| | # | Código del Catálogo | Objeto de Gasto | Descripción del bien o servicio | Unidad de Medida | Cantidad | Precio referencial unitario | Precio referencial total | | 1 | 51112001 | 34200 | Capecitabina
1 l0103 capecitabine | Comprimido | 1200 | 4.00 | 4,800.00 | | 2 | 51112701 | 34200 | Carboplatino
2 l0104 carboplatino (fotosensible) | Inyectable | 100 | 330.00 | 33,000.00 | | 3 | 51112507 | 34200 | Ciclofosfamida
3 l0106 ciclofosfamida | Inyectable | 20 | 125.00 | 2,500.00 | | 4 | 51112702 | 34200 | Cisplatino
4 l0109 cisplatino (fotosensible) | Inyectable | 85 | 113.98 | 9,688.30 | | 5 | 51112402 | 34200 | Dacarbazina
5 l0112 dacarbazina | Inyectable | 30 | 139.98 | 4,199.40 | | 6 | 51111739 | 34200 | Etopósido
6 l0116 etopósido | Inyectable | 30 | 51.98 | 1,559.40 | | 7 | 51442004 | 34200 | Fluorouracilo
7 l0117 fluorouracilo | Inyectable | 250 | 29.98 | 7,495.00 | | 8 | 51111617 | 34200 | Gemcitabina
8 l0118 gemcitabine | Inyectable | 20 | 460.00 | 9,200.00 | | 9 | 51112510 | 34200 | Ifosfamida
9 l0120 ifosfamida | Inyectable | 10 | 131.00 | 1,310.00 | | 10 | 51111767 | 34200 | Vincristina
10 l0130 vincristina | Inyectable | 100 | 60.00 | 6,000.00 | | 11 | 51112701 | 34200 | Carboplatino
11 l0132 carboplatino (fotosensible) | Inyectable | 10 | 200.00 | 2,000.00 | | 12 | 51112705 | 34200 | Oxaliplatino
12 l0135 oxaliplatino | Inyectable | 70 | 160.00 | 11,200.00 | | 13 | 51111731 | 34200 | Bevacizumab
13 l0136 bevacizumab** | Inyectable | 350 | 2,900.00 | 1,015,000.00 | | 14 | 51101929 | 34200 | Docetaxel
14 l0138 docetaxel | Inyectable | 110 | 435.00 | 47,850.00 | | 15 | 51111716 | 34200 | Rituximab
15 l0141 rituximab** | Inyectable | 30 | 6,500.00 | 195,000.00 | | 16 | 51111717 | 34200 | Trastuzumab
16 l0142 trastuzumab** | Inyectable | 28 | 5,000.00 | 140,000.00 | | 17 | 51111717 | 34200 | Trastuzumab
17 l0143 trastuzumab** | Inyectable | 5 | 13,000.00 | 65,000.00 | | 18 | 51281817 | 34200 | Doxorubicina aglycone
18 l0148 doxorubicina liposomal pegilada | Inyectable | 310 | 549.00 | 170,190.00 | | 19 | 51112005 | 34200 | Imatinib
19 l0150 imatinib | Comprimido | 900 | 208.00 | 187,200.00 | | 20 | 51111838 | 34200 | Bortezomib
20 l0155 bortezomib | Inyectable | 20 | 5,900.00 | 118,000.00 | | 21 | 51112006 | 34200 | Pazopanib
21 l0157 pazopanib | Comprimido | 1500 | 126.50 | 189,750.00 | | 22 | 85446210 | 34200 | El diagnóstico de droga o medicamento, no especificado
22 l0158 pertuzumab** | Inyectable | 10 | 17,000.00 | 170,000.00 | | 23 | 51111904 | 34200 | Paclitaxel
23 l0160 paclitaxel | Inyectable | 20 | 499.00 | 9,980.00 | | 24 | 51111875 | 34200 | Anastrozol
24 l0201 anastrozol | Comprimido | 2000 | 2.50 | 5,000.00 | | 25 | 51111820 | 34200 | Letrozol
25 l0204 letrozol | Comprimido | 4000 | 2.90 | 11,600.00 | | 26 | 51111873 | 34200 | Tamoxifeno
26 l0205 tamoxifeno | Comprimido | 300 | 2.97 | 891.00 | | 27 | 51111815 | 34200 | Triptorelina
27 l0207 triptorelina 11.25 mg | Inyectable | 12 | 3,050.00 | 36,600.00 | | 28 | 51111815 | 34200 | Triptorelina
28 l0208 triptorelina 22.5 mg | Inyectable | 55 | 8,000.00 | 440,000.00 | | 29 | 51111830 | 34200 | Abiraterona
29 l0209 acetato de abiraterona | Comprimido | 600 | 50.20 | 30,120.00 | | 30 | 51111807 | 34200 | Leuprolida
30 l0210 acetato de leuprolide | Inyectable | 5 | 1,774.00 | 8,870.00 | | 31 | 51303609 | 34200 | Benzalkonium / cetylpyridinium / chloroxylenol / triacetin
31 l0211 enzalutamida | Capsula | 3000 | 129.00 | 387,000.00 | | 32 | 51203101 | 34200 | Ciclosporin o cyclosporine
32 l0403 ciclosporina | Solucion | 35 | 1,000.00 | 35,000.00 | | 33 | 51201811 | 34200 | Talidomida
33 l0408 talidomida | Comprimido | 160 | 16.00 | 2,560.00 | | 34 | 51202804 | 34200 | Tacrolimus
34 l0410 tacrolimus | Comprimido | 500 | 10.00 | 5,000.00 | | 35 | 51203301 | 34200 | Lenalidomida
35 l0415 lenalidomide 10mg | Capsula | 84 | 324.00 | 27,216.00 | | 36 | 51203301 | 34200 | Lenalidomida
36 l0417 lenalidomide 25 mg | Capsula | 210 | 554.00 | 116,340.00 | | 37 | 51182415 | 34200 | Ácido zoledrónico
37 m0504 acido zoledronico | Inyectable | 10 | 480.00 | 4,800.00 | | 38 | 51172310 | 34200 | Ácido folínico o leucovorina
38 v0307 leucovorina (fotosensible) | Inyectable | 150 | 35.99 | 5,398.50 | | 39 | 51172324 | 34200 | Mesna
39 v0308 mesna (mercapto etilsulfonato sódico) | Inyectable | 20 | 64.00 | 1,280.00 | | TOTAL: Tres millones quinientos dieciocho mil quinientos noventa y siete 60/100 | 3,518,597.60 | |
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