Relação de Medicamentos

Unidades de Refêrencia
   
   
   
   
   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RELAÇÃO DE MEDICAMENTOS DE ALTO CUSTO

 

CÓD

NOME GENÉRICO

 

APRES.

NOME COMERCIAL

36.011.01-0

Acetato de ciproterona 50 mg.

Comp.

Androcur

36.021.01-6

Imiglucerase 200 UI

Inj.

Cerezyme

36.031.01-1

Bifosfonatos ( alendronato )

Comp.

Fosamax

36.041.01-7

Bromocriptina 2,5 mg.

Comp.

Parlodel

36.051.01-2

Calcitonina Sint. Salmão 200 UI

Nasal

Miacalcic

36.051.03-9

Calcitonina Sint.Salmão 50 UI

Inj.

Miacalcic

36.061.01-8

Calcitriol 0,25 mcg.

Cáps.

Rocaltrol / Sigmatriol

36.071.01-3

Ciclosporina 100 mg. Sol..oral

Frasco

Sandimmun / Sigmasporin

36.071.02-1

Ciclosporina 25 mg

Cáps.

Sandimmun / Sigmasporin

36.071.03-0

Ciclosporina 50 mg.

Cáps.

Sandimmun / Sigmasporin

36.071.04-8

Ciclosporina 100 mg.

Cáps.

Sandimmun / Sigmasporin

36.071.05-6

Micofenolato Mofetil 500mg

Comp.

Cellcept

36.071.06-4

Ciclosporina 10 mg

Cáps.

Sandimmun/Sigmasporin

36.071.07-2

Tacrolimus 1 mg

Cáps.

Prograf

36.071.08-0

Tacrolimus 2 mg

Cáps.

Prograf

36.071.09-9

Azatioprina 50 mg

Comp.

Imuran

36.071.10-2

Sirolimus Sol. oral mg/ml

Frasco

Rapmune

36.071.17-0

Sulfato de Hidroxicloroquina 400 mg

Comp.

Plaquinol

36.081.01-9

Clozapina 100 mg

Comp.

Leponex

36.081.02-7

Risperidona 1mg.

Comp.

Risperdal

36.081.03-5

Risperidona 2mg.

Comp.

Risperdal

36.081.04-3

Olanzapina 05 mg

Comp.

Zyprexa

36.081.05-1

Olanzapina 10 mg

Comp.

Zyprexa

36.081.06-0

Clozapina 25 mg

Comp.

Leponex

36.081.07-8

Quetiapina 25 mg

Comp.

Seroquel

36.081.08-6

Quetiapina 100 mg

Comp.

Seroquel

36.081.10-8

Ziprasidona 40 mg

Comp.

Geodon

36.081.11-6

Ziprasidona 80 mg

Comp.

Geodon

36.101.01-0

Deferoxamina 500 mg.

Inj.

Desferal

36.102.01-6

Penicilinamina 250 mg.

Cáps.

Cuprimine

36.111.01-5

Desmopressina 0,1 mg./ml.

Frasco

D.D.A.V.P

36.121.01-0

Dornase Alfa 2,5 mg.

Inj.

Pulmozyme

36.131.02-4

Enzima Pancreática Microg. c/ Lib Entérica ( Lipase, Amilase, Protease)  4 000 UI de Lipase

Cáps.

Pancrease

36.131.04-0

Enzima Pancreática Microg. c/ Lib Entérica ( Lipase, Amilase, Protease)  8 000 UI de Lipase

Cáps.

Ultrase

36.131.05-9

Enzima Pancreática Microg. c/ Lib Entérica ( Lipase, Amilase, Protease) 12  000 UI de Lipase

Cáps.

Ultrase

36.131.06-7

Enzima Pancreática Microg. c/ Lib Entérica ( Lipase, Amilase, Protease) 18  000 UI de Lipase

Cáps.

Ultrase

36.131.07-5

Enzima Pancreática Microg. c/ Lib Entérica ( Lipase, Amilase, Protease) 20  000 UI de Lipase

Cáps.

Ultrase

36.141.02-0

Eritropoetina Humana Recombinante 2.000 UI.

Inj.

Tinax

36.141.03-8

Eritropoetina Humana Recombinante 3.000 UI

Inj.

Hemax

36.141.04-6

Eritropoetina Humana Recombinante 4.000 UI

Inj.

Tinax

36.141.05-4

Eritropoetina Humana Recombinante 10.000 UI

Inj.

Recormon

36.151.01-7

Acitretina 10 mg

Cáps.

Neotigason

36.151.02-5

Acitretina 25 mg

Cáps.

Neotigason

36.161.01-2

Goserelina 3,6 mg

Inj.

Zoladex

36.161.04-7

Acetato de Leuprolida 3,75 mg

Amp.

Lypron

36.161.05-5

Goserelina 10,8 mg

Inj.

Zoladex LA

36.171.01-8

Hidróxido de ferro endovenoso

Inj.

Noripurum.

36.181.02-1

Imunoglobina Humana endovenosa 2,5 g

Inj.

Blauglobulina

36.181.03-0

Imunoglobina Humana endovenosa 5,0 g

Inj.

Blauglobulina

36.201.01-4

Lamotrigina 100 mg.

Comp.

Lamictal

36.201.02-2

Vigabatrin 50 mg.

Comp.

Sabril

36.201.04-9

Topiramato 50 mg

Comp.

Topamax

36.201.05-7

Topiramato 100 mg

Comp.

Topamax

36.211.01-0

Filgastrima

Inj.

Gramulokine

36.221.01-5

Metil prednisilona 500 mg.

Inj.

Solu – medrol

36.231.01-0

Octreotida 0,1 mg/ml.

Inj.

Sandostatin

36.231.02-9

Octreotida Lar 10 mg

Fr. amp.

Sandostatin Lar

36.231.03-7

Octreotida Lar 20 mg

Fr. amp.

Sandostatin Lar

36.231.04-5

Octreotida Lar 30 mg

Fr. amp.

Sandostatin Lar

36.251.01-1

Sulfassalazina 500 mg.

Com.

Salazoprin, Azulfin

36.251.02-0

Mesalazina 400 mg

Comp.

Asalit

36.251.04-6

Mesalazina 3 g + diluente 100 ml (enema)

Envel.

Asalit

36.251.05-4

Mesalazina 250 mg

Suposit.

Asalit

36.261.01-7

Somatrofina 4 UI.

Inj.

Humatrope

36.271.01-2

Toxina Tipo a de Clostridium Botulinun 100 UI

Inj.

Botox

36.271.02-0

Toxina Tipo A de Clostidium Botulinum 500 UI

Fr. amp.

Dysport

36.281.01-1

Ribavirina 250 mg

Comp.

Virazole

36.281.02-6

Interferon Alfa 2 a /2 b  3.000.000 UI

Fr. amp

Blauferon, Green Alfa

36.281.03-4

Interferon Alfa 2 a /2 b 4.500.000 UI ou 5.000.000 UI

Inj.

Roferon

36.281.05-0

Interferon Alfa Peguilado

Fr. amp.

Pegintron, Pegasys

36.281.06-9

Lmivudina 100 mg

Comp.

Zeffix