Tabela Simpro
Transcrição
Tabela Simpro TABELA SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO SIMPRO 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
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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...
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