SERVICIOS DE SALUD DE MICHOACÁN RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD PRIMER SEMESTRE 2013

Costo de No. NOMBRE GENERICO PRESENTACIÓN CLAVE CANTIDAD Costo unitario SIN MONTO TOTAL DEL MONTO TOTAL POR Distribución SIN COSTO TOTAL MONTO TOTAL IVA MEDICAMENTO DISTRIBUCION IVA 1 Envase con 400 a 454 g 3 453 156.01 2.00 312.02 141,345.06 70,672.53 906.00 pretérmino (5) 2 Envase con 400 a 454 g 11 227 24.19 2.00 48.38 10,982.26 5,491.13 454.00 término (5) 3 Envase con 375 a 400 g 12 50 83.43 2.00 166.86 8,343.00 4,171.50 100.00 término sin lactosa (5) Fórmula de proteína 4 Envase con 400 a 454 g 13 12 221.54 2.00 443.08 5,316.96 2,658.48 24.00 extensamente hidrolizada 5 Ácido acetilsalicílico 20 tabletas 101 1228 3.95 2.00 7.90 9,701.20 4,850.60 2,456.00 6 Ácido acetilsalicílico 20 tabletas solubles o efervescentes 103 2912 3.77 2.00 7.54 21,956.48 10,978.24 5,824.00 7 Paracetamol 10 tabletas 104 30180 1.61 2.00 3.22 97,179.60 48,589.80 60,360.00 8 Paracetamol 3 supositorios 105 245 2.31 2.00 4.62 1,131.90 565.95 490.00 9 Paracetamol Envase con gotero 15ml 106 6172 2.17 2.00 4.34 26,786.48 13,393.24 12,344.00 10 Metamizol sódico 10 comprimidos 108 2651 2.18 2.00 4.36 11,558.36 5,779.18 5,302.00 11 Metamizol sódico 3 ampolletas con 2 ml 109 3736 3.72 2.00 7.44 27,795.84 13,897.92 7,472.00 12 Nalbufina 3 ampolletas 132 50 11.04 2.00 22.08 1,104.00 552.00 100.00 13 Atropina 50 ampolletas con 1 ml 204 276 72.08 4.94 356.08 98,276.76 19,894.08 1,363.44 14 Ketamina Frasco ámpula con 10 ml 226 50 23.84 4.94 117.77 5,888.48 1,192.00 247.00 15 Sevoflurano Envase con 250 ml 233 1050 1,125.11 4.94 5,558.04 5,835,945.57 1,181,365.50 5,187.00 16 Suxametonio, Cloruro de 5 ampolletas con 2 ml 252 40 141.31 4.94 698.07 27,922.86 5,652.40 197.60 50 frascos ámpula con liofilizado y 50 ampolletas 17 Vecuronio 254 385 850.12 4.94 4,199.59 1,616,843.23 327,296.20 1,901.90 con 1 ml de 18 Lidocaína 5 frascos ámpula con 50 ml 261 28 74.77 4.94 369.36 10,342.19 2,093.56 138.32 19 Lidocaína 5 frascos ámpula con 50 ml 262 1644 77.81 4.94 384.38 631,923.02 127,919.64 8,121.36 20 Lidocaína 115 ml con atomizador manual 264 184 72.42 4.94 357.75 65,826.88 13,325.28 908.96 21 Lidocaína, epinefrina 5 frascos ámpula con 50 ml 265 978 88.11 4.94 435.26 425,687.61 86,171.58 4,831.32 22 Lidocaína, epinefrina 50 cartuchos dentales con 1.8 ml 267 12 69.88 4.94 345.21 4,142.49 838.56 59.28 23 Bupivacaína Envase con 30 ml 271 571 34.71 4.94 171.47 97,907.89 19,819.41 2,820.74 24 Neostigmina 6 ampolletas con 1 ml 291 233 98.10 4.94 484.61 112,915.06 22,857.30 1,151.02 25 Clorfenamina 20 tabletas 402 1786 2.06 4.94 10.18 18,175.05 3,679.16 8,822.84 26 Difenhidramina Envase con 60 ml 405 224 1.84 4.94 9.09 2,036.07 412.16 1,106.56 27 Difenhidramina Frasco ámpula con 10 ml 406 47 10.12 4.94 49.99 2,349.66 475.64 232.18 28 Clorfenamina Envase con 60 ml 408 2317 2.02 4.94 9.98 23,120.88 4,680.34 11,445.98 29 Aminofilina 5 Ampolleta de 10 ml 426 90 16.33 4.94 80.67 7,260.32 1,469.70 444.60 30 Salbutamol Envase con inhalador para 200 dosis de 100 μg 429 2422 30.41 4.94 150.23 363,845.92 73,653.02 11,964.68 31 Salbutamol Envase con 60 ml 431 1308 2.26 4.94 11.16 14,603.04 2,956.08 6,461.52 20 comprimidos o tabletas o cápsulas de 32 Teofilina. 437 442 19.29 4.94 95.29 42,119.33 8,526.18 2,183.48 liberación prolongada 33 Salbutamol Envase con 10 ml 439 899 16.43 4.94 81.16 72,966.62 14,770.57 4,441.06 34 Prednisona 20 tabletas 472 2381 4.28 4.94 21.14 50,341.96 10,190.68 11,762.14 35 Prednisona 20 tabletas 473 364 20.22 4.94 99.89 36,358.80 7,360.08 1,798.16 50 frascos ámpula y 50 ampolletas con 2 ml de 36 Hidrocortisona 474 899 651.66 4.94 3,219.20 2,894,061.16 585,842.34 4,441.06 50 frascos ámpula y 50 ampolletas con 8 ml de 37 Metilprednisolona 476 338 4,896.72 4.94 24,189.80 8,176,151.32 1,655,091.36 1,669.72 38 Beclometasona dipropionato de Envase con inhalador con 200 dosis de 50 μg 477 538 42.80 4.94 211.43 113,750.42 23,026.40 2,657.72 39 Digoxina 20 tabletas 502 1135 4.75 4.94 23.47 26,632.78 5,391.25 5,606.90 40 Digoxina 6 ampolletas de 2 ml 504 180 56.31 4.94 278.17 50,070.85 10,135.80 889.20 41 Cloruro de potasio 50 ampolletas con 10 ml 524 1059 51.84 4.94 256.09 271,198.89 54,898.56 5,231.46 42 Fenitoína 50 tabletas o cápsulas 525 1416 3.62 4.94 17.88 25,322.04 5,125.92 6,995.04 43 Propranolol 30 tabletas 530 711 5.57 4.94 27.52 19,563.73 3,960.27 3,512.34 44 Propranolol 30 tabletas 539 169 6.71 4.94 33.15 5,601.91 1,133.99 834.86 45 Clortalidona 20 tabletas 561 2245 4.50 4.94 22.23 49,906.35 10,102.50 11,090.30 46 Metildopa 30 tabletas 566 727 10.07 4.94 49.75 36,165.20 7,320.89 3,591.38 47 Hidralazina 20 tabletas 570 1017 6.89 4.94 34.04 34,615.22 7,007.13 5,023.98 48 Metoprolol 20 tabletas 572 5432 5.86 4.94 28.95 157,247.71 31,831.52 26,834.08 49 Captopril 30 tabletas 574 7234 2.20 4.94 10.87 78,619.11 15,914.80 35,735.96 50 Isosorbida 20 tabletas sublinguales 592 88 3.68 4.94 18.18 1,599.77 323.84 434.72 51 Isosorbida 20 tabletas 593 266 3.72 4.94 18.38 4,888.23 989.52 1,314.04 52 Verapamilo 20 grageas o tabletas recubiertas 596 65 7.43 4.94 36.70 2,385.77 482.95 321.10 53 Nifedipino 20 cápsulas 597 565 11.13 4.94 54.98 31,064.94 6,288.45 2,791.10 54 Verapamilo Ampolleta con 2 ml 598 51 13.06 4.94 64.52 3,290.34 666.06 251.94 55 Nifedipino 30 comprimidos 599 2190 24.78 4.94 122.41 268,084.91 54,268.20 10,818.60 56 Epinefrina 50 ampolletas de 1.0 ml 611 270 162.18 4.94 801.17 216,315.68 43,788.60 1,333.80 57 Dopamina 5 ampolletas con 5 ml 614 110 25.34 4.94 125.18 13,769.76 2,787.40 543.40 5 ampolletas con 5 ml cada una o un Frasco 58 Dobutamina 615 77 33.79 4.94 166.92 12,853.04 2,601.83 380.38 ámpula con 20 ml 59 Heparina 50 frascos ámpula con 10 ml 621 23 901.01 4.94 4,450.99 102,372.76 20,723.23 113.62 60 Heparina 50 frascos ámpula con 5 ml 622 17 1,570.78 4.94 7,759.65 131,914.10 26,703.26 83.98 61 Warfarina 25 tabletas 623 18 11.06 4.94 54.64 983.46 199.08 88.92 62 Acenocumarol 20 tabletas 624 14 23.58 4.94 116.49 1,630.79 330.12 69.16 63 Bezafibrato 30 tabletas 655 2921 13.85 4.94 68.42 199,851.90 40,455.85 14,429.74 64 Pravastatina 30 tabletas 657 4900 11.75 4.94 58.05 284,420.50 57,575.00 24,206.00 65 Óxido de zinc Envase con 30 g 804 926 3.32 4.94 16.40 15,187.14 3,074.32 4,574.44 66 Hidrocortisona Envase con 15 g 813 29 22.28 4.94 110.06 3,191.83 646.12 143.26 67 Benzoilo Envase con 30 ml 822 35 16.05 4.94 79.29 2,775.05 561.75 172.90 68 Alantoina y alquitrán de hulla Envase con 120 ml 831 1 27.99 4.94 138.27 138.27 27.99 4.94 69 Bencilo Envase con 120 ml 861 14 15.90 4.94 78.55 1,099.64 222.60 69.16 70 Alibour 12 sobres con 2.2 g 871 123 17.63 4.94 87.09 10,712.34 2,168.49 607.62 71 Clioquinol Envase con 20 g 872 380 3.57 4.94 17.64 6,701.60 1,356.60 1,877.20 72 Miconazol Envase con 20 g 891 2602 3.36 4.94 16.60 43,189.04 8,742.72 12,853.88 73 Podofilina Envase con 5 ml 901 14 50.56 4.94 249.77 3,496.73 707.84 69.16 74 Ácido retinoico Envase con 20 g 904 11 4.89 4.94 24.16 265.72 53.79 54.34 75 Calcio 12 comprimidos 1006 3179 21.40 4.94 105.72 336,071.16 68,030.60 15,704.26 76 Levotiroxina 100 tabletas 1007 866 20.86 4.94 103.05 89,239.91 18,064.76 4,278.04 77 Tiamazol 20 tabletas 1022 488 9.99 4.94 49.35 24,083.09 4,875.12 2,410.72 78 Glibenclamida 50 tabletas 1042 7464 2.38 4.94 11.76 87,755.74 17,764.32 36,872.16 Insulina humana acción intermedia 79 Un Frasco ámpula con 5 ml 1050 2288 43.57 4.94 215.24 492,459.51 99,688.16 11,302.72 NPH

Insulina humana acción intermedia 80 Un Frasco ámpula con 10 ml 1050.01 2 66.37 4.94 327.87 655.74 132.74 9.88 NPH Insulina humana acción rápida 81 Un Frasco ámpula con 5 ml 1051 567 82.43 4.94 407.20 230,884.78 46,737.81 2,800.98 regular 82 Danazol 50 cápsulas o comprimidos 1093 93 92.35 4.94 456.21 42,427.44 8,588.55 459.42 83 Calcitriol 50 cápsulas 1095 268 16.45 4.94 81.26 21,778.48 4,408.60 1,323.92 84 Bromocriptina 14 tabletas 1096 223 11.79 4.94 58.24 12,988.10 2,629.17 1,101.62 85 Vitamina A. C. D Envase con 15 ml 1098 1006 14.19 4.94 70.10 70,519.19 14,275.14 4,969.64 86 Butilhioscina 10 grageas 1206 5016 3.60 4.94 17.78 89,204.54 18,057.60 24,779.04 87 Butilhioscina 3 ampolletas con 1.0 ml 1207 2575 3.72 4.94 18.38 47,320.26 9,579.00 12,720.50 88 Aluminio/magnesio 50 tabletas 1223 109 8.15 4.94 40.26 4,388.45 888.35 538.46 89 Aluminio/magnesio Envase con 240 ml 1224 1816 9.01 4.94 44.51 80,829.07 16,362.16 8,971.04 90 Ranitidina 20 grageas o tabletas 1233 6346 5.73 4.94 28.31 179,631.15 36,362.58 31,349.24 91 Ranitidina 5 ampolletas con 2 ml 1234 3578 6.24 4.94 30.83 110,294.00 22,326.72 17,675.32 92 Metoclopramida 6 ampolletas con 2 ml 1241 2725 6.19 4.94 30.58 83,326.69 16,867.75 13,461.50 93 Metoclopramida 20 tabletas 1242 2155 1.90 4.94 9.39 20,226.83 4,094.50 10,645.70 94 Metoclopramida Frasco gotero con 20 ml 1243 32 5.51 4.94 27.22 871.02 176.32 158.08 95 Bismuto Envase con 240 ml 1263 148 15.10 4.94 74.59 11,039.91 2,234.80 731.12 96 Plántago psyllium Envase con 400 g 1271 1030 28.16 4.94 139.11 143,283.71 29,004.80 5,088.20 97 Senósidos A-B 20 tabletas 1272 1250 9.74 4.94 48.12 60,144.50 12,175.00 6,175.00 98 Metronidazol 20 tabletas 1308 1083 4.71 4.94 23.27 25,198.59 5,100.93 5,350.02 99 Metronidazol 2 ampolletas ó frascos ámpula con 10 ml 1309 26 20.18 4.94 99.69 2,591.92 524.68 128.44 100 Metronidazol Envase con 120 ml 1310 374 5.41 4.94 26.73 9,995.30 2,023.34 1,847.56 101 Metronidazol Envase con 100 ml 1311 4309 8.14 4.94 40.21 173,271.78 35,075.26 21,286.46 102 Albendazol 2 tabletas 1344 2283 0.95 4.94 4.69 10,714.12 2,168.85 11,278.02 103 Albendazol Envase con 20 ml 1345 1376 1.19 4.94 5.88 8,088.95 1,637.44 6,797.44 104 Lidocaína - hidrocortisona Envase con 20 g y aplicador 1363 192 20.20 4.94 99.79 19,159.30 3,878.40 948.48 105 Lidocaína - hidrocortisona 6 supositorios 1364 23 34.91 4.94 172.46 3,966.47 802.93 113.62 106 Estrógenos conjugados 42 grageas o tabletas 1489 4 200.00 4.94 988.00 3,952.00 800.00 19.76 107 Carbetocina Ampolleta 1541 41 383.68 4.94 1,895.38 77,710.55 15,730.88 202.54 108 Oxitocina 50 ampolletas con 1 ml 1542 698 105.87 4.94 523.00 365,052.46 73,897.26 3,448.12 109 Orciprenalina 3 ampolletas con 1 ml 1551 86 20.23 4.94 99.94 8,594.51 1,739.78 424.84 110 Orciprenalina 30 tabletas 1552 82 41.09 4.94 202.98 16,644.74 3,369.38 405.08 111 Metronidazol 10 óvulos o tabletas vaginales 1561 629 3.80 4.94 18.77 11,807.59 2,390.20 3,107.26 112 Nitrofural 6 óvulos 1562 198 4.49 4.94 22.18 4,391.76 889.02 978.12 113 Nistatina 12 óvulos o tabletas vaginales 1566 786 8.74 4.94 43.18 33,936.02 6,869.64 3,882.84 Frasco ámpula con o sin o una jeringa o 114 Inmunoglobulina anti D 1591 205 1,652.55 4.94 8,163.60 1,673,537.39 338,772.75 1,012.70 una ampolleta 115 Ácido fólico 90 tabletas 1700 50 3.86 4.94 19.07 953.42 193.00 247.00 116 Fumarato ferroso 50 tableta 1701 2442 2.51 4.94 12.40 30,279.33 6,129.42 12,063.48 117 Fumarato ferroso Envase con 120 m 1702 165 3.66 4.94 18.08 2,983.27 603.90 815.10 118 Sulfato ferroso 30 tabletas 1703 3320 3.87 4.94 19.12 63,471.10 12,848.40 16,400.80 119 Sulfato ferroso Envase gotero con 15 ml 1704 372 6.42 4.94 31.71 11,797.91 2,388.24 1,837.68 120 Ácido fólico 20 tabletas 1706 3884 2.87 4.94 14.18 55,066.58 11,147.08 19,186.96 121 Hidroxocobalamina 3 ampolletas con 2 ml 1708 382 2.42 4.94 11.95 4,566.73 924.44 1,887.08 122 Ácido fólico 90 tabletas 1711 2332 2.85 4.94 14.08 32,832.23 6,646.20 11,520.08 123 Fitomenadiona 3 ampolletas con 0.2 ml 1732 1191 64.18 4.94 317.05 377,605.60 76,438.38 5,883.54 124 Metotrexato 50 tabletas 1759 400 102.89 4.94 508.28 203,310.64 41,156.00 1,976.00 125 Trimetoprima-sulfametoxazol 20 tabletas o comprimidos 1903 1583 3.58 4.94 17.69 27,995.67 5,667.14 7,820.02 126 Trimetoprima-sulfametoxazol Envase con 120 ml 1904 1391 4.89 4.94 24.16 33,601.83 6,801.99 6,871.54 127 Nitrofurantoína 40 cápsulas 1911 478 16.89 4.94 83.44 39,882.69 8,073.42 2,361.32 128 Bencilpenicilina sódica Frasco ámpula con o sin 2 ml de 1921 209 6.34 4.94 31.32 6,545.80 1,325.06 1,032.46 Bencilpenicilina procaínica 129 Frasco ámpula y con 2 ml 1923 1215 2.82 4.94 13.93 16,925.92 3,426.30 6,002.10 bencilpenicilina Cristalina Bencilpenicilina procaínica 130 Frasco ámpula y con 2 ml 1924 3127 3.02 4.94 14.92 46,651.09 9,443.54 15,447.38 bencilpenicilina cristalina 131 Benzatina bencilpenicilina Frasco ámpula y con 5 ml 1925 453 7.32 4.94 36.16 16,380.84 3,315.96 2,237.82 132 Dicloxacilina 20 cápsulas o comprimidos 1926 2658 16.13 4.94 79.68 211,795.29 42,873.54 13,130.52 133 Dicloxacilina Envase para 60 ml 1927 631 10.50 4.94 51.87 32,729.97 6,625.50 3,117.14 134 Dicloxacilina Frasco ámpula y 5 ml de 1928 1872 5.91 4.94 29.20 54,653.79 11,063.52 9,247.68 135 Ampicilina 20 tabletas o cápsulas 1929 3280 9.29 4.94 45.89 150,527.73 30,471.20 16,203.20 136 Ampicilina Envase para 60 ml 1930 845 4.92 4.94 24.30 20,537.56 4,157.40 4,174.30 137 Ampicilina Frasco ámpula y con 2 ml 1931 6048 3.94 4.94 19.46 117,715.85 23,829.12 29,877.12 138 Bencilpenicilina sódica cristalina Frasco ámpula 1933 131 12.66 4.94 62.54 8,192.79 1,658.46 647.14 139 Cefotaxima Frasco ámpula y 4 ml de 1935 4258 11.77 4.94 58.14 247,576.30 50,116.66 21,034.52 140 Ceftriaxona Frasco ámpula y 10 ml de 1937 21262 10.12 4.94 49.99 1,062,946.91 215,171.44 105,034.28 Bencilpenicilina benzatínica 141 Frasco ámpula y con 3 ml 1938 346 8.46 4.94 41.79 14,460.17 2,927.16 1,709.24 compuesta 142 Cefalexina 20 tabletas o cápsulas 1939 4148 20.01 4.94 98.85 410,027.31 83,001.48 20,491.12 143 Doxiciclina 10 cápsulas o tabletas 1940 399 32.31 4.94 159.61 63,684.95 12,891.69 1,971.06 144 Doxiciclina 28 cápsulas o tabletas 1941 2 167.73 4.94 828.59 1,657.17 335.46 9.88 145 Kanamicina Frasco ámpula 1951 5 39.86 4.94 196.91 984.54 199.30 24.70 146 Gentamicina Ampolleta con 2 ml 1954 4531 3.15 4.94 15.56 70,506.89 14,272.65 22,383.14 147 Gentamicina Ampolleta con 2 ml 1955 104 4.19 4.94 20.70 2,152.65 435.76 513.76 148 Amikacina 1 ampolletas o Frasco ámpula 1956 3789 3.49 4.94 17.24 65,324.63 13,223.61 18,717.66 149 Amikacina 1 Ampolleta o Frasco ámpula 1957 1502 2.14 4.94 10.57 15,878.54 3,214.28 7,419.88 150 Eritromicina 20 cápsulas o tabletas 1971 459 14.90 4.94 73.61 33,785.15 6,839.10 2,267.46 151 Eritromicina Envase para 100 ml 1972 652 15.96 4.94 78.84 51,405.24 10,405.92 3,220.88 152 Clindamicina Ampolleta con 2 ml 1973 12395 3.93 4.94 19.41 240,639.01 48,712.35 61,231.30 153 Tetraciclina 10 tabletas o cápsulas 1981 61 2.88 4.94 14.23 867.86 175.68 301.34 154 Ketoconazol 10 tabletas 2016 285 7.31 4.94 36.11 10,291.75 2,083.35 1,407.90 155 Itraconazol 15 cápsulas 2018 955 33.76 4.94 166.77 159,269.55 32,240.80 4,717.70 156 Isoconazol Envase con 20 g 2024 18 30.34 4.94 149.88 2,697.83 546.12 88.92 157 Betametasona Envase con 30 g 2119 244 85.08 4.94 420.30 102,552.03 20,759.52 1,205.36 158 Aciclovir 35 comprimidos o tabletas 2126 199 99.63 4.94 492.17 97,942.27 19,826.37 983.06 159 Amoxicilina Envase para 75 ml 2127 2563 11.47 4.94 56.66 145,224.19 29,397.61 12,661.22 160 Amoxicilina 12 cápsulas 2128 4102 10.27 4.94 50.73 208,110.05 42,127.54 20,263.88 161 Amoxicilina-ácido clavulánico Envase con 60 ml 2129 4026 21.40 4.94 105.72 425,612.62 86,156.40 19,888.44 162 Claritromicina 10 tabletas 2132 775 20.79 4.94 102.70 79,594.52 16,112.25 3,828.50 163 Clindamicina 16 cápsulas 2133 2585 28.19 4.94 139.26 359,983.48 72,871.15 12,769.90 164 Mebendazol 6 tabletas 2136 41 5.89 4.94 29.10 1,192.96 241.49 202.54 165 Pirantel 6 tabletas 2138 6 41.97 4.94 207.33 1,243.99 251.82 29.64 166 Betametasona Ampolleta o Frasco ámpula con 1 ml 2141 1400 59.57 4.94 294.28 411,986.12 83,398.00 6,916.00 167 Clorfenamina 5 ampolletas 2142 206 73.60 4.94 363.58 74,898.30 15,161.60 1,017.64

168 Loratadina 20 tabletas o grageas 2144 3288 10.54 4.94 52.07 171,198.27 34,655.52 16,242.72 169 Loratadina Envase con 60 ml 2145 1984 4.35 4.94 21.49 42,634.18 8,630.40 9,800.96 170 Ranitidina Envase 200 ml 2151 192 88.97 4.94 439.51 84,386.27 17,082.24 948.48 171 Enoxaparina 2 Jeringas de 0.4 ml 2154 297 200.66 4.94 991.26 294,404.34 59,596.02 1,467.18 172 Ipratropio Envase 15 ml 2162 551 97.71 4.94 482.69 265,960.76 53,838.21 2,721.94 173 Carbamazepina 20 tabletas 2164 686 135.95 4.94 671.59 460,712.80 93,261.70 3,388.84 174 Ipratropio Frasco ámpula con 20 ml 2187 11 88.03 4.94 434.87 4,783.55 968.33 54.34 175 Ipratropio - Salbutamol 10 ampolletas de 2.5 ml 2188 98 124.83 4.94 616.66 60,432.70 12,233.34 484.12 176 Ipratropio - Salbutamol Frasco presurizado con 14 g sin espaciador 2190 50 191.63 4.94 946.65 47,332.61 9,581.50 247.00 177 Vitamina A 40 cápsulas 2191 154 26.38 4.94 130.32 20,068.85 4,062.52 760.76 178 Levonorgestrel 2 comprimidos o tabletas 2210 104 32.10 4.94 158.57 16,491.70 3,338.40 513.76 179 Amoxicilina-ácido clavulánico 12 tabletas 2230 5200 41.11 4.94 203.08 1,056,033.68 213,772.00 25,688.00 180 Cinitaprida 25 comprimidos 2247 849 199.67 4.94 986.37 837,427.96 169,519.83 4,194.06 181 Cinitaprida 30 sobres 2248 9 61.60 4.94 304.30 2,738.74 554.40 44.46 182 Cinitaprida Envase con 120 ml y Cucharita dosificadora 2249 31 184.64 4.94 912.12 28,275.77 5,723.84 153.14 183 Tiotropio, bromuro de 30 cápsulas y dispositivo inhalador 2262 37 365.43 4.94 1,805.22 66,793.30 13,520.91 182.78 184 Tiotropio, bromuro de 30 cápsulas (repuesto) 2263 200 339.85 4.94 1,678.86 335,771.80 67,970.00 988.00 185 Hidroclorotiazida 20 tabletas 2301 1539 7.97 4.94 39.37 60,593.20 12,265.83 7,602.66 186 Acetazolamida 20 tabletas 2302 6 17.07 4.94 84.33 505.95 102.42 29.64 187 Espironolactona 20 tabletas 2304 454 11.19 4.94 55.28 25,096.48 5,080.26 2,242.76 188 Manitol Envase con 250 ml 2306 119 25.49 4.94 125.92 14,984.55 3,033.31 587.86 189 Furosemida 20 tabletas 2307 4349 3.82 4.94 18.87 82,069.11 16,613.18 21,484.06 190 Furosemida 5 ampolletas con 2 ml 2308 974 10.06 4.94 49.70 48,404.29 9,798.44 4,811.56 1000 cápsulas o comprimidos o tabletas 191 Rifampicina 2409 1 1,268.63 4.94 6,267.03 6,267.03 1,268.63 4.94 recubiertas 192 Isoniazida-Rifampicina 90 tabletas recubiertas 2417 1 384.04 4.94 1,897.16 1,897.16 384.04 4.94 193 Ambroxol 20 comprimidos 2462 521 6.15 4.94 30.38 15,828.50 3,204.15 2,573.74 194 Ambroxol Envase con 120 ml 2463 7256 5.37 4.94 26.53 192,485.72 38,964.72 35,844.64 195 Enalapril o lisinopril o ramipril 30 cápsulas o tabletas 2501 1692 2.87 4.94 14.18 23,988.84 4,856.04 8,358.48 196 Alopurinol 20 tabletas 2503 9 129.20 4.94 638.25 5,744.23 1,162.80 44.46 197 Ketoprofeno 15 cápsulas 2504 312 24.62 4.94 121.62 37,946.31 7,681.44 1,541.28 198 Beclometasona dipropionato de Inhalador con 200 dosis de 250 µg 2508 522 281.56 4.94 1,390.91 726,053.14 146,974.32 2,578.68 199 Nitazoxanida 10 tabletas 2519 2 251.14 4.94 1,240.63 2,481.26 502.28 9.88 200 Losartán 30 grageas o comprimidos 2520 6094 17.48 4.94 86.35 526,224.21 106,523.12 30,104.36 201 Telmisartán 30 tabletas 2540 4709 103.08 4.94 509.22 2,397,894.38 485,403.72 23,262.46 202 Telmisartán-hidroclorotiazida 14 tabletas 2542 204 142.65 4.94 704.69 143,756.96 29,100.60 1,007.76 203 Fenobarbital 20 tabletas 2601 50 46.42 4.94 229.31 11,465.74 2,321.00 247.00 204 Carbamazepina 20 tabletas 2608 8085 3.54 4.94 17.49 141,387.25 28,620.90 39,939.90 205 Carbamazepina Envase con 120 ml y dosificador de 5 ml 2609 164 31.46 4.94 155.41 25,487.63 5,159.44 810.16 206 Fenitoína Envase con 120 ml y dosificador de 5 ml 2611 83 13.38 4.94 66.10 5,486.07 1,110.54 410.02 207 Clonazepam (2) 30 tabletas 2612 90 23.02 4.94 113.72 10,234.69 2,071.80 444.60 208 Ácido valproico 60 cápsulas 2620 34 268.90 4.94 1,328.37 45,164.44 9,142.60 167.96 209 Valproato de magnesio 40 tabletas 2622 2429 40.54 4.94 200.27 486,450.00 98,471.66 11,999.26 210 Valproato de magnesio Envase con 40 ml 2623 232 50.68 4.94 250.36 58,083.33 11,757.76 1,146.08 211 Fenitoína Una Ampolleta con 5 ml 2624 4828 21.96 4.94 108.48 523,753.03 106,022.88 23,850.32 212 Valproato semisódico 30 tabletas 2630 78 436.26 4.94 2,155.12 168,099.70 34,028.28 385.32 213 Trihexifenidilo (2) 50 tabletas 2651 52 25.81 4.94 127.50 6,630.07 1,342.12 256.88 214 Biperideno 50 tabletas 2652 912 31.20 4.94 154.13 140,564.74 28,454.40 4,505.28 215 Levodopa y carbidopa (2) 100 tabletas 2654 4 113.07 4.94 558.57 2,234.26 452.28 19.76 216 Ácido ascórbico 20 tabletas 2707 546 4.62 4.94 22.82 12,461.25 2,522.52 2,697.24 217 Complejo B 30 tabletas, comprimidos o cápsulas 2714 8680 3.80 4.94 18.77 162,940.96 32,984.00 42,879.20 Dieta polimérica a base de 218 Envase con 400 a 454 g con o sin sabor 2739 97 271.60 4.94 1,341.70 130,145.29 26,345.20 479.18 caseinato de calcio 219 Nafazolina Gotero integral con15 ml 2804 256 22.90 4.94 113.13 28,960.26 5,862.40 1,264.64 220 Cloranfenicol Gotero integral con 15 ml 2821 851 11.44 4.94 56.51 48,093.07 9,735.44 4,203.94 221 Cloranfenicol Envase con 5 g 2822 324 3.88 4.94 19.17 6,210.17 1,257.12 1,600.56 Neomicina, polimixina B y 222 Gotero integral con 15 ml 2823 219 24.20 4.94 119.55 26,181.01 5,299.80 1,081.86 gramicidina Neomicina, polimixina B y 223 Envase con 3.5 g 2824 2 5.97 4.94 29.49 58.98 11.94 9.88 bacitracina 224 Sulfacetamida Gotero integral con 15 ml 2829 22 33.73 4.94 166.63 3,665.78 742.06 108.68 225 Aciclovir Envase con 4.5 g 2830 25 61.23 4.94 302.48 7,561.91 1,530.75 123.50 226 Prednisolona Gotero integral con 5 ml 2841 177 25.55 4.94 126.22 22,340.41 4,522.35 874.38 227 Timolol Gotero integral con 5 ml 2858 18 49.04 4.94 242.26 4,360.64 882.72 88.92 228 Difenidol 30 tabletas 3111 847 5.36 4.94 26.48 22,427.20 4,539.92 4,184.18 229 Difenidol 2 ampolletas con 2 ml 3112 482 5.89 4.94 29.10 14,024.56 2,838.98 2,381.08 230 Haloperidol (2) 20 tabletas 3251 641 11.78 4.94 58.19 37,301.84 7,550.98 3,166.54 231 Risperidona 40 tabletas 3258 1922 334.49 4.94 1,652.38 3,175,875.51 642,889.78 9,494.68 Frasco ámpula y jeringa prellenada con 2 ml de 232 Risperidona 3268 176 305.72 4.94 1,510.26 265,805.20 53,806.72 869.44 233 Imipramina 20 tabletas o grageas 3302 8 8.69 4.94 42.93 343.43 69.52 39.52 234 Atomoxetina 14 cápsulas 3308 4 356.96 4.94 1,763.38 7,053.53 1,427.84 19.76 235 Naproxeno 30 tabletas 3407 8049 8.78 4.94 43.37 349,110.89 70,670.22 39,762.06 236 Colchicina 30 tabletas 3409 75 8.67 4.94 42.83 3,212.24 650.25 370.50 237 Indometacina 6 supositorios 3412 163 8.00 4.94 39.52 6,441.76 1,304.00 805.22 238 Indometacina 30 cápsulas 3413 785 8.22 4.94 40.61 31,876.34 6,452.70 3,877.90 239 Diclofenaco 20 cápsulas o grageas 3417 11667 5.86 4.94 28.95 337,740.98 68,368.62 57,634.98 240 Naproxeno Envase con 100 ml 3419 121 8.83 4.94 43.62 5,278.04 1,068.43 597.74 241 Ketorolaco trometamina 3 frascos ámpula ó 3 ampolletas 1 ml 3422 17217 3.38 4.94 16.70 287,475.69 58,193.46 85,051.98 242 Dexametasona 30 tabletas 3432 122 12.92 4.94 63.82 7,786.63 1,576.24 602.68 243 Metilprednisolona Frasco ámpula con 2 ml 3433 28 31.11 4.94 153.68 4,303.14 871.08 138.32 244 Alopurinol. 20 tabletas 3451 1705 9.91 4.94 48.96 83,468.96 16,896.55 8,422.70 245 Azatriopina 50 tabletas 3461 24 58.86 4.94 290.77 6,978.44 1,412.64 118.56 246 Noretisterona Ampolleta con 1 ml 3503 832 33.33 4.94 164.65 136,988.97 27,730.56 4,110.08 247 Levonorgestrel y etinilestradiol 21 grageas 3504 141 16.07 4.94 79.39 11,193.40 2,265.87 696.54 28 grageas (21 con hormonales y 7 sin 248 Levonorgestrel y etinilestradiol. 3507 398 24.73 4.94 122.17 48,622.15 9,842.54 1,966.12 hormonales) 28 tabletas (21 con hormonales y 7 sin 249 Desogestrel y etinilestradiol 3508 95 54.51 4.94 269.28 25,581.54 5,178.45 469.30 hormonales) Medroxiprogesterona y cipionato 250 Ampolleta o jeringa prellenada con 0.5 ml 3509 436 21.64 4.94 106.90 46,609.10 9,435.04 2,153.84 de estradiol

251 Etonogestrel Implante y aplicador 3510 268 1,463.94 4.94 7,231.86 1,938,139.44 392,335.92 1,323.92 252 Norgestromina/etinilestradiol 3 parches 3511 199 304.92 4.94 1,506.30 299,754.66 60,679.08 983.06 253 Noretisterona y estradiol Ampolleta o jeringa 3515 226 29.18 4.94 144.15 32,577.72 6,594.68 1,116.44 254 Glucosa Envase con 500 ml 3604 485 7.42 4.94 36.65 17,777.58 3,598.70 2,395.90 255 Glucosa Envase con 1000 ml 3605 162 8.64 4.94 42.68 6,914.42 1,399.68 800.28 256 Glucosa Envase con 250 3606 501 12.20 4.94 60.27 30,194.27 6,112.20 2,474.94 257 Cloruro de sodio Envase con 250 ml 3608 21386 17.59 4.94 86.89 1,858,327.92 376,179.74 105,646.84 258 Cloruro de sodio Envase con 250 ml 3609 8401 7.59 4.94 37.49 314,992.13 63,763.59 41,500.94 259 Bicarbonato de sodio Envase con 50 ml 3618 310 34.95 4.94 172.65 53,522.43 10,834.50 1,531.40 260 Bicarbonato de sodio 50 ampolletas con 10 ml 3619 329 145.80 4.94 720.25 236,962.91 47,968.20 1,625.26 261 Gluconato de calcio 50 ampolletas con 10 ml 3620 39 111.28 4.94 549.72 21,439.20 4,339.92 192.66 262 Electrolitos orales Envase con 27.9 g 3623 14055 2.20 4.94 10.87 152,749.74 30,921.00 69,431.70 263 Glucosa Envase con 100 ml 3625 62 6.13 4.94 30.28 1,877.50 380.06 306.28 264 Magnesio sulfato de 100 ampolletas con 10 ml 3629 224 300.29 4.94 1,483.43 332,288.90 67,264.96 1,106.56 265 Glucosa Envase con bolsa de 50 ml y adaptador para vial 3631 736 11.26 4.94 55.62 40,939.56 8,287.36 3,635.84 266 Vitamina A Envase con 25 dosis 3835 60 0.38 4.94 1.88 112.63 22.80 296.40 267 Suero antialacrán Frasco ámpula y con 5 ml 3842 3090 605.87 4.94 2,993.00 9,248,363.20 1,872,138.30 15,264.60 268 Suero antiviperino Frasco ámpula y con 10 ml 3843 3 506.37 4.94 2,501.47 7,504.40 1,519.11 14.82 Faboterápico polivalente Frasco ámpula con liofilizado y Ampolleta con 269 3847 561 166.75 4.94 823.75 462,120.95 93,546.75 2,771.34 antialacrán de 5 ml Faboterápico polivalente Frasco ámpula con liofilizado y Ampolleta con 270 3849 100 362.25 4.94 1,789.52 178,951.50 36,225.00 494.00 antiviperino de 10 ml 271 Flumazenil Ampolleta con 5 ml 4054 50 208.01 4.94 1,027.57 51,378.47 10,400.50 247.00 272 Bupivacaína hiperbárica 5 ampolletas con 3 ml 4055 1390 101.56 4.94 501.71 697,371.90 141,168.40 6,866.60 273 Cisatracurio, besilato de Ampolleta con 5 ml (10 mg/5 ml) 4061 75 115.33 4.94 569.73 42,729.77 8,649.75 370.50 274 Irbesartán 28 tabletas 4095 208 460.18 4.94 2,273.29 472,844.15 95,717.44 1,027.52 275 Irbesartán 28 tabletas 4096 19 450.50 4.94 2,225.47 42,283.93 8,559.50 93.86 276 Amiodarona 6 ampolletas con 3 ml 4107 327 210.81 4.94 1,041.40 340,538.26 68,934.87 1,615.38 277 Amiodarona 20 tabletas 4110 37 11.26 4.94 55.62 2,058.10 416.62 182.78 278 Trinitrato de glicerilo 7 parches 4111 151 39.42 4.94 194.73 29,404.95 5,952.42 745.94 279 Simvastatina 14 tabletas 4124 13 3.55 4.94 17.54 227.98 46.15 64.22 280 Sulfadiazina de plata Envase con 375 g 4126 433 38.29 4.94 189.15 81,903.08 16,579.57 2,139.02 281 Clindamicina Envase con 30 g 4136 31 101.36 4.94 500.72 15,522.27 3,142.16 153.14 282 Insulina Lispro/Lispro Protamina(4) 2 cartuchos con 3 ml o un Frasco ámpula con 10 4148 267 318.22 4.94 1,572.01 419,725.82 84,964.74 1,318.98 283 Insulina glargina (3) Frasco ámpula con 10 ml 4158 1124 562.31 4.94 2,777.81 3,122,260.01 632,036.44 5,552.56 284 Ácido alendrónico 30 tabletas o comprimidos 4161 168 19.03 4.94 94.01 15,793.38 3,197.04 829.92 285 Insulina Lispro (4) Frasco ámpula con 10 ml 4162 83 238.44 4.94 1,177.89 97,765.17 19,790.52 410.02 286 Raloxifeno 14 tabletas 4163 1066 438.80 4.94 2,167.67 2,310,738.35 467,760.80 5,266.04 287 Hidralazina 5 ampolletas con 1.0 ml 4201 26 539.02 4.94 2,662.76 69,231.73 14,014.52 128.44 288 Enoxaparina 2 Jeringas con 0.6 ml 4224 43 283.88 4.94 1,402.37 60,301.79 12,206.84 212.42 289 Dexametasona 1 Ampolleta o Frasco ámpula con 2 ml 4241 8078 5.62 4.94 27.76 224,267.90 45,398.36 39,905.32 290 Enoxaparina 2 Jeringas de 0.2 ml 4242 4 123.35 4.94 609.35 2,437.40 493.40 19.76 291 Clopidogrel 14 grageas o tabletas 4246 875 518.07 4.94 2,559.27 2,239,357.58 453,311.25 4,322.50 292 Levofloxacino Envase con 100 ml 4249 2712 446.28 4.94 2,204.62 5,978,938.12 1,210,311.36 13,397.28 293 Vancomicina Frasco ámpula 4251 2782 37.83 4.94 186.88 519,900.72 105,243.06 13,743.08 294 Ciprofloxacino 8 cápsulas ó tabletas 4255 6542 3.87 4.94 19.12 125,068.65 25,317.54 32,317.48 295 Nistatina Envase para 24 ml 4260 115 31.79 4.94 157.04 18,059.90 3,655.85 568.10 296 Ofloxacina 6 tabletas 4261 199 42.05 4.94 207.73 41,337.67 8,367.95 983.06 297 Aciclovir 25 comprimidos o tabletas 4263 49 13.97 4.94 69.01 3,381.58 684.53 242.06 298 Aciclovir 5 frascos ámpula 4264 317 430.20 4.94 2,125.19 673,684.60 136,373.40 1,565.98 299 Levofloxacino 7 tabletas 4299 2437 117.76 4.94 581.73 1,417,686.73 286,981.12 12,038.78 300 Levofloxacino 7 tabletas 4300 35 69.23 4.94 342.00 11,969.87 2,423.05 172.90 301 Finasterida 30 grageas o tabletas recubiertas 4302 87 302.82 4.94 1,495.93 130,145.98 26,345.34 429.78 302 Gabapentina 15 cápsulas 4359 941 50.77 4.94 250.80 236,006.38 47,774.57 4,648.54 Vitaminas (Polivitaminas) y 303 30 tabletas, cápsulas o grageas 4376 2644 12.95 4.94 63.97 169,144.61 34,239.80 13,061.36 minerales 304 Fluoxetina 14 cápsulas o tabletas 4483 4366 7.92 4.94 39.12 170,818.88 34,578.72 21,568.04 305 Sertralina 14 cápsulas o tabletas 4484 2363 139.97 4.94 691.45 1,633,900.60 330,749.11 11,673.22 306 Venlafaxina 10 cápsulas o grageas de liberación prolongada 4488 188 75.50 4.94 372.97 70,118.36 14,194.00 928.72 307 Aripiprazol (2) 20 tabletas 4490 246 873.82 4.94 4,316.67 1,061,901.02 214,959.72 1,215.24 308 Aripiprazol (2) 20 tabletas 4492 15 994.22 4.94 4,911.45 73,671.70 14,913.30 74.10 309 Sulfasalazina 60 tabletas 4504 291 167.81 4.94 828.98 241,233.59 48,832.71 1,437.54 310 Teofilina Envase con 450 ml 5075 1 73.01 4.94 360.67 360.67 73.01 4.94 311 Adenosina 6 frascos ámpula con 2 ml 5099 48 1,181.46 4.94 5,836.41 280,147.80 56,710.08 237.12 312 Atorvastatina 10 tabletas 5106 366 312.67 4.94 1,544.59 565,319.87 114,437.22 1,808.04 313 Metformina 30 tabletas 5165 20133 4.43 4.94 21.88 440,594.60 89,189.19 99,457.02 314 Sucralfato 40 tabletas 5176 92 84.47 4.94 417.28 38,389.93 7,771.24 454.48 Pantoprazol o Rabeprazol u 315 7 tabletas o grageas o cápsulas 5186 30820 4.96 4.94 24.50 755,163.97 152,867.20 152,250.80 Omeprazol Pantoprazol o Rabeprazol u 316 14 tabletas o grageas o cápsulas 5186.01 9 13.08 4.94 64.62 581.54 117.72 44.46 Omeprazol Envase con un Frasco ámpula con liofilizado y 317 Omeprazol o Pantoprazol 5187 12548 41.22 4.94 203.63 2,555,109.09 517,228.56 61,987.12 Ampolleta con 10 ml de 318 Ácido folínico 12 tabletas 5233 1 169.52 4.94 837.43 837.43 169.52 4.94 319 Trimetoprima-sulfametoxazol 6 ampolletas con 3 ml 5255 115 56.11 4.94 277.18 31,876.09 6,452.65 568.10 320 Cefalotina Frasco ámpula y 5 ml de 5256 2181 15.77 4.94 77.90 169,908.19 34,394.37 10,774.14 321 Imipenem y cilastatina Frasco ámpula o Envase con 25 frascos ámpula 5265 4922 182.64 4.94 902.24 4,440,833.16 898,954.08 24,314.68 322 Cefepima Frasco ámpula y 3 ml de 5295 376 53.91 4.94 266.32 100,134.59 20,270.16 1,857.44 323 Nitrofurantoína Envase con 120 ml 5302 7 124.63 4.94 615.67 4,309.71 872.41 34.58 324 Tamsulosina 10 cápsulas 5309 83 76.74 4.94 379.10 31,464.93 6,369.42 410.02 325 Valproato de magnesio 30 tabletas 5359 29 45.05 4.94 222.55 6,453.86 1,306.45 143.26 Vitaminas (Polivitaminas) y 326 Envase con 240 ml 5383 503 53.07 4.94 262.17 131,869.40 26,694.21 2,484.82 minerales 327 Tiamina 3 frascos ámpula 5395 101 103.55 4.94 511.54 51,665.24 10,458.55 498.94 328 Paroxetina 10 tabletas 5481 267 9.21 4.94 45.50 12,147.81 2,459.07 1,318.98 329 Zuclopentixol (2) Ampolleta de 1 ml 5483 38 533.94 4.94 2,637.66 100,231.22 20,289.72 187.72 330 Zuclopentixol (2) 20 tabletas 5484 59 533.94 4.94 2,637.66 155,622.15 31,502.46 291.46 331 Olanzapina (2) 14 tabletas 5485 248 539.30 4.94 2,664.14 660,707.22 133,746.40 1,225.12 332 Olanzapina 14 tabletas 5486 294 775.06 4.94 3,828.80 1,125,666.14 227,867.64 1,452.36 333 Citalopram (2) 14 tabletas 5487 613 95.73 4.94 472.91 289,891.50 58,682.49 3,028.22 334 Diclofenaco 2 ampolletas con 3 ml 5501 2484 4.70 4.94 23.22 57,673.51 11,674.80 12,270.96

CONVENIO - 2012 COMPRA DIRECTA LABORATORIOS DE BIOLOGICOS Y REACTIVOS DE MÉXICO, S.A DE C.V. 335 Vacuna antiinfluenza Cada dosis de 0.5 ml contiene: Fracciones antigénicas purifica das de virus de influenza inactivados correspondientes a las ce pa. 3822 9,986 456.3825-456.38 4,557,435.65 4,557,435.65 - TOTAL $ 103,664,834.15 $ 24,727,740.14 $ 2,600,263.80