| Servico | TABELA CEMED - MEDICAMENTO | RISPERDAL 3MG COM REV CT BL AL PLAS TRANS X20 + CX + 02 X 295,23 17 = 490,08 RISPERDAL 1MG/ML SOL. ORAL CT FR VD AMB X30ML + CX + 2 X 153,73 17 = 255,18 CLAVULIN(875+125)MG COM REV CT 268,80 ENVOL BL AL PLAS PVC/PVDC TRANS X20 + CX + 2 X 268,80 17 = 446,20 PREBICTAL 75MG CAP DURA CT AL PLAS TRANS X28 + CX + 1 X 106,67 17 = 88,53 PREBICTAL 150MG CAP DURA CT BL AL PLAS TRANSX28 + CX + 1 X 163,60 17 = 135,78 PREBICTAL 75MG CAP DURA CT AL PLAS TRANS X60 + CX + 1 X 216,70 17 = 179,86 ACCUVIT COM REV CT FR PLAS OPC X30 + CX + 1 X 85,14 17 = 70,66 VITERGAN ZINCO COM REV CT BL AL PLAS PVC/PE/VDC TRANS X60 + CX + 2 X 125,38 17 = 208,12 BUP 150MG COM REV LIB PROL CT BL AL/AL X60 + CX + 1 X 178,16 17 = 147,87 BUP XL 300MG COM REV LIB PROL CT BL AL/AL X60 + CX + 02 X 353,41 17 = 586,66 XARELTO 10MG COM REV CT BL AL PPX30 + CX + 3 X 240,39 17 = 598,56 TRIMBOW (100,0+6,0+12,5) MCG SOL ERA INAL OR CT FR + CX + 03 X 274,96 17 = 684,63 VELIJA 60MG CAP DURA LIB RETARD FR PLAS PEAD OPC X30 + CX + 03 X 119,45 17 = 297,42 VELIJA 60MG CAP DURA LIB RETARD FR PLAS PEAD OPC X60 + CX+ 03 X 238,89 17 = 594,81 ACERTIL 5MG COM REV CT TB PLAS X60 + CX + 02 X 92,41 17 = 153,40 ESOGASTRO IBP 500MG CAP DURA+500MG COM REV+20MG COM REV LIB RETARD CT BL ALALX28 + CX + 03 X 218,45 17 = 543,93 XARELTO 15MG COM REV CT BL AL PP X28 + CX + 03 X 224,35 17 = 558,63 XARELTO 20MG COM REV CT BL AL PP X28 + CX + 03 X 224,35 - 17 = 558,63 XARELTO 2,5MG COM REV CT BL AL PLAS PP TRANS X60 + CX + 01 X 240,46 17 = 199,58 EFEXOR 75MG CAP DURA LIB PROL CT BLAL PLAS TRANS X30 + CX + 03 X 235,36 17 = 586,02 EFEXOR 150MG CAP DURA LIB PROL CT BLAL PLAS TRANS X30 + CX + 03 X 333,85 17 = 831,27 CYMBI 30MG CAP DURA LIB RETARD CT BL AL X60 + CX + 06 X 393,08 17 = 1.957,50 CYMBI 60MG CAP DURA LIB RETARD CT BLAL AL X30 + CX + 04 X 399,73 17 = 1.530,92 CYMBI 30MG CAP DURA LIB RETARD CT BL AL AL X30 + CX + 06 X 196,54 17 = 978,72 PROLIA 60MG/ML SOL INJ SER PREENC VDTRANS X1ML + CX + 02 X 798,53 17 = 1.325,54 CLEXANE 60MG SOL INJ CT 10 SER PREENCHIDAS VC INC GRADXO,6ML +SIST SEGURANCA + CX + 02 X 773,07 17 = 1.283,28 CLEXANE 100MG SOL INJ CT 2 SER PREENCHIDAS VC INC GRADX0,1ML +SIST SEGURANCA + CX + 05 X 258,96 - 17 = 1.074,65 CLEXANE 40MG SOL INJ CT 10 SER PREENCHIDAS VC INC GRADXO,6ML +SIST SEGURANCA + CX + 04 X 507,56 17 = 1.685,08 TRAMAL 50MG CAP DURA CT BL AL PLAS PVC/PVDC OPC X20 + CX + 03 X 102,58 17 = 255,42 TRAMAL RETARD 100MG COM REV LIBPROL CT BL AL PLAS OPC X30 + CX + 03 X 279,09 17 = 694,92 DONAREN 100MG COM REV CT BL AL PLASTRANS X30 + CX + 02 X 76,25 17 = 126,56 DONAREN RETARD 150MG COM LIB PROLCT BL AL OLAS OPC X60 + CX + 04 X 228,75 17 = 758,08 TOPAMAX 50MG COM REV CT BL AL AL X60 + CX + 06 X 274,34 17 = 1.366,20 TOPAMAX 100MG COM REV CT BL AL ALX60 + CX + 03 X 553,17 17 = 1.377,39 JARDIANCE DUO (12,5+850MG)COM REVCT BL AL PLAS PVC/PCTFE OPC X60 + CX + 06 X 198,14 -17 = 986,70 JARDIANCE DUO (12,5+1000MG)COM REVCT BL AL PLAS PVC/PCTFE OPC X60 + CX + 06 X 199,69 17 = 994,44 ARCOXIA 90MG COM REV CT BL AL AL X14 + CX + 02 X 96,34 17 = 159,92 ARTICO 1,5G+1,5G PO SOL OR CT 30 SACH + CX + 02 X 147,19 - 17 = 244,32 ARTICO CAPS 500MG+400MG CAP MOLE CT BL AL PLAS INC X90 + CX + 03 X 209,29 17 = 576,87 ARTROLIVE 500MG+400MG CAP DURA CT FR PLAS OPC X90 + CX + 02 X 208,16 17 = 345,54 ARTROLIVE 1500MG+1200 GRAN CT 30 ENV AL LAM X 4G + CX + 01 X 169,77 17 = 152,77 CONDROFLEX 1,5+1,2G PO OR CT 30 SACHX 4,135G + CX + 01 X 200,76 17 = 166,63 DUTAM 0,5MG+0,4MG CAP DURA LIBPROL CT BL AL PLAS TRANS X90 + CX + 03 X 282,20 17 = 702,66 PLENANCE EZE (5+10)MG CAP DURA CT 3FR PLAS PEAD OPC X30 + CX + 03 X 301,40 17 = 750,48 PLENANCE EZE (10+10)MG CAP DURA CT 3FR PLAS PEAD OPC X30 + CX + 03 X 303,15 17 = 754,83 TOPAMAX 25MG COM REV CT BL AL A | 1,0000 | R$ 44.541,82 | R$ 36.969,71 |