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"specific_item_code": "25301",
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"description": "VITAMINAS Y MINERALES. CAPSULA DE GELATINA BLANDA. CADA CAPSULA DE GELATINA BLA NDA CONTIENE: MONOHIDRATO DE TIAMINA (VITAMINA B1) 2.4 MG. RIBOFLAVINA (VITAMIN A B2) 2.7 MG. CLORHIDRATO DE PIRIDOXINA (VITAMINA B6) 3.2 MG. CIANOCOBALAMINA ( VITAMINA B12) 3.9MICROGRAMOS. ACIDO FOLICO 420.0MICROGRAMOS. ACIDO ASCORBICO (V ITAMINA C) 143.0 MG. SULFATO FERROSO ANHIDRO (EQUIVALENTE A 30.0 MG DE HIERRO) 81.6 MG. SULFATO DE COBRE ANHIDRO(EQUIVALENTE A 2.3 MG DE COBRE) 5.77 MG. SULFA TO DE ZINC ANHIDRO(EQUIVALENTE A 38.0 MG DE ZINC) 93.83 MG. ENVASE CON 30 CAPSU LAS DE GELATINA BLANDA.",
"requested_quantity": "25",
"minimum_quantity": "25",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
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"description": "AMINOACIDOS CON ELECTROLITOS SOLUCION INYECTABLE AL 8.5% CADA 100 ML. CONTIENE L-ISOLEUCINA UNIDAD EN MILIGRAMOS: MINIMO 400, MAXIMO 620. L-LEUCINA UNIDAD EN MILIGRAMOS: MINIMO 520, MAXIMO 810. L-LISINA UNIDAD EN MILIGRAMOS: MINIMO 490, MAXIMO 870. L-METIONINA UNIDAD EN MILIGRAMOS: MINIMO 250, MAXIMO 500. L- FENILALANINA UNIDAD EN MILIGRAMOS: MINIMO 380, MAXIMO 720. L-TREONINA UNIDAD EN MILIGRAMOS: MINIMO 340, MAXIMO 460. L-TRIPTOFANO UNIDAD EN MILIGRAMOS: MINIMO 130, MAXIMO 160. L-VALINA UNIDAD EN MILIGRAMOS: MINIMO 390, MAXIMO 680. HISTIDINA UNIDAD EN MILIGRAMOS: MINIMO 240, MAXIMO 380. CISTEINA O CISTINA UNIDAD EN MILIGRAMOS: MINIMO 0, MAXIMO 80. TIROSINA UNIDAD EN MILIGRAMOS: MINIMO 30, MAXIMO 50. L-ALANINA UNIDAD EN MILIGRAMOS: MINIMO 390, MAXIMO 1760. L-ARGININA UNIDAD EN MILIGRAMOS: MINIMO 430, MAXIMO 880. L-PROLINA UNIDAD EN MILIGRAMOS: MINIMO 350, MAXIMO 1000. L-SERINA UNIDAD EN MILIGRAMOS: MINIMO 0, MAXIMO 930. GLICINA (ACIDO AMINOACETICO) UNIDAD EN MILIGRAMOS: MINIMO 460, MAXIMO 1760. L-TAURINA UNIDAD EN MILIGRAMOS: MINIMO 0, MAXIMO 200. ACETATO DE SODIO UNIDAD EN MILIEQUIVALENTES POR LITRO: MINIMO 70, MAXIMO 594.POTASIO UNIDAD EN MILIEQUIVALENTES POR LITRO: MINIMO 60, MAXIMO 66. CLORURO DE MAGNESIO UNIDAD EN MILIGRAMOS: MINIMO 0, MAXIMO 102. CLORURO DE SODIO UNIDAD EN MILIGRAMOS: MINIMO 154, MAXIMO 410. FOSFATO DIBASICO DE POTASIO UNIDAD EN MILIGRAMOS: MINIMO 400, MAXIMO 522. * ACIDO L-ASPARTICO UNIDAD EN MILIGRAMOS: MINIMO 0. MAXIMO 410. * ACIDO GLUTAMICO UNIDAD EN MILIGRAMOS: MINIMO 0, MAXIMO 710. NITROGENO TOTAL UNIDAD EN GRAMOS POR LITROS: MINIMO 13.5, MAXIMO 16. NOTA: * PUEDEN O NO VENIR EN LA FORMULA, LO CUAL NO MODIFICA EL EFECTO TERAPEUTICO DESEADO. PRESENTACIÓN ENVASE 500 MILILITROS.",
"requested_quantity": "153",
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"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
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"description": "AMINOACIDOS CRISTALINOS. SOLUCION INYECTABLE AL 10% ADULTOS. CADA 100 ML CONTIENE (MINIMO-MAXIMO): L- ISOLEUCINA 490-720 MG, L- LEUCINA 719-940 MG, L- LISINA 599-720 MG, L- METIONINA 294-440 MG, L- FENILALANINA 440-845 MG, L- TREONINA 414-520 MG, L- TRIPTOFANO 153-210 MG, L- VALINA 572-800 MG, HISTIDINA 290-473 MG, CISTEINA O CISTINA 0-110 MG, TIROSINA 0-100 MG, L- ALANINA 458-2040 MG, L- ARGININA 505-1134 MG, L- PROLINA 300-1174 MG, L- SERINA 420-1092 MG, *L- TAURINA 0-20 MG, GLICINA (AC. AMINOACETICO) 540-1280 MG, *ACIDO L- ASPARTICO 0 -481 MG, *ACIDO GLUTAMICO 0-834 MG, *ACETATO 0-74 MEQ/L, *POTASIO 0-0.55 MEQ/L, NITROGENO TOTAL 15.5-16.5 G/L. * PUEDEN O NO VENIR EN LA FORMULA LO CUAL NO MODIFICA EL EFECTO TERAPEUTICO DESEADO. PRESENTACION 500 ML.",
"requested_quantity": "50",
"minimum_quantity": "50",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
},
{
"number": "36",
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"specific_item_code": "25301",
"cucop_description": "010.000.2826.00 IDOXURIDINA UNGÜENTO OFTALMICO AL 0.5 % 0.5 G/100 G ENVASE CON 3 G",
"description": "IDOXURIDINA. UNGUENTO OFTALMICO AL 0.5 % CADA 100 G CONTIENE: IDOXURIDINA 0.5 G ENVASE CON 7 G.",
"requested_quantity": "3",
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"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
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"description": "GENTAMICINA SOLUCION OFTALMICA CADA ML CONTIENE: SULFATO DE GENTAMICINA EQUIVALENTE A 3 MG, DE GENTAMICINA. ENVASE CON GOTERO INTEGRAL CON 5 ML.",
"requested_quantity": "42",
"minimum_quantity": "42",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
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"description": "METOCARBAMOL TABLETA CADA TABLETA CONTIENE: METOCARBAMOL 400 MG ENVASE CON 30 TABLETAS.",
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"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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"specific_item_code": "25301",
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"description": "NORETISTERONA. SOLUCION INYECTABLE OLEOSA. CADA AMPOLLETA CONTIENE: ENANTATO DE NORETISTERONA 200 MG ENVASE CON UNA AMPOLLETA DE 1 ML.",
"requested_quantity": "90",
"minimum_quantity": "90",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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"specific_item_code": "25301",
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"description": "LEVONORGESTREL Y ETINILESTRADIOL GRAGEA CADA GRAGEA CONTIENE: LEVONORGESTREL 0.15 MG, ETINILESTRADIOL 0.03 MG, ENVASE CON 21 GRAGEAS.",
"requested_quantity": "4446",
"minimum_quantity": "4446",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
"cucop_description": "010.000.3830.00 L-ORNITINA-L-ASPARTATO GRANULADO 3 G ENVASE CON 10 SOBRES",
"description": "L-ORNITINA L-ASPARTATO. GRANULADO CADA SOBRE -CONTIENE: L-ORNITINA-L-ASPARTATO 3 G ENVASE CON 10 SOBRES.",
"requested_quantity": "181",
"minimum_quantity": "181",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
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"description": "MOMETASONA. LOCION CADA 100 MILILITRO CONTIENEN: FUROATO DE MOMETASONA 0.100 G ENVASE CON 60 ML.",
"requested_quantity": "10",
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"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
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"description": "CICLOSPORINA CAPSULA DE GELATINA BLANDA CADA CAPSULA CONTIENE: CICLOSPORINA MODIFICADA O CICLOSPORINA EN MICROEMULSION 100 MG ENVASE CON 50 CAPSULAS",
"requested_quantity": "3",
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"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
},
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"specific_item_code": "25301",
"cucop_description": "010.000.4412.00 DORZOLAMIDA Y TIMOLOL SOLUCION OFTALMICA 20 MG/5 MG/ML GOTERO INTEGRAL CON 5 ML",
"description": "DORZOLAMIDA Y TIMOLOL SOLUCION OFTALMICA CADA ML CONTIENE: CLORHIDRATO DE DORZOLAMIDA EQUIVALENTE A 20 MG DE DORZOLAMIDA MALEATO DE TIMOLOL EQUIVALENTE A 5 MG DE TIMOLOL ENVASE CON GOTERO INTEGRAL CON 5 ML.",
"requested_quantity": "3259",
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"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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"specific_item_code": "25301",
"cucop_description": "010.000.4485.00 DULOXETINA CAPSULA DE LIBERACION RETARDADA 60 MG 14 CAPSULAS DE LIBERACION RETARDADA",
"description": "DULOXETINA. CAPSULA DE LIBERACION RETARDADA. CADA CAPSULA DE LIBERACION RETARDADA CONTIENE: CLORHIDRATO DE DULOXETINA EQUIVALENTE A 60 MG DE DULOXETINA ENVASE CON 14 CAPSULAS DE LIBERACION RETARDADA.",
"requested_quantity": "978",
"minimum_quantity": "978",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
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"description": "OLANZAPINA SOLUCION INYECTABLE CADA FRASCO AMPULA CON LIOFILIZADO CONTIENE: OLANZAPINA 10 MG ENVASE CON UN FRASCO AMPULA.",
"requested_quantity": "55",
"minimum_quantity": "55",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
},
{
"number": "47",
"cucop_code": "25301-2356",
"specific_item_code": "25301",
"cucop_description": "010.000.6049.00 ACIDO ACETILSALICILICO, SIMVASTATINA, RAMIPRIL CAPSULA 100 MG/40 MG/5 MG 28 CAPSULAS",
"description": "ACIDO ACETILSALICILICO SIMVASTATINA RAMIPRIL. CAPSULA CADA CAPSULA CONTIENE: AC IDO ACETILSALICILICO 100 MG SIMVASTATINA 40 MG RAMIPRIL 5 MG ENVASE CON 28 CAPS ULAS.",
"requested_quantity": "5",
"minimum_quantity": "5",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
},
{
"number": "48",
"cucop_code": "25301-3283",
"specific_item_code": "25301",
"cucop_description": "010.000.6121.00 ZIDOVUDINA SOLUCION INYECTABLE CADA FRASCO AMPULA CONTIENE: ZIDOVUDINA 200 MG ENVASE CON 5 FRASCOS AMPULA (200 MG/20 ML)",
"description": "ZIDOVUDINA. SOLUCION INYECTABLE. CADA FRASCO AMPULA CONTIENE: ZIDOVUDINA 200 MG. ENVASE CON 5 FRASCOS AMPULA (200 MG/20 ML).",
"requested_quantity": "3",
"minimum_quantity": "3",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
},
{
"number": "49",
"cucop_code": "25301-4035",
"specific_item_code": "25301",
"cucop_description": "010.000.7002.00 FUROATO DE FLUTICASONA/UMECLIDINIO/VILANTEROL. POLVO. CADA DISPOSITIVO INHALADOR CONTIENE: FUROATO DE FLUTICASONA 100 MCG, BROMURO DE UMECLIDINIO 74.200 MCG EQUIVALENTE A 62.5 MCG DE UMECLIDINIO TRIFENATATO DE VILANTEROL, 40 MCG EQUIVALENTE A 25 MCG DE VILANTEROL. CAJA DE CARTON CON UNA BANDEJA CON UN DISPOSITIVO INHALADOR QUE CONTIENE DOS ENVASES DE BURBUJA CON 30 DOSIS (100 µG/62.5 µG/ 25 µG).",
"description": "FUROATO DE FLUTICASONA/UMECLIDINIO/VILANTEROL POLVO CADA DISPOSITIVO INHALADOR CONTIENE: FUROATO DE FLUTICASONA 100 MCG BROMURO DE UMECIDINIO 74.200 MCG EQUIVALENTE A 62.5 MG DE UMECIDINIO TRIFENATATO DE VILANTEROL 40 MCG EQUIVALENTE A 25 MCG DE VILANTEROL. CAJA DE CARTON CON UNA BANDEJA CON UN DISPOSITIVO INHALADOR QUE CONTIENE DOS ENVASES DE BURBUJA CON 30 DOSIS (100 MCG/62.5 MCG/25 MCG).",
"requested_quantity": "3",
"minimum_quantity": "3",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
"number": "50",
"cucop_code": "25301-0146",
"specific_item_code": "25301",
"cucop_description": "010.000.5107.00 ALTEPLASA SOLUCION INYECTABLE 50 MG 2 FRASCOS AMPULA CON LIOFILIZADO, 2 FRASCOS AMPULA CON DISOLVENTE Y EQUIPO ESTERILIZADO PARA SU RECONSTITUCION",
"description": "ALTEPLASA SOLUCION INYECTABLE CADA FRASCO AMPULA CON LIOFILIZADO CONTIENE: ALTEPLASA (ACTIVADOR TISULAR DEL PLASMINOGENO HUMANO) 50 MG ENVASE CON 2 FRASCOS AMPULA CON LIOFILIZADO. 2 FRASCOS AMPULA CON DISOLVENTE Y EQUIPO ESTERILIZADO PARA SU RECONSTITUCION.",
"requested_quantity": "74",
"minimum_quantity": "74",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
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"description": "AMINOACIDOS ENRIQUECIDOS CON AMINOACIDOS DE CADENA RAMIFICADA. SOLUCION INYECTABLE. CADA 100 ML CONTIENE (MINIMO-MAXIMO): L- ISOLEUCINA 700-1380 MG, L- LEUCINA 1100-1580 MG, L- LISINA 265-690 MG, L- METIONINA 110-450 MG, L- FENILALANINA 80-480 MG, L- TREONINA 200-450 MG, L- TRIPTOFANO 70-130 MG, L- VALINA 780-1240 MG, HISTIDINA 150-280 MG, CISTEINA O CISTINA 0-55 MG, TIROSINA 0-33 MG, L- ALANINA 395-660 MG, L- ARGININA 464-1100 MG, L- PROLINA 445-950 MG, L- SERINA 220-575 MG, GLICINA ( AC. AMINOACETICO ) 300-700 MG, PIROSULFITO DE SODIO 0-50 MG, AGUA INYECTABLE 0-100 ML, AMINOACIDOS DE CADENA RAMIFICADA 40-55 %. PUEDEN O NO VENIR EN LA FORMULA LO CUAL NO MODIFICA EL EFECTO TERAPEUTICO DESEADO. PRESENTACION 500 ML.",
"requested_quantity": "5",
"minimum_quantity": "5",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
},
{
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"cucop_code": "25301-3046",
"specific_item_code": "25301",
"cucop_description": "010.000.5446.01 TEGAFUR - URACILO CAPSULA 100 MG / 224 MG 120 CAPSULAS",
"description": "TEGAFUR-URACILO. CAPSULA CADA CAPSULA CONTIENE: TEGAFUR 100 MG URACILO 224 MG E NVASE CON 120 CAPSULAS.",
"requested_quantity": "3",
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"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
},
{
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"specific_item_code": "25301",
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"description": "AZILSARTAN MEDOXOMILO. TABLETA CADA TABLETA CONTIENE: AZILSARTAN MEDOXOMILO DE POTASIO EQUIVALENTE A 80 MG DE AZILSARTAN MEDOXOMILO. ENVASE CON 28 TABLETAS.",
"requested_quantity": "8",
"minimum_quantity": "8",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
},
{
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"specific_item_code": "25301",
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"description": "LACOSAMIDA. TABLETA CADA TABLETA CONTIENE: LACOSAMIDA 200 MG ENVASE CON 28 TABL ETAS.",
"requested_quantity": "18",
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"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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"specific_item_code": "25301",
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"description": "INMUNOGLOBULINA HUMANA. SOLUCION INYECTABLE. CADA FRASCO AMPULA CONTIENE: INMUNOGLOBULINA HUMANA NORMAL ENDOVENOSA 2.5 G. ENVASE CON UN FRASCO AMPULA CON 25 ML.",
"requested_quantity": "1",
"minimum_quantity": "1",
"maximum_quantity": null,
"unit": "PIEZA",
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"maximum_amount": null
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"specific_item_code": "25301",
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"description": "CINACALCET. TABLETA CADA TABLETA CONTIENE: CINACALCET 30 MG ENVASE CON 30 TABLE TAS.",
"requested_quantity": "3",
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"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
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"description": "ALMOTRIPTAN. COMPRIMIDOS. CADA COMPRIMIDO CONTIENE: ALMOTRIPTAN D, L MALATO ACIDO EQUIVALENTE A 12.5 MG DE ALMOTRIPTAN. ENVASE CON 2 COMPRIMIDOS.",
"requested_quantity": "5",
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"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
"cucop_description": "030.000.5234.01 D-BIOTINA CAPSULAS 5 MG ENVASE CON 60 CAPSULAS",
"description": "D-BIOTINA COMPRIMIDOS CADA COMPRIMIDO CONTIENE: D-BIOTINA 5 MG ENVASE CON 30 COMPRIMIDOS.",
"requested_quantity": "3",
"minimum_quantity": "3",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
},
{
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"specific_item_code": "25301",
"cucop_description": "040.000.0206.00 FLUNITRAZEPAM SOLUCION INYECTABLE 2 MG 3 AMPOLLETAS CON 1 ML Y 3 AMPOLLETAS CON DILUYENTE",
"description": "FLUNITRAZEPAM SOLUCION INYECTABLE. CADA AMPOLLETA CONTIENE: FLUNITRAZEPAN 2 MG. ENVASE CON 3 AMPOLLETAS Y 3 AMPOLLETAS CON DILUYENTE.",
"requested_quantity": "2",
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"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
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"description": "BUPRENORFINA TABLETA SUBLINGUAL CADA TABLETA SUBLINGUAL CONTIENE: CLORHIDRATO DE BUPRENORFINA EQUIVALENTE A 0.2 MG DE BUPRENORFINA. ENVASE CON 10 TABLETAS.",
"requested_quantity": "8",
"minimum_quantity": "8",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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"specific_item_code": "25301",
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"description": "FENOBARBITAL ELIXIR CADA 5 ML CONTIENEN: FENOBARBITAL 20 MG ENVASE CON 60 ML Y VASITO DOSIFICADOR DE 5 ML.",
"requested_quantity": "3",
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"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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"specific_item_code": "25301",
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"description": "CICLOPENTOLATO SOLUCION OFTALMICA CADA ML CONTIENE: CLORHIDRATO DE CICLOPENTOLATO 10 MG ENVASE CON GOTERO INTEGRAL CON 3 ML.",
"requested_quantity": "8",
"minimum_quantity": "8",
"maximum_quantity": null,
"unit": "PIEZA",
"minimum_amount": null,
"maximum_amount": null
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{
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