东营市城乡居民医疗保险门诊慢性病药品目录

1、附件1东营市城乡居民医疗保险门诊慢性病药品目录一、智力障碍序号药品编码药品名称药品剂型档次1101560单唾液酸四已糖神经节苷脂注射剂12102207鼠神经生长因子注射剂1二、孤独症序号药品编码药品名称药品剂型档次1100490丙戊酸钠口服常释剂型12101534丙戊酸钠注射剂13100539氟哌啶醇口服常释剂型14100540氟哌啶醇注射剂15100576氟西汀口服常释剂型16100493卡马西平口服常释剂型17100781可乐定口服常释剂型18100551利培酮口服常释剂型19140009哌甲酯缓释控释剂型1三、脑性瘫痪序号药品编码药品名称药品剂型档次1101560单唾液酸四已糖神经节苷脂

2、注射剂12102207鼠神经生长因子注射剂13100521吡拉西坦口服常释剂型24100522吡拉西坦注射剂25100386甲钴胺口服常释剂型26100387甲钴胺注射剂27101159脑蛋白水解物注射剂28140009哌甲酯缓释控释剂型29101550哌甲酯口服常释剂型210101953哌甲酯注射剂211100287维生素B12注射剂212100296维生素B2口服常释剂型213100298维生素B6口服常释剂型214100288维生素B6注射剂2四、血友病序号药品编码药品名称药品剂型档次1100865冻干人凝血酶原复合物注射剂12100864冻干人凝血因子注射剂13102126重组人凝血因

3、子注射剂14XNH160292冷沉淀注射剂15XNH160293重组人活化凝血因子（rhFa）制品注射剂16XNH160294新鲜冷冻血浆注射剂1五、瑞特综合症序号药品编码药品名称药品剂型档次1100198布洛芬口服常释剂型12101021地塞米松滴眼剂13100320地塞米松口服常释剂型14100966地塞米松软膏剂15100321地塞米松注射剂16100716柳氮磺吡啶口服常释剂型17100105洛美沙星口服常释剂型18100222萘普生口服常释剂型19100284葡萄糖酸钙口服常释剂型110100108氧氟沙星口服常释剂型111100232吲哚美辛口服常释剂型112101882左氧氟沙星

4、滴眼剂213101846左氧氟沙星口服常释剂型2六、白塞病序号药品编码药品名称药品剂型档次1100391a-干扰素注射剂12100001阿莫西林口服常释剂型13100010阿莫西林克拉维酸口服常释剂型14100891阿司匹林缓释控释剂型15100196阿司匹林口服常释剂型16100156阿昔洛韦口服常释剂型17100917阿昔洛韦软膏剂18100003氨苄西林注射剂19100204吡罗昔康口服常释剂型110110275丹参合剂（颗粒、胶囊、片、滴丸、口服液）111110276丹参注射液注射剂112101021地塞米松滴眼剂113100320地塞米松口服常释剂型114100966地塞米松软膏剂1

5、15100321地塞米松注射剂116100389雷公藤多苷口服常释剂型117101883利巴韦林滴眼剂118100158利巴韦林口服常释剂型119100162利巴韦林注射剂120101141美洛昔康口服常释剂型121100045奈替米星注射剂122100222萘普生口服常释剂型123100322泼尼松口服常释剂型124100006青霉素注射剂125100235秋水仙碱口服常释剂型126100228双氯芬酸口服常释剂型127100893双嘧达莫口服常释剂型128100019头孢氨苄口服常释剂型129100028头孢呋辛口服常释剂型130100022头孢拉定口服常释剂型131100034头孢哌酮注

6、射剂132100025头孢唑林注射剂133102111维生素E口服常释剂型134100232吲哚美辛口服常释剂型135101486重组人干扰素注射剂2七、癫痫序号药品编码药品名称药品剂型档次1100561阿普唑仑口服常释剂型12100529苯巴比妥口服常释剂型13100530苯巴比妥注射剂14100489苯妥英钠口服常释剂型15100491苯妥英钠注射剂16100521吡拉西坦口服常释剂型17100522吡拉西坦注射剂18100490丙戊酸钠口服常释剂型19101534丙戊酸钠注射剂110100562地西泮口服常释剂型111100563地西泮注射剂112100493卡马西平口服常释剂型1131

7、00298维生素B6口服常释剂型114100288维生素B6注射剂115101536奥卡西平口服常释剂型216102223奥卡西平口服液217111298半夏天麻丸218102027丙戊酸镁缓(控)释片剂219100492丙戊酸钠缓释控释剂型220111310癫痫康胶囊221101949加巴喷丁口服常释剂型222100494卡马西平缓释控释剂型223101537拉莫三嗪口服常释剂型2八、甲状腺机能减退症序号药品编码药品名称药品剂型档次1100371丙硫氧嘧啶口服常释剂型12100370复方碘溶液口服液体剂13100372甲巯咪唑口服常释剂型14100368甲状腺片口服常释剂型15100369左

8、旋甲状腺素口服常释剂型1九、成年人腺垂体功能减退症（含席汉氏综合症）序号药品编码药品名称药品剂型档次1100346黄体酮注射剂12100345甲羟孕酮口服常释剂型13100368甲状腺片口服常释剂型14101457氯米芬口服常释剂型15100343尼尔雌醇口服常释剂型16100322泼尼松口服常释剂型17100330氢化可的松口服常释剂型18100323氢化可的松注射剂19100331曲安奈德注射剂110100351炔诺酮口服常释剂型111100316绒促性素注射剂112100337十一酸睾酮口服常释剂型213100338十一酸睾酮注射剂2十、强直性脊柱炎序号药品编码药品名称药品剂型档次110

9、0001阿莫西林口服常释剂型12100010阿莫西林克拉维酸口服常释剂型13100003氨苄西林注射剂14100013氨苄西林舒巴坦注射剂15100204吡罗昔康口服常释剂型16100198布洛芬口服常释剂型17100389雷公藤多苷口服常释剂型18100716柳氮磺吡啶口服常释剂型19100105洛美沙星口服常释剂型110101141美洛昔康口服常释剂型111100045奈替米星注射剂112100222萘普生口服常释剂型113101144尼美舒利口服常释剂型114100006青霉素注射剂115100228双氯芬酸口服常释剂型116100019头孢氨苄口服常释剂型117100028头孢呋辛口服

10、常释剂型118100022头孢拉定口服常释剂型119100034头孢哌酮注射剂120100025头孢唑林注射剂121100232吲哚美辛口服常释剂型122101292白芍总苷口服常释剂型223100207布洛芬缓释控释剂型224102141布洛芬颗粒剂225100415甲氨蝶呤口服常释剂型226100416甲氨蝶呤注射剂227101384来氟米特口服常释剂型228100390硫唑嘌呤口服常释剂型229100223萘普生缓释控释剂型230101290羟氯喹口服常释剂型231101387塞来昔布口服常释剂型232100138沙利度胺口服常释剂型2十一、系统硬化病序号药品编码药品名称药品剂型档次11

11、01850倍他米松口服常释剂型12100325倍他米松注射剂13100972丙酸氯倍他索软膏剂14110275丹参合剂（颗粒、胶囊、片、滴丸、口服液）15110276丹参注射液16100320地塞米松口服常释剂型17100321地塞米松注射剂18110277复方丹参颗粒（胶囊、片、滴丸）19100396环磷酰胺口服常释剂型110100397环磷酰胺注射剂111100389雷公藤多苷口服常释剂型112100322泼尼松口服常释剂型113100739普鲁卡因胺注射剂114101062青霉胺口服常释剂型115100330氢化可的松口服常释剂型116100323氢化可的松注射剂117100235秋水仙

12、碱口服常释剂型118100976曲安奈德软膏剂119100331曲安奈德注射剂120102111维生素E口服常释剂型121101065依地酸钙钠注射剂122100872右旋糖酐注射剂123100645奥美拉唑口服常释剂型224100646奥美拉唑注射剂225101292白芍总苷口服常释剂型226100415甲氨蝶呤口服常释剂型227100416甲氨蝶呤注射剂228101384来氟米特口服常释剂型229100390硫唑嘌呤口服常释剂型230100251普鲁卡因注射剂231101290羟氯喹口服常释剂型232100138沙利度胺口服常释剂型2十二、银屑病序号药品编码药品名称药品剂型档次110000

13、1阿莫西林口服常释剂型12100010阿莫西林克拉维酸口服常释剂型13100003氨苄西林注射剂14110275丹参合剂（颗粒、胶囊、片、滴丸、口服液）15110276丹参注射液16100955地蒽酚软膏剂17100320地塞米松口服常释剂型18100966地塞米松软膏剂19100321地塞米松注射剂110110277复方丹参颗粒（胶囊、片、滴丸）111101414复合维生素B口服常释剂型112102079高锰酸钾片剂113100969哈西奈德软膏剂114100971哈西奈德外用液体剂115100987甲氧沙林口服常释剂型116100988甲氧沙林外用液体剂117130024硫磺软膏剂1181

14、00105洛美沙星口服常释剂型119100107洛美沙星注射剂120100045奈替米星注射剂121100980尿素软膏剂122100942硼酸软膏剂123100941硼酸外用液体剂124100322泼尼松口服常释剂型125100006青霉素注射剂126100019头孢氨苄口服常释剂型127100028头孢呋辛口服常释剂型128100022头孢拉定口服常释剂型129100034头孢哌酮注射剂130100025头孢唑林注射剂131100294维生素A口服常释剂型132102111维生素E口服常释剂型133101232新霉素软膏剂134100459阿伐斯汀口服常释剂型235101755阿维A口服常

15、释剂型236101732氨肽素口服常释剂型237100964倍氯米松软膏剂238100332苯丙酸诺龙注射剂239100457苯海拉明口服常释剂型240100333丙酸睾酮注射剂241100972丙酸氯倍他索软膏剂242100207布洛芬缓释控释剂型243100198布洛芬口服常释剂型244101743布替萘芬软膏剂245101744布替萘芬外用液体剂246101526地氯雷他定口服常释剂型247101213多磺酸粘多糖软膏剂248100053多西环素口服常释剂型249100925二硫化硒外用液体剂250101130泛昔洛韦口服常释剂型251101847氟康唑口服常释剂型252100145氟康

16、唑注射剂253100962氟轻松软膏剂254100083复方磺胺甲噁唑口服常释剂型255100088复方磺胺甲噁唑注射剂256100967复方曲安缩松软膏剂257100968复方曲安缩松贴膏剂258102074复方水杨酸外用液体剂259100706甘草酸二铵口服常释剂型260100707甘草酸二铵注射剂261101155甘露聚糖肽口服常释剂型262101523甘露聚糖肽注射剂263100927过氧苯甲酰软膏剂264100956黑豆馏油软膏剂265100396环磷酰胺口服常释剂型266100397环磷酰胺注射剂267101749肌苷口服常释剂型268100888肌苷注射剂269101451甲泼尼

17、龙口服常释剂型270100327甲泼尼龙注射剂271100957糠馏油软膏剂272100931克林霉素软膏剂273101998克林霉素外用液体剂274100389雷公藤多苷口服常释剂型275100158利巴韦林口服常释剂型276100948林可霉素软膏剂277100390硫唑嘌呤口服常释剂型278100978炉甘石软膏剂279130019炉甘石洗剂280100456氯苯那敏口服常释剂型281102069氯苯那敏注射剂282100464氯雷他定口服常释剂型283100958煤焦油软膏剂284100959煤焦油外用液体剂285101525咪唑斯汀缓释控释剂型286101524咪唑斯汀口服常释剂型2

18、87100058米诺环素颗粒剂288100056米诺环素口服常释剂型289100938莫匹罗星软膏剂290100709葡醛内酯口服常释剂型291100711葡醛内酯注射剂292100284葡萄糖酸钙口服常释剂型293100285葡萄糖酸钙注射剂294100330氢化可的松口服常释剂型295100960氢化可的松软膏剂296100323氢化可的松注射剂297100976曲安奈德软膏剂298100952曲安奈德益康唑（益康唑曲安奈德）软膏剂299102048曲尼司特口服常释剂型2100101219赛庚啶口服常释剂型2101102152他扎罗汀软膏剂2102101753特比萘芬口服常释剂型21031

19、00949特比萘芬软膏剂2104101856酮替芬口服常释剂型2105100981维A酸口服常释剂型2106100982维A酸软膏剂2107100295维生素B1口服常释剂型2108100287维生素B12注射剂2109100296维生素B2口服常释剂型2110100297维生素B2注射剂2111100298维生素B6口服常释剂型2112100288维生素B6注射剂2113100299维生素C口服常释剂型2114100289维生素C注射剂2115100471西替利嗪口服常释剂型2116102022胸腺五肽注射剂2117102151鸦胆子油外用液体剂2118130085氧化锌软膏剂2119100

20、154伊曲康唑口服常释剂型2120100472异丙嗪口服常释剂型2121100458异丙嗪注射剂2122101758异维A酸口服常释剂型2123100231吲哚美辛缓释颗粒2124100233吲哚美辛缓释控释剂型2125100232吲哚美辛口服常释剂型2126100954鱼石脂软膏剂2127102023转移因子注射剂2十三、帕金森病序号药品编码药品名称药品剂型档次1110847安神胶囊12100457苯海拉明口服常释剂型13100811多巴胺注射剂14110900复方活脑舒胶囊15101046麦角新碱注射剂16110919脑心通丸（胶囊、片）17100475左旋多巴口服常释剂型18100477

21、多巴丝肼口服常释剂型29100473苯海索口服常释剂型210100677东莨菪碱口服常释剂型211100678东莨菪碱注射剂2十四、系统性红斑狼疮序号药品编码药品名称药品剂型档次1100645奥美拉唑口服常释剂型12100871低分子肝素注射剂13100320地塞米松口服常释剂型14100966地塞米松软膏剂15100321地塞米松注射剂16100868肝素注射剂17100396环磷酰胺口服常释剂型18100397环磷酰胺注射剂19100322泼尼松口服常释剂型110100006青霉素注射剂111100007青霉素V口服常释剂型112100035头孢哌酮舒巴坦注射剂113100298维生素B6

22、口服常释剂型114100288维生素B6注射剂115101703辛伐他汀口服常释剂型1十五、股骨头坏死序号药品编码药品名称药品剂型档次1100001阿莫西林口服常释剂型12100010阿莫西林克拉维酸口服常释剂型13101241阿莫西林舒巴坦注射剂14100003氨苄西林注射剂15100013氨苄西林舒巴坦注射剂16110275丹参合剂（颗粒、胶囊、片、滴丸、口服液）17100320地塞米松口服常释剂型18100321地塞米松注射剂19100819氟伐他汀口服常释剂型110110277复方丹参颗粒（胶囊、片、滴丸）111100105洛美沙星口服常释剂型112100045奈替米星注射剂11310

23、0322泼尼松口服常释剂型114101062青霉胺口服常释剂型115100006青霉素注射剂116100007青霉素V口服常释剂型117100019头孢氨苄口服常释剂型118100028头孢呋辛口服常释剂型119100022头孢拉定口服常释剂型120101221头孢拉定注射剂121100034头孢哌酮注射剂122100025头孢唑林注射剂123101703辛伐他汀口服常释剂型124102113碳酸钙D3(维生素D3碳酸钙)颗粒剂225102112碳酸钙D3(维生素D3碳酸钙)口服常释剂型2十六、慢性肾小球肾炎序号药品编码药品名称药品剂型档次1100838阿米洛利口服常释剂型12100001阿莫

24、西林口服常释剂型13100010阿莫西林克拉维酸口服常释剂型14100835氨苯蝶啶口服常释剂型15100014苄星青霉素注射剂16100871低分子肝素注射剂17100841呋塞米口服常释剂型18100836呋塞米注射剂19100214复方阿司匹林口服常释剂型110100534甘露醇注射剂111110982海昆肾喜胶囊112100842螺内酯口服常释剂型113100105洛美沙星口服常释剂型114100006青霉素注射剂115100837氢氯噻嗪口服常释剂型116111281肾衰宁颗粒（胶囊、片）117110979肾炎康复片118100019头孢氨苄口服常释剂型119100028头孢呋辛口服

25、常释剂型120100022头孢拉定口服常释剂型121100034头孢哌酮注射剂122100025头孢唑林注射剂123101014乙酰唑胺口服常释剂型124100374阿法骨化醇口服常释剂型225102012奥美沙坦酯口服常释剂型226100785贝那普利口服常释剂型227100236苯溴马隆口服常释剂型228100237丙磺舒口服常释剂型229100320地塞米松口服常释剂型230100321地塞米松注射剂231101808厄贝沙坦缓释控释剂型232101807厄贝沙坦口服常释剂型233100786福辛普利口服常释剂型234101806复方卡托普利口服常释剂型235100376骨化三醇口服常释

26、剂型236101451甲泼尼龙口服常释剂型237100784卡托普利口服常释剂型238101810坎地沙坦口服常释剂型239100326可的松口服常释剂型240101184赖诺普利口服常释剂型241100389雷公藤多苷口服常释剂型242101185雷米普利口服常释剂型243100390硫唑嘌呤口服常释剂型244100804氯沙坦钾口服常释剂型245101805咪达普利口服常释剂型246100787培哚普利口服常释剂型247100322泼尼松口服常释剂型248101861泼尼松龙口服常释剂型249101811替米沙坦口服常释剂型250100788西拉普利口服常释剂型251101191缬沙坦口服

27、常释剂型252100789依那普利口服常释剂型253110979肾炎康复片254110980肾炎舒颗粒（胶囊、片）255110390肾炎四味胶囊（片）256110391肾炎消肿片2十七和十八、脑梗塞和脑出血（恢复期及后遗症期）序号药品编码药品名称药品剂型档次1100891阿司匹林缓释控释剂型12101552胞磷胆碱口服常释剂型13100518胞磷胆碱注射剂14100501倍他司汀盐酸盐、甲磺酸盐口服常释剂型15100521吡拉西坦口服常释剂型16101957吡硫醇口服常释剂型17101560单唾液酸四已糖神经节苷脂注射剂18100760单硝酸异山梨酯缓释控释剂型19100759单硝酸异山梨酯口

28、服常释剂型110101160丁咯地尔口服常释剂型111100503氟桂利嗪口服常释剂型112110277复方丹参颗粒（胶囊、片、滴丸）113XNH160275注射用七叶皂甙114111124复方血栓通胶囊115100535甘油果糖注射剂116100506葛根素注射剂117100507桂利嗪口服常释剂型118110894脉络宁颗粒（口服液）119110297脉络宁注射液120110906脉络通颗粒（胶囊、片）121101159脑蛋白水解物注射剂122110353脑立清丸（胶囊、片）12311851脑灵素片124100894曲克芦丁口服常释剂型125100897曲克芦丁注射剂126100832三磷

29、酸腺苷注射剂127110881疏血通注射液128100893双嘧达莫口服常释剂型129110308心脑康胶囊（片）130111433血塞通滴丸131110298血栓心脉宁胶囊（片）132110919脑心通丸（胶囊、片）133102047依达拉奉注射剂134101197藻酸双酯钠片剂135101812阿魏酸钠口服常释剂型236100386甲钴胺口服常释剂型237101737氯吡格雷口服常释剂型238100822洛伐他汀口服常释剂型239102111维生素E口服常释剂型240101703辛伐他汀口服常释剂型241111377注射用丹参多酚酸盐2十九、类风湿性关节炎序号药品编码药品名称药品剂型档次1

30、100891阿司匹林缓释控释剂型12100196阿司匹林口服常释剂型13100204吡罗昔康口服常释剂型14100198布洛芬口服常释剂型15100321地塞米松注射剂16100396环磷酰胺口服常释剂型17100389雷公藤多苷口服常释剂型18100222萘普生口服常释剂型19100322泼尼松口服常释剂型110100271曲马多口服常释剂型111110960祛风止痛丸（胶囊、片）112110637伸筋丹胶囊113111364万通筋骨片114100298维生素B6口服常释剂型115100299维生素C口服常释剂型116100232吲哚美辛口服常释剂型117110634壮骨伸筋胶囊118110

31、367追风透骨丸（胶囊、片）119101451甲泼尼龙口服常释剂型120100327甲泼尼龙注射剂121100293碳酸钙口服常释剂型122XNH160166伤痛宁片123XNH160063风湿定胶囊124101292白芍总苷口服常释剂型225100206吡罗昔康缓释控释剂型226100320地塞米松口服常释剂型227100415甲氨蝶呤口服常释剂型228101384来氟米特口服常释剂型229100390硫唑嘌呤口服常释剂型230101141美洛昔康口服常释剂型231100223萘普生缓释控释剂型232101290羟氯喹口服常释剂型233101387塞来昔布口服常释剂型234100138沙利度

32、胺口服常释剂型235102112碳酸钙D3(维生素D3碳酸钙)口服常释剂型236100233吲哚美辛缓释控释剂型2二十、慢性心功能不全（含肺源性心脏病）序号药品编码药品名称药品剂型档次1100001阿莫西林口服常释剂型12100010阿莫西林克拉维酸口服常释剂型13100891阿司匹林缓释控释剂型14100196阿司匹林口服常释剂型15100747阿替洛尔口服常释剂型16101192艾司洛尔 注射剂17XNH160009氨苄西林钠口服常释剂型18100615氨茶碱缓释控释剂型19100610氨茶碱口服常释剂型110100611氨茶碱注射剂111100586氨溴索口服常释剂型112100734胺

33、碘酮口服常释剂型113100736胺碘酮注射剂114101170班布特罗口服常释剂型115100625茶碱缓释控释剂型116100624茶碱口服常释剂型117110275丹参合剂（颗粒、胶囊、片、滴丸、口服液）118101538丹参酮A注射剂119100760单硝酸异山梨酯缓释控释剂型120100759单硝酸异山梨酯口服常释剂型121111329地奥心血康软胶囊122100766地尔硫口服常释剂型123100725地高辛口服常释剂型124101711二丁酰环磷腺苷钙注射剂125100627二羟丙茶碱口服常释剂型126100770酚妥拉明注射剂127110277复方丹参颗粒（胶囊、片、滴丸）12

34、8130013复方甘草合剂129100598复方磷酸可待因口服液体剂130100506葛根素注射剂131110287冠心苏合丸（胶囊、软胶囊）132110901红花注射液133101694环磷腺苷葡胺注射剂134110422黄芪注射液135100604可待因口服常释剂型136101968毛花苷丙注射剂137100731美托洛尔缓释控释剂型138100729美托洛尔口服常释剂型139100737美西律口服常释剂型140100596喷托维林口服常释剂型141100740普罗帕酮口服常释剂型142100743普萘洛尔口服常释剂型143100006青霉素注射剂144100726去乙酰毛花苷注射剂145

35、100630沙丁胺醇口服常释剂型146100631沙丁胺醇吸入剂147110261速效救心丸148100634特布他林口服常释剂型149101579特布他林吸入剂150110119通宣理肺丸（颗粒、胶囊、片）151100019头孢氨苄口服常释剂型152100028头孢呋辛口服常释剂型153100022头孢拉定口服常释剂型154100034头孢哌酮注射剂155100025头孢唑林注射剂156100744维拉帕米口服常释剂型157100762硝苯地平缓释控释剂型158100763硝苯地平口服常释剂型159100756硝酸甘油口服常释剂型160100758硝酸异山梨酯口服常释剂型161101703辛

36、伐他汀口服常释剂型162100835氨苯蝶啶口服常释剂型263102012奥美沙坦酯口服常释剂型264110242柏子养心丸（胶囊、片）265100637丙卡特罗口服常释剂型266110263补心气口服液267100623布地奈德吸入剂268102057布地奈德福莫特罗吸入剂269100839布美他尼口服常释剂型270110110参麦注射液27111865参松养心胶囊272110276丹参注射液273111328丹香冠心注射液274110888丹芎通脉颗粒275110296灯盏花素片276110300灯盏细辛注射制剂277100871低分子肝素注射剂278101984地红霉素口服常释剂型279

37、100320地塞米松口服常释剂型280100321地塞米松注射剂281101719多沙唑嗪口服常释剂型282101571多索茶碱口服常释剂型283100053多西环素口服常释剂型284101807厄贝沙坦口服常释剂型285102078夫西地酸软膏剂286101261夫西地酸注射剂287100841呋塞米口服常释剂型288100836呋塞米注射剂289101573氟替卡松吸入剂290101575福莫特罗吸入剂291100786福辛普利口服常释剂型292100827辅酶Q10注射剂293100594复方甘草制剂口服常释剂型294100083复方磺胺甲噁唑口服常释剂型295101806复方卡托普利口

38、服常释剂型296100868肝素注射剂297110905冠心宁注射液298101745果糖二磷酸钠口服常释剂型299100059红霉素口服常释剂型2100100869华法林口服常释剂型2101100102环丙沙星口服常释剂型2102100085磺胺嘧啶口服常释剂型2103101451甲泼尼龙口服常释剂型2104101750甲硝唑口服常释剂型2105100093甲氧苄啶口服常释剂型2106100814间羟胺注射剂2107100784卡托普利口服常释剂型2108101810坎地沙坦口服常释剂型2109100326可的松口服常释剂型2110101800拉贝洛尔口服常释剂型2111101184赖诺普利

39、口服常释剂型2112101185雷米普利口服常释剂型2113100095联磺甲氧苄啶口服常释剂型2114100804氯沙坦钾口服常释剂型2115100842螺内酯口服常释剂型2116100822洛伐他汀口服常释剂型2117110894脉络宁颗粒（口服液）2118101740门冬氨酸钾美口服常释剂型2119101805咪达普利口服常释剂型2120110919脑心通丸（胶囊、片）2121100782哌唑嗪口服常释剂型2122100787培哚普利口服常释剂型2123100322泼尼松口服常释剂型2124101861泼尼松龙口服常释剂型2125100824普伐他汀口服常释剂型2126101801普萘洛

40、尔缓释控释剂型212711174芪参胶囊2128100330氢化可的松口服常释剂型2129100323氢化可的松注射剂2130100837氢氯噻嗪口服常释剂型2131100046庆大霉素口服常释剂型2132101852曲安奈德吸入剂2133101452曲安西龙口服常释剂型2134101188曲美他嗪口服常释剂型2135100899噻氯匹定口服常释剂型2136110870三七皂苷口服制剂2137100632沙丁胺醇缓释控释剂型2138101577沙美特罗吸入剂2139101574沙美特罗替卡松（氟替卡松沙美特罗）吸入剂2140110260麝香保心丸2141110113生脉饮（颗粒、胶囊）2142

41、101123司帕沙星口服常释剂型2143100589羧甲司坦口服常释剂型2144100590羧甲司坦口服液体剂2145101578特布他林口服液体剂2146101811替米沙坦口服常释剂型2147110659天丹通络胶囊（片）胶囊剂2148110243天王补心丸（片）2149110262通心络胶囊（片）2150101714托拉塞米口服常释剂型2151100753维拉帕米缓释控释剂型2152110116稳心颗粒（胶囊、片）2153101804乌拉地尔缓释控释剂型2154101803乌拉地尔口服常释剂型2155100788西拉普利口服常释剂型2156110273香丹注射液2157110305消栓通

42、络颗粒（胶囊、片）2158102010硝酸甘油舌下片2159100764硝酸异山梨酯缓(控)释片剂2160101191缬沙坦口服常释剂型2161110283心可舒丸（颗粒、胶囊、片）2162111327心脑宁胶囊2163100585溴己新口服常释剂型2164110269养心氏片2165100789依那普利口服常释剂型2166110759益气复脉颗粒（胶囊）2167110886银丹心脑通软胶囊2168110270银杏叶口服制剂2169111554注射用益气复脉(冻干)2二十一、高血压病（合并心、脑、肾并发症）序号药品编码药品名称药品剂型档次1101192艾司洛尔 注射剂12100793氨氯地平口

43、服常释剂型13100785贝那普利口服常释剂型14101698贝尼地平口服常释剂型15110275丹参合剂（颗粒、胶囊、片、滴丸、口服液）16110276丹参注射液17100766地尔硫口服常释剂型18101807厄贝沙坦口服常释剂型19100795非洛地平缓释控释剂型110100794非洛地平口服常释剂型111100770酚妥拉明注射剂112110277复方丹参颗粒（胶囊、片、滴丸）113100771复方利血平（复方降压片）口服常释剂型114101815复方利血平氨苯蝶啶口服常释剂型115110669复方罗布麻颗粒（片）片剂116110287冠心苏合丸（胶囊、软胶囊）117100784卡托普

44、利口服常释剂型118101193卡维地洛口服常释剂型119101810坎地沙坦口服常释剂型120100781可乐定口服常释剂型121100796拉西地平口服常释剂型122101184赖诺普利口服常释剂型123100773利血平口服常释剂型124100690硫酸镁口服散剂125100693硫酸镁口服液体剂126100731美托洛尔缓释控释剂型127100729美托洛尔口服常释剂型128101805咪达普利口服常释剂型129110353脑立清丸（胶囊、片）130100496尼莫地平口服常释剂型131100791尼群地平口服常释剂型132110350牛黄降压丸（胶囊、片）133100782哌唑嗪口服

45、常释剂型134110217杞菊地黄丸（胶囊、片）135100837氢氯噻嗪口服常释剂型136110261速效救心丸137100744维拉帕米口服常释剂型138101231维拉帕米注射剂139100783乌拉地尔注射剂140100762硝苯地平缓释控释剂型141100763硝苯地平口服常释剂型142100801硝普钠注射剂143101191缬沙坦口服常释剂型144100789依那普利口服常释剂型145100807吲达帕胺口服常释剂型146101696L门冬氨酸氨氯地平口服常释剂型247101718阿呋唑嗪缓释控释剂型248101717阿呋唑嗪口服常释剂型249101699阿罗洛尔口服常释剂型25

46、0100747阿替洛尔口服常释剂型251100835氨苯蝶啶口服常释剂型252101182比索洛尔口服常释剂型253100839布美他尼口服常释剂型254111329地奥心血康软胶囊255100802地巴唑口服常释剂型256100767地尔硫缓释控释剂型257101720多沙唑嗪缓释控释剂型258101719多沙唑嗪口服常释剂型259101808厄贝沙坦缓释控释剂型260100803二氮嗪注射剂261100841呋塞米口服常释剂型262100836呋塞米注射剂263100786福辛普利口服常释剂型264101806复方卡托普利口服常释剂型265100868肝素注射剂266110905冠心宁注射

47、液267100806肼屈嗪口服常释剂型268101800拉贝洛尔口服常释剂型269101695乐卡地平口服常释剂型270101185雷米普利口服常释剂型271100842螺内酯口服常释剂型272100822洛伐他汀口服常释剂型273100805米诺地尔口服常释剂型274100799尼卡地平缓释控释剂型275100797尼卡地平口服常释剂型276101157尼莫地平缓释控释剂型277100787培哚普利口服常释剂型278101801普萘洛尔缓释控释剂型279100743普萘洛尔口服常释剂型280101190索他洛尔口服常释剂型281101716特拉唑嗪口服常释剂型282101811替米沙坦口服常

48、释剂型283101714托拉塞米口服常释剂型284100753维拉帕米缓释控释剂型285101804乌拉地尔缓释控释剂型286101803乌拉地尔口服常释剂型287100788西拉普利口服常释剂型288102011西尼地平口服常释剂型289100756硝酸甘油口服常释剂型290102010硝酸甘油舌下片291110759益气复脉颗粒（胶囊）292110886银丹心脑通软胶囊293110270银杏叶口服制剂294100808吲达帕胺缓释控释剂型295101697左旋氨氯地平口服常释剂型296110260麝香保心丸2二十二、糖尿病（慢性感染，有心、肾、眼、神经并发症）序号药品编码药品名称药品剂型档

49、次1XNH160102降糖宁胶囊12XNH160203消渴降糖胶囊13100360阿卡波糖口服常释剂型14100367苯乙双胍片剂15101464吡格列酮口服常释剂型16102188长效人胰岛素类似物注射剂17102187超短效人胰岛素类似物注射剂18100353动物源胰岛素注射剂19100359二甲双胍口服常释剂型110101461甘精胰岛素注射剂111100358格列苯脲口服常释剂型112100361格列吡嗪口服常释剂型113100363格列喹酮口服常释剂型114101148格列美脲口服常释剂型115100364格列齐特口服常释剂型116110216六味地黄丸117101465罗格列酮口服

50、常释剂型118101460门冬胰岛素注射剂119101462那格列奈口服常释剂型120101149瑞格列奈口服常释剂型121110231消渴丸122100356重组人胰岛素注射剂123101463二甲双胍缓释控释剂型224102180伏格列波糖口服常释剂型225100309复方a-酮酸口服常释剂型226100362格列吡嗪缓释控释剂型227100365格列齐特缓释控释剂型228101542桂哌齐特注射剂229101474依帕司他口服常释剂型230100388胰激肽原酶口服常释剂型2二十三、恶性肿瘤（含白血病）序号药品编码药品名称药品剂型档次1100391a-干扰素注射剂12100426阿霉素(

51、多柔比星)注射剂13101508阿那曲唑口服常释剂型14100411阿糖胞苷注射剂15100439氨鲁米特口服常释剂型16100451昂丹司琼口服常释剂型17100452昂丹司琼注射剂18101492奥沙利铂注射剂19100401白消安口服常释剂型110100429吡柔比星注射剂111100428表柔比星注射剂112100444丙卡巴肼口服常释剂型113100261布桂嗪口服常释剂型114100262布桂嗪注射剂115111069参芪扶正注射液116111060参一胶囊117100438长春瑞宾注射剂118100432长春新碱注射剂119100400氮芥注射剂120101504多西他赛注射剂1

52、21100424放线菌素D注射剂122100412氟尿嘧啶口服常释剂型123100442氟他胺口服常释剂型124111049复方斑蝥胶囊125102094高三尖杉酯碱注射剂126101597格拉司琼口服常释剂型127100455格拉司琼注射剂128100396环磷酰胺口服常释剂型129101497吉西他滨注射剂130101944聚乙二醇干扰素-2a-2b注射剂131100443卡铂注射剂132101152卡莫氟口服常释剂型133101498卡培他滨口服常释剂型134101511来曲唑口服常释剂型135101740门冬氨酸钾美口服常释剂型136100915门冬氨酸钾美注射剂137100450米托

53、蒽醌注射剂138100270哌替啶口服常释剂型139100257哌替啶注射剂140100427平阳霉素注射剂141100417羟基脲口服常释剂型142102097羟基喜树碱氯化钠注射剂143XNH160154去甲斑蝥素注射剂144101515去甲斑蝥素口服常释剂型145100430柔红霉素注射剂146101734鲨肝醇口服常释剂型147100449顺铂注射剂148100425丝裂霉素注射剂149100399司莫司汀口服常释剂型150100440他莫昔芬口服常释剂型151100419替加氟口服常释剂型152100420替加氟注射剂153101600托烷司琼注射剂154100454亚叶酸钙注射剂1

54、55102095伊立替康注射剂156100437依托泊苷口服常释剂型157100434依托泊苷注射剂158101513依西美坦口服常释剂型159100410异环磷酰胺注射剂160101486重组人干扰素注射剂161XNH160281紫杉醇口服常释剂型162101507紫杉醇注射剂1二十四、慢性肝炎、二十五、肝硬化序号药品编码药品名称药品剂型档次1100391a-干扰素注射剂12111355板蓝根颗粒13110038板蓝根片（口服液）14110275丹参合剂（颗粒、胶囊、片、滴丸、口服液）15110276丹参注射液16101173多烯磷脂酰胆碱口服常释剂型17110277复方丹参颗粒（胶囊、片、

55、滴丸）18101604复方甘草甜素(复方甘草酸苷)口服常释剂型19100706甘草酸二铵口服常释剂型110100700谷氨酸注射剂111110739护肝颗粒（胶囊、片）112100708还原型谷胱甘肽注射剂113101749肌苷口服常释剂型114100307精氨酸注射剂115101944聚乙二醇干扰素-2a-2b注射剂116111441苦黄注射液117101134拉米呋啶口服常释剂型118100701联苯双酯口服常释剂型119101606硫普罗宁口服常释剂型120101740门冬氨酸钾美口服常释剂型121100915门冬氨酸钾美注射剂122100709葡醛内酯口服常释剂型123100711葡醛内酯注射剂124101964水飞蓟宾葡甲胺口服常释剂型125101623水飞蓟素口服常释剂型126110086乙肝宁颗粒（片）127110089茵栀黄颗粒（口服液）128110078茵栀黄注射液129101486重组人干扰素注射剂130XNH160047东宝肝泰片1二