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本院公示药品目录2024–12-1

2024-11-29 15:03 浏览次数: 信息来源：诸暨市第五人民医院
药品统一代码药品名称药品规格药品单位生产厂家医保类型价格（元）
XA02ADL183A005010300340*(基)铝碳酸镁咀嚼片0.5g*24s盒广东华润顺峰药乙5.7
XA02AHD009A001010100690大黄碳酸氢钠片0.3g*60s瓶上海黄海制药有丙10.88
XA02BCA211B001020101425(基)注射用奥美拉唑钠(奥西康)40mg瓶江苏奥赛康乙44.03
XA02BCA211B001020104744*注射用奥美拉唑钠60mg瓶浙江亚太药业股乙1.35
XA02BCA211E005010205776*(基)奥美拉唑肠溶胶囊20mg*14s盒海南海灵化学制甲2.15
XA03BAA068B002010104451(基)硫酸阿托品注射液1ml:0.5mg支安徽长江药业有甲3.95
XA03BAA068B002020104494硫酸阿托品注射液1ml:0.5mg支杭州民生药业股份有限公司甲0.67
XA03BAX232B002010104494(基)盐酸消旋山莨菪碱注射液10mg*10支盒杭州民生制药乙23.8
XA03BBD142B002010203204东茛菪碱注射液0.3mg*2支盒遂成药业乙136
XA03BBD142B002010403204氢溴酸东莨菪碱注射液1ml:0.3mg支遂成药业股份有限公司乙68.00 
XA03FAD173A001010103010*(基)多潘立酮片10mg*30s盒辅仁药业集团有甲5.16
XA03FAD173A001010302461多潘立酮片10mg*30S盒华东医药（西安）博华制药有限公司甲4.18
XA03FAM120A001010204012*(基)枸橼酸莫沙必利片5mg*36s盒鲁南贝特甲18.60
XA05BAG021B002010101523甘草酸二铵注射液50mg*5支盒江苏正大天晴药乙15.4
XA05BAG021E001010101523*(基)甘草酸二铵胶囊50mg*24s盒江苏正大天晴药乙9.12
XA05BAS114A025010200190双环醇片(百赛诺)25mg*18s盒北京协和药厂乙57.38
XA06AAD168A001010104929多库酯钠片0.1g12片盒湖南华纳大药厂股份有限公司乙44.70
XA06AGK111S004030202670(基)开塞露40ml*10支盒河北武罗药业甲39.8
XA07AXX082A001010204152(基)小檗碱片(黄连素)0.1g*24s盒瑞阳制药甲10.12
XA07BCM081P001010204636*(基)蒙脱石散(肯特令)3g*12袋盒浙江海力生制药甲3.49
XA07FAD090E001010301161(基)地衣芽孢杆菌活菌胶囊(整肠生)0.25g*36s盒东北制药乙29.13
XA10ADJ247B002010180955精蛋白人胰岛素混合(30R)[精蛋白重组人胰岛素混合(30R)]3ml:300单位(笔芯)盒宜昌东阳光长江药业股份有限公司甲25.87 
XA10ADJ247B002020178604*▲(基)精蛋白人胰岛素混合注射液(优泌林)3ml:300IU支礼来苏州制药有丙30
XA10ADJ248B002010200600精蛋白人胰岛素混合(50R)[精蛋白重组人胰岛素混合(50R)]3ml:300国际单位(10.5mg)(笔芯)盒珠海联邦制药股份有限公司中山分公司甲25.91 
XA10ADM080B002010180955门冬胰岛素303ml:300单位(笔芯)盒宜昌东阳光长江药业股份有限公司乙25.87 
XA10BAE021A001010200680*▲(基)盐酸二甲双胍片0.25g*60s瓶上海信谊天平药甲1.8
XA10BAE021A010010501523▲(基)(泰白)盐酸二甲双胍缓释片0.5g*60s盒正大天晴药业乙14.76
XA10BBG070A010010400177*格列齐特缓释片30mg*60s盒北京福元医药股乙36.16
XA10BFA025A001020200002*▲阿卡波糖片(拜唐苹)50mg*30s盒拜耳医药保健有甲7.51
XA10BFF058A001010401679伏格列波糖片0.2mg*60s盒苏州中化药品工业有限公司乙8.77
XA10BFF058A001020301679伏格列波糖片0.3mg*30s盒苏州中化药品工业有限公司乙6.13
XA10BFF058E001010404756▲伏格列波糖胶囊0.2mg*30s盒浙江震元制药乙31.32
XA10BKD256A001010183198达格列净片5mg*30s瓶山东鲁抗医药股份有限公司乙74.65
XA10BXR068A001010201444▲(基)瑞格列奈片(孚来迪)0.5mg*60s盒江苏豪森药业有乙25.2
XA11DAF050A017010104494呋喃硫胺片25mg*100s瓶杭州民生制药丙3.5
XA11ECW087X001010104623五维他口服溶液120ml瓶浙江迪尔药业丙4.81
XA11GAW043B002010201397*(基)维生素C注射液5ml:1.0g支常州制药厂有限甲0.34
XA11HAW039A001010100443(基)维生素B2片5mg*100s瓶广东恒健甲22.8
XA11HAW041B001010205754注射用维生素B60.1g瓶海南通用康力甲3.9
XA11HAW041B002010201397*(基)维生素B6注射液1ml:50mg支常州制药厂有限甲0.18
XA11HAW049E002010104747维生素E软胶囊100mg*30s盒浙江医药股份新丙14.95
XA12AAP077B002010301708葡萄糖酸钙注射液10ml:1.0g支海南倍特药业有限公司甲0.89
XA12AAP077B002010501708葡萄糖酸钙注射液10ml:1g(按C₁₂H₂₂CaO₁₄计)*50支盒海南倍特药业有限公司甲44.5
XA12AAP077B002030101744(基)葡萄糖酸钙注射液10ml:1.0g支扬州中宝药业股甲0.96
XA12AXT013A005010204177碳酸钙D3咀嚼片1.25g*40s瓶山东威高药业股丙45.36
XA12AXT201A001010101421碳酸钙D3 Ⅰ(碳酸钙D3)含钙600mg/维生素D3125国际单位瓶赫力昂（苏州）制药有限公司乙19.88
XA12BAL208A010020281084氯化钾缓释片0.5g*48s盒广州誉东健康制药有限公司甲10.99
XB01ACA056A012010202831阿司匹林肠溶片25mg*120s瓶北京海王中新药业股份有限公司甲2.51
XB01ACA056A012020279489(基)阿司匹林肠溶片(拜阿司匹林)100mg*30s盒拜耳医药保健有甲15.05
XB01ACL190A001010402770*(基)硫酸氢氯吡格雷片75mg*30s盒石药集团欧意药乙30.59
XB01AFL056A001030104021*利伐沙班片20mg*14s盒齐鲁制药乙22.88
XB02AAA171B002010204998(基)氨甲苯酸注射液0.1g*5支盒湖南五洲通药业丙62.5
XB03AAH026A001010204929(基)琥珀酸亚铁片0.1g*36s盒湖南华纳大药厂甲37.5
XB03AAH026A001010304942琥珀酸亚铁片0.1g*28s盒湖南九典制药股份有限公司甲5.57
XB03BAJ038A001010201693*甲钴胺片(弥可保)0.5mg*100s盒卫材中国药业有乙15.49
XB03BBY050A001010101397(基)叶酸片0.4mg*31s瓶常州药厂甲7.32
XB05BAF150B002010304127▲(基)复方氨基酸注射液(18AA)250ml:12.5g袋山东鲁抗辰欣药丙18
XB05BAZ018B002050102180▲脂肪乳注射液250ml瓶四川科伦大药厂乙19.19
XB05BBM115B001050602763▲灭菌注射用水500ml瓶石家庄四药乙3.25
XB05BBP072B002020201871▲(基)葡萄糖注射液50%20ml*5支盒湖北科伦药业甲5.25
XB05BBP072B002030604346(基)葡萄糖注射液5%250ml瓶安徽双鹤药业甲1.64
XB05BBP072B002040604346(基)葡萄糖注射液10%250ml瓶安徽双鹤药业甲1.85
XB05BBP072B002050604346(基)葡萄糖注射液5%500ml瓶安徽双鹤药业甲2.24
XB05BBP075B002030604346(基)葡萄糖氯化钠注射液5%250ml瓶安徽双鹤药业甲1.85
XB05BBP075B002040604346(基)葡萄糖氯化钠注射液5%500ml瓶安徽双鹤药业甲2.24
XB05BBR057B002020102180(基)乳酸钠林格注射液500ml瓶四川科伦丙7.5
XB05BCG027B002030100628(基)甘露醇注射液250ml瓶上海百特医疗用甲7.97
XB05CBS079S002040104145(基)生理氯化钠注射液500ml:4.5g瓶山东齐都药业乙2.1
XB05XAL208B002020204718▲(基)氯化钾注射液15%10ml:1.5g*50支盒浙江天瑞药业甲18.5
XB05XAL211B002010100801(基)氯化钠注射液0.9%10ml*5支盒上海信谊制药厂甲1.1
XB05XAL211B002010604346(基)氯化钠注射液100ml瓶安徽双鹤药业甲1.63
XB05XAL211B002020604346(基)氯化钠注射液250ml瓶安徽双鹤药业甲1.85
XB05XAL211B002030604346(基)氯化钠注射液500ml瓶安徽双鹤药业甲2.26
XB05XAT018B002010104718(基)碳酸氢钠注射液250ml瓶浙江天瑞药业丙24.5
XC01AAD072A001010300818(基)地高辛片0.25mg*30s盒上海信谊制药厂甲30
XC01AAQ133B002010301708▲(基)去乙酰毛花苷注射液2ml:0.4mg支成都倍特药业甲83
XC01BBL054B002010205006*▲(基)利多卡因注射液5ml:0.1g支湖南科伦制药有甲2.23
XC01BBM063A001010102777盐酸美西律片50mg*100s瓶石药集团欧意药甲16.91
XC01BDA201B002010204608盐酸胺碘酮注射液3ml:150mg支浙江创新生物有限公司甲5.98 
XC01BDA201B002010578821盐酸胺碘酮注射液(可达龙)3ml：0.15g支赛诺菲(杭州)制甲21.50 
XC01CAD162B002010200673▲(基)多巴胺注射液20mg支上海禾丰制药厂甲3.61
XC01CAD162B002010283813盐酸多巴胺注射液5ml:100mg支山西诺成制药有限公司甲3.17
XC01CAJ097B002020100137▲(基)重酒石酸间羟胺注射液1ml:10mg(19mg)支北京市永康甲19.50 
XC01CAQ120B002010101984▲(基)去甲肾上腺素注射液1ml:2mg支武汉远大制药甲16.37
XC01CAS071B002020100673▲(基)肾上腺素注射液1mg支上海禾丰制药厂甲4.8
XC01CAY138B002010200673▲(基)异丙肾上腺素注射液2ml:1mg支上海禾丰制药厂甲30.39
XC01DAD024A001010204083*(基)单硝酸异山梨脂片20mg*48s盒山东方明药业集甲20.21
XC01DAX072B002010204207(基)硝酸甘油注射液1ml:5mg支山东圣鲁制药甲16.68
XC02CAW069B002010102763盐酸乌拉地尔注射液10ml:50mg(以乌拉地尔计）盒石家庄四药有限公司乙1.96
XC02CAW069B002010178687*(基)盐酸乌拉地尔注射液(亚宁定)5ml:25mg支奥地利乙36.5
XC03CAF056A001010101510(基)呋塞米片20mg*100s瓶江苏亚邦爱普森甲28.2
XC03CAF056B002010104083(基)呋塞米注射液20mg*10支盒山东方明药业集甲19.8
XC03DAL269A001010204494(基)螺内酯片20mg*100s瓶杭州民生制药甲13.8
XC05CAD336A001010201954*(基)地奥司明片0.45g*24s盒马应龙药业乙15.3
XC07AAP101A001010201815*(基)普萘洛尔片10mg*100s瓶华中药业甲19.8
XC07ABM062A001010202767(基)酒石酸美托洛尔片25mg*30s盒石家庄以岭药业甲7.50
XC08CAX211A010010203943*(基)硝苯地平缓释片20mg*60s盒迪沙药业甲3.77
XC08CAZ067A001010300841*(基)苯磺酸左氨氯地平片2.5mg*28s盒扬子江药业集团乙12.89
XC08CAZ067A006010202770马来酸左氨氯地平分散片(玄宁)2.5mg*14s盒石药集团欧意药乙33.42
XC09AAY074A001010101397*(基)马来酸依那普利片(怡那林)10mg*16s盒常州制药厂有限甲2.38
XC09AAY074A001010101747(基)马来酸依那普利片(依苏）10mg*16s盒扬子江制药股份甲8.93
XC09CAE003A001010804647*厄贝沙坦片(安来)75mg*60s盒浙江华海药业股乙9.29
XC09DAE004A001010201606*厄贝沙坦氢氯噻嗪片(依伦平)150mg*14s盒南京正大天晴制乙9.8
XC10AAA067A001010105847*(基)阿托伐他汀钙片(美达信)10mg*14s盒齐鲁制药乙2.1
XD01ACQ086F002030101751曲安奈德益康唑乳膏20g支永信药品工业有乙9.49
XD02AEN058F002020104670(基)尿素乳膏50g支浙江康恩贝制药甲8.98
XD07ACF091F002020100931氟轻松乳膏20g支天津太平洋制药丙1.65
XD09AAB080V001020400733苯扎氯胺贴100张盒上海强生制药有丙16.53
XD10AFH016F001010104358(基)红霉素软膏10g支福元药业股份有甲2.36
XG04CBF019A001020304489*(基)非那雄胺片5mg*30s盒杭州康恩贝制药乙5.21
XH02ABD234B001030104286注射用地塞米松磷酸钠5mg*10瓶盒马鞍山丰原制药甲24.4
XH02ABD234B002010201866(基)地塞米松磷酸钠注射液1ml:2mg支天津金耀集团甲0.22
XH02ABD234B002010301708地塞米松磷酸钠注射液5mg支海南倍特药业有限公司甲0.57
XH02ABD234B002020201866(基)地塞米松磷酸钠注射液1ml:5mg支天津金耀集团湖甲0.67
XH03AAZ057A001030279462(基)左甲状腺素钠片(优甲乐)50ug*100s盒德国默克公司甲24.88
XJ01CAA040E001020302777阿莫西林胶囊按C16H19N3O5S计0.25g*30粒盒石药集团中诺药业(石家庄)有限公司甲4.14
XJ01CAA040E001030402777*阿莫西林胶囊0.5g*20s盒石药集团中诺药甲2.48
XJ01CEQ054B001030102690(基)注射用青霉素钠80万U瓶华北制药股份有丙3.8
XJ01CRA042B003020202673*(基)注射用阿莫西林钠克拉维酸钾1.2g瓶成都倍特药业乙11.3
XJ01CRA042E001020804667阿莫西林克拉维酸钾胶囊156.25mg*36s盒浙江巨泰药业甲24.3
XJ01DCT072E001010401679*头孢克洛胶囊0.25*12s盒苏州中化药品乙7.30
XJ01DDT081B001010101187注射用头孢哌酮钠舒巴坦钠(舒普深)1.0g瓶辉瑞制药乙39.14
XJ01DDT081B013010204021*注射用头孢哌酮钠舒巴坦钠1.0g瓶齐鲁安替制药有乙3.3
XJ01DDT088B001020100513*(基)注射用头孢曲松钠1.0g瓶深圳立健药业甲2.66
XJ01FAA051A001010202770*(基)阿奇霉素片(维宏)0.25g*6s盒石药集团欧意药甲4.98
XJ01FAA051B001030105791*注射用阿奇霉素0.5g瓶海南倍特药业有乙13.76
XJ01GBQ072B002010203204(基)硫酸庆大霉素注射液8万U支遂成药业甲0.85
XJ01MAZ074A001011303307*(基)左氧氟沙星片0.5g*28s盒长春海悦药业股甲14.48
XJ01MAZ083B002040107968*(基)左氧氟沙星氯化钠注射液100ml:0.5g:0.9g袋浙江医药股份新乙17.5
XJ01XDJ185B002010104145(基)甲硝唑氯化钠注射液100ml瓶山东齐都药业乙2.1
XJ01XDT045A001010202292*(基)替硝唑片0.5g*20s盒四川科伦甲24.56
XJ05AFE013A006010301650*(基)恩替卡韦分散片(瑞夫恩)0.5mg*21s盒苏州东瑞制药有乙3.5
XJ05AHA218E001010102770*(基)奥司他韦胶囊75mg*10s盒石药集团欧意药乙18.11
XJ05AHA218E001010178794(基)奥司他韦胶囊(达菲)75mg*10s盒上海罗氏制药有乙171.55
XJ06AAP062B001010205348(基)破伤风抗毒素1500U/支支江西生物制品甲15.09
XL03AAC106B002040104021人粒细胞刺激因子注射液(自费)100ug*0.6ml支齐鲁制药乙72.41
XL03ACR107B014020100148注射用人白介素-11(迈格尔)1.5mg(1200万U)/瓶瓶北京双鹭药业乙102.95 
XL03AXL066A001020201452利可君片(利血生)20mg*48s盒镇江吉贝尔药业乙47.99
XM01AEB173B002010102181布洛芬注射液4ml:0.4g盒成都苑东乙21.33 
XM03ABL310B002020100808(基)氯化琥珀胆碱注射液2ml:100mg支上海旭东海普药甲49.60 
XM04ACQ079A001020105614秋水仙碱片1mg*20s盒昆明制药股份有甲11.32
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