| Servico | TABELA CEMED - MEDICAMENTO | ANDROCORTIL TEUTO 100MG PO LIOF SOL INJ CX 50 FA VD TRANS (pag 2063) + CX + 253,66 X 10 = 2.536,60 30 = 1.775,62 ANDROCORTIL TEUTO 500MG PO LIOF SOL INJ CX 50 FA VD TRANS (pag 2063) + CX + 610,40 X 15 = 9.156,00 30 = 6.409,20 CLORIDRATO DE AMIODARONA HIPOLABOR 50 MG/ML SOL INJ IV CX 100 AMP VD AMB X 3ML (pag 518) + CX + 378,06 X 10= 3.780,60 30 = 2.646,42 VITANSANTISA C SANTISA LAB 100MG/ML SOL INJ IM/IV CX 100 AMP VD AMB X 5ML (pag 2254) + CX + 91,89 X 10 = 918,90 30 = 643,23 AMPLOSPEC BIOCHIMICO 1G PO INJ CX 50 FA VD TRANS (pag 360) + CX + 551,30 X 10 = 5.513,00 30 = 3.859,10 FOSFATO DISSODICO DE DEXAMETASONA FARMACE INDUSTRIA QUIMICO FARM CEARENCE 4MG/MLSOL INJ IM/IV CX 100AMP VD TRANS X 2,5ML (pag 1177) + CX + 545,53 X 10 = 5.455,30 30 = 3.818,71 OXANON BLAU 500MG PO INJ CX 50 FA VD TRANS + 50 AMPO DIL X 3ML (EMB HOSP) (pag 1747) + CX + 264,89 X 1 = 264,89 30 = 185,43 METROFARMA FARMACE IND UIM CEARENCE 5MG/ML SOL INJ CX 100 AMP VD AMB X 2ML (EMB HOSP) (pag 685) + CX + 103,70 X 10 = 1.037,00 -30 = 725,90 ATROFARMA FARMACE IND CEARENCE 0,25MG/ML SOL INJ CX 100 AMP VD TRANSX iML (pag 2077) + CX + 97,73 X 10= 977,30 30 = 684,11 | 1,0000 | R$ 29.639,60 | R$ 20.747,72 |