部分药品补充剂型规格最高零售价格表.doc

部分药品补充剂型规格最高零售价格表金额单位:元序号药品通用名剂型规格单位最高零售价格备注1氟达拉滨片剂10mg*20片盒8960.00 先灵(广州)药业2西落他唑胶囊50mg*12粒盒57.90 3头孢呋辛钠注射剂1.25g瓶27.80 4雷洛昔芬片剂60mg*7片盒68.00 5片剂60mg*10片盒95.90 6阿莫西林克拉维酸钾分散片125mg:62.5mg*6片盒25.40 7分散片125mg:62.5mg*12片盒49.60 8苯巴比妥注射剂100mg(溶媒结晶)瓶3.70 9托拉塞米注射剂10mg(冻干粉)瓶27.10 10注射剂20mg(冻干粉)瓶46.00 11膦甲酸钠注射剂2.4g:100ml袋139.00 12普伐他汀片剂40mg*7片盒93.30 上海三共制药13头孢噻肟钠注射剂2.0g瓶96.20 华北制药凯瑞特药业14尼莫地平缓释片60mg*10片盒13.30 15兰索拉唑片剂15mg*10片盒61.00 16片剂15mg*12片盒73.00 17异丙托溴铵气雾剂14g:8.4mg瓶72.90 18马尿酸乌洛托品片剂500mg*20片盒31.60 19片剂500mg*40片盒60.90 20二甲双胍片剂250mg*36片盒9.20 昆山双鹤药业21片剂250mg*48片盒12.10 22低分子肝素钙注射剂4100单位:0.4ml (一次性预充)瓶62.50 仅指执行:YBH03832006质量标准23注射剂2050单位:0.2ml (一次性预充)瓶38.80 24氯雷他定颗粒剂10mg*10袋盒33.60 25头孢替安注射剂500mg瓶46.50 哈药集团制药总厂26注射剂1.0g瓶79.00 27注射剂2.0g瓶134.00 28重组人红细胞生成素注射剂10000单位(冻干粉)瓶141.00 29格列美脲滴丸剂1mg*40粒盒87.80 30奥拉西坦注射剂1.0g:5ml支81.60 31五水头孢唑林钠注射剂500mg瓶33.00 32注射剂1.0g瓶56.20 33川芎嗪注射剂80mg:10ml支1.30 34注射剂80mg:200ml瓶10.30 35注射剂80mg:250ml瓶10.60 36复方氨基酸(17AA-H)(复方肝病用氨基酸)注射剂37.925g:500ml(7.59%)瓶58.00 37复方氨基酸(18AA-N)(复方肾病用氨基酸)注射剂12.25g:200ml(6.13%)瓶48.00 38玻璃酸钠注射剂8.5mg:0.85ml(预充式)支192.00 39r-干扰素注射剂50万单位瓶23.7 40阿立哌唑口腔崩解片5mg*20片盒68.5 41阿司匹林缓释片75mg*24片盒16.4 42木糖醇注射剂50g:500ml袋29.8 43尿素维E乳膏剂20g：15%盒2.1 44炎琥宁注射剂80mg:100ml塑瓶24.4 45注射剂200mg:100ml塑瓶47.2 46依诺沙星片剂200mg*12片盒27.1 47片剂100mg*20片盒26.1 48藻酸双脂钠片剂50mg*24片盒1.9 49注射剂75mg(冻干粉)瓶36.4 50他扎罗汀乳膏剂30g:30mg支33.3 51独一味胶囊胶囊0.3g*50粒盒51.152二十五味珊瑚丸水丸1g/4丸*24丸盒50.153洁白胶囊胶囊0.4g*24粒盒30.554流感丸水丸0.25g*30丸盒16.155香菊感冒颗粒颗粒剂7.5g*6袋(低糖型)盒8.756颗粒剂15g*10袋盒13.657通滞苏润江胶囊胶囊300mg*12粒盒25.558胶囊300mg*30粒盒61.759扎冲十三味丸丸剂2g/10丸*10丸盒26.560复方板蓝根颗粒颗粒剂15g*8小包袋4.0 61半夏露糖浆糖浆200ml瓶4.962黄芪精口服液口服液10ml*10支(无糖型)盒17.663口服液10ml*40支盒60.864五子衍宗丸水蜜丸120g瓶16.765五味子糖浆糖浆剂60ml瓶1.966糖浆剂180ml瓶5.267糖浆剂200ml瓶5.768糖浆剂500ml瓶13.369心痛康片片剂0.3g*24片盒19.670片剂0.3g*48片盒38.371逐瘀通脉胶囊胶囊0.2g*30粒盒52.872健胃消食片片剂11片*4板盒6.673片剂36片盒5.474胃痛定片片剂0.36g*24片盒27.975大黄通便颗粒颗粒剂12g*6袋盒15.876晕复静片片剂6片板3.677片剂20片*2板盒22.278片剂80片瓶43.479天麻胶囊胶囊0.25g*24粒盒4.480胶囊0.25g*48粒盒8.681胶囊0.25g*90粒盒15.782晕可平糖浆糖浆120ml瓶8.283糖浆180ml瓶11.984麝香追风膏贴膏7cm*10cm*6片(弹力微孔)盒4.685贴膏7cm*10cm*8片(弹力微孔)盒686三妙丸丸剂50g瓶4.587金银花露合剂120ml瓶3.488合剂250ml瓶6.689合剂340ml瓶8.890艾条28g(药艾条)支3.191更年安胶囊胶囊0.3g*20粒盒12.292银黄含化片含化片32片盒8.393骨刺宁胶囊胶囊0.3g*24粒盒18.494胶囊0.3g*36粒盒27.195伤湿止痛膏贴膏8cm*13cm*2片(弹力微孔)盒3.196贴膏8cm*13cm*5片(弹力微孔)盒7.497贴膏8cm*13cm*6片(弹力微孔)盒8.898贴膏8cm*13cm*8片(弹力微孔)盒11.799护肝宁片片剂48片盒(瓶)19.20 100五酯片片剂7.5mg:0.31g*30片(薄膜衣片)盒(瓶)28.50 101片剂7.5mg:0.31g*45片 (薄膜衣片)盒(瓶)42.00 102利肺片片剂36片盒(瓶)16.60 103扶正化瘀胶囊胶囊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