APÊNDICE XXX
(Anexo IX, Art. 7º, LI)
MEDICAMENTOS E REAGENTES QUÍMICOS

Item Código NBM/SH Medicamentos e Reagentes Químicos
1
3002.10.39 CERA 1000 mcg

3002.10.39 CERA 400 mcg

3002.10.39 CERA 200 mcg
4
3002.10.39 CERA 100 mcg

3002.10.39 CERA 50 mcg
6 3002.10.39 Epoetina Beta 50.000 UI
7 3002.10.39 Epoetina Beta 100.000 UI
8 3002.10.39 Epoetina Beta 4.000 UI
9 3004.90.69 Anastrozole 1mg
10 3002.10.38 Trastuzumab 440 mg
11 3002.10.38 Trastuzumab 150 mg
12 
3002.10.38 Bevacizumab 100 mg
13 
3004.90.69 Erlotinib 25 mg
14 
3004.90.69 Erlotinib 100 mg
15 
3004.90.59 Docetaxel 20 mg
16 
3004.90.59 Docetaxel 80 mg
17 3004.90.79 Capecitabine 150 mg
18 3004.90.79 Capecitabine 500 mg
19 3004.90.99 Oxaliplatina 50 mg
20 3004.90.99 Oxaliplatina 100 mg
21  
3004.90.99 Cisplatina 50 mg
22 
3002.10.38 Rituximab 100 mg
23 
3002.10.38 Rituximab 500 mg
24 3004.90.95 Peg-Interferon alfa-2a 180 mcg/ml
25 3004.90.79 Ribavirina 200 mg
26 3004.90.99 T20-304 90 mg
27 3004.90.99 Kinase Inhibitor P-38
28 3004.90.99 Methilprednisolona 125 mg
29 3004.90.99 Predinisolona 30mg
30 
3002.10.39 Tocilizumab 200 mg
31 3002.10.38 Bevacizumabe
32 3004.90.59 Ácido ibandrônico ou Ibandronato de sódio
33 3004.50.90 Isotretinoína
34 
3004.90.78 Tacrolimo
35 3004.90.29 Acitretina
36 3004.90.99 Calcipotriol
37 3004.20.99 Micofenolato de mofetila
38 3002.10.38 Trastuzumabe
39 3002.10.38 Rituximabe
40 3004.90.95 Alfapeginterferona 2A
41 3004.90.79 Capecitabina
42 
3004.90.69 Cloridrato de Eriotinibe
44 
3004.31.00 Insulina Glargina 100 unidades/ml
45 
3004.90.99 RO4998452 - 2,5 mg
46 
3004.90.99 RO4998452 - 10 mg
47 
3004.90.99 RO4998452 - 20 mg
48 
3004.90.99 RO4998452 ou placebo
49 
3004.90.99 RO4998452 inibidor SGLT2
50 
3004.90.39 Taspoglutida - 10 mg
51 
3004.90.39 Taspoglutida - 20 mg
52 
3004.90.39 Taspoglutida ou placebo
53 
3004.90.79 Aleglitazar
54 
3004.90.79 RO5072759 - 50 mg
55 
3004.90.79 Pioglitazona - 45 mg
56 
3004.90.79 Pioglitazona - 30 mg
57 
3004.90.79 Pioglitazona ou placebo
58 
3004.90.99 Erlotinib ou placebo
59 
3004.90.99 Erlotinib 150 mg
60 
3002.10.38 Trastuzumab MCC DMI 160 mg liofilisado
61  3004.90.79 Lapatinib 250 mg
62 
3002.10.38 Trastuzumab 120 mg + rHuPH20 2000 unidades
63 
3002.10.38 Rituximab 1200 mg + rHuPH20 2000 unidades
64 
3004.90.69 Fluorouracil
65 
3002.10.39 Tocilizumab
66  3002.10.39 Pertuzumab
67 
3002.10.39 Ocrelizumab
68 
3004.90.99 DPP - IV inhibitor
69
30049099 Insulina inalável
70
 
30049099 CP-945,598
71
30049099 CP-751,871
72
30049099 Malato de sunitinibe
73
30049099 PH-797,804
74
30049099 Fesoterodina
75
30049099 Ziprasidona
76
30049099 Sildenafila
77
30049099 Tartarato de vareniclina
78
30049099 Maraviroque
79
30049099 Linezolida
80
30049099 Anidulafungina
81
30049099 PF-00885706
82
30049099 PF-045236655
83
30049099 PF-3512676
84
30049099 Tolterodine
85
30049099 CE-224,535
86
30049099 AG-013736
87
3004.90.99 Celecoxibe
88
3004.90.99 CP-690,550
89
3004.90.78 Emtricitabina
90
3004.90.49 Raltegravir
91
3004.90.69 TMC 125 Etravirina 25mg
92
3004.90.69 TMC 125 Etravirina 100mg
93
3004.90.79 TMC 114 (Darunavir) 75mg
94
3004.90.79 TMC 114 (Darunavir) 300mg
95
3004.90.79 TMC 114 (Darunavir) 600mg
96
3004.90.69 Rabeprazol sódico 1 mg
97
3004.90.69 Rabeprazol sódico 5mg
98
3004.90.69 Palmitato de Paliperdona 100mg/ml
99
3004.90.69 Risperidona 1 mg
100
3004.90.69 Risperidona 2mg
101
3004.90.69 Risperidona 4mg
102
3004.90.99 TMC 278 25mg
103
3004.90.78 Efavirenz 600mg
104
3004.90.78 Entricitabina 200 mg + Fumarato Tenofovir Disopropila (300mg)
105
3004.20.99 Doripenem 500mg
106
3004.20.99 Imipenem 500mg + Cilastatina sódica 500mg
107
3004.90.69 TMC 207 100mg
108
3002.10.35 CNT0328 20mg/ml
109
3004.90.68 Bortezomibe 3,5mg
110
3004.32.90 Dexametasona 8mg
112
3004.90.79 Ciclosfamida 1g
113
3004.20.69 Doxorrubicina 50mg
114
3004.39.99 Prednisona 5mg
115
3004.39.99 Prednisona 20mg
116
3004.40.10 Vincristina 1 mg
117
3004.90.78 Ritonavir 100mg
118
3004.90.99 RWJ-3369 (Carisbamato) 50mg
119
3004.90.99 RWJ-3369 (Carisbamato) 100mg
120
3004.90.99 RWJ-3369 (Carisbamato) 200mg
121
3002.10.39 RebmAb 100 - hu3S193, anticorpo monoclonal humanizado, tipo lgG1, anti-Lewis Y
122 3002.10.39 RebmAb 200 - huMX35, anticorpo monoclonal humanizado, tipo lgG1, anti-NaPi2b
123

3002.10.29

Nota Informare - Acrescentado o item 123 pelo Decreto nº 8.995, de 19.07.2017; efeitos a partir de 01.08.2016.

Peptídeo antitumoral Rb09