廣東省基本醫(yī)保藥品目錄

1、醫(yī)院編號,項目順序號,社保項目編號,社保項目名稱,醫(yī)院項目名稱,助記碼,基準價格,規(guī)格,劑型,商品名,類別,門診醫(yī)保,住院醫(yī)保,備注A-02,1,601010101005,青霉素,注射用青霉素鈉,2.9,80萬,JX019,青霉素鈉(粉針),甲,甲類,甲類,A-02,2,601010103018,氨芐西林,注射用氨芐西林鈉,3.8,1g,JX019,氨芐西林鈉(粉針),甲,甲類,甲類,A-02,3,601010103021,阿莫西林克拉維酸,阿莫西林克拉維酸鉀分散片（7:1),27.41,228.5mg*12s,JX001,君爾清,乙,乙類,乙類,A-02,4,601010103021,阿莫西

2、林克拉維酸,阿莫西林克拉維酸鉀咀嚼片（8：1)）,51.6,281.25mg*18s,JX001,清克霖,乙,乙類,乙類,A-02,5,601010105001,阿莫西林克拉維酸,阿莫西林克拉維酸鉀干混懸劑,9.57,228.5mg*4包,JX003,鏗鏘,乙,乙類,乙類,A-02,6,601010105999,內(nèi)酰胺酶抑制藥物及復方青霉素制劑青霉素類自費藥,阿莫西林雙氯西林膠囊,23.25,0.375g*12s,JX001,凱力達,乙,乙類,乙類,A-02,7,601010101006,芐星青霉素,注射用芐星青霉素,69,120萬iu*10,JX019,長效青霉素(粉針),乙,乙類,乙類,A

3、-02,8,601010102003,哌拉西林他唑巴坦（哌拉西林三唑巴坦）,注射用哌拉西林鈉他唑巴坦鈉,14.15,0.5625g,JX019,邦達(粉針),乙,乙類,乙類,【醫(yī)保提示】限重度感染。A-02,9,601010102003,哌拉西林他唑巴坦（哌拉西林三唑巴坦）,注射用哌拉西林鈉/三唑巴坦鈉,179.04,4.5g,JX019,乙,乙類,乙類,【醫(yī)保提示】限重度感染。A-02,10,601010102003,哌拉西林他唑巴坦（哌拉西林三唑巴坦）,注射用哌拉西林鈉他唑巴坦鈉,87.94,1.25g,JX019,強林坦(粉針),乙,乙類,乙類,【醫(yī)保提示】限重度感染。A-02,11,6

4、01010103022,哌拉西林舒巴坦,注射用哌拉西林鈉舒巴坦鈉(4:1),59.068,2.5g,JX019,派紓(粉針),乙,乙類,乙類,【醫(yī)保提示】限重度感染。A-02,12,601010103013,萘夫西林,注射用萘夫西林鈉,46.58,1g,JX019,萘夫西林鈉(粉針),乙,乙類,乙類,A-02,13,6010110002,氨曲南,注射用氨曲南,37.112,1.0g,JX019,氨曲南(粉針),乙,乙類,乙類,A-02,14,601010103012,美洛西林舒巴坦,注射用美洛西林鈉舒巴坦鈉,32.673,1.25g,JX019,凱韋可(粉針),乙,乙類,乙類,【醫(yī)保提示】限重

5、度感染。 A-02,15,601010103012,美洛西林舒巴坦,注射用美洛西林鈉舒巴坦鈉,37.14,1.25g,JX019,開林(粉針),乙,乙類,乙類,【醫(yī)保提示】限重度感染。 A-02,16,601010103010,美洛西林,注射用美洛西林鈉,45.018,4g,JX019,美洛西林鈉（粉針),乙,乙類,乙類,A-02,17,601010103022,哌拉西林舒巴坦,注射用哌拉西林鈉舒巴坦鈉(4:1),28.083,1.25g,JX019,力可多(粉針),乙,乙類,乙類,【醫(yī)保提示】限重度感染。 A-02,18,601010102007,苯唑西林,注射用苯唑西林鈉,1,0.5g,J

6、X019,苯唑青霉素鈉(粉針),甲,甲類,甲類,A-02,19,601010104001,哌拉西林,注射用哌拉西林鈉,4.26,1g,JX019,哌拉西林鈉(粉針),甲,甲類,甲類,A-02,20,601010103005,阿莫西林舒巴坦,注射用阿莫西林鈉舒巴坦鈉,14.765,1.5g,JX019,來切利(粉針),乙,乙類,乙類,【醫(yī)保提示】限重度感染。 A-02,21,601010103020,阿莫西林氟氯西林,注射用阿莫西林鈉氟氯西林鈉,34.2,0.5g,JX019,阿莫西林鈉氟氯西林鈉(粉針),乙,乙類,乙類,A-02,22,601010104002,磺芐西林,注射用磺芐西林鈉,10

7、9.48,4g,JX019,嘉倍康(粉針),乙,乙類,乙類,A-02,23,601010104002,磺芐西林,注射用磺芐西林鈉,64.4,2g,JX019,伊葆康(粉針),乙,乙類,乙類,A-02,24,60101020302007,頭孢他啶,注射用頭孢他啶,68.81,1g,JX019,復達欣(粉針),乙,乙類,乙類,A-02,25,60101020302007,頭孢他啶,注射用頭孢他啶,15.15,0.75g,JX019,頭孢他啶(粉針),乙,乙類,乙類,A-02,26,60101020102007,頭孢拉定,注射用頭孢拉定,1.95,1.0g,JX019,先鋒6(粉針),乙,乙類,乙類

8、,A-02,27,60101020101007,頭孢拉定,頭孢拉定片,13,0.25g*24s,JX001,先鋒6片,甲,甲類,甲類,A-02,28,60101020302013,頭孢曲松,頭孢曲松鈉,88.68,1.0g,JX019,羅氏芬(粉針),甲,甲類,甲類,A-02,29,60101020302013,頭孢曲松,注射用頭孢曲松鈉,2.07,1g,JX019,頭孢曲松鈉(粉針),甲,甲類,甲類,A-02,30,60101020302012,頭孢曲松他唑巴坦,注射用頭孢曲松鈉他唑巴坦鈉,113.59,1.0g(0.75g:0.25g),JX019,倍賽他(粉針)1g,乙,乙類,乙類,A-

9、02,31,60101020302012,頭孢曲松他唑巴坦,注射用頭孢曲松鈉他唑巴坦鈉,193.09,2.0g(1.5g:0.5g),JX019,頭孢曲松鈉他唑巴坦鈉(粉針),乙,乙類,乙類,A-02,32,60101020302003,頭孢米諾,注射用頭孢米諾鈉,26.58,1.0g,JX019,頭孢米諾鈉(粉針),乙,乙類,乙類,A-02,33,60101020302003,頭孢米諾,注射用頭孢米諾鈉,24.67,1.0g,JX019,華昊樂新(粉針),乙,乙類,乙類,A-02,34,601010204001,頭孢吡肟,注射用鹽酸頭孢吡肟,18.087,0.5g,JX019,信力威(粉針)

10、,乙,乙類,乙類,【醫(yī)保提示】限重度感染。 A-02,35,60101020101006,頭孢氨芐,頭孢羥氨芐片,27.46,0.25g*12s,JX001,力欣奇,甲,甲類,甲類,A-02,36,60101020302999,第三代頭孢菌素注射用-自費藥,頭孢泊肟酯片,22.16,50mg*6s,JX001,純欣片,乙,乙類,乙類,A-02,37,60101020302999,第三代頭孢菌素注射用-自費藥,頭孢泊肟酯片,26.97,0.1g*6s,JX001,敏新片,乙,乙類,乙類,A-02,38,60101020302999,第三代頭孢菌素注射用-自費藥,注射用頭孢甲肟,39.41,0.5

11、g,JX019,帥新舒(粉針),自,自費,自費,A-02,39,60101020302999,第三代頭孢菌素注射用-自費藥,注射用鹽酸頭孢甲肟,67.6,1.0g,JX019,鋒沃靈(粉針),自,自費,自費,A-02,40,60101020302001,頭孢噻肟,注射用頭孢噻肟鈉,12.345,1g,JX019,頭孢噻肟鈉1g(粉針）,甲,甲類,甲類,A-02,41,60101020302999,第三代頭孢菌素注射用-自費藥,注射用頭孢噻肟鈉舒巴坦鈉,108.85,1.5g,JX019,新治君,乙,乙類,乙類,A-02,42,60101020302001,頭孢噻肟,注射用頭孢噻肟鈉,28.6,

12、3.0g,JX019,頭孢噻肟鈉3g(粉針),甲,甲類,甲類,A-02,43,60101020201007,頭孢克洛,頭孢克洛緩釋膠囊,27.09,0.125g*12s,JX002,曼寧,乙,乙類,乙類,A-02,44,60101020201999,第二代頭孢菌素口服用-自費藥,復方頭孢克洛膠囊,26.36,250mg:8mg*6s,JX001,復方頭孢克洛膠囊,乙,乙類,乙類,A-02,45,60101020201009,頭孢克洛,頭孢克洛膠囊,35.17,0.25g*6s,JX001,?？藙谀z囊,乙,乙類,乙類,A-02,46,60101020201999,第二代頭孢菌素口服用-自費藥,頭

13、孢克洛溴己新片,41.86,250mg:8mg*6s,JX001,克洛己新片,自,自費,自費,A-02,47,60101020201009,頭孢克洛,頭孢克洛干混懸劑,24.03,0.125g*6,JX003,?？虅?乙,乙類,乙類,A-02,48,60101020201999,第二代頭孢菌素口服用-自費藥,復方頭孢克洛干混懸劑,32.22,0.25g:8mg*6,JX003,熙蒙,自,自費,自費,A-02,49,60101020201009,頭孢克洛,頭孢克洛顆粒,14.2,0.125g*12包,JX005,頭孢克洛顆粒,乙,乙類,乙類,A-02,50,60101020102004,頭孢硫脒

14、,注射用頭孢硫脒,32.81,0.5g,JX019,仙力素(粉針),乙,乙類,乙類,A-02,51,60101020102004,頭孢硫脒,注射用頭孢硫脒,35.667,1.0g,JX019,頭孢硫脒(粉針),乙,乙類,乙類,A-02,52,60101020301009,頭孢匹胺,注射用頭孢匹胺,69,1.0g,JX019,新澤欣(粉針),乙,乙類,乙類,A-02,53,60101020101006,頭孢氨芐,頭孢氨芐膠囊,8.3,0.125g*50s,JX001,先鋒4,甲,甲類,甲類,A-02,54,60101020101999,第一代頭孢菌素口服用-自費藥,頭孢氨芐泡騰片,28.12,0

15、.25g*24s,JX001,頭孢氨芐泡騰片,自,自費,自費,A-02,55,60101020102006,頭孢唑林,注射用頭孢唑林鈉,3,1g,JX019,先鋒5(粉針),甲,甲類,甲類,A-02,56,60101020102005,五水頭孢唑林,注射用五水頭孢唑林鈉,47.08,1g,JX019,新泰林(粉針),乙,乙類,乙類,A-02,57,60101020102005,五水頭孢唑林,注射用五水頭孢唑林鈉,27.9,0.5g,JX019,五水頭孢唑林鈉(粉針),乙,乙類,乙類,A-02,58,60101020302010,頭孢哌酮他唑巴坦,注射用頭孢哌酮鈉他唑巴坦鈉,64.44,1g,J

16、X019,新朗歐(粉針),乙,乙類,乙類,A-02,59,60101020302010,頭孢哌酮他唑巴坦,注射用頭孢哌酮鈉他唑巴坦鈉,107.78,2g,JX019,凱斯(粉針),乙,乙類,乙類,A-02,60,60101020202007,頭孢呋辛,注射用頭孢呋辛鈉,30.89,0.75g,JX019,明可欣(粉針),甲,甲類,甲類,A-02,61,60101020202007,頭孢呋辛,注射用頭孢呋辛鈉,17.53,1.25g,JX019,嘉比信（粉針）,甲,甲類,甲類,A-02,62,60101020201008,頭孢呋辛,頭孢呋辛酯薄膜片,16.53,0.125*12s,JX001,巴

17、欣,甲,甲類,甲類,A-02,63,60101020201008,頭孢呋辛,頭孢呋辛酯片,21.37,0.25g*6,JX001,達力新片,甲,甲類,甲類,A-02,64,60101020201008,頭孢呋辛,頭孢呋辛酯片,48.62,0.25g*12s,JX001,西力欣片,甲,甲類,甲類,A-02,65,60101020302005,頭孢哌酮舒巴坦,注射用頭孢哌酮鈉舒巴坦鈉（2:1),13.692,0.75g,JX019,頭孢哌酮鈉舒巴坦鈉(粉針）,乙,乙類,乙類,A-02,66,60101020302005,頭孢哌酮舒巴坦,注射用頭孢哌酮鈉舒巴坦鈉,110.09,1.5g,JX019,

18、舒普深(粉針),乙,乙類,乙類,A-02,67,60101020201001,頭孢丙烯,頭孢丙烯分散片,46.11,0.25g*6s,JX001,頭孢丙烯分散片,乙,乙類,乙類,A-02,68,60101020201005,頭孢丙烯,頭孢丙烯干混懸劑,32.19,125mg*6包,JX003,希能,乙,乙類,乙類,A-02,69,60101020301999,第三代頭孢菌素口服用-自費藥,鹽酸頭孢他美酯片,20.26,0.25g*6s,JX001,康迪欣,自,乙類,乙類,A-02,70,60101020301999,第三代頭孢菌素口服用-自費藥,鹽酸頭孢他美酯分散片,61.07,0.25g*1

19、2s,JX001,頭孢他美酯分散片,自,乙類,乙類,A-02,71,60101020302009,頭孢地嗪,注射用頭孢地嗪鈉,42.9,1g,JX019,高德(粉針),乙,乙類,乙類,A-02,72,60101020302009,頭孢地嗪,注射用頭孢地嗪鈉,14.8,0.25g,JX019,高德(粉針),乙,乙類,乙類,A-02,73,60101020202002,頭孢美唑,注射用頭孢美唑鈉,45.93,1g,JX019,深美(粉針),乙,乙類,乙類,A-02,74,60101020202002,頭孢美唑,注射用頭孢美唑鈉,53.096,1g,JX019,悉暢(粉針),乙,乙類,乙類,A-02

20、,75,60101020102003,頭孢替唑,注射用頭孢替唑鈉,30.22,1g,JX019,益替欣(粉針),乙,乙類,乙類,A-02,76,60101020102003,頭孢替唑,注射用頭孢替唑鈉,19.38,0.5g,JX019,頭孢替唑鈉(粉針）,乙,乙類,乙類,A-02,77,60101020202006,頭孢尼西,注射用頭孢尼西鈉,21.99,1g,JX019,羅朗(粉針),乙,乙類,乙類,A-02,78,60101020202006,頭孢尼西,注射用頭孢尼西鈉,23.3,0.5g,JX019,頭孢尼西鈉(粉針）,乙,乙類,乙類,A-02,79,60101020202003,頭孢替

21、安,注射用鹽酸頭孢替安,64.26,1g,JX019,佩羅欣(粉針),乙,乙類,乙類,A-02,80,60101020202003,頭孢替安,注射用鹽酸頭孢替安,33.224,0.5g,JX019,頭孢替安(粉針),乙,乙類,乙類,A-02,81,60101020301010,頭孢克肟,頭孢克肟分散片,40.17,0.1g*12s,JX001,天立威,乙,乙類,乙類,A-02,82,60101020301010,頭孢克肟,頭孢克肟分散片,20.69,100mg*6s,JX001,特普寧片,乙,乙類,乙類,A-02,83,60101020202005,頭孢孟多酯,注射用頭孢孟多酯鈉,32.36,

22、0.5g,JX019,艾可樂(粉針),乙,乙類,乙類,A-02,84,60101020202005,頭孢孟多酯,注射用頭孢孟多酯鈉,44.673,1.0g,JX019,瑞陵彤(粉針),乙,乙類,乙類,A-02,85,60101020202005,頭孢孟多酯,注射用頭孢孟多酯鈉,264.07,1.0g*6支,JX019,浦成(粉針),乙,乙類,乙類,A-02,86,60101020301001,頭孢地尼,頭孢地尼分散片,35.4,50mg*6s,JX001,希福尼片,乙,乙類,乙類,A-02,87,60101020202004,頭孢西丁,注射用頭孢西丁鈉,20.573,1.0g,JX019,信希

23、汀(粉針),乙,乙類,乙類,A-02,88,60101020202004,頭孢西丁,注射用頭孢西丁鈉,86.279,3.0g,JX019,頭孢西丁鈉(粉針),乙,乙類,乙類,A-02,89,60101020301999,第三代頭孢菌素口服用-自費藥,頭孢特侖新戊酯片,45.96,50mg*6s,JX019,頭孢特侖新戊酯片,自,自費,自費,A-02,90,60101020302008,頭孢唑肟,注射用頭孢唑肟鈉,21.136,0.5g,JX019,頭孢唑肟鈉(粉針),乙,乙類,乙類,A-02,91,601010204999,第四代頭孢菌素-自費藥,注射用硫酸頭孢噻利,124.37,0.5g,J

24、X019,豐迪(粉針),自,自費,自費,A-02,92,601010204002,頭孢匹羅,注射用硫酸頭孢匹羅,17.02,0.25g,JX019,頭孢匹羅(粉針),乙,乙類,乙類,【醫(yī)保提示】限重度感染 A-02,93,6010104010,阿米卡星,丁胺卡那霉素,10,0.2g 2ml*10,JX019,阿米卡星注射液,甲,甲類,甲類,A-02,94,6010301024,鏈霉素,注射用硫酸鏈霉素,1.3,100萬iu,JX019,硫酸鏈霉素(粉針),甲,甲類,甲類,A-02,95,6010104011,慶大霉素,慶大霉素注射液,7.3,2ml:8萬iu*10,JX019,慶大霉素注射液,

25、甲,甲類,甲類,A-02,96,6010104006,妥布霉素,硫酸妥布霉素注射液,3,80mg:2ml*5,JX019,妥布霉素注射液,乙,乙類,乙類,A-02,97,6010104008,依替米星,注射用硫酸依替米星,55.41,0.1g,JX019,愛大(粉針),乙,乙類,乙類,【醫(yī)保提示】限二線用藥 A-02,98,6010104008,依替米星,硫酸依替米星注射液,168.53,1ml:50mg*6,JX019,創(chuàng)成,乙,乙類,乙類,【醫(yī)保提示】限二線用藥 A-02,99,6010104008,依替米星,硫酸依替米星注射液,153.22,1ml:50mg*6支,JX019,悉能,乙,

26、乙類,乙類,【醫(yī)保提示】限二線用藥 A-02,100,6010105001,氯霉素,氯霉素注射液,6.46,2ml:0.25g*10,JX019,氯霉素注射液,甲,甲類,甲類,A-02,101,6010105999,酰胺醇類-自費藥,氯霉素片,14.95,0.25g*100s,JX001,氯霉素糖衣片,自,乙類,乙類,A-02,102,6010106006,多西環(huán)素,鹽酸多西環(huán)素片,13.46,0.1g*100s,JX001,鹽酸多西環(huán)素片,甲,甲類,甲類,A-02,103,6010106002,四環(huán)素,四環(huán)素片,7.9,0.25g*100s,JX001,四環(huán)素片,甲,甲類,甲類,A-02,1

27、04,6010107012,地紅霉素,地紅霉素腸溶片,38.5,0.125g*12s,JX001,域大,乙,乙類,乙類,A-02,105,6010107017,紅霉素,注射用乳糖酸紅霉素,1.24,25萬u,JX019,紅霉素(粉針）,甲,甲類,甲類,A-02,106,6010107016,紅霉素,紅霉素腸溶片,17.4,0.125g*100,JX001,紅霉素腸溶片,甲,甲類,甲類,A-02,107,6010107016,紅霉素,紅霉素腸溶膠囊,24.53,0.25g*10s,JX001,美紅,甲,甲類,甲類,A-02,108,6010107018,琥乙紅霉素,琥乙紅霉素片,6.37,0.1

28、25g*24s,JX001,琥乙紅霉素片,乙,乙類,乙類,A-02,109,6010107999,大環(huán)內(nèi)酯類-自費藥,交沙霉素片,7.78,0.2g*12s,JX001,交沙霉素片,自,乙類,乙類,A-02,110,6010107019,羅紅霉素,羅紅霉素膠囊,25.71,0.15g*12,JX001,仁蘇,乙,乙類,乙類,A-02,111,6010107019,羅紅霉素,羅紅霉素膠囊,9.8,50mg*12s,JX001,仁蘇,乙,乙類,乙類,A-02,112,6010107999,大環(huán)內(nèi)酯類-自費藥,乙酰吉他霉素膠囊,15.34,0.2g*6s,JX001,萬佶,自,自費,自費,A-02,

29、113,6010107999,大環(huán)內(nèi)酯類-自費藥,醋酸麥迪霉素顆粒,34.98,0.5g:0.1g*12袋,JX005,麥迪霉素顆粒,自,自費,自費,A-02,114,6010107999,大環(huán)內(nèi)酯類-自費藥,克拉霉素緩釋膠囊,44.65,0.25g*4s,JX002,康婷,乙,乙類,乙類,A-02,115,6010107999,大環(huán)內(nèi)酯類-自費藥,克拉霉素緩釋片,34.23,0.5g*4s,JX002,克拉霉素緩釋片,乙,乙類,乙類,A-02,116,6010107004,阿奇霉素,注射用乳糖酸阿奇霉素,40.99,0.25g,JX019,其仙(粉針),乙,乙類,乙類,A-02,117,60

30、10107004,阿奇霉素,注射用阿奇霉素磷酸二氫鈉,12.433,0.125g,JX019,亦歐青(粉針),乙,乙類,乙類,A-02,118,6010107015,阿奇霉素,阿奇霉素片,53.73,0.25g*4s,JX001,希舒美片,甲,甲類,甲類,A-02,119,6010107015,阿奇霉素,阿奇霉素片,23.39,0.5g*6s,JX001,今多齊,甲,甲類,甲類,A-02,120,6010107999,大環(huán)內(nèi)酯類-自費藥,阿奇霉素干混懸劑,48.59,0.1g*6袋,JX003,希舒美,自,乙類,乙類,A-02,121,6010107008,乙酰螺旋霉素,乙酰螺旋霉素片,2.6

31、,0.1g*12s,JX001,乙酰螺旋霉素片,乙,乙類,乙類,A-02,122,6010108001,去甲萬古霉素,注射用鹽酸去甲萬古霉素,64.43,0.4g,JX019,去甲萬古霉素(粉針),乙,乙類,乙類,【醫(yī)保提示】限耐甲氧西林金葡球菌感染 A-02,123,6010108003,萬古霉素,注射用鹽酸萬古霉素,151.85,0.5g,JX019,穩(wěn)可信(粉針),乙,乙類,乙類,【醫(yī)保提示】限耐甲氧西林金葡球菌感染 A-02,124,6010108002,替考拉寧,注射用替考拉寧,316.54,0.2g,JX019,他格適(粉針),乙,乙類,乙類,【醫(yī)保提示】限耐甲氧西林金葡球菌感染

32、A-02,125,6010110004,夫西地酸,注射用夫西地酸鈉,48.305,0.125g,JX019,夫西地酸鈉(粉針),乙,乙類,乙類,【醫(yī)保提示】限中、重度感染 A-02,126,6010109999,林可酰胺類-自費藥,鹽酸克林霉素棕櫚酸酯分散片,38.16,75mg*12s,JX001,凱萊克林片,自,乙類,乙類,A-02,127,6010103003,亞胺培南西司他丁,亞胺培南西司他丁鈉,190.76,1g(0.5:0.5),JX019,泰能(粉針),乙,乙類,乙類,【醫(yī)保提示】限其他抗生素治療無效的重度感染 A-02,128,6010103001,美羅培南,注射用美羅培南,2

33、02.36,0.5g,JX019,美平(粉針),乙,乙類,乙類,【醫(yī)保提示】限其他抗生素治療無效的重度感染 A-02,129,60106007,利奈唑胺,利奈唑胺注射液,459.53,300ml:600mg,JX019,斯沃,乙,乙類,乙類,【醫(yī)保提示】限萬古霉素治療無效或不可耐受的重癥感染A-02,130,6010201010,復方磺胺甲噁唑,復方磺胺甲惡唑片,6.2,0.48g*24s,JX001,百炎凈,甲,甲類,甲類,A-02,131,61508001,柳氮磺吡啶,柳氮磺吡啶片,19.9,0.25g*60,JX001,柳氮磺吡啶片,甲,甲類,甲類,A-02,132,6010201007

34、,甲氧芐啶,甲氧芐啶片,5.5,0.1g*100s,JX001,TMP(甲氧芐啶),乙,乙類,乙類,A-02,133,6010202024,諾氟沙星,諾氟沙星膠囊,7.3,0.1g*50s,JX001,氟哌酸,甲,甲類,甲類,A-02,134,6010202023,環(huán)丙沙星,乳酸環(huán)丙沙星氯化鈉注射液,47.99,200ml:0.4g,JX019,悉復歡,甲,甲類,甲類,A-02,135,6010202023,環(huán)丙沙星,環(huán)丙沙星注射液,81.08,100ml:0.2g,JX019,西普樂,甲,甲類,甲類,A-02,136,6010202022,環(huán)丙沙星,環(huán)丙沙星片,1.71,0.25g*12,J

35、X001,環(huán)丙沙星片,甲,甲類,甲類,A-02,137,6010202026,左氧氟沙星,乳酸左氧氟沙星注射液,38.31,0.3g:100ml,JX019,來立信,甲,甲類,甲類,A-02,138,6010202026,左氧氟沙星,鹽酸左氧氟沙星注射液,51.48,2ml:0.1g*4,JX019,左克,甲,甲類,甲類,A-02,139,6010202999,喹諾酮類-自費藥,甲磺酸加替沙星氯化鈉注射液,20.7,100ml:0.1g:0.9,JX019,樂來,自,自費,自費,A-02,140,6010202025,左氧氟沙星,鹽酸左氧氟沙星片,15,0.2g*12s,JX001,鹽酸左氧氟

36、沙星片,甲,甲類,甲類,A-02,141,6010202025,左氧氟沙星,左氧氟沙星片,43.3,0.1g*10s,JX001,可樂必妥片,甲,甲類,甲類,A-02,142,6010202011,洛美沙星,注射用門冬氨酸洛美沙星,23.215,0.1g,JX019,奇敵(粉針),乙,自費,自費,A-02,143,6010202011,洛美沙星,注射用門冬氨酸洛美沙星,38.741,0.2g,JX019,星洛(粉針),乙,自費,自費,A-02,144,6010202010,洛美沙星,洛美沙星片,35.19,0.3g*12s,JX001,歐化莎,乙,乙類,乙類,A-02,145,60102020

37、10,洛美沙星,鹽酸洛美沙星分散片,30.53,0.1g*24s,JX001,百夜星,乙,乙類,乙類,A-02,146,6010202015,氧氟沙星,氧氟沙星膠囊,4.49,0.1g*20s,JX001,氧氟沙星膠囊,乙,乙類,乙類,A-02,147,6010202019,司帕沙星,司帕沙星片,33.4,0.15g*6s,JX001,倍特,乙,乙類,乙類,A-02,148,6010202019,司帕沙星,司帕沙星片,47.77,0.1g*10s,JX001,司帕沙星片,乙,乙類,乙類,A-02,149,6010202999,喹諾酮類-自費藥,甲苯磺酸妥舒沙星薄膜衣片,33.02,0.15g*

38、10s,JX001,諾力思,自,自費,自費,A-02,150,6010202999,喹諾酮類-自費藥,鹽酸蘆氟沙星膠囊,38.19,0.1g*6s,JX001,鹽酸蘆氟沙星膠囊,自,自費,自費,A-02,151,6010202013,莫西沙星,鹽酸莫西沙星氯化鈉注射液,307.18,250ml:0.4g,JX019,拜復樂,乙,乙類,乙類,A-02,152,6010202012,莫西沙星,鹽酸莫西沙星片,84.68,0.4g*3s,JX001,拜復樂片,乙,乙類,乙類,A-02,153,6010202018,依諾沙星,依諾沙星注射液,162.19,2ml:0.1g*8支,JX019,的星力,乙

39、,乙類,乙類,6010201013,加替沙星,加替沙星片,27.3400,0.2g*12s,JX001,加替沙星片,乙,乙類,乙類,A-02,154,6010202018,依諾沙星,葡萄糖酸依諾沙星注射液,50.48,100ml:0.2g,JX019,諾佳,乙,乙類,乙類,A-02,155,6010301020,吡嗪酰胺,吡嗪酰胺片,17.1,0.25g*100s,JX001,吡嗪酰胺片,甲,甲類,甲類,A-02,156,6010301023,利福平,利福平膠囊,28.6,0.15g*100s,JX001,利福平膠囊,甲,甲類,甲類,A-02,157,6010301025,乙胺丁醇,鹽酸乙胺丁

40、醇片,19,0.25g*100,JX001,鹽酸乙胺丁醇片,甲,甲類,甲類,A-02,158,6010301027,異煙肼,異煙肼注射液,6,0.1g:2ml*10,JX019,異煙肼注射液,甲,甲類,甲類,A-02,159,6010301027,異煙肼,異煙肼注射液,6,0.1g:2ml*10支,JX019,異煙肼注射液,甲,甲類,甲類,A-02,160,6010301026,異煙肼,異煙肼片,3.8,0.1g*100s,JX001,異煙肼片,甲,甲類,甲類,A-02,161,601040102002,氟康唑,氟康唑注射液,335.43,100ml:0.2g,JX019,大扶康,乙,乙類,乙

41、類,A-02,162,601040102009,氟康唑,氟康唑片,14.49,50mg*6s,JX001,康銳片,甲,甲類,甲類,A-02,163,601040102009,氟康唑,氟康唑片,22.37,0.1g*6s,JX001,帥克風片,甲,甲類,甲類,A-02,164,601040102999,三唑類-自費藥,酮康唑片,26.77,0.2g*10s,JX001,里素勞,自,乙類,乙類,A-02,165,6010402002,兩性霉素B,注射用兩性霉素B,49.49,25mg,JX019,注射用兩性霉素B,乙,乙類,乙類,A-02,166,6010402999,多烯類-自費藥,注射用兩性霉

42、素B脂質(zhì)體,170.43,10mg,JX019,鋒克松(粉針),自,自費,自費,A-02,167,6010402003,制霉素,制霉素片,28.4,50萬iu*100s,JX001,制霉素片,甲,甲類,甲類,A-02,168,601040102003,伊曲康唑,伊曲康唑膠囊,145,0.1g*14s,JX001,斯皮仁諾,乙,乙類,乙類,A-02,169,601040102003,伊曲康唑,伊曲康唑膠囊,71.66,0.1g*14s,JX001,易啟康,乙,乙類,乙類,A-02,170,6010403001,特比萘芬,鹽酸特比萘芬片,116.08,0.25g*7s,JX001,蘭美抒,乙,乙類

43、,乙類,A-02,171,6010403001,特比萘芬,鹽酸特比萘芬片,33.02,0.125g*6s,JX001,倍佳片,乙,乙類,乙類,A-02,172,6010403002,卡泊芬凈,注射用醋酸卡泊芬凈,1997,50mg,JX019,科賽斯(粉針),乙,自費,自費,【醫(yī)保提示】限工傷保險A-02,173,6010403002,卡泊芬凈,注射用醋酸卡泊芬凈,2561.68,70mg,JX019,科賽斯(粉針),乙,自費,自費,【醫(yī)保提示】限工傷保險A-02,174,601040102007,伏立康唑,注射用伏立康唑,153.81,50mg,JX019,伏立康唑(粉針),乙,乙類,乙類,

44、【醫(yī)保提示】限重癥真菌感染 A-02,175,601040102006,伏立康唑,伏立康唑片,4597,0.2g*10s,JX001,威凡片,乙,乙類,乙類,【醫(yī)保提示】限重癥真菌感染 A-02,176,6010501013,阿昔洛韋,注射用阿昔洛韋,1.84,0.25g,JX019,阿昔洛韋(粉針),乙,乙類,乙類,A-02,177,6010501013,阿昔洛韋,注射用阿昔洛韋,1.46,0.25g,JX019,阿昔洛韋(粉針),乙,乙類,乙類,A-02,178,6010501011,阿昔洛韋,阿昔洛韋片,6.3,0.1g*24s,JX001,阿昔洛韋片,甲,甲類,甲類,A-02,179,

45、6100102001,阿糖胞苷,注射用阿糖胞苷,54.12,0.1g,JX019,賽德薩(粉針),甲,甲類,甲類,A-02,180,6100102001,阿糖胞苷,阿糖胞苷注射液,147.41,5ml:0.5g,JX019,賽德威,甲,甲類,甲類,A-02,181,6010502009,阿德福韋酯,阿德福韋酯片,254.1776,10mg*14s,JX001,賀維力,乙,乙類,乙類,【醫(yī)保提示】限活動性肝炎A-02,182,6010502009,阿德福韋酯,阿德福韋酯片,78.625,10mg*7s,JX001,丁賀片,乙,乙類,乙類,【醫(yī)保提示】限活動性肝炎A-02,183,60105010

46、14,利巴韋林,利巴韋林注射液,6,1ml:0.1g*10,JX019,病毒唑注射液,甲,甲類,甲類,A-02,184,6010501999,廣譜類-自費藥,利巴韋林含片,3.81,50mg*24s,JX001,病毒唑含片,自,乙類,乙類,A-02,185,6010501999,廣譜類-自費藥,利巴韋林氣霧劑,22.39,10.5g:75mg*150撳,JX018,利巴韋林氣霧劑,自,自費,自費,A-02,186,6010501010,伐昔洛韋,鹽酸伐昔洛韋片,263.26,0.5g*10s,JX001,維德思片,乙,乙類,乙類,A-02,187,6010501009,更昔洛韋,注射用更昔洛韋

47、,7.373,50mg,JX019,更昔洛韋(粉針),乙,乙類,乙類,A-02,188,6010502007,奧司他韋,磷酸奧司他韋膠囊,271.4,75mg*10s,JX001,達菲,乙,乙類,乙類,【醫(yī)保提示】限流感重癥患者 A-02,189,6010502007,奧司他韋,磷酸奧司他韋膠囊,180.91,75mg*10s,JX001,磷酸奧司他韋膠囊,乙,乙類,乙類,【醫(yī)保提示】限流感重癥患者 A-02,190,6010502015,替比夫定,替比夫定片,158.54,0.6g*7s,JX001,素比伏,乙,乙類,乙類,【醫(yī)保提示】限活動性肝炎A-02,191,60106008,小檗堿,

48、鹽酸小檗堿片,9.33,0.1g*100s,JX001,黃連素,甲,甲類,甲類,A-02,192,6010204002,呋喃唑酮,呋喃唑酮,2.85,0.1g*100s,JX001,痢特靈,甲,甲類,甲類,A-02,193,6010203002,甲硝唑,甲硝唑注射液,1.37,0.5g:100ml,JX019,甲硝唑注射液,甲,甲類,甲類,A-02,194,6010203001,甲硝唑,甲硝唑片,7.11,0.2g*100s,JX001,滅滴靈,甲,甲類,甲類,A-02,195,6010203009,替硝唑,替硝唑片,1.66,0.5g*8s,JX001,替硝唑片,乙,乙類,乙類,A-02,1

49、96,60106999,其他抗菌藥物-自費藥,注射用炎琥寧,16.91,80mg,JX019,炎琥寧80mg(粉針),自,自費,自費,A-02,197,60106999,其他抗菌藥物-自費藥,注射用炎琥寧,33.386,0.2g,JX019,炎琥寧0.2g(粉針),自,自費,自費,A-02,198,6010203003,奧硝唑,奧硝唑氯化鈉注射液,54.61,250ml:0.5g,JX019,奧硝唑氯化鈉注射液,乙,乙類,乙類,A-02,199,6010203003,奧硝唑,奧硝唑注射液,23.15,5ml:0.25g,JX019,普司立,乙,乙類,乙類,A-02,200,60202013,羥

50、氯喹,硫酸羥氯喹薄膜衣片,38.48,0.1g*14s,JX001,硫酸羥氯喹薄膜衣片,乙,乙類,乙類,A-02,201,60203009,阿苯達唑,阿苯達唑片,12.1,0.2g*10s,JX001,腸蟲清,甲,甲類,甲類,A-02,202,60205999,抗阿米巴病藥及抗滴蟲病藥-自費藥,硝呋太爾膠囊,48.67,0.1g*28s,JX001,硝呋太爾膠囊,自,自費,自費,A-02,203,6010203999,硝基咪唑類-自費藥,苯酰甲硝唑膠囊,38.97,0.32g*24s,JX001,佳樂寧,自,自費,自費,A-02,204,60201004,吡喹酮,吡喹酮片,34.9,0.2g*

51、100s,JX001,吡喹酮片,甲,甲類,甲類,A-02,205,6030101999,非選擇性COX抑制劑-自費藥,安乃近注射液,2.9,0.5g2ml*10,JX019,安乃近注射液,自,自費,自費,A-02,206,6030101999,非選擇性COX抑制劑-自費藥,復方氨林巴比妥注射液,1.4,2ml*10,JX019,安痛定注射液,自,自費,自費,A-02,207,6030101999,非選擇性COX抑制劑-自費藥,復方氨林巴比妥注射液,1.4,2ml*10支,JX019,安痛定注射液,自,自費,自費,A-02,208,6030101013,對乙酰氨基酚,對乙酰氨基酚片,15.57,

52、0.5g*100s,JX001,撲熱息痛,甲,甲類,甲類,A-02,209,6030103006,緩解感冒癥狀的復方OTC制劑,酚麻美敏片,9.99,0.325g*10s,JX001,泰諾x,乙,乙類,乙類,A-02,210,6030101013,對乙酰氨基酚,對乙酰氨基酚片,1.7,0.5g*10s,JX001,撲熱息痛片,甲,甲類,甲類,A-02,211,63000007,對乙酰氨基酚,對乙酰氨基酚滴劑,13.03,15ml,JX003,泰諾林,乙,自費,自費,【醫(yī)保提示】限兒科用藥A-02,212,63000007,對乙酰氨基酚,對乙酰氨基酚滴劑,14.8,15ml (小單位),JX00

53、3,泰諾林小單位,乙,自費,自費,【醫(yī)保提示】限兒科用藥A-02,213,6030103999,解熱鎮(zhèn)痛及非甾體抗炎其他藥-自費藥,雙分偽麻黃片（日片）/美撲偽麻黃片（夜片）,11.5,12s,JX001,日夜百服嚀x,自,自費,自費,A-02,214,6030103999,解熱鎮(zhèn)痛及非甾體抗炎其他藥-自費藥,呱西替柳膠囊,31.27,0.25g*24s,JX001,可泰爾,自,自費,自費,A-02,215,6030103999,解熱鎮(zhèn)痛及非甾體抗炎其他藥-自費藥,呱西替柳片,40.37,0.25g*24s,JX001,多希,自,自費,自費,A-02,216,6030103999,解熱鎮(zhèn)痛及非

54、甾體抗炎其他藥-自費藥,呱西替柳干混懸劑,46,1g:0.167g*8袋,JX003,呱西替柳干混懸劑,自,自費,自費,A-02,217,60301021,復方對乙酰氨基酚,復方對乙酰氨基酚片(II),5.69,10s,JX001,散列通片,乙,乙類,乙類,A-02,218,6030103006,緩解感冒癥狀的復方OTC制劑,雙撲偽麻分散片,13.41,12s,JX001,愛德爾貝x,乙,乙類,乙類,A-02,219,6030103006,緩解感冒癥狀的復方OTC制劑,復方鹽酸偽麻黃堿緩釋膠囊,11.35,10s,JX002,新康泰克x,乙,乙類,乙類,A-02,220,63000007,對乙

55、酰氨基酚,對乙酰氨基酚栓,2.94,0.15g*10s,JX014,小兒退熱栓,乙,自費,自費,【醫(yī)保提示】限兒科用藥A-02,221,6030101999,非選擇性COX抑制劑-自費藥,阿司匹林泡騰片,5.98,0.1g*20s,JX001,巴米爾,自,自費,自費,A-02,222,6030101011,阿司匹林,阿司匹林腸溶片,17.8,0.1g*30s,JX001,拜阿司匹靈,甲,甲類,甲類,A-02,223,61806999,抗血小板藥-自費藥,鋁鎂匹林片（II）,48.12,12s,JX001,鋁鎂匹林片,自,乙類,乙類,A-02,224,6030103999,解熱鎮(zhèn)痛及非甾體抗炎其

56、他藥-自費藥,氨咖黃敏膠囊,4.28,12s,JX001,氨咖黃敏膠囊,乙,自費,自費,A-02,225,6030101005,賴氨匹林,注射用賴氨匹林,3.6,0.5g,JX019,賴氨匹林(粉針),乙,乙類,乙類,A-02,226,6030103006,緩解感冒癥狀的復方OTC制劑,美敏偽麻溶液,17.94,100ml,JX003,美敏偽麻溶液x,乙,乙類,乙類,A-02,227,6030101999,非選擇性COX抑制劑-自費藥,注射用精氨酸阿司匹林,18.439,1.0g,JX019,雅丹聚(粉針),自,自費,自費,A-02,228,6030101999,非選擇性COX抑制劑-自費藥,

57、注射用鹽酸丙帕他莫,35.719,1.0g,JX019,丙帕他莫(粉針),自,自費,自費,A-02,229,6030103999,解熱鎮(zhèn)痛及非甾體抗炎其他藥-自費藥,復方氨酚愈敏口服溶液,29.45,120ml,JX003,復方氨酚愈敏口服溶液x,自,自費,自費,A-02,230,60402999,非阿片類鎮(zhèn)痛藥-自費藥,阿司待因片,19.45,0.325/15mg*12,JX001,聯(lián)佳,自,自費,自費,A-02,231,6150301999,胃腸解痙藥-自費藥,鹽酸屈他維林注射液,41.17,2ml:40mg*5,JX019,諾仕帕注射液,自,自費,自費,A-02,232,61503010

58、12,屈他維林,鹽酸屈他維林片,48.71,40mg*20s,JX001,諾仕帕,乙,乙類,乙類,A-02,233,604013,氨酚雙氫可待因（對乙酰氨基酚雙氫可待因）,氨酚雙氫可待因片,24.91,10mg/0.5g*12s,JX001,路蓋克,乙,乙類,乙類,A-02,234,60402003,羅通定,羅通定注射液,4.19,60mg 10*2ml,JX019,顱通定注射液,乙,乙類,乙類,A-02,235,604024,曲馬多,鹽酸曲馬多注射液,16.1,2ml:0.1g*5支,JX019,鹽酸曲馬多注射液,乙,乙類,乙類,A-02,236,604024,曲馬多,曲馬多注射液,69.8

59、6,2ml:0.1g*5,JX019,舒敏注射液,乙,乙類,乙類,A-02,237,604023,曲馬多,鹽酸曲馬多緩釋片,43.8,0.1g*10s,JX002,鹽酸曲馬多緩釋片,乙,乙類,乙類,A-02,238,60402999,非阿片類鎮(zhèn)痛藥-自費藥,科洛曲片,32.83,75.16mg*8s,JX001,科洛曲片,自,自費,自費,A-02,239,60401006,哌替啶,鹽酸哌替啶注射液,1.858,1ml:50mg,JX019,度冷丁x,甲,甲類,甲類,A-02,240,60401006,哌替啶,鹽酸哌替啶注射液,2.76,2ml:0.1g,JX019,度冷丁x,甲,甲類,甲類,A

60、-02,241,60401005,芬太尼,拘櫞酸芬太尼注射液,5.312,2ml:0.1mg,JX019,拘櫞酸芬太尼注射液x,甲,甲類,甲類,A-02,242,60401005,芬太尼,枸櫞酸芬太尼針,20.215,10ml:0.5mg,JX019,枸櫞酸芬太尼針x,甲,甲類,甲類,A-02,243,60401003,瑞芬太尼,鹽酸瑞芬太尼,539.14,1mg*5支,JX019,瑞捷x,乙,乙類,乙類,【醫(yī)保提示】限手術麻醉A-02,244,604014,芬太尼,芬太尼透皮貼劑,86.2,4.2mg(25ug/小時),JX009,多瑞吉x,乙,乙類,乙類,【醫(yī)保提示】限癌癥疼痛、頑固性疼痛