lista de pbm medicamento desconto

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  • 7/21/2019 LISTA DE PBM MEDICAMENTO DESCONTO

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    PMLs

    Prdirklk nf Mfofbcgds nf Lfngcklfotds

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    SVL]GD

    GO^]DNVD

    D [VF SD PMLS 1 SDM]F K KVNG^ BK]LK1 JKMD]K^]GDS

    PML

    ]FJKD CDLPJF^K NDS LFNGCKLFO^DS NGSPDORFGS

    ]FCFG^K NF RGNK (LSN) .......................................................................................................................................

    RGNK LKGS (EWPF]LK]CKS - EPL) ............................................................................................ ....................

    LGCK]N (MDFE]GOIF]) ......................................................................................................................................

    SKNF BCGJ (MDFE]GOIF])..............................................................................................................................

    ^KL BCGJ (XDNGKC) .............................................................................................................................................

    FS^GJD BJFU NF SF] (XDNGKC)............................................................................................................................

    LFUK-SF CDO^]K K K]^]DSF (XDNGKC).......................................................................................................

    DS^FD BCGJ (XDNGKC)..........................................................................................................................................

    PK]F K ND] (XDNGKC) .........................................................................................................................................

    RGRK MFL (JVONMFCA).........................................................................................................................................

    SDV LKGS RGNK (KPSFO).......................................................................................................................................

    F[VGJGM]F SKNF (M]GS^DJ F PBGXF]) ..........................................................................................................

    JGJJW LFJED] PK]K RDC (JGJJW).................................................................................................................

    CVGNKNDS PFJK RGNK (KCE F MGDSGO^^GCK).........................................................................................

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    SVL]GD

    JDIGUPEK]LK LF]CA CVGNK (LF]CA) .............................................................................................................

    JDIGUPEK]LK BKX MFL (KS^]KXFOFCK) ............................................................................................,,,.........

    RKJF LKGS SKNF (KJCDO, ODRK]^GS F SKONDX ) .....................................................................................

    ]FJKD CDLPJF^K NKS FLP]FSKS NGSPDORFGS PK]K K^FONGLFO^D

    CDOROGD CD]PD]K^GRD

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    D [VF SD PMLS4

    PML, kmrfvgkturk nf PEK]LKCW MFOFBG LKOKIFLFO^, quf od Mrksgj bdg trknuzgnd

    cdld Prdirklk nf Mfofbcgd fl Lfngcklfotds, sd kcdrnds fotrf k gonstrgk, ngstrgmugndrfs f

    bkrlcgks, dbfrfcfond nfscdotds fspfcgkgs fl ngvfrsds lfngcklfotds pkrk d cdosulgndr bgokj.

    D prdcfssd nf crfnfocgklfotd nk bkrlcgk od cdovogd fovdjvf d cdotktd huotd s gonstrgks, flprfsks nf

    PMLf jkmdrktrgds.

    Cdl d PML, d kcfssd nk pdpujkd kds lfngcklfotds bkcgjgtknd. Ktukjlfotf, ks prgocgpkgs rfnfs nf

    bkrlcgks nd pks pkrtgcgpkl nfssfs prdirklks. Jfvkotklfotd rfkjgzknd pfjk PMLK gongckl quf ks

    flprfsks okcgdokgs sumsgngkl, fl lngk, cfrck nf 60% nd vkjdr nd rflngd.

    D mfofbcgd pdnf vgr, pdr fxflpjd, od ktd nk cdlprk du nfscdotknd nk bdjek nf pkiklfotd nd

    buocgdorgd.

    D Prdcfssd tdtkjlfotf gotfirkndfotrf, Gonustrgk, Ngstrgmugndrk f Bkrlcgk. D quf pdssgmgjgtk d rfpkssf

    nds nfscdotds cdocfngnds pfjk k bkrlcgk nf bdrlk kutdltgck ok rfpdsgd nd lfngcklfotd.

    K fxpfctktgvk nf quf, oul prkzd nf kt cgocd kods, d olfrd nf flprfiknds du pkcgfotfs mfofbgcgknds

    cdl d sumsngd nf lfngcklfotds cefiuf k=0 lgjefsnf usurgds od Mrksgj.

    SDM]F K KVNG^ BK]LK

    Pdssulds aodw-edwf fxpfrgocgk ofssfs prdcfssds, f dbfrfcflds cdosujtdrgk pkrk kuxgjgkr ks Bkrlcgks

    f Nrdikrgks k dmtfrfl Crfnfocgklfotd oks pjktkbdrlks nf PML, fbftuklds trfgoklfotd f qukjgbgckd

    pkrk suk fqugpf ktfonfr nk lfjedr bdrlk sfus cjgfotfs

    .

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    JKMD]K^]GDS PK]^GCGPKO^FS NDS P]DI]KLKS NF MFOFBCGDS NFLFNGCKLFO^DS

    SD LKGS NF 300 KP]FSFO^KFS NGSPDORFGS.VL PD]^BJGD NF LFNGCKLFO^DS [VF ^]KX K CDOBGKOKNK CJKSSF LNGCK, D

    ]FSPFG^DND CJGFO^F, F K C]FNGMGJGNKNF NKS I]KONFS LK]CKS PK]K SVKBK]LCGK.

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    PML - ]FCFG^K NF RGNK

    Lfrca Sekrp - LSN

    Prdnu td Kprfs fo tkd Cngid Mkrrks

    CDSDP^ ;0 lj 9579339902=7=

    CDSDP^ 6 lj 9579339906502

    HKOVLF^ 60 + ;000 lci cx c/ 62 ckps 9579339905=03

    HKOVLF^ 60 + 600lci cx c/ 62 ckps 9579339905;22

    HKOVLF^

    60 + 560 lci cx c/ 62 ckps

    9579339905;50

    HKOVRGK ;00 li cx c/ =5 cprs 957933990922>

    HKOVRGK =6 li cx c/ =5 cprs 9579339909672

    HKOVRGK 60 li cx c/ =5 cprs 95793399092=2

    OKSDOFU ;=0 ndsfs 95757=269=;;3

    OKSDOFU ;=0 ndsfs k pkrtgr nk 2 ckgxk 20% nf nfscdotd

    OVRK]GOI C/;kofj 957969=00;>;;

    P]DLG]K >00 li c/ 6 cprs 957;;02706306

    P]DLG]K >00 li c/ 9 cprs 957;;027063>3

    SGOIVJKG] ;0 li c/ ;0 cprs 957933990266;

    SGOIVJKG] ;0 li c/ 30 cprs 9579339902625

    SGOIVJKG] > li c/ ;0 cprs 9579339902>70

    SGOIVJKG] > li c/ 30 cprs 9579339902602

    SGOIVJKG] 6 li c/ ;0 cprs 95793399026=0

    SGOIVJKG] 6 li c/ 30 cprs 9579339902696

    SGOIVJKG] MKMW > li c/ ;0 skcefs 95793399097;2

    SGOIVJKG] MKMW > li c/ 30 skcefs 95793399097=3

    ^GLDP^DJ UF 6 li/lj (0,6%) c/ 6lj 957933990===6

    RW^D]GO ;0 li +;0 li c/=5 cprs 9579339902;66

    RW^D]GO ;0 li +=0 li c/=5 cprs 9579339902;97

    RW^D]GO ;0 li +>0 li c/=5 cprs 9579339902;73

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    PML - RGNK LKGSEypfrlkrcks - EPL

    Prdnu td Kprfs fo tkd Nfscdotd

    KP]KX ^dnks kprfsfotkfs 36%

    CGM]K^D ^dnks kprfsfotkfs =0%

    BJVG] ^dnks kprfsfotkfs 30%

    DUGLKU ^dnks kprfsfotkfs 30%

    BJVG] + DUGLKU (Rfonk cdohuotk) ^dnks kprfsfotkfs 60%

    SVJMKLDU MN SVSPFOSD ^dnks kprfsfotkfs >0%

    SVJMKLDU MN CDLP]GLGNDS ^dnks kprfsfotkfs 30%

    JDGI]FJ ^dnks kprfsfotkfs 60%

    JGPKODO ]F^K]N ^dnks kprfsfotkfs =0%

    Cdlprk ogck

    KP]KX ^dnks kprfsfotkfs 76%

    CGM]K^D ^dnks kprfsfotkfs 76%

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    PML - LGCK]NG

    Mdfergoifr

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    LGCK]NGS >0 li cx =5 cdlp 95720=230;6;0

    LGCK]NGS >0 li cx 30 cdlp 95720=230>=>6

    LGCK]NGS 50 li cx =5 cdlp 95720=230;2;7

    LGCK]NGS 50 li cx 30 cdlp 95720=230>=92

    LGCK]CGS KOJD >0 + ;0 li cx 30 cdlp 95720=2306303

    LGCK]NGS KOJD >0 + 6 li cx 30 cdlp 95720=2306=93

    LGCK]NGS KOJD 50 + ;0 li cx 30 cdlp 95720=2306=50

    LGCK]NGS KOJD 50 + 6 li cx 30 cdlp 95720=23063;0

    LGCK]NGS EC^ >0 + ;=,6 li cx =5 cdlp 95720=230;552

    LGCK]NGS EC^ >0 + ;=,6 li cx 30 cdlp 95720=230>302

    LGCK]NGS EC^ 50 + ;=,6 li cx =5 cdlp 95720=230;707

    LCK]NGS EC^ 50 + ;=,6 li cx 30 cdlp 95720=230>339

    LGCK]NGS EC^ 50 + =6 li cx =5 cdlp 95720=230>007

    LGCK]NGS EC^ 50 + =6 li cx 30 cdlp 95720=230>0;2

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    PML - SKNF BCGJMdfergoifr

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    P]KNKUK ;;0 li cx;0 ckp 95720=2303;0;

    P]KNKUK ;;0 li cx30 ckp 95720=2303069

    P]KNKUK ;;0 li cx20 ckp 95720=230302>

    P]KNKUK ;60 li cx;0 ckp 95720=230>272

    P]KNKUK ;60 li cx30 ckp 95720=230>90=

    P]KNKUK ;60 li cx20 ckp 95720=230>9;7

    P]KNKUK 96 li cx ;0 ckp 95720=2303076

    P]KNKUK 96 li cx 30 ckp 95720=2303055

    SFCD^FU KNR 0,> li cx 30 cdlp >0>55>200;377

    SFCD^FU 0,> li cx 30 ckp >0>55>200;377

    SGB]DJ F]

    0,396 li cx

    30 cdlp

    95720=230>0>9

    SGB]DJ F] 0,96 li cx 30 cdlp 95720=230>02;

    SGB]DJ F] ;,6 li cx 30 cdlp 95720=230>056

    SGB]DJ F] 3 li cx 30 cdlp 95720=230>;05

    SPG]GRK ]FSPGLK^ =,6 lci br >lj + rfspglkt 95720=230=777

    ^]KWFO^K 6 li cx 30 cdlp 95720=2306=67

    ^]KWFO^K NVD =,6 + 600 li cx 20 cdlp 95720=2306659

    ^]KWFO^K NVD

    =,6 + 560 li cx 20 cdlp

    95720=230667>

    ^]KWFO^K NVD =,6 + ;000 li cx 20 cdlp 95720=2306200

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    PML ^KLBCGJ

    Xdngkc

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    ^KLSVJDO 0,> li cx 30 cdlp 957=763000966

    PML - FS^GJD BJFU NF SF]

    Xdngkc

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    CDON]DBJFU 600 + >00 li cx 20 cdlp 957=76300027>

    CDON]DBJFU ;,6 + ;,= i cx 30 skce 957=7630003=5

    PML - LFUK-SF

    Xdngkc

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    CDON]DBJFU 600 + >00 li cx 20 cdlp 957=76300027>

    CDON]DBJFU ;,6 + ;,= i cx 30 skce 957=7630003=5

    PML - DS^FD BCGJ

    Xdngkc

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    DS^FD^FC ;60 li cx ; cdlp 957=763000;5=

    DS^FD^FC ;60 li cx = cdlp 957=763000;77

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    PML - RGRK MFL

    Juonmfca

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    JFUKP]D ;0 li cx =5 cdlp 690=;69;60507

    JFUKP]D ;6 li cx ;> cdlp 690=;69;6;56;

    JFUKP]D

    ;6 li cx =5 cdlp

    690=;69;6;706

    JFUKP]D =0 li cx ;> cdlp 690=;69;6=363

    JFUKP]D =0 li cx =5 cdlp 690=;69;6=>6=

    JFUKP]D ;0 li/lj its br ;6lj 690=;69;>;3=2

    PML - SDV LKGS RGNK

    Kpsfo

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    JKMG]GO 5 li cx 30 ckps 95722390==579

    JKMG]GO ;2 li cx 30 ckps 95722390==703

    JKMG]GO => li cx 30 ckps 95722390=399;

    VODP]DS^

    ; li cx =0 ckps

    95722390==960

    VODP]DS^ = li cx 30 ckps 95722390==7;0

    VODP]DS^ > li cx 30 ckps 95722390=35>7

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    PML - F[VGJGM]F SKNF

    Mrgstdj-Lyfrs f Pbgzfr

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    FJG[VGS =,6 li cx =0 cdlp 95720;2509375

    FJG[VGS =,6 li cx 20 cdlp 95720;2509>0>

    FJG[VGS

    6 li cx =0 cdlp

    95720;250997>

    FJG[VGS 6 li cx 20 cdlp 95720;2509500

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    PML - JGJJW

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    KUF]DO 30 li/;,6 lj sdj br ;;0 lj + kpjgc 957235=909;73

    CGKJGS NG]GD 6 li cx =5 cdlp 957235=902022

    CWLMKJ^K 30 li cx ;> ckps 957235=906=5;

    CWLMKJ^K

    20 li cx ;> ckps

    957235=9063;;

    CWLMKJ^K 20 li cx =5 ckps 957235=9063=5

    EVLKJDI ; brkscd-klpdjk ;0 lj 957235=900960

    EVLKJDI = rfbgs cdl 3 lj 957235=90333;

    EVLKJDI 6 rfbgs cdl 3 lj 957235=9066;7

    EVLKJDI LGU =6 6 rfbgs cdl 3 lj 957235=90309=

    EVLKJDI LGU 60 6 rfbgs cdl 3 lj 957235=906556

    EVLKJDI

    ; ckoftk (awgapfo) cdl 3 lj

    957235=902>3;

    EVLKJDI LGU 60 ; ckoftk (awgapfo) cdl 3 lj 957235=902>>5

    EVLKJDI LGU =6 ; ckoftk (awgapfo) cdl 3 lj 957235=902>73

    EVLKJDI 6 ckoftks (awgapfo) cdl 3 lj 957235=902=2>

    EVLKJDI LGU =6 6 ckoftks (awgapfo) cdl 3 lj 957235=902=9;

    EVLKJDI LGU 60 6 ckoftks (awgapfo) cdl 3 lj 957235=902=55

    XWP]FUK =,6 li cx ;> cdlp 957235=903;;7

    XWP]FUK

    =,6 li cx =5 cdlp

    957235=903;=2

    XWP]FUK 6 li cx ;> cdlp 957235=90;=53

    XWP]FUK 6 li cx =5 cdlp 957235=90;=70

    XWP]FUK ;0 li cx ;> cdlp 957235=90;3;3

    XWP]FUK ;0 li cx =5 cdlp 957235=90;3>>

    XWP]FXK XWNGS 6 li cx =5 cdlp 957235=906;25

    XWP]FXK XWNGS ;0 li cx =5 cdlp 957235=906;77

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    PML - CVGNKNDS PFJK RGNK

    Kcef f Mgdsgottgck

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    KJFOGK ;=/>00 lcis cdl 20 ckp + Gokjkndr 9572;5;7;;777

    KJFOGK ;=/>00 lcis cdl 20 ckp + ]fbgj 9572;5;7;;95>

    KJFOGK 2/=00 lcis cdl 20 ckp + Gokjkndr 9572;5;706=76

    KJFOGK 2/=00 lcis cdl 20 ckp + ]fbgj 9572;5;706=55

    KJFOGK

    2/;00 lcis cdl 20 ckp + Gokjkndr

    9572;5;706=9;

    K]GS^KM ;0 li cdl ;0 cdlp 95722650;2=2>

    K]GS^KM ;0 li cdl 30 cdlp 95722650;2=9;

    K]GS^KM ;6 li cdl 30 cdlp 95722650;23;5

    K]GS^KM =0 li cdl 30 cdlp 95722650;2362

    K]GS^KM 30 li cdl 30 cdlp 95722650;237>

    K]^]DJGR 30 cpsujks 957226500>565

    K]^]DJGR 70 cpsujks 957226500>37;

    K]^]DJGR Skce ;600+;=00 li 30 Fov U > i 95722650=;=25

    MF^KJD] 6+=6 li cx 30 ckp 9572;5;70709;

    MF^KJD] 6+60 li cx 30 ckp 9572;5;707;0;

    CD]VS =6 li cx 30 cdlp 9572;5;7=0379

    CD]VS E 60+;=,6 li cx 30 cdlp 9572;5;700;;6

    CD]VS E ;00+=6 li cx 30 cdlp 9572;5;700056

    NGDSLGO 600 li cx 30 cdlp 95722650020>3

    NGDSLGO

    600 li cx 20 cdlp

    9572265002060

    NGDSLGO SNV 700+;00 li ;6 skce U 6 i (sm. jkrkohk/jgld) 95722650005>3

    NGDSLGO SNV 700+;00 li 30 skce U 6 i (sm. jkrkohk/jgld) 95722650;;325

    NGDSLGO SNV 700+;00 li ;6 skce U 6 i (sm. kmkckxg) 95722650;;36;

    NGDSLGO SNV 700+;00 li 30 skce U 6 i (sm. kmkckxg) 95722650007;;

    FUDNVS ;0 li cdl ;6 cdlp 95722650;0;62

    FUDNVS ;0 li cdl 30 cdlp 95722650;0;90

    FUDNVS ;0 li cdl 20 cdlp 95722650;0;59

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    PML - CVGNKNDS PFJK RGNK

    Kcef f Mgdsgottgck

    Prdnutd

    Kprfs fo tkd

    Cngi d Mkrrks

    FUDNVS ;6 li cdl 30 cdlp 95722650=0696

    FUDNVS =0 li cdl 30 cdlp 95722650;505>

    FUDNVS =0li sdjud drkj br ;6lj 95722650;5;=;

    GOFJJK]F 30 tkmjftfs lkstgivfgs 95722650=0936

    GOFJJK]F 20 tkmjftfs lkstgivfgs 95722650=09>=

    GOFJJK]F zfrd kngd nf kuckr 30 tkmjftfs lkstgivfgs 95722650=3;90

    GOFJJK]F

    zfrd kngd nf kuckr 20 tkmjftfs lkstgivfgs

    95722650=3;59

    JFVCDIFO =00 li/lj ;=0 Ukrdpf 957226500=>03

    JFVCDIFO 50 li =0 cpsujks 957226500=379

    JD^K] =,6+60 li cx 30 ckp 9572;5;709>79

    JD^K] 6+60 li cx 30 ckp 9572;5;7;609=

    JD^K] 6+;00 li cx 30 ckp 9572;5;705570

    LKUKP]KO =0 li cx =5 cdlp 9572;5;7;>;9>

    LF]G^D]

    =+;000 li cdl 30 cdlp

    95722650;=>0=

    LF]G^D] >+;000 li cdl 30 cdlp 95722650;=>;7

    ]FLGJFR =0 cdlprglgonds 957226500>5;0

    SGOF]IFO =,6+;0 li cx 30 ckp 9572;5;70>=32

    SGOF]IFO 6+;0 li cx 30 ckp 9572;5;70>336

    SGOF]IFO 6+=0 li cx 30 ckp 9572;5;706050

    SGO^DCKJLW 300 li =0 cdlp 95722650;=3>;

    SGO^DCKJLW

    300 li >0 cdlp

    95722650;309=

    SGO^DCKJLW 200 li 30 cdlp 95722650=;>=5

    SGO^DCKJLW sdjud drkj ;60 lj 95722650=3;3=

    SGO^DCKJLW sdjud idtks 30 lj 95722650=3;=6

    RG^K F >00 li 30 ckp 957226500;250

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    PML JDIGUPEK]LK - LF]CA CVGNK

    Lfrca

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    IJGBKIF ; i cx 30 cdlp 957;9=;0>>;39

    IJGBKIF U] 960 li cx 30 cdlp 957;9=;0=9>6;

    IJGBKIF U] ; i cx 30 cdlp 957;9=;0==697

    ^EGDC^KCGN 200 li cx 30 cdlp 957;9=;0;9=2;

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    PML JDIGUPEK]LK - BKX MFLKstrkzfogck

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    K^KCKON 5 li cx 30 cdlp 9572=02>0;;20

    K^KCKON ;2 li cx 30 cdlp 9572=02>0;;>2

    K^KCKON EC^ 5+;=,6 li cx 30 cdlp 9572=02>0=>=2

    K^KCKON EC^ ;2+;=,6 li cx 30 cdlp 9572=02>0=05=

    K^KCKON CDLM

    ;2+=,6 li cx 30 cdlp jgm prd

    9572=02>03;=2

    K^KCKON CDLM ;2+6 li cx 30 cdlp jgm prd 9572=02>03;>0

    M]GJGO^K 70 li cx 20 cdlp rfv 9572=02>03>07

    MWF^^K =60 lci/lj sdj. goh vn x ;,= lj 95720;2505006

    MWF^^K =60 lci/lj sdj. goh vn x =,> lj 95720;25050;=

    C]FS^D] 6 li cx 30 cdlp rfv 9572=02>032>6

    C]FS^D] 6 li cx 20 cdlp rfv 9572=02>0326=

    C]FS^D]

    ;0 li cx 30 cdlp rfv

    9572=02>0=39=

    C]FS^D] =0 li cx 30 cdlp rfv 9572=02>0=372

    C]FS^D] >0 li cx 30 cdlp rfv 9572=02>0=753

    OFUGVL =0 li cx =5 cdlp 9572=02>0=727

    OFUGVL >0 li cx =5 cdlp 9572=02>0=792

    SF]D[VFJ U]D 60 li cx ;0 cdlp jgm prdj 9572=02>0303>

    SF]D[VFJ U]D 60 li cx 30 cdlp jgm prdj 9572=02>0=770

    SF]D[VFJ U]D

    =00 li cx 30 cdlp jgm prdj

    9572=02>03003

    SF]D[VFJ U]D 300 li cx 30 cdlp jgm prdj 9572=02>030;0

    SWLMGCD]^ 2+;00 lci tm x 20 ndsfs 9572=02>0==0>

    SWLMGCD]^ 2+=00 lci tm x 20 ndsfs 9572=02>0==;;

    SWLMGCD]^ ;=+>00 lci tm x 20 ndsfs 9572=02>0=>33

    RKOOKG] 2/;00 lci cx ;=0 ndsfs 9572=02>0=92;

    RKOOKG] 2/;00 lci cx ;=0 ndsfs 9572=02>0=92;

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    PML - RKJF LKGS SKNF

    Kjcdo, Odvkrtgs, Skondz

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    KXDIK] brkscd 6 lj 95726>5;79729

    MVBBF]GO CK]NGD 5; li cx 30 cdlp 9572=2;0;9955

    MFOFBGMF] pdtf ;66 i 9572=2;0;>>79

    MFOFBGMF] OV^]GDSF 3,6 i cx ;0 skcefs 9572=2;0;60>3

    MFOFBGMF] OV^]GDSF 3,6 i cx =5 skcefs 9572=2;0;6600

    CKJCGVL N3

    200 li + =00 ug cx 30 cdlp

    9572=2;00692;

    CKJCGVL N3 200 li + =00 ug cx 20 cdlp 9572=2;0056;7

    CKJCGVL SKONDX B 600 li cx ;0 cdlp fbv 9572=2;0;=237

    CKJCGVL SKONDX BB ;000 li tm ;0 cdlp fbv 9572=2;0;=263

    CKJCGVL SKONDX + RG^ C ; i tm ;0 cdlp sm jkrko 9572=2;0;3363

    CKJSKO 600 li br 30 cdlp lkst 9572=2;00=0=7

    CK^KBJKL kfrdsdj 20 lj 9572=2;0069=3

    CK^KBJKL

    flujifj mi ;60 i

    9572=2;0;53;0

    CK^KBJKLP]D U^ flujifj xt =3,= li/i x 60 i 9572=2;0;733;

    NGDCDLM SG 50+=0 li cx =5+=5 cdlp 9572=2;0053=5

    NGDCDLM SG ;20+=0 li cx =5+=5 cdlp 9572=2;005367

    NGDRKO 50 li cx =5 cdlp 9572=2;006520

    NGDRKO ;20 li cx =5 cdlp 9572=2;00655>

    NGDRKO 3=0 li cx =5 cdlp 9572=2;00766>

    NGDRKO KLJD 50+6 li cx =5+=5 cdlp 9572=2;005=5;

    NGDRKO KLJD ;20+6 li cx =5+=5 cdlp 9572=2;005=29

    NGDRKO KLJD BGU 50+6 li cx =5 cdlp 9572=2;0;=>>5

    NGDRKO KLJD BGU ;20+6 li cx =5 cdlp 9572=2;0;=>52

    NGDRKO KLJD BGU ;20+;0 li cx =5 cdlp 9572=2;0;=6=3

    NGDRKO KLJD BGU 3=0+6 li cx =5 cdlp 9572=2;0;=62;

    NGDRKO KLJD BGU 3=0+;0 li cx =5 cdlp 9572=2;0;=205

  • 7/21/2019 LISTA DE PBM MEDICAMENTO DESCONTO

    19/25

    PML - RKJF LKGS SKNFKjcdo, Odvkrtgs, Skondz

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    NGDRKO EC^ 50+;=,6 li cx =5 cdlp 9572=2;00;;>6

    NGDRKO EC^ ;20+;=,6 li cx =5 cdlp 9572=2;00>700

    NGDRKO EC^ ;20+=6 li cx =5 cdlp 9572=2;005092

    NGDRKO EC^

    3=0+;=,6 li cx =5 cdlp

    9572=2;0;=33=

    NGDRKO EC^ 3=0+=6 li cx =5 cdlp 9572=2;0;=362

    NGDRKO ^]GPJD ;20+;=,6+6 li cx 62 cdlp 9572=2;0;23;2

    NGDRKO ^]GPJD ;20+;=,6+;0 li cx 62 cdlp 9572=2;0;2307

    NGDRKO ^]GPJD ;20+=6+6 li cx 62 cdlp 9572=2;0;23=3

    NGDRKO ^]GPJD ;20+=6+;0 li cx 62 cdlp 9572=2;0;2330

    NVD-^]KRK^KO 0,0>+6 li sdj dbt br its =,6 lj 95726>5;75363

    NVD-^]KRK^KO MKA B]FF 0,0>+6 li sdj dbt br its 6 lj 95726>5;757=2

    FOKMJFU 9,6 li cx =5 cdlp 9572=2;007093

    FOKMJFU ;6 li cx =5 cdlp 9572=2;007;65

    FS^KJGS 60+;>0 lci stt cx 5 fov 9572=2;00>73;

    FUFJDO SDJ = li sdj drkj br 60lj 9572=2;0055;2

    FUFJDO SDJ = li sdj drkj br ;=0lJ 9572=2;00>650

    FUFJDO CKPS ;,6 li cx =5 ckp 9572=2;009965

    FUFJDO CKPS 3 li cx =5 ckp 9572=2;00999=

    FUFJDO CKPS 3 li cx 62 ckp 9572=2;009926

    FUFJDO CKPS >,6 li cx =5 ckp 9572=2;009957

    FUFJDO CKPS 2 li cx =5 ckp 9572=2;009972

    FUFJDO PK^CE 7li/6cl cx 30 pktcefs 9572=2;0;3936

    FUFJDO PK^CE ;5li/;0cl cx 30 pktcefs 9572=2;0;3967

    FUFJDO PK^CE =9li/;6cl cx 30 pktcefs 9572=2;0;3979

    FUBD]IF EC^ ;20+;=,6+6 li cx =5 ckp 9572=2;0;6652

    FUBD]IF EC^

    ;20+;=,6+;0 li cx =5 ckp

    9572=2;0;6207

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    Prdnutd Kprfs fo tkd Cngid Mkrrks

    FUBD]IF EC^ ;20+=6+6 li cx =5 ckp 9572=2;0;6673

    FUBD]IF EC^ ;20+=6+;0 li cx =5 ckp 9572=2;0;62;2

    FUBD]IF EC^ 3=0+=6+;0 li cx =5 ckp 9572=2;0;62=3

    BD]KNGJ;= lci pd gokj cx 20

    ckp+gokj 9572=2;00350>

    BD]KNGJ;= lci pd gokj cx 20 ckp

    s/gokj 9572=2;009903

    BD]KSF[ S/ GOKJKND]

    ;=+=00 lci cx 20+20 ckp

    9572=2;0;6>59

    BD]KSF[ ;=+=00 lci cx 20+20 ckp 9572=2;006690

    BD]KSF[ ;=+>00 lci cx 20+20 ckp 9572=2;006659

    BD]KSF[ S/ GOKJKND] ;=+>00 lci cx 20+20 ckp 9572=2;0;6>7>

    IKJRVS 60 li cx 62 cdlp 9572=2;0;=732

    IKJRVS LF^ 60/600 li cx 62 ckp 9572=2;0;2=>5

    IKJRVS LF^ 60/560 li cx 62 ckp 9572=2;0;2=66

    IKJRVS LF^

    60/;000 li cx 62 ckp

    9572=2;0;2=2=

    JFPDOFU =6 li cx =0 cdlp 9572=2;00=39;

    JFPDOFU ;00 li cx 30 cdlp 9572=2;00=355

    JFSCDJ UJ 50 li cx 30 cdlp 9572=2;006=79

    LGBJDOGNF=00 lci pd gokj cx 20

    ckp+gokj 9572=2;006=67

    LGBJDOGNF>00 lci pd gokj cx 20

    ckp+gokj 9572=2;006=22

    OFD^GKPGL =6 li cx ;> cdlp rfv 95796762;9627

    OFD^GKPGL =6 li cx 30 cdlp rfv 95796762;9653

    OFD^GKPGL ;00 li cx ;> cdlp rfv 95796762;92;3

    OFD^GKPGL ;00 li cx 30 cdlp rfv 95796762;9239

    OFD^GKPGL =00 li cx 30 cdlp rfv 95796762;925=

    OGCD^GOFJJ 9 li knfs trkosn ct 9 skcef 9572=2;0;65=;

    OGCD^GOFJJ;> li knfs trkosn ct 9

    skcef 9572=2;0;6570

    OGCD^GOFJJ

    =; li knfs trkosn ct 9

    skcef

    9572=2;0;6725

  • 7/21/2019 LISTA DE PBM MEDICAMENTO DESCONTO

    21/25

    PML - RKJF LKGS SKNF

    Kjcdo, Odvkrtgs, Skondz

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    DOM]GXF ;60 lci pd cx 30 ckp +; gokj 9572=2;0;2356

    DOM]GXF 300 lci pd cx 30 ckp +; gokj 9572=2;0;2>==

    DP^G-B]FF purf ldgst br ;=0 lj 95726>5;75206

    DP^G-B]FF purf ldgst agt br 300+;=0 lj 95726>5;75979

    DP^G-B]FF

    rfpjfogse br ;=0 lj

    95726>5;7590>

    DP^G-B]FF rfpjfogse agt br 300+;=0 lj 95726>5;7529>

    DP^G-B]FF fxprfss ;=0 lj 95726>5;75260

    DP^G-B]FF fxprfss agt br 366+70 lj 95726>5;752>3

    PJKI]FJ 96li cx =5 cdlp 9579676206766

    ]G^KJGOK JK ;0 li cx 30 cdlp 9572=2;0;9;99

    ]G^KJGOK JK =0 li cx 30 cdlp 9572=2;002560

    ]G^KJGOK JK

    30 li cx 30 cdlp

    9572=2;002529

    ]G^KJGOK JK >0 li cx 30 cdlp 9572=2;00259>

    ]DSVJGM ;0 li cx 30 cdlp rfv 95796762=09=7

    ]DSVJGM =0 li cx 30 cdlp rfv 95796762=0960

    S^KJFRD 60 li cx 30 cdlp 9572=2;005393

    S^KJFRD ;00 li cx 30 cdlp 9572=2;005>;0

    S^KJFRD ;60 li cx 30 cdlp 9572=2;005>65

    S^K]BD]L

    ;=0+600 li >5+>5 cdlp

    9572=2;002;9;

    S^K]BD]L ;=0+600 li 5>+5> cdlp 9572=2;002==6

    S^K]BD]L ;=0+560 li >5+>5 cdlp 9572=2;007205

    S^K]BD]L ;=0+560 li 5>+5> cdlp 9572=2;0072;6

    S^K]JGU ;=0 li cx => cdlp 9572=2;006;29

    S^K]JGU ;=0 li cx >5 cdlp 9572=2;006;;=

    S^K]JGU ;=0 li cx 5> cdlp 9572=2;006;=7

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    22/25

    PML - RKJF LKGS SKNF

    Kjcdo, Odvkrtgs, Skondz

    Prdnutd Kprfs fo tkd Cngid Mkrrks

    ^FI]F^DJ C] =00 li cx =0 cdlp 9572=2;000;;9

    ^FI]F^DJ C] =00 li cx 20 cdlp 9572=2;006;75

    ^FI]F^DJ C] >00 li cx =0 cdlp 9572=2;000;=>

    ^FI]F^DJ C] >00 li cx 20 cdlp 9572=2;0069>9

    ^]KRK^KO

    0,0> li/lj sdj dbt br its =,6lj

    95726>5;75232

    ^]KRK^KO 0,0> li/lj sdj dbt br its 6lj 95726>5;75232

    ^]GJFP^KJ 300 li cx c/=0 cdlp 9572=2;00053>

    ^]GJFP^KJ 300 li cx c/20 cdlp 9572=2;00639=

    ^]GJFP^KJ 200 li cx c/=0 cdlp 9572=2;0005>;

    ^]GJFP^KJ 200 li cx c/20 cdlp 9572=2;002575

    ^]GJFP^KJ 2% sus pfn br c/;00 lj 9572=2;0;;;02

    RFOD]V^DO

    300 li cx =0 ckp

    9572=2;002699

    RFOD]V^DO 600 li cx =0 ckp 9572=2;00265>

    RG^KJVU PJVS DLFIK 3 brkscd 30 cdlp 95726>5;7570=

    XFJLKC 2 li cx 30 cdlp 9572=2;006=>=

    XFJLKC 2 li cx 20 cdlp 9572=2;0;00;9

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    FLP]FSKS PK]K CDOROGD CD]PD]KGRD

    KJMF]^ FGOS^FGO CFJ^GC IDDNWFK] OID ^F^]K PKA

    KJCDO CFPKL IPC [VLGCKODRK]^GSMGDCGFOCGKS ^G^KO

    KLMFRCD]DOKCKNGOEDS

    I]FGBFLMKJKIFOS DKM-]H / CKK]H VJ^]KIKX

    KLFON C]GS^KJGK I]VPD CPBJ DUG^FODVJ^]KIKX -M]KSGJIKS

    KON]KNFLFONDOCK CSO

    EG^CDLLVOGCK^GDOS PGJAGOI^DO

    VJ^]KIKX -V^GOIKS

    KOIJDKLF]GCKO NKCKJNK GML M]KSGJ PDG^ VOGBD]HK

    KDO NKJAGK GFSK P]FOSKSSCEVJF] VOGLFN NDM]KSGJ

    KPPJF

    NNS^FJFCDLVOGCKCDFS GO^F] PK]^OF] P]WSLGKO

    VOGLFNPKVJGS^KOK

    KPSFOBK]LKCFV^GCK NFJDG^^F GO^F] SF]RGDS PSK

    RFWKOCF^FCEODJDIGFS

    KS^FJJKS NFOSD GPR ]KNGCG BGM]KS RGC^D]W

    MK^^GS^FJJK NGK M]KSGJHDEOSDO FHDEOSDO ]DCEF RGNKJGOA

    MFLK^FCE FJ^FAHP^FFOIFOEK]GK ]DCAYFJJ RDJRD

    MF]IKLDKLIFL F[VGBKU AK^D

    ]DSSG]FSGNFOCGKJ XPS SFIV]DS

    MGC MKOCD FRGKJGSJKMD]K^D]GDSPBGXF] SFKYGOI

    P]DI]KLKDFODMGDJ

    MD^GCK]GD BKM]GLDJN JFKNF] SEG]F IG]DBJFU

    M]KSLF^KJ BKS^ SEDP JGJJW SEV^^JF

    M]KSPFJ JDPFSCD]FNF LKGS SKVNF- ^KAG

    C & C BG]LFOGCE JVM]GOSGONGCK^DLF^KJV]I KMC IJDMKJ SVPPJW

    CKFNV B]KHD LKOIFJS SVPF]NGSPJKW CK^F]PGJJK]

    CK]]FBDV] BVONKD CSO LKO^FCD]PSVPF]LF]CKNDCEKLK PDJGCK]N

    CK^F]PGJJK]CKLPD JK]ID IKJNF]LK LK]^GOS SYFF^ EDLF CFM]KCFCK^F]PGJJK]BDJEK

    IKJRKODPJKS^GK LFUGCEFL ^KAFNK MKWF]

    CMC IFDNGSLYLGO^F]OK^GDOKJ ^FCOGSK OD]I]FO

    CG^]DSVCD PFPSGCDVOGLFN SVJCKPGUKMK C]FK -SP KICD

    HDEO NFF]FMK]]WCKJJFMKVJ^ CKCKV SEDY ^GRG^

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