Nombre del medicamento
| Composición química
| Nivel
| Requisitos/ Límites
|
REGRANEX
| becaplermin
| 3
| [PAR][QLL]
|
SANTYL
| collagenase
| 2
|
|
silver nitrate
|
| 1
|
|
silver nitrate applicator
|
| 1
|
|
sodium hyaluronate
|
| 1
|
|
SOLARAZE
| diclofenac sodium
| 2
|
|
u-kera e urea emollient
|
| 1
|
|
urea, -c40
|
| 1
|
|
urealac
|
| 1
|
|
x-viate
|
| 1
|
|
ziox, 405
|
| 1
|
|
ZONALON [CARE]
| doxepin
| 2
|
|
|
MEDICAMENTOS DE DIAGNÓSTICO Y VARIOS
|
PRODUCTOS DE DIAGNÓSTICO
|
CHEMET
| succimer
| 2
|
|
EXJADE
| deferasirox
| 3
|
|
THIOLA
| tiopronin
| 2
|
|
|
MEDICAMENTOS VARIOS
|
ADAGEN [INJ]
| pegademase bovine
| 3
|
|
aminocaproic acid
|
| 1
|
|
ANTIZOL [INJ]
| fomepizole
| 2
|
|
BUPHENYL
| sodium phenylbutyrate
| 3
|
|
COPAXONE [INJ]
| glatiramer acetate
| 3
| [PAR][QLL]
|
CYKLOKAPRON [INJ]
| tranexamic acid
| 2
|
|
ergoloid mesylates
|
| 1
|
|
hetastarch in normal saline
|
| 1
|
|
hetastarch/sodium chloride [INJ]
|
| 1
|
|
morrhuate sodium [INJ]
|
| 1
|
|
ORFADIN
| nitisinone
| 3
|
|
PROTOPAM CHLORIDE [INJ]
| pralidoxime chloride
| 2
|
|
THALOMID
| thalidomide
| 3
|
|
thrombogen
|
| 1
|
|
|
MEDICAMENTOS PARA EL OÍDO, LA NARIZ Y LA GARGANTA
|
MEDICAMENTOS PARA EL OÍDO
|
a/b otic
|
| 1
|
|
acetasol hc
|
| 1
|
|
acetic acid, -aluminum, -hydrocortisone
|
| 1
|
|
allergen
|
| 1
|
|
antibiotic ear suspension
|
| 1
|
|
antipyrine/benzocaine
|
| 1
|
|
aurodex (gotas para los oídos)
|
| 1
|
|