ࡱ> wx  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvRoot Entry Fu>K#Workbook}Ole SummaryInformation( Oh+'0x08 X dpErich Vallim Vicente@K#@K#՜.+,00HP X`hp x ' Portaria 2981+'Portaria 2981'!Excel_BuiltIn_Print_Titles%'Portaria 2 \pErich Vallim Vicente Ba==?8X@"1Calibri1Arial1Arial1Arial1 Calibri1Calibri14Calibri1 Calibri14Calibri1>Calibri1Calibri1<Calibri1?Calibri1 Calibri1Calibri1Calibri1,8Calibri18Calibri18Calibri1h8Cambria1Calibri1Calibri1Calibri1Calibri1Calibri1dCalibri1Calibri1Calibri "R$ "#,##0_);\("R$ "#,##0\)% "R$ "#,##0_);[Red]\("R$ "#,##0\)&!"R$ "#,##0.00_);\("R$ "#,##0.00\)+&"R$ "#,##0.00_);[Red]\("R$ "#,##0.00\)=*8_("R$ "* #,##0_);_("R$ "* \(#,##0\);_("R$ "* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)E,@_("R$ "* #,##0.00_);_("R$ "* \(#,##0.00\);_("R$ "* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)                      .   /     .         1      ff  `  >      1 5  /  , *  +      + )    P  P      a> 8 8 x   x!x!x (ww ww "8ww  ( 8ww   8ww ww |ww 8ww xww 8ww |ww xww 8ww 1ALFAINTERFERONA 2B 10.000.000 UI INJETAVEL (POR FRASCO-AMPOLA)B180, B181, D180=ALFAINTERFERONA 2B 3.000.000 UI INJETAVEL (POR FRASCO-AMPOLA)B171, B180, B181, B182, D180=ALFAINTERFERONA 2B 5.000.000 UI INJETAVEL (POR FRASCO-AMPOLA)B180, B181, B182, D1805ALFAPEGINTERFERONA 2A 180MCG (POR SERINGA PREENCHIDA)B171, B180, B1820ALFAPEGINTERFERONA 2B 100MCG (POR FRASCO-AMPOLA)0ALFAPEGINTERFERONA 2B 120MCG (POR FRASCO-AMPOLA)/ALFAPEGINTERFERONA 2B 80MCG (POR FRASCO-AMPOLA)6ALFAVELAGLICERASE 200 U INJETAVEL (POR FRASCO AMPOLA) E7526ALFAVELAGLICERASE 400 U INJETAVEL (POR FRASCO AMPOLA) "AMANTADINA 100 MG (POR COMPRIMIDO)G20$ATORVASTATINA 10 MG (POR COMPRIMIDO)$ATORVASTATINA 20 MG (POR COMPRIMIDO)$ATORVASTATINA 40 MG (POR COMPRIMIDO)$ATORVASTATINA 80 MG (POR COMPRIMIDO)"AZATIOPRINA 50 MG (POR COMPRIMIDO)D610, D693, G35, G700, H300, H301, H302, H308, K500, K501, K508, K510, K511, K512, K513, K514, K515, K518, K754, L930, L931, M051, M052, M080, M321, M328, M330, M331, M332, M340, M341, M348, T861, Z940, Z941, Z942, Z943, Z944, Z948. LBETAINTERFERONA 1A 12.000.000 UI (44 MCG) INJETAVEL (POR SERINGA PREENCHIDA)G35KBETAINTERFERONA 1A 6.000.000 UI (22 MCG) INJETAVEL (POR SERINGA PREENCHIDA)PBETAINTERFERONA 1A 6.000.000 UI (30 MCG) INJETAVEL (POR FRASCO-AMPOLA OU SERINGA3FBETAINTERFERONA 1B 9.600.000 UI (300MCG) INJETAVEL (POR FRASCO-AMPOLA)-BEZAFIBRATO 200 MG (POR DRGEA OU COMPRIMIDO):BEZAFIBRATO 400 MG (POR COMPRIMIDO DE DESINTEGRAO LENTA)<BIMATOPROSTA 0,3 MG/ML SOLUO OFTLMICA (POR FRASCO DE 3ML)BOCEPREVIR 200MG (POR CAPSULA) 18 Ano(s)B182;BRIMONIDINA 2,0 MG/ML SOLUO OFTLMICA (POR FRASCO DE 5ML)=BRINZOLAMIDA 10 MG/ML SUSPENSO OFTLMICA (POR FRASCO DE 5ML)GBROMOCRIPTINA 2,5 MG (POR COMPRIMIDO OU CAPSULA DE LIBERAO RETARDADA) E221, G20)BUDESONIDA 200 MCG (POR CAPSULA INALANTE)"J440, J441, J448, J450, J451, J458JBUDESONIDA 200 MCG PO INALANTE OU AEROSSOL BUCAL (POR FRASCO C/ 100 DOSES)JBUDESONIDA 200 MCG PO INALANTE OU AEROSSOL BUCAL (POR FRASCO C/ 200 DOSES))BUDESONIDA 400 MCG (POR CAPSULA INALANTE)#CABERGOLINA 0,5 MG (POR COMPRIMIDO) E220, E2212CALCIPOTRIOL 50 MCG/G POMADA (POR BISNAGA DE 30 G)L400, L401, L404, L408.*CALCITONINA 100 UI INJETAVEL (POR AMPOLA) uM800, M801, M802, M803, M804, M805, M808, M810, M811,M812, M813, M814, M815, M816, M818, M820, M821, M828,M880, M888 ,CALCITONINA 200 UI SPRAY NASAL (POR FRASCO) )CALCITONINA 50 UI INJETAVEL (POR AMPOLA) "CALCITRIOL 0,25 MCG (POR CAPSULA) {E200, E201, E208, E550, E559, E643, E833, E892, M805, M815,M830, M831, M832, M833, M834, M835, M838, N180, N188,N250, N258 *CALCITRIOL 1,0 MCG INJETAVEL (POR AMPOLA) N180, N188, N250, N258 BCERTOLIZUMABE PEGOL 200 MG/ML INJETAVEL (POR SERINGA PREENCHIDA) M050, M053, M058, M060, M068. !CICLOFOSFAMIDA 50 MG (POR DRAGEA)wD590, D591, D600, D693, L930, L931, M321, M328, M340, M341, M348, N040, N041, N042, N043, N044, N045, N046, N047, N048 CICLOSPORINA 10 MG (POR CAPSULA)LD590, D591, D600, D610, D611, D612, D613, D618, G700, H300, H301, H302, H308, K500, K501, K508, K510, K511, K512, K513, K514, K515, K518, L400, L401, L404, L408, L930, L931, M051, M052, M070, M073, M080, M321, M328, M330, M331, M332, N040, N041, N042, N043, N044, N045, N046, N047, N048, T861, Z940, Z941, Z942, Z943, Z944, Z948. !CICLOSPORINA 100 MG (POR CAPSULA)9CICLOSPORINA 100 MG/ML SOLUCAO ORAL (POR FRASCO DE 50 ML) CICLOSPORINA 25 MG (POR CAPSULA) CICLOSPORINA 50 MG (POR CAPSULA)$CIPROFIBRATO 100 MG (POR COMPRIMIDO)"CIPROTERONA 50 MG (POR COMPRIMIDO)E228, E250, E280, E282, L680CLOBAZAM 10 MG (POR COMPRIMIDO)4G400, G401, G402, G403, G404, G405, G406, G407, G408CLOBAZAM 20 MG (POR COMPRIMIDO)0CLOBETASOL 0,5 MG/G CREME (POR BISNAGA DE 30 G) L400, L401, L404, L4089CLOBETASOL 0,5 MG/G SOLUO CAPILAR (POR FRASCO DE 50 G) "CLOPIDOGREL 75 MG (POR COMPRIMIDO)I200, I201, I210, I211, I212, I213, I214, I219, I220, I221, I228, I229, I230, I231, I232, I233, I234, I235, I236, I238, I240, I248, I249. "CLOROQUINA 150 MG (POR COMPRIMIDO):L930, L931, M050, M053, M058, M060, M068, M080, M321, M328!CLOZAPINA 100 MG (POR COMPRIMIDO).F200, F201, F202, F203, F204, F205, F206, F208 CLOZAPINA 25 MG (POR COMPRIMIDO)3CODEINA 3 MG/ML SOLUCAO ORAL (POR FRASCO DE 120 ML) R521, R522CODEINA 30 MG (POR COMPRIMIDO)%CODEINA 30 MG/ML (POR AMPOLA DE 2 ML)CODEINA 60 MG (POR COMPRIMIDO)@COMPLEMENTO ALIMENTAR P/ PACIENTE FENILCETONURICO MAIOR DE 1 ANO1 Ano(s) E700, E701@COMPLEMENTO ALIMENTAR P/ PACIENTE FENILCETONURICO MENOR DE 1 ANODANAZOL 100 MG (POR CAPSULA)MD693, D841, L930, L931, M321, M328, N800, N801, N802, N803, N804, N805, N808 DANAZOL 200 MG (POR CAPSULA)#DEFERASIROX 125 MG (POR COMPRIMIDO) E831, T454#DEFERASIROX 250 MG (POR COMPRIMIDO)#DEFERASIROX 500 MG (POR COMPRIMIDO)#DEFERIPRONA 500 MG (POR COMPRIMIDO)3DESFERROXAMINA 500 MG INJETAVEL (POR FRASCO-AMPOLA)E831, N250, T454>DESMOPRESSINA 0,1 MG/ML APLICACAO NASAL (POR FRASCO DE 2,5 ML)E232!DONEPEZILA 10 MG (POR COMPRIMIDO) 40 Ano(s)G300, G301, G308 DONEPEZILA 5 MG (POR COMPRIMIDO):DORZOLAMIDA 20 MG/ML SOLUO OFTLMICA (POR FRASCO DE 5ML)"ENTACAPONA 200 MG (POR COMPRIMIDO)!ENTECAVIR 0,5 MG (POR COMPRIMIDO)ENTECAVIR 1 MG (POR COMPRIMIDO)/ETANERCEPTE 25 MG INJETAVEL (POR FRASCO-AMPOLA)4M050, M053, M058, M060, M068, M070, M073, M080, M45./ETANERCEPTE 50 MG INJETAVEL (POR FRASCO-AMPOLA)ETOFIBRATO 500 MG (POR CAPSULA)ETOSSUXIMIDA 50 MG/ML (XAROPE)!EVEROLIMO 0,5 MG (POR COMPRIMIDO) T861, Z940"EVEROLIMO 0,75 MG (POR COMPRIMIDO)EVEROLIMO 1 MG (POR COMPRIMIDO) FENOFIBRATO 200 MG (POR CAPSULA)7FENOFIBRATO 250 MG (POR CAPSULA DE LIBERACAO RETARDADA)4FENOTEROL 100 MCG AEROSSOL (POR FRASCO DE 200 DOSES))FILGRASTIM 300 MCG INJETAVEL (POR FRASCO)B171, B182, B200, B201, B202, B203, B204, B205, B206, B207, B208, B209, B220, B221, B222, B227, B230, B231, B232, B238, B24, D460, D461, D467, D610, D611, D612, D613, D618, D70, Z948. 'FLUDROCORTISONA 0,1 MG (POR COMPRIMIDO)E250, E271, E274 FLUVASTATINA 20 MG (POR CAPSULA) FLUVASTATINA 40 MG (POR CAPSULA)(FORMOTEROL 12 MCG (POR CAPSULA INALANTE)=FORMOTEROL 12 MCG + BUDESONIDA 400 MCG (POR CAPSULA INALANTE)KFORMOTEROL 12 MCG + BUDESONIDA 400 MCG PO INALANTE (POR FRASCO DE 60 DOSES)6FORMOTEROL 12 MCG PO INALANTE (POR FRASCO DE 60 DOSES)#J440, J441, J448, J450, J451, J458.JFORMOTEROL 6 MCG + BUDESONIDA 200 MCG PO INALANTE (POR FRASCO DE 60 DOSES);FORMOTEROL 6MCG + BUDESONIDA 200 MCG (POR CAPSULA INALANTE) GABAPENTINA 300 MG (POR CAPSULA)3 Ano(s)@G400, G401, G402, G403, G404, G405, G406, G407, G408, R521, R522 GABAPENTINA 400 MG (POR CAPSULA< )GALANTAMINA 16 MG (POR CAPSULA)GALANTAMINA 24 MG (POR CAPSULA)GALANTAMINA 8 MG (POR CAPSULA) GENFIBROZILA 600 MG (COMPRIMIDO)$GENFIBROZILA 900 MG (POR COMPRIMIDO)DGLATIRAMER 20 MG INJETAVEL (POR FRASCO-AMPOLA OU SERINGA PREENCHIDA)3GOLIMUMABE 50 MG INJETAVEL (POR SERINGA PREENCHIDA)M050, M053, M058, M060, M0688GOSSERRELINA 10,80 MG INJETAVEL (POR SERINGA PREENCHIDA)@D250, D251, D252, E228, N800, N801, N802, N803, N804, N805, N8087GOSSERRELINA 3,60 MG INJETAVEL (POR SERINGA PREENCHIDA))HIDROXICLOROQUINA 400 MG (POR COMPRIMIDO)FL930, L931, M050, M053, M058, M060, M068, M080, M321, M328, M330, M331-HIDRXIDO DE ALUMNIO 230 MG (POR COMPRIMIDO) E833, N180-HIDRXIDO DE ALUMNIO 300 MG (POR COMPRIMIDO)AHIDRXIDO DE ALUMNIO 61,5 MG/ML (SUSPENSO POR FRASCO DE 100 ML)AHIDRXIDO DE ALUMNIO 61,5 MG/ML (SUSPENSO POR FRASCO DE 150 ML)AHIDRXIDO DE ALUMNIO 61,5 MG/ML (SUSPENSO POR FRASCO DE 240 ML)!HIDROXIUREIA 500 MG (POR CAPSULA)D561, D568, D570, D571, D572=ILOPROSTA 10 MCG/ML SOLUO PARA NEBULIZAO (AMPOLA DE 1 ML)I270, I272, I278.1IMIGLUCERASE 200 UI INJETAVEL (POR FRASCO-AMPOLA)1IMIGLUCERASE 400 UI INJETAVEL (POR FRASCO-AMPOLA)<IMUNOGLOBULINA ANTI-HEPATITE B 100 UI INJETAVEL (POR FRASCO)B160, B162, B180, B181<IMUNOGLOBULINA ANTI-HEPATITE B 500 UI INJETAVEL (POR FRASCO)<IMUNOGLOBULINA ANTI-HEPATITE B 600 UI INJETAVEL (POR FRASCO)2IMUNOGLOBULINA HUMANA 0,5 G INJETAVEL (POR FRASCO)2B200, B201, B202, B203, B204, B205, B206, B207, B208, B209, B220, B221, B222, B227, B230, B231, B232, B238, B24, D590, D591, D600, D693, D800, D801, D803, D805, D806, D807, D808, D810, D811, D812, D813, D814, D815, D816, D817, D818, D820, D821, D830, D832, D838, G610, G700, M330, M331, M332, Z940, T861. 2IMUNOGLOBULINA HUMANA 1,0 G INJETAVEL (POR FRASCO)2IMUNOGLOBULINA HUMANA 2,5 G INJETAVEL (POR FRASCO)2IMUNOGLOBULINA HUMANA 3,0 G INJETAVEL (POR FRASCO)2IMUNOGLOBULINA HUMANA 5,0 G INJETAVEL (POR FRASCO)2IMUNOGLOBULINA HUMANA 6,0 G INJETAVEL (POR FRASCO)<INFLIXIMABE 10 MG/ML INJETAVEL (POR FRASCO-AMPOLA COM 10 ML)$M050, M053, M058, M060, M068, M080. !K500, K501, K508, M070, M073, M45"ISOTRETINOINA 10 MG (POR CAPSULA) L700, L701, L708 "ISOTRETINOINA 20 MG (POR CAPSULA) 3LAMIVUDINA 10 MG/ML SOLUCAO ORAL (FRASCO DE 240 ML)"LAMIVUDINA 150 MG (POR COMPRIMIDO)#LAMOTRIGINA 100 MG (POR COMPRIMIDO)2 Ano(s)"LAMOTRIGINA 25 MG (POR COMPRIMIDO)"LAMOTRIGINA 50 MG (POR COMPRIMIDO)4LANREOTIDA 60 MG INJETAVEL (POR SERINGA PREENCHIDA) E2204LANREOTIDA 90 MG INJETAVEL (POR SERINGA PREENCHIDA) 6LANREOTIDA 1200 MG INJETAVEL (POR SERINGA PREENCHIDA) ?LATANOPROSTA 0,05 MG/ML SOLUO OFTLMICA (POR FRASCO DE 2,5ML)"LEFLUNOMIDA 20 MG (POR COMPRIMIDO):M050, M051, M052, M053, M058, M060, M068, M070, M073, M0804LEUPRORRELINA 11,25 MG INJETAVEL (POR FRASCO-AMPOLA)3LEUPRORRELINA 3,75 MG INJETAVEL (POR FRASCO-AMPOLA)"LOVASTATINA 10 MG (POR COMPRIMIDO)"LOVASTATINA 20 MG (POR COMPRIMIDO)"LOVASTATINA 40 MG (POR COMPRIMIDO)3MESALAZINA 1 G + DILUENTE 100 ML (ENEMA) - POR DOSE:K500, K501, K508, K510, K511, K512, K513, K514, K515, K518$MESALAZINA 1000 MG (POR SUPOSITORIO)#MESALAZINA 250 MG (POR SUPOSITORIO)3MESALAZINA 3 G + DILUENTE 100 ML (ENEMA) - POR DOSE"MESALAZINA 500 MG (POR COMPRIMIDO)<K500, K501, K508, K510, K511, K512, K513, K514, K515, K518. #MESALAZINA 500 MG (POR SUPOSITORIO)"MESALAZINA 800 MG - POR COMPRIMIDO!MESALAZINA 400MG(POR COMPRIMIDO)  310 METADONA 10 MG (POR COMPRIMIDO)0METADONA 10 MG/ML INJETAVEL (POR AMPOLA DE 1 ML)METADONA 5 MG (POR COMPRIMIDO)/METILPREDNISOLONA 500 MG INJETAVEL (POR AMPOLA)<K500, K501, K508, T861, Z940, Z941, Z942, Z943, Z944, Z948. #METOTREXATO 2,5 MG (POR COMPRIMIDO)zL400, L401, L404, L408, M050, M051, M052, M053, M058, M060, M068, M070, M073, M080, M330,M331, M332, M340, M341, M348, M453METOTREXATO 25 MG/ML INJETAVEL (POR AMPOLA DE 2 ML)K500, K501, K508, L930, L931, M050, M053, M058, M060, M068, M070, M073, M080, M321, M328, M330, M331, M332, M340, M341, M348, M45. 4METOTREXATO 25 MG/ML INJETAVEL (POR AMPOLA DE 20 ML)0MICOFENOLATO DE MOFETILA 500 MG (POR COMPRIMIDO)T861, Z940, Z941, Z944-MICOFENOLATO DE SODIO 180 MG (POR COMPRIMIDO)-MICOFENOLATO DE SODIO 360 MG (POR COMPRIMIDO)MIGLUSTATE 100 (POR CAPSULA) 130 Anos(s)Ambos+MOLGRAMOSTIM 300 MCG INJETAVEL (POR FRASCO)MORFINA 10 MG (POR COMPRIMIDO)%MORFINA 10 MG/ML (POR AMPOLA DE 1 ML)3MORFINA 10 MG/ML SOLUCAO ORAL (POR FRASCO DE 60 ML)MORFINA 30 MG (POR COMPRIMIDO)4MORFINA DE LIBERACAO CONTROLADA 100 MG (POR CAPSULA)3MORFINA DE LIBERACAO CONTROLADA 30 MG (POR CAPSULA)3MORFINA DE LIBERACAO CONTROLADA 60 MG (POR CAPSULA)!NAPROXENO 250 MG (POR COMPRIMIDO)'M050, M053, M058, M060, M068, M080, M45!NAPROXENO 500 MG (POR COMPRIMIDO)&NATALIZUMABE 300MG (POR FRASCO-AMPOLA)+OCTREOTIDA 0,1 MG/ML INJETAVEL (POR AMPOLA)2OCTREOTIDA LAR 10 MG INJETAVEL (POR FRASCO-AMPOLA)2OCTREOTIDA LAR 20 MG INJETAVEL (POR FRASCO-AMPOLA)2OCTREOTIDA LAR 30 MG INJETAVEL (POR FRASCO-AMPOLA)!OLANZAPINA 10 MG (POR COMPRIMIDO) OLANZAPINA 5 MG (POR COMPRIMIDO)/PAMIDRONATO 30 MG INJETAVEL (POR FRASCO-AMPOLA)uM800, M801, M802, M803, M804, M805, M808, M810, M811, M812, M813, M814, M815, M816, M818,M820, M821, M828, M880, M888/PAMIDRONATO 60 MG INJETAVEL (POR FRASCO-AMPOLA)$PANCREATINA 10.000 UI (POR CAPSULA) E841, E848, K860, K861, K903 $PANCREATINA 25.000 UI (POR CAPSULA) %PANCRELIPASE 12.000 UI (POR CAPSULA) %PANCRELIPASE 18.000 UI (POR CAPSULA) %PANCRELIPASE 20.000 UI (POR CAPSULA) #PANCRELIPASE 4500 UI (POR CAPSULA) "PENICILAMINA 250 MG (POR CAPSULA) E830, M340, M341, M348 ;PILOCARPINA 20 MG/ML SOLUO OFTLMICA (POR FRASCO DE 10ML)$PIRIDOSTIGMINA 60MG (POR COMPRIMIDO)G700$PRAMIPEXOL 0,125 MG (POR COMPRIMIDO)#PRAMIPEXOL 0,25 MG (POR COMPRIMIDO) PRAMIPEXOL 1 MG (POR COMPRIMIDO)#PRAVASTATINA 10 MG (POR COMPRIMIDO)"PRAVASTATINA 20MG (POR COMPRIMIDO)#PRAVASTATINA 40 MG (POR COMPRIMIDO)!PRIMIDONA 100 MG (POR COMPRIMIDO)!PRIMIDONA 250 MG (POR COMPRIMIDO)"QUETIAPINA 100 MG (POR COMPRIMIDO)"QUETIAPINA 200 MG (POR COMPRIMIDO)!QUETIAPINA 25 MG (POR COMPRIMIDO)"QUETIAPINA 300 MG (POR COMPRIMIDO)!RALOXIFENO 60 MG (POR COMPRIMIDO)iM800, M801, M802, M803, M804, M805, M808, M810, M811, M812, M813, M814, M815, M816, M818,M820, M821, M828RIBAVIRINA 250 MG (POR CAPSULA) B171, B182RILUZOL 50 MG (POR COMPRIMIDO)G122"RISEDRONATO 35 MG (POR COMPRIMIDO)!RISEDRONATO 5 MG (POR COMPRIMIDO)!RISPERIDONA 1 MG (POR COMPRIMIDO)!RISPERIDONA 2 MG (POR COMPRIMIDO)!RISPERIDONA 3 MG (POR COMPRIMIDO)8RITUXIMABE 500 MG INJETAVEL (POR FRASCO-AMPOLA DE 50ML) !RIVASTIGMINA 1,5 MG (POR CAPSULA):RIVASTIGMINA 2,0 MG/ML SOLUO ORAL (POR FRASCO DE 120 ML)RIVASTIGMINA 3 MG (POR CAPSULA)!RIVASTIGMINA 4,5 MG (POR CAPSULA)RIVASTIGMINA 6 MG (POR CAPSULA)CSACARATO DE HIDROXIDO FERRICO 100 MG INJETAVEL (POR FRASCO DE 5 ML)D500, D508, N180, N188HSALMETEROL 50 MCG PO INALANTE OU AEROSSOL BUCAL (POR FRASCO DE 60 DOSES)+SELEGILINA 10 MG (POR DRAGEA OU COMPRIMIDO) SELEGILINA 5 MG (POR COMPRIMIDO)!SEVELAMER 800 MG (POR COMPRIMIDO)"SILDENAFILA 20 MG (POR COMPRIMIDO)"SILDENAFILA 25 MG (POR COMPRIMIDO)M340, M341, M348."SILDENAFILA 50 MG (POR COMPRIMIDO)SIROLIMO 1 MG (POR DRAGEA)SIROLIMO 2 MG (POR DRAGEA) 110Ano(s) 0SOMATROPINA 12 UI INJETAVEL (POR FRASCO-AMPOLA) )E230, Q960, Q961, Q962, Q963, Q964, Q968 /SOMATROPINA 4 UI INJETAVEL (POR FRASCO-AMPOLA) (E230, Q960, Q961, Q962, Q963, Q964, Q968&SULFASSALAZINA 500 MG (POR COMPRIMIDO)K500, K501, K508, K510, K511, K512, K513, K514, K515, K518, K522, M023, M050, M053, M058, M060, M068, M070, M073, M074, M075, M076, M080, M45, M460, M461, M468TACROLIMO 1 MG (POR CAPSULA)GN040, N041, N042, N043, N044, N045, N046, N047, N048, T861, Z940, Z944.TACROLIMO 5 MG (POR CAPSULA)/TALIGLUCERASE ALFA 200 U INJETVEL (POR FRASCO)!TELAPREVIR 375MG (POR COMPRIMIDO)"TENOFOVIR 300 MG (POR COMPRIMIDO) 13 ano(s)7TIMOLOL 5,0 MG/ML SOLUO OFTLMICA (POR FRASCO DE 5ML):TOCILIZUMABE 20 MG/ML INJETAVEL (POR FRASCO AMPOLA DE 4< ML)"M050, M053, M058, M060, M068, M080!TOLCAPONA 100 MG (POR COMPRIMIDO)"TOPIRAMATO 100 MG (POR COMPRIMIDO)!TOPIRAMATO 25 MG (POR COMPRIMIDO)!TOPIRAMATO 50 MG (POR COMPRIMIDO)=TOXINA BOTULINICA TIPO A 100 UI INJETAVEL (POR FRASCO-AMPOLA)G041, G240, G241, G242, G243, G244, G245, G248, G518, G800, G801, G802, G811, G821, G824, I690, I691, I692, I693, I694, I698, T905, T908.=TOXINA BOTULINICA TIPO A 500 UI INJETAVEL (POR FRASCO-AMPOLA)>TRAVOPROSTA 0,04 MG/ML SOLUO OFTLMICA (POR FRASCO DE 2,5ML)#TRIEXIFENIDIL 5 MG (POR COMPRIMIDO)4TRIPTORRELINA 11,25 MG INJETAVEL (POR FRASCO-AMPOLA)3TRIPTORRELINA 3,75 MG INJETAVEL (POR FRASCO-AMPOLA)#VIGABATRINA 500 MG (POR COMPRIMIDO)ZIPRASIDONA 40 MG (POR CAPSULA)ZIPRASIDONA 80 MG (POR CAPSULA)mMEDICAMENTOS DISTRIBUDOS PELA FARMCIA DE ALTO CUSTO ATRAVS DE PROTOCOLOS ESTADUAIS DO GOVERNO DE SO PAULOCIDO FOLNICO (POR COMPRIMIDO) 11 Ano(s) 60 Ano(s)FemininoB58, B58.9, P37.1!ARIPIPRAZOL 15MG (POR COMPRIMIDO)  0Mes(es)    110Ano(s)   Ambos !ARIPIPRAZOL 20MG (POR COMPRIMIDO)!ARIPIPRAZOL 30MG (POR COMPRIMIDO) BOSENTANA 125MG (POR COMPRIMIDO) I270, I272!BOSENTANA 62,5MG (POR COMPRIMIDO)$ESPIRAMICINA 1,5MUI (POR COMPRIMIDO)'FRMULA AMINOCIDOS LIVRES (POR GRAMA) 0 Ms(es)2Ano(s)K52.2(FRMULA HIDROLISADO PROTEICO (POR GRAMA))FRMULA PROTENA ISOLADA SOJA (POR GRAMA),IMUNOGLOBULINA ANTI RH-O (POR FRASCO AMPOLA)O36.0 PALIVIZUMABE (POR FRASCO AMPOLA)#PIRIMETAMINA 25MG (POR COMPRIMIDO)-SALMETEROL/FLUTICASONA 50/100MCG (POR FRASCO)PJ41.0, J41.1, J41.8, J42, J43.1, J43.2, J43.8, J43.9, J44.0, J44.1, J44.8, J44.9-SALMETEROL/FLUTICASONA 50/250MCG (POR FRASCO)SULFADIAZINA (POR COMPRIMIDO)TIOTRPIO 2,5MCG (POR FRASCO)3MEDICAMENTOS EXCLUDOS COM A PORTARIA 1.554 DE 2013,BECLOMETASONA 200 MCG (POR CAPSULA INALANTE)J450, J451, J458;BECLOMETASONA 200 MCG PO INALANTE (POR FRASCO DE 100 DOSES)5BECLOMETASONA 250 MCG SPRAY (POR FRASCO DE 200 DOSES),BECLOMETASONA 400 MCG (POR CAPSULA INALANTE);BECLOMETASONA 400 MCG PO INALANTE (POR FRASCO DE 100 DOSES)EBROMOCRIPTINA 5 MG (POR COMPRIMIDO OU CPSULA DE LIBERAO RETARDADA)E220, E221, G20DANAZOL 50 MG (POR CAPSULA).D841, N800, N801, N802, N803, N804, N805, N808 NITRAZEPAM 5 MG (POR COMPRIMIDO)+OCTREOTIDA 0,5 MG/ML INJETAVEL (POR AMPOLA)/PAMIDRONATO 90 MG INJETAVEL (POR FRASCO-AMPOLA) M880, M8885SALBUTAMOL 100 MCG AEROSSOL (POR FRASCO DE 200 DOSES)1SIROLIMO 1MG/ML SOLUCAO ORAL (POR FRASCO DE 60ML)M 7e{:t/x7z9 = u 4 !#&_')Z*x+,D.T//1245~_78;><h > ?! @ 4BPDSEFZHIMJiK$MrN OsPxR[SvUh;W XXC&Z[\b cc  @dy`ne{=ͽ/  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