TEXTO PAGINA: 15
NORMAS LEGALESEl Peruano miércoles 25 de octubre de 2006 331413REPUBLICADELPERU ANEXO Nº 01 Nº CÓDIGO PRODUCTO UNIDAD REQUER. PRECIO UNITARIO MONTO cotizado final 1 59020030 ACET AMINOFEN (Paracetamol)-500 mg. UND 270,000 0.031 8,370.00 2 59055085 ACIDO ZOLEDRONICO 4 mg. FC-AMP 300 520.000 156,000.00 3 59065010 A CTIVADOR TISULAR DEL PLASMINOGENO 50 mg. FC-AMP 20 1,696.580 33,931.60 4 59860010 AGUA DESTILADA Inyectable X 1000 ml FCO 2,800 2.800 7,840.00 5 59030005 ALBENDAZOL 200 mg. UND 12,000 0.105 1,260.00 6 59480010 ALENDRONATO SODICO 70 mg. A MAS UND 15,000 0.263 3,945.00 7 59070044 ANTIHEMORROIDAL POMADA TUB 3,000 3.250 9,750.00 8 59055010 ASP ARRAGINASA 10,000 UI.(L-ASPARRAGINASA) FC-AMP 60 165.000 9,900.00 9 59065137 AT AZANAVIR 150 mg. UND 4,140 21.350 88,389.00 10 59065100 ATORVASTA TINA CRISTALINA 20 mg UND 90,000 0.600 54,000.00 11 59075854 BR OMURO DE IPRATROPIO AER OSOL FCO 900 7.000 6,300.00 12 59030111 CAPECITABINA 500 mg UND 7,500 10.900 81,750.00 13 59035131 CARBAMAZEPINA 400 mg. UND 30,000 0.420 12,600.00 14 59055120 CARBOPLATINO 150 mg. FC-AMP 160 62.000 9,920.00 15 59030143 CEF ALOSPORINA 1 g. 4ta Gen. FC-AMP 3,000 3.850 11,550.00 16 59030148 CEF ALOSPORINA 500 mg. 2da Gen. UND 40,000 0.265 10,600.00 17 59055135 CICLOFOSFAMIDA 1 g FC-AMP 90 24.780 2,230.20 18 59760136 CLOMIPRAMINA 25 mg UND 16,000 1.400 22,400.00 19 59665125 CLORANFENICOL + CORTICOIDE. Gts. Oft. FCO 1,000 9.420 9,420.00 20 59830240 DALTEP ARINA SODICA 2500 UI (JERINGA PRELLENADA) PROFILAXIS UND 940 19.500 18,330.00 21 59830245 DALTEP ARINA SODICA 5000 UI (JERINGA PRELLENADA) TRATAMIENTO UND 1,400 20.800 29,120.00 22 59065270 DESLANOSIDO 0.4 mg/ 2 ml AMP 290 2.350 681.50 23 59665180 DEXAMETASONA Sol. Oft. 0.1% FCO 120 24.000 2,880.00 24 59030292 DIDANOSINA 400 mg. Cáp.Enter. De Liberac. Retardada UND 3,700 12.200 45,140.00 25 59070280 DIMENHIDRINATO 50 mg/ 5 ml. AMP 9,000 0.480 4,320.00 26 59055089 DOCETAXEL 80 mg. FC-AMP 90 225.000 20,250.00 27 59055290 DOXORRUBICINA 50mg. FC-AMP 110 35.000 3,850.00 28 59055151 DOXORRUBICINA LIPOSOMAL 20 mg. AMP 85 1,742.560 148,117.60 29 59505305 EFA VIRENZ 600 mg. UND 3,500 3.800 13,300.00 30 59065310 ENALAPRIL 20 mg. UND 195,000 0.050 9,750.00 31 59030297 ER ITROMICINA 500 mg. UND 85,000 0.190 16,150.00 32 59080320 ESPIRONOLACTONA 25 mg. UND 12,000 0.210 2,520.00 33 59440340 ESTROGENOS CREMA VAGINAL TUB 3,000 12.000 36,000.00 34 59830380 FACTOR ESTIMULANTE COLONIAS 3’000,000 G-CSF FC-AMP 650 40.000 26,000.00 35 59055088 FLUDARABINE FOSFATO 50 mg. FC-AMP 90 593.600 53,424.00 36 59055395 FLUOR URACILO 250 mg /5 ml. AMP 450 3.900 1,755.00 37 59055536 GEMCITABINE 1 g. FC-AMP 240 699.990 167,997.60 38 59665420 GENTAMICINA Gts. Oft. 3-5 mg/ml. FCO 1,700 1.790 3,043.00 39 59760475 HALOPERIDOL 5 mg/ ml. AMP 300 2.000 600.00 40 59070470 HOMATROPINA METIL BROMURO Gts. 1 mg/ 1 ml. FCO 1,000 2.250 2,250.00 41 59020485 IBUPR OFENO TABLETAS 400 mg UND 45,000 0.040 1,800.00 42 59030480 IMIPENEN CILASTATINA 500 mg FC-AMP 2,600 31.000 80,600.00 43 59070480 INHIBIDORES DE LA BOMBA DE PROTONES 40 mg AMP 2,000 7.000 14,000.00 44 59055515 INTERFERON ALFA 2 a 4’500,000 UI FC-AMP 240 58.100 13,944.00 45 59065480 IRBESARTAN 150 mg UND 70,000 2.889 202,230.00 46 59030489 ISOCONAZOL T ABLETA VAGINAL 600 mg. OVU 2,600 18.000 46,800.00 47 59025543 LIDOCAINA 2% 20ml. SIN PRESERVANTE FCO 4,200 1.630 6,846.00 48 59025552 LIDOCAINA 2% JALEA TUB 300 5.100 1,530.00 49 59025534 LIDOCAINA 2%/ 20 ml SIN EPINEFRINA FC-AMP 4,500 1.760 7,920.00 50 59480586 METILPREDNISOLONA SUCCINATO 500 mg FC-AMP 1,000 45.000 45,000.00 51 59030576 METRONIDAZOL 500 mg/100 ml BOL 3,000 2.000 6,000.00 52 59505126 MICOFENOLATO MOFETILO 250 mg UND 1,800 3.900 7,020.00 53 59600636 NEOSTIGMINA METIL SULFATO 0.5 mg/ 1ml AMP 300 0.750 225.00 54 59760607 OLANZAPINA AMP 250 60.560 15,140.00 55 59960564 OLIGOELEMENTOS-SOLUCION DE 9x10 ml AMP 600 8.690 5,214.00 56 59600650 ORFENADRINA CITRATO 100 mg UND 180,000 0.172 30,960.00 57 59055660 O XALIPLATINO 50 mg FC-AMP 240 102.500 24,600.00 58 59035600 OXCARBAZEPINA 300 mg UND 4,000 0.850 3,400.00 59 59055537 PA CLITAXEL 100 mg. FCO-AMP 120 95.000 11,400.00 60 59030700 PIPERACILINA + TAZOBACTAM SODICO 4.5 gr. IV VIAL 150 65.000 9,750.00 61 59830667 POLIPEPTIDO POLIMERIZADO 4 - 5% FCO 940 9.680 9,099.20 62 59860677 POT ASIO CLORURO 14.9% /10 ml AMP 10,000 0.660 6,600.00 63 59025693 PROPOFOL 10 mg/ ml x 20 ml. FCO 1,000 8.349 8,349.00 64 59760728 QUETIAPINA 300 mg. UND 18,000 12.000 216,000.00 65 59070785 RANITIDINA 50 mg/ 5 ml AMP 18,000 0.300 5,400.00 66 59020806 REMIFENTANILO CLORHIDRATO 2 mg AMP 450 73.230 32,953.50 67 59055011 RITUXI MAB 100 mg FC-AMP 150 937.720 140,658.00 68 59055013 RITUXI MAB 500 mg FC-AMP 80 4,690.620 375,249.60 69 59025001 SEVOFLUORANE 250 ml FCO 800 480.000 384,000.00 70 59055512 TRASTUZUMAB 440 mg. FC-AMP 40 6,424.290 256,971.60 71 59480903 TRIAMCINOLONA INTRARTICULAR E INTRADERMICA 50 mg FC-AMP 2,000 25.770 51,540.00 72 59035965 V ALPROATO SODICO SOLUCION 1 gr/5ml FCO 1,000 15.500 15,500.00 73 59030945 V ANCOMICINA 500 mg FC-AMP 3,500 8.800 30,800.00 74 59830887 WARF ARINA SODICA 2 mg UND 2,000 0.200 400.00 3,213,534.40 03527-1