ANEXO II DEL PLIEGO DE PRESCRIPCIONES TECNICAS
Nº Lote
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46
MEDICAMENTOS
Aciclovir (D.O.E.), 250 mg, iny Alprazolam (D.O.E.), 0,50 mg, oral Alprazolam (D.O.E.), 1 mg, oral Alprazolam (D.O.E.), 2 mg, oral Alprostadilo alfa ciclodextrina (D.O.E.) 20 mcg/5 mL, amp Amikacina (D.O.E.), 500 mg, inyectable 100 mL Amikacina (D.O.E.), 500 mg, inyectable 2 mL Amoxicilina (D.O.E.)/Clavulánico ác. (D.O.E.) “1g”, inyectable 1 g/200 mg Amoxicilina (D.O.E.)/Clavulánico ác. (D.O.E.) “2 g”, inyectable 2 g/200 mg Amoxicilina (D.O.E.)/Clavulánico ác. (D.O.E.) “250”, sobres 250/62,5 mg Amoxicilina (D.O.E.)/Clavulánico ác. (D.O.E.) “500”, comp. 500/125 mg Amoxicilina (D.O.E.)/Clavulánico ác. (D.O.E.) “500”, sobres 500/125 mg Amoxicilina (D.O.E.)/Clavulánico ác. (D.O.E.) “875”, sobres 875/125 mg Atosiban (D.O.E.) 37,5 mg/5mL, iny Baclofeno (D.O.E.), 10 mg, iny intratecal Bendamustina (D.O.E.), 100 mg, iny Bendamustina (D.O.E.), 25 mg, iny Busulfano (D.O.E.) 60 mg, amp Capecitabina (D.O.E.) 150 mg, oral Capecitabina (D.O.E.) 500 mg, oral Carboplatino (D.O.E.), 50 mg, solución inyectable Carboplatino (D.O.E.), 150 mg, solución inyectable Carboplatino (D.O.E.), 450 mg, solución inyectable Carboplatino (D.O.E.), 600 mg, solución inyectable Cefazolina (D.O.E.), 1 g, inyectable I.V. Cefepima (D.O.E.), 1g , inectable Cefepima (D.O.E.), 2 g/10 mL , iny Cefotaxima (D.O.E.), 0,5 g, inyectable Cefotaxima (D.O.E.), 1 g, inyectable I.M. Cefotaxima (D.O.E.), 1 g, inyectable I.V. Cefotaxima (D.O.E.), 2 g, inyectable I.V. Ceftazidima (D.O.E.), 1 g, inyectable I.M. Ceftazidima (D.O.E.), 1 g, inyectable I.V. Ceftazidima (D.O.E.), 2 g, inyectable I.V. Ceftriaxona (D.O.E.), 1 g, inyectable I.M. Ceftriaxona (D.O.E.), 1 g, inyectable I.V. Ceftriaxona (D.O.E.), 2 g, inyectable I.V. Ceftriaxona (D.O.E.), 500 mg inyectable I.M. Cefuroxima (D.O.E.), 1.500 mg inyectable Cefuroxima (D.O.E.), 750 mg inyectable Ciprofloxacino (D.O.E.), 0,2%, 100mL, inyectable I.V. Ciprofloxacino (D.O.E.), 0,2%, 200mL, inyectable I.V. Ciprofloxacino (D.O.E.), 500 mg, forma fca. sólida oral Ciprofloxacino (D.O.E.), 750 mg, oral Cisatracurio besilato (D.O.E.) 10 mg/5 mL, iny Cisatracurio besilato (D.O.E.) 20 mg/10 mL, iny
PRECIO MÁXIMO VALOR MÁXIMO VALOR MÁXIMO LICITACIÓN ESTIMACIÓN AM - DOS ESTIMADO PRÓRROGA UN UNITARIO (IVA AÑOS (IVA EXCLUIDO) AÑO (IVA EXCLUIDO) EXCLUIDO)
0,7400 0,0170 0,0144 0,0550 4,5230 1,0000 0,5300 0,6800 1,3363 0,0950 0,0973 0,0973 0,1514 45,6800 19,8300 273,8140 68,4535 160,5975 0,2765 0,9217 3,0000 11,2996 22,1540 91,6800 0,5590 3,8760 7,6692 0,5900 0,5590 0,5480 1,0000 1,1894 1,2965 2,1081 0,5650 0,5650 0,9600 0,7300 1,4400 0,7600 0,6500 1,2000 0,0600 0,0900 1,8680 3,7340
150.458,4284 15.368,7869 2.914,3900 2.544,2314 806.396,4586 7.463,0769 37.090,1061 968.713,0985 257.769,0147 5.037,8562 122.466,8965 32.215,0194 130.233,4331 1.707.463,9969 109.441,2744 1.371.808,1400 343.636,5700 656.308,4500 179.436,4341 3.117.445,0960 390,0000 74.893,4837 264.883,5338 643.593,6000 354.997,4565 270.197,1815 266.524,8697 11.521,5200 3.457,3874 105.735,0422 63.359,9297 48.295,3088 110.955,7195 112.105,2761 165.991,5643 204.861,3217 162.080,3182 2.901,7285 36.281,3500 114.180,7242 171.755,2038 171.184,5304 44.386,3879 16.963,0889 256.920,3742 313.237,7920
75.229,2142 7.684,3935 1.457,1950 1.272,1157 403.198,2293 3.731,5385 18.545,0531 484.356,5493 128.884,5074 2.518,9281 61.233,4482 16.107,5097 65.116,7165 853.731,9985 54.720,6372 685.904,0700 171.818,2850 328.154,2250 89.718,2171 1.558.722,5480 195,0000 37.446,7418 132.441,7669 321.796,8000 177.498,7283 135.098,5908 133.262,4349 5.760,7600 1.728,6937 52.867,5211 31.679,9649 24.147,6544 55.477,8597 56.052,6380 82.995,7822 102.430,6609 81.040,1591 1.450,8643 18.140,6750 57.090,3621 85.877,6019 85.592,2652 22.193,1940 8.481,5445 128.460,1871 156.618,8960
VALOR MÁXIMO ESTIMADO MODIFICACIÓN -IVA EXCLUIDO (25%)
37.614,6071 3.842,1967 728,5975 636,0579 201.599,1147 1.865,7692 9.272,5265 242.178,2746 64.442,2537 1.259,4641 30.616,7241 8.053,7548 32.558,3583 426.865,9992 27.360,3186 342.952,0350 85.909,1425 164.077,1125 44.859,1085 779.361,2740 97,5000 18.723,3709 66.220,8834 160.898,4000 88.749,3641 67.549,2954 66.631,2174 2.880,3800 864,3469 26.433,7606 15.839,9824 12.073,8272 27.738,9299 28.026,3190 41.497,8911 51.215,3304 40.520,0796 725,4321 9.070,3375 28.545,1811 42.938,8010 42.796,1326 11.096,5970 4.240,7722 64.230,0936 78.309,4480
VALOR TOTAL MÁXIMO ESTIMADO expediente (incluida prórroga y modificación) IVA EXCLUIDO
CODIGOS SAS
263.302,2497 SU.PC.FARM.J.0.5.A.B.01.1339 26.895,3771 SU.PC.FARM.N.0.5.B.A.12.3087 5.100,1824 SU.PC.FARM.N.0.5.B.A.12.410 4.452,4050 SU.PC.FARM.N.0.5.B.A.12.1331 1.411.193,8026 SU.PC.FARM.C.0.1.E.A.01.3886 13.060,3846 SU.PC.FARM.J.0.1.G.B.06.135 64.907,6857 SU.PC.FARM.J.0.1.G.B.06.135 1.695.247,9224 SU.PC.FARM.J.0.1.C.R.02.3042 451.095,7757 SU.PC.FARM.J.0.1.C.R.02.3073 8.816,2484 SU.PC.FARM.J.0.1.C.R.02.211 214.317,0688 SU.PC.FARM.J.0.1.C.R.02.569 56.376,2839 SU.PC.FARM.J.0.1.C.R.02.569 227.908,5079 SU.PC.FARM.J.0.1.C.R.02.464 2.988.061,9946 SU.PC.FARM.G.0.2.C.X.01.18618 191.522,2302 SU.PC.FARM.M.0.3.B.X.01.3828 2.400.664,2450 SU.PC.FARM.L.0.1.A.A.09.16688 601.363,9975 SU.PC.FARM.L.0.1.A.A.09.16689 1.148.539,7875 SU.PC.FARM.L.0.1.A.B.01.16343 314.013,7597 SU.PC.FARM.L.0.1.B.C.06.13403 5.455.528,9180 SU.PC.FARM.L.0.1.B.C.06.13404 682,5000 SU.PC.FARM.L.0.1.X.A.02.1895 131.063,5964 SU.PC.FARM.L.0.1.X.A.02.178 463.546,1841 SU.PC.FARM.L.0.1.X.A.02.1280 1.126.288,8000 SU.PC.FARM.L.0.1.X.A.02.15955 621.245,5489 SU.PC.FARM.J.0.1.D.B.04.129 472.845,0676 SU.PC.FARM.J.0.1.D.E.01.2979 466.418,5220 SU.PC.FARM.J.0.1.D.E.01.2980 20.162,6600 SU.PC.FARM.J.0.1.D.D.01.509 6.050,4280 SU.PC.FARM.J.0.1.D.D.01.1388 185.036,3239 SU.PC.FARM.J.0.1.D.D.01.1388 110.879,8770 SU.PC.FARM.J.0.1.D.D.01.3587 84.516,7905 SU.PC.FARM.J.0.1.D.D.02.3154 194.172,5090 SU.PC.FARM.J.0.1.D.D.02.3154 196.184,2332 SU.PC.FARM.J.0.1.D.D.02.2405 290.485,2375 SU.PC.FARM.J.0.1.D.D.04.1492 358.507,3130 SU.PC.FARM.J.0.1.D.D.04.1492 283.640,5569 SU.PC.FARM.J.0.1.D.D.04.1795 5.078,0249 SU.PC.FARM.J.0.1.D.D.04.1619 63.492,3625 SU.PC.FARM.J.0.1.D.C.02.12622 199.816,2674 SU.PC.FARM.J.0.1.D.C.02.12621 300.571,6067 SU.PC.FARM.J.0.1.M.A.02.1806 299.572,9282 SU.PC.FARM.J.0.1.M.A.02.1806 77.676,1788 SU.PC.FARM.J.0.1.M.A.02.177 29.685,4056 SU.PC.FARM.J.0.1.M.A.02.1391 449.610,6549 SU.PC.FARM.M.0.3.A.C.11.18311 548.166,1360 SU.PC.FARM.M.0.3.A.C.11.18310
GC
SU.PC.FARM.J.0.5.A.B.01.1339 SU.PC.FARM.N.0.5.B.A.12.3087 SU.PC.FARM.N.0.5.B.A.12.410 SU.PC.FARM.N.0.5.B.A.12.1331 SU.PC.FARM.C.0.1.E.A.01.3886 D98920 D51691 SU.PC.FARM.J.0.1.C.R.02.3042 SU.PC.FARM.J.0.1.C.R.02.3073 D51565 D51564 D94897 D94898 SU.PC.FARM.G.0.2.C.X.01.18618 SU.PC.FARM.M.0.3.B.X.01.3828 SU.PC.FARM.L.0.1.A.A.09.16688 SU.PC.FARM.L.0.1.A.A.09.16689 SU.PC.FARM.L.0.1.A.B.01.16343 SU.PC.FARM.L.0.1.B.C.06.13403 SU.PC.FARM.L.0.1.B.C.06.13404 SU.PC.FARM.L.0.1.X.A.02.1895 SU.PC.FARM.L.0.1.X.A.02.178 SU.PC.FARM.L.0.1.X.A.02.1280 SU.PC.FARM.L.0.1.X.A.02.15955 D95729 SU.PC.FARM.J.0.1.D.E.01.2979 SU.PC.FARM.J.0.1.D.E.01.2980 SU.PC.FARM.J.0.1.D.D.01.509 E18473 D51606 SU.PC.FARM.J.0.1.D.D.01.3587 SU.PC.FARM.J.0.1.D.D.02.3154 D51609 D51608 D94267 D94263 D51611 E06658 SU.PC.FARM.J.0.1.D.C.02.12622 SU.PC.FARM.J.0.1.D.C.02.12621 D51703 E80886 SU.PC.FARM.J.0.1.M.A.02.177 SU.PC.FARM.J.0.1.M.A.02.1391 SU.PC.FARM.M.0.3.A.C.11.18311 SU.PC.FARM.M.0.3.A.C.11.18310
ANEXO II DEL PLIEGO DE PRESCRIPCIONES TECNICAS
Nº Lote
47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91
MEDICAMENTOS
Cisplatino (D.O.E.), 10 mg, solución inyectable Cisplatino (D.O.E.), 50 mg, solución inyectable Cisplatino (D.O.E.), 100 mg, solución inyectable Citarabina (D.O.E.) 100 mg, inyectable Citarabina (D.O.E.) 500 mg, iny Claritromicina (D.O.E.), 250 mg, forma fca. sólida oral Claritromicina (D.O.E.), 500 mg, inyectable I.V. Claritromicina (D.O.E.), 500 mg, oral. Clindamicina (D.O.E.), fosfato 600 mg, inyectable. Cloxacilina (D.O.E.), 1 g, inyectable Colistina (D.O.E.) 1 millon UI, iny Deflazacor (D.O.E.), 30 mg, oral Dexclorfeniramina (D.O.E.) 5 mg, iny Dexketoprofeno (D.O.E.) 50 mg, iny Dexketoprofeno (D.O.E.), 25 mg, oral Didanosina (D.O.E.) 400 mg, cap Dobutamina (D.O.E.), 250 mg, inyectable Docetaxel (D.O.E.) 160 mg, iny Docetaxel (D.O.E.) 80 mg, iny Docetaxel (D.O.E.) 20 mg, iny Doxorubicina (D.O.E.), 10 mg, solución inyectable Doxorubicina (D.O.E.), 50 mg, solución inyectable Doxorubicina liposomal (D.O.E.) 50 mg iny Efavirenz (D.O.E.) 600 mg, cap Epinefrina (D.O.E.), 1 mg/mL, iny Epirubicina (D.O.E.) 100mg, inyectable Epirubicina (D.O.E.) 200mg, inyectable Epirubicina (D.O.E.), 10mg, inyectable Epirubicina (D.O.E.), 50mg, inyectable Epoprostenol (D.O.E.) 500 mcg, inyectable Etoposido (D.O.E.), 100 mg, inyectable 5mL Fentanilo (D.O.E.), parche 12 mcg/h Fentanilo (D.O.E.), parche 25 mcg/h Fentanilo (D.O.E.), parche 50 mcg/h Fentanilo (D.O.E.), parche 75 mcg/h Fentanilo (D.O.E.), parche 100 mcg/h Fluconazol (D.O.E.), 100 mg, oral Fluconazol (D.O.E.), 100 mg/50mL inyectable Fluconazol (D.O.E.), 200 mg/100mL inyectable Fluconazol(D.O.E.), 50 mg, forma fca. sólida oral Fludarabina (D.O.E.), 50mg, inyectable Flumazenilo de 0,5 mg, inyectable 5 mL Flumazenilo de 1 mg, inyectable 10 mL Fluorouracilo (D.O.E.), 250mg, inyectable Fluorouracilo (D.O.E.), 5g, inyectable
PRECIO MÁXIMO VALOR MÁXIMO VALOR MÁXIMO LICITACIÓN ESTIMACIÓN AM - DOS ESTIMADO PRÓRROGA UN UNITARIO (IVA AÑOS (IVA EXCLUIDO) AÑO (IVA EXCLUIDO) EXCLUIDO)
2,2300 11,1500 22,3000 1,6000 7,1900 0,1900 4,8000 0,2800 1,0000 0,4900 3,4100 0,5062 3,0600 0,4897 0,1062 3,0876 1,9548 75,2500 37,6250 9,4063 2,6002 6,6093 478,5900 5,3006 0,2250 22,0000 39,0000 2,6000 11,2537 39,1748 5,0300 0,2079 0,4700 0,9400 1,4100 1,8800 0,4109 0,5800 1,0300 0,3000 23,0000 1,1900 2,1900 0,4300 6,0000
2.729,5200 355.127,5000 212.742,0000 13.462,4000 134.053,3960 2.858,8257 72.827,0400 16.580,9682 245.665,7172 161.526,7882 1.160.476,2624 93.121,7858 1.454.785,5378 1.245.331,5418 156.535,9283 117.920,3292 92.734,7596 578.973,5000 237.368,6700 15.332,2690 8.247,8978 128.981,8415 770.529,9000 2.466.267,2295 119.478,0000 29.348,0000 223.470,0000 2.111,2000 102.903,9242 851.126,0102 199.731,6617 4.244,3280 19.188,9297 22.387,9186 9.112,7820 20.862,0865 27.209,6961 32.667,6874 81.289,3248 3.838,6000 86.620,0015 173.960,9740 57.014,4600 110,0800 178.020,1453
1.364,7600 177.563,7500 106.371,0000 6.731,2000 67.026,6980 1.429,4129 36.413,5200 8.290,4841 122.832,8586 80.763,3941 580.238,1312 46.560,8929 727.392,7689 622.665,7709 78.267,9642 58.960,1646 46.367,3798 289.486,7500 118.684,3350 7.666,1345 4.123,9489 64.490,9208 385.264,9500 1.233.133,6148 59.739,0000 14.674,0000 111.735,0000 1.055,6000 51.451,9621 425.563,0051 99.865,8309 2.122,1640 9.594,4649 11.193,9593 4.556,3910 10.431,0433 13.604,8480 16.333,8437 40.644,6624 1.919,3000 43.310,0008 86.980,4870 28.507,2300 55,0400 89.010,0727
VALOR MÁXIMO ESTIMADO MODIFICACIÓN -IVA EXCLUIDO (25%)
682,3800 88.781,8750 53.185,5000 3.365,6000 33.513,3490 714,7064 18.206,7600 4.145,2421 61.416,4293 40.381,6971 290.119,0656 23.280,4465 363.696,3845 311.332,8855 39.133,9821 29.480,0823 23.183,6899 144.743,3750 59.342,1675 3.833,0673 2.061,9745 32.245,4604 192.632,4750 616.566,8074 29.869,5000 7.337,0000 55.867,5000 527,8000 25.725,9811 212.781,5026 49.932,9154 1.061,0820 4.797,2324 5.596,9797 2.278,1955 5.215,5216 6.802,4240 8.166,9219 20.322,3312 959,6500 21.655,0004 43.490,2435 14.253,6150 27,5200 44.505,0363
VALOR TOTAL MÁXIMO ESTIMADO expediente (incluida prórroga y modificación) IVA EXCLUIDO
CODIGOS SAS
4.776,6600 SU.PC.FARM.L.0.1.X.A.01.1804 621.473,1250 SU.PC.FARM.L.0.1.X.A.01.2964 372.298,5000 SU.PC.FARM.L.0.1.X.A.01.2946 23.559,2000 SU.PC.FARM.L.0.1.B.C.01.1825 234.593,4430 SU.PC.FARM.L.0.1.B.C.01.3593 5.002,9450 SU.PC.FARM.J.0.1.F.A.09.469 127.447,3200 SU.PC.FARM.J.0.1.F.A.09.2890 29.016,6944 SU.PC.FARM.J.0.1.F.A.09.142 429.915,0051 SU.PC.FARM.J.0.1.F.F.01.468 282.671,8794 SU.PC.FARM.J.0.1.C.F.02.3118 2.030.833,4592 SU.PC.FARM.J.0.1.X.B.01.15784 162.963,1252 SU.PC.FARM.H.0.2.A.B.13.1409 2.545.874,6912 SU.PC.FARM.R.0.6.A.B.02.10406 2.179.330,1982 SU.PC.FARM.M.0.1.A.E.17.14263 273.937,8746 SU.PC.FARM.M.0.1.A.E.17.12504 206.360,5761 SU.PC.FARM.J.0.5.A.F.02.13280 162.285,8293 SU.PC.FARM.C.0.1.C.A.07.3932 1.013.203,6250 SU.PC.FARM.L.0.1.C.D.02.17741 415.395,1725 SU.PC.FARM.L.0.1.C.D.02.3890 26.831,4708 SU.PC.FARM.L.0.1.C.D.02.3891 14.433,8212 SU.PC.FARM.L.0.1.D.B.01.1228 225.718,2227 SU.PC.FARM.L.0.1.D.B.01.2381 1.348.427,3250 SU.PC.FARM.L.0.1.D.B.01.2381 4.315.967,6516 SU.PC.FARM.J.0.5.A.G.03.14321 209.086,5000 SU.PC.FARM.C.0.1.C.A.24.1774 51.359,0000 SU.PC.FARM.L.0.1.D.B.03.16293 391.072,5000 SU.PC.FARM.L.0.1.D.B.03.10826 3.694,6000 SU.PC.FARM.L.0.1.D.B.03.433 180.081,8674 SU.PC.FARM.L.0.1.D.B.03.2629 1.489.470,5179 SU.PC.FARM.B.0.1.A.C.09.6834 349.530,4080 SU.PC.FARM.L.0.1.C.B.01.3027 7.427,5741 SU.PC.FARM.N.0.2.A.B.03.16055 33.580,6270 SU.PC.FARM.N.0.2.A.B.03.12859 39.178,8576 SU.PC.FARM.N.0.2.A.B.03.12858 15.947,3685 SU.PC.FARM.N.0.2.A.B.03.14553 36.508,6514 SU.PC.FARM.N.0.2.A.B.03.12857 47.616,9681 SU.PC.FARM.J.0.2.A.C.01.1490 57.168,4530 SU.PC.FARM.J.0.2.A.C.01.12685 142.256,3184 SU.PC.FARM.J.0.2.A.C.01.12687 6.717,5500 SU.PC.FARM.J.0.2.A.C.01.1731 151.585,0026 SU.PC.FARM.L.0.1.B.B.05.3872 304.431,7045 SU.PC.FARM.V.0.3.A.B.25.6839 99.775,3050 SU.PC.FARM.V.0.3.A.B.25.6840 192,6400 SU.PC.FARM.L.0.1.B.C.02.4805 311.535,2543 SU.PC.FARM.L.0.1.B.C.02.13422
GC
SU.PC.FARM.L.0.1.X.A.01.1804 SU.PC.FARM.L.0.1.X.A.01.2964 SU.PC.FARM.L.0.1.X.A.01.2946 SU.PC.FARM.L.0.1.B.C.01.1825 SU.PC.FARM.L.0.1.B.C.01.3593 SU.PC.FARM.J.0.1.F.A.09.469 D51656 SU.PC.FARM.J.0.1.F.A.09.142 SU.PC.FARM.J.0.1.F.F.01.468 SU.PC.FARM.J.0.1.C.F.02.3118 SU.PC.FARM.J.0.1.X.B.01.15784 SU.PC.FARM.H.0.2.A.B.13.1409 SU.PC.FARM.R.0.6.A.B.02.10406 SU.PC.FARM.M.0.1.A.E.17.14263 SU.PC.FARM.M.0.1.A.E.17.12504 E06350 SU.PC.FARM.C.0.1.C.A.07.3932 SU.PC.FARM.L.0.1.C.D.02.17741 SU.PC.FARM.L.0.1.C.D.02.3890 SU.PC.FARM.L.0.1.C.D.02.3891 SU.PC.FARM.L.0.1.D.B.01.1228 SU.PC.FARM.L.0.1.D.B.01.2381 SU.PC.FARM.L.0.1.D.B.01.2381 E83797 SU.PC.FARM.C.0.1.C.A.24.1774 SU.PC.FARM.L.0.1.D.B.03.16293 SU.PC.FARM.L.0.1.D.B.03.10826 SU.PC.FARM.L.0.1.D.B.03.433 SU.PC.FARM.L.0.1.D.B.03.2629 SU.PC.FARM.B.0.1.A.C.09.6834 SU.PC.FARM.L.0.1.C.B.01.3027 D52407 D52403 D52404 D52405 D52406 SU.PC.FARM.J.0.2.A.C.01.1490 SU.PC.FARM.J.0.2.A.C.01.12685 SU.PC.FARM.J.0.2.A.C.01.12687 SU.PC.FARM.J.0.2.A.C.01.1731 SU.PC.FARM.L.0.1.B.B.05.3872 SU.PC.FARM.V.0.3.A.B.25.6839 SU.PC.FARM.V.0.3.A.B.25.6840 SU.PC.FARM.L.0.1.B.C.02.4805 SU.PC.FARM.L.0.1.B.C.02.13422
ANEXO II DEL PLIEGO DE PRESCRIPCIONES TECNICAS
Nº Lote
MEDICAMENTOS
PRECIO MÁXIMO VALOR MÁXIMO VALOR MÁXIMO LICITACIÓN ESTIMACIÓN AM - DOS ESTIMADO PRÓRROGA UN UNITARIO (IVA AÑOS (IVA EXCLUIDO) AÑO (IVA EXCLUIDO) EXCLUIDO)
VALOR MÁXIMO ESTIMADO MODIFICACIÓN -IVA EXCLUIDO (25%)
VALOR TOTAL MÁXIMO ESTIMADO expediente (incluida prórroga y modificación) IVA EXCLUIDO
CODIGOS SAS
GC
92 93 94 95
Fosfato disodico dodecahidratado 10,80 g / sodio dihidrogeno fosfato 24,40 g (D.O.E.) oral Furosemida (D.O.E.), 20 mg inyectable Gemcitabina (D.O.E.) 1 g, inyectable Gemcitabina (D.O.E.) 2 g, inyectable
3,0870 0,1492 15,0000 30,0000
380.466,5760 452.077,3146 338.763,7494 540.960,0000
190.233,2880 226.038,6573 169.381,8747 270.480,0000
95.116,6440 113.019,3286 84.690,9374 135.240,0000
665.816,5080 SU.PC.FARM.A.0.6.A.D.17.13260 791.135,3005 SU.PC.FARM.C.0.3.C.A.01.3507 592.836,5615 SU.PC.FARM.L.0.1.B.C.05.1990 946.680,0000 SU.PC.FARM.L.0.1.B.C.05.17122
SU.PC.FARM.A.0.6.A.D.17.13260 SU.PC.FARM.C.0.3.C.A.01.3507 SU.PC.FARM.L.0.1.B.C.05.1990 SU.PC.FARM.L.0.1.B.C.05.17122
96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136
Gemcitabina (D.O.E.) 200mg, inyectable Gentamicina (D.O.E.), 80 mg, inyectable predisuelto Gentamicina (D.O.E.), 80 mg, vial 2mL Heparina Sódica (D.O.E.), 1% (5.000 UI), inyectable Heparina Sódica (D.O.E.), 5% (25.000 UI), inyectable Hierro(III)-sacarosa 100 mg inyectable Ibuprofeno (D.O.E.), 100 mg/5ml, suspensión oral. Por 100 mg de p.a. Ibuprofeno (D.O.E.), 400 mg, comp Ibuprofeno (D.O.E.), 600 mg, comp Ibuprofeno (D.O.E.), 600 mg, sobres Idarubicina (D.O.E.), 10 mg inyectable Imipenem/Cilastatina (D.O.E.), 500/500 mg, inyectable Irinotecan (D.O.E.), 40 mg, iny Irinotecan (D.O.E.), 500 mg, iny Irinotecan (D.O.E.), 100 mg, iny Itraconazol (D.O.E.), 250 mg, iny Ketorolaco (D.O.E.), 10 mg, oral Ketorolaco (D.O.E.), 30 mg, iny Lamivudina (D.O.E.)- Zidovudina (D.O.E.), 150/300 mg, comp Lamivudina (D.O.E.), 150mg, comp Lamivudina (D.O.E.), 300mg, comp Levetiracetam (D.O.E.), 500 mg, iny Levofloxacino (D.O.E.), 500 mg, inyectable I.V. Levofloxacino (D.O.E.), 500 mg, oral Lorazepam (D.O.E.), 1 mg, oral Mepivacaina (D.O.E.), 200 mg, iny Meropenem (D.O.E.), 1000 mg, iny Metamizol (D.O.E.), sal magnésica 2 g, iny Metamizol (D.O.E.), sal magnésica 575 mg, oral Metilprednisolona (D.O.E.), 125 mg, iny Metilprednisolona (D.O.E.), 20 mg, iny Metilprednisolona (D.O.E.), 40 mg, iny Metoclopramida (D.O.E.), 10 mg, iny Metotrexato (D.O.E.), 1 g, solución iny Metotrexato (D.O.E.), 5 g, solución iny Metotrexato (D.O.E.), 500 mg, solución iny Metronidazol (D.O.E.), 500 mg, inyectable I.V. Micofenolato de mofetilo (D.O.E.), 250 mg, oral Micofenolato de mofetilo (D.O.E.), 500 mg, oral Midazolam (D.O.E.), 5 mg, iny Midazolam (D.O.E.), 15 mg, iny
3,0000 0,3092 0,2000 0,3927 0,8077 1,0820 0,0220 0,01742 0,0210 0,0375 81,8000 5,2000 3,5000 36,0000 7,2500 53,5000 0,1155 0,2800 1,7230 0,7500 1,5000 5,4676 1,7500 0,5890 0,0110 0,4150 11,7860 0,0766 0,0207 1,1300 0,2066 0,2375 0,1140 18,7188 92,6590 9,4083 0,4900 0,1048 0,2096 0,1110 0,1705
4.734,0000 3.348,9572 37.181,6000 192.317,8080 157.206,3699 387.999,8036 17.017,9380 7.851,0591 204.206,2958 45.000,0000 287.608,8000 2.640.304,3676 7.434,0000 171.909,1569 235.436,5000 127.437,0000 25.475,0912 164.092,0663 202.035,9023 26.533,5252 358.545,1777 961.092,1219 593.976,7957 199.893,9098 22.677,1137 321.453,3035 7.526.608,8183 380.655,1972 137.393,6425 487.207,6781 167.415,9415 454.315,8409 248.232,8137 51.214,6368 92.723,1956 29.528,7007 182.988,1777 12.695,9080 135.875,1241 57.238,5591 91.580,6211
2.367,0000 1.674,4786 18.590,8000 96.158,9040 78.603,1850 193.999,9018 8.508,9690 3.925,5296 102.103,1479 22.500,0000 143.804,4000 1.320.152,1838 3.717,0000 85.954,5785 117.718,2500 63.718,5000 12.737,5456 82.046,0332 101.017,9512 13.266,7626 179.272,5889 480.546,0610 296.988,3979 99.946,9549 11.338,5569 160.726,6518 3.763.304,4092 190.327,5986 68.696,8213 243.603,8391 83.707,9708 227.157,9205 124.116,4069 25.607,3184 46.361,5978 14.764,3503 91.494,0889 6.347,9540 67.937,5621 28.619,2796 45.790,3106
1.183,5000 837,2393 9.295,4000 48.079,4520 39.301,5925 96.999,9509 4.254,4845 1.962,7648 51.051,5740 11.250,0000 71.902,2000 660.076,0919 1.858,5000 42.977,2892 58.859,1250 31.859,2500 6.368,7728 41.023,0166 50.508,9756 6.633,3813 89.636,2944 240.273,0305 148.494,1989 49.973,4775 5.669,2784 80.363,3259 1.881.652,2046 95.163,7993 34.348,4106 121.801,9195 41.853,9854 113.578,9602 62.058,2034 12.803,6592 23.180,7989 7.382,1752 45.747,0444 3.173,9770 33.968,7810 14.309,6398 22.895,1553
8.284,5000 SU.PC.FARM.L.0.1.B.C.05.11108 5.860,6751 SU.PC.FARM.J.0.1.G.B.03.1879 65.067,8000 SU.PC.FARM.J.0.1.G.B.03.1879 336.556,1640 SU.PC.FARM.B.0.1.A.B.01.1276 275.111,1473 SU.PC.FARM.B.0.1.A.B.01.149 678.999,6563 SU.PC.FARM.B.0.3.A.C.02.17137 29.781,3915 SU.PC.FARM.N.0.2.B.Z.01.1661 13.739,3534 SU.PC.FARM.M.0.1.A.E.01.2094 357.361,0177 SU.PC.FARM.M.0.1.A.E.01.1860 78.750,0000 SU.PC.FARM.M.0.1.A.E.01.1860 503.315,4000 SU.PC.FARM.L.0.1.D.B.06.10745 4.620.532,6433 SU.PC.FARM.J.0.1.D.H.51.3919 13.009,5000 SU.PC.FARM.L.0.1.X.X.19.2642 300.841,0246 SU.PC.FARM.L.0.1.X.X.19.16496 412.013,8750 SU.PC.FARM.L.0.1.X.X.19.3903 223.014,7500 SU.PC.FARM.J.0.2.A.C.02.16374 44.581,4096 SU.PC.FARM.M.0.1.A.B.15.1893 287.161,1160 SU.PC.FARM.M.0.1.A.B.15.1553 353.562,8290 SU.PC.FARM.J.0.5.A.R.01.1176 46.433,6691 SU.PC.FARM.J.0.5.A.F.05.3905 627.454,0610 SU.PC.FARM.J.0.5.A.F.05.14336 1.681.911,2133 SU.PC.FARM.N.0.3.A.X.14.16506 1.039.459,3925 SU.PC.FARM.J.0.1.M.A.12.3705 349.814,3422 SU.PC.FARM.J.0.1.M.A.12.2349 39.684,9490 SU.PC.FARM.N.0.5.B.A.06.1313 562.543,2811 SU.PC.FARM.N.0.1.B.B.03.3470 13.171.565,4320 SU.PC.FARM.J.0.1.D.H.02.11006 666.146,5951 SU.PC.FARM.N.0.2.B.B.02.1594 240.438,8744 SU.PC.FARM.N.0.2.B.B.02.1290 852.613,4367 SU.PC.FARM.H.0.2.A.B.04.2370 292.977,8976 SU.PC.FARM.H.0.2.A.B.04.1913 795.052,7216 SU.PC.FARM.H.0.2.A.B.04.866 434.407,4240 SU.PC.FARM.A.0.3.F.A.01.5767 89.625,6144 SU.PC.FARM.L.0.1.B.A.01.3056 162.265,5923 SU.PC.FARM.L.0.1.B.A.01.3839 51.675,2262 SU.PC.FARM.L.0.1.B.A.01.1949 320.229,3110 SU.PC.FARM.J.0.1.X.D.01.1945 22.217,8390 SU.PC.FARM.L.0.4.A.A.06.10863 237.781,4672 SU.PC.FARM.L.0.4.A.A.06.1998 100.167,4784 SU.PC.FARM.N.0.5.C.D.08.1803 160.266,0869 SU.PC.FARM.N.0.5.C.D.08.3795
SU.PC.FARM.L.0.1.B.C.05.11108 SU.PC.FARM.J.0.1.G.B.03.1879 SU.PC.FARM.J.0.1.G.B.03.1879 SU.PC.FARM.B.0.1.A.B.01.1276 SU.PC.FARM.B.0.1.A.B.01.149 SU.PC.FARM.B.0.3.A.C.02.17137 D52489 D52179 D52180 SU.PC.FARM.M.0.1.A.E.01.1860 SU.PC.FARM.L.0.1.D.B.06.10745 SU.PC.FARM.J.0.1.D.H.51.3919 SU.PC.FARM.L.0.1.X.X.19.2642 SU.PC.FARM.L.0.1.X.X.19.16496 SU.PC.FARM.L.0.1.X.X.19.3903 SU.PC.FARM.J.0.2.A.C.02.16374 SU.PC.FARM.M.0.1.A.B.15.1893 SU.PC.FARM.M.0.1.A.B.15.1553 E83802 E06361 D94276 SU.PC.FARM.N.0.3.A.X.14.16506 SU.PC.FARM.J.0.1.M.A.12.3705 SU.PC.FARM.J.0.1.M.A.12.2349 SU.PC.FARM.N.0.5.B.A.06.1313 SU.PC.FARM.N.0.1.B.B.03.3470 SU.PC.FARM.J.0.1.D.H.02.11006 SU.PC.FARM.N.0.2.B.B.02.1594 SU.PC.FARM.N.0.2.B.B.02.1290 SU.PC.FARM.H.0.2.A.B.04.2370 SU.PC.FARM.H.0.2.A.B.04.1913 SU.PC.FARM.H.0.2.A.B.04.866 SU.PC.FARM.A.0.3.F.A.01.5767 SU.PC.FARM.L.0.1.B.A.01.3056 SU.PC.FARM.L.0.1.B.A.01.3839 SU.PC.FARM.L.0.1.B.A.01.1949 SU.PC.FARM.J.0.1.X.D.01.1945 SU.PC.FARM.L.0.4.A.A.06.10863 SU.PC.FARM.L.0.4.A.A.06.1998 SU.PC.FARM.N.0.5.C.D.08.1803 SU.PC.FARM.N.0.5.C.D.08.3795
ANEXO II DEL PLIEGO DE PRESCRIPCIONES TECNICAS
Nº Lote
MEDICAMENTOS
PRECIO MÁXIMO VALOR MÁXIMO VALOR MÁXIMO LICITACIÓN ESTIMACIÓN AM - DOS ESTIMADO PRÓRROGA UN UNITARIO (IVA AÑOS (IVA EXCLUIDO) AÑO (IVA EXCLUIDO) EXCLUIDO)
VALOR MÁXIMO ESTIMADO MODIFICACIÓN -IVA EXCLUIDO (25%)
VALOR TOTAL MÁXIMO ESTIMADO expediente (incluida prórroga y modificación) IVA EXCLUIDO
CODIGOS SAS
GC
137 138 139 140 141 142 143 144 145
Midazolam (D.O.E.), 50 mg, iny Mitoxantrone (D.O.E.), 20 mg, iny Nevirapina (D.O.E.), 200 mg, comp Nicotina (D.O.E.) 0,3 mg/hora (+/- 7%), parche transdérmico (10 cm²) Nicotina (D.O.E.) 0,6 mg/hora (+/- 7%), parche transdérmico (20 cm²) Nicotina (D.O.E.) 0,9 mg/hora (+/- 7%), parche transdérmico (30 cm²) Nicotina (D.O.E.), 2 mg, comp Nicotina (D.O.E.), 4 mg, chicles Nimodipino (D.O.E.), 10 mg, inyectable
0,3800 50,1923 1,4030 1,8650 1,8650 1,9324 0,3292 0,2261 2,3925
154.655,8938 64.117,8736 829.281,4477 180.801,1654 180.905,5485 181.510,7616 113.653,2550 113.102,0000 62.416,2215
77.327,9469 32.058,9368 414.640,7239 90.400,5827 90.452,7743 90.755,3808 56.826,6275 56.551,0000 31.208,1108
38.663,9735 16.029,4684 207.320,3619 45.200,2914 45.226,3871 45.377,6904 28.413,3138 28.275,5000 15.604,0554
270.647,8142 SU.PC.FARM.N.0.5.C.D.08.12624 112.206,2788 SU.PC.FARM.L.0.1.D.B.07.10027 1.451.242,5335 SU.PC.FARM.J.0.5.A.G.01.3926 316.402,0395 SU.PC.FARM.N.0.7.B.A.01 316.584,7099 SU.PC.FARM.N.0.7.B.A.01 317.643,8328 SU.PC.FARM.N.0.7.B.A.01 198.893,1963 SU.PC.FARM.N.0.7.B.A.01 197.928,5000 SU.PC.FARM.N.0.7.B.A.01 109.228,3877 SU.PC.FARM.C.0.8.C.A.06.1192
SU.PC.FARM.N.0.5.C.D.08.12624 SU.PC.FARM.L.0.1.D.B.07.10027 D51826 SU.PC.FARM.N.0.7.B.A.01 SU.PC.FARM.N.0.7.B.A.01 SU.PC.FARM.N.0.7.B.A.01 SU.PC.FARM.N.0.7.B.A.01 SU.PC.FARM.N.0.7.B.A.01 SU.PC.FARM.C.0.8.C.A.06.1192
146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181
Noradrenalina (D.O.E.), ampolla inyectable, por mg de Noradrenalina bitartrato Octreotido (D.O.E.), 0,1 mg, iny Oxaliplatino (D.O.E.), 100 mg, iny Oxaliplatino (D.O.E.), 200 mg, iny Paclitaxel (D.O.E.), 100 mg/16,7 mL, iny Paclitaxel (D.O.E.), 300 mg/50 mL, iny Pamidrónico ácido (D.O.E.), 90 mg, iny Paracetamol (D.O.E.), 1g, inyectable 100 mL Paricalcitol (D.O.E.), 2 mcg/mL, iny Paricalcitol (D.O.E.), 5 mcg/mL, iny Piperacilina (D.O.E.) -Tazobactam (D.O.E.), 2 g/250 mg, inyectable Piperacilina (D.O.E.) -Tazobactam (D.O.E.), 4 g/500 mg, inyectable Propofol (D.O.E.) 1%, inyectable 100 mL Propofol (D.O.E.) 1%, inyectable 20 mL Propofol (D.O.E.) 1%, inyectable 50 mL Propofol (D.O.E.) 2%, inyectable 50 mL Quetiapina (D.O.E.) 100 mg, oral Quetiapina (D.O.E.) 200 mg, oral Quetiapina (D.O.E.) 25 mg, oral Remifentanilo (D.O.E.) 1 mg, inyectable Remifentanilo (D.O.E.) 2 mg/5 mL, iny Remifentanilo (D.O.E.) 5 mg/10mL, iny Ribavirina (D.O.E.), 200 mg, oral Riluzol (D.O.E.), 50 mg, comp Risperidona (D.O.E.), 1 mg, forma fca. sólida oral Risperidona (D.O.E.), 3 mg, oral Risperidona (D.O.E.), 6 mg, oral Rocuronio (D.O.E.), 50 mg, iny Sevoflurano (D.O.E.), 100% V/V, F/250 mL, sol Sildenafilo (D.O.E.), 100 mg, comp Sildenafilo (D.O.E.), 25 mg, comp Sildenafilo (D.O.E.), 50 mg, comp Solución laxante de fosfatos, Frascos unidosis 45 mL Solución laxante de polietilenglicoles c.s.p. preparar 1L Somatostatina (D.O.E.), 3 mg, iny Teicoplanina (D.O.E.), 400 mg, iny
0,1250 0,7000 6,0000 13,0000 10,5000 28,9000 32,2500 0,7890 4,1880 10,4780 1,5900 2,4000 4,0541 0,6900 2,8630 4,0541 0,1390 0,2050 0,0500 1,6237 2,0104 2,3403 0,1300 2,5354 0,0300 0,0900 0,1500 1,9740 92,2100 1,2600 1,9900 1,1200 0,3846 0,0769 4,7400 21,5000
108.110,0962 51.273,7409 162.612,0000 132.688,3761 648.120,7200 489.045,0815 32.379,0000 3.770.782,3861 740.801,3600 1.170.937,0364 77.133,0600 2.741.928,5774 240.812,4620 365.125,4001 105.151,4977 518.088,5067 9.569,9424 9.817,2131 2.078,2000 135.021,1253 156.532,1733 93.057,9301 407.961,3213 1.215.989,7292 1.984,7939 6.456,4106 3.654,9923 414.465,1823 3.572.168,0464 567,0000 5.408,8200 253,1200 48.647,2808 172.453,3936 267.433,7820 811.126,4615
54.055,0481 25.636,8705 81.306,0000 66.344,1881 324.060,3600 244.522,5408 16.189,5000 1.885.391,1931 370.400,6800 585.468,5182 38.566,5300 1.370.964,2887 120.406,2310 182.562,7001 52.575,7489 259.044,2534 4.784,9712 4.908,6066 1.039,1000 67.510,5626 78.266,0867 46.528,9651 203.980,6607 607.994,8646 992,3970 3.228,2053 1.827,4962 207.232,5912 1.786.084,0232 283,5000 2.704,4100 126,5600 24.323,6404 86.226,6968 133.716,8910 405.563,2308
27.027,5241 12.818,4352 40.653,0000 33.172,0940 162.030,1800 122.261,2704 8.094,7500 942.695,5965 185.200,3400 292.734,2591 19.283,2650 685.482,1444 60.203,1155 91.281,3500 26.287,8744 129.522,1267 2.392,4856 2.454,3033 519,5500 33.755,2813 39.133,0433 23.264,4825 101.990,3303 303.997,4323 496,1985 1.614,1027 913,7481 103.616,2956 893.042,0116 141,7500 1.352,2050 63,2800 12.161,8202 43.113,3484 66.858,4455 202.781,6154
189.192,6684 SU.PC.FARM.C.0.1.C.A.03.3950 89.729,0466 SU.PC.FARM.H.0.1.C.B.02.9966 284.571,0000 SU.PC.FARM.L.0.1.X.A.03.12658 232.204,6582 SU.PC.FARM.L.0.1.X.A.03.16561 1.134.211,2600 SU.PC.FARM.L.0.1.C.D.01.12647 855.828,8926 SU.PC.FARM.L.0.1.C.D.01.1802 56.663,2500 SU.PC.FARM.M.0.5.B.A.03.3941 6.598.869,1757 SU.PC.FARM.N.0.2.B.E.01.14330 1.296.402,3800 SU.PC.FARM.A.1.1.C.C.07.16616 2.049.139,8137 SU.PC.FARM.A.1.1.C.C.00.14317 134.982,8550 SU.PC.FARM.J.0.1.C.R.05.1445 4.798.375,0105 SU.PC.FARM.J.0.1.C.R.05.3032 421.421,8086 SU.PC.FARM.N.0.1.A.X.10.3940 638.969,4502 SU.PC.FARM.N.0.1.A.X.10.3776 184.015,1210 SU.PC.FARM.N.0.1.A.X.10.3940 906.654,8868 SU.PC.FARM.N.0.1.A.X.10.3940 16.747,3992 SU.PC.FARM.N.0.5.A.H.04.12582 17.180,1229 SU.PC.FARM.N.0.5.A.H.04.12583 3.636,8500 SU.PC.FARM.N.0.5.A.H.04.12581 236.286,9692 SU.PC.FARM.N.0.1.A.H.06.11015 273.931,3033 SU.PC.FARM.N.0.1.A.H.06.2906 162.851,3777 SU.PC.FARM.N.0.1.A.H.06.3922 713.932,3123 SU.PC.FARM.J.0.5.A.B.04.15451 2.127.982,0261 SU.PC.FARM.N.0.7.X.X.02.3909 3.473,3893 SU.PC.FARM.N.0.5.A.X.08.1633 11.298,7186 SU.PC.FARM.N.0.5.A.X.08.1742 6.396,2365 SU.PC.FARM.N.0.5.A.X.08.12246 725.314,0690 SU.PC.FARM.M.0.3.A.C.09.3888 6.251.294,0812 SU.PC.FARM.N.0.1.A.B.08.16572 992,2500 SU.PC.FARM.G.0.4.B.E.03.20099 9.465,4350 SU.PC.FARM.G.0.4.B.E.03.20096 442,9600 SU.PC.FARM.G.0.4.B.E.03.18789 85.132,7414 SU.PC.FARM.A.0.6.A.D.00.13260 301.793,4388 SU.PC.FARM.A.0.6.A.D 468.009,1185 SU.PC.FARM.H.0.1.C.B.01.1884 1.419.471,3076 SU.PC.FARM.J.0.1.X.A.02.3758
D50914 SU.PC.FARM.H.0.1.C.B.02.9966 SU.PC.FARM.L.0.1.X.A.03.12658 SU.PC.FARM.L.0.1.X.A.03.16561 SU.PC.FARM.L.0.1.C.D.01.12647 SU.PC.FARM.L.0.1.C.D.01.1802 SU.PC.FARM.M.0.5.B.A.03.3941 SU.PC.FARM.N.0.2.B.E.01.14330 SU.PC.FARM.A.1.1.C.C.07.16616 SU.PC.FARM.A.1.1.C.C.00.14317 SU.PC.FARM.J.0.1.C.R.05.1445 SU.PC.FARM.J.0.1.C.R.05.3032 SU.PC.FARM.N.0.1.A.X.10.3940 SU.PC.FARM.N.0.1.A.X.10.3776 SU.PC.FARM.N.0.1.A.X.10.3940 SU.PC.FARM.N.0.1.A.X.10.3940 SU.PC.FARM.N.0.5.A.H.04.12582 SU.PC.FARM.N.0.5.A.H.04.12583 SU.PC.FARM.N.0.5.A.H.04.12581 SU.PC.FARM.N.0.1.A.H.06.11015 SU.PC.FARM.N.0.1.A.H.06.2906 SU.PC.FARM.N.0.1.A.H.06.3922 SU.PC.FARM.J.0.5.A.B.04.15451 SU.PC.FARM.N.0.7.X.X.02.3909 D52629 SU.PC.FARM.N.0.5.A.X.08.1742 SU.PC.FARM.N.0.5.A.X.08.12246 SU.PC.FARM.M.0.3.A.C.09.3888 E79371 E80986 E83750 E80984 SU.PC.FARM.A.0.6.A.D.00.13260 SU.PC.FARM.A.0.6.A.D SU.PC.FARM.H.0.1.C.B.01.1884 SU.PC.FARM.J.0.1.X.A.02.3758
ANEXO II DEL PLIEGO DE PRESCRIPCIONES TECNICAS
Nº Lote
182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203
MEDICAMENTOS
Temozolomida (D.O.E.), 100 mg, oral Temozolomida (D.O.E.), 140 mg, oral Temozolomida (D.O.E.), 180 mg, oral Temozolomida (D.O.E.), 20 mg, oral Temozolomida (D.O.E.), 250 mg, oral Temozolomida (D.O.E.), 5 mg, oral Terlipresina (D.O.E.) 1mg, iny Tobramicina (D.O.E.), 100 mg, inyectable 2mL Tobramicina (D.O.E.), 300 mg, solucion para inhalación Topotecán (D.O.E.) 4 mg, iny Tramadol (D.O.E.), 100 mg, iny Tramadol (D.O.E.), 50 mg, oral Urapidil (D.O.E.), 50 mg, iny Valganciclovir (D.O.E.) 450 mg, comp Vancomicina (D.O.E.), 1 g, iny Vancomicina (D.O.E.), 500 mg, iny Vincristina (D.O.E.), 1 mg, inyectable Vinorelbina (D.O.E.), 50 mg, iny Zidovudina (D.O.E.) 250 mg, oral Zidovudina (D.O.E.) 300 mg, oral Zoledrónico (D.O.E.) 4 mg, iny Zoledronico (D.O.E.) 5 mg, iny
PRECIO MÁXIMO VALOR MÁXIMO VALOR MÁXIMO LICITACIÓN ESTIMACIÓN AM - DOS ESTIMADO PRÓRROGA UN UNITARIO (IVA AÑOS (IVA EXCLUIDO) AÑO (IVA EXCLUIDO) EXCLUIDO)
31,9770 47,0250 63,9350 6,3930 80,0000 1,6000 8,5000 0,4600 13,9500 14,9000 0,1100 0,0298 2,6780 21,1200 1,8000 1,0500 2,3000 13,6670 0,4712 0,3067 15,0000 18,7500
591.254,7300 462.443,8500 263.540,0700 64.505,3700 14.080,0000 22.998,4000 144.216,4106 63.881,5948 792.943,0442 50.118,3897 59.926,9488 10.417,6485 283.780,5451 4.998.530,2871 275.643,2308 191.615,6249 15.113,0404 167.463,9200 12.688,7002 43.737,8824 529.760,2214 34.639,2500
295.627,3650 231.221,9250 131.770,0350 32.252,6850 7.040,0000 11.499,2000 72.108,2053 31.940,7974 396.471,5221 25.059,1949 29.963,4744 5.208,8243 141.890,2726 2.499.265,1436 137.821,6154 95.807,8125 7.556,5202 83.731,9600 6.344,3501 21.868,9412 264.880,1107 17.319,6250
VALOR MÁXIMO ESTIMADO MODIFICACIÓN -IVA EXCLUIDO (25%)
147.813,6825 115.610,9625 65.885,0175 16.126,3425 3.520,0000 5.749,6000 36.054,1027 15.970,3987 198.235,7611 12.529,5974 14.981,7372 2.604,4121 70.945,1363 1.249.632,5718 68.910,8077 47.903,9062 3.778,2601 41.865,9800 3.172,1751 10.934,4706 132.440,0554 8.659,8125
VALOR TOTAL MÁXIMO ESTIMADO expediente (incluida prórroga y modificación) IVA EXCLUIDO
CODIGOS SAS
1.034.695,7775 SU.PC.FARM.L.0.1.A.X.03.16065 809.276,7375 SU.PC.FARM.L.0.1.A.X.03.16819 461.195,1225 SU.PC.FARM.L.0.1.A.X.03.16820 112.884,3975 SU.PC.FARM.L.0.1.A.X.03.16063 24.640,0000 SU.PC.FARM.L.0.1.A.X.03.16066 40.247,2000 SU.PC.FARM.L.0.1.A.X.03.16064 252.378,7186 SU.PC.FARM.H.0.1.B.A.04.10888 111.792,7909 SU.PC.FARM.J.0.1.G.B.01.1457 1.387.650,3274 SU.PC.FARM.J.0.1.G.B.01.13413 87.707,1820 SU.PC.FARM.L.0.1.X.X.17.3894 104.872,1604 SU.PC.FARM.N.0.2.A.X.02.234 18.230,8849 SU.PC.FARM.N.0.2.A.X.02.1783 496.615,9539 SU.PC.FARM.C.0.2.C.A.06.3858 8.747.428,0024 SU.PC.FARM.J.0.5.A.B.14.14235 482.375,6539 SU.PC.FARM.J.0.1.X.A.01.240 335.327,3436 SU.PC.FARM.J.0.1.X.A.01.1832 26.447,8207 SU.PC.FARM.L.0.1.C.A.02.10306 293.061,8600 SU.PC.FARM.L.0.1.C.A.04.1559 22.205,2254 SU.PC.FARM.J.0.5.A.F.01.1928 76.541,2942 SU.PC.FARM.J.0.5.A.F.01.1801 927.080,3875 SU.PC.FARM.M.0.5.B.A.08.13412 60.618,6875 SU.PC.FARM.M.0.5.B.A.08.16486
GC
SU.PC.FARM.L.0.1.A.X.03.16065 SU.PC.FARM.L.0.1.A.X.03.16819 SU.PC.FARM.L.0.1.A.X.03.16820 SU.PC.FARM.L.0.1.A.X.03.16063 SU.PC.FARM.L.0.1.A.X.03.16066 SU.PC.FARM.L.0.1.A.X.03.16064 SU.PC.FARM.H.0.1.B.A.04.10888 D51680 D51681 SU.PC.FARM.L.0.1.X.X.17.3894 SU.PC.FARM.N.0.2.A.X.02.234 SU.PC.FARM.N.0.2.A.X.02.1783 SU.PC.FARM.C.0.2.C.A.06.3858 E05441 SU.PC.FARM.J.0.1.X.A.01.240 SU.PC.FARM.J.0.1.X.A.01.1832 SU.PC.FARM.L.0.1.C.A.02.10306 SU.PC.FARM.L.0.1.C.A.04.1559 SU.PC.FARM.J.0.5.A.F.01.1928 SU.PC.FARM.J.0.5.A.F.01.1801 SU.PC.FARM.M.0.5.B.A.08.13412 SU.PC.FARM.M.0.5.B.A.08.16486
