XLS《常用药品价格公示》

"徐州市传染病医院常用药品价格目录",,

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"名称","规格","单位","零售价格","医保分类","农保分类","产地" "阿德福韦酯片(阿甘定)(Y)","10mg*10#","盒","80","乙(受限)","自费","福建广生堂药业" "苦黄注射液(Y)","10ml","支","11.

780009765625","乙","可补偿","常熟雷允上制药" "肾上腺色腙片(Y)","2.5mg*100#","瓶","8.2600048828125","乙","自费","江苏亚邦爱普森" "螺内酯片(j)","20mg*100#","瓶","13.200009765625","甲","可补偿","上海衡山药业有" "吡嗪酰胺片","0.25g*100#","盒","35","乙","可补偿","沈阳红旗制药有" "吡嗪酰胺胶囊","0.25g*100#","盒","40","乙",,

"沈阳红旗制药有" "异甘草酸镁注射液(Y)","50mg*10ml","支","35.74001953125","乙(受限)","自费","江苏正大天晴药" "对氨基水杨酸异烟肼片(Y)","0.1g*100#","瓶","30","乙","可补偿","重庆华邦制药股" "注射用胸腺肽(Y)","50mg","支","19.130009765625","乙","可补偿","北京赛生药业有" "乙型肝炎人免疫球蛋白(z)","200iu","支","320","自费","自费","山东泰邦生物制" "异烟肼注射液(j)","2ml:100mg","支","5.8000048828125","甲","可补偿","天津金耀氨基酸" "格列齐特缓释片(Y)","30mg*30#","盒","49.4800390625","乙","可补偿","天津施维雅" "多潘立酮片(J)","10mg*30#","盒","13.790009765625","甲","可补偿","西安杨森制药有" "恩替卡韦片(Y)","0.5mg*7#","盒","208.70015625","乙(受限)","自费","中美上海施贵宝" "水飞蓟宾葡甲胺片(Y)","50mg*48#","盒","31.10001953125","乙","可补偿","江苏中兴药业有" "阿德福韦酯片(贺维力)(Y)","10mg*14#","盒","220.87015625","乙(受限)","自费","葛兰素史克(天" "雷贝拉唑钠肠溶胶囊(Y)","20mg*7#","盒","54.9600390625","乙","自费","江苏济川制药有" "联苯双酯滴丸(J)","1.5mg*250#","瓶","2.65000244140625","甲","可补偿","浙江医药股份有" "利巴韦林片(J)","0.1g*24#","盒","4","甲","可补偿","常州兰陵制药有" "利福平胶囊(J)","0.15g*100#","瓶","25","甲","可补偿","沈阳红旗制药有" "利福喷丁胶囊(J)","0.15g*20#","瓶","24.60001953125","甲","可补偿","四川明欣制药" "罗红霉素胶囊(Y)","0.15g*6#","盒","2.25","乙","可补偿","浙江亚太药业股" "拉米夫定片(Y)","0.1g*14#","盒","136.5","乙(受限)","自费","福建广生堂" "奥美拉唑肠溶胶囊(J)","20mg*14#","瓶","12.590009765625","甲","可补偿","江苏长江药业有" "利可君片(Y)","20mg*48#","盒","40.69001953125","乙","可补偿","江苏吉贝尔药业" "盐酸莫西沙星片(y)","0.4g*3#","盒","75.7800390625","乙","自费","拜耳医药保健有" "氢氯噻嗪片(J)","25mg*100#","瓶","0.680000610351563","甲","可补偿","江苏方强制药厂" "替比夫定片(Y)","600mg*7#","盒","135.650078125","乙(受限)","自费","北京诺华制药有" "甘草酸二铵肠溶胶囊(Y)","50mg*24#","盒","26.09001953125","乙","可补偿","江苏正大天晴药" "盐酸乙胺丁醇片(j)","0.25g*100#","瓶","20","甲","可补偿","沈阳红旗制药有" "阿德福韦酯片(优贺丁)(y)","10mg*14#","盒","140","乙(受限)","自费","上海益生源药业" "异烟肼片(J)","0.1g*100#","瓶","30","甲","可补偿","沈阳红旗制药有" "盐酸左氧氟沙星片(J)","0.1g*12#","盒","4.66000244140625","甲","可补偿","山东罗欣药业股" "丹参酮IIA磺酸钠注射液(Y)","2ml:10mg","支","16.520009765625","乙","自费","上海第一生化药" "注射用复方甘草酸单铵S(y)","80mg","支","20.070009765625","乙","可补偿","大连天宇制药" "恩替卡韦分散片(Y)","0.5mg*7#","盒","126.960078125","乙(受限)","自费","江苏正大天晴药" "双环醇片(Y)","25mg*9#","盒","36.96001953125","乙","自费","北京协和药厂" "重组人粒细胞刺激因子注射液(Y)","125ug*0.5ml","支","88.700078125","乙(受限)","可补偿","深圳新鹏生物工" "注射用还原型谷胱甘肽(y)","1.2g","支","28.73001953125","乙","可补偿","昆明积大制药有" "呋塞米片","20mg*100","盒","3.60000244140625","甲","可补偿","扬州市星斗药业" "熊去氧胆酸片(J)","50mg*30#","瓶","5.6600048828125","甲","可补偿","常州制药厂有限" "甘草酸二铵注射液(z)","50mg*10ml","支","3.49000244140625","乙(受限)","可补偿","江苏正大天晴药" "阿德福韦酯片(阿甘定)(Z)","10mg*10#","盒","80","乙(受限)","自费","福建广生堂药业" "氨甲环酸注射液","1.0g:10ml","支","17.1","甲","可补偿","湖北天药药业" "重组人干扰素a-2b(安达芬)(z)","600万u","支","62.5","乙(受限)","自费","安徽安科生物工" "盐酸小檗碱(j)","0.1*100","瓶","6.4000048828125","甲","可补偿","东北制药集团" "异甘草酸镁注射液(z)","50mg*10ml","支","35.74001953125","乙(受限)","自费","江苏正大天晴药" "阿德福韦酯片(代丁)(y)","10mg*14","盒","131.3","乙(受限)","自费","天津药物研究院" "硫糖铝片(y)","0.25g*100#","瓶","1.79000122070313","乙","可补偿","山东仁和堂药业" "伊曲康唑口服液(z)","150ml*1.5g","瓶","651","自费","自费","比利时Janssen" "血必净注射液(y)","10ml","支","48.8000390625","乙","自费","天津红日药业股" "重组人干扰素a-2b注射液(凯因益生)(z)","1ml*500万IU","支","56.0900390625","乙(受限)","自费","北京凯因生物技" "冻干人用狂犬疫苗(z)","1ml","支","47","乙","自费","宁波荣安生物" ,,