| 1 | 51150000 | 51151700 | 51151738 | Fumarato de formoterol | FORMOTEROL FUMARATO / DIHIDRATO BUDESONIDA X 60 TB | Unidad | 40 | 2,990.00 | 0.00 | 0.00 | 0.00 | 119,600.00 |
| 2 | 51150000 | 51151700 | 51151738 | Fumarato de formoterol | UMECILIDINIO VILANTEROL | Unidad | 2 | 6,728.00 | 0.00 | 0.00 | 0.00 | 13,456.00 |
| 3 | 51120000 | 51121700 | 51121753 | Irbesartán | IRBESARTAN 300 MG/ AMLODIPINA 10 MG x 28 TB | Unidad | 10 | 6,320.00 | 0.00 | 0.00 | 0.00 | 63,200.00 |
| 4 | 51120000 | 51121700 | 51121735 | Candesartán cilexetilo | CARDESARTAN 32 MG/ AMLODIPINA 5 MG/ HIDROCLOROTIAZIDA 25 MG x 30 TB | Unidad | 15 | 3,665.00 | 0.00 | 0.00 | 0.00 | 54,975.00 |
| 5 | 51100000 | 51101800 | 51101807 | Fluconazol | FLUCONAZOL 150 MG/ TINIDAZOL 1G x 2 TB | Unidad | 10 | 1,612.00 | 0.00 | 0.00 | 0.00 | 16,120.00 |
| 6 | 51130000 | 51131600 | 51131607 | Enoxaparina sódica | APIXABNA 5 MG X 30 TB | Unidad | 10 | 4,385.00 | 0.00 | 0.00 | 0.00 | 43,850.00 |
| 7 | 51120000 | 51121900 | 51121904 | Nifedipina | NIFEDIPINA 20 MG/ ATENOLOL 50MG X 50 TB | Unidad | 10 | 3,118.00 | 0.00 | 0.00 | 0.00 | 31,180.00 |
| 8 | 51110000 | 51111800 | 51111802 | Bicalutamida | BICALUTAMIDA 150 MG X 30 TB | Unidad | 10 | 4,755.00 | 0.00 | 0.00 | 0.00 | 47,550.00 |
| 9 | 51130000 | 51131700 | 51131709 | Bisulfato de clopidogrel | TICAGRETOL 90 MG X 60 TB | Unidad | 30 | 11,829.00 | 0.00 | 0.00 | 0.00 | 354,870.00 |
| 10 | 12160000 | 12162200 | 12162201 | Ácido ascórbico | CITRATO DE CALCIO 1500/ VITAMINA D3 400 UI X 30 TB | Unidad | 5 | 1,390.00 | 0.00 | 0.00 | 0.00 | 6,950.00 |
| 11 | 51120000 | 51121700 | 51121733 | Valsartán | SACUBITRIL 24 MG / VALSARTAN 26 X 30 TB | Unidad | 25 | 4,775.00 | 0.00 | 0.00 | 0.00 | 119,375.00 |
| 12 | 51120000 | 51121700 | 51121704 | Lisinopril | LISINOPRIL 20MG + AMLODIPINA 10MG + CLORTALIDONA 12.5MG | Unidad | 15 | 3,690.00 | 0.00 | 0.00 | 0.00 | 55,350.00 |
| 13 | 51150000 | 51151800 | 51151801 | Atenolol | ATENOLOL 50 MG /NITRENDIPINA 20 MG / CLORTALIDONA 12.5 MG X 30 TB | Unidad | 10 | 774.00 | 0.00 | 0.00 | 0.00 | 7,740.00 |
| 14 | 51120000 | 51121700 | 51121709 | Carvedilol | CARVEDILOR 12.5 MG X 30 TB | Unidad | 10 | 839.00 | 0.00 | 0.00 | 0.00 | 8,390.00 |
| 15 | 51130000 | 51131700 | 51131709 | Bisulfato de clopidogrel | CLOPIDOGREL 75 MG X 30 TB | Unidad | 75 | 1,598.00 | 0.00 | 0.00 | 0.00 | 119,850.00 |
| 16 | 51140000 | 51141700 | 51141722 | Fumarato de quetiapina | QUEATIPINA 100 MG X 30 TB | Unidad | 10 | 1,897.00 | 0.00 | 0.00 | 0.00 | 18,970.00 |
| 17 | 51140000 | 51141700 | 51141722 | Fumarato de quetiapina | QUETIAPINA 25 MG X 30 TB | Unidad | 10 | 1,134.00 | 0.00 | 0.00 | 0.00 | 11,340.00 |
| 18 | 51140000 | 51141700 | 51141722 | Fumarato de quetiapina | QUEATIPINA 200 MG X 30 TB | Unidad | 10 | 2,798.00 | 0.00 | 0.00 | 0.00 | 27,980.00 |
| 19 | 51130000 | 51131700 | 51131708 | Cilostazol | CILOSTAZOL 100MG | Unidad | 5 | 5,072.00 | 0.00 | 0.00 | 0.00 | 25,360.00 |
| 20 | 51120000 | 51121700 | 51121718 | Clorhidrato de clonidina | CLONIDIN 0.100 MG X 30 TB | Unidad | 5 | 1,079.00 | 0.00 | 0.00 | 0.00 | 5,395.00 |
| 21 | 51120000 | 51121700 | 51121735 | Candesartán cilexetilo | CANDESARTAN 16 MG X 30 TB | Unidad | 50 | 1,198.00 | 0.00 | 0.00 | 0.00 | 59,900.00 |
| 22 | 51120000 | 51121700 | 51121735 | Candesartán cilexetilo | CANDESARTAN 16 MG/ HIDROCLOROTIAZIDA 12.5 MG X 30 TB | Unidad | 10 | 3,559.00 | 0.00 | 0.00 | 0.00 | 35,590.00 |
| 23 | 51120000 | 51121700 | 51121735 | Candesartán cilexetilo | CANDESARTAN 32 MG X 30 TB | Unidad | 15 | 3,585.00 | 0.00 | 0.00 | 0.00 | 53,775.00 |
| 24 | 51120000 | 51121700 | 51121735 | Candesartán cilexetilo | CANDESARTAN 32 MG / HIDROCLOROTIAZIDA 12.5 MG X 30 TB | Unidad | 10 | 1,549.00 | 0.00 | 0.00 | 0.00 | 15,490.00 |
| 25 | 51120000 | 51121700 | 51121735 | Candesartán cilexetilo | CANDESARTAN 32 MG / HIDROCLOROTIAZIDA 25 MG X 30 TB | Unidad | 10 | 1,748.00 | 0.00 | 0.00 | 0.00 | 17,480.00 |
| 26 | 51120000 | 51121700 | 51121735 | Candesartán cilexetilo | CANDESARTAN 8 MG X 30 TB | Unidad | 10 | 739.00 | 0.00 | 0.00 | 0.00 | 7,390.00 |
| 27 | 51120000 | 51121800 | 51121802 | Lovastatina | ROSUVASTATINA 40MG | Unidad | 10 | 2,058.00 | 0.00 | 0.00 | 0.00 | 20,580.00 |
| 28 | 51170000 | 51171600 | 51171615 | Calcio policarbofilo | ACIDO IBANDRONICO 150 MG X 2 TB | Unidad | 10 | 6,820.00 | 0.00 | 0.00 | 0.00 | 68,200.00 |
| 29 | 51140000 | 51141500 | 51141518 | Levetiracetam | LEVETIRACETAM 500 MG 30 TB | Unidad | 10 | 1,973.00 | 0.00 | 0.00 | 0.00 | 19,730.00 |
| 30 | 51140000 | 51141500 | 51141507 | Fenitoína | FEMITOINA SODICA | Unidad | 5 | 3,998.00 | 0.00 | 0.00 | 0.00 | 19,990.00 |
| 31 | 51240000 | 51241200 | 51241208 | Cremas o ungüentos hidrofilacios | ACIDO VALPROICO 500 MG X 30 TB | Unidad | 5 | 2,759.00 | 0.00 | 0.00 | 0.00 | 13,795.00 |
| 32 | 51110000 | 51111600 | 51111606 | Hidroxiurea | HYDROACTIRE GEL | Unidad | 10 | 1,758.00 | 0.00 | 0.00 | 0.00 | 17,580.00 |
| 33 | 51120000 | 51121700 | 51121704 | Lisinopril | HIDROXICARBAMIDA 500 MG X 100 TB | Unidad | 5 | 5,649.00 | 0.00 | 0.00 | 0.00 | 28,245.00 |
| 34 | 51120000 | 51121700 | 51121704 | Lisinopril | LISINOPRIL 10 MG X 30 TB | Unidad | 15 | 1,398.00 | 0.00 | 0.00 | 0.00 | 20,970.00 |
| 35 | 51120000 | 51121700 | 51121704 | Lisinopril | LISINOPRIL 20 MG X 30 TB | Unidad | 15 | 1,398.00 | 0.00 | 0.00 | 0.00 | 20,970.00 |
| 36 | 51120000 | 51121700 | 51121704 | Lisinopril | AMLODIPINA 5 MG/ LISINOPRIL 10 MG X 30 TB | Unidad | 15 | 2,839.00 | 0.00 | 0.00 | 0.00 | 42,585.00 |
| 37 | 51120000 | 51121700 | 51121704 | Lisinopril | AMLODIPINA 10 MG/ LISINOPRIL 20 MG X 30 TB | Unidad | 15 | 2,720.00 | 0.00 | 0.00 | 0.00 | 40,800.00 |
| 38 | 51150000 | 51151500 | 51151508 | Dexpantenol | VITAMINA B1,B6,B12 NICOTINAMIDA,PANTENOL SILIMARINA X 50 TB | Unidad | 15 | 4,719.00 | 0.00 | 0.00 | 0.00 | 70,785.00 |
| 39 | 51130000 | 51131500 | 51131506 | Eritropoyetina | ERITROPOYETINA 10000 U.I./ML | Unidad | 10 | 2,690.00 | 0.00 | 0.00 | 0.00 | 26,900.00 |
| 40 | 51130000 | 51131500 | 51131506 | Eritropoyetina | ERITROPROYETINA HUMANA RECOMBINANTE 2000 UI/ 1ML | Unidad | 20 | 1,398.00 | 0.00 | 0.00 | 0.00 | 27,960.00 |
| 41 | 51130000 | 51131500 | 51131506 | Eritropoyetina | ERITROPROYETINA HUMANA RECOMBINANTE 4000 UI/ 1ML | Unidad | 20 | 1,670.00 | 0.00 | 0.00 | 0.00 | 33,400.00 |
| 42 | 51190000 | 51191500 | 51191507 | Espironolactona | ESPERINOLACTONA 25 X 30 TB | Unidad | 5 | 1,740.00 | 0.00 | 0.00 | 0.00 | 8,700.00 |
| 43 | 51180000 | 51181600 | 51181608 | Levotiroxina | ESOMEPRAZOL 40 MG/ BICARBONATO DE SODIO 1100 MG X 30 TB | Unidad | 10 | 3,485.00 | 0.00 | 0.00 | 0.00 | 34,850.00 |
| 44 | 51170000 | 51171900 | 51171913 | Esomeprazol magnesico trihidrato | LEVOTIROXINA 100MG X 50 TB | Unidad | 5 | 2,739.00 | 0.00 | 0.00 | 0.00 | 13,695.00 |
| 45 | 51180000 | 51181600 | 51181608 | Levotiroxina | LEVOTIROXINA 25MG X 50 TB | Unidad | 5 | 1,635.00 | 0.00 | 0.00 | 0.00 | 8,175.00 |
| 46 | 51180000 | 51181600 | 51181608 | Levotiroxina | LEVOTIROXINA 75MG X 50 TB | Unidad | 3 | 2,544.00 | 0.00 | 0.00 | 0.00 | 7,632.00 |
| 47 | 51180000 | 51181600 | 51181608 | Levotiroxina | LEVOTIROXINA125 MG X 50 TB | Unidad | 3 | 2,879.00 | 0.00 | 0.00 | 0.00 | 8,637.00 |
| 48 | 51180000 | 51181500 | 51181517 | Hidrocloruro de metformina | METFORMINA CLORHIDRATO 750 MG X 30 TB | Unidad | 3 | 2,094.00 | 0.00 | 0.00 | 0.00 | 6,282.00 |
| 49 | 51240000 | 51241200 | 51241208 | Cremas o ungüentos hidrofilacios | FUSIDATO SODICO UNGÜENTO 2% | Unidad | 4 | 2,560.00 | 0.00 | 0.00 | 0.00 | 10,240.00 |
| 50 | 51180000 | 51181500 | 51181517 | Hidrocloruro de metformina | VILDAGLIPTINA 50 MG/ METFORMINA 1000 MG X 56 TB | Unidad | 20 | 6,180.00 | 0.00 | 0.00 | 0.00 | 123,600.00 |
| 51 | 51180000 | 51181500 | 51181517 | Hidrocloruro de metformina | CLORHIDRATO DE MERFORMINA 500 MG | Unidad | 5 | 1,764.00 | 0.00 | 0.00 | 0.00 | 8,820.00 |
| 52 | 51120000 | 51121700 | 51121726 | Indapamida | EMPAGLIFOZINA 25MG | Unidad | 2 | 3,598.00 | 0.00 | 0.00 | 0.00 | 7,196.00 |
| 53 | 51180000 | 51181500 | 51181517 | Hidrocloruro de metformina | METFORMINA CLORHIDRATO 1000MG X 30 TB | Unidad | 5 | 2,180.00 | 0.00 | 0.00 | 0.00 | 10,900.00 |
| 54 | 51180000 | 51182400 | 51182408 | Fosfato sódico de celulosa | POLIETILENO GLICOL 4 MG/ ML/ PROPILENO GLICOL 3 MG/ML | Unidad | 10 | 1,060.00 | 0.00 | 0.00 | 0.00 | 10,600.00 |
| 55 | 51120000 | 51121700 | 51121753 | Irbesartán | IBERSARTAN 150 MG X 30 TB | Unidad | 10 | 1,378.00 | 0.00 | 0.00 | 0.00 | 13,780.00 |
| 56 | 51120000 | 51121700 | 51121753 | Irbesartán | IBESARTAN 150 + AMLODIPINA 5 MG | Unidad | 5 | 4,028.00 | 0.00 | 0.00 | 0.00 | 20,140.00 |
| 57 | 51120000 | 51121700 | 51121753 | Irbesartán | IBERSARTAN 300 MG X 30 TB | Unidad | 10 | 1,378.00 | 0.00 | 0.00 | 0.00 | 13,780.00 |
| 58 | 51120000 | 51121700 | 51121753 | Irbesartán | IBERSARTAN 75 MG X 30 TB | Unidad | 2 | 2,489.00 | 0.00 | 0.00 | 0.00 | 4,978.00 |
| 59 | 51190000 | 51191500 | 51191515 | Hidroclorotiazida | HIDROCLOROTIAZIDA 25 MG X 30 TB | Unidad | 35 | 475.00 | 0.00 | 0.00 | 0.00 | 16,625.00 |
| 60 | 51180000 | 51181500 | 51181517 | Hidrocloruro de metformina | EMPLAGLIFLOZINA 12.5 MG /Metformina Clorhidrato 1000 MG X 30 TB | Unidad | 5 | 3,333.00 | 0.00 | 0.00 | 0.00 | 16,665.00 |
| 61 | 51240000 | 51241100 | 51241107 | Dorzolimato clorhidrato | DORZOLAMIDA TIMOLOL GOTAS | Unidad | 2 | 3,940.00 | 0.00 | 0.00 | 0.00 | 7,880.00 |
| 62 | 51180000 | 51181500 | 51181506 | Insulina | INSULINA GLARGINA 100U/ML | Unidad | 20 | 4,335.00 | 0.00 | 0.00 | 0.00 | 86,700.00 |
| 63 | 51190000 | 51191500 | 51191510 | Furosemida | FUROSEMIDA 40 MG X 24 TB | Unidad | 5 | 4,682.00 | 0.00 | 0.00 | 0.00 | 23,410.00 |
| 64 | 51120000 | 51121700 | 51121743 | Besilato de amlodipina | AMLODIPINA 10 MG X 30 TB | Unidad | 25 | 1,089.00 | 0.00 | 0.00 | 0.00 | 27,225.00 |
| 65 | 51120000 | 51121700 | 51121743 | Besilato de amlodipina | AMLODIPINA 5 MG X 30 TB | Unidad | 25 | 914.00 | 0.00 | 0.00 | 0.00 | 22,850.00 |
| 66 | 51110000 | 51111800 | 51111807 | Acetato de leuprolide | ACETATO DE LEUPRORELINA 7,5 MG X 1 AMP | Unidad | 7 | 32,899.00 | 0.00 | 0.00 | 0.00 | 230,293.00 |
| 67 | 51110000 | 51111800 | 51111807 | Acetato de leuprolide | ACETATO DE LEUPRORELINA 22,5 MG X 1 AMP | Unidad | 7 | 79,250.00 | 0.00 | 0.00 | 0.00 | 554,750.00 |
| 68 | 51120000 | 51121600 | 51121614 | Mononitrato de isosorbida | MONONITRATO DE ISORBIDA 0 MG X 30 TB | Unidad | 5 | 1,300.00 | 0.00 | 0.00 | 0.00 | 6,500.00 |
| 69 | 51120000 | 51121700 | 51121765 | Metoprolol | MEPROLOL 50 MG X 10 TB | Unidad | 5 | 5,830.00 | 0.00 | 0.00 | 0.00 | 29,150.00 |
| 70 | 51110000 | 51111600 | 51111610 | Metotrexato | METOTREXATO 2.5 MG X 100 TB | Unidad | 5 | 7,693.00 | 0.00 | 0.00 | 0.00 | 38,465.00 |
| 71 | 51100000 | 51101500 | 51101548 | Fosfomicina trometamol | FOSFOMICINA TROMETAMOL 3G X 1 SOBRE | Unidad | 5 | 1,659.00 | 0.00 | 0.00 | 0.00 | 8,295.00 |
| 72 | 51120000 | 51121700 | 51121726 | Indapamida | INDAPAMIDE 1.5 MG/ INDAPAMIDA 1.5 MG X 30 TB | Unidad | 5 | 3,790.00 | 0.00 | 0.00 | 0.00 | 18,950.00 |
| 73 | 51120000 | 51121700 | 51121710 | Losartán potásico | LOSARTAN POTASICO 100 MG X 30 TB | Unidad | 10 | 3,240.00 | 0.00 | 0.00 | 0.00 | 32,400.00 |
| 74 | 51120000 | 51121700 | 51121710 | Losartán potásico | LOSARTAN POSTASICO 50 MG X 30 TB | Unidad | 5 | 2,945.00 | 0.00 | 0.00 | 0.00 | 14,725.00 |
| 75 | 51120000 | 51121700 | 51121710 | Losartán potásico | LOSARTAN POTASICO 100 MG /HIDROCLOROTIAZIDA 25 MG X 28 TB | Unidad | 10 | 3,390.00 | 0.00 | 0.00 | 0.00 | 33,900.00 |
| 76 | 51180000 | 51182400 | 51182408 | Fosfato sódico de celulosa | MEMANTINECLOHIDRATO 10 MG X 30 TB | Unidad | 10 | 2,793.00 | 0.00 | 0.00 | 0.00 | 27,930.00 |
| 77 | 51140000 | 51141700 | 51141714 | Piracetam | PIRACETAN 800 MG X 32 TB | Unidad | 10 | 2,245.00 | 0.00 | 0.00 | 0.00 | 22,450.00 |
| 78 | 51140000 | 51141700 | 51141714 | Piracetam | PIRACETAN 1200 MG X 32 TB | Unidad | 10 | 2,889.00 | 0.00 | 0.00 | 0.00 | 28,890.00 |
| 79 | 51180000 | 51181800 | 51181825 | Dietilestilbestrol | URIDILICO, ACIDO. URIDINA TRIFOSFATO, URIDINA DIFOSFATO, CITIDINA MONOFASTO | Unidad | 5 | 2,874.00 | 0.00 | 0.00 | 0.00 | 14,370.00 |
| 80 | 51170000 | 51171900 | 51171915 | Pantoprazol sódico | PANTOPRAZOL 40 MG X 28 TB | Unidad | 15 | 7,199.00 | 0.00 | 0.00 | 0.00 | 107,985.00 |
| 81 | 51170000 | 51171600 | 51171631 | Polietilenglicol laxante | SERONEA REPENS 160 MG X 30 TB | Unidad | 10 | 6,512.00 | 0.00 | 0.00 | 0.00 | 65,120.00 |
| 82 | 51120000 | 51121700 | 51121733 | Valsartán | VALSARTAN 160 MG AMLODIPINA 5 MG / HIDROCLOROTIAZIDA 12.5 MG X 30 TB | Unidad | 25 | 1,746.00 | 0.00 | 0.00 | 0.00 | 43,650.00 |
| 83 | 51120000 | 51121700 | 51121733 | Valsartán | VALSARTAN 320 MG/ AMLODIPINA 10 MG/HIDROCLOROTIAZIDA 25 MG X 30 TB | Unidad | 15 | 4,139.00 | 0.00 | 0.00 | 0.00 | 62,085.00 |
| 84 | 51120000 | 51121700 | 51121733 | Valsartán | VALSARTAN 320 MG/ AMLODIPINA 10 MG/HIDROCLOROTIAZIDA 12.5 MG X 30 TB | Unidad | 15 | 3,829.00 | 0.00 | 0.00 | 0.00 | 57,435.00 |
| 85 | 51100000 | 51102300 | 51102302 | Clorhidrato de amantadina | AMANTADINA 100 MG X 30 TB | Unidad | 10 | 2,297.00 | 0.00 | 0.00 | 0.00 | 22,970.00 |
| 86 | 51120000 | 51121900 | 51121904 | Nifedipina | NIFEDIPINA 30 MG X 30 TB | Unidad | 20 | 3,157.00 | 0.00 | 0.00 | 0.00 | 63,140.00 |
| 87 | 51120000 | 51121900 | 51121904 | Nifedipina | NIFEDIPINA 60 MG X 30 TB | Unidad | 20 | 4,890.00 | 0.00 | 0.00 | 0.00 | 97,800.00 |
| 88 | 51140000 | 51142500 | 51142503 | Levodopa | LEVODOPA + BENSERAZIDA 250MG X 30 TB | Unidad | 10 | 4,365.00 | 0.00 | 0.00 | 0.00 | 43,650.00 |
| 89 | 51100000 | 51102200 | 51102212 | Ácido acetohidroxámico | ACIDO ACEXAMICO-NEOMICIDA 40 GR | Unidad | 5 | 1,510.00 | 0.00 | 0.00 | 0.00 | 7,550.00 |
| 90 | 51180000 | 51182400 | 51182408 | Fosfato sódico de celulosa | CARBOXIMETILCELULOSA SODICA 0.5% GLICERINA 1% Y POLISOBARTO 80 0,5% | Unidad | 5 | 1,144.00 | 0.00 | 0.00 | 0.00 | 5,720.00 |
| 91 | 51180000 | 51182400 | 51182408 | Fosfato sódico de celulosa | CARBOXIMETILCELULOSA SODICA 0.5% 15 ML | Unidad | 11 | 939.00 | 0.00 | 0.00 | 0.00 | 10,329.00 |
| 92 | 51120000 | 51121800 | 51121803 | Simvastatina | SIMVASTATINA 20MG + EZETIMIBE 10MG X 30 TB | Unidad | 5 | 3,334.00 | 0.00 | 0.00 | 0.00 | 16,670.00 |
| 93 | 51140000 | 51141900 | 51141921 | Clorhidrato de midazoloam | MEXAZOLAM 1 MG X 60 TB | Unidad | 5 | 5,210.00 | 0.00 | 0.00 | 0.00 | 26,050.00 |
| 94 | 51120000 | 51121700 | 51121725 | Bisoprolol fumarato | BISOPROLOR 10 MG X 30 TB | Unidad | 30 | 1,274.00 | 0.00 | 0.00 | 0.00 | 38,220.00 |
| 95 | 51180000 | 51181600 | 51181601 | Levotiroxina sódica | LEVOTIROXINA SODICA 88 MG X 30 TB | Unidad | 5 | 1,741.00 | 0.00 | 0.00 | 0.00 | 8,705.00 |
| 96 | 51210000 | 51212000 | 51212002 | Extracto de centella asiática | POLIETILENGLICOL/PROPILENGLICOL | Unidad | 5 | 1,349.00 | 0.00 | 0.00 | 0.00 | 6,745.00 |
| 97 | 51210000 | 51212000 | 51212002 | Extracto de centella asiática | CETELLA ASIATICA AL 2% X 5GR | Unidad | 5 | 957.00 | 0.00 | 0.00 | 0.00 | 4,785.00 |
| 98 | 51140000 | 51141500 | 51141513 | Carbamazepina | CARBOMACEPINA 400 MG X 30 TB | Unidad | 10 | 4,565.00 | 0.00 | 0.00 | 0.00 | 45,650.00 |
| 99 | 51120000 | 51121800 | 51121818 | Atorvastatina | ATORVASTATINA 80MG X 30 TB | Unidad | 5 | 6,745.00 | 0.00 | 0.00 | 0.00 | 33,725.00 |
| 100 | 51130000 | 51132000 | 51132001 | Pentoxifilina | THYHEXYFENIDIL 5 MG X 30 TB | Unidad | 10 | 726.00 | 0.00 | 0.00 | 0.00 | 7,260.00 |