Servico | TABELA CEMED - MEDICAMENTO | ARISTAB 10MG COMP.COM CT BL AL/AL C/60 +CX + 20 X 1.187,43 = 23.748,60 - 8.2 = 21.801,20 LYRICA 75MG CAP DURA CT BL AL PLAS PVC TRANS X 30 + CX + 10 X 115,99 = 1.159,90 - 8.2 = 2.129,60 EFEXOR XR 150MG CAP DURA LIB PROL CT BL AL PLAS TRANS X 30 + CX + 10 X 370,21 = 3.702,10 - 8.2 = 6.797,00 LAMITOR CCD 100MG COM SUS CT BL AL/AL X 60 + CX + 20 X 487,23 = 9.744,60 - 8.2 = 8.945,60 SEROQUEL XR 50MG COM VER LIB PROL CT BL AL PALS PVC OPC X 30 + CX + 20 X 218,99 = 4.376,80 - 8.2 = 4.020,60 DONAREN 50MG COM VER CT BL AL PLAS TRANSX 60 + CX + 30 X 65,78 = 1.973,40 -8.2 = 1.811,40 DELLER 50MG COM VER LIB PROL CT BL AL PLAST PVDC X 60 + CX + 20 X 265,50 = 5.310- 8.2 = 4.874,60 SULPAM MG CAP GEL DURA CT BL AL PLAS PVC TRANS X 20 + CX + 40 X 22,21 = 888,40 - 8.2 = 815,60 PONDERA 25MG COM VER CT BL AL PLAS TRANS X 20 + CX + 40 X 74,71 = 2.988,40 - 8.2 = 2.746,20 FORVITAL + CX + 30 X 133,36 = 4.000,80 - 8.2 = 3.672,60 TEGRETOL 400MG COM LIB PROL CT BL PLAS PVDC TRANS X 60 + CX + 30 X 116,61 = 3.498,30 - 8.2 = 3.183,90 KEPPRA 750MG COM VER CT BL AL PLAS PVC TRANS X 60 + CX + 70 X 430,07 = 30.104,90 - 8.2 = 27.636,00 KEPRA 250MG COM VER CT BL AL PLAS PVC TRANS X 60 + CX + 120 X 103,81 = 12.457,20 - 8.2 = 11.434,80 VIMPAT 200MG COM VER CT AL PLAST TRANS X 56 + CX + 25 X 751,08 = 18.777,00 - 8.2 = 17.237,25 LEXAPRO 10MG COM VER CT BL AL PALS TRANS X 60 + CX + 20 X 419,42 = 8.388,40 -8.2 = 7.700,60 QUEROPAX 25MG COM VER CT BL AL PLAST OPC X 30 + CX + 30 X 118,03 = 3.540,90 - 8.2 = 3.250,50 DIOVANHCT 320/12,5 MG COM VER CT BL AL AL X 28 + CX + 18 X 76,94 = 1.384,92 - 8.2 = 1.271,34 PRESMIN 5MG/ML SOL OFT FR GOT + CX + 16 + 19,66 = 314,56 - 8.2 = 288,80 ELIQUIS 5MG COM VER CT BL AL PLAS TRANS X 60 + CX + 35 X 209,56 = 7.334,60 - 8.2 = 6.732,95 DIOVAM 320MG COM VER CT BL AL AL X 28 + CX + 20 X 74,00 = 1.480,00 - 8.2 = 1.358,60 DEPAKOTE 500MG COM VER LIB PROL CT BL AL AL PLAS TRANS X 60 + CX + 20 X 154,60 = 3.092,00 - 8.2 = 2.838,40 PRADAXA150MG CAP DURA CT BL AL AL X 60 + CX + 25 X 209,79 = 5.244,75 - 8.2 = 4.814,75 TRILEPTAL 300MG COM VER CT BL AL AL PLAS TRANS X 60 + CX + 40 X 123,86 = 4.954,40 - 8.2 = 4.548,00 LAMICTAL 50MG COM CT BL AL PLUS TRANS X 30 + CX + 40 X 146,51 = 5.860,40 - 8.2 = 5.380,00 STANGLIT 15MG COM CT FR PLAS OPC X 60 + CX + 38 X 106,93 = 4.063,34 - 8.2 = 3.730,08 NATRILIX 1,5MG COM VER CT BL AL PLAWS INC X 30 + CX + 36 X 31,59 = 1.137,24 - 8.2 = 1.044,00 FORXIGA 10MG COM VER CT BL AL AL X 30 + CX + 18 X 118,80 = 2.138,40 - 8.2 = 1.962,90 ZYPREXA 10MG COM VER CT BL AL AL X 30 + CX + 10 X 731,13 = 7.311,30 - 8.2 = 6.711,80 LEPONEX 100MG COM CT BL AL PLAS PVC TRANS X 30 + CX + 18 X 183,14 = 3.296,52 - 8.2 = 3.026,16 STILNOX 12,5 MG CO LIB PROL CT BL AL PLAS TRANS X 30 + CX + 18 X 82,21 = 1.479,78 - 8.2 = 1.358,46 ARISTAB 10MG COMP.COM CT BL AL/AL C/60 +CX + 20 X 1.187,43 = 23.748,60 - 8.2 = 21.801,20 LYRICA 75MG CAP DURA CT BL AL PLAS PVC TRANS X 30 + CX + 10 X 115,99 = 1.159,90 - 8.2 = 2.129,60 EFEXOR XR 150MG CAP DURA LIB PROL CT BL AL PLAS TRANS X 30 + CX + 10 X 370,21 = 3.702,10 - 8.2 = 6.797,00 LAMITOR CCD 100MG COM SUS CT BL AL/AL X 60 + CX + 20 X 487,23 = 9.744,60 - 8.2 = 8.945,60 SEROQUEL XR 50MG COM VER LIB PROL CT BL AL PALS PVC OPC X 30 + CX + 20 X 218,99 = 4.376,80 - 8.2 = 4.020,60 DONAREN 50MG COM VER CT BL AL PLAS TRANSX 60 + CX + 30 X 65,78 = 1.973,40 -8.2 = 1.811,40 DELLER 50MG COM VER LIB PROL CT BL AL PLAST PVDC X 60 + CX + 20 X 265,50 = 5.310- 8.2 = 4.874,60 SULPAM MG CAP GEL DURA CT BL AL PLAS PVC TRANS X 20 + CX + 40 X 22,21 = 888,40 - 8.2 = 815,60 PONDERA 25MG COM VER CT BL AL PLAS TRANS X 20 + CX + 40 X 74,71 = 2.988,40 - 8.2 = 2.746,20 FORVITAL + CX + 30 X 133,36 = 4.000,80 - 8.2 = 3.672,60 TEGRETOL 400MG COM LIB PROL CT BL PLAS PVDC TRANS X 60 + CX + 30 X 116,61 = 3.498,30 - 8.2 = 3.183,90 KEPPRA 750MG COM VER CT BL AL PLAS PVC TRANS X 60 + CX + 7 | 1,0000 | R$ 188.584,63 | R$ 173.120,69 |