Costa Rica. Caja Costarricense de Seguro Social. 2019 | List

01. Amebicidas y antihelmínticos

Medicine	Pharmaceutical form type	Composition
albendazole	Tablet	200mg
chloroquine	Tablet	150mg (phosphate)
hydroxychloroquine	Tablet	400mg (sulfate) or 310mg (pure)
ivermectin	Tablet	6 mg
meglumine antimoniate	Injection	300mg/ml
metronidazole	Oral liquid	125 mg (benzoate)/5 mL
metronidazole	Tablet	500 mg
pirimetamine	Tablet	25 mg
primaquine	Tablet	15 mg (as diphosphate)
primaquine	Tablet	5 mg (phosphate)

02. Antibióticos

Medicine	Pharmaceutical form type	Composition
amikacin	Injection	100 mg (sulfate)/2 mL
amikacin	Injection	500 mg (sulfate)/2 mL
amoxicillin	Powder for oral liquid	250 mg (as trihydrate)/5 mL
amoxicillin	Tablet	500 mg
ampicillin	Powder for injection	500 mg (as sodium salt) in vial
benzathine benzylpenicillin	Injection	1 200 000 IU
benzylpenicillin	Powder for injection	3 g (= 5 million IU) (sodium or potassium salt) in vial
benzylpenicillin	Powder for injection	600 mg (= 1 million IU) (sodium or potassium salt) in vial
cefalexin	Capsule	500 mg
cefalexin	Solid oral dosage form	250 mg (as monohydrate)
cefalotine	Powder for injection	1g
cefotaxime	Powder for injection	1 g (as sodium salt)
ceftazidime	Powder for injection	1 g (as pentahydrate) in vial
ceftriaxone	Powder for injection	250 mg (as sodium salt) in vial
ciprofloxacin	Tablet	500mg (hydrochloride)
clarithromycin	Suspension	250 mg/5 ml
clarithromycin	Tablet	500 mg
clindamycin	Injection	600 mg
clofazimine	Capsule	50 mg
dapsone	Tablet	100 mg
doxycycline	Capsule	100 mg (as hydrochloride or hyclate)
ertapenem	Powder for injection	1g
gentamicin	Injection	40 mg (sulfate)/ml in 2-mL vial
levofloxacin	Injection	500 mg/100 mL vial
meropenem	Powder for injection	500mg
metronidazole	Injection	500 mg in 100-mL vial
neomycin	Tablet	250 mg a 350 mg
oxacillin	Powder for injection	1 g
piperacillin + beta-lactamase inhibitor	Injection	4.5 g
spiramycin	Tablet	500 mg
sulfamethoxazole + trimethoprim	Oral liquid	200 mg + 40 mg/5 mL
sulfamethoxazole + trimethoprim	Tablet	800 mg + 160 mg
sulfasalazine	Tablet	500 mg
vancomycin	Injection	500 mg (chlorohydrate)

03. Antituberculosos

Medicine	Pharmaceutical form type	Composition
cycloserine	Solid oral dosage form	250 mg
ethambutol	Tablet	400mg (chlorohydrate)
ethambutol + isoniazid + pyrazinamide + rifampicin	Tablet	275 mg + 75 mg + 400 mg + 150 mg
ethionamide	Tablet	250 mg
isoniazid	Oral liquid	50 mg/5 ml
isoniazid	Tablet	100mg
isoniazid	Tablet	300mg
isoniazid + pyrazinamide + rifampicin	Tablet (dispersible)	50 mg + 150 mg + 75mg
isoniazid + rifampicin	Tablet	75 mg + 150 mg
isoniazid + rifampicin	Tablet (dispersible)	50 mg + 75 mg.
pyrazinamide	Tablet	500 mg
rifampicin	Capsule	300 mg
rifampicin	Suspension	100mg/5ml

04. Antifungicos y Antivirales

Medicine	Pharmaceutical form type	Composition
abacavir (ABC)	Tablet	300 mg
abacavir + lamivudine	Tablet	600 mg (como sulfato) + 300 mg
aciclovir	Oral liquid	200 mg/5 mL
aciclovir	Powder for injection	250 mg (as sodium salt) in vial
aciclovir	Tablet	400 mg
amphotericin B	Powder for injection	50 mg in vial
anidulafungina	Powder for injection	100mg.
caspofungina	N/A	70 mg
darunavir	Tablet	600 mg
dolutegravir	Tablet	50 mg
dolutegravir	Tablet	50 mg
dolutegravir + lamivudina + tenofovir	Tablet	50 mg + 300 mg + 300 mg (tenofovir disoproxil fumarate – equivalent to 245 mg tenofovir disoproxil)
efavirenz (EFV or EFZ)	Tablet	600 mg
efavirenz + emtricitabine + tenofovir	Tablet	600 mg + 200 mg + 300 mg
elvitegravir + cobicistat + emtricitabina + tenofovir alafenamida	Tablet (enteric-coated)	150 mg + 150 mg + 200 mg + 10 mg.
fluconazole	Capsule	200 mg
fluconazole	Injection	2 mg/mL in vial
griseofulvin	Oral liquid	125 mg/5 ml
itraconazole	Capsule	100 mg
ketoconazole	Tablet	200 mg
lamivudine (3TC)	Oral liquid	10mg/ml
lamivudine (3TC)	Tablet	150 mg
lopinavir + ritonavir (LPV/r)	Oral liquid	80 + 20 mg/ml
lopinavir + ritonavir (LPV/r)	Tablet (heat stable)	200 mg + 50 mg
nystatin	Oral liquid	100 000 IU/ml
raltegavir	Tablet	400 mg
ritonavir	Tablet (heat stable)	100 mg
sofosbuvir + velpatasvir	Tablet	400 mg + 100 mg.
tenofovir disoproxil fumarate	Tablet	300 mg
zidovudine (ZDV or AZT)	Injection	10 mg/mL
zidovudine (ZDV or AZT)	Oral liquid	50 mg/5 mL
zidovudine (ZDV or AZT)	Tablet	300 mg

05. Antisépticos y agentes urinarios

Medicine	Pharmaceutical form type	Composition	Observation
nitrofurantoin	Capsule	50mg o 100mg
nitrofurantoin	Oral liquid	25 mg/5 ml

06. Adrenérgicos

Medicine	Pharmaceutical form type	Composition
dobutamine	Injection	12.5mg (hydrochloride)/mL in 20 ml vial
dopamine	Injection	200 mg (hydrochloride) in 5-mL ampoule
epinephrine (adrenaline)	Injection	1 mg (hydrochloride)/mL
norepinephrine	Injectable solution	4mg ampolla 4mL.
phenylephrine	Injection	10 mg in 1-mL ampoule

07. Agentes cardíacos

Medicine	Pharmaceutical form type	Composition
amiodarone	Injection	50 mg/mL in 3-mL ampoule (hydrochloride)
amiodarone	Tablet (HCI)	200 mg (hydrochloride)
carvedilol	Tablet	12.5 mg
carvedilol	Tablet	6.25 mg
digoxin	eli	0.05 mg/ml x 60 ml
digoxin	Injection	250 micrograms/mL in 2-mL ampoule
digoxin	Oral liquid	0.75 mg/mL
digoxin	Tablet	250 mcg
enalapril	Tablet	5 mg (as hydrogen maleate)
indomethacin	Injection	1 mg (sodium salt)
propranolol	Injection	1mg (hydrochloride)/ml
propranolol	Tablet	10mg (hydrochloride)
verapamil	Injection	5 mg (hydrochloride) in 2 ml ampoule
verapamil	Tablet	80 mg (hydrochloride)

08. Antihipertensivos

Medicine	Pharmaceutical form type	Composition
atenolol	Tablet	50 mg
enalapril	Tablet	20 mg (maleate)
hydralazine	Powder for injection	20 mg (hydrochloride) in ampoule
hydralazine	Tablet	10mg (chlorohydrate)
hydralazine	Tablet	50 mg (hydrochloride)
hydrochlorothiazide	Oral liquid	50 mg/5 ml
hydrochlorothiazide	Tablet (scored)	25 mg
irbesartan	Tablet	150 mg
methyldopa	Tablet	250 mg
methyldopa	Tablet	500mg
propranolol	Tablet	40 mg (hydrochloride)
sodium nitroprusside	Powder for infusion	50 mg in ampoule

09. Diuréticos

Medicine	Pharmaceutical form type	Composition
acetazolamide	Tablet	250 mg
furosemide	Injection	20 mg/2 mL
furosemide	Tablet	40 mg
furosemide	Tablet	5 mg.
mannitol	Injectable solution	20%
spironolactone	Tablet	100mg

10. Vasodilatadores coronarios y antianginosos

Medicine	Pharmaceutical form type	Composition
amlodipine	Tablet	5 mg (besylate)
glyceryl trinitrate	Solution for injection	5 mg/ ml
glyceryl trinitrate	Tablet (sublingual)	0.5 - 0.6 mg
isosorbide dinitrate	Tablet	20 mg.
nimodipine	Tablet	30 mg.

11. Agentes anticoagulantes, trombolíticos y antiplaquetarios

Medicine	Pharmaceutical form type	Composition
acetylsalicylic acid	Tablet	100 mg
clopidogrel	Tablet	75 mg
enoxaparin	Injection	40 mg/ 0.4 ml
enoxaparin	Injection	80 mg.
heparin sodium	Injection	1000 IU/mL in 1-mL ampoule
heparin sodium	Injection	5000 IU/mL in 1-mL ampoule
streptokinase	Powder for injection	1.5 million IU in vial
tirofiban	Injection	0.25mg/ml
warfarin	Tablet	1 mg (sodium salt)
warfarin	Tablet	5 mg (sodium salt)

12. Hemostáticos

Medicine	Pharmaceutical form type	Composition
aminocaproic acid	Injection	250mg/ml
complex coagulant anti-inhibitor	Powder for injection	500 U - 20 mL.
factor IX	Dried	500 IU
factor VIIa recombinante	Powder for injection	2 mg
factor VIII concentrate	Powder for injection	250 a 300 UI
factor VIII concentrate	Powder for injection	500 a 600 UI
gelatine agents	N/A	N/A
phytomenadione	Injection	1 mg/ 0.5 mL o 1mL - VIT K1
phytomenadione	Injection	10 mg/mL in 1-mL ampoule
protamine sulfate	Injection	10 mg/mL
prothrombin complex concentrate	Injection	500 a 600 UI

13. Antianémicos e hipolipemiantes

Medicine	Pharmaceutical form type	Composition
cholestyramine	Powder for oral administration	4-g sachet
cyanocobalamin	Injection	1 mg/ml
epoetin alpha	Injection	2000 IU/ml in 1ml vial
epoetin beta	Injection	4000 U/ 0.3 ml
ferrous fumarate	Tablet (enteric-coated)	200 mg (equivalent 66 mg iron)
folic acid	Tablet	1 mg
gemfibrozil	Tablet	600mg
iron	Injection	50 mg (dextran complex)/mL
lovastatin	Tablet	20mg

14. Antiinflamatorios no esteroideos, antirreumáticos, y agentes mineralizantes

Medicine	Pharmaceutical form type	Composition
alendronic acid	Tablet	70mg (as alendronate sodium)
diclofenac	Injection	75 mg/3 mL
ibuprofen	Tablet	400 mg
indomethacin	Solid oral dosage form	25 mg
indomethacin	Suppository	100 mg
leflunomide	Tablet	20 mg
penicillamine	Capsule	125 mg.
penicillamine	Solid oral dosage form	250 mg
sulindraco	Tablet	200 mg.
tenoxicam	Tablet (enteric-coated)	20 mg.
zoledronic acid	Injection	4 mg in vial

15. Uricosúricos, antigotosos

Medicine	Pharmaceutical form type	Composition
allopurinol	Tablet	100 mg
allopurinol	Tablet	300 mg
colchicine	Tablet	0.5mg

16. Analgésicos no narcóticos

Medicine	Pharmaceutical form type	Composition
dipyrone (metamizole sodium)	Injection	500 mg/ml
ibuprofen	Suspension	100 mg/5 mL
paracetamol	Oral liquid	100 mg/ml
paracetamol	Oral liquid	120 mg/5 mL
paracetamol	Suppository	300 mg
paracetamol	Tablet	500 mg
phenazopyridine hydrochloride	Tablet (enteric-coated)	100 mg.

17. Analgésicos narcóticos y antagonistas

Medicine	Pharmaceutical form type	Composition
codeine phosphate + paracetamol	Tablet	30 mg + 500 mg.
fentanyl	Injection	50 mcg (citrate)/mL
methadone	Tablet	5mg
methylphenidate	Tablet	10 mg (hydrochloride)
morphine	Injection	10 mg (sulfate or hydrochloride) in 1-ml ampoule
morphine	Tablet (prolonged release)	30 mg (morphine sulfate)
morphine sulfate	Oral solution	20 mg/mL.
morphine sulfate	Tablet	20 mg.
tramadol	Injection	50 mg (hydrochloride)/mL
tramadol	Oral liquid	100 mg (hydrochloride)/mL (as drops)

18. Anestésicos generales

Medicine	Pharmaceutical form type	Composition
droperidol	Injection	2.5mg/ml
ketamine	Injection	10 mg/ml x 20 mL
propofol	Aqueous emulsion	10 mg/mL
sevoflurane	Nasal solution	250ml
thiopental	Powder for injection	0.5 g (as sodium)

19. Anestésicos locales

Medicine	Pharmaceutical form type	Composition
bupivacaine	Injection	0.5% (hydrochloride) without preservant
levobupivacaine hidrocloride	Solution for injection	0.5% - 10 mL.
lidocaine	Gel	2%
lidocaine	Injection	2% (hydrochloride) + epinephrine 1:200 000 in vial + preservant
lidocaine	Injection	2% (hydrochloride) with preservant in 20 mL vial
lidocaine	Injection	2% (without preservant)
lidocaine	Solution topical	10% (100mg/mL)
lidocaine hydrochloride + chlorhexidine dihydrochloride	Gel	2% (20 mg/g) + 0.05% (0.5 mg/g)
lidocaine hydrochloride + epinefrina	Solution for injection	2% (20 mg/mL) + 1:80.000 - 1.8 mL.
mepivacaine	Dental cartridge	3%

20. Relajantes musculares

Medicine	Pharmaceutical form type	Composition
atracurium	Injection	10 mg/mL (besylate)
botulinum toxin A	Injection	100 or 200 Units in single-use vial
pancuronium	Injection	2 mg (bromuro)/mL
succinylcholine chloride	Injection	50 mg/mL x 10 mL.

21. Anticolinérgicos/antiespasmodicos

Medicine	Pharmaceutical form type	Composition
atropine	Injection	0.5 mg (sulphate) in 1-mL ampoule
hyoscine butylbromide	Injection	20 mg in 1-mL ampoule
hyoscine butylbromide	Tablet	10mg
oxibutinine hidrochloride	Tablet	5mg.

22. Colinérgicos

Medicine	Pharmaceutical form type	Composition
betanecol	Tablet	10 mg.
neostigmine	Injection	0,5 mg/ml
neostigmine	Tablet	15 mg (bromide)

23. Antiasmáticos y broncodilatadores

Medicine	Pharmaceutical form type	Composition
aminophylline	Injection	250 mg x 10 ml
beclometasone	Inhalation (aerosol)	100 micrograms (dipropionate) per dose (as CFC free forms)
fluticasone propionate	Inhalation	250 mcg
formoterol fumarate dihydrate	Powder for inhalacion	12 ug/dosis
ipratropium bromide	Inhalation (aerosol)	20 micrograms/metered dose
ipratropium bromide	Solution	250 mcg/ ml
montelukast	Tablet	10 mg
montelukast	Tablet (chewable)	5 mg
salbutamol	Metered dose inhaler (aerosol)	0.1 mg/dose
salbutamol	Oral liquid	2 mg/5 mL
salbutamol	respirator solution for use in nebulizers	0.5%
salbutamol	Tablet	4 mg
theophylline	eli	50 mg/ 5 mL.
theophylline	Tablet	150 mg.
theophylline	Tablet (prolonged release)	250 mg
tiotropium bromide monohydrate	Solution for inhalation	2.5 mcg

24. Antitusígenos, fluidificantes y expectorantes

Medicine	Pharmaceutical form type	Composition	Observation
dextromethorphan	Oral liquid	15mg (hydrobromide)/5ml
dextromethorphan	Tablet	15 mg.

25. Antihistamínicos, antieméticos, antipruriticos

Medicine	Pharmaceutical form type	Composition
aprepitant	Capsule	125 mg/2 x 80 mg
chlorphenamine	Injection	10 mg (hydrogen maleate) in 1-ml ampoule
chlorphenamine	Oral liquid	2 mg/5 ml (hydrogen maleate)
chlorphenamine	Tablet	4 mg (hydrogen maleate)
dimenhydrinate	Injection	50 mg/ ml x 5 ml
dimenhydrinate	Suppository	100 mg
dimenhydrinate	Suppository	25 mg. / 1 gr.
dimenhydrinate	Tablet	50 mg
diphenhydramine	Capsule	50 mg
diphenhydramine	Syrup	12.5 mg/ 5 ml
fexofenadine hydrochloride	Tablet (enteric-coated)	120 mg.
hydroxyzine	Oral suspension	10 mg/ 5 ml
hydroxyzine	Tablet	25 mg
loratadine	Syrup	5 mg/ 5 ml
tropisetron	Solution for injection	5 mg

26. Antiparkinsonianos

Medicine	Pharmaceutical form type	Composition
biperiden	Injection	5 mg (lactate) in 1-ml ampoule
biperiden	Tablet	2 mg (hydrochloride)
levodopa + benserazide	Tablet	200 mg + 50 mg
levodopa + carbidopa	Tablet	100 mg/ 25 mg

27. Antimigraña

Medicine	Pharmaceutical form type	Composition	Observation
ergotamine + caffeine	Tablet	1 mg (tartrate) + 100 mg

28. Anticonvulsivos

Medicine	Pharmaceutical form type	Composition
carbamazepine	Suspension	2% x 100 ml
carbamazepine	Tablet	200 mg
clonazepam	Oral liquid	2.5 mg/ml
clonazepam	Tablet	2mg
gabapentin	Capsule	300 mg.
lamotrigine	Tablet	100 mg
lamotrigine	Tablet	25 mg
phenobarbital	Solution for injection	50 mg/mL - ampoule 1mL
phenobarbital	Tablet	100 mg
phenobarbital	Tablet	25 mg.
phenytoin	Capsule	100 mg
phenytoin	Injection	50 mg/mL
phenytoin	Suspension	2.5% (125 mg/mL)
primidone	Suspension	250 mg/ 5mL
primidone	Tablet	250 mg
valproic acid (sodium valproate)	Solution	200 mg/ml
valproic acid (sodium valproate)	Tablet	250 mg
vigabatrin	Tablet	500 mg

29. Antidepresivos y psicoestimulantes

Medicine	Pharmaceutical form type	Composition
amitriptyline	Tablet	10 mg
clomipramine	Tablet	25 mg
clomipramine	Tablet	75mg
fluoxetine	Capsule	20 mg
imipramine chlorohydrate	Solid oral dosage form	10mg
imipramine chlorohydrate	Tablet	25mg
venlafaxine	Capsule	75 mg

30. Antipsicóticos

Medicine	Pharmaceutical form type	Composition
chlorpromazine	Injection	25 mg (hydrochloride)/mL in 2-mL ampoule
chlorpromazine	Tablet (enteric-coated)	100 mg (hydrochloride)
clozapine	Tablet	100mg
fluphenazine	Injection	25 mg (decanoate)/mL
haloperidol	Injection	5 mg/mL in 1-mL ampoule
haloperidol	Oral liquid	0.2%
haloperidol	Tablet	5 mg
levomepromazine	Tablet	25 mg (maleate)
lithium carbonate	Tablet	300 mg
olanzapine	Powder for injection	10 mg.
perphenazine	Tablet	4 mg.
risperidone	Solution	1 mg/ml
risperidone	Tablet	1mg
trifluoperazine	Tablet	5 mg (chlorohydrate)

31. Sedantes/hipnóticos, ansioliticos

Medicine	Pharmaceutical form type	Composition
chloral hydrate	Oral liquid	500 mg/5 mL
clobazam	Tablet	10 mg.
diazepam	Injection	10 mg in 2-mL ampoule
diazepam	Tablet	5 mg
lorazepam	Tablet	2 mg.
midazolam	Injection	5 mg/mL
midazolam	Tablet	15 mg

32. Agentes gastrointestinales, antiácidos y antagonistas del receptor H2

Medicine	Pharmaceutical form type	Composition
aluminum + magnesium hydroxide	Suspension	4.7% a 6.1% p/p y 1.4% a 2.2% p/p, F.E.U.
aluminum + magnesium hydroxide	Tablet (chewable)	200 mg/ 200 mg
aluminum hydroxide	Suspension	5.5 a 6.7% p/p
aluminum hydroxide	Tablet (chewable)	200 a 300 mg.
bismuth subsalicylate	Oral suspension	17.5%
cimetidine	Injection	300 mg in 2-mL ampoule
cimetidine	Solution	200 mg / 5mL
famotidine	Tablet	40mg
mesalazine	Suppository	1 g
mesalazine	Tablet (prolonged release)	500 mg.
metoclopramide	Injection	10 mg (hydrochloride)/2 mL
metoclopramide	Tablet	10 mg (hydrochloride)
octreotide	Powder for injection	20 mg.
octreotide	Powder for injection	30 mg.
octreotide	Solution for injection	0.1 mg/mL - 1mL
omeprazole	Capsule (delayed release)	10 mg
omeprazole	Capsule (delayed release)	20 mg
omeprazole	Powder for injection	40 mg in vial
pancreatin	Capsule	16.000 unidades F.E.U.
pancreatin	Capsule	4000 unidades F.E.U.
trientine	Capsule	250 mg
ursodeoxycholic acid	Capsule	250 - 300 mg.
ursodeoxycholic acid	Tablet	150 mg

33. Antidiarreicos y laxantes

Medicine	Pharmaceutical form type	Composition
bisacodyl	Suppository	10 mg
glycerine	Suppository	1gr. a 1.5 gr.
glycerine	Suppository	2gr. a 2.6 gr.
hydrophilic psyllium muciloid + excipients	Powder	49.70 g + 50.30 g - 200 gr.
lactulose	Oral solution	3.3 g/5 mL.
laxative	enema	5 mL.
loperamide	Capsule	2 mg
magnesium hydroxido	Oral suspension	F.E.U. 7.0% a 8.5%
mineral oil	Oral oily solution	110 - 120 ml
ricin oil	Oily solution	N/A
sodium biphosphate/ phos enema	Oral solution	N/A

34. Corticosteroides

Medicine	Pharmaceutical form type	Composition
dexamethasone	Injection	4 mg (phosphate)/mL
dexamethasone	Tablet	0.5 mg
fludrocortisone	Tablet	100 mcg (acetate)
hydrocortisone	Injection	100 mg (as sodium succinate)
hydrocortisone	Tablet	20 mg
hydrocortisone	Tablet	5 mg
methylprednisolone	Injection	500 mg (sodium succinate)
prednisolone	Oral solution	15 mg/ 5 mL.
prednisolone	Tablet	1 mg.
prednisolone	Tablet	25 mg
prednisolone	Tablet	5 mg
triamcinolone	Injection	10 mg/mL in 5-mL vial

35. Andrógenos y anabólicos

Medicine	Pharmaceutical form type	Composition
danazol	Capsule	200 mg
oximetolone	Tablet	50 mg.
testosterone	Injection	250 mg (enanthate)/mL

36. Estrógenos, progestágenos, anovulatorios

Medicine	Pharmaceutical form type	Composition
conjugated estrogens	Tablet	0.625 mg
estradiol	Oily injection	10 mg/mL
estradiol	Tablet	2 mg
ethinylestradiol + levonorgestrel	Tablet	30 mcg + 150 mcg
etonogestrel	implant	68 mg.
intrauterine contraceptive device	N/A	N/A
levonorgestrel	Intrauterine	N/A
medroxyprogesterone acetate	Depot injection	150 mg/mL in 1-mL vial
medroxyprogesterone acetate	Tablet	5 mg
norgestrel + ethinylestradiol	Tablet	0.5 mg + 0.05 mg
progesterone	Capsule (softgel)	200 mg
progesterone	Solution for injection	100 mg - 1mL
progesterone	Vaginal tablet	8%

37. Oxitóxicos y Tocolíticos

Medicine	Pharmaceutical form type	Composition
dinoprostone	Vaginal gel	2 mg/ 2.5 mL
methylergometrine	Injection	0.2 mg (maleate)/ml
oxytocin	Injection	5 IU/mL
salbutamol	Injection	1 mg/ mL - 5 mL

38. Homonas hipotalámicas, pituitarias y otros agentes

Medicine	Pharmaceutical form type	Composition
bromocriptine mesylate	Tablet	2.5 mg
chorionic gonadotropin (human)	Injection	1000 IU/mL
chorionic gonadotropin (human)	Injection	250 mcg/0.5ml
clomifene	Tablet	50 mg (citrate)
desmopressin	Nasal solution	0.1 mg (acetate)/mL
goserelin	Injection	3.6 mg
leuprorelin	Injection	3.75 mg (acetate)
leuprorelin (leuprolide acetate)	Injection	11.25 MG
menotropin	Injection	75 IU
somatotropic hormone	Powder for injection	5 mg in vial

39. Hipoglucemiantes e hiperglucemiantes

Medicine	Pharmaceutical form type	Composition
diazoxide	Capsule	50 mg.
glibenclamide	Tablet	5 mg
gliclazide	Solid oral dosage form	80 mg
intermediate-acting insulin	Injection	100 IU/ml in 10-ml vial
metformin	Tablet	500 mg (hydrochloride)

40. Hormonas tiroideas y drogas antitiroideas

Medicine	Pharmaceutical form type	Composition
levothyroxine	Tablet	100 mcg (sodium salt)
levothyroxine	Tablet	25 mcg (sodium salt)
liothyronine	Tablet	75 mg.
Lugol's solution	Oral solution	30 mL.
propylthiouracil	Tablet	50 mg

41. Antineoplásicos y agentes inmunomoduladores

Medicine	Pharmaceutical form type	Composition
anastrozole	Tablet	1mg
asparaginase	Powder for injection	10 000 IU in vial
azathioprine	Tablet	50 mg
basiliximab	Powder for injection	20 mg
bleomycin	Injection	15 IU
capecitabine	Tablet	500 mg
carboplatin	Injection	150 mg/15 mL
carboplatin	Injection	450 mg/45 mL
chlorambucil	Tablet	2 mg
cisplatin	Powder for injection	10 mg in vial
citarabine	Injection	100 mg
citarabine	Injection	500 mg
cyclophosphamide	Powder for injection	500 mg in vial
cyclophosphamide	Tablet	50 mg
cyclosporine	Oral liquid	100 mg/ml
dacarbazine	Injection	200 mg
dactinomycin	Powder for injection	500 mcg in vial
docetaxel	Injection	20 mg/ml
docetaxel	Solution for injection	80 mg/ 4 ml
epirubicin	Injection	50 mg/25 ml
erlotinib	Tablet	150 mg
etoposide	Injection	20 mg/mL in 5-mL ampoule
exemestane	Tablet	25 mg
filgrastim	Injection	30,000,000 IU
fluorouracil	Injection	500mg/10ml
flutamide	Tablet	250 mg
gemcitabine	Injection	1g (chlorohydrate)
gemcitabine	Injection	200mg (chlorohydrate)
hydroxycarbamide	Capsule	500 mg
idarubicin	Powder for injection	5 mg in 5 mL vial
ifosfamide	Powder for injection	1 g in vial
imatinib	Tablet	400 mg (as mesylate)
interferon alpha 2B	Injection	10 000 000 IU
interferon beta 1A	Solution for injection	22 ug (6 millones U.I/ 0.5 mL)
interferon beta 1A	Solution for injection	30 ug (6 millones U.I/ 0.5 mL)
interferon beta 1A	Subcutaneous administration	44UG/0,5ml
interferon beta 1B	Powder for injection	0.25 mg. (8.0 mill. de U.I/ mL)
irinotecan	Solution for injection	20 mg/ mL
melphalan	Powder for injection	50mg.
melphalan	Tablet	2 mg
mercaptopurine	Tablet	50 mg
methotrexate	injection for intravenous administration	50MG/2ML
methotrexate	Solution for injection	1000 mg/ 10 ml
methotrexate	Tablet	2.5 mg (as sodium salt)
mitomycin	Injection	5 mg
mycophenolate mofetil	Capsule	250 mg.
oxaliplatin	Injection	50 mg
paclitaxel	Solution for injection	6mg/mL
pazopanib	Tablet	200 MG
rituximab	Injection	100 mg
rituximab	Injection	500 mg/50 mL
Sunitinib (malate)	Capsule	50 mg.
tacrolimus	Capsule	0.5 mg
tacrolimus	Capsule	1 mg
tamoxifen	Tablet	20 mg (as citrate)
temozolomide	Capsule	100 MG
temozolomide	Capsule	20 mg
thalidomide	Tablet	100 mg
trastuzumab	Solution for injection	600 mg/ 5 ml
tretinoin	Capsule	10 mg.
vinblastine	Powder for injection	10 mg (sulfate) in vial
vincristine	Injection	1 mg/mL

42. Vitaminas

Medicine	Pharmaceutical form type	Composition
ascorbic acid	Oral liquid	100 mg/mL
ascorbic acid	Tablet	500 mg
calcitriol	Capsule	0.25 mcg
calcitriol	Capsule (softgel)	1 mcg.
cholecalciferol	Solution (eye drops)	10000 UI/ 1 ml - 30 ml
isotretinoin	Capsule	10 mg.
multivitamins	Powder for injection	N/A
multivitamins	Powder for injection	Pediatric
pyridoxine	Injection	50 mg in 1 ml ampoule (hydrochloride)
pyridoxine	Tablet	50mg (chlorohydrate)
retinol	Capsule	25 000 IU
thiamine	Injection	100mg (chlorohydrate)/ml
thiamine	Tablet	100mg

43. Electrolitos y soluciones parenterales

Medicine	Pharmaceutical form type	Composition
amino acids	Injection	6%
amino acids	Solution for injection	10%
balanced electrolyte solution	Solution for injection	1000 mL
balanced electrolyte solution	Solution for injection	with sodium gluconate - 1000 mL
calcium carbonate	Tablet	750 mg
calcium gluconate	Injection	100 mg/mL in 10-mL ampoule
dextran 40	Intravenous administration	10% in 500-mL bottle
dextran 70	Injectable solution	70 6% - 500 mL.
dextrose	Injectable solution	10% - 1000 mL.
dextrose	Injectable solution	10% - 250 mL.
dextrose	Solution for injection	5% - 1000 mL.
dextrose	Solution for injection	5% - 100mL
dextrose	Solution for injection	5% - 250 mL
dextrose	Solution for injection	5% - 50 mL
dextrose	Solution for injection	5% - 500 mL.
dextrose	Solution for injection	50% - 1000 mL.
dextrose	Solution for injection	50% - 50 mL
dextrose + sodium chloride + potassium chloride	Solution for injection	5% + 0.3% + 0.149% - 250 mL.
dextrose + sodium chloride + potassium chloride	Solution for injection	5% + 0.3% + 0.149% - 500 mL.
Dextrose + sodium chloride + potassium chloride + sodium acetate	Solution for injection	1% + 0.5% + 0.1% + 0.65% - 2000 mL
Dextrose + sodium chloride + potassium chloride + sodium acetate	Solution for injection	2% + 0.35% + 0.15% + 0.4082 - 500 mL
hemodialysis solution	Solution	N/A
lipid emulsion	Injection	20%
magnesium sulfate	Injection	200 mg/mL in 10-mL ampoule
monobasic sodium phosphate + dibasic sodium phosphate	Injection	224 mg + 236 mg / 15 mL.
oral rehydration salts	Powder for oral administration	6.7 gr
peritoneal dialysis solution	Solution	Dextrose 1.5% - 2000 mL.
peritoneal dialysis solution	Solution	Dextrose 4.25% - 2000 mL.
phosphates	Sachet	1 gr - 1.2 gr.
potassium chloride	Solution	2 mEq/ml
potassium gluconate	Oral liquid	31.2%
sodium bicarbonate	Injection	8.4%
sodium chloride	Parenteral formulation	0.9% (100 mL)
sodium chloride	Solution	0.9% 250 ml
sodium chloride	Solution	0.9% 500 ml
sodium chloride	Solution for injection	9% / 50 ml
Sodium chloride + potassium chloride + magnesium chloride + calcium chloride	Solution for injection	0.643% + 0.1193% + 0.3253% + 0.0176% - 1000 mL.
sodium chloride hypertonic	Injection	4 molar
trace elements (oligoelementos)	Solution for injection	N/A
trace elements (oligoelementos)	Solution for injection	Pediatrics
water for injection	N/A	10-ml ampoules

44. Biológicos, vacunas, toxoides y antitoxinas

Medicine	Pharmaceutical form type	Composition
albumin	Injection	20%-25%
anti-D immunoglobulin (human)	Injection	250-300 mcg/2 mL
anti-hepatitis B immunoglobulin	Injection	200 UI/ ml
antitetanus immunoglobulin (human)	Injection	250 UI
BCG vaccine	Powder for injection	multidose
diphtheria, tetanus toxoid	Injection	0.5 mL
diphtheria, tetanus toxoid	Solution for injection	5 ml (multidose)
diphtheria, tetanus toxoid + pertussis vaccine	Injection	N/A
haemophilus influenzae type b vaccine (Hib vaccine)	Injection	1 dose
hepatitis B vaccine	Injection	pediatric
hepatitis B vaccine (recombinant)	Injection	1 ml (1 dose)
human papilloma virus (HPV) vaccine	Injection	0.5 ml (1 dose)
Immunoglobulin IV	Solution for injection	2.5 g (50 mg/mL)
Immunoglobulin Varicela Zoster	Solution for injection	125 UI/mL.
influenza vaccine	Injection	0.25 ml
influenza vaccine	Injection	0.5 ml
MMR vaccine	Injection	1 dose -preservative-free
MMR vaccine	Powder for injection	unit dose - multidose
MR vaccine	Injection	measles, rubella
ophidic antivenom	Solution for injection	N/A
ophidic antivenom	Solution for injection	anticoral - 10 mL.
pneumococcal vaccine -23	Solution for injection	0.5 mL - 1 dose
rabies vaccine	Injection	1 dose
rotavirus vaccine	Oral suspension	1.5 mL - unica dosis.
vacuna sarampion y rubeola	Powder for injection	N/A
varicella vaccine	Powder for injection	N/A

45. Agentes oftalmológicos

Medicine	Pharmaceutical form type	Composition
acetylcholine	Solution (eye drops)	20 mg/ 2 ml
aciclovir	Ointment	3% W/W
atropine	Solution (eye drops)	1% (sulfate)
azul de tripano	Solution	0.06% (0.6 mg/mL) - 0.5 mL
betamethasone sodium phosphate + neomycin sulphate	Solution (eye drops)	0.1% / 0.35% - 5mL
ciprofloxacin	Topical	0.3% drops (as hydrochloride)
cyclopentolate	Solution (eye drops)	1% (hydrochloride)
dorzolamide	Solution (eye drops)	2% (hydrochloride)
fluorometholone	Solution (eye drops)	0.1%
gentamicin	Solution (eye drops)	0.3%
hyaluronate sodium	Injection	10 mg/ 1.0 ml
hyaluronidase	Injection	150 IU
hypromellose	Solution (eye drops)	0.3%
hypromellose	Solution (eye drops)	0.3%
latanoprost	Solution (eye drops)	0.005%
normal saline	Solution (eye drops)	500 mL
olopatadine hcl	Solution (eye drops)	1% (1 mg/mL) - 5 mL
oxymethazoline	Solution (eye drops)	0.25 mg/ mL (hydrocloride)
phenylephrine	Solution (eye drops)	100 mg/ ml
phenylephrine+tropicamide	Solution (eye drops)	0.8% - 5 mL.
pilocarpine	Solution (eye drops)	2% (hydrochloride)
prednisolone	Solution (eye drops)	1% (acetate)
rivoflavin + dextran	Solution	> 0.1% p/v + 500 al 20% p/v.
Sodium hyaluronate + Sodium chondroitin sulfate	Injectable solution	30 mg/mL + 40 mg/mL
tetracaine	Solution (eye drops)	0.5% (hydrochloride)
tetracycline	Eye ointment	10 mg (hydrochloride)/g
timolol	Solution (eye drops)	0.5% (maleate)

46. Preparaciones dermatológicas

Medicine	Pharmaceutical form type	Composition
acitretin	Capsule	25 mg.
aluminum acetate	Powder	N/A
antiseptic alcoholic solution	Solution	350 mL / 500 mL.
benzoyl peroxide	Gel	5%
betamethasone	Cream	0.1% (as valerate)
betamethasone	Ointment	0.1% (as valerate)
bifonazol	Cream	1%
brea concentrated	shampoo	150 mL / 180 mL.
calamine	Lotion	N/A
chlorhexidine	Solution	7.1% (digluconate) delivering 4% chlorhexidine (for umbilical cord care)
coal tar	Ointment	28 gr - 45 gr.
crotamiton	Lotion	10%
fluorouracil	Cream	5%
hydrocortisone	Lotion	0.5% (acetate)
hydrocortisone	Ointment	1% (acetate)
hydrocortisone	Topical	0.25% (acetate)
hydrogen peroxide	Solution	3%
iodine-povidone	Topical forms	7-10% (foam and solution)
methoxsalen	Tablet	10 mg
mineral	oil	N/A
podophyllum resin	Solution topical	25%
potassium iodide	Oral solution (drops)	1g/mL - 30 mL
rose cream	Cream	40 g / 60 g.
salicylic acid	Ointment	5% (50 mg/g) - 40-60 g
salicylic acid	Solution topical	15% - 17%
silver sulfadiazine	Cream	1%
silver sulfadiazine	Cream	1% (50g)
sodium fusidate	Ointment	2% (20 mg/g)
sulisobenzone	Lotion	10%
trioxisaleno	Tablet	5 mg.
zinc oxide	Cream	45/50/60 gr.

47. Preparaciones ginecológicas

Medicine	Pharmaceutical form type	Composition
conjugated estrogens	Tablet	0.625 mg
miconazole	Ovules	200/400/1200 mg. (nitrate)
polycresulene	Gel	18 mg/g. - 50g.
polycresulene	Ovules	90 mg

48. Antídotos

Medicine	Pharmaceutical form type	Composition
acetylcysteine	Tablet (dispersible)	600 mg.
deferasirox	Tablet	500 mg
flumazenil	Injection	0.1 mg/ml
naloxone	Injection	0.4 mg/mL
obidoxime	Injection	250 mg (chloride)/mL

49. Antihemorroidales

Medicine	Pharmaceutical form type	Composition	Observation
antihemorrhoidal preparation (corticosteroid + local anesthetic)	Ointment	30 gr/ 60 gr.
antihemorrhoidal preparation (corticosteroid + local anesthetic)	Suppository	1 gr/ 2gr

50. Misceláneos

Medicine	Pharmaceutical form type	Composition
acidulated phosphate fluoride	Gel	450 mL / 500 mL
alfuzosin hydrochloride	Tablet (prolonged release)	10 mg.
aminoacetic acid (Glicine)	Solution	1.5% - 2000 mL/ 3000 mL
anticoagulant solution of sodium citrate and dextrose	Bag	750 mL.
beclometasone	Metered dose inhaler (aerosol)	50 micrograms (dipropionate) per dose
beractant	Suspension	25 mg/ml
breast milk fortifier	Powder for dilution	0.70 g - 2 g.
calcium folinate	Tablet	15 mg
dextrose	Oral solution	40% - 320 a 340 mL
enteral formula for chronic and acute nephropathic patients	Powder	80g - 160 g.
enteral formula for liver patients	Powder for dilution	80 g - 120 g
enteral formula for patients with glucose intolerance.	Powder	400 g - 900 g.
enteral formula free of branched-chain amino acids	Powder for dilution	400/456 gr
enteral formula free of branched-chain amino acids	Powder for dilution	400/456 gr
enteral formula free of branched-chain amino acids	Powder for dilution	400/456 gr
enteral formula with complex nutrients	Powder	370 gr / 460 gr or 60 mL (suspension)
enteral formula with complex nutrients	Powder for dilution	400 g / 465 g
enteral formula with complex nutrients with soy protein	Powder for dilution	10-12% protein, 44-49% fat, 40-44% carbohydrates, vitamins and minerals
ethyl alcohol (ethanol)	Solution	70%
ethyl esters of iodinated fatty acids of poppy oil	Oily solution	38% p/p - 10 mL
evans solution (formula)	Injectable solution	20 mL
fórmula nutricional elemental hipoalergénica a base de aminoácidos.	Powder	400 g - 454 g.
L-carnitine	Oral solution	30%
lactose free enteral formula	Powder for dilution	400 g - 450 g.
leucovorina	Injection	50 mg
lubricating jelly sterile	Gel	N/A
Medium chain triglyceride oil. Percentage: C8 fatty acid (Octanoic): 58 to 67%. C10 (Decanoic): 23% to 40%. C8 minor chain: Less than 6%. String greater than C10: Less than 4%	oil	500 mL / 950 mL
mesna	Injection	100 mg/ml in 4-ml ampoules
modified enteral amino acid formula for people with propionic or methylmalonic acidemia over 3 years of age	Powder for dilution	400 g - 500 g.
modified enteral amino acid formula for people with propionic or methylmalonic acidemia over 3 years of age	Powder for dilution	400 g - 500 g.
Phenylalanine-free enteral formula	Powder for dilution	400 g - 456 g
Phenylalanine-free enteral formula	Powder for dilution	400 g - 456 g
polyestireno sulphonate	Powder	400 g - 454 g
potassium chloride	Solution for dilution	15% (equivalent to K 2 mmol/ml and Cl 2 mmol/ml)
prostaglandin E	Solution for injection	500 mg
riluzol	Tablet	50 mg
Semi-elemental enteral formula with hydrolyzed nutrients for children with intestinal malabsorption problems	Powder for dilution	350 g - 500 g
sildenafil	Tablet (enteric-coated)	50 mg
Sodium sacharine	Tablet	12.5 mg
Sodium tetradecyl sulfate	Injectable solution	1% or 3% - 2mL
sterile solution for irrigation	Aqueous solution	F.E.U. - 250mL.
sterile solution for irrigation	Aqueous solution	F.E.U. - 500mL
Tizanidine hydrochloride	Tablet	4 mg.
vareniclina	Tablet	1 mg

51. Otorrinolaringología

Medicine	Pharmaceutical form type	Composition
2% acetic acid in aluminum acetate solution	otic drops	60 mL
acetic acid	Topical	2%, in alcohol
benzoin tincture 20%	Solution	60 mL
oxymethazoline	Nasal spray	0.5 mg/ml
oxymethazoline	Solution (eye drops)	0.25 mg/ mL (hydrocloride)
Soften earwax (Potassium carbonate, glycerin or propylene glycol)	otic drops	30 mL

52. Medios de radiodiagnóstico

Medicine	Pharmaceutical form type	Composition
131 iodine (Na 131 I )	Capsule	1 mCi - 200 mCi
131 iodine (Na 131 I )	Oral solution	25 mCi - 200 mCi
99 mTc-Tropano	Injectable solution	N/A
99mTc sodium pertechneciate	Injection	74 GBq - 277.5 GBq
99mTc-colloidal sulfide	Powder for injection	N/A
99mTc-mebrophenin	Powder for injection	N/A
99mTc-oxidronato	Powder for injection	N/A
99mTc-pentetate	Powder for injection	N/A
99mTc-pyrophosphate	Powder for injection	N/A
barium sulfate	Powder for oral suspension	85% P/P
besilesomab marked with technetium (Tc-99m)	Powder for injection	N/A
colloidal rhenium sulfide (Nanocolloid) + 99 mTc	Injectable solution	N/A
effervescent granules for oral use	Oral solution	Ampoule 3 gr - 3,5 gr
gadoteric acid	Solution for injection	0.5 mol/mL - 15mL
gallium Citrate (67 Ga)	Aqueous solution	1 mCi - 3 mCi / 5mL - 10 mL
gonadorelina	Powder for injection	100 mcg
Indian marked Octreotid 111	Powder for injection	3 to 5 mCi
Iobenguano (131I)	Injectable solution	1.25 mCi to 1.5 mCi - 5 mL
iohexol	Injection	equiv 300mg iodo/ml in 50 or 100ml vial
iohexol	Injection	equiv 300mg iodo/ml in 50 or 100ml vial
meglumine and sodium ioxitalamate	Solution for injection	55% (550 mg/mL) + iodine 25% - 20mL
meglumine diatrizoate	Oral liquid	66% + 10% sodium diatrizoate
norcolesterol iodado (131 I)	Injectable solution	1 mCi to 2 mCi - 2.5 mL to 10 mL
protirelin	Injectable solution	200 mcg. - 1 mL
rhenium (186 Re) colloidal sulfide	Injection	220 MBq/mL to 335 MBq/mL
succimer	Powder for injection	for technetium 99mTc-succimer - ampoule
Technetium 99mTc-Albumin added	Powder for injection	N/A
Technetium 99mTc-bicisate	Powder for injection	N/A
Technetium 99mTc-Mertiatida	Powder for injection	N/A

53. Medios de diagnóstico

Medicine	Pharmaceutical form type	Composition
fluorescein	Injection	10%
fluorescein	Solution (eye drops)	2%
gonadorelina	Powder for injection	100 mcg
methylthioninium chloride (methylene blue)	Injection	1%
protirelin	Injectable solution	200 mcg. - 1 mL
tuberculin, purified protein derivative (PPD)	Injection	N/A

54. Materias primas

Medicine	Pharmaceutical form type	Composition
charcoal, activated	Powder	N/A
ethyl alcohol (ethanol)	Liquid	FEU 95º
ethyl alcohol (ethanol)	Liquid	FEU 95º
ethyl alcohol (ethanol)	Liquid	FEU 95º
ethyl alcohol (ethanol)	Liquid	FEU 95º

01. Amebicidas y antihelmínticos 02. Antibióticos 03. Antituberculosos 04. Antifungicos y Antivirales 05. Antisépticos y agentes urinarios 06. Adrenérgicos 07. Agentes cardíacos 08. Antihipertensivos 09. Diuréticos 10. Vasodilatadores coronarios y antianginosos 11. Agentes anticoagulantes, trombolíticos y antiplaquetarios 12. Hemostáticos 13. Antianémicos e hipolipemiantes 14. Antiinflamatorios no esteroideos, antirreumáticos, y agentes mineralizantes 15. Uricosúricos, antigotosos 16. Analgésicos no narcóticos 17. Analgésicos narcóticos y antagonistas 18. Anestésicos generales 19. Anestésicos locales 20. Relajantes musculares 21. Anticolinérgicos/antiespasmodicos 22. Colinérgicos 23. Antiasmáticos y broncodilatadores 24. Antitusígenos, fluidificantes y expectorantes 25. Antihistamínicos, antieméticos, antipruriticos 26. Antiparkinsonianos 27. Antimigraña 28. Anticonvulsivos 29. Antidepresivos y psicoestimulantes 30. Antipsicóticos 31. Sedantes/hipnóticos, ansioliticos 32. Agentes gastrointestinales, antiácidos y antagonistas del receptor H2 33. Antidiarreicos y laxantes 34. Corticosteroides 35. Andrógenos y anabólicos 36. Estrógenos, progestágenos, anovulatorios 37. Oxitóxicos y Tocolíticos 38. Homonas hipotalámicas, pituitarias y otros agentes 39. Hipoglucemiantes e hiperglucemiantes 40. Hormonas tiroideas y drogas antitiroideas 41. Antineoplásicos y agentes inmunomoduladores 42. Vitaminas 43. Electrolitos y soluciones parenterales 44. Biológicos, vacunas, toxoides y antitoxinas 45. Agentes oftalmológicos 46. Preparaciones dermatológicas 47. Preparaciones ginecológicas 48. Antídotos 49. Antihemorroidales 50. Misceláneos 51. Otorrinolaringología 52. Medios de radiodiagnóstico 53. Medios de diagnóstico 54. Materias primas