no. de contrato: la-012nbs001-e19-2017/001 tipo de ... · 010-000-1931-000 ampicilina 500 mg sol...

17
No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de Licitación: Licitación Publica Nacional Abril de 2017 Proveedor: Medsur S. de R. L. HRAE FORMULA CANTIDAD SURTIDA PRECIO SUB-TOTAL TOTAL 010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 5 3.29 16.45 16.45 010-000-0572-000 METOPROLOL 100MG C/20 TABLETAS 1 5.90 5.90 5.90 010-000-0626-010 FITOMENADIONA 10MG/1ML C/5 AMP 2 49.50 99.00 99.00 010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 30 10.10 303.00 303.00 010-000-1931-000 AMPICILINA 500 MG SOL INY 30 4.14 124.20 124.20 010-000-1937-000 CEFTRIAXONA 1G IV/IM SOL INY 10 ML 30 10.69 320.70 320.70 010-000-1954-000 GENTAMICINA 80MG. SOL. INY. C/1 AMP 2ML 10 2.97 29.70 29.70 010-000-1973-000 CLINDAMICINA 300MG C/1 AMP.GI 30 4.41 132.30 132.30 010-000-2106-000 TRAMADOL 100MG/2ML SOL INY C/5 AMP 10 49.00 490.00 490.00 010-000-2106-000 TRAMADOL 100MG/2ML SOL INY C/5 AMP 10 49.00 490.00 490.00 010-000-2106-000 TRAMADOL 100MG SOL.INY C/5 AMP.2ML 20 49.00 980.00 980.00 010-000-2187-000 BROMURO DE IPRATROPIO 250MCG SOL 20ML P/NEBUL 4 116.00 464.00 464.00 010-000-2307-000 FUROSEMIDA 40 MG. C/20 TAB. 1 3.55 3.55 3.55 010-000-2608-000 CARBAMAZEPINA 200 MG C/20 TABLETAS 1 12.00 12.00 12.00 010-000-3601-000 SOLUCION GLUCOSA 5% 250ML PLASTICO 1 9.50 9.50 9.50 010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 10 1,095.00 10,950.00 10,950.00 010-000-3826-000 L-ORNITINA, L-ASPARTATO SOL INY 5G/10 ML C/5 3 565.00 1,695.00 1,695.00 010-000-4184-000 LOPERAMIDA 2 MG C/12 TABLETAS 2 2.35 4.70 4.70 010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 4 11.74 46.96 46.96 010-000-5187-000 OMEPRAZOL 40 MG FCO 50 33.50 1,675.00 1,675.00 010-000-5188-000 ESOMEPRAZOL 40 MG. 14 TABLETAS 2 190.08 380.16 380.16 010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 20 237.00 4,740.00 4,740.00 010-000-5292-010 MEROPENEM 1G SOL. INY. KENER C/10 2 2,550.00 5,100.00 5,100.00 010-000-5292-010 MEROPENEM 1G SOL. INY. KENER C/10 2 2,550.00 5,100.00 5,100.00 010-000-5292-010 MEROPENEM 1G SOL. INY. KENER C/10 5 2,550.00 12,750.00 12,750.00 010-000-5428-000 ONDANSETRON 8MG C/3 AMP 4ML 10 16.70 167.00 167.00 010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 24 96.96 2,327.04 2,327.04 010000M014000 ETAMSILATO 250MG SOL. INY C/4 AMPULAS 2ML 4 268.00 1,072.00 1,072.00 010000M038000 AMFOTERECINA B 100MG/COMPLE.B FOSFO.AMP 20ML 2 4,600.00 9,200.00 9,200.00 010000M042000 FORMULA POLIM. ESPEC. PARA PERSONAS C/HIPERGL 30 39.00 1,170.00 1,170.00 010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 3 3.29 9.87 9.87 010-000-0233-000 SEVOFLURANO LIQUIDO 250 ML (VOLATIL) 10 1,025.00 10,250.00 10,250.00 010-000-0254-000 BROMURO DE VECURONIO 4 MG SOL. INY C/50 FCOS 1 897.00 897.00 897.00 010-000-0291-000 NEOSTIGMINA 0.5MG./1 ML. C/6 AMPULAS 1 94.00 94.00 94.00 010-000-0524-000 CLORURO DE POTASIO GI 1.49G/10ML C/50AMP. 7 102.00 714.00 714.00 010-000-0572-000 METOPROLOL 100MG C/20 TABLETAS S.S 2 5.90 11.80 11.80 010-000-0612-000 NOREPINEFRINA, BITARTRATO DE DE 4 MG, SOLUCI. 1 3,920.00 3,920.00 3,920.00 010-000-0623-000 WARFARINA SODICA 5 MG C/30 TABLETAS 1 28.00 28.00 28.00 010-000-0624-010 ACENOCUMAROL 4MG TABS C/20 TECNOFARMA 1 17.72 17.72 17.72 010-000-0804-000 OXIDO DE ZINC 25G TARRO C/30G UNGUENTO 10 7.50 75.00 75.00 010-000-1272-000 SENOSIDOS A B 187MG C/20 TABLETAS 6 6.37 38.22 38.22 010-000-1768-000 VINCRISTINA 1 MG SOL INY 10 ML C/1 6 60.50 363.00 363.00 010-000-1768-000 VINCRISTINA SOL INY 1MG C/1 AMP 2 60.50 121.00 121.00 010-000-1931-000 AMPICILINA 500 MG SOL INY 8 4.14 33.12 33.12 010-000-1937-000 CEFTRIAXONA 1G SOL INY C/1 FCO AMP 25 10.69 267.25 267.25 010-000-2106-000 TRAMADOL 100MG/2ML SOL INY C/5 AMP 40 49.00 1,960.00 1,960.00 010-000-2111-000 AMLODIPINO 5 MG C/10 TABLETAS 2 12.90 25.80 25.80 010-000-2155-000 NADROPARINA CALCICA SOL.INY.C/2 JER.0.3ML 3 97.00 291.00 291.00 010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL 2.5MG C/10AMP NEB 5 119.00 595.00 595.00 010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 480 8.00 3,840.00 3,840.00 010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 24 1,095.00 26,280.00 26,280.00 010-000-3675-000 AGUA INYECTABLE P/IRRIGACION 500 ML 13 12.00 156.00 156.00 010-000-3675-000 AGUA INTECTABLE P/IRRIGACION 500 ML 32 12.00 384.00 384.00 010-000-4059-000 BROMURO DE ROCURONIO 50 MG C/12 AMP. 5ML 4 539.00 2,156.00 2,156.00 010-000-4061-000 BESILATO DE CISATRACURIO 10MG/5ML I 40 129.00 5,160.00 5,160.00 010-000-4114-000 TRINITRATO DE GLICERILO 1 MG SOL INY FCO 50ML 2 496.00 992.00 992.00 010-000-4114-000 TRINITRATO DE GLICERILO 1 MG SOL INY FCO 50ML 3 496.00 1,488.00 1,488.00 010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 50 2.35 117.50 117.50 010-000-4247-000 ABCIXIMAB SOLUCION INYECTABLE 10MG/5ML 1 6,260.00 6,260.00 6,260.00 010-000-4247-000 ABCIXIMAB SOLUCION INYECTABLE 10MG/5ML 1 6,260.00 6,260.00 6,260.00 010-000-4251-000 VANCOMICINA 500MG SOL. INY FRASCO AMPULA 37 48.97 1,811.89 1,811.89 010-000-4251-000 VANCOMICINA 500 MG SOL INY 33 48.97 1,616.01 1,616.01 010-000-4259-000 CIPROFLOXACINO 200 MG SOL.INY 70 9.20 644.00 644.00

Upload: dangthien

Post on 03-Nov-2018

214 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

No. de Contrato: LA-012NBS001-E19-2017/001

Tipo de Licitación: Licitación Publica Nacional Abril de 2017

Proveedor: Medsur S. de R. L.

HRAE FORMULA

CANTIDAD

SURTIDA PRECIO SUB-TOTAL TOTAL

010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 5 3.29 16.45 16.45

010-000-0572-000 METOPROLOL 100MG C/20 TABLETAS 1 5.90 5.90 5.90

010-000-0626-010 FITOMENADIONA 10MG/1ML C/5 AMP 2 49.50 99.00 99.00

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 30 10.10 303.00 303.00

010-000-1931-000 AMPICILINA 500 MG SOL INY 30 4.14 124.20 124.20

010-000-1937-000 CEFTRIAXONA 1G IV/IM SOL INY 10 ML 30 10.69 320.70 320.70

010-000-1954-000 GENTAMICINA 80MG. SOL. INY. C/1 AMP 2ML 10 2.97 29.70 29.70

010-000-1973-000 CLINDAMICINA 300MG C/1 AMP.GI 30 4.41 132.30 132.30

010-000-2106-000 TRAMADOL 100MG/2ML SOL INY C/5 AMP 10 49.00 490.00 490.00

010-000-2106-000 TRAMADOL 100MG/2ML SOL INY C/5 AMP 10 49.00 490.00 490.00

010-000-2106-000 TRAMADOL 100MG SOL.INY C/5 AMP.2ML 20 49.00 980.00 980.00

010-000-2187-000 BROMURO DE IPRATROPIO 250MCG SOL 20ML P/NEBUL 4 116.00 464.00 464.00

010-000-2307-000 FUROSEMIDA 40 MG. C/20 TAB. 1 3.55 3.55 3.55

010-000-2608-000 CARBAMAZEPINA 200 MG C/20 TABLETAS 1 12.00 12.00 12.00

010-000-3601-000 SOLUCION GLUCOSA 5% 250ML PLASTICO 1 9.50 9.50 9.50

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 10 1,095.00 10,950.00 10,950.00

010-000-3826-000 L-ORNITINA, L-ASPARTATO SOL INY 5G/10 ML C/5 3 565.00 1,695.00 1,695.00

010-000-4184-000 LOPERAMIDA 2 MG C/12 TABLETAS 2 2.35 4.70 4.70

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 4 11.74 46.96 46.96

010-000-5187-000 OMEPRAZOL 40 MG FCO 50 33.50 1,675.00 1,675.00

010-000-5188-000 ESOMEPRAZOL 40 MG. 14 TABLETAS 2 190.08 380.16 380.16

010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 20 237.00 4,740.00 4,740.00

010-000-5292-010 MEROPENEM 1G SOL. INY. KENER C/10 2 2,550.00 5,100.00 5,100.00

010-000-5292-010 MEROPENEM 1G SOL. INY. KENER C/10 2 2,550.00 5,100.00 5,100.00

010-000-5292-010 MEROPENEM 1G SOL. INY. KENER C/10 5 2,550.00 12,750.00 12,750.00

010-000-5428-000 ONDANSETRON 8MG C/3 AMP 4ML 10 16.70 167.00 167.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 24 96.96 2,327.04 2,327.04

010000M014000 ETAMSILATO 250MG SOL. INY C/4 AMPULAS 2ML 4 268.00 1,072.00 1,072.00

010000M038000 AMFOTERECINA B 100MG/COMPLE.B FOSFO.AMP 20ML 2 4,600.00 9,200.00 9,200.00

010000M042000 FORMULA POLIM. ESPEC. PARA PERSONAS C/HIPERGL 30 39.00 1,170.00 1,170.00

010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 3 3.29 9.87 9.87

010-000-0233-000 SEVOFLURANO LIQUIDO 250 ML (VOLATIL) 10 1,025.00 10,250.00 10,250.00

010-000-0254-000 BROMURO DE VECURONIO 4 MG SOL. INY C/50 FCOS 1 897.00 897.00 897.00

010-000-0291-000 NEOSTIGMINA 0.5MG./1 ML. C/6 AMPULAS 1 94.00 94.00 94.00

010-000-0524-000 CLORURO DE POTASIO GI 1.49G/10ML C/50AMP. 7 102.00 714.00 714.00

010-000-0572-000 METOPROLOL 100MG C/20 TABLETAS S.S 2 5.90 11.80 11.80

010-000-0612-000 NOREPINEFRINA, BITARTRATO DE DE 4 MG, SOLUCI. 1 3,920.00 3,920.00 3,920.00

010-000-0623-000 WARFARINA SODICA 5 MG C/30 TABLETAS 1 28.00 28.00 28.00

010-000-0624-010 ACENOCUMAROL 4MG TABS C/20 TECNOFARMA 1 17.72 17.72 17.72

010-000-0804-000 OXIDO DE ZINC 25G TARRO C/30G UNGUENTO 10 7.50 75.00 75.00

010-000-1272-000 SENOSIDOS A B 187MG C/20 TABLETAS 6 6.37 38.22 38.22

010-000-1768-000 VINCRISTINA 1 MG SOL INY 10 ML C/1 6 60.50 363.00 363.00

010-000-1768-000 VINCRISTINA SOL INY 1MG C/1 AMP 2 60.50 121.00 121.00

010-000-1931-000 AMPICILINA 500 MG SOL INY 8 4.14 33.12 33.12

010-000-1937-000 CEFTRIAXONA 1G SOL INY C/1 FCO AMP 25 10.69 267.25 267.25

010-000-2106-000 TRAMADOL 100MG/2ML SOL INY C/5 AMP 40 49.00 1,960.00 1,960.00

010-000-2111-000 AMLODIPINO 5 MG C/10 TABLETAS 2 12.90 25.80 25.80

010-000-2155-000 NADROPARINA CALCICA SOL.INY.C/2 JER.0.3ML 3 97.00 291.00 291.00

010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL 2.5MG C/10AMP NEB 5 119.00 595.00 595.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 480 8.00 3,840.00 3,840.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 24 1,095.00 26,280.00 26,280.00

010-000-3675-000 AGUA INYECTABLE P/IRRIGACION 500 ML 13 12.00 156.00 156.00

010-000-3675-000 AGUA INTECTABLE P/IRRIGACION 500 ML 32 12.00 384.00 384.00

010-000-4059-000 BROMURO DE ROCURONIO 50 MG C/12 AMP. 5ML 4 539.00 2,156.00 2,156.00

010-000-4061-000 BESILATO DE CISATRACURIO 10MG/5ML I 40 129.00 5,160.00 5,160.00

010-000-4114-000 TRINITRATO DE GLICERILO 1 MG SOL INY FCO 50ML 2 496.00 992.00 992.00

010-000-4114-000 TRINITRATO DE GLICERILO 1 MG SOL INY FCO 50ML 3 496.00 1,488.00 1,488.00

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 50 2.35 117.50 117.50

010-000-4247-000 ABCIXIMAB SOLUCION INYECTABLE 10MG/5ML 1 6,260.00 6,260.00 6,260.00

010-000-4247-000 ABCIXIMAB SOLUCION INYECTABLE 10MG/5ML 1 6,260.00 6,260.00 6,260.00

010-000-4251-000 VANCOMICINA 500MG SOL. INY FRASCO AMPULA 37 48.97 1,811.89 1,811.89

010-000-4251-000 VANCOMICINA 500 MG SOL INY 33 48.97 1,616.01 1,616.01

010-000-4259-000 CIPROFLOXACINO 200 MG SOL.INY 70 9.20 644.00 644.00

Page 2: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 5 104.48 522.40 522.40

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 10 11.74 117.40 117.40

010-000-5187-000 OMEPRAZOL 40 MG FCO 70 33.50 2,345.00 2,345.00

010-000-5191-000 TERLIPRESINA 1MG/5ML SOL INY C/1 FCO AMP 4 847.36 3,389.44 3,389.44

010-000-5255-000 TRIMETOPRIMA/SULFAMETOXAZOL 160/800MG C/6 AMP 6 44.77 268.62 268.62

010-000-5265-000 IMIPENEM-CILASTATINA SOD 500/500MG FCO AMP, 20 97.00 1,940.00 1,940.00

010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 80 237.00 18,960.00 18,960.00

010-000-5292-010 MEROPENEM 1G SOL. INY. KENER C/10 5 2,550.00 12,750.00 12,750.00

010-000-5295-010 CEFEPIMA 1G SOL INY C/1 FCO.AMP 15 35.95 539.25 539.25

010-000-5391-000 DIETA POLIMERICA S/FIBRA 237 ML NUEZ 48 25.80 1,238.40 1,238.40

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 80 96.96 7,756.80 7,756.80

010000A034000 CLORAMFENICOL/CLOSTRIDIOPEPTIDASA UNG C/15G 10 294.00 2,940.00 2,940.00

010000M014000 ETAMSILATO 250MG SOL. INY C/4 AMPULAS 2ML 4 268.00 1,072.00 1,072.00

010000M014000 ETAMSILATO 250MG SOL. INY C/4 AMPULAS 2ML 2 268.00 536.00 536.00

010000M015000 PALONOSETRON 0.075MG SOL.INY C/1 AMP 2 235.75 471.50 471.50

010000M016000 SUGAMMADEX 100MG SOL.INY. C/10AMPS 2ML 3 13,895.74 41,687.22 41,687.22

010000M034000 CLARITROMICINA SOL. INY. 500 MG 3 525.00 1,575.00 1,575.00

010000M043000 SUPLEMENTO ALIMENTICIO ALTO EN GLUTAMINA VIT 1 1,400.00 1,400.00 1,400.00

010-000-0103-000 ACIDO ACETILSALICILICO 300MG TABS DISPERSABLE 1 4.20 4.20 4.20

010-000-0109-000 METAMIZOL SODICO 1G SOL INY C/3 AMP 2 7.67 15.34 15.34

010-000-0204-000 ATROPINA 1MG/1ML SOL INY C/50 AMP 1 115.00 115.00 115.00

010-000-0244-000 PROPOFOL 200 MG C/5 AMP 20 ML 6 630.00 3,780.00 3,780.00

010-000-0246-000 PROPOFOL 200MG EMULSION 1% C/5 AMP. 20ML S.S 20 779.00 15,580.00 15,580.00

010-000-0246-000 PROPOFOL 200MG EMULSION 1% C/5 AMP. 20ML S.S 4 779.00 3,116.00 3,116.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 1 1,830.00 1,830.00 1,830.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 2 1,830.00 3,660.00 3,660.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 2 1,830.00 3,660.00 3,660.00

010-000-0262-000 LIDOCAINA 2% 20MG/ML FCO AMP C/5 50ML 2 97.00 194.00 194.00

010-000-0264-000 LIDOCAINA 10% SOL.SPRAY FRASCO 115ML 3 98.00 294.00 294.00

010-000-0271-000 BUPIVACAINA 150MG/30ML SOL INY 2 51.50 103.00 103.00

010-000-0429-000 SALBUTAMOL SUSP AER 200 DOSIS 100MCG 1 20.20 20.20 20.20

010-000-0439-000 SALBUTAMOL 5MG/ML FRASCO 10ML PISA 1 32.00 32.00 32.00

010-000-0502-000 DIGOXINA 0.250 MG C/20 TABLETAS 1 7.15 7.15 7.15

010-000-0573-000 PRAZOSINA 1MG CAPS C/30 1 17.20 17.20 17.20

010-000-0611-000 EPINEFRINA 1MG SOL, INY, ENV C/50 AMPULAS CON 1ML 1 241.00 241.00 241.00

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 5 28.15 140.75 140.75

010-000-0622-000 HEPARINA SODICA 5000UI SOL INY C/50 FCOS 1 2,290.00 2,290.00 2,290.00

010-000-0626-010 FITOMENADIONA 10MG/1ML C/5 AMP 2 49.50 99.00 99.00

010-000-1007-000 LEVOTIROXINA SODICA 100MCG. C/100TABS. GI MK 1 24.50 24.50 24.50

010-000-1224-000 ALUMINIO/MAGNESIO SUSPENSION 240 ML 1 10.90 10.90 10.90

010-000-1233-000 RANITIDINA 150 MG C/20 GRAGEAS 1 3.58 3.58 3.58

010-000-1234-000 RANITIDINA 50 MG SOL INY C/5 AMP 2 ML 3 7.36 22.08 22.08

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 10 10.10 101.00 101.00

010-000-1937-000 CEFTRIAXONA 1G IV/IM SOL INY 10 ML 20 10.69 213.80 213.80

010-000-1973-000 CLINDAMICINA 300MG C/1 AMP.GI 10 4.41 44.10 44.10

010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL 2.5MG C/10AMP NEB 1 119.00 119.00 119.00

010-000-2306-000 MANITOL 20% SOLUCION INYECTABLE 250 ML 6 25.70 154.20 154.20

010-000-2308-000 FUROSEMIDA 20MG/2ML SOL INY C/5 AMP 5 10.70 53.50 53.50

010-000-2520-000 LOSARTAN GI 50 MG C/30 GRAGEAS ULTRA 1 8.80 8.80 8.80

010-000-2540-000 TELMISARTAN 40MG TABLETAS C/30 1 14.65 14.65 14.65

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 10 13.90 139.00 139.00

010-000-3422-000 KETOROLACO 30MG SOL INY C/3AMP 10 4.08 40.80 40.80

010-000-3607-000 SOLUCION GLUCOSA AL 50% SOL.INY 50ML << 5 22.42 112.10 112.10

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 48 5.73 275.04 275.04

010-000-3609-000 SOLUCION CS 0.9% INY 500 ML PLASTICO 20 8.01 160.20 160.20

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 12 13.50 162.00 162.00

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 24 13.50 324.00 324.00

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 12 13.50 162.00 162.00

010-000-3616-000 SOLUCION HARTMANN 1000 ML 12 8.73 104.76 104.76

010-000-3625-000 SOLUCION GLUCOSA AL 5% 100ML PLASTIC 15 6.28 94.20 94.20

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 120 8.00 960.00 960.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 60 8.00 480.00 480.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 4 1,095.00 4,380.00 4,380.00

010-000-3675-000 AGUA INYECTABLE P/IRRIGACION 500 ML 12 12.00 144.00 144.00

010-000-3675-000 AGUA INTECTABLE P/IRRIGACION 500 ML 24 12.00 288.00 288.00

010-000-4028-000 CLONIXINATO DE LISINA 100 MG SOL INY C/5 AMP 2 18.50 37.00 37.00

010-000-4028-000 CLONIXINATO DE LISINA 100MG/2ML SOL INY C/5 5 18.50 92.50 92.50

010-000-4055-000 BUPIVACAINA/GLUCOSA 15/240MG C/5 AMP 3 ML. 2 142.00 284.00 284.00

010-000-4107-000 AMIODARONA 150MG/3ML C/6 AMP 3 226.50 679.50 679.50

010-000-4154-000 VASOPRESINA 20 UI 1ML FRCO.AMP 2 165.00 330.00 330.00

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 8 2.35 18.80 18.80

Page 3: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 2 104.48 208.96 208.96

010-000-5099-000 ADENOSINA 6 MG 2 ML C/6 AMP 2 1,639.00 3,278.00 3,278.00

010-000-5187-000 OMEPRAZOL 40 MG FCO 6 33.50 201.00 201.00

010-000-5188-000 ESOMEPRAZOL 40 MG. 14 TABLETAS 1 190.08 190.08 190.08

010-000-5256-000 CEFALOTINA 1G SOL INY C/1 FCO AMP 10 18.85 188.50 188.50

010-000-5264-020 CEFUROXIMA SOLUCION INYECTABLE 750MG 10 16.00 160.00 160.00

010-000-5391-000 DIETA POLIMERICA S/FIBRA 237 ML NUEZ 27 25.80 696.60 696.60

010-000-5428-000 ONDANSETRON 8MG C/3 AMP 4ML 10 16.70 167.00 167.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 10 96.96 969.60 969.60

010000M042000 FORMULA POLIM. ESPEC. PARA PERSONAS C/HIPERGL 15 39.00 585.00 585.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 2 1,830.00 3,660.00 3,660.00

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 6 28.15 168.90 168.90

010-000-1234-000 RANITIDINA 50 MG SOL INY C/5 AMP 2 ML 3 7.36 22.08 22.08

010-000-2187-000 BROMURO DE IPRATROPIO 250MCG SOL 20ML P/NEBUL 1 116.00 116.00 116.00

010-000-2308-000 FUROSEMIDA 20MG/2ML SOL INY C/5 AMP 5 10.70 53.50 53.50

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 5 13.90 69.50 69.50

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 8 13.90 111.20 111.20

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 15 13.90 208.50 208.50

010-000-2733-000 SOLUCION GLUCOSADA/AMINOACIDOS/ELECT.1400KCAL 1 1,580.00 1,580.00 1,580.00

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 10 5.73 57.30 57.30

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 48 13.50 648.00 648.00

010-000-3610-000 SOLUCION CS 0.9% BOLSA 1000 ML 12 13.50 162.00 162.00

010-000-3616-000 SOLUCION HARTMANN 1000 ML 12 8.73 104.76 104.76

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 60 8.00 480.00 480.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 60 8.00 480.00 480.00

010-000-4241-000 DEXAMETASONA 8 MG SOL INY C/1 AMP 2ML GI 8 2.35 18.80 18.80

010-000-4259-000 CIPROFLOXACINO 200 MG SOL.INY 10 9.20 92.00 92.00

010-000-4489-000 OLANZAPINA 10 MG IM SOL INY LIOFILIZADO 4 108.51 434.04 434.04

010-000-5187-000 OMEPRAZOL 40 MG FCO 8 33.50 268.00 268.00

010-000-5264-020 CEFUROXIMA 750 MG SOL INY C/10 ML GI 10 16.00 160.00 160.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 8 96.96 775.68 775.68

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 5 96.96 484.80 484.80

010000M014000 ETAMSILATO 250MG SOL. INY C/4 AMPULAS 2ML 2 268.00 536.00 536.00

010-000-0244-000 PROPOFOL 200 MG C/5 AMP 20 ML 6 630.00 3,780.00 3,780.00

010-000-0246-000 PROPOFOL 200MG EMULSION 1% C/5 AMP. 20ML S.S 6 779.00 4,674.00 4,674.00

010-000-0246-000 PROPOFOL 200MG EMULSION 1% C/5 AMP. 20ML S.S 5 779.00 3,895.00 3,895.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 3 1,830.00 5,490.00 5,490.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 3 1,830.00 5,490.00 5,490.00

010-000-0524-000 CLORURO DE POTASIO GI 1.49G/10ML C/50AMP. 1 102.00 102.00 102.00

010-000-0891-000 MICONAZOL 2.0 GR.CAJA C/TUBO C/30GR.CREMA 2 6.95 13.90 13.90

010-000-1234-000 RANITIDINA 50 MG SOL INY C/5 AMP 2 ML 3 7.36 22.08 22.08

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 6 10.10 60.60 60.60

010-000-1973-000 CLINDAMICINA 300MG C/1 AMP.GI 10 4.41 44.10 44.10

010-000-2106-000 TRAMADOL 100MG/2ML SOL INY C/5 AMP 2 49.00 98.00 98.00

010-000-2111-000 AMLODIPINO 5 MG C/10 TABLETAS 1 12.90 12.90 12.90

010-000-2135-000 FLUCONAZOL 100MG SOL INY C/50ML << S.S 2 16.09 32.18 32.18

010-000-2308-000 FUROSEMIDA 20MG/2ML SOL INY C/5 AMP 6 10.70 64.20 64.20

010-000-2308-000 FUROSEMIDA 20MG/2ML SOL INY C/5 AMP 3 10.70 32.10 32.10

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 5 13.90 69.50 69.50

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 8 13.90 111.20 111.20

010-000-3422-000 KETOROLACO 30MG SOL INY C/3AMP 5 4.08 20.40 20.40

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 3 1,095.00 3,285.00 3,285.00

010-000-3675-000 AGUA INTECTABLE P/IRRIGACION 500 ML 24 12.00 288.00 288.00

010-000-4028-000 CLONIXINATO DE LISINA 100 MG SOL INY C/5 AMP 1 18.50 18.50 18.50

010-000-4110-000 AMIODARONA 200 MG C/20 TABLETAS 1 22.90 22.90 22.90

010-000-4114-000 TRINITRATO DE GLICERILO 1 MG SOL INY FCO 50ML 2 496.00 992.00 992.00

010-000-4224-000 ENOXAPARINA 60MG SOL INY C/2 JER PRELL 2 140.70 281.40 281.40

010-000-4224-000 ENOXAPARINA 60MG SOL INY C/2 JER PRELL 2 140.70 281.40 281.40

010-000-4253-000 MOXIFLOXACINO IV 400MG SOL. INY. FCO AMP 1 153.00 153.00 153.00

010-000-4489-000 OLANZAPINA 10 MG IM SOL INY LIOFILIZADO 4 108.51 434.04 434.04

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 1 11.74 11.74 11.74

010-000-5187-000 OMEPRAZOL 40 MG FCO 20 33.50 670.00 670.00

010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 10 237.00 2,370.00 2,370.00

010-000-5292-010 MEROPENEM 1G SOL. INY. KENER C/10 1 2,550.00 2,550.00 2,550.00

010-000-5292-010 MEROPENEM 1G SOL. INY. KENER C/10 2 2,550.00 5,100.00 5,100.00

010-000-5295-010 CEFEPIMA 1G SOL INY C/1 FCO.AMP 20 35.95 719.00 719.00

010-000-5391-000 DIETA POLIMERICA S/FIBRA 237 ML NUEZ 27 25.80 696.60 696.60

010-000-5392-000 DIETA POLIMERICA C/FIBRA SABOR FRESA 237ML 8 51.00 408.00 408.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 10 96.96 969.60 969.60

010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 1 3.29 3.29 3.29

010-000-0109-000 METAMIZOL SODICO 1G SOL INY C/3 AMP 10 7.67 76.70 76.70

Page 4: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-0439-000 SALBUTAMOL 5MG/ML FRASCO 10ML PISA 1 32.00 32.00 32.00

010-000-0612-000 NOREPINEFRINA, BITARTRATO DE DE 4 MG, SOLUCI. 1 3,920.00 3,920.00 3,920.00

010-000-0621-000 HEPARINA SODICA 1000 UI SOL INY C/50 FCO 10ML 1 1,190.00 1,190.00 1,190.00

010-000-1206-000 BUTILHIOSCINA 10 MG C/10 GRAGEAS 1 19.00 19.00 19.00

010-000-1207-000 BUTILHIOSCINA 20 MG C/3 AMP 1 ML 10 6.47 64.70 64.70

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 20 10.10 202.00 202.00

010-000-1937-000 CEFTRIAXONA 1G IV/IM SOL INY 10 ML 30 10.69 320.70 320.70

010-000-1956-000 AMIKACINA 500MG SOL INY C/1 AMP 2ML 6 6.00 36.00 36.00

010-000-2106-000 TRAMADOL 100MG/2ML SOL INY C/5 AMP 10 49.00 490.00 490.00

010-000-2187-000 BROMURO DE IPRATROPIO 250MCG SOL 20ML P/NEBUL 1 116.00 116.00 116.00

010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL 2.5MG C/10AMP NEB 1 119.00 119.00 119.00

010-000-2308-000 FUROSEMIDA 20MG/2ML SOL INY C/5 AMP 10 10.70 107.00 107.00

010-000-2308-000 FUROSEMIDA 20MG/2ML SOL INY C/5 AMP 5 10.70 53.50 53.50

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 3 13.90 41.70 41.70

010-000-3422-000 KETOROLACO 30MG SOL INY C/3AMP 3 4.08 12.24 12.24

010-000-3422-000 KETOROLACO 30MG SOL INY C/3AMP 20 4.08 81.60 81.60

010-000-3422-000 KETOROLACO 30MG SOL INY C/3AMP 20 4.08 81.60 81.60

010-000-3604-000 SOLUCION GLUCOSA 10% INY 500 ML PLASTICO 5 14.00 70.00 70.00

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 48 13.50 648.00 648.00

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 12 13.50 162.00 162.00

010-000-3610-000 SOLUCION CS 0.9% BOLSA 1000 ML 48 13.50 648.00 648.00

010-000-3616-000 SOLUCION HARTMANN 1000 ML 36 8.73 314.28 314.28

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 300 8.00 2,400.00 2,400.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 120 8.00 960.00 960.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 20 1,095.00 21,900.00 21,900.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 20 1,095.00 21,900.00 21,900.00

010-000-4184-000 LOPERAMIDA 2 MG C/12 TABLETAS 1 2.35 2.35 2.35

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 2 2.35 4.70 4.70

010-000-4246-010 CLOPIDOGREL, BISULFATO DE 75MG ENV CON 28 GRAGEAS O TABLETAS 3 39.00 117.00 117.00

010-000-4259-000 CIPROFLOXACINO 200 MG SOL.INY 10 9.20 92.00 92.00

010-000-4291-000 LINEZOLID 200MG.SOL.INY.2MG/ML.BOLSA(300ML) 3 305.60 916.80 916.80

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 1 104.48 104.48 104.48

010-000-4489-000 OLANZAPINA 10 MG IM SOL INY LIOFILIZADO 2 108.51 217.02 217.02

010-000-4590-000 TIGECICLINA 50MG SOL.INY C/1 AMPULA 4 580.66 2,322.64 2,322.64

010-000-5100-000 MILRINONA INY. 3 AMPS 4 4,055.00 16,220.00 16,220.00

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 5 11.74 58.70 58.70

010-000-5187-000 OMEPRAZOL 40 MG FCO 60 33.50 2,010.00 2,010.00

010-000-5256-000 CEFALOTINA 1G SOL INY C/1 FCO AMP 6 18.85 113.10 113.10

010-000-5265-000 IMIPENEM-CILASTATINA SOD 500/500MG FCO AMP, 6 97.00 582.00 582.00

010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 8 237.00 1,896.00 1,896.00

010-000-5333-000 ERITROPOYETINA HUMANA RECOM 4,000 UI C/6 AMPS 10 227.50 2,275.00 2,275.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 15 96.96 1,454.40 1,454.40

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 2 96.96 193.92 193.92

040-000-4484-000 SERTRALINA 50MG TABLETAS C/14 1 8.00 8.00 8.00

010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 25 3.29 82.25 82.25

010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 10 3.29 32.90 32.90

010-000-0246-000 PROPOFOL 200MG EMULSION 1% C/5 AMP. 20ML S.S 5 779.00 3,895.00 3,895.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 5 1,830.00 9,150.00 9,150.00

010-000-0262-000 LIDOCAINA 2% 20MG/ML FCO AMP C/5 50ML 2 97.00 194.00 194.00

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 1 28.15 28.15 28.15

010-000-1224-000 ALUMINIO/MAGNESIO SUSPENSION 240 ML 6 10.90 65.40 65.40

010-000-1234-000 RANITIDINA 50 MG SOL INY C/5 AMP 2 ML 30 7.36 220.80 220.80

010-000-1277-000 FOSFATO Y CITRATO DE SODIO SOL.INY 100 ML 2 13.83 27.66 27.66

010-000-1931-000 AMPICILINA 500 MG SOL INY 37 4.14 153.18 153.18

010-000-1931-000 AMPICILINA 500 MG SOL INY 60 4.14 248.40 248.40

010-000-1937-000 CEFTRIAXONA 1G IV/IM SOL INY 10 ML 20 10.69 213.80 213.80

010-000-1937-000 CEFTRIAXONA 1G SOL INY C/1 FCO AMP 10 10.69 106.90 106.90

010-000-1937-000 CEFTRIAXONA 1G SOL INY C/1 FCO AMP 19 10.69 203.11 203.11

010-000-1973-000 CLINDAMICINA 300MG C/1 AMP.GI 10 4.41 44.10 44.10

010-000-1973-000 CLINDAMICINA 300MG C/1 AMP.GI 30 4.41 132.30 132.30

010-000-2111-000 AMLODIPINO 5 MG C/10 TABLETAS 3 12.90 38.70 38.70

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 30 13.90 417.00 417.00

010-000-3422-000 KETOROLACO 30MG SOL INY C/3AMP 27 4.08 110.16 110.16

010-000-3422-000 KETOROLACO 30MG SOL INY C/3AMP 3 4.08 12.24 12.24

010-000-3607-000 SOLUCION GLUCOSA AL 50% SOL.INY 50ML << 20 22.42 448.40 448.40

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 96 13.50 1,296.00 1,296.00

010-000-3616-000 SOLUCION HARTMANN 1000 ML 72 8.73 628.56 628.56

010-000-4111-000 TRINITRATO DE GLICERILO 5MG 24 HRS C/7PARCHES 1 48.50 48.50 48.50

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 40 2.35 94.00 94.00

010-000-4251-000 VANCOMICNA 500MG SOLUCION INY, FRASCO AMPULA 30 48.97 1,469.10 1,469.10

010-000-4251-000 VANCOMICINA 500 MG SOL INY 22 48.97 1,077.34 1,077.34

Page 5: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-4251-000 VANCOMICNA 500MG SOLUCION INY, FRASCO AMPULA 8 48.97 391.76 391.76

010-000-4255-000 CIPROFLOXACINO 250MG TABS C/8 BIOMEP 2 4.65 9.30 9.30

010-000-4259-000 CIPROFLOXACINO 200 MG SOL.INY 30 9.20 276.00 276.00

010-000-4359-000 GABAPENTINA 300 MG C/15 CAPSULAS 3 32.80 98.40 98.40

010-000-4359-000 GABAPENTINA 300 MG C/15 CAPSULAS 2 32.80 65.60 65.60

010-000-5187-000 OMEPRAZOL 40 MG FCO 35 33.50 1,172.50 1,172.50

010-000-5187-000 OMEPRAZOL 40MG SOL INY C/10ML 80 33.50 2,680.00 2,680.00

010-000-5188-000 ESOMEPRAZOL 40 MG. 14 TABLETAS 1 190.08 190.08 190.08

010-000-5191-000 TERLIPRESINA 1MG/5ML SOL INY C/1 FCO AMP 6 847.36 5,084.16 5,084.16

010-000-5191-000 TERLIPRESINA 1MG/5ML SOL INY C/1 FCO AMP 20 847.36 16,947.20 16,947.20

010-000-5229-000 ACIDO ASCORBICO 1 G SOL. INY C/6 AMP 10 ML 2 106.00 212.00 212.00

010-000-5256-000 CEFALOTINA 1G SOL INY C/1 FCO AMP 20 18.85 377.00 377.00

010-000-5264-020 CEFUROXIMA SOLUCION INYECTABLE 750MG 15 16.00 240.00 240.00

010-000-5264-020 CEFUROXIMA 750 MG SOL INY IM/IV 10 ML 5 16.00 80.00 80.00

010-000-5306-000 ACIDO MICOFENOLICO 500MG C/50 TABLETAS 1 595.00 595.00 595.00

010-000-5428-000 ONDANSETRON 8MG/4ML C/3AMP IV 30 16.70 501.00 501.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 86 96.96 8,338.56 8,338.56

010000M042000 FORMULA POLIM. ESPEC. PARA PERSONAS C/HIPERGL 15 39.00 585.00 585.00

010-000-0406-000 DIFENHIDRAMINA 100MG SOL INY C/1FCO AMP S.S<< 20 37.00 740.00 740.00

010-000-1764-000 DOXORUBICINA 10MG SOL.INYEC. 5ML 10 157.00 1,570.00 1,570.00

010-000-1767-000 BLEOMICINA 15UI SOL INY C/1 AMP. 6 271.00 1,626.00 1,626.00

010-000-1773-000 EPIRUBICINA 10MG SOL INY C/1 FCO AMP 10 147.50 1,475.00 1,475.00

010-000-1774-000 EPIRUBICINA 50 MG SOL INY 20 365.00 7,300.00 7,300.00

010-000-3046-000 CISPLATINO 10 MG SOL INY FCO AMP C/10 ML 10 33.65 336.50 336.50

010-000-3609-000 SOLUCION CS 0.9% INY 500 ML PLASTICO 20 8.01 160.20 160.20

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 180 8.00 1,440.00 1,440.00

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 40 2.35 94.00 94.00

010-000-4431-000 CARBOPLATINO 150 MG SOL INY C/1 FCO 10 185.00 1,850.00 1,850.00

010-000-4432-000 IFOSFAMIDA 1GR. SOL. INY. C/1 AMP. 10 339.00 3,390.00 3,390.00

010-000-4433-000 MESNA 400MG SOL. INY. C/5 AMP. 4ML 4 251.00 1,004.00 1,004.00

010-000-4441-000 GRANISETRON SOL INY 3MG/3ML 10 128.20 1,282.00 1,282.00

010-000-4442-000 APREPITANT 125MG/80MG C/2 TABS. 10 732.86 7,328.60 7,328.60

010-000-5428-000 ONDANSETRON 8MG C/3 AMP 4ML 15 16.70 250.50 250.50

010-000-5432-000 FILGRASTIM 300UG SOL.INY C/5 AMPULAS 3 1,425.00 4,275.00 4,275.00

010000M028000 GEMCITABINA 200MG SOL INY C/1 FCO AMP LIOF 7 391.84 2,742.88 2,742.88

010000M028000 GEMCITABINA 200MG SOL INY C/1 FCO AMP 3 391.84 1,175.52 1,175.52

040-000-0221-000 TIOPENTAL SODICO 0.5G/5ML C/1AMP 7 55.40 387.80 387.80

040-000-0242-000 FENTANILO SOL.INY.C/6 AMP 0.5MG/10ML 5 140.00 700.00 700.00

040-000-0242-000 FENTANILO SOL. INY. C/6 AMP. 50MCG/ML I 25 140.00 3,500.00 3,500.00

040-000-3253-000 HALOPERIDOL 5MG/ML SOL INY C/6 AMP 8 72.00 576.00 576.00

040-000-4057-000 MIDAZOLAM 15MG SOL INY C/5 AMP 3ML 30 67.00 2,010.00 2,010.00

010-000-0244-000 PROPOFOL 200 MG C/5 AMP 20 ML 10 630.00 6,300.00 6,300.00

010-000-0439-000 SALBUTAMOL 5MG/ML FRASCO 10ML PISA 3 32.00 96.00 96.00

010-000-0626-010 FITOMENADIONA 10MG/1ML C/5 AMP 4 49.50 198.00 198.00

010-000-0891-000 MICONAZOL 2.0 GR.CAJA C/TUBO C/30GR.CREMA 3 6.95 20.85 20.85

010-000-1234-000 RANITIDINA 50 MG SOL INY C/5 AMP 2 ML 15 7.36 110.40 110.40

010-000-1935-000 CEFOTAXIMA 1 GR SOL.INY 4ML 40 10.67 426.80 426.80

010-000-1937-000 CEFTRIAXONA 1G IV/IM SOL INY 10 ML 50 10.69 534.50 534.50

010-000-2187-000 BROMURO DE IPRATROPIO 250MCG SOL 20ML P/NEBUL 4 116.00 464.00 464.00

010-000-2308-000 FUROSEMIDA 20MG/2ML SOL INY C/5 AMP 50 10.70 535.00 535.00

010-000-3422-000 KETOROLACO 30MG SOL INY C/3AMP 40 4.08 163.20 163.20

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 144 5.73 825.12 825.12

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 96 13.50 1,296.00 1,296.00

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 60 13.50 810.00 810.00

010-000-3616-000 SOLUCION HARTMANN 1000 ML 72 8.73 628.56 628.56

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 660 8.00 5,280.00 5,280.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 80 12.00 960.00 960.00

010-000-4224-000 ENOXAPARINA 60MG SOL INY C/2 JER PRELL 30 140.70 4,221.00 4,221.00

010-000-4224-000 ENOXAPARINA 60MG SOL INY C/2 JER PRELL 30 140.70 4,221.00 4,221.00

010-000-4251-000 VANCOMICNA 500MG SOLUCION INY, FRASCO AMPULA 7 48.97 342.79 342.79

010-000-4259-000 CIPROFLOXACINO 200 MG SOL.INY 30 9.20 276.00 276.00

010-000-4291-000 LINEZOLID 200MG.SOL.INY.2MG/ML.BOLSA(300ML) 8 305.60 2,444.80 2,444.80

010-000-5187-000 OMEPRAZOL 40 MG FCO 80 33.50 2,680.00 2,680.00

010-000-5265-000 IMIPENEM-CILASTATINA SOD 500/500MG FCO AMP, 30 97.00 2,910.00 2,910.00

010-000-5292-010 MEROPENEM 1G SOL. INY. KENER C/10 10 2,550.00 25,500.00 25,500.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 60 96.96 5,817.60 5,817.60

010-000-5865-000 COLISTIMETATO 150MG SOL. INYECTABLE 3 1,580.07 4,740.21 4,740.21

010000M017000 FORMULA POLIM ESPECIA 300KCAL VIT Y ANT 200ML 60 65.00 3,900.00 3,900.00

010-000-2192-000 ACIDO FOLINICO 50MG/4ML SOL.INY C/1 AMP. 50 223.00 11,150.00 11,150.00

010-000-3012-000 FLUOROURACILO 250MG/10ML C/10 AMP 5 215.00 1,075.00 1,075.00

010-000-3047-000 TAMOXIFENO 20MG. C/14 TABLETAS 30 24.53 735.90 735.90

Page 6: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-5449-000 ANASTROZOL 1MG TAB C/28 10 858.00 8,580.00 8,580.00

010-000-5653-000 PANITUMUMAB 100MG/5 ML SOLUCION INYECTABLE 4 7,699.20 30,796.80 30,796.80

010-000-0109-000 METAMIZOL SODICO 1G SOL INY C/3 AMP 10 7.67 76.70 76.70

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 2 1,830.00 3,660.00 3,660.00

010-000-0439-000 SALBUTAMOL 5MG/ML FRASCO 10ML PISA 1 32.00 32.00 32.00

010-000-0524-000 CLORURO DE POTASIO GI 1.49G/10ML C/50AMP. 1 102.00 102.00 102.00

010-000-0612-000 NOREPINEFRINA, BITARTRATO DE DE 4 MG, SOLUCI. 1 3,920.00 3,920.00 3,920.00

010-000-0614-000 DOPAMINA 200MG/5ML C/5 AMPOLLETAS 3 29.40 88.20 88.20

010-000-1234-000 RANITIDINA 50 MG SOL INY C/5 AMP 2 ML 2 7.36 14.72 14.72

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 4 10.10 40.40 40.40

010-000-1956-000 AMIKACINA 500MG SOL INY C/1 AMP 2ML 6 6.00 36.00 36.00

010-000-2135-000 FLUCONAZOL 100MG SOL INY C/50ML << S.S 5 16.09 80.45 80.45

010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL 2.5MG C/10AMP NEB 3 119.00 357.00 357.00

010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL 2.5MG C/10AMP NEB 1 119.00 119.00 119.00

010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL 2.5MG C/10AMP NEB 2 119.00 238.00 238.00

010-000-2308-000 FUROSEMIDA 20MG/2ML SOL INY C/5 AMP 3 10.70 32.10 32.10

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 8 13.90 111.20 111.20

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 5 13.90 69.50 69.50

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 15 13.90 208.50 208.50

010-000-3422-000 KETOROLACO 30MG SOL INY C/3AMP 5 4.08 20.40 20.40

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 48 5.73 275.04 275.04

010-000-3609-000 SOLUCION CS 0.9% INY 500 ML PLASTICO 48 8.01 384.48 384.48

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 12 13.50 162.00 162.00

010-000-3616-000 SOLUCION HARTMANN 1000 ML 24 8.73 209.52 209.52

010-000-3616-000 SOLUCION HARTMANN 1000 ML 12 8.73 104.76 104.76

010-000-3617-000 FOSFATO DE POTASIO AMP. C/50 10 ML. 1 295.00 295.00 295.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 10 1,095.00 10,950.00 10,950.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 60 12.00 720.00 720.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 40 12.00 480.00 480.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 40 12.00 480.00 480.00

010-000-4028-000 CLONIXINATO DE LISINA 100 MG SOL INY C/5 AMP 1 18.50 18.50 18.50

010-000-4107-000 AMIODARONA 150MG/3ML C/6 AMP 1 226.50 226.50 226.50

010-000-4154-000 VASOPRESINA 20 UI 1ML FRCO.AMP 6 165.00 990.00 990.00

010-000-4224-000 ENOXAPARINA 60MG SOL INY C/2 JER PRELL 6 140.70 844.20 844.20

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 20 2.35 47.00 47.00

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 9 2.35 21.15 21.15

010-000-4241-000 DEXAMETASONA 8 MG SOL INY C/1 AMP 2ML GI 1 2.35 2.35 2.35

010-000-4249-000 LEVOFLOXACINO 500 MG SOL INY 100 ML 10 24.40 244.00 244.00

010-000-4249-000 LEVOFLOXACINO 500 MG SOL INY 100 ML 15 24.40 366.00 366.00

010-000-4291-000 LINEZOLID 200MG.SOL.INY.2MG/ML.BOLSA(300ML) 8 305.60 2,444.80 2,444.80

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 1 104.48 104.48 104.48

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 2 104.48 208.96 208.96

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 3 104.48 313.44 313.44

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 1 104.48 104.48 104.48

010-000-5105-000 ESMOLOL 250MG/ML SOL INY C/2 AMP 10ML 3 3,270.00 9,810.00 9,810.00

010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 8 237.00 1,896.00 1,896.00

010-000-5428-000 ONDANSETRON 8MG/4ML C/3AMP IV 10 16.70 167.00 167.00

010-000-5634-000 BEMIPARINA SODICA 3500UI/0.2ML C/2 JER PRELL 30 315.00 9,450.00 9,450.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 6 96.96 581.76 581.76

010-000-0103-000 ACIDO ACETILSALICILICO 300MG TABS DISPERSABLE 3 4.20 12.60 12.60

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 2 1,830.00 3,660.00 3,660.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 2 1,830.00 3,660.00 3,660.00

010-000-0572-000 METOPROLOL 100MG C/20 TABLETAS 1 5.90 5.90 5.90

010-000-0574-000 CAPTOPRIL 25 MG C/30 TABLETAS 2 3.30 6.60 6.60

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 2 28.15 56.30 56.30

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 2 28.15 56.30 56.30

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 3 28.15 84.45 84.45

010-000-1233-000 RANITIDINA 150 MG C/20 GRAGEAS 2 3.58 7.16 7.16

010-000-1937-000 CEFTRIAXONA 1G IV/IM SOL INY 10 ML 30 10.69 320.70 320.70

010-000-1954-000 GENTAMICINA 80MG. SOL. INY. C/1 AMP 2ML 10 2.97 29.70 29.70

010-000-1956-000 AMIKACINA 500MG SOL INY C/1 AMP 2ML 20 6.00 120.00 120.00

010-000-1957-000 AMIKACINA 100MG SOL INY.C/1 AMP 2ML 15 3.10 46.50 46.50

010-000-2111-000 AMLODIPINO 5 MG C/10 TABLETAS 2 12.90 25.80 25.80

010-000-2111-000 AMLODIPINO 5 MG C/10 TABLETAS 2 12.90 25.80 25.80

010-000-2133-000 CLINDAMICINA 300 MG C/16 CAPSULAS 4 12.40 49.60 49.60

010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL2.5MG C/10 AMP 1 119.00 119.00 119.00

010-000-2304-010 ESPIRONOLACTONA 25MG TABS C/20 3 16.00 48.00 48.00

010-000-2501-000 ENALAPRIL 10 MG C/30 TABLETAS 2 3.84 7.68 7.68

010-000-2520-000 LOSARTAN GI 50 MG C/30 GRAGEAS ULTRA 2 8.80 17.60 17.60

010-000-2520-000 LOSARTAN GI 50 MG C/30 GRAGEAS ULTRA 2 8.80 17.60 17.60

010-000-2617-000 LEVETIRACETAM 500MG TABLETAS C/60 1 349.00 349.00 349.00

Page 7: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-2622-000 VALPROATO DE MAGNE.200MG C/40 TAB GI SSCRIVAL 1 31.80 31.80 31.80

010-000-2742-000 ALANINA/LEVOGLUTAMINA 8.20G/13.46G INY 100 ML 2 839.00 1,678.00 1,678.00

010-000-3451-000 ALOPURINOL 300MG TABLETAS C/30 2 9.00 18.00 18.00

010-000-3607-000 SOLUCION GLUCOSA AL 50% SOL.INY 50ML << 80 22.42 1,793.60 1,793.60

010-000-4158-000 INSULINA GLARGINA 100UI FCO.AMP. 10ML 2 130.00 260.00 260.00

010-000-4184-000 LOPERAMIDA 2 MG C/12 TABLETAS 2 2.35 4.70 4.70

010-000-4260-000 NISTATINA 100000U/MLFCO.C/PVOP/24ML M.MIBESAN 5 17.50 87.50 87.50

010-000-4308-010 SILDENAFIL 50MG TABS C/4 1 12.50 12.50 12.50

010-000-4439-000 GRANISETRON 1 MG C/2 TABLETAS 1 191.00 191.00 191.00

010-000-4489-000 OLANZAPINA 10 MG IM SOL INY LIOFILIZADO 2 108.51 217.02 217.02

010-000-4489-000 OLANZAPINA 10 MG IM SOL INY LIOFILIZADO 2 108.51 217.02 217.02

010-000-4592-000 PIPERACILINA S¢DICA- TAZOBACTAM S¢DICO DE 4 G/500 MG SOL INY 40 68.90 2,756.00 2,756.00

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 5 11.74 58.70 58.70

010-000-5187-000 OMEPRAZOL 40 MG FCO 80 33.50 2,680.00 2,680.00

010-000-5191-000 TERLIPRESINA 1MG/5ML SOL INY C/1 FCO AMP 4 847.36 3,389.44 3,389.44

010-000-5267-000 FLUCONAZOL 100MG CAPS C/10 TECNOFARMA 1 12.00 12.00 12.00

010-000-5284-000 CEFEPIMA 500MG SOLUCION INYECTABLE 5 ML 20 59.50 1,190.00 1,190.00

010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 20 237.00 4,740.00 4,740.00

010-000-5292-010 MEROPENEM 1G SOL INY C/10 FCOS AMP 3 2,550.00 7,650.00 7,650.00

010-000-5292-010 MEROPENEM 1G SOL INY C/10 FCOS AMP 3 2,550.00 7,650.00 7,650.00

010-000-5295-010 CEFEPIMA 1G SOL INY C/1 FCO.AMP 20 35.95 719.00 719.00

010-000-5391-000 DIETA POLIMERICA S/FIBRA 237 ML NUEZ 27 25.80 696.60 696.60

010-000-5391-000 DIETA POLIMERICA S/FIBRA 237 ML NUEZ 27 25.80 696.60 696.60

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 60 96.96 5,817.60 5,817.60

010-000-5865-000 COLISTIMETATO 150MG SOL. INYECTABLE 1 1,580.07 1,580.07 1,580.07

010000M017000 FORMULA POLIM ESPECIA 300KCAL VIT Y ANT 200ML 24 65.00 1,560.00 1,560.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 3 1,830.00 5,490.00 5,490.00

010-000-0612-000 NOREPINEFRINA 4 MG/4ML SOL INYECTABLE 50 AMP 1 3,920.00 3,920.00 3,920.00

010-000-1051-010 INSULINA HUMANA ACC. RAPIDA 100UI/ML. DE 10ML 1 34.17 34.17 34.17

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 5 10.10 50.50 50.50

010-000-1935-000 CEFOTAXIMA 1 G IV SOL INY 10 10.67 106.70 106.70

010-000-2106-000 TRAMADOL 100MG/2ML SOL INY C/5 AMP 20 49.00 980.00 980.00

010-000-2106-000 TRAMADOL 100MG/2ML SOL INY C/5 AMP 2 49.00 98.00 98.00

010-000-3417-000 DICLOFENACO 100MG C/20 GRAG.LIB.PROL. DOCRIL 1 5.50 5.50 5.50

010-000-3422-000 KETOROLACO GI 30MG/1ML C/3 AMPS. 3 4.08 12.24 12.24

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 48 5.73 275.04 275.04

010-000-3609-000 SOLUCION CS 0.9% INY 500 ML PLASTICO 20 8.01 160.20 160.20

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 60 8.00 480.00 480.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 20 12.00 240.00 240.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 20 12.00 240.00 240.00

010-000-4224-000 ENOXAPARINA 60MG SOL INY C/2 JER PRELL 1 140.70 140.70 140.70

010-000-4251-000 VANCOMICINA 500MG SOL. INY FRASCO AMPULA 6 48.97 293.82 293.82

010-000-4259-000 CIPROFLOXACINO 200 MG SOL.INY 5 9.20 46.00 46.00

010-000-4291-000 LINEZOLID 200MG.SOL.INY.2MG/ML.BOLSA(300ML) 2 305.60 611.20 611.20

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 2 104.48 208.96 208.96

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 1 11.74 11.74 11.74

010-000-5187-000 OMEPRAZOL 40 MG FCO 10 33.50 335.00 335.00

010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 10 237.00 2,370.00 2,370.00

010-000-5292-010 MEROPENEM 1G SOL INY C/10 FCOS AMP 1 2,550.00 2,550.00 2,550.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 4 96.96 387.84 387.84

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 5 96.96 484.80 484.80

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 3 96.96 290.88 290.88

010000M014000 ETAMSILATO 250MG SOL. INY C/4 AMPULAS 2ML 1 268.00 268.00 268.00

010-000-0109-000 METAMIZOL SODICO 1G SOL INY C/3 AMP 2 7.67 15.34 15.34

010-000-0109-000 METAMIZOL SODICO 1G SOL INY C/3 AMP 1 7.67 7.67 7.67

010-000-0502-000 DIGOXINA 0.250 MG C/20 TABLETAS 1 7.15 7.15 7.15

010-000-0524-000 CLORURO DE POTASIO GI 1.49G/10ML C/50AMP. 1 102.00 102.00 102.00

010-000-0626-010 FITOMENADIONA 10MG/1ML C/5 AMP 1 49.50 49.50 49.50

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 5 10.10 50.50 50.50

010-000-1956-000 AMIKACINA 500MG SOL INY C/1 AMP 2ML 10 6.00 60.00 60.00

010-000-2304-010 ESPIRONOLACTONA 25MG TABS C/20 1 16.00 16.00 16.00

010-000-2520-000 LOSARTAN GI 50 MG C/30 GRAGEAS ULTRA 1 8.80 8.80 8.80

010-000-3422-000 KETOROLACO GI 30MG/1ML C/3 AMPS. 5 4.08 20.40 20.40

010-000-3422-000 KETOROLACO GI 30MG/1ML C/3 AMPS. 3 4.08 12.24 12.24

010-000-3451-000 ALOPURINOL 300 MG C/20 TABLETAS 1 9.00 9.00 9.00

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 12 13.50 162.00 162.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 60 8.00 480.00 480.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 5 1,095.00 5,475.00 5,475.00

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 10 2.35 23.50 23.50

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 7 2.35 16.45 16.45

010-000-4249-000 LEVOFLOXACINO 500 MG SOL INY 100 ML 5 24.40 122.00 122.00

Page 8: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-4251-000 VANCOMICINA 500MG SOL. INY FRASCO AMPULA 5 48.97 244.85 244.85

010-000-4253-000 MOXIFLOXACINO IV 400MG SOL. INY. FCO AMP 2 153.00 306.00 306.00

010-000-4291-000 LINEZOLID 200MG.SOL.INY.2MG/ML.BOLSA(300ML) 2 305.60 611.20 611.20

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 2 104.48 208.96 208.96

010-000-4373-000 VALGANCICLOVIR 450MG C/60 COMPRIMIDOS 1 9,102.60 9,102.60 9,102.60

010-000-4578-000 TEICOPLANINA 400MG SOL INY C/1 FCO AMP S.S<< 2 446.00 892.00 892.00

010-000-5084-000 TACROLIMUS 1MG C/50 CASPULAS 3 557.00 1,671.00 1,671.00

010-000-5084-000 TACROLIMUS 1MG C/50 CAPSULAS 1 557.00 557.00 557.00

010-000-5187-000 OMEPRAZOL 40MG SOL INY C/10ML 5 33.50 167.50 167.50

010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 8 237.00 1,896.00 1,896.00

010-000-5303-000 ACIDO MICOFENOLICO 360 MG GRAG C/120 2 3,372.30 6,744.60 6,744.60

010-000-5386-000 SOLUCION DE CLORURO DE SODIO 17.7% C/100AM/10 1 275.00 275.00 275.00

010-000-5428-000 ONDANSETRON 8MG/4ML C/3AMP IV 2 16.70 33.40 33.40

010-000-5428-000 ONDANSETRON 8MG C/3 AMP 4ML 2 16.70 33.40 33.40

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 3 96.96 290.88 290.88

010-000-0109-000 METAMIZOL SODICO 1G SOL INY C/3 AMP 40 7.67 306.80 306.80

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 1 1,830.00 1,830.00 1,830.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 2 1,830.00 3,660.00 3,660.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 1 1,830.00 1,830.00 1,830.00

010-000-0474-000 HIDROCORTISONA 100 MG SOL INY C/50 GI 1 629.00 629.00 629.00

010-000-0524-000 CLORURO DE POTASIO GI 1.49G/10ML C/50AMP. 8 102.00 816.00 816.00

010-000-0572-000 METOPROLOL GI 100 MG C/20 TAB. 8 5.90 47.20 47.20

010-000-0574-000 CAPTOPRIL 25 MG C/30 TABLETAS 2 3.30 6.60 6.60

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 1 28.15 28.15 28.15

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 1 28.15 28.15 28.15

010-000-1241-000 METOCLOPRAMIDA 10MG/2ML C/6 AMP PISA 40 7.54 301.60 301.60

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 80 10.10 808.00 808.00

010-000-1707-000 ACIDO FOLINICO 3MG/ML SOL INY C/6 AMP 8 67.00 536.00 536.00

010-000-1935-000 CEFOTAXIMA 1 G IV SOL INY 50 10.67 533.50 533.50

010-000-1937-000 CEFTRIAXONA 1G IV/IM SOL INY 10 ML 20 10.69 213.80 213.80

010-000-2106-000 TRAMADOL 100MG/2ML SOL INY C/5 AMP 80 49.00 3,920.00 3,920.00

010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL 2.5MG C/10AMP NEB 10 119.00 1,190.00 1,190.00

010-000-2307-000 FUROSEMIDA 40 MG. C/20 TAB. 1 3.55 3.55 3.55

010-000-3422-000 KETOROLACO GI 30MG/1ML C/3 AMPS. 60 4.08 244.80 244.80

010-000-3613-000 SOL.CLORURO SODIO-GLUCOSA 9%-5% 1000ML 72 13.48 970.56 970.56

010-000-3619-000 BICARBONATO DE SODIO 7.5% C/50 AMP 10 ML GI 2 231.00 462.00 462.00

010-000-3620-000 GLUCONATO DE CALCIO GI 10% C/50 AMP 10 ML 2 158.00 316.00 316.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 900 8.00 7,200.00 7,200.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 10 1,095.00 10,950.00 10,950.00

010-000-4107-000 AMIODARONA 150MG/3ML C/6 AMP 4 226.50 906.00 906.00

010-000-4158-000 INSULINA GLARGINA 100UI FCO.AMP. 10ML 6 130.00 780.00 780.00

010-000-4260-000 NISTATINA 100000U/MLFCO.C/PVOP/24ML M.MIBESAN 4 17.50 70.00 70.00

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 10 104.48 1,044.80 1,044.80

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 1 104.48 104.48 104.48

010-000-4477-000 HALOPERIDOL FCO. GOTAS 15 ml. 2 mg. 1 64.00 64.00 64.00

010-000-4592-000 PIPERACILINA S¢DICA- TAZOBACTAM S¢DICO DE 4 G/500 MG SOL INY 60 68.90 4,134.00 4,134.00

010-000-5187-000 OMEPRAZOL 40 MG FCO 90 33.50 3,015.00 3,015.00

010-000-5187-000 OMEPRAZOL 40 MG FCO 40 33.50 1,340.00 1,340.00

010-000-5191-000 TERLIPRESINA 1MG/5ML SOL INY C/1 FCO AMP 6 847.36 5,084.16 5,084.16

010-000-5265-000 IMIPENEM/CILASTATINA GI 500/500MG SOL INY C/1 60 97.00 5,820.00 5,820.00

010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 40 237.00 9,480.00 9,480.00

010-000-5292-010 MEROPENEM 1G SOL INY C/10 FCOS AMP 6 2,550.00 15,300.00 15,300.00

010-000-5391-000 DIETA POLIMERICA S/FIBRA 237 ML NUEZ 108 25.80 2,786.40 2,786.40

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 90 96.96 8,726.40 8,726.40

010-000-5865-000 COLISTIMETATO 150MG SOL. INYECTABLE 6 1,580.07 9,480.42 9,480.42

010-000-5865-000 COLISTIMETATO 150MG SOL. INYECTABLE 1 1,580.07 1,580.07 1,580.07

010000M034000 CLARITROMICINA SOL. INY. 500 MG 10 525.00 5,250.00 5,250.00

010000M042000 FORMULA POLIM. ESPEC. PARA PERSONAS C/HIPERGL 15 39.00 585.00 585.00

040-000-0221-000 TIOPENTAL SODICO 0.5G/5ML C/1AMP 1 55.40 55.40 55.40

040-000-0226-000 KETAMINA SOL.INY.50MG/ML C/10ML PISA 2 69.00 138.00 138.00

040-000-0242-000 FENTANILO SOL. INY. C/6 AMP. 50MCG/ML I 15 140.00 2,100.00 2,100.00

040-000-2103-000 MORFINA 10MG/10ML SOL INY C/5 AMP 6 870.00 5,220.00 5,220.00

040-000-2103-000 MORFINA 10MG/10ML SOL INY C/5 AMP 6 870.00 5,220.00 5,220.00

040-000-2613-000 CLONAZEPAM 2.5MG GOTAS C/10ML PSICOFARMA II 3 19.30 57.90 57.90

040-000-4026-000 BUPRENORFINA 0.3MG/ML CAJA C/6 AMP. II 1 58.50 58.50 58.50

040-000-4057-000 MIDAZOLAM 15MG SOL INY C/5 AMP 3ML 12 67.00 804.00 804.00

010-000-1753-000 CICLOFOSFAMIDA 500 MG SOL INY C/2 AMPS. 10 169.00 1,690.00 1,690.00

010-000-3012-000 FLUOROURACILO 250MG/10ML C/10 AMP 5 215.00 1,075.00 1,075.00

010-000-3046-000 CISPLATINO 10 MG SOL INY C/10 ML 1 33.65 33.65 33.65

010-000-3046-000 CISPLATINO 10 MG SOL INY C/10 ML 29 33.65 975.85 975.85

010-000-3046-000 CISPLATINO 10 MG SOL INY C/10 ML 10 33.65 336.50 336.50

Page 9: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-3046-000 CISPLATINO 10 MG SOL INY FCO AMP C/10 ML 20 33.65 673.00 673.00

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 48 5.73 275.04 275.04

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 48 5.73 275.04 275.04

010-000-3609-000 SOLUCION CS 0.9% INY 500 ML PLASTICO 20 8.01 160.20 160.20

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 180 8.00 1,440.00 1,440.00

010-000-4230-000 ETOPOSIDOS 100MG/5ML SOL.INY. C/10 FCO AMP. 1 540.00 540.00 540.00

010-000-5440-010 BICALUTAMIDA 50 MG C/28 COMPRIMIDOS 10 487.00 4,870.00 4,870.00

010-000-5452-000 PEGFILGRASTIM 6MG/0.6ML SOL INY. C/1AMP 1 13,593.00 13,593.00 13,593.00

010-000-5541-000 LETROZOL 2.5MG TABLETAS C/30 9 70.00 630.00 630.00

010-000-0262-000 LIDOCAINA 2% 20MG/ML FCO AMP C/5 50ML 2 97.00 194.00 194.00

010-000-0262-000 LIDOCAINA 2% 20MG/ML FCO AMP C/5 50ML 3 97.00 291.00 291.00

010-000-0270-000 ROPIVACAINA 150 MG. C/5 AMPS. DE 20ML. 1 546.00 546.00 546.00

010-000-0429-000 SALBUTAMOL SUSP AER 200 DOSIS 100MCG 2 20.20 40.40 40.40

010-000-0429-000 SALBUTAMOL SUSP AEROSOL 20MG 200DOSIS G.I. 2 20.20 40.40 40.40

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 3 28.15 84.45 84.45

010-000-0813-000 HIDROCORTISONA 1.0GR TUBO C/30GR. CREMA 1 23.90 23.90 23.90

010-000-0813-000 HIDROCORTISONA CREMA CAJA 15G. 1 23.90 23.90 23.90

010-000-0813-000 HIDROCORTISONA CREMA CAJA 15G. 4 23.90 95.60 95.60

010-000-1271-000 PLANTAGO PSYLLIUM BOLSA C/400G 4 44.00 176.00 176.00

010-000-1277-000 FOSFATO Y CITRATO DE SODIO SOL.INY 100 ML 2 13.83 27.66 27.66

010-000-1937-000 CEFTRIAXONA 1G SOL INY C/1 FCO AMP 10 10.69 106.90 106.90

010-000-1973-000 CLINDAMICINA 300MG C/1 AMP.GI 25 4.41 110.25 110.25

010-000-2111-000 AMLODIPINO 5 MG C/10 TABLETAS 6 12.90 77.40 77.40

010-000-2187-000 BROMURO DE IPRATROPIO 250MCG SOL 20ML P/NEBUL 6 116.00 696.00 696.00

010-000-2742-000 ALANINA/LEVOGLUTAMINA 8.20G/13.46G INY 100 ML 20 839.00 16,780.00 16,780.00

010-000-2742-000 ALANINA/LEVOGLUTAMINA 8.20G/13.46G INY 100 ML 10 839.00 8,390.00 8,390.00

010-000-2745-010 ACIDOS GRASOS OMEGA-3 EMUL INY 10% FCO 100 ML 10 1,130.00 11,300.00 11,300.00

010-000-2822-000 CLORANFENICOL 5MG UNGUENTO OFTALMICO 5MG/G 3 6.58 19.74 19.74

010-000-2893-000 HIPROMELOSA 20MG/ML SOL, OFTALMICA 2% ENVASE CON GOTERO 15ML 1 9.47 9.47 9.47

010-000-3417-000 DICLOFENACO 100MG C/20 GRAG.LIB.PROL. DOCRIL 3 5.50 16.50 16.50

010-000-4264-000 ACICLOVIR 250MG SOL.INY.C/5 AMPULAS VITALIS 2 450.00 900.00 900.00

010-000-4264-000 ACICLOVIR 250MG SOL.INY.C/5 AMPULAS VITALIS 1 450.00 450.00 450.00

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 1 11.74 11.74 11.74

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 8 11.74 93.92 93.92

010-000-5188-000 ESOMEPRAZOL 40 MG. 14 TABLETAS 3 190.08 570.24 570.24

010-000-5191-000 TERLIPRESINA 1MG/5ML SOL INY C/1 FCO AMP 10 847.36 8,473.60 8,473.60

010-000-5191-000 TERLIPRESINA 1MG/5ML SOL INY C/1 FCO AMP 6 847.36 5,084.16 5,084.16

010-000-5191-000 TERLIPRESINA 1MG/5ML SOL INY C/1 FCO AMP 8 847.36 6,778.88 6,778.88

010-000-5229-000 ACIDO ASCORBICO 1 G SOL. INY C/6 AMP 10 ML 4 106.00 424.00 424.00

010-000-5265-000 IMIPENEM/CILASTATINA GI 500/500MG SOL INY C/1 10 97.00 970.00 970.00

010-000-5381-000 OLIGOMETALES ENDOVENOSOS C/10 FCOS 20ML 2 695.00 1,390.00 1,390.00

010-000-5384-000 MULTIVITAMINAS SOL.INYECTABLE IV ADULTO 5ML 10 49.00 490.00 490.00

010-000-5391-000 DIETA POLIMERICA S/FIBRA 237 ML NUEZ 108 25.80 2,786.40 2,786.40

010-000-5393-000 AMINOACIDOS CRIST DE CADENA RAMIFIC 8% 500ML 10 154.00 1,540.00 1,540.00

010-000-5865-000 COLISTIMETATO 150MG SOL. INYECTABLE 1 1,580.07 1,580.07 1,580.07

010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 1 3.29 3.29 3.29

010-000-0244-000 PROPOFOL 200 MG C/5 AMP 20 ML 9 630.00 5,670.00 5,670.00

010-000-0406-000 DIFENHIDRAMINA 100MG SOL INY C/1FCO AMP S.S<< 25 37.00 925.00 925.00

010-000-0524-000 CLORURO DE POTASIO GI 1.49G/10ML C/50AMP. 1 102.00 102.00 102.00

010-000-0573-000 PRAZOSINA 1MG CAPS C/30 2 17.20 34.40 34.40

010-000-0622-000 HEPARINA SODICA 5000UI SOL INY C/50 FCOS 1 2,290.00 2,290.00 2,290.00

010-000-0891-000 MICONAZOL 2.0 GR.CAJA C/TUBO C/30GR.CREMA 1 6.95 6.95 6.95

010-000-1051-010 INSULINA HUMANA ACC. RAPIDA 100UI/ML. DE 10ML 1 34.17 34.17 34.17

010-000-1233-000 RANITIDINA 150 MG C/20 GRAGEAS 1 3.58 3.58 3.58

010-000-1234-000 RANITIDINA 50 MG SOL INY C/5 AMP 2 ML 5 7.36 36.80 36.80

010-000-1973-000 CLINDAMICINA 300MG C/1 AMP.GI 20 4.41 88.20 88.20

010-000-2111-000 AMLODIPINO 5 MG C/10 TABLETAS 1 12.90 12.90 12.90

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 5 13.90 69.50 69.50

010-000-3112-000 DIFENIDOL 40MG/2ML SOL INY ENV C/2 AMPOLLETAS 5 5.33 26.65 26.65

010-000-3112-000 DIFENIDOL 40MG SOL INY C/2 AMPOLLETAS 2ML 5 5.33 26.65 26.65

010-000-3422-000 KETOROLACO GI 30MG/1ML C/3 AMPS. 2 4.08 8.16 8.16

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 36 13.50 486.00 486.00

010-000-3616-000 SOLUCION HARTMANN 1000 ML 24 8.73 209.52 209.52

010-000-3616-000 SOLUCION HARTMANN 1000 ML 36 8.73 314.28 314.28

010-000-3619-000 BICARBONATO DE SODIO 7.5% C/50 AMP 10 ML GI 1 231.00 231.00 231.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 180 8.00 1,440.00 1,440.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 20 12.00 240.00 240.00

010-000-4249-000 LEVOFLOXACINO 500 MG SOL INY 100 ML 5 24.40 122.00 122.00

010-000-4251-000 VANCOMICINA 500MG SOL. INY FRASCO AMPULA 10 48.97 489.70 489.70

010-000-4590-000 TIGECICLINA 50MG SOL.INY C/1 AMPULA 3 580.66 1,741.98 1,741.98

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 4 11.74 46.96 46.96

Page 10: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-5187-000 OMEPRAZOL 40 MG FCO 8 33.50 268.00 268.00

010-000-5265-000 IMIPENEM/CILASTATINA GI 500/500MG SOL INY C/1 10 97.00 970.00 970.00

010-000-5501-000 DICLOFENACO 75MG SOL INY C/2 AMP 10 4.56 45.60 45.60

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 2 96.96 193.92 193.92

010-000-0109-000 METAMIZOL SODICO 1G SOL INY C/3 AMP 10 7.67 76.70 76.70

010-000-0246-000 PROPOFOL 200MG EMULSION 1% C/5 AMP. 20ML S.S 6 779.00 4,674.00 4,674.00

010-000-0262-000 LIDOCAINA 2% 20MG/ML FCO AMP C/5 50ML 1 97.00 97.00 97.00

010-000-0262-000 LIDOCAINA 2% 20MG/ML FCO AMP C/5 50ML 1 97.00 97.00 97.00

010-000-0439-000 SALBUTAMOL 5MG/ML FRASCO 10ML PISA 1 32.00 32.00 32.00

010-000-0502-000 DIGOXINA 0.250 MG C/20 TABLETAS 1 7.15 7.15 7.15

010-000-0537-000 PROPAFENONA 150MG C/20 TABLETAS 1 49.00 49.00 49.00

010-000-0572-000 METOPROLOL GI 100 MG C/20 TAB. 2 5.90 11.80 11.80

010-000-0612-000 NOREPINEFRINA, BITARTRATO DE DE 4 MG, SOLUCI. 1 3,920.00 3,920.00 3,920.00

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 8 28.15 225.20 225.20

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 2 28.15 56.30 56.30

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 5 28.15 140.75 140.75

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 8 28.15 225.20 225.20

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 2 28.15 56.30 56.30

010-000-1233-000 RANITIDINA 150 MG C/20 GRAGEAS 1 3.58 3.58 3.58

010-000-1234-000 RANITIDINA 50 MG SOL INY C/5 AMP 2 ML 1 7.36 7.36 7.36

010-000-2111-000 AMLODIPINO 5 MG C/10 TABLETAS 2 12.90 25.80 25.80

010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL 2.5MG C/10AMP NEB 2 119.00 238.00 238.00

010-000-2304-010 ESPIRONOLACTONA 25MG TABS C/20 1 16.00 16.00 16.00

010-000-2307-000 FUROSEMIDA 40 MG. C/20 TAB. 1 3.55 3.55 3.55

010-000-2501-000 ENALAPRIL 10 MG C/30 TABLETAS 1 3.84 3.84 3.84

010-000-2501-000 ENALAPRIL 10 MG C/30 TABLETAS 1 3.84 3.84 3.84

010-000-2520-000 LOSARTAN GI 50 MG C/30 GRAGEAS ULTRA 2 8.80 17.60 17.60

010-000-2540-000 TELMISARTAN 40MG TABLETAS C/30 2 14.65 29.30 29.30

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 15 13.90 208.50 208.50

010-000-2822-000 CLORANFENICOL 5MG UNGUENTO OFTALMICO 5MG/G 6 6.58 39.48 39.48

010-000-3422-000 KETOROLACO GI 30MG/1ML C/3 AMPS. 5 4.08 20.40 20.40

010-000-3601-000 SOLUCION GLUCOSA 5% 250ML PLASTICO 5 9.50 47.50 47.50

010-000-3601-000 SOLUCION GLUCOSA 5% 250ML PLASTICO 10 9.50 95.00 95.00

010-000-3604-000 SOLUCION DEXTROSA (GLUCOSA) 10% BOLSA 500 ML 5 14.00 70.00 70.00

010-000-3607-000 SOLUCION GLUCOSA AL 50% SOL.INY 50ML << 10 22.42 224.20 224.20

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 96 5.73 550.08 550.08

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 3 13.50 40.50 40.50

010-000-3615-000 SOLUCION HARTMANN BOLSA 500ML 20 11.98 239.60 239.60

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 60 8.00 480.00 480.00

010-000-3666-010 ALMIDON HIDROXTIELTIL AL 6% SOL INY 500 ML 20 247.00 4,940.00 4,940.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 20 12.00 240.00 240.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 20 12.00 240.00 240.00

010-000-4107-000 AMIODARONA 150MG/3ML C/6 AMP 2 226.50 453.00 453.00

010-000-4154-000 VASOPRESINA 20 UI 1ML FRCO.AMP 6 165.00 990.00 990.00

010-000-4154-000 VASOPRESINA 20 UI 1ML FRCO.AMP 6 165.00 990.00 990.00

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 10 2.35 23.50 23.50

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 5 2.35 11.75 11.75

010-000-4284-000 CONCENTRADO DE PROTEÖNAS HUMANAS COAGULABLES 4.0 ML 3 9,950.00 29,850.00 29,850.00

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 2 104.48 208.96 208.96

010-000-4441-000 GRANISETRON 3 MG SOL INY C/3 ML GI 2 128.20 256.40 256.40

010-000-5097-000 LEVOSIMENDAN 2.5 MG SOL INY, FCO AMP. 5 ML 1 9,148.11 9,148.11 9,148.11

010-000-5097-000 LEVOSIMENDAN 2.5 MG SOL INY, FCO AMP. 5 ML 1 9,148.11 9,148.11 9,148.11

010-000-5097-000 LEVOSIMENDAN 2.5 MG SOL INY, FCO AMP. 5 ML 1 9,148.11 9,148.11 9,148.11

010-000-5100-000 MILRINONA INY. 3 AMPS 3 4,055.00 12,165.00 12,165.00

010-000-5187-000 OMEPRAZOL 40MG SOL INY C/10ML 20 33.50 670.00 670.00

010-000-5255-000 TRIMETOPRIMA/SULFAMETOXAZOL 160/800MG C/6 AMP 1 44.77 44.77 44.77

010-000-5256-000 CEFALOTINA 1G SOL INY C/1 FCO AMP 6 18.85 113.10 113.10

010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 4 237.00 948.00 948.00

010-000-5295-010 CEFEPIMA 1G SOL INY C/1 FCO.AMP 10 35.95 359.50 359.50

010-000-5391-000 DIETA POLIMERICA S/FIBRA 237 ML NUEZ 27 25.80 696.60 696.60

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 2 96.96 193.92 193.92

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 8 96.96 775.68 775.68

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 1 96.96 96.96 96.96

030-000-0013-000 SUCEDONEO DE LECHE MATERNA HIDRILIZADA 1 198.00 198.00 198.00

010-000-0022-000 CASEINATO DE CALCIO POLVO 100 G 4 55.00 220.00 220.00

010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 20 3.29 65.80 65.80

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 2 1,830.00 3,660.00 3,660.00

010-000-0262-000 LIDOCAINA 2% 20MG/ML FCO AMP C/5 50ML 1 97.00 97.00 97.00

010-000-0572-000 METOPROLOL GI 100 MG C/20 TAB. 1 5.90 5.90 5.90

010-000-0572-000 METOPROLOL GI 100 MG C/20 TAB. 2 5.90 11.80 11.80

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 4 28.15 112.60 112.60

Page 11: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 2 28.15 56.30 56.30

010-000-1051-010 INSULINA HUMANA ACC. RAPIDA 100UI/ML. DE 10ML 2 34.17 68.34 68.34

010-000-2111-000 AMLODIPINO 5 MG C/10 TABLETAS 1 12.90 12.90 12.90

010-000-2155-000 NADROPARINA CALCICA SOL.INY.C/2 JER.0.3ML 6 97.00 582.00 582.00

010-000-2307-000 FUROSEMIDA 40 MG. C/20 TAB. 2 3.55 7.10 7.10

010-000-2540-000 TELMISARTAN 40MG TABLETAS C/30 1 14.65 14.65 14.65

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 60 13.90 834.00 834.00

010-000-2742-000 ALANINA/LEVOGLUTAMINA 8.20G/13.46G INY 100 ML 10 839.00 8,390.00 8,390.00

010-000-2745-010 ACIDOS GRASOS OMEGA-3 EMUL INY 10% FCO 100 ML 10 1,130.00 11,300.00 11,300.00

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 36 13.50 486.00 486.00

010-000-4259-000 CIPROFLOXACINO 200 MG SOL.INY 20 9.20 184.00 184.00

010-000-5187-000 OMEPRAZOL 40 MG FCO 90 33.50 3,015.00 3,015.00

010-000-5188-000 ESOMEPRAZOL 40 MG. 14 TABLETAS 3 190.08 570.24 570.24

010-000-5188-000 ESOMEPRAZOL 40 MG. 14 TABLETAS 2 190.08 380.16 380.16

010-000-5265-000 IMIPENEM/CILASTATINA GI 500/500MG SOL INY C/1 20 97.00 1,940.00 1,940.00

010-000-5292-010 MEROPENEM 1G SOL INY C/10 FCOS AMP 3 2,550.00 7,650.00 7,650.00

010-000-5295-010 CEFEPIMA 1G SOL INY C/1 FCO.AMP 24 35.95 862.80 862.80

010-000-5381-000 OLIGOMETALES ENDOVENOSOS C/10 FCOS 20ML 2 695.00 1,390.00 1,390.00

010-000-5384-000 MULTIVITAMINAS SOL.INYECTABLE IV ADULTO 5ML 5 49.00 245.00 245.00

010-000-5393-000 AMINOACIDOS CRIST DE CADENA RAMIFIC 8% 500ML 30 154.00 4,620.00 4,620.00

010000M015000 PALONOSETRON 0.075MG SOL.INY C/1 AMP 10 235.75 2,357.50 2,357.50

010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 1 3.29 3.29 3.29

010-000-0109-000 METAMIZOL SODICO 1G SOL INY C/3 AMP 3 7.67 23.01 23.01

010-000-0244-000 PROPOFOL 200 MG C/5 AMP 20 ML 10 630.00 6,300.00 6,300.00

010-000-0244-000 PROPOFOL 200 MG C/5 AMP 20 ML 4 630.00 2,520.00 2,520.00

010-000-0261-000 LIDOCAINA 1% 500MG/50ML SOL INY 1 89.00 89.00 89.00

010-000-0524-000 CLORURO DE POTASIO GI 1.49G/10ML C/50AMP. 2 102.00 204.00 204.00

010-000-0572-000 METOPROLOL 100MG C/20 TABLETAS 2 5.90 11.80 11.80

010-000-0573-000 PRAZOSINA 1MG CAPS C/30 1 17.20 17.20 17.20

010-000-0612-000 NOREPINEFRINA 4 MG/4ML SOL INYECTABLE 50 AMP 1 3,920.00 3,920.00 3,920.00

010-000-0612-000 NOREPINEFRINA, BITARTRATO DE DE 4 MG, SOLUCI. 1 3,920.00 3,920.00 3,920.00

010-000-0891-000 MICONAZOL 2.0 GR.CAJA C/TUBO C/30GR.CREMA 5 6.95 34.75 34.75

010-000-1051-010 INSULINA HUMANA ACC. RAPIDA 100UI/ML. DE 10ML 1 34.17 34.17 34.17

010-000-1097-000 DESMOPRESINA 10MCG SOLUCION SPRAY 2 482.00 964.00 964.00

010-000-1207-000 BUTILHIOSCINA 20 MG C/3 AMP 1 ML 6 6.47 38.82 38.82

010-000-1207-000 BUTILHIOSCINA 20 MG C/3 AMP GI 10 6.47 64.70 64.70

010-000-1234-000 RANITIDINA 50 MG SOL INY C/5 AMP 2 ML 10 7.36 73.60 73.60

010-000-1956-000 AMIKACINA 500MG SOL INY C/1 AMP 2ML 20 6.00 120.00 120.00

010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL 2.5MG C/10AMP NEB 1 119.00 119.00 119.00

010-000-2540-000 TELMISARTAN 40MG TABLETAS C/30 1 14.65 14.65 14.65

010-000-2617-000 LEVETIRACETAM 500MG TABLETAS C/60 1 349.00 349.00 349.00

010-000-3422-000 KETOROLACO GI 30MG/1ML C/3 AMPS. 6 4.08 24.48 24.48

010-000-3422-000 KETOROLACO GI 30MG/1ML C/3 AMPS. 40 4.08 163.20 163.20

010-000-3422-000 KETOROLACO GI 30MG/1ML C/3 AMPS. 20 4.08 81.60 81.60

010-000-3433-000 METILPREDNISOLONA ACETATO 80MG 2ML FCO AMP 10 38.00 380.00 380.00

010-000-3433-000 METILPREDNISOLONA ACETATO 80MG 2ML FCO AMP 10 38.00 380.00 380.00

010-000-3451-000 ALOPURINOL 300MG TABLETAS C/30 1 9.00 9.00 9.00

010-000-3603-000 SOLUCION DEXTROSA 5% BOLSA 1000 ML SIX 17 13.50 229.50 229.50

010-000-3604-000 SOLUCION DEXTROSA (GLUCOSA) 10% BOLSA 500 ML 4 14.00 56.00 56.00

010-000-3605-000 SOLUCION DX AL 10% 1000ML PLASTI 5 16.00 80.00 80.00

010-000-3607-000 SOLUCION GLUCOSA AL 50% SOL.INY 50ML << 25 22.42 560.50 560.50

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 48 5.73 275.04 275.04

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 48 5.73 275.04 275.04

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 48 5.73 275.04 275.04

010-000-3609-000 SOLUCION CS 0.9% INY 500 ML PLASTICO 20 8.01 160.20 160.20

010-000-3609-000 SOLUCION CS 0.9% INY 500 ML PLASTICO 20 8.01 160.20 160.20

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 60 13.50 810.00 810.00

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 48 13.50 648.00 648.00

010-000-3615-000 SOLUCION HARTMANN INY 500 ML PLASTICO 40 11.98 479.20 479.20

010-000-3616-000 SOLUCION HARTMANN 1000 ML 24 8.73 209.52 209.52

010-000-3619-000 BICARBONATO DE SODIO 7.5% C/50 AMP 10 ML GI 1 231.00 231.00 231.00

010-000-3619-000 BICARBONATO DE SODIO 7.5% C/50 AMP 10 ML GI 1 231.00 231.00 231.00

010-000-3625-000 SOLUCION GLUCOSA AL 5% 100ML PLASTIC 5 6.28 31.40 31.40

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 60 8.00 480.00 480.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 120 8.00 960.00 960.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 60 8.00 480.00 480.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 2 1,095.00 2,190.00 2,190.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 34 12.00 408.00 408.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 20 12.00 240.00 240.00

010-000-4114-000 TRINITRATO DE GLICERILO 1 MG SOL INY FCO 50ML 4 496.00 1,984.00 1,984.00

010-000-4114-000 TRINITRATO DE GLICERILO 1 MG SOL INY FCO 50ML 2 496.00 992.00 992.00

Page 12: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 40 2.35 94.00 94.00

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 30 2.35 70.50 70.50

010-000-4249-000 LEVOFLOXACINO 500 MG SOL INY 100 ML 10 24.40 244.00 244.00

010-000-4249-000 LEVOFLOXACINO 500 MG SOL INY 100 ML 5 24.40 122.00 122.00

010-000-4253-000 MOXIFLOXACINO IV 400MG SOL. INY. FCO AMP 2 153.00 306.00 306.00

010-000-4284-000 CONCENTRADO DE PROTEÖNAS HUMANAS COAGULABLES 4.0 ML 2 9,950.00 19,900.00 19,900.00

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 2 104.48 208.96 208.96

010-000-4441-000 GRANISETRON 3 MG SOL INY C/3 ML GI 6 128.20 769.20 769.20

010-000-4441-000 GRANISETRON 3 MG SOL INY C/3 ML GI 2 128.20 256.40 256.40

010-000-4592-000 PIPERACILINA S¢DICA- TAZOBACTAM S¢DICO DE 4 G/500 MG SOL INY 10 68.90 689.00 689.00

010-000-5187-000 OMEPRAZOL 40 MG FCO 50 33.50 1,675.00 1,675.00

010-000-5187-000 OMEPRAZOL 40MG SOL INY C/10ML 10 33.50 335.00 335.00

010-000-5187-000 OMEPRAZOL 40 MG FCO 5 33.50 167.50 167.50

010-000-5191-000 TERLIPRESINA 1MG/5ML SOL INY C/1 FCO AMP 3 847.36 2,542.08 2,542.08

010-000-5191-000 TERLIPRESINA 1MG/5ML SOL INY C/1 FCO AMP 5 847.36 4,236.80 4,236.80

010-000-5191-000 TERLIPRESINA 1MG/5ML SOL INY C/1 FCO AMP 6 847.36 5,084.16 5,084.16

010-000-5292-010 MEROPENEM 1G SOL INY C/10 FCOS AMP 1 2,550.00 2,550.00 2,550.00

010-000-5333-000 ERITROPOYETINA HUMANA RECOM 4,000 UI C/6 AMPS 25 227.50 5,687.50 5,687.50

010-000-5428-000 ONDANSETRON 8MG/4ML C/3AMP IV 10 16.70 167.00 167.00

010-000-5428-000 ONDANSETRON 8MG/4ML C/3AMP IV 10 16.70 167.00 167.00

010-000-5428-000 ONDANSETRON 8MG/4ML C/3AMP IV 2 16.70 33.40 33.40

010-000-5501-000 DICLOFENACO 75MG SOL INY C/2 AMP 10 4.56 45.60 45.60

010-000-5634-000 BEMIPARINA SODICA 3500UI/0.2ML C/2 JER PRELL 50 315.00 15,750.00 15,750.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 14 96.96 1,357.44 1,357.44

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 6 96.96 581.76 581.76

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 8 96.96 775.68 775.68

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 6 96.96 581.76 581.76

010000A034000 CLORAMFENICOL/CLOSTRIDIOPEPTIDASA UNG C/15G 35 294.00 10,290.00 10,290.00

010000M022000 NIMODIPINO 30 MG TABLETAS C/30 1 390.00 390.00 390.00

010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 5 3.29 16.45 16.45

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 1 1,830.00 1,830.00 1,830.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 2 1,830.00 3,660.00 3,660.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 1 1,830.00 1,830.00 1,830.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 3 1,830.00 5,490.00 5,490.00

010-000-0611-000 EPINEFRINA 1MG SOL, INY, ENV C/50 AMPULAS CON 1ML 1 241.00 241.00 241.00

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 2 28.15 56.30 56.30

010-000-0624-010 ACENOCUMAROL 4MG TABS C/20 TECNOFARMA 1 17.72 17.72 17.72

010-000-0804-000 OXIDO DE ZINC 25G TARRO C/30G UNGUENTO 2 7.50 15.00 15.00

010-000-0891-000 MICONAZOL 2.0 GR.CAJA C/TUBO C/30GR.CREMA 2 6.95 13.90 13.90

010-000-1051-010 INSULINA HUMANA ACC. RAPIDA 100UI/ML. DE 10ML 1 34.17 34.17 34.17

010-000-1051-010 INSULINA HUMANA ACC. RAPIDA 100UI/ML. DE 10ML 2 34.17 68.34 68.34

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 20 10.10 202.00 202.00

010-000-1903-000 TRIMETOP/SULFAMET.80/400MG C/20 1 6.90 6.90 6.90

010-000-1935-000 CEFOTAXIMA 1 G IV SOL INY 20 10.67 213.40 213.40

010-000-1937-000 CEFTRIAXONA 1G SOL INY C/1 FCO AMP 30 10.69 320.70 320.70

010-000-1937-000 CEFTRIAXONA 1G SOL INY C/1 FCO AMP 90 10.69 962.10 962.10

010-000-1956-000 AMIKACINA 500MG SOL INY C/1 AMP 2ML 15 6.00 90.00 90.00

010-000-1956-000 AMIKACINA 500MG SOL INY C/1 AMP 2ML 20 6.00 120.00 120.00

010-000-1973-000 CLINDAMICINA 300MG C/1 AMP.GI 20 4.41 88.20 88.20

010-000-2111-000 AMLODIPINO 5 MG C/10 TABLETAS 1 12.90 12.90 12.90

010-000-2155-000 NADROPARINA CALCICA SOL.INY.C/2 JER.0.3ML 10 97.00 970.00 970.00

010-000-2155-000 NADROPARINA CALCICA SOL.INY.C/2 JER.0.3ML 4 97.00 388.00 388.00

010-000-2155-000 NADROPARINA CALCICA SOL.INY.C/2 JER.0.3ML 2 97.00 194.00 194.00

010-000-2187-000 BROMURO DE IPRATROPIO 250MCG SOL 20ML P/NEBUL 3 116.00 348.00 348.00

010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL 2.5MG C/10AMP NEB 2 119.00 238.00 238.00

010-000-2188-000 IPRATROPIO 0.5MG/SALBUTAMOL 2.5MG C/10AMP NEB 2 119.00 238.00 238.00

010-000-2304-010 ESPIRONOLACTONA 25MG TABS C/20 3 16.00 48.00 48.00

010-000-2307-000 FUROSEMIDA 40 MG. C/20 TAB. 1 3.55 3.55 3.55

010-000-2307-000 FUROSEMIDA 40 MG. C/20 TAB. 1 3.55 3.55 3.55

010-000-2501-000 ENALAPRIL 10 MG C/30 TABLETAS 2 3.84 7.68 7.68

010-000-2617-000 LEVETIRACETAM 500MG TABLETAS C/60 1 349.00 349.00 349.00

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 10 13.90 139.00 139.00

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 20 13.90 278.00 278.00

010-000-2740-000 LIPIDOS INTRAVENOSOS CADENA MED Y LARGA 20% ENV 500ML 1 494.00 494.00 494.00

010-000-3609-000 SOLUCION CS 0.9% INY 500 ML PLASTICO 20 8.01 160.20 160.20

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 120 13.50 1,620.00 1,620.00

010-000-3616-000 SOLUCION HARTMANN 1000 ML 120 8.73 1,047.60 1,047.60

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 600 8.00 4,800.00 4,800.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 20 1,095.00 21,900.00 21,900.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 40 12.00 480.00 480.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 40 12.00 480.00 480.00

Page 13: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-4107-000 AMIODARONA 150MG/3ML C/6 AMP 1 226.50 226.50 226.50

010-000-4114-000 TRINITRATO DE GLICERILO 1 MG SOL INY FCO 50ML 2 496.00 992.00 992.00

010-000-4184-000 LOPERAMIDA 2 MG C/12 TABLETAS 2 2.35 4.70 4.70

010-000-4185-000 ACIDO URSODEOXICOLICO 250 MG C/50 CAPSULAS 1 180.00 180.00 180.00

010-000-4186-000 MESALAZINA 500MG TABS C/30 LIBERACION PROLONG 1 87.00 87.00 87.00

010-000-4224-000 ENOXAPARINA 60MG SOL INY C/2 JER PRELL 60 140.70 8,442.00 8,442.00

010-000-4246-010 CLOPIDOGREL, BISULFATO DE 75MG ENV CON 28 GRAGEAS O TABLETAS 2 39.00 78.00 78.00

010-000-4251-000 VANCOMICINA 500MG SOL. INY FRASCO AMPULA 40 48.97 1,958.80 1,958.80

010-000-4251-000 VANCOMICINA 500MG SOL. INY FRASCO AMPULA 20 48.97 979.40 979.40

010-000-4260-000 NISTATINA 100000U/MLFCO.C/PVOP/24ML M.MIBESAN 4 17.50 70.00 70.00

010-000-4260-000 NISTATINA 100000U/MLFCO.C/PVOP/24ML M.MIBESAN 10 17.50 175.00 175.00

010-000-4264-000 ACICLOVIR 250MG SOL.INY.C/5 AMPULAS VITALIS 4 450.00 1,800.00 1,800.00

010-000-4264-000 ACICLOVIR 250MG SOL.INY.C/5 AMPULAS VITALIS 2 450.00 900.00 900.00

010-000-4264-000 ACICLOVIR 250MG SOL.INY.C/5 AMPULAS VITALIS 3 450.00 1,350.00 1,350.00

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 1 104.48 104.48 104.48

010-000-4489-000 OLANZAPINA 10 MG IM SOL INY LIOFILIZADO 10 108.51 1,085.10 1,085.10

010-000-4592-000 PIPERACILINA S¢DICA- TAZOBACTAM S¢DICO DE 4 G/500 MG SOL INY 60 68.90 4,134.00 4,134.00

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 1 11.74 11.74 11.74

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 5 11.74 58.70 58.70

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 6 11.74 70.44 70.44

010-000-5187-000 OMEPRAZOL 40 MG FCO 90 33.50 3,015.00 3,015.00

010-000-5188-000 ESOMEPRAZOL 40 MG. 14 TABLETAS 1 190.08 190.08 190.08

010-000-5229-000 ACIDO ASCORBICO 1 G SOL. INY C/6 AMP 10 ML 2 106.00 212.00 212.00

010-000-5256-000 CEFALOTINA 1G SOL INY C/1 FCO AMP 20 18.85 377.00 377.00

010-000-5264-020 CEFUROXIMA 750 MG SOL INY C/10 ML GI 20 16.00 320.00 320.00

010-000-5265-000 IMIPENEM/CILASTATINA GI 500/500MG SOL INY C/1 60 97.00 5,820.00 5,820.00

010-000-5265-000 IMIPENEM-CILASTATINA SOD 500/500MG FCO AMP, 30 97.00 2,910.00 2,910.00

010-000-5267-000 FLUCONAZOL 100MG CAPS C/10 TECNOFARMA 1 12.00 12.00 12.00

010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 20 237.00 4,740.00 4,740.00

010-000-5292-010 MEROPENEM 1G SOL INY C/10 FCOS AMP 5 2,550.00 12,750.00 12,750.00

010-000-5292-010 MEROPENEM 1G SOL INY C/10 FCOS AMP 4 2,550.00 10,200.00 10,200.00

010-000-5292-010 MEROPENEM 1G SOL INY C/10 FCOS AMP 3 2,550.00 7,650.00 7,650.00

010-000-5295-010 CEFEPIMA 1G SOL INY C/1 FCO.AMP 20 35.95 719.00 719.00

010-000-5295-010 CEFEPIMA 1G SOL INY C/1 FCO.AMP 15 35.95 539.25 539.25

010-000-5333-000 ERITROPOYETINA HUMANA RECOM 4,000 UI C/6 AMPS 6 227.50 1,365.00 1,365.00

010-000-5384-000 MULTIVITAMINAS SOL.INYECTABLE IV ADULTO 5ML 1 49.00 49.00 49.00

010-000-5393-000 AMINOACIDOS CRIST DE CADENA RAMIFIC 8% 500ML 5 154.00 770.00 770.00

010-000-5393-000 AMINOACIDOS CRIST DE CADENA RAMIFIC 8% 500ML 8 154.00 1,232.00 1,232.00

010-000-5428-000 ONDANSETRON 8MG/4ML C/3AMP IV 20 16.70 334.00 334.00

010-000-5428-000 ONDANSETRON 8MG/4ML C/3AMP IV 2 16.70 33.40 33.40

010-000-5428-000 ONDANSETRON 8MG/4ML C/3AMP IV 20 16.70 334.00 334.00

010-000-5432-000 FILGRASTIM 300UG SOL.INY C/5 AMPULAS 6 1,425.00 8,550.00 8,550.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 96 96.96 9,308.16 9,308.16

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 12 96.96 1,163.52 1,163.52

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 30 96.96 2,908.80 2,908.80

010-000-5865-000 COLISTIMETATO 150MG SOL. INYECTABLE 2 1,580.07 3,160.14 3,160.14

010-000-5865-000 COLISTIMETATO 150MG SOL. INYECTABLE 2 1,580.07 3,160.14 3,160.14

010-000-5865-000 COLISTIMETATO 150MG SOL. INYECTABLE 1 1,580.07 1,580.07 1,580.07

010000A034000 CLORAMFENICOL/CLOSTRIDIOPEPTIDASA UNG C/15G 6 294.00 1,764.00 1,764.00

010000M014000 ETAMSILATO 250MG SOL. INY C/4 AMPULAS 2ML 1 268.00 268.00 268.00

010000M014000 ETAMSILATO 250MG SOL. INY C/4 AMPULAS 2ML 3 268.00 804.00 804.00

010000M014000 ETAMSILATO 250MG SOL. INY C/4 AMPULAS 2ML 2 268.00 536.00 536.00

010000M014000 ETAMSILATO 250MG SOL. INY C/4 AMPULAS 2ML 1 268.00 268.00 268.00

010000M017000 FORMULA POLIM ESPECIA 300KCAL VIT Y ANT 200ML 48 65.00 3,120.00 3,120.00

010000M042000 FORMULA POLIM. ESPEC. PARA PERSONAS C/HIPERGL 15 39.00 585.00 585.00

040-000-2652-000 BIPERIDENO 2 MG C/30 TABLETAS 1 33.00 33.00 33.00

040-000-4484-000 SERTRALINA 50MG TABLETAS C/14 1 8.00 8.00 8.00

010-000-0246-000 PROPOFOL 200MG EMULSION 1% C/5 AMP. 20ML S.S 50 779.00 38,950.00 38,950.00

010-000-0246-000 PROPOFOL 200MG EMULSION 1% C/5 AMP. 20ML S.S 5 779.00 3,895.00 3,895.00

010-000-0474-000 HIDROCORTISONA 100 MG SOL INY C/50 GI 1 629.00 629.00 629.00

010-000-0574-000 CAPTOPRIL 25 MG C/30 TABLETAS 1 3.30 3.30 3.30

010-000-0612-000 NOREPINEFRINA 4 MG/4ML SOL INYECTABLE 50 AMP 1 3,920.00 3,920.00 3,920.00

010-000-0615-000 DOBUTAMINA 250MG/5ML SOL. INY. C/5 GI 10 28.15 281.50 281.50

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 10 10.10 101.00 101.00

010-000-3601-000 SOLUCION GLUCOSA 5% 250ML PLASTICO 96 9.50 912.00 912.00

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 48 5.73 275.04 275.04

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 24 13.50 324.00 324.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 60 8.00 480.00 480.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 40 12.00 480.00 480.00

010-000-4249-000 LEVOFLOXACINO 500 MG SOL INY 100 ML 4 24.40 97.60 97.60

010-000-4590-000 TIGECICLINA 50MG SOL.INY C/1 AMPULA 10 580.66 5,806.60 5,806.60

Page 14: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-5187-000 OMEPRAZOL 40 MG FCO 5 33.50 167.50 167.50

010-000-5187-000 OMEPRAZOL 40 MG FCO 15 33.50 502.50 502.50

010-000-5265-000 IMIPENEM-CILASTATINA SOD 500/500MG FCO AMP, 12 97.00 1,164.00 1,164.00

010-000-5292-010 MEROPENEM 1G SOL INY C/10 FCOS AMP 1 2,550.00 2,550.00 2,550.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 8 96.96 775.68 775.68

010000M022000 NIMODIPINO 30 MG TABLETAS C/30 1 390.00 390.00 390.00

010-000-0103-000 ACIDO ACETILSALICILICO 300MG TABS DISPERSABLE 1 4.20 4.20 4.20

010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 2 3.29 6.58 6.58

010-000-0109-000 METAMIZOL SODICO 1G SOL INY C/3 AMP 4 7.67 30.68 30.68

010-000-0204-000 ATROPINA 1MG/1ML SOL INY C/50 AMP 1 115.00 115.00 115.00

010-000-0244-000 PROPOFOL 200 MG C/5 AMP 20 ML 10 630.00 6,300.00 6,300.00

010-000-0246-000 PROPOFOL 200MG EMULSION 1% C/5 AMP. 20ML S.S 8 779.00 6,232.00 6,232.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 2 1,830.00 3,660.00 3,660.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 4 1,830.00 7,320.00 7,320.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 4 1,830.00 7,320.00 7,320.00

010-000-0262-000 LIDOCAINA 2% 20MG/ML FCO AMP C/5 50ML 2 97.00 194.00 194.00

010-000-0271-000 BUPIVACAINA 150MG/30ML SOL INY 2 51.50 103.00 103.00

010-000-0291-000 NEOSTIGMINA 0.5MG./1 ML. C/6 AMPULAS 5 94.00 470.00 470.00

010-000-0429-000 SALBUTAMOL SUSP AER 200 DOSIS 100MCG 2 20.20 40.40 40.40

010-000-0572-000 METOPROLOL GI 100 MG C/20 TAB. 1 5.90 5.90 5.90

010-000-0597-000 NIFEDIPINO 10MG. C/20 CAPSULAS 2 4.95 9.90 9.90

010-000-0626-010 FITOMENADIONA 10MG/1ML C/5 AMP 2 49.50 99.00 99.00

010-000-0891-000 MICONAZOL 2.0 GR.CAJA C/TUBO C/30GR.CREMA 1 6.95 6.95 6.95

010-000-0891-000 MICONAZOL 2.0 GR.CAJA C/TUBO C/30GR.CREMA 1 6.95 6.95 6.95

010-000-1097-000 DESMOPRESINA 10MCG SOLUCION SPRAY 1 482.00 482.00 482.00

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 5 10.10 50.50 50.50

010-000-1937-000 CEFTRIAXONA 1G SOL INY C/1 FCO AMP 8 10.69 85.52 85.52

010-000-1956-000 AMIKACINA 500MG SOL INY C/1 AMP 2ML 5 6.00 30.00 30.00

010-000-2304-010 ESPIRONOLACTONA 25MG TABS C/20 1 16.00 16.00 16.00

010-000-2540-000 TELMISARTAN 40MG TABLETAS C/30 1 14.65 14.65 14.65

010-000-2822-000 CLORANFENICOL 5MG UNGUENTO OFTALMICO 5MG/G 3 6.58 19.74 19.74

010-000-3422-000 KETOROLACO GI 30MG/1ML C/3 AMPS. 6 4.08 24.48 24.48

010-000-3422-000 KETOROLACO GI 30MG/1ML C/3 AMPS. 4 4.08 16.32 16.32

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 48 5.73 275.04 275.04

010-000-3619-000 BICARBONATO DE SODIO 7.5% C/50 AMP 10 ML GI 1 231.00 231.00 231.00

010-000-3620-000 GLUCONATO DE CALCIO GI 10% C/50 AMP 10 ML 1 158.00 158.00 158.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 120 8.00 960.00 960.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 60 8.00 480.00 480.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 10 1,095.00 10,950.00 10,950.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 40 12.00 480.00 480.00

010-000-4055-000 BUPIVACAINA/GLUCOSA 15/240MG C/5 AMP 3 ML. 3 142.00 426.00 426.00

010-000-4061-000 BESILATO DE CISATRACURIO 10MG/5ML I 50 129.00 6,450.00 6,450.00

010-000-4061-000 BESILATO DE CISATRACURIO 10MG/5ML I 6 129.00 774.00 774.00

010-000-4222-000 NADROPARINA CALCICA 5700UI SOL INY C/2 0.6ML 2 174.00 348.00 348.00

010-000-4224-000 ENOXAPARINA 60MG SOL INY C/2 JER PRELL 6 140.70 844.20 844.20

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 5 2.35 11.75 11.75

010-000-4253-000 MOXIFLOXACINO IV 400MG SOL. INY. FCO AMP 2 153.00 306.00 306.00

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 1 104.48 104.48 104.48

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 1 11.74 11.74 11.74

010-000-5187-000 OMEPRAZOL 40MG SOL INY C/10ML 5 33.50 167.50 167.50

010-000-5187-000 OMEPRAZOL 40 MG FCO 40 33.50 1,340.00 1,340.00

010-000-5333-000 ERITROPOYETINA HUMANA RECOM 4,000 UI C/6 AMPS 7 227.50 1,592.50 1,592.50

010-000-5333-000 ERITROPOYETINA HUMANA RECOM 4,000UI C/6 AMP 3 227.50 682.50 682.50

010-000-5391-000 DIETA POLIMERICA S/FIBRA 237 ML NUEZ 27 25.80 696.60 696.60

010-000-5392-000 DIETA POLIMERICA C/FIBRA SABOR FRESA 237ML 9 51.00 459.00 459.00

010-000-5428-000 ONDANSETRON 8MG/4ML C/3AMP IV 6 16.70 100.20 100.20

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 1 96.96 96.96 96.96

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 10 96.96 969.60 969.60

010000M016000 SUGAMMADEX 100MG SOL.INY. C/10AMPS 2ML 4 13,895.74 55,582.96 55,582.96

010000M017000 FORMULA POLIM ESPECIA 300KCAL VIT Y ANT 200ML 5 65.00 325.00 325.00

010-000-0104-000 PARACETAMOL 500 MG C/10 TABLETAS 20 3.29 65.80 65.80

010-000-0109-000 METAMIZOL SODICO 1G SOL INY C/3 AMP 60 7.67 460.20 460.20

010-000-0254-000 BROMURO DE VECURONIO 4 MG SOL. INY C/50 FCOS 1 897.00 897.00 897.00

010-000-0406-000 DIFENHIDRAMINA 100MG SOL INY C/1FCO AMP S.S<< 60 37.00 2,220.00 2,220.00

010-000-0524-000 CLORURO DE POTASIO GI 1.49G/10ML C/50AMP. 3 102.00 306.00 306.00

010-000-0572-000 METOPROLOL GI 100 MG C/20 TAB. 10 5.90 59.00 59.00

010-000-1051-010 INSULINA HUMANA ACC. RAPIDA 100UI/ML. DE 10ML 3 34.17 102.51 102.51

010-000-1207-000 BUTILHIOSCINA 20 MG C/3 AMP GI 40 6.47 258.80 258.80

010-000-1234-000 RANITIDINA 50 MG SOL INY C/5 AMP 2 ML 80 7.36 588.80 588.80

010-000-1241-000 METOCLOPRAMIDA 10MG/2ML C/6 AMP PISA 60 7.54 452.40 452.40

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 80 10.10 808.00 808.00

Page 15: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-1705-000 HIERRO DEXTRAN 100MG/2ML SOL INY C/3 AMP 1 19.20 19.20 19.20

010-000-1935-000 CEFOTAXIMA 1 G IV SOL INY 50 10.67 533.50 533.50

010-000-1937-000 CEFTRIAXONA 1G SOL INY C/1 FCO AMP 90 10.69 962.10 962.10

010-000-1973-000 CLINDAMICINA 300MG C/1 AMP.GI 60 4.41 264.60 264.60

010-000-2106-000 TRAMADOL 100MG SOL.INY C/5 AMP.2ML 60 49.00 2,940.00 2,940.00

010-000-2135-000 FLUCONAZOL 100MG SOL INY C/50ML << S.S 30 16.09 482.70 482.70

010-000-2308-000 FUROSEMIDA 20MG/2ML SOL INY C/5 AMP 60 10.70 642.00 642.00

010-000-3422-000 KETOROLACO 30MG SOL INY C/3AMP 80 4.08 326.40 326.40

010-000-3609-000 SOLUCION CS 0.9% INY 500 ML PLASTICO 160 8.01 1,281.60 1,281.60

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 120 13.50 1,620.00 1,620.00

010-000-3617-000 FOSFATO DE POTASIO AMP. C/50 10 ML. 1 295.00 295.00 295.00

010-000-3619-000 BICARBONATO DE SODIO 7.5% C/50 AMP 10 ML GI 3 231.00 693.00 693.00

010-000-3620-000 GLUCONATO DE CALCIO GI 10% C/50 AMP 10 ML 2 158.00 316.00 316.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 600 8.00 4,800.00 4,800.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 30 1,095.00 32,850.00 32,850.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 200 12.00 2,400.00 2,400.00

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 90 2.35 211.50 211.50

010-000-4251-000 VANCOMICINA 500MG SOL. INY FRASCO AMPULA 19 48.97 930.43 930.43

010-000-4254-000 CEFTAZIDIMA 1G SOL INYEC 3ML GI 60 14.99 899.40 899.40

010-000-4592-000 PIPERACILINA S¢DICA- TAZOBACTAM S¢DICO DE 4 G/500 MG SOL INY 23 68.90 1,584.70 1,584.70

010-000-5187-000 OMEPRAZOL 40 MG FCO 120 33.50 4,020.00 4,020.00

010-000-5191-000 TERLIPRESINA 1MG/5ML SOL INY C/1 FCO AMP 10 847.36 8,473.60 8,473.60

010-000-5255-000 TRIMETOPRIMA/SULFAMETOXAZOL 160/800MG C/6 AMP 6 44.77 268.62 268.62

010-000-5264-020 CEFUROXIMA 750 MG SOL INY C/10 ML GI 20 16.00 320.00 320.00

010-000-5265-000 IMIPENEM-CILASTATINA SOD 500/500MG FCO AMP, 13 97.00 1,261.00 1,261.00

010-000-5291-000 MEROPENEM DE 500MG SOL, INY ENVASE 1 FCO AMPU 40 237.00 9,480.00 9,480.00

010-000-5292-010 MEROPENEM IV I G.SOLUCION INYECTABLE 6 2,550.00 15,300.00 15,300.00

010-000-5391-000 DIETA POLIMERICA S/FIBRA 237 ML NUEZ 108 25.80 2,786.40 2,786.40

010-000-5392-000 DIETA POLIMERICA C/FIBRA SABOR FRESA 237ML 10 51.00 510.00 510.00

010-000-5428-000 ONDANSETRON 8MG/4ML C/3AMP IV 38 16.70 634.60 634.60

010-000-5501-000 DICLOFENACO 75MG SOL INY C/2 AMP 12 4.56 54.72 54.72

010-000-5664-000 LACOSAMIDA SOL. 10MG/ML C/1FCO 3 777.17 2,331.51 2,331.51

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 120 96.96 11,635.20 11,635.20

010-000-5865-000 COLISTIMETATO 150MG SOL. INYECTABLE 5 1,580.07 7,900.35 7,900.35

010000M014000 ETAMSILATO 250MG SOL. INY C/4 AMPULAS 2ML 8 268.00 2,144.00 2,144.00

010-000-0473-000 PREDNISONA 50 MG C/20 TABLETAS 1 29.20 29.20 29.20

010-000-3047-000 TAMOXIFENO 20MG. C/14 TABLETAS 10 24.53 245.30 245.30

010-000-3609-000 SOLUCION CS 0.9% INY 500 ML PLASTICO 20 8.01 160.20 160.20

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 12 13.50 162.00 162.00

010-000-4230-000 ETOPOSIDOS 100MG/5ML SOL.INY. C/10 FCO AMP. 1 540.00 540.00 540.00

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 40 2.35 94.00 94.00

010-000-4437-000 PALONOSETRON SOL. INY. 0.05MG/ML 0.25MG 5ML 10 546.00 5,460.00 5,460.00

010-000-4441-000 GRANISETRON SOL INY 3MG/3ML 20 128.20 2,564.00 2,564.00

010-000-4442-000 APREPITANT 125MG/80MG C/2 TABS. 9 732.86 6,595.74 6,595.74

010-000-5250-000 INTERFERON BETA 1B 8 MILLONES DE UI (0.25MG) 60 2,460.00 147,600.00 147,600.00

010-000-5250-000 INTERFERON BETA 1B 8 MILLONES DE UI (0.25MG) 45 2,460.00 110,700.00 110,700.00

010-000-5432-000 FILGRASTIM 300UG SOL INY C/5 JGA PRECARGADA 1 1,425.00 1,425.00 1,425.00

010-000-5432-000 FILGRASTIM 300UG SOL INY C/5 JGA PRECARGADA 3 1,425.00 4,275.00 4,275.00

010-000-5440-010 BICALUTAMIDA 50 MG C/28 COMPRIMIDOS 20 487.00 9,740.00 9,740.00

010-000-5449-000 ANASTROZOL 1MG C/28 TABLETAS 20 858.00 17,160.00 17,160.00

010-000-5458-000 OXALIPLATINO 50MG SOL INY FCO AMP 10ML 10 510.00 5,100.00 5,100.00

010-000-5653-000 PANITUMUMAB 100MG/5 ML SOLUCION INYECTABLE 8 7,699.20 61,593.60 61,593.60

010-000-0109-000 METAMIZOL SODICO 1G SOL INY C/3 AMP 10 7.67 76.70 76.70

010-000-0244-000 PROPOFOL 200 MG C/5 AMP 20 ML 8 630.00 5,040.00 5,040.00

010-000-0244-000 PROPOFOL 200 MG C/5 AMP 20 ML 2 630.00 1,260.00 1,260.00

010-000-0439-000 SALBUTAMOL 5MG/ML FRASCO 10ML PISA 1 32.00 32.00 32.00

010-000-0472-000 PREDNISONA 5 MG C/20 TABLETAS 2 7.10 14.20 14.20

010-000-0476-000 METILPREDNISOLONA 500MG SOL INY 8ML C/50 AMP 1 4,490.00 4,490.00 4,490.00

010-000-0477-000 BECLOMETASONA 50MCG/200 DOSIS AEROSOL 1 45.00 45.00 45.00

010-000-0524-000 CLORURO DE POTASIO GI 1.49G/10ML C/50AMP. 1 102.00 102.00 102.00

010-000-0611-000 EPINEFRINA 1MG SOL, INY, ENV C/50 AMPULAS CON 1ML 1 241.00 241.00 241.00

010-000-0612-000 NOREPINEFRINA 4 MG/4ML SOL INYECTABLE 50 AMP 1 3,920.00 3,920.00 3,920.00

010-000-0621-000 HEPARINA SODICA 1000 UI SOL INY C/50 FCO 10ML 2 1,190.00 2,380.00 2,380.00

010-000-0622-000 HEPARINA SODICA 5000UI SOL INY C/50 FCOS 1 2,290.00 2,290.00 2,290.00

010-000-1051-010 INSULINA HUMANA ACC. RAPIDA 100UI/ML. DE 10ML 1 34.17 34.17 34.17

010-000-1051-010 INSULINA HUMANA ACC. RAPIDA 100UI/ML. DE 10ML 1 34.17 34.17 34.17

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 5 10.10 50.50 50.50

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 6 10.10 60.60 60.60

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 5 10.10 50.50 50.50

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 5 10.10 50.50 50.50

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 5 10.10 50.50 50.50

Page 16: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-1937-000 CEFTRIAXONA 1G SOL INY C/1 FCO AMP 10 10.69 106.90 106.90

010-000-1937-000 CEFTRIAXONA 1G SOL INY C/1 FCO AMP 10 10.69 106.90 106.90

010-000-1937-000 CEFTRIAXONA 1G SOL INY C/1 FCO AMP 10 10.69 106.90 106.90

010-000-1973-000 CLINDAMICINA 300MG C/1 AMP.GI 5 4.41 22.05 22.05

010-000-2154-000 ENOXAPARINA 40MG SOL INY C/2 JER PRELLE 3 107.50 322.50 322.50

010-000-2540-000 TELMISARTAN 40MG TABLETAS C/30 1 14.65 14.65 14.65

010-000-2624-000 FENITOINA SODICA 250 MG SOL INY 5ML 25 13.90 347.50 347.50

010-000-2822-000 CLORANFENICOL 5MG UNGUENTO OFTALMICO 5MG/G 5 6.58 32.90 32.90

010-000-3609-000 SOLUCION CS 0.9% INY 500 ML PLASTICO 40 8.01 320.40 320.40

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 48 13.50 648.00 648.00

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 72 13.50 972.00 972.00

010-000-3619-000 BICARBONATO DE SODIO 7.5% C/50 AMP 10 ML GI 1 231.00 231.00 231.00

010-000-3619-000 BICARBONATO DE SODIO 7.5% C/50 AMP 10 ML GI 1 231.00 231.00 231.00

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 60 8.00 480.00 480.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 5 1,095.00 5,475.00 5,475.00

010-000-3662-000 SEROALBUMINA HUMANA 25% SOL INY C/1FCO AMP 6 1,095.00 6,570.00 6,570.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 40 12.00 480.00 480.00

010-000-4158-000 INSULINA GLARGINA 100UI FCO.AMPULA 10 ML 1 130.00 130.00 130.00

010-000-4241-000 DEXAMETASONA 8MG SOL INY, AMPOLLETA 2ML 20 2.35 47.00 47.00

010-000-4409-010 TROPICAMIDA 10MG SOLUCION OFT GOTAS 5ML GRIN 3 66.40 199.20 199.20

010-000-5097-000 LEVOSIMENDAN 2.5 MG SOL INY, FCO AMP. 5 ML 1 9,148.11 9,148.11 9,148.11

010-000-5106-000 ATORVASTATINA 20MG C/10 TABLETAS 1 11.74 11.74 11.74

010-000-5187-000 OMEPRAZOL 40 MG FCO 10 33.50 335.00 335.00

010-000-5187-000 OMEPRAZOL 40 MG FCO 30 33.50 1,005.00 1,005.00

010-000-5187-000 OMEPRAZOL 40 MG FCO 10 33.50 335.00 335.00

010-000-5187-000 OMEPRAZOL 40 MG FCO 4 33.50 134.00 134.00

010-000-5191-000 TERLIPRESINA SOLUCION INYECTABLE 5ML 4 847.36 3,389.44 3,389.44

010-000-5240-000 INMUNOGLOBULINA-G 6 GR. FCO. AMPULA 120 ML 10 8,454.00 84,540.00 84,540.00

010-000-5256-000 CEFALOTINA 1G SOL INY C/1 FCO AMP 10 18.85 188.50 188.50

010-000-5264-020 CEFUROXIMA SOLUCION INYECTABLE 750MG 5 16.00 80.00 80.00

010-000-5265-000 IMIPENEM-CILASTATINA SOD 500/500MG FCO AMP, 4 97.00 388.00 388.00

010-000-5265-000 IMIPENEM-CILASTATINA SOD 500/500MG FCO AMP, 10 97.00 970.00 970.00

010-000-5428-000 ONDANSETRON 8MG/4ML C/3AMP IV 10 16.70 167.00 167.00

010-000-5501-000 DICLOFENACO 75MG SOL INY C/2 AMP 10 4.56 45.60 45.60

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 10 96.96 969.60 969.60

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 6 96.96 581.76 581.76

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 8 96.96 775.68 775.68

010000A034000 CLORAMFENICOL/CLOSTRIDIOPEPTIDASA UNG C/15G 3 294.00 882.00 882.00

010-000-0022-000 CASEINATO DE CALCIO POLVO 100 G 10 55.00 550.00 550.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 3 1,830.00 5,490.00 5,490.00

010-000-0247-010 DEXMEDETOMIDINA CLORHIDRATO 200MCG C/5 AMP 2 1,830.00 3,660.00 3,660.00

010-000-0262-000 LIDOCAINA 2% 20MG/ML FCO AMP C/5 50ML 3 97.00 291.00 291.00

010-000-0442-000 SALMETEROL/FLUTICASONA(50/100MG)INAL.60 DOSIS 3 890.00 2,670.00 2,670.00

010-000-0473-000 PREDNISONA 50 MG C/20 TABLETAS 1 29.20 29.20 29.20

010-000-0596-000 VERAPAMILO 80MG C/20 TABLETAS 1 8.30 8.30 8.30

010-000-0621-000 HEPARINA SODICA 1000 UI SOL INY C/50 FCO 10ML 1 1,190.00 1,190.00 1,190.00

010-000-1007-000 LEVOTIROXINA SODICA 100MCG. C/100TABS. GI MK 1 24.50 24.50 24.50

010-000-1311-000 METRONIDAZOL 500MG/100ML SOL.INY GI 80 10.10 808.00 808.00

010-000-2154-000 ENOXAPARINA 40MG SOL INY C/2 JER PRELLE 80 107.50 8,600.00 8,600.00

010-000-2733-000 SOLUCION GLUCOSADA/AMINOACIDOS/ELECT.1400KCAL 8 1,580.00 12,640.00 12,640.00

010-000-2739-000 DIETA POLIM. BASE CASEINATO CALCIO 454G PVO 5 42.00 210.00 210.00

010-000-2740-000 LIPIDOS INTRAVENOSOS CADENA MED Y LARGA 20% ENV 500ML 10 494.00 4,940.00 4,940.00

010-000-2742-000 ALANINA/LEVOGLUTAMINA 8.20G/13.46G INY 100 ML 40 839.00 33,560.00 33,560.00

010-000-2745-010 ACIDOS GRASOS OMEGA-3 EMUL INY 10% FCO 100 ML 40 1,130.00 45,200.00 45,200.00

010-000-2814-000 HIPROMELOSA 0.5% SOL OFT 10 ML 1 4.47 4.47 4.47

010-000-3601-000 GLUCOSA AL 5% 250 ML. 20 9.50 190.00 190.00

010-000-3607-000 SOLUCION GLUCOSA AL 50% SOL.INY 50ML << 30 22.42 672.60 672.60

010-000-3608-000 SOLUCION CS. 0.9% 250ML FRESENIUS 288 5.73 1,650.24 1,650.24

010-000-3610-000 SOLUCION CLORURO DE SODIO 0.9% 1000 ML 96 13.50 1,296.00 1,296.00

010-000-3613-000 SOL.CLORURO SODIO-GLUCOSA 9%-5% 1000ML 108 13.48 1,455.84 1,455.84

010-000-3616-000 SOLUCION HARTMANN 1000 ML 120 8.73 1,047.60 1,047.60

010-000-3627-000 SOLUCION CS 0.9% BOLSA 100 ML 600 8.00 4,800.00 4,800.00

010-000-3675-000 AGUA INYECTABLE SOLUCION INY,ENVASE CON 500ML 200 12.00 2,400.00 2,400.00

010-000-4141-000 MOMETASONA 0.05% SPRAY NASAL 3 154.76 464.28 464.28

010-000-4249-000 LEVOFLOXACINO 500 MG SOL INY 100 ML 80 24.40 1,952.00 1,952.00

010-000-4251-000 VANCOMICINA 500MG SOL. INY FRASCO AMPULA 90 48.97 4,407.30 4,407.30

010-000-4291-000 LINEZOLID 200MG.SOL.INY.2MG/ML.BOLSA(300ML) 10 305.60 3,056.00 3,056.00

010-000-4332-000 BUDESONIDA 0.250/2ML SOL. P/NEBULIZAR C/5 AMP 2 104.48 208.96 208.96

010-000-4592-000 PIPERACILINA/TAZOBACTAM 4G/0.5G SOL INY C/1 100 68.90 6,890.00 6,890.00

010-000-5187-000 OMEPRAZOL 40 MG FCO 90 33.50 3,015.00 3,015.00

010-000-5229-000 ACIDO ASCORBICO 1 G SOL. INY C/6 AMP 10 ML 3 106.00 318.00 318.00

Page 17: No. de Contrato: LA-012NBS001-E19-2017/001 Tipo de ... · 010-000-1931-000 ampicilina 500 mg sol iny 30 4.14 124.20 124.20 ... 010-000-5188-000 esomeprazol 40 mg. 14 tabletas 2 190.08

010-000-5264-020 CEFUROXIMA SOLUCION INYECTABLE 750MG 20 16.00 320.00 320.00

010-000-5265-000 IMIPENEM-CILASTATINA SOD 500/500MG FCO AMP, 90 97.00 8,730.00 8,730.00

010-000-5268-000 GANCICLOVIR 500MG SOL INY C/1 FCO AMP PISA 4 1,120.00 4,480.00 4,480.00

010-000-5292-010 MEROPENEM IV I G.SOLUCION INYECTABLE 6 2,550.00 15,300.00 15,300.00

010-000-5381-000 OLIGOMETALES ENDOVENOSOS C/10 FCOS 20ML 1 695.00 695.00 695.00

010-000-5384-000 MULTIVITAMINAS SOL.INYECTABLE IV ADULTO 5ML 10 49.00 490.00 490.00

010-000-5391-000 DIETA POLIMERICA S/FIBRA 237 ML NUEZ 108 25.80 2,786.40 2,786.40

010-000-5393-000 AMINOACIDOS CRIST DE CADENA RAMIFIC 8% 500ML 12 154.00 1,848.00 1,848.00

010-000-5721-000 PARACETAMOL SOLUCION INYECTABLE 1G IV 100ML 90 96.96 8,726.40 8,726.40

010-000-5865-000 COLISTIMETATO 150MG SOL. INYECTABLE 6 1,580.07 9,480.42 9,480.42

010000A034000 CLORAMFENICOL/CLOSTRIDIOPEPTIDASA UNG C/15G 6 294.00 1,764.00 1,764.00

010000M015000 PALONOSETRON 0.075MG SOL.INY C/1 AMP 15 235.75 3,536.25 3,536.25

010000M017000 FORMULA POLIM ESPECIA 300KCAL VIT Y ANT 200ML 24 65.00 1,560.00 1,560.00

010000M017000 FORMULA POLIM ESPECIA 300KCAL VIT Y ANT 200ML 24 65.00 1,560.00 1,560.00