kl - srth.moph.go.th¸ค62.pdf · rll;nuirrirrprullorfi rlor rjr:nt adtwnlruuorlil {o uruondqir...
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rll;nuirrirrprullorfirlor rJr:nT adtwnlruuorlil {o uruondqir
Iruti nnr;nr;cl
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u3o72} TRMETAZDI,E Frt 35 fiilc {ruru 140<60
TAB
u?$vr droroaol (r.l:cr$alfi u) n'rria 64.414.00
t ununrudr{ufliaoiudrrvri'zu ) 64,414.00
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1250600 TMZODONE t{Ct 50 t\{G ohrn! 40)600 TAB u3&r ilrJiilr,irriq 32,000.00
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32,000.00
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( ururi:cnou {owde$llnd I
uruunvrrlvr:rqoqi(irurtan::l artrrtaon::u)
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tltrn1:ia1:011 TU:ENOUN'11 tln'r
1180310 SODIUM BICABOM"TE 300 [ 6 TIB dlnu2,000x100 TAB
ih*firriruarulyniur r{r{lr 18,000.00
( udr#us afuu'mdru ) 18,000.00
a , .i -a rv. !tllln1t{nnlrirtrnun1Eou l tyl?ut.l ttllfrvlsruuu ultlrr1tln {1n{
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rhmuirnirryru1furi)..triar d::nu{twni:rlua:1il io uruanriqfi
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nudlNnurura........................qnH0{g:lfi.........................1d!n'rrn:$1ifltr{: 1 fi.....grronfeli.:1..
ihrnu............1..........:ron'u rlu enJrnndoruaa6uadohJd
:10nlr t't:ru1 r{utuftoun'l: 11R1
2090610 SoRAFENTB 200 t\,lc TAB d1rnl txoo Taa ulfi finu ot (rjxrvaluu) dT ria 4t,794.20
41,794.20-) ) I n . r ,-.1 J-( 6raiiur,rillr{vrtniotlfi rBuf, urvEduan rd )
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rJfr rh:rtnr:urr{ir:rtnr:&u&qr:trg{ori
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:'ranlt n'Eul w:unaunl: lltt'l
1O2O38O SULFASAI AZIf{E 5OO AJIG ENIEftC COATED
{rrnl aooxtoo usu:uv1 roifrloa uJffaan nlnn 69,000.00
. a ar e( lrnulJurn'lltuu1vt02u ) 69,000.00
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rJ:unrn or {ud 18 n:n1Tlri 2562
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, urort ,n)((*rrfiu:iilnil r
uruurvrdrxquqil({runtn:tu mtrinun::u)
{nvrnr:lurhumi{drurunrrlNxururnq:run{rril
rJfi rf; :rtnrruvu,filrlnnl:fi rda{:r119{610
620 4,
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dlunrdr*irrprrqlmfidor rJ:lnu{twn1r6uo:1i1 {o urlurfudr ha
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kiin'r:n:rrnnar:rar do.............cn!{f.ruir
110nTv|9',]:011 iri:cnounr: t'rR1
129m90 VTTAMTN A 25oOO tU !'lrnu 80xlo0 CAP uruvt nnna fi1ru1 01ne 4,830.40
( CrYuuUaiouarliurr#iuanr.r+{ ) 4,830.40
- ; -t .r, &t,lrln'tt,llnnlt'lll[aunluou 1 i1iufl{
'l1lttlaugu trnl't1lnt1un{tn{
rl:cnr. {ud 18 nrnfl1n! 2562
( uruUtcaau f,ottfiu:fi*n# )
uT uunnrirr.qa4fiirrr2ln:t! artrfiaun: )
{nvrnr:hn'rurniddrmunr:l:urururaq:'rn4{ori
rJlrh:rtnr:unr{ir:rtnr:&r,r'Iaq:l4{ori
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rJrnrriforhq:rugfmirlal rlltn.ra{tu;nmtuorli,r {a uruanriqir
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n.r,dl:murrr0........................q:1!8ft1f,........................Mmn1rrirlrnn6{:1n1 {o.....u:uonu"Sti:
{ruru............1...........r',rnrr t!, mrJ:rngdl:runur6ua;'olUd
:1tJO1:vln1:IlJ1 iri:cnounr: :'rfi1
1110100 TMNEXAMTC AC|D 250 irc fir2u 80x1oo
Lrar
ui&r qurarduuoiruduuun raor{un{ 24,824.00
( aowrdudrYuutjaiaridiudurvrd?u ) 24,824.44
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'tlntrcruuu snual$t1glllu1.l
rl:snr; or lud tB nrn1u! 2562
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fnurn, dur'T urni.r{o'rurunrrl:rrarurnq:ru4:lori
rJlrh:rtnr:uvru*ir:rtnr:f,nthq:ru4{ori
620 82
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rJrlnrdkn{rrpug{o, i,/,. Iriior rh:rnr{tu:nlrurorlil to urluriqir hu
ii nrt,t;rlrco{
l#inr:n:rrnnal:mr do.............cjr1uf.{Ui:1
:10n1rto't:0J'l itl:rnaunr: 'r'Ifl'l
2Icf,O2O SETIGILINE lrl 5 IV6 TAB fiulu 2OX1OO TA8 ui$vr uralari ,l'rrin 16.000.00
.))( uu{vlruunruL1vl0lu ) 16,000.00
- ' ; -a t ,ct, b:'l!nTtqnnl!l$J[a3n1uou .l nltu6{ nlifixuruuu llaunl!ti1uyl.:u'l{
rJ:cnra ru {# 18 ntnflin!.i 2562
a), rrurrrn)#urrdotittnd t
uraunndn:qorf (druntn:a at1*aon::u)
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rJfith:rtnr: uvru{ir:rtnr:fi vtar:rug{ori
6205683
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:rnuirrfi;:rr*g{milriar U:unu{tum1r6uar1el da uduriqfi leer
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,.ud1:0nu.urn........................i!:]lg*nf, ..........
1...........:runr: fu mrl:rn6rYl:runcrSuariolild
liinr:n:trana.r:rar {o............ g:-tHlgi..r
:10n1:n0'1!0,r1 drj:cnarnr: 1'rnl
1130060 VERAPAMTNE rrl 40 ir6 d,ltfxr 3ox25o TAB u}fir filo eliaaf (1979),i1rTt 6,600.00
( unr{urnioourrriru )
d a r.l .u' &t nlutnfi1$tlluarR'llou .1 iM16{ aloivl?au0u tl5cnllio1ur{lru
6,600.00
:cnrn aJ {uf, l8 n:oflrn! 2562
( uru :anou lo,,,lrtfrstilnd ')
urouvrvrrivrxqr4i(iruntn::r mlr#non::r)
:nu1fl 1:tullu1,nr{alonnun1:ll{ alrl8ft1unfi '1u
rlfr rfr :rtnr:uvrui'ir:rtnr:d.rulna:ru4{ori
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6205684
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rlr;nrniforfiqtrugftrfirlor rJrvnra{tusn1r.ruarli1 {o arlurfufi hu
t6 tlnrlrflscr
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nruf :rnurura......... ..............t$!0{.03fi .........
1....,......:runr: fu narj:rngrK:ruacdusrioliJd
ldinr:n:mnnar:rar do............sduffu?:t
:1Un1:lll',lltu1 iri:cnaunr: 11n1
IO5O18O SOOIUM VALPROATE PROLOI{GED RELEASE
5ooru6 TAB d1lnl l,OOOx3o tlBui&r drnraaot (r]:crnalvlu),D'rrYq 301,7.10.00
( aruururaitr{,rrtoisgiliuurvr#ru ) 301,740.00
r , .i -/ .u' E ,:1!nlr4Jarltlr!mlnluou 1 R'Htlfl{ nlniruruur trn3illlnluvl.t1]2{
rJ:snu ot fird 18 nln4m! 2562
a( u'rutt',na,f*/-'ntLfiwrilril )
uruurmdrnqorlii(ft uotn:an rnlr+{nunlrr)
lnvnmlrdruni$.rrnon'nlxnarunrEnq{ori
rllrf, runr:unrafiir:tnr:&*loqrug{trf,
6205685
Attl&il
ffi?
rJr;mr&rihrltrngloriiior rJrmrrdtuunruuorlil {o uruonriqir
Ienfi lsnrsrercrr
,iruru
n1lr
If,I:$srura............ ...........q:rp0ft:fi ........
.....:ltJfl'r: {u narJnn4fii:runc6uariohJ{
.lffinr:ro:ornnnlrar {o-....utypnu'q6:
:1Un1ill!1:tul {rl:unounr: :'tn1
2l.3O35O SILODOSIN 4 [4G TAB o'1u1u 2OOX3O TAB uiSr iraorrar (Urcrnaluu) drria 76,6t2.00
( rdavduunr{uraniouf,uaorurnrl"ru )
r ., ./ .r, E,:'lllnlutaaltruftnluou 1 a1mr6{ nloiylsruuu uaunllnaluyr.rul.t
76,612.00
rJ:cnrr ol lud t8 nrn1ra! 25d2
00n( urarhYnou foirulu:mn{ I
uraunvrdtr:*rond(Crulin$r fi rfi iaon:r!)
fnvrnrrlwfi urni{dnnunr:INnrnurtrqrrnilmi
{firhrtnr:unufir:rtnT rdlrfaq:rrg{ori
62056€6
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dl:rnururn.................... .. {:lp8tstfi ...... .
.....:1!.,n1! {u rnr.J:rnnf.r:ruau6tradahld
lf;finr:ro:mnnar:rar do............g':lgftUi:l
:'tun1:ll01:tu1 tu:3nDUnl: 11nl
1181020 SENM45o MG druru 998x100 CAP u:u?r u,nlJ.rnr$a! 99,800.00
. r ) ro r( nlvuun1 u$unlouulvro'lu ) 99,800.00
- ' .,i *l .a. &flInlBtanlr lr[arnltnu 1 nlnuf,.! alnt unJgu tlnsallno'tuyl{Ln.t
rj:rnra nr {ud 18 n:n41a! 2562
( u-ngr:znou lmatrfin, )
uruunyrJy:mturd(duntnr:l srrrflaun::r)
{nr+rnr:Iur'runl{drurenr:INnarursqrun:lori
rJfi rh:rtnr:uvru*h:rtnrr&ra&ryrunfu ril
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f|lNnu.rurn........................Unw|g::f,.........................U1nr:nrlrlfln{flnl fi............tl:h{flut:l
.....ranr: fu rmJflngft:ranr6oar'ohJ{
110n'l:It91:0J1 flJ:8nO!n1: llfll
LO7237o RlTot{AVIR 100 MG TA8(: ) (u'ufln) druru
6.10 TAB
uifr ta8a r{r{ur o'rfi'n 7,838.82
( 16afuurjniooatrduuUnurvrurjaiuao.ran rd )
-;-a&l1lJnluuBFlr?l!qnrnlEou .l nlnun{ fimtuutuuu u,atcnllttlui{u?{
7,838.82
rJ:unr; or {ud 18 nlnn,n! 2562
I( rrrur"lkuorulu:iint I
uT uurvrdvr:qruqi(irlntn::l artrf,aon::u)
lnr*rnr:1rr1 urn i{drurunrrlNxorurarl:rnn{ori
r.lfi tl:r.anr:uvru{ir:rtnr:ft nlanrun{or0
620568a
K$ffi
drlnrr{hrfirpru4iolirlo.r U:rnrr{rtvn1r lor1a1 {o urluriqfi Iru
i6 nnr:nrvrr
1'ru1u
nrxil:ctrsrura..... ..................tr?-rr.g{glfi ....
1.........-.:runr: rfu lra :rngc-orung6urrialild
lf, inr:rt:lrana$rar{o............tr:-1uli.{ut-r
110n,l:'l!'ntu.l au:!noun1: :16',]
1130120 |lYDMLAal,€ l.lCL lO lre {1tr,r! looxsoo
TAB
i.-utt ll rnurtilllilvllii.t o]nfi 36,850.00
( aurduranr{uuUaioafrtuurrliru ) 36,850.00
- , .l zl .e. !,llrnllqaaltitunsn'llou 1 nTua{ n'ltt'luruuu uaunllnn'luvl{Ln.!
rJ:mtr or {ld 18 nrn1m! 2t62
/lw
( uru tlnouiotr $ottlnl >
uruunvrdnuqo4i(fi untn:a ;rmrYnun:a)
{nnm, tudrunri{drmunl:b{ritrrulsprrdtlil
il$ll:rtnr:unufir:rtnr:dwr&rqrug{ori
62056A9
\/.0H k
A\g BI
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rJ:mrrirnirrl:rvgiorE/-t6or rJrrnu{rwn1r6uor1i1 io urluriqlir hu
i6 lgnlsnrv.{
n.rdl:rrr,.u.n........................lmuo{.E:rf, .............
!...........nunr: rIu mrJ:rnnfiuruarr6uirial{d
..lfrlnr:n:manar:rar do............ g:kg..tut:l
t10n1tll :0r1 dtl:cnaunr: l']f)'r
tl7O03O FUROSEMIDE 500 MG ri'1u1u 5O0x1O0 TAB u3$n rurala:riri unu ,l'rdn 99,500.00
( uiltduuilfinhlosun hu ) 99,5oo.oo
r,.,it)..,L:2rJnlqnnlril|urEn1tolt 1 atui{ aleirErutru uttmltlelsfiul{
drcnrr oJ {ud 18 nloAmr 2562
I,hr
( uruirvnou-f,atr fiLlfittnd >
uruunvrdn:qo4i(f,runtn::r arrfiaun::l)
{nvrnr:lw{rurnj{drrnunr:l:orunnnqrnnifu rirJfi r)h:rtnr:uvru{ir:rtnr:fi ra{npru6{t, i
6205690
tNlH
a Kffi
!.1
rJl;nrldcrirrl:rug{orii)."1rior U*nu{mltnlrltnorlil fo orlutiry{r lea
i6 enrsrtrscq
't,rrrdt:liulu'm.............. .........qfl.uofmfi ..........
.-.......5'run1: riu lar.l:rn4i.r:ruacr6uiriolild
.ldin, :n:tunaqrm {o...-........tJ.'iyffd:l
Crur.r............1
:10n1:tlt1:tul eu:Enaunl: :'lft1
2I9A4aO ISOSORBIDE-5.MOI{SMTRATE SR 20 MG
d'tu'ru 50060 CAP
ti$vr ruo{iu rh5lrllaan 37,500.00
( rurduriarfuririoourrdru ) 37,500.00
- i -a . c.. &,2llr1E{nn"rulllufi un1tsou .l a1luf, { i'lti}lurutJu [acn1$t'lutl.!u1.!
rJ:cnri oJ {ui 18 n:n41nu 2562
( uruu:cnou f,avrrfiu:r'r{nd )
l'ruunvrdr:qo1f, (drur:tn::rr *rtrilnan::l)
lnvrnr:tur'run i{drmonr:lxnorurrqrlrrr:ltlil
u0tii:'rnn1'[xut11r1in1:{{!rn6rlua!0'1u
620559t
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rJt:nrldrnirrprrqioriidor rJ:;nr*itu;n.r,auor.". d, o,luriryir Lu
ti nvrraor;ol
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dl:uurur...... ..... . . . ...!1:s0{p.?f, . . .....
.....r1unr rlu nnrJ:rn4furungr6srriahJd
ldinr:n:runar:rar ds. ... . ....g:ilufsui-.r
:10n11 11! 'l ilu:&floun1: :1tr'l
1250170 LOMZEPAJTii 1 MG d1ufl 80x1,000 TAB u:ut4 lualll:u nlnn 28,000.00
( aarviuu ar{uurndru ) 28,000.00
r .l -/ .), !rlrJnlut8nlrrllunsnltou .l i1!ua{ alntvEtuuu uacnl lto'tt vl{Ln.t
d':cnrn oJ &d 18 n:n41 2562
( uruU:gnou *ot'tdaziltnd )
uruunu dvr:'rqulil(drurtn::r mtrr{aun::u )
{nurnrrlur'ruvuq]o'rutunr:l:lturu raq:run{orii
rJfi rh:rsnr:uvru*ir:rlnr:dru{ar:run{oril
62u5b92
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rJ::nu,[r*irrtrrrtr{orirlol rhrnrdtu:rnruuorlil do uruonriryih
Ierrfi nn'utrrlrr
n',ui1:0nsrura.............. .........llrs8fg:]fl ..........
druru............1...-.......r.rn,r tfu rnrJ:rngrft:runzr60atio[]d
ldinr:rn:mnnasrar {s.....elr.uonfqli:
tlunl: s'r:tu1 HU:3n0Un1: :1fl1
2180420 MISOPROSTOL TAB 200 fvrcG !'lu?u 3x140
TAB
r.l3$vr tnin {rfur drrin 3,694.7 L
( aurYuraniouniliudurrrdaiursaantd ) 3.694.71
-,.1 -/!11llr1lttanlrxuu6un1tr0u 1 fi 'r'dua{ ilortvlcruuu [nti']ttalur.llft.l
rhcnil or fid 18 nrnflfi! 552
orvwBcdlhl@1iturtiln{t
rroNndw{qorli(fi utllnf trJ crrn{non::u)
{nvrnr:luhunrlSruruntl:uortnnr.trq{or0rJfirhmn, :unufir:rtnt{u,lhqnun{od
620 93
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rh;nrtdrrfirpTng{orir{cr rJrmr{twnr:suorlil {o urluriqdr ha
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x'rulu
ufft:$urura........................111!0fs:f, ..........
.........r.un'': riu mrJ:rn4iuru;vr5udalili
ldinr:remrnnar:rar {o.............-rnlgfsi-r.
:runr:firr:rur iri:rnounr: 11rtl
1020100 MPmXEN 250 [,fG {imu 400x1OO TAB ul*yr tutr.rurrItn::! ,irda {riurtu) 29.200.00
( aooduvilf,lnulasurrilu ) 29.200.00
:r:rnr8qnrirriluarnr€Cu 1 rirtudr riroavrcrfi uu uagrirlddru#{*11
tl:cnr; 6u fui 18 n!n!1a! 2562
( urc :cnou lnurrtnn )
uruuwrtir:rqnr.ri(truntn::r artrtnunr:!)
{nvrnr:lur'runjrid, urunrl:lnururarrrra{ori
rJfi rh:T tnr:uuuefjr:rtnT :dru{rrr:ru3{orfi
6m5694
Lfu.t
rJ::nrrirrirl:,rvgiorii#or rlrrnufiwn.tnurr.". {u uruanriryir
Iauii rsrrinrrer
nrlrdl:rrsrura....... . . . .q:t}${s.'tfi.. ........
l'ruru............1...........r',un.: tfri ratl:rn4iuruavr6uadshJd
ldlnr*umr naqrar do.....tr:lu-o. nf$$:
tlun1:llQ'l't6ul ritl:cnaunl: :'lR1
2280250 NICERGOLINE 10 MG i'1ulu 42Ox5O TAB uifvr in6; r{r{ur r'rfin 146,953.80
( raihuauCvduunr{uifniaufiriuatiurnurjatuarrd ) 146,953.80
- i t/ .-, &:1!n'ltqaalr ![n&R1t ou 1 tr'rtui{ nlitvlsruuu u{lrfir$n18m{u1.t
rj:cnra ar {ud 18 n:nr,]'t! 2562
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lnvrnr:tu*runil{drmsnrlr{ ululffrrrlr4{orfi
rJfi rh:rtnr:uvn{inrtnlrd{x{iq:lu!{t1i
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i6 nnr;nrce{
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nufrI:$srura........................q:lmft.d...........
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Idinr:nmrnnar:urda............p-r.luf.cii-r
l'run1:ll!1ltu1 IU:cnoun')1 11fi',)
2ott320 oFtoxACrN 200 MG dru1r 40x100 TAB I:.rlruurdtn::lvroudniinoa 5,200.00
( fin{unodauurvr{irr ) 5,2oo.oo
- t tl rv, &run1ltai1$rl,uStsn1lcu 1 nlllJtltl n'lltns{uu! tr8sn1Nt1u fln{
rJ:cnra oJ lud 18 nrnl u 2562
( urgu:cnou Lrlg:rrn6 )
uT uurvrrlmraulil(drur:tn::u mrrflatrn::u)
tntfln1:lurlutn {rotu,ltio1:l:{llu1u1aalltrntE.Itl
rlfr f fi :rrn'r:uvnafrir:rtnr:d'nr{nq:lrnirr
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6205696
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,',rdl:$rurura........................qlLr${glfi ..........
.1...........:runr: rfu an :1ngsft :luacduariottd
ld$nr:n:sranal:r,r {a............flillrf.qli:t..
:10n1: o'r:0J'r iri:cnounr: 1'111'l
1050070 PllEl{fION SOOIUM 1OO !.rc &lrru300x100 CAP
u3$n tnf,a rl,{ur drrYn 98,868.00
( rfiruduurhfluurJasosmiuu aurvdru ) 98,868.00
- ,. -. . ,.rr_,. f"6O}|ur!?ts{nn'}rruuftnluDu 1 nlnut{ nll'nlruuu ulltnlttllut
rJ:vnrn or {ui 18 o:olln! 2562
( u."utlrsn 0?1l,turrflnf, )
ur ounvrlvrr.rqo46(iruutn:an artr+{aun'::u)
{nvrnrrlur'rurnfu {o'rutunrtl:lxon-nnq:lrn{uriUltil:r.anr: uvrui'ir:rtnr:6'o,r{rq:run{orii
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6205691
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rJrvnrrdrrirryruglori
riol rJrmu{twnr:uluorlil {o urluriqir hufii ts tctcr:fl
mudlxnrrn:ra........................S1:s4ffi.........................lifinrr,o:orlnoor.n do............p:il{&fi]
drunr...........1...........:runr rh xnil!1n!fr{!1s$r!0ttisl{d
:1Unlritr't:ol1 {utunaunr 11n.1
lrllerrp pRocATERoL lrL 50 ircG rhu:u tgo<too
TA8
uSfr ia6a rh{lr atrn"n 54,891.00
( firvdudrYuurjnlossiliudaulr.iru ) 54.891.00
z , i -/ . 'q.' !':?l]nllq6altliuununlto! .l n'rlut,r trliillutlru! [nun1lln1fllfln{
rJrcnri ol {ui 18 nrfinrnr 2562
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uruunndvnqnqi(durlnnltl artr+faun::u)
lnrnnr:ludr uni$nnonrrlxno, urnpn*n{tri
rJlrf, :rtnr:un$ir:tnr:&ntnq:rtg{ori
5205698
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rJ::nrairnirrg:rullori#ar rJr:nrlttu;nlruuor.ril {o urlurig{r hu
66 nn1;rcrcc{
rudl:lrurura........ .......... ....qfl-u0{mf, ..........
.........r.rn,tr tiu *urJ:T n4dr:'ruatr6unr{ahJd
lf,fi nr:n:srn nar:rar ds............ tr.]-hg-q6-r
dru1r............1
:10n'liili1!rul au:sno!n'r: :'rA1
2250680 QUETTAPTNE 2oO MG d1u1u 50.30 TAB urt*x uJalnu n1nfi 22,500.00
.)( ?10{Y!Ufl A{}IUY'lla0Ulylrrlu ) 22,500.00
- ; d/ .r' !r.)rJnlEqlnnl$irlu6rn1Eou .l alnun{ alm uruuu [aca1[!o1ufl{tn,t
,Jzann ulud, t8 n:n4lnlJ 2562
a')tlt r,rur-J[/ru1affinf, I
ur0unntlnNqrq€(f,runtn::I sr.orla0n$!)
{nrnnrrlrCruni{drrnafl r:b{rru1u'nqfl r1{rdilflrh:rnr:unuf;ir:rtnr:&r,rtmpr4'lor0
6205699
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rJrrnuiirdhrptgioTi#or rlrvn,u(ttusrnrcuorlil {a uruantiq{r
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liiinr:r,r:q$nnc:rar ds.....U::!.nnf$$:
:1Unllltt1raul HU:3flOUn.l: :1fl1
2180950 RABEPMZOLE 20 MG !.1U?U 8OX14 TAB ui$vr tafin rir{ur 6rfih 19.040.00
t ufi viuulrfu*iuurvrdfru ) 19.040.00
.,i-)t:iunlElanlLirun8n'lEou .1 i1iui{ nlt'tvt8ruur mcill.dnlu .tu't{
ri:cnrt or fiJd 18 n:nrlnr,2562
q*( urau:cnou dmnfluttllnd )
uruu;nrjn:qo4i({runrn::u trtr{nun:r!)
lnvnr:lur'ruurl$drurunr:I:oru'rurqmtrn{ori
U$th:r.anr:unurfir:T tnr:fi u{aa:l+g{art
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,',!dl:cnurura..... q:LH8r[]i..........
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.}i nr:ruornnnr:rnr {0.....u:upn-{IUi]...,.
:10n1'lta1:ol.) ru:3noun'.l, :1n1
2l3O87O RASAGTLINE 1 l\it6 (r]ufin) fiu 6x28 TAB uisvr i i6a t-r drr{a 32,273.34
( aruvduso.rrtuaaliaur6niuatrvrvntBudanrd ) 32,273.34
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,:cnm ol firi 18 ntng1n 2562
o( ururl:cnou {*l',aorenl t
urtru;ntivrxqorl0(iruntn::l mtrr{nsn:ru)
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6205701
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.....r1snli rfu rn{:rnndl:ruau6oaiol d
......l{!nt:n:mann$rar do.... g:.usnf$i:
:'run1:I01t0JT l{U:CnOUnl: t1a'l
2300300 RJLUZOLE 50 MG fiu2r 4x56 TAB uifr 6ntaaror (il:crvfilru) o'rn"a 84,572.80
( urlauiudr{ufriourdniuaarr-rrvru oiuanr.rd ) 84,572.80
r , .,i a) .e' Z':'rrln'l!{aa1$uuncfl1lau 1 n1!w{ i1$ificruuu llntn'lM1u}1{lh{
:unre or {ui 18 n:nAln! 2562
ar rrrutYduo'',riu:f, ind r
uruunnrln:q ru1O(iruninr:u drtr+{nun::r)
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6205702
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rudl:qrururn........................{ru0f.01fi.........................11inu,0:rrrrnal:rar {s............p.r1nrlgi:r
o'ruru............1...........:.un.: fu emlrrng#r:rarwriuadotrtd
11Un1tllo1:O',t {rJ:rnounr: :1n'r
2050090 LEVEIIMCErAM 500 ltiGl5ML d'trnu 3OxlO
VIAL
uifii inin rhilr o'rria 134,980.50
( udruauarlndudfuuirlssu aiuutrririuanr.rd ) 134,980.5A
- , ,,! -t &,
t,l3ln1tqaalritlu8ln1EOu 1 rt1!vt{ nliill'lugu r$En1l!l1ur{1n{
rJ:rnu ru {ui 18 ntnalnu 2562
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6205703
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n.uil:0rr0Tna........................qfllo{flf, ..............
druru...........1...........:.on.r rlu fln{fl n0d{t1ualr6uadaUd
.lllnr:rumrnnr:mr fi ..... ... ..p:1v:J{6...r..
:1Un1:rn11011 {rhrnounr: 11fi1
12TA13O LACTATED RII€ER5 SOLUTION 1OOO ML
druru i,ooo BeG
u3&r i uauC 5(nt*vrnldrdo .t0.000.00
( dr,rduurvrd:u ) 40,000.00
- , .,1 -a - .r, tf,ll,tlu{ni1$Blunrn1letl l iliui'l nlitvr?luttu untnll!t1uv!{1n{
tbtnr; or tud 18 nrnalnrr 2562
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uruuwrrfi nlqrqrl(iru ntn::u artr+{nsn:fl )
lnnrn, rlur'r uuriririrurunr:1:uururaa:lr$oril
r{rh:rtnr:uvrufir:rmr:{'nr*ra:l*g{ori
62057c4
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rlor rlr:nr{itu:n'rrursotltn {o urlurfu{r hoii nntstcrslr
druru....
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il:rnurura........................qflsor!3fi .... ......
.....:1rior: rfu mrJ:rngfi*ruac6uan'aldd
ldfi nr:n:mnna*:ra'r da......... ...tr..r.1lfr.rui:r
:1Un1: A',l:tU',t euTcnaun']: :'tf i
1190560 MEI'|IYLPMDNSOLONE SODIUM SUCCIMTE 1
GM fimu 80 VIAL
utfi ia6n rh{lll'rria r89,604.00
..1 / vu t J( rilsaulrunuiiurdrr{uuniosduuriru ) i89,604.00
-i.tlt1lJnlEtnnltiri[alrnlEou 1 nllun{ n1$ixrruou uacnl!is'rux'!ul.!
rJ:cnr; sJ {ud 18 ntnn ! 2562
/1, r.uu*E[*r',tfruzittnd t
uruurnndvr:qo4ii(irur, tntu mrr{aantfl)
{nunr:lurlrurrfu {a'rmtrnr:I:ua, raa:run{ori
rJ$h:rtnr:unrafiir:rtnr:dlu{aq:run{oril
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rh;nrliirrlhqrrqler$rlor rl::nrdu;n1r6u.r1?1 {o orluriq€r hu
ii lonr;rrrmr
n1u2u
arudl:{nsrura........................ffilgr$:]f, ..........
...........:runr: rlu narJ:rn4rturuws6uardot{d
.lf;inr:n:mnnar:rar {o............r'rlvf$i-r
:runr:f,m:rur ithcnounl: :'1fl1
2090050 MTToMYCIN 2 ^,lrc
dlm! 40 VIAL urwl $lr[nui'l n iaiufll 11na 8.800.00
( urjnfuur.laSoourvrdru ) 8,800.00
- ; -/ .r, t: nltsqan1rfr!menlEatr 1 r'riual{ 'l1o'tlcruuu
rutcnlltsluvl{ll].l
r]:vnra u lud 18 ntri4'rfir] 2562
( urg :zna'..r datlfis:f,lnd )
uruuwrdvr:qot1fi(drurlin!:u sT tlf,nun't:u)
{nu.rar:lur'rurnj{drurunr:l:ormumq:t4{rril
rJfiril:rtnr:uvrufir:rtnr:&rrlrrq:runltT i
52051C6
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rJ::nrairrihryruglori
dor r.h:nu{rrcmrquorli'r {o urluriq€r lro16 nnrgrorger
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.,...rrunr: rfu ra :rn3fii:ranvr6aoriohJd
Idinr:n:mnnar:rar {o............ gnlu:lui:t
t10n1 tnl1ul TU:ENBUNl: 11111
1270500 OLKLIIIOMEL lNi 15oo ML d,ulu 30 BAG u3&r iafrn ilrfur 6rria 54,891.00
( rirududr{ugilalouuirBur6nurvriiru ) 54,891.00
- , : ar' .r. El?r,n1tt6nltxull6un1uo! .l nMa{ ,llor!4Eruaru [nun1lis10I{1r?.1
rhrnnr ol trli 18 n:n0il! 25)52
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r{er rlr:nr{tl:nr6sor1r'r {o eruanriqfiIrg,tt nrrrlttrce{
a',rdl:$nr,1ura............... ..... ..i-Ilt.q{.o]:q........ .
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..... ldinr:rsmr naqrar {s.... g1r9.0'fl. rUil
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1020430 KEIOROI^C 30 iic d'ruru 30x10 AMP r-ri$vr aurin"uliur"ululolh{u,l'rdn 48.150.00
( drduurJor{uudrlaufriuurvfiru ) 48,150.00
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rJ:rnrn ru {ud 18 n:nfl'n! 2562
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5205708
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dl:o u',u',o........................q:t-rr8{s.1fl .... ...
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ldinr:irmrnna'::r;rdo............p.:-lytI.qd-r
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1190370 LEUPRoREUN ACETA'II 3.75 [iE. ihnu 10
SYRN
u3fir iurroarst (rJ:qnalvru ) ,l'rria 49,958.30
i duduuhfluuiriosfir?uuunur$aruitianr{d ) 49,958.30
. ; i to. lt:2llnlHqan'l$ruunrn1lou 1 n1tutl{ nltircruuu lraan1llnlur{Ln.l
rj:unr ru {ud 18 ninalnri 2562
( ulruttnou,r0t1nu?nrnt.a,
lr uunnrlu:qo4i{f;rrr1nnr!! nrtr{nun:u)
{nvrnr:1ur'ruurir{drmonrl:{ urmq:run{oti
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6205709
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rJ:nuifurftryru6{orirler rJrsnm&u:nlr6uarli'1 da aruandqih
litrtt nr1g101tt{
nnrffi:rnurura........................iF:lolgrfl ..........
druru............i...........:runr: fu flrn :rqdoruatr6miotrld
.lCinr:ro:mnnaqrar do.....u:.!snfq$:
:1UB',l:n9',l:OJ1 xltEnounl: :m'l
2T2OOZO GELOFUSINE EP 5OO ML d,]U1U 60 VIAL u'i&r firnlaflron (U:crmlvlu) ,irda 13,161.00
. I ) u )e( l1Ll.!v!ui1lJtluuu.rtotjvfi6l.is0f lriYi0lu )
z ; -a .e &t1!n1E 6i1tllumunruOr .l n'r?1t6{ trlt rvr8ruuu [6ua1l!n1uvl'!u1{
13,161.00
rj:mrn or {ud 18 nrna1nu 2562
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( urstjrcno'i tettfiuftn# )
uruurmth:qru1i(dru?nnl!! artrttnont::J)
{nvrnrrlur'run ir{drurunr:I:lnururoq:rug{uri
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6205710
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fi nnr:rorcer
rudl:cnarura.................. .....in-u.$ft:f, ..........
.........:l!,n'r: rlu anrJ:rngfiwrunc6gariol'rJd
ldinr:n:aranns:mr da............prl:d.rui:t
drurv............1
:10n1:t01:0r1 drj:cnounr: 11R1
L22}6ctr TRYPAITI BLUE lNrECTloN 0.0696 w/1r' firn!20x5 VIAL
viriivr oc+Ylrasr{ drrln 18,000.20
( r,rdruduiiuafluurmdiuanxd ) 18,000.20
-ia/&tlutl{qnnlrrrisnsn'ruiu 1 'lltu6.!
rloilltruuu trntnlliolu]t{ln{
!:un-.i u {ud 18 olofl1ni 2562
t r,o*'fuarr',tfiuzfi llni t
utrunndn:qar1i0(Crurlnnrl, mtrrYaan:an)
lnvrnr:lur'rurni.{dnnonr:Ixnaruraq:rrn{orii
ilfi uTrrtnr:unurfi'l:rtnlr&rtli6:ru0{u1il
6205? 11
s*#ffiI(
r!:mudrrirrl:t3{orf,dor Utorldtugnitrttotli1 {o uruonriqrtr
Ieuif, nnrcrtrcc{
dl:lrrurura............. ..........!:l:rSftlfi ......
.....!1un'lr rfu nr :rngdl:ruarrsuadahJd
.....1d!n'r:n:lrnnaqrar do.....p:lpnf$6:
d'ruru............1
:runrtfor:rur irj:cnounr: 11n1
201o210 VARICELLA VACCTNE€CC ttrl,'. ,i'lu2r.t 15 V|AL ui$vr luisiirvrn rir6'a r1,250.00
( ufi uduvd*Yunariaofirluurvrfiru ) 11,250.00
d , ; a./ qc, & ,tlrnltqnnlrtirffirunltftu .l i1lllf, { n'ntvlurut u uaEnlliilutl{Ul.1
rl:cnra or {url 18 ntn1m! 2552
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uruunnrfur:qoqri(fiuntn::u ;rt' hon::u)
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nudlxnorum............. ..........$lso{.q:fl ..........
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ldinr:n:ornnar:rnr do............ g:hi:J.{u!-r
11Un1:In1:aU1 rhj:cnaunr: :1i')
1010430 TESToSTERONE EI,IAIIIFBTE 250 MG,/ML
(fufin) druru 110 VIAL
r.:3$vr drnrafllot (tj:cr nhu) a'rrYa ?,599.03
( aa.rr{urirlorliriluifrrurvrsrlarrd ) 2,599.03
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U:cnrn u fild 18 nrn1'n! 2552
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lnwrnr:lurh*ud{dttrsn'r:l:{isruraarrun{oril
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.ldinr:lr:trnnar:rar da............p..tlyului:t
:rgnr:fitrlrur ,tu:cfioun']: 11A1
1230040 oxYlocrN 10 rua,tL 1 ML dTnu 4,ooo AMp r3Sr reri.i.f,.,irn'r 51,360.00
( rirr.rduudotuatr{ouyniuuiyrtu ) 51,350.00
r .i t,l c>, t:2Unlutanltllurracntou 1 fi 1!u6{ a1lrtturut u uftr'llt!!'ruytfln.r
rl:snra or {ud r8 mfiAfi:l 2562
( ururj:cnou lolnfrutlllnd )
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l'ru,rrl qO BOt
uidvr inia r{r{:n rlda 92,276.80
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rJ:cnr oJ {ui 18 n:n!1n! 2562
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ui#n infia rir{lr {rrla 70.470.20
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( unuiusrur{udiogdiual,lrr uu rrnrrd ) 63,423.18
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./( r4nwiuulyto?u ) 60.000.00
r i -l rv, &r?unlutanlrruufrrnllotr 1 altufl{ n1eff nsrluu unenltitlu {tn.r
ilrcnrn or fiii 18 n:nlra! 2552
,rr$l"',( urs viu:ftfn{ I
uraunvrrivrxqo4t(iruotn::u sT tltaun::l)fnvrnr:1ue'lrurl.r{drurunr:l:orul-nnq:run{uril
rJfi r)-:rtnr:unr$r:rtnr:{.rnfeml*n{srit
5205734
K*xw
rJ:;nrdfrr{rq:rr4{o-ri)-lrior rJrrn'ufru:nlr6unrli'l {a uTturiqir Lo
i? nir:nrc
r!dl:$rur.a........................qnp0{s1i.....
.........:rsnl: rfu nnrJ:rngdl:ruagduariolud
Iifi nr:rmrrnnalrra'r do............p-rlu$lui:t
t'ru'u............1
:10n1: n1: 1 ,lutcnaunl: 71fr1
1180950 UNI-MA ENEI,IA 133 ML dlu'lu 1,200 BOX u3&r gidu drrYn 44.940.00
t Srduln"uuiriouliiuurnftiu )
' ' d t) i'r ri,orrcliuu uacrirl{drsf{il?r,llJn1utafl ltltlJsnrrluou 1 n1?u,
44.940.00
rJ:vnrn ru {ui 18 ntnflrfi! 2562
( ururj:rnau iotlfia:r'iln# I
uruururdnrqorld(Crurtn::u mm*{aun:*)
{nvrnr:luCrurri{drurunr:Ixrurual:t4{oril
rJfi rfr :rtnr:uruiir:rrnr:{qlaq:rng{srii
6205735
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dr:nrrir*ir;*ta{tri.J.. I6or rhunrr{ru:n1r6'[or1i1 {o urluriqir ha
6i mxrsrltsc{
!'ru2u
nudl:{nurura........................ft13s$ft-1f, ..........
1...........:runr: fir ra rnqdcruncdun ialdd
li!nr:s':lrnnnr:rnr {o............p-tlultU?-'r
:1Un1:ti110J1 ft]:unounr: :1n1
1220360 TEARS MTURALE FREE 0.8 ML ii1lnrl
1,60062 BOT
ui$r rtr{rir 6llut drdn 190,1100.00
( rdruaurrirududiouurrrl:u ) 190,400.00
- I rrl .a, &l,)lJn1qnn1tfi1ltlnun'luou 1 fi1!ui.t n'rtayrutuaru u6ci1!i!1u {ln'l
r,hunrn $ iYutl 18 nrna1 2562
./11w( ururlrcnou tofifitrfrfrrl)
uraumdr:qo4flfrur?nnr mmfinanm)
{nymdrrhun {Cnnmtrlxnurtrmg:nr1ft dlr{rh:rtnrrunn {ir:rtnr:tinrtrp, r4{ori
6205716
ffi
rIr-nrrftn{en:rug{rrirlor rJrurr@wn1r6uor1i1 fi orluiq{r hu
i? rgtlrcrorc{{
rudl:.$lurrrrn........................t1.1:l!8r.0:r:11..... ....
.........:ron.: ti, m :rngfiurunv6uilialild
I{lm:rt:rrnnar:rar do............1,:il.Hlysui:!
drueu...........1
11Un'Dtt0r:tu1 ri :cnounr: :m1
2190580 ||{SULIN GLARGINE 100 Unitl 3ML dlrnrl16Ox5 SYRN
ui$r dtllrolrot (u:crvlalnu) drn'a 385,200 00
. ) v-( aruuauujar.rfiui1x-uno{5ouulfi li'2u )
- : 1/ at, Zllun'llqnnlt ltr6un1tou .l n1tui{ n1tixsrut u unsnlllolutl{ln'r
385,zCA.00
rhcnfi il {ud 18 nrn1u! 2562
( urud:vnau f;otrrifo:itn{ I
uruumrdvr:qa4iYdrurlnnr:lr rrrrdnonrrrt)
{nvrnr:h:*'runic{dnnonr:l:urnuraa:lrn{oril
rJ!rfr :rtnr:uru(ir:rrnr:&rafaqrug{o'rt
$
6m5137
N. wJrI..-Il.i!6
$r;nuthrihn:run{or6
dor rJr:nu{tuvnlruruorlil {o urutnriqfl,Ilvii nn1:terctq
n1u1u
nuft:utnura....... . ............ .q:llo{glf, . ........
1...........:runrr du narJrngfii:ruatrSua;'ol.Ld
.....klinr:n:arnnal:rnr {o.....uTlp$fqli.]
tlunlilltlloll irj:rynounr:'.tA1
2o9o72o |RI'IoTECAN 3oO I4G/15 ML o'lulu 16 AMP u3$vr tafia r{rfur ,irdn t40846.24
( rad.ruauduiuurjniaodauvnurvrdeudaqr.16 ) 144,846.24
r a ./ a-, &:1un1Utnn1rrr,raffER'ruou .l tr1tu6r altivlstugu Bnufi 1llo1uvl{tn,i
d:snrn or {ud 18 ntn4lt:r 2562
( uruU:unou fiomrilu:fir{nd )
urguinrivr:rronral(f,T ur?!nt:! am+{aun::u)
{nvrnrrlur'rurni.r{drurunr:l:ororurnq:run{oti
rJldi:rtnr:unu{'itrtnr:&ufantr$orfi
620573a
K
)I
ffi
rlrvnrtdnrlelrrng{orfi).1rlor r:nu{[tu;nrrrluorlil {o arllriq{r hu
li rlmcrerco.r
t1ll21l
aruilNnurun........................fl.!3:r$fflf, .........
1...........:runr: rfu narhngduruaz6larioh{
ldfi nr:n:mn nnr:rer do............ gil1-rf. Jui:t
l',run1llto1t0l1 {U:cnoun'r: :1fi',]
21809rO M|LK OF i,{AGNES!{ 240 ML d1u2! 1,000
BOT
olfnr:uiln::u 18.000.00
( udruiuurJnr{uurvrdru ) 18.000.00
aa .r' &,lrlnlt{ffnlrnuuaunluo! .l altufl.! alli?lututJ! uacal$olutt{ul{
rJ:cnra ol lui 18 ntn4 r 2562
( uluurcnou iorrrlia:5r{n# )
vrtrurndvr:raorlil({run'un:an nrmiau n::u)
{nrrrnr:hn'ruuricio'rurunT :l:orururnrmnn{rrfi
tJltfi:rtnr:uvrr*?jr:rtnr:d'ru{aq:ru6{orii
I
6205719
t A{1
NN\
:!
rJ::nu&*lhryTng{olfi
dor rJrcor{iu5n1r6lor1i'r dc arluriqtr huIt Enr;rerco{
flud[:$o1ura........................qrs${.!3f, ..........
.........:'runr: f,u rarJt, ngiuroatr6uariohd
..1{!nr:rs:trnnaqrar da...... ....-p.rlgf.$i:t
o'ruru...-........1
I1an1lltt1!tIl RU:uOO!n11 11Al
1130280 ISOPREMLIM llct 0.2 lvlG/ML 1 tvlL r!'1rnu
8x5 AMP
o+{nr:tn{tn::l r4.t100.00
t udruduCr{ldiouumd:u ) 14.400.00
a)E:1!n18{6al[t]lununlrfiiu 1 a't!Ua{ nlifr?rll,uuu l$un1ltoluvl{ul,l
U:unra ol {ud 18 ntnlm! 2562
( uruUrgnau dorrriu:ifind I
urounntiruqorli(drunln::u artr+{aan::u)
lnvrnr:lurir unir{drrrrrnr:I:lnururaa:T nn{mi
rJfi rF:rtnr:uyru&ir:rtnr:dlrlalrrun{uril
6m57&
,, -rN{?u\s 'rg,),Ma#t
ryL
D-
l'ruru
t'
illl
I
rJr:nu{rrir;rnlforirlrr rJ:rnu{rwn1rtrar1i1 {o uduriqfi hu
li nnrcrelcll
dl:nru.rra........................qfls4rtd.........................1f;inr:rn:r,unn!fln1 do.-...... . .tr:Ivf$fi:t
.....:runr: rfu flfiJ:rngft:ruaur6uariohJ{
1')0nTtlsI0l1 irhcnaunr: t1fi1
i 130030 PTPRAI-IOLOL tKL 10 nic iirrnu 1COxSOO
TAB
o.t+{nr:rndtn::n 19,680.00
( rdlvduufir{uunioai. aluurmdru ) 19,680.00
z I -) rv, !tlllnT{nillruuarnllrou 1 ll1nltn{ nltitlrtuuu llfEi1tli1ullfln.r
rhunrn or {ud 18 nrnlln! 2562
( urur]:snou dottflasillnd 't
uruunndvr:rqoq0(iruntnr:u mtrihun::u)
{nvrnr:ludrunj.r{drrntmr:I:rraruroa:run{ri
ilflrh:rtnr:unu&jr1!nlr&$fi6r']uAi!1il
6m5741
INi I
r|r:n'udr*firytrg{ur0#ar rJrrnrr(iru:rnr6tDr1.1 {o odlriryir hu
i6 nnrcro'rrc{
olu'tu
n1u
1......
dl:onululo........................E:1-80ft1fi ........
.....!1un1: rfu mrJrrnn*r:roat16umiah.t{
l{fi nr:n:lrnnar:rar do..... ......$.-iyflui-r......
:10n1:ttn1:0r'r {rJ:vnounr: :'iRl
1071410 LOPIi{AVIR 200 lvlG+RIfOMVIR 50 lvtc (:.r)
firr2r 50x120 CAP
ortinr:ot1tn::u 79,268.00
( r6auduufifluaollaarantuu aurud2u ) 79,268.00
- , a a) t ,to. &1?!ff1u{nn1rllljusunltou 1 a.ltu6{ nltinutuuu [tsn1!!nlol1lti'l{
rJ:cnr; ru {ud 18 ntnllnrl 2562
( ururj:cnau dotltfiutillnd I
uruunnrjvr:qo4di{*runin::! arminon:':u)
lnvmrrhn'runir{a'rurrnr:l:lluT r-r"nFrn4{ori
ununl1!nl:[rusn'rr,1!n'1'le{rrniE:'lugt!1u
t
5m5742
ss,I
rhrrn*irrfiqmugloririor rlrrmndrl:nrruorn'r fi urtrrlqir he
i6 nrrcnrcel
alu?u
n1!
1
il:rnsrurn............... ........8:1]t.8{g-1fi ....... .
.....r',r,n.: fu rarJrrnnd'r:ruarriuafslu{
ldfnr:s:m nal:rn'r {s............ p:ltd.qui-'r
l1Unt:lt91:0ll {ulun0un1l :"r61
1071530 LAMIVUDINE 150 Nrc (:.tl.) rl'rrnu 3OO<60
TAB
or*inr:rndtn:::r 56,214.00
( fiudurnr{u;adoafu durndru ) 56,2M.40
a,i-)1,1?Un1tt0n1rrl!Llnlnluou .l tlltufi { alottt'turl.luu uauallinl8r.rl}?.r
rJ:un'rn or lui 18 n:n41n! 2562
( uruu:cnou 6atl6a:n'#n# )
uruunntin:monil(irrn!ntr! armtntrn::l)
lntrrnr:lldrurnilio'rurunr:INrorurna:nrn{uri
rJif fi :rror:uvn*?ir:rtnr:{ru{na:ru3{sri
.L
6m5743
s*#w
t
rlr:n'u&rfiqnugior6rlar rlr:nr(lurrnruuor,ril {o oruonriqdr
Iasii nrrcmrce{
r',udl:lrrmura........................S::sgr.q-1. ........................1f6n.:n:m"naqr;r {a ...af,up$h63.
1...........:runr: fir rnrl:rngftnuatducdshJ{
'r''ranr:f or:olr {rJ:tnounrr tlal
1290190 VITAMIN C 5OO tiiG fimu 6OxlOO TAB ocr{nr:ufltn::! 4,980.00
( *{uuirioauuatuurvrdru ) 4,980.00
- i -) .e' l, ,
l1rmltqnnlrruununruou .l n1n'ufl{ imi$rtu8u unuillnelg}}nn{
rJrrnra sJ {ud 18 ntnlrnl 2562
( uruU:cnou ?owfisrtlhlluruurvr6r:qor;fl iruntn:rr nl!1finun::!)
lnvrnthnhuni{dru:unr:lxnonnaq:rt4lo, ilrJfl rhranr:un$n:rtnr:&ra{rq:rrglori
6b51M
w
frueu............1
rhrnrdrr&rytg{orfirior lh:nrl{iru:n1rrrruor1il {o arlurigfi Lu
ti ronr;retcll
dLonulula...................... .Snro{mf, ...........
.....:1un1: fu eorJ:rngrft rT um6sadotrJd
l{!nr:ro:mnna{:rar ds............g:-hftlfi-''t
:1Unl:,ln1lOJl llu:unaun't: 11n,1
2290370 TRTFERDTNE 150 i4G fiu2u 1,50060 TAB a*dnr:ofltn::r 37,500.00
( atrvilrdar{urirlasulud?u ) 37,500.00
r .l .) c., & 'rllnltsqanltlrlluacnluou .l nTUUf,{ nlotvrcruuu [n?n1lts10tl{u1.1
rJ:rnr; or {ud 18 nrnglnr 2562
( urul:cnou iomrfie:f,ilnd )
uluutrndxr.lqol?i(druntn::u artr aun::u)
lnwrnrrludruml{drmunr:lfl xurlnq:lrn{rrirJfr $l:rtnr:uru&jr:rtnr:dlulaa:rrn{oril
t
5205745
1
rh#
ffiz
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rlr;nrdhr-irlnrq{mfirlor rlrunu(pwrnlruorlil {o arluriqir ho
i6 nntrtr;et
!r 111d1Nxurura........................i:r+otqrt... . .
.....r.r,n',r',frl aarl:rnndr:roarr6undah.d
.....lifi nr:n:rrn na.r:rar {o............ r,:fl1{f.ili..r
!''lu21l
:run1: i1:tu1 irl:cnaunr: l'1fl1
2071660 PEGINTERFERON ALP}iq.2A 180 [4GIO.5 ML
PRE-FTLLED druru 10 SVmr.t
ui$n itnoarot (tj:crvrntru),i'rrin 31,490.10
( sruilnd.l{uifaauirluurv?iuanr.td ) 31 ,490.10
- , t 1a .u' t': )ljn1Ennlrffllrnrnltou .l fr1tufi{ tr1tt}teruur uncaltinlu {u2{
!:cnrn oJ {ui 18 n:nl1n! 2562
( uro{:cnou fiotlilc':f,tnd I
uruunnrlwqnrlil(druirtn::r artrtTaan::u)
lnurnrdudrumjr{druranr:l:trorurngfl t0{61f,
rJlif, :rrnr:uvnrfrir:rrnr:drralaartrn{mii
6205745
llil
ffi
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