2017年抗菌药物备案

1、附件 1医疗机构抗菌药物供应目录备案表医疗机构名称：xxxxxxxxxxxxxx（加盖单位公 章）分类普通青霉素类广谱青霉素品品规种编号编通用名号1青霉素 G钠1青霉素 G钠22阿莫西林胶囊3阿莫西林分散4片零售商用价格规格剂型（元）名称0.39注射剂80万U0.63注射剂160万U20.56阿莫仙胶囊剂0.5g*2418.26分散片0.5g*10分级生产备企业非限制使用限制使用级特殊使用级注级(共 44种)(共 39 种)(共 9种)xxxxxxx xxxxxxx xxxxxxx xxxxxxx.3注射用美洛西林钠4注射用阿洛西林钠5注射用磺苄西林钠注射用氟氯西6林钠对酶稳定的注射用氟氯西青

2、霉素类林钠氟氯西林钠胶囊青霉素类复方制剂（ -注射用阿莫西内酰胺酶抑林克拉维酸钾制剂）75力扬注射剂2.0g28.07xxxxxxx6注射剂1.5g22.85xxxxxxx7注射剂1.0g5.89xxxxxxx8注射剂1.5g39.80xxxxxxx9万普健注射剂1.0g33.41xxxxxxx10颇佳注射剂2.0g51.23xxxxxxx11注射剂0.5g38.00xxxxxxx12伊芬注射剂1.0g98.77xxxxxxx13胶囊剂0.25g*1239.00xxxxxxx14注射剂0.6g11.57xxxxxxx15君尔清注射剂1.2g14.92xxxxxxx.阿莫西林克拉维酸钾片注射用美

3、洛西林 / 舒巴坦钠816375mg*1545.74君尔清片剂xxxxxxx171.25g32.83开林注射剂xxxxxxx183.75g80.76注射剂xxxxxxx191.25g69.00注射剂xxxxxxx第一代头孢菌素类注射用哌拉西9 林/他唑巴坦钠注射用氨苄西10林 / 舒巴坦钠注射用头孢唑林11 注射用五水头孢唑林钠头孢羟氨苄胶囊12头孢羟氨苄咀嚼片注射用头孢西酮1320凯伦2.25g27.30注射剂xxxxxxx2145.68注射剂xxxxxxx2.25g220.85注射剂xxxxxxx0.5g2343.65新泰林注射剂xxxxxxx1.0g2416.00胶囊剂xxxxxxx0.

4、25g*122579 37片剂xxxxxxx0.125g*1626143.00注射剂xxxxxxx0.5g27230.00注射剂xxxxxxx1.0g.第二代头孢菌素类第三、四代头孢菌素类2827.79注射用头孢硫仙力素注射剂xxxxxxx140.5g脒2946.86仙力素注射剂xxxxxxx1.0g注射用头孢呋3025.74辛钠明可欣注射剂xxxxxxx0.75g15注射用头孢呋31安可欣注射剂44.61辛钠xxxxxxx1.5g头孢呋辛酯分3227.90散片库欣片剂xxxxxxx0.125g*1216头孢克洛胶囊3313.70胜寒胶囊剂xxxxxxx0.25g*6注射用盐酸头3415.03

5、孢替安注射剂xxxxxxx0.25g17注射用盐酸头3535.67孢替安注射剂xxxxxxx1.0g头孢丙烯分散36银力舒分散片30.76片xxxxxxx180.25g*6头孢丙烯胶囊3720.51亿代胶囊剂xxxxxxx0.25g*63833.56注射用头孢曲罗氏芬注射剂xxxxxxx190.5g松钠3957.13罗氏芬注射剂xxxxxxx1.0 g.20注射用头孢哌4018.00酮钠注射剂xxxxxxx0.5g注射用头孢噻4130.00欧盟认肟钠注射剂xxxxxxx证0.5g214251.00欧盟认立健帅注射剂xxxxxxx证1g22注射用头孢唑4359.70日本肟钠益保世灵注射剂xxxx

6、xxx1g4422.63注射用头孢他注射剂xxxxxxx0.5g23啶4537.90注射剂xxxxxxx1g24注射用盐酸头46信力威注射剂18.93xxxxxxx孢吡肟0.5g头孢菌素复47舒普深注射剂69.30方制剂（ -注射用头孢哌xxxxxxx1.5g内酰胺酶抑25酮 / 舒巴坦钠48汕鮀宁注射剂17.76制剂）xxxxxxx2g注射用头孢西5017.05丁钠噻欧注射剂xxxxxxx头霉素类261g注射用头孢米5136.09诺钠注射剂xxxxxxx1g其他 内酰27法罗培南片52君迪片剂129.92xxxxxxx胺类0.25g*6.28 注射用拉氧头孢注射用亚胺培29南西司他丁钠碳青霉

7、烯类注射用比阿培30南阿奇霉素肠溶胶囊阿奇霉素肠溶片阿奇霉素干混31悬剂注射用阿奇霉大环内酯类素注射用阿奇霉素红霉素肠溶胶囊32注射用乳糖酸红霉素53100.87噻吗灵注射剂xxxxxxx1g5439.51注射剂xxxxxxx0.5g55联邦倍能注射剂0.25g:0.2551.76xxxxxxx安g56135.31泰能注射剂xxxxxxx1g57130.95天册注射剂xxxxxxx0.3g5835.65胶囊剂xxxxxxx0.25g*65921.14肠溶片xxxxxxx0.25g*126038.00混悬剂xxxxxxx0.1g*661其仙注射剂19.93xxxxxxx0.125g6234.14

8、其仙注射剂xxxxxxx0.25g6329.25美红胶囊剂xxxxxxx0.25g*16640.92注射剂xxxxxxx0.25g.罗红霉素缓释33胶囊盐酸克林霉素注射液林可酰胺类34 注射用盐酸克林霉素硫酸阿米卡星35注射液硫酸依替米星氨基糖苷类注射液36 硫酸依替米星注射液注射用替加环四环素类37素盐酸环丙沙星片38 注射用盐酸环丙沙星喹诺酮类39吡哌酸左氧氟沙星片40乳酸左氧氟沙星注射液6537.40逻施立胶囊剂xxxxxxx0.15g*126622.50莱美特宁注射剂xxxxxxx4ml:0.3g6733.75注射剂xxxxxxx0.5g681.08注射剂xxxxxxx2ml ： 0.

9、2g69硫酸依替74.70米星注射注射剂xxxxxxx4ml ： 0.2g70液38.69注射剂xxxxxxx2ml ： 0.1g71518.70天解注射剂xxxxxxx50mg7215.00片剂xxxxxxx0.5g*1073注射剂55 00xxxxxxx0.2g7416.80片剂xxxxxxx0.25g*1007535.22可乐必妥片剂xxxxxxx0.1g*107630.14来立信注射剂xxxxxxx0.3g.盐酸左氧氟沙77左克注射剂9.90xxxxxxx星注射液0.1g:2ml盐酸莫西沙星78拜复乐注射剂253.27xxxxxxx41氯化钠注射液250ml：0.4g盐酸莫西沙星注射剂

10、198.5079xxxxxxx注射液0.4g:20ml糖肽类42注射用盐酸万注射剂78.8780xxxxxxx古霉素0.5g37.1481片剂xxxxxxx甲硝唑片0.2g*10043甲硝唑氯化钠82注射剂6.25xxxxxxx注射液250ml*0.5g44替硝唑氯化钠83注射剂13.86xxxxxxx注射液200ml：0.8g奥硝唑氯化钠84注射剂30.15xxxxxxx硝基咪唑衍注射液100ml：0.5g生物85今达注射剂19.73xxxxxxx注射用奥硝唑0.25g458628.00固特分散片xxxxxxx奥硝唑分散片0.25g*248716.14潇然片剂xxxxxxx奥硝唑片0.25g*18左奥硝唑氯化88优诺安注射剂116.50xxxxxxx钠注射液100ml:0.5g.利奈唑胺注射斯沃注射剂300ml:600m89393.91xxxxx