| Contract Number | Format | Brand Name | Cost /30 days | SIGCode | |
|---|---|---|---|---|---|
| 41 | ATORVASTATIN 40MG TAB | ATORVASTATIN (CIR) | |||
| 41 | ATORVASTATIN 40MG TAB | ASTAT (TPP) | 5,00 | ||
| 41 | ATORVASTATIN 40MG TAB | ATORVASTATIN (FSB) | 5,00 | 1TOD | |
| 42 | ATORVASTATIN 40MG TAB | ATORVASTATIN (FSB) | 5,00 | ||
| 41 | ATORVASTATIN 40MG TAB | ATORSTAN (REM) | 8,02 | 1TOD | |
| 41 | ATORVASTATIN 40MG TAB | ATORSTAN (REM) | 13,95 | 1TOD | |
| 40 | ATORVASTATIN 40MG TABLET | ATORVASTATIN (CPP) | 7,70 | 1 OD | |
| 40 | ATORVASTATIN 40MG TABLET | ATORVASTATIN (FSB) | 8,30 | 1TOD | |
| 40 | ATORVASTATIN 40MG TABLET | ATORVASTATIN (RYV) | 5,00 | 1 OD | |
| 40 | ATORVASTATIN 40MG TABLET | ATORVASTATIN (UME) | 5,00 | 1TOD | |
| 40 | ATORVASTATIN 40MG TABLET IMMED | LIPITAS (INP) | 10,41 | 1TOD | |
| 41 | ATORVASTATIN 80MG TAB | ATORVASTATIN (FSB) | 5,00 | ||
| 42 | ATORVASTATIN 80MG TAB | ATORVASTATIN (MOR) | 5,00 | ||
| 41 | ATORVASTATIN 80MG TAB | ATORVASTATIN (MSN) | 5,00 | ||
| 42 | BETAHISTINE 16MG TAB | VERTILINE (JLP) | 5,00 | ||
| 41 | BETAHISTINE 16MG TAB | ZEVERT (INP) | 5,00 | AS DIRECT | |
| 40 | BETAHISTINE 8MG TABLET | ZEVERT (INP) | |||
| 41 | BISOPROLOL 10MG TAB | APO-BISOPROLOL (APO) | 5,00 | 1OD | |
| 41 | BISOPROLOL 10MG TAB | BISOPROLOL (MCP) | 5,00 | ||
| 42 | BISOPROLOL 10MG TAB | BISOPROLOL (IPC) | 5,00 | ||