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Ur:nredlr&qnrg{ori4.tlttot utSnl'lt{ilJln1tlttuorlal {o olrranuqnr
htrl6 nfircre,rvlc
sl1!fi1r{}r0r1n.............. . .. fll:-u.0{.6J!.. . . ....
............:'rufi.]s du mrJ:rngil:roagr6oof,'o1ild
lIfi nrrro:orenarrrs,r {o.....t111{0fl fflti.l
:10n'rrf,t'lt{u"l flutenounlt l'fi'l
2090840 AFATINIB 30 MG ,i'ruru 2x2S TAB ui*yr iaia rlriu'r ,i'rr"rn 70.620.00
( r{aviuranioudiuu-,vrdnu ) 70,620.00
',1rinr8lci,,fr!rt,aunlddu 1 drtunl fir9firrrt0u ffiufi'ftts1u#{Ur'!
rJrvnra ru {ui 22 du,t1gr! 2550
rf uru$6r, ouild'ru )
{druronrrlxrurulast:lug{E1it
tlfirf, rtnrrun{irrrtni:fi uffi qlnrgft 1i
rJ::nrno'.rnirrq:ru6lorfia.tltio.r rJr;nrn{tu:n1rnruor1fi1 do urluriqir Irrtr
i6 tanlcrorcrr
nlulu
,.,rufil:r$rjruro................... ....fi]p.S{-sl$.... ......
1...........:rsnr: udu larJ':rnno'.r:rualr6snriohJd
ldinr:ro:oronnqrordo............-u:-tlf.fl i-r
l1ufr1l tll.ll'l e1Jl&fi0Ufr1: 11fr'l
1090450 CfTARABTNE 2 GM rN]. 6'ruru 20 VrnL u:uvr tfl8fi nlrtJ t ! rfttt 86,670.00
( [ auduun{vuniourSafiuurvrdru ) 86,67C.00
- , -r -/ &:2lnlir{nnltllrllncRltlou .l nllun{ nlof,vl8ruur uffci'l$s1t vl{u'I'l
rl:cnra u {ufi 22 du11au 2560
( uluq su 8rn1811r )
{otrurunr:1:.rvru'ruraq:rugiorii
r.Jfi uTltnr:uvu{ir:rtnrrr".rw"nq':ru6isrii
6101E46
I H.>'
FEe
U*nrrd.rrfiqmrg{rr6/.t2Itor t fcfllf,tiwnlrulsorlnr to u.uofiuqi.r
tlu,t! !gtt13to13e{
,l'r uru .. ... .. . ... ln,ur|Iflrsluln........................f, .:lH{.6.].fi-..........
1...........m.r"r fr. rnrJ:rng{rrruat6oeriotJd
llinr:ro:orn narrar do.....uLup..nU--t[-i]
110n1:f,S1t011 rIU:unounr: l1fr1
2110120 CTLOS|AZOL 50 MG dlu'lu 60x100 TAB uifvr urntnrl ,l'rrlr 63,360.00
',/( vnvluGu{!riuiouvniuulx6lu ) 63,360.00
:?rrnl€tnrildirrtrarnr€du 1 drtudr ;roavrffi uu unrrirliri"uf{ur.r
rj:cntr ol {ud 22 drnm! 2560
r(utyrttt qu{rr{ru )
ff'rurunr:I:uuru1fi q:'rB1{s1i
rJfi rf; :rtar:unr.rfrir:rtnr:d.ufaq:ru6{ori
61(t16!7
I
F'-,,ila(
t-,
I
i
fi1l]}l lt{llll11f\ i _
,itnu............1............rn", d, narlmnoIsroau6srdolild
rJ::nrndlrirq:ru6iori/rt6ol d:rnr;{twn'rt6lor1ff1 6o urluriryir lra
fi nxrsror;o.r
.......n::l!8{slfi ......... llfinr:ts:orlnac:.rar do............pd.u$lu!-r
11Un1:f,!1rtU'r rIU:snolnr: 11h'r
1O1O49O RECOMBII{ANI I.f,JNIAN ER/TI.frOPOITIN 5OOO
ru/0 5 ML d1lnu 70 vI{L
rl$vr f,raroaror ( :crxnlxd) d1frff 99,6i7.00
uirtluuniouivl{nurvd'ru ) 99,617.00
:1un1$tnritrirunEnl€d!,1 rir.ardr riroryrcrf, su unuri{ftiuri{U'1.!
rJrrnra or {ufi 22 !'ulmu 2560
./-/(uo/qnori nuirdru )
{drurunr:txnurumq:1uo{u1il
rJlrfi r'nnrrumrffir:rtnr:d.rvrioq:rug{sri
610184E
|eNffilitt
rlrurt&nfiqlnrgfo,rfi
rlor rl:ro,r;{twrrnrarar.rnl {o crr.onrirylir
hut6 nnr:rersu
0"ru1u
nrudlrrnurula........................fl?-,r}A{qd...........
.1...........:run.r du ead:rngftnuaurdser'slild
lfidnrrrq:ornnnr:rardo.....sl-11-o..fl -li.gI!.:
:1Ufr1rfrt1:{U',l alulun0unl: :141
2O9O79O REGORAFENIB 40 MG (SIIVARGN dll.rrll
1x28 TAB
uStvr iraromot (rl:crml u) ,!"rrln 56,528. r0
( firraduvnfuririoudBu*lauiviuarrrr{ i 56,528.10
tunlEndl$frualnr€du 1 rirtvdr dr ncrtou uncrirltiru#{U'lr
rj:cnra or {ud 22 du11n! 2550
Ltufrnn qu{rr{ru )
{Cnnonr:INnulnaq:ru6{sril
rJltirrtnr:uvru{'ir:rtnr:{'rwInq:ru4{ori
6101649
w*#ffi
rJ::n,radrlrir q:tg{orfi/.rl6or d:rnrr{twnllslrorlnl io aralvriryir Lu
i6 nnr:ror:lc
nT ufrh{xululo............ ...........fi1}A{-6.:1f,...........-.............tmn.r,on.rnulr.n. {u trl.Ly!..iu!1
{ruru.....,.....1...........rrtrnlr du mr,}:rngrftntmuSunq'ohJd
:1Ufi11f,$1ttul lirl:unomr: :'rtr.]
2181020 ATOETASTATIN 40 '.rG
fiu?! i3o)60 TAB ulf,vr fuAn ilr{ur {rrin 97,370.00
( uirvduldar{umuiour6aiuvrvrdru ) 97,370.00
:rlnr$Xnriruirunar€du 1 rirtudl dmavur0on unrrirltrirurfru?r
, v/u:rn1i $ 'lu?l 22d!tn y2s6a
/_/-,/,( ulsitlQu {rnlalu )
dolurunr:INnarrrsq:T BB{ori
rJfi r)i:rtnr:uvrufi rrtn r:('rrar"o q':ru6 is rii
6101850
M.*Jq
rEd
L
D
rJ*nrt{.n{rq:tglorfi
rlor rlrvnrlt{turnlrcuollnl {o orlonriq;ir
hui6 nlrrcrer:ll
gt.luv! trlrulr.r,r0.......................n?.lF.Bf-o].i,............
.r"on"r rf, rnJnng#lrrrou6rrir'oldd
llGnr:rorsrn na*rar do.....41I.0. 811-9Jh
l1U,lU
:ronr:flrrrur fiU:cnounr: Ih1
2090380 GEFTTTNTB 2sO MG dlu'tu 1S0 TAB ul$vr irarosrot (r]:etxnlno) drn"a 56,315.00
( rirvdu*rhr{unruiouiuriru rnfru ) 58,315.00
:lrnr€qndtiuunrnrddu 1 droudr rirravrvrf ou unrrirlidra#{U2r
rj:cn1a $ {ui 22 dulTru 2550
( ururprui 4u(r#rr )
{otrurunrrbln ururtrq:ru6{srf,
rJ$rlB:rmr:uvru{ir:rtn r:{swfn ryrug{ori
61o1E5t
,S, iwA
.f}'i,ruah
rJ:vnrrftr{rqnuq{ori
rior tJ:rnr;(itwnlr6!ar1;1 {o e tooriq,pr
hs,lt nrmcro'lc!.r
n 1tM !:,ltitnul a -. . - - .....qr-r.Bf.r.rri
o'"u-ru............1............*-r*.r rfr, narltngdrrrowdmdotJd
nlrnrarrnalfi rr1 do.... gtyp. nf-ru!:
!10n1!ft11{tl1 ri :snounr: 11tI1
2L2OO6O ALBUMIN ruMAN I'IOR$TAL 2096 50 ML
e'1u1u 90 VI,AL
quthirrinrYrurimnnnrtur qutfuinr:
Ln i[g{t'rg tRln1n1ntvru
99,000.00
( uiruduuirr{uurnrhu ) 99,000.00
rrur$lrdliuuannr#u 1 rirtud{ rirsivEr0ur $nci{ddloli{!2{
:rnu or {ri 22 drr:rcru 2560
(u qrlhdhu )
{dlnunr:lNnoruraq:t+6{sri
uoun:1nn1tInu8.l1'r1tn1r0{m nq:1r,0J51tl
6101652
qreIh
qY.
nl tf2!
Ur:nrr{r*{rq:trgftrirlor Urcori&wmrurorl;i {o erlonriqfl,
hurl6 tnrtrsrer:or
srrdl:rrurura........................fi1p.d.6jf,...... .... ............fd1nl:ra:slnnn{r''r61 do.....q1-'!9n:l-"!]li1
.1............:runrt du rnrj:rngClrroagr6uco'otild
:1Un1!n$1lru') rirl:unounr: 11n1
2i9O66O VILDAGLIPTIN 50 MG d,Iu?ll 90X56 TAB ui$vr taia r{rJur drria 98,707.50
i f',"du*tr"ir6duo,,6ir.*fi.au.n'loi j 98,707.50
:rur0Xndrrlilu,nonr€du 1 rirlurir drtarrrricl uncrirlt{iruf{ur
rl::nra * {ui 22 6'mi 2560
uluflrsri 4u{rrhu )
(o1rJlUnfi [:{ll U1u1n q:ruBts 1U
rJfi rh:rtnr:unr.fr r:rtnr:r".lnr"an:rug{orfi
I
6101853
w te6B$
rJrnrrdl*frqrtg{ori#or Urcnrr{nrEnlr6u.r1n1 {o u,rlrniryir lru
,li nrnrrercel
n1u,)u..
nlufft:trtl1lt........................!E$-0lujf, ...........
,1...........r'r"n.r rfu mrjrngftruau6uoiolod
.ldinrrro:o'nnar:rar do............ g.tiuti..tu!-r
trunr:ftr:gur rirJ:rnounr: l1f]'r
2071570 TEiloFOuR 300 MG TAB (:r.) {lmu29Ox30 TAB
o.rilnr:urdtn::l 99,180.00
( uirudvrrirr{uudristr*rhiuurvrffru ) 99,180.00
runiEnriluilununr6du 1 rirtudr drrayrcr0gu uncrirliriruyf.rrJrr
rjrun,ra or {ui 22 dm,n! 2560
,//,( uuqxul quir#ru )
{o'rurunr:t:mururaq:ru6iurrl
rlfi rlI:rtnr:unu{i'r:rtnr:{.rn'r'o q:run{ori
I
6101854
w A
7
1
rJt:nrdrrlhqttg{o16
rlor drmnt{rlmrruuorlal {o urluriqir hultt nntrorrll
Q'\U?U
arudknr!,1u1a........................i1]}.4i.6.1f, ..........
1............:"anr: rf,u ra{ln6drrorwr6sa.'o1ild
ldfi nr:nrmrnama.ds.........g-{.u-lj.cli-r
tionrlf,t1:o,ll riu:unounr: I1n1
12'IOO4O PERITONEAL DIALYSIS BASIC i.5% 2 LIT
druru 15x6 Mr3
lSfvr ioia rfifur drrYn 13,498.05
( vd.rvduntir{uCiouuiri!*rjaurrriranr{d ) 13,498.05
lrrrnrEnrilrlirrnrarf,du 1 rirtudr drcawriur unrrirlddrurf{urr
rJ*nrn or {ud 22 iur,rnu 2560
( urffiul qrlhdru )
{rirurunr:I:nrururnrl:ru6{orf,
rJlrfi :rtnr:uvrufir:rtnr:fi rrin sF'Nr6{ur{i
6101655
IY.:*_l\
I Ir
rJ::nra&r{rq:t4fari/.t2rior tJrrnra{twnlrutuorlil do urluriqir lau
,lt nnrcrorsor
n.rdlrlr.o"uru........................fl!]}Af$l!.
,l'rurv............1...........r.on.r rln, earJ:rngdtroaudurrioljd
sitrlrna{:1.1 do ... . ..-u:h{9.{ui-r
rr0n''llnfi:011 itl:cnounr: 11fr')
I I l0m0 CLOPIDOGREL FILM COATED 75 MG dlrnu
480x100 TAB
s.rdnr:rndtnrrr 98.697.60
i,,i;rd;;flr;"iuouLiu,{ou.r"naui*',id I 9e,697.60
fl undqnrilrli!monr6du 1 rirwdr rirurwrf, w $uri{irilurf{U1r
, v.lutrnl; 5u 'luvl 22lwnav256o
t un(vrorl quldru )
{drurunr:I:rruru1aq51u0{61i
r$$-:rmr:umnfii']:rn'rr6'{u{n(rru6{61i1
I
6101656
\{tN
r-fl,/...::)
rJ::nredllr{rq:tg{oT ii).r,rior tJ:mr;dtwnrrulorli,r do urluJqir leo
66 nnrvnr:or
nruiIxnurura........................q:.r..u0{gd ll nr:rs:ora na.!:rar do............ p. :1:l-u.18!-r..
s1u1u 1...........t',un": rf, mrJ:rngfr:ruaurSunr's\id
110n1!ft1lO.1 rirJ:unounr: :'')61
1O1O18O FENTANTL CTRATE O.O5 MVML 2 Mt
5,OOO AMP
druru flu{.n !n::rn'}:o'r}n:unru1 nairriuvlr.l
?,1rlln6f,
90,000.00
( vir#uravrriru ) 90,000.00
:1trn1€tnrilriiuununlidr .l drlurh droavrcrduu unurirltdrurf{url
ri:snra or Cuvrt 22 !'u11n! 2560
,/
.,/( urs?$s{ {rd1{1u )
{o'ruranr:lNrurrraq:ru0{srfi
uourt'rnn1:lrvru{11:1nn'lro.r]na{:"ru0:61u
6101657
'w
Ng.l1
rJ::nudu{rq:tg{oriia.,6or d:unr;{twni:riuollnl {o arlufrgir lra
ti nntnt:o.r
olu'l!
erufilr.$rsrla........................f,tT$dF.d..........
.1...........rronrt dl emJrq{rrruatduriolUd
ldinr:nrolnnacrra" du............ g:l.U-u.iu!:t...
:10n'11f1.rlurl {t}:movnr: irht
1O3OO2O IVIORPHINE SULFATE IO TTGTML 1 ML &trlU
7,OOO AMP
6u|.io&nTf tJn'rratm:unsm nrilriuvnl
rnurli45,500.00
G;drti"tutLfr*-fr'r, ) 45.500.00
r2lrnlthntildi!mEn16du .l rirtudr rirravcrduu $uri{tri1u*{u?{
rJrcnrr! {ud 22 €n1au F6o
,,f,/( uraqnorl 4u{r#ru I
{01u'lun1:${xu1lJ'r8q:18010'ru
rJ!uT:rtnr: uvrufi'lr1tn rr{.rufn ErlBA{r1i
6101E56
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ffi
tlr:nrrd.rrtilq:rugft ril/..,riar U:vnrrdtlvnlrutuorlal {o urluriqiir btr
ti nrtt:rotco.r
nrldl:cre1urn........................f nfr*. d9:f, ldfinrrro:trqno.r:rar {o............g:b.u.l{u!:!.
,l'ruT u............1...........r.-.r rfu narJ:rng*crurtdoirioldd
!10fr1!fra1r 1 rhl:vnounr: .,1n'r
i26O49O SALMETEROLXIMFOATE
5oMG+FLUTICASONE 250 ,vtc ACCU filr'lu
200 BoT
ui$r iaia rlr{ur drrin 92,448.00
( uir#u;sqr{u#ouCeu*tjiurrinu ) 92,4q.00
r2unlEnrildiutrannr€du 1 drwdr riroavrcrtuu untdrltrirtrrYrr.lrr
rj:cnra o {ud 22 !'u'r1nu 2560
(ur 4uir{ru )
{drurunr:l:maruT nq:rug{uri
rJ!rfi :rtnT :uvru{'i'r:rtnr:fi uf*q:14{sr{l
610r859
W#ffi
d::ntdrrfir1mr4{mi/.tlrior tJ:rrn;iltwnrr6ror1n1 to urluriryir lru
f, nmctor:tl
i1u'r1l
o1rrfiIi{xtl1tl1n........................ff1,u.o{.fl!...........
.1...........mgnt fu mrJ:rnglrtreauSr:edofiJd
lf, f, nrrrsmrn nnqra. {s............ -tr-rhf..Ei:t
i'10n1:fs1t0J'l irJrcnounrr t'ltr'l
12o22O PERn-OI{EAL DIALYSIS 2.5% l,lOR rtqL CAL 2
Lfr d1u'lu 5x6 BAG
rllfn infia rir{l'r drrla 4,499.35
t CrTuCiouuireugiluru;lrfiufirsnrll{ ) 4,499.35
:trnr0Xndrrliuunrnr6du 1 drtudr dronvrvriuu unrrirlddruf{t]?l
rj:unra or {ui 22 2560
( uruirpreil qufi#ru )
{alurunr:I:lnururnq:rug{rril
rJfi rll:rtnrlunu{'ir:rtnr:d.rufnq:rug{orfi
\
6101864
,:Ia/U
A
EK
6N
rJrmrrdnrfiq:tg{ari
riu tl:untr{twn,lr6uollil {o uruonriryih
Imrl! nnrcnr:N
a'tutu
*ruf|Ixns1rna........................t!f,-rrn{Ed..........
..1............:rgnr: fu natlrrngftrrriaudgrdohJd
ldinr:rs:oro naurar {s.....111119..4.f. 0ti..lt
r1un1!flt'lt0l1 Ir'tl:unounrr tlni
r22W7O TERNAIVVCIN OPTH OINTMENI 3.5 GM dlu,IIJ
1,008 TUBE
ul$vr in a rlr{r.ir drrla z0,37 t.6E
,,/( ao.rralvnruisoliniurdaurvrvniu*rjas* i rd ) 20,?7r.6e
llule{ntil$irununr€du 1 rirtud{ rirvrwrfluu unsrirltCrtlfturl
rhrnrl ar {ud 22 6lr,:1.! P56O
/-( utefl/erl qrlfr*:u )
{drmtnr:Ixnururn(:180ft iirfirDrtnr:uvufittnl:ft rdff qr1u0{01i
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6tolU5
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rJtunrl&rfiqttg{orirlor rlrrn,rri[twn1r6uor1i1 {o arlurirydr hu
tt nnr;tm:rl
illlI ,.rn.r rf, mrJnng{r:ruau6oariotJd
ill-u.s{6.]f,.........................liinrrrororina{rin1 do... ........-B.dug..{ui:}v1tt tlrt lulo
tronr:f,trtrur iu:unounr: 1',n'l
122}fr0 TEAFS MTUBALE FREE 0.8 ML {1U2U
450x32 BOT
uifvr inBa ir{lr drrin 66,939.20
( ranraduunrYuuirioustirrd'uvr6ir,anrrr{ ) 66,939.20
:trnr$Xnri, uilununr6du 1 rirtudr rirunuriuu unrrirlf,drof{u'x
*nm or;lud 22 dul1iu 2560
/./
t uyfrorl 4rdr#ru )
{o'ru'lan r:t:.rnaru, a{ii$0{61ii
rJ$rfi :rtnr:uvrufittnlrfi wfiq:1rrg{61i
6101666
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Ut:nrli$r*firy,rrgfid
rlor rlrun,rti[tlrnrruror,ril {o urturiqdr Lutll nnrgnttl
n'rutu..
ntdk$rsrura.......................-fi.]-un{grn..........
.1...........ron.r rlu rarJrn4rYr:ruau6t.i'oltJd
ldfi nr:rr:oronac:rar Co............p.t!utI..rui-r
:tunrrflr:orr {U:unounr: t1lr1
1190560 METI.f/PREDIISOLONE SODIUM $rclt.lATt 1
GM dlmu 40 VIAL
li:t+vt tffnn i1ttJ1 $1nt 99,809.60
( viladyr,{rt{u[ilaiosul']!rrvnf,usnrs{ ) 99,809.60
:zun'rSXndrniuunonrf,du 1 rirtrtdr rirmncriuu unzdrltrirur{{ur.r
rj:cnra {ud 22 Smrau 2560
//
. ,/.( uluqnau 0rn1mu l
{druru nr:I:lvrururnq:rug{rri
rJfi tr :rtnr: uvru{'jr:rtnrr{.ntfo qrrug{orfi
6101867
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It ntrrgrelce.!
nrudlxusrum........................ff'r}A-{.gjfi ..........
.........nt rm rlu rnrJ:ro4&:ruaurSuee'olrld
.....l*ifi nrrro:trnnn.rln. dn............-o-'flI-u.1{uil
o'rrnu............1.
r10n11fn1i0ll {urcfiounr: 11n1
2040@0 AcETYLC/SltltlE3o0MG/3ML {ruru 2,000 vhrrjudru{rifauon.i.ron.unuuor:noi
AMP
40,000.00
( dvduurvinu ) .10,000.00
:'rlnr0qndrrlirununr€du 1 riT wdr drlavuriuu uncdrli\huf{ut
rjrsnrr or {ui 22 r'u"!rlr! r.2560
(ur qrfir6ru )
{otrur onr:l:rnurura(r1ug{fi irJlrfi :rrnr:urufrir:tnr:fi ra{nq:t6{oril
6101E68
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rhvnu{rr&qnrg{mI#or rJ:lntt{twnlrutuo!1nl do uduriqpr lru
,16 nircnrce{
nruiIxxururo....................-..5t-lpai-ol!................. .. ...faln.ms:nmno{r1.1 du.. ........-u-flr-f..tui-r
:...........:1un'rr rfu m :rnnCl:ruagr6ua*'atld
:tuntrflm:u'r drl:rnounr: :ltr1
21lOlM RECOMBIMNT HUMAN ERTTHROPOITIN 2OOO
urun ll dnnu z5o vlAt
ulfvr inrot urfinon drrYn 75,000.00
( r6nuiufirr{uurvrdru ) 75,000.00
:rmr0Xndrrliriunrnr€du 1 rirrudr drsaywriu! uff r?irltiiruyft u'x
rl:cnrrr oJ iui 22 siwm! 2560
/,/,/
( uraftrorl 4uir#ru )
{drurunr:[:.rnururaq:rug{ori
rJfi rfi :rtnr:uvru{ir:rtnr:Srufnq:ru4{orfi
6101E69
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rJ*nrrdrr{eqmr4tmi
rior rJrmraii$lsn1Lu.rli1 {o urluiqtr lea
fli nnr;nrco.l
nrudl:rx!,ruro........................ff -r}B{-tlf, ..........
,l'ruru............1............r.un., du earJ:rn4&:rgnudum'otrld
.1{6nr:rusmnsrr.n.do............p.:!.u-ti.gi-r.
Truolrfhlr(u1 lirj:rnounr: imt
10401t10 CALCI\JM FOLIMTE 3OO MG/30 ML d1u'ru
150 V!\L
ui$n inia rfiilr rirrin 88,500.00
( urjnvivurinr{ufiriouurvrdru ) 88,500.00
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