| Servico | TABELA CEMED - MEDICAMENTO | DELLER 50MG COM REV LIB PROL CT BL AL PLAS TRANS PVDCX60 + CX + 307,81 X 4 = 1.231,24 17 = 1.021,92 DELLER 100MG COM VER LIB PROL CT BL AL PLAS TRANS PVDCX60 + CX + 343,01 X 4 = 1.372,04 17 = 1.138,80 ENTRESTO 50MG COM VER CT BL AL AL X28 + CX + 118,32 X 6 = 709,92 17 = 589,20 ENTRESTO 200MG COM VER CT BL AL AL X28 + CX + 118,32 X 3 = 354,96 17 = 294,60 ENTRESTO 200MG COM VER CT BLAL AL X60 + CX + 253,59 X 3 = 760,77 17 = 631,44 ENTRESTO 100MG COM VER CT BL AL AL X28 + CX + 118,32 X 3 = 354,96 17 = 294,60 ENTRESTO 100MG COM VER CT BL AL AL X60 + CX + 253,59 X 6 = 1.521,54 17 = 1.262,88 LIPITOR 20MG COM REV CT BL AL/AL X30 + CX + 191,85 X 2 = 383,70 17 = 318,46 LIPITOR 40MG COM REV CT BL AL/AL X30 + CX + 281,83 X 2 = 563,66 17 = 467,84 KOLEVAS 20MG COM REV CT BL AL/AL X30 + CX + 317,45 X 2 = 634,90 17 = 526,96 FORXIGA 10MG COM REV CT BL AL/AL X30 + CX + 134,50 X 6 = 807,00 17 = 669,78 EDISTRIDE 10MG COM REV CT BL AL AL X30 + CX + 134,49 X 6 = 806,94 17 = 669,72 ADIPEPT 20MG COM REV LIB RETARD CT BL AL AL X42 + CX + 137,37 X 2 = 274,74 17 = 228,02 ADIPEPT 40MG COM REV LIB RETARD CT BL AL AL X28 + CX + 151,07 X 2 = 302,14 17 = 250,78 SOMALGIN CARDIO 100MG+30MG+15MG COM REV DUPLA CAM CT BL AL PLAS OPC X60 + CX + 20,21 X 2 = 40,42 17 = 33,54 GLIFAGE XR 850MG COM LIB PROL CT BL ALPLAS PVDC/PVC TRANS X30 + CX + 24,11 X 3 = 72,33 17 = 60,03 ZETIA 10MG COM CT BL AL PLAS PVC/PCTFE TRANS X30 + CX + 134,15 X 2 = 268,30 17 = 222,68 ALTA D CAPS 15000UI CAP MOLE BL AL PLAS PVC/PVDC TRANS X4 + CX + 34,75 X 2 = 69,50 17 = 57,68 LIPIBLOCK 120MG CAP DURA CT BL AL PLAS OPC X 60 + CX + 250,25 X 2 = 500,50 17 = 415,40 NORIPURUM EV 20MG/ML SOL INJ IV CX 5 AMP VD TRANS X 5ML + CX + 55,75 X 5 -17 = 231,35 ARADOIS 100MG COM REV CT BL AL PLASS TRANS X60 + CX + 176,78 X 4 17 = 586,68 ESOMEX 20MG COM REV LIB RETARD CT BL AL/AL X28 + CX + 140,06 X 4 -17 = 464,96 ESOMEX 20MG COM REV LIB RETARD CT BL AL/AL X28 + CX + 293,94 X 4 17 = 975,88 ASSERT 50MG COM REV CT BLAL PLAST PVC TRANS X 30 + CX + 61,69 X 2 17 = 102,40 ASSERT 100MG COM REV CT BL AL PLAST PVC TRANS X 30 + CX + 123,36 X 2 17 = 204,76 AFETUS 100MG COM REV CT BL AL PLAS PVC TRANS X30 + CX + 123,36 X 2 17 = 204,76 ZOLOFT 100MG COM REV CT BL AL PLAS PVC TRANSX 30 + CX + 149,62 X 5 17 = 620,90 SERENATA 100MG COM REV CT BL AL AL X30 + CX + 181,96 X 6 17 = 906,12 SERENATA 50MG COM REV CT BL AL AL X60 + CX + 181,802 X 6 17 = 905,34 TOLREST 50MG COM REV CT BL AL PLAST PVDC TRANSX 60 + CX + 184,84 X 2 -17 = 306,82 TOLREST 100MG COM REV CT BL AL PLAST PVDC TRNAS X60 ¬ + CX + 364,72 X 2 17 = 605,42 TOLREST 75MG COM REV CT BL AL PLAST PVDC TRANS X30 + CX + 305,18 X 4 17 = 1.013,16 TOLREST 25MG COM REV CT BL AL PLAST PVDC TRANS X30 + CX + 117,47 X 2 17 = 195,00 PLENANCE 10MG COM REV CT BL AL/AL X90 + CX + 131,92 X 6 17 = 656,94 PLENANCE 20MG COM REV CT BL AL/AL X90 + CX + 300,74 X 4 17 = 998,44 RUNNER 40G COM REV CT BL ALO AL X30 + CX + 266,87 X 3 -17 = 664,50 TREZOR 20MG COM REV CT BL AL /AL X30 + CX + 246,35 X 3 -17 = 613,41 TREZOR 40MG COM REV CT BL AL/AL X30 + CX + 298,94 X 4 -17 = 992,48 ROSUCOR 20MG COM REV CT BL ALAL X30 + CX + 195,18 X 3 17 = 486,00 ROSUCOR 5MG COM REV CT BL ALAL X60 + CX + 116,69 X 4 -17 = 387,40 RUNNER 20G COM REV CT BL ALO AL X30 + CX + 215,13 X 4 17 = 714,20 TRIAXIN 1G PO SOL INJ IM CT 5 FA VD TRANS+5DIL AMP VC TRANS X3,5ML + CX + 133,69 X 18 -17 = 1.997,28 VENVANSE 30MG CAP DURACT FR PLAST OPC X28 + CX + 286,28 X 2 -17 = 475,22 VENVANSE 70MG CAP DURA CT FR PLAST OPC X28 + CX + 347,15 X 2 -17 = 576,26 TRAMAL RETARD 100MG COM REV LIB PROL CTBLAL PLAST OPC X30 + CX + 279,09 X 3 -17 = 694,42 TRAMAL RETARD 50MG COM REV LIB PROL CT BLAL PLAST OPC X20 + CX + 93,04 X 6 -17 = 463,32 TRAMAL 50MG CAP DURA CT BLAPL | 1,0000 | R$ 65.332,31 | R$ 54.225,82 |