乙類用藥-目錄

南通市基本醫(yī)療保險乙類藥品等級目錄,,,,,,,

序號,藥品通用名,標注劑型,藥品分類,個人先付比例,,,備注

,,,,職工,居民,少兒,

1,[復(fù)方]聚乙二醇電解質(zhì),口服散劑,西藥,20%,20%,20%,

2,12種復(fù)合維生素,注射劑,西藥,30%,30%,30%,

3,A型肉毒抗毒素,注射劑,西藥,30%,30%,30%,

4,L－門冬氨酸氨氯地平,口服常釋劑型,西藥,10%,10%,10%,

5,α-干擾素,注射劑,西藥,20%,20%,20%,

；限白血病、淋巴瘤、黑色素瘤、腎癌、多發(fā)性骨髓瘤、丙肝、慢性活動性乙肝。丙肝、慢性活動性乙肝連續(xù)使用6個月無效時停藥，連續(xù)使用不超過12個月

6,阿德福韋酯,口服常釋劑型,西藥,20%,20%,20%,限活動性肝炎

7,阿伐斯汀,口服常釋劑型,西藥,10%,10%,10%,

8,阿法骨化醇,口服常釋劑型,西藥,10%,10%,10%,限重度骨質(zhì)疏松、腎性骨病、甲狀旁腺功能減退癥

9,阿呋唑嗪,緩釋控釋劑型,西藥,30%,30%,30%,

10,阿呋唑嗪,口服常釋劑型,西藥,30%,30%,30%,

11,阿加曲班,注射劑,西藥,30%,30%,30%,

12,阿卡波糖,口服常釋劑型,西藥,0%,0%,0%,

13,阿立哌唑,口服常釋劑型,西藥,30%,30%,30%,

14,阿立哌唑,口腔崩解片,西藥,30%,30%,30%,限不配合服藥患者

15,阿侖膦酸鈉,口服常釋劑型,西藥,20%,20%,20%,限重度骨質(zhì)疏松和工傷保險

16,阿羅洛爾,口服常釋劑型,西藥,30%,30%,30%,

17,阿洛西林,注射劑,西藥,0%,0%,0%,

18,阿米洛利,口服常釋劑型,西藥,10%,10%,10%,

19,阿米三嗪蘿巴新,口服常釋劑型,西藥,10%,10%,10%,

20,阿莫羅芬,軟膏劑,西藥,20%,20%,20%,

21,阿莫西林,顆粒劑,西藥,10%,10%,10%,限兒童及吞咽困難者

22,阿莫西林,口服液體劑,西藥,10%,10%,10%,限兒童及吞咽困難者

23,阿莫西林,注射劑,西藥,10%,10%,10%,

24,阿莫西林克拉維酸,顆粒劑,西藥,20%,20%,20%,限兒童及吞咽困難者

25,阿莫西林克拉維酸,口服液體劑,西藥,20%,20%,20%,限兒童及吞咽困難者

26,阿莫西林克拉維酸,注射劑,西藥,20%,20%,20%,限重度感染

27,阿莫西林舒巴坦,注射劑,西藥,20%,20%,20%,限重度感染

28,阿莫西林舒巴坦匹酯,口服常釋劑型,西藥,20%,20%,20%,

29,阿那曲唑,口服常釋劑型,西藥,20%,20%,20%,

30,阿奇霉素,注射劑,西藥,20%,20%,20%,

31,阿柔比星,注射劑,西藥,10%,10%,10%,

32,阿斯匹林雙嘧達莫,緩釋控釋劑型,西藥,20%,20%,20%,

33,阿替普酶,注射劑,西藥,30%,30%,30%,限急性心肌梗死發(fā)病12小時內(nèi)及腦梗死發(fā)病3小時內(nèi)溶栓治療

34,阿托伐他汀,口服常釋劑型,西藥,20%,20%,20%,限二線用藥

35,阿托品,眼用凝膠劑,西藥,10%,10%,10%,

36,阿維A,口服常釋劑型,西藥,30%,30%,30%,

37,阿魏酸鈉,口服常釋劑型,西藥,20%,20%,20%,

38,阿魏酸哌嗪,口服常釋劑型,西藥,20%,20%,20%,

39,阿昔洛韋,凝膠劑,西藥,10%,10%,10%,

40,阿昔洛韋,注射劑,西藥,10%,10%,10%,

41,阿昔莫司,口服常釋劑型,西藥,20%,20%,20%,

42,阿扎司瓊,注射劑,西藥,20%,20%,20%,限二線用藥

43,阿折地平,口服常釋劑型,西藥,30%,30%,30%,

44,埃索美拉唑,口服常釋劑型,西藥,30%,30%,30%,

45,埃索美拉唑,注射劑,西藥,30%,30%,30%,

46,艾塞那肽,注射劑,西藥,30%,30%,30%,

47,艾司洛爾,注射劑,西藥,30%,30%,30%,

48,艾司西酞普蘭,口服常釋劑型,西藥,30%,30%,30%,限二線用藥

49,愛普列特,口服常釋劑型,西藥,10%,10%,10%,

50,安吖啶,注射劑,西藥,10%,10%,10%,

51,安乃近,口服常釋劑型,西藥,0%,0%,0%,

52,安乃近,注射劑,西藥,0%,0%,0%,

53,桉檸蒎,口服常釋劑型,西藥,20%,20%,20%,

54,氨芐西林氯唑西林,注射劑,西藥,30%,30%,30%,

55,氨芐西林舒巴坦,注射劑,西藥,20%,20%,20%,限重度感染

56,"氨酚待因[I號,II號]",口服常釋劑型,西藥,0%,0%,0%,

57,氨酚黃那敏,顆粒劑,西藥,0%,0%,0%,

58,氨酚咖黃烷胺片,,西藥,10%,10%,10%,

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59,氨酚美偽滴劑,,西藥,0%,0%,0%,

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60,氨酚美偽麻片,,西藥,10%,10%,10%,

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61,氨酚美偽麻片與苯酚偽麻片,,西藥,10%,10%,10%,

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62,氨酚那敏三味浸膏膠囊,,西藥,10%,10%,10%,

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63,氨酚羥考酮（對乙酰氨基酚羥考酮）,口服常釋劑型,西藥,20%,20%,20%,

64,氨酚曲馬多,口服常釋劑型,西藥,10%,10%,10%,限重度疼痛

65,氨酚雙氫可待因（對乙酰氨基酚雙氫可待因）,口服常釋劑型,西藥,20%,20%,20%,

66,氨酚烷胺咖敏膠囊,,西藥,10%,10%,10%,

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67,氨酚烷胺那敏膠囊,,西藥,10%,10%,10%,

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68,氨酚偽麻膠囊,,西藥,10%,10%,10%,

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69,氨酚偽麻咀嚼片,,西藥,10%,10%,10%,

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70,氨酚偽麻顆粒劑,,西藥,10%,10%,10%,

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71,氨酚偽麻美芬片/氨麻美敏片Ⅱ,,西藥,10%,10%,10%,

72,氨酚偽麻美芬片Ⅱ/氨麻苯美片,,西藥,0%,0%,0%,

73,氨酚偽麻美芬片Ⅱ/氨麻苯美片,,西藥,0%,0%,0%,

74,氨酚偽麻美那敏片,,西藥,10%,10%,10%,

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75,氨酚偽麻那敏膠囊,,西藥,10%,10%,10%,

76,氨酚偽麻那敏膠囊(夜用）,,西藥,10%,10%,10%,

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77,氨酚偽麻那敏咀嚼片,,西藥,10%,10%,10%,

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78,氨酚偽麻那敏片,,西藥,10%,10%,10%,

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79,氨酚偽麻那敏溶液,,西藥,10%,10%,10%,

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80,氨酚偽麻片,,西藥,10%,10%,10%,

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81,氨磺必利,口服常釋劑型,西藥,20%,20%,20%,限二線用藥

82,氨基己酸,口服常釋劑型,西藥,0%,0%,0%,

83,氨基己酸,注射劑,西藥,0%,0%,0%,

84,氨基葡萄糖,顆粒劑,西藥,20%,20%,20%,△

85,氨基葡萄糖,口服常釋劑型,西藥,20%,20%,20%,△

86,氨基酸型腸內(nèi)營養(yǎng)劑,口服散劑,西藥,30%,30%,30%,

；限有營養(yǎng)風(fēng)險和不能進食的重癥患者

87,氨甲苯酸,注射劑,西藥,0%,0%,0%,

88,氨甲環(huán)酸,口服常釋劑型,西藥,0%,0%,0%,

89,氨金黃敏顆粒,,西藥,10%,10%,10%,

90,氨咖黃敏膠囊,,西藥,0%,0%,0%,

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91,氨咖黃敏片,,西藥,0%,0%,0%,

92,氨咖麻敏膠囊,,西藥,0%,0%,0%,

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93,氨咖愈敏溶液,,西藥,10%,10%,10%,

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94,氨氯地平,口服常釋劑型,西藥,10%,10%,10%,

95,氨曲南,注射劑,西藥,30%,30%,30%,

96,氨肽素,口服常釋劑型,西藥,10%,10%,10%,△

97,氨糖美辛,口服常釋劑型,西藥,30%,30%,30%,

98,氨溴索,緩釋控釋劑型,西藥,10%,10%,10%,

99,氨溴索,注射劑,西藥,10%,10%,10%,

100,昂丹司瓊,口服常釋劑型,西藥,20%,20%,20%,

101,昂丹司瓊,注射劑,西藥,20%,20%,20%,限二線用藥

102,奧氮平,口服常釋劑型口腔崩解片,西藥,30%,30%,30%,

103,奧卡西平,口服常釋劑型,西藥,20%,20%,20%,

104,奧卡西平,口服液體劑,西藥,20%,20%,20%,

105,奧拉西坦,注射劑,西藥,30%,30%,30%,

106,奧美拉唑,注射劑,西藥,20%,20%,20%,

107,奧美沙坦酯,口服常釋劑型,西藥,30%,30%,30%,限對血管緊張素轉(zhuǎn)換酶抑制劑治療不能耐受的患者

108,奧曲肽[8肽],注射劑,西藥,20%,20%,20%,限胰腺炎、食道靜脈出血

109,奧沙利鉑,注射劑,西藥,10%,10%,10%,

110,奧沙西泮,口服常釋劑型,西藥,0%,0%,0%,

111,奧司他韋,口服常釋劑型,西藥,30%,30%,30%,限流感重癥患者

112,奧昔布寧,口服常釋劑型,西藥,30%,30%,30%,

113,奧硝唑,口服常釋劑型,西藥,10%,10%,10%,

114,奧硝唑,注射劑,西藥,10%,10%,10%,

115,奧扎格雷,注射劑,西藥,30%,30%,30%,

116,巴氯芬,口服常釋劑型,西藥,30%,30%,30%,

117,巴曲酶(降纖酶）,注射劑,西藥,10%,10%,10%,

118,白眉蛇毒血凝酶,注射劑,西藥,10%,10%,10%,

119,白芍總苷,口服常釋劑型,西藥,30%,30%,30%,

120,白消安,注射劑,西藥,20%,20%,20%,限二線用藥

121,班布特羅,口服常釋劑型,西藥,0%,0%,0%,

122,斑蝥酸鈉,注射劑,西藥,20%,20%,20%,

123,包醛氧淀粉,口服常釋劑型口服散劑,西藥,0%,0%,0%,

124,胞磷膽堿,口服常釋劑型,西藥,0%,0%,0%,

125,貝美前列素,滴眼劑,西藥,30%,30%,30%,限二線用藥

126,貝敏偽麻片,,西藥,10%,10%,10%,

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127,貝那普利,口服常釋劑型,西藥,0%,0%,0%,

128,貝尼地平,口服常釋劑型,西藥,30%,30%,30%,

129,貝前列素,口服常釋劑型,西藥,30%,30%,30%,限慢性動脈閉塞癥

130,倍氯米松,軟膏劑,西藥,0%,0%,0%,

131,倍氯米松,吸入劑,西藥,10%,10%,10%,

132,倍他洛爾,滴眼劑,西藥,30%,30%,30%,

133,倍他米松,口服常釋劑型,西藥,0%,0%,0%,

134,倍他米松,吸入劑,西藥,10%,10%,10%,

135,倍他米松,注射劑,西藥,10%,10%,10%,

136,倍他司汀,口服常釋劑型,西藥,0%,0%,0%,

137,倍他司汀,注射劑,西藥,0%,0%,0%,

138,苯丙醇,口服常釋劑型,西藥,0%,0%,0%,△

139,苯丁酸氮芥,口服常釋劑型,西藥,10%,10%,10%,

140,苯甲酸,軟膏劑,西藥,10%,10%,10%,

141,苯甲酸雌二醇,注射劑,西藥,0%,0%,0%,

142,苯溴馬隆,口服常釋劑型,西藥,0%,0%,0%,

143,苯扎貝特,口服常釋劑型,西藥,20%,20%,20%,

144,苯唑西林,口服常釋劑型,西藥,0%,0%,0%,

145,比阿培南,注射劑,西藥,30%,30%,30%,限其他抗生素治療無效的重度感染

146,比卡魯胺,口服常釋劑型,西藥,20%,20%,20%,

147,比索洛爾,口服常釋劑型,西藥,10%,10%,10%,

148,吡貝地爾,緩釋控釋劑型,西藥,20%,20%,20%,

149,吡格列酮,口服常釋劑型,西藥,10%,10%,10%,限不適用胰島素藥物且使用其他口服降糖藥物無效的患者

150,吡拉西坦,口服常釋劑型,西藥,0%,0%,0%,

151,吡拉西坦,注射劑,西藥,10%,10%,10%,

152,吡硫醇,注射劑,西藥,20%,20%,20%,

153,吡羅昔康,"口服常釋劑型

緩釋控釋劑型",西藥,0%,0%,0%,

154,吡嘧司特鉀,滴眼劑,西藥,10%,10%,10%,

155,吡嘧司特鉀,口服常釋劑型,西藥,10%,10%,10%,

156,吡諾克辛,滴眼劑,西藥,10%,10%,10%,

157,吡柔比星,注射劑,西藥,10%,10%,10%,

158,蓖麻油,口服液體劑,西藥,0%,0%,0%,

159,芐星青霉素,注射劑,西藥,0%,0%,0%,

160,標準桃金娘油,口服常釋劑型,西藥,丙1,丙1,20%,△

161,表柔比星,注射劑,西藥,10%,10%,10%,

162,別嘌醇,緩釋控釋劑型,西藥,0%,0%,0%,

163,丙氨瑞林,注射劑,西藥,20%,20%,20%,

164,丙氨酰谷氨酰胺,注射劑,西藥,30%,30%,30%,

165,丙吡胺,口服常釋劑型,西藥,0%,0%,0%,

166,丙泊酚中/長鏈脂肪乳,注射劑,西藥,30%,30%,30%,限丙泊酚（編號：323）不能耐受新的藥品導(dǎo)入

167,丙磺舒,口服常釋劑型,西藥,0%,0%,0%,

168,丙卡特羅,口服常釋劑型,西藥,10%,10%,10%,

169,丙硫異煙胺,口服常釋劑型,西藥,0%,0%,0%,

170,丙酸氯倍他索,軟膏劑,西藥,0%,0%,0%,

171,丙戊酸鎂,緩釋控釋劑型,西藥,10%,10%,10%,

172,丙戊酸鈉,緩釋控釋劑型,西藥,10%,10%,10%,

173,丙戊酸鈉,注射劑,西藥,10%,10%,10%,

174,博來霉素,注射劑,西藥,20%,20%,20%,

175,布地奈德,吸入劑,西藥,0%,0%,0%,△

176,布地奈德福莫特羅,吸入劑,西藥,20%,20%,20%,限二線用藥

177,布桂嗪,口服常釋劑型,西藥,0%,0%,0%,

178,布桂嗪,注射劑,西藥,0%,0%,0%,

179,布林佐胺,滴眼劑,西藥,30%,30%,30%,

180,布洛芬,緩釋控釋劑型,西藥,0%,0%,0%,

181,布洛芬,顆粒劑,西藥,0%,0%,0%,△

182,布洛芬,口服液體劑,西藥,丙1,丙1,0%,△

183,布洛芬,乳膏劑,西藥,0%,0%,0%,△

184,布洛芬,栓劑,西藥,丙1,丙1,0%,△；限兒童

185,布洛偽麻分散片,,西藥,10%,10%,10%,

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186,布洛偽麻膠囊,,西藥,10%,10%,10%,

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187,布洛偽麻顆粒劑,,西藥,丙1,丙1,10%,

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188,布洛偽麻片,,西藥,10%,10%,10%,

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189,布美他尼,口服常釋劑型,西藥,20%,20%,20%,

190,布美他尼,注射劑,西藥,20%,20%,20%,

191,布替萘芬,軟膏劑,西藥,0%,0%,0%,△

192,布托啡諾,注射劑,西藥,30%,30%,30%,

193,參芎葡萄糖,注射劑,西藥,30%,30%,30%,

194,草分枝桿菌F.U.36,注射劑,西藥,30%,30%,30%,

195,草木犀流浸液,口服常釋劑型,西藥,10%,10%,10%,

196,草烏甲素,口服常釋劑型,西藥,30%,30%,30%,

197,茶苯海明,口服常釋劑型,西藥,0%,0%,0%,△

198,長春地辛,注射劑,西藥,10%,10%,10%,

199,長春堿,注射劑,西藥,10%,10%,10%,限二線用藥

200,長春瑞濱,注射劑,西藥,10%,10%,10%,

201,長春西汀,注射劑,西藥,20%,20%,20%,

202,川芎嗪,注射劑,西藥,10%,10%,10%,

203,垂體后葉素,吸入劑,西藥,20%,20%,20%,

204,雌二醇,凝膠劑,西藥,30%,30%,30%,△

205,雌莫司汀,口服常釋劑型,西藥,20%,20%,20%,

206,醋氯芬酸,口服常釋劑型,西藥,10%,10%,10%,

207,醋酸鈣,口服常釋劑型,西藥,30%,30%,30%,△

208,達卡巴嗪,注射劑,西藥,10%,10%,10%,

209,達克羅寧,口服液體劑,西藥,30%,30%,30%,

210,達那唑,口服常釋劑型,西藥,0%,0%,0%,

211,大觀霉素,注射劑,西藥,30%,30%,30%,

212,大蒜素,口服常釋劑型,西藥,0%,0%,0%,

213,大蒜素,注射劑,西藥,20%,20%,20%,

214,丹參酮IIA,注射劑,西藥,20%,20%,20%,

215,單唾液酸四己糖神經(jīng)節(jié)苷脂,注射劑,西藥,30%,30%,30%,

216,單硝酸異山梨酯,緩釋控釋劑型,西藥,0%,0%,0%,

217,單硝酸異山梨酯,口服常釋劑型,西藥,0%,0%,0%,

218,單硝酸異山梨酯,注射劑,西藥,0%,0%,0%,

219,彈性酶,口服常釋劑型,西藥,30%,30%,30%,

220,氮甲,口服常釋劑型,西藥,0%,0%,0%,

221,氮卓斯汀,吸入劑,西藥,30%,30%,30%,

222,低分子肝素,注射劑,西藥,0%,0%,0%,

223,地奧司明,口服常釋劑型,西藥,30%,30%,30%,

224,地巴唑,口服常釋劑型,西藥,0%,0%,0%,

225,地蒽酚,軟膏劑,西藥,10%,10%,10%,

226,地爾硫卓,緩釋控釋劑型,西藥,0%,0%,0%,

227,地爾硫卓,口服常釋劑型,西藥,0%,0%,0%,

228,地爾硫卓,注射劑,西藥,10%,10%,10%,

229,地氟烷,液體劑型,西藥,10%,10%,10%,

230,地高辛,口服液體劑,西藥,0%,0%,0%,

231,地紅霉素,口服常釋劑型,西藥,20%,20%,20%,

232,地氯雷他定,口服常釋劑型,西藥,10%,10%,10%,

233,地奈德,軟膏劑,西藥,10%,10%,10%,△

234,地匹福林,滴眼劑,西藥,20%,20%,20%,

235,地屈孕酮,口服常釋劑型,西藥,30%,30%,30%,

236,地塞米松,軟膏劑,西藥,0%,0%,0%,

237,地特胰島素,注射劑,西藥,30%,30%,30%,限反復(fù)發(fā)作低血糖或有重度合并癥的老年糖尿病患者

238,地衣芽胞桿菌活菌制劑,口服常釋劑型,西藥,10%,10%,10%,△；限菌群失調(diào)

239,地佐辛,注射劑,西藥,30%,30%,30%,

240,碘克沙醇,注射劑,西藥,20%,20%,20%,

241,碘美普爾,注射劑,西藥,20%,20%,20%,

242,碘曲侖,注射劑,西藥,20%,20%,20%,

243,碘塞羅寧,口服常釋劑型,西藥,30%,30%,30%,

244,碘他拉葡甲胺,注射劑,西藥,30%,30%,30%,

245,丁苯酞,口服常釋劑型,西藥,30%,30%,30%,

246,丁卡因,口服液體劑,西藥,10%,10%,10%,

247,丁咯地爾,口服常釋劑型,西藥,20%,20%,20%,

248,丁咯地爾,注射劑,西藥,20%,20%,20%,

249,丁螺環(huán)酮,口服常釋劑型,西藥,30%,30%,30%,

250,丁酸氫化可的松,軟膏劑,西藥,10%,10%,10%,△

251,丁溴東莨菪堿,口服常釋劑型,西藥,10%,10%,10%,

252,丁溴東莨菪堿,注射劑,西藥,10%,10%,10%,

253,東莨菪堿,口服常釋劑型,西藥,0%,0%,0%,

254,東莨菪堿,眼膏劑,西藥,0%,0%,0%,

255,東莨菪堿,注射劑,西藥,0%,0%,0%,

256,動物源肺表面活性物質(zhì),注射劑,西藥,丙1,丙1,30%,

；限新生兒

257,凍干人凝血酶原復(fù)合物,注射劑,西藥,10%,10%,10%,限手術(shù)大出血及肝硬變、肝壞死導(dǎo)致的出血

258,度洛西汀,口服常釋劑型,西藥,30%,30%,30%,

259,短肽型腸內(nèi)營養(yǎng)劑,"口服散劑

口服液體劑",西藥,30%,30%,30%,

；限有營養(yǎng)風(fēng)險和不能進食的重癥患者

260,對氨基水楊酸異煙肼,口服常釋劑型,西藥,10%,10%,10%,

261,對乙酰氨基酚,緩釋控釋劑型,西藥,0%,0%,0%,△

262,對乙酰氨基酚,口服液體劑,西藥,0%,0%,0%,△

263,多巴絲肼,口服常釋劑型,西藥,0%,0%,0%,

264,多磺酸粘多糖,軟膏劑,西藥,20%,20%,20%,

265,多庫酯鈉,口服常釋劑型,西藥,30%,30%,30%,

266,多酶,口服常釋劑型,西藥,0%,0%,0%,△

267,多奈哌齊,口服常釋劑型,西藥,30%,30%,30%,限三級醫(yī)院治療中度以上癡呆

268,多廿烷醇,口服常釋劑型,西藥,30%,30%,30%,

269,多潘立酮,栓劑,西藥,20%,20%,20%,限兒童及呑咽困難者

270,多塞平,乳膏劑,西藥,30%,30%,30%,

271,多沙普侖,注射劑,西藥,30%,30%,30%,

272,多沙唑嗪,"口服常釋劑型

緩釋控釋劑型",西藥,30%,30%,30%,

273,多索茶堿,口服常釋劑型,西藥,30%,30%,30%,限二線用藥

274,多索茶堿,注射劑,西藥,30%,30%,30%,限二線用藥

275,多糖鐵復(fù)合物,口服常釋劑型,西藥,30%,30%,30%,

276,多西他賽,注射劑,西藥,20%,20%,20%,限二線用藥

277,多烯磷脂酰膽堿,口服常釋劑型,西藥,30%,30%,30%,△

278,多烯磷脂酰膽堿,注射劑,西藥,30%,30%,30%,限搶救、肝功能衰竭

279,多粘菌素B（多粘菌素）,注射劑,西藥,30%,30%,30%,

280,多種微量元素（Ⅰ，Ⅱ）,注射劑,西藥,30%,30%,30%,限配合腸外營養(yǎng)用

281,厄貝沙坦,"口服常釋劑型

緩釋控釋劑型",西藥,10%,10%,10%,限對血管緊張素轉(zhuǎn)換酶抑制劑治療不能耐受的患者

282,恩夫韋肽,注射劑,西藥,30%,30%,30%,限艾滋病病毒感染

283,恩曲他濱,口服常釋劑型,西藥,30%,30%,30%,限艾滋病病毒感染

284,恩他卡朋,口服常釋劑型,西藥,30%,30%,30%,限三級醫(yī)院重癥患者

285,恩替卡韋,口服常釋劑型,西藥,20%,20%,20%,限活動性肝炎

286,二氮嗪,注射劑,西藥,0%,0%,0%,

287,二丁酰環(huán)磷腺苷鈣,注射劑,西藥,20%,20%,20%,

288,二甲弗林,注射劑,西藥,0%,0%,0%,

289,二甲硅油,口服常釋劑型,西藥,0%,0%,0%,△

290,二甲雙胍,緩釋控釋劑型,西藥,0%,0%,0%,

291,二硫化硒,外用液體劑,西藥,30%,30%,30%,△

292,二羥丙茶堿,口服常釋劑型,西藥,0%,0%,0%,△

293,二羥丙茶堿,注射劑,西藥,0%,0%,0%,

294,二氫麥角堿,緩釋控釋劑型,西藥,10%,10%,10%,

295,二氫麥角堿,口服常釋劑型,西藥,10%,10%,10%,

296,二氧丙嗪,口服常釋劑型,西藥,0%,0%,0%,

297,伐昔洛韋,口服常釋劑型,西藥,30%,30%,30%,

298,法羅培南,口服常釋劑型,西藥,30%,30%,30%,限其他抗生素治療無效的重度感染

299,法舒地爾,注射劑,西藥,30%,30%,30%,限蛛網(wǎng)膜下腔出血后患者在三級醫(yī)院使用

300,泛昔洛韋,口服常釋劑型,西藥,20%,20%,20%,

301,泛昔洛韋,注射劑,西藥,20%,20%,20%,

302,泛影酸鈉,注射劑,西藥,30%,30%,30%,

303,非洛地平,緩釋控釋劑型,西藥,0%,0%,0%,

304,非洛地平,口服常釋劑型,西藥,0%,0%,0%,

305,非那吡啶,口服常釋劑型,西藥,20%,20%,20%,限膀胱鏡檢查使用

306,非那雄胺,口服常釋劑型,西藥,0%,0%,0%,

307,非諾貝特,口服常釋劑型,西藥,0%,0%,0%,

308,芬太尼,貼劑,西藥,30%,30%,30%,限癌癥疼痛病人口服和注射鎮(zhèn)痛失敗者

309,酚芐明,口服常釋劑型,西藥,0%,0%,0%,

310,酚芐明,注射劑,西藥,0%,0%,0%,

311,酚磺乙胺,注射劑,西藥,0%,0%,0%,

312,酚咖麻敏膠囊,,西藥,10%,10%,10%,

313,酚咖片,,西藥,10%,10%,10%,

；△

314,酚麻美敏膠囊,,西藥,0%,0%,0%,

；△

315,酚麻美敏片,,西藥,0%,0%,0%,

；△

316,酚麻美軟膠囊,,西藥,10%,10%,10%,

317,酚美愈偽麻口服液,,西藥,10%,10%,10%,

；△

318,酚明偽麻片,,西藥,10%,10%,10%,

；△

319,夫西地酸,軟膏劑,西藥,30%,30%,30%,

320,夫西地酸,注射劑,西藥,30%,30%,30%,限重度感染

321,呋麻,滴鼻劑,西藥,0%,0%,0%,△

322,呋喃硫胺,口服常釋劑型,西藥,0%,0%,0%,

323,伏格列波糖,口服常釋劑型,西藥,30%,30%,30%,

324,伏立康唑,口服常釋劑型,西藥,30%,30%,30%,限重癥真菌感染

325,伏立康唑,口服液體劑,西藥,30%,30%,30%,"限兒童及吞咽困難者的重癥

真菌感染"

326,伏立康唑,注射劑,西藥,30%,30%,30%,限重癥真菌感染

327,氟胞嘧啶,口服常釋劑型,西藥,10%,10%,10%,

328,氟胞嘧啶,注射劑,西藥,10%,10%,10%,

329,氟比洛芬,貼劑,西藥,30%,30%,30%,

330,氟比洛芬酯,注射劑,西藥,30%,30%,30%,限術(shù)后鎮(zhèn)痛和工傷保險

331,氟吡汀,口服常釋劑型,西藥,30%,30%,30%,

332,氟達拉濱,注射劑,西藥,20%,20%,20%,限三級綜合、腫瘤?？漆t(yī)院二線用藥

333,氟伐他汀,緩釋控釋劑型,西藥,20%,20%,20%,限二線用藥

334,氟伐他汀,口服常釋劑型,西藥,20%,20%,20%,限二線用藥

335,氟芬那酸,口服常釋劑型,西藥,10%,10%,10%,

336,氟奮乃靜,口服常釋劑型,西藥,0%,0%,0%,

337,氟奮乃靜,注射劑,西藥,0%,0%,0%,

338,氟伏沙明,口服常釋劑型,西藥,30%,30%,30%,

339,氟桂利嗪,口服常釋劑型,西藥,0%,0%,0%,

340,氟康唑,滴眼劑,西藥,20%,20%,20%,

341,氟康唑,注射劑,西藥,20%,20%,20%,

342,氟羅沙星,注射劑,西藥,30%,30%,30%,限二線用藥

343,氟米龍(氟甲松龍),滴眼劑,西藥,20%,20%,20%,

344,氟米龍慶大霉素,滴眼劑,西藥,20%,20%,20%,

345,氟尿嘧啶,軟膏劑,西藥,0%,0%,0%,

346,氟尿嘧啶,植入劑,西藥,20%,20%,20%,

347,氟尿嘧啶氯化鈉,注射劑,西藥,0%,0%,0%,

348,氟尿嘧啶葡萄糖,注射劑,西藥,0%,0%,0%,

349,氟哌利多,注射劑,西藥,0%,0%,0%,

350,氟哌噻噸,口服常釋劑型,西藥,0%,0%,0%,

351,氟哌噻噸,注射劑,西藥,0%,0%,0%,

352,氟哌噻噸美利曲辛,口服常釋劑型,西藥,20%,20%,20%,

353,氟他胺,口服常釋劑型,西藥,10%,10%,10%,

354,氟替卡松,軟膏劑,西藥,30%,30%,30%,

355,氟替卡松,吸入劑,西藥,30%,30%,30%,△

356,氟西汀,口服常釋劑型,西藥,20%,20%,20%,

357,福莫司汀,注射劑,西藥,20%,20%,20%,限二線用藥

358,福莫特羅,吸入劑,西藥,30%,30%,30%,限二線用藥

359,福辛普利,口服常釋劑型,西藥,10%,10%,10%,

360,輔酶A,注射劑,西藥,10%,10%,10%,限急救

361,輔酶Q10,口服常釋劑型,西藥,10%,10%,10%,

362,輔酶Q10,注射劑,西藥,10%,10%,10%,△

363,復(fù)方α-酮酸,口服常釋劑型,西藥,20%,20%,20%,

364,復(fù)方阿米洛利,口服常釋劑型,西藥,0%,0%,0%,

365,復(fù)方阿嗪米特,口服常釋劑型,西藥,20%,20%,20%,△

366,復(fù)方阿司匹林,口服常釋劑型,西藥,0%,0%,0%,

367,復(fù)方阿替卡因制劑,注射劑,西藥,30%,30%,30%,

368,復(fù)方安息香酊,外用液體劑,西藥,20%,20%,20%,

369,復(fù)方氨酚美沙糖漿,,西藥,10%,10%,10%,

；△

370,復(fù)方氨酚那敏顆粒,,西藥,10%,10%,10%,

；△

371,復(fù)方氨酚葡鋅片,,西藥,10%,10%,10%,

372,復(fù)方氨酚烷胺膠囊,,西藥,0%,0%,0%,

373,復(fù)方氨酚烷胺顆粒,,西藥,0%,0%,0%,

；△

374,復(fù)方氨酚烷胺片,,西藥,0%,0%,0%,

；△

375,復(fù)方氨基酸（15AA）,注射劑,西藥,20%,20%,20%,限重度創(chuàng)傷患者

376,復(fù)方氨基酸（17AA-H）,注射劑,西藥,20%,20%,20%,

377,復(fù)方氨基酸（18AA-Ⅶ，18B）,注射劑,西藥,20%,20%,20%,限重度創(chuàng)傷患者

378,復(fù)方氨基酸(19AA-1),注射劑,西藥,丙1,丙1,20%,限兒童

379,復(fù)方氨基酸（20AA）,注射劑,西藥,20%,20%,20%,

380,復(fù)方氨基酸（3AA）,注射劑,西藥,20%,20%,20%,

381,復(fù)方氨基酸（6AA）,注射劑,西藥,20%,20%,20%,

382,復(fù)方氨基酸（9AA）,注射劑,西藥,20%,20%,20%,

383,復(fù)方北豆根氨酚那敏片,,西藥,10%,10%,10%,

384,復(fù)方貝母氯化銨片,,西藥,10%,10%,10%,

385,復(fù)方倍氯米松樟腦,軟膏劑,西藥,0%,0%,0%,

386,復(fù)方丙谷胺西咪替丁片,,西藥,30%,30%,30%,

387,復(fù)方丙氧氨酚,口服常釋劑型,西藥,10%,10%,10%,

388,復(fù)方茶堿,口服常釋劑型,西藥,0%,0%,0%,

389,復(fù)方醋酸曲安奈德,滴耳劑,西藥,20%,20%,20%,△

390,復(fù)方顛茄鉍鎂片,,西藥,10%,10%,10%,

391,復(fù)方顛茄氫氧化鋁片,,西藥,10%,10%,10%,

；△

392,復(fù)方顛茄氫氧化鋁散,,西藥,10%,10%,10%,

；△

393,復(fù)方淀粉酶口服溶液,,西藥,20%,20%,20%,

；△

394,復(fù)方對乙酰氨基酚,口服常釋劑型,西藥,0%,0%,0%,△

395,復(fù)方多粘菌素B,軟膏劑,西藥,20%,20%,20%,

396,復(fù)方莪術(shù)油,栓劑,西藥,10%,10%,10%,△

397,復(fù)方泛影葡胺,注射劑,西藥,10%,10%,10%,

398,復(fù)方酚咖偽麻膠囊,,西藥,0%,0%,0%,

；△

399,復(fù)方氟尿嘧啶,注射劑,西藥,0%,0%,0%,

400,復(fù)方甘鉍鎂,口服常釋劑型,西藥,20%,20%,20%,

401,復(fù)方甘草氯化銨糖漿,,西藥,10%,10%,10%,

；△

402,復(fù)方甘草麻黃堿片,,西藥,10%,10%,10%,

；△

403,復(fù)方甘草酸單胺,注射劑,西藥,30%,30%,30%,

404,復(fù)方甘草甜素（復(fù)方甘草酸苷）,口服常釋劑型,西藥,30%,30%,30%,△

405,復(fù)方甘草甜素（復(fù)方甘草酸苷）,注射劑,西藥,30%,30%,30%,限搶救、肝功能衰竭和工傷保險

406,復(fù)方甘草浙貝氯化銨片,,西藥,10%,10%,10%,

407,復(fù)方甘露醇,注射劑,西藥,10%,10%,10%,

408,復(fù)方甘油,注射劑,西藥,0%,0%,0%,

409,復(fù)方谷氨酰胺,口服常釋劑型,西藥,20%,20%,20%,

410,復(fù)方骨肽,注射劑,西藥,30%,30%,30%,

411,復(fù)方磺胺甲噁唑,注射劑,西藥,0%,0%,0%,

412,復(fù)方磺胺嘧啶鋅,凝膠劑,西藥,0%,0%,0%,

413,復(fù)方甲硝唑,栓劑,西藥,10%,10%,10%,△

414,復(fù)方甲硝唑,陰道泡騰片,西藥,10%,10%,10%,△

415,復(fù)方甲氧那明,口服常釋劑型,西藥,10%,10%,10%,

416,復(fù)方角菜酸酯,栓劑,西藥,20%,20%,20%,△

417,復(fù)方卡托普利,口服常釋劑型,西藥,0%,0%,0%,

418,復(fù)方雷尼替丁膠囊,,西藥,20%,20%,20%,

；△

419,復(fù)方磷酸可待因,溶液劑,西藥,0%,0%,0%,

420,復(fù)方硫酸軟骨素,口服常釋劑型,西藥,10%,10%,10%,

421,復(fù)方硫酸雙肼屈嗪,口服常釋劑型,西藥,0%,0%,0%,

422,復(fù)方龍膽碳酸氫鈉片,,西藥,20%,20%,20%,

；△

423,復(fù)方蘆丁,口服常釋劑型,西藥,0%,0%,0%,

424,復(fù)方蘆薈維U片,,西藥,30%,30%,30%,

；△

425,復(fù)方鋁酸鉍,顆粒劑,西藥,10%,10%,10%,△

426,復(fù)方氯丙那林魚腥草素鈉片,,西藥,20%,20%,20%,

427,復(fù)方氯己定,外用液體劑,西藥,0%,0%,0%,

428,復(fù)方氯唑沙宗,口服常釋劑型,西藥,10%,10%,10%,△

429,復(fù)方木香鋁鎂片,,西藥,10%,10%,10%,

430,復(fù)方木香小檗堿片,,西藥,20%,20%,20%,

431,復(fù)方尿囊素片,,西藥,30%,30%,30%,

；△

432,復(fù)方諾氟沙星,滴鼻劑,西藥,0%,0%,0%,

433,復(fù)方枇杷氯化銨糖漿,,西藥,10%,10%,10%,

；△

434,復(fù)方羥甲唑啉,吸入劑,西藥,20%,20%,20%,

435,復(fù)方氫溴酸右美沙芬膠囊,,西藥,10%,10%,10%,

；△

436,復(fù)方氫溴酸右美沙芬糖漿,,西藥,10%,10%,10%,

；△

437,復(fù)方曲安縮松,軟膏劑,西藥,10%,10%,10%,

438,復(fù)方忍冬藤阿司匹林片,,西藥,10%,10%,10%,

；△

439,復(fù)方乳酸鈉葡萄糖,注射劑,西藥,10%,10%,10%,

440,復(fù)方嗜酸乳桿菌片,,西藥,20%,20%,20%,

；△

441,復(fù)方水楊酸,外用液體劑,西藥,0%,0%,0%,△

442,復(fù)方土槿皮酊,外用液體劑,西藥,0%,0%,0%,

443,復(fù)方托吡卡胺,滴眼劑,西藥,20%,20%,20%,

444,復(fù)方維生素U膠囊,,西藥,20%,20%,20%,

445,復(fù)方胃蛋白酶顆粒,,西藥,20%,20%,20%,

446,復(fù)方消化酶膠囊,,西藥,20%,20%,20%,

；△

447,復(fù)方鋅布顆粒劑,,西藥,30%,30%,30%,

448,復(fù)方溴丙胺太林鋁鎂片,,西藥,20%,20%,20%,

；△

449,復(fù)方延胡索氫氧化鋁片,,西藥,20%,20%,20%,

；△

450,復(fù)方鹽酸氯丙嗪,注射劑,西藥,0%,0%,0%,

451,復(fù)方鹽酸偽麻黃堿緩釋膠囊,,西藥,0%,0%,0%,

452,復(fù)方胰酶散,,西藥,20%,20%,20%,

；△

453,復(fù)方異丙托溴銨（異丙托溴銨沙丁胺醇）,吸入劑,西藥,10%,10%,10%,限二線用藥

454,復(fù)方銀翹氨敏膠囊,,西藥,10%,10%,10%,

455,復(fù)方愈創(chuàng)木酚磺酸鉀口服溶液,,西藥,10%,10%,10%,

456,復(fù)方愈酚噴托那敏糖漿,,西藥,10%,10%,10%,

；△

457,復(fù)方樟腦酊,口服液體劑,西藥,0%,0%,0%,

458,復(fù)合輔酶,注射劑,西藥,30%,30%,30%,

459,復(fù)合磷酸氫鉀,注射劑,西藥,20%,20%,20%,

460,復(fù)合乳酸菌膠囊,,西藥,20%,20%,20%,

461,復(fù)合維生素B,口服常釋劑型,西藥,0%,0%,0%,△

462,富馬酸亞鐵,咀嚼片,西藥,10%,10%,10%,△

463,富馬酸亞鐵,口服常釋劑型,西藥,10%,10%,10%,△

464,腹膜透析液,注射劑,西藥,0%,0%,0%,

465,釓貝葡胺,注射劑,西藥,20%,20%,20%,

466,釓噴酸葡胺,注射劑,西藥,20%,20%,20%,

467,釓特酸葡胺,注射劑,西藥,20%,20%,20%,

468,蓋胃平片,,西藥,0%,0%,0%,

；△

469,干酵母,口服常釋劑型,西藥,10%,10%,10%,△

470,甘草酸二銨,口服常釋劑型,西藥,10%,10%,10%,△

471,甘草酸二銨,注射劑,西藥,10%,10%,10%,限搶救、肝功能衰竭和工傷保險

472,甘精胰島素,注射劑,西藥,30%,30%,30%,限反復(fù)發(fā)作低血糖或有重度合并癥的老年糖尿病患者

473,甘露聚糖肽,注射劑,西藥,30%,30%,30%,

474,甘油,灌腸劑,西藥,0%,0%,0%,△

475,甘油,栓劑,西藥,0%,0%,0%,

476,甘油磷酸鈉,注射劑,西藥,20%,20%,20%,

477,高錳酸鉀,外用片劑,西藥,0%,0%,0%,

478,高三尖杉酯堿氯化鈉,注射劑,西藥,0%,0%,0%,

479,高血糖素,注射劑,西藥,30%,30%,30%,限嚴重低血糖癥和兒童

480,戈那瑞林,注射劑,西藥,30%,30%,30%,

481,戈舍瑞林,緩釋植入劑,西藥,30%,30%,30%,

482,戈舍瑞林,口服常釋劑型,西藥,30%,30%,30%,

483,格拉司瓊,口服常釋劑型,西藥,20%,20%,20%,

484,格拉司瓊,注射劑,西藥,20%,20%,20%,限二線用藥

485,格列吡嗪,緩釋控釋劑型,西藥,0%,0%,0%,

486,格列喹酮,口服常釋劑型,西藥,0%,0%,0%,

487,格列美脲,口服常釋劑型,西藥,0%,0%,0%,

488,格列齊特,緩釋控釋劑型,西藥,10%,10%,10%,

489,格列齊特,口服常釋劑型,西藥,0%,0%,0%,

490,葛根素,注射劑,西藥,10%,10%,10%,

491,更昔洛韋,口服常釋劑型,西藥,30%,30%,30%,

492,更昔洛韋,眼用凝膠,西藥,30%,30%,30%,

493,更昔洛韋,注射劑,西藥,30%,30%,30%,

494,枸地氯雷他定,口服常釋劑型,西藥,20%,20%,20%,

495,枸櫞酸鉍鉀,顆粒劑,西藥,0%,0%,0%,△

496,枸櫞酸鉀,顆粒劑,西藥,10%,10%,10%,

497,谷維素,口服常釋劑型,西藥,0%,0%,0%,△

498,骨瓜提取物,注射劑,西藥,30%,30%,30%,限重度骨質(zhì)疏松患者確診為骨折延遲愈合后6個月內(nèi)使用和工傷保險

499,骨化三醇,口服常釋劑型,西藥,20%,20%,20%,限重度骨質(zhì)疏松、腎性骨病、甲狀旁腺功能減退癥

500,骨化三醇,注射劑,西藥,20%,20%,20%,

501,骨肽,注射劑,西藥,30%,30%,30%,限重度骨質(zhì)疏松患者確診為骨折延遲愈合后4個月內(nèi)使用和工傷保險

502,癸氟奮乃靜,注射劑,西藥,0%,0%,0%,

503,鬼臼毒素,外用液體劑,西藥,30%,30%,30%,△

504,桂利嗪,口服常釋劑型,西藥,0%,0%,0%,

505,桂哌齊特,注射劑,西藥,30%,30%,30%,限雷諾氏病和工傷保險

506,果糖,注射劑,西藥,30%,30%,30%,限因胰島素抵抗無法使用葡萄糖的搶救患者

507,果糖二磷酸鈉,注射劑,西藥,30%,30%,30%,限急救

508,過氧苯甲酰,凝膠劑,西藥,10%,10%,10%,△

509,過氧化氫,溶液劑,西藥,10%,10%,10%,

510,哈西奈德,軟膏劑,西藥,10%,10%,10%,

511,哈西奈德,外用液體劑,西藥,10%,10%,10%,

512,海藻酸鋁鎂顆粒,,西藥,30%,30%,30%,

；△

513,核糖核酸Ⅱ,注射劑,西藥,30%,30%,30%,

514,黑豆餾油,軟膏劑,西藥,10%,10%,10%,

515,后馬托品,眼膏劑,西藥,0%,0%,0%,

516,琥珀酸亞鐵,口服常釋劑型,西藥,0%,0%,0%,△

517,琥珀酰明膠,注射劑,西藥,20%,20%,20%,限休克搶救

518,琥乙紅霉素,顆粒劑,西藥,0%,0%,0%,

519,琥乙紅霉素,口服常釋劑型,西藥,0%,0%,0%,

520,還原型谷胱甘肽,注射劑,西藥,20%,20%,20%,

521,環(huán)吡酮胺,軟膏劑,西藥,0%,0%,0%,△

522,環(huán)丙沙星,滴耳劑,西藥,10%,10%,10%,

523,環(huán)丙沙星,"滴眼劑

眼膏劑",西藥,10%,10%,10%,

524,環(huán)磷腺苷,注射劑,西藥,20%,20%,20%,△

525,環(huán)輪寧,注射劑,西藥,30%,30%,30%,限三級醫(yī)院全身麻醉使用

526,黃體酮,口服常釋劑型,西藥,10%,10%,10%,

527,黃體酮,凝膠劑,西藥,30%,30%,30%,

528,磺胺醋酰鈉,滴眼劑,西藥,0%,0%,0%,△

529,磺胺多辛,口服常釋劑型,西藥,0%,0%,0%,

530,磺胺嘧啶鋅,軟膏劑,西藥,0%,0%,0%,

531,磺胺嘧啶銀,軟膏劑,西藥,0%,0%,0%,△

532,磺胺嘧啶銀,外用散劑,西藥,0%,0%,0%,△

533,磺芐西林,注射劑,西藥,20%,20%,20%,

534,磺達肝癸鈉,注射劑,西藥,30%,30%,30%,

535,茴拉西坦,顆粒劑,西藥,10%,10%,10%,

536,茴拉西坦,口服常釋劑型,西藥,10%,10%,10%,

537,茴三硫,口服常釋劑型,西藥,10%,10%,10%,

538,混合糖電解質(zhì),注射劑,西藥,30%,30%,30%,

539,肌苷,口服常釋劑型,西藥,0%,0%,0%,△

540,吉法酯,口服常釋劑型,西藥,20%,20%,20%,

541,吉非羅齊,口服常釋劑型,西藥,0%,0%,0%,

542,吉米沙星,口服常釋劑型,西藥,30%,30%,30%,限二線用藥

543,吉西他濱,注射劑,西藥,10%,10%,10%,

544,疾病特異型腸內(nèi)營養(yǎng)劑,"口服散劑

口服液體劑",西藥,30%,30%,30%,

；限有營養(yǎng)風(fēng)險和不能進食的重癥患者

545,己酸羥孕酮,注射劑,西藥,0%,0%,0%,

546,己酮可可堿,緩釋控釋劑型,西藥,20%,20%,20%,

547,己酮可可堿,口服常釋劑型,西藥,20%,20%,20%,

548,己酮可可堿,注射劑,西藥,20%,20%,20%,

549,加巴噴丁,口服常釋劑型,西藥,30%,30%,30%,

550,加貝酯,注射劑,西藥,30%,30%,30%,

551,加蘭他敏,口服常釋劑型,西藥,10%,10%,10%,

552,加蘭他敏,注射劑,西藥,0%,0%,0%,

553,加替沙星,注射劑,西藥,20%,20%,20%,

554,甲地孕酮,口服常釋劑型,西藥,10%,10%,10%,

555,甲砜霉素甘氨酸酯,注射劑,西藥,30%,30%,30%,

556,甲鈷胺,口服常釋劑型,西藥,10%,10%,10%,

557,甲鈷胺,注射劑,西藥,10%,10%,10%,

558,甲基斑蝥胺,口服常釋劑型,西藥,10%,10%,10%,

559,甲基多巴,口服常釋劑型,西藥,0%,0%,0%,

560,甲氯芬酯,口服常釋劑型,西藥,10%,10%,10%,

561,甲潑尼龍,口服常釋劑型,西藥,10%,10%,10%,

562,甲潑尼龍,注射劑,西藥,10%,10%,10%,

563,甲羥孕酮,注射劑,西藥,10%,10%,10%,

564,甲硝唑,凝膠劑,西藥,10%,10%,10%,△

565,甲氧芐啶,口服常釋劑型,西藥,0%,0%,0%,

566,甲氧沙林,口服常釋劑型,西藥,10%,10%,10%,

567,甲氧沙林,外用液體劑,西藥,10%,10%,10%,

568,甲異靛,口服常釋劑型,西藥,10%,10%,10%,

569,甲紫,外用液體劑,西藥,0%,0%,0%,

570,尖吻蝮蛇血凝酶,注射劑,西藥,10%,10%,10%,

571,堿式水楊酸鉍,口服液體劑,西藥,丙1,丙1,10%,

572,降鈣素,吸入劑,西藥,30%,30%,30%,限高鈣血癥患者和工傷保險

573,降鈣素,注射劑,西藥,20%,20%,20%,限高鈣血癥患者和工傷保險

574,膠體果膠鉍,口服常釋劑型,西藥,10%,10%,10%,△

575,結(jié)構(gòu)脂肪乳(C6~24),注射劑,西藥,20%,20%,20%,

576,結(jié)合雌激素,口服常釋劑型,西藥,10%,10%,10%,△

577,結(jié)合雌激素/甲羥孕酮,口服常釋劑型,西藥,30%,30%,30%,△

578,金剛乙胺,"口服常釋劑型

口服液體劑

顆粒劑",西藥,丙1,丙1,0%,限兒童

579,精氨酸布洛芬,顆粒劑,西藥,30%,30%,30%,

580,精制抗狂犬病血清,注射劑,西藥,10%,10%,10%,

581,精制抗蛇毒血清,注射劑,西藥,10%,10%,10%,

582,精制抗炭疽血清,注射劑,西藥,10%,10%,10%,

583,精制破傷風(fēng)抗毒素,注射劑,西藥,10%,10%,10%,

584,肼屈嗪,口服常釋劑型,西藥,10%,10%,10%,

585,肼屈嗪,注射劑,西藥,10%,10%,10%,

586,靜脈注射用人免疫球蛋白(pH4),注射劑,西藥,丙1,丙1,40%,限兒童重度病毒感染和工傷保險

587,聚桂醇,注射劑,西藥,30%,30%,30%,限嚴重消化道大出血

588,聚甲酚磺醛,"外用液體劑

栓劑",西藥,30%,30%,30%,

589,聚乙二醇,口服散劑,西藥,20%,20%,20%,

590,聚乙二醇干擾素α-2a[α-2b],注射劑,西藥,30%,30%,30%,限丙肝、慢性活動性乙肝，連續(xù)使用6個月無效時停藥，連續(xù)使用不超過12個月

591,卷曲霉素,注射劑,西藥,30%,30%,30%,

592,咖酚偽麻片,,西藥,10%,10%,10%,

；△

593,卡巴克絡(luò),口服常釋劑型,西藥,0%,0%,0%,

594,卡巴克絡(luò),注射劑,西藥,0%,0%,0%,

595,卡巴拉汀,口服常釋劑型,西藥,30%,30%,30%,限三級醫(yī)院治療中度以上癡呆

596,卡貝縮宮素,注射劑,西藥,30%,30%,30%,限搶救

597,卡比多巴,口服常釋劑型,西藥,0%,0%,0%,

598,卡比馬唑,口服常釋劑型,西藥,10%,10%,10%,

599,卡泊三醇,外用液體劑軟膏劑,西藥,30%,30%,30%,限牛皮癬

600,卡介菌純蛋白衍化物,注射劑,西藥,10%,10%,10%,

601,卡馬西平,緩釋控釋劑型,西藥,0%,0%,0%,

602,卡莫氟,口服常釋劑型,西藥,10%,10%,10%,

603,卡莫司汀,注射劑,西藥,10%,10%,10%,

604,卡培他濱,口服常釋劑型,西藥,20%,20%,20%,

605,卡前列甲酯,栓劑,西藥,30%,30%,30%,

606,卡替洛爾,滴眼劑,西藥,20%,20%,20%,

607,卡維地洛,口服常釋劑型,西藥,10%,10%,10%,

608,坎地沙坦,口服常釋劑型,西藥,30%,30%,30%,限對血管緊張素轉(zhuǎn)換酶抑制劑治療不能耐受的患者

609,糠餾油,軟膏劑,西藥,10%,10%,10%,

610,糠莫米松,吸入劑,西藥,30%,30%,30%,

611,糠酸莫米松,軟膏劑,西藥,20%,20%,20%,△

612,糠甾醇(牙周寧),口服常釋劑型,西藥,10%,10%,10%,

613,抗敵素,注射劑,西藥,30%,30%,30%,

614,考來烯胺,口服散劑,西藥,30%,30%,30%,

615,可待因,口服常釋劑型,西藥,0%,0%,0%,

616,可待因,注射劑,西藥,0%,0%,0%,

617,可的松,口服常釋劑型,西藥,0%,0%,0%,

618,可樂定,滴眼劑,西藥,10%,10%,10%,

619,可樂定,口服常釋劑型,西藥,0%,0%,0%,

620,可愈糖漿,口服液體劑,西藥,10%,10%,10%,△；限二線用藥

621,克拉霉素,緩釋控釋劑型,西藥,20%,20%,20%,

622,克拉霉素,顆粒劑,西藥,20%,20%,20%,

623,克拉霉素,口服常釋劑型,西藥,20%,20%,20%,

624,克拉霉素,口服液體劑,西藥,丙1,丙1,20%,

625,克林霉素,軟膏劑,西藥,0%,0%,0%,

626,克林霉素,外用液體劑,西藥,0%,0%,0%,

627,克林霉素磷酸酯,凝膠劑,西藥,0%,0%,0%,

628,克侖特羅,口服常釋劑型,西藥,10%,10%,10%,

629,克侖特羅,栓劑,西藥,10%,10%,10%,

630,克羅米通,軟膏劑,西藥,10%,10%,10%,△

631,克洛己新,口服常釋劑型,西藥,10%,10%,10%,

632,克洛己新,口服液體劑,西藥,10%,10%,10%,

633,克霉唑,滴耳劑,西藥,0%,0%,0%,

634,克霉唑,口服常釋劑型,西藥,0%,0%,0%,

635,克霉唑,貼劑,西藥,0%,0%,0%,

636,枯草桿菌、腸球菌二聯(lián)活菌制劑,口服常釋劑型,西藥,30%,30%,30%,△；限菌群失調(diào)

637,枯草桿菌二聯(lián)活菌制劑,口服常釋劑型,西藥,30%,30%,30%,△；限菌群失調(diào)

638,苦參素,口服常釋劑型,西藥,20%,20%,20%,

639,苦參素(苦參總堿),注射劑,西藥,20%,20%,20%,

640,奎寧,注射劑,西藥,0%,0%,0%,

641,喹硫平,口服常釋劑型,西藥,30%,30%,30%,

642,拉貝洛爾,口服常釋劑型,西藥,30%,30%,30%,

643,拉米夫定,口服常釋劑型,西藥,20%,20%,20%,限活動性肝炎

644,拉莫三嗪,口服常釋劑型,西藥,20%,20%,20%,

645,拉坦前列素,滴眼劑,西藥,20%,20%,20%,限二線用藥

646,拉西地平,口服常釋劑型,西藥,20%,20%,20%,

647,拉氧頭孢,注射劑,西藥,20%,20%,20%,

648,蠟樣芽胞桿菌,口服常釋劑型,西藥,30%,30%,30%,

649,辣椒堿,軟膏劑,西藥,10%,10%,10%,△

650,來氟米特,口服常釋劑型,西藥,30%,30%,30%,

651,來曲唑,口服常釋劑型,西藥,20%,20%,20%,

652,賴氨匹林,注射劑,西藥,30%,30%,30%,

653,賴脯胰島素,注射劑,西藥,30%,30%,30%,限反復(fù)發(fā)作低血糖的I型、脆性糖尿病

654,賴諾普利,口服常釋劑型,西藥,10%,10%,10%,

655,蘭索拉唑,口服常釋劑型,西藥,20%,20%,20%,

656,蘭索拉唑,注射劑,西藥,20%,20%,20%,

657,欖香烯,口服液體劑,西藥,30%,30%,30%,限出現(xiàn)癌性胸水的患者

658,欖香烯,注射劑,西藥,30%,30%,30%,限出現(xiàn)癌性胸水的患者和工傷保險

659,勞拉西泮,口服常釋劑型,西藥,20%,20%,20%,

660,樂卡地平,口服常釋劑型,西藥,30%,30%,30%,

661,雷貝拉唑,口服常釋劑型,西藥,30%,30%,30%,

662,雷洛昔芬,口服常釋劑型,西藥,20%,20%,20%,

663,雷米普利,口服常釋劑型,西藥,30%,30%,30%,

664,雷替曲塞,注射劑,西藥,30%,30%,30%,

665,利巴韋林,滴鼻劑,西藥,10%,10%,10%,

666,利巴韋林,吸入劑,西藥,0%,0%,0%,

667,利多卡因,"外用液體劑

吸入劑

凝膠劑",西藥,10%,10%,10%,

668,利多卡因(Ⅰ),膠漿劑,西藥,10%,10%,10%,

669,利伐沙班,口服常釋劑型,西藥,30%,30%,30%,限下肢關(guān)節(jié)置換術(shù)后

670,利福布汀,口服常釋劑型,西藥,30%,30%,30%,

671,利福霉素,注射劑,西藥,20%,20%,20%,

672,利福平,注射劑,西藥,20%,20%,20%,

673,利福昔明,口服常釋劑型,西藥,10%,10%,10%,

674,利可君(利血生),口服常釋劑型,西藥,0%,0%,0%,

675,利拉萘酯,軟膏劑,西藥,10%,10%,10%,

676,利奈唑胺,口服常釋劑型,西藥,30%,30%,30%,限萬古霉素治療無效或不可耐受的重癥感染患者的序貫治療

677,利奈唑胺,注射劑,西藥,30%,30%,30%,限萬古霉素治療無效或不可耐受的重癥感染

678,利培酮,"口服常釋劑型

口服液體劑",西藥,10%,10%,10%,

679,利培酮,口腔崩解片,西藥,10%,10%,10%,限不配合服藥患者

680,利塞膦酸鈉,口服常釋劑型,西藥,20%,20%,20%,限重度骨質(zhì)疏松和工傷保險

681,利托君,口服常釋劑型,西藥,30%,30%,30%,

682,利托君,注射劑,西藥,30%,30%,30%,

683,利血平,口服常釋劑型,西藥,0%,0%,0%,

684,利扎曲普坦,口服常釋劑型,西藥,30%,30%,30%,限偏頭痛急性發(fā)作二線用藥，3日內(nèi)使用

685,聯(lián)苯芐唑,軟膏劑,西藥,10%,10%,10%,△

686,聯(lián)苯芐唑,外用液體劑,西藥,10%,10%,10%,△

687,聯(lián)磺甲氧芐啶,口服常釋劑型,西藥,0%,0%,0%,

688,兩性霉素B,注射劑,西藥,30%,30%,30%,

689,亮丙瑞林微球,注射劑,西藥,30%,30%,30%,

690,亮菌甲素,注射劑,西藥,0%,0%,0%,

691,林旦,軟膏劑,西藥,0%,0%,0%,

692,林可霉素,滴眼劑,西藥,0%,0%,0%,

693,林可霉素,口服常釋劑型,西藥,0%,0%,0%,

694,林可霉素,軟膏劑,西藥,0%,0%,0%,

695,磷霉素,口服常釋劑型,西藥,0%,0%,0%,

696,磷霉素,口服散劑,西藥,0%,0%,0%,

697,膦甲酸鈉,注射劑,西藥,30%,30%,30%,

698,硫必利,口服常釋劑型,西藥,10%,10%,10%,

699,硫必利,注射劑,西藥,10%,10%,10%,

700,硫磺,軟膏劑,西藥,0%,0%,0%,

701,硫利達嗪,口服常釋劑型,西藥,0%,0%,0%,

702,硫鳥嘌呤,口服常釋劑型,西藥,10%,10%,10%,

703,硫普羅寧,口服常釋劑型,西藥,10%,10%,10%,

704,硫普羅寧,注射劑,西藥,0%,0%,0%,

705,硫酸鋅,口服常釋劑型,西藥,0%,0%,0%,△

706,硫糖鋁,"口服常釋劑型

口服液體劑",西藥,0%,0%,0%,△

707,硫糖鋁小檗堿片,,西藥,0%,0%,0%,

；△

708,硫辛酸(α-硫辛酸),注射劑,西藥,30%,30%,30%,

709,柳酚咖敏片,,西藥,10%,10%,10%,

；△

710,六氟化硫微泡,注射劑,西藥,30%,30%,30%,

711,六甲蜜胺,口服常釋劑型,西藥,20%,20%,20%,

712,咯奈啶,注射劑,西藥,0%,0%,0%,

713,咯萘啶,注射劑,西藥,30%,30%,30%,

714,龍膽碳酸氫鈉片(健胃片),,西藥,20%,20%,20%,

；△

715,龍膽碳酸氫鈉散,,西藥,20%,20%,20%,

；△

716,鹵米松,乳膏劑,西藥,20%,20%,20%,

717,鹵米松三氯生,軟膏劑,西藥,20%,20%,20%,

718,鹿瓜多肽,注射劑,西藥,30%,30%,30%,限重度骨質(zhì)疏松患者確診為骨折延遲愈合后5個月內(nèi)使用和工傷保險

719,鋁鎂顛茄片,,西藥,20%,20%,20%,

720,鋁鎂加混懸液,,西藥,20%,20%,20%,

721,鋁碳酸鎂,口服常釋劑型咀嚼片,西藥,10%,10%,10%,△

722,氯苯那敏,注射劑,西藥,0%,0%,0%,

723,氯吡格雷,口服常釋劑型,西藥,20%,20%,20%,

724,氯丙那林,口服常釋劑型,西藥,10%,10%,10%,

725,氯法齊明,口服常釋劑型,西藥,10%,10%,10%,

726,氯化鈣,注射劑,西藥,0%,0%,0%,

727,氯化鈣溴化鈉,注射劑,西藥,10%,10%,10%,

728,氯雷他定,口服常釋劑型,西藥,10%,10%,10%,

729,氯膦酸二鈉,口服常釋劑型,西藥,30%,30%,30%,限癌癥骨轉(zhuǎn)移和工傷保險

730,氯膦酸二鈉,注射劑,西藥,30%,30%,30%,限癌癥骨轉(zhuǎn)移和工傷保險

731,氯霉素甘油,滴耳劑,西藥,0%,0%,0%,

732,氯霉素氫化可的松,滴耳劑,西藥,0%,0%,0%,

733,氯美扎酮,口服常釋劑型,西藥,30%,30%,30%,

734,氯米芬,口服常釋劑型,西藥,0%,0%,0%,

735,氯米帕明,口服常釋劑型,西藥,10%,10%,10%,

736,氯諾昔康,注射劑,西藥,30%,30%,30%,

737,氯哌噻噸,注射劑,西藥,20%,20%,20%,

738,氯普噻噸,口服常釋劑型,西藥,10%,10%,10%,

739,氯普噻噸,注射劑,西藥,10%,10%,10%,

740,氯沙坦鉀,口服常釋劑型,西藥,20%,20%,20%,限對血管緊張素轉(zhuǎn)換酶抑制劑治療不能耐受的患者

741,氯硝柳胺,口服常釋劑型,西藥,0%,0%,0%,

742,氯硝西泮,口服常釋劑型,西藥,0%,0%,0%,

743,氯硝西泮,注射劑,西藥,0%,0%,0%,

744,氯唑沙宗,口服常釋劑型,西藥,10%,10%,10%,

745,羅格列酮,口服常釋劑型,西藥,0%,0%,0%,限不適用胰島素藥物且使用其他口服降糖藥物無效的患者

746,羅紅霉素,口服常釋劑型緩釋控釋劑型,西藥,0%,0%,0%,

747,羅紅霉素氨溴索,口服常釋劑型,西藥,10%,10%,10%,

748,羅庫溴銨,注射劑,西藥,20%,20%,20%,

749,羅哌卡因,注射劑,西藥,20%,20%,20%,

750,羅通定,口服常釋劑型,西藥,0%,0%,0%,△

751,羅通定,注射劑,西藥,0%,0%,0%,

752,螺旋霉素,口服常釋劑型,西藥,10%,10%,10%,

753,洛鉑,注射劑,西藥,20%,20%,20%,限其他鉑類藥物無效或不能耐受

754,洛伐他汀,口服常釋劑型,西藥,0%,0%,0%,限二線用藥

755,洛芬待因(布洛芬可待因),"口服常釋劑型

緩釋控釋劑型",西藥,20%,20%,20%,

756,洛美沙星,滴耳劑,西藥,10%,10%,10%,

757,洛美沙星,滴眼劑,西藥,10%,10%,10%,

758,洛美沙星,口服常釋劑型,西藥,0%,0%,0%,

759,洛美沙星,注射劑,西藥,0%,0%,0%,

760,洛莫司汀,口服常釋劑型,西藥,10%,10%,10%,

761,洛哌丁胺,口服常釋劑型,西藥,0%,0%,0%,

762,洛索洛芬,口服常釋劑型,西藥,20%,20%,20%,

763,馬普替林,口服常釋劑型,西藥,10%,10%,10%,

764,馬普替林,口服液體劑,西藥,10%,10%,10%,

765,嗎啡,緩釋控釋劑型,西藥,0%,0%,0%,

766,嗎氯貝胺,口服常釋劑型,西藥,30%,30%,30%,

767,嗎替麥考酚酯,口服常釋劑型,西藥,20%,20%,20%,限器官移植和工傷保險

768,麥考酚鈉,口服常釋劑型,西藥,30%,30%,30%,限器官移植和工傷保險

769,煤焦油,"外用液體劑

軟膏劑",西藥,20%,20%,20%,

770,美爾偽麻溶液,,西藥,10%,10%,10%,

；△

771,美法侖,口服常釋劑型,西藥,30%,30%,30%,

772,美酚偽麻片,,西藥,10%,10%,10%,

；△

773,美金剛,口服常釋劑型,西藥,30%,30%,30%,限三級醫(yī)院重癥患者

774,美羅培南,注射劑,西藥,30%,30%,30%,限其他抗生素治療無效的重度感染

775,美洛西林,注射劑,西藥,20%,20%,20%,

776,美洛西林舒巴坦,注射劑,西藥,20%,20%,20%,限重度感染

777,美洛昔康,口服常釋劑型,西藥,0%,0%,0%,

778,美敏偽麻,咀嚼片,西藥,30%,30%,30%,

779,美敏偽麻口服液,,西藥,0%,0%,0%,

；△

780,美撲偽麻片,,西藥,10%,10%,10%,

；△

781,美沙拉嗪,"口服常釋劑型

緩釋控釋劑型

緩控釋顆粒劑",西藥,20%,20%,20%,

782,美沙拉嗪,"栓劑

灌腸劑",西藥,20%,20%,20%,

783,美沙酮,"口服常釋劑型

口服液體劑",西藥,20%,20%,20%,

784,美沙酮,注射劑,西藥,20%,20%,20%,

785,美司鈉,注射劑,西藥,20%,20%,20%,

786,美索巴莫,口服常釋劑型,西藥,30%,30%,30%,

787,美托洛爾,緩釋控釋劑型,西藥,10%,10%,10%,

788,美愈偽麻膠囊,,西藥,10%,10%,10%,

；△

789,美愈偽麻口服溶液,,西藥,10%,10%,10%,

；△

790,美愈偽麻口服液,,西藥,10%,10%,10%,

；△

791,門冬氨酸鉀鎂,口服常釋劑型,西藥,20%,20%,20%,限低鉀低鎂血癥

792,門冬氨酸鉀鎂,注射劑,西藥,10%,10%,10%,限低鉀低鎂血癥

793,門冬氨酸鳥氨酸（鳥氨酸天門冬氨酸）,注射劑,西藥,30%,30%,30%,

794,門冬胰島素,注射劑,西藥,10%,10%,10%,限反復(fù)發(fā)作低血糖的I型、脆性糖尿病

795,孟魯司特,口服常釋劑型,西藥,30%,30%,30%,

796,咪達普利,口服常釋劑型,西藥,30%,30%,30%,

797,咪達唑侖,口服常釋劑型,西藥,10%,10%,10%,

798,咪康唑,口服常釋劑型,西藥,10%,10%,10%,

799,咪康唑,陰道泡騰片,西藥,10%,10%,10%,

800,咪康唑,陰道片,西藥,10%,10%,10%,

801,咪康唑,陰道軟膠囊,西藥,10%,10%,10%,

802,咪康唑,注射劑,西藥,10%,10%,10%,

803,咪唑立賓,口服常釋劑型,西藥,30%,30%,30%,限器官移植和工傷保險

804,咪唑斯汀,緩釋控釋劑型,西藥,20%,20%,20%,

805,咪唑斯汀,口服常釋劑型,西藥,20%,20%,20%,

806,糜蛋白酶,注射劑,西藥,10%,10%,10%,

807,米安色林,口服常釋劑型,西藥,30%,30%,30%,限二線用藥

808,米氮平,口服常釋劑型,西藥,30%,30%,30%,

809,米多君,口服常釋劑型,西藥,30%,30%,30%,

810,米格來寧,口服常釋劑型,西藥,10%,10%,10%,

811,米格列奈,口服常釋劑型,西藥,30%,30%,30%,

812,米力農(nóng),注射劑,西藥,20%,20%,20%,

813,米諾地爾,口服常釋劑型,西藥,10%,10%,10%,

814,米諾環(huán)素,"口服常釋劑型

顆粒劑",西藥,10%,10%,10%,

815,米曲菌胰酶,口服常釋劑型,西藥,20%,20%,20%,△

816,米托蒽醌,注射劑,西藥,10%,10%,10%,

817,滅菌注射用水,注射劑,西藥,0%,0%,0%,

818,明膠海綿,貼劑,西藥,30%,30%,30%,

819,莫雷西嗪,口服常釋劑型,西藥,10%,10%,10%,

820,莫匹羅星,軟膏劑,西藥,10%,10%,10%,△

821,莫沙必利,顆粒劑,西藥,0%,0%,0%,△

822,莫沙必利,口服常釋劑型,西藥,0%,0%,0%,△

823,莫西沙星,口服常釋劑型,西藥,30%,30%,30%,限二線用藥

824,莫西沙星,注射劑,西藥,30%,30%,30%,限二線用藥

825,木糖醇,注射劑,西藥,30%,30%,30%,

826,那格列奈,口服常釋劑型,西藥,30%,30%,30%,

827,那他霉素,滴眼劑,西藥,30%,30%,30%,

828,鈉鉀鎂鈣葡萄糖,注射劑,西藥,30%,30%,30%,

829,奈達鉑,注射劑,西藥,20%,20%,20%,限二線用藥

830,奈替米星,注射劑,西藥