| 1 | 51110000 | 51111800 | 51111805 | Acetato de goserelina | ATEZOLIZUMAB 1200 mg / 20 ml | Unidad | 90 | 384,000.00 | 0.00 | 0.00 | 0.00 | 34,560,000.00 |
| 2 | 51130000 | 51131500 | 51131501 | Fumarato ferroso | AZACITIDINA 100 mg / vial | Unidad | 1,230 | 14,590.00 | 0.00 | 0.00 | 0.00 | 17,945,700.00 |
| 3 | 51110000 | 51111800 | 51111816 | Buserelina | BEVACIZUMAB 100 mg / 4 ml | Unidad | 119 | 24,000.00 | 0.00 | 0.00 | 0.00 | 2,856,000.00 |
| 4 | 51110000 | 51111800 | 51111816 | Buserelina | BEVACIZUMAB 400 mg / 16 ml | Unidad | 237 | 96,000.00 | 0.00 | 0.00 | 0.00 | 22,752,000.00 |
| 5 | 51160000 | 51161700 | 51161708 | Dornasa alfa | DORNASA ALFA 2.5 mg / 2.5 ml | Unidad | 4,050 | 2,350.00 | 0.00 | 0.00 | 0.00 | 9,517,500.00 |
| 6 | 51130000 | 51131800 | 51131801 | Fibrinógeno | EMICIZUMAB 105 mg/ 0.7 ml | Unidad | 123 | 382,000.00 | 0.00 | 0.00 | 0.00 | 46,986,000.00 |
| 7 | 51130000 | 51131800 | 51131801 | Fibrinógeno | EMICIZUMAB 30 mg/ 1 ml | Unidad | 186 | 110,000.00 | 0.00 | 0.00 | 0.00 | 20,460,000.00 |
| 8 | 51130000 | 51131800 | 51131801 | Fibrinógeno | OBINUTUZUMAB 1000 mg / 40 ml | Unidad | 62 | 99,800.00 | 0.00 | 0.00 | 0.00 | 6,187,600.00 |
| 9 | 51110000 | 51111700 | 51111713 | Alemtuzumab | PERTUZUMAB 420 mg / 14 ml | Unidad | 292 | 197,000.00 | 0.00 | 0.00 | 0.00 | 57,524,000.00 |
| 10 | 51110000 | 51111700 | 51111713 | Alemtuzumab | RITUXIMAB 1400 mg / 11.7 ml | Unidad | 13 | 86,500.00 | 0.00 | 0.00 | 0.00 | 1,124,500.00 |
| 11 | 51200000 | 51201500 | 51201569 | Atlizumab o tocilizumab | TERIPARATIDA 250 mcg / 2.4 ml | Unidad | 1,800 | 30,350.00 | 0.00 | 0.00 | 0.00 | 54,630,000.00 |
| 12 | 51200000 | 51201500 | 51201569 | Atlizumab o tocilizumab | TOCILIZUMAB 162mg / 0.9ml | Unidad | 620 | 11,500.00 | 0.00 | 0.00 | 0.00 | 7,130,000.00 |
| 13 | 51200000 | 51201500 | 51201569 | Atlizumab o tocilizumab | TOCILIZUMAB 80 mg / 4 ml | Unidad | 833 | 6,900.00 | 0.00 | 0.00 | 0.00 | 5,747,700.00 |
| 14 | 51110000 | 51111500 | 51111509 | Ifosfamida | PIRFENIDONA 267 mg | Unidad | 17,820 | 334.00 | 0.00 | 0.00 | 0.00 | 5,951,880.00 |
| 15 | 51100000 | 51102300 | 51102333 | Hidrocloruro de valganciclovir | VALGANCICLOVIR CLORHIDRATO 450 MG | Unidad | 4,560 | 780.00 | 0.00 | 0.00 | 0.00 | 3,556,800.00 |