部分藥品補充劑型規(guī)格最高零售價格表.doc

部分藥品補充劑型規(guī)格最高零售價格表金額單位:元序號藥品通用名劑型規(guī)格單位最高零售價格備注1氟達拉濱片劑10mg*20片盒8960.00 先靈(廣州)藥業(yè)2西落他唑膠囊50mg*12粒盒57.90 3頭孢呋辛鈉注射劑1.25g瓶27.80 4雷洛昔芬片劑60mg*7片盒68.00 5片劑60mg*10片盒95.90 6阿莫西林克拉維酸鉀分散片125mg:62.5mg*6片盒25.40 7分散片125mg:62.5mg*12片盒49.60 8苯巴比妥注射劑100mg(溶媒結(jié)晶)瓶3.70 9托拉塞米注射劑10mg(凍干粉)瓶27.10 10注射劑20mg(凍干粉)瓶46.00 11膦甲酸鈉注射劑2.4g:100ml袋139.00 12普伐他汀片劑40mg*7片盒93.30 上海三共制藥13頭孢噻肟鈉注射劑2.0g瓶96.20 華北制藥凱瑞特藥業(yè)14尼莫地平緩釋片60mg*10片盒13.30 15蘭索拉唑片劑15mg*10片盒61.00 16片劑15mg*12片盒73.00 17異丙托溴銨氣霧劑14g:8.4mg瓶72.90 18馬尿酸烏洛托品片劑500mg*20片盒31.60 19片劑500mg*40片盒60.90 20二甲雙胍片劑250mg*36片盒9.20 昆山雙鶴藥業(yè)21片劑250mg*48片盒12.10 22低分子肝素鈣注射劑4100單位:0.4ml (一次性預(yù)充)瓶62.50 僅指執(zhí)行:YBH03832006質(zhì)量標準23注射劑2050單位:0.2ml (一次性預(yù)充)瓶38.80 24氯雷他定顆粒劑10mg*10袋盒33.60 25頭孢替安注射劑500mg瓶46.50 哈藥集團制藥總廠26注射劑1.0g瓶79.00 27注射劑2.0g瓶134.00 28重組人紅細胞生成素注射劑10000單位(凍干粉)瓶141.00 29格列美脲滴丸劑1mg*40粒盒87.80 30奧拉西坦注射劑1.0g:5ml支81.60 31五水頭孢唑林鈉注射劑500mg瓶33.00 32注射劑1.0g瓶56.20 33川芎嗪注射劑80mg:10ml支1.30 34注射劑80mg:200ml瓶10.30 35注射劑80mg:250ml瓶10.60 36復(fù)方氨基酸(17AA-H)(復(fù)方肝病用氨基酸)注射劑37.925g:500ml(7.59%)瓶58.00 37復(fù)方氨基酸(18AA-N)(復(fù)方腎病用氨基酸)注射劑12.25g:200ml(6.13%)瓶48.00 38玻璃酸鈉注射劑8.5mg:0.85ml(預(yù)充式)支192.00 39r-干擾素注射劑50萬單位瓶23.7 40阿立哌唑口腔崩解片5mg*20片盒68.5 41阿司匹林緩釋片75mg*24片盒16.4 42木糖醇注射劑50g:500ml袋29.8 43尿素維E乳膏劑20g：15%盒2.1 44炎琥寧注射劑80mg:100ml塑瓶24.4 45注射劑200mg:100ml塑瓶47.2 46依諾沙星片劑200mg*12片盒27.1 47片劑100mg*20片盒26.1 48藻酸雙脂鈉片劑50mg*24片盒1.9 49注射劑75mg(凍干粉)瓶36.4 50他扎羅汀乳膏劑30g:30mg支33.3 51獨一味膠囊膠囊0.3g*50粒盒51.152二十五味珊瑚丸水丸1g/4丸*24丸盒50.153潔白膠囊膠囊0.4g*24粒盒30.554流感丸水丸0.25g*30丸盒16.155香菊感冒顆粒顆粒劑7.5g*6袋(低糖型)盒8.756顆粒劑15g*10袋盒13.657通滯蘇潤江膠囊膠囊300mg*12粒盒25.558膠囊300mg*30粒盒61.759扎沖十三味丸丸劑2g/10丸*10丸盒26.560復(fù)方板藍根顆粒顆粒劑15g*8小包袋4.0 61半夏露糖漿糖漿200ml瓶4.962黃芪精口服液口服液10ml*10支(無糖型)盒17.663口服液10ml*40支盒60.864五子衍宗丸水蜜丸120g瓶16.765五味子糖漿糖漿劑60ml瓶1.966糖漿劑180ml瓶5.267糖漿劑200ml瓶5.768糖漿劑500ml瓶13.369心痛康片片劑0.3g*24片盒19.670片劑0.3g*48片盒38.371逐瘀通脈膠囊膠囊0.2g*30粒盒52.872健胃消食片片劑11片*4板盒6.673片劑36片盒5.474胃痛定片片劑0.36g*24片盒27.975大黃通便顆粒顆粒劑12g*6袋盒15.876暈復(fù)靜片片劑6片板3.677片劑20片*2板盒22.278片劑80片瓶43.479天麻膠囊膠囊0.25g*24粒盒4.480膠囊0.25g*48粒盒8.681膠囊0.25g*90粒盒15.782暈可平糖漿糖漿120ml瓶8.283糖漿180ml瓶11.984麝香追風(fēng)膏貼膏7cm*10cm*6片(彈力微孔)盒4.685貼膏7cm*10cm*8片(彈力微孔)盒686三妙丸丸劑50g瓶4.587金銀花露合劑120ml瓶3.488合劑250ml瓶6.689合劑340ml瓶8.890艾條28g(藥艾條)支3.191更年安膠囊膠囊0.3g*20粒盒12.292銀黃含化片含化片32片盒8.393骨刺寧膠囊膠囊0.3g*24粒盒18.494膠囊0.3g*36粒盒27.195傷濕止痛膏貼膏8cm*13cm*2片(彈力微孔)盒3.196貼膏8cm*13cm*5片(彈力微孔)盒7.497貼膏8cm*13cm*6片(彈力微孔)盒8.898貼膏8cm*13cm*8片(彈力微孔)盒11.799護肝寧片片劑48片盒(瓶)19.20 100五酯片片劑7.5mg:0.31g*30片(薄膜衣片)盒(瓶)28.50 101片劑7.5mg:0.31g*45片 (薄膜衣片)盒(瓶)42.00 102利肺片片劑36片盒(瓶)16.60 103扶正化瘀膠囊膠囊0.3g*60粒盒(瓶)55.90 104血塞通分散片分散片50mg*12片盒(瓶)12.70 105分散片50mg*2