234
150232
90287
88200
142167
128324
84355
88778
62511
128325
105739
90288
88201
142173
84357
DESCRICAO
ALKERAN 50MG IV 1AMP+DIL. - GLAXOSMITH
ALLEGRA 120MG 10CPDS - SANOFI-AVENTIS
ALLEGRA 120MG 5CPDS - SANOFI-AVENTIS
ALLEGRA 180MG 10CPDS - SANOFI-AVENTIS
ALLEGRA 180MG 5CPDS - SANOFI-AVENTIS
ALLEGRA 30MG INF.20CPDS REV. - SANOFI-AVENTIS
ALLEGRA 60MG 2X5CPDS - SANOFI-AVENTIS
ALLEGRA D 60+120MG 10CPDS - SANOFI-AVENTIS
ALLEGRA PEDIATRICO 6MG/ML 150ML+SER.DOS. - SANOFI-AVENTIS
ALLEGRA PEDIATRICO 6MG/ML 60ML+SER.DOS. - SANOFI-AVENTIS
ALLERT VIBE 12FRX20CPDS - CIFARMA
ALLESTRA 20 75+20MCG 3BLX21DRGS - ACHE
ALLESTRA 30 75+30MCG 21DRGS - ACHE
ALLESTRA 75+20MCG 21DRGS - ACHE
ALLEXOFEDRIN 120MG 10CPDS REV. - EMS
ALLEXOFEDRIN 180MG 10CPDS REV. - EMS
ALLEXOFEDRIN D 60+120MG 10CPDS REV. - EMS
ALLURENE 2MG 28CPDS - BAYER
ALOAX GEL 30GRS - ATIVUS
ALOIS 10MG 30CPDS REV. - APSEN
ALOIS 10MG 60CPDS REV. - APSEN
ALOPURINOL GEN.100MG 120CPDS - PRATI-DONADUZZI
ALOPURINOL GEN.100MG 30CPDS - PRATI-DONADUZZI
ALOPURINOL GEN.100MG 30CPDS - MEDLEY
ALOPURINOL GEN.300MG 120CPDS - PRATI-DONADUZZI
ALOPURINOL GEN.300MG 30CPDS - PRATI-DONADUZZI
ALOPURINOL GEN.300MG 30CPDS - SANDOZ
ALOPURINOL GEN.300MG 30CPDS - MEDLEY
ALPHAGAN 0,2% SOL.OFT.10ML - ALLERGAN
ALPHAGAN 0,2% SOL.OFT.5ML - ALLERGAN
ALPHAGAN-P 0,15% SOL.OFT.5ML - ALLERGAN
ALPHAGAN-Z 0,10% SOL.OFT.5ML - ALLERGAN
ALPRAZOLAM 1,0MG 30CPDS - TEUTO BRAS
ALPRAZOLAM 2,0MG 30CPDS - TEUTO BRAS
ALPRAZOLAM GEN. 0,5MG 30CPDS - TEUTO BRAS
ALPRAZOLAM GEN.0,25MG 20CPDS - ARROW
ALPRAZOLAM GEN.0,25MG 20CPDS - EMS GENERICOS
ALPRAZOLAM GEN.0,25MG 20CPDS - NOVA QUIMICA
ALPRAZOLAM GEN.0,25MG 20CPDS - MEDLEY
ALPRAZOLAM GEN.0,25MG 20CPDS - EUROFARMA
ALPRAZOLAM GEN.0,25MG 2BLX10CPDS - GERMED GENERICOS
ALPRAZOLAM GEN.0,25MG 2X10CPDS - BIOSINTETICA
ALPRAZOLAM GEN.0,25MG 30CPDS - MEDLEY
ALPRAZOLAM GEN.0,25MG 3BLX10CPDS - EMS GENERICOS
ALPRAZOLAM GEN.0,50MG 20CPDS - ARROW
ALPRAZOLAM GEN.0,50MG 20CPDS - EMS GENERICOS
ALPRAZOLAM GEN.0,50MG 20CPDS - NOVA QUIMICA
ALPRAZOLAM GEN.0,50MG 20CPDS - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
62512
103949
94173
106632
128327
88779
164577
159214
128326
164624
145382
104435
90289
88202
142176
128328
84359
94175
88780
105740
103950
164578
159215
128329
164625
162723
145383
104436
104437
104920
106656
164579
128330
164628
157995
103951
104438
105742
91360
134474
168650
84956
84957
6460139
96680
96679
105210
96678
DESCRICAO
ALPRAZOLAM GEN.0,50MG 2X10CPDS - BIOSINTETICA
ALPRAZOLAM GEN.0,50MG 2X10CPDS - SANDOZ
ALPRAZOLAM GEN.0,50MG 2X10CPDS - LEGRAND GENERICOS
ALPRAZOLAM GEN.0,50MG 3BLX10CPDS - EMS GENERICOS
ALPRAZOLAM GEN.0,5MG 20CPDS - MEDLEY
ALPRAZOLAM GEN.0,5MG 2BLX10CPDS - GERMED GENERICOS
ALPRAZOLAM GEN.0,5MG 30CPDS - BIOSINTETICA
ALPRAZOLAM GEN.0,5MG 30CPDS - NOVA QUIMICA
ALPRAZOLAM GEN.0,5MG 30CPDS - MEDLEY
ALPRAZOLAM GEN.0,5MG 30CPDS - ACHE
ALPRAZOLAM GEN.0,5MG 30CPDS - ZYDUS NIKKHO
ALPRAZOLAM GEN.0,5MG 3BLX10CPDS - GERMED GENERICOS
ALPRAZOLAM GEN.1MG 20CPDS - ARROW
ALPRAZOLAM GEN.1MG 20CPDS - EMS GENERICOS
ALPRAZOLAM GEN.1MG 20CPDS - NOVA QUIMICA
ALPRAZOLAM GEN.1MG 20CPDS - MEDLEY
ALPRAZOLAM GEN.1MG 20CPDS - EUROFARMA
ALPRAZOLAM GEN.1MG 20CPDS - LEGRAND GENERICOS
ALPRAZOLAM GEN.1MG 2BLX10CPDS - GERMED GENERICOS
ALPRAZOLAM GEN.1MG 2BLX15CPDS - EMS GENERICOS
ALPRAZOLAM GEN.1MG 2X10CPDS - SANDOZ
ALPRAZOLAM GEN.1MG 30CPDS - BIOSINTETICA
ALPRAZOLAM GEN.1MG 30CPDS - NOVA QUIMICA
ALPRAZOLAM GEN.1MG 30CPDS - MEDLEY
ALPRAZOLAM GEN.1MG 30CPDS - ACHE
ALPRAZOLAM GEN.1MG 30CPDS - EUROFARMA
ALPRAZOLAM GEN.1MG 30CPDS - ZYDUS NIKKHO
ALPRAZOLAM GEN.1MG 3BLX10CPDS - GERMED GENERICOS
ALPRAZOLAM GEN.2MG 2BLX10CPDS - GERMED GENERICOS
ALPRAZOLAM GEN.2MG 2BLX10CPDS - EMS GENERICOS
ALPRAZOLAM GEN.2MG 2X10CPDS - LEGRAND GENERICOS
ALPRAZOLAM GEN.2MG 30CPDS - BIOSINTETICA
ALPRAZOLAM GEN.2MG 30CPDS - MEDLEY
ALPRAZOLAM GEN.2MG 30CPDS - ACHE
ALPRAZOLAM GEN.2MG 30CPDS - NOVA QUIMICA
ALPRAZOLAM GEN.2MG 30CPDS - SANDOZ
ALPRAZOLAM GEN.2MG 3BLX10CPDS - GERMED GENERICOS
ALPRAZOLAM GEN.2MG 3BLX10CPDS - EMS GENERICOS
ALREX 2MG/ML SUSP.OFT.5ML - BAUSCH+LOMB
ALTARGO 10MG/G POM.5G - GLAXOSMITH
ALTHERA 6X400G - NESTLE N.C.
ALTIVA 120MG 10CPDS - EUROFARMA
ALTIVA 180MG 10CPDS - EUROFARMA
ALUDROXIL 62MG/ML 200ML - SANVAL
ALVESCO 160MCG 120PUFFS - NYCOMED
ALVESCO 160MCG 60PUFFS - NYCOMED
ALVESCO 80MCG 120PUFFS - NYCOMED
ALVESCO 80MCG 60PUFFS - NYCOMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
117145
117146
3440009
3440013
136550
12071
136551
136674
136675
136676
144128
118794
144126
118792
144127
118793
7070009
7070008
4945151
4945152
103655
103654
166413
103876
84338
34476
111295
111296
18471
18473
18475
100689
28081
48104
96361
6020008
48105
78931
76837
103734
28080
48106
139898
5340089
143160
3425105
136803
145497
DESCRICAO
ALZEPINOL 300MG 20CPDS - MEDLEY
ALZEPINOL 600MG 20CPDS - MEDLEY
AMARYL 1MG 30CPDS - SANOFI-AVENTIS
AMARYL 2MG 30CPDS - SANOFI-AVENTIS
AMARYL 3MG 30CPDS - SANOFI-AVENTIS
AMARYL 4MG 30CPDS - SANOFI-AVENTIS
AMARYL 6MG 30CPDS - SANOFI-AVENTIS
AMARYL DUO 2+500MG 30CPDS - SANOFI-AVENTIS
AMARYL FLEX 1+500MG 30+120CPDS - SANOFI-AVENTIS
AMARYL FLEX 2+500MG 30+120CPDS - SANOFI-AVENTIS
AMATO 100MG 12CPDS REV. - EUROFARMA
AMATO 100MG 60CPDS REV. - EUROFARMA
AMATO 25MG 12CPDS REV. - EUROFARMA
AMATO 25MG 60CPDS REV. - EUROFARMA
AMATO 50MG 12CPDS REV. - EUROFARMA
AMATO 50MG 60CPDS REV. - EUROFARMA
AMBISOME 50MG 10FA - UNITED MEDICAL
AMBISOME 50MG 1FA - UNITED MEDICAL
AMBRA-SINTO T SUSP.30ML - MEDLEY
AMBRA-SINTO T SUSP.60ML - MEDLEY
AMBROFLUX 3MG/ML XPE.120ML - LUPER
AMBROFLUX 6MG/ML XPE.120ML - LUPER
AMBROXMEL 3MG/ML XPE.PED.120ML - CIMED
AMBROXMEL XPE.ADU.120ML - CIMED
AMICACINA 100MG 100AMP 2ML - HIPOLABOR
AMICACINA SULF GEN.125MG/ML 1AMP 2ML - TEUTO BRAS
AMICACINA SULF GEN.250MG/ML 50AMP 2ML - TEUTO BRAS
AMICACINA SULF GEN.50MG/ML 50AMP 2ML - TEUTO BRAS
AMICILON 100MG 50AMP 2ML - ARISTON
AMICILON 250MG 50AMP 2ML - ARISTON
AMICILON 500MG 50AMP 2ML - ARISTON
AMICOZOL 20MG/G CRM.DERM.28GRS - ASPEN
AMIDALIN CER.20PAST - SANDOZ
AMIDALIN CER.25X4PAST - SANDOZ
AMIDALIN FRAMBOESA 20PAST - SANDOZ
AMIDALIN LAR.20PAST - SANDOZ
AMIDALIN LAR.25X4PAST - SANDOZ
AMIDALIN LAR.SPR.25ML - SANDOZ
AMIDALIN MEL/LIMAO 20PAST - SANDOZ
AMIDALIN MEL/LIMAO 25X4PAST - SANDOZ
AMIDALIN MENTA 20PAST - SANDOZ
AMIDALIN MENTA 25X4PAST - SANDOZ
AMIDALIN MENTA SPR.25ML - SANDOZ
AMILORID 30CPDS - NEOQUIMICA
AMINOFILIN 24MG AMP 10ML - HALEX ISTAR
AMINOFILINA GEN.0,24G 100AMP 10ML - HYPOFARMA
AMINOFILINA GEN.100MG 20CPDS - VITAPAN
AMINOFILINA GEN.100MG 20CPDS - HIPOLABOR
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
92402
142116
127958
128337
92403
138135
111297
6380004
6380005
123111
122657
122656
141965
122654
122655
122658
61014
61015
84341
129317
129315
69887
69886
103251
150939
103250
137938
69762
41541
69761
41540
79502
79503
79505
2380222
37435
140370
83161
123092
35264
35527
70879
35265
37999
79736
144121
83880
130489
DESCRICAO
AMINOFILINA GEN.100MG 20CPDS - TEUTO BRAS
AMINOFILINA GEN.100MG 500CPDS - VITAPAN
AMINOFILINA GEN.200MG 20CPDS - NEOQUIMICA
AMINOFILINA GEN.200MG 20CPDS - VITAPAN
AMINOFILINA GEN.200MG 20CPDS - TEUTO BRAS
AMINOFILINA GEN.24MG/ML 100X10ML - HIPOLABOR
AMINOFILINA GEN.24MG/ML 50AMP 10ML - TEUTO BRAS
AMINOFILINA SANDOZ 100MG 2BLX10CPDS - NOVARTIS
AMINOFILINA SANDOZ 200MG 2BLX10CPDS - NOVARTIS
AMINOTRAT 24MG/ML 50AMP 10ML - NOVAFARMA
AMINOVEN 10% 1000ML BRK090141 - FRESENIUS KABI
AMINOVEN 10% 500ML BRK090091 - FRESENIUS KABI
AMINOVEN 10% INF.1000ML K434141 - FRESENIUS KABI
AMINOVEN 10% INF.100ML BRK434031 - FRESENIUS KABI
AMINOVEN 10% INF.250ML BRK434061 - FRESENIUS KABI
AMINOVEN 15% 1000ML BRK080141 - FRESENIUS KABI
AMIOBAL 100MG 30CPDS - BALDACCI
AMIOBAL 200MG 30CPDS - BALDACCI
AMIODARONA GEN.50MG/ML 100AMP 3ML - HIPOLABOR
AMITRIPTILINA HCL GEN.25MG 100CPDS REV. - TEUTO BRAS
AMITRIPTILINA HCL GEN.25MG 20CPDS REV. - TEUTO BRAS
AMLOCOR 10MG 30CPDS - TORRENT
AMLOCOR 5MG 30CPDS - TORRENT
AMLODIL 10MG 20CPDS - VITAPAN
AMLODIL 10MG 500CPDS - VITAPAN
AMLODIL 5MG 20CPDS - VITAPAN
AMLODIL 5MG 500CPDS - VITAPAN
AMLOVASC 10MG 20CPDS - HEXAL
AMLOVASC 10MG 30CPDS - HEXAL
AMLOVASC 5MG 20CPDS - HEXAL
AMLOVASC 5MG 30CPDS - HEXAL
AMOXADENE 125MG/5ML 150ML - CIFARMA
AMOXADENE 250MG/5ML 150ML - CIFARMA
AMOXADENE 500MG 21CAPS - CIFARMA
AMOX-EMS 250MG/5ML SUSP.150ML - EMS
AMOX-EMS 500MG 21CPDS - EMS
AMOXICILINA GEN.100MG/ML FR.VD.150ML - PRATI-DONADUZZI
AMOXICILINA GEN.100MG/ML PO SUSP.ORAL 150ML - UNIAO QUIMICA
AMOXICILINA GEN.100MG/ML SUSP.ORAL 150ML+COL.MED. - AUROBINDO
AMOXICILINA GEN.125MG PO 150ML+DOS. - MEDLEY
AMOXICILINA GEN.125MG/5ML SUSP.ORAL 150ML+CP.MED. - EUROFARMA
AMOXICILINA GEN.200MG PO 100ML+DOS. - MEDLEY
AMOXICILINA GEN.250MG PO 150ML+DOS. - MEDLEY
AMOXICILINA GEN.250MG SUSP.150ML - RANBAXY
AMOXICILINA GEN.250MG/5ML 150ML - BRAINFARMA
AMOXICILINA GEN.250MG/5ML 150ML+SER.DOS.10ML - BIOSINTETICA
AMOXICILINA GEN.250MG/5ML PO EXT. 150ML - NEOQUIMICA
AMOXICILINA GEN.250MG/5ML PO P/SUSP.150ML+COPO MEDIDOR - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
37337
128358
58527
89408
35528
147827
70880
74129
89496
144122
147828
68518
111298
83881
35261
136576
162642
37333
35526
152122
152118
58528
104087
103953
103952
89528
47973
52409
128355
133674
120818
89407
84047
140371
136577
162643
37335
35529
87275
152123
58529
104088
159595
105744
35263
92701
103954
136578
DESCRICAO
AMOXICILINA GEN.250MG/5ML SUSP.150ML - EMS GENERICOS
AMOXICILINA GEN.250MG/5ML SUSP.150ML - CIMED
AMOXICILINA GEN.250MG/5ML SUSP.ORAL 150ML - GERMED GENERICOS
AMOXICILINA GEN.250MG/5ML SUSP.ORAL 150ML - NOVA QUIMICA
AMOXICILINA GEN.250MG/5ML SUSP.ORAL 150ML+CP.MED. - EUROFARMA
AMOXICILINA GEN.250MG/5ML SUSP.ORAL 150ML+SER.DOS.10ML - ACHE
AMOXICILINA GEN.400MG PO 100ML+DOS. - MEDLEY
AMOXICILINA GEN.400MG SUSP.100ML - EMS GENERICOS
AMOXICILINA GEN.400MG SUSP.ORAL 100ML - GERMED GENERICOS
AMOXICILINA GEN.400MG/5ML 100ML+SER.DOS.10ML - BIOSINTETICA
AMOXICILINA GEN.400MG/5ML SUSP.ORAL 100ML+SER.DOS.10ML - ACHE
AMOXICILINA GEN.400MG/5ML SUSP.ORAL 100ML+SER.DOSAD. - EUROFARMA
AMOXICILINA GEN.500MG 100CAPS GEL.DURA - TEUTO BRAS
AMOXICILINA GEN.500MG 15CAPS - NEOQUIMICA
AMOXICILINA GEN.500MG 15CAPS GEL - MEDLEY
AMOXICILINA GEN.500MG 15CAPS GEL. - UNIAO QUIMICA
AMOXICILINA GEN.500MG 15CAPS GEL. - ACHE
AMOXICILINA GEN.500MG 15CAPS GEL. - EMS GENERICOS
AMOXICILINA GEN.500MG 15CAPS GEL.DURA - EUROFARMA
AMOXICILINA GEN.500MG 15CAPS GEL.DURA - BIOSINTETICA
AMOXICILINA GEN.500MG 15CAPS GEL.DURA - TEUTO BRAS
AMOXICILINA GEN.500MG 15CAPS GEL.DURA - GERMED GENERICOS
AMOXICILINA GEN.500MG 15CAPS GEL.DURA - AUROBINDO
AMOXICILINA GEN.500MG 16CAPS - SANDOZ
AMOXICILINA GEN.500MG 20CAPS - SANDOZ
AMOXICILINA GEN.500MG 21CAPS - NEOQUIMICA
AMOXICILINA GEN.500MG 21CAPS - SANVAL
AMOXICILINA GEN.500MG 21CAPS - RANBAXY
AMOXICILINA GEN.500MG 21CAPS - CIMED
AMOXICILINA GEN.500MG 21CAPS - LEGRAND GENERICOS
AMOXICILINA GEN.500MG 21CAPS - SANDOZ
AMOXICILINA GEN.500MG 21CAPS - NOVA QUIMICA
AMOXICILINA GEN.500MG 21CAPS GEL - BRAINFARMA
AMOXICILINA GEN.500MG 21CAPS GEL DURA - PRATI-DONADUZZI
AMOXICILINA GEN.500MG 21CAPS GEL. - UNIAO QUIMICA
AMOXICILINA GEN.500MG 21CAPS GEL. - ACHE
AMOXICILINA GEN.500MG 21CAPS GEL. - EMS GENERICOS
AMOXICILINA GEN.500MG 21CAPS GEL.DURA - EUROFARMA
AMOXICILINA GEN.500MG 21CAPS GEL.DURA - TEUTO BRAS
AMOXICILINA GEN.500MG 21CAPS GEL.DURA - BIOSINTETICA
AMOXICILINA GEN.500MG 21CAPS GEL.DURA - GERMED GENERICOS
AMOXICILINA GEN.500MG 21CAPS GEL.DURA - AUROBINDO
AMOXICILINA GEN.500MG 280CAPS GEL.DURA - PRATI-DONADUZZI
AMOXICILINA GEN.500MG 2BLX15CAPS GEL. - EMS GENERICOS
AMOXICILINA GEN.500MG 2X15CAPS GEL - MEDLEY
AMOXICILINA GEN.500MG 30CAPS - NOVA QUIMICA
AMOXICILINA GEN.500MG 30CAPS - SANDOZ
AMOXICILINA GEN.500MG 30CAPS GEL. - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
162644
35530
87274
152124
104089
104090
111184
153652
35262
35266
78942
128359
37051
145084
145086
145085
161028
83160
123091
162641
87289
152125
90673
68508
153651
106601
114425
106600
60343
133438
63640
63641
123160
123161
70951
44135
118561
41310
89410
147824
163527
44136
79735
118562
44604
89412
79734
79730
DESCRICAO
AMOXICILINA GEN.500MG 30CAPS GEL. - ACHE
AMOXICILINA GEN.500MG 30CAPS GEL.DURA - EUROFARMA
AMOXICILINA GEN.500MG 30CAPS GEL.DURA - TEUTO BRAS
AMOXICILINA GEN.500MG 30CAPS GEL.DURA - BIOSINTETICA
AMOXICILINA GEN.500MG 30CAPS GEL.DURA - AUROBINDO
AMOXICILINA GEN.500MG 350CAPS GEL.DURA - AUROBINDO
AMOXICILINA GEN.500MG 3BLX7CPDS - GERMED GENERICOS
AMOXICILINA GEN.500MG 3X10CAPS - RANBAXY
AMOXICILINA GEN.500MG 3X7CAPS GEL - MEDLEY
AMOXICILINA GEN.500MG PO 150ML+DOS. - MEDLEY
AMOXICILINA GEN.500MG/5ML SUSP.150ML - EMS GENERICOS
AMOXICILINA GEN.500MG/5ML SUSP.150ML - CIMED
AMOXICILINA GEN.500MG/5ML SUSP.ORAL 150ML+CP.MED. - EUROFARMA
AMOXICILINA GEN.50MG/ML FR.VD.150ML - PRATI-DONADUZZI
AMOXICILINA GEN.50MG/ML FR.VD.50X150ML - PRATI-DONADUZZI
AMOXICILINA GEN.50MG/ML FR.VD.60ML - PRATI-DONADUZZI
AMOXICILINA GEN.50MG/ML PO SUSP.ORAL 60ML+CP.MED - TEUTO BRAS
AMOXICILINA GEN.50MG/ML PO SUSP.ORAL150ML - UNIAO QUIMICA
AMOXICILINA GEN.50MG/ML SUSP.ORAL 150ML+COL.MED. - AUROBINDO
AMOXICILINA GEN.875MG 14CPDS REV. - ACHE
AMOXICILINA GEN.875MG 14CPDS REV. - EMS GENERICOS
AMOXICILINA GEN.875MG 14CPDS REV. - BIOSINTETICA
AMOXICILINA GEN.875MG 2BLX7CPDS REV. - GERMED GENERICOS
AMOXICILINA GEN.875MG 2STPX7CPDS REV. - EUROFARMA
AMOXICILINA+CLAV.POTASSIO GEN.875MG+125MG 2X10CPDS - RANBAXY
AMOXICILINA+CLAVULANATO GEN.1000+200MG 50FA 20ML - ASPEN
AMOXICILINA+CLAVULANATO GEN.1G+200MG PO LIOF.10FA 30ML - AUROBINDO
AMOXICILINA+CLAVULANATO GEN.500+100MG 50FA 10ML - ASPEN
AMOXICILINA+CLAVULANATO POTASSICO GEN.250MG/5ML SUSP.75ML - EMS GENERICOS
AMOXICILINA+CLAVULANATO POTASSICO GEN.400+57MG SUSP.70ML - EMS GENERICOS
AMOXICILINA+CLAVULANATO POTASSICO GEN.500+125MG 2BLX6CPDS - EMS GENERICOS
AMOXICILINA+CLAVULANATO POTASSICO GEN.500+125MG 3BLX6CPDS - EMS GENERICOS
AMOXICILINA+CLAVULANATO POTASSICO GEN.875+125MG 2BLX6CPDS REV. - EMS GENERICOS
AMOXICILINA+CLAVULANATO POTASSICO GEN.875+125MG 2BLX7CPDS REV. - EMS GENERICOS
AMOXICILINA+CLAVULANATO POTASSIO GEN.1G 10FA - EUROFARMA
AMOXICILINA+CLAVULANATO POTASSIO GEN.25+6,25MG/ML 100ML - SANDOZ
AMOXICILINA+CLAVULANATO POTASSIO GEN.25+6,25MG/ML 75ML - SANDOZ
AMOXICILINA+CLAVULANATO POTASSIO GEN.250MG 75ML - RANBAXY
AMOXICILINA+CLAVULANATO POTASSIO GEN.250MG/5ML 75ML - NOVA QUIMICA
AMOXICILINA+CLAVULANATO POTASSIO GEN.400+57MG/5ML 70ML - BIOSINTETICA
AMOXICILINA+CLAVULANATO POTASSIO GEN.400+75MG PO SUSP.ORAL 70ML - GERMED GENERICOS
AMOXICILINA+CLAVULANATO POTASSIO GEN.50+12,5MG/ML 100ML - SANDOZ
AMOXICILINA+CLAVULANATO POTASSIO GEN.50+12,5MG/ML 75ML - BRAINFARMA
AMOXICILINA+CLAVULANATO POTASSIO GEN.50+12,5MG/ML 75ML - SANDOZ
AMOXICILINA+CLAVULANATO POTASSIO GEN.500+125MG 12CPDS - SANDOZ
AMOXICILINA+CLAVULANATO POTASSIO GEN.500+125MG 18CPDS REV. - NOVA QUIMICA
AMOXICILINA+CLAVULANATO POTASSIO GEN.500+125MG 3X6CPDS - BRAINFARMA
AMOXICILINA+CLAVULANATO POTASSIO GEN.500+125MG 6CPDS - BRAINFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
89411
38001
38000
93251
146694
44605
146690
132077
132078
115745
124366
124367
124492
124493
115389
115388
780003
780050
780005
780002
780062
780015
26551
26552
44054
21650
26277
145406
44647
145407
48176
6020112
37785
96669
6020111
1280126
37896
1280153
1280152
1280107
71963
71964
35287
150417
140375
51157
48607
31236
DESCRICAO
AMOXICILINA+CLAVULANATO POTASSIO GEN.500+125MG 6CPDS REV. - NOVA QUIMICA
AMOXICILINA+CLAVULANATO POTASSIO GEN.500MG 18CPDS - RANBAXY
AMOXICILINA+CLAVULANATO POTASSIO GEN.500MG 6CPDS - RANBAXY
AMOXICILINA+CLAVULANATO POTASSIO GEN.57MG/5ML 70ML - RANBAXY
AMOXICILINA+CLAVULANATO POTASSIO GEN.80+11,4MG 70ML - SANDOZ
AMOXICILINA+CLAVULANATO POTASSIO GEN.875+125MG 12CPDS - SANDOZ
AMOXICILINA+CLAVULANATO POTASSIO GEN.875+125MG 14CPDS - SANDOZ
AMOXICILINA+CLAVULANATO POTASSIO GEN.875+125MG 14CPDS - EUROFARMA
AMOXICILINA+CLAVULANATO POTASSIO GEN.875+125MG 20CPDS - EUROFARMA
AMOXICILINA+CLAVULANATO POTASSIO GEN.875+125MG 20CPDS - SANDOZ
AMOXICILINA+CLAVULANATO POTASSIO GEN.875+125MG 2BLX6CPDS - GERMED GENERICOS
AMOXICILINA+CLAVULANATO POTASSIO GEN.875+125MG 2BLX7CPDS - GERMED GENERICOS
AMOXICILINA+CLAVULANATO POTASSIO GEN.875+125MG 2X6CPDS - LEGRAND GENERICOS
AMOXICILINA+CLAVULANATO POTASSIO GEN.875+125MG 2X7CPDS - LEGRAND GENERICOS
AMOXICILINA+CLAVULANATO POTASSIO GEN.875MG 2X7CPDS - RANBAXY
AMOXICILINA+CLAVULANATO POTASSIO GEN.875MG 3X4CPDS - RANBAXY
AMOXIL 125MG SUSP.150ML - GLAXOSMITH
AMOXIL 250MG SUSP.150ML - GLAXOSMITH
AMOXIL 500MG 15CAPS - GLAXOSMITH
AMOXIL 500MG 21CAPS - GLAXOSMITH
AMOXIL 500MG 30CAPS - GLAXOSMITH
AMOXIL 500MG SUSP.150ML - GLAXOSMITH
AMOXIL BD 200MG SUSP.100ML - GLAXOSMITH
AMOXIL BD 400MG SUSP.100ML - GLAXOSMITH
AMOXIL BD 875MG 20CPDS - GLAXOSMITH
AMOXIL BD 875MG 7BLX2CPDS - GLAXOSMITH
AMOXIMED 250MG 150ML - CIMED
AMOXIMED 250MG/5ML 50X150ML - CIMED
AMOXIMED 500MG 21CAPS - CIMED
AMOXIMED 500MG 630CAPS - CIMED
AMOXIMED 500MG/5ML SUSP.ORAL 150ML - CIMED
AMOXINA 250MG SUSP.60ML - HEXAL
AMOXINA 500MG 12CAPS - HEXAL
AMOXINA 500MG 21CAPS - HEXAL
AMOXINA 500MG 8CAPS - HEXAL
AMOXITAN 250MG SUSP.60ML - BUNKER
AMOXITAN 250MG/ML SUSP.150ML - BUNKER
AMOXITAN 500MG 12CAPS - BUNKER
AMOXITAN 500MG 6CAPS - BUNKER
AMPICIFLAN 500MG 12CAPS - BUNKER
AMPICILINA GEN.250MG/5ML 150ML - NEOQUIMICA
AMPICILINA GEN.250MG/5ML 60ML - NEOQUIMICA
AMPICILINA GEN.3G PO SUSP.60ML - EMS GENERICOS
AMPICILINA GEN.500MG 100CAPS GEL DURA - ASPEN
AMPICILINA GEN.500MG 12CAPS - PRATI-DONADUZZI
AMPICILINA GEN.500MG 12CAPS - SANDOZ
AMPICILINA GEN.500MG 12CAPS GEL.DURA - EUROFARMA
AMPICILINA GEN.500MG 12CPDS - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
139904
140376
71694
31237
2380003
138295
138294
140374
48606
35288
150418
166027
144886
104083
104082
132080
144887
136697
119422
145219
145220
145221
145222
145593
114430
114428
114431
114429
145594
99365
16901
16900
81093
81091
3480003
6200003
6200002
6200004
6200001
2560001
2560002
33961
84597
84594
118785
139307
139308
103247
DESCRICAO
AMPICILINA GEN.500MG 18CAPS - SANDOZ
AMPICILINA GEN.500MG 21CAPS - PRATI-DONADUZZI
AMPICILINA GEN.500MG 24CAPS - SANDOZ
AMPICILINA GEN.500MG 2BLX12CPDS - EMS GENERICOS
AMPICILINA GEN.500MG 6CPDS - EMS GENERICOS
AMPICILINA GEN.50MG 150ML+SER DOSAD - MEDLEY
AMPICILINA GEN.50MG 60ML+SER DOSAD - MEDLEY
AMPICILINA GEN.50MG/ML 1FR 150ML - PRATI-DONADUZZI
AMPICILINA GEN.50MG/ML SUSP.ORAL 60ML+CP.MED. - EUROFARMA
AMPICILINA GEN.7,5G PO SUSP.150ML - EMS GENERICOS
AMPICILINA SODICA GEN.1G 50FA 10ML - ASPEN
AMPICILINA SODICA GEN.1G 50FA 5ML - ASPEN
AMPICILINA SODICA GEN.1G PO 50FA+50DIL.3ML - TEUTO BRAS
AMPICILINA SODICA GEN.1G PO INJ.12FA - AUROBINDO
AMPICILINA SODICA GEN.1G PO INJ.1FA - AUROBINDO
AMPICILINA SODICA GEN.1G PO INJ.50FA - AUROBINDO
AMPICILINA SODICA GEN.500MG PO 50FA+50DIL.2ML - TEUTO BRAS
AMPICILINA SODICA GEN.500MG PO INJ.12FA - AUROBINDO
AMPICILINA SODICA+SULBACTAM SODICA GEN.1+0,5G 20FA 3,2ML - NOVAFARMA
AMPICILINA SODICA+SULBACTAM SODICA GEN.1G+0,5G 20FA 20ML - ASPEN
AMPICILINA SODICA+SULBACTAM SODICA GEN.1G+0,5G 30FA 20ML - ASPEN
AMPICILINA SODICA+SULBACTAM SODICA GEN.2G+1G 20FA 20ML - ASPEN
AMPICILINA SODICA+SULBACTAM SODICA GEN.2G+1G 30FA 20ML - ASPEN
AMPICILINA+SULBACTAM GEN.1,5G PO INJ.10FA - ABL
AMPICILINA+SULBACTAM GEN.1+0,5G PO INJ.20FA 30ML - AUROBINDO
AMPICILINA+SULBACTAM GEN.1+0,5G PO INJ.30FA 30ML - AUROBINDO
AMPICILINA+SULBACTAM GEN.2+1G PO INJ.20FA 30ML - AUROBINDO
AMPICILINA+SULBACTAM GEN.2+1G PO INJ.30FA 30ML - AUROBINDO
AMPICILINA+SULBACTAM GEN.3G PO INJ.10FA - ABL
AMPLACILINA 1G PO INJ.25FA+DIL.3ML - EUROFARMA
AMPLACILINA 500MG 12CAPS GEL.DURA - EUROFARMA
AMPLACILINA 50MG/ML SUSP.ORAL 60ML - EUROFARMA
AMPLATIL 1G 50FA S/DIL - NOVAFARMA
AMPLATIL 500MG 50FA S/DIL - NOVAFARMA
AMPLAVIT 30DRGS - CIMED
AMPLICTIL 100MG 20CPDS - SANOFI-AVENTIS
AMPLICTIL 25MG 20CPDS - SANOFI-AVENTIS
AMPLICTIL 4% GTS.20ML - SANOFI-AVENTIS
AMPLICTIL 5MG/ML 5AMP 5ML - SANOFI-AVENTIS
AMPLIUM 500MG 4CPDS - FARMASA
AMPLIUM 500MG 8CPDS - FARMASA
AMPLIUM G CRM.VAG.80GRS+14APL - FARMASA
AMPLOCILIN 1G 50FA - ASPEN
AMPLOCILIN 500MG 10X10CAPS - ASPEN
AMPLOCILIN 500MG 12CAPS - ASPEN
AMPLOSPEC 1G 1FR+1AMP - BIOCHIMICO
AMPLOSPEC 1G 50FR - BIOCHIMICO
AMPRAX 40MG 40CPDS - VITAPAN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
137939
103248
165840
23606
5628026
62548
5140002
5140001
1060031
1060116
1060113
1060005
1060043
1060052
99562
99563
103115
103114
137158
165841
137159
165842
165843
960006
14975
6920111
6920110
102839
61398
61399
61397
6020012
6420001
145319
146526
136755
118796
118795
55303
55304
103249
4560074
161332
4560001
161333
4560002
4560004
4560003
DESCRICAO
AMPRAX 40MG 500CPDS - VITAPAN
AMPRAX 80MG 30CPDS - VITAPAN
AMYTRIL 10MG 30CPDS - CRISTALIA
AMYTRIL 25MG 20CPDS - CRISTALIA
AMYTRIL 25MG 20X10CPDS - CRISTALIA
AMYTRIL 75MG 2X10CPDS - CRISTALIA
ANABRON XPE.ADU.100ML - MILLETROUX
ANABRON XPE.PED.100ML - MILLETROUX
ANADOR 500MG 120CPDS - BOEHRINGER
ANADOR 500MG 128X4CPDS - BOEHRINGER
ANADOR 500MG 24CPDS - BOEHRINGER
ANADOR 500MG 4CPDS F.V - BOEHRINGER
ANADOR 500MG/ML SOL.ORAL 10ML - BOEHRINGER
ANADOR 500MG/ML SOL.ORAL 20ML - BOEHRINGER
ANAEROCID 20MG/G CRM.VAGINAL 20GRS+3APL - SIGMA PHARMA
ANAEROCID 20MG/G CRM.VAGINAL 40GRS+7APL - SIGMA PHARMA
ANAEROCID 300MG 2X15CAPS - SIGMA PHARMA
ANAEROCID 300MG 2X8CAPS - SIGMA PHARMA
ANA-FLEX 35+300+50MG 10CPDS - CRISTALIA
ANA-FLEX 35+300+50MG 200CPDS - CRISTALIA
ANA-FLEX 35+300+50MG 20ML - CRISTALIA
ANA-FLEX 35+300+50MG 30CPDS - CRISTALIA
ANA-FLEX 35+300+50MG 4CPDS - CRISTALIA
ANAFRANIL 25MG 20DRGS - NOVARTIS
ANAFRANIL SR 75MG 20CPDS REV.LIB.LENTA - NOVARTIS
ANALGESIN 100MG INF.200CPDS MAST. - TEUTO BRAS
ANALGESIN 500MG ADU.100CPDS - TEUTO BRAS
ANALGISEN 750MG 20CPDS - TKS
ANANGOR 50MG 10CAPS - BIOSINTETICA
ANANGOR 50MG/ML 6FA 1ML - BIOSINTETICA
ANANGOR 50MG/ML 6FA 2ML - BIOSINTETICA
ANARTRIT 20MG 12CAPS - HEXAL
ANASEPTIL 5MUI+500+5UI+635,3MG PO 10GRS - FARMASA
ANASTROL 1MG 28CPDS - LIBRA
ANASTROLIBBS 1MG 28CPDS - LIBBS
ANASTROZOL GEN.1MG 30CPDS REV. - EUROFARMA
ANATEN 5+25MG 30CAPS GEL.DURA - EUROFARMA
ANATEN 5+50MG 30CAPS GEL.DURA - EUROFARMA
ANCLOMAX 200MG 20CPDS - BLAU
ANCLOMAX 400MG 20CPDS - BLAU
ANCLORIC 5+50MG 30CPDS - VITAPAN
ANCORON 100MG 20CPDS - LIBBS
ANCORON 100MG 30CPDS REV. - LIBBS
ANCORON 200MG 20CPDS REV. - LIBBS
ANCORON 200MG 30CPDS REV. - LIBBS
ANCORON 200MG/ML XPE.30ML - LIBBS
ANCORON 50MG/ML 50AMP 3ML - LIBBS
ANCORON 50MG/ML 6AMP 3ML - LIBBS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
31796
84191
3860049
162629
6485004
6485005
153510
112145
112147
153511
112146
112148
58487
840001
34139
37144
47708
47706
47707
94131
94129
119811
119812
134241
180002
2900008
72153
71798
63860
97600
6460084
108194
6460085
108193
3640117
3640115
3640116
280034
154336
154337
154335
2540049
2540050
2540032
2540048
2540031
136599
31249
DESCRICAO
ANDANTOL 7,5MG/G GEL 40G - ACHE
ANDELUX 50MG 20CPDS - SANDOZ
ANDOLBA 4,5+0,5+0,5% AER.TOP.43G - EUROFARMA
ANDOLBA 45+5+5MG/G CRM.DERM.30G - EUROFARMA
ANDRIODERMOL PO TOP.50G - UNIAO QUIMICA
ANDRIODERMOL SOL.TOP.50ML - UNIAO QUIMICA
ANDROCORTIL 100MG PO LIOF.INJ.1FA+AMP.DIL.POLIET.2ML - TEUTO BRAS
ANDROCORTIL 100MG PO LIOFILIZADO 1FA+DIL.2ML - TEUTO BRAS
ANDROCORTIL 100MG PO LIOFILIZADO 50FA - TEUTO BRAS
ANDROCORTIL 500MG PO LIOF.INJ.1FA+AMP DIL.POLIET.4ML - TEUTO BRAS
ANDROCORTIL 500MG PO LIOFILIZADO 1FA+DIL.4ML - TEUTO BRAS
ANDROCORTIL 500MG PO LIOFILIZADO 50FA - TEUTO BRAS
ANDROCUR 100MG 20CPDS - BAYER
ANDROCUR 50MG 20CPDS - BAYER
ANDROFLOXIN 400MG 14CPDS REV. - TEUTO BRAS
ANDROXON 40MG 30CAPS - SCHERING PLOUGH
ANEMIFER 50DRGS - PHARMASCIENCE
ANEMIFER GTS.30ML - PHARMASCIENCE
ANEMIFER XPE.100ML - PHARMASCIENCE
ANENTAL 1G 25FA - ASPEN
ANENTAL 500MG 25FA - ASPEN
ANESEVO 100ML - BIOCHIMICO
ANESEVO 250ML - BIOCHIMICO
ANESEVO 50ML - BIOCHIMICO
ANESTALCON 5MG/ML SOL.OFT.5ML - ALCON
ANESTESICO 10+1MG/ML SOL.OFT.10ML - ALLERGAN
ANFORICIN 50MG 25FR 10ML - CRISTALIA
ANFUGINE CRM.VAG.80GRS+1APL. - BLAU
ANFUGITARIN CRM.VAG.80GRS+1APL. - BLAU
ANGELIQ 28CPDS - BAYER
ANGIL 10MG 2X10CPDS - SANVAL
ANGIL 10MG 50X10CPDS - SANVAL
ANGIL 5MG SUBLING.20CPDS - SANVAL
ANGIL 5MG SUBLING.50X10CPDS - SANVAL
ANGINO RUB 3MG MEL/LIMAO 2STRX8PAST - EUROFARMA
ANGINO RUB 3MG MENTA 2STRX8PAST - EUROFARMA
ANGINO RUB 3MG MOR.2STRX8PAST - EUROFARMA
ANGINOMED 20G - ALM.PRADO
ANGIO II 160MG 30CPDS REV. - MEDLEY
ANGIO II 320MG 30CPDS REV. - MEDLEY
ANGIO II 80MG 30CPDS REV. - MEDLEY
ANGIOLONG 30MG 50CPDS - CHIESI
ANGIOLONG 60MG 50CPDS - CHIESI
ANGIOLONG AP 180MG 20CAPS - CHIESI
ANGIOLONG AP 300MG 10CAPS - CHIESI
ANGIOLONG AP 90MG 20CAPS - CHIESI
ANGIOLOT 20DRGS - NEOQUIMICA
ANGIOPRIL 10MG 30CPDS - DIFFUCAP
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
31250
31248
18851
169675
18849
169673
18850
169674
1020076
169672
1020040
169670
1020075
169671
37219
78938
78937
55620
55618
106622
106621
107030
76877
1020098
1020099
23473
98958
4560007
4560006
85954
141472
3080067
3080016
3080019
3080120
3080121
3080018
3080021
6920223
6920222
3440170
6310001
2560004
2560006
115317
41334
144917
144918
DESCRICAO
ANGIOPRIL 20MG 30CPDS - DIFFUCAP
ANGIOPRIL 5MG 30CPDS - DIFFUCAP
ANGIPRESS 100MG 28CPDS - BIOSINTETICA
ANGIPRESS 100MG 30CPDS - BIOSINTETICA
ANGIPRESS 25MG 28CPDS - BIOSINTETICA
ANGIPRESS 25MG 30CPDS - BIOSINTETICA
ANGIPRESS 50MG 28CPDS - BIOSINTETICA
ANGIPRESS 50MG 30CPDS - BIOSINTETICA
ANGIPRESS CD 100/25MG 28CPDS - BIOSINTETICA
ANGIPRESS CD 100+25MG 30CPDS - BIOSINTETICA
ANGIPRESS CD 25/12,5MG 28CPDS - BIOSINTETICA
ANGIPRESS CD 25+12,5MG 30CPDS - BIOSINTETICA
ANGIPRESS CD 50/12,5MG 28CPDS - BIOSINTETICA
ANGIPRESS CD 50+12,5MG 30CPDS - BIOSINTETICA
ANGYTON 200MG 20CPDS - ROYTON
ANLO 10MG 3X10CPDS - SIGMA PHARMA
ANLO 5MG 3X10CPDS - SIGMA PHARMA
ANLODIBAL 10MG 30CPDS - BALDACCI
ANLODIBAL 5MG 30CPDS - BALDACCI
ANNITA 20MG/ML SUSP.ORAL 100ML - FARMOQUIMICA
ANNITA 20MG/ML SUSP.ORAL 45ML - FARMOQUIMICA
ANNITA 500MG 6CPDS REV. - FARMOQUIMICA
ANOXOLAN 1MG 20CPDS - NEOQUIMICA
ANSENTRON 4MG 1AMP 2ML - BIOSINTETICA
ANSENTRON 8MG 1AMP 4ML - BIOSINTETICA
ANSIOPAX 20CAPS - INFAN
ANSIRAX 2MG 20CPDS - TEUTO BRAS
ANSITEC 10MG 20CPDS - LIBBS
ANSITEC 5MG 20CPDS - LIBBS
ANSIVAL 100MG 30CPDS REV. - ATIVUS
ANSIVAL 100MG 8CPDS - ATIVUS
ANTAK 150MG 10CPDS - GLAXOSMITH
ANTAK 150MG 10CPDS EFV. - GLAXOSMITH
ANTAK 150MG 20CPDS - GLAXOSMITH
ANTAK 300MG 10CPDS - GLAXOSMITH
ANTAK 300MG 20CPDS - GLAXOSMITH
ANTAK 5AMP 2ML - GLAXOSMITH
ANTAK XPE.120ML - GLAXOSMITH
ANTIDIN 150MG 20CPDS - TEUTO BRAS
ANTIDIN 50MG/2ML 5AMP 2ML - TEUTO BRAS
ANTIETANOL 250MG 20CPDS - SANOFI-AVENTIS
ANTIFEBRIN 100MG 20X10CPDS - ROYTON
ANTIGERON 25MG 30CPDS - FARMASA
ANTIGERON AP 75MG 30CPDS - FARMASA
ANTILERG 20CPDS REV. - ACHE
ANTIMAIS SEPTICO SPR.50ML - KLEY HERTZ
ANTISTAX 360MG 18CPDS REV. - BOEHRINGER
ANTISTAX 360MG 30CPDS REV. - BOEHRINGER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
6920185
144922
2380226
144927
31240
31241
37059
1280004
1280005
47709
79510
2380133
133465
133464
133699
2120023
2120024
63539
166065
72600
7220001
73912
115324
115326
115327
115325
960010
960011
6420139
6420141
152631
6420144
6420160
152630
36385
36386
150986
36387
36388
150985
145035
145036
166436
166432
166434
166435
166433
146417
DESCRICAO
ANTITENSIN 40MG 40CPDS - TEUTO BRAS
ANTIVIRAX 200MG 25CPDS - EMS
ANTIVIRAX CRM.10GRS - EMS
ANTUX 30MG GTS.10ML - ACHE
ANTUX 30MG GTS.20ML - ACHE
ANTUX 6MG/ML XPE.120ML - ACHE
ANZEMET IV 100MG/5ML 1AMP 5ML - SANOFI-AVENTIS
APETIL 100ML - BUNKER
APETIL 25MG 20CPDS - BUNKER
APETIVAN B+C XPE.240ML - PHARMASCIENCE
APETIVITON SOL.ORAL 240ML+ COPO MEDIDA - CIFARMA
APEVITIN BC XPE.240ML - EMS
APIDRA 100UI/ML 1CARP 3ML - SANOFI-AVENTIS
APIDRA 100UI/ML 1FA 10ML - SANOFI-AVENTIS
APIDRA SOLOSTAR 100UI/ML 1CARP 3ML+1SISTEMA APLICADOR - SANOFI-AVENTIS
APIRON 200CPDS - DELTA
APIRON GTS.10ML - DELTA
APLAUSE 20MG 30CPDS REV. - MARJAN
APMED 60CPDS MAST. - CIMED
APMED XPE.240ML - CIMED
APRACUR 1X6DRGS F.V - COSMED
APRACUR 25X6DRGS - COSMED
APRAZ 0,25MG 30CPDS - MANTECORP
APRAZ 0,5MG 30CPDS - MANTECORP
APRAZ 1MG 30CPDS - MANTECORP
APRAZ 2MG 30CPDS - MANTECORP
APRESOLINA 25MG 20DRGS - NOVARTIS
APRESOLINA 50MG 20DRGS - NOVARTIS
APROVEL 150MG 14CPDS - SANOFI-AVENTIS
APROVEL 150MG 2X14CPDS - SANOFI-AVENTIS
APROVEL 150MG 30CPDS - SANOFI-AVENTIS
APROVEL 300MG 14CPDS - SANOFI-AVENTIS
APROVEL 300MG 2X14CPDS - SANOFI-AVENTIS
APROVEL 300MG 30CPDS - SANOFI-AVENTIS
APROZIDE 150+12,5MG 14CPDS - SANOFI-AVENTIS
APROZIDE 150+12,5MG 28CPDS - SANOFI-AVENTIS
APROZIDE 150+12,5MG 30CPDS - SANOFI-AVENTIS
APROZIDE 300+12,5MG 14CPDS - SANOFI-AVENTIS
APROZIDE 300+12,5MG 28CPDS - SANOFI-AVENTIS
APROZIDE 300+12,5MG 30CPDS - SANOFI-AVENTIS
APROZIDE 300+25MG 14CPDS - SANOFI-AVENTIS
APROZIDE 300+25MG 28CPDS - SANOFI-AVENTIS
AQUACLIN ESFOLIANTE SAB.LIQ.60ML - GALDERMA
AQUACLIN GEL 60G - GALDERMA
AQUACLIN SAB.BARRA 90G - GALDERMA
AQUACLIN SAB.LIQ.120ML - GALDERMA
AQUACLIN SECATIVO SAB.BARRA 90G - GALDERMA
AQUALAV 500ML - JP
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
7060001
26536
26535
83836
145441
83837
145445
45129
123947
145448
83838
145449
123946
58514
145486
1830011
165784
165785
165786
165787
165788
165789
165790
165791
165792
165793
165794
165795
25988
136556
25987
6600001
6600014
2905034
64752
59993
64753
59996
3440074
37942
88426
88425
2900010
170642
460086
460088
7360003
145253
DESCRICAO
ARACYTIN 100MG 1AMP+DIL - PFIZER
ARACYTIN CS 1G 1FA PLAST. - PFIZER
ARACYTIN CS 500MG 1FA PLAST. - PFIZER
ARADOIS 100MG 30CPDS REV. - BIOLAB SANUS
ARADOIS 100MG 60CPDS REV. - BIOLAB SANUS
ARADOIS 25MG 30CPDS REV. - BIOLAB SANUS
ARADOIS 25MG 60CPDS REV. - BIOLAB SANUS
ARADOIS 50MG 30CPDS REV. - BIOLAB SANUS
ARADOIS 50MG 60CPDS REV. - BIOLAB SANUS
ARADOIS 50MG 90CPDS REV. - BIOLAB SANUS
ARADOIS H 100+25MG 30CPDS REV. - BIOLAB SANUS
ARADOIS H 100+25MG 60CPDS REV. - BIOLAB SANUS
ARADOIS H 50/12,5MG 60CPDS - BIOLAB SANUS
ARADOIS H 50+12,5MG 30CPDS REV. - BIOLAB SANUS
ARADOIS H 50+12,5MG 90CPDS REV. - BIOLAB SANUS
ARAMIN 10MG/ML 50AMP 1ML - CRISTALIA
ARASID 100MG 10CPDS REV. - ACCORD
ARASID 100MG 20CPDS REV. - ACCORD
ARASID 100MG 30CPDS REV. - ACCORD
ARASID 100MG 60CPDS REV. - ACCORD
ARASID 25MG 10CPDS REV. - ACCORD
ARASID 25MG 20CPDS REV. - ACCORD
ARASID 25MG 30CPDS REV. - ACCORD
ARASID 25MG 60CPDS REV. - ACCORD
ARASID 50MG 10CPDS REV. - ACCORD
ARASID 50MG 20CPDS REV. - ACCORD
ARASID 50MG 30CPDS REV. - ACCORD
ARASID 50MG 60CPDS REV. - ACCORD
ARAVA 100MG 3CPDS REV. - SANOFI-AVENTIS
ARAVA 10MG 30CPDS REV. - SANOFI-AVENTIS
ARAVA 20MG 30CPDS REV. - SANOFI-AVENTIS
ARCALION 200MG 20DRGS - SERVIER
ARCALION 200MG 60DRGS - SERVIER
ARCOLAN SHM.100ML - GALDERMA
ARCOXIA 60MG 2X7CPDS - MERCK S.D.
ARCOXIA 60MG 7CPDS - MERCK S.D.
ARCOXIA 90MG 2X7CPDS - MERCK S.D.
ARCOXIA 90MG 7CPDS - MERCK S.D.
ARELIX 6MG 20CPDS - SANOFI-AVENTIS
ARES 0,25MG/ML SOL.INAL.20ML - UNIAO QUIMICA
ARFLEX RETARD 200MG 12CAPS - DIFFUCAP
ARFLEX RETARD 200MG 6CAPS - DIFFUCAP
ARGIROL 10% SOL.OFT.5ML - ALLERGAN
ARGIX 500MG 60CPDS REV. - ATIVUS
ARICILINA 5000000UI 50FA - ARISTON
ARIFENICOL 1,0G 100FA S/DIL - ARISTON
ARIMIDEX 1MG 2BLX14CPDS REV. - ASTRAZENECA
ARISCORTEN 100MG 50FA - ARISTON
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
145256
169780
169781
169783
169784
169785
169786
460059
141943
151404
136719
34111
780087
780007
115421
94091
6280006
6280004
6280005
170057
124326
132075
46389
46390
60399
82743
160564
160565
116026
141747
5020002
2560007
2560008
99951
6440070
6440072
6960007
93797
128258
137141
80002
137142
80014
153506
5020004
5020003
5020076
3940040
DESCRICAO
ARISCORTEN 500MG 50FA - ARISTON
ARISTAB 10MG 10CPDS - ACHE
ARISTAB 10MG 30CPDS - ACHE
ARISTAB 15MG 10CPDS - ACHE
ARISTAB 15MG 30CPDS - ACHE
ARISTAB 20MG 30CPDS - ACHE
ARISTAB 30MG 30CPDS - ACHE
ARISTOPRAMIDA 100AMP 2ML - ARISTON
ARIXTRA 2,5MG 2SER.0,5ML - GLAXOSMITH
ARIXTRA 7,5MG 2SER.0,6ML - GLAXOSMITH
ARNICA PREPOS 250MG 30CPDS - ALM.PRADO
AROMASIN 25MG 30DRGS - PFIZER
AROPAX 20MG 20CPDS - GLAXOSMITH
AROPAX 20MG 30CPDS - GLAXOSMITH
AROTIN 20MG 20CPDS REV. - SANDOZ
AROTIN 20MG 30CPDS REV. - SANDOZ
AROVIT 300000UI 25AMP - BAYER
AROVIT 50000UI 30DRGS - BAYER
AROVIT GTS.20ML - BAYER
ARPADOL 400MG 10CPDS REV. - APSEN
ARPADOL 400MG 30CPDS REV. - APSEN
ARRIF 10MG/ML SOL.TOP.20ML - EUROFARMA
ARTANE 2MG 30CPDS - APSEN
ARTANE 5MG 30CPDS - APSEN
ARTELAC 3,2+0,1MG/ML SOL.OFT.10ML - BAUSCH+LOMB
ARTEMIDIS 35 0,035+2MG 21CPDS - SIGMA PHARMA
ARTICO 1,5+1,2G 10SACH 5G - EUROFARMA
ARTICO 1,5+1,2G 30SACH 5G - EUROFARMA
ARTISAL (35MG+1MG+10MG+50MG)/G POM.DERM.30GRS - TRB PHARMA
ARTOGLICO 30SACH 1,5GRS - SIGMA PHARMA
ARTREN 100MG 10CAPS GEL - MERCK S.A.
ARTRIL 300MG 20CPDS - FARMASA
ARTRIL 600MG 20CPDS - FARMASA
ARTRINID 100MG PO LIOF.50FA - UNIAO QUIMICA
ARTRINID 50MG 24CAPS GEL. - UNIAO QUIMICA
ARTRINID 50MG/ML SOL.INJ.50AMP 2ML - UNIAO QUIMICA
ARTRODAR 50MG 30DRGS - TRB PHARMA
ARTROLIVE 500+400MG 30CAPS - ACHE
ARTROLIVE 500+400MG 90CAPS - ACHE
ARTROSIL 160MG 10CAPS GEL. - ACHE
ARTROSIL 160MG 20CAPS GEL. - ACHE
ARTROSIL 320MG 10CAPS GEL. - ACHE
ARTROSIL 320MG 20CAPS GEL. - ACHE
ARTROTABS 30CPDS - BIOLAB SANUS
ASALIT 1ENV 3GRS+DIL.100ML - MERCK S.A.
ASALIT 250MG 10SUPS - MERCK S.A.
ASALIT 400MG 2BLX10CPDS REV. - MERCK S.A.
ASCARIDIL ADU.100ENV 1CPD - JANSSEN-CILAG
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
3940041
3940042
3940044
4880006
4880007
4880008
137913
5340007
166083
14426
55293
495005
495006
495007
2540003
2540004
37898
37897
6920252
6920254
153763
123154
760031
760029
145251
760012
760037
160557
165904
760054
760053
760058
81891
103243
103241
3180041
3180004
140178
166095
110869
168713
138366
144129
144130
76552
111215
168712
146731
DESCRICAO
ASCARIDIL ADU.1CPD F.V - JANSSEN-CILAG
ASCARIDIL INF.100ENV 1CPD - JANSSEN-CILAG
ASCARIDIL INF.1CPD
F.V - JANSSEN-CILAG
ASDRON 1MG 20CPDS - MARJAN
ASDRON GTS.30ML - MARJAN
ASDRON XPE.ADU.100ML - MARJAN
ASMALIV 0,250MG SOL.20ML - LEGRAND TARJARDOS
ASMAPEN 100MG 20CPDS - NEOQUIMICA
ASMAPEN 100MG 25BLX20CPDS(EMB.HOSP.) - NEOQUIMICA
ASMAPEN 200MG 20CPDS - NEOQUIMICA
ASMAPEN 24MG/ML SOL.INJ.50AMP 10ML - NEOQUIMICA
ASMAX 20CPDS - ATIVUS
ASMAX GTS.30ML - ATIVUS
ASMAX XPE.100ML - ATIVUS
ASMEN 20CPDS - CHIESI
ASMEN XPE.100ML - CHIESI
ASMIFEN 0,2MG/ML XPE.100ML - BUNKER
ASMIFEN 1MG 20CPDS - BUNKER
ASMOFEN 1MG/5ML XPE.120ML - TEUTO BRAS
ASMOFEN 1MG/ML SOL.ORAL 30ML - TEUTO BRAS
ASPARGIL C EFERV.16CPDS - CIFARMA
ASPIRINA ADU.10X10CPDS - BAYER
ASPIRINA ADU.1X10CPDS F.V - BAYER
ASPIRINA ADU.1X4CPDS F.V - BAYER
ASPIRINA ADU.60X4CPDS - BAYER
ASPIRINA C LIM.1X2CPDS F.V - BAYER
ASPIRINA C LIM.50X2CPDS - BAYER
ASPIRINA C MORANGO 100CPDS EFV. - BAYER
ASPIRINA C MORANGO 2CPDS EFV.F.V - BAYER
ASPIRINA EFV.500MG 2CPDS F.V - BAYER
ASPIRINA EFV.500MG 50X2CPDS - BAYER
ASPIRINA PREVENT 100MG 30CPDS - BAYER
ASPIRINA PREVENT 300MG 30CPDS - BAYER
ASSEDATIL 100MG INF.20X10CPDS - VITAPAN
ASSEDATIL 500MG ADU.10X10CPDS - VITAPAN
ASSEPIUM 40+8MG/ML SUSP.100ML - GROSS
ASSEPIUM 40+8MG/ML SUSP.50ML - GROSS
ASSEPTCARE 10MG/ML SOL.SPR. 50ML - NEOQUIMICA
ASSEPTCARE PV SOL.TOP.FR.100ML - NEOQUIMICA
ASSERT 100MG 20CPDS - EUROFARMA
ASSERT 100MG 30CPDS REV. - EUROFARMA
ASSERT 25MG 14CPDS - EUROFARMA
ASSERT 25MG 7CPDS - EUROFARMA
ASSERT 50MG 10CPDS - EUROFARMA
ASSERT 50MG 20CPDS - EUROFARMA
ASSERT 50MG 28CPDS - EUROFARMA
ASSERT 50MG 30CPDS REV. - EUROFARMA
ASTRO 1500MG 1FR+DIL.22ML+SER. - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
143238
83299
71900
86921
101282
80777
107522
99826
34124
13335
144871
34123
13334
148960
148958
148961
148959
35245
35246
70985
70986
137676
137677
137674
137675
7040008
26386
5340012
141306
141304
141305
63611
63609
63610
103255
103254
7360006
7360200
7360005
136704
136706
82793
145360
140381
136593
62561
35107
128188
DESCRICAO
ASTRO 500MG 1CPD F.V. - EUROFARMA
ASTRO 500MG 2CPDS - EUROFARMA
ASTRO 500MG 3CPDS - EUROFARMA
ASTRO 500MG 5CPDS - EUROFARMA
ASTRO 500MG 60CPDS - EUROFARMA
ASTRO 600MG 1FR+DIL.9ML - EUROFARMA
ASTRO 900MG 1FR+DIL.12ML+SER. - EUROFARMA
ASTRO PULSO 500MG 9CPDS - EUROFARMA
ATACAND 16MG 2BLX10CPDS - ASTRAZENECA
ATACAND 16MG 3BLX10CPDS - ASTRAZENECA
ATACAND 32MG 3BLX10CPDS - ASTRAZENECA
ATACAND 8MG 2BLX10CPDS - ASTRAZENECA
ATACAND 8MG 3BLX10CPDS - ASTRAZENECA
ATACAND COMB 16+2,5MG 10CPDS LIB.PROLONG. - ASTRAZENECA
ATACAND COMB 16+2,5MG 30CPDS LIB.PROLONG. - ASTRAZENECA
ATACAND COMB 16+5MG 10CPDS LIB.PROLONG. - ASTRAZENECA
ATACAND COMB 16+5MG 30CPDS LIB.PROLONG. - ASTRAZENECA
ATACAND HCT 16/12,5MG 2BLX10CPDS - ASTRAZENECA
ATACAND HCT 16/12,5MG 3BLX10CPDS - ASTRAZENECA
ATACAND HCT 8/12,5MG 2BLX10CPDS - ASTRAZENECA
ATACAND HCT 8/12,5MG 3BLX10CPDS - ASTRAZENECA
ATELIDONA 100MG+25MG 30CPDS - TEUTO BRAS
ATELIDONA 100MG+25MG 60CPDS - TEUTO BRAS
ATELIDONA 50MG+12,5MG 30CPDS - TEUTO BRAS
ATELIDONA 50MG+12,5MG 60CPDS - TEUTO BRAS
ATENASE 4CPDS - UCI-FARMA
ATENEO 100MG 28CPDS - NEOQUIMICA
ATENEO 50MG 28CPDS - NEOQUIMICA
ATENEUM 100MG 30CPDS - NEOQUIMICA
ATENEUM 25MG 30CPDS - NEOQUIMICA
ATENEUM 50MG 30CPDS - NEOQUIMICA
ATENOBAL 100MG 30CPDS - BALDACCI
ATENOBAL 25MG 30CPDS - BALDACCI
ATENOBAL 50MG 30CPDS - BALDACCI
ATENOCLOR 100+25MG 28CPDS - VITAPAN
ATENOCLOR 50+12,5MG 28CPDS - VITAPAN
ATENOL 100MG 2BLX14CPDS - ASTRAZENECA
ATENOL 25MG 2BLX14CPDS - ASTRAZENECA
ATENOL 50MG 2BLX14CPDS - ASTRAZENECA
ATENOLOL GEN.100MG 14CPDS - AUROBINDO
ATENOLOL GEN.100MG 28CPDS - AUROBINDO
ATENOLOL GEN.100MG 28CPDS - TEUTO BRAS
ATENOLOL GEN.100MG 300CPDS - ACCORD
ATENOLOL GEN.100MG 30CPDS - PRATI-DONADUZZI
ATENOLOL GEN.100MG 30CPDS - NEOQUIMICA
ATENOLOL GEN.100MG 30CPDS - SANDOZ
ATENOLOL GEN.100MG 30CPDS - BIOSINTETICA
ATENOLOL GEN.100MG 30CPDS - NOVA QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
145358
77907
90676
162216
115378
55267
91767
101647
145363
115513
169837
104922
136700
167384
136701
77908
90674
162214
115376
55265
145353
140383
62559
128190
36993
145352
91765
101645
82759
145354
115512
136702
136703
77906
90675
162215
115377
55266
145356
104015
140378
136594
62560
35106
128189
145355
91766
101646
DESCRICAO
ATENOLOL GEN.100MG 30CPDS - ACCORD
ATENOLOL GEN.100MG 3BLX10CPDS - EMS GENERICOS
ATENOLOL GEN.100MG 3BLX10CPDS - GERMED GENERICOS
ATENOLOL GEN.100MG 3BLX10CPDS - VITAPAN
ATENOLOL GEN.100MG 3X10CPDS - LEGRAND GENERICOS
ATENOLOL GEN.100MG 3X10CPDS - MEDLEY
ATENOLOL GEN.100MG 3X10CPDS - CRISTALIA
ATENOLOL GEN.100MG 3X10CPDS - RANBAXY
ATENOLOL GEN.100MG 600CPDS - ACCORD
ATENOLOL GEN.100MG 60CPDS - SANDOZ
ATENOLOL GEN.100MG 60CPDS - TEUTO BRAS
ATENOLOL GEN.100MG 6BLX10CPDS - EMS GENERICOS
ATENOLOL GEN.25MG 14CPDS - AUROBINDO
ATENOLOL GEN.25MG 280CPDS - PRATI-DONADUZZI
ATENOLOL GEN.25MG 28CPDS - AUROBINDO
ATENOLOL GEN.25MG 2BLX15CPDS - EMS GENERICOS
ATENOLOL GEN.25MG 2BLX15CPDS - GERMED GENERICOS
ATENOLOL GEN.25MG 2BLX15CPDS - VITAPAN
ATENOLOL GEN.25MG 2X15CPDS - LEGRAND GENERICOS
ATENOLOL GEN.25MG 2X15CPDS - MEDLEY
ATENOLOL GEN.25MG 300CPDS - ACCORD
ATENOLOL GEN.25MG 30CPDS - PRATI-DONADUZZI
ATENOLOL GEN.25MG 30CPDS - SANDOZ
ATENOLOL GEN.25MG 30CPDS - NOVA QUIMICA
ATENOLOL GEN.25MG 30CPDS - BIOSINTETICA
ATENOLOL GEN.25MG 30CPDS - ACCORD
ATENOLOL GEN.25MG 3X10CPDS - CRISTALIA
ATENOLOL GEN.25MG 3X10CPDS - RANBAXY
ATENOLOL GEN.25MG 4BLX15CPDS - EMS GENERICOS
ATENOLOL GEN.25MG 600CPDS - ACCORD
ATENOLOL GEN.25MG 60CPDS - SANDOZ
ATENOLOL GEN.50MG 14CPDS - AUROBINDO
ATENOLOL GEN.50MG 28CPDS - AUROBINDO
ATENOLOL GEN.50MG 2BLX15CPDS - EMS GENERICOS
ATENOLOL GEN.50MG 2BLX15CPDS - GERMED GENERICOS
ATENOLOL GEN.50MG 2BLX15CPDS - VITAPAN
ATENOLOL GEN.50MG 2X15CPDS - LEGRAND GENERICOS
ATENOLOL GEN.50MG 2X15CPDS - MEDLEY
ATENOLOL GEN.50MG 300CPDS - ACCORD
ATENOLOL GEN.50MG 30CAPS - TEUTO BRAS
ATENOLOL GEN.50MG 30CPDS - PRATI-DONADUZZI
ATENOLOL GEN.50MG 30CPDS - NEOQUIMICA
ATENOLOL GEN.50MG 30CPDS - SANDOZ
ATENOLOL GEN.50MG 30CPDS - BIOSINTETICA
ATENOLOL GEN.50MG 30CPDS - NOVA QUIMICA
ATENOLOL GEN.50MG 30CPDS - ACCORD
ATENOLOL GEN.50MG 3X10CPDS - CRISTALIA
ATENOLOL GEN.50MG 3X10CPDS - RANBAXY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
104921
145357
115511
169836
82674
132073
129658
90678
130012
91728
120808
134259
130013
110418
82675
120811
132074
129657
90677
130010
91729
134233
130011
110416
56181
116152
62554
119426
56182
119427
83887
83888
5340149
78264
1060009
1060007
1060008
29527
34966
161305
161306
2215002
2215001
2215003
31953
6420007
6420009
6420008
DESCRICAO
ATENOLOL GEN.50MG 4BLX15CPDS - EMS GENERICOS
ATENOLOL GEN.50MG 600CPDS - ACCORD
ATENOLOL GEN.50MG 60CPDS - SANDOZ
ATENOLOL GEN.50MG 60CPDS - TEUTO BRAS
ATENOLOL+CLORTALIDONA GEN.100+25MG 2BLX15CPDS - EMS GENERICOS
ATENOLOL+CLORTALIDONA GEN.100+25MG 30CPDS - EUROFARMA
ATENOLOL+CLORTALIDONA GEN.100+25MG 30CPDS - TEUTO BRAS
ATENOLOL+CLORTALIDONA GEN.100+25MG 30CPDS - GERMED GENERICOS
ATENOLOL+CLORTALIDONA GEN.100+25MG 30CPDS - MEDLEY
ATENOLOL+CLORTALIDONA GEN.100+25MG 30CPDS - BIOSINTETICA
ATENOLOL+CLORTALIDONA GEN.100+25MG 30CPDS - LEGRAND GENERICOS
ATENOLOL+CLORTALIDONA GEN.100+25MG 60CPDS - TEUTO BRAS
ATENOLOL+CLORTALIDONA GEN.100+25MG 60CPDS - MEDLEY
ATENOLOL+CLORTALIDONA GEN.100+25MG 9BLX10CPDS - EMS GENERICOS
ATENOLOL+CLORTALIDONA GEN.50+12,5MG 2BLX15CPDS - EMS GENERICOS
ATENOLOL+CLORTALIDONA GEN.50+12,5MG 2X15CPDS - LEGRAND GENERICOS
ATENOLOL+CLORTALIDONA GEN.50+12,5MG 30CPDS - EUROFARMA
ATENOLOL+CLORTALIDONA GEN.50+12,5MG 30CPDS - TEUTO BRAS
ATENOLOL+CLORTALIDONA GEN.50+12,5MG 30CPDS - GERMED GENERICOS
ATENOLOL+CLORTALIDONA GEN.50+12,5MG 30CPDS - MEDLEY
ATENOLOL+CLORTALIDONA GEN.50+12,5MG 30CPDS - BIOSINTETICA
ATENOLOL+CLORTALIDONA GEN.50+12,5MG 60CPDS - TEUTO BRAS
ATENOLOL+CLORTALIDONA GEN.50+12,5MG 60CPDS - MEDLEY
ATENOLOL+CLORTALIDONA GEN.50+12,5MG 9BLX10CPDS - EMS GENERICOS
ATENOPRESS 100MG 28CPDS - HEXAL
ATENOPRESS 100MG 30CPDS - HEXAL
ATENOPRESS 25MG 28CPDS - HEXAL
ATENOPRESS 25MG 30CPDS - HEXAL
ATENOPRESS 50MG 28CPDS - HEXAL
ATENOPRESS 50MG 30CPDS - HEXAL
ATENORESE 100/25MG 30CPDS - HEXAL
ATENORESE 50/12,5MG 30CPDS - HEXAL
ATENORIC 100/25MG 28CPDS - NEOQUIMICA
ATENOTON 50MG 28CPDS - ROYTON
ATENSINA 0,100MG 30CPDS - BOEHRINGER
ATENSINA 0,150MG 30CPDS - BOEHRINGER
ATENSINA 0,200MG 30CPDS - BOEHRINGER
ATEPRESS 100MG 28CPDS - TEUTO BRAS
ATEPRESS 50MG 28CPDS - TEUTO BRAS
ATEROGREL 75MG 30CPDS REV. - BIOLAB SANUS
ATEROGREL 75MG 60CPDS REV. - BIOLAB SANUS
ATINAC 10MG 12CPDS - DIFFUCAP
ATINAC 10MG 6CPDS - DIFFUCAP
ATINAC XPE.100ML - DIFFUCAP
ATLANSIL 100MG 20CPDS - SANOFI-AVENTIS
ATLANSIL 200MG 20CPDS - SANOFI-AVENTIS
ATLANSIL 50AMP 3ML - SANOFI-AVENTIS
ATLANSIL 6AMP 3ML - SANOFI-AVENTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
96772
96773
96774
149769
149770
149771
159649
151936
161017
161778
159652
151937
161018
161781
151938
151939
149475
149824
150691
149825
149476
149826
150692
149827
149477
149828
150693
149829
149478
149830
150694
2360002
2360003
32534
2900011
2900012
42577
42578
1060065
144919
7220020
166429
73913
73914
76599
41302
133580
133581
DESCRICAO
ATMOS 2,5+10MG 30CAPS GEL - EUROFARMA
ATMOS 5+10MG 30CAPS GEL - EUROFARMA
ATMOS 5+20MG 30CAPS GEL - EUROFARMA
ATORLESS 10MG 30CPDS REV. - GERMED
ATORLESS 20MG 30CPDS REV. - GERMED
ATORLESS 40MG 30CPDS REV. - GERMED
ATORVASTATINA CALCICA GEN.10MG 30CPDS REV. - TEUTO BRAS
ATORVASTATINA CALCICA GEN.10MG 30CPDS REV. - MEDLEY
ATORVASTATINA CALCICA GEN.10MG 30CPDS REV. - WYETH
ATORVASTATINA CALCICA GEN.10MG 60CPDS REV. - TEUTO BRAS
ATORVASTATINA CALCICA GEN.20MG 30CPDS REV. - TEUTO BRAS
ATORVASTATINA CALCICA GEN.20MG 30CPDS REV. - MEDLEY
ATORVASTATINA CALCICA GEN.20MG 30CPDS REV. - WYETH
ATORVASTATINA CALCICA GEN.20MG 60CPDS REV. - TEUTO BRAS
ATORVASTATINA CALCICA GEN.40MG 30CPDS REV. - MEDLEY
ATORVASTATINA CALCICA GEN.80MG 30CPDS REV. - MEDLEY
ATORVASTATINA GEN.10MG 30CPDS REV. - GERMED GENERICOS
ATORVASTATINA GEN.10MG 3BLX10CPDS REV. - EMS GENERICOS
ATORVASTATINA GEN.10MG 3X10CPDS REV. - LEGRAND GENERICOS
ATORVASTATINA GEN.10MG 6BLX10CPDS REV. - EMS GENERICOS
ATORVASTATINA GEN.20MG 30CPDS REV. - GERMED GENERICOS
ATORVASTATINA GEN.20MG 3BLX10CPDS REV. - EMS GENERICOS
ATORVASTATINA GEN.20MG 3X10CPDS REV. - LEGRAND GENERICOS
ATORVASTATINA GEN.20MG 6BLX10CPDS REV. - EMS GENERICOS
ATORVASTATINA GEN.40MG 30CPDS REV. - GERMED GENERICOS
ATORVASTATINA GEN.40MG 3BLX10CPDS REV. - EMS GENERICOS
ATORVASTATINA GEN.40MG 3X10CPDS REV. - LEGRAND GENERICOS
ATORVASTATINA GEN.40MG 6BLX10CPDS REV. - EMS GENERICOS
ATORVASTATINA GEN.80MG 30CPDS REV. - GERMED GENERICOS
ATORVASTATINA GEN.80MG 5BLX6CPDS REV. - EMS GENERICOS
ATORVASTATINA GEN.80MG 5X6CPDS REV. - LEGRAND GENERICOS
ATOSSION PED.60ML - ELOFAR
ATOSSION XPE.100ML - ELOFAR
ATP 15CAPS - INFAN
ATROPINA 0,5% SOL.OFT.5ML - ALLERGAN
ATROPINA 1% SOL.OFT.5ML - ALLERGAN
ATROPION 0,25MG 100AMP 1ML - ARISTON
ATROPION 0,50MG 100AMP 1ML - ARISTON
ATROVENT 0,25MG/ML SOL.INAL.20ML - BOEHRINGER
ATROVENT N 20MCG/DOSE AER.10ML+BOCAL - BOEHRINGER
ATROVERAN COMPOSTO 0,010G/ML SOL.ORAL 30ML - COSMED
ATROVERAN COMPOSTO 30MG 20CPDS - COSMED
ATROVERAN COMPOSTO 30MG 25BLX6CPDS - COSMED
ATROVERAN COMPOSTO 30MG 6CPDS F.V - COSMED
ATURGYL 0,5MG/ML 15ML - SANOFI-AVENTIS
AURIS-SEDINA 10ML - OSORIO DE MORAES
AUROPENNZ 1+0,5G PO INJ.20FA 30ML - AUROBINDO
AUROPENNZ 1+0,5G PO INJ.30FA 30ML - AUROBINDO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
133582
133583
6280009
6280082
136698
136699
88012
31949
31950
61425
134974
111881
111882
71740
146787
95439
146788
166045
153122
84599
153653
52377
41325
111815
52378
89482
41326
111816
165886
165888
165889
165890
2320086
170424
170422
170423
1260007
136638
103620
95535
840059
165895
124502
165836
151826
32005
32006
76891
DESCRICAO
AUROPENNZ 2+1G PO INJ.20FA 30ML - AUROBINDO
AUROPENNZ 2+1G PO INJ.30FA 30ML - AUROBINDO
AURORIX 150MG 30CPDS REV. - ROCHE
AURORIX 300MG 30CPDS REV. - ROCHE
AUROTAZ-P 2+0,25G PO LIOF.1FA 30ML - AUROBINDO
AUROTAZ-P 4+0,5G PO LIOF.1FA 40ML - AUROBINDO
AVADEN 1+0,025MG 28CPDS REV. - BAYER
AVALOX 400MG 5CPDS REV. - BAYER
AVALOX 400MG 7CPDS REV. - BAYER
AVALOX 400MG BOLSA 250ML - BAYER
AVAMYS 27,5MG SPR.NASAL 120DOSES - GLAXOSMITH
AVASTIN 100MG SOL.INJ.1FA 4ML - ROCHE
AVASTIN 400MG SOL.INJ.1FA 16ML - ROCHE
AVICIS SOL.CAPILAR 100ML - GALDERMA
AVODART 0,5MG 10CAPS - GLAXOSMITH
AVODART 0,5MG 30CAPS - GLAXOSMITH
AVODART 0,5MG 90CAPS - GLAXOSMITH
AVONEX 60MCG/ML 4SER.PREENCH.0,5ML C/AGULHA/CAPA PROT. - BIOGEN IDEC
AVONEX 60MCG/ML 4SER.PREENCH.0,5ML+AG - BIOGEN IDEC
AXEPEN 500MG 20X10CAPS - ASPEN
AXETIL CEFUROXIMA GEN. 250MG/ML 70ML - RANBAXY
AXETIL CEFUROXIMA GEN.125MG/5ML 50ML - RANBAXY
AXETIL CEFUROXIMA GEN.250MG 10CPDS - RANBAXY
AXETIL CEFUROXIMA GEN.250MG 10CPDS - NOVA QUIMICA
AXETIL CEFUROXIMA GEN.250MG/5ML 50ML - RANBAXY
AXETIL CEFUROXIMA GEN.250MG/ML 50ML - NOVA QUIMICA
AXETIL CEFUROXIMA GEN.500MG 10CPDS - RANBAXY
AXETIL CEFUROXIMA GEN.500MG 10CPDS - NOVA QUIMICA
AXETILCEFUROXIMA GEN.250MG 10CPDS - AUROBINDO
AXETILCEFUROXIMA GEN.250MG 20CPDS - AUROBINDO
AXETILCEFUROXIMA GEN.500MG 10CPDS - AUROBINDO
AXETILCEFUROXIMA GEN.500MG 20CPDS - AUROBINDO
AXID 150MG 20CAPS GEL.DURA - FARMOQUIMICA
AXONIUM 10MG 30CPDS - ACHE
AXONIUM 2,5MG 30CPDS - ACHE
AXONIUM 5MG 30CPDS - ACHE
AZACTAM 1,0G 1FA+DIL - BRISTOL
AZANEM 1G C/ 1 FA - BIOCHIMICO
AZANEM 500MG 1FA+AGUA 3ML - BIOCHIMICO
AZELAN 150MG/G GEL.15GRS - BAYER
AZELAN 200MG/G CRM.30GRS - BAYER
AZELAN 200MG/G GEL 30G - BAYER
AZEUS 1G PO 1FA - NOVAFARMA
AZEUS 1G PO INJ.1FA+BOLSA SIST.FECH.100ML - NOVAFARMA
AZEUS 500MG PO 1FA - NOVAFARMA
AZI 1000MG 1CPD - SIGMA PHARMA
AZI 500MG 3CPDS - SIGMA PHARMA
AZI 500MG 5CPDS - SIGMA PHARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
5440088
5440090
95058
32007
32008
95581
95582
95580
72616
103894
495055
495056
90695
7080096
2680056
22379
74344
74345
31916
166099
140789
140788
105766
159598
166038
140786
140785
159597
51158
121751
85884
121261
77909
140384
132056
145216
150669
148154
51159
121758
85885
121262
51746
89414
140385
132057
145217
114558
DESCRICAO
AZI ADU/PED.PO P/SUSP.ORAL 1500MG+DIL. - SIGMA PHARMA
AZI PED.PO P/SUSP.ORAL 900MG+DIL - SIGMA PHARMA
AZI PO P/SUSP.ORAL 600MG+DIL. - SIGMA PHARMA
AZI SUSP.ORAL 1,5G S/DIL. - SIGMA PHARMA
AZI SUSP.ORAL 900MG S/DIL. - SIGMA PHARMA
AZICERIO 150GRS - HELIANTO
AZICERIO 400GRS - HELIANTO
AZICERIO 50GRS - HELIANTO
AZIMED 500MG 3CAPS - CIMED
AZIMED 500MG 5CAPS - CIMED
AZIMIX 500MG 2CPDS REV. - ATIVUS
AZIMIX 500MG 3CPDS REV. - ATIVUS
AZINOSTIL 500MG 3CPDS - EMS
AZIRAM 61,95MG/ML SUSP.ORAL 150ML - UNIAO QUIMICA
AZITRAX GU 1000MG 1CPD - FARMOQUIMICA
AZITRAX GU 1000MG 2CPDS - FARMOQUIMICA
AZITRIN 2CPDS - DELTA
AZITRIN 3CPDS - DELTA
AZITROGRAN 500MG 3CPDS - LEGRAND TARJARDOS
AZITROMICINA DIIDRATADA GEN.1000MG 1CPD REV. - CIFARMA
AZITROMICINA GEN.1G 150CPDS - PRATI-DONADUZZI
AZITROMICINA GEN.1G 1CPD - PRATI-DONADUZZI
AZITROMICINA GEN.1G 1CPD - GERMED GENERICOS
AZITROMICINA GEN.1G 50CPDS REV. - PRATI-DONADUZZI
AZITROMICINA GEN.40MG/ML PO SUSP.ORAL 15ML+DIL.9,2ML+SER.DOSAD. - PRATI-DONADUZZI
AZITROMICINA GEN.40MG/ML PO SUSP.ORAL 15ML+DIL.SER.DOSAD. - PRATI-DONADUZZI
AZITROMICINA GEN.40MG/ML PO SUSP.ORAL 22,5ML+DIL.SER.DOSAD. - PRATI-DONADUZZI
AZITROMICINA GEN.500MG 150CPDS REV. - PRATI-DONADUZZI
AZITROMICINA GEN.500MG 2CPDS - SANDOZ
AZITROMICINA GEN.500MG 2CPDS - MEDLEY
AZITROMICINA GEN.500MG 2CPDS - EUROFARMA
AZITROMICINA GEN.500MG 2CPDS - TEUTO BRAS
AZITROMICINA GEN.500MG 2CPDS - EMS GENERICOS
AZITROMICINA GEN.500MG 2CPDS REV. - PRATI-DONADUZZI
AZITROMICINA GEN.500MG 2CPDS REV. - NEOQUIMICA
AZITROMICINA GEN.500MG 2CPDS REV. - MERCK S.A.
AZITROMICINA GEN.500MG 300CPDS REV. - PRATI-DONADUZZI
AZITROMICINA GEN.500MG 3CPDS - PHARMASCIENCE
AZITROMICINA GEN.500MG 3CPDS - SANDOZ
AZITROMICINA GEN.500MG 3CPDS - MEDLEY
AZITROMICINA GEN.500MG 3CPDS - EUROFARMA
AZITROMICINA GEN.500MG 3CPDS - TEUTO BRAS
AZITROMICINA GEN.500MG 3CPDS - EMS GENERICOS
AZITROMICINA GEN.500MG 3CPDS - NOVA QUIMICA
AZITROMICINA GEN.500MG 3CPDS REV. - PRATI-DONADUZZI
AZITROMICINA GEN.500MG 3CPDS REV. - NEOQUIMICA
AZITROMICINA GEN.500MG 3CPDS REV. - MERCK S.A.
AZITROMICINA GEN.500MG 5BLX6CPDS REV. - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
121762
166466
154256
152115
140245
145218
115349
131198
67091
131199
67092
97526
97528
139595
130040
79516
16975
147061
83078
83956
420054
83957
83958
7080208
37004
72601
166081
137453
150579
2360004
101845
103018
2360006
2360007
4720106
134836
134837
134838
6920144
73975
44094
153694
6920022
161030
117730
6920021
161029
6920023
DESCRICAO
AZITROMICINA GEN.500MG 5CPDS - MEDLEY
AZITROMICINA GEN.500MG 5CPDS - SANDOZ
AZITROMICINA GEN.500MG 5CPDS - PHARMASCIENCE
AZITROMICINA GEN.500MG 5CPDS - TEUTO BRAS
AZITROMICINA GEN.500MG 5CPDS REV. - EUROFARMA
AZITROMICINA GEN.500MG 5CPDS REV. - MERCK S.A.
AZITROMICINA GEN.500MG 60CPDS - EUROFARMA
AZITROMICINA GEN.600MG PO EXT. 15ML - NEOQUIMICA
AZITROMICINA GEN.600MG PO SUSP.15ML+DIL.9ML - EMS GENERICOS
AZITROMICINA GEN.900MG PO EXT. 22ML - NEOQUIMICA
AZITROMICINA GEN.900MG PO SUSP.22,5ML+DIL.12ML - EMS GENERICOS
AZITRON 1000MG 1CPD - CIFARMA
AZITRON 1000MG 2CPDS - CIFARMA
AZITRON 500MG 480CPDS - CIFARMA
AZITRON 500MG 5CPDS - CIFARMA
AZITRON 900MG PO P/SUSP. - CIFARMA
AZOPT 1% SUSP.OFT.5ML - ALCON
AZORGA 10+5MG/ML SUSP.OFT.5ML - ALCON
AZTREONAM GEN.1G 10FA 3ML - EUROFARMA
AZUKON MR 30MG 30CPDS - TORRENT
AZULFIN 500MG 60CPDS REV. - APSEN
AZULIX 1MG 30CPDS - TORRENT
AZULIX 2MG 30CPDS - TORRENT
BABYDRAX PO ORAL 4ENV.27,9G - UNIAO QUIMICA
BABYDRAX PO ORAL 50ENV.27,9G - UNIAO QUIMICA
BABYMED AZUL 45GRS - CIMED
BABYMED MENINA POM.45G - CIMED
BABYNEO 100000UI/G+200MG/G POM.DERM. 60GRS - NEOQUIMICA
BABYTOL POM.30GRS - PHARMASCIENCE
BACFAR 4BLX5CPDS - ELOFAR
BACFAR F 800+160MG 10CPDS - ELOFAR
BACFAR F SUSP.100ML - ELOFAR
BACFAR SUSP.100ML - ELOFAR
BACFAR SUSP.50ML - ELOFAR
BACINEO POM.15GRS - LUPER
BACITRACINA ZINCICA+SULF.NEOMICINA GEN.5MG/G+250UI/G POM.15GRS - TEUTO BRAS
BACITRACINA ZINCICA+SULF.NEOMICINA GEN.5MG/G+250UI/G POM.50GRS - TEUTO BRAS
BACITRACINA ZINCICA+SULF.NEOMICINA GEN.5MG/G+250UI/G POM.50X15GRS - TEUTO BRAS
BACLOFEN 10MG 20CPDS - TEUTO BRAS
BACLON 10MG 20CPDS - UNIAO QUIMICA
BACROCIN 20MG POM.15GRS - VALEANT
BAC-SULFITRIN SOL.INJ.50AMP 5ML - NEOQUIMICA
BACTERACIN 40+8MG/ML SUSP.ORAL 100ML - TEUTO BRAS
BACTERACIN 40+8MG/ML SUSP.ORAL 100ML+CP.MED. - TEUTO BRAS
BACTERACIN 40+8MG/ML SUSP.ORAL 50X100ML - TEUTO BRAS
BACTERACIN 400+80MG 12CPDS - TEUTO BRAS
BACTERACIN 400+80MG 20CPDS - TEUTO BRAS
BACTERACIN-F 800+160MG 10CPDS - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
117136
102931
41340
150482
145442
6280011
6280010
6280081
6280016
6280013
6460014
6460140
107162
780010
55294
15753
15752
620008
620018
118326
149398
790040
790011
135167
76467
2540098
2540099
3955127
99685
103046
6460075
117748
117752
23617
760011
156980
156981
156982
156983
156976
156977
156978
156979
1260127
140179
153695
101695
3080078
DESCRICAO
BACTOCILIN 500MG 50FA - ASPEN
BACTOCIN 20MG/G CRM.DERM.15G - BUNKER
BACTODERM POM.15GRS - KLEY HERTZ
BACTOMAX 200MG PO LIOF.10FR+DIL - CRISTALIA
BACTOMAX 400MG 10AMP 3ML - CRISTALIA
BACTRIM 40+8MG/ML SUSP.ORAL 100ML - ROCHE
BACTRIM 400+80MG 20CPDS - ROCHE
BACTRIM F 80+16MG/ML SUSP.ORAL 100ML - ROCHE
BACTRIM F 800+160MG 10CPDS - ROCHE
BACTRIM IV 80+16MG/ML SOL.INJ.50AMP.5ML - ROCHE
BACTRISAN 200+40MG PED.50ML - SANVAL
BACTRISAN 400+80MG 2X10CPDS - SANVAL
BACTRISAN 400+80MG 50X10CPDS - SANVAL
BACTROBAN POM.15G - GLAXOSMITH
BACTRONEO 20MG/G POM. 15GRS - NEOQUIMICA
BACTROPIN 20CPDS - CIMED
BACTROPIN SUSP.100ML - CIMED
BALCOR E.V. 25MG 1FA+DIL 5ML - BALDACCI
BALCOR E.V. 50MG 1FA+DIL 10ML - BALDACCI
BALCOR RETARD 300MG 30CAPS - BALDACCI
BALSAMO BENGUE 0,10+0,50G/G AER. 60G - EMS CONSUMO
BALSAMO BENGUE 0,100+0,150G/G GEL 20G - EMS CONSUMO
BALSAMO BENGUE 0,250+0,250G/G POM.DERM.20G - EMS CONSUMO
BAMBAIR 1,0MG/ML SOL.ORAL 120ML - MANTECORP
BAMBEC 1MG/ML SOL.ORAL 100ML - ASTRAZENECA
BAMIFIX 300MG 20DRGS - CHIESI
BAMIFIX 600MG 20DRGS - CHIESI
BAND-AID 20MG/ML SPR.ANTI-SEPTICO 50ML - J&J CONSUM
BARACLUDE 0,5MG 30CPDS - BRISTOL
BARACLUDE 1MG 30CPDS REV. - BRISTOL
BARBITRON 100MG 2X10CPDS - SANVAL
BARIOGEL GEL.100% 10X150ML - CRISTALIA
BARIOGEL GEL.100% 10X200ML - CRISTALIA
BARIOGEL GEL.100% COPO 150ML - CRISTALIA
BAYCUTEN N CRM.40GRS - BAYER
BECARVE 12,5MG 15CPDS - MEDLEY
BECARVE 12,5MG 30CPDS - MEDLEY
BECARVE 25MG 15CPDS - MEDLEY
BECARVE 25MG 30CPDS - MEDLEY
BECARVE 3,125MG 15CPDS - MEDLEY
BECARVE 3,125MG 30CPDS - MEDLEY
BECARVE 6,25MG 15CPDS - MEDLEY
BECARVE 6,25MG 30CPDS - MEDLEY
BECENUN 100MG INJ LIOF 10FA - BRISTOL
BECLONATO SUSP.1AMP 1ML+SER. - NEOQUIMICA
BECLONATO SUSP.INJ.50AMP 1ML - NEOQUIMICA
BECLORT 250MCG/DOSE SPR.200DOSES - GLENMARK
BECLOSOL 50MCG SPR.NASAL AQUOSO 200DOSES - GLAXOSMITH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
1280110
1280109
1280112
1280111
153597
96671
4720071
4720070
3860041
30002
104236
159592
30013
104237
159593
30003
104235
159594
127847
97381
97382
79517
5260021
5260025
5260084
139813
139814
139812
149810
166426
73902
73903
104918
105834
105835
6280018
142278
13439
77046
117700
6920159
5260064
97099
97100
2060006
2060008
141769
83964
DESCRICAO
BEDOZIL 1000MCG 10AMP 2ML - BUNKER
BEDOZIL 1000MCG 50AMP 2ML - BUNKER
BEDOZIL 5000MCG 10AMP 2ML - BUNKER
BEDOZIL 5000MCG 50AMP 2ML - BUNKER
BEFOLIK 5MG 30 CPDS REV. - CIMED
BELARA 2+0,03MG 21CPDS - JANSSEN-CILAG
BELUP 100ML - LUPER
BELUP 20DRGS - LUPER
BEMINAL 30CPDS - EUROFARMA
BENALET 5+50+10MG FRAMBOESA 12PAST. - J&J CONSUM
BENALET 5+50+10MG FRAMBOESA 25BLX4PAST. - J&J CONSUM
BENALET 5+50+10MG FRAMBOESA 52PAST. - J&J CONSUM
BENALET 5+50+10MG MEL/LIMAO 12PAST. - J&J CONSUM
BENALET 5+50+10MG MEL/LIMAO 25BLX4PAST. - J&J CONSUM
BENALET 5+50+10MG MEL/LIMAO 52PAST. - J&J CONSUM
BENALET 5+50+10MG MENTA 12PAST. - J&J CONSUM
BENALET 5+50+10MG MENTA 25BLX4PAST. - J&J CONSUM
BENALET 5+50+10MG MENTA 52PAST. - J&J CONSUM
BENALET TSC 3MG/ML XPE.120ML - J&J CONSUM
BENATUX FRAMB.12PAST - CIFARMA
BENATUX MENTA 12PAST - CIFARMA
BENATUX XPE.120ML - CIFARMA
BENECTRIN 2X10CPDS - LEGRAND TARJARDOS
BENECTRIN F 10CPDS - LEGRAND TARJARDOS
BENECTRIN SUSP.100ML - LEGRAND TARJARDOS
BENEFIBER 3,5G 10SACH - NOVARTIS
BENEFIBER 3,5G 28SACH - NOVARTIS
BENEFIBER PT.155G - NOVARTIS
BENEFLORA 3SACH - BIOLAB SANUS
BENEGRIP 20CPDS REV. - COSMED
BENEGRIP 25BLX6CPDS REV. - COSMED
BENEGRIP 6CPDS REV.F.V - COSMED
BENEROC 100DRGS - BAYER
BENEROC COMPLEX 3X10DRGS - BAYER
BENEROC JUNIOR SOL.20ML - BAYER
BENERVA 300MG 30CPDS REV. - BAYER
BENESTARE 625MG 30CPDS REV - MEDLEY
BENETOSS XPE.INF.100ML - HERALD'S
BENEUM 300MG 30CPDS REV. - TEUTO BRAS
BENEUM 300MG 50CPDS REV. - TEUTO BRAS
BENEVAT 1MG/G CRM.30GRS - TEUTO BRAS
BENEVRAN 2X10DRGS - LEGRAND TARJARDOS
BENEVRAN GEL 60GRS - LEGRAND OTC
BENEVRAN GTS.20ML - LEGRAND TARJARDOS
BENFLOGIN 30MG/ML GTS.20ML - ACHE
BENFLOGIN 50MG 20DRGS - ACHE
BENICAR 20MG 10CPDS - DAIICHI SANKYO
BENICAR 20MG 30CPDS - DAIICHI SANKYO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
141770
83965
94103
165905
94104
165906
94105
165907
130006
144084
130008
144086
130007
144085
159587
159586
159588
1830056
4945156
2905004
2905002
2905003
111243
111241
124355
56180
16908
26059
26058
2360010
135168
142099
143336
143337
166028
166029
106607
100605
1000017
47710
47711
42447
140388
136677
153717
89525
97089
140390
DESCRICAO
BENICAR 40MG 10CPDS - DAIICHI SANKYO
BENICAR 40MG 30CPDS - DAIICHI SANKYO
BENICAR HCT 20+12,5MG 30CPDS - DAIICHI SANKYO
BENICAR HCT 20+12,5MG 7CPDS - DAIICHI SANKYO
BENICAR HCT 40+12,5MG 30CPDS - DAIICHI SANKYO
BENICAR HCT 40+12,5MG 7CPDS - DAIICHI SANKYO
BENICAR HCT 40+25MG 30CPDS - DAIICHI SANKYO
BENICAR HCT 40+25MG 7CPDS - DAIICHI SANKYO
BENICARANLO 20+5MG 30CPDS - DAIICHI SANKYO
BENICARANLO 20+5MG 7CPDS - DAIICHI SANKYO
BENICARANLO 40+10MG 30CPDS REV. - DAIICHI SANKYO
BENICARANLO 40+10MG 7CPDS - DAIICHI SANKYO
BENICARANLO 40+5MG 30CPDS REV. - DAIICHI SANKYO
BENICARANLO 40+5MG 7CPDS - DAIICHI SANKYO
BENOFLEX P 35+450+50MG 120CPDS - SANOFI-AVENTIS
BENOFLEX P 35+450+50MG 12CPDS - SANOFI-AVENTIS
BENOFLEX P 35+450+50MG 4CPDS F.V - SANOFI-AVENTIS
BENORMAL 20X10DRGS - CRISTALIA
BENTYL SOL.ORAL 15ML - MEDLEY
BENZAC AC 10% GEL 60G - GALDERMA
BENZAC AC 2,5% GEL 60G - GALDERMA
BENZAC AC 5% GEL 60G - GALDERMA
BENZAPEN G 300000+100000UI PO P/SUSP.50FA+50DIL.2ML - TEUTO BRAS
BENZAPEN G 300000+100000UI PO/SUSP.50FA - TEUTO BRAS
BENZAPEN G 400000UI 50FA+50DIL.2ML - TEUTO BRAS
BENZETACIL 1200000UI 10FA 4ML - EUROFARMA
BENZETACIL 1200000UI 1FA 4ML F.V - EUROFARMA
BENZETACIL 1200000UI 50FA 4ML - EUROFARMA
BENZETACIL 600000UI 50FA 4ML - EUROFARMA
BENZEVIT 1BG 40G - ELOFAR
BENZEVIT PREVENT 1BG 45G - ELOFAR
BENZIDROL 1,5MG/ML SPRAY MENTA 30ML - PRATI-DONADUZZI
BENZIFLEX 10MG 15CPDS REV. - EMS
BENZIFLEX 10MG 2X15CPDS REV. - EMS
BENZILPEN 10000000UI PO INJ.100FA - ASPEN
BENZILPEN 10000000UI PO INJ.50FA - ASPEN
BENZILPEN 5000000UI 50FA - ASPEN
BENZILPEN 5000000UI 50FA+DIL 5ML - ASPEN
BENZITRAT 1,5MG/ML COLUT.150ML - UNIAO QUIMICA
BENZODERM SAB.60GRS - PHARMASCIENCE
BENZODERM SOL.100ML - PHARMASCIENCE
BENZOILMETRONIDAZOL GEN.4% SUSP.120ML - EMS GENERICOS
BENZOILMETRONIDAZOL GEN.40MG/ML 100ML - PRATI-DONADUZZI
BENZOILMETRONIDAZOL GEN.40MG/ML 100ML - SANOFI-AVENTIS
BENZOILMETRONIDAZOL GEN.40MG/ML 50FR 100ML+50CP.MED - PRATI-DONADUZZI
BENZOILMETRONIDAZOL GEN.40MG/ML SUSP. 80ML - NEOQUIMICA
BENZOILMETRONIDAZOL GEN.40MG/ML SUSP.ORAL 100ML+COPO MEDIDOR 10ML - TEUTO BRAS
BENZOILMETRONIDAZOL+NISTATINA+CLORETO BENZALCONIO GEN.62,5MG/G+25000UI/G+1,25MG/G CRM.VAG.40GRS+10AP - PRATI-DONADUZZI
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
104760
159966
159968
159967
6280019
160434
111252
124356
111249
136560
111250
111246
103657
103656
470015
37005
26514
26515
56211
103258
840003
840011
840002
840062
6280080
1060086
1060010
144920
1060011
6420101
136537
132083
96270
94096
68844
55260
97070
134947
132084
31736
94097
144888
145090
69841
68846
89416
63645
75195
DESCRICAO
BENZOILMETRONIDAZOL+NISTATINA+CLORETO BENZALCONIO GEN.CRM.VAG.40GRS+10APL - MEDLEY
BEPANTOL BABY 5% 30GRS - BAYER
BEPANTOL DERMA 5% CRM.20GRS+4APL. - BAYER
BEPANTOL DERMA SOL.50ML - BAYER
BEPANTOL SOL.50ML - BAYER
BEPANTRIZ 50MG/G POM.DERM.30G - CIMED
BEPEBEN 1200000UI PO P/SUSP.50FA - TEUTO BRAS
BEPEBEN 1200000UI PO P/SUSP.50FA+50DIL.4ML - TEUTO BRAS
BEPEBEN 1200000UI PO P/SUSP.50FA+DIL.4ML - TEUTO BRAS
BEPEBEN 600000UI PO P/SUSP.50AMP+50DIL.4ML - TEUTO BRAS
BEPEBEN 600000UI PO P/SUSP.50FA - TEUTO BRAS
BEPEBEN 600000UI PO P/SUSP.50FA+50DIL.4ML - TEUTO BRAS
BEQUIDEX 0,80MG/ML XPE.INF.120ML - LUPER
BEQUIDEX 1,6MG/ML XPE.ADU.120ML - LUPER
BERIGLOBINA 160MG/ML SOL.INJ.1AMP 2ML - CSL BEHRING
BERIPLAST-P 2FA PO LIOF.+2FA DIL.0,5ML - CSL BEHRING
BERIPLAST-P 2FA PO LIOF.+2FA DIL.1,0ML - CSL BEHRING
BERIPLAST-P 2FA PO LIOF.+2FA DIL.3,0ML - CSL BEHRING
BERIPLEX P/N 500UI PO LIOF.1FA+DIL.20ML - CSL BEHRING
BERITIN BC XPE.240ML - VITAPAN
BERLISON 1% CRM.15GRS - BAYER
BERLISON 1% CRM.30GRS - BAYER
BERLISON 1% POM.15GRS - BAYER
BERLISON 1% POM.30GRS - BAYER
BEROCCAL ZINCO 30CPDS REV. - BAYER
BEROTEC 0,25MG/ML XPE.PED.120ML - BOEHRINGER
BEROTEC 0,50MG/ML XPE.ADU.120ML - BOEHRINGER
BEROTEC 2MG/ML SOL.AER.10ML+BOCAL - BOEHRINGER
BEROTEC 5MG/ML SOL.ORAL 20ML - BOEHRINGER
BESEROL 12CPDS - SANOFI-AVENTIS
BESEROL 4CPDS - SANOFI-AVENTIS
BESILATO ANLODIPINO GEN.10MG 20CPDS - AUROBINDO
BESILATO ANLODIPINO GEN.10MG 20CPDS - BIOSINTETICA
BESILATO ANLODIPINO GEN.10MG 20CPDS - CRISTALIA
BESILATO ANLODIPINO GEN.10MG 20CPDS - SANDOZ
BESILATO ANLODIPINO GEN.10MG 2X10CPDS - MEDLEY
BESILATO ANLODIPINO GEN.10MG 30CPDS - NEOQUIMICA
BESILATO ANLODIPINO GEN.10MG 30CPDS - ARROW
BESILATO ANLODIPINO GEN.10MG 30CPDS - AUROBINDO
BESILATO ANLODIPINO GEN.10MG 30CPDS - BIOSINTETICA
BESILATO ANLODIPINO GEN.10MG 30CPDS - CRISTALIA
BESILATO ANLODIPINO GEN.10MG 30CPDS - TEUTO BRAS
BESILATO ANLODIPINO GEN.10MG 30CPDS - PRATI-DONADUZZI
BESILATO ANLODIPINO GEN.10MG 30CPDS - RANBAXY
BESILATO ANLODIPINO GEN.10MG 30CPDS - SANDOZ
BESILATO ANLODIPINO GEN.10MG 30CPDS - NOVA QUIMICA
BESILATO ANLODIPINO GEN.10MG 3BLX10CPDS - EMS GENERICOS
BESILATO ANLODIPINO GEN.10MG 3X10CPDS - MERCK S.A.
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
55261
80728
96271
110420
64785
132081
96272
94094
68838
55258
64786
140392
75194
97069
134948
132082
31735
94095
69842
68843
89415
139381
63644
55259
80727
96273
43266
107047
146521
146522
103595
103596
165747
153666
145013
101962
101961
6820010
6820009
6820016
6820008
164635
164636
164637
164638
164633
164634
141406
DESCRICAO
BESILATO ANLODIPINO GEN.10MG 3X10CPDS - MEDLEY
BESILATO ANLODIPINO GEN.10MG 3X10CPDS - BRAINFARMA
BESILATO ANLODIPINO GEN.10MG 60CPDS - BIOSINTETICA
BESILATO ANLODIPINO GEN.10MG 9BLX10CPDS - EMS GENERICOS
BESILATO ANLODIPINO GEN.5MG 20CPDS - TEUTO BRAS
BESILATO ANLODIPINO GEN.5MG 20CPDS - AUROBINDO
BESILATO ANLODIPINO GEN.5MG 20CPDS - BIOSINTETICA
BESILATO ANLODIPINO GEN.5MG 20CPDS - CRISTALIA
BESILATO ANLODIPINO GEN.5MG 20CPDS - SANDOZ
BESILATO ANLODIPINO GEN.5MG 2X10CPDS - MEDLEY
BESILATO ANLODIPINO GEN.5MG 30CPDS - TEUTO BRAS
BESILATO ANLODIPINO GEN.5MG 30CPDS - PRATI-DONADUZZI
BESILATO ANLODIPINO GEN.5MG 30CPDS - MERCK S.A.
BESILATO ANLODIPINO GEN.5MG 30CPDS - NEOQUIMICA
BESILATO ANLODIPINO GEN.5MG 30CPDS - ARROW
BESILATO ANLODIPINO GEN.5MG 30CPDS - AUROBINDO
BESILATO ANLODIPINO GEN.5MG 30CPDS - BIOSINTETICA
BESILATO ANLODIPINO GEN.5MG 30CPDS - CRISTALIA
BESILATO ANLODIPINO GEN.5MG 30CPDS - RANBAXY
BESILATO ANLODIPINO GEN.5MG 30CPDS - SANDOZ
BESILATO ANLODIPINO GEN.5MG 30CPDS - NOVA QUIMICA
BESILATO ANLODIPINO GEN.5MG 30CPDS REV. - ZYDUS NIKKHO
BESILATO ANLODIPINO GEN.5MG 3BLX10CPDS - EMS GENERICOS
BESILATO ANLODIPINO GEN.5MG 3X10CPDS - MEDLEY
BESILATO ANLODIPINO GEN.5MG 3X10CPDS - BRAINFARMA
BESILATO ANLODIPINO GEN.5MG 60CPDS - BIOSINTETICA
BESILATO ANLODIPINO GEN.5MG 60CPDS - MERCK S.A.
BESILATO ANLODIPINO GEN.5MG 9BLX10CPDS - EMS GENERICOS
BESILATO ATRACURIO GEN.10MG/ML 25AMP 2,5ML - NOVAFARMA
BESILATO ATRACURIO GEN.10MG/ML 25AMP 5ML - NOVAFARMA
BESITRAC 25MG 5AMP 2,5ML - BIOCHIMICO
BESITRAC 50MG 5AMP 5ML - BIOCHIMICO
BESIVANCE SUSP.OFT.5ML - BAUSCH+LOMB
BETA LONG 3+3MG/ML SUSP.INJ.1AMP 1ML - UNIAO QUIMICA
BETA LONG 3+3MG/ML SUSP.INJ.25AMP 1ML - UNIAO QUIMICA
BETACARD PLUS 100/25MG 30CPDS - TORRENT
BETACARD PLUS 50/12,5MG 30CPDS - TORRENT
BETADERM CAPILAR 60ML - STIEFEL
BETADERM CRM.30GRS - STIEFEL
BETADERM N CRM.30GRS - STIEFEL
BETADERM POM.30GRS - STIEFEL
BETADINE 16MG 30CPDS - ACHE
BETADINE 16MG 60CPDS - ACHE
BETADINE 24MG 30CPDS - ACHE
BETADINE 24MG 60CPDS - ACHE
BETADINE 8MG 30CPDS - ACHE
BETADINE 8MG 60CPDS - ACHE
BETAFERON 0,3MG+1,2ML 15FA - BAYER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
260034
260003
90227
144947
90228
144948
145091
90697
110423
70996
128386
90698
110426
68427
7080205
54983
97457
143210
38346
96752
84601
104010
161050
161051
161052
3080025
3080030
3080031
3080027
3080029
3080059
3080061
3080060
3080063
180003
180071
35278
38338
38339
144891
144892
77887
87290
88781
90630
2360011
2360012
121634
DESCRICAO
BETAGAN 5MG/ML SOL.OFT.10ML - ALLERGAN
BETAGAN 5MG/ML SOL.OFT.5ML - ALLERGAN
BETALOR 5+25MG 2X15CAPS - BIOSINTETICA
BETALOR 5+25MG 7CPDS - BIOSINTETICA
BETALOR 5+50MG 2X15CAPS - BIOSINTETICA
BETALOR 5+50MG 7CPDS - BIOSINTETICA
BETAMETASONA GEN.0,1MG/ML 120ML+CP.MED. - PRATI-DONADUZZI
BETAMETASONA GEN.0,5MG 2BLX10CPDS - EMS GENERICOS
BETAMETASONA GEN.0,5MG 9BLX10CPDS - EMS GENERICOS
BETAMETASONA GEN.0,5MG/5ML ELIXIR 120ML - EMS GENERICOS
BETAMETASONA GEN.0,5MG/5ML ELX.120ML - GERMED GENERICOS
BETAMETASONA GEN.2,0MG 10CPDS - EMS GENERICOS
BETAMETASONA GEN.2,0MG 9BLX10CPDS - EMS GENERICOS
BETAMETASONA GEN.ELIX.120ML - MEDLEY
BETAPROSPAN 5+2MG/ML SUSP.INJ.1AMP 1ML - UNIAO QUIMICA
BETASERC 16MG 3BLX10CPDS - ABBOTT SAUDE
BETASERC 24MG 2BLX15CPDS - ABBOTT SAUDE
BETASERC 24MG 4BLX15CPDS - ABBOTT SAUDE
BETASPAN 5+2MG 1AMP INJ.1ML - DELTA
BETATRINTA 5+2MG/ML 1AMP.1ML+SER. - EUROFARMA
BETAZIDIM 1G 1FA+DIL 10ML - ASPEN
BETAZIDIM 1G 50FA - ASPEN
BETES 1MG 30CPDS - EUROFARMA
BETES 2MG 30CPDS - EUROFARMA
BETES 4MG 30CPDS - EUROFARMA
BETNOVATE CRM.15G - GLAXOSMITH
BETNOVATE CRM.30G - GLAXOSMITH
BETNOVATE LOC.50ML - GLAXOSMITH
BETNOVATE POM.15G - GLAXOSMITH
BETNOVATE POM.30G - GLAXOSMITH
BETNOVATE SOL.TOP.CAPILAR 50G - GLAXOSMITH
BETNOVATE-N CRM.30G - GLAXOSMITH
BETNOVATE-N POM.30G - GLAXOSMITH
BETNOVATE-Q CRM.30G - GLAXOSMITH
BETOPTIC 0,5% SOL.OFT.5ML - ALCON
BETOPTIC S 0,25% SUSP.OFT.5ML - ALCON
BETROSPAM SUSP.INJ.1AMP.1ML - LEGRAND TARJARDOS
BETSONA 1MG/G CRM.30GRS - NEOQUIMICA
BETSONA 1MG/G POM.30GRS - NEOQUIMICA
BEUM 300MG 20CPDS - EUROFARMA
BEUM 300MG 30CPDS - EUROFARMA
BEXTRA IM/IV 40MG 10FA - PFIZER
BEZAFIBRATO GEN.200MG 20CPDS - EMS GENERICOS
BEZAFIBRATO GEN.200MG 2BLX10DRGS - GERMED GENERICOS
BEZAFIBRATO GEN.200MG 2X10CPDS - LEGRAND GENERICOS
BIALERGE 5BLX4CPDS - ELOFAR
BIALERGE ELIX.100ML - ELOFAR
BIALERGE GTS.20ML - ELOFAR
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
167656
137914
2900109
2900108
2900112
2900111
152015
168714
141978
3425108
6260053
3555054
20887
3425106
141694
143162
143163
169720
36370
5020087
5020088
143868
143869
141732
142094
141733
142095
840004
74320
74319
115422
83889
163567
163568
163565
163566
128156
106624
165873
29346
40053
133430
40045
40015
40047
144928
153545
133431
DESCRICAO
BIALUDEX 3,5+1MG/G POM.OFT.3,5G - LEGRAND TARJARDOS
BIALUDEX 3,5+1MG/ML SOL.OFTAL.4ML - LEGRAND TARJARDOS
BIAMOTIL 3,5MG/ML POM.OFT.3,5G - ALLERGAN
BIAMOTIL 3,5MG/ML SOL.OFT.5ML - ALLERGAN
BIAMOTIL D 3,5+1MG/G POM.OFT.3,5G - ALLERGAN
BIAMOTIL D 3,5+1MG/ML SOL.OFT.5ML - ALLERGAN
BIANCORT 3,5+1MG/ML SOL.OFT.5ML - GERMED
BICALUTAMIDA 50MG 30CPDS REV. - EUROFARMA
BICALUTAMIDA GEN.50MG 28CPDS REV. - ACCORD
BICARBONATO SODIO 10% 100AMP 10ML - HYPOFARMA
BICARBONATO SODIO 100GRS 0078 - RIOQUIMICA
BICARBONATO SODIO 100GRS CX. - ICAR
BICARBONATO SODIO 100GRS T.LACRE - ICAR
BICARBONATO SODIO 8,4% 100AMP 10ML - HYPOFARMA
BICARBONATO SODIO 8,4% 35AMP. PLAST.INC.250ML SIST.FECH - HYPOFARMA
BICARBONATO SODIO 8,4% AMP 10ML - HALEX ISTAR
BICARBONATO SODIO 8,4% AMP 20ML - HALEX ISTAR
BICARBONATO SODIO PT 100G - VIC PHARMA
BICONCOR 10/6,25MG 30CPDS - MERCK S.A.
BICONCOR 2,5/6,25MG 30CPDS - MERCK S.A.
BICONCOR 5,0/6,25MG 30CPDS - MERCK S.A.
BIMATOPROSTA GEN.0,3MG/ML 3ML - LEGRAND GENERICOS
BIMATOPROSTA GEN.0,3MG/ML 5ML - LEGRAND GENERICOS
BIMATOPROSTA GEN.0,3MG/ML SOL.OFT.3ML - EMS GENERICOS
BIMATOPROSTA GEN.0,3MG/ML SOL.OFT.3ML - GERMED GENERICOS
BIMATOPROSTA GEN.0,3MG/ML SOL.OFT.5ML - EMS GENERICOS
BIMATOPROSTA GEN.0,3MG/ML SOL.OFT.5ML - GERMED GENERICOS
BI-NERISONA CRM.15GRS - SCHERING DO BRASIL
BINKO HEXAL 120MG 20CPDS - HEXAL
BINKO HEXAL 80MG 20CPDS - HEXAL
BINKO HEXAL 80MG 30CPDS - HEXAL
BINKO HEXAL 80MG 60CPDS - HEXAL
BINOTAL 1000MG 14CPDS - BAYER
BINOTAL 1000MG 21CPDS - BAYER
BINOTAL 500MG 14CPDS - BAYER
BINOTAL 500MG 21CPDS - BAYER
BIO E 400MG 20CAPS GEL. - UNIAO QUIMICA
BIO-C 1G 10CPDS EFERV. - UNIAO QUIMICA
BIO-C 1G 30CPDS EFV. - UNIAO QUIMICA
BIOFENAC 10MG/G AER.60G - ACHE
BIOFENAC 44,94MG/ML GTS.20ML - ACHE
BIOFENAC 50MG 10CPDS REV. - ACHE
BIOFENAC 50MG 20CPDS REV. - ACHE
BIOFENAC CLR 75MG 14CPDS REV. - ACHE
BIOFENAC D.I 46,5MG 20CPDS - ACHE
BIOFENAC DI 46,5MG 10CPDS - ACHE
BIOFENAC DI 50MG 10CPDS - ACHE
BIOFENAC LP 100MG 10CPDS - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
40002
61191
72147
61190
165235
26606
26605
47712
1280075
1280009
1280008
1280010
47714
47713
103221
144929
123560
144930
123561
131417
12032
136633
136634
47497
2360077
102863
102862
3080132
103993
103992
6200009
146591
145014
94425
5260026
169511
1060020
20836
1060018
94182
94180
94183
145428
145125
124119
159865
159869
124120
DESCRICAO
BIOFENAC LP 100MG 20CPDS - ACHE
BIOFLAC 15MG 10CPDS - CRISTALIA
BIOFLAC 15MG 5AMP 1,5ML - CRISTALIA
BIOFLAC 7,5MG 10CPDS - CRISTALIA
BIOFLADEX 11,6MG/G AER.60G - EMS
BIOFLORIN ADU.5FLAC - INFAN
BIOFLORIN PED.5FLAC - INFAN
BIOFORTONICO 500ML - PHARMASCIENCE
BIOFRUCTOSE 100AMP 10ML - BUNKER
BIOFRUCTOSE 3AMP 10ML - BUNKER
BIOFRUCTOSE 3AMP 20ML - BUNKER
BIOFRUCTOSE 50AMP 20ML - BUNKER
BIOHEPATON 60FLAC 10ML - PHARMASCIENCE
BIOHEPATON SOL.ORAL 150ML - PHARMASCIENCE
BIOLIGHT C 600 380+10MG 60CAPS - CIFARMA
BIOMAG 10MG 10CAPS GEL. - ACHE
BIOMAG 10MG 30CAPS GEL. - ACHE
BIOMAG 15MG 10CAPS GEL. - ACHE
BIOMAG 15MG 30CAPS GEL. - ACHE
BIOMATROP 4UI PO 1ML - BIOSINTETICA
BIOMETROX 25MG/ML 1FA 20ML - BIOSINTETICA
BIOPLUS 80MG 30CAPS GEL DURA - KLEY HERTZ
BIOPLUS 80MG 60CAPS GEL DURA - KLEY HERTZ
BIOTONICO FONTOURA N 400ML - COSMED
BIO-VAGIN CRM.VAG.40G+10APL. - ELOFAR
BIOVICERIN 5000000 END./5ML C/100FLAC.5ML - GEYER
BIOVICERIN 5000000 END./5ML C/6FLAC.5ML - GEYER
BIOVIR 450MG 60CPDS - GLAXOSMITH
BIOZATIN 1200000UI PO LIOFILO 50FA - NOVAFARMA
BIOZATIN 600000UI PO LIOFILO 50FA - NOVAFARMA
BI-PROFENID 150MG 10CPDS - SANOFI-AVENTIS
BI-PROFENID 150MG 4CPDS - SANOFI-AVENTIS
BISALAX 5MG 150DRGS - UNIAO QUIMICA
BISALAX 5MG 20DRGS - UNIAO QUIMICA
BISMU-JET 25+25+15MG/ML SOL.ORAL GTS.20ML - LEGRAND OTC
BISOLTUSSIN 2MG/ML XPE.120ML - BOEHRINGER
BISOLVON 0,8MG/ML XPE.INF.120ML - BOEHRINGER
BISOLVON 1,6MG/ML XPE.ADU.120ML - BOEHRINGER
BISOLVON 2MG/ML SOL.ORAL 50ML - BOEHRINGER
BISPECT 0,8MG/ML XPE.INF.120ML+CP.MED - UCI-FARMA
BISPECT 1,6MG/ML XPE.ADU.120ML+CP.MED - UCI-FARMA
BISPECT GTS.50ML - UCI-FARMA
BISPECT XPE.INF.50X120ML - UCI-FARMA
BISSULFATO CLOPIDOGREL GEN.75MG 10CPDS - ARROW
BISSULFATO CLOPIDOGREL GEN.75MG 14CPDS - MEDLEY
BISSULFATO CLOPIDOGREL GEN.75MG 15CPDS REV. - ACHE
BISSULFATO CLOPIDOGREL GEN.75MG 15CPDS REV. - BIOSINTETICA
BISSULFATO CLOPIDOGREL GEN.75MG 28CPDS - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
151910
159319
136621
145126
159871
159866
151911
159320
136620
154259
159159
77842
4720108
71912
4720001
143338
148342
37141
1040022
1040021
1040023
1040027
1040025
1040026
165872
165874
141331
23667
132217
12273
12269
103653
140956
4720011
143360
37408
84678
84679
84689
84683
84684
84685
84686
84687
84680
84681
84682
84690
DESCRICAO
BISSULFATO CLOPIDOGREL GEN.75MG 2BLX7CPDS REV. - EMS GENERICOS
BISSULFATO CLOPIDOGREL GEN.75MG 2BLX7CPDS REV. - GERMED GENERICOS
BISSULFATO CLOPIDOGREL GEN.75MG 2X7CPDS - RANBAXY
BISSULFATO CLOPIDOGREL GEN.75MG 30CPDS - ARROW
BISSULFATO CLOPIDOGREL GEN.75MG 30CPDS REV. - BIOSINTETICA
BISSULFATO CLOPIDOGREL GEN.75MG 30CPDS REV. - ACHE
BISSULFATO CLOPIDOGREL GEN.75MG 4BLX7CPDS REV. - EMS GENERICOS
BISSULFATO CLOPIDOGREL GEN.75MG 4BLX7CPDS REV. - GERMED GENERICOS
BISSULFATO CLOPIDOGREL GEN.75MG 4X7CPDS - RANBAXY
BISSULFATO CLOPIDOGREL GEN.75MG 4X7CPDS REV. - LEGRAND GENERICOS
BISSULFATO CLOPIDOGREL GEN.75ML 10CPDS REV. - EUROFARMA
BISUISAN PO 12ENV 5,5G - COSMED
BISUISAN PO 1ENV 5,5GRS F.V - COSMED
BISUISAN PO 25ENV 5,5G - COSMED
BISUISAN PO 50G - COSMED
BISURAN 4MG/5ML XPE.INF.120ML - EMS
BISURAN 8MG/5ML XPE.ADU.120ML - EMS
BLAUBIMAX 20% 1FA 50ML+EQP. - BLAU
BLAUFERON 2A 4500000UI 1FA+DIL 1ML - BLAU
BLAUFERON 3000000UI 1FA+DIL 1ML - BLAU
BLAUFERON 9000000UI 1FA+DIL 1ML - BLAU
BLAUFERON B 10000000UI 1FA+DIL 1ML - BLAU
BLAUFERON B 3000000UI 1FA+DIL 1ML - BLAU
BLAUFERON B 5000000UI 1FA+DIL 1ML - BLAU
BLAZTERE 4MG PO LIOF.10FA - DR.REDDY'S
BLAZTERE 4MG PO LIOF.4FA - DR.REDDY'S
BLAZTERE 4MG PO.1FA - DR.REDDY'S
BLEPHAGEL 40G - UNIAO QUIMICA
BLEU PATENTE V 25MG/ML SOL.INJ.5AMP 2ML - GUERBET
BLOPRESS 16MG 30CPDS - ABBOTT
BLOPRESS 8MG 30CPDS - ABBOTT
BLUMEL GUACO XPE.120ML - LUPER
BLUMEL HEDERA XPE.100ML - LUPER
BLUMEN COLIRIO 20ML - LUPER
BOLDINE 30CAPS - INFAN
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 1LTS DEXT 1,5% B PI SOL DIAL PERI FEX X 1000 MI AZB1682 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 1LTS DEXT SOL.PD2 2,5% B PI SOL.DIAL PERI FLEX X 1000 MI AZB1686 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 1LTS SOL.PD2 4,25% B PI SOL.DIAL PERI FLEX X 1000 MI AZB1689 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 2,5LTS DEXT CA BAIXO 1,5% B PI DIAL PERI FLEX 2500 MI AZB1699 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 2,5LTS DEXT PD2 1,5% B PI SOL. DIAL PERI FLEX X 2500 AZB1685 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 2,5LTS DEXT PD2 2,5% B PI SOL.DIAL PERI FLEX X 2500 MI AZB1688 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 2,5LTS DEXT PD2 4,25% B PI FLEX X 2500 MI AZB1691 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 2LTS DEXT CA BAIXO 1,5% B PI SOL.DIAL PERI FLEX 2000 MI AZB8406 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 2LTS DEXT CA BAIXO 2,5% B PI SOL.DIAL PERI FLEX 2000 MI AZB1700 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 2LTS DEXT PD2 1,5% B PI SOL.DIAL PERI FLEX X 2000 MI AZB1683 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 2LTS DEXT PD2 2,5% B PI SOL.DIAL PERI FLEX X 2000 MI AZB1687 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG 2LTS DEXT PD2 4,25% B PI SOL.DIAL PERI FLEX X 2000 MI AZB1690 - BAXTER
BOLSA P/DIALISE PERIT.CAPD ULTRABAG DEXT CA BAIXO 2,5% B PI SOL.DIAL PERI FLEX X 2500 MI AZB1701 - BAXTER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
84691
84677
766222
35568
37407
37406
35567
35569
28297
766224
766225
766226
766223
28299
138022
6440057
71789
14830
164574
164575
105414
40279
127946
146678
154255
154254
103045
137973
63100
65065
152150
120809
145109
145108
142211
136787
153127
153128
153126
169806
169807
169808
169805
164584
164585
164586
164582
164583
DESCRICAO
BOLSA P/DIALISE PERIT.CAPD ULTRABAG DEXT CA BAIXO 4,25% B PI SOL.DIAL PERI FLEX X 2500 MI AZB1702 - BAXTER
BOLSA P/DIALISE PERIT.DPI/DPA 6LTS SINGLE-BAG DEXT 1,5% B PI SOL DIAL PERI FLEX X 6000 AZB1692 - BAXTER
BOLSA P/DIALISE PERIT.DPI/DPA SINGLE-BAG 2LTS DEXT 2,5% B PI SOL.DIAL PERI FLEX X 2000 AZB1695 - 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 2,5% B PI SOL DIAL PERI FLEX X 6000 MI AZB1697 - BAXTER
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 4,25% B PI SOL.DIAL PERI FLEX X 6000 MI AZB1681 - BAXTER
BOLSA P/DIALISE PERIT.DPI/DPA SINGLE-BAG 6LTS DEXT SOL.1,5% B PI DIAL PERI FLEX X 6000 MI AZB1677 - 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 2,5LTS DEXT 1,5% B PI SOL.DIAL PERI X 2500 MI AZB5168 - BAXTER
BOLSA P/DIALISE PERIT.SINGLE-BAG DPI/DPA 2,5LTS DEXT 2,5% B PI SOL.DIAL PERI FLEX X 2500 MI AZB5178 - BAXTER
BOLSA P/DIALISE PERIT.SINGLE-BAG DPI/DPA 2,5LTS DEXT 4,25% B PI SOL.DIAL PERI FLEX X 2500 MI AZB5188 - BAXTER
BOLSA P/DIALISE PERIT.SINGLE-BAG DPI/DPA 2LTS DEXT 4,25% B PI SOL.DIAL PERI FLEX X 2000 MI AZB9747 - BAXTER
BOLSA P/DIALISE PERIT.SINGLE-BAG DPI/DPA 4,25% GLICOSE 5000 MI SOL.DIAL PERI FLEX X 5000 MI AZB1680 - BAXTER
BONAGRAN 70MG 4CPDS - LEGRAND TARJARDOS
BONALEN 10MG 30CPDS - UNIAO QUIMICA
BONALEN 70MG 4CPDS REV. - UNIAO QUIMICA
BONAR 15UI PO LIOF INJ FA 5ML - BIOSINTETICA
BONECAL D 600MG+400UI 30CPDS REV. - SIGMA PHARMA
BONECAL D 600MG+400UI 60CPDS REV. - SIGMA PHARMA
BONEFOS 1500MG 1AMP 25ML - BAYER
BONEFOS 400MG 30CAPS - BAYER
BONEFOS 60MG 1AMP 5ML - BAYER
BONEPREV 70MG 4CPDS - HEXAL
BONTOSS 0,8MG/ML XPE.INF.120ML - NEOQUIMICA
BONTOSS 1,6MG/ML XPE.ADU.120ML - NEOQUIMICA
BONVIVA 150MG 1CPD REV. - ROCHE
BONVIVA 3MG 1SER.PREENC.3ML - ROCHE
BORAG 30CAPS - ATIVUS
BOTOX 100UI PO LIOF.1FA - ALLERGAN
BOTOX 200UI PO LIOF.1FA - ALLERGAN
B-PLATIN 10MG/ML FA 15ML - BLAU
B-PLATIN 10MG/ML FA 45ML - BLAU
B-PLATIN 10MG/ML FA 5ML - BLAU
BRAMITOB 56FLAC - CHIESI
BRANTA 50/5MG 30CPDS - TORRENT
BRASART 160MG 3X10CPDS REV. - SIGMA PHARMA
BRASART 320MG 3X10CPDS REV. - SIGMA PHARMA
BRASART 80MG 3X10CPDS REV. - SIGMA PHARMA
BRASART HCT 160+12,5MG 3BLX10CPDS REV. - SIGMA PHARMA
BRASART HCT 160+25MG 3BLX10CPDS REV. - SIGMA PHARMA
BRASART HCT 320+25MG 3BLX10CPDS REV. - SIGMA PHARMA
BRASART HCT 80+12,5MG 3BLX10CPDS REV. - SIGMA PHARMA
BRATOR 160MG 10CPDS - TORRENT
BRATOR 160MG 30CPDS - TORRENT
BRATOR 320MG 30CPDS - TORRENT
BRATOR 80MG 10CPDS - TORRENT
BRATOR 80MG 30CPDS - TORRENT
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
164597
164598
164600
164601
164603
164587
164596
170426
170427
170425
142149
121367
166036
150368
150372
150365
32547
29371
29373
2540035
2540033
485028
485029
146595
156944
156945
156946
139906
139907
119910
118752
121263
107090
56840
93216
155016
99858
121268
89678
129407
83557
94166
49674
56841
81832
155017
121267
94709
DESCRICAO
BRATOR H 160+12,5MG 10CPDS - TORRENT
BRATOR H 160+12,5MG 30CPDS - TORRENT
BRATOR H 160+25MG 30CPDS - TORRENT
BRATOR H 320+12,5MG 30CPDS - TORRENT
BRATOR H 320+25MG 30CPDS - TORRENT
BRATOR H 80+12,5MG 10CPDS - TORRENT
BRATOR H 80+12,5MG 30CPDS - TORRENT
BRAVAN 160MG 30CPDS REV. - ACHE
BRAVAN 320MG 30CPDS REV. - ACHE
BRAVAN 80MG 30CPDS REV. - ACHE
BRAVELLE 75UI PO LIOF.1AMP+1AMP DIL.1ML - FERRING
BRAVITAN 2MG 20CPDS REV. - DROXTER
BRAVITAN 5MG 30CPDS REV. - DROXTER
BRECILA 2MG/ML SOL.INJ.1FR 10ML - ACCORD
BRECILA 2MG/ML SOL.INJ.1FR 25ML - ACCORD
BRECILA 2MG/ML SOL.INJ.1FR 5ML - ACCORD
BREFUS XPE.ADU.100ML - INFAN
BREVIBLOC 10MG/ML 20FA 10ML - CRISTALIA
BREVIBLOC 250MG/ML 10AMP 10ML - CRISTALIA
BREXIN 10CPDS - GROSS
BREXIN 5CPDS - GROSS
BRICANYL BRONCODILATADOR 0,3MG/ML XPE 100ML - ASTRAZENECA
BRICANYL COMPOSTO EXPECTORANTE 0,3+13,3MG/ML XPE 100ML - ASTRAZENECA
BRIDION 100MG/ML 10FA 2ML - SCHERING PLOUGH
BRILINTA 90MG 20CPDS REV. - ASTRAZENECA
BRILINTA 90MG 30CPDS REV. - ASTRAZENECA
BRILINTA 90MG 60CPDS REV. - ASTRAZENECA
BROMALEX 3MG 30CPDS - SANDOZ
BROMALEX 6MG 30CPDS - SANDOZ
BROMAZEPAM GEN.2,5MG/ML GTS.20ML - GERMED GENERICOS
BROMAZEPAM GEN.2,5MG/ML SOL.ORAL 20ML - EMS GENERICOS
BROMAZEPAM GEN.3MG 100CPDS - TEUTO BRAS
BROMAZEPAM GEN.3MG 200CPDS - ARROW
BROMAZEPAM GEN.3MG 20CPDS - UNIAO QUIMICA
BROMAZEPAM GEN.3MG 20CPDS - ARROW
BROMAZEPAM GEN.3MG 20CPDS - NEOQUIMICA
BROMAZEPAM GEN.3MG 20CPDS - MERCK S.A.
BROMAZEPAM GEN.3MG 20CPDS - TEUTO BRAS
BROMAZEPAM GEN.3MG 20CPDS - BIOSINTETICA
BROMAZEPAM GEN.3MG 20CPDS - SANDOZ
BROMAZEPAM GEN.3MG 2BLX10CPDS - GERMED GENERICOS
BROMAZEPAM GEN.3MG 2BLX10CPDS - EMS GENERICOS
BROMAZEPAM GEN.3MG 2X10CPDS - MEDLEY
BROMAZEPAM GEN.3MG 30CPDS - UNIAO QUIMICA
BROMAZEPAM GEN.3MG 30CPDS - EUROFARMA
BROMAZEPAM GEN.3MG 30CPDS - NEOQUIMICA
BROMAZEPAM GEN.3MG 30CPDS - TEUTO BRAS
BROMAZEPAM GEN.3MG 30CPDS - ARROW
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
89679
129408
100024
100085
49675
121264
107091
56843
93217
154252
99859
121266
89680
129409
37338
94164
49676
56844
81834
154253
121265
94710
89681
129410
98405
98471
49677
3408051
3408047
137184
104836
56846
153512
138126
97071
140396
129346
98966
139185
139192
145498
136780
134949
165837
144898
104085
104086
144899
DESCRICAO
BROMAZEPAM GEN.3MG 30CPDS - BIOSINTETICA
BROMAZEPAM GEN.3MG 30CPDS - SANDOZ
BROMAZEPAM GEN.3MG 3BLX10CPDS - GERMED GENERICOS
BROMAZEPAM GEN.3MG 3BLX10CPDS - EMS GENERICOS
BROMAZEPAM GEN.3MG 3X10CPDS - MEDLEY
BROMAZEPAM GEN.6MG 100CPDS - TEUTO BRAS
BROMAZEPAM GEN.6MG 200CPDS - ARROW
BROMAZEPAM GEN.6MG 20CPDS - UNIAO QUIMICA
BROMAZEPAM GEN.6MG 20CPDS - ARROW
BROMAZEPAM GEN.6MG 20CPDS - NEOQUIMICA
BROMAZEPAM GEN.6MG 20CPDS - MERCK S.A.
BROMAZEPAM GEN.6MG 20CPDS - TEUTO BRAS
BROMAZEPAM GEN.6MG 20CPDS - BIOSINTETICA
BROMAZEPAM GEN.6MG 20CPDS - SANDOZ
BROMAZEPAM GEN.6MG 2BLX10CPDS - GERMED GENERICOS
BROMAZEPAM GEN.6MG 2BLX10CPDS - EMS GENERICOS
BROMAZEPAM GEN.6MG 2X10CPDS - MEDLEY
BROMAZEPAM GEN.6MG 30CPDS - UNIAO QUIMICA
BROMAZEPAM GEN.6MG 30CPDS - EUROFARMA
BROMAZEPAM GEN.6MG 30CPDS - NEOQUIMICA
BROMAZEPAM GEN.6MG 30CPDS - TEUTO BRAS
BROMAZEPAM GEN.6MG 30CPDS - ARROW
BROMAZEPAM GEN.6MG 30CPDS - BIOSINTETICA
BROMAZEPAM GEN.6MG 30CPDS - SANDOZ
BROMAZEPAM GEN.6MG 3BLX10CPDS - GERMED GENERICOS
BROMAZEPAM GEN.6MG 3BLX10CPDS - EMS GENERICOS
BROMAZEPAM GEN.6MG 3X10CPDS - MEDLEY
BROMELIN PROPOLIS 50ML - INFAN
BROMELIN SUSP.100ML - INFAN
BROMETO IPRATROPIO GEN.0,25MG 20ML - LEGRAND GENERICOS
BROMETO IPRATROPIO GEN.0,25MG 20ML - BIOSINTETICA
BROMETO IPRATROPIO GEN.0,25MG SOL.INAL.20ML - UNIAO QUIMICA
BROMETO IPRATROPIO GEN.0,25MG/ML 1FR 20ML - NOVA QUIMICA
BROMETO IPRATROPIO GEN.0,25MG/ML 200X20ML - HIPOLABOR
BROMETO IPRATROPIO GEN.0,25MG/ML 20ML - NEOQUIMICA
BROMETO IPRATROPIO GEN.0,25MG/ML GTS.20ML - PRATI-DONADUZZI
BROMETO IPRATROPIO GEN.0,25MG/ML SOL.INAL.100X20ML - TEUTO BRAS
BROMETO IPRATROPIO GEN.0,25MG/ML SOL.INAL.20ML - TEUTO BRAS
BROMETO IPRATROPIO GEN.0,25MG/ML SOL.P/INAL.20ML - GERMED GENERICOS
BROMETO IPRATROPIO GEN.0,25MG/ML SOL.P/INAL.20ML - EMS GENERICOS
BROMETO IPRATROPIO GEN.20ML - HIPOLABOR
BROMETO PANCURONIO GEN.2MG/ML 50AMP 2ML - NOVAFARMA
BROMETO ROCURONIO GEN.10MG/ML 12FA 5ML - EUROFARMA
BROMETO ROCURONIO GEN.10MG/ML SOL.INJ.10FA 5ML - NOVAFARMA
BROMIDRATO CITALOPRAM GEN.20MG 14CPDS - EMS GENERICOS
BROMIDRATO CITALOPRAM GEN.20MG 14CPDS - AUROBINDO
BROMIDRATO CITALOPRAM GEN.20MG 28CPDS - AUROBINDO
BROMIDRATO CITALOPRAM GEN.20MG 2BLX14CPDS - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
144900
144194
147790
104084
145499
138127
140268
85972
140267
140403
34064
5440085
5440086
94186
94191
94188
5440064
166948
167387
140407
156458
149831
149479
77933
49679
103806
49678
38464
111871
136592
166944
166021
146733
108089
111818
87273
101563
101591
90974
140406
119918
141338
119436
32009
32010
48294
166445
146699
DESCRICAO
BROMIDRATO CITALOPRAM GEN.20MG 2BLX15CPDS - EMS GENERICOS
BROMIDRATO CITALOPRAM GEN.20MG 2BLX15CPDS REV. - GERMED GENERICOS
BROMIDRATO CITALOPRAM GEN.20MG 2X14CPDS - LEGRAND GENERICOS
BROMIDRATO CITALOPRAM GEN.20MG 7CPDS - AUROBINDO
BROMIDRATO FENOTEROL GEN.20ML - HIPOLABOR
BROMIDRATO FENOTEROL GEN.5,0MG/ML 200X20ML - HIPOLABOR
BROMIDRATO FENOTEROL GEN.5MG/ML SOL.ORAL 100X20ML+CGT - TEUTO BRAS
BROMIDRATO FENOTEROL GEN.5MG/ML SOL.ORAL 20ML - EMS GENERICOS
BROMIDRATO FENOTEROL GEN.5MG/ML SOL.ORAL 20ML+CGT - TEUTO BRAS
BROMIDRATO FENOTEROL GEN.5MG/ML SOL.ORAL GTS.20ML - PRATI-DONADUZZI
BROMIFEN 5MG/ML GTS.20ML - NEOQUIMICA
BROMIL LIM.10PAST. - EMS CONSUMO
BROMIL MENT.10PAST. - EMS CONSUMO
BROMOPAN 10MG 20CAPS - UCI-FARMA
BROMOPAN 4MG/ML SOL.ORAL 20ML - UCI-FARMA
BROMOPAN SOL.120ML - UCI-FARMA
BROMOPIRIN 1,05+25MG 20CAPS GEL.DURA - SIGMA PHARMA
BROMOPRIDA 4MG/ML GTS 96FR 20ML - MARIOL
BROMOPRIDA GEN.10MG 120CPDS - PRATI-DONADUZZI
BROMOPRIDA GEN.10MG 20CPDS - PRATI-DONADUZZI
BROMOPRIDA GEN.10MG 2BLX10 CAPS - LEGRAND GENERICOS
BROMOPRIDA GEN.10MG 2BLX10CAPS GEL. - EMS GENERICOS
BROMOPRIDA GEN.10MG 2BLX10CAPS.GEL.DURA - GERMED GENERICOS
BROMOPRIDA GEN.10MG 2X10CAPS - MEDLEY
BROMOPRIDA GEN.1MG 120ML - MEDLEY
BROMOPRIDA GEN.1MG/ML SOL.120ML - BIOSINTETICA
BROMOPRIDA GEN.4MG GTS.20ML - MEDLEY
BROMOPRIDA GEN.4MG SOL.20ML - EMS GENERICOS
BROMOPRIDA GEN.4MG/4ML GTS.20ML - UNIAO QUIMICA
BROMOPRIDA GEN.4MG/ML CGT. 20ML - NEOQUIMICA
BROMOPRIDA GEN.4MG/ML GTS 48FR 20ML - MARIOL
BROMOPRIDA GEN.4MG/ML GTS.20ML - MARIOL
BROMOPRIDA GEN.4MG/ML GTS.20ML - EUROFARMA
BROMOPRIDA GEN.4MG/ML SOL.20ML - BIOSINTETICA
BROMOPRIDA GEN.4MG/ML SOL.20ML - NOVA QUIMICA
BROMOPRIDA GEN.4MG/ML SOL.ORAL 20ML - TEUTO BRAS
BROMOPRIDA GEN.4MG/ML SOL.ORAL 20ML - GERMED GENERICOS
BROMOPRIDA GEN.4MG/ML SOL.ORAL 20ML - LEGRAND GENERICOS
BROMOPRIDA GEN.4MG/ML SOL.ORAL 20ML - MERCK S.A.
BROMOPRIDA GEN.4MG/ML SOL.ORAL GTS.20ML - PRATI-DONADUZZI
BROMOPRIDA GEN.5MG/ML 50AMP 2ML - HIPOLABOR
BROMOPRIDA GEN.5MG/ML 50AMP 2ML - NOVAFARMA
BROMOPRIDA GEN.5MG/ML SOL.INJ.50AMP 2ML - UNIAO QUIMICA
BROMOXON 3MG 2X10CPDS - SANVAL
BROMOXON 6MG 2X10CPDS - SANVAL
BROMUC 10PCC 100AMP 3ML - ARISTON
BRONCHO-VAXOM 3,5MG 10SACH - NYCOMED
BRONCHO-VAXOM 3,5MG 30SACHE - NYCOMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
1300137
146700
1300138
7500005
21623
21622
99559
99558
79520
166100
144931
80009
144932
80052
122642
122643
169665
144975
79523
79522
6960020
6420010
164425
31992
31993
165738
127903
127904
1260180
1260182
1260181
71384
144131
89486
144132
107524
144893
168802
168803
163902
163904
84345
166411
166412
94062
94063
6680003
139804
DESCRICAO
BRONCHO-VAXOM 3,5MG INF.10CAPS - NYCOMED
BRONCHO-VAXOM 7,0MG 30CAPS - NYCOMED
BRONCHO-VAXOM 7,0MG ADU.10CAPS - NYCOMED
BRONCOFENIL 13,34MG/ML XPE.100ML - AVERT
BRONCOFLUX 3MG/ML XPE.PED.120ML - FARMASA
BRONCOFLUX 6MG/ML XPE.ADU.120ML - FARMASA
BRONCOLEX 25MG/5ML XPE.INF.120ML - LEGRAND TARJARDOS
BRONCOLEX 50MG/5ML XPE.ADU.120ML - LEGRAND TARJARDOS
BRONCONAL 0,4MG/ML SOL.120ML - CIFARMA
BRONCONAL 0,4MG/ML XPE 120ML+CP.MED. - CIFARMA
BRONDILAT 10MG/ML XPE.60ML+CP.MED - ACHE
BRONDILAT 10MG/ML XPE.ADU.120ML+CP.MED - ACHE
BRONDILAT 5MG/ML XPE.60ML+CP.MED - ACHE
BRONDILAT 5MG/ML XPE.PED.120ML+CP.MED - ACHE
BRONDYNEO 25MG/5ML XPE.INF.120ML - NEOQUIMICA
BRONDYNEO 50MG/5ML XPE.ADU.120ML - NEOQUIMICA
BRONQUITOS 0,3+13,3MG/ML XPE.120ML+CP.MED. - LEGRAND OTC
BRONXINA 8MG/5ML XPE.AD.120ML - LEGRAND OTC
BRONXOL XPE.ADU.120ML - CIFARMA
BRONXOL XPE.PED.120ML - CIFARMA
BROS 100MG 20CAPS - TRB PHARMA
BUCLINA 20CPDS - SANOFI-AVENTIS
BUCLINA 25MG 10CPDS - SANOFI-AVENTIS
BUDECORT AQUA 32MCG/DOSE SUSP.NASAL 120DOSES - ASTRAZENECA
BUDECORT AQUA 64MCG/DOSE SUSP.NASAL 120DOSES - ASTRAZENECA
BUFEDIL 150MG 20CPDS REV. - BAGO
BUFEDIL 150MG 40CPDS REV. - BAGO
BUFEDIL 300MG 20CPDS REV. - BAGO
BUFFERIN 500MG 30CPDS REV. - NOVARTIS
BUFFERIN 500MG 4CPDS REV. F.V - NOVARTIS
BUFFERIN 500MG 50BLX4CPDS REV. - NOVARTIS
BUFFERIN CARDIO 81MG 30CPDS REV. - NOVARTIS
BUONA 150MG 10CAPS - EUROFARMA
BUONA 150MG 30CAPS - EUROFARMA
BUP 150MG 12CPDS - EUROFARMA
BUP 150MG 30CPDS - EUROFARMA
BUP 150MG 60CPDS - EUROFARMA
BUPICAN 5MG/ML SOL.INJ.1AMP 4ML - MEIZLER
BUPICAN 5MG/ML SOL.INJ.1FA 20ML - MEIZLER
BUPIUM 150MG 3BLX10CPDS REV. - SIGMA PHARMA
BUPIUM 150MG 6BLX10CPDS REV. - SIGMA PHARMA
BUPIVACAINA0,50% 25FRX20ML - HIPOLABOR
BUPOGRAN 150MG 3BLX10CPDS REV.LIB.LENTA - LEGRAND PRESCRICAO
BUPOGRAN 150MG 6BLX10CPDS REV.LIB.LENTA - LEGRAND PRESCRICAO
BUPSTESIC 0,50% SOL.INJ.6FA 20ML - UNIAO QUIMICA
BUPSTESIC C/VASO 5+0,0091MG/ML SOL.INJ.6FA 20ML - UNIAO QUIMICA
BURINAX 1MG 20CPDS - ABBOTT SAUDE
BUSCODUO 10+500MG 120CPDS REV. - BOEHRINGER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
1060093
153091
129929
153090
137470
1060021
1060004
104862
1060025
1060023
1060026
15746
15747
165740
144952
106411
144953
43402
43401
1020106
144949
123657
144954
144955
43404
43403
1020107
144950
72575
144951
123658
1260015
1260016
103260
150932
1060027
140399
91270
114493
145510
47223
84062
140400
64031
127967
127969
2380014
93804
DESCRICAO
BUSCODUO 10+500MG 20CPDS REV. - BOEHRINGER
BUSCODUO 10MG+500MG 4CPDS REV. F.V - BOEHRINGER
BUSCOFEM 400MG 10CAPS GEL.MOLE - BOEHRINGER
BUSCOFEM 400MG 2CAPS GEL.MOLE F.V - BOEHRINGER
BUSCOFEM 400MG 50CAPS GEL.MOLE - BOEHRINGER
BUSCOPAN 10MG 20DRGS - BOEHRINGER
BUSCOPAN 10MG/ML SOL.ORAL 20ML - BOEHRINGER
BUSCOPAN 20MG/ML SOL.INJ.5AMP 1ML - BOEHRINGER
BUSCOPAN COMPOSTO 20CPDS REV. - BOEHRINGER
BUSCOPAN COMPOSTO SOL.INJ.3AMP 5ML - BOEHRINGER
BUSCOPAN COMPOSTO SOL.ORAL 20ML - BOEHRINGER
BUSCOVERAN COMPOSTO 20DRGS - BUNKER
BUSCOVERAN COMPOSTO GTS.20ML - BUNKER
BUSILVEX 6MG/ML 8FA 10ML - DARROW
BUSONID 100MCG SUS.AQUOSA NASAL 3ML 60DOSES - BIOSINTETICA
BUSONID 100MCG SUS.AQUOSA NASAL 6ML 120DOSES - BIOSINTETICA
BUSONID 200MCG 15CAPS GEL - BIOSINTETICA
BUSONID 200MCG 60CAPS GEL REF. - BIOSINTETICA
BUSONID 200MCG 60CAPS GEL+INAL. - BIOSINTETICA
BUSONID 200MCG AEROSSOL ORAL 5ML 100DOSES - BIOSINTETICA
BUSONID 32MCG SUS.AQUOSA NASAL 3ML 60DOSES - BIOSINTETICA
BUSONID 32MCG SUS.AQUOSA NASAL 6ML 120DOSES - BIOSINTETICA
BUSONID 400MCG 15CAPS GEL - BIOSINTETICA
BUSONID 400MCG 15CAPS+INAL - BIOSINTETICA
BUSONID 400MCG 60CAPS GEL REF. - BIOSINTETICA
BUSONID 400MCG 60CAPS GEL+INAL. - BIOSINTETICA
BUSONID 50MCG AEROSSOL ORAL 5ML 100DOSES - BIOSINTETICA
BUSONID 50MCG SUS.AQUOSA NASAL 3ML 60DOSES - BIOSINTETICA
BUSONID 50MCG SUS.AQUOSA NASAL 6ML 120DOSES - BIOSINTETICA
BUSONID 64MCG SUS.AQUOSA NASAL 3ML 60DOSES - BIOSINTETICA
BUSONID 64MCG SUS.AQUOSA NASAL 6ML 120DOSES - BIOSINTETICA
BUSPAR 10MG 20CPDS - BRISTOL
BUSPAR 5MG 20CPDS - BRISTOL
BUTACID 200MG 200DRGS - VITAPAN
BUTACID 200MG 20DRGS - VITAPAN
BUTAZONA CALCICA 200MG 10BLX10CPDS REV. - BOEHRINGER
BUTILBROMETO ESCOPOLAMINA GEN.10MG/ML SOL.20ML - PRATI-DONADUZZI
BUTILBROMETO ESCOPOLAMINA GEN.10MG/ML SOL.ORAL 20ML - EMS GENERICOS
BUTILBROMETO ESCOPOLAMINA GEN.20MG/ML SOL.INJ.50AMP 1ML - UNIAO QUIMICA
BUTILBROMETO ESCOPOLAMINA+DIPIRONA GEN.GTS.20ML - HIPOLABOR
BUTILBROMETO ESCOPOLAMINA+DIPIRONA SODICA GEN.6,67+333,4MG/ML SOL.ORAL 20ML - EMS GENERICOS
BUTILBROMETO ESCOPOLAMINA+DIPIRONA SODICA GEN.6,67MG/ML GTS.20ML - MEDLEY
BUTILBROMETO ESCOPOLAMINA+DIPIRONA SODICA GEN.6,67MG/ML+333,4MG/ML SOL.ORAL 1FR 20ML - PRATI-DONADUZZI
BUTOVENT PULVINAL 200MCG 100DOSES - CHIESI
BYETTA 250MCG/ML 1,2ML - ELI LILLY
BYETTA 250MCG/ML 2,4ML - ELI LILLY
C CALCIO 1G+0,625G+400UI+0,002G 10CPDS EFERV. - EMS
CADUET 10+10MG 30CPDS - PFIZER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
93805
93806
93802
93803
87064
95124
35284
119510
122118
119511
80011
103880
72602
62497
5340105
170639
170640
63091
138436
138437
26776
166101
79525
79526
80713
20184
101189
137119
92934
103946
139815
139816
6380010
3440056
3440050
147872
88284
166039
166040
6260057
495009
495008
6500096
6500007
95896
144112
55519
55520
DESCRICAO
CADUET 10+20MG 30CPDS - PFIZER
CADUET 5+10MG 10CPDS - PFIZER
CADUET 5+10MG 30CPDS - PFIZER
CADUET 5+20MG 30CPDS - PFIZER
CAELYX 20MG 1FA 10ML - JANSSEN-CILAG
CAFIASPIRINA 1X4CPDS F.V - BAYER
CAFIASPIRINA 25X4CPDS - BAYER
CAFILISADOR 500+65MG 16CPDS - FARMASA
CAFILISADOR 500+65MG 1X4CPDS F.V - FARMASA
CAFILISADOR 500+65MG 25X4CPDS - FARMASA
CALADRYL 10+80+1MG/G CRM.DERM.28G - J&J CONSUM
CALAMED 28GRS POS-PICADA - CIMED
CALAMED AER.120ML - CIMED
CALAMED C/ALOE VERA 100ML - CIMED
CALAMYN LOC.CRM.120ML - NEOQUIMICA
CALCEOS D 300MG+200UI 60CPDS REV. - ATIVUS
CALCEOS KIDS SOL.ORAL 1FR.200ML - ATIVUS
CALCICHELL 125MG 60CPDS - ATIVUS
CALCICHELL 250MG 15ENV. - ATIVUS
CALCICHELL 500MG 15ENV. - ATIVUS
CALCICHELL 7G LAR.30ENV - ATIVUS
CALCIFIX B12 0,10+0,0012+45MG/ML SUSP.ORAL 150ML - CIFARMA
CALCIFIX B12 300ML - CIFARMA
CALCIFIX IRRAD.300ML - CIFARMA
CALCIGENOL 10+0,100MG/ML TRANSL.300ML - SANOFI-AVENTIS
CALCIJEX 1MCG/ML SOL.INJ.3AMP 1ML - ABBOTT
CALCIO 500MG 30CPDS MAST. - AVERT
CALCIO D3 400MG 60CAPS GEL - BUNKER
CALCIUM D3 600MG+200UI 30CPDS REV. - NOVARTIS
CALCIUM D3 600MG+200UI 60CPDS REV. - NOVARTIS
CALCIUM SANDOZ F 500MG 10CPDS EFV. - NOVARTIS
CALCIUM SANDOZ FF 1000MG 10CPDS EFV. - NOVARTIS
CALCIUM SANDOZ+VITAMINA C 327+1000+1000MG LAR.1G 10CPDS EFV. - NOVARTIS
CALCORT 30MG 10CPDS - SANOFI-AVENTIS
CALCORT 6MG 20CPDS - SANOFI-AVENTIS
CALDE 1500MG+400UI 20CPDS - MARJAN
CALDE 1500MG+400UI 60CPDS - MARJAN
CALDROX D 600MG+400UI 20CPDS MAST. - DROXTER
CALDROX D 600MG+400UI 60CPDS MAST. - DROXTER
CALICIDA 20ML 0084 - RIOQUIMICA
CALMAN 100ML - ATIVUS
CALMAN 20DRGS - ATIVUS
CALMINEX ATLETA 20GRS - MANTECORP
CALMINEX H POM.20GRS - MANTECORP
CALMINEX ICE AEROSOL 170GRS - MANTECORP
CALMINEX ICE AEROSSOL 60GRS - MANTECORP
CALMIPLAN 10CPDS REV. - BUNKER
CALMIPLAN 20CPDS REV. - BUNKER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
4945023
148983
131247
131248
40394
6380016
151617
151624
165918
96771
47473
31996
31998
7040010
7040011
3615001
111199
7060100
58787
41686
41687
5260098
5260099
162936
162938
145806
30007
30006
30056
137915
111254
111255
6920096
26034
30063
30005
20828
760019
97075
83133
156471
88707
88708
1260017
1260018
159238
1260019
1260020
DESCRICAO
CALMOCITENO 5MG 20CPDS - MEDLEY
CALNATE 900MG PO ORAL 60ENV.30GRS - EUROFARMA
CALOGEN MOR.200ML - SUPPORT NUTRITION
CALOGEN NEUTRO 200ML - SUPPORT NUTRITION
CALOTRAT 0,2+0,15G/ML SOL.TOP.5ML - KLEY HERTZ
CALSAN 500MG 30CPDS MAST. - NOVARTIS
CALTRATE 600+D 400UI 30CPDS - WYETH CONSUMER
CALTRATE 600+D 400UI 60CPDS - WYETH CONSUMER
CALTRATE 600+D 400UI KIT C/180+30CPDS - WYETH CONSUMER
CALTRATE 600+M 30CPDS - WYETH CONSUMER
CALTRATE 600+M 60CPDS - WYETH CONSUMER
CALTREN 10MG 30CPDS - LIBBS
CALTREN 20MG 30CPDS - LIBBS
CAMBEM 2CPDS - UCI-FARMA
CAMBEM SUSP.20ML - UCI-FARMA
CAMOMILINA C 20CAPS - THERASKIN
CAMPATH 30MG 3AMP - BAYER
CAMPTOSAR 100MG 1FA 5ML - PFIZER
CAMPTOSAR 40MG 1FA 2ML - PFIZER
CANCIDAS 50MG 1FA - MERCK S.D.
CANCIDAS 70MG 1FA - MERCK S.D.
CANDERM 250MG 2X10CPDS - LEGRAND TARJARDOS
CANDERM 400MG 2X10CPDS - LEGRAND TARJARDOS
CANDESARTANA CILEXETILA GEN.16MG 30CPDS - SANDOZ
CANDESARTANA CILEXETILA GEN.8MG 30CPDS - SANDOZ
CANDICORT 20M+0,64MG/G CRM.DERM.10G - ACHE
CANDICORT 20M+0,64MG/G POM.DERM.30G - ACHE
CANDICORT 20MG/G+0,64MG/G CRM.30G - ACHE
CANDIDERM 2% CRM.DERM.30G - ACHE
CANDIGRAN CRM.30GRS - LEGRAND TARJARDOS
CANDITRAT 100000UI/ML SUSP.ORAL 50ML - TEUTO BRAS
CANDITRAT 100000UI/ML SUSP.ORAL 50X50ML - TEUTO BRAS
CANDITRAT 25000UI/G CRM.VAG.60GRS - TEUTO BRAS
CANDIZOL 150MG 1CAP GEL. - ACHE
CANDIZOL 150MG 2CAPS GEL. - ACHE
CANDORAL 200MG 10CPDS - ACHE
CANESTEN 1% CRM.DERM.20GRS - BAYER
CANESTEN 1% SOL.30ML - BAYER
CANESTEN 1% SOL.PLAST.30ML - BAYER
CAPILAREMA 75MG 30CPDS - BALDACCI
CAPILAREMA 75MG 60CPDS - BALDACCI
CAPOBAL 25MG 30CPDS - BALDACCI
CAPOBAL 50MG 30CPDS - BALDACCI
CAPOTEN 25MG 16CPDS - BRISTOL
CAPOTEN 25MG 28CPDS - BRISTOL
CAPOTEN 25MG 2BLX15CPDS - BRISTOL
CAPOTEN 50MG 16CPDS - BRISTOL
CAPOTEN 50MG 28CPDS - BRISTOL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
159239
77895
77896
5340156
89527
26387
15755
145408
15756
145409
103895
16247
145410
6310081
6310082
37340
77869
89531
31839
139414
48117
31838
77938
100119
92404
99499
145122
38992
72150
166955
169838
63543
110429
77939
77870
63646
89532
31842
139415
136582
136804
81922
31841
140409
99502
100121
92405
153598
DESCRICAO
CAPOTEN 50MG 2BLX15CPDS - BRISTOL
CAPOTRAT 25MG 30CPDS - UNIAO QUIMICA
CAPOTRAT 50MG 30CPDS - UNIAO QUIMICA
CAPOTRINEO 12,5MG 30CPDS - NEOQUIMICA
CAPOTRINEO 25MG 30CPDS - NEOQUIMICA
CAPOTRINEO 50MG 30CPDS - NEOQUIMICA
CAPTOMED 12,5MG 20CPDS - CIMED
CAPTOMED 12,5MG 50X20CPDS - CIMED
CAPTOMED 25MG 20CPDS - CIMED
CAPTOMED 25MG 25X20CPDS - CIMED
CAPTOMED 25MG 60CPDS - CIMED
CAPTOMED 50MG 20CPDS - CIMED
CAPTOMED 50MG 50X20CPDS - CIMED
CAPTON 25MG 16CPDS - ROYTON
CAPTON 25MG 28CPDS - ROYTON
CAPTOPRIL GEN.12,5MG 2BLX15CPDS - EMS GENERICOS
CAPTOPRIL GEN.12,5MG 2BLX15CPDS - GERMED GENERICOS
CAPTOPRIL GEN.12,5MG 2X15CPDS - LEGRAND GENERICOS
CAPTOPRIL GEN.12,5MG 2X30CPDS - MEDLEY
CAPTOPRIL GEN.12,5MG 30CPDS - MARIOL
CAPTOPRIL GEN.12,5MG 30CPDS - SANDOZ
CAPTOPRIL GEN.12,5MG 30CPDS - MEDLEY
CAPTOPRIL GEN.12,5MG 30CPDS - EUROFARMA
CAPTOPRIL GEN.12,5MG 30CPDS - NEOQUIMICA
CAPTOPRIL GEN.12,5MG 30CPDS - TEUTO BRAS
CAPTOPRIL GEN.12,5MG 30CPDS - ARROW
CAPTOPRIL GEN.12,5MG 30CPDS - AUROBINDO
CAPTOPRIL GEN.12,5MG 3X10CPDS - BIOSINTETICA
CAPTOPRIL GEN.12,5MG 3X10CPDS - CRISTALIA
CAPTOPRIL GEN.12,5MG 600CPDS - MARIOL
CAPTOPRIL GEN.12,5MG 60CPDS - TEUTO BRAS
CAPTOPRIL GEN.12,5MG 90CPDS - MEDLEY
CAPTOPRIL GEN.12,5MG 9BLX10CPDS - EMS GENERICOS
CAPTOPRIL GEN.25,0MG 30CPDS - EUROFARMA
CAPTOPRIL GEN.25MG 2BLX15CPDS - GERMED GENERICOS
CAPTOPRIL GEN.25MG 2BLX15CPDS - EMS GENERICOS
CAPTOPRIL GEN.25MG 2X15CPDS - LEGRAND GENERICOS
CAPTOPRIL GEN.25MG 2X30CPDS - MEDLEY
CAPTOPRIL GEN.25MG 30CPDS - MARIOL
CAPTOPRIL GEN.25MG 30CPDS - UNIAO QUIMICA
CAPTOPRIL GEN.25MG 30CPDS - VITAPAN
CAPTOPRIL GEN.25MG 30CPDS - SANDOZ
CAPTOPRIL GEN.25MG 30CPDS - MEDLEY
CAPTOPRIL GEN.25MG 30CPDS - PRATI-DONADUZZI
CAPTOPRIL GEN.25MG 30CPDS - ARROW
CAPTOPRIL GEN.25MG 30CPDS - NEOQUIMICA
CAPTOPRIL GEN.25MG 30CPDS - TEUTO BRAS
CAPTOPRIL GEN.25MG 30CPDS - CIMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
145123
38993
72151
103159
137941
166957
81923
169839
153599
63544
110430
97119
63647
89533
31845
139416
136583
81924
31844
77940
140413
99503
100122
92406
145124
38994
72152
103160
166960
81925
169840
110431
84880
111174
35586
35587
115423
84303
139908
36934
139909
97108
128138
145015
13960
97067
106626
114355
DESCRICAO
CAPTOPRIL GEN.25MG 30CPDS - AUROBINDO
CAPTOPRIL GEN.25MG 3X10CPDS - BIOSINTETICA
CAPTOPRIL GEN.25MG 3X10CPDS - CRISTALIA
CAPTOPRIL GEN.25MG 4BLX15CPDS - EMS GENERICOS
CAPTOPRIL GEN.25MG 510CPDS - VITAPAN
CAPTOPRIL GEN.25MG 600CPDS - MARIOL
CAPTOPRIL GEN.25MG 60CPDS - SANDOZ
CAPTOPRIL GEN.25MG 60CPDS - TEUTO BRAS
CAPTOPRIL GEN.25MG 60CPDS - CIMED
CAPTOPRIL GEN.25MG 90CPDS - MEDLEY
CAPTOPRIL GEN.25MG 9BLX10CPDS - EMS GENERICOS
CAPTOPRIL GEN.50MG 2BLX15CPDS - GERMED GENERICOS
CAPTOPRIL GEN.50MG 2BLX15CPDS - EMS GENERICOS
CAPTOPRIL GEN.50MG 2X15CPDS - LEGRAND GENERICOS
CAPTOPRIL GEN.50MG 2X30CPDS - MEDLEY
CAPTOPRIL GEN.50MG 30CPDS - MARIOL
CAPTOPRIL GEN.50MG 30CPDS - UNIAO QUIMICA
CAPTOPRIL GEN.50MG 30CPDS - SANDOZ
CAPTOPRIL GEN.50MG 30CPDS - MEDLEY
CAPTOPRIL GEN.50MG 30CPDS - EUROFARMA
CAPTOPRIL GEN.50MG 30CPDS - PRATI-DONADUZZI
CAPTOPRIL GEN.50MG 30CPDS - ARROW
CAPTOPRIL GEN.50MG 30CPDS - NEOQUIMICA
CAPTOPRIL GEN.50MG 30CPDS - TEUTO BRAS
CAPTOPRIL GEN.50MG 30CPDS - AUROBINDO
CAPTOPRIL GEN.50MG 3X10CPDS - BIOSINTETICA
CAPTOPRIL GEN.50MG 3X10CPDS - CRISTALIA
CAPTOPRIL GEN.50MG 4BLX15CPDS - EMS GENERICOS
CAPTOPRIL GEN.50MG 600CPDS - MARIOL
CAPTOPRIL GEN.50MG 60CPDS - SANDOZ
CAPTOPRIL GEN.50MG 60CPDS - TEUTO BRAS
CAPTOPRIL GEN.50MG 9BLX10CPDS - EMS GENERICOS
CAPTOPRIL+HIDROCLOROTIAZIDA GEN.50+25MG 2BLX15CPDS - EMS GENERICOS
CAPTOPRIL+HIDROCLOROTIAZIDA GEN.50+25MG 9BLX10CPDS - EMS GENERICOS
CAPTOTEC 12,5MG 30CPDS - HEXAL
CAPTOTEC 25MG 28CPDS - HEXAL
CAPTOTEC 25MG 30CPDS - HEXAL
CAPTOTEC 25MG 56CPDS - HEXAL
CAPTOTEC 25MG 60CPDS - HEXAL
CAPTOTEC 50MG 28CPDS - HEXAL
CAPTOTEC 50MG 30CPDS - HEXAL
CAPYLA 1MG 2X15CPDS - SIGMA PHARMA
CARBAMAZEPINA GEN.200MG 200CPDS - MEDLEY
CARBAMAZEPINA GEN.200MG 200CPDS - UNIAO QUIMICA
CARBAMAZEPINA GEN.200MG 20CPDS - TEUTO BRAS
CARBAMAZEPINA GEN.200MG 20CPDS - NEOQUIMICA
CARBAMAZEPINA GEN.200MG 20CPDS - UNIAO QUIMICA
CARBAMAZEPINA GEN.200MG 20CPDS - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
133640
64635
77871
40575
97068
106627
119887
37560
136566
124000
133647
119888
127908
13961
114357
64637
77873
119889
138635
124001
108031
36414
38160
78945
163516
121917
30192
30193
89684
43959
103913
77048
139597
140415
111873
60397
37349
111819
91002
139596
89685
43961
43957
103914
147412
94169
77049
140417
DESCRICAO
CARBAMAZEPINA GEN.200MG 20CPDS - SANVAL
CARBAMAZEPINA GEN.200MG 20CPDS - EMS GENERICOS
CARBAMAZEPINA GEN.200MG 2BLX10CPDS - GERMED GENERICOS
CARBAMAZEPINA GEN.200MG 2X10CPDS - EUROFARMA
CARBAMAZEPINA GEN.200MG 30CPDS - NEOQUIMICA
CARBAMAZEPINA GEN.200MG 30CPDS - UNIAO QUIMICA
CARBAMAZEPINA GEN.200MG 30CPDS - MEDLEY
CARBAMAZEPINA GEN.200MG 30CPDS - BIOSINTETICA
CARBAMAZEPINA GEN.200MG 500CPDS - TEUTO BRAS
CARBAMAZEPINA GEN.200MG 50CPDS - TEUTO BRAS
CARBAMAZEPINA GEN.200MG 50X10CPDS - SANVAL
CARBAMAZEPINA GEN.200MG 60CPDS - MEDLEY
CARBAMAZEPINA GEN.20MG/ML SUSP.ORAL 100ML+CP.MED. - UNIAO QUIMICA
CARBAMAZEPINA GEN.400MG 20CPDS - TEUTO BRAS
CARBAMAZEPINA GEN.400MG 20CPDS - MEDLEY
CARBAMAZEPINA GEN.400MG 20CPDS - EMS GENERICOS
CARBAMAZEPINA GEN.400MG 2BLX10CPDS - GERMED GENERICOS
CARBAMAZEPINA GEN.400MG 30CPDS - MEDLEY
CARBAMAZEPINA GEN.400MG 500CPDS - TEUTO BRAS
CARBAMAZEPINA GEN.400MG 50CPDS - TEUTO BRAS
CARBAMAZEPINA GEN.SUSP.100ML - MEDLEY
CARBIDOL 25+250MG 30CPDS - TEUTO BRAS
CARBIDOPA+LEVODOPA GEN.25+250MG 30CPDS - BIOSINTETICA
CARBITAL 100MG 20CPDS - TEUTO BRAS
CARBITAL 200MG/ML SOL.INJ.60AMP 1ML - TEUTO BRAS
CARBOCH 400GRS - PRODIET NC
CARBOCIN XPE.ADU.100ML - CIMED
CARBOCIN XPE.PED.100ML - CIMED
CARBOCISTEINA GEN.100MG/ML XPE.100ML - BIOSINTETICA
CARBOCISTEINA GEN.20MG XPE.100ML - MEDLEY
CARBOCISTEINA GEN.20MG/ML PED.100ML - CIMED
CARBOCISTEINA GEN.20MG/ML XPE.100ML - TEUTO BRAS
CARBOCISTEINA GEN.20MG/ML XPE.100ML - CIFARMA
CARBOCISTEINA GEN.20MG/ML XPE.100ML+CP.MED. - PRATI-DONADUZZI
CARBOCISTEINA GEN.20MG/ML XPE.100ML+CP.MED. - UNIAO QUIMICA
CARBOCISTEINA GEN.20MG/ML XPE.100ML+CP.MED. - MERCK S.A.
CARBOCISTEINA GEN.20MG/ML XPE.INF.100ML - EMS GENERICOS
CARBOCISTEINA GEN.20MG/ML XPE.INF.100ML - NOVA QUIMICA
CARBOCISTEINA GEN.20MG/ML XPE.PED.100ML - NEOQUIMICA
CARBOCISTEINA GEN.250MG/5ML XPE.ADU.100ML - CIFARMA
CARBOCISTEINA GEN.250MG/ML XPE.100ML - BIOSINTETICA
CARBOCISTEINA GEN.50MG SOL.20ML - MEDLEY
CARBOCISTEINA GEN.50MG XPE.100ML - MEDLEY
CARBOCISTEINA GEN.50MG/ML ADU.100ML - CIMED
CARBOCISTEINA GEN.50MG/ML GTS.20ML - MARIOL
CARBOCISTEINA GEN.50MG/ML SOL.ORAL 20ML - EMS GENERICOS
CARBOCISTEINA GEN.50MG/ML XPE.100ML - TEUTO BRAS
CARBOCISTEINA GEN.50MG/ML XPE.100ML+CP.MED. - PRATI-DONADUZZI
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
111872
60398
103195
37346
111820
91001
37900
37901
99919
151780
1920005
144133
3860002
3860032
3555076
169721
103135
103137
103133
145500
138649
138650
138651
140194
140195
111258
6920125
82800
82801
15033
145796
151932
15034
31857
151933
15031
145794
151929
151930
15032
145795
105730
6310063
6310064
138450
138451
30244
1060030
DESCRICAO
CARBOCISTEINA GEN.50MG/ML XPE.100ML+CP.MED. - UNIAO QUIMICA
CARBOCISTEINA GEN.50MG/ML XPE.100ML+CP.MED. - MERCK S.A.
CARBOCISTEINA GEN.50MG/ML XPE.ADU.100ML - GERMED GENERICOS
CARBOCISTEINA GEN.50MG/ML XPE.ADU.100ML - EMS GENERICOS
CARBOCISTEINA GEN.50MG/ML XPE.ADU.100ML - NOVA QUIMICA
CARBOCISTEINA GEN.50MG/ML XPE.ADU.100ML - NEOQUIMICA
CARBOFAN XPE.100ML - BUNKER
CARBOFAN XPE.PED.100ML - BUNKER
CARBOLIM 300MG 200CPDS - ARROW
CARBOLIM 300MG 500CPDS - ARROW
CARBOLIM 300MG 50CPDS - ARROW
CARBOLITIUM 300MG 25CPDS - EUROFARMA
CARBOLITIUM 300MG 50CPDS - EUROFARMA
CARBOLITIUM CR 450MG 3X10CPDS - EUROFARMA
CARBONATO CALCIO 50GRS - ICAR
CARBONATO CALCIO PT 50G - VIC PHARMA
CARBONATO LITIO GEN.300MG 200CPDS - ARROW
CARBONATO LITIO GEN.300MG 500CPDS - ARROW
CARBONATO LITIO GEN.300MG 50CPDS - ARROW
CARBONATO LITIO GEN.50CPDS - HIPOLABOR
CARBOPLATINA GEN.10MG/ML 1FA 5ML - ACCORD
CARBOPLATINA GEN.10MG/ML SOL.INJ.1FA 15ML - ACCORD
CARBOPLATINA GEN.10MG/ML SOL.INJ.1FA 45ML - ACCORD
CARBOPLATINA GEN.150MG 1FA 20ML - GLENMARK
CARBOPLATINA GEN.450MG 1FA 100ML - GLENMARK
CARDCOR 0,25MG 100CPDS - TEUTO BRAS
CARDCOR 0,25MG 20CPDS - TEUTO BRAS
CARDICORON 100MG 20CPDS - TEUTO BRAS
CARDICORON 200MG 20CPDS - TEUTO BRAS
CARDILOL 12,5MG 15CPDS - LIBBS
CARDILOL 12,5MG 30CPDS - LIBBS
CARDILOL 12,5MG 60CPDS - LIBBS
CARDILOL 25MG 15CPDS - LIBBS
CARDILOL 25MG 30CPDS - LIBBS
CARDILOL 25MG 60CPDS - LIBBS
CARDILOL 3,125MG 15CPDS - LIBBS
CARDILOL 3,125MG 30CPDS - LIBBS
CARDILOL 3,125MG 60CPDS - LIBBS
CARDILOL 6,250MG 60CPDS - LIBBS
CARDILOL 6,25MG 15CPDS - LIBBS
CARDILOL 6,25MG 30CPDS - LIBBS
CARDIO AAS 165MG 2X15CPDS - SIGMA PHARMA
CARDIODOPA 250MG 30CPDS - ROYTON
CARDIODOPA 500MG 30CPDS - ROYTON
CARDIOLITE 1MG PO LIOF 2FR - REM
CARDIOLITE 1MG PO LIOF 5FR - REM
CARDIOXANE 500MG PO LIOF.1FA - ZODIAC
CARDIZEM 30MG 50CPDS - BOEHRINGER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
1060028
116172
116173
1060088
1060087
160546
116269
21728
21729
30024
148225
5740008
87374
87375
87372
87373
142251
90231
139347
142252
143010
142253
90232
142254
90233
139348
142258
155166
90234
139345
155167
143009
155168
142248
90235
139346
142250
143005
6840049
7360001
99687
2500019
960133
61081
960024
84190
960023
960016
DESCRICAO
CARDIZEM 60MG 50CPDS - BOEHRINGER
CARDIZEM CD 180MG 16CAPS GEL.DURA LIB.PROLONG. - BOEHRINGER
CARDIZEM CD 240MG 16CAPS GEL.DURA LIB.PROLONG. - BOEHRINGER
CARDIZEM SR 120MG 20CAPS GEL.DURA LIB.PROLONG. - BOEHRINGER
CARDIZEM SR 90MG 20CAPS GEL.DURA LIB.PROLONG. - BOEHRINGER
CARDURAN XL 4MG 10CPDS - PFIZER
CARDURAN XL 4MG 30CPDS - PFIZER
CARMAZIN 200MG 20CPDS - TEUTO BRAS
CARMAZIN 400MG 20CPDS - TEUTO BRAS
CARNABOL 20CPDS - ACHE
CARNABOL KIDS SUSP.ORAL 120ML+CP.MED.10ML - ACHE
CARTRAX CRM.35GRS - PFIZER
CARVEDILAT 12,5MG 3X10CPDS - SIGMA PHARMA
CARVEDILAT 25MG 3X10CPDS - SIGMA PHARMA
CARVEDILAT 3,125MG 3X10CPDS - SIGMA PHARMA
CARVEDILAT 6,25MG 3X10CPDS - SIGMA PHARMA
CARVEDILOL GEN.12,5MG 15CPDS - MEDLEY
CARVEDILOL GEN.12,5MG 15CPDS - BIOSINTETICA
CARVEDILOL GEN.12,5MG 15CPDS - NEOQUIMICA
CARVEDILOL GEN.12,5MG 30CPDS - MEDLEY
CARVEDILOL GEN.12,5MG 30CPDS - BIOSINTETICA
CARVEDILOL GEN.25MG 15CPDS - MEDLEY
CARVEDILOL GEN.25MG 15CPDS - BIOSINTETICA
CARVEDILOL GEN.25MG 30CPDS - MEDLEY
CARVEDILOL GEN.25MG 30CPDS - BIOSINTETICA
CARVEDILOL GEN.25MG 30CPDS - NEOQUIMICA
CARVEDILOL GEN.25MG 60CPDS - MEDLEY
CARVEDILOL GEN.3,125MG 15CPDS - MEDLEY
CARVEDILOL GEN.3,125MG 15CPDS - BIOSINTETICA
CARVEDILOL GEN.3,125MG 15CPDS - NEOQUIMICA
CARVEDILOL GEN.3,125MG 30CPDS - MEDLEY
CARVEDILOL GEN.3,125MG 30CPDS - BIOSINTETICA
CARVEDILOL GEN.3,125MG 60CPDS - MEDLEY
CARVEDILOL GEN.6,25MG 15CPDS - MEDLEY
CARVEDILOL GEN.6,25MG 15CPDS - BIOSINTETICA
CARVEDILOL GEN.6,25MG 15CPDS - NEOQUIMICA
CARVEDILOL GEN.6,25MG 30CPDS - MEDLEY
CARVEDILOL GEN.6,25MG 30CPDS - BIOSINTETICA
CASEICAL 250GRS - SUPPORT NUTRITION
CASODEX 50MG 2BLX14CPDS REV. - ASTRAZENECA
CASTANHA INDIA 30CAPS GEL DURA - AVERT
CASTANHA INDIA ATALAIA 100MG 30CPDS - FARMABRAZ
CATAFLAM 1,8MG/ML SUSP.ORAL 120ML - NOVARTIS
CATAFLAM 11,6MG/G AEROSOL 60GRS - NOVARTIS
CATAFLAM 44,94MG/ML GTS.20ML - NOVARTIS
CATAFLAM 50MG 10DRGS - NOVARTIS
CATAFLAM 50MG 20DRGS - NOVARTIS
CATAFLAM 75MG 5SUPS.RETAL - NOVARTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
960086
960080
139817
158299
115730
960025
79696
135389
40052
7060061
7060062
45003
5020009
61325
88569
5020010
5020014
141932
5020011
5020012
5020013
5020015
106609
143989
64631
129612
64630
129611
69879
32000
32002
143990
87253
105729
115420
137912
121022
103262
37439
2060009
2060010
26395
60374
101108
105767
94171
105770
94174
DESCRICAO
CATAFLAM 75MG SOL.INJ.3AMP.3ML - NOVARTIS
CATAFLAM D 50MG 20CPDS DISP. - NOVARTIS
CATAFLAM EMULGEL 11,6MG/G 100GRS - NOVARTIS
CATAFLAM EMULGEL 11,6MG/G 150G - NOVARTIS
CATAFLAM EMULGEL 11,6MG/G 30G - NOVARTIS
CATAFLAM EMULGEL 11,6MG/G 60G - NOVARTIS
CATAFLEXYM GEL TOP.40GRS - CIFARMA
CATAFLEXYM GEL TOP.60GRS - CIFARMA
CAUTEREX UNGUENTO 10G - ACHE
CAVERJECT 10MCG 1FA 1ML - PFIZER
CAVERJECT 20MCG 1FA 1ML - PFIZER
CEBION 1G ACEROLA 10CPDS EFERV. - MERCK S.A.
CEBION 1G LAR.10CPDS EFERV. - MERCK S.A.
CEBION 1G LARANJA 30CPDS EFERV. - MERCK S.A.
CEBION 1G S/ACUCAR 10CPDS EFERV. - MERCK S.A.
CEBION 200MG/5ML SOL.ORAL GTS.30ML - MERCK S.A.
CEBION 2G 10CPDS EFERV. - MERCK S.A.
CEBION 500MG LIB.MODERADA 30CPDS - MERCK S.A.
CEBION CALCIO 500MG+600MG 10CPDS EFERV. - MERCK S.A.
CEBION GLICOSE 100MG+500MG 10ENV 10GRS - MERCK S.A.
CEBION GLICOSE 100MG+500MG 50ENV 10GRS - MERCK S.A.
CEBION GLICOSE 1ENV 10GR F.V - MERCK S.A.
CEBION ZINCO 1000MG+10MG 10CPDS EFERV. - MERCK S.A.
CEBRALAT 100MG 15CPDS - LIBBS
CEBRALAT 100MG 30CPDS - LIBBS
CEBRALAT 100MG 60CPDS - LIBBS
CEBRALAT 50MG 30CPDS - LIBBS
CEBRALAT 50MG 60CPDS - LIBBS
CEBRILIN 10MG 30CPDS - LIBBS
CEBRILIN 20MG 10CPDS - LIBBS
CEBRILIN 20MG 30CPDS - LIBBS
CEBRILIN 30MG 10CPDS - LIBBS
CEBRILIN 30MG 30CPDS - LIBBS
CECLOR 250MG/5ML SUSP.ORAL 100ML - SIGMA PHARMA
CECLOR 375MG/5ML SUSP.ORAL 100ML - SIGMA PHARMA
CECLOR BD 500MG 10CPDS REV. - SIGMA PHARMA
CECLOR BD 750MG 14CPDS REV. - SIGMA PHARMA
CECOFLAN 100MG 12CPDS - VITAPAN
CEDROXIL 500MG 8CPDS - LEGRAND TARJARDOS
CEDUR 200MG 20CPDS - ROCHE
CEDUR RETARD 400MG 30CPDS - ROCHE
CEFABRINA 750MG 100CPDS - NEOQUIMICA
CEFACIMED 500MG 8CAPS GEL - CIMED
CEFACLOR GEN.250MG 10CAPS GEL.DURA - GERMED GENERICOS
CEFACLOR GEN.250MG/5ML SUSP.ORAL 100ML - GERMED GENERICOS
CEFACLOR GEN.250MG/5ML SUSP.ORAL 80ML - EMS GENERICOS
CEFACLOR GEN.375MG/5ML SUSP.ORAL 100ML - GERMED GENERICOS
CEFACLOR GEN.375MG/5ML SUSP.ORAL 80ML - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
84248
95539
94176
63651
88227
88228
79539
45149
45147
45148
108158
44138
68509
84032
37027
123093
145809
89470
44137
84031
44139
84033
158395
108159
5260072
97080
96185
162837
40576
129319
129323
87267
124014
131452
67093
117152
117150
98930
136579
115350
44140
133455
91738
63652
143529
92704
117153
115972
DESCRICAO
CEFACLOR GEN.500MG 10CAPS - MEDLEY
CEFACLOR GEN.500MG 10CAPS - LEGRAND GENERICOS
CEFACLOR GEN.500MG 10CAPS GEL. - EMS GENERICOS
CEFACLOR GEN.500MG 10CAPS GEL.DURA - GERMED GENERICOS
CEFACLOR GEN.50MG/ML 80ML - MEDLEY
CEFACLOR GEN.75MG/ML 80ML - MEDLEY
CEFADRIN 500+65MG 12CPDS - CIFARMA
CEFADROXIL GEN.250MG/5ML SUSP.100ML - EMS GENERICOS
CEFADROXIL GEN.500MG 8CPDS - EMS GENERICOS
CEFADROXIL GEN.500MG/5ML SUSP.100ML - EMS GENERICOS
CEFADROXILA GEN.100MG/ML 100ML+SER.DOSADORA - BIOSINTETICA
CEFADROXILA GEN.250MG/5ML 100ML - SANDOZ
CEFADROXILA GEN.250MG/5ML SUSP.ORAL 100ML - EUROFARMA
CEFADROXILA GEN.250MG/ML 100ML - MEDLEY
CEFADROXILA GEN.500MG 2X4CAPS - EUROFARMA
CEFADROXILA GEN.500MG 8CAPS - AUROBINDO
CEFADROXILA GEN.500MG 8CAPS - TEUTO BRAS
CEFADROXILA GEN.500MG 8CAPS - NOVA QUIMICA
CEFADROXILA GEN.500MG 8CPDS - SANDOZ
CEFADROXILA GEN.500MG 8CPDS - MEDLEY
CEFADROXILA GEN.500MG/5ML 100ML - SANDOZ
CEFADROXILA GEN.500MG/ML 100ML - MEDLEY
CEFADROXILA GEN.50MG/ML 100ML+SER.DOSAD. - AUROBINDO
CEFADROXILA GEN.50MG/ML 100ML+SER.DOSADORA - BIOSINTETICA
CEFAGRAN 500MG 8CPDS - LEGRAND TARJARDOS
CEFALEXINA GEN.1G 8CPDS REV. - LEGRAND GENERICOS
CEFALEXINA GEN.1G 8CPDS REV. - EMS GENERICOS
CEFALEXINA GEN.1G 8DRGS - ABL
CEFALEXINA GEN.250MG/5ML 100ML - EUROFARMA
CEFALEXINA GEN.250MG/5ML PO SUSP.100ML - TEUTO BRAS
CEFALEXINA GEN.250MG/5ML PO SUSP.50X60ML - TEUTO BRAS
CEFALEXINA GEN.250MG/5ML SUSP.100ML - MEDLEY
CEFALEXINA GEN.250MG/5ML SUSP.100ML+COL.DOSAD. - ABL
CEFALEXINA GEN.250MG/5ML SUSP.60ML+COL.DOSAD. - ABL
CEFALEXINA GEN.250MG/ML SUSP.100ML - EMS GENERICOS
CEFALEXINA GEN.500MG 100CAPS - AUROBINDO
CEFALEXINA GEN.500MG 10CAPS - AUROBINDO
CEFALEXINA GEN.500MG 10CAPS - MEDLEY
CEFALEXINA GEN.500MG 10CAPS GEL. - UNIAO QUIMICA
CEFALEXINA GEN.500MG 10CPDS - EUROFARMA
CEFALEXINA GEN.500MG 10CPDS - SANDOZ
CEFALEXINA GEN.500MG 10CPDS - TEUTO BRAS
CEFALEXINA GEN.500MG 10CPDS - AUROBINDO
CEFALEXINA GEN.500MG 10CPDS - EMS GENERICOS
CEFALEXINA GEN.500MG 10CPDS - RANBAXY
CEFALEXINA GEN.500MG 10CPDS - NOVA QUIMICA
CEFALEXINA GEN.500MG 200CAPS - AUROBINDO
CEFALEXINA GEN.500MG 200CPDS - SANDOZ
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
131454
45161
89418
99504
115973
71711
78955
117151
98929
96670
128360
148934
136580
79737
31238
45160
3640069
101592
91739
71710
89417
101989
115402
87268
136581
145016
138128
138129
80024
80023
280039
94019
103994
34467
111301
128163
91752
94158
92616
153113
91753
103402
1260168
1260024
1260187
26793
26792
148466
DESCRICAO
CEFALEXINA GEN.500MG 200DRGS - ABL
CEFALEXINA GEN.500MG 20CPDS - RANBAXY
CEFALEXINA GEN.500MG 2X10CPDS - NOVA QUIMICA
CEFALEXINA GEN.500MG 40CAPS - MEDLEY
CEFALEXINA GEN.500MG 40CPDS - SANDOZ
CEFALEXINA GEN.500MG 40CPDS - TEUTO BRAS
CEFALEXINA GEN.500MG 80CPDS - TEUTO BRAS
CEFALEXINA GEN.500MG 8CAPS - AUROBINDO
CEFALEXINA GEN.500MG 8CAPS - MEDLEY
CEFALEXINA GEN.500MG 8CAPS - SANDOZ
CEFALEXINA GEN.500MG 8CAPS - CIMED
CEFALEXINA GEN.500MG 8CAPS GEL - BRAINFARMA
CEFALEXINA GEN.500MG 8CAPS GEL. - UNIAO QUIMICA
CEFALEXINA GEN.500MG 8CPDS - BRAINFARMA
CEFALEXINA GEN.500MG 8CPDS - EMS GENERICOS
CEFALEXINA GEN.500MG 8CPDS - RANBAXY
CEFALEXINA GEN.500MG 8CPDS - EUROFARMA
CEFALEXINA GEN.500MG 8CPDS - LEGRAND GENERICOS
CEFALEXINA GEN.500MG 8CPDS - AUROBINDO
CEFALEXINA GEN.500MG 8CPDS - TEUTO BRAS
CEFALEXINA GEN.500MG 8CPDS - NOVA QUIMICA
CEFALEXINA GEN.500MG 8CPDS - GERMED GENERICOS
CEFALEXINA GEN.500MG 8DRGS - ABL
CEFALEXINA GEN.500MG/5ML SUSP.100ML - MEDLEY
CEFALEXINA GEN.50MG/ML PO SUSP.ORAL 100ML+CP.MED. - UNIAO QUIMICA
CEFALEXINA GEN.50MG/ML PO SUSP.ORAL 60ML+CP.MED. - UNIAO QUIMICA
CEFALEXOL 100ML - HIPOLABOR
CEFALEXOL 60ML - HIPOLABOR
CEFALIUM 1+45+75+10MG 12CPDS - ACHE
CEFALIV 1+100+350MG 12CPDS - ACHE
CEFALMED 20G - ALM.PRADO
CEFALOTIL 1G SOL.INJ.50FA - UNIAO QUIMICA
CEFALOTINA SODICA GEN.1G 50FA 10ML - NOVAFARMA
CEFALOTINA SODICA GEN.1G PO 1FA+DIL.4ML - TEUTO BRAS
CEFALOTINA SODICA GEN.1G PO 50FA+DIL.4ML - TEUTO BRAS
CEFALOTINA SODICA GEN.1G PO INJ.100FA - ABL
CEFALOTINA SODICA GEN.1G PO INJ.1FA+DIL.10ML - AUROBINDO
CEFALOTINA SODICA GEN.1G PO INJ.1FA+DIL.5ML - AUROBINDO
CEFALOTINA SODICA GEN.1G PO INJ.50FA - AUROBINDO
CEFALOTINA SODICA GEN.1G PO INJ.50FA - ABL
CEFALOTINA SODICA GEN.1G PO INJ.50FA+50AMP 10ML - AUROBINDO
CEFALOTINA SODICA GEN.1G PO INJ.50FA+50AMP 5ML - AUROBINDO
CEFAMOX 250MG/5ML PO SUSP.100ML+SER.MED. - BRISTOL
CEFAMOX 500MG 8CAPS - BRISTOL
CEFAMOX 500MG PO 100ML - BRISTOL
CEFANAL 250MG/5ML PO P/SUSP. - BUNKER
CEFANAL 500MG 8CPDS - BUNKER
CEFANAXIL 500MG 8CAPS - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
141309
103416
139309
139310
94081
129564
91754
94139
148440
92617
164346
115532
129633
145127
129631
129632
84604
7080139
91751
94146
94140
94144
94145
94142
94143
94147
104122
136781
164347
3640094
81101
91756
94151
92620
77984
115362
115364
94022
5440115
5440113
5440114
131453
143155
163459
32018
32016
77983
91755
DESCRICAO
CEFANID 500MG 8CPDS - NEOQUIMICA
CEFARISTON 1000MG 100FA - ARISTON
CEFAZIMA 1G 1FR+1AMP - BIOCHIMICO
CEFAZIMA 1G 50FR - BIOCHIMICO
CEFAZOLINA SODICA GEN.1G 50FA - NOVAFARMA
CEFAZOLINA SODICA GEN.1G PO INJ.100FA - ABL
CEFAZOLINA SODICA GEN.1G PO INJ.1FA+DIL.10ML - AUROBINDO
CEFAZOLINA SODICA GEN.1G PO INJ.25FA+25DIL.10ML - AUROBINDO
CEFAZOLINA SODICA GEN.1G PO INJ.50FA - ABL
CEFAZOLINA SODICA GEN.1G PO INJ.50FA - AUROBINDO
CEFAZOLINA SODICA GEN.1G PO LIOF.50FA+50BOL.SIST.FECH.CONEC.100ML - NOVAFARMA
CEFAZOLINA SODICA GEN.1G PO SOL.INJ.50FA 13ML - UNIAO QUIMICA
CEFELIC 100MG 14CPDS - ARROW
CEFELIC 50MG 10CPDS - ARROW
CEFELIC 50MG 20CPDS - ARROW
CEFELIC 50MG 30CPDS - ARROW
CEFLEN 1G 50FA - ASPEN
CEFORAN 1G PO SOL.INJ.1FA+DIL.4ML - UNIAO QUIMICA
CEFOTAXIMA SODICA GEN.1G PO INJ.1FA+DIL.10ML - AUROBINDO
CEFOTAXIMA SODICA GEN.1G PO INJ.1FA+DIL.5ML - AUROBINDO
CEFOTAXIMA SODICA GEN.1G PO INJ.25FA+25DIL.10ML - AUROBINDO
CEFOTAXIMA SODICA GEN.1G PO INJ.25FA+25DIL.5ML - AUROBINDO
CEFOTAXIMA SODICA GEN.1G PO INJ.50FA - AUROBINDO
CEFOTAXIMA SODICA GEN.500MG PO INJ.1FA+DIL.5ML - AUROBINDO
CEFOTAXIMA SODICA GEN.500MG PO INJ.25FA+25DIL.5ML - AUROBINDO
CEFOTAXIMA SODICA GEN.500MG PO INJ.50FA - AUROBINDO
CEFOXITINA SODICA GEN.1G 1FA+DIL 10ML - NOVAFARMA
CEFOXITINA SODICA GEN.1G 20FA 17ML+DIL 10ML - NOVAFARMA
CEFOXITINA SODICA GEN.1G PO LIOF.1FA+BOL.SIST.FECH.CONEC.100ML - NOVAFARMA
CEFOXITINA SODICA IV GEN.1G 1FA+DIL.10ML - EUROFARMA
CEFTAFOR 1G 50FA - NOVAFARMA
CEFTAZIDIMA GEN.1G PO INJ.1FA+DIL.10ML - AUROBINDO
CEFTAZIDIMA GEN.1G PO INJ.25FA+25DIL.10ML - AUROBINDO
CEFTAZIDIMA GEN.1G PO INJ.50FA - AUROBINDO
CEFTAZIDIMA GEN.50FA+DIL 10ML - EUROFARMA
CEFTAZIDON 1000MG 20FA - ARISTON
CEFTON 1000MG 20FA - ARISTON
CEFTRAT 1G SOL.INJ.50FA - UNIAO QUIMICA
CEFTRIAX IM 1G 1AMP 3,5ML - SIGMA PHARMA
CEFTRIAX IM 250MG 1AMP 2ML - SIGMA PHARMA
CEFTRIAX IM 500MG 1AMP 2ML - SIGMA PHARMA
CEFTRIAXONA DISSODICA GEN.1G PO INJ.25FA - ABL
CEFTRIAXONA DISSODICA GEN.1G PO INJ.25FA+25BOLSAS SIST.FECH. - ABL
CEFTRIAXONA DISSODICA GEN.1G PO INJ.50FA+50BOLSAS SIST.FECH. - ABL
CEFTRIAXONA IM GEN.1G 1FA+DIL - EUROFARMA
CEFTRIAXONA IM GEN.500MG 1FA+DIL - EUROFARMA
CEFTRIAXONA IV GEN.1G 50FA+DIL.10ML - EUROFARMA
CEFTRIAXONA SODICA GEN.1G PO INJ.1FA+DIL.10ML - AUROBINDO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
94163
92618
94152
94159
94161
92619
94160
35324
35322
81104
90064
94170
94168
94167
1260011
1260010
140204
140205
146728
146729
131042
3893
3894
144091
35463
136523
101909
101907
101916
101915
101919
101921
73985
73986
74181
74180
135377
6500011
6500012
6500014
6500019
6500015
6500018
6500013
6500020
72951
67498
6280094
DESCRICAO
CEFTRIAXONA SODICA GEN.1G PO INJ.25FA+25DIL.10ML - AUROBINDO
CEFTRIAXONA SODICA GEN.1G PO INJ.50FA - AUROBINDO
CEFTRIAXONA SODICA GEN.1G PO INJ.5FA+5DIL.10ML - AUROBINDO
CEFTRIAXONA SODICA GEN.500MG PO INJ.1FA+DIL. - AUROBINDO
CEFTRIAXONA SODICA GEN.500MG PO INJ.25FA+25DIL.5ML - AUROBINDO
CEFTRIAXONA SODICA GEN.500MG PO INJ.50FA - AUROBINDO
CEFTRIAXONA SODICA GEN.500MG PO INJ.5FA+5DIL.5ML - AUROBINDO
CEFTRIAXONA SODICA IM GEN.1G INJ.1FA+DIL - EMS GENERICOS
CEFTRIAXONA SODICA IM GEN.500MG INJ.1FA+DIL - EMS GENERICOS
CEFTRIONA 1G 50FA - NOVAFARMA
CEFTRIONA 500MG 50FA S/DIL - NOVAFARMA
CEFUROXIMA SODICA GEN.750MG PO INJ.1FA+DIL.6ML - AUROBINDO
CEFUROXIMA SODICA GEN.750MG PO INJ.25FA - AUROBINDO
CEFUROXIMA SODICA GEN.750MG PO INJ.25FA+25DIL.6ML - AUROBINDO
CEFZIL 500MG 10CPDS - BRISTOL
CEFZIL PO SUSP.250MG/5ML 100ML - BRISTOL
CELAMINA 10MG/ML CRM.20G - GLENMARK
CELAMINA 10MG/ML SOL.15ML - GLENMARK
CELAMINA ULTRA SHM.150ML - GLENMARK
CELAMINA ZINCO SHM.150ML - GLENMARK
CELAPRAM 20MG 30CPDS REV. - MERCK S.A.
CELEBRA 100MG 20CAPS - PFIZER
CELEBRA 200MG 10CAPS - PFIZER
CELEBRA 200MG 15CAPS - PFIZER
CELEBRA 200MG 30CAPS - PFIZER
CELEBRA 200MG 4CAPS - PFIZER
CELEMIN HEPA 8% 80MG/ML SOL.INJ.1FR 1000ML - MEIZLER
CELEMIN HEPA 8% 80MG/ML SOL.INJ.1FR 500ML - MEIZLER
CELEMIN NEPHRO 7% 70MG/ML SOL.INJ.1FR 1000ML - MEIZLER
CELEMIN NEPHRO 7% 70MG/ML SOL.INJ.1FR 500ML - MEIZLER
CELEPID 0,1G/ML EMU.INJ.1FR 500ML - MEIZLER
CELEPID 0,2G/ML EMU.INJ.1FR 500ML - MEIZLER
CELERG 2X10CPDS - LEGRAND TARJARDOS
CELERG XPE.120ML - LEGRAND TARJARDOS
CELERGIN 0,25+2MG 20CPDS - EMS
CELERGIN 0,25MG/5ML+2MG/5ML XPE.120ML - EMS
CELESTAMINE 0,25+2MG/ML GTS.20ML - MANTECORP
CELESTAMINE 20CPDS - MANTECORP
CELESTAMINE XPE.120ML - MANTECORP
CELESTONE 0,5MG 20CPDS - MANTECORP
CELESTONE 1AMP 1ML - MANTECORP
CELESTONE 2MG 10CPDS - MANTECORP
CELESTONE ELIX.120ML - MANTECORP
CELESTONE GTS.15ML - MANTECORP
CELESTONE SOLUSPAN 1AMP 1ML - MANTECORP
CELESTRAT 2+0,25MG 15CPDS - UNIAO QUIMICA
CELESTRAT 2+0,25MG/ML XPE.120ML - UNIAO QUIMICA
CELLCEPT 500MG 50CPDS REV. - ROCHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
94133
84607
84609
106604
84611
70477
106605
84613
136958
128259
128260
104615
104616
103597
134247
134246
136639
104617
103598
134248
136640
136641
5260121
165828
118780
340019
28515
35329
340003
161527
150631
150630
3440058
3440067
3440068
3440070
3440069
3440079
3440073
3440081
5340145
38695
150977
150978
32298
103960
103961
115738
DESCRICAO
CELLEXINA 500MG 10CAPS - ASPEN
CELLEXINA 500MG 20X10CAPS - ASPEN
CELLOZINA 1G 25FA - ASPEN
CELLTRIAXON IV 1G 100FA - ASPEN
CELLTRIAXON IV 1G 100FA+DIL 10ML - ASPEN
CELOCORT CRM.30GRS - LEGRAND TARJARDOS
CELOVAN 500MG 1FA 10ML - ASPEN
CELOVAN 500MG 1FA+DIL 10ML - ASPEN
CELOVAN 500MG 50FA 10ML - ASPEN
CELSENTRI 150MG 60CPDS REV. - GLAXOSMITH
CELSENTRI 300MG 60CPDS REV. - GLAXOSMITH
CEMAX 1,0 G C/ 50FA - BIOCHIMICO
CEMAX 1,0 G C/ 50FA+DIL 3,0ML - BIOCHIMICO
CEMAX 1G CX C/ 1FA+DIL 3ML - BIOCHIMICO
CEMAX 1G SIST FECH 10FA+BOLSA - BIOCHIMICO
CEMAX 1G SIST FECH 1FA+BOLSA - BIOCHIMICO
CEMAX 1G SIST FECH 50FA+BOLSA - BIOCHIMICO
CEMAX 2,0 G C/ 50FA - BIOCHIMICO
CEMAX 2G CX C/ 1FA - BIOCHIMICO
CEMAX 2G SIST FECH 10FA+BOLSA - BIOCHIMICO
CEMAX 2G SIST FECH 1FA+BOLSA - BIOCHIMICO
CEMAX 2G SIST FECH 50FA+BOLSA - BIOCHIMICO
CENEVIT 2G LAR.10CPDS EFERV. - LEGRAND OTC
CENEVIT ARG 1+1G 16CPDS EFV. - LEGRAND OTC
CENTROTABS 30CPDS - NEOQUIMICA
CENTRUM 100+30CPDS - WYETH CONSUMER
CENTRUM 100CPDS - WYETH CONSUMER
CENTRUM 30CPDS - WYETH CONSUMER
CENTRUM 60CPDS - WYETH CONSUMER
CENTRUM SELECT 100+30CPDS - WYETH CONSUMER
CENTRUM SELECT 100CPDS - WYETH CONSUMER
CENTRUM SELECT 30CPDS - WYETH CONSUMER
CEPACAINA 12PAST - SANOFI-AVENTIS
CEPACAINA SOL.100ML - SANOFI-AVENTIS
CEPACAINA SPR.50ML - SANOFI-AVENTIS
CEPACOL CER/HORT.16PAST - SANOFI-AVENTIS
CEPACOL MEL/LIMAO 16PAST - SANOFI-AVENTIS
CEPACOL MENTA 16PAST - SANOFI-AVENTIS
CEPACOL MENTA/EUCAL.16PAST - SANOFI-AVENTIS
CEPACOL TRADIC.16PAST - SANOFI-AVENTIS
CEPROFEN 50MG 24CAPS - NEOQUIMICA
CERAZETTE 0,075MG 28CPDS - SCHERING PLOUGH
CEREZYME 200UI PO LIOF.1FA - GENZYME
CEREZYME 400UI PO LIOF.1FA - GENZYME
CERNE-12 MULTIVITAMINICO PO LIOF.5ML 10FA.3GM057X29 - BAXTER
CERTICAN 0,50MG 60CPDS - NOVARTIS
CERTICAN 0,75MG 60CPDS - NOVARTIS
CERTICAN 1MG 60CPDS - NOVARTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
103958
103959
180006
5020016
70648
70649
84254
96397
44148
84176
137896
151050
128226
147062
141988
128225
145063
145062
141989
2905007
137898
157296
157297
139505
28652
103465
2905039
28651
151051
153667
81098
81099
77952
77951
119766
119767
108082
134834
20008
99697
31820
31821
103822
84346
31252
78956
37345
79907
DESCRICAO
CERTICAN D 0,10MG 60CPDS DISP. - NOVARTIS
CERTICAN D 0,25MG 60CPDS DISP. - NOVARTIS
CERUMIN 0,4+140MG/ML SOL.OTOL.8ML - ALCON
CESTOX 150MG 12CPDS - MERCK S.A.
CETACONAL 10CPDS - PHARMASCIENCE
CETACONAL 30CPDS - PHARMASCIENCE
CETACONAL CRM.30GRS - PHARMASCIENCE
CETACONAL SHAMPOO 100ML - PHARMASCIENCE
CETAFRIN 200MG SOL.GTS.20ML - LUPER
CETAFRIN 750MG 50X4CPDS - LUPER
CETAPHIL ADVANCED 226G - GALDERMA
CETAPHIL ADVANCED 473G - GALDERMA
CETAPHIL ADVANCED 85G - GALDERMA
CETAPHIL CRM.HIDRATANTE 250G - GALDERMA
CETAPHIL CRM.HIDRATANTE 453G - GALDERMA
CETAPHIL DEFENSE PROTETOR SOLAR FPS 50+ UVA/UVB 50ML - GALDERMA
CETAPHIL HAND CREAM 85G - GALDERMA
CETAPHIL HP FPS 15 LOC.118ML - GALDERMA
CETAPHIL LOC.HIDRATANTE 473ML - GALDERMA
CETAPHIL LOC.LIMPEZA PELE 120ML - GALDERMA
CETAPHIL LOC.LIMPEZA PELE PUMP 300ML - GALDERMA
CETAPHIL RESTORADERM LOC.HIDRAT.295ML - GALDERMA
CETAPHIL RESTORADERM SAB.LIQ.295ML - GALDERMA
CETAPHIL SAB.LIQ.300ML - GALDERMA
CETAPHIL SAB.LIQ.60G - GALDERMA
CETAPHIL SAB.P/PELE SECA 80G - GALDERMA
CETAPHIL SAB.P/PELE SENSIVEL 127G - GALDERMA
CETAPHIL SHM.SUAVE 120ML - GALDERMA
CETAPHIL SHM.SUAVE 300ML - GALDERMA
CETAZ 1G PO LIOF.50FA+DIL.10ML - UNIAO QUIMICA
CETAZIMA 1G 50FA - NOVAFARMA
CETAZIMA 500MG 50FA - NOVAFARMA
CETIHEXAL 10MG 12CPDS - HEXAL
CETIHEXAL 10MG 6CPDS - HEXAL
CETILPLEX 100MG GRAN.16ENV.5GRS - NEOQUIMICA
CETILPLEX 200MG GRAN.16ENV.5GRS - NEOQUIMICA
CETILPLEX 20MG/ML XPE.100ML - NEOQUIMICA
CETIRTEC 1MG/ML SOL.ORAL 120ML+COPO MEDIDOR - TEUTO BRAS
CETIVA AE GTS.30ML - FARMASA
CETIVIT 500MG 50AMP 5ML - DUCTO
CETOBETA CRM.30G - BUNKER
CETOBETA POM.30G - BUNKER
CETOCOL 200MG 10CPDS - HIPOLABOR
CETOCOL 200MG 500CPDS - HIPOLABOR
CETOCONAZOL GEN.2% CRM.30GRS - TEUTO BRAS
CETOCONAZOL GEN.200MG 100CPDS - TEUTO BRAS
CETOCONAZOL GEN.200MG 10CPDS - EMS GENERICOS
CETOCONAZOL GEN.200MG 10CPDS - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
96176
96146
140421
160948
88537
145037
56523
71712
133587
89419
149460
160951
56524
71713
149461
37347
79908
89420
110465
163423
101559
35295
49416
58828
120570
140426
128356
103805
166467
62549
140424
57146
120571
107054
103915
38465
71687
103101
76270
76276
103102
98962
70983
98961
70984
111302
111824
76278
DESCRICAO
CETOCONAZOL GEN.200MG 10CPDS - GERMED GENERICOS
CETOCONAZOL GEN.200MG 10CPDS - LEGRAND GENERICOS
CETOCONAZOL GEN.200MG 10CPDS - PRATI-DONADUZZI
CETOCONAZOL GEN.200MG 10CPDS - ACHE
CETOCONAZOL GEN.200MG 10CPDS - NEOQUIMICA
CETOCONAZOL GEN.200MG 10CPDS - SANOFI-AVENTIS
CETOCONAZOL GEN.200MG 10CPDS - RANBAXY
CETOCONAZOL GEN.200MG 10CPDS - TEUTO BRAS
CETOCONAZOL GEN.200MG 10CPDS - BRAINFARMA
CETOCONAZOL GEN.200MG 10CPDS - NOVA QUIMICA
CETOCONAZOL GEN.200MG 10CPDS - BIOSINTETICA
CETOCONAZOL GEN.200MG 30CPDS - ACHE
CETOCONAZOL GEN.200MG 30CPDS - RANBAXY
CETOCONAZOL GEN.200MG 30CPDS - TEUTO BRAS
CETOCONAZOL GEN.200MG 30CPDS - BIOSINTETICA
CETOCONAZOL GEN.200MG 3BLX10CPDS - EMS GENERICOS
CETOCONAZOL GEN.200MG 3X10CPDS - MEDLEY
CETOCONAZOL GEN.200MG 3X10CPDS - NOVA QUIMICA
CETOCONAZOL GEN.200MG 6BLX10CPDS - EMS GENERICOS
CETOCONAZOL GEN.200MG 80CPDS(EMB.FRAC.) - PRATI-DONADUZZI
CETOCONAZOL GEN.20M/G SHM.100ML - TEUTO BRAS
CETOCONAZOL GEN.20MG CRM.DERM.30G - EMS GENERICOS
CETOCONAZOL GEN.20MG/G CRM.30GRS - CRISTALIA
CETOCONAZOL GEN.20MG/G CRM.30GRS - NEOQUIMICA
CETOCONAZOL GEN.20MG/G CRM.30GRS - HIPOLABOR
CETOCONAZOL GEN.20MG/G CRM.30GRS - PRATI-DONADUZZI
CETOCONAZOL GEN.20MG/G CRM.30GRS - CIMED
CETOCONAZOL GEN.20MG/G CRM.DERM.30GRS - BIOSINTETICA
CETOCONAZOL GEN.20MG/G SHM.100ML - SANDOZ
CETOCONAZOL GEN.20MG/G SHM.100ML - CRISTALIA
CETOCONAZOL GEN.20MG/G SHM.100ML - PRATI-DONADUZZI
CETOCONAZOL GEN.30GRS - MEDLEY
CETOCONAZOL GEN.CREM.20MG/G 100X30GRS - HIPOLABOR
CETOCONAZOL GEN.CRM.30GRS - LEGRAND GENERICOS
CETOCONAZOL GEN.SHM.100ML - CIMED
CETOCONAZOL GEN.SHM.100ML - EMS GENERICOS
CETOCONAZOL GEN.SHM.110ML - MEDLEY
CETOCONAZOL+BETAMETASONA GEN.CRM.30GRS - RANBAXY
CETOCONAZOL+BETAMETASONA+SULFATO NEOMICINA GEN.20+0,5+2,5MG/G CRM.DERM.30G - EMS GENERICOS
CETOCONAZOL+BETAMETASONA+SULFATO NEOMICINA GEN.20+0,5+2,5MG/G POM.DERM.30G - EMS GENERICOS
CETOCONAZOL+BETAMETASONA+SULFATO NEOMICINA GEN.CRM.30GRS - RANBAXY
CETOCONAZOL+BETAMETASONA+SULFATO NEOMICINA GEN.CRM.30GRS - TEUTO BRAS
CETOCONAZOL+BETAMETASONA+SULFATO NEOMICINA GEN.CRM.30GRS - EUROFARMA
CETOCONAZOL+BETAMETASONA+SULFATO NEOMICINA GEN.POM.30GRS - TEUTO BRAS
CETOCONAZOL+BETAMETASONA+SULFATO NEOMICINA GEN.POM.30GRS - EUROFARMA
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.20+0,5MG/G CRM.30GRS - TEUTO BRAS
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.20+0,5MG/G CRM.30GRS - NOVA QUIMICA
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.20+0,5MG/G CRM.DERM.30G - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
111823
107556
76277
140430
140428
103134
124728
58523
69893
101585
61186
69894
111821
111822
129622
140433
140432
71689
101584
97121
103136
71690
6920256
6920255
79540
79541
94240
94194
155285
156971
48108
99388
3480004
33007
3940061
3940059
3940060
5340109
5340126
153696
5340035
79544
128171
72018
136678
62195
151226
63542
DESCRICAO
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.20+0,5MG/G POM.30GRS - NOVA QUIMICA
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.20+0,5MG/G POM.30GRS - TEUTO BRAS
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.20+0,5MG/G POM.DERM.30G - EMS GENERICOS
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.20MG/G+0,5MG/G CRM.DERM.30GRS - PRATI-DONADUZZI
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.20MG/G+0,5MG/G POM.DERM.30GRS - PRATI-DONADUZZI
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.CRM.30GRS - LEGRAND GENERICOS
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.CRM.30GRS - BRAINFARMA
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.CRM.30GRS - MEDLEY
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.CRM.30GRS - EUROFARMA
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.POM.30GRS - LEGRAND GENERICOS
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.POM.30GRS - MEDLEY
CETOCONAZOL+DIPROPIONATO BETAMETASONA GEN.POM.30GRS - EUROFARMA
CETOCONAZOL+DIPROPIONATO BETAMETASONA+SULFATO NEOMICINA GEN.20+0,5+2,5MG/G CRM.30GRS - NOVA QUIMICA
CETOCONAZOL+DIPROPIONATO BETAMETASONA+SULFATO NEOMICINA GEN.20+0,5+2,5MG/G POM.30GRS - NOVA QUIMICA
CETOCONAZOL+DIPROPIONATO BETAMETASONA+SULFATO NEOMICINA GEN.20MG/G 30GRS - BRAINFARMA
CETOCONAZOL+DIPROPIONATO BETAMETASONA+SULFATO NEOMICINA GEN.20MG/G+0,5MG/G+2,5MG/G CRM.DERM.30GRS - PRATI-DONADUZZI
CETOCONAZOL+DIPROPIONATO BETAMETASONA+SULFATO NEOMICINA GEN.20MG/G+0,5MG/G+2,5MG/G POM.DERM.30GRS - PRATI-DONADUZZI
CETOCONAZOL+DIPROPIONATO BETAMETASONA+SULFATO NEOMICINA GEN.CRM.30GRS - MEDLEY
CETOCONAZOL+DIPROPIONATO BETAMETASONA+SULFATO NEOMICINA GEN.CRM.30GRS - LEGRAND GENERICOS
CETOCONAZOL+DIPROPIONATO BETAMETASONA+SULFATO NEOMICINA GEN.CRM.DERM.30G - GERMED GENERICOS
CETOCONAZOL+DIPROPIONATO BETAMETASONA+SULFATO NEOMICINA GEN.POM.30GRS - LEGRAND GENERICOS
CETOCONAZOL+DIPROPIONATO BETAMETASONA+SULFATO NEOMICINA GEN.POM.30GRS - MEDLEY
CETOCORT 20+0,5MG/G CRM.30GRS - TEUTO BRAS
CETOCORT 20+0,5MG/G POM.30GRS - TEUTO BRAS
CETOCORTEN 20+0,64MG/G CRM.DERM.30G - CIFARMA
CETOCORTEN 20+0,64MG/G POM.30G - CIFARMA
CETODERM 20MG SHM.100ML - UCI-FARMA
CETODERM CRM.DERM.30GRS - UCI-FARMA
CETOFENID 20MG/ML SOL.ORAL GTS.20ML - TEUTO BRAS
CETOFENID 25MG/G GEL 1BG 30GRS - TEUTO BRAS
CETOHEXAL 200MG 10CPDS - HEXAL
CETOHEXAL 200MG 30CPDS - HEXAL
CETOMED 200MG 10CPDS - CIMED
CETOMED 200MG 30CPDS - CIMED
CETONAX 200MG 10CPDS - JANSSEN-CILAG
CETONAX CRM.30GRS - JANSSEN-CILAG
CETONAX SHAMPOO 20MG 100ML - JANSSEN-CILAG
CETONEO 200MG 10CPDS - NEOQUIMICA
CETONEO 20MG/G CRM.30GRS - NEOQUIMICA
CETONEO 20MG/G CRM.50BG 30GRS - NEOQUIMICA
CETONEO SHM.100ML - NEOQUIMICA
CETONIN CRM.30GRS - CIFARMA
CETOPROFENO GEN.100MG 20CPDS - SANOFI-AVENTIS
CETOPROFENO GEN.100MG 2X10CPDS - MEDLEY
CETOPROFENO GEN.20MG/ML 20ML - SANOFI-AVENTIS
CETOPROFENO GEN.20MG/ML 20ML - MEDLEY
CETOPROFENO GEN.20MG/ML SOL.ORAL GOT.20ML - TEUTO BRAS
CETOPROFENO GEN.25MG 30GRS - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
136538
155294
74123
72787
115406
103448
103449
78563
36405
89534
49417
138627
20903
6310087
20904
47143
52860
111263
117701
6420011
6420012
6420096
31954
151834
6420095
134258
139311
116265
116262
116263
116264
128336
5140006
5140005
63538
28488
5140007
5140004
63537
5140003
21625
21626
94082
94084
94085
157466
76144
76145
DESCRICAO
CETOPROFENO GEN.25MG/G 30GRS - SANOFI-AVENTIS
CETOPROFENO GEN.25MG/G GEL 30GRS - TEUTO BRAS
CETOPROFENO GEN.50MG 24CAPS GEL. - EMS GENERICOS
CETOPROFENO GEN.50MG 24CPDS - MEDLEY
CETOPROFENO GEN.50MG 6BLX10CAPS - EMS GENERICOS
CETOPROFENO GEN.50MG/ML 48AMP 2ML - CRISTALIA
CETOPROFENO GEN.50MG/ML 6AMP 2ML - CRISTALIA
CETOPROFENO IV 100MG 50FA - CRISTALIA
CETOPROFENO IV GEN.100MG 50FA - EUROFARMA
CETOROLACO TROMETAMINA GEN.0,5% SOL.OFTAL.5ML - LEGRAND GENERICOS
CETOROLACO TROMETAMOL GEN.0,5% SOL.OFTAL.5ML - CRISTALIA
CETOROLACO TROMETAMOL GEN.SOL.OFTAL. 5ML - NEOQUIMICA
CETOZAN 200MG 20CPDS - ROYTON
CETOZAN 20MG/G CRM.30GRS - ROYTON
CETOZAN 20MG/G SHM.100ML - ROYTON
CETROLAC 5MG/ML SOL.OFT.5ML - UNIAO QUIMICA
CETROTIDE 0,25MG PO LIOF.1FA+1SER.DIL.+2AG+2TOALHAS - MERCK S.A.
CEVITA 100MG/ML 100AMP 5ML - TEUTO BRAS
CEVITA 100MG/ML 120AMP 5ML - TEUTO BRAS
CEWIN 1G LAR.10CPDS EFV. - SANOFI-AVENTIS
CEWIN 2G LAR.10CPDS EFV. - SANOFI-AVENTIS
CEWIN 500MG 5X6CPDS - SANOFI-AVENTIS
CEWIN 500MG LAR.10CPDS EFV. - SANOFI-AVENTIS
CEWIN 500MG LAR.30CPDS EFV - SANOFI-AVENTIS
CEWIN GTS.20ML - SANOFI-AVENTIS
CEZOLIN 1G 50FA - BIOCHIMICO
CEZOLIN 1G PO P/ SOL INJ FA - BIOCHIMICO
CHAMPIX - KIT INICIO 0,5+1,0MG 11+42CPDS - PFIZER
CHAMPIX - KIT MANUT.1,0MG 112CPDS - PFIZER
CHAMPIX - KIT REFORCO 1,0MG 168CPDS - PFIZER
CHAMPIX - KIT TRAT.COMPL.0,5+1,0MG 11+154CPDS - PFIZER
CHAMPIX-KIT INICIO 1,0MG 28CPDS - PFIZER
CHOPHYTOL 100ML - MILLETROUX
CHOPHYTOL 120DRGS - MILLETROUX
CHOPHYTOL 1FLAC 10ML F.V - MILLETROUX
CHOPHYTOL 20DRGS - MILLETROUX
CHOPHYTOL 250ML - MILLETROUX
CHOPHYTOL 40DRGS - MILLETROUX
CHOPHYTOL 48FLAC 10ML - MILLETROUX
CHOPHYTOL GTS.40ML - MILLETROUX
CHORAGON 1500UI 3AMP+3AMP DIL. - FERRING
CHORAGON 5000UI PO LIOF.3AMP+3AMP DIL.1ML - FERRING
CHRON-ASA 5 400MG 3X10CPDS REV. - SIGMA PHARMA
CHRON-ASA 5 800MG 2X10CPDS REV. - SIGMA PHARMA
CHRON-ASA 5 PO EXT.3GRS+DIL.100ML - SIGMA PHARMA
CIALIS 20MG 12CPDS REV. - ELI LILLY
CIALIS 20MG 2CPDS REV. - ELI LILLY
CIALIS 20MG 2X2CPDS REV. - ELI LILLY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
101281
147127
163454
960028
960029
161189
165821
138469
138470
148343
3080034
2660061
2660074
66329
66330
61122
94064
7080025
127909
140435
106272
139186
94468
139240
141150
140434
2900013
840006
1000024
6460067
164511
153600
26279
30188
72082
44650
62507
62508
84890
33008
33009
44668
460098
460097
49687
37656
127940
138365
DESCRICAO
CIALIS 20MG 4X2CPDS REV. - ELI LILLY
CIALIS DIARIO 5MG 28CPDS REV. - ELI LILLY
CIANOTRAT SOL.INJ.2AMP 2ML - DELTA
CIBALENA A 200+150+50MG 48BLX4CPDS - NOVARTIS
CIBALENA A 200+150+50MG 4CPDS F.V - NOVARTIS
CIBALENA A 250+250+65MG 192CPDS REV. - NOVARTIS
CIBALENA A 250+250+65MG 4CPDS FV - NOVARTIS
CIBRATO 100MG 10CPDS - MANTECORP
CIBRATO 100MG 30CPDS - MANTECORP
CICATENOL 50MG/G POM.30GRS - EMS
CICATRENE 250+3000UI/G POM.DERM.20G - FARMOQUIMICA
CICLADOL 20MG 10CPDS - CHIESI
CICLADOL 20MG 5CPDS - CHIESI
CICLADOL 20MG EFERV.10CPDS - CHIESI
CICLADOL 20MG EFERV.6CPDS - CHIESI
CICLAVIX CRM.10GRS - LUPER
CICLO 21 0,15+0,03MG 21CPDS - UNIAO QUIMICA
CICLO 21 0,15+0,03MG 3BLX21CPDS - UNIAO QUIMICA
CICLOGYN 0,075+0,03MG 21DRGS - UNIAO QUIMICA
CICLOPIROX OLAMINA GEN.10MG/G CRM.DERM.20GRS - PRATI-DONADUZZI
CICLOPIROX OLAMINA GEN.10MG/G CRM.DERM.20GRS - MEDLEY
CICLOPIROX OLAMINA GEN.10MG/ML SOL.TOP.15ML - GERMED GENERICOS
CICLOPIROX OLAMINA GEN.10MG/ML SOL.TOP.15ML - MEDLEY
CICLOPIROX OLAMINA GEN.10MG/ML SOL.TOP.15ML - LEGRAND GENERICOS
CICLOPIROX OLAMINA GEN.10MG/ML SOL.TOP.15ML - EMS GENERICOS
CICLOPIROX OLAMINA GEN.10MG/ML SOL.TOPICA 15ML - PRATI-DONADUZZI
CICLOPLEGICO 10MG/ML SOL.OFT.5ML - ALLERGAN
CICLOPRIMOGYNA 21DRGS - BAYER
CICLOVULAR 150MG+10MG SOL.INJ.1AMP 1ML - UNIAO QUIMICA
CICLOVULON 21CPDS - SANVAL
CICLOXX 15MG 10CPDS - WYETH
CICONAZOL 20MG CRM.DERM.28GRS - CIMED
CICONAZOL LOC.30ML - CIMED
CIFLOGEX CER.12PAST - CIMED
CIFLOGEX COLUT.MENTA 100ML - CIMED
CIFLOGEX COLUT.SPR.LAR.100ML - CIMED
CIFLOGEX COLUT.SPR.MEL 30ML - CIMED
CIFLOGEX COLUT.SPR.MENTA 30ML - CIMED
CIFLOGEX DIET MENTA-LIM.12PAST - CIMED
CIFLOGEX LAR.12PAST - CIMED
CIFLOGEX MEL-LIM.12PAST - CIMED
CIFLOGEX MENTA-LIM.12PAST - CIMED
CILINON 1000MG 100FA S/DIL - ARISTON
CILINON 500MG 100FA S/DIL - ARISTON
CILODEX 3+1MG/G POM.OFT.3,5G - ALCON
CILODEX 3+1MG/ML SUSP.OFT.5ML - ALCON
CILOSTAZOL GEN.100MG 30CPDS - EUROFARMA
CILOSTAZOL GEN.100MG 60CPDS - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
127939
138364
34122
180068
180066
141997
128363
72605
119932
164692
44657
44658
128351
128352
166067
166414
164623
166415
62498
44651
166068
153602
44652
140437
87247
82797
140436
133456
56185
87248
82799
6460069
163404
165755
100706
128634
100518
84914
100519
84915
79545
6460068
107165
6460079
107166
7380008
7380018
5628058
DESCRICAO
CILOSTAZOL GEN.50MG 30CPDS - EUROFARMA
CILOSTAZOL GEN.50MG 60CPDS - EUROFARMA
CILOXAN 0,3% SOL.OTOL.5ML - ALCON
CILOXAN 3MG/G POM.OFT.3,5G - ALCON
CILOXAN 3MG/ML SOL.OFT.5ML - ALCON
CIMAHER 50MG 4FA 10ML - EUROFARMA
CIMECORT CRM.15GRS - CIMED
CIMECORT CRM.30GRS - CIMED
CIMEGRIPE 25X4CAPS - CIMED
CIMEGRIPE 32MG/ML SUSP.ORAL 60ML+CP.DOSAD. - CIMED
CIMEGRIPE 400+4+4MG 10X10CAPS - CIMED
CIMEGRIPE 400+4+4MG 20CAPS - CIMED
CIMEGRIPE 77C 100MG/G PO 50ENV 50GRS - CIMED
CIMEGRIPE BEBE 1FR 15ML - CIMED
CIMEGRIPE DIA 10BLX10CPDS REV. - CIMED
CIMEGRIPE DIA 400+400+20MG 12CPDS - CIMED
CIMEGRIPE DIA 400+400+20MG 20CPDS - CIMED
CIMEGRIPE DIA 400+400+20MG 50CPDS - CIMED
CIMEGRIPE GTS.20ML - CIMED
CIMELIDE 100MG 12CPDS - CIMED
CIMELIDE 100MG 50BLX12CPDS(EMB.HOSP.) - CIMED
CIMELIDE 20MG/G GEL 30GRS - CIMED
CIMELIDE 50MG/ML GTS.15ML - CIMED
CIMETIDINA 200MG 40CPDS - PRATI-DONADUZZI
CIMETIDINA GEN.200MG 10CPDS - NEOQUIMICA
CIMETIDINA GEN.200MG 10CPDS - TEUTO BRAS
CIMETIDINA GEN.200MG 20CPDS - PRATI-DONADUZZI
CIMETIDINA GEN.200MG 20CPDS - TEUTO BRAS
CIMETIDINA GEN.200MG 40CPDS - SANDOZ
CIMETIDINA GEN.400MG 16CPDS - NEOQUIMICA
CIMETIDINA GEN.400MG 2X8CPDS - TEUTO BRAS
CIMETIVAL 200MG 4X10CPDS - SANVAL
CIMZIA 200MG/ML SOL.INJ.2SER.PREENC.1ML+2LENCOS UMED. - ASTRAZENECA
CIMZIA 200MG/ML SOL.INJ.6SER.PREENC.1ML+6LENCOS UMED. - ASTRAZENECA
CINADERM 3,5MG POM.DERM.20GRS - ASPEN
CINALEO 15UI PO INJ.1FA - MEIZLER
CINARIZINA GEN.25MG 30CAPS - NOVA QUIMICA
CINARIZINA GEN.25MG 3X10CPDS - RANBAXY
CINARIZINA GEN.75MG 30CAPS - NOVA QUIMICA
CINARIZINA GEN.75MG 3X10CPDS - RANBAXY
CINATREX POM.OFTAL.3,5GRS - CIFARMA
CINAZON 25MG 3X10CPDS - SANVAL
CINAZON 25MG 50X10CPDS - SANVAL
CINAZON 75MG 3X10CPDS - SANVAL
CINAZON 75MG 50X10CPDS - SANVAL
CINCORDIL 20MG 30CPDS - SIGMA PHARMA
CINCORDIL 40MG 30CPDS - SIGMA PHARMA
CINETOL 2MG 20X10CPDS - CRISTALIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
94027
1830023
139910
4945160
4945158
6500100
6500102
92390
131194
131195
760026
760020
30979
143551
90949
90948
109086
120820
120821
38529
38531
38530
73990
35232
35231
159302
133466
138101
29780
29779
143165
143166
91746
91747
91745
91744
118789
118790
91742
91743
91741
91740
105305
105726
136799
138643
138644
138645
DESCRICAO
CINETOL 2MG 8X10CPDS - CRISTALIA
CINETOL 5MG/ML 50AMP 1ML - CRISTALIA
CINTAG 200MG 20CPDS - HEXAL
CINTILAN 60CAPS - MEDLEY
CINTILAN SOL.PED.120ML - MEDLEY
CIPRAMIL 20MG 14CPDS - LUNDBECK
CIPRAMIL 20MG 28CPDS - LUNDBECK
CIPRANE 2+0,035MG 21CPDS - TEUTO BRAS
CIPRO 200MG 100ML FLEXIBAG - BAYER
CIPRO 400MG 200ML FLEXIBAG - BAYER
CIPRO 500MG 14CPDS - BAYER
CIPRO 500MG 6CPDS - BAYER
CIPRO HC 2+10MG/ML SOL.OTOL.10ML - ALCON
CIPRO XR 1000MG 3CPDS - BAYER
CIPRO XR 1000MG 7CPDS - BAYER
CIPRO XR 500MG 3CPDS - BAYER
CIPRO XR 500MG 7CPDS - BAYER
CIPROBACTER INJ.2MG/ML BOLSA POLIETILENO 100ML - ISOFARMA
CIPROBACTER INJ.2MG/ML BOLSA POLIETILENO 200ML - ISOFARMA
CIPROBIOT 250MG 6CPDS - SANDOZ
CIPROBIOT 500MG 14CPDS - SANDOZ
CIPROBIOT 500MG 6CPDS - SANDOZ
CIPROCILIN 500MG 2X7CPDS - LEGRAND TARJARDOS
CIPROFAR 500MG 14CPDS REV. - ELOFAR
CIPROFAR 500MG 6CPDS REV. - ELOFAR
CIPROFIBRATO GEN.100MG 30CPDS - NEOQUIMICA
CIPROFIBRATO GEN.100MG 30CPDS - SANOFI-AVENTIS
CIPROFIBRATO GEN.100MG 30CPDS - BRAINFARMA
CIPROFLOX 500MG 14CPDS - INFAN
CIPROFLOX 500MG 6CPDS - INFAN
CIPROFLOXACINA GEN.2MG/ML BOLSA 100ML - HALEX ISTAR
CIPROFLOXACINA GEN.2MG/ML BOLSA 200ML - HALEX ISTAR
CIPROFLOXACINO GEN.250MG 10CPDS - AUROBINDO
CIPROFLOXACINO GEN.250MG 2X10CPDS - AUROBINDO
CIPROFLOXACINO GEN.250MG 2X7CPDS - AUROBINDO
CIPROFLOXACINO GEN.250MG 6CPDS - AUROBINDO
CIPROFLOXACINO GEN.2MG/ML 6 BOLSAS 100ML - EUROFARMA
CIPROFLOXACINO GEN.2MG/ML 6 BOLSAS 200ML - EUROFARMA
CIPROFLOXACINO GEN.500MG 10CPDS - AUROBINDO
CIPROFLOXACINO GEN.500MG 2X10CPDS - AUROBINDO
CIPROFLOXACINO GEN.500MG 2X7CPDS - AUROBINDO
CIPROFLOXACINO GEN.500MG 6CPDS - AUROBINDO
CIPROFLOXACINO GEN.INJ.2MG/ML BOLSA POLIETILENO 100ML - ISOFARMA
CIPROFLOXACINO GEN.INJ.2MG/ML BOLSA POLIETILENO 200ML - ISOFARMA
CIPROLIP 100MG 30CPDS - UCI-FARMA
CISPLATINA GEN.1MG/ML SOL.INJ.1FA 10ML - ACCORD
CISPLATINA GEN.1MG/ML SOL.INJ.1FA 25ML - ACCORD
CISPLATINA GEN.1MG/ML SOL.INJ.1FA 50ML - ACCORD
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
5020017
280040
159623
150953
115397
90294
83859
89421
92764
123205
115398
90295
83860
89422
92765
120823
76839
123206
104113
139392
63918
120824
5740077
5740022
167264
23476
62003
167265
144092
62577
68213
138657
138655
138656
118557
118558
1830035
5020020
5020019
5020021
124352
124353
124351
1260028
1260029
160181
160182
84352
DESCRICAO
CISTICID 500MG 50CPDS - MERCK S.A.
CISTITEMED 20G - ALM.PRADO
CITAFORIN 20MG 2BLX15CPDS REV. - LEGRAND PRESCRICAO
CITAGRAN 20MG 2BLX15CPDS REV. - GERMED
CITALOPRAM GEN.20MG 14CPDS - BIOSINTETICA
CITALOPRAM GEN.20MG 14CPDS - NEOQUIMICA
CITALOPRAM GEN.20MG 14CPDS - EUROFARMA
CITALOPRAM GEN.20MG 14CPDS - NOVA QUIMICA
CITALOPRAM GEN.20MG 14CPDS REV. - BRAINFARMA
CITALOPRAM GEN.20MG 15CPDS - MEDLEY
CITALOPRAM GEN.20MG 28CPDS - BIOSINTETICA
CITALOPRAM GEN.20MG 28CPDS - NEOQUIMICA
CITALOPRAM GEN.20MG 28CPDS - EUROFARMA
CITALOPRAM GEN.20MG 28CPDS - NOVA QUIMICA
CITALOPRAM GEN.20MG 28CPDS REV. - BRAINFARMA
CITALOPRAM GEN.20MG 2X7CPDS - SANDOZ
CITALOPRAM GEN.20MG 30CPDS - SANDOZ
CITALOPRAM GEN.20MG 30CPDS - MEDLEY
CITALOPRAM GEN.20MG 30CPDS - RANBAXY
CITALOPRAM GEN.20MG 30CPDS REV. - ZYDUS NIKKHO
CITALOPRAM GEN.20MG 30CPDS REV. - MERCK S.A.
CITALOPRAM GEN.20MG 4X7CPDS - SANDOZ
CITALOR 10MG 10CPDS REV. - PFIZER
CITALOR 10MG 30CPDS REV. - PFIZER
CITALOR 10MG 60CPDS REV. - PFIZER
CITALOR 20MG 10CPDS REV. - PFIZER
CITALOR 20MG 30CPDS REV. - PFIZER
CITALOR 20MG 60CPDS REV. - PFIZER
CITALOR 40MG 10CPDS REV. - PFIZER
CITALOR 40MG 30CPDS REV. - PFIZER
CITALOR 80MG 30CPDS REV. - PFIZER
CITARABINA GEN.100MG/ML SOL.INJ.1FA 10ML - ACCORD
CITARABINA GEN.100MG/ML SOL.INJ.1FA 1ML - ACCORD
CITARABINA GEN.100MG/ML SOL.INJ.1FA 5ML - ACCORD
CITARAX 20MG/ML 10FA 5ML - BLAU
CITARAX 50MG/ML 10FA 10ML - BLAU
CITOCAINA 3% C/FELIP.50CARPX1,8ML - CRISTALIA
CITONEURIN 1000(100+100)MG/ML 3AMP 1ML+1000MCG/ML 3AMP 1ML - MERCK S.A.
CITONEURIN 5000(100+100)MG/ML 3AMP 1ML+5000MCG/ML 3AMP 1ML - MERCK S.A.
CITONEURIN 5000MCG+100MG+100MG 20DRGS - MERCK S.A.
CITOPLATINA 10MG/ML 15ML - MEIZLER
CITOPLATINA 10MG/ML 45ML - MEIZLER
CITOPLATINA 10MG/ML 5ML - MEIZLER
CITOSTAL 10MG 5CAPS - BRISTOL
CITOSTAL 40MG 5CAPS - BRISTOL
CITRACAL CALCIO 30CPDS - BAYER
CITRACAL CALCIO 60CPDS - BAYER
CITRATO FENTANILA GEN.25AMP 5ML - HIPOLABOR
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
84351
108052
108051
108053
138136
101117
149018
149017
148980
147804
155163
155164
148981
147805
162940
155165
159308
147795
148982
147806
147812
167112
147796
155157
147797
162942
155158
159303
147791
147798
147807
147803
162949
155159
159653
161013
159304
147799
148977
147808
162944
155160
159654
161014
159305
147792
148978
147809
DESCRICAO
CITRATO FENTANILA GEN.50AMP 2ML - HIPOLABOR
CITRATO FENTANILA GEN.50MCG/ML 25AMP 10ML - EUROFARMA
CITRATO FENTANILA GEN.50MCG/ML 25AMP 2ML - EUROFARMA
CITRATO FENTANILA GEN.50MCG/ML 25AMP 5ML - EUROFARMA
CITRATO FENTANILA GEN.50X10ML - HIPOLABOR
CITRATO ORFENADRINA+DIPIRONA SODICA+CAFEINA ANIDRA GEN.35+300+50MG/ML GTS.20ML - EMS GENERICOS
CITRATO SILDENAFILA 100MG 1CPD REV. - LEGRAND GENERICOS
CITRATO SILDENAFILA 50MG 1CPD REV. - LEGRAND GENERICOS
CITRATO SILDENAFILA GEN.100MG 1CPD REV. - EUROFARMA
CITRATO SILDENAFILA GEN.100MG 1CPD REV. - EMS GENERICOS
CITRATO SILDENAFILA GEN.100MG 1CPDS REV. - MEDLEY
CITRATO SILDENAFILA GEN.100MG 2CPDS REV. - MEDLEY
CITRATO SILDENAFILA GEN.100MG 2CPDS REV. - EUROFARMA
CITRATO SILDENAFILA GEN.100MG 2CPDS REV. - EMS GENERICOS
CITRATO SILDENAFILA GEN.100MG 4CPDS - SANDOZ
CITRATO SILDENAFILA GEN.100MG 4CPDS REV. - MEDLEY
CITRATO SILDENAFILA GEN.100MG 4CPDS REV. - NEOQUIMICA
CITRATO SILDENAFILA GEN.100MG 4CPDS REV. - LEGRAND GENERICOS
CITRATO SILDENAFILA GEN.100MG 4CPDS REV. - EUROFARMA
CITRATO SILDENAFILA GEN.100MG 4CPDS REV. - EMS GENERICOS
CITRATO SILDENAFILA GEN.100MG 4CPDS REV. - GERMED GENERICOS
CITRATO SILDENAFILA GEN.20MG 90CPDS REV. - MEDLEY
CITRATO SILDENAFILA GEN.25MG 1CPD REV. - EMS GENERICOS
CITRATO SILDENAFILA GEN.25MG 2CPDS REV. - MEDLEY
CITRATO SILDENAFILA GEN.25MG 2CPDS REV. - EMS GENERICOS
CITRATO SILDENAFILA GEN.25MG 4CPDS - SANDOZ
CITRATO SILDENAFILA GEN.25MG 4CPDS REV. - MEDLEY
CITRATO SILDENAFILA GEN.25MG 4CPDS REV. - NEOQUIMICA
CITRATO SILDENAFILA GEN.25MG 4CPDS REV. - LEGRAND GENERICOS
CITRATO SILDENAFILA GEN.25MG 4CPDS REV. - EMS GENERICOS
CITRATO SILDENAFILA GEN.25MG 4CPDS REV. - GERMED GENERICOS
CITRATO SILDENAFILA GEN.50MG 12CPDS REV. - EMS GENERICOS
CITRATO SILDENAFILA GEN.50MG 1CPD - SANDOZ
CITRATO SILDENAFILA GEN.50MG 1CPD REV. - MEDLEY
CITRATO SILDENAFILA GEN.50MG 1CPD REV. - TEUTO BRAS
CITRATO SILDENAFILA GEN.50MG 1CPD REV. - WYETH
CITRATO SILDENAFILA GEN.50MG 1CPD REV. - NEOQUIMICA
CITRATO SILDENAFILA GEN.50MG 1CPD REV. - EMS GENERICOS
CITRATO SILDENAFILA GEN.50MG 1CPD REV. - EUROFARMA
CITRATO SILDENAFILA GEN.50MG 1CPD REV. - GERMED GENERICOS
CITRATO SILDENAFILA GEN.50MG 2CPDS - SANDOZ
CITRATO SILDENAFILA GEN.50MG 2CPDS REV. - MEDLEY
CITRATO SILDENAFILA GEN.50MG 2CPDS REV. - TEUTO BRAS
CITRATO SILDENAFILA GEN.50MG 2CPDS REV. - WYETH
CITRATO SILDENAFILA GEN.50MG 2CPDS REV. - NEOQUIMICA
CITRATO SILDENAFILA GEN.50MG 2CPDS REV. - LEGRAND GENERICOS
CITRATO SILDENAFILA GEN.50MG 2CPDS REV. - EUROFARMA
CITRATO SILDENAFILA GEN.50MG 2CPDS REV. - GERMED GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
147800
162948
155161
159655
161015
159306
147793
148979
147801
147810
162946
155162
159656
161016
159307
147794
147802
147811
48126
41542
110909
148155
148156
110908
5340102
5340101
5340103
94245
94247
144166
118552
118553
118550
118551
3440010
145131
143004
139249
139250
180004
48109
145320
6820110
57239
6500021
45924
168660
6500108
DESCRICAO
CITRATO SILDENAFILA GEN.50MG 2CPDS REV. - EMS GENERICOS
CITRATO SILDENAFILA GEN.50MG 4CPDS - SANDOZ
CITRATO SILDENAFILA GEN.50MG 4CPDS REV. - MEDLEY
CITRATO SILDENAFILA GEN.50MG 4CPDS REV. - TEUTO BRAS
CITRATO SILDENAFILA GEN.50MG 4CPDS REV. - WYETH
CITRATO SILDENAFILA GEN.50MG 4CPDS REV. - NEOQUIMICA
CITRATO SILDENAFILA GEN.50MG 4CPDS REV. - LEGRAND GENERICOS
CITRATO SILDENAFILA GEN.50MG 4CPDS REV. - EUROFARMA
CITRATO SILDENAFILA GEN.50MG 4CPDS REV. - EMS GENERICOS
CITRATO SILDENAFILA GEN.50MG 4CPDS REV. - GERMED GENERICOS
CITRATO SILDENAFILA GEN.50MG 8CPDS - SANDOZ
CITRATO SILDENAFILA GEN.50MG 8CPDS REV. - MEDLEY
CITRATO SILDENAFILA GEN.50MG 8CPDS REV. - TEUTO BRAS
CITRATO SILDENAFILA GEN.50MG 8CPDS REV. - WYETH
CITRATO SILDENAFILA GEN.50MG 8CPDS REV. - NEOQUIMICA
CITRATO SILDENAFILA GEN.50MG 8CPDS REV. - LEGRAND GENERICOS
CITRATO SILDENAFILA GEN.50MG 8CPDS REV. - EMS GENERICOS
CITRATO SILDENAFILA GEN.50MG 8CPDS REV. - GERMED GENERICOS
CITRATO TAMOXIFENO GEN.10MG 30CPDS - SANDOZ
CITRATO TAMOXIFENO GEN.20MG 30CPDS - SANDOZ
CITROBION 500MG 20CPDS MASTIG. - PHARMASCIENCE
CITROBION EFERV.1GR - PHARMASCIENCE
CITROBION EFERV.2GRS - PHARMASCIENCE
CITROBION GTS.20ML - PHARMASCIENCE
CITROPLEX 200MG/ML GTS.20ML - NEOQUIMICA
CITROPLEX 500MG 20CPDS - NEOQUIMICA
CITROPLEX 500MG 50AMP 5ML - NEOQUIMICA
CITTA 20MG 14CPDS REV. - EUROFARMA
CITTA 20MG 28CPDS REV. - EUROFARMA
CITTA 20MG 7CPDS REV. - EUROFARMA
CIZAX 10MG 10CPDS - MANTECORP
CIZAX 10MG 30CPDS - MANTECORP
CIZAX 5MG 10CPDS - MANTECORP
CIZAX 5MG 30CPDS - MANTECORP
CLAFORAN 250MG/ML 1FA+DIL 4ML - SANOFI-AVENTIS
CLAFORDIL 1000MG 20FA VD.+DIL PLAST. - ARISTON
CLANISTIL SOL.OFTAL. 15ML - NEOQUIMICA
CLAQUINONA 40MG/G CRM.30G - GERMED
CLAQUINONA 40MG/G GEL.30G - GERMED
CLARIL 0,25+3MG/ML SOL.OFT.15ML - ALCON
CLARILERG 10MG 12CPDS - SANDOZ
CLARILIB 500MG 1FA - LIBRA
CLARIPEL 4% CRM.30GRS - STIEFEL
CLARIPEL ACQUACEL 30GRS - STIEFEL
CLARITIN 10MG 12CPDS - MANTECORP
CLARITIN 10MG 6CPDS EST. - MANTECORP
CLARITIN 1MG/ML SOL.ORAL 60ML - MANTECORP
CLARITIN D 12DRGS - MANTECORP
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
35079
145054
145055
6500162
6500022
83578
35238
35239
83579
38466
31277
70966
145223
70967
136960
38467
31278
107048
145224
87688
112106
145225
49686
2900014
123157
123159
123156
123158
84622
106591
84621
106590
144987
780027
144988
780049
780051
780044
144989
144990
21653
169802
21652
62565
62566
90214
90213
40311
DESCRICAO
CLARITIN D 24HRS 240+10MG 6CPDS - MANTECORP
CLARITIN D 6DRGS - MANTECORP
CLARITIN D XPE.30ML - MANTECORP
CLARITIN D XPE.60ML - MANTECORP
CLARITIN XPE.100ML - MANTECORP
CLARITROMICINA GEN.125MG/5ML SUSP.ORAL 60ML - EMS GENERICOS
CLARITROMICINA GEN.250MG 10CPDS REV - MEDLEY
CLARITROMICINA GEN.250MG 2X7CPDS REV. - MEDLEY
CLARITROMICINA GEN.250MG/5ML SUSP.ORAL 60ML - EMS GENERICOS
CLARITROMICINA GEN.500MG 10CPDS - EMS GENERICOS
CLARITROMICINA GEN.500MG 10CPDS REV. - MEDLEY
CLARITROMICINA GEN.500MG 10CPDS REV. - MERCK S.A.
CLARITROMICINA GEN.500MG 10FA - ASPEN
CLARITROMICINA GEN.500MG 14CPDS REV. - MERCK S.A.
CLARITROMICINA GEN.500MG 1FA - ASPEN
CLARITROMICINA GEN.500MG 2BLX7CPDS - EMS GENERICOS
CLARITROMICINA GEN.500MG 2X7CPDS REV. - MEDLEY
CLARITROMICINA GEN.500MG 5BLX6CPDS - EMS GENERICOS
CLARITROMICINA GEN.500MG 5FA - ASPEN
CLARITROMICINA GEN.500MG 5FA+DIL - EUROFARMA
CLARITROMICINA GEN.500MG PO.INJ.1FA - ABL
CLARITRON 500MG 1FA+DIL 10ML - ASPEN
CLAROFT 0,12MG/ML SOL.OFT.15ML - ALCON
CLARVISOL SOL.OFT.15ML - ALLERGAN
CLAUDIC 100MG 2BLX15CPDS - BIOLAB SANUS
CLAUDIC 100MG 4BLX15CPDS - BIOLAB SANUS
CLAUDIC 50MG 2BLX15CPDS - BIOLAB SANUS
CLAUDIC 50MG 4BLX15CPDS - BIOLAB SANUS
CLAVICIN 1000+200MG 1FA+DIL 20ML - ASPEN
CLAVICIN 1000+200MG 50FA - ASPEN
CLAVICIN 500+100MG 1FA+DIL 10ML - ASPEN
CLAVICIN 500+100MG 50FA - ASPEN
CLAVULIN 125MG SUSP.100ML - GLAXOSMITH
CLAVULIN 125MG SUSP.75ML - GLAXOSMITH
CLAVULIN 250MG SUSP.100ML - GLAXOSMITH
CLAVULIN 250MG SUSP.75ML - GLAXOSMITH
CLAVULIN 500MG 12CPDS - GLAXOSMITH
CLAVULIN 500MG 18CPDS - GLAXOSMITH
CLAVULIN 500MG 21CPDS - GLAXOSMITH
CLAVULIN 500MG 30CPDS - GLAXOSMITH
CLAVULIN BD 200MG SUSP.70ML - GLAXOSMITH
CLAVULIN BD 400MG SUSP.140ML - GLAXOSMITH
CLAVULIN BD 400MG SUSP.70ML - GLAXOSMITH
CLAVULIN BD 875MG 14CPDS - GLAXOSMITH
CLAVULIN BD 875MG 20CPDS - GLAXOSMITH
CLAVULIN ES 600MG/5ML 100ML - GLAXOSMITH
CLAVULIN ES 600MG/5ML 50ML - GLAXOSMITH
CLAVULIN IV 1G 10FA - GLAXOSMITH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
40310
145321
145323
130116
135391
135392
139912
139913
139911
40319
140442
140443
144976
144977
119940
119939
17998
17999
93611
2540052
54189
161045
2540010
150752
150751
150753
2540046
2540029
43255
43256
43257
26519
26520
6200034
145765
6200065
145766
81808
145767
6200088
145768
81809
145769
6200022
145770
6200033
145771
840005
DESCRICAO
CLAVULIN IV 500MG 10FA - GLAXOSMITH
CLAVUTAM 1000+200MG 1FA - LIBRA
CLAVUTAM 500+100MG 1FA - LIBRA
CLAVUTREX 250+62,50MG/5ML 75ML - CIFARMA
CLAVUTREX 500MG+125MG 12CPDS REV. - CIFARMA
CLAVUTREX 500MG+125MG 18CPDS REV. - CIFARMA
CLAXAM 875+125MG 14CPDS REV. - HEXAL
CLAXAM 875+125MG 20CPDS REV. - HEXAL
CLAXAM PO.70ML DOSADOR - HEXAL
CLEAN HAIR 10MG/ML LOC. 60ML - NEOQUIMICA
CLEANBAC 2MG/G POM.DERM.24PTX500GRS - PRATI-DONADUZZI
CLEANBAC 2MG/G POM.DERM.50GRS - PRATI-DONADUZZI
CLEANKINOL 40MG/G CRM.30GRS - LEGRAND TARJARDOS
CLEANKINOL 40MG/G GEL 30GRS - LEGRAND TARJARDOS
CLEARTOP CRM.30GRS - CIMED
CLEARTOP SHM.100ML - CIMED
CLENIL 250MCG SPR.15ML - CHIESI
CLENIL 250MCG SPR.JET 15ML - CHIESI
CLENIL 50MCG SPR.ORAL 15ML - CHIESI
CLENIL A 10FLAC 2ML - CHIESI
CLENIL COMPOSITUM A 400MG+800MG/ML 10FRAC 2ML - CHIESI
CLENIL COMPOSITUM HFA 50+100MCG SPR.200DOSES - CHIESI
CLENIL COMPOSITUM JET SPR.15ML - CHIESI
CLENIL HFA 250MCG JET 200DOSES - CHIESI
CLENIL HFA 250MCG SPR.200DOSES - CHIESI
CLENIL HFA 50MCG SPR.200DOSES - CHIESI
CLENIL NASAL AQUOSO 20ML - CHIESI
CLENIL NASAL SPR.15ML - CHIESI
CLENIL PULV.100MCG 100DOSES - CHIESI
CLENIL PULV.200MCG 100DOSES - CHIESI
CLENIL PULV.400MCG 100DOSES - CHIESI
CLEVERON 10MG 15CPDS - TRB PHARMA
CLEVERON 10MG 30CPDS - TRB PHARMA
CLEXANE 100MG 2SER.1,0ML - SANOFI-AVENTIS
CLEXANE 100MG 2SER.1,0ML+SIST.SEG. - SANOFI-AVENTIS
CLEXANE 20MG 10SER.0,2ML - SANOFI-AVENTIS
CLEXANE 20MG 10SER.0,2ML+SIST.SEG. - SANOFI-AVENTIS
CLEXANE 20MG 2SER.0,2ML - SANOFI-AVENTIS
CLEXANE 20MG 2SER.0,2ML+SIST.SEG. - SANOFI-AVENTIS
CLEXANE 40MG 10SER.0,4ML - SANOFI-AVENTIS
CLEXANE 40MG 10SER.0,4ML+SIST.SEG. - SANOFI-AVENTIS
CLEXANE 40MG 2SER.0,4ML - SANOFI-AVENTIS
CLEXANE 40MG 2SER.0,4ML+SIST.SEG. - SANOFI-AVENTIS
CLEXANE 60MG 2SER.0,6ML - SANOFI-AVENTIS
CLEXANE 60MG 2SER.0,6ML+SIST.SEG. - SANOFI-AVENTIS
CLEXANE 80MG 2SER.0,8ML - SANOFI-AVENTIS
CLEXANE 80MG 2SER.0,8ML+SIST.SEG. - SANOFI-AVENTIS
CLIANE 28CPDS - BAYER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
840060
6820075
84624
3615012
31966
21694
101561
84958
84959
138137
84358
36415
77840
131691
35457
35458
143240
90976
143241
131043
131044
131045
3865017
78006
78007
84087
42417
31874
34141
137901
30197
146411
124357
134264
111266
134263
5305025
5305020
7080027
79552
152633
159901
152632
4945034
71856
155298
120875
113950
DESCRICAO
CLIMENE 21DRGS - BAYER
CLINAGEL 45GRS - STIEFEL
CLINDACIN 600MG 50AMP 4ML - ASPEN
CLINDACNE GEL 25GRS - THERASKIN
CLINDAL AZ 500MG 2CPDS REV. - MERCK S.A.
CLINDAL AZ 500MG 3CPDS REV. - MERCK S.A.
CLINDAL AZ 500MG 5CPDS REV - MERCK S.A.
CLINDAMICINA GEN.300MG 10CAPS - RANBAXY
CLINDAMICINA GEN.300MG 16CAPS - RANBAXY
CLINDAMICINA GEN.300MG 50AMP 2ML - HIPOLABOR
CLINDAMICINA GEN.600MG 100AMP 4ML - HIPOLABOR
CLINDAMIN-C 300MG 16CAPS GEL.DURA - TEUTO BRAS
CLINDOXYL GEL 30GRS - STIEFEL
CLINDOXYL GEL 45GRS - STIEFEL
CLINFAR 10MG 10CPDS REV. - MERCK S.A.
CLINFAR 10MG 30CPDS REV. - MERCK S.A.
CLINFAR 20MG 10CPDS REV. - MERCK S.A.
CLINFAR 20MG 30CPDS REV. - MERCK S.A.
CLINFAR 40MG 10CPDS REV. - MERCK S.A.
CLINFAR 40MG 30CPDS REV. - MERCK S.A.
CLINFAR 80MG 10CPDS REV. - MERCK S.A.
CLINFAR 80MG 30CPDS REV. - MERCK S.A.
CLISTEROL 12% 500ML - JP
CLO 10MG 2X10CPDS REV. - SIGMA PHARMA
CLO 25MG 2X10CPDS REV. - SIGMA PHARMA
CLO 75MG 2X10CPDS REV. - SIGMA PHARMA
CLOBESOL 0,5MG CRM.30GRS - VALEANT
CLOB-X CRM.30G - GALDERMA
CLOB-X GEL 30G - GALDERMA
CLOB-X LOC.59ML - GALDERMA
CLOB-X POM.30G - GALDERMA
CLOB-X SHM.125ML - GALDERMA
CLOCEF 1G PO 1FA+DIL.VD.3ML - TEUTO BRAS
CLOCEF 1G PO 50FA S/DIL. - TEUTO BRAS
CLOCEF 2G PO 1FA S/DIL. - TEUTO BRAS
CLOCEF 2G PO 50FA S/DIL. - TEUTO BRAS
CLOFEN "K" 50MG 20DRGS - NECKERMAN
CLOFEN "S" 50MG 20DRGS - NECKERMAN
CLOMAZEN 1% CRM.DERM.20G - UNIAO QUIMICA
CLOMAZOL CRM.50GRS - CIFARMA
CLOMENAC 10MG 30CPDS REV. - ARROW
CLOMENAC 10MG 60CPDS REV. - ARROW
CLOMENAC 10MG 7CPDS REV. - ARROW
CLOMID 10CPDS - MEDLEY
CLOMIPRAN 10MG 20DRGS - UNIAO QUIMICA
CLONAZEPAM 2,5MG/ML SOL.ORAL GTS20ML - TEUTO BRAS
CLONAZEPAM GEN.0,5MG 20CPDS - MEDLEY
CLONAZEPAM GEN.0,5MG 2X10CPDS - RANBAXY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
120876
113951
120877
92784
97097
97132
96187
145501
124115
120878
132232
113952
124116
160999
120879
132233
133437
132251
113953
120880
97081
5628077
150483
136765
103450
84764
136766
103451
156972
119808
119809
144035
144036
160574
160575
129672
129673
74321
74322
74324
74323
35688
6420020
2900015
137454
60567
58606
35183
DESCRICAO
CLONAZEPAM GEN.0,5MG 30CPDS - MEDLEY
CLONAZEPAM GEN.0,5MG 3X10CPDS - RANBAXY
CLONAZEPAM GEN.0,5MG 60CPDS - MEDLEY
CLONAZEPAM GEN.2,5MG 20ML - MEDLEY
CLONAZEPAM GEN.2,5MG/ML GTS.20ML - UNIAO QUIMICA
CLONAZEPAM GEN.2,5MG/ML GTS.20ML - GERMED GENERICOS
CLONAZEPAM GEN.2,5MG/ML GTS.20ML - EMS GENERICOS
CLONAZEPAM GEN.20ML - HIPOLABOR
CLONAZEPAM GEN.2MG 20CPDS - EUROFARMA
CLONAZEPAM GEN.2MG 20CPDS - MEDLEY
CLONAZEPAM GEN.2MG 2BLX10CPDS - GERMED GENERICOS
CLONAZEPAM GEN.2MG 2X10CPDS - RANBAXY
CLONAZEPAM GEN.2MG 30CPDS - EUROFARMA
CLONAZEPAM GEN.2MG 30CPDS - ZYDUS NIKKHO
CLONAZEPAM GEN.2MG 30CPDS - MEDLEY
CLONAZEPAM GEN.2MG 3BLX10CPDS - GERMED GENERICOS
CLONAZEPAM GEN.2MG 3BLX10CPDS - EMS GENERICOS
CLONAZEPAM GEN.2MG 3X10CPDS - LEGRAND GENERICOS
CLONAZEPAM GEN.2MG 3X10CPDS - RANBAXY
CLONAZEPAM GEN.2MG 60CPDS - MEDLEY
CLONAZEPAM GEN.GTS.20ML - LEGRAND GENERICOS
CLONIDIN 150MCG/ML 25AMP 1ML - CRISTALIA
CLONIDIN 150MCG/ML 30EST.1ML - CRISTALIA
CLOPAM 0,5MG 20X10CPDS - CRISTALIA
CLOPAM 0,5MG 2X10CPDS - CRISTALIA
CLOPAM 2,5MG/ML 20ML - CRISTALIA
CLOPAM 2MG 20X10CPDS - CRISTALIA
CLOPAM 2MG 2X10CPDS - CRISTALIA
CLOPIDO-GRAN 75MG 4BLX7CPDS.REV. - LEGRAND PRESCRICAO
CLOPIDOGREL GEN.75MG 14CPDS - SANOFI-AVENTIS
CLOPIDOGREL GEN.75MG 28CPDS - SANOFI-AVENTIS
CLOPIDROR 75MG 10CPDS - ARROW
CLOPIDROR 75MG 30CPDS - ARROW
CLOPIN 75MG 15CPDS REV. - ACHE
CLOPIN 75MG 30CPDS REV. - ACHE
CLOPIVIX 75MG 14CPDS REV. - GLAXOSMITH
CLOPIVIX 75MG 28CPDS REV. - GLAXOSMITH
CLOPIXOL 10MG 20CPDS - LUNDBECK
CLOPIXOL 25MG 20CPDS - LUNDBECK
CLOPIXOL ACUPHASE 50MG 1ML - LUNDBECK
CLOPIXOL DEPOT 200MG 1ML - LUNDBECK
CLORANA 25MG 30CPDS - SANOFI-AVENTIS
CLORANA 50MG 20CPDS - SANOFI-AVENTIS
CLORANFENICOL 4MG/ML SOL.OFT.10ML - ALLERGAN
CLORANFENICOL GEN.4MG/ML SOL.OFTAL.GTS.10ML - NEOQUIMICA
CLORATADD 10MG 12CPDS - EMS
CLORATADD 5MG/5ML XPE.100ML - EMS
CLORCIN-PED 250MG 100ML - STIEFEL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
35184
103267
103268
6920183
55364
55365
28144
91673
3425116
3425115
153115
129613
153771
153772
153114
153773
31325
153774
91674
3425118
81074
165983
91675
91677
3425119
169725
169724
169728
169729
169727
169726
169731
169732
169730
152620
152619
152622
152621
152618
152617
152624
152623
152626
152625
153513
153514
153515
145502
DESCRICAO
CLORCIN-PED 375MG 100ML - STIEFEL
CLORDILON 25MG 42CPDS - VITAPAN
CLORDILON 50MG 28CPDS - VITAPAN
CLORDOX 100MG 15DRGS - TEUTO BRAS
CLORETO POTASSIO 10% 1AMP 10ML - EQUIPLEX
CLORETO POTASSIO 15% 1AMP 10ML - EQUIPLEX
CLORETO POTASSIO 19,1% 1AMP 10ML - EQUIPLEX
CLORETO SODIO 0,9% 100AMP PLAST.10ML - HYPOFARMA
CLORETO SODIO 0,9% 100AMP VD.10ML - HYPOFARMA
CLORETO SODIO 0,9% 100AMP VD.5ML - HYPOFARMA
CLORETO SODIO 0,9% 100BOLSAS PLAST.FLEX.SIST.FECH.100ML - ABL
CLORETO SODIO 0,9% 10BOLSAS PLAST.FLEX.SIST.FECH.100ML - ABL
CLORETO SODIO 0,9% 16FR 1000ML - BASA
CLORETO SODIO 0,9% 24FR 500ML - BASA
CLORETO SODIO 0,9% 25BOLSAS PLAST.FLEX.SIST.FECH.100ML - ABL
CLORETO SODIO 0,9% 40FR 250ML - BASA
CLORETO SODIO 0,9% 500ML - ICAR
CLORETO SODIO 0,9% 50FR 125ML - BASA
CLORETO SODIO 10% 100AMP PLAST.10ML - HYPOFARMA
CLORETO SODIO 10% 100AMP VD.10ML - HYPOFARMA
CLORETO SODIO 17,55% 1AMP 10ML - EQUIPLEX
CLORETO SODIO 175,5% SOL.INJ.200AMP 10ML - EQUIPLEX
CLORETO SODIO 20% 100AMP PLAST.10ML - HYPOFARMA
CLORETO SODIO 20% 100AMP PLAST.20ML - HYPOFARMA
CLORETO SODIO 20% 100AMP VIDRO 10ML - HYPOFARMA
CLOREXIDINA 0,5% 1FR 1000ML - VIC PHARMA
CLOREXIDINA 0,5% ALMOT.100ML - VIC PHARMA
CLOREXIDINA 2% 1FR 1000ML - VIC PHARMA
CLOREXIDINA 2% 1FR DISPENSER 1000ML - VIC PHARMA
CLOREXIDINA 2% 1FR PUMP 500ML - VIC PHARMA
CLOREXIDINA 2% ALMOT.100ML - VIC PHARMA
CLOREXIDINA 4% 1FR 1000ML - VIC PHARMA
CLOREXIDINA 4% 1FR DISPENSER 1000ML - VIC PHARMA
CLOREXIDINA 4% ALMOT.100ML - VIC PHARMA
CLOREXIDINA ALCOOLICA 0,5% 1000ML DGLHEX - D.G.L
CLOREXIDINA ALCOOLICA 0,5% 100ML DGLHEX - D.G.L
CLOREXIDINA ALCOOLICA 1% 1000ML DGLHEX - D.G.L
CLOREXIDINA ALCOOLICA 1% 100ML DGLHEX - D.G.L
CLOREXIDINA AQUOSA 0,5% 1000ML DGLHEX - D.G.L
CLOREXIDINA AQUOSA 0,5% 100ML DGLHEX - D.G.L
CLOREXIDINA DEGERMANTE 2% 1000ML DGLHEX - D.G.L
CLOREXIDINA DEGERMANTE 2% 100ML DGLHEX - D.G.L
CLOREXIDINA DEGERMANTE 4% 1000ML DGLHEX - D.G.L
CLOREXIDINA DEGERMANTE 4% 100ML DGLHEX - D.G.L
CLORIDR.CICLOBENZAPRINA GEN.10MG 10CPDS REV. - NOVA QUIMICA
CLORIDR.CICLOBENZAPRINA GEN.10MG 15CPDS REV. - NOVA QUIMICA
CLORIDR.CICLOBENZAPRINA GEN.10MG 30CPDS REV. - NOVA QUIMICA
CLORIDRATO AMBROXOL GEN.15MG XPE.120ML - HIPOLABOR
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
145503
49682
123960
123961
89686
107127
103105
140457
68484
129514
111825
37707
74119
36418
129326
138636
138715
49683
123966
36417
84336
89687
107126
103106
140454
68483
129515
103197
111826
37706
74120
129329
138637
138716
140456
103918
103917
102012
88746
88199
110428
88203
107049
59670
89499
91621
136679
115390
DESCRICAO
CLORIDRATO AMBROXOL GEN.30MG XPE.120ML - HIPOLABOR
CLORIDRATO AMBROXOL GEN.3MG 120ML - MEDLEY
CLORIDRATO AMBROXOL GEN.3MG XPE.50FR 120ML - HIPOLABOR
CLORIDRATO AMBROXOL GEN.3MG XPE.50FR VD.100ML - HIPOLABOR
CLORIDRATO AMBROXOL GEN.3MG/ML 120ML - BIOSINTETICA
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.100ML - ATIVUS
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.120ML - FARMASA
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.120ML - PRATI-DONADUZZI
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.120ML - CRISTALIA
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.120ML+CP.MED. - BUNKER
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.INF.120ML - NOVA QUIMICA
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.INF.120ML - NEOQUIMICA
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.INF.120ML - EMS GENERICOS
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.INF.120ML+COPO MEDIDOR - TEUTO BRAS
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.PED.50X120ML+COPO MEDIDOR - TEUTO BRAS
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.PET 120ML+COPO MEDIDOR - TEUTO BRAS
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.PET.50X120ML+COPO MEDIDOR - TEUTO BRAS
CLORIDRATO AMBROXOL GEN.6MG 120ML - MEDLEY
CLORIDRATO AMBROXOL GEN.6MG XPE.50FR 100ML - HIPOLABOR
CLORIDRATO AMBROXOL GEN.6MG XPE.ADU.120ML+COPO MEDIDOR - TEUTO BRAS
CLORIDRATO AMBROXOL GEN.6MG XPE.ADU.50X120ML - HIPOLABOR
CLORIDRATO AMBROXOL GEN.6MG/ML 120ML - BIOSINTETICA
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.100ML - ATIVUS
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.120ML - FARMASA
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.120ML - PRATI-DONADUZZI
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.120ML - CRISTALIA
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.120ML+CP.MED. - BUNKER
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.ADU.120ML - GERMED GENERICOS
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.ADU.120ML - NOVA QUIMICA
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.ADU.120ML - NEOQUIMICA
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.ADU.120ML - EMS GENERICOS
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.ADU.50X120ML+COPO MEDIDOR - TEUTO BRAS
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.PET.120ML+COPO MEDIDOR - TEUTO BRAS
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.PET.50X120ML+COPO MEDIDOR - TEUTO BRAS
CLORIDRATO AMBROXOL GEN.7,5MG/ML SOL.ORAL GTS.50ML - PRATI-DONADUZZI
CLORIDRATO AMBROXOL GEN.ADU.120ML - CIMED
CLORIDRATO AMBROXOL GEN.PED.120ML - CIMED
CLORIDRATO AMBROXOL GEN.S/AC.ADU.120ML - LEGRAND GENERICOS
CLORIDRATO AMILORIDA+HIDROCLOROTIAZIDA GEN.2,5+25MG 2X15CPDS - LEGRAND GENERICOS
CLORIDRATO AMILORIDA+HIDROCLOROTIAZIDA GEN.2,5+25MG 30CPDS - EMS GENERICOS
CLORIDRATO AMILORIDA+HIDROCLOROTIAZIDA GEN.2,5+25MG 9BLX10CPDS - EMS GENERICOS
CLORIDRATO AMILORIDA+HIDROCLOROTIAZIDA GEN.5,0+50MG 30CPDS - EMS GENERICOS
CLORIDRATO AMILORIDA+HIDROCLOROTIAZIDA GEN.5,0+50MG 9BLX10CPDS - EMS GENERICOS
CLORIDRATO AMILORIDA+HIDROCLOROTIAZIDA GEN.5+50MG 2X15CPDS - BIOSINTETICA
CLORIDRATO AMILORIDA+HIDROCLOROTIAZIDA GEN.5+50MG 3BLX10CPDS - GERMED GENERICOS
CLORIDRATO AMILORIDA+HIDROCLOROTIAZIDA GEN.5+50MG 3X10CPDS - LEGRAND GENERICOS
CLORIDRATO AMIODARONA GEN.100MG 20CPDS - SANOFI-AVENTIS
CLORIDRATO AMIODARONA GEN.100MG 2X10CPDS - RANBAXY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
156480
136680
115391
43730
115392
132252
26384
81047
95005
133451
133671
102939
132236
132223
57562
110099
42814
159309
100083
155021
140461
140463
155020
140565
43976
115407
115458
43977
143200
103568
103567
96646
165597
165598
166408
96647
165600
165599
166409
141399
141398
141400
143405
103995
82408
141396
141397
164348
DESCRICAO
CLORIDRATO AMIODARONA GEN.100MG 30CPDS - BIOSINTETICA
CLORIDRATO AMIODARONA GEN.200MG 20CPDS - SANOFI-AVENTIS
CLORIDRATO AMIODARONA GEN.200MG 2X10CPDS - RANBAXY
CLORIDRATO AMIODARONA GEN.200MG 2X15CPDS - BIOSINTETICA
CLORIDRATO AMIODARONA GEN.200MG 3X10CPDS - RANBAXY
CLORIDRATO AMITRIPTILINA GEN.25MG 20CPDS - LEGRAND GENERICOS
CLORIDRATO AMITRIPTILINA GEN.25MG 20CPDS - NEOQUIMICA
CLORIDRATO AMITRIPTILINA GEN.25MG 20CPDS - EUROFARMA
CLORIDRATO AMITRIPTILINA GEN.25MG 20CPDS REV. - MEDLEY
CLORIDRATO AMITRIPTILINA GEN.25MG 2BLX15CPDS REV. - GERMED GENERICOS
CLORIDRATO AMITRIPTILINA GEN.25MG 2BLX15CPDS REV. - EMS GENERICOS
CLORIDRATO AMITRIPTILINA GEN.75MG 20CPDS REV. - MEDLEY
CLORIDRATO AMITRIPTILINA GEN.75MG 2BLX10CPDS REV. - GERMED GENERICOS
CLORIDRATO AMITRIPTILINA GEN.75MG 2BLX15CPDS REV. - EMS GENERICOS
CLORIDRATO AZELASTINA GEN.1MG/ML SOL.NAS.10ML - EMS GENERICOS
CLORIDRATO AZELASTINA GEN.SOL.NASAL 10ML - LEGRAND GENERICOS
CLORIDRATO BETAXOLOL GEN.0,5% SOL.OFTAL.5ML - CRISTALIA
CLORIDRATO BETAXOLOL GEN.5MG/ML SOL.OFT.5ML - NEOQUIMICA
CLORIDRATO BETAXOLOL GEN.SOL.OFTAL.5ML - LEGRAND GENERICOS
CLORIDRATO BROMEXINA GEN.0,8MG XPE.INF.120ML - NEOQUIMICA
CLORIDRATO BROMEXINA GEN.0,8MG/ML XPE.120ML C/CP.MED.10ML - PRATI-DONADUZZI
CLORIDRATO BROMEXINA GEN.1,6MG/ML XPE.120ML C/CP.MED.10ML - PRATI-DONADUZZI
CLORIDRATO BROMEXINA GEN.1,6MG/ML XPE.ADU.120ML - NEOQUIMICA
CLORIDRATO BROMEXINA GEN.1,6MG/ML XPE.ADU.120ML - GERMED GENERICOS
CLORIDRATO BROMEXINA GEN.4MG/5ML XPE.120ML - MEDLEY
CLORIDRATO BROMEXINA GEN.4MG/5ML XPE.120ML - EMS GENERICOS
CLORIDRATO BROMEXINA GEN.4MG/5ML XPE.INF.120ML - GERMED GENERICOS
CLORIDRATO BROMEXINA GEN.8MG/5ML XPE.120ML - MEDLEY
CLORIDRATO BROMEXINA GEN.8MG/5ML XPE.ADU.120ML - LEGRAND GENERICOS
CLORIDRATO BUPIVACAINA GEN.S/VASO 5,0MG/ML 25FA.VIDRO 20ML - HYPOFARMA
CLORIDRATO BUPIVACAINA+GLICOSE GEN.HIPEBAR.50AMP 4ML - HYPOFARMA
CLORIDRATO BUPROPIONA GEN.150MG 30CPDS - EUROFARMA
CLORIDRATO BUPROPIONA GEN.150MG 3BLX10CPDS LIB.LENTA - EMS GENERICOS
CLORIDRATO BUPROPIONA GEN.150MG 3BLX10CPDS LIB.LENTA - LEGRAND GENERICOS
CLORIDRATO BUPROPIONA GEN.150MG 3BLX10CPDS REV.LIB.LENTA - GERMED GENERICOS
CLORIDRATO BUPROPIONA GEN.150MG 60CPDS - EUROFARMA
CLORIDRATO BUPROPIONA GEN.150MG 6BLX10CPDS LIB.LENTA - LEGRAND GENERICOS
CLORIDRATO BUPROPIONA GEN.150MG 6BLX10CPDS LIB.LENTA - EMS GENERICOS
CLORIDRATO BUPROPIONA GEN.150MG 6BLX10CPDS REV.LIB.LENTA - GERMED GENERICOS
CLORIDRATO CEFEPIMA GEN.1,0G SIST.FECH. 10FA+BOLSAS - BIOCHIMICO
CLORIDRATO CEFEPIMA GEN.1,0G SIST.FECH.1FA+BOLSA - BIOCHIMICO
CLORIDRATO CEFEPIMA GEN.1,0G SIST.FECH.50FA+BOLSAS - BIOCHIMICO
CLORIDRATO CEFEPIMA GEN.1G 10FA - NOVAFARMA
CLORIDRATO CEFEPIMA GEN.1G 1FA VIDRO 17ML - NOVAFARMA
CLORIDRATO CEFEPIMA GEN.1G 50FA+DIL - EUROFARMA
CLORIDRATO CEFEPIMA GEN.1G C/1FA - BIOCHIMICO
CLORIDRATO CEFEPIMA GEN.1G C/50FA - BIOCHIMICO
CLORIDRATO CEFEPIMA GEN.1G PO INJ.10FA+10BOL.SIST.FECH.CONEC.100ML - NOVAFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
165892
91757
94155
165891
94153
94154
141404
141405
141403
143408
103996
82409
141401
141402
164349
165894
132005
165893
137966
98328
98326
98331
102930
144118
141734
141864
111213
139120
141748
141735
141865
141736
141866
141749
101283
118556
139121
144119
150671
111212
139118
159616
150672
144116
159619
150673
101284
118555
DESCRICAO
CLORIDRATO CEFEPIMA GEN.1G PO INJ.10FA+10BOLSA SIST.FECH.100ML - AUROBINDO
CLORIDRATO CEFEPIMA GEN.1G PO INJ.1FA - AUROBINDO
CLORIDRATO CEFEPIMA GEN.1G PO INJ.1FA+1DIL.3ML - AUROBINDO
CLORIDRATO CEFEPIMA GEN.1G PO INJ.1FA+BOLSA SIST.FECH.100ML - AUROBINDO
CLORIDRATO CEFEPIMA GEN.1G PO INJ.25FA - AUROBINDO
CLORIDRATO CEFEPIMA GEN.1G PO INJ.25FA+25DIL.3ML - AUROBINDO
CLORIDRATO CEFEPIMA GEN.2,0G SIST.FECH. 10FA+BOLSAS - BIOCHIMICO
CLORIDRATO CEFEPIMA GEN.2,0G SIST.FECH. 50FA+BOLSAS - BIOCHIMICO
CLORIDRATO CEFEPIMA GEN.2,0G SIST.FECH.1FA+BOLSA - BIOCHIMICO
CLORIDRATO CEFEPIMA GEN.2G 10FA - NOVAFARMA
CLORIDRATO CEFEPIMA GEN.2G 1FA VIDRO 17ML - NOVAFARMA
CLORIDRATO CEFEPIMA GEN.2G 25FA - EUROFARMA
CLORIDRATO CEFEPIMA GEN.2G C/1FA - BIOCHIMICO
CLORIDRATO CEFEPIMA GEN.2G C/50FA - BIOCHIMICO
CLORIDRATO CEFEPIMA GEN.2G PO INJ.10FA+10BOL.SIST.FECH.CONEC.100ML - NOVAFARMA
CLORIDRATO CEFEPIMA GEN.2G PO INJ.10FA+10BOLSA SIST.FECH.100ML - AUROBINDO
CLORIDRATO CEFEPIMA GEN.2G PO INJ.1FA - AUROBINDO
CLORIDRATO CEFEPIMA GEN.2G PO INJ.1FA+BOLSA SIST.FECH.100ML - AUROBINDO
CLORIDRATO CEFEPIME GEN.1G PO INJ.10FA - ABL
CLORIDRATO CEFEPIME GEN.1G PO INJ.1FA+BOLSA SIST.FECH. - ABL
CLORIDRATO CEFEPIME GEN.1G PO INJ.1FA+DIL. - ABL
CLORIDRATO CEFEPIME GEN.2G PO INJ.1FA - ABL
CLORIDRATO CEFEPIME GEN.2G PO INJ.1FA+BOLSA SIST.FECH. - ABL
CLORIDRATO CICLOBENZAPRINA GEN.10MG 15CPDS REV. - ACHE
CLORIDRATO CICLOBENZAPRINA GEN.10MG 10CPDS REV. - EMS GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.10MG 10CPDS REV. - GERMED GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.10MG 15CPDS - EUROFARMA
CLORIDRATO CICLOBENZAPRINA GEN.10MG 15CPDS REV. - BIOSINTETICA
CLORIDRATO CICLOBENZAPRINA GEN.10MG 15CPDS REV. - LEGRAND GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.10MG 15CPDS REV. - EMS GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.10MG 15CPDS REV. - GERMED GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.10MG 2BLX15CPDS REV. - EMS GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.10MG 2BLX15CPDS REV. - GERMED GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.10MG 2X15CPDS REV. - LEGRAND GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.10MG 30CPDS - EUROFARMA
CLORIDRATO CICLOBENZAPRINA GEN.10MG 30CPDS - BRAINFARMA
CLORIDRATO CICLOBENZAPRINA GEN.10MG 30CPDS REV. - BIOSINTETICA
CLORIDRATO CICLOBENZAPRINA GEN.10MG 30CPDS REV. - ACHE
CLORIDRATO CICLOBENZAPRINA GEN.5MG 10CPDS REV. - GERMED GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.5MG 15CPDS - EUROFARMA
CLORIDRATO CICLOBENZAPRINA GEN.5MG 15CPDS REV. - BIOSINTETICA
CLORIDRATO CICLOBENZAPRINA GEN.5MG 15CPDS REV. - LEGRAND GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.5MG 15CPDS REV. - GERMED GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.5MG 15CPDS REV. - ACHE
CLORIDRATO CICLOBENZAPRINA GEN.5MG 2BLX15CPDS REV. - LEGRAND GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.5MG 2BLX15CPDS REV. - GERMED GENERICOS
CLORIDRATO CICLOBENZAPRINA GEN.5MG 30CPDS - EUROFARMA
CLORIDRATO CICLOBENZAPRINA GEN.5MG 30CPDS - BRAINFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
139119
144117
150682
111303
124364
101118
136812
69764
37888
141868
64882
90290
37891
64879
96188
146773
101109
115515
167385
90293
56188
103803
60992
136782
95442
139384
140469
120849
165831
37889
141869
64884
137185
90292
37890
56187
88538
103804
60993
95441
64883
129389
132237
129716
114559
107316
100475
112077
DESCRICAO
CLORIDRATO CICLOBENZAPRINA GEN.5MG 30CPDS REV. - BIOSINTETICA
CLORIDRATO CICLOBENZAPRINA GEN.5MG 30CPDS REV. - ACHE
CLORIDRATO CICLOBENZAPRINA GEN.5MG 3BLX10CPDS REV. - EMS GENERICOS
CLORIDRATO CIMETIDINA GEN.150MG/ML 100AMP 2ML - TEUTO BRAS
CLORIDRATO CIMETIDINA GEN.150MG/ML 120AMP 2ML - TEUTO BRAS
CLORIDRATO CIPROFLOXACINO GEN.0,35% SOL.OFT.5ML - EMS GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.250MG 14CPDS - ARROW
CLORIDRATO CIPROFLOXACINO GEN.250MG 14CPDS - SANDOZ
CLORIDRATO CIPROFLOXACINO GEN.250MG 2BLX7CPDS - EMS GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.250MG 2BLX7CPDS REV. - GERMED GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.250MG 2X7CPDS - MEDLEY
CLORIDRATO CIPROFLOXACINO GEN.250MG 6CPDS - ARROW
CLORIDRATO CIPROFLOXACINO GEN.250MG 6CPDS - EMS GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.250MG 7CPDS - MEDLEY
CLORIDRATO CIPROFLOXACINO GEN.3,5MG/G POM.OFT.3,5G - EMS GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.3,5MG/ML GTS.5ML - NEOQUIMICA
CLORIDRATO CIPROFLOXACINO GEN.3,5MG/ML SOL.OFT.5ML - GERMED GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.500MG 10CPDS - SANDOZ
CLORIDRATO CIPROFLOXACINO GEN.500MG 140CPDS REV. - PRATI-DONADUZZI
CLORIDRATO CIPROFLOXACINO GEN.500MG 14CPDS - ARROW
CLORIDRATO CIPROFLOXACINO GEN.500MG 14CPDS - SANDOZ
CLORIDRATO CIPROFLOXACINO GEN.500MG 14CPDS - BIOSINTETICA
CLORIDRATO CIPROFLOXACINO GEN.500MG 14CPDS - NOVA QUIMICA
CLORIDRATO CIPROFLOXACINO GEN.500MG 14CPDS - CIMED
CLORIDRATO CIPROFLOXACINO GEN.500MG 14CPDS REV. - MERCK S.A.
CLORIDRATO CIPROFLOXACINO GEN.500MG 14CPDS REV. - ZYDUS NIKKHO
CLORIDRATO CIPROFLOXACINO GEN.500MG 14CPDS REV. - PRATI-DONADUZZI
CLORIDRATO CIPROFLOXACINO GEN.500MG 14CPDS REV. - NEOQUIMICA
CLORIDRATO CIPROFLOXACINO GEN.500MG 14CPDS REV. - TEUTO BRAS
CLORIDRATO CIPROFLOXACINO GEN.500MG 2BLX7CPDS - EMS GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.500MG 2BLX7CPDS REV. - GERMED GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.500MG 2X7CPDS - MEDLEY
CLORIDRATO CIPROFLOXACINO GEN.500MG 2X7CPDS REV. - LEGRAND GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.500MG 6CPDS - ARROW
CLORIDRATO CIPROFLOXACINO GEN.500MG 6CPDS - EMS GENERICOS
CLORIDRATO CIPROFLOXACINO GEN.500MG 6CPDS - SANDOZ
CLORIDRATO CIPROFLOXACINO GEN.500MG 6CPDS - NEOQUIMICA
CLORIDRATO CIPROFLOXACINO GEN.500MG 6CPDS - BIOSINTETICA
CLORIDRATO CIPROFLOXACINO GEN.500MG 6CPDS - NOVA QUIMICA
CLORIDRATO CIPROFLOXACINO GEN.500MG 6CPDS REV. - MERCK S.A.
CLORIDRATO CIPROFLOXACINO GEN.500MG 7CPDS - MEDLEY
CLORIDRATO CIPROFLOXACINO+DEXAMETASONA GEN.3,5+1MG SOL.OFT.5ML - EMS GENERICOS
CLORIDRATO CIPROFLOXACINO+DEXAMETASONA GEN.3,5+1MG/ML SOL.OFT.5ML - GERMED GENERICOS
CLORIDRATO CIPROFLOXACINO+DEXAMETASONA GEN.SOL.OFTAL 5ML - LEGRAND GENERICOS
CLORIDRATO CLINDAMICINA GEN.300MG 12BLX6CAPS GEL. - EMS GENERICOS
CLORIDRATO CLINDAMICINA GEN.300MG 16CAPS GEL. - UNIAO QUIMICA
CLORIDRATO CLINDAMICINA GEN.300MG 16CAPS GEL.DURA - TEUTO BRAS
CLORIDRATO CLINDAMICINA GEN.300MG 2BLX8CAPS GEL. - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
111191
60624
118753
60625
140471
91288
88225
73976
88205
92378
42449
90682
92379
153756
94378
94181
105075
38157
105076
128191
94177
37354
37353
95043
105077
38158
105078
128192
94380
119765
165838
166084
166085
115825
139344
162953
162952
78957
129331
45657
166086
83413
139187
141151
139242
150683
141469
151400
DESCRICAO
CLORIDRATO CLINDAMICINA GEN.300MG 2BLX8CPDS GEL.DURA - GERMED GENERICOS
CLORIDRATO CLOBUTINOL GEN.4MG XPE.120ML - MEDLEY
CLORIDRATO CLOBUTINOL GEN.4MG/ML XPE.120ML - EMS GENERICOS
CLORIDRATO CLOBUTINOL GEN.60MG 20ML - MEDLEY
CLORIDRATO CLOBUTINOL+SUCCINATO DOXILAMINA GEN.4MG/ML+0,75MG/ML XPE.120ML - PRATI-DONADUZZI
CLORIDRATO CLOBUTINOL+SUCCINATO DOXILAMINA GEN.SOL.20ML - UNIAO QUIMICA
CLORIDRATO CLOBUTINOL+SUCCINATO DOXILAMINA GEN.XPE.120ML - MEDLEY
CLORIDRATO CLOBUTINOL+SUCCINATO DOXILAMINA GEN.XPE.120ML - UNIAO QUIMICA
CLORIDRATO CLOMIPRAMINA GEN.10MG 20CPDS REV. - EMS GENERICOS
CLORIDRATO CLOMIPRAMINA GEN.10MG 2X10CPDS - LEGRAND GENERICOS
CLORIDRATO CLOMIPRAMINA GEN.25MG 20CPDS REV. - EMS GENERICOS
CLORIDRATO CLOMIPRAMINA GEN.25MG 2BLX10CPDS - GERMED GENERICOS
CLORIDRATO CLOMIPRAMINA GEN.25MG 2X10CPDS - LEGRAND GENERICOS
CLORIDRATO CLORPROMAZINA GEN.5MG/ML 50AMP 5ML - HYPOFARMA
CLORIDRATO DILTIAZEM GEN.30MG 2BLX25CPDS - GERMED GENERICOS
CLORIDRATO DILTIAZEM GEN.30MG 2BLX25CPDS - EMS GENERICOS
CLORIDRATO DILTIAZEM GEN.30MG 30CPDS - RANBAXY
CLORIDRATO DILTIAZEM GEN.30MG 30CPDS - BIOSINTETICA
CLORIDRATO DILTIAZEM GEN.30MG 50CPDS - RANBAXY
CLORIDRATO DILTIAZEM GEN.30MG 50CPDS - NOVA QUIMICA
CLORIDRATO DILTIAZEM GEN.30MG 50CPDS - LEGRAND GENERICOS
CLORIDRATO DILTIAZEM GEN.60MG 25CPDS - EMS GENERICOS
CLORIDRATO DILTIAZEM GEN.60MG 2BLX25CPDS - EMS GENERICOS
CLORIDRATO DILTIAZEM GEN.60MG 2X25CPDS - LEGRAND GENERICOS
CLORIDRATO DILTIAZEM GEN.60MG 30CPDS - RANBAXY
CLORIDRATO DILTIAZEM GEN.60MG 30CPDS - BIOSINTETICA
CLORIDRATO DILTIAZEM GEN.60MG 50CPDS - RANBAXY
CLORIDRATO DILTIAZEM GEN.60MG 50CPDS - NOVA QUIMICA
CLORIDRATO DILTIAZEM GEN.60MG 50CPDS - GERMED GENERICOS
CLORIDRATO DOBUTAMINA GEN.12,5MG/ML 1AMP VIDRO 20ML - NOVAFARMA
CLORIDRATO DOBUTAMINA GEN.12,5MG/ML 50AMP VIDRO 20ML - NOVAFARMA
CLORIDRATO DOBUTAMINA GEN.12,5MG/ML SOL.INJ.10AMP 20ML(EMB.HOSP.) - NEOQUIMICA
CLORIDRATO DOBUTAMINA GEN.12,5MG/ML SOL.INJ.50AMP 20ML(EMB.HOSP.) - NEOQUIMICA
CLORIDRATO DOBUTAMINA GEN.14,0MG/ML 10AMP 20ML - HYPOFARMA
CLORIDRATO DONEPEZILA GEN.10MG 30CPDS - RANBAXY
CLORIDRATO DONEPEZILA GEN.10MG 30CPDS REV. - SANDOZ
CLORIDRATO DONEPEZILA GEN.5MG 30CPDS REV. - SANDOZ
CLORIDRATO DOPAMINA GEN.5MG/ML 10AMP 10ML - TEUTO BRAS
CLORIDRATO DOPAMINA GEN.5MG/ML 50AMP 10ML - TEUTO BRAS
CLORIDRATO DOPAMINA GEN.5MG/ML SOL.INJ.50AMP 10ML - UNIAO QUIMICA
CLORIDRATO DOPAMINA GEN.5MG/ML SOL.INJ.50AMP 10ML(EMB.HOSP.) - NEOQUIMICA
CLORIDRATO DORZOLAMIDA GEN.2% SOL.5ML - BIOSINTETICA
CLORIDRATO DORZOLAMIDA GEN.20MG/ML SOL.OFT.5ML - GERMED GENERICOS
CLORIDRATO DORZOLAMIDA GEN.20MG/ML SOL.OFT.5ML - EMS GENERICOS
CLORIDRATO DORZOLAMIDA GEN.20MG/ML SOL.OFTAL.5ML - LEGRAND GENERICOS
CLORIDRATO DORZOLAMIDA+MALEATO TIMOLOL GEN.20+5MG/ML SOL.OFT.5ML - EMS GENERICOS
CLORIDRATO DORZOLAMIDA+MALEATO TIMOLOL GEN.20MG/ML+5MG/ML GTS.5,0ML - TEUTO BRAS
CLORIDRATO DORZOLAMIDA+MALEATO TIMOLOL GEN.SOL.OFTAL.5ML - LEGRAND GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
141867
37358
69856
91622
110432
103059
137822
103060
49176
141859
141860
141858
115408
115409
84949
85925
89475
84948
85926
89476
111179
111185
111180
111186
110931
89428
94197
68385
110932
145504
89429
111312
94198
37359
42451
128193
103727
139386
115393
38159
94382
94184
37360
94178
111313
99825
167271
138685
DESCRICAO
CLORIDRATO DORZOLAMINA+MALEATO TIMOLOL GEN.20+5MG/ML SOL.OFT.5ML - GERMED GENERICOS
CLORIDRATO DOXICICLINA GEN.100MG 15CPDS - EMS GENERICOS
CLORIDRATO DOXICICLINA GEN.100MG 15CPDS - RANBAXY
CLORIDRATO DOXICICLINA GEN.100MG 15CPDS REV. - LEGRAND GENERICOS
CLORIDRATO DOXICICLINA GEN.100MG 6BLX10CPDS REV. - EMS GENERICOS
CLORIDRATO DOXORRUBICINA GEN.10MG 1FA - GLENMARK
CLORIDRATO DOXORRUBICINA GEN.50MG 10FA 50ML - EUROFARMA
CLORIDRATO DOXORRUBICINA GEN.50MG 1FA - GLENMARK
CLORIDRATO DOXORRUBICINA GEN.50MG 1FA - EUROFARMA
CLORIDRATO EPIRRUBICINA GEN.2MG/ML SOL.INJ.1FR 10ML - ACCORD
CLORIDRATO EPIRRUBICINA GEN.2MG/ML SOL.INJ.1FR 25ML - ACCORD
CLORIDRATO EPIRRUBICINA GEN.2MG/ML SOL.INJ.1FR 5ML - ACCORD
CLORIDRATO FENOXAZOLINA GEN.0,5MG/ML SOL.NASAL INF.10ML - EMS GENERICOS
CLORIDRATO FENOXAZOLINA GEN.1,0MG/ML SOL.NASAL ADU.10ML - EMS GENERICOS
CLORIDRATO FEXOFENADINA GEN.120MG 10CPDS - RANBAXY
CLORIDRATO FEXOFENADINA GEN.120MG 10CPDS - BRAINFARMA
CLORIDRATO FEXOFENADINA GEN.120MG 10CPDS - NOVA QUIMICA
CLORIDRATO FEXOFENADINA GEN.180MG 10CPDS - RANBAXY
CLORIDRATO FEXOFENADINA GEN.180MG 10CPDS - BRAINFARMA
CLORIDRATO FEXOFENADINA GEN.180MG 10CPDS - NOVA QUIMICA
CLORIDRATO FLUOXETINA GEN.10MG 2BLX10CAPS - EMS GENERICOS
CLORIDRATO FLUOXETINA GEN.10MG 2BLX10CAPS GEL.DURA - GERMED GENERICOS
CLORIDRATO FLUOXETINA GEN.10MG 4BLX7CAPS - EMS GENERICOS
CLORIDRATO FLUOXETINA GEN.10MG 4BLX7CAPS GEL.DURA - GERMED GENERICOS
CLORIDRATO FLUOXETINA GEN.20MG 14CAPS - MEDLEY
CLORIDRATO FLUOXETINA GEN.20MG 14CAPS - NOVA QUIMICA
CLORIDRATO FLUOXETINA GEN.20MG 14CPDS - EMS GENERICOS
CLORIDRATO FLUOXETINA GEN.20MG 20CAPS - SANDOZ
CLORIDRATO FLUOXETINA GEN.20MG 28CAPS - MEDLEY
CLORIDRATO FLUOXETINA GEN.20MG 28CAPS - HIPOLABOR
CLORIDRATO FLUOXETINA GEN.20MG 28CAPS - NOVA QUIMICA
CLORIDRATO FLUOXETINA GEN.20MG 28CAPS GEL.DURA - TEUTO BRAS
CLORIDRATO FLUOXETINA GEN.20MG 28CPDS - EMS GENERICOS
CLORIDRATO FLUOXETINA GEN.20MG 2BLX7CAPS GEL.DURA - GERMED GENERICOS
CLORIDRATO FLUOXETINA GEN.20MG 30CAPS - SANDOZ
CLORIDRATO FLUOXETINA GEN.20MG 30CAPS - NOVA QUIMICA
CLORIDRATO FLUOXETINA GEN.20MG 30CAPS GEL - MERCK S.A.
CLORIDRATO FLUOXETINA GEN.20MG 30CAPS GEL. - ZYDUS NIKKHO
CLORIDRATO FLUOXETINA GEN.20MG 30CPDS - RANBAXY
CLORIDRATO FLUOXETINA GEN.20MG 30CPDS - BIOSINTETICA
CLORIDRATO FLUOXETINA GEN.20MG 30CPDS REV. - GERMED GENERICOS
CLORIDRATO FLUOXETINA GEN.20MG 3X10CPDS - LEGRAND GENERICOS
CLORIDRATO FLUOXETINA GEN.20MG 4BLX7CAPS GEL.DURA - GERMED GENERICOS
CLORIDRATO FLUOXETINA GEN.20MG 4X7CAPS - LEGRAND GENERICOS
CLORIDRATO FLUOXETINA GEN.20MG 70CAPS GEL.DURA - TEUTO BRAS
CLORIDRATO FLUOXETINA GEN.20MG/ML 20ML - MEDLEY
CLORIDRATO FLUOXETINA GEN.20MG/ML SOL.ORAL 20ML - TEUTO BRAS
CLORIDRATO GENCITABINA GEN.1000MG PO LIOF.1FA 50ML - ACCORD
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
156658
133432
156659
133433
138684
90224
155095
159627
152109
150927
150928
150684
144905
140291
143324
74626
140192
140193
138694
138695
74625
42815
120576
101119
101593
112085
112084
141471
167263
120575
37708
31326
153697
153698
37710
159262
153692
153548
153693
159263
120850
110468
103800
83389
87291
104094
103964
93421
DESCRICAO
CLORIDRATO GENCITABINA GEN.1G 10FA 50ML - EUROFARMA
CLORIDRATO GENCITABINA GEN.1G 1FA 50ML - EUROFARMA
CLORIDRATO GENCITABINA GEN.200MG 10FA 100ML - EUROFARMA
CLORIDRATO GENCITABINA GEN.200MG 1FA 10ML - EUROFARMA
CLORIDRATO GENCITABINA GEN.200MG PO LIOF.1FA 10ML - ACCORD
CLORIDRATO GRANISETRONA GEN.1AMP 3ML - EUROFARMA
CLORIDRATO GRANISETRONA GEN.1MG/ML SOL.INJ.10AMP 3ML - EUROFARMA
CLORIDRATO GRANISETRONA GEN.1MG/ML SOL.INJ.50AMP 3ML - NOVAFARMA
CLORIDRATO HIDROXIZINA GEN.10MG/5ML 120ML - NEOQUIMICA
CLORIDRATO HIDROXIZINA GEN.25MG 30CPDS - LEGRAND GENERICOS
CLORIDRATO HIDROXIZINA GEN.25MG 30CPDS - GERMED GENERICOS
CLORIDRATO HIDROXIZINA GEN.25MG 30CPDS - EMS GENERICOS
CLORIDRATO HIDROXIZINA GEN.2MG/ML 120ML - LEGRAND GENERICOS
CLORIDRATO HIDROXIZINA GEN.2MG/ML 1FA 100ML+SD - BRAINFARMA
CLORIDRATO HIDROXIZINA GEN.2MG/ML SOL.ORAL 120ML - GERMED GENERICOS
CLORIDRATO IRINOTECANO GEN.100MG 1FA 5ML - EUROFARMA
CLORIDRATO IRINOTECANO GEN.20MG/ML 1FA 2ML - GLENMARK
CLORIDRATO IRINOTECANO GEN.20MG/ML 1FA 5ML - GLENMARK
CLORIDRATO IRINOTECANO GEN.20MG/ML SOL.INJ.1FA 2ML - ACCORD
CLORIDRATO IRINOTECANO GEN.20MG/ML SOL.INJ.1FA 5ML - ACCORD
CLORIDRATO IRINOTECANO GEN.40MG 1FA 2ML - EUROFARMA
CLORIDRATO LIDOCAINA GEN.2% GEL.30GRS - CRISTALIA
CLORIDRATO LIDOCAINA GEN.20MG/G GEL 100X30GRS - HIPOLABOR
CLORIDRATO LIDOCAINA GEN.20MG/G GEL 30G - EMS GENERICOS
CLORIDRATO LIDOCAINA GEN.20MG/G GEL 30GRS - LEGRAND GENERICOS
CLORIDRATO LIDOCAINA GEN.20MG/ML 12FA 20ML - BLAU
CLORIDRATO LIDOCAINA GEN.20MG/ML 1FA 20ML - BLAU
CLORIDRATO LIDOCAINA GEN.20MG/ML SOL.50FA 20ML - TEUTO BRAS
CLORIDRATO LIDOCAINA GEN.20MG/ML SOL.INJ.25FA 20ML - NOVAFARMA
CLORIDRATO LIDOCAINA GEN.GEL 20MG/G 30GRS - HIPOLABOR
CLORIDRATO LINCOMICINA GEN.300MG/ML 1AMP 1ML - NEOQUIMICA
CLORIDRATO LINCOMICINA GEN.300MG/ML 1AMP 2ML - TEUTO BRAS
CLORIDRATO LINCOMICINA GEN.300MG/ML 50AMP 1ML - NEOQUIMICA
CLORIDRATO LINCOMICINA GEN.300MG/ML SOL.INJ.50AMP 2ML(EMB.HOSP.) - NEOQUIMICA
CLORIDRATO LINCOMICINA GEN.600MG/ML 1AMP 2ML - NEOQUIMICA
CLORIDRATO MEMANTINA GEN.10MG 15CPDS REV. - ARROW
CLORIDRATO MEMANTINA GEN.10MG 30CPDS REV. - EUROFARMA
CLORIDRATO MEMANTINA GEN.10MG 30CPDS REV. - ARROW
CLORIDRATO MEMANTINA GEN.10MG 60CPDS REV. - EUROFARMA
CLORIDRATO MEMANTINA GEN.10MG 60CPDS REV. - ARROW
CLORIDRATO MEMANTINA GEN.10MG 60CPDS REV. - APSEN
CLORIDRATO METFORMINA GEN.1G 15BLX6CPDS REV. - EMS GENERICOS
CLORIDRATO METFORMINA GEN.1G 30CPDS - BIOSINTETICA
CLORIDRATO METFORMINA GEN.1G 30CPDS - MERCK S.A.
CLORIDRATO METFORMINA GEN.1G 30CPDS REV. - EMS GENERICOS
CLORIDRATO METFORMINA GEN.1G 30CPDS REV. - AUROBINDO
CLORIDRATO METFORMINA GEN.1G 30CPDS REV. - SANDOZ
CLORIDRATO METFORMINA GEN.1G 3X10CPDS - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
107050
150235
76563
84052
145038
103965
89477
159602
45004
87293
95547
104092
167383
43728
81800
84055
150921
103801
145039
96177
96186
104093
138675
107051
138677
138679
137112
153603
76564
84053
140472
95548
43263
89478
124361
87292
138674
104095
167386
43729
103966
138676
124008
138680
81801
84057
103802
124362
DESCRICAO
CLORIDRATO METFORMINA GEN.500MG 15BLX6CPDS REV. - EMS GENERICOS
CLORIDRATO METFORMINA GEN.500MG 30CPDS - TEUTO BRAS
CLORIDRATO METFORMINA GEN.500MG 30CPDS - RANBAXY
CLORIDRATO METFORMINA GEN.500MG 30CPDS - MEDLEY
CLORIDRATO METFORMINA GEN.500MG 30CPDS - SANOFI-AVENTIS
CLORIDRATO METFORMINA GEN.500MG 30CPDS - SANDOZ
CLORIDRATO METFORMINA GEN.500MG 30CPDS - NOVA QUIMICA
CLORIDRATO METFORMINA GEN.500MG 30CPDS REV. - PRATI-DONADUZZI
CLORIDRATO METFORMINA GEN.500MG 30CPDS REV. - MERCK S.A.
CLORIDRATO METFORMINA GEN.500MG 30CPDS REV. - EMS GENERICOS
CLORIDRATO METFORMINA GEN.500MG 30CPDS REV. - BRAINFARMA
CLORIDRATO METFORMINA GEN.500MG 30CPDS REV. - AUROBINDO
CLORIDRATO METFORMINA GEN.500MG 320CPDS - PRATI-DONADUZZI
CLORIDRATO METFORMINA GEN.500MG 3X10CPDS - BIOSINTETICA
CLORIDRATO METFORMINA GEN.500MG 60CPDS - MERCK S.A.
CLORIDRATO METFORMINA GEN.500MG 60CPDS - MEDLEY
CLORIDRATO METFORMINA GEN.500MG 60CPDS - TEUTO BRAS
CLORIDRATO METFORMINA GEN.500MG 60CPDS - BIOSINTETICA
CLORIDRATO METFORMINA GEN.500MG 60CPDS - SANOFI-AVENTIS
CLORIDRATO METFORMINA GEN.500MG 60CPDS REV. - GERMED GENERICOS
CLORIDRATO METFORMINA GEN.500MG 60CPDS REV. - EMS GENERICOS
CLORIDRATO METFORMINA GEN.500MG 60CPDS REV. - AUROBINDO
CLORIDRATO METFORMINA GEN.850MG 105CPDS REV. - ACCORD
CLORIDRATO METFORMINA GEN.850MG 15BLX6CPDS REV. - EMS GENERICOS
CLORIDRATO METFORMINA GEN.850MG 15CPDS REV. - ACCORD
CLORIDRATO METFORMINA GEN.850MG 210CPDS REV. - ACCORD
CLORIDRATO METFORMINA GEN.850MG 30CPDS - BUNKER
CLORIDRATO METFORMINA GEN.850MG 30CPDS - CIMED
CLORIDRATO METFORMINA GEN.850MG 30CPDS - RANBAXY
CLORIDRATO METFORMINA GEN.850MG 30CPDS - MEDLEY
CLORIDRATO METFORMINA GEN.850MG 30CPDS - PRATI-DONADUZZI
CLORIDRATO METFORMINA GEN.850MG 30CPDS - BRAINFARMA
CLORIDRATO METFORMINA GEN.850MG 30CPDS - MERCK S.A.
CLORIDRATO METFORMINA GEN.850MG 30CPDS - NOVA QUIMICA
CLORIDRATO METFORMINA GEN.850MG 30CPDS - TEUTO BRAS
CLORIDRATO METFORMINA GEN.850MG 30CPDS REV. - EMS GENERICOS
CLORIDRATO METFORMINA GEN.850MG 30CPDS REV. - ACCORD
CLORIDRATO METFORMINA GEN.850MG 30CPDS REV. - AUROBINDO
CLORIDRATO METFORMINA GEN.850MG 320CPDS - PRATI-DONADUZZI
CLORIDRATO METFORMINA GEN.850MG 3X10CPDS - BIOSINTETICA
CLORIDRATO METFORMINA GEN.850MG 3X10CPDS - SANDOZ
CLORIDRATO METFORMINA GEN.850MG 450CPDS REV. - ACCORD
CLORIDRATO METFORMINA GEN.850MG 50CPDS - TEUTO BRAS
CLORIDRATO METFORMINA GEN.850MG 600CPDS REV. - ACCORD
CLORIDRATO METFORMINA GEN.850MG 60CPDS - MERCK S.A.
CLORIDRATO METFORMINA GEN.850MG 60CPDS - MEDLEY
CLORIDRATO METFORMINA GEN.850MG 60CPDS - BIOSINTETICA
CLORIDRATO METFORMINA GEN.850MG 60CPDS - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
97133
96178
104096
101662
128174
111316
124363
145505
139410
71688
133474
94201
165880
31327
69850
69849
150236
166967
166022
166969
166973
103132
94192
70881
120848
111827
169682
159620
169681
99827
113946
113947
97505
131761
131762
113948
99381
131763
131764
113949
158609
138125
145067
145068
153750
119138
153752
104923
DESCRICAO
CLORIDRATO METFORMINA GEN.850MG 60CPDS REV. - EMS GENERICOS
CLORIDRATO METFORMINA GEN.850MG 60CPDS REV. - GERMED GENERICOS
CLORIDRATO METFORMINA GEN.850MG 60CPDS REV. - AUROBINDO
CLORIDRATO METFORMINA GEN.850MG 6X10CPDS - RANBAXY
CLORIDRATO METOCLOPRAMIDA GEN.10MG 20CPDS - SANOFI-AVENTIS
CLORIDRATO METOCLOPRAMIDA GEN.10MG/2ML 100AMP 2ML - TEUTO BRAS
CLORIDRATO METOCLOPRAMIDA GEN.10MG/2ML 120AMP 2ML - TEUTO BRAS
CLORIDRATO METOCLOPRAMIDA GEN.10ML - HIPOLABOR
CLORIDRATO METOCLOPRAMIDA GEN.4MG 10ML - MARIOL
CLORIDRATO METOCLOPRAMIDA GEN.4MG 10ML+CTA.GTAS. SOL. ORAL - MEDLEY
CLORIDRATO METOCLOPRAMIDA GEN.4MG/ML GTS.10ML - SANOFI-AVENTIS
CLORIDRATO METOCLOPRAMIDA GEN.4MG/ML GTS.10ML - EMS GENERICOS
CLORIDRATO METOCLOPRAMIDA GEN.4MG/ML GTS.10ML - OSORIO DE MORAES
CLORIDRATO METOCLOPRAMIDA GEN.4MG/ML SOL.ORAL GTS.10ML - TEUTO BRAS
CLORIDRATO MINOCICLINA GEN.100MG 30CPDS - RANBAXY
CLORIDRATO MINOCICLINA GEN.100MG 9CPDS - RANBAXY
CLORIDRATO NAFAZOLINA 0,5MG/ML SOL.NAS.FR.30ML - TEUTO BRAS
CLORIDRATO NAFAZOLINA GEN.0,50MG/ML SOL.NASAL 24FR 30ML - MARIOL
CLORIDRATO NAFAZOLINA GEN.0,50MG/ML SOL.NASAL 30ML - MARIOL
CLORIDRATO NAFAZOLINA GEN.0,50MG/ML SOL.NASAL 48FR 30ML - MARIOL
CLORIDRATO NAFAZOLINA GEN.0,50MG/ML SOL.NASAL 96FR 30ML - MARIOL
CLORIDRATO NAFAZOLINA GEN.0,5MG GTS.30ML - ARROW
CLORIDRATO NAFAZOLINA GEN.0,5MG/ML 30ML - EMS GENERICOS
CLORIDRATO NAFAZOLINA GEN.0,5MG/ML 30ML - MEDLEY
CLORIDRATO NAFAZOLINA GEN.0,5MG/ML GTS.30ML - NEOQUIMICA
CLORIDRATO NAFAZOLINA GEN.0,5MG/ML SOL.30ML - NOVA QUIMICA
CLORIDRATO NARATRIPTANA GEN.2,5MG 10CPDS REV. - LEGRAND GENERICOS
CLORIDRATO NARATRIPTANA GEN.2,5MG 4CPDS REV. - EMS GENERICOS
CLORIDRATO NARATRIPTANA GEN.2,5MG 4CPDS REV. - LEGRAND GENERICOS
CLORIDRATO NORTRIPTILINA GEN.10MG 30CAPS - EUROFARMA
CLORIDRATO NORTRIPTILINA GEN.25MG 20CAPS - RANBAXY
CLORIDRATO NORTRIPTILINA GEN.25MG 30CAPS - RANBAXY
CLORIDRATO NORTRIPTILINA GEN.25MG 30CAPS - EUROFARMA
CLORIDRATO NORTRIPTILINA GEN.50MG 20CAPS - MEDLEY
CLORIDRATO NORTRIPTILINA GEN.50MG 30CAPS - MEDLEY
CLORIDRATO NORTRIPTILINA GEN.50MG 30CAPS - RANBAXY
CLORIDRATO NORTRIPTILINA GEN.50MG 30CAPS - EUROFARMA
CLORIDRATO NORTRIPTILINA GEN.75MG 20CAPS - MEDLEY
CLORIDRATO NORTRIPTILINA GEN.75MG 30CAPS - MEDLEY
CLORIDRATO NORTRIPTILINA GEN.75MG 30CAPS - RANBAXY
CLORIDRATO NORTRIPTILINA GEN.75MG 30CPDS - HIPOLABOR
CLORIDRATO NORTRIPTILINA GEN.75MG 500CAPS - HIPOLABOR
CLORIDRATO ONDANSETRONA GEN.2MG/ML 100AMP 2ML - HALEX ISTAR
CLORIDRATO ONDANSETRONA GEN.2MG/ML 100AMP 4ML - HALEX ISTAR
CLORIDRATO ONDANSETRONA GEN.2MG/ML 50AMP 2ML - HYPOFARMA
CLORIDRATO ONDANSETRONA GEN.2MG/ML 50AMP 2ML - NOVAFARMA
CLORIDRATO ONDANSETRONA GEN.2MG/ML 50AMP 4ML - HYPOFARMA
CLORIDRATO OXIBUTININA GEN.1MG/ML XPE.120ML - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
101120
98969
101121
98967
98968
139341
93821
97147
99920
69877
89431
129623
139342
167272
165263
163526
165262
165264
81829
92766
93822
97148
99921
69878
89432
151227
129624
139343
139387
81830
92767
144901
143327
143202
111874
170623
170637
170630
170624
170638
170631
170625
170626
170632
166041
136539
145093
91276
DESCRICAO
CLORIDRATO OXIMETAZOLINA GEN.0,25MG/ML SOL.NASAL 20ML - EMS GENERICOS
CLORIDRATO OXIMETAZOLINA GEN.0,25MG/ML SOL.NASAL 20ML - TEUTO BRAS
CLORIDRATO OXIMETAZOLINA GEN.0,50MG/ML SOL.NASAL 30ML - EMS GENERICOS
CLORIDRATO OXIMETAZOLINA GEN.0,5MG/ML SOL.NASAL 10ML - TEUTO BRAS
CLORIDRATO OXIMETAZOLINA GEN.0,5MG/ML SOL.NASAL 30ML - TEUTO BRAS
CLORIDRATO PAROXETINA GEN.20MG 10CPDS REV. - AUROBINDO
CLORIDRATO PAROXETINA GEN.20MG 20CPDS - BIOSINTETICA
CLORIDRATO PAROXETINA GEN.20MG 20CPDS - MERCK S.A.
CLORIDRATO PAROXETINA GEN.20MG 20CPDS - ARROW
CLORIDRATO PAROXETINA GEN.20MG 20CPDS - RANBAXY
CLORIDRATO PAROXETINA GEN.20MG 20CPDS - NOVA QUIMICA
CLORIDRATO PAROXETINA GEN.20MG 20CPDS REV. - MEDLEY
CLORIDRATO PAROXETINA GEN.20MG 20CPDS REV. - AUROBINDO
CLORIDRATO PAROXETINA GEN.20MG 20CPDS REV. - TEUTO BRAS
CLORIDRATO PAROXETINA GEN.20MG 2BLX10CPDS REV. - EMS GENERICOS
CLORIDRATO PAROXETINA GEN.20MG 2BLX15CPDS REV. - LEGRAND GENERICOS
CLORIDRATO PAROXETINA GEN.20MG 2BLX15CPDS REV. - GERMED GENERICOS
CLORIDRATO PAROXETINA GEN.20MG 2BLX15CPDS REV. - EMS GENERICOS
CLORIDRATO PAROXETINA GEN.20MG 2X10CPDS - EUROFARMA
CLORIDRATO PAROXETINA GEN.20MG 2X10CPDS - BRAINFARMA
CLORIDRATO PAROXETINA GEN.20MG 30CPDS - BIOSINTETICA
CLORIDRATO PAROXETINA GEN.20MG 30CPDS - MERCK S.A.
CLORIDRATO PAROXETINA GEN.20MG 30CPDS - ARROW
CLORIDRATO PAROXETINA GEN.20MG 30CPDS - RANBAXY
CLORIDRATO PAROXETINA GEN.20MG 30CPDS - NOVA QUIMICA
CLORIDRATO PAROXETINA GEN.20MG 30CPDS REV. - TEUTO BRAS
CLORIDRATO PAROXETINA GEN.20MG 30CPDS REV. - MEDLEY
CLORIDRATO PAROXETINA GEN.20MG 30CPDS REV. - AUROBINDO
CLORIDRATO PAROXETINA GEN.20MG 30CPDS REV. - ZYDUS NIKKHO
CLORIDRATO PAROXETINA GEN.20MG 3X10CPDS - EUROFARMA
CLORIDRATO PAROXETINA GEN.20MG 3X10CPDS - BRAINFARMA
CLORIDRATO PAROXETINA GEN.30MG 2BLX15CPDS - EMS GENERICOS
CLORIDRATO PAROXETINA GEN.30MG 2BLX15CPDS REV. - GERMED GENERICOS
CLORIDRATO PAROXETINA GEN.30MG 2X15CPDS REV. - LEGRAND GENERICOS
CLORIDRATO PETIDINA GEN.50MG/ML SOL.INJ.25AMP 2ML - UNIAO QUIMICA
CLORIDRATO PIOGLITAZONA GEN.15MG 15CPDS - EMS GENERICOS
CLORIDRATO PIOGLITAZONA GEN.15MG 15CPDS - LEGRAND GENERICOS
CLORIDRATO PIOGLITAZONA GEN.15MG 15CPDS - GERMED GENERICOS
CLORIDRATO PIOGLITAZONA GEN.30MG 15CPDS - EMS GENERICOS
CLORIDRATO PIOGLITAZONA GEN.30MG 15CPDS - LEGRAND GENERICOS
CLORIDRATO PIOGLITAZONA GEN.30MG 15CPDS - GERMED GENERICOS
CLORIDRATO PIOGLITAZONA GEN.30MG 30CPDS - EMS GENERICOS
CLORIDRATO PIOGLITAZONA GEN.45MG 15CPDS - EMS GENERICOS
CLORIDRATO PIOGLITAZONA GEN.45MG 15CPDS - GERMED GENERICOS
CLORIDRATO PROMETAZINA GEN.25MG 120CPDS REV. - PRATI-DONADUZZI
CLORIDRATO PROMETAZINA GEN.25MG 20CPDS - SANOFI-AVENTIS
CLORIDRATO PROMETAZINA GEN.25MG 20CPDS REV. - PRATI-DONADUZZI
CLORIDRATO PROPRANOLOL GEN.10MG 2BLX15CPDS - GERMED GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
129625
78959
163424
91277
79478
129626
71714
166080
84074
64814
84075
82751
166042
140491
91278
129627
80199
71715
111305
43978
82794
81042
103164
43979
56195
82795
81043
165763
132234
137186
35299
115410
115460
56838
111304
129659
106602
115052
94115
133672
43980
56196
82796
81044
43981
134262
115971
81045
DESCRICAO
CLORIDRATO PROPRANOLOL GEN.10MG 30CPDS - MEDLEY
CLORIDRATO PROPRANOLOL GEN.40MG 100CPDS - TEUTO BRAS
CLORIDRATO PROPRANOLOL GEN.40MG 270CPDS(EMB.FRAC.) - PRATI-DONADUZZI
CLORIDRATO PROPRANOLOL GEN.40MG 2BLX15CPDS - GERMED GENERICOS
CLORIDRATO PROPRANOLOL GEN.40MG 30CPDS - NEOQUIMICA
CLORIDRATO PROPRANOLOL GEN.40MG 30CPDS - MEDLEY
CLORIDRATO PROPRANOLOL GEN.40MG 30CPDS - TEUTO BRAS
CLORIDRATO PROPRANOLOL GEN.40MG 3BLX10CPDS - CIMED
CLORIDRATO PROPRANOLOL GEN.40MG 3BLX10CPDS - UNIAO QUIMICA
CLORIDRATO PROPRANOLOL GEN.40MG 40CPDS - TEUTO BRAS
CLORIDRATO PROPRANOLOL GEN.40MG 4BLX10CPDS - UNIAO QUIMICA
CLORIDRATO PROPRANOLOL GEN.40MG 4BLX15CPDS - GERMED GENERICOS
CLORIDRATO PROPRANOLOL GEN.40MG BL LEIT.20CPDS - PRATI-DONADUZZI
CLORIDRATO PROPRANOLOL GEN.40MG BL PLAST.20CPDS - PRATI-DONADUZZI
CLORIDRATO PROPRANOLOL GEN.80MG 2BLX15CPDS - GERMED GENERICOS
CLORIDRATO PROPRANOLOL GEN.80MG 30CPDS - MEDLEY
CLORIDRATO PROPRANOLOL GEN.80MG 30CPDS - NEOQUIMICA
CLORIDRATO PROPRANOLOL GEN.80MG 30CPDS - TEUTO BRAS
CLORIDRATO RANITIDINA GEN.150MG 100CPDS - TEUTO BRAS
CLORIDRATO RANITIDINA GEN.150MG 10CPDS - MEDLEY
CLORIDRATO RANITIDINA GEN.150MG 10CPDS - TEUTO BRAS
CLORIDRATO RANITIDINA GEN.150MG 10CPDS - ATIVUS
CLORIDRATO RANITIDINA GEN.150MG 10CPDS REV. - EMS GENERICOS
CLORIDRATO RANITIDINA GEN.150MG 20CPDS - MEDLEY
CLORIDRATO RANITIDINA GEN.150MG 20CPDS - SANDOZ
CLORIDRATO RANITIDINA GEN.150MG 20CPDS - TEUTO BRAS
CLORIDRATO RANITIDINA GEN.150MG 20CPDS - ATIVUS
CLORIDRATO RANITIDINA GEN.150MG 20CPDS REV. - BIOSINTETICA
CLORIDRATO RANITIDINA GEN.150MG 2BLX10CPDS REV. - GERMED GENERICOS
CLORIDRATO RANITIDINA GEN.150MG 2X10CPDS REV. - LEGRAND GENERICOS
CLORIDRATO RANITIDINA GEN.150MG 5BLX4CPDS REV. - EMS GENERICOS
CLORIDRATO RANITIDINA GEN.150MG/10ML XPE.120ML - EMS GENERICOS
CLORIDRATO RANITIDINA GEN.15MG/ML XPE.120ML - GERMED GENERICOS
CLORIDRATO RANITIDINA GEN.25MG SOL.INJ.50AMP 2ML - UNIAO QUIMICA
CLORIDRATO RANITIDINA GEN.25MG/ML 100AMP 2ML - TEUTO BRAS
CLORIDRATO RANITIDINA GEN.25MG/ML 120AMP 2ML - TEUTO BRAS
CLORIDRATO RANITIDINA GEN.25MG/ML 50AMP 2ML - ASPEN
CLORIDRATO RANITIDINA GEN.25MG/ML 50AMP 2ML - NOVAFARMA
CLORIDRATO RANITIDINA GEN.25MG/ML 5AMP 2ML - TEUTO BRAS
CLORIDRATO RANITIDINA GEN.300MG 100CPDS - TEUTO BRAS
CLORIDRATO RANITIDINA GEN.300MG 10CPDS - MEDLEY
CLORIDRATO RANITIDINA GEN.300MG 10CPDS - SANDOZ
CLORIDRATO RANITIDINA GEN.300MG 10CPDS - TEUTO BRAS
CLORIDRATO RANITIDINA GEN.300MG 10CPDS - ATIVUS
CLORIDRATO RANITIDINA GEN.300MG 20CPDS - MEDLEY
CLORIDRATO RANITIDINA GEN.300MG 20CPDS - TEUTO BRAS
CLORIDRATO RANITIDINA GEN.300MG 20CPDS - SANDOZ
CLORIDRATO RANITIDINA GEN.300MG 20CPDS - ATIVUS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
165764
103166
81046
132235
76868
36910
115381
115352
115351
48147
136816
104446
123098
105208
104844
104846
168715
136817
84279
95551
136819
115747
52401
84280
89461
104444
95549
128194
84281
104445
123097
105783
105780
104845
47676
47677
105741
92936
136820
68431
101665
89462
136664
168716
139393
149768
162724
119866
DESCRICAO
CLORIDRATO RANITIDINA GEN.300MG 20CPDS REV. - BIOSINTETICA
CLORIDRATO RANITIDINA GEN.300MG 2BLX5CPDS REV. - EMS GENERICOS
CLORIDRATO RANITIDINA GEN.300MG 30CPDS - ATIVUS
CLORIDRATO RANITIDINA GEN.300MG 4BLX5CPDS REV. - GERMED GENERICOS
CLORIDRATO RANITIDINA GEN.300MG 5BLX4CPDS REV. - EMS GENERICOS
CLORIDRATO RANITIDINA GEN.50MG 100AMP 2ML - HYPOFARMA
CLORIDRATO RANITIDINA GEN.XPE.120ML - LEGRAND GENERICOS
CLORIDRATO ROPIVACAINA GEN.10MG/ML 5AMP 20ML - EUROFARMA
CLORIDRATO ROPIVACAINA GEN.7,5MG/ML 5AMP 20ML - EUROFARMA
CLORIDRATO SELEGILINA GEN.5MG 2X15CPDS - BIOSINTETICA
CLORIDRATO SERTRALINA GEN.100MG 14CPDS - NEOQUIMICA
CLORIDRATO SERTRALINA GEN.100MG 14CPDS REV. - EMS GENERICOS
CLORIDRATO SERTRALINA GEN.100MG 14CPDS REV. - AUROBINDO
CLORIDRATO SERTRALINA GEN.100MG 20CPDS - EUROFARMA
CLORIDRATO SERTRALINA GEN.100MG 2BLX7CPDS REV. - GERMED GENERICOS
CLORIDRATO SERTRALINA GEN.100MG 2X7CPDS - LEGRAND GENERICOS
CLORIDRATO SERTRALINA GEN.100MG 30CPDS REV. - EUROFARMA
CLORIDRATO SERTRALINA GEN.50MG 10CPDS - NEOQUIMICA
CLORIDRATO SERTRALINA GEN.50MG 10CPDS - BIOSINTETICA
CLORIDRATO SERTRALINA GEN.50MG 10CPDS REV. - BRAINFARMA
CLORIDRATO SERTRALINA GEN.50MG 20CPDS - NEOQUIMICA
CLORIDRATO SERTRALINA GEN.50MG 20CPDS - SANDOZ
CLORIDRATO SERTRALINA GEN.50MG 20CPDS - RANBAXY
CLORIDRATO SERTRALINA GEN.50MG 20CPDS - BIOSINTETICA
CLORIDRATO SERTRALINA GEN.50MG 20CPDS - NOVA QUIMICA
CLORIDRATO SERTRALINA GEN.50MG 20CPDS REV. - EMS GENERICOS
CLORIDRATO SERTRALINA GEN.50MG 20CPDS REV. - BRAINFARMA
CLORIDRATO SERTRALINA GEN.50MG 28CPDS - NOVA QUIMICA
CLORIDRATO SERTRALINA GEN.50MG 28CPDS - BIOSINTETICA
CLORIDRATO SERTRALINA GEN.50MG 28CPDS REV. - EMS GENERICOS
CLORIDRATO SERTRALINA GEN.50MG 28CPDS REV. - AUROBINDO
CLORIDRATO SERTRALINA GEN.50MG 2BLX10CPDS REV. - GERMED GENERICOS
CLORIDRATO SERTRALINA GEN.50MG 2BLX14CPDS REV. - GERMED GENERICOS
CLORIDRATO SERTRALINA GEN.50MG 2X10CPDS - LEGRAND GENERICOS
CLORIDRATO SERTRALINA GEN.50MG 2X10CPDS - EUROFARMA
CLORIDRATO SERTRALINA GEN.50MG 2X14CPDS - EUROFARMA
CLORIDRATO SERTRALINA GEN.50MG 2X14CPDS - LEGRAND GENERICOS
CLORIDRATO SERTRALINA GEN.50MG 30CPDS - SANDOZ
CLORIDRATO SERTRALINA GEN.50MG 30CPDS - NEOQUIMICA
CLORIDRATO SERTRALINA GEN.50MG 30CPDS - MEDLEY
CLORIDRATO SERTRALINA GEN.50MG 30CPDS - RANBAXY
CLORIDRATO SERTRALINA GEN.50MG 30CPDS - NOVA QUIMICA
CLORIDRATO SERTRALINA GEN.50MG 30CPDS REV. - BRAINFARMA
CLORIDRATO SERTRALINA GEN.50MG 30CPDS REV. - EUROFARMA
CLORIDRATO SERTRALINA GEN.50MG 30CPDS REV. - ZYDUS NIKKHO
CLORIDRATO SERTRALINA GEN.50MG 30CPDS REV. - MERCK S.A.
CLORIDRATO SERTRALINA GEN.50MG 30CPDS REV. - EUROFARMA
CLORIDRATO SIBUTRAMINA GEN.10MG 30CAPS - BIOSINTETICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
139193
138297
139241
136748
122220
140566
119867
120829
139194
138298
139243
136749
143821
119795
119796
84282
48125
84283
57211
41689
127825
127824
140478
38479
137455
140479
158249
115461
42442
164581
68393
164580
136823
42444
140481
164629
136821
42445
164630
68394
136822
42443
110469
140486
159222
161032
161031
74121
DESCRICAO
CLORIDRATO SIBUTRAMINA GEN.10MG 3BLX10CAPS GEL. - EMS GENERICOS
CLORIDRATO SIBUTRAMINA GEN.10MG 3BLX10CAPS GEL.DURA - GERMED GENERICOS
CLORIDRATO SIBUTRAMINA GEN.10MG 3X10CAPS - LEGRAND GENERICOS
CLORIDRATO SIBUTRAMINA GEN.10MG 3X10CPDS - NOVA QUIMICA
CLORIDRATO SIBUTRAMINA GEN.15MG 10CAPS - SANDOZ
CLORIDRATO SIBUTRAMINA GEN.15MG 10CAPS GEL.DURA - GERMED GENERICOS
CLORIDRATO SIBUTRAMINA GEN.15MG 30CAPS - BIOSINTETICA
CLORIDRATO SIBUTRAMINA GEN.15MG 30CAPS - SANDOZ
CLORIDRATO SIBUTRAMINA GEN.15MG 3BLX10CAPS GEL. - EMS GENERICOS
CLORIDRATO SIBUTRAMINA GEN.15MG 3BLX10CAPS GEL.DURA - GERMED GENERICOS
CLORIDRATO SIBUTRAMINA GEN.15MG 3X10CAPS - LEGRAND GENERICOS
CLORIDRATO SIBUTRAMINA GEN.15MG 3X10CPDS - NOVA QUIMICA
CLORIDRATO SIBUTRAMINA MONOIDRATADA GEN.15MG 30CAPS GEL.DURA - TEUTO BRAS
CLORIDRATO SIBUTRAMINA MONOIDRATADO GEN.10MG 30CPDS - EUROFARMA
CLORIDRATO SIBUTRAMINA MONOIDRATADO GEN.15MG 30CPDS - EUROFARMA
CLORIDRATO SOTALOL GEN.120MG 3X10CPDS - BIOSINTETICA
CLORIDRATO SOTALOL GEN.160MG 20CPDS - SANDOZ
CLORIDRATO SOTALOL GEN.160MG 2X10CPDS - BIOSINTETICA
CLORIDRATO SOTALOL GEN.160MG 30CPDS - MERCK S.A.
CLORIDRATO TERBINAFINA GEN.1% CRM.20GRS - MEDLEY
CLORIDRATO TERBINAFINA GEN.10MG/G CRM.100X20GRS - HIPOLABOR
CLORIDRATO TERBINAFINA GEN.10MG/G CRM.20GRS - HIPOLABOR
CLORIDRATO TERBINAFINA GEN.10MG/G CRM.20GRS - PRATI-DONADUZZI
CLORIDRATO TERBINAFINA GEN.10MG/G CRM.DERM.20G - EMS GENERICOS
CLORIDRATO TERBINAFINA GEN.10MG/G CRM.DERM.20GRS - NEOQUIMICA
CLORIDRATO TERBINAFINA GEN.10MG/G SOL.TOPICA 30ML - PRATI-DONADUZZI
CLORIDRATO TERBINAFINA GEN.10MG/GR CRM.DERM.20GRS - TEUTO BRAS
CLORIDRATO TERBINAFINA GEN.10MG/ML CRM.DERM.20G - GERMED GENERICOS
CLORIDRATO TERBINAFINA GEN.125MG 14CPDS - MEDLEY
CLORIDRATO TERBINAFINA GEN.250MB 28CPDS - BIOSINTETICA
CLORIDRATO TERBINAFINA GEN.250MG 14CPDS - EMS GENERICOS
CLORIDRATO TERBINAFINA GEN.250MG 14CPDS - BIOSINTETICA
CLORIDRATO TERBINAFINA GEN.250MG 14CPDS - ARROW
CLORIDRATO TERBINAFINA GEN.250MG 14CPDS - MEDLEY
CLORIDRATO TERBINAFINA GEN.250MG 14CPDS - PRATI-DONADUZZI
CLORIDRATO TERBINAFINA GEN.250MG 14CPDS - ACHE
CLORIDRATO TERBINAFINA GEN.250MG 28CPDS - ARROW
CLORIDRATO TERBINAFINA GEN.250MG 28CPDS - MEDLEY
CLORIDRATO TERBINAFINA GEN.250MG 28CPDS - ACHE
CLORIDRATO TERBINAFINA GEN.250MG 2BLX14CPDS - EMS GENERICOS
CLORIDRATO TERBINAFINA GEN.250MG 7CPDS - ARROW
CLORIDRATO TERBINAFINA GEN.250MG 7CPDS - MEDLEY
CLORIDRATO TERBINAFINA GEN.250MG 9BLX10CPDS - EMS GENERICOS
CLORIDRATO TETRACICLINA GEN.500MG 12CAPS - PRATI-DONADUZZI
CLORIDRATO TETRACICLINA GEN.500MG 140CAPS GEL.DURA - PRATI-DONADUZZI
CLORIDRATO TETRACICLINA GEN.500MG 500CAPS - TEUTO BRAS
CLORIDRATO TETRACICLINA GEN.500MG 8CAPS - TEUTO BRAS
CLORIDRATO TETRACICLINA+ANFOTERICINA B GEN.25+12,5MG/G CRM.VAG.45G - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
140488
101594
131055
143325
128331
128379
128376
128158
131056
37561
44091
143326
128332
128380
128377
128159
136618
136619
100512
90683
138139
133636
95044
92785
94205
153131
95025
124002
56198
124003
124004
124005
100511
138138
84077
83211
145226
145227
84353
145228
169639
111324
129660
148988
137187
96330
141152
140567
DESCRICAO
CLORIDRATO TETRACICLINA+ANFOTERICINA B GEN.25MG/G+12,5MG/G CRM.VAG.45GRS+10APL. - PRATI-DONADUZZI
CLORIDRATO TETRACICLINA+ANFOTERICINA B GEN.CRM.VAG.45GRS+10APL - LEGRAND GENERICOS
CLORIDRATO TICLOPIDINA GEN.250MG 20CPDS - EUROFARMA
CLORIDRATO TICLOPIDINA GEN.250MG 20CPDS REV. - TEUTO BRAS
CLORIDRATO TICLOPIDINA GEN.250MG 20CPDS REV. - MEDLEY
CLORIDRATO TICLOPIDINA GEN.250MG 2BLX10CPDS REV. - GERMED GENERICOS
CLORIDRATO TICLOPIDINA GEN.250MG 2BLX10CPDS REV. - EMS GENERICOS
CLORIDRATO TICLOPIDINA GEN.250MG 2X10CPDS REV. - LEGRAND GENERICOS
CLORIDRATO TICLOPIDINA GEN.250MG 30CPDS - EUROFARMA
CLORIDRATO TICLOPIDINA GEN.250MG 30CPDS - BIOSINTETICA
CLORIDRATO TICLOPIDINA GEN.250MG 30CPDS - MERCK S.A.
CLORIDRATO TICLOPIDINA GEN.250MG 30CPDS REV. - TEUTO BRAS
CLORIDRATO TICLOPIDINA GEN.250MG 30CPDS REV. - MEDLEY
CLORIDRATO TICLOPIDINA GEN.250MG 3BLX10CPDS REV. - GERMED GENERICOS
CLORIDRATO TICLOPIDINA GEN.250MG 3BLX10CPDS REV. - EMS GENERICOS
CLORIDRATO TICLOPIDINA GEN.250MG 3X10CPDS REV. - LEGRAND GENERICOS
CLORIDRATO TIZANIDINA GEN.2MG 2X10CPDS - RANBAXY
CLORIDRATO TIZANIDINA GEN.2MG 3X10CPDS - RANBAXY
CLORIDRATO TRAMADOL GEN.100MG 6AMP - NOVA QUIMICA
CLORIDRATO TRAMADOL GEN.100MG SOL.ORAL 15ML - GERMED GENERICOS
CLORIDRATO TRAMADOL GEN.100MG/2ML 100X2ML - HIPOLABOR
CLORIDRATO TRAMADOL GEN.100MG/ML GTS.10ML - NEOQUIMICA
CLORIDRATO TRAMADOL GEN.50MG 10CAPS - LEGRAND GENERICOS
CLORIDRATO TRAMADOL GEN.50MG 10CAPS - MEDLEY
CLORIDRATO TRAMADOL GEN.50MG 10CAPS GEL - EMS GENERICOS
CLORIDRATO TRAMADOL GEN.50MG 10CAPS GEL - NEOQUIMICA
CLORIDRATO TRAMADOL GEN.50MG 10CAPS GEL.DURA - GERMED GENERICOS
CLORIDRATO TRAMADOL GEN.50MG 10CAPS GEL.DURA - TEUTO BRAS
CLORIDRATO TRAMADOL GEN.50MG 10CPDS - SANDOZ
CLORIDRATO TRAMADOL GEN.50MG 50CAPS GEL.DURA - TEUTO BRAS
CLORIDRATO TRAMADOL GEN.50MG 60AMP 1ML - TEUTO BRAS
CLORIDRATO TRAMADOL GEN.50MG 60AMP 2ML - TEUTO BRAS
CLORIDRATO TRAMADOL GEN.50MG 6AMP - NOVA QUIMICA
CLORIDRATO TRAMADOL GEN.50MG/ML 100X1ML - HIPOLABOR
CLORIDRATO TRAMADOL GEN.50MG/ML SOL.INJ.50AMP 1ML - UNIAO QUIMICA
CLORIDRATO TRAMADOL GEN.50MG/ML SOL.INJ.50AMP 2ML - UNIAO QUIMICA
CLORIDRATO VANCOMICINA GEN.500MG 1FA 10ML - ASPEN
CLORIDRATO VANCOMICINA GEN.500MG 25FA 10ML - ASPEN
CLORIDRATO VANCOMICINA GEN.500MG 50FA - EUROFARMA
CLORIDRATO VANCOMICINA GEN.500MG 50FA 10ML - ASPEN
CLORIDRATO VANCOMICINA GEN.500MG PO INJ.25FA 10ML - ABL
CLORIDRATO VANCOMICINA GEN.500MG PO LIOFILIZADO 1FA - TEUTO BRAS
CLORIDRATO VANCOMICINA GEN.500MG PO LIOFILIZADO 50FA - TEUTO BRAS
CLORIDRATO VENLAFAXINA 37,5MG 14CAPS - EUROFARMA
CLORIDRATO VENLAFAXINA GEN.150MG 14CAPS - LEGRAND GENERICOS
CLORIDRATO VENLAFAXINA GEN.150MG 14CAPS - EUROFARMA
CLORIDRATO VENLAFAXINA GEN.150MG 14CAPS GEL. - EMS GENERICOS
CLORIDRATO VENLAFAXINA GEN.150MG 14CAPS GEL.DURA LIB.PROLONG. - GERMED GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
160555
141153
137188
114360
114361
151723
160553
123659
151724
151722
123660
96329
160554
123661
114358
114359
151602
56200
150920
56201
170372
156690
127934
56199
133641
87294
140497
90684
111178
78960
64784
79553
135398
153685
79554
7080147
37944
76261
103165
76262
76263
82749
103169
111283
103610
94195
94196
1280012
DESCRICAO
CLORIDRATO VENLAFAXINA GEN.150MG 28CAPS GEL. - EUROFARMA
CLORIDRATO VENLAFAXINA GEN.150MG 2BLX15CAPS GEL. - EMS GENERICOS
CLORIDRATO VENLAFAXINA GEN.150MG 2X15CAPS - LEGRAND GENERICOS
CLORIDRATO VENLAFAXINA GEN.150MG GEL 15CAPS - MEDLEY
CLORIDRATO VENLAFAXINA GEN.150MG GEL 30CAPS - MEDLEY
CLORIDRATO VENLAFAXINA GEN.37,5MG 15CAPS GEL DURA LIB.CONTROL. - MEDLEY
CLORIDRATO VENLAFAXINA GEN.37,5MG 28CAPS GEL. - EUROFARMA
CLORIDRATO VENLAFAXINA GEN.37,5MG 28CPDS - BIOSINTETICA
CLORIDRATO VENLAFAXINA GEN.37,5MG 30CAPS GEL DURA LIB.CONTROL. - MEDLEY
CLORIDRATO VENLAFAXINA GEN.37,5MG 7CAPS GEL DURA LIB.CONTROL. - MEDLEY
CLORIDRATO VENLAFAXINA GEN.50MG 30CPDS - BIOSINTETICA
CLORIDRATO VENLAFAXINA GEN.75MG 14CAPS - EUROFARMA
CLORIDRATO VENLAFAXINA GEN.75MG 28CAPS GEL. - EUROFARMA
CLORIDRATO VENLAFAXINA GEN.75MG 28CPDS - BIOSINTETICA
CLORIDRATO VENLAFAXINA GEN.75MG GEL 15CAPS - MEDLEY
CLORIDRATO VENLAFAXINA GEN.75MG GEL 30CAPS - MEDLEY
CLORIDRATO VERAPAMIL 120MG 20CPDS REV.LIB.RETARD. - ACHE
CLORIDRATO VERAPAMIL GEN.120MG 20CPDS - SANDOZ
CLORIDRATO VERAPAMIL GEN.120MG 20CPDS REV. LIB.RETARD. - BIOSINTETICA
CLORIDRATO VERAPAMIL GEN.240MG 30CPDS - SANDOZ
CLORIDRATO VERAPAMIL GEN.240MG 30CPDS REV.LIB.RETARD. - ACHE
CLORIDRATO VERAPAMIL GEN.240MG 30CPDS REV.RETARD - BIOSINTETICA
CLORIDRATO VERAPAMIL GEN.80MG 30CPDS - BIOSINTETICA
CLORIDRATO VERAPAMIL GEN.80MG 30CPDS - SANDOZ
CLORIDRATO VERAPAMIL GEN.80MG 30CPDS - SANVAL
CLORIDRATO VERAPAMIL GEN.80MG 30CPDS REV. - EMS GENERICOS
CLORIDRATO VERAPAMIL GEN.80MG 30CPDS REV. - PRATI-DONADUZZI
CLORIDRATO VERAPAMIL GEN.80MG 3BLX10CPDS - GERMED GENERICOS
CLORIDRATO VERAPAMIL GEN.80MG 9BLX10CPDS REV. - EMS GENERICOS
CLORIDRATO VERAPAMIL GEN.80MG LAR.150CPDS - TEUTO BRAS
CLORIDRATO VERAPAMIL GEN.80MG LAR.30CPDS - TEUTO BRAS
CLORIZIN 25MG 20CPDS - CIFARMA
CLORIZIN 25MG 30CPDS - CIFARMA
CLORIZIN 25MG 500CPDS - CIFARMA
CLORIZIN 50MG 20CPDS - CIFARMA
CLORPROMAZ 100MG 100CPDS REV. - UNIAO QUIMICA
CLORPROMAZ 5MG/ML SOL.INJ.50AMP 5ML - UNIAO QUIMICA
CLORTALIDONA GEN.12,5MG 4BLX15CPDS - EMS GENERICOS
CLORTALIDONA GEN.12,5MG 9BLX10CPDS - EMS GENERICOS
CLORTALIDONA GEN.25MG 4BLX15CPDS - EMS GENERICOS
CLORTALIDONA GEN.50MG 3BLX10CPDS - EMS GENERICOS
CLORTALIDONA GEN.50MG 3BLX10CPDS - GERMED GENERICOS
CLORTALIDONA GEN.50MG 9BLX10CPDS - EMS GENERICOS
CLORTALIL 50MG 3X10CPDS - SIGMA PHARMA
CLORTAMINA 50MG/ML SOL INJ 5FA X 10ML - BIOCHIMICO
CLOSTEMIN CRM.DERM.30GRS - UCI-FARMA
CLOSTEMIN CRM.VAG.40GRS+APL - UCI-FARMA
CLOTASSIO 60MG 100ML - BUNKER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
6920276
140206
38931
58524
127828
90207
145570
98963
119430
127910
161033
35301
140501
120817
91779
94385
140503
58525
94386
140504
101992
103143
69756
140505
84626
92937
91009
160562
166468
92938
91010
160563
166469
92939
91011
165844
165845
340004
7460009
7460061
99714
166102
6680008
6680056
78002
70908
17279
17281
DESCRICAO
CLOTREN 10MG/G CRM.DERM.50GRS - TEUTO BRAS
CLOTRIGEL 20MG/G 20G 3APLIC. - GLENMARK
CLOTRIMAZOL GEN.10MG 20GRS - MEDLEY
CLOTRIMAZOL GEN.10MG 35GRS+6APL - MEDLEY
CLOTRIMAZOL GEN.10MG CRM.VAG.100X35GRS+600APLIC - HIPOLABOR
CLOTRIMAZOL GEN.10MG/G CRM.20GRS - NEOQUIMICA
CLOTRIMAZOL GEN.10MG/G CRM.35GRS+6APLIC. - NEOQUIMICA
CLOTRIMAZOL GEN.10MG/G CRM.50GRS - TEUTO BRAS
CLOTRIMAZOL GEN.10MG/G CRM.DERM.20G - GERMED GENERICOS
CLOTRIMAZOL GEN.10MG/G CRM.DERM.20G - UNIAO QUIMICA
CLOTRIMAZOL GEN.10MG/G CRM.DERM.20G - TEUTO BRAS
CLOTRIMAZOL GEN.10MG/G CRM.DERM.20G - EMS GENERICOS
CLOTRIMAZOL GEN.10MG/G CRM.DERM.20GRS - PRATI-DONADUZZI
CLOTRIMAZOL GEN.10MG/G CRM.VAG.20GRS - LEGRAND GENERICOS
CLOTRIMAZOL GEN.10MG/G CRM.VAG.35G+6APL - EMS GENERICOS
CLOTRIMAZOL GEN.10MG/G CRM.VAG.35G+6APL - GERMED GENERICOS
CLOTRIMAZOL GEN.10MG/G CRM.VAG.35GRS+6APL. - PRATI-DONADUZZI
CLOTRIMAZOL GEN.20MG 20GRS+3APL - MEDLEY
CLOTRIMAZOL GEN.20MG/G CRM.20MG/G CRM.VAG.20G+3APL - GERMED GENERICOS
CLOTRIMAZOL GEN.20MG/G CRM.VAG.20GRS+3APL. - PRATI-DONADUZZI
CLOTRIMAZOL+ACETATO DEXAMETASONA GEN.10+0,4MG/G CRM.DERM.40G - GERMED GENERICOS
CLOTRIMAZOL+ACETATO DEXAMETASONA GEN.CRM.40GRS - LEGRAND GENERICOS
CLOTRIMAZOL+ACETATO DEXAMETASONA GEN.CRM.40GRS - MEDLEY
CLOTRIMAZOL+ACETATO DEXAMETASONA GEN.CRM.40GRS - PRATI-DONADUZZI
CLOTRIZOL 400+80MG 100CPDS - ASPEN
CLOXAZOLAM GEN.1MG 20CPDS - NOVARTIS
CLOXAZOLAM GEN.1MG 20CPDS - EUROFARMA
CLOXAZOLAM GEN.1MG 30CPDS - EUROFARMA
CLOXAZOLAM GEN.1MG 30CPDS - SANDOZ
CLOXAZOLAM GEN.2MG 20CPDS - NOVARTIS
CLOXAZOLAM GEN.2MG 20CPDS - EUROFARMA
CLOXAZOLAM GEN.2MG 30CPDS - EUROFARMA
CLOXAZOLAM GEN.2MG 30CPDS - SANDOZ
CLOXAZOLAM GEN.4MG 20CPDS - NOVARTIS
CLOXAZOLAM GEN.4MG 20CPDS - EUROFARMA
CLOZAPINA 100MG 450CPDS - CRISTALIA
CLOZAPINA 25MG 200CPDS - CRISTALIA
CLUSIVOL COMPOSTO XPE.240ML - WYETH CONSUMER
COBACTIN 4MG/1MG 4X4CPDS - ZAMBON
COBACTIN MOR.XPE.120ML - ZAMBON
COBAVIT 0,8MG/ML XPE.100ML - CIFARMA
COBAVIT 0,8MG/ML XPE.100ML+4MG/G SACH 5G - CIFARMA
COBAVITAL 1+4MG 16CPDS - ABBOTT SAUDE
COBAVITAL XPE.100ML - ABBOTT SAUDE
CODATEN 50+50MG 10CPDS REV. - NOVARTIS
CODATEN 50+50MG 20CPDS REV. - NOVARTIS
CODEIN 30MG 3X10CPDS - CRISTALIA
CODEIN 30MG/ML 25AMP 2ML - CRISTALIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
29365
17280
129284
67500
67499
62556
62555
130598
124354
94231
280002
280101
5260075
6920149
1905075
3502
94023
138291
35267
495057
55385
2680020
40006
1300021
1300108
3440183
17845
153604
166069
3480005
78266
121609
89340
144933
123756
136741
136742
20837
170643
170644
5628061
5628029
5628060
147074
147076
147075
1280013
1280014
DESCRICAO
CODEIN 3MG/ML 120ML - CRISTALIA
CODEIN 60MG 3X10CPDS - CRISTALIA
CODERGINE 6MG 14CAPS - NEOQUIMICA
CODEX 30MG 12CPDS - UNIAO QUIMICA
CODEX 7,5MG 12CPDS - UNIAO QUIMICA
CO-ENAPROTEC 10/25MG 30CPDS - HEXAL
CO-ENAPROTEC 20/12,5MG 30CPDS - HEXAL
COLCHIS 0,5MG 30CPDS - APSEN
COLCHIS 1MG 30CPDS - APSEN
COLCITRAT 0,5MG 20CPDS - UCI-FARMA
COLIRIO CINERARIA MARITIMA 10ML - ALM.PRADO
COLIRIO EUPHRASIA 15ML - ALM.PRADO
COLIRIO LEGRAND SOL.20ML - LEGRAND OTC
COLIRIO TEUTO 0,15+0,3MG/ML SOL.OFTAL.200ML - TEUTO BRAS
COLODIO ELASTICO 1000ML - D.G.L
COLODIO ELASTICO 100ML - D.G.L
COLONAC 667MG/ML XPE.120ML - UNIAO QUIMICA
COLPATRIN 100MG/G+20000UI CRM.VAG.50GRS+APL. - TEUTO BRAS
COLPIST MT 10APL VAG.PRE-ENVAS. - ATIVUS
COLPIST MT 40GRS+10APL - ATIVUS
COLPIST MT 60GRS+1APL - ATIVUS
COLPISTAR CRM.VAG.40G+10APL. - FARMOQUIMICA
COLPISTATIN 62,5+1,25MG+25000UI/G CRM.VAG.40G+10APLIC. - ACHE
COLPOTROFINE 10MG 20CAPS GEL MOLE - TEVA
COLPOTROFINE 10MG/G CRM.VAG.30GRS+APL. - TEVA
COLTRAX 2MG/ML 3AMP 2ML - SANOFI-AVENTIS
COLTRAX 4MG 2X10CPDS - SANOFI-AVENTIS
COLUJET 1MG/G PASTA 10GRS - CIMED
COLUTOIDE CAMOMILA 0,3MG/G GEL 10G - CIMED
COLUTOIDE SOL.20ML - CIMED
COLZURIC 0,5MG 20CPDS - ROYTON
COMBIGAN 2+5MG/ML SOL.OFT.10ML - ALLERGAN
COMBIGAN 2+5MG/ML SOL.OFT.5ML 92110BR - ALLERGAN
COMBIRON FOLICO 15CPDS REV. - ACHE
COMBIRON FOLICO 45CPDS REV. - ACHE
COMBIRON SUSP.ORAL 120ML+CP.MED.10ML - ACHE
COMBIRON SUSP.ORAL GTS.30ML+CGT - ACHE
COMBIVENT AER.10ML+AEROCAMERA - BOEHRINGER
COMBODART 0,5+0,4MG 30CAPS GEL.DURA - GLAXOSMITH
COMBODART 0,5+0,4MG 7CAPS GEL.DURA - GLAXOSMITH
COMPAZ 10MG 20X10CPDS - CRISTALIA
COMPAZ 10MG 50AMP 2ML - CRISTALIA
COMPAZ 5MG 20X10CPDS - CRISTALIA
COMPLEBYN PO BAUNILHA 454GRS BR7742V - FRESENIUS KABI
COMPLEBYN PO CHOCOLATE 454GRS BR7742C - FRESENIUS KABI
COMPLEBYN PO MORANGO 454GRS BR7742F - FRESENIUS KABI
COMPLEVITAM 30DRGS - BUNKER
COMPLEVITAM B 100ML - BUNKER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
1280119
96399
70650
96398
280003
106757
106758
106759
106760
106763
106764
106765
106768
106770
106772
106774
106775
106778
106782
106786
106788
106789
106792
106797
280004
106800
106801
23525
159614
159618
159615
159617
166087
84696
147814
72665
72666
96110
43258
90039
43261
90042
43259
90040
43260
90041
164592
164590
DESCRICAO
COMPLEVITAM GTS.30ML - BUNKER
COMPLEXAN 100ML - PHARMASCIENCE
COMPLEXAN 30DRGS - PHARMASCIENCE
COMPLEXAN 30ML - PHARMASCIENCE
COMPLEXO HOMEOPATICO NR.01 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.03 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.04 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.05 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.06 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.09 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.10 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.11 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.14 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.16 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.18 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.20 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.21 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.24 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.28 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.32 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.34 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.35 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.38 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.43 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.46 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.48 60CPDS - ALM.PRADO
COMPLEXO HOMEOPATICO NR.49 60CPDS - ALM.PRADO
COMTAN 200MG 30CPDS REV. - NOVARTIS
CONCARDIO 1,25MG 2BLX15CPDS REV. - SIGMA PHARMA
CONCARDIO 10MG 2BLX15CPDS REV. - SIGMA PHARMA
CONCARDIO 2,5MG 2BLX15CPDS REV. - SIGMA PHARMA
CONCARDIO 5MG 2BLX15CPDS REV. - SIGMA PHARMA
CONCEPNOR 0,15+0,030MG 525DRGS - NEOQUIMICA
CONCEPNOR 21CPDS - NEOQUIMICA
CONCEPNOR 3X21CPDS - NEOQUIMICA
CONCERTA 18MG 30CPDS - JANSSEN-CILAG
CONCERTA 36MG 30CPDS - JANSSEN-CILAG
CONCERTA 54MG 30CPDS - JANSSEN-CILAG
CONCOR 1,25MG 14CPDS REV. - MERCK S.A.
CONCOR 1,25MG 28CPDS REV. - MERCK S.A.
CONCOR 10MG 14CPDS REV. - MERCK S.A.
CONCOR 10MG 28CPDS REV. - MERCK S.A.
CONCOR 2,5MG 14CPDS REV. - MERCK S.A.
CONCOR 2,5MG 28CPDS REV. - MERCK S.A.
CONCOR 5MG 14CPDS REV - MERCK S.A.
CONCOR 5MG 28CPDS REV - MERCK S.A.
CONCOR HCT 10+25MG 30CPDS - MERCK S.A.
CONCOR HCT 5+12,5MG 30CPDS - MERCK S.A.
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
88071
128183
145373
108091
128182
134973
146099
159489
107092
107093
6420099
122115
122114
103072
71749
71748
55318
3490008
3490006
3490007
145007
145008
145009
40863
47528
103809
6920181
6920180
6020118
129943
159882
159883
149322
151857
151858
1020071
137140
1020072
137138
144956
1020069
137139
144957
96337
96336
42877
77834
30281
DESCRICAO
CONDROFLEX 1,5+1,2G PO ORAL 15SACH 4,135G - ZODIAC
CONDROFLEX 1,5+1,2G PO ORAL 30SACH 4,135G - ZODIAC
CONDROFLEX 1,5+1,2G PO ORAL 7SACH 4,135G - ZODIAC
CONDROFLEX 500+400MG 2BLX10CAPS GEL. - ZODIAC
CONDROFLEX 500+400MG 4BLX10CAPS GEL. - ZODIAC
CONDROFLEX 500+400MG 60CAPS GEL. - ZODIAC
CONFIARE PREVENT CRM.60GRS - MEDLEY
CONIDRIN BABY SOL.NASAL GTS.30ML - UNIAO QUIMICA
CONIDRIN SALINA 9MG/ML SOL.NASAL GTS.30ML - UNIAO QUIMICA
CONIDRIN SALINA 9MG/ML SOL.NASAL SPR.50ML - UNIAO QUIMICA
CONMEL 320MG 1X4CPDS F.V - FARMASA
CONMEL 500MG 1X4CPDS F.V - FARMASA
CONMEL 500MG 1X8CPDS F.V - FARMASA
CONMEL 500MG 25X4CPDS - FARMASA
CONMEL 500MG 25X8CPDS - FARMASA
CONMEL 500MG 50X4CPDS - FARMASA
CONMEL GTS.20ML - FARMASA
CONRAY 60 1FA 100ML - COVIDIEN
CONRAY 60 1FA 30ML - COVIDIEN
CONRAY 60 1FA 50ML - COVIDIEN
CONSTANTE 0,25MG 30CPDS - UNIAO QUIMICA
CONSTANTE 0,5MG 30CPDS - UNIAO QUIMICA
CONSTANTE 1MG 30CPDS - UNIAO QUIMICA
CONTRACEP 1FA 1ML - SIGMA PHARMA
CONTRACTUBEX GEL 20G - BIOLAB SANUS
COPAXONE 20MG 28SER.PREENCHIDA 1ML - TEVA
CO-PRESSOTEC 10+25MG 30CPDS - TEUTO BRAS
CO-PRESSOTEC 20+12,5MG 30CPDS - TEUTO BRAS
COR MIO 200MG 20CPDS - HEXAL
COR MIO 200MG 30CPDS - HEXAL
CORABION HC 1100MG 60CAPS - MERCK S.A.
CORABION HC 550MG 60CAPS - MERCK S.A.
CORDAPTIVE 1G/20MG 14CPDS - MERCK S.D.
CORDAPTIVE 1G/20MG 28CPDS - MERCK S.D.
CORDAPTIVE 1G/20MG 56CPDS - MERCK S.D.
CORDAREX 10MG 2X10CPDS - BIOSINTETICA
CORDAREX 10MG 30CPDS - BIOSINTETICA
CORDAREX 2,5MG 2X10CPDS - BIOSINTETICA
CORDAREX 2,5MG 30CPDS - BIOSINTETICA
CORDAREX 2,5MG 7CPDS - BIOSINTETICA
CORDAREX 5MG 2X10CPDS - BIOSINTETICA
CORDAREX 5MG 30CPDS - BIOSINTETICA
CORDAREX 5MG 7CPDS - BIOSINTETICA
CORDIL 60MG 50CPDS - TEUTO BRAS
CORDIL 90MG 20CAPS - TEUTO BRAS
CORDILAT 80MG 20X10CPDS - CRISTALIA
CORDIRON 10MG 30CPDS - DIFFUCAP
COREG 12,5MG 14CPDS - ROCHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
37783
30279
30280
5040004
5040002
1260030
1260031
6500027
95897
115798
115799
167676
167681
36981
37933
81112
16246
153699
15595
153700
94024
83159
94025
14828
1020013
119865
1020016
154339
154340
154338
136798
153572
15540
74595
74596
74597
114137
6600022
105736
105737
114207
103109
60629
81890
37114
114573
148650
37115
DESCRICAO
COREG 25MG 14CPDS - ROCHE
COREG 3,125MG 14CPDS - ROCHE
COREG 6,25MG 14CPDS - ROCHE
CO-RENITEC 10/25MG 3X10CPDS - MERCK S.D.
CO-RENITEC 20/12,5MG 3X10CPDS - MERCK S.D.
CORGARD 40MG 30CPDS - BRISTOL
CORGARD 80MG 20CPDS - BRISTOL
CORISTINA D 4CPDS - MANTECORP
CORISTINA D 4X4CPDS - MANTECORP
CORISTINA VITAMINA C 1G 10CPDS - MANTECORP
CORISTINA VITAMINA C 500MG 20CPDS - MANTECORP
CORIZZ NOITE 3BLX8CPDS - LEGRAND OTC
CORIZZ NOITE 50BLX8CPDS - LEGRAND OTC
CORONAR 10MG/ML SOL.INJ.50AMP 1ML - BIOLAB SANUS
CORONAR 20MG 3BLX10CPDS - BIOLAB SANUS
CORTICOIDEX 4MG/ML 50FA 2,5ML - NOVAFARMA
CORTICORTEN 20MG 20CPDS - NEOQUIMICA
CORTICORTEN 20MG 50X10CPDS - NEOQUIMICA
CORTICORTEN 5MG 20CPDS - NEOQUIMICA
CORTICORTEN 5MG 50X10CPDS - NEOQUIMICA
CORTISONAL 100MG PO.INJ.50FA - UNIAO QUIMICA
CORTISONAL 10MG/G CRM.DERM.20G - UNIAO QUIMICA
CORTISONAL 500MG PO.INJ.50FA - UNIAO QUIMICA
CORUS 25MG 28CPDS - BIOSINTETICA
CORUS 50MG 28CPDS - BIOSINTETICA
CORUS H 100/25MG 28CPDS - BIOSINTETICA
CORUS H 50/12,5MG 28CPDS - BIOSINTETICA
COSARTAN 160MG 3BLX10CPDS REV. - GERMED
COSARTAN 320MG 3BLX10CPDS REV. - GERMED
COSARTAN 80MG 3BLX10CPDS REV. - GERMED
COSMEGEN 0,5MG PO LIOF.1FA 3ML - BAGO
COSOPT 20+5MG/ML SOL.OFT.10ML - MERCK S.D.
COSOPT 5ML - MERCK S.D.
COUMADIN 1MG 30CPDS - BRISTOL
COUMADIN 2,5MG 30CPDS - BRISTOL
COUMADIN 5MG 30CPDS - BRISTOL
COVERSYL 4MG 15CPDS - SERVIER
COVERSYL 4MG 30CPDS - SERVIER
COVERSYL 8MG 15CPDS - SERVIER
COVERSYL 8MG 30CPDS - SERVIER
COVERSYL PLUS 4+1,25MG 15CPDS - SERVIER
COVERSYL PLUS 4+1,25MG 30CPDS - SERVIER
COZAAR 100MG 2X15CPDS - MERCK S.D.
COZAAR 50MG 2X15CPDS - MERCK S.D.
C-PLATIN 10MG 1FA 20ML - BLAU
C-PLATIN 1MG/ML 1FA 100ML - BLAU
C-PLATIN 1MG/ML 1FA 50ML - BLAU
C-PLATIN 50MG 1FA 100ML - BLAU
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
1280127
71720
63630
63632
85115
85116
85117
85118
136484
152173
152174
134939
35383
35382
103999
103997
103998
94264
5040034
43731
119771
136595
2900020
2900021
6440004
137996
137997
137994
137995
5040020
2120001
139818
149397
41544
41546
41545
146517
84979
26564
26565
103599
103600
103601
103602
5140011
5140012
23545
79561
DESCRICAO
CREMEDERME CRM.20G - BUNKER
CREMEDERME POM.20G - BUNKER
CREON 150MG/10000UI 30CAPS - ABBOTT SAUDE
CREON 300MG/25000UI 30CAPS - ABBOTT SAUDE
CRESTOR 10MG 10CPDS REV. - ASTRAZENECA
CRESTOR 10MG 30CPDS REV. - ASTRAZENECA
CRESTOR 20MG 10CPDS REV. - ASTRAZENECA
CRESTOR 20MG 30CPDS REV. - ASTRAZENECA
CRESTOR 40MG 30CPDS REV. - ASTRAZENECA
CRESTOR 5MG 10CPDS REV. - ASTRAZENECA
CRESTOR 5MG 30CPDS REV. - ASTRAZENECA
CREVAGIN CRM.VAG.40GRS+7APL - EUROFARMA
CRINONE 80MG/G GEL VAG.15ENV APL.1,125G - MERCK S.A.
CRINONE 80MG/G GEL VAG.7ENV APL.1,125G - MERCK S.A.
CRISTACILINA 10000000UI 25FA VIDRO - NOVAFARMA
CRISTACILINA 1000000UI 50FA VD. - NOVAFARMA
CRISTACILINA 5000000UI 50FA VD. - NOVAFARMA
CRISTALIN 0,025+0,03% SOL.OFT.15ML - UNIAO QUIMICA
CRIXIVAN 400MG 180CAPS - MERCK S.D.
CROMOCATO 400MG/ML SOL.NAS. 13ML - NEOQUIMICA
CROMOGLICATO DISSODICO GEN.40MG/ML SOL.13ML - NEOQUIMICA
CROMOGLICATO DISSODICO GEN.40MG/ML SOL.OFTAL.5ML - NEOQUIMICA
CROMOLERG 2% SOL.OFT.5ML - ALLERGAN
CROMOLERG 4% SOL.OFT.5ML - ALLERGAN
CRONOBE 2000MCG/ML SOL.INJ.2AMP 2,5ML - BIOLAB SANUS
CRONOCOR 12,5MG 30CPDS - ARROW
CRONOCOR 25MG 30CPDS - ARROW
CRONOCOR 3,125MG 30CPDS - ARROW
CRONOCOR 6,25MG 30CPDS - ARROW
CRONOMET 50/200MG 2X10CPDS - MERCK S.D.
CRONOPLEX GTS.20ML - DELTA
CUBICIN 500MG PO LIOF.1FA - NOVARTIS
CUBICIN 500MG PO LIOF.5FA - NOVARTIS
CUBITAN BAUNILHA 200ML - SUPPORT NUTRITION
CUBITAN CHOCOLATE 200ML - SUPPORT NUTRITION
CUBITAN MOR.200ML - SUPPORT NUTRITION
CUPRIMINE 250MG 100CAPS - MEIZLER
CURATIV SOL.TOP.30ML - COSMED
CUROSURF 80MG/ML 1AMP 1,5ML - CHIESI
CUROSURF 80MG/ML 1AMP 3,0ML - CHIESI
CUTENOX 20MG/0,2ML 10SERINGA - BIOCHIMICO
CUTENOX 40MG/0,4ML 10SERINGA - BIOCHIMICO
CUTENOX 60MG/0,6ML 2SERINGA - BIOCHIMICO
CUTENOX 80MG/0,8ML 2SERINGA - BIOCHIMICO
CUTISANOL GEL 100GRS - MILLETROUX
CUTISANOL PO 150GRS - MILLETROUX
CYCLOFEMINA 1AMP 0,5ML - MILLETROUX
CYFENOL 200MG 15ML - CIFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
79558
79560
145010
63613
104853
147829
91610
91611
147830
6280083
143169
143170
2380026
72235
72236
150360
166425
3860067
155094
137306
3440186
44588
6600004
77835
40276
5440066
5440109
40277
72136
5440105
138205
3940014
3940013
43778
153129
7060018
7060005
7060025
31873
131994
87735
45063
129453
129455
163528
134779
166389
166386
DESCRICAO
CYFENOL 750MG 200CPDS - CIFARMA
CYFENOL 750MG 20CPDS - CIFARMA
CYLOCORT 3+1MG/G POM.OFT.3,5G - UNIAO QUIMICA
CYLOCORT 3+1MG/ML SOL.OFT.5ML - UNIAO QUIMICA
CYMBALTA 30MG 14CAPS - ELI LILLY
CYMBALTA 30MG 7CAPS - ELI LILLY
CYMBALTA 60MG 14CAPS - ELI LILLY
CYMBALTA 60MG 28CAPS - ELI LILLY
CYMBALTA 60MG 7CAPS - ELI LILLY
CYMEVENE 500MG PO LIOF.25FA 10ML - ROCHE
CYMEVIR PRE-DIL.CL.SODIO 1MG/ML BOLSA 250ML SIST.FECH.SOLUFLEX - HALEX ISTAR
CYMEVIR PRE-DIL.CL.SODIO 1MG/ML BOLSA 500ML SIST.FECH.SOLUFLEX - HALEX ISTAR
CYSTEX 15+250+20+15MG 24DRGS - EMS
D.T.I.100MG 1FA - MEIZLER
D.T.I.200MG 1FA - MEIZLER
DABAZ 1MG/ML SOL.INJ.1FA 2ML - ACCORD
DABIONVITA 30CAPS GEL.MOLE - MERCK S.A.
DACARB 200MG 1FA - EUROFARMA
DACARB 200MG PO LIOF.10FA - EUROFARMA
DACOGEN 50MG 1FA - JANSSEN-CILAG
DACTIL-OB 100+50+50MG 30DRGS - SANOFI-AVENTIS
DAFLON 500MG 15CPDS REV. - SERVIER
DAFLON 500MG 30CPDS REV. - SERVIER
DAFLON 500MG 60CPDS REV. - SERVIER
DAFORIN 10MG 20CAPS - SIGMA PHARMA
DAFORIN 20MG 20CAPS - SIGMA PHARMA
DAFORIN 20MG 20CPDS REV. - SIGMA PHARMA
DAFORIN 20MG 30CAPS - SIGMA PHARMA
DAFORIN 20MG 30CPDS REV. - SIGMA PHARMA
DAFORIN GTS.20ML - SIGMA PHARMA
DAIVA 150+10MG/ML 1AMP.1ML - EUROFARMA
DAKTARIN GEL ORAL 40GRS - JANSSEN-CILAG
DAKTARIN LOC.30ML - JANSSEN-CILAG
DAKTAZOL 2% 20MG/ML LOC.30ML - NEOQUIMICA
DAKTAZOL 20MG/G CRM.DERM.28GRS - NEOQUIMICA
DALACIN C 300MG 16CAPS - PFIZER
DALACIN C 300MG 1AMP 2ML - PFIZER
DALACIN T 30ML - PFIZER
DALMADORM 30MG 30CPDS REV. - VALEANT
DALSY 200MG 2BLX6CPDS REV. - ABBOTT
DALSY 200MG/ML GTS.15ML - ABBOTT
DALSY 20MG/ML SUSP.ORAL 100ML+SER.DOS. - ABBOTT
DALSY 400MG 10CPDS REV. - ABBOTT
DALSY 600MG 2BLX5CPDS REV. - ABBOTT
DALYNE 3+0,03MG 21CPDS REV. - SIGMA PHARMA
DAMATER 30CAPS GEL.MOLE - SCHERING PLOUGH
DANPEZIL 10MG 30CPDS - GLAXOSMITH
DANPEZIL 5MG 10CPDS - GLAXOSMITH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
166388
136767
3440012
3080035
136815
136818
7060031
72237
7070017
7070016
162998
40016
2685004
2685001
2685008
2685005
152166
2685003
5920007
5920013
5920009
5920012
5920014
5920010
5920011
5920066
5920017
160004
160005
40826
40028
40060
136743
136744
40027
87379
87377
87378
4560079
4560099
94456
111828
111177
111829
94455
95045
110433
280058
DESCRICAO
DANPEZIL 5MG 30CPDS - GLAXOSMITH
DANTROLEN IV 20MG 12FR - CRISTALIA
DAONIL 5MG 30CPDS - SANOFI-AVENTIS
DARAPRIM 25MG 100CPDS - FARMOQUIMICA
DARBIN 20MG/ML 10FA - DARROW
DARBIN 50MG/ML 1FA - DARROW
DAUNOBLASTINA 20MG 1FA - PFIZER
DAUNOCIN 20MG PO 1FA - MEIZLER
DAUNOXOME 50MG 1FA - UNITED MEDICAL
DAUNOXOME 50MG 4FA - UNITED MEDICAL
DAXAS 500MCG 30CPDS REV. - NYCOMED
DAYVIT 30CPDS REV. - ACHE
DDAVP 0,1MG 30CPDS - FERRING
DDAVP 0,1MG SOL.NASAL 2,5ML+2TB - FERRING
DDAVP 0,1MG SPR.NASAL 2,5ML - FERRING
DDAVP 0,2MG 30CPDS - FERRING
DDAVP 15MCG/ML SOL.INJ.10AMP 1ML - FERRING
DDAVP 4MCG/ML SOL.INJ.10AMP 1ML - FERRING
DECADRON 0,1MG/ML ELIXIR 120ML - ACHE
DECADRON 0,50MG 20CPDS - ACHE
DECADRON 0,75MG 20CPDS - ACHE
DECADRON 4MG 10CPDS - ACHE
DECADRON COLIRIO 1,33+6,25MG/ML SOL.OFT.5ML - ACHE
DECADRON INJETAVEL 2MG 2FA 1ML - ACHE
DECADRON INJETAVEL 4MG 1FA 2,5ML - ACHE
DECADRON NASAL 0,5+3,5+5MG/ML 20ML - ACHE
DECADRONAL 8MG/ML SUSP.INJ.1FA 2ML - ACHE
DECADURABOLIN 25MG 1AMP 1ML - SCHERING PLOUGH
DECADURABOLIN 50MG 1AMP 1ML - SCHERING PLOUGH
DECAN HALOPER 50MG/ML SOL.INJ.3AMP 1ML - UNIAO QUIMICA
DECONGEX PLUS 0,4+1MG/ML XPE.120ML - ACHE
DECONGEX PLUS 12+15MG 12CPDS REV. - ACHE
DECONGEX PLUS 12+15MG 25BLX4CPDS REV. - ACHE
DECONGEX PLUS 12+15MG 4CPDS F.V. - ACHE
DECONGEX PLUS 2+2,5MG GTS.20ML - ACHE
DEFLAIMMUN 30MG 10CPDS - SIGMA PHARMA
DEFLAIMMUN 6MG 2X10CPDS - SIGMA PHARMA
DEFLAIMMUN 7,5MG 2X10CPDS - SIGMA PHARMA
DEFLANIL 30MG 10CPDS - LIBBS
DEFLANIL 7,5MG 20CPDS - LIBBS
DEFLAZACORTE GEN.30MG 10CPDS - EMS GENERICOS
DEFLAZACORTE GEN.30MG 10CPDS - NOVA QUIMICA
DEFLAZACORTE GEN.30MG 9BLX10CPDS - EMS GENERICOS
DEFLAZACORTE GEN.6MG 20CPDS - NOVA QUIMICA
DEFLAZACORTE GEN.6MG 2BLX10CPDS - EMS GENERICOS
DEFLAZACORTE GEN.6MG 2X10CPDS - LEGRAND GENERICOS
DEFLAZACORTE GEN.6MG 9BLX10CPDS - EMS GENERICOS
DEFLUXOMED 20G - ALM.PRADO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
150471
150474
150453
150461
150465
63092
6680009
6680010
2120138
78599
77949
2120019
2120320
145531
2120104
166016
166017
166018
166019
2120105
159611
140207
16078
16077
68489
68490
59747
1280070
1280097
1280096
150918
20010
20100
20012
20013
119874
119875
165483
165482
119876
153560
40265
144958
136746
136747
7060007
166938
7060063
DESCRICAO
DEJAVU 100MG 2CPDS REV. - EUROFARMA
DEJAVU 100MG 4CPDS REV. - EUROFARMA
DEJAVU 50MG 1CPD REV. - EUROFARMA
DEJAVU 50MG 2CPDS REV. - EUROFARMA
DEJAVU 50MG 4CPDS REV. - EUROFARMA
DEKATIN 30CPDS REV. - ATIVUS
DELTACID 20MG LOC.100ML - ABBOTT SAUDE
DELTACID 20MG SHM.100ML - ABBOTT SAUDE
DELTAFLAN 12CPDS - DELTA
DELTAFLAN 12CPDS DISP. - DELTA
DELTAFLAN 20MG/G GEL 1BG 40G - DELTA
DELTAFLAN GTS.15ML - DELTA
DELTAFLAN SUSP.60ML - DELTA
DELTASORO 1FR 30ML - DELTA
DELTAVIT 50DRGS - DELTA
DELTAVIT FEMME 60CPDS REV. - DELTA
DELTAVIT HOMME 60CPDS REV. - DELTA
DELTAVIT LACTANTE 60CPDS REV. - DELTA
DELTAVIT SENIOR 30CPDS REV. - DELTA
DELTAVIT SUSP.ORAL 1FR 120ML - DELTA
DEMEDROX 150MG/ML SOL.INJ.1AMP 1ML - UNIAO QUIMICA
DEMELAN CRM.15G - GLENMARK
DENACEN 30MG 10CPDS - MARJAN
DENACEN 6MG 20CPDS - MARJAN
DENYL 20MG 14CPDS - CRISTALIA
DENYL 20MG 4X7CPDS - CRISTALIA
DEOCIL SL 10MG 10CPDS - DIFFUCAP
DEOTRIN LOC.100ML - BUNKER
DEOTRIN SAB.100G - BUNKER
DEOTRIN SHM.100ML - BUNKER
DEPACON 100MG/ML SOL.INJ.10FA 5ML - ABBOTT
DEPAKENE 250MG 25CAPS GEL. - ABBOTT
DEPAKENE 300MG 25CPDS REV. - ABBOTT
DEPAKENE 500MG 50CPDS REV. - ABBOTT
DEPAKENE 50MG/ML XPE.100ML - ABBOTT
DEPAKOTE 250MG 30CPDS REV. - ABBOTT
DEPAKOTE 500MG 30CPDS REV. - ABBOTT
DEPAKOTE ER 250MG 30CPDS REV.LIB.PROLONG. - ABBOTT
DEPAKOTE ER 250MG 6CPDS REV.LIB.PROLONG. - ABBOTT
DEPAKOTE ER 500MG 30CPDS REV.LIB.PROLONG. - ABBOTT
DEPAKOTE SPRINKLE 125MG 10CAPS GEL.DURA MCGRAN. - ABBOTT
DEPAKOTE SPRINKLE 125MG 30CAPS GEL.DURA MCGRAN - ABBOTT
DEPAXAN 20MG 10CPDS - BIOSINTETICA
DEPAXAN 20MG 20CPDS - BIOSINTETICA
DEPAXAN 20MG 30CPDS - BIOSINTETICA
DEPO-MEDROL 40MG 2ML - PFIZER
DEPOMES 25+5MG/ML SUSP.INJ.1AMP 1ML - BIOLAB SANUS
DEPO-PROVERA 150MG 1FA 1ML - PFIZER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
26853
25992
5440006
26012
15886
71848
1020052
40072
40073
151242
151243
163532
3080038
3080039
3080040
153556
139189
161006
34376
34377
38754
166057
38756
166058
166059
166060
38755
6648038
6648045
166061
166062
166063
103583
103580
103581
103584
103582
153644
153645
153646
71018
122611
122612
122613
74182
137891
137892
137893
DESCRICAO
DEPO-PROVERA 150MG 1SER.1ML - PFIZER
DEPO-PROVERA 50MG 1FR 1ML - PFIZER
DEPOSTERON 100MG/ML 3AMP 2ML - SIGMA PHARMA
DEPRAMINA 25MG 20CPDS - TEUTO BRAS
DEPRESS 20MG 14CAPS GEL. - UNIAO QUIMICA
DEPRESS 20MG 28CAPS.GEL. - UNIAO QUIMICA
DEPRILAN 5MG 20CPDS - BIOSINTETICA
DEPROZOL 1000MG 2CPDS REV. - ACHE
DEPROZOL 1000MG 4CPDS REV. - ACHE
DEPURA GTS.10ML - SANOFI-AVENTIS
DEPURA GTS.20ML - SANOFI-AVENTIS
DEPURA KIDS 5.600UI/ML GTS.10ML - SANOFI-AVENTIS
DEQUADIN C/BENZOCAINA LAR.20PAST - FARMOQUIMICA
DEQUADIN C/BENZOCAINA LIM.20PAST - FARMOQUIMICA
DEQUADIN C/BENZOCAINA MENT.20PAST - FARMOQUIMICA
DERIVA MICRO 1MG GEL DERM.30G - GLENMARK
DERM PROX SOL.TOP.15ML - LEGRAND TARJARDOS
DERMA PREVENT CRM.45G - UNIAO QUIMICA
DERMACARE CRM.15G - DARROW
DERMACARE POM.15G - DARROW
DERMACERIUM 1%+0,4% CRM.120GRS - SILVESTRE
DERMACERIUM 1%+0,4% CRM.12X120GRS(EMB.HOSP.) - SILVESTRE
DERMACERIUM 1%+0,4% CRM.15GRS - SILVESTRE
DERMACERIUM 1%+0,4% CRM.24X120GRS(EMB.HOSP.) - SILVESTRE
DERMACERIUM 1%+0,4% CRM.24X30GRS(EMB.HOSP.) - SILVESTRE
DERMACERIUM 1%+0,4% CRM.24X50GRS(EMB.HOSP.) - SILVESTRE
DERMACERIUM 1%+0,4% CRM.30GRS - SILVESTRE
DERMACERIUM 1%+0,4% CRM.400GRS - SILVESTRE
DERMACERIUM 1%+0,4% CRM.50GRS - SILVESTRE
DERMACERIUM 1%+0,4% CRM.60X120GRS(EMB.HOSP.) - SILVESTRE
DERMACERIUM 1%+0,4% CRM.60X30GRS(EMB.HOSP.) - SILVESTRE
DERMACERIUM 1%+0,4% CRM.60X50GRS(EMB.HOSP.) - SILVESTRE
DERMACERIUM 2.2 CRM.120GRS - SILVESTRE
DERMACERIUM 2.2 CRM.15GRS - SILVESTRE
DERMACERIUM 2.2 CRM.30GRS - SILVESTRE
DERMACERIUM 2.2 CRM.400GRS - SILVESTRE
DERMACERIUM 2.2 CRM.50GRS - SILVESTRE
DERMACERIUM HS GEL 1%+4% BG.10GRS - SILVESTRE
DERMACERIUM HS GEL 1%+4% BG.15GRS - SILVESTRE
DERMACERIUM HS GEL 1%+4% BG.8GRS - SILVESTRE
DERMAFREE 1FR 15ML - DELTA
DERMALINA 20MG/G CRM.DERM.28GRS - COSMED
DERMALINA 20MG/G LOC.TOP 30GRS - COSMED
DERMALINA 20MG/G PO TOP. 30GRS - COSMED
DERMATISAN 0,5+1+10+10MG/G CRM.20GRS - EMS
DERMATOL 0,5MG/G CRM.30G - GERMED
DERMATOL 0,5MG/G POM.30G - GERMED
DERMATOL 1MG/G LOC.CAPILAR 30G - GERMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
3440076
3440080
80237
2905029
147678
147679
38757
145078
103576
103578
6648047
6648004
6648037
103577
103579
28049
28048
1280015
141210
122614
122615
122616
103270
103271
103272
44913
5260076
5260031
96181
96182
136644
138434
1260032
84273
84274
143856
37902
37903
104359
140208
101693
148836
163400
148837
160299
2905033
139506
137904
DESCRICAO
DERMATOP 2,5MG/G CRM.20GRS - SANOFI-AVENTIS
DERMATOP 2,5MG/G POM.20GRS - SANOFI-AVENTIS
DERMAVITE 30CPDS - STIEFEL
DERMAX SAB.110G - GALDERMA
DERMAZELAIC 150MG/G GEL.15G - GERMED
DERMAZELAIC 150MG/G GEL.30G - GERMED
DERMAZINE CRM.100GRS - SILVESTRE
DERMAZINE CRM.15GRS - SILVESTRE
DERMAZINE CRM.24X30GRS - SILVESTRE
DERMAZINE CRM.24X50GRS - SILVESTRE
DERMAZINE CRM.30GRS - SILVESTRE
DERMAZINE CRM.400GRS - SILVESTRE
DERMAZINE CRM.50GRS - SILVESTRE
DERMAZINE CRM.60X30GRS - SILVESTRE
DERMAZINE CRM.60X50GRS - SILVESTRE
DERMDRYL 2,24+1,28+0,28+28G CRM.28GRS - TEUTO BRAS
DERMDRYL 9,6+1,2+0,12G LOC.120ML - TEUTO BRAS
DERMICON 60ML - BUNKER
DERMIL CAMOMILA CRM.PROTETOR INF.PLAST.45GRS - GREENWOOD
DERMIL POM.DERM.20GRS - COSMED
DERMIL POM.DERM.45GRS - COSMED
DERMIL POM.DERM.90GRS - COSMED
DERMITRAT 200MG 10CPDS - VITAPAN
DERMITRAT CRM.30GRS - VITAPAN
DERMITRAT SHM.100ML - VITAPAN
DERMIZAN 30G - BUNKER
DERMOBENE CRM.20GRS - LEGRAND OTC
DERMOBENE SOL.20ML - LEGRAND OTC
DERMOCORTE CRM.30GRS - EMS
DERMOCORTE POM.30GRS - EMS
DERMODEX PREVENT CRM.45GRS TB.PLAST. - BRISTOL
DERMODEX PREVENT PROMOCIONAL 45GRS - BRISTOL
DERMODEX TRATAMENTO CRM.60GRS - BRISTOL
DERMOMAX 40MG/G CRM.30GRS - BIOSINTETICA
DERMOMAX 40MG/G CRM.5GRS - BIOSINTETICA
DERMORUTEX B CRM.DERM.15GRS - EMS
DERMOSALIC POM.30G - BUNKER
DERMOSALIC SOL.TOP.30ML - BUNKER
DERMOSTATIN POM.60GRS - LEGRAND OTC
DERMOTIL 1MG CRM.DERM.20G - GLENMARK
DERMOTIL 1MG/G POM.DERM.20G - GLENMARK
DERMOTIVIN CONTROL FOAM 130ML - GALDERMA
DERMOTIVIN CONTROL SAB.90G - GALDERMA
DERMOTIVIN CONTROL SAB.LIQ.FLIP 120ML - GALDERMA
DERMOTIVIN ORIGINAL SAB.90G - GALDERMA
DERMOTIVIN SAB.80G - GALDERMA
DERMOTIVIN SAB.FOAM 130ML - GALDERMA
DERMOTIVIN SAB.FOAM 50ML - GALDERMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
143530
137905
145064
157298
153156
160301
160300
148838
7080033
162957
162955
95571
71693
146502
83961
136824
136826
103076
122112
103074
71747
71746
6380015
35372
169212
15890
7080210
43222
72231
94235
144980
144979
144978
167109
153517
153720
141739
144908
144996
153518
166424
141738
144907
144995
166423
144906
141737
142092
DESCRICAO
DERMOTIVIN SAB.LIQ.FLIP 120ML - GALDERMA
DERMOTIVIN SAB.LIQ.PUMP 300ML - GALDERMA
DERMOTIVIN SAB.SOFT FOAM 130ML - GALDERMA
DERMOTIVIN SALIX FOAM 130ML - GALDERMA
DERMOTIVIN SALIX SAB.90G - GALDERMA
DERMOTIVIN SCRUB SAB.60G - GALDERMA
DERMOTIVIN SOFT SAB.90G - GALDERMA
DERMOTIVIN SOFT SAB.LIQ.FLIP 120ML - GALDERMA
DERMS 50+5MG/G POM.DERM.30G - UNIAO QUIMICA
DESACOR 16MG 30CPDS - SANDOZ
DESACOR 8MG 30CPDS - SANDOZ
DESALEX 0,5MG/ML XPE.100ML - MANTECORP
DESALEX 5MG 10CPDS - MANTECORP
DESALEX 5MG 30CPDS - MANTECORP
DESALEX XPE.60ML - MANTECORP
DESCODRIN 9,0MG/ML 30ML - ARROW
DESCODRIN 9,0MG/ML 50ML - ARROW
DESCON 12CAPS GEL - FARMASA
DESCON 1X4CAPS F.V - FARMASA
DESCON 400+4+4MG 25X4CAPS - FARMASA
DESCON SOL.ORAL 120ML - FARMASA
DESCON SOL.ORAL GTS.20ML - FARMASA
DESERILA 1MG 25DRGS - NOVARTIS
DESFERAL 500MG PO LIOF.5FA+5AMP.DIL.5ML - NOVARTIS
DESFORANE 100% LIQ.INAL.1FR 240ML - BAXTER
DESFRIN 0,025% SOL.NASAL PED.SPR.10ML - UNIAO QUIMICA
DESFRIN 0,05% SOL.NASAL SPR.10ML - UNIAO QUIMICA
DESINFLEX 50MG 20CPDS - DIFFUCAP
DESINFLEX RETARD 100MG 20CAPS - DIFFUCAP
DESLANOL 0,2MG/ML SOL.INJ.50AMP 2ML - UNIAO QUIMICA
DESLORANA 0,5MG/ML XPE.100ML - LEGRAND TARJARDOS
DESLORANA 0,5MG/ML XPE.60ML - LEGRAND TARJARDOS
DESLORANA 5MG 10CPDS REV. - LEGRAND TARJARDOS
DESLORANA 5MG 30CPDS REV. - LEGRAND TARJARDOS
DESLORATADINA 0,5MG/ML XPE.60ML - NOVA QUIMICA
DESLORATADINA GEN.0,5MG/ML XPE FR.VD.60ML+SER.DOS. - PRATI-DONADUZZI
DESLORATADINA GEN.0,5MG/ML XPE.100ML - EMS GENERICOS
DESLORATADINA GEN.0,5MG/ML XPE.100ML - LEGRAND GENERICOS
DESLORATADINA GEN.0,5MG/ML XPE.100ML - GERMED GENERICOS
DESLORATADINA GEN.0,5MG/ML XPE.100ML - NOVA QUIMICA
DESLORATADINA GEN.0,5MG/ML XPE.100ML+SER.DOSAD. - MEDLEY
DESLORATADINA GEN.0,5MG/ML XPE.60ML - EMS GENERICOS
DESLORATADINA GEN.0,5MG/ML XPE.60ML - LEGRAND GENERICOS
DESLORATADINA GEN.0,5MG/ML XPE.60ML - GERMED GENERICOS
DESLORATADINA GEN.0,5MG/ML XPE.60ML+SER.DOSAD. - MEDLEY
DESLORATADINA GEN.5MG 10CPDS REV - LEGRAND GENERICOS
DESLORATADINA GEN.5MG 10CPDS REV. - EMS GENERICOS
DESLORATADINA GEN.5MG 10CPDS REV. - GERMED GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
153516
166410
165596
165594
153668
123052
123053
92383
90685
90699
88229
140506
95562
91737
94014
4945035
60628
4945036
4945037
143858
141971
141740
167103
420025
13981
13982
13980
138074
166097
5020024
79567
79563
5260086
495011
495012
161034
6920032
2900028
4880069
4880027
148984
3860007
42831
77980
47216
140510
42816
138638
DESCRICAO
DESLORATADINA GEN.5MG 10CPDS REV. - NOVA QUIMICA
DESLORATADINA GEN.5MG 30CPDS REV. - GERMED GENERICOS
DESLORATADINA GEN.5MG 30CPDS REV. - LEGRAND GENERICOS
DESLORATADINA GEN.5MG 30CPDS REV. - EMS GENERICOS
DESODIOL 0,15+0,03MG 21CPDS - UNIAO QUIMICA
DESOGESTREL+ETINILESTRADIOL GEN.0,150+0,020MG 21CPDS - EUROFARMA
DESOGESTREL+ETINILESTRADIOL GEN.0,150+0,030MG 21CPDS - EUROFARMA
DESONIDA GEN.0,5MG/G CRM.30GRS - LEGRAND GENERICOS
DESONIDA GEN.0,5MG/G CRM.DERM.30G - GERMED GENERICOS
DESONIDA GEN.0,5MG/G CRM.DERM.30G - EMS GENERICOS
DESONIDA GEN.0,5MG/G CRM.DERM.30GRS - MEDLEY
DESONIDA GEN.0,5MG/G CRM.DERM.30GRS - PRATI-DONADUZZI
DESONIDA GEN.0,5MG/G POM.DERM.30G - GERMED GENERICOS
DESONIDA GEN.0,5MG/G POM.DERM.30GRS - MEDLEY
DESONIDA GEN.5MG/G LOC.60GRS - MEDLEY
DESONOL 0,5MG/G 30G - MEDLEY
DESONOL 0,5MG/G LOC.60GRS - MEDLEY
DESONOL 0,5MG/G POM.DERM.30GRS - MEDLEY
DESONOL 1MG/G LOC.CAP.30GRS - MEDLEY
DESTADIN 0,5MG/ML XPE.100ML C/ SER.DOSADORA - EMS
DESTADIN 0,5MG/ML XPE.60ML C/SER.DOSADORA - EMS
DESTADIN 5MG 10CPDS REV. - EMS
DESTADIN 5MG 30CPDS REV. - EMS
DESTILBENOL 1MG 50CPDS REV. - APSEN
DETRUSITOL 1MG 28CPDS - PFIZER
DETRUSITOL 2MG 28CPDS - PFIZER
DETRUSITOL 2MG 60CPDS - PFIZER
DETRUSITOL LA 4MG 30CAPS - PFIZER
DEXA CIANOTRAT INJ.6AMP 1ML+6AMP 2ML - DELTA
DEXA-CITONEURIN 2500MCG/ML+50MG/ML+50MG/ML+4MG/ML 3AMP 2ML+3AMP 1ML - MERCK S.A.
DEXADEN CRM.10GRS - CIFARMA
DEXADEN ELIX.100ML - CIFARMA
DEXADERMIL CRM.10GRS - LEGRAND TARJARDOS
DEXADOR 20CPDS REV. - ATIVUS
DEXADOR 3AMP 1ML B+ 2ML A - ATIVUS
DEXADOZE 4MG 60AMP 1ML+5+100+100MG 60AMP 2ML - TEUTO BRAS
DEXADOZE 5000UI 3AMP 1ML+3AMP 2ML - TEUTO BRAS
DEXAFENICOL 1+5MG/ML SOL.OFT.5ML 92751BR - ALLERGAN
DEXAGIL 20CPDS - MARJAN
DEXAGIL SOL.INJ.3AMP A 1ML+3AMP B 2ML - MARJAN
DEXALGEN 5MG/ML SOL.INJ.1AMP - EUROFARMA
DEXALGEN SOL.INJ.3AMP - EUROFARMA
DEXAMESON CRM.50X10GRS - CRISTALIA
DEXAMETASONA GEN.0,1MG/ML ELIX.120ML - NEOQUIMICA
DEXAMETASONA GEN.0,1MG/ML ELIX.120ML - EMS GENERICOS
DEXAMETASONA GEN.0,1MG/ML ELIX.120ML - PRATI-DONADUZZI
DEXAMETASONA GEN.0,1MG/ML ELIX.120ML - CRISTALIA
DEXAMETASONA GEN.0,1MG/ML ELIXIR PET 100ML+COPO MEDIDOR - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
31872
36912
84368
91273
152116
91626
36911
120639
145456
66381
47974
40369
34390
103277
103276
137946
7080035
141311
153701
141310
153702
165875
138632
6920002
111267
6920035
6920039
1280017
1280128
1280019
1280018
94120
34982
138130
84370
72604
72603
79568
116023
164322
6460042
107171
150647
150648
150649
113918
128335
118799
DESCRICAO
DEXAMETASONA GEN.0,1MG/ML ELIXIR VD.100ML+COPO MEDIDOR - TEUTO BRAS
DEXAMETASONA GEN.2MG 50AMP 1ML - HYPOFARMA
DEXAMETASONA GEN.2MG/ML 100AMP 1ML - HIPOLABOR
DEXAMETASONA GEN.4MG 10CPDS - EMS GENERICOS
DEXAMETASONA GEN.4MG 10CPDS - TEUTO BRAS
DEXAMETASONA GEN.4MG 10CPDS - LEGRAND GENERICOS
DEXAMETASONA GEN.4MG 50AMP 2,5ML - HYPOFARMA
DEXAMETASONA GEN.4MG/ML 100AMP 2,5ML - HIPOLABOR
DEXAMETASONA GEN.CRM.10GRS - SANVAL
DEXAMETASONA GEN.ELIX.120ML - MEDLEY
DEXAMETASONA GEN.ELIX.120ML - SANVAL
DEXAMETAX CRM.10GRS - KLEY HERTZ
DEXAMETONAL POM.10GRS - HEXAL
DEXAMEX 0,1MG/ML ELIX.100ML - VITAPAN
DEXAMEX 1MG/G CRM.10GRS - VITAPAN
DEXAMEX CRM.50X10GRS - VITAPAN
DEXANEURIN SOL.INJ.1AMP 2ML+1AMP 1ML - UNIAO QUIMICA
DEXANIL 2MG/ML 2AMP 1ML - NEOQUIMICA
DEXANIL 2MG/ML SOL.INJ.50AMP 1ML - NEOQUIMICA
DEXANIL 4MG/ML SOL.INJ. 1FA 2,5ML - NEOQUIMICA
DEXANIL 4MG/ML SOL.INJ.50AMP 2,5ML - NEOQUIMICA
DEXANOM 1MG/ML SUSP.OFT.5ML - UNIAO QUIMICA
DEXASON 0,1MG/ML ELIXIR PET 100ML - TEUTO BRAS
DEXASON 1MG/G CRM.DERM.10GRS - TEUTO BRAS
DEXASON 1MG/G CRM.DERM.50X10GRS - TEUTO BRAS
DEXASON 4MG 10CPDS - TEUTO BRAS
DEXAVISON 1,1+3,676MG/ML SOL.OFTAL.GTS.5ML - TEUTO BRAS
DEXAZONA 10CPDS - BUNKER
DEXAZONA 2MG SOL.INJ.2AMP 1ML - BUNKER
DEXAZONA CRM.15G - BUNKER
DEXAZONA ELIX.100ML - BUNKER
DEXAZONA GTS.5ML - BUNKER
DEXCLORFENIRAMINA GEN.0,4MG/ML XPE.100ML+COPO MEDIDOR 10ML - TEUTO BRAS
DEXCLORFENIRAMINA GEN.50X100ML - HIPOLABOR
DEXCLORFENIRAMINA GEN.50X120ML - HIPOLABOR
DEXMINE 0,25MG+2MG 20CPDS - CIMED
DEXMINE XPE.120ML - CIMED
DEXTAMINE XPE.120ML - CIFARMA
DFLAM 25MG/ML SOL.INJ.10AMP 3ML - MEIZLER
D-FORT 60CAPS GEL. - MARJAN
DIABECONTROL 250MG 100CPDS - SANVAL
DIABECONTROL 250MG 50X10CPDS - SANVAL
DIABEMED 1MG 4BLX15CPDS - GERMED
DIABEMED 2MG 4BLX15CPDS - GERMED
DIABEMED 4MG 4BLX15CPDS - GERMED
DIABINESE 250MG 10X10CPDS - PFIZER
DIABINESE 250MG 30CPDS AL. - PFIZER
DIACQUA 100MG 16CPDS - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
144135
118797
144136
118798
84889
60649
121918
44590
37782
79852
165737
160775
165736
168801
168800
168799
17685
840009
6020150
6020160
83418
146483
145571
69854
45151
129306
145572
167105
101570
36987
71851
138140
145573
167122
45150
145574
167104
101569
121269
5440012
5440014
16974
2380028
22253
1300096
2400006
2400007
78933
DESCRICAO
DIACQUA 25MG 10CPDS - EUROFARMA
DIACQUA 25MG 30CPDS - EUROFARMA
DIACQUA 50MG 10CPDS - EUROFARMA
DIACQUA 50MG 30CPDS - EUROFARMA
DIAD 0,75MG 2CPDS - CIMED
DIAFORMIN 850MG 30CPDS - UNIAO QUIMICA
DIAMAX BAUNILHA 200ML TETRA PAK - PRODIET NC
DIAMICRON MR 30MG 15CPDS - SERVIER
DIAMICRON MR 30MG 30CPDS - SERVIER
DIAMICRON MR 30MG 60CPDS - SERVIER
DIAMICRON MR 60MG 15CPDS - SERVIER
DIAMICRON MR 60MG 30CPDS - SERVIER
DIAMICRON MR 60MG 60CPDS - SERVIER
DIAMIN 200MG/ML SOL.INJ.1FA 100ML - MEIZLER
DIAMIN 200MG/ML SOL.INJ.1FA 250ML - MEIZLER
DIAMIN 200MG/ML SOL.INJ.1FA 50ML - MEIZLER
DIAMOX 250MG 25CPDS - UNIAO QUIMICA
DIANE-35 21DRGS - BAYER
DIASEC 2MG 12CPDS - HEXAL
DIASEC 2MG 200CPDS - HEXAL
DIASIP BAUNILHA 200ML - SUPPORT NUTRITION
DIASIP MOR.200ML - SUPPORT NUTRITION
DIAZEPAM GEN.10MG 20CPDS - NEOQUIMICA
DIAZEPAM GEN.10MG 20CPDS - RANBAXY
DIAZEPAM GEN.10MG 2BLX10CPDS - EMS GENERICOS
DIAZEPAM GEN.10MG 2X10CPDS - LEGRAND GENERICOS
DIAZEPAM GEN.10MG 30CPDS - NEOQUIMICA
DIAZEPAM GEN.10MG 3BLX10CPDS - GERMED GENERICOS
DIAZEPAM GEN.10MG 3BLX10CPDS - EMS GENERICOS
DIAZEPAM GEN.10MG SOL.INJ.5AMP 2ML - GERMED GENERICOS
DIAZEPAM GEN.10MG/2ML SOL.INJ.50AMP 2ML - UNIAO QUIMICA
DIAZEPAM GEN.5MG 100X2ML - HIPOLABOR
DIAZEPAM GEN.5MG 20CPDS - NEOQUIMICA
DIAZEPAM GEN.5MG 2BLX10CPDS - GERMED GENERICOS
DIAZEPAM GEN.5MG 2BLX10CPDS - EMS GENERICOS
DIAZEPAM GEN.5MG 30CPDS - NEOQUIMICA
DIAZEPAM GEN.5MG 3BLX10CPDS - GERMED GENERICOS
DIAZEPAM GEN.5MG 3BLX10CPDS - EMS GENERICOS
DIAZEPAM GEN.5MG/ML 72AMP 2ML - TEUTO BRAS
DIAZEPAM NQ GEN.10MG 2BLX10CPDS - SIGMA PHARMA
DIAZEPAM NQ GEN.5MG 2BLX10CPDS - SIGMA PHARMA
DIAZOL 40+8MG/ML SUSP.ORAL 60ML - EMS
DIAZOL 400+80MG 3X4CPDS - EMS
DICETEL 100MG 20CPDS REV - ABBOTT SAUDE
DICETEL 50MG 20CPDS REV. - ABBOTT SAUDE
DICINONE 250MG 20CPDS - SANOFI-AVENTIS
DICINONE 6AMP 2ML - SANOFI-AVENTIS
DICLAC 50MG 20CPDS - HEXAL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
56183
70963
102870
7080075
165829
95569
95557
111175
74317
103968
103969
91782
92375
91781
92374
74316
92381
92380
91279
36331
40590
165978
34065
74125
59672
71716
140511
131026
122651
165832
103919
42817
84374
111307
138699
96189
138696
80729
89433
74326
37008
59673
138697
92940
89434
138698
45152
41322
DESCRICAO
DICLAC SR 75MG 20CPDS - HEXAL
DICLIN 2MG+0,035MG 21CPDS REV. - MERCK S.A.
DICLIN 2MG+0,035MG 63CPDS REV. - MERCK S.A.
DICLO P 50MG 20CPDS REV. - UNIAO QUIMICA
DICLOAIR 11,6MG 60G - LEGRAND OTC
DICLOFENACO COLESTIRAMINA GEN.70MG 10CAPS - EMS GENERICOS
DICLOFENACO COLESTIRAMINA GEN.70MG 10CAPS GEL.DURA - GERMED GENERICOS
DICLOFENACO COLESTIRAMINA GEN.70MG 11BLX6CAPS - EMS GENERICOS
DICLOFENACO COLESTIRAMINA GEN.70MG 14CAPS - MEDLEY
DICLOFENACO COLESTIRAMINA GEN.70MG 14CAPS - NOVARTIS
DICLOFENACO COLESTIRAMINA GEN.70MG 20CAPS - NOVARTIS
DICLOFENACO COLESTIRAMINA GEN.70MG 2BLX10CAPS - EMS GENERICOS
DICLOFENACO COLESTIRAMINA GEN.70MG 2BLX10CAPS GEL.DURA - GERMED GENERICOS
DICLOFENACO COLESTIRAMINA GEN.70MG 2BLX7CAPS - EMS GENERICOS
DICLOFENACO COLESTIRAMINA GEN.70MG 2BLX7CAPS GEL.DURA - GERMED GENERICOS
DICLOFENACO COLESTIRAMINA GEN.70MG 2X10CAPS - MEDLEY
DICLOFENACO COLESTIRAMINA GEN.70MG 2X10CAPS - LEGRAND GENERICOS
DICLOFENACO COLESTIRAMINA GEN.70MG 2X7CAPS - LEGRAND GENERICOS
DICLOFENACO DIETILAMINO GEN.10MG/G GEL CRM.60G - GERMED GENERICOS
DICLOFENACO DIETILAMONIO GEN.1% 60GRS - MEDLEY
DICLOFENACO DIETILAMONIO GEN.10MG/G 60GRS - EUROFARMA
DICLOFENACO DIETILAMONIO GEN.10MG/G CRM GEL 60G - LUPER
DICLOFENACO DIETILAMONIO GEN.10MG/G EMULGEL 60GRS - NEOQUIMICA
DICLOFENACO DIETILAMONIO GEN.10MG/G GEL 60G - EMS GENERICOS
DICLOFENACO DIETILAMONIO GEN.10MG/G GEL 60GRS - BIOSINTETICA
DICLOFENACO DIETILAMONIO GEN.10MG/G GEL DERM.60GRS - TEUTO BRAS
DICLOFENACO DIETILAMONIO GEN.10MG/G GEL.CRM.60GRS - PRATI-DONADUZZI
DICLOFENACO DIETILAMONIO GEN.11,6MG GEL 60GRS - BRAINFARMA
DICLOFENACO DIETILAMONIO GEN.11,6MG GEL DERM.60G - UNIAO QUIMICA
DICLOFENACO DIETILAMONIO GEN.11,6MG/G GEL DERM.30G - TEUTO BRAS
DICLOFENACO DIETILAMONIO GEN.60GRS - CIMED
DICLOFENACO DIETILAMONIO GEN.60GRS - CRISTALIA
DICLOFENACO POTASSICO GEN.15MG/ML 200X10ML - HIPOLABOR
DICLOFENACO POTASSICO GEN.25MG/ML 100AMP 3ML - TEUTO BRAS
DICLOFENACO POTASSICO GEN.50MG 1000CPDS REV. - ACCORD
DICLOFENACO POTASSICO GEN.50MG 10CPDS REV. - EMS GENERICOS
DICLOFENACO POTASSICO GEN.50MG 10CPDS REV. - ACCORD
DICLOFENACO POTASSICO GEN.50MG 10DRGS - BRAINFARMA
DICLOFENACO POTASSICO GEN.50MG 10DRGS - NOVA QUIMICA
DICLOFENACO POTASSICO GEN.50MG 20CPDS - TEUTO BRAS
DICLOFENACO POTASSICO GEN.50MG 20CPDS - MEDLEY
DICLOFENACO POTASSICO GEN.50MG 20CPDS - BIOSINTETICA
DICLOFENACO POTASSICO GEN.50MG 20CPDS REV. - ACCORD
DICLOFENACO POTASSICO GEN.50MG 20DRGS - NOVARTIS
DICLOFENACO POTASSICO GEN.50MG 20DRGS - NOVA QUIMICA
DICLOFENACO POTASSICO GEN.50MG 240CPDS REV. - ACCORD
DICLOFENACO POTASSICO GEN.50MG 2BLX10CPDS REV. - EMS GENERICOS
DICLOFENACO POTASSICO GEN.50MG 2X10DRGS - RANBAXY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
80730
84380
59674
88212
90686
88751
111830
61010
36332
102001
71738
139188
139244
139195
139196
139245
101113
133638
111308
100468
72953
113927
34977
84078
143322
79738
89435
58746
78001
59675
37660
89436
140513
153132
37334
162721
162722
79739
150847
84381
34846
100514
166316
166319
166320
166317
166315
166318
DESCRICAO
DICLOFENACO POTASSICO GEN.50MG 2X10DRGS - BRAINFARMA
DICLOFENACO POTASSICO GEN.75MG 100AMP 3ML - HIPOLABOR
DICLOFENACO RESINATO GEN.15MG/ML 20ML - BIOSINTETICA
DICLOFENACO RESINATO GEN.15MG/ML GTS.20ML - EMS GENERICOS
DICLOFENACO RESINATO GEN.15MG/ML GTS.20ML - GERMED GENERICOS
DICLOFENACO RESINATO GEN.15MG/ML GTS.20ML - LEGRAND GENERICOS
DICLOFENACO RESINATO GEN.15MG/ML GTS.20ML - NOVA QUIMICA
DICLOFENACO RESINATO GEN.15MG/ML SOL.ORAL GTS.20ML - TEUTO BRAS
DICLOFENACO RESINATO GEN.20ML - MEDLEY
DICLOFENACO SODICO GEN.100MG 10CAPS GEL - MERCK S.A.
DICLOFENACO SODICO GEN.100MG 10CPDS - RANBAXY
DICLOFENACO SODICO GEN.100MG 10CPDS REV. - GERMED GENERICOS
DICLOFENACO SODICO GEN.100MG 10CPDS REV. - LEGRAND GENERICOS
DICLOFENACO SODICO GEN.100MG 10CPDS REV.DES.LENTA - EMS GENERICOS
DICLOFENACO SODICO GEN.100MG 2BLX10CPDS REV.DES.LENTA - EMS GENERICOS
DICLOFENACO SODICO GEN.100MG 2X10CPDS REV. - LEGRAND GENERICOS
DICLOFENACO SODICO GEN.10MG/G GEL 60G - EMS GENERICOS
DICLOFENACO SODICO GEN.1MG/ML SOL.OFTAL.GTS.5ML - NEOQUIMICA
DICLOFENACO SODICO GEN.25MG/ML 100AMP 3ML - TEUTO BRAS
DICLOFENACO SODICO GEN.25MG/ML 100AMP. 3ML - HYPOFARMA
DICLOFENACO SODICO GEN.25MG/ML 50AMP 3ML - UNIAO QUIMICA
DICLOFENACO SODICO GEN.25MG/ML 50AMP 3ML - NOVAFARMA
DICLOFENACO SODICO GEN.25MG/ML 5AMP 3ML - TEUTO BRAS
DICLOFENACO SODICO GEN.25MG/ML 5AMP 3ML - UNIAO QUIMICA
DICLOFENACO SODICO GEN.25MG/ML SOL.INJ.50AMP 3ML - ARISTON
DICLOFENACO SODICO GEN.50MG 10CPDS - BRAINFARMA
DICLOFENACO SODICO GEN.50MG 10CPDS - NOVA QUIMICA
DICLOFENACO SODICO GEN.50MG 20CPDS - SANDOZ
DICLOFENACO SODICO GEN.50MG 20CPDS - NOVARTIS
DICLOFENACO SODICO GEN.50MG 20CPDS - BIOSINTETICA
DICLOFENACO SODICO GEN.50MG 20CPDS - MEDLEY
DICLOFENACO SODICO GEN.50MG 20CPDS - NOVA QUIMICA
DICLOFENACO SODICO GEN.50MG 20CPDS REV. - PRATI-DONADUZZI
DICLOFENACO SODICO GEN.50MG 20CPDS REV. - NEOQUIMICA
DICLOFENACO SODICO GEN.50MG 2BLX10CPDS - EMS GENERICOS
DICLOFENACO SODICO GEN.50MG 2BLX10CPDS - GERMED GENERICOS
DICLOFENACO SODICO GEN.50MG 2BLX10CPDS - LEGRAND GENERICOS
DICLOFENACO SODICO GEN.50MG 2X10CPDS - BRAINFARMA
DICLOFENACO SODICO GEN.50MG 400CPDS REV. - PRATI-DONADUZZI
DICLOFENACO SODICO GEN.75MG 100AMP 3ML - HIPOLABOR
DICLOFENACO SODICO GEN.75MG/3ML 5AMP 3ML - NEOQUIMICA
DICLOFENACO SODICO SR GEN.100MG 10CPDS - NOVA QUIMICA
DICLORIDRATO BETAISTINA GEN.16MG 30CPDS - BIOSINTETICA
DICLORIDRATO BETAISTINA GEN.16MG 30CPDS - ACHE
DICLORIDRATO BETAISTINA GEN.24MG 30CPDS - ACHE
DICLORIDRATO BETAISTINA GEN.24MG 30CPDS - BIOSINTETICA
DICLORIDRATO BETAISTINA GEN.8MG 30CPDS - BIOSINTETICA
DICLORIDRATO BETAISTINA GEN.8MG 30CPDS - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
146696
90236
71676
68433
146695
90237
68432
71675
62187
140518
140519
134261
134407
166477
167098
166006
166476
167099
166007
167100
166009
166478
118755
118757
118756
164225
123568
163524
164224
120872
145185
120874
6420025
6420024
6420023
137459
137458
5305038
79574
79575
79577
6310075
9515
26944
2905035
137906
151049
88732
DESCRICAO
DICLORIDRATO CETIRIZINA GEN.10MG 12CPDS - SANDOZ
DICLORIDRATO CETIRIZINA GEN.10MG 12CPDS - BIOSINTETICA
DICLORIDRATO CETIRIZINA GEN.10MG 14CPDS - SANDOZ
DICLORIDRATO CETIRIZINA GEN.10MG 2X6CPDS - MEDLEY
DICLORIDRATO CETIRIZINA GEN.10MG 6CPDS - SANDOZ
DICLORIDRATO CETIRIZINA GEN.10MG 6CPDS - BIOSINTETICA
DICLORIDRATO CETIRIZINA GEN.10MG 6CPDS - MEDLEY
DICLORIDRATO CETIRIZINA GEN.10MG 7CPDS - SANDOZ
DICLORIDRATO CETIRIZINA GEN.120ML+CP MED.10ML - MEDLEY
DICLORIDRATO CETIRIZINA GEN.1MG/ML SOL.120ML - PRATI-DONADUZZI
DICLORIDRATO CETIRIZINA GEN.1MG/ML SOL.80ML - PRATI-DONADUZZI
DICLORIDRATO CETIRIZINA GEN.1MG/ML SOL.ORAL 120ML - TEUTO BRAS
DICLORIDRATO LEVOCETIRIZINA GEN.5MG 10CPDS - EUROFARMA
DICLORIDRATO PRAMIPEXOL 0,25MG 30CPDS REV. - SANDOZ
DICLORIDRATO PRAMIPEXOL GEN.0,125MG 30CPDS - BIOSINTETICA
DICLORIDRATO PRAMIPEXOL GEN.0,125MG 30CPDS REV. - ARROW
DICLORIDRATO PRAMIPEXOL GEN.0,125MG 30CPDS REV. - SANDOZ
DICLORIDRATO PRAMIPEXOL GEN.0,250MG 30CPDS - BIOSINTETICA
DICLORIDRATO PRAMIPEXOL GEN.0,25MG 30CPDS REV. - ARROW
DICLORIDRATO PRAMIPEXOL GEN.1MG 30CPDS - BIOSINTETICA
DICLORIDRATO PRAMIPEXOL GEN.1MG 30CPDS REV. - ARROW
DICLORIDRATO PRAMIPEXOL GEN.1MG 30CPDS REV. - SANDOZ
DICLOSTIR 70MG 10CAPS - EMS
DICLOSTIR 70MG 2X10CAPS - EMS
DICLOSTIR 70MG 2X7CAPS - EMS
DIELOFT 100MG 15CPDS REV. - MEDLEY
DIELOFT 100MG 20CPDS - MEDLEY
DIELOFT 100MG 30CPDS REV. - MEDLEY
DIELOFT 50MG 15CPDS REV. - MEDLEY
DIELOFT 50MG 20CPDS - MEDLEY
DIELOFT 50MG 30CPDS - MEDLEY
DIELOFT TPM 50MG 14CPDS - MEDLEY
DIENPAX 10MG 10AMP 2ML - SANOFI-AVENTIS
DIENPAX 10MG 20CPDS - SANOFI-AVENTIS
DIENPAX 5MG 20CPDS - SANOFI-AVENTIS
DIENZEPAX 10MG 20CPDS - NEOQUIMICA
DIENZEPAX 5MG 20CPDS - NEOQUIMICA
DIETAMINA 50DRGS - NECKERMAN
DIFEBRIL 500MG 100CPDS - CIFARMA
DIFEBRIL 500MG/ML GTS.10ML - CIFARMA
DIFEBRIL 500MG/ML GTS.20ML - CIFARMA
DIFENAN 50MG 20CPDS - ROYTON
DIFENIDRIN 50MG/ML 25AMP 1ML - CRISTALIA
DIFFERIN 0,1% CRM.30G - GALDERMA
DIFFERIN 0,1% GEL 30G - GALDERMA
DIFFERIN 0,3% GEL 30G - GALDERMA
DIFFERIN 0,3% GEL 45G - GALDERMA
DIGEDRAT 200MG 20CAPS GEL - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
106873
106874
30058
2400008
2400029
2400010
164426
2400009
2400011
2400034
14965
153703
15349
153704
6920157
6920199
7080156
7080157
7080017
85965
3080036
3080041
140520
111309
136805
144123
97090
137947
161788
161785
27620
4080043
4080075
160006
3480049
127856
127857
92670
2320020
103282
103281
137948
3440101
340025
109208
90701
89503
84384
DESCRICAO
DIGEDRAT 200MG 30CAPS GEL - MEDLEY
DIGEDRAT 200MG 60CAPS GEL - MEDLEY
DIGEPLUS 7+40+50MG 30CAPS GEL. - ACHE
DIGESAN 10MG 20CAPS - SANOFI-AVENTIS
DIGESAN 10MG 50AMP 2ML - SANOFI-AVENTIS
DIGESAN 10MG 6AMP 2ML - SANOFI-AVENTIS
DIGESAN 10MG 6CAPS GEL. - SANOFI-AVENTIS
DIGESAN PED.GTS.20ML - SANOFI-AVENTIS
DIGESAN RET.20CAPS - SANOFI-AVENTIS
DIGESAN SOL.ORAL 120ML - SANOFI-AVENTIS
DIGESPRID 10MG 20CAPS - NEOQUIMICA
DIGESPRID 10MG 50X10CAPS - NEOQUIMICA
DIGESPRID 4MG/ML GTS.20ML - NEOQUIMICA
DIGESPRID 4MG/ML GTS.50FR 20ML - NEOQUIMICA
DIGESTIL 10MG 20CPDS - TEUTO BRAS
DIGESTIL 4MG/ML SOL.ORAL 20ML - TEUTO BRAS
DIGESTINA 10MG 20CPDS - UNIAO QUIMICA
DIGESTINA 4MG/ML SOL.ORAL GTS.20ML - UNIAO QUIMICA
DIGESTINA 5MG/ML SOL.INJ.6AMP 2ML - UNIAO QUIMICA
DIGOBAL 0,125MG 30CPDS - BALDACCI
DIGOXINA 0,25MG 25CPDS - GLAXOSMITH
DIGOXINA ELIXIR PED.60ML - GLAXOSMITH
DIGOXINA GEN.0,05MG/ML ELX.60ML - PRATI-DONADUZZI
DIGOXINA GEN.0,25MG 100CPDS - TEUTO BRAS
DIGOXINA GEN.0,25MG 24CPDS - VITAPAN
DIGOXINA GEN.0,25MG 25CPDS - NEOQUIMICA
DIGOXINA GEN.0,25MG 30CPDS - TEUTO BRAS
DIGOXINA GEN.0,25MG 480CPDS - VITAPAN
DILABRONCO 10MG/ML XPE.120ML+CP.MED - TEUTO BRAS
DILABRONCO 5MG/ML XPE.120ML+CP.MED - TEUTO BRAS
DILACORON 120MG 2BLX10CPDS REV. - ABBOTT
DILACORON 80MG 2BLX15CPDS REV. - ABBOTT
DILACORON RETARD 240MG 3BLX10CPDS REV. - ABBOTT
DILENA 11CPDS BCO.+10CPDS AZ. - SCHERING PLOUGH
DILTIN GTS.20ML - CIMED
DILTIPRESS 30MG 2X25CPDS - SIGMA PHARMA
DILTIPRESS 60MG 2X25CPDS - SIGMA PHARMA
DIMEFOR 500MG 30CPDS REV. - FARMOQUIMICA
DIMEFOR 850MG 30CPDS REV. - FARMOQUIMICA
DIMENIDRIN 25+5MG GTS.20ML - VITAPAN
DIMENIDRIN 50+10MG 25X4CPDS - VITAPAN
DIMENIDRIN SOL.ORAL 25+5MG/ML 50X20ML - VITAPAN
DIMERCAPROL 100MG/ML 5AMP 1ML - SANOFI-AVENTIS
DIMETAPP ELIX.120ML - WYETH CONSUMER
DIMETAPP EXPEC.120ML - WYETH CONSUMER
DIMETICONA GEN.125MG 10CAPS GEL. - EMS GENERICOS
DIMETICONA GEN.125MG 10CAPS GEL.MOLE - GERMED GENERICOS
DIMETICONA GEN.200FR - HIPOLABOR
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
102017
102018
111831
139598
82678
83560
101151
87295
91627
128195
133635
97513
100094
99822
100077
88213
68387
68388
68389
3440189
161794
164229
77044
6920236
111268
34132
15336
129593
9518
136768
1830005
1830007
42865
1830069
1830024
136769
1830009
1830025
1830026
1830027
122617
122618
122619
122620
156521
156522
122621
122622
DESCRICAO
DIMETICONA GEN.40MG 10CPDS - FARMASA
DIMETICONA GEN.40MG 20CPDS - FARMASA
DIMETICONA GEN.40MG 20CPDS - NOVA QUIMICA
DIMETICONA GEN.40MG 20CPDS - CIFARMA
DIMETICONA GEN.40MG 2BLX10CPDS - EMS GENERICOS
DIMETICONA GEN.40MG 2BLX10CPDS - GERMED GENERICOS
DIMETICONA GEN.40MG 2X10CPDS - LEGRAND GENERICOS
DIMETICONA GEN.75MG GTS.15ML - EMS GENERICOS
DIMETICONA GEN.75MG GTS.15ML - LEGRAND GENERICOS
DIMETICONA GEN.75MG/ML 15ML - NOVA QUIMICA
DIMETICONA GEN.75MG/ML GTS.15ML - NEOQUIMICA
DIMETICONA GEN.75MG/ML GTS.15ML - EUROFARMA
DIMETICONA+METILBROMETO HOMATROPINA GEN.20ML - LEGRAND GENERICOS
DIMETICONA+METILBROMETO HOMATROPINA GEN.80+2,5MG/ML 20ML - MEDLEY
DIMETICONA+METILBROMETO HOMATROPINA GEN.80+2,5MG/ML GTS.20ML - GERMED GENERICOS
DIMETICONA+METILBROMETO HOMATROPINA GEN.80+2,5MG/ML SOL.ORAL 20ML - EMS GENERICOS
DIMETILIV 40MG 20CPDS - EMS
DIMETILIV 75MG/ML GTS.15ML - EMS
DIMETILIV MAX 125MG 10CAPS GEL - EMS
DIMETROSE 2,5MG 8CAPS - SANOFI-AVENTIS
DIMEZIN 125MG 10CAPS GEL. - TEUTO BRAS
DIMEZIN 125MG 80CAPS GEL. - TEUTO BRAS
DIMEZIN 40MG 20CPDS - TEUTO BRAS
DIMEZIN 75MG/ML EMULSAO ORAL 10ML - TEUTO BRAS
DIMEZIN 75MG/ML EMULSAO ORAL 50X10ML - TEUTO BRAS
DIMINUT 3X21CPDS - LIBBS
DIMINUT EST.CALEND.21CPDS - LIBBS
DIMORF 0,1MG/ML 50EST.1AMP 1ML - CRISTALIA
DIMORF 0,2MG/ML 50EST.1ML STERILE PACK - CRISTALIA
DIMORF 0,2MG/ML SOL.INJ.50AMP 1ML - CRISTALIA
DIMORF 10MG 50CPDS - CRISTALIA
DIMORF 10MG/ML 50AMP 1ML - CRISTALIA
DIMORF 10MG/ML 5AMP 1ML - CRISTALIA
DIMORF 10MG/ML SOL.ORAL 60ML - CRISTALIA
DIMORF 1MG/ML 50EST.1AMP 2ML - CRISTALIA
DIMORF 1MG/ML SOL.INJ.50AMP 2ML - CRISTALIA
DIMORF 30MG 50CPDS - CRISTALIA
DIMORF LC 100MG 6X10CAPS - CRISTALIA
DIMORF LC 30MG 6X10CAPS - CRISTALIA
DIMORF LC 60MG 6X10CAPS - CRISTALIA
DIN 200MG/ML GTS.15ML - COSMED
DIN 200MG/ML GTS.20ML - COSMED
DIN 500MG 25X4CPDS - COSMED
DIN 500MG 25X6CPDS - COSMED
DIN 500MG 4CPDS F.V - COSMED
DIN 500MG 6CPDS F.V - COSMED
DIN 750MG 25X4CPDS - COSMED
DIN 750MG 25X6CPDS - COSMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
156523
156524
40259
128184
31985
31986
57208
2900031
82762
92942
92944
144934
72494
72495
167120
167121
143002
143003
17992
17993
143608
92945
84197
84198
63532
63533
84200
84199
139822
143609
139820
139823
143616
139821
139819
34461
34462
78004
143610
139824
139825
15035
15036
143612
139827
143611
139826
139829
DESCRICAO
DIN 750MG 4CPDS F.V - COSMED
DIN 750MG 6CPDS F.V - COSMED
DINAFLEX 1,5G PO ORAL 15SACH 3,95G - ZODIAC
DINAFLEX 1,5G PO ORAL 30SACH 3,95G - ZODIAC
DINATON 80MG 20CPDS REV. - ACHE
DINATON 80MG 60CPDS REV. - ACHE
DINAVITAL C 1G+1G 10CPDS EFERV. - MERCK S.A.
DINILL 0,1+17MG/ML SOL.OFT.10ML - ALLERGAN
DINITRATO ISOSSORBIDA GEN.10MG 2BLX15CPDS - GERMED GENERICOS
DIOCOMB SI 160+20MG 28+28CPDS REV. - NOVARTIS
DIOCOMB SI 80+20MG 28+28CPDS REV. - NOVARTIS
DIOSMIN 500MG 10CPDS REV. - ACHE
DIOSMIN 500MG 30CPDS REV. - ACHE
DIOSMIN 500MG 60CPDS REV. - ACHE
DIOSMIN SDU 900+100MG ABACAXI 15SACH GRAN.5G - ACHE
DIOSMIN SDU 900+100MG ABACAXI 30SACH GRAN.5G - ACHE
DIOSMIN SDU 900+100MG GRAN.LAR./LIM.15SACH 5G - ACHE
DIOSMIN SDU 900+100MG GRAN.LAR./LIM.30SACH 5G - ACHE
DIOVAN 160MG 14CPDS REV. - NOVARTIS
DIOVAN 160MG 28CPDS REV. - NOVARTIS
DIOVAN 320MG 14CPDS REV. - NOVARTIS
DIOVAN 320MG 28CPDS REV. - NOVARTIS
DIOVAN 40MG 14CPDS REV. - NOVARTIS
DIOVAN 40MG 28CPDS REV. - NOVARTIS
DIOVAN 80MG 14CPDS REV. - NOVARTIS
DIOVAN 80MG 28CPDS REV. - NOVARTIS
DIOVAN AMLO 160+5MG 28+28CPDS - NOVARTIS
DIOVAN AMLO 80+5MG 28+28CPDS - NOVARTIS
DIOVAN AMLO FIX 160+10MG 28CPDS - NOVARTIS
DIOVAN AMLO FIX 160+5MG 14CPDS - NOVARTIS
DIOVAN AMLO FIX 160+5MG 28CPDS - NOVARTIS
DIOVAN AMLO FIX 320+10MG 28CPDS - NOVARTIS
DIOVAN AMLO FIX 320+5MG 14CPDS - NOVARTIS
DIOVAN AMLO FIX 320+5MG 28CPDS - NOVARTIS
DIOVAN AMLO FIX 80+5MG 28CPDS - NOVARTIS
DIOVAN HCT 160+12,5MG 14CPDS - NOVARTIS
DIOVAN HCT 160+12,5MG 28CPDS - NOVARTIS
DIOVAN HCT 160+25MG 28CPDS - NOVARTIS
DIOVAN HCT 320+12,5MG 14CPDS - NOVARTIS
DIOVAN HCT 320+12,5MG 28CPDS - NOVARTIS
DIOVAN HCT 320+25MG 28CPDS - NOVARTIS
DIOVAN HCT 80+12,5MG 14CPDS - NOVARTIS
DIOVAN HCT 80+12,5MG 28CPDS - NOVARTIS
DIOVAN TRIPLO 160+12,5+10MG 14+14CPDS - NOVARTIS
DIOVAN TRIPLO 160+12,5+10MG 28+28CPDS - NOVARTIS
DIOVAN TRIPLO 160+12,5+5MG 14+14CPDS - NOVARTIS
DIOVAN TRIPLO 160+12,5+5MG 28+28CPDS - NOVARTIS
DIOVAN TRIPLO 160+25+10MG 28+28CPDS - NOVARTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
139828
33970
33966
140531
119768
64873
159608
159607
64874
5340033
71692
136543
55343
115382
69760
111832
69759
140528
69758
150852
134965
71691
140529
35303
35304
111310
136540
124006
117188
120613
136541
120611
102932
89688
105816
111833
102933
89689
105817
88589
111834
166518
166519
34978
34980
136542
62196
103144
DESCRICAO
DIOVAN TRIPLO 160+25+5MG 28+28CPDS - NOVARTIS
DIPIRONA GEN.500MG/ML 50AMP 2ML - NEOQUIMICA
DIPIRONA GEN.500MG/ML GTS.10ML - NEOQUIMICA
DIPIRONA GEN.500MG/ML GTS.20ML - PRATI-DONADUZZI
DIPIRONA GEN.500MG/ML GTS.20ML - NEOQUIMICA
DIPIRONA SODICA GEN.10ML - MEDLEY
DIPIRONA SODICA GEN.1G 100CPDS - NEOQUIMICA
DIPIRONA SODICA GEN.1G 10CPDS - NEOQUIMICA
DIPIRONA SODICA GEN.20ML - MEDLEY
DIPIRONA SODICA GEN.500MG 100CPDS - NEOQUIMICA
DIPIRONA SODICA GEN.500MG 10CPDS F.V - MEDLEY
DIPIRONA SODICA GEN.500MG 240CPDS - SANOFI-AVENTIS
DIPIRONA SODICA GEN.500MG 24BLX10CPDS - EMS GENERICOS
DIPIRONA SODICA GEN.500MG 24X10CPDS - LEGRAND GENERICOS
DIPIRONA SODICA GEN.500MG 24X10CPDS - MEDLEY
DIPIRONA SODICA GEN.500MG 24X10CPDS - NOVA QUIMICA
DIPIRONA SODICA GEN.500MG 25X4CPDS - MEDLEY
DIPIRONA SODICA GEN.500MG 25X4CPDS - PRATI-DONADUZZI
DIPIRONA SODICA GEN.500MG 3X10CPDS - MEDLEY
DIPIRONA SODICA GEN.500MG 480CPDS - PRATI-DONADUZZI
DIPIRONA SODICA GEN.500MG 4CPDS - BRAINFARMA
DIPIRONA SODICA GEN.500MG 4CPDS F.V. - MEDLEY
DIPIRONA SODICA GEN.500MG 50X10CPDS - PRATI-DONADUZZI
DIPIRONA SODICA GEN.500MG GTS.10ML - EMS GENERICOS
DIPIRONA SODICA GEN.500MG GTS.20ML - EMS GENERICOS
DIPIRONA SODICA GEN.500MG/ML 100AMP 2ML - TEUTO BRAS
DIPIRONA SODICA GEN.500MG/ML 10ML - SANOFI-AVENTIS
DIPIRONA SODICA GEN.500MG/ML 120AMP 2ML - TEUTO BRAS
DIPIRONA SODICA GEN.500MG/ML 200AMP 2ML - EQUIPLEX
DIPIRONA SODICA GEN.500MG/ML 200X10ML - HIPOLABOR
DIPIRONA SODICA GEN.500MG/ML 20ML - SANOFI-AVENTIS
DIPIRONA SODICA GEN.500MG/ML GTS.10ML - HIPOLABOR
DIPIRONA SODICA GEN.500MG/ML GTS.10ML - BUNKER
DIPIRONA SODICA GEN.500MG/ML GTS.10ML - BIOSINTETICA
DIPIRONA SODICA GEN.500MG/ML GTS.10ML - GERMED GENERICOS
DIPIRONA SODICA GEN.500MG/ML GTS.10ML - NOVA QUIMICA
DIPIRONA SODICA GEN.500MG/ML GTS.20ML - BUNKER
DIPIRONA SODICA GEN.500MG/ML GTS.20ML - BIOSINTETICA
DIPIRONA SODICA GEN.500MG/ML GTS.20ML - GERMED GENERICOS
DIPIRONA SODICA GEN.500MG/ML GTS.20ML - EUROFARMA
DIPIRONA SODICA GEN.500MG/ML GTS.20ML - NOVA QUIMICA
DIPIRONA SODICA GEN.500MG/ML GTS.FR.VD.10ML - TEUTO BRAS
DIPIRONA SODICA GEN.500MG/ML GTS.FR.VD.20ML - TEUTO BRAS
DIPIRONA SODICA GEN.500MG/ML GTS.PLAST.VD.10ML - TEUTO BRAS
DIPIRONA SODICA GEN.500MG/ML GTS.PLAST.VD.20ML - TEUTO BRAS
DIPIRONA SODICA GEN.50MG/ML 100ML - SANOFI-AVENTIS
DIPIRONA SODICA GEN.50MG/ML 100ML - MEDLEY
DIPIRONA SODICA GEN.50MG/ML 100ML - LEGRAND GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
91301
104440
140533
103170
104328
124729
120610
148212
148211
159606
150346
140535
136483
7360068
7360063
7360072
68396
7360010
83490
31822
143567
6500032
143572
6500033
103909
166066
91783
87226
104016
140537
88580
141870
140536
55250
71905
94030
94215
94219
95031
95032
140539
140538
64051
95047
64052
95046
6500034
6500035
DESCRICAO
DIPIRONA SODICA GEN.50MG/ML 100ML - BIOSINTETICA
DIPIRONA SODICA GEN.50MG/ML SOL.ORAL 100ML - GERMED GENERICOS
DIPIRONA SODICA GEN.50MG/ML SOL.ORAL 100ML - PRATI-DONADUZZI
DIPIRONA SODICA GEN.50MG/ML XPE.100ML - EMS GENERICOS
DIPIRONA SODICA GEN.GTS.20ML - LEGRAND GENERICOS
DIPIRONA SODICA GEN.GTS.20ML - BRAINFARMA
DIPIRONA SODICA GEN.SOL.INJ.500MG/ML 100AMP 2ML - HIPOLABOR
DIPIRONA SODICA+CAFEINA GEN.16CPDS - NEOQUIMICA
DIPIRONA SODICA+CAFEINA GEN.25X4CPDS - NEOQUIMICA
DIPIRONA SODICA+CLORIDRATO ADIFENINA+CLORIDRATO PROMETAZINA GEN.500+10+5MG/1,5ML GTS.15ML - PRATI-DONADUZZI
DIPIRONA SODICA+CLORIDRATO ADIFENINA+CLORIDRATO PROMETAZINA GEN.500+10+5MG/1,5ML GTS.20ML - PRATI-DONADUZZI
DIPIRONA SODICA+CLORIDRATO ISOMETEPTENO+CAFEINA GEN.300+50+30MG/ML GTS.15ML - PRATI-DONADUZZI
DIPIRONA SODICA+CLORIDRATO ISOMETEPTENO+CAFEINA GEN.300+50+30MG/ML SOL.ORAL 15ML - EMS GENERICOS
DIPRIVAN 10MG/ML 1FA 50ML - ASTRAZENECA
DIPRIVAN 10MG/ML 5AMP 20ML - ASTRAZENECA
DIPRIVAN 10MG/ML EMU.INJ.1FA 100ML - ASTRAZENECA
DIPRIVAN 20MG/ML EMU.INJ.1FA 50ML - ASTRAZENECA
DIPRIVAN PFS 10MG/ML EMU.INJ.1SER.50ML - ASTRAZENECA
DIPRIVAN PFS 20MG/ML EMU.INJ.1SER.50ML - ASTRAZENECA
DIPROBETA SUSP.INJ.1AMP 1ML - BUNKER
DIPROGENTA CRM.10GRS - MANTECORP
DIPROGENTA CRM.30GRS - MANTECORP
DIPROGENTA POM.10GRS - MANTECORP
DIPROGENTA POM.30GRS - MANTECORP
DIPRONIL 5+2MG/ML 1AMP INJ.1ML - NECKERMAN
DIPROPINATO BETAMETASONA + SULFATO GENTAMICINA GEN.0,5+1MG/G CRM.DERM.30G - CIMED
DIPROPIONATO BETAMETASONA GEN.0,5MG/G CRM.DERM.30G - EMS GENERICOS
DIPROPIONATO BETAMETASONA+ACIDO SALICILICO GEN.0,5+30MG/G POM.DERM.30G - EMS GENERICOS
DIPROPIONATO BETAMETASONA+ACIDO SALICILICO GEN.0,5+30MG/G POM.DERM.30GRS - TEUTO BRAS
DIPROPIONATO BETAMETASONA+ACIDO SALICILICO GEN.0,5MG/G+30MG/G GEN.POM.DERM.30GRS - PRATI-DONADUZZI
DIPROPIONATO BETAMETASONA+ACIDO SALICILICO GEN.0,5MG/G+30MG/G POM.DERM.30GRS - MERCK S.A.
DIPROPIONATO BETAMETASONA+ACIDO SALICILICO GEN.0,64+20MG/ML SOL.TOP.30ML - GERMED GENERICOS
DIPROPIONATO BETAMETASONA+ACIDO SALICILICO GEN.0,64MG/ML+20MG/ML SOL.TOP.GTS.30ML - PRATI-DONADUZZI
DIPROPIONATO BETAMETASONA+ACIDO SALICILICO GEN.POM.DERM.30GRS - MEDLEY
DIPROPIONATO BETAMETASONA+FOSFATO DISSODICO BETAMETASONA GEN.1FA+SER - EUROFARMA
DIPROPIONATO BETAMETASONA+FOSFATO DISSODICO BETAMETASONA GEN.5+2MG/ML 1AMP 1ML - BRAINFARMA
DIPROPIONATO BETAMETASONA+SULFATO GENTAMICINA GEN.0,5+1MG/G CRM.DERM.30G - EMS GENERICOS
DIPROPIONATO BETAMETASONA+SULFATO GENTAMICINA GEN.0,5+1MG/G POM.DERM.30G - EMS GENERICOS
DIPROPIONATO BETAMETASONA+SULFATO GENTAMICINA GEN.0,5+1MG/ML CRM.DERM.30G - GERMED GENERICOS
DIPROPIONATO BETAMETASONA+SULFATO GENTAMICINA GEN.0,5+1MG/ML POM.DERM.30G - GERMED GENERICOS
DIPROPIONATO BETAMETASONA+SULFATO GENTAMICINA GEN.0,5MG/G+1MG/G CRM.DERM.30GRS - PRATI-DONADUZZI
DIPROPIONATO BETAMETASONA+SULFATO GENTAMICINA GEN.0,5MG/G+1MG/G POM.DERM.30GRS - PRATI-DONADUZZI
DIPROPIONATO BETAMETASONA+SULFATO GENTAMICINA GEN.CRM.30GRS - MEDLEY
DIPROPIONATO BETAMETASONA+SULFATO GENTAMICINA GEN.CRM.30GRS - LEGRAND GENERICOS
DIPROPIONATO BETAMETASONA+SULFATO GENTAMICINA GEN.POM.30GRS - MEDLEY
DIPROPIONATO BETAMETASONA+SULFATO GENTAMICINA GEN.POM.30GRS - LEGRAND GENERICOS
DIPROSALIC POM.30GRS - MANTECORP
DIPROSALIC SOL.30ML - MANTECORP
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
92391
161035
6500036
6500038
6500037
6500039
6500045
132181
1020110
280080
144138
128264
144137
128265
3860038
37235
3860005
5305064
167170
111269
6920173
134265
111270
6920174
134266
153647
153648
133712
147044
620035
147045
26530
26531
165957
620037
133711
165958
7460014
158315
158314
158313
7080203
84388
132161
91714
133584
2320007
87250
DESCRICAO
DIPROSEN 5+2MG/ML 1AMP 1ML - TEUTO BRAS
DIPROSEN 5+2MG/ML SUSP.INJ.120AMP 1ML - TEUTO BRAS
DIPROSONE CRM.30GRS - MANTECORP
DIPROSONE LOC.30ML - MANTECORP
DIPROSONE POM.30GRS - MANTECORP
DIPROSPAN 1AMP 1ML - MANTECORP
DIPROSPAN HYPAK 1SER.1ML - MANTECORP
DIPROZIL 30GRS - CIMED
DISGREN 300MG 2X10CAPS - BIOSINTETICA
DISPEPMED 20G - ALM.PRADO
DIUBLOK 100+12,5MG 10CPDS - EUROFARMA
DIUBLOK 100+25MG 30CPDS - EUROFARMA
DIUBLOK 50+12,5MG 10CPDS - EUROFARMA
DIUBLOK 50+12,5MG 30CPDS - EUROFARMA
DIUPRESS 25MG 20CPDS - EUROFARMA
DIURETIC 25MG 20CPDS - ROYTON
DIURISA 20CPDS - EUROFARMA
DIURIT 40MG 20CPDS - NECKERMAN
DIURIT 40MG 25BLX20CPDS - NECKERMAN
DIURIX 25MG 15X20CPDS - TEUTO BRAS
DIURIX 25MG 20CPDS - TEUTO BRAS
DIURIX 25MG 30CPDS - TEUTO BRAS
DIURIX 50MG 15X20CPDS - TEUTO BRAS
DIURIX 50MG 20CPDS - TEUTO BRAS
DIURIX 50MG 30CPDS - TEUTO BRAS
DIVALPROATO SODIO GEN.250MG 20CPDS REV. - ZYDUS NIKKHO
DIVALPROATO SODIO GEN.5000MG 20CPDS REV. - ZYDUS NIKKHO
DIVELOL 12,5MG 28CPDS - BALDACCI
DIVELOL 12,5MG 60CPDS - BALDACCI
DIVELOL 25MG 28CPDS - BALDACCI
DIVELOL 25MG 60CPDS - BALDACCI
DIVELOL 3,125MG 14CPDS - BALDACCI
DIVELOL 3,125MG 28CPDS - BALDACCI
DIVELOL 3,125MG 60CPDS - BALDACCI
DIVELOL 6,25MG 14CPDS - BALDACCI
DIVELOL 6,25MG 28CPDS - BALDACCI
DIVELOL 6,25MG 60CPDS - BALDACCI
DIVIDOL 70MG 3X4CAPS - ZAMBON
DN ATIV REVITA DERM CRM.GEL 100BGX60GRS - TRIASIL
DN ATIV REVITA DERM CRM.GEL 50BGX60GRS - TRIASIL
DN ATIV REVITA DERM CRM.GEL BGX60GRS - TRIASIL
DOBTAN 250MG SOL.INJ.1AMP 20ML - UNIAO QUIMICA
DOBUTAMINA GEN.10AMP 20ML - HIPOLABOR
DOBUTANIL 12,5MG/ML 50AMP 20ML - NOVAFARMA
DOBUTANIL 250MG 1AMP 20ML - NOVAFARMA
DOBUTARISTON 12,5MG/ML 20AMP 20ML - ARISTON
DOBUTREX 250MG 1AMP 20ML - ABL
DOCELIBBS 40MG/ML 1FA 0,5ML+DIL 1,5ML - LIBBS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
87251
88072
140196
115534
115533
140197
88073
140976
129665
129666
95490
136792
2400012
2400013
2400014
6680108
102222
3440014
5628079
150432
150675
150685
150696
123100
150676
150686
150697
123101
119667
152168
168717
150937
148344
148345
132382
170052
420062
170058
133436
42868
84389
119139
123054
103284
47715
47716
133543
5340158
DESCRICAO
DOCELIBBS 40MG/ML 1FA 2ML+DIL 6ML - LIBBS
DOCETAXEL GEN.20MG 0,5ML+DIL 1,5ML - EUROFARMA
DOCETAXEL GEN.20MG 0,5ML+DIL.1,5ML - GLENMARK
DOCETAXEL GEN.20MG 1FA 1,5ML - SANDOZ
DOCETAXEL GEN.80MG 1FA 6ML - SANDOZ
DOCETAXEL GEN.80MG 2,0ML+DIL.6,0ML - GLENMARK
DOCETAXEL GEN.80MG 2ML+DIL 6ML - EUROFARMA
DOCETERE 120MG SOL.INJ.1FA 3ML+DIL.9ML(ICMS 0%) - GLAXOSMITH
DOCETERE 20MG SOL.INJ.1FA 0,5ML+DIL.1,5ML(ICMS 0%) - GLAXOSMITH
DOCETERE 80MG SOL.INJ.1FA 2ML+DIL.ML(ICMS 0%) - GLAXOSMITH
DOCLAXIN 1000+200MG 20FA - ARISTON
DOCLAXIN 500+100MG 20FA - ARISTON
DOGMATIL 200MG 20CPDS - SANOFI-AVENTIS
DOGMATIL 50MG 20CAPS - SANOFI-AVENTIS
DOGMATIL PED.GTS.30ML - SANOFI-AVENTIS
DOLAMIN 125MG 16CPDS REV. - FARMOQUIMICA
DOLAMIN FLEX 125+5MG 15CPDS REV. - FARMOQUIMICA
DOLANTINA 50MG/ML 5BLX5AMPX2ML - SANOFI-AVENTIS
DOLOSAL 100MG 25AMP 2ML - CRISTALIA
DOMPERIDONA GEN. 10MG 30CPDS - EUROFARMA
DOMPERIDONA GEN.10MG 2BLX15CPDS - GERMED GENERICOS
DOMPERIDONA GEN.10MG 2BLX15CPDS - EMS GENERICOS
DOMPERIDONA GEN.10MG 2X15CPDS - LEGRAND GENERICOS
DOMPERIDONA GEN.10MG 3X10CPDS - RANBAXY
DOMPERIDONA GEN.10MG 4BLX15CPDS - GERMED GENERICOS
DOMPERIDONA GEN.10MG 4BLX15CPDS - EMS GENERICOS
DOMPERIDONA GEN.10MG 4X15CPDS - LEGRAND GENERICOS
DOMPERIDONA GEN.10MG 6X10CPDS - RANBAXY
DOMPERIDONA GEN.1MG/ML 100ML - MEDLEY
DOMPERIX 10MG 30CPDS - EUROFARMA
DOMPERIX 1MG/ML SUSP.ORAL 100ML+SER.DOSAD - EUROFARMA
DOMPGRAN 10MG 2X15CPDS - LEGRAND TARJARDOS
DOMPLIV 10MG 2X15CPDS - EMS
DOMPLIV 10MG 4X15CPDS - EMS
DONAREN 100MG 30CPDS - APSEN
DONAREN 50MG 20CPDS REV. - APSEN
DONAREN 50MG 60CPDS REV. - APSEN
DONAREN RETARD 150MG 10CPDS REV. - APSEN
DONAREN RETARD 150MG 20CPDS REV. - APSEN
DOPACRIS 5MG/ML 50AMP 10ML - CRISTALIA
DOPAMINA GEN.50MG 100AMP 10ML - HIPOLABOR
DOPIMEX 5MG/ML 50AMP 10ML - NOVAFARMA
DOPO 0,75MG 2CPDS - EUROFARMA
DORALEX 500MG 200CPDS - VITAPAN
DORALFLEX 12CPDS - PHARMASCIENCE
DORALFLEX 200CPDS - PHARMASCIENCE
DORALFLEX 200CPDS - PHARMASCIENCE
DORALGINA 100DRGS. - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
15076
58835
156874
123655
150919
61132
79587
120804
5305040
104337
103286
103285
31815
31814
31816
31817
138711
145032
165779
122626
166417
2380031
132219
6420104
6420100
6420107
6420105
6420159
6420102
6420063
6420071
55518
94109
61120
166427
73904
73905
115298
4720152
40029
40010
101999
26923
26924
161174
79588
79589
79590
DESCRICAO
DORALGINA 20DRGS. - NEOQUIMICA
DORALGINA GTS.15ML - NEOQUIMICA
DORALIV 100MG/ML GTS.20ML - ACHE
DORALIV 50MG/ML GTS.30ML - ACHE
DORALIV GEL 20MG/ML ORAL 150ML+COL.MED. - ACHE
DORAPLAX 200MG 50X4CAPS - LUPER
DORCIFLEXIN 144CPDS - CIFARMA
DORCIFLEXIN 35+300+50MG 240CPDS - CIFARMA
DORFEBRIL 500MG/ML GTS.10ML - NECKERMAN
DORFEBRIL 500MG/ML GTS.20ML - NECKERMAN
DORFENOL 200MG/ML 15ML - VITAPAN
DORFENOL 750MG 200CPDS - VITAPAN
DORFLEX 35+300+50MG 10CPDS F.V - SANOFI-AVENTIS
DORFLEX 35+300+50MG 24X10CPDS - SANOFI-AVENTIS
DORFLEX 35+300+50MG 3X10CPDS - SANOFI-AVENTIS
DORFLEX 35+300+50MG SOL.20ML - SANOFI-AVENTIS
DORFLEX P 35+450+50MG 12CPDS - SANOFI-AVENTIS
DORFLEX P 35+450+50MG 200CPDS - SANOFI-AVENTIS
DORFLEX P 35+450+50MG 4CPDS F.V - SANOFI-AVENTIS
DORGIL GTS.15ML - COSMED
DORICIN 35+300+50MG 24BLX10CPDS - EMS
DORICIN 35+300+50MG 30X4CPDS - EMS
DORICIN 35+300+50MG/ML GTS.20ML - EMS
DORICO 200MG GTS.10ML - SANOFI-AVENTIS
DORICO 200MG GTS.15ML - SANOFI-AVENTIS
DORICO 500MG 1X4CPDS
F.V - SANOFI-AVENTIS
DORICO 500MG 25X4CPDS - SANOFI-AVENTIS
DORICO 750MG 10CPDS - SANOFI-AVENTIS
DORICO 750MG 1X4CPDS
F.V - SANOFI-AVENTIS
DORICO 750MG 2X10CPDS - SANOFI-AVENTIS
DORICO 750MG 50X4CPDS - SANOFI-AVENTIS
DORIDINA 20DRGS - BUNKER
DORIDINA GTS.15ML - BUNKER
DORIFLAN EMULGEL 60GRS - LUPER
DORIL 500+30MG 20CPDS - COSMED
DORIL 500+30MG 25BLX6CPDS - COSMED
DORIL 500+30MG 6CPDS F.V - COSMED
DORILAN 50X4CPDS - LUPER
DORILAN GTS.20ML - LUPER
DORILAX 350+150+50MG 12CPDS - ACHE
DORILAX 350+150+50MG 25BLX4CPDS - ACHE
DORILAX 350+150+50MG 4CPDS F.V - ACHE
DORILEN 12CPDS - LEGRAND OTC
DORILEN GTS.15ML - LEGRAND OTC
DORILEN GTS.20ML - LEGRAND OTC
DORILESS 12CPDS - CIFARMA
DORILESS 200CPDS - CIFARMA
DORILESS SOL.GTS.15ML - CIFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
21703
21704
21705
153706
2120054
2120055
9525
49404
49405
150484
165846
9524
150485
21066
116154
145017
26064
72952
26063
6280027
35314
6280025
6280003
6280026
68171
68172
37954
165995
165994
2380043
2380146
165830
140278
140279
140281
140280
37392
26540
43364
43365
3190020
3190021
43363
123048
128627
128628
5440022
136584
DESCRICAO
DORLESS 100MG SOL.INJ.6AMP 2ML - UNIAO QUIMICA
DORLESS 50MG 10CAPS GEL. - UNIAO QUIMICA
DORLESS 50MG SOL.INJ.6AMP 1ML - UNIAO QUIMICA
DORMANT 15MG/3ML SOL.INJ.50AMP 3ML - NEOQUIMICA
DORMELOX 15MG 10CPDS - DELTA
DORMELOX 7,5MG 10CPDS - DELTA
DORMIRE 15MG 20CPDS - CRISTALIA
DORMIRE 15MG 5AMP 3ML - CRISTALIA
DORMIRE 2MG/ML 12FR 10ML+12DOS. - CRISTALIA
DORMIRE 50MG 50AMP 10ML - CRISTALIA
DORMIRE 50MG 50AMP 3ML - CRISTALIA
DORMIRE 50MG 5AMP 10ML - CRISTALIA
DORMIRE 5MG 50AMP 5ML - CRISTALIA
DORMIRE 5MG 5AMP 5ML - CRISTALIA
DORMIUM 15MG 20CPDS - UNIAO QUIMICA
DORMIUM 15MG 30CPDS - UNIAO QUIMICA
DORMIUM 1MG/ML SOL.INJ.5AMP 5ML - UNIAO QUIMICA
DORMIUM 5MG/ML SOL.INJ.5AMP 10ML - UNIAO QUIMICA
DORMIUM 5MG/ML SOL.INJ.5AMP 3ML - UNIAO QUIMICA
DORMONID 15MG 20CPDS REV. - ROCHE
DORMONID 15MG 30CPDS REV. - ROCHE
DORMONID 15MG SOL.INJ.5AMP 3ML - ROCHE
DORMONID 50MG SOL.INJ.5AMP 10ML - ROCHE
DORMONID 5MG SOL.INJ.5AMP 5ML - ROCHE
DORMONID 7,5MG 20CPDS - ROCHE
DORMONID 7,5MG 30CPDS - ROCHE
DORNOT 50MG/ML SOL.INJ.25AMP 2ML - UNIAO QUIMICA
DORONA CAFI 500+65MG 100CPDS - NEOQUIMICA
DORONA CAFI 500+65MG 16CPDS - NEOQUIMICA
DORSPAN 2X10DRGS - EMS
DORSPAN GTS.20ML - EMS
DORYDRIN 24BLX10CPDS - LEGRAND OTC
DOSATAXEL 20MG 1FA 0,5ML+DIL.1,5ML - CHEMICALTECH
DOSATAXEL 80MG 1FA 2ML+DIL.6ML - CHEMICALTECH
DOSATECAN 20MG/ML 1FA 2ML - CHEMICALTECH
DOSATECAN 20MG/ML 1FA 5ML - CHEMICALTECH
DOSTINEX 0,5MG 2CPDS - PFIZER
DOSTINEX 0,5MG 8CPDS - PFIZER
DOTAREM 0,5MMOL/ML SER.PREENCH.15ML - GUERBET
DOTAREM 0,5MMOL/ML SER.PREENCH.20ML - GUERBET
DOTAREM 1FA 10ML - GUERBET
DOTAREM 1FA 15ML - GUERBET
DOTAREM 1FA 20ML - GUERBET
DOTAREM 1FA 60ML - GUERBET
DOTAREM 25FA 10ML - GUERBET
DOTAREM 25FA 15ML - GUERBET
DOXAL 80+30MG 20DRGS - SIGMA PHARMA
DOXAPROST 2MG 3BLX10CPDS - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
136585
98841
98843
145325
145326
56189
68382
166471
7480004
7480005
115300
166472
166473
139914
139915
71889
23590
23587
146701
1300011
162999
1300010
166447
166446
166448
1300015
67998
1300099
146702
1300014
1300016
1300012
146703
44911
3080050
141863
2320011
2320012
2320013
104837
2320014
2320015
2320017
6485023
9527
60626
140540
92976
DESCRICAO
DOXAPROST 4MG 3BLX10CPDS - UNIAO QUIMICA
DOXAZOSINA GEN.2MG 10CPDS - RANBAXY
DOXAZOSINA GEN.2MG 30CPDS - RANBAXY
DOXELIB 20MG 1FA 0,5ML+DIL.1,5ML - LIBRA
DOXELIB 80MG 1FA 2ML+DIL.6ML - LIBRA
DOXICICLINA GEN.100MG 15CPDS - SANDOZ
DOXICICLINA GEN.100MG 20CPDS - HEXAL
DOXICICLINA GEN.100MG 20CPDS - SANDOZ
DOXOLEM 10MG PO LIOF.1FA+DIL. - ZODIAC
DOXOLEM 50MG PO LIOF.1FA - ZODIAC
DOXOPEG 2MG/ML SUSP.INJ.1FA 10ML - ZODIAC
DOXURAN 2MG 10CPDS - SANDOZ
DOXURAN 2MG 30CPDS - SANDOZ
DOXURAN 4MG 20CPDS - SANDOZ
DOXURAN 4MG 30CPDS - SANDOZ
DRAMAVIT 100X4CPDS - LUPER
DRAMAVIT B6 20CPDS - LUPER
DRAMAVIT B6 GTS.20ML - LUPER
DRAMIN 100MG 20CPDS - NYCOMED
DRAMIN 1X10CPDS F.V - NYCOMED
DRAMIN 25MG 10CAPS GEL. - NYCOMED
DRAMIN 40X10CPDS EMB.MULT - NYCOMED
DRAMIN 50MG 100CAPS GEL.MOLE - NYCOMED
DRAMIN 50MG 10CAPS GEL.MOLE - NYCOMED
DRAMIN 50MG 4CAPS GEL.F.V - NYCOMED
DRAMIN B-6 100AMP 1ML - NYCOMED
DRAMIN B-6 10AMP 1ML - NYCOMED
DRAMIN B-6 1AMP 1ML F.V - NYCOMED
DRAMIN B-6 50+10MG 30CPDS REV. - NYCOMED
DRAMIN B-6 5ENV 4CPDS - NYCOMED
DRAMIN B-6 DL 30MG 100AMP 10ML - NYCOMED
DRAMIN B-6 PED.GTS.20ML - NYCOMED
DRAMIN B-6 PED.GTS.30ML - NYCOMED
DRAMIN SOL.ORAL 120ML - NYCOMED
DRAPOLENE CRM.40G - FARMOQUIMICA
DRENATAN 0,05MG/ML SOL.OFT.2,5ML - GERMED
DRENIFORMIO 0,125+30MG/G CRM.DERM.30G - BIOLAB SANUS
DRENISON 0,125MG/G CRM.DERM.30G - BIOLAB SANUS
DRENISON 0,125MG/G POM.DERM.30G - BIOLAB SANUS
DRENISON 0,5MG/ML LOCAO 30ML - BIOLAB SANUS
DRENISON N 0,125+3,5MG/G CRM.DERM.30G - BIOLAB SANUS
DRENISON N 0,125+3,5MG/G POM.DERM.30G - BIOLAB SANUS
DRENISON OCLUSIVO 4MCC/CM3 ROLO 200X7,5CM - BIOLAB SANUS
DRENOL 30CPDS - PFIZER
DROPERDAL 2,5MG/ML 50AMP 1ML - CRISTALIA
DROPROPIZINA GEN.1,5MG XPE.120ML - MEDLEY
DROPROPIZINA GEN.1,5MG/ML XPE.120ML - PRATI-DONADUZZI
DROPROPIZINA GEN.1,5MG/ML XPE.PED.120ML - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
60627
71860
140541
92977
163530
167106
161175
153669
157468
107057
107059
107058
137553
153605
34267
127979
1060033
131478
6820020
6820081
72148
144139
134943
150326
150327
150325
120881
120882
119794
154780
118554
71009
71010
160008
128375
128371
128372
128373
44644
140542
140543
140551
140544
141205
5420008
6200150
73050
20824
DESCRICAO
DROPROPIZINA GEN.3,0MG XPE.120ML - MEDLEY
DROPROPIZINA GEN.3MG/ML XPE.120ML - UNIAO QUIMICA
DROPROPIZINA GEN.3MG/ML XPE.120ML - PRATI-DONADUZZI
DROPROPIZINA GEN.3MG/ML XPE.ADU.120ML - NEOQUIMICA
DROSPIRENONA+ETINILESTRADIOL GEN.3+0,03MG 21CPDS REV. - EMS GENERICOS
DROSPIRENONA+ETINILESTRADIOL GEN.3+0,03MG 21CPDS REV. - GERMED GENERICOS
DROSPIRENONA+ETINILESTRADIOL GEN.3+0,03MG 21CPDS REV. - LEGRAND GENERICOS
DRUSOLOL 2+0,5% SOL.OFT.5ML - UNIAO QUIMICA
DRY-LIN 1GR 60CAPS GEL - OPHTHALMOS
DRYLTAC 70MG 10CAPS - LEGRAND TARJARDOS
DRYLTAC 70MG 2X10CAPS - LEGRAND TARJARDOS
DRYLTAC 70MG 2X7CAPS - LEGRAND TARJARDOS
DTN-FOL 400MCG+10MG 90CAPS GEL.MOLE - BIOLAB SANUS
DUCODIL 5MG 20CPDS REV. - CIMED
DUCTOGEL 300MG 24CPDS - NEOQUIMICA
DUKORAL 3ML 1DS+1SACHEX5,6GRS - SANOFI-AVENTIS
DULCOLAX 5MG 20DRGS - BOEHRINGER
DUO-DECADRON 8+2MG/ML SUSP.INJ.1FA 1ML+SER.DOSAD. - ACHE
DUOFILM GTS.15ML - STIEFEL
DUOFILM PLANTAR 20GRS - STIEFEL
DUOFLAM 6,43+2,63MG 1AMP 1ML - CRISTALIA
DUOMO 2MG 10CPDS - EUROFARMA
DUOMO 2MG 30CPDS - EUROFARMA
DUOSOL C/POTASSIO 2MEQ BAG 5000ML 8916 - B.BRAUN
DUOSOL C/POTASSIO 4MEQ BAG 5000ML 8917 - B.BRAUN
DUOSOL S/POTASSIO BAG 5000ML 8914 - B.BRAUN
DUOTRAT 0,5MG/G+1,0MG CRM.30GRS - MEDLEY
DUOTRAT 0,5MG/G+1,0MG POM.30GRS - MEDLEY
DUO-TRAVATAN 0,04+5MG/ML SOL.OFT.2,5ML - ALCON
DUOVENT N AER.10ML+BOCAL - BOEHRINGER
DUPHALAC 667MG/ML XPE.200ML - ABBOTT SAUDE
DUPHASTON 10MG 14CPDS REV. - ABBOTT SAUDE
DUPHASTON 10MG 2BLX14CPDS REV. - ABBOTT SAUDE
DURATESTON 250MG 1AMP 1ML - SCHERING PLOUGH
DUROGESIC D-TRANS 16,8MG 5ADES 100MCG/H - JANSSEN-CILAG
DUROGESIC D-TRANS 2,1MG 5ADES 12MCG/H - JANSSEN-CILAG
DUROGESIC D-TRANS 4,2MG 5ADES 25MCG/H - JANSSEN-CILAG
DUROGESIC D-TRANS 8,4MG 5ADES 50MCG/H - JANSSEN-CILAG
DUSPATALIN 200MG 30CAPS LIB.PROLONGADA - ABBOTT SAUDE
DUXIDINA 10MG/ML SOL.TOPICA 30ML - PRATI-DONADUZZI
DUXIDINA 10MG/ML SOL.TOPICA 45ML - PRATI-DONADUZZI
DUZIMICIN 500MG 12CAPSGEL DURA - PRATI-DONADUZZI
DUZIMICIN 50MG PO P/SUSPENSAO FR.VD.150ML - PRATI-DONADUZZI
D-VOID 0,1MG/ML SPRAY.1FR C/2,5ML - SUN
EACA BALSAMICO XPE.100ML - NIKKHO
EBASTEL 10MG 10CPDS - EUROFARMA
EBASTEL D 5CAPS GEL. - EUROFARMA
EBASTEL XPE.60ML - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
143011
82818
139599
145453
119714
90049
90050
170723
170724
170725
119715
21706
17837
94127
3888
169633
165778
141330
169631
106412
3866
169632
165777
148159
148160
148158
104863
1060037
1060038
145258
6280028
157496
157497
157498
157495
6440083
97102
118319
64640
103931
106826
106825
161186
161182
161183
161184
161185
164640
DESCRICAO
EBIX 10MG 14CPDS - LUNDBECK
EBIX 10MG 28CPDS - LUNDBECK
ECALTA 100MG 1VIAL - PFIZER
ECASIL 81MG 90CPDS REV. - BIOLAB SANUS
ECATOR 10MG 30CAPS - TORRENT
ECATOR 2,5MG 30CAPS - TORRENT
ECATOR 5MG 30CAPS - TORRENT
ECATOR ANLO 2,5+5MG 30CPDS - TORRENT
ECATOR ANLO 5+5MG 10CPDS - TORRENT
ECATOR ANLO 5+5MG 30CPDS - TORRENT
ECATOR H 5/25MG 30CPDS - TORRENT
ECOS 3MG/ML XPE.120ML - UNIAO QUIMICA
EFEDRIN 50MG/ML 100AMP 1ML - CRISTALIA
EFERVIT 1G 10CPDS - HERALD'S
EFEXOR XR 150MG 14CAPS - WYETH
EFEXOR XR 150MG 30CAPS GEL.DURA - WYETH
EFEXOR XR 150MG 7CAPS - WYETH
EFEXOR XR 37,5MG 14CAPS GEL.DURA - WYETH
EFEXOR XR 37,5MG 30CAPS GEL.DURA - WYETH
EFEXOR XR 37,5MG 7CAPS GEL.DURA - WYETH
EFEXOR XR 75MG 14CAPS - WYETH
EFEXOR XR 75MG 30CAPS GEL.DURA - WYETH
EFEXOR XR 75MG 7CAPS - WYETH
EFFIENT 10MG 14CPDS REV. - DAIICHI SANKYO
EFFIENT 10MG 30CPDS REV. - DAIICHI SANKYO
EFFIENT 5MG 14CPDS REV. - DAIICHI SANKYO
EFORTIL 10MG/ML SOL.INJ.5AMP 1ML - BOEHRINGER
EFORTIL 5MG 20CPDS - BOEHRINGER
EFORTIL 7,5MG/ML SOL.ORAL 20ML - BOEHRINGER
EFRINALIN 1MG/ML 100AMP 1ML - ARISTON
EFURIX 50MG/G CRM.15GRS - VALEANT
EGIDE 100MG 60CPDS REV. - LIBBS
EGIDE 25MG 30CPDS REV. - LIBBS
EGIDE 25MG 60CPDS REV. - LIBBS
EGIDE 50MG 60CPDS REV. - LIBBS
ELAMAX 21CPDS REV. - BIOLAB SANUS
ELANI 3MG+0,03MG CALEND.28CPDS - LIBBS
ELANI CICLO 3MG+0,03MG CALEND.21CPDS - LIBBS
ELIDEL 1% CRM.DERM.15G - NOVARTIS
ELIDEL 1% CRM.DERM.30G - NOVARTIS
ELIGARD 22,5MG SER.A+B AG.DESSEC. - ZODIAC
ELIGARD 7,5MG SER.A+B AG.DESSEC. - ZODIAC
ELIQUIS 2,5MG 10BLX10CPDS REV.(HOSPITALAR) - BRISTOL
ELIQUIS 2,5MG 10CPDS REV. - BRISTOL
ELIQUIS 2,5MG 2BLX10CPDS REV. - BRISTOL
ELIQUIS 2,5MG 6BLX10CPDS REV. - BRISTOL
ELIQUIS 2,5MG 6BLX10CPDS REV.(HOSPITALAR) - BRISTOL
ELO 3+0,03MG 21CPDS REV. - EMS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
6500052
6500048
146594
146593
161312
161315
2360020
142117
142118
136797
96328
78636
152169
2380038
2380165
485022
485024
167145
167148
3955002
57238
127868
23550
119288
119289
132226
81627
81628
81629
81630
81625
81626
139832
139833
139830
139831
55623
55625
55621
166070
44654
145413
166071
44655
153606
145414
166072
68546
DESCRICAO
ELOCOM CRM.20GRS - MANTECORP
ELOCOM POM.20GRS - MANTECORP
ELODIUS 100MG/ML SOL.ORAL 95ML+SER.DOSAD. - BOEHRINGER
ELODIUS 250MG 120CAPS GEL.MOLE - BOEHRINGER
ELONVA 100MCCG SOL.INJ.1SER.PREENCH.0,5ML - SCHERING PLOUGH
ELONVA 150MCCG SOL.INJ.1SER.PREENCH.0,5ML - SCHERING PLOUGH
ELOTIN 5ML - ELOFAR
ELOXATIN 100MG SOL INJ FA - SANOFI-AVENTIS
ELOXATIN 50MG SOL INJ FA - SANOFI-AVENTIS
ELSPAR 10000UI PO LIOF.1FA 10ML - BAGO
EMAMA 400MG 30CAPS GEL - EUROFARMA
EMEND 80MG 2CPDS+125MG 1CPDS - MERCK S.D.
EMET 25+5MG/ML GTS.20ML - EUROFARMA
EMISTIN 20CPDS - EMS
EMISTIN CRM.20GRS - EMS
EMLA 25+25MG/G CRM.DERM.5BG 5G - ASTRAZENECA
EMLA 25+25MG/G CRM.DERM.5G - ASTRAZENECA
EMOFORM AP GEL DENTAL 70G - UNIAO QUIMICA
EMOFORM AT GEL DENTAL 70G - UNIAO QUIMICA
EMPLASTRO SABIA 10,5X16,5CM 60ENV - J&J CONSUM
EMSCORT CRM.30GRS - EMS
EMSEXPECTOR XPE.120ML - EMS
EMSGRIP CHA MEL/LIMAO 50SACH - EMS
EMULSAO OLEO OLIVA 20% 1ML - HOSPPHARMA
EMULSAO OLEO PEIXE 10% 1ML - HOSPPHARMA
EMULSAO SCOTT CER.200ML - GLAXOSMITH
EMULSAO SCOTT LAR.200ML - GLAXOSMITH
EMULSAO SCOTT LAR.400ML - GLAXOSMITH
EMULSAO SCOTT MOR.200ML - GLAXOSMITH
EMULSAO SCOTT MOR.400ML - GLAXOSMITH
EMULSAO SCOTT TRADIC.200ML - GLAXOSMITH
EMULSAO SCOTT TRADIC.400ML - GLAXOSMITH
ENABLEX 15MG 14CPDS REV. - NOVARTIS
ENABLEX 15MG 28CPDS REV. - NOVARTIS
ENABLEX 7,5MG 14CPDS REV. - NOVARTIS
ENABLEX 7,5MG 28CPDS REV. - NOVARTIS
ENALABAL 10MG 30CPDS - BALDACCI
ENALABAL 20MG 30CPDS - BALDACCI
ENALABAL 5MG 30CPDS - BALDACCI
ENALAMED 10MG 25BLX20CPDS(EMB.HOSP.) - CIMED
ENALAMED 10MG 30CPDS - CIMED
ENALAMED 10MG 900CPDS - CIMED
ENALAMED 20MG 25BLX20CPDS(EMB.HOSP.) - CIMED
ENALAMED 20MG 30CPDS - CIMED
ENALAMED 20MG 60CPDS - CIMED
ENALAMED 20MG 900CPDS - CIMED
ENALAMED 5MG 25BLX20CPDS(EMB.HOSP.) - CIMED
ENALPRIN 10MG 30CPDS - ROYTON
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
68548
68544
96860
33276
33277
33275
81838
128522
72879
107577
154333
122648
45139
45143
142144
142141
142142
142145
142143
145443
145444
145446
153629
154203
151142
4880022
4880020
4880018
118529
4880021
141966
141455
91701
91703
91702
47229
88062
140951
151118
153775
35445
2380181
133459
2380187
144915
144916
103288
103289
DESCRICAO
ENALPRIN 20MG 30CPDS - ROYTON
ENALPRIN 5MG 30CPDS - ROYTON
ENANTATO NORETISTERONA+VALERATO ESTRADIOL GEN.SER.PREENC.1ML - EUROFARMA
ENAPROTEC 10MG 30CPDS - HEXAL
ENAPROTEC 20MG 30CPDS - HEXAL
ENAPROTEC 5MG 30CPDS - HEXAL
ENAX 30CAPS - ATIVUS
ENAX XPE.100ML - ATIVUS
ENBREL 25MG PO LIOF.4ESTOJOS(1FA/1SER.PREENC.DIL.1ML/AG./ADAPT./2LENCOS) - WYETH
ENBREL 50MG PO LIOF.4ESTOJOS(1FA/1SER.PREENC.DIL.1ML/AG./ADAPT./2LENCOS) - WYETH
ENBREL PFS 50MG SOL.INJ.4SER.PREENCH.1ML+AG./8LENCOS - WYETH
ENCRISE 20U/ML SOL.INJ.10AMP 1ML - BIOLAB SANUS
ENDCOFF MEL/LIMAO 12PAST - EMS
ENDCOFF MENTA 12PAST - EMS
ENDOBULIN KIOVIG 10G 100ML - BAXTER
ENDOBULIN KIOVIG 1G 10ML - BAXTER
ENDOBULIN KIOVIG 2,5G 25ML - BAXTER
ENDOBULIN KIOVIG 20G 200ML - BAXTER
ENDOBULIN KIOVIG 5G 50ML - BAXTER
ENDOCRIS 20MG/0,2ML 10SER.PREENCHIDA - CRISTALIA
ENDOCRIS 40MG/0,4ML 10SER.PREENCHIDA - CRISTALIA
ENDOCRIS 60MG/0,6ML 2SER.PREENCHIDA - CRISTALIA
ENDOCRIS 80MG/0,8ML 2SER.PREENCHIDA - CRISTALIA
ENDOFER 100MG 20CPDS MAST. - BIOLAB SANUS
ENDOFER 50MG/ML GTS.30ML - BIOLAB SANUS
ENDOFOLIN 0,4MG/ML SOL.ORAL 100ML - MARJAN
ENDOFOLIN 2MG 20CPDS REV. - MARJAN
ENDOFOLIN 5MG 20CPDS REV. - MARJAN
ENDOFOLIN 5MG 30CPDS REV. - MARJAN
ENDOFOLIN GTS.30ML - MARJAN
ENDONIDAZOL 5MG/ML 100ML 1510191 - FRESENIUS KABI
ENDONITOL 3% 2000ML 1520072 - FRESENIUS KABI
ENDORUS 750MG 20CPDS - INFAN
ENDORUS SOL.ORAL 30ML - INFAN
ENDORUS XPE.100ML - INFAN
ENDRONAX 70MG 4CPDS - ABBOTT SAUDE
ENDROSTAN 70MG 4CPDS - DELTA
ENDURA EMU.OFT.15ML - ALLERGAN
ENDURA S/CONSERV.30FLAC 0,4ML - ALLERGAN
ENEMA GLICERINA 12% 12FR 500ML - BASA
ENERGICLIN 30CPDS - INFAN
ENERGIL C 2G 10CPDS EFV. - EMS CONSUMO
ENERGIL C AMINO 1+1G 16CPDS EFV. - EMS CONSUMO
ENERGIL C ROSE HIPS 1G 10CPDS EFV. - EMS CONSUMO
ENERGIL ZINCO 1G+10MG 10CPDS EFV. - EMS CONSUMO
ENERGIL ZINCO 1G+10MG 30CPDS EFV. - EMS CONSUMO
ENERGRIP C 200MG/ML GTS.20ML - VITAPAN
ENERGRIP C 500MG 20CPDS - VITAPAN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
121919
121920
121921
9555
9558
128524
128525
128523
85948
85949
85947
73907
73906
94130
148649
136877
166000
166001
166003
166004
166005
165992
165993
165996
165998
165999
148645
136873
148646
136874
148647
136875
148648
136876
159360
159363
159358
159362
159359
159361
165602
136696
150625
95056
156467
121922
41348
41351
DESCRICAO
ENERGYZIP BAUNILHA 200ML TETRA PAK - PRODIET NC
ENERGYZIP CHOCOLATE 200ML TETRA PAK - PRODIET NC
ENERGYZIP MORANGO 200ML TETRA PAK - PRODIET NC
ENFLURAN 100ML - CRISTALIA
ENFLURAN 240ML - CRISTALIA
ENFLURANO 100ML - BIOCHIMICO
ENFLURANO 240ML - BIOCHIMICO
ENFLURANO 50ML - BIOCHIMICO
ENFOL 0,2MG/ML 30ML - ATIVUS
ENFOL 0,4MG/ML 100ML - ATIVUS
ENFOL 5MG 20CPDS REV. - ATIVUS
ENGOV 1X6CPDS F.V - COSMED
ENGOV 25X6CPDS - COSMED
ENJOY 200CPDS - HERALD'S
ENOXALOW 100MG 10SER-PREE 1,0ML - BLAU
ENOXALOW 100MG 1SER-PREE 1,0ML - BLAU
ENOXALOW 100MG/ML 10SER.PREENC.0,2ML+SIST.SEG. - BLAU
ENOXALOW 100MG/ML 10SER.PREENC.0,4ML+SIST.SEG. - BLAU
ENOXALOW 100MG/ML 10SER.PREENC.0,6ML+SIST.SEG. - BLAU
ENOXALOW 100MG/ML 10SER.PREENC.0,8ML+SIST.SEG. - BLAU
ENOXALOW 100MG/ML 10SER.PREENC.1ML+SIST.SEG. - BLAU
ENOXALOW 100MG/ML 1SER.PREENC.0,2ML+SIST.SEG. - BLAU
ENOXALOW 100MG/ML 1SER.PREENC.0,4ML+SIST.SEG. - BLAU
ENOXALOW 100MG/ML 1SER.PREENC.0,6ML+SIST.SEG. - BLAU
ENOXALOW 100MG/ML 1SER.PREENC.0,8ML+SIST.SEG. - BLAU
ENOXALOW 100MG/ML 1SER.PREENC.1ML+SIST.SEG. - BLAU
ENOXALOW 20MG 10SER-PREE 0,2ML - BLAU
ENOXALOW 20MG 1SER-PREE 0,2ML - BLAU
ENOXALOW 40MG 10SER-PREE 0,4ML - BLAU
ENOXALOW 40MG 1SER-PREE 0,4ML - BLAU
ENOXALOW 60MG 10SER-PREE 0,6ML - BLAU
ENOXALOW 60MG 1SER-PREE 0,6ML - BLAU
ENOXALOW 80MG 10SER-PREE 0,8ML - BLAU
ENOXALOW 80MG 1SER-PREE 0,8ML - BLAU
ENSURE NG PO BAN.400G - ABBOTT
ENSURE NG PO BAN.900G - ABBOTT
ENSURE NG PO BAUN.400G - ABBOTT
ENSURE NG PO BAUN.900G - ABBOTT
ENSURE NG PO CHOC.400G - ABBOTT
ENSURE NG PO CHOC.900G - ABBOTT
ENSURE NG PO MOR.900G - ABBOTT
ENSURE PLUS TETRA BAUN.200ML - ABBOTT
ENSURE PLUS TETRA CHOC.200ML - ABBOTT
ENSURE PO C/FOS MOR.400G - ABBOTT
ENTARKIN 200MG 3BLX10CPDS REV. - SIGMA PHARMA
ENTERFIBER 400GRS - PRODIET NC
ENTEROFIGON 150ML - KLEY HERTZ
ENTEROFIGON 60FLAC - KLEY HERTZ
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
115335
47722
47721
167824
80770
13333
485070
118544
92614
1300105
1300134
1300023
1300022
1300106
166449
166450
166451
166452
105211
3480009
166416
3480039
15751
80016
147041
147039
147040
6280029
5340116
153707
143533
153155
136770
6440052
159633
163517
92392
94423
2900033
3080118
3080119
115345
115347
115346
37121
139354
139350
139351
DESCRICAO
ENTEROFIGON ABAC.60FLAC - KLEY HERTZ
ENTEROFTAL 20CPDS - PHARMASCIENCE
ENTEROFTAL GTS.15ML - PHARMASCIENCE
ENTEROGERMINA 2BCFU/5ML 10FR - SANOFI-AVENTIS
ENTEROSEC 2MG 100CPDS - HERALD'S
ENTOCORT 3,0MG 45CAPS GEL. - ASTRAZENECA
ENTOCORT ENEMA 2,3MG 7CPDS+7FR DIL.115ML - ASTRAZENECA
ENURAN FR VD AMB X 100ML - BIOCHIMICO
EPAREMA 120DRGS - NYCOMED
EPAREMA 12FLAC 10ML - NYCOMED
EPAREMA 1FLAC 10ML F.V - NYCOMED
EPAREMA 200ML - NYCOMED
EPAREMA 20DRGS - NYCOMED
EPAREMA 60FLAC 10ML - NYCOMED
EPAREMA GUAR.12FLAC.10ML - NYCOMED
EPAREMA GUAR.36FLAC.10ML - NYCOMED
EPAREMA LAR.12FLAC.10ML - NYCOMED
EPAREMA LAR.36FLAC.10ML - NYCOMED
EPAREMA SOL.ORAL 50ML - NYCOMED
EPATIVAN 10FLAC 10ML - CIMED
EPATIVAN 48FLAC 10ML - CIMED
EPATIVAN 60FLAC 10ML - CIMED
EPATIVAN SOL.ORAL 240ML - CIMED
EPELIN SUSP.ORAL 120ML - PFIZER
EPEZ 10MG 30CPDS - TORRENT
EPEZ 5MG 10CPDS - TORRENT
EPEZ 5MG 30CPDS - TORRENT
EPHYNAL 400MG 30CAPS - BAYER
EPICITRIN POM.10GRS - NEOQUIMICA
EPICITRIN POM.50BG 10GRS - NEOQUIMICA
EPIDUO 30G - GALDERMA
EPIDUO 60G - GALDERMA
EPIFRIN 0,1% SOL.INJ.100AMP 1ML - CRISTALIA
EPILENIL 250MG 25CPDS GEL.MOLE - BIOLAB SANUS
EPILENIL 500MG 50CPDS REV. - BIOLAB SANUS
EPILEPTIL 2,5MG/ML GTS.20ML - TEUTO BRAS
EPILEPTIL 2MG 20CPDS - TEUTO BRAS
EPITEGEL 50MG/G GEL OFT.10G - BAUSCH+LOMB
EPITEZAN POM.OFT.3,5G - ALLERGAN
EPIVIR 150MG 60CPDS - GLAXOSMITH
EPIVIR SOL.ORAL 240ML ALCOHOL FREE - GLAXOSMITH
EPOCLER 12FLAC 10ML - COSMED
EPOCLER 1FLAC 10ML F.V. - COSMED
EPOCLER 60FLAC 10ML - COSMED
EPOSIDO 100MG 10FA 5ML - BLAU
EPREX 10000UI 6SER.INJ.1,0ML+1DISPOSITIVO - JANSSEN-CILAG
EPREX 1000UI 6SER.INJ.0,5ML+1DISPOSITIVO - JANSSEN-CILAG
EPREX 2000UI 6SER.INJ.0,5ML+1DISPOSITIVO - JANSSEN-CILAG
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
139352
139355
139353
3440106
3440107
144141
118800
144140
35531
40301
40300
148953
146430
7080024
2320019
2320018
138119
138120
40059
40056
40061
40063
57224
57237
57223
57236
165984
165988
165986
165982
165987
165985
57218
57227
37326
57226
57217
57220
91724
57229
57219
32279
91723
57228
165976
165975
76755
57233
DESCRICAO
EPREX 3000UI 6SER.INJ.0,3ML+1DISPOSITIVO - JANSSEN-CILAG
EPREX 40000UI 1SER.INJ.1,0ML+1DISPOSITIVO - JANSSEN-CILAG
EPREX 4000UI 6SER.INJ.0,4ML+1DISPOSITIVO - JANSSEN-CILAG
EQUILID 200MG 20CPDS - SANOFI-AVENTIS
EQUILID 50MG 20CAPS - SANOFI-AVENTIS
EQUITAM 120MG 10CPDS - EUROFARMA
EQUITAM 120MG 30CPDS - EUROFARMA
EQUITAM 80MG 20CPDS - EUROFARMA
EQUITAM 80MG 30CPDS - EUROFARMA
ERANZ 10MG 2BLX14CPDS - WYETH
ERANZ 5MG 2BLX14CPDS - WYETH
ERBITUX 5MG/ML 1FA 100ML - MERCK S.A.
ERBITUX 5MG/ML 1FA 20ML - MERCK S.A.
ERGOMETRIN 0,2MG/ML SOL.INJ.50AMP 1ML - UNIAO QUIMICA
ERGOTRATE 0,2MG 12CPDS - BIOLAB SANUS
ERGOTRATE 0,2MG SOL.INJ.100AMP 1ML - BIOLAB SANUS
ERITRAM 250MG 500CPDS - HIPOLABOR
ERITRAM 500MG 350CPDS - HIPOLABOR
ERITREX 25MG/ML SUSP.ORAL 105ML+CP.MED - ACHE
ERITREX 500MG 21CPDS REV. - ACHE
ERITREX 50MG/ML SUSP.ORAL 105ML+CP.MED - ACHE
ERITREX A 20+0,5MG/ML SOL.TOP.120ML - ACHE
ERITROMAX 10000UI 12FA 1ML - BLAU
ERITROMAX 10000UI 12SER.PREENC.1ML - BLAU
ERITROMAX 10000UI 1FA 1ML - BLAU
ERITROMAX 10000UI 1SER.PREENC.1ML - BLAU
ERITROMAX 10000UI/ML 12SER.PREENC.0,3ML+SIST.SEG. - BLAU
ERITROMAX 10000UI/ML 12SER.PREENC.0,4ML+SIST.SEG. - BLAU
ERITROMAX 10000UI/ML 12SER.PREENC.1ML+SIST.SEG. - BLAU
ERITROMAX 10000UI/ML 1SER.PREENC.0,3ML+SIST.SEG. - BLAU
ERITROMAX 10000UI/ML 1SER.PREENC.0,4ML+SIST.SEG. - BLAU
ERITROMAX 10000UI/ML 1SER.PREENC.1ML+SIST.SEG. - BLAU
ERITROMAX 1000UI 12FA 1ML - BLAU
ERITROMAX 1000UI 12SER.PREENC.0,5ML - BLAU
ERITROMAX 1000UI 1FA 2ML - BLAU
ERITROMAX 1000UI 1SER.PREENC.0,5ML - BLAU
ERITROMAX 1000UI FA 1ML - BLAU
ERITROMAX 2000UI 12FA 1ML - BLAU
ERITROMAX 2000UI 12FA+DIL 1ML - BLAU
ERITROMAX 2000UI 12SER.PREENC.0,5ML - BLAU
ERITROMAX 2000UI 1FA 1ML - BLAU
ERITROMAX 2000UI 1FA 2ML - BLAU
ERITROMAX 2000UI 1FA+DIL 1ML - BLAU
ERITROMAX 2000UI 1SER.PREENC.0,5ML - BLAU
ERITROMAX 2000UI/ML 12SER.PREENC.0,5ML+SIST.SEG. - BLAU
ERITROMAX 2000UI/ML 1SER.PREENC.0,5ML+SIST.SEG. - BLAU
ERITROMAX 3000UI 12FA 1ML - BLAU
ERITROMAX 3000UI 12SER.PREENC.0,3ML - BLAU
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
76751
57225
57232
136668
165990
136667
165989
57222
91722
57235
57221
32280
91721
57234
57230
165979
165981
165977
165980
103129
103131
103130
75747
7220012
12673
7220043
156991
156986
156987
156988
156989
156990
5020032
5020031
34466
120629
135376
168528
168529
168530
168531
167388
142100
142102
76867
76251
7080092
7080090
DESCRICAO
ERITROMAX 3000UI 1FA 1ML - BLAU
ERITROMAX 3000UI 1FA+DIL 1ML - BLAU
ERITROMAX 3000UI 1SER.PREENC.0,3ML - BLAU
ERITROMAX 40000UI/ML 12SER.PREENC.1ML - BLAU
ERITROMAX 40000UI/ML 12SER.PREENC.1ML+SIST.SEG. - BLAU
ERITROMAX 40000UI/ML 1SER.PREENC.1ML - BLAU
ERITROMAX 40000UI/ML 1SER.PREENC.1ML+SIST.SEG. - BLAU
ERITROMAX 4000UI 12FA 1ML - BLAU
ERITROMAX 4000UI 12FA+DIL 1ML - BLAU
ERITROMAX 4000UI 12SER.PREENC.0,4ML - BLAU
ERITROMAX 4000UI 1FA 1ML - BLAU
ERITROMAX 4000UI 1FA 2ML - BLAU
ERITROMAX 4000UI 1FA+DIL 1ML - BLAU
ERITROMAX 4000UI 1SER.PREENC.0,4ML - BLAU
ERITROMAX 4000UI 1SER.PREENC.1ML - BLAU
ERITROMAX 4000UI/ML 12SER.PREENC.0,5ML+SIST.SEG. - BLAU
ERITROMAX 4000UI/ML 12SER.PREENC.1ML+SIST.SEG. - BLAU
ERITROMAX 4000UI/ML 1SER.PREENC.0,5ML+SIST.SEG. - BLAU
ERITROMAX 4000UI/ML 1SER.PREENC.1ML+SIST.SEG. - BLAU
EROWGLIZ 80MG 2BLX10CPDS - ARROW
EROWGLIZ 80MG 50BLX10CPDS - ARROW
EROWGLIZ 80MG 60CPDS - ARROW
ERRADIC UG 7BL.ERRADX3BL.OME - LIBBS
ESCABIN 0,02G LOC.100ML - COSMED
ESCABIN 0,03MG/G SAB.70GRS - COSMED
ESCABIN 20MG SHM.100ML - COSMED
ESCITAN 100MG 2CPDS REV. - MEDLEY
ESCITAN 25MG 2CPDS REV. - MEDLEY
ESCITAN 50MG 1CPD REV. - MEDLEY
ESCITAN 50MG 2CPDS REV. - MEDLEY
ESCITAN 50MG 4CPDS REV. - MEDLEY
ESCITAN 50MG 8CPDS REV. - MEDLEY
ESCLEROVITAN 300MG+100MG+2,94MG 30CAPS GEL MOLE - MERCK S.A.
ESCLEROVITAN 30DRGS - MERCK S.A.
ESCOPOLAMINA GEN.20MG 6AMP 1ML - TEUTO BRAS
ESKAVIT 10MG/ML SOL.INJ 50AMP 1ML - HIPOLABOR
ESMERON 10MG/ML 10FA 5ML - SCHERING PLOUGH
ESOMEPRAZOL MAGNESICO GEN.20MG 14CPDS REV. - MEDLEY
ESOMEPRAZOL MAGNESICO GEN.20MG 28CPDS REV. - MEDLEY
ESOMEPRAZOL MAGNESICO GEN.40MG 14CPDS REV. - MEDLEY
ESOMEPRAZOL MAGNESICO GEN.40MG 28CPDS REV. - MEDLEY
ESPAFIN COMPOSTO 250+10MG 160CPDS REV. - PRATI-DONADUZZI
ESPAFIN COMPOSTO 250+10MG 20CPDS - PRATI-DONADUZZI
ESPAFIN COMPOSTO 250+10MG 600CPDS - PRATI-DONADUZZI
ESPASMO DIMETILIV 20ML - EMS
ESPASMO FLATOL GTS.20ML - LEGRAND OTC
ESPASMODID COMPOSTO 6,67+333,33MG/ML GTS.10ML - UNIAO QUIMICA
ESPASMODID COMPOSTO.10+250MG 20DRGS - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
7080137
3440015
3440016
32291
137974
110557
100067
99610
100066
99611
138121
89504
82679
110555
104447
89505
87307
110556
151582
151583
146789
146790
146791
94132
34329
160009
84182
136553
140553
150848
153723
153724
2220005
2220004
132325
132324
166048
166049
166052
166053
166050
166051
166046
166047
26794
70910
84201
70909
DESCRICAO
ESPASMODID COMPOSTO.4+500MG/ML SOL.INJ.50AMP 5ML - UNIAO QUIMICA
ESPERSON 2,5MG/G POM.20GRS - SANOFI-AVENTIS
ESPERSON N POM.20GRS - SANOFI-AVENTIS
ESPESSANTE ALIMENTAR THICK & EASY 225GRS BR6104370A - FRESENIUS KABI
ESPESSANTE ALIMENTAR THICK&EASY 100SACHE 9GRS BR7917661 - FRESENIUS KABI
ESPIRONOLACTONA GEN.100MG 16CPDS - EUROFARMA
ESPIRONOLACTONA GEN.100MG 16CPDS - GERMED GENERICOS
ESPIRONOLACTONA GEN.100MG 16CPDS - EMS GENERICOS
ESPIRONOLACTONA GEN.100MG 2BLX15CPDS - GERMED GENERICOS
ESPIRONOLACTONA GEN.100MG 30CPDS - EMS GENERICOS
ESPIRONOLACTONA GEN.100MG 500CPDS - HIPOLABOR
ESPIRONOLACTONA GEN.25MG 2BLX15CPDS - GERMED GENERICOS
ESPIRONOLACTONA GEN.25MG 2BLX15CPDS - EMS GENERICOS
ESPIRONOLACTONA GEN.25MG 30CPDS - EUROFARMA
ESPIRONOLACTONA GEN.25MG 6BLX10CPDS - EMS GENERICOS
ESPIRONOLACTONA GEN.50MG 2BLX15CPDS - GERMED GENERICOS
ESPIRONOLACTONA GEN.50MG 2BLX15CPDS - EMS GENERICOS
ESPIRONOLACTONA GEN.50MG 30CPDS - EUROFARMA
ESPRAN 10MG 10CPDS - TORRENT
ESPRAN 10MG 30CPDS - TORRENT
ESQUIDON 1MG 30CPDS REV. - MERCK S.A.
ESQUIDON 2MG 30CPDS REV. - MERCK S.A.
ESQUIDON 3MG 30CPDS REV. - MERCK S.A.
ESTAFAN 10CPDS - HERALD'S
ESTALIS 50+140MCG 8SIST. - NOVARTIS
ESTANDRON-P 1AMP 1ML - SCHERING PLOUGH
ESTIMORAL 3MG 14CPDS - DAIICHI SANKYO
ESTIMORAL 3MG 2X14CPDS - DAIICHI SANKYO
ESTOLATO ERITROMICINA GEN.500MG 20CPDS - PRATI-DONADUZZI
ESTOLATO ERITROMICINA GEN.500MG 280CPDS - PRATI-DONADUZZI
ESTOLATO ERITROMICINA GEN.50MG/ML SUSP.ORAL 105ML+CP.MED - PRATI-DONADUZZI
ESTOLATO ERITROMICINA GEN.50MG/ML SUSP.ORAL 80ML+CP.MED - PRATI-DONADUZZI
ESTOMAZIL ABAC.1X5GRS F.V - COSMED
ESTOMAZIL ABAC.50ENV 5GRS - COSMED
ESTOMAZIL LAR.50ENV 5G - COSMED
ESTOMAZIL MOR.50ENV 5GRS - COSMED
ESTOMAZIL PASTILHA 230+185+185MG ABAC.20CPDS MAST. - COSMED
ESTOMAZIL PASTILHA 230+185+185MG ABAC.250CPDS MAST. - COSMED
ESTOMAZIL PASTILHA 230+185+185MG LIM.20CPDS MAST. - COSMED
ESTOMAZIL PASTILHA 230+185+185MG LIM.250CPDS MAST. - COSMED
ESTOMAZIL PASTILHA 230+185+185MG MENTA 20CPDS MAST. - COSMED
ESTOMAZIL PASTILHA 230+185+185MG MENTA 250CPDS MAST. - COSMED
ESTOMAZIL PASTILHA 230+185+185MG TANG.20CPDS MAST. - COSMED
ESTOMAZIL PASTILHA 230+185+185MG TANG.250CPDS MAST. - COSMED
ESTOMEPE 20MG 14CAPS - BUNKER
ESTRADOT 100MCG 8SIST. - NOVARTIS
ESTRADOT 25MCG 8SIST. - NOVARTIS
ESTRADOT 50MCG 8SIST. - NOVARTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
19321
166940
163460
1300139
74184
63580
63581
141479
79010
153708
40335
25983
6460224
70556
76893
76892
3080042
135061
5340151
5340118
79713
165866
139217
139218
104349
9531
140198
128305
2560027
26126
6500043
7060070
1020021
144960
1020011
1020022
1020020
144959
1020018
144961
1020037
111245
132287
138290
132288
148357
132289
132290
DESCRICAO
ESTRAGEST TTS 125+25MCG 8SIST. - NOVARTIS
ESTRELL 0,75MG+1,25G GEL VAG.80G - BIOLAB SANUS
ESTRELL 1MG 30CPDS - BIOLAB SANUS
ESTREVA 0,1PCC GEL 50GRS - TEVA
ESTRINOLON 0,625MG 21DRGS - EMS
ESTRINOLON 0,625MG 28DRGS - EMS
ESTRINOLON 0,625MG CRM.25GRS+APL - EMS
ESTRIOL GEN.1MG/G CRM.VAG. 50GRS+50APL. - NEOQUIMICA
ESTRIOPAX 1MG/G CRM.VAG. 50GRS+APL. - NEOQUIMICA
ESTRIOPAX 1MG/GR CRM.VAG.50BGX50GRS+APLIC. - NEOQUIMICA
ESTROFEM 1MG 28CPDS - MEDLEY
ESTROFEM 2MG 28CPDS - MEDLEY
ESTROGENON 0,625MG 21DRGS - SANVAL
ESTROGENON 0,625MG 28DRGS - SANVAL
E-TABS 1000UI 30CAPS GEL.MOLE - SIGMA PHARMA
E-TABS 400UI 30CAPS GEL.MOLE - SIGMA PHARMA
ETHAMOLIN 50MG/ML SOL.INJ.6AMP 2ML - FARMOQUIMICA
ETHYOL 500MG 3FA 10ML - SCHERING PLOUGH
ETILDOPANAN 250MG 30CPDS REV. - NEOQUIMICA
ETILDOPANAN 500MG 20CPDS REV. - NEOQUIMICA
ETILEFRIL 10MG/ML SOL.INJ.6AMP 1ML - UNIAO QUIMICA
ETNA 1+2,5+1,5MG 50CAPS GEL.DURA - GROSS
ETNA 2X10CAPS - GROSS
ETNA SOL.INJ.1+2,5+1,5MG 3FA 2ML+DIL. - GROSS
ETOMERASE 100MG SOL INJ FA X 5ML - BIOCHIMICO
ETOMIDATO GEN.2MG/ML 25AMP 10ML - CRISTALIA
ETOPOSIDEO GEN.20MG/ML SOL.5ML - GLENMARK
ETOXIN 50MG/ML XPE.120ML - APSEN
EUCIL 5MG/ML 100AMP 2ML - FARMASA
EUGERIAL 30MG 30CPDS REV. - BAGO
EULEXIN 250MG 2X10CPDS - MANTECORP
EUNADES 100MG 10FA - PFIZER
EUPRESSIN 10MG 30CPDS - BIOSINTETICA
EUPRESSIN 10MG 7CPDS - BIOSINTETICA
EUPRESSIN 2,5MG 3X10CPDS - BIOSINTETICA
EUPRESSIN 20MG 30CPDS - BIOSINTETICA
EUPRESSIN 5MG 30CPDS - BIOSINTETICA
EUPRESSIN 5MG 7CPDS - BIOSINTETICA
EUPRESSIN-H 10/25MG 3X10CPDS - BIOSINTETICA
EUPRESSIN-H 10/25MG 7CPDS - BIOSINTETICA
EUPRESSIN-H 20/12,5MG 3X10CPDS - BIOSINTETICA
EUPROSTATIN 2MG 2X15CPDS - SIGMA PHARMA
EUTHYROX 100MCG 50CPDS - MERCK S.A.
EUTHYROX 112MCG 50CPDS - MERCK S.A.
EUTHYROX 125MCG 50CPDS - MERCK S.A.
EUTHYROX 137MCG 50CPDS - MERCK S.A.
EUTHYROX 150MCG 50CPDS - MERCK S.A.
EUTHYROX 175MCG 50CPDS - MERCK S.A.
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
132291
132284
132285
132286
138289
96740
96749
96751
142023
144199
84766
7380025
7380024
148226
148227
148228
2320120
2320121
152179
150801
88570
102889
78375
78373
153112
95563
95564
120816
137137
137136
118531
78376
123046
123047
118768
118769
91681
95072
129710
91680
104818
83832
103215
78381
78379
144914
144913
71156
DESCRICAO
EUTHYROX 200MCG 50CPDS - MERCK S.A.
EUTHYROX 25MCG 50CPDS - MERCK S.A.
EUTHYROX 50MCG 50CPDS - MERCK S.A.
EUTHYROX 75MCG 50CPDS - MERCK S.A.
EUTHYROX 88MCG 50CPDS - MERCK S.A.
EUTONIS 1MG 20CPDS - EUROFARMA
EUTONIS 2MG 20CPDS - EUROFARMA
EUTONIS 4MG 20CPDS - EUROFARMA
EUTROPIN 15UI PO LIOF.1FA+1FA DIL.1,5ML - DISMEDICA
EUTROPIN 4UI PO LIOF.1FA+1FA DIL.1ML - DISMEDICA
EUTROPIN 4UI PO LIOF.5FA+5FA DIL.1ML - DISMEDICA
EVANOR 21CPDS - WYETH
EVANOR 3BLX21CPDS - WYETH
EVICEL SELANTE FIBRINA HUMANA 1FA 1ML - J&J ETHICON
EVICEL SELANTE FIBRINA HUMANA 1FA 2ML - J&J ETHICON
EVICEL SELANTE FIBRINA HUMANA 1FA 5ML - J&J ETHICON
EVISTA 60MG 14CPDS - ELI LILLY
EVISTA 60MG 28CPDS - ELI LILLY
EVISTA 60MG 30CPDS REV. - ELI LILLY
EVISTA 60MG 7CPDS REV. - ELI LILLY
EVOCANIL 100MG 30CAPS GEL. - ZODIAC
EVOCANIL 200MG 20CAPS GEL. - ZODIAC
EVOCARB 150MG 1FA - EVOLABIS
EVOCARB 50MG 1FA - EVOLABIS
EVOCICLO 1GR PO LIOF.INJ.1FA - EVOLABIS
EVODAZIN 100MG 1FA - EVOLABIS
EVODAZIN 200MG 1FA - EVOLABIS
EVOLOX 1G 1FA - EVOLABIS
EVOMID 10MG 1FA - EVOLABIS
EVOMID 5MG 1FA - EVOLABIS
EVOMIXAN 20MG 1FA - EVOLABIS
EVOPOSDO 100MG 1AMP - EVOLABIS
EVORUBICIN 10MG 1FA - EVOLABIS
EVORUBICIN 50MG 1FA - EVOLABIS
EVOTABINA 10MG 1FA - EVOLABIS
EVOTABINA 50MG 1FA - EVOLABIS
EVOTAXEL 100MG 1FA - EVOLABIS
EVOTAXEL 150MG 1FA - EVOLABIS
EVOTAXEL 300MG 1FA - EVOLABIS
EVOTAXEL 30MG 1FA - EVOLABIS
EVOTECAN 4MG 1FA - EVOLABIS
EVOTERIN 100MG 1FA - EVOLABIS
EVOTERIN 40MG 1FA - EVOLABIS
EVOXALI 100MG 1FA - EVOLABIS
EVOXALI 50MG 1FA - EVOLABIS
EVOZAR 1G 1FA - EVOLABIS
EVOZAR 200MG 1FA - EVOLABIS
EVRA 3ADES. - JANSSEN-CILAG
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
26000
12100
7040025
7040026
55802
84202
36339
103932
84203
84204
960137
84206
145587
139835
145588
141048
139834
145000
2560056
115751
115753
115754
14825
141755
141756
143013
144924
169770
169768
169774
169772
164639
144088
84082
5260007
111248
111251
144981
5260008
1280021
163506
160971
163504
160969
163505
160970
142154
72593
DESCRICAO
EXAVIR CRM.10GRS - UCI-FARMA
EXCEDRIN 500+65MG 2BLX10CPDS REV. - NOVARTIS
EXELMIN 6CPDS - UCI-FARMA
EXELMIN SUSP.ORAL 30ML - UCI-FARMA
EXELON 1,5MG 14CAPS - NOVARTIS
EXELON 1,5MG 28CAPS - NOVARTIS
EXELON 2MG SOL.ORAL 120ML - NOVARTIS
EXELON 2MG SOL.ORAL 50ML - NOVARTIS
EXELON 3MG 28CAPS - NOVARTIS
EXELON 3MG 56CAPS - NOVARTIS
EXELON 4,5MG 28CPDS - NOVARTIS
EXELON 6MG 28CAPS - NOVARTIS
EXELON PATCH 18MG/10CM2 15SIST. - NOVARTIS
EXELON PATCH 18MG/10CM2 30SIST. - NOVARTIS
EXELON PATCH 27MG/15CM2 15SIST. - NOVARTIS
EXELON PATCH 27MG/15CM2 30SIST. - NOVARTIS
EXELON PATCH 9MG/5CM2 30SIST. - NOVARTIS
EXELON PATCH 9MG/5CM2 7SIST. - NOVARTIS
EXIT 400+25MG 20CPDS - FARMASA
EXJADE 125MG 28CPDS DISP. - NOVARTIS
EXJADE 250MG 28CPDS DISP. - NOVARTIS
EXJADE 500MG 28CPDS DISP. - NOVARTIS
EXLUTON 0,5MG 28CPDS - SCHERING PLOUGH
EXODUS 10MG 15CPDS REV. - ACHE
EXODUS 10MG 30CPDS REV. - ACHE
EXODUS 10MG 60CPDS REV. - ACHE
EXODUS 10MG 7CPDS REV. - ACHE
EXODUS 15MG 30CPDS REV. - ACHE
EXODUS 15MG 7CPDS REV. - ACHE
EXODUS 20MG 30CPDS REV. - ACHE
EXODUS 20MG 7CPDS REV. - ACHE
EXODUS 20MG SOL.ORAL 15ML - ACHE
EXPANSOR PLASMATICO HISOCEL 3,5G/100ML SOL.IV 500ML 1500253FFX-30 - FRESENIUS KABI
EXPANSOR PLASMATICO VOLUVEN 6% SOL.IV BOLSA 500ML 1400391FFA-30 - FRESENIUS KABI
EXPEC XPE.120ML - LEGRAND OTC
EXPECDILAT 25MG/5ML INF.XPE.120ML - SIGMA PHARMA
EXPECDILAT 50MG/5ML ADU.XPE.120ML - SIGMA PHARMA
EXPECTAMIN 0,4MG+4MG+20MG/ML XPE.120ML - LEGRAND TARJARDOS
EXPECTAMIN XPE.100ML - LEGRAND TARJARDOS
EXPECTIL XPE.100ML - BUNKER
EXPOLID 10MG 15CPDS REV. - SANOFI-AVENTIS
EXPOLID 10MG 30CPDS REV. - SANOFI-AVENTIS
EXPOLID 2,5MG 15CPDS REV. - SANOFI-AVENTIS
EXPOLID 2,5MG 30CPDS REV. - SANOFI-AVENTIS
EXPOLID 5MG 15CPDS REV. - SANOFI-AVENTIS
EXPOLID 5MG 30CPDS REV. - SANOFI-AVENTIS
EXTRANEAL 75MG/ML 2000ML - BAXTER
EZETROL 10MG 10CPDS - MERCK S.D.
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
163569
6920076
161036
111271
6920131
62402
62403
150979
150980
115319
115320
4945047
4945048
4945049
149015
6420109
6420110
55298
55297
40020
40022
55305
55307
55306
57988
145314
57986
57987
6280031
2560080
2660065
2660019
26543
26546
26545
26541
26542
76151
26150
26151
26149
42940
123099
1280002
77897
1280006
1280003
149837
DESCRICAO
EZETROL 10MG 30CPDS - MERCK S.D.
EZOPEN 200MG 25CPDS - TEUTO BRAS
EZOPEN 250MG PO LIOF.50FA - TEUTO BRAS
EZOPEN 250MG PO LIOFILIZADO 5FA - TEUTO BRAS
EZOPEN 50MG/G CRM.10GRS - TEUTO BRAS
EZULEN 100MG PO LIOF INJ FA - BIOSINTETICA
EZULEN 50MG PO LIOF INJ FA - BIOSINTETICA
FABRAZYME 35MG PO LIOF.1FA 20ML - GENZYME
FABRAZYME 5MG PO LIOF.1FA 5ML - GENZYME
FACTIVE 320MG 5CPDS REV. - ACHE
FACTIVE 320MG 7CPDS REV. - ACHE
FACYL 500MG 4CPDS - MEDLEY
FACYL 500MG 8CPDS - MEDLEY
FACYL M CRM.VAG.80GRS+14APL - MEDLEY
FAGICO 4MG SOL.ORAL GTS.20ML - EUROFARMA
FALMONOX 100MG 5X3CPDS - SANOFI-AVENTIS
FALMONOX 500MG 3CPDS - SANOFI-AVENTIS
FAMOTID 20MG 10CPDS - NEOQUIMICA
FAMOTID 40MG 10CPDS - NEOQUIMICA
FAMOX 20MG 10CPDS - ACHE
FAMOX 40MG 10CPDS - ACHE
FANCLOMAX 125MG 10CPDS REV. - BLAU
FANCLOMAX 250MG 21CPDS REV. - BLAU
FANCLOMAX 250MG 7CPDS REV. - BLAU
FANDHI 1000UI PO LIOF.1FA+SER.DIL.10ML+EQUIPO - GRIFOLS
FANDHI 1500UI PO LIOF.1FA+SER.DIL.15ML+EQUIPO - GRIFOLS
FANDHI 250UI PO LIOF.1FA+SER.DIL.10ML+EQUIPO - GRIFOLS
FANDHI 500UI PO LIOF.1FA+SER.DIL.10ML+EQUIPO - GRIFOLS
FANSIDAR 200+10MG SOL.INJ.30AMP 2,5ML - ROCHE
FARLAC 667MG/ML XPE.120ML - FARMASA
FARLUTAL 10MG 10CPDS - PFIZER
FARLUTAL 10MG 14CPDS - PFIZER
FARMORUBICINA CS 10MG 1FA PLAST. - PFIZER
FARMORUBICINA CS 200MG 1FA PLAST. - PFIZER
FARMORUBICINA CS 50MG 1FA PLAST. - PFIZER
FARMORUBICINA RD 10MG 1FA - PFIZER
FARMORUBICINA RD 50MG 1FA - PFIZER
FASLODEX 50MG/ML SOL.INJ.1SER.PREENC.5ML - ASTRAZENECA
FASTFEN 50MCG/ML 10AMP 5ML - CRISTALIA
FASTFEN 50MCG/ML 25AMP 1ML - CRISTALIA
FASTFEN 5MCG/ML 25AMP 2ML - CRISTALIA
FASTFEN 5MCG/ML 25EST.2ML - CRISTALIA
FASTURTEC 1,5MG 3FA PO LIOF. - SANOFI-AVENTIS
FASULIDE 100MG 12CPDS - BUNKER
FASULIDE GEL 40G - BUNKER
FASULIDE GTS.15ML - BUNKER
FASULIDE SUSP.60ML - BUNKER
FATIG 100CPDS - ARROW
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
149836
137132
137133
137134
137135
57268
40408
40409
40398
40399
40397
40406
40404
40405
40401
103724
40415
40414
40417
40416
40421
40422
40420
40419
40412
40411
57267
57269
103970
119423
31701
155156
155155
3620005
3620004
5740010
5740014
5740012
49986
5740028
5740015
72589
103294
103295
81927
81926
960139
840010
DESCRICAO
FATIG 30CPDS - ARROW
FATOR IX 1000UI PO LIOF.1FA+DIL.20ML - GRIFOLS
FATOR IX 1500UI PO LIOF.1FA+DIL.30ML - GRIFOLS
FATOR IX 250UI PO LIOF.1FA+DIL.5ML - GRIFOLS
FATOR IX 500UI PO LIOF.1FA+DIL.10ML - GRIFOLS
FAULBLASTINA 10MG 5FA 10ML - LIBBS
FAULDACAR 200MG 1AMP - LIBBS
FAULDACAR 600MG 1AMP - LIBBS
FAULDCARBO 10MG/ML SOL.INJ.FA 15ML - LIBBS
FAULDCARBO 10MG/ML SOL.INJ.FA 45ML - LIBBS
FAULDCARBO 10MG/ML SOL.INJ.FA 5ML - LIBBS
FAULDCISPLA 100MG 1AMP 100ML - LIBBS
FAULDCISPLA 10MG 1AMP 10ML - LIBBS
FAULDCISPLA 50MG 1AMP 50ML - LIBBS
FAULDCITA 100MG 5FA 5ML - LIBBS
FAULDCITA 100MG/ML 1FA 10ML - LIBBS
FAULDFLUOR 50MG/ML 1FA. 50ML - LIBBS
FAULDFLUOR 50MG/ML 5FA 10ML - LIBBS
FAULDLEUCO 10MG/ML 1FA 30ML - LIBBS
FAULDLEUCO 10MG/ML 1FA 5ML - LIBBS
FAULDMETRO 100MG/ML 1FA 10ML - LIBBS
FAULDMETRO 100MG/ML 1FA 50ML - LIBBS
FAULDMETRO 25MG/ML 1FA 20ML - LIBBS
FAULDMETRO 25MG/ML 5FA 2ML - LIBBS
FAULDOXO 2MG/ML 1FA 25ML - LIBBS
FAULDOXO 2MG/ML 1FA 5ML - LIBBS
FAULDPAMI 9MG/ML 1FA 10ML - LIBBS
FAULDVINCRI 1MG/ML 5FA 1ML - LIBBS
FAXIMIN 1500MG 15SACH 4,0GRS - SANDOZ
FAZOLIX 1G 50FA - NOVAFARMA
FAZOLON 1000MG 20FA - ARISTON
FEBSEN 100MG/ML GTS.20ML - MEDLEY
FEBSEN 50MG/ML GTS.30ML - MEDLEY
FEIBA 1000UI FA+DIL - BAXTER
FEIBA 500UI FA+DIL - BAXTER
FELDENE 20MG 10CAPS - PFIZER
FELDENE 20MG 10CPDS SOLUVEL - PFIZER
FELDENE 20MG 15CAPS - PFIZER
FELDENE 20MG 2X5SUPS - PFIZER
FELDENE GEL 30GRS - PFIZER
FELDENE IM 40MG 2AMP - PFIZER
FELDENE SL 20MG 5X2CPDS - PFIZER
FELDRAN 10MG 15CAPS - VITAPAN
FELDRAN 20MG 15CAPS - VITAPAN
FELODIPINO GEN.10MG 20CPDS - SANDOZ
FELODIPINO GEN.5MG 20CPDS - SANDOZ
FEMARA 2,5MG 28CPDS - NOVARTIS
FEMIANE 0,075/0,02MG 21DRGS - BAYER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
30067
161171
57148
153509
17865
17866
159868
76637
76638
6920200
169841
6920095
6920084
167273
6920258
7080094
7080124
7080044
103064
103066
166088
94202
6200018
6200014
6200015
47505
6200016
47506
6200017
2900034
17838
2900035
5628032
98965
128172
98964
122635
109833
111274
111311
91285
106588
128173
108263
91284
104317
127921
160789
DESCRICAO
FEMINA 150+20MCG 21CPDS - ACHE
FEMINA 150+20MCG 63CPDS - ACHE
FEMINVIT 30CPDS REV. - ATIVUS
FEMITABS 40CPDS - BIOLAB SANUS
FEMME 30CPDS REV. - ACHE
FEMME C/FLUOR 30CPDS REV. - ACHE
FEMME FOLICO 5MG 30CPDS REV. - ACHE
FEMOSTON 1+1/10 28CPDS REV. - ABBOTT SAUDE
FEMOSTON CONTI 1+5MG 28CPDS REV. - ABBOTT SAUDE
FENAFLAN 10MG/G GEL 60GRS - TEUTO BRAS
FENAFLAN 11,6MG/G GEL 30G - TEUTO BRAS
FENAFLAN 15MG/ML SUSP.ORAL GTS.15ML - TEUTO BRAS
FENAFLAN 50MG 10CPDS REV. - TEUTO BRAS
FENAFLAN 50MG 20CPDS REV. - TEUTO BRAS
FENAFLAN D 50MG 20CPDS - TEUTO BRAS
FENAREN 10MG/G GEL.TOP.30G - UNIAO QUIMICA
FENAREN 15MG/ML GTS.10ML - UNIAO QUIMICA
FENAREN 50MG 20CPDS - UNIAO QUIMICA
FENATIL 10MG 20DRGS - NEOQUIMICA
FENATIL 25MG 20DRGS - NEOQUIMICA
FENATIL 25MG 500DRGS(EMB.HOSP.) - NEOQUIMICA
FENDICAL 1MG 30CPDS REV. - UCI-FARMA
FENERGAN 0,02G/G CRM.30GRS - SANOFI-AVENTIS
FENERGAN 25MG 20CPDS - SANOFI-AVENTIS
FENERGAN 25MG/ML 25AMP 2ML - SANOFI-AVENTIS
FENERGAN EXP.ADU.100ML - SANOFI-AVENTIS
FENERGAN EXP.ADU.120ML - SANOFI-AVENTIS
FENERGAN EXP.PED.100ML - SANOFI-AVENTIS
FENERGAN EXP.PED.120ML - SANOFI-AVENTIS
FENIDEX 0,05+5+0,25MG/ML SOL.OFT.5ML - ALLERGAN
FENILEFRIN 10MG/ML 50AMP 1ML - CRISTALIA
FENILEFRINA 10% SOL.OFT.5ML - ALLERGAN
FENITAL 5% 50AMP 5ML - CRISTALIA
FENITOINA GEN.100MG 100CPDS - TEUTO BRAS
FENITOINA GEN.100MG 25CPDS - SANOFI-AVENTIS
FENITOINA GEN.100MG 30CPDS - TEUTO BRAS
FENITOINA SODICA GEN.50MG/ML 72AMP 5ML - TEUTO BRAS
FENITOINA SODICA GEN.50MG/ML SOL.INJ.50AMP 5ML - UNIAO QUIMICA
FENITON 100MG 100CPDS - TEUTO BRAS
FENOBARBITAL GEN.100MG 100CPDS - TEUTO BRAS
FENOBARBITAL GEN.100MG 200CPDS - UNIAO QUIMICA
FENOBARBITAL GEN.100MG 20CPDS - NEOQUIMICA
FENOBARBITAL GEN.100MG 20PDS - SANOFI-AVENTIS
FENOBARBITAL GEN.100MG 30CPDS - TEUTO BRAS
FENOBARBITAL GEN.100MG 30CPDS - UNIAO QUIMICA
FENOBARBITAL GEN.40MG/ML 20ML - SANVAL
FENOBARBITAL GEN.40MG/ML GTS.20ML - UNIAO QUIMICA
FENOBRATY 200MG 2BLX15CAPS GEL. - LEGRAND TARJARDOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
5628063
5628034
5628035
141972
143203
142093
92407
9534
9532
9537
136771
129594
129595
42172
71667
71666
144120
105009
26408
139938
26409
83158
119899
495016
495015
73993
111860
111858
111859
64641
26511
4945050
84483
41353
84192
84193
76273
76274
139916
139917
134734
134735
163555
3408013
21397
21396
160786
160785
DESCRICAO
FENOCRIS 100MG 20X10CPDS - CRISTALIA
FENOCRIS 200MG 50AMP 2ML - CRISTALIA
FENOCRIS 40MG/ML 10X20ML - CRISTALIA
FENOFIBRATO GEN.200MG 2BLX15CAPS - EMS GENERICOS
FENOFIBRATO GEN.200MG 2X15CAPS - LEGRAND GENERICOS
FENOFIBRATO GEN.200MG 2X15CAPS GEL.DURA - GERMED GENERICOS
FENOXIMETILPENICILINA POTASSICA GEN.500000UI 12CPDS - TEUTO BRAS
FENTANEST 0,05MG/ML 25AMP 10ML - CRISTALIA
FENTANEST 0,05MG/ML 25AMP 5ML - CRISTALIA
FENTANEST 0,05MG/ML 50EST.1AMP 2ML - CRISTALIA
FENTANEST 0,05MG/ML SOL.INJ.50AMP 2ML - CRISTALIA
FENTANEST 25MCG 1ADES.10SAC - CRISTALIA
FENTANEST 75MCG 1ADES.10SAC - CRISTALIA
FENTANIL 50MCG 5AMP 10ML - JANSSEN-CILAG
FENTANIL 50MCG 5AMP 2ML - JANSSEN-CILAG
FENTANIL 50MCG 5AMP 5ML - JANSSEN-CILAG
FENTIZOL 0,02G/G CRM.DERM.20G - ACHE
FENTIZOL 0,02G/G CRM.DERM.30G - ACHE
FENTIZOL 0,02G/G CRM.VAG.40G+7APLIC. - ACHE
FENTIZOL 20MG/ML SOL.DERM.SPR.30ML - ACHE
FENTIZOL 600MG 1OVL+APLIC. - ACHE
FERID 5MG POM.DERM.10G - UNIAO QUIMICA
FERMATHRON 20MG/2ML 1SER.2ML - MERCK S.A.
FERRINI 15MG/ML 100ML - ATIVUS
FERRINI 30MG/ML GTS.30ML - ATIVUS
FERRINI 3X10CPDS - ATIVUS
FERRINI FOLICO 0,2/30MG/ML 30ML - ATIVUS
FERRINI FOLICO 15+0,5MG/ML 100ML - ATIVUS
FERRINI FOLICO 5/150MG 30CPDS - ATIVUS
FERRIPROX 500MG 100CPDS - CHIESI
FERRONIL 40MG 50CPDS REV. - TEUTO BRAS
FERROTRAT 20DRGS - MEDLEY
FERSIL 200X30ML - HIPOLABOR
FERVEX 50SACH - KLEY HERTZ
FESTONE 10MG 30CPDS - SANDOZ
FESTONE 20MG 30CPDS - SANDOZ
FEXODANE 120MG 10CPDS REV. - UCI-FARMA
FEXODANE 180MG 10CPDS REV. - UCI-FARMA
FEXOLERG 120MG 10CPDS REV. - HEXAL
FEXOLERG 180MG 10CPDS REV. - HEXAL
FIBERSOURCE SF 6X1000ML - NESTLE N.C.
FIBERSOURCE TETRA SQUARE 10X1000ML - NESTLE N.C.
FIBERSOURCE TETRA SQUARE 12X1000ML - NESTLE N.C.
FIBRACAP GRAN. 250GRS - INFAN
FIBRACAP GRAN. BAN./MEL 250GRS - INFAN
FIBRACAP GRAN. LAR.250GRS - INFAN
FIBRALEV 10SACH 5G - UNIAO QUIMICA
FIBRALEV PT.200G - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
30014
30015
72154
72155
470012
123383
123384
1020109
96640
165968
96264
96262
96266
165969
96263
96261
96265
165966
96639
165967
97655
97651
97654
97649
165973
96268
165974
96267
165971
165972
97653
97652
72572
80847
2900098
37000
102842
150652
71957
87276
82681
104329
91302
115748
88733
111835
68513
71888
DESCRICAO
FIBRASE POM.10GRS - PFIZER
FIBRASE POM.30GRS - PFIZER
FIBRINASE C/CLORANF 10GRS - CRISTALIA
FIBRINASE C/CLORANF 30GRS - CRISTALIA
FIBROGAMMIN P 62,5U/ML PO LIOF.1FA 4ML - CSL BEHRING
FILDERME 10% IODOPOVIDONA/1% IODO SOL.AQ.100ML - GEYER
FILDERME 10% IODOPOVIDONA/1% IODO SOL.AQ.30ML - GEYER
FILGRASTIM 300MCG 5FA - BIOSINTETICA
FILGRASTINE 300MCG 10FA 1ML - BLAU
FILGRASTINE 300MCG 10SER.PREENC.1ML+SIST.SEG. - BLAU
FILGRASTINE 300MCG 12AMP 1ML - BLAU
FILGRASTINE 300MCG 12FA 1ML - BLAU
FILGRASTINE 300MCG 12SER.PREENC.1ML - BLAU
FILGRASTINE 300MCG 12SER.PREENC.1ML+SIST.SEG. - BLAU
FILGRASTINE 300MCG 1AMP 1ML - BLAU
FILGRASTINE 300MCG 1FA 1ML - BLAU
FILGRASTINE 300MCG 1SER.PREENC.1ML - BLAU
FILGRASTINE 300MCG 1SER.PREENC.1ML+SIST.SEG. - BLAU
FILGRASTINE 300MCG 5FA 1ML - BLAU
FILGRASTINE 300MCG 5SER.PREENC.1ML+SIST.SEG. - BLAU
FILGRASTINE 300MCG/ML 10AMP 1ML - BLAU
FILGRASTINE 300MCG/ML 10SER.PREENC.1ML - BLAU
FILGRASTINE 300MCG/ML 5AMP 1ML - BLAU
FILGRASTINE 300MCG/ML 5SER.PREENC.1ML - BLAU
FILGRASTINE 600MCG 10SER.PREENC.0,5ML+SIST.SEG. - BLAU
FILGRASTINE 600MCG 12SER.PREENC.0,5ML - BLAU
FILGRASTINE 600MCG 12SER.PREENC.0,5ML+SIST.SEG. - BLAU
FILGRASTINE 600MCG 1SER.PREENC.0,5ML - BLAU
FILGRASTINE 600MCG 1SER.PREENC.0,5ML+SIST.SEG. - BLAU
FILGRASTINE 600MCG 5SER.PREENC.0,5ML+SIST.SEG. - BLAU
FILGRASTINE 600MCG/ML 10SER.PREENC.0,5ML - BLAU
FILGRASTINE 600MCG/ML 5SER.PREENC.0,5ML - BLAU
FILINAR 5MG/ML XPE.PED.120ML - EUROFARMA
FILINAR XPE.ADU.120ML - EUROFARMA
FILMCEL 5MG/ML SOL.OFT.10ML - ALLERGAN
FINALOP 1MG 30CPDS - LIBBS
FINAPECIA 1MG 30CPDS - TKS
FINARID 50MG 30CPDS REV. - TEUTO BRAS
FINASTEC 5MG 30CPDS REV. - NEOQUIMICA
FINASTERIDA GEN.1MG 2BLX15CPDS REV. - GERMED GENERICOS
FINASTERIDA GEN.1MG 2BLX15CPDS REV. - EMS GENERICOS
FINASTERIDA GEN.1MG 2X15CPDS - LEGRAND GENERICOS
FINASTERIDA GEN.1MG 30CPDS - BIOSINTETICA
FINASTERIDA GEN.1MG 30CPDS - SANDOZ
FINASTERIDA GEN.1MG 30CPDS - MEDLEY
FINASTERIDA GEN.1MG 30CPDS - NOVA QUIMICA
FINASTERIDA GEN.1MG 30CPDS - EUROFARMA
FINASTERIDA GEN.1MG 30CPDS REV. - MERCK S.A.
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
100091
115749
88734
82865
103172
132085
82683
82754
104330
95061
123635
91734
111836
68510
148468
159310
43264
103175
47487
47733
165919
165920
140230
140229
146415
146412
146414
149877
149878
149879
143394
31753
31754
6200020
6200021
46424
6200112
27892
26055
26054
96154
96172
145018
12512
103300
136806
3480052
6920048
DESCRICAO
FINASTERIDA GEN.1MG 4BLX15CPDS REV. - EMS GENERICOS
FINASTERIDA GEN.1MG 60CPDS - SANDOZ
FINASTERIDA GEN.1MG 60CPDS - MEDLEY
FINASTERIDA GEN.1MG 60CPDS REV. - MERCK S.A.
FINASTERIDA GEN.1MG 9BLX10CPDS REV. - EMS GENERICOS
FINASTERIDA GEN.5MG 10CPDS REV. - AUROBINDO
FINASTERIDA GEN.5MG 2BLX15CPDS REV. - EMS GENERICOS
FINASTERIDA GEN.5MG 2BLX15CPDS REV. - GERMED GENERICOS
FINASTERIDA GEN.5MG 2X15CPDS - LEGRAND GENERICOS
FINASTERIDA GEN.5MG 30CPDS - BIOSINTETICA
FINASTERIDA GEN.5MG 30CPDS - SANDOZ
FINASTERIDA GEN.5MG 30CPDS - MEDLEY
FINASTERIDA GEN.5MG 30CPDS - NOVA QUIMICA
FINASTERIDA GEN.5MG 30CPDS - EUROFARMA
FINASTERIDA GEN.5MG 30CPDS REV. - TEUTO BRAS
FINASTERIDA GEN.5MG 30CPDS REV. - NEOQUIMICA
FINASTERIDA GEN.5MG 30CPDS REV. - MERCK S.A.
FINASTERIDA GEN.5MG 9BLX10CPDS REV. - EMS GENERICOS
FINASTIL 5MG 2BLX15CPDS REV. - SIGMA PHARMA
FINEST 50CAPS - PHARMASCIENCE
FIRMAGON 120MG 2FA+2DIL.6ML+2SER.+2AG.+4ADAPT. - FERRING
FIRMAGON 80MG 1FA+DIL.6ML+1SER.+1AG.+2ADAPT. - FERRING
FISIOATIV CRM.60G - GLENMARK
FISIOATIV LOC.CREMOSA 150ML - GLENMARK
FISIOSOL 1000ML - JP
FISIOSOL 100ML - JP
FISIOSOL 500ML - JP
FISIOTON 400MG 20CPDS REV. - ACHE
FISIOTON 400MG 30CPDS REV. - ACHE
FISIOTON 400MG 60CPDS REV. - ACHE
FITOSCAR 60MG/G POM.20G - APSEN
FLAGASS 40MG 20CPDS - ACHE
FLAGASS 75MG/ML GTS.10ML - ACHE
FLAGYL 250MG 20CPDS - SANOFI-AVENTIS
FLAGYL 400MG 24CPDS - SANOFI-AVENTIS
FLAGYL 40MG/ML PED.100ML - SANOFI-AVENTIS
FLAGYL 40MG/ML PED.120ML - SANOFI-AVENTIS
FLAGYL 5MG/ML INJ.100ML BOL.PLAST. - SANOFI-AVENTIS
FLAGYL GEL GINEC.50GRS+10APL - SANOFI-AVENTIS
FLAGYL NISTATINA CRM.50GRS+10APL - SANOFI-AVENTIS
FLAMADOR 25MG GEL 30GRS - LEGRAND OTC
FLAMADOR 50MG 24CAPS - LEGRAND OTC
FLAMATEC 15MG 10CPDS - UNIAO QUIMICA
FLAMATEC 7,5MG 10CPDS - UNIAO QUIMICA
FLAMATRAT 15MG/ML GTS.20ML - VITAPAN
FLAMATRAT P 50MG 20DRGS - VITAPAN
FLAMOSTAT 20MG 12CAPS - CIMED
FLANAREN 50MG 20CPDS - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
44098
3440192
97900
97901
97902
97903
170053
124328
55325
55321
55322
55320
5260032
134228
76252
119869
153709
71022
141308
17436
71730
71731
57994
57997
57995
57996
156462
166405
1280024
1280023
1280022
150923
150924
6920260
6920261
6920259
34963
3080122
35331
3080117
35330
90962
96357
145375
80008
80025
26024
26025
DESCRICAO
FLANAX 275MG 20CPDS - BAYER
FLANAX 550MG 10CPDS - BAYER
FLANCOX 300MG 14CPDS REV. - APSEN
FLANCOX 300MG 30CPDS REV. - APSEN
FLANCOX 400MG 10CPDS REV. - APSEN
FLANCOX 400MG 20CPDS REV. - APSEN
FLANCOX 400MG 6CPDS REV. - APSEN
FLATEX 125MG GEL 10CAPS - FARMASA
FLATEX 150MG 12CPDS - FARMASA
FLATEX 150MG GTS.10ML - FARMASA
FLATEX 40MG 2X10CPDS - FARMASA
FLATEX 75MG GTS.15ML - FARMASA
FLATOL 2X10CPDS - LEGRAND OTC
FLATOL GTS.15ML - LEGRAND OTC
FLATOL MAX 125MG 10CAPS GEL MOLE - LEGRAND OTC
FLAVENOS 400+50MG 3BLX10CPDS REV. - BIOLAB SANUS
FLAVONID 450+50MG 500CPDS REV. - NEOQUIMICA
FLAVONID 500MG 30CPDS REV. - NEOQUIMICA
FLAVONID 60CPDS REV. - NEOQUIMICA
FLAXIN 5MG 30CPDS REV. - MERCK S.A.
FLAZAL 30MG 10CPDS - NEOQUIMICA
FLAZAL 6MG 20CPDS - NEOQUIMICA
FLEBOGAMMA 5% 0,5G SOL.INJ.1FA 10ML - GRIFOLS
FLEBOGAMMA 5% 10G SOL.INJ.1FA 200ML - GRIFOLS
FLEBOGAMMA 5% 2,5G SOL.INJ.1FA 50ML - GRIFOLS
FLEBOGAMMA 5% 5G SOL.INJ.1FA 100ML - GRIFOLS
FLEBON 50MG 30CPDS - FARMOQUIMICA
FLENUS 20CPDS REV. - ATIVUS
FLEXDOR 100CPDS - BUNKER
FLEXDOR 8CPDS - BUNKER
FLEXDOR GTS.10ML - BUNKER
FLEXIVE CDM 350MG/MG CRM.DERM. 25G - MERCK S.A.
FLEXIVE CDM 350MG/MG CRM.DERM.50G - MERCK S.A.
FLEXTOSS 1,5MG/ML XPE.PED.60ML - TEUTO BRAS
FLEXTOSS 30MG/ML SOL.ORAL 10ML - TEUTO BRAS
FLEXTOSS 3MG/ML XPE.ADU.100ML - TEUTO BRAS
FLIXONASE SPR.NASAL AQUOSO 120DOSES - GLAXOSMITH
FLIXONASE SPR.NASAL AQUOSO 60DOSES - GLAXOSMITH
FLIXOTIDE 250MCG DISKUS 60DOSES - GLAXOSMITH
FLIXOTIDE 250MCG SPR.60DOSES - GLAXOSMITH
FLIXOTIDE 50MCG DISKUS 60DOSES - GLAXOSMITH
FLIXOTIDE 50MCG SPR.120DOSES - GLAXOSMITH
FLODIN DUO 150MG 10CPDS DESINT.LENTA - ZODIAC
FLODIN DUO 150MG 4CPDS DESINT.LENTA - ZODIAC
FLOGENE 10MG GTS.20ML - ACHE
FLOGENE 20MG 10CAPS GEL. - ACHE
FLOGILID 12CPDS - LUPER
FLOGILID GTS.15ML - LUPER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
100656
100668
60571
33963
60572
60573
60574
64003
2060024
68000
37165
24495
145804
145805
24494
37164
145802
145803
47254
2060021
144935
138708
159867
2060022
71961
71962
131049
121250
121251
121252
160577
158364
158361
148954
131050
165754
180062
137667
5020033
137666
26562
159906
137310
5020034
26563
145212
145213
145214
DESCRICAO
FLOGIRAX 200MG 2X10CPDS - ASPEN
FLOGIRAX 400MG 2X10CPDS - ASPEN
FLOGORAL 1,5MG/ML COLUT.CER.250ML - ACHE
FLOGORAL 1,5MG/ML COLUT.LAR.150ML - 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
FLOGORAL 1,5MG/ML COLUT.SPR.CER.30ML - ACHE
FLOGORAL 1,5MG/ML COLUT.SPR.MENTA 30ML - ACHE
FLOGORAL 1,5MG/ML COLUT.TRADIC.150ML - ACHE
FLOGORAL 3MG CER.12PAST - ACHE
FLOGORAL 3MG LAR.12PAST - ACHE
FLOGORAL 3MG LAR.25BLX4PAST - ACHE
FLOGORAL 3MG LAR.4PAST F.V - ACHE
FLOGORAL 3MG LIM.12PAST - ACHE
FLOGORAL 3MG MENTA 12PAST - ACHE
FLOGORAL 3MG MENTA 25BLX4PAST - ACHE
FLOGORAL 3MG MENTA 4PAST F.V - ACHE
FLOGORAL 5MG/G CRM.DENTAL 70G - ACHE
FLOGO-ROSA 500MG PO 10ENV 9,4G - ACHE
FLOGO-ROSA 500MG PO 4ENV 9,4G - ACHE
FLOGO-ROSA 50MG/ML SOL.GIN.1FR PET 100ML - ACHE
FLOGO-ROSA 50MG/ML SOL.GIN.1FR PET 100ML+CP.MED - ACHE
FLOGO-ROSA 50MG/ML SOL.GIN.1FR VD.100ML - ACHE
FLOMICIN 100MG 12CAPS - NEOQUIMICA
FLOMICIN 200MG PO LIOF. 4SACH 1GR - NEOQUIMICA
FLORALYTE 45MEQ/L (2,05+2,16+0,98+22,75)MG/ML SOL.ORAL ABACAXI 500ML - MERCK S.A.
FLORALYTE 45MEQ/L (2,05+2,16+0,98+22,75)MG/ML SOL.ORAL GUARANA 500ML - MERCK S.A.
FLORALYTE 45MEQ/L (2,05+2,16+0,98+22,75)MG/ML SOL.ORAL LARANJA 500ML - MERCK S.A.
FLORALYTE 45MEQ/L (2,05+2,16+0,98+22,75)MG/ML SOL.ORAL TUTTI-FRUTTI 500ML - MERCK S.A.
FLORALYTE 45MEQ/L (2,05+2,16+0,98+22,75MG/ML) SOL.ORAL CEREJA 500ML - MERCK S.A.
FLORALYTE 45MEQ/L (2,05+2,16+0,98+22,75MG/ML) SOL.ORAL COCO 500ML - MERCK S.A.
FLORALYTE 45MEQ/L (2,05+2,16+0,98+22,75MG/ML) SOL.ORAL MACA 500ML - MERCK S.A.
FLORALYTE 90MEQ/L (4,68+2,16+0,98+20)MG/ML 500ML SOL.ORAL.NATURAL - MERCK S.A.
FLORALYTE 90MEQ/L (4,68+2,16+0,98+20)MG/ML SOL.ORAL ABACAXI 500ML - MERCK S.A.
FLORALYTE 90MEQ/L(4,68+2,16+0,98+20)MG/ML SOL.ORAL COCO 500ML - MERCK S.A.
FLORATE 1MG/ML SUSP.OFT.5ML - ALCON
FLORATIL 100MG BL.12CAPS GEL DURA - MERCK S.A.
FLORATIL 100MG FR.12CAPS GEL DURA - MERCK S.A.
FLORATIL 200MG BL.6CAPS GEL DURA - MERCK S.A.
FLORATIL 200MG FR.6CAPS GEL DURA - MERCK S.A.
FLORATIL 200MG/G PO ORAL 1SACH 1G F.V - MERCK S.A.
FLORATIL 200MG/G PO ORAL 25SACH 1GR - MERCK S.A.
FLORATIL 200MG/G PO ORAL 4SACH 1GR - MERCK S.A.
FLORATIL 200MG/G PO ORAL 6SACH 1GR - MERCK S.A.
FLORATIL PACK 200MG/G+250MG/1,25G PO ORAL 3SACH 1GR+3SACH 1,25GRS - MERCK S.A.
FLORATIL PACK 200MG/G+250MG/1,25G PO ORAL 6SACH 1GR+6SACH 1,25GRS - MERCK S.A.
FLORATIL PACK 200MG+250MG 3CAPS 200MG+3CAPS 250MG - MERCK S.A.
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
145215
3408014
3408031
3408030
3408015
153631
119015
153632
119016
48088
48089
79595
84301
1260154
73995
73994
147069
167142
26076
42775
19322
144111
36936
5040005
27589
84630
145229
5340086
5340088
5340087
5140033
31905
131047
131046
42834
141312
37003
58518
71850
23551
68390
165816
94074
94076
68417
72617
4560032
47725
DESCRICAO
FLORATIL PACK 200MG+250MG 6CAPS 200MG+6CAPS 250MG - MERCK S.A.
FLORAX ADU.5FLAC - INFAN
FLORAX HOSPITALAR ADU.100FLAC 5ML - INFAN
FLORAX HOSPITALAR PED.100FLAC 5ML - INFAN
FLORAX PED.5FLAC - INFAN
FLORAX SM ADU.3FLAC 5ML - INFAN
FLORAX SM ADU.5FLAC 5ML - INFAN
FLORAX SM PED.3FLAC 5ML - INFAN
FLORAX SM PED.5FLAC 5ML - INFAN
FLORAZIN 100MG 12CAPS - HERALD'S
FLORAZIN 200MG 4ENV 1GR - HERALD'S
FLORENT 100MG 12CAPS - CIFARMA
FLORENT 200MG 4SACH 1GR - CIFARMA
FLORINEFE 0,1MG 100CPDS - BRISTOL
FLORINY 100ML - ATIVUS
FLORINY 20CPDS - ATIVUS
FLOSEAL 1FA+DIL.+SER.PREENC. - BAXTER
FLOSSOTEC 10MG 30CPDS REV. - UNIAO QUIMICA
FLOTAC 70MG 10CAPS - NOVARTIS
FLOTAC 70MG 14CAPS - NOVARTIS
FLOTAC 70MG 20CAPS - NOVARTIS
FLOTAC 70MG 4CAPS - NOVARTIS
FLOX 400MG 14CPDS - HEXAL
FLOXACIN 400MG 14CPDS - MERCK S.D.
FLOXACIN 400MG 6CPDS - MERCK S.D.
FLOXEN 500MG 5X10CPDS - ASPEN
FLOXEN 500MG 6CPDS - ASPEN
FLOXICAM 10MG 15CAPS - NEOQUIMICA
FLOXICAM 10MG/ML GTS.15ML - NEOQUIMICA
FLOXICAM 20MG 15CAPS - NEOQUIMICA
FLOXINOL 400MG 14CPDS - MILLETROUX
FLOXINOL 400MG 6CPDS - MILLETROUX
FLOXOCIP 500MG 14CPDS - MERCK S.A.
FLOXOCIP 500MG 6CPDS - MERCK S.A.
FLUCAZOL 100MG 8CAPS - CRISTALIA
FLUCCIL 4MG/ML GTS.10ML - NEOQUIMICA
FLUCISTEIN 10% SOL.INJ.5AMP 3ML - UNIAO QUIMICA
FLUCISTEIN 200MG 15ENV.5G - UNIAO QUIMICA
FLUCISTEIN 20MG/ML XPE.100ML - UNIAO QUIMICA
FLUCOCIN 150MG 1CAP - EMS
FLUCOCIN 150MG 2CAPS - EMS
FLUCOLIC 125MG 120CPDS - KLEY HERTZ
FLUCOLIC 125MG 3X4CAPS - KLEY HERTZ
FLUCOLIC 75MG GTS.15ML - KLEY HERTZ
FLUCOMED 150MG 1CAP GEL DURA - CIMED
FLUCOMED 150MG 2CAPS - CIMED
FLUCONAL 150MG 1CAP - LIBBS
FLUCONAN 150MG 1CAP - PHARMASCIENCE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
47726
78961
139918
128361
101673
120845
140559
74126
61329
83561
44141
140562
140561
139919
128362
101674
120846
140560
139388
74127
97124
61330
44142
140269
111176
87687
143181
123969
154964
105727
5340155
26392
153710
103302
137950
137098
840065
72880
160012
160010
5628064
5628036
19871
2540013
2540012
2540014
147233
147234
DESCRICAO
FLUCONAN 150MG 2CAPS - PHARMASCIENCE
FLUCONAZOL GEN.150MG 100CAPS GEL.DURA - TEUTO BRAS
FLUCONAZOL GEN.150MG 1CAP - SANDOZ
FLUCONAZOL GEN.150MG 1CAP - CIMED
FLUCONAZOL GEN.150MG 1CAP - RANBAXY
FLUCONAZOL GEN.150MG 1CAP - NEOQUIMICA
FLUCONAZOL GEN.150MG 1CAP - PRATI-DONADUZZI
FLUCONAZOL GEN.150MG 1CAP GEL. - EMS GENERICOS
FLUCONAZOL GEN.150MG 1CAP GEL.DURA - TEUTO BRAS
FLUCONAZOL GEN.150MG 1CAP GEL.DURA - GERMED GENERICOS
FLUCONAZOL GEN.150MG 1CPD - MEDLEY
FLUCONAZOL GEN.150MG 200CAPS - PRATI-DONADUZZI
FLUCONAZOL GEN.150MG 20CAPS - PRATI-DONADUZZI
FLUCONAZOL GEN.150MG 2CAPS - SANDOZ
FLUCONAZOL GEN.150MG 2CAPS - CIMED
FLUCONAZOL GEN.150MG 2CAPS - RANBAXY
FLUCONAZOL GEN.150MG 2CAPS - NEOQUIMICA
FLUCONAZOL GEN.150MG 2CAPS - PRATI-DONADUZZI
FLUCONAZOL GEN.150MG 2CAPS GEL. - ZYDUS NIKKHO
FLUCONAZOL GEN.150MG 2CAPS GEL. - EMS GENERICOS
FLUCONAZOL GEN.150MG 2CAPS GEL.DURA - GERMED GENERICOS
FLUCONAZOL GEN.150MG 2CAPS GEL.DURA - TEUTO BRAS
FLUCONAZOL GEN.150MG 2CPDS - MEDLEY
FLUCONAZOL GEN.150MG 500CAPS GEL.DURA - TEUTO BRAS
FLUCONAZOL GEN.150MG 5BLX6CAPS - EMS GENERICOS
FLUCONAZOL GEN.2MG/ML BOL.PLAST. 6X100ML - EUROFARMA
FLUCONAZOL GEN.2MG/ML BOLSA 100ML - HALEX ISTAR
FLUCONAZOL GEN.2MG/ML SOL.100ML - HIPOLABOR
FLUCONAZOL GEN.2MG/ML SOL.INJ.6BOLSAS PLAST.SIST.FECH.100ML - SANOBIOL
FLUCONAZOL GEN.INJ.2MG/ML BOLSA POLIETILENO 100ML - ISOFARMA
FLUCONEO 150MG 1CAP - NEOQUIMICA
FLUCONEO 150MG 2CAPS - NEOQUIMICA
FLUCONEO 150MG 500CAPS - NEOQUIMICA
FLUCONID 150MG 1CAP - VITAPAN
FLUCONID 150MG 500CAPS - VITAPAN
FLUDALIBBS 50MG 5FA - LIBBS
FLUDARA 50MG 5FA - BAYER
FLUDARA ORAL 10MG 15CPDS - BAYER
FLUDILAT 100MG 24CPDS - SCHERING PLOUGH
FLUDILAT RETARD 200MG 24CPDS - SCHERING PLOUGH
FLUFENAN 5MG 20X10CPDS - CRISTALIA
FLUFENAN DEPOT 25MG/ML 50AMP 1ML - CRISTALIA
FLUIBRON A 10FLAC 2ML - CHIESI
FLUIBRON GTS.50ML - CHIESI
FLUIBRON XPE.ADU.100ML - CHIESI
FLUIBRON XPE.PED.100ML - CHIESI
FLUIJET 56,25MG 20CAPS - ATIVUS
FLUIJET 56,25MG 4CAPS - ATIVUS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
134987
141477
120971
115301
7460021
18045
18046
121272
7460054
18047
73948
73947
73946
31929
31930
31931
31932
154265
131196
6920202
6920201
106631
74627
49407
260010
2060027
2060028
134240
134238
134239
133698
2900039
133683
153549
153550
153551
84765
153690
153691
34392
88198
101694
144962
144963
84276
84275
84278
84277
DESCRICAO
FLUIJET 75MG/ML 100ML - ATIVUS
FLUIJET 75MG/ML XPE.30ML - ATIVUS
FLUIMARE HT 50ML+VALV.MICRONIZADORA - ZAMBON
FLUIMARE SPR.NASAL 50ML+VALV.MICRONIZADORA - ZAMBON
FLUIMUCIL 10% 5AMP 3ML - ZAMBON
FLUIMUCIL 100MG 16ENV 5GRS - ZAMBON
FLUIMUCIL 200MG 16ENV 5GRS - ZAMBON
FLUIMUCIL 200MG 6ENV 5GRS - ZAMBON
FLUIMUCIL 600MG 16CPDS EFV. - ZAMBON
FLUIMUCIL D 600MG 16ENV 5GRS - ZAMBON
FLUIMUCIL SOL.NAS.GTS.20ML - ZAMBON
FLUIMUCIL XPE.ADU.120ML - ZAMBON
FLUIMUCIL XPE.PED.120ML - ZAMBON
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
FLUITEINA 40MG/ML XPE.ADU.120ML - EMS
FLUITEINA XPE.INF.120ML - EMS
FLUITOSS 100MG/5ML PED.100ML - TEUTO BRAS
FLUITOSS 250MG/5ML ADU.100ML - TEUTO BRAS
FLUMAZENIL GEN.0,1MG/ML SOL.INJ.5AMP 5ML - UNIAO QUIMICA
FLUMAZENIL GEN.5AMP - EUROFARMA
FLUMAZIL 0,1MG/ML 5AMP 5ML - CRISTALIA
FLUMEX 0,10% SUSP.OFT.10ML - ALLERGAN
FLUNARIN 10MG 60CAPS GEL. - ACHE
FLUNARIN 5MG/ML GTS.30ML - ACHE
FLUNEXIL 0,5MG/5ML 10AMP - BIOCHIMICO
FLUNEXIL 0,5MG/5ML 25AMP - BIOCHIMICO
FLUNEXIL 0,5MG/5ML 5AMP - BIOCHIMICO
FLUOCINOLONA AC+SULFATO NEO+POL B+ LID HCL GEN.10ML - LEGRAND GENERICOS
FLUORESCEINA 10MG/ML SOL.OFT.3ML - ALLERGAN
FLUORURACILA GEN.25MG/ML 50FA 10ML - EUROFARMA
FLUORURACILA GEN.50MG/ML SOL.INJ.1FA 10ML - ACCORD
FLUORURACILA GEN.50MG/ML SOL.INJ.1FA 20ML - ACCORD
FLUORURACILA GEN.50MG/ML SOL.INJ.1FA 5ML - ACCORD
FLUOXETIN 20MG 50X10CAPS - CRISTALIA
FLUSAN 50MG/ML SOL.INJ.20FA 20ML - EUROFARMA
FLUSAN 50MG/ML SOL.INJ.50FA 10ML - EUROFARMA
FLUTEC 150MG 1CAP - SANDOZ
FLUTEC 150MG 2CAPS - SANDOZ
FLUTICAN 50MCG/DOSE SUSP.10ML - GLENMARK
FLUTICAPS 250MCG 15CAPS GEL - BIOSINTETICA
FLUTICAPS 250MCG 15CAPS+INAL - BIOSINTETICA
FLUTICAPS 250MCG 60CAPS C/INALADOR - BIOSINTETICA
FLUTICAPS 250MCG 60CAPS GEL - BIOSINTETICA
FLUTICAPS 50MCG 60CAPS C/INALADOR - BIOSINTETICA
FLUTICAPS 50MCG 60CAPS GEL - BIOSINTETICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
31344
31345
44050
73915
162600
144144
76861
3860033
3860034
6920169
68503
68504
138122
103824
103825
141935
141936
141937
141938
112138
495021
495019
495020
102843
6485032
15059
6485031
35136
26779
35137
115424
102856
102857
94267
151098
111214
165913
165912
38332
166008
38333
133710
102844
1300032
1300017
31893
37945
37946
DESCRICAO
FLUTIVATE CRM.DERM.15G - GLAXOSMITH
FLUTIVATE POM.DERM.15G - GLAXOSMITH
FLUVIRAL 1X4CPDS F.V - COSMED
FLUVIRAL 25X6CPDS - COSMED
FLUX 1,5MG 2BLX15CPDS REV. - BIOLAB SANUS
FLUXENE 10MG 14CAPS - EUROFARMA
FLUXENE 10MG 28CAPS - EUROFARMA
FLUXENE 20MG 2X7CAPS - EUROFARMA
FLUXENE 20MG 4X7CAPS - EUROFARMA
FLUXIL 40MG 20CPDS - TEUTO BRAS
FLUXON 25MG 30CPDS - NEOQUIMICA
FLUXON 75MG 30CPDS - NEOQUIMICA
FLUXOZOL 100MG 400CAPS - HIPOLABOR
FLUXOZOL 150MG 100CAPS - HIPOLABOR
FLUXOZOL 150MG 1CAP - HIPOLABOR
FLUXTAR SR 3MG 20CAPS - DIFFUCAP
FLUXTAR SR 3MG 30CAPS - DIFFUCAP
FLUXTAR SR 6MG 20CAPS - DIFFUCAP
FLUXTAR SR 6MG 30CAPS - DIFFUCAP
FM 85 70X1GR - NESTLE N.I.
FOLACIN 100ML - ATIVUS
FOLACIN 5MG 20CPDS REV. - ATIVUS
FOLACIN GTS.30ML - ATIVUS
FOLANTINE 5MG 30CPDS - TKS
FOLDAN 50MG/G SAB.70G - UNIAO QUIMICA
FOLDAN 50MG/ML LOC.CRM.50ML - UNIAO QUIMICA
FOLDAN 5MG/G POM.45GRS - UNIAO QUIMICA
FOLIFER 100ML - ATIVUS
FOLIFER 30CPDS REV. - ATIVUS
FOLIFER GTS.30ML - ATIVUS
FOLIFOLIN 5MG 2X15CPDS - EMS
FOLIN 5MG 100CPDS - GEYER
FOLIN 5MG 30CPDS - GEYER
FOLINAC 15MG 100CPDS - HIPOLABOR
FOLINATO CALCIO GEN.10MG/ML 10FA 30ML - EUROFARMA
FOLINATO CALCIO GEN.50MG 50FA - EUROFARMA
FOLIRON 5+150MG 30CPDS REV. - MARJAN
FOLIRON ITF 0,2+250MG/ML GTS.30ML - MARJAN
FONERGORAL 3,0MG LAR.12PAST - NEOQUIMICA
FONERGORAL 3,0MG LIM.12PAST - NEOQUIMICA
FONERGORAL LIM.3X4PAST - NEOQUIMICA
FONTI B1 300MG 30CPDS - TKS
FONTICAL 1250MG 60CPDS - TKS
FONTOL 650+65MG 25BLX4CPDS - UNIAO QUIMICA
FONTOL 650+65MG 2X10CPDS - UNIAO QUIMICA
FONTOLAX 74,5MG 20CAPS - BIOLAB SANUS
FOR GAS 40MG 20CPDS - UNIAO QUIMICA
FOR GAS 75MG/ML SUSP.ORAL 10ML - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
960124
70647
22206
71725
20160
147785
39001
141050
147786
39002
141051
149472
149471
149469
149470
91773
121271
128214
84633
84632
145821
145822
76607
76608
3080045
3080013
2540015
78270
119294
104840
104841
141630
61440
61439
61441
141631
84256
34947
102935
149321
100092
123109
123110
95052
140568
91287
165839
34468
DESCRICAO
FORADIL 12MCG 30CAPS C/INAL. - NOVARTIS
FORADIL 12MCG 30CAPS S/INAL. - NOVARTIS
FORADIL 12MCG 60CAPS C/INAL - NOVARTIS
FORADIL 12MCG 60CAPS S/INAL. - NOVARTIS
FORANE INAL.100ML - ABBOTT
FORASEQ 12+200MCG 20+20CPDS C/INAL. - NOVARTIS
FORASEQ 12+200MCG 60+60CPDS C/INAL. - NOVARTIS
FORASEQ 12+200MCG 60+60CPDS S/INAL. - NOVARTIS
FORASEQ 12+400MCG 20+20CPDS C/INAL. - NOVARTIS
FORASEQ 12+400MCG 60+60CPDS C/INAL. - NOVARTIS
FORASEQ 12+400MCG 60+60CPDS S/INAL. - NOVARTIS
FORFIG 100MG 20CPDS - EUROFARMA
FORFIG 100MG 30CPDS - EUROFARMA
FORFIG 14,3MG/ML SUSP.ORAL 100ML - EUROFARMA
FORFIG 200MG 20CAPS - EUROFARMA
FORMARE 12MCG 30CPDS INAL. - LIBBS
FORMARE 12MCG 60CPDS INAL. - LIBBS
FORMET 500MG 20X10CPDS - ASPEN
FORMET 850MG 20X10CPDS - ASPEN
FORMET 850MG 30CPDS - ASPEN
FORMOCAPS 12MCG 15CAPS - BIOSINTETICA
FORMOCAPS 12MCG 15CAPS C/INAL. - BIOSINTETICA
FORMOCAPS 12MCG 30CAPS - BIOSINTETICA
FORMOCAPS 12MCG 30CAPS C/INAL. - BIOSINTETICA
FORTAZ 1G 1FA+DIL. - GLAXOSMITH
FORTAZ 2G 1FA+DIL. - GLAXOSMITH
FORTEN SOL.10FR 10ML - CHIESI
FORTEO CANETA INJ.DESC.3ML - ELI LILLY
FORTICARE CAPPUCCINO 125ML - SUPPORT NUTRITION
FORTICARE LARANJA/LIMAO 125ML - SUPPORT NUTRITION
FORTICARE PESSEGO/GENGIBRE 125ML - SUPPORT NUTRITION
FORTINI BAUNILHA LATA 400GRS - SUPPORT NUTRITION
FORTINI MULTI FIBER BAUNILHA 200ML - SUPPORT NUTRITION
FORTINI MULTI FIBER CHOCOLATE 200ML - SUPPORT NUTRITION
FORTINI MULTI FIBER MOR.200ML - SUPPORT NUTRITION
FORTINI NEUTRO LATA 400 GRS - SUPPORT NUTRITION
FORTONICO 400ML - PHARMASCIENCE
FOSAMAX 70MG 4CPDS - MERCK S.D.
FOSAMAX D 70MG 4CPDS - MERCK S.D.
FOSAMAX D 70MG+5600UI 4CPDS - MERCK S.D.
FOSFATO CLINDAMICINA GEN.10MG/G GEL 45G - EMS GENERICOS
FOSFATO CLINDAMICINA GEN.150MG/ML 50AMP 2ML - NOVAFARMA
FOSFATO CLINDAMICINA GEN.150MG/ML 50AMP 4ML - NOVAFARMA
FOSFATO CLINDAMICINA GEN.20MG/G CRM.VAG.20G+3APL - EMS GENERICOS
FOSFATO CLINDAMICINA GEN.20MG/G CRM.VAG.20GRS+3APL. - PRATI-DONADUZZI
FOSFATO CLINDAMICINA GEN.600MG SOL.INJ.50AMP 4ML - UNIAO QUIMICA
FOSFATO DISSODICO BETAMETASONA GEN.4MG/ML SOL.INJ.50AMP 1ML - NOVAFARMA
FOSFATO DISSODICO DEXAMETASONA GEN.2MG/ML 1AMP 1ML - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
111306
34469
146431
146432
136681
66382
140569
145096
140570
145097
128221
128220
140576
140577
140575
119291
128208
128209
128210
128211
128202
128203
128204
128205
146542
85951
6200031
6200029
6200030
7060072
7060073
6420112
145764
6420113
6420031
6420150
118986
136707
136705
160209
136708
118987
118988
30069
153607
103892
31960
31961
DESCRICAO
FOSFATO DISSODICO DEXAMETASONA GEN.4MG/ML 100AMP 2,5ML - TEUTO BRAS
FOSFATO DISSODICO DEXAMETASONA GEN.4MG/ML 1AMP 2,5ML - TEUTO BRAS
FOSFATO POTASSIO 2MEQ/ML 100AMP PLAST.10ML - ISOFARMA
FOSFATO POTASSIO 2MEQ/ML 200AMP PLAST.10ML - ISOFARMA
FOSFATO SODICO PREDNISOLONA GEN.1MG/ML 100ML - SANOFI-AVENTIS
FOSFATO SODICO PREDNISOLONA GEN.1MG/ML SOL.ORAL 100ML - MEDLEY
FOSFATO SODICO PREDNISOLONA GEN.1MG/ML SOL.ORAL 100ML+CP.DOSAD.10ML - PRATI-DONADUZZI
FOSFATO SODICO PREDNISOLONA GEN.1MG/ML SOL.ORAL 100ML+SER.DOSAD. - PRATI-DONADUZZI
FOSFATO SODICO PREDNISOLONA GEN.1MG/ML SOL.ORAL 120ML+CP.DOSAD.10ML - PRATI-DONADUZZI
FOSFATO SODICO PREDNISOLONA GEN.1MG/ML SOL.ORAL 120ML+SER.DOSAD. - PRATI-DONADUZZI
FOSFATO SODICO PREDNISOLONA GEN.3MG/ML 120ML+PIPETA - BIOSINTETICA
FOSFATO SODICO PREDNISOLONA GEN.3MG/ML 60ML+PIPETA - BIOSINTETICA
FOSFATO SODICO PREDNISOLONA GEN.3MG/ML SOL.ORAL 100ML+SER.DOSAD. - PRATI-DONADUZZI
FOSFATO SODICO PREDNISOLONA GEN.3MG/ML SOL.ORAL 120ML+SER.DOSAD. - PRATI-DONADUZZI
FOSFATO SODICO PREDNISOLONA GEN.3MG/ML SOL.ORAL 60ML+SER.DOSAD. - PRATI-DONADUZZI
FOSFORO ORGANICO 1ML - HOSPPHARMA
FOSINOPRIL SODICO GEN.10MG 14CPDS - ARROW
FOSINOPRIL SODICO GEN.10MG 28CPDS - ARROW
FOSINOPRIL SODICO GEN.20MG 14CPDS - ARROW
FOSINOPRIL SODICO GEN.20MG 28CPDS - ARROW
FOSIPRAZ 10MG 14CPDS - ARROW
FOSIPRAZ 10MG 28CPDS - ARROW
FOSIPRAZ 20MG 14CPDS - ARROW
FOSIPRAZ 20MG 28CPDS - ARROW
FOSTAIR 100+6MCG/DOSE 120DOSES - CHIESI
FOTILAN 30CPDS REV. - ATIVUS
FRADEMICINA 300MG PED.1AMP 1ML - PFIZER
FRADEMICINA 500MG 12CAPS - PFIZER
FRADEMICINA 600MG 1AMP 2ML - PFIZER
FRAGMIN 2500UI 10SER.0,2ML - PFIZER
FRAGMIN 5000UI 10SER.0,2ML - PFIZER
FRANOL 10X10CPDS - SANOFI-AVENTIS
FRANOL 120+15MG 20CPDS - SANOFI-AVENTIS
FRANOL XPE.60ML - SANOFI-AVENTIS
FRAXIPARINA 0,3ML 10SER. - GLAXOSMITH
FRAXIPARINA 0,6ML 5SER. - GLAXOSMITH
FREBINI ENERGY DIETA ENTERAL EASY BAG 500ML BR7467221 - FRESENIUS KABI
FREBINI ENERGY DRINK SUPL.ALIM.BANANA EASY BOTTLE 200ML BR7026601 - FRESENIUS KABI
FREBINI ENERGY DRINK SUPL.ALIM.MORANGO EASY BOTTLE 200ML BR7027601 - FRESENIUS KABI
FREBINI ENERGY FIBRE DRINK SUPL.ALIM.BAUNILHA EASY BOTTLE 200ML BR7029601 - FRESENIUS KABI
FREBINI ENERGY FIBRE DRINK SUPL.ALIM.CHOCOLATE EASY BOTTLE 200ML BR7028601 - FRESENIUS KABI
FREBINI ORIGINAL DIETA ENTERAL EASY BAG 500ML BR7469221 - FRESENIUS KABI
FREBINI ORIGINAL FIBRE DIETA ENTERAL EASY BAG 500ML BR7470221 - FRESENIUS KABI
FREENAL 0,5MG/ML SOL.NASAL 20ML - ACHE
FRENOTOSSE 13,33MG/ML XPE.MEL 120ML - CIMED
FRENOTOSSE XPE.MOR.120ML - CIMED
FRENURIN 5MG 30CPDS - UCI-FARMA
FRENURIN 5MG 60CPDS - UCI-FARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
31962
145134
93796
42452
147231
65058
144089
164428
44671
44670
44669
100227
144090
145599
145598
138318
124344
137103
160211
137104
60180
60178
124342
137107
137106
137105
147070
60179
124343
167127
167126
167125
51958
138312
138311
12693
124340
12697
124341
147071
147073
147072
141457
133572
133575
145110
133573
133574
DESCRICAO
FRENURIN XPE.120ML - UCI-FARMA
FRESH CLEAR 1,2+14MG/ML SOL.OFT.15ML - ALLERGAN
FRESH TEARS 5MG/ML SOL.OFT.10ML - ALLERGAN
FRESH TEARS 5MG/ML SOL.OFT.15ML - ALLERGAN
FRESH TEARS 5MG/ML SOL.OFT.5ML - ALLERGAN
FRESH TEARS LIQUIGEL 10MG/ML SOL.OFT.15ML - ALLERGAN
FRESOFLOX 100ML KP BOL. 5400202KB - FRESENIUS KABI
FRESOFLOX 400MG/200ML SIST.FECH.200ML 5400203 - FRESENIUS KABI
FRESOFOL 1% 1FA 100ML BR3098031 - FRESENIUS KABI
FRESOFOL 1% 1FA 50ML BR3098051 - FRESENIUS KABI
FRESOFOL 1% 5X20ML BR831065601 - FRESENIUS KABI
FRESOFOL 2% 1FA 50ML BR3160051 - FRESENIUS KABI
FRESOLCAN 2MG/ML 100ML 1500271KB - FRESENIUS KABI
FRESUBIN 2KCAL DRINK BAUNILHA 200ML BR7138601 - FRESENIUS KABI
FRESUBIN 2KCAL DRINK FRUTAS FLORESTA 200ML BR7139601 - FRESENIUS KABI
FRESUBIN 2KCAL FIBRE DRINK CHOCOLATE 200ML BR7142601 - FRESENIUS KABI
FRESUBIN ENERGY DIETA ENTERAL EASY BAG 500ML BR7368221 - FRESENIUS KABI
FRESUBIN ENERGY DRINK SUPL.ALIM.BAUNILHA EASY BOTTLE 200ML BR7128601 - FRESENIUS KABI
FRESUBIN ENERGY DRINK SUPL.ALIM.CHOCOLATE EASY BOTTLE 200ML BR7130601 - FRESENIUS KABI
FRESUBIN ENERGY DRINK SUPL.ALIM.MORANGO EASY BOTTLE 200ML BR7129601 - FRESENIUS KABI
FRESUBIN ENERGY EASY BAG 1000ML BR7368231 - FRESENIUS KABI
FRESUBIN ENERGY FIBRE DIETA ENTERAL EASY BAG 1000ML BR7526231 - FRESENIUS KABI
FRESUBIN ENERGY FIBRE DIETA ENTERAL EASY BAG 500ML BR7526221 - FRESENIUS KABI
FRESUBIN ENERGY FIBRE DRINK SUPL.ALIM.BAUNILHA EASY BOTTLE 200ML BR7022601 - FRESENIUS KABI
FRESUBIN ENERGY FIBRE DRINK SUPL.ALIM.CHOCOLATE EASY BOTTLE 200ML BR7021601 - FRESENIUS KABI
FRESUBIN ENERGY FIBRE DRINK SUPL.ALIM.MORANGO EASY BOTTLE 200ML BR7020601 - FRESENIUS KABI
FRESUBIN HEPA 500ML BR7131221 - FRESENIUS KABI
FRESUBIN HP ENERGY DIETA ENTERAL EASY BAG 1000ML BR7348231 - FRESENIUS KABI
FRESUBIN HP ENERGY DIETA ENTERAL EASY BAG 500ML BR7348221 - FRESENIUS KABI
FRESUBIN JUCY DRINK ABACAXI EASY BOTTLE 200ML BR7179601 - FRESENIUS KABI
FRESUBIN JUCY DRINK CEREJA EASY BOTTLE 200ML BR7181601 - FRESENIUS KABI
FRESUBIN JUCY DRINK MACA EASY BOTTLE 200ML BR7177601 - FRESENIUS KABI
FRESUBIN LIPID DIETA ENTERAL EASY BAG 500ML BR7251221 - FRESENIUS KABI
FRESUBIN LIPID DRINK SUPL.ALIM.CAPPUCCINO 200ML BR7018601 - FRESENIUS KABI
FRESUBIN LIPID DRINK SUPL.ALIM.FRUTAS TROPICAIS 200ML BR7019601 - FRESENIUS KABI
FRESUBIN ORIGINAL DIETA ENTERAL EASY BAG 1000ML BR7577231 - FRESENIUS KABI
FRESUBIN ORIGINAL DIETA ENTERAL EASY BAG 500ML BR7577221 - FRESENIUS KABI
FRESUBIN ORIGINAL FIBRE DIETA ENTERAL EASY BAG 1000ML BR7527231 - FRESENIUS KABI
FRESUBIN ORIGINAL FIBRE DIETA ENTERAL EASY BAG 500ML BR7527221 - FRESENIUS KABI
FRESUBIN PO BAUNILHA 400GRS BR7746V - FRESENIUS KABI
FRESUBIN PO CHOCOLATE 400GRS BR7746C - FRESENIUS KABI
FRESUBIN PO MORANGO 400GRS BR7746F - FRESENIUS KABI
FRESUBIN PROTEIN ENERGY DRINK SUPL.ALIM.ABACAXI EASY BOTTLE 200ML BR7046601 - FRESENIUS KABI
FRESUBIN PROTEIN ENERGY DRINK SUPL.ALIM.AVELA EASY BOTTLE 200ML BR7042601 - FRESENIUS KABI
FRESUBIN PROTEIN ENERGY DRINK SUPL.ALIM.BAUNILHA EASY BOTTLE 200ML BR7038601 - FRESENIUS KABI
FRESUBIN PROTEIN ENERGY DRINK SUPL.ALIM.CAPPUCCINO EASY BOTTLE 200ML BR7048601 - FRESENIUS KABI
FRESUBIN PROTEIN ENERGY DRINK SUPL.ALIM.CHOCOLATE EASY BOTTLE 200ML BR7044601 - FRESENIUS KABI
FRESUBIN PROTEIN ENERGY DRINK SUPL.ALIM.FRUTAS VERMELHAS EASY BOTTLE 200ML BR7040601 - FRESENIUS KABI
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
136270
3440017
3440018
2380047
46068
46069
46070
37939
165775
165776
91777
91778
91776
4880023
4880024
141448
1830034
7360021
159327
159330
159328
159329
104318
123971
88214
90687
117737
133649
163428
123972
143006
47520
48163
115399
89537
43982
165847
165848
156950
162960
159217
148948
159275
159232
152668
156949
156952
162962
DESCRICAO
FRESUBIN SOYA FIBRE DIETA ENTERAL EASY BAG 1000ML BR7130231 - FRESENIUS KABI
FRISIUM 10MG 20CPDS - SANOFI-AVENTIS
FRISIUM 20MG 20CPDS - SANOFI-AVENTIS
FRIXOPEL GEL.25GRS - EMS
FRONTAL 0,25MG EST.30CPDS - PFIZER
FRONTAL 0,50MG EST.30CPDS - PFIZER
FRONTAL 1,00MG EST.30CPDS - PFIZER
FRONTAL 2,00MG 30CPDS - PFIZER
FRONTAL SL 0,5MG 15CPDS SUBL. - PFIZER
FRONTAL SL 0,5MG 30CPDS SUBL. - PFIZER
FRONTAL XR 0,5MG 30CPDS - PFIZER
FRONTAL XR 1,0MG 30CPDS - PFIZER
FRONTAL XR 2,0MG 30CPDS - PFIZER
FRUTOPLEX 3AMP 10ML - MARJAN
FRUTOPLEX 3AMP 20ML - MARJAN
FRUTOSE 5% 500ML KABIPAC 1500283KB - FRESENIUS KABI
FRUTOVITAM 100AMP 10ML - CRISTALIA
FULCIN 500MG 20CPDS - ASTRAZENECA
FUMARATO BISOPROLOL GEN.1,25MG 2BLX15CPDS REV. - EMS GENERICOS
FUMARATO BISOPROLOL GEN.10MG 2BLX15CPDS - EMS GENERICOS
FUMARATO BISOPROLOL GEN.2,5MG 2BLX15CPDS - EMS GENERICOS
FUMARATO BISOPROLOL GEN.5MG 2BLX15CPDS - EMS GENERICOS
FUMARATO CETOTIFENO GEN.0,2MG/ML XPE.100ML - BIOSINTETICA
FUMARATO CETOTIFENO GEN.0,2MG/ML XPE.120ML - HIPOLABOR
FUMARATO CETOTIFENO GEN.0,2MG/ML XPE.120ML - EMS GENERICOS
FUMARATO CETOTIFENO GEN.0,2MG/ML XPE.120ML - GERMED GENERICOS
FUMARATO CETOTIFENO GEN.0,2MG/ML XPE.120ML - TEUTO BRAS
FUMARATO CETOTIFENO GEN.0,2MG/ML XPE.120ML - BIOSINTETICA
FUMARATO CETOTIFENO GEN.0,2MG/ML XPE.120ML+CP.MED. - NEOQUIMICA
FUMARATO CETOTIFENO GEN.0,2MG/ML XPE.50FR 120ML - HIPOLABOR
FUMARATO CETOTIFENO GEN.0,345MG/ML 5ML - NEOQUIMICA
FUMARATO CETOTIFENO GEN.1MG 30ML - MEDLEY
FUMARATO CETOTIFENO GEN.1MG/5ML XPE.120ML - UNIAO QUIMICA
FUMARATO CETOTIFENO GEN.1MG/ML SOL.30ML - BIOSINTETICA
FUMARATO CETOTIFENO GEN.XPE.120ML - LEGRAND GENERICOS
FUMARATO CETOTIFENO GEN.XPE.120ML - MEDLEY
FUMARATO DE QUIETIPINA GEN.100MG 200CPDS - CRISTALIA
FUMARATO DE QUIETIPINA GEN.200MG 200CPDS - CRISTALIA
FUMARATO QUETIAPINA GEN. 200MG 3BLX10CPDS.REV. - GERMED GENERICOS
FUMARATO QUETIAPINA GEN.100MG 28CPDS REV. - SANDOZ
FUMARATO QUETIAPINA GEN.100MG 30CPDS - NOVA QUIMICA
FUMARATO QUETIAPINA GEN.100MG 30CPDS - ARROW
FUMARATO QUETIAPINA GEN.100MG 30CPDS REV. - ACHE
FUMARATO QUETIAPINA GEN.100MG 30CPDS REV. - BIOSINTETICA
FUMARATO QUETIAPINA GEN.100MG 3BLX10CPDS REV. - EMS GENERICOS
FUMARATO QUETIAPINA GEN.100MG 3BLX10CPDS REV. - GERMED GENERICOS
FUMARATO QUETIAPINA GEN.100MG 3BLX10CPDS.REV. - LEGRAND GENERICOS
FUMARATO QUETIAPINA GEN.200MG 28CPDS REV. - SANDOZ
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
159218
148949
159276
159233
152669
156953
159216
162964
152667
156947
156951
148946
159274
159231
156948
148947
4980002
166104
166103
167164
167165
26781
26780
49578
103303
92393
92394
139349
78577
78575
78576
6500150
6500049
152112
101595
128139
103176
101114
117147
152111
101115
101993
118778
49121
118779
49122
124007
26670
DESCRICAO
FUMARATO QUETIAPINA GEN.200MG 30CPDS - NOVA QUIMICA
FUMARATO QUETIAPINA GEN.200MG 30CPDS - ARROW
FUMARATO QUETIAPINA GEN.200MG 30CPDS REV. - ACHE
FUMARATO QUETIAPINA GEN.200MG 30CPDS REV. - BIOSINTETICA
FUMARATO QUETIAPINA GEN.200MG 3BLX10CPDS REV. - EMS GENERICOS
FUMARATO QUETIAPINA GEN.200MG 3BLX10CPDS.REV. - LEGRAND GENERICOS
FUMARATO QUETIAPINA GEN.25MG 14CPDS - NOVA QUIMICA
FUMARATO QUETIAPINA GEN.25MG 14CPDS REV. - SANDOZ
FUMARATO QUETIAPINA GEN.25MG 14CPDS REV. - EMS GENERICOS
FUMARATO QUETIAPINA GEN.25MG 14CPDS REV. - GERMED GENERICOS
FUMARATO QUETIAPINA GEN.25MG 14CPDS.REV. - LEGRAND GENERICOS
FUMARATO QUETIAPINA GEN.25MG 15CPDS - ARROW
FUMARATO QUETIAPINA GEN.25MG 15CPDS REV. - ACHE
FUMARATO QUETIAPINA GEN.25MG 15CPDS REV. - BIOSINTETICA
FUMARATO QUETIAPINA GEN.25MG 2BLX15CPDS REV. - GERMED GENERICOS
FUMARATO QUETIAPINA GEN.25MG 30CPDS - ARROW
FUNCHICOREA PO 3G - MELPOEJO
FUNGICORT 20+0,5MG/G CRM.DERM.30G - CIFARMA
FUNGICORT 20+0,5MG/G POM.DERM.30G - CIFARMA
FUNGICORT 20+0,64MG/G CRM.DERM.30G - CIFARMA
FUNGICORT 20+0,64MG/G POM.DERM.30G - CIFARMA
FUNGIROX 10MG 15ML - UCI-FARMA
FUNGIROX 10MG CRM.DERM.20GRS - UCI-FARMA
FUNGIROX ESM.UNHA 6GRS - UCI-FARMA
FUNGITRIN 100+50MG/4G CRM.VAG.45GRS - VITAPAN
FUNGONAX 100MG 15CAPS GEL.DURA - TEUTO BRAS
FUNGONAX 100MG 4CAPS GEL.DURA - TEUTO BRAS
FUNTEX B 50MG SOL.INJ.1FA - MEIZLER
FUNTYL 1% 20GRS - CRISTALIA
FUNTYL 250MG 14CPDS - CRISTALIA
FUNTYL 250MG 28CPDS - CRISTALIA
FURACIN POM.30GRS - MANTECORP
FURACIN SOL.30ML - MANTECORP
FUROATO MOMETASONA GEN.1MG/G CRM.20GRS - NEOQUIMICA
FUROATO MOMETASONA GEN.1MG/G CRM.20GRS - LEGRAND GENERICOS
FUROATO MOMETASONA GEN.1MG/G CRM.20GRS - MEDLEY
FUROATO MOMETASONA GEN.1MG/G CRM.DERM.20G - EMS GENERICOS
FUROATO MOMETASONA GEN.1MG/G CRM.DERM.20G - GERMED GENERICOS
FUROATO MOMETASONA GEN.1MG/G POM.20GRS - MEDLEY
FUROATO MOMETASONA GEN.1MG/G POM.20GRS - NEOQUIMICA
FUROATO MOMETASONA GEN.1MG/G POM.DERM.20G - EMS GENERICOS
FUROATO MOMETASONA GEN.1MG/G POM.DERM.20G - GERMED GENERICOS
FUROATO MOMETASONA GEN.CRM.20GRS - BIOSINTETICA
FUROATO MOMETASONA GEN.CRM.20GRS - EUROFARMA
FUROATO MOMETASONA GEN.POM.20GRS - BIOSINTETICA
FUROATO MOMETASONA GEN.POM.20GRS - EUROFARMA
FUROSEMIDA GEN.10MG/ML 60AMP 2ML - TEUTO BRAS
FUROSEMIDA GEN.20MG 100AMP 2ML - HYPOFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
143182
111147
121640
117723
136682
55381
145513
41840
138123
31329
47727
460107
1280026
5420011
5420012
117274
117275
152671
51161
136828
115411
111877
84939
111868
136830
115413
111878
84940
111869
159311
144205
141871
165898
166507
40370
143613
121616
139836
143615
139841
139839
145001
143614
139840
106470
57990
163585
57989
DESCRICAO
FUROSEMIDA GEN.20MG AMP 2ML - HALEX ISTAR
FUROSEMIDA GEN.20MG/2ML 50AMP 2ML - TEUTO BRAS
FUROSEMIDA GEN.20MG/ML 100AMP 2ML - HIPOLABOR
FUROSEMIDA GEN.40MG 100CPDS - TEUTO BRAS
FUROSEMIDA GEN.40MG 20CPDS - SANOFI-AVENTIS
FUROSEMIDA GEN.40MG 20CPDS - TEUTO BRAS
FUROSEMIDA GEN.40MG 20CPDS - HIPOLABOR
FUROSEMIDA GEN.40MG 2X15CPDS - BIOSINTETICA
FUROSEMIDA GEN.40MG 500CPDS - HIPOLABOR
FUROSEMIDA GEN.5AMP 2ML - TEUTO BRAS
FUROSEMIL 40MG 20CPDS - PHARMASCIENCE
FUROSETRON 10MG/ML 50AMP 2ML - ARISTON
FUROZIX 20CPDS - BUNKER
GABALLON 20CPDS - NIKKHO
GABALLON XPE.100ML - NIKKHO
GABANEURIN 300MG 3X10CPDS - SIGMA PHARMA
GABANEURIN 400MG 3X10CPDS - SIGMA PHARMA
GABANEURIN 600MG 3X9CPDS REV. - SIGMA PHARMA
GABAPENTINA GEN.300MG 2X15CAPS - BIOSINTETICA
GABAPENTINA GEN.300MG 30CAPS - ARROW
GABAPENTINA GEN.300MG 3BLX10CAPS GEL. - EMS GENERICOS
GABAPENTINA GEN.300MG 3BLX10CAPS GEL.DURA - GERMED GENERICOS
GABAPENTINA GEN.300MG 3X10CAPS - RANBAXY
GABAPENTINA GEN.300MG 3X10CAPS - LEGRAND GENERICOS
GABAPENTINA GEN.400MG 30CAPS - ARROW
GABAPENTINA GEN.400MG 3BLX10CAPS GEL. - EMS GENERICOS
GABAPENTINA GEN.400MG 3BLX10CAPS GEL.DURA - GERMED GENERICOS
GABAPENTINA GEN.400MG 3X10CAPS - RANBAXY
GABAPENTINA GEN.400MG 3X10CAPS - LEGRAND GENERICOS
GABAPENTINA GEN.600MG 27CPDS REV. - NEOQUIMICA
GABAPENTINA GEN.600MG 3BLX9CAPS REV. - EMS GENERICOS
GABAPENTINA GEN.600MG 3BLX9CPDS REV. - GERMED GENERICOS
GADOVIST 604,72MG/ML SOL.INJ.1FA 15ML - BAYER
GADOVIST 604,72MG/ML SOL.INJ.1FA 7,5ML - BAYER
GALENOGAL ELIX.150ML - KLEY HERTZ
GALVUS 50MG 14CPDS - NOVARTIS
GALVUS 50MG 28CPDS - NOVARTIS
GALVUS 50MG 56CPDS - NOVARTIS
GALVUS MET 50+1000MG 14CPDS - NOVARTIS
GALVUS MET 50+1000MG 56CPDS - NOVARTIS
GALVUS MET 50+500MG 14CPDS - NOVARTIS
GALVUS MET 50+500MG 56CPDS - NOVARTIS
GALVUS MET 50+850MG 14CPDS - NOVARTIS
GALVUS MET 50+850MG 56CPDS - NOVARTIS
GAMA ANTI-D 750UI/ML SOL.INJ.SER.PREENC.2ML - GRIFOLS
GAMA ANTI-HEPATITE B 1000UI SOL.INJ.1AMP 5ML - GRIFOLS
GAMA ANTI-HEPATITE B 100UI SOL.INJ.1AMP 0,5ML - GRIFOLS
GAMA ANTI-HEPATITE B 600UI SOL.INJ.1AMP 3ML - GRIFOLS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
57992
22096
63809
145128
129634
129635
145377
5420018
145019
83834
148955
127837
82416
6500054
6500053
6500059
6500057
6500104
6500055
6500056
6500148
84397
84398
6500066
166112
79007
6200038
6200039
6200037
30057
30068
161169
161170
30052
149821
145425
1280124
1280125
71721
96400
96401
96402
47728
47729
4720102
23579
23583
23573
DESCRICAO
GAMA ANTI-TETANO 250UI - GRIFOLS
GAMAX 15CAPS - INFAN
GAMAX 30CAPS - INFAN
GAMIBETAL 300MG 10CAPS - ARROW
GAMIBETAL 300MG 30CAPS - ARROW
GAMIBETAL 400MG 30CAPS - ARROW
GAMMAR 250MG BL.36CPDS - NIKKHO
GAMMAR XPE.100ML - NIKKHO
GANCICLOTRAT 500MG PO LIOF.1FA+DIL.10ML - UNIAO QUIMICA
GANCICLOVIR SODICO GEN.500MG 50FA - EUROFARMA
GANFORT 0,3+5MG/ML SOL.OFT.3,5ML - ALLERGAN
GANFORT 0,3+5MG/ML SOL.OFT.3ML - ALLERGAN
GANVIRAX 250MG 40CAPS - BLAU
GARAMICINA 120MG 2AMP 1,5ML - MANTECORP
GARAMICINA 160MG 1AMP 2ML - MANTECORP
GARAMICINA 20MG 2AMP 1ML - MANTECORP
GARAMICINA 280MG 1AMP 2ML - MANTECORP
GARAMICINA 40MG 2AMP 1ML - MANTECORP
GARAMICINA 60MG 2AMP 1,5ML - MANTECORP
GARAMICINA 80MG 2AMP 2ML - MANTECORP
GARAMICINA CRM.30GRS - MANTECORP
GARAMOX 10MG 100AMP 1ML - HIPOLABOR
GARAMOX 80MG 100AMP 2ML - HIPOLABOR
GARASONE COL.10ML - MANTECORP
GARBITAL 100MG 20BLX10CPDS - NEOQUIMICA
GARBITAL 100MG 20CPDS - NEOQUIMICA
GARDENAL 100MG 20CPDS - SANOFI-AVENTIS
GARDENAL 40MG/ML PED.20ML - SANOFI-AVENTIS
GARDENAL 50MG 20CPDS - SANOFI-AVENTIS
GASTRIUM 10MG 14CAPS GEL. - ACHE
GASTRIUM 20MG 14CAPS GEL. - ACHE
GASTRIUM 20MG 28CAPS GEL. - ACHE
GASTRIUM 20MG 56CAPS GEL. - ACHE
GASTRIUM 20MG 7CAPS GEL. - ACHE
GASTROBENE 10MG 2X10CAPS - EMS
GASTROBION 37+40+5MG/ML 240ML - KLEY HERTZ
GASTROFLAT 20CPDS REV. - BUNKER
GASTROFLAT GTS.10ML - BUNKER
GASTROFLAT MAX 10CAPS GEL - BUNKER
GASTROFTAL EFV.ABAC.100ENV 5GRS - PHARMASCIENCE
GASTROFTAL EFV.LAR.100ENV 5GRS - PHARMASCIENCE
GASTROFTAL EFV.LIM.100ENV 5GRS - PHARMASCIENCE
GASTROFTAL MENTA 20PAST - PHARMASCIENCE
GASTROFTAL MENTA SUSP.240ML - PHARMASCIENCE
GASTROL 20PAST - LUPER
GASTROL EFV.ABAC.50ENV 5GRS - LUPER
GASTROL EFV.LAR.50ENV 5GRS - LUPER
GASTROL EFV.LIM.50ENV 5GRS - LUPER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
89676
4720023
4720056
4720076
79601
79599
79600
110886
79597
111150
111151
47731
47730
6485037
6485039
79603
35178
143146
1280031
103304
26529
16959
119902
2380001
35274
35273
2380048
77950
2220015
37908
2220014
30025
30040
117156
117157
2320047
2320046
103178
88215
88782
91629
37559
92783
88216
84034
88783
89538
144468
DESCRICAO
GASTROL EFV.PAPAIA 50ENV 5GRS - LUPER
GASTROL SUSP.250ML - LUPER
GASTROL TC 30PAST - LUPER
GASTROL TC SUSP.240ML - LUPER
GASTROLIV ABAC.100SACH 5GRS - CIFARMA
GASTROLIV LAR.100SACH 5GRS - CIFARMA
GASTROLIV LIM.100SACH 5GRS - CIFARMA
GASTROMAX 300MG 200CPDS - CIFARMA
GASTROMAX SUSP.ORAL 150ML - CIFARMA
GASTRONAN 380MG 30CAPS - PHARMASCIENCE
GASTRONAN SUSP.500ML - PHARMASCIENCE
GASTROPEPT 150ML - PHARMASCIENCE
GASTROPEPT 20CPDS - PHARMASCIENCE
GAVIZ 40+40MG/ML HORT.SUSP.ORAL 240ML - UNIAO QUIMICA
GAVIZ 40+40MG/ML MOR.SUSP.ORAL 240ML - UNIAO QUIMICA
GAZYME 75MG/ML GTS.10ML - CIFARMA
GELAFUNDIN 500ML FE84513 - B.BRAUN
GELATINA 3,5% (POLISOCEL) SIST.FECHADO BOLSA 500ML SOLUFLEX - HALEX ISTAR
GELFLEX POM.45G - BUNKER
GELLAT POM.20GRS - VITAPAN
GELMAX ABAC.100SACH 5G EFV. - EMS CONSUMO
GELMAX ABAC.20SACH 5G EFV. - EMS CONSUMO
GELMAX DIM SUSP.ORAL 240ML - EMS CONSUMO
GELMAX LIM.4BLX6CPDS MAST. - EMS CONSUMO
GELMAX PAPAYA CASSIS 20BLX6CPDS MAST. - EMS CONSUMO
GELMAX PAPAYA CASSIS 4BLX6CPDS MAST. - EMS CONSUMO
GELMAX SUSP.ORAL 240ML - EMS CONSUMO
GELOFRIX 1BG 45G - DELTA
GELOL AER.60ML - COSMED
GELOL LINIMENTO 45ML - COSMED
GELOL POM.DERM.20GRS - COSMED
GELUSIL 170+70+6MG/ML SUSP.ORAL MOR.240ML - UNIAO QUIMICA
GELUSIL 170+70+6MG/ML SUSP.ORAL TRADIC.240ML - UNIAO QUIMICA
GEMCIT 1G 1FA - SANDOZ
GEMCIT 200MG 1FA - SANDOZ
GEMZAR 1G 1FA - ELI LILLY
GEMZAR 200MG 1FA - ELI LILLY
GENFIBROZILA GEN.600MG 10BLX6CPDS REV. - EMS GENERICOS
GENFIBROZILA GEN.600MG 24CPDS REV. - EMS GENERICOS
GENFIBROZILA GEN.600MG 2BLX12CPDS - GERMED GENERICOS
GENFIBROZILA GEN.600MG 2X12CPDS REV. - LEGRAND GENERICOS
GENFIBROZILA GEN.600MG 30CPDS - BIOSINTETICA
GENFIBROZILA GEN.600MG 30CPDS - MEDLEY
GENFIBROZILA GEN.900MG 12CPDS REV. - EMS GENERICOS
GENFIBROZILA GEN.900MG 15CPDS - MEDLEY
GENFIBROZILA GEN.900MG 2BLX6CPDS - GERMED GENERICOS
GENFIBROZILA GEN.900MG 2X6CPDS REV. - LEGRAND GENERICOS
GENLIBBS 1G 1FA - LIBBS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
144010
160544
7060038
160545
70646
5260078
81114
81115
81116
145535
2900040
2900041
73384
115759
2060045
2060100
2060098
42436
42437
103009
42438
76191
92948
108786
79604
79605
280082
5340143
138628
1280033
1280032
43115
162969
164434
164435
84697
16981
71021
71272
71273
71274
7040029
7040030
161190
96094
31823
31824
55380
DESCRICAO
GENLIBBS 200MG 1FA - LIBBS
GENOTROPIN 16UI 1CANETA+1FA+DIL.1ML - PFIZER
GENOTROPIN 16UI 1FA - PFIZER
GENOTROPIN 36UI 1CANETA+1FA+DIL.1ML - PFIZER
GENOTROPIN 36UI 1FA - PFIZER
GENTAGRAN POM.OFTAL.3GRS - LEGRAND TARJARDOS
GENTAMICIN 20MG/ML 50AMP 1ML - NOVAFARMA
GENTAMICIN 40MG/ML 50AMP 1ML - NOVAFARMA
GENTAMICIN 80MG/2ML 50AMP 2ML - NOVAFARMA
GENTAMICINA GEN.40MG/ML 100AMP 2ML - HIPOLABOR
GENTAMICINA GEN.5MG/G POM.OFT.3,5G - ALLERGAN
GENTAMICINA GEN.5MG/ML SOL.OFT.5ML - ALLERGAN
GENTEAL 3MG/ML SOL.OFT.10ML - NOVARTIS
GENTEAL GEL OFT.10G - NOVARTIS
GENUXAL 1000MG 10FA 75ML - BAXTER
GENUXAL 200MG 10FA 20ML - BAXTER
GENUXAL 50MG 50DRGS - BAXTER
GEODON 40MG 14CAPS - PFIZER
GEODON 40MG 30CAPS - PFIZER
GEODON 80MG 14CAPS - PFIZER
GEODON 80MG 30CAPS - PFIZER
GEODON IM 20MG 1FA+DIL - PFIZER
GEPEPROSTIN 50MG 30CPDS - SANDOZ
GERIATON 30CPDS REV. - ACHE
GERILON 30CAPS - CIFARMA
GERILON 60CAPS - CIFARMA
GERIMED 20G - ALM.PRADO
GERIVIX 30DRGS - NEOQUIMICA
GERIVIX 50DRGS - NEOQUIMICA
GEROTREX H3 30DRGS - BUNKER
GEROTREX H3 50DRGS - BUNKER
GESTINOL 28CPDS - LIBBS
GESTODENO+ETINILESTRADIOL GEN.0,06+0,15MG 24CPDS REV. - SANDOZ
GESTODENO+ETINILESTRADIOL GEN.0,060+0,0015MG 24CPDS REV. - WYETH
GESTODENO+ETINILESTRADIOL GEN.0,075+0,03MG 21DRGS - WYETH
GESTRADIOL 21CPDS - NEOQUIMICA
GESTRELAN 0,15+0,03MG 3BLX21CPDS - BIOLAB SANUS
GESTROCON 0,625MG/G CRM.VAG.25GRS - NEOQUIMICA
GIAMEBIL 6CPDS - INFAN
GIAMEBIL GTS.10ML - INFAN
GIAMEBIL XPE.60ML - INFAN
GIARLAM 14CPDS - UCI-FARMA
GIARLAM SUSP.70ML - UCI-FARMA
GILENYA 0,5MG 28 CAPS GEL.DURA - NOVARTIS
GINBILOBA 120MG 10CPDS REV. - BUNKER
GINBILOBA 40MG 30CPDS REV. - BUNKER
GINBILOBA 80MG 20CPDS REV. - BUNKER
GINCOLIN 80MG 30CAPS GEL - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
32525
96338
35396
103305
37792
2900042
47732
143545
5420053
5420054
62510
140959
140958
760036
28201
760055
30061
66336
30060
119819
79609
29784
42849
94121
1280100
1280156
1280157
16967
155302
143319
143320
136586
81616
180010
119549
119550
88784
89539
48148
142119
142131
139389
88801
150414
111837
146730
69857
150415
DESCRICAO
GINCONAZOL 30GRS+5APL.5GRS - INFAN
GINEANE 2+1MG 28CPDS REV. - TEUTO BRAS
GINEC 60G - GLENMARK
GINECOL 10MG/G CRM.40GRS+7APL - VITAPAN
GINESSE 0,075+0,020MG 21CPDS REV. - FARMOQUIMICA
GINGILONE POM. BUCAL 10GRS - FARMASA
GINKGOMENIL 80MG 30CPDS - PHARMASCIENCE
GINKOBA 120MG 30CPDS REV. - NIKKHO
GINKOBA 40MG 30CPDS REV. - NIKKHO
GINKOBA 80MG 30CPDS REV. - NIKKHO
GINKOMED 80MG 30CPDS - CIMED
GINKOTAB 120MG 30CPDS REV. - LUPER
GINKOTAB 80MG 30CPDS REV. - LUPER
GINO CANESTEN 1% CRM.VAG.35GRS+6APL - BAYER
GINO CANESTEN 2% CRM.VAG.20GRS+3APL - BAYER
GINO CANESTEN 500MG 1CPD VAG.+1APL - BAYER
GINO CAUTEREX 1+666U+1MG 30G+6APLIC. - ACHE
GINO DERMAZINE CRM.VAG.30GRS+6APL - SILVESTRE
GINO FIBRASE UNG.30GRS+APL - PFIZER
GINO KOLLAGENASE POM.VAG.30GRS+6APLIC. - CRISTALIA
GINO-DACZOL 80GRS+1APL - CIFARMA
GINOFLORAX 8CPDS VAG. - INFAN
GINO-PLETIL 45GRS+7APL - PFIZER
GINOTARIN 20MG/G CRM.VAG.50G+APLIC. - BUNKER
GINOTARIN CRM.DERM.28G - BUNKER
GINOTARIN LOC.30ML - BUNKER
GINOTARIN PO 30G - BUNKER
GINO-TERACIN CRM.VAG.45G+10APL - COSMED
GLALFITAL 20+5MG/ML SOL.OFT.5ML - TEUTO BRAS
GLAMIGAN 0,3MG/ML SOL.OFT.3ML - GERMED
GLAMIGAN 0,3MG/ML SOL.OFT.5ML - GERMED
GLAUB 2MG/ML SOL.OFT.5ML - UNIAO QUIMICA
GLAUCOTRAT 0,5% SOL.OFT.5ML - UNIAO QUIMICA
GLAUTIMOL 0,5% SOL.OFT.5ML - ALCON
GLIANSOR 2MG 2X15CPDS - LEGRAND TARJARDOS
GLIANSOR 4MG 2X15CPDS - LEGRAND TARJARDOS
GLIBENCLAMIDA GEN.5MG 2BLX15CPDS - GERMED GENERICOS
GLIBENCLAMIDA GEN.5MG 2X15CPDS - LEGRAND GENERICOS
GLIBENCLAMIDA GEN.5MG 2X15CPDS - BIOSINTETICA
GLIBENCLAMIDA GEN.5MG 30CPDS - SANOFI-AVENTIS
GLIBENCLAMIDA GEN.5MG 30CPDS - PRATI-DONADUZZI
GLIBENCLAMIDA GEN.5MG 30CPDS - ZYDUS NIKKHO
GLIBENCLAMIDA GEN.5MG 30CPDS - EMS GENERICOS
GLIBENCLAMIDA GEN.5MG 30CPDS - MEDLEY
GLIBENCLAMIDA GEN.5MG 30CPDS - NOVA QUIMICA
GLIBENCLAMIDA GEN.5MG 30CPDS - NEOQUIMICA
GLIBENCLAMIDA GEN.5MG 30CPDS - RANBAXY
GLIBENCLAMIDA GEN.5MG 60CPDS - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
6460102
119911
165819
139114
141282
139113
47558
97383
166105
97384
143156
3425070
128164
153776
153777
160576
103306
137951
3425135
138141
143183
120825
120826
120822
156442
91000
153711
153783
153784
154198
105288
105290
31903
105289
138277
153536
134008
153778
153535
134006
153779
134007
154197
134004
134005
153782
134003
134002
DESCRICAO
GLIBENCLAMON 5MG 3X10CPDS - SANVAL
GLIBENECK 5MG 30CPDS - NECKERMAN
GLIBENECK 5MG 75X10CPDS - NECKERMAN
GLIBETA 500+5MG 30CPDS - TORRENT
GLIBETA 500MG+2,5MG 10CPDS - TORRENT
GLIBETA 500MG+2,5MG 30CPDS - TORRENT
GLIBEXIL 5MG 30CPDS - ROYTON
GLICARON 80MG 20CPDS - CIFARMA
GLICARON 80MG 500CPDS(EMB.HOSP.) - CIFARMA
GLICARON 80MG 60CPDS - CIFARMA
GLICENAX 12% 120MG/ML SOL.RETAL 1ENEMA 500ML 1500163FI - FRESENIUS KABI
GLICERINA 12% 500ML+APL - HYPOFARMA
GLICEROL 12% 20FR 500ML - HYPOFARMA
GLICOCLORETADA 9,0+50,0MG/ML 16FR 1000ML - BASA
GLICOCLORETADA 9,0+50,0MG/ML 24FR 500ML - BASA
GLICOLIVE 1500MG 30ENV 4G - ACHE
GLICOMET 850MG 30CPDS - VITAPAN
GLICOMET 850MG 500CPDS - VITAPAN
GLICONATO CALCIO 10% 100AMP 10ML - HYPOFARMA
GLICONATO CALCIO 10% 100X10ML - HIPOLABOR
GLICONATO CALCIO 10% AMP 10ML - HALEX ISTAR
GLICONATO CALCIO 10% AMP.PLAST.100UNID 10ML - ISOFARMA
GLICONATO CALCIO 10% AMP.PLAST.200UNID 10ML - ISOFARMA
GLICONATO CALCIO 10% AMP.PLAST.50UNID 10ML - ISOFARMA
GLICONATO DE CALCIO 10% 100AMP.10ML - FRESENIUS KABI
GLICORP 250MG 50CPDS - NEOQUIMICA
GLICORP 250MG 50X10CPDS REV. - NEOQUIMICA
GLICOSE 10% 16FR 1000ML - BASA
GLICOSE 10% 24FR 500ML - BASA
GLICOSE 10% 40FR 250ML - BASA
GLICOSE 25% 100AMP PLAST.10ML - ISOFARMA
GLICOSE 25% 100AMP PLAST.20ML - ISOFARMA
GLICOSE 25% 10ML - EQUIPLEX
GLICOSE 25% 200AMP PLAST.10ML - ISOFARMA
GLICOSE 25% 50AMP PLAST.20ML - ISOFARMA
GLICOSE 5% 100AMP 20ML - EQUIPLEX
GLICOSE 5% 12FR 1000ML - EQUIPLEX
GLICOSE 5% 16FR 1000ML - BASA
GLICOSE 5% 200AMP 20ML - EQUIPLEX
GLICOSE 5% 20FR 500ML - EQUIPLEX
GLICOSE 5% 24FR 500ML - BASA
GLICOSE 5% 24FR 500ML - EQUIPLEX
GLICOSE 5% 40FR 250ML - BASA
GLICOSE 5% 40FR 250ML - EQUIPLEX
GLICOSE 5% 48FR 250ML - EQUIPLEX
GLICOSE 5% 50FR 125ML - BASA
GLICOSE 5% 70FR 100ML - EQUIPLEX
GLICOSE 5% 70FR 50ML - EQUIPLEX
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
105292
138279
28146
105293
138278
128312
55758
43340
3425133
43339
42369
5020084
5020079
153151
153152
103726
144169
144168
63606
63607
63608
39053
34845
39054
84170
138664
150677
150687
136683
137114
95443
119893
138665
84287
103985
138666
138667
166430
150678
150688
150695
136684
137115
95444
153609
119894
138668
84286
DESCRICAO
GLICOSE 50% 100AMP PLAST.10ML - ISOFARMA
GLICOSE 50% 100AMP PLAST.20ML - ISOFARMA
GLICOSE 50% 1AMP 10ML - EQUIPLEX
GLICOSE 50% 200AMP PLAST.10ML - ISOFARMA
GLICOSE 50% 50AMP PLAST.20ML - ISOFARMA
GLICOSE 750MG/ML 200AMP POLIET 10ML - EQUIPLEX
GLICOSE HIPERTONICA 25% 200AMP PLAST.10ML - HYPOFARMA
GLICOSE HIPERTONICA 50% 100AMP PLAST.20ML - HYPOFARMA
GLICOSE HIPERTONICA 50% 100AMP VD.10ML - HYPOFARMA
GLICOSE HIPERTONICA 50% 200AMP PLAST.10ML - HYPOFARMA
GLIFAGE 1G 30CPDS REV. - MERCK S.A.
GLIFAGE 500MG 30CPDS REV. - MERCK S.A.
GLIFAGE 850MG 30CPDS REV. - MERCK S.A.
GLIFAGE XR 1G 10CPDS - MERCK S.A.
GLIFAGE XR 1G 30CPDS - MERCK S.A.
GLIFAGE XR 500MG 30CPDS - MERCK S.A.
GLIFAGE XR 750MG 10CPDS - MERCK S.A.
GLIFAGE XR 750MG 30CPDS - MERCK S.A.
GLIMEPIBAL 1MG 30CPDS - BALDACCI
GLIMEPIBAL 2MG 30CPDS - BALDACCI
GLIMEPIBAL 4MG 30CPDS - BALDACCI
GLIMEPIL 1MG 30CPDS - FARMOQUIMICA
GLIMEPIL 2MG 30CPDS - FARMOQUIMICA
GLIMEPIL 4MG 30CPDS - FARMOQUIMICA
GLIMEPIL 6MG 30CPDS - FARMOQUIMICA
GLIMEPIRIDA GEN.1MG 10CPDS - ACCORD
GLIMEPIRIDA GEN.1MG 2BLX15CPDS - GERMED GENERICOS
GLIMEPIRIDA GEN.1MG 2BLX15CPDS - EMS GENERICOS
GLIMEPIRIDA GEN.1MG 30CPDS - SANOFI-AVENTIS
GLIMEPIRIDA GEN.1MG 30CPDS - BUNKER
GLIMEPIRIDA GEN.1MG 30CPDS - MERCK S.A.
GLIMEPIRIDA GEN.1MG 30CPDS - MEDLEY
GLIMEPIRIDA GEN.1MG 30CPDS - ACCORD
GLIMEPIRIDA GEN.1MG 30CPDS - BIOSINTETICA
GLIMEPIRIDA GEN.1MG 30CPDS - SANDOZ
GLIMEPIRIDA GEN.1MG 450CPDS - ACCORD
GLIMEPIRIDA GEN.2MG 10CPDS - ACCORD
GLIMEPIRIDA GEN.2MG 15BLX30CPDS - CIMED
GLIMEPIRIDA GEN.2MG 2BLX15CPDS - GERMED GENERICOS
GLIMEPIRIDA GEN.2MG 2BLX15CPDS - EMS GENERICOS
GLIMEPIRIDA GEN.2MG 2X15CPDS - LEGRAND GENERICOS
GLIMEPIRIDA GEN.2MG 30CPDS - SANOFI-AVENTIS
GLIMEPIRIDA GEN.2MG 30CPDS - BUNKER
GLIMEPIRIDA GEN.2MG 30CPDS - MERCK S.A.
GLIMEPIRIDA GEN.2MG 30CPDS - CIMED
GLIMEPIRIDA GEN.2MG 30CPDS - MEDLEY
GLIMEPIRIDA GEN.2MG 30CPDS - ACCORD
GLIMEPIRIDA GEN.2MG 30CPDS - BIOSINTETICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
103986
94138
138669
150679
150689
136685
119896
138670
143329
144206
143204
136686
137117
95445
153610
119895
138671
84285
103987
94141
138673
143330
144207
136687
119897
115750
73180
62557
73181
90999
132163
132162
5340062
26129
26127
26130
26128
7460033
7460035
92946
92947
20848
40329
148231
157118
162839
20183
20096
DESCRICAO
GLIMEPIRIDA GEN.2MG 30CPDS - SANDOZ
GLIMEPIRIDA GEN.2MG 30CPDS - EUROFARMA
GLIMEPIRIDA GEN.2MG 450CPDS - ACCORD
GLIMEPIRIDA GEN.2MG 4BLX15CPDS - GERMED GENERICOS
GLIMEPIRIDA GEN.2MG 4BLX15CPDS - EMS GENERICOS
GLIMEPIRIDA GEN.2MG 60CPDS - SANOFI-AVENTIS
GLIMEPIRIDA GEN.2MG 60CPDS - MEDLEY
GLIMEPIRIDA GEN.4MG 10CPDS - ACCORD
GLIMEPIRIDA GEN.4MG 2BLX15CPDS - GERMED GENERICOS
GLIMEPIRIDA GEN.4MG 2BLX15CPDS - EMS GENERICOS
GLIMEPIRIDA GEN.4MG 2X15CPDS - LEGRAND GENERICOS
GLIMEPIRIDA GEN.4MG 30CPDS - SANOFI-AVENTIS
GLIMEPIRIDA GEN.4MG 30CPDS - BUNKER
GLIMEPIRIDA GEN.4MG 30CPDS - MERCK S.A.
GLIMEPIRIDA GEN.4MG 30CPDS - CIMED
GLIMEPIRIDA GEN.4MG 30CPDS - MEDLEY
GLIMEPIRIDA GEN.4MG 30CPDS - ACCORD
GLIMEPIRIDA GEN.4MG 30CPDS - BIOSINTETICA
GLIMEPIRIDA GEN.4MG 30CPDS - SANDOZ
GLIMEPIRIDA GEN.4MG 30CPDS - EUROFARMA
GLIMEPIRIDA GEN.4MG 450CPDS - ACCORD
GLIMEPIRIDA GEN.4MG 4BLX15CPDS - GERMED GENERICOS
GLIMEPIRIDA GEN.4MG 4BLX15CPDS - EMS GENERICOS
GLIMEPIRIDA GEN.4MG 60CPDS - SANOFI-AVENTIS
GLIMEPIRIDA GEN.4MG 60CPDS - MEDLEY
GLIMEPIRIDA GEN.4MG 60CPDS - SANDOZ
GLIMEPRID 1MG 30CPDS - HEXAL
GLIMEPRID 2MG 30CPDS - HEXAL
GLIMEPRID 4MG 30CPDS - HEXAL
GLIMERAN 2MG 30CPDS - NEOQUIMICA
GLIOCORT 100MG 50FA PO LIOF. - NOVAFARMA
GLIOCORT 500MG 50FA PO LIOF. - NOVAFARMA
GLIONIL 5MG 30CPDS - NEOQUIMICA
GLIOTEN 10MG 30CPDS REV. - BAGO
GLIOTEN 2,5MG 30CPDS REV. - BAGO
GLIOTEN 20MG 30CPDS REV. - BAGO
GLIOTEN 5,0MG 30CPDS REV. - BAGO
GLITISOL 500MG 20CAPS - ZAMBON
GLITISOL GRAN PO 2ENV 8GRS - ZAMBON
GLIVEC 100MG 60CPDS REV. - NOVARTIS
GLIVEC 400MG 30CPDS REV. - NOVARTIS
GLUCAGEN HYPOKIT 1MG - NOVO NORDISK
GLUCANTIME 300MG/ML 25AMP 5ML - SANOFI-AVENTIS
GLUCANTIME 300MG/ML 50AMP 5ML - SANOFI-AVENTIS
GLUCERNA 1.5 RTH 500ML - ABBOTT
GLUCERNA 1.5 TETRA.200ML - ABBOTT
GLUCERNA BAUN.237ML - ABBOTT
GLUCERNA RTH SF-1000ML - ABBOTT
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
104928
150624
760023
760009
900019
900004
460058
103658
103659
153153
153154
61322
143242
61323
143243
61324
61456
96403
96404
77948
154260
154261
154262
18054
136549
103092
77829
115340
115341
115339
960034
166939
6580030
103395
103396
103397
129718
39089
5340054
136831
1280035
41400
160051
31819
6280144
6280119
280083
166419
DESCRICAO
GLUCERNA SR TETRA BAUN.230ML - ABBOTT
GLUCERNA SR TETRA CHOC.230ML - ABBOTT
GLUCOBAY 100MG 30CPDS - BAYER
GLUCOBAY 50MG 30CPDS - BAYER
GLUCOFORMIN 500MG 30CPDS - NOVO NORDISK
GLUCOFORMIN 850MG 30CPDS - NOVO NORDISK
GLUCONATO CALCIO 10% 100AMP 10ML - ARISTON
GLUCOREUMIN 1500MG 10SACH 3,95GRS - ZAMBON
GLUCOREUMIN 1500MG 30SACH 3,95GRS - ZAMBON
GLUCOVANCE 1000MG+5MG 10CPDS REV. - MERCK S.A.
GLUCOVANCE 1000MG+5MG 30CPDS REV - MERCK S.A.
GLUCOVANCE 250MG+1,25MG 30CPDS REV. - MERCK S.A.
GLUCOVANCE 500MG+2,5MG 10CPDS REV. - MERCK S.A.
GLUCOVANCE 500MG+2,5MG 30CPDS REV. - MERCK S.A.
GLUCOVANCE 500MG+5MG 10CPDS REV. - MERCK S.A.
GLUCOVANCE 500MG+5MG 30CPDS REV - MERCK S.A.
GLUTAMIN 40SACH 10GRS - SUPPORT NUTRITION
GLYCELAX ADU.6SUPS - PHARMASCIENCE
GLYCELAX INF.6SUPS - PHARMASCIENCE
GLYCOPHOS 10X20ML BRBAV1963 - FRESENIUS KABI
GLYCOPIRIDA 1MG 2X15CPDS - SIGMA PHARMA
GLYCOPIRIDA 2MG 2X15CPDS - SIGMA PHARMA
GLYCOPIRIDA GEN.4MG 2X15CPDS - SIGMA PHARMA
GLYFLUCAN 150MG 1CAP GEL.DURA - GERMED
GLYFLUCAN 150MG 2CAPS GEL.DURA - GERMED
GLYPRESSIN 1MG PO LIOF.1FA+1AMP DIL.5ML - FERRING
GLYQUIN XM 1GR.CRM.MLT.28SACHE. - VALEANT
GLYTEOL 13,33MG/ML BAUN.100ML - KLEY HERTZ
GLYTEOL 13,33MG/ML BAUN.150ML - KLEY HERTZ
GLYTEOL 13,33MG/ML MOR.100ML - KLEY HERTZ
GLYVENOL 200MG 40DRGS - NOVARTIS
GOB6 25MG 18CPDS MAST. - BIOLAB SANUS
GONAL F 075UI (5,5MCG) PO LIOFILIZADO 1FA+1SER.DIL.1ML - MERCK S.A.
GONAL F 300UI (22MCG)/0,5ML SOL.INJ.ALFAFOLITROPINA 1CAN.PREENCH.0,5ML+5 AGULHAS - MERCK S.A.
GONAL F 450UI (33MCG)/0,75ML SOL.INJ.ALFAFOLITROPINA 1CAN.PREENCH.0,75ML+7 AGULHAS - MERCK S.A.
GONAL F 900UI (66MCG)/1,5ML SOL.INJ.ALFAFOLITROPINA 1CAN.PREENCH.1,5ML+14 AGULHAS - MERCK S.A.
GONAPEPTYL DAILY 0,1MG/ML 7SER.1ML - FERRING
GONAPEPTYL DEPOT 3,75MG 1SER.PREENC.1ML - FERRING
GONOL PO EXT. 60ML - NEOQUIMICA
GOTALIV 5MG 30ML - ARROW
GOTAS DIGESTIVAS 20ML - BUNKER
GOTAS PRECIOSAS GTS.30ML - KLEY HERTZ
GRACIAL 0,025/0,040MG 15CPDS BCO.+0,125/0,030MG 7CPDS AZ. - SCHERING PLOUGH
GRANOCYTE 33.6MUI 5FA+5SER.PREENC.1ML - SANOFI-AVENTIS
GRANULOKINE 0,3MG 1SER.PREENC.0,5ML - ROCHE
GRANULOKINE 30MU SOL.INJ.5FA 1ML - ROCHE
GRIPEMED 20G - ALM.PRADO
GRIPEN DIA 25BLX4CPDS - EMS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
166418
117278
166421
166420
79613
167163
79612
79610
79611
150582
91274
142084
142085
101586
99612
5400024
5400025
31595
1060046
35270
495022
71586
94206
840013
3940091
840015
840014
4080011
2680036
92672
97680
113850
136575
3940027
86448
3940028
42593
42594
49412
42934
42935
42936
42937
42938
167268
111281
111280
58521
DESCRICAO
GRIPEN DIA 3BLX8CPDS - EMS
GRIPEN F 20CPDS - EMS
GRIPEN NOITE 25BLX4CPDS - EMS
GRIPEN NOITE 3BLX8CPDS - EMS
GRIPEOL 400+4+4MG 200CAPS GEL.DURA - CIFARMA
GRIPEOL 400+4+4MG 20BLX10CAPS GEL.DURA - CIFARMA
GRIPEOL 400+4+4MG 20CAPS - CIFARMA
GRIPEOL SOL.ORAL 100ML - CIFARMA
GRIPEOL SOL.ORAL GTS.20ML - CIFARMA
GUACONAT XPE.150ML - PHARMASCIENCE
GUAIFENESINA GEN.13,33MG/ML XPE.120ML - EMS GENERICOS
GUAIFENESINA GEN.13,3MG/ML XPE.120ML CEREJA - NEOQUIMICA
GUAIFENESINA GEN.16MG/ML XPE. 120ML MEL - NEOQUIMICA
GUAIFENESINA GEN.200MG/12,5ML SABOR MEL 120ML - LEGRAND GENERICOS
GUAIFENESINA GEN.200MG/12,5ML XPE.MEL 120ML - EMS GENERICOS
GURGOL 1,25MG 100PAST - COSMED
GURGOL 1X4PAST. F.V - HYPM
GUTTALAX 2,5MG 50 PEROLAS GEL. - BOEHRINGER
GUTTALAX 7,5MG SOL.ORAL 20ML - BOEHRINGER
GYNAX N 10APL VAG.PRE-ENVAS. - ATIVUS
GYNAX N CRM.60GRS+10APL - ATIVUS
GYNAZOLE 2% CRM.VAG.5GRS+1APL. - SIGMA PHARMA
GYNBEN CRM.VAG.35GRS+7APL - UCI-FARMA
GYNERA 0,075+0,03MG 21DRGS - BAYER
GYNO-FUNGIX CRM.30GRS+5APL - JANSSEN-CILAG
GYNO-ICADEN 600MG C/1 OVULO - SCHERING DO BRASIL
GYNO-ICADEN CRM.40GRS+7APL - SCHERING DO BRASIL
GYNO-IRUXOL 0,6UI/G+10MG/G POM.GIN.30G+6APL. - ABBOTT
GYNOMAX 100+150MG/G CRM.VAG.35G+7APLIC. - FARMOQUIMICA
GYNOPAC 1000MG 2CPDS+100+150MG/G CRM.VAG.35G+7APLIC. - FARMOQUIMICA
GYNOPAC 1000MG 4CPDS+100+150MG/G CRM.VAG.35G+7APLIC. - FARMOQUIMICA
HAEMATE-P 500+1200UI PO LIOF.1FA+1FA DIL.10ML+DISP.TRANSF. - CSL BEHRING
HAEMOCOMPLETTAN-P 1G PO LIOF.1FA - CSL BEHRING
HALDOL 1MG 20CPDS - JANSSEN-CILAG
HALDOL 2MG/ML GTS.30ML - JANSSEN-CILAG
HALDOL 5MG 20CPDS - JANSSEN-CILAG
HALDOL 5MG 5AMP 1ML - JANSSEN-CILAG
HALDOL DECANOATO 5AMP 1ML - JANSSEN-CILAG
HALO 10MG 20X10CPDS - CRISTALIA
HALO 1MG 20X10CPDS - CRISTALIA
HALO 2MG/ML 10X20ML - CRISTALIA
HALO 5MG 20X10CPDS - CRISTALIA
HALO 5MG/ML 50AMP 1ML - CRISTALIA
HALO DECANOATO 3AMP 1ML - CRISTALIA
HALOBEX 0,5MG/G CRM.DERM.30G - GLENMARK
HALOPER 5MG 100CPDS - TEUTO BRAS
HALOPER 5MG/ML 25AMP 1ML - TEUTO BRAS
HALOPERIDOL GEN.2MG/ML SOL.ORAL 20ML - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
121270
78962
153758
98312
161192
161191
7380088
6485042
5340006
153712
5340092
153519
159876
159878
159879
165849
129601
129602
15342
15341
6920055
78947
6920056
148467
6920143
3180010
140583
122644
1020119
1020089
12022
1020090
165850
165851
165852
165853
123116
120642
120648
167095
163887
167808
167094
163891
167809
163894
167810
167096
DESCRICAO
HALOPERIDOL GEN.5MG/ML 1ML 60AMP - TEUTO BRAS
HALOPERIDOL GEN.5MG/ML 50AMP - TEUTO BRAS
HALOPERIDOL GEN.5MG/ML 50AMP 1ML - HYPOFARMA
HALOPERIDOL GEN.SOL.ORAL 20ML - LEGRAND GENERICOS
HARMOLAX 17G PO ORAL 50SACH - SCHERING PLOUGH
HARMOLAX 17G PO ORAL 7SACH - SCHERING PLOUGH
HARMONET 21DRGS - WYETH
HEBRIN SOL.TOP 30ML - UNIAO QUIMICA
HECLIVIR 200MG 25CPDS - NEOQUIMICA
HECLIVIR 200MG 50X10CPDS - NEOQUIMICA
HECLIVIR 50MG/G CRM.10GRS - NEOQUIMICA
HEDERAX 100ML - ATIVUS
HEIMER 10MG 15CPDS REV. - EUROFARMA
HEIMER 10MG 30CPDS REV. - EUROFARMA
HEIMER 10MG 60CPDS REV. - EUROFARMA
HELLEVA 80MG 2BLX10CPDS - CRISTALIA
HELLEVA 80MG 2CPDS - CRISTALIA
HELLEVA 80MG 4CPDS - CRISTALIA
HELMIBEN NF 6CPDS - EUROFARMA
HELMIBEN SUSP.INF.30ML - EUROFARMA
HELMIZOL 250MG 20CPDS - TEUTO BRAS
HELMIZOL 250MG 50X10CPDS - TEUTO BRAS
HELMIZOL 4% SUSP.80ML - TEUTO BRAS
HELMIZOL 400MG 24CPDS - TEUTO BRAS
HELMIZOL 500MG GEL VAG.50GRS - TEUTO BRAS
HEMATIASE B12 150ML - GROSS
HEMATOFER 109MG 200CPDS REV. - PRATI-DONADUZZI
HEMATOM 10+10+50MG/G GEL TOP.30G - BIOLAB SANUS
HEMAX 10000UI 1FA - BIOSINTETICA
HEMAX 2000UI 1FA - BIOSINTETICA
HEMAX 3000UI 1FA - BIOSINTETICA
HEMAX 4000UI 1FA - BIOSINTETICA
HEMIFUMARATO QUETIAPINA GEN.100MG 28CPDS - CRISTALIA
HEMIFUMARATO QUETIAPINA GEN.200MG 28CPDS - CRISTALIA
HEMIFUMARATO QUETIAPINA GEN.25MG 14CPDS - CRISTALIA
HEMIFUMARATO QUETIAPINA GEN.25MG 28CPDS - CRISTALIA
HEMITARTARATO NOREPINEFRINA GEN.2MG/ML 50AMP 4ML - NOVAFARMA
HEMITARTARATO NOREPINEFRINA GEN.8MG INJ.10AMP 4ML - HIPOLABOR
HEMITARTARATO NOREPINEFRINA GEN.8MG INJ.50AMP 4ML - HIPOLABOR
HEMITARTARATO RIVASTIGMINA GEL.3MG 30CAPS GEL.DURA - BIOSINTETICA
HEMITARTARATO RIVASTIGMINA GEN.1,5MG 2BLX15CAPS GEL. - EMS GENERICOS
HEMITARTARATO RIVASTIGMINA GEN.1,5MG 2BLX15CAPS GEL.DURA - GERMED GENERICOS
HEMITARTARATO RIVASTIGMINA GEN.1,5MG 30CAPS GEL.DURA - BIOSINTETICA
HEMITARTARATO RIVASTIGMINA GEN.3MG 2BLX15CAPS GEL. - EMS GENERICOS
HEMITARTARATO RIVASTIGMINA GEN.3MG 2BLX15CAPS GEL.DURA - GERMED GENERICOS
HEMITARTARATO RIVASTIGMINA GEN.4,5MG 2BLX15CAPS GEL. - EMS GENERICOS
HEMITARTARATO RIVASTIGMINA GEN.4,5MG 2BLX15CAPS GEL.DURA - GERMED GENERICOS
HEMITARTARATO RIVASTIGMINA GEN.4,5MG 30CAPS GEL.DURA - BIOSINTETICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
163896
167811
167097
169667
168661
168662
169683
169666
74087
74085
74088
153764
128338
161196
3440198
97501
97499
280084
7220017
3190049
3190048
43362
128615
153528
169595
169596
3190050
3190051
132216
128616
153529
169597
169598
98296
98297
136670
139358
139357
139359
70520
105027
105028
166055
166056
145427
280085
79614
135399
DESCRICAO
HEMITARTARATO RIVASTIGMINA GEN.6MG 2BLX15CAPS GEL. - EMS GENERICOS
HEMITARTARATO RIVASTIGMINA GEN.6MG 2BLX15CAPS GEL.DURA - GERMED GENERICOS
HEMITARTARATO RIVASTIGMINA GEN.6MG 30CAPS GEL.DURA - BIOSINTETICA
HEMITARTARATO ZOLPIDEM GEN.10MG 10CPDS REV. - EMS GENERICOS
HEMITARTARATO ZOLPIDEM GEN.10MG 10CPDS REV. - TEUTO BRAS
HEMITARTARATO ZOLPIDEM GEN.10MG 20CPDS REV. - TEUTO BRAS
HEMITARTARATO ZOLPIDEM GEN.10MG 2BLX10CPDS REV. - LEGRAND GENERICOS
HEMITARTARATO ZOLPIDEM GEN.10MG 2BLX10CPDS REV. - EMS GENERICOS
HEMOBLOCK 250MG 2X12CPDS - SIGMA PHARMA
HEMOBLOCK 250MG/5ML 5AMP.5ML - SIGMA PHARMA
HEMOBLOCK 500MG 2X6CPDS - SIGMA PHARMA
HEMOCORT POM.25GRS - CIFARMA
HEMODASE POM.25GRS - VITAPAN
HEMOFISS POM BG 30G - CIMED
HEMOGENIN 50MG 10CPDS - SANOFI-AVENTIS
HEMOHES 10% 10AMP 500ML FE84533 - B.BRAUN
HEMOHES 6% SOL.INJ.10AMP 500ML SIST.FECH.FE84523 - B.BRAUN
HEMORROIMED 20G - ALM.PRADO
HEMOVIRTU'S POM.50GRS - COSMED
HENETIX 300 1FA 100ML - GUERBET
HENETIX 300 1FA 50ML - GUERBET
HENETIX 300 1FR 500ML - GUERBET
HENETIX 300 25FA 50ML - GUERBET
HENETIX 300 300MG/ML 10FA 100ML - GUERBET
HENETIX 300MG/ML SOL.INJ.10BOL.FLEX.100ML - GUERBET
HENETIX 300MG/ML SOL.INJ.10BOL.FLEX.500ML - GUERBET
HENETIX 350 1FA. 50ML - GUERBET
HENETIX 350 1FR 100ML - GUERBET
HENETIX 350 1FR 500ML - GUERBET
HENETIX 350 25FA 50ML - GUERBET
HENETIX 350MG/ML 10FA 100ML - GUERBET
HENETIX 350MG/ML INJ.10BOL.FLEX.100ML - GUERBET
HENETIX 350MG/ML SOL.INJ.10BOL.FLEX.500ML - GUERBET
HEPA MERZ 0,5G/ML 5AMP 10ML - BIOLAB SANUS
HEPA MERZ 0,6G/G 10ENV 5G - BIOLAB SANUS
HEPAMAX-S 5000UI/ML 25FA 5ML - BLAU
HEPATECT CP 10ML - BIOTEST
HEPATECT CP 2ML - BIOTEST
HEPATECT CP 40ML - BIOTEST
HEPATILON 150ML - KLEY HERTZ
HEPATILON 24FLAC 10ML - KLEY HERTZ
HEPATILON 60FLAC 10ML - KLEY HERTZ
HEPATILON 67MG 2BLX10CPDS - KLEY HERTZ
HEPATILON 67MG 30BLX4CPDS - KLEY HERTZ
HEPATILON GTS.30ML - KLEY HERTZ
HEPATOMED 20G - ALM.PRADO
HEPATOX 100FLAC 10ML - CIFARMA
HEPATOX 60FLAC. - CIFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
90239
77987
84634
84635
84636
84637
28643
94089
6020156
5420023
6485046
152670
3190007
3190006
128617
6200043
71659
143187
143192
3440199
3440200
143193
1300050
1300101
1300118
1300119
166453
1300120
18024
32626
38177
38178
3180013
38681
141967
2060032
115321
105818
105746
104455
153611
133467
147815
140584
104456
153612
133468
83882
DESCRICAO
HEPSERA 10MG 30CPDS - GLAXOSMITH
HEPTAR 5000UI/ML 50FA 5ML - EUROFARMA
HEPTRON 20MG/ML 10SER.PREENC. - ASPEN
HEPTRON 40MG/ML 10SER.PREENC. - ASPEN
HEPTRON 60MG/ML 10SER.PREENC. - ASPEN
HEPTRON 80MG/ML 10SER.PREENC. - ASPEN
HERCEPTIN 440MG PO LIOF.1FA+DIL.20ML - ROCHE
HERPESIL 200MG 5X5CPDS - HEXAL
HERPESIL CRM.10GRS - HEXAL
HERPESINE 10MG 1FA 10ML - NIKKHO
HERPEX 10MG/G GEL 10G - UNIAO QUIMICA
HERPSTAL 500MG 2X5CPDS REV. - SIGMA PHARMA
HEXABRIX 320 1FA 100ML(C/SUPORTE/EQUIPO) - GUERBET
HEXABRIX 320 1FA 50ML - GUERBET
HEXABRIX 320 25FA 50ML - GUERBET
HEXOMEDINE 1,0+0,5MG/ML COLUT.30ML - SANOFI-AVENTIS
HEXOMEDINE 1,0MG/ML SPR.50ML - SANOFI-AVENTIS
HIBUTAN 250MG BOLSA 250ML SIST.FECH.SOLUFLEX - HALEX ISTAR
HICONAZOL 200MG BOLSA PVC 100ML - HALEX ISTAR
HIDANTAL 100MG 25CPDS - SANOFI-AVENTIS
HIDANTAL 50MG/ML 50AMP 5ML - SANOFI-AVENTIS
HIDAZOL 0,5% 60BOLSAS PE 100ML BLOWPACK - HALEX ISTAR
HIDRAFIX 90 250ML - NYCOMED
HIDRAFIX 90 2X25ML F.V - NYCOMED
HIDRAFIX FRAMB.2X25ML F.V - NYCOMED
HIDRAFIX LAR.2X25ML F.V - NYCOMED
HIDRAFIX SOL.ORAL 250ML - NYCOMED
HIDRAFIX UVA 2X25ML F.V - NYCOMED
HIDRAPEL PLUS 60GRS - STIEFEL
HIDRAPEL PLUS LOC.120ML - STIEFEL
HIDRAPLUS FRAMB.2SACH 25ML - LUPER
HIDRAPLUS LAR.2SACH 25ML - LUPER
HIDRION 40+100MG 20CPDS - GROSS
HIDRION 40+100MG 30CPDS - GROSS
HIDROALERG 2MG/ML SOL.ORAL.120ML - SIGMA PHARMA
HIDROCIN 0,5+0,5+0,75MG/ML SOL.NASAL SPR.10ML - ACHE
HIDROCIN 0,5+0,5+0,75MG/ML SOL.NASAL SPR.20ML - ACHE
HIDROCLOROTIAZIDA GEN.25MG 2BLX15CPDS - GERMED GENERICOS
HIDROCLOROTIAZIDA GEN.25MG 2X15CPDS - LEGRAND GENERICOS
HIDROCLOROTIAZIDA GEN.25MG 30CPDS - EMS GENERICOS
HIDROCLOROTIAZIDA GEN.25MG 30CPDS - CIMED
HIDROCLOROTIAZIDA GEN.25MG 30CPDS - SANOFI-AVENTIS
HIDROCLOROTIAZIDA GEN.25MG 30CPDS - NEOQUIMICA
HIDROCLOROTIAZIDA GEN.25MG 30CPDS - PRATI-DONADUZZI
HIDROCLOROTIAZIDA GEN.50MG 20CPDS - EMS GENERICOS
HIDROCLOROTIAZIDA GEN.50MG 20CPDS - CIMED
HIDROCLOROTIAZIDA GEN.50MG 20CPDS - SANOFI-AVENTIS
HIDROCLOROTIAZIDA GEN.50MG 20CPDS - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
105749
5260068
106634
68418
166073
119933
68419
143859
144902
133453
143331
144196
134938
143333
141154
141155
139246
137189
106606
84639
106608
84640
150348
102846
2120108
143194
143211
145493
145494
145589
960098
165862
960035
960036
111286
6920093
159657
3408038
145129
984
138143
145536
138142
138131
6920113
6920209
117702
6920114
DESCRICAO
HIDROCLOROTIAZIDA GEN.50MG 2X10CPDS - LEGRAND GENERICOS
HIDROCORTE CRM.20GRS - LEGRAND TARJARDOS
HIDROCORTISONA GEN.10MG/G POM.DERM.30G - EMS GENERICOS
HIDROMED 25MG 20CPDS - CIMED
HIDROMED 25MG 25BLX20CPDS(EMB.HOSP.) - CIMED
HIDROMED 25MG 30CPDS - CIMED
HIDROMED 50MG 20CPDS - CIMED
HIDROPEEK 40MG/G CRM.30GRS - EMS
HIDROQUINONA GEN.40MG/G CRM.30G - EMS GENERICOS
HIDROQUINONA GEN.40MG/G CRM.30GRS - LEGRAND GENERICOS
HIDROQUINONA GEN.40MG/G CRM.DERM.30G - GERMED GENERICOS
HIDROQUINONA GEN.40MG/G GEL DERM.30GRS - LEGRAND GENERICOS
HIDROQUINONA GEN.40MG/G GEL.DERM.30G - GERMED GENERICOS
HIDROQUINONA+TRETINOINA+ACETONIDO FLUOCINOLONA GEN.40+0,5+0,1MG/G CRM.DERM.15G - GERMED GENERICOS
HIDROQUINONA+TRETINOINA+ACETONIDO FLUOCINOLONA GEN.40+0,5+0,1MG/G CRM.DERM.15G - EMS GENERICOS
HIDROQUINONA+TRETINOINA+ACETONIDO FLUOCINOLONA GEN.40+0,5+0,1MG/G CRM.DERM.30G - EMS GENERICOS
HIDROQUINONA+TRETINOINA+ACETONIDO FLUOCINOLONA GEN.CRM.15GRS - LEGRAND GENERICOS
HIDROQUINONA+TRETINOINA+ACETONIDO FLUOCINOLONA GEN.CRM.30GRS - LEGRAND GENERICOS
HIDROSONE 100MG 50FA - ASPEN
HIDROSONE 100MG 50FA+DIL 2ML - ASPEN
HIDROSONE 500MG 50FA - ASPEN
HIDROSONE 500MG 50FA+DIL 5ML - ASPEN
HIDROXIDO ALUMINIO+HIDR.MAGNESIO+SIMETICONA.GEN.37+40+5MG/ML SUSP.ORAL CEREJA 240ML - PRATI-DONADUZZI
HIDROXINE 25MG 30CPDS - TKS
HIDROXOGEL SUSP.ORAL 1FR 240ML - DELTA
HIFLOXAN BOLSA PVC 100ML SIST.FECH.SOLUFLEX - HALEX ISTAR
HIFLOXAN BOLSA PVC 200ML SIST.FECH.SOLUFLEX - HALEX ISTAR
HIGIEMAX FR 1000ML - EUROFARMA
HIGIEMAX GL 5000ML - EUROFARMA
HIGROTON 12,5MG 14CPDS - NOVARTIS
HIGROTON 12,5MG 42CPDS - NOVARTIS
HIGROTON 25MG 14CPDS - NOVARTIS
HIGROTON 25MG 42CPDS - NOVARTIS
HIGROTON 50MG 28CPDS - NOVARTIS
HINCOMOX 250MG/5ML PO PREP.EXTEMP.50X60ML - TEUTO BRAS
HINCOMOX 250MG/5ML PO PREP.EXTEMP.60ML - TEUTO BRAS
HINCOMOX 50MG/ML PO PREP.EXTEMP.150ML+COP.MED. - TEUTO BRAS
HINOX 30CPDS - INFAN
HINOX 90CPDS - INFAN
HIOARISTON 4MG/ML 50AMP 5ML - ARISTON
HIOSCINA 20MG 100X1ML - HIPOLABOR
HIOSCINA COMPOSTA 100AMP 2ML - HIPOLABOR
HIOSCINA COMPOSTA 100X5ML - HIPOLABOR
HIOSCINA COMPOSTA 200X20ML - HIPOLABOR
HIOSPAN 20MG/ML 6AMP 1ML - TEUTO BRAS
HIOSPAN COMPOSTO 10+250MG 20DRGS - TEUTO BRAS
HIOSPAN COMPOSTO 100AMP 5ML - TEUTO BRAS
HIOSPAN COMPOSTO 3AMP 5ML - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
6920115
5340150
26396
102004
61956
5340064
158250
138678
1280040
145516
94469
109069
97178
145464
107169
4700007
4700006
4700022
165908
4700021
165922
165923
37951
37950
58519
71849
164227
5340055
153713
5340056
153714
159668
35444
93588
93589
35443
143335
26036
23622
96859
2060089
2060090
2060088
136725
136721
136728
139251
139252
DESCRICAO
HIOSPAN COMPOSTO GTS.20ML - TEUTO BRAS
HIPERNOLOL 40MG 40CPDS - NEOQUIMICA
HIPERNOLOL 80MG 20CPDS - NEOQUIMICA
HIPERTIL 10+30MG 28CPDS - CHIESI
HIPERTONIC 5% 10ML - OPHTHALMOS
HIPODERMON POM.45GRS - NEOQUIMICA
HIPODERTRAT 100.000UI+200MG/G POM.DERM.60GRS - TEUTO BRAS
HIPODEX BABY POM.40G - BUNKER
HIPODEX POM.20G - BUNKER
HIPOFOL 40CPDS - HIPOLABOR
HIPOGLOS TB.PLAST POM.90GRS - PROCTER
HIPOGLOS TB.PLAST.POM.135GRS - PROCTER
HIPOGLOS TB.PLAST.POM.45GRS - PROCTER
HIPOTEN 25MG 30CPDS - SANVAL
HIPOTEN 25MG 50X10CPDS - SANVAL
HIRUDOID 3MG/G GEL 40G - DAIICHI SANKYO
HIRUDOID 3MG/G POM.40G - DAIICHI SANKYO
HIRUDOID 500MG/G GEL 40G - DAIICHI SANKYO
HIRUDOID 5MG/G 1BG 20G - DAIICHI SANKYO
HIRUDOID 5MG/G POM.40G - DAIICHI SANKYO
HISTABLOC 0,5MG/ML XPE 100ML+SER.+DOS. - MEDLEY
HISTABLOC 0,5MG/ML XPE 60ML+SER.DOS. - MEDLEY
HISTADIN 10MG 12CPDS - UNIAO QUIMICA
HISTADIN 1MG/ML XPE.100ML - UNIAO QUIMICA
HISTADIN D 1+12MG/ML XPE.60ML - UNIAO QUIMICA
HISTADIN D 5+120MG 12DRGS - UNIAO QUIMICA
HISTAMIN 10MG/G 30G - NEOQUIMICA
HISTAMIN 2MG 20CPDS - NEOQUIMICA
HISTAMIN 2MG 25X20CPDS - NEOQUIMICA
HISTAMIN 2MG/5ML XPE. 100ML - NEOQUIMICA
HISTAMIN 2MG/5ML XPE.50FR.100ML - NEOQUIMICA
HISTAMIN ESPECTO 0,4+4MG/ML SOL.ORAL 120ML - NEOQUIMICA
HISTAMIX 10MG 12CPDS - INFAN
HISTAMIX D 12DRGS - INFAN
HISTAMIX D XPE.60ML - INFAN
HISTAMIX XPE.120ML - INFAN
HIXILERG 2MG/ML SOL.ORAL 120ML - EMS
HIXIZINE 25MG 30CPDS - THERASKIN
HIXIZINE XPE.120ML - THERASKIN
HIZOFITO 30CAPS - INFAN
HOLOXANE 1G 10FA 30ML - BAXTER
HOLOXANE 2G 10FA 50ML - BAXTER
HOLOXANE 500MG 10FA 20ML - BAXTER
HOMEOFLAN 30CPDS - ALM.PRADO
HOMEOFLAN CRM.GEL 60G - ALM.PRADO
HOMEOPAX 30CPDS - ALM.PRADO
HORMOSKIN CRM.DERM.15G - GERMED
HORMOSKIN CRM.DERM.30G - GERMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
2320003
38938
96642
161193
146775
36892
130550
161194
147831
161195
147832
7220019
83353
160787
420028
420026
61328
780012
3425109
115821
6380024
6380026
6380027
6380025
6380008
6380132
145760
1260051
3425100
91668
3425125
35223
4720017
110904
44589
14976
31614
43411
36906
36907
36909
36908
3425136
91644
3425152
31616
36905
3425143
DESCRICAO
HUMALOG 100UI 10ML - ELI LILLY
HUMALOG 2 REFIS 3,0ML - ELI LILLY
HUMALOG 5 REFIS 3,0ML - ELI LILLY
HUMALOG KWIK PEN 1 CANETA 3ML - ELI LILLY
HUMALOG KWIK PEN 5CANETAS 3,0ML - ELI LILLY
HUMALOG MIX 25 5CARPX3ML - ELI LILLY
HUMALOG MIX 50 5CARPX3ML - ELI LILLY
HUMALOG MIX KWIK PEN 25 1CANETA 3ML - ELI LILLY
HUMALOG MIX KWIK PEN 25 5CANETAS 3ML - ELI LILLY
HUMALOG MIX KWIK PEN 50 1CANETA 3ML - ELI LILLY
HUMALOG MIX KWIK PEN 50 5CANETAS 3ML - ELI LILLY
HUMECTOL D 5+60MG 2X10DRGS - COSMED
HUMIRA 40MG 0,8ML 2SER.PREENCH+LENC.ALCOOL - ABBOTT
HYABAK SOL.OFT.10ML - UNIAO QUIMICA
HYALOZIMA 20000UTR 3DOSES - APSEN
HYALOZIMA 2000UTR 3DOSES - APSEN
HYALUDERMIN 2MG/G CRM.DERM.15GRS - TRB PHARMA
HYCAMTIN 4MG/G PO LIOF.1FA(ICMS 0%) - GLAXOSMITH
HYCIMET 300MG 100AMP 2ML - HYPOFARMA
HYCLIN 600MG 50AMP 4ML - HYPOFARMA
HYDERGINE 0,3MG/ML SOL.INJ.50AMP 1ML - NOVARTIS
HYDERGINE 1MG 36CAPS - NOVARTIS
HYDERGINE 1MG SOL.ORAL 30ML - NOVARTIS
HYDERGINE 4,5MG 14CPDS - NOVARTIS
HYDERGINE SRO 6MG 14CAPS - NOVARTIS
HYDERGINE SRO 6MG 28CPDS - NOVARTIS
HYDRACID C 20 CRM.30ML - FARMOQUIMICA
HYDREA 500MG 100CAPS - BRISTOL
HYDREN 100AMP 1ML - HYPOFARMA
HYLINC 600MG 50AMP 2ML - HYPOFARMA
HYNALGIN 50% 100AMP 2ML - HYPOFARMA
HYNALGIN 50% 100AMP 5ML - HYPOFARMA
HYPERCALCIO SUSP.240ML - LUPER
HYPERINATI 300MG 20CPDS - PHARMASCIENCE
HYPERIUM 1MG 15CPDS - SERVIER
HYPERIUM 1MG 30CPDS - SERVIER
HYPLEX B 100AMP 2ML - HYPOFARMA
HYPNOMIDATE 2MG 5AMP 10ML - JANSSEN-CILAG
HYPOCAINA 1% S/VASO.25FR 20ML - HYPOFARMA
HYPOCAINA 2% C/VASO.25FR 20ML - HYPOFARMA
HYPOCAINA 2% S/VASO.100AMP 5ML - HYPOFARMA
HYPOCAINA HYPERBARICA 5% 50AMP 2ML - HYPOFARMA
HYPOCINA 20MG/ML 100AMP 1ML - HYPOFARMA
HYPOCINA COMP.50AMP 5ML - HYPOFARMA
HYPOMAGNE 50% 100AMP 10ML - HYPOFARMA
HYPONOR 8MG 10AMP 4ML - HYPOFARMA
HYPONOR 8MG 50AMP 4ML - HYPOFARMA
HYPOSIL 10MG 100AMP 2ML - HYPOFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
91671
3425111
91672
3425113
17716
26664
70959
138683
138682
138681
7080207
7080206
20058
3425145
3425147
34866
5040038
170404
165771
159624
156695
5340112
165242
165244
78948
6920100
132173
145810
111287
1280098
149023
150899
142115
149395
142091
143205
156691
101116
150850
150851
170431
145575
151228
142089
153613
145052
123565
137924
DESCRICAO
HYPOT 10% 100AMP PLAST.10ML - HYPOFARMA
HYPOT 10% 100AMP VD.10ML - HYPOFARMA
HYPOT 19,1% 100AMP PLAST.10ML - HYPOFARMA
HYPOT 19,1% 100AMP VD.10ML - HYPOFARMA
HYPOTEARS PLUS 50MG/ML SOL.OFT.10ML - NOVARTIS
HYPOVERIN 10AMP 2ML - HYPOFARMA
HYTAMICINA 40MG/ML 100AMP 2ML - HYPOFARMA
HYTAS 100MG/ML SOL.INJ.1FA 10ML - ACCORD
HYTAS 100MG/ML SOL.INJ.1FA 5ML - ACCORD
HYTAS 25MG/ML SOL.INJ.1FA 2ML - ACCORD
HYTOS PLUS 48+9MG/ML GTS.15ML - UNIAO QUIMICA
HYTOS PLUS 4MG+0,75MG/ML XPE.100ML - UNIAO QUIMICA
HYTRIN 5MG 30CPDS - ABBOTT
HYTROPIN 0,25MG 100AMP 1ML - HYPOFARMA
HYTROPIN 0,50MG 100AMP 1ML - HYPOFARMA
HYZAAR 100/25MG 2X15CPDS - MERCK S.D.
HYZAAR 50/12,5MG 2X15CPDS - MERCK S.D.
IBANDRONATO SODICO GEN.150MG 1CPD REV. - ACHE
IBANDRONATO SODIO 150MG 1CPD REV. - BIOSINTETICA
IBUFLEX 100MG/ML SOL.ORAL 30ML - LEGRAND OTC
IBUFRAN 50MG/ML SUSP.ORAL GTS.30ML - NEOQUIMICA
IBUFRAN 600MG 3X10CPDS - NEOQUIMICA
IBULIV 10MG/ML SUSP.ORAL 20ML - EMS
IBULIV 400MG 10CPDS REV. - EMS
IBUPRIL 300MG 100CPDS - TEUTO BRAS
IBUPRIL 300MG 20CPDS - TEUTO BRAS
IBUPRIL 600MG 200CPDS PL.AMB. - TEUTO BRAS
IBUPRIL 600MG 20CPDS PL.AMB. - TEUTO BRAS
IBUPRIL 600MG 50X10CPDS - TEUTO BRAS
IBUPROFAN 600MG 20CPDS - BUNKER
IBUPROFENO 20MG SUSP.ORAL 100ML - GERMED GENERICOS
IBUPROFENO GEN.100MG GTS.20ML - NOVA QUIMICA
IBUPROFENO GEN.100MG/ML GTS.20ML - BRAINFARMA
IBUPROFENO GEN.100MG/ML SUSP.OR. 20ML - MEDLEY
IBUPROFENO GEN.100MG/ML SUSP.ORAL 20ML - GERMED GENERICOS
IBUPROFENO GEN.100MG/ML SUSP.ORAL 20ML - LEGRAND GENERICOS
IBUPROFENO GEN.100MG/ML SUSP.ORAL GTS.20ML - BIOSINTETICA
IBUPROFENO GEN.200MG 20CPDS REV. - EMS GENERICOS
IBUPROFENO GEN.200MG 20CPDS REV. - PRATI-DONADUZZI
IBUPROFENO GEN.200MG 400CPDS REV. - PRATI-DONADUZZI
IBUPROFENO GEN.400MG 10CPDS - MEDLEY
IBUPROFENO GEN.400MG 10CPDS - NEOQUIMICA
IBUPROFENO GEN.400MG 10CPDS REV. - TEUTO BRAS
IBUPROFENO GEN.400MG 10CPDS REV. - GERMED GENERICOS
IBUPROFENO GEN.400MG 10CPDS REV. - CIMED
IBUPROFENO GEN.400MG 10CPDS REV. - BRAINFARMA
IBUPROFENO GEN.50MG GTS.30ML - BIOSINTETICA
IBUPROFENO GEN.50MG SUSP.ORAL 30ML - LEGRAND GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
122632
153727
148500
148501
149396
142090
140594
163427
163523
840037
840063
840064
83839
145455
83842
145458
83840
145459
83841
145461
140282
140283
82611
106623
7460038
166106
79617
148446
88701
160998
88703
88698
88699
170759
3080081
3080130
143409
164350
143413
110596
110595
98325
163753
163756
163750
163752
163758
163760
DESCRICAO
IBUPROFENO GEN.50MG/ML GTS.30ML - BRAINFARMA
IBUPROFENO GEN.50MG/ML GTS.30ML - PRATI-DONADUZZI
IBUPROFENO GEN.50MG/ML GTS.30ML - TEUTO BRAS
IBUPROFENO GEN.50MG/ML GTS.50X30ML - TEUTO BRAS
IBUPROFENO GEN.50MG/ML SUSP.OR. 30ML - MEDLEY
IBUPROFENO GEN.50MG/ML SUSP.ORAL 30ML - GERMED GENERICOS
IBUPROFENO GEN.600MG 20CPDS REV. - PRATI-DONADUZZI
IBUPROFENO GEN.600MG 280CPDS REV.(EMB.FRAC.) - PRATI-DONADUZZI
ICACORT 1+10MG/G CRM.DERM.30G - BAYER
ICADEN CRM.20GRS - SCHERING DO BRASIL
ICADEN SOL.30ML - SCHERING DO BRASIL
ICADEN SPR.60ML - SCHERING DO BRASIL
ICTUS 12,5MG 30CPDS - BIOLAB SANUS
ICTUS 12,5MG 60CPDS - BIOLAB SANUS
ICTUS 25MG 30CPDS - BIOLAB SANUS
ICTUS 25MG 60CPDS - BIOLAB SANUS
ICTUS 3,125MG 30CPDS - BIOLAB SANUS
ICTUS 3,125MG 60CPDS - BIOLAB SANUS
ICTUS 6,25MG 30CPDS - BIOLAB SANUS
ICTUS 6,25MG 60CPDS - BIOLAB SANUS
IDA 10MG PO INJ.1FA 10ML - CHEMICALTECH
IDA 5MG PO INJ.1FA 5ML - CHEMICALTECH
IFOSFAMIDA GEN.1G 10FA - EUROFARMA
IFOSFAMIDA GEN.2G 10FA - EUROFARMA
IGUASSINA 50MG 5X4CPDS - ZAMBON
IKAFLUX 10+20MG/ML XPE 120ML - CIFARMA
IKAFLUX XPE.120ML - CIFARMA
ILARIS 150MG PO LIOF.1FA - NOVARTIS
ILOSONE 20MG SOL.TOP.120ML - VALEANT
ILOSONE 20MG/G GEL TOP.60GRS - VALEANT
ILOSONE 250MG/5ML SUSP.100ML - VALEANT
ILOSONE 500MG 10DRGS. - VALEANT
ILOSONE 500MG 48DRGS - VALEANT
IMICIL 500+500MG PO INJ.1FA - UNIAO QUIMICA
IMIGRAN 100MG 2CPDS - GLAXOSMITH
IMIGRAN 50MG 2CPDS - GLAXOSMITH
IMIPENEM+CILAST.SODICA GEN.500+500MG 10FA 20ML - NOVAFARMA
IMIPENEM+CILAST.SODICA GEN.500+500MG 10FA+10BOL.SIST.FECH.CONEC.100ML - NOVAFARMA
IMIPENEM+CILAST.SODICA GEN.500+500MG 10FA+BOLSA SIST.FECH.100ML - NOVAFARMA
IMIPENEM+CILASTATINA GEN.500MG PO INJ.10FA - ABL
IMIPENEM+CILASTATINA GEN.500MG PO INJ.10FA+10BOLSA SIST.FECH. - ABL
IMIPENEM+CILASTATINA GEN.500MG PO INJ.1FA+BOLSA.SIST.FECH. - ABL
IMIPENEM+CILASTATINA SODICA GEN.500+500MG PO INJ.10FA - ASPEN
IMIPENEM+CILASTATINA SODICA GEN.500+500MG PO INJ.10FA+10BOLSAS SIST.FECH.100ML+CONECTOR - ASPEN
IMIPENEM+CILASTATINA SODICA GEN.500+500MG PO INJ.1FA - ASPEN
IMIPENEM+CILASTATINA SODICA GEN.500+500MG PO INJ.1FA+BOLSA SIST.FECH.100ML+CONECTOR - ASPEN
IMIPENEM+CILASTATINA SODICA GEN.500+500MG PO INJ.25FA - ASPEN
IMIPENEM+CILASTATINA SODICA GEN.500+500MG PO INJ.25FA+25BOLSAS SIST.FECH.100ML+CONECTOR - ASPEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
163764
163765
163761
163763
5628068
151941
151940
163770
163749
163766
163769
163751
163754
163759
163762
163755
163757
3620017
3620032
3940036
3940037
6200044
150915
150914
134738
150721
159977
47527
145050
134988
1830048
143392
143393
37127
37124
37128
37130
66385
77848
74309
5900009
69639
69640
163501
5140045
40839
36376
36377
DESCRICAO
IMIPENEM+CILASTATINA SODICA GEN.500+500MG PO INJ.50FA - ASPEN
IMIPENEM+CILASTATINA SODICA GEN.500+500MG PO INJ.50FA+50BOLSAS SIST.FECH.100ML+CONECTOR - ASPEN
IMIPENEM+CILASTATINA SODICA GEN.500+500MG PO INJ.5FA - ASPEN
IMIPENEM+CILASTATINA SODICA GEN.500+500MG PO INJ.5FA+5BOLSAS SIST.FECH.100ML+CONECTOR - ASPEN
IMIPRA 25MG 20X10CPDS - CRISTALIA
IMIQUIMODE GEN.50MG/G CRM.DERM.12SACH - MEDLEY
IMIQUIMODE GEN.50MG/G CRM.DERM.6SACH - MEDLEY
IMISTAT 500+500MG PO INJ.10FA - ASPEN
IMISTAT 500+500MG PO INJ.10FA+10BOLSAS SIST.FECH.100ML+CONECTOR - ASPEN
IMISTAT 500+500MG PO INJ.1FA - ASPEN
IMISTAT 500+500MG PO INJ.1FA+BOLSA SIST.FECH.100ML+CONECTOR - ASPEN
IMISTAT 500+500MG PO INJ.25FA - ASPEN
IMISTAT 500+500MG PO INJ.25FA+25BOLSAS SIST.FECH.100ML+CONECTOR - ASPEN
IMISTAT 500+500MG PO INJ.50FA - ASPEN
IMISTAT 500+500MG PO INJ.50FA+50BOLSAS SIST.FECH.100ML+CONECTOR - ASPEN
IMISTAT 500+500MG PO INJ.5FA - ASPEN
IMISTAT 500+500MG PO INJ.5FA+5BOLSAS SIST.FECH.100ML+CONECTOR - ASPEN
IMMUNINE 200UI 1FA+DIL - BAXTER
IMMUNINE 600UI 1FA+DIL - BAXTER
IMOSEC 2MG 12CPDS - JANSSEN-CILAG
IMOSEC 2MG 50X4CPDS - JANSSEN-CILAG
IMOVANE 7,5MG 20CPDS - SANOFI-AVENTIS
IMOXY 50MG/G 12SACHX0,25GRS - MEDLEY
IMOXY 50MG/G 6SACHX0,25GRS - MEDLEY
IMPACT PESSEGO SF 6FRX1000ML - NESTLE N.C.
IMPACT PESSEGO/TORTA LIMAO 27X200ML - NESTLE N.C.
IMPACT TORTA LIMAO TETRA SQUARE 12X1000ML - NESTLE N.C.
IMPLANON 68MG 1SER. - SCHERING PLOUGH
IMUNAX 200MG 30CAPS - ATIVUS
IMUNAX 200MG 8CAPS - ATIVUS
IMUNEN 50MG 20X10CPDS - CRISTALIA
IMUNO BCG 40MG PO LIOF.1AMP - F.A.P.
IMUNO BCG 40MG PO LIOF.2AMP - F.A.P.
IMUNOGLOBULIN 0,5G 1FA 10ML - BLAU
IMUNOGLOBULIN 1,0G 1FA 20ML - BLAU
IMUNOGLOBULIN 2,5G 1FA 50ML - BLAU
IMUNOGLOBULIN 5,0G 1FA 100ML - BLAU
IMUNOGLUCAN 1FA 5ML - INFAN
IMURAN 50MG 50CPDS(ICMS 0%) - GLAXOSMITH
IMUSSUPREX 50MG 5BLX10CPDS - GERMED
INALADOR VICK 1UNID - PROCTER
INCEL 10MG 1FA - DARROW
INCEL 50MG 1FA - DARROW
INCIVO 375MG 4X42CPDS REV. - JANSSEN-CILAG
INCONTINOL 5MG 20CPDS - MILLETROUX
INCONTINOL 5MG 30CPDS - MILLETROUX
INCORIL AP 120MG 3BLX10CPDS REV. - BAGO
INCORIL AP 180MG 3BLX10CPDS REV. - BAGO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
36378
36375
163899
165261
78604
167662
7360023
7360024
7360025
5920024
5920025
5920026
84642
84882
162638
162639
132519
1060050
1060049
1060048
1060047
138435
142097
142098
2380169
2380170
2540021
2540023
2540020
2540022
4880054
4880055
495062
495023
495026
495064
495024
55388
495063
132220
79534
167779
68391
167786
420029
105209
420002
420031
DESCRICAO
INCORIL AP 240MG 3BLX10CPDS REV. - BAGO
INCORIL AP 90MG 3BLX10CPDS REV. - BAGO
INDAPAMIDA GEN.1,5MG 3BLX10CPDS REV. - EMS GENERICOS
INDAPAMIDA GEN.1,5MG 3BLX10CPDS REV. - GERMED GENERICOS
INDAPEN SR 1,5MG 30CPDS - TORRENT
INDATRAT 1,5MG 3BLX10CPDS REV. - LEGRAND TARJARDOS
INDERAL 10MG 2BLX12CPDS - ASTRAZENECA
INDERAL 40MG 2BLX10CPDS - ASTRAZENECA
INDERAL 80MG 2BLX10CPDS - ASTRAZENECA
INDOCID 100MG 10SUPS - MERCK S.D.
INDOCID 25MG 30CAP.GEL - ASPEN
INDOCID 50MG 30CAP.GEL - ASPEN
INDUSON 50MG/10ML 5AMP - ASPEN
INDUX 50MG 10CPDS - SIGMA PHARMA
INELLARE 30TABL.MAST. - ACHE
INELLARE 60TABL.MAST. - ACHE
INFATRINI 100ML - SUPPORT NUTRITION
INFECTRIN 400MG 20CPDS - BOEHRINGER
INFECTRIN 8+40MG/ML SUSP.PED.120ML - BOEHRINGER
INFECTRIN 8+40MG/ML SUSP.PED.50ML - BOEHRINGER
INFECTRIN F 800MG 10CPDS - BOEHRINGER
IN-FIBRA 15ENV. - ATIVUS
INFLADEX 100MG 10CPDS REV. - LEGRAND TARJARDOS
INFLADEX 100MG 2X10CPDS REV. - LEGRAND TARJARDOS
INFLALID 12CPDS - LEGRAND TARJARDOS
INFLALID GTS.15ML - LEGRAND TARJARDOS
INFLAMENE 20MG 15CAPS - CHIESI
INFLAMENE 20MG 8CAPS - CHIESI
INFLAMENE 30MG 10SUPS - CHIESI
INFLAMENE GTS.10ML - CHIESI
INFLANAN FC 20MG 16CPDS REV. - MARJAN
INFLANAN FC 20MG 8CPDS REV. - MARJAN
INFLAX 0,5% GEL 30GRS - ATIVUS
INFLAX 10MG 16CPDS REV. - ATIVUS
INFLAX 10MG/ML GTS.10ML - ATIVUS
INFLAX 20MG 10CPDS SOLUVEL - ATIVUS
INFLAX 20MG 16CPDS REV. - ATIVUS
INFLAX 20MG 8CPDS REV. - ATIVUS
INFLAX 2AMP 2ML - ATIVUS
INFRALAX 300+30+125+50MG 15CPDS - EMS
INFRALAX 300+30+125+50MG 200CPDS - EMS
INFRALAX 300+30+125+50MG 25BLX4CPDS - EMS
INFRALAX 300+30+125+50MG 30CPDS - EMS
INFRALAX 300+30+125+50MG 50BLX4CPDS - EMS
INIBINA 10MG 20CPDS - APSEN
INIBINA 10MG 30CPDS - APSEN
INIBINA 10MG/2ML 25AMP 2ML - APSEN
INIBINA 10MG/2ML 5AMP 2ML - APSEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
43135
167646
144983
147655
150830
147656
91645
165833
165834
98537
98536
77012
77013
91689
86996
58512
2320093
38942
38937
2320077
2320078
38941
5445007
12664
12663
5445006
148461
148459
148460
139335
139336
6200091
138322
58494
127930
148935
127931
148936
127932
162847
162848
162850
162849
140597
790018
2905010
2905011
2905014
DESCRICAO
INICOX DP 15MG 5CPDS - FARMOQUIMICA
INIP 150MG 3BLX10CPDS REV. - GERMED
INLACT 667MG/ML XPE.AMEIXA 120ML - SIGMA PHARMA
INNEOV FERMETE 4MG 60DRGS - INNEOV
INNEOV NUTRI CARE 76GRS 60CAPS - INNEOV
INNEOV SOLAR 2,5MG 30CAPS - INNEOV
INOTROPISA 50AMP 10ML - HYPOFARMA
INSONOX 10MG 10CPDS REV. - TEUTO BRAS
INSONOX 10MG 20CPDS REV. - TEUTO BRAS
INSULINA ANALOGA LEVEMIR FLEXPEN 5SIST. - NOVO NORDISK
INSULINA ANALOGA LEVEMIR PENFILL 5X3ML - NOVO NORDISK
INSULINA ANALOGA NOVOMIX 30 FLEXPEN 5X3M - NOVO NORDISK
INSULINA ANALOGA NOVOMIX 30 PENFILL 5X3M - NOVO NORDISK
INSULINA ANALOGA NOVORAPID 10ML 100UI/ML - NOVO NORDISK
INSULINA ANALOGA NOVORAPID FLEXPEN 5X3ML - NOVO NORDISK
INSULINA ANALOGA NOVORAPID PENFILL 5X3ML - NOVO NORDISK
INSULINA HUMANA HUMULIN 70/30 1FA 10ML - ELI LILLY
INSULINA HUMANA HUMULIN 70/30 2CARPX3ML - ELI LILLY
INSULINA HUMANA HUMULIN N 2CARPX3ML - ELI LILLY
INSULINA HUMANA HUMULIN NPH 1FA 10ML - ELI LILLY
INSULINA HUMANA HUMULIN R 1FA 10ML - ELI LILLY
INSULINA HUMANA HUMULIN R 2CARPX3ML - ELI LILLY
INSULINA HUMANA NOVOLIN N 100UI 10ML - NOVO NORDISK
INSULINA HUMANA NOVOLIN PENFILL N 5FA 3,0ML - NOVO NORDISK
INSULINA HUMANA NOVOLIN PENFILL R 5FA 3,0ML - NOVO NORDISK
INSULINA HUMANA NOVOLIN R 100UI 10ML - NOVO NORDISK
INSUNORM 70/30 100UI/ML SUSP.INJ.100FAX10ML - ASPEN
INSUNORM 70/30 100UI/ML SUSP.INJ.1FAX10ML - ASPEN
INSUNORM 70/30 100UI/ML SUSP.INJ.50FAX10ML - ASPEN
INSUNORM N 100UI/ML SUSP.INJ.1FAX10ML - ASPEN
INSUNORM R 100UI/ML SOL.INJ.1FAX10ML - ASPEN
INTAL NASAL 4% 13ML+APLIC. - SANOFI-AVENTIS
INTELENCE 100MG 120CPDS - JANSSEN-CILAG
INVANZ IV 1GR 1FA - MERCK S.D.
INVEGA 3MG 28CPDS REV. - JANSSEN-CILAG
INVEGA 3MG 7CPDS REV. - JANSSEN-CILAG
INVEGA 6MG 28CPDS REV. - JANSSEN-CILAG
INVEGA 6MG 7CPDS REV. - JANSSEN-CILAG
INVEGA 9MG 28CPDS REV. - JANSSEN-CILAG
INVEGA SUSTENNA 100MG/ML SUSP.INJ.1SER.PREENC.0,50ML - JANSSEN-CILAG
INVEGA SUSTENNA 100MG/ML SUSP.INJ.1SER.PREENC.0,75ML - JANSSEN-CILAG
INVEGA SUSTENNA 100MG/ML SUSP.INJ.1SER.PREENC.1,5ML - JANSSEN-CILAG
INVEGA SUSTENNA 100MG/ML SUSP.INJ.1SER.PREENC.1ML - JANSSEN-CILAG
IODETO POTASSIO 2% XPE.100ML+CP.MED. - PRATI-DONADUZZI
IODEX SALICILATO METILA 28G - EMS CONSUMO
IONAX SCRUB CRM.60G - GALDERMA
IONIL SHM.120ML - BIOSINTETICA
IONIL T SHM.120ML - BIOSINTETICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
26048
34125
34127
153715
43737
5420027
5420028
5420029
5420026
153658
153659
153656
153657
78000
157467
104123
104124
142285
142286
142287
142282
142283
142284
4080040
4080013
72455
4080041
15180
15179
153561
36933
36932
131446
166107
80013
30032
128527
128528
128526
9562
9566
148214
148215
134251
118546
118547
7380040
7380042
DESCRICAO
IPERISAN 300MG 20CPDS REV. - MARJAN
IPERISAN 300MG 30CPDS REV. - MARJAN
IPERISAN 300MG 60CPDS REV. - MARJAN
IPRANEO 0,25MG/ML 50FR 20ML - NEOQUIMICA
IPRANEO 0,25MG/ML SOL.20ML - NEOQUIMICA
IPSILON 1G 1FA 20ML - NIKKHO
IPSILON 4GRS 1FA 20ML - NIKKHO
IPSILON 50STRX6CPDS - NIKKHO
IPSILON 6X6CPDS - NIKKHO
IRBESARTANA 300MG 15CPDS - RANBAXY
IRBESARTANA 300MG 2X15CPDS - RANBAXY
IRBESARTANA GEN.150MG 15CPDS - RANBAXY
IRBESARTANA GEN.150MG 2X15CPDS - RANBAXY
IRENAX 20MG 1FA 5ML - SANDOZ
IRESSA 250MG 30CPDS REV. - ASTRAZENECA
IRNOCAM 100MG 1FA 5ML(ICMS 0%) - GLAXOSMITH
IRNOCAM 40MG 1FA 2ML(ICMS 0%) - GLAXOSMITH
IRRIGUE AGUA 125ML - EUROFARMA
IRRIGUE AGUA 250ML - EUROFARMA
IRRIGUE AGUA 500ML - EUROFARMA
IRRIGUE FISIO 125ML - EUROFARMA
IRRIGUE FISIO 250ML - EUROFARMA
IRRIGUE FISIO 500ML - EUROFARMA
IRUXOL 0,6U/G+0,01G POM.DERM.15G - ABBOTT
IRUXOL 0,6U/G+0,01G POM.DERM.30G - ABBOTT
IRUXOL 0,6U/G+0,01G POM.DERM.50BGX30G - ABBOTT
IRUXOL 0,6U/G+0,01G POM.DERM.50G - ABBOTT
IRUXOL MONO 1,2U/G POM.DERM 30G - ABBOTT
IRUXOL MONO 1,2U/G POM.DERM.15G - ABBOTT
IRUXOL MONO 1,2U/G POM.DERM.50BGX30G - ABBOTT
ISCOVER 75MG 14CPDS - BRISTOL
ISCOVER 75MG 2X14CPDS - BRISTOL
ISENTRESS 400MG 60CPDS - MERCK S.D.
ISILAX 5MG 100CPDS REV. - CIFARMA
ISKEMIL 6MG 20CAPS GEL. - ACHE
ISKETAM 400+1MG 20CPDS - ACHE
ISOFLURANO GEN.100ML - BIOCHIMICO
ISOFLURANO GEN.240ML - BIOCHIMICO
ISOFLURANO GEN.50ML - BIOCHIMICO
ISOFORINE 100ML - CRISTALIA
ISOFORINE 240ML - CRISTALIA
ISOMIL ADVANCE IQ 1 400GRS - ABBOTT
ISOMIL ADVANCE IQ 2 400GRS - ABBOTT
ISORAN 50ML 1 FR - BIOCHIMICO
ISORAN FR VD AMB X 100ML - BIOCHIMICO
ISORAN FR VD AMB X 240ML - BIOCHIMICO
ISORDIL 10MG ORAL 2X15CPDS - SIGMA PHARMA
ISORDIL 5MG SUB-LINGUAL 30CPDS - SIGMA PHARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
163563
134742
163559
134744
134745
163560
141710
163556
134746
145800
134747
134748
163557
61964
136610
166321
38461
6820027
57240
38462
89438
92769
140603
89439
92770
140604
89437
92768
140602
162623
128136
76833
79906
76832
146423
100080
63577
63578
151935
68179
68180
170048
150935
164221
150936
164222
150952
161891
DESCRICAO
ISOSOURCE 1,5 CAL.S/SAC.SF 6X1000ML - NESTLE N.C.
ISOSOURCE 1,5 CAL.S/SAC.TETRA SQUARE 10X1000ML - NESTLE N.C.
ISOSOURCE 1,5CAL.S/SAC.TETRA SQUARE 12X1000ML - NESTLE N.C.
ISOSOURCE HN SF 6X1000ML - NESTLE N.C.
ISOSOURCE HN TETRA SQUARE 10X1000ML - NESTLE N.C.
ISOSOURCE HN TETRA SQUARE 12X1000ML - NESTLE N.C.
ISOSOURCE SOYA FIBER TETRA SQUARE 10X1000ML - NESTLE N.C.
ISOSOURCE SOYA FIBER TETRA SQUARE 12X1000ML - NESTLE N.C.
ISOSOURCE SOYA TETRA SQUARE 10X1000ML - NESTLE N.C.
ISOSOURCE STANDARD PO 12X325G - NESTLE N.C.
ISOSOURCE STANDARD SF 6X1000ML - NESTLE N.C.
ISOSOURCE STANDARD TETRA SQUARE 10X1000ML - NESTLE N.C.
ISOSOURCE STANDARD TETRA SQUARE 12X1000ML - NESTLE N.C.
ISOTHANE 100ML BR2L9100 - BAXTER
ISOTRETINOINA GEN.0,05% GEL 30GRS - RANBAXY
ISOTRETINOINA GEN.20MG 30CAPS GEL.MOLE - VALEANT
ISOTREX CRM.30GRS - STIEFEL
ISOTREX GEL 0,05% 30GRS - STIEFEL
ISOTREXIN GEL 30GRS - STIEFEL
ISOTREXOL CRM.30GRS - STIEFEL
ITRACONAZOL GEN.100MG 10CAPS - NOVA QUIMICA
ITRACONAZOL GEN.100MG 10CAPS GEL - BRAINFARMA
ITRACONAZOL GEN.100MG 10CAPS GEL DURA - PRATI-DONADUZZI
ITRACONAZOL GEN.100MG 15CAPS - NOVA QUIMICA
ITRACONAZOL GEN.100MG 15CAPS GEL - BRAINFARMA
ITRACONAZOL GEN.100MG 15CAPS GEL DURA - PRATI-DONADUZZI
ITRACONAZOL GEN.100MG 4CAPS - NOVA QUIMICA
ITRACONAZOL GEN.100MG 4CAPS GEL - BRAINFARMA
ITRACONAZOL GEN.100MG 4CAPS GEL DURA - PRATI-DONADUZZI
ITRACONAZOL GEN.100MG 80CAPS GEL DURA - PRATI-DONADUZZI
ITRAHEXAL 100MG 10CAPS - HEXAL
ITRAHEXAL 100MG 15CAPS - HEXAL
ITRAHEXAL 100MG 28CAPS - HEXAL
ITRAHEXAL 100MG 4CAPS - HEXAL
ITRALEX 100MG 15CAPS - EMS
ITRALEX 100MG 4CAPS - EMS
ITRASPOR 100MG 15CAPS - SIGMA PHARMA
ITRASPOR 100MG 4CAPS - SIGMA PHARMA
IUMI 3MG+20MCG 24CPDS - LIBBS
IVERMEC 6MG 2CPDS - UCI-FARMA
IVERMEC 6MG 4CPDS - UCI-FARMA
IVERMEC 6MG 80CPDS - UCI-FARMA
IVERMECTINA GEN.6MG 2CPDS - VITAPAN
IVERMECTINA GEN.6MG 2CPDS - NEOQUIMICA
IVERMECTINA GEN.6MG 4CPDS - VITAPAN
IVERMECTINA GEN.6MG 4CPDS - NEOQUIMICA
IVERMECTINA GEN.6MG 500CPDS - VITAPAN
IVERNEO 6MG 2CPDS - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
161894
133693
158333
164593
164594
164606
165753
165752
165749
165748
165751
165750
131451
131447
131448
131449
131450
114976
114978
114971
114975
168527
168526
20181
157117
157115
20087
20099
20097
153150
2540027
2540038
144911
144912
144910
164429
164430
164433
164432
123117
115417
123118
5400027
5400026
96681
96682
134379
2060005
DESCRICAO
IVERNEO 6MG 4CPDS - NEOQUIMICA
IXIUM 5,0MG/G CRM.DERM.12SACH 0,25G - FARMOQUIMICA
IXIUM 5,0MG/G CRM.DERM.6SACH 0,25G - FARMOQUIMICA
JALRA 50MG 14CPDS - MERCK S.A.
JALRA 50MG 28CPDS - MERCK S.A.
JALRA 50MG 56CPDS - MERCK S.A.
JALRA MET 50+1000MG 14CPDS REV. - MERCK S.A.
JALRA MET 50+1000MG 56CPDS REV. - MERCK S.A.
JALRA MET 50+500MG 14CPDS REV. - MERCK S.A.
JALRA MET 50+500MG 56CPDS REV. - MERCK S.A.
JALRA MET 50+850MG 14CPDS REV. - MERCK S.A.
JALRA MET 50+850MG 56CPDS REV. - MERCK S.A.
JANUMET 50MG/1000MG 56CPDS - MERCK S.D.
JANUMET 50MG/500MG 28CPDS - MERCK S.D.
JANUMET 50MG/500MG 56CPDS - MERCK S.D.
JANUMET 50MG/850MG 28CPDS - MERCK S.D.
JANUMET 50MG/850MG 56CPDS - MERCK S.D.
JANUVIA 100MG 14CPDS - MERCK S.D.
JANUVIA 100MG 2X14CPDS - MERCK S.D.
JANUVIA 25MG 2X14CPDS - MERCK S.D.
JANUVIA 50MG 2X14CPDS - MERCK S.D.
JAVLOR 25MG/ML SOL.DIL.1FA 10ML - DARROW
JAVLOR 25MG/ML SOL.DIL.1FA 2ML - DARROW
JEVITY 237ML - ABBOTT
JEVITY HICAL 237ML - ABBOTT
JEVITY HICAL RTH SF-1000ML - ABBOTT
JEVITY PLUS 237ML - ABBOTT
JEVITY PLUS RTH 1000ML - ABBOTT
JEVITY RTH 1000ML - ABBOTT
JEVTANA 60MG SOL.INJ.1FA 1,5ML - SANOFI-AVENTIS
JUMEXIL 10MG 30DRGS - CHIESI
JUMEXIL 5MG 20CPDS - CHIESI
JURNISTA 16MG 30CPDS - JANSSEN-CILAG
JURNISTA 32MG 30CPDS - JANSSEN-CILAG
JURNISTA 8MG 30CPDS - JANSSEN-CILAG
KABIVEN 1900 4X2053ML FMCB BR831222390 - FRESENIUS KABI
KABIVEN 900 4X1026ML FMCB BR831220390 - FRESENIUS KABI
KABIVEN PERIPHERAL 1000 4X1440ML FMCB BR831231390 - FRESENIUS KABI
KABIVEN PERIPHERAL 1400 4X1920ML FMCB BR831232420 - FRESENIUS KABI
KALETRA 133,3+33,3MG 180CAPS GEL. - ABBOTT
KALETRA 200+50MG 120CPDS REV. - ABBOTT
KALETRA 80+20MG/ML SOL.ORAL 160ML - ABBOTT
KALLOPLAST 3G 4ADES. - COSMED
KALLOPLAST 5ML - COSMED
KALOBA GTS.20ML - NYCOMED
KALOBA GTS.50ML - NYCOMED
KALYAMON KIDS 250ML - JANSSEN-CILAG
KAMILLOSAN 20MG/G 20G - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
2060016
69765
37154
37153
103409
103410
62315
152134
152135
152132
62313
62314
152133
150933
38236
141478
42836
91042
139314
23630
145591
34393
162933
2320038
34385
2320036
2320035
143355
2320040
2320041
2320030
91039
91041
91045
142128
142127
91043
148439
110084
119763
145132
95347
162838
103452
21684
4720048
4720051
4720053
DESCRICAO
KAMILLOSAN 20MG/G 50G - ACHE
KAMRHO-D 300MCG SOL.INJ.1FA 2ML - PANAMERICAN
KANAKION MM 10MG SOL.INJ.5AMP 1ML - ROCHE
KANAKION MM 2MG SOL.INJ.5AMP 0,2ML - ROCHE
KAOSEC 2MG 12CPDS - PHARMASCIENCE
KAOSEC 2MG 200CPDS - PHARMASCIENCE
KARVIL 12,5MG 15CPDS - TORRENT
KARVIL 12,5MG 30CPDS - TORRENT
KARVIL 25MG 30CPDS - TORRENT
KARVIL 3,125 30CPDS - TORRENT
KARVIL 3,125MG 15CPDS - TORRENT
KARVIL 6,250MG 15CPDS - TORRENT
KARVIL 6,250MG 30CPDS - TORRENT
KATRIZAN POM.10GRS - VITAPAN
KAVAKAN 235MG 30CAPS - ATIVUS
KAVAKAN 235MG 8CPDS - ATIVUS
KAVIT 10MG/ML 50AMP 1ML - CRISTALIA
KEFADIM 1G PO INJ.25FA - ABL
KEFALOMAX 1G 50FR - BIOCHIMICO
KEFAZOL 1G PO INJ.50FA - ABL
KEFAZOL 1G PO INJ.50FA+BOLSA SIST.FECH. - ABL
KEFLAXINA 500MG 8CAPS - HEXAL
KEFLAXINA 50MG/ML PO SUSP.ORAL 100ML - HEXAL
KEFLEX 1,5G PO ORAL 15ML - BAGO
KEFLEX 100MG/ML SUSP.ORAL 100ML - BAGO
KEFLEX 1G 40DRGS - BAGO
KEFLEX 1G 8DRGS - BAGO
KEFLEX 500MG 40DRGS - BAGO
KEFLEX 500MG 8DRGS - BAGO
KEFLEX 50MG/ML SUSP.ORAL 100ML - BAGO
KEFLIN 1G PO INJ.50FA - ABL
KEFORAL 500MG 200CAPS GEL. - ABL
KEFORAL 500MG 8CAPS GEL. - ABL
KEFOX 1G PO INJ.25FA - ABL
KEFOZIL 1G CX C/ 25FA+DIL - BIOCHIMICO
KEFOZIL 1G CX C/ 50FA+DIL - BIOCHIMICO
KEFTRON 1G PO INJ.25FA - ABL
KEFTRON 1G PO INJ.50FA - ABL
KELLY 75MCG 28CPDS - SIGMA PHARMA
KELO-COTE GEL 15GRS - FARMOQUIMICA
KELO-COTE SPR.100ML - FARMOQUIMICA
KEROXIME 750MG PO INJ.25FA - ABL
KEROXIME 750MG PO INJ.50FA 10ML - ABL
KETAMIN 50MG/ML 25AMP 2ML - CRISTALIA
KETAMIN 50MG/ML 5X10ML - CRISTALIA
KETOMICOL 10CPDS - LUPER
KETOMICOL 30CPDS - LUPER
KETOMICOL CRM.30GRS - LUPER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
4720052
1280068
1280039
1280050
51962
77946
148359
148358
5020086
111183
3180016
38682
3180014
38677
106593
106594
156965
156966
156964
151052
160302
95546
152295
160984
165601
152296
160986
152294
161008
160983
2660017
127845
33976
20285
33977
20136
31794
118548
104022
144145
104021
129303
144146
4945063
4945062
4945110
4945065
4945064
DESCRICAO
KETOMICOL SHM.100ML - LUPER
KETONAZOL 10CPDS - BUNKER
KETONAZOL CRM.30G - BUNKER
KETONAZOL SHM.100ML - BUNKER
KETOSTERIL 100TABL. BR100327 - FRESENIUS KABI
KETOSTERIL 20TABL BR3409441A - FRESENIUS KABI
KIADON 120MG 20CPDS REV. - MERCK S.A.
KIADON 120MG 30CPDS REV. - MERCK S.A.
KIADON 80MG 20CPDS REV. - MERCK S.A.
KIADON 80MG 30CPDS REV. - MERCK S.A.
KIATRIUM 10MG 20CPDS - GROSS
KIATRIUM 10MG 30CPDS - GROSS
KIATRIUM 5MG 20CPDS - GROSS
KIATRIUM 5MG 30CPDS - GROSS
KIDAZON 1MG/ML 1AMP 1ML - ASPEN
KIDAZON 1MG/ML 1AMP 3ML - ASPEN
KIOS 640MG 14CPDS.REV - INFAN
KIOS 640MG 28CPDS.REV - INFAN
KIOS 640MG 7CPDS.REV - INFAN
KIT SOAPEX LEVE 2+CETAPHIL LOC.AG - GALDERMA
KIT SOAPEX LEVE3 PAGUE2 - GALDERMA
KIT SORINE H 30MG/ML SOL.NASAL 60ML+LENCO - ACHE
KITAPEN 100MG 30CPDS - ARROW
KITAPEN 100MG 60CPDS REV. - ARROW
KITAPEN 100MG 7CPDS REV. - ARROW
KITAPEN 200MG 30CPDS - ARROW
KITAPEN 200MG 60CPDS REV. - ARROW
KITAPEN 25MG 15CPDS - ARROW
KITAPEN 25MG 30CPDS REV. - ARROW
KITAPEN 25MG 7CPDS REV. - ARROW
KITNOS 500MG 6CPDS - PFIZER
KIVEXA 600MG/300MG 30CPDS - GLAXOSMITH
KLARICID 25MG/ML SUSP.PED.60ML+SER.DOS. - ABBOTT
KLARICID 500MG PO LIOF.1FA CAPAC.10ML - ABBOTT
KLARICID 50MG/ML SUSP.PED.60ML+SER.DOS. - ABBOTT
KLARICID UD 500MG 10CPDS LIB.PROLONG. - ABBOTT
KLARICID UD 500MG 7CPDS LIB.PROLONG. - ABBOTT
KLAROXIL 500MG PO LIOF INJ C/ 1FA - BIOCHIMICO
KOIDE 0,1MG/ML ELIXIR 120ML - EUROFARMA
KOIDE 0,1MG/ML ELIXIR 60ML - EUROFARMA
KOIDE D 0,25+2MG/5ML XPE.120ML - EUROFARMA
KOIDEXA 0,1MG/ML 120ML - EUROFARMA
KOIDEXA 0,1MG/ML 60ML - EUROFARMA
KOLANTYL 1ENV 6CPDS F.V - MEDLEY
KOLANTYL 20ENV 6CPDS - MEDLEY
KOLANTYL 5X6CPDS - MEDLEY
KOLANTYL DMP 200ML - MEDLEY
KOLANTYL GEL 200ML - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
150900
150901
150902
9631
1830070
1830059
1830071
137160
9630
23605
145186
143418
143419
164351
26607
159651
103902
6770019
32278
780018
780019
780006
2060039
2060026
2060084
2060085
55372
40269
99793
40268
142292
142291
169503
142294
142293
159210
142296
142295
169505
169504
130583
3090040
3090011
3090027
130582
3090026
130581
166406
DESCRICAO
KOLEVAS 10MG 30CPDS REV. - EMS
KOLEVAS 20MG 30CPDS REV. - EMS
KOLEVAS 40MG 30CPDS REV. - EMS
KOLLAGENASE C/CLORANF.POM.10X30GRS - CRISTALIA
KOLLAGENASE C/CLORANF.POM.15GRS - CRISTALIA
KOLLAGENASE C/CLORANF.POM.30GRS - CRISTALIA
KOLLAGENASE C/CLORANF.POM.50GRS - CRISTALIA
KOLLAGENASE S/CLOR.POM.0,6U/G - CRISTALIA
KOLLAGENASE S/CLORANF.POM.10X30GRS - CRISTALIA
KOLLAGENASE S/CLORANF.POM.30GRS - CRISTALIA
KOLPITRAT CRM.VAG.40GRS+10APLICADOR - MEDLEY
KOPLAN 200MG PO 1FA+DIL 3ML - NOVAFARMA
KOPLAN 400MG PO 1FA 3ML - NOVAFARMA
KOPLANN 200MG PO LIOF.1FA+BOL.SIST.FECH.CONEC.100ML - NOVAFARMA
KRONEL GEL GIN.60GRS+10APL - INFAN
KURAMED SEPT 1% SOL.TOP.30ML - CIMED
KURAMED SPR.50ML - CIMED
KWELL 1FR 60ML - GLAXOSMITH
KYBERNIN P 1000 50UI/ML PO LIOF.1FA+1FA DIL.20ML+DISP.TRANSF. - CSL BEHRING
KYTRIL 1MG 2CPDS REV. - ROCHE
KYTRIL 1MG SOL.INJ.1AMP 1ML - ROCHE
KYTRIL 3MG SOL.INJ.1AMP 3ML - ROCHE
LABEL 150MG 20CPDS REV. - ACHE
LABEL 15MG/ML XPE 120ML - ACHE
LABEL 300MG 12CPDS REV. - ACHE
LABEL 300MG 20CPDS REV. - ACHE
LABIGERON 75MG 30CPDS - TEUTO BRAS
LABIRIN 16MG 30CPDS - APSEN
LABIRIN 24MG 30CPDS - APSEN
LABIRIN 8MG 30CPDS - APSEN
LABORHEX 0,5% 1000ML - EUROFARMA
LABORHEX 0,5% 100ML - EUROFARMA
LABORHEX 2% DISP.12UNID - EUROFARMA
LABORHEX 2,0% 1000ML - EUROFARMA
LABORHEX 2,0% 100ML - EUROFARMA
LABORHEX 2,0% BAG 800ML - EUROFARMA
LABORHEX 4,0% 1000ML - EUROFARMA
LABORHEX 4,0% 100ML - EUROFARMA
LABORHEX LOC.AQUOSA HIGIENE FR 1000ML - EUROFARMA
LABORHEX LOC.AQUOSA HIGIENE FR 100ML - EUROFARMA
LABORIODINE DEGERMANTE 100ML ALMOT. - EUROFARMA
LABORIODINE DEGERMANTE C/DISP.1000ML - EUROFARMA
LABORIODINE DEGERMANTE STANDARD 1000ML - EUROFARMA
LABORIODINE TINTURA 1000ML - EUROFARMA
LABORIODINE TINTURA 100ML ALMOT. - EUROFARMA
LABORIODINE TOPICO 1000ML - EUROFARMA
LABORIODINE TOPICO 100ML ALMOT. - EUROFARMA
LACASS 14CPDS REV. - ATIVUS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
3080089
88220
31251
260017
180061
63558
63559
63560
166428
73908
73909
7040033
16082
137917
137916
153663
153662
102937
102938
2905025
6420124
6420143
119292
140070
3080093
145380
145381
3080091
145378
3080092
145379
150916
139842
6380114
103933
6380126
6380115
6380116
6380133
145002
145003
141407
147195
69892
69890
69891
159658
90298
DESCRICAO
LACIPIL 4MG 14CPDS - GLAXOSMITH
LACRIFILM 5MG/ML SOL.OFT.15ML - UNIAO QUIMICA
LACRIGEL A 10MG/G GEL.OFT.10G - NOVARTIS
LACRIL 14MG/ML SOL.OFT.15ML - ALLERGAN
LACRIMA PLUS 1+3MG/ML SOL.OFT.15ML - ALCON
LACTIPAN 100MG 12CAPS GEL.DURA - SIGMA PHARMA
LACTIPAN 200MG 6CAPS GEL.DURA - SIGMA PHARMA
LACTIPAN 200MG/G PO ORAL 1G 6SACH - SIGMA PHARMA
LACTO PURGA 5MG 16CPDS REV. - COSMED
LACTO PURGA 5MG 25BLX6CPDS REV. - COSMED
LACTO PURGA 5MG 6CPDS REV.F.V - COSMED
LACTO-VAGIN 150ML - UCI-FARMA
LACTREX LOC.120ML - GALDERMA
LACTULIV 667MG XPE.AMEIXA 120ML - LEGRAND OTC
LACTULIV 667MG XPE.SAL.FRUTA 120ML - LEGRAND OTC
LACTULONA 667MG/ML 10SACH.15ML AMEIXA - DAIICHI SANKYO
LACTULONA 667MG/ML 10SACH.15ML SAL.FRUTA - DAIICHI SANKYO
LACTULONA 667MG/ML PLAST.120ML AMEIXA - DAIICHI SANKYO
LACTULONA 667MG/ML PLAST.120ML SAL.FRUTA - DAIICHI SANKYO
LADERM SAB.110G - GALDERMA
LADOGAL 100MG 50CAPS - SANOFI-AVENTIS
LADOGAL 200MG 30CAPS - SANOFI-AVENTIS
L-ALANIL GLUTAMINA 1ML - HOSPPHARMA
LAMI 10MG/ML SOL.ORAL 240ML - CRISTALIA
LAMICTAL 100MG 30CPDS - GLAXOSMITH
LAMICTAL 100MG 30CPDS DISP. - GLAXOSMITH
LAMICTAL 200MG 30CPDS DISP. - GLAXOSMITH
LAMICTAL 25MG 30CPDS - GLAXOSMITH
LAMICTAL 25MG 30CPDS DISP. - GLAXOSMITH
LAMICTAL 50MG 30CPDS - GLAXOSMITH
LAMICTAL 50MG 30CPDS DISP. - GLAXOSMITH
LAMICTAL 5MG 30CPDS DISP. - GLAXOSMITH
LAMISIL 1% CRM.15G - NOVARTIS
LAMISIL 1% CRM.20G - NOVARTIS
LAMISIL 1% CRM.7,5G - NOVARTIS
LAMISIL 125MG 14CPDS - NOVARTIS
LAMISIL 250MG 14CPDS - NOVARTIS
LAMISIL 250MG 28CPDS - NOVARTIS
LAMISIL 250MG 7CPDS - NOVARTIS
LAMISILATE 10MG/G CRM.15G - NOVARTIS
LAMISILATE 10MG/G CRM.30G - NOVARTIS
LAMISILATE 10MG/G SPR.30ML - NOVARTIS
LAMISILATE UMA VEZ 10MG/G CRM.4G - NOVARTIS
LAMITOR 100MG 30CPDS - TORRENT
LAMITOR 25MG 30CPDS - TORRENT
LAMITOR 50MG 30CPDS - TORRENT
LAMOCTRIL 100MG 30CPDS - TEUTO BRAS
LAMOTRIGINA GEN.100MG 2BLX15CPDS - ARROW
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
151229
168720
160537
136613
90296
168718
160535
136611
168719
160536
90297
136612
156975
164226
6280034
79909
79910
77954
77953
43974
88802
43975
91280
43972
88804
43973
88805
91637
89542
91638
89543
43971
88803
91636
150350
166043
148546
148502
156485
156486
76288
76469
76468
76470
76471
76472
133460
3080095
DESCRICAO
LAMOTRIGINA GEN.100MG 30 CPDS - TEUTO BRAS
LAMOTRIGINA GEN.100MG 30CPDS - EUROFARMA
LAMOTRIGINA GEN.100MG 30CPDS REV. - MEDLEY
LAMOTRIGINA GEN.100MG 3X10CAPS - RANBAXY
LAMOTRIGINA GEN.25MG 2BLX15CPDS - ARROW
LAMOTRIGINA GEN.25MG 30CPDS - EUROFARMA
LAMOTRIGINA GEN.25MG 30CPDS REV. - MEDLEY
LAMOTRIGINA GEN.25MG 3X10CAPS - RANBAXY
LAMOTRIGINA GEN.50MG 30CPDS - EUROFARMA
LAMOTRIGINA GEN.50MG 30CPDS REV. - MEDLEY
LAMOTRIGINA GEN.50MG 3BLX10CPDS - ARROW
LAMOTRIGINA GEN.50MG 3X10CAPS - RANBAXY
LANELI 30CAPS GEL.MOLE - MEDLEY
LANELI 60CAPS GEL.MOLE - MEDLEY
LANEXAT 0,5MG SOL.INJ.5AMP 5ML - ROCHE
LANSODOM 15 15MG 2X7+21CAPS - MEDLEY
LANSODOM 30 30MG 2X7+21CAPS - MEDLEY
LANSOHEXAL 30MG 14CAPS - HEXAL
LANSOHEXAL 30MG 7CAPS - HEXAL
LANSOPRAZOL GEN.15MG 14CAPS - MEDLEY
LANSOPRAZOL GEN.15MG 14CAPS GEL. - EMS GENERICOS
LANSOPRAZOL GEN.15MG 28CAPS - MEDLEY
LANSOPRAZOL GEN.15MG 2BLX7CPDS - GERMED GENERICOS
LANSOPRAZOL GEN.30MG 14CAPS - MEDLEY
LANSOPRAZOL GEN.30MG 14CAPS GEL. - EMS GENERICOS
LANSOPRAZOL GEN.30MG 28CAPS - MEDLEY
LANSOPRAZOL GEN.30MG 28CAPS GEL. - EMS GENERICOS
LANSOPRAZOL GEN.30MG 2BLX7CPDS - GERMED GENERICOS
LANSOPRAZOL GEN.30MG 2X7CPDS - LEGRAND GENERICOS
LANSOPRAZOL GEN.30MG 4BLX7CPDS - GERMED GENERICOS
LANSOPRAZOL GEN.30MG 4X7CPDS - LEGRAND GENERICOS
LANSOPRAZOL GEN.30MG 7CAPS - MEDLEY
LANSOPRAZOL GEN.30MG 7CAPS GEL. - EMS GENERICOS
LANSOPRAZOL GEN.30MG 7CPDS - GERMED GENERICOS
LANSOPRAZOL GEN.30MG LIB RETARD.14CAPS GEL DURA - PRATI-DONADUZZI
LANSOPRAZOL GEN.30MG LIB.RETARD.140CAPS GEL DURA - PRATI-DONADUZZI
LANSOPRAZOL+CLARITROMICINA+AMOXICILINA GEN.14+14+28+28CAPS - TEUTO BRAS
LANSOPRAZOL+CLARITROMICINA+AMOXICILINA GEN.30+500+500MG 14+14+28CAPS - TEUTO BRAS
LANSOPRAZOL+CLARITROMICINA+AMOXICILINA GEN.30+500+500MG 14CAPS.GEL DURA+14CPDS+28CAPS.GEL DURA - PRATI-DONADUZZI
LANSOPRAZOL+CLARITROMICINA+AMOXICILINA GEN.30+500+500MG 42CAPS.GEL DURA+14CPDS+28CAPS.GEL DURA - PRATI-DONADUZZI
LANSOPRID 15MG 2X7+21CAPS - MEDLEY
LANTUS 100UI/ML 1CARP 3ML - SANOFI-AVENTIS
LANTUS 100UI/ML 1FA 10ML - 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
LANTUS SOLOSTAR 100UI/ML 3ML+SIST.APL - SANOFI-AVENTIS
LANVIS 40MG 25CPDS(ICMS 0%) - GLAXOSMITH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
76894
68521
83572
69679
69680
153716
160792
160790
160791
28485
30120
30066
116140
116139
84391
103828
103829
166074
3440028
3440030
3440029
166305
159621
149480
153639
15754
1560034
6120006
137613
137614
94391
69423
69424
1300047
1300046
1300048
77417
6880050
6880052
6880051
6880053
6380139
42772
6380138
260018
37919
55369
117703
DESCRICAO
LANZ 15MG 2X7CAPS - SIGMA PHARMA
LANZ 30MG 2X7CAPS GEL.DURA - SIGMA PHARMA
LANZ 30MG 4X7CAPS GEL.DURA - SIGMA PHARMA
LANZACOR 50MG 14CPDS REV. - NEOQUIMICA
LANZACOR 50MG 28CPDS REV. - NEOQUIMICA
LANZACOR 50MG 49X10CPDS REV. - NEOQUIMICA
LANZAMED 10MG 4BLX7CPDS - GERMED
LANZAMED 2,5MG 2BLX14CPDS - GERMED
LANZAMED 5MG 4BLX7CPDS - GERMED
LANZOL 15MG 14CAPS GEL - ACHE
LANZOL 30MG 14CAPS GEL - ACHE
LANZOL 30MG 7CAPS GEL. - ACHE
LANZOPRAN 30MG 14CAPS - ROYTON
LANZOPRAN 30MG 7CAPS - ROYTON
LAPRITEC 10MG 500CPDS - HIPOLABOR
LAPRITEC 20MG 500CPDS - HIPOLABOR
LAPRITEC 5MG 500CPDS - HIPOLABOR
LASENE 29MG 2BLX10CPDS REV. - CIMED
LASILACTONA 100+20MG 5X6CAPS GEL - SANOFI-AVENTIS
LASIX 10MG/ML 5AMP 2ML - SANOFI-AVENTIS
LASIX 40MG 20CPDS - SANOFI-AVENTIS
LASTACAFT 0,25% SOL.OFT.3ML - ALLERGAN
LATANOPROSTA GEN.0,05MG/ML SOL.OFT.2,5ML - EMS GENERICOS
LATANOPROSTA+MALEATO TIMOLOL GEN.0,05+5MG/ML SOL.OFT.2,5ML - GERMED GENERICOS
LATISSE 0,3MG/ML 5ML+100APLIC. - ALLERGAN
LAVITAN 30DRGS - CIMED
LAVITAN 50DRGS - CIMED
LAVOLHO COL.15ML - REGIUS
LAXETTE 33,5MG 10CPDS - BIOLAB SANUS
LAXETTE 55,6MG 10CPDS - BIOLAB SANUS
LAXOFIBRA 200G - ALM.PRADO
LECTRUM 3,75MG 1FA - SANDOZ
LECTRUM 7,50MG 1FA - SANDOZ
LEGALON 140MG 20CAPS - NYCOMED
LEGALON 70MG 30DRGS - NYCOMED
LEGALON SUSP.100ML - NYCOMED
LEGIFOL 50MG 10FA - PFIZER
LEITE MAGNESIA PHILLIPS HORT.120ML - GLAXOSMITH
LEITE MAGNESIA PHILLIPS HORT.350ML - GLAXOSMITH
LEITE MAGNESIA PHILLIPS TRADIC.120ML - GLAXOSMITH
LEITE MAGNESIA PHILLIPS TRADIC.350ML - GLAXOSMITH
LEPONEX 100MG 30CPDS - NOVARTIS
LEPONEX 100MG 450CPDS - NOVARTIS
LEPONEX 25MG 20CPDS - NOVARTIS
LERIN 1,050+0,525MG/ML SOL.OFT.24ML - ALLERGAN
LESCOL XL 80MG 30CPDS - NOVARTIS
LESTAMIL 2+0,25MG 15CPDS - TEUTO BRAS
LESTAMIL 2MG/5ML+0,25MG/5ML XPE.PET 120ML - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
55370
136756
22672
22673
22674
30036
30047
18478
16999
163500
143214
3940162
34110
3940160
127899
127900
127901
127902
1280084
83150
145463
97109
97110
76148
156440
96097
156441
76147
90950
76149
102003
76146
161000
115752
89440
115755
74187
101557
101599
101996
115756
140246
105751
104924
110434
79741
161001
115757
DESCRICAO
LESTAMIL 2MG/5ML+0,25MG/5ML XPE.VD.120ML - TEUTO BRAS
LETROZOL GEN.2,5MG 30CPDS - EUROFARMA
LEUCOCITIM 150MCG 1FA+DIL 1ML - BLAU
LEUCOCITIM 300MCG 1FA+DIL 1ML - BLAU
LEUCOCITIM 400MCG 1FA+DIL 1ML - BLAU
LEUCOGEN 200MG/ML XPE.120ML - ACHE
LEUCOGEN 80MG 20CAPS GEL. - ACHE
LEUKERAN 2MG 25CPDS(ICMS 0%) - GLAXOSMITH
LEUSTATIN 1FA 10ML - JANSSEN-CILAG
LEUSTATIN 1MG/ML SOL.INJ.1FA 8ML - JANSSEN-CILAG
LEVAFLOX 500MG BOLSA PVC 100ML SIST.FECH.ISTARBAG - HALEX ISTAR
LEVAQUIN 500MG 100ML INJ SAC - JANSSEN-CILAG
LEVAQUIN 500MG 10CPDS - JANSSEN-CILAG
LEVAQUIN 500MG 7CPDS - JANSSEN-CILAG
LEVCIN 250MG 7CPDS REV. - SANDOZ
LEVCIN 500MG 10CPDS REV. - SANDOZ
LEVCIN 500MG 3CPDS REV. - SANDOZ
LEVCIN 500MG 7CPDS REV. - SANDOZ
LEVEGLUTAN 100CPDS - BUNKER
LEVEL 100+20MCG 21CPDS - BIOLAB SANUS
LEVEL 100+20MCG 63CPDS - BIOLAB SANUS
LEVERCTIN 6MG 2CPDS - EMS
LEVERCTIN 6MG 2X2CPDS - EMS
LEVITRA 10MG 1CPD - BAYER
LEVITRA 10MG 2CPDS ODT - BAYER
LEVITRA 10MG 2CPDS REV. - BAYER
LEVITRA 10MG 4CPDS ODT - BAYER
LEVITRA 10MG 4CPDS REV. - BAYER
LEVITRA 20MG 2CPDS - BAYER
LEVITRA 20MG 4CPDS - BAYER
LEVITRA 20MG 8CPDS - BAYER
LEVITRA 5MG 4CPDS - BAYER
LEVOFLOXACINO GEN.250MG 7CPDS - ZYDUS NIKKHO
LEVOFLOXACINO GEN.250MG 7CPDS - SANDOZ
LEVOFLOXACINO GEN.250MG 7CPDS - NOVA QUIMICA
LEVOFLOXACINO GEN.500MG 10CPDS - SANDOZ
LEVOFLOXACINO GEN.500MG 10CPDS - EUROFARMA
LEVOFLOXACINO GEN.500MG 10CPDS REV. - EMS GENERICOS
LEVOFLOXACINO GEN.500MG 10CPDS REV. - LEGRAND GENERICOS
LEVOFLOXACINO GEN.500MG 10CPDS REV. - GERMED GENERICOS
LEVOFLOXACINO GEN.500MG 3CPDS - SANDOZ
LEVOFLOXACINO GEN.500MG 3CPDS REV. - EUROFARMA
LEVOFLOXACINO GEN.500MG 3CPDS REV. - LEGRAND GENERICOS
LEVOFLOXACINO GEN.500MG 3CPDS REV. - EMS GENERICOS
LEVOFLOXACINO GEN.500MG 7BLX6CPDS REV. - EMS GENERICOS
LEVOFLOXACINO GEN.500MG 7CPDS - BRAINFARMA
LEVOFLOXACINO GEN.500MG 7CPDS - ZYDUS NIKKHO
LEVOFLOXACINO GEN.500MG 7CPDS - SANDOZ
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
58507
74186
89441
101556
101598
101995
132314
143215
105728
116301
116302
116303
116304
116305
116306
116297
137641
116298
116299
116300
159312
33687
5440027
138284
141934
138285
138286
138287
138288
138281
138282
138283
141933
60951
60952
76214
99792
76213
60953
5628080
5628069
5628045
71774
71775
142150
148862
148863
119255
DESCRICAO
LEVOFLOXACINO GEN.500MG 7CPDS - RANBAXY
LEVOFLOXACINO GEN.500MG 7CPDS - EUROFARMA
LEVOFLOXACINO GEN.500MG 7CPDS - NOVA QUIMICA
LEVOFLOXACINO GEN.500MG 7CPDS REV. - EMS GENERICOS
LEVOFLOXACINO GEN.500MG 7CPDS REV. - LEGRAND GENERICOS
LEVOFLOXACINO GEN.500MG 7CPDS REV. - GERMED GENERICOS
LEVOFLOXACINO GEN.5MG/ML 6BOLSA 100ML - EUROFARMA
LEVOFLOXACINO GEN.5MG/ML BOLSA 100ML - HALEX ISTAR
LEVOFLOXACINO GEN.INJ.5MG/ML BOLSA POLIETILENO 100ML - ISOFARMA
LEVOID 100MCG 30CPDS - ACHE
LEVOID 112MCG 30CPDS - ACHE
LEVOID 125MCG 30CPDS - ACHE
LEVOID 150MCG 30CPDS - ACHE
LEVOID 175MCG 30CPDS - ACHE
LEVOID 200MCG 30CPDS - ACHE
LEVOID 25MCG 30CPDS - ACHE
LEVOID 38MCG 30CPDS - ACHE
LEVOID 50MCG 30CPDS - ACHE
LEVOID 75MCG 30CPDS - ACHE
LEVOID 88MCG 30CPDS - ACHE
LEVONORGESTREL GEN.1,5MG 1CPD - NEOQUIMICA
LEVOPHED 1MG/ML 10FA 4ML - HOSPIRA
LEVORDIOL 28CPDS - SIGMA PHARMA
LEVOTIROXINA SODICA GEN.100MCG 30CPDS - MERCK S.A.
LEVOTIROXINA SODICA GEN.112MCG 30CPDS - MERCK S.A.
LEVOTIROXINA SODICA GEN.125MCG 30CPDS - MERCK S.A.
LEVOTIROXINA SODICA GEN.150MCG 30CPDS - MERCK S.A.
LEVOTIROXINA SODICA GEN.175MCG 30CPDS - MERCK S.A.
LEVOTIROXINA SODICA GEN.200MCG 30CPDS - MERCK S.A.
LEVOTIROXINA SODICA GEN.25MCG 30CPDS - MERCK S.A.
LEVOTIROXINA SODICA GEN.50MCG 30CPDS - MERCK S.A.
LEVOTIROXINA SODICA GEN.75MCG 30CPDS - MERCK S.A.
LEVOTIROXINA SODICA GEN.88MCG 30CPDS - MERCK S.A.
LEVOXIN 250MG 3CPDS REV. - APSEN
LEVOXIN 250MG 7CPDS REV. - APSEN
LEVOXIN 500MG 10CPDS REV. - APSEN
LEVOXIN 500MG 14CPDS REV. - APSEN
LEVOXIN 500MG 3CPDS REV. - APSEN
LEVOXIN 500MG 7CPDS REV. - APSEN
LEVOZINE 100MG 20X10CPDS - CRISTALIA
LEVOZINE 25MG 20X10CPDS - CRISTALIA
LEVOZINE 40MG/ML 10X20ML - CRISTALIA
LEXAPRO 10MG 14CPDS - LUNDBECK
LEXAPRO 10MG 28CPDS - LUNDBECK
LEXAPRO 10MG 7CPDS - LUNDBECK
LEXAPRO 15MG 14CPDS - LUNDBECK
LEXAPRO 15MG 28CPDS - LUNDBECK
LEXAPRO 20MG 14CPDS - LUNDBECK
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
143012
134373
103126
103125
83573
83574
84883
133454
76453
6280035
68174
6280036
68175
91630
91631
164631
164632
169794
61335
35378
145330
145332
145335
153565
145337
155118
104725
104724
104723
35484
1280099
84415
84416
70957
129393
129390
131214
140606
132238
129391
153718
55300
7080151
3080097
90694
138703
145338
6280038
DESCRICAO
LEXAPRO 20MG 15ML - LUNDBECK
LEXAPRO 20MG 28CPDS - LUNDBECK
LEXATO 500MG 1FA - DARROW
LEXATO 50MG 1FA - DARROW
LEXFAST 3MG 20CPDS - SIGMA PHARMA
LEXFAST 6MG 20CPDS - SIGMA PHARMA
LEXFAST 6MG/ML SOL.ORAL 20ML - SIGMA PHARMA
LEXIN 50MG/ML SUSP.100ML - TEUTO BRAS
LEXOTAN 2,5MG/ML GTS.20ML - ROCHE
LEXOTAN 3MG 20CPDS - ROCHE
LEXOTAN 3MG 30CPDS - ROCHE
LEXOTAN 6MG 20CPDS - ROCHE
LEXOTAN 6MG 30CPDS - ROCHE
LEZEPAN 3MG 20CPDS - NEOQUIMICA
LEZEPAN 6MG 20CPDS - NEOQUIMICA
LIBERAFLUX 7,5MG/ML XPE.100ML - ACHE
LIBERAFLUX 7,5MG/ML XPE.200ML - ACHE
LIBERAFLUX 7,5MG/ML XPE.30ML - ACHE
LIBIAM 1,25MG 28CPDS - LIBBS
LIBIAM 2,5MG 28CPDS - LIBBS
LIBOXAL 100MG 1FA - LIBRA
LIBOXAL 50MG 1FA - LIBRA
LIBRACTAM 1+2G 1FA - LIBRA
LIBRACTAM 500+1000MG PO INJ.1FA 1,5GR - LIBRA
LIBRATECAM 20MG/ML 1FA 7,5ML - LIBRA
LICCO 5MG 30CAPS - BALDACCI
LICOR CACAU XAVIER 100MG 1CPD - COSMED
LICOR CACAU XAVIER 100MG 6CPDS - COSMED
LICOR CACAU XAVIER 20MG/ML 30ML - COSMED
LICOVIT 30CAPS - ATIVUS
LIDIAL 50MG/G POM.DERM.25G - BUNKER
LIDOCAINA GEN.2% S/VASO 100AMP 5ML - HIPOLABOR
LIDOCAINA GEN.2% S/VASO 25X20ML - HIPOLABOR
LIDOCAINA GEN.2% S/VASO.25FA. 20ML - HYPOFARMA
LIDOCAINA GEN.40MG/G CRM.DERM.30G - GERMED GENERICOS
LIDOCAINA GEN.40MG/G CRM.DERM.30G - EMS GENERICOS
LIDOCAINA GEN.50MG/G POM.DERM.25G - EMS GENERICOS
LIDOCAINA GEN.50MG/G POM.DERM.25GRS - PRATI-DONADUZZI
LIDOCAINA GEN.50MG/G POM.DERM.LAR.25G - GERMED GENERICOS
LIDOCAINA GEN.50MG/G POM.DERM.LAR.25G - EMS GENERICOS
LIDOGEL 2% GEL 50BG 30GRS+APL.URET. - NEOQUIMICA
LIDOGEL 2% GEL 30GRS+APL.URET. - NEOQUIMICA
LIDOJET 2% SOL.INJ.S/VASO 12AMP 20ML - UNIAO QUIMICA
LIDOSPORIN SOL.OTO.10ML - FARMOQUIMICA
LIFE-VIT 30CPDS REV. - LUPER
LIFOLIN 50MG 1FA 10ML - LIBRA
LIFOS 1GR 1FA - LIBRA
LIMBRITOL 12,5+5MG 20CAPS GEL. - VALEANT
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
31700
1280129
1280130
81119
110083
74347
6500120
6500121
960040
149029
99853
2900099
169668
137229
169669
137230
141135
141136
260048
150938
150940
150941
150942
150944
150945
83155
149839
149840
149841
149842
149843
149844
149845
149846
150954
159613
150955
150956
80061
80060
134968
144093
80059
134969
144094
68214
68215
138704
DESCRICAO
LINATRON 300MG/ML 50AMP 2ML - ARISTON
LINCOFLAN 300MG 1AMP 1ML - BUNKER
LINCOFLAN 600MG 1AMP 2ML - BUNKER
LINCOMIN 300MG/ML 50AMP 1ML - NOVAFARMA
LINCOMIN 300MG/ML 50AMP 2ML - NOVAFARMA
LINCOVAX 600MG 1AMP 2ML - DELTA
LIORAM 10MG 10CPDS - MANTECORP
LIORAM 10MG 20CPDS - MANTECORP
LIORESAL 10MG 20CPDS - NOVARTIS
LIPANON RETARD 250MG 10CAPS GEL - FARMASA
LIPANON RETARD 250MG 15CAPS GEL - FARMASA
LIPANON RETARD 250MG 30CAPS GEL - FARMASA
LIPIBLOCK 120MG 2BLX15CAPS GEL.DURA - GERMED
LIPIBLOCK 120MG 2BLX21CAPS GEL.DURA - GERMED
LIPIBLOCK 120MG 4BLX15CAPS GEL.DURA - GERMED
LIPIBLOCK 120MG 4BLX21CAPS GEL.DURA - GERMED
LIPIDEM 10X100ML 3547890 - B.BRAUN
LIPIDEM 10X250ML 3547900 - B.BRAUN
LIPIDIL MICRONIZADO 200MG 30CAPS - CHIESI
LIPIGRAN 10MG 3BLX10CPDS REV. - LEGRAND PRESCRICAO
LIPIGRAN 20MG 3BLX10CPDS REV. - LEGRAND PRESCRICAO
LIPIGRAN 20MG 6BLX10CPDS REV. - LEGRAND PRESCRICAO
LIPIGRAN 40MG 3BLX10CPDS REV. - LEGRAND PRESCRICAO
LIPIGRAN 40MG 6BLX10CPDS REV. - LEGRAND PRESCRICAO
LIPIGRAN 80MG 5BLX6CPDS REV. - LEGRAND PRESCRICAO
LIPIODOL ULTRA-FLUIDO 1AMP 10ML - GUERBET
LIPISTAT 10MG 20CPDS REV. - SIGMA PHARMA
LIPISTAT 10MG 30CPDS REV. - SIGMA PHARMA
LIPISTAT 10MG 60CPDS REV. - SIGMA PHARMA
LIPISTAT 20MG 30CPDS REV. - SIGMA PHARMA
LIPISTAT 20MG 60CPDS REV. - SIGMA PHARMA
LIPISTAT 40MG 30CPDS REV. - SIGMA PHARMA
LIPISTAT 40MG 60CPDS REV. - SIGMA PHARMA
LIPISTAT 80MG 30CPDS REV. - SIGMA PHARMA
LIPISTATINA 10MG 2BLX15CPDS REV. - GERMED
LIPISTATINA 20MG 2BLX15CPDS REV. - GERMED
LIPISTATINA 20MG 4BLX15CPDS REV. - GERMED
LIPISTATINA 40MG 2BLX15CPDS REV. - GERMED
LIPITOR 10MG 10CPDS REV. - PFIZER
LIPITOR 10MG 30CPDS REV. - PFIZER
LIPITOR 10MG 90CPDS REV. - PFIZER
LIPITOR 20MG 10CPDS REV. - PFIZER
LIPITOR 20MG 30CPDS REV. - PFIZER
LIPITOR 20MG 90CPDS REV. - PFIZER
LIPITOR 40MG 10CPDS REV. - PFIZER
LIPITOR 40MG 30CPDS REV. - PFIZER
LIPITOR 80MG 30CPDS REV. - PFIZER
LIPLATIN 150MG 10MG/ML 15ML - LIBRA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
58515
170629
156692
767135
767136
92929
88686
2800080
2800081
44673
44674
161800
161806
161802
161810
110936
110938
110937
6260084
6260085
169736
1905005
134424
138078
2560044
103079
71743
122113
106408
97029
53795
122111
55666
76870
64056
123095
72224
92741
41318
78570
104451
71680
76871
82757
60632
64058
123096
72225
DESCRICAO
LIPLESS 100MG 30CPDS - BIOLAB SANUS
LIPLESS 100MG 60CPDS - BIOLAB SANUS
LIPNEO 100MG 30CPDS - NEOQUIMICA
LIPOFUNDIN MCT/LCT+E 20% 100ML 3644341 - B.BRAUN
LIPOFUNDIN MCT/LCT+E 20% 500ML 3644367 - B.BRAUN
LIPOSIC 2+48,5MG/G GEL OFT.10G - BAUSCH+LOMB
LIPOTEX 10MG 30CPDS REV. - MEDLEY
LIPOVENOS 20% 100ML BR2141031 - FRESENIUS KABI
LIPOVENOS 20% 500ML BR2141091 - FRESENIUS KABI
LIPOVENOS MCT 10% 500ML BR2811091 - FRESENIUS KABI
LIPOVENOS MCT 20% 500ML BR2814091 - FRESENIUS KABI
LIPTHAL 10MG 30CPDS REV. - TEUTO BRAS
LIPTHAL 10MG 60CPDS REV. - TEUTO BRAS
LIPTHAL 20MG 30CPDS REV. - TEUTO BRAS
LIPTHAL 20MG 60CPDS REV. - TEUTO BRAS
LIPURO 1% 5AMP 20ML 3547825 - B.BRAUN
LIPURO 1% FR 100ML 3547833 - B.BRAUN
LIPURO 1% FR 50ML 3547817 - B.BRAUN
LIQUIDO DAKIM 1000ML 0157 - RIOQUIMICA
LIQUIDO DAKIM 100ML 0156 - RIOQUIMICA
LIQUIDO DAKIN 0,5% 1FR 1000ML - VIC PHARMA
LIQUIDO DAKIN 1000ML - D.G.L
LIQUIDO DAKIN 100ML - D.G.L
LIQUIDO DAKIN 100ML ALMOT. - ICAR
LISADOR 375+12,5+12,5MG INJ. 3AMP 2ML - FARMASA
LISADOR 375+12,5+12,5MG/ML 50AMP - FARMASA
LISADOR 500+5+10MG 16CPDS - FARMASA
LISADOR 500+5+10MG 1X4CPDS F.V - FARMASA
LISADOR 500+5+10MG 25X4CPDS - FARMASA
LISADOR 500+5MG SOL.15ML - FARMASA
LISADOR 500+5MG SOL.20ML - FARMASA
LISADOR 500MG 1X8CPDS F.V - FARMASA
LISADOR 500MG 25X8CPDS - FARMASA
LISINOPRIL GEN.10MG 2BLX15CPDS - EMS GENERICOS
LISINOPRIL GEN.10MG 30CPDS - MEDLEY
LISINOPRIL GEN.10MG 30CPDS - AUROBINDO
LISINOPRIL GEN.10MG 30CPDS - TEUTO BRAS
LISINOPRIL GEN.10MG 30CPDS - BIOSINTETICA
LISINOPRIL GEN.10MG 3X10CPDS - RANBAXY
LISINOPRIL GEN.10MG 3X10CPDS - CRISTALIA
LISINOPRIL GEN.10MG 9BLX10CPDS - EMS GENERICOS
LISINOPRIL GEN.10MG PLAST.BCO.30CPDS - SANDOZ
LISINOPRIL GEN.20MG 2BLX15CPDS - EMS GENERICOS
LISINOPRIL GEN.20MG 2BLX15CPDS - GERMED GENERICOS
LISINOPRIL GEN.20MG 2X15CPDS - BIOSINTETICA
LISINOPRIL GEN.20MG 30CPDS - MEDLEY
LISINOPRIL GEN.20MG 30CPDS - AUROBINDO
LISINOPRIL GEN.20MG 30CPDS - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
41320
78571
71681
76872
82758
104453
76869
82755
60633
64054
123094
72223
41316
78569
103181
71679
60634
76830
76831
76829
71019
1260053
153740
420020
420013
138705
160048
38374
119252
162973
162975
162971
83843
145474
55269
35485
35486
162978
131226
17869
17870
960044
960043
37239
4560021
43739
41309
77965
DESCRICAO
LISINOPRIL GEN.20MG 3X10CPDS - RANBAXY
LISINOPRIL GEN.20MG 3X10CPDS - CRISTALIA
LISINOPRIL GEN.20MG PLAST.BCO.30CPDS - SANDOZ
LISINOPRIL GEN.30MG 2BLX15CPDS - EMS GENERICOS
LISINOPRIL GEN.30MG 2BLX15CPDS - GERMED GENERICOS
LISINOPRIL GEN.30MG 6BLX10CPDS - EMS GENERICOS
LISINOPRIL GEN.5MG 2BLX15CPDS - EMS GENERICOS
LISINOPRIL GEN.5MG 2BLX15CPDS - GERMED GENERICOS
LISINOPRIL GEN.5MG 2X15CPDS - BIOSINTETICA
LISINOPRIL GEN.5MG 30CPDS - MEDLEY
LISINOPRIL GEN.5MG 30CPDS - AUROBINDO
LISINOPRIL GEN.5MG 30CPDS - TEUTO BRAS
LISINOPRIL GEN.5MG 3X10CPDS - RANBAXY
LISINOPRIL GEN.5MG 3X10CPDS - CRISTALIA
LISINOPRIL GEN.5MG 9BLX10CPDS - EMS GENERICOS
LISINOPRIL GEN.5MG PLAST.BCO.30CPDS - SANDOZ
LISINOPRIL+HIDROCLOROTIAZIDA GEN.20+12,5MG 3X10CPDS - BIOSINTETICA
LISINOVIL 10MG 30CPDS - HEXAL
LISINOVIL 20MG 30CPDS - HEXAL
LISINOVIL 5MG 30CPDS - HEXAL
LISOCLOR 200/12,5MG 30CPDS - NEOQUIMICA
LISODREN 500MG 100CPDS - BRISTOL
LISPELIN 30MG 14CAPS GEL - PRATI-DONADUZZI
LITOCIT 10MEQ 60CPDS - APSEN
LITOCIT 5MEQ 60CPDS - APSEN
LITREXATE 500MG 25MG/ML 20ML - LIBRA
LIVIAL 2,5MG 28CPDS - SCHERING PLOUGH
LIVIAL 2,5MG 3X28CPDS - SCHERING PLOUGH
LIVILAN 30CAPS - ATIVUS
LIVIPARK 0,125MG 30CPDS - SANDOZ
LIVIPARK 0,250MG 30CPDS - SANDOZ
LIVIPARK 1MG 30CPDS - SANDOZ
LIVOLON 1,25MG 30CPDS - BIOLAB SANUS
LIVOLON 1,25MG 90CPDS - BIOLAB SANUS
LIVOLON 2,5MG 30CPDS - BIOLAB SANUS
LIVTEN 500MG 30CAPS - ATIVUS
LIVTEN L 1000MG 30CAPS - ATIVUS
LIZZY 0,06+0,015MG 24CPDS REV. - SANDOZ
LOCABIOTAL 5,0MG/ML AEROSOL 10ML - SERVIER
LOCERYL 0,25% CRM.20G - GALDERMA
LOCERYL 5% ESMALTE TERAPEUTICO 2,5ML - GALDERMA
LOCORTEN VIOFORMIO 0,2+30MG/G POM.DERM.15G - NOVARTIS
LOCORTEN VIOFORMIO 0,2MG/G CRM.DERM.15G - NOVARTIS
LODIPEN 5MG 20CPDS - ROYTON
LOGAT 150MG 20CPDS - LIBBS
LOMBALGINA 300MG 20CPDS - NEOQUIMICA
LOMDOR 10ML - OSORIO DE MORAES
LOMDOR 50X10ML - OSORIO DE MORAES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
103017
103016
5600013
77966
5600012
84159
2215006
2215007
5628071
5628070
5628048
5628049
7060013
95287
115775
80022
80005
124117
124118
960045
1260054
1260055
3440034
3440033
3440008
6460063
107174
137678
163518
2560114
2560116
2560117
2560115
4560038
41534
28631
31350
41531
79011
79012
103308
131200
146679
48123
55277
60635
80731
128196
DESCRICAO
LOMFER 250X10DRGS - OSORIO DE MORAES
LOMFER 300MG 5X10DRGS - OSORIO DE MORAES
LOMFER GTS.30ML - OSORIO DE MORAES
LOMFER GTS.50X30ML - OSORIO DE MORAES
LOMFER XPE.100ML - OSORIO DE MORAES
LOMICINA 5MG/G 10GRS - OSORIO DE MORAES
LONCORD 20MG 20CAPS - DIFFUCAP
LONCORD 40MG 20CAPS - DIFFUCAP
LONGACTIL 100MG 20X10CPDS - CRISTALIA
LONGACTIL 25MG 20X10CPDS - CRISTALIA
LONGACTIL 25MG 50AMP 5ML - CRISTALIA
LONGACTIL 40MG/ML 10X20ML - CRISTALIA
LONITEN 10MG 30CPDS - PFIZER
LONIUM 40MG 30CPDS REV. - APSEN
LONIUM 40MG 60CPDS REV. - APSEN
LOPID 600MG 24CAPS - PFIZER
LOPID 900MG 12CPDS - PFIZER
LOPIGREL 75MG 14CPDS - MEDLEY
LOPIGREL 75MG 28CPDS - MEDLEY
LOPRESSOR 100MG 20CPDS REV. - NOVARTIS
LOPRIL D 50/25MG 16CPDS - BRISTOL
LOPRIL D 50/25MG 30CPDS - BRISTOL
LOPROX 10MG/G CRM.DERM.20GRS - SANOFI-AVENTIS
LOPROX 10MG/ML SOL.15ML - SANOFI-AVENTIS
LOPROX NL 80MG/G 3GRS - SANOFI-AVENTIS
LOPURAX 100MG 2X10CPDS - SANVAL
LOPURAX 100MG 50X10CPDS - SANVAL
LORADINE 10MG 12CPDS - TEUTO BRAS
LORADINE 1MG/ML XPE.100ML+CP.MED. - TEUTO BRAS
LORALERG 10MG 10CPDS - FARMASA
LORALERG D 10CPDS REV. - FARMASA
LORALERG D XPE.60ML - FARMASA
LORALERG XPE.60ML - FARMASA
LORANIL 10MG 6CPDS - LIBBS
LORANIL D 10/240MG 6CPDS 24HRS - LIBBS
LORANIL D 6CPDS - LIBBS
LORANIL D XPE.60ML - LIBBS
LORANIL XPE.VD.100ML - LIBBS
LORAPAN 1MG 20CPDS - NEOQUIMICA
LORAPAN 2MG 20CPDS - NEOQUIMICA
LORASLIV 10MG 12CPDS - VITAPAN
LORATADINA GEN.1,0MG/ML XPE.100ML - NEOQUIMICA
LORATADINA GEN.10MG 10CPDS - SANDOZ
LORATADINA GEN.10MG 12CPDS - SANDOZ
LORATADINA GEN.10MG 12CPDS - RANBAXY
LORATADINA GEN.10MG 2X6CPDS - BIOSINTETICA
LORATADINA GEN.10MG 2X6CPDS REV. - MERCK S.A.
LORATADINA GEN.10MG 6CPDS - NOVA QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
101572
139418
103920
96277
102020
47221
111838
26066
150653
140610
90975
102019
100097
39092
103071
74115
92385
91639
120847
96278
88226
167833
48175
30191
92754
92755
83575
83576
99860
79913
129655
99861
79914
92387
94224
51757
129654
495048
495047
31853
31854
138631
48110
48111
129944
118560
119428
68384
DESCRICAO
LORATADINA GEN.1G/ML XPE.100ML - GERMED GENERICOS
LORATADINA GEN.1MG/ML 100ML - MARIOL
LORATADINA GEN.1MG/ML 100ML - CIMED
LORATADINA GEN.1MG/ML XPE.100ML - BIOSINTETICA
LORATADINA GEN.1MG/ML XPE.100ML - FARMASA
LORATADINA GEN.1MG/ML XPE.100ML - EMS GENERICOS
LORATADINA GEN.1MG/ML XPE.100ML - NOVA QUIMICA
LORATADINA GEN.1MG/ML XPE.100ML - UNIAO QUIMICA
LORATADINA GEN.1MG/ML XPE.100ML+CP MED - TEUTO BRAS
LORATADINA GEN.1MG/ML XPE.100ML+CP.MED. - PRATI-DONADUZZI
LORATADINA GEN.1MG/ML XPE.100ML+CP.MED. - MERCK S.A.
LORATADINA GEN.1MG/ML XPE.60ML - FARMASA
LORATADINA GEN.5MG/5ML XPE.100ML - LEGRAND GENERICOS
LORATADINA GEN.XPE.100ML - MEDLEY
LORATADINA+SULFATO PSEUDOEFEDRINA GEN.1+12MG/ML XPE.60ML - TEUTO BRAS
LORATADINA+SULFATO PSEUDOEFEDRINA GEN.1+12MG/ML XPE.60ML - EMS GENERICOS
LORATADINA+SULFATO PSEUDOEFEDRINA GEN.1MG/ML XPE.60ML - LEGRAND GENERICOS
LORATADINA+SULFATO PSEUDOEFEDRINA GEN.1MG/ML XPE.60ML - GERMED GENERICOS
LORATADINA+SULFATO PSEUDOEFEDRINA GEN.1MG/ML+12MG/ML XPE.60ML - NEOQUIMICA
LORATADINA+SULFATO PSEUDOEFEDRINA GEN.XPE.60ML - BIOSINTETICA
LORATADINA+SULFATO PSEUDOEFEDRINA GEN.XPE.60ML - MEDLEY
LORATAMED 10MG 50BLX12CPDS - CIMED
LORATAMED 12CPDS - CIMED
LORATAMED XPE.100ML - CIMED
LORAX 1MG 30CPDS - WYETH
LORAX 2MG 30CPDS - WYETH
LORAZEFAST 1MG 20CPDS - SIGMA PHARMA
LORAZEFAST 2MG 20CPDS - SIGMA PHARMA
LORAZEPAM GEN.1MG 20CPDS - MERCK S.A.
LORAZEPAM GEN.1MG 20CPDS - MEDLEY
LORAZEPAM GEN.2MG 100CPDS - TEUTO BRAS
LORAZEPAM GEN.2MG 20CPDS - MERCK S.A.
LORAZEPAM GEN.2MG 20CPDS - MEDLEY
LORAZEPAM GEN.2MG 20CPDS - LEGRAND GENERICOS
LORAZEPAM GEN.2MG 20CPDS - EMS GENERICOS
LORAZEPAM GEN.2MG 2BLX10CPDS - GERMED GENERICOS
LORAZEPAM GEN.2MG 30CPDS - TEUTO BRAS
LOREMIX 10MG 12CPDS - ATIVUS
LOREMIX 1MG/ML XPE.100ML - ATIVUS
LOREMIX D 12CPDS REV. - ATIVUS
LOREMIX D XPE.60ML - ATIVUS
LORENTIL 10MG/G CRM.DERM. 20GRS - NEOQUIMICA
LORSACOR 50MG 14CPDS - HEXAL
LORSACOR 50MG 28CPDS - HEXAL
LORSACOR 50MG 30CPDS - HEXAL
LORSACOR 50MG 60CPDS - HEXAL
LORSAR HCT 50+12,5MG 28CPDS - HEXAL
LORSAR HCT 50+12,5MG 2X15CPDS - HEXAL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
103309
136807
960046
78267
78268
79742
89447
89448
79743
159220
127870
128382
128161
148216
143007
160558
140614
69862
76603
77934
159221
84213
103979
76604
77935
122636
88588
83390
84214
143008
139394
152126
140612
127869
128381
165266
101675
128160
77936
132176
160556
154517
131423
142269
127942
98314
98497
98432
DESCRICAO
LOSACORON 50MG 14CPDS - VITAPAN
LOSACORON 50MG 28CPDS - VITAPAN
LOSALEN 0,2+30MG/G POM.DERM.30G - NOVARTIS
LOSAPRIN 50MG 14CPDS - ROYTON
LOSAPRIN 50MG 28CPDS - ROYTON
LOSARTAN POTASSICO GEN.50MG 14CPDS - BRAINFARMA
LOSARTAN POTASSICO GEN.50MG 14CPDS - NOVA QUIMICA
LOSARTAN POTASSICO GEN.50MG 28CPDS - NOVA QUIMICA
LOSARTAN POTASSICO GEN.50MG 2X14CPDS - BRAINFARMA
LOSARTANA POTASSICA GEN.100MG 100CPDS REV. - PRATI-DONADUZZI
LOSARTANA POTASSICA GEN.100MG 2BLX15CPDS REV. - EMS GENERICOS
LOSARTANA POTASSICA GEN.100MG 2BLX15CPDS REV. - GERMED GENERICOS
LOSARTANA POTASSICA GEN.100MG 2X15CPDS REV. - LEGRAND GENERICOS
LOSARTANA POTASSICA GEN.100MG 30CPDS - MEDLEY
LOSARTANA POTASSICA GEN.100MG 30CPDS - NEOQUIMICA
LOSARTANA POTASSICA GEN.100MG 30CPDS REV. - EUROFARMA
LOSARTANA POTASSICA GEN.100MG 30CPDS REV. - PRATI-DONADUZZI
LOSARTANA POTASSICA GEN.50MG 14CPDS - RANBAXY
LOSARTANA POTASSICA GEN.50MG 14CPDS REV. - BIOSINTETICA
LOSARTANA POTASSICA GEN.50MG 15CPDS - MEDLEY
LOSARTANA POTASSICA GEN.50MG 200CDPS REV. - PRATI-DONADUZZI
LOSARTANA POTASSICA GEN.50MG 20CPDS - CRISTALIA
LOSARTANA POTASSICA GEN.50MG 28CPDS - SANDOZ
LOSARTANA POTASSICA GEN.50MG 28CPDS REV. - BIOSINTETICA
LOSARTANA POTASSICA GEN.50MG 2X15CPDS - MEDLEY
LOSARTANA POTASSICA GEN.50MG 30CPDS - TEUTO BRAS
LOSARTANA POTASSICA GEN.50MG 30CPDS - EUROFARMA
LOSARTANA POTASSICA GEN.50MG 30CPDS - MERCK S.A.
LOSARTANA POTASSICA GEN.50MG 30CPDS - CRISTALIA
LOSARTANA POTASSICA GEN.50MG 30CPDS - NEOQUIMICA
LOSARTANA POTASSICA GEN.50MG 30CPDS REV. - ZYDUS NIKKHO
LOSARTANA POTASSICA GEN.50MG 30CPDS REV. - BIOSINTETICA
LOSARTANA POTASSICA GEN.50MG 30CPDS REV. - PRATI-DONADUZZI
LOSARTANA POTASSICA GEN.50MG 3BLX10CPDS REV. - EMS GENERICOS
LOSARTANA POTASSICA GEN.50MG 3BLX10CPDS REV. - GERMED GENERICOS
LOSARTANA POTASSICA GEN.50MG 3BLX20CPDS REV. - LEGRAND GENERICOS
LOSARTANA POTASSICA GEN.50MG 3X10CPDS - RANBAXY
LOSARTANA POTASSICA GEN.50MG 3X10CPDS REV. - LEGRAND GENERICOS
LOSARTANA POTASSICA GEN.50MG 4X15CPDS - MEDLEY
LOSARTANA POTASSICA GEN.50MG 60CPDS - TEUTO BRAS
LOSARTANA POTASSICA GEN.50MG 60CPDS REV. - EUROFARMA
LOSARTANA POTASSICA GEN.50MG 60CPDS REV. - RANBAXY
LOSARTANA POTASSICA GEN.50MG 75CPDS - TEUTO BRAS
LOSARTANA POTASSICA+HIDROCLOROTIAZIDA GEN.100+25MG 30CPDS - MEDLEY
LOSARTANA POTASSICA+HIDROCLOROTIAZIDA GEN.100+25MG 30CPDS - EUROFARMA
LOSARTANA POTASSICA+HIDROCLOROTIAZIDA GEN.100+25MG 30CPDS - LEGRAND GENERICOS
LOSARTANA POTASSICA+HIDROCLOROTIAZIDA GEN.100+25MG 30CPDS REV. - EMS GENERICOS
LOSARTANA POTASSICA+HIDROCLOROTIAZIDA GEN.100+25MG 30CPDS REV. - GERMED GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
142271
142262
127941
98313
98494
98430
142266
38796
38797
38798
38799
143244
104319
26821
26820
26819
26822
140265
140266
82405
144966
82406
144964
129242
144965
960085
960112
960110
960019
960002
67486
83896
83897
89451
94090
37240
37241
26045
159667
15345
136554
136555
156481
6920161
6920162
6920163
6920164
88539
DESCRICAO
LOSARTANA POTASSICA+HIDROCLOROTIAZIDA GEN.100+25MG 60CPDS - MEDLEY
LOSARTANA POTASSICA+HIDROCLOROTIAZIDA GEN.50+12,5MG 30CPDS - MEDLEY
LOSARTANA POTASSICA+HIDROCLOROTIAZIDA GEN.50+12,5MG 30CPDS - EUROFARMA
LOSARTANA POTASSICA+HIDROCLOROTIAZIDA GEN.50+12,5MG 30CPDS - LEGRAND GENERICOS
LOSARTANA POTASSICA+HIDROCLOROTIAZIDA GEN.50+12,5MG 30CPDS REV. - EMS GENERICOS
LOSARTANA POTASSICA+HIDROCLOROTIAZIDA GEN.50+12,5MG 30CPDS RV. - GERMED GENERICOS
LOSARTANA POTASSICA+HIDROCLOROTIAZIDA GEN.50+12,5MG 60CPDS - MEDLEY
LOSARTEC 25MG 10CPDS REV. - MARJAN
LOSARTEC 25MG 30CPDS REV. - MARJAN
LOSARTEC 50MG 10CPDS REV. - MARJAN
LOSARTEC 50MG 30CPDS REV. - MARJAN
LOSARTION 50MG 10CPDS REV. - MERCK S.A.
LOSARTION 50MG 30CPDS REV - MERCK S.A.
LOSEC MUPS 10MG 2BLX7CPDS REV. - ASTRAZENECA
LOSEC MUPS 20MG 2BLX7CPDS REV. - ASTRAZENECA
LOSEC MUPS 20MG 7CPDS - ASTRAZENECA
LOSEC MUPS 40MG 7CPDS - ASTRAZENECA
LOTANOL 50MG 30CPDS REV. - TEUTO BRAS
LOTANOL 50MG 60CPDS REV. - TEUTO BRAS
LOTAR 2,5+50MG 30CAPS - BIOSINTETICA
LOTAR 2,5+50MG 7CAPS - BIOSINTETICA
LOTAR 5+100MG 30CAPS - BIOSINTETICA
LOTAR 5+100MG 7CAPS - BIOSINTETICA
LOTAR 5+50MG 30CAPS - BIOSINTETICA
LOTAR 5+50MG 7CAPS - BIOSINTETICA
LOTENSIN 10MG 14CPDS REV. - NOVARTIS
LOTENSIN 10MG 30CPDS REV. - NOVARTIS
LOTENSIN 5MG 30CPDS REV. - NOVARTIS
LOTENSIN H 10+12,5MG 30CPDS REV. - NOVARTIS
LOTENSIN H 5+6,25MG 30CPDS REV. - NOVARTIS
LOTEPROL 5MG/ML SUSP.OFT.5ML - BAUSCH+LOMB
LOVASTATINA GEN.10MG 30CPDS - SANDOZ
LOVASTATINA GEN.20MG 30CPDS - SANDOZ
LOVASTATINA GEN.20MG 3X10CPDS - NOVA QUIMICA
LOVASTATINA GEN.40MG 10CPDS - SANDOZ
LOVATON 20MG 10CPDS - ROYTON
LOVATON 20MG 30CPDS - ROYTON
LOVELLE 0,25+0,05MG 21CPDS REV. - BIOLAB SANUS
LOXAM 15MG 10CPDS - NEOQUIMICA
LOXAM 7,5MG 10CPDS - NEOQUIMICA
LOXONIN 60MG 15CPDS BL.AL/AL - DAIICHI SANKYO
LOXONIN 60MG 30CPDS BL.AL/AL - DAIICHI SANKYO
LOXONIN 60MG 8CPDS - DAIICHI SANKYO
LOZAN 200MG 10CPDS - TEUTO BRAS
LOZAN 200MG 30CPDS - TEUTO BRAS
LOZAN 20MG/G CRM.30GRS - TEUTO BRAS
LOZAN 20MG/G SHM.100ML - TEUTO BRAS
LOZIL 900MG 12CPDS REV. - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
84644
61761
119615
144203
20042
960048
960049
146675
146676
1260056
22390
37835
67629
41486
118530
153638
162004
43366
20043
17706
20117
20246
1300130
1300051
59755
94069
94070
165825
165826
165824
138447
138448
138449
167269
167270
2560049
71744
6200137
72965
6200139
72963
15055
15056
89324
170641
141394
340059
108153
DESCRICAO
LOZIX 20MG 14CAPS - ASPEN
LP DRINK-LPD 400GRS - SUPPORT NUTRITION
LUBRI-INTIMUS 5ML - FBM
LUCENTIS 10MG/ML SOL.INJ.FA 0,23ML - NOVARTIS
LUCRETIN PO 20ENV 4GRS - FARMASA
LUDIOMIL 25MG 20CPDS - NOVARTIS
LUDIOMIL 75MG 20CPDS - NOVARTIS
LUFISAN 40MG 20CPDS - SANDOZ
LUFISAN 75MG 15ML - SANDOZ
LUFTAL 20CPDS - BRISTOL
LUFTAL GTS.15ML - BRISTOL
LUFTAL MAX 125MG 10CAPS GEL - BRISTOL
LUFTAL MAX 125MG 10CAPS MASTIG. - BRISTOL
LUMIGAN 0,3MG/ML SOL.OFT.3ML - ALLERGAN
LUMIGAN 0,3MG/ML SOL.OFT.5ML - ALLERGAN
LUMIGAN RC 0,1MG/ML SOL.OFT.3ML - ALLERGAN
LUMIGAN RC 0,1MG/ML SOL.OFT.5ML - ALLERGAN
LUMIREM 3FR 300ML - GUERBET
LUPRON 5MG/ML SOL.INJ.1FA 2,8ML - ABBOTT
LUPRON DEPOT 11,25MG PO LIOF.1FA+DIL.+SER. - ABBOTT
LUPRON DEPOT 3,75MG PO LIOF.1FA+DIL.2ML+SER. - ABBOTT
LUPRON DEPOT 7,5MG PO LIOF.1FA+DIL.+SER. - ABBOTT
LUTENIL 5MG 10CPDS - MERCK S.A.
LUTENIL 5MG 14CPDS - MERCK S.A.
LUVERIS 75UI PO LIOFILIZADO 1FA+DIL - MERCK S.A.
LUVOX 100MG 15CPDS REV. - ABBOTT SAUDE
LUVOX 100MG 30CPDS REV. - ABBOTT SAUDE
LUVOX 50MG 15CPDS - ABBOTT SAUDE
LUVOX 50MG 30CPDS - ABBOTT SAUDE
LUVOX 50MG 8CPDS - ABBOTT SAUDE
LYRICA 150MG 28CAPS - PFIZER
LYRICA 75MG 14CAPS - PFIZER
LYRICA 75MG 28CAPS - PFIZER
LYSTATE 120MG 30CAPS GEL.DURA - GLENMARK
LYSTATE 120MG 60CAPS GEL.DURA - GLENMARK
M.M EXPECTOR.20+3+3MG/ML XPE.120ML - FARMASA
M.M XPE.120ML - FARMASA
MAALOX CER.240ML - SANOFI-AVENTIS
MAALOX CER.3X10CPDS - SANOFI-AVENTIS
MAALOX MENTA 240ML - SANOFI-AVENTIS
MAALOX MENTA 3X10CPDS - SANOFI-AVENTIS
MABTHERA 100MG SOL.INJ.2FA 10ML - ROCHE
MABTHERA 500MG SOL.INJ.1FA 50ML - ROCHE
MACRODANTINA 100MG 28CAPS - MANTECORP
MAGNALIV 130+2,5+1MG 30CPDS REV. - ATIVUS
MAGNEN B6 30CPDS REV. - MARJAN
MAGNESIA BISURADA 1X10PAST F.V - WYETH CONSUMER
MAGNESIA BISURADA 20X10PAST - WYETH CONSUMER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
340058
111198
103052
103053
103054
20046
20052
90240
20045
20044
20009
43689
81919
124489
460120
13944
119751
57147
165914
79745
145514
138718
138717
166976
140616
88581
166978
166979
166974
166975
166977
67117
123442
124368
139613
133632
148547
64002
42818
129392
129717
129394
79744
142086
91275
91640
91663
69681
DESCRICAO
MAGNESIA BISURADA 4X10PAST - WYETH CONSUMER
MAGNEVISTAN 10X100ML - BAYER
MAGNEVISTAN 10X10ML - BAYER
MAGNEVISTAN 10X15ML - BAYER
MAGNEVISTAN 10X30ML - BAYER
MAGNOPYROL 300MG 5SUPS - FARMASA
MAGNOPYROL 500MG 1X4CPDS F.V - FARMASA
MAGNOPYROL 500MG 25X8CPDS - FARMASA
MAGNOPYROL 500MG 50X4CPDS - FARMASA
MAGNOPYROL 500MG/ML GTS.10ML - FARMASA
MAGNOPYROL 500MG/ML GTS.20ML - FARMASA
MAGNOPYROL XPE.100ML - FARMASA
MAGNOSTASE 2MG 12CPDS - NEOQUIMICA
MAGNOSTASE 2MG 200CPDS - NEOQUIMICA
MAGNOSTON 10% 100AMP 10ML - ARISTON
MAGNOSTON 50% 100AMP 10ML - ARISTON
MAGRIX 30CPDS - ATIVUS
MAGRIX 60CPDS - ATIVUS
MAGSTRESS 36CAPS - MARJAN
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML 120ML - BRAINFARMA
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML 120ML - HIPOLABOR
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML SOL.100ML - TEUTO BRAS
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML SOL.50X100ML - TEUTO BRAS
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML SOL.ORAL 100ML+CP.MED. - MARIOL
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML SOL.ORAL 120ML+CP.MED. - PRATI-DONADUZZI
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML SOL.ORAL 120ML+CP.MED.10ML - MERCK S.A.
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML SOL.ORAL 48FR 100ML+48CP.MED. - MARIOL
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML SOL.ORAL 48FR 120ML+48CP.MED. - MARIOL
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML SOL.ORAL 96FR 100ML+96CP.MED. - MARIOL
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML SOL.ORAL 96FR 120ML+96CP.MED. - MARIOL
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML SOL.ORAL120ML+CP.MED. - MARIOL
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML XPE.120ML - EMS GENERICOS
MALEATO DEXCLORFENIRAMINA GEN.10MG CRM.DERM.30G - EMS GENERICOS
MALEATO DEXCLORFENIRAMINA GEN.10MG CRM.DERM.30G - GERMED GENERICOS
MALEATO DEXCLORFENIRAMINA GEN.10MG/G CRM.DERM.30GRS - MEDLEY
MALEATO DEXCLORFENIRAMINA GEN.10MG/G CRM.DERM.30GRS - NEOQUIMICA
MALEATO DEXCLORFENIRAMINA GEN.10MG/G CRM.DERM.30GRS - TEUTO BRAS
MALEATO DEXCLORFENIRAMINA GEN.120ML - MEDLEY
MALEATO DEXCLORFENIRAMINA GEN.120ML - CRISTALIA
MALEATO DEXCLORFENIRAMINA GEN.2,8MG/ML GTS.20ML - EMS GENERICOS
MALEATO DEXCLORFENIRAMINA GEN.2,8MG/ML SOL.ORAL 20ML - LEGRAND GENERICOS
MALEATO DEXCLORFENIRAMINA GEN.2,8MG/ML SOL.ORAL 20ML - GERMED GENERICOS
MALEATO DEXCLORFENIRAMINA GEN.2MG 20CPDS - BRAINFARMA
MALEATO DEXCLORFENIRAMINA GEN.2MG 20CPDS - NEOQUIMICA
MALEATO DEXCLORFENIRAMINA GEN.2MG 2BLX10CPDS - EMS GENERICOS
MALEATO DEXCLORFENIRAMINA GEN.2MG 2BLX10CPDS - GERMED GENERICOS
MALEATO DEXCLORFENIRAMINA GEN.2MG 2X10CPDS - LEGRAND GENERICOS
MALEATO DEXCLORFENIRAMINA GEN.2MG/5ML SOL. 120ML - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
166075
106658
102007
67116
101573
94246
111839
164230
77045
163942
90046
159230
140619
129283
49418
64885
103921
94457
128197
95048
101152
159313
87269
94203
80409
91448
132007
31733
153617
56191
124358
37352
88786
110106
55263
138319
132008
31734
153618
94054
56192
124359
37355
88787
110108
55264
138320
132006
DESCRICAO
MALEATO DEXCLORFENIRAMINA GEN.2MG/5ML XPE 120ML - CIMED
MALEATO DEXCLORFENIRAMINA GEN.SOL.ORAL 120ML - LEGRAND GENERICOS
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4+0,05MG/ML 120ML - BRAINFARMA
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4+0,05MG/ML XPE.120ML - EMS GENERICOS
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4+0,05MG/ML XPE.120ML - GERMED GENERICOS
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4+0,05MG/ML XPE.120ML - UNIAO QUIMICA
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4+0,05MG/ML XPE.120ML - NOVA QUIMICA
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4+0,05MG/ML XPE.PET 120ML+CP.MED. - TEUTO BRAS
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4+0,05MG/ML XPE.VD 120ML+CP.MED. - TEUTO BRAS
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4+0,5MG/ML XPE 120ML+DOSAD. - ACHE
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4+0,5MG/ML XPE.120ML+CP.MED. - MERCK S.A.
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4+0,5MG/ML XPE.120ML+DOSAD. - BIOSINTETICA
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4MG/ML+0,05MG/ML XPE.120ML - PRATI-DONADUZZI
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.0,4MG/ML+0,5MG/ML XPE.120ML - NEOQUIMICA
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.120ML - CRISTALIA
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.120ML - MEDLEY
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.120ML - CIMED
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.2,0+0,25MG 20CPDS - EMS GENERICOS
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.2+0,25MG 20CPDS - NOVA QUIMICA
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.20CPDS - LEGRAND GENERICOS
MALEATO DEXCLORFENIRAMINA+BETAMETASONA GEN.XPE.120ML - LEGRAND GENERICOS
MALEATO DEXCLORFENIRAMINA+SULFATO PSEUDOEFEDRINA+GUAIFENESINA GEN.0,4+4+20MG/ML SOL.ORAL 120ML - NEOQUIMICA
MALEATO DEXCLORFENIRAMINA+SULFATO PSEUDOEFEDRINA+GUAIFENESINA GEN.120ML - MEDLEY
MALEATO DEXCLORFENIRAMINA+SULFATO PSEUDOEFEDRINA+GUAIFENESINA GEN.120ML - LEGRAND GENERICOS
MALEATO ENALAPRIL GEN.10MG 100CPDS - TEUTO BRAS
MALEATO ENALAPRIL GEN.10MG 30CPDS - NEOQUIMICA
MALEATO ENALAPRIL GEN.10MG 30CPDS - AUROBINDO
MALEATO ENALAPRIL GEN.10MG 30CPDS - BIOSINTETICA
MALEATO ENALAPRIL GEN.10MG 30CPDS - CIMED
MALEATO ENALAPRIL GEN.10MG 30CPDS - SANDOZ
MALEATO ENALAPRIL GEN.10MG 30CPDS - TEUTO BRAS
MALEATO ENALAPRIL GEN.10MG 3BLX10CPDS - EMS GENERICOS
MALEATO ENALAPRIL GEN.10MG 3STPX10CPDS - GERMED GENERICOS
MALEATO ENALAPRIL GEN.10MG 3X10CPDS - LEGRAND GENERICOS
MALEATO ENALAPRIL GEN.10MG 3X10CPDS - MEDLEY
MALEATO ENALAPRIL GEN.10MG 3X10CPDS - NOVA QUIMICA
MALEATO ENALAPRIL GEN.20MG 30CPDS - AUROBINDO
MALEATO ENALAPRIL GEN.20MG 30CPDS - BIOSINTETICA
MALEATO ENALAPRIL GEN.20MG 30CPDS - CIMED
MALEATO ENALAPRIL GEN.20MG 30CPDS - NEOQUIMICA
MALEATO ENALAPRIL GEN.20MG 30CPDS - SANDOZ
MALEATO ENALAPRIL GEN.20MG 30CPDS - TEUTO BRAS
MALEATO ENALAPRIL GEN.20MG 3BLX10CPDS - EMS GENERICOS
MALEATO ENALAPRIL GEN.20MG 3STPX10CPDS - GERMED GENERICOS
MALEATO ENALAPRIL GEN.20MG 3X10CPDS - LEGRAND GENERICOS
MALEATO ENALAPRIL GEN.20MG 3X10CPDS - MEDLEY
MALEATO ENALAPRIL GEN.20MG 3X10CPDS - NOVA QUIMICA
MALEATO ENALAPRIL GEN.5MG 30CPDS - AUROBINDO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
31732
94053
55262
56190
60998
124360
37350
88785
110103
91662
79911
89509
83580
71375
110438
89544
79912
90703
71374
110436
142242
85934
139619
139617
139618
84284
2900076
100069
101154
153630
78580
42819
100070
100095
36340
138639
107557
23672
2900077
133637
99999
100000
74310
162916
162918
162917
162919
162920
DESCRICAO
MALEATO ENALAPRIL GEN.5MG 30CPDS - BIOSINTETICA
MALEATO ENALAPRIL GEN.5MG 30CPDS - NEOQUIMICA
MALEATO ENALAPRIL GEN.5MG 30CPDS - MEDLEY
MALEATO ENALAPRIL GEN.5MG 30CPDS - SANDOZ
MALEATO ENALAPRIL GEN.5MG 30CPDS - NOVA QUIMICA
MALEATO ENALAPRIL GEN.5MG 30CPDS - TEUTO BRAS
MALEATO ENALAPRIL GEN.5MG 3BLX10CPDS - EMS GENERICOS
MALEATO ENALAPRIL GEN.5MG 3STPX10CPDS - GERMED GENERICOS
MALEATO ENALAPRIL GEN.5MG 3X10CPDS - LEGRAND GENERICOS
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.10/25MG 2X15CPDS - LEGRAND GENERICOS
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.10/25MG 30CPDS - MEDLEY
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.10+25MG 2BLX15CPDS - GERMED GENERICOS
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.10+25MG 2BLX15CPDS - EMS GENERICOS
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.10+25MG 30CPDS - BIOSINTETICA
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.10+25MG 9BLX10CPDS - EMS GENERICOS
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.20/12,5MG 2X15CPDS - LEGRAND GENERICOS
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.20/12,5MG 3X10CPDS - MEDLEY
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.20+12,5MG 2BLX15CPDS - EMS GENERICOS
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.20+12,5MG 30CPDS - BIOSINTETICA
MALEATO ENALAPRIL+HIDROCLOROTIAZIDA GEN.20+12,5MG 9BLX10CPDS - EMS GENERICOS
MALEATO MIDAZOLAM GEN.15MG 20CPDS REV - MEDLEY
MALEATO MIDAZOLAM GEN.15MG 30CPDS - EUROFARMA
MALEATO MIDAZOLAM GEN.15MG 30CPDS REV. - MEDLEY
MALEATO MIDAZOLAM GEN.7,5MG 20CPDS REV. - MEDLEY
MALEATO MIDAZOLAM GEN.7,5MG 30CPDS REV. - MEDLEY
MALEATO TIMOLOL GEN.0,25% SOL.5ML - BIOSINTETICA
MALEATO TIMOLOL GEN.0,25% SOL.OFT.5ML - ALLERGAN
MALEATO TIMOLOL GEN.0,25% SOL.OFT.5ML - GERMED GENERICOS
MALEATO TIMOLOL GEN.0,5% 5ML - LEGRAND GENERICOS
MALEATO TIMOLOL GEN.0,5% SOL.50FRX15ML - CRISTALIA
MALEATO TIMOLOL GEN.0,5% SOL.5ML - BIOSINTETICA
MALEATO TIMOLOL GEN.0,5% SOL.5ML - CRISTALIA
MALEATO TIMOLOL GEN.0,5% SOL.OFT.5ML - GERMED GENERICOS
MALEATO TIMOLOL GEN.0,5% SOL.OFT.5ML - EMS GENERICOS
MALEATO TIMOLOL GEN.0,5% SOL.OFT.5ML - ALCON
MALEATO TIMOLOL GEN.0,5% SOL.OFTAL.50X50ML - TEUTO BRAS
MALEATO TIMOLOL GEN.0,5% SOL.OFTAL.5ML - TEUTO BRAS
MALEATO TIMOLOL GEN.0,50% SOL.OFT.10ML - ALLERGAN
MALEATO TIMOLOL GEN.0,50% SOL.OFT.5ML - ALLERGAN
MALEATO TIMOLOL GEN.5MG/ML SOL.OFTAL.5ML - NEOQUIMICA
MALENA HCT 10+25MG 3X10CPDS - SIGMA PHARMA
MALENA HCT 20+12,5MG 3X10CPDS - SIGMA PHARMA
MALU 0,15+0,02MG 21CPDS - SIGMA PHARMA
MALVATRICIN 0,3+10MG/ML SOL.TOP.FR.100ML - SANIPLAN
MALVATRICIN PLUS FR.250ML - SANIPLAN
MALVATRICIN PPU 0,1+1MG/ML SOL.TOP.FR.250ML - SANIPLAN
MALVONA 0,2+60+1MG/ML SOL.TOP.FR.100ML - SANIPLAN
MALVONA 0,2+60+1MG/ML SOL.TOP.FR.200ML - SANIPLAN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
161005
141707
153785
31792
42433
31793
42434
5740021
5740020
3860022
7220027
7220011
5740023
6280041
144053
130071
3080046
73901
92669
98960
164607
34075
21145
5340063
77722
3920027
83111
7380091
153505
31858
16965
16966
117016
117017
144967
1260176
74598
1260177
74599
75933
180069
180023
97103
60556
60555
31751
31752
119873
DESCRICAO
MAMYLAN CRM.DERM.30G - UNIAO QUIMICA
MANITOL 20% 35FR. PLAST.POLIETILENO 250ML SIST.FECH - HYPOFARMA
MANITOL 20% 40FR 250ML - BASA
MANIVASC 10MG 14CPDS - CHIESI
MANIVASC 10MG 28CPDS - CHIESI
MANIVASC 20MG 14CPDS - CHIESI
MANIVASC 20MG 28CPDS - CHIESI
MANSIL 250MG 6CAPS - PFIZER
MANSIL XPE.12ML - PFIZER
MANTIDAN 100MG 20CPDS - EUROFARMA
MARACUGINA 150ML - COSMED
MARACUGINA 3X15DRGS - COSMED
MARAX 20CPDS - PFIZER
MARCOUMAR 3MG 25CPDS - ROCHE
MARESIS SOL.SPR.100ML - FARMOQUIMICA
MAREVAN 2,5MG 60CPDS - FARMOQUIMICA
MAREVAN 5MG 10CPDS - FARMOQUIMICA
MAREVAN 5MG 3STRX10CPDS - FARMOQUIMICA
MAREVAN 7,5MG 30CPDS - FARMOQUIMICA
MARFARIM 5MG 10CPDS - TEUTO BRAS
MARIMER FR.100ML - MERCK S.A.
MASSAGEOL AER.120ML - NEOQUIMICA
MASSAGEOL POM.15GRS - NEOQUIMICA
MASSAGEOL POM.30GRS - NEOQUIMICA
MASSE AMAMENT.50GRS - J&J CONSUM
MASSE GEST.CRM.50GRS - J&J CONSUM
MATER FOLIC 5MG 30CPDS - FARMOQUIMICA
MATERNA 30DRGS - WYETH
MATERTABS 60CPDS - BIOLAB SANUS
MATERVIT 30CPDS REV. - FARMOQUIMICA
MAXALT 10MG 2CPDS - MERCK S.D.
MAXALT 10MG RPD 2CPDS - MERCK S.D.
MAXAPRAN 20MG 14CPDS - BIOSINTETICA
MAXAPRAN 20MG 28CPDS - BIOSINTETICA
MAXAPRAN 20MG 7CPDS - BIOSINTETICA
MAXCEF 1G 1FA+DIL - BRISTOL
MAXCEF 1G SOL INJ SIST FECH 10FA+10BOLSAS FLEX. 100ML DIL - BRISTOL
MAXCEF 2G 1FA S/DIL - BRISTOL
MAXCEF 2G SOL INJ SIST FECH 10FA+10BOLSAS FLEX. 100ML DIL - BRISTOL
MAXCEF 500MG 1FA+DIL - BRISTOL
MAXIDEX 1MG/G POM.OFT.3,5G - ALCON
MAXIDEX 1MG/ML SUSP.OFT.5ML - ALCON
MAXIDRATE 0,45% 30GRS - LIBBS
MAXIDRIN 30X4CPDS - KLEY HERTZ
MAXIDRIN 3X4CPDS - KLEY HERTZ
MAXILIV 500MG 20CPDS - ACHE
MAXILIV 500MG/ML GTS.20ML - ACHE
MAXINOM 1+3,5MG+6000UI/G POM.OFT.3,5G - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
119872
180070
180025
104843
149030
159515
15887
111314
40323
72083
139600
34470
47217
42820
111315
49419
34471
123544
38468
139417
139601
90613
72084
37712
119548
119547
3480001
3480044
6310061
6310060
77665
92762
129603
6460117
168808
168805
139360
139361
139362
1260058
94232
94236
94233
3555035
6260086
6880060
6880057
6880016
DESCRICAO
MAXINOM 1+3,5MG+6000UI/ML SUSP.OFT.5ML - UNIAO QUIMICA
MAXITROL 1+5MG+6.000UI/ML POM.OFT.3,5G - ALCON
MAXITROL 1+5MG+6.000UI/ML SUSP.OFT.5ML - ALCON
MAXSULID 400MG 10CAPS - FARMASA
MAXSULID 400MG 4CAPS - FARMASA
MAXXI D3 GTS.20ML - ATIVUS
MAZITRON 500MG 3CAPS GEL. - UNIAO QUIMICA
MEBENDAZOL GEN.100MG 300CPDS - TEUTO BRAS
MEBENDAZOL GEN.100MG 6CPDS - NEOQUIMICA
MEBENDAZOL GEN.100MG 6CPDS - CIMED
MEBENDAZOL GEN.100MG 6CPDS - CIFARMA
MEBENDAZOL GEN.100MG 6CPDS - TEUTO BRAS
MEBENDAZOL GEN.100MG 6CPDS - EMS GENERICOS
MEBENDAZOL GEN.100MG 6CPDS - CRISTALIA
MEBENDAZOL GEN.100MG/5ML 100X30ML - TEUTO BRAS
MEBENDAZOL GEN.100MG/5ML 30ML - CRISTALIA
MEBENDAZOL GEN.100MG/5ML SUSP.30ML - TEUTO BRAS
MEBENDAZOL GEN.20MG 30ML - BIOSINTETICA
MEBENDAZOL GEN.20MG SUSP.30ML - EMS GENERICOS
MEBENDAZOL GEN.20MG/ML 30ML - MARIOL
MEBENDAZOL GEN.20MG/ML 30ML - CIFARMA
MEBENDAZOL GEN.20MG/ML 30ML+DOSADOR - MEDLEY
MEBENDAZOL GEN.20MG/ML SUSP.30ML - CIMED
MEBENDAZOL GEN.20MG/ML SUSP.30ML - NEOQUIMICA
MEBENDAZOL GEN.500MG 1CPD F.V - MEDLEY
MEBENDAZOL GEN.500MG 50CPDS - MEDLEY
MEBENIX 1CPD MASTIG. - CIMED
MEBENIX 40MG/ML SUSP.10ML - CIMED
MEBENTAL 100MG 6CPDS - ROYTON
MEBENTAL 100MG SUSP.30ML - ROYTON
MECLIN 25MG 15CPDS - APSEN
MECLIN 50MG 15CPDS - APSEN
MEDICAINA 25MG/G CRM.DERM.5GRS - CRISTALIA
MEDROXON 10MG 10CPDS - SANVAL
MEGADOL 50MG/ML SOL.INJ.100AMP 2ML - MEIZLER
MEGADOL 50MG/ML SOL.INJ.1AMP 1ML - MEIZLER
MEGALOTECT 10ML - BIOTEST
MEGALOTECT 20ML - BIOTEST
MEGALOTECT 50ML - BIOTEST
MEGESTAT 160MG 30CPDS - BRISTOL
MEGUANIN 500MG 30CPDS - UCI-FARMA
MEGUANIN 850MG 200CPDS - UCI-FARMA
MEGUANIN 850MG 30CPDS - UCI-FARMA
MEL ROSADO 20ML - ICAR
MEL ROSADO 30ML 0159 - RIOQUIMICA
MELHORAL ADU.1X8CPDS F.V - COSMED
MELHORAL ADU.25X8CPDS - COSMED
MELHORAL C 1X4CPDS F.V - COSMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
6880005
6880009
6880003
6880061
6880059
144782
144783
144784
6380048
6380111
6380046
6380112
6380009
6380045
115354
144147
115356
144148
115355
115432
115431
84401
96677
89511
93823
143328
136598
84060
139383
70969
140635
91665
111841
83855
162625
115415
93824
84059
139382
70968
140633
91664
111840
57561
83854
110439
88806
47522
DESCRICAO
MELHORAL C 25X4CPDS - COSMED
MELHORAL C EFV.2CPDS F.V - COSMED
MELHORAL C EFV.30X2CPDS - COSMED
MELHORAL INF.1X8CPDS F.V - COSMED
MELHORAL INF.25X8CPDS - COSMED
MELIDRONATO 30MG PO LIOF.1FA - MEIZLER
MELIDRONATO 60MG PO LIOF.1FA - MEIZLER
MELIDRONATO 90MG PO LIOF.1FA - MEIZLER
MELLERIL 100MG 20DRGS. - VALEANT
MELLERIL 10MG 20DRGS. - VALEANT
MELLERIL 200MG 20CPDS RET. - VALEANT
MELLERIL 25MG 20DRGS. - VALEANT
MELLERIL 3% 30MG/ML SOL.ORAL 50ML - VALEANT
MELLERIL 50MG 20DRGS. - VALEANT
MELOCOX 10MG SOL.INJ 5AMP 1,5ML - EUROFARMA
MELOCOX 10MG/ML 1AMP 1,5ML - EUROFARMA
MELOCOX 15MG 10CPDS - EUROFARMA
MELOCOX 15MG 5CPDS - EUROFARMA
MELOCOX 7,5MG 10CPDS - EUROFARMA
MELOTEC 15MG 10CPDS - SIGMA PHARMA
MELOTEC 7,5MG 10CPDS - SIGMA PHARMA
MELOXICAM GEN.10MG/ML 5AMP - EUROFARMA
MELOXICAM GEN.10MG/ML 5AMP 1,5ML - ATIVUS
MELOXICAM GEN.15MG 10CPDS - GERMED GENERICOS
MELOXICAM GEN.15MG 10CPDS - BIOSINTETICA
MELOXICAM GEN.15MG 10CPDS - TEUTO BRAS
MELOXICAM GEN.15MG 10CPDS - NEOQUIMICA
MELOXICAM GEN.15MG 10CPDS - MEDLEY
MELOXICAM GEN.15MG 10CPDS - ZYDUS NIKKHO
MELOXICAM GEN.15MG 10CPDS - MERCK S.A.
MELOXICAM GEN.15MG 10CPDS - PRATI-DONADUZZI
MELOXICAM GEN.15MG 10CPDS - LEGRAND GENERICOS
MELOXICAM GEN.15MG 10CPDS - NOVA QUIMICA
MELOXICAM GEN.15MG 10CPDS - EUROFARMA
MELOXICAM GEN.15MG 140CPDS - PRATI-DONADUZZI
MELOXICAM GEN.15MG 6BLX10CPDS - EMS GENERICOS
MELOXICAM GEN.7,5MG 10CPDS - BIOSINTETICA
MELOXICAM GEN.7,5MG 10CPDS - MEDLEY
MELOXICAM GEN.7,5MG 10CPDS - ZYDUS NIKKHO
MELOXICAM GEN.7,5MG 10CPDS - MERCK S.A.
MELOXICAM GEN.7,5MG 10CPDS - PRATI-DONADUZZI
MELOXICAM GEN.7,5MG 10CPDS - LEGRAND GENERICOS
MELOXICAM GEN.7,5MG 10CPDS - NOVA QUIMICA
MELOXICAM GEN.7,5MG 10CPDS - EMS GENERICOS
MELOXICAM GEN.7,5MG 10CPDS - EUROFARMA
MELOXICAM GEN.7,5MG 6BLX10CPDS - EMS GENERICOS
MELOXICAN GEN.15MG 10CPDS - EMS GENERICOS
MELOXIGRAN 15MG 10CPDS - LEGRAND TARJARDOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
4980004
4980003
3408019
1280043
620014
57149
145265
128602
128603
96095
136730
21627
111861
81839
40033
68170
116142
116141
170059
143395
124327
153578
134234
136642
103603
134235
134237
136643
134230
103604
134231
134232
113917
113916
113915
113914
99702
99705
145435
145436
115302
2060094
2060042
160054
90996
29978
141172
141173
DESCRICAO
MELPOEJO XPE.100ML - MELPOEJO
MELPOEJO XPE.60ML - MELPOEJO
MELXI 0,66G/ML SUSP.ORAL FR100ML - ASPEN
MEMORIOGLUTAN 50DRGS - BUNKER
MEMORIOL B6 200MG 20DRGS - BALDACCI
MENCIRAX 30CPDS REV. - ATIVUS
MENELAT 30MG 10CPDS - TORRENT
MENELAT 30MG 30CPDS - TORRENT
MENELAT 45MG 30CPDS - TORRENT
MENOCALM 40MG 30CPDS REV. - BUNKER
MENOEX 30CPDS - ALM.PRADO
MENOGON 75UI PO LIOF.5AMP+5AMP DIL.1ML - FERRING
MENOP 125MG 30CAPS - ATIVUS
MENOP 150MG 30CAPS - ATIVUS
MENOPAX 200MG 20CPDS - ACHE
MENOPUR 75UI PO LIOF.1AMP+1AMP DIL.1ML - FERRING
MENOXITON 15MG 10CPDS - ROYTON
MENOXITON 7,5MG 10CPDS - ROYTON
MENTALIV 200MG 10CAPS REV. - APSEN
MENTALIV 200MG 20CAPS - APSEN
MENTALIV 200MG 60CAPS REV. - APSEN
MENTALOL 28,2+52,6+13,3MG 24FR 12GR - NECKERMAN
MEPENOX 1G 50FA - BIOCHIMICO
MEPENOX 1G C/10FA - BIOCHIMICO
MEPENOX 1G SIST FECH 10FA+BOLSA - BIOCHIMICO
MEPENOX 1G SIST FECH 1FA+BOLSA - BIOCHIMICO
MEPENOX 1G SIST FECH 50FA+BOLSA - BIOCHIMICO
MEPENOX 500MG 10FA - BIOCHIMICO
MEPENOX 500MG 50FA - BIOCHIMICO
MEPENOX 500MG SIST FECH 10FA+BOLSA - BIOCHIMICO
MEPENOX 500MG SIST FECH 1FA+BOLSA - BIOCHIMICO
MEPENOX 500MG SIST FECH 50FA+BOLSA - BIOCHIMICO
MEPENOX MONOVIAL 1G C/10FA - BIOCHIMICO
MEPENOX MONOVIAL 1G C/1FA - BIOCHIMICO
MEPENOX MONOVIAL 500MG 10FA - BIOCHIMICO
MEPENOX MONOVIAL 500MG 1FA - BIOCHIMICO
MEPRAMIN 10MG 20CPDS - UCI-FARMA
MEPRAMIN 25MG 200CPDS - UCI-FARMA
MEPROZIN 100MG 20X10CPDS - UCI-FARMA
MEPROZIN 25MG 10X20CPDS - UCI-FARMA
MEPROZIN 25MG 20CPDS - UCI-FARMA
MERACILINA 500.000UI 12CPDS - ACHE
MERACILINA 500.000UI 25BLX10CPDS - ACHE
MERCILON 0,15+0,02MG 21CPDS - SCHERING PLOUGH
MERCILON CONTI 28CPDS - SCHERING PLOUGH
MERIGEST 2+0,7MG 28CPDS - NOVARTIS
MERITOR 2+1000MG 10CPDS REV. - ACHE
MERITOR 2+1000MG 30CPDS REV. - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
141174
141175
132079
7360070
96411
7360056
96412
144391
100236
159365
164353
100237
144390
100234
159364
164352
100235
48139
118802
77843
63897
63895
63898
166454
63896
162988
162989
163533
159315
101600
159314
101558
101997
102847
163070
137308
137309
840066
144941
144942
165854
48120
101574
100099
101155
132054
62562
144889
DESCRICAO
MERITOR 4+1000MG 10CPDS REV. - ACHE
MERITOR 4+1000MG 30CPDS REV. - ACHE
MEROMAX 2G PO ESTERIL P/ SOL. INJ. 5FA 30ML - EUROFARMA
MERONEM IV 1000MG PO INJ.10FA - ASTRAZENECA
MERONEM IV 1000MG PO INJ.10FA+10BOL.FLEX.100ML - ASTRAZENECA
MERONEM IV 500MG PO INJ.10FA - ASTRAZENECA
MERONEM IV 500MG PO INJ.10FA+10BOL.FLEX.100ML - ASTRAZENECA
MEROPENEM GEN.1G 25FA 30ML - EUROFARMA
MEROPENEM GEN.1G PO INJ.10FA - ABL
MEROPENEM GEN.1G PO INJ.10FA 50ML - NOVAFARMA
MEROPENEM GEN.1G PO INJ.10FA 50ML+10BOL.SIST.FECH.100ML - NOVAFARMA
MEROPENEM GEN.1G PO INJ.1FA+BOLSA SIST.FECH. - ABL
MEROPENEM GEN.500MG 25FA 30ML - EUROFARMA
MEROPENEM GEN.500MG PO INJ.10FA - ABL
MEROPENEM GEN.500MG PO INJ.10FA 30ML - NOVAFARMA
MEROPENEM GEN.500MG PO INJ.10FA 30ML+10BOL.SIST.FECH.100ML - NOVAFARMA
MEROPENEM GEN.500MG PO INJ.1FA+BOLSA SIST.FECH. - ABL
MERTHIOLATE 10MG/ML SOL.TOP.FR.30ML - COSMED
MERTHIOLATE SOL.TOP.FR.PL.30ML - COSMED
MERTHIOLATE SPR.45ML - COSMED
MESACOL 250MG 10SUPS. - NYCOMED
MESACOL 400MG 30CPDS REV. - NYCOMED
MESACOL 500MG 10SUPS. - NYCOMED
MESACOL 800MG 10CPDS REV. - NYCOMED
MESACOL 800MG 30CPDS REV. - NYCOMED
MESACOL MMX 1200MG 10CPDS REV.LIB.PROL. - NYCOMED
MESACOL MMX 1200MG 30CPDS REV.LIB.PROL. - NYCOMED
MESALAZINA ENEMA GEN.ENV.3G+DIL.100ML - EMS GENERICOS
MESALAZINA GEN.400MG 30CPDS REV. - NEOQUIMICA
MESALAZINA GEN.800MG 30CPDS - LEGRAND GENERICOS
MESALAZINA GEN.800MG 30CPDS REV. - NEOQUIMICA
MESALAZINA GEN.800MG 30CPDS REV. - EMS GENERICOS
MESALAZINA GEN.800MG 30CPDS REV. - GERMED GENERICOS
MESALGIN 100MG 10CPDS - TKS
MESANEO 800MG 30CPDS REV. - NEOQUIMICA
MESIDOX 2MG 30CPDS - MERCK S.A.
MESIDOX 4MG 30CPDS - MERCK S.A.
MESIGYNA SERINGA 1ML - BAYER
MESILATO CODERGOCRINA GEN.1MG/ML GTS.SOL.30ML - BIOSINTETICA
MESILATO CODERGOCRINA GEN.4,5MG/1,5ML GTS.15ML - BIOSINTETICA
MESILATO DE DESFERROXAMINA GEN.500MG 5FA 5ML - CRISTALIA
MESILATO DOXAZOSINA GEN.2MG 10CPDS - SANDOZ
MESILATO DOXAZOSINA GEN.2MG 2BLX15CPDS - GERMED GENERICOS
MESILATO DOXAZOSINA GEN.2MG 2BLX15CPDS - EMS GENERICOS
MESILATO DOXAZOSINA GEN.2MG 2X15CPDS - LEGRAND GENERICOS
MESILATO DOXAZOSINA GEN.2MG 30CPDS - BRAINFARMA
MESILATO DOXAZOSINA GEN.2MG 30CPDS - SANDOZ
MESILATO DOXAZOSINA GEN.2MG 30CPDS - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
99422
44093
136757
48121
115517
62563
44092
167166
167167
136673
129295
159629
32019
77969
129714
68411
73830
5900016
26141
2120022
72607
145415
72608
145416
139846
6380034
6380035
6500074
6500073
3862
3863
84061
70906
71002
110441
110442
48149
55268
71001
20053
20055
124329
123967
120578
99908
91717
137095
85928
DESCRICAO
MESILATO DOXAZOSINA GEN.2MG 30CPDS - MEDLEY
MESILATO DOXAZOSINA GEN.2MG 30CPDS - MERCK S.A.
MESILATO DOXAZOSINA GEN.2MG 30CPDS - EUROFARMA
MESILATO DOXAZOSINA GEN.4MG 10CPDS - SANDOZ
MESILATO DOXAZOSINA GEN.4MG 20CPDS - SANDOZ
MESILATO DOXAZOSINA GEN.4MG 30CPDS - SANDOZ
MESILATO DOXAZOSINA GEN.4MG 30CPDS - MERCK S.A.
MESILATO IMATINIBE GEN.100MG 60CPDS REV. - EUROFARMA
MESILATO IMATINIBE GEN.400MG 30CPDS REV. - EUROFARMA
MESNA GEN.100MG/ML 50AMP 4ML - BLAU
MESNA GEN.100MG/ML 50AMP 4ML - EUROFARMA
MESNA GEN.100MG/ML SOL.INJ.10AMP 4ML - NOVAFARMA
MESTINON 60MG 60CPDS - VALEANT
METADEX 10GRS - OSORIO DE MORAES
METADOXIL 500MG 30CPDS - BALDACCI
METALYSE 40MG PO LIOF.1FA+SER.DIL.8ML - BOEHRINGER
METALYSE 50MG PO LIOF.1FA+SER.DIL.10ML - BOEHRINGER
METAMUCIL LAR.10SACHET - PROCTER
METAMUCIL LAR.174GRS - PROCTER
METCORT CRM.10G - DELTA
METFORMED 500MG 30CPDS - CIMED
METFORMED 500MG 35X15CPDS - CIMED
METFORMED 850MG 30CPDS - CIMED
METFORMED 850MG 450CPDS - CIMED
METFORMIX 850MG 24CPDS - NOVARTIS
METHERGIN 0,125MG 12DRGS - NOVARTIS
METHERGIN 0,2MG/ML SOL.INJ.50AMP 1ML - NOVARTIS
METICORTEN 20MG 10CPDS - MANTECORP
METICORTEN 5MG 20CPDS - MANTECORP
METILCORD 250MG 30CPDS - LUPER
METILCORD 500MG 30CPDS - LUPER
METILDOPA GEN.250MG 2X15CPDS - MEDLEY
METILDOPA GEN.250MG 2X15CPDS - BIOSINTETICA
METILDOPA GEN.250MG 3BLX10CPDS REV. - EMS GENERICOS
METILDOPA GEN.250MG 9BLX10CPDS - EMS GENERICOS
METILDOPA GEN.500MG 15BLX6CPDS REV. - EMS GENERICOS
METILDOPA GEN.500MG 2X15CPDS - BIOSINTETICA
METILDOPA GEN.500MG 2X15CPDS - MEDLEY
METILDOPA GEN.500MG 3BLX10CPDS REV. - EMS GENERICOS
METIOCOLIN B12 40DRGS - FARMASA
METIOCOLIN COMP.12FLAC 10ML - FARMASA
METIOCOLIN COMP.1FLAC 10ML F.V. - FARMASA
METOCLOPRAMIDA GEN.10MG 100AMP 2ML - HIPOLABOR
METOCLOPRAMIDA GEN.4MG/ML 200X10ML - HIPOLABOR
METREXATO 2,5MG BL.AL.24CPDS - BLAU
METRI 1000MG 30CPDS REV. - LIBBS
METRI 250MG 30CPDS REV. - LIBBS
METRI 500MG 30CPDS REV. - LIBBS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
91716
118801
142689
145376
128175
166077
166076
38345
111842
159599
140637
152110
83883
140639
128176
35306
117189
143216
134026
34472
111317
84432
138280
136545
140642
156688
67493
72156
145266
136788
107609
38998
83416
149548
6380018
26549
26548
26547
162925
162926
162927
162928
156701
156699
156700
156704
156702
156703
DESCRICAO
METRI 750MG 30CPDS REV. - LIBBS
METRIZOL 100MG/G GEL.VAG.50GRS+10APLIC. - ASPEN
METRONACK 0,5% 50AMP 100ML ECOFLAC PLUS 200181 - B.BRAUN
METRONACK 1,5G 30AMP 300ML ECOFLAC PLUS 200182 - B.BRAUN
METRONIDAZOL GEN.100MG 50GRS 10APLIC - SANOFI-AVENTIS
METRONIDAZOL GEN.100MG/G GEL 50BGX50G - CIMED
METRONIDAZOL GEN.100MG/G GEL 50G - CIMED
METRONIDAZOL GEN.100MG/G GEL 50GRS+10APL - SANVAL
METRONIDAZOL GEN.100MG/G GEL VAG.50GRS - NOVA QUIMICA
METRONIDAZOL GEN.100MG/G GEL.VAG.50GRS+10APL - PRATI-DONADUZZI
METRONIDAZOL GEN.100MG/G GEL.VAG.50GRS+APL - PRATI-DONADUZZI
METRONIDAZOL GEN.100MG/G GEL.VAG.55GRS+10APL. - NEOQUIMICA
METRONIDAZOL GEN.250MG 20CPDS - NEOQUIMICA
METRONIDAZOL GEN.250MG 20CPDS REV. - PRATI-DONADUZZI
METRONIDAZOL GEN.400MG 24CPDS - SANOFI-AVENTIS
METRONIDAZOL GEN.500MG GEL VAG.50G - EMS GENERICOS
METRONIDAZOL GEN.5MG/ML 100FRX100ML - EQUIPLEX
METRONIDAZOL GEN.5MG/ML BOLSA 100ML - HALEX ISTAR
METRONIDAZOL GEN.FLAGYL 5% 70FR 100ML(EMB.HOSP.) - EQUIPLEX
METRONIDAZOL GEN.GEL VAG.50GRS+APL - TEUTO BRAS
METRONIDAZOL GEN.GEL VAG.50X50GRS+APL - TEUTO BRAS
METRONIDAZOL GEN.GELEIA 50X50GRS - HIPOLABOR
METRONIDAZOL GEN.INJ.5MG/ML BOLSA POLIETILENO 100ML - ISOFARMA
METRONIDAZOL+NISTATINA GEN.100MG/G+20000UI/G CRM.VAG.50GRS+10APL. - SANOFI-AVENTIS
METRONIDAZOL+NISTATINA GEN.100MG/G+20000UI/G CRM.VAG.50GRS+10APL. - PRATI-DONADUZZI
METRONIDAZOL+NISTATINA GEN.100MG+20000UI/G CRM.VAG.1BG 50GRS+10APL - LUPER
METRONIFLEX 500MG INJ.BOLSA VIAFLEX 100ML AZB3421 - BAXTER
METRONIX 100MG CRM.50X50GRS - CRISTALIA
METTA SR 500MG 10CPDS - TORRENT
METTA SR 500MG 30CPDS - TORRENT
METVIX 0,160MG/G CRM.2G - GALDERMA
MEVAMOX 15MG 10CPDS - TEUTO BRAS
MF6 350GRS - SUPPORT NUTRITION
MIACALCIC 100UI 5AMP 1ML - NOVARTIS
MIACALCIC 200UI SPR.NASAL 2ML - NOVARTIS
MIANTREX CS 100MG/ML 1FA 10ML - PFIZER
MIANTREX CS 25MG/ML 1FA 20ML - PFIZER
MIANTREX CS 25MG/ML 1FA 2ML - PFIZER
MICARDIS 40MG 10CPDS - BOEHRINGER
MICARDIS 4OMG 30CPDS - BOEHRINGER
MICARDIS 80MG 10CPDS - BOEHRINGER
MICARDIS 80MG 30CPDS - BOEHRINGER
MICARDIS ANLO 40+10MG 30CPDS - BOEHRINGER
MICARDIS ANLO 40+5MG 10CPDS - BOEHRINGER
MICARDIS ANLO 40+5MG 30CPDS - BOEHRINGER
MICARDIS ANLO 80+10MG 30CPDS - BOEHRINGER
MICARDIS ANLO 80+5MG 10CPDS - BOEHRINGER
MICARDIS ANLO 80+5MG 30CPDS - BOEHRINGER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
68413
162929
68415
162930
162931
64638
63615
63616
141862
141861
136752
2360039
136475
44147
63579
44146
76597
76595
70651
15307
15305
38997
165956
1260062
1260061
1260063
6820023
6820022
6920277
6920266
78949
160020
3940092
31750
106660
840019
5140047
142126
134252
103629
111367
103628
111366
61407
123986
69369
61408
123985
DESCRICAO
MICARDIS HCT 40+12,5MG 14CPDS - BOEHRINGER
MICARDIS HCT 40+12,5MG 30CPDS - BOEHRINGER
MICARDIS HCT 80+12,5MG 14CPDS - BOEHRINGER
MICARDIS HCT 80+12,5MG 30CPDS - BOEHRINGER
MICARDIS HCT 80+25MG 30CPDS - BOEHRINGER
MICETAL 0,01G/G CRM.DERM.15GRS - BIOSINTETICA
MICETAL 0,01G/G CRM.DERM.30GRS - BIOSINTETICA
MICETAL 0,01G/G SPR.30ML - BIOSINTETICA
MICOFENOLATO MOFETILA GEN.500MG 500CPDS REV. - ACCORD
MICOFENOLATO MOFETILA GEN.500MG 50CPDS REV. - ACCORD
MICOFENOLATO MOFETILA GEN.500MG 50CPDS REV. - EUROFARMA
MICOFIM CRM.28G - ELOFAR
MICOGYN CRM.80G+14APLIC. - ELOFAR
MICOLAMINA CRM.20GRS - THERASKIN
MICOLAMINA ESM.6GRS+LIXA - THERASKIN
MICOLAMINA SOL.TOP.SPR.30ML - THERASKIN
MICONAL 100MG 15CAPS - DIFFUCAP
MICONAL 100MG 4CAPS - DIFFUCAP
MICONIL 30ML - PHARMASCIENCE
MICORAL 200MG 10CPDS - ELOFAR
MICORAL CRM.30G - ELOFAR
MICOSIL 1% CRM.20GRS - TEUTO BRAS
MICOSTATIN 100000UI/ML SUSP.ORAL 60ML+CTG - BRISTOL
MICOSTATIN 16DRGS - BRISTOL
MICOSTATIN CRM.VAG.60GRS - BRISTOL
MICOSTATIN SUSP.50ML - BRISTOL
MICOSTYL CRM.45GRS - STIEFEL
MICOSTYL LOC.CRM.60ML - STIEFEL
MICOZEN 2% LOC.DERM.30ML - TEUTO BRAS
MICOZEN CRM.VAGINAL 2% 80GRS - TEUTO BRAS
MICOZEN CRM.VAGINAL 50X80GRS - TEUTO BRAS
MICRODIOL 0,15+0,03MG 21CPDS - SCHERING PLOUGH
MICRONOR 35CPDS - JANSSEN-CILAG
MICROPIL 0,075+0,020MG 21CPDS - SIGMA PHARMA
MICROPIL 0,075+0,030MG 21CPDS - SIGMA PHARMA
MICROVLAR 21DRGS - BAYER
MICTASOL 40DRGS - MILLETROUX
MIDADORM 15MG 50 AMP 3ML - BIOCHIMICO
MIDADORM 50MG/10ML 50AMP - BIOCHIMICO
MIDADORM 5MG/ML 10AMP 10ML - BIOCHIMICO
MIDADORM 5MG/ML 10AMP 3ML - BIOCHIMICO
MIDADORM 5MG/ML 5AMP 10ML - BIOCHIMICO
MIDADORM 5MG/ML 5AMP 3ML - BIOCHIMICO
MIDAZOLAM GEN.10ML/50MG 5AMP - EUROFARMA
MIDAZOLAM GEN.15MG 100AMP 3ML - HIPOLABOR
MIDAZOLAM GEN.15MG/3ML SOL.INJ.5AMP.3ML - UNIAO QUIMICA
MIDAZOLAM GEN.3ML/15MG 5AMP - EUROFARMA
MIDAZOLAM GEN.50MG 100AMP 10ML - HIPOLABOR
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
84438
123981
61409
13327
13328
146424
43385
146425
43386
36989
143198
149384
144940
154233
154234
154235
5160001
4720134
4720135
134982
79625
55962
153160
55286
2660020
3860050
74314
145600
5740029
5740032
5740033
460009
7380039
21648
88314
19870
45058
45059
103313
29377
14719
164228
1020025
141750
141751
159242
159243
6420044
DESCRICAO
MIDAZOLAM GEN.50MG 5AMP 10ML - HIPOLABOR
MIDAZOLAM GEN.5MG 100AMP 5ML - HIPOLABOR
MIDAZOLAM GEN.5ML/5MG 5AMP - EUROFARMA
MIFLASONA 200MCG 60CPDS INAL. - NOVARTIS
MIFLASONA 400MCG 60CPDS INAL. - NOVARTIS
MIFLONIDE 200MCG 30CPDS INAL. - NOVARTIS
MIFLONIDE 200MCG 60CAPS INAL. - NOVARTIS
MIFLONIDE 400MCG 30CAPS INAL. - NOVARTIS
MIFLONIDE 400MCG 60CAPS INAL. - NOVARTIS
MIGRALIV 1+100+350MG 12CPDS - EMS
MIGRANETTE 2X10CPDS REV. - LEGRAND OTC
MILGAMMA 150MG 30DRGS - MANTECORP
MILLAR POM.30G - ACHE
MIMPARA 30MG 30CPDS REV. - MANTECORP
MIMPARA 60MG 30CPDS REV. - MANTECORP
MIMPARA 90MG 30CPDS REV. - MANTECORP
MINANCORA POM.30G - MINANCORA
MINEGYL C/NISTAT.CRM.VAG.50GRS - LUPER
MINEGYL GELEIA VAG.50GRS - LUPER
MINERALIS MAGNESIO 30CAPS - ATIVUS
MINEROVIT 30CPDS REV. - CIFARMA
MINESSE 24CPDS REV. - WYETH
MINIAN 150+2MCG 63CPDS REV. - LIBBS
MINIAN 21CPDS - LIBBS
MINIDIAB 5MG 30CPDS - PFIZER
MINILAX 7BGX714MG/G - EUROFARMA
MINIMA 0,06+0,015MG 24+4CPDS - MEDLEY
MINIMA 0,06+0,015MG 3X24+4CPDS - MEDLEY
MINIPRESS SR 1MG 15CAPS - PFIZER
MINIPRESS SR 2MG 15CAPS - PFIZER
MINIPRESS SR 4MG 15CAPS - PFIZER
MINOTON 0,24MG 100AMP 10ML - ARISTON
MINULET 21DRGS - WYETH
MINUSORB 10MG 2BLX15CPDS - UCI-FARMA
MINUSORB 70MG 4CPDS - UCI-FARMA
MIOCALVEN 200MG 60CPDS - CHIESI
MIOCALVEN D 30SACH - CHIESI
MIOCALVEN D 60SACH - CHIESI
MIOCARDIL 30MG 30CPDS REV. - VITAPAN
MIOCORON 200MG 20X10CPDS - CRISTALIA
MIODARID 200MG 20CPDS - NEOQUIMICA
MIODARID 200MG 3BLX10CPDS REV. - NEOQUIMICA
MIODARON 5X4CPDS - BIOSINTETICA
MIOFIBRAX 10MG 15CPDS REV. - LEGRAND TARJARDOS
MIOFIBRAX 10MG 2X15CPDS REV. - LEGRAND TARJARDOS
MIOFIBRAX 5MG 15CPDS REV. - LEGRAND TARJARDOS
MIOFIBRAX 5MG 2BLX15CPDS REV. - LEGRAND TARJARDOS
MIOFLEX 150+300+82,5MG 16CPDS - FARMASA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
55319
30019
34290
34289
94029
26527
94028
26526
170054
139612
170060
139611
170061
2900049
122627
122628
156525
123537
128263
133962
133963
133964
133965
133966
133960
133961
61327
77853
119864
91381
88711
119863
91380
88710
161491
161489
161495
92951
92952
161493
161497
92953
161496
2060047
13953
13954
2060065
2060048
DESCRICAO
MIOFLEX A 500+300+125+30MG 12CPDS - FARMASA
MIONEVRIX 250+100+50+250MG+1000MCG 20CPDS REV. - ACHE
MIORRELAX 10X10CPDS - NEOQUIMICA
MIORRELAX 2X10CPDS - NEOQUIMICA
MIOSAN 10MG 10CPDS REV. - APSEN
MIOSAN 10MG 30CPDS REV. - APSEN
MIOSAN 5MG 10CPDS REV. - APSEN
MIOSAN 5MG 30CPDS REV. - APSEN
MIOSAN 5MG 4CPDS REV. - APSEN
MIOSAN CAF 10+60MG 15CPDS REV. - APSEN
MIOSAN CAF 10+60MG 4CPDS REV. - APSEN
MIOSAN CAF 5+30MG 15CPDS REV. - APSEN
MIOSAN CAF 5+30MG 4CPDS REV. - APSEN
MIRABEL 0,5+1MG/ML SOL.OFT.10ML 2090135BR - ALLERGAN
MIRADOR 500MG 12CPDS - COSMED
MIRADOR 500MG 25X6CPDS - COSMED
MIRADOR 500MG 6CPDS F.V - COSMED
MIRADOR 500MG SOL.GTS.20ML - COSMED
MIRANOVA 21DRGS - BAYER
MIRCERA 100MCG SER.PREENC.0,3ML - ROCHE
MIRCERA 120MCG SER.PREENC.0,3ML - ROCHE
MIRCERA 150MCG SER.PREENC.0,3ML - ROCHE
MIRCERA 200MCG SER.PREENC.0,3ML - ROCHE
MIRCERA 360MCG SER.PREENC.0,6ML - ROCHE
MIRCERA 50MCG SER.PREENC.0,3ML - ROCHE
MIRCERA 75MCG SER.PREENC.0,3ML - ROCHE
MIRELLE 24CPDS - BAYER
MIRENA 52MG ENDOCEPTIVO 1INSERTOR - SCHERING DO BRASIL
MIRTAX 10MG 10CPDS REV. - ACHE
MIRTAX 10MG 15CPDS REV. - ACHE
MIRTAX 10MG 30CPDS REV. - ACHE
MIRTAX 5MG 10CPDS REV. - ACHE
MIRTAX 5MG 15CPDS REV. - ACHE
MIRTAX 5MG 30CPDS REV. - ACHE
MIRTAZAPINA GEN.15MG 10CPDS ODT - AUROBINDO
MIRTAZAPINA GEN.15MG 6CPDS ODT - AUROBINDO
MIRTAZAPINA GEN.30MG 10CPDS ODT - AUROBINDO
MIRTAZAPINA GEN.30MG 14CPDS - SANDOZ
MIRTAZAPINA GEN.30MG 28CPDS - SANDOZ
MIRTAZAPINA GEN.30MG 6CPDS ODT - AUROBINDO
MIRTAZAPINA GEN.45MG 10CPDS ODT - AUROBINDO
MIRTAZAPINA GEN.45MG 28CPDS - SANDOZ
MIRTAZAPINA GEN.45MG 6CPDS ODT - AUROBINDO
MITEXAN 100MG/ML 10AMP 4ML - BAXTER
MITEXAN 400MG 20CPDS - BAXTER
MITEXAN 600MG 20CPDS - BAXTER
MITICOCAN 100MG/G SAB.80G - ACHE
MITICOCAN 200MCL/ML SOL.TOP.100ML - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
1260064
169782
149773
149772
98549
5920067
5920033
420003
79445
420005
122649
122650
119676
119675
119677
119674
620017
38323
40273
620029
115161
620015
153649
93825
93826
139390
93828
139391
93827
37836
37837
23626
23627
4700037
2380166
2380167
162636
162637
167118
167119
165774
169787
159875
159877
165773
153627
146095
146096
DESCRICAO
MITOCIN 5MG INJ 1FA - BRISTOL
MMA/PA ANAMIX ANAMIX INF.400G - SUPPORT NUTRITION
MODIK 50MG/G 12SACH 250MG - GERMED
MODIK 50MG/G 6SACH 250MG - GERMED
MODULEN 12X400G - NESTLE N.C.
MODURETIC 25MG 3X10CPDS - MERCK S.D.
MODURETIC 50MG 3X10CPDS - MERCK S.D.
MOMENT 0,025% CRM.TOP.50G - APSEN
MOMENT 0,025% LOC.TOP.60ML - APSEN
MOMENT 0,075% CRM.TOP.50G - APSEN
MONALESS 600MG 30CAPS GEL. - MARJAN
MONALESS 600MG 60CAPS GEL. - MARJAN
MONOCEF IV/IM 750MG 1FA+DIL - BIOCHIMICO
MONOCEF IV/IM 750MG 50FA - BIOCHIMICO
MONOCEF IV/IM 750MG 50FA+DIL - BIOCHIMICO
MONOCEF IV/IM 750MG C/ 1FA - BIOCHIMICO
MONOCORDIL 20MG 20CPDS - BALDACCI
MONOCORDIL 20MG 30CPDS - BALDACCI
MONOCORDIL 40MG 30CPDS - BALDACCI
MONOCORDIL 50AMP 1ML - BALDACCI
MONOCORDIL RETARD 50MG 30CAPS - BALDACCI
MONOCORDIL SUBLINGUAL 30CPDS - BALDACCI
MONONITRATO ISOSSORBIDA GEN.20MG 100CPDS(EMB.HOSP) - ZYDUS NIKKHO
MONONITRATO ISOSSORBIDA GEN.20MG 20CPDS - BIOSINTETICA
MONONITRATO ISOSSORBIDA GEN.20MG 30CPDS - BIOSINTETICA
MONONITRATO ISOSSORBIDA GEN.20MG 30CPDS - ZYDUS NIKKHO
MONONITRATO ISOSSORBIDA GEN.40MG 20CPDS - BIOSINTETICA
MONONITRATO ISOSSORBIDA GEN.40MG 20CPDS - ZYDUS NIKKHO
MONONITRATO ISOSSORBIDA GEN.40MG 30CPDS - BIOSINTETICA
MONOPLUS 10/12,5MG 16CPDS - BRISTOL
MONOPLUS 10/12,5MG 30CPDS - BRISTOL
MONOPRIL 10MG 3X10CPDS - BRISTOL
MONOPRIL 20MG 3X10CPDS - BRISTOL
MONOTREAN 100+40MG 3BLX10DRGS - DAIICHI SANKYO
MONOZOL 400MG 1CPD - LEGRAND TARJARDOS
MONOZOL 400MG SUSP.15ML - LEGRAND TARJARDOS
MONTELAIR 10MG 10CPDS REV. - ACHE
MONTELAIR 10MG 30CPDS REV. - ACHE
MONTELAIR 4MG 10SACH GRAN. - ACHE
MONTELAIR 4MG 30SACH GRAN. - ACHE
MONTELUCASTE SODICO 4MG 30SACH - BIOSINTETICA
MONTELUCASTE SODICO GEN.10MG 10CPDS REV. - ACHE
MONTELUCASTE SODICO GEN.10MG 10CPDS REV. - BIOSINTETICA
MONTELUCASTE SODICO GEN.10MG 30CPDS REV. - BIOSINTETICA
MONTELUCASTE SODICO GEN.4MG 10SACH - BIOSINTETICA
MONURIL GRAN.1ENV.8GRS - ZAMBON
MORATUS 20MG 20CPDS - MEDLEY
MORATUS 20MG 30CPDS - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
166082
3940043
59749
59750
3940100
131057
144909
164515
7060014
3440119
48113
48112
1060112
1060104
1060045
159630
159631
1280132
1280131
165746
61467
61468
134802
94209
94211
94213
94216
94217
5340132
5340133
340060
340062
340061
5020078
5020077
40838
340067
340045
340064
79628
79627
79626
1060057
1060056
1060059
136600
5440080
5440081
DESCRICAO
MOTILIUM 10MG 90CPDS - JANSSEN-CILAG
MOTILIUM 20CPDS - JANSSEN-CILAG
MOTILIUM 2X15CPDS - JANSSEN-CILAG
MOTILIUM 3X20CPDS - JANSSEN-CILAG
MOTILIUM SUSP.100ML - JANSSEN-CILAG
MOTILIUM SUSP.200ML - JANSSEN-CILAG
MOTILIUM SUSP.60ML - JANSSEN-CILAG
MOTRIN 600MG 12CPDS REV. - PFIZER
MOTRIN 600MG 30DRGS - PFIZER
MOURA BRASIL COL.20ML - SANOFI-AVENTIS
MOVACOX 15MG 10CPDS - HEXAL
MOVACOX 7,5MG 10CPDS - HEXAL
MOVATEC 15MG 10CPDS - BOEHRINGER
MOVATEC 15MG SOL.INJ.5AMP 1,5ML - BOEHRINGER
MOVATEC 7,5MG 10CPDS - BOEHRINGER
MOVIDIL 10ENV.8G - BIOLAB SANUS
MOVIDIL 30ENV.8G - BIOLAB SANUS
MOVOXICAM 15MG 10CPDS - BUNKER
MOVOXICAM 7,5MG 10CPDS - BUNKER
MOZOBIL 20MG/ML SOL.INJ.1FA 1,2ML - GENZYME
MSUD 1 500GRS - SUPPORT NUTRITION
MSUD 2 500GRS - SUPPORT NUTRITION
MUCOANGIN 20MG 12PAST - BOEHRINGER
MUCOCETIL 100MG GRAN.16ENV 5GRS - UCI-FARMA
MUCOCETIL 200MG GRAN.16ENV 5GRS - UCI-FARMA
MUCOCETIL 600MG GRAN.16ENV 5GRS - UCI-FARMA
MUCOCETIL XPE.100ML - UCI-FARMA
MUCOCETIL XPE.150ML - UCI-FARMA
MUCOCISTEIN 100MG/5ML XPE.INF.100ML - NEOQUIMICA
MUCOCISTEIN 250MG/5ML XPE.ADU.100ML - NEOQUIMICA
MUCOFAN 20MG/ML XPE.PED.100ML - UNIAO QUIMICA
MUCOFAN 50MG/ML GTS.20ML - UNIAO QUIMICA
MUCOFAN 50MG/ML XPE.ADU.100ML - UNIAO QUIMICA
MUCOFLUX 20MG/ML XPE.100ML+CP.MED. - MERCK S.A.
MUCOFLUX 50MG/ML XPE.100ML+CP.MED. - MERCK S.A.
MUCOLITIC 250MG LAR.15ENV 4GRS - NYCOMED
MUCOLITIC PED.GTS.20ML - NYCOMED
MUCOLITIC XPE.ADU.100ML - NYCOMED
MUCOLITIC XPE.INF.100ML - NYCOMED
MUCOLIX 20MG/ML XPE.PED.100ML - CIFARMA
MUCOLIX 250MG/5ML XPE.ADU.100ML - CIFARMA
MUCOLIX 50MG/ML GTS.20ML - CIFARMA
MUCOSOLVAN 15MG/5ML XPE.PED.120ML - BOEHRINGER
MUCOSOLVAN 30MG/5ML XPE.ADU.120ML - BOEHRINGER
MUCOSOLVAN 7,5MG/ML GTS.50ML - BOEHRINGER
MUCOSOLVAN 75MG 10CAPS GEL.DURA - BOEHRINGER
MUCOTOSS XPE.ADU.100ML - SIGMA PHARMA
MUCOTOSS XPE.INF.100ML - SIGMA PHARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
103316
103315
6920244
138633
6920243
138634
99830
99831
148986
165882
165884
80722
5600014
80723
5600015
14977
42822
140644
143860
6380044
6380043
144150
115358
115359
144149
115357
115360
141745
141746
77838
77839
760007
180029
71388
71389
136570
30011
51145
72664
150981
128310
159514
134983
134984
134985
134986
117798
117804
DESCRICAO
MUCOVIT 15MG/5ML XPE.INF.120ML - VITAPAN
MUCOVIT 30MG/5ML XPE.ADU.120ML - VITAPAN
MUCOXOLAN 15MG/5ML XPE.PED.120ML - TEUTO BRAS
MUCOXOLAN 15MG/5ML XPE.PED.PET 120ML - TEUTO BRAS
MUCOXOLAN 30MG/5ML XPE.ADU.120ML - TEUTO BRAS
MUCOXOLAN 30MG/5ML XPE.ADU.120ML PET - TEUTO BRAS
MUD 1,0+2,5+0,25MG/G 100000U CRM.10GRS - EUROFARMA
MUD 1,0+2,5+0,25MG/G 100000U POM.10GRS - EUROFARMA
MUD ORAL 1MG POM.10GRS - EUROFARMA
MULTIELMIN 100MG 1BLX6CPDS - OSORIO DE MORAES
MULTIELMIN 100MG 300CPDS - OSORIO DE MORAES
MULTIELMIN 100MG 50ENV 6CPDS - OSORIO DE MORAES
MULTIELMIN 100MG ENV 6CPDS - OSORIO DE MORAES
MULTIELMIN 50X30ML - OSORIO DE MORAES
MULTIELMIN SUSP.30ML - OSORIO DE MORAES
MUPHORAN 50MG/ML 1FA - SERVIER
MUPIROCINA GEN.2% 15GRS - CRISTALIA
MUPIROCINA GEN.20MG/G POM.DERM.15GRS - PRATI-DONADUZZI
MUPIROX 10MG/ML 15ML - EMS
MURICALM 0,1MG/ML XPE.120ML - NOVARTIS
MURICALM 1MG/ML SOL.ORAL 10ML - NOVARTIS
MUSCULARE 10MG 10CPDS - EUROFARMA
MUSCULARE 10MG 15CPDS - EUROFARMA
MUSCULARE 10MG 30CPDS - EUROFARMA
MUSCULARE 5MG 10CPDS - EUROFARMA
MUSCULARE 5MG 15CPDS - EUROFARMA
MUSCULARE 5MG 30CPDS - EUROFARMA
MUSCUPRINA 10MG 15CPDS REV. - SIGMA PHARMA
MUSCUPRINA 10MG 2X15CPDS REV. - SIGMA PHARMA
MUVINLAX 20SACH 14GRS - LIBBS
MUVINOR 30CPDS - LIBBS
MYCOSPOR CRM.15GRS - BAYER
MYDRIACYL 1% SOL.OFT.5ML - ALCON
MYFORTIC 180MG 120CPDS REV. - NOVARTIS
MYFORTIC 360MG 120CPDS REV. - NOVARTIS
MYLANTA 80+80+6MG/ML SUSP.ORAL MENTA 240ML - J&J CONSUM
MYLANTA 80+80+6MG/ML SUSP.ORAL MOR.240ML - J&J CONSUM
MYLERAN 2MG 25CPDS(ICMS 0%) - GLAXOSMITH
MYLICON 15ML - JANSSEN-CILAG
MYOZYME 50MG PO LIOF.1FA - GENZYME
MYRAFER 60CPDS MAST. - ATIVUS
MYRAFER GTS.30ML - ATIVUS
MYRAFORT F 60CPDS - ATIVUS
MYRAVIT 60CPDS - ATIVUS
MYRAVIT GEST.60CPDS - ATIVUS
MYRAVIT LACT.60CPDS - ATIVUS
MYTEDOM 10MG 2X10CPDS - CRISTALIA
MYTEDOM 10MG/ML 10AMP 1ML - CRISTALIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
117795
2900053
96194
104362
104366
100008
145517
145519
145447
117805
145450
117806
71697
71696
1260072
93817
93818
145061
145060
85953
124020
147399
124334
147400
124021
159237
147401
147402
159235
159236
36299
36296
98848
167320
129667
165877
129668
165878
49185
41518
34992
34993
4560046
97129
84072
71463
71464
41517
DESCRICAO
MYTEDOM 5MG 2X10CPDS - CRISTALIA
NAAXIA 49MG/ML SOL.OFT.5ML - ALLERGAN
NAC 200MG GRANULADO 16ENV.5GRS - SIGMA PHARMA
NAC 20MG/ML XPE.INF.150ML - SIGMA PHARMA
NAC 40MG/ML XPE.ADU.150ML - SIGMA PHARMA
NAC 600MG GRANULADO 16ENVX5GRS - SIGMA PHARMA
NACLOFAN 15MG/ML 20ML - HIPOLABOR
NACLOFAN 50MG 20CPDS - HIPOLABOR
NADERM CRM.15GRS - CRISTALIA
NADERM CRM.30GRS - CRISTALIA
NADERM POM.15GRS - CRISTALIA
NADERM POM.30GRS - CRISTALIA
NALDECON DIA 25X4CPDS - BRISTOL
NALDECON DIA 3X8CPDS - BRISTOL
NALDECON LIQ.60ML - BRISTOL
NALDECON NOITE 3X8CPDS - BRISTOL
NALDECON NOITE 50X4CPDS - BRISTOL
NALDECON PACK 25X6CPDS - BRISTOL
NALDECON PACK 4X6CPDS - BRISTOL
NALLE 40MG 30CAPS - NIKKHO
NAN 1 PRO 400GRS - NESTLE N.I.
NAN 1 PRO 800GRS - NESTLE N.I.
NAN 2 PRO 400GRS - NESTLE N.I.
NAN 2 PRO 800GRS - NESTLE N.I.
NAN AR 400GRS - NESTLE N.I.
NAN AR 800GRS - NESTLE N.I.
NAN COMFOR 1 400GRS - NESTLE N.I.
NAN COMFOR 1 800GRS - NESTLE N.I.
NAN COMFOR 2 400GRS - NESTLE N.I.
NAN COMFOR 2 800GRS - NESTLE N.I.
NAN H.A.400GRS - NESTLE N.I.
NAN S/LACTOSE 400GRS - NESTLE N.I.
NAN SOY 400GRS - NESTLE N.I.
NAN SOY 800G - NESTLE N.I.
NANTRON 4MG/ML INJ.25AMP 2ML - DR.REDDY'S
NANTRON 4MG/ML INJ.5AMP 2ML - DR.REDDY'S
NANTRON 8MG/ML INJ.25AMP 4ML - DR.REDDY'S
NANTRON 8MG/ML INJ.5AMP 4ML - DR.REDDY'S
NAOX 50AMP 1ML - EUROFARMA
NAPRIX 10MG 30CPDS - LIBBS
NAPRIX 2,5MG 30CPDS - LIBBS
NAPRIX 5MG 20CPDS - LIBBS
NAPRIX 5MG 30CPDS - LIBBS
NAPRIX A 10+10MG 30CAPS - LIBBS
NAPRIX A 10+5MG 30CAPS GEL.DURA - LIBBS
NAPRIX A 2,5+5MG 30CAPS - LIBBS
NAPRIX A 5+5MG 30CAPS - LIBBS
NAPRIX D 5+12,5MG 30CPDS - LIBBS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
34994
139921
139922
68505
3440206
3440207
6920279
139923
89682
84221
139924
89683
84220
119769
97076
18479
159626
159625
159251
6200049
164732
164733
2380172
2380064
139198
2380063
79629
79630
79631
3480045
145417
3480046
74439
74438
74440
74442
6200047
153670
145020
5020044
5020043
152129
71959
71958
166108
148943
15052
37258
DESCRICAO
NAPRIX D 5+25MG 30CPDS - LIBBS
NAPROFLEN 250MG AL.15CPDS - SANDOZ
NAPROFLEN 500MG AL.20CPDS - SANDOZ
NAPRONAX 550MG 10CPDS - NEOQUIMICA
NAPROSYN 250MG 15CPDS - BAYER
NAPROSYN 500MG 20CPDS - BAYER
NAPROX 500MG 20CPDS - TEUTO BRAS
NAPROXENO GEN.250MG 15CPDS - SANDOZ
NAPROXENO GEN.250MG 15CPDS - BIOSINTETICA
NAPROXENO GEN.250MG 15CPDS - TEUTO BRAS
NAPROXENO GEN.500MG 20CPDS - SANDOZ
NAPROXENO GEN.500MG 20CPDS - BIOSINTETICA
NAPROXENO GEN.500MG 20CPDS - TEUTO BRAS
NAPROXENO SODICO GEN.550MG 10CPDS REV. - NEOQUIMICA
NAPROXENO SODICO GEN.550MG 20CPDS REV. - NEOQUIMICA
NARAMIG 2,5MG 4CPDS - GLAXOSMITH
NARANETY 2,5MG 12CPDS REV. - LEGRAND PRESCRICAO
NARANETY 2,5MG 4CPDS REV. - LEGRAND PRESCRICAO
NARATRIN 2,5MG 4CPDS REV. - EMS
NARCAN 0,4MG/ML 10AMP 1ML - CRISTALIA
NARICLEAR KIDS SPRAY NASAL 100ML - JANSSEN-CILAG
NARICLEAR SPRAY NASAL 100ML - JANSSEN-CILAG
NARIDRIN 12HS GTS.30ML - EMS
NARIDRIN ADU.GTS.15ML - EMS
NARIDRIN H 30MG/ML SOL.NASAL SPRAY 60ML - EMS
NARIDRIN INF.GTS.15ML - EMS
NARIFLUX GTS.30ML 12HS - CIFARMA
NARIFLUX GTS.ADU.15ML - CIFARMA
NARIFLUX GTS.PED.15ML - CIFARMA
NARIX ADU.15ML - CIMED
NARIX ADU.30ML - CIMED
NARIX INF.30ML - CIMED
NAROPIN 10,0MG/ML SOL.INJ.5AMP 10ML - ASTRAZENECA
NAROPIN 10MG/ML SOL.INJ.5AMP 20ML - ASTRAZENECA
NAROPIN 2MG/ML SOL.INJ.5AMP 20ML - ASTRAZENECA
NAROPIN 7,5MG/ML SOL.INJ.5AMP 20ML - ASTRAZENECA
NASACORT 550MCG/ML SUSP.NASAL SPR.16,5ML - SANOFI-AVENTIS
NASALIV 40+1+0,4MG/ML SOL.ORAL 60ML - UNIAO QUIMICA
NASALIV 800+20+4MG 50BLX2+2CPDS - UNIAO QUIMICA
NASIVIN 0,5MG/ML SOL.NASAL GTS.10ML - MERCK S.A.
NASIVIN 0,5MG/ML SOL.NASAL SPR.10ML - MERCK S.A.
NASOCLEAN ISOTONICO 1FR 100ML - GLAXOSMITH
NASOFELIN 0,5MG/ML SOL.NAS.INF.10ML - NEOQUIMICA
NASOFELIN 1MG/ML SOL.NAS.ADU.10ML - NEOQUIMICA
NASOFLUID 0,5MG/ML SOL.NASAL 30ML - CIFARMA
NASOLAC 9MG/ML 55ML - INFAN
NASONEX SPR.NASAL 120 ATOMIZ. - SCHERING PLOUGH
NASONEX SPR.NASAL 60 ATOMIZ. - SCHERING PLOUGH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
154257
47742
26173
165899
89347
71465
71466
5440074
6600012
6600013
44591
20897
136724
3440122
165780
136544
3440120
3440121
124501
1830014
9621
1830015
1830046
9623
15885
15884
165876
21707
135400
79633
2060104
153563
153564
2060105
84908
81920
153719
153721
2660022
1300054
1300053
72606
146705
146704
101846
137560
30026
30027
DESCRICAO
NASORUB 12GRSX24LATAS - PHARMASCIENCE
NASORUB 40GRS - PHARMASCIENCE
NASTERID A 1MG 30CPDS REV. - ATIVUS
NATELE 14CAPS GEL. - BAYER
NATELE 28CAPS GELAT. - BAYER
NATIFA 1MG 28CPDS - LIBBS
NATIFA PRO 1+0,5MG 28CPDS - LIBBS
NATIVIT MINERAIS 30CPDS - SIGMA PHARMA
NATRILIX 2,5MG 15DRGS - SERVIER
NATRILIX 2,5MG 30DRGS - SERVIER
NATRILIX SR 1,5MG 15CPDS REV. - SERVIER
NATRILIX SR 1,5MG 30CPDS REV. - SERVIER
NATUBABY CRM.60G - ALM.PRADO
NATURETTI 16CAPS - SANOFI-AVENTIS
NATURETTI 3CAPS GEL DURA F.V - SANOFI-AVENTIS
NATURETTI 90CAPS GEL DURA - SANOFI-AVENTIS
NATURETTI GELEIA 130GRS - SANOFI-AVENTIS
NATURETTI GELEIA 260GRS - SANOFI-AVENTIS
NAUMETRON 5MG/ML 50FA 10ML - NOVAFARMA
NAUSEDRON 4MG 1AMP 2ML - CRISTALIA
NAUSEDRON 4MG 50AMP 2ML - CRISTALIA
NAUSEDRON 8MG 10CPDS - CRISTALIA
NAUSEDRON 8MG 1AMP 4ML - CRISTALIA
NAUSEDRON 8MG 50AMP 4ML - CRISTALIA
NAUSICALM 25+5MG/ML PED.GTS.20ML - UNIAO QUIMICA
NAUSICALM 50+10MG 20CPDS - UNIAO QUIMICA
NAUSICALM 50+10MG 30CPDS - UNIAO QUIMICA
NAUSICALM 50+50MG SOL.INJ.50AMP 1ML - UNIAO QUIMICA
NAUSILON B6 200CPDS - CIFARMA
NAUSILON B6 GTS.20ML - CIFARMA
NAVELBINE 10MG 1FA 1ML - DARROW
NAVELBINE 20MG 1CAP GEL - DARROW
NAVELBINE 30MG 1CAP GEL - DARROW
NAVELBINE 50MG 1FA 5ML - DARROW
NAVOTRAX (B-1) 0,5MG 20CPDS - NEOQUIMICA
NAVOTRAX (B-1) 2MG 20CPDS - NEOQUIMICA
NAVOTRAX 0,5MG 50X10CPDS - NEOQUIMICA
NAVOTRAX 2MG 50X10CPDS - NEOQUIMICA
NAXOGIN 500MG 8CPDS - PFIZER
NEBACETIN POM.15GRS - NYCOMED
NEBACETIN POM.50GRS - NYCOMED
NEBACIMED POM.15GRS - CIMED
NEBA-SEPT 10MG/ML 30ML - NYCOMED
NEBA-SEPT 10MG/ML SPR.30ML - NYCOMED
NEBIDO 1000MG 1AMP 4ML - BAYER
NEBILET 5MG 28CPDS - BIOLAB SANUS
NECAMIN 100MG 6CPDS - ACHE
NECAMIN 20MG/ML SUSP.ORAL 30ML - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
151241
1280048
100492
6820101
6820102
6820115
1280051
43725
153137
43724
153136
1300055
1300056
94052
153722
5340010
5340093
5340004
5340163
5340003
6485050
34092
34095
5340059
123656
40009
34091
34089
5340141
5340129
34077
138629
5340146
34088
153725
34085
5340052
5340053
153726
163401
5340106
43748
153728
34070
34069
5340058
5340060
22300
DESCRICAO
NECEFEP 1GR SOL INJ.PO 1FA - ASPEN
NECRO B-6 6FLAC 10ML - BUNKER
NECRO B-6 SOL.ORAL 100FLAC 10ML - BUNKER
NEDAX PLUS CRM.60ML - STIEFEL
NEDAX SAB.C/PERMET.100GRS (+IPI 5%) - STIEFEL
NEDAX SHM.60ML - STIEFEL
NEMICINA POM.20G - BUNKER
NEMODINE 10MG 20CPDS - DIFFUCAP
NEMODINE 10MG 30CPDS - DIFFUCAP
NEMODINE 5MG 20CPDS - DIFFUCAP
NEMODINE 5MG 30CPDS - DIFFUCAP
NENE-DENT 10ML - NYCOMED
NENE-DENT GEL 10GRS - NYCOMED
NEO AMITRIPTILIN 25MG 20CPDS - NEOQUIMICA
NEO AMITRIPTILIN 25MG 500CPDS - NEOQUIMICA
NEO AMPICILIN 250MG PO EXT.SUSP. 60ML - NEOQUIMICA
NEO AMPICILIN 500MG 10CAPS - NEOQUIMICA
NEO BENDAZOL 200MG 2CPDS - NEOQUIMICA
NEO BENDAZOL 400MG 1CPD.MASTIG. - NEOQUIMICA
NEO BENDAZOL 400MG SUSP.10ML - NEOQUIMICA
NEO CEBETIL SOL.INJ.AMP A 10ML+AMP B 10ML - UNIAO QUIMICA
NEO CEFADRIL 250MG/5ML PO EXT.SUSP. 100ML - NEOQUIMICA
NEO CEFADRIL 500MG 8CAPS - NEOQUIMICA
NEO CLOTRIMAZYL 10MG/G CRM. 50GRS - NEOQUIMICA
NEO DECAPEPTYL 11,25MG PO LIOF.FA+DIL 2ML - ACHE
NEO DECAPEPTYL 3,75MG PO LIOF.FA+DIL 2ML - ACHE
NEO DIMETICON 40MG 20CPDS - NEOQUIMICA
NEO DIMETICON 75MG/ML GTS.10ML - NEOQUIMICA
NEO DOXICILIN 100MG 15CPDS - NEOQUIMICA
NEO FEDIPINA 10MG 30CPDS - NEOQUIMICA
NEO FEDIPINA 20MG 30CPDS - NEOQUIMICA
NEO FENICOL 4MG/ML COL.10ML - NEOQUIMICA
NEO FENICOL 500MG 20CPDS REV. - NEOQUIMICA
NEO FLUOXETIN 20MG 28CAPS - NEOQUIMICA
NEO FLUOXETIN 20MG 35X14CAPS - NEOQUIMICA
NEO FOLICO 5MG 20CPDS - NEOQUIMICA
NEO GENTAMICIN 280MG/2ML 1AMP 2ML - NEOQUIMICA
NEO GENTAMICIN 80MG/2ML 1AMP 2ML - NEOQUIMICA
NEO GENTAMICIN 80MG/2ML 50AMP 2ML - NEOQUIMICA
NEO HIDROCLOR 25MG 30CPDS - NEOQUIMICA
NEO HIDROCLOR 50MG 20CPDS - NEOQUIMICA
NEO ISOCADEN 10MG/G CRM.VAG.40GRS - NEOQUIMICA
NEO ITRAX 100MG 100X5CAPS - NEOQUIMICA
NEO ITRAX 100MG 3X5CAPS - NEOQUIMICA
NEO ITRAX 100MG 4CAPS - NEOQUIMICA
NEO LINCO 300MG 1AMP 1ML - NEOQUIMICA
NEO LINCO 600MG 1AMP 2ML - NEOQUIMICA
NEO LORATADIN 10MG 12CPDS REV. - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
150478
5340065
5340066
5340147
55302
55301
153730
5340069
153732
5340080
5340104
153736
153734
34068
90997
90998
153733
38340
5340039
6310100
91634
9567
9571
9574
9577
1830038
9573
9579
129605
9581
165855
9585
9583
9588
9591
34105
169767
153739
5340019
166090
68506
26795
83092
83093
136591
40320
34293
34294
DESCRICAO
NEO LORATADIN 1MG/ML XPE 100ML+CP MED. - NEOQUIMICA
NEO MEBEND 100MG 6CPDS - NEOQUIMICA
NEO MEBEND 20MG/ML SUSP.30ML - NEOQUIMICA
NEO METFORMIN 850MG 30CPDS - NEOQUIMICA
NEO METRODAZOL 125MG/G CRM.VAG.40GRS - NEOQUIMICA
NEO METRODAZOL 250MG 20CPDS - NEOQUIMICA
NEO METRODAZOL 40MG/ML SUSP.50FRX80ML - NEOQUIMICA
NEO METRODAZOL 40MG/ML SUSP.80ML - NEOQUIMICA
NEO MISTATIN 100000UI/4GRS 50BG+APL. - NEOQUIMICA
NEO MISTATIN 100000UI/ML SUSP.50ML - NEOQUIMICA
NEO MISTATIN CRM.VAG.60GRS - NEOQUIMICA
NEO MOXILIN 250MG PO 50FRX150ML - NEOQUIMICA
NEO MOXILIN 250MG/5ML 50FRX60ML - NEOQUIMICA
NEO MOXILIN 250MG/5ML PO EXT.SUSP. 150ML - NEOQUIMICA
NEO MOXILIN 500MG 3X5CPDS - NEOQUIMICA
NEO MOXILIN 500MG 3X7CPDS - NEOQUIMICA
NEO MOXILIN 500MG 50X10CAPS - NEOQUIMICA
NEO TIONAZOL 10MG/G CRM.30GRS - NEOQUIMICA
NEO VERPAMIL 80MG 20CPDS REV. - NEOQUIMICA
NEOBACIPAN 5MG+250UI/G POM.15GRS - ROYTON
NEOBUTAMINA 250MG 10AMP 20ML - NEOQUIMICA
NEOCAINA 0,25% C/VASO 10X20ML - CRISTALIA
NEOCAINA 0,25% S/VASO 10FA 20ML STERILE PACK - CRISTALIA
NEOCAINA 0,5% C/VASO 10X20ML - CRISTALIA
NEOCAINA 0,5% C/VASO 10X30ML - CRISTALIA
NEOCAINA 0,5% C/VASO 25CARPX1,8ML - CRISTALIA
NEOCAINA 0,5% C/VASO 6X20ML - CRISTALIA
NEOCAINA 0,5% ISOB.40FA 4ML STERILE PACK - CRISTALIA
NEOCAINA 0,5% PESADA 20AMP 4ML - CRISTALIA
NEOCAINA 0,5% PESADA 40FA 4ML STERILE PACK - CRISTALIA
NEOCAINA 0,5% S/VASO 10FA 20ML STERILE PACK - CRISTALIA
NEOCAINA 0,5% S/VASO 10X20ML - CRISTALIA
NEOCAINA 0,5% S/VASO 6X20ML - CRISTALIA
NEOCAINA 0,75% C/VASO 10X20ML - CRISTALIA
NEOCAINA 0,75% S/VASO 10FA 20ML STERILE PACK - CRISTALIA
NEOCATE 400GRS - SUPPORT NUTRITION
NEOCATE ADVANCE 400G - SUPPORT NUTRITION
NEOCEFLEX 250MG/5ML PO EXT.50FRX60ML - NEOQUIMICA
NEOCEFLEX 250MG/5ML SUSP.60ML - NEOQUIMICA
NEOCEFLEX 25MG/ML PO SUSP.FR.60ML - NEOQUIMICA
NEOCEFLEX 500MG 8CPDS - NEOQUIMICA
NEOCETRIN POM.15G - BUNKER
NEOCITEC 10MG 1FA+DIL 1ML - SANDOZ
NEOCITEC 10MG 1FA+DIL 5ML - SANDOZ
NEOCOFLAN 10MG/G GEL 30GRS - NEOQUIMICA
NEOCOFLAN 11,6MG/G GEL 60GRS - NEOQUIMICA
NEOCOPAN 10+250MG 2X10CPDS - NEOQUIMICA
NEOCOPAN 6,667+333,4MG/ML GTS.20ML - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
60338
166091
153742
43760
43754
43763
43758
84440
138133
145521
5340030
5340029
153744
5340028
156696
43868
119424
140180
5340067
100117
100116
100115
43766
43772
34093
34094
7373066
2120112
145457
79635
155022
26394
26393
21147
5340164
113962
166918
58829
120700
16645
16678
92615
4080022
146706
4080023
103407
47744
5340153
DESCRICAO
NEOCORTIN COL.5ML - LEGRAND TARJARDOS
NEOCULAR 5MG/ML SOL.OFT.5ML - NEOQUIMICA
NEODAZOL 1000MG 250X2CDPS - NEOQUIMICA
NEODAZOL 1000MG 2CPDS - NEOQUIMICA
NEODAZOL 450MG PO EXT.SUSP. 15ML - NEOQUIMICA
NEODAZOL 500MG 4CPDS - NEOQUIMICA
NEODAZOL 900MG PO SUSP. 30ML - NEOQUIMICA
NEODERM 100X10GRS - HIPOLABOR
NEODERM 100X15GRS - HIPOLABOR
NEODERM 15GRS - HIPOLABOR
NEODEX 0,5MG 10CPDS - NEOQUIMICA
NEODEX 0,5MG/5ML ELIX. 120ML - NEOQUIMICA
NEODEX 0,5MG/ML ELIX.50FRX120ML - NEOQUIMICA
NEODEX 1MG CRM.15GRS - NEOQUIMICA
NEODIA 1,5MG 1CPD - NEOQUIMICA
NEODIGOXIN 0,25MG 24CPDS - NEOQUIMICA
NEODRIN 100MG 100CPDS - NEOQUIMICA
NEOFLOXIN 400MG 14CPDS REV. - NEOQUIMICA
NEOLASIL 10MG 100AMP 2ML - NEOQUIMICA
NEOLEFRIN 200CPDS - NEOQUIMICA
NEOLEFRIN 400+0,4+1MG/ML XPE.60ML - NEOQUIMICA
NEOLEFRIN BABY 120+2MG/ML SOL.OR.15ML - NEOQUIMICA
NEOLIDONA 25MG 3X14CPDS - NEOQUIMICA
NEOLIDONA 50MG 2X14CPDS - NEOQUIMICA
NEOLON-D CRM.30GRS - NEOQUIMICA
NEOLON-D POM.30GRS - NEOQUIMICA
NEOMED POM.10GRS - CIMED
NEOMICIN POM.20G - DELTA
NEOMICINA+BACITRACINA GEN.15GRS - SANVAL
NEOMICON 5MG/G POM.10GRS - CIFARMA
NEOPANTOL 50MG/G POM.30GRS - NEOQUIMICA
NEOPIRIDIN 12PAST. - NEOQUIMICA
NEOPIRIDIN SPR.50ML - NEOQUIMICA
NEOPRAZOL 10MG 14CAPS - NEOQUIMICA
NEOPRAZOL 20MG 14CAPS - NEOQUIMICA
NEOPRAZOL 20MG 28CAPS - NEOQUIMICA
NEOPRAZOL 40MG 28CAPS GEL. - NEOQUIMICA
NEOPRESS H 50+12,5MG 3X10CPDS - NEOQUIMICA
NEORINO GTS.30ML - HIPOLABOR
NEOSAC 150MG 5X4CPDS REV. - NEOQUIMICA
NEOSAC 300MG 5X4CPDS REV. - NEOQUIMICA
NEOSALDINA 100DRGS - NYCOMED
NEOSALDINA 2X10DRGS - NYCOMED
NEOSALDINA 50X4DRGS - NYCOMED
NEOSALDINA SOL.ORAL 15ML - NYCOMED
NEOSALDOR 200DRGS - PHARMASCIENCE
NEOSALDOR 20DRGS - PHARMASCIENCE
NEOSEMID 40MG 20CPDS - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
34079
124490
166096
40321
43781
5340134
5340135
38352
2120113
5340154
153745
21146
15348
15063
34078
5340031
5340032
166089
162981
162982
162984
162980
162985
5340136
5340137
5260083
5340074
5340075
5340076
5340077
5340148
91361
91362
94395
840021
6200052
6200051
6200050
6200053
67649
67648
97072
97074
166030
166031
84602
153665
153664
DESCRICAO
NEOSEMID 50AMP 2ML - NEOQUIMICA
NEOSORO H SOL.NASAL 60ML - NEOQUIMICA
NEOSORO NEB.SOL.NASAL 45ML - NEOQUIMICA
NEOSORO SOL.NASAL ADU.30ML - NEOQUIMICA
NEOSORO SOL.NASAL INF.30ML - NEOQUIMICA
NEOSSOLVAN 3MG/ML XPE.INF.120ML - NEOQUIMICA
NEOSSOLVAN 6MG/ML XPE.ADU.120ML - NEOQUIMICA
NEOSTATIN CRM.VAG.40G+7APL. - DELTA
NEOSTATIN ORAL 50ML - DELTA
NEOSULIDA 100MG 12CPDS - NEOQUIMICA
NEOSULIDA 50MG/ML GTS.100FRX15ML - NEOQUIMICA
NEOSULIDA 50MG/ML SUSP.OR.GTS.15ML - NEOQUIMICA
NEOTAFLAN 15MG/ML GTS.20ML - NEOQUIMICA
NEOTAFLAN 50MG 20CPDS - NEOQUIMICA
NEOTAFLAN 75MG 3AMP 3ML - NEOQUIMICA
NEOTAREN 50MG 20CPDS - NEOQUIMICA
NEOTAREN 75MG 5AMP 3ML - NEOQUIMICA
NEOTAREN 75MG/ML SOL.INJ.50AMP 3ML(EMB.HOSP.) - NEOQUIMICA
NEOTIAPIM 100MG 14CPDS REV. - SANDOZ
NEOTIAPIM 100MG 30CPDS REV. - SANDOZ
NEOTIAPIM 200MG 30CPDS REV. - SANDOZ
NEOTIAPIM 25MG 14CPDS REV. - SANDOZ
NEOTIAPIM 25MG 30CPDS REV. - SANDOZ
NEOTOSS 1,5MG/ML XPE.INF.60ML - NEOQUIMICA
NEOTOSS 3MG/ML XPE.ADU.100ML - NEOQUIMICA
NEOTRICIN POM.15GRS - LEGRAND OTC
NEOTRIN 20CPDS - NEOQUIMICA
NEOTRIN SUSP.60ML - NEOQUIMICA
NEOVERMIM 6CPDS - NEOQUIMICA
NEOVERMIM SUSP.30ML - NEOQUIMICA
NEOVERMIN 12CPDS - NEOQUIMICA
NEOVITE 30CPDS REV. - BAUSCH+LOMB
NEOVITE 60CPDS REV. - BAUSCH+LOMB
NEOVITE LUTEIN 60CPDS REV. - BAUSCH+LOMB
NEOVLAR 21DRGS - BAYER
NEOZINE 100MG 20CPDS - SANOFI-AVENTIS
NEOZINE 25MG 20CPDS - SANOFI-AVENTIS
NEOZINE 25MG 5AMP 5ML - SANOFI-AVENTIS
NEOZINE 4% GTS.20ML - SANOFI-AVENTIS
NEOZOL 30MG 2X7CAPS - NEOQUIMICA
NEOZOL 30MG 7CAPS - NEOQUIMICA
NEOZOLAM 0,5MG 20CPDS - NEOQUIMICA
NEOZOLAM 1MG 20CPDS - NEOQUIMICA
NEPECEF 1000MG PO INJ.50FA - ASPEN
NEPECEF 1000MG PO INJ.50FA+50DIL.3ML - ASPEN
NEPECEF 1G 1FA+DIL 3ML - ASPEN
NEPECEF 1G PO INJ.1FA - ASPEN
NEPECEF 2G PO INJ.1FA - ASPEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
166032
166033
166034
166035
133708
133709
1830001
20203
115310
79636
79638
840022
840023
160778
114492
280089
167318
129404
147403
167319
129406
147404
129405
153552
153553
153554
114554
6200057
6200055
6200056
160996
160997
160994
160995
72159
68494
68492
68493
77416
14826
14827
92697
105734
105735
34989
5440041
5440107
26599
DESCRICAO
NEPECEF 500MG PO INJ.25FA - ASPEN
NEPECEF 500MG PO INJ.25FA+25DIL.1,5ML - ASPEN
NEPECEF 500MG PO INJ.50FA - ASPEN
NEPECEF 500MG PO INJ.50FA+50DIL.1,5ML - ASPEN
NEPHROTECT 10% 250ML BR1123061 - FRESENIUS KABI
NEPHROTECT 10% 500ML BR1123091 - FRESENIUS KABI
NEPRESOL 20MG/ML 50AMP 1ML - CRISTALIA
NEPRO HP BAUN.237ML - ABBOTT
NERALGYN 200DRGS - CIFARMA
NERALGYN 20DRGS - CIFARMA
NERALGYN GTS.15ML - CIFARMA
NERISONA CRM.15GRS - BAYER
NERISONA POM.15GRS - BAYER
NERVAMIN 300MG 30CPDS REV. - PRATI-DONADUZZI
NERVEN 300MG 30CPDS - UNIAO QUIMICA
NERVOMED 20G - ALM.PRADO
NESTOGENO 1 135G - NESTLE N.I.
NESTOGENO 1 400GRS - NESTLE N.I.
NESTOGENO 1 800GRS - NESTLE N.I.
NESTOGENO 2 135G - NESTLE N.I.
NESTOGENO 2 400GRS - NESTLE N.I.
NESTOGENO 2 800GRS - NESTLE N.I.
NESTOGENO PLUS PELARGON 400GRS - NESTLE N.I.
NEUGRAST 50MG/ML SOL.INJ.1FA 10ML - ACCORD
NEUGRAST 50MG/ML SOL.INJ.1FA 20ML - ACCORD
NEUGRAST 50MG/ML SOL.INJ.1FA 5ML - ACCORD
NEULASTIN 10MG/ML 1SER.PREENC.0,6ML - ROCHE
NEULEPTIL 1% PED.20ML - SANOFI-AVENTIS
NEULEPTIL 10MG 20CPDS - SANOFI-AVENTIS
NEULEPTIL 4% GTS.20ML - SANOFI-AVENTIS
NEUPINE 10MG 14CPDS - GLAXOSMITH
NEUPINE 10MG 28CPDS - GLAXOSMITH
NEUPINE 5MG 14CPDS - GLAXOSMITH
NEUPINE 5MG 28CPDS - GLAXOSMITH
NEURAL 100MG 20X10CPDS - CRISTALIA
NEURAL 100MG 3X10CPDS - CRISTALIA
NEURAL 25MG 3X10CPDS - CRISTALIA
NEURAL 50MG 3X10CPDS - CRISTALIA
NEURONTIN 300MG 10CAPS - PFIZER
NEURONTIN 300MG 30CAPS - PFIZER
NEURONTIN 400MG 30CAPS - PFIZER
NEURONTIN 600MG 27CPDS REV.SULCADO - PFIZER
NEUROTRYPT 25MG 2X15CPDS REV. - SIGMA PHARMA
NEUROTRYPT 75MG 2X15CPDS REV. - SIGMA PHARMA
NEUTROFER 150MG 30CPDS - SIGMA PHARMA
NEUTROFER 20FLAC 5ML - SIGMA PHARMA
NEUTROFER 250MG/ML GTS.30ML - SIGMA PHARMA
NEUTROFER 300MG 30CPDS - SIGMA PHARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
5440059
55344
55345
72137
78939
130917
103893
3480053
128354
3480022
138438
139896
166407
106805
41906
117139
41905
41908
117141
41907
95522
4080046
4080047
4880064
4880065
4880066
4880067
136574
136573
136572
119935
159590
159591
148644
132208
132209
147783
147784
147782
1280158
1280086
98849
1020010
1020063
5420039
9541
37788
23565
DESCRICAO
NEUTROFER 500MG 30CPDS - SIGMA PHARMA
NEUTROFER FOLICO 150MG 30CPDS - SIGMA PHARMA
NEUTROFER FOLICO 20FLAC 5ML - SIGMA PHARMA
NEUTROFER FOLICO GTS.30ML - SIGMA PHARMA
NEUTROFER NEONATAL 250MG GTS.15ML - SIGMA PHARMA
NEVANAC 1MG/ML SOL.OFT.5ML - ALCON
NEVRALGEX 10X10CPDS - CIMED
NEVRALGEX 12CPDS - CIMED
NEVRALGEX 30CPDS - CIMED
NEVRALGEX 30X4CPDS - CIMED
NEVRIX 20CPDS REV. - ATIVUS
NEVRIX 8CPDS REV. - ATIVUS
NEVRIX IM 50+50MG+2500MCG/ML SOL.INJ.3AMP 2ML - ATIVUS
NEXAVAR 200MG 60CPDS REV. - BAYER
NEXIUM 20MG 14CPDS REV. - ASTRAZENECA
NEXIUM 20MG 28CPDS REV. - ASTRAZENECA
NEXIUM 20MG 7CPDS REV. - ASTRAZENECA
NEXIUM 40MG 14CPDS REV. - ASTRAZENECA
NEXIUM 40MG 28CPDS REV. - ASTRAZENECA
NEXIUM 40MG 7CPDS REV. - ASTRAZENECA
NEXIUM 40MG PO LIOF.10FA - ASTRAZENECA
NIAR 5MG 2BLX15CPDS - ABBOTT
NIAR 5MG 4BLX15CPDS - ABBOTT
NICORD 10MG 20CPDS - MARJAN
NICORD 2,5MG 20CPDS - MARJAN
NICORD 5MG 10CPDS - MARJAN
NICORD 5MG 20CPDS - MARJAN
NICORETTE FASE 1 24,9MG 7ADES.TRANSDERMICO - J&J CONSUM
NICORETTE FASE 2 16,6MG 7ADES.TRANSDERMICO - J&J CONSUM
NICORETTE FASE 3 8,3MG 7ADES.TRANSDERMICO - J&J CONSUM
NICORETTE FRESHMINT 2MG 30GOMAS - J&J CONSUM
NICORETTE ICEMINT 2MG 30GOMAS - J&J CONSUM
NICORETTE ICEMINT 4MG 30GOMAS - J&J CONSUM
NICORETTE MENTA 4MG 210GOMAS - J&J CONSUM
NICORETTE MINT 2MG 30GOMAS - J&J CONSUM
NICORETTE MINT 4MG 30GOMAS - J&J CONSUM
NICOTINELL 14MG 7ADES. - NOVARTIS
NICOTINELL 21MG 7ADES. - NOVARTIS
NICOTINELL 7MG 7ADES. - NOVARTIS
NIDAZOLIN CRM.VAG.40G - BUNKER
NIDAZOLIN SOL.ORAL 50ML - BUNKER
NIDEX 550GRS - NESTLE N.I.
NIFELAT 10/25MG 28CAPS - BIOSINTETICA
NIFELAT 20/50MG 28CAPS - BIOSINTETICA
NIKKHO-VAC GTS.15ML - NIKKHO
NILPERIDOL 50AMP 2ML - CRISTALIA
NIMALGEX 100MG 12CPDS - HEXAL
NIMBIUM 10MG 5AMP 5ML - GLAXOSMITH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
23567
23566
103319
137952
103320
137953
5440091
5440092
85971
92954
132253
102008
123662
138321
88587
63653
41688
128212
92955
136614
119431
153619
136596
119916
38162
106620
153620
123663
140645
63654
132177
83884
61406
47251
34967
34968
88709
110109
110448
56193
79642
166109
36400
29367
29368
29366
133975
133974
DESCRICAO
NIMBIUM 150MG 1FA 30ML - GLAXOSMITH
NIMBIUM 20MG 5AMP 10ML - GLAXOSMITH
NIMELIT 100MG 12CPDS - VITAPAN
NIMELIT 100MG 504CPDS - VITAPAN
NIMELIT 50MG/ML GTS.15ML - VITAPAN
NIMELIT GTS.50X15ML - VITAPAN
NIMESILAM 100MG 12CPDS - EMS
NIMESILAM GTS.15ML - EMS
NIMESUBAL 100MG 12CPDS - BALDACCI
NIMESULIDA GEN.100MG 10CPDS - SANDOZ
NIMESULIDA GEN.100MG 12CPDS - LEGRAND GENERICOS
NIMESULIDA GEN.100MG 12CPDS - BRAINFARMA
NIMESULIDA GEN.100MG 12CPDS - BIOSINTETICA
NIMESULIDA GEN.100MG 12CPDS - NOVA QUIMICA
NIMESULIDA GEN.100MG 12CPDS - EUROFARMA
NIMESULIDA GEN.100MG 12CPDS - EMS GENERICOS
NIMESULIDA GEN.100MG 12CPDS - MEDLEY
NIMESULIDA GEN.100MG 12CPDS - ARROW
NIMESULIDA GEN.100MG 20CPDS - SANDOZ
NIMESULIDA GEN.100MG 2X6CPDS - RANBAXY
NIMESULIDA GEN.20MG/G GEL 30G - GERMED GENERICOS
NIMESULIDA GEN.20MG/G GEL 30GRS - CIMED
NIMESULIDA GEN.20MG/G GEL 40GRS - NEOQUIMICA
NIMESULIDA GEN.20MG/G GEL DERM.30G - EMS GENERICOS
NIMESULIDA GEN.50MG GTS.15ML - MEDLEY
NIMESULIDA GEN.50MG/ML GTS.15ML - BRAINFARMA
NIMESULIDA GEN.50MG/ML GTS.15ML - CIMED
NIMESULIDA GEN.50MG/ML GTS.15ML - BIOSINTETICA
NIMESULIDA GEN.50MG/ML GTS.15ML - PRATI-DONADUZZI
NIMESULIDA GEN.50MG/ML GTS.15ML - EMS GENERICOS
NIMESULIDA GEN.50MG/ML SUSP.GTS.15ML - TEUTO BRAS
NIMESULIDA GEN.50MG/ML SUSP.OR.15ML - NEOQUIMICA
NIMESULIDA GEN.GTS.15ML - EUROFARMA
NIMESULIX 100MG 12CPDS - TEUTO BRAS
NIMESULIX 50MG/ML SUSP.ORAL GTS.15ML - TEUTO BRAS
NIMESULIX SUSP.ORAL 60ML - TEUTO BRAS
NIMOBAL 30MG 30CPDS - BALDACCI
NIMODIPINO GEN.30MG 2BLX15CPDS - GERMED GENERICOS
NIMODIPINO GEN.30MG 2BLX15CPDS - EMS GENERICOS
NIMODIPINO GEN.30MG 30CPDS - SANDOZ
NIMOPAX 30MG 30CPDS - CIFARMA
NIMOPAX 30MG 500CPDS REV.(EMB.HOSP.) - CIFARMA
NIMOVAS 30MG 30CPDS - DIFFUCAP
NIQUITIN 14MG 7ADES.TRANSD. - GLAXOSMITH
NIQUITIN 21MG 7ADES.TRANSD. - GLAXOSMITH
NIQUITIN 7MG 7ADES.TRANSD. - GLAXOSMITH
NIQUITIN PASTILHA 2MG 4PAST.MENTA - GLAXOSMITH
NIQUITIN PASTILHA 2MG 9BLX4PAST.MENTA - GLAXOSMITH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
133973
133972
7040076
162630
170049
116143
37714
111843
42823
102098
45153
100073
111319
140650
156689
111318
35307
159600
79013
34986
140647
139602
42824
37009
100098
129282
158251
111844
140656
90690
89487
76275
90635
4720138
4720139
166110
84302
165863
153628
2060054
2060117
2060087
2060056
2060055
26407
2060093
5628073
150690
DESCRICAO
NIQUITIN PASTILHA 4MG 4PAST.MENTA - GLAXOSMITH
NIQUITIN PASTILHA 4MG 9BLX4PAST.MENTA - GLAXOSMITH
NISALGEN 100MG 12CPDS - UCI-FARMA
NISALGEN 2% GEL 40G - UCI-FARMA
NISALGEN 20MG/G GEL 30G - UCI-FARMA
NISTATEC 100000UI/4MG 60GRS+1APL - ROYTON
NISTATINA GEN.100.000UI/ML SUSP. 50ML - NEOQUIMICA
NISTATINA GEN.100000UI SUSP.50ML - NOVA QUIMICA
NISTATINA GEN.100000UI/ML 50ML - CRISTALIA
NISTATINA GEN.100000UI/ML SUSP.ORAL 50ML - TEUTO BRAS
NISTATINA GEN.100000UI/ML SUSP.ORAL 50ML - EMS GENERICOS
NISTATINA GEN.100000UI/ML SUSP.ORAL 50ML - GERMED GENERICOS
NISTATINA GEN.100000UI/ML SUSP.ORAL 50X50ML - TEUTO BRAS
NISTATINA GEN.100000UI/ML SUSP.PLAST.C/CGTX50ML - PRATI-DONADUZZI
NISTATINA GEN.25000UI/G CRM.VAG.1BG.60GRS+APL - LUPER
NISTATINA GEN.25000UI/G CRM.VAG.50X60GRS+APL. - TEUTO BRAS
NISTATINA GEN.25000UI/G CRM.VAG.60G - EMS GENERICOS
NISTATINA GEN.25000UI/G CRM.VAG.60GR+14APL. - PRATI-DONADUZZI
NISTATINA GEN.25000UI/G CRM.VAG.60GRS+APL - NEOQUIMICA
NISTATINA GEN.25000UI/G CRM.VAG.60GRS+APL. - TEUTO BRAS
NISTATINA GEN.25000UI/G CRM.VAG.60GRS+APLIC - PRATI-DONADUZZI
NISTATINA GEN.25000UI/G CRM.VAG.60GRS+APLIC. - CIFARMA
NISTATINA GEN.25000UI/ML 60GRS - CRISTALIA
NISTATINA GEN.CRM.VAG.60GRS - MEDLEY
NISTATINA GEN.SUSP.ORAL 50ML - LEGRAND GENERICOS
NISTATINA+OXIDO ZINCO GEN.100.000UI/G+200MG POM.DERM.60GRS - NEOQUIMICA
NISTATINA+OXIDO ZINCO GEN.100.000UI+200MG/GR POM.DERM.60GRS - TEUTO BRAS
NISTATINA+OXIDO ZINCO GEN.100000UI/G+200MG/G 60GRS - NOVA QUIMICA
NISTATINA+OXIDO ZINCO GEN.100000UI/G+200MG/G POM.DERM.60GRS - PRATI-DONADUZZI
NISTATINA+OXIDO ZINCO GEN.100000UI+200MG/G POM.DERM.60G - GERMED GENERICOS
NISTATINA+OXIDO ZINCO GEN.100000UI+200MG/G POM.DERM.60G - EMS GENERICOS
NISTATINA+OXIDO ZINCO GEN.200MG/G POM.60GRS - MEDLEY
NISTATINA+OXIDO ZINCO GEN.POM.60GRS - LEGRAND GENERICOS
NISTAX CRM.VAG.60GRS - LUPER
NISTAX SUSP.50ML - LUPER
NISTOMIC 25000UI/G CRM.VAG.60G+14APL. - CIFARMA
NISTOMIC CRM.VAG.60GRS - CIFARMA
NISUFAR 100MG 12CPDS - ELOFAR
NISUFAR 20MG/G 1BG 40G - ELOFAR
NISULID 100MG 12CPDS - ACHE
NISULID 100MG 12CPDS DISP. - ACHE
NISULID 100MG 12SUPS - ACHE
NISULID 100MG GRAN.12ENV - ACHE
NISULID 10MG/ML SUSP.ORAL 60ML - ACHE
NISULID 2% GEL 40G - ACHE
NISULID 50MG/ML GTS.15ML - ACHE
NITRAPAN 5MG 20X10CPDS - CRISTALIA
NITRATO FENTICONAZOL GEN.0,02G/G CRM.VAG.40G+7APL. - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
150680
90208
106629
88217
49420
140659
88218
95561
123988
61192
140658
123989
90612
90611
34473
34474
61193
101982
116165
116164
116167
140666
145418
133634
94458
140660
159601
83581
140664
90714
114367
66383
89545
119942
69757
89546
140668
140667
91641
1020027
1020026
80669
80668
4560024
960050
960051
6920215
148548
DESCRICAO
NITRATO FENTICONAZOL GEN.0,02MG/G CRM.VAG.40G+7APLIC. - GERMED GENERICOS
NITRATO ISOCONAZOL GEN.10MG/G 40GRS - NEOQUIMICA
NITRATO ISOCONAZOL GEN.10MG/G CRM.DERM.20G - GERMED GENERICOS
NITRATO ISOCONAZOL GEN.10MG/G CRM.DERM.20G - EMS GENERICOS
NITRATO ISOCONAZOL GEN.10MG/G CRM.DERM.20GRS - CRISTALIA
NITRATO ISOCONAZOL GEN.10MG/G CRM.DERM.20GRS - PRATI-DONADUZZI
NITRATO ISOCONAZOL GEN.10MG/G CRM.VAG.40G+7APL - EMS GENERICOS
NITRATO ISOCONAZOL GEN.10MG/G CRM.VAG.40G+7APLIC. - GERMED GENERICOS
NITRATO ISOCONAZOL GEN.10MG/G CRM.VAG.40GRS - HIPOLABOR
NITRATO ISOCONAZOL GEN.10MG/G CRM.VAG.40GRS+7APL - CRISTALIA
NITRATO ISOCONAZOL GEN.10MG/G CRM.VAG.40GRS+7APL.DESC. - PRATI-DONADUZZI
NITRATO ISOCONAZOL GEN.10MG/G CRM.VAG.50X40GRS - HIPOLABOR
NITRATO ISOCONAZOL GEN.CRM.VAG.20GRS - MEDLEY
NITRATO ISOCONAZOL GEN.CRM.VAG.40GRS+7APL - MEDLEY
NITRATO MICONAZOL GEN.2% 20MG/G CRM.VAG.80GRS+APL. - TEUTO BRAS
NITRATO MICONAZOL GEN.2% 20MG/ML LOC.DERM.30ML - TEUTO BRAS
NITRATO MICONAZOL GEN.20MG/G 30ML - CRISTALIA
NITRATO MICONAZOL GEN.20MG/G 80GRS+14APL - BLAU
NITRATO MICONAZOL GEN.20MG/G CRM.28GRS - LEGRAND GENERICOS
NITRATO MICONAZOL GEN.20MG/G CRM.DERM.28G - EMS GENERICOS
NITRATO MICONAZOL GEN.20MG/G CRM.DERM.28G - GERMED GENERICOS
NITRATO MICONAZOL GEN.20MG/G CRM.DERM.28GRS - PRATI-DONADUZZI
NITRATO MICONAZOL GEN.20MG/G CRM.DERM.28GRS - CIMED
NITRATO MICONAZOL GEN.20MG/G CRM.DERM.28GRS - NEOQUIMICA
NITRATO MICONAZOL GEN.20MG/G CRM.VAG.80G+14APL - EMS GENERICOS
NITRATO MICONAZOL GEN.20MG/G CRM.VAG.80GRS C/APL - PRATI-DONADUZZI
NITRATO MICONAZOL GEN.20MG/G CRM.VAG.80GRS+14APL. - PRATI-DONADUZZI
NITRATO MICONAZOL GEN.20MG/G LOC.30G - EMS GENERICOS
NITRATO MICONAZOL GEN.20MG/G LOC.30GRS - PRATI-DONADUZZI
NITRATO MICONAZOL GEN.20MG/ML LOC.30ML - NEOQUIMICA
NITRATO MICONAZOL GEN.CRM.28GRS - MEDLEY
NITRATO MICONAZOL GEN.CRM.VAG.80GRS+14APL - MEDLEY
NITRATO MICONAZOL GEN.LOC.30GRS - LEGRAND GENERICOS
NITRATO MICONAZOL GEN.LOC.30ML - CIMED
NITRATO MICONAZOL GEN.LOC.CRM.30GRS - MEDLEY
NITRATO MICONAZOL GEN.PO 30GRS - LEGRAND GENERICOS
NITRATO OXICONAZOL GEN.10MG/G CRM.DERM.20GRS - PRATI-DONADUZZI
NITRATO OXICONAZOL GEN.10MG/ML SOL.TOP.GTS.20ML - PRATI-DONADUZZI
NITRAZEPAM GEN.5MG 2BLX10CPDS - GERMED GENERICOS
NITRENCORD 10MG 30CPDS - BIOSINTETICA
NITRENCORD 20MG 30CPDS - BIOSINTETICA
NITRENDIPINO GEN.10MG 2X15CPDS - BIOSINTETICA
NITRENDIPINO GEN.20MG 2X15CPDS - BIOSINTETICA
NITRILENO FR.15ML - LIBBS
NITRODERM TTS 10MG 10SIST. - NOVARTIS
NITRODERM TTS 5MG 10SIST. - NOVARTIS
NITROFEN 100MG 24CAPS GEL.DURA - TEUTO BRAS
NITROFEN 100MG 28CAPS GEL DURA - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
104134
167275
167274
3425144
21682
3940045
3940046
3940048
3940047
2380224
20056
137554
137555
134408
127937
92757
92759
92758
36420
134835
7360035
7360037
1020029
1020028
6200061
6200107
162921
162923
162922
162924
105302
169829
7380045
7380044
136558
136559
136557
127928
54879
54880
54877
23663
1000046
97066
110450
89514
97084
154258
DESCRICAO
NITROFURAL GEN.2MG/G POM.30GRS - NEOQUIMICA
NITROFURANTOINA GEN.100MG 280CAPS GEL.DURA - TEUTO BRAS
NITROFURANTOINA GEN.100MG 28CAPS GEL.DURA - TEUTO BRAS
NITROP 50MG 1AMP 2ML - HYPOFARMA
NITROPRUS 50MG 5FA+5DIL+BOLSA PROT. - CRISTALIA
NIZORAL 200MG 1X10CPDS - JANSSEN-CILAG
NIZORAL 200MG 3X10CPDS - JANSSEN-CILAG
NIZORAL SHM.100ML + 7% IPI - JANSSEN-CILAG
NIZORAL TOP.30GRS - JANSSEN-CILAG
NOCICLIN 21CPDS - EMS
NOCTAL 2MG 20CPDS - ABBOTT
NOCTIDEN 10MG 10CPDS REV. - BIOLAB SANUS
NOCTIDEN 10MG 20CPDS REV. - BIOLAB SANUS
NODE DS+ SHM. ANTICASPA 125ML - EUROFARMA
NOEX 100MCG 100DOSES - EUROFARMA
NOEX 32MCG 120DOSES - EUROFARMA
NOEX 50MCG 200DOSES - EUROFARMA
NOEX 64MCG 120DOSES - EUROFARMA
NOFEBRIN GTS.20ML - LEGRAND OTC
NOLIPO 15MG 30CAPS GEL.DURA - TEUTO BRAS
NOLVADEX 10MG 3BLX10CPDS - ASTRAZENECA
NOLVADEX D 20MG 3BLX10CPDS - ASTRAZENECA
NOOTRON 400MG 4X15CPDS - BIOSINTETICA
NOOTRON 60MG/ML PED.110ML - BIOSINTETICA
NOOTROPIL 200MG/ML 12AMP 5ML - SANOFI-AVENTIS
NOOTROPIL 800MG 30CPDS - SANOFI-AVENTIS
NOPLAK FR.250ML - SANIPLAN
NOPLAK MAX FR.1000ML - SANIPLAN
NOPLAK MAX FR.250ML - SANIPLAN
NOPLAK MAX REFIL FR.1000ML - SANIPLAN
NOPROSIL 10MG/2ML 100AMP PLAST.2ML - ISOFARMA
NOPROSIL 5MG/ML SOL.INJ.200AMP 2ML - ISOFARMA
NORDETTE 21DRGS - WYETH
NORDETTE 3BLX21DRGS - WYETH
NORDITROPIN NORDIFLEXX 10MG 1AMP - NOVO NORDISK
NORDITROPIN NORDIFLEXX 15MG 1AMP - NOVO NORDISK
NORDITROPIN NORDIFLEXX 5MG 1AMP - NOVO NORDISK
NORDITROPIN NORDILET 10MG 1AMP - NOVO NORDISK
NORDITROPIN SIMPLEXX 10MG 1AMP - NOVO NORDISK
NORDITROPIN SIMPLEXX 15MG 1AMP - NOVO NORDISK
NORDITROPIN SIMPLEXX 5MG 1AMP - NOVO NORDISK
NORELBIN 50MG 1X5ML - EUROFARMA
NORESTIN 0,35MG 35CPDS - BIOLAB SANUS
NORF 400MG 2X7CPDS - SIGMA PHARMA
NORFLOXACINO GEN.400MG 10BLX6CPDS REV. - EMS GENERICOS
NORFLOXACINO GEN.400MG 14CPDS - GERMED GENERICOS
NORFLOXACINO GEN.400MG 14CPDS - LEGRAND GENERICOS
NORFLOXACINO GEN.400MG 14CPDS - PHARMASCIENCE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
106628
54373
137456
41328
83178
104018
89454
37356
81842
59680
107314
81841
41327
89453
59681
148157
72610
84649
145230
2380161
2380162
146707
26823
26824
1300062
139315
1300057
1300058
146708
1300059
146709
7080063
94026
137888
127819
127818
96340
96341
96342
5740007
23478
167267
144098
5740041
23477
167266
123120
145121
DESCRICAO
NORFLOXACINO GEN.400MG 14CPDS - UNIAO QUIMICA
NORFLOXACINO GEN.400MG 14CPDS - SANDOZ
NORFLOXACINO GEN.400MG 14CPDS - NEOQUIMICA
NORFLOXACINO GEN.400MG 14CPDS - RANBAXY
NORFLOXACINO GEN.400MG 14CPDS - BRAINFARMA
NORFLOXACINO GEN.400MG 14CPDS - TEUTO BRAS
NORFLOXACINO GEN.400MG 14CPDS - NOVA QUIMICA
NORFLOXACINO GEN.400MG 14CPDS REV. - EMS GENERICOS
NORFLOXACINO GEN.400MG 2X7CPDS - MEDLEY
NORFLOXACINO GEN.400MG 2X7CPDS - BIOSINTETICA
NORFLOXACINO GEN.400MG 6CPDS - UNIAO QUIMICA
NORFLOXACINO GEN.400MG 6CPDS - MEDLEY
NORFLOXACINO GEN.400MG 6CPDS - RANBAXY
NORFLOXACINO GEN.400MG 6CPDS - NOVA QUIMICA
NORFLOXACINO GEN.400MG 7CPDS - BIOSINTETICA
NORFLOXINOX 400MG 14CPDS - PHARMASCIENCE
NORFLOXMED 400MG 14CPDS - CIMED
NORFLURIN 400MG 50X14CPDS - ASPEN
NORFLURIN 400MG 6CPDS - ASPEN
NORIDERM 10CPDS - EMS
NORIDERM CRM.20GRS - EMS
NORIPURUM 100MG MASTIG.30CPDS - NYCOMED
NORIPURUM 5AMP 2ML+5AG.LONGA - NYCOMED
NORIPURUM 5AMP 5ML - NYCOMED
NORIPURUM FOLICO 20CPDS - NYCOMED
NORIPURUM FOLICO 30CPDS - NYCOMED
NORIPURUM GTS.15ML - NYCOMED
NORIPURUM MASTIG.20CPDS - NYCOMED
NORIPURUM SOL.ORAL 30ML - NYCOMED
NORIPURUM XPE.100ML - NYCOMED
NORIPURUM XPE.120ML - NYCOMED
NORMAMOR 0,25+0,05MG 3BLX21CPDS - UNIAO QUIMICA
NORMASTIG 0,5MG/ML SOL.INJ.50AMP 1ML - UNIAO QUIMICA
NORMOLAX 667MG XPE.AMEIXA 120ML - EMS
NORTRIGIN 100MG 28CPDS - MEIZLER
NORTRIGIN 50MG 28CPDS - MEIZLER
NORTRIP 25MG 20CAPS GEL.DURA - TEUTO BRAS
NORTRIP 50MG 20CAPS GEL.DURA - TEUTO BRAS
NORTRIP 75MG 20CAPS GEL.DURA - TEUTO BRAS
NORVASC 10MG 20CPDS - PFIZER
NORVASC 10MG 30CPDS - PFIZER
NORVASC 10MG 60CPDS - PFIZER
NORVASC 5MG 10CPDS - PFIZER
NORVASC 5MG 20CPDS - PFIZER
NORVASC 5MG 30CPDS - PFIZER
NORVASC 5MG 60CPDS - PFIZER
NORVIR 100MG 2BLX84CAPS GEL. - ABBOTT
NORVIR 100MG 30CAPS GEL. - ABBOTT
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
123119
80053
31239
80051
78564
78565
42872
42874
42873
78566
78567
144925
40034
40036
2560053
33962
143217
143218
151244
169796
169801
169798
114619
120907
145579
124135
3440048
31813
31812
26784
26783
26785
3440040
3440042
3440044
3440045
70157
70158
3440046
152147
152175
139591
81107
132160
164354
28634
26263
26264
DESCRICAO
NORVIR SOL.ORAL 240ML - ABBOTT
NOTUSS 1,5+12+1,5+1,5MG XPE.PED.120ML - ACHE
NOTUSS 3+50+3+3MG MENTA 12PAST. - ACHE
NOTUSS 3+50+3+3MG XPE ADU.120ML - ACHE
NOVABUPI 0,25% C/VASO 10X20ML - CRISTALIA
NOVABUPI 0,25% S/VASO 10FA 20ML STERILE PACK - CRISTALIA
NOVABUPI 0,5% C/VASO 10X20ML - CRISTALIA
NOVABUPI 0,5% ISOB.30X4ML - CRISTALIA
NOVABUPI 0,5% S/VASO 10X20ML - CRISTALIA
NOVABUPI 0,75% C/VASO 10X20ML - CRISTALIA
NOVABUPI 0,75% S/VASO 10FA 20ML STERILE PACK - CRISTALIA
NOVACORT 20+0,5+2,5MG CRM.DERM.10G - ACHE
NOVACORT 20+0,5+2,5MG CRM.DERM.30G - ACHE
NOVACORT 20+0,5+2,5MG POM.DERM.30G - ACHE
NOVADERM CRM.DERM.30GRS - ZAMBON
NOVADERM CRM.VAG.40GRS+8APL - ZAMBON
NOVALEX 100AMP VD.2ML - HALEX ISTAR
NOVALEX 100AMP VD.5ML - HALEX ISTAR
NOVALFEM 100MG/ML GTS.20ML - SANOFI-AVENTIS
NOVALFEM 400MG 10CAPS GEL.MOLE - SANOFI-AVENTIS
NOVALFEM 400MG 3CAPS GEL.MOLE F.V - SANOFI-AVENTIS
NOVALFEM 400MG 90CAPS GEL.MOLE - SANOFI-AVENTIS
NOVALGINA 1G 10CPDS - SANOFI-AVENTIS
NOVALGINA 1G 200CPDS - SANOFI-AVENTIS
NOVALGINA 1G 25X4CPDS - SANOFI-AVENTIS
NOVALGINA 1G 4CPDS F.V. - SANOFI-AVENTIS
NOVALGINA 300MG INF.5SUPS - SANOFI-AVENTIS
NOVALGINA 500MG 10CPDS F.V - SANOFI-AVENTIS
NOVALGINA 500MG 24X10CPDS - SANOFI-AVENTIS
NOVALGINA 500MG 25X4CPDS - SANOFI-AVENTIS
NOVALGINA 500MG 3X10CPDS - SANOFI-AVENTIS
NOVALGINA 500MG 4CPDS F.V. - SANOFI-AVENTIS
NOVALGINA 500MG/ML 10X5AMP 2ML - SANOFI-AVENTIS
NOVALGINA 500MG/ML 10X5AMP 5ML - SANOFI-AVENTIS
NOVALGINA 500MG/ML FR.PLAST.10ML - SANOFI-AVENTIS
NOVALGINA 500MG/ML FR.PLAST.20ML - SANOFI-AVENTIS
NOVALGINA 500MG/ML FR.VIDRO 10ML - SANOFI-AVENTIS
NOVALGINA 500MG/ML FR.VIDRO 20ML - SANOFI-AVENTIS
NOVALGINA 50MG/ML SOL.100ML - SANOFI-AVENTIS
NOVAMIBI 1MG PO SOL.INJ.2FA 7,5ML - NOVAFARMA
NOVAMIBI 1MG PO SOL.INJ.5FA 7,5ML - NOVAFARMA
NOVAMICIN 1G PO SOL.INJ.1FA - NOVAFARMA
NOVAMICIN 500MG 20AMP - NOVAFARMA
NOVAMICIN 500MG 50FA 10ML PO LIOF. - NOVAFARMA
NOVAMICIN 500MG PO LIOF.50FA+50BOL.SIST.FECH.CONEC.100ML - NOVAFARMA
NOVAMOX 2X 400+57MG SUSP.ORAL 100ML - ACHE
NOVAMOX 2X 400+57MG SUSP.ORAL 70ML - ACHE
NOVAMOX 2X 875+125MG 14CPDS REV. - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
26265
170628
170627
7500008
151708
7500009
168651
168652
159980
168653
159981
150723
134749
168654
134751
134753
134754
168655
87272
71161
91719
132159
123108
123114
1280052
94013
153139
94012
153138
1280054
1280087
30053
34859
145928
30039
34860
34861
137931
137929
137930
31906
31908
31909
12672
12671
12670
138124
139877
DESCRICAO
NOVAMOX 2X 875+125MG 20CPDS REV. - ACHE
NOVANLO 2,5MG 30CPDS - BIOLAB SANUS
NOVANLO 5MG 30CPDS - BIOLAB SANUS
NOVARRUTINA 385MG 30CPDS - AVERT
NOVARRUTINA 385MG 42CPDS - AVERT
NOVARRUTINA 625MG/ML SOL.ORAL 30ML+CGT - AVERT
NOVASOURCE GC BAUN./MOR.TETRA SLIM 27X200ML - NESTLE N.C.
NOVASOURCE GC BAUN.12X1000ML - NESTLE N.C.
NOVASOURCE GC BAUN.24X400G - NESTLE N.C.
NOVASOURCE GC HP SF 6X1000ML - NESTLE N.C.
NOVASOURCE GI CONTROL FORTE 12X1000ML - NESTLE N.C.
NOVASOURCE GI CONTROL FORTE 27X200ML - NESTLE N.C.
NOVASOURCE GI CONTROL FORTE SF 6X1000ML - NESTLE N.C.
NOVASOURCE O2 SF 6X1000ML - NESTLE N.C.
NOVASOURCE PULMONARY SF 6X1000ML - NESTLE N.C.
NOVASOURCE RENAL SF 6X1000ML - NESTLE N.C.
NOVASOURCE RENAL TETRA BRIK 27X237ML - NESTLE N.C.
NOVASOURCE RENAL TETRA SLIM 27X200ML - NESTLE N.C.
NOVASUTIN 25/12,5MG CRM.VAG.BG.45GRS+APL - BLAU
NOVASUTIN 25/12,5MG CRM.VAG.BG.60GRS+APL - BLAU
NOVASUTIN 45GRS+10APL. - BLAU
NOVATAZ 4+0,5G 10FA 20ML PO LIOF. - NOVAFARMA
NOVATAZ 4+0,5G 1FA 20ML PO LIOF. - NOVAFARMA
NOVATON 0,25MG/ML 50AMP 1ML - NOVAFARMA
NOVELMIN 6CPDS - BUNKER
NOVIDAT 150MG 14CAPS - DIFFUCAP
NOVIDAT 150MG 28CAPS - DIFFUCAP
NOVIDAT 75MG 14CAPS - DIFFUCAP
NOVIDAT 75MG 28CAPS - DIFFUCAP
NOVO RINO ADU.GTS.15ML - BUNKER
NOVO RINO INF.GTS.15ML - BUNKER
NOVOCILIN 250MG/5ML PO SUSP.ORAL 150ML - ACHE
NOVOCILIN 400MG/5ML PO SUSP.ORAL 100ML - ACHE
NOVOCILIN 500MG 15CAPS GEL. - ACHE
NOVOCILIN 500MG 21CAPS GEL. - ACHE
NOVOCILIN 875MG 14CPDS - ACHE
NOVOCILIN 875MG 20CPDS - ACHE
NOVOFER 16MG 45CPDS REV. - ACHE
NOVOFER PED.263,16MG/ML GTS.30ML - ACHE
NOVOFER PED.52,63MG/ML SUSP.ORAL 120ML - ACHE
NOVONORM 0,5MG 30CPDS - NOVO NORDISK
NOVONORM 1,0MG 30CPDS - NOVO NORDISK
NOVONORM 2,0MG 30CPDS - NOVO NORDISK
NOVOSEVEN 120 KUI 2,4MG - NOVO NORDISK
NOVOSEVEN 240 KUI 4,8MG - NOVO NORDISK
NOVOSEVEN 60 KUI 1,2MG - NOVO NORDISK
NOVOSIL 10MG 500CPDS - HIPOLABOR
NPS 50MG PO INJ.25FA VD. - LEBON
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
27893
6500070
6500071
170888
2905019
137907
2905017
2905018
137908
2905020
2905021
157295
128227
137909
98561
150725
150727
168658
98587
163561
168656
149357
131583
142865
131556
131564
142866
131577
131586
131588
170702
170698
170703
170715
170699
170713
170700
170714
170701
170716
142859
131551
131559
142860
149359
170717
131570
131571
DESCRICAO
NUBAIN 10MG/ML 10AMP - CRISTALIA
NUJOL 120ML - MANTECORP
NUJOL 200ML - MANTECORP
NUTILIS 300G - SUPPORT NUTRITION
NUTRADERM AGE 30 LOC.120ML - GALDERMA
NUTRADERM AGE 30 LOCAO PUMP 300ML - GALDERMA
NUTRADERM CRM.60G - GALDERMA
NUTRADERM LOC.120ML - GALDERMA
NUTRADERM LOC.PUMP 300ML - GALDERMA
NUTRAPLUS 10% CRM.60G - GALDERMA
NUTRAPLUS 10% LOC.120ML - GALDERMA
NUTRAPLUS 20% CRM.60G - GALDERMA
NUTRAPLUS 8% LOC.120ML - GALDERMA
NUTRAPLUS 8% LOC.PUMP 300ML - GALDERMA
NUTREN 1.0 BAUN.24X400G - NESTLE N.C.
NUTREN 1.5 BAUN./CHOC./MOR.TETRA SLIM 27X200ML - NESTLE N.C.
NUTREN 2.0 BAUN.TETRA SLIM 27X200ML - NESTLE N.C.
NUTREN ACTIVE PO BAN./BAUN./MOR./CHOC.400G - NESTLE N.C.
NUTREN JR BAUN.24X250ML - NESTLE N.C.
NUTREN SENIOR BAUN.24X200ML - NESTLE N.C.
NUTREN SENIOR CARAMELO 24X200ML - NESTLE N.C.
NUTRI DEXTRIN 1000GRS - NUTRIMED
NUTRI DEXTRIN 400GRS - NUTRIMED
NUTRI DIABETIC 1000ML SIST.FECH. - NUTRIMED
NUTRI DIABETIC 1000ML TETRA PAK - NUTRIMED
NUTRI DIABETIC 200ML TETRA PAK - NUTRIMED
NUTRI DIABETIC 250ML SIST.FECH. - NUTRIMED
NUTRI DIABETIC BAUNILHA 400GRS - NUTRIMED
NUTRI ENERGY ENV.30GRS - NUTRIMED
NUTRI ENERGY GARRAFA 30GRS - NUTRIMED
NUTRI ENTERAL 1.5 1000ML SIST.FECH. - NUTRIMED
NUTRI ENTERAL 1.5 1000ML TETRA PAK - NUTRIMED
NUTRI ENTERAL 1.5 250ML SIST.FECH. - NUTRIMED
NUTRI ENTERAL 1.5 BANANA 400G - NUTRIMED
NUTRI ENTERAL 1.5 BAUNILHA 200ML TETRA PAK - NUTRIMED
NUTRI ENTERAL 1.5 BAUNILHA 400G - NUTRIMED
NUTRI ENTERAL 1.5 CHOCOLATE 200ML TETRA PAK - NUTRIMED
NUTRI ENTERAL 1.5 CHOCOLATE 400G - NUTRIMED
NUTRI ENTERAL 1.5 MORANGO 200ML TETRA PAK - NUTRIMED
NUTRI ENTERAL 1.5 MORANGO 400G - NUTRIMED
NUTRI ENTERAL 1000ML SIST.FECH. - NUTRIMED
NUTRI ENTERAL 1000ML TETRA PAK - NUTRIMED
NUTRI ENTERAL 200ML TETRA PAK - NUTRIMED
NUTRI ENTERAL 250ML SIST.FECH. - NUTRIMED
NUTRI ENTERAL SF 400GRS - NUTRIMED
NUTRI ENTERAL SOYA 1000ML TETRA PAK - NUTRIMED
NUTRI ENTERAL SOYA BAUNILHA 400GRS - NUTRIMED
NUTRI ENTERAL SOYA BAUNILHA 800GRS - NUTRIMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
149358
170708
170704
170709
170705
170706
170707
142861
131552
142862
149360
131572
131573
131585
149361
143014
131584
131587
142863
142864
131554
131562
131563
131561
142869
131558
131566
142870
131579
131582
142871
142867
131557
131565
142868
170718
170719
170722
170720
170721
131578
170710
170711
170712
131580
131581
97682
102095
DESCRICAO
NUTRI ENTERAL SOYA FIBER 1000ML TETRA PAK - NUTRIMED
NUTRI FIBER 1.5 1000ML SIST.FECH. - NUTRIMED
NUTRI FIBER 1.5 1000ML TETRA PAK - NUTRIMED
NUTRI FIBER 1.5 250ML SIST.FECH. - NUTRIMED
NUTRI FIBER 1.5 BAUNILHA 200ML TETRA PAK - NUTRIMED
NUTRI FIBER 1.5 CHOCOLATE 200ML TETRA PAK - NUTRIMED
NUTRI FIBER 1.5 MORANGO 200ML TETRA PAK - NUTRIMED
NUTRI FIBER 1000ML SIST.FECH. - NUTRIMED
NUTRI FIBER 1000ML TETRA PAK - NUTRIMED
NUTRI FIBER 250ML SIST.FECH. - NUTRIMED
NUTRI FIBER SF 400GRS - NUTRIMED
NUTRI FIBER SF ENV.98GRS - NUTRIMED
NUTRI FIBER SK BAUNILHA ENV.100GRS - NUTRIMED
NUTRI FIBRA FIBER MIX 400GRS - NUTRIMED
NUTRI FIBRA SOL 250GRS - NUTRIMED
NUTRI GLUTAMINE 10GRS - NUTRIMED
NUTRI GLUTAMINE 350GRS - NUTRIMED
NUTRI HYDRATE ENV.49GRS - NUTRIMED
NUTRI INFANT 1000ML SIST.FECH. - NUTRIMED
NUTRI INFANT 250ML SIST.FECH. - NUTRIMED
NUTRI INFANT BAUNILHA 1000ML TETRA PAK - NUTRIMED
NUTRI INFANT BAUNILHA 200ML TETRA PAK - NUTRIMED
NUTRI INFANT CHOCOLATE 200ML TETRA PAK - NUTRIMED
NUTRI INFANT MORANGO 200ML TETRA PAK - NUTRIMED
NUTRI LIVER 1000ML SIST.FECH. - NUTRIMED
NUTRI LIVER 1000ML TETRA PAK - NUTRIMED
NUTRI LIVER 200ML TETRA PAK - NUTRIMED
NUTRI LIVER 250ML SIST.FECH. - NUTRIMED
NUTRI LIVER ENV.92GRS - NUTRIMED
NUTRI PROTEIN 250GRS - NUTRIMED
NUTRI PROTEIN HWP 250GRS - NUTRIMED
NUTRI RENAL 1000ML SIST.FECH. - NUTRIMED
NUTRI RENAL 1000ML TETRA PAK - NUTRIMED
NUTRI RENAL 200ML TETRA PAK - NUTRIMED
NUTRI RENAL 250ML SIST.FECH. - NUTRIMED
NUTRI RENAL D 1000ML SIST.FECH. - NUTRIMED
NUTRI RENAL D 1000ML TETRA PAK - NUTRIMED
NUTRI RENAL D 250ML SIST.FECH. - NUTRIMED
NUTRI RENAL D BAUNILHA 200ML TETRA PAK - NUTRIMED
NUTRI RENAL D CHOCOLATE 200ML TETRA PAK - NUTRIMED
NUTRI RENAL ENV.92GRS - NUTRIMED
NUTRI REPAIR 1.5 BAUNILHA 200ML TETRA PAK - NUTRIMED
NUTRI REPAIR 1.5 CHOCOLATE 200ML TETRA PAK - NUTRIMED
NUTRI REPAIR 1.5 MORANGO 200ML TETRA PAK - NUTRIMED
NUTRI TCM 250ML - NUTRIMED
NUTRI TCM AGE 250ML - NUTRIMED
NUTRICAL D 500+2MG 60CPDS REV. - FARMOQUIMICA
NUTRICALCIO D 1000MG 60CAPS - FARMOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
119283
119284
119285
119281
119286
119287
119282
147230
147229
102705
102706
28122
28124
160980
160981
28121
6840081
28140
74290
28138
169765
140262
140264
140263
76658
76659
72591
72592
93836
35163
35164
6485054
6485053
52191
52192
61435
61433
61434
169766
61431
61432
86585
86586
83419
83421
6840019
6840025
6840027
DESCRICAO
NUTRICAO PARENTERAL TOTAL 1000ML - HOSPPHARMA
NUTRICAO PARENTERAL TOTAL 1500ML - HOSPPHARMA
NUTRICAO PARENTERAL TOTAL 2000ML - HOSPPHARMA
NUTRICAO PARENTERAL TOTAL 200ML - HOSPPHARMA
NUTRICAO PARENTERAL TOTAL 2500ML - HOSPPHARMA
NUTRICAO PARENTERAL TOTAL 3000ML - HOSPPHARMA
NUTRICAO PARENTERAL TOTAL 500ML - HOSPPHARMA
NUTRICOMP ENERGY HN FIBER MB 500ML 3547940 - B.BRAUN
NUTRICOMP ENERGY HN MB 500ML 3547930 - B.BRAUN
NUTRICOMP STANDARD BOLSA MB 500ML 3547612 - B.BRAUN
NUTRICOMP STANDARD BOLSA MB 500ML 3547620 - B.BRAUN
NUTRIDRINK BAUNILHA 200ML - SUPPORT NUTRITION
NUTRIDRINK CHOCOLATE 200ML - SUPPORT NUTRITION
NUTRIDRINK COMPACT BAUNILHA 125ML - SUPPORT NUTRITION
NUTRIDRINK COMPACT CAPPUCCINO 125ML - SUPPORT NUTRITION
NUTRIDRINK FRUTAS TROPICAIS 200ML - SUPPORT NUTRITION
NUTRIDRINK MOR.200ML - SUPPORT NUTRITION
NUTRIDRINK MULTI FIBER BAUNILHA 200ML - SUPPORT NUTRITION
NUTRIDRINK MULTI FIBER CHOCOLATE 200ML - SUPPORT NUTRITION
NUTRIDRINK MULTI FIBER MOR.200ML - SUPPORT NUTRITION
NUTRIDRINK PO S/SABOR 800G - SUPPORT NUTRITION
NUTRIDRINK PROTEIN BAUN.200ML - SUPPORT NUTRITION
NUTRIDRINK PROTEIN CHOC.200ML - SUPPORT NUTRITION
NUTRIDRINK PROTEIN MOR.200ML - SUPPORT NUTRITION
NUTRIFLEX LIPID PERI BAG 1250ML 3547701 - B.BRAUN
NUTRIFLEX LIPID PERI BAG 1875ML 3547710 - B.BRAUN
NUTRIFLEX LIPID PLUS BAG 1250ML 3547752 - B.BRAUN
NUTRIFLEX LIPID PLUS BAG 1875ML 3547736 - B.BRAUN
NUTRIFLEX LIPID SPECIAL BAG 1875ML 3547744 - B.BRAUN
NUTRIFLEX PLUS BAG 1000ML FA84494 - B.BRAUN
NUTRIFLEX PLUS BAG 2000ML FA84495 - B.BRAUN
NUTRIMAIZ SM 24CAPS GEL. - UNIAO QUIMICA
NUTRIMAIZ SM SUSP.ORAL 90ML - UNIAO QUIMICA
NUTRINI ENERGY MULTI FIBER 200ML - SUPPORT NUTRITION
NUTRINI ENERGY MULTI FIBER PACK 500ML - SUPPORT NUTRITION
NUTRINI MAX 500ML - SUPPORT NUTRITION
NUTRINI MULTI FIBER 200ML - SUPPORT NUTRITION
NUTRINI MULTI FIBER PACK 500ML - SUPPORT NUTRITION
NUTRINI PEPTI PEPTI PACK 500ML - SUPPORT NUTRITION
NUTRINI STANDARD 200ML - SUPPORT NUTRITION
NUTRINI STANDARD PACK 500ML - SUPPORT NUTRITION
NUTRISON ADVANCED CUBISON 500ML - SUPPORT NUTRITION
NUTRISON ADVANCED CUBISON PACK 1000ML - SUPPORT NUTRITION
NUTRISON ADVANCED DIASON 500ML - SUPPORT NUTRITION
NUTRISON ADVANCED DIASON PACK 1000ML - SUPPORT NUTRITION
NUTRISON ADVANCED HEPATO 1ENV 90GRS - SUPPORT NUTRITION
NUTRISON ADVANCED IMUNO BAUNILHA 1ENV 90GRS - SUPPORT NUTRITION
NUTRISON ADVANCED NEFRO.1ENV 90GRS - SUPPORT NUTRITION
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
6840079
2096
160982
6840031
6840023
74352
74355
6840069
2086
6840071
2091
83422
83423
61430
83415
6840067
2073
72839
35432
6280046
103830
84444
134256
134253
134255
134254
148652
148651
153586
153588
153587
153589
153585
140286
140287
140288
153679
140289
140290
145011
141204
260019
81615
101621
260035
101111
100100
101156
DESCRICAO
NUTRISON ADVANCED PEPTISORB 500ML - SUPPORT NUTRITION
NUTRISON ADVANCED PEPTISORB PACK 1000ML - SUPPORT NUTRITION
NUTRISON ADVANCED PROTISON 500ML - SUPPORT NUTRITION
NUTRISON ADVANCED PULMO 1ENV 90GRS - SUPPORT NUTRITION
NUTRISON ADVANCED TCM S/SAC.1ENV 90GRS - SUPPORT NUTRITION
NUTRISON ENERGY MULTI FIBER 500ML - SUPPORT NUTRITION
NUTRISON ENERGY MULTI FIBER PACK 1000ML - SUPPORT NUTRITION
NUTRISON ENERGY PLUS 500ML - SUPPORT NUTRITION
NUTRISON ENERGY PLUS PACK 1000ML - SUPPORT NUTRITION
NUTRISON MULTI FIBER 500ML - SUPPORT NUTRITION
NUTRISON MULTI FIBER PACK 1000ML - SUPPORT NUTRITION
NUTRISON PROTEIN PLUS MULTI FIBER PACK 1000ML - SUPPORT NUTRITION
NUTRISON PROTEIN PLUS MULTI FIBER PACK 500ML - SUPPORT NUTRITION
NUTRISON SOYA 800GRS - SUPPORT NUTRITION
NUTRISON SOYA MULTI FIBER 800GRS - SUPPORT NUTRITION
NUTRISON STANDARD 500ML - SUPPORT NUTRITION
NUTRISON STANDARD PACK 1000ML - SUPPORT NUTRITION
NUVARING 11,7+2,7MG 1ANEL VAGINAL - SCHERING PLOUGH
NYOLOL 1,37MG GEL OFT.5ML - NOVARTIS
OCERAL CRM.20GRS - BAYER
OCINOFLOX 400MG 14CPDS - HIPOLABOR
OCINOFLOX 400MG 420CPDS - HIPOLABOR
OCITOC 5UI 100AMP - BIOCHIMICO
OCITOC 5UI 1AMP - BIOCHIMICO
OCITOC 5UI 50AMP - BIOCHIMICO
OCITOC 5UI 5AMP - BIOCHIMICO
OCITOCINA GEN.5UI/ML 100AMP 1ML - BLAU
OCITOCINA GEN.5UI/ML 50AMP 1ML - BLAU
OCTAGAM 100MG/ML SOL.INJ.1FA 100ML - OCTAPHARMA
OCTAGAM 100MG/ML SOL.INJ.1FA 200ML - OCTAPHARMA
OCTAGAM 100MG/ML SOL.INJ.1FA 20ML - OCTAPHARMA
OCTAGAM 100MG/ML SOL.INJ.1FA 50ML - OCTAPHARMA
OCTAGAM 10GR SOL.INJ.1FA 200ML - OCTAPHARMA
OCTAGAM 1G SOL.INJ.1FA 20ML - OCTAPHARMA
OCTAGAM 2,5G SOL.INJ.1FA 50ML - OCTAPHARMA
OCTAGAM 5G SOL.INJ.1FA 100ML - OCTAPHARMA
OCTALBIN 20% SOL.INJ.10FA 50ML - OCTAPHARMA
OCTALBIN 20% SOL.INJ.1FA 50ML - OCTAPHARMA
OCTAPLEX 500UI 1FA+DIL+CONJ.RECONST./INFUS. - OCTAPHARMA
OCTIFEN 0,25MG/ML SOL.OFT.5ML - UNIAO QUIMICA
OCTRIDE 0,1MG/ML C/5AMP 1ML - SUN
OCUFEN 0,3MG/ML SOL.OFT.5ML - ALLERGAN
OCUPRESS 2% SOL.OFT.5ML - UNIAO QUIMICA
OESTROGEL 48MG 80G - FARMOQUIMICA
OFLOX 3MG/ML SOL.OFT.5ML - ALLERGAN
OFLOXACINO GEN.0,3% SOL.OFT.5ML - GERMED GENERICOS
OFLOXACINO GEN.0,3% SOL.OFT.5ML - EMS GENERICOS
OFLOXACINO GEN.0,3% SOL.OFTAL.5ML - LEGRAND GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
145576
168723
160534
166474
169814
151925
150931
168721
160532
169812
151923
150929
168722
160533
166475
169813
151924
150930
159246
159244
159245
115767
115768
115769
115770
115771
115772
169769
152628
152627
47746
85915
169739
169738
7080064
169741
6260102
3555039
6260103
119290
111364
111365
104420
104415
104416
104421
104417
104418
DESCRICAO
OFLOXACINO GEN.SOL.OFTALM.3MG/ML 5ML - NEOQUIMICA
OLANZAPINA GEN.10MG 30CPDS - EUROFARMA
OLANZAPINA GEN.10MG 30CPDS REV. - MEDLEY
OLANZAPINA GEN.10MG 30CPDS REV. - SANDOZ
OLANZAPINA GEN.10MG 30CPDS REV. - ZYDUS NIKKHO
OLANZAPINA GEN.10MG 4BLX7CPDS REV. - GERMED GENERICOS
OLANZAPINA GEN.10MG 4BLX7CPDS REV. - EMS GENERICOS
OLANZAPINA GEN.2,5MG 30CPDS - EUROFARMA
OLANZAPINA GEN.2,5MG 30CPDS REV. - MEDLEY
OLANZAPINA GEN.2,5MG 30CPDS REV. - ZYDUS NIKKHO
OLANZAPINA GEN.2,5MG 4BLX7CPDS REV. - GERMED GENERICOS
OLANZAPINA GEN.2,5MG 4BLX7CPDS REV. - EMS GENERICOS
OLANZAPINA GEN.5MG 30CPDS - EUROFARMA
OLANZAPINA GEN.5MG 30CPDS REV. - MEDLEY
OLANZAPINA GEN.5MG 30CPDS REV. - SANDOZ
OLANZAPINA GEN.5MG 30CPDS REV. - ZYDUS NIKKHO
OLANZAPINA GEN.5MG 4BLX7CPDS REV. - GERMED GENERICOS
OLANZAPINA GEN.5MG 4BLX7CPDS REV. - EMS GENERICOS
OLAZOFREN 10MG 4BLX7CPDS REV. - LEGRAND PRESCRICAO
OLAZOFREN 2,5MG 2BLX14CPDS REV. - LEGRAND PRESCRICAO
OLAZOFREN 5MG 4BLX7CPDS REV. - LEGRAND PRESCRICAO
OLCADIL 1MG 20CPDS - NOVARTIS
OLCADIL 1MG 30CPDS - NOVARTIS
OLCADIL 2MG 20CPDS - NOVARTIS
OLCADIL 2MG 30CPDS - NOVARTIS
OLCADIL 4MG 20CPDS - NOVARTIS
OLCADIL 4MG 30CPDS - NOVARTIS
OLEO LORENZO 500ML - SUPPORT NUTRITION
OLEO MINERAL 1000ML - D.G.L
OLEO MINERAL 100ML - D.G.L
OLEO MINERAL 100ML - PHARMASCIENCE
OLEO MINERAL 100ML - ICAR
OLEO MINERAL 1FR 1000ML - VIC PHARMA
OLEO MINERAL ALMOT.100ML - VIC PHARMA
OLEO MINERAL FR.100ML - UNIAO QUIMICA
OLEO RICINO 1FR 60ML - VIC PHARMA
OLEO RICINO 30ML 0181 - RIOQUIMICA
OLEO RICINO 60ML - ICAR
OLEO RICINO 60ML 0182 - RIOQUIMICA
OLEO SOJA+OLIVA+PEIXE 20% 1ML - HOSPPHARMA
OLEPTAL 300MG 30CPDS - TORRENT
OLEPTAL 600MG 30CPDS - TORRENT
OLICLINOMEL N4-550 1000ML - BAXTER
OLICLINOMEL N4-550 2000ML - BAXTER
OLICLINOMEL N5-800 2000ML - BAXTER
OLICLINOMEL N6-900 1500ML - BAXTER
OLICLINOMEL N6-900 2000ML - BAXTER
OLICLINOMEL N7-1000 1000ML - BAXTER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
104419
104422
162690
95074
144095
83397
144096
83398
160547
160548
160551
160552
160550
160549
144097
101945
101946
101947
1260083
1260082
1260080
145076
80890
80889
62503
62504
103896
62505
77844
88712
101352
16927
132221
90696
137163
103182
142178
37010
63619
83562
82684
59682
103184
37012
89456
63621
89457
78963
DESCRICAO
OLICLINOMEL N7-1000 2000ML - BAXTER
OLICLINOMEL N7-1000 2500ML - BAXTER
OLICLINOMEL N8-800 2000ML - BAXTER
OLIGOSSAC 400GRS - SUPPORT NUTRITION
OLMETEC 20MG 10CPDS - PFIZER
OLMETEC 20MG 30CPDS - PFIZER
OLMETEC 40MG 10CPDS - PFIZER
OLMETEC 40MG 30CPDS - PFIZER
OLMETEC ANLO 20+5MG 15CPDS - PFIZER
OLMETEC ANLO 20+5MG 30CPDS - PFIZER
OLMETEC ANLO 40+10MG 15CPDS - PFIZER
OLMETEC ANLO 40+10MG 30CPDS - PFIZER
OLMETEC ANLO 40+5MG 15CPDS - PFIZER
OLMETEC ANLO 40+5MG 30CPDS - PFIZER
OLMETEC HCT 20+12,5MG 10CPDS - PFIZER
OLMETEC HCT 20+12,5MG 30CPDS - PFIZER
OLMETEC HCT 40+12,5MG 30CPDS - PFIZER
OLMETEC HCT 40+25MG 30CPDS - PFIZER
OMCILON-A "M" CRM.30GRS - BRISTOL
OMCILON-A "M" POM.30GRS - BRISTOL
OMCILON-A ORABASE 10GRS - BRISTOL
OMEGA 3G 45CAPS - GEYER
OMEGAVEN 100ML BR2051031 - FRESENIUS KABI
OMEGAVEN 50ML BR2051051 - FRESENIUS KABI
OMEPRAMED 10MG 14CAPS GEL - CIMED
OMEPRAMED 20MG 14CAPS GEL - CIMED
OMEPRAMED 20MG 28CAPS GEL - CIMED
OMEPRAMED 20MG 7CAPS GEL - CIMED
OMEPRAMIX 7 CARTELAS - ACHE
OMEPRAMIX 7 CARTELAS+14CPDS - ACHE
OMEPRAMIX 7 CARTELAS+28CAPS - ACHE
OMEPRAZIN 20MG 2X7CAPS - EMS
OMEPRAZIN 20MG 4X7CAPS - EMS
OMEPRAZIN 40MG 7CAPS - EMS
OMEPRAZOL GEN. IV 40MG 1FA - CRISTALIA
OMEPRAZOL GEN.10MG 10BLX6CPDS GEL. - EMS GENERICOS
OMEPRAZOL GEN.10MG 14CAPS - NOVA QUIMICA
OMEPRAZOL GEN.10MG 14CAPS - MEDLEY
OMEPRAZOL GEN.10MG 14CAPS GEL.DURA - TEUTO BRAS
OMEPRAZOL GEN.10MG 2BLX7CAPS GEL.DURA - GERMED GENERICOS
OMEPRAZOL GEN.10MG 2BLX7CPDS GEL. - EMS GENERICOS
OMEPRAZOL GEN.10MG 2X7CAPS - BIOSINTETICA
OMEPRAZOL GEN.20MG 10BLX6CPDS GEL. - EMS GENERICOS
OMEPRAZOL GEN.20MG 14CAPS - MEDLEY
OMEPRAZOL GEN.20MG 14CAPS - NOVA QUIMICA
OMEPRAZOL GEN.20MG 14CAPS GEL.DURA - TEUTO BRAS
OMEPRAZOL GEN.20MG 28CAPS - NOVA QUIMICA
OMEPRAZOL GEN.20MG 28CAPS GEL.DURA - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
83563
82722
59683
88795
82686
91736
117768
37011
117762
59685
89455
88796
63620
82685
140673
103186
142185
37852
58533
88797
82688
140674
84769
81619
34396
34397
84306
34395
76836
103927
103928
123992
103929
146710
23660
29572
55251
6420128
6420129
55252
6420130
22100
22101
55253
162947
162945
152113
152114
DESCRICAO
OMEPRAZOL GEN.20MG 2BLX7CAPS GEL.DURA - GERMED GENERICOS
OMEPRAZOL GEN.20MG 2BLX7CPDS GEL. - EMS GENERICOS
OMEPRAZOL GEN.20MG 2X7CAPS - BIOSINTETICA
OMEPRAZOL GEN.20MG 4BLX7CAPS GEL.DURA - GERMED GENERICOS
OMEPRAZOL GEN.20MG 4BLX7CPDS GEL. - EMS GENERICOS
OMEPRAZOL GEN.20MG 4X7CAPS - MEDLEY
OMEPRAZOL GEN.20MG 4X7CAPS - CRISTALIA
OMEPRAZOL GEN.20MG 7CAPS - MEDLEY
OMEPRAZOL GEN.20MG 7CAPS - CRISTALIA
OMEPRAZOL GEN.20MG 7CAPS - BIOSINTETICA
OMEPRAZOL GEN.20MG 7CAPS - NOVA QUIMICA
OMEPRAZOL GEN.20MG 7CAPS GEL.DURA - GERMED GENERICOS
OMEPRAZOL GEN.20MG 7CAPS GEL.DURA - TEUTO BRAS
OMEPRAZOL GEN.20MG 7CPDS GEL. - EMS GENERICOS
OMEPRAZOL GEN.20MG GEL.DURA C/MCGRAN.30CAPS - PRATI-DONADUZZI
OMEPRAZOL GEN.40MG 10BLX6CPDS GEL. - EMS GENERICOS
OMEPRAZOL GEN.40MG 7CAPS - NOVA QUIMICA
OMEPRAZOL GEN.40MG 7CAPS - MEDLEY
OMEPRAZOL GEN.40MG 7CAPS - BIOSINTETICA
OMEPRAZOL GEN.40MG 7CAPS GEL.DURA - GERMED GENERICOS
OMEPRAZOL GEN.40MG 7CPDS GEL. - EMS GENERICOS
OMEPRAZOL GEN.40MG GEL.DURA C/MCGRAN.10CAPS - PRATI-DONADUZZI
OMEPRAZOL GEN.IV 40MG 25FA+25 DIL - CRISTALIA
OMEPRAZOL SODICO GEN.40MG 50FA+50DIL - EUROFARMA
OMEPROTEC 10MG 14CAPS - HEXAL
OMEPROTEC 20MG 14CAPS - HEXAL
OMEPROTEC 20MG 28CAPS - HEXAL
OMEPROTEC 20MG 7CAPS - HEXAL
OMEPROTEC 40MG 7CAPS - HEXAL
OMEZOLON 20MG 14CAPS - HIPOLABOR
OMEZOLON 20MG 28CAPS - HIPOLABOR
OMEZOLON 20MG 500CAPS - HIPOLABOR
OMEZOLON 40MG 7CAPS - HIPOLABOR
OMNARIS 50MCG 120ML - NYCOMED
OMNIC 0,4MG 20CAPS - EUROFARMA
OMNIC 0,4MG 30CAPS - EUROFARMA
OMNIPAQUE 300MG 100ML - FARMASA
OMNIPAQUE 300MG FA 20ML - FARMASA
OMNIPAQUE 300MG FA 50ML - FARMASA
OMNIPAQUE 350MG 100ML - FARMASA
OMNIPAQUE 350MG FA 50ML - FARMASA
OMNISCAN 287MG/ML 10ML - FARMASA
OMNISCAN 287MG/ML 15ML - FARMASA
OMNISCAN 287MG/ML 20ML - FARMASA
OMNITROPE 10MG SOL.INJ.CARP 1,5ML - SANDOZ
OMNITROPE 5MG SOL.INJ.CARP 1,5ML - SANDOZ
ONBRIZE 150MCG 10CAPS+INAL. - NOVARTIS
ONBRIZE 150MCG 30CAPS+INAL. - NOVARTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
153133
153134
99560
99561
127820
127821
106362
106363
72247
72246
63914
120589
120590
74090
123904
145057
145059
145058
101818
164627
85932
85931
137100
105762
105764
101555
69634
4503
161087
161088
161090
161058
161057
161059
161060
161061
161086
42152
42151
31699
1300063
1300064
141414
45310
45311
96307
96308
96309
DESCRICAO
ONBRIZE 300MCG 10CAPS+INAL. - NOVARTIS
ONBRIZE 300MCG 30CAPS+INAL. - NOVARTIS
ONCILEG CRM.30GRS - LEGRAND TARJARDOS
ONCILEG POM.30GRS - LEGRAND TARJARDOS
ONCOBINE 10MG SOL.1ML - MEIZLER
ONCOBINE 10MG/ML SOL.5ML - MEIZLER
ONCODOCEL 20MG SOL.INJ.1FA 0,5ML+DIL.1,5ML - ZODIAC
ONCODOCEL 80MG SOL.INJ.1FA 2ML+DIL.6ML - ZODIAC
ONCODOX 10MG 1FA - MEIZLER
ONCODOX 50MG 1FA - MEIZLER
ONCOTECAN 4MG PO LIOF.1FA 10ML - ZODIAC
ONDANSETRONA GEN.4MG 100AMP 2ML - HIPOLABOR
ONDANSETRONA GEN.8MG 100AMP 4ML - HIPOLABOR
ONDANTRIL 4MG 10CPDS REV. - SIGMA PHARMA
ONDRALIX 2MG/ML SOL.INJ.50AMP - NOVAFARMA
ONGLYZA 2,5MG 2X14CPDS - BRISTOL
ONGLYZA 5,0MG 14CPDS - BRISTOL
ONGLYZA 5,0MG 2X14CPDS - BRISTOL
ONICIT 0,05MG/ML 1FA 5ML - SCHERING PLOUGH
ONICIT NVPO 0,075MG/ML SOL.INJ.1FA 1,5ML - SCHERING PLOUGH
ONTAX 100MG 1FA - LIBBS
ONTAX 30MG 1FA - LIBBS
ONTAX 6MG/ML 1FA 25ML - LIBBS
ONTRAX 2MG/ML 20AMP VIDRO 2ML - BLAU
ONTRAX 2MG/ML 20AMP VIDRO 4ML - BLAU
ONXEL 100MG 1FA - DARROW
ONXEL 30MG 1FA - DARROW
OPHTCOL 0,01% 2ML - OPHTHALMOS
OPINOX 10MG 10CPDS REV. - MEDLEY
OPINOX 10MG 15CPDS REV. - MEDLEY
OPINOX 10MG 30CPDS REV. - MEDLEY
OPINOX 2,5MG 10CPDS REV. - MEDLEY
OPINOX 2,5MG 15CPDS REV. - MEDLEY
OPINOX 2,5MG 30CPDS REV. - MEDLEY
OPINOX 5MG 10CPDS REV. - MEDLEY
OPINOX 5MG 15CPDS REV. - MEDLEY
OPINOX 5MG 30CPDS REV. - MEDLEY
O-PLAT 100MG PO LIOF.1FA - ZODIAC
O-PLAT 50MG PO LIOF.1FA - ZODIAC
OPRAZON 40MG 20FA+DIL - ARISTON
OPTACILIN 250MG 1FA+DIL - NYCOMED
OPTACILIN 500MG 1FA+DIL - NYCOMED
OPTHAAC 40MG 1ML - OPHTHALMOS
OPTIMARK 1FA 10ML - COVIDIEN
OPTIMARK 1FA 15ML - COVIDIEN
OPTIMARK 1FA 20ML - COVIDIEN
OPTIMARK SER.PREENC.10ML - COVIDIEN
OPTIMARK SER.PREENC.15ML - COVIDIEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
96310
96311
130491
130490
130492
3490025
3490001
3490002
130494
96305
130493
3490028
77010
77009
130496
96306
130495
144790
144792
144791
124111
124112
145136
96099
3940051
3940052
119861
55334
3180021
3180022
620022
620024
620021
620020
6420157
6420158
150960
115877
3440102
47784
160779
158332
146513
20180
20101
20088
20102
154202
DESCRICAO
OPTIMARK SER.PREENC.20ML - COVIDIEN
OPTIMARK SER.PREENC.30ML - COVIDIEN
OPTIRAY 240 1FA 100ML - COVIDIEN
OPTIRAY 240 1FA 50ML - COVIDIEN
OPTIRAY 240 SER.PREENC.125ML - COVIDIEN
OPTIRAY 320 1FA 100ML - COVIDIEN
OPTIRAY 320 1FA 20ML - COVIDIEN
OPTIRAY 320 1FA 50ML - COVIDIEN
OPTIRAY 320 SER.PREENC.100ML - COVIDIEN
OPTIRAY 320 SER.PREENC.50ML - COVIDIEN
OPTIRAY 320 SER.PREENC.75ML - COVIDIEN
OPTIRAY 320 SER.ULTRAJECT 125ML - COVIDIEN
OPTIRAY 350 1FA 100ML - COVIDIEN
OPTIRAY 350 1FA 50ML - COVIDIEN
OPTIRAY 350 SER.ULTRAJECT 100ML - COVIDIEN
OPTIRAY 350 SER.ULTRAJECT 125ML - COVIDIEN
OPTIRAY 350 SER.ULTRAJECT 75ML - COVIDIEN
OPTIVATE 1000UI 1FA+DIL 10ML - MEIZLER
OPTIVATE 250UI 1FA+DIL 5ML - MEIZLER
OPTIVATE 500UI 1FA+DIL 5ML - MEIZLER
OPTIVE 9+5MG/ML SOL.OFT.10ML - ALLERGAN
OPTIVE 9+5MG/ML SOL.OFT.15ML - ALLERGAN
OPTIVE UD 30FLAC.0,4ML - ALLERGAN
ORALPRED 3MG/ML SOL.ORAL 60ML - BIOLAB SANUS
ORAP 1MG 20CPDS - JANSSEN-CILAG
ORAP 4MG 20CPDS - JANSSEN-CILAG
ORENCIA L 250MG INJ 1FA - BRISTOL
ORGALUTRAN 0,5MG/ML 1SER.PREENCHIDA - SCHERING PLOUGH
ORGANONEURO CEREBRAL 25DRGS - GROSS
ORGANONEURO OPTICO 20DRGS - GROSS
ORNITARGIN 12FLAC - BALDACCI
ORNITARGIN 20DRGS - BALDACCI
ORNITARGIN 3AMP 10ML - BALDACCI
ORNITARGIN 50AMP 10ML - BALDACCI
OROXADIN 100MG 10CPDS - SANOFI-AVENTIS
OROXADIN 100MG 30CPDS - SANOFI-AVENTIS
ORTOSAMIN 1,5G 30SACH 5G - GERMED
ORTOSOL PLUS SHM.120ML - GALDERMA
OS-CAL 500MG 60CPDS - SANOFI-AVENTIS
OS-CAL D 500MG 75CPDS REV. - SANOFI-AVENTIS
OSCAL D 500MG+400UI 60CPDS REV. - SANOFI-AVENTIS
OSMOGEL 50G 1BG 50G - FARMOQUIMICA
OSMOLITE HICAL RTH 1000ML - ABBOTT
OSMOLITE HN 237ML - ABBOTT
OSMOLITE HN RTH 1000ML - ABBOTT
OSMOLITE PLUS HN 237ML - ABBOTT
OSMOLITE PLUS HN RTH SF-1000ML - ABBOTT
OSSEOPROT 60CPDS - BIOLAB SANUS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
2060058
127922
55963
39450
167626
150959
150958
62534
71578
71579
109081
105733
114364
2540047
169776
169778
84650
115162
83112
47553
3480024
4945069
167794
3080099
3440210
420046
960054
115731
5340082
160037
160041
160026
70992
280020
81123
142873
143332
142872
34119
104091
115777
78964
145823
153546
153654
145808
145824
153655
DESCRICAO
OSSOPAN 200MG 30DRGS - DARROW
OSSOPAN 800MG 30CPDS REV. - DARROW
OSSOTRAT-D 60CPDS - DELTA
OSTENAN 70MG 4CPDS REV. - MARJAN
OSTEOBAN 150MG 1CPD REV. - ACHE
OSTEOBLOCK 35MG 12CPDS REV. - GERMED
OSTEOBLOCK 35MG 4CPDS REV. - GERMED
OSTEOFAR 70MG 4CPDS - ELOFAR
OSTEOFORM 70MG 2CPDS - SIGMA PHARMA
OSTEOFORM 70MG 4CPDS - SIGMA PHARMA
OSTEOFORM 70MG 7X10CPDS - SIGMA PHARMA
OSTEOFORM 70MG 8CPDS - SIGMA PHARMA
OSTEONUTRI 600MG+400UI 60CPDS REV. - MEDLEY
OSTEOPLUS 300MG 30CAPS - CHIESI
OSTEOTRAT 35MG 2CPDS - ACHE
OSTEOTRAT 35MG 4CPDS - ACHE
OSTRIOL 0,25MCG 30CAPS GEL - ASPEN
OTO BETNOVATE 1+10+5MG/ML SOL.OTO.10ML - FARMOQUIMICA
OTOCIRIAX 2+10MG/ML SUSP.OTO.5ML - FARMOQUIMICA
OTOFOXIN 10ML - ZAMBON
OTOLOIDE GTS.10ML - CIMED
OTOMICINA GTS.10ML - MEDLEY
OTOMIXYN SOL.OTO.15ML - EMS
OTOSPORIN SUSP.OTO.10ML - FARMOQUIMICA
OTOSYNALAR GTS.5ML - ROCHE
OTO-XILODASE 8ML+AMP - APSEN
OTRIVINA 1MG/G GEL NASAL 10G - NOVARTIS
OTRIVINA UMECTANTE 1MG/ML 15ML - NOVARTIS
OUVIDONAL GTS.OTO.10ML - NEOQUIMICA
OVESTRION 1MG 30CPDS - SCHERING PLOUGH
OVESTRION 2MG 30CPDS - SCHERING PLOUGH
OVESTRION CRM.50GRS+APL - SCHERING PLOUGH
OVIDREL 250MCG 1SER.PREENCH.0,5ML - MERCK S.A.
OVULOS HOMEOPATICOS 6UNID - ALM.PRADO
OXACILIL 500MG 50FA S/DIL - NOVAFARMA
OXACILINA SODICA GEN.500MG 1FA PO LIOF SOL INJ 3ML+DIL - ASPEN
OXACILINA SODICA GEN.500MG 50AMP+50DIL.5ML - TEUTO BRAS
OXACILINA SODICA GEN.500MG 50FA PO LIOF SOL INJ+50DIL.3ML - ASPEN
OXACILINA SODICA GEN.500MG 50FA+DIL - EUROFARMA
OXACILINA SODICA GEN.500MG PO INJ.50FA - AUROBINDO
OXACILINA SODICA GEN.500MG PO INJ.50FA+50AMP DIL.5ML - AUROBINDO
OXACILINA SODICA GEN.500MG PO SOL.50FA - TEUTO BRAS
OXALATO ESCITALOPRAM GEN.10MG 15CPDS - BIOSINTETICA
OXALATO ESCITALOPRAM GEN.10MG 15CPDS - ACHE
OXALATO ESCITALOPRAM GEN.10MG 2X7CPDS - RANBAXY
OXALATO ESCITALOPRAM GEN.10MG 30CPDS - ACHE
OXALATO ESCITALOPRAM GEN.10MG 30CPDS - BIOSINTETICA
OXALATO ESCITALOPRAM GEN.10MG 4X7CPDS - RANBAXY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
170430
170418
137101
137102
164487
164488
151830
72454
153557
151829
72453
103057
133429
99492
145021
99493
145022
123976
101798
143537
101799
145384
143538
143534
101800
143539
101801
145385
143535
143536
1020031
1020032
1020033
1020034
83337
164223
100474
1020036
1020035
61396
1020073
76039
76037
76040
76038
88696
88697
7080160
DESCRICAO
OXALATO ESCITALOPRAM GEN.20MG/ML SOL.ORAL 15ML - BIOSINTETICA
OXALATO ESCITALOPRAM GEN.20MG/ML SOL.ORAL 1FR 15ML - ACHE
OXALIBBS 100MG 1FA - LIBBS
OXALIBBS 50MG 1FA - LIBBS
OXALIMEIZ 100MG PO LIOF.1FA - MEIZLER
OXALIMEIZ 50MG PO LIOF.1FA - MEIZLER
OXALIPLATINA GEN.100MG 10FA - EUROFARMA
OXALIPLATINA GEN.100MG 1FA - EUROFARMA
OXALIPLATINA GEN.100MG 1FA 50ML - GLENMARK
OXALIPLATINA GEN.50MG 10FA - EUROFARMA
OXALIPLATINA GEN.50MG 1FA - EUROFARMA
OXALIPLATINA GEN.50MG 1FA 50ML - GLENMARK
OXANON 500MG 100FA - ARISTON
OXCARB 300MG 2BLX10CPDS REV. - UNIAO QUIMICA
OXCARB 300MG 60CPDS REV. - UNIAO QUIMICA
OXCARB 600MG 2BLX10CPDS REV. - UNIAO QUIMICA
OXCARB 600MG 60CPDS REV. - UNIAO QUIMICA
OXCARB 60MG/ML SUSP.ORAL.100ML - UNIAO QUIMICA
OXCARBAZEPINA GEN.300MG 20CPDS REV. - MEDLEY
OXCARBAZEPINA GEN.300MG 2X10CPDS - RANBAXY
OXCARBAZEPINA GEN.300MG 30CPDS REV. - MEDLEY
OXCARBAZEPINA GEN.300MG 30CPDS REV. - ZYDUS NIKKHO
OXCARBAZEPINA GEN.300MG 3X10CPDS - RANBAXY
OXCARBAZEPINA GEN.300MG 6X10CPDS - RANBAXY
OXCARBAZEPINA GEN.600MG 20CPDS REV. - MEDLEY
OXCARBAZEPINA GEN.600MG 2X10CPDS - RANBAXY
OXCARBAZEPINA GEN.600MG 30CPDS REV. - MEDLEY
OXCARBAZEPINA GEN.600MG 30CPDS REV. - ZYDUS NIKKHO
OXCARBAZEPINA GEN.600MG 3X10CPDS - RANBAXY
OXCARBAZEPINA GEN.600MG 6X10CPDS - RANBAXY
OXCORD 10MG 3X10CPDS - BIOSINTETICA
OXCORD 20MG 20CPDS - BIOSINTETICA
OXCORD RETARD 20MG 2X30CPDS - BIOSINTETICA
OXCORD RETARD 20MG 30CPDS - BIOSINTETICA
OXEPA RTH 500ML - ABBOTT
OXICARE SF-1000ML - ABBOTT
OXIFRIN 0,5MG/ML SOL.NASAL ADU.30ML - TEUTO BRAS
OXIGEN 0,2MG/ML INJ.50ML - BIOSINTETICA
OXIGEN 30MG 30CPDS - BIOSINTETICA
OXIGEN 30MG 4X15CPDS - BIOSINTETICA
OXIGEN 40MG/ML GTS.25ML - BIOSINTETICA
OXIMAX 200MCG 30CAPS REFIL - MANTECORP
OXIMAX 200MCG C/INAL.30CAPS - MANTECORP
OXIMAX 400MCG 30CAPS REFIL - MANTECORP
OXIMAX 400MCG C/INAL.30CAPS - MANTECORP
OXIPELLE 10MG/G CRM.20GRS - VALEANT
OXIPELLE 10MG/ML SOLUCAO 20ML - VALEANT
OXITON 5UI/ML SOL.INJ.50AMP 1ML - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
74284
61266
31737
61267
31739
86584
31741
84304
3180043
3180044
3180046
3180023
1905012
134429
134428
4355
134427
134426
4356
134431
134430
164492
164490
164489
164491
104126
104127
104125
112070
151831
167168
134941
134940
140190
140191
103056
151833
151832
138653
138654
138652
140965
6380096
85056
6380055
85057
6380131
6380056
DESCRICAO
OXSORALEN 10MG 30CAPS - VALEANT
OXYCONTIN 10MG 12CPDS REV.LIB.CONTR. - ZODIAC
OXYCONTIN 10MG 30CPDS REV.LIB.CONTR. - ZODIAC
OXYCONTIN 20MG 12CPDS REV.LIB.CONTR. - ZODIAC
OXYCONTIN 20MG 30CPDS REV.LIB.CONTR. - ZODIAC
OXYCONTIN 40MG 12CPDS REV.LIB.CONTR. - ZODIAC
OXYCONTIN 40MG 30CPDS REV.LIB.CONTR. - ZODIAC
OXYDERME POM.60GRS - CIFARMA
OZONYL ADU.100AMP - GROSS
OZONYL ADU.20AMP - GROSS
OZONYL AQUOSO 10AMP - GROSS
OZONYL EXP.100ML - GROSS
P.V.P.IODINE ALCOOLICO 1000ML - D.G.L
P.V.P.IODINE ALCOOLICO 100ML - D.G.L
P.V.P.IODINE ALCOOLICO 60ML - D.G.L
P.V.P.IODINE DEGERMANTE 1000ML - D.G.L
P.V.P.IODINE DEGERMANTE 100ML - D.G.L
P.V.P.IODINE DEGERMANTE 60ML - D.G.L
P.V.P.IODINE TOPICO 1000ML - D.G.L
P.V.P.IODINE TOPICO 100ML - D.G.L
P.V.P.IODINE TOPICO 60ML - D.G.L
PACLIMEIZ 6MG/ML SOL.INJ.1FA 16,67ML - MEIZLER
PACLIMEIZ 6MG/ML SOL.INJ.1FA 5ML - MEIZLER
PACLIMEIZ 6MG/ML SOL.INJ.5FA 16,67ML - MEIZLER
PACLIMEIZ 6MG/ML SOL.INJ.5FA 5ML - MEIZLER
PACLIRED 100MG 1FA 16,7ML(ICMS 0%) - GLAXOSMITH
PACLIRED 250MG 1FA 41,7ML(ICMS 0%) - GLAXOSMITH
PACLIRED 30MG 1FA 5ML(ICMS 0%) - GLAXOSMITH
PACLITAX 150MG 1FA - EUROFARMA
PACLITAX 6MG/ML 10FA 25ML - EUROFARMA
PACLITAX 6MG/ML SOL.INJ.1FA 5ML - EUROFARMA
PACLITAXEL GEN.6MG/ML 10FA 16,7ML - EUROFARMA
PACLITAXEL GEN.6MG/ML 10FA 5ML - EUROFARMA
PACLITAXEL GEN.6MG/ML 1FA 16,7ML - GLENMARK
PACLITAXEL GEN.6MG/ML 1FA 25ML - GLENMARK
PACLITAXEL GEN.6MG/ML 1FA 50ML - GLENMARK
PACLITAXEL GEN.6MG/ML 20FA 16,7ML - EUROFARMA
PACLITAXEL GEN.6MG/ML 20FA 5ML - EUROFARMA
PACLITAXEL GEN.6MG/ML SOL.INJ.1FA 16,7ML - ACCORD
PACLITAXEL GEN.6MG/ML SOL.INJ.1FA 50ML - ACCORD
PACLITAXEL GEN.6MG/ML SOL.INJ.1FA 5ML - ACCORD
PACO 500MG+30MG 12CPDS - EUROFARMA
PAMELOR 10MG 20CAPS - NOVARTIS
PAMELOR 10MG 30CAPS - NOVARTIS
PAMELOR 25MG 20CAPS - NOVARTIS
PAMELOR 25MG 30CAPS - NOVARTIS
PAMELOR 2MG/ML SOL.ORAL 100ML - NOVARTIS
PAMELOR 50MG 20CAPS - NOVARTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
85058
6380057
85059
5628074
5628053
84761
84762
94249
94250
141941
141942
104128
104129
9545
36918
7460042
6820026
6820025
141209
141208
63899
3940099
138641
138642
138640
37021
37017
37020
3860065
37022
3860064
37043
109815
109824
83891
83892
83890
83894
83895
83893
146682
72789
138687
103728
165765
138689
146680
72790
DESCRICAO
PAMELOR 50MG 30CAPS - NOVARTIS
PAMELOR 75MG 20CAPS - NOVARTIS
PAMELOR 75MG 30CAPS - NOVARTIS
PAMERGAN 25MG 20X10CPDS - CRISTALIA
PAMERGAN 50MG 50AMP 2ML - CRISTALIA
PAMIDRON 60MG 5FA+5AMP DIL - CRISTALIA
PAMIDRON 90MG 5FA+5AMP DIL - CRISTALIA
PAMIDRONATO GEN.30MG 2FA+DIL 10ML - EUROFARMA
PAMIDRONATO GEN.90MG 1FA+DIL 10ML - EUROFARMA
PAMIGEM 1G PO LIOF.1FA 50ML - ZODIAC
PAMIGEM 200MG PO LIOF.1FA 10ML - ZODIAC
PAMIRED 30MG 2FA VD. - DR.REDDY'S
PAMIRED 60MG 1FA VD. - DR.REDDY'S
PANCURON 2MG/ML 50AMP 2ML - CRISTALIA
PANGEST 10MG 20CAPS GEL - FARMASA
PANOTIL SOL.OTOL.8ML - ZAMBON
PANOXYL 100MG/G GEL 45GRS - STIEFEL
PANOXYL 50MG/G GEL 45GRS - STIEFEL
PANTASUN 40MG/ML 1FR - SUN
PANTASUN 40MG/ML C/1FR+1AMP 10ML - SUN
PANTELMIN 500MG 1CPD - JANSSEN-CILAG
PANTELMIN SUSP.30ML - JANSSEN-CILAG
PANTIUM 6MG/ML SOL.INJ.1FA 16,7ML - ACCORD
PANTIUM 6MG/ML SOL.INJ.1FA 50ML - ACCORD
PANTIUM 6MG/ML SOL.INJ.1FA 5ML - ACCORD
PANTOCAL 20MG 14CPDS - EUROFARMA
PANTOCAL 20MG 28CPDS - EUROFARMA
PANTOCAL 20MG 7CPDS - EUROFARMA
PANTOCAL 40MG 14CPDS - EUROFARMA
PANTOCAL 40MG 28CPDS - EUROFARMA
PANTOCAL 40MG 7CPDS - EUROFARMA
PANTOCAL EV 40MG 01FA+DIL 10ML - EUROFARMA
PANTOGAR 30CAPS GEL.DURA - BIOLAB SANUS
PANTOGAR 90CAPS GEL.DURA - BIOLAB SANUS
PANTOPAZ 20MG 14CPDS - HEXAL
PANTOPAZ 20MG 28CPDS - HEXAL
PANTOPAZ 20MG 7CPDS - HEXAL
PANTOPAZ 40MG 14CPDS - HEXAL
PANTOPAZ 40MG 28CPDS - HEXAL
PANTOPAZ 40MG 7CPDS - HEXAL
PANTOPRAZOL GEN.20MG 14CPDS - SANDOZ
PANTOPRAZOL GEN.20MG 14CPDS - MEDLEY
PANTOPRAZOL GEN.20MG 14CPDS REV. - ACCORD
PANTOPRAZOL GEN.20MG 14CPDS REV. - MERCK S.A.
PANTOPRAZOL GEN.20MG 14CPDS REV. - BIOSINTETICA
PANTOPRAZOL GEN.20MG 280CPDS REV. - ACCORD
PANTOPRAZOL GEN.20MG 28CPDS - SANDOZ
PANTOPRAZOL GEN.20MG 28CPDS - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
138688
103729
165766
89515
74117
143206
139395
89516
73971
143207
72788
119885
138686
73970
146683
72792
138691
103730
165767
138693
146681
72793
138692
103731
165768
73973
89517
74116
136616
143208
139396
89518
136617
143209
82768
104926
136615
72791
119886
138690
73972
1300111
1300140
166455
103400
146711
1300110
1300129
DESCRICAO
PANTOPRAZOL GEN.20MG 28CPDS REV. - ACCORD
PANTOPRAZOL GEN.20MG 28CPDS REV. - MERCK S.A.
PANTOPRAZOL GEN.20MG 28CPDS REV. - BIOSINTETICA
PANTOPRAZOL GEN.20MG 2BLX7CPDS REV. - GERMED GENERICOS
PANTOPRAZOL GEN.20MG 2BLX7CPDS REV. - EMS GENERICOS
PANTOPRAZOL GEN.20MG 2X7CPDS REV. - LEGRAND GENERICOS
PANTOPRAZOL GEN.20MG 42CPDS REV. - MEDLEY
PANTOPRAZOL GEN.20MG 4BLX7CPDS REV. - GERMED GENERICOS
PANTOPRAZOL GEN.20MG 4BLX7CPDS REV. - EMS GENERICOS
PANTOPRAZOL GEN.20MG 4X7CPDS REV. - LEGRAND GENERICOS
PANTOPRAZOL GEN.20MG 7CPDS - MEDLEY
PANTOPRAZOL GEN.20MG 7CPDS REV. - MERCK S.A.
PANTOPRAZOL GEN.20MG 7CPDS REV. - ACCORD
PANTOPRAZOL GEN.20MG 7CPDS REV. - EMS GENERICOS
PANTOPRAZOL GEN.40MG 14CPDS - SANDOZ
PANTOPRAZOL GEN.40MG 14CPDS - MEDLEY
PANTOPRAZOL GEN.40MG 14CPDS REV. - ACCORD
PANTOPRAZOL GEN.40MG 14CPDS REV. - MERCK S.A.
PANTOPRAZOL GEN.40MG 14CPDS REV. - BIOSINTETICA
PANTOPRAZOL GEN.40MG 280CPDS REV. - ACCORD
PANTOPRAZOL GEN.40MG 28CPDS - SANDOZ
PANTOPRAZOL GEN.40MG 28CPDS - MEDLEY
PANTOPRAZOL GEN.40MG 28CPDS REV. - ACCORD
PANTOPRAZOL GEN.40MG 28CPDS REV. - MERCK S.A.
PANTOPRAZOL GEN.40MG 28CPDS REV. - BIOSINTETICA
PANTOPRAZOL GEN.40MG 2BLX14CPDS REV. - EMS GENERICOS
PANTOPRAZOL GEN.40MG 2BLX7CPDS REV. - GERMED GENERICOS
PANTOPRAZOL GEN.40MG 2BLX7CPDS REV. - EMS GENERICOS
PANTOPRAZOL GEN.40MG 2X7CPDS - RANBAXY
PANTOPRAZOL GEN.40MG 2X7CPDS REV. - LEGRAND GENERICOS
PANTOPRAZOL GEN.40MG 42CPDS REV. - MEDLEY
PANTOPRAZOL GEN.40MG 4BLX7CPDS REV. - GERMED GENERICOS
PANTOPRAZOL GEN.40MG 4X7CPDS - RANBAXY
PANTOPRAZOL GEN.40MG 4X7CPDS REV. - LEGRAND GENERICOS
PANTOPRAZOL GEN.40MG 50FA 10ML - EUROFARMA
PANTOPRAZOL GEN.40MG 6BLX10CPDS REV. - EMS GENERICOS
PANTOPRAZOL GEN.40MG 7CPDS - RANBAXY
PANTOPRAZOL GEN.40MG 7CPDS - MEDLEY
PANTOPRAZOL GEN.40MG 7CPDS REV. - MERCK S.A.
PANTOPRAZOL GEN.40MG 7CPDS REV. - ACCORD
PANTOPRAZOL GEN.40MG 7CPDS REV. - EMS GENERICOS
PANTOZOL 20MG 14CPDS - NYCOMED
PANTOZOL 20MG 28CPDS - NYCOMED
PANTOZOL 20MG 2CPDS REV. - NYCOMED
PANTOZOL 20MG 42CPDS - NYCOMED
PANTOZOL 20MG 56CPDS - NYCOMED
PANTOZOL 20MG 7CPDS - NYCOMED
PANTOZOL 40MG 14CPDS - NYCOMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
1300035
166456
166458
166457
103401
146712
1300128
22255
42490
165970
110111
110113
111181
111189
159650
146097
43954
119943
100089
120793
84462
165915
89690
140677
84950
100071
165916
111845
88582
35429
148549
34988
111320
94251
161137
110112
110453
111188
146098
140682
143770
148550
106635
140679
140681
84463
106636
111182
DESCRICAO
PANTOZOL 40MG 28CPDS - NYCOMED
PANTOZOL 40MG 28ENV GRAN.REV. - NYCOMED
PANTOZOL 40MG 2CPDS REV. - NYCOMED
PANTOZOL 40MG 2ENV GRAN.REV. - NYCOMED
PANTOZOL 40MG 42CPDS - NYCOMED
PANTOZOL 40MG 56CPDS - NYCOMED
PANTOZOL 40MG 7CPDS - NYCOMED
PANTOZOL EV 40MG 1FA - NYCOMED
PAPULESS 25GRS - THERASKIN
PARACETAMOL 750MG 4CPDS F.V(200CPDS) - MEDLEY
PARACETAMOL GEN.100MG/G LIMAO/MEL 25SACH 5G - GERMED GENERICOS
PARACETAMOL GEN.100MG/ML SOL.ORAL 15ML - LEGRAND GENERICOS
PARACETAMOL GEN.100MG/ML SOL.ORAL 15ML - EMS GENERICOS
PARACETAMOL GEN.100MG/ML SOL.ORAL 15ML - GERMED GENERICOS
PARACETAMOL GEN.100MG/ML SOL.ORAL 15ML+SER.DOSAD. - CIMED
PARACETAMOL GEN.100MG/ML SUSP.ORAL 15ML - MEDLEY
PARACETAMOL GEN.200MG 15ML - MEDLEY
PARACETAMOL GEN.200MG 15ML - CIMED
PARACETAMOL GEN.200MG/ML 15ML - LEGRAND GENERICOS
PARACETAMOL GEN.200MG/ML 1X15ML - HIPOLABOR
PARACETAMOL GEN.200MG/ML 200X15ML - HIPOLABOR
PARACETAMOL GEN.200MG/ML GTS.15ML - OSORIO DE MORAES
PARACETAMOL GEN.200MG/ML GTS.15ML - BIOSINTETICA
PARACETAMOL GEN.200MG/ML GTS.15ML - PRATI-DONADUZZI
PARACETAMOL GEN.200MG/ML GTS.15ML - NEOQUIMICA
PARACETAMOL GEN.200MG/ML GTS.15ML - GERMED GENERICOS
PARACETAMOL GEN.200MG/ML GTS.50FR 15ML - OSORIO DE MORAES
PARACETAMOL GEN.200MG/ML SOL.15ML - NOVA QUIMICA
PARACETAMOL GEN.200MG/ML SOL.ORAL 15ML - MERCK S.A.
PARACETAMOL GEN.200MG/ML SOL.ORAL 15ML - EMS GENERICOS
PARACETAMOL GEN.200MG/ML SOL.ORAL GTS.100X15ML - TEUTO BRAS
PARACETAMOL GEN.200MG/ML SOL.ORAL GTS.15ML - TEUTO BRAS
PARACETAMOL GEN.200MG/ML SOL.ORAL GTS.50X15ML - TEUTO BRAS
PARACETAMOL GEN.200MG/ML SOL.ORAL.GTS.15ML - UNIAO QUIMICA
PARACETAMOL GEN.32MG SUSP.ORAL 60ML+CP.MED. - NIKKHO
PARACETAMOL GEN.32MG/ML SOL.ORAL 60ML - LEGRAND GENERICOS
PARACETAMOL GEN.32MG/ML SOL.ORAL 60ML - EMS GENERICOS
PARACETAMOL GEN.32MG/ML SOL.ORAL 60ML - GERMED GENERICOS
PARACETAMOL GEN.32MG/ML SUSP.ORAL 60ML - MEDLEY
PARACETAMOL GEN.500MG 100CPDS - PRATI-DONADUZZI
PARACETAMOL GEN.500MG 200CPDS - TEUTO BRAS
PARACETAMOL GEN.500MG 20CPDS - TEUTO BRAS
PARACETAMOL GEN.500MG 25BLX4CPDS REV. - EMS GENERICOS
PARACETAMOL GEN.500MG 2X10CPDS - PRATI-DONADUZZI
PARACETAMOL GEN.500MG 360CPDS - PRATI-DONADUZZI
PARACETAMOL GEN.500MG 500CPDS - HIPOLABOR
PARACETAMOL GEN.500MG 50BLX4CPDS REV. - EMS GENERICOS
PARACETAMOL GEN.500MG LIMAO/MEL 25SACH 5G - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
98501
140691
99418
140687
133473
145419
94253
111847
120704
165887
82880
71717
139385
166092
40572
104835
133472
94252
122222
111846
90047
92771
71719
136785
94112
162626
105826
47222
107056
140688
165885
92772
104834
123634
133707
40574
84465
166078
107089
51763
105827
94113
40573
104833
105760
122223
103067
107088
DESCRICAO
PARACETAMOL GEN.500MG LIMAO/MEL 50SACH 5G - EMS GENERICOS
PARACETAMOL GEN.500MG PO P.SOL.ORAL 50SACHX5GRS - PRATI-DONADUZZI
PARACETAMOL GEN.750MG 100CPDS - MEDLEY
PARACETAMOL GEN.750MG 100CPDS REV. - PRATI-DONADUZZI
PARACETAMOL GEN.750MG 200CPDS - SANOFI-AVENTIS
PARACETAMOL GEN.750MG 200CPDS - CIMED
PARACETAMOL GEN.750MG 200CPDS - UNIAO QUIMICA
PARACETAMOL GEN.750MG 200CPDS - NOVA QUIMICA
PARACETAMOL GEN.750MG 200CPDS - HIPOLABOR
PARACETAMOL GEN.750MG 200CPDS - OSORIO DE MORAES
PARACETAMOL GEN.750MG 200CPDS - EUROFARMA
PARACETAMOL GEN.750MG 200CPDS - TEUTO BRAS
PARACETAMOL GEN.750MG 20BLX10CPDS - ZYDUS NIKKHO
PARACETAMOL GEN.750MG 20CPDS - NEOQUIMICA
PARACETAMOL GEN.750MG 20CPDS - MEDLEY
PARACETAMOL GEN.750MG 20CPDS - BIOSINTETICA
PARACETAMOL GEN.750MG 20CPDS - SANOFI-AVENTIS
PARACETAMOL GEN.750MG 20CPDS - UNIAO QUIMICA
PARACETAMOL GEN.750MG 20CPDS - SANDOZ
PARACETAMOL GEN.750MG 20CPDS - NOVA QUIMICA
PARACETAMOL GEN.750MG 20CPDS - MERCK S.A.
PARACETAMOL GEN.750MG 20CPDS - BRAINFARMA
PARACETAMOL GEN.750MG 20CPDS - TEUTO BRAS
PARACETAMOL GEN.750MG 20CPDS - CIMED
PARACETAMOL GEN.750MG 20CPDS - BUNKER
PARACETAMOL GEN.750MG 280CPDS REV. - PRATI-DONADUZZI
PARACETAMOL GEN.750MG 2BLX10CPDS - GERMED GENERICOS
PARACETAMOL GEN.750MG 2BLX10CPDS - EMS GENERICOS
PARACETAMOL GEN.750MG 2X10CPDS - LEGRAND GENERICOS
PARACETAMOL GEN.750MG 300CPDS REV. - PRATI-DONADUZZI
PARACETAMOL GEN.750MG 30CPDS - OSORIO DE MORAES
PARACETAMOL GEN.750MG 4CPDS - BRAINFARMA
PARACETAMOL GEN.750MG 4CPDS F.V - BIOSINTETICA
PARACETAMOL GEN.750MG 4CPDS F.V - SANDOZ
PARACETAMOL GEN.750MG 4CPDS F.V - SANOFI-AVENTIS
PARACETAMOL GEN.750MG 4CPDS F.V(100CPDS) - MEDLEY
PARACETAMOL GEN.750MG 500CPDS - HIPOLABOR
PARACETAMOL GEN.750MG 50BLX4CPDS - CIMED
PARACETAMOL GEN.750MG 50BLX4CPDS - ARROW
PARACETAMOL GEN.750MG 50BLX4CPDS - EMS GENERICOS
PARACETAMOL GEN.750MG 50BLX4CPDS - GERMED GENERICOS
PARACETAMOL GEN.750MG 50BLX4CPDS - BUNKER
PARACETAMOL GEN.750MG 50X4CPDS - MEDLEY
PARACETAMOL GEN.750MG 50X4CPDS - BIOSINTETICA
PARACETAMOL GEN.750MG 50X4CPDS - LEGRAND GENERICOS
PARACETAMOL GEN.750MG 50X4CPDS - SANDOZ
PARACETAMOL GEN.750MG 50X4CPDS - NEOQUIMICA
PARACETAMOL GEN.750MG 5BLX4CPDS - ARROW
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
82876
128162
127871
128383
123443
124369
138308
146732
116145
116146
9506
9509
30239
1260131
1260132
103142
2060062
30020
30062
128185
148680
6380058
38675
72842
7480019
71684
26524
39361
39362
26525
123993
123994
78951
137164
72149
153746
77978
6380059
6380060
2385015
82802
164573
85981
85982
4880061
4880036
105299
2500006
DESCRICAO
PARACETAMOL GEN.GTS.15ML - EUROFARMA
PARACETAMOL+CAFEINA GEN.2X10CPDS REV. - LEGRAND GENERICOS
PARACETAMOL+CAFEINA GEN.500+65MG 2BLX10CPDS REV. - EMS GENERICOS
PARACETAMOL+CAFEINA GEN.500+65MG 2BLX10CPDS REV. - GERMED GENERICOS
PARACETAMOL+CLORIDRATO PSEUDOEFEDRINA GEN.500+30MG 2BLX12CPDS REV. - EMS GENERICOS
PARACETAMOL+CLORIDRATO PSEUDOEFEDRINA GEN.500+30MG 2BLX12CPDS REV. - GERMED GENERICOS
PARACETAMOL+FOSFATO CODEINA GEN.30MG 12CPDS - ARROW
PARACETAMOL+FOSFATO CODEINA GEN.500+30MG 12CPDS - EUROFARMA
PARACETREX 500MG 200CPDS - ROYTON
PARACETREX 750MG 200CPDS - ROYTON
PARALGEN 200MG GTS.15ML - LEGRAND OTC
PARALGEN 750MG 2X10CPDS - LEGRAND OTC
PARALON 2X6CPDS - JANSSEN-CILAG
PARAPLATIN 150MG INJ 1FA - BRISTOL
PARAPLATIN 450MG INJ 1FA - BRISTOL
PARAPSYL 10SACH 10G - BARRENNE
PARAQUEIMOL 74MG/G+21,67MG POM.DERM.50G - ACHE
PARASIN 400MG 1CPD - ACHE
PARASIN 40MG/ML SUSP.ORAL 10ML - ACHE
PARATRAM 37,5+325MG 10CPDS - ZODIAC
PARATRAM 37,5+325MG 20CPDS - ZODIAC
PARCEL 1+450+40MG 20DRGS - NOVARTIS
PAREXEL 6MG/ML SOL.INJ.1FA.16,7ML - ZODIAC
PAREXEL 6MG/ML SOL.INJ.1FA.50ML - ZODIAC
PAREXEL 6MG/ML SOL.INJ.1FA.5ML - ZODIAC
PAREXEL 6MG/ML SOL.INJ.FA.25ML - ZODIAC
PARIET 10MG 14CPDS REV. - JANSSEN-CILAG
PARIET 20MG 14CPDS REV. - JANSSEN-CILAG
PARIET 20MG 2X14CPDS REV. - JANSSEN-CILAG
PARIET 20MG 7CPDS REV. - JANSSEN-CILAG
PARINEX 5000UI 50AMP 0,25ML - HIPOLABOR
PARINEX 5000UI/ML INJ.50AMP 5ML - HIPOLABOR
PARKEXIN 5MG 30CPDS - TEUTO BRAS
PARKIDOPA 250+25MG 20X10CPDS - CRISTALIA
PARKIDOPA 250+25MG 3X10CPDS - CRISTALIA
PARKLEN 25+250MG 20X10CPDS - NEOQUIMICA
PARKLEN 25+250MG 3X10CPDS - NEOQUIMICA
PARLODEL 2,5MG 14CPDS - NOVARTIS
PARLODEL 2,5MG 28CPDS - NOVARTIS
PARNATE 10MG 20CPDS - GLAXOSMITH
PAROX 20MG 30CPDS - TEUTO BRAS
PAROXILIV 20MG 2BLX15CPDS REV. - LEGRAND PRESCRICAO
PARTOGAMA SDF 250MCG SER.INJ.PRE-ENCH.1ML H31522 - BAXTER
PARTOGAMA SDF 330MCG SER.INJ.PRE-ENCH.1,32ML H31527 - BAXTER
PASALIX 20CPDS REV. - MARJAN
PASALIX LIQ.100ML - MARJAN
PASMODEX 0,25MG/ML 120AMP 1ML - ISOFARMA
PASSAJA 1FLAC 4ML F.V - FARMABRAZ
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
2500011
1280056
1280114
17440
5140021
5140023
5140024
5140025
6260110
3555083
6260111
169752
169751
134225
134226
134227
136825
134224
180080
118960
165595
93998
90963
90964
90965
111170
111171
123147
94056
123151
1960091
20026
20059
20004
20063
16970
20074
20083
144449
10077
144450
164675
79646
79648
1560024
35583
99686
123392
DESCRICAO
PASSAJA 24FLAC.4ML - FARMABRAZ
PASSANEURO 100ML - BUNKER
PASSANEURO 20DRGS - BUNKER
PASSIFLORINE 20DRGS - MILLETROUX
PASSIFLORINE 40DRGS - MILLETROUX
PASSIFLORINE SOL.100ML - MILLETROUX
PASSIFURIL 12CAPS - MILLETROUX
PASSIFURIL SUSP.40ML - MILLETROUX
PASTA D'AGUA 100GRS 0187 - RIOQUIMICA
PASTA D'AGUA ICAR 100GRS - ICAR
PASTA D'AGUA MENTOLADA 100GRS 0188 - RIOQUIMICA
PASTA D'AGUA MENTOLADA PT 100G - VIC PHARMA
PASTA D'AGUA PT 100G - VIC PHARMA
PASTILHA VICK CEREJA 1ENV 10GRS - PROCTER
PASTILHA VICK LARANJA 1ENV 10GRS - PROCTER
PASTILHA VICK LIMAO 1ENV 10GRS - PROCTER
PASTILHA VICK MACA 1ENV 10GRS - PROCTER
PASTILHA VICK MENTOL 1ENV 10GRS - PROCTER
PATANOL 1MG/ML SOL.OFT.5ML - ALCON
PATANOL S 2MG/ML SOL.OFT.2,5ML - ALCON
PATZ SL 5MG 20CPDS SUBL. - SIGMA PHARMA
PAXIL CR 12,5MG 10CPDS - GLAXOSMITH
PAXIL CR 12,5MG 30CPDS - GLAXOSMITH
PAXIL CR 25MG 10CPDS - GLAXOSMITH
PAXIL CR 25MG 30CPDS - GLAXOSMITH
PAXORAL 3,5MG 10CAPS - FARMASA
PAXORAL 7MG 10CAPS - FARMASA
PAXORAL 7MG 30CAPS - FARMASA
PAXTRAT 20MG 20CPDS REV. - UNIAO QUIMICA
PAXTRAT 20MG 30CPDS REV. - UNIAO QUIMICA
PED-ELEMENT 1AMP 4ML - DARROW
PEDIALYTE 45 SOL.CER.500ML - ABBOTT
PEDIALYTE 45 SOL.COCO 500ML - ABBOTT
PEDIALYTE 45 SOL.GUARANA 500ML - ABBOTT
PEDIALYTE 45 SOL.MACA 500ML - ABBOTT
PEDIALYTE 45 SOL.T.FRUTTI 500ML - ABBOTT
PEDIALYTE 90 SOL.500ML - ABBOTT
PEDIASURE PO BAUN.400G - ABBOTT
PEDIASURE PO BAUN.900G - ABBOTT
PEDIASURE PO CHOC.400G - ABBOTT
PEDIASURE PO CHOC.900G - ABBOTT
PEDIASURE PO MOR.400G - ABBOTT
PEDIDERM 0,2MG/ML LOC.100ML - CIFARMA
PEDIDERM 0,2MG/ML SHM.100ML - CIFARMA
PEDILETAN LOC.60ML - CIMED
PEDRA HUME 25GRS 0636 - RIOQUIMICA
PEGASYS 180MCG/ML 1SER.PREENC.0,5ML - ROCHE
PEGINTRON 118,4MCG 1AMP 0,5ML - SCHERING PLOUGH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
123391
123390
47230
47231
47232
123389
123393
40381
167128
167129
6920190
95475
139365
139363
68181
2685007
152167
47543
144998
165921
144999
103075
2560102
110477
136688
38944
88788
51162
136689
150416
110454
111187
124009
77898
16905
16906
26600
40275
31749
35351
4560067
4560070
4560033
4560081
6420131
6420132
104370
40291
DESCRICAO
PEGINTRON 148MCG 1AMP 0,5ML - SCHERING PLOUGH
PEGINTRON 177,6MCG 1AMP 0,5ML - SCHERING PLOUGH
PEGINTRON REDIPEN 108MCG 1SER.0,5ML - SCHERING PLOUGH
PEGINTRON REDIPEN 135MCG 1SER.0,5ML - SCHERING PLOUGH
PEGINTRON REDIPEN 162MCG 1SER.0,5ML - SCHERING PLOUGH
PEGINTRON REDIPEN 202,5MCG 1SER 0,5ML - SCHERING PLOUGH
PEGINTRON REDIPEN 67,5MCG 1SER 0,5ML - SCHERING PLOUGH
PEITORAL MARTEL XPE.150ML - KLEY HERTZ
PEMEGLENN 100MG PO LIOF.1FA 15ML - GLENMARK
PEMEGLENN 500MG PO.LIOF.1FA 30ML - GLENMARK
PENCILIN-V 500000UI 12CPDS - TEUTO BRAS
PENKARON 400000UI 100FA S/DIL - ARISTON
PENTAGLOBIN 100ML - BIOTEST
PENTAGLOBIN 10ML - BIOTEST
PENTALAC XPE.120ML - UCI-FARMA
PENTASA 1000MG 15SUPS+15DEDEIRAS - FERRING
PENTASA 1000MG 28SUPS+28DEDEIRAS - FERRING
PENTASA 10MG/ML ENEMA RETAL 7FR 100ML - FERRING
PENTASA 1G 50SACH - FERRING
PENTASA 2G 30CPDS LIB.PROLONG. - FERRING
PENTASA 2G 60SACH - FERRING
PENTASA 500MG 50CPDS LIB.PROLONG. - FERRING
PENTOX 20MG 5AMP 5ML - FARMASA
PENTOXIFILINA GEN.400MG 10BLX6CPDS REV. - EMS GENERICOS
PENTOXIFILINA GEN.400MG 20CPDS - SANOFI-AVENTIS
PENTOXIFILINA GEN.400MG 2BLX10CPDS REV. - EMS GENERICOS
PENTOXIFILINA GEN.400MG 2BLX10CPDS REV. - GERMED GENERICOS
PENTOXIFILINA GEN.400MG 2X15CPDS - BIOSINTETICA
PENTOXIFILINA GEN.400MG 30CPDS - SANOFI-AVENTIS
PENTOXIFILINA GEN.400MG 30CPDS REV. - MEDLEY
PENTOXIFILINA GEN.400MG 3BLX10CPDS REV. - EMS GENERICOS
PENTOXIFILINA GEN.400MG 3BLX10CPDS REV. - GERMED GENERICOS
PENTOXIN 400MG 20DRGS - TEUTO BRAS
PENTRAL 10CPDS - BUNKER
PEN-VE 400.000UI/5ML SUSP.60ML - EUROFARMA
PEN-VE 500.000UI 12CPDS - EUROFARMA
PENVIR 125MG 10CPDS - SIGMA PHARMA
PENVIR 500MG 14CPDS - SIGMA PHARMA
PENVIR 500MG 3BLX7CPDS REV. - SIGMA PHARMA
PENVIR LABIA 5GRS - SIGMA PHARMA
PEPRAZOL 10MG 14CAPS - LIBBS
PEPRAZOL 20MG 28CAPS - LIBBS
PEPRAZOL 20MG 7CAPS - LIBBS
PEPRAZOL 40MG 7CAPS - LIBBS
PEPSAMAR 230MG 10X10CPDS - SANOFI-AVENTIS
PEPSAMAR 230MG 1X10CPDS F.V - SANOFI-AVENTIS
PEPSAMAR 230MG 20X10CPDS - SANOFI-AVENTIS
PEPSAMAR 230MG 30CPDS - SANOFI-AVENTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
104369
6420133
5260056
77111
77113
159982
163562
159983
76071
95017
76068
82403
88809
163773
139958
103326
21060
73911
73910
166098
2560087
20084
20103
76217
128153
154516
145269
145270
84035
83331
114365
76269
76271
124018
124019
6200115
1060063
132043
99829
99828
1060068
1060064
103617
103618
103616
77845
77846
134803
DESCRICAO
PEPSAMAR 230MG 5X10CPDS - SANOFI-AVENTIS
PEPSAMAR GEL 240ML - SANOFI-AVENTIS
PEPSOGEL 40+30+5MG SUSP.ORAL 240ML - LEGRAND OTC
PEPTAMEN 1,5 24X250ML - NESTLE N.C.
PEPTAMEN 1,5 SF 6X1000ML - NESTLE N.C.
PEPTAMEN AF SF ULTRAPACK 6X1000ML - NESTLE N.C.
PEPTAMEN HN SF ULTRAPAK 12X500ML - NESTLE N.C.
PEPTAMEN JR. ADVANCE SF ULTRAPACK 12X500ML - NESTLE N.C.
PEPTAMEN JR.LIQ.BAUN.24X250ML - NESTLE N.C.
PEPTAMEN JR.PO BAUN.24X400G - NESTLE N.C.
PEPTAMEN PO BAUN.24X430G - NESTLE N.C.
PEPTAMEN PREBIO 24X250ML - NESTLE N.C.
PEPTAMEN PREBIO SF 6X1000ML - NESTLE N.C.
PEPTAMEN UTI SF 6X1000ML - NESTLE N.C.
PEPTIMAX SACHE 60GRS - PRODIET NC
PEPTOVIT 40MG 14CPDS - VITAPAN
PEPTO-ZIL 120ML - COSMED
PEPTO-ZIL 1X6CPDS F.V - COSMED
PEPTO-ZIL 25X6CPDS - COSMED
PEPTOZIL 262,4MG 12CPDS MAST. - COSMED
PEPTULAN 120MG 2X10CPDS+8CPDS - FARMASA
PERATIVE 237ML - ABBOTT
PERATIVE RTH SF-1000ML - ABBOTT
PERCOF XPE.120ML - EUROFARMA
PERFENOL 400+4+4MG 2BLX10CAPS GEL.DURA - UNIAO QUIMICA
PERGOVERIS 150UI/75UI PO LIOF.1FA+DIL.1ML - MERCK S.A.
PERICOR 4MG 10CPDS - TORRENT
PERICOR 4MG 30CPDS - TORRENT
PERIDAL 10MG 30CPDS - MEDLEY
PERIDAL 10MG 60CPDS - MEDLEY
PERIDAL SUSP.100ML - MEDLEY
PERIDONA 10MG 20CPDS - UCI-FARMA
PERIDONA SUSP.100ML - UCI-FARMA
PERINDOPRIL ERBUMINA GEN.4MG 14CPDS - RANBAXY
PERINDOPRIL ERBUMINA GEN.4MG 30CPDS - RANBAXY
PERIODONTIL 750.000UI+125MG 20CPDS REV. - SANOFI-AVENTIS
PERLUTAN 150+10MG SOL.INJ.1AMP 1ML - BOEHRINGER
PERMEAR 400MG 60CPDS - MARJAN
PERMUT 0,5+1,0+10+10MG/G CRM.10GRS - EUROFARMA
PERMUT 0,5+1,0+10+10MG/G POM.10GRS - EUROFARMA
PERSANTIN 10MG SOL.INJ.5AMP 2ML - BOEHRINGER
PERSANTIN 75MG 40DRGS - BOEHRINGER
PETINAN 50MG/ML SOL INJ 25AMP VIDRO 2ML - BIOCHIMICO
PETINAN 50MG/ML SOL INJ 50AMP VIDRO 2ML - BIOCHIMICO
PETINAN 50MG/ML SOL INJ 5AMP VIDRO 2ML - BIOCHIMICO
PHARMATON 100CAPS GEL.MOLE - BOEHRINGER
PHARMATON 30CAPS GEL.MOLE - BOEHRINGER
PHARMATON 60CAPS GEL.MOLE - BOEHRINGER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
145663
144921
165252
1830016
1830063
85941
85940
85942
85943
146100
152170
131950
35390
139603
620011
121404
121402
121403
132383
132384
40821
2900063
2900064
2900065
127875
127876
41304
41303
6880073
165856
165857
1280065
89339
85980
163520
163521
163522
116174
82223
2120047
156494
156496
156497
70952
114426
145232
145231
70953
DESCRICAO
PHARMATON 8CAPS GEL.MOLE - BOEHRINGER
PHARMATON KIDDI XPE.200ML+CP.MED. - BOEHRINGER
PHASTER 11,6MG/G AER.60G - EMS CONSUMO
PHOSFOENEMA 12X130ML - CRISTALIA
PHOSFOENEMA 130ML - CRISTALIA
PHOTODERM BIOPROTECAO FPS 100 TINTO 40ML - EUROFARMA
PHOTODERM FPS 100 CRM. FLUIDO 40ML - EUROFARMA
PHOTODERM FPS 100 CRM.40ML - EUROFARMA
PHOTODERM FPS 100 LOC. LEITE (MILK) 100ML - EUROFARMA
PHOTODERM FPS 50 SPOT 30ML - EUROFARMA
PHOTODERM FPS50 KIDS 100ML - EUROFARMA
PHOTODERM MAX CRM.TINTO LIGHT FPS 100 40ML - EUROFARMA
PIASCLEDINE 100+200MG 15CAPS - ABBOTT SAUDE
PIASCLEDINE 100+200MG 30CAPS - ABBOTT SAUDE
PIDOMAG 12FLAC - BALDACCI
PIELOGRAF 76% 25X100ML - JUSTESA
PIELOGRAF 76% 25X20ML - JUSTESA
PIELOGRAF 76% 25X50ML - JUSTESA
PIELOGRAF GI 76% 120ML - JUSTESA
PIELOGRAF TOMOGRAFICO 4,56% 250ML - JUSTESA
PILEM 0,75MG 2CPDS - UNIAO QUIMICA
PILOCARPINA 1% SOL.OFT.10ML - ALLERGAN
PILOCARPINA 2% SOL.OFT.10ML - ALLERGAN
PILOCARPINA 4% SOL.OFT.10ML - ALLERGAN
PILOSOL 20MG/ML 10ML - OPHTHALMOS
PILOSOL 40MG/ML 10ML - OPHTHALMOS
PILULAS IMESCARD 36DRGS - OSORIO DE MORAES
PILULAS LUSSEN 36DRGS - OSORIO DE MORAES
PILULAS ROSS 24PIL - GLAXOSMITH
PINAZAN 100MG 450CPDS - CRISTALIA
PINAZAN 25MG 200CPDS - CRISTALIA
PIODREX 1% LOC.CRM.60ML - BUNKER
PIODREX 1% SAB.100G - BUNKER
PIODREX 5% LOC.CRM.60ML - BUNKER
PIOGLIT 15MG 30CPDS - TORRENT
PIOGLIT 30MG 30CPDS - TORRENT
PIOGLIT 45MG 30CPDS - TORRENT
PIOLETAL 10MG/G SAB.100G - DELTA
PIOLETAL PLUS SOL.TOP.60ML - DELTA
PIOLETAL SOL.TOP.60ML - DELTA
PIOTAZ 15MG 30CPDS - GERMED
PIOTAZ 30MG 30CPDS - GERMED
PIOTAZ 45MG 15CPDS - GERMED
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.2,25G 10FA - EUROFARMA
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.2+0,25G PO INJ.1FA 30ML - AUROBINDO
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.2G+250MG 10FA 30ML - ASPEN
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.2G+250MG 1FA 30ML - ASPEN
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.4,50G 10FA - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
101622
133631
114427
145234
145233
145339
6200071
6200070
7460044
7460043
106637
37887
119770
91281
48124
92978
37357
48150
153621
91282
129412
159219
140692
140189
96672
98502
94047
71515
61459
169771
169773
6920245
112149
6920237
122224
122225
36982
72950
4560026
55287
4560030
4560043
2120071
2120065
1280085
1280044
1280045
38828
DESCRICAO
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.4+0,5G 1FA 20ML - NOVAFARMA
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.4+0,5G 25FA 20ML - NOVAFARMA
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.4+0,5G PO INJ.1FA 40ML - AUROBINDO
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.4G+500MG 10FA 50ML - ASPEN
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.4G+500MG 1FA 50ML - ASPEN
PIPERAZAN 1FA 50ML - LIBRA
PIPORTIL L4 25MG/ML 1AMP 4ML - SANOFI-AVENTIS
PIPORTIL L5 25MG/ML 3AMP 1ML - SANOFI-AVENTIS
PIPUROL 400MG 20CAPS - ZAMBON
PIPUROL XPE.120ML - ZAMBON
PIROXICAM GEN.20MG 10BLX6CAPS - EMS GENERICOS
PIROXICAM GEN.20MG 10CAPS - EMS GENERICOS
PIROXICAM GEN.20MG 10CAPS - NEOQUIMICA
PIROXICAM GEN.20MG 10CPDS - GERMED GENERICOS
PIROXICAM GEN.20MG 10CPDS - SANDOZ
PIROXICAM GEN.20MG 15CAPS - NEOQUIMICA
PIROXICAM GEN.20MG 15CAPS - EMS GENERICOS
PIROXICAM GEN.20MG 15CAPS GEL - BIOSINTETICA
PIROXICAM GEN.20MG 15CAPS GEL - CIMED
PIROXICAM GEN.20MG 15CPDS - GERMED GENERICOS
PIROXICAM GEN.20MG 15CPDS - SANDOZ
PIROXICAM GEN.20MG 80CAPS GEL.DURA - PRATI-DONADUZZI
PIROXICAM GEN.20MG GEL.DURA 15CAPS - PRATI-DONADUZZI
PIROXICAM GEN.20MG SOL.20CPDS - LEGRAND GENERICOS
PIROXICAM GEN.2MG/ML 2AMP 2ML - ATIVUS
PIROXICAM GEN.5MG/G GEL 30G - EMS GENERICOS
PIROXICAM GEN.5MG/G GEL 30GRS - RANBAXY
PIROXICAM GEN.GEL 30GRS - ATIVUS
PKU 1 500GRS - SUPPORT NUTRITION
PKU 2 PRIMA 500G - SUPPORT NUTRITION
PKU 2 SECUNDA 500G - SUPPORT NUTRITION
PLAGEX 10MG 20CPDS - TEUTO BRAS
PLAGEX 10MG/2ML 100AMP 2ML - TEUTO BRAS
PLAGEX 4MG/ML SOL.ORAL PED.GTS.10ML - TEUTO BRAS
PLAGREL 75MG 14CPDS - SANDOZ
PLAGREL 75MG 28CPDS - SANDOZ
PLAKETAR 250MG 20CPDS REV. - BIOLAB SANUS
PLAKETAR 250MG 30CPDS REV. - BIOLAB SANUS
PLAMET 10MG 20CPDS - LIBBS
PLAMET 4MG/ML PED.GTS.20ML - LIBBS
PLAMET 5MG/ML 50AMP 2ML - LIBBS
PLAMET 5MG/ML 5AMP 2ML - LIBBS
PLAMIDASIL 20CPDS - DELTA
PLAMIDASIL GTS.10ML - DELTA
PLAMIVON 100CPDS - BUNKER
PLAMIVON 12CPDS - BUNKER
PLAMIVON GTS.10ML - BUNKER
PLANTABEN 3,5GR 10ENV 5GRS - NYCOMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
38829
140960
145929
161053
159252
159253
6420153
3440127
3440130
3440126
3440128
3440131
7060065
7060066
7060064
26539
26537
26538
145812
145813
144110
34374
34479
141757
141758
153622
138706
138707
26133
26131
26132
159223
133633
98956
6485057
6485058
87254
72242
120887
120888
137556
61458
61457
115396
169842
169843
93835
6500084
DESCRICAO
PLANTABEN 3,5GR 30ENV 5GRS - NYCOMED
PLANTACIL 20ENV.5GRS - LUPER
PLANTACIL 50ENV.5GRS - LUPER
PLAQ 75MG 30CPDS REV. - EUROFARMA
PLAQUEVIX 75MG 2BLX7CPDS REV. - EMS
PLAQUEVIX 75MG 4BLX7CPDS REV. - EMS
PLAQUINOL 400MG 2X15CPDS - SANOFI-AVENTIS
PLASIL 10MG 20CPDS - SANOFI-AVENTIS
PLASIL 1MG/ML SOL.100ML - SANOFI-AVENTIS
PLASIL 4MG/ML SOL.10ML - SANOFI-AVENTIS
PLASIL 5MG/ML SOL.INJ.100AMP 2ML - SANOFI-AVENTIS
PLASIL ENZIMATICO 30DRGS - SANOFI-AVENTIS
PLATAMINE 150MG 1FA - PFIZER
PLATAMINE 450MG 1FA - PFIZER
PLATAMINE 50MG 1FA - PFIZER
PLATISTINE 100MG 1FA PLAST. - PFIZER
PLATISTINE 10MG 5FA PLAST. - PFIZER
PLATISTINE 50MG 1FA PLAST. - PFIZER
PLAVASC 250MG 20CPDS - TEUTO BRAS
PLAVASC 250MG 30CPDS - TEUTO BRAS
PLAVIX 300MG 4CPDS REV. - SANOFI-AVENTIS
PLAVIX 75MG 14CPDS - SANOFI-AVENTIS
PLAVIX 75MG 28CPDS - SANOFI-AVENTIS
PLAVIX PROTECT 75MG+100MG BL.AL/AL 14+14CPDS REV. - SANOFI-AVENTIS
PLAVIX PROTECT 75MG+100MG BL.AL/AL 28+28CPDS REV. - SANOFI-AVENTIS
PLAVOM 4MG/ML GTS.10ML - CIMED
PLAXEL 100MG 6MG/ML 17ML - LIBRA
PLAXEL 30MG 6MG/ML 5ML - LIBRA
PLENACOR 100MG 28CPDS - BAGO
PLENACOR 25MG 28CPDS - BAGO
PLENACOR 50MG 28CPDS - BAGO
PLENNIT 30CAPS - GEYER
PLESONAX 5MG 100DRGS - NEOQUIMICA
PLESONAX 5MG 20DRGS - NEOQUIMICA
PLETIL 4CPDS - PFIZER
PLETIL 8CPDS - PFIZER
PLURAIR 50MCG SPR.120DOSE - LIBBS
PLURAIR 50MCG SPR.60DOSE - LIBBS
PLURIMEC 6MG 2CPDS - BIOLAB SANUS
PLURIMEC 6MG 4CPDS - BIOLAB SANUS
PLURIMEC 6MG 8CPDS - BIOLAB SANUS
PLURIMINERAL 40SACH 10GRS - SUPPORT NUTRITION
PLURIVITAMIN 40SACH 10GRS - SUPPORT NUTRITION
PLUSAGE 30GRS - BIOSINTETICA
PNEUMUCIL 20MG/ML XPE.120ML+CP.MED. - TEUTO BRAS
PNEUMUCIL 40MG/ML XPE.120ML+CP.MED. - TEUTO BRAS
POLARAMINE 10MG CRM.DERM.30GRS - MANTECORP
POLARAMINE 120ML - MANTECORP
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
6500087
101102
6500086
6500085
135402
79653
79654
148551
161037
148552
145101
55341
61389
61390
63635
63636
91730
45661
6680028
67054
2380017
260030
6960019
129948
129949
140248
47748
47749
84262
133550
84263
84264
84265
6820037
6820038
6820086
6820056
6820065
280022
41305
146104
83856
146103
104008
32012
3860062
3860063
146101
DESCRICAO
POLARAMINE 12DRGS REPETABS - MANTECORP
POLARAMINE 2,8MG/ML 20ML - MANTECORP
POLARAMINE 2MG 20CPDS - MANTECORP
POLARAMINE EXP.120ML - MANTECORP
POLARATUSS EXP.120ML - CIFARMA
POLAREN 2MG 20CPDS - CIFARMA
POLAREN SOL.ORAL 100ML - CIFARMA
POLARYN 0,4MG/ML XPE.10ML - TEUTO BRAS
POLARYN 10MG/G CRM.DERM.30G - TEUTO BRAS
POLARYN 2MG 20CPDS - TEUTO BRAS
POLIBIOTIC 250MG 20CPDS - PRATI-DONADUZZI
POLICLAVUMOXIL 250MG/5ML 75ML - EMS
POLICLAVUMOXIL 500MG 2X6CPDS - EMS
POLICLAVUMOXIL 500MG 3X6CPDS - EMS
POLICLAVUMOXIL BD 400MG SUSP.70ML - EMS
POLICLAVUMOXIL BD 875MG 2X6CPDS - EMS
POLICRESULENO+CLORIDRATO CINCHOCAINA GEN.0,1G/G 30GRS+10APL - MEDLEY
POLIDERMS 0,5+1+10+10MG/G CRM.DERM.20G - UNIAO QUIMICA
POLIGINAX 35000+35000+100000UI+150MG 12CAPS+APLIC. - ABBOTT SAUDE
POLIMOXIL 500MG 21CAPS - LEGRAND TARJARDOS
POLIMOXIL SUSP.150ML - LEGRAND TARJARDOS
POLIPRED 5+5MG+10000 UI/ML SUSP.OFT.5ML - ALLERGAN
POLIREUMIN 20MG 1FA 2ML - TRB PHARMA
POLIVITAMINICO A+B ADU.1ML - HOSPPHARMA
POLIVITAMINICO A+B PED.1ML - HOSPPHARMA
POLIXIL B 500000UI PO 1FA - HALLER
POLYDRAT 4ENV 27,9GRS - PHARMASCIENCE
POLYDRAT 50ENV 27,9GRS - PHARMASCIENCE
POLYDRAT FRAMB.SOL.ORAL 450ML - PHARMASCIENCE
POLYDRAT GUAR.450ML - PHARMASCIENCE
POLYDRAT LAR.SOL.ORAL 450ML - PHARMASCIENCE
POLYDRAT NAT.SOL.ORAL 450ML - PHARMASCIENCE
POLYDRAT UVA SOL.ORAL 450ML - PHARMASCIENCE
POLYTAR C/PROTEINA SHM.120ML (+IPI 7%) - STIEFEL
POLYTAR C/PROTEINA SHM.200ML (+IPI 7%) - STIEFEL
POLYTAR SAB.100GRS (+IPI 5%) - STIEFEL
POLYTAR SHM.120ML (+IPI 7%) - STIEFEL
POLYTAR SHM.200ML (+IPI 7%) - STIEFEL
POMADA HOMEOPATICA 25G - ALM.PRADO
POMADA IMESCARD 25GRS - OSORIO DE MORAES
PONDERA 10MG 10CPDS - EUROFARMA
PONDERA 10MG 20CPDS - EUROFARMA
PONDERA 15MG 10CPDS - EUROFARMA
PONDERA 15MG 20CPDS - EUROFARMA
PONDERA 20MG 10CPDS - EUROFARMA
PONDERA 20MG 20CPDS - EUROFARMA
PONDERA 20MG 30CPDS - EUROFARMA
PONDERA 25MG 10CPDS - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
104009
146102
37023
83857
167135
20843
1300033
167132
164576
103112
80037
115430
71682
82224
69636
140211
140212
140213
140214
140215
74112
129638
96093
23547
149473
149474
97104
133701
133702
159225
159226
159227
159228
133703
133704
166010
166013
166011
166014
166012
166015
31967
31968
31969
140711
140703
140713
160777
DESCRICAO
PONDERA 25MG 20CPDS - EUROFARMA
PONDERA 30MG 10CPDS - EUROFARMA
PONDERA 30MG 30CPDS - EUROFARMA
PONDERA 40MG 20CPDS - EUROFARMA
PONDICILINA HORT.12PAST - UNIAO QUIMICA
PONDICILINA MEL/LIM.12PAST - UNIAO QUIMICA
PONDICILINA MENTA 12PAST - UNIAO QUIMICA
PONDICILINA VIT.C LAR.12PAST - UNIAO QUIMICA
PONDIX 20MG 2BLX15CPDS REV. - SIGMA PHARMA
PONSDRIL 500MG 24CPDS - LEGRAND TARJARDOS
PONSTAN 500MG 24CPDS - PFIZER
PONTIN 500MG 120CPDS - HEXAL
PONTIN 500MG 24CPDS - HEXAL
PONTREX 500MG 24CPDS - DELTA
POSIDON 100MG 10FA - DARROW
POSPRAND 0,5MG 30CPDS - GLENMARK
POSPRAND 1MG 30CPDS - GLENMARK
POSPRAND 1MG 60CPDS - GLENMARK
POSPRAND 2MG 30CPDS - GLENMARK
POSPRAND 2MG 60CPDS - GLENMARK
POSTEC 2,5MG+150UTR POM.DERM.10G - APSEN
POSTEC 20GRS - APSEN
POSTINOR UNO 1,5MG 1CPD - ACHE
POSTINOR-2 0,75MG 2CPDS - ACHE
POVATA 3,5G 10ENV - EUROFARMA
POVATA 3,5G 30ENV - EUROFARMA
POZATO UNI 1,5MG 1CPD - LIBBS
PRADAXA 110MG 10CAPS GEL DURA - BOEHRINGER
PRADAXA 110MG 30CAPS GEL.DURA - BOEHRINGER
PRADAXA 110MG 60CAPS GEL.DURA - BOEHRINGER
PRADAXA 150MG 10CAPS GEL.DURA - BOEHRINGER
PRADAXA 150MG 30CAPS GEL.DURA - BOEHRINGER
PRADAXA 150MG 60CAPS GEL.DURA - BOEHRINGER
PRADAXA 75MG 10CAPS GEL.DURA - BOEHRINGER
PRADAXA 75MG 30CAPS GEL.DURA - BOEHRINGER
PRAMIPEZAN 0,125MG 10CPDS REV. - ARROW
PRAMIPEZAN 0,125MG 30CPDS REV. - ARROW
PRAMIPEZAN 0,25MG 10CPDS REV. - ARROW
PRAMIPEZAN 0,25MG 30CPDS REV. - ARROW
PRAMIPEZAN 1MG 10CPDS REV. - ARROW
PRAMIPEZAN 1MG 30CPDS REV. - ARROW
PRANDIN 0,5MG 2X15CPDS - MEDLEY
PRANDIN 1,0MG 2X15CPDS - MEDLEY
PRANDIN 2,0MG 2X15CPDS - MEDLEY
PRATIDERM 100000UI/G+200MG/G POM.DERM.60GRS - PRATI-DONADUZZI
PRATIFOLIN 5MG 400CPDS REV. - PRATI-DONADUZZI
PRATIGEL POM.DERM.20GRS - PRATI-DONADUZZI
PRATIGLOS 5000+900UI+150MG/G POM.DERM.135G - PRATI-DONADUZZI
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
160776
140715
140709
140706
140710
156487
140718
140717
147129
1260094
1260052
1260079
61424
154513
154514
154515
138658
100515
142272
138659
84942
100516
138660
142273
138661
84943
100517
138662
142275
138663
169634
169635
169636
4945119
4945120
4945079
167315
4945078
144984
144985
166400
166401
166402
166403
35592
260036
15289
147232
DESCRICAO
PRATIGLOS 5000+900UI+150MG/G POM.DERM.90G - PRATI-DONADUZZI
PRATIGLOS 5000UI/G+900UI/G+150MG/G POM.DERM.45GRS - PRATI-DONADUZZI
PRATIPRAZOL 20MG GEL.DURA MICROG.280CAPS - PRATI-DONADUZZI
PRATIPRAZOL 20MG GEL.DURA MICROG.3X10CAPS - PRATI-DONADUZZI
PRATIPRAZOL 40MG GEL.DURA MICROG.10CAPS - PRATI-DONADUZZI
PRATIPRAZOL GEN. 20MG 320CAPS. GEL DURA - PRATI-DONADUZZI
PRATI-SAL 3,5+1,5+2,9+20,0G PO P/SOL.EXTEMP.LAR.4SACH 28,84GRS - PRATI-DONADUZZI
PRATI-SAL 3,5G+1,5G+2,9G+20,0G PO P/SOL.EXTEMPORANEA 4SACH 27,9GRS - PRATI-DONADUZZI
PRATIUM 140MG/ML GTS.15ML - MANTECORP
PRAVACOL 10MG 10CPDS - BRISTOL
PRAVACOL 10MG 30CPDS - BRISTOL
PRAVACOL 20MG 30CPDS - BRISTOL
PRAVACOL 40MG 30CPDS - BRISTOL
PRAVASTATINA GEN.10MG 30CPDS - MERCK S.A.
PRAVASTATINA GEN.20MG 30CPDS - MERCK S.A.
PRAVASTATINA GEN.40MG 30CPDS - MERCK S.A.
PRAVASTATINA SODICA GEN.10MG 10CPDS - ACCORD
PRAVASTATINA SODICA GEN.10MG 10CPDS - NOVA QUIMICA
PRAVASTATINA SODICA GEN.10MG 30CPDS - MEDLEY
PRAVASTATINA SODICA GEN.10MG 30CPDS - ACCORD
PRAVASTATINA SODICA GEN.10MG 30CPDS - RANBAXY
PRAVASTATINA SODICA GEN.10MG 3X10CPDS - NOVA QUIMICA
PRAVASTATINA SODICA GEN.20MG 10CPDS - ACCORD
PRAVASTATINA SODICA GEN.20MG 30CPDS - MEDLEY
PRAVASTATINA SODICA GEN.20MG 30CPDS - ACCORD
PRAVASTATINA SODICA GEN.20MG 30CPDS - RANBAXY
PRAVASTATINA SODICA GEN.20MG 3X10CPDS - NOVA QUIMICA
PRAVASTATINA SODICA GEN.40MG 10CPDS - ACCORD
PRAVASTATINA SODICA GEN.40MG 30CPDS - MEDLEY
PRAVASTATINA SODICA GEN.40MG 30CPDS - ACCORD
PRAXETINA 20MG 10CPDS - WYETH
PRAXETINA 20MG 30CPDS - WYETH
PRAXETINA 20MG 60CPDS - WYETH
PRAZOL 15MG 14CAPS - MEDLEY
PRAZOL 15MG 28CAPS - MEDLEY
PRAZOL 30MG 14CAPS - MEDLEY
PRAZOL 30MG 28CAPS GEL.LIB.RETARD - MEDLEY
PRAZOL 30MG 7CAPS - MEDLEY
PRAZY 20MG 4X7CPDS - SIGMA PHARMA
PRAZY 40MG 4X7CPDS - SIGMA PHARMA
PREBICTAL 150MG 14CAPS GEL.DURA - ZODIAC
PREBICTAL 150MG 28CAPS GEL.DURA - ZODIAC
PREBICTAL 75MG 14CAPS GEL.DURA - ZODIAC
PREBICTAL 75MG 28CAPS GEL.DURA - ZODIAC
PRECEDEX 100MCG/ML 5FA 2ML - HOSPIRA
PRED FORT 10MG/ML SUSP.OFT.5ML - ALLERGAN
PRED MILD 1,2MG/ML SUSP.OFT.10ML - ALLERGAN
PRED MILD 1,2MG/ML SUSP.OFT.5ML - ALLERGAN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
136808
103328
166422
114491
165265
2380068
60340
6200097
167107
167745
89548
140726
139615
98947
77942
108156
82692
128199
83565
61032
98950
133648
139616
139614
61030
98943
77941
108157
128198
133418
82691
83564
89547
127927
43138
32288
36395
43136
43137
42841
42842
136476
77930
153762
146485
147825
147826
38999
DESCRICAO
PREDCORT 20MG 20CPDS - VITAPAN
PREDCORT 5MG 20CPDS - VITAPAN
PRED-GRAN 20MG 10CPDS - LEGRAND TARJARDOS
PREDI-MEDROL 40MG/ML SUSP.INJ.1FA 2ML - UNIAO QUIMICA
PREDINISOLONA GEN.20MG 10CPDS REV. - EMS GENERICOS
PREDMICIN POM.15GRS - EMS
PREDNIS 20MG 10CPDS - LEGRAND TARJARDOS
PREDNISOLON 1,34MG/ML SOL.100ML - SANOFI-AVENTIS
PREDNISOLONA GEN.20MG 10CPDS - GERMED GENERICOS
PREDNISOLONA GEN.20MG 10CPDS - LEGRAND GENERICOS
PREDNISONA GEN.20MG 10CPDS - LEGRAND GENERICOS
PREDNISONA GEN.20MG 10CPDS - PRATI-DONADUZZI
PREDNISONA GEN.20MG 10CPDS - MEDLEY
PREDNISONA GEN.20MG 10CPDS - NEOQUIMICA
PREDNISONA GEN.20MG 10CPDS - EUROFARMA
PREDNISONA GEN.20MG 10CPDS - UNIAO QUIMICA
PREDNISONA GEN.20MG 10CPDS - EMS GENERICOS
PREDNISONA GEN.20MG 10CPDS - NOVA QUIMICA
PREDNISONA GEN.20MG 10CPDS - GERMED GENERICOS
PREDNISONA GEN.20MG 20CPDS - SANVAL
PREDNISONA GEN.20MG 20CPDS - NEOQUIMICA
PREDNISONA GEN.20MG 25X20CPDS - SANVAL
PREDNISONA GEN.20MG 30CPDS - MEDLEY
PREDNISONA GEN.5MG 20CPDS - MEDLEY
PREDNISONA GEN.5MG 20CPDS - SANVAL
PREDNISONA GEN.5MG 20CPDS - NEOQUIMICA
PREDNISONA GEN.5MG 20CPDS - EUROFARMA
PREDNISONA GEN.5MG 20CPDS - UNIAO QUIMICA
PREDNISONA GEN.5MG 20CPDS - NOVA QUIMICA
PREDNISONA GEN.5MG 25X20CPDS - SANVAL
PREDNISONA GEN.5MG 2BLX10CPDS - EMS GENERICOS
PREDNISONA GEN.5MG 2BLX10CPDS - GERMED GENERICOS
PREDNISONA GEN.5MG 2X10CPDS - LEGRAND GENERICOS
PREDSIM 11MG/ML GTS.20ML - MANTECORP
PREDSIM 20MG 10CPDS - MANTECORP
PREDSIM 3MG SOL.100ML+PIPET.DOSAD. - MANTECORP
PREDSIM 3MG SOL.60ML+PIPET.DOSAD. - MANTECORP
PREDSIM 5MG 10CPDS - MANTECORP
PREDSIM 5MG 2X10CPDS - MANTECORP
PREDSON 20MG 20X10CPDS - CRISTALIA
PREDSON 5MG 20X10CPDS - CRISTALIA
PRE-FOLIC 6BLX5CPDS - ELOFAR
PREG-LESS 150MG 1AMP.1ML - SIGMA PHARMA
PREGNOLAN 1AMP 1ML - CIFARMA
PREGOMIN PEPTI 400GRS - SUPPORT NUTRITION
PRELONE 11MG/ML GTS.10ML - ACHE
PRELONE 11MG/ML GTS.20ML - ACHE
PRELONE 20MG 10CPDS - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
134268
144936
134267
144926
39000
7380080
7380082
107578
36303
88694
88691
106651
106649
106650
1000095
36980
145465
111752
1000094
36979
145467
26928
26929
26927
6920138
136563
6920139
136564
6920137
136562
1020095
1020097
1020096
149817
78137
78138
78139
76254
115372
92790
170636
76255
157465
127933
157464
2540024
2540025
149462
DESCRICAO
PRELONE 3MG/ML SOL.ORAL 120ML+PIP.DOSAD. - ACHE
PRELONE 3MG/ML SOL.ORAL 30ML - ACHE
PRELONE 3MG/ML SOL.ORAL 60ML+PIP.DOSAD. - ACHE
PRELONE 5MG 10CPDS - ACHE
PRELONE 5MG 20CPDS - ACHE
PREMARIN 0,300MG 28DRGS - WYETH
PREMARIN 0,625MG 28DRGS - WYETH
PREMARIN CRM.VAG.26G+APL. - WYETH
PRE-NAN 400GRS - NESTLE N.I.
PRESERV 9 GEL VAG.2% BG.40GRS - BLAU
PRESERV 9 GEL VAG.2% BG.5X5GRS - BLAU
PRESS PLUS 2,5+10MG 30CAPS GEL.DURA - BIOLAB SANUS
PRESS PLUS 5+10MG 30CAPS GEL.DURA - BIOLAB SANUS
PRESS PLUS 5+20MG 30CAPS GEL.DUA - BIOLAB SANUS
PRESSAT 10MG 20CPDS - BIOLAB SANUS
PRESSAT 10MG 30CPDS - BIOLAB SANUS
PRESSAT 10MG 60CPDS - BIOLAB SANUS
PRESSAT 2,5MG 30CPDS - BIOLAB SANUS
PRESSAT 5MG 20CPDS - BIOLAB SANUS
PRESSAT 5MG 30CPDS - BIOLAB SANUS
PRESSAT 5MG 60CPDS - BIOLAB SANUS
PRESSEL 10MG 3X10CPDS - LEGRAND TARJARDOS
PRESSEL 20MG 3 X10CPDS - LEGRAND TARJARDOS
PRESSEL 5MG 30CPDS - LEGRAND TARJARDOS
PRESSOTEC 10MG 30CPDS - TEUTO BRAS
PRESSOTEC 10MG ENV.AL.30CPDS - TEUTO BRAS
PRESSOTEC 20MG 30CPDS - TEUTO BRAS
PRESSOTEC 20MG ENV.AL.30CPDS - TEUTO BRAS
PRESSOTEC 5MG 30CPDS - TEUTO BRAS
PRESSOTEC 5MG ENV.AL.30CPDS - TEUTO BRAS
PREVAX 15MG 10CPDS - BIOSINTETICA
PREVAX 3MG 6AMP 1ML - BIOSINTETICA
PREVAX 50MG 1FA+DIL 5ML - BIOSINTETICA
PREVELIP 60CPDS - BIOLAB SANUS
PREVENCOR 100+10MG 6X5+5CPDS - MEDLEY
PREVENCOR 100+20MG 6X5+5CPDS - MEDLEY
PREVENCOR 100+40MG 6X5+5CPDS - MEDLEY
PREVIANE 21CPDS - LEGRAND TARJARDOS
PREVIANE 3X21CPDS REV - LEGRAND TARJARDOS
PREVIDEZ 2 0,75MG 2CPDS - EMS
PREVYASM 3+0,03MG 21CPDS REV. - LEGRAND TARJARDOS
PREVYOL-2 0,75MG 2CPDS - LEGRAND TARJARDOS
PREZISTA 150MCG 240CPDS - JANSSEN-CILAG
PREZISTA 300MG 120CPDS REV. - JANSSEN-CILAG
PREZISTA 75MCG 480CPDS - JANSSEN-CILAG
PRIDECIL 20CAPS - CHIESI
PRIDECIL GTS.10ML - CHIESI
PRIMACOR 1MG/ML SOL.INJ.10AMP 10ML - SANOFI-AVENTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
6420154
136762
136763
3860061
20888
120852
120851
134972
102243
134970
102244
148164
148163
45060
163941
840025
840026
167093
7500011
5920040
5920006
5920063
134966
159640
134963
134964
145053
960055
32499
145420
48180
145421
3480007
15750
166079
3480021
72253
144006
97106
149463
149464
149465
149466
127924
127923
127926
127925
150583
DESCRICAO
PRIMACOR 1MG/ML SOL.INJ.1FA 20ML - SANOFI-AVENTIS
PRIMERA 0,150+0,020MG 63CPDS - EUROFARMA
PRIMERA 0,150+0,030MG 63CPDS - EUROFARMA
PRIMERA 20MG 21CPDS - EUROFARMA
PRIMERA 30MG 21CPDS - EUROFARMA
PRIMID 100MG 100CPDS - APSEN
PRIMID 250MG 20CPDS - APSEN
PRIMOBLOCK FPS30 120ML - LC
PRIMODERME BG.200ML - LC
PRIMODERME EMULSAO HIDRATANTE C/CALENDULA 100ML - LC
PRIMODERME SACH 10ML - LC
PRIMOGEL ANTISSEPTICO 70% BAG 690GRS - LC
PRIMOGEL ANTISSEPTICO 70% FLIP TOP 53GRS - LC
PRIMOGYNA 1MG 28DRGS - BAYER
PRIMOGYNA 2MG 28DRGS - BAYER
PRIMOLUT-NOR 10MG 30CPDS - BAYER
PRIMOSISTON 30CPDS - BAYER
PRIMOVIST 0,25MMOL SOL.INJ.SER.VD 10ML - BAYER
PRINACHOL 0,7MG/ML SOL.ORAL 30ML - AVERT
PRINIVIL 10MG 30CPDS - MERCK S.D.
PRINZIDE 10/12,5MG 3X10CPDS - MERCK S.D.
PRINZIDE 20/12,5MG 3X10CPDS - MERCK S.D.
PRISTIQ 100MG 14CPDS REV. - WYETH
PRISTIQ 100MG 28CPDS REV. - WYETH
PRISTIQ 50MG 14CPDS REV. - WYETH
PRISTIQ 50MG 28CPDS REV. - WYETH
PRISTIQ 50MG 7CPDS REV. - WYETH
PRIVINA 1MG/ML GTS.15ML - NOVARTIS
PROBEK'S CRM.50GRS - INFAN
PROBENXIL 15MG/ML 100X20ML - CIMED
PROBENXIL 15MG/ML 20ML - CIMED
PROBENXIL 50MG 1000DRGS - CIMED
PROBENXIL 50MG 10DRGS - CIMED
PROBENXIL 50MG 20DRGS - CIMED
PROBENXIL 50MG 25BLX20DRGS(EMB.HOSP.) - CIMED
PROBENXIL EMULGEL 60GRS - CIMED
PROCIMAX 20MG 28CPDS - LIBBS
PROCIMAX 20MG 7CPDS - LIBBS
PROCIMAX 40MG 28CPDS - LIBBS
PROCORALAN 5MG 28CPDS - SERVIER
PROCORALAN 5MG 56CPDS - SERVIER
PROCORALAN 7,5MG 28CPDS - SERVIER
PROCORALAN 7,5MG 56CPDS - SERVIER
PROCSIM 250MG 14CPDS REV. - MANTECORP
PROCSIM 250MG 6CPDS REV. - MANTECORP
PROCSIM 500MG 14CPDS REV. - MANTECORP
PROCSIM 500MG 6CPDS REV. - MANTECORP
PROCTAM 25GRS+1 APLIC. - PHARMASCIENCE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
139847
92956
41377
150211
26038
63540
146713
166459
1300133
136732
2905163
145065
2905165
145066
5920044
165745
6200077
136546
6200042
6200058
6200076
6200080
6200094
146592
6200010
6200078
55373
1260027
144165
83012
5440098
74099
5440099
74098
78940
4945081
4945080
38801
38802
20105
21696
21698
21697
134934
134935
37956
7480020
164641
DESCRICAO
PROCTO GLYVENOL 400+40MG 10SUPS.RETAL - NOVARTIS
PROCTO GLYVENOL 50+20MG/G 30+10APL. - NOVARTIS
PROCTOSAN POM.20GRS+1APLIC. - KLEY HERTZ
PROCTOSAN POM.20GRS+6APLIC. - KLEY HERTZ
PROCTYL 10SUPS - NYCOMED
PROCTYL 10X3GRS+10APL. - NYCOMED
PROCTYL 15SUPS - NYCOMED
PROCTYL 50+10MG/ML POM.RET.5BG 3G+5APLIC. - NYCOMED
PROCTYL POM.30GRS - NYCOMED
PRODEN 30CPDS - ALM.PRADO
PRODERM CRM.60G - GALDERMA
PRODERM EMU.COSM.120ML - GALDERMA
PRODERM SAB.BARRA COSM.80G - GALDERMA
PRODERM SAB.LIQ.COSM.120ML - GALDERMA
PROEPA 1000MG 45CAPS GEL. - ACHE
PROEPA GESTA 30CAPS - ACHE
PROFENID 100MG 10SUPS - SANOFI-AVENTIS
PROFENID 1MG/ML XPE.150ML - SANOFI-AVENTIS
PROFENID 2% GTS.20ML - SANOFI-AVENTIS
PROFENID 25MG GEL 30GRS - SANOFI-AVENTIS
PROFENID 50MG 24CAPS - SANOFI-AVENTIS
PROFENID 50MG/ML 6AMP 2ML - SANOFI-AVENTIS
PROFENID ENTER.100MG 20CPDS - SANOFI-AVENTIS
PROFENID ENTER.100MG 3CPDS - SANOFI-AVENTIS
PROFENID IV 100MG PO LIOF 50FA - SANOFI-AVENTIS
PROFENID RET.200MG 10CPDS - SANOFI-AVENTIS
PROFERGAN 25MG 20CPDS - TEUTO BRAS
PROFLAM 100MG 12CPDS - EUROFARMA
PROFLAM 100MG 6CPDS - EUROFARMA
PROFLAM CRM.30GRS - EUROFARMA
PROFLOX 250MG 10CPDS - SIGMA PHARMA
PROFLOX 250MG 14CPDS - SIGMA PHARMA
PROFLOX 500MG 10CPDS - SIGMA PHARMA
PROFLOX 500MG 14CPDS - SIGMA PHARMA
PROFLOX 750MG 10CPDS - SIGMA PHARMA
PROFOL 20CPDS - MEDLEY
PROFOL SUSP.100ML - MEDLEY
PROFOLEN 10MG 50AMP 20ML - BLAU
PROFOLEN 10MG 5AMP 20ML - BLAU
PROFORT BAUN.RTH 1000ML - ABBOTT
PROGRAF 1MG 10X10CAPS - JANSSEN-CILAG
PROGRAF 5MG 10AMP 1ML - JANSSEN-CILAG
PROGRAF 5MG 5X10CAPS - JANSSEN-CILAG
PROGRAF XL 1MG 50CAPS - JANSSEN-CILAG
PROGRAF XL 5MG 50CAPS - JANSSEN-CILAG
PROHAIR 1MG 30CPDS - UNIAO QUIMICA
PROLEUKIN 18000000UI PO LIOF.1FA - ZODIAC
PROLIA 60MG 1SER.PREENCH.1ML - GLAXOSMITH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
22357
60575
6280047
6280121
151077
136548
71827
71828
133419
154200
154201
91263
6460316
2215004
2215005
115160
97539
1280159
1280160
42440
42441
122653
5040046
106884
6485059
21700
111848
111849
97134
97091
94055
49118
95034
94239
140729
90045
98970
49119
91567
95035
140730
90044
88583
94234
43951
43952
43947
38341
DESCRICAO
PROLIFT 4MG 20CPDS - PFIZER
PROLOPA 125MG 30CPDS - ROCHE
PROLOPA 250MG 30CPDS - ROCHE
PROLOPA HBS 125MG 30CAPS - ROCHE
PROMENSIL 100MG 30CPDS REV. - FARMOQUIMICA
PROMETAZINA GEN.0,02G/G CRM.DERM.30GRS - SANOFI-AVENTIS
PROMETAZOL 20MG/G CRM.30GRS - SANVAL
PROMETAZOL 25MG 10CPDS - SANVAL
PROMETAZOL 25MG/ML 25AMP 2ML - SANVAL
PROMIRA 400MG 5CPDS - BAYER
PROMIRA 400MG 7CPDS - BAYER
PRONASTERON 1MG 2X15CPDS - SANVAL
PRONASTERON 5MG 15CPDS - SANVAL
PRONAZOL 150MG 1CAP - DIFFUCAP
PRONAZOL 150MG 2CAPS - DIFFUCAP
PRONAZOL 150MG 4CAPS - DIFFUCAP
PRONENEN POM.45GRS - CIFARMA
PROPACOR 40MG 20CPDS - BUNKER
PROPACOR 80MG 20CPDS - BUNKER
PROPAN 20CPDS - UCI-FARMA
PROPAN SUSP.ORAL 100ML - UCI-FARMA
PROPARK 2MG 3BLX25CPDS - UNIAO QUIMICA
PROPECIA 1MG 3X10CPDS - MERCK S.D.
PROPESS 10MG 1PESS. - FERRING
PROPIL 100MG 30CPDS - PFIZER
PROPILRACIL 100MG 30CPDS - BIOLAB SANUS
PROPIONATO CLOBETASOL GEN.0,5MG CRM.30GRS - NOVA QUIMICA
PROPIONATO CLOBETASOL GEN.0,5MG POM.30GRS - NOVA QUIMICA
PROPIONATO CLOBETASOL GEN.0,5MG SOL.CAP.50G - EMS GENERICOS
PROPIONATO CLOBETASOL GEN.0,5MG/G CRM.30GRS - TEUTO BRAS
PROPIONATO CLOBETASOL GEN.0,5MG/G CRM.30GRS - NEOQUIMICA
PROPIONATO CLOBETASOL GEN.0,5MG/G CRM.30GRS - EUROFARMA
PROPIONATO CLOBETASOL GEN.0,5MG/G CRM.DERM.30G - GERMED GENERICOS
PROPIONATO CLOBETASOL GEN.0,5MG/G CRM.DERM.30G - EMS GENERICOS
PROPIONATO CLOBETASOL GEN.0,5MG/G CRM.DERM.30GRS - PRATI-DONADUZZI
PROPIONATO CLOBETASOL GEN.0,5MG/G CRM.DERM.30GRS - MERCK S.A.
PROPIONATO CLOBETASOL GEN.0,5MG/G POM.30GRS - TEUTO BRAS
PROPIONATO CLOBETASOL GEN.0,5MG/G POM.30GRS - EUROFARMA
PROPIONATO CLOBETASOL GEN.0,5MG/G POM.30GRS - NEOQUIMICA
PROPIONATO CLOBETASOL GEN.0,5MG/G POM.DERM.30G - GERMED GENERICOS
PROPIONATO CLOBETASOL GEN.0,5MG/G POM.DERM.30GRS - PRATI-DONADUZZI
PROPIONATO CLOBETASOL GEN.0,5MG/G POM.DERM.30GRS - MERCK S.A.
PROPIONATO CLOBETASOL GEN.0,5MG/G SOL.CAP.50GRS - MERCK S.A.
PROPIONATO CLOBETASOL GEN.5MG/G POM.DERM.30G - EMS GENERICOS
PROPIONATO CLOBETASOL GEN.CRM.30GRS - MEDLEY
PROPIONATO CLOBETASOL GEN.POM.30GRS - MEDLEY
PROPIONATO CLOBETASOL GEN.SOL.CAP.50GRS - MEDLEY
PROPIOSOL 0,5MG/G CRM.30GRS - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
38342
104345
104346
134257
104340
49409
136773
68420
72611
145422
68421
7380094
7380099
7380100
72290
103019
5040025
103444
103445
165909
145814
71842
84088
280091
31832
85967
85968
620032
4560056
6280048
90225
90226
83327
119905
92319
92320
92321
32020
26682
2400017
2400032
2400024
121923
3620023
145592
104289
104305
40983
DESCRICAO
PROPIOSOL 0,5MG/G POM.30GRS - NEOQUIMICA
PROPOTIL 10MG/ML 10AMP 20ML - BIOCHIMICO
PROPOTIL 10MG/ML 25AMP 20ML - BIOCHIMICO
PROPOTIL 10MG/ML 50AMP X 20ML - BIOCHIMICO
PROPOTIL 10MG/ML 5AMP 20ML - BIOCHIMICO
PROPOVAN 10MG/ML 5AMP 10ML - CRISTALIA
PROPOVAN 10MG/ML 5FA 20ML - CRISTALIA
PROPRAMED 40MG 20CPDS - CIMED
PROPRAMED 40MG 40CPDS - CIMED
PROPRAMED 40MG 50X20CPDS - CIMED
PROPRAMED 80MG 20CPDS - CIMED
PROPRANOLOL GEN.10MG 2X15CPDS - SIGMA PHARMA
PROPRANOLOL GEN.40MG 30CPDS - SIGMA PHARMA
PROPRANOLOL GEN.80MG 30CPDS - SIGMA PHARMA
PROPRANOLOM 40MG 2X20CPDS - OSORIO DE MORAES
PROPRANOLOM 40MG 300X20CPDS - OSORIO DE MORAES
PROSCAR 5MG 2X15CPDS - MERCK S.D.
PROSIGNE 100UI 1FA - CRISTALIA
PROSIGNE 50UI 1FA - CRISTALIA
PROSSO 250+2,5MG 30CPDS - EUROFARMA
PROSTAFLUX 2MG 30CPDS - TEUTO BRAS
PROSTAMAN 50MG 20CPDS - UNIAO QUIMICA
PROSTAT 30CAPS GEL. - MARJAN
PROSTATEMED 20G - ALM.PRADO
PROSTAVASIN 20MCG 10AMP - BIOSINTETICA
PROSTEM 100MG 30CAPS - BALDACCI
PROSTEM 50MG 30CAPS - BALDACCI
PROSTEM PLUS 12CAPS - BALDACCI
PROSTIDE 5MG 20CPDS - LIBBS
PROSTIGMINE 0,5MG/ML 50AMP 1ML - VALEANT
PROSTOKOS 100MCG 50CPDS VAG. - INFAN
PROSTOKOS 200MCG 50CPDS VAG. - INFAN
PROSTOKOS 25MCG 100CPDS VAG. - INFAN
PROSURE BAUN.380G - ABBOTT
PROSURE TETRA BAN.240ML - ABBOTT
PROSURE TETRA BAUN.240ML - ABBOTT
PROSURE TETRA LAR.240ML - ABBOTT
PROTAMINA 1000UI/ML 10MG/ML 25AMP 5ML - VALEANT
PROTANOL 25MG 20CPDS - TEUTO BRAS
PROTECTINA 100MG 15CAPS - GROSS
PROTECTINA 200MG 10CAPS - GROSS
PROTECTINA 200MG 5CAPS - GROSS
PROTEINPT 150GRS - PRODIET NC
PROTHROMPLEX T 600UI 1FA+DIL - BAXTER
PROTO-ITECAN 100MG 1FA 5ML - ABL
PROTOS 2000MG 14SACH - SERVIER
PROTOS 2000MG 28SACH - SERVIER
PROTOVIT PLUS 20ML - BAYER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
26125
138316
138315
138313
138314
840030
76759
168816
168822
168829
120951
26389
5340140
153747
2320049
2320050
2320073
132175
26010
26011
163519
143863
120844
28043
57183
26252
5020041
5020081
3080057
3080058
3080056
31994
485051
31995
485052
20106
5340113
153751
6280141
145044
6420057
145045
86576
145046
33568
145047
22054
145048
DESCRICAO
PROVERA 10MG EST.14CPDS - PFIZER
PROVIDEXTRA DRINK SUPL.ALIM.CEREJA 200ML BR7034601 - FRESENIUS KABI
PROVIDEXTRA DRINK SUPL.ALIM.FRUTAS SILVESTRES 200ML BR7031601 - FRESENIUS KABI
PROVIDEXTRA DRINK SUPL.ALIM.LARANJA/ABACAXI 200ML BR7036601 - FRESENIUS KABI
PROVIDEXTRA DRINK SUPL.ALIM.MACA 200ML BR7030601 - FRESENIUS KABI
PROVIRON 25MG 20CPDS - BAYER
PROVIVE 10MG/ML EMU.INJ.1FA 100ML - MEIZLER
PROVIVE 10MG/ML EMU.INJ.5FA 10ML - MEIZLER
PROVIVE 10MG/ML EMU.INJ.5FA 20ML - MEIZLER
PROVIVE 10MG/ML EMU.INJ.5FA 50ML - MEIZLER
PROXACIN 3,5MG/ML COL.GTS.5ML - NEOQUIMICA
PROXACIN 500MG 14CPDS - NEOQUIMICA
PROXACIN 500MG 6CPDS - NEOQUIMICA
PROXACIN 500MG 80X6CPDS REV. - NEOQUIMICA
PROZAC 20MG 14CAPS - ELI LILLY
PROZAC 20MG 28CAPS - ELI LILLY
PROZAC 20MG 7CAPS.GEL DURA. - ELI LILLY
PROZEN 20MG 100CAPS - TEUTO BRAS
PROZEN 20MG 14CAPS GEL.DURA - TEUTO BRAS
PROZEN 20MG 28CAPS GEL.DURA - TEUTO BRAS
PROZEN 20MG/ML GTS.20ML - TEUTO BRAS
PRURI GRAN 2MG/ML FR X 120ML - LEGRAND TARJARDOS
PRURIFEN 1MG/5ML XPE.120ML - NEOQUIMICA
PRURIZIN 10MG 30CPDS - DARROW
PRURIZIN 25MG 30CPDS - DARROW
PRURIZIN SOL.ORAL 100ML - DARROW
PSIQUIAL 20MG 14CPDS - MERCK S.A.
PSIQUIAL 20MG 2X14CPDS - MERCK S.A.
PSOREX CRM.30G - GLAXOSMITH
PSOREX POM.30G - GLAXOSMITH
PSOREX SOL.CAPILAR 50G - GLAXOSMITH
PULMICORT 0,25MG 5FA 2ML - ASTRAZENECA
PULMICORT 0,25MG/ML SUSP.NEBUL.20FA 2ML - ASTRAZENECA
PULMICORT 0,50MG 5FA 2ML - ASTRAZENECA
PULMICORT 0,5MG/ML SUSP.NEBUL.20FA 2ML - ASTRAZENECA
PULMOCARE RTH BAUN.SF-1000ML - ABBOTT
PULMOFLUX 2MG/5ML 100ML - NEOQUIMICA
PULMOFLUX 2MG/5ML XPE.50FRX100ML - NEOQUIMICA
PULMOZYME 2500UI SOL.INAL.6AMP 2,5ML - ROCHE
PURAN T4 100MCG 28CPDS - SANOFI-AVENTIS
PURAN T4 100MCG 30CPDS - SANOFI-AVENTIS
PURAN T4 112MCG 28CPDS - SANOFI-AVENTIS
PURAN T4 112MCG 30CPDS - SANOFI-AVENTIS
PURAN T4 125MCG 28CPDS - SANOFI-AVENTIS
PURAN T4 125MCG 30CPDS - SANOFI-AVENTIS
PURAN T4 150MCG 28CPDS - SANOFI-AVENTIS
PURAN T4 150MCG 30CPDS - SANOFI-AVENTIS
PURAN T4 175MCG 28CPDS - SANOFI-AVENTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
38934
145049
76600
145040
22051
145041
22052
145042
22053
145043
86575
128311
161002
161003
160043
160042
154204
154205
3080100
169743
169744
169742
169746
169745
169750
169749
20823
74318
74315
142280
82803
127954
146603
80038
80039
97386
97387
7040036
7040037
166111
79659
79660
30276
35588
150328
6500088
143569
6500089
DESCRICAO
PURAN T4 175MCG 30CPDS - SANOFI-AVENTIS
PURAN T4 200MCG 28CPDS - SANOFI-AVENTIS
PURAN T4 200MCG 30CPDS - SANOFI-AVENTIS
PURAN T4 25MCG 28CPDS - SANOFI-AVENTIS
PURAN T4 25MCG 30CPDS - SANOFI-AVENTIS
PURAN T4 50MCG 28CPDS - SANOFI-AVENTIS
PURAN T4 50MCG 30CPDS - SANOFI-AVENTIS
PURAN T4 75MCG 28CPDS - SANOFI-AVENTIS
PURAN T4 75MCG 30CPDS - SANOFI-AVENTIS
PURAN T4 88MCG 28CPDS - SANOFI-AVENTIS
PURAN T4 88MCG 30CPDS - SANOFI-AVENTIS
PURAVIT A/D/E 60CPDS MAST. - ATIVUS
PURAVIT ADE GTS.20ML - ATIVUS
PURAVIT MULTI FR.120ML - ATIVUS
PUREGON 100UI 1AMP.0,5ML+DIL - SCHERING PLOUGH
PUREGON 50UI 1AMP.0,5ML+DIL - SCHERING PLOUGH
PUREGON 833,33UI/ML SOL.INJ.1CARPX0,525ML - SCHERING PLOUGH
PUREGON 833,33UI/ML SOL.INJ.1CARPX0,885ML - SCHERING PLOUGH
PURI-NETHOL 50MG 25CPDS(ICMS 0%) - GLAXOSMITH
PVPI DERGEMANTE SOL.TENSOAT.1FR 1000ML - VIC PHARMA
PVPI DERGEMANTE SOL.TENSOAT.1FR DISPENSER 1000ML - VIC PHARMA
PVPI DERGEMANTE SOL.TENSOAT.ALMOT.100ML - VIC PHARMA
PVPI TINTURA SOL.HIDROALCOOLICA 1FR 1000ML - VIC PHARMA
PVPI TINTURA SOL.HIDROALCOOLICA ALMOT.100ML - VIC PHARMA
PVPI TOPICO SOL.AQUOSA 1FR 1000ML - VIC PHARMA
PVPI TOPICO SOL.AQUOSA ALMOT.100ML - VIC PHARMA
PYLORIPAC 7BLX2CAPS+2CPDS+4CAPS - MEDLEY
PYLORIPAC IBP 2BLX7CAPS+7BLX2+2+4CAPS - MEDLEY
PYLORIPAC IBP 4BLX7CAPS+7BLX2+2+4CAPS - MEDLEY
PYLORIPAC RETRAT 30MG+500MG+500MG 20+10+40CAPS - MEDLEY
PYLORITRAT 30+500+500MG 14+14+28CAPS - TEUTO BRAS
PYLORITRAT IBP 30+500+500MG 28+14+14+28CAPS - TEUTO BRAS
PYRIDIUM 100MG 12DRGS - ZODIAC
PYRIDIUM 100MG 25DRGS - ZODIAC
PYRIDIUM 200MG 18DRGS - ZODIAC
PYRISEPT 100MG 25DRGS - CIFARMA
PYRISEPT 200MG 18DRGS - CIFARMA
PYR-PAM 6DRGS - UCI-FARMA
PYR-PAM SUSP.ORAL 40ML - UCI-FARMA
PYVERM 100MG 6CPDS REV. - CIFARMA
PYVERM 100MG 6DRGS - CIFARMA
PYVERM 10MG/ML SUSP.40ML - CIFARMA
QIFTRIM 400/80MG 20CPDS - HEXAL
QIFTRIM F 10CPDS - HEXAL
QLAIRA 28CPDS - BAYER
QUADRIDERM CRM.DERM.20GRS - MANTECORP
QUADRIDERM POM.DERM.10GRS - MANTECORP
QUADRIDERM POM.DERM.20GRS - MANTECORP
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
76840
5340084
21149
115386
115387
103330
103331
153623
79661
94476
94477
159248
159249
159247
159334
159335
159333
1260098
165858
165859
165860
160967
160968
160965
160966
145451
700005
36977
15883
36978
1000049
2380022
148944
140201
99676
99677
155169
155170
127864
84288
90540
147651
92957
133469
84944
84289
89472
147652
DESCRICAO
QUADRIHEXAL CRM.20GRS - HEXAL
QUADRILON CRM.15GRS - NEOQUIMICA
QUADRILON POM.15GRS - NEOQUIMICA
QUADRINAX CRM.20GRS - PHARMASCIENCE
QUADRINAX POM.20GRS - PHARMASCIENCE
QUADRINEO CRM.15GRS - VITAPAN
QUADRINEO POM.15GRS - VITAPAN
QUADRITOP 0,5+1,0+10+10MG/G CRM.DERM.20GRS - CIMED
QUEIMALIVE POM.30GRS - CIFARMA
QUEMICETINA 500MG 100CPDS - PFIZER
QUEMICETINA 500MG 20CPDS - PFIZER
QUEROK 100MG 3BLX10CPDS REV. - LEGRAND PRESCRICAO
QUEROK 200MG 3BLX10CPDS REV. - LEGRAND PRESCRICAO
QUEROK 25MG 14CPDS REV. - LEGRAND PRESCRICAO
QUEROPAX 100MG 3BLX10CPDS REV. - SIGMA PHARMA
QUEROPAX 200MG 3BLX10CPDS REV. - SIGMA PHARMA
QUEROPAX 25MG 14CPDS REV. - SIGMA PHARMA
QUESTRAN PO 10ENV 4GRS - BRISTOL
QUETIPIN 100MG 28CPDS - CRISTALIA
QUETIPIN 200MG 28CPDS - CRISTALIA
QUETIPIN 25MG 14CPDS - CRISTALIA
QUETROS 100MG 30CPDS REV. - ACHE
QUETROS 200MG 30CPDS REV. - ACHE
QUETROS 25MG 15CPDS REV. - ACHE
QUETROS 25MG 30CPDS REV. - ACHE
QUINACRIS 250MG 20X10CPDS - CRISTALIA
QUINICARDINE 0,3G 20CPDS - BARRENNE
QUINOFLOX 250MG 14CPDS REV. - BIOLAB SANUS
QUINOFLOX 500MG 10CPDS REV. - BIOLAB SANUS
QUINOFLOX 500MG 14CPDS REV. - BIOLAB SANUS
QUINOFLOX 500MG 6CPDS REV. - BIOLAB SANUS
QUINOFORM 400MG 14CPDS - EMS
QUITLIS SOL.ORAL 150ML - INFAN
RADIAPLEX 170G - GLENMARK
RADIFREE 150MG 2X10CAPS GEL - NIKKHO
RADIFREE 150MG 3X10CAPS GEL - NIKKHO
RAFEX 120MG 10CPDS REV. - MEDLEY
RAFEX 180MG 10CPDS REV. - MEDLEY
RAMIPRESS HCT 5+25MG 3X10CPDS - SIGMA PHARMA
RAMIPRIL GEN.2,5MG 20CPDS - BIOSINTETICA
RAMIPRIL GEN.2,5MG 2X15CPDS - BRAINFARMA
RAMIPRIL GEN.2,5MG 30CPDS - MEDLEY
RAMIPRIL GEN.2,5MG 30CPDS - SANDOZ
RAMIPRIL GEN.2,5MG 30CPDS - SANOFI-AVENTIS
RAMIPRIL GEN.2,5MG 30CPDS - RANBAXY
RAMIPRIL GEN.2,5MG 30CPDS - BIOSINTETICA
RAMIPRIL GEN.2,5MG 30CPDS - NOVA QUIMICA
RAMIPRIL GEN.2,5MG 60CPDS - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
89474
84290
90541
84945
147653
92958
133470
84291
147654
136690
111880
118754
111870
28091
28093
7080084
4720141
84474
2380126
133420
49579
40304
86453
57241
165817
41378
141206
141207
139848
139849
139850
139851
145611
145627
164595
145628
145629
164604
164599
164602
148213
141382
141383
141384
141385
141386
141387
141388
DESCRICAO
RAMIPRIL GEN.5,0MG 30CPDS - NOVA QUIMICA
RAMIPRIL GEN.5MG 20CPDS - BIOSINTETICA
RAMIPRIL GEN.5MG 2X15CPDS - BRAINFARMA
RAMIPRIL GEN.5MG 2X15CPDS - RANBAXY
RAMIPRIL GEN.5MG 30CPDS - MEDLEY
RAMIPRIL GEN.5MG 30CPDS - SANDOZ
RAMIPRIL GEN.5MG 30CPDS - SANOFI-AVENTIS
RAMIPRIL GEN.5MG 30CPDS - BIOSINTETICA
RAMIPRIL GEN.5MG 60CPDS - MEDLEY
RAMIPRIL GEN.5MG 60CPDS - SANOFI-AVENTIS
RAMIPRIL+HIDROCLOROTIAZIDA GEN.5+25MG 3BLX10CPDS - GERMED GENERICOS
RAMIPRIL+HIDROCLOROTIAZIDA GEN.5+25MG 3BLX10CPDS REV. - EMS GENERICOS
RAMIPRIL+HIDROCLOROTIAZIDA GEN.5+25MG 3X10CPDS - LEGRAND GENERICOS
RANIBLOK 150MG 2X10CPDS - HEXAL
RANIBLOK 300MG 2X8CPDS - HEXAL
RANIDIN 150MG 20CPDS REV. - UNIAO QUIMICA
RANILUP 150MG 20CPDS - LUPER
RANITIDINA GEN.100AMP 2ML - HIPOLABOR
RANITIL 150MG 5X4CPDS - EMS
RANITION 120ML - SANVAL
RAPAMUNE 1MG 60DRGS - WYETH
RAPAMUNE 1MG/ML SOL.ORAL 60ML - WYETH
RAPAMUNE 2MG 30DRGS - WYETH
RAPIFEN 0,544MG 5AMP 5ML - JANSSEN-CILAG
RAPILAX 7,5MG/ML 1FR 30ML - KLEY HERTZ
RAPILAX GTS.20ML - KLEY HERTZ
RAPITRAM 50MG/ML 5AMP 1ML - SUN
RAPITRAM 50MG/ML 5AMP 2ML - SUN
RASILEZ 150MG 14CPDS - NOVARTIS
RASILEZ 150MG 28CPDS - NOVARTIS
RASILEZ 300MG 14CPDS - NOVARTIS
RASILEZ 300MG 28CPDS - NOVARTIS
RASILEZ AMLO 150+5MG 14+14CPDS - NOVARTIS
RASILEZ AMLO 150+5MG 28+28CPDS - NOVARTIS
RASILEZ AMLO 150+5MG 30CPDS REV. - NOVARTIS
RASILEZ AMLO 300+10MG 14+14CPDS - NOVARTIS
RASILEZ AMLO 300+10MG 28+28CPDS - NOVARTIS
RASILEZ AMLO 300+10MG 30CPDS REV. - NOVARTIS
RASILEZ AMLO 300+5MG 14CPDS REV. - NOVARTIS
RASILEZ AMLO 300+5MG 30CPDS REV. - NOVARTIS
RASILEZ HCT 150+12,5MG 14CPDS REV. - NOVARTIS
RASILEZ HCT 150+12,5MG 28CPDS REV. - NOVARTIS
RASILEZ HCT 150+25MG 14CPDS REV. - NOVARTIS
RASILEZ HCT 150+25MG 28CPDS REV. - NOVARTIS
RASILEZ HCT 300+12,5MG 14CPDS REV. - NOVARTIS
RASILEZ HCT 300+12,5MG 28CPDS REV. - NOVARTIS
RASILEZ HCT 300+25MG 14CPDS REV. - NOVARTIS
RASILEZ HCT 300+25MG 28CPDS REV. - NOVARTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
146685
146686
146684
146687
153508
92780
78941
164626
31370
40847
165924
155014
155015
83392
54202
103049
160962
6280086
6280053
6280052
76560
121191
165896
74033
74032
137094
137093
104719
150961
139926
120831
1280088
1280059
165897
25991
260050
89483
7060019
7060020
31349
47141
3360005
3360006
15363
15360
15365
40385
40384
DESCRICAO
RAZAPINA 30MG 14CPDS - SANDOZ
RAZAPINA 30MG 28CPDS - SANDOZ
RAZAPINA 30MG 7CPDS - SANDOZ
RAZAPINA 45MG 28CPDS - SANDOZ
REAOX 30CPDS - BIOLAB SANUS
REBATEN 160MG 30CAPS - SIGMA PHARMA
REBATEN LA 80MG 3X10CPDS - SIGMA PHARMA
REBETOL 200MG 14BLX10CAPS GEL. - SCHERING PLOUGH
REBIF 22MCG/6MUI 12SER.PREENCH.0,5ML - MERCK S.A.
REBIF 44MCG/12MUI 12SER.PREENCH.0,5ML - MERCK S.A.
RECONTER 10MG 10CPDS REV. - LIBBS
RECONTER 10MG 30CPDS REV. - LIBBS
RECONTER 20MG 30CPDS REV. - LIBBS
RECONVAN DIETA ENTERAL EASY BAG 500ML BR7252221 - FRESENIUS KABI
RECORMON 10000UI 6SER.PREENC.0,6ML - ROCHE
RECORMON 30000UI 1SER.PREENC.0,6ML - ROCHE
REDOXON 1G TRIPLE PACK 3BLX10CPDS EFV - BAYER
REDOXON EFV.1GR LAR.10CPDS - BAYER
REDOXON EFV.2GRS 10CPDS - BAYER
REDOXON GTS.20ML - BAYER
REDOXON ZINCO 1G 10CPDS EFV. - BAYER
REDOXON ZINCO 1G 30CPDS EFV. - BAYER
REDPLUS 30CAPS GEL. - BUNKER
REDSAI STRESS 30CPDS REV. - BUNKER
REDSAI STRESS 60CPDS REV. - BUNKER
REDUCLIM 1,25MG 35CPDS - FARMOQUIMICA
REDUCLIM 2,5MG 35CPDS - FARMOQUIMICA
REDUCLIM 2,5MG 84CPDS - FARMOQUIMICA
REDUCOFEN 200MG 2BLX15CAPS GEL.DURA - GERMED
REDULIP 10MG GEL.DURA 30CAPS - SANDOZ
REDULIP 15MG 30CAPS - SANDOZ
REDVIT 100ML - BUNKER
REDVIT 50DRGS - BUNKER
REDZINCO 30CAPS GEL. - BUNKER
REFORGAN 250MG 2X10CPDS - NIKKHO
REFRESH 14+6MG/ML 30FLAC 0,4ML - ALLERGAN
REFRESH 3% GEL.OFT.10G - ALLERGAN
REGAINE 20MG/ML SOL.TOP.KIT 60ML - J&J CONSUM
REGAINE 20MG/ML SOL.TOP.REFIL 60ML - J&J CONSUM
REGAINE 50MG/ML SOL.TOP.KIT 60ML - J&J CONSUM
REGENOM POM.OFT.3,5G - UNIAO QUIMICA
REGULADOR XAVIER 1 100ML - HEPACHOLAN
REGULADOR XAVIER 2 100ML - HEPACHOLAN
REHIDRAT 50MG LAR.04X7,625GRS - EUROFARMA
REHIDRAT 50MG NAT.4X7,337GRS - EUROFARMA
REHIDRAT 90MG NAT.4X13,95GRS - EUROFARMA
RELAFLEX 12CPDS - KLEY HERTZ
RELAFLEX 144CPDS - KLEY HERTZ
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
34106
113930
113929
121397
121395
121396
141767
77333
77332
77331
44915
144937
101998
96174
103721
96173
144938
96638
150983
15505
15573
15304
121924
103333
145264
103334
145263
5040014
5040013
5040012
68403
159622
159331
160793
1300077
1300076
20182
144788
144787
164493
144789
164495
164494
143864
132240
31919
115373
31920
DESCRICAO
RELENZA DISKHALER 5ROT 4DOSES - GLAXOSMITH
RELESTAT 0,5MG/ML SOL.OFT.10ML - ALLERGAN
RELESTAT 0,5MG/ML SOL.OFT.5ML - ALLERGAN
RELIEV 60% 25X100ML - JUSTESA
RELIEV 60% 25X20ML - JUSTESA
RELIEV 60% 25X50ML - JUSTESA
RELISTOR 20MG/ML SOL.INJ.1FA.0,6ML - WYETH
REMERON 15MG SOL.TABL.30CPDS - SCHERING PLOUGH
REMERON 30MG SOL.TABL.30CPDS - SCHERING PLOUGH
REMERON 45MG SOL.TABL.30CPDS - SCHERING PLOUGH
REMICADE 1FA 10ML - SCHERING PLOUGH
REMILEV 250+60MG 10CPDS REV. - ACHE
REMILEV 250+60MG 20CPDS REV. - ACHE
REMINYL ER 16MG 28CAPS - JANSSEN-CILAG
REMINYL ER 24MG 28CAPS - JANSSEN-CILAG
REMINYL ER 8MG 7CAPS - JANSSEN-CILAG
REMOTIV 250MG 10CPDS REV. - ACHE
REMOTIV 250MG 20CPDS REV. - ACHE
RENAGEL 800MG 180CPDS REV. - GENZYME
RENALAPRIL 10MG 3X10CPDS - NEOQUIMICA
RENALAPRIL 20MG 3X10CPDS - NEOQUIMICA
RENALAPRIL 5MG 3X10CPDS - NEOQUIMICA
RENALMAX BAUNILHA 200ML TETRA PAK - PRODIET NC
RENAPRIL 10MG 30CPDS REV. - VITAPAN
RENAPRIL 10MG 500CPDS REV. - VITAPAN
RENAPRIL 20MG 30CPDS REV. - VITAPAN
RENAPRIL 20MG 500CPDS REV. - VITAPAN
RENITEC 10MG 6X5CPDS - MERCK S.D.
RENITEC 20MG 6X5CPDS - MERCK S.D.
RENITEC 5MG 6X5CPDS - MERCK S.D.
REOPRO 10MG 1FA 5ML - ELI LILLY
REPAGLINIDA GEN.2MG 3BLX10CPDS - GERMED GENERICOS
REPAGLINIDA GEN.2MG 3BLX10CPDS - EMS GENERICOS
REPAGLINIDA GEN.2MG 3BLX10CPDS - LEGRAND GENERICOS
REPARIL GEL 100GRS - NYCOMED
REPARIL GEL 30GRS - NYCOMED
REPLENA 237ML - ABBOTT
REPLENINE VF 500UI 1FA+DIL 10ML - MEIZLER
REPLENINE-VF 1000UI 1FA+DIL 20ML - MEIZLER
REPLENINE-VF 1000UI PO LIOF.1FA+DIL 20ML+CONJ.REC. - MEIZLER
REPLENINE-VF 250UI 1FA+DIL 5ML - MEIZLER
REPLENINE-VF 250UI PO LIOF.1FA+DIL 20ML+CONJ.REC. - MEIZLER
REPLENINE-VF 500UI PO LIOF.1FA+DIL 20ML+CONJ.REC. - MEIZLER
REPOCAL D 500MG+200UI 60CPDS REV. - LEGRAND OTC
REPOCAL D 500MG+200UI 75CPDS REV. - LEGRAND OTC
REPOFLOR 100MG 12CAPS - LEGRAND OTC
REPOFLOR 200MG 6CAPS - LEGRAND OTC
REPOFLOR 200MG PO ORAL 4SACH - LEGRAND OTC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
28065
28066
28067
165484
78944
100677
84261
47751
103408
47752
47753
40389
163403
136635
40388
156973
120909
103335
103068
71732
71733
150731
134761
163558
134762
159984
134763
134757
134765
134771
168657
159985
5920047
5920064
62318
167113
62319
167114
62320
167115
144858
144859
128140
3920008
3920007
3920006
134780
420047
DESCRICAO
REPOGEN 28CPDS - LIBBS
REPOGEN CICLO 28CPDS - LIBBS
REPOGEN CONTI 28CPDS - LIBBS
REPOPIL 2+0,035MG 3BLX21CPDS REV. - LEGRAND TARJARDOS
REPOPIL 21DRGS - LEGRAND TARJARDOS
REPRIL 25MG 50X10CPDS - ASPEN
RESFEDRYL 200CPDS - PHARMASCIENCE
RESFEDRYL 20CAPS - PHARMASCIENCE
RESFEDRYL GRAN.5GRS 100SACH - PHARMASCIENCE
RESFEDRYL PED.GTS.20ML - PHARMASCIENCE
RESFEDRYL SOL.ORAL 100ML - PHARMASCIENCE
RESFENOL 100ML - KLEY HERTZ
RESFENOL 400+4+4MG 50BLX4CAPS GEL. - KLEY HERTZ
RESFENOL BL.20CAPS - KLEY HERTZ
RESFENOL GTS.20ML - KLEY HERTZ
RESFENOL THERMUS 100MG/G 50SACH.5GRS - KLEY HERTZ
RESFRIOL 100CPDS - VITAPAN
RESFRIOL 20DRGS - VITAPAN
RESFRYNEO 100CAPS - NEOQUIMICA
RESFRYNEO 400MG 20CAPS - NEOQUIMICA
RESFRYNEO SOL.ORAL 100ML - NEOQUIMICA
RESOURCE DIABETIC BAUN./CHOC.MOR.TETRA SLIM 27X200ML - NESTLE N.C.
RESOURCE DIABETIC SF 6X1000ML - NESTLE N.C.
RESOURCE DIABETIC TETRA SQUARE 12X1000ML - NESTLE N.C.
RESOURCE FIBERMAIS 12DISP 10SACH 5G - NESTLE N.C.
RESOURCE FIBERMAIS FLORA 12DISP 6SACH 5G - NESTLE N.C.
RESOURCE FIBERMAIS LATA 12X260G - NESTLE N.C.
RESOURCE FRUIT/BREEZE SILVESTRE 27X237ML - NESTLE N.C.
RESOURCE GLUTAMINA 12X20SACH 5G - NESTLE N.C.
RESOURCE PROTEIN 12X240G - NESTLE N.C.
RESOURCE THICKEN-UP CLEAR 12X1,20G - NESTLE N.C.
RESOURCE THICKEN-UP CLEAR 12X125G - NESTLE N.C.
RESPEXIL 400MG 14CPDS - MERCK S.D.
RESPEXIL 400MG 6CPDS - MERCK S.D.
RESPIDON 1MG 20CPDS - TORRENT
RESPIDON 1MG 30CPDS - TORRENT
RESPIDON 2MG 20CPDS - TORRENT
RESPIDON 2MG 30CPDS - TORRENT
RESPIDON 3MG 20CPDS - TORRENT
RESPIDON 3MG 30CPDS - TORRENT
RESPIFOR BAUN.4X125ML - SUPPORT NUTRITION
RESPIFOR MOR.4X125ML - SUPPORT NUTRITION
RESPIRATUS 7MG/ML XPE.100ML - MEDLEY
RESPRIN 400+20MG 12CPDS - J&J CONSUM
RESPRIN 400+20MG 4CPDS F.V - J&J CONSUM
RESPRIN 400+20MG 50BLX4CPDS - J&J CONSUM
RESTASIS EMU.OFT.30FLAC 0,4ML - ALLERGAN
RETEMIC 1MG/ML XPE 120ML - APSEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
420041
420045
170055
93599
104931
1280077
280092
103336
70988
58832
102002
26017
26018
17803
37139
37140
37937
161112
161113
145533
138134
153590
153591
153592
153144
124348
164696
32283
31825
6460107
52204
3440136
89519
88753
88219
82414
98937
43774
99609
3440143
7040062
7040072
6200059
162950
140731
108081
108079
108080
DESCRICAO
RETEMIC 5MG 30CPDS - APSEN
RETEMIC 5MG 60CPDS - APSEN
RETEMIC UD 10MG 15CPDS LIB.CONTROL. - APSEN
RETEMIC UD 10MG 30CPDS LIB.CONTROL. - APSEN
RETIN-A MICRO 1MG/G GEL 20G - VALEANT
RETINAR 20DRGS - BUNKER
REUMAMED 20G - ALM.PRADO
REUMOTEC 20MG 10CPDS - VITAPAN
REUQUINOL 400MG 30CPDS REV. - APSEN
REVASTIN 10MG 3X10CPDS - NEOQUIMICA
REVATIO 20MG 90CPDS - PFIZER
REVECTINA 6MG 2CPDS - ABBOTT SAUDE
REVECTINA 6MG 4CPDS - ABBOTT SAUDE
REVIA 50MG 30CPDS - CRISTALIA
REVIRAX 100MG 100CAPS - BLAU
REVIRAX 250MG 40CAPS - BLAU
REVITAM JUNIOR SOL.ORAL 120ML - BIOLAB SANUS
REVOLADE 25MG 14CPDS REV. - GLAXOSMITH
REVOLADE 50MG 14CPDS REV. - GLAXOSMITH
RHAMIGLOS 45GRS - HIPOLABOR
RHAMIGLOS 50X45GRS - HIPOLABOR
RHESONATIV 625UI/ML SOL.INJ.10AMPX2ML - OCTAPHARMA
RHESONATIV 625UI/ML SOL.INJ.1AMPX1ML - OCTAPHARMA
RHESONATIV 625UI/ML SOL.INJ.1AMPX2ML - OCTAPHARMA
RHOPHYLAC 150MCG/ML SOL.INJ.1FA 2ML - CSL BEHRING
RHOPHYLAC 300MCG SOL.2ML - MEIZLER
RIALCOOL 70% ANTI-SEPT.SACHE - RIOQUIMICA
RIBAVIRIN 250MG 60CAPS - BLAU
RICONAZOL 150MG 1CAP - BUNKER
RIELEX 10X10CPDS - SANVAL
RIFALDIN 20MG/ML SUSP.100ML - SANOFI-AVENTIS
RIFALDIN 300MG 6CAPS - SANOFI-AVENTIS
RIFAMICINA GEN.10MG SPR.20ML - GERMED GENERICOS
RIFAMICINA GEN.10MG SPRAY 20ML - LEGRAND GENERICOS
RIFAMICINA GEN.10MG/ML SPRAY 20ML - EMS GENERICOS
RIFAMICINA GEN.SPR.20ML - EUROFARMA
RIFAMICINA SV SODICA GEN.10MG/ML SPR.20ML - NEOQUIMICA
RIFAN 10MG/ML SPR.SOL.TOPICA 20ML - NEOQUIMICA
RIFASAN 10MG SPR.20ML - EMS
RIFOCINA 10MG/ML SPR.20ML - SANOFI-AVENTIS
RILAN 2% SOL.NASAL 15ML - UCI-FARMA
RILAN 4% SOL.NASAL 13ML - UCI-FARMA
RILUTEK 50MG 4X14CPDS - SANOFI-AVENTIS
RILUZOL GEN.50MG 60CPDS REV. - SANDOZ
RINAFEN 100+2+2MG/ML SOL.ORAL GTS.20ML - PRATI-DONADUZZI
RINIDAL 0,25MG/ML SOL.NASAL INF.20ML - NEOQUIMICA
RINIDAL 0,5MG/ML SOL.NASAL ADU.10ML - NEOQUIMICA
RINIDAL 0,5MG/ML SOL.NASAL ADU.30ML - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
71703
71704
4945184
7460053
2060103
103005
136636
83073
115283
136622
103082
103090
53794
16916
6260119
6260120
6260184
6260214
119818
34323
6260213
6260186
6260215
119817
6260188
6260216
119816
16955
84149
160185
151155
137426
137425
137427
60188
153446
153448
104839
104838
119656
6260225
6260227
119813
150670
151157
151158
151159
151160
DESCRICAO
RINIGRAN 0,05% INF.GTS.10ML - LEGRAND TARJARDOS
RINIGRAN 0,10% ADU.GTS.10ML - LEGRAND TARJARDOS
RINISONE SOL.NASAL 15ML - MEDLEY
RINOFLUIMUCIL GTS.12ML - ZAMBON
RINO-LASTIN 0,9PCC SPR.NASAL 10ML - ACHE
RINOMAX SOL.NASAL 30ML - KLEY HERTZ
RINOSOFT S 9MG/ML SOL.NASAL 30ML - KLEY HERTZ
RINOSORO 3% SOL.NASAL 60ML - FARMASA
RINOSORO SIC 3% 30MG/ML SOL.50ML - FARMASA
RINOSORO SIC 9,0MG/ML GTS.50ML - FARMASA
RINOSORO SIC 9,0MG/ML SPR.50ML - FARMASA
RINOSORO SIC 9,0MG/ML SPR.INF.50ML - FARMASA
RINOSORO SOL.NASAL 30ML+CGT PLAST. - FARMASA
RIOCIM POM.30GRS 0576 - RIOQUIMICA
RIOCIM POM.500GRS 0310 - RIOQUIMICA
RIOCIM SOL.500ML 0208 - RIOQUIMICA
RIODEINE DEGERMANTE 1000ML 0214 - RIOQUIMICA
RIODEINE DEGERMANTE 100ML ALMOT.0313 - RIOQUIMICA
RIODEINE DEGERMANTE 30ML ALMOT.0416 - RIOQUIMICA
RIODEINE DEGERMANTE CNJ.ESCOVA 0763 - RIOQUIMICA
RIODEINE DEGERMANTE DISP.1000ML 0345 - RIOQUIMICA
RIODEINE TINTURA 1000ML 0212 - RIOQUIMICA
RIODEINE TINTURA 100ML ALMOT.0314 - RIOQUIMICA
RIODEINE TINTURA 30ML ALMOT.0417 - RIOQUIMICA
RIODEINE TOPICO 1000ML 0210 - RIOQUIMICA
RIODEINE TOPICO 100ML ALMOT.0312 - RIOQUIMICA
RIODEINE TOPICO 30ML ALMOT.0765 - RIOQUIMICA
RIODEINE TOPICO 30ML C/CX.0548 - RIOQUIMICA
RIODEINE TOPICO PVPI SPR.100ML 0750 - RIOQUIMICA
RIODEINE TOPICO PVPI SPR.30ML - RIOQUIMICA
RIOGEL ANTI-SEPTICO 850GRS - RIOQUIMICA
RIOGEL ANTI-SEPTICO FLIP TOP 430GRS - RIOQUIMICA
RIOGEL ANTI-SEPTICO PUMP 430GRS - RIOQUIMICA
RIOGEL ANTI-SEPTICO REFIL 740GRS - RIOQUIMICA
RIOGEL ANTI-SEPTO 90G(100ML)ALMOTOLIA 0850 - RIOQUIMICA
RIOHEX 0,12% SOL.AQUOSA 250ML CART. - RIOQUIMICA
RIOHEX 0,12% SOL.AQUOSA PUMP 1000ML - RIOQUIMICA
RIOHEX 0,2% SOL.AQUOSA 1000ML 0782 - RIOQUIMICA
RIOHEX 0,2% SOL.AQUOSA TOPICA 100ML ALMOT.0781 - RIOQUIMICA
RIOHEX 0,2% SOL.AQUOSA TOPICA 500ML 0830 - RIOQUIMICA
RIOHEX 0,5% ALCOOLICA 1000ML 0316 - RIOQUIMICA
RIOHEX 0,5% SOL.ALCOOLICA 100ML ALMOT.0364 - RIOQUIMICA
RIOHEX 0,5% SOL.ALCOOLICA 30ML ALMOT.0743 - RIOQUIMICA
RIOHEX 0,5% SOL.ALCOOLICA COLORIDO 100ML ALMOT. - RIOQUIMICA
RIOHEX 1% SOL AQUOSA TOPICA 1000ML - RIOQUIMICA
RIOHEX 1% SOL.AQUOSA TOPICA 100ML - RIOQUIMICA
RIOHEX 1% SOL.AQUOSA TOPICA C/APLIC.30ML - RIOQUIMICA
RIOHEX 1% SOL.AQUOSA TOPICA SPRAY 30ML - RIOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
6260228
6260230
119814
26447
68531
26456
6260231
6260234
6260232
37719
68532
1300112
1300113
1300080
141270
141271
141272
141973
143334
141974
170361
165772
143870
143865
115436
115435
23546
144051
136934
136933
143339
143340
98298
98299
3940022
56208
3940003
3940004
146740
146512
146741
117772
49413
137165
169811
29390
117775
137166
DESCRICAO
RIOHEX 2% DEGERMANTE 1000ML 0293 - RIOQUIMICA
RIOHEX 2% DEGERMANTE 100ML ALMOT.0366 - RIOQUIMICA
RIOHEX 2% DEGERMANTE 30ML ALMOT.0904 - RIOQUIMICA
RIOHEX 2% DEGERMANTE DISP.1000ML 0356 - RIOQUIMICA
RIOHEX 2% DEGERMANTE PUMP 500ML 0646 - RIOQUIMICA
RIOHEX 2% DEGERMANTE REF.800ML 0582 - RIOQUIMICA
RIOHEX 4% DEGERMANTE 1000ML 0221 - RIOQUIMICA
RIOHEX 4% DEGERMANTE 100ML ALMOT.0523 - RIOQUIMICA
RIOHEX 4% DEGERMANTE DISP.1000ML 0348 - RIOQUIMICA
RIOHEX 4% DEGERMANTE PUMP 500ML 0619 - RIOQUIMICA
RIOHEX SCRUB DISPLAY - RIOQUIMICA
RIOPAN PLUS 20CPDS - NYCOMED
RIOPAN PLUS GEL 240ML - NYCOMED
RIOPAN SUSP.240ML - NYCOMED
RIPEVIL 1MG 20CPDS REV. - GLAXOSMITH
RIPEVIL 2MG 20CPDS REV. - GLAXOSMITH
RIPEVIL 3MG 20CPDS REV. - GLAXOSMITH
RISEDRONATO SODICO GEN.35MG 2CPDS REV. - EMS GENERICOS
RISEDRONATO SODICO GEN.35MG 4CPDS REV. - GERMED GENERICOS
RISEDRONATO SODICO GEN.35MG 4CPDS REV. - EMS GENERICOS
RISEDRONATO SODICO GEN.35MG 4CPDS REV. - ACHE
RISEDRONATO SODICO GEN.35MG 4CPDS REV. - BIOSINTETICA
RISEDRONATO SODICO GEN.35MG 4CPDS REV. - LEGRAND GENERICOS
RISEDRONEL 35MG 4CPDS - LEGRAND TARJARDOS
RISEDROSS 35MG 2CPDS - SIGMA PHARMA
RISEDROSS 35MG 4CPDS - SIGMA PHARMA
RISELLE 25MG 1AMP - SCHERING PLOUGH
RISLEPTIC 1MG 20CPDS - ARROW
RISLEPTIC 2MG 20CPDS - ARROW
RISLEPTIC 3MG 20CPDS - ARROW
RISONATO 35MG 2CPDS REV. - EMS
RISONATO 35MG 4CPDS REV. - EMS
RISPERDAL 0,25MG 10CPDS - JANSSEN-CILAG
RISPERDAL 0,50MG 10CPDS - JANSSEN-CILAG
RISPERDAL 1MG 2X10CPDS - JANSSEN-CILAG
RISPERDAL 1MG 30ML - JANSSEN-CILAG
RISPERDAL 2MG 2X10CPDS - JANSSEN-CILAG
RISPERDAL 3MG 2X10CPDS - JANSSEN-CILAG
RISPERDAL CONSTA 25MG 1FA+SER.+DISP.+2AG. - JANSSEN-CILAG
RISPERDAL CONSTA 37,5MG 1FA+SER.+DISP.+2AG. - JANSSEN-CILAG
RISPERDAL CONSTA 50MG 1FA+SER.+DISP.+2AG. - JANSSEN-CILAG
RISPERIDON 1MG 20X10CPDS - CRISTALIA
RISPERIDON 1MG 2X10CPDS - CRISTALIA
RISPERIDON 1MG 3X10CPDS REV. - CRISTALIA
RISPERIDON 1MG/ML SOL.ORAL 1FR 30ML - CRISTALIA
RISPERIDON 2MG 20CPDS - CRISTALIA
RISPERIDON 2MG 20X10CPDS - CRISTALIA
RISPERIDON 2MG 3X10CPDS REV. - CRISTALIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
29391
117777
137167
136935
136937
92959
145817
133676
136936
150627
143540
133668
136938
115760
119435
119433
136939
136955
92960
145818
133677
136940
150628
143541
133669
136941
136942
136944
92961
145819
133678
136943
150629
143542
133670
136945
144151
133969
160559
144152
133970
160560
133971
160561
960058
115764
145662
92962
DESCRICAO
RISPERIDON 3MG 20CPDS - CRISTALIA
RISPERIDON 3MG 20X10CPDS - CRISTALIA
RISPERIDON 3MG 3X10CPDS REV. - CRISTALIA
RISPERIDONA GEN.1MG 10CPDS REV. - ARROW
RISPERIDONA GEN.1MG 200CPDS REV. - ARROW
RISPERIDONA GEN.1MG 20CPDS - SANDOZ
RISPERIDONA GEN.1MG 20CPDS - BIOSINTETICA
RISPERIDONA GEN.1MG 20CPDS - EUROFARMA
RISPERIDONA GEN.1MG 20CPDS REV. - NEOQUIMICA
RISPERIDONA GEN.1MG 20CPDS REV. - ACHE
RISPERIDONA GEN.1MG 2X10CPDS - RANBAXY
RISPERIDONA GEN.1MG 30CPDS - MERCK S.A.
RISPERIDONA GEN.1MG 30CPDS REV. - ARROW
RISPERIDONA GEN.1MG 60CPDS - SANDOZ
RISPERIDONA GEN.1MG/ML SOL.ORAL 30ML - EMS GENERICOS
RISPERIDONA GEN.1MG/ML SOL.ORAL 30ML - GERMED GENERICOS
RISPERIDONA GEN.2MG 10CPDS REV. - ARROW
RISPERIDONA GEN.2MG 200CPDS REV. - ARROW
RISPERIDONA GEN.2MG 20CPDS - SANDOZ
RISPERIDONA GEN.2MG 20CPDS - BIOSINTETICA
RISPERIDONA GEN.2MG 20CPDS - EUROFARMA
RISPERIDONA GEN.2MG 20CPDS REV. - NEOQUIMICA
RISPERIDONA GEN.2MG 20CPDS REV. - ACHE
RISPERIDONA GEN.2MG 2X10CPDS - RANBAXY
RISPERIDONA GEN.2MG 30CPDS - MERCK S.A.
RISPERIDONA GEN.2MG 30CPDS REV. - ARROW
RISPERIDONA GEN.3MG 10CPDS REV. - ARROW
RISPERIDONA GEN.3MG 200CPDS REV. - ARROW
RISPERIDONA GEN.3MG 20CPDS - SANDOZ
RISPERIDONA GEN.3MG 20CPDS - BIOSINTETICA
RISPERIDONA GEN.3MG 20CPDS - EUROFARMA
RISPERIDONA GEN.3MG 20CPDS REV. - NEOQUIMICA
RISPERIDONA GEN.3MG 20CPDS REV. - ACHE
RISPERIDONA GEN.3MG 2X10CPDS - RANBAXY
RISPERIDONA GEN.3MG 30CPDS - MERCK S.A.
RISPERIDONA GEN.3MG 30CPDS REV. - ARROW
RISS 1MG 10CPDS REV. - EUROFARMA
RISS 1MG 20CPDS REV. - EUROFARMA
RISS 1MG 30CPDS REV. - EUROFARMA
RISS 2MG 10CPDS REV. - EUROFARMA
RISS 2MG 20CPDS REV. - EUROFARMA
RISS 2MG 30CPDS REV. - EUROFARMA
RISS 3MG 20CPDS REV. - EUROFARMA
RISS 3MG 30CPDS REV. - EUROFARMA
RITALINA 10MG 20CPDS - NOVARTIS
RITALINA 10MG 60CPDS - NOVARTIS
RITALINA LA 10MG 30CAPS - NOVARTIS
RITALINA LA 20MG 30CAPS - NOVARTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
92963
92964
84266
84267
41381
41382
143352
4080048
138465
153562
47754
47755
47756
47757
47758
47759
93801
6280054
35099
6280056
6280055
35100
11949
6280105
6280057
6280093
6280091
6280092
6280090
6280089
117808
16976
20659
20658
82744
82745
6280108
35315
103611
103455
103453
103454
153110
153109
148962
148963
148964
162951
DESCRICAO
RITALINA LA 30MG 30CAPS - NOVARTIS
RITALINA LA 40MG 30CAPS - NOVARTIS
RITCOR 100MG 30CPDS - PHARMASCIENCE
RITCOR 50MG 30CPDS - PHARMASCIENCE
RITMONEURAN 20CAPS - KLEY HERTZ
RITMONEURAN SOL.100ML - KLEY HERTZ
RITMONORM 300MG 10CPDS REV. - ABBOTT
RITMONORM 300MG 20CPDS REV. - ABBOTT
RITMONORM 300MG 30CPDS REV. - ABBOTT
RITMONORM 300MG 60CPDS REV. - ABBOTT
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
RIVOTRIL 0,25MG 30CPDS SUBL - ROCHE
RIVOTRIL 0,5MG 20CPDS - ROCHE
RIVOTRIL 0,5MG 30CPDS - ROCHE
RIVOTRIL 2,5MG GTS.20ML - ROCHE
RIVOTRIL 2MG 20CPDS - ROCHE
RIVOTRIL 2MG 30CPDS - ROCHE
ROACUTAN 10MG 30CAPS - ROCHE
ROACUTAN 20MG 30CAPS - ROCHE
ROCALTROL 0,25MCG 30CAPS - ROCHE
ROCEFIN IM 1G PO 1FA+DIL.3,5ML - ROCHE
ROCEFIN IM 250MG PO 1FA+DIL.2ML - ROCHE
ROCEFIN IM 500MG PO 1FA+DIL.2ML - ROCHE
ROCEFIN IV 1G PO 1FA+DIL.10ML - ROCHE
ROCEFIN IV 500MG PO 1FA+DIL.5ML - ROCHE
ROCURON 10MG/ML 12X5ML - CRISTALIA
ROFERON-A 3MUI SER.PREENC.0,5ML - ROCHE
ROFERON-A 4,5MUI SER.PREENC.0,5ML - ROCHE
ROFERON-A 9MUI SER.PREENC.0,5ML - ROCHE
ROHYDORM 1MG 20CPDS - SIGMA PHARMA
ROHYDORM 2MG 20CPDS - SIGMA PHARMA
ROHYPNOL 1MG 2BLX10CPDS REV. - ROCHE
ROHYPNOL 1MG 3BLX10CPDS REV. - ROCHE
ROMERAN 50MG 12FA - BIOCHIMICO
ROPI 10MG/ML 5X1AMP 20ML - CRISTALIA
ROPI 2MG/ML 5X1AMP 20ML - CRISTALIA
ROPI 7,5MG/ML 5X1AMP 20ML - CRISTALIA
ROSTATIN 10MG 3BLX10CPDS REV. - GERMED
ROSTATIN 20MG 3BLX10CPDS REV. - GERMED
ROSUCOR 10MG 10CPDS - TORRENT
ROSUCOR 10MG 30CPDS - TORRENT
ROSUCOR 20MG 30CPDS - TORRENT
ROSULIB 10MG 10CPDS REV. - SANDOZ
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
166479
166480
154264
154263
159254
159255
153157
162954
152662
161176
153158
165769
162956
152663
161177
153159
165770
6200113
159257
159258
159256
91704
84768
91705
40281
93795
23589
93794
16863
116144
6310056
6310055
6310054
2905030
1260100
1260101
76601
144968
157111
157112
102865
102864
102866
3440146
140217
140220
161331
6580021
DESCRICAO
ROSULIB 10MG 30CPDS REV. - SANDOZ
ROSULIB 20MG 30CPDS REV. - SANDOZ
ROSUSTATIN 10MG 3X10CPDS REV. - NOVA QUIMICA
ROSUSTATIN 20MG 3X10CPDS REV. - NOVA QUIMICA
ROSUVAST 10MG 3BLX10CPDS REV. - EMS
ROSUVAST 20MG 3BLX10CPDS REV. - EMS
ROSUVASTATINA CALCICA GEN.10MG 10CPDS REV. - EMS GENERICOS
ROSUVASTATINA CALCICA GEN.10MG 30CPDS REV. - SANDOZ
ROSUVASTATINA CALCICA GEN.10MG 3BLX10CPDS REV. - GERMED GENERICOS
ROSUVASTATINA CALCICA GEN.10MG 3BLX10CPDS REV. - LEGRAND GENERICOS
ROSUVASTATINA CALCICA GEN.10MG 3BLX10CPDS REV. - EMS GENERICOS
ROSUVASTATINA CALCICA GEN.10MG 3BLX10CPDS REV. - BIOSINTETICA
ROSUVASTATINA CALCICA GEN.20MG 30CPDS REV. - SANDOZ
ROSUVASTATINA CALCICA GEN.20MG 3BLX10CPDS REV. - GERMED GENERICOS
ROSUVASTATINA CALCICA GEN.20MG 3BLX10CPDS REV. - LEGRAND GENERICOS
ROSUVASTATINA CALCICA GEN.20MG 3BLX10CPDS REV. - EMS GENERICOS
ROSUVASTATINA CALCICA GEN.20MG 3BLX10CPDS REV. - BIOSINTETICA
ROVAMICINA 1,5MIU 16CAPS - SANOFI-AVENTIS
ROVELAN 160MG 3BLX10CPDS REV. - EMS
ROVELAN 320MG 3BLX10CPDS REV. - EMS
ROVELAN 80MG 3BLX10CPDS REV. - EMS
ROXETIN 20MG 2X10CPDS - CRISTALIA
ROXETIN 20MG 3X10CPDS - CRISTALIA
ROXETIN 30MG 2X10CPDS - CRISTALIA
ROXFLAN 10MG 20CPDS - MERCK S.A.
ROXFLAN 10MG 3X10CPDS - MERCK S.A.
ROXFLAN 5MG 20CPDS - MERCK S.A.
ROXFLAN 5MG 30CPDS - MERCK S.A.
ROXITRAN 300MG 5CPDS REV. - NEOQUIMICA
ROYFLEX 240CPDS - ROYTON
ROYTRIN 200+40MG/5ML 100ML - ROYTON
ROYTRIN 200+40MG/5ML SUSP.50ML - ROYTON
ROYTRIN 400+80MG 20CPDS - ROYTON
ROZEX GEL 30G - GALDERMA
RUBRANOVA 15000MCG 1AMP 2ML - BRISTOL
RUBRANOVA 5000MCG 1AMP 2ML - BRISTOL
RUPAFIN 10MG 10CPDS - BIOSINTETICA
RUPAFIN 10MG 6CPDS - BIOSINTETICA
RUSOVAS 10MG 3BLX10CPDS.REV. - SIGMA PHARMA
RUSOVAS 20MG 3BLX10CPDS.REV. - SIGMA PHARMA
SABOFEN 0,007G/G+1G SABONETE 100GRS - GEYER
SABOFEN 0,007G/G+1G SABONETE 50GRS - GEYER
SABOFEN 10% SABONETE LIQUIDO 100ML - GEYER
SABRIL 500MG 60CPDS - SANOFI-AVENTIS
SACIETTE 10MG 30CAPS - GLENMARK
SACIETTE 15MG 30CAPS - GLENMARK
SAFLUTAN 15MCG/ML SOL.OFT.30FLAC 0,3ML - MERCK S.D.
SAIZEN 4UI (1,33MG) PO LIOFILIZADO 1FA+DIL. - MERCK S.A.
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
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
SIMPRO
ESTRUTURA
70990
35584
23680
23679
790005
133713
73942
151408
151411
151410
98292
133715
102295
790022
133714
73943
133585
133716
119930
167316
167317
1280089
4945084
61124
4720155
2905166
163425
163426
144007
72260
88224
41384
6380067
6380066
6380123
6380122
6380125
6380124
78240
78241
153148
78242
6380061
6380128
6380129
6380130
92966
92967
DESCRICAO
SAIZEN 8MG PO LIOFILIZADO 1FA+DIL. - MERCK S.A.
SAL AMARGO CX 25GRS 0637 - RIOQUIMICA
SAL ANDREWS 1ENV 5G - GLAXOSMITH
SAL ANDREWS 60ENV 5G - GLAXOSMITH
SAL FRUTA ENO 100G - GLAXOSMITH
SAL FRUTA ENO 2ENV 5G - GLAXOSMITH
SAL FRUTA ENO 30CART 2ENV 5G - GLAXOSMITH
SAL FRUTA ENO ABAC.100G - GLAXOSMITH
SAL FRUTA ENO ABAC.2ENV 5G - GLAXOSMITH
SAL FRUTA ENO ABAC.30CART 2ENV 5G - GLAXOSMITH
SAL FRUTA ENO GUAR.100G - GLAXOSMITH
SAL FRUTA ENO GUAR.2ENV 5G - GLAXOSMITH
SAL FRUTA ENO GUAR.30CART 2ENV 5G - GLAXOSMITH
SAL FRUTA ENO LAR.100G - GLAXOSMITH
SAL FRUTA ENO LAR.2ENV 5G - GLAXOSMITH
SAL FRUTA ENO LAR.30CART 2ENV 5G - GLAXOSMITH
SAL FRUTA ENO LIM.100G - GLAXOSMITH
SAL FRUTA ENO LIM.2ENV 5G - GLAXOSMITH
SAL FRUTA ENO LIM.30CART 2ENV 5G - GLAXOSMITH
SAL FRUTA ENO TABS 750MG 12BLX8CPDS MAST. - GLAXOSMITH
SAL FRUTA ENO TABS 750MG 8CPDS MAST.F.V - GLAXOSMITH
SALBUTAM 100ML - BUNKER
SALDER S SAB.80GRS - MEDLEY
SALIMETIN ESPORT.AEROS.100ML - LUPER
SALIMETIN GEL PLUS ESPORT.30GRS - LUPER
SALISOAP SAB.80G - GALDERMA
SALSEP 360 SOL.NASAL SPR.15ML - LIBBS
SALSEP 360 SOL.NASAL SPR.50ML - LIBBS
SALSEP SPR.30ML - LIBBS
SALSEP SPR.50ML - LIBBS
SALVELOX 21+1,33MG/ML SPR.50ML - EMS CONSUMO
SANASAR SAB.80GRS - KLEY HERTZ
SANDIMMUN 50MG SOL.INJ.10AMP 1ML - NOVARTIS
SANDIMMUN 50MG SOL.INJ.10AMP 5ML - NOVARTIS
SANDIMMUN NEORAL 100MG 50CAPS - NOVARTIS
SANDIMMUN NEORAL 100MG SOL.ORAL 50ML - NOVARTIS
SANDIMMUN NEORAL 25MG 50CAPS - NOVARTIS
SANDIMMUN NEORAL 50MG 50CAPS - NOVARTIS
SANDOGLOBULINA 1G 1FA 33ML - MEIZLER
SANDOGLOBULINA 3G 1FA 100ML - MEIZLER
SANDOGLOBULINA 6G PO LIOF.1FA DIL.200ML+EQUIPO INFUS. - CSL BEHRING
SANDOGLOBULINA 6GR 1FA 200ML - MEIZLER
SANDOMIGRAN 0,5MG 20DRGS - NOVARTIS
SANDOSTATIN 0,05MG SOL.INJ.5AMP 1ML - NOVARTIS
SANDOSTATIN 0,1MG SOL.INJ.5AMP 1ML - NOVARTIS
SANDOSTATIN 0,5MG SOL.INJ.5AMP 1ML - NOVARTIS
SANDOSTATIN LAR MPVI 10MG PO INJ.FA+SER.DIL.2,5ML - NOVARTIS
SANDOSTATIN LAR MPVI 20MG PO INJ.FA+SER.DIL.2,5ML - NOVARTIS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
270
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
92968
160053
160052
165818
78132
78134
41386
6460106
157078
165861
103145
103147
103149
169637
169638
166440
166441
4945085
44102
6280143
37784
6280067
1280064
1280063
1280062
6820092
6820033
2120004
35384
6500090
42489
6500091
6500158
6500092
7080087
165867
115765
103338
137957
77882
77883
77884
77885
63638
6200011
26053
6200111
140746
DESCRICAO
SANDOSTATIN LAR MPVI 30MG PO INJ.FA+SER+DIL.2,5ML - NOVARTIS
SANDRENA 0,1PCC GEL 28SACH 0,5GR - SCHERING PLOUGH
SANDRENA 0,1PCC GEL 28SACH 1,0GR - SCHERING PLOUGH
SANILIN 0,5+4MG 1FR 30ML - KLEY HERTZ
SANILIN CER.12PAST - KLEY HERTZ
SANILIN LAR.12PAST - KLEY HERTZ
SANILIN MENTA 12PAST - KLEY HERTZ
SANPRONOL 40MG 4X10CPDS - SANVAL
SANPROST 320MG 15CAPS GEL.MOLE - INFAN
SANPROST 320MG 30CAPS - INFAN
SANTOSS 20MG/ML XPE.100ML - DELTA
SANTOSS 50MG/ML GTS.20ML - DELTA
SANTOSS 50MG/ML XPE.100ML - DELTA
SAPHRIS 10MG 20CPDS - SCHERING PLOUGH
SAPHRIS 10MG 60CPDS - SCHERING PLOUGH
SAPHRIS 5MG 20CPDS - SCHERING PLOUGH
SAPHRIS 5MG 60CPDS - SCHERING PLOUGH
SARCOTON PO 10GRS + COL.MEDID. - MEDLEY
SARIDON 100CPDS - BAYER
SARIDON 1X4CPDS F.V - BAYER
SARIDON 20CPDS - BAYER
SARIDON 400CPDS - BAYER
SARNODEX 60ML - BUNKER
SARNODEX POM.30G - BUNKER
SARNODEX SAB.60G - BUNKER
SASTID SAB.100GRS (+IPI 5%) - STIEFEL
SASTID SHM.120ML (+IPI 7%) - STIEFEL
SCABENZIL LIQ.60ML - DELTA
SCABENZIL SAB.75G - DELTA
SCAFLAM 100MG 12CPDS - MANTECORP
SCAFLAM 3% GEL 30GRS - MANTECORP
SCAFLAM GRAN.12SACHX2GRS - MANTECORP
SCAFLAM GTS.15ML - MANTECORP
SCAFLAM PED.SUSP.60ML - MANTECORP
SCALID 100MG 12DRGS - UNIAO QUIMICA
SCULPTRA 1AMP PO LIOF.3ML - SANOFI-AVENTIS
SEBIVO 600MG 28CPDS - NOVARTIS
SECDAZOL 1000MG 2CPDS - VITAPAN
SECDAZOL 1000MG 500CPDS REV. - VITAPAN
SECFAR 1000MG 2CPDS - ELOFAR
SECFAR 1000MG 4CPDS - ELOFAR
SECFAR 450MG 15ML - ELOFAR
SECFAR 900MG 30ML - ELOFAR
SECNAXIDOL 1G 2CPDS - EMS
SECNIDAL 1000MG 2CPDS - SANOFI-AVENTIS
SECNIDAL 1000MG 4CPDS - SANOFI-AVENTIS
SECNIDAL 30MG/ML PO 30ML - SANOFI-AVENTIS
SECNIDAZOL GEN.1000MG 200CPDS REV. - PRATI-DONADUZZI
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
271
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
57143
128177
84954
89479
140744
84955
57144
128178
89480
140745
89526
98972
98971
94241
94243
140743
94394
67473
67474
2680045
2680049
7040091
7040092
136601
136602
6920227
108261
150237
13969
6920003
145534
84407
132180
153624
159660
101560
6920189
159659
163767
163768
7460073
7460072
64632
3860051
91618
4560082
87255
485041
DESCRICAO
SECNIDAZOL GEN.1000MG 2CPDS - MEDLEY
SECNIDAZOL GEN.1000MG 2CPDS - SANOFI-AVENTIS
SECNIDAZOL GEN.1000MG 2CPDS - RANBAXY
SECNIDAZOL GEN.1000MG 2CPDS - NOVA QUIMICA
SECNIDAZOL GEN.1000MG 2CPDS REV. - PRATI-DONADUZZI
SECNIDAZOL GEN.1000MG 2X2CPDS - RANBAXY
SECNIDAZOL GEN.1000MG 4CPDS - MEDLEY
SECNIDAZOL GEN.1000MG 4CPDS - SANOFI-AVENTIS
SECNIDAZOL GEN.1000MG 4CPDS - NOVA QUIMICA
SECNIDAZOL GEN.1000MG 4CPDS REV. - PRATI-DONADUZZI
SECNIDAZOL GEN.1G 2CPDS - NEOQUIMICA
SECNIDAZOL GEN.1G 2CPDS - TEUTO BRAS
SECNIDAZOL GEN.1G 4CPDS - TEUTO BRAS
SECNIDAZOL GEN.30MG/ML PO SUSP.15ML - EMS GENERICOS
SECNIDAZOL GEN.30MG/ML PO SUSP.30ML - EMS GENERICOS
SECNIDAZOL GEN.500MG 400CPDS REV. - PRATI-DONADUZZI
SECNIDAZOL GEN.900MG PO P/SUSP.30ML - LEGRAND GENERICOS
SECNIHEXAL 1000MG 2CPDS - HEXAL
SECNIHEXAL 1000MG 4CPDS - HEXAL
SECNI-PLUS 1000MG 2CPDS REV. - FARMOQUIMICA
SECNI-PLUS 1000MG 4CPDS REV. - FARMOQUIMICA
SECNIZOL 1000MG 2CPDS - UCI-FARMA
SECNIZOL 1000MG 4CPDS - UCI-FARMA
SECOTEX ADV 0,4MG 20CPDS REV. - BOEHRINGER
SECOTEX ADV 0,4MG 30CPDS REV. - BOEHRINGER
SEDALEX 35+300+50MG 200CPDS - TEUTO BRAS
SEDALEX 35+300+50MG 240CPDS - TEUTO BRAS
SEDALEX 35+300+50MG 30CPDS - TEUTO BRAS
SEDALGINA 30+300+30MG 200DRGS - TEUTO BRAS
SEDALGINA 30+300+30MG 20DRGS - TEUTO BRAS
SEDALOL COMPOSTO 20CPDS - HIPOLABOR
SEDALOL COMPOSTO 500CPDS - HIPOLABOR
SEDAMED 20CPDS - CIMED
SEDAMED 30+300+30MG 200CPDS REV. - CIMED
SEDILAX 300+125+50+30MG 15CPDS - TEUTO BRAS
SEDILAX 300+125+50+30MG 200CPDS - TEUTO BRAS
SEDILAX 300+125+50+30MG 30CPDS - TEUTO BRAS
SEDILAX 300+125+50+30MG 4CPDS - TEUTO BRAS
SEDOPAN 10MG 10CPDS REV. - ASPEN
SEDOPAN 10MG 30CPDS REV. - ASPEN
SEKI GTS.15ML - ZAMBON
SEKI XPE.120ML - ZAMBON
SELECTA 0,45/1,5MG 28CPDS - LIBBS
SELENE 21CPDS REV. - EUROFARMA
SELENE 3X21CPDS REV. - EUROFARMA
SELIMAX 500MG 3CPDS - LIBBS
SELIMAX PULSO 500MG 9CPDS - LIBBS
SELOKEN 100MG 2BLX10CPDS - ASTRAZENECA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
272
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
136488
485039
485061
485060
138386
55274
138387
485059
138388
165756
165757
63931
140961
140962
140963
117434
117435
40322
4560085
4560086
28633
3180032
129669
129670
129671
145267
62312
141283
6440069
60562
60563
60561
31367
146519
31368
146520
31369
3080082
35332
7060058
7060059
72962
6580020
6580019
141412
17879
141413
17880
DESCRICAO
SELOKEN 1MG/ML SOL.INJ.5AMP 5ML - ASTRAZENECA
SELOPRESS 100+12,5MG 2BLX10CPDS - ASTRAZENECA
SELOPRESS ZOK 95+12,5MG 20CPDS LIB.CONTROL. - ASTRAZENECA
SELOZOK 100MG 2BLX10CPDS LIB.CONTROL. - ASTRAZENECA
SELOZOK 100MG 3BLX10CPDS LIB.CONTROL. - ASTRAZENECA
SELOZOK 25MG 2BLX10CPDS LIB.CONTROL. - ASTRAZENECA
SELOZOK 25MG 3BLX10CPDS LIB.CONTROL. - ASTRAZENECA
SELOZOK 50MG 2BLX10CPDS LIB.CONTROL. - ASTRAZENECA
SELOZOK 50MG 3BLX10CPDS LIB.PROLONG. - ASTRAZENECA
SELOZOK FIX 5+50MG 10CPDS LIB.PROLONG. - ASTRAZENECA
SELOZOK FIX 5+50MG 30CPDS LIB.PROLONG. - ASTRAZENECA
SENAN 30CAPS - ATIVUS
SENARETI 29MG 20CPDS REV. - LUPER
SENARETI 9MG GELEIA ORAL 1FR.150GRS - LUPER
SENARETI 9MG GELEIA ORAL 1FR.250GRS - LUPER
SENOCLIN 150MG/ML 50AMP 2ML - NOVAFARMA
SENOCLIN 150MG/ML 50AMP 4ML - NOVAFARMA
SENSIDERME 2MG/G POM.30GRS - NEOQUIMICA
SENSITRAM 100MG 10CPDS - LIBBS
SENSITRAM 100MG 30CPDS - LIBBS
SENSITRAM 50MG 10CPDS - LIBBS
SEPURIN 120+20MG 20DRGS - GROSS
SERED 100MG 14CPDS REV. - GLAXOSMITH
SERED 50MG 14CPDS REV. - GLAXOSMITH
SERED 50MG 28CPDS REV. - GLAXOSMITH
SERENATA 50MG 10CPDS - TORRENT
SERENATA 50MG 20CPDS - TORRENT
SERENATA 50MG 30CPDS - TORRENT
SERENUS COMPOSTO 20CPDS REV. - BIOLAB SANUS
SERETIDE 25/125MCG SPR.120DOSES - GLAXOSMITH
SERETIDE 25/250MCG SPR.120DOSES - GLAXOSMITH
SERETIDE 25/50MCG SPR.120DOSES - GLAXOSMITH
SERETIDE DISKUS 50/100MCG 60DOSES - GLAXOSMITH
SERETIDE DISKUS 50/250MCG 28DOSES - GLAXOSMITH
SERETIDE DISKUS 50/250MCG 60DOSES - GLAXOSMITH
SERETIDE DISKUS 50/500MCG 28DOSES - GLAXOSMITH
SERETIDE DISKUS 50/500MCG 60DOSES - GLAXOSMITH
SEREVENT 25MCG SPR.60DOSES - GLAXOSMITH
SEREVENT DISKUS 50MCG 60DOSES - GLAXOSMITH
SERMION 10MG 20DRGS - PFIZER
SERMION 30MG 20CPDS - PFIZER
SERONIP 50MG 28CPDS REV. - UCI-FARMA
SEROPHENE 50MG 10CPDS - MERCK S.A.
SEROPHENE 50MG 30CPDS - MERCK S.A.
SEROQUEL 100MG 14CPDS REV. - ASTRAZENECA
SEROQUEL 100MG 28CPDS REV. - ASTRAZENECA
SEROQUEL 200MG 14CPDS REV. - ASTRAZENECA
SEROQUEL 200MG 28CPDS REV. - ASTRAZENECA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
273
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
17878
153542
136485
141411
132002
141410
136487
132003
136486
136946
136947
136954
91447
153753
84652
84653
3440215
3440216
68482
57272
128530
128531
128529
169211
20090
20007
71467
153161
141741
141742
121734
121735
114349
81918
17609
77847
17610
146812
147066
146813
147067
146814
146815
61181
61182
47491
47492
84884
DESCRICAO
SEROQUEL 25MG 14CPDS REV. - ASTRAZENECA
SEROQUEL 300MG 14CPDS REV. - ASTRAZENECA
SEROQUEL 300MG 28CPDS REV. - ASTRAZENECA
SEROQUEL XRO 200MG 10CPDS REV.LIB.PROLONG. - ASTRAZENECA
SEROQUEL XRO 200MG 30CPDS REV.LIB.PROLONG. - ASTRAZENECA
SEROQUEL XRO 300MG 10CPDS REV.LIB.PROLONG. - ASTRAZENECA
SEROQUEL XRO 300MG 30CPDS REV.LIB.PROLONG. - ASTRAZENECA
SEROQUEL XRO 50MG 10CPDS REV.LIB.PROLONG. - ASTRAZENECA
SEROQUEL XRO 50MG 30CPDS REV.LIB.PROLONG. - ASTRAZENECA
SERTERO 20MG 10CPDS REV. - ARROW
SERTERO 20MG 20CPDS REV. - ARROW
SERTERO 20MG 30CPDS REV. - ARROW
SERTRALIN 50MG 2X14CPDS REV. - NEOQUIMICA
SERTRALIN 50MG 500CPDS REV. - NEOQUIMICA
SETRONAX 4MG 5AMP - ASPEN
SETRONAX 8MG 5AMP - ASPEN
SETUX EXPEC.100ML - SANOFI-AVENTIS
SETUX SUSP.100ML - SANOFI-AVENTIS
SEVOCRIS 100ML - CRISTALIA
SEVOCRIS 250ML - CRISTALIA
SEVOFLURANO 100ML - BIOCHIMICO
SEVOFLURANO 250ML - BIOCHIMICO
SEVOFLURANO 50ML - BIOCHIMICO
SEVONESS 100PCC LIQ.INAL.1FR 250ML - BAXTER
SEVORANE INAL.100ML - ABBOTT
SEVORANE INAL.250ML - ABBOTT
SIBLIMA 60/15MCG 24CPDS - LIBBS
SIBLIMA 60+15MCG 3X24CPDS REV. - LIBBS
SIBUCTIL 10MG 3X10CAPS - EMS
SIBUCTIL 15MG 3X10CAPS - EMS
SIBUS 10MG 30CAPS - EUROFARMA
SIBUS 15MG 30CAPS - EUROFARMA
SIBUTRAN 30CAPS - UCI-FARMA
SICOTRAT 100MG 20CAPS - TRB PHARMA
SIFROL 0,125MG 3BLX10CPDS - BOEHRINGER
SIFROL 0,25MG 3BLX10CPDS - BOEHRINGER
SIFROL 1MG 3BLX10CPDS - BOEHRINGER
SIFROL ER 0,375MG 30CPDS LIB.PROLONG - BOEHRINGER
SIFROL ER 0,75MG 10CPDS LIB.PROLONG. - BOEHRINGER
SIFROL ER 0,75MG 30CPDS LIB.PROLONG - BOEHRINGER
SIFROL ER 1,5MG 10CPDS LIB.PROLONG - BOEHRINGER
SIFROL ER 1,5MG 30CPDS LIB.PROLONG - BOEHRINGER
SIFROL ER 3MG 30CPDS LIB.PROLONG - BOEHRINGER
SIGMACALCIDOL 0,25MCG 30CAPS - SIGMA PHARMA
SIGMACALCIDOL 1,00MCG 30CAPS - SIGMA PHARMA
SIGMA-CLAV 400+57MG/5ML 70ML - SIGMA PHARMA
SIGMA-CLAV 500+125MG 3X6CPDS - SIGMA PHARMA
SIGMA-CLAV 875+125MG 2X7CPDS - SIGMA PHARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
274
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
163529
141970
141969
141968
167108
29357
29359
29358
36413
165221
165226
165216
140563
140564
146715
146716
146714
146717
3440151
3440152
94254
94255
140964
5420041
61881
153689
3860054
165962
165964
84250
166520
167816
118766
166521
164231
146688
138630
133457
148951
140521
145033
99393
118767
162627
145509
148950
127943
127944
DESCRICAO
SIGMA-CLAV 875+125MG 4BLX5CPDS REV. - SIGMA PHARMA
SIGMALIV 0,5MG XPE.100ML - SIGMA PHARMA
SIGMALIV 0,5MG XPE.60ML - SIGMA PHARMA
SIGMALIV 5MG 10CPDS REV. - SIGMA PHARMA
SIGMALIV 5MG 30CPDS REV. - SIGMA PHARMA
SIGMASPORIN MICROORAL 100MG 50CAPS GEL.MOLE - GERMED
SIGMASPORIN MICROORAL 25MG 50CAPS GEL.MOLE - GERMED
SIGMASPORIN MICROORAL 50MG 50CAPS GEL.MOLE - GERMED
SIGMATRIOL 0,25MCG 30CAPS GEL.MOLE - GERMED
SIGMAX 25MG 20CPDS REV. - SIGMA PHARMA
SIGMAX 25MG 3BLX20CPDS REV. - SIGMA PHARMA
SIGMAX 50MG 4BLX15CPDS REV. - SIGMA PHARMA
SIGRAN 10MG 3BLX10CAPS GEL.DURA - GERMED
SIGRAN 15MG 3BLX10CAPS GEL.DURA - GERMED
SIILIF 100MG 10CPDS - NYCOMED
SIILIF 100MG 30CPDS - NYCOMED
SIILIF 100MG 60CPDS - NYCOMED
SIILIF 50MG 30CPDS - NYCOMED
SILENCIUM 20PAST - SANOFI-AVENTIS
SILENCIUM XPE.100ML - SANOFI-AVENTIS
SILGLOS 1% CRM.DERM.30G - UNIAO QUIMICA
SILGLOS 1% CRM.DERM.50G - UNIAO QUIMICA
SILIBOM 100MG 30CPDS REV. - LUPER
SILIMALON 20DRGS - NIKKHO
SIMDAX 2,5MG/ML SOL.INJ.1FA 5ML - ABBOTT
SIMECO PLUS 120+41,5+7MG/ML SUSP.ORAL 60ML - EUROFARMA
SIMECO PLUS SUSP. ORAL 240ML - EUROFARMA
SIMETICONA 125MG 3CAPS F.V - MEDLEY
SIMETICONA 40MG 4CAPS F.V - MEDLEY
SIMETICONA GEN.125MG 10CAPS - MEDLEY
SIMETICONA GEN.125MG 10CAPS GEL.MOLE - TEUTO BRAS
SIMETICONA GEN.125MG 10CAPS GEL.MOLE - BIOSINTETICA
SIMETICONA GEN.125MG 30X3CAPS - MEDLEY
SIMETICONA GEN.125MG 90CAPS GEL.MOLE - TEUTO BRAS
SIMETICONA GEN.40MG 100CPS - TEUTO BRAS
SIMETICONA GEN.40MG 20CPDS - SANDOZ
SIMETICONA GEN.40MG 20CPDS - NEOQUIMICA
SIMETICONA GEN.40MG 20CPDS - TEUTO BRAS
SIMETICONA GEN.40MG 20CPDS - BIOSINTETICA
SIMETICONA GEN.40MG 20CPDS - PRATI-DONADUZZI
SIMETICONA GEN.40MG 20CPDS - SANOFI-AVENTIS
SIMETICONA GEN.40MG 2X10CPDS - MEDLEY
SIMETICONA GEN.40MG 50X4CAPS - MEDLEY
SIMETICONA GEN.40MG 80CPDS - PRATI-DONADUZZI
SIMETICONA GEN.75MG 10ML - HIPOLABOR
SIMETICONA GEN.75MG GTS.10ML - BIOSINTETICA
SIMETICONA GEN.75MG/ML EMULSAO ORAL 15ML - TEUTO BRAS
SIMETICONA GEN.75MG/ML EMULSAO ORAL 200X10ML - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
275
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
146689
90970
140525
57145
104017
164674
164676
20206
20213
164673
161114
6380134
30321
6960005
6960003
6960004
6960012
136801
137602
136802
5920048
34948
144969
34949
144970
48135
144971
35376
5040043
35374
35375
35373
5040042
89345
89346
144124
144125
153688
136758
136759
144155
143550
162635
280094
7500016
7500014
35080
93812
DESCRICAO
SIMETICONA GEN.75MG/ML GTS.15ML - SANDOZ
SIMETICONA GEN.75MG/ML GTS.15ML - MERCK S.A.
SIMETICONA GEN.75MG/ML GTS.15ML - PRATI-DONADUZZI
SIMETICONA GEN.EMULS.15ML - MEDLEY
SIMETICONA+METILBROMETO HOMATROPINA GEN.80+2,5MG/ML EMULSAO ORAL 20ML - TEUTO BRAS
SIMILAC 1 900G - ABBOTT
SIMILAC 2 900G - ABBOTT
SIMILAC ADVANCE 1 400G - ABBOTT
SIMILAC ADVANCE 2 400G - ABBOTT
SIMILAC SENSITIVE 360G - ABBOTT
SIMPONI 50MG SOL.INJ.1SER.PREENC.0,5ML(CANETA) - SCHERING PLOUGH
SIMULECT 20MG PO LIOF.1FA+DIL.5ML - NOVARTIS
SINAXIAL 100MG 1AMP 2ML - TRB PHARMA
SINAXIAL 100MG 1FA 4ML - TRB PHARMA
SINAXIAL 10MG 5AMP 2ML - TRB PHARMA
SINAXIAL 20MG 5AMP 2ML - TRB PHARMA
SINAXIAL 40MG 5AMP 2ML - TRB PHARMA
SINEDOL 100MG 10CPDS - UCI-FARMA
SINEDOL 50MG 10CAPS - UCI-FARMA
SINEDOL SOL.ORAL 10ML - UCI-FARMA
SINEMET 25/250MG 3X10CPDS - MERCK S.D.
SINERGEN 2,5/10MG 30CAPS - BIOSINTETICA
SINERGEN 2,5/10MG 7CAPS - BIOSINTETICA
SINERGEN 5/10MG 30CAPS - BIOSINTETICA
SINERGEN 5/10MG 7CAPS - BIOSINTETICA
SINERGEN 5/20MG 30CAPS - BIOSINTETICA
SINERGEN 5/20MG 7CAPS - BIOSINTETICA
SINGULAIR 10MG 1X10CPDS - MERCK S.D.
SINGULAIR 10MG 3X10CPDS - MERCK S.D.
SINGULAIR 4MG 1X10CPDS - MERCK S.D.
SINGULAIR 4MG 3X10CPDS - MERCK S.D.
SINGULAIR 5MG 1X10CPDS - MERCK S.D.
SINGULAIR 5MG 3X10CPDS - MERCK S.D.
SINGULAIR BABY 4MG 10SACH - MERCK S.D.
SINGULAIR BABY 4MG 30SACH - MERCK S.D.
SINOT 400MG 5ML PO P/ SUSP. ORAL 100ML SER.DOS. - EUROFARMA
SINOT 875MG 14CPDS - EUROFARMA
SINOT CLAV 400MG+57MG/ML PO SUSP.70ML - EUROFARMA
SINOT CLAV 875+125MG 14CPDS REV. - EUROFARMA
SINOT CLAV 875+125MG 20CPDS REV - EUROFARMA
SINOT CLAV 875+125MG 6CPDS REV - EUROFARMA
SINTOCALMY 300MG 20CPDS REV. - ACHE
SINTOCALMY 300MG 40CPDS REV. - ACHE
SINUMED 20G - ALM.PRADO
SINUSTRAT DESCONGESTIONANTE 9MG/ML+0,1MG SOL.NASAL 30ML+CGT - AVERT
SINUSTRAT TRADICIONAL SOL.NASAL 10ML+CGT - AVERT
SINUSTRAT VASOCONSTRITOR 0,5MG/ML GTS.10ML - AVERT
SINUTAB 2+324+32,4MG 12CAPS GEL - J&J CONSUM
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
276
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
104234
137146
121023
63551
63552
63553
620012
22352
83132
62535
93218
37790
37791
139930
84308
97887
37789
162934
72613
72615
72614
72612
149024
149025
149019
149026
149020
149027
149021
149028
115521
83179
112071
91683
78582
89466
38470
38015
83180
84298
115416
115520
149832
112072
91684
38016
83181
84299
DESCRICAO
SINUTAB 2+324+32,4MG 150CAPS GEL - J&J CONSUM
SINUTAB 2+324+32,4MG GEL 6CAPS GEL F.V - J&J CONSUM
SINVALIP 10MG 3X10CPDS REV. - SIGMA PHARMA
SINVALIP 20MG 2X15CPDS REV. - SIGMA PHARMA
SINVALIP 40MG 3X10CPDS REV. - SIGMA PHARMA
SINVALIP 80MG 3X10CPDS REV. - SIGMA PHARMA
SINVASCOR 10MG 30CPDS - BALDACCI
SINVASCOR 20MG 30CPDS - BALDACCI
SINVASCOR 40MG 30CPDS - BALDACCI
SINVASCOR 80MG 10CPDS - BALDACCI
SINVASCOR 80MG 30CPDS - BALDACCI
SINVASTACOR 10MG 30CPDS - HEXAL
SINVASTACOR 20MG 30CPDS - HEXAL
SINVASTACOR 20MG 60CPDS REV. - HEXAL
SINVASTACOR 40MG 10CPDS - HEXAL
SINVASTACOR 40MG 30CPDS - HEXAL
SINVASTACOR 5MG 30CPDS - HEXAL
SINVASTACOR 80MG 30CPDS REV. - HEXAL
SINVASTAMED 10MG 30CPDS - CIMED
SINVASTAMED 20MG 10CPDS - CIMED
SINVASTAMED 20MG 2X15CPDS - CIMED
SINVASTAMED 5MG 30CPDS - CIMED
SINVASTATINA 10MG 2BLX15 CPDS.REV. - GERMED GENERICOS
SINVASTATINA 20MG 2BLX15 CPDS REV. - GERMED GENERICOS
SINVASTATINA 20MG 30CPDS.REV. - LEGRAND GENERICOS
SINVASTATINA 20MG 4BLX15 CPDS REV. - GERMED GENERICOS
SINVASTATINA 20MG 60CPDS.REV. - LEGRAND GENERICOS
SINVASTATINA 40MG 2BLX15 CPDS REV. - GERMED GENERICOS
SINVASTATINA 40MG 30CPDS.REV. - LEGRAND GENERICOS
SINVASTATINA 40MG 4BLX15 CPDS REV. - GERMED GENERICOS
SINVASTATINA GEN.10MG 10CPDS - SANDOZ
SINVASTATINA GEN.10MG 10CPDS - BRAINFARMA
SINVASTATINA GEN.10MG 30CPDS - BIOSINTETICA
SINVASTATINA GEN.10MG 30CPDS - ARROW
SINVASTATINA GEN.10MG 30CPDS - MEDLEY
SINVASTATINA GEN.10MG 30CPDS - NOVA QUIMICA
SINVASTATINA GEN.10MG 3BLX10CPDS REV. - EMS GENERICOS
SINVASTATINA GEN.10MG 3X10CPDS - RANBAXY
SINVASTATINA GEN.10MG 3X10CPDS - BRAINFARMA
SINVASTATINA GEN.10MG 3X10CPDS - SANDOZ
SINVASTATINA GEN.10MG 9BLX10CPDS REV. - EMS GENERICOS
SINVASTATINA GEN.20MG 10CPDS - SANDOZ
SINVASTATINA GEN.20MG 2BLX15CPDS REV. - EMS GENERICOS
SINVASTATINA GEN.20MG 30CPDS - BIOSINTETICA
SINVASTATINA GEN.20MG 30CPDS - ARROW
SINVASTATINA GEN.20MG 3X10CPDS - RANBAXY
SINVASTATINA GEN.20MG 3X10CPDS - BRAINFARMA
SINVASTATINA GEN.20MG 3X10CPDS - SANDOZ
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
277
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
78583
149835
139931
78584
38017
81928
112073
91685
83182
89468
134944
115518
112074
149833
101676
78586
84079
84300
146693
112075
83183
78587
69869
89469
149834
146692
101677
91266
108187
91264
108188
102871
108189
165485
84657
84656
103940
131422
150585
128216
128217
128218
128219
2900070
103546
103547
118791
134950
DESCRICAO
SINVASTATINA GEN.20MG 3X10CPDS - MEDLEY
SINVASTATINA GEN.20MG 4BLX15CPDS REV. - EMS GENERICOS
SINVASTATINA GEN.20MG 60CPDS REV. - SANDOZ
SINVASTATINA GEN.20MG 6X10CPDS - MEDLEY
SINVASTATINA GEN.40MG 10CPDS - RANBAXY
SINVASTATINA GEN.40MG 10CPDS - SANDOZ
SINVASTATINA GEN.40MG 10CPDS - BIOSINTETICA
SINVASTATINA GEN.40MG 10CPDS - ARROW
SINVASTATINA GEN.40MG 10CPDS - BRAINFARMA
SINVASTATINA GEN.40MG 10CPDS - NOVA QUIMICA
SINVASTATINA GEN.40MG 30CPDS - ARROW
SINVASTATINA GEN.40MG 30CPDS - SANDOZ
SINVASTATINA GEN.40MG 30CPDS - BIOSINTETICA
SINVASTATINA GEN.40MG 3BLX10CPDS REV. - EMS GENERICOS
SINVASTATINA GEN.40MG 3X10CPDS - RANBAXY
SINVASTATINA GEN.40MG 3X10CPDS - MEDLEY
SINVASTATINA GEN.5MG 3X10CPDS - BRAINFARMA
SINVASTATINA GEN.5MG 3X10CPDS - SANDOZ
SINVASTATINA GEN.80MG 10CPDS - SANDOZ
SINVASTATINA GEN.80MG 10CPDS - BIOSINTETICA
SINVASTATINA GEN.80MG 10CPDS - BRAINFARMA
SINVASTATINA GEN.80MG 10CPDS - MEDLEY
SINVASTATINA GEN.80MG 10CPDS - RANBAXY
SINVASTATINA GEN.80MG 10CPDS - NOVA QUIMICA
SINVASTATINA GEN.80MG 10CPDS REV. - EMS GENERICOS
SINVASTATINA GEN.80MG 30CPDS - SANDOZ
SINVASTATINA GEN.80MG 3X10CPDS - RANBAXY
SINVASTON 10MG 3X10CPDS - SANVAL
SINVASTON 10MG 50X10CPDS - SANVAL
SINVASTON 20MG 3X10CPDS - SANVAL
SINVASTON 20MG 50X10CPDS - SANVAL
SINVASTON 40MG 3X10CPDS - SANVAL
SINVASTON 40MG 50X10CPDS - SANVAL
SINVATROX 20MG 3BLX10CPDS REV. - LEGRAND TARJARDOS
SINVAZ 20MG 30CPDS - ASPEN
SINVAZ 5MG 30CPDS - ASPEN
SIRDALUD 2MG 30CPDS - NOVARTIS
SKIMATIX GEL SILICONE 15GRS - VALEANT
SKIMATIX ULTRA GEL SILICONE 15GRS - VALEANT
SLENFIG 10MG 10CAPS - TORRENT
SLENFIG 10MG 30CAPS - TORRENT
SLENFIG 15MG 10CAPS - TORRENT
SLENFIG 15MG 30CAPS - TORRENT
SLOW-K 600MG 20DRGS - NOVARTIS
SMOFLIPID 20% 100ML BR2490031 - FRESENIUS KABI
SMOFLIPID 20% 500ML BR2490091 - FRESENIUS KABI
SNIF 3% 30MG/ML SPR.45ML - EUROFARMA
SNIF 9MG/ML SOL.NASAL 30ML - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
278
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
136753
136754
103466
143532
141991
2905172
2905171
170069
2400043
2400023
157454
157455
153522
157457
157458
157460
157461
42416
35110
35109
1280025
37899
148354
148355
148356
148346
148347
148348
148349
148350
148352
148353
148351
7060016
16982
16980
7060017
6986
143345
141449
151409
143171
105278
138275
105279
105277
143172
143173
DESCRICAO
SNIF 9MG/ML SOL.NASAL GTS.50ML - EUROFARMA
SNIF 9MG/ML SOL.NASAL SPR.50ML - EUROFARMA
SOAPEX 1% SAB.BARRA 80G - GALDERMA
SOAPEX 1% SAB.LIQ.120ML - GALDERMA
SOAPEX ESPUMA ANTISEPT.50ML - GALDERMA
SOAPEX SAB.80G - GALDERMA
SOAPEX SAB.CREMOSO 120ML - GALDERMA
SOAPEX SAB.CREMOSO 250ML - GALDERMA
SOCIAN 200MG 20CPDS - SANOFI-AVENTIS
SOCIAN 50MG 20CPDS - SANOFI-AVENTIS
SOL.CLORETO SODIO 0,9% AMP.PLAST.100UNID 20ML - ISOFARMA
SOL.CLORETO SODIO 0,9% AMP.PLAST.200UNID 20ML - ISOFARMA
SOL.CLORETO SODIO 0,9% INJ.C/BOLSA PVC 100ML MINI BAG PLUS - BAXTER
SOL.CLORETO SODIO 10% AMP.PLAST.100UNID 20ML - ISOFARMA
SOL.CLORETO SODIO 10% AMP.PLAST.200UNID 20ML - ISOFARMA
SOL.CLORETO SODIO 20% AMP.PLAST.100UNID 20ML - ISOFARMA
SOL.CLORETO SODIO 20% AMP.PLAST.200UNID 20ML - ISOFARMA
SOLAQUIN 40MG CRM.30GRS. - VALEANT
SOLARCAINE 0,5% LOC.120ML - MANTECORP
SOLARCAINE 2,8% AER.120GRS - MANTECORP
SOLARDRIL COMPOSTA 120ML - BUNKER
SOLARDRIL CRM.28G - BUNKER
SOLLEVARE 100MG 1CPD - EMS
SOLLEVARE 100MG 2CPDS - EMS
SOLLEVARE 100MG 4CPDS - EMS
SOLLEVARE 25MG 1CPD - EMS
SOLLEVARE 25MG 2CPDS - EMS
SOLLEVARE 25MG 4CPDS - EMS
SOLLEVARE 50MG 1CPD - EMS
SOLLEVARE 50MG 2CPDS - EMS
SOLLEVARE 50MG 2X4CPDS - EMS
SOLLEVARE 50MG 3X4CPDS - EMS
SOLLEVARE 50MG 4CPDS - EMS
SOLU MEDROL 125MG 1AMP+DIL - PFIZER
SOLU MEDROL 1G 1AMP+DIL - PFIZER
SOLU MEDROL 40MG 1AMP+DIL - PFIZER
SOLU MEDROL 500MG 1AMP+DIL - PFIZER
SOLUCAO AMINOPLASMAL 10% 1000ML 3547663 - B.BRAUN
SOLUCAO AMINOSTERIL N-HEPA 8% 500ML 2611091 - FRESENIUS KABI
SOLUCAO BICARBONATO SODIO 8,4% 250ML BRK543061 - FRESENIUS KABI
SOLUCAO CLORETO DE SODIO 0,9% 12FR SISTEMA FECHADO 1000ML - SANOBIOL
SOLUCAO CLORETO POTASSIO 10% 200AMP PLAST.10ML - HALEX ISTAR
SOLUCAO CLORETO POTASSIO 10% AMP.PLAST.100UNID 10ML - ISOFARMA
SOLUCAO CLORETO POTASSIO 10% AMP.PLAST.120UNID 10ML - ISOFARMA
SOLUCAO CLORETO POTASSIO 10% AMP.PLAST.200UNID 10ML - ISOFARMA
SOLUCAO CLORETO POTASSIO 10% AMP.PLAST.50UNID 10ML - ISOFARMA
SOLUCAO CLORETO POTASSIO 15% AMP 10ML - HALEX ISTAR
SOLUCAO CLORETO POTASSIO 19,1% AMP 10ML - HALEX ISTAR
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
279
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
105280
138276
105281
766073
134810
10
144662
134807
142303
142323
151403
142322
142302
151405
151414
766071
144663
134808
142301
151416
766072
134809
142326
142300
9
134806
143128
151407
151417
143174
143175
105282
105283
143131
143141
143137
143130
143140
143136
143129
143139
143135
143138
165881
143134
165883
143133
170766
DESCRICAO
SOLUCAO CLORETO POTASSIO 19,1% AMP.PLAST.100UNID 10ML - ISOFARMA
SOLUCAO CLORETO POTASSIO 19,1% AMP.PLAST.120UNID 10ML - ISOFARMA
SOLUCAO CLORETO POTASSIO 19,1% AMP.PLAST.200UNID 10ML - ISOFARMA
SOLUCAO CLORETO SODIO 0,9% 1000ML (0,9%) INJ.C/BOLSA PLAST.VIAFLEX 1000ML AZB1324 - BAXTER
SOLUCAO CLORETO SODIO 0,9% 1000ML KABIPAC 1510014 - FRESENIUS KABI
SOLUCAO CLORETO SODIO 0,9% 100ML (0,9%) INJ.C/BOLSA PLAST.VIAFLEX 100ML AZB1307 - BAXTER
SOLUCAO CLORETO SODIO 0,9% 100ML BOLSA FREEFLEX 1510011FFX - FRESENIUS KABI
SOLUCAO CLORETO SODIO 0,9% 100ML KABIPAC 1510011 - FRESENIUS KABI
SOLUCAO CLORETO SODIO 0,9% 10AMP 1000ML ECOFLAC PLUS 200115 - B.BRAUN
SOLUCAO CLORETO SODIO 0,9% 10AMP 500ML ECOFLAC PLUS 3547787 - B.BRAUN
SOLUCAO CLORETO SODIO 0,9% 12BOLSA SISTEMA FECHADO 1000ML - SANOBIOL
SOLUCAO CLORETO SODIO 0,9% 20AMP 100ML ECOFLAC PLUS 3547760 - B.BRAUN
SOLUCAO CLORETO SODIO 0,9% 20AMP 500ML ECOFLAC PLUS 200114 - B.BRAUN
SOLUCAO CLORETO SODIO 0,9% 20BOLSA SISTEMA FECHADO 500ML - SANOBIOL
SOLUCAO CLORETO SODIO 0,9% 20FR SISTEMA FECHADO 500ML - SANOBIOL
SOLUCAO CLORETO SODIO 0,9% 250ML (0,9%) INJ.C/BOLSA PLAST.VIAFLEX 250ML AZB1322 - BAXTER
SOLUCAO CLORETO SODIO 0,9% 250ML BOLSA FREEFLEX 1510012FFX-50 - FRESENIUS KABI
SOLUCAO CLORETO SODIO 0,9% 250ML KABIPAC 1510012 - FRESENIUS KABI
SOLUCAO CLORETO SODIO 0,9% 30AMP 250ML ECOFLAC PLUS 200112 - B.BRAUN
SOLUCAO CLORETO SODIO 0,9% 40FR SISTEMA FECHADO 250ML - SANOBIOL
SOLUCAO CLORETO SODIO 0,9% 500ML (0,9%) INJ.C/BOLSA PLAST.VIAFLEX 500ML AZB1323 - BAXTER
SOLUCAO CLORETO SODIO 0,9% 500ML KABIPAC 1510013 - FRESENIUS KABI
SOLUCAO CLORETO SODIO 0,9% 50AMP 100ML MINIFLAC 200111 - B.BRAUN
SOLUCAO CLORETO SODIO 0,9% 50AMP 50ML ECOFLAC PLUS 200110 - B.BRAUN
SOLUCAO CLORETO SODIO 0,9% 50ML (0,9%) INJ.C/BOLSA PLAST.VIAFLEX 50ML AZB1306 - BAXTER
SOLUCAO CLORETO SODIO 0,9% 50ML KABIPAC 1500431 - FRESENIUS KABI
SOLUCAO CLORETO SODIO 0,9% 60BOLSAS PE 100ML BLOWPACK - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% 80BOLSA SISTEMA FECHADO 100ML - SANOBIOL
SOLUCAO CLORETO SODIO 0,9% 80FR SISTEMA FECHADO 125ML - SANOBIOL
SOLUCAO CLORETO SODIO 0,9% AMP 10ML - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% AMP 20ML - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% AMP.PLAST.100UNID 10ML - ISOFARMA
SOLUCAO CLORETO SODIO 0,9% AMP.PLAST.200UNID 10ML - ISOFARMA
SOLUCAO CLORETO SODIO 0,9% C/10BOLSAS PE 1000ML BLOWPACK - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/10BOLSAS PP 1000ML SOLUFLEX - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/10BOLSAS PVC 1000ML ISTARBAG - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/20BOLSAS PE 500ML BLOWPACK - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/20BOLSAS PP 500ML SOLUFLEX - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/20BOLSAS PVC 500ML ISTARBAG - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/40BOLSAS PE 250ML BLOWPACK - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/40BOLSAS PP 250ML SOLUFLEX - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/40BOLSAS PVC 250ML ISTARBAG - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/60BOLSAS PP 100ML SOLUFLEX - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/60BOLSAS PP 100ML SOLUFLEX+CONECT. - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/60BOLSAS PVC 100ML ISTARBAG - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/60BOLSAS PVC 100ML ISTARBAG+CONECT. - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% C/72BOLSAS PVC 50ML ISTARBAG - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.12BOL 500ML - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
280
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
169465
170767
169461
169459
169460
169458
169464
143176
105284
105285
143177
143178
143179
105286
105287
151406
152513
141451
141450
12679
12678
61984
6370004
6370005
2800221
2800216
150808
150820
84479
134001
28142
133999
134000
133997
133998
133996
134149
43326
28143
45350
45354
45352
45351
143144
163531
766080
766079
3865007
DESCRICAO
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.16FA 1000ML - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.25FA 500ML - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.30FA 250ML - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.36FA 100ML - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.40BOL 250ML - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.60BOL 100ML - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.9BOL 1000ML - EUROFARMA
SOLUCAO CLORETO SODIO 10% 200AMP PLAST.10ML - HALEX ISTAR
SOLUCAO CLORETO SODIO 10% AMP.PLAST.100UNID 10ML - ISOFARMA
SOLUCAO CLORETO SODIO 10% AMP.PLAST.200UNID 10ML - ISOFARMA
SOLUCAO CLORETO SODIO 17,55% AMP 10ML - HALEX ISTAR
SOLUCAO CLORETO SODIO 20% AMP 10ML - HALEX ISTAR
SOLUCAO CLORETO SODIO 20% AMP 20ML - HALEX ISTAR
SOLUCAO CLORETO SODIO 20% AMP.PLAST.100UNID 10ML - ISOFARMA
SOLUCAO CLORETO SODIO 20% AMP.PLAST.200UNID 10ML - ISOFARMA
SOLUCAO CLORETO SODIO 9% 40BOLSA SISTEMA FECHADO 250ML - SANOBIOL
SOLUCAO CLORETO SODIO IRRIGACAO 0,9% 2000ML 1520015 - FRESENIUS KABI
SOLUCAO CLORETO SODIO KABICLEN 0,9% 1000ML IRR 1520014 - FRESENIUS KABI
SOLUCAO CLORETO SODIO KABICLEN 0,9% 500ML IRR 1520013 - FRESENIUS KABI
SOLUCAO DIPEPTIVEN 100ML BR1194031 - FRESENIUS KABI
SOLUCAO DIPEPTIVEN 50ML BR1194051 - FRESENIUS KABI
SOLUCAO ELETROLITO PLASMALYTE 500ML 2B2543Q - BAXTER
SOLUCAO ENEMA GLICERINA 12% 250ML - SANOBIOL
SOLUCAO ENEMA GLICERINA 12% 500ML - SANOBIOL
SOLUCAO ENEMAPLEX S/CARTUCHO 130ML 14.101.22 - FRESENIUS KABI
SOLUCAO EURO-COLLINS "CJ" 20ML 11.009.27A - FRESENIUS KABI
SOLUCAO FISIOLOGICA 0,9% BOLSA POLIPROPILENO TRANSP.SIST.FECH.SOLUCAO 50ML.CAPACID.P/100ML MEDFLEX - EUROFARMA
SOLUCAO FISIOLOGICA 0,9% FRASCO POLIPROPILENO TRANSP.SIST.FECH.SOLUCAO 50ML CAPACID.P/100ML LINHAMAX - EUROFARMA
SOLUCAO FISIOLOGICA 200X30ML - HIPOLABOR
SOLUCAO FISIOLOGICA CLORETO SODIO 0,9% 12FR 1000ML - EQUIPLEX
SOLUCAO FISIOLOGICA CLORETO SODIO 0,9% 1AMP 10ML - EQUIPLEX
SOLUCAO FISIOLOGICA CLORETO SODIO 0,9% 20FR 500ML - EQUIPLEX
SOLUCAO FISIOLOGICA CLORETO SODIO 0,9% 24FR 500ML - EQUIPLEX
SOLUCAO FISIOLOGICA CLORETO SODIO 0,9% 40FR 250ML - EQUIPLEX
SOLUCAO FISIOLOGICA CLORETO SODIO 0,9% 48FR 250ML - EQUIPLEX
SOLUCAO FISIOLOGICA CLORETO SODIO 0,9% 70FR 100ML - EQUIPLEX
SOLUCAO FISIOLOGICA CLORETO SODIO 0,9% 70FR 50ML - EQUIPLEX
SOLUCAO FISIOLOGICA CLORETO SODIO 10% 1AMP 10ML - EQUIPLEX
SOLUCAO FISIOLOGICA CLORETO SODIO 20% 1AMP 10ML - EQUIPLEX
SOLUCAO FISIOLOGICO 0,9% 1000ML - JP
SOLUCAO FISIOLOGICO 0,9% 100ML - JP
SOLUCAO FISIOLOGICO 0,9% 250ML - JP
SOLUCAO FISIOLOGICO 0,9% 500ML - JP
SOLUCAO FRUTOSE 5% C/20BOLSAS PE 500ML BLOWPACK - HALEX ISTAR
SOLUCAO GLICERINA 12% 20BOLSAS 500ML - HALEX ISTAR
SOLUCAO GLICOFISIOLOGICA (5%+0,9%) INJ.C/BOLSA PLAST.VIAFLEX 1000ML AZB1064 - BAXTER
SOLUCAO GLICOFISIOLOGICA (5%+0,9%) INJ.C/BOLSA PLAST.VIAFLEX 500ML AZB1063 - BAXTER
SOLUCAO GLICOFISIOLOGICA 1000ML - JP
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
281
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
134821
151418
151420
151419
151422
3865009
134819
143154
143151
143153
143152
151445
151421
143094
143091
143093
143092
169466
169467
134820
134011
134010
141686
134009
141685
143147
143150
143149
143148
3865004
766078
134818
142313
151423
151430
142312
151425
151432
3865006
13
134816
142311
151424
151431
3865005
766077
134817
143106
DESCRICAO
SOLUCAO GLICO-FISIOLOGICA 1000ML KABIPAC 1510044 - FRESENIUS KABI
SOLUCAO GLICO-FISIOLOGICA 12BOLSA SISTEMA FECHADO 1000ML - SANOBIOL
SOLUCAO GLICO-FISIOLOGICA 12FR SISTEMA FECHADO 1000ML - SANOBIOL
SOLUCAO GLICO-FISIOLOGICA 20BOLSA SISTEMA FECHADO 500ML - SANOBIOL
SOLUCAO GLICO-FISIOLOGICA 20FR SISTEMA FECHADO 500ML - SANOBIOL
SOLUCAO GLICOFISIOLOGICA 250ML - JP
SOLUCAO GLICO-FISIOLOGICA 250ML KABIPAC 1510042 - FRESENIUS KABI
SOLUCAO GLICOFISIOLOGICA 3X1 C/10BOLSAS PVC 1000ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOFISIOLOGICA 3X1 C/20BOLSAS PE 500ML BLOWPACK - HALEX ISTAR
SOLUCAO GLICOFISIOLOGICA 3X1 C/20BOLSAS PVC 500ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOFISIOLOGICA 3X1 C/40BOLSAS PVC 250ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICO-FISIOLOGICA 40BOLSA SISTEMA FECHADO 250ML - SANOBIOL
SOLUCAO GLICO-FISIOLOGICA 40FR SISTEMA FECHADO 250ML - SANOBIOL
SOLUCAO GLICOFISIOLOGICA 4X1 C/10BOLSAS PVC 1000ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOFISIOLOGICA 4X1 C/20BOLSAS PE 500ML BLOWPACK - HALEX ISTAR
SOLUCAO GLICOFISIOLOGICA 4X1 C/20BOLSAS PVC 500ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOFISIOLOGICA 4X1 C/40BOLSAS PVC 250ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOFISIOLOGICA 50+9MG/ML SIST.FECH.12BOL 500ML - EUROFARMA
SOLUCAO GLICOFISIOLOGICA 50+9MG/ML SSIST.FECH.9BOL 1000ML - EUROFARMA
SOLUCAO GLICO-FISIOLOGICA 500ML KABIPAC 1510043 - FRESENIUS KABI
SOLUCAO GLICOFISIOLOGICA 9MG+50MG IV SF 12FRX1000ML - EQUIPLEX
SOLUCAO GLICOFISIOLOGICA 9MG+50MG IV SF 20FRX500ML - EQUIPLEX
SOLUCAO GLICOFISIOLOGICA 9MG+50MG IV SF 24FRX500ML - EQUIPLEX
SOLUCAO GLICOFISIOLOGICA 9MG+50MG IV SF 40FRX250ML - EQUIPLEX
SOLUCAO GLICOFISIOLOGICA 9MG+50MG IV SF 48FRX250ML - EQUIPLEX
SOLUCAO GLICOFISIOLOGICA ISOTONICA C/10BOLSAS PE 1000ML BLOWPACK - HALEX ISTAR
SOLUCAO GLICOFISIOLOGICA ISOTONICA C/10BOLSAS PVC 1000ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOFISIOLOGICA ISOTONICA C/20BOLSAS PVC 500ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOFISIOLOGICA ISOTONICA C/40BOLSAS PVC 250ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOSE 10% 1000ML - JP
SOLUCAO GLICOSE 10% 1000ML (10%) INJ.C/BOLSA PLAST.VIAFLEX 1000ML AZB0164 - BAXTER
SOLUCAO GLICOSE 10% 1000ML KABIPAC 1510034 - FRESENIUS KABI
SOLUCAO GLICOSE 10% 10AMP 1000ML ECOFLAC PLUS 200145 - B.BRAUN
SOLUCAO GLICOSE 10% 12BOLSA SISTEMA FECHADO 1000ML - SANOBIOL
SOLUCAO GLICOSE 10% 12FR SISTEMA FECHADO 1000ML - SANOBIOL
SOLUCAO GLICOSE 10% 20AMP 500ML ECOFLAC PLUS 200144 - B.BRAUN
SOLUCAO GLICOSE 10% 20BOLSA SISTEMA FECHADO 500ML - SANOBIOL
SOLUCAO GLICOSE 10% 20FR SISTEMA FECHADO 500ML - SANOBIOL
SOLUCAO GLICOSE 10% 250ML - JP
SOLUCAO GLICOSE 10% 250ML (10%) INJ.C/BOLSA PLAST.VIAFLEX 250ML AZB0162 - BAXTER
SOLUCAO GLICOSE 10% 250ML KABIPAC 1510032 - FRESENIUS KABI
SOLUCAO GLICOSE 10% 30AMP 250ML ECOFLAC PLUS 200142 - B.BRAUN
SOLUCAO GLICOSE 10% 40BOLSA SISTEMA FECHADO 250ML - SANOBIOL
SOLUCAO GLICOSE 10% 40FR SISTEMA FECHADO 250ML - SANOBIOL
SOLUCAO GLICOSE 10% 500ML - JP
SOLUCAO GLICOSE 10% 500ML (10%) INJ.C/BOLSA PLAST.VIAFLEX 500ML AZB0163 - BAXTER
SOLUCAO GLICOSE 10% 500ML KABIPAC 1510033 - FRESENIUS KABI
SOLUCAO GLICOSE 10% C/10BOLSAS PE 1000ML BLOWPACK - HALEX ISTAR
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
282
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
143105
143104
143107
168728
168727
143184
3865001
766076
134815
45349
12
144665
134812
142310
142325
151426
151433
142324
142309
151429
151436
3865003
766074
144666
134813
142308
151428
151435
3865002
766075
134814
142307
142306
11
134811
151427
154963
151434
150810
143098
143103
143097
143102
143096
143101
143095
143100
143099
DESCRICAO
SOLUCAO GLICOSE 10% C/20BOLSAS PE 500ML BLOWPACK - HALEX ISTAR
SOLUCAO GLICOSE 10% C/40BOLSAS PE 250ML BLOWPACK - HALEX ISTAR
SOLUCAO GLICOSE 10% C/40BOLSAS PVC 250ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOSE 10%SIST.FECH.1000ML LINHAMAX - EUROFARMA
SOLUCAO GLICOSE 10%SIST.FECH.1000ML MED FLEX - EUROFARMA
SOLUCAO GLICOSE 25% AMP 10ML - HALEX ISTAR
SOLUCAO GLICOSE 5% 1000ML - JP
SOLUCAO GLICOSE 5% 1000ML (5%) INJ.BOLSA PLAST.VIAFLEX 1000ML AZB0064 - BAXTER
SOLUCAO GLICOSE 5% 1000ML KABIPAC 1510024 - FRESENIUS KABI
SOLUCAO GLICOSE 5% 100ML - JP
SOLUCAO GLICOSE 5% 100ML (5%) INJ.C/BOLSA PLAST.VIAFLEX 100ML AZB0087 - BAXTER
SOLUCAO GLICOSE 5% 100ML BOLSA FREEFLEX 1510021FFX - FRESENIUS KABI
SOLUCAO GLICOSE 5% 100ML KABIPAC 1510021 - FRESENIUS KABI
SOLUCAO GLICOSE 5% 10AMP 1000ML ECOFLAC PLUS 200135 - B.BRAUN
SOLUCAO GLICOSE 5% 10AMP 500ML ECOFLAC PLUS 3547795 - B.BRAUN
SOLUCAO GLICOSE 5% 12BOLSA SISTEMA FECHADO 1000ML - SANOBIOL
SOLUCAO GLICOSE 5% 12FR SISTEMA FECHADO 1000ML - SANOBIOL
SOLUCAO GLICOSE 5% 20AMP 100ML ECOFLAC PLUS 3547779 - B.BRAUN
SOLUCAO GLICOSE 5% 20AMP 500ML ECOFLAC PLUS 200134 - B.BRAUN
SOLUCAO GLICOSE 5% 20BOLSA SISTEMA FECHADO 500ML. - SANOBIOL
SOLUCAO GLICOSE 5% 20FR SISTEMA FECHADO 500ML - SANOBIOL
SOLUCAO GLICOSE 5% 250ML - JP
SOLUCAO GLICOSE 5% 250ML (5%) INJ.C/BOLSA PLAST.VIAFLEX 250ML AZB0062 - BAXTER
SOLUCAO GLICOSE 5% 250ML BOLSA FREEFLEX 1510022FFX - FRESENIUS KABI
SOLUCAO GLICOSE 5% 250ML KABIPAC 1510022 - FRESENIUS KABI
SOLUCAO GLICOSE 5% 30AMP 250ML ECOFLAC PLUS 200132 - B.BRAUN
SOLUCAO GLICOSE 5% 40BOLSA SISTEMA FECHADO 250ML - SANOBIOL
SOLUCAO GLICOSE 5% 40FR SISTEMA FECHADO 250ML - SANOBIOL
SOLUCAO GLICOSE 5% 500ML - JP
SOLUCAO GLICOSE 5% 500ML (5%) INJ.C/BOLSA PLAST.VIAFLEX 500ML AZB0063 - BAXTER
SOLUCAO GLICOSE 5% 500ML KABIPAC 1510023 - FRESENIUS KABI
SOLUCAO GLICOSE 5% 50AMP 100ML ECOFLAC PLUS 200131 - B.BRAUN
SOLUCAO GLICOSE 5% 50AMP 50ML ECOFLAC PLUS 200130 - B.BRAUN
SOLUCAO GLICOSE 5% 50ML (5%) INJ.C/BOLSA PLAST.VIAFLEX 50ML AZB0086 - BAXTER
SOLUCAO GLICOSE 5% 50ML KABIPAC 1510020 - FRESENIUS KABI
SOLUCAO GLICOSE 5% 80BOLSA SISTEMA FECHADO 125ML - SANOBIOL
SOLUCAO GLICOSE 5% 80BOLSAS SISTEMA FECHADO 100ML - SANOBIOL
SOLUCAO GLICOSE 5% 80FR SISTEMA FECHADO 125ML - SANOBIOL
SOLUCAO GLICOSE 5% BOLSA POLIPROPILENO TRANSP.SIST.FECH.SOLUCAO 50ML CAPACID.P/100ML MEDFLEX - EUROFARMA
SOLUCAO GLICOSE 5% C/10BOLSAS PE 1000ML BLOWPACK - HALEX ISTAR
SOLUCAO GLICOSE 5% C/10BOLSAS PVC 1000ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOSE 5% C/20BOLSAS PE 500ML BLOWPACK - HALEX ISTAR
SOLUCAO GLICOSE 5% C/20BOLSAS PVC 500ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOSE 5% C/40BOLSAS PE 250ML BLOWPACK - HALEX ISTAR
SOLUCAO GLICOSE 5% C/40BOLSAS PVC 250ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOSE 5% C/60BOLSAS PE 100ML BLOWPACK - HALEX ISTAR
SOLUCAO GLICOSE 5% C/60BOLSAS PVC 100ML ISTARBAG - HALEX ISTAR
SOLUCAO GLICOSE 5% C/72BOLSAS PVC 50ML ISTARBAG - HALEX ISTAR
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
283
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
169470
169473
169471
169469
169468
169472
21
137125
143185
143186
161590
35007
35006
134024
134025
3865015
35005
134822
142317
151437
134022
151438
134023
143108
164427
150814
150825
165194
165192
165195
165196
165197
165193
165131
165129
165132
165133
165134
165130
165209
165206
165210
165212
165213
165208
165143
165141
165144
DESCRICAO
SOLUCAO GLICOSE 5% SIST.FECH.12BOL 500ML - EUROFARMA
SOLUCAO GLICOSE 5% SIST.FECH.16FA 1000ML - EUROFARMA
SOLUCAO GLICOSE 5% SIST.FECH.25FA 500ML - EUROFARMA
SOLUCAO GLICOSE 5% SIST.FECH.30FA 250ML - EUROFARMA
SOLUCAO GLICOSE 5% SIST.FECH.40BOL 250ML - EUROFARMA
SOLUCAO GLICOSE 5% SIST.FECH.9BOL 1000ML - EUROFARMA
SOLUCAO GLICOSE 50% 1000ML AZB0260 - BAXTER
SOLUCAO GLICOSE 50% 500ML KABIPAC 1510133 - FRESENIUS KABI
SOLUCAO GLICOSE 50% AMP 10ML - HALEX ISTAR
SOLUCAO GLICOSE 50% AMP 20ML - HALEX ISTAR
SOLUCAO GLICOSE 50% SIST.FECH.1FR 2000ML 1500234 - FRESENIUS KABI
SOLUCAO IRRIGACAO GLICINA 1,5% 3000ML AZB7317 - BAXTER
SOLUCAO IRRIGACAO SORBITOL 3% 3000ML BOLSA PLAST.AZB7357 - BAXTER
SOLUCAO MANITOL 20% 20FR 500ML - EQUIPLEX
SOLUCAO MANITOL 20% 24FR 500ML - EQUIPLEX
SOLUCAO MANITOL 20% 250ML - JP
SOLUCAO MANITOL 20% 250ML AZB5632 - BAXTER
SOLUCAO MANITOL 20% 250ML KABIPAC 1510072 - FRESENIUS KABI
SOLUCAO MANITOL 20% 30AMP 250ML ECOFLAC PLUS 200172 - B.BRAUN
SOLUCAO MANITOL 20% 40BOLSA SISTEMA FECHADO 250ML - SANOBIOL
SOLUCAO MANITOL 20% 40FR 250ML - EQUIPLEX
SOLUCAO MANITOL 20% 40FR SISTEMA FECHADO 250ML - SANOBIOL
SOLUCAO MANITOL 20% 48FR 250ML - EQUIPLEX
SOLUCAO MANITOL 20% C/40BOLSAS PE 250ML BLOWPACK - HALEX ISTAR
SOLUCAO MANITOL 20% SIST.FECH.250ML FFX 1510072FFX-50 - FRESENIUS KABI
SOLUCAO MANITOL BOLSA POLIPROPILENO TRANSP.SIST.FECH.250ML MEDFLEX - EUROFARMA
SOLUCAO MANITOL FRASCO POLIPROPILENO TRANSP.SIST.FECH.250ML LINHAMAX - EUROFARMA
SOLUCAO NUTRICAO PARENTERAL 2:1 S/LIPIDEOS C/GLUTAMINA CENTRAL BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 2:1 S/LIPIDEOS C/GLUTAMINA CENTRAL BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 2:1 S/LIPIDEOS C/GLUTAMINA CENTRAL BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 2:1 S/LIPIDEOS C/GLUTAMINA CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 2:1 S/LIPIDEOS C/GLUTAMINA CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 2:1 S/LIPIDEOS C/GLUTAMINA CENTRAL BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 2:1 S/LIPIDEOS CENTRAL BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 2:1 S/LIPIDEOS CENTRAL BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 2:1 S/LIPIDEOS CENTRAL BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 2:1 S/LIPIDEOS CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 2:1 S/LIPIDEOS CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 2:1 S/LIPIDEOS CENTRAL BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPERPROTEICA C/GLUTAMINA CENTRAL BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPERPROTEICA C/GLUTAMINA CENTRAL BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPERPROTEICA C/GLUTAMINA CENTRAL BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPERPROTEICA C/GLUTAMINA CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPERPROTEICA C/GLUTAMINA CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPERPROTEICA C/GLUTAMINA CENTRAL BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPERPROTEICA CENTRAL BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPERPROTEICA CENTRAL BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPERPROTEICA CENTRAL BOLSA 1501-2000ML - NUTRO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
284
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
165145
165146
165142
165238
165236
165239
165240
165241
165237
165171
165169
165172
165173
165175
165170
165188
165186
165189
165190
165191
165187
165231
165229
165232
165233
165234
165230
165162
165160
165163
165165
165166
165161
165224
165222
165225
165227
165228
165223
165155
165153
165156
165157
165158
165154
165214
165215
165217
DESCRICAO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPERPROTEICA CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPERPROTEICA CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPERPROTEICA CENTRAL BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPOLIPIDICA C/GLUTAMINA CENTRAL BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPOLIPIDICA C/GLUTAMINA CENTRAL BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPOLIPIDICA C/GLUTAMINA CENTRAL BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPOLIPIDICA C/GLUTAMINA CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPOLIPIDICA C/GLUTAMINA CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPOLIPIDICA C/GLUTAMINA CENTRAL BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPOLIPIDICA CENTRAL BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPOLIPIDICA CENTRAL BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPOLIPIDICA CENTRAL BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPOLIPIDICA CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPOLIPIDICA CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 HIPOLIPIDICA CENTRAL BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 IMUNOMODULADORA C/GLUTAMINA/OMEGA3 CENTRAL BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 IMUNOMODULADORA C/GLUTAMINA/OMEGA3 CENTRAL BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 IMUNOMODULADORA C/GLUTAMINA/OMEGA3 CENTRAL BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 IMUNOMODULADORA C/GLUTAMINA/OMEGA3 CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 IMUNOMODULADORA C/GLUTAMINA/OMEGA3 CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 IMUNOMODULADORA C/GLUTAMINA/OMEGA3 CENTRAL BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 NORMAL C/GLUTAMINA CENTRAL BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 NORMAL C/GLUTAMINA CENTRAL BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 NORMAL C/GLUTAMINA CENTRAL BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 NORMAL C/GLUTAMINA CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 NORMAL C/GLUTAMINA CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 NORMAL C/GLUTAMINA CENTRAL BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 NORMAL CENTRAL BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 NORMAL CENTRAL BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 NORMAL CENTRAL BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 NORMAL CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 NORMAL CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 NORMAL CENTRAL BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 RICA AA RAMIFICADO C/GLUTAMINA CENTRAL BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 RICA AA RAMIFICADO C/GLUTAMINA CENTRAL BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 RICA AA RAMIFICADO C/GLUTAMINA CENTRAL BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 RICA AA RAMIFICADO C/GLUTAMINA CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 RICA AA RAMIFICADO C/GLUTAMINA CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 RICA AA RAMIFICADO C/GLUTAMINA CENTRAL BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 RICA AA RAMIFICADO CENTRAL BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 RICA AA RAMIFICADO CENTRAL BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 RICA AA RAMIFICADO CENTRAL BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 RICA AA RAMIFICADO CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 RICA AA RAMIFICADO CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 RICA AA RAMIFICADO CENTRAL BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 S/ELETROLITOS C/GLUTAMINA CENTRAL 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 S/ELETROLITOS C/GLUTAMINA CENTRAL 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 S/ELETROLITOS C/GLUTAMINA CENTRAL BOLSA 1001-1500ML - NUTRO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
285
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
165218
165219
165220
165149
165147
165150
165151
165152
165148
165180
165177
165181
165183
165185
165178
165246
165243
165247
165248
165249
165245
165201
165199
165202
165204
165205
165200
165137
165135
165138
165139
165140
165136
165258
165251
165250
165253
165254
165255
165256
165257
2395027
143142
143143
32301
55763
141456
3865019
DESCRICAO
SOLUCAO NUTRICAO PARENTERAL 3:1 S/ELETROLITOS C/GLUTAMINA CENTRAL BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 S/ELETROLITOS C/GLUTAMINA CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 S/ELETROLITOS C/GLUTAMINA CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 S/ELETROLITOS CENTRAL BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 S/ELETROLITOS CENTRAL BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 S/ELETROLITOS CENTRAL BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 S/ELETROLITOS CENTRAL BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 S/ELETROLITOS CENTRAL BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL 3:1 S/ELETROLITOS CENTRAL BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA C/LIPIDEOS PERIFERICA BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA C/LIPIDEOS PERIFERICA BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA C/LIPIDEOS PERIFERICA BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA C/LIPIDEOS PERIFERICA BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA C/LIPIDEOS PERIFERICA BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA C/LIPIDEOS PERIFERICA BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA C/LIPIDEOS/GLUTAMINA PERIFERICA BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA C/LIPIDEOS/GLUTAMINA PERIFERICA BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA C/LIPIDEOS/GLUTAMINA PERIFERICA BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA C/LIPIDEOS/GLUTAMINA PERIFERICA BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA C/LIPIDEOS/GLUTAMINA PERIFERICA BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA C/LIPIDEOS/GLUTAMINA PERIFERICA BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA S/LIPIDEOS C/GLUTAMINA PERIFERICA BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA S/LIPIDEOS C/GLUTAMINA PERIFERICA BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA S/LIPIDEOS C/GLUTAMINA PERIFERICA BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA S/LIPIDEOS C/GLUTAMINA PERIFERICA BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA S/LIPIDEOS C/GLUTAMINA PERIFERICA BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA S/LIPIDEOS C/GLUTAMINA PERIFERICA BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA S/LIPIDEOS PERIFERICA BOLSA 1001-1500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA S/LIPIDEOS PERIFERICA BOLSA 1-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA S/LIPIDEOS PERIFERICA BOLSA 1501-2000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA S/LIPIDEOS PERIFERICA BOLSA 2001-2500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA S/LIPIDEOS PERIFERICA BOLSA 2501-3000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL HIPOCALORICA S/LIPIDEOS PERIFERICA BOLSA 501-1000ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL INDIVID.ADU.1ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL PADRAO INDIVID.NEO/PED.BOLSA 101-200ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL PADRAO INDIVID.NEO/PED.BOLSA 1-100ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL PADRAO INDIVID.NEO/PED.BOLSA 201-300ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL PADRAO INDIVID.NEO/PED.BOLSA 301-400ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL PADRAO INDIVID.NEO/PED.BOLSA 401-500ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL PADRAO INDIVID.NEO/PED.BOLSA 501-600ML - NUTRO
SOLUCAO NUTRICAO PARENTERAL PADRAO INDIVID.NEO/PED.BOLSA ACIMA 601ML - NUTRO
SOLUCAO P/DIALISE PERITONEAL 1,5% 1000ML KABIPAC 1510114 - FRESENIUS KABI
SOLUCAO P/DIALISE PERITONEAL 1,5% C/10BOLSAS PE 1000ML BLOWPACK - HALEX ISTAR
SOLUCAO P/DIALISE PERITONEAL 1,5% C/6BOLSAS PE 2000ML BLOWPACK - HALEX ISTAR
SOLUCAO PARENTERAL AMINOACIDO 10% 250ML PRIMENE 3CG133X29 - BAXTER
SOLUCAO PEDIAMINO TAU 500ML S9341SS - B.BRAUN
SOLUCAO PURISOLE SM 1000ML 1500234KB - FRESENIUS KABI
SOLUCAO RINGER 500ML - JP
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
286
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
143113
143116
143112
143115
143111
143114
3865020
142316
134021
142315
134019
134020
3865022
134017
134018
3865021
169474
169475
150813
150827
143119
143122
143118
143121
143117
143120
150824
150823
151439
32303
134825
151441
151440
151442
766081
134824
142314
134016
151443
134014
151444
134015
134012
134013
14
134823
150812
150811
DESCRICAO
SOLUCAO RINGER C/10BOLSAS PE 1000ML BLOWPACK - HALEX ISTAR
SOLUCAO RINGER C/10BOLSAS PVC 1000ML ISTARBAG - HALEX ISTAR
SOLUCAO RINGER C/20BOLSAS PE 500ML BLOWPACK - HALEX ISTAR
SOLUCAO RINGER C/20BOLSAS PVC 500ML ISTARBAG - HALEX ISTAR
SOLUCAO RINGER C/40BOLSAS PE 250ML BLOWPACK - HALEX ISTAR
SOLUCAO RINGER C/40BOLSAS PVC 250ML ISTARBAG - HALEX ISTAR
SOLUCAO RINGER C/LACTATO 1000ML - JP
SOLUCAO RINGER C/LACTATO 10FA 1000ML ECOFLAC PLUS 200165 - B.BRAUN
SOLUCAO RINGER C/LACTATO 12FR 1000ML - EQUIPLEX
SOLUCAO RINGER C/LACTATO 20FA 500ML ECOFLAC PLUS 200164 - B.BRAUN
SOLUCAO RINGER C/LACTATO 20FR 500ML - EQUIPLEX
SOLUCAO RINGER C/LACTATO 24FR 500ML - EQUIPLEX
SOLUCAO RINGER C/LACTATO 250ML - JP
SOLUCAO RINGER C/LACTATO 40FR 250ML - EQUIPLEX
SOLUCAO RINGER C/LACTATO 48FR 250ML - EQUIPLEX
SOLUCAO RINGER C/LACTATO 500ML - JP
SOLUCAO RINGER C/LACTATO 6+0,3+0,2+3MG/ML SIST.FECH.12BOL 500ML - EUROFARMA
SOLUCAO RINGER C/LACTATO 6+0,3+0,2+3MG/ML SIST.FECH.25FA 500ML - EUROFARMA
SOLUCAO RINGER C/LACTATO BOLSA POLIPROPILENO TRANSP.SIST.FECH.6+0,3+0,2+3MG/ML 250ML MEDFLEX - EUROFARMA
SOLUCAO RINGER C/LACTATO BOLSA POLIPROPILENO TRANSP.SIST.FECH.8,6+0,3+0,33MG/ML 1000ML MEDFLEX - EUROFARMA
SOLUCAO RINGER C/LACTATO C/10BOLSAS PE 1000ML BLOWPACK - HALEX ISTAR
SOLUCAO RINGER C/LACTATO C/10BOLSAS PVC 1000ML ISTARBAG - HALEX ISTAR
SOLUCAO RINGER C/LACTATO C/20BOLSAS PE 500ML BLOWPACK - HALEX ISTAR
SOLUCAO RINGER C/LACTATO C/20BOLSAS PVC 500ML ISTARBAG - HALEX ISTAR
SOLUCAO RINGER C/LACTATO C/40BOLSAS PE 250ML BLOWPACK - HALEX ISTAR
SOLUCAO RINGER C/LACTATO C/40BOLSAS PVC 250ML ISTARBAG - HALEX ISTAR
SOLUCAO RINGER C/LACTATO FRASCO POLIPROPILENO TRANSP.SIST.FECH.6+0,3+0,2+3MG/ML 1000ML LINHAMAX - EUROFARMA
SOLUCAO RINGER C/LACTATO FRASCO POLIPROPILENO TRANSP.SIST.FECH.6+0,3+0,2+3MG/ML 250ML LINHAMAX - EUROFARMA
SOLUCAO RINGER C/LACTATO SOD 12BOL.SIST.FECH.1000ML - SANOBIOL
SOLUCAO RINGER C/LACTATO SODIO 1000ML (6+0,3+0,2+3,1)MG/ML INJ.C/BOLSA PLAST.VIAFLEX 1000ML AZB2324 - BAXTER
SOLUCAO RINGER C/LACTATO SODIO 1000ML KABIPAC 1510094 - FRESENIUS KABI
SOLUCAO RINGER C/LACTATO SODIO 12FR SISTEMA FECHADO 1000ML - SANOBIOL
SOLUCAO RINGER C/LACTATO SODIO 20BOLSA SISTEMA FECHADO 500ML - SANOBIOL
SOLUCAO RINGER C/LACTATO SODIO 20FR SISTEMA FECHADO 500ML - SANOBIOL
SOLUCAO RINGER C/LACTATO SODIO 500ML (6+0,3+0,2+3,1)MG/ML INJ.C/BOLSA VIAFLEX 500ML AZB2323 - BAXTER
SOLUCAO RINGER C/LACTATO SODIO 500ML KABIPAC 1510093 - FRESENIUS KABI
SOLUCAO RINGER NR.3 SOL.INJ.20AMP 500ML ECOFLAC PLUS - B.BRAUN
SOLUCAO RINGER SIMPLES 12FR 1000ML - EQUIPLEX
SOLUCAO RINGER SIMPLES 20BOLSA SISTEMA FECHADO 500ML - SANOBIOL
SOLUCAO RINGER SIMPLES 20FR 500ML - EQUIPLEX
SOLUCAO RINGER SIMPLES 20FR SISTEMA FECHADO 500ML - SANOBIOL
SOLUCAO RINGER SIMPLES 24FR 500ML - EQUIPLEX
SOLUCAO RINGER SIMPLES 40FR 250ML - EQUIPLEX
SOLUCAO RINGER SIMPLES 48FR 250ML - EQUIPLEX
SOLUCAO RINGER SIMPLES 500ML AZB2303 - BAXTER
SOLUCAO RINGER SIMPLES 500ML KABIPAC 1510083 - FRESENIUS KABI
SOLUCAO RINGER SIMPLES BOLSA POLIPROPILENO TRANSP.SIST.FECH.8,6+0,3+0,33MG/ML 1000ML MEDFLEX - EUROFARMA
SOLUCAO RINGER SIMPLES BOLSA POLIPROPILENO TRANSP.SIST.FECH.8,6+0,3+0,33MG/ML 250ML MEDFLEX - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
287
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
150822
150821
143220
143221
119870
119871
160186
6820083
31331
145235
84659
145236
84658
5440044
94087
94086
5440017
97112
84362
40050
132041
40051
132042
131066
131067
131068
20829
5440052
41967
77096
91305
102297
102296
77097
93999
151412
102298
151413
6880084
6880081
6880082
23682
23681
26775
1960057
7380068
47761
47762
DESCRICAO
SOLUCAO RINGER SIMPLES FRASCO POLIPROPILENO TRANSP.SIST.FECH.8,6+0,3+0,33MG/ML 1000ML LINHAMAX - EUROFARMA
SOLUCAO RINGER SIMPLES FRASCO POLIPROPILENO TRANSP.SIST.FECH.8,6+0,3+0,33MG/ML 250ML LINHAMAX - EUROFARMA
SOLUCAO SALINA BALANCEADA BOLSA 250ML SIST.FECH.SOLUFLEX - HALEX ISTAR
SOLUCAO SALINA BALANCEADA BOLSA 500ML SIST.FECH.SOLUFLEX - HALEX ISTAR
SOLU-CORTEF 100MG PO LIOF.50FA - UNIAO QUIMICA
SOLU-CORTEF 500MG PO LIOF.50FA - UNIAO QUIMICA
SOLUDERM SOL.30ML C/IODO+APLIC. - RIOQUIMICA
SOLUGEL 4% 45GRS - STIEFEL
SOLUGEL PLUS 8% 45GRS - STIEFEL
SOLU-PRED 1G 1FA - ASPEN
SOLU-PRED 1G 1FA+DIL - ASPEN
SOLU-PRED 500MG 1FA - ASPEN
SOLU-PRED 500MG 1FA+DIL - ASPEN
SOMALGIN CARDIO 100MG 8X4CPDS - SIGMA PHARMA
SOMALGIN CARDIO 162MG 4X8CPDS - SIGMA PHARMA
SOMALGIN CARDIO 200MG 4X8CPDS - SIGMA PHARMA
SOMALGIN CARDIO 325MG 8X4CPDS - SIGMA PHARMA
SOMALGIN CARDIO 81MG 32CPDS - SIGMA PHARMA
SOMALIUM 2,5MG/ML GTS.20ML - ACHE
SOMALIUM 3MG 20CPDS - ACHE
SOMALIUM 3MG 30CPDS - ACHE
SOMALIUM 6MG 20CPDS - ACHE
SOMALIUM 6MG 30CPDS - ACHE
SOMAVERT 10MG PO 30+30FA DIL. - PFIZER
SOMAVERT 15MG PO 30+30FA DIL. - PFIZER
SOMAVERT 20MG PO 30+30FA DIL. - PFIZER
SOMAZINA 500MG 15CPDS REV. - ABBOTT SAUDE
SONEBON 2X10CPDS - SIGMA PHARMA
SONORIPAN 50MG 30CPDS - MARJAN
SONRIDOR 12CART 2CPDS - GLAXOSMITH
SONRIDOR 15CART 4CPDS - GLAXOSMITH
SONRIDOR 2CPDS F.V - GLAXOSMITH
SONRIDOR 4CPDS F.V - GLAXOSMITH
SONRIDOR 5CART 2CPDS - GLAXOSMITH
SONRIDOR CAF 12CART 2CPDS - GLAXOSMITH
SONRIDOR CAF 15CART 4CPDS - GLAXOSMITH
SONRIDOR CAF 2CPDS F.V - GLAXOSMITH
SONRIDOR CAF 4CPDS F.V - GLAXOSMITH
SONRISAL 2CPDS F.V - GLAXOSMITH
SONRISAL 30CART 2CPDS - GLAXOSMITH
SONRISAL 5CART 2CPDS - GLAXOSMITH
SONRISAL LIM.2CPDS F.V - GLAXOSMITH
SONRISAL LIM.30CART 2CPDS - GLAXOSMITH
SORAMIN 10% 1000ML - DARROW
SORAMIN 10% 50ML - DARROW
SORCAL 60ENV 30GRS EMB.MULT. - WYETH
SORINAN ADU.30ML - PHARMASCIENCE
SORINAN INF.30ML - PHARMASCIENCE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
288
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
40062
136745
40039
115322
106885
142305
142304
145080
142112
142113
123153
55374
152117
104336
72292
77967
135405
135406
1260084
1260130
91606
144939
76077
104930
110905
136661
7460028
38683
38685
136662
139806
69273
485038
485055
485037
3940001
3940066
36336
3940065
6500093
38354
124512
124513
169789
169788
169793
169792
169791
DESCRICAO
SORINE ADULTO GTS.30ML - ACHE
SORINE H 30MG/ML SOL.NASAL 60ML - ACHE
SORINE INFANTIL GTS.30ML+CGT - ACHE
SORINE INFANTIL GTS.45ML+CGT - ACHE
SORINE SSC 9MG/ML SOL.NASAL 50ML - ACHE
SORO GLICOFISIOLOGICO 50+9MG/ML SOL.INJ.10AMP 1000ML ECOFLAC PLUS 200125 - B.BRAUN
SORO GLICOFISIOLOGICO 50+9MG/ML SOL.INJ.20AMP 500ML ECOFLAC PLUS 200124 - B.BRAUN
SOROCLIM 0,5MG/ML SOL.NASAL 30ML - ELOFAR
SOROFAR 9MG/ML SOL.NASAL 30ML - ELOFAR
SOROFAR H 30MG/ML SOL.NASAL 60ML SPRAY - ELOFAR
SOROLIV 0,5+0,01+9MG/ML SOL.NASAL ADU.30ML - TEUTO BRAS
SOROLIV 9+0,1MG/ML SOL.NASAL 30ML - TEUTO BRAS
SOROLIV HIPERTONICO 30MG/ML SPRAY 60ML - TEUTO BRAS
SORONAL SOL.NASAL ADU.30ML - CIMED
SORUM 30ML - OSORIO DE MORAES
SORUM 50X30ML - OSORIO DE MORAES
SO-SORO AD ADU.0,5MG/ML 30ML - CIFARMA
SO-SORO INF.30ML - CIFARMA
SOTACOR 120MG 30CPDS - BRISTOL
SOTACOR 160MG 20CPDS - BRISTOL
SOTAHEXAL 160MG 20CPDS - HEXAL
SOYFEMME 150MG 20CAPS GEL. - ACHE
SOYFEMME 150MG 30CAPS GEL. - ACHE
SOYFIT 50MG 2X14CPDS - JANSSEN-CILAG
SOYNATI 150MG 30CPDS - PHARMASCIENCE
SPIDUFEN 400MG 10ENV MENTA - ZAMBON
SPIDUFEN 400MG 20ENV - ZAMBON
SPIDUFEN 400MG 6ENV - ZAMBON
SPIDUFEN 600MG 10ENV - ZAMBON
SPIDUFEN 600MG 10ENV MENTA - ZAMBON
SPIRIVA RESPIMAT 2,5MCG/DOSE SOL.INAL.4ML(60DOSES) - BOEHRINGER
SPIROCTAN 25MG 30CPDS - BIOLAB SANUS
SPLENDIL 10MG 2BLX10CPDS LIB.PROLONG. - ASTRAZENECA
SPLENDIL 2,5MG 2BLX10CPDS LIB.PROLONG. - ASTRAZENECA
SPLENDIL 5MG 2BLX10CPDS LIB.PROLONG. - ASTRAZENECA
SPORANOX 100MG 10CAPS - JANSSEN-CILAG
SPORANOX 100MG 15CAPS - JANSSEN-CILAG
SPORANOX 100MG 28CAPS - JANSSEN-CILAG
SPORANOX 100MG 4CAPS - JANSSEN-CILAG
SPOROSTATIN 500MG 20CPDS - MANTECORP
SPOZOL 100MG 4CAPS - DELTA
SPRYCEL 20MG 60CPDS - BRISTOL
SPRYCEL 50MG 60CPDS - BRISTOL
STABIL 0,125MG 30CPDS - ACHE
STABIL 0,125MG 7CPDS - ACHE
STABIL 1MG 30CPDS - ACHE
STABIL 1MG 7CPDS - ACHE
STABIL 25MG 30CPDS - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
289
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
169790
6600023
77836
1260103
92969
92970
92971
92972
92973
92974
145023
64016
64017
84207
84208
35379
35380
35381
151926
151927
137096
144475
2385021
2385022
130440
160788
127918
6820049
6820050
6820051
6820058
6820052
6580023
41390
35026
2900071
2400015
2400040
150805
150803
170633
170634
143000
143001
71674
3440072
3440054
3440055
DESCRICAO
STABIL 25MG 7CPDS - ACHE
STABLON 12,5MG 30DRGS - SERVIER
STABLON 12,5MG 60DRGS - SERVIER
STAFICILIN N 500MG 50FA - BRISTOL
STALEVO 100MG 10CPDS REV. - NOVARTIS
STALEVO 100MG 30CPDS REV. - NOVARTIS
STALEVO 150MG 10CPDS REV. - NOVARTIS
STALEVO 150MG 30CPDS REV. - NOVARTIS
STALEVO 50MG 10CPDS REV. - NOVARTIS
STALEVO 50MG 30CPDS REV. - NOVARTIS
STANDOR 500MG 24CPDS - UNIAO QUIMICA
STARFORM 120+500MG 48+48CPDS - NOVARTIS
STARFORM 120+500MG 84+84CPDS - NOVARTIS
STARFORM 120+850MG 48+48CPDS REV. - NOVARTIS
STARFORM 120+850MG 84+84CPDS REV. - NOVARTIS
STARLIX 120MG 24CPDS - NOVARTIS
STARLIX 120MG 48CPDS - NOVARTIS
STARLIX 120MG 84CPDS - NOVARTIS
STAVIGILE 100MG 10CPDS - LIBBS
STAVIGILE 100MG 30CPDS - LIBBS
STAVIGILE 200MG 30CPDS - LIBBS
STELARA 45MG 1FA 0,5ML - JANSSEN-CILAG
STELAZINE 2MG 20CPDS - GLAXOSMITH
STELAZINE 5MG 20CPDS - GLAXOSMITH
STELE 1MG/G CMR.VAG.50G+ 5APLIC. - BIOLAB SANUS
STER 1,2MG/ML SUSP.OFT.10ML - UNIAO QUIMICA
STER 10MG/ML SUSP.OFT.5ML - UNIAO QUIMICA
STIEFCORTIL CAPILAR 60ML - STIEFEL
STIEFCORTIL CRM.30GRS - STIEFEL
STIEFCORTIL POM.30GRS - STIEFEL
STIEMYCIN 2% 120ML - STIEFEL
STIEMYCIN GEL 60GRS - STIEFEL
STILAMIN 3MG/ML PO LIOF.1AMP+DIL.1ML - MERCK S.A.
STILGRIP GRAN.50SACH - KLEY HERTZ
STILL 1MG/G POM.OFT.3,5G - ALLERGAN
STILL 1MG/ML SOL.OFT.5ML - ALLERGAN
STILNOX 10CPDS - SANOFI-AVENTIS
STILNOX 20CPDS - SANOFI-AVENTIS
STILNOX CR 12,5MG 20CPDS LIB.PROLONG. - SANOFI-AVENTIS
STILNOX CR 6,25MG 20CPDS LIB.PROLONG. - SANOFI-AVENTIS
STILRAM 10MG 2BLX10CPDS REV. - LEGRAND PRESCRICAO
STILRAM 10MG 2BLX15CPDS REV. - LEGRAND PRESCRICAO
STIMULANCE MULTI FIBER 10X5GRS - EUROFARMA
STIMULANCE MULTI FIBER 225 GRS - EUROFARMA
STOCRIN 600MG 30CAPS - MERCK S.D.
STREPTASE 1500000UI PO LIOF.1FA - CSL BEHRING
STREPTASE 250000UI PO LIOF.1FA - CSL BEHRING
STREPTASE 750000UI PO LIOF.1FA - CSL BEHRING
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
290
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
340023
35589
3940067
3940068
150957
149016
139190
139191
123115
35541
35539
127997
159632
127998
99491
99490
7080212
7080213
70636
70637
47494
47495
168835
42596
159318
159317
63912
63913
84660
104011
84661
104012
115285
115286
115284
140750
140751
140752
123979
140755
92980
138719
92979
47218
84222
138720
129349
163909
DESCRICAO
STRESSTABS C/ZINCO 600 30CPDS - WYETH CONSUMER
STUGERINA 75MG 30CPDS - HEXAL
STUGERON 25MG 30CPDS - JANSSEN-CILAG
STUGERON 75MG 30CPDS - JANSSEN-CILAG
SUAVEBABY POM.45MG - VITAPAN
SUAVEBABY POM.45MG CX 50BG - VITAPAN
SUAVICID CRM.15GRS - LEGRAND TARJARDOS
SUAVICID CRM.30GRS - LEGRAND TARJARDOS
SUCCINATO SODICO CLORANFENICOL GEN.1G 50FA 10ML PO LIOF. - NOVAFARMA
SUCCINATO SODICO HIDROCORTISONA GEN.100MG 50FA - EUROFARMA
SUCCINATO SODICO HIDROCORTISONA GEN.500MG 50FA - EUROFARMA
SUCCINATO SODICO METILPREDNISOLONA GEN.125MG 25FA 8ML+DIL. - NOVAFARMA
SUCCINATO SODICO METILPREDNISOLONA GEN.1G PO LIOF.25FA+DIL.16ML - NOVAFARMA
SUCCINATO SODICO METILPREDNISOLONA GEN.500MG 25FA 8ML+DIL. - NOVAFARMA
SUCCINATO SUMATRIPTANO GEN.100MG 2CPDS - ARROW
SUCCINATO SUMATRIPTANO GEN.50MG 2CPDS - ARROW
SUCCINIL 100MG PO LIOF.1FA - UNIAO QUIMICA
SUCCINIL 500MG PO LIOF.1FA - UNIAO QUIMICA
SUCCITRAT 100MG 1FA - ARISTON
SUCCITRAT 500MG 1FA - ARISTON
SUCRAFILM 1G 5X6CPDS - SIGMA PHARMA
SUCRAFILM 2G 20FLAC 10ML - SIGMA PHARMA
SUCROFER 20MG/ML SOL.INJ.5FA 5ML - MEIZLER
SUFENTA 50MCG/ML SOL.INJ.5AMP 1ML - JANSSEN-CILAG
SUFENTA 50MCG/ML SOL.INJ.5AMP 5ML(EMB.HOSP) - JANSSEN-CILAG
SUFENTA 5MCG/ML SOL.INJ.5AMP 2ML(EMB.HOSP) - JANSSEN-CILAG
SULBACTAM+AMPICILINA GEN.1,5G 20FA+DIL 3,2ML - EUROFARMA
SULBACTAM+AMPICILINA GEN.3,0G 20FA+DIL 6,4ML - EUROFARMA
SULBACTER 1000+500MG 20FA+DIL 10ML - ASPEN
SULBACTER 1000+500MG 30FA - ASPEN
SULBACTER 2000+1000MG 20FA+DIL 10ML - ASPEN
SULBACTER 2000+1000MG 30FA - ASPEN
SULBAMOX BD 200+50MG/ML 30ML - FARMASA
SULBAMOX BD 200+50MG/ML 60ML - FARMASA
SULBAMOX BD 875+125MG 14CPDS - FARMASA
SULFADIAZINA PRATA GEN.10MG/G CRM.30GRS - PRATI-DONADUZZI
SULFADIAZINA PRATA GEN.10MG/G CRM.50GRS - PRATI-DONADUZZI
SULFADIAZINA PRATA GEN.10MG/G CRM.DERM.120GRS - PRATI-DONADUZZI
SULFADIAZINA PRATA GEN.10MG/G CRM.DERM.30G - UNIAO QUIMICA
SULFADIAZINA PRATA GEN.10MG/G CRM.VAG.30GRS+6APLIC - PRATI-DONADUZZI
SULFAMETOXAZOL+TRIMETOPRIMA GEN.40+8MG/ML 100ML - NEOQUIMICA
SULFAMETOXAZOL+TRIMETOPRIMA GEN.40+8MG/ML 50FRX100ML - TEUTO BRAS
SULFAMETOXAZOL+TRIMETOPRIMA GEN.40+8MG/ML 60ML - NEOQUIMICA
SULFAMETOXAZOL+TRIMETOPRIMA GEN.40+8MG/ML SUSP.ORAL 100ML - EMS GENERICOS
SULFAMETOXAZOL+TRIMETOPRIMA GEN.40+8MG/ML SUSP.ORAL 100ML - TEUTO BRAS
SULFAMETOXAZOL+TRIMETOPRIMA GEN.40+8MG/ML SUSP.ORAL 100ML+COPO MEDIDOR - TEUTO BRAS
SULFAMETOXAZOL+TRIMETOPRIMA GEN.40+8MG/ML SUSP.ORAL 50X50ML - TEUTO BRAS
SULFAMETOXAZOL+TRIMETOPRIMA GEN.400+80G 20CPDS - VITAPAN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
291
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
163910
111321
162624
162958
153625
142133
37015
162961
142135
145815
162628
115035
115039
115033
120718
67858
141156
141872
133471
105294
105295
3555060
153760
143222
165959
165960
138144
140756
39093
39094
47219
140758
140759
159316
136786
92760
166044
68430
84767
120723
166025
31253
35312
166026
129350
142103
142104
150353
DESCRICAO
SULFAMETOXAZOL+TRIMETOPRIMA GEN.400+80G 500CPDS - VITAPAN
SULFAMETOXAZOL+TRIMETOPRIMA GEN.400+80MG 100CPDS - TEUTO BRAS
SULFAMETOXAZOL+TRIMETOPRIMA GEN.400+80MG 120CPDS - PRATI-DONADUZZI
SULFAMETOXAZOL+TRIMETOPRIMA GEN.400+80MG 20CPDS - SANDOZ
SULFAMETOXAZOL+TRIMETOPRIMA GEN.400+80MG 20CPDS - CIMED
SULFAMETOXAZOL+TRIMETOPRIMA GEN.400+80MG 20CPDS - PRATI-DONADUZZI
SULFAMETOXAZOL+TRIMETOPRIMA GEN.400+80MG 20CPDS - TEUTO BRAS
SULFAMETOXAZOL+TRIMETOPRIMA GEN.800+160MG 10CPDS - SANDOZ
SULFAMETOXAZOL+TRIMETOPRIMA GEN.800+160MG 10CPDS - PRATI-DONADUZZI
SULFAMETOXAZOL+TRIMETOPRIMA GEN.800+160MG 10CPDS - TEUTO BRAS
SULFAMETOXAZOL+TRIMETOPRIMA GEN.800+160MG 120CPDS - PRATI-DONADUZZI
SULFATO AMICACINA GEN.125MG/ML 50AMP 2ML - NOVAFARMA
SULFATO AMICACINA GEN.250MG/ML 50AMP 2ML - NOVAFARMA
SULFATO AMICACINA GEN.50MG/ML 50AMP 2ML - NOVAFARMA
SULFATO ATROPINA GEN.INJ.0,250MG 100AMP 1ML - HIPOLABOR
SULFATO GENTAMICINA GEN.80MG/2ML 1AMP 2ML - NEOQUIMICA
SULFATO GENTAMICINA+FOSFATO DISSODICO BETAMETASONA GEN.3+1MG/ML SOL.OFT.10ML - EMS GENERICOS
SULFATO GENTAMICINA+FOSFATO DISSODICO BETAMETASONA GEN.3+1MG/ML SOL.OFT.10ML - GERMED GENERICOS
SULFATO HIDROXICLOROQUINA GEN.400MG 30CPDS REV. - SANOFI-AVENTIS
SULFATO MAGNESIO 10% AMP.PLAST.100UNID 10ML - ISOFARMA
SULFATO MAGNESIO 10% AMP.PLAST.200UNID 10ML - ISOFARMA
SULFATO MAGNESIO 30GRS - ICAR
SULFATO MAGNESIO 50% 100AMP 10ML - HYPOFARMA
SULFATO MAGNESIO 50% AMP 10ML - HALEX ISTAR
SULFATO MAGNESIO 50% AMP.PLAST.100UNID 10ML - ISOFARMA
SULFATO MAGNESIO 50% AMP.PLAST.200UNID 10ML - ISOFARMA
SULFATO MORFINA GEN.100X1ML - HIPOLABOR
SULFATO NEOMICINA GEN.3,5MG/G POM.DERM.20GRS - PRATI-DONADUZZI
SULFATO NEOMICINA+BACITRACINA GEN.15GRS - MEDLEY
SULFATO NEOMICINA+BACITRACINA GEN.50GRS - MEDLEY
SULFATO NEOMICINA+BACITRACINA GEN.5MG+250UI/G POM.15G - EMS GENERICOS
SULFATO NEOMICINA+BACITRACINA ZINCICA GEN.5MG/G+250UI/G POM.DERM.15GRS - PRATI-DONADUZZI
SULFATO NEOMICINA+BACITRACINA ZINCICA GEN.5MG/G+250UI/G POM.DERM.50GRS - PRATI-DONADUZZI
SULFATO NEOMICINA+BACITRACINA ZINCICA GEN.5MG+250UI/G POM.DERM.15GRS - NEOQUIMICA
SULFATO NEOMICINA+BACITRACINA ZINCICA GEN.POM.DERM.15GRS - CIMED
SULFATO POLIMIXINA B GEN.500MG 5FA - EUROFARMA
SULFATO SALBUTAMOL GEN.0,48MG/ML XPE 120ML+COPO MEDIDOR - PRATI-DONADUZZI
SULFATO SALBUTAMOL GEN.0,4MG XPE.120ML - MEDLEY
SULFATO SALBUTAMOL GEN.0,4MG/ML 120ML - CRISTALIA
SULFATO SALBUTAMOL GEN.0,4MG/ML 50X120 VD. - HIPOLABOR
SULFATO SALBUTAMOL GEN.0,4MG/ML SOL.ORAL 100ML+CP.MED. - MARIOL
SULFATO SALBUTAMOL GEN.0,4MG/ML SOL.ORAL 120ML - TEUTO BRAS
SULFATO SALBUTAMOL GEN.0,4MG/ML SOL.ORAL 120ML - EMS GENERICOS
SULFATO SALBUTAMOL GEN.0,4MG/ML SOL.ORAL 120ML+CP.MED. - MARIOL
SULFATO SALBUTAMOL GEN.0,4MG/ML SOL.ORAL 50X120ML - TEUTO BRAS
SULFATO SALBUTAMOL GEN.0,4MG/ML SOL.ORAL PET 120ML - TEUTO BRAS
SULFATO SALBUTAMOL GEN.0,4MG/ML SOL.ORAL PET 50X120ML - TEUTO BRAS
SULFATO SALBUTAMOL GEN.0,4MG/ML XPE 120ML+COPO MEDIDOR - PRATI-DONADUZZI
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
292
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
166980
166981
166982
166983
48143
100230
120760
33964
138132
115418
121021
60623
127872
90973
140768
145024
68428
140770
141977
1280066
1280067
1280090
149822
6460226
6460317
2400025
119860
4560052
34995
4560073
4560068
34996
2400027
2400028
2400026
3640006
103030
83328
3408037
3408026
136552
103222
145336
80003
80004
280023
161317
161318
DESCRICAO
SULFATO SALBUTAMOL GEN.0,4MG/ML XPE 48FR 100ML+48CP.MED. - MARIOL
SULFATO SALBUTAMOL GEN.0,4MG/ML XPE 48FR 120ML+48CP.MED. - MARIOL
SULFATO SALBUTAMOL GEN.0,4MG/ML XPE 96FR 100ML+96CP.MED. - MARIOL
SULFATO SALBUTAMOL GEN.0,4MG/ML XPE 96FR 120ML+96CP.MED. - MARIOL
SULFATO SALBUTAMOL GEN.0,4MG/ML XPE.100ML - UNIAO QUIMICA
SULFATO SALBUTAMOL GEN.0,4MG/ML XPE.100ML - BUNKER
SULFATO SALBUTAMOL GEN.100AMP 1ML - HIPOLABOR
SULFATO SALBUTAMOL GEN.2MG/5ML 120ML - NEOQUIMICA
SULFATO SALBUTAMOL GEN.50X100ML VD - HIPOLABOR
SULFATO SALBUTAMOL+GUAIFENESINA GEN.0,4+20MG/ML SOL.ORAL 120ML - EMS GENERICOS
SULFATO SALBUTAMOL+GUAIFENESINA GEN.0,4+20MG/ML SOL.ORAL 120ML - GERMED GENERICOS
SULFATO TERBUTALINA GEN.0,3MG XPE.100ML - MEDLEY
SULFATO TERBUTALINA GEN.0,3MG/ML XPE.100ML - EMS GENERICOS
SULFATO TERBUTALINA GEN.0,3MG/ML XPE.100ML+CP.MED. - MERCK S.A.
SULFATO TERBUTALINA GEN.0,3MG/ML XPE.VD.100ML - PRATI-DONADUZZI
SULFATO TERBUTALINA GEN.0,5MG/ML SOL.INJ.50AMP 1ML - UNIAO QUIMICA
SULFATO TERBUTALINA+GUAIFENESINA GEN.0,3MG XPE.100ML - MEDLEY
SULFATO TERBUTALINA+GUAIFENESINA GEN.0,3MG/ML+13,3MG/ML XPE.VD.100ML - PRATI-DONADUZZI
SULFATO VINCRISTINA GEN.1MG/ML SOL.INJ.1FA 2ML - ACCORD
SULFERROL 120ML - BUNKER
SULFERROL 50DRGS - BUNKER
SULFERROL GTS.30ML - BUNKER
SULGLIC 1,5G 30SACH - EMS
SULONIL 100MG 12CPDS - SANVAL
SULONIL 50MG/ML GTS.15ML - SANVAL
SULPAN 20CPDS - SANOFI-AVENTIS
SUMASEPT 800ML 002682 - DIVERSEY
SUMAX 100MG 2CPDS - LIBBS
SUMAX 25MG 4CPDS - LIBBS
SUMAX 50MG 2CPDS - LIBBS
SUMAX 6MG 1SER - LIBBS
SUMAX SPRAY NASAL 10MG P/DOSE C/2APLIC. - LIBBS
SUPERAN 50MG 20CPDS - SANOFI-AVENTIS
SUPERAN 50MG 6AMP 2ML - SANOFI-AVENTIS
SUPERAN PED.GTS.30ML - SANOFI-AVENTIS
SUPERHIST 200CPDS - EUROFARMA
SUPIROCIN 20MG/G POM.15G - GLENMARK
SUPLAN 30CPDS - INFAN
SUPLAN GEST.30DRGS - INFAN
SUPLAN SOL.ORAL 150ML - INFAN
SUPLASYN SOL.INJ.SERING.PREENCH.20MG/2ML - SIGMA PHARMA
SUPLEN CALCIO D 600 60CAPS - CIFARMA
SUPLEN CALCIO D 600MG 90CAPS - CIFARMA
SUPOSITORIO GLICERINA ADU.24SUPS - PFIZER
SUPOSITORIO GLICERINA INF.24SUPS - PFIZER
SUPOSITORIO HOMEOPATICO 6UNID - ALM.PRADO
SUPRADYN ATIVA 10CPDS EFV. - BAYER
SUPRADYN ATIVA 30CPDS - BAYER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
293
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
161319
63932
3440019
96100
145475
47530
132222
102235
102240
102232
134971
102234
102237
102233
44645
20174
60175
1260110
107029
107028
107027
129630
129629
148425
148421
148422
148424
148423
31907
6960014
6960013
6420151
83489
40295
40296
22376
165827
3891
4080056
35339
23544
123051
4080062
35340
35341
4080005
4080025
4080042
DESCRICAO
SUPRADYN ATIVA 60CPDS - BAYER
SUPRAHYAL 10MG/ML 1SER.PREENCH.2,5ML - ZODIAC
SUPREFACT DEPOT 3,3MG 2MICROBAST - SANOFI-AVENTIS
SUPRELLE 0,5+1MG 28CPDS REV. - BIOLAB SANUS
SUPRELLE 0,5+1MG 3BLX28CPDS REV. - BIOLAB SANUS
SUPREMA 2+1MG 28CPDS REV. - BIOLAB SANUS
SUPRICAL D 75CPDS - EMS
SUPRIDERME 100ML ALMOT. - LC
SUPRIDERME 200ML ALMOT. - LC
SUPRIDERME 30ML ALMOT. - LC
SUPRIDERME BABY OLEO HIDRATANTE C/ CALENDULA P/ ASSADURA 90ML - LC
SUPRIDERME SPR.100ML - LC
SUPRIDERME SPR.200ML - LC
SUPRIDERME SPR.50ML - LC
SURVANTA 25MCG/ML 1FA 4ML - ABBOTT
SURVANTA 25MCG/ML 1FA 8ML - ABBOTT
SURVIMED OPD DIETA ENTERAL EASY BAG 500ML BR7347221 - FRESENIUS KABI
SUSTRATE 10MG 50CPDS - FARMOQUIMICA
SUTENT 12,5MG 28CAPS - PFIZER
SUTENT 25MG 28CAPS - PFIZER
SUTENT 50MG 28CAPS - PFIZER
SUTRIPTAN 100MG 2CPDS - ARROW
SUTRIPTAN 50MG 2CPDS - ARROW
SUVVIA 100MG 4CPDS REV. - SIGMA PHARMA
SUVVIA 50MG 1CPD REV. - SIGMA PHARMA
SUVVIA 50MG 2CPDS REV. - SIGMA PHARMA
SUVVIA 50MG 2X4CPDS REV. - SIGMA PHARMA
SUVVIA 50MG 4CPDS REV. - SIGMA PHARMA
SYGEN 100MG 1AMP 5ML - TRB PHARMA
SYGEN 100MG 1FA 5ML - TRB PHARMA
SYGEN 20MG 5AMP 2ML - TRB PHARMA
SYLADOR 100MG 6AMP 2ML - SANOFI-AVENTIS
SYMBICORT TURBO 12+400MCG PO INAL.60DOSES - ASTRAZENECA
SYMBICORT TURBO 6+100MCG PO INAL.60DOSES - ASTRAZENECA
SYMBICORT TURBO 6+200MCG PO INAL.60DOSES - ASTRAZENECA
SYNAGIS 100MG PO LIOF.1FA - ABBOTT
SYNAGIS 100MG PO LIOF.1FA+1AMP DIL.1ML - ABBOTT
SYNAREL 2MG/ML SPR.NASAL 8ML - ZODIAC
SYNTHROID 100MCG 30CPDS - ABBOTT
SYNTHROID 112MCG 30CPDS - ABBOTT
SYNTHROID 125MCG 30CPDS - ABBOTT
SYNTHROID 137MCG 30CPDS - ABBOTT
SYNTHROID 150MCG 30CPDS - ABBOTT
SYNTHROID 175MCG 30CPDS - ABBOTT
SYNTHROID 200MCG 30CPDS - ABBOTT
SYNTHROID 25MCG 30CPDS - ABBOTT
SYNTHROID 50MCG 30CPDS - ABBOTT
SYNTHROID 75MCG 30CPDS - ABBOTT
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
294
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
35338
6380070
6380071
3940109
3940111
3940113
12617
3940200
133691
133689
133690
146718
160443
144197
6740035
6740034
6740036
4880063
6260136
6260137
1060040
1060070
153547
1260023
4880042
700015
700006
700007
82791
128306
145115
145116
31904
61188
68512
61187
165910
165911
55288
121732
55289
121733
88572
88573
47510
35342
47785
33959
DESCRICAO
SYNTHROID 88MCG 30CPDS - ABBOTT
SYNTOCINON 40UI SPR.NASAL 5ML - NOVARTIS
SYNTOCINON 5UI SOL.INJ.50AMP 1ML - NOVARTIS
SYSTEN 100MCG DESC.C/08 ADES. - JANSSEN-CILAG
SYSTEN 25MCG DESC.C/08 ADES. - JANSSEN-CILAG
SYSTEN 50MCG DESC.C/08 ADES. - JANSSEN-CILAG
SYSTEN CONTI 3,2MG C/8 ADES. - JANSSEN-CILAG
SYSTEN SEQUI 3,2MG C/8ADES. - JANSSEN-CILAG
TABINE 1000MG 1FA 10ML - MEIZLER
TABINE 100MG 1FA 1ML - MEIZLER
TABINE 500MG 1FA 5ML - MEIZLER
TACHOSIL 5,5MG+2UI 9,5CMX4,8CM - NYCOMED
TACROFORT 1MG 50CAPS - MEIZLER
TACROFORT 5MG 50CAPS - MEIZLER
TAGAMET 200MG 10CPDS - GLAXOSMITH
TAGAMET 200MG 40CPDS - GLAXOSMITH
TAGAMET 400MG 16CPDS - GLAXOSMITH
TAKIL CRM.35G - MARJAN
TALCO MENTOLADO 40GRS 0233 - RIOQUIMICA
TALCO NEUTRO 1000GRS 0234 - RIOQUIMICA
TALERC 10MG 10CPDS REV. - ACHE
TALERC 20MG 10CPDS REV. - ACHE
TALERC 2MG/ML XPE 50ML - ACHE
TALSUTIN CRM.VAG.45GRS+10APL - BRISTOL
TAMARIL 20CAPS GEL. - MARJAN
TAMARINE 2X10CAPS - BARRENNE
TAMARINE GELEIA 150G - BARRENNE
TAMARINE GELEIA 250G - BARRENNE
TAMARINE MP 25BLX4CAPS GEL.DURA - BARRENNE
TAMIFLU 12MG/ML PO SUSP.30G - ROCHE
TAMIFLU 30MG 10CAPS - ROCHE
TAMIFLU 45MG 10CAPS - ROCHE
TAMIFLU 75MG 10CAPS - ROCHE
TAMIRAM 500MG 10CPDS - EUROFARMA
TAMIRAM 500MG 3CPDS - EUROFARMA
TAMIRAM 500MG 7CPDS - EUROFARMA
TAMISA 0,075+0,030MG 28DRGS - EUROFARMA
TAMISA 0,075+0,030MG 84DRGS - EUROFARMA
TAMISA 20MCG 21CPDS - EUROFARMA
TAMISA 20MCG 63CPDS - EUROFARMA
TAMISA 30MCG 21CPDS - EUROFARMA
TAMISA 30MCG 63CPDS - EUROFARMA
TAMSULON 0,4MG 20CAPS GEL. - ZODIAC
TAMSULON 0,4MG 30CAPS GEL. - ZODIAC
TANAKAN 120MG 20CPDS REV. - ABBOTT
TANAKAN 120MG 30CPDS REV. - ABBOTT
TANAKAN 80MG 20CPDS REV. - ABBOTT
TANAKAN 80MG 30CPDS REV. - ABBOTT
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
295
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
26796
2120119
35385
145025
37959
107916
30022
117809
117812
119868
145468
160538
160539
160540
160541
2320122
2320051
111144
111143
111145
165925
165927
6820100
3440227
3440228
150844
150845
166306
3440229
3440156
3440155
15181
134975
163525
63933
144781
144903
48151
144904
142087
83898
83899
145386
103983
71155
139852
6280136
132225
DESCRICAO
TANDENE 30CPDS - BUNKER
TANDERALGIN 12CPDS - DELTA
TANDERALGIN 30CPDS - DELTA
TANDRIFLAN 300+125+50+30MG 15CPDS - UNIAO QUIMICA
TANDRIFLAN 300+125+50+30MG 30CPDS - UNIAO QUIMICA
TANDRILAX 300+125+50+30MG 15CPDS - ACHE
TANDRILAX 300+125+50+30MG 30CPDS - ACHE
TANOHALO 100ML - CRISTALIA
TANOHALO 250ML - CRISTALIA
TANTIN 0,06+0,015MG 28CPDS REV. - BIOLAB SANUS
TANTIN 0,06+0,015MG 3BLX28CPDS REV. - BIOLAB SANUS
TANTRIX 50MG 1CPD REV. - WYETH
TANTRIX 50MG 2CPDS REV. - WYETH
TANTRIX 50MG 4CPDS REV. - WYETH
TANTRIX 50MG 8CPDS REV. - WYETH
TAPAZOL 10MG 50CPDS - BIOLAB SANUS
TAPAZOL 5MG 100CPDS - BIOLAB SANUS
TARCEVA 100MG 30CPDS REV. - ROCHE
TARCEVA 150MG 30CPDS REV. - ROCHE
TARCEVA 25MG 30CPDS REV. - ROCHE
TARFIC 1MG 100CAPS GEL.DURA - LIBBS
TARFIC 5MG 50CAPS GEL.DURA - LIBBS
TARFLEX SHM.120ML (+IPI 7%) - STIEFEL
TARGIFOR 1500MG 20CPDS - SANOFI-AVENTIS
TARGIFOR C 1+1G 16CPDS - SANOFI-AVENTIS
TARGIFOR C 500+500MG 30CDPS REV. - SANOFI-AVENTIS
TARGIFOR C 500+500MG 60CDPS REV. - SANOFI-AVENTIS
TARGIFOR C 500+500MG 90CPDS REV. - SANOFI-AVENTIS
TARGIFOR C 500+500MG INF.16CPDS - SANOFI-AVENTIS
TARGOCID 133,33MG/ML 1FA+DIL - SANOFI-AVENTIS
TARGOCID 66,66MG/ML 1FA+DIL - SANOFI-AVENTIS
TARGUS LAT 40MG ADES.TRANSDERMICO 2SACHX5UNID - ABBOTT
TARTARATO BRIMONIDINA GEN.2MG/ML 5ML SOL.OFTAL. - BIOSINTETICA
TARTARATO BRIMONIDINA GEN.2MG/ML SOL.OFT.5ML - MEDLEY
TARTARATO BRIMONIDINA GEN.2MG/ML SOL.OFT.5ML - ALCON
TARTARATO BRIMONIDINA GEN.SOL.OFTALM.2MG/ML FR 5ML - NEOQUIMICA
TARTARATO METOPROLOL GEN.100MG 2BLX10CPDS - EMS GENERICOS
TARTARATO METOPROLOL GEN.100MG 2X15CPDS - BIOSINTETICA
TARTARATO METOPROLOL GEN.100MG 3BLX10CPDS - EMS GENERICOS
TARTARATO METOPROLOL GEN.100MG 3BLX10CPDS REV. - GERMED GENERICOS
TARTARATO ZOLPIDEM GEN.10MG 10CPDS - SANDOZ
TARTARATO ZOLPIDEM GEN.10MG 20CPDS - SANDOZ
TARTARATO ZOLPIDEM GEN.10MG 20CPDS REV. - ZYDUS NIKKHO
TARVEXOL 6MG/ML 1FA 16,7ML - SANDOZ
TARVEXOL 6MG/ML 1FA 5ML - SANDOZ
TASIGNA 200MG 112CPDS - NOVARTIS
TASMAR 100MG 30CPDS - VALEANT
TAVAFLOX 500MG 10CPDS - SIGMA PHARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
296
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
132224
132243
132241
132242
3440154
112080
112079
112082
112081
1260001
36930
1260151
6200006
167101
167102
6200005
7380122
7380123
84663
145237
84665
145238
166460
31262
166461
1300083
60620
166462
1300125
166463
495067
495068
495069
7480034
7480001
7480027
101603
101604
71686
7480028
7480002
7480003
7480023
7480024
44305
66595
7480026
102934
DESCRICAO
TAVAFLOX 500MG 7CPDS - SIGMA PHARMA
TAVAGRAN 500MG 10CPDS - LEGRAND TARJARDOS
TAVAGRAN 500MG 3CPDS - LEGRAND TARJARDOS
TAVAGRAN 500MG 7CPDS - LEGRAND TARJARDOS
TAVANIC 500MG 7CPDS REV. - SANOFI-AVENTIS
TAXOFEN 10MG 25X10CPDS - BLAU
TAXOFEN 10MG 3X10CPDS - BLAU
TAXOFEN 20MG 25X10CPDS - BLAU
TAXOFEN 20MG 3X10CPDS - BLAU
TAXOL PCF 100MG INJ 1FA - BRISTOL
TAXOL PCF 300MG INJ 1FA - BRISTOL
TAXOL PCF 30MG INJ 1FA - BRISTOL
TAXOTERE 20MG SOL INJ FA 0,5ML+DIL 1,5ML - SANOFI-AVENTIS
TAXOTERE 20MG SOL.INJ.1FA 1ML - SANOFI-AVENTIS
TAXOTERE 20MG SOL.INJ.1FA 4ML - SANOFI-AVENTIS
TAXOTERE 80MG SOL INJ FA 2ML+DIL 6ML - SANOFI-AVENTIS
TAZOCIN 2,25G PO LIOF.1FA - WYETH
TAZOCIN 4,5G PO LIOF.1FA - WYETH
TAZPEN 2G+250MG 1FA 30ML - ASPEN
TAZPEN 2G+250MG 50FA - ASPEN
TAZPEN 4G+500MG 1FA 50ML - ASPEN
TAZPEN 4G+500MG 50FA - ASPEN
TEBONIN 120MG 10CPDS - NYCOMED
TEBONIN 120MG 20CPDS - NYCOMED
TEBONIN 120MG 30CPDS - NYCOMED
TEBONIN 40MG 30CPDS - NYCOMED
TEBONIN 40MG GTS.60ML - NYCOMED
TEBONIN 80MG 10CPDS - NYCOMED
TEBONIN 80MG 20CPDS - NYCOMED
TEBONIN 80MG 30CPDS - NYCOMED
TECNID 1000MG 2CPDS - ATIVUS
TECNID 450MG PO ORAL 15ML - ATIVUS
TECNID 900MG PO ORAL 30ML - ATIVUS
TECNOCARB 150MG PO LIOF.1FA 25ML - ZODIAC
TECNOCARB 450MG 1FA PO LIOF.1FA 50ML - ZODIAC
TECNOCRIS 1MG SOL.INJ.1FA 1ML - ZODIAC
TECNOMAX 10MG PO LIOF.1FA - ZODIAC
TECNOMAX 50MG PO LIOF.1FA - ZODIAC
TECNOMET 2,5MG 2BLX10CPDS - ZODIAC
TECNOMICINA 15U PO LIOF.1AMP+DIL.10ML - ZODIAC
TECNOPLATIN 10MG SOL.INJ.1FA 20ML - ZODIAC
TECNOPLATIN 50MG SOL.INJ.1FA 100ML - ZODIAC
TECNOTAX 10MG 3BLX10CPDS - ZODIAC
TECNOTAX 20MG 3BLX10CPDS - ZODIAC
TECNOTECAN 100MG SOL.INJ.1FA 5ML - ZODIAC
TECNOTECAN 40MG SOL.INJ.1FA 2ML - ZODIAC
TECNOVORIN 50MG PO LIOF.1FA+DIL.5ML - ZODIAC
TECOMAX 8MG/G CRM.VAG.30G+5APLIC. - BUNKER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
297
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
162994
162995
162996
143197
115280
37960
94057
145026
96098
57282
159161
5628075
23604
5628076
23676
960059
37920
960061
960060
960062
37921
960063
103941
34097
153754
103605
103606
107526
128550
107525
128551
120487
120485
159904
170758
123978
102848
102849
102850
102853
102851
102852
128624
3190033
128623
128621
3190004
128620
DESCRICAO
TECTA 40MG 28CPDS REV. - NYCOMED
TECTA 40MG 30CPDS REV. - NYCOMED
TECTA 40MG 60CPDS REV. - NYCOMED
TEFIN 10MG/G CRM.DERM.10GRS - BRAINFARMA
TEFIN 10MG/G CRM.DERM.20GRS - BRAINFARMA
TEFLAN 20MG 10CPDS REV. - UNIAO QUIMICA
TEFLAN 20MG PO LIOF.50FA 2ML - UNIAO QUIMICA
TEFLAN 40MG 50FA+5DIL. - UNIAO QUIMICA
TEFLAN 40MG 5FA+5DIL 2ML - UNIAO QUIMICA
TEFLUT 250MG 20CPDS - BLAU
TEGAN 0,25MG/ML SOL.CAPI.100ML+APLIC. - LIBBS
TEGRETARD 200MG 20X10CPDS - CRISTALIA
TEGRETARD 200MG 2X10CPDS - CRISTALIA
TEGRETARD 400MG 20X10CPDS - CRISTALIA
TEGRETARD 400MG 2X10CPDS - CRISTALIA
TEGRETOL 200MG 20CPDS - NOVARTIS
TEGRETOL 200MG 60CPDS - NOVARTIS
TEGRETOL 20MG/ML SUSP.ORAL 100ML - NOVARTIS
TEGRETOL 400MG 20CPDS - NOVARTIS
TEGRETOL CR 200MG 20CPDS REV. - NOVARTIS
TEGRETOL CR 200MG 60CPDS REV. - NOVARTIS
TEGRETOL CR 400MG 20CPDS REV. - NOVARTIS
TEGRETOL CR 400MG 60CPDS REV. - NOVARTIS
TEGREX 200MG 2X10CPDS - NEOQUIMICA
TEGREX 200MG 50X10CPDS - NEOQUIMICA
TEICONIN 200MG 1FA+DIL - BIOCHIMICO
TEICONIN 400MG 1FA+DIL - BIOCHIMICO
TEICOPLANINA GEN.200MG 5FA VD+5DIL PLAST 3ML - EUROFARMA
TEICOPLANINA GEN.200MG PO INJ.1FA+DIL. - ABL
TEICOPLANINA GEN.400MG 5FA VD+5DIL PLAST 3ML - EUROFARMA
TEICOPLANINA GEN.400MG PO INJ.1FA+DIL. - ABL
TEICOSTON 133,33MG/ML 1FA 3ML - ARISTON
TEICOSTON 66,66MG/ML 1FA 3ML - ARISTON
TEINA 10MG 30CPDS - EUROFARMA
TEIPLAN 200MG PO LIOF.1FA+DIL 3ML - UNIAO QUIMICA
TEIPLAN 400MG PO LIOF.1FA+DIL 3ML - UNIAO QUIMICA
TEKADIN 150MG 20CPDS - TKS
TEKADIN 300MG 10CPDS - TKS
TEKAFLEX 50MG 20CPDS - TKS
TEKASAN 120MG 30CPDS - TKS
TEKASAN 40MG 30CPDS - TKS
TEKASAN 80MG 30CPDS - TKS
TELEBRIX 30 MEGLUMINA 10FA 100ML - GUERBET
TELEBRIX 30 MEGLUMINA 1FA 50ML - GUERBET
TELEBRIX 30 MEGLUMINA 25FA 50ML - GUERBET
TELEBRIX 35 10FA 100ML - GUERBET
TELEBRIX 35 1FA 50ML - GUERBET
TELEBRIX 35 25FA 50ML - GUERBET
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
298
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
128618
128626
3190042
128625
128629
117277
36398
141339
141340
36397
36399
36396
151863
92781
7380101
92782
7380102
55255
108160
136948
136949
60949
92397
150950
150934
150949
103342
137958
7360042
7360066
14800
136597
162979
145452
115419
145454
49262
49137
2120053
103154
34071
15346
141316
141475
141315
141476
146518
144037
DESCRICAO
TELEBRIX 35 50FA 20ML - GUERBET
TELEBRIX CORONAR 10FA 100ML(C/SUPORTE/EQUIPO) - GUERBET
TELEBRIX CORONAR 1FA 50ML - GUERBET
TELEBRIX CORONAR 25FA 50ML - GUERBET
TELEBRIX HYSTERO 25FA 20ML - GUERBET
TELZIR 700MG 60CPDS - GLAXOSMITH
TEMODAL 100MG 5CAPS GEL DURA - SCHERING PLOUGH
TEMODAL 140MG 5CAPS GEL DURA - SCHERING PLOUGH
TEMODAL 180MG 5CAPS GEL DURA - SCHERING PLOUGH
TEMODAL 20MG 5CAPS GEL DURA - SCHERING PLOUGH
TEMODAL 250MG 5CAPS GEL DURA - SCHERING PLOUGH
TEMODAL 5MG 5CAPS GEL DURA - SCHERING PLOUGH
TEMODAL IV 100MG PO LIOF 1FA - SCHERING PLOUGH
TENADREN 40+12,5MG 2X15CPDS - SIGMA PHARMA
TENADREN 40+25MG 2X15CPDS - SIGMA PHARMA
TENADREN 80+12,5MG 2X15CPDS - SIGMA PHARMA
TENADREN 80+25MG 2X15CPDS - SIGMA PHARMA
TENAG 40MG 20CPDS REV. - MARJAN
TENAVIT 30CPDS REV. - MARJAN
TENDIPINA 10MG 30CPDS - ARROW
TENDIPINA 5MG 30CPDS - ARROW
TENLIV 30CPDS REV. - ATIVUS
TENOFTAL 0,5% 5MG/ML SOL.OFTAL.5ML - TEUTO BRAS
TENOLON 100MG 280CPDS - VITAPAN
TENOLON 25MG 28CPDS - VITAPAN
TENOLON 25MG 504CPDS - VITAPAN
TENOLON 50MG 28CPDS - VITAPAN
TENOLON 50MG 504CPDS - VITAPAN
TENORETIC 100+25MG 2BLX14CPDS - ASTRAZENECA
TENORETIC 50+12,5MG 28CPDS - ASTRAZENECA
TENOTEC 20MG 10CPDS REV. - ACHE
TENOXICAM GEN.20MG 10CPDS - NEOQUIMICA
TENOXICAM GEN.20MG 10CPDS REV. - SANDOZ
TENOXICAM GEN.20MG 50FA+DIL 2ML - CRISTALIA
TENOXICAM GEN.20MG 6BLX10CPDS REV. - EMS GENERICOS
TENOXICAM GEN.40MG 50FA+DIL 2ML - CRISTALIA
TENOXICAN GEN.20MG 50FA+DIL 2ML - EUROFARMA
TENOXICAN GEN.40MG 50FA+DIL 2ML - EUROFARMA
TENSALDIN 20DRGS - DELTA
TENSALDIN 500DRGS - DELTA
TENSALIV 10MG 2X10CPDS - NEOQUIMICA
TENSALIV 5MG 20CPDS - NEOQUIMICA
TENSART 100MG/ML SOL.ORAL.100ML - ATIVUS
TENSART 30MG/ML PLAST.30ML - ATIVUS
TENSART 360MG 30CPDS REV. - ATIVUS
TENSART 360MG 8CPDS - ATIVUS
TENSART 857MG 30CPDS REV. - ATIVUS
TENSIOPAX 20MG 14CPDS - ARROW
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
299
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
144038
133643
6460089
495071
495070
16079
1830021
4080033
4080032
4080031
69655
136735
1260112
136950
136951
62082
143861
149022
142088
35271
495061
103048
495030
22618
22615
156694
156693
58839
5340036
5340034
58841
100118
58840
105225
5740045
5740058
131857
5740059
5740047
82534
470018
7360043
7360044
39095
1280091
119699
6920064
6920063
DESCRICAO
TENSIOPAX 20MG 28CPDS - ARROW
TENSIOVAL 250MG 50X10CPDS - SANVAL
TENSIOVAL 500MG 50X10CPDS - SANVAL
TENSODIN 10MG 20CPDS - ATIVUS
TENSODIN 5MG 20CPDS - ATIVUS
TENSULAN 30CAPS GEL. - MARJAN
TENSURIL 300MG 1AMP 20ML - CRISTALIA
TEOLONG 100MG 30CAPS GEL. - ABBOTT
TEOLONG 200MG 30CAPS GEL. - ABBOTT
TEOLONG 300MG 30CAPS GEL. - ABBOTT
TEOMUC 25MG/5ML XPE.PED.120ML - BIOLAB SANUS
TEPEEX 30CPDS - ALM.PRADO
TERAGRAN JR 120ML - BRISTOL
TERBINACOL 250MG 14CPDS - ARROW
TERBINACOL 250MG 28CPDS - ARROW
TERBUTIL 0,5MG SOL.INJ.50AMP 1ML - UNIAO QUIMICA
TERCONAN 8MG/G CRM.VAG.30GRS+APLIC. - EMS
TERCONAZOL 8MG/G CRM.VAG.30G+5APL. - EMS GENERICOS
TERCONAZOL GEN.8MG/G CRM.VAG.30G+5APLIC. - GERMED GENERICOS
TERICIN AT 10APL VAG.PRE-ENVAS. - ATIVUS
TERICIN AT CRM.40GRS+10APL - ATIVUS
TERICIN AT CRM.45GRS+10APL - ATIVUS
TERICIN AT CRM.60GRS+APL - ATIVUS
TERMOL 200MG/ML GTS.15ML - UNIAO QUIMICA
TERMOL 750MG 200CPDS - UNIAO QUIMICA
TERMOPIRONA 1GR 100CPDS - NEOQUIMICA
TERMOPIRONA 1GR 10CPDS - NEOQUIMICA
TERMOPIRONA 500MG 25X4CPDS - NEOQUIMICA
TERMOPIRONA 500MG/ML 50AMP 2ML - NEOQUIMICA
TERMOPIRONA 500MG/ML GTS.10ML - NEOQUIMICA
TERMOPIRONA 500MG/ML GTS.10X10ML - NEOQUIMICA
TERMOPIRONA 500MG/ML GTS.20ML - NEOQUIMICA
TERMOPIRONA 500MG/ML LAR.GTS.10ML - NEOQUIMICA
TEROST 70MG 4CPDS - ATIVUS
TERRA-CORTRIL POM.TOP.15GRS - PFIZER
TERRAMICINA 100MG 5AMP 2ML - PFIZER
TERRAMICINA 500MG 8CAPS - PFIZER
TERRAMICINA TOP.POM.15GRS - PFIZER
TERRAMICINA TOP.POM.3,5GRS - PFIZER
TESS 2+0,035MG 21CPDS REV. - UNIAO QUIMICA
TETANOGAMMA 250UI SOL.INJ.1AMP 1ML - CSL BEHRING
TETMOSOL 0,25G/G SOL.TOP.100ML - ASTRAZENECA
TETMOSOL SAB.80G - ASTRAZENECA
TETRACICLINA+ANFOTERICINA B GEN.CRM.VAG.45GRS+10APL - MEDLEY
TETRACINA 500MG 25STRX4CAPS GEL.DURA - BUNKER
TETRACINA 500MG 4CAPS GEL.DURA F.V - BUNKER
TETRACLIN 250MG 100CAPS GEL.DURA - TEUTO BRAS
TETRACLIN 500MG 100CAPS GEL.DURA - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
300
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
6920196
20838
47479
115884
131197
1260116
165835
150654
150655
150656
143323
29534
111291
17955
92398
137118
137127
137128
137126
137120
137131
137130
153568
137129
137123
137122
137121
137124
137116
137113
137111
137109
137110
3615019
3615021
3615022
7040038
7040039
170050
164336
131051
99854
6420062
9547
9548
72293
77968
72294
DESCRICAO
TETRADERM CRM.20GRS - TEUTO BRAS
TETRALYSAL 150MG 16CAPS - GALDERMA
TETRALYSAL 300MG 16CAPS - GALDERMA
TETRALYSAL 300MG 28CAPS - GALDERMA
TETRAMICIN 500MG 25BLTX4CAPS - EMS
TETREX 500MG 8CAPS - BRISTOL
TEUCIPROX 500MG 14CPDS REV. - TEUTO BRAS
TEUFRON 0,5MG 30CPDS - TEUTO BRAS
TEUFRON 1MG 30CPDS - TEUTO BRAS
TEUFRON 2MG 30CPDS - TEUTO BRAS
TEUTOFORMIN 500MG 30CPDS - TEUTO BRAS
TEUTOFORMIN 850MG 30CPDS - TEUTO BRAS
TEUTOFORMIN 850MG 30X5CPDS - TEUTO BRAS
TEUTOMICIN 5MG/G+250UI POM.10GRS - TEUTO BRAS
TEUTOVIT-E 400MG 30CAPS GEL.MOLE - TEUTO BRAS
TEVABLEO 15UI 1FA - TEVA
TEVACARBO 150MG 15ML - TEVA
TEVACARBO 450MG 45ML - TEVA
TEVACARBO 50MG 5ML - TEVA
TEVAETOPO 100MG 5ML 10FA - TEVA
TEVAFOLIN 300MG 30ML - TEVA
TEVAFOLIN 50MG 5ML - TEVA
TEVAGRASTIM 300MCG 5SER.PREENC.0,5ML - TEVA
TEVAMESNA 400MG 4ML 5FA - TEVA
TEVAMETHO 1G 10ML - TEVA
TEVAMETHO 500MG 20ML - TEVA
TEVAMETHO 50MG 2ML - TEVA
TEVAMETHO 5G 50ML - TEVA
TEVAOXALI 100MG 1FA - TEVA
TEVAPACLI 100MG 1FA 16,7ML - TEVA
TEVAPACLI 30MG 5ML - TEVA
TEVAVINOR 10MG 1ML - TEVA
TEVAVINOR 50MG 5ML - TEVA
THERAPSOR CRM.25GRS - THERASKIN
THERAPSOR LOC.25ML - THERASKIN
THERASONA CRM.25GRS - THERASKIN
THIABEN 500MG 6CPDS - UCI-FARMA
THIABEN SUSP.ORAL 40ML - UCI-FARMA
THIABENA 50MG/G POM.DERM.15G - UCI-FARMA
THIABENA 50MG/G POM.DERM.45G - UCI-FARMA
THIOCTACID 600MG 30CPDS REV. - MERCK S.A.
THIOMUCASE 25TRU+1350UCEIP+300UH 60CPDS - FARMASA
THIOMUCASE 3,375MG/G CRM.45GRS - FARMASA
THIOPENTAX 0,5GR 25FA - CRISTALIA
THIOPENTAX 1,0GR 25FA - CRISTALIA
THYLOM 200MG/ML 15ML - OSORIO DE MORAES
THYLOM 200MG/ML 50X15ML - OSORIO DE MORAES
THYLOM 750MG 2X10CPDS - OSORIO DE MORAES
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
301
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
72296
72295
145327
133475
95053
110480
170051
1280163
1280164
153755
21823
21824
77981
6420064
61016
153573
103609
103608
103607
142125
142124
142122
142123
142121
164588
164589
164591
6280074
85955
85956
79674
166093
124491
40937
40936
54156
129285
5040018
5040028
127874
128385
99823
99833
127873
128384
99824
99834
99835
DESCRICAO
THYLOM 750MG 4CPDS F.V - OSORIO DE MORAES
THYLOM 750MG 50X4CPDS - OSORIO DE MORAES
THYMOGLOBULINE 25MG PO LIOF.1FA - GENZYME
THYROGEN 1,1MG PO LIOF.2FA - GENZYME
TIABENDAZOL GEN.500MG 6CPDS - EMS GENERICOS
TIABENDAZOL GEN.50MG/G POM.DERM.45G - EMS GENERICOS
TIABENDAZOL GEN.50MG/G POM.DERM.45G - UCI-FARMA
TIADOL POM.20G - BUNKER
TIADOL SAB.65G - BUNKER
TIAMIN SOL.INJ.50AMPX2ML - NEOQUIMICA
TIAPLEX POM.20G - DELTA
TIAPLEX SAB.65G - DELTA
TIBIAL 2,5MG 28CPDS - NEOQUIMICA
TICLID 20DRGS - SANOFI-AVENTIS
TICLOBAL 250MG 30CPDS - BALDACCI
TIENAM IV 500+500MG PO INJ.25FA 20ML - MERCK S.D.
TIEPEM 1FA 120ML - BIOCHIMICO
TIEPEM 1FA 20ML - BIOCHIMICO
TIEPEM 1FA 20ML MONOVIAL - BIOCHIMICO
TIEPEM 500MG 10FA - BIOCHIMICO
TIEPEM 500MG 50FA - BIOCHIMICO
TIEPEM 500MG SIST.FECHADO 10FA+BOLSA - BIOCHIMICO
TIEPEM 500MG SIST.FECHADO 1FA+BOLSA - BIOCHIMICO
TIEPEM 500MG SIST.FECHADO 50FA+BOLSA - BIOCHIMICO
TIGMA 1,5MG 2BLX15CAPS GEL.DURA - GERMED
TIGMA 3MG 2BLX15CAPS GEL.DURA - GERMED
TIGMA 4,5MG 2BLX15CAPS GEL.DURA - GERMED
TILATIL 20MG 10CPDS - ROCHE
TILIV 500MG 30CAPS - ATIVUS
TILIV L 1000MG 30CAPS - ATIVUS
TILONAX 20MG 10CPDS - CIFARMA
TILOXINEO 20MG 10CPDS REV. - NEOQUIMICA
TILUGEN 3,54MG/ML XPE.120ML - NEOQUIMICA
TIMASEN SR 100MG 10CAPS LIB.PROLONG. - ACHE
TIMASEN SR 50MG 10CAPS LIB.PROLONG. - ACHE
TIMENTIN 3,1GRS 10AMP - GLAXOSMITH
TIMONEO 5MG/ML SOL.OFTAL.5ML - NEOQUIMICA
TIMOPTOL 0,5% SOL.5ML - MERCK S.D.
TIMOPTOL XE 0,5% SOL.5ML - MERCK S.D.
TINIDAZOL GEN.500MG 2BLX4CPDS REV. - EMS GENERICOS
TINIDAZOL GEN.500MG 2BLX4CPDS REV. - GERMED GENERICOS
TINIDAZOL GEN.500MG 4CPDS - MEDLEY
TINIDAZOL GEN.500MG 4CPDS - FARMASA
TINIDAZOL GEN.500MG 4CPDS REV. - EMS GENERICOS
TINIDAZOL GEN.500MG 4CPDS REV. - GERMED GENERICOS
TINIDAZOL GEN.500MG 8CPDS - MEDLEY
TINIDAZOL GEN.500MG 8CPDS - FARMASA
TINIDAZOL+NITRATO MICONAZOL GEN.30+20MG/G CRM.VAG.40GRS+7APL - FARMASA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
302
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
91633
168663
92377
99836
140773
49673
92388
61194
169754
6260146
6260237
169753
1905022
4360
1905023
6260148
163879
169756
169755
3555044
6260149
22086
3555045
2120069
2120060
83582
101984
40571
47521
115439
111850
140775
74114
49672
73996
121614
103148
26198
145079
165739
119697
153571
77904
128000
6020073
37909
37910
77982
DESCRICAO
TINIDAZOL+NITRATO MICONAZOL GEN.30+20MG/G CRM.VAG.45G+7APL. - EMS GENERICOS
TINIDAZOL+NITRATO MICONAZOL GEN.30+20MG/G CRM.VAG.45G+7APL. - TEUTO BRAS
TINIDAZOL+NITRATO MICONAZOL GEN.30+20MG/G CRM.VAG.45G+7APLIC. - GERMED GENERICOS
TINIDAZOL+NITRATO MICONAZOL GEN.30+20MG/G CRM.VAG.80GRS+14APL - FARMASA
TINIDAZOL+NITRATO MICONAZOL GEN.30MG/G+20MG/G CRM.VAG.45GRS+7APL. - PRATI-DONADUZZI
TINIDAZOL+NITRATO MICONAZOL GEN.CRM.40GRS+7APL - MEDLEY
TINIDAZOL+NITRATO MICONAZOL GEN.CRM.VAG.45GRS+7APL - LEGRAND GENERICOS
TINIDAZOL+NITRATO MICONAZOL GEN.VAG.40GRS+7APL - CRISTALIA
TINTURA BENJOIM 1FR 1000ML - VIC PHARMA
TINTURA BENJOIM 20% 1000ML 0246 - RIOQUIMICA
TINTURA BENJOIM 20% 100ML ALMOT.0334 - RIOQUIMICA
TINTURA BENJOIM ALMOT.100ML - VIC PHARMA
TINTURA BENJOIN 1000ML - D.G.L
TINTURA BENJOIN 100ML ALMOT. - D.G.L
TINTURA IODO 2% 1000ML - D.G.L
TINTURA IODO 2% 1000ML 0248 - RIOQUIMICA
TINTURA IODO 2% 100ML - D.G.L
TINTURA IODO 2% 1FR 1000ML - VIC PHARMA
TINTURA IODO 2% 1FR 30ML - VIC PHARMA
TINTURA IODO 2% 30ML - ICAR
TINTURA IODO 2% 30ML 0247 - RIOQUIMICA
TINTURA IODO 5% 1000ML - D.G.L
TINTURA IODO FORTE 30ML - ICAR
TIOCONAX CRM.30G - DELTA
TIOCONAX LOC.30ML - DELTA
TIOCONAZOL GEN.1% CRM.DERM.30G - EMS GENERICOS
TIOCONAZOL GEN.65MG/G POM.4,62GRS+APL - BLAU
TIOCONAZOL GEN.CRM.DERM.30GRS - MEDLEY
TIOCONAZOL GEN.LOC.30GRS - MEDLEY
TIOCONAZOL+TINIDAZOL GEN.20+30MG/G CRM.VAG.35G+7APLIC. - GERMED GENERICOS
TIOCONAZOL+TINIDAZOL GEN.20+30MG/G CRM.VAG.35GRS 7APL - NOVA QUIMICA
TIOCONAZOL+TINIDAZOL GEN.20MG/G+30MG/G CRM.VAG.35GRS+7APL. - PRATI-DONADUZZI
TIOCONAZOL+TINIDAZOL GEN.20MG+30MG CRM.VAG.35G+7APL. - EMS GENERICOS
TIOCONAZOL+TINIDAZOL GEN.CRM.35GRS+7APL - MEDLEY
TIOCONAZOL+TINIDAZOL GEN.CRM.35GRS+7APL - ATIVUS
TIOCONAZOL+TINIDAZOL GEN.CRM.VAG.35GRS+7APLIC. - NEOQUIMICA
TIOCONAZOL+TINIDAZOL GEN.VAG.35GRS+7APL - LEGRAND GENERICOS
TIORFAN 100MG 9CAPS GEL.DURA - BAGO
TIORFAN 10MG 18SACH 3G - BAGO
TIORFAN 10MG PO 2SACH 1G - BAGO
TIORFAN 30MG 18SACH 3G - BAGO
TIORFAN 30MG PO 2SACH 3G - BAGO
TIOTRAX CRM.35GRS+7APL - EMS
TIOXIN 1FA - NOVAFARMA
TIRACASPA C/CETOCONAZOL SHM.100ML - HEXAL
TIRATOSSE XPE.ADU.120ML - COSMED
TIRATOSSE XPE.PED.120ML - COSMED
TIROIDIN 100MCG 30CPDS - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
303
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
3620026
3620027
3620028
142146
142147
142148
159128
159126
159127
47140
47139
143866
180078
180079
30195
141743
90238
49421
137190
141873
63680
68369
103812
2320052
180054
180053
960065
960066
139866
139853
18845
1020112
139122
1020111
103811
139123
144972
40836
160038
54980
31965
47767
47768
2500007
6380075
3940114
3940115
3940116
DESCRICAO
TISSUCOL 1,0ML +DIL+APLICADOR B19312 - BAXTER
TISSUCOL 2,0ML +DIL+APLICADOR B19322 - BAXTER
TISSUCOL 5,0ML +DIL+APLICADOR B19352 - BAXTER
TISSUCOL KIT 2FA+2DIL.1ML+SIST.REC.APLIC. - BAXTER
TISSUCOL KIT 2FA+2DIL.2ML+SIST.REC.APLIC. - BAXTER
TISSUCOL KIT 2FA+2DIL.5ML+SIST.REC.APLIC. - BAXTER
TISSUCOL TISSEL DUO SOL.TOP.SER.PREENCH.X10ML+SIST.APLIC - BAXTER
TISSUCOL TISSEL DUO SOL.TOP.SER.PREENCH.X2ML+SIST.APLIC - BAXTER
TISSUCOL TISSEL DUO SOL.TOP.SER.PREENCH.X4ML+SIST.APLIC - BAXTER
TOBRACORT 3+1MG/G POM.OFT.3,5G - UNIAO QUIMICA
TOBRACORT 3+1MG/ML SUSP.OFT.5ML - UNIAO QUIMICA
TOBRACULAR 3MG/ML 5ML - LEGRAND TARJARDOS
TOBRADEX 3+1MG/ML POM.OFT.3,5G - ALCON
TOBRADEX 3+1MG/ML SUSP.OFT.5ML - ALCON
TOBRAGAN 3MG/ML SOL.OFT.5ML - ALLERGAN
TOBRALOX SOL.OFTAL.5ML - EMS
TOBRAMICINA GEN.0,3% SOL.5ML - BIOSINTETICA
TOBRAMICINA GEN.0,3% SOL.OFTAL.5ML - CRISTALIA
TOBRAMICINA GEN.3MG SOL.OFTAL.5ML - LEGRAND GENERICOS
TOBRAMICINA GEN.3MG/ML SOL.OFT.5ML - GERMED GENERICOS
TOBRAMICINA+DEXAMETASONA GEN.0,3+0,1% SOL.OFT.5ML - ALLERGAN
TOBRAMICINA+DEXAMETASONA GEN.3+1MG/ML SUSP.OFT.5ML - ALCON
TOBRAMICINA+DEXAMETASONA GEN.5ML - BIOSINTETICA
TOBRAMINA 75MG SOL.INJ.2AMP 1,5ML - ABL
TOBREX 3MG/G POM.OFT.3,5G - ALCON
TOBREX 3MG/ML SOL.OFT.5ML - ALCON
TOFRANIL 10MG 20DRGS - NOVARTIS
TOFRANIL 25MG 20DRGS - NOVARTIS
TOFRANIL PAMOATO 150MG 30CAPS - NOVARTIS
TOFRANIL PAMOATO 75MG 30CAPS - NOVARTIS
TOLREST 100MG 20CPDS REV. - BIOSINTETICA
TOLREST 25MG 14CPDS REV. - BIOSINTETICA
TOLREST 25MG 28CPDS REV. - BIOSINTETICA
TOLREST 25MG 7CPDS REV. - BIOSINTETICA
TOLREST 50MG 21CPDS REV. - BIOSINTETICA
TOLREST 50MG 28CPDS REV. - BIOSINTETICA
TOLREST 50MG 7CPDS REV. - BIOSINTETICA
TOLREST 75MG 2X15CPDS REV. - BIOSINTETICA
TOLVON 30MG 20CPDS - SCHERING PLOUGH
TOMAT 30CAPS - APSEN
TOMUDEX 2MG PO LIOF.1FA - ASTRAZENECA
TONGIFORT 600 30DRGS - PHARMASCIENCE
TONGIFORT 600 60DRGS - PHARMASCIENCE
TONOKLEN 2,5+30+30+20MG 30CPDS - FARMABRAZ
TONOPAN 0,5+40+125MG 16DRGS - NOVARTIS
TOPAMAX 100MG 60CPDS - JANSSEN-CILAG
TOPAMAX 25MG 60CPDS - JANSSEN-CILAG
TOPAMAX 50MG 60CPDS - JANSSEN-CILAG
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
304
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
69711
69712
94256
165796
165797
165798
103190
105831
108085
120832
141754
161040
146739
165799
165800
165801
165802
103188
105829
105754
108083
120833
141752
161038
146737
165803
165804
165805
165806
103189
105830
105755
108084
120834
141753
161039
160192
146738
165807
144008
81836
81837
134805
46425
46426
165997
153130
134370
DESCRICAO
TOPAMAX SPRINKLE 15MG 60CAPS - JANSSEN-CILAG
TOPAMAX SPRINKLE 25MG 60CAPS - JANSSEN-CILAG
TOPCOID 5MG/G GEL 40G - UNIAO QUIMICA
TOPIRAMATO GEN.100MG 10CPDS REV. - ACCORD
TOPIRAMATO GEN.100MG 20CPDS REV. - ACCORD
TOPIRAMATO GEN.100MG 30CPDS REV. - ACCORD
TOPIRAMATO GEN.100MG 4BLX15CPDS - EMS GENERICOS
TOPIRAMATO GEN.100MG 4BLX15CPDS REV. - GERMED GENERICOS
TOPIRAMATO GEN.100MG 60CPDS - EUROFARMA
TOPIRAMATO GEN.100MG 60CPDS - SANDOZ
TOPIRAMATO GEN.100MG 60CPDS REV. - BIOSINTETICA
TOPIRAMATO GEN.100MG 60CPDS REV. - TEUTO BRAS
TOPIRAMATO GEN.100MG 60CPDS REV. - ACHE
TOPIRAMATO GEN.100MG 60CPDS REV. - ACCORD
TOPIRAMATO GEN.25MG 10CPDS REV. - ACCORD
TOPIRAMATO GEN.25MG 20CPDS REV. - ACCORD
TOPIRAMATO GEN.25MG 30CPDS REV. - ACCORD
TOPIRAMATO GEN.25MG 3BLX20CPDS - EMS GENERICOS
TOPIRAMATO GEN.25MG 3BLX20CPDS REV. - GERMED GENERICOS
TOPIRAMATO GEN.25MG 3X20CPDS REV. - LEGRAND GENERICOS
TOPIRAMATO GEN.25MG 60CPDS - EUROFARMA
TOPIRAMATO GEN.25MG 60CPDS - SANDOZ
TOPIRAMATO GEN.25MG 60CPDS REV. - BIOSINTETICA
TOPIRAMATO GEN.25MG 60CPDS REV. - TEUTO BRAS
TOPIRAMATO GEN.25MG 60CPDS REV. - ACHE
TOPIRAMATO GEN.25MG 60CPDS REV. - ACCORD
TOPIRAMATO GEN.50MG 10CPDS REV. - ACCORD
TOPIRAMATO GEN.50MG 20CPDS REV. - ACCORD
TOPIRAMATO GEN.50MG 30CPDS REV. - ACCORD
TOPIRAMATO GEN.50MG 4BLX15CPDS - EMS GENERICOS
TOPIRAMATO GEN.50MG 4BLX15CPDS REV. - GERMED GENERICOS
TOPIRAMATO GEN.50MG 4X15CPDS REV. - LEGRAND GENERICOS
TOPIRAMATO GEN.50MG 60CPDS - EUROFARMA
TOPIRAMATO GEN.50MG 60CPDS - SANDOZ
TOPIRAMATO GEN.50MG 60CPDS REV. - BIOSINTETICA
TOPIRAMATO GEN.50MG 60CPDS REV. - TEUTO BRAS
TOPIRAMATO GEN.50MG 60CPDS REV. - ZYDUS NIKKHO
TOPIRAMATO GEN.50MG 60CPDS REV. - ACHE
TOPIRAMATO GEN.50MG 60CPDS REV. - ACCORD
TOPISON CRM.10GRS - LIBBS
TOPISON CRM.20GRS - LIBBS
TOPISON POM.20GRS - LIBBS
TOPLANINA 400MG PO LIOF.INJ. 1FA 3ML - MEIZLER
TOPLEXIL XPE.ADU.100ML - SANOFI-AVENTIS
TOPLEXIL XPE.PED.100ML - SANOFI-AVENTIS
TOPLIV 1MG POM.DERM.20G - COSMED
TOPLIV 1MG/G CRM.20GRS - COSMED
TOPORAN 4MG 1FA - MEIZLER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
305
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
120843
120839
120840
120841
120835
120836
120842
120837
120838
83970
97114
79576
79579
71583
150897
150898
145761
145268
141284
62321
62322
62326
62323
62324
131201
150481
34076
26397
83959
83960
280095
1280116
91303
91304
5610026
127991
136879
136878
80057
80058
80056
3080105
3080104
74623
74624
136775
136776
42871
DESCRICAO
TOPTIL 100MG 10CPDS - SANDOZ
TOPTIL 100MG 30CPDS - SANDOZ
TOPTIL 100MG 60CPDS - SANDOZ
TOPTIL 25MG 10CPDS - SANDOZ
TOPTIL 25MG 30CPDS - SANDOZ
TOPTIL 25MG 60CPDS - SANDOZ
TOPTIL 50MG 10CPDS - SANDOZ
TOPTIL 50MG 30CPDS - SANDOZ
TOPTIL 50MG 60CPDS - SANDOZ
TORADOL 30MG 10AMP 1ML - ROCHE
TORAGESIC 20MG/ML GTS.10ML - SIGMA PHARMA
TORAGESIC 30MG/ML 3AMP.1ML - SIGMA PHARMA
TORAGESIC 60MG/2ML 3AMP.2ML - SIGMA PHARMA
TORAGESIC SL 10MG 10CPDS - SIGMA PHARMA
TORANTE 15MG/ML XPE.100ML - EUROFARMA
TORANTE 15MG/ML XPE.200ML - EUROFARMA
TORISEL 25MG/ML SOL.INJ.1FA 1,2ML+DIL.1,8ML - WYETH
TORLOS 100MG 10CPDS - TORRENT
TORLOS 100MG 30CPDS - TORRENT
TORLOS 25MG 28CPDS - TORRENT
TORLOS 50MG 14CPDS - TORRENT
TORLOS 50MG 28CPDS - TORRENT
TORLOS H 50/12,5MG 14CPDS - TORRENT
TORLOS H 50/12,5MG 28CPDS - TORRENT
TORSILAX 10X10CPDS - NEOQUIMICA
TORSILAX 125+50+300MG 12CPDS - NEOQUIMICA
TORSILAX 25X4CPDS - NEOQUIMICA
TORSILAX 3X10CPDS - NEOQUIMICA
TORVAL CR 300MG 30CPDS - TORRENT
TORVAL CR 500MG 30CPDS - TORRENT
TOSSEMED 20G - ALM.PRADO
TOSSILERG XPE.100ML - BUNKER
TOTELLE 28DRGS - WYETH
TOTELLE CICLO 14+14DRGS - WYETH
TOXOIDE TETANICO 1DOSE+SER. - SANOFI-AVENTIS
TOXOIDE TETANICO 1SER 1DS 0,5ML - SANOFI-AVENTIS
TRACLEER 125MG 60CPDS REV. - ACTELION
TRACLEER 62,5MG 60CPDS REV. - ACTELION
TRACONAL 100MG 10CAPS GEL. - ACHE
TRACONAL 100MG 15CAPS GEL. - ACHE
TRACONAL 100MG 4CAPS GEL. - ACHE
TRACRIUM 25MG 5AMP 2,5ML - GLAXOSMITH
TRACRIUM 50MG 5AMP 5ML - GLAXOSMITH
TRACTOCILE 7,5MG/ML 1AMP 0,9ML - FERRING
TRACTOCILE 7,5MG/ML 1AMP 5,0ML - FERRING
TRACUR 10MG/ML 25AMP 2,5ML - CRISTALIA
TRACUR 10MG/ML 25AMP 5ML - CRISTALIA
TRACUR 10MG/ML 5AMP 2,5ML - CRISTALIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
306
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
42870
5740064
5740050
5740049
104133
153757
44608
44607
44612
44613
44614
44609
44610
44611
2660063
141480
2660045
141481
2660003
92401
92400
92399
120785
26134
26135
164608
26136
26137
5420044
5420043
2060074
68001
2060075
83833
84695
158544
40955
14660
159332
160296
160297
3440061
3440062
145438
94218
79673
159250
167615
DESCRICAO
TRACUR 10MG/ML 5AMP 5ML - CRISTALIA
TRALEN 28% SOL.P/UNHAS 12ML - PFIZER
TRALEN CRM.30GRS - PFIZER
TRALEN PO 30GRS - PFIZER
TRAMADEN 50MG 10CPDS - NEOQUIMICA
TRAMADEN 50MG 10X10CAPS - NEOQUIMICA
TRAMADON 100MG/ML GTS.10ML - CRISTALIA
TRAMADON 50MG 10CAPS - CRISTALIA
TRAMADON 50MG 10X10CAPS - CRISTALIA
TRAMADON 50MG/ML 100AMP 1ML - CRISTALIA
TRAMADON 50MG/ML 100AMP 2ML - CRISTALIA
TRAMADON 50MG/ML 6AMP 1ML - CRISTALIA
TRAMADON 50MG/ML 6AMP 2ML - CRISTALIA
TRAMADON RETARD 100MG 10CPDS - CRISTALIA
TRAMAL 100MG GTS.10ML - PFIZER
TRAMAL 100MG INJ.5AMP - PFIZER
TRAMAL 50MG 10CAPS - PFIZER
TRAMAL 50MG INJ.5AMP - PFIZER
TRAMAL RETARD 100MG 10CPDS - PFIZER
TRAMALIV 100MG/2ML 6AMP 2ML - TEUTO BRAS
TRAMALIV 50MG 10CAPS GEL.DURA - TEUTO BRAS
TRAMALIV 50MG/ML 6AMP 1ML - TEUTO BRAS
TRANIL 50MG/ML INJ.25X10ML - HIPOLABOR
TRANQUINAL 0,25MG 20CPDS - BAGO
TRANQUINAL 0,50MG 20CPDS - BAGO
TRANQUINAL 0,5MG 30CPDS - BAGO
TRANQUINAL 1MG 20CPDS - BAGO
TRANQUINAL 2MG 20CPDS - BAGO
TRANSAMIN 12CPDS - NIKKHO
TRANSAMIN 5AMP 5ML - NIKKHO
TRANSPULMIN 12,5+30+4+12,5MG/G 5SUPS - ACHE
TRANSPULMIN 13,33MG/ML XPE ADU.150ML - ACHE
TRANSPULMIN 25+100+50+10MG/G BALSAMO 20G - ACHE
TRANSPULMIN 6,667MG/ML XPE INF.150ML - ACHE
TRAVAD ENEMA 133ML AZD0001 - BAXTER
TRAVAMED 0,04MG/ML SOL.OFT.2,5ML - GERMED
TRAVATAN 0,04MG/ML SOL.OFT.2,5ML - ALCON
TRAVISCO 200MG 30CPDS - CHIESI
TRAVOPROSTA GEN.0,04MG/ML SOL.OFT.2,5ML - EMS GENERICOS
TRAYENTA 5MG 10CPDS REV. - BOEHRINGER
TRAYENTA 5MG 30CPDS REV. - BOEHRINGER
TRENTAL 20MG/ML 5AMP 5ML - SANOFI-AVENTIS
TRENTAL 400MG 2X10CPDS REV. - SANOFI-AVENTIS
TRENTOFIL 400MG 200CPDS - UCI-FARMA
TRENTOFIL 400MG 20CPDS - UCI-FARMA
TRESSLIV 30CPDS - CIFARMA
TREXACONT 250MG 12CPDS - LEGRAND PRESCRICAO
TREZOR 10MG 10CPDS REV. - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
307
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
167116
167117
103007
420077
120883
140777
120884
140778
52202
3440243
52203
3440244
17612
71016
71017
31856
141473
39542
141474
138206
142001
138207
107555
138292
111293
111294
141273
138293
78953
122633
137143
6440067
6440051
137557
2060081
60568
1280071
145187
150489
1830064
150490
1830065
95063
95064
95065
40290
40287
40285
DESCRICAO
TREZOR 10MG 30CPDS REV. - ACHE
TREZOR 20MG 30CPDS REV. - ACHE
TRIALGEX 20GRS - KLEY HERTZ
TRIANCIL 20MG/ML 1FA 5ML - APSEN
TRIANCINOLONA ACETONIDA+SULFATO NEOMICINA+GRAMICIDINA+NISTATINA GEN.CRM.30GRS - MEDLEY
TRIANCINOLONA ACETONIDA+SULFATO NEOMICINA+GRAMICIDINA+NISTATINA GEN.CRM.DERM.30GRS - PRATI-DONADUZZI
TRIANCINOLONA ACETONIDA+SULFATO NEOMICINA+GRAMICIDINA+NISTATINA GEN.POM.30GRS - MEDLEY
TRIANCINOLONA ACETONIDA+SULFATO NEOMICINA+GRAMICIDINA+NISTATINA GEN.POM.DERM.30GRS - PRATI-DONADUZZI
TRIATEC 2,5MG 15CPDS - SANOFI-AVENTIS
TRIATEC 2,5MG 3X10CPDS - SANOFI-AVENTIS
TRIATEC 5,0MG 15CPDS - SANOFI-AVENTIS
TRIATEC 5,0MG 3X10CPDS - SANOFI-AVENTIS
TRIATEC D 5+25MG 30CPDS - SANOFI-AVENTIS
TRIATEC PREVENT 10MG 15CAPS - SANOFI-AVENTIS
TRIATEC PREVENT 10MG 30CAPS - SANOFI-AVENTIS
TRIATIV 300MG 30CPDS REV. - ATIVUS
TRIATIV 300MG 8CPDS - ATIVUS
TRIATIV 450MG 30CPDS REV. - ATIVUS
TRIATIV 450MG 8CPDS - ATIVUS
TRIAXIN 1G IM FR. 250MG + 1AMP. DIL. 3,5ML - EUROFARMA
TRIAXIN 250MG IM FA + AMP. DIL. 2ML - EUROFARMA
TRIAXIN 500G IM FA + 01 AMP. DIL. 2ML - EUROFARMA
TRIAXON 1G PO IM 1FA+DIL.3,5ML - TEUTO BRAS
TRIAXON 1G PO IM 50FA+50DIL.3,5ML - TEUTO BRAS
TRIAXON 1G PO IV 1FA+DIL.3,5ML - TEUTO BRAS
TRIAXON 1G PO IV 50FA+DIL.3,5ML - TEUTO BRAS
TRIAXON 250MG PO IM 1FA+DIL.2ML - TEUTO BRAS
TRIAXON 500MG PO IM 1FA+DIL.2ML - TEUTO BRAS
TRIAXON 500MG PO IV 1FA+DIL.5ML - TEUTO BRAS
TRIAXON 500MG PO IV 50FA+50DIL. - TEUTO BRAS
TRIAXTON 1000MG 1000FA - ARISTON
TRIAZOL 150MG 1CAP GEL.DURA - BIOLAB SANUS
TRIAZOL 150MG 2CAPS GEL.DURA - BIOLAB SANUS
TRIAZOL 150MG 4CAPS GEL.DURA - BIOLAB SANUS
TRICANGINE-A 5000UI+20MG/G CRM.VAG.85G+15APLIC. - ACHE
TRICOCILIN B CRM.VAG.45GRS+10APL - EMS
TRICOLPEX CRM.VAG.40G - BUNKER
TRIDERM CRM.DERM.15GRS - MEDLEY
TRIDIL 25MG 10AMP 5ML - CRISTALIA
TRIDIL 25MG 1AMP 5ML - CRISTALIA
TRIDIL 50MG 10AMP 10ML - CRISTALIA
TRIDIL 50MG 1AMP 10ML - CRISTALIA
TRIFAMOX BD 200+50MG/ML PO 30ML - BAGO
TRIFAMOX BD 200+50MG/ML PO 60ML - BAGO
TRIFAMOX BD 875+125MG 14CPDS REV. - BAGO
TRIFAMOX IBL 1000+500MG PO INJ. 1FA+DIL.5ML - BAGO
TRIFAMOX IBL 25+25MG/ML PO 30G - BAGO
TRIFAMOX IBL 250+250MG 16CPDS REV. - BAGO
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
308
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
40284
40288
40289
40286
3080106
156439
115336
41396
6840065
6840063
115433
36938
116153
29975
960095
48183
29976
960096
63676
115763
84759
137910
115732
145661
94220
7040056
7380074
143862
7080169
153673
94058
840031
145031
72838
4880044
31956
6600024
84194
84195
2660047
44104
103174
103168
76865
76864
129301
129299
103173
DESCRICAO
TRIFAMOX IBL 250+250MG 8CPDS REV. - BAGO
TRIFAMOX IBL 50+50MG/ML PO 30G - BAGO
TRIFAMOX IBL 500+250MG PO INJ.1FA+DIL.5ML - BAGO
TRIFAMOX IBL 500+500MG 8CPDS REV. - BAGO
TRIFEDRIN 0,11+10+2MG/ML XPE.INF.100ML - FARMOQUIMICA
TRIFEN 200MG GTS.20ML - KLEY HERTZ
TRIFEN 750MG 12CPDS - KLEY HERTZ
TRIFEN 750MG 30X4CPDS - KLEY HERTZ
TRIGLICERIL AGE 250ML - SUPPORT NUTRITION
TRIGLICERIL CM 250ML - SUPPORT NUTRITION
TRILAX 100CPDS - HEXAL
TRILAX 12CPDS - HEXAL
TRILAX 300+125+30+50MG 30CPDS - HEXAL
TRILEPTAL 300MG 10CPDS REV. - NOVARTIS
TRILEPTAL 300MG 20CPDS REV. - NOVARTIS
TRILEPTAL 300MG 60CPDS REV. - NOVARTIS
TRILEPTAL 600MG 10CPDS REV. - NOVARTIS
TRILEPTAL 600MG 20CPDS REV. - NOVARTIS
TRILEPTAL 600MG 60CPDS REV. - NOVARTIS
TRILEPTAL 60MG/ML SUSP.PED.100ML - NOVARTIS
TRI-LUMA CRM.15G - GALDERMA
TRI-LUMA CRM.30G - GALDERMA
TRIMEDAL 500MG 24CPDS REV. - NOVARTIS
TRIMEDAL 500MG 4CPDS REV. - NOVARTIS
TRINIZOL M 30+20MG CRM.VAG.40G+7APLIC. - UCI-FARMA
TRINIZOL M CRM.VAG.80GRS+APL - UCI-FARMA
TRINORDIOL 21DRGS - WYETH
TRINULOX CRM.DERM.15GRS - EMS
TRIOXINA 1G IM PO INJ.1FA+DIL 3,5ML - UNIAO QUIMICA
TRIOXINA 1G IM PO INJ.50FA - UNIAO QUIMICA
TRIOXINA 1G IV PO INJ.50FA - UNIAO QUIMICA
TRIQUILAR 21DRGS - SCHERING DO BRASIL
TRISENOX 1MG/ML SOL.INJ.10AMP 10ML - ZODIAC
TRISORB 3+1+2MG/ML SOL.OFT.15ML - ALCON
TRIVAGEL N CRM.VAG.60G+10APL. - MARJAN
TRIVASTAL RET.50MG 15DRGS - SERVIER
TRIVASTAL RET.50MG 30DRGS - SERVIER
TRIXOTENE 20MG 1FA - SANDOZ
TRIXOTENE 80MG 1FA - SANDOZ
TROFODERMIN CRM.DERM.30GRS - PFIZER
TROFODERMIN CRM.VAG.45GRS+8APL - PFIZER
TROK 20+0,5MG/G CRM.30GRS - EUROFARMA
TROK 20+0,5MG/G POM.30GRS - EUROFARMA
TROK CRM.10GRS - EUROFARMA
TROK POM.10GRS - EUROFARMA
TROK-G 1MG/G CRM.DERM.30GRS - EUROFARMA
TROK-G 1MG/G POM.DERM.30GRS - EUROFARMA
TROK-N 20+0,5+2,5MG/G CRM.30GRS - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
309
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
103171
76863
76862
143353
143354
101576
101575
96279
77910
121929
121926
121925
156526
141634
121927
165034
121928
141635
5440069
5440058
47144
5040036
134178
134179
5920050
5920004
2120116
104280
124333
99386
3940118
17797
164512
164514
3940120
164513
3940119
165822
165823
3940123
3940122
3940121
22584
71668
71669
71670
94388
3940124
DESCRICAO
TROK-N 20+0,5+2,5MG/G POM.30GRS - EUROFARMA
TROK-N CRM.10GRS - EUROFARMA
TROK-N POM.10GRS - EUROFARMA
TROMBOFOB 200UI/G GEL 40G - ABBOTT
TROMBOFOB 50UI/G+2,067MG/G POM.DERM.40G - ABBOTT
TROMETAMINA CETOROLACO GEN.30MG/ML SOL.INJ.3AMP 1ML - GERMED GENERICOS
TROMETAMINA CETOROLACO GEN.60MG/ML SOL.INJ.3AMP 2ML - GERMED GENERICOS
TROMETAMOL CETOROLACO GEN.5MG/ML GTS.5ML - BIOSINTETICA
TROMETAMOL CETOROLACO GEN.5MG/ML SOL.OFT.5ML - EMS GENERICOS
TROPHIC 1.5 BAUNILHA 1000ML TETRA PAK - PRODIET NC
TROPHIC BASIC BAUNILHA 1000ML TETRA PAK - PRODIET NC
TROPHIC BASIC BAUNILHA 400GRS - PRODIET NC
TROPHIC BASIC BAUNILHA 800GRS - PRODIET NC
TROPHIC BASIC BOLSA 500ML - PRODIET NC
TROPHIC BIO BAUNILHA 400GRS - PRODIET NC
TROPHIC EP 1000ML TETRA PAK - PRODIET NC
TROPHIC FIBER BAUNILHA 1000ML TETRA PAK - PRODIET NC
TROPHIC FIBER BOLSA 500ML - PRODIET NC
TROPINAL 300+1+0,0065+0,104MG 5X4CPDS - SIGMA PHARMA
TROPINAL 300+1+0,0065+0,104MG SOL.ORAL 15ML - SIGMA PHARMA
TROPINOM 1% SOL.OFT.5ML - UNIAO QUIMICA
TRUSOPT 2% SOL.OFTAL.5ML - MERCK S.D.
TRYPSONE 0,5G PO LIOF.1FA+DIL.25ML - GRIFOLS
TRYPSONE 1G PO LIOF.1FA+DIL.50ML - GRIFOLS
TRYPTANOL 25MG 2X10CPDS - MERCK S.D.
TRYPTANOL 75MG 2X10CPDS - MERCK S.D.
TUSSILIV XPE.100ML - DELTA
TYGACIL 50MG PO LIOF.10FA - WYETH
TYKERB 250MG 70CPDS(ICMS 0%) - GLAXOSMITH
TYLECETAMOL 750MG 200CPDS - SANDOZ
TYLENOL 200MG GTS.15ML - J&J CONSUM
TYLENOL 32MG SUSP.ORAL 60ML - J&J CONSUM
TYLENOL 500MG 20CPDS REV. - J&J CONSUM
TYLENOL 500MG 2CPDS REV.F.V - J&J CONSUM
TYLENOL 500MG 4CPDS F.V - J&J CONSUM
TYLENOL 500MG 50BLX2CPDS REV. - J&J CONSUM
TYLENOL 500MG 50BLX4CPDS - J&J CONSUM
TYLENOL 750MG 200CPDS - J&J CONSUM
TYLENOL 750MG 20CPDS - J&J CONSUM
TYLENOL 750MG 20CPDS - J&J CONSUM
TYLENOL 750MG 4CPDS F.V - J&J CONSUM
TYLENOL 750MG 50BLX4CPDS - J&J CONSUM
TYLENOL BEBE 100MG GTS.15ML - J&J CONSUM
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
TYLENOL SINUS 500MG 24CPDS - J&J CONSUM
TYLEX 30MG 12CPDS - JANSSEN-CILAG
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
310
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
148237
3940125
6920179
6920178
6920177
166522
141274
6920280
47769
47771
150584
47770
127956
127957
123122
169775
153123
169777
169779
48181
48182
153140
153141
122317
5340114
34081
5340160
30946
30947
30948
84160
129711
168520
134372
133692
150197
153124
165917
145477
145479
145478
145480
145482
145484
145481
96641
94738
47524
DESCRICAO
TYLEX 30MG 24CPDS - JANSSEN-CILAG
TYLEX 7,5MG 12CPDS - JANSSEN-CILAG
TYLIDOL 200MG/ML SOL.ORAL GTS.15ML - TEUTO BRAS
TYLIDOL 500MG 200CPDS - TEUTO BRAS
TYLIDOL 500MG 20CPDS - TEUTO BRAS
TYLIDOL 750MG 200CPDS - TEUTO BRAS
TYLIDOL 750MG 20CPDS - TEUTO BRAS
TYLIDOL 750MG 50BLX4CPDS - TEUTO BRAS
TYLOL 200MG GTS.15ML - PHARMASCIENCE
TYLOL 750MG 200CPDS - PHARMASCIENCE
TYLOL 750MG 200CPDS - PHARMASCIENCE
TYLOL 750MG 20CPDS - PHARMASCIENCE
TYNEO 200MG/ML GTS.15ML - NEOQUIMICA
TYNEO 750MG 100CPDS - NEOQUIMICA
TYNK 1000MG 30CAPS - ATIVUS
TYR ANAMIX INF.400G - SUPPORT NUTRITION
TYSABRI 20MG/ML SOL INJ.FA 15ML - BIOGEN IDEC
UCD 1 450G - SUPPORT NUTRITION
UCD 2 450G - SUPPORT NUTRITION
ULCEROCIN 150MG 20CPDS - CIMED
ULCEROCIN 300MG 20CPDS - CIMED
ULCESTOP 30MG 14CAPS - DIFFUCAP
ULCESTOP 30MG 28CAPS - DIFFUCAP
ULCESTOP 30MG 7CAPS - DIFFUCAP
ULCINAX 200MG 20CPDS - NEOQUIMICA
ULCINAX 300MG/2ML 6AMP 2ML - NEOQUIMICA
ULCINAX 400MG 2X8CPDS - NEOQUIMICA
ULTIVA 1MG 5AMP - GLAXOSMITH
ULTIVA 2MG 5AMP - GLAXOSMITH
ULTIVA 5MG 5AMP - GLAXOSMITH
ULTRACET 325+37,5MG 10CPDS - JANSSEN-CILAG
ULTRACET 325+37,5MG 20CPDS - JANSSEN-CILAG
ULTRAFER 100MG 30CPDS REV. - FARMOQUIMICA
ULTRAFER 10MG/ML XPE.100ML - FARMOQUIMICA
ULTRAFER 50MG/ML SOL.ORAL 30ML - FARMOQUIMICA
ULTRAPROCT LDO 1MG+20MG CRM.30GRS+APLIC. - BAYER
ULTRAPROCT LDO 1MG+40MG 10SUPS - BAYER
ULTRAVIST 300MG/ML 1FA 500ML - SCHERING DO BRASIL
ULTRAVIST 623,40MG/ML 10FA 100ML - SCHERING DO BRASIL
ULTRAVIST 623,40MG/ML 10FA 200ML - SCHERING DO BRASIL
ULTRAVIST 623,40MG/ML 10FA 20ML - SCHERING DO BRASIL
ULTRAVIST 623,40MG/ML 10FA 50ML - SCHERING DO BRASIL
ULTRAVIST 768,86MG/ML 10FA 100ML - SCHERING DO BRASIL
ULTRAVIST 768,86MG/ML 10FA 200ML - SCHERING DO BRASIL
ULTRAVIST 768,86MG/ML 10FA 50ML - SCHERING DO BRASIL
UMCKAN 825MG SOL.50ML - FARMOQUIMICA
UMCKAN 825MG SOL.INF.20ML - FARMOQUIMICA
UNASYN 1000/2000MG PO INJ CX 30FR - PFIZER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
311
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
44052
42435
47523
7080196
7080006
37001
7080051
7080052
7080016
7080093
7080072
67501
58516
67502
7080034
7080125
145029
7080143
37953
7080037
37952
7080036
37964
37965
45688
7080167
7080067
7080186
7080185
159229
37966
94060
127919
127920
153674
94020
94021
22620
71585
71584
7080095
28659
37972
153675
45671
94258
145012
48152
DESCRICAO
UNASYN 250MG 60ML - PFIZER
UNASYN 375MG 10CPDS - PFIZER
UNASYN 500/1000MG PO INJ CX 30FR - PFIZER
UNI AMOX 250MG/5ML PO SUSP.ORAL 150ML - UNIAO QUIMICA
UNI AMOX 500MG 15CAPS GEL. - UNIAO QUIMICA
UNI AMOX 500MG 21CAPS GEL. - UNIAO QUIMICA
UNI BROMAZEPAX 3MG 20CPDS - UNIAO QUIMICA
UNI BROMAZEPAX 6MG 20CPDS - UNIAO QUIMICA
UNI CARBAMAZ 2% SUSP.ORAL 100ML - UNIAO QUIMICA
UNI CEFALEXIN 250MG/5ML PO SUSP.ORAL 100ML - UNIAO QUIMICA
UNI CEFALEXIN 500MG 10CAPS GEL. - UNIAO QUIMICA
UNI CLONAZEPAX 0,5MG 20CPDS - UNIAO QUIMICA
UNI CLONAZEPAX 2,5MG/ML SOL.ORAL 20ML - UNIAO QUIMICA
UNI CLONAZEPAX 2MG 20CPDS - UNIAO QUIMICA
UNI DEXA 0,1% CRM.DERM.10G - UNIAO QUIMICA
UNI DEXA 2MG/ML SOL.INJ.2AMP 2ML - UNIAO QUIMICA
UNI DEXA 2MG/ML SOL.INJ.50AMP 1ML - UNIAO QUIMICA
UNI DEXA 4MG/ML SOL.INJ.50FA 2,5ML - UNIAO QUIMICA
UNI DIAZEPAX 10MG 200CPDS - UNIAO QUIMICA
UNI DIAZEPAX 10MG 20CPDS - UNIAO QUIMICA
UNI DIAZEPAX 5MG 200CPDS - UNIAO QUIMICA
UNI DIAZEPAX 5MG 20CPDS - UNIAO QUIMICA
UNI HALOPER 5MG 200CPDS - UNIAO QUIMICA
UNI HALOPER 5MG/ML SOL.INJ.50AMP 1ML - UNIAO QUIMICA
UNI IMIPRAX 25MG 200CPDS REV. - UNIAO QUIMICA
UNI NORFLOX 400MG 14CPDS - UNIAO QUIMICA
UNI PROPRALOL 40MG 40CPDS - UNIAO QUIMICA
UNI VIR 250MG PO LIOF.5FA+DIL - UNIAO QUIMICA
UNI VIR 50MG/G CRM.10G - UNIAO QUIMICA
UNIANF 50MG PO LIOF.25FA - UNIAO QUIMICA
UNIFEDRINE 50MG/ML SOL.INJ.25AMP 1ML - UNIAO QUIMICA
UNIFENOBARB 200MG SOL.INJ.5AMP 1ML - UNIAO QUIMICA
UNIFENTAL 50MCG/ML SOL.INJ.25AMP 5ML - UNIAO QUIMICA
UNIFENTAL 50MCG/ML SOL.INJ.50AMP 2ML - UNIAO QUIMICA
UNIFENTAL 50MG/ML 25AMP 10ML - UNIAO QUIMICA
UNIFEPIM 1G PO INJ.1FA 3ML - UNIAO QUIMICA
UNIFEPIM 2G PO INJ.1FA 3ML - UNIAO QUIMICA
UNIGRIP 500MG 50SACH 5G - UNIAO QUIMICA
UNIGYN 1G 2CPDS - SIGMA PHARMA
UNIGYN 1G 4CPDS - SIGMA PHARMA
UNIHIOSCIN 10MG 20CPDS REV. - UNIAO QUIMICA
UNIMEDROL 125MG PO SOL.INJ.1FA+DIL.2ML - UNIAO QUIMICA
UNIMEDROL 500MG PO SOL.INJ.1FA+DIL.8ML - UNIAO QUIMICA
UNINALTREX 50MG 30CPDS REV. - UNIAO QUIMICA
UNIPRAZOL 20MG 14CAPS GEL. - UNIAO QUIMICA
UNIPRAZOL 20MG 28CAPS GEL. - UNIAO QUIMICA
UNIPROFEN 400MG 20CPDS REV. - UNIAO QUIMICA
UNIPROFEN 600MG 20DRGS - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
312
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
94260
94261
94262
103051
420061
41690
103014
3440233
3440234
140227
140228
140224
140225
84667
88223
161007
167130
4560042
4560028
5260110
840046
840045
26140
42368
170056
123446
13947
7460055
30225
7460056
101620
94737
72202
71822
159902
141049
128003
143391
136692
85979
43524
85978
130590
40313
40312
56064
164642
40316
DESCRICAO
UNITIDAZIN 100MG 2BLX10DRGS - UNIAO QUIMICA
UNITIDAZIN 25MG 2BLX10DRGS - UNIAO QUIMICA
UNITIDAZIN 50MG 2BLX10DRGS - UNIAO QUIMICA
UNO CICLO 150+10MG/ML 1AMP 1ML - GLENMARK
UNOPROST 1MG 20CPDS - APSEN
UNOPROST 2MG 30CPDS - APSEN
UNOPROST 4MG 2BLX15CPDS - APSEN
URBANIL 10MG 20CPDS - SANOFI-AVENTIS
URBANIL 20MG 20CPDS - SANOFI-AVENTIS
UREATIV 10% 150ML - GLENMARK
UREATIV 10% 50G - GLENMARK
UREATIV 20% 50G - GLENMARK
UREATIV 3% 150ML - GLENMARK
UREAX 500MG 100CAPS - ASPEN
UREHIDRA 10% CRM.GEL 120G (+22% IPI) - BIOLAB SANUS
UREPEL 10% CRM.DERM.60G - UNIAO QUIMICA
UREPEL 3% LOC.150ML - UNIAO QUIMICA
URITRAT 400MG 14CPDS - LIBBS
URITRAT 400MG 6CPDS - LIBBS
UROCTRIN 2X10CPDS - LEGRAND TARJARDOS
UROGRAFINA "292" 60% FA 100ML - BAYER
UROGRAFINA "292" 60% FA 50ML - BAYER
UROSEPTAL 400MG 20CPDS REV. - BAGO
UROSEPTAL 400MG 6CPDS REV. - BAGO
URO-VAXOM 6MG 10CAPS GEL.DURA - APSEN
URO-VAXOM 6MG 30CAPS - APSEN
UROXAZOL-N 400MG 14CPDS - BUNKER
URSACOL 150MG 20CPDS - ZAMBON
URSACOL 300MG 20CPDS - ZAMBON
URSACOL 50MG 20CPDS - ZAMBON
UTROGESTAN 100MG 30CAPS GEL.MOLE - FARMOQUIMICA
UTROGESTAN 200MG 14CAPS GEL.MOLE - FARMOQUIMICA
UXALUN 100MG 1FA - SANDOZ
UXALUN 50MG 1FA - SANDOZ
VACINA ADSORVIDA DIFTERIA+TETANO+PERTUSSIS+POLIMELITE 1/2/3 INATIVADA INJ.SER.PREENC.0,5ML+2AG - SANOFI-AVENTIS
VACINA ADSORVIDA MENINGOCOCICA 10MCG 0,6ML - NOVARTIS
VACINA ANTI-RABICA HUMANA 1SERX1DS LIO 0,5ML - SANOFI-AVENTIS
VACINA BCG 1AMP - F.A.P.
VACINA BCG IMUNOTERAPEUTICO 1FR 1DS+DIL.X3ML - SANOFI-AVENTIS
VACINA COMB.DPTA HB 1SER.0,5ML - GLAXOSMITH
VACINA COMB.DPTA HB IPV/HIB 1FA+1SER.DIL.0,5ML - GLAXOSMITH
VACINA COMB.DPTA HIB 1FA 0,5ML - GLAXOSMITH
VACINA COMB.DPTA IPV/HB 1FA+1SER.0,5ML PEDIARIX - GLAXOSMITH
VACINA COMB.DPTA IPV/HIB 1FA+1SER.0,5ML - GLAXOSMITH
VACINA COMB.DTPA 1SER.0,5ML - GLAXOSMITH
VACINA COMB.DTPA REFORCO 1SER. - GLAXOSMITH
VACINA COMB.DTPA REFORCO IPV(DTPA-IPV)SER.PREENCH.0,5ML - GLAXOSMITH
VACINA COMB.SARAMPO/CAXUMBA/RUBEOLA 1FA - GLAXOSMITH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
313
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
144318
127981
23470
134475
101985
101986
101987
159873
141628
127988
127992
136693
136695
127980
127999
103040
128001
128002
138714
127982
77921
77920
127983
77918
77917
127984
127985
129403
76463
132023
127993
77919
127996
15327
15326
40308
40309
145763
155076
165871
151825
163787
127987
74036
70878
129980
129981
136669
DESCRICAO
VACINA COMB.SARAMPO/CAXUMBA/RUBEOLA/VARICELA 1SER. - GLAXOSMITH
VACINA CONJUG.C/PROT.TETANICA CONTRA HAEMOPHILUS INFLUENZAE B 1SER 0,5ML - SANOFI-AVENTIS
VACINA CONJUGADA HIB 1FA+DIL.0,5ML - GLAXOSMITH
VACINA CONJUGADA HIB MENC 1SER. - GLAXOSMITH
VACINA CONJUGADA MENINGOCOCICA 10MCG 10FA+10AMP DIL 0,8ML - BLAU
VACINA CONJUGADA MENINGOCOCICA 10MCG 1FA+1AMP DIL 0,8ML - BLAU
VACINA CONJUGADA MENINGOCOCICA 10MCG 5FA+5AMP DIL 0,8ML - BLAU
VACINA CONJUGADA MENINGOCOCICA ACWY 10MCG PO LIOF.5+5+5MCG SOL.INJ.SER.PREENC.0,06ML - NOVARTIS
VACINA CONJUGADA PNEUMO/HEMOFILOS-SG INJ.1SER.0,5ML - GLAXOSMITH
VACINA CONTRA DIFTERIA TETANO COQUELUCHE 1DS X 0,5ML - SANOFI-AVENTIS
VACINA CONTRA DIFTERIA TETANO COQUELUCHE POLIOMIELITE 1SER 1DS 0,5ML - SANOFI-AVENTIS
VACINA CONTRA DIFTERIA/TETANO/COQUELUCHE/POLIOMIELITE INAT.HAEMOPHILUS INFLUENZAE B 1FRX1DS 0,5ML - SANOFI-AVENTIS
VACINA CONTRA FEBRE AMARELA 1SERX1DS 0,5ML - SANOFI-AVENTIS
VACINA CONTRA FEBRE TIFOIDE C/1SER X 1DS 0,5ML - SANOFI-AVENTIS
VACINA CONTRA GRIPE 1SER 1DS X 0,5ML - SANOFI-AVENTIS
VACINA CONTRA GRIPE 1SER.PREENCH.0,5ML - ABBOTT SAUDE
VACINA CONTRA GRIPE MULTIDOSE 10DS X 0,5ML - SANOFI-AVENTIS
VACINA CONTRA GRIPE PED.1SER 1DS X 0,25ML - SANOFI-AVENTIS
VACINA CONTRA HEPATITE A 10FA INJ.5,0ML - SANOFI-AVENTIS
VACINA CONTRA HEPATITE A 160 1SER X 1DS 0,5ML - SANOFI-AVENTIS
VACINA CONTRA HEPATITE A 25U/0,5ML - MERCK S.D.
VACINA CONTRA HEPATITE A 50U/1,0ML - MERCK S.D.
VACINA CONTRA HEPATITE A 80 1SER X 1DS 0,5ML - SANOFI-AVENTIS
VACINA CONTRA HEPATITE B 10MCG 1,0M - MERCK S.D.
VACINA CONTRA HEPATITE B 5MCG 0,5ML - MERCK S.D.
VACINA CONTRA HEPATITE B ADU.1DS X 1,0ML - SANOFI-AVENTIS
VACINA CONTRA HEPATITE B PED.1DS X 0,5ML - SANOFI-AVENTIS
VACINA CONTRA HPV ONCONG.16/18 C/ADJ.AS04 - GLAXOSMITH
VACINA CONTRA PNEUMOCOCCOS 0,5ML - MERCK S.D.
VACINA CONTRA ROTAVIRUS SOL.ORAL 2ML - MERCK S.D.
VACINA CONTRA SARAMPO CAXUMBA RUBEOLA 1SER 0,5ML DIL - SANOFI-AVENTIS
VACINA CONTRA VARICELA 1FR 0,5ML - MERCK S.D.
VACINA CONTRA VARICELA BIKEN 1DS LIO 0,7ML DIL - SANOFI-AVENTIS
VACINA INATIVADA COMB.HEPATITE A/B ADU.720UEL+20MCG 1SER.1ML - GLAXOSMITH
VACINA INATIVADA COMB.HEPATITE A/B PED.360UEL+10MCG 1SER.0,5ML - GLAXOSMITH
VACINA INATIVADA HEPATITE A ADU.1440UEL 1SER.1ML - GLAXOSMITH
VACINA INATIVADA HEPATITE A PED.1SER.0,5ML - GLAXOSMITH
VACINA INFLUENZA 1SER 0,5ML - SANOFI-AVENTIS
VACINA INFLUENZA FRAGMENTADA/INATIVADA 9MCG 1SER.PREENCH.0,1ML - SANOFI-AVENTIS
VACINA INFLUENZA FRAGMENTADA/INATIVADA TP.A/B 1FA 5ML(10DOSES 0,5ML) - SANOFI-AVENTIS
VACINA INFLUENZA SUB.INATIV.1SER PREENCH.0,5ML - NOVARTIS
VACINA INFLUENZA SUB.INATIV.ADJUVADA 1SER.PREENCH.0,5ML - NOVARTIS
VACINA MENINGOCOCICA A+C 1SER 1DS X 0,5ML - SANOFI-AVENTIS
VACINA MENINGOCOCICA CONJUG.C 1FA+SER.+2AG. - WYETH
VACINA MENINGOCOCICA CONJUG.C SER.0,5ML - BAXTER
VACINA ORAL CONTRA POLIOMIELITE SUS.ORAL 0,1ML 1DOSE - BLAU
VACINA ORAL CONTRA POLIOMIELITE SUS.ORAL 1,0ML 10DOSE - BLAU
VACINA ORAL CONTRA POLIOMIELITE SUS.ORAL 10FRX0,1ML 1DOSE - BLAU
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
314
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
129982
127989
148116
114981
6740010
6740011
103010
23471
84962
84961
54157
152128
780061
77916
102925
3860019
133687
83166
138067
138068
140779
140780
83885
90691
83585
76873
98867
83586
76874
128304
92752
43964
95545
92753
43969
44144
44145
154232
167820
67110
162640
140271
67115
140270
79747
79733
103199
117148
DESCRICAO
VACINA ORAL CONTRA POLIOMIELITE SUS.ORAL 2,0ML 20DOSE - BLAU
VACINA PNEUMOCOCICA 1SER X 1DS 0,5ML - SANOFI-AVENTIS
VACINA PNEUMOCOCICA CONJUG.13 VALENTE 1SER.PREENC.0,5ML+1AG. - WYETH
VACINA QUADRIVALENTE RECOMBINANTE CONTRA PAPILOMA VIRUS HUMANO TIPO 6/11/16/18 - MERCK S.D.
VACINA R-DNA CONTRA HEPATITE B ADU.20MCG 1FA 1ML - GLAXOSMITH
VACINA R-DNA CONTRA HEPATITE B PED.10MCG 1SER.0,5ML - GLAXOSMITH
VACINA VIRUS ATENUADO ROTAVIRUS HUMANO SUSP.ORAL 1SER.PREENCH.1,5ML - GLAXOSMITH
VACINA VIRUS ATENUADO VARICELA 1FA+1SER.DIL.0,5ML - GLAXOSMITH
VACINA VIRUS INATIV.CONTRA GRIPE 10SER.PREENC.0,5ML - MEIZLER
VACINA VIRUS INATIV.CONTRA GRIPE SER.PREENC.0,5ML - MEIZLER
VACINA VIRUS INATIVADO GRIPE 10AMP 0,5ML - GLAXOSMITH
VACINA VIRUS INATIVADO GRIPE 10SER.PREENCH.0,5ML - GLAXOSMITH
VACINA VIRUS INATIVADO GRIPE 1SER.0,5ML - GLAXOSMITH
VACINA VIRUS VIVO SAR.CAX.RUB.1FA - MERCK S.D.
VAGI-C 250MG 6CPDS+1APL. - MARJAN
VAGITRENE 40GRS+10APL - EUROFARMA
VAGIVIT 250MG 6CPDS+6APLIC. - EUROFARMA
VALCYTE 450MG 60CPDS - ROCHE
VALDOXAN 25MG 14CPDS - SERVIER
VALDOXAN 25MG 28CPDS - SERVIER
VALERATO BETAMETASONA GEN.1,0MG/G CRM.DERM.30GRS - PRATI-DONADUZZI
VALERATO BETAMETASONA GEN.1,0MG/G POM.DERM.30GRS - PRATI-DONADUZZI
VALERATO BETAMETASONA GEN.1MG/G CRM.30GRS - NEOQUIMICA
VALERATO BETAMETASONA GEN.1MG/G CRM.DERM.30G - GERMED GENERICOS
VALERATO BETAMETASONA GEN.1MG/G CRM.DERM.30G - EMS GENERICOS
VALERATO BETAMETASONA GEN.1MG/G LOC.DERM.50G - EMS GENERICOS
VALERATO BETAMETASONA GEN.1MG/G POM.30GRS - NEOQUIMICA
VALERATO BETAMETASONA GEN.1MG/G POM.DERM.30G - EMS GENERICOS
VALERATO BETAMETASONA GEN.1MG/G SOL.CAP.50G - EMS GENERICOS
VALERATO BETAMETASONA GEN.1MG/G SOL.CAPILAR GTS.50ML - NEOQUIMICA
VALERATO BETAMETASONA GEN.CRM.15GRS - ATIVUS
VALERATO BETAMETASONA GEN.CRM.30GRS - MEDLEY
VALERATO BETAMETASONA GEN.CRM.30GRS - LEGRAND GENERICOS
VALERATO BETAMETASONA GEN.CRM.30GRS - ATIVUS
VALERATO BETAMETASONA GEN.LOC.50GRS - MEDLEY
VALERATO BETAMETASONA GEN.POM.15GRS - MEDLEY
VALERATO BETAMETASONA GEN.POM.30GRS - MEDLEY
VALERATO BETAMETASONA+SULF.GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.0,5+1,0+10+10MG/G CRM.DERM.20GRS - BIOSINTETICA
VALERATO BETAMETASONA+SULF.GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.0,5+1,0+10+10MG/G POM.DERM.20G - BIOSINTETICA
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 CRM.DERM.20G - ACHE
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.0,5+1+10+10MG/G CRM.DERM.20GRS - TEUTO BRAS
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.0,5+1+10+10MG/G POM.DERM.20G - EMS GENERICOS
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.0,5+1+10+10MG/G POM.DERM.20GRS - TEUTO BRAS
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.0,5+1MG/G CRM.20GRS - BRAINFARMA
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.0,5+1MG/G POM.20GRS - BRAINFARMA
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.CRM.20G - GERMED GENERICOS
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.CRM.20GRS - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
315
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
85886
102013
140783
128200
117149
85887
145424
103069
120819
124370
140784
128201
5420055
68424
133553
38235
6280078
35102
6280077
35101
6420080
6420081
6420082
55375
87320
123998
111323
129661
156460
156461
156459
169677
169678
169679
169676
166483
166481
165926
167818
159322
151391
152665
165928
166482
165929
167817
159323
151392
DESCRICAO
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.CRM.20GRS - EUROFARMA
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.CRM.20GRS - LEGRAND GENERICOS
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.CRM.DERM.20GRS - PRATI-DONADUZZI
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.CRM.DERM.20GRS - NOVA QUIMICA
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.POM.20GRS - MEDLEY
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.POM.20GRS - EUROFARMA
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.POM.20GRS - CIMED
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.POM.20GRS - NEOQUIMICA
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.POM.20GRS - LEGRAND GENERICOS
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.POM.DERM.20G - GERMED GENERICOS
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.POM.DERM.20GRS - PRATI-DONADUZZI
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.POM.DERM.20GRS - NOVA QUIMICA
VALERIANE NIKKHO 50MG 2X10DRGS - NIKKHO
VALERIMED 50MG 20CPDS - CIMED
VALERINATI 50MG 30CPDS - PHARMASCIENCE
VALERIX 50MG 30CPDS REV. - ATIVUS
VALIUM 10MG 20CPDS - ROCHE
VALIUM 10MG 30CPDS - ROCHE
VALIUM 5MG 20CPDS - ROCHE
VALIUM 5MG 30CPDS - ROCHE
VALPAKINE 200MG 40CPDS - SANOFI-AVENTIS
VALPAKINE 500MG 40CPDS - SANOFI-AVENTIS
VALPAKINE SOL.40ML - SANOFI-AVENTIS
VALPRENE 250MG/ML XPE.100ML - TEUTO BRAS
VALPROATO SODIO GEN.50MG XPE.100ML - EMS GENERICOS
VALPROATO SODIO GEN.50MG XPE.50FRX100ML - HIPOLABOR
VALPROATO SODIO GEN.50MG/ML XPE.100ML+CP.MED. - TEUTO BRAS
VALPROATO SODIO GEN.50MG/ML XPE.50X100ML+CP.MED. - TEUTO BRAS
VALSACOR 160MG 3BLX10CPDS REV. - LEGRAND PRESCRICAO
VALSACOR 320MG 3BLX10CPDS REV. - LEGRAND PRESCRICAO
VALSACOR 80MG 3BLX10CPDS REV. - LEGRAND PRESCRICAO
VALSACOR HCT 160+12,5MG 3BLX10CPDS REV. - LEGRAND PRESCRICAO
VALSACOR HCT 160+25MG 3BLX10CPDS REV. - LEGRAND PRESCRICAO
VALSACOR HCT 320+25MG 3BLX10CPDS REV. - LEGRAND PRESCRICAO
VALSACOR HCT 80+12,5MG 3BLX10CPDS REV. - LEGRAND PRESCRICAO
VALSARTANA 80MG 28CPDS REV. - SANDOZ
VALSARTANA GEN.160MG 28CPDS REV. - SANDOZ
VALSARTANA GEN.160MG 30CPDS REV. - MEDLEY
VALSARTANA GEN.160MG 30CPDS REV. - BIOSINTETICA
VALSARTANA GEN.160MG 3BLX10CPDS REV. - GERMED GENERICOS
VALSARTANA GEN.160MG 3BLX10CPDS REV. - EMS GENERICOS
VALSARTANA GEN.160MG 3X10 CPDS - LEGRAND GENERICOS
VALSARTANA GEN.160MG 60CPDS REV. - MEDLEY
VALSARTANA GEN.320MG 28CPDS REV. - SANDOZ
VALSARTANA GEN.320MG 30CPDS REV. - MEDLEY
VALSARTANA GEN.320MG 30CPDS REV. - BIOSINTETICA
VALSARTANA GEN.320MG 3BLX10CPDS REV. - GERMED GENERICOS
VALSARTANA GEN.320MG 3BLX10CPDS REV. - EMS GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
316
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
152666
165930
151389
165931
167819
159321
151390
152664
165932
167813
167713
167754
167755
167814
167717
167815
167720
167758
167812
167708
167753
3080128
3080115
88685
88683
88684
131996
131995
69641
69642
2320117
165613
2320054
121641
91038
129636
7080195
141408
141409
165820
94075
160435
153584
129662
102879
129663
110891
110890
DESCRICAO
VALSARTANA GEN.320MG 3X10 CPDS - LEGRAND GENERICOS
VALSARTANA GEN.320MG 60CPDS REV. - MEDLEY
VALSARTANA GEN.40MG 2BLX15CPDS REV. - EMS GENERICOS
VALSARTANA GEN.80MG 30CPDS REV. - MEDLEY
VALSARTANA GEN.80MG 30CPDS REV. - BIOSINTETICA
VALSARTANA GEN.80MG 3BLX10CPDS REV. - GERMED GENERICOS
VALSARTANA GEN.80MG 3BLX10CPDS REV. - EMS GENERICOS
VALSARTANA GEN.80MG 3X10 CPDS - LEGRAND GENERICOS
VALSARTANA GEN.80MG 60CPDS REV. - MEDLEY
VALSARTANA+HIDROCLOROTIAZIDA GEN.160+12,5MG 3BLX10CPDS REV. - GERMED GENERICOS
VALSARTANA+HIDROCLOROTIAZIDA GEN.160+12,5MG 3BLX10CPDS REV. - EMS GENERICOS
VALSARTANA+HIDROCLOROTIAZIDA GEN.160+12,5MG 3BLX10CPDS REV. - LEGRAND GENERICOS
VALSARTANA+HIDROCLOROTIAZIDA GEN.160+25MG 3BLX10CPD REV. - LEGRAND GENERICOS
VALSARTANA+HIDROCLOROTIAZIDA GEN.160+25MG 3BLX10CPDS REV. - GERMED GENERICOS
VALSARTANA+HIDROCLOROTIAZIDA GEN.160+25MG 3BLX10CPDS REV. - EMS GENERICOS
VALSARTANA+HIDROCLOROTIAZIDA GEN.320+25MG 3BLX10CPDS REV. - GERMED GENERICOS
VALSARTANA+HIDROCLOROTIAZIDA GEN.320+25MG 3BLX10CPDS REV. - EMS GENERICOS
VALSARTANA+HIDROCLOROTIAZIDA GEN.320+25MG 3BLX10CPDS REV. - LEGRAND GENERICOS
VALSARTANA+HIDROCLOROTIAZIDA GEN.80+12,5MG 3BLX10CPDS REV. - GERMED GENERICOS
VALSARTANA+HIDROCLOROTIAZIDA GEN.80+12,5MG 3BLX10CPDS REV. - EMS GENERICOS
VALSARTANA+HIDROCLOROTIAZIDA GEN.80+12,5MG 3BLX10CPDS REV. - LEGRAND GENERICOS
VALTREX 500MG 10CPDS - GLAXOSMITH
VALTREX 500MG 42CPDS - GLAXOSMITH
VALTRIAN 100MG 30CPDS REV. - MEDLEY
VALTRIAN 25MG 30CPDS REV. - MEDLEY
VALTRIAN 50MG 30CPDS REV. - MEDLEY
VALTRIAN HCT 100+25MG 30CPDS REV. - MEDLEY
VALTRIAN HCT 50+12,5MG 30CPDS - MEDLEY
VANCEL 150MG 1FA - DARROW
VANCEL 450MG 1FA - DARROW
VANCOCINA CP 1G PO INJ.1FA - ABL
VANCOCINA CP 1G PO INJ.25FA - ABL
VANCOCINA CP 500MG PO INJ.1FA - ABL
VANCOCINA CP 500MG PO INJ.1FA+BOLSA SIST.FECH. - ABL
VANCOCINA CP 500MG PO INJ.25FA - ABL
VANCOSON 500MG PO 20FA - ARISTON
VANCOTRAT 500MG PO LIOF.1FA - UNIAO QUIMICA
VANNAIR 6+100MCG PO INAL.120DOSES - ASTRAZENECA
VANNAIR 6+200MCG PO INAL.120DOSES - ASTRAZENECA
VANTIL 200MG 10BLX10CPDS REV. - NECKERMAN
VANTIL 200MG 20CPDS - NECKERMAN
VANTIL 400MG 10CPDS REV. - NECKERMAN
VANTIL 50MG/ML GTS.30ML - NECKERMAN
VARFARINA SODICA GEN.5MG 30CPDS - TEUTO BRAS
VARFARINA SODICA GEN.5MG 30CPDS - UNIAO QUIMICA
VARFARINA SODICA GEN.5MG 50CPDS - TEUTO BRAS
VARICOSS 20DRGS - CIFARMA
VARICOSS 60DRGS - CIFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
317
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
38936
280098
47772
153450
144159
133680
133682
144158
133679
133681
73809
73810
73811
73812
73813
73814
102880
48153
77837
37298
108899
3555047
6260238
138100
1905024
4361
6260152
6260151
169758
169757
132151
76720
6260156
3555064
3555063
169761
169759
169760
134444
4362
134434
16942
156501
149780
156498
156499
156500
149778
DESCRICAO
VARILISE 250MG 30CAPS - ATIVUS
VARIMED 20G - ALM.PRADO
VARITRAT 250MG 30CPDS - PHARMASCIENCE
VARIZIL 26,70MG 30CPDS REV. - DROXTER
VASATIV 100MG 15CPDS - EUROFARMA
VASATIV 100MG 30CPDS - EUROFARMA
VASATIV 100MG 60CPDS - EUROFARMA
VASATIV 50MG 15CPDS - EUROFARMA
VASATIV 50MG 30CPDS - EUROFARMA
VASATIV 50MG 60CPDS - EUROFARMA
VASCASE 1MG 28CPDS - ROCHE
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
VASCER 20MG/ML SOL.INJ.50AMP 5ML - UNIAO QUIMICA
VASCER 400MG 20CPDS - UNIAO QUIMICA
VASCLIN 40/100MG 30CAPS - LIBBS
VASCLIN 60/100MG 30CAPS - LIBBS
VASELINA 1000ML - FBM
VASELINA 100ML - ICAR
VASELINA 100ML ALMOTOLIA 0363 - RIOQUIMICA
VASELINA 500ML - ICAR
VASELINA LIQ.1000ML - D.G.L
VASELINA LIQ.100ML - D.G.L
VASELINA LIQUIDA 1000ML 0256 - RIOQUIMICA
VASELINA LIQUIDA 100ML 0255 - RIOQUIMICA
VASELINA LIQUIDA 1FR 1000ML - VIC PHARMA
VASELINA LIQUIDA ALMOT.100ML - VIC PHARMA
VASELINA POM.20GRS 0906 - RIOQUIMICA
VASELINA POM.500GRS 0259 - RIOQUIMICA
VASELINA POM.90GRS 0258 - RIOQUIMICA
VASELINA SOLIDA BRANCA 100GRS - ICAR
VASELINA SOLIDA BRANCA 20GRS - ICAR
VASELINA SOLIDA PT 1000G - VIC PHARMA
VASELINA SOLIDA PT 100G - VIC PHARMA
VASELINA SOLIDA PT 500G - VIC PHARMA
VASELINA SOLIDA USP 500GRS - D.G.L
VASELINA USP 1000ML - D.G.L
VASELINA USP 100ML - D.G.L
VASELINA USP POM.30GRS 0562 - RIOQUIMICA
VASIFIL 100MG 2CPDS REV. - GERMED
VASIFIL 100MG 4CPDS REV. - GERMED
VASIFIL 25MG 2CPDS REV. - GERMED
VASIFIL 25MG 4CPDS REV. - GERMED
VASIFIL 50MG 1CPD REV. - GERMED
VASIFIL 50MG 2CPDS REV. - GERMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
318
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
149779
26047
36983
145471
95060
22292
74353
74354
144974
74350
74351
144973
1000071
145472
1000072
145473
1000073
26039
26040
145483
167795
47773
23516
106286
131227
131228
165198
165203
165207
165211
103120
139219
103119
139220
71702
6600021
168532
72146
72142
68520
5440094
5440095
77931
82746
76896
154334
103039
161864
DESCRICAO
VASIFIL 50MG 4CPDS REV. - GERMED
VASLIP 10MG 30CPDS REV. - BIOLAB SANUS
VASLIP 20MG 30CPDS REV. - BIOLAB SANUS
VASLIP 20MG 60CPDS REV. - BIOLAB SANUS
VASLIP 40MG 30CPDS REV. - BIOLAB SANUS
VASODIPINA 30MG 3X10CPDS - NEOQUIMICA
VASOGARD 100MG 2X15CPDS - BIOSINTETICA
VASOGARD 100MG 4X15CPDS - BIOSINTETICA
VASOGARD 100MG 7CPDS - BIOSINTETICA
VASOGARD 50MG 2X15CPDS - BIOSINTETICA
VASOGARD 50MG 4X15CPDS - BIOSINTETICA
VASOGARD 50MG 7CPDS - BIOSINTETICA
VASOPRIL 10MG 30CPDS - BIOLAB SANUS
VASOPRIL 10MG 60CPDS - BIOLAB SANUS
VASOPRIL 20MG 30CPDS - BIOLAB SANUS
VASOPRIL 20MG 60CPDS - BIOLAB SANUS
VASOPRIL 5MG 30CPDS - BIOLAB SANUS
VASOPRIL PLUS 10+25MG 30CPDS - BIOLAB SANUS
VASOPRIL PLUS 20+12,5MG 30CPDS - BIOLAB SANUS
VASOPRIL PLUS 20+12,5MG 60CPDS - BIOLAB SANUS
VASOTRILIX 1,5MG 3BLX10CPDS REV. - EMS
VASOVIRIL 4CPDS - PHARMASCIENCE
VASTAREL 20MG 30CPDS REV. - SERVIER
VASTAREL 20MG 60CPDS REV. - SERVIER
VASTAREL 35MG 30CPDS REV. - SERVIER
VASTAREL 35MG 60CPDS REV. - SERVIER
VASTIGMA 1,5MG 2BLX15CAPS GEL.DURA - SIGMA PHARMA
VASTIGMA 3MG 2BLX15CAPS GEL.DURA - SIGMA PHARMA
VASTIGMA 4,5MG 2BLX15CAPS GEL.DURA - SIGMA PHARMA
VASTIGMA 6MG 2BLX15CAPS GEL.DURA - SIGMA PHARMA
VAZY 10MG 3X10CAPS - SIGMA PHARMA
VAZY 10MG 4X15CAPS - SIGMA PHARMA
VAZY 15MG 3X10CAPS - SIGMA PHARMA
VAZY 15MG 4X15CAPS - SIGMA PHARMA
VECASTEN 4MG 20CPDS REV. - MARJAN
VECTARION 50MG 30CPDS REV. - SERVIER
VECTIBIX 20MG/ML SOL.INJ.1FA 5ML - MANTECORP
VECURON 10MG 10FA - CRISTALIA
VECURON 4MG 10FA+DIL - CRISTALIA
VELAMOX 250MG/5ML SUSP.ORAL 150ML - SIGMA PHARMA
VELAMOX 500MG 18CPDS - SIGMA PHARMA
VELAMOX 500MG/5ML SUSP.150ML - SIGMA PHARMA
VELAMOX BD 1G 12CPDS - SIGMA PHARMA
VELAMOX BD 400MG/5ML SUSP.100ML - SIGMA PHARMA
VELAMOX BD 875MG 2X7CPDS - SIGMA PHARMA
VELCADE 1,0MG PO LIOF.1FA - JANSSEN-CILAG
VELCADE 3,5MG 1FA - JANSSEN-CILAG
VELUXUS 100UI/ML SOL.INJ.1FA 10ML - MEDLEY
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
319
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
84746
166464
1300084
139316
33960
1300085
146719
93837
156470
156468
156469
103179
159874
137144
159870
144160
103177
159872
144161
78603
141285
145759
78602
161178
119709
161004
102854
102855
2900081
2900080
2900086
1260123
1260121
1260155
79681
79682
79683
2360057
2360058
118281
103621
4560065
4560075
36328
75730
47774
22378
138363
DESCRICAO
VENAFLON 450+50MG 30CPDS - TEUTO BRAS
VENALOT 10DRGS - NYCOMED
VENALOT 20DRGS - NYCOMED
VENALOT 30DRGS - NYCOMED
VENALOT 60DRGS - NYCOMED
VENALOT H CRM.40ML - NYCOMED
VENALOT H CRM.DERM.120ML - NYCOMED
VENALOT H CRM.DERM.80ML - NYCOMED
VENFORIN 150MG 2BLX15CAPS - SIGMA PHARMA
VENFORIN 37,5MG 2BLX7CAPS - SIGMA PHARMA
VENFORIN 75MG 2BLX15CAPS - SIGMA PHARMA
VENLAXIN 150MG 14CAPS GEL. - EUROFARMA
VENLAXIN 150MG 28CAPS GEL. - EUROFARMA
VENLAXIN 37,5MG 14CAPS - EUROFARMA
VENLAXIN 37,5MG 28CAPS GEL. - EUROFARMA
VENLAXIN 37,5MG 7CAPS - EUROFARMA
VENLAXIN 75MG 14CAPS GEL. - EUROFARMA
VENLAXIN 75MG 28CAPS GEL. - EUROFARMA
VENLAXIN 75MG 7CAPS - EUROFARMA
VENLIFT OD 150MG 14CAPS - TORRENT
VENLIFT OD 37,5MG 14CAPS - TORRENT
VENLIFT OD 37,5MG 7CAPS - TORRENT
VENLIFT OD 75MG 14CAPS - TORRENT
VENOCAPS 250MG 3BLX10CAPS - LUPER
VENOFUNDIN 60MG/ML 01AMP 500ML ECOFLAC PLUS FE84543 - B.BRAUN
VENOLISE 26,7MG 30CPDS - ATIVUS
VENOPRESSIN 250MG 30CPDS - TKS
VENOPRESSIN 500MG 30CPDS - TKS
VENORUTON 20MG/G GEL 20G - NOVARTIS
VENORUTON 300MG 20CAPS - NOVARTIS
VENORUTON 500MG 20CPDS - NOVARTIS
VEPESID 100MG 10CAPS - BRISTOL
VEPESID 100MG INJ 10FA 5ML - BRISTOL
VEPESID 50MG 20CAPS - BRISTOL
VERMIBEN 100MG 6CPDS - CIFARMA
VERMIBEN 2% SUSP.30ML - CIFARMA
VERMICLASE 40MG/ML SUSP.10ML - CIFARMA
VERMITAL 2CPDS - ELOFAR
VERMITAL SUSP.10ML - ELOFAR
VERONIO 10MG PO LIOF CT 10 FA VD INC - BIOCHIMICO
VERONIO 4MG/ML PO LIOF + DIL CT 10 AMP VD INC X 1ML - BIOCHIMICO
VEROTINA 20MG 14CPDS - LIBBS
VEROTINA 20MG 28CPDS - LIBBS
VEROTINA GTS.20ML - LIBBS
VEROTINA S 90MG 4CAPS - LIBBS
VERRUGAN 15ML - PHARMASCIENCE
VERRUX 10ML - THERASKIN
VERSA 100MG 2SER.1ML - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
320
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
138357
138358
138359
138360
138361
138362
71020
145807
40043
84363
103349
80017
144982
166094
6280142
71898
71897
71899
63599
23523
146563
97389
5740078
113919
161041
161042
161043
161044
139935
6680047
6680046
6680048
5740052
5740025
103151
103152
103153
114546
164759
97380
5900054
131964
131965
131966
169763
169762
136953
84089
DESCRICAO
VERSA 20MG 10SER.0,2ML - EUROFARMA
VERSA 20MG 2SER.0,2ML - EUROFARMA
VERSA 40MG 10SER.0,4ML - EUROFARMA
VERSA 40MG 2SER.0,4ML - EUROFARMA
VERSA 60MG 2SER.0,6ML - EUROFARMA
VERSA 80MG 2SER.0,8ML - EUROFARMA
VERTIGIUM 10MG 2X25CPDS - NEOQUIMICA
VERTIX 10MG 20CPDS - ACHE
VERTIX 10MG 50CPDS - ACHE
VERTIX 5MG/ML GTS.30ML - ACHE
VERTIZAN 10MG 50CPDS - VITAPAN
VERTIZINE D 11,8+3MG 20CPDS - ACHE
VERUDERM B CRM.DERM.15GRS - LEGRAND TARJARDOS
VERUF 20MG/ML CRM.DERM.15G - NEOQUIMICA
VESANOID 10MG 100CAPS GEL - ROCHE
VFEND 200MG 14CPDS - PFIZER
VFEND 200MG 1AMP - PFIZER
VFEND 50MG 14CPDS - PFIZER
VIAGRA 100MG 4CPDS REV. - PFIZER
VIAGRA 25MG 4CPDS REV. - PFIZER
VIAGRA 50MG 1CPDS REV. - PFIZER
VIAGRA 50MG 2CPDS REV. - PFIZER
VIAGRA 50MG 4CPDS REV. - PFIZER
VIAGRA 50MG 8CPDS REV. - PFIZER
VIASIL 50MG 1CPD REV. - TEUTO BRAS
VIASIL 50MG 2CPDS REV. - TEUTO BRAS
VIASIL 50MG 4CPDS REV. - TEUTO BRAS
VIASIL 50MG 8CPDS REV. - TEUTO BRAS
VIBRADOXIN 100MG SOL.15CPDS - HEXAL
VIBRAL 1,5MG/ML XPE.PED.120ML - ABBOTT SAUDE
VIBRAL 30MG/ML GTS.10ML - ABBOTT SAUDE
VIBRAL 3MG/ML XPE.ADU.120ML - ABBOTT SAUDE
VIBRAMICINA 100MG 15DRGS - PFIZER
VIBRAMICINA 100MG 20CPDS - PFIZER
VIBRAZIN 1,5MG/ML XPE.120ML - DELTA
VIBRAZIN 3,0MG/ML XPE.120ML - DELTA
VIBRAZIN 30MG/ML GTS.10ML - DELTA
VICK PYRENA CAMOMILA ENV.5GRS - PROCTER
VICK PYRENA MACA/CANELA ENV.5G - PROCTER
VICK PYRENA MEL/LIMAO 5ENV.5GRS - PROCTER
VICK PYRENA MEL/LIMAO ENV.5GRS - PROCTER
VICK VAPORUB 12GRS - PROCTER
VICK VAPORUB 30GRS - PROCTER
VICK VAPORUB 50GRS - PROCTER
VICLOHEX 0,2% 1FR 1000ML - VIC PHARMA
VICLOHEX 0,2% 1FR 100ML - VIC PHARMA
VICODIL 500+30MG 12CPDS - ARROW
VICOG 5MG 30CPDS - MARJAN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
321
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
153636
153637
161330
55328
145590
162965
162963
162966
162967
162968
162970
71699
71698
60400
990
5440004
1280016
37072
2360060
71362
125506
153687
72273
72274
72275
62501
62502
91647
140284
140285
165758
165759
128635
26550
63930
4880058
4880059
4880060
3555049
6260158
70757
20844
31599
22384
4720047
4720046
159666
159661
DESCRICAO
VICTOZA 6MG/ML SOL.INJ.1CARP. - NOVO NORDISK
VICTOZA 6MG/ML SOL.INJ.2CARP. - NOVO NORDISK
VICTRELIS 200MG 336CAPS GEL.DURA - MERCK S.D.
VICTRIX 20MG 14CAPS - FARMASA
VIDAZA 100MG 1FA - UNITED MEDICAL
VIDENFIL 100MG 4CPDS - SANDOZ
VIDENFIL 25MG 4CPDS - SANDOZ
VIDENFIL 50MG 1CPD - SANDOZ
VIDENFIL 50MG 2CPDS - SANDOZ
VIDENFIL 50MG 4CPDS - SANDOZ
VIDENFIL 50MG 8CPDS - SANDOZ
VIDEX EC 250MG 30CPDS - BRISTOL
VIDEX EC 400MG 30CPDS - BRISTOL
VIDISIC 2MG/G GEL OFT.10G - BAUSCH+LOMB
VIDYN 10CPDS EFERV. - SIGMA PHARMA
VIDYN 30DRGS - SIGMA PHARMA
VIETA 400MG 30CAPS - BUNKER
VI-FERRIN 60CPDS REV. - ELOFAR
VI-FERRIN ELIX.150ML - ELOFAR
VI-FERRIN GTS.20ML - ELOFAR
VIGADEXA 5+1MG/ML SOL.OFT.5ML - ALCON
VIGAM LIQUID 10G 1FA 200ML+EQP. - MEIZLER
VIGAM LIQUID 1G 1FA 20ML+EQP - MEIZLER
VIGAM LIQUID 2,5G 1FA 50ML+EQP - MEIZLER
VIGAM LIQUID 5G 1FA 100ML+EQP - MEIZLER
VIGAMED 40MG 2CPDS - CIMED
VIGAMED 40MG 4CPDS - CIMED
VIGAMOX 5MG/ML SOL.OFT.5ML - ALCON
VILNE 10MG/ML 1FA 1ML - CHEMICALTECH
VILNE 10MG/ML 1FA 5ML - CHEMICALTECH
VIMOVO 500+20MG 10CPDS REV. - ASTRAZENECA
VIMOVO 500+20MG 20CPDS REV. - ASTRAZENECA
VINATIN 1MG SOL.INJ.10ML 1FA - MEIZLER
VINCIZINA CS 1MG 5FA PLAST. - PFIZER
VINERA 30CAPS - ATIVUS
VINOCARD Q10 10MG 30CPDS REV. - MARJAN
VINOCARD Q10 50MG 10CPDS REV. - MARJAN
VINOCARD Q10 50MG 20CPDS REV. - MARJAN
VIOLETA GENCIANA 20ML - ICAR
VIOLETA GENCIANA C/APL 30ML 0266 - RIOQUIMICA
VIRAMID 6GR 1FA 100ML - VALEANT
VIRAMUNE 200MG 60CPDS - BOEHRINGER
VIRAMUNE 50MG/5ML SUSP.ORAL 240ML+SER.DOSAD. - BOEHRINGER
VIRAZOLE 250MG 60CAPS - UCI-FARMA
VIRILON 3X10DRGS - LUPER
VIRILON 6X10DRGS - LUPER
VIRINEO 100MG 4CPDS REV. - NEOQUIMICA
VIRINEO 25MG 4CPDS REV. - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
322
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
159662
159663
159664
159665
84668
84669
1280080
59106
960131
47142
59752
59751
59754
59753
1280076
6380080
6380082
6380083
2900082
6020078
146677
80200
94263
30035
159610
79712
167151
28658
167131
159234
94598
94599
101943
144997
68495
6460124
133644
2380076
103350
137959
103351
139858
141307
95456
162718
148221
6820106
6820103
DESCRICAO
VIRINEO 50MG 1CPD REV. - NEOQUIMICA
VIRINEO 50MG 2CPDS REV. - NEOQUIMICA
VIRINEO 50MG 4CPDS REV. - NEOQUIMICA
VIRINEO 50MG 8CPDS REV. - NEOQUIMICA
VIROTIN 200MG 5X5CPDS - ASPEN
VIROTIN 400MG 14X5CPDS - ASPEN
VISALMIN COL.10ML - BUNKER
VISAZUL 0,5+1,0+0,025 SOL.OFTAL.20ML - NEOQUIMICA
VISCOTEARS GEL.10G - NOVARTIS
VISIONOM 0,1+17MG/ML SOL.OFT.10ML - UNIAO QUIMICA
VISIPAQUE 270MG 100ML - FARMASA
VISIPAQUE 270MG 50ML - FARMASA
VISIPAQUE 320MG 100ML - FARMASA
VISIPAQUE 320MG 50ML - FARMASA
VISIPLEX COL.15ML - BUNKER
VISKALDIX 10+5MG 20CPDS - NOVARTIS
VISKEN 10MG 20CPDS - NOVARTIS
VISKEN 5MG 20CPDS - NOVARTIS
VISONEST 5MG/ML SOL.OFT.5ML - ALLERGAN
VISUAL COL.15ML - SANDOZ
VISUAL COL.20ML - SANDOZ
VISUDYNE 15MG PO LIOF.1FA+KIT - NOVARTIS
VITA ANTI-OX 30CPDS REV. - UNIAO QUIMICA
VITA E 400MG 30CAPS GEL. - ACHE
VITA JR SOL.ORAL 120ML+DOSAD. - UNIAO QUIMICA
VITA K 10MG/ML SOL.INJ.50AMP 1ML - UNIAO QUIMICA
VITA MAMY 60CPDS REV. - UNIAO QUIMICA
VITA SENIOR 30CAPS GEL. - UNIAO QUIMICA
VITA SUPRAZ 30CPDS - UNIAO QUIMICA
VITACID ACNE GEL 30BGX25GRS - THERASKIN
VITACID CRM.25GRS - THERASKIN
VITACID GEL 25GRS - THERASKIN
VITACID PLUS 0,1+4+0,5MG/G 15GRS - THERASKIN
VITACID XT CRM.25GRS - THERASKIN
VITADERME 50GRS - CRISTALIA
VITADESAN 10ML - SANVAL
VITADESAN 50X10ML - SANVAL
VITAFER 50CPDS - EMS
VITAGLOS POM.45GRS - VITAPAN
VITAGLOS POM.50X45GRS - VITAPAN
VITAL COL.20ML - VITAPAN
VITALUX PLUS 5MG 40CPDS REV. - NOVARTIS
VITAMINA B1 300MG 30CPDS REV. - NEOQUIMICA
VITAMINA E 400MG 30CAPS - SANDOZ
VITAMINA E DELTA 400MG 20CAPS - DELTA
VITAMINERALS PLUS 60CPDS - BIOLAB SANUS
VITANOL-A 0,01% GEL 30GRS - STIEFEL
VITANOL-A 0,025% CRM.30GRS - STIEFEL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
323
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
6820107
6820104
6820108
6820105
2220010
165991
2220006
94125
94124
38857
94122
165869
165868
165870
60950
63095
34460
16080
4880062
4880040
79687
130044
79685
79688
79686
154767
164321
154768
85119
85120
85122
161047
161048
161049
6485072
6485074
136587
6485073
165879
160569
160568
26800
94123
26797
26798
26799
26801
2380129
DESCRICAO
VITANOL-A 0,025% GEL 30GRS - STIEFEL
VITANOL-A 0,05% CRM.30GRS - STIEFEL
VITANOL-A 0,05% GEL 30GRS - STIEFEL
VITANOL-A 0,1% CRM.30GRS - STIEFEL
VITASAY 2X20DRGS - COSMED
VITASAY FERRO 30CPDS REV. - COSMED
VITASAY STRESS 30CPDS - COSMED
VITATONUS 5000 20DRGS - BUNKER
VITATONUS 5000 3AMP SOL.INJ.2ML - BUNKER
VITATONUS DEXA 1AMP 2ML+1AMP 1ML - BUNKER
VITATONUS DEXA 20DRGS - BUNKER
VITAWIN 1 1FR 15ML - SANOFI-AVENTIS
VITAWIN 2 1FR 30ML - SANOFI-AVENTIS
VITAWIN KIDS 150ML - SANOFI-AVENTIS
VITAX DERM 30CPDS REV. - ATIVUS
VITENON 30CAPS - ATIVUS
VITERGAN MASTER 30CAPS GEL. - MARJAN
VITERGAN PRE-NATAL 30CPDS REV. - MARJAN
VITERGAN ZINCO 30CPDS REV. - MARJAN
VITERGAN ZINCO PL 30CPDS REV. - MARJAN
VITERGYL C 1G 10CPDS EFERV. - CIFARMA
VITERGYL C 1G 3X10CPDS EFERV. - CIFARMA
VITERGYL C 200MG GTS.20ML - CIFARMA
VITERGYL C 2G 10CPDS EFERV. - CIFARMA
VITERGYL C 500MG 20CPDS - CIFARMA
VITERKIDS CALCIO+VITAMINA D FR.30UNID - MARJAN
VITERKIDS MULTI 75G FR.30UNID - MARJAN
VITERKIDS VITAMINA C FR.30UNID - MARJAN
VIVACOR 10MG 10CPDS REV. - BIOLAB SANUS
VIVACOR 10MG 30CPDS REV. - BIOLAB SANUS
VIVACOR 20MG 30CPDS REV. - BIOLAB SANUS
VIVERDAL 1MG 30CPDS REV. - UNIAO QUIMICA
VIVERDAL 2MG 30CPDS REV. - UNIAO QUIMICA
VIVERDAL 3MG 30CPDS REV. - UNIAO QUIMICA
VODOL 20MG/G CRM.DERM.28G - UNIAO QUIMICA
VODOL 20MG/G PO TOP.30G - UNIAO QUIMICA
VODOL 20MG/ML LOC.SPR.60ML - UNIAO QUIMICA
VODOL 20MG/ML LOC.TOP.30ML - UNIAO QUIMICA
VODOL PREVENT S/PERF.FR 100G - UNIAO QUIMICA
VOLIBRIS 10MG 30CPDS REV. - GLAXOSMITH
VOLIBRIS 5MG 30CPDS REV. - GLAXOSMITH
VOLTAFLAN 100MG 10CPDS - BUNKER
VOLTAFLAN 10MG/G GEL 60G - BUNKER
VOLTAFLAN 25MG/ML 5AMP 3ML - BUNKER
VOLTAFLAN 50MG 20CPDS - BUNKER
VOLTAFLAN 75MG 20CPDS - BUNKER
VOLTAFLAN GEL 30G - BUNKER
VOLTAFLEX 2X10CPDS - EMS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
324
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
2380130
960075
960073
960074
960093
960072
960071
1280078
1280095
1280093
1280118
1280094
165933
165934
165935
165936
45126
45121
99494
99495
145399
84178
154831
154832
154833
154834
35349
109075
1260125
88316
88317
88318
88319
88320
131445
71847
40232
51146
146420
146419
146422
146421
44088
6420135
6420137
90065
164499
164500
DESCRICAO
VOLTAFLEX AP 10CPDS - EMS
VOLTAREN 100MG 10CPDS REV. - NOVARTIS
VOLTAREN 50MG 20CPDS REV. - NOVARTIS
VOLTAREN 50MG 5SUPS.RETAL - NOVARTIS
VOLTAREN 75MG 20CPDS REV. - NOVARTIS
VOLTAREN 75MG SOL.INJ.50AMP 3ML - NOVARTIS
VOLTAREN 75MG SOL.INJ.5AMP 3ML - NOVARTIS
VOLTRIX 50MG 10DRGS - BUNKER
VOLTRIX 75MG 10AMP 3ML - BUNKER
VOLTRIX AP 100MG 10DRGS - BUNKER
VOLTRIX GEL 30G - BUNKER
VOLTRIX GTS.10ML - BUNKER
VOLUNTA 10MG 30CPDS REV. - MEDLEY
VOLUNTA 20MG 30CPDS REV. - MEDLEY
VOLUNTA 40MG 30CPDS REV. - MEDLEY
VOLUNTA 80MG 30CPDS REV. - MEDLEY
VONAU 2MG/ML SOL.INJ.1AMP 4ML - BIOLAB SANUS
VONAU 2MG/ML SOL.INJ.1AMP.2ML - BIOLAB SANUS
VONAU FLASH 4MG 10CPDS ORODISP. - BIOLAB SANUS
VONAU FLASH 8MG 10CPDS ORODISP. - BIOLAB SANUS
VONAX 500MG 10CPDS REV. - DELTA
VONAX 7CPDS - DELTA
VOTRIENT 200MG 30CPDS REV.(ICMS 0%) - GLAXOSMITH
VOTRIENT 200MG 90CPDS REV.(ICMS 0%) - GLAXOSMITH
VOTRIENT 400MG 30CPDS REV.(ICMS 0%) - GLAXOSMITH
VOTRIENT 400MG 60CPDS REV.(ICMS 0%) - GLAXOSMITH
VUDIRAX 150MG 60CPDS MAST. - BLAU
VULNAGEN 20+30MG/G CRM.VAG.35GRS - NEOQUIMICA
VUMON 50MG INJ 10AMP 5ML - BRISTOL
VYTORIN 10/10MG 28CPDS - MERCK S.D.
VYTORIN 10/20MG 14CPDS - MERCK S.D.
VYTORIN 10/20MG 28CPDS - MERCK S.D.
VYTORIN 10/40MG 14CPDS - MERCK S.D.
VYTORIN 10/40MG 28CPDS - MERCK S.D.
VYTORIN 10/80MG 28CPDS - MERCK S.D.
WARFARIN 5MG 10CPDS - UNIAO QUIMICA
WARTEC CRM.5GRS - STIEFEL
WELLBUTRIN SR 150MG 30CPDS - GLAXOSMITH
WELLBUTRIN XL 150MG 30CPDS - GLAXOSMITH
WELLBUTRIN XL 150MG 7CPDS - GLAXOSMITH
WELLBUTRIN XL 300MG 30CPDS - GLAXOSMITH
WELLBUTRIN XL 300MG 7CPDS - GLAXOSMITH
WINTER AP 6+120MG 8CAPS - DIFFUCAP
WINTOMYLON 14X4CPDS - SANOFI-AVENTIS
WINTOMYLON SUSP.60ML - SANOFI-AVENTIS
WONILIN 400000UI 50FA - NOVAFARMA
WOSULIN 70/30 100UI/ML SUSP.INJ.1CARP.3ML - MEIZLER
WOSULIN 70/30 100UI/ML SUSP.INJ.1FA 10ML - MEIZLER
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
325
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
164497
164496
164498
164502
164503
164501
164504
164505
164508
164509
164506
164510
164507
61146
7060060
1300107
1300088
1300087
166465
1300086
1300109
146720
144060
144061
165900
165901
165902
165903
58842
5900050
59671
131967
2400037
2400042
38933
68406
149819
149820
21764
21763
17447
17448
148222
420063
26946
61470
103990
9593
DESCRICAO
WOSULIN 70/30 100UI/ML SUSP.INJ.1FA 3ML - MEIZLER
WOSULIN 70/30 100UI/ML SUSP.INJ.1FA 5ML - MEIZLER
WOSULIN 70/30 100UI/ML SUSP.INJ.5CARP.3ML - MEIZLER
WOSULIN N 100UI/ML SUSP.INJ.1CARP.3ML - MEIZLER
WOSULIN N 100UI/ML SUSP.INJ.1FA 10ML - MEIZLER
WOSULIN N 100UI/ML SUSP.INJ.1FA 3ML - MEIZLER
WOSULIN N 100UI/ML SUSP.INJ.1FA 5ML - MEIZLER
WOSULIN N 100UI/ML SUSP.INJ.5CARP. 3ML - MEIZLER
WOSULIN R 100UI/ML SUSP.INJ.1CARP.3ML - MEIZLER
WOSULIN R 100UI/ML SUSP.INJ.1FA 10ML - MEIZLER
WOSULIN R 100UI/ML SUSP.INJ.1FA 3ML - MEIZLER
WOSULIN R 100UI/ML SUSP.INJ.1FA 5ML - MEIZLER
WOSULIN R 100UI/ML SUSP.INJ.5CARP.3ML - MEIZLER
XALACOM SOL.OFTAL.2,5ML - PFIZER
XALATAM SOL.OFTAL.2,5ML - PFIZER
XANTINON B12 10DRGS F.V - NYCOMED
XANTINON B12 10X10DRGS - NYCOMED
XANTINON B12 2X10DRGS - NYCOMED
XANTINON B12 30CPDS REV. - NYCOMED
XANTINON COMPLEX 100ML - NYCOMED
XANTINON COMPLEX 12FLACX10ML - NYCOMED
XANTINON COMPLEX 60FLACX10ML - NYCOMED
XARELTO 10MG 10CPDS - BAYER
XARELTO 10MG 30CPDS - BAYER
XARELTO 15MG 14CPDS REV. - BAYER
XARELTO 15MG 28CPDS REV. - BAYER
XARELTO 20MG 14CPDS REV. - BAYER
XARELTO 20MG 28CPDS REV. - BAYER
XAROPE NEO XPE.100ML - NEOQUIMICA
XAROPE VICK 120ML - PROCTER
XAROPE VICK 44E 120ML - PROCTER
XAROPE VICK MEL 120ML - PROCTER
XATRAL 2,5MG 30CPDS - SANOFI-AVENTIS
XATRAL LP 5MG 20CPDS - SANOFI-AVENTIS
XATRAL OD 10MG 10CPDS - SANOFI-AVENTIS
XATRAL OD 30CPDS - SANOFI-AVENTIS
XEFO 8MG 20CPDS REV. - BIOLAB SANUS
XEFO 8MG 30CPDS REV. - BIOLAB SANUS
XELODA 150MG 60CPDS REV. - ROCHE
XELODA 500MG 120CPDS REV. - ROCHE
XENICAL 120MG 42CAPS - ROCHE
XENICAL 120MG 84CAPS - ROCHE
XEOMIN 100U PO LIOF.1FA - BIOLAB SANUS
XILODASE 15GRS+APLIC. - APSEN
XILODASE 30GRS+APLIC. - APSEN
XMET MAXAMUN 500G - SUPPORT NUTRITION
XOLAIR 150MG PO LIOF.1FA+DIL.2ML - NOVARTIS
XYLESTESIN 1% C/VASO 10EST.20ML - CRISTALIA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
326
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
136777
9596
9598
1830068
9601
9603
1830040
49411
9604
9609
9610
9608
1830039
9612
136779
485018
485004
485019
485023
170432
70483
115159
420033
76899
84885
76897
76898
138300
138299
77999
6380085
6380084
6380086
6380042
17798
81484
165937
114354
165938
2120145
2120146
168726
168724
168725
160542
160543
26152
152119
DESCRICAO
XYLESTESIN 1% C/VASO 10FA 20ML - CRISTALIA
XYLESTESIN 1% S/VASO 10EST.20ML STERILE PACK - CRISTALIA
XYLESTESIN 1% S/VASO 10X20ML - CRISTALIA
XYLESTESIN 10% SPR.50ML - CRISTALIA
XYLESTESIN 2% C/VASO 10EST.20ML - CRISTALIA
XYLESTESIN 2% C/VASO 10X20ML - CRISTALIA
XYLESTESIN 2% C/VASO 50CARPX1,8ML - CRISTALIA
XYLESTESIN 2% GEL 10X10ML - CRISTALIA
XYLESTESIN 2% GEL 10X30GRS - CRISTALIA
XYLESTESIN 2% S/VASO 10EST.20ML STERILE PACK - CRISTALIA
XYLESTESIN 2% S/VASO 10X20ML - CRISTALIA
XYLESTESIN 2% S/VASO 50AMP 5ML - CRISTALIA
XYLESTESIN 2% S/VASO 50CARPX1,8ML - CRISTALIA
XYLESTESIN 5% PESADA 50EST.2ML STERILE PACK - CRISTALIA
XYLESTESIN 5% PESADA SOL.INJ.50AMP 2ML - CRISTALIA
XYLOCAINA 20MG/ML GEL.TOP.30G - ASTRAZENECA
XYLOCAINA 50MG/G POM.DERM.LAR.25G - ASTRAZENECA
XYLOCAINA 5MG/G POM.DERM.25G - ASTRAZENECA
XYLOPROCT 50MG POM.RETAL 25G - ASTRAZENECA
YASMIN 3+0,03MG 3BLX21CPDS REV. - BAYER
YASMIN-30 21CPDS - BAYER
YAZ-20 20MG 24CPDS - BAYER
YOMAX 5,4MG 60CPDS - APSEN
ZAARPRESS 100MG 15CPDS - SIGMA PHARMA
ZAARPRESS 100MG 2X15CPDS - SIGMA PHARMA
ZAARPRESS 25MG 2X15CPDS - SIGMA PHARMA
ZAARPRESS 50MG 2X15CPDS - SIGMA PHARMA
ZAARPRESS HCT 100+25MG 3X10CPDS REV. - SIGMA PHARMA
ZAARPRESS HCT 50+12,5MG 2X15CPDS REV. - SIGMA PHARMA
ZADITEN 0,25MG COL.5ML - NOVARTIS
ZADITEN 0,2MG/ML XPE.120ML - NOVARTIS
ZADITEN 1MG 20CPDS - NOVARTIS
ZADITEN 1MG GTS.30ML - NOVARTIS
ZADITEN SRO 2MG 20CPDS REV. - NOVARTIS
ZANIDIP 10MG 20CPDS - MEDLEY
ZANIDIP 10MG 3X10CPDS - MEDLEY
ZANIDIP 20MG 15CPDS REV. - MEDLEY
ZANIDIP 20MG 20CPDS - MEDLEY
ZANIDIP 20MG 30CPDS REV. - MEDLEY
ZANOC CRM.30G - DELTA
ZANOC SHM.100ML - DELTA
ZAP 10MG 30CPDS - EUROFARMA
ZAP 2,5MG 30CPDS - EUROFARMA
ZAP 5MG 30CPDS - EUROFARMA
ZARATOR 10MG 30CPDS REV. - WYETH
ZARATOR 20MG 30CPDS REV. - WYETH
ZARGUS 1MG 20CPDS - BIOSINTETICA
ZARGUS 1MG 30CPDS - BIOSINTETICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
327
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
145820
161187
26153
152120
161188
26154
152121
161054
119425
144162
131053
131054
144163
91505
7060047
7060046
148480
145322
495053
495054
58511
92975
150917
78243
84671
136959
164694
164695
164693
6740043
6740044
6740005
6740008
1260300
1260174
7360049
7360050
7360048
7040083
7040108
87062
87063
7040084
7040086
7040085
144009
76866
88727
DESCRICAO
ZARGUS 1MG 6CPDS - BIOSINTETICA
ZARGUS 1MG 7CPDS REV. - BIOSINTETICA
ZARGUS 2MG 20CPDS - BIOSINTETICA
ZARGUS 2MG 30CPDS - BIOSINTETICA
ZARGUS 2MG 7CPDS REV. - BIOSINTETICA
ZARGUS 3MG 20CPDS - BIOSINTETICA
ZARGUS 3MG 30CPDS - BIOSINTETICA
ZART 100MG 30CPDS REV. - EUROFARMA
ZART 50MG 30CPDS - EUROFARMA
ZART 50MG 7CPDS - EUROFARMA
ZART H 100+25MG 30CPDS - EUROFARMA
ZART H 50+12,5MG 30CPDS - EUROFARMA
ZART H 50+12,5MG 8CPDS - EUROFARMA
ZARV 250MG 30CAPS - ATIVUS
ZAVEDOS 10MG 1FA - PFIZER
ZAVEDOS 5MG 1FA - PFIZER
ZAVESCA 100MG 90CAPS GEL.DURA - ACTELION
ZAX 15CAPS - INFAN
ZELIX 150MG 1CAP - ATIVUS
ZELIX 150MG 2CAPS - ATIVUS
ZELMAC 6MG 30CPDS - NOVARTIS
ZELMAC 6MG 60CPDS - NOVARTIS
ZEMPLAR 5,0MCG/ML SOL.INJ.5AMP 1ML - ABBOTT
ZENALB 20% 1FA 50ML - MEIZLER
ZENCEF 750MG 1FA+DIL 6ML - ASPEN
ZENCEF 750MG 50FA IV/IM SOL. INJ. - ASPEN
ZENHALE 100+5MCG AER.120DOSES - SCHERING PLOUGH
ZENHALE 200+5MCG AER.120DOSES - SCHERING PLOUGH
ZENHALE 50+5MCG AER.120DOSES - SCHERING PLOUGH
ZENTEL 200MG 2CPDS - GLAXOSMITH
ZENTEL 4% SUSP.10ML - GLAXOSMITH
ZENTEL 400MG 1CPD - GLAXOSMITH
ZENTEL 400MG 5CPDS - GLAXOSMITH
ZERITAVIR 30MG 60CAPS - BRISTOL
ZERITAVIR 40MG 60CAPS - BRISTOL
ZESTRIL 10MG 2BLX15CPDS - ASTRAZENECA
ZESTRIL 20MG 2BLX15CPDS - ASTRAZENECA
ZESTRIL 5MG 2BLX15CPDS - ASTRAZENECA
ZETALERG 10MG 6CPDS - UCI-FARMA
ZETALERG 1MG/ML 75ML - UCI-FARMA
ZETIA 10MG 10CPDS - SCHERING PLOUGH
ZETIA 10MG 30CPDS - SCHERING PLOUGH
ZETITEC 1MG 20CPDS - UCI-FARMA
ZETITEC GTS.30ML - UCI-FARMA
ZETITEC XPE.120ML - UCI-FARMA
ZETRON 150MG 10CPDS - LIBBS
ZETRON 150MG 30CPDS - LIBBS
ZETSIM 10+10MG 28CPDS - SCHERING PLOUGH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
328
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
88728
88729
88730
115329
22266
22269
103354
162854
161541
148945
42846
150491
162976
162972
162974
35077
35078
115434
136764
3080052
260029
23621
152131
156528
26553
37834
62552
62553
85970
151002
85969
151001
495031
46405
46408
46406
46407
46409
5740069
5740070
61009
5740048
5740053
47779
143546
143547
143548
153759
DESCRICAO
ZETSIM 10+20MG 14CPDS - SCHERING PLOUGH
ZETSIM 10+20MG 28CPDS - SCHERING PLOUGH
ZETSIM 10+40MG 14CPDS - SCHERING PLOUGH
ZETSIM 10+40MG 28CPDS - SCHERING PLOUGH
ZIAGENAVIR 300MG 60CPDS - GLAXOSMITH
ZIAGENAVIR SOL.ORAL 20MG 240ML - GLAXOSMITH
ZICLOVIR 50MG/G CRM.10GRS - VITAPAN
ZIDER 10MG 30CPDS REV. - LIBBS
ZIDER 10MG 60CPDS REV. - LIBBS
ZIFE 30CPDS - INFAN
ZILABEN EMULS.25% 100ML - CRISTALIA
ZILABEN EMULS.25% 50FR 100ML - CRISTALIA
ZILEDON 10MG 30CPDS REV. - SANDOZ
ZILEDON 5MG 10CPDS REV. - SANDOZ
ZILEDON 5MG 30CPDS REV. - SANDOZ
ZIMICINA 500MG 2CPDS - HEXAL
ZIMICINA 500MG 3CPDS - HEXAL
ZIMICINA 500MG 5CPDS - HEXAL
ZINA 5MG 10CPDS REV. - EUROFARMA
ZINACEF IV/IM 750MG 1FA+DIL. - GLAXOSMITH
ZINCOLOK 0,5+2,5MG/ML SOL.OFT.10ML - ALLERGAN
ZINNAT 250MG 10CPDS - GLAXOSMITH
ZINNAT 250MG PO 14SACH - GLAXOSMITH
ZINNAT 250MG PO 20SACH - GLAXOSMITH
ZINNAT 250MG SUSP.50ML - GLAXOSMITH
ZINNAT 250MG SUSP.70ML - GLAXOSMITH
ZINNAT 500MG 14CPDS - GLAXOSMITH
ZINNAT 500MG 20CPDS - GLAXOSMITH
ZIPROL 20MG 14CPDS - BALDACCI
ZIPROL 20MG 28CPDS - BALDACCI
ZIPROL 40MG 14CPDS - BALDACCI
ZIPROL 40MG 28CPDS - BALDACCI
ZIRVIT 30CPDS REV. - ATIVUS
ZIRVIT 600 S REV.30CPDS - ATIVUS
ZIRVIT BETA 30CAPS - ATIVUS
ZIRVIT E 400UI 30CAPS - ATIVUS
ZIRVIT MULTI 30CPDS REV. - ATIVUS
ZIRVIT PLUS 30CPDS REV. - ATIVUS
ZITROMAX 500MG 2CPDS REV. - PFIZER
ZITROMAX 500MG 3CPDS REV. - PFIZER
ZITROMAX IV 500MG 1AMP - PFIZER
ZITROMAX PO SUSP.600MG - PFIZER
ZITROMAX PO SUSP.900MG - PFIZER
ZITROMICIN 500MG 3CPDS - PHARMASCIENCE
ZITROMIL 500MG 3CPDS REV. - GLAXOSMITH
ZITROMIL 600MG PO P/SUSP.50ML+DIL.11ML - GLAXOSMITH
ZITROMIL 900MG PO P/SUSP.50ML+DIL.17ML - GLAXOSMITH
ZITRONEO 500MG 160X3CPDS REV. - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
329
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
14794
14801
34067
5040023
5040039
5040037
26033
3080070
3080126
3080076
3080127
7360060
17153
6420086
6420085
145393
145394
145395
145396
157536
47509
5740004
5740005
5740072
5740055
5740054
5740026
5740056
26627
127865
127866
84209
156698
9430
81807
90958
136691
166485
166484
166488
166486
151916
151914
151915
91506
110921
77979
145470
DESCRICAO
ZITRONEO 500MG 3CPDS REV. - NEOQUIMICA
ZITRONEO 600MG PO EXTEMP.11ML - NEOQUIMICA
ZITRONEO 900MG PO EXTEMP.17ML - NEOQUIMICA
ZOCOR 10MG 3X10CPDS - MERCK S.D.
ZOCOR 20MG 3X10CPDS - MERCK S.D.
ZOCOR 40MG 1X10CPDS - MERCK S.D.
ZOCOR 80MG 1X10CPDS - MERCK S.D.
ZOFRAN 4MG 10CPDS - GLAXOSMITH
ZOFRAN 4MG 5AMP PLAST.2ML - GLAXOSMITH
ZOFRAN 8MG 10CPDS - GLAXOSMITH
ZOFRAN 8MG 5AMP 4ML - GLAXOSMITH
ZOLADEX 3,6MG DEPOT+SER - ASTRAZENECA
ZOLADEX LA 10,8MG 1DEPOT - ASTRAZENECA
ZOLBEN 400MG 1CPD - SANOFI-AVENTIS
ZOLBEN 400MG SUSP.10ML - SANOFI-AVENTIS
ZOLDAC 0,25MG 30CPDS - ZYDUS NIKKHO
ZOLDAC 0,5MG 30CPDS - ZYDUS NIKKHO
ZOLDAC 1MG 30CPDS - ZYDUS NIKKHO
ZOLDAC 2MG 30CPDS - ZYDUS NIKKHO
ZOLIBBS 4MG/ML SOL.INJ.FA 5ML - LIBBS
ZOLOFT 100MG 14CPDS - PFIZER
ZOLOFT 50MG 10CPDS - PFIZER
ZOLOFT 50MG 20CPDS - PFIZER
ZOLOFT 50MG 28CPDS - PFIZER
ZOLTEC 100MG 8CAPS - PFIZER
ZOLTEC 150MG 1CAP - PFIZER
ZOLTEC 150MG 2CAPS - PFIZER
ZOLTEC 50MG 8CAPS - PFIZER
ZOLTEC IV DISP.6X100ML - PFIZER
ZOLTRALINA 50MG 2X10CPDS REV. - SIGMA PHARMA
ZOLTRALINA 50MG 2X14CPDS REV. - SIGMA PHARMA
ZOMETA LIVI 4MG SOL.INJ.1FA 5ML - NOVARTIS
ZOMETA LIVI 4MG SOL.INJ.1FA 5ML+KIT - NOVARTIS
ZOMIG 2,5MG 2CPDS REV. - ASTRAZENECA
ZOMIG OD 2,5MG 2CPDS ORODISP. - ASTRAZENECA
ZOPICLONA GEN.7,5MG 20CPDS - ARROW
ZOPICLONA GEN.7,5MG 20CPDS REV. - SANOFI-AVENTIS
ZOPINA 10MG 10CPDS - SANDOZ
ZOPINA 10MG 30CPDS - SANDOZ
ZOPINA 5MG 10CPDS - SANDOZ
ZOPINA 5MG 30CPDS - SANDOZ
ZOPIX 10MG 4X7 CDPS REV. - SIGMA PHARMA
ZOPIX 2,5MG 4X7 CDPS REV. - SIGMA PHARMA
ZOPIX 5MG 4X7 CDPS REV. - SIGMA PHARMA
ZORTRIX 30CPDS REV. - ATIVUS
ZOTAC 70MG 14CPDS - NEOQUIMICA
ZOTAC 70MG 2X10CPDS - NEOQUIMICA
ZOTECAN 100MG 1FA - DARROW
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
330
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
145469
3080108
3080109
3080111
3080110
142246
142247
128207
128206
55271
26835
145388
145389
170429
170428
148220
153650
2560066
3080113
3080114
94136
139340
139339
94135
139338
139337
79448
164334
164335
133976
145397
145398
145387
5740076
5740075
148178
148177
2320062
2320063
132038
35392
35393
2320060
2320061
89524
96082
96080
35430
DESCRICAO
ZOTECAN 40MG 1FA - DARROW
ZOVIRAX 200MG 25CPDS - GLAXOSMITH
ZOVIRAX CRM.DERM.10G - GLAXOSMITH
ZOVIRAX IV 250MG 5AMP - GLAXOSMITH
ZOVIRAX POM.OFT.4,5G - GLAXOSMITH
ZOXIPAN 20MG 15CPDS REV - MEDLEY
ZOXIPAN 20MG 30CPDS REV - MEDLEY
ZUPLYN 750MG 200CPDS - ARROW
ZUPLYN 750MG 20CPDS - ARROW
ZYBAN 150MG 30CPDS - GLAXOSMITH
ZYBAN 150MG 60CPDS - GLAXOSMITH
ZYCITAPRAM 20MG 30CPDS REV. - ZYDUS NIKKHO
ZYFLOXIN 20MG 30CAPS GEL. - ZYDUS NIKKHO
ZYLCAS 10MG 10CPDS REV. - ZYDUS NIKKHO
ZYLCAS 10MG 30CPDS REV. - ZYDUS NIKKHO
ZYLET 5+3MG/ML SUSP.OFT.5ML - BAUSCH+LOMB
ZYLINOX 10MG 20CPDS REV. - ZYDUS NIKKHO
ZYLIUM 150MG 20CPDS - FARMASA
ZYLORIC 100MG 30CPDS - ASPEN
ZYLORIC 300MG 30CPDS - ASPEN
ZYLPEN 1G 10FA - ASPEN
ZYLPEN 1G PO INJ.10FA+BOLSA PLAST.FLEX.SIST.FECH.100ML - ASPEN
ZYLPEN 1G PO INJ.1FA+BOLSA PLAST.FLEX.SIST.FECH.100ML - ASPEN
ZYLPEN 500MG 10FA - ASPEN
ZYLPEN 500MG PO INJ.10FA+BOLSA PLAST.FLEX.SIST.FECH.100ML - ASPEN
ZYLPEN 500MG PO INJ.1FA+BOLSA PLAST.FLEX.SIST.FECH.100ML - ASPEN
ZYMAR 3MG/ML SOL.OFT.5ML 92186BR - ALLERGAN
ZYMAR XD 5MG/ML SOL.OFT.3ML - ALLERGAN
ZYMAR XD 5MG/ML SOL.OFT.5ML - ALLERGAN
ZYNVIR 250MG 50FA 20ML - NOVAFARMA
ZYOXIPINA 300MG 30CPDS REV. - ZYDUS NIKKHO
ZYOXIPINA 600MG 30CPDS REV. - ZYDUS NIKKHO
ZYPAROX 20MG 30CPDS REV. - ZYDUS NIKKHO
ZYPLO 60MG/ML GTS.15ML - BAGO
ZYPLO 6MG/ML XPE.120ML - BAGO
ZYPRED 3+10MG/ML SOL.OFT.3ML - ALLERGAN
ZYPRED 3+10MG/ML SOL.OFT.6ML - ALLERGAN
ZYPREXA 10MG 14CPDS REV. - ELI LILLY
ZYPREXA 10MG 28CPDS REV. - ELI LILLY
ZYPREXA 10MG 7CPDS REV. - ELI LILLY
ZYPREXA 2,5MG 2X7CPDS REV. - ELI LILLY
ZYPREXA 2,5MG 4X7CPDS REV. - ELI LILLY
ZYPREXA 5MG 14CPDS REV. - ELI LILLY
ZYPREXA 5MG 28CPDS REV. - ELI LILLY
ZYPREXA IM 10MG 1FA - ELI LILLY
ZYPREXA ZYDIS 10MG 28CPDS - ELI LILLY
ZYPREXA ZYDIS 5MG 28CPDS - ELI LILLY
ZYRTEC 10MG 12CPDS - GLAXOSMITH
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
331
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
3080085
26839
145390
165734
145391
145392
36897
36896
95193
142208
171547
171575
171576
134774
134775
171566
171567
171621
171580
171595
171596
171597
171616
171617
171586
171591
171614
171589
171590
171618
171619
171620
171605
171604
171608
171607
171609
171610
171606
171599
171598
171600
171602
171601
171603
171583
171585
171577
DESCRICAO
ZYRTEC SOL.ORAL 120ML - GLAXOSMITH
ZYRTEC-D 5MG/120MG 10CAPS - GLAXOSMITH
ZYSERTIN 50MG 30CPDS REV. - ZYDUS NIKKHO
ZYTIGA 250MG 120CPDS - JANSSEN-CILAG
ZYVALPREX 250MG 20CPDS REV. - ZYDUS NIKKHO
ZYVALPREX 500MG 20CPDS REV. - ZYDUS NIKKHO
ZYVOX 600MG 10BOLSA 300ML - PFIZER
ZYVOX 600MG 10CPDS - PFIZER
ZYXEM 10CPDS - CHIESI
ZYXEM GTS.20ML - CHIESI
ALOXIDIL 50MG/ML 50ML - - THERASKIN
NUTREN JR BAUN.12X400G - - NESTLE N.C.
NUTREN KIDS PO BAUN./CHOC./MOR.12X350G - - NESTLE N.C.
RESOURCE THICKEN-UP 12X240G - - NESTLE N.C.
RESOURCE THICKEN-UP 9X20SACH 5G - - NESTLE N.C.
VIDAPRAM 10MG 10CPDS REV. - - ASTRAZENECA
VIDAPRAM 10MG 30CPDS REV. - - ASTRAZENECA
IMIPENEM+CILASTATINA SODICA GEN.500+500MG 25FA 30ML - - RANBAXY
OXALATO ESCITALOPRAM GEN.10MG 2BLX15CPDS REV. - - EMS GENERICOS
TARGUS 40MG ADES.TRANSDERMICO 2SACHX5UNID+1BAND - - BAGO
TRANQUINAL SLG 0,5MG 15CPDS - - BAGO
TRANQUINAL SLG 0,5MG 30CPDS - - BAGO
CLORIDRATO VENLAFAXINA GEN.37,5MG 4X7CPDS - - RANBAXY
CLORIDRATO VENLAFAXINA GEN.75MG 4X7CPDS - - RANBAXY
DEEPLIN 20MG 2BLX15CPDS REV. - - GERMED
DIANE-35 2+0,035MG 3BLX21DRGS - - BAYER
DICLORIDRATO BETAISTINA GEN.24MG 3X10CPDS - - RANBAXY
ESTALOX 10MG 2BLX15CPDS REV. - - LEGRAND PRESCRICAO
ESTALOX 20MG 2BLX15CPDS REV. - - LEGRAND PRESCRICAO
GABAPENTINA GEN.300MG 5X10CAPS - - RANBAXY
GABAPENTINA GEN.400MG 5X10CAPS - - RANBAXY
IMIPENEM+CILASTATINA SODICA GEN.500+500MG 25FA 22ML - - RANBAXY
IOMERON 612,4MG/ML SOL.INJ.1FA 100ML - - BRACCO
IOMERON 612,4MG/ML SOL.INJ.1FA 50ML - - BRACCO
IOMERON 816,5MG/ML SOL.INJ.10FA 100ML - - BRACCO
IOMERON 816,5MG/ML SOL.INJ.10FA 50ML - - BRACCO
IOMERON 816,5MG/ML SOL.INJ.1FA 100ML - - BRACCO
IOMERON 816,5MG/ML SOL.INJ.1FA 500ML - - BRACCO
IOMERON 816,5MG/ML SOL.INJ.1FA 50ML - - BRACCO
IOPAMIRON 612MG/ML SOL.INJ.10FA 100ML - - BRACCO
IOPAMIRON 612MG/ML SOL.INJ.10FA 50ML - - BRACCO
IOPAMIRON 612MG/ML SOL.INJ.1FA 500ML - - BRACCO
IOPAMIRON 755MG/ML SOL.INJ.10FA 100ML - - BRACCO
IOPAMIRON 755MG/ML SOL.INJ.10FA 50ML - - BRACCO
IOPAMIRON 755MG/ML SOL.INJ.1FA 500ML - - BRACCO
LAMORGIN 100MG 30CPDS - - MEDLEY
OXALATO ESCITALOPRAM GEN.10MG 2BLX15CPDS REV. - - LEGRAND GENERICOS
OXALATO ESCITALOPRAM GEN.10MG 2BLX15CPDS REV. - - GERMED GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
332
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
171581
171582
171622
171611
171612
171613
171587
171588
171040
171022
171032
69809
171851
171852
171853
171872
171873
171870
171871
171850
171845
171770
171763
171764
171765
171766
171632
171631
171747
171751
171753
171745
171768
171769
171772
171773
171774
171776
171775
171777
171778
171779
171780
171781
171783
171782
171784
171785
DESCRICAO
OXALATO ESCITALOPRAM GEN.10MG 4BLX15CPDS REV. - - EMS GENERICOS
OXALATO ESCITALOPRAM GEN.200MG 2BLX15CPDS REV. - - EMS GENERICOS
PRAVASTATINA SODICA GEN.20MG 8X10CPDS - - RANBAXY
PRO HANCE 279,3MG/ML SOL.INJ.1FA 10ML - - BRACCO
PRO HANCE 279,3MG/ML SOL.INJ.1FA 15ML - - BRACCO
PRO HANCE 279,3MG/ML SOL.INJ.1FA 50ML - - BRACCO
SEROLEX 10MG 2BLX15CPDS REV. - - GERMED
SEROLEX 20MG 2BLX15CPDS REV. - - GERMED
SOLUCAO GLICERINA 12% SOL.C/SONDA RETAL FR 500ML - - EUROFARMA
SOLUCAO GLICOFISIOLOGICA 50+9MG/ML SIST.FECH.BOL.250ML MED FLEX - - EUROFARMA
SOLUCAO GLICOFISIOLOGICA 50+9MG/ML SIST.FECH.FA 250ML LINHA MAX - - EUROFARMA
AMOXICILINA+CLAVULANATO POTASSIO GEN.500MG 100CPDS - - RANBAXY
ROPI 10MG/ML SOL.INJ. 5EST 1FA 20ML - - CRISTALIA
ROPI 2MG/ML SOL.INJ.5EST 1FA 20ML - - CRISTALIA
ROPI 7,5MG/ML SOL.INJ.5EST 1FA 20ML - - CRISTALIA
FUMARATO QUETIAPINA GEN.100MG 30CPDS REV. - - GLAXOSMITH
FUMARATO QUETIAPINA GEN.200MG 30CPDS REV. - - GLAXOSMITH
FUMARATO QUETIAPINA GEN.25MG 10CPDS REV. - - GLAXOSMITH
FUMARATO QUETIAPINA GEN.25MG 30CPDS REV. - - GLAXOSMITH
HALO DECANOATO 50MG/ML SOL.INJ.15AMP 1ML - - CRISTALIA
LACRIFILM 5MG/ML SOL.OFT.10ML - - UNIAO QUIMICA
ATORVASTATINA CALCICA GEN.20MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
ACECLOFENACO GEN.100MG 2BLX6CPDS REV. - - NOVA QUIMICA GEN
ACECLOFENACO GEN.100MG 4BLX6CPDS REV. - - NOVA QUIMICA GEN
ALENDRONATO SODIO GEN.70MG 10CPDS - - NOVA QUIMICA GEN
AMOXICILINA GEN.500MG 15CAPS - - NOVA QUIMICA GEN
ANADOR 500MG 240CPDS - - BOEHRINGER
ANADOR 500MG 2CPDS F.V - - BOEHRINGER
ARACOR HCT 160+12,5MG 3BLX10CPDS REV. - - NOVA QUIMICA
ARACOR HCT 160+25MG 3BLX10CPDS REV. - - NOVA QUIMICA
ARACOR HCT 320+25MG 3BLX10CPDS REV. - - NOVA QUIMICA
ARACOR HCT 80+12,5MG 3BLX10CPDS REV. - - NOVA QUIMICA
ATORVASTATINA CALCICA GEN.10MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
ATORVASTATINA CALCICA GEN.10MG 6BLX10CPDS REV. - - NOVA QUIMICA GEN
CLORIDRATO BUPROPIONA GEN.150MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
CLORIDRATO BUPROPIONA GEN.150MG 6BLX10CPDS REV. - - NOVA QUIMICA GEN
CLORIDRATO METFORMINA GEN.850MG 6BLX10CPDS REV. - - NOVA QUIMICA GEN
CLORIDRATO NARATRIPTANA GEN.2,5MG 10CPDS REV. - - NOVA QUIMICA GEN
CLORIDRATO NARATRIPTANA GEN.2,5MG 4CPDS REV. - - NOVA QUIMICA GEN
CLORIDRATO PIOGLITAZONA GEN.15MG 15CPDS - - NOVA QUIMICA GEN
CLORIDRATO PIOGLITAZONA GEN.30MG 15CPDS - - NOVA QUIMICA GEN
CLORIDRATO PIOGLITAZONA GEN.30MG 30CPDS - - NOVA QUIMICA GEN
CLORIDRATO PIOGLITAZONA GEN.45MG 15CPDS - - NOVA QUIMICA GEN
DESLORATADINA GEN.5MG 30CPDS - - NOVA QUIMICA GEN
DOMPERIDONA GEN.10MG 2BLX15CPDS - - NOVA QUIMICA GEN
DOMPERIDONA GEN.10MG 4BLX15CPDS - - NOVA QUIMICA GEN
DROSPIRENONA+ETINILESTRADIOL GEN.3+0,03MG 21CPDS REV. - - NOVA QUIMICA GEN
FINASTERIDA GEN.5MG 4BLX15CPDS - - NOVA QUIMICA GEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
333
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
171788
171789
171790
171791
171786
171787
171792
171754
171755
171793
171794
171633
171795
171756
171757
171796
171819
171815
171816
171818
171797
171798
171799
171800
171801
171802
171803
171805
171806
171804
171808
171809
171810
171807
171771
171767
171900
172029
172030
171027
171880
171881
171891
171892
171876
84906
172027
172028
DESCRICAO
HEMITARTARATO RIVASTIGMINA GEN.1,5MG 2BLX15CAPS GEL.DURA - - NOVA QUIMICA GEN
HEMITARTARATO RIVASTIGMINA GEN.3MG 2BLX15CAPS GEL.DURA - - NOVA QUIMICA GEN
HEMITARTARATO RIVASTIGMINA GEN.4,5MG 2BLX15CAPS GEL.DURA - - NOVA QUIMICA GEN
HEMITARTARATO RIVASTIGMINA GEN.6MG 2BLX15CAPS GEL.DURA - - NOVA QUIMICA GEN
HEMITARTARATO ZOLPIDEM GEN.10MG 10CPDS REV. - - NOVA QUIMICA GEN
HEMITARTARATO ZOLPIDEM GEN.10MG 2BLX10CPDS REV. - - NOVA QUIMICA GEN
IBUPROFENO GEN.50MG/ML SUSP.ORAL 30ML - - NOVA QUIMICA GEN
ISOTRAT 10MG 6BLX5CAPS - - NOVA QUIMICA
ISOTRAT 20MG 6BLX5CAPS - - NOVA QUIMICA
ISOTRETINOINA GEN.10MG 6BLX5CPDS - - NOVA QUIMICA GEN
ISOTRETINOINA GEN.20MG 6BLX5CPDS - - NOVA QUIMICA GEN
KOPLAN 200MG PO LIOF.1FA+DIL.PLAST.3ML - - NOVAFARMA
LOSARTANA POTASSICA GEN.50MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
NORADOP 150MG 3BLX10CPDS REV. - - NOVA QUIMICA
NORADOP 150MG 4BLX10CPDS REV. - - NOVA QUIMICA
OMEPRAZOL GEN.40MG 2BLX7CAPS GEL. - - NOVA QUIMICA GEN
PEMETREXEDE DISSODICO GEN.500MG PO LIOF.1FA 30ML - - GLENMARK
RESOLOR 1MG 14CPDS REV. - - JANSSEN-CILAG
RESOLOR 2MG 14CPDS REV. - - JANSSEN-CILAG
RESOLOR 2MG 28CPDS REV. - - JANSSEN-CILAG
ROSUVASTATINA CALCICA GEN.10MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
ROSUVASTATINA CALCICA GEN.20MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
SIMETICONA GEN.40MG 2BLX10CPDS - - NOVA QUIMICA GEN
SIMETICONA GEN.75MG/ML GTS.15ML - - NOVA QUIMICA GEN
TELMISARTANA GEN.40MG 3BLX10CPDS - - NOVA QUIMICA GEN
TELMISARTANA GEN.80MG 3BLX10CPDS - - NOVA QUIMICA GEN
TRAVOPROSTA GEN.0,04MG/ML SOL.OFT.2,5ML - - NOVA QUIMICA GEN
VALSARTANA GEN.160MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
VALSARTANA GEN.320MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
VALSARTANA GEN.80MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
VALSARTANA+HIDROCLOROTIAZIDA GEN.160+12,5MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
VALSARTANA+HIDROCLOROTIAZIDA GEN.160+25MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
VALSARTANA+HIDROCLOROTIAZIDA GEN.320+25MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
VALSARTANA+HIDROCLOROTIAZIDA GEN.80+12,5MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
ATORVASTATINA CALCICA GEN.20MG 6BLX10CPDS REV. - - NOVA QUIMICA GEN
ATORVASTATINA CALCICA GEN.40MG 3BLX10CPDS REV. - - NOVA QUIMICA GEN
OSMOLAC 10SACH 10G - - BIOLAB SANUS
FORTIFIT BAUN.LT 280G - - SUPPORT NUTRITION
FORTIFIT MOR.LT 280G - - SUPPORT NUTRITION
FUMARATO CETOTIFENO GEN.0,2MG/ML XPE.FR PLAST.120ML+CP.MED. - - TEUTO BRAS
IBUFRAN 300MG 20CPDS - - NEOQUIMICA
IBUFRAN 400MG 10CPDS - - NEOQUIMICA
IRBERSARTANA+HIDROCLOROTIAZIDA GEN.150+12,5MG 30CPDS - - EUROFARMA
IRBERSARTANA+HIDROCLOROTIAZIDA GEN.300+12,5MG 30CPDS - - EUROFARMA
LACRIFILM 5MG/ML SOL.OFT.5ML - - UNIAO QUIMICA
LISOPRIL 10MG 30CPDS - - NEOQUIMICA
NUTRIDRINK COMPACT CHOC.4FRX125ML - - SUPPORT NUTRITION
NUTRIDRINK COMPACT MOR.4FRX125ML - - SUPPORT NUTRITION
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
334
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
172033
172032
171902
171886
171885
172031
171882
171883
171877
171887
171888
171889
144134
171878
171879
171884
171897
171906
171584
171615
172055
172056
172057
172052
172053
172054
171634
172111
172170
172103
172118
172122
172104
171579
172171
172172
172110
172173
172119
172112
172113
172399
172400
172401
172426
172423
172391
172392
DESCRICAO
NUTRIDRINK MAX PO BAUN.LT 350G - - SUPPORT NUTRITION
NUTRIDRINK MAX PO NEUTRO LT 350G - - SUPPORT NUTRITION
OSMOLAC 10SACH 5G - - BIOLAB SANUS
QUELATUS 60CPDS - - EUROFARMA
QUELATUS SENIOR 60CPDS - - EUROFARMA
SOUVENAID BAUN.4FRX125ML - - SUPPORT NUTRITION
TERMOPIRONA 50MG/ML SOL.ORAL 100ML+CP.MED. - - NEOQUIMICA
TIMOSOPT 20+5MG/ML SOL.OFT.5ML - - NEOQUIMICA
TOBRAMICINA GEN.3MG/ML SOL.OFT.5ML - - NEOQUIMICA
ACTIVELLE 1+0,5MG 28CPDS REV. - - EUROFARMA
BART H 150+12,5MG 30CPDS - - EUROFARMA
BART H 300+12,5MG 30CPDS - - EUROFARMA
CARBOLITIUM 450MG 10CPDS - - EUROFARMA
CEFALEXINA GEN.50MG/ML PO SUSP.ORAL 100ML+CP.MED - - NEOQUIMICA
CLORIDRATO FLUOXETINA GEN.20MG 30CAPS GEL.DURA - - NEOQUIMICA
COLIRIO NEO BRASIL SOL.OFT.20ML - - NEOQUIMICA
DISFOR 30SACH 11G - - BIOLAB SANUS
DOTAREM 0,5MMOL/ML SER.PREENCH.10ML - - GUERBET
EMET 50+10MG 12CPDS REV. - - EUROFARMA
CLORIDRATO DONEPEZILA GEN.5MG 3X10CPDS - - RANBAXY
GLICOPIO 15MG 10CPDS - - ASTRAZENECA
GLICOPIO 15MG 30CPDS - - ASTRAZENECA
GLICOPIO 30MG 10CPDS - - ASTRAZENECA
GLICOPIO 30MG 30CPDS - - ASTRAZENECA
GLICOPIO 45MG 10CPDS - - ASTRAZENECA
GLICOPIO 45MG 30CPDS - - ASTRAZENECA
KOPLAN 400MG PO LIOF.1FA+DIL.PLAST.3ML - - NOVAFARMA
FEBUPEN 100MG 2BLX6CPDS REV. - - EMS
KANAKION 2MG SOL.INJ.5AMP+5DOSAD. - - ROCHE
LEFLUNOMIDA GEN.20MG 30CPDS REV. - - BIOSINTETICA
MORATUS 20MG 15CPDS REV. - - MEDLEY
NOVALGINA 1G 25BLX4CPDS EFERV. - - SANOFI-AVENTIS
OLANZAPINA GEN.2,5MG 30CPDS - - BIOSINTETICA
OXALATO ESCITALOPRAM 20MG GEN.2BLX15CPDS REV. - - GERMED GENERICOS
PROLOPA BD 125MG 30CPDS - - ROCHE
PROLOPA BD 125MG 60CPDS - - ROCHE
VALERATO BETAMETASONA+SULFATO GENTAMICINA+TOLNAFTATO+CLIOQUINOL GEN.0,5+1+10+10MG/G POM.DERM.20G - - ACHE
ZELBORAF 240MG 56CPDS REV. - - ROCHE
DROSPIRENONA+ETINILESTRADIOL GEN.3+0,03MG 21CPDS REV. - - MEDLEY
AROVIT VITA 150000UI/ML SOL.ORAL 20ML - - BAYER
AROVIT VITA 300000UI/ML SOL.INJ.25AMP 1ML - - BAYER
CIALIS DIARIO 5MG 30CPDS REV. - - ELI LILLY
CYMBALTA 30MG 30CAPS GEL.DURA - - ELI LILLY
CYMBALTA 60MG 60CAPS GEL.DURA - - ELI LILLY
AMOXICILINA GEN.50MG/ML SUSP.ORAL 60ML+CP.MED. - - CIMED
AMPRAX 40MG 30CPDS - - VITAPAN
PRAMIPEZAN 0,125MG 60CPDS - - ARROW
PRAMIPEZAN 0,25MG 60CPDS - - ARROW
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
335
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
172395
172121
172536
172534
172535
172108
172109
172556
172557
172671
172670
172555
172667
172666
172546
172547
172548
172549
172539
172540
172541
172542
172107
172537
172538
172552
172106
172105
172545
171578
172550
172553
172543
172554
172551
172544
172728
172741
172717
171874
171033
171036
171037
171817
171039
171041
69845
171026
DESCRICAO
PRAMIPEZAN 1MG 60CPDS - - ARROW
NOVALGINA 1G 10CPDS EFERV. - - SANOFI-AVENTIS
RABINEFIL 10MG PO LIOF.1FA 10ML - - FRESENIUS KABI
ASERCIT 100MG PO LIOF.1FA - - FRESENIUS KABI
ASERCIT 200MG PO LIOF.1FA - - FRESENIUS KABI
CLORIDRATO RANITIDINA GEN.150MG 20CPDS REV. - - ACHE
CLORIDRATO RANITIDINA GEN.300MG 20CPDS REV. - - ACHE
CLORIDRATO TRAMADOL+PARACETAMOL GEN.37,5+325MG 10CPDS REV. - - BIOSINTETICA
CLORIDRATO TRAMADOL+PARACETAMOL GEN.37,5+325MG 20CPDS REV. - - BIOSINTETICA
CATAFLAM SPORT ICE AER.120G - - NOVARTIS
CATAFLAM SPORT ICE AER.60G - - NOVARTIS
ACEBROFILINA GEN.50MG XPE.120ML - - BIOSINTETICA
ALOIS 10MG 120CPDS REV. - - APSEN
ALOIS 10MG 50CPDS REV. - - APSEN
ESCILEX 10MG 15CPDS REV. - - SIGMA PHARMA
ESCILEX 10MG 2BLX15CPDS REV. - - SIGMA PHARMA
ESCILEX 10MG 4BLX15CPDS REV. - - SIGMA PHARMA
ESCILEX 20MG 2BLX15CPDS REV. - - SIGMA PHARMA
ESOMEPRAZOL MAGNESICO GEN.20MG 2BLX7CPDS REV. - - EMS GENERICOS
ESOMEPRAZOL MAGNESICO GEN.20MG 4BLX7CPDS REV. - - EMS GENERICOS
ESOMEPRAZOL MAGNESICO GEN.40MG 2BLX7CPDS REV. - - EMS GENERICOS
ESOMEPRAZOL MAGNESICO GEN.40MG 4BLX7CPDS REV. - - EMS GENERICOS
FLAGASS 125MG 10CAPS GEL.MOLE - - ACHE
GLUCERNA PO BAUN.400G - - ABBOTT
GLUCERNA PO LIMAO.400G - - ABBOTT
NEOTRICIN POM.50G - - LEGRAND OTC
OLANZAPINA GEN.10MG 30CPDS - - BIOSINTETICA
OLANZAPINA GEN.5MG 30CPDS - - BIOSINTETICA
ONCILEG A 1MG POM.10G - - LEGRAND TARJADOS
OXALATO ESCITALOPRAM GEN.10MG 4BLX15CPDS REV. - - GERMED GENERICOS
TELMISARTANA GEN.40MG 3BLX10CPDS - - LEGRAND GENERICOS
TELMISARTANA GEN.40MG 3BLX10CPDS - - GERMED GENERICOS
TELMISARTANA GEN.40MG 3BLX10CPDS - - EMS GENERICOS
TELMISARTANA GEN.80MG 3BLX10CPDS - - GERMED GENERICOS
TELMISARTANA GEN.80MG 3BLX10CPDS - - LEGRAND GENERICOS
TELMISARTANA GEN.80MG 3BLX10CPDS - - EMS GENERICOS
BROMETO PINAVERIO GEN.50MG 10CPDS REV. - - TEUTO BRAS
LEPTICO 25MG 30CPDS - - EUROFARMA
WARFARIN 5MG 30CPDS - - UNIAO QUIMICA
NITRATO MICONAZOL GEN.20MG/ML LOC.100FR 30ML - - TEUTO BRAS
NORTRIP 25MG 300CAPS GEL.DURA - - TEUTO BRAS
NORTRIP 50MG 300CAPS GEL.DURA - - TEUTO BRAS
NORTRIP 75MG 300CAPS GEL.DURA - - TEUTO BRAS
PEMETREXEDE DISSODICO GEN.100MG PO LIOF.1FA 15ML - - GLENMARK
SEDALEX 300+50+35MG/ML SOL.ORAL 20ML - - TEUTO BRAS
SEDALGINA 30+300+30MG 60DRGS - - TEUTO BRAS
CEFALEXINA GEN.500MG 10X20CPDS - - RANBAXY
CLORIDRATO CLINDAMICINA 300MG 320CAPS GEL.DURA - - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
336
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
172740
171875
172733
171846
172734
171028
172430
172745
172746
171020
172742
172743
172744
171025
172729
172730
172731
172732
172778
172780
172781
54905
54907
54906
54908
72840
72841
173046
173041
173050
173048
173029
173030
173025
173028
173031
173032
173026
173027
173049
173051
173052
173054
173033
173034
173045
173047
173044
DESCRICAO
CLORIDRATO IRINOTECANO GEN.20MG/ML SOL.INJ.10FA 5ML - - EUROFARMA
DERMOVAGIN 30+20MG/G CRM.VAG.40G+7APL. - - TEUTO BRAS
DEXAMETASONA GEN.4MG 200CPDS(EMB.HOSP) - - TEUTO BRAS
FLOSSOTEC 20MG 30CPDS REV. - - UNIAO QUIMICA
FUROSEMIDA GEN.40MG BL OPACO 20CPDS - - TEUTO BRAS
HEMORFREE 25G+5APLIC. - - TEUTO BRAS
LAMOTRIGINA GEN.100MG 60CPDS - - TEUTO BRAS
LEPTICO 100MG 30CPDS - - EUROFARMA
LEPTICO 100MG 60CPDS - - EUROFARMA
ACNEFIN 50MG/G GEL 20G - - TEUTO BRAS
LEPTICO 25MG 60CPDS - - EUROFARMA
LEPTICO 50MG 30CPDS - - EUROFARMA
LEPTICO 50MG 60CPDS - - EUROFARMA
BENZOILMETRONIDAZOL GEN.40MG/ML SUSP.ORAL 50FA 100ML+CP.MED. - - TEUTO BRAS
BROMETO PINAVERIO GEN.50MG 20CPDS REV. - - TEUTO BRAS
BROMETO PINAVERIO GEN.50MG 30CPDS REV. - - TEUTO BRAS
BROMETO PINAVERIO GEN.50MG 60CPDS REV. - - TEUTO BRAS
CARBIDOL 25+250MG 50CPDS(EMB.HOSP) - - TEUTO BRAS
NOVALGINA 1G 2CPDS EFERV.F.V - - SANOFI-AVENTIS
DICLOFENACO RESINATO GEN.15MG/ML GTS.20ML - - CIMED
NOVASOURCE GC SF 6X1000ML - - NESTLE N.C.
OMEPRAZOL GEN.10MG 14CAPS - - LIBBS
OMEPRAZOL GEN.20MG 28CAPS - - LIBBS
OMEPRAZOL GEN.20MG 7CAPS - - LIBBS
OMEPRAZOL GEN.40MG 7CAPS - - LIBBS
PUREGON PEN 300UI 1CARP.0,480ML+6AG. - - SCHERING PLOUGH
PUREGON PEN 600UI 1CARP.0,840ML+6AG. - - SCHERING PLOUGH
COSARTAN HCT 160+25MG 3BLX10CPDS REV. - - GERMED
KOGENATE FS 1000UI/2,5ML PO LIOF.1FA+SER.PREENCH.DIL.2,5ML+EQUIPO+ADAPT. - - BAYER
VITERGAN PRE-NATAL 10CPDS REV. - - MARJAN
MONALESS 600MG 10CAPS GEL. - - MARJAN
MONTELUCASTE SODICO GEN.4MG 10SACH - - ACHE
MONTELUCASTE SODICO GEN.4MG 30SACH - - ACHE
OXALATO ESCITALOPRAM GEN.20MG 30CPDS REV. - - BIOSINTETICA
OXALATO ESCITALOPRAM GEN.20MG 30CPDS REV. - - ACHE
PROLIVE 15CAPS - - ACHE
PROLIVE 30CAPS - - ACHE
SINTOCALMY 600MG 10CPDS REV. - - ACHE
SINTOCALMY 600MG 30CPDS REV. - - ACHE
VITERGAN MASTER 10CAPS GEL. - - MARJAN
VITERGAN ZINCO 10CPDS REV. - - MARJAN
VITERGAN ZINCO PL 10CPDS REV. - - MARJAN
CALDE MAG 60CPDS - - MARJAN
CALTRATE DAILY 30CPDS - - WYETH CONSUMER
CALTRATE DAILY 60CPDS - - WYETH CONSUMER
COSARTAN HCT 160+12,5MG 3BLX10CPDS REV. - - GERMED
COSARTAN HCT 320+25MG 3BLX10CPDS REV. - - GERMED
COSARTAN HCT 80+12,5MG 3BLX10CPDS REV. - - GERMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
337
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
173042
173043
173039
173040
173053
173203
173204
173199
173200
173201
173205
173202
83115
173511
173795
173678
173749
173667
173668
173670
173038
173036
173037
173689
173690
173688
173663
173664
173665
173666
173731
173868
26673
173659
173660
173661
173662
71718
173742
173743
173740
173741
173427
173732
173733
173866
173867
173747
DESCRICAO
FLANAX 550MG 60CPDS - - BAYER
GYNOTRAN 750+200MG 7OVULOS+7LUVAS - - BAYER
KOGENATE FS 250UI/2,5ML PO LIOF.1FA+SER.PREENCH.DIL.2,5ML+EQUIPO+ADAPT. - - BAYER
KOGENATE FS 500UI/2,5ML PO LIOF.1FA+SER.PREENCH.DIL.2,5ML+EQUIPO+ADAPT. - - BAYER
MAXX 5 ENERGY 12CAPS+PORTA CAPS - - MARJAN
HYZAAR 100/25MG 15CPDS - - MERCK S.D.
HYZAAR 50/12,5MG 15CPDS - - MERCK S.D.
CENTRUM 100+60CPDS - - WYETH CONSUMER
CENTRUM CONTROL 30CPDS - - WYETH CONSUMER
CENTRUM CONTROL 60CPDS - - WYETH CONSUMER
CERAZETTE 0,075MCG 3BLX28CPDS - - SCHERING PLOUGH
COZAAR 100MG 15CPDS - - MERCK S.D.
COZAAR 50MG 15CPDS - - MERCK S.D.
EXTAVIA 9,6MUI PO LIOF.15FA+15SER.1,2ML - - NOVARTIS
CARVEDILOL GEN.25MG 2BLX15CPDS - - LEGRAND GENERICOS
CORASTORVA 20MG 30CPDS REV. - - SANOFI-AVENTIS
ESOMEX 20MG 4BLX7CPDS REV. - - SIGMA PHARMA
TEVAOXALI 5MG/ML SOL.INJ.FA 10ML - - TEVA
TEVAOXALI 5MG/ML SOL.INJ.FA 20ML - - TEVA
TEVAOXALI 5MG/ML SOL.INJ.FA 40ML - - TEVA
TOPIRAMATO GEN.100MG 60CPDS REV. - - MEDLEY
TOPIRAMATO GEN.25MG 60CPDS REV. - - MEDLEY
TOPIRAMATO GEN.50MG 60CPDS REV. - - MEDLEY
TAMCORE 160MG 30CPDS REV. - - SANOFI-AVENTIS
TAMCORE 320MG 30CPDS REV. - - SANOFI-AVENTIS
TAMCORE 80MG 30CPDS REV. - - SANOFI-AVENTIS
TEVAFOLIN 10MG/ML SOL.INJ.FA 10ML - - TEVA
TEVAFOLIN 10MG/ML SOL.INJ.FA 20ML - - TEVA
TEVAFOLIN 10MG/ML SOL.INJ.FA 50ML - - TEVA
TEVAGRASTIM 300MCG 1SER.PREENC.0,5ML+DISP.SEG. - - TEVA
MAXX 5 ENERGY 6CAPS - - MARJAN
MELOXICAM GEN.7,5MG 10CPDS - - TEUTO BRAS
MEVAMOX 7,5MG 10CPDS - - TEUTO BRAS
NEPEZIL 10MG 10CPDS REV. - - ASPEN
NEPEZIL 10MG 30CPDS REV. - - ASPEN
NEPEZIL 5MG 10CPDS REV. - - ASPEN
NEPEZIL 5MG 30CPDS REV. - - ASPEN
PARACETAMOL GEN.500MG BL.TRANS.200CPDS(EMB.HOSP.) - - TEUTO BRAS
QUEOPINE 100MG 30CPDS REV. - - GLAXOSMITH
QUEOPINE 200MG 30CPDS REV. - - GLAXOSMITH
QUEOPINE 25MG 10CPDS REV. - - GLAXOSMITH
QUEOPINE 25MG 30CPDS REV. - - GLAXOSMITH
RIOHEX 0,5% ALCOOLICA COLORIDO 1000ML - - RIOQUIMICA
ROSUVASTATINA CALCICA GEN.10MG 30CPDS REV. - - MEDLEY
ROSUVASTATINA CALCICA GEN.20MG 30CPDS REV. - - MEDLEY
FLEXTOSS 3MG/ML XPE.100ML+CP.MED. - - TEUTO BRAS
FOSFATO DISSODICO DEXAMETASONA GEN.4MG/ML SOL.INJ.120AMP 2,5ML(EMB.HOSP.) - - TEUTO BRAS
IBUFLEX 400MG 2BLX4CAPS GEL. - - LEGRAND OTC
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
338
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
173865
173035
173676
173677
173679
173693
173684
173685
173686
173687
173680
173681
173682
173683
173746
173745
173771
173796
173784
173772
173797
173785
173770
173774
173798
173786
173775
173799
173787
173773
173748
173750
173751
173864
173765
173792
173756
173766
173793
173780
173757
173767
173794
173781
173768
173758
173769
173782
DESCRICAO
CEFALEXINA GEN.500MG 500CPDS(EMB HOSP.) - - TEUTO BRAS
CLORIDRATO TANSULOSINA GEN.0,4MG 30CAPS GEL. - - MEDLEY
CORASTORVA 10MG 10CPDS REV. - - SANOFI-AVENTIS
CORASTORVA 10MG 30CPDS REV. - - SANOFI-AVENTIS
CORASTORVA 40MG 30CPDS REV. - - SANOFI-AVENTIS
CORASTORVA 80MG 30CPDS REV. - - SANOFI-AVENTIS
COREDIOL 12,5MG 15CPDS - - SANOFI-AVENTIS
COREDIOL 12,5MG 30CPDS - - SANOFI-AVENTIS
COREDIOL 25MG 15CPDS - - SANOFI-AVENTIS
COREDIOL 25MG 30CPDS - - SANOFI-AVENTIS
COREDIOL 3,125MG 15CPDS - - SANOFI-AVENTIS
COREDIOL 3,125MG 30CPDS - - SANOFI-AVENTIS
COREDIOL 6,25MG 15CPDS - - SANOFI-AVENTIS
COREDIOL 6,25MG 30CPDS - - SANOFI-AVENTIS
CORIZZ DIA 25BLX4CPDS - - LEGRAND OTC
CORIZZ DIA 3BLX8CPDS - - LEGRAND OTC
ESOMEPRAZOL MAGNESICO GEN.20MG 2BLX7CPDS REV. - - NOVA QUIMICA GEN
ESOMEPRAZOL MAGNESICO GEN.20MG 2BLX7CPDS REV. - - LEGRAND GENERICOS
ESOMEPRAZOL MAGNESICO GEN.20MG 2BLX7CPDS REV. - - GERMED GENERICOS
ESOMEPRAZOL MAGNESICO GEN.20MG 4BLX7CPDS REV. - - NOVA QUIMICA GEN
ESOMEPRAZOL MAGNESICO GEN.20MG 4BLX7CPDS REV. - - LEGRAND GENERICOS
ESOMEPRAZOL MAGNESICO GEN.20MG 4BLX7CPDS REV. - - GERMED GENERICOS
ESOMEPRAZOL MAGNESICO GEN.20MG 7CPDS REV. - - NOVA QUIMICA GEN
ESOMEPRAZOL MAGNESICO GEN.40MG 2BLX7CPDS REV. - - NOVA QUIMICA GEN
ESOMEPRAZOL MAGNESICO GEN.40MG 2BLX7CPDS REV. - - LEGRAND GENERICOS
ESOMEPRAZOL MAGNESICO GEN.40MG 2BLX7CPDS REV. - - GERMED GENERICOS
ESOMEPRAZOL MAGNESICO GEN.40MG 4BLX7CPDS REV. - - NOVA QUIMICA GEN
ESOMEPRAZOL MAGNESICO GEN.40MG 4BLX7CPDS REV. - - LEGRAND GENERICOS
ESOMEPRAZOL MAGNESICO GEN.40MG 4BLX7CPDS REV. - - GERMED GENERICOS
ESOMEPRAZOL MAGNESICO GEN.40MG 7CPDS REV. - - NOVA QUIMICA GEN
ESOMEX 20MG 2BLX7CPDS REV. - - SIGMA PHARMA
ESOMEX 40MG 2BLX7CPDS REV. - - SIGMA PHARMA
ESOMEX 40MG 4BLX7CPDS REV. - - SIGMA PHARMA
ACETILCISTEINA GEN.20MG/ML XPE.120ML - - TEUTO BRAS
CARVEDILOL GEN.12,5MG 15CPDS - - NOVA QUIMICA GEN
CARVEDILOL GEN.12,5MG 15CPDS - - LEGRAND GENERICOS
CARVEDILOL GEN.12,5MG 15CPDS - - EMS GENERICOS
CARVEDILOL GEN.12,5MG 2BLX15CPDS - - NOVA QUIMICA GEN
CARVEDILOL GEN.12,5MG 2BLX15CPDS - - LEGRAND GENERICOS
CARVEDILOL GEN.12,5MG 2BLX15CPDS - - GERMED GENERICOS
CARVEDILOL GEN.12,5MG 2BLX15CPDS - - EMS GENERICOS
CARVEDILOL GEN.12,5MG 4BLX15CPDS - - NOVA QUIMICA GEN
CARVEDILOL GEN.12,5MG 4BLX15CPDS - - LEGRAND GENERICOS
CARVEDILOL GEN.12,5MG 4BLX15CPDS - - GERMED GENERICOS
CARVEDILOL GEN.25MG 15CPDS - - NOVA QUIMICA GEN
CARVEDILOL GEN.25MG 15CPDS - - EMS GENERICOS
CARVEDILOL GEN.25MG 2BLX15CPDS - - NOVA QUIMICA GEN
CARVEDILOL GEN.25MG 2BLX15CPDS - - GERMED GENERICOS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
339
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
173759
173760
173783
173800
173761
173788
173752
173776
173762
173789
173753
173777
173763
173790
173754
173778
173764
173791
173755
173779
137191
173692
173691
173694
173695
171017
171035
171034
171019
171021
171030
171031
171018
171029
171024
171038
173869
173734
173735
173996
173997
174054
174055
173671
174056
174058
174057
174059
DESCRICAO
CARVEDILOL GEN.25MG 2BLX15CPDS - - EMS GENERICOS
CARVEDILOL GEN.25MG 4BLX15CPDS - - EMS GENERICOS
CARVEDILOL GEN.25MG 4BLX15CPDS - - GERMED GENERICOS
CARVEDILOL GEN.25MG 4BLX15CPDS - - LEGRAND GENERICOS
CARVEDILOL GEN.3,125MG 15CPDS - - NOVA QUIMICA GEN
CARVEDILOL GEN.3,125MG 15CPDS - - LEGRAND GENERICOS
CARVEDILOL GEN.3,125MG 15CPDS - - EMS GENERICOS
CARVEDILOL GEN.3,125MG 2BLX15CPDS - - GERMED GENERICOS
CARVEDILOL GEN.3,125MG 2BLX15CPDS - - NOVA QUIMICA GEN
CARVEDILOL GEN.3,125MG 2BLX15CPDS - - LEGRAND GENERICOS
CARVEDILOL GEN.3,125MG 2BLX15CPDS - - EMS GENERICOS
CARVEDILOL GEN.3,125MG 4BLX15CPDS - - GERMED GENERICOS
CARVEDILOL GEN.6,25MG 15CPDS - - NOVA QUIMICA GEN
CARVEDILOL GEN.6,25MG 15CPDS - - LEGRAND GENERICOS
CARVEDILOL GEN.6,25MG 15CPDS - - EMS GENERICOS
CARVEDILOL GEN.6,25MG 2BLX15CPDS - - GERMED GENERICOS
CARVEDILOL GEN.6,25MG 2BLX15CPDS - - NOVA QUIMICA GEN
CARVEDILOL GEN.6,25MG 2BLX15CPDS - - LEGRAND GENERICOS
CARVEDILOL GEN.6,25MG 2BLX15CPDS - - EMS GENERICOS
CARVEDILOL GEN.6,25MG 4BLX15CPDS - - GERMED GENERICOS
ALENDOSSEO GEN.70MG 4CPDS - - EMS
VACINA CONTRA HEPATITE B RECOMBINANTE 1FR 10DOSES 1ML - - SANOFI-AVENTIS
VACINA CONTRA HEPATITE B RECOMBINANTE 50FR 10DOSES 1ML - - SANOFI-AVENTIS
VACINA INFLUENZA SUB.INATIVADA 10SER.PREENCH.0,5ML - - NOVARTIS
VACINA INFLUENZA SUB.INATIVADA ADJUVADA 10SER.PREENCH.0,5ML - - NOVARTIS
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.BOL.500ML MED FLEX - - EUROFARMA
SOLUCAO GLICOFISIOLOGICA 50+9MG/ML SIST.FECH.FA 1000ML LINHA MAX - - EUROFARMA
SOLUCAO GLICOFISIOLOGICA 50+9MG/ML SIST.FECH.FA 500ML LINHA MAX - - EUROFARMA
SOLUCAO GLICOSE 10% SIST.FECH.BOL.250ML MED FLEX - - EUROFARMA
SOLUCAO GLICOSE 10% SIST.FECH.BOL.500ML MED FLEX - - EUROFARMA
SOLUCAO GLICOSE 10% SIST.FECH.FA 250ML LINHA MAX - - EUROFARMA
SOLUCAO GLICOSE 10% SIST.FECH.FA 500ML LINHA MAX - - EUROFARMA
SOLUCAO GLICOSE 5% SIST.FECH.BOL.100ML MED FLEX - - EUROFARMA
SOLUCAO GLICOSE 5% SIST.FECH.FA 100ML LINHA MAX - - EUROFARMA
SOLUCAO RINGER SIMPLES 8,6+0,3+0,33MG/ML SIST.FECH.BOL.500ML MED FLEX - - EUROFARMA
SOLUCAO RINGER SIMPLES 8,6+0,3+0,33MG/ML SIST.FECH.FA 500ML LINHA MAX - - EUROFARMA
CLENIL NASAL AQUOSO 30ML - - CHIESI
VERSA 100MG/ML SOL.INJ.2SER.PREENCH.0,6ML+SIST.SEG. - - EUROFARMA
VERSA 100MG/ML SOL.INJ.2SER.PREENCH.0,8ML+SIST.SEG. - - EUROFARMA
LABEL 40MG/ML SOL.ORAL 30ML - - ACHE
LABEL 40MG/ML SOL.ORAL 45ML - - ACHE
NACTALI 75MCG 28CPDS REV. - - LIBBS
NACTALI 75MCG 3BLX28CPDS REV. - - LIBBS
NEBLOCK 5MG 30CPDS - - TORRENT
PLENANCE 10MG 30CPDS REV. - - LIBBS
PLENANCE 10MG 90CPDS REV. - - LIBBS
PLENANCE 20MG 30CPDS REV. - - LIBBS
PLENANCE 20MG 90CPDS REV. - - LIBBS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
340
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
173738
173672
173673
173995
173994
174082
174102
174104
174103
174112
174113
137949
174503
174504
174604
174533
174511
174510
174531
174532
174528
174595
174591
174512
174513
174514
174515
174534
174592
174593
174594
104013
174536
174537
174538
174539
174540
150488
174530
174509
174518
174521
174525
174524
174526
174505
174506
174507
DESCRICAO
ESIO 40MG PO LIOF.10FA 6,5ML - - EUROFARMA
FLANAX 275MG 60CPDS REV. - - BAYER
ALLURENE 2MG ENV.BL.28CPDS - - BAYER
DONILA 10MG 30CPDS REV. - - ACHE
DONILA 5MG 30CPDS REV. - - ACHE
EYLIA 40MG/ML SOL.INJ.FA 0,278ML - - BAYER
CLORIDRATO NALOXONA GEN.0,4MG/ML SOL.INJ.10AMP 1ML - - NOVAFARMA
PARIET 20MG 56CPDS REV. - - JANSSEN-CILAG
ULTRACET 37,5+325MG 30CPDS - - JANSSEN-CILAG
OSTEOTEC 150MG 1CPD REV. - - ZODIAC
OSTEOTEC 150MG 2CPDS REV. - - ZODIAC
FLAMATRAT 15MG/ML GTS.50FR 20ML(EMB.HOSP.) - - VITAPAN
PARACETAMOL GEN.750MG 50BLX4CPDS - - TEUTO BRAS
TYLIDOL 500MG 40BLX5CPDS - - TEUTO BRAS
NUTRIDRINK COMPACT PROTEIN BAUNILHA 125ML - - SUPPORT NUTRITION
TIBOLONA GEN.2,5MG 30CPDS - - LEGRAND GENERICOS
TIBOLONA GEN.2,5MG 30CPDS - - GERMED GENERICOS
TIBOLONA GEN.2,5MG 30CPDS - - EMS GENERICOS
MEZOLIUM 20MG 4BLX7CPDS REV. - - GERMED
MEZOLIUM 40MG 4BLX7CPDS REV. - - GERMED
OSTEOGLIC 1,5MG PO ORAL 30SACHES - - LEGRAND TARJADOS
OXALATO ESCITALOPRAM GEN.15MG 7CPDS REV. - - ACHE
OXALATO ESCITALOPRAM GEN.15MG 7CPDS REV. - - BIOSINTETICA
ESOP 20MG 2BLX7CPDS REV. - - NOVA QUIMICA
ESOP 20MG 4BLX7CPDS REV. - - NOVA QUIMICA
ESOP 40MG 2BLX7CPDS REV. - - NOVA QUIMICA
ESOP 40MG 4BLX7CPDS REV. - - NOVA QUIMICA
VICOG 5MG 10CPDS - - MARJAN
DICLORIDRATO PRAMIPEXOL GEN.0,125MG 30CPDS - - ACHE
DICLORIDRATO PRAMIPEXOL GEN.0,250MG 30CPDS - - ACHE
DICLORIDRATO PRAMIPEXOL GEN.1MG 30CPDS - - ACHE
HEPTRON 100MG/ML 2SER.PREENC.1ML - - ASPEN
HEPTRON 100MG/ML 2SER.PREENC.1ML+SIST.SEG. - - ASPEN
HEPTRON 20MG 10SER.PREENC.0,2ML+SIST.SEG. - - ASPEN
HEPTRON 40MG 10SER.PREENC.0,4ML+SIST.SEG. - - ASPEN
HEPTRON 60MG 10SER.PREENC.0,6ML+SIST.SEG. - - ASPEN
HEPTRON 80MG 10SER.PREENC.0,8ML+SIST.SEG. - - ASPEN
LEVOTAC 5MG SOL.INJ.6.BOL.SIST.FECH.100ML - - CRISTALIA
LIARA 3+0,03MG 21CPDS REV. - - GERMED
LORATADINA GEN.10MG 12CPDS - - NEOQUIMICA
NEUROPRAM 10MG 2BLX15CPDS REV. - - NOVA QUIMICA
NEUROPRAM 10MG 4BLX15CPDS REV. - - NOVA QUIMICA
NEUROPRAM 20MG 2BLX15CPDS REV. - - NOVA QUIMICA
NEXPRAZIN 20MG 4BLX4CPDS REV. - - LEGRAND TARJADOS
NEXPRAZIN 40MG 4BLX4CPDS REV. - - LEGRAND TARJADOS
ALPRAZOLAM GEN.0,25MG 30CPDS - - NEOQUIMICA
ALPRAZOLAM GEN.0,5MG 30CPDS - - NEOQUIMICA
ALPRAZOLAM GEN.1MG 30CPDS - - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
341
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
174508
174596
174597
174527
174529
174522
174523
174516
174517
174519
174520
170903
174709
174710
174711
170922
174703
174706
174718
174719
174704
174705
174712
174713
174714
174715
174707
174708
175272
175279
175256
175257
143219
175280
175264
175266
175267
143110
143109
143145
145426
145070
143213
143212
145069
175269
175271
175277
DESCRICAO
ALPRAZOLAM GEN.2MG 30CPDS - - NEOQUIMICA
REVANGE 37,5+325MG 10CPDS REV. - - ACHE
REVANGE 37,5+325MG 20CPDS REV. - - ACHE
SINAVEL 100MG 2BLX15CPDS REV. - - NOVA QUIMICA
SINAVEL 100MG 4BLX15CPDS REV. - - NOVA QUIMICA
CARVEGRAN 12,5MG 2BLX15CPDS - - LEGRAND TARJADOS
CARVEGRAN 25MG 2BLX15CPDS - - LEGRAND TARJADOS
CARVEGRAN 3,125MG 15CPDS - - LEGRAND TARJADOS
CARVEGRAN 3,125MG 2BLX15CPDS - - LEGRAND TARJADOS
CARVEGRAN 6,25MG 15CPDS - - LEGRAND TARJADOS
CARVEGRAN 6,25MG 2BLX15CPDS - - LEGRAND TARJADOS
ISOSOURCE HN PLUS SF 6X1000ML - - NESTLE N.C.
NUTREN 2.0 VIT.FRUTAS TETRA SLIM 27X200ML - - NESTLE N.C.
NUTREN JR TETRA PRISMA BAUN.24X250ML - - NESTLE N.C.
NUTREN SENIOR PO 12X370G - - NESTLE N.C.
RESOURCE FIBERMAIS 12 LT 150G - - NESTLE N.C.
VECASTEN 3BLX10CPDS REV. - - MARJAN
ENSURE NG PO MOR.400G - - ABBOTT
DESOL FR 10ML - - APSEN
DESOL FR 20ML - - APSEN
GLUCERNA SR TETRA BAUN.3X230ML - - ABBOTT
GLUCERNA SR TETRA CHOC.3X230ML - - ABBOTT
PEPTAMEN 1,5 TETRA PRISMA 24X250ML - - NESTLE N.C.
PEPTAMEN HN SF FRASCO 12X500ML - - NESTLE N.C.
PEPTAMEN JR.LIQ.BAUN.PRISMA SQUARE 24X250ML - - NESTLE N.C.
PEPTAMEN PREBIO TETRA PRISMA 24X250ML - - NESTLE N.C.
SIMILAC 1 400G - - ABBOTT
SIMILAC 2 400G - - ABBOTT
SOLUCAO GLICOSE 75% 100AMP 10ML - - HALEX ISTAR
LIPIDIL 160MG 30CAPS - - CHIESI
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.2+0,25G PO INJ.10FA - - ABL
PIPERACILINA SODICA+TAZOBACTAM SODICO GEN.4+0,5G PO INJ.10FA - - ABL
PLASMIN 450/0,7 (HIDROXIETILAMIDO 6%) BOLSA 500ML SOLUFLEX - - HALEX ISTAR
SOL-CART B CART.650G - - B.BRAUN
SOLUCAO CLORETO SODIO 0,9% 80BOLSAS PE 100ML BLOWPACK - - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% 80BOLSAS PP 100ML SOLUFLEX - - HALEX ISTAR
SOLUCAO CLORETO SODIO 0,9% 80BOLSAS PVC 100ML ISTARBAG - - HALEX ISTAR
SOLUCAO MANITOL 20% C/20BOLSAS PVC 500ML ISTARBAG - - HALEX ISTAR
SOLUCAO MANITOL 20% C/40BOLSAS PVC 250ML ISTARBAG - - HALEX ISTAR
SOLUCAO FRUTOSE 5% C/20BOLSAS PVC 500ML ISTARBAG - - HALEX ISTAR
STILGRIP 20CAPS - - KLEY HERTZ
ISTARHES BOLSA 500ML SOLUFLEX - - HALEX ISTAR
ISTARPLAS 200/0,5 10% BOLSA 500ML SOLUFLEX - - HALEX ISTAR
ISTARPLAS 200/0,5 6% BOLSA 500ML SOLUFLEX - - HALEX ISTAR
ISTARPLAS S BOLSA 500ML SOLUFLEX - - HALEX ISTAR
SOLUCAO GLICOSE 5% 80BOLSAS PE 100ML BLOWPACK - - HALEX ISTAR
SOLUCAO GLICOSE 5% 80BOLSAS PVC 100ML ISTARBAG - - HALEX ISTAR
SOLUCAO GLICOSE 5% SF 10BOLSAS PP 1000ML - - HALEX ISTAR
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
342
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
175276
175275
175274
175255
115342
115343
175278
175380
2680022
2680021
175285
175320
175316
175318
175319
175317
175288
175306
175307
175308
175374
175375
175381
175286
175384
175386
175424
175425
175426
175427
175361
175373
76757
47422
76758
175292
153530
175325
175327
175329
175330
2680051
2680018
123155
175376
2320085
2320087
2320088
DESCRICAO
SOLUCAO GLICOSE 5% SF 20BOLSAS PP 500ML - - HALEX ISTAR
SOLUCAO GLICOSE 5% SF 40BOLSAS PP 250ML - - HALEX ISTAR
SOLUCAO GLICOSE 5% SF 80BOLSAS PP 100ML - - HALEX ISTAR
BESOMED 250MG 60CPDS - - ALM.PRADO
CTL 10MG/G CRM.DERM.20GRS - - KLEY HERTZ
CTL 10MG/ML SOL.30ML - - KLEY HERTZ
CYMEVIR PRE-DIL.GLICOSE 1MG/ML BOLSA 100ML SIST.FECH.SOLUFLEX - - HALEX ISTAR
SARIDON 1X4CPDS F.V(EMB.400) - - BAYER
SECNI-PLUS 450MG 15ML - - FARMOQUIMICA
SECNI-PLUS 900MG 30ML - - FARMOQUIMICA
PARACETAMOL GEN.750MG 20CPDS - - OSORIO DE MORAES
PRISTIQ 100MG BL.PVDC 14CPDS REV. - - WYETH
PRISTIQ 100MG BL.PVDC 28CPDS REV. - - WYETH
PRISTIQ 50MG BL.PVDC 14CPDS REV. - - WYETH
PRISTIQ 50MG BL.PVDC 28CPDS REV. - - WYETH
PRISTIQ 50MG BL.PVDC 7CPDS REV. - - WYETH
SELZIC 600MG 3CPDS REV. - - DAIICHI SANKYO
STANGLIT 15MG 30CPDS - - LIBBS
STANGLIT 30MG 30CPDS - - LIBBS
STANGLIT 45MG 30CPDS - - LIBBS
SUCROFER 20MG/ML SOL.INJ.1FA 5ML - - MEIZLER
SUCROFER 20MG/ML SOL.INJ.50FA 5ML - - MEIZLER
SUPRADYN ATIVA 30CPDS PEGUE3 LEVE4 - - BAYER
SELZIC 300MG 3CPDS REV. - - DAIICHI SANKYO
PEGINTRON MELANOMA 200MCG PO LIOF.1FA - - SCHERING PLOUGH
PEGINTRON MELANOMA 300MCG PO LIOF.1FA - - SCHERING PLOUGH
ROSUVASTATINA CALCICA GEN.10MG 30CPDS REV. - - TORRENT
ROSUVASTATINA CALCICA GEN.10MG 60CPDS REV. - - TORRENT
ROSUVASTATINA CALCICA GEN.20MG 30CPDS REV. - - TORRENT
ROSUVASTATINA CALCICA GEN.20MG 60CPDS REV. - - TORRENT
PROTOS 2000MG 56SACH - - SERVIER
PROVIVE 10MG/ML EMU.INJ.5FA 100ML - - MEIZLER
PROVIVE 10MG/ML EMU.INJ.FA 10ML - - MEIZLER
PROVIVE 10MG/ML EMU.INJ.FA 20ML - - MEIZLER
PROVIVE 10MG/ML EMU.INJ.FA 50ML - - MEIZLER
FORTEO 250MCG/ML CANETA INJ.DESC.2,4ML+SIST.APLIC. - - ELI LILLY
HEXABRIX 320 10FA 100ML - - GUERBET
MAALOX PLUS 153+200+25MG CER.30CPDS MAST. - - SANOFI-AVENTIS
MAALOX PLUS 153+200+25MG MENTA 30CPDS MAST. - - SANOFI-AVENTIS
MAALOX PLUS 37+40+5MG/ML CER.SUSP.ORAL 240ML - - SANOFI-AVENTIS
MAALOX PLUS 37+40+5MG/ML MENTA SUSP.ORAL 240ML - - SANOFI-AVENTIS
ASCARICAL 3CPDS - - FARMOQUIMICA
ASCARICAL 45ML - - FARMOQUIMICA
ASPIRINA 500MG 1X10CPDS F.V - - BAYER
ASPIRINA ADU.4CPDS F.V - - BAYER
AXID 150MG 10CAPS - - FARMOQUIMICA
AXID 300MG 10CAPS - - FARMOQUIMICA
AXID 300MG 20CAPS - - FARMOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
343
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
2680048
2680025
2680035
175378
175377
175401
175402
175399
175400
175403
175404
175405
175407
175410
175411
175364
175417
175419
175368
175299
175422
175423
40302
175379
86592
175340
64050
15532
175339
175305
175420
175313
175314
16075
76291
138114
89323
175312
175409
175418
175337
175338
175372
175371
99703
99704
115303
115304
DESCRICAO
AZITRAX 500MG 3CPDS - - FARMOQUIMICA
AZITRAX PO P/SUSP.600ML - - FARMOQUIMICA
AZITRAX PO P/SUSP.900ML - - FARMOQUIMICA
BEPANTOL BABY POM.30G PAGUE3 LEVE4 - - BAYER
BEPANTOL BABY POM.60G - - BAYER
CLORIDRATO DONEPEZILA GEN.10MG 30CPDS REV. - - TORRENT
CLORIDRATO DONEPEZILA GEN.10MG 60CPDS REV. - - TORRENT
CLORIDRATO DONEPEZILA GEN.5MG 30CPDS REV. - - TORRENT
CLORIDRATO DONEPEZILA GEN.5MG 60CPDS REV. - - TORRENT
CLORIDRATO PIOGLITAZONA GEN.15MG 30CPDS - - TORRENT
CLORIDRATO PIOGLITAZONA GEN.15MG 60CPDS - - TORRENT
CLORIDRATO PIOGLITAZONA GEN.30MG 30CPDS - - TORRENT
CLORIDRATO PIOGLITAZONA GEN.30MG 60CPDS - - TORRENT
CLORIDRATO PIOGLITAZONA GEN.45MG 30CPDS - - TORRENT
CLORIDRATO PIOGLITAZONA GEN.45MG 60CPDS - - TORRENT
DAUNOCIN 20MG PO LIOF.1FA AMB.+DIL.4ML - - MEIZLER
DELTAVIT FERRO SOL.ORAL 30ML - - DELTA
DELTAVIT FERRO XPE.120ML - - DELTA
DIAMIN 200MG/ML SOL.INJ.1FA 500ML - - MEIZLER
ANASTROLIBBS 1MG 30CPDS REV. - - LIBBS
RAMIPRIL+BESILATO ANLODIPINO GEN.2,5+5MG 30CPDS - - TORRENT
RAMIPRIL+BESILATO ANLODIPINO GEN.5+5MG 30CPDS - - TORRENT
RAPAMUNE 2MG SOL.ORAL 30ENV - - WYETH
REDOXITOS 25UNID - - BAYER
REDUCLIM 1,25MG 28CPDS - - FARMOQUIMICA
REDUCLIM 2,5MG 14CPDS - - FARMOQUIMICA
REDUCLIM 2,5MG 28CPDS - - FARMOQUIMICA
OS-CAL D 500MG 60CPDS - - SANOFI-AVENTIS
OESTROGEL GEL 80G C/VALV.DOSAD. - - FARMOQUIMICA
OMEPRAZOL GEN.20MG 14CAPS - - LIBBS
OXALATO ESCITALOPRAM GEN.10MG 30CPDS - - TORRENT
EVOCLASS 20MG PO LIOF.FA 10ML - - EVOLABIS
EVOFLUBINA 50MG PO LIOF.5FA 20ML - - EVOLABIS
INICOX 15MG 10CPDS - - FARMOQUIMICA
INICOX 15MG 5AMP 1,5ML - - FARMOQUIMICA
KRONEL SAB.250ML - - INFAN
KRONEL SAB.INF.250ML - - INFAN
KSLA KIT ESPECIAL 250-250ML - - INFAN
LEXAPRO 15MG 7CPDS - - LUNDBECK
LOSARTANA POTASSICA GEN.100MG 30CPDS REV. - - TORRENT
MATER FOLIC 5MG 60CPDS - - FARMOQUIMICA
MATER FOLIC 5MG 90CPDS - - FARMOQUIMICA
MEGADOL 50MG/ML SOL.INJ.100AMP 1ML - - MEIZLER
MEGADOL 50MG/ML SOL.INJ.1AMP 2ML - - MEIZLER
MEPRAMIN 10MG 200CPDS - - UCI-FARMA
MEPRAMIN 25MG 20CPDS - - UCI-FARMA
MEPROZIN 100MG 2X10CPDS - - UCI-FARMA
MEPROZIN 40MG/ML GTS.20ML - - UCI-FARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
344
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
145437
3080024
175397
103399
6680058
22380
22381
30872
56825
175408
175315
134249
118545
175321
175365
175347
175349
175348
175370
175369
175284
175304
175382
175415
175412
175413
175336
175300
175301
175291
175289
175290
175398
175396
101901
101914
175366
175367
175362
175433
175434
175435
175303
175302
175333
175332
175287
175334
DESCRICAO
MEPROZIN 40MG/ML GTS.50X20ML - - UCI-FARMA
BETNELAN 16CPDS - - FARMOQUIMICA
CARVEDILOL GEN.12,5MG 30CPDS - - TORRENT
CLORIDRATO IRINOTECANA GEN.20MG/ML SOL INJ FA X 5ML - - BIOCHIMICO
DOLAMIN 50MG/ML 6AMP 4ML - - FARMOQUIMICA
ALENDIL 10MG 15CPDS - - FARMOQUIMICA
ALENDIL 10MG 30CPDS - - FARMOQUIMICA
ALENDIL 5MG 30CPDS - - FARMOQUIMICA
ALENDIL 70MG 2CPDS - - FARMOQUIMICA
EBIX 10MG 56CPDS - - LUNDBECK
ALOIS 10MG 15CPDS REV. - - APSEN
ENURAN 50ML 1 FR VD. - - BIOCHIMICO
ENURAN FR VD AMB X 240ML - - BIOCHIMICO
ASSEPTCARE 10MG/ML SOL.TOP.50ML - - NEOQUIMICA
BUPICAN 5MG/ML SOL.INJ.50AMP 4ML - - MEIZLER
EXIMIA FORTALIZE 30CPDS - - FARMOQUIMICA
EXIMIA SUAVE 120CAPS - - FARMOQUIMICA
EXIMIA TEMPORIZE 30CAPS - - FARMOQUIMICA
EXOMAX 2MG/ML SOL.INJ.24BOLS.100ML - - MEIZLER
EXOMAX 2MG/ML SOL.INJ.BOL.100ML - - MEIZLER
GASTROL 200PAST - - LUPER
GESTINOL 30+75MCG 84CPDS - - LIBBS
HAEMATE-P 500+1200UI PO LIOF.1FA+DIL.10ML+DISP.TRANS./FILTRO - - CSL BEHRING
LAMOTRIGINA GEN.100MG 30CPDS - - TORRENT
LAMOTRIGINA GEN.25MG 30CPDS - - TORRENT
LAMOTRIGINA GEN.50MG 30CPDS - - TORRENT
MAREVAN 10MG 30CPDS - - FARMOQUIMICA
ATRED 100MG PO LIOF.1FA - - LIBBS
ATRED 500MG PO LIOF.1FA - - LIBBS
BIPOGINE 100MG 30CPDS - - DAIICHI SANKYO
BIPOGINE 25MG 30CPDS - - DAIICHI SANKYO
BIPOGINE 50MG 30CPDS - - DAIICHI SANKYO
CARVEDILOL GEN.25MG 30CPDS - - TORRENT
CARVEDILOL GEN.6,25MG 30CPDS - - TORRENT
CELEMIN HEPA 8% 80MG/ML SOL.INJ.1FR 250ML - - MEIZLER
CELEMIN NEPHRO 7% 70MG/ML SOL.INJ.1FR 250ML - - MEIZLER
CELEPID TM 0,1G/ML EMU.INJ.1FR 100ML - - MEIZLER
CELEPID TM 0,2G/ML EMU.INJ.1FR 100ML - - MEIZLER
CHORIOMON-M 5000UI 1FA+1DIL 1ML - - MEIZLER
CLORIDRATO METFORMINA+GLIBENCLAMIDA GEN.500+2,5MG 30CPDS - - TORRENT
CLORIDRATO METFORMINA+GLIBENCLAMIDA GEN.500+5MG 30CPDS - - TORRENT
CLORIDRATO NEBIVOLOL GEN.5MG 30CPDS - - TORRENT
ELANI 3+0,03MG CALEND.3BL.X21CPDS - - LIBBS
ELANI 3+0,03MG CALEND.84CPDS - - LIBBS
TENSALIV 10MG 2BLX15CPDS - - NEOQUIMICA
TENSALIV 5MG 2BLX15CPDS - - NEOQUIMICA
THYLOM 750MG BL.LAR.200CPDS - - OSORIO DE MORAES
TIBOLONA GEN.2,5MG 28CPDS - - NEOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
345
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
175406
175360
175344
175345
175346
175341
175342
175343
97681
175429
175430
175431
175432
175428
175309
175310
175311
165760
165761
165762
7360033
175510
175511
175513
175514
76282
175528
175527
175525
175524
175526
128339
175532
175207
175208
1020012
175209
1020014
159565
175509
174951
174949
128387
175539
175533
175550
175551
175549
DESCRICAO
TILOGER 2,5MG 30CPDS - - GERMED
TILOGRAN 2,5MG 30CPDS - - LEGRAND PRESCRICAO
ULTRAFER 100MG 100CPDS REV. - - FARMOQUIMICA
ULTRAFER 100MG 15CPDS REV. - - FARMOQUIMICA
ULTRAFER 100MG 90CPDS REV. - - FARMOQUIMICA
ULTRAFER 10MG/ML XPE.PLAS.100ML+CP.MED - - FARMOQUIMICA
ULTRAFER 10MG/ML XPE.PLAS.40ML+CP.MED - - FARMOQUIMICA
ULTRAFER 10MG/ML XPE.VD 40ML+CP.MED - - FARMOQUIMICA
ULTRAFER 50MG/ML SOL.20ML - - FARMOQUIMICA
VALSARTANA+HIDROCLOROTIAZIDA GEN.160+12,5MG 30CPDS REV. - - TORRENT
VALSARTANA+HIDROCLOROTIAZIDA GEN.160+25MG 30CPDS REV. - - TORRENT
VALSARTANA+HIDROCLOROTIAZIDA GEN.320+12,5MG 30CPDS REV. - - TORRENT
VALSARTANA+HIDROCLOROTIAZIDA GEN.320+25MG 30CPDS REV. - - TORRENT
VALSARTANA+HIDROCLOROTIAZIDA GEN.80+12,5MG 30CPDS REV. - - TORRENT
VELIJA 30MG 10CAPS - - LIBBS
VELIJA 30MG 30CAPS - - LIBBS
VELIJA 60MG 30CAPS - - LIBBS
VIMOVO 500+20MG 30CPDS REV. - - ASTRAZENECA
VIMOVO 500+20MG 4CPDS REV. - - ASTRAZENECA
VIMOVO 500+20MG 60CPDS REV. - - ASTRAZENECA
ZESTORETIC 20+12,5MG 2BLX15CPDS - - ASTRAZENECA
IBANDRONATO SODIO GEN.150MG - - ARROW
VALSARTANA GEN.160MG 30CPDSEV. - - ARROW
VALSARTANA GEN.320MG 30CPDS REV. - - ARROW
VALSARTANA GEN.80MG 30CPDS REV. - - ARROW
FLUITEINA 200MG 16ENVX5GRS - - EMS
KOMBIGLYZE XR 2,5MG+1000MG 10BLX6CPDS - - BRISTOL
KOMBIGLYZE XR 2,5MG+1000MG 2BLX7CPDS - - BRISTOL
KOMBIGLYZE XR 5MG+1000MG 2BLX7CPDS - - BRISTOL
KOMBIGLYZE XR 5MG+500MG 2BLX7CPDS - - BRISTOL
KOMBIGLYZE XR 5MG+500MG 5BLX6CPDS - - BRISTOL
LIDOPASS 50MG LAR.POM.25GRS - - NECKERMAN
ORENCIA SC 125MG INJ 4SER. - - BRISTOL
CORUS 25MG 14CPDS REV. - - BIOSINTETICA
CORUS 25MG 30CPDS REV. - - BIOSINTETICA
CORUS 50MG 14CPDS REV. - - BIOSINTETICA
CORUS 50MG 30CPDS REV. - - BIOSINTETICA
CORUS H 50/12,5MG 14CPDS - - BIOSINTETICA
FRESUBIN HEPA DRINK SUPL.ALIM.CAPPUCCINO EASY BOTTLE 200ML BR7015601 - - FRESENIUS KABI
VITALUX PLUS OMEGA 3 30CPDS - - ALCON
YERVOY 200MG SOL.INJ.FA 40ML - - BRISTOL
YERVOY 50MG SOL.INJ.FA 10ML - - BRISTOL
MAGNALZIA SUSP.240ML - - NECKERMAN
MAGNESIA BISURADA EMB.ECON.4BLX10PAST+10PAST - - WYETH CONSUMER
ADVIL 400MG 16BLX1CAP GEL - - WYETH CONSUMER
BRAVAN 160MG 10CPDS REV. - - ACHE
BRAVAN 320MG 10CPDS REV. - - ACHE
BRAVAN 80MG 10CPDS REV. - - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
346
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
175552
175508
175606
175607
175555
175554
175530
175531
175544
103341
145476
115955
175521
175522
175625
175598
175545
175546
175560
175561
175559
175608
175523
175515
175516
175609
175454
175517
175518
175519
175520
175547
175548
139426
175421
175529
175603
175556
175557
175558
9450
139425
175634
147442
147443
147436
147437
153683
DESCRICAO
DIOSMIN SDU 900+100MG GRAN.LAR./LIM.7SACH 5G - - ACHE
DUO-TRAVATAN 0,04+5MG/ML SOL.OFT.5ML - - ALCON
VITAX D3 200UI 90CAPS GEL - - ATIVUS
VITAX D3 200UI GTS.20ML - - ATIVUS
RENAPRIL 10MG 30CPDS REV. - - VITAPAN
RENAPRIL 20MG 3BLX10CPDS REV. - - VITAPAN
SPRYCEL 100MG 30CPDS - - BRISTOL
SPRYCEL 140MG 30CPDS - - BRISTOL
STRESSTABS 600 ZINCO 30+30CPDS - - WYETH CONSUMER
TENOLON 100MG 28CPDS - - VITAPAN
VASOPRIL PLUS 10/25MG 60CPDS - - BIOLAB SANUS
SEDADOR SOL.ORAL 15ML - - CRISTALIA
NEXPRAZIN 20MG 4BLX7CPDS REV. - - LEGRAND TARJADOS
NEXPRAZIN 40MG 4BLX7CPDS REV. - - LEGRAND TARJADOS
SOAPEX SAB.LIQUIDO PUMP 300ML - - GALDERMA
SOLUCAO CLORETO SODIO 0,009G/ML SIST.FECH.1000ML - - FRESENIUS MEDIC.CARE
ROSUVASTATINA CALCICA GEN.10MG 30CPDS REV. - - ACHE
ROSUVASTATINA CALCICA GEN.20MG 30CPDS REV. - - ACHE
TIORFAN 100MG 6CAPS GEL.DURA - - BAGO
TIORFAN 10MG PO 10SACH 1G - - BAGO
TIORFAN 30MG PO 10SACH 3G - - BAGO
ZIRVIT KIDS SUSP.ORAL 150ML - - ATIVUS
ABILIFY 10MG 3BLX10CPDS - - BRISTOL
ATENOLOL GEN.100MG 30CPDS - - AUROBINDO
ATENOLOL GEN.100MG 60CPDS - - AUROBINDO
FLUIMUCIL 200MG 16CPDS EFV. - - ZAMBON
CARVEDILOL 25MG 14CPDS - - ACCORD
ATENOLOL GEN.25MG 30CPDS - - AUROBINDO
ATENOLOL GEN.25MG 60CPDS - - AUROBINDO
ATENOLOL GEN.50MG 30CPDS - - AUROBINDO
ATENOLOL GEN.50MG 60CPDS - - AUROBINDO
AXONIUM 2,5MG 7CPDS - - ACHE
AXONIUM 5MG 7CPDS - - ACHE
LORATADINA GEN.1MG/ML 48X100ML - - MARIOL
OSSOTRAT PLUS 60CPDS - - DELTA
QUESTRAN LIGHT PO 50ENV 4G - - BRISTOL
REDVIT 60CPDS REV - - BUNKER
TRANQUINAL 0,25MG 30CPDS - - BAGO
TRANQUINAL 1MG 30CPDS - - BAGO
TRANQUINAL 2MG 30CPDS - - BAGO
MARCLORHEX 2% 1LT - - CRISTALIA
MEBENDAZOL GEN.20MG/ML 96FRX30ML - - MARIOL
VARIZIL 26,70MG 20CPDS REV. - - DROXTER
PARACETAMOL GEN.200MG/ML 96FRX10ML - - MARIOL
PARACETAMOL GEN.200MG/ML 96FRX15ML - - MARIOL
PARACETAMOL GEN.200MG/ML GTS.10ML - - MARIOL
PARACETAMOL GEN.200MG/ML GTS.15ML - - MARIOL
PARACETAMOL GEN.500MG 25X4CPDS - - MARIOL
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
347
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
153684
153680
153681
139408
139409
147433
147435
147434
175583
175592
175588
175541
175542
175543
175574
175565
175575
175566
175567
175568
175569
175576
175599
175577
175578
175579
175580
175553
147421
139411
139412
139423
139424
47501
47502
175604
175605
84631
175639
175595
175581
175590
175591
175589
175582
175593
175594
175584
DESCRICAO
PARACETAMOL GEN.500MG 25X8CPDS - - MARIOL
PARACETAMOL GEN.500MG 4CPDS - - MARIOL
PARACETAMOL GEN.500MG 8CPDS - - MARIOL
PARACETAMOL GEN.750MG 25X4CPDS - - MARIOL
PARACETAMOL GEN.750MG 25X8CPDS - - MARIOL
PARACETAMOL GEN.750MG 4CPDS - - MARIOL
PARACETAMOL GEN.750MG 50X4CPDS - - MARIOL
PARACETAMOL GEN.750MG 8CPDS - - MARIOL
PERITOSTERIL TIP.10 SOL.DIAL.PERITONIAL 6000ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.11 ANDY DISC SOL.DIAL.PERITONIAL 2500ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.11 SOL.DIAL.PERITONIAL 6000ML - - FRESENIUS MEDIC.CARE
CORUS H 100/25MG 14CPDS - - BIOSINTETICA
CORUS H 100/25MG 30CPDS - - BIOSINTETICA
CORUS H 50/12,5MG 30CPDS - - BIOSINTETICA
CPHD 12G/34 NA 138+K1 MEQ/L SOL.HD ACD 5000ML - - FRESENIUS MEDIC.CARE
CPHD 22/44 NA 138+K2 MEQ/L SOL.HD ACD 10000ML - - FRESENIUS MEDIC.CARE
CPHD 22G/34 NA 138+K2 MEQ/L SOL.HD ACD 5000ML - - FRESENIUS MEDIC.CARE
CPHD 22G/44 NA 138+K2 MEQ/L SOL.HD 10000ML - - FRESENIUS MEDIC.CARE
CPHD 23/44 NA 138+K2 MEQ/L SOL.HD ACD 10000ML - - FRESENIUS MEDIC.CARE
CPHD 23G/44 NA 138+K2 MEQ/L SOL.HD ACD 10000ML - - FRESENIUS MEDIC.CARE
CPHD 24/34 NA 138+K2 MEQ/L SOL.HD ACD 5000ML - - FRESENIUS MEDIC.CARE
CPHD 24G/34 NA 138+K2 MEQ/L SOL.HD ACD 5000ML - - FRESENIUS MEDIC.CARE
CPHD BICARBONATO SODIO 8,4% SOL.5000ML - - FRESENIUS MEDIC.CARE
CPHD GENIUS BICARBONATO SODIO+GLICOSE ANIDRA 264,6+90G BOL.PAST. - - FRESENIUS MEDIC.CARE
CPHD GENIUS HC 22-90 SOL.HD 960ML - - FRESENIUS MEDIC.CARE
CPHD GENIUS HC 24-90 SOL.HD 960ML - - FRESENIUS MEDIC.CARE
CPHD GENIUS HC 32-90 SOL.HD 960ML - - FRESENIUS MEDIC.CARE
DIOSMIN SDU 900+100MG ABACAXI 7SACH GRAN.5G - - ACHE
DIPIRONA SODICA GEN.500MG 250CPDS - - MARIOL
DIPIRONA SODICA GEN.500MG/ML 10ML - - MARIOL
DIPIRONA SODICA GEN.500MG/ML 20ML - - MARIOL
DIPIRONA SODICA GEN.500MG/ML 96FRX10ML - - MARIOL
DIPIRONA SODICA GEN.500MG/ML 96FRX20ML - - MARIOL
DIPRO AS POM.30GRS - - DELTA
DIPRO AS SOL.TOP.30ML - - DELTA
FOLACIN 5MG 30CPDS REV. - - ATIVUS
FOLIFER FERRO 250MG/ML GTS.30ML - - ATIVUS
FORMET 500MG 30CPDS - - ASPEN
FUMARATO TENOFOVIR DESOPROXILA GEN.300MG 30CPDS REV. - - CRISTALIA
PERITOSTERIL TIP.12 ANDY DISC SOL.DIAL.PERITONIAL 2500ML+EQ+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.12 SOL.DIAL.PERITONIAL 6000ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.2 ANDY DISC SOL.DIAL.PERITONIAL 2000ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.2 ANDY DISC SOL.DIAL.PERITONIAL 2500ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.2 SOL.DIAL.PERITONIAL 2500ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.2 SOL.DIAL.PERITONIAL 6000ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.3 ANDY DISC SOL.DIAL.PERITONIAL 2000ML+EQ+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.3 ANDY DISC SOL.DIAL.PERITONIAL 2500ML+EQ+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.3 SOL.DIAL.PERIT.6000ML - - FRESENIUS MEDIC.CARE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
348
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
175585
175596
175597
175586
175587
55311
55312
175538
175622
175628
175624
175210
28486
175619
175618
175512
175640
37142
37143
175600
175601
175537
175416
175414
175636
121612
175637
175540
93832
175535
175534
175536
175297
175298
175635
175633
175632
147413
139407
147414
139421
147415
139406
147416
139420
175638
175627
175626
DESCRICAO
PERITOSTERIL TIP.3 SOL.DIAL.PERITONIAL 2500ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.4 ANDY DISC SOL.DIAL.PERITONIAL 2000ML+EQ+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.4 ANDY DISC SOL.DIAL.PERITONIAL 2500ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.4 SOL.DIAL.PERITONIAL 2500ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.4 SOL.DIAL.PERITONIAL 6000ML - - FRESENIUS MEDIC.CARE
VALBET CRM.30GRS - - DELTA
VALBET POM.30GRS - - DELTA
CENTRUM 150CPDS - - WYETH CONSUMER
CETAPHIL DERMACONTROL HIDRATANTE 118ML - - GALDERMA
CETAPHIL DERMACONTROL SAB.LIQUIDO 237ML - - GALDERMA
CETAPHIL LOCAO 300ML - - GALDERMA
GASTRIUM 40MG 28CAPS GEL - - ACHE
GASTRIUM 40MG 7CAPS GEL - - ACHE
KIT AQUACLIN SAB.BARRA AC.SALICILICO 90GRS - - GALDERMA
KIT AQUACLIN SAB.BARRA ADSTRINGENTE 90GRS - - GALDERMA
MENTALOL 28,2+52,6+13,3MG 12FR 12GR - - NECKERMAN
RISPERIDON 1MG/ML SOL.ORAL 10FR 30ML+DOSADOR(EMB.HOSP.) - - CRISTALIA
CALCICHELL 3,5G LAR.15SACH - - ATIVUS
CALCICHELL 7G LAR.15SACH - - ATIVUS
CALCIO D600 60CAPS REV - - BUNKER
CALCIO D600 MINERAIS 60CAPS REV - - BUNKER
CALTRATE 600+D 400UI KIT C/60+30CPDS - - WYETH CONSUMER
DELTAVIT COMPLEXO B 30CPDS REV. - - DELTA
DELTAVIT FERRO 50CPDS REV. - - DELTA
DENYL 20MG 200CPDS(EMB.HOSP.) - - CRISTALIA
DERMACERIUM 1%+0,4% CRM.10GRS - - SILVESTRE
DUOFLAM 6,43+2,63MG 24AMP 1ML(EMB.HOSP.) - - CRISTALIA
GLIBENECK 5MG 50BLX10CPDS - - NECKERMAN
ACINIC 750MG 30CPDS LIB.PROLONG. - - BIOLAB SANUS
ADVIL 400MG 10BLX2CAPS GEL - - WYETH CONSUMER
ADVIL 400MG 1CAPS GEL F.V. - - WYETH CONSUMER
ADVIL 400MG 2CAPS GEL F.V.(EMB.10BL) - - WYETH CONSUMER
NOVAMICIN 500MG PO LIOF.20FA+20BOL.SIST.FECH.CONEC.100ML - - NOVAFARMA
NOVAMICIN 500MG PO LIOF.25FA+25BOL.SIST.FECH.CONEC.100ML - - NOVAFARMA
AMYTRIL 75MG 20X10CPDS - - CRISTALIA
CLINDOXYL CONTROL 10% 45GRS - - STIEFEL
CLINDOXYL CONTROL 5% 45GRS - - STIEFEL
CLORIDRATO AMBROXOL GEN.3MG/ML 100ML - - MARIOL
CLORIDRATO AMBROXOL GEN.3MG/ML 120ML - - MARIOL
CLORIDRATO AMBROXOL GEN.3MG/ML 48FRX100ML - - MARIOL
CLORIDRATO AMBROXOL GEN.3MG/ML 48FRX120ML - - MARIOL
CLORIDRATO AMBROXOL GEN.6MG/ML 100ML - - MARIOL
CLORIDRATO AMBROXOL GEN.6MG/ML 120ML - - MARIOL
CLORIDRATO AMBROXOL GEN.6MG/ML 48FRX100ML - - MARIOL
CLORIDRATO AMBROXOL GEN.6MG/ML 48FRX120ML - - MARIOL
FASTFEN 5MCG/ML 30EST.2ML - - CRISTALIA
LENCOS UMEDECIDOS DERMOTIVIN 25UNID - - GALDERMA
LENCOS UMEDECIDOS SOAPEX 10UNID - - GALDERMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
349
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
72157
175631
175213
175211
175212
147417
175295
175296
175641
175621
175629
175623
175630
175570
175572
175571
175573
175293
175294
175602
175620
175643
175722
175718
175724
175719
175711
175663
175665
175664
175653
175647
175743
175708
175709
175648
175728
175727
175642
175645
175644
175735
175736
175737
175738
175761
175762
175766
DESCRICAO
MINEROLEO 100% 100ML - - CRISTALIA
NUTRAPLUS 10% LOC.PUMP 300ML - - GALDERMA
OLANZAPINA GEN.10MG 30CPDS - - ACHE
OLANZAPINA GEN.2,5MG 30CPDS - - ACHE
OLANZAPINA GEN.5MG 30CPDS - - ACHE
CLORIDRATO METOCLOPRAMIDA GEN.4MG 48FRX10ML - - MARIOL
CLORIDRATO TRAMADOL GEN.50MG/ML SOL.INJ.50AMP 1ML - - NOVAFARMA
CLORIDRATO TRAMADOL GEN.50MG/ML SOL.INJ.50AMP 2ML - - NOVAFARMA
ROXETIN 20MG 200CPDS(EMB.HOSP.) - - CRISTALIA
AQUACLIN CONTRA CRAVOS/ESPINHAS 20GRS - - GALDERMA
AQUACLIN ESFOLIANTE SAB.LIQ.ROSTO/CORPO 220GRS - - GALDERMA
AQUACLIN SAB.BARRA.90GRS - - GALDERMA
AQUACLIN SAB.LIQ.AC.SALICILICO 120ML - - GALDERMA
BIBAG 700G PO SECO HD 1000ML - - FRESENIUS MEDIC.CARE
BIBAG 700G PO SECO HD 1000ML+CONEC.GANCHO - - FRESENIUS MEDIC.CARE
BIBAG 950G PO SECO HD 1000ML - - FRESENIUS MEDIC.CARE
BIBAG 950G PO SECO HD 1000ML+CONEC.GANCHO - - FRESENIUS MEDIC.CARE
CEFAZOLINA SODICA GEN.1G PO LIOF.20FA+20BOL.SIST.FECH.CONEC.100ML - - NOVAFARMA
CEFAZOLINA SODICA GEN.1G PO LIOF.25FA+25BOL.SIST.FECH.CONEC.100ML - - NOVAFARMA
COMPLEVITAN B 30CPDS REV - - BUNKER
DERMOTIVIN SCRUB SAB.90GRS - - GALDERMA
NEOTIGASON 10MG 100CAPS - - GLENMARK
ACIDO ZOLEDRONICO GEN.4MG PO LIOF.10FA - - SUN
ACIDO ZOLEDRONICO GEN.4MG PO LIOF.1FA - - SUN
ACIDO ZOLEDRONICO GEN.4MG PO LIOF.20FA - - SUN
ACIDO ZOLEDRONICO GEN.4MG PO LIOF.4FA - - SUN
ADEFORTE 60CAPS - - GROSS
AGUA P/INJECAO SIST.FECH.1FR 1000ML - - JP
AGUA P/INJECAO SIST.FECH.1FR 250ML - - JP
AGUA P/INJECAO SIST.FECH.1FR 500ML - - JP
AMOXICILINA+CLAV.POTASSIO GEN.400+57MG/5ML PO SUSP.ORAL 70ML - - EUROFARMA
AMOXICILINA+CLAV.POTASSIO GEN.80+11,5MG/ML PO SUSP.ORAL 70ML - - RANBAXY
ANALGISEN 750MG 50BLX4CPDS - - TKS
BROMETO PINAVERIO GEN.100MG 2BLX15CPDS REV. - - GERMED GENERICOS
DAFORIN 20MG 3BLX20CPDS REV. - - SIGMA PHARMA
ESOMEPRAZOL MAGNESICO GEN.20MG 2BLX7CPDS REV. - - RANBAXY
ESOMEPRAZOL SODICO GEN.40MG PO LIOF.10FA - - SUN
ESOMEPRAZOL SODICO GEN.40MG PO LIOF.1FA - - SUN
NEOTIGASON 10MG 30CAPS - - GLENMARK
NEOTIGASON 25MG 100CAPS - - GLENMARK
NEOTIGASON 25MG 30CAPS - - GLENMARK
NEXIPRAM 10MG 14CPDS REV. - - SUN
NEXIPRAM 10MG 28CPDS REV. - - SUN
NEXIPRAM 20MG 14CPDS REV. - - SUN
NEXIPRAM 20MG 28CPDS REV. - - SUN
NUTRIFLEX LIPID PERI BAG 5BOLS 1250ML 3547701 - - B.BRAUN
NUTRIFLEX LIPID PERI BAG 5BOLS 1875ML 3547710 - - B.BRAUN
NUTRIFLEX LIPID PLUS BAG 5BOLS 1250ML 3547752 - - B.BRAUN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
350
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
175763
175765
175773
175774
175731
175732
175733
175734
175654
175703
175702
175705
175655
175745
175759
175758
175677
175678
175680
175656
175657
175710
175739
175740
175742
175744
175749
175751
175658
175767
175768
175770
175771
175672
175667
175673
175671
175669
175674
175681
175675
175676
175679
175683
175684
175688
175686
175685
DESCRICAO
NUTRIFLEX LIPID PLUS BAG 5BOLS 1875ML 3547736 - - B.BRAUN
NUTRIFLEX LIPID SPECIAL BAG 5BOLS 1875ML 3547744 - - B.BRAUN
NUTRIFLEX PLUS BAG 5BOLS 1000ML FA84494 - - B.BRAUN
NUTRIFLEX PLUS BAG 5BOLS 2000ML FA84495 - - B.BRAUN
OXALATO ESCITALOPRAM GEN.10MG 14CPDS REV. - - SUN
OXALATO ESCITALOPRAM GEN.10MG 28CPDS REV. - - SUN
OXALATO ESCITALOPRAM GEN.20MG 14CPDS REV. - - SUN
OXALATO ESCITALOPRAM GEN.20MG 28CPDS REV. - - SUN
PIEMONTE 4MG 10CPDS MAST. - - EUROFARMA
XAROPE GUACO MELPOEJO 0,1MG/ML 100ML - - MELPOEJO
XAROPE GUACO MELPOEJO 0,1MG/ML 60ML - - MELPOEJO
BROMETO PINAVERIO GEN.100MG 4BLX15CPDS REV. - - GERMED GENERICOS
PIEMONTE 4MG 30CPDS MAST. - - EUROFARMA
CARBONATO CALCIO 500MG 500CPDS(EMB.HOSP.) - - TKS
FONTICAL 1250MG 1020CPDS(EMB.HOSP.) - - TKS
FONTICAL 1250MG 30CPDS - - TKS
FORMET XR 500MG 10CPDS LIB.PROLONG. - - ASPEN
FORMET XR 500MG 20CPDS LIB.PROLONG. - - ASPEN
FORMET XR 500MG 60CPDS LIB.PROLONG. - - ASPEN
PIEMONTE 5MG 10CPDS MAST. - - EUROFARMA
PIEMONTE 5MG 30CPDS MAST. - - EUROFARMA
QUEROPAX 25MG 2BLX15CPDS REV. - - SIGMA PHARMA
RAPITRAM 50MG/ML 50AMP 1ML - - SUN
RAPITRAM 50MG/ML 50AMP 2ML - - SUN
RILOTOL 50MG 28CPDS REV. - - SUN
RILOTOL 50MG 30CPDS REV. - - SUN
RILUZOL GEN.50MG 28CPDS REV. - - SUN
RILUZOL GEN.50MG 30CPDS REV. - - SUN
RISPERIDONA GEN.1MG 30CPDS - - EUROFARMA
SANDOGLOBULINA PRIVIGEN 0,1MG/ML SOL.INJ.1FA 100ML - - CSL BEHRING
SANDOGLOBULINA PRIVIGEN 0,1MG/ML SOL.INJ.1FA 200ML - - CSL BEHRING
SANDOGLOBULINA PRIVIGEN 0,1MG/ML SOL.INJ.1FA 25ML - - CSL BEHRING
SANDOGLOBULINA PRIVIGEN 0,1MG/ML SOL.INJ.1FA 50ML - - CSL BEHRING
JP FISIOLOGICO 0,9% SIST.FECH.1BOL 100ML - - JP
JP FISIOLOGICO 0,9% SIST.FECH.1FR 1000ML - - JP
JP FISIOLOGICO 0,9% SIST.FECH.1FR 100ML - - JP
JP FISIOLOGICO 0,9% SIST.FECH.1FR 250ML - - JP
JP FISIOLOGICO 0,9% SIST.FECH.1FR 500ML - - JP
JP GLICOFISIOLOGICO 9+50MG/ML SIST.FECH.1FR 1000ML - - JP
JP GLICOFISIOLOGICO 9+50MG/ML SIST.FECH.1FR 250ML - - JP
JP GLICOFISIOLOGICO 9+50MG/ML SIST.FECH.20BOLS 500ML - - JP
JP GLICOFISIOLOGICO 9+50MG/ML SIST.FECH.24FR 500ML - - JP
JP GLICOFISIOLOGICO 9+50MG/ML SIST.FECH.35BOLS 250ML - - JP
JP GLICOSE 10% SIST.FECH.10BOLS 1000ML - - JP
JP GLICOSE 10% SIST.FECH.1FR 1000ML - - JP
JP GLICOSE 10% SIST.FECH.1FR 250ML - - JP
JP GLICOSE 10% SIST.FECH.1FR 500ML - - JP
JP GLICOSE 10% SIST.FECH.20BOLS 500ML - - JP
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
351
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
175689
175693
175692
175760
43324
2397039
175690
175691
175694
175769
175772
175707
175706
175696
4721
4377
4467
175699
175701
175700
175698
175756
175753
1300100
1300036
1300037
175687
110888
175879
175882
79655
175385
175388
175389
175391
175390
175666
175670
175668
176084
175177
175392
175393
175394
175395
175910
176091
176092
DESCRICAO
JP GLICOSE 5% SIST.FECH.1FR 1000ML - - JP
JP GLICOSE 5% SIST.FECH.1FR 100ML - - JP
JP GLICOSE 5% SIST.FECH.1FR 250ML - - JP
SOLUCAO AMINOPLASMAL 10% 6GL 1000ML 3547663 - - B.BRAUN
SOLUCAO GLICERINA 12% 250ML - - EQUIPLEX
SOLUCAO GLICERINA 12% 500ML - - EQUIPLEX
JP GLICOSE 5% SIST.FECH.1FR 500ML - - JP
JP GLICOSE 5% SIST.FECH.35BOLS 250ML - - JP
JP MANITOL 20% SIST.FECH.1FR 250ML - - JP
LIPOFUNDIN MCT/LCT+E 20% 10FR 100ML 3644341 - - B.BRAUN
LIPOFUNDIN MCT/LCT+E 20% 10FR 500ML 3644367 - - B.BRAUN
LORATADINA GEN.10MG 10CPDS - - NOVA QUIMICA GEN
LORATADINA GEN.10MG 2BLX6CPDS - - NOVA QUIMICA GEN
METRONIDAZOL GEN.5MG/ML SIST.FECH.1FR 100ML - - JP
SOLUCAO GLICOSE 5% 1000ML BOLSA PVC - - JP
SOLUCAO GLICOSE 5% 100ML BOLSA PVC - - JP
SOLUCAO GLICOSE 5% 500ML BOLSA PVC - - JP
SOLUCAO RINGER C/LACTATO SIST.FECH.1FR 1000ML - - JP
SOLUCAO RINGER C/LACTATO SIST.FECH.1FR 250ML - - JP
SOLUCAO RINGER C/LACTATO SIST.FECH.1FR 500ML - - JP
SOLUCAO RINGER SIST.FECH.1FR 500ML - - JP
SOMPRAZ IV 40MG PO LIOF.10FA - - SUN
SOMPRAZ IV 40MG PO LIOF.1FA - - SUN
HIDRAFIX 90 25X2X25ML - - NYCOMED
HIDRAFIX FRAMB.25X2X25ML - - NYCOMED
HIDRAFIX LAR.25X2X25ML - - NYCOMED
JP GLICOSE 10% SIST.FECH.35BOLS 250ML - - JP
MENOPRIN 0,625MG 28CPDS - - CIFARMA
MONTELUCASTE SODICO GEN.4MG 30CPDS MAST. - - EUROFARMA
MONTELUCASTE SODICO GEN.5MG 30CPDS MAST. - - EUROFARMA
POSLOV 0,75MG 2CPDS - - CIFARMA
CARVEDILOL GEN.25MG 14CPDS. - - ACCORD
CARVEDILOL GEN.25MG 15CPDS. - - ACCORD
CARVEDILOL GEN.25MG 28CPDS. - - ACCORD
CARVEDILOL GEN.25MG 300CPDS(EMB.HOSP. - - ACCORD
CARVEDILOL GEN.25MG 30CPDS. - - ACCORD
JP FISIOLOGICO 0,9% SIST.FECH.1BOL 1000ML - - JP
JP FISIOLOGICO 0,9% SIST.FECH.1BOL 250ML - - JP
JP FISIOLOGICO 0,9% SIST.FECH.1BOL 500ML - - JP
FORMET XR 500MG 30CPDS LIB.PROL. - - ASPEN
VODOL PREVENT RELAXANTE PO FR 100G - - UNIAO QUIMICA
LAMOTRIGINA GEN.100MG 1000CPDS(EMB.HOSP. - - ACCORD
LAMOTRIGINA GEN.100MG 30CPDS. - - ACCORD
LAMOTRIGINA GEN.50MG 1000CPDS(EMB.HOSP. - - ACCORD
LAMOTRIGINA GEN.50MG 30CPDS. - - ACCORD
RISEDROSS 35MG 12CPDS - - SIGMA PHARMA
LEGALON 180MG 20CAPS - - NYCOMED
LEGALON 90MG 30DRGS - - NYCOMED
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
352
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
176181
176162
176174
176180
128149
176088
176089
176093
176190
176191
176188
176189
176194
176195
176196
176197
176095
176094
176096
176182
145142
145143
175661
176185
176186
176183
176187
176133
176090
176134
57845
176235
176234
176228
176231
176232
176132
176193
176240
176097
176192
176866
7080097
176953
128148
176924
128143
128141
DESCRICAO
MIRTAZAPINA 45MG 28CPDS ORODISP. - - SANDOZ
MIRTAZAPINA GEN.15MG 28CPDS ORODISP. - - SANDOZ
MIRTAZAPINA GEN.30MG 14CPDS ORODISP. - - SANDOZ
MIRTAZAPINA GEN.30MG 28CPDS ORODISP. - - SANDOZ
NAXOTEC 500MG 24CPDS - - UNIAO QUIMICA
NEOSALDINA 30DRGS - - NYCOMED
NORIPURUM 100MG 10CPDS MAST. - - NYCOMED
NORIPURUM FOLICO 100MG 10CPDS MAST. - - NYCOMED
RISPALUM 1MG 20CPDS - - SANDOZ
RISPALUM 1MG 60CPDS - - SANDOZ
RISPALUM 2MG 20CPDS - - SANDOZ
RISPALUM 3MG 20CPDS - - SANDOZ
RIVASTIGMINA GEN.1,5MG 28CPDS - - SANDOZ
RIVASTIGMINA GEN.3MG 28CAPS - - SANDOZ
RIVASTIGMINA GEN.4,5MG 28CAPS - - SANDOZ
RIVASTIGMINA GEN.6MG 28CAPS - - SANDOZ
SIILIF 100MG 10CPDS REV. - - NYCOMED
SIILIF 100MG 30CPDS REV. - - NYCOMED
SIILIF 100MG 60CPDS REV. - - NYCOMED
SIMETICONA GEN.125MG 10CAPS GEL.MOLE - - SANDOZ
VIEWGAM 10ML - - ALKO
VIEWGAM 15ML - - ALKO
VIVACOR 5MG 30CPDS REV. - - BIOLAB SANUS
RAZAPINA 15MG 28CPDS ORODISP. - - SANDOZ
RAZAPINA 15MG 7CPDS ORODISP. - - SANDOZ
DESACOR 8MG 7CPDS - - SANDOZ
DESOGESTREL GEN.0,075MG 28CPDS - - SANDOZ
EKSON 20+50MG 10CPDS - - ACHE
EPAREMA 4DRGS F.V. - - NYCOMED
EKSON 20+50MG 30CPDS - - ACHE
ALBUMINA HUMANA 0,2G/ML SOL.INJ.1FA 100ML - - GRIFOLS
FLEBOGAMMA 10% DIF.10G SOL.INJ.1FA 100ML - - GRIFOLS
FLEBOGAMMA 10% DIF.20G SOL.INJ.1FA 200ML - - GRIFOLS
FLEBOGAMMA 5% DIF.0,5G SOL.INJ.1FA 10ML - - GRIFOLS
FLEBOGAMMA 5% DIF.10G SOL.INJ.1FA 200ML - - GRIFOLS
FLEBOGAMMA 5% DIF.20G SOL.INJ.1FA 400ML - - GRIFOLS
FREX CLEAN FR 80ML - - ALLERGAN
CETOPROX SHM.100ML - - SANDOZ
GAMA ANTI-TETANO 250UI/ML SOL.INJ.SER.2ML+AG. - - GRIFOLS
HEVELAIR 7MG/ML SOL.ORAL 100ML.CP.MED. - - NYCOMED
JULIET 0,075MG 28CPDS - - SANDOZ
TROPHIC BIO BAUNILHA 800G - - PRODIET NC
LEIBA 12CAPS - - UNIAO QUIMICA
ESTRELL 2MG 30CPDS - - BIOLAB SANUS
NAXOTEC 250MG 24CPDS - - UNIAO QUIMICA
ORLISTATE GEN.120MG 84CAPS GEL.DURA - - NEOQUIMICA
BIOGRIPE 100+2+2MG/ML SOL.ORAL 20ML - - UNIAO QUIMICA
BIOGRIPE 40+4+4MG/ML XPE.100ML - - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
353
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
128142
128144
176951
176952
176233
176960
176961
176963
176925
176926
175479
176979
176923
176980
176981
177097
177095
177083
177092
177099
177091
177093
176978
177098
177101
177096
177100
177094
177079
177081
177078
177080
177087
177088
177090
177089
177082
177084
177086
177281
177435
177444
177445
177440
177441
177442
177443
175499
DESCRICAO
BIOGRIPE 400MG+4+4MG 20CAPS GEL. - - UNIAO QUIMICA
BIOGRIPE 400MG+4+4MG 25BLX4CAPS GEL. - - UNIAO QUIMICA
CAPRELSA 100MG 30CPDS REV. - - ASTRAZENECA
CAPRELSA 300MG 30CPDS REV. - - ASTRAZENECA
FLEBOGAMMA 10% DIF.5G SOL.INJ.1FA 50ML - - GRIFOLS
FOSTIMON M 75UI PO LIOF.1FA+DIL.1ML - - MEIZLER
FOSTIMON M 150UI PO LIOF.1FA+DIL.1ML - - MEIZLER
PERFENOL 400+4+4MG 200CAPS GEL.DURA - - UNIAO QUIMICA
PREDSIM 40MG 4CPDS - - MANTECORP
PREDSIM 40MG 7CPDS - - MANTECORP
PROSTMAN 50MG 20CPDS - - UNIAO QUIMICA
NITRATO FENTICONAZOL GEN.0,05G/G CRM.VAG.40G+7APLIC. - - EUROFARMA
ORLISTATE GEN.120MG 42CAPS GEL.DURA - - NEOQUIMICA
PANTOPRAZOL GEN.40MG 14CPDS REV.LIB.RETARD. - - EUROFARMA
PANTOPRAZOL GEN.40MG 28CPDS REV.LIB.RETARD. - - EUROFARMA
PERITOSTERIL TIP.17 ANDY DISC SOL.DIAL.PERITONIAL BFN 2000ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.17 ANDY DISC SOL.DIAL.PERITONIAL BFN 2500ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.17 SOL.DIAL.PERITONIAL BFN 2500ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.17 SOL.DIAL.PERITONIAL BFN 6000ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.18 ANDY DISC SOL.DIAL.PERITONIAL BFN 2000ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.18 ANDY DISC SOL.DIAL.PERITONIAL BFN 2500ML+EQ.KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.18 DIAL.PERITONIAL BFN 6000ML - - FRESENIUS MEDIC.CARE
GINNA 0,02G/G CRM.VAG.40G+7APLIC. - - EUROFARMA
PERITOSTERIL TIP.18 SOL.DIAL.PERITONIAL BFN 2500ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.19 ANDY DISC SOL.DIAL.PERITONIAL BFN 2000ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.19 ANDY DISC SOL.DIAL.PERITONIAL BFN 2500ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.19 SOL.DIAL.PERITONIAL BFN 2500ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.19 SOL.DIAL.PERITONIAL BFN 6000ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.2 ANDY DISC SOL.DIAL.PERITONIAL BFN 2000ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.2 ANDY DISC SOL.DIAL.PERITONIAL BFN 2500ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.2 SOL.DIAL.PERITONIAL BFN 6000ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.2 SOL.DIAL.PERITORIAL BFN 2500ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.3 ANDY DISC SOL.DIAL.PERITONIAL BFN 2000ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.3 ANDY DISC SOL.DIAL.PERITONIAL BFN 2500ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.3 DIAL.PERITONIAL BFN 2500ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.3 SOL.DIAL.PERITONIAL BFN 6000ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.4 ANDY DISC SOL.DIAL.PERITONIAL BFN 2000ML+EQ.+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.4 SOL.DIAL.PERITONIAL BFN 2500ML - - FRESENIUS MEDIC.CARE
PERITOSTERIL TIP.4 SOL.DIAL.PERITONIAL BFN 6000ML - - FRESENIUS MEDIC.CARE
TYLEX 30MG 36CPDS - - JANSSEN-CILAG
FERISEPT 10MG/ML SOL.TOP.30ML+APLIC. - - UNIAO QUIMICA
BROMEPINA 100MG 2BLX15CPDS REV. - - GERMED
BROMEPINA 100MG 4BLX15CPDS REV. - - GERMED
ORLISTATE GEN.120MG 2BLX21CAPS GEL.DURA - - GERMED GENERICOS
ORLISTATE GEN.120MG 4BLX21CAPS GEL.DURA - - GERMED GENERICOS
PANTOPRAZOL GEN.20MG 14CPDS - - ACHE
PANTOPRAZOL GEN.40MG 14CPDS - - ACHE
PARACETAMOL GEN.750MG 200CPDS - - TEUTO BRAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
354
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
177446
177447
177512
177513
177514
177515
177516
177517
177584
177585
177586
177436
175496
175495
175498
177587
177588
177072
177695
177697
177687
177689
177691
177693
177719
177710
177715
177773
170918
170914
170916
177747
177748
177749
177750
177759
177753
177754
177751
177752
177755
159976
170902
170904
177714
177756
170906
170905
DESCRICAO
QUEROK 100MG 2BLX15CPDS REV. - - LEGRAND PRESCRICAO
TIBOCLIN 2,5MG 30CPDS - - EMS
GLICLAZIDA GEN.30MG 30CPDS LIB.PROLONG. - - RANBAXY
GLICLAZIDA GEN.30MG 60CPDS LIB.PROLONG. - - RANBAXY
SMOFKABIVEN LIVRE ELETROLITOS 1100KCAL EMUS.INJ.4BOLS.986ML BR831905420 - - FRESENIUS KABI
SMOFKABIVEN LIVRE ELETROLITOS 1600KCAL EMUS.INJ.4BOLS.1477ML BR831906420 - - FRESENIUS KABI
SMOFKABIVEN LIVRE ELETROLITOS 2200KCAL EMUS.INJ.4BOLS.1970ML BR831907420 - - FRESENIUS KABI
SMOFKABIVEN LIVRE ELETROLITOS 2700KCAL EMUS.INJ.3BOLS.2463ML BR831908420 - - FRESENIUS KABI
ENERGYZIP FIBER BAUNILHA 200ML TETRA PAK - - PRODIET NC
ENERGYZIP FIBER CHOCOLATE 200ML TETRA PAK - - PRODIET NC
ENERGYZIP FIBER MORANGO 200ML TETRA PAK - - PRODIET NC
FASCIA 30SACH 11G - - BIOLAB SANUS
FLEXTOSS 1,5MG/ML XPE.PED.60ML+CP.MED. - - TEUTO BRAS
CEFALOTINA SODICA GEN.1G PO 50FA.TRANSP.+50DIL.4ML - - TEUTO BRAS
NIMESULIDA GEN.50MG/ML SUSP.GTS.50FRX15ML - - TEUTO BRAS
OXALATO ESCITALOPRAM GEN.10MG 30CPDS REV. - - EUROFARMA
OXALATO ESCITALOPRAM GEN.20MG 30CPDS REV. - - EUROFARMA
PROFERGAN 20MG/G CRM.DERM.30G - - TEUTO BRAS
TOPIT 100MG 30CPDS REV. - - MEDLEY
TOPIT 100MG 60CPDS REV. - - MEDLEY
TOPIT 25MG 30CPDS REV. - - MEDLEY
TOPIT 25MG 60CPDS REV. - - MEDLEY
TOPIT 50MG 30CPDS REV. - - MEDLEY
TOPIT 50MG 60CPDS REV. - - MEDLEY
ACEBROFILINA GEN.10MG/ML XPE.120ML+CP - - UNIAO QUIMICA
CLOB-X SPARY 120ML - - GALDERMA
MAXXI D3 2000UI/ML SOL.ORAL 100ML - - ATIVUS
CIALIS 20MG 1CPD REV. - - ELI LILLY
PEPTAMEN ARG LIQ.SF 6X1000ML - - NESTLE N.C.
PEPTAMEN JR.PO BAUN.12X400G - - NESTLE N.C.
PEPTAMEN PO BAUN.12X430G - - NESTLE N.C.
EZOBLOC 20MG 14CPDS REV. - - DAIICHI SANKYO
EZOBLOC 20MG 28CPDS REV. - - DAIICHI SANKYO
EZOBLOC 40MG 14CPDS REV. - - DAIICHI SANKYO
EZOBLOC 40MG 28CPDS REV. - - DAIICHI SANKYO
FUMARATO QUETIAPINA GEN.300MG 3BLX10CPDS - - NOVA QUIMICA GEN
GONAL F 300UI(22MCG)SOL.INJ.CAN.APLIC.0,5ML - - MERCK S.A.
GONAL F 450UI(33MCG)SOL.INJ.CAN.APLIC.0,75ML - - MERCK S.A.
SCITALAX 10MG 14CPDS REV. - - DAIICHI SANKYO
SCITALAX 10MG 28CPDS REV. - - DAIICHI SANKYO
GONAL F 900UI(33MCG)SOL.INJ.CAN.APLIC.1,5ML - - MERCK S.A.
IMPACT PESSEGO 27X200ML - - NESTLE N.C.
ISOSOURCE HN PLUS TETRA SQUARE 12X1000ML - - NESTLE N.C.
ISOSOURCE SOYA TETRA SQUARE 12X1000ML - - NESTLE N.C.
MAXXI D3 KIDS SOL.ORAL 10ML - - ATIVUS
MOTORE 250MG 15CAPS GEL.DURA - - ACHE
NOVASOURCE GC BAUN.12X400G - - NESTLE N.C.
NOVASOURCE GC MOR.TETRA SLIM 27X200ML - - NESTLE N.C.
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
355
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
170907
170909
170910
98580
98581
98583
98584
178159
178157
178158
178156
178160
171023
178453
178579
178972
178973
178964
178571
178570
178962
177707
178963
178584
175494
178541
178542
177071
175497
179049
179053
179043
179057
179061
176922
175788
179154
179137
179153
179136
179151
179152
179176
175387
175457
175458
175460
175459
DESCRICAO
NUTREN 1.0 BAUN.12X400G - - NESTLE N.C.
NUTREN 1.5 CHOC.TETRA SLIM 27X200ML - - NESTLE N.C.
NUTREN 1.5 MOR.TETRA SLIM 27X200ML - - NESTLE N.C.
NUTREN ACTIVE BAN.12X400GRS - - NESTLE N.C.
NUTREN ACTIVE BAUN.12X400GRS - - NESTLE N.C.
NUTREN ACTIVE CHOC.12X400GRS - - NESTLE N.C.
NUTREN ACTIVE MOR.12X400GRS - - NESTLE N.C.
FRESUBIN ENERGY EB 1500ML BR7368241 - - FRESENIUS KABI
FRESUBIN ENERGY FIBRE 1500ML BR7526241 - - FRESENIUS KABI
FRESUBIN ORIGINAL EB 1500ML BR7577241 - - FRESENIUS KABI
FRESUBIN ORIGINAL FIBRE 1500ML BR7580241 - - FRESENIUS KABI
FRESUBIN PROTEIN POWDER 300G BR7953401 - - FRESENIUS KABI
ASMOFEN 0,2MG/ML XPE.120ML+CP - - TEUTO BRAS
UNI VIR 200MG 200CPDS - - UNIAO QUIMICA
EMEND INJETAVEL 150MG PO LIOF.FA 10ML - - MERCK S.D.
TELMISARTANA GEN.40MG 30CPDS - - RANBAXY
TELMISARTANA GEN.80MG 30CPDS - - RANBAXY
TEUCIPROX 500MG 7CPDS REV. - - TEUTO BRAS
VITERSOL D 200UI 60CAPS.GEL - - MARJAN
VITERSOL D 200UI GTS.20ML - - MARJAN
CAPTOPRIL GEN.25MG 100CPDS(EMB.HOSP.) - - TEUTO BRAS
NUTRIFLEX LIPID SPECIAL BAG 625ML 3547604 - - B.BRAUN
CLORIDRATO CIPROFLOXACINO GEN.500MG 7CPDS REV. - - TEUTO BRAS
ABRILAR 7MG/ML SOL.ORAL 21ENV.X5ML - - FARMOQUIMICA
ACETILCISTEINA GEN.40MG/ML XPE.120ML - - TEUTO BRAS
AIXA 2+0,3MG 21CPDS REV. - - MEDLEY
AIXA 2+0,3MG 63CPDS REV. - - MEDLEY
DIPIRONA SODICA MONOIDRATADA GEN.50MG/ML FR 100ML+CP.MED. - - TEUTO BRAS
LORATADINA+SULFATO PSEUDOEFEDRINA GEN.1+12MG/ML XPE.FR.PET.60ML - - TEUTO BRAS
CONTRACTUBEX GEL 50G - - BIOLAB SANUS
ENVID 800MCG+20MG 30CAPS GEL. - - BIOLAB SANUS
BENEFLORA 10SACH 2G - - BIOLAB SANUS
FLAVENOS 400+50MG 60CPDS REV. - - BIOLAB SANUS
REVITAM CALCIO SOL.ORAL 225ML - - BIOLAB SANUS
CRESTOR 5MG 60CPDS REV. - - ASTRAZENECA
DAUNOCIN 20MG PO LIOF.1FA INC.+DIL.4ML - - MEIZLER
CLORIDRATO DONEPEZILA GEN.10MG 15CPDS - - ACHE
CLORIDRATO DONEPEZILA GEN.10MG 15CPDS - - BIOSINTETICA
CLORIDRATO DONEPEZILA GEN.5MG 15CPDS - - ACHE
CLORIDRATO DONEPEZILA GEN.5MG 15CPDS - - BIOSINTETICA
CLORIDRATO TRAMADOL+PARACETAMOL GEN.37,5+325MG 10CPDS REV. - - ACHE
CLORIDRATO TRAMADOL+PARACETAMOL GEN.37,5+325MG 20CPDS REV. - - ACHE
BEPANTOL KIT CHA BEBE - - BAYER
CARVEDILOL GEN.25MG 140CPDS(EMB.HOSP) - - ACCORD
CARVEDILOL GEN.25MG 15CPDS - - ACCORD
CARVEDILOL GEN.25MG 28CPDS - - ACCORD
CARVEDILOL GEN.25MG 300CPDS(EMB.HOSP.) - - ACCORD
CARVEDILOL GEN.25MG 30CPDS - - ACCORD
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
356
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
176135
120827
120828
89404
89405
175741
175649
175651
175652
175650
178983
178984
176087
179144
32028
175726
175725
175695
5140034
5140042
171008
175729
175730
175704
175754
175755
175757
175775
179145
179131
179142
179143
45353
175461
175462
175463
175464
179158
179156
180020
180021
178144
176955
175746
177589
177758
177757
178994
DESCRICAO
ADINOS GEN 0,5+1MG/G GEL 30G - - ACHE
BISSULFATO CLOPIDOGREL GEN.75MG 14CPDS - - SANDOZ
BISSULFATO CLOPIDOGREL GEN.75MG 28CPDS - - SANDOZ
ACICLOVIR GEN.200MG 2BLX5CPDS - - NOVA QUIMICA GEN
ACICLOVIR GEN.200MG 5BLX5CPDS - - NOVA QUIMICA GEN
ANALGISEN 500MG 200PDS(EMB.HOSP.) - - TKS
ESOMEPRAZOL MAGNESICO GEN.20MG 4BLX7CPDS REV. - - RANBAXY
ESOMEPRAZOL MAGNESICO GEN.40MG 2BLX7CPDS REV. - - RANBAXY
ESOMEPRAZOL MAGNESICO GEN.40MG 4BLX7CPDS REV. - - RANBAXY
ESOMEPRAZOL MAGNESICO GEN.40MG 7CPDS REV. - - RANBAXY
EXFORGE HCT 160+12,5+5MG 14CPDS REV. - - NOVARTIS
EXFORGE HCT 320+25+10MG 14CPDS REV. - - NOVARTIS
DERMODEX POM.DER 60G - - NYCOMED
DROSPIRENONA+ETINILESTRADIOL GEN.3+0,03MG 3BLX21CPDS REV. - - LEGRAND GENERICOS
EMADINE 0,05% SOL.5ML - - ALCON
EMTAZ 1000MG PO LIOF.1FA 50ML - - SUN
EMTAZ 200MG PO LIOF.1FA 10ML - - SUN
ALIMTA 100MG PO LIOF.FA 10ML - - ELI LILLY
ALIN 400MG 1CPD - - MILLETROUX
ALIN 40MG SUSP.10ML - - MILLETROUX
AGUA P/INJETAVEIS SIST.FECH.FA 1000ML LINHA MAX - - EUROFARMA
FENDROP 78,6MCG/ML SOL.INJ.1AMP 10ML - - SUN
FENDROP 78,6MCG/ML SOL.INJ.1AMP 2ML - - SUN
FLUITEINA 600MG 16ENV 5G - - EMS
FOLANTINE 5MG 1005CPDS(EMB.HOSP.) - - TKS
FOLANTINE 5MG 500CPDS(EMB.HOSP.) - - TKS
FONTI B1 300MG 1000CPDS(EMB.HOSP.) - - TKS
GELAFUNDIN 40MG/ML 10FA 500ML FE84513 - - B.BRAUN
IBULIV 400MG 2BLX4CAPS GEL. - - EMS
ISOTRETINOINA GEN. 20MG 6BLX5CPDS - - EMS GENERICOS
ISOTRETINOINA GEN.10MG 6BLX5CPDS - - GERMED GENERICOS
ISOTRETINOINA GEN.20MG 6BLX5CPDS - - GERMED GENERICOS
JP FISIOLOGICO 0,9% SIST.FECH.1BOL 2000ML - - JP
LAMOTRIGINA GEN.100MG 1000CPDS(EMB.HOSP.) - - ACCORD
LAMOTRIGINA GEN.100MG 30CPDS - - ACCORD
LAMOTRIGINA GEN.50MG 1000CPDS(EMB.HOSP.) - - ACCORD
LAMOTRIGINA GEN.50MG 30CPDS - - ACCORD
LIVALO 2MGX30CPDS REV. - - ELI LILLY
LOPID 900MG 10CPDS - - PFIZER
MAXICROM 2% SOL.OFTAL.5ML - - ALCON
MAXICROM 4% SOL.OFTAL.5ML - - ALCON
MAXIDRATE 4,5MG/G 15G - - LIBBS
MEDROGEST 150MG/ML SUSP.INJ.FA 1ML - - BIOLAB SANUS
MESALGIN 100MG 300CPDS(EMB.HOSP.) - - TKS
MONTELUCASTE SODICO GEN.10MG 30CPDS REV. - - ZYDUS NIKKHO
MOTORE 250MG 120CAPS GEL.DURA - - ACHE
MOTORE 250MG 60CAPS GEL.DURA - - ACHE
MYCAMINE 100MG PO LIOF.FA - - ASTELLAS
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
357
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
178995
175662
178996
178997
145141
156569
179146
175486
177085
176082
176083
179130
97128
97127
179155
171005
178985
178986
178987
178988
175747
175748
37369
35590
175444
43328
144157
144156
175750
175752
178998
178999
179000
179001
176184
175646
176239
175447
175449
175448
239314
239316
239317
239318
239313
239627
175335
150826
DESCRICAO
MYCAMINE 50MG PO LIOF.FA - - ASTELLAS
NEBILET 5MG 7CPDS - - BIOLAB SANUS
OMNIC OCAS 0,4MG 10CPDS REV. - - ASTELLAS
OMNIC OCAS 0,4MG 30CPDS REV. - - ASTELLAS
OPTI BAR 150ML - - ALKO
OPTI BAR 1900ML - - ALKO
OPTIVE KIT 15ML+3ML - - ALLERGAN
PENTASA 2G GRAN.ORAL 15SACH - - FERRING
PERITOSTERIL TIP.4 ANDY DISC SOL.DIAL.PERITONIAL BFN 2500ML+KIT BOLS.DREN. - - FRESENIUS MEDIC.CARE
PINAZAN 100MG 30CPDS - - CRISTALIA
PINAZAN 25MG 30CPDS - - CRISTALIA
PLENANCE 10MG 10CPDS REV. - - LIBBS
PROTOPIC 0,3MG/G POM.DERM.10G - - ASTELLAS
PROTOPIC 1MG/G POM.DERM.10G - - ASTELLAS
RINOSORO JET 0,9% SPR.100ML - - FARMASA
SOLUCAO RINGER C/LACTATO 6+0,3+0,2+3MG/ML SIST.FECH.BOL.500ML MED FLEX - - EUROFARMA
TARFIC 0,3MG POM.DERM.10G - - LIBBS
TARFIC 0,3MG POM.DERM.30G - - LIBBS
TARFIC 1MG POM.DERM.10G - - LIBBS
TARFIC 1MG POM.DERM.30G - - LIBBS
TEKADIN 150MG 500CPDS(EMB.HOSP.) - - TKS
TEKADIN 300MG 500CPDS(EMB.HOSP.) - - TKS
TENOXICAM GEN.20MG 10CPDS REV. - - EMS GENERICOS
TILOXICAN 20MG 10CPDS - - HEXAL
TOBI 300MG/5ML SOL.NEB.56AMP - - NOVARTIS
TOBRAMICINA GEN.0,3% 5ML - - ALCON
TROK-G 1MG/G CRM.DERM.10GRS - - EUROFARMA
TROK-G 1MG/G POM.DERM.10GRS - - EUROFARMA
VENOPRESSIN 250MG 500CPDS(EMB.HOSP.) - - TKS
VENOPRESSIN 500MG 500CPDS(EMB.HOSP.) - - TKS
VESICARE 10MG 10CPDS REV. - - ASTELLAS
VESICARE 10MG 30CPDS REV. - - ASTELLAS
VESICARE 5MG 10CPDS REV. - - ASTELLAS
VESICARE 5MG 30CPDS REV. - - ASTELLAS
ZILEDON 10MG 10CPDS REV. - - SANDOZ
ZYVIFAX 75MG 30CPDS - - ZYDUS NIKKHO
GAMA ANTI-HEPATITE B 600UI SOL.INJ.1AMP 3ML+SER.AG. - - GRIFOLS
TRIAXIN 1G PO FA+DIL.VD.3,5ML - - EUROFARMA
TRIAXIN 250MG PO FA+DIL.VD.2ML - - EUROFARMA
TRIAXIN 500G PO FA+DIL.VD.2ML - - EUROFARMA
DOPCOR HCT 160+12,5MG 30CPDS REV. - - ASPEN
DOPCOR HCT 160+25MG 30CPDS REV. - - ASPEN
DOPCOR HCT 320+12,5MG 30CPDS REV. - - ASPEN
DOPCOR HCT 320+25MG 30CPDS REV. - - ASPEN
DOPCOR HCT 80+12,5MG 30CPDS REV. - - ASPEN
EBIX 10MG 7CPDS - - LUNDBECK
GINESSE 0,075+0,020MG 63CPDS REV. - - FARMOQUIMICA
SOLUCAO GLICOSE 5% SIST.FECH.FA 50ML LINHA MAX - - EUROFARMA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
358
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
239321
176954
179157
179159
239711
175764
239334
239336
239339
175445
175659
175660
239323
239326
239331
239626
176229
176230
239342
239345
239349
239350
176236
176237
176238
239744
239767
239768
239713
239714
239849
239851
239852
239856
239857
239763
239764
239751
239847
179147
179132
179148
179133
179149
179134
179150
179135
239755
DESCRICAO
AMPICILINA SODICA GEN.500MG PO INJ.50FA(EMB.HOSP.) - - AUROBINDO
ESTRELL E 30CPDS - - BIOLAB SANUS
LIVALO 2MGX15CPDS REV. - - ELI LILLY
LIVALO 4MGX30CPDS REV. - - ELI LILLY
MAREVAN 5MG 150CPDS - - FARMOQUIMICA
BERIPLEX P/N 500UI PO LIOF.1FA+DIL.20ML+DISP.TRANSF./FILTRO - - CSL BEHRING
CEFADROXILA GEN.500MG 200CAPS(EMB.HOSP.) - - AUROBINDO
CEFADROXILA GEN.500MG 400CAPS(EMB.HOSP.) - - AUROBINDO
CEFUROXIMA SODICA GEN.750MG PO INJ.50FA(EMB.HOSP.) - - AUROBINDO
CLORIDRATO BUPROPIONA GEN.150MG 30CPDS DEPR - - EUROFARMA
RISPERIDONA GEN.2MG 30CPDS - - EUROFARMA
RISPERIDONA GEN.3MG 30CPDS - - EUROFARMA
BROMIDRATO CITALOPRAM GEN.20MG 140CPDS(EMB.HOSP.) - - AUROBINDO
BROMIDRATO CITALOPRAM GEN.20MG 280CPDS(EMB.HOSP.) - - AUROBINDO
BROMIDRATO CITALOPRAM GEN.20MG 560CPDS(EMB.HOSP.) - - AUROBINDO
CLORIDRATO OXIMETAZOLINA GEN.0,5MG/ML SOL.NASAL 30ML - - NEOQUIMICA
FLEBOGAMMA 5% DIF.2,5G SOL.INJ.1FA 50ML - - GRIFOLS
FLEBOGAMMA 5% DIF.5G SOL.INJ.1FA 100ML - - GRIFOLS
GABAPENTINA GEN.300MG 10CAPS GEL.DURA - - AUROBINDO
GABAPENTINA GEN.300MG 30CAPS GEL.DURA - - AUROBINDO
GABAPENTINA GEN.400MG 10CAPS GEL.DURA - - AUROBINDO
GABAPENTINA GEN.400MG 30CAPS GEL.DURA - - AUROBINDO
GAMA ANTI-D 750UI/ML SOL.INJ.SER.PREENC.2ML+AG. - - GRIFOLS
GAMA ANTI-HEPATITE B 1000UI SOL.INJ.1AMP 5ML+SER.+AG. - - GRIFOLS
GAMA ANTI-HEPATITE B 100UI SOL.INJ.1AMP 0,5ML+SER.+AG - - GRIFOLS
ALENDRONATO SODICO GEN.70MG 4CPDS - - BIOSINTETICA
ALENDRONATO SODIO GEN.70MG 4CPDS - - ACHE
ALLESTRA 30 75+30MCG 63DRGS - - ACHE
FRESOFLOX 2MG/ML BOLSA PLAST.100ML 5400202FFX-80 - - FRESENIUS KABI
FRESOLCAN 2MG/ML BOLSA PLAST.100ML 1500271FFX-80 - - FRESENIUS KABI
GINKGO VITAL 120MG 30CPDS - - PRATI-DONADUZZI
GINKGO VITAL 80MG 30CPDS - - PRATI-DONADUZZI
GINKGO VITAL 80MG 60CPDS - - PRATI-DONADUZZI
GROW D KIDS 10ML - - CIFARMA
GROW VIT BB 20ML - - CIFARMA
INELLARE ZERO ACUCAR 30TABL.MAST. - - ACHE
INELLARE ZERO ACUCAR 60TABL.MAST. - - ACHE
QUEROK 25MG 4BLX15CPDS REV. - - LEGRAND PRESCRICAO
ANIDULAFUNGINA GEN.100MG PO LIOF.1FA - - PFIZER
ARIPIPRAZOL GEN.10MG 10CPDS - - ACHE
ARIPIPRAZOL GEN.10MG 10CPDS - - BIOSINTETICA
ARIPIPRAZOL GEN.15MG 10CPDS - - ACHE
ARIPIPRAZOL GEN.15MG 10CPDS - - BIOSINTETICA
ARIPIPRAZOL GEN.20MG 10CPDS - - ACHE
ARIPIPRAZOL GEN.20MG 10CPDS - - BIOSINTETICA
ARIPIPRAZOL GEN.30MG 10CPDS - - ACHE
ARIPIPRAZOL GEN.30MG 10CPDS - - BIOSINTETICA
ARTROLIVE 1500+1200MG GRAN.15ENV 4G - - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
359
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
239759
88752
239752
239756
239753
239757
239766
239750
239765
239748
239858
239859
239770
239761
239762
88747
239794
239792
239749
239793
239822
88749
239746
239743
239758
239760
239745
88750
239754
239747
239855
240034
240013
240009
240003
239997
240012
128147
128146
239936
239937
239938
239889
239890
239891
239892
175473
239893
DESCRICAO
ARTROLIVE 1500+1200MG GRAN.30ENV 4G - - ACHE
SIMETICONA GEN.125MG 10CAPS - - NOVA QUIMICA GEN
ESC 10MG 15CPDS REV. - - EUROFARMA
ESC 10MG 30CPDS REV. - - EUROFARMA
ESC 20MG 15CPDS REV. - - EUROFARMA
ESC 20MG 30CPDS REV. - - EUROFARMA
LEVOFLOXACINO GEN.500MG 10CPDS - - ACHE
LEVOFLOXACINO GEN.500MG 10CPDS REV. - - BIOSINTETICA
LEVOFLOXACINO GEN.500MG 7CPDS - - ACHE
LEVOFLOXACINO GEN.500MG 7CPDS REV. - - BIOSINTETICA
MAXIMUS A-Z 30CAPS - - CIFARMA
MAXIMUS A-Z 90CAPS - - CIFARMA
MIRANOVA 0,10+0,02MG 63DRGS - - BAYER
CIPIDE 100MG 10CPDS - - ACHE
CIPIDE 100MG 30CPDS - - ACHE
CLORIDRATO METFORMINA GEN.1G 3BLX10CPDS - - NOVA QUIMICA GEN
CLORIDRATO METFORMINA GEN.500MG 3BLX10CPDS - - NOVA QUIMICA GEN
DK2CAL 60CPDS REV. - - UNIAO QUIMICA
ESTALOX 10MG 7CPDS REV. - - LEGRAND PRESCRICAO
BIO-D LAR.FR 20ML - - UNIAO QUIMICA
BOSENTANA GEN.125MG 60CPDS REV. - - ZODIAC
CLORIDRATO METFORMINA GEN.850MG 3BLX10CPDS - - NOVA QUIMICA GEN
CLORIDRATO VENLAFAXINA GEN.150MG 2BLX15CAPS GEL.DURA LIB.PROLONG. - - GERMED GENERICOS
CLORIDRATO VENLAFAXINA GEN.37,5MG 3BLX10CAPS GEL.DURA LIB.PROLONG. - - LEGRAND GENERICOS
CLORIDRATO VENLAFAXINA GEN.75MG 15CAPS GEL.DURA LIB.PROLONG. - - EMS GENERICOS
CLORIDRATO VENLAFAXINA GEN.75MG 2BLX15CAPS GEL.DURA LIB.PROLONG. - - EMS GENERICOS
CLORIDRATO VENLAFAXINA GEN.75MG 2BLX15CAPS GEL.DURA LIB.PROLONG. - - LEGRAND GENERICOS
CLORIDRATO VERAPAMIL GEN.80MG 3BLX10CPDS - - NOVA QUIMICA GEN
BUPIUM 150MG 10CPDS REV. - - SIGMA PHARMA
BUPOGRAN 150MG 10CPDS REV.LIB.LENTA - - LEGRAND PRESCRICAO
FLORA 5 6SACH 2G - - CIFARMA
PERJETA 420MG SOL.INJ.FA 14ML - - ROCHE
MAGNEN B6 10CPDS REV. - - MARJAN
PROSTAT-HPB 10CAPS GEL. - - MARJAN
TENAG 40MG 10CPDS REV. - - MARJAN
TENAVIT 10CPDS REV. - - MARJAN
TENSULAN 10CAPS GEL. - - MARJAN
GELO BIO 0,044ML/G POM.DERM.20G - - UNIAO QUIMICA
GELO BIO SOL.AERO.60ML - - UNIAO QUIMICA
HYALY TOPIC 30+ FR 30G - - GLENMARK
HYALY TOPIC 45+ FR 30G - - GLENMARK
HYALY TOPIC 60+ FR 30G - - GLENMARK
BIOFLEX 300+50+35MG 148CPDS - - UNIAO QUIMICA
BIOFLEX 300+50+35MG 16CPDS - - UNIAO QUIMICA
BIOFLEX 300+50+35MG/ML SOL.ORAL FR.10ML - - UNIAO QUIMICA
CHOFRAFIG SOL.ORAL 12FLAC.10ML - - UNIAO QUIMICA
CHOFRAFIG SOL.ORAL 12FR 120ML - - UNIAO QUIMICA
CHOFRAFIG SOL.ORAL 60FLAC.10ML - - UNIAO QUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
360
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
239935
240314
240313
240318
240315
128145
240304
240306
240307
240308
240309
240311
240301
240312
240300
240310
175480
240316
240305
240302
240317
240343
240344
240347
240348
240346
240350
240349
240345
128228
240294
240341
240342
240351
240352
240354
240355
240353
240403
240415
240406
240394
240395
240413
240412
240411
240397
240396
DESCRICAO
FISIOATIV LIQUID SOAP 200ML - - GLENMARK
AZIRAM 60MG/ML SUSP.ORAL 150ML - - UNIAO QUIMICA
AZIRAM 60MG/ML SUSP.ORAL 240ML - - UNIAO QUIMICA
DEMEDROX 150MG/ML SER.PREENCH.1ML - - UNIAO QUIMICA
FOLIPUR 5MG 20CPDS - - UNIAO QUIMICA
GELO BIO SOL.AERO 150ML - - UNIAO QUIMICA
HEMIFUMARATO QUETIAPINA GEN.25MG 2BLX15CPDS REV. - - EMS GENERICOS
NORADOP 150MG 10CPDS REV.LIB.PROLONG. - - NOVA QUIMICA
PANTOPRAZOL GEN.20MG 2BLX7CPDS REV. - - NOVA QUIMICA GEN
PANTOPRAZOL GEN.20MG 4BLX7CPDS REV. - - NOVA QUIMICA GEN
PANTOPRAZOL GEN.40MG 2BLX7CPDS REV. - - NOVA QUIMICA GEN
PANTOPRAZOL GEN.40MG 4BLX7CPDS REV. - - NOVA QUIMICA GEN
PARACETAMOL+CAFEINA GEN.500+65MG 20CPDS REV. - - MEDLEY
QUEROPAX 300MG 3BLX10CPDS REV. - - SIGMA PHARMA
BIMATOPROSTA GEN.0,3MG/ML SOL.OFT.3ML - - MEDLEY
INIP 150MG 10CPDS REV.LIB.PROLONG. - - GERMED
TEFLAN 20MG 5CPDS REV. - - UNIAO QUIMICA
FERISEPT SPRAY 45ML - - UNIAO QUIMICA
CLORIDRATO TRAMADOL GEN.50MG 10CAPS GEL. - - NOVA QUIMICA GEN
TRAVOPROSTA GEN.0,04MG/ML SOL.OFT.2,5ML - - MEDLEY
UNI VIR 200MG 25CPDS - - UNIAO QUIMICA
CENTRUM MULHER 30CPDS - - WYETH CONSUMER
CENTRUM MULHER 60CPDS - - WYETH CONSUMER
CETAPHIL FACIAL FPS50 50ML - - GALDERMA
KIT CETAPHIL LOC.LIMPEZA+ADVANCED 120ML - - GALDERMA
KIT CETAPHIL SAB.LIQ.295ML+HIDRAT.295ML - - GALDERMA
KIT DERMOTIVIN 50ML+NECESSAIRE - - GALDERMA
DERMOTIVIN SALIX LIQUIDO 300ML - - GALDERMA
KIT NUTRAPLUS 8% LOC.300ML+120ML - - GALDERMA
KIT SOAPEX 2 SAB.BARRA 80GRS - - GALDERMA
MALEATO TRIMEBUTINA GEN.200MG 60CAPS GEL - - EUROFARMA
CENTRUM HOMEM 30CPDS - - WYETH CONSUMER
CENTRUM HOMEM 60CPDS - - WYETH CONSUMER
EMERVEL CLASSIC SER.1ML C/LIDOCAINA - - GALDERMA
EMERVEL DEEP SER.1ML C/LIDOCAINA - - GALDERMA
EMERVEL LIPS SER.1ML C/LIDOCAINA - - GALDERMA
EMERVEL TOUCH SER.1ML - - GALDERMA
EMERVEL VOLUME SER.2ML C/LIDOCAINA - - GALDERMA
AMPICILINA SODICA+SULBACTAM SODICO GEN.2+1G PO SOL.INJ.20FA 6,4ML - - NOVAFARMA
DERMOTIVIN PROMOCIONAL SAB.LIQ.PUMP 300ML - - GALDERMA
DIAMAX BAUNILHA 1000ML TETRA PAK - - PRODIET NC
DOSE D SOL.ORAL MACA VERDE 10ML - - ACHE
DOSE D SOL.ORAL MACA VERDE 20ML - - ACHE
IMEDEEN RADIANT COMPLEXION 120+60CPDS - - WYETH CONSUMER
IMEDEEN RADIANT COMPLEXION 120CPDS - - WYETH CONSUMER
IMEDEEN RADIANT COMPLEXION 60CPDS - - WYETH CONSUMER
MIRTAX 10MG 4CPDS REV. - - ACHE
MIRTAX 5MG 4CPDS REV. - - ACHE
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
361
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
240399
240398
240401
240400
240404
240416
240405
240409
240417
240402
240392
240410
240441
240475
240476
240477
240478
240479
240480
240474
240473
240481
240482
240483
240444
175383
156482
140464
240874
240872
140530
240873
140680
240886
240871
140458
140459
140455
140460
140462
241055
175478
241077
241076
240987
240957
240958
240959
DESCRICAO
NOTUSS TSS 1,5MG/ML XPE 120ML+SER.DOSAD. - - ACHE
NOTUSS TSS 1,5MG/ML XPE 60ML+SER.DOSAD. - - ACHE
NOTUSS TSS 3MG/ML XPE 120ML+COPO - - ACHE
NOTUSS TSS 3MG/ML XPE 60ML+COPO - - ACHE
NUTRIDRINK COMPACT PROTEIN CAPPUCCINO 125ML - - SUPPORT NUTRITION
SOAPEX PROMOCIONAL SAB.CREMOSO 120ML - - GALDERMA
SOUVENAID MOR.4FRX125ML - - SUPPORT NUTRITION
BOTOX 50UI PO LIOF.1FA - - ALLERGAN
CETAPHIL PROMOCIONAL SHM.SUAVE 300ML - - GALDERMA
CIPROFIBRATO GEN.100MG 30CPDS - - ACHE
CIPROFIBRATO GEN.100MG 30CPDS - - BIOSINTETICA
GANFORT 0,3+5MG/ML SOL.OFT.5ML - - ALLERGAN
ALLFORT 30CPDS - - UNIAO QUIMICA
AXETILCEFUROXIMA GEN.250MG 100CPDS(EMB.HOSP.) - - AUROBINDO
AXETILCEFUROXIMA GEN.250MG 200CPDS(EMB.HOSP.) - - AUROBINDO
AXETILCEFUROXIMA GEN.250MG 500CPDS(EMB.HOSP.) - - AUROBINDO
AXETILCEFUROXIMA GEN.500MG 100CPDS(EMB.HOSP.) - - AUROBINDO
AXETILCEFUROXIMA GEN.500MG 200CPDS(EMB.HOSP.) - - AUROBINDO
AXETILCEFUROXIMA GEN.500MG 500CPDS(EMB.HOSP.) - - AUROBINDO
BOSENTANA GEN.125MG 60CPDS REV. - - ACTELION
BOSENTANA GEN.62,5MG 60CPDS REV. - - ACTELION
CLORIDRATO SERTRALINA GEN.50MG 140CPDS REV. - - AUROBINDO
CLORIDRATO SERTRALINA GEN.50MG 280CPDS REV. - - AUROBINDO
CLORIDRATO SERTRALINA GEN.50MG 560CPDS REV. - - AUROBINDO
DORLESS 100MG GTS.10ML - - UNIAO QUIMICA
ZEMAIRA 1000MG 1FA+DIL.20ML+DISP.TRANS - - CSL BEHRING
ACETILCISTEINA GEN.20MG/ML XPE.50FR 80ML+50CP.MED.(EMB.HOSP.) - - PRATI-DONADUZZI
CLORIDRATO BROMEXINA GEN.1,6MG/ML XPE.50FR 120ML+CP.MED.10ML(EMB.HOSP.) - - PRATI-DONADUZZI
IBUPROFENO GEN.50MG/ML SOL.ORAL 200FR 30ML(EMB.HOSP.) - - PRATI-DONADUZZI
DIPIRONA SODICA GEN.500MG 200CPDS - - PRATI-DONADUZZI
DIPIRONA SODICA GEN.500MG/ML SOL.ORAL 10ML - - PRATI-DONADUZZI
DIPIRONA SODICA GEN.500MG/ML SOL.ORAL 200FR 10ML(EMB.HOSP.) - - PRATI-DONADUZZI
PARACETAMOL GEN.500MG 500CPDS REV.(EMB.HOSP.) - - PRATI-DONADUZZI
PARACETAMOL GEN.750MG BL INCO.300CPDS REV. - - PRATI-DONADUZZI
AXERON 3MG/1,5ML SOL.TOP.110ML+APLIC. - - ELI LILLY
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.50FR 100ML+50CP.MED.(EMB.HOSP.) - - PRATI-DONADUZZI
CLORIDRATO AMBROXOL GEN.3MG/ML XPE.50FR 120ML+50CP.MED.(EMB.HOSP.) - - PRATI-DONADUZZI
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.50FR 100ML+50CP.MED.(EMB.HOSP.) - - PRATI-DONADUZZI
CLORIDRATO AMBROXOL GEN.6MG/ML XPE.50FR 120ML+50CP.MED.(EMB.HOSP.) - - PRATI-DONADUZZI
CLORIDRATO BROMEXINA GEN.0,8MG/ML XPE.50FR 120ML+CP.MED.10ML(EMB.HOSP.) - - PRATI-DONADUZZI
NUTRICOMP STANDARD MB 1000ML 3547990 - - B.BRAUN
PEMEKER 500MG PO LIOF.1FA - - ZODIAC
CATAFLAMPRO XT EMULGEL 23,2MG/G GEL DERM.100G - - NOVARTIS
CATAFLAMPRO XT EMULGEL 23,2MG/G GEL DERM.50G - - NOVARTIS
DEPRESS 20MG/ML SOL.ORAL 30ML - - UNIAO QUIMICA
DERIVA C MICRO 1+10MG/G GEL DERM.30G LIB.PROLONG. - - GLENMARK
DERIVA C MICRO 1+10MG/G GEL DERM.45G LIB.PROLONG. - - GLENMARK
DERMOTIL FUSID 1+20MG/G CRM.DERM.10G - - GLENMARK
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
362
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
241057
241058
241059
241075
241073
240963
175481
175446
170999
170997
170998
171012
171009
171010
171011
171004
171003
171002
241091
171000
171001
171015
171013
171014
168729
240293
175436
241100
241093
241099
241094
241088
241092
241090
241095
241082
241083
241084
241086
241080
241081
241098
241096
175453
241097
241079
241078
241089
DESCRICAO
SELOZOK 100MG 6BLX10CPDS REV.LIB.PROLONG. - - ASTRAZENECA
SELOZOK 25MG 6BLX10CPDS REV.LIB.PROLONG. - - ASTRAZENECA
SELOZOK 50MG 6BLX10CPDS REV.LIB.PROLONG. - - ASTRAZENECA
APRESOLINA 25MG BL AL.20DRGS - - NOVARTIS
ELIGARD 45MG SER.A+B AG.DESSEC. - - ZODIAC
ENBREL PFS 50MG SOL.INJ.4SER.PREENC.1ML+8LENCOS - - WYETH
TIBOLONA GEN.2,5MG 30CPDS - - NOVA QUIMICA GEN
BISSULFATO CLOPIDOGREL GEN.75MG 30CPDS REV. - - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.BOL.1000ML MED FLEX - - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.BOL.100ML MED FLEX - - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.BOL.250ML MED FLEX - - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.FA 1000ML LINHA MAX - - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.FA 100ML LINHA MAX - - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.FA 250ML LINHA MAX - - EUROFARMA
SOLUCAO CLORETO SODIO 0,9% SIST.FECH.FA 500ML LINHA MAX - - EUROFARMA
SOLUCAO GLICOFISIOLOGICA 50+9MG/ML SIST.FECH.BOL.1000ML MED FLEX - - EUROFARMA
SOLUCAO GLICOFISIOLOGICA 50+9MG/ML SIST.FECH.BOL.500ML MED FLEX - - EUROFARMA
SOLUCAO GLICOSE 5% SIST.FECH.BOL.1000ML MED FLEX - - EUROFARMA
TOBRAMICINA GEN.3MG/ML SOL.OFT.5ML - - NOVA QUIMICA GEN
SOLUCAO GLICOSE 5% SIST.FECH.BOL.250ML MED FLEX - - EUROFARMA
SOLUCAO GLICOSE 5% SIST.FECH.BOL.500ML MED FLEX - - EUROFARMA
SOLUCAO GLICOSE 5% SIST.FECH.FA 1000ML LINHA MAX - - EUROFARMA
SOLUCAO GLICOSE 5% SIST.FECH.FA 250ML LINHA MAX - - EUROFARMA
SOLUCAO GLICOSE 5% SIST.FECH.FA 500ML LINHA MAX - - EUROFARMA
SOLUCAO RINGER C/LACTATO 6+0,3+0,2+3MG/ML SIST.FECH.FA 500ML LINHA MAX - - EUROFARMA
MALEATO TRIMEBUTINA GEN.200MG 30CAPS GEL - - EUROFARMA
PATZ SL 5MG 30CPDS - - SIGMA PHARMA
PHASTER 11,6MG/G FR.60G - - EMS
ROSTATIN 5MG 4BLX15CPDS REV. - - GERMED
ROSUSTATIN 5MG 4BLX15CPDS REV. - - NOVA QUIMICA
RUSOVAS 5MG 4BLX15CPDS REV. - - SIGMA PHARMA
HIDROQUINONA GEN.40MG/G CRM.30G - - NOVA QUIMICA GEN
CANDEMED 16MG 30CPDS - - GERMED
CANDEMED 8MG 30CPDS - - GERMED
DECONGEX PLUS 12+15MG 25BLX4CPDS REV.LIB.CONTROL. - - ACHE
CLORIDRATO CICLOBENZAPRINA GEN.5MG 15CPDS REV. - - NOVA QUIMICA GEN
CLORIDRATO CICLOBENZAPRINA GEN.5MG 2BLX15CPDS REV. - - NOVA QUIMICA GEN
CLORIDRATO DORZOLAMIDA GEN.20MG/ML SOL.OFT.5ML - - NOVA QUIMICA GEN
CLORIDRATO DORZOLAMIDA+MALEATO TIMOLOL GEN.20+5MG/ML SOL.OFT.5ML - - NOVA QUIMICA GEN
MOLIERI 3+0,03MG 21CPDS REV. - - EUROFARMA
MOLIERI 3+0,03MG 63CPDS REV. - - EUROFARMA
PREDNISOLONA GEN.20MG 10CPDS - - BIOSINTETICA
ESCILEX 10MG 7CPDS REV. - - SIGMA PHARMA
ASSERT 50MG 60CPDS REV. - - EUROFARMA
CLORIDRATO VERAPAMIL GEN.240MG 30CPDS REV.LIB.RETARD. - - BIOSINTETICA
DUOMO HP 2+5MG 20CPDS REV. - - EUROFARMA
DUOMO HP 2+5MG 30CPDS REV. - - EUROFARMA
LATANOPROSTA GEN.0,05MG/ML SOL.OFT.2,5ML - - NOVA QUIMICA GEN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
363
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
175450
175451
175452
175456
241085
241087
241152
241149
241153
241150
241154
241151
140636
140523
140526
140527
142132
140582
140585
140587
140595
140640
140641
140753
140761
140760
140347
140357
140358
140387
140556
140557
140554
140646
140653
140661
140665
140663
153735
140508
140509
140512
162622
140689
140605
140694
145104
140708
DESCRICAO
VERSA 100MG/ML 6SER.PREENCH.0,2ML+SIST.SEG - - EUROFARMA
VERSA 100MG/ML SOL.INJ.2SER.PREENCH.0,2ML+SIST.SEG - - EUROFARMA
VERSA 100MG/ML SOL.INJ.2SER.PREENCH.0,4ML+SIST.SEG - - EUROFARMA
VERSA 100MG/ML SOL.INJ.6SER.PREENCH.0,4ML+SIST.SEG - - EUROFARMA
BENZIFLEX 5MG 15CPDS REV. - - EMS
BENZIFLEX 5MG 2BLX15CPDS REV. - - EMS
VAST 10MG 10CPDS REV. - - EUROFARMA
VAST 10MG 30CPDS REV. - - EUROFARMA
VAST 20MG 10CPDS REV. - - EUROFARMA
VAST 20MG 30CPDS REV. - - EUROFARMA
VAST 40MG 10CPDS REV. - - EUROFARMA
VAST 40MG 30CPDS REV. - - EUROFARMA
MELOXICAM GEN.15MG 500CPDS - - PRATI-DONADUZZI
SIMETICONA GEN.40MG 600CPDS - - PRATI-DONADUZZI
SIMETICONA GEN.75MG/ML 200FRX10ML - - PRATI-DONADUZZI
SIMETICONA GEN.75MG/ML 200FRX15ML - - PRATI-DONADUZZI
GLIBENCLAMIDA GEN.5MG 400CPDS - - PRATI-DONADUZZI
HEMATOFER 109MG 25X20CPDS REV. - - PRATI-DONADUZZI
HIDROCLOROTIAZIDA GEN.25MG 400CPDS - - PRATI-DONADUZZI
HIDROCLOROTIAZIDA GEN.50MG 400CPDS - - PRATI-DONADUZZI
IBUPROFENO GEN.600MG 500CPDS REV. - - PRATI-DONADUZZI
METRONIDAZOL GEN.250MG 600CPDS REV. - - PRATI-DONADUZZI
METRONIDAZOL+NISTATINA GEN.100MG/G+20000UI/G CRM.VAG.50BGX50GRS+500APL. - - PRATI-DONADUZZI
SULFADIAZINA PRATA GEN.10MG/G CRM.50BGX50GRS - - PRATI-DONADUZZI
SULFATO NEOMICINA+BACITRACINA ZINCICA GEN.5MG/G+250UI/G POM.DERM.200BGX10GRS - - PRATI-DONADUZZI
SULFATO NEOMICINA+BACITRACINA ZINCICA GEN.5MG/G+250UI/G POM.DERM.200BGX15GRS - - PRATI-DONADUZZI
ACETATO DEXAMETASONA GEN.1MG/G CRM.DERM.100X10GRS - - PRATI-DONADUZZI
ACICLOVIR GEN.200MG 450CPDS - - PRATI-DONADUZZI
ACICLOVIR GEN.50MG/G CRM.DERM.100X10GRS - - PRATI-DONADUZZI
AZITROMICINA GEN.500MG 450CPDS REV. - - PRATI-DONADUZZI
ESPECTROPRIMA 40MG/ML+8MG/ML SUSP.ORAL 50FRX50ML - - PRATI-DONADUZZI
ESPECTROPRIMA 40MG/ML+8MG/ML SUSP.ORAL 50FRX60ML - - PRATI-DONADUZZI
ESTOLATO ERITROMICINA GEN.500MG 420CPDS - - PRATI-DONADUZZI
NIMESULIDA GEN.50MG/ML 100FRX15ML - - PRATI-DONADUZZI
NISTATINA GEN.100000UI/ML SUSP.ORAL 200FR.PLAST.30ML - - PRATI-DONADUZZI
NITRATO MICONAZOL GEN.20MG/G CRM.VAG.50BGX80GRS C/50APL - - PRATI-DONADUZZI
NITRATO MICONAZOL GEN.20MG/G LOC.200FRX30GRS - - PRATI-DONADUZZI
NITRATO MICONAZOL GEN.CRM.DERM.100BGX28GRS - - PRATI-DONADUZZI
OMEPRAZOL GEN.20MG GEL DURA C/MCGRAN.560CAPS - - PRATI-DONADUZZI
DEXAMETASONA GEN.0,1MG/ML ELX.50FRX100ML - - PRATI-DONADUZZI
DEXAMETASONA GEN.0,1MG/ML ELX.50FRX120ML - - PRATI-DONADUZZI
DICLOFENACO DIETILAMONIO GEN.10MG/G GEL.CRM.50BGX60GRS - - PRATI-DONADUZZI
ESTOLATO ERITROMICINA GEN.500MG 80CPDS - - PRATI-DONADUZZI
PARACETAMOL GEN.750MG 480CPDS REV. - - PRATI-DONADUZZI
ITRACONAZOL GEN.100MG 400CAPS GEL DURA - - PRATI-DONADUZZI
PIROXICAM GEN.20MG GEL.DURA 300CAPS - - PRATI-DONADUZZI
POLIBIOTIC 40MG/ML SUSP.ORAL 50FR PLAST.OPC.80ML - - PRATI-DONADUZZI
PRATIPRAZOL 20MG GEL.DURA MICROG.25X14CAPS - - PRATI-DONADUZZI
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
364
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
140716
140728
140725
140393
140404
140423
140427
140408
140470
140547
145083
140363
140365
140405
140397
140398
140401
140402
140410
140414
140416
140473
145094
140492
140373
140377
140380
140487
140489
241346
241347
140499
150347
240295
140571
140579
140578
140611
140617
140618
140382
140379
140736
140738
153737
241558
140638
241413
DESCRICAO
PRATI-SAL 3,5G+1,5G+2,9G+20,0G PO P/SOL.EXTEMPORANEA 50SACH 27,9GRS - - PRATI-DONADUZZI
PREDNISONA GEN.20MG 600CPDS - - PRATI-DONADUZZI
PREDNISONA GEN.5MG 600CPDS - - PRATI-DONADUZZI
BESILATO ANLODIPINO GEN.5MG 400CPDS - - PRATI-DONADUZZI
BROMIDRATO FENOTEROL GEN.5MG/ML SOL.ORAL GTS.200FRX20ML - - PRATI-DONADUZZI
CETOCONAZOL GEN.200MG 450CPDS - - PRATI-DONADUZZI
CETOCONAZOL GEN.20MG/G CRM.100X30GRS - - PRATI-DONADUZZI
BROMOPRIDA GEN.10MG 800CPDS - - PRATI-DONADUZZI
CLORIDRATO CIPROFLOXACINO GEN.500MG 300CPDS REV. - - PRATI-DONADUZZI
DUZIMICIN 50MG PO P/SUSPENSAO FR.VD.50X150ML - - PRATI-DONADUZZI
ALBENDAZOL GEN.400MG 80CPDS MASTIG. - - PRATI-DONADUZZI
ALBENDAZOL GEN.40MG/ML 200X10ML - - PRATI-DONADUZZI
ALOPURINOL GEN.100MG 600CPDS - - PRATI-DONADUZZI
BROMOPRIDA GEN.4MG/ML SOL.ORAL GTS.200X20ML - - PRATI-DONADUZZI
BUTILBROMETO ESCOPOLAMINA GEN.10MG/ML 200FRX10ML - - PRATI-DONADUZZI
BUTILBROMETO ESCOPOLAMINA GEN.10MG/ML 200FRX20ML - - PRATI-DONADUZZI
BUTILBROMETO ESCOPOLAMINA+DIPIRONA SODICA GEN.6,67MG/ML+333,4MG/ML SOL.ORAL 200FR 10ML - - PRATI-DONADUZZI
BUTILBROMETO ESCOPOLAMINA+DIPIRONA SODICA GEN.6,67MG/ML+333,4MG/ML SOL.ORAL 200FR 20ML - - PRATI-DONADUZZI
CAPTOPRIL GEN.25MG 600CPDS - - PRATI-DONADUZZI
CAPTOPRIL GEN.50MG 600CPDS - - PRATI-DONADUZZI
CARBOCISTEINA GEN.20MG/ML XPE.50X80ML+CP.MED. - - PRATI-DONADUZZI
CLORIDRATO METFORMINA GEN.850MG 400CPDS - - PRATI-DONADUZZI
CLORIDRATO PROMETAZINA GEN.25MG 500CPDS REV. - - PRATI-DONADUZZI
CLORIDRATO PROPRANOLOL GEN.40MG 600CPDS - - PRATI-DONADUZZI
AMOXICILINA GEN.500MG 840CAPS GEL DURA - - PRATI-DONADUZZI
AMPICILINA GEN.500MG 480CAPS - - PRATI-DONADUZZI
ATENOLOL GEN.100MG 600CPDS - - PRATI-DONADUZZI
CLORIDRATO TETRACICLINA GEN.500MG 300CAPS - - PRATI-DONADUZZI
CLORIDRATO TETRACICLINA+ANFOTERICINA B GEN.25MG/G+12,5MG/G CRM.VAG.50BGX45GRS+500APL. - - PRATI-DONADUZZI
CLORIDRATO VALACICLOVIR GEN.500MG 10CPDS REV. - - RANBAXY
CLORIDRATO VALACICLOVIR GEN.500MG 42CPDS REV. - - RANBAXY
CLOTRIMAZOL GEN.10MG/G CRM.DERM.100BGX20GRS - - PRATI-DONADUZZI
FLUCONAZOL GEN.150MG 100CAPS - - PRATI-DONADUZZI
FLUXENE 20MG 60CAPS - - EUROFARMA
FOSFATO SODICO PREDNISOLONA GEN.1MG/ML SOL.ORAL 50FRX100ML+CP.DOSAD.10ML - - PRATI-DONADUZZI
FOSFATO SODICO PREDNISOLONA GEN.3MG/ML SOL.50FRX60ML+CP MED. - - PRATI-DONADUZZI
FOSFATO SODICO PREDNISOLONA GEN.3MG/ML SOL.ORAL 50FRX100ML - - PRATI-DONADUZZI
LORATADINA GEN.1MG/ML XPE.50FRX100ML+50CP.MED. - - PRATI-DONADUZZI
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML SOL.ORAL 50FRX100ML+CP.MED. - - PRATI-DONADUZZI
MALEATO DEXCLORFENIRAMINA GEN.0,4MG/ML SOL.ORAL 50FRX120ML+CP.MED. - - PRATI-DONADUZZI
ATENOLOL GEN.25MG 600CPDS - - PRATI-DONADUZZI
ATENOLOL GEN.50MG 600CPDS - - PRATI-DONADUZZI
RUBROMICIN 25MG/ML SUSP.ORAL 50FRX60ML - - PRATI-DONADUZZI
RUBROMICIN 50MG/ML SUSP.ORAL FR.PLAST.50X60ML - - PRATI-DONADUZZI
SECNIDAZOL GEN.1000MG 100CPDS REV - - PRATI-DONADUZZI
METRONIDAZOL GEN.100MG/G GEL.VAG.50BGX50G+500APL.(EMB.HOSP.) - - PRATI-DONADUZZI
METRONIDAZOL GEN.100MG/G GEL.VAG.50BGX50GRS+APL - - PRATI-DONADUZZI
RIOHEX 0,12% SOL.AQUOSA 250ML - - RIOQUIMICA
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
365
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
241556
241602
241606
241596
241598
241434
241577
241575
241580
241561
241562
241565
241547
140662
241550
241432
241610
241554
241552
140712
140714
241555
140719
241573
241576
241572
241578
140552
241559
241557
241614
241583
241582
159604
241433
241608
241553
241551
241672
140588
241542
241541
241430
140468
241543
140548
241523
241526
DESCRICAO
LANSOPRAZOL GEN.30MG 280CAPS GEL.DURA MICROGRAN.LIB.RETARD.(EMB.HOSP.) - - PRATI-DONADUZZI
MUSCUSAN 10MG 10CPDS REV. - - GERMED
MUSCUSAN 10MG 2BLX15CPDS REV. - - GERMED
MUSCUSAN 5MG 10CPDS REV. - - GERMED
MUSCUSAN 5MG 2BLX15CPDS REV. - - GERMED
NEO FRESH 5MG/ML SOL.OFT.15ML - - NEOQUIMICA
NEULOX 30MG 15CAPS - - NOVA QUIMICA
NEULOX 30MG 7CAPS - - NOVA QUIMICA
NEULOX 60MG 3BLX10CAPS - - NOVA QUIMICA
NISTATINA GEN.25000UI/G CRM.VAG.50BGX50G+500APLIC.(EMB.HOSP.) - - PRATI-DONADUZZI
NISTATINA GEN.25000UI/G CRM.VAG.50BGX60G+700APLIC.(EMB.HOSP.) - - PRATI-DONADUZZI
NISTATINA GEN.25000UI/G CRM.VAG.60G+14APLIC. - - PRATI-DONADUZZI
NISTATINA+OXIDO ZINCO GEN.100000UI/G+200MG/G POM.DERM.50BGX60GRS(EMB.HOSP.) - - PRATI-DONADUZZI
NITRATO MICONAZOL GEN.20MG/G CRM.VAG.50BGX60GRS C/APL - - PRATI-DONADUZZI
NITRATO MICONAZOL GEN.20MG/G CRM.VAG.50BGX80G+700APL.VAG.(EMB.HOSP.) - - PRATI-DONADUZZI
OMEPRAZOL GEN.20MG 56CAPS GEL.DURA - - TEUTO BRAS
ONICORYL 50MG/ML ESM.UNHA 2,5ML 10ESP+30SACH+30LIXAS - - GERMED
PERMETRINA GEN.10MG/G LOCAO 50FRX60ML(EMB.HOSP.) - - PRATI-DONADUZZI
PERMETRINA GEN.10MG/G LOCAO 60ML - - PRATI-DONADUZZI
PRATIDERM 100000UI/G+200MG/G POM.DERM.50BGX60GRS - - PRATI-DONADUZZI
PRATIGLOS 5000UI/G+900UI/G+150MG/G POM.DERM.50BGX45GRS - - PRATI-DONADUZZI
PRATIPRAZOL 40MG 300CAPS GEL.DURA MICROGRAN.(EMB.HOSP.) - - PRATI-DONADUZZI
PRATI-SAL 3,5+1,5+2,9+20,0G PO P/SOL.EXTEMP.LAR.50SACH 28,84GRS - - PRATI-DONADUZZI
DULORGRAN 30MG 15CAPS - - LEGRAND PRESCRICAO
DULORGRAN 30MG 2BLX15CAPS - - LEGRAND PRESCRICAO
DULORGRAN 30MG 7CAPS - - LEGRAND PRESCRICAO
DULORGRAN 60MG 3BLX10CAPS - - LEGRAND PRESCRICAO
DUZIMICIN 500MG 25X12CAPSGEL DURA - - PRATI-DONADUZZI
RISPERIDONA GEN.1MG/ML SOL.ORAL 100FR 30ML+100SER.DOSAD.(EMB.HOSP.) - - PRATI-DONADUZZI
RISPERIDONA GEN.1MG/ML SOL.ORAL 30ML+SER.DOSAD. - - PRATI-DONADUZZI
ROSTATIN 5MG 2BLX15CPDS REV. - - GERMED
ROSUSTATIN 5MG 2BLX5CPDS REV. - - NOVA QUIMICA
RUSOVAS 5MG 2BLX5CPDS REV. - - SIGMA PHARMA
SECNIDAZOL GEN.500MG 15BLX4CPDS REV. - - PRATI-DONADUZZI
SEDALGINA 30+300+30MG 30DRGS - - TEUTO BRAS
LOMYTRAT ESM.50MG/MLX2,5ML 10ESP+30SACH+30LIXAS - - LEGRAND OTC
HALOPERIDOL 2MG/ML SOL.ORAL 200FR 20ML(EMB.HOSP.) - - PRATI-DONADUZZI
HALOPERIDOL GEN.2MG/ML SOL.ORAL 30ML - - PRATI-DONADUZZI
HIDROPEEK 40MG/G GEL 30G - - EMS
HIDROXIDO ALUMINIO GEN.61,5MG/ML SUSP.ORAL 240ML+CP.MED. - - PRATI-DONADUZZI
CLONAZEPAN GEN.2,5MG/ML SOL.ORAL 100FR 20ML(EMB.HOSP.) - - PRATI-DONADUZZI
CLONAZEPAN GEN.2,5MG/ML SOL.ORAL 20ML - - PRATI-DONADUZZI
CLORIDRATO AMITRIPTILINA GEN.25MG 30CPDS REV. - - TEUTO BRAS
CLORIDRATO CIPROFLOXACINO GEN.250MG 300CPDS REV. - - PRATI-DONADUZZI
CLORIDRATO METFORMINA GEN.500MG 400CPDS REV.(EMB.HOSP.) - - PRATI-DONADUZZI
DUZIMICIN 50MG PO P/SUSPENSAO FR.VD.50X60ML - - PRATI-DONADUZZI
CLOTRIMAZOL GEN.10MG/G CRM.DERM.50BGX50G(EMB.HOSP.) - - VITAPAN
CLOTRIMAZOL GEN.10MG/G CRM.DERM.50G - - VITAPAN
DIPAC - Divisão de Análise e Pagamento de Contas Médicas
366
Tabela Simpro
TABELA
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
SIMPRO
ESTRUTURA
241579
241574
241581
241655
241464
159596
241544
241545
241546
241548
241549
241665
241668
140517
241345
241529
241527
241528
241431
241531
241532
241530
241566
241567
241533
241534
241536
241535
140787
241537
241538
241539
140419
140420
140418
241618
140754
241560
241563
241564
241568
241525
241524
241540
140425
140438
149467
149468
DESCRICAO
CYMBI 30MG 2BLX15CAPS GEL.DURA MICROG.LIB.RETARD - - SIGMA PHARMA
CYMBI 30MG 7CAPS GEL.DURA MICROG.LIB.RETARD. - - SIGMA PHARMA
CYMBI 60MG 3BLX10CAPS GEL.DURA MICROG.LIB.RETARD. - - SIGMA PHARMA
DERMOCERYL 50MG/ML ESM.UNHA 2,5ML 10ESP+30SACH+30LIXAS - - EMS
DERMOTIVIN ORIGINAL SAB.LIQ.120ML - - GALDERMA
FLUCONAZOL GEN.150MG 90CAPS GEL.DURA - - PRATI-DONADUZZI
FOSFATO SODICO PREDNISOLONA GEN.3MG/ML SOL.ORAL 50FR 120ML+50 SER.DOSAD.(EMB.HOSP.) - - PRATI-DONADUZZI
FUMARATO CETOTIFENO GEN.0,2MG/ML XPE.120ML+CP. - - PRATI-DONADUZZI
FUMARATO CETOTIFENO GEN.0,2MG/ML XPE.50FR 120ML+50CP.(EMB.HOSP.) - - PRATI-DONADUZZI
GABAPENTINA GEN.300MG 30CAPS GEL.DURA - - PRATI-DONADUZZI
GABAPENTINA GEN.400MG 30CAPS GEL.DURA - - PRATI-DONADUZZI
ESOGASTRO 20MG 4BLX7CPDS REV. - - EMS
ESOGASTRO 40MG 4BLX7CPDS REV. - - EMS
DICLONATRIUM 50MG BL.25X20CPDS REV. - - PRATI-DONADUZZI
EUFLEXXA 10MG/ML SOL.INJ.3SER.PREENCH.2ML - - DAIICHI SANKYO
ALOPURINOL GEN.100MG 300CPDS - - PRATI-DONADUZZI
ALOPURINOL GEN.100MG 80CPDS - - PRATI-DONADUZZI
ALOPURINOL GEN.300MG 80CPDS - - PRATI-DONADUZZI
AMOXICILINA GEN.500MG 500CAPS GEL.DURA(EMB.HOSP.) - - TEUTO BRAS
AMPICILINA GEN.500MG 840CAPS(EMB.HOSP.) - - PRATI-DO

Documentos relacionados

Tabela Simpro

Tabela Simpro CATETER ASPIRACAO EMAX 136,5CMX7FR - - TECMEDIC CATETER ASPIRACAO EMAX 141,0CMX5FR - - TECMEDIC CATETER ASPIRACAO EMAX 141,0CMX6FR - - TECMEDIC CATETER BALAO CORONARIO JUTURNA C 0,014" 1,50X10MM - ...

Leia mais

Tabela Simpro

Tabela Simpro ACETILCISTEINA GEN.600MG 16ENV 5G - GERMED GENERICOS ACETILCISTEINA GEN.600MG 16ENV 5GRS - FARMASA ACETILCISTEINA GEN.600MG 16ENV 5GRS - LEGRAND GENERICOS ACETILCISTEINA GEN.600MG 16SACH 5G - EUROF...

Leia mais

Tabela Simpro

Tabela Simpro 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 P...

Leia mais

Tabela TUSS - Materiais e Medicamentos

Tabela TUSS - Materiais e Medicamentos 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 P...

Leia mais

8% - Distribuidora online agora é Profarma

8% - Distribuidora online agora é Profarma AAS INF.100MG 20BLX10COM.SAN 4% AAS INF.100MG C/120 COM SAN

Leia mais

Tabela Brasíndice V072015.xlsx

Tabela Brasíndice V072015.xlsx VISCOEL?STICOS - VT485 - VITRAX - Hialuronato de S?dio 3% - 0,85 ml - VISTATEK VISCOEL?STICOS - VISTA-2.5 - VISTAGEL - HPMC 2% - 2.5 ml - VISTATEK VISCOEL?STICOS - EYEF-C - EYEFILL - Hialuronato de...

Leia mais

Tabela Brasíndice

Tabela Brasíndice BRASINDICE MARCA BRASINDICE MARCA BRASINDICE MARCA BRASINDICE MARCA BRASINDICE MARCA BRASINDICE MARCA BRASINDICE MARCA BRASINDICE MARCA BRASINDICE MARCA BRASINDICE MARCA BRASINDICE MARCA BRASINDICE...

Leia mais

Tabela Brasíndice

Tabela Brasíndice PDS II - Fechamento Geral Ob. / Gin. - Z569T - Sut. Pds*II VLT 1 70 cm 1AG.CPX (dz.) - JOHNSON & JOHNSON Medical Brasil PDS II - Fechamento Geral Ob. / Gin. - Z690G - Sut. Pds*II VLT 1 2 x 70 cm 1A...

Leia mais

Tabela TUSS

Tabela TUSS Agulha Tuohy Epidural/Peridural 17G 90X15 3 1/2Pol Unisis T179 Ref: T179 Agulha Tuohy Epidural/Peridural 18G 110X12 4 1/2Pol Para Obeso Unisis T1811 Ref: T1811 Agulha Tuohy Epidural/Peridural 18G 5...

Leia mais