1、頭孢替安等藥品補充劑型規格最高零售價格表金額:元序號藥品通用名劑型規格單位最高零售價備注1頭孢替安注射劑500mg瓶46.5僅指執行YBH10162009標準的制劑注射劑1.0g瓶79.02氯普噻噸注射劑2ml:30mg支18.03艾司唑侖注射劑1ml:2mg支15.84氨氯地平滴丸劑5mg*14粒盒58.3滴丸劑5mg*15粒盒62.35奧硝唑分散片250mg*24片盒53.6片劑250mg*8片盒14.36縮宮素注射劑1ml:5單位支12.6生物提取7氯化銨片劑300mg*1000片瓶13.08氯化鈉溶液劑500ml塑瓶6.5沖洗劑500ml塑瓶6.5溶液劑3000ml(軟袋,雙閥)袋25

2、.3沖洗劑3000ml(軟袋,雙閥)袋25.39氯霉素膠囊劑250mg*100粒瓶17.010丁酸氫化可的松乳膏劑15g:15mg支21.311蘭索拉唑腸溶片15mg*12片盒59.5腸溶片15mg*20片盒97.412羥乙基淀粉130/0.4注射劑250ml:15g瓶65.2注射劑500ml:30g瓶113注射劑500ml:30g袋11713阿奇霉素干混懸劑100mg*7袋盒18.6干混懸劑100mg*12袋盒31.3干混懸劑100mg*15袋盒38.814地氯雷他定干混懸劑500mg:2.5mg*10袋盒28.8干混懸劑500mg:2.5mg*14袋盒39.815尼莫地平膠囊劑20mg*3

3、0粒盒18.1海南普利制藥有限公司16萘普生片劑125mg*100片瓶14.117維A酸乳膏劑25g:6.25mg支16.618利培酮口腔崩解片1mg*30片盒86.519阿伐斯汀膠囊劑8mg*20粒盒30.120維胺酯膠囊劑25mg*60粒盒70.121重組人干擾素2b注射劑1ml:100萬IU支21.4注射劑1ml:300萬IU支51.0注射劑1ml:500萬IU支75.922氫化潑尼松(潑尼松龍)注射劑2ml:10mg(可供靜脈注射)支29.223泮托拉唑腸溶膠囊40mg*10粒盒91.4腸溶膠囊40mg*20粒盒178腸溶片40mg*28片盒24724氟羅沙星片劑100mg*16片盒4

4、1.1注射劑100mg(凍干粉)瓶23.0注射劑100ml:400mg塑瓶74.225玻璃酸鈉滴眼劑10mg:10ml支74.126吡貝地爾緩釋片50mg*30片盒101施維雅（天津）制藥有限公司27溴己新注射劑100ml:4mg瓶39.028重組人粒細胞刺激因子注射劑75ug:0.3ml支357麒麟鯤鵬(中國)生物藥業有限公司注射劑150ug:0.6ml支731注射劑300ug:1.2ml支935注射劑300ug:0.9ml(預充式)支39929多西環素腸溶膠囊(微丸)100mg*20粒盒50.7注射劑100mg(凍干粉)瓶87.630脂肪乳中鏈及長鏈復合劑注射劑500ml:50g(10%)

5、瓶136貝朗公司31氧氟沙星滴耳劑10ml:30mg支10.332富馬酸喹硫平片劑25mg*20片盒156阿斯利康制藥有限公司(進口分包裝)片劑200mg*20片盒278片劑300mg*20片盒37933戈舍瑞林植入劑3.6mg支236334復方對乙酰氨基酚片劑12片盒1.8片劑100片瓶7.835二硫化硒洗劑10g:0.25g瓶3.7洗劑150g:3.75g瓶29.136硝苯地平緩釋片()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顆粒劑25mg*10袋盒7.838單硝酸異山梨酯緩釋膠囊()40mg*10粒盒24.9片劑20mg*6

6、0片盒57.539環丙沙星栓劑200mg*5枚盒15.0滴眼劑8ml:24mg支7.240倍他司汀注射劑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布美他尼注射劑2ml:1mg支22.843云芝胞內糖肽膠囊劑500mg*36粒盒10544葡醛酸鈉注射劑0.133g(凍干粉)瓶3.745三磷酸腺苷腸溶片20mg*24片盒2.846奈福泮片劑20mg*48片盒25.3片劑20mg*100片盒51.347哈西奈德涂膜劑10g:10mg瓶9.148重組人生長激素

7、注射劑8單位(凍干粉)瓶19049重組人紅細胞生成素注射劑2000IU:0.4ml(預充式)支43.0注射劑3000IU:0.6ml(預充式)支57.0注射劑4000IU:0.8ml(預充式)支70.0注射劑5000IU:0.5ml(預充式)支79.6注射劑6000IU:0.6ml(預充式)支93.0注射劑2500IU:1ml支45.1注射劑5000IU:1ml支76.650氨基葡萄糖片劑250mg*24片盒60.051雙歧桿菌三聯活菌腸溶膠囊210mg*24粒盒32.4片劑0.5g*24片盒29.152四環素眼膏劑2g支0.7053丙酸氯倍他索搽劑10ml支6.054尼麥角林片劑5mg*36

8、片盒39.0片劑10mg*36片盒66.355重組人白介素-2注射劑100萬IU:0.8ml(預充式)支153注射劑100萬IU:0.8ml支150注射劑50萬IU:0.4ml支87.056美羅培南注射劑250mg瓶93.2注射劑500mg瓶16057羧甲司坦口服溶液劑10ml:500mg*6支盒17.458泛昔洛韋顆粒劑125mg*12袋盒63.6顆粒劑125mg*8袋盒43.059右旋糖酐鐵片劑25mg*40片盒35.6片劑25mg*60片盒45.7片劑50mg*20片盒27.060倍氯米松氣霧劑250ug*200撳瓶10661高滲羥乙基淀粉200/0.5注射劑250ml:羥乙基淀粉200

9、/0.515g與氯化鈉18g袋38862克拉霉素顆粒劑100mg*6袋盒14.463托瑞米芬片劑60mg*14片盒11564布洛芬緩釋混懸劑50ml(100ml:3g)盒23.1緩釋混懸劑60ml(100ml:3g)盒27.565咪康唑陰道泡騰片200mg*8片盒26.5陰道泡騰片200mg*12片盒39.266天麻素注射劑100mg (凍干粉)盒9.5注射劑200mg (凍干粉)盒16.167木糖醇注射劑250ml:12.5g袋12.268吲達帕胺片劑2.5mg*36片盒24.469頭孢克肟干混懸劑50mg*12袋盒50.1膠囊劑50mg*14粒盒37.3膠囊劑50mg*16粒盒42.5膠囊

10、劑50mg*18粒盒47.6膠囊劑50mg*20粒盒52.670復方雷尼替丁膠囊劑12粒盒26.8膠囊劑24粒盒52.3片劑12片盒26.871非諾貝特膠囊劑()100mg*12粒盒28.6膠囊劑()100mg*20粒盒46.872甲氯芬酯膠囊劑200mg*18粒盒26.173甲硝唑注射劑0.915g瓶4.174兩性霉素B脂質體注射劑50mg（凍干粉）瓶103975果糖二磷酸鈉注射劑50ml:5g袋48.876甲氨蝶呤注射劑50ml:5.0g瓶618注射劑5ml:50mg支17.677大蒜素腸溶膠丸20mg*24粒盒20.478鋁碳酸鎂顆粒劑2g:500mg*24袋盒27.579加蘭他敏分散片

11、4mg*14片盒65.680消旋山莨菪堿注射劑1ml:5mg支0.5281頭孢呋辛膠囊劑125mg*24粒盒41.882頭孢丙烯顆粒劑250mg*6袋盒51.383阿莫西林顆粒劑250mg*12袋盒13.684胞磷膽堿注射劑100ml:0.5g袋14.685福辛普利片劑10mg*21片盒6586門冬酰胺酶注射劑5000單位（凍干粉）瓶11087米多君片劑2.5mg*10片盒26.888土霉素片劑125mg*100片瓶4.689胸腺肽腸溶片20mg*20片盒187腸溶片20mg*12片盒114腸溶片10mg*6片盒34.4腸溶片20mg*16片盒151腸溶片5mg*12片盒39.490十一酸睪酮

12、軟膠囊40mg*10粒盒21.791雙氯芬酸鈉緩釋膠囊100mg*20粒盒32.692異維A酸軟膠囊10mg*24粒盒55.293降纖酶注射劑1ml:5單位支34.594阿莫西林克拉維酸鉀干混懸劑1.5g(0.2g:28.5mg)*8袋盒18.295氨咖黃敏片劑15片盒1.896苯丙哌林膠囊劑20mg*12粒盒1.897復方甘露醇注射劑250ml:37.5g塑瓶23.098貝諾酯分散片200mg*24片盒12.799奧美拉唑腸溶膠囊40mg*24粒盒85.2腸溶膠囊40mg*12粒盒43.7100苯扎貝特片劑200mg*12片盒23.7101氟康唑膠囊劑50mg*9粒盒32.5102三磷酸胞苷

13、注射劑2ml:40mg支76.7103替米沙坦片劑40mg*20片盒57.1104替硝唑注射劑200ml:400mg塑瓶14.5栓劑1g*6枚盒34.4105頭孢克洛分散片125mg*18片盒50.3106阿魏酸哌嗪片劑50mg*60片瓶17.4107當歸苦參丸丸劑6g*12袋(水蜜丸)盒28.3108通竅鼻炎膠囊膠囊劑0.4g*30粒盒22.5109婦科調經片片劑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扎沖十三味丸水丸1g/10粒*50粒盒64.1113黃芪顆粒顆粒劑15

14、g*18袋盒46.1114桂附地黃丸丸劑72g(水蜜丸)瓶10.4115牛黃蛇膽川貝膠囊膠囊劑0.25g*12粒盒6.0膠囊劑0.5g*20粒盒19.3116雙黃連口服液口服液10ml*6支(濃縮型)盒16.7河南太龍117一清顆粒顆粒劑7.5g*8袋盒9.3顆粒劑7.5g*10袋盒11.6顆粒劑7.5g*15袋盒17.1118速效心痛滴丸滴丸劑40mg*90粒盒26.2119丹參片片劑180片(薄膜衣片)瓶17.1上海雷允上藥業有限公司120猴頭菌片片劑180片(薄膜衣片)瓶18.7121木香順氣丸水丸6g*12袋盒10.2北京同仁堂制藥有限公司122越鞠保和丸水丸6g*12袋盒10.1北京

15、同仁堂制藥有限公司123良附丸水丸6g*12袋盒10.5124二陳丸水丸6g*12袋盒12.0北京同仁堂制藥有限公司125藍芩口服液口服液10ml*6支(每支含量相當于原藥材的21.2g)盒64.9口服液10ml*12支(相當于原藥材的21.2g)盒127126黃芪精口服液口服液10ml*12支盒19.1127丁細牙痛膠囊膠囊劑0.45g*12粒盒20.0膠囊劑0.45g*24粒盒39.0128八正顆粒顆粒劑8g*12袋盒40.5129血塞通分散片分散片0.17g*48片(含三七總皂苷25mg)盒/瓶24.8分散片0.17g*60片(含三七總皂苷25mg)盒/瓶30.7130冠脈寧片片劑45片

16、(糖衣片)盒/瓶26.3131蛇膽陳皮液口服液10ml*10支盒19.0132刺五加腦靈液合劑10ml*10支盒18.3133傷濕止痛膏橡膠膏劑5cm*7cm*8貼盒2.5134新清寧片片劑0.31g*60片(薄膜衣片)盒13.9135腦得生片片劑120片(薄膜衣片)盒/瓶37.2136蛇膽川貝膠囊膠囊劑30粒盒24.0137杏蘇止咳顆粒顆粒劑12g*9袋盒12.5138血塞通注射液注射劑0.4g*:20ml支30.8139舒肝片片劑0.6g*32片盒23.6140小柴胡顆粒顆粒劑4g*12袋(無糖型)盒14.4141蛇膽川貝枇杷膏煎膏劑210g瓶19.3142龍膽瀉肝丸水丸6g*10袋盒7.2水丸6g*20袋盒13.7143銀黃顆粒顆粒劑4g*9袋(無糖型)盒9.5顆粒劑4g*10袋(無糖型)盒10.4顆粒劑4g*12袋(無糖型)盒12.5顆粒劑4g*16袋(