| 1 | 51140000 | 51142900 | 51142905 | Bupivacaína | (12)1014(Bupivacaina Simple | Unidad | 6,000 | 85.00 | 0.00 | 0.00 | 0.00 | 510,000.00 |
| 2 | 51180000 | 51181500 | 51181503 | Clorpropamida | (20)1780(Clorpromazina Clorhidrato, Iny. IM-IV | Unidad | 15,000 | 16.50 | 0.00 | 0.00 | 0.00 | 247,500.00 |
| 3 | 51140000 | 51141700 | 51141709 | Flufenazina | (23)1784(Decanoato de Flufenazina, Iny. IM | Unidad | 12,500 | 640.00 | 0.00 | 0.00 | 0.00 | 8,000,000.00 |
| 4 | 51140000 | 51141900 | 51141920 | Diazepam | (24)1801(Diazepam Iny. IM-IV | Unidad | 20,000 | 15.00 | 0.00 | 0.00 | 0.00 | 300,000.00 |
| 5 | 51120000 | 51121500 | 51121502 | Digoxina | (27)1440(Digoxina Iny. IV | Unidad | 14,000 | 15.00 | 0.00 | 0.00 | 0.00 | 210,000.00 |
| 6 | 51190000 | 51191900 | 51191905 | Suplementos vitamínicos | (34)1098(Fitomenadiona (Vit.K) Iny. IM-IV SC | Unidad | 60,000 | 9.00 | 0.00 | 0.00 | 0.00 | 540,000.00 |
| 7 | 51140000 | 51141700 | 51141702 | Haloperidol | (41)10289(Haloperidol Iny. IM | Unidad | 15,000 | 19.00 | 0.00 | 0.00 | 0.00 | 285,000.00 |
| 8 | 51120000 | 51121700 | 51121752 | Hidralazina hidrocloruro | (43)1409(Hidralazina Clorhidrato Iny. | Unidad | 28,000 | 50.00 | 0.00 | 0.00 | 0.00 | 1,400,000.00 |
| 9 | 51130000 | 51131900 | 51131905 | Dextrano | (44)1353(Hierro Dextrano Iny. IV-IM | Unidad | 30,000 | 18.00 | 0.00 | 0.00 | 0.00 | 540,000.00 |
| 10 | 51140000 | 51142900 | 51142904 | Lidocaína | (56)1020(Lidocaina 2% + Epinefrina Iny. IV | Unidad | 5,000 | 85.00 | 0.00 | 0.00 | 0.00 | 425,000.00 |
| 11 | 51140000 | 51141900 | 51141916 | Lorazepam | (57)9816(Lorazepam Inyectable IM-IV | Unidad | 3,600 | 250.00 | 0.00 | 0.00 | 0.00 | 900,000.00 |
| 12 | 51140000 | 51142300 | 51142304 | Clorhidrato de nalbufina | (65)1070(Nalbufina clorhidrato, Iny. IM-IV SC | Unidad | 36,000 | 83.00 | 0.00 | 0.00 | 0.00 | 2,988,000.00 |
| 13 | 51170000 | 51171900 | 51171909 | Omeprazol | (70)9332(Omeprazol Sodico Iny. IV | Unidad | 233,000 | 19.00 | 0.00 | 0.00 | 0.00 | 4,427,000.00 |
| 14 | 51150000 | 51151700 | 51151702 | Tartrato de brimonidina | (93)9026(Brimonidina Gotas Oftálmicas | Unidad | 100 | 850.00 | 0.00 | 0.00 | 0.00 | 85,000.00 |
| 15 | 51150000 | 51151700 | 51151748 | Nafazolina | (112)9340(Nafazolina HCl, sol. Oftalmica | Unidad | 21,000 | 35.00 | 0.00 | 0.00 | 0.00 | 735,000.00 |
| 16 | 51100000 | 51101500 | 51101582 | Tobramicina | (128)1952(Tobramicina Gotas Oftalmicas | Unidad | 26,000 | 45.00 | 0.00 | 0.00 | 0.00 | 1,170,000.00 |