| Contract Number | Format | Brand Name | Cost /30 days | SIGCode | |
|---|---|---|---|---|---|
| 41 | SPIRONOLACTONE 100MG TAB | SPIROLON (REM) | 5,00 | ||
| 42 | SPIRONOLACTONE 100MG TAB | SPIROLON (REM) | 5,00 | ||
| 40 | SPIRONOLACTONE 100MG TABLET | SPIROLON (REM) | 5,00 | ||
| 41 | SPIRONOLACTONE 25MG TAB | SPIROLON (REM) | 5,00 | ||
| 42 | SPIRONOLACTONE 25MG TAB | SPIROLON (REM) | 5,00 | ||
| 40 | SPIRONOLACTONE 25MG TABLET | SPIROLON (REM) | 5,00 | ||
| 40 | SPIRONOLACTONE 25MG TABLET | SPIRONOLACTONE (KWA) | 5,00 | ||
| 42 | TRIMETAZIDINE 20MG TAB | TRIMETAZIDINE (HEA) | 5,00 | ||
| 41 | TRIMETAZIDINE 20MG TAB | CARDIZINE (AUR) | |||
| 40 | TRIMETAZIDINE 20MG TABLET | TRIMETAZIDINE (HEA) | 5,00 | ||
| 40 | TRIMETAZIDINE 20MG TABLET | CARDIZINE (AUR) | |||
| 40 | TRIMETAZIDINE 20MG TABLET IMMED | TRIMETAZIDINE (HEA) | 5,00 | ||
| 42 | VALSARTAN 160MG TAB | DIOVAN (NVS) | 23,80 | 1 OD | |
| 41 | VALSARTAN 160MG TAB | DIOVAN (NVS) | 26,46 | 1 OD | |
| 41 | VALSARTAN 160MG TAB | DIOVAN (NVS) | 26,46 | 1 OD | |
| 40 | VALSARTAN 160MG TABLET | DIOVAN (NVS) | |||
| 40 | VALSARTAN 160MG TABLET | DIOVAN (NVS) | 26,50 | 1 OD | |
| 42 | VALSARTAN 320MG TAB | DIOVAN (NVS) | 33,00 | 1 OD | |
| 41 | VALSARTAN 320MG TAB | DIOVAN (NVS) | 32,88 | 1 OD | |
| 40 | VALSARTAN 320MG TABLET | DIOVAN (NVS) | 33,00 | 1 OD | |