ARANCEL 2017 MEDICAMENTOS - Clinica Magallanes · asventol / lukanex 10mg x 40 comp /caja 5011217...

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PRESTACIONES CODIGO VALOR PARTICULAR VALOR FONASA VALOR ISAPRE M Tipo de Prestación: Medicamentos Medicamentos Medicamentos M #VACUNA ANTI VARICELA VARILRIX (MV 40006419) 5142016 75.110 75.110 75.110 #VACUNA ANTIGRIPAL FLUARIX * JERINGA 5142007 30.751 30.751 30.751 #VACUNA CONJ.POLISACARIDOS-NEUMO.-PROT D"SYNFLORIX"984080 5142021 238.518 238.518 238.518 #VACUNA DIFTERIA-TETANOS -P.ACELULAR BOOSTRIX (982400) 5142020 99.410 99.410 99.410 #VACUNA DPTA-HB-HIB-IPV INFANRIX (984500) 5142017 203.188 203.188 203.188 #VACUNA ENGERIX-B (ANTIHEPATITIS B) 20MCG/ML (REF. 40001398) 5142006 56.598 56.598 56.598 #VACUNA GARDASIL 120UG X 1JER PRELL 0.5ML (REF. 40001402) 5142022 285.528 285.528 285.528 #VACUNA HAVRIX JUNIOR (ANTIHEPATITIS A) 720 UE (REF. 40006420) 5142009 90.662 90.662 90.662 #VACUNA HEPATITIS A " HABRIX ADULTO( 983130) 5142008 122.182 122.182 122.182 #VACUNA HEPATITIS A/B " TWINRIX " (984040) 5142010 160.640 160.640 160.640 #VACUNA INFANRIX HEXA (DTPA-HB-H1B-IPV) (REF. 40001399) 5142027 232.633 232.633 232.633 #VACUNA MENVEO ( MENINGITIS -HW135 ) 5142035 257.472 257.472 257.472 #VACUNA PNEUMO-23 AMPOLLA 5182435 64.064 64.064 64.064 #VACUNA PREVENAR 13 ANTINEUMOCOCICA 5142028 272.961 272.961 272.961 #VACUNA ROTARIX LIQ (ANTI ROTAVIRUS) 1.5ML X 1JER (REF. 40001400) 5142018 250.838 250.838 250.838 #VACUNA ROTATEQ X 1TUBO 2ML (REF. 40001403) 5142023 146.988 146.988 146.988 #VACUNA VARIVAX 5ML X 1VIAL (REF. 40001446) 5142032 94.771 94.771 94.771 #VACUNA VAXIGRIP ADULTO TRIVALENTE 5142029 25.515 25.515 25.515 AB / GRANEODIN * CAJA 5182251 19.794 19.794 19.794 ABALGIN SUP. INFANTIL 5033004 3.287 3.287 3.287 ABRILAR COMP./CAJA 5051123 12.040 12.040 12.040 ABRILAR .JBE/FCO/BRONTEC 35MG 5182376 10.878 10.878 10.878 ACCUPRIL 10MG CMOMP./CAJA 5011209 48.240 48.240 48.240 ACCURETIC 28 COMP./CAJA 5180828 37.526 37.526 37.526 ACEMUK 100MG/5ML JBE 5071081 16.940 16.940 16.940 ACEPRAN /RAVOTRIL GOTAS 2.5MG/ML ( 50 DOSIS POR FCO. ) ( 7 GOTAS 1 DOSIS )#CO# 5802805 1.325 1.325 1.325 ACERDIL 5MGX30COMP. (LISINOPRIL).CAJA. 5071047 26.291 26.291 26.291 ACERDIL 10-20MG.(LISINOPRIL).CAJA. 5182816 42.037 42.037 42.037 ACETAZOLAMIDA 250MG * COMPRIMIDO 5182281 1.063 1.063 1.063 ACICLOVIR / ZOVIRAX 250 MG. * EV 5182212 52.577 52.577 52.577 ACICLOVIR ( EUROVIR-LISOVYR)5%-ZOVIRAX * CREMA. 5182240 23.715 23.715 23.715 ACICLOVIR 400MG/X35COMP. CAJA 5182953 14.468 14.468 14.468 ACICLOVIR CREMA X15GRMS 5182337 4.352 4.352 4.352 ACIDO BORICO * SOBRE 5181017 1.568 1.568 1.568 ACIDO BORICO 50 GRS 5181014 4.111 4.111 4.111 ACIDO DEHIDROCOLICO COMP. 5051083 4.213 4.213 4.213 ACIDO GLICOLICO 10 % 100 ML 5181013 105.063 105.063 105.063 ACIDO VALPROICO 500MGX30 COMP./CAJA 5011197 17.353 17.353 17.353 ACLASTA 5MG 100ML FCO AMP. 5182094 1.009.831 1.009.831 1.009.831 ACTAN ( FLUOXETINA )CAP.20MGX60COMP./CAJA 5182986 62.045 62.045 62.045 ACTAN 20MGX30 CAPS./ FLUOXETINA * CAJA 5182260 43.175 43.175 43.175 ACTIFREDIN JBE * 100 ML 5182569 44.032 44.032 44.032 ACTIGERON-500MG.CAJA. 5051074 72.181 72.181 72.181 ACTILYSE SET TRATAMIENTO(TROMBOLITICO). 5808049 1.366.891 1.366.891 1.366.891 ARANCEL 2017 MEDICAMENTOS

Transcript of ARANCEL 2017 MEDICAMENTOS - Clinica Magallanes · asventol / lukanex 10mg x 40 comp /caja 5011217...

Page 1: ARANCEL 2017 MEDICAMENTOS - Clinica Magallanes · asventol / lukanex 10mg x 40 comp /caja 5011217 82.692 82.692 82.692. prestaciones codigo valor particular valor fonasa valor isapre

PRESTACIONES CODIGOVALOR

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VALOR

FONASA

VALOR

ISAPRE

MedicamentosTipo de Prestación: Medicamentos

MedicamentosMedicamentos

Medicamentos#VACUNA ANTI VARICELA VARILRIX (MV 40006419) 5142016 75.110 75.110 75.110

#VACUNA ANTIGRIPAL FLUARIX * JERINGA 5142007 30.751 30.751 30.751

#VACUNA CONJ.POLISACARIDOS-NEUMO.-PROT D"SYNFLORIX"984080 5142021 238.518 238.518 238.518

#VACUNA DIFTERIA-TETANOS -P.ACELULAR BOOSTRIX (982400) 5142020 99.410 99.410 99.410

#VACUNA DPTA-HB-HIB-IPV INFANRIX (984500) 5142017 203.188 203.188 203.188

#VACUNA ENGERIX-B (ANTIHEPATITIS B) 20MCG/ML (REF. 40001398) 5142006 56.598 56.598 56.598

#VACUNA GARDASIL 120UG X 1JER PRELL 0.5ML (REF. 40001402) 5142022 285.528 285.528 285.528

#VACUNA HAVRIX JUNIOR (ANTIHEPATITIS A) 720 UE (REF. 40006420) 5142009 90.662 90.662 90.662

#VACUNA HEPATITIS A " HABRIX ADULTO( 983130) 5142008 122.182 122.182 122.182

#VACUNA HEPATITIS A/B " TWINRIX " (984040) 5142010 160.640 160.640 160.640

#VACUNA INFANRIX HEXA (DTPA-HB-H1B-IPV) (REF. 40001399) 5142027 232.633 232.633 232.633

#VACUNA MENVEO ( MENINGITIS -HW135 ) 5142035 257.472 257.472 257.472

#VACUNA PNEUMO-23 AMPOLLA 5182435 64.064 64.064 64.064

#VACUNA PREVENAR 13 ANTINEUMOCOCICA 5142028 272.961 272.961 272.961

#VACUNA ROTARIX LIQ (ANTI ROTAVIRUS) 1.5ML X 1JER (REF. 40001400) 5142018 250.838 250.838 250.838

#VACUNA ROTATEQ X 1TUBO 2ML (REF. 40001403) 5142023 146.988 146.988 146.988

#VACUNA VARIVAX 5ML X 1VIAL (REF. 40001446) 5142032 94.771 94.771 94.771

#VACUNA VAXIGRIP ADULTO TRIVALENTE 5142029 25.515 25.515 25.515

AB / GRANEODIN * CAJA 5182251 19.794 19.794 19.794

ABALGIN SUP. INFANTIL 5033004 3.287 3.287 3.287

ABRILAR COMP./CAJA 5051123 12.040 12.040 12.040

ABRILAR .JBE/FCO/BRONTEC 35MG 5182376 10.878 10.878 10.878

ACCUPRIL 10MG CMOMP./CAJA 5011209 48.240 48.240 48.240

ACCURETIC 28 COMP./CAJA 5180828 37.526 37.526 37.526

ACEMUK 100MG/5ML JBE 5071081 16.940 16.940 16.940

ACEPRAN /RAVOTRIL GOTAS 2.5MG/ML ( 50 DOSIS POR FCO. ) ( 7 GOTAS 1 DOSIS )#CO# 5802805 1.325 1.325 1.325

ACERDIL 5MGX30COMP. (LISINOPRIL).CAJA. 5071047 26.291 26.291 26.291

ACERDIL 10-20MG.(LISINOPRIL).CAJA. 5182816 42.037 42.037 42.037

ACETAZOLAMIDA 250MG * COMPRIMIDO 5182281 1.063 1.063 1.063

ACICLOVIR / ZOVIRAX 250 MG. * EV 5182212 52.577 52.577 52.577

ACICLOVIR ( EUROVIR-LISOVYR)5%-ZOVIRAX * CREMA. 5182240 23.715 23.715 23.715

ACICLOVIR 400MG/X35COMP. CAJA 5182953 14.468 14.468 14.468

ACICLOVIR CREMA X15GRMS 5182337 4.352 4.352 4.352

ACIDO BORICO * SOBRE 5181017 1.568 1.568 1.568

ACIDO BORICO 50 GRS 5181014 4.111 4.111 4.111

ACIDO DEHIDROCOLICO COMP. 5051083 4.213 4.213 4.213

ACIDO GLICOLICO 10 % 100 ML 5181013 105.063 105.063 105.063

ACIDO VALPROICO 500MGX30 COMP./CAJA 5011197 17.353 17.353 17.353

ACLASTA 5MG 100ML FCO AMP. 5182094 1.009.831 1.009.831 1.009.831

ACTAN ( FLUOXETINA )CAP.20MGX60COMP./CAJA 5182986 62.045 62.045 62.045

ACTAN 20MGX30 CAPS./ FLUOXETINA * CAJA 5182260 43.175 43.175 43.175

ACTIFREDIN JBE * 100 ML 5182569 44.032 44.032 44.032

ACTIGERON-500MG.CAJA. 5051074 72.181 72.181 72.181

ACTILYSE SET TRATAMIENTO(TROMBOLITICO). 5808049 1.366.891 1.366.891 1.366.891

ARANCEL 2017

MEDICAMENTOS

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ACTIPRAM 40 MG/CAJA 5182689 58.089 58.089 58.089

ACTRON 400MG X 10 CAP./CAJA (IBUPROFENO) 5011207 9.389 9.389 9.389

ADALAT OROS 20 MG.30MG CAJA. 5182053 58.186 58.186 58.186

ADAX 0 50 MGX 30 COMP/ZOTRAN/.CAJA- 5113027 28.009 28.009 28.009

ADAX 0.25 MG.COMPR. #CO# BENZODIAZEPINICO 5113018 1.513 1.513 1.513

ADAX 0.50 MG COMPR. #CO# BENZODIAZEPINICO 5113017 1.765 1.765 1.765

ADECUR.2 Y 5MG.CAJA. 5182726 38.900 38.900 38.900

ADN * 1 KG * 1 CAJA 5172002 53.560 53.560 53.560

ADN DIABETICO 5172006 29.748 29.748 29.748

ADN FIBRA * CAJA 5182333 72.077 72.077 72.077

ADRENALINA RACEMICA 2.25 % "DOSIS 15 X FRASCO" 5181016 33.698 33.698 33.698

ADROXEF JBE. 250MG 100ML 5182736 29.467 29.467 29.467

AERIUS 5 MG X 30/DESPEX (DESLORATADINA) * CAJA 5182193 39.426 39.426 39.426

AERO ITAN /GASEOFIN /AEROGASTROL * CAJA 5182555 31.166 31.166 31.166

AERO-BUD- INHAL.200MG/BUDASMAL /120D.(BUDESONIDA) 5061005 41.545 41.545 41.545

AEROLIN AMP. 0.5MG/ML 5808021 47.293 47.293 47.293

AEROLIN INH. BUC. 200 DOSIS MV 40002649 5182606 26.211 26.211 26.211

AEROLIN SOL.5MG/20ML/CAJA-NEBULIZ. 5051118 79.051 79.051 79.051

AEROLIN SOLUCION PARA NEBULIZAR( 20 DOSIS ) 5182242 7.330 7.330 7.330

AEROVIAL /BUDESONIDA 200 MCG./CAJA 5011203 41.978 41.978 41.978

AGUA BIDESTILADA 1000 CC/MATRAZ 5121037 4.502 4.502 4.502

AGUA BIDESTILADA 5 ML * 100 AMPOLLAS 5121003 596 596 596

AGUA BIDESTILADA AMPOLLA 10 ML * 50 UNIDADES 5121047 630 630 630

AGUA BIDESTILADA MATRAZ 500ML 5121054 4.109 4.109 4.109

AGUA DESTILADA TAPA ROSCA/IRRIGACION (2F7114) *12U*(40006106) 5121038 10.051 10.051 10.051

AGUA OX.10VOL.110ML 5182639 2.499 2.499 2.499

AINEX - NIMESULIDA 100MG * COMPRIMIDOS 5051028 1.520 1.520 1.520

ALBENDASOL 200MG X 2 5051605 16.719 16.719 16.719

ALBENDAZOL 400 MGX3(ZENTEL)CAJA 5051052 75.075 75.075 75.075

ALBUMINA HUMANA 20 % * 50 ML 5142003 165.021 165.021 165.021

ALCOHOL ISOPROPILICO FRASCO * 1 LITRO 5802807 22.975 22.975 22.975

ALERFIX COMP.5MG.30 5051057 18.733 18.733 18.733

ALERTOP 10MG.X30COMP./CAJA 5071028 25.712 25.712 25.712

ALEXIA 120MG COMP./CAJA 5071054 44.564 44.564 44.564

ALEXIA FTE/-D / ALLEGRA -D * CAJA 5182381 44.067 44.067 44.067

ALODIL25MG/COMP CAJA 5182950 85.875 85.875 85.875

ALOELAX CAP. X 24 /CAJA 5071120 22.509 22.509 22.509

ALOPURINOL 100 - UROGOTAN * (CAJA) 5051103 2.247 2.247 2.247

ALOPURINOL 100MG * COMPRIMIDO 5182138 638 638 638

ALOPURINOL 300MG * COMPRIMIDO 5182406 1.076 1.076 1.076

ALPRAZOLAM 1MG 30 COMP. (ADAX) * CAJA 5182255 34.933 34.933 34.933

ALPRAZOLAM BE.MIN. 0,50 MG X 30COMP./CAJA 5011215 2.671 2.671 2.671

ALSYLAX * 20 GRAGEAS 5182485 2.156 2.156 2.156

ALSYLAX GRAGEAS.5MGX 20 COMP./CAJA 5011194 20.615 20.615 20.615

ALTAZINC COMP 15 MG. GTS-5MG/30ML 5182052 21.546 21.546 21.546

ALTRULINE 100MG/COMP (SERTRALINA) * CAJA 5182321 138.744 138.744 138.744

ALTRULINE 50MG/ 30COMP. (SERTRALINA )/CAJA 5182877 153.092 153.092 153.092

AMBILAN BID 875MG COMP/CAJA 5182645 68.900 68.900 68.900

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AMBROXOL /MINTAMOX JBE 30MG AD. * FRASCO 5182262 7.328 7.328 7.328

AMIKACINA 100 MG * AMPOLLAS 5011000 2.883 2.883 2.883

AMIKACINA 500 MG * AMPOLLAS 5011001 3.862 3.862 3.862

AMILENE 4MG / ONDANSETRON /TECNOFARMA 5808048 11.598 11.598 11.598

AMINOACIDO 10 % 500 CC * 1 FCO AMPOLLA 5171001 42.525 42.525 42.525

AMINOFILINA 250 MG * 10 ML * 100 AMPOLLA 5061002 939 939 939

AMIODARONA 200 MG * COMPRIMIDOS 5022002 241 241 241

AMIODARONA CLORURO 150 MG/3ML * 100 AMPO 5022003 1.657 1.657 1.657

AMITRIPTILINA 25 MG * COMPRIMIDO 5182005 22 22 22

AMITRIPTILINA 25 MG * CAJA 5182080 2.651 2.651 2.651

AMLODIPINO 10MGX 30 COMP./CAJA 5071388 6.057 6.057 6.057

AMOBIOTIC 500MG/COMP.CAJA(AMOXICILINA) 5182458 28.984 28.984 28.984

AMOVAL 1 GRMS COMP*/.CAJA 5182258 38.489 38.489 38.489

AMOVAL DUO 1000MG SUSP./CAJA 5182981 29.379 29.379 29.379

AMOVAL DUO SUSP 400 MG / CAJA (AMOXICILINA) 5182349 19.392 19.392 19.392

AMOVAL SUSP.500MG/100ML /CAJA 5182989 27.497 27.497 27.497

AMOVAL-500MG.*21/CAJA. 5182607 27.870 27.870 27.870

AMOXICILINA SUSP. 500MG/ JARABE 5182113 9.729 9.729 9.729

AMOXICILINA/ AMOVAL 500(FE-21) *U* COMP. 5182145 1.109 1.109 1.109

AMOXIPENIL-DUO * CAJA 5182141 42.671 42.671 42.671

AMPARAX 2MG-COMP Y S/L* CAJA 5182290 169.806 169.806 169.806

AMPARAX 2 MG * CAJA 5182409 105.203 105.203 105.203

AMPARAX 2 MG (30 COMPR.) #CO# ++ 5113012 3.844 3.844 3.844

AMPARAX S.L. 1 MG (25 TABL.) #CO# ++ 5113013 4.078 4.078 4.078

AMPARAX S.L. 2 MG (25 TABL.) #CO# ++ 5113014 5.854 5.854 5.854

AMPARAX-LORAZEPAM 1 MG (30 COMPR.) #CO# ++ 5113010 2.492 2.492 2.492

AMPICILINA 500 MG * 100 FCO AMPOLLA 5011012 11.598 11.598 11.598

AMPICILINA 500 MG * COMP 5182540 241 241 241

AMPOLLA HYLASE OFTALMOLOGIA 5131015 133.660 133.660 133.660

ANAFRANIL AMPOLLA/25 MG. CAJA 5182763 58.341 58.341 58.341

ANAFRANIL75MG/ COMP./CAJA 5182296 111.326 111.326 111.326

ANANASE FORTE 5182014 16.864 16.864 16.864

ANAPROLINA AMP. 50MG NANDROLONA 5051087 24.344 24.344 24.344

ANBESOL GEL * CAJA 5182423 24.892 24.892 24.892

ANESTALCON OFTALMICO 5182076 87.046 87.046 87.046

ANORO 55/22 MCG/CAJA 5071118 116.540 116.540 116.540

ANSAID 100 MG. 10 TABL. 5182658 20.560 20.560 20.560

ANSIETIL 30 MG./COMPRIM.CAJA 5180802 29.216 29.216 29.216

ANTABUS * CAJA 5182377 36.676 36.676 36.676

ANTALIN X 30 COMPR. * CAJA 5182243 39.437 39.437 39.437

ANTIAX * 24 COMP. 5182017 24.256 24.256 24.256

ANTIAX SUSPENSION . 5182105 39.625 39.625 39.625

ANTIESPASMODICO SUP. ADULTO/ABALGIN 5182373 5.666 5.666 5.666

APIDRA SOLOSTAR X 1 CATRIDGE 3MI C292644 5182837 38.759 38.759 38.759

APRINOL (FLUOXETINA ) 20MGX 30 COMP./CAJA 5182479 15.976 15.976 15.976

APROVEL COM. 150 MG.X28/CAJA 5182670 66.824 66.824 66.824

ARANDALO CAPSULAS/CAJA 5081008 61.725 61.725 61.725

ARANDANO / CRANBERRY PLUS CAP.X100/FCO. 5071063 35.452 35.452 35.452

ARCOXIA 120 MGX7.COMP/CAJA 5180792 39.682 39.682 39.682

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ARCOXIA 60MGX14 COMP./CAJA 5071061 36.769 36.769 36.769

ARGIUM 200MG X 30 COMP./CAJA 5011216 53.070 53.070 53.070

ARNELA/CANESTEN OVULOS * CAJA 5182390 33.115 33.115 33.115

ARNIKA GEL X 50 GR./CAJA 5180794 18.252 18.252 18.252

AROXAT 20MGX 30 COMP./ CAJA. 5182298 99.549 99.549 99.549

AROXAT.20/ 12.5 / 25 MG/.CR/ * CAJA. 5182323 56.098 56.098 56.098

ARRUMAL COMP. 30 MG/CAJA 5071039 93.733 93.733 93.733

ARTESOL COM.100MGX30./CAJA/ ILOSTAL 5182672 53.081 53.081 53.081

ARTREN CAPS 100 MG X 7 5182030 53.458 53.458 53.458

ASICOT /QURAX ( QUETIAPINA)25MG/30COMP./CAJA 5180831 47.233 47.233 47.233

ASICOT COMP. 100MG( QUETIAPINA) CAJA 5182803 85.988 85.988 85.988

ASMAVENT INH.BUC.100 MCG 5182609 15.523 15.523 15.523

ASPIRINA 100 MG * COMPRIDO (FE 42) 5182487 170 170 170

ASPIRINA 100 MGX42COM / CAJA 5182044 9.970 9.970 9.970

ASPIRINA 500 MG * COMPRIMIDO 5182486 389 389 389

ASPIRINA FORTE *CAJA 5182121 6.000 6.000 6.000

ASPIRINA THROMBO AS 100MG CAJA 5182279 12.868 12.868 12.868

ASVENTOL / LUKANEX 10MG X 40 COMP /CAJA 5011217 82.692 82.692 82.692

ASVENTOL COMP. 10MG CAJA 5182864 76.175 76.175 76.175

ATAC 550 MG.10 COMP./CAJA 5051117 22.312 22.312 22.312

ATACAND 16/12.5MG. COMP/CAJA 5182624 56.089 56.089 56.089

ATEMPERATOR (ACIDO VALPROICO) 500MG.X20 COMP/CAJA 5114003 40.586 40.586 40.586

ATEMPERATOR 200MG. 30 COMP./ CAJA 5182714 29.947 29.947 29.947

ATEMPERATOR 500MGX50 COMP./CAJA 5011052 89.750 89.750 89.750

ATEMPERATOR COMP/CAJA 500MG (AC.VALPROICO) 5182713 64.950 64.950 64.950

ATEMPERATOR GTS 10MG/G 5182384 32.474 32.474 32.474

ATEMPERATOR/ VALCOTE 250/MG X 50 COMP.(ACIDO VALPROICO)/CAJA 5182636 59.257 59.257 59.257

ATENOLOL 50 MG COMP./CAJA 5071044 2.545 2.545 2.545

ATENOLOL 50 MG * COMP. 5182306 2.412 2.412 2.412

ATENOLOL/ GRIFOTENOL /50MG/CAJA 5182625 57.892 57.892 57.892

ATORVASTRATINA 40MG COMP. SAVAL (MV 40002088) 5071100 62.317 62.317 62.317

ATRACURIO BESILATO 25MG AMP. 5119006 8.649 8.649 8.649

ATRINAT 20MG/ML (TRIAMCINOLONA) AMP. 5071051 57.989 57.989 57.989

ATROPINA 1% OFTALMICO * CAJA 5182550 32.372 32.372 32.372

ATROPINA 1% * 1 CC * 100 AMPOLLAS 5022004 716 716 716

ATROVENT SOL.20ML NEBUL.CAJA. 5182875 37.864 37.864 37.864

AUGMENTIN 875 CAJA 5182011 66.753 66.753 66.753

AUGMENTIN BID 875 / 125M 5182082 50.551 50.551 50.551

AURORIX 300MG.X 30COMP. 5182611 66.872 66.872 66.872

AUXXIL /LEVOFLOXACINO-RECAMICINA -750MGX 10*COMP /CAJA 5180784 44.207 44.207 44.207

AUXXIL 500MG X 7COMP./ CAJA 5182408 42.269 42.269 42.269

AUXXIL 500MGX 10*COMP. *CAJA 5182612 52.155 52.155 52.155

AUXXIL 500MGX 14 COMP./CAJA 5071079 54.192 54.192 54.192

AVAMYS SUSP.NAS.27 5MCGX120DOSIS. 5150055 31.396 31.396 31.396

AVASTIN 5131007 293.777 293.777 293.777

AVELOX 400 MG *10 COMP*./ *CAJA*MOXIFLOXACINO 5182388 100.362 100.362 100.362

AVELOX 400 MG.250 CC * FRASCO EV 5011019 112.897 112.897 112.897

AVELOX 400MG-7COMP.CJA. 5182873 95.423 95.423 95.423

AVELOX 400MGX10COMP./CAJA 5182895 112.057 112.057 112.057

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MEDICAMENTOS

AVENECR.COLD CREAM 5182634 22.643 22.643 22.643

AVENECR.PIEL INTOLERANTE 5182633 41.118 41.118 41.118

AVODART 0.5 MG/CAJA* DUTOSTERIDA* 5051043 108.998 108.998 108.998

AVONEX 6.000.000 *UNIDAD* (F.E CJ X 4U) 5142005 944.048 944.048 944.048

AZITROMICINA SUSP.200MG/5ML /CAJA 5071086 12.521 12.521 12.521

AZITROMICINA.BE.500MG X 6 COMP./CAJA 5011208 4.803 4.803 4.803

AZUL DE METILENO AMPOLLA 1%5 ML 5162003 14.377 14.377 14.377

AZUL PATENTE 1% X 5ML 5162007 238.585 238.585 238.585

AZULFIDINE ( SULFASALAZINA) 500MGX 40 COMP./CAJA 5071087 77.924 77.924 77.924

AZYMOL COMP.15 MG./CAJA 5063004 145.777 145.777 145.777

BACTEROL FORTE COMP/CAJA 5051138 22.882 22.882 22.882

BACTEROL FORTE SUSP. 100ML 5182430 29.134 29.134 29.134

BACTEROL/COTRIMOXAZOL SIMPLE./JBE. CAJA 5182335 3.897 3.897 3.897

BACTRIMEL IV X 5 ML(COTRIMOX.) 5182740 27.327 27.327 27.327

BACTROBAN UNG.NASAL (MUPIROCINA) 5182254 54.229 54.229 54.229

BACTROBAN CR.2% 15 GR.( MUPIROCINA ) 5182808 39.797 39.797 39.797

BALSAMO* 5182403 4.529 4.529 4.529

BAYAGEL * POMO 5182183 35.001 35.001 35.001

BAYCIP (CIPROFLOXACINO) 200 MG *40* 1 AMPO 5011006 69.587 69.587 69.587

BAYCIP 500 MG.(CIPROFLOXACINO) COMPRIMIDO 5011013 2.187 2.187 2.187

BAYCIP COMP/.500MG. *U* 5182547 4.476 4.476 4.476

BAYCIP XR 1GR.X7COMP./CAJA 5071102 77.248 77.248 77.248

BAYCUTEN 15MG.CREMA TUBO 5180799 35.014 35.014 35.014

BBDENT GEL X 10 GRMS/TUBO 5071088 16.012 16.012 16.012

BCG SSI (UN.AMPOLLA) (FE. 4 ) 5142012 237.213 237.213 237.213

BECLOMETASONA DIPROPIONATO INHALADOR 5182909 18.539 18.539 18.539

BENJUI. TINTURA.FCO. 5802772 54.123 54.123 54.123

BENUTREX * CAJA 5182451 58.902 58.902 58.902

BEOF SOL.OFT. 0,5 % 5ML/FCO ( BETAXOLOL) 5011178 32.869 32.869 32.869

BEQUIUM JARABE 5182097 25.517 25.517 25.517

BERODUAL HFA INHALADOR ( SOLUC. AEROSOL )* CAJA 5182021 67.394 67.394 67.394

BERODUAL HFA 200DOSIS/ INHALADOR 5182153 57.154 57.154 57.154

BERODUAL SOLUCION 5061001 65.531 65.531 65.531

BERSEN COMP. 20MGXCAJA 5182627 12.738 12.738 12.738

BERSEN/ PREDNISONA/ CORTIPREX 20MG SUSP.60ML 5182619 20.768 20.768 20.768

BESEROL S/ TABLETAS * CAJA 5182116 17.211 17.211 17.211

BETACAR 50MG COMP.(CAJA) 5182175 59.511 59.511 59.511

BETALOC ZOK 25MG/COMP/CAJA 5182905 60.090 60.090 60.090

BETAMETASONA 0.6MG.30COMP * CAJA 5182010 2.054 2.054 2.054

BETAMETASONA 4 MG * 1 ML * 100 AMPOLLAS 5071002 1.591 1.591 1.591

BETAMETASONA CR. (CREMIRIT 0 05%) 5182929 11.430 11.430 11.430

BETAMETASONA+NEOMICINA CREMA. 5182850 19.166 19.166 19.166

BETIS 5MGX30(CLOTIAZEPAM) COMP./CAJA 5071052 14.598 14.598 14.598

BI EUGLUCON * CAJA 5182404 12.987 12.987 12.987

BICARBONATO 1/6 M * 250 CC 5121022 3.826 3.826 3.826

BICARBONATO 1/6 M * 500CC *20 5121048 4.065 4.065 4.065

BICARBONATO 2/3 M * 20 ML * 50 AMPOLLAS 5121007 1.325 1.325 1.325

BICARBONATO 2/3 M * 250 CC 5121001 8.956 8.956 8.956

BICARBONATO DE SODIO CAPSULA 0.5 GRAMOS 5182164 1.105 1.105 1.105

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

BICARBONATO SODIO 100GRMSX SOBRE 5180388 1.392 1.392 1.392

BICARBONATO SODIO 8.4% * 10 ML * 1 AMPOL 5121005 1.732 1.732 1.732

BICART ALTRACART * (BICARBONATO DIALISIS) 5181003 25.020 25.020 25.020

BIFONASOL 1% -15MG (MYCOSPORAN) 5182657 6.289 6.289 6.289

BILAXIL * CAJA 5182081 36.976 36.976 36.976

BIOCURE POMADA 5182696 13.900 13.900 13.900

BIOGAIA COMP/MAST./CAJA 5808010 47.975 47.975 47.975

BIOGAIA GTS. PROBIOT. 5M 5182792 31.688 31.688 31.688

BIOLACTUS 250 MG CAPS./ CAJA 5182246 20.633 20.633 20.633

BIOLACTUS SOBRE /CAJA 5051143 22.275 22.275 22.275

BIOMOOD 25MG X 30 COMP.( TOPIRAMATO)/CAJA 5071380 34.564 34.564 34.564

BION 3 X 30 COMP./CAJA 5182725 22.683 22.683 22.683

BION ALLERGO X 30 CAP /CAJA 5012009 25.292 25.292 25.292

BION TRANSIT CAP.30/CAJA 5182786 32.695 32.695 32.695

BIOPULMIN .susp. 5182287 31.672 31.672 31.672

BISOLVON JBE.FORTE 8MG. 5182159 8.454 8.454 8.454

BLADURIL COMPRIMIDO (FLAVOXATO CLORHIDRATO 200 MG)*20* CAJA 5182123 24.574 24.574 24.574

BLISPROTEC CREMA TUBO 60GRMS. 5011199 21.208 21.208 21.208

BLISPROTEX * CAJA * 5 UNIDADES 5182221 10.199 10.199 10.199

BLISTEX / LEBLON /CREMA LABIAL 5182173 5.470 5.470 5.470

BLOX 8MGX30 COMP(CANDESARTAN ) * CAJA 5182355 58.928 58.928 58.928

BLOX D COMP 8/12 5 *CAJA* 5032013 40.957 40.957 40.957

BLOX -D COMP. 16/12,5 MGX 30 /CAJA 5071083 65.858 65.858 65.858

BONAMINA COMPR. * CAJA 5182218 36.336 36.336 36.336

BOTOX 100 U FCO AMPOLLA (02 DOSIS) 5011135 407.003 407.003 407.003

BOTOX 50U FCO AMP. (MV 40001477) 5112037 658.582 658.582 658.582

BREVEX 20 ( PARACETAMOL-CLORZOXAZONA)COMP. /CAJA 5808003 22.520 22.520 22.520

BREXOTIDE LF INHBUCC 250/25 5180381 108.671 108.671 108.671

BRILINTA 90 MG.X 60 COMP.(TICAGRELOR ) CAJA 5071132 146.343 146.343 146.343

BRIMOPRESS 0.20%/CAJA 5183008 56.737 56.737 56.737

BROLIN FORTE COMP/60 CAJA 5182934 35.295 35.295 35.295

BROMAZEPAM (LEXOTANIL)COMP./CAJA 5113028 23.724 23.724 23.724

BROMAZEPAM 3.0MG COMP.CAJA 5071019 1.926 1.926 1.926

BROMHEXINA JBE 8MG/5ML CAJA 5182979 8.980 8.980 8.980

BROMOCRIPTINA 2 5MG( KRIPTONAL) * CAJA 5802775 22.120 22.120 22.120

BROMURO IPRATROPIO(INFLUMIX INHL.)20MCG 5180257 27.545 27.545 27.545

BRONCATOX JBE./60 MGX120 ML(LEVODROPROPIZINA ) /CAJA 5051126 18.451 18.451 18.451

BRONCOT / FLUOMIT JARABE * FRASCO 5182056 12.647 12.647 12.647

BRONCOTUSILAM (CARBOCISTEINA) / CAJA 5182711 11.028 11.028 11.028

BRONTAL JBE CJA. 5180807 6.672 6.672 6.672

BUPIVACAINA 0.75 % HIPERBARICO * 20ML 5112004 17.326 17.326 17.326

BUPIVACAINA 0.5 % 10 ML FCO. AMPOLLA.(HOSPIRA) 5112029 21.208 21.208 21.208

BUPIVAN 0.75 HIPERBARICO AMPOLLA 2 ML(HOSPIRA) 5112023 25.626 25.626 25.626

BURTEN 30 MG/2ML AMP. 5808004 1.591 1.591 1.591

BUSCAPINA COMPRIM./CAJA 5182174 21.855 21.855 21.855

BUSCAPINA COMPOSITUM * 1 AMPOLLA 5033003 25.891 25.891 25.891

BUSCAPINA GTS 10MG/ML 5033009 14.562 14.562 14.562

BUSCAPINA SIMPLE AMPOLLA 5033002 5.609 5.609 5.609

BUTESIN PICRATO 15 GR 5182038 34.842 34.842 34.842

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

BUTOTAL INHALADOR. 5150056 8.494 8.494 8.494

CADUET COMP.-5/10.MG.30.CJA 5182601 107.270 107.270 107.270

CALCEFOR COM. 500MGX30 COMP./ CAJA 5182162 19.005 19.005 19.005

CALCEFOR-D FORTE CAP. CAJA 5051086 14.359 14.359 14.359

CALCIGRAN D600 FKASH/CAJA 5071018 15.872 15.872 15.872

CALCIMAX D3-400/CAJA 5182769 25.462 25.462 25.462

CALCIO * CAJA 5182163 9.970 9.970 9.970

CALCIO CLORURO 10% 10ML AMPOLLA 5121042 2.085 2.085 2.085

CALCIO GLUCONATO 10% *10 ML * 100 AMPOLL 5121011 1.913 1.913 1.913

CALCIVORIN 500MG MASTIC./CAJA 5180261 7.763 7.763 7.763

CALCIVORIN 500MG/ ( CARBONATO CALCIO )COMP. CAJA 5071034 9.797 9.797 9.797

CALMOSEDAN / MULTISEDIL/DIAPANN. * CAJA 5182264 19.191 19.191 19.191

CALMURID 1 % LOC.100 ML 5011024 29.017 29.017 29.017

CALTRATE 600+D PLUS X 60 COMP/ CAJA 5071094 21.939 21.939 21.939

CAM / CAJA 5182472 22.515 22.515 22.515

CANESTEN / CLOTRIMAZOL CREMA * 20 G CAJA 5182568 21.093 21.093 21.093

CANESTEN/OV.VAGINAL * CAJA 5182161 3.700 3.700 3.700

CAPOTEN - CAPTOPRIL 25 MG * COMPRIMIDOS (F.E 30UNID.) 5182534 1.049 1.049 1.049

CARBAMAZEPINA 200 MG * DOSIS UNITARIA* 5182220 647 647 647

CARBON ACTIVADO *15GR* 5161005 27.614 27.614 27.614

CARBON SULFAGUANIDINA COMPRIM. 5182383 53 53 53

CARBONATO DE CALCIO 500MG/COMP. 5181028 2.982 2.982 2.982

CARBORON 300 MG. X CAJA(50 COMP) 5117004 17.843 17.843 17.843

CARBORON RET.400MG *50 CAJA 5117006 56.218 56.218 56.218

CARBORON RET.400-SR-450 MG.30U.CJA. 5180812 43.438 43.438 43.438

CARDICON RETARD 10 MG 5182596 25.517 25.517 25.517

CARDICON RETARD 20 MG. 5182103 43.835 43.835 43.835

CARDIOLEN/ISOPTINA * CAJA 5182330 29.271 29.271 29.271

CARDURA 4MGX 14 COMP. /CAJA. 5180789 49.601 49.601 49.601

CARDURA 2MG. * DOSIS UNITARIA* 5182229 2.856 2.856 2.856

CARDURA 4 MG./ANGICON ( DOXAZOSIN) 4 MG. CAJA 5180815 39.055 39.055 39.055

CARDURA-XL 4MG COMP/CAJA 5182744 70.484 70.484 70.484

CARIAMYL LOCION DERMICA 120ML 5011202 13.807 13.807 13.807

CARVEDILOL (DUALTEN-DILATREN) 6.25 MG*COMP.UNID. 5182456 1.511 1.511 1.511

CARVEDILOL(DUALTEN-DILATREN.COM 12.5MG UNID. 5182024 1.166 1.166 1.166

CASEINATO DE CALCIO/PROTEINEX 250 GR(C.19001) * 1 5172003 41.746 41.746 41.746

CATAFLAM GRA.50MGX10 COMP./CAJA 5071119 39.364 39.364 39.364

CATAFLAM SUSP.9 MG/CAJA 5182032 32.640 32.640 32.640

CATAPRESAN - CLONIDINA 100MG * DOSIS UNITARIA* 5021002 1.131 1.131 1.131

CATAPRESAN 100MG/30COMP.CAJA 5180390 30.839 30.839 30.839

CEBION VITAC 2000M EFERV.X10/CAJA 5011183 12.274 12.274 12.274

CEFADROXILO 500 MG COMP. *DOSIS UNITARIA* 5011155 563 563 563

CEFALMIN/MIGRANOL COMPR. * CAJA 5182086 16.341 16.341 16.341

CEFAMOX /CEFADROXILO/ 250 MG/SUSPENSION 5182717 31.396 31.396 31.396

CEFAZOLINA 1 G * 1 F.A. 5011002 7.756 7.756 7.756

CEFIRAX 200MG X 20COMP. * CAJA 5182233 75.994 75.994 75.994

CEFOTAXIMA 1 GR/GRIFOTAXIMA * 1 AMPOLLA 5011033 4.860 4.860 4.860

CEFRADINA 1 G * 1 AMPOLLA 5011009 5.779 5.779 5.779

CEFRADINA 500 MG. * CAJA 5182151 3.075 3.075 3.075

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

CEFRADINA 500MG * CAPSULAS 5182491 415 415 415

CEFTAZIDIMA/ CEFTIOL/FORTUM 1 G * 1 FRASCO AMPOL 5011016 18.466 18.466 18.466

CEFTRIAXONA 1GR 5011021 9.141 9.141 9.141

CELEBRA 200MG PRE-POST ANESTESIA * COMP 5055003 7.900 7.900 7.900

CELEDOX 200 MG CA. 10CAP. 5808083 34.767 34.767 34.767

CELEDOX 200MGX30 COMP./CAJA 5071127 70.201 70.201 70.201

CELOFTAL * OFTALMOLOGIA 5131010 192.193 192.193 192.193

CELTIUM 10 MG /30 COMP(ESCITALOPRAN) 5182795 57.881 57.881 57.881

CELULASE 25 GRS * TUBO 5181006 28.237 28.237 28.237

CELULASE 50GR POMO 5182757 29.216 29.216 29.216

CELULASE POLVO 2% 2GR. 5182667 13.776 13.776 13.776

CELULASE-NEOMICINA UNG/TUBO 5182958 21.095 21.095 21.095

CENTRIUM SILVER X 60 COMP./CAJA 5011055 37.104 37.104 37.104

CENTRIUM X 60 COMP./CAJA 5171025 36.035 36.035 36.035

CENTRUM X 30COMP.* CAJA 5182516 18.124 18.124 18.124

CERNEVIT * SOLUVIT *NORUVIT* MULTIVITAMINICO EV 5170006 36.340 36.340 36.340

CERVILANE * CAJA. 5051058 64.895 64.895 64.895

CETAPHIL LOC.125ML 5180806 19.091 19.091 19.091

CETAPHIL LOC.ULTR.HUM 226/FRASCO 5071385 51.815 51.815 51.815

CETIRIZINA 10MG ( COOLIPS / RIGOTAX) /CAJA 5180816 19.259 19.259 19.259

CETRIL 10MGX50COMP( BACLOFENO)./CAJA 5181034 64.451 64.451 64.451

CHAMPIX INICIO COMP.25 5182690 152.064 152.064 152.064

CHELTIN FC.COMP.30./CAJA 5182842 68.697 68.697 68.697

CICLAMIL 5MG.10COMP. 5051065 8.041 8.041 8.041

CICLOBENZAPRINA 10 MG /*DOSIS UNITARIA*TENSIOMAX/ REFLEXAN COMP. 5182265 2.452 2.452 2.452

CICLOBENZAPRINA 5 MG. COMP.(TENSIOMAX) 5182949 543 543 543

CICLOTOS JBE 120ML 5182738 12.811 12.811 12.811

CIDOTEN 0.5 MG GOTAS/30ML 5180787 27.234 27.234 27.234

CIDOTEN 4 MG/1 ML * 1 AMPOLLA 5071003 42.415 42.415 42.415

CIDOTEN RAPI-LENTO 3 ML 5071001 43.407 43.407 43.407

CILODEX SOL.OFT.5ML/FCO 5180262 47.302 47.302 47.302

CINARIZINA 25MG COMP./CAJA 5180829 4.074 4.074 4.074

CINARIZINA CAP. 75 MG/CAJA 5180821 11.081 11.081 11.081

CIPRAMIL * CAJA 5182386 55.265 55.265 55.265

CIPRAMIL/ ACTIPRAN/ CITALOPRAM * 20 MG.X28 5182305 64.592 64.592 64.592

CIPRODEX OTICO GOTAS/FCO. 5071070 36.174 36.174 36.174

CIPRODEX/CIPROVAL SOL 5182635 53.443 53.443 53.443

CIPRODEX/CIPROVAL/CILODEX/ UNGUENTO OFTA 5182181 41.772 41.772 41.772

CIPROFLOXACINO 200MG/ 100ML*GENERICO* 5011051 30.928 30.928 30.928

CIPROVAL COLIRIO OFTALMICO * CAJA 5182395 37.012 37.012 37.012

CIRUELAX JALEA / MERMELADA / TE 5182263 13.365 13.365 13.365

CIRUELAX COMP /CAJA 5051603 10.197 10.197 10.197

CIRUELAX FIBRA SACHET/CAJA 5182980 17.021 17.021 17.021

CISAPRIDA 10MG20 COMPR./CAJA 5802785 1.834 1.834 1.834

CISAPRIDA 5MG.20COMP.CAJA. 5180778 3.588 3.588 3.588

CITONEURON CAPS./CAJA 5182780 21.097 21.097 21.097

CLARIMAX 500MGX 20 COMP./CAJA 5182926 54.510 54.510 54.510

CLARITROMICINA 500MGX 14COMP./CAJA 5180259 11.576 11.576 11.576

CLARITROMICINA/KLARICID 500MG/CAJA. 5182339 55.716 55.716 55.716

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

CLARITYNE * COMP.CAJA 5182107 17.465 17.465 17.465

CLAVINEX DUO COM.875X20/CAJA 5182771 65.485 65.485 65.485

CLAVINEX DUOFORTE SUSP/CAJA 5182046 49.643 49.643 49.643

CLEBUDAN INHAL. 200 MG/CAJA 5180800 35.450 35.450 35.450

CLEXANE 20 MG.JERINGA PRELLENADA 5151004 15.309 15.309 15.309

CLEXANE 40 MG. JERINGA PRELLENAD 5151005 29.691 29.691 29.691

CLEXANE 60 MG.JERINGA PRELLENAD 5151003 39.433 39.433 39.433

CLEXANE 80 MG * 0.2 ML 5151007 44.182 44.182 44.182

CLINDAMICINA 600MG/4ML AMP. 5011046 4.595 4.595 4.595

CLINDAMICINA OVULOS.100MG*7.(CLUVAX) 5808061 99.218 99.218 99.218

CLOFEXAN COMPX30 CAJA 5182732 25.451 25.451 25.451

CLOPIDROGEL 300 MG CM ( RE. HR. 214-0099 ) 5808081 13.699 13.699 13.699

CLORANFENICOL 500 MG * 10 COMPRIMIDOS 5182492 815 815 815

CLORANFENICOL 500MG CAJA 5051079 2.423 2.423 2.423

CLORANFENICOL COLIRIO 5011020 9.504 9.504 9.504

CLORANFENICOL JARABE 12.5MG/5ML 5182459 2.956 2.956 2.956

CLORANFENICOL POMADA OFTALMICA 5011014 9.939 9.939 9.939

CLORANFENICOL SUCC.1 G * 100 AMPOLLAS 5011007 32.633 32.633 32.633

CLORDIAZEPOXIDO 10 MG/CAJA 5182913 4.860 4.860 4.860

CLORFENAMINA 4MG * COMPRIMIDOS 5182493 80 80 80

CLORFENAMINA MALEATO 10 MG * 1 CC * 100 AMPOLL 5064001 771 771 771

CLORMEZANONA COMPRIMIDOS * CAJA 5182539 1.348 1.348 1.348

CLORODIAZEPOXIDO 10 MG * 20 COMP 5113001 53 53 53

CLORODIAZEPOXIDO 10 MG. * CAJA 5182209 1.230 1.230 1.230

CLOROQUINA 250 MG * CAJA 5182449 8.945 8.945 8.945

CLORPROMAZINA 25 MG * COMPRIMIDOS 5182223 38 38 38

CLORPROMAZINA CLORURO 25 MG * 2ML *100 A 5117002 899 899 899

CLORURO DE POTASIO 10% * 10 ML * 100 AMP 5121013 928 928 928

CLORURO DE SODIO 10% * 10ML* AMPOLLA PCL010 5121053 873 873 873

CLORURO DE SODIO 10% * 20 ML * 100 AMP 5121015 2.085 2.085 2.085

CLORURO DE SODIO 30% * 250 ML 5181012 198.820 198.820 198.820

CLOTRIMAZOL 1% POLVO 100GRM./CAJA 5181037 21.062 21.062 21.062

CLOTRIMAZOL CREMA. 5182340 2.430 2.430 2.430

CLOTRIMAZOL OVULO 100MGX6 /CAJA 5182210 30.963 30.963 30.963

CLOTRIMAZOL POLVO 1% /30GRMS 5181032 9.722 9.722 9.722

CLOVAL * CAJA 5182366 13.900 13.900 13.900

CLOVAL COMPUESTO JARABE 120ML/CAJA 5011176 37.431 37.431 37.431

CLOVAL FORTE JBE 40 MG/5 ML 5182457 30.839 30.839 30.839

CLOVAL JARABE 20MG/5ML 120ML. * CAJA 5182394 28.469 28.469 28.469

CLOXACILINA 500 MG * COMPRIMIDOS *12* 5182495 203 203 203

CLOXACILINA 500 MG * 100 F.AMPOLLAS 5011018 5.302 5.302 5.302

CLOXACILINA 500 MG /CAJA 5182380 6.018 6.018 6.018

CO-APROVEL * CAJA 5182413 59.668 59.668 59.668

COAPROVEL 300/12,5 MG/CAJA 5180269 78.273 78.273 78.273

COAPROVEL150/12.5X28COMP. 5182640 61.888 61.888 61.888

COBEFEN COMP./CAJA 5182988 10.003 10.003 10.003

CODEINA 2 %X 20CC(FRASCO) 5062001 7.334 7.334 7.334

CODEINA 6 % 20CC./FRASCO 5062002 106.038 106.038 106.038

COLCHICINA 0.5 MG COMPRIMIDOS 5182196 108 108 108

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

COLCHICINA 0.5MG./CAJA 5182951 4.513 4.513 4.513

COLESTIRAMINA 4GR.(MAGISTRAL)CJA+30 5182839 79.782 79.782 79.782

COLIPER - LOPERAMIDA 2MG * CAJA 5182580 13.133 13.133 13.133

COLISTIN (COLIST.SODICO) 100MG-3000.000UI FA 5071067 64.948 64.948 64.948

COLISTINA 80MG /1 MILLON UI F.A ( COLISMETATO SODICO) 5071066 31.016 31.016 31.016

COLONIA FRASCO 5182129 12.300 12.300 12.300

COMBIVENT * FRASCO 5182278 25.796 25.796 25.796

COMBIVIR * CAJA 5013001 711.357 711.357 711.357

CONCOR 2,5 MG ( BISOPROLOL ) *DOSIS UNITARIA* 5011171 1.995 1.995 1.995

CONCOR 5MG X 28 COMP.(BISOPROLOL) /CAJA 5182967 63.801 63.801 63.801

CONFER CAPS. * CAJA 5182023 29.611 29.611 29.611

CONGESTEX JARABE ANTIGRIPAL. 5182784 12.563 12.563 12.563

CONTRALMOR SUPOSITORIO 5182750 2.713 2.713 2.713

CONTRALMOR UNGUENTO 5182012 16.127 16.127 16.127

COREGA ADH./CAJA 5182948 19.701 19.701 19.701

CORIODAL20MG.X20COMP. 5182644 2.669 2.669 2.669

CORODIN 50MG/ (LOSART.POT)COMP/ CAJA 5182746 40.517 40.517 40.517

COTINA (ACIDO NICOTINICO-- CAJA. 5182292 9.912 9.912 9.912

COTRIMOXAZOL /COMP/CAJA 5182912 13.140 13.140 13.140

COTRIMOXAZOL FORTE * COMPRIMIDO 5182496 2.828 2.828 2.828

COTRIMOXAZOL/BACTEROL/SUSP.FORTE.- 5182027 3.535 3.535 3.535

COUMADIN 2.5 X 20 *CAJA* 5182370 39.590 39.590 39.590

COUMADIN 5 MG X 30 COMP.*( WARFARINA) CAJA 5182318 92.065 92.065 92.065

COVERSYL 4MG.COMP.CAJA. 5182871 58.246 58.246 58.246

CREMA DERMATOLOGICA RECETARIO MAGISTRAL 5182826 54.457 54.457 54.457

CREMA LECHUGA 150ML/CAJA 5151017 5.823 5.823 5.823

CREMINEM CR.1% 20GR./CAJA 5071375 7.973 7.973 7.973

CREMINEM-B CR.15 GRM. ( CLOTRIMAZOL+BETAMETASONA) 5071123 13.913 13.913 13.913

CREON 10.000 CAP.150 MG/CAJA 5051098 22.922 22.922 22.922

CREON 25000 CAP.300MGX50 /CAJA 5011161 143.785 143.785 143.785

CREON 25000. 30 CAP./CAJA 5051099 145.351 145.351 145.351

CRESADEX 10MG/30(ROSUVASTATINA) 5802800 48.386 48.386 48.386

CRESTOR (( ROSUVASTATINA ) 10MGX28 COMP./CAJA 5182902 73.822 73.822 73.822

CRESTOR(( ROSUVASTATINA ) 40MG COMP./CAJA 5071035 138.065 138.065 138.065

CRESTOR.( ROSUVASTATINA ) 20 MGX28 COMP./CAJA 5182724 113.460 113.460 113.460

CROMIDIN UNGTO.0.03% X 15G. 5182616 25.935 25.935 25.935

CRONOLEVEL AMP. 1ML 5071004 54.176 54.176 54.176

CRONUS *DOSIS UNITARIA* ( PARACETAMOL 325MG-TRAMADOL 37.5MG) 5051034 2.359 2.359 2.359

CUROCEF 250 MG * 10 COMPRIMIDOS 5011003 8.808 8.808 8.808

CUROCEF 500 MG( CEFUROXIMA) * 14 COMP. CAJA 5182480 124.645 124.645 124.645

CUROCEF 750 MG * AMPOLLA 5011010 34.515 34.515 34.515

CUROCEF SUSP.250 MG./100MLCAJA 5011039 55.670 55.670 55.670

CUROCEF SUSP.50ML/CAJA 5011043 47.094 47.094 47.094

CYCLOGIL 5182468 63.302 63.302 63.302

CYMBALTA 30MG/X7COMP./CAJA 5182994 20.386 20.386 20.386

CYMBALTA(DULOXETINA)60MG. 5182692 75.868 75.868 75.868

CYMEVENE 500 MG AMP. I.V ( GANCICLOVIR) 5808025 229.889 229.889 229.889

DACAM RAPI-LENTO 5071011 46.391 46.391 46.391

DAFLON-(DIOSMINA)-500MGX 60 COMP./CJA. 5182165 140.796 140.796 140.796

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

DAGOTIL GOTAS/ 5182350 117.746 117.746 117.746

DAGOTIL/SPIRON COM.1MGX60 /CAJA 5182728 82.946 82.946 82.946

DAIVONEX 0.005 % UGTO.30G. 5180809 66.150 66.150 66.150

DAKTARIN GEL 5182100 49.763 49.763 49.763

DALACIN C 300 MG * 12 CAP./CAJA 5182544 137.107 137.107 137.107

DALACIN FOSFATO 600 MG * 4ML 5011022 18.557 18.557 18.557

DANTRIUM 20 MG. FRASCO AMPOLLA 5802781 573.553 573.553 573.553

DAPSONA 50, 100 MG CAPS. 5182735 16.440 16.440 16.440

DDAVP 1MG/2.5MLSOL. INTRANASAL (DESMOPRESINA) 5182868 242.769 242.769 242.769

DDAVP NASAL * FRASCO 5 ML 5181018 322.957 322.957 322.957

DEBRIDAT AP COMP. 300 MG 5182579 75.220 75.220 75.220

DEBRIDAT COMP. * CAJA 5182314 38.516 38.516 38.516

DEBRIDAT FORTE * CAJA 5182020 20.918 20.918 20.918

DEGRALER COMP. 5MGX40 CAJA 5182845 31.292 31.292 31.292

DEPO-MEDROL 80 MG. AMPOLLA 5071013 93.991 93.991 93.991

DEPO-MEDROL 40 MG * 1 CC * 1 AMPOLLA 5071005 79.522 79.522 79.522

DEPO-PRODASONE 150MG AMP. 5051050 54.987 54.987 54.987

DEPUROL RETARD 75MG CAJA 5182387 67.064 67.064 67.064

DERMABIOTICO TUBO 15 GRS. 5011032 26.828 26.828 26.828

DERMOVATE CR..0,05% 30GR./.TUB. 5182065 65.858 65.858 65.858

DESFERAL 500MG/ AMP. (DESFEROXAMINA) 5170008 72.680 72.680 72.680

DESICOL 326MG CAJA 5182691 7.575 7.575 7.575

DESMOPRESINA OCTOSTIM AMPOLLA 5182680 89.357 89.357 89.357

DESTAP INHALADOR 5182152 103.179 103.179 103.179

DETRUSITOL * CAJA 5182444 48.145 48.145 48.145

DEXAMETASONA 4MG/COMPRIMIDOS *DU* DOSIS UNITARIA 5151012 4.593 4.593 4.593

DEXAMETASONA AMP. * 1 ML. 5071012 2.209 2.209 2.209

DEXAN COMP.4MG(PSEUDOEFEDRINA) 5051110 9.004 9.004 9.004

DEZARTAL 30MG X 20 COMP/. CAJA 5182476 151.517 151.517 151.517

DEZARTAL 6MG.30CM. 5182747 57.574 57.574 57.574

DEZARTAN * CAJA 5182473 237.001 237.001 237.001

DIAREN COMP. 5182302 488 488 488

DIAZEPAM 5 MG (20 COMPR.) #CO# BENZODIAZEPINICO 5113002 144 144 144

DIAZEPAM MIN.10MG/COMP.CAJA 5182983 3.932 3.932 3.932

DIAZEPAM 10 MG (20 COMPR.) #CO# BENZODIAZEPINICO 5113003 53 53 53

DIAZEPAM 10 MG / 2ML (100 AMP.) #CO# BENZODIAZEPINICO 5113009 1.007 1.007 1.007

DIBEN 500CC 5171015 22.091 22.091 22.091

DIBEN DRINK VAINILLA 200 ML 5021021 13.917 13.917 13.917

DICLOFENACO 50 MG * COMPRIMIDOS 5051025 276 276 276

DIFFERIN GEL * CAJA 5182417 103.486 103.486 103.486

DIFLUCAN / PLUSGIN 50 MGX7 CAP/CAJA 5051049 47.361 47.361 47.361

DIFLUCAN 150 MG.X 4 CAP./CAJA 5051112 62.034 62.034 62.034

DIFLUCAN 200 MG. FRASCO AMPOLLA 5012001 168.017 168.017 168.017

DIFLUCAN CAP. 150MGX1 COMP./CAJA 5071065 43.464 43.464 43.464

DIFLUCAN CAP.150MG CAJA 5182293 69.994 69.994 69.994

DIGOXINA 0.25 MG COMPRIMIDO 5182528 68 68 68

DILASEDAN 10MGX30 COMP.(CLOTIAZEPAM)CAJA 5071389 29.823 29.823 29.823

DILATREND 6.25 MG * COMPRIMIDO 5021009 884 884 884

DILATREND 12 5 MG * CAJA 5182424 32.905 32.905 32.905

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

DILATREND 12.5MG * COMPRIMIDO 5021007 1.155 1.155 1.155

DILATREND 25MG X 30 COMP. / BLOCAR ( CARVEDILOL) * CAJA 5182285 46.016 46.016 46.016

DIMECAINA 10 % SPRAY ( XYLOCAINA ) 5112002 91.915 91.915 91.915

DIMECAINA 2% GEL ORAL * 30 ML 5112008 34.730 34.730 34.730

DIMECAINA 4% SOLUCION 30 ML * 5112020 55.994 55.994 55.994

DIMECAINA 4% SPRAY 20 ML SOLUCION 5808064 55.228 55.228 55.228

DINAFLEX -DUO CAP/500MG *CAJA*(GLUCOSAMINA SULFATO) 5180387 29.748 29.748 29.748

DIPEPTIVEN 20% 100 ML * GLUTAMINA 5171012 231.957 231.957 231.957

DIPIRONA 1 G * 2 ML * 100 AMPOLLAS 5051004 771 771 771

DIPIRONA 250 MG * 50 SUPOSITORIOS 5182497 426 426 426

DIPIRONA 300 MG *COMPRIM.UNIDAD*(FE20) 5051005 892 892 892

DIPRIVAN 200 MG * 20 ML * 10MG / 1 5112007 53.938 53.938 53.938

DIPRIVAN JERINGA PFS 50 ML 5112013 130.194 130.194 130.194

DIPROSPAN/BETAMETASONA/CREMA 5182482 40.906 40.906 40.906

DISGREN 81MG/COMP.( ASPIRINA 81MG ) 5180832 4.966 4.966 4.966

DISLEP 25 MG* CAJA 5182397 73.597 73.597 73.597

DISLEP GTS 2.5% 20ML 5182759 29.189 29.189 29.189

DIVANON CAP.VAG.100MG /CAJA 5051129 39.296 39.296 39.296

DIVARIL 30MG/COMP.CAJA (MIRTAZAPINA) 5180263 90.052 90.052 90.052

DOBUTAMINA 250 MG/5ML * 1 AMPOLLA 5025002 8.660 8.660 8.660

DOCIVIN CAP.10MG/CAJA 5182936 29.448 29.448 29.448

DOLGENAL 10 MG COMPRIMIDO 5051023 2.209 2.209 2.209

DOLGENAL 30 MG AMPOLLA 5051027 3.479 3.479 3.479

DOLNIX 10 COMP./CAJA 5011157 28.356 28.356 28.356

DOLO-NEUROBIONTA X 20 COMP /CAJA 5180804 33.424 33.424 33.424

DOLOTEN COMP.( PARACETAMOL 325MG-TRAMADOL 37.5MG)CAJA 5011156 34.438 34.438 34.438

DOLOVERINA 200MGX20COMP/MEBERINA/CAJA 5182648 51.028 51.028 51.028

DOMINIUM 20MG COM. CAJA 5113031 20.461 20.461 20.461

DOMPERIDONA 10 MG * COMPRIMIDOS 5032003 599 599 599

DOMPERIDONA AMPOLLA 5032011 4.056 4.056 4.056

DONOMIX CREMA 15 GR 5182007 19.427 19.427 19.427

DOPABEN 10MG/30COMP./CAJA 5182945 156.262 156.262 156.262

DOPAMINA 200 MG * 10 ML * 100 AMPOLLAS 5025003 2.474 2.474 2.474

DORMONID 5 MG * 1 ML (10 AMP.) #CO# BENZODIAZEPINICO 5113004 8.247 8.247 8.247

DORMONID 5 MG * 5 ML (10 AMP.) #CO# BENZODIAZEPINICO 5113005 7.975 7.975 7.975

DORMONID 15 MG ( 30 COMP.) #CO# BENZODIAZEPINICO 5113007 3.210 3.210 3.210

DORMONID 15 MG * 3 ML (5 AMP.) #CO# BENZODIAZEPINICO 5113006 14.662 14.662 14.662

DORMONID 50 MG - 10 ML (AMP.) #CO# BENZODIAZEPINICO 5113019 43.102 43.102 43.102

DORMONID 7 5 MG (30 COMPR.) #CO# BENZODIAZEPINICO 5113008 2.867 2.867 2.867

DORMONID 7.5 *30COMP.CJA. 5182880 36.512 36.512 36.512

DORSOF * FRASCO 5182180 99.863 99.863 99.863

DOSTINEX COM.0.5MG. CAJA 5182623 86.807 86.807 86.807

DOXAZOSINA (CARDURA) 2 MG./CAJA 5182654 77.637 77.637 77.637

DOXICICLINA / DOXITHAL * CAJA 5182110 15.570 15.570 15.570

DOXICILINA 100MGX10 COMP./CAJA 5011185 5.313 5.313 5.313

DROPERIDOL 5 MG * 2 ML * 10 AMPOLLAS 5117001 5.558 5.558 5.558

DUBLINA 100MGX 30 COMP. (CIPROFIBRATO) CAJA 5011119 57.654 57.654 57.654

DUCETEN 30MG/30COMP.CAJA 5171018 33.822 33.822 33.822

DUCETEN CAP.60MG/30 COMP.( DULOXETINA) CAJA 5182969 44.960 44.960 44.960

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

DULCOLAX-GUTALAX LAXOBERAL CAJA.(PICOSUL.) 5182881 19.469 19.469 19.469

DULOXETINA 30MGX30 COMP./CAJA (NITEXOL) 5183006 35.538 35.538 35.538

DUO CVP * CAJA 5182067 48.081 48.081 48.081

DUODART 0,5/0,4 MG/X30 COMP/CAJA 5180264 92.708 92.708 92.708

DUODART 0.5/0.4MGX 60 CAPS CAJA 5182847 147.874 147.874 147.874

DUPHALAC X 200 ML.(LACTULOSA) 5035006 33.020 33.020 33.020

DURATOCIN 100 MCG/ML X 1 ML 51710118 84.631 84.631 84.631

DUROGESIC 50UG/H #CO# ( FENTANILO PARCHE ) 5808030 98.416 98.416 98.416

DUROGESIC/ FENTANILO PARCHE 25UG 5808084 59.646 59.646 59.646

DVIDA D3 GOTAS 200UI/10ML 5011124 38.162 38.162 38.162

DVIDAMAX POLVO ORAL 100000UI/CAJA 5071020 41.978 41.978 41.978

DYNAXON 8MG COMP./CAJA 5182897 11.183 11.183 11.183

EBIXA-EUTEBRAL-AXURA (MEMONTINA 10 MG.) 5182815 153.788 153.788 153.788

ECALTA 100MG * FA 5012002 695.739 695.739 695.739

ECAX 15MG COMP./CAJA 5182955 25.153 25.153 25.153

ECOTRIN 325 MG COMP 5182536 691 691 691

ECOTRIN 100 MG 5182025 530 530 530

ECOTRIN 325X 60 COMP./CAJA 5182074 85.738 85.738 85.738

EFEDRINA SULF 1 ML * 100 AMPOLLA 5025001 1.509 1.509 1.509

EFEXOR-XR 150 MG X 30 COMP./CAJA 5032014 221.954 221.954 221.954

EFEXOR-XR 75MGX 30 COMP. (VENLAFAXINA/CAJA 5071379 125.142 125.142 125.142

ELCAL 320 MGX30COMP./CAJA 5182269 20.814 20.814 20.814

ELCAL CI X 60 COMP./CAJA 5011056 34.632 34.632 34.632

ELCAL COMP./CAJA 5182274 20.443 20.443 20.443

ELCAL D- FORTE X 30CAP./CAJA 5180384 22.719 22.719 22.719

ELCAL -D PLUS CAP.X 60 /CAJA 5011123 22.149 22.149 22.149

ELCAL-D FORTE X 60 /CAJA 5071075 25.073 25.073 25.073

ELCAL-D.CAPS. SUPRA SBR/CAJA 5182933 32.626 32.626 32.626

ELDICET / DUSPATAL * CAJA 5182282 77.938 77.938 77.938

ELEVAL/ EMERGEN CAJA 5182261 50.655 50.655 50.655

ELIQUIS (APIXABAN) 5 MG./CAJA 5011182 166.494 166.494 166.494

ELITOS JARABE ET/ SIMPLE 5182359 30.667 30.667 30.667

ELIXINE 250 MG /TEOFILINA CAPS. 5182643 45.969 45.969 45.969

ELOCOM/ LOCRIM CREMA 5182136 32.615 32.615 32.615

ELTOVEN -TOLTERODINA-DETRUSITOL2MG. 5051133 23.368 23.368 23.368

ENALAPRIL 20MG-COMP. 5182188 135 135 135

ENALAPRIL 10 MG. COMPRIMIDO 5182583 577 577 577

ENALAPRIL.ENALTEN LOTRIAL10/5MGCAJA. 5182737 6.163 6.163 6.163

ENALTEN 5MG/CAJA 5182678 21.895 21.895 21.895

ENALTEN-D 10 MG/CAJA 5802809 22.946 22.946 22.946

ENDOFALK PEG SACHET 5035009 15.932 15.932 15.932

ENDOGEL ESTERIL * 10 CC * 1 JERINGA 5112016 40.831 40.831 40.831

ENDOTELON * CAJA 5182474 197.654 197.654 197.654

ENDOXAN /CICLOFOSFAMIDA 50 MG/CAJA 5081001 61.402 61.402 61.402

ENSURE PLUS-BOT-220ML//VAINILLA 5172009 12.318 12.318 12.318

ENSURE POLVO TARRO- 850GRMG. (CHOCOLATE/VAINILLA) 5172007 36.269 36.269 36.269

ENTERAL/DIAREN/DIARFIN * CAJA 5182168 36.601 36.601 36.601

EPINEFRINA 1 MG * 1 ML * 100 AMPOLLA 5025004 707 707 707

ERGOMETRINA 0.2 MG AMPOLLA 5041004 930 930 930

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

ERITROMICINA 1G. F.A LIOF. 5180256 82.842 82.842 82.842

ERITROMICINA 500 MG * COMPR. 5182498 1.202 1.202 1.202

ERITROMICINA FTE. 400MG.SUSP/CAJA 5182904 23.063 23.063 23.063

ERITROMICINA SUSP.200MG / FCO 5183004 5.233 5.233 5.233

ERITROPOYETINA 2000 U.I / (ERITRELAN) 5180791 38.350 38.350 38.350

ERITROPOYETINA 4000 U.I. 5080779 30.967 30.967 30.967

ERYCNEN * CAJA 5182414 89.591 89.591 89.591

ESCAR-T * CAJA 5182059 69.854 69.854 69.854

ESMERON 50MG / BROMURO ROCURONIO * 5 ML * 12 AMPOLLAS 5119002 51.417 51.417 51.417

ESPERCIL 1 G * 10 ML * 3 AMPOLLAS( ACIDO TRANEXÁMICO 5182571 57.877 57.877 57.877

ESPERCIL 250 MG * COMPRIMIDOS 5182001 2.231 2.231 2.231

ESPERCIL 250MGX 32 COMP./CAJA 5011191 76.477 76.477 76.477

ESPERCIL 500MGX20COMP. *CAJA. 5182706 121.473 121.473 121.473

ESPERCIL BEBIBLE 1 GRAMO AMPOLLA 10 ML 5182208 64.685 64.685 64.685

ESPESANTE THICK& EASY 225GR 5172011 77.319 77.319 77.319

ESPIRONOLACTONA 25 MG * COMPRIMIDO 5182499 139 139 139

ESTAPROL CAP.100MG/60COMP./CAJA 5180383 141.962 141.962 141.962

ESTAPROL.100MG.CAJA. 5182761 107.898 107.898 107.898

ESTRADIOL 0.1%GEL.50GR (ESTREVA). 5808062 98.409 98.409 98.409

ESZOP/ NOPTIC 3 MGX 30 COMP.(ESZOPICLONA).CAJA. 5051096 39.101 39.101 39.101

ETACONIL 250 MG X 20 5182062 77.056 77.056 77.056

ETEC-1GR(VIT-E)CAJA. 5051107 41.792 41.792 41.792

ETOMIDATO 20MG/10ML AMP. 5035010 51.031 51.031 51.031

EUCERIN SYNDENT-GEL 5051095 34.184 34.184 34.184

EUROCOR 1.25 MG/ 14 COMP. (BISOPROLOL)CONCOR/CAJA 5802801 17.010 17.010 17.010

EUROCOR 2. 5MG/35COMP.(BISOPROLOL)CAJA 5802810 38.461 38.461 38.461

EUROGESIC /NAPROXENO * 6 SUPOSITORIO INFANTIL 5051015 1.189 1.189 1.189

EUROMICINA 500 MG/20COMP/CAJA 5051111 65.087 65.087 65.087

EUROMICINA/CLARITROM./SUSP. 250M 5182729 35.233 35.233 35.233

EUROMUCIL POLVO 400GR 5182781 27.824 27.824 27.824

EUROVIR / 400 MG/CAJA 5802788 42.117 42.117 42.117

EUROVIR 800 MGX 35 COMP. * (CAJA) 5182357 121.559 121.559 121.559

EUROVIR CREMA 5GR 5182799 12.612 12.612 12.612

EUROVIR JARABE * CAJA 5182230 122.772 122.772 122.772

EUROZINA (SULFASALAZINA )500MG * CAJA 5182125 140.864 140.864 140.864

EUTECINA POMO 5GRMS+PARCHE/ CAJA 5071027 30.671 30.671 30.671

EUTIROX 100 MG COMP 5182708 349 349 349

EUTIROX 100MCG/COMP.CAJA 5182977 24.667 24.667 24.667

EUTIROX 125MG X 50 COMP./ CAJA. 5182677 26.618 26.618 26.618

EUTIROX 150MCG X 50 COMP/CAJA. 5051060 27.707 27.707 27.707

EUTIROX 25 MCG.X 50 COMP./ CAJA. 5182807 16.778 16.778 16.778

EUTIROX 50 MG COMP 5182471 307 307 307

EUTIROX 50MG CAJA 5182584 13.529 13.529 13.529

EUTIROX 75 MG COMP 5182470 334 334 334

EUTIROX 75MG CAJA 5182135 14.503 14.503 14.503

EUTIROX 88MG/ CAJA. 5182115 46.553 46.553 46.553

EVADOL XR 200MG* CAJA 5182410 42.442 42.442 42.442

EVIMAL 10MG / DAZOLIN / ( DONEPECILO CLORH. )CAJA 5808026 170.904 170.904 170.904

EXELON STT PARCHE 5MG/CAJA 5182888 415.451 415.451 415.451

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

EXELON TTS * 10MG-PARCHE* CAJA 5182820 200.460 200.460 200.460

EXFORG D -160/12 5 /.CAJA. 5182743 68.381 68.381 68.381

EXFORGE 5/80MG COMP./CAJA 5182911 62.025 62.025 62.025

EZETROL 10MG CAJA X 20COMP. 5808041 42.671 42.671 42.671

FACTIVE 320MG COMP./CAJA 5182985 61.997 61.997 61.997

FAMIDAL DUAL OV.10+CREMA 20 GRMS/CAJA 5051093 46.433 46.433 46.433

FAMOTIDINA 20 MG * 2 ML * AMP. 5034004 2.640 2.640 2.640

FAMOTIDINA 40 MG * COMPRIMIDOS 5034008 1.321 1.321 1.321

FASARAX / FEDOX 20 COMP.* CAJA 5182155 6.705 6.705 6.705

FASARAX JBE 10MG/5ML/FCO 5182935 4.524 4.524 4.524

FELDENE * CAJA 5182131 27.956 27.956 27.956

FELSOL 150 MG 2* CAP.(FLUCONAZOL) 5182587 28.168 28.168 28.168

FEM 7PARCHE. 5182822 52.548 52.548 52.548

FEMARA (LETROZOL)2.5MGX30COMP./CAJA 5180267 317.116 317.116 317.116

FEMBERRY 250MGX60 CAP./CAJA 5071115 41.748 41.748 41.748

FENILEFRINA 0.9 % X 10ML/AMP. 5011201 66.273 66.273 66.273

FENILEFRINA 0.9 % 1ML 5025005 42.601 42.601 42.601

FENILEFRINA 10MG X 1ML AMPOLLA 5808057 148.698 148.698 148.698

FENILEFRINA INY.0.05% X 1ML 5025008 53.350 53.350 53.350

FENITOINA 100 MG COMPRIMIDO (FE-30) 5182184 64 64 64

FENITOINA 250MG/5ML AMPOLLA 5114004 30.928 30.928 30.928

FENOBARBITAL 100MG.10 COMP.CAJA. 5182874 13.297 13.297 13.297

FENOBARBITAL 200 MG * 2 ML * AMPOLLA 5114001 44.412 44.412 44.412

FENOTEROL 0 5/10ML AMP. 5042001 12.371 12.371 12.371

FENOTEROL -IPATROPIO 50/25 SOLUCION 40ML/FRASCO 5011125 40.206 40.206 40.206

FENOTEROL -IPATROPIO 50/25 SOLUCION 20ML/FRASCO 5011128 37.555 37.555 37.555

FENTANYL 10 ML (AMP.) #CO# PSICOTROP 5111004 3.976 3.976 3.976

FENTANYLA 2 ML #CO# PSICOTROP 5802783 2.781 2.781 2.781

FERINJECT 500MG/10ML (HIERRO) AMP. 5170010 497.051 497.051 497.051

FERRANEM / FERRANIM X 30 COMP./CAJA (SULFATO FERROSO) 5011212 27.442 27.442 27.442

FEXURIX 40MG X 30 COMP.REC./CAJA (FEBUXOSTAT) 5011058 27.090 27.090 27.090

FIBRA SOLUBLE PURA 5808036 18.331 18.331 18.331

FIBRASOL * CAJA (METAMUSIL) 5182200 16.719 16.719 16.719

FIBRONIL CAP.200MGX60/CAJA 5802803 117.551 117.551 117.551

FIBROX 10MGX20COMP. / CAJA 5802804 20.249 20.249 20.249

FIBROX XR 20MG COMP./ CAJ 5181036 32.072 32.072 32.072

FINEX * CAJA 5182392 36.450 36.450 36.450

FISIOFER.AMP.BEBIBLE-CAJA. 5051075 43.308 43.308 43.308

FISIOGEL.CRM.HIPO.75G. 5182734 31.902 31.902 31.902

FISIOLIMP * CAJA 5182368 26.244 26.244 26.244

FISIOLIMP SOL.NASAL 30ML * CAJA 5182438 12.614 12.614 12.614

FISIOMAR SOL.ISOTON./CAJA 5182768 21.906 21.906 21.906

FITOMENADIONA 10 MG * 1 ML * AMPOLLA 5173006 1.018 1.018 1.018

FLAGYL 500 MG * COMP. 5182560 2.713 2.713 2.713

FLAPEX-E-CAP.- CAJA.- 5182015 8.748 8.748 8.748

FLECTOR GEL 60GRM /TUB 5011120 23.845 23.845 23.845

FLEET ENEMA ADULTO * 133 ML 5035001 16.347 16.347 16.347

FLEET ENEMA INFANTIL * 67 ML 5035002 16.542 16.542 16.542

FLEET FOSFO SODA ORAL * 45 ML 5035003 9.351 9.351 9.351

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

FLEETGLICOL./ SOBRE 5035011 2.671 2.671 2.671

FLEMEX JAT JBE 120ML/ BEQUIM / TUSIGEN * FCO. 5182117 26.315 26.315 26.315

FLEMEX JAT FORTE 120ML. JBE./FCO 5182448 25.502 25.502 25.502

FLEXONO 25MGX 30 CAP/INDOMETACINA * CAJA 5182026 17.125 17.125 17.125

FLIXONASE SUSP. NASAL 50MCG 120ML/CAJA 5011129 81.304 81.304 81.304

FLIXONASE 0.05%. AER120/CAJA 5011164 91.197 91.197 91.197

FLIXOTIDE /ALENYS/AVAMYS/FLIXONASE.INH. 5182169 50.525 50.525 50.525

FLIXOTIDE LF 125MCG.120/CAJA 5011163 122.427 122.427 122.427

FLIXOTIDE LF 250MCG.120 5051127 107.562 107.562 107.562

FLOGOFIN 100MG.20CM. 5182617 7.374 7.374 7.374

FLORALITE SOL.FCO. 5182325 18.042 18.042 18.042

FLOREA CAP. 0,38GRX30 /CAJA 5071046 32.741 32.741 32.741

FLORINEF 0 1 MG (FLUDROCORTISONA) 5182914 358.721 358.721 358.721

FLUCLOXACILINA 500 MG/12 * CAJA 5182130 5.686 5.686 5.686

FLUCLOXACILINA 500MGX6COMP (VITALPEN) 5182683 5.545 5.545 5.545

FLUCLOXACILINA JARABE * CAJA 5182035 7.078 7.078 7.078

FLUCONAZOL 200MG/100ML F.A ( G) 5011214 25.626 25.626 25.626

FLUFORTE * COLIRIO 5182514 67.648 67.648 67.648

FLUICOR COMP. 81MG CAJA 5182791 4.321 4.321 4.321

FLUIDASA 600 MG 10 SOBRES 5183009 8.331 8.331 8.331

FLUNARIZINA 10 MG. * COMPRIMIDO 5182490 1.449 1.449 1.449

FLUNITRAZEPAM 2 MG (30 COMPR.) #CO# PSICOTROP 5182500 418 418 418

FLUOMIT * FRASCO 5182225 5.898 5.898 5.898

FLUORACILO 250 MG 5081003 8.642 8.642 8.642

FLUORACILO AMPOLLA 500 MGRS 5081002 10.416 10.416 10.416

FLUOXETINA/ACTAN/ 20 MG * CAJA 5182557 87.658 87.658 87.658

FLUSONA INH.250MCG/CAJA 5051125 63.459 63.459 63.459

FLUTIVATE CREMA 0,05 % 5182453 24.550 24.550 24.550

FLUXAMOL HFA 250/25MCG / CAJA 5071062 50.889 50.889 50.889

FLUXUS 10 MG*FLUNARIZINA * CAJA 5182058 33.115 33.115 33.115

FOLIFER X 30CAP./CAJA 5182597 31.548 31.548 31.548

FOLIFER X 60 CAP./CAJA 5071390 39.203 39.203 39.203

FOLISANIN 1MG * CAJA ( ACIDO FOLICO) 5182594 5.313 5.313 5.313

FOLISANIN 5MG CAJA ( ACIDO FOLICO) 5182207 8.673 8.673 8.673

FORENE * 100 ML * 1 5112003 875 875 875

FORENE FRASCO 100 ML 5112025 195.281 195.281 195.281

FORMALINA TAMPONADA 10%*1LT (FARMALATINA) 3010080 28.277 28.277 28.277

FORMALINA TAMPONADA 60CC. 5182646 19.330 19.330 19.330

FOSFATO MONOPOTASICO 15% AMP. 10 ML 5121019 2.757 2.757 2.757

FOSVAL ( ALENDRONATO)70MGX 12 COMP./CAJA 5011154 41.516 41.516 41.516

FRAGMIN 2500 UI 5151008 23.125 23.125 23.125

FRAGMIN 5000 U.I. 5151006 39.278 39.278 39.278

FRAXIPARINE 0,3 ML 2850 UI JERINGA 5151002 9.442 9.442 9.442

FRENALER/LORATADINA 10 MG * CAJA 5182393 20.335 20.335 20.335

FRESUBIN HP 1000 CC.ENERGY 5173010 34.020 34.020 34.020

FRESUBIN ORIGINAL 1000ML CL7577231 5171023 34.992 34.992 34.992

FRESUBIN ORIGINAL 500ML 5171027 27.393 27.393 27.393

FRESUBIN ORIGINAL FIBRA X 1000(CL7527231) 5171016 35.346 35.346 35.346

FUCIDIN 5182216 42.327 42.327 42.327

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

FUCIDIN INTERTULLE X 10 UNID. /CAJA 5011180 50.819 50.819 50.819

FUNGIUM COM. 200MG (KETOCONAZOL)/CAJAX10 5182885 23.549 23.549 23.549

FUNGOS 500MGX1 OVULO *D.UNICA* 5182378 15.914 15.914 15.914

FUNGOS PVO. 1% 60 GR. 5182894 10.871 10.871 10.871

FURACIN TUBO * UNIDAD 5182009 11.655 11.655 11.655

FUROSEMIDA * TABLETAS (40MG) 5182501 210 210 210

FUROSEMIDA 20 MG * 1 CC * 100 AMPOLLAS 5021006 749 749 749

GABICTAL 400MG COMP.X30 /CAJA(GABAPENTINA) 5180382 54.775 54.775 54.775

GALVUS COMP.50MGX 28 /CAJA 5071042 64.592 64.592 64.592

GALVUS MET 50 X1000 MG56/CAJA 5051137 92.973 92.973 92.973

GALVUS MET COMP.50/850MG/56/CAJA 5071099 98.284 98.284 98.284

GALVUS MET- JANUMET-50MG/ 500/CAJA 5182932 80.542 80.542 80.542

GALVUS MET.50 MG /850 CAJA 5051082 101.208 101.208 101.208

GAMALATE GRAGEAS X 60 /CAJA 5011211 67.888 67.888 67.888

GASTRIDE * CAJA 5182372 34.062 34.062 34.062

GASTRIUM 20 MG AMPOLLA 5034006 9.897 9.897 9.897

GASTRIUM 20MG * COMPRIMIDOS 5034005 780 780 780

GASTRIUM20CM.20MG.CAJA. 5182586 47.821 47.821 47.821

GASTROFLORAL * CAJA 5182257 59.416 59.416 59.416

GATIF SOL.OFT.0 3 % 5 ML 5180790 24.342 24.342 24.342

GAVISCON SUSP. 300 ML. /CAJA 5011054 32.615 32.615 32.615

GEA NONI CAP. 500MG 5182787 35.452 35.452 35.452

GELCLAIR 15ML/ SOBRE 5808047 12.998 12.998 12.998

GELICART PVO.SBR.10GR.30 / CAJA 5011122 54.397 54.397 54.397

GEMFIBROZILO 300MG/ CAJA 5182952 4.524 4.524 4.524

GEMFIBROZILO 600MG/20COMP./CAJA 5180826 5.872 5.872 5.872

GEMITIN/CLORAMFENICOL CREMA 5182518 20.962 20.962 20.962

GENTALYN 80 MG 5011015 4.679 4.679 4.679

GENTALYN COLIRIO OFT. 5182311 22.946 22.946 22.946

GENTAMICINA 80 MG * 100 AMPOLLAS 5011008 987 987 987

GENTAMICINA COLIRIO OFTALMICO 5182084 22.610 22.610 22.610

GENTEAL GEL OFTAL.0,3%. 5182776 25.818 25.818 25.818

GIABRI ( CIPROFIBRATO ) 100 MGX 60COMP./ CAJA 5071085 68.030 68.030 68.030

GINEDAZOL DUAL * ( OV+CR) 5182573 52.363 52.363 52.363

GINEDAZOL OV.X10 / FAMIDAL * CAJA 5182332 36.269 36.269 36.269

GLAFORNIL COM. 850MX30 COMP./CAJA 5182797 33.568 33.568 33.568

GLAFORNIL XR .500MGX 30COMP/CAJA 5071130 33.762 33.762 33.762

GLAFORNIL XR/750 -MG 5808024 26.825 26.825 26.825

GLAFORNILCOMP. 500MG CAJA 5182231 13.946 13.946 13.946

GLAUCOTENSIL 2% SOL/CAJA 5183007 67.352 67.352 67.352

GLEMAZ 4MGX 30COMP./CAJA 5071109 68.924 68.924 68.924

GLIBENCLAMIDA 5MG * COMPRIMIDOS 5182502 33 33 33

GLICERINA LIQUIDA 125 ML. 5182827 11.585 11.585 11.585

GLUCERNA POLVO 900GRS. 5182855 72.589 72.589 72.589

GLUCERNA SR 237 ML CHOCOLATE 5171008 14.620 14.620 14.620

GLUCOPAGHE 850 MG/COMPRIMIDO 5808040 725 725 725

GLUCOPHAGE 500 MGX30 COMP.(METFORMINA) *CAJA* 5102005 13.924 13.924 13.924

GLUCOPHAGE 850 MGX 60 COMP.(METFORMINA) * CAJA 5102006 48.629 48.629 48.629

GLUCOSA 30 % AMP 20ML * 50 MV 40000803 5121045 2.485 2.485 2.485

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

GLUCOSA POLVO 75 GR. 5808051 7.343 7.343 7.343

GLUCOVANCE COM. 500MG/2.5 CAJA 5102011 19.458 19.458 19.458

GLUTAMINA PLUS NEUTRO SACHETS (MV 40005937) 5071029 19.440 19.440 19.440

GLYCYLPRESSIN * TERLIPRESINA ACETATO * 1 MG 5181020 203.738 203.738 203.738

GOLD CREAM NATURAL * CAJA 5182469 41.788 41.788 41.788

GOTELY CAP. 0,4MGX30/ CAJA(TAMSULOSINA) 5182774 26.523 26.523 26.523

GOTELY DUO 0.5 MG/0.4MG X 30COMP./CAJA (TAMSULOSINA-DUTASTERIDE) 5011210 54.687 54.687 54.687

GRANEODIN GAR.PAST.CAJA 5180798 6.592 6.592 6.592

GRIFOCIPROX 500 MG * CAJA 5182503 43.835 43.835 43.835

GRIFODILZEM-60MG /.CAJA. 5182598 29.216 29.216 29.216

GRIFOGEMZILO 900MG.X 30COMP. 5182615 137.098 137.098 137.098

GRIFOPARQUIN * CAJA 5182045 64.822 64.822 64.822

GUTRON 2.5MGX30 COMP * CAJA 5182334 20.735 20.735 20.735

GUTTALAX GTS 0.75% 10 ML 5182087 13.211 13.211 13.211

GYNIPRAL 0.5 MG * 20 COMPRIMIDOS 5182353 1.343 1.343 1.343

GYNODIAN DEPOT 5182019 62.600 62.600 62.600

HALDOL 5 MG X25 /CAJA 5182488 27.360 27.360 27.360

HALDOL 1 MG COMP. 5182063 656 656 656

HALDOL COMPRIMIDO * CAJA 5182002 24.963 24.963 24.963

HALOPERIDOL 5 MG * 1 ML * 100 AMPOLLAS 5117003 1.295 1.295 1.295

HEDILAR * CAJA 5182441 13.321 13.321 13.321

HEDILAR.FTE.JBE.70MG. 5182872 4.440 4.440 4.440

HELIOBLOCK W.GEL * CAJA 5182416 69.832 69.832 69.832

HEPABIL GRAGEAS * CAJA 5182199 32.070 32.070 32.070

HEPARINA LEO * 50 AMPOLLAS 5151001 20.876 20.876 20.876

HEROLAN 10 ML. * 200 DOSIS * FRASCO 5182219 25.027 25.027 25.027

HEROLAN/BUTOTAL-B INHALADOR 5182109 28.970 28.970 28.970

HIDRAFIL LOCION 5182466 100.451 100.451 100.451

HIDRALAZINA 50 MG. COMPRIMIDO 5182361 391 391 391

HIDRASEC 100MG/9 CAPS/CAJA 5182608 25.920 25.920 25.920

HIDRASEC 10MG SOBRE/CAJA 5182715 19.436 19.436 19.436

HIDRATO DE CLORAL 5%/ 5112026 3.906 3.906 3.906

HIDRIUM COMP. * CAJA 5182028 13.745 13.745 13.745

HIDROCLOROTIAZIDA 50 MG * COMPRIMIDOS 5182505 84 84 84

HIDROCLOROTIAZIDA CAJA 5802802 2.841 2.841 2.841

HIDROCORTISONA COM20MG CAJA - CORTISOL 5808022 8.196 8.196 8.196

HIDRO-RONOL T * CAJA/ UREN 5182160 26.266 26.266 26.266

HIDROXICARBAMIDA 500MG (HIDROXIUREA)CAJA 5111148 203.221 203.221 203.221

HIDROXICARBAMIDA.HIDROXIUREA/COMP. 3110008 1.160 1.160 1.160

HIDROXIDO ALUMINIO * 20 COMPRIMIDOS 5182506 150 150 150

HIDROXIDO DE ALUMINIO SUSPENSION 5031001 3.482 3.482 3.482

HIPECOR COM. 160 MG X 20 5182668 47.456 47.456 47.456

HIPERFLEX/CARTILAR / DINAFLEX(GLUCUSAMIDA)/ CAJA 5182524 74.125 74.125 74.125

HIPOGLOS / BREXON 5182124 28.886 28.886 28.886

HIPOGLUCIN 1000 LP X 30 COMP./CAJA 5011181 73.409 73.409 73.409

HIPOGLUCIN 500LPX60COMP./CAJA 5071382 24.342 24.342 24.342

HIPOGLUCIN 750 LP COMP/CAJA 5182982 20.768 20.768 20.768

HIRUDOID 40 GR * CREMA / LACRI-LUBE 5182291 29.344 29.344 29.344

HORMORAL CAP.200MG/CAJA 5182770 25.330 25.330 25.330

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

HYABAK SOL..OFTALMICA 15% X 10ML 5182407 39.693 39.693 39.693

HYSTYCLAR (LORATADINA)10MG/CAJA 5182765 9.499 9.499 9.499

IBEROL 5182079 21.263 21.263 21.263

IBUPIRAC * CAJA 5182170 2.297 2.297 2.297

IBUPROFENO 400MG * COMPRIMIDOS 5182507 767 767 767

IBUPROFENO 400MG * CAJA 5182588 6.150 6.150 6.150

IBUPROFENO 600/ IBUPIRAC MG * CAJA 5051056 32.419 32.419 32.419

IBUPROFENO JBE.100MG FCO. 5182620 10.140 10.140 10.140

IDON 10 MG * CAPSULAS 5032006 999 999 999

IDON 30MG * SUP INF 5182603 2.885 2.885 2.885

IDON GOTAS * FRASCO 5182167 9.897 9.897 9.897

ILEO GEL REF-005012A*45U* 5182942 2.848 2.848 2.848

ILIADIN NASAL SPRAY 5181010 41.375 41.375 41.375

ILOSTAL /ARTESOL /50 MG/COMP./ CAJA 5051122 26.523 26.523 26.523

IMIPRAMINA 25 MG * COMPRIMIDOS 5182508 214 214 214

IMOVANE 7 5MG * COMPRIMIDO 5182564 711 711 711

IMURAN / AZATIOPRINA 50 MG COMPRIMIDOS 5131005 113.401 113.401 113.401

IMURAN 50MG COMP/CAJA 5071113 214.761 214.761 214.761

INEM 500MG/ F.A (IMIPEMEN/CILASTATINA) 5808005 56.907 56.907 56.907

INFLAMMIDE 200MCG.150D/CAJA 5182374 39.108 39.108 39.108

INFOR X60 CAP./CAJA 5182095 33.112 33.112 33.112

INHIBACE COMPR. * CAJA 5182186 49.555 49.555 49.555

INMUNO GLOBULINA HUMANA ANTITETANICA 5141001 68.938 68.938 68.938

INMUNOGLOBULINA ANTI RH * 1500 UI/2ML (724328) 5142001 231.957 231.957 231.957

INMUNOGLOBULINA HUMANA FLEBOGAMA 5 GR * 5141003 1.005.148 1.005.148 1.005.148

INMUNOGLOBULINA HUMANA ANTIHEPATITIS B 5141002 831.635 831.635 831.635

INSULINA DEGLUDEC TRESIBA FLEX / CAJA 5071381 61.237 61.237 61.237

INSULINA CRISTALINA ACTRAPID * CAJA 5102003 48.645 48.645 48.645

INSULINA HUMULIN-N 100UI 5102010 48.013 48.013 48.013

INSULINA LENTA INSULATARD 5102002 45.590 45.590 45.590

INSULINA LEVEMIR FLEXPEN 100UI/ML 5102014 42.243 42.243 42.243

INVANZ * ERTAPENEM 1G 5011042 289.701 289.701 289.701

IPRAN 10 MG/ 30 COMP./CAJA 5802786 41.147 41.147 41.147

IPRAN 20 MG/ 30 COMP./ CAJA 5802787 88.977 88.977 88.977

IPSON / IBUPROFENO * CAJA 5182250 9.499 9.499 9.499

IRRIGOR 10 MG/FLUNARIZINA * CAJA 5182078 85.232 85.232 85.232

ISENTRESS (RALTEGRAVIR) 400MGX60COMP./CAJA 5071074 1.248.095 1.248.095 1.248.095

ISMO 20 MG * CAJA 5182029 19.922 19.922 19.922

ISONIAZIDA 100MG COMP. 5181025 106 106 106

ISOPRINOSINE 500 MG.COMP./CAJA 5182655 95.748 95.748 95.748

ISOPROTERENOL 1 MG/5ML * 1 5061003 68.226 68.226 68.226

ISOPTINA 80 MG COMP.20 5012007 56.279 56.279 56.279

ISOSORBIDE 10 MG * COMPRIMIDOS 5182525 190 190 190

ISOX 7.5MGX15 COMP/ MOBEX /CAJA. (MELOXICAM) 5182313 19.403 19.403 19.403

ITAN / METOCLOPRAMIDA* COMPRIMIDOS 5182526 519 519 519

ITAN GOTAS FRCO 5182614 2.194 2.194 2.194

ITODAL SPORANOX ITRACONAZOL 100MG. COM. 5182707 64.639 64.639 64.639

IVAREST CREMA 5808074 10.650 10.650 10.650

IVX GENOMETABOLIC SCREENING 5808050 282.502 282.502 282.502

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

IXEL25MG / MINACIPRAN * CAJA 5182693 37.102 37.102 37.102

IZOFRAN 4 MG * 2ML AMP. 5032002 71.264 71.264 71.264

IZOFRAN ZYDIS COMPRIMIDO 4 MG 5032001 39.455 39.455 39.455

JALRA 50MGX28COMP./CAJA 5182999 33.243 33.243 33.243

JANUMET 50/1000MG X 28COMP./CAJA 5011121 51.724 51.724 51.724

JANUMET COMP. 50/850MG *CAJA* 5180268 86.659 86.659 86.659

JANUVIA 100MG/ CAJA 5808017 89.931 89.931 89.931

JUVEDERM ULTRA PLUS CON LIDO *F.E 2 DOSIS*(2 JERINGAS DE 1ML C/U) 5011132 196.435 196.435 196.435

JUVEDERM VOLBELLA CON LIDO *F.E 2 DOSIS*(2 JERINGAS DE 1ML C/U) 5011134 241.927 241.927 241.927

JUVEDERM VOLUMA CON LIDO *F.E 2 DOSIS* (2 JERINGAS DE 1ML C/U) 5011133 260.983 260.983 260.983

KABIVEN PERIFERICO 1400 KCAL/1920 ML (F:E 4) 5171021 298.893 298.893 298.893

KALETRA 200ML/50 X120COMP./CAJA 5011151 1.030.919 1.030.919 1.030.919

KALMAFTA GEL 20 ML ./ KANK-EZE. SOL 5182752 9.223 9.223 9.223

KALOBA-ANTIGRIPAL- CAJA 5182039 14.660 14.660 14.660

KANACITRIN * CAJA (CITRATO POTASIO) 5182118 169.517 169.517 169.517

KENACORT-A 10MG/F.AMP. 5802768 69.534 69.534 69.534

KEPPRA 500MG (LEVETIRACETAM) *DOSIS UNIT.*COMP. (F.E 30) 5071096 3.915 3.915 3.915

KEPPRA 500MGX 30((LEVETIRACETAM) COMP./CAJA 5071091 102.313 102.313 102.313

KEPPRA C/SOLUCION 100MG (LEVETIRACETAM /F.A MV 40001404 5112035 80.357 80.357 80.357

KETAMINA 500 MG - 10 ML. #CO# PSICOTROP 5112017 9.278 9.278 9.278

KETANOR SL-30MG/CAJA 5051139 22.149 22.149 22.149

KETOCONASOL /SORIDERMAL CR.2% CAJA 5182974 11.673 11.673 11.673

KETOCONAZOLCOMP/200MG CAJA 5182889 3.632 3.632 3.632

KETOPRO.BE MIN.CAPP.50MG/CAJA 5011146 214.781 214.781 214.781

KETOPROFENO 100MG 2ML/ I.M AMPOLLA 5055004 2.598 2.598 2.598

KETOPROFENO 50MG * CAJA* 5182327 29.629 29.629 29.629

KETOPROFENO BE 50MG CAJA 5111147 2.066 2.066 2.066

KETOSTERIL X 100 CL/CAJA 5011198 212.075 212.075 212.075

KITADOL AD. COMP. 500MG CAJA 5182126 3.133 3.133 3.133

KIVEXA CAJA/ 30COMP. 5808046 1.272.968 1.272.968 1.272.968

KLARICID 500 MG. *CAJA* 5182360 116.286 116.286 116.286

KLARICID SUSPENSION FRASCO 5182481 67.413 67.413 67.413

KONAKION 10 MG * 1 ML AMPOLLA 5182371 15.252 15.252 15.252

KOPODEX 500MG((LEVETIRACETAM ) X30 COMP./CAJA 5071090 54.437 54.437 54.437

KOPODEX.500MG./CAJA/ 60 COMP.(LEVETIRACETAM) 5051053 103.762 103.762 103.762

LABETALOL 100 MG AMPOLLA 20 ML (TRANDATE 5021004 110.014 110.014 110.014

LABIMIQ 5% CRM. /CAJA 5802769 173.868 173.868 173.868

LACRI-LUBE UNGUENTO OFT. 3.5 5180824 33.908 33.908 33.908

LACTIL / VINTIX SBRE 250 MG. CAJA 5182268 19.469 19.469 19.469

LAGRICEL 5182467 20.171 20.171 20.171

LAGRIMAS ARTIFICIALES ( REFRESH) 5182329 45.506 45.506 45.506

LAMICTAL COMP.DISP.25MG-50MG-100 MG.(LAMOTRIGINA) 5182818 41.710 41.710 41.710

LAMISIL * CAJA 5182343 46.453 46.453 46.453

LAMIVUDINA/ZIDOVUDINA 150/300 MG COMP. 5808073 10.166 10.166 10.166

LANATOSIDO C 04 MG * 2 ML * 1 AMPOLLA 5024001 3.672 3.672 3.672

LANEXAT 0,5MG / 5ML * 5 AMPOLLAS 5161002 97.150 97.150 97.150

LANOLINA SIMON UNG. PEZON 15G. REF. SOCOFAR 261138 5808044 39.764 39.764 39.764

LANTUS SOLOSTAR X LAPIZ 1 CATRIDGE 3MI C292606 5182838 60.985 60.985 60.985

LANZOPRAL 30MG CAP./28 COMP./CAJA 5802776 64.073 64.073 64.073

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

LANZOPRAL 30MG FRASCO AMPOLLA 5304012 35.257 35.257 35.257

LANZOPRAL 30MGX14 SACHET /CAJA 5182925 34.785 34.785 34.785

LANZOPRAL DB 30MGX15 COMP/CAJA 5011169 53.350 53.350 53.350

LANZOPRAZOL CAP.30MG/CAJA 5182930 8.887 8.887 8.887

LARIAM (MEFLOQUINA) 250MGX8 COMP./CAJA 5182947 143.707 143.707 143.707

LATOF SOL. OFT. 0,005% 2.5 ML/FRASCO 5011057 32.905 32.905 32.905

LAXOGENO 1 KIT 5035004 110.769 110.769 110.769

LECHE S26 S/LACTOSA 400GR/ 5011115 50.257 50.257 50.257

LEFKAFLAM 50 GR 5182553 16.833 16.833 16.833

LEROGIN * CAJA 5182047 33.590 33.590 33.590

LERTUS 50 MG * COMPRIMIDOS 5051018 4.690 4.690 4.690

LERTUS 150MG/CAJA 5182777 37.972 37.972 37.972

LERTUS (DICLOFENACO) 75 MG * 5 AMPOLLA 5051020 3.926 3.926 3.926

LERTUS 12.5 MG ( DICLOFENACO)SUPOSITORIO.INF. 5051019 6.086 6.086 6.086

LERTUS 25 MG * COMPRIMIDOS 5182548 1.005 1.005 1.005

LERTUS GEL 60 GR 5182072 20.739 20.739 20.739

LERTUS GOTAS 5051024 15.243 15.243 15.243

LERTUS RETARD 100 MG * COMPRIMIDO 5051022 2.680 2.680 2.680

LERTUS RL 150M GX20 COMP./CAJA 5071106 36.176 36.176 36.176

LERTUS SR 75 MG/ 30COMP.(CAJA) 5182662 34.866 34.866 34.866

LEUCOVARINA 50 MG 5081004 29.761 29.761 29.761

LEVOFLOX /RECAMICINA/ QUINOBIOT* 500 MG*/CAJA 5180825 54.455 54.455 54.455

LEVORIGOTAX 5MGX30 COMP. (LEVOCETIRIZINA)/CAJA 5011162 29.998 29.998 29.998

LEXAPRO/(ESCITALOPRAM )10MGX28 * CAJA 5182093 82.077 82.077 82.077

LIDOCAINA 2% * 5 ML 5112006 928 928 928

LIDOCAINA 2% 10 ML UCI 5112027 1.016 1.016 1.016

LIDOCAINA 2% C/V.C. CARPULE * 50 AMPOLLA 5112018 3.508 3.508 3.508

LIDOCAINA 4% GEL 5112010 16.489 16.489 16.489

LIDOCAINA GEL 2% 30ML 5112030 6.033 6.033 6.033

LIDOCAINA HIPERBARICA 5% 2 ML * 100 AMPO 5112012 917 917 917

LIFTER 50MG. X10COMP/CAJA (SILDENAFIL) 5011166 46.632 46.632 46.632

LIKIDAR BAUME 5182454 76.559 76.559 76.559

LINCOCIN 500 MG *CAJA 5182215 46.654 46.654 46.654

LINCOCIN 600 MG * 2 CC * 1 AMPOLLA 5011011 16.091 16.091 16.091

LINDANO 1% SUSPENSION * FRASCO 5181015 6.767 6.767 6.767

LINOVERA SOL.30ML/FRASCO 5111151 82.842 82.842 82.842

LIOPLIM / NEUPOGEN * AMPOLLA (MV 45002423) 5182171 185.566 185.566 185.566

LIORESYL 10 MG* CAJA 5182149 143.146 143.146 143.146

LIORESYL/ BACLOFENO)COMP.10 MG./CAJA 5182830 136.314 136.314 136.314

LIPIDIL 200MG./30 COMP/CAJA 5182701 76.612 76.612 76.612

LIPIKAR BAUME LOCION 200ML 5182653 51.760 51.760 51.760

LIPITOR 10 MG.X30/ CAJA 5182828 93.006 93.006 93.006

LIPITOR 20MG *DOSIS UNITARIA* (ATORVASTATINA) 5071058 11.028 11.028 11.028

LIPITOR 20MG CAJA 5182331 246.577 246.577 246.577

LIPITOR 20MGX 60 COMP./CAJA 5071059 186.776 186.776 186.776

LIPITOR 40 MGX30MG/ CAJA 5182700 113.032 113.032 113.032

LIPITOR 80MG CAJA 5180805 124.088 124.088 124.088

LIPOVENOS LCT 20 ( INTRALIPID ) 5808007 42.525 42.525 42.525

LIPOX 10MG/20MG CAJA 5182581 62.478 62.478 62.478

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

LOMEX CAPSULAS 20MG/CAJA 5182718 72.183 72.183 72.183

LOMEX I.V * 1 FRASCO AMPOLLA 5034007 24.163 24.163 24.163

LOPERAMIDA 2MG * COMPRIMIDO 5182510 892 892 892

LOPERAMIDA GOTAS * 10 ML. 5182111 8.909 8.909 8.909

LOPID (( GEMFIBROZILO)600MG X 20 COMP./CAJA 5071043 56.222 56.222 56.222

LOPID 900MG/30COMP./CAJA 5051142 97.281 97.281 97.281

LOPID-600 X 30COMP.( GEMFIBROZILO)CJA. 5182238 74.650 74.650 74.650

LOPREN 50MG (CAJA ) 5808034 6.241 6.241 6.241

LORATADINA 10 MG.30 COMP/ (CAJA) 5051104 2.077 2.077 2.077

LORAZEPAM 2 MG * CAJA 5182447 7.460 7.460 7.460

LORAZEPAM 4 MGX 2 ML * AMPOLLA #CO# 5113011 6.451 6.451 6.451

LORCALINE COMREC. 10MG * 30 COMP. 5071064 56.593 56.593 56.593

LOSAPRES 50MG X 30 COMP. /CAJA 5182363 53.178 53.178 53.178

LOSARTAN 50 MG/ COMP. CAJA 5182963 38.962 38.962 38.962

LOSARTAN 50MG.DOSIS UNIT.COMP. 5182898 276 276 276

LOSEC 20MG X 14 CAPS./CAJA 5011193 41.653 41.653 41.653

LOSEC MUPS COM.20 MG.X28 COMP./CAJA 5282772 87.278 87.278 87.278

LOSEC MUPS COMP.10MG/CAJA 5011152 51.413 51.413 51.413

LOTRIDERM CR 15GMS/CAJA 5011059 52.683 52.683 52.683

LOVACOL * CAJA 5182308 22.948 22.948 22.948

LOVASTATINA * CAJA 5182369 17.620 17.620 17.620

LUBRIDERM LOC.200ML.FCO. 5182882 11.430 11.430 11.430

LUCENTIS LIVI 0.5MG/0.5ML ( M ) 5808031 1.364.953 1.364.953 1.364.953

LUCENTIS LOC. 5808053 1.129.618 1.129.618 1.129.618

LUGOL.SOL.FCO. 5802773 3.457 3.457 3.457

LUPRON 22.5MG FCO.AMP. 5182846 994.102 994.102 994.102

LUPRON DEPOT 11.25 MG 5182400 938.874 938.874 938.874

LUVOX 100MG.COMP.CAJA. 5182848 106.683 106.683 106.683

LYRICA 75MG( PREGABALINA ) *DOSIS UNITARIA* 5051148 7.586 7.586 7.586

LYRICA 150 MG PRE-POST ANESTESIA * COMP 5055002 11.306 11.306 11.306

LYRICA 150MG/CAJA 5051100 305.176 305.176 305.176

LYRICA/ NEURUM-PREGABALINA 75MG-28 CJA. 5182402 147.664 147.664 147.664

MAB-THERA * RITUXIMAB 500 MG 5142015 3.978.795 3.978.795 3.978.795

MACRODANTINA 100MGX 40 COMP. * CAJA 5182133 40.168 40.168 40.168

MAGNATIL CALCICO COMP EFERV.50 SBR/CAJA 5182966 47.083 47.083 47.083

MAGNATIL CALCIO * CAJA 5182385 37.396 37.396 37.396

MAG-TAB * CAJA 5182206 54.554 54.554 54.554

MALARONE 250MG/100MG/12TAB./CAJA 5182940 117.165 117.165 117.165

MALTOFER 100MGX30 COMP/ CAJA 5182198 39.241 39.241 39.241

MALTOFER BEBIBLE * CAJA 5182367 41.096 41.096 41.096

MALTOFER FOL.PLUS CAJA. 5182574 42.775 42.775 42.775

MALTOFER VIT COMP/CAJA 5182971 34.517 34.517 34.517

MAMADERA RECIEN NACIDO PREP. ESPECIAL 40CC 51710120 4.891 4.891 4.891

MAMADERA RECIEN NACIDO PREP. ESPECIAL 50CC 51710121 5.039 5.039 5.039

MAMADERA RECIEN NACIDO PREP. ESPECIAL 60CC 51710122 5.169 5.169 5.169

MAMADERAS RECIEN NACIDOS PREP. ESPECIAL 30CC 51710119 4.721 4.721 4.721

MAMADERAS RECIEN NACIDOS PREP. ESPECIAL 90CC 5171026 6.263 6.263 6.263

MANITOL 15% * 500 CC * 10 MATRACES 5121020 5.567 5.567 5.567

MANTECA CACAO 5181011 1.918 1.918 1.918

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

MARATHON CAP.30/CAJA 5051130 10.970 10.970 10.970

MATIKOMP UNG.TUBO 35 GR. 5182664 9.289 9.289 9.289

MEBENDAZOL 100MG COMP * CAJA 5182749 2.262 2.262 2.262

MEDIA VENOSAN 20/30 S/R TL 1149TH *MUSLO* 3020053 101.871 101.871 101.871

MEDROL 16MGX14 COMP/ CAJA 5182201 96.731 96.731 96.731

MEDROL COM 4MG. COMP/CAJA 5182922 39.333 39.333 39.333

MEDROXIPROGESTERONA 5MGCOMP./CAJA 5182920 13.979 13.979 13.979

MELATONINA GNC 3MG 60 U 5182861 18.539 18.539 18.539

MELERIL 10 MG * 30 GRAGEAS 5182552 897 897 897

MELERIL 100 5182289 1.984 1.984 1.984

MELERIL 50 MG X 20 5182288 1.233 1.233 1.233

MELERIL JBE 5182530 32.421 32.421 32.421

MELIPASS CAP.24 /CAJA 5071056 9.954 9.954 9.954

MELOXICAM 15MG *DOSIS UNITARIA* 5182271 1.135 1.135 1.135

MELOXICAM 7.5 X 15 COMP./ CAJA 5051124 5.695 5.695 5.695

MEMANTINA10MG/60COMP/CAJA 5182937 123.633 123.633 123.633

MENTIX (MODAFINILO.100.200MG.) CAJ. 5182710 55.656 55.656 55.656

MERONEM 1G E.V.* 10 5011041 217.373 217.373 217.373

MERONEM 500 MG E.V *10* 5011049 84.499 84.499 84.499

MESAX 500 MG COMP.X100/CAJA 5071378 108.563 108.563 108.563

MESTINON 60MGX100 / CAJA 5051045 99.808 99.808 99.808

METADONA #CO# 10MG/2ML AMP. 5808045 2.783 2.783 2.783

METALYSE ( TENECTEPLASE) SET 10000UI+JER 5142030 3.578.768 3.578.768 3.578.768

METAPAD 10MG/ (METADONA) *COMPRIMIDO* 5011196 3.535 3.535 3.535

METHERGIN * 500 GRAGEAS 5041001 2.174 2.174 2.174

METICORTEN 20 MG * CAJA 5182068 28.878 28.878 28.878

METICORTEN 5 MG * CAJA 5182016 29.249 29.249 29.249

METILDOPA * 250 MG COMPRIMIDOS 5182520 563 563 563

METOCLOPRAMIDA 10 MG / 2ML * 100 AMPOLLA 5032004 1.060 1.060 1.060

METOPIOLOL (BETALOC) COMP.50MG. 5182783 30.055 30.055 30.055

METOTREXATO.50MG/FRASCO AMP. 5081005 26.814 26.814 26.814

METRONIDAZOL CREMA / (GELODERM GEL) 5182006 22.396 22.396 22.396

METRONIDAZOL 500 MG C/100 ML SOL.INY * 1 5014001 4.473 4.473 4.473

METRONIDAZOL OVULOS/500MGVAGINAL./CAJA 5182543 5.326 5.326 5.326

METROPAST 1000 MG SUPOSITORIO 5182559 3.309 3.309 3.309

METROPAST OVULOS * CAJA 5182003 20.803 20.803 20.803

MIACALCIC NASAL 200UI.14/CAJA 5182259 157.841 157.841 157.841

MICARDIS 80MG/12.5X28 COMP/CAJA 5071016 65.520 65.520 65.520

MICARDIS PLUS.40-12 MG/CAJA 5182681 54.682 54.682 54.682

MICOLIS 1% POLVO/CAJA 5802780 41.434 41.434 41.434

MICOLIS CREMA 1% X 20GRM./CAJA 5011173 19.341 19.341 19.341

MICOSTATIN FRASCO 5182132 76.762 76.762 76.762

MICROSER 8 MG.30COMP/.CAJA. 5182270 77.703 77.703 77.703

MIEL DE BORAX 20 ML 5182075 3.144 3.144 3.144

MIGRANOL X 20 COMP./CAJA 5071111 7.403 7.403 7.403

MIGRATAN CAJA 5182656 4.750 4.750 4.750

MILK THIST 200MG/ 5011192 48.709 48.709 48.709

MINIGEST * CAJA 5182412 42.218 42.218 42.218

MINOVOR CAP.150MG (FLUCONAZOL) X 2 COMPR. 5182887 26.761 26.761 26.761

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

MIOSTAT 0 01 % * 1 5 ML 5131001 121.064 121.064 121.064

MIRAL SOL.OFT.15 ML/CAJA 5051128 36.813 36.813 36.813

MIRENA * ENDOCEPTIVO 5182483 747.156 747.156 747.156

MISOTROL 200 MG COMPRIMIDO #CO# 5041003 15.782 15.782 15.782

MITOMICINA / JERINGA 5131016 124.926 124.926 124.926

MITRUL 15MG CAP./CAJA 5183001 16.811 16.811 16.811

MIVACRON 10 MG. AMPOLLA 5119003 38.386 38.386 38.386

MIXGEN CR.DER. 15GRM/CAJA 5011200 36.165 36.165 36.165

MIXGEN SOL.OFT.5ML/CAJA 5051113 11.373 11.373 11.373

MIXGEN UNGUENTO OFTALMICO * CAJA 5182033 10.270 10.270 10.270

MIZONASE SET OVULO-CREMA /CAJA 5071128 37.718 37.718 37.718

MOBEX / ISOX 7.5 MG/CAJA 5182396 17.737 17.737 17.737

MOBEX 15MG * CAJA 5182176 20.467 20.467 20.467

MODURA 40MG COMP/CAJA 5011165 23.182 23.182 23.182

MOMETASONA DERMOSONA DERMENET CREMA 5182731 26.043 26.043 26.043

MORFINA CLORHID. 10 MG - 1ML (100 AMP.) #CO# PSICOTROP 5111003 1.823 1.823 1.823

MOXAVAL 400MGX10 COMP./CAJA 5071104 83.476 83.476 83.476

MOXOF.GT.OFT.(MOXIFLOXACI)0.5%. 5182712 39.503 39.503 39.503

MULCATEL 200 ML * FRASCO 5182266 35.319 35.319 35.319

MULTIFLORA PLUS CAP./CAJA 5180389 31.535 31.535 31.535

MULTILIND TUBO 5182205 57.221 57.221 57.221

MUÑEQUERA-FUNCIONAL. TALLA U PTM 5182511 45.541 45.541 45.541

MUXOL * 5 AMPOLLAS 5063001 8.788 8.788 8.788

MUXOL 30MG JBE ADULTO 5063003 9.908 9.908 9.908

MUXOL JBE PEDIATRICO 5063002 6.113 6.113 6.113

MYDRIACIL GOTAS OFTALMICAS 5182592 70.080 70.080 70.080

MYOZYME * ALFA GLUCOSIDASA ACIDA 5131008 1.331.562 1.331.562 1.331.562

N-ACETIL CISTEINA 10% * MUCOLITICO * 15 ML 5182773 54.185 54.185 54.185

NALERONA 50 MGRS CAJA 5182280 207.854 207.854 207.854

NALOXONA 0,4 MG / ML * 10 AMP./NARCAN 5161001 50.836 50.836 50.836

NAN HA 5172001 26.523 26.523 26.523

NAPROGESIC FTE/ EUROG FTE /550 MG COMP.(NAPROXENO) 5182304 789 789 789

NARAMIG 2.5 MGX 14 COMP * CAJA 5182272 51.115 51.115 51.115

NASIVIN 30ML. LUB. NASAL 5182790 13.853 13.853 13.853

NASONEX SUS. NASAL 50 MCG 5182727 61.864 61.864 61.864

NASTIZOL COMP./CAJA 5182222 15.486 15.486 15.486

NATELE CAP. 5182704 20.529 20.529 20.529

NATRILIX SR 1.5MGX 30 COMP.(INDAPAMIDA)/CAJA 5011205 54.068 54.068 54.068

NEBIDO 1000MG/4ML (UNDECANOATO TESTOSTERONA) 5111149 231.314 231.314 231.314

NEBILET.(NEBIVOLOL.5MG.) 5802767 102.976 102.976 102.976

NEBULEX / BREXONA / 5182177 56.978 56.978 56.978

NEFERSIL -B X 10 COMP./ CAJA 5182549 28.005 28.005 28.005

NEFERSIL 100 MG / 2 ML * AMP. 5051011 4.436 4.436 4.436

NEFERSIL 125 MG * COMPRIMIDOS 5051010 1.160 1.160 1.160

NEFERSIL GEL 5% 50GRM/TUBO 5182964 15.698 15.698 15.698

NEFERSIL-FAST CAP.125MG/CAJA 5182762 15.073 15.073 15.073

NEOHYSTICLAR 5MG COMP.* CAJA (DESLORATADINA) 5182475 25.862 25.862 25.862

NEOLARMAX 5MG/30COMP./CAJA 5182652 17.333 17.333 17.333

NEOLARMAX JBE (DESLOR). 5051066 27.378 27.378 27.378

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

NEOMICINA * 12 COMPRIMIDOS 5182575 769 769 769

NEOMICINA / * CAJA 5182239 12.148 12.148 12.148

NEO-PANKREOFLAT COM. 16 5808011 16.747 16.747 16.747

NEORESOTYL 150MG/(ARMODAFINILO)30COMP/.CAJA 5182928 77.516 77.516 77.516

NEO-SINTROM / COAROL * COMPRIMIDO 5182572 3.577 3.577 3.577

NEO-SINTRON 4MG.COMP/CAJA 5081015 60.790 60.790 60.790

NEOSTIGMINA METILSULF 0,5 MG * 100 AMP 5121028 994 994 994

NEOTIGASON 25MG * CAPSULAS 5182823 281.000 281.000 281.000

NERVIX SR 75MG/30CAP/CAJA 5182938 56.620 56.620 56.620

NESSUCAR /MODULO CALORICO 550 GR. * TARRO 5182099 18.285 18.285 18.285

NEULEPTIL GOTAS/ CAJA 5802806 35.403 35.403 35.403

NEUMOCORT HFA 5808080 46.325 46.325 46.325

NEUPOGEN / LIOPLIN / FOLTRAN 30UNID. 5140004 431.577 431.577 431.577

NEUROBIONTA DUO 1000X3 AMP./CAJA 5182630 28.288 28.288 28.288

NEURUM (PREGABALINA) 50MGX30COMP./ CAJA 5808058 60.760 60.760 60.760

NEXIUM 20MG (28 COMP) CAJA 5182301 50.896 50.896 50.896

NEXIUM 40 MG FRASCO AMPOLLA 5034011 77.679 77.679 77.679

NEXIUM 40MG (28 COMP) CAJA 5182753 88.168 88.168 88.168

NEXIUM SOB. 10MG 5183011 72.700 72.700 72.700

NICOTEARS / LACRYVIDC 5 GRS. GEL 5182224 19.599 19.599 19.599

NICOTEARS/ TOPTEAR GOTAS OFT. * FRASCO 5182156 23.110 23.110 23.110

NICOTINELL TTS X 10 /NICORETTE / CAJA 5051062 70.228 70.228 70.228

NICOTINELL TTS 20 CAJA X 7 PARCHES 5051604 103.508 103.508 103.508

NIFEDIPINO 10 MG. COMP. 5182143 99 99 99

NIFEDIPINO 10MG RETARD. *COMP.* 5011118 110 110 110

NIFEDIPINO 20 MG COMP./RETARD 5182610 1.222 1.222 1.222

NIMESULIDA/ 100MG COMP./CAJA 5182567 21.879 21.879 21.879

NIMESULIDA/NISURAL 100MG * CAJA 5182322 40.042 40.042 40.042

NIMODIPINO 30MG /COMP. * CAJA 5182098 34.820 34.820 34.820

NIMOTOP * EV 5182004 162.310 162.310 162.310

NIMUS RETARD * CAJA 5182463 91.477 91.477 91.477

NIOFEN COLD HBF COMP/CAJA. 5182420 38.094 38.094 38.094

NIOFEN FORTE SUSP. TERMO-NIOF. JB-CAJA. 5051029 25.780 25.780 25.780

NIRVAN 3MG/CAJA 5071057 22.624 22.624 22.624

NISTATINA COM. 500000 UI CAJA 5182751 8.251 8.251 8.251

NISTATINA- NISTAGLOS CREMA.30 GR./CAJA 5182235 21.477 21.477 21.477

NISTATINA OVULOS-12.CJA. 5182755 5.419 5.419 5.419

NISTATINA UNGUENTO .100000U 5171017 2.819 2.819 2.819

NISTORAL GOTAS 100000UI 5051132 34.089 34.089 34.089

NISULID SACHET *CAJA. 5051039 71.927 71.927 71.927

NISURAL 100M GX30 COMP/CAJA 5071098 38.463 38.463 38.463

NITRATO DE PLATA OTORRINO *100 5181027 8.350 8.350 8.350

NITRENDIPINO 20 MG (GRIFONITREN)COMPRIMI 5021001 473 473 473

NITROFURANTOINA 100 MG * COMPRIMIDOS 5182519 1.270 1.270 1.270

NITROGLICERINA 0.50 MG * 10 ML AMPOLLA 5023003 2.748 2.748 2.748

NITROGLICERINA 5% 250 ML (IA0694) ( 200 MCG/ML)(40006159)MV 5023004 24.742 24.742 24.742

NITROGLICERINA 50 MG * 10 ML FRASCO AMPO 5023001 12.495 12.495 12.495

NITROPUSIATO 50 MGRS 5021005 251.839 251.839 251.839

NOCOF SOL. ORA 60MG/10ML 5071387 19.281 19.281 19.281

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

NOCTILAN.DORMEX.0.25MG 5182705 74.365 74.365 74.365

NONI-LIQ.200CC. 5182675 35.693 35.693 35.693

NOPTIC CMP. 2MG / CAJA. 5051136 23.090 23.090 23.090

NORDIOL / YASMIN /TRIQUILAR/ MICROGYNON. 5182446 43.972 43.972 43.972

NORDOX 200MGX 14 COMP (FENAZOPIRIDINA CLORHIDRATO)./CAJA 5808078 28.635 28.635 28.635

NOREPINEFRINA 4MG AMPOLLA (LEVOPHED) 5025006 24.521 24.521 24.521

NORFILEN COMP.75MG/28 CAJA 5182806 73.351 73.351 73.351

NORFLOXACINO 400 MG(FULGRAM)X CAJA 5182398 42.545 42.545 42.545

NORMATEN PLUS /CAJA 5051069 30.130 30.130 30.130

NORMATOL 400MGX30CAP (GABAPENTIN) ./CAJA 5071114 117.987 117.987 117.987

NORMATOL COMP. * CAJA 5182375 112.376 112.376 112.376

NORMIX(RIFAXIMINA)200MGX 24 COMP./.CAJA 5182856 78.262 78.262 78.262

NORVASC 10 MG X 30 COMP* CAJA 5182070 107.659 107.659 107.659

NORVASC 5 MG ( AMLODIPINO) * COMP. 5182202 1.977 1.977 1.977

NORVIR ( RITONAVIR ) 100MG X30 COMP 5808068 300.893 300.893 300.893

NOSCAPINA 20 MG X 20 COMP. 5182040 223 223 223

NOSCAPINA JARABE 5182191 12.174 12.174 12.174

NOSTADEN (CICLOBENZAPRINA )10MG/CAJA 5071112 9.722 9.722 9.722

NOVACILINA 750MG /COMP. CAJA 5182906 29.691 29.691 29.691

NOVONORM 0.5 5182829 31.699 31.699 31.699

NOVORAPID FLEXPEN 3ML(INSULINA LAPIZ) /*UNIDAD* 5011174 28.964 28.964 28.964

NUCTANE 7.5 COMPRIMIDO * 20 COMPRIMIDOS 5182379 1.644 1.644 1.644

NUROX 20 MG/ X * UNIDAD*( ENOXAPARINA) 5151010 14.691 14.691 14.691

NUROX 40MG.JER. * UNIDAD*(ENOXAPARINA) 5151013 20.567 20.567 20.567

NUROX 60MG.JER* UNIDAD* ( ENOXAPARINA) 5151014 33.722 33.722 33.722

NUROX 80MG *UNIDAD*( ENOXAPARINA) 5151015 55.670 55.670 55.670

NUTRICION PERIFERICA CLINIMIX E 4 25/5 REF. 2B7716 5171005 202.797 202.797 202.797

OCTAPLEX 500 FCO LIOF ( PROTROMBINA RECOMB) 5151018 828.419 828.419 828.419

OFTABIOTICO SOL.OFT.10 5182659 31.003 31.003 31.003

OFTAGEN COLIRIO 5182348 13.878 13.878 13.878

OFTAGEN UNGUENTO* CAJA ( GENTAMICINA CREMA) 5182091 22.533 22.533 22.533

OFTAGEN.COMP. UNG. OFT. (MIXGEN/.GENTALYN) 5182538 15.155 15.155 15.155

OFTASONA-N-GOT.UNG.OFT. 5182742 16.597 16.597 16.597

OFTASONA-P SOL.OFT./CAJA 5802808 20.677 20.677 20.677

OFTAVIR 3% UNG.(ACICLOVIR) 5182685 45.738 45.738 45.738

OFTOL FTE.GOT OFT. 5051041 29.308 29.308 29.308

OILTOPIC CR.200ML/TUBO 5051091 22.221 22.221 22.221

OLANZYL 10MG COMP/ CAJA (OLANZAPINA) 5011190 135.602 135.602 135.602

OLIGOELEMENTO 2 ML * 1 AMPOLLA 5173002 4.860 4.860 4.860

OLIVIN 10MG.30 COMP./CAJA( OLANZAPINA) 5182817 123.863 123.863 123.863

OMEGA -3 GEA FISH-OIL CAP./ CAJA 5182418 11.907 11.907 11.907

OMEPRAZOL /ZOMEPRAL / 40 MG I.V. * AMPOLLA 5034010 31.811 31.811 31.811

OMEPRAZOL 20 MG * CAPSULAS 5182358 1.021 1.021 1.021

OMNIC 0.4MG 30 CAP/TRANSULOSINA. 5808012 23.258 23.258 23.258

OMNIPAQUE 300 MG X 50 ML 5162005 50.257 50.257 50.257

ONDANSETRON / ODANEX 4 MG * 2 ML * AMPOLLA 5032010 9.278 9.278 9.278

ONDAX 10 MG * COMPRIMIDOS 5032008 1.067 1.067 1.067

ONDAX 10 MG./CAJAX20COMP.CISAPRIDA. 5051116 23.414 23.414 23.414

ONGLYZA 5MG-(SAXAGLIPTINA) 5182825 57.026 57.026 57.026

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

OPTAMOX 875MG X14COMP./CAJA 5051046 25.411 25.411 25.411

OPTIVE SOL.OFTAL. 15 ML 5180823 84.147 84.147 84.147

ORALGENE 500ML / CAJA 5182591 11.905 11.905 11.905

ORALGENE FRASCO 120 ML 1.2 %/ELOGERME 0.12% 5182034 22.180 22.180 22.180

ORALIPIN RETARD 400 GRAMOS 5182336 125.928 125.928 125.928

ORENCIA 250 MGX 1VIAL (ABATACEPT) F.A 5808075 1.052.158 1.052.158 1.052.158

OSELTAMIVIR SUSP. 12MG/ML FRASCO 75ML 5182903 178.938 178.938 178.938

OSMOLITE NUTRICION ENTERAL 1000 ML 5171006 47.165 47.165 47.165

OSTEO BI-FLEX 5808043 176.729 176.729 176.729

OTICUM GOTAS OTOLOGICAS 5182527 14.103 14.103 14.103

OVESTIN CR.15GR. 5802771 112.334 112.334 112.334

OXICODAL COMP.300MGX30 COMP./CAJA 5071041 38.310 38.310 38.310

OXIDO NITROSO * 1 LT 5181007 91 91 91

OXIDO ZINC 40 GRAMOS 5181026 5.172 5.172 5.172

OXILIN SF.NASAL 0.05%15ML 5181023 12.051 12.051 12.051

OXYCONTIN 20MG X 12 COMP #CO# (OXICODONA) 5808038 8.505 8.505 8.505

PACINAX 10 MG / 2.5 ML * DIAZEPAN RECTAL 5113021 8.876 8.876 8.876

PACINAX 5 MG / 2 ML * DIAZEPAN RECTAL 5113020 8.876 8.876 8.876

PALEXIS RETARD 50MG/ CAJA (TAPENTADOL) 5180391 38.085 38.085 38.085

PALEXIS RETARD 100MGX10COMP./CAJA (TAPENTADOL) 5180393 61.159 61.159 61.159

PAMIDRONATO ( AMINOMUX) DISÓDICO 5181029 250.514 250.514 250.514

PANADOL 250 MG * 5 SUPOSITORIOS 5051001 3.199 3.199 3.199

PANDEL * CREMA 5182440 23.569 23.569 23.569

PAPAVERINA 4% * 2 CC * 100 AMPOLLAS 5033007 983 983 983

PAPELILLOS KCL 1 GR. (CLORURO DE POTASIO SOBRE.) 5161006 10.604 10.604 10.604

PAPENZIMA 5MGX 15 COMP./CAJA 5011186 21.417 21.417 21.417

PAPENZIMA 5MGX30COMP./ CAJA 5182521 37.475 37.475 37.475

PARACETAMOL 125 MG * 6 SUPOSITORIOS 5051006 1.454 1.454 1.454

PARACETAMOL 250 MG SUPOSITORIO 5051033 7.149 7.149 7.149

PARACETAMOL 500 MG * COMPRIMIDOS 5051007 442 442 442

PARACETAMOL GOTAS 5051008 4.038 4.038 4.038

PARACETAMOL IV 10MG/ML * 100 ML MV40006094 5051134 33.828 33.828 33.828

PARACETAMOL JARABE 150MG/5ML WINASORB (12 DOSIS) 5808066 1.798 1.798 1.798

PARACETAMOL -WINASORB -KITADOL PED. JBE-150MG/5ML 5182419 18.252 18.252 18.252

PARACETAMOL.COM.SACH.CJ. 5182465 2.297 2.297 2.297

PARCHE LIDOCAINA VERSATIS 5808082 59.584 59.584 59.584

PARFLEX CAPS*30(COLAGENO MICRONIZ.) 5808042 78.918 78.918 78.918

PAROX 500 MG COMPRIMIDO 5051035 566 566 566

PARSISTENE 5 MG * 20 COMPRIMIDOS 5182542 2.419 2.419 2.419

PASTA LASSAR 100GRMS. / PT 5182921 6.033 6.033 6.033

PASTA SUPERFILLER 60GR/TB REF-F05008A *U* 5182944 57.989 57.989 57.989

PAVEDAL 2.5MGX 20COMP.(METOLAZONA)/ CAJA.- 5182031 22.520 22.520 22.520

PEDIALYTE-SOL. 5182676 16.303 16.303 16.303

PELLET- RECETA MAGISTRAL-. 5181021 140.833 140.833 140.833

PELLETS DISULFIRAM 50 MG ( *20 UNIDADES ) 5183013 125.308 125.308 125.308

PENICILINA BENZATINICA 600.000 * 100 5011023 1.794 1.794 1.794

PENICILINA BENZATINICA 1.200.000 * 100 5011028 4.979 4.979 4.979

PENICILINA SODICA 1.000.000 * 100 5011031 2.373 2.373 2.373

PENICILINA SODICA 2.000.000 * 100 5011034 2.107 2.107 2.107

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

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ARANCEL 2017

MEDICAMENTOS

PENTOXIFILINA/400 MGX30 COMP. * CAJA* 5182489 15.718 15.718 15.718

PEREBRON JBE 50MG-(OXOLAMIDA) 5051101 5.814 5.814 5.814

PERENTERYL SOBRES 250MG *UNIDAD* F.E.*6/10* 5182013 3.161 3.161 3.161

PERENTERYL X10 CAPS.* CAJA 5182532 20.735 20.735 20.735

PERIO AID * FRASCO 5182008 14.596 14.596 14.596

PERMETRINA 3% PREP. MAGISTRAL /POTE 5011187 16.568 16.568 16.568

PERTIUM 5MG X42 COMP.(NEBIVOLOL) /CAJA 5051145 41.514 41.514 41.514

PERVIORAL (VALACICLOVIR) 500MGX 42 COMP./CAJA 5071116 92.078 92.078 92.078

PETIDINA 100 MG - 2ML (AMP.) #CO# PSICOTROP 5111002 2.901 2.901 2.901

PH 5 EUCERIN LOCION 5182247 40.586 40.586 40.586

PH 5 EUCERIN CREMA 5051140 32.001 32.001 32.001

PH5 EUCERIN GEL 400ML / FRASCO 5071386 25.316 25.316 25.316

PHARMATON 30 COMP./CAJA 5071110 11.001 11.001 11.001

PHARMATON X 90 COMP. CAJA 5051084 29.719 29.719 29.719

PHOSLO 667MG 60 TAB. 5182721 17.275 17.275 17.275

PIASCLEDINE 300MG/CAP./CAJA 5180386 47.242 47.242 47.242

PILOCARPINA 2%.COLIRIOX10ML 5182484 24.826 24.826 24.826

PIPERACILINA - TAZOBACTAM FA. MV40006641 5808056 79.528 79.528 79.528

PIRONAL FORTE 200MG ( IBUPROFENO) DOSIS 5 ML * 20D 5051030 3.780 3.780 3.780

PLANIDEN 5MGX30 COMP./CAJA 5011158 15.431 15.431 15.431

PLAQUINOL 200MG.X30 COMP./ CAJA 5128659 96.267 96.267 96.267

PLATSUL - A POMO X 30 GR 5181009 111.328 111.328 111.328

PLAVIX 75 MG/28 COMP./CAJA 5182401 149.115 149.115 149.115

PLAVIX 300MGX4COMP./CAJA 5182946 92.783 92.783 92.783

PLAVIX 75MG * COMPRIMIDO (CLOPIDOGREL) 5182859 10.160 10.160 10.160

PLEXUS 30 COMP/CAJA 5182716 20.443 20.443 20.443

PLUSGIN FLUCONAZOL 50MG CAJA 5182267 44.699 44.699 44.699

POENTOBRAL PLUS SOL. OFT.5ML/FRASCO 5071105 35.063 35.063 35.063

POLIDOCANOL 2%+2ML 5808035 40.444 40.444 40.444

POLIESTIRENO SULFONATO DE SODIO SOBRE 15GR. (KAYAXALATE) 5808054 12.371 12.371 12.371

POLIESTIRENO SULFONATO SODIO 5GRM. (KAYEXALATE) SOBRE 5808079 4.418 4.418 4.418

POLIETILENGLICOL * LITRO 5181008 11.487 11.487 11.487

POLIVITAMINICO JBE INFORTIN /SUPRADYN 5182637 19.047 19.047 19.047

POLIVITAMINICOX30 GRAGEAS / CAJA 5071103 3.778 3.778 3.778

POLVO NEUTRALIZADOR OLORES REF-005013A *30U* 5182943 2.326 2.326 2.326

POTASIO GLUCONATO JARABE/CAJA 5071077 9.722 9.722 9.722

PRADAXA 150MG CAPS. 5182866 193.671 193.671 193.671

PRADAXA CAP. 110MG 30 5183012 82.197 82.197 82.197

PRAZAM * 20 ML GOTS. (POR DOSIS) #CO# BENZODIAZEPINICO 5113016 2.390 2.390 2.390

PRECEDEX (DEXMEDETOMIDINA) PREMIX 200MCG EN 50ML F.A 5112036 162.370 162.370 162.370

PRECEDEX* DEXMEDETOMIDINA *200MCG AMP 5112028 172.311 172.311 172.311

PRECEDEX* DEXMEDETOMIDINA *200MCG/ DOSIS* ( FCO EN 2 DOSIS ) 5112033 65.856 65.856 65.856

PRECLAR 500 MG X 14 COMP.* CAJA 5182158 64.791 64.791 64.791

PRED-FORTE SUSP.OFT. 5182585 53.178 53.178 53.178

PREDNISONA 5 MG COMP.*DOSIS UNITARIA* 5182512 7.365 7.365 7.365

PREDNISONA/METICORTEN 20 MG. COMPRIMIDO. 5182217 2.591 2.591 2.591

PREFAXIL 75 MG/30 COMP./CAJA 5081007 22.188 22.188 22.188

PREGALEX 150 MG/30COMP.CAJA 5051141 75.101 75.101 75.101

PREMAT /CAJA 5182918 53.830 53.830 53.830

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

PRE-NAN 5182975 28.973 28.973 28.973

PREXIGE 100MG.COMP. 5182663 37.937 37.937 37.937

PRIMAKIN * CAJA 5182346 38.686 38.686 38.686

PRISTIQ 100MGX28 COMP./CAJA 5011175 141.624 141.624 141.624

PRISTIQ.50MG.DESVENLAFAXINA. 5182805 123.357 123.357 123.357

PRO-BEXTRA 40 MG EV/IM * FRASCO 5051031 42.130 42.130 42.130

PROCTOGEL / SPERTI UNG. 30 GRS 5182733 24.110 24.110 24.110

PRODASONE COMP. * CAJA 5182284 70.177 70.177 70.177

PRODEL.2MG JARABE 120ML/FR. 5808023 8.132 8.132 8.132

PROFENID (KETOPROFENO) 100MG*FR/AMP/E.V. 5051014 9.389 9.389 9.389

PROFENID 100 MG * 48 AMPOLLAS-IM. 5051013 6.921 6.921 6.921

PROFENID 100 MG * COMPRIMIDO 5182326 3.957 3.957 3.957

PROFENID 50MG.CAP./CAJA (KETOPROFENO) 5071124 26.076 26.076 26.076

PROFENID.TU 100-200MG * CAJA. 5802770 58.413 58.413 58.413

PROFENID-BI 150MG/X 10COMP./CAJA. 5182324 27.265 27.265 27.265

PROGENDO 400 MG. 5182674 53.814 53.814 53.814

PROGENDO CAP 200MG CAJA 5182748 48.104 48.104 48.104

PROGESTERONA * 3 AMPOLLAS 5182513 9.455 9.455 9.455

PROGYNOVA 2MG /CAJA 5071049 22.719 22.719 22.719

PRO-LERTUS /140MG/10 CAPS. 5182342 9.722 9.722 9.722

PRO-LERTUS 140MGX20 COMP/CAJA 5011170 43.608 43.608 43.608

PROLIA 60MG/ML (DENOSUMAB) JER.PRELL. 5071023 574.039 574.039 574.039

PROLIFT-/REBOXETINA-4MG.CJA. 5180797 61.601 61.601 61.601

PROLOPA 200MG/50MG COMP./MADOZIDE /CAJA (BENSERAZIDA / LEVODOPA) 5182924 37.604 37.604 37.604

PROLOPA DISP.125 MG.COMP/CAJA 5180803 71.648 71.648 71.648

PROMYRTIL 15 MG (( MIRTAZAPINA) * CAJA 5182338 123.487 123.487 123.487

PROMYRTIL/CIBLEX 30 MG/CAJA ( MIRTAZAPINA) 5182892 124.645 124.645 124.645

PROMYRTIL/CIBLEX 30MG. * CAJA 5182236 125.286 125.286 125.286

PRONTOSAN W SOL. 350 ML /*F.E 4UNID* 5802790 112.665 112.665 112.665

PRONTOSAN W SOL. 40ML (24) (REF. 400484) 5802789 41.328 41.328 41.328

PROPANOLOL 1 MG / 1 ML * 10 AMPOLLAS 5021003 5.655 5.655 5.655

PROPANOLOL 10 MG COMPRIMIDOS 5182515 53 53 53

PROPANOLOL 40 MG * COMPRIMIDOS 5182541 691 691 691

PROPILTIOURACILO 50 MG.* CAJA 5182157 10.688 10.688 10.688

PROPILTIURACILO 50 MG COMPRIMIDO 5182450 378 378 378

PROPOFOL 2 % FRASCO AMPOLLA 50 ML 5112019 118.298 118.298 118.298

PROPOFOL MCT/LCT 1% 50 ML TIVA FRASCO AMP 5112011 62.628 62.628 62.628

PROPOFOL MCT/LCT 1% 20 ML AMPOLLA (F.E. 5) 5112015 34.794 34.794 34.794

PROTAMINA * FRASCO 5161004 59.421 59.421 59.421

PROTOPIC UNGTO. 5182455 53.511 53.511 53.511

PROZAC 20MGX28 COMP. DISP./CAJA 5071080 96.013 96.013 96.013

PRUEBA DE AUDITORIA 5890000 563 563 563

PRURIX LOCION-120ML- 5051115 31.009 31.009 31.009

PULMOCARE 500 RTH NUTRICION ENTERAL 5171010 0 0 0

PURID 400MG * CAJA 5182772 22.288 22.288 22.288

PYLOPAC TRITERAPIA /HELI PACK*CAJA* 5112034 110.588 110.588 110.588

QUETIAPINA 100 MG. COMPRIMIDO *DOSIS UNITARIA* 5011168 6.669 6.669 6.669

QUETIAPINA 25 MG. COMPRIMIDO *DOSIS UNITARIA* 5011167 5.015 5.015 5.015

QUETIAZIC ( QUETIAPINA ) 100MGX60 COMP./ CAJA 5011117 185.566 185.566 185.566

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

QUETIAZIC /QUETIDIN 100MGX30COMP./CAJA 5182891 99.563 99.563 99.563

QUETIDIN 25MG/QUETIAZAC 30COMP/CAJA 5081010 52.559 52.559 52.559

RAMIPRES 2.5 MG/30 CAJA 5180782 33.510 33.510 33.510

RANITIDINA 150 MG * COMPRIMIDO (FA.EMP. X 1.000) 5034002 223 223 223

RANITIDINA 300 MG *COMP.* 5182119 252 252 252

RANITIDINA 50 MG /2 ML * 100 AMPOLLAS 5034003 862 862 862

RAPIFEN 1 MG / 2 ML #CO# PSICOTROP 5111007 26.509 26.509 26.509

RASILEZ 300MGX28 COMP./CAJA 5071073 77.924 77.924 77.924

RASILEZ.150/12 5 5182695 64.219 64.219 64.219

RAVOTRIL / NEURYL 2MG * CAJA 5182767 26.640 26.640 26.640

RAVOTRIL 0 25 SUBLINGUAL /10/ #CO# 5113029 4.478 4.478 4.478

RAVOTRIL 0,5 MG COMP. *UNIDAD* #CO# BENZODIAZEPINICO (F.E 30COMP) 5113015 1.206 1.206 1.206

RAVOTRIL 1MG (AMP.) #CO# BENZODIAZEPINICO 5113022 41.746 41.746 41.746

RAVOTRIL 1MGX30 COMP./CAJA 5180819 27.948 27.948 27.948

RAVOTRIL 2 MG *U* #CO# BENZODIAZEPINICO (F.E 30UN) 5182187 2.547 2.547 2.547

REACTIVO NEOPLASTINA * 11245074140 #LAB 3290420 284.194 284.194 284.194

REALTA 30MG X30COMP/ DULOXETINA 5182956 29.852 29.852 29.852

REALTA 60MGX30COMP./CAJA(DULOXETINA) 5071037 29.584 29.584 29.584

REBIF 66 NF ( INTERFERÓN BETA ) 5011050 1.972.414 1.972.414 1.972.414

RECAMICINA 500 MG * CAJA 5182445 40.422 40.422 40.422

RECETA MAGISTRAL 5081009 27.614 27.614 27.614

RECETARIO MAGISTRAL ALERGENOS./SET 5011048 1.422.105 1.422.105 1.422.105

RECONVAN 500ML 5171022 37.113 37.113 37.113

RED OFF.SOL.OF.0,012%/CAJA 5071060 6.300 6.300 6.300

REGENTAL (NIMODIPINO) 30MG * COMPRIMIDOS 5182535 3.645 3.645 3.645

REGENTAL FORTE (NIMODIPINO 60 MG) X40 COMP. * CAJA 5182309 80.626 80.626 80.626

REGENTAL( NIMODIPINO) 30MG/30COMP./CAJA 5071108 39.656 39.656 39.656

REHSAL 60 SOBRES 5182638 2.627 2.627 2.627

REHSAL-90 CAJA. 5051080 17.465 17.465 17.465

RELATENE200.MG COMP/CAJA(KETOPROFENO) 5182908 7.286 7.286 7.286

RELIEVE 60 % 30 ML * FRASCO ( HYPAQUE ) 5162001 39.764 39.764 39.764

RELPAX * CAJA 5182437 22.473 22.473 22.473

REMICADE 100 MG 5142011 1.315.946 1.315.946 1.315.946

REMITEX D / COMP. CAJA 5182154 38.218 38.218 38.218

REMITEX JBE. 5MG/5ML 5182405 22.610 22.610 22.610

RENALYTE 324 (CONCENTRADO HEMODIALISIS) BIDON 5121050 21.928 21.928 21.928

RENALYTE 322 BIDON SLIT 5121052 10.051 10.051 10.051

RESINA INT.IONICO PAPELILLO 20 GRMS 5182697 3.305 3.305 3.305

RESINA INT.IONICO PAPELILLO 5 GRMS 5182436 3.623 3.623 3.623

RESORCAL CAP. 100 MG CAJA 5182745 16.469 16.469 16.469

RESORCAL NIÑO SBR. 30 MG 5182703 17.496 17.496 17.496

RESORCAL SOBRE/ LACTANT.PED 10MG.CJA. 5081011 13.299 13.299 13.299

REVIL VIT. JARABE/CAJA 5182166 38.333 38.333 38.333

REYATAZ ( ATAZANAVIR ) 300MG X 30CAPS 5808067 911.592 911.592 911.592

RHESAL 60-90 CAJA 5182244 16.820 16.820 16.820

RHINOCORT AQUA 64MCG. 5182793 44.489 44.489 44.489

RIBOLAC 200MG COM. X CAJA 5808071 15.755 15.755 15.755

RIFAMPICINA 150 MG. 5182172 395 395 395

RIGINAL COMP.50MG/CAJA 5182886 38.556 38.556 38.556

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

RINGER LACTATO 500 CC (HRB2323)* 40U*(40000878)MV 5121031 5.629 5.629 5.629

RINOBANEDIF UNG.NASAL 5182049 22.997 22.997 22.997

RINOFILAX 5MGX30 (DESLORATADINA )/CAJA 5011126 29.448 29.448 29.448

RINOLERGAN CAJA 5182796 35.799 35.799 35.799

RINOVAL SUS.NASA.50 MG/CAJA 5182694 29.503 29.503 29.503

RITMENAL 300MG/30 COMP./CAJA (GABAPENTINA) 5071031 51.132 51.132 51.132

RITMOCOR 150MG/CAJA/(20 COMP) 5022006 37.570 37.570 37.570

RIZE 5 MG/ 30 COMP.CAJA #CO# 5182739 35.065 35.065 35.065

RIZE 10MG/COMPRIMIDO *UNIDAD* #CO# 5182993 4.573 4.573 4.573

RIZE 5MG/COMPRIMIDO *UNIDAD* #CO# 5182992 2.985 2.985 2.985

RIZE/CLOTIAZEPAN 10 MG/X 30COMP. CAJA #CO# 5182970 49.915 49.915 49.915

ROACRETAN 20 MG * CAJA 5182462 255.716 255.716 255.716

ROCALTROL 0 50 MCG/X 30COMP./CAJA 5011047 122.365 122.365 122.365

ROCALTROL 0.25 MGX30 CAP. 5182730 86.304 86.304 86.304

RODEPAN FRASCO 5182428 47.551 47.551 47.551

ROKAN * CAJA 5182433 71.832 71.832 71.832

ROSUMED/ ROSVEL COMP.20MG/CAJA (ROSUVASTATINA) 5182941 73.073 73.073 73.073

RUX ( ROSUVASTATINA )20MGX 30COMP. /CAJA 5071084 58.762 58.762 58.762

RUX 10MG 35COMP CAJA 5182860 36.062 36.062 36.062

S-26 GOLD (LECHE) 5172005 16.341 16.341 16.341

SAF - GEL 5051089 41.304 41.304 41.304

SALBUTAMOL BUTOTAL INHALADOR 5182389 11.308 11.308 11.308

SALOFACK SUP. 500MG X 30. /CAJA 5802779 237.911 237.911 237.911

SALOFALK 500MGX50* CAJA* 5182297 143.372 143.372 143.372

SALOFALK * SOBRE 5182849 1.580 1.580 1.580

SALOFALK 500MG/100 COMP. /CAJA 5182976 253.662 253.662 253.662

SALOFALK SUP.500MG X 10 /CAJA 5180833 84.068 84.068 84.068

SANDIMMUN NEORAL.25MG CAP./ ( CICLOSPORINA) COMP. 5011147 7.281 7.281 7.281

SANDOSTATIN 0 1 MG/ML AMPOLLA 5131004 145.702 145.702 145.702

SECOTEX 0,4MG X50COMP/CAJA( TAMSULOSINA) / PROSTALL 5182277 43.475 43.475 43.475

SECOTEX OCAS 0,4 MG (TAMSULOSINA ) * COMPRIMIDO *DU* 5011131 2.744 2.744 2.744

SECOTEX OCAS 0.4 MG/GOTELY X 30COMP.(TAMSULOSINA) *30*CAJA 5051106 53.198 53.198 53.198

SEDATIVAL FP COM.30MG 5113026 17.620 17.620 17.620

SENTIDOL 150MG/CAJA 5180795 56.500 56.500 56.500

SEPTRIN FORTE COMP * CAJA 5182232 25.073 25.073 25.073

SEPTRIN FORTE JARABE 5182146 25.548 25.548 25.548

SERETIDE /125/25 BREXOTIDE INHALADOR * CAJA 5182320 124.645 124.645 124.645

SERETIDE DISK 50/250 5051078 162.646 162.646 162.646

SERETIDE INH. 250/5C/C /CAJA 5051121 121.895 121.895 121.895

SERETIDE INH.250/25 C/CAJA MV 40000760 5071038 128.858 128.858 128.858

SEREVENT * CAJA 5182108 166.963 166.963 166.963

SEROQUEL XR 50 MG X 30 COMP (QUETIAPINA )/ CAJA 5182931 100.141 100.141 100.141

SEVORANE DE 250CC X DOSIS (1)CC 5112009 3.744 3.744 3.744

SEVORANE FRASCO 250 ML 5112024 607.507 607.507 607.507

SHAMPOO *MINI. FRASCO (SACHET) 5182102 884 884 884

SIFROL.0,25 MG/.CAJA. 5051064 92.893 92.893 92.893

SILOMAT JBE. 120 ML 5182060 33.428 33.428 33.428

SILOMAT40MG.X20GRAG. 5182649 10.270 10.270 10.270

SIMPERTEN-D-50/12.5+30 COMP.CAJ. 5182578 32.509 32.509 32.509

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

SIMVASTATINA/ZOCOR 40MG./CAJA 5180801 150.085 150.085 150.085

SINASMAL INHALADOR/SALBUTAMOL 5182241 34.895 34.895 34.895

SINCRIS COMP.5 MG/CAJA (OLANZAPINA) 5182821 64.458 64.458 64.458

SLOW K CLORURO POTASIO 600MG *DU* DOSIS UNITARIA 5182522 4.553 4.553 4.553

SMOFKABIVEN 1100 KCAL 986ML * NUTRICION PARENTERAL* 5171019 185.566 185.566 185.566

SMOFKABIVEN 1600 KCAL* 1477ML CENTRAL.NUTRICION PARENTERAL*MV 40006178 5171014 238.585 238.585 238.585

SMOFKABIVEN PERIFERICO 800KCAL./ 1206 ML 5171024 185.566 185.566 185.566

SOL.RINGER LACTATO P/ARTROSC. 3 LT(ARB7487)*6U*(40002021)MV 5121029 22.230 22.230 22.230

SOL.SALINA BALANCEADA 500CC DR.M.HDZ 5121041 83.372 83.372 83.372

SOL.UROLOGICA IRRIGACION VESICAL * 3 LTS GLICINA 1.5 % 5121030 23.969 23.969 23.969

SOLIN 1% AMPOLLAS 5182312 2.872 2.872 2.872

SOLUCION FISIOLOGICA P/IRRIGACION 1000CC*12U*( 40006072) 5121002 10.051 10.051 10.051

SOLUCION MONSEL FCO. ( DOLPHIN ) 5808069 69.587 69.587 69.587

SOLU-CORTEF 100 MG FRASCO 5071009 9.665 9.665 9.665

SOLU-CORTEF 500 MG * 1 AMPOLLA 5071006 25.129 25.129 25.129

SOLU-MEDROL 1000 MG * 1GR. AMPOLLA 5071010 261.780 261.780 261.780

SOLU-MEDROL 40 MG * 1 AMP.METILPREDNISOL 5071007 42.822 42.822 42.822

SOLU-MEDROL 500 MG * 1 AMPOLLA 5071008 111.976 111.976 111.976

SOMESE 0 25 MG (TRIAZOLAM) CAJA 5113032 53.304 53.304 53.304

SOMNO 10MG X30COMP /CAJA 5182562 59.335 59.335 59.335

SOMNO 5MG COMP./ CAJA 5180266 36.296 36.296 36.296

SOMNO XR 12.5MGX 30COMP./CAJA 5182996 55.471 55.471 55.471

SPASMEX 30MG/20COMP. 5182650 59.622 59.622 59.622

SPASMODOX 40MG/COMP.REC./CAJA 5182286 33.590 33.590 33.590

SPIRIVA * CAP 18MCG.30C/ INHALADOR 5182684 132.224 132.224 132.224

SPLENDIL/ANTAGONISTA DE CALCIO.ANTIHIPE 5051602 57.406 57.406 57.406

STENT CON DROGA ENDEAVOR 3979408 4.309.433 4.309.433 4.309.433

STERIMAR ( HYPERT.) SOL.100ML /CAJA 5071048 38.589 38.589 38.589

STILNOX 12 5MG COMP. CAJA 5182778 19.937 19.937 19.937

STOCRIN 600MG. CAJA X 30 5808028 938.322 938.322 938.322

STREPTASE 1.500.000 FRASCO 5142002 1.049.330 1.049.330 1.049.330

STRESAM ( ETIFOXINA) 50MGX60 CAP./CAJA 5071069 54.185 54.185 54.185

STUGERON 25MG/ COMP * CAJA 5182104 34.471 34.471 34.471

STUGERON FORTE 75MG/30COMP./CAJA 5111150 37.743 37.743 37.743

STUGERON FTE. 75 MG/60 COMP./CAJA 5182328 71.410 71.410 71.410

SUBGALATO BISMUTO 10GRMS./SOBRE 5181033 10.438 10.438 10.438

SUBGALATO DE BISMUTO * 1 KG 5181005 313.142 313.142 313.142

SUCCINILCOLINA 100 MG.X 5 ML. 5119004 14.580 14.580 14.580

SUCEDAL COMP 10MG/CAJA 5071026 43.334 43.334 43.334

SUERO FISIOLOGICO (VIAFLEX)0 9 %* 100 ML *(HRB1302) 100U(40002189)MV 5121034 5.514 5.514 5.514

SUERO FISIOLOGICO * 3000 CC ( ABB7521)* 4U*(40002425) 5121039 14.691 14.691 14.691

SUERO FISIOLOGICO 0 9 % * 500 CC(HRB1323) * 28U*(FE.30UN. ) 5121008 4.409 4.409 4.409

SUERO FISIOLOGICO 0 9 %* 1000CC* (HRB1324)18U* (FE.18UN.) 5121006 4.860 4.860 4.860

SUERO FISIOLOGICO 0 9% * 250 ML( VBB1322CM ) *56U* (FE.50 UN.)(40000528) 5121023 4.107 4.107 4.107

SUERO FISIOLOGICO 0,9% 5 ML * PLASTICO MV 40000520 5121009 1.060 1.060 1.060

SUERO FISIOLOGICO 0.9% X 10 ML AMPOLLA 5121051 716 716 716

SUERO FISIOLOGICO 0.9% X 20 ML. AMPOLLA MV 40002020 5121021 1.657 1.657 1.657

SUERO FISIOLOGICO 0.9%CLOR. SODIO * 50ML *125 U* 5121033 3.976 3.976 3.976

SUERO GLUCOSADO 5% 250 CC * 56U*(40000804)MV 5121024 4.242 4.242 4.242

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

SUERO GLUCOSADO 5% 500 CC( ARB0063) * 40U* 5121010 3.446 3.446 3.446

SUERO GLUCOSADO 5% 1000 CC(ARB0064) * 20U* 5121012 5.125 5.125 5.125

SUERO GLUCOSADO 10% 500 CC * 40U* (40000873 )MV 5121014 3.446 3.446 3.446

SUERO GLUCOSADO 10% 1000 CC * 20U* 5121032 5.744 5.744 5.744

SUERO GLUCOSADO 20 % * 500 CC 5121035 3.853 3.853 3.853

SUERO GLUCOSADO 20% 250 CC 5121025 3.102 3.102 3.102

SUERO GLUCOSADO 30% 250 CC 5121026 3.526 3.526 3.526

SUERO GLUCOSADO 30% 500 CC 5121027 4.834 4.834 4.834

SUERO GLUCOSADO 5% DE 20ML. MV 40006103 5121049 1.657 1.657 1.657

SUERO GLUCOSALINO 500 CC(HRB1023) * 40U* 5121016 6.009 6.009 6.009

SUERO GLUCOSALINO 1000 CC(HRB1024) * 20U*(40000876)MV 5121018 8.836 8.836 8.836

SULCRAN / MULCATEL (SUCRALFATO)SUSP. 5182228 33.961 33.961 33.961

SULCRAN 1GR.COMP/CAJA. 5051068 30.274 30.274 30.274

SULFADIAZINA COMP 500 MG 5180255 2.521 2.521 2.521

SULFADIAZINA.500MG20CM. 5182605 2.521 2.521 2.521

SULFATO DE MAGNESIO 25% * 5 ML * 100 AMP 5121017 937 937 937

SULFATO DE ZINC AMPOLLA 5173008 4.418 4.418 4.418

SULFATO FERROSO 5182391 2.088 2.088 2.088

SULIX /0 4 MG/60COMP/CAJA 5182622 39.148 39.148 39.148

SULPERAZON 1.5 FRASCO 5011035 87.276 87.276 87.276

SULPILAN 50 MG * COMPRIMIDOS 5182517 685 685 685

SUPPORTAN DRINK 200ML 5071021 15.906 15.906 15.906

SUPRACALM 1 GR. COMP. * CAJA 5182252 19.946 19.946 19.946

SUPRADYN GRA. CAJA 5182593 24.541 24.541 24.541

SUPRADYN PRE-NATAL COMP./CAJA 5182900 21.897 21.897 21.897

SURVIMED OPD HN 500 ML 5808063 54.123 54.123 54.123

SUSTENAN AMP..250MG.1AMP. 5183005 138.174 138.174 138.174

SYMBICORT 160/4.5 /CAJA 5061006 135.845 135.845 135.845

SYMBICORT 320/9.0.INHALADOR.CJ. 5061004 149.301 149.301 149.301

SYMBIOVAG SUP.X10 /CAJA 5180385 41.050 41.050 41.050

SYNACTHEN DEPOT/AMPOLLA 5180818 100.994 100.994 100.994

SYNDOL 30 MG AMPOLLA 5182411 14.498 14.498 14.498

SYNDOL COMPRIM. (CAJA 10MG/10 . MV 40000715 5182341 40.800 40.800 40.800

SYNDOL S/L 30MG COMP.*U* 5051147 9.446 9.446 9.446

SYNTOCINON 5U.I/ 1 ML (100 AMP.) C/FRIO 5041002 15.994 15.994 15.994

SYSTANE SOL.OFT.15 ML 5182546 31.590 31.590 31.590

TALCO- (ANTIMICOTICO-DESODORANT)FITTING 5181002 12.402 12.402 12.402

TALFLEX - PROFENID * GEL 25GR. 5051026 9.994 9.994 9.994

TAMIFLU.75MG-10COMP.(OSELTAMIVIR) 5182651 73.802 73.802 73.802

TANSTON (ACIDO MEFENAMICO)SICADOL.CAJ. 5182720 14.920 14.920 14.920

TAPSIN GTS.100MG/15ML. 5182631 5.183 5.183 5.183

TAREG D 80/12.5 COMP./CAJA *56* 5182965 143.372 143.372 143.372

TAREG 80-5MG CAJA 5808032 149.838 149.838 149.838

TAREG-D 80/12.5 MG./CAJA 5182452 96.507 96.507 96.507

TAREG-D 160/12.5 /X 56 COMP./CAJA 5071055 113.158 113.158 113.158

TAREG-D 160/25.CAJA. 5182854 72.616 72.616 72.616

TAREG-D 320/25 MG X 28 COMP./CAJA 5011172 64.071 64.071 64.071

TAREG-D160/12.5MG.CJA. 5808018 53.244 53.244 53.244

TAREG-VALAXAM VALSARTAN-160/ 28COMP/.CAJA. 5182853 119.955 119.955 119.955

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

TAREG-VALSARTAN- 80MGX28 COMP/CAJA. 5182852 74.354 74.354 74.354

TAREG-VALSARTAN--/160MGX28 /.CAJA- 5182273 88.016 88.016 88.016

TAVANIC LEVOFLOXACINO 500MG FCO 100ML 5182345 96.097 96.097 96.097

TAVOR (FLUCONAZOL ) 150MG X1 COMPRIMIDO /CAJA 5182256 18.727 18.727 18.727

TAVOR 150MG/ 2COMP./CAJA 5182973 36.265 36.265 36.265

TAVOR/ PLUSGIN 150 MGX4COMP.* CAJA 5182245 38.218 38.218 38.218

TAXUS 20 MG/CAJA(TAMOXIFENO) 5182760 17.752 17.752 17.752

TAZONAM LIOFILIZADO 4.5G F.A. 5011044 104.712 104.712 104.712

TEAR NATURAL/ NAPHTEARS/ RED-OF/CLARIMIR GTS.OFT. 5182687 38.717 38.717 38.717

TEGASIR 6 MG * CAJA 5182442 66.439 66.439 66.439

TEGRETAL 200 MG / 400 MG CAJA 5182364 21.753 21.753 21.753

TEGRETAL 200 MG CAJA 5182523 21.753 21.753 21.753

TENSODOX 5MG X 20COMP/TONALGEN/ * CAJA 5182150 22.904 22.904 22.904

TEST DE EMBARAZO 5182722 9.848 9.848 9.848

THEALOZ DUO SOL. OFT. /FCO 5071384 33.762 33.762 33.762

THER/ZELMAC COMP. 6 MG * CAJA 5182128 36.961 36.961 36.961

THYROZOL 10 MG/COMP CAJA 5180785 52.365 52.365 52.365

TIAMINA 10MG X 40 COMP/ CAJA 5808033 7.531 7.531 7.531

TIENAM 500 MG * FRASCO AMPOLLA 5011037 82.842 82.842 82.842

TILCOTIL 20 MG * 1 AMPOLLA 5051012 25.882 25.882 25.882

TILDIEM 60MG.90COMP. 5182249 92.440 92.440 92.440

TILDIEM 60MGX 20 COMP./ TILAZEM/CAJA. 5182565 22.023 22.023 22.023

TIMAROL GOTAS 5182477 33.015 33.015 33.015

TIMAROL PAR CAP./X 30 CAJA 5182122 41.531 41.531 41.531

TIOF SOL.OFT. 0,50% (TIMOLOL) 10 ML/ CAJA 5011150 26.280 26.280 26.280

TIOPENTAL SODICO 1GR FCO.AMP.*25* 5112005 46.391 46.391 46.391

TIOPENTAL SODICO 500 MG F.A 5112022 26.297 26.297 26.297

TIORIDAZINA 25 MG * 30 GRAGEAS ( MELERIL/CAJA) 5182529 3.539 3.539 3.539

TOBRADEX SOL.OFT. 5ML 5182050 50.911 50.911 50.911

TOBRADEX UNG. OFT. 5051048 53.812 53.812 53.812

TOBREX-UNGTO. 5182432 43.533 43.533 43.533

TOL 12 FORTE 10.000 * AMPOLLAS 5173007 4.359 4.359 4.359

TOL 12 FORTE 5000 AMPOLLAS 5173011 6.839 6.839 6.839

TOL 12 FORTE CAP./CAJAX20 5182144 29.691 29.691 29.691

TOL TOTAL * CAJA 5182248 16.942 16.942 16.942

TOLBUTAMIDA 500 MG. * (CAJA) 5182554 1.820 1.820 1.820

TOLEXINE 100MG/X15COMP./CAJA 5011184 40.308 40.308 40.308

TONARIL 2MG CAJA 5182801 42.028 42.028 42.028

TONOPRON FTE.GRA./CAJA 5180258 17.275 17.275 17.275

TONOTENSIL 10 MG (LISINOPRIL) 5182910 30.165 30.165 30.165

TOPAMAX 25MG.28/CAJA 5182723 58.787 58.787 58.787

TOPICTAL 25MG.X28COMP./CAJA 5071017 45.784 45.784 45.784

TOPICTAL 50MGX28COMP./CAJA 5182890 57.941 57.941 57.941

TORECAN * 100 AMPOLLAS * 1 ML 5032009 4.308 4.308 4.308

TORECAN * GRAGEAS 5182531 1.211 1.211 1.211

TORECAN SUPOSIT./CAJA 5051077 20.560 20.560 20.560

TRACRIUM 25MG/2.5ML AMP. 5119005 19.440 19.440 19.440

TRACRIUM 50 MG / 5 ML * 5 AMPOLLAS 5119001 35.602 35.602 35.602

TRAMADOL INYECTABLE 5071383 1.491 1.491 1.491

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

TRAMAL LONG 50MGX10 COMP/CAJA 5011188 50.655 50.655 50.655

TRAMAL 2 ML * AMPOLLAS 5051003 4.763 4.763 4.763

TRAMAL GOTAS 5182069 38.748 38.748 38.748

TRAMAL LONG 100MG X 10COMPR. * CAJA 5051002 53.081 53.081 53.081

TRAMAL LONG 50MG * 10 COMPR./ * CAJA 5055001 18.546 18.546 18.546

TRAMAL LONG 50MGX 20 COMP./CAJA 5182577 51.863 51.863 51.863

TRAN-ONE 200 MGX 10 COMP./CAJA 5071131 71.940 71.940 71.940

TRANSTEC 35 MCG UN_PARCHE ( BUPRENORFINA ) FE_5PARCHE #CO# 5182883 67.122 67.122 67.122

TRANXILIUM 5 MG.CAP/CAJA 5051090 18.455 18.455 18.455

TRANXILIUM CAP.10MG X 25 5182660 23.229 23.229 23.229

TRASYLOL 5.000 UI ( APROTININA) 5142014 144.344 144.344 144.344

TRATAMIENTO GES 5181024 147.949 147.949 147.949

TRATAMIENTO QUIMIOTERAPIA 5181022 227.345 227.345 227.345

TRAUMEEL HEEL COMP. SL X 50 /CAJA 5071068 41.761 41.761 41.761

TRAUMEL .POM.CAJA 5182112 42.497 42.497 42.497

TRAVATAN BAK/SOL.OFT.0 004%/FCO 5182139 60.693 60.693 60.693

TRAVIATA.20MG/30COMP./CAJA 5802724 80.290 80.290 80.290

TRAYENTA 5MG.X 30 COMP./CAJA 5032015 89.558 89.558 89.558

TREX 500MG X 3 COMP-(AZITROMICINA)/CAJA 5011206 29.503 29.503 29.503

TREX 500MG X6 COMP-(AZITROMICINA)/CAJA 5182096 44.706 44.706 44.706

TREX FORTE SUSPENCION ( AZITROMICINA) 5182042 35.145 35.145 35.145

TRIAMCINOLONA ACET. 40 MG.FCO AMP.(KENALOG) 5182896 132.547 132.547 132.547

TRIATEC 2,5 5182192 30.170 30.170 30.170

TRIBESONA CREMA 20 GRM. 5011130 28.473 28.473 28.473

TRICEF 400 X 5 CAP * CAJA 5011030 95.721 95.721 95.721

TRICEF JARABE 5182533 52.049 52.049 52.049

TRICOR / ADENOSINA 6MG * 2 ML * 6 AMPOL 5022005 65.746 65.746 65.746

TRILEPTAL COMP. * CAJA 5182182 288.594 288.594 288.594

TRIM 300MG/10 COMP./CAJA 5071071 85.499 85.499 85.499

TRIM 300MGX30 COMP./CAJA 5071076 85.493 85.493 85.493

TRIMEBUTINO / DEBRIDAT * CAJA 5182066 116.098 116.098 116.098

TRIO-VAL DIA/NOC. COMP./CAJA 5180392 11.578 11.578 11.578

TRITTICO 100.MGX20 COMP/ CAJA. 5182071 70.612 70.612 70.612

TRITTICO-AC 150MGX20 COMP./CAJA 5071092 100.272 100.272 100.272

TROXXIL 1GR. X 4COMP. ( TINIDAZOL) CAJA 5182968 27.221 27.221 27.221

TRUVADA CAJA X30 5808029 1.143.549 1.143.549 1.143.549

TUSIGEN 120 ML /JARABE 5180786 29.679 29.679 29.679

TUSIGEN/CODETOL JBE 5182064 36.647 36.647 36.647

TYGACIL LIOFILIZADO 50 MG F.A * 10 (TIGECICLINA) 5011045 248.956 248.956 248.956

TYSABRI 300MG/15ML (NATALIZUMAB) 5142034 4.392.639 4.392.639 4.392.639

ULCELAC 20 MG/30CAP. 5182682 58.579 58.579 58.579

ULCRATEX CAP. 20MG CAJA 5182226 29.827 29.827 29.827

ULCRATEX CAP. 40 MG CAJA 5182789 78.178 78.178 78.178

ULCRATEX HP-CAJA. 5182879 72.567 72.567 72.567

ULTIVA 1 MG (FRAS/AMP.) #CO# PSICOTROP 5111006 56.103 56.103 56.103

ULTIVA 2 MG. (FRAS/AMP.) #CO# PSICOTROP 5111005 113.966 113.966 113.966

ULTIVA 5MG (FRAS/AMP.) #CO# PSICOTROP 5111008 62.218 62.218 62.218

ULTRABIOTIC 15 GRS 5182185 24.760 24.760 24.760

ULTRIMIN 10MG/CAJA 5011060 3.113 3.113 3.113

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

UNASYN 1.5 GR. FRASCO AMPOLLA 5011036 49.977 49.977 49.977

UNASYNA 375 MG /16 COMP. 5011038 45.707 45.707 45.707

UNDERAN 2% UNGUENTO ANTIBIOTICO ( MUPIROCINA) 5182295 42.026 42.026 42.026

UNIDASE * OFTALMOLOGIA 5131006 154.322 154.322 154.322

URAPIDIL 5MG/ML AMP 5ML TACHYBEN 5121055 41.567 41.567 41.567

URAZOL 5 MG.30 COMP./CAJA. 5182426 23.724 23.724 23.724

UREADIN RX-20-CRM-100ML. 5182870 31.164 31.164 31.164

UREN X 24COMP/CAJA 5182756 9.086 9.086 9.086

URICONT 5MGX40 COMP./CAJA 5071376 39.901 39.901 39.901

UROALQUINE /SOBRE 250GR/CAJA 5182582 87.640 87.640 87.640

URODIAL 200MG * CAJA 5182785 23.167 23.167 23.167

UROTRICEF * CAJA 5182351 77.661 77.661 77.661

UROTRICEF 400 MG 5182429 76.963 76.963 76.963

URSOFALK 250 MG X 100CAP./CAJA 5071082 221.121 221.121 221.121

URSOFALK 250MGX100 CAP./CAJA 5071097 229.965 229.965 229.965

URSOFALK 250MGX50 CAP./CAJA 5182998 143.904 143.904 143.904

VADIRAL/ACICLOVIR * CAJA 5182382 299.298 299.298 299.298

VALAPLEX 160MG/30COMP. 5051144 41.642 41.642 41.642

VALAPLEX 160MG/X30 COMP./CAJA 5180788 41.642 41.642 41.642

VALAX 160MG X 35 COMP./CAJA 5071033 31.639 31.639 31.639

VALAX 80MGX35COMP./CAJA 5182899 39.426 39.426 39.426

VALAX D 160/12 5X35COMP/CAJA 5182990 40.911 40.911 40.911

VALAX D 160/25 /CAJA 5011153 33.590 33.590 33.590

VALAX D-D 80/12 5X35COMP./CAJA 5182991 34.369 34.369 34.369

VALAXAM 320MG/CAJA 5182923 29.425 29.425 29.425

VALAXAM 160MG/5MG X35 COMP./CAJA 5182927 50.843 50.843 50.843

VALAXAM COM.80/5MG/CAJA.35. 5051102 49.438 49.438 49.438

VALAXAM D 160/5/12.5 MG/COMP.35CAJA 5071015 51.386 51.386 51.386

VALAXAM/ VARTALAN AM 160/10 /CAJA 5182961 51.143 51.143 51.143

VALCOTE 500MG E.V F.A ( ACIDO VALPROICO) 5172010 82.842 82.842 82.842

VALCOTE 250MG/20 COMP.CAJA 5180830 36.512 36.512 36.512

VALCOTE 500MGX20COMP./CAJA 5071022 76.438 76.438 76.438

VALCOTE 500MGX50COMP./CAJA 5071121 152.860 152.860 152.860

VALCOTE ER 500MG X50 CAPSULAS * CAJA (LIB.PROL.) 5182566 146.981 146.981 146.981

VALNOC 3 MGX30COMP. (ESZOPICLONA )/CAJA 5011177 23.971 23.971 23.971

VALPAX 1MG/CAJA 5182907 20.920 20.920 20.920

VALPAX 2MG OMP./CAJA 5182957 18.424 18.424 18.424

VALPIN GOTAS * FRASCO 5182237 24.342 24.342 24.342

VALSARTAN/VALUTOL 80MG/COMP.CAJA 5182954 20.768 20.768 20.768

VALTREX 500MG/COMP. /CAJA (VALACICLOVIR ) 5011148 163.249 163.249 163.249

VANCOMICINA-KOVAN- 1 GR 5011029 22.975 22.975 22.975

VANNAIR PMDI 160/4.5MCG INHALADOR 5011145 106.281 106.281 106.281

VARTALAN /CAJA. 5182962 40.935 40.935 40.935

VARTALAN 80MG/COMP./CAJA 5182997 33.079 33.079 33.079

VARTALAN AMLOD.5/160 COMP./CAJA 5181035 40.714 40.714 40.714

VASELINA ESTERIL 10 ML * 1 AMPOLLA 3370004 1.922 1.922 1.922

VASELINA LIQ.MEDICINAL *200ML* 125CC 3370014 6.815 6.815 6.815

VASOMOTAL.16MG-30.CM. 5182679 56.001 56.001 56.001

VATANAL UNG.20GRM. 5071072 26.523 26.523 26.523

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

VENLAFAXINA (DEPUROL RETARD) CAJA*30 CAPS. 150MG 5051085 143.133 143.133 143.133

VENLAFAXINA 75MG. XR. CAP./VENCONTROL LP 30MG CAJA 5051088 64.776 64.776 64.776

VENLAX COMP. 50MG.XR.75MG/30 5051092 40.012 40.012 40.012

VENLAX XR 150MG X 30COMP/CAJA 5071125 136.108 136.108 136.108

VENOFER / CHELTIN 100MG.AMP 5170007 53.019 53.019 53.019

VERAPAMILO CLORHIDRATO 5 MG / 2 ML * 100 5022001 3.119 3.119 3.119

VESICARE 5MGX10/CAJA 5808060 25.791 25.791 25.791

VIADIL COMP. * CAJA 5182054 10.454 10.454 10.454

VIADIL COMPUESTO 5 MG / 4 ML *100 AMPOLL MV 40000820 5033008 4.418 4.418 4.418

VIADIL COMPUESTO GOTAS (PARGEVERINA-METAMIZOL)MV40002113 5033006 35.602 35.602 35.602

VIADIL SIMPLE 1 ML AMPOLLA MV 40002598 5033001 3.535 3.535 3.535

VIADIL SIMPLE * GOTAS /VIPROXIL GTS (MV 40002316) 5182294 8.889 8.889 8.889

VIBRAMICINA-SIGADOXIN.CAJA(DOXICICLINA). 5182766 37.091 37.091 37.091

VIGAMOX SOL.OFT.0.5% 5802777 65.624 65.624 65.624

VIMOVO COMP.LM500MG/20MGX30COMP /CAJA 5051146 35.134 35.134 35.134

VINTIX 250MGX6 CAPS./CAJA 5011189 18.729 18.729 18.729

VIRONIDA (ACICLOVIR)800MG/CAJA 5180827 109.040 109.040 109.040

VIRONIDA FORTE 400 MG. 5180811 52.924 52.924 52.924

VISCOTEARS GEL OFT.10G/CAJA 5071040 45.066 45.066 45.066

VISINE SOL. OFT. X 15 ML 5182036 39.720 39.720 39.720

VISIPAQUE 270 MG X 50 ML 5162006 62.960 62.960 62.960

VISKALDIX 20MG.COMP/CAJA 5081012 44.173 44.173 44.173

VIT.C 1000 TAB.EFERVECENTE. 5182782 10.650 10.650 10.650

VITALIPID 5808070 22.091 22.091 22.091

VITAMINA B1 TIAMINA 30 MG * AMPOLLA 5173004 784 784 784

VITAMINA B12 CIANOCOBALAMINA 0.1 MG *AMP 5173001 749 749 749

VITAMINA B6 PIRIDOXINA 100 MG * 5 AMPOLL 5173003 736 736 736

VITAMINA C 100 MG.ESVIT /MINTAVIT-C* CAJA 5182134 5.556 5.556 5.556

VITAMINA C 100MG AMPOLLA 5173009 811 811 811

VITAMINA C 500MG/CAJA 5182960 5.768 5.768 5.768

VITAMINA C-1GR. CEBION EFERV.X 20 COMP/CAJA 5051108 11.174 11.174 11.174

VITERNUM VIT.JBE 125ML/CAJA 5071095 40.668 40.668 40.668

VITRAX * OFTALMOLOGIA 5131009 198.820 198.820 198.820

VIVERA PVO SOBRE 2GRX8 (LACTOBACILLUS )CAJA 5011204 21.698 21.698 21.698

VOLUVEN 500 ML 5121040 46.391 46.391 46.391

VONTROL /25MGX 30 (DIFENIDOL) /CAJA. 5182317 47.105 47.105 47.105

VONTROL.25MGX 10COMP./ CAJA 5182537 13.878 13.878 13.878

VYTORIN * CAJA 5182421 20.874 20.874 20.874

WALIX 600MG.20 COMP.(OXAPROZIN) 5182671 21.172 21.172 21.172

WELLBUTRIN SR (BUPROPION) 150MGX 30 COMP. * CAJA 5182315 114.377 114.377 114.377

WELLBUTRIN XL 150MGX30 COMP./CAJA 5071126 112.727 112.727 112.727

XALATAN SOL.OFT 0 005%/CAJA 5182972 64.133 64.133 64.133

XARELTO / RIVAROXABAN 10 MG *COMPRIMIDO* 5808072 23.461 23.461 23.461

XARELTO 15MG.28 COMP. (CAJA) 5182893 160.925 160.925 160.925

XARELTO 15MG/COMPRIMIDO *U* 5808052 20.766 20.766 20.766

XARELTO 20MGX28COMP/ * CAJA. 5808039 141.432 141.432 141.432

XINDER CREMA 5182439 17.688 17.688 17.688

XOLAIR 150MG FCO.AMPOLLA (OMALIZUMAB) 5142036 1.147.956 1.147.956 1.147.956

XOLOF D - TOBRADEX SOL.OFTALMICA 5182234 53.580 53.580 53.580

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PRESTACIONES CODIGOVALOR

PARTICULAR

VALOR

FONASA

VALOR

ISAPRE

ARANCEL 2017

MEDICAMENTOS

XOLOF D UNG. OFTALM/CAJA 5071045 37.012 37.012 37.012

XOLOF- UNGUENTO OFT.0 3% 5180822 25.149 25.149 25.149

XTANDI ( ENZALUTAMIDA ) 40MG X 120 COMP. 5808077 8.262.094 8.262.094 8.262.094

XUMADOL /PARACETAMOL 1 GRM (SUPRACALM)*COMP* 5011127 1.770 1.770 1.770

XUMADOL 1GRMX20.COMP./ CAJA 5182959 17.995 17.995 17.995

XUMADOL SBR.EFERV.1 GRX20 /CAJA 5071032 22.392 22.392 22.392

XUZAL-NEOALERTOP 5MG * LEVOCETIRIZINA * CAJA 5182809 13.211 13.211 13.211

YONKA GLUCONATO POTASIO 780MG 1 CAJA (40 COMPR). 5051059 22.392 22.392 22.392

ZAFIN COMP.X28 /CAJA 5071107 44.995 44.995 44.995

ZALEDOR-P X 30 COMP./CAJA 5011160 21.126 21.126 21.126

ZATROL- LOSEC 20 MG CAJA 5182041 14.781 14.781 14.781

ZAVIANA FS 12.5MGX30 COMP./CAJA (ZOLPIDEM) 5182978 41.724 41.724 41.724

ZELDOX 20 MG.X30CAP. 5182702 146.303 146.303 146.303

ZELMAC6MG.X30COMP. 5180626 32.867 32.867 32.867

ZENTEL GOTAS.CJA. 5051135 23.154 23.154 23.154

ZIAC 2.5 MG / 5.0 MG CAJA 5182709 54.011 54.011 54.011

ZILFIC 50MG/COMP.(SILDENAFIL)CAJA 5180265 21.371 21.371 21.371

ZIVAL 5MG 40COMP (LEVOCETIRIZINA) CAJA 5182862 25.314 25.314 25.314

ZOLTUM 40MG X 28 COMP.(PANTOPRAZOL)/CAJA 5011179 48.941 48.941 48.941

ZOMEL 20 MGX35 COMP./CAJA 5071053 54.616 54.616 54.616

ZOMEL 40MG/ 35 CAPS./ CAJA(ESOMEPRAZOL) 5034012 58.453 58.453 58.453

ZOMEL HP TRI-TERAPIA/ CAJA 5011149 81.064 81.064 81.064

ZOMETA 4MG AMPOLLA 5081006 1.072.172 1.072.172 1.072.172

ZOTRAN 0.50MG TAB CAJA 5113030 33.316 33.316 33.316

ZOVIRAX EUROVIR/800MGX 35COMP. 5182686 108.483 108.483 108.483

ZURCAL COMPR. * CAJA 5182148 122.027 122.027 122.027

ZYLORIC * UROGOTAN- ALOPURINOL * CAJA 5182048 33.508 33.508 33.508

ZYMAR GOTAS * CAJA 5182362 51.028 51.028 51.028

ZYPRED SUSP. OFT. 3ML/FRASCO 5182917 60.647 60.647 60.647

ZYPREXA 10MG X 28 COMP./CAJA 5051606 295.779 295.779 295.779

ZYPREXA(OLANZAPINA) 10MG * DOSIS UNITARIA * 5051054 30.521 30.521 30.521

ZYRTEC / HISTAX (CETIRIZINA )10 MGX 30 COMP..CAJA 5182669 46.259 46.259 46.259

ZYRTEC-D COMP.20 5051109 41.304 41.304 41.304

ZYVOX * CAJA 5182415 1.285.043 1.285.043 1.285.043

ZYVOX 600MG*300ML LINEZOLID 5011040 290.282 290.282 290.282