广东省基本医保药品目录

1、医院编号,项目顺序号,社保项目编号,社保项目名称,医院项目名称,助记码,基准价格,规格,剂型,商品名,类别,门诊医保,住院医保,备注A-02,1,601010101005,青霉素,注射用青霉素钠,2.9,80万,JX019,青霉素钠(粉针),甲,甲类,甲类,A-02,2,601010103018,氨苄西林,注射用氨苄西林钠,3.8,1g,JX019,氨苄西林钠(粉针),甲,甲类,甲类,A-02,3,601010103021,阿莫西林克拉维酸,阿莫西林克拉维酸钾分散片（7:1),27.41,228.5mg*12s,JX001,君尔清,乙,乙类,乙类,A-02,4,601010103021,阿莫西

2、林克拉维酸,阿莫西林克拉维酸钾咀嚼片（8：1)）,51.6,281.25mg*18s,JX001,清克霖,乙,乙类,乙类,A-02,5,601010105001,阿莫西林克拉维酸,阿莫西林克拉维酸钾干混悬剂,9.57,228.5mg*4包,JX003,铿锵,乙,乙类,乙类,A-02,6,601010105999,内酰胺酶抑制药物及复方青霉素制剂青霉素类自费药,阿莫西林双氯西林胶囊,23.25,0.375g*12s,JX001,凯力达,乙,乙类,乙类,A-02,7,601010101006,苄星青霉素,注射用苄星青霉素,69,120万iu*10,JX019,长效青霉素(粉针),乙,乙类,乙类,A

3、-02,8,601010102003,哌拉西林他唑巴坦（哌拉西林三唑巴坦）,注射用哌拉西林钠他唑巴坦钠,14.15,0.5625g,JX019,邦达(粉针),乙,乙类,乙类,【医保提示】限重度感染。A-02,9,601010102003,哌拉西林他唑巴坦（哌拉西林三唑巴坦）,注射用哌拉西林钠/三唑巴坦钠,179.04,4.5g,JX019,乙,乙类,乙类,【医保提示】限重度感染。A-02,10,601010102003,哌拉西林他唑巴坦（哌拉西林三唑巴坦）,注射用哌拉西林钠他唑巴坦钠,87.94,1.25g,JX019,强林坦(粉针),乙,乙类,乙类,【医保提示】限重度感染。A-02,11,6

4、01010103022,哌拉西林舒巴坦,注射用哌拉西林钠舒巴坦钠(4:1),59.068,2.5g,JX019,派纾(粉针),乙,乙类,乙类,【医保提示】限重度感染。A-02,12,601010103013,萘夫西林,注射用萘夫西林钠,46.58,1g,JX019,萘夫西林钠(粉针),乙,乙类,乙类,A-02,13,6010110002,氨曲南,注射用氨曲南,37.112,1.0g,JX019,氨曲南(粉针),乙,乙类,乙类,A-02,14,601010103012,美洛西林舒巴坦,注射用美洛西林钠舒巴坦钠,32.673,1.25g,JX019,凯韦可(粉针),乙,乙类,乙类,【医保提示】限重

5、度感染。 A-02,15,601010103012,美洛西林舒巴坦,注射用美洛西林钠舒巴坦钠,37.14,1.25g,JX019,开林(粉针),乙,乙类,乙类,【医保提示】限重度感染。 A-02,16,601010103010,美洛西林,注射用美洛西林钠,45.018,4g,JX019,美洛西林钠（粉针),乙,乙类,乙类,A-02,17,601010103022,哌拉西林舒巴坦,注射用哌拉西林钠舒巴坦钠(4:1),28.083,1.25g,JX019,力可多(粉针),乙,乙类,乙类,【医保提示】限重度感染。 A-02,18,601010102007,苯唑西林,注射用苯唑西林钠,1,0.5g,J

6、X019,苯唑青霉素钠(粉针),甲,甲类,甲类,A-02,19,601010104001,哌拉西林,注射用哌拉西林钠,4.26,1g,JX019,哌拉西林钠(粉针),甲,甲类,甲类,A-02,20,601010103005,阿莫西林舒巴坦,注射用阿莫西林钠舒巴坦钠,14.765,1.5g,JX019,来切利(粉针),乙,乙类,乙类,【医保提示】限重度感染。 A-02,21,601010103020,阿莫西林氟氯西林,注射用阿莫西林钠氟氯西林钠,34.2,0.5g,JX019,阿莫西林钠氟氯西林钠(粉针),乙,乙类,乙类,A-02,22,601010104002,磺苄西林,注射用磺苄西林钠,10

7、9.48,4g,JX019,嘉倍康(粉针),乙,乙类,乙类,A-02,23,601010104002,磺苄西林,注射用磺苄西林钠,64.4,2g,JX019,伊葆康(粉针),乙,乙类,乙类,A-02,24,60101020302007,头孢他啶,注射用头孢他啶,68.81,1g,JX019,复达欣(粉针),乙,乙类,乙类,A-02,25,60101020302007,头孢他啶,注射用头孢他啶,15.15,0.75g,JX019,头孢他啶(粉针),乙,乙类,乙类,A-02,26,60101020102007,头孢拉定,注射用头孢拉定,1.95,1.0g,JX019,先锋6(粉针),乙,乙类,乙类

8、,A-02,27,60101020101007,头孢拉定,头孢拉定片,13,0.25g*24s,JX001,先锋6片,甲,甲类,甲类,A-02,28,60101020302013,头孢曲松,头孢曲松钠,88.68,1.0g,JX019,罗氏芬(粉针),甲,甲类,甲类,A-02,29,60101020302013,头孢曲松,注射用头孢曲松钠,2.07,1g,JX019,头孢曲松钠(粉针),甲,甲类,甲类,A-02,30,60101020302012,头孢曲松他唑巴坦,注射用头孢曲松钠他唑巴坦钠,113.59,1.0g(0.75g:0.25g),JX019,倍赛他(粉针)1g,乙,乙类,乙类,A-

9、02,31,60101020302012,头孢曲松他唑巴坦,注射用头孢曲松钠他唑巴坦钠,193.09,2.0g(1.5g:0.5g),JX019,头孢曲松钠他唑巴坦钠(粉针),乙,乙类,乙类,A-02,32,60101020302003,头孢米诺,注射用头孢米诺钠,26.58,1.0g,JX019,头孢米诺钠(粉针),乙,乙类,乙类,A-02,33,60101020302003,头孢米诺,注射用头孢米诺钠,24.67,1.0g,JX019,华昊乐新(粉针),乙,乙类,乙类,A-02,34,601010204001,头孢吡肟,注射用盐酸头孢吡肟,18.087,0.5g,JX019,信力威(粉针)

10、,乙,乙类,乙类,【医保提示】限重度感染。 A-02,35,60101020101006,头孢氨苄,头孢羟氨苄片,27.46,0.25g*12s,JX001,力欣奇,甲,甲类,甲类,A-02,36,60101020302999,第三代头孢菌素注射用-自费药,头孢泊肟酯片,22.16,50mg*6s,JX001,纯欣片,乙,乙类,乙类,A-02,37,60101020302999,第三代头孢菌素注射用-自费药,头孢泊肟酯片,26.97,0.1g*6s,JX001,敏新片,乙,乙类,乙类,A-02,38,60101020302999,第三代头孢菌素注射用-自费药,注射用头孢甲肟,39.41,0.5

11、g,JX019,帅新舒(粉针),自,自费,自费,A-02,39,60101020302999,第三代头孢菌素注射用-自费药,注射用盐酸头孢甲肟,67.6,1.0g,JX019,锋沃灵(粉针),自,自费,自费,A-02,40,60101020302001,头孢噻肟,注射用头孢噻肟钠,12.345,1g,JX019,头孢噻肟钠1g(粉针）,甲,甲类,甲类,A-02,41,60101020302999,第三代头孢菌素注射用-自费药,注射用头孢噻肟钠舒巴坦钠,108.85,1.5g,JX019,新治君,乙,乙类,乙类,A-02,42,60101020302001,头孢噻肟,注射用头孢噻肟钠,28.6,

12、3.0g,JX019,头孢噻肟钠3g(粉针),甲,甲类,甲类,A-02,43,60101020201007,头孢克洛,头孢克洛缓释胶囊,27.09,0.125g*12s,JX002,曼宁,乙,乙类,乙类,A-02,44,60101020201999,第二代头孢菌素口服用-自费药,复方头孢克洛胶囊,26.36,250mg:8mg*6s,JX001,复方头孢克洛胶囊,乙,乙类,乙类,A-02,45,60101020201009,头孢克洛,头孢克洛胶囊,35.17,0.25g*6s,JX001,希克劳胶囊,乙,乙类,乙类,A-02,46,60101020201999,第二代头孢菌素口服用-自费药,头

13、孢克洛溴己新片,41.86,250mg:8mg*6s,JX001,克洛己新片,自,自费,自费,A-02,47,60101020201009,头孢克洛,头孢克洛干混悬剂,24.03,0.125g*6,JX003,希刻劳,乙,乙类,乙类,A-02,48,60101020201999,第二代头孢菌素口服用-自费药,复方头孢克洛干混悬剂,32.22,0.25g:8mg*6,JX003,熙蒙,自,自费,自费,A-02,49,60101020201009,头孢克洛,头孢克洛颗粒,14.2,0.125g*12包,JX005,头孢克洛颗粒,乙,乙类,乙类,A-02,50,60101020102004,头孢硫脒

14、,注射用头孢硫脒,32.81,0.5g,JX019,仙力素(粉针),乙,乙类,乙类,A-02,51,60101020102004,头孢硫脒,注射用头孢硫脒,35.667,1.0g,JX019,头孢硫脒(粉针),乙,乙类,乙类,A-02,52,60101020301009,头孢匹胺,注射用头孢匹胺,69,1.0g,JX019,新泽欣(粉针),乙,乙类,乙类,A-02,53,60101020101006,头孢氨苄,头孢氨苄胶囊,8.3,0.125g*50s,JX001,先锋4,甲,甲类,甲类,A-02,54,60101020101999,第一代头孢菌素口服用-自费药,头孢氨苄泡腾片,28.12,0

15、.25g*24s,JX001,头孢氨苄泡腾片,自,自费,自费,A-02,55,60101020102006,头孢唑林,注射用头孢唑林钠,3,1g,JX019,先锋5(粉针),甲,甲类,甲类,A-02,56,60101020102005,五水头孢唑林,注射用五水头孢唑林钠,47.08,1g,JX019,新泰林(粉针),乙,乙类,乙类,A-02,57,60101020102005,五水头孢唑林,注射用五水头孢唑林钠,27.9,0.5g,JX019,五水头孢唑林钠(粉针),乙,乙类,乙类,A-02,58,60101020302010,头孢哌酮他唑巴坦,注射用头孢哌酮钠他唑巴坦钠,64.44,1g,J

16、X019,新朗欧(粉针),乙,乙类,乙类,A-02,59,60101020302010,头孢哌酮他唑巴坦,注射用头孢哌酮钠他唑巴坦钠,107.78,2g,JX019,凯斯(粉针),乙,乙类,乙类,A-02,60,60101020202007,头孢呋辛,注射用头孢呋辛钠,30.89,0.75g,JX019,明可欣(粉针),甲,甲类,甲类,A-02,61,60101020202007,头孢呋辛,注射用头孢呋辛钠,17.53,1.25g,JX019,嘉比信（粉针）,甲,甲类,甲类,A-02,62,60101020201008,头孢呋辛,头孢呋辛酯薄膜片,16.53,0.125*12s,JX001,巴

17、欣,甲,甲类,甲类,A-02,63,60101020201008,头孢呋辛,头孢呋辛酯片,21.37,0.25g*6,JX001,达力新片,甲,甲类,甲类,A-02,64,60101020201008,头孢呋辛,头孢呋辛酯片,48.62,0.25g*12s,JX001,西力欣片,甲,甲类,甲类,A-02,65,60101020302005,头孢哌酮舒巴坦,注射用头孢哌酮钠舒巴坦钠（2:1),13.692,0.75g,JX019,头孢哌酮钠舒巴坦钠(粉针）,乙,乙类,乙类,A-02,66,60101020302005,头孢哌酮舒巴坦,注射用头孢哌酮钠舒巴坦钠,110.09,1.5g,JX019,

18、舒普深(粉针),乙,乙类,乙类,A-02,67,60101020201001,头孢丙烯,头孢丙烯分散片,46.11,0.25g*6s,JX001,头孢丙烯分散片,乙,乙类,乙类,A-02,68,60101020201005,头孢丙烯,头孢丙烯干混悬剂,32.19,125mg*6包,JX003,希能,乙,乙类,乙类,A-02,69,60101020301999,第三代头孢菌素口服用-自费药,盐酸头孢他美酯片,20.26,0.25g*6s,JX001,康迪欣,自,乙类,乙类,A-02,70,60101020301999,第三代头孢菌素口服用-自费药,盐酸头孢他美酯分散片,61.07,0.25g*1

19、2s,JX001,头孢他美酯分散片,自,乙类,乙类,A-02,71,60101020302009,头孢地嗪,注射用头孢地嗪钠,42.9,1g,JX019,高德(粉针),乙,乙类,乙类,A-02,72,60101020302009,头孢地嗪,注射用头孢地嗪钠,14.8,0.25g,JX019,高德(粉针),乙,乙类,乙类,A-02,73,60101020202002,头孢美唑,注射用头孢美唑钠,45.93,1g,JX019,深美(粉针),乙,乙类,乙类,A-02,74,60101020202002,头孢美唑,注射用头孢美唑钠,53.096,1g,JX019,悉畅(粉针),乙,乙类,乙类,A-02

20、,75,60101020102003,头孢替唑,注射用头孢替唑钠,30.22,1g,JX019,益替欣(粉针),乙,乙类,乙类,A-02,76,60101020102003,头孢替唑,注射用头孢替唑钠,19.38,0.5g,JX019,头孢替唑钠(粉针）,乙,乙类,乙类,A-02,77,60101020202006,头孢尼西,注射用头孢尼西钠,21.99,1g,JX019,罗朗(粉针),乙,乙类,乙类,A-02,78,60101020202006,头孢尼西,注射用头孢尼西钠,23.3,0.5g,JX019,头孢尼西钠(粉针）,乙,乙类,乙类,A-02,79,60101020202003,头孢替

21、安,注射用盐酸头孢替安,64.26,1g,JX019,佩罗欣(粉针),乙,乙类,乙类,A-02,80,60101020202003,头孢替安,注射用盐酸头孢替安,33.224,0.5g,JX019,头孢替安(粉针),乙,乙类,乙类,A-02,81,60101020301010,头孢克肟,头孢克肟分散片,40.17,0.1g*12s,JX001,天立威,乙,乙类,乙类,A-02,82,60101020301010,头孢克肟,头孢克肟分散片,20.69,100mg*6s,JX001,特普宁片,乙,乙类,乙类,A-02,83,60101020202005,头孢孟多酯,注射用头孢孟多酯钠,32.36,

22、0.5g,JX019,艾可乐(粉针),乙,乙类,乙类,A-02,84,60101020202005,头孢孟多酯,注射用头孢孟多酯钠,44.673,1.0g,JX019,瑞陵彤(粉针),乙,乙类,乙类,A-02,85,60101020202005,头孢孟多酯,注射用头孢孟多酯钠,264.07,1.0g*6支,JX019,浦成(粉针),乙,乙类,乙类,A-02,86,60101020301001,头孢地尼,头孢地尼分散片,35.4,50mg*6s,JX001,希福尼片,乙,乙类,乙类,A-02,87,60101020202004,头孢西丁,注射用头孢西丁钠,20.573,1.0g,JX019,信希

23、汀(粉针),乙,乙类,乙类,A-02,88,60101020202004,头孢西丁,注射用头孢西丁钠,86.279,3.0g,JX019,头孢西丁钠(粉针),乙,乙类,乙类,A-02,89,60101020301999,第三代头孢菌素口服用-自费药,头孢特仑新戊酯片,45.96,50mg*6s,JX019,头孢特仑新戊酯片,自,自费,自费,A-02,90,60101020302008,头孢唑肟,注射用头孢唑肟钠,21.136,0.5g,JX019,头孢唑肟钠(粉针),乙,乙类,乙类,A-02,91,601010204999,第四代头孢菌素-自费药,注射用硫酸头孢噻利,124.37,0.5g,J

24、X019,丰迪(粉针),自,自费,自费,A-02,92,601010204002,头孢匹罗,注射用硫酸头孢匹罗,17.02,0.25g,JX019,头孢匹罗(粉针),乙,乙类,乙类,【医保提示】限重度感染 A-02,93,6010104010,阿米卡星,丁胺卡那霉素,10,0.2g 2ml*10,JX019,阿米卡星注射液,甲,甲类,甲类,A-02,94,6010301024,链霉素,注射用硫酸链霉素,1.3,100万iu,JX019,硫酸链霉素(粉针),甲,甲类,甲类,A-02,95,6010104011,庆大霉素,庆大霉素注射液,7.3,2ml:8万iu*10,JX019,庆大霉素注射液,

25、甲,甲类,甲类,A-02,96,6010104006,妥布霉素,硫酸妥布霉素注射液,3,80mg:2ml*5,JX019,妥布霉素注射液,乙,乙类,乙类,A-02,97,6010104008,依替米星,注射用硫酸依替米星,55.41,0.1g,JX019,爱大(粉针),乙,乙类,乙类,【医保提示】限二线用药 A-02,98,6010104008,依替米星,硫酸依替米星注射液,168.53,1ml:50mg*6,JX019,创成,乙,乙类,乙类,【医保提示】限二线用药 A-02,99,6010104008,依替米星,硫酸依替米星注射液,153.22,1ml:50mg*6支,JX019,悉能,乙,

26、乙类,乙类,【医保提示】限二线用药 A-02,100,6010105001,氯霉素,氯霉素注射液,6.46,2ml:0.25g*10,JX019,氯霉素注射液,甲,甲类,甲类,A-02,101,6010105999,酰胺醇类-自费药,氯霉素片,14.95,0.25g*100s,JX001,氯霉素糖衣片,自,乙类,乙类,A-02,102,6010106006,多西环素,盐酸多西环素片,13.46,0.1g*100s,JX001,盐酸多西环素片,甲,甲类,甲类,A-02,103,6010106002,四环素,四环素片,7.9,0.25g*100s,JX001,四环素片,甲,甲类,甲类,A-02,1

27、04,6010107012,地红霉素,地红霉素肠溶片,38.5,0.125g*12s,JX001,域大,乙,乙类,乙类,A-02,105,6010107017,红霉素,注射用乳糖酸红霉素,1.24,25万u,JX019,红霉素(粉针）,甲,甲类,甲类,A-02,106,6010107016,红霉素,红霉素肠溶片,17.4,0.125g*100,JX001,红霉素肠溶片,甲,甲类,甲类,A-02,107,6010107016,红霉素,红霉素肠溶胶囊,24.53,0.25g*10s,JX001,美红,甲,甲类,甲类,A-02,108,6010107018,琥乙红霉素,琥乙红霉素片,6.37,0.1

28、25g*24s,JX001,琥乙红霉素片,乙,乙类,乙类,A-02,109,6010107999,大环内酯类-自费药,交沙霉素片,7.78,0.2g*12s,JX001,交沙霉素片,自,乙类,乙类,A-02,110,6010107019,罗红霉素,罗红霉素胶囊,25.71,0.15g*12,JX001,仁苏,乙,乙类,乙类,A-02,111,6010107019,罗红霉素,罗红霉素胶囊,9.8,50mg*12s,JX001,仁苏,乙,乙类,乙类,A-02,112,6010107999,大环内酯类-自费药,乙酰吉他霉素胶囊,15.34,0.2g*6s,JX001,万佶,自,自费,自费,A-02,

29、113,6010107999,大环内酯类-自费药,醋酸麦迪霉素颗粒,34.98,0.5g:0.1g*12袋,JX005,麦迪霉素颗粒,自,自费,自费,A-02,114,6010107999,大环内酯类-自费药,克拉霉素缓释胶囊,44.65,0.25g*4s,JX002,康婷,乙,乙类,乙类,A-02,115,6010107999,大环内酯类-自费药,克拉霉素缓释片,34.23,0.5g*4s,JX002,克拉霉素缓释片,乙,乙类,乙类,A-02,116,6010107004,阿奇霉素,注射用乳糖酸阿奇霉素,40.99,0.25g,JX019,其仙(粉针),乙,乙类,乙类,A-02,117,60

30、10107004,阿奇霉素,注射用阿奇霉素磷酸二氢钠,12.433,0.125g,JX019,亦欧青(粉针),乙,乙类,乙类,A-02,118,6010107015,阿奇霉素,阿奇霉素片,53.73,0.25g*4s,JX001,希舒美片,甲,甲类,甲类,A-02,119,6010107015,阿奇霉素,阿奇霉素片,23.39,0.5g*6s,JX001,今多齐,甲,甲类,甲类,A-02,120,6010107999,大环内酯类-自费药,阿奇霉素干混悬剂,48.59,0.1g*6袋,JX003,希舒美,自,乙类,乙类,A-02,121,6010107008,乙酰螺旋霉素,乙酰螺旋霉素片,2.6

31、,0.1g*12s,JX001,乙酰螺旋霉素片,乙,乙类,乙类,A-02,122,6010108001,去甲万古霉素,注射用盐酸去甲万古霉素,64.43,0.4g,JX019,去甲万古霉素(粉针),乙,乙类,乙类,【医保提示】限耐甲氧西林金葡球菌感染 A-02,123,6010108003,万古霉素,注射用盐酸万古霉素,151.85,0.5g,JX019,稳可信(粉针),乙,乙类,乙类,【医保提示】限耐甲氧西林金葡球菌感染 A-02,124,6010108002,替考拉宁,注射用替考拉宁,316.54,0.2g,JX019,他格适(粉针),乙,乙类,乙类,【医保提示】限耐甲氧西林金葡球菌感染

32、A-02,125,6010110004,夫西地酸,注射用夫西地酸钠,48.305,0.125g,JX019,夫西地酸钠(粉针),乙,乙类,乙类,【医保提示】限中、重度感染 A-02,126,6010109999,林可酰胺类-自费药,盐酸克林霉素棕榈酸酯分散片,38.16,75mg*12s,JX001,凯莱克林片,自,乙类,乙类,A-02,127,6010103003,亚胺培南西司他丁,亚胺培南西司他丁钠,190.76,1g(0.5:0.5),JX019,泰能(粉针),乙,乙类,乙类,【医保提示】限其他抗生素治疗无效的重度感染 A-02,128,6010103001,美罗培南,注射用美罗培南,2

33、02.36,0.5g,JX019,美平(粉针),乙,乙类,乙类,【医保提示】限其他抗生素治疗无效的重度感染 A-02,129,60106007,利奈唑胺,利奈唑胺注射液,459.53,300ml:600mg,JX019,斯沃,乙,乙类,乙类,【医保提示】限万古霉素治疗无效或不可耐受的重症感染A-02,130,6010201010,复方磺胺甲噁唑,复方磺胺甲恶唑片,6.2,0.48g*24s,JX001,百炎净,甲,甲类,甲类,A-02,131,61508001,柳氮磺吡啶,柳氮磺吡啶片,19.9,0.25g*60,JX001,柳氮磺吡啶片,甲,甲类,甲类,A-02,132,6010201007

34、,甲氧苄啶,甲氧苄啶片,5.5,0.1g*100s,JX001,TMP(甲氧苄啶),乙,乙类,乙类,A-02,133,6010202024,诺氟沙星,诺氟沙星胶囊,7.3,0.1g*50s,JX001,氟哌酸,甲,甲类,甲类,A-02,134,6010202023,环丙沙星,乳酸环丙沙星氯化钠注射液,47.99,200ml:0.4g,JX019,悉复欢,甲,甲类,甲类,A-02,135,6010202023,环丙沙星,环丙沙星注射液,81.08,100ml:0.2g,JX019,西普乐,甲,甲类,甲类,A-02,136,6010202022,环丙沙星,环丙沙星片,1.71,0.25g*12,J

35、X001,环丙沙星片,甲,甲类,甲类,A-02,137,6010202026,左氧氟沙星,乳酸左氧氟沙星注射液,38.31,0.3g:100ml,JX019,来立信,甲,甲类,甲类,A-02,138,6010202026,左氧氟沙星,盐酸左氧氟沙星注射液,51.48,2ml:0.1g*4,JX019,左克,甲,甲类,甲类,A-02,139,6010202999,喹诺酮类-自费药,甲磺酸加替沙星氯化钠注射液,20.7,100ml:0.1g:0.9,JX019,乐来,自,自费,自费,A-02,140,6010202025,左氧氟沙星,盐酸左氧氟沙星片,15,0.2g*12s,JX001,盐酸左氧氟

36、沙星片,甲,甲类,甲类,A-02,141,6010202025,左氧氟沙星,左氧氟沙星片,43.3,0.1g*10s,JX001,可乐必妥片,甲,甲类,甲类,A-02,142,6010202011,洛美沙星,注射用门冬氨酸洛美沙星,23.215,0.1g,JX019,奇敌(粉针),乙,自费,自费,A-02,143,6010202011,洛美沙星,注射用门冬氨酸洛美沙星,38.741,0.2g,JX019,星洛(粉针),乙,自费,自费,A-02,144,6010202010,洛美沙星,洛美沙星片,35.19,0.3g*12s,JX001,欧化莎,乙,乙类,乙类,A-02,145,60102020

37、10,洛美沙星,盐酸洛美沙星分散片,30.53,0.1g*24s,JX001,百夜星,乙,乙类,乙类,A-02,146,6010202015,氧氟沙星,氧氟沙星胶囊,4.49,0.1g*20s,JX001,氧氟沙星胶囊,乙,乙类,乙类,A-02,147,6010202019,司帕沙星,司帕沙星片,33.4,0.15g*6s,JX001,倍特,乙,乙类,乙类,A-02,148,6010202019,司帕沙星,司帕沙星片,47.77,0.1g*10s,JX001,司帕沙星片,乙,乙类,乙类,A-02,149,6010202999,喹诺酮类-自费药,甲苯磺酸妥舒沙星薄膜衣片,33.02,0.15g*

38、10s,JX001,诺力思,自,自费,自费,A-02,150,6010202999,喹诺酮类-自费药,盐酸芦氟沙星胶囊,38.19,0.1g*6s,JX001,盐酸芦氟沙星胶囊,自,自费,自费,A-02,151,6010202013,莫西沙星,盐酸莫西沙星氯化钠注射液,307.18,250ml:0.4g,JX019,拜复乐,乙,乙类,乙类,A-02,152,6010202012,莫西沙星,盐酸莫西沙星片,84.68,0.4g*3s,JX001,拜复乐片,乙,乙类,乙类,A-02,153,6010202018,依诺沙星,依诺沙星注射液,162.19,2ml:0.1g*8支,JX019,的星力,乙

39、,乙类,乙类,6010201013,加替沙星,加替沙星片,27.3400,0.2g*12s,JX001,加替沙星片,乙,乙类,乙类,A-02,154,6010202018,依诺沙星,葡萄糖酸依诺沙星注射液,50.48,100ml:0.2g,JX019,诺佳,乙,乙类,乙类,A-02,155,6010301020,吡嗪酰胺,吡嗪酰胺片,17.1,0.25g*100s,JX001,吡嗪酰胺片,甲,甲类,甲类,A-02,156,6010301023,利福平,利福平胶囊,28.6,0.15g*100s,JX001,利福平胶囊,甲,甲类,甲类,A-02,157,6010301025,乙胺丁醇,盐酸乙胺丁

40、醇片,19,0.25g*100,JX001,盐酸乙胺丁醇片,甲,甲类,甲类,A-02,158,6010301027,异烟肼,异烟肼注射液,6,0.1g:2ml*10,JX019,异烟肼注射液,甲,甲类,甲类,A-02,159,6010301027,异烟肼,异烟肼注射液,6,0.1g:2ml*10支,JX019,异烟肼注射液,甲,甲类,甲类,A-02,160,6010301026,异烟肼,异烟肼片,3.8,0.1g*100s,JX001,异烟肼片,甲,甲类,甲类,A-02,161,601040102002,氟康唑,氟康唑注射液,335.43,100ml:0.2g,JX019,大扶康,乙,乙类,乙

41、类,A-02,162,601040102009,氟康唑,氟康唑片,14.49,50mg*6s,JX001,康锐片,甲,甲类,甲类,A-02,163,601040102009,氟康唑,氟康唑片,22.37,0.1g*6s,JX001,帅克风片,甲,甲类,甲类,A-02,164,601040102999,三唑类-自费药,酮康唑片,26.77,0.2g*10s,JX001,里素劳,自,乙类,乙类,A-02,165,6010402002,两性霉素B,注射用两性霉素B,49.49,25mg,JX019,注射用两性霉素B,乙,乙类,乙类,A-02,166,6010402999,多烯类-自费药,注射用两性霉

42、素B脂质体,170.43,10mg,JX019,锋克松(粉针),自,自费,自费,A-02,167,6010402003,制霉素,制霉素片,28.4,50万iu*100s,JX001,制霉素片,甲,甲类,甲类,A-02,168,601040102003,伊曲康唑,伊曲康唑胶囊,145,0.1g*14s,JX001,斯皮仁诺,乙,乙类,乙类,A-02,169,601040102003,伊曲康唑,伊曲康唑胶囊,71.66,0.1g*14s,JX001,易启康,乙,乙类,乙类,A-02,170,6010403001,特比萘芬,盐酸特比萘芬片,116.08,0.25g*7s,JX001,兰美抒,乙,乙类

43、,乙类,A-02,171,6010403001,特比萘芬,盐酸特比萘芬片,33.02,0.125g*6s,JX001,倍佳片,乙,乙类,乙类,A-02,172,6010403002,卡泊芬净,注射用醋酸卡泊芬净,1997,50mg,JX019,科赛斯(粉针),乙,自费,自费,【医保提示】限工伤保险A-02,173,6010403002,卡泊芬净,注射用醋酸卡泊芬净,2561.68,70mg,JX019,科赛斯(粉针),乙,自费,自费,【医保提示】限工伤保险A-02,174,601040102007,伏立康唑,注射用伏立康唑,153.81,50mg,JX019,伏立康唑(粉针),乙,乙类,乙类,

44、【医保提示】限重症真菌感染 A-02,175,601040102006,伏立康唑,伏立康唑片,4597,0.2g*10s,JX001,威凡片,乙,乙类,乙类,【医保提示】限重症真菌感染 A-02,176,6010501013,阿昔洛韦,注射用阿昔洛韦,1.84,0.25g,JX019,阿昔洛韦(粉针),乙,乙类,乙类,A-02,177,6010501013,阿昔洛韦,注射用阿昔洛韦,1.46,0.25g,JX019,阿昔洛韦(粉针),乙,乙类,乙类,A-02,178,6010501011,阿昔洛韦,阿昔洛韦片,6.3,0.1g*24s,JX001,阿昔洛韦片,甲,甲类,甲类,A-02,179,

45、6100102001,阿糖胞苷,注射用阿糖胞苷,54.12,0.1g,JX019,赛德萨(粉针),甲,甲类,甲类,A-02,180,6100102001,阿糖胞苷,阿糖胞苷注射液,147.41,5ml:0.5g,JX019,赛德威,甲,甲类,甲类,A-02,181,6010502009,阿德福韦酯,阿德福韦酯片,254.1776,10mg*14s,JX001,贺维力,乙,乙类,乙类,【医保提示】限活动性肝炎A-02,182,6010502009,阿德福韦酯,阿德福韦酯片,78.625,10mg*7s,JX001,丁贺片,乙,乙类,乙类,【医保提示】限活动性肝炎A-02,183,60105010

46、14,利巴韦林,利巴韦林注射液,6,1ml:0.1g*10,JX019,病毒唑注射液,甲,甲类,甲类,A-02,184,6010501999,广谱类-自费药,利巴韦林含片,3.81,50mg*24s,JX001,病毒唑含片,自,乙类,乙类,A-02,185,6010501999,广谱类-自费药,利巴韦林气雾剂,22.39,10.5g:75mg*150揿,JX018,利巴韦林气雾剂,自,自费,自费,A-02,186,6010501010,伐昔洛韦,盐酸伐昔洛韦片,263.26,0.5g*10s,JX001,维德思片,乙,乙类,乙类,A-02,187,6010501009,更昔洛韦,注射用更昔洛韦

47、,7.373,50mg,JX019,更昔洛韦(粉针),乙,乙类,乙类,A-02,188,6010502007,奥司他韦,磷酸奥司他韦胶囊,271.4,75mg*10s,JX001,达菲,乙,乙类,乙类,【医保提示】限流感重症患者 A-02,189,6010502007,奥司他韦,磷酸奥司他韦胶囊,180.91,75mg*10s,JX001,磷酸奥司他韦胶囊,乙,乙类,乙类,【医保提示】限流感重症患者 A-02,190,6010502015,替比夫定,替比夫定片,158.54,0.6g*7s,JX001,素比伏,乙,乙类,乙类,【医保提示】限活动性肝炎A-02,191,60106008,小檗碱,

48、盐酸小檗碱片,9.33,0.1g*100s,JX001,黄连素,甲,甲类,甲类,A-02,192,6010204002,呋喃唑酮,呋喃唑酮,2.85,0.1g*100s,JX001,痢特灵,甲,甲类,甲类,A-02,193,6010203002,甲硝唑,甲硝唑注射液,1.37,0.5g:100ml,JX019,甲硝唑注射液,甲,甲类,甲类,A-02,194,6010203001,甲硝唑,甲硝唑片,7.11,0.2g*100s,JX001,灭滴灵,甲,甲类,甲类,A-02,195,6010203009,替硝唑,替硝唑片,1.66,0.5g*8s,JX001,替硝唑片,乙,乙类,乙类,A-02,1

49、96,60106999,其他抗菌药物-自费药,注射用炎琥宁,16.91,80mg,JX019,炎琥宁80mg(粉针),自,自费,自费,A-02,197,60106999,其他抗菌药物-自费药,注射用炎琥宁,33.386,0.2g,JX019,炎琥宁0.2g(粉针),自,自费,自费,A-02,198,6010203003,奥硝唑,奥硝唑氯化钠注射液,54.61,250ml:0.5g,JX019,奥硝唑氯化钠注射液,乙,乙类,乙类,A-02,199,6010203003,奥硝唑,奥硝唑注射液,23.15,5ml:0.25g,JX019,普司立,乙,乙类,乙类,A-02,200,60202013,羟

50、氯喹,硫酸羟氯喹薄膜衣片,38.48,0.1g*14s,JX001,硫酸羟氯喹薄膜衣片,乙,乙类,乙类,A-02,201,60203009,阿苯达唑,阿苯达唑片,12.1,0.2g*10s,JX001,肠虫清,甲,甲类,甲类,A-02,202,60205999,抗阿米巴病药及抗滴虫病药-自费药,硝呋太尔胶囊,48.67,0.1g*28s,JX001,硝呋太尔胶囊,自,自费,自费,A-02,203,6010203999,硝基咪唑类-自费药,苯酰甲硝唑胶囊,38.97,0.32g*24s,JX001,佳乐宁,自,自费,自费,A-02,204,60201004,吡喹酮,吡喹酮片,34.9,0.2g*

51、100s,JX001,吡喹酮片,甲,甲类,甲类,A-02,205,6030101999,非选择性COX抑制剂-自费药,安乃近注射液,2.9,0.5g2ml*10,JX019,安乃近注射液,自,自费,自费,A-02,206,6030101999,非选择性COX抑制剂-自费药,复方氨林巴比妥注射液,1.4,2ml*10,JX019,安痛定注射液,自,自费,自费,A-02,207,6030101999,非选择性COX抑制剂-自费药,复方氨林巴比妥注射液,1.4,2ml*10支,JX019,安痛定注射液,自,自费,自费,A-02,208,6030101013,对乙酰氨基酚,对乙酰氨基酚片,15.57,

52、0.5g*100s,JX001,扑热息痛,甲,甲类,甲类,A-02,209,6030103006,缓解感冒症状的复方OTC制剂,酚麻美敏片,9.99,0.325g*10s,JX001,泰诺x,乙,乙类,乙类,A-02,210,6030101013,对乙酰氨基酚,对乙酰氨基酚片,1.7,0.5g*10s,JX001,扑热息痛片,甲,甲类,甲类,A-02,211,63000007,对乙酰氨基酚,对乙酰氨基酚滴剂,13.03,15ml,JX003,泰诺林,乙,自费,自费,【医保提示】限儿科用药A-02,212,63000007,对乙酰氨基酚,对乙酰氨基酚滴剂,14.8,15ml (小单位),JX00

53、3,泰诺林小单位,乙,自费,自费,【医保提示】限儿科用药A-02,213,6030103999,解热镇痛及非甾体抗炎其他药-自费药,双分伪麻黄片（日片）/美扑伪麻黄片（夜片）,11.5,12s,JX001,日夜百服咛x,自,自费,自费,A-02,214,6030103999,解热镇痛及非甾体抗炎其他药-自费药,呱西替柳胶囊,31.27,0.25g*24s,JX001,可泰尔,自,自费,自费,A-02,215,6030103999,解热镇痛及非甾体抗炎其他药-自费药,呱西替柳片,40.37,0.25g*24s,JX001,多希,自,自费,自费,A-02,216,6030103999,解热镇痛及非

54、甾体抗炎其他药-自费药,呱西替柳干混悬剂,46,1g:0.167g*8袋,JX003,呱西替柳干混悬剂,自,自费,自费,A-02,217,60301021,复方对乙酰氨基酚,复方对乙酰氨基酚片(II),5.69,10s,JX001,散列通片,乙,乙类,乙类,A-02,218,6030103006,缓解感冒症状的复方OTC制剂,双扑伪麻分散片,13.41,12s,JX001,爱德尔贝x,乙,乙类,乙类,A-02,219,6030103006,缓解感冒症状的复方OTC制剂,复方盐酸伪麻黄碱缓释胶囊,11.35,10s,JX002,新康泰克x,乙,乙类,乙类,A-02,220,63000007,对乙

55、酰氨基酚,对乙酰氨基酚栓,2.94,0.15g*10s,JX014,小儿退热栓,乙,自费,自费,【医保提示】限儿科用药A-02,221,6030101999,非选择性COX抑制剂-自费药,阿司匹林泡腾片,5.98,0.1g*20s,JX001,巴米尔,自,自费,自费,A-02,222,6030101011,阿司匹林,阿司匹林肠溶片,17.8,0.1g*30s,JX001,拜阿司匹灵,甲,甲类,甲类,A-02,223,61806999,抗血小板药-自费药,铝镁匹林片（II）,48.12,12s,JX001,铝镁匹林片,自,乙类,乙类,A-02,224,6030103999,解热镇痛及非甾体抗炎其

56、他药-自费药,氨咖黄敏胶囊,4.28,12s,JX001,氨咖黄敏胶囊,乙,自费,自费,A-02,225,6030101005,赖氨匹林,注射用赖氨匹林,3.6,0.5g,JX019,赖氨匹林(粉针),乙,乙类,乙类,A-02,226,6030103006,缓解感冒症状的复方OTC制剂,美敏伪麻溶液,17.94,100ml,JX003,美敏伪麻溶液x,乙,乙类,乙类,A-02,227,6030101999,非选择性COX抑制剂-自费药,注射用精氨酸阿司匹林,18.439,1.0g,JX019,雅丹聚(粉针),自,自费,自费,A-02,228,6030101999,非选择性COX抑制剂-自费药,

57、注射用盐酸丙帕他莫,35.719,1.0g,JX019,丙帕他莫(粉针),自,自费,自费,A-02,229,6030103999,解热镇痛及非甾体抗炎其他药-自费药,复方氨酚愈敏口服溶液,29.45,120ml,JX003,复方氨酚愈敏口服溶液x,自,自费,自费,A-02,230,60402999,非阿片类镇痛药-自费药,阿司待因片,19.45,0.325/15mg*12,JX001,联佳,自,自费,自费,A-02,231,6150301999,胃肠解痉药-自费药,盐酸屈他维林注射液,41.17,2ml:40mg*5,JX019,诺仕帕注射液,自,自费,自费,A-02,232,61503010

58、12,屈他维林,盐酸屈他维林片,48.71,40mg*20s,JX001,诺仕帕,乙,乙类,乙类,A-02,233,604013,氨酚双氢可待因（对乙酰氨基酚双氢可待因）,氨酚双氢可待因片,24.91,10mg/0.5g*12s,JX001,路盖克,乙,乙类,乙类,A-02,234,60402003,罗通定,罗通定注射液,4.19,60mg 10*2ml,JX019,颅通定注射液,乙,乙类,乙类,A-02,235,604024,曲马多,盐酸曲马多注射液,16.1,2ml:0.1g*5支,JX019,盐酸曲马多注射液,乙,乙类,乙类,A-02,236,604024,曲马多,曲马多注射液,69.8

59、6,2ml:0.1g*5,JX019,舒敏注射液,乙,乙类,乙类,A-02,237,604023,曲马多,盐酸曲马多缓释片,43.8,0.1g*10s,JX002,盐酸曲马多缓释片,乙,乙类,乙类,A-02,238,60402999,非阿片类镇痛药-自费药,科洛曲片,32.83,75.16mg*8s,JX001,科洛曲片,自,自费,自费,A-02,239,60401006,哌替啶,盐酸哌替啶注射液,1.858,1ml:50mg,JX019,度冷丁x,甲,甲类,甲类,A-02,240,60401006,哌替啶,盐酸哌替啶注射液,2.76,2ml:0.1g,JX019,度冷丁x,甲,甲类,甲类,A

60、-02,241,60401005,芬太尼,拘橼酸芬太尼注射液,5.312,2ml:0.1mg,JX019,拘橼酸芬太尼注射液x,甲,甲类,甲类,A-02,242,60401005,芬太尼,枸橼酸芬太尼针,20.215,10ml:0.5mg,JX019,枸橼酸芬太尼针x,甲,甲类,甲类,A-02,243,60401003,瑞芬太尼,盐酸瑞芬太尼,539.14,1mg*5支,JX019,瑞捷x,乙,乙类,乙类,【医保提示】限手术麻醉A-02,244,604014,芬太尼,芬太尼透皮贴剂,86.2,4.2mg(25ug/小时),JX009,多瑞吉x,乙,乙类,乙类,【医保提示】限癌症疼痛、顽固性疼痛