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那坡县妇幼保健院药品价格标准收费公示

2019-12-19 00:00     来源:那坡县残联会     作者:那坡县残联会
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药品ID药品名称药品规格单位零售价格批发价格批准文号居保用药医保用药基本用药
00044300.9%氯化钠注射液10ml:90mg0.7500.750国H20044024甲类甲类基药
00039700.9%氯化钠注射液50ml:0.45g4.3004.300国H20044565甲类甲类基药
00022340.9%氯化钠注射液(玻璃瓶)500ml2.0702.070国H45020977甲类甲类基药
00004410.9%氯化钠注射液100ml0.9:100ml5.0005.000国H34023607甲类甲类基药
000044910%氯化钾注射液1g:10ml*5支5.5005.500国H41021043甲类甲类非基药
000124310%氯化钠注射液10ml*5支3.7503.750国H20013006甲类甲类基药
000397510%葡萄糖注射液50ml5.2005.200国H20133008甲类甲类基药
000383410%葡萄糖注射液100ml100ml4.0004.000国H34023597甲类甲类基药
000382810%葡萄糖注射液250ml250ml5.5005.500国H34023599甲类甲类基药
000349010%葡萄糖注射液500ml500ml:50g6.0006.000国药准字H34023602甲类甲类基药
000368920%脂肪乳注射液100ml22.53022.530国H19993196乙类乙类增补
00032805%葡萄糖氯化钠注射液(250ml)250ml5.5005.500国H34023594甲类甲类基药
00004555%葡萄糖注射液25g:500ml6.0006.000国H34023601甲类甲类基药
00039785%葡萄糖注射液50ml:2.5g4.3004.300国H20044564甲类甲类基药
00004395%葡萄糖注射液(100ml)100ml:5g5.0005.000国H45020566甲类甲类基药
00004385%葡萄糖注射液(250ml)250ml:2.5g5.5005.500国H34023600甲类甲类基药
00025505%碳酸氢钠注射液10ml*5支/合9.5009.500国H41021050甲类甲类基药
000043650%葡萄糖注射液20ml*10g*5支5.0005.000国H45020239甲类甲类基药
0002352阿苯达唑片(史可肠虫清)0.2g*10s16.50016.500国H42021841甲类甲类基药
0003868阿莫西林胶囊0.25g:10s:5板8.0008.000国H51022376甲类甲类基药
0002135阿莫西林颗粒(0.125g/12袋)0.125g/12袋4.5004.500国药准字H20065203乙类乙类基药
0003851阿奇霉素分散片0.25*6#/合12.00012.000国H20000234甲类甲类基药
0004586阿奇霉素干混悬剂0.1g*6袋22.40022.400国H20103048自费自费非基药
0004296阿司匹林肠溶片100mg*30T15.51015.510国J20130078甲类甲类基药
0000386氨茶碱注射液0.25*10支17.00017.000国H41022266甲类甲类基药
0000407氨甲苯酸注射液0.1:10ml*5支20.00020.000国H43020893乙类乙类基药
0004625板蓝根颗粒10g*21袋14.50014.500国20202016自费自费基药
0004581保妇康栓1.74g*12S49.20049.200国Z46020058自费自费基药
0004614苯巴比妥钠注射液1ml:0.1g/10支300.000300.000国H2020381自费自费基药
0003829丙泊酚注射液20ml:200mg31.87031.870甲类甲类基药
0004211布洛芬缓释胶囊0.3*20S26.08026.080国H20074172乙类乙类基药
0003654布洛芬混悬液60ml:1.2g18.50018.500国H20030648乙类乙类非基药
0003697产妇安合剂250ml/瓶45.39045.390国药准字Z20026907自费自费非基药
0004757穿心莲注射液2ml*10支50.00050.000国药准字Z46020005自费自费非基药
0004804低分子量肝素钠注射液5000IU:0.4ml16.60016.600国药准字H20030429自费自费基药
0000422地塞米松磷酸钠射液(5mg)5mg:1*10支3.7003.700国H41020036甲类甲类基药
0004705地西泮片2.5mg*24片3.8003.800国H31021151自费自费基药
0000179地西泮注射液10mg*10支/合35.80035.800国H12020957甲类甲类基药
0004195丁苯羟酸乳膏15g:0.75g25.52025.520国药准字H43020660自费自费非基药
0004778多糖铁复合物胶囊0.15g*10粒31.03031.030国药准字H20030033自费自费非基药
0003767多维铁口服溶液10ml*15支41.25041.250自费自费非基药
0004789儿童维D钙咀嚼片(迪巧)750mg(300mg)*30片40.00040.000国药准字J20140153自费自费非基药
0004543肺力咳合剂150ml28.00028.000国Z20025136自费自费非基药
0000409酚磺乙胺注射液0.5g:2ml*10支15.60015.600国H52020734乙类乙类增补
0004612氟比洛芬酯注射液5ml:50mg63.07063.070自费自费非基药
0004499氟康唑片0.1g*6片18.98018.980国H20068078自费自费基药
0003840复方氨基酸注射液(18AA)250ml250ml:8.70g44.93044.930国H20056365乙类乙类基药
0004621复方黄松洗液(附洁阴器)300ml34.60034.600国Z20026294自费自费增补
0003716复方锌铁钙口服溶液10ml*15支34.47034.470国H20090076自费自费非基药
0004585富马酸酮替芬鼻喷雾剂15ml:16.7mg47.00047.000国H20113533自费自费增补
0003905富马酸酮替芬片1mg*60s4.5004.500国H32023636乙类乙类增补
0003363甘露醇注射液250ml4.2004.200国H45020929甲类甲类基药
0003470肝素钠注射液2ml:1.25万*10支98.00098.000乙类乙类基药
0004640黄体酮胶囊50mg*20粒30.27030.270国药准字H20041920自费自费增补
0002585黄体酮注射液20mg*10支40.00040.000国H33020828甲类甲类基药
0003498黄芪注射液10ml*5支14.35014.350国Z23020782乙类乙类非基药
0003621甲磺酸酚妥拉明注射液10mg/5支38.50038.500国H31020589甲类甲类基药
0003852甲硝唑氯化钠注射液100ml:0.5g:0.8g8.7008.700国H51021418甲类甲类基药
0000058甲硝唑片0.2g*100#9.6209.620国H41020125甲类甲类基药
0004777甲硝唑阴道凝胶5g:37.5mg*2支40.24040.240国药准字H2041426自费自费非基药
0004439间苯三酚注射液4ml:40mg*6支96.96096.960国H20046766自费自费非基药
0004628结合雌激素乳膏14g129.000129.000国药准字H20051718自费自费非基药
0004582金刚藤胶囊0.5g*60粒25.14025.140国Z19991031自费自费非基药
0004641金振口服液10ml*8支43.10043.100国药准字Z10970018自费自费基药
0004197开喉剑喷雾剂(儿童型)15ml23.30023.300国Z20025142乙类乙类增补
0001185开塞露(小儿10ml)10ml0.9700.970国H44023815甲类甲类基药
0003867抗病毒口服液10ml:10支16.00016.000国Z19994092乙类乙类增补
0004493克林霉素磷酸酯注射液2ml:0.3g279.000279.000国H10983228自费自费非基药
0004474克霉唑栓0.15g*10粒21.00021.000国H31020396甲类甲类基药
0004219口服补液盐散(1)14.75g*20袋16.00016.000国H51023640甲类甲类基药
0003986口服葡萄糖500g12.20012.200国H45021416自费自费增补
0003542枯草杆菌二联活菌颗粒1g*15支20.81020.810国S20020037乙类乙类非基药
0004731坤泰胶囊0.5g*48粒33.32033.320国药准字Z20000083自费自费基药
0000283利巴韦林注射液(病毒唑针)100mg:1ml*10支6.0006.000国H20044698甲类甲类基药
0004473磷酸奥司他韦颗粒15mg*10袋47.12047.120国H20080763乙类乙类基药
0003990磷酸可待因糖浆100ml18.70018.700国H21020263乙类乙类增补
0003426硫酸阿托品注射液1ml*0.5mg*10支146.000146.000国H41021257甲类甲类基药
0003819硫酸镁注射液2.5:10ml*5支25.00025.000国H20023385甲类甲类基药
0002564硫酸庆大霉素注射液8万U*10支/合5.6005.600国H41025466甲类甲类基药
0004792炉甘石洗剂100ml19.00019.000国药准字H32020539自费自费基药
0004799氯化钾片250mg*100片4.0004.000国药准字H12020167自费自费非基药
0000217马来酸氯苯那敏片4mg*100#9.8009.800国H32023645甲类甲类基药
0003664马来酸氯苯那敏注射液10mg15.80015.800国H17024260乙类乙类增补
0004704蒙脱石散3g*10袋18.36018.360国药准字H20000690自费自费基药
0000551米非司酮片(息隐片)25mg*6片25.39025.390国H20033551自费自费基药
0003809米索前列醇片/3片0.2mg*3片*1合5.8705.870国H20073696自费自费基药
0004709灭菌注射用水500ml3.9003.900国H20023670自费自费增补
0003877莫匹罗星软膏10g:0.2g(2%)24.53024.530国H10930064乙类乙类基药
0000464尼可刹米注射液0.375g*10支/合13.00013.000国H31021527甲类甲类基药
0003633暖宫七味丸15g/瓶23.10023.100国Z20063369甲类甲类非基药
0004419匹多莫德口服液10ml:0.4g*6支49.15049.150国H20030463自费自费非基药
0003930氢化可的松注射液2ml:10mg*10支6.8006.800国药准字H20023069甲类甲类基药
0004602曲克芦丁脑蛋白水解物注射液2ml*6支331.200331.200国H22026572自费自费非基药
0002298去乙酰毛花苷注射液(5#)0.4mg:2ml*2支160.000160.000国H32021538甲类甲类基药
0004772炔雌醇环丙孕酮片(2mg:0.035mg)*21片47.00047.000国药准字H20065479自费自费非基药
0004442热毒宁注射液10ml*6支33.60033.600国Z20050217乙类乙类非基药
0003984人凝血因子VIII200IU200IU396.000396.000国S20003004甲类甲类基药
0001241乳酸钠林格注射液500ml10.89010.890国H20055488甲类甲类基药
0004577三维制霉素栓20万U*7枚17.70017.700国H42022786自费自费非基药
0003982三味清热止痒洗剂250ml42.26042.260国B20020928乙类乙类增补
0004795蛇胆川贝液10ml*6支6.0006.000国药准字Z36020970自费自费基药
0004744生血宝合剂100ml59.33059.330国药准字Z20050770自费自费基药
0004603双黄连口服液(儿童型)10ml*12支42.80042.800国Z20133010甲类乙类基药
0003662双氯芬酸钠注射液50mg13.00013.000国H44024222乙类乙类非基药
0004713双歧杆菌四联活菌片(思连康)0.5g*30片34.79034.790国药准字S20060010自费自费非基药
0003822缩宫素注射液1ml:10单位*10支65.00065.000国H19993526甲类甲类基药
0004144替米沙坦片40mg*8T*2板17.44017.440国H20050715乙类乙类非基药
0001175替硝唑氯化钠注射液100ml:0.4g:0.9g4.2004.200国H20033251乙类乙类基药
0003903头孢拉定胶囊0.25g*24s10.26010.260国H23020938甲类甲类基药
0004787维D钙咀嚼片(迪巧)300mg*60片35.10035.100国药准字J20140154自费自费非基药
0004245维生素AD滴剂(胶囊型)12粒*3板32.80032.800国H33021071自费自费增补
0000430维生素B1注射液0.1:2g*10支5.5005.500国H44022696甲类甲类基药
0000225维生素B2片5mg*100#6.0006.000国H42021202甲类甲类基药
0004000维生素B6注射液2ml:0.1g15.00015.000甲类甲类基药
0002636维生素C片0.1g*100#/瓶3.5003.500国H41024334乙类乙类增补
0000429维生素C注射液0.5g:2ml*10支2.8602.860国H41023393甲类甲类基药
0004411维生素D滴剂(胶囊型)30S/盒36.85036.850国H35021450自费自费非基药
0002578维生素K1注射液1ml:10mg*10支160.000160.000国H41021051甲类甲类基药
0002578维生素K1注射液1ml:10mg*10支398.000398.000国H33020864甲类甲类基药
0001774西咪替丁注射液0.2g*2ml*10支15.00015.000国H20058427甲类甲类非基药
0003946吸入用布地奈德混悬液2ml:1mg*5支75.44075.440注册证号:H20090903 H20040625乙类乙类基药
0004631吸入用硫酸沙丁胺醇溶液5mg:2.5ml*5瓶24.00024.000注册证号H20160660自费自费基药
0003944吸入用异丙托溴铵2ml:500ug*10支44.50044.500注册证号:H20100682  H20090448乙类乙类非基药
0003980喜炎平注射液5ml*125mg49.95049.950国Z20026249乙类乙类增补
0004150硝苯地平缓释片(II)20mg*30S20.50020.500国H20103358乙类乙类基药
0000115硝苯地平片10mg*100#6.0006.000国药准字H37022634甲类甲类基药
0004771硝呋太尔制霉素阴道软胶囊(0.5g:20万IU)*6粒41.98041.980国药准字H20051563自费自费非基药
0004580消糜栓3g*7S39.80039.800国Z22024888自费自费非基药
0004232消旋卡多曲颗粒10mg*12袋23.62023.620国H20051055乙类乙类非基药
0001271消肿止痛酊33ml9.9809.980国Z45021991乙类乙类增补
0003895小儿电解质补给注射液100ml:3.75g:0.225g18.05018.050国H20061149乙类乙类非基药
0003765小儿复方氨基酸注射液(18AA-1)20ml:1.348g17.33017.330国H20084511乙类乙类基药
0004403小儿胃宝片0.5*60片27.60027.600国Z15020990自费自费非基药
0004535醒脾养儿颗粒2g*12袋18.80018.800国Z20025415自费自费基药
0004788熊去氧胆酸片50mg*30片59.80059.800国药准字H32023735自费自费非基药
0003813盐酸苯海拉明注射液1ml:20mg*10支29.50029.500国H41021264甲类甲类基药
0004231盐酸布比卡因注射液5ml:37.5mg*5支12.00012.000国H20056442甲类甲类基药
0003759盐酸多巴胺注射液20mg*2ml*10支39.80039.800国H31021174甲类甲类基药
0003473盐酸多巴酚丁胺注射液2ml:20mg*10支33.00033.000国药准字H44022526甲类甲类基药
0004400盐酸甲氧氯普胺注射液1ml:10mg*10支37.00037.000国H41024089甲类甲类基药
0004776盐酸克林霉素棕榈酸酯分散片75mg*12片27.91027.910国药准字H20030434自费自费基药
0001772盐酸利多卡因注射液5ml:100mg*5支25.00025.000国H41023668甲类甲类基药
0004604盐酸罗哌卡因注射液100mg:10ml*5支228.950228.950自费甲类基药
0003205盐酸洛贝林注射液1ml*1027.30027.300国H31021342甲类甲类基药
0003613盐酸麻黄碱注射液30mg/10支6.0906.090国H21022412甲类甲类非基药
0001363盐酸曲马多注射液0.1:2ml*5支15.00017.300国H10910036乙类乙类非基药
0002807盐酸肾上腺素注射液1ml*10支/合48.00048.000国H42021700甲类甲类基药
0004207盐酸西替利嗪口服溶液100ml(0.1%)21.35021.350国H20093320乙类乙类非基药
0003644盐酸消旋山莨菪碱针10mg*1036.00036.000国H41021055自费自费基药
0003207盐酸异丙嗪注射液2ml:50mg*1029.80029.800国H44022504甲类甲类基药
0004663盐酸左氧氟沙星滴眼液5ml:15mg7.2307.230国H20030390自费自费基药
0003889盐酸哌替啶注射液1ml:50mg1.9101.660甲类甲类基药
0004031盐酸罂粟碱注射液1ml:30mg498.000498.000国H21022246乙类乙类非基药
0003434依托红霉素片0.125g*100s27.00027.000国H44023637甲类甲类基药
0004794益母草颗粒15g*10袋16.00016.000国药准字Z44022617自费自费基药
0003688右旋糖酐40葡萄糖注射液500ml58.00058.000国H51020230乙类乙类非基药
0004205玉屏风颗粒5g*15袋23.00023.000国Z10930036甲类甲类基药
0003384制霉素片50万u*100#48.00048.000国H33021393甲类甲类非基药
0004613重组人干扰素α2b栓10万IU*5s*2板43.45043.450国S20020103自费自费非基药
0004588重组人干扰素α2b注射液0.3ml:300万IU34.16034.160国S20030030自费自费基药
0003973注射液甲泼尼龙琥珀酸钠40mg24.02024.020国H20030727乙类乙类基药
0003891注射液盐酸纳洛酮0.4mg4.3704.370国H20057857甲类甲类基药
0004246注射用氨苄西林钠1.0g2.7302.730国H19993032甲类甲类基药
0004236注射用奥美拉唑钠40mg31.27031.270国H20066772乙类乙类基药
0004236注射用奥美拉唑钠40mg31.80031.800国H20066772乙类乙类基药
0003436注射用青霉素钠80万iu1.4901.490国H37020079甲类甲类基药
0004627注射用绒促性素1000iu*10瓶76.00076.000国药准字H44020674自费自费基药
0004237注射用鼠神经生长因子30ug248.850248.850国S20060023乙类乙类非基药
0004747注射用头孢曲松钠(罗氏芬)0.5g31.86031.860国药准字H10983037自费自费基药
0003933注射用头孢呋辛钠0.75g20.94020.940H20181034甲类甲类基药
0002774注射用头孢唑林钠0.5g29.87029.870国药准字H13021735甲类甲类基药
0003745注射用盐酸氨溴索15mg4.5104.510国药准字H20163246乙类乙类基药
0003421注射用炎琥宁80mg14.32014.320国H20045393乙类乙类非基药
0003876注射用苄星青霉素120万单位*10支4.1804.180国H20044727乙类乙类基药
0004796茜芷胶囊0.4g*30粒27.80027.800国药准字Z20010102自费自费基药
0002581呋塞米注射液20mg*10支45.00045.000国H44022506甲类甲类基药
0003629枸橼酸芬太尼注射液0.1mg/支5.4604.750甲类甲类基药
0004600枸橼酸舒芬太尼注射液1ml:50ug*10支52.24052.240自费自费非基药
0004301羟乙基淀粉130/0.4氯化钠注射液500ml:30g:4.5g55.18055.180国H20067190乙类乙类基药

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