头孢替安等药品补充剂型规格最高零售价格表.doc

头孢替安等药品补充剂型规格最高零售价格表金额:元序号药品通用名剂型规格单位最高零售价备注1头孢替安注射剂500mg瓶46.5仅指执行YBH10162009标准的制剂注射剂1.0g瓶79.02氯普噻吨注射剂2ml:30mg支18.03艾司唑仑注射剂1ml:2mg支15.84氨氯地平滴丸剂5mg*14粒盒58.3滴丸剂5mg*15粒盒62.35奥硝唑分散片250mg*24片盒53.6片剂250mg*8片盒14.36缩宫素注射剂1ml:5单位支12.6生物提取7氯化铵片剂300mg*1000片瓶13.08氯化钠溶液剂500ml塑瓶6.5冲洗剂500ml塑瓶6.5溶液剂3000ml(软袋,双阀)袋25.3冲洗剂3000ml(软袋,双阀)袋25.39氯霉素胶囊剂250mg*100粒瓶17.010丁酸氢化可的松乳膏剂15g:15mg支21.311兰索拉唑肠溶片15mg*12片盒59.5肠溶片15mg*20片盒97.412羟乙基淀粉130/0.4注射剂250ml:15g瓶65.2注射剂500ml:30g瓶113注射剂500ml:30g袋11713阿奇霉素干混悬剂100mg*7袋盒18.6干混悬剂100mg*12袋盒31.3干混悬剂100mg*15袋盒38.814地氯雷他定干混悬剂500mg:2.5mg*10袋盒28.8干混悬剂500mg:2.5mg*14袋盒39.815尼莫地平胶囊剂20mg*30粒盒18.1海南普利制药有限公司16萘普生片剂125mg*100片瓶14.117维A酸乳膏剂25g:6.25mg支16.618利培酮口腔崩解片1mg*30片盒86.519阿伐斯汀胶囊剂8mg*20粒盒30.120维胺酯胶囊剂25mg*60粒盒70.121重组人干扰素2b注射剂1ml:100万IU支21.4注射剂1ml:300万IU支51.0注射剂1ml:500万IU支75.922氢化泼尼松(泼尼松龙)注射剂2ml:10mg(可供静脉注射)支29.223泮托拉唑肠溶胶囊40mg*10粒盒91.4肠溶胶囊40mg*20粒盒178肠溶片40mg*28片盒24724氟罗沙星片剂100mg*16片盒41.1注射剂100mg(冻干粉)瓶23.0注射剂100ml:400mg塑瓶74.225玻璃酸钠滴眼剂10mg:10ml支74.126吡贝地尔缓释片50mg*30片盒101施维雅（天津）制药有限公司27溴己新注射剂100ml:4mg瓶39.028重组人粒细胞刺激因子注射剂75ug:0.3ml支357麒麟鲲鹏(中国)生物药业有限公司注射剂150ug:0.6ml支731注射剂300ug:1.2ml支935注射剂300ug:0.9ml(预充式)支39929多西环素肠溶胶囊(微丸)100mg*20粒盒50.7注射剂100mg(冻干粉)瓶87.630脂肪乳中链及长链复合剂注射剂500ml:50g(10%)瓶136贝朗公司31氧氟沙星滴耳剂10ml:30mg支10.332富马酸喹硫平片剂25mg*20片盒156阿斯利康制药有限公司(进口分包装)片剂200mg*20片盒278片剂300mg*20片盒37933戈舍瑞林植入剂3.6mg支236334复方对乙酰氨基酚片剂12片盒1.8片剂100片瓶7.835二硫化硒洗剂10g:0.25g瓶3.7洗剂150g:3.75g瓶29.136硝苯地平缓释片()10mg*48片盒20.737尼美舒利分散片100mg*30片盒70.3分散片50mg*30片盒41.4颗粒剂25mg*10袋盒7.838单硝酸异山梨酯缓释胶囊()40mg*10粒盒24.9片剂20mg*60片盒57.539环丙沙星栓剂200mg*5枚盒15.0滴眼剂8ml:24mg支7.240倍他司汀注射剂250ml:20mg瓶4.541吡格列酮口腔崩解片15mg*10片盒45.1口腔崩解片15mg*12片盒53.8口腔崩解片15mg*20片盒88.0口腔崩解片15mg*30片盒13042布美他尼注射剂2ml:1mg支22.843云芝胞内糖肽胶囊剂500mg*36粒盒10544葡醛酸钠注射剂0.133g(冻干粉)瓶3.745三磷酸腺苷肠溶片20mg*24片盒2.846奈福泮片剂20mg*48片盒25.3片剂20mg*100片盒51.347哈西奈德涂膜剂10g:10mg瓶9.148重组人生长激素注射剂8单位(冻干粉)瓶19049重组人红细胞生成素注射剂2000IU:0.4ml(预充式)支43.0注射剂3000IU:0.6ml(预充式)支57.0注射剂4000IU:0.8ml(预充式)支70.0注射剂5000IU:0.5ml(预充式)支79.6注射剂6000IU:0.6ml(预充式)支93.0注射剂2500IU:1ml支45.1注射剂5000IU:1ml支76.650氨基葡萄糖片剂250mg*24片盒60.051双歧杆菌三联活菌肠溶胶囊210mg*24粒盒32.4片剂0.5g*24片盒29.152四环素眼膏剂2g支0.7053丙酸氯倍他索搽剂10ml支6.054尼麦角林片剂5mg*36片盒39.0片剂10mg*36片盒66.355重组人白介素-2注射剂100万IU:0.8ml(预充式)支153注射剂100万IU:0.8ml支150注射剂50万IU:0.4ml支87.056美罗培南注射剂250mg瓶93.2注射剂500mg瓶16057羧甲司坦口服溶液剂10ml:500mg*6支盒17.458泛昔洛韦颗粒剂125mg*12袋盒63.6颗粒剂125mg*8袋盒43.059右旋糖酐铁片剂25mg*40片盒35.6片剂25mg*60片盒45.7片剂50mg*20片盒27.060倍氯米松气雾剂250ug*200揿瓶10661高渗羟乙基淀粉200/0.5注射剂250ml:羟乙基淀粉200/0.515g与氯化钠18g袋38862克拉霉素颗粒剂100mg*6袋盒14.463托瑞米芬片剂60mg*14片盒11564布洛芬缓释混悬剂50ml(100ml:3g)盒23.1缓释混悬剂60ml(100ml:3g)盒27.565咪康唑阴道泡腾片200mg*8片盒26.5阴道泡腾片200mg*12片盒39.266天麻素注射剂100mg (冻干粉)盒9.5注射剂200mg (冻干粉)盒16.167木糖醇注射剂250ml:12.5g袋12.268吲达帕胺片剂2.5mg*36片盒24.469头孢克肟干混悬剂50mg*12袋盒50.1胶囊剂50mg*14粒盒37.3胶囊剂50mg*16粒盒42.5胶囊剂50mg*18粒盒47.6胶囊剂50mg*20粒盒52.670复方雷尼替丁胶囊剂12粒盒26.8胶囊剂24粒盒52.3片剂12片盒26.871非诺贝特胶囊剂()100mg*12粒盒28.6胶囊剂()100mg*20粒盒46.872甲氯芬酯胶囊剂200mg*18粒盒26.173甲硝唑注射剂0.915g瓶4.174两性霉素B脂质体注射剂50mg（冻干粉）瓶103975果糖二磷酸钠注射剂50ml:5g袋48.876甲氨蝶呤注射剂50ml:5.0g瓶618注射剂5ml:50mg支17.677大蒜素肠溶胶丸20mg*24粒盒20.478铝碳酸镁颗粒剂2g:500mg*24袋盒27.579加兰他敏分散片4mg*14片盒65.680消旋山莨菪碱注射剂1ml:5mg支0.5281头孢呋辛胶囊剂125mg*24粒盒41.882头孢丙烯颗粒剂250mg*6袋盒51.383阿莫西林颗粒剂250mg*12袋盒13.684胞磷胆碱注射剂100ml:0.5g袋14.685福辛普利片剂10mg*21片盒6586门冬酰胺酶注射剂5000单位（冻干粉）瓶11087米多君片剂2.5mg*10片盒26.888土霉素片剂125mg*100片瓶4.689胸腺肽肠溶片20mg*20片盒187肠溶片20mg*12片盒114肠溶片10mg*6片盒34.4肠溶片20mg*16片盒151肠溶片5mg*12片盒39.490十一酸睾酮软胶囊40mg*10粒盒21.791双氯芬酸钠缓释胶囊100mg*20粒盒32.692异维A酸软胶囊10mg*24粒盒55.293降纤酶注射剂1ml:5单位支34.594阿莫西林克拉维酸钾干混悬剂1.5g(0.2g:28.5mg)*8袋盒18.295氨咖黄敏片剂15片盒1.896苯丙哌林胶囊剂20mg*12粒盒1.897复方甘露醇注射剂250ml:37.5g塑瓶23.098贝诺酯分散片200mg*24片盒12.799奥美拉唑肠溶胶囊40mg*24粒盒85.2肠溶胶囊40mg*12粒盒43.7100苯扎贝特片剂200mg*12片盒23.7101氟康唑胶囊剂50mg*9粒盒32.5102三磷酸胞苷注射剂2ml:40mg支76.7103替米沙坦片剂40mg*20片盒57.1104替硝唑注射剂200ml:400mg塑瓶14.5栓剂1g*6枚盒34.4105头孢克洛分散片125mg*18片盒50.3106阿魏酸哌嗪片剂50mg*60片瓶17.4107当归苦参丸丸剂6g*12袋(水蜜丸)盒28.3108通窍鼻炎胶囊胶囊剂0.4g*30粒盒22.5109妇科调经片片剂0.3g*60片(薄膜衣片)盒24.7110阿拉坦五味丸水丸1.25g/10粒*6g*2瓶盒34.1111吉祥安坤丸水丸0.8g/10粒*6.4g盒43.2112扎冲十三味丸水丸1g/10粒*50粒盒64.1113黄芪颗粒颗粒剂15g*18袋盒46.1114桂附地黄丸丸剂72g(水蜜丸)瓶10.4115牛黄蛇胆川贝胶囊胶囊剂0.25g*12粒盒6.0胶囊剂0.5g*20粒盒19.3116双黄连口服液口服液10ml*6支(浓缩型)盒16.7河南太龙117一清颗粒颗粒剂7.5g*8袋盒9.3颗粒剂7.5g*10袋盒11.6颗粒剂7.5g*15袋盒17.1118速效心痛滴丸滴丸剂40mg*90粒盒26.2119丹参片片剂180片(薄膜衣片)瓶17.1上海雷允上药业有限公司120猴头菌片片剂180片(薄膜衣片)瓶18.7121木香顺气丸水丸6g*12袋盒10.2北京同仁堂制药有限公司122越鞠保和丸水丸6g*12袋盒10.1北京同仁堂制药有限公司123良附丸水丸6g*12袋盒10.5124二陈丸水丸6g*12袋盒12.0北京同仁堂制药有限公司125蓝芩口服液口服液10ml*6支(每支含量相当于原药材的21.2g)盒64.9口服液10ml*12支(相当于原药材的21.2g)盒127126黄芪精口服液口服液10ml*12支盒19.1127丁细牙痛胶囊胶囊剂0.45g*12粒盒20.0胶囊剂0.45g*24粒盒39.0128八正颗粒颗粒剂8g*12袋盒40.5129血塞通分散片分散片0.17g*48片(含三七总皂苷25mg)盒/瓶24.8分散片0.17g*60片(含三七总皂苷25mg)盒/瓶30.7130冠脉宁片片剂45片(糖衣片)盒/瓶26.3131蛇胆陈皮液口服液10ml*10支盒19.0132刺五加脑灵液合剂10ml*10支盒18.3133伤湿止痛膏橡胶膏剂5cm*7cm*8贴盒2.5134新清宁片片剂0.31g*60片(薄膜衣片)盒13.9135脑得生片片剂120片(薄膜衣片)盒/瓶37.2136蛇胆川贝胶囊胶囊剂30粒盒24.0137杏苏止咳颗粒颗粒剂12g*9袋盒12.5138血塞通注射液注射剂0.4g*:20ml支30.8139舒肝片片剂0.6g*32片盒23.6140小柴胡颗粒颗粒剂4g*12袋(无糖型)盒14.4141蛇胆川贝枇杷膏煎膏剂210g瓶19.3142龙胆泻肝丸水丸6g*10袋盒7.2水丸6g*20袋盒13.7143银黄颗粒颗粒剂4g*9袋(无糖型)盒9.5颗粒剂4g*10袋(无糖型)盒10.4颗粒剂4g*12袋(无糖型)盒12.5颗粒剂4g*16袋(无糖型)盒16.7颗粒剂4g*20袋(无糖型)盒20.9144头风痛胶囊胶囊剂0.5g*36粒盒38.7145痹祺胶囊胶囊剂0.3g*36粒盒49.8146藿香正气胶囊胶囊剂0.3g*12粒盒3.4胶囊剂0.3g*36粒盒9.7147王氏保赤丸丸剂0.15g(0.15g/60丸)*20支盒35.9148乙肝健片片剂0.26g*60片*2瓶(A、B片各一瓶。薄膜衣片)盒54.7149关节克痹丸丸剂16粒*5袋(浓缩丸)盒18.3丸剂16粒*10袋（浓缩丸）盒35.7150抗感合剂合剂250ml瓶29.0医院制剂