rJ::nrtd.r*lhqr'ru2larfi

#or dr;rnr{twn1l$ruorlrl S aruonrfo l'rhste loirs$riu

nlu1u...

rudl:rrururn........... ............q:lpo{glf, ..........

.........:,runl: rfu mrJ:rng*r:ruatr6tr;ris1ild

....1{!nr:n'nrnna$rar{o....gr.upn-!y.qti:

t10n,l,llo1tfill drhrnornr: l1frl

202A460 DIACEREIN 50 fiitc dru2u 4O(9O OAP utux ilaroaror (u:srvr lvru) 11ni 82,176.00

( urjnvdlaao{uudllaur6n?uvrnrrvrdru ) 82,176.00

- i da .y. ETllnll'lJnn1rlru[nrn'luou 1 nltrui{ nltr}ltruuu mual!is1u {n{

rJ:cn, or {ui 4 iqu3u! 2562

$r( ursd:cnau frotltfiozllnd )

uruunndn:qor1i(#rvnrn::u arrrilnon:::r)

lnyrnrrlun'runi{drurunr:l:lnururnq:l*g{ori

rJfr rh:rtnr:uvrv{'ir:rtnr:druCan:rugft ri

6204771

r . \r:.:- .r.t ,!

n

rhn, rftrirrpTug{mider rhcmfltsEn.r,n-r... {u fiurflriqltl

lagtt rorrcrmv

e1u?u

nrudl:.ugrura...... . ...............fi:lgfs:rfl ...... ...

1...........:rsnr: r?u mrJ:rngdtrunyr6uadohJd

-..Idf, nr:rs:mnnnl:rnrdo.....-u:]{onl'.gli.L

:1Un',tflt{1:011 frJ::nor-rnrr :'rfr1

22gO28O MEI{/CTRErENONE t5 fr/G ,l'ru:u 2OOX3O CAP u3#vr lnroarot (rirrrudnu) drfi'n 65,2t00.00

( unvdufirrYudlosrrud'ru ) 65,400.00

-iil:1rJRltrunfi 'ltn!uErn1!o! 1 'l1t!a{

nloall8luuu tlnln'l!toluvl{u2{

rJ:tnrn ol {ui 4 Squru! 2552

( uruU:cnou ilomuiu:itnf I

uruunnrivr:qor1d(iruntn::r fl rtr+{nunfi !){nurnr:1ur'ruuririirirurtnr:l:uu, rraq:ru6{o, i

rllrfr :rrn, :unu{ir:rtnr:&n{arptrn$ri

6XA17A

**I

g

u

rJrnra,&r&rqrqforfidor rJr;nrliFwn.r,auor.". {, uruanilqlh

hufi nrrr:rl,crr

n1u-lll

nrugil:rnu.ura........................q1-1s0rFlfi ..........

1...........:runr: riu anil:rn4ft:rtnc6urriahJi

..lilnr:n:lrn naqr;r {o.....uluo-0$9ti.1

,1un1:tmlt 1 {rJ:unounr: l'tfil

2250530 MIRTAZAPTIIE 30 [ilc TAB dlmr 3060 TAB u?$r inlaclot (ri:civ]a1ru) ,!'rrir 39,354.60

( arlndurdrr{uaruiorrririudurvuniusnr.rd ) 39,354.60

-;-/&rlrJnlullai1Nlllununluou .l tr'l$lf,{ 6'r0itluruu! snsnltnolri fln{

ri:rnr; nr {uii 4 ilquruu 2562

( uruUrnou f,otliu:firtnd )

uraunndn:qoqfldrunin:: artr+fnun::u)

lornnr:lur'r urn&idrrnunr:I:rnururaa:nrn{trirJfr rfi :r.anr:unufi1r1nn1:d.rutrrlrru lrlii

6m4779

ilB

rJ::nr&n{erpuglmirlol rJr:nt{twn1rlauor1il {o uruonriq{r

Ieslf n lamcc{

udklnurlLm.. ... .......... .. ...WnOiplfl ..........

.........:'rBn1: rfu rnrhrngil:rumr6aaialu{

Ifilnr:n:rrl na{:rar {o.....-t :ypnf. glil

fruru............1

:1Uf|1Itn 1:U1 {t}rtnounr: 51R1

20205{o PARACETAMOL 325 tllG+TMLlADOt 37.5 inc

drvru eoooo tlgu:uvr iuon€n (u:crxfilxu) olni 77.254.00

( r6a#urdm{uso'rioaririuCurvdru ) 77 ,254.00

r , .l -.1 - .v, Gl',DrRlUqnnlLllllBnun.|tou .l nflut{ nlnr}lumuu tl6ui1l!!1ur{tn.!

rhvnu ru lud 4 iiquluv 2562

( urad:rnau tomrfirdilnd )

u'raunrdr:qoqi(irurtn::u 6rtT +{aun::r)

{nrrnrdudrurril{drmtrnrd:uaruran:T nn{oril

rJ$th:rtnr:unre{'ir:rrnr:&ufr rprun{sri

62047EO

(

.> K

,1,

tlr:nrdhrirq:tn{arido.r rJrcnritlwn.r,auur*. 6 erlurfofi ha

li nntcrer;rr

1',}U'llt

m:rdl:{nuru'}a........................fl::pa{glfi .....

1...........:runr: r?u nn :rnn#uruntriuriatlf,

lCilnr:rs:r'nnnomr ds............!J:!yflui:!

,'rao1:llt't:&t'r rihsnaunrr :1fi1

2O1O10o PROPOFOL 20 ML INJ dllt]u 5OO AMP uiSr inroargt (rl:cr$nhs) drdr 49,?20.00

( dvdurfirduao$aodtuurvrriru )

-) ." 4:lrnlu!nn'rltrmclrl$ou 1 a1!u6.l ttleinstuul] unEnl!t!1ut1'lu?.r

q9.224.00

rj:unrn ru {ud 4 iqu'u,u 2562

( uru :cnau ilarulu:fi lnd t

uruurnrin:qrqii(*rurtn::r nrtrr{son::r)

{nunr:ludruuriddrtnonr:l:{nur!ratrlnt{olilrjlrifi:rtnr:uvruf;ir:rtnr:ft r,rlnq:rr*nloril

620478r

1t

ttk

(

rlrlnuirr{e11:ru1{m$a.,6or rlrrnrn{tulrnrsuor1i1 io uruonriq{r

Iasl6 llrrr;nrwr

n1u'ltl

nrudl:uuru'ra......... ..............tl1tr6{glf, .........

1...........:runr: riu rnrj:rnndorunrrsumislrJd

ldfi nr:n:lrn nnl:rar do.....(j:llp. $1. $il

t1un1:lls'llst'l drhcnoun']: :1nl

' 2200260 ftSED8oMTE 150 MG d1!r2u 30 TAB uSSr iraraanr (r]:cr nhu) ,o'rdn 24,396.00

( aalududrluauiagrfiriuunurvrdru )

- , ; .l q., & ,

r?lln'rrq8alrlllltraunlt,ou 1 nlwa.r nltiyl8ruuu [a8n1ifnlu .!u2.r

24.396.00

rJ:cnrn ru {ud 4 iquruu 2562

( urorl:cnou 6orrfiudind I

uT uuwrtin:qo4*l(lhun an::l arrr+{aun::u)

{nwrnrrlun'rurniddrulsntb$rrr1lmt:tn{t'rirlfl rJB:rtnr:unufir:rtnr:ft uhq:ruSlori

62(47a2

kl

2q{

rJr:rn*irrfiryrq{olirlor rlrrnmfrwnrruslrlil {o urlurlqir Im

ti nnrcntce{

tluT u

nrudlilrrurura....... ....... . ......tFlp.ofuf, ..... ...

1...........:ranr: fu lar.hrn4*r:runcdsrriot'Ud

kifin'r:n':rrnnnr:rnr ds .........s:h{ty!ui-r

:10n1 ts11rul {ri:gnounr: :"lfl i

rOT fi30 SODIUM FUSIDATE 250 i/rc firl2u 3OAo G&r firatBnor (rj:crw{w,) drfrn 33.705.00

( alrudlarudur6aiaurirurvrdlu ) 33,705.00

- i -1 r) &:1!n'tttan'lt r[nun'ruou.l nlnun.i n'lo,lylrluuu [nualli!1uyr{u1{

rJ:tnm nr {ud 4 0qurw 2562

( uruu:cnou tonfioftnd Iuruurwrtin:lqo4r?(riruntn::u amtnun::u)

lnryrnr:lurf rurniddtnunr:I:rrgrunq:1rr0{010rJfi rfi :rrnr:unuf;ir:rtnr:&uilaq:l*niorfi

6204781

a,

l1:.!

il{e

4/

U:;nr;fi lrierl:rng{o16

dor rJ:snrattu:n1r6lor1i1 {a uruanrfu,hIaui6 ronrctorctl

t'lu'lu

nudl:$rurura........................qrly0ft1f, ...... .

1...........:rum: riu rnrl:rnglYl:runcduttiolild

lfiar:n:orn nnr:rar do.... -u:l&n-.11-Ei:

:1Unltlli1t$r1 iri:cnaunr: llrl'r

2ogo6to SoRAFENTB 200 I,rtG TAB druru txeo tlB u3gn iiraoaror (rj:crvnluu) drda 4!,7.o4.20

( dnduvdqturia{aouiriuCtnvrdi!flsr.rd ) 41,79q.20

- ,.1 -a r.. &,tlunlltnnlrlluBnunluou .l n.r!ll3l'l nlmnvtutlu [nEallnnl0rl{1n{

rJ:unra ol {ui 4 iiqululi 2562

( nrud:vnou lot"$wfifind ')

uraurnr$vr:qr4i(#rrtntn::u artdaon::u)

lnrnnr:ludr urniddrrrunttNnururca:run$'tirJlti:rtnr:uvrr*i'Jr:rtnr r{.ru{rq:'nrnloril

62047a4

I> L

I

s

nL

-

rJrvnm{rnir1:tg{oridor rl:rnrrrlitu:nr:uuorlil {o orlurfoi'r leu

li nntnrs!.r

$1U'lU

nudt:orururn........................rlns0{srf, .. .....

l.-.........:rsnr: rir rnrJ:rnqft:runudrnristud

}iinr:n:trnnnr:rnr ds............ gnlyly.s!:l

t1an1: n1tor.) dr-l:rnaunr: 1'l,l1

213690 MCARDIPIiIE 2 t'lc/z Ml 6iu'l! 6xlo AMP u3$r tain rlr{rr 6rrYa 3.402.60

( arur{uCiouaaumun8uanr+{ ) 3,402.60

- ,.i 1/ t:1!n1utnnlrr!llnunltou l ilttlfi{ nloivEtuuu $a?a1ln!1u}1{u1{

U:cnr, oJ {url 4 fiau1Idr 2562,n

'(,^-,

( rru :tnau trotltisfillnt I

uruunvrrlvrrlqo4fl luntn::u arrtnun::n)

lnurnr:lur'rurni{drrrnonrrlNngtrnq:run{tril

rJ$uh:rtnr:unr.{'h:rtn r:&rataq:rng{o'ri

52047A5

Irr

I

rJ:rnrdfurlerprrg{rrt

#ol rJ:;nr@lm1r6rorl1 {o urhrlqf'r huIt mircrcrca{

aluTl

mudl:ngrurn............. ..........i?$Stgri..........

l-..........:ranr: riv rar.hrn4rtrrruacr6uariotJd

Idlnr:rutrnnnl:mr {0............9r1x!y.JUi:!...

:runrrfitr:rur riri:gnounl: :m1

1260490 SALMETEMLXIMFOATE

50MG+FLUT|CASO|,|E 250 ,\,tG ACCU $u500 Bor

Gfvr tahn r{ur ,irrla 231.t20.00

( ao.riiauslnaiuni.rr{urdlioadiuurntirl ) 23t,120.N

d , i t) - ..e, ETllJrlut0nlr |JunEn')ulu .l 'l'r

J6.t tr1ltxutuuu u6un1tlslull.tu'l.l

rhgnra ru lui 4 iquluu 2562

( uroUrnou darntfiu'fifind )

ura urmdvrrqoqd(fi untn::u srtrt{aun::r)

lnunr:lldruuil{o'rurunrrlNnotroq:ru4{ori

rJfr fi :tnr:uvruffir:rtn r:dru{aq:ru6{ori

62('4786

l'

7{

rJrvnr;irn{rq:rug{oririsr rlrcnr {tucn1rtrtuar1i1 da urronrlq{r

hsi; nxlrrcrvr.r

n111I

,rudl:$turt,ra............. ..........ffi!016.lf, ..... ...

1...........:ranr: riu rarJ:rngfiuruncr6uariohJd

kifi nr:n:srrnnsrar do.....qr.usnfEil

l10n11Yis'i1(u1 llutuna!n11 1',Ii1

?3N330 TAMSULOSIN rcL 0.4 MG dTUIU 30060 TIB u3&r taf,a rh{ur drdr I18,770.00

( r,rdrururadl#uurioflur{niaorinltrurndru } 1i8,770.00

- , .l ra .r. &r1rln'rBqrM1tllltu,ncRlttir 1 n,)tuta nleit'tstljuu Baunlln!1url{112{

rbvnra or fird 4 ior'ruu 2562

u( rru :cnau trttt$a$tnd )

uruurntivr:qoqi(iru ntor:u artr+{nun::u)

lnvrn, rludruniddrulonltl:{!ro'n,fi a:nrn{orilrJfi tB:rtnr:uvrufir:rtnr:fi nlorpruSlori

62(4787

I

dr:nrlirnixprqla,l6rio.r rJrcorl(itunlrrarar'li-l {o nruonriqdr

Iegtt nircn,rger

n'tu'lu

nrudl:rnurura......... .............$tlg{stf, ....... ..

i...........:runr: r?u nnr.hrngiuruncr6urr{o1il{

liinr:n':lunaqrm da.....!:uP-o.dqi:

t'ltifi'l:no1:ol.) irj:unaunr: :161

i 1305.10 TELMTSARTAN 40 trit6 ,irmu 2oO/30 TAB u38vr in8a r{riur o'rdn 79.608.00

( rdauduuirr{uunioou rurrdru )

d .,1 -l .u, ti1!nlu!an,llMatenltou 1 ifi un{ nlotyrsruu! unsn'}tt!1ur{ln{

ri:rnm u dld 4

79,608.00

n2you zsoz

Ur/( ulurrcnau f,ettfia:fi iln{ )

uruunvrdn:qo4i(irlntn:an mtr+laun::u)

lnvrnrT lur{runi{drrnun'nl:uururaqrnr6{ori

rJlrfi :rtnr:uvru{'ir:rtnr:i'lra{aq:nrg{orii

6204788

\

rh;nrrirn{e;:ru3{orirlor {::nil{tugnlrurlor1i'l do aT uonriryir

hu'r'i nnrcrm;er

t"r!1u

i1rldll{nu1u$........................!-ll.H0rs3fi .........

!...........:runr': rfu rarJ:T ng{uroncduriolild

liinr:rs:srnnsrar {s....eruonfqfi:....

t1un1flii1to,r1 riri:snounr: t1tt1

, 2O|O24O TESTOSTErcNE 50 tvtG drzu l0x30 to.t utuv iafln filtu'i slnn 18.4r!6.80

( nduduurlafluliauCitJunurvru niuani.ld )

d . i t/ .r, A.,?rlnrutafi1$t!$nunlrrou 1 n1ltltN nmirlcrutru [nen1lt91trtt{u}!

18.1146.80

U:cnri oJ {ud 4 iquruu 2562

("

( urarJ:cnou fiot'ufiuzfilnd )

uruunntln:qar1i(irunln::r artr+Ynun::u)

{nvrnr:ludrurnilr{drmunrtl:uururnq:T n6{triirJfr di:rtnr:unuf;ir:rtnr:drrlaqlug{orii

62(x7a9

t,kd

a2[I

rlr;n, &*irqrrngforfirler rJ:;nuftwn1r6romi1 {o urluriq{r hu

ti nrutlger

druru

;ruflt:snsrurn..... . .......... ...qillo{gtf, .. .. .

1........-..:runr: rfu rnr.l:rngisruncdurriohJd

ldinr:rurrnna.r:rar da............tl.1-hf$i:!

:')0n1:lra'r:fiJ'l irhcnounr: ,'n1

2190750 TRIPTORELTN PAI/|OATI 11.25 i,tc ,iruru t3VIAL

u:r*T tnltn 1M n1n9 95,979.@

( rdrrdufirrlurririouriaiuvirurrdru ) 95.979.00

. , i al tt, At?lmluqnnlr lBawnluolr .l nMt{ i1linsrut u ll rn1lit1t ]'l{tn.r

rj:cnu oJ dud 4 iiqulu! 2562

w( ururrcnou tonfiu:f,dnt )

uruunvrrfuxqo4dl{d, untn::l artrfraon::u)

fnrnnrrluriruuri{drutunr:I:orururnq:rng{ori

!auirlnn'l:[Yrufl 1'1!1!n1:1$nafl :']ua:3'lu

52()4190

$a,h

_:.^ av:f.i '

rJ:mu'irnihrFruS{ori/"1no{ ur!fl1iflu5n1'.rtuof 1r1 io u'}uanuq,i'1

hal6 n rvnrvcr

1',ru'lu

rudl:uururn........................fi]r$f.01fi..........

........ :10n1: & rnrJ:rn4duruau6uadahli

....lc'fi nr:rlrlrfl nal:rnr{o....g110.0-tI.$-i1

:1An'rro1:$r1 a!1!no!n11 11h'r

2130830 VALSARTAN 320 MG d lU 15OX28 TAB ui*m tn6a rlr{ur 6rfir 51,841.50

( rirvduvdlfuurlaiaadaur6aurniriuamrd )

. .i -/ .,, !t1 n'lt{anlr'lllununlu0u 1 fi'ltlli{ nNrnurluu uouallto1u}1fln.!

rl:cn')t oJ {ui 4

51.841.50

,,W

( uraurcnou flottilutilh* )

urouvtvlrfu :v.ro4dl(f;runtn::u atr+{aun:trt )

{nrnnr:lun'ruurj{drutunr:I:rnururaq:rr*g{o, irllrh:rtnr:uvrlfir:rlnr:dlr,t$q:run{urfi

52C4791

I

r

I

r.l::nrairn&rrprng{rrirlar rh:nrlt{tu:n1rratrorli1 {o oruonriq{r

Iru56 tsrrcror;I{

druru

mudl:rnururn. ........ . .. . ......q11nr0{9:1f, .........

1.....,.....:runr: fu m :rngrtl:runtr6uiriol{d

Uifi nr:rumnna.r:rar do.. ..qltup-oS..qi:

:tunlr n'r:ru1 drl:rnounr: :'ta''l

2180650 ROSUVASTATIN 10 116 dlu'Ll 3oox28 TAB u3tin ta8a {r{lr drfin 75.435.00

( rinuilfil{udioua'u?vrirurnrhu )

. i -,/ q", E7l!n1!{ff,\lr llunsnluou l ttltua{ aloitnrrut u uncalllolt fl{th.r

:rnro or {ui

75.435 00

4 fin!'lrr! 2562

1v( urad:rnou lr.ttdtntlnd >

lruunndn:qor10({runtn::u mrtnun:u)lnnrnriurhuuriddrurunr:l:.rrururoq:ra{ori

ilflr)f, :rtnr:urn (ir:rtnr:drwtrq:rugloril

6204192

.it!

rJr:nrrirrrirqnrSftrirlor rh;nre{rwnr;tarror1i1 {o urlurfu{r lea

ti nnrcrlrsgr

n'rulu

mudlNnun-,rs..... .. .. .......... .$r.Eololi.. ..

...........:runr: rfv mJ:rnnd.r:ruocdunriolu{

lfifi nr:n:gnnar:rar{a............-B-t-lluty.si..r

:'lun'] ts'l:0t'l {rJ:rnaunr: :1n'r

LO7217o ffrCN vlR lm !E TA(nr) (rIuf,n) drrnu

6|30 TAB

u3iivr inia r{r{lr ,u'T rin 7.838.82

( rinrYustJalogmliuu aurnsurf,uaownld ) 7,A38.82

a , : -) .y. &i1u,)lqJan1truMln1uo'u 1 n1!uf .t nloilrrruuu lla4r1iiolt yr.t1,2'r

rJ:cnr;ru dud 4 iqu1uu 2562

( trturj:cnou f,orrrfiu:fir{nd )

uruunntivrxqo4di(iruntn::u lrtrilnun:a)lnnrnr:1ur{rumi{drmsnl{t{ r,1u 16q:ru$ori

rJ!fi :rtnr:uvru"irjr:rtnr:&uhq:run{ori

5204191

I

#/

rJ::nr;{rnirlrrug{orfirlar rJrunrdtu:n$rtrofim {a cruonrJqir

hu2-E nircr$ce{

nlu1u

ttlu

IdlNrurura.................... ...{rugfs:tfi ..........

.....:lonr rll earhrn4dl:ruaudurriot{d

.ldintrusrnna.urar {o ...p.1]!lpnfqli:

:')un]:vt01:tu1 lirl:cnounr: t1n'r

2181240 PITAVASTATIN 2 tvrc druru 100x30 TAB u:uh nnan tlr,l'l elno 32.100.00

. 2 - )v( aITMUUAO{n!ll1t{lauu'tvl0?u )

-td] Dvun1utnnlrllutrncn1l,llu 1 nl!1tn.! i'lorllsruull un!n1l!!1uyl{!nl

32.100.00

rJ:cnrr trr {ui 4 fiQu1rru 2552

( uru :gno! trot"rfrtnfillnd )

uruuxvrdrlt:rqor-rfl iruntn::u artr{nun::u)

{nurnr:lurfi uurl{drurtrnrrtNnal.naq: ru4{rril

rl!fi :rtnr:unr.r{ir:rtnr:d.rr{ra:rtg{uril

6204194

N ,)

xI

.t

rJ:;nr;'fr*fi1rrug{lrfi/.16ol rh:nudtwnlrcuotril {o urluriqfi lea

tt nnlcrt,rrlr

fl']t.ldl:nrururs..........,..... ..... .i-t$6{Frfi .. ....

....:1un1: riu xnU:1nltY{r'unrdunriolild

1f;finr:n:r'rnnn.r:rar do............ gtuty.qli..r

dru'ru...........J

:'taJn'l:tt9'l:0J1 HU:3nAUn1:

2071800 PEGINTERFERON 100 iJrG (:n) drurl 20

SYRIN

u3$r ta6a rhiur ,l'rrla 59,813.00

( firrdurdtYuurjalootuaruuryrri'lu ) 59,813.00

-.1 -/t:2!n1uqnnlr lluttrnltou .l n'l!ui.! nltilltluuu sauil$n1uYr'ru1.r

rJ:rnrn ol {ud 4 lquruu 2562

( urau:cnou frotlfiuzltni ')

uT uuvrvuin:qsrp?{run an::u arr+{aun::u)

{nvrmlu*rurnic{dnnsn'r{r.$r,1u16qrlu0&1il

rJfi rh:mr:uvrraf;ir:rtnr.rdrr&a:rrrg{otii

6z.)4.795

I

I

a

rJt:orr{lrleqnu4{oridel rlrunrn(irrunrruuorlil {o urlutiq{r ba

It nrrcrlrci.l

nrudl:{xsrurn. ........ .. ... ... f:l-q4{gl.i-. . ..

,l'ruru............1.......... :run.r: fu m{:rnndl:ruaudua*otrj{

lotinr:rr:am naq:.n., {a......... ll{ufJut-r

:1Un1fii'1!0t'l ni.hcnaun,t: :1Al

1150240 nPR MDE 370 lvGt/lVL 100 ML (UL'lRAvlS)

ilnrru aoo ul-uifn iraroarat til:srvnlvlu) drrin 148.088.00

( vdurudraduulaflur.dntuBraumdru ) 14ti,088.00

- , .i ../ i,t2lJn'rlqanlrrllJg8rnlffiu .l r1'uult{

'l1orreluuu uarnl[ii1u]lrtu1{

rJ:snrn ru lud c ilql1Lu 2562

( ururj:cnau 6otrrfiu:f,tnd )

utrurmrh:rrlo4flrinrntn:rr nrrrfrsun::r)

{nvrnr:hn'r urr,i{drrrun'rrlNnoruraq:nrn{u"rfi

rlfirh:rtnr: uur.fi r:rrnr:d'rnhrl:rug{rril

62M796

!

rJ*rnrirrihrpr11{r'rirlor rlwnu{rl:nr:rrlsar r {r uruonriq{r

hs?'t n;uer {

$1u1ll

rudl:cxulu"n........................t$1p.${g:ri..........

.........:1un1r rfu rm,hrn$crunur6tnriolild

....lfinr:rs:omnr.t:rar {a.....qr]tp0-ri-qli:.........

:10n1:re1:8J1 irj:rnounr: :1n1

21IO32O DABIGATMN ETEXTLATE 110 I{G dlmu6ffi0 TAB

uiSr inia r{rfur ,l'rrYa 90,971.40

( ufi rduylrfour{riurSaurndiuanr.rr{ ) 90,971.40

- ; -/ .e' Z:2un1tstna1$uJunc,)lltlu 1 a1!Ull{ nlsixc(uuLr munlltalui{ut.r

rj:cnrn o {ud 4 fiouluu 2562,/,

6J( uraU:rnou dornfiatttnt I

uruuvwrdn:qo4d(irun.un::l artrr{nan:'rri}

{nnrnr:ludr uurirddrrnunrllxnortrrnq:nrg{oril

rlfi r)l:rnr: unufir:rrnrr{.na{aq:T un{o, il

62&79'l

I

( ri-,.!

rl::nrrdrr{rqnuqftrirlor r.lr:nu{rwnlrrtuorlil {o oruonrfu0r

Irelt lonlvnrvtl

{1U',lU".uibn

ururo............... ........q?tsoft:fl ..... ...

1....... ...:runr: rfu mrJ:rngdurunc6uiriahJi

lCfi nr:rs'mrnna.srar{o.....g1-rlgn-tl.!Ui.:

:1Un',t:lto110J1 {rJ:tnatnr: lm1

2|9OT7O LIMGLIPTIN 5 MG o'lulu 8Ox30 TAB ufir$ nn6n .rtltl 01nn 90,479 .20

t uiruiuC{ourinluuirurvr&uanr.li{ ) 90,419.20

r .a rl cv' Z ,

flllnlullnnltllllunEn'tl,ou 1 nfi u?! aloiltsruuu [i&nllltluvt{1.rt,t

rJ:cnrrr or {ud 4 iqu(ys620^/

( uruU:cnau datrfis'tfifint I

uruunnrlvr:qru10(#rlntn::u mtrilaan::u)

{nwrnrrlurhurilddtnunr:l:firurlrneltn{orir.J$tTl:rtnrrum{ir:rrnr:{!n&rq:rrg{od

62&79E

I

{

d:tnrn'frndrrprrl{orirlor rJ:znrn{twn1r6uon.1 {o urlutrqlr hu

16 orrtgn'tcrl

nlu'lu

nruil:.nurura.......... ........ ....ifl-u3{-flfl .....-

1...........:rsnr: rfir nnrJ:rng#.::runvdtioeiohld

....lffi nr:nromnn.r:rar de............ gr:[$I-Ei:l

:lun1t o1tol'l frhrnornr: r1n'l

L270!Jm sootuMcH-ORDE(rneuaofr{i1) +1!an

&€4 BOT

G$r o r6u i nrva:ro*dr'rnuorTtldrfih

46,080.00

( tnluranr{usilniuu'inrhu ) 46,080.00

-,.ir/Etlun,lttnnlnt!uarn,Iuou .l 'l'liun{

i'loa?'rcruuu uncnll!!lgI{u1!

rJ:cnr, or {ui 4 lqurtu562

(/

( uru :cnou dot'tfia$llnd I

uruunvrtinxQot1dl(irun,on::l artriaonr:u)fnyrnT :ludruvri.{dnnan'rd:uururnq:run{oril

rJ$tl:rtnr:unu{'ir:rtnrrd.rr,r{eq:rn6{oril

6204199

t)h

794a

r,l::nrrdrlfi rptr4f o,ri

rlor r.lrmrsu:n1r6uorli1 {o edurlq{r hoit mnr;rttu

rrnrdlxrsxns........................ffirgfuf, ..........

{nrru............1...........namr ilrr xnilrrngffissr&nriohJd

.lf,fi n'r:ls:srnnnr:rar {o............ grluflui-r.

:lBn1'ltn1:OJ',r i :cnaunr: 11R',1

rl4f,z4o n6rtaiunqrua r'rueu 1o rnn ac,in'r:ut{tn::u 520.00

( rhfoudhnir$&r ) 520.m

.'it/.-,4nrmTqaalr urlt8n'Yucu 1 tr-yw'{ ilt llrluSu u'[,tnlt{nuynnh{

rJ:cnm oJ {ui 4 iqurau 2562

( rrrud:unou 1arrrtfiwtllnil I

uluutrrlin'Nno4d(druntn::u trtr+{aun::r)

{ntrnr:lul, uuri{dlnun, l:orururaq:ru4{oril

rllrh:tnr:unrafiir:rtnr:drwlaq:ru1{uril

6204600

tl a,

I

'L.-

rJwnu&rirrytg{mirlor thrn'u(itwn1r6uor1i1 {a nrllrtrry{r l,lra

li mrgmrgrl

rrlrdl:lrrgrutt........................qil!0tq:f, ..... ....

{nnr......... .1...... ....:runr: rfu mnJ:rngfivnu*r6tnrdahd

ldlnr:ntmanasmr do . . ......grlvlisdl.

:10n1:tm'r:ol1 lirl:rnarnr: l',tfr1

1160210 BUDESOI{DE 320 MCG+FOH$/ICTEROL 9 MCG

dlmu 150 ruBE

u3dvr dratalrot (rj:crualru) irn"n 97,287 .50

( uiludunolfuao.riauu naur{nurrfirilua*r+{ ) 92,287.50

. , .i -/ tu, tflun'luqnnltlllllnun'luou .l n1!ui{ nl0rvturuuv snenltnolu {u1'!

rJ:snu ol {uC 4 iiquur 2562

q"( urud:cnou 1w'ttfiwttnfr I

uruunndvr:qor1i(f,ruiron:rtl ;rrrfrnun::u)

{nvrnr:luf rurni{d'rurtmr:lmrururoq:run{rrfl

rlfi rhntnrurnu{ir:rtnr:&ufaq:trg{oril

6204801

t&ilr,.\q-:.,ttr.!

7

t-

rlrmrrifulhrprrg{crirlar rlrmrr{rrunlruuorlrl fi nrlurffir ho

li nrrcnrs$

tdl:l1ururn........................q::s0ltlf, ...... ....

.........r'run1: rlu enrhrnglh:rungduiriatild

.ldinr:nnmnar:rar{o............-t-t-hf.fli.'r

druru...,........1

:19n1: i't:rul turrnounl: ,1n1

126i050 SALMETEROL XIIIAFOATE 25+FLUTICASOiE

PROPIMTE 25OG fiUfl 150 8OT

u3fvr infia rhfur drrbr 84,423.00

(,rrhrdudrYudioud0umlurrriru ) 84.423.00

. , .i -l ot, bnr01u{an1r ljlltrnluou .l i1w6{ i']lirtlut u utrnllntluyl{u1.r

rJ:snm or {ud q fiqlrllrl 2562

( uruU:cnou ?nnfiwilllnt )

uruunvuhNqo4il(Iruntn::r rntrtaun:*r){nvrnrrludlrvri*f;dru:unr:1:uururnq:n4{ori

rlfr rh:rtn.:ufu r:rtnr:&vrhrprun{arfi

ad

7,(

,I

rhlou{rrlhrl:rrgfurirlor r*urn4rwnrr,rr"r.*', {o artlrfufi lra

tt nnrcnrvr{

tlu1u

n.ril:0vt0ru.u..,...... ..... ........Ift-u6futi.... .....

!...........:runr: riu mrJ:rnqf.r:ruac6sirioUd

ldinr:nrtgnnc:rnr ds.. .. ......0r!.uf..ili-.r

l1Un1lll$',rtol1 flU:vnoun1: 11n',]

219O52o ETOI{OGE5TREL 68 MG dlu?u 20 SET trtxM inf,n 1J!1 i.lng 36,594.@

( aruduvnr{uririaarfiriludvrvrdru ) 35,594.00

r .i -/ .-, A:1un1!q6n1$t!u6uR'lt ou .l

't'ltufi ,i nlony|urtjgu *autt1lttluil.llh{

rl:rnr; ru {ud 4 fiquruu 2562

( trrulbcnau ltr,:rlfitfilnl I

uroumifu :qorpld'runtn:an itr+{aun::u)

fnrnnrrlufi urniddrrnunr:I:lnur!rar:lue{r1ilrJfi rf, :rtnr:uvruf,ir:rtnrr&r,tihq:rugtoril

52rr4EO3

Ig*!

rh;nuikr&ryrug{mfi#or d:vnrrt{tu:nrrrauorlrl {o orludq{r Iru

fi nmcrmcr{

druru

nudl:ctiumrn................-.. ....ffllrgl5tf, ....... .

1...........:rsnr: riu nnrl:rnSrfi:ruacduniohd

liim:nrornna$rar do............u:htlfui:

:101111ll01:tu'r r!:mo!n1: :m1

2260260 BUDESOI.IIDE 2OO MCG,/PUFF METERED-DOSE

|I'&IALER d1ulu 400 BOT

uBsrr tot urhua{ drrle 29,104.00

( aa.udurd, r{uudriorrdurvid'lu ) 29,104.00

- .l -) - '.v' I',?]lnlu{anlLttuu{rcnltou .l lr1!u6{ nlorvrztuuu ua!fi1!!!1avr{u1.r

U:rnrn or {ud 4 iquror/ 2562

nll/

( r.nurl:tnXu 6alrr6u:6#n# )

uruurmrivr:rqoq6(irulrrn::r arudaun::ri)

lnurnr:lur'r urni.:{druronr:I:.trrurrrna:run{ori

rJ$rH:rtnr: uvrli'jr:rtnr:Slrdnq:ru3{ori

4204804

1

hth

-atY

(