Servico | TABELA CEMED - MEDICAMENTO | BEPEBEN (LABORATORIO TEUTO BRASILEIRO S/A)1.200.000 UI PO SUS INJ CX 50 FA (EMB HOSP) + CX + 742,78 X 20 = 14.855,60 -29 = 10.547,47 HEMITARTARATO DE NOREPINEFRINA (HIPOLABOR FARMACEUTICA LTDA) 2 MG/ ML SOL INJ CX 50 AMP VD AMB X 4ML + CX + 654,92 X 6 = 3.929,52 - 29 = 2.789,95 OXANON (BLAU FARMACEUTICA S.A.)500 MG PO INJ CX 50 FA VD TRANS (EMB HOSP) + CX + 200,17 X 8 = 1.601,36 - 29 = 1.136,96 CEFTRIAXONA DISSODICA HEMIEPTAIDRATADA(FRESENIUS KABI BRASIL LTDA.)500MG PO SOL INJ IV CX 50 FA VD AMB + CX + 785,95 X 15 = 11.789,25 - 29 = 8.370,336 OMEPRAZOL SODICO(BLAU FARMACEUTICA S.A.)40 MG PO SOL INJ IV CX 20 FA VD TRANS + 20DIL AMP VD TRANS X 10 ML + CX + 701,86 X 8 = 5.614,88 - 29 = 3.986,56 AMPICILINA(PRATI DONADUZZI & CIA LTDA)50 MG/ML PO SUS OR CX 50 FR PLAS OPC X 60ML + 50 COP + CX + 399,15 X 4 = 1.596,60 - 29 = 1.133,58 DOPACRIS(CRISTALIA PRODUTOS QUIMICOS FARMACEUTICOS LTDA.)5 MG/ML SOL INJ CX 50 AMP VD AMB X 10 ML + CX + 234,80 X 10 = 2.348,00 -29 = 1.667,08 FOSFATO DISSODICO DE DEXAMETASONA(HYPOFARMA INSTITUTO DE HYPODERMIA E FARMACIA LTDA)4 MG/ML SOL INJ CX 50 AMP VD TRANS X 2,5 ML + CX + 173,55 X 20 = 3.511,00 - 29 = 2.464,41 ARISCORTEN(BLAU FARMACEUTICA S.A.)500 MG PO INJ IV/IM CT FA VD TRANS + AMP DILX 4 ML + CX + 364,99 X 10 = 3.649,90 - 29 = 2.591,42 FENITOINA SODICA(HIPOLABOR FARMACEUTICA LTDA)50 MG/ML SOL INJ CX 100 AMP VD TRANS X 5 ML CX + 340,41 X 4 = 1.361,64 - 29 = 966,76 PAMERGAN (CRISTALIA PRODUTOS QUIMICOS FARMACEUTICOS LTDA.) 25 MG/ML SOL INJ IM CX 50 AMP VD AMB X 2 ML + CX + 199,37 X 20 = 3.987,40 - 29 = 2.831,05 PARINEX (HIPOLABOR FARMACEUTICA LTDA)5000 UI/0,25 ML SOL INJ CX 50 AMP VD TRANS X 0,25 ML (PAG 1070) + CX + 493,06 X 4 = 1.972,24 -29 = 1.400,29 PARINEX (HIPOLABOR FARMACEUTICA LTDA) 5000 UI/ML SOL INJ CX 50 FA VD TRANS X 5 ML + CX + 2.495,74 X 4 = 9.982,96 - 29 = 7.087,90 CITRATO DE FENTANILA(FRESENIUS KABI BRASIL LTDA.)50 MCG/ML SOL INJ EPI/IM/IV CX 50 AMP VDAMB X 2ML + CX + 119,84 X 10 = 1.198,40 - 29 = 850,86 CITRATO DE FENTANILA(FRESENIUS KABI BRASIL LTDA.)50 MCG/ML SOL INJ EPI/IM/IV CX 50 AMP VDAMB X 10ML + CX + 334,13 X 5 = 1.670,65 - 29 = 1.186,16 DESLANOL (UNIAO QUIMICA FARMACEUTICA NACIONAL S/A) 0,2 MG/ML SOL INJ IV/IM CT 50 AMP VD AMB X 2 + CX + 105,28 X 6 = 631,68 - 29 = 448,49 | 1,0000 | R$ 69.661,08 | R$ 49.459,37 |