乙类用药-目录

南通市基本医疗保险乙类药品等级目录,,,,,,,

序号,药品通用名,标注剂型,药品分类,个人先付比例,,,备注

,,,,职工,居民,少儿,

1,[复方]聚乙二醇电解质,口服散剂,西药,20%,20%,20%,

2,12种复合维生素,注射剂,西药,30%,30%,30%,

3,A型肉毒抗毒素,注射剂,西药,30%,30%,30%,

4,L－门冬氨酸氨氯地平,口服常释剂型,西药,10%,10%,10%,

5,α-干扰素,注射剂,西药,20%,20%,20%,

；限白血病、淋巴瘤、黑色素瘤、肾癌、多发性骨髓瘤、丙肝、慢性活动性乙肝。丙肝、慢性活动性乙肝连续使用6个月无效时停药，连续使用不超过12个月

6,阿德福韦酯,口服常释剂型,西药,20%,20%,20%,限活动性肝炎

7,阿伐斯汀,口服常释剂型,西药,10%,10%,10%,

8,阿法骨化醇,口服常释剂型,西药,10%,10%,10%,限重度骨质疏松、肾性骨病、甲状旁腺功能减退症

9,阿呋唑嗪,缓释控释剂型,西药,30%,30%,30%,

10,阿呋唑嗪,口服常释剂型,西药,30%,30%,30%,

11,阿加曲班,注射剂,西药,30%,30%,30%,

12,阿卡波糖,口服常释剂型,西药,0%,0%,0%,

13,阿立哌唑,口服常释剂型,西药,30%,30%,30%,

14,阿立哌唑,口腔崩解片,西药,30%,30%,30%,限不配合服药患者

15,阿仑膦酸钠,口服常释剂型,西药,20%,20%,20%,限重度骨质疏松和工伤保险

16,阿罗洛尔,口服常释剂型,西药,30%,30%,30%,

17,阿洛西林,注射剂,西药,0%,0%,0%,

18,阿米洛利,口服常释剂型,西药,10%,10%,10%,

19,阿米三嗪萝巴新,口服常释剂型,西药,10%,10%,10%,

20,阿莫罗芬,软膏剂,西药,20%,20%,20%,

21,阿莫西林,颗粒剂,西药,10%,10%,10%,限儿童及吞咽困难者

22,阿莫西林,口服液体剂,西药,10%,10%,10%,限儿童及吞咽困难者

23,阿莫西林,注射剂,西药,10%,10%,10%,

24,阿莫西林克拉维酸,颗粒剂,西药,20%,20%,20%,限儿童及吞咽困难者

25,阿莫西林克拉维酸,口服液体剂,西药,20%,20%,20%,限儿童及吞咽困难者

26,阿莫西林克拉维酸,注射剂,西药,20%,20%,20%,限重度感染

27,阿莫西林舒巴坦,注射剂,西药,20%,20%,20%,限重度感染

28,阿莫西林舒巴坦匹酯,口服常释剂型,西药,20%,20%,20%,

29,阿那曲唑,口服常释剂型,西药,20%,20%,20%,

30,阿奇霉素,注射剂,西药,20%,20%,20%,

31,阿柔比星,注射剂,西药,10%,10%,10%,

32,阿斯匹林双嘧达莫,缓释控释剂型,西药,20%,20%,20%,

33,阿替普酶,注射剂,西药,30%,30%,30%,限急性心肌梗死发病12小时内及脑梗死发病3小时内溶栓治疗

34,阿托伐他汀,口服常释剂型,西药,20%,20%,20%,限二线用药

35,阿托品,眼用凝胶剂,西药,10%,10%,10%,

36,阿维A,口服常释剂型,西药,30%,30%,30%,

37,阿魏酸钠,口服常释剂型,西药,20%,20%,20%,

38,阿魏酸哌嗪,口服常释剂型,西药,20%,20%,20%,

39,阿昔洛韦,凝胶剂,西药,10%,10%,10%,

40,阿昔洛韦,注射剂,西药,10%,10%,10%,

41,阿昔莫司,口服常释剂型,西药,20%,20%,20%,

42,阿扎司琼,注射剂,西药,20%,20%,20%,限二线用药

43,阿折地平,口服常释剂型,西药,30%,30%,30%,

44,埃索美拉唑,口服常释剂型,西药,30%,30%,30%,

45,埃索美拉唑,注射剂,西药,30%,30%,30%,

46,艾塞那肽,注射剂,西药,30%,30%,30%,

47,艾司洛尔,注射剂,西药,30%,30%,30%,

48,艾司西酞普兰,口服常释剂型,西药,30%,30%,30%,限二线用药

49,爱普列特,口服常释剂型,西药,10%,10%,10%,

50,安吖啶,注射剂,西药,10%,10%,10%,

51,安乃近,口服常释剂型,西药,0%,0%,0%,

52,安乃近,注射剂,西药,0%,0%,0%,

53,桉柠蒎,口服常释剂型,西药,20%,20%,20%,

54,氨苄西林氯唑西林,注射剂,西药,30%,30%,30%,

55,氨苄西林舒巴坦,注射剂,西药,20%,20%,20%,限重度感染

56,"氨酚待因[I号,II号]",口服常释剂型,西药,0%,0%,0%,

57,氨酚黄那敏,颗粒剂,西药,0%,0%,0%,

58,氨酚咖黄烷胺片,,西药,10%,10%,10%,

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59,氨酚美伪滴剂,,西药,0%,0%,0%,

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60,氨酚美伪麻片,,西药,10%,10%,10%,

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61,氨酚美伪麻片与苯酚伪麻片,,西药,10%,10%,10%,

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62,氨酚那敏三味浸膏胶囊,,西药,10%,10%,10%,

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63,氨酚羟考酮（对乙酰氨基酚羟考酮）,口服常释剂型,西药,20%,20%,20%,

64,氨酚曲马多,口服常释剂型,西药,10%,10%,10%,限重度疼痛

65,氨酚双氢可待因（对乙酰氨基酚双氢可待因）,口服常释剂型,西药,20%,20%,20%,

66,氨酚烷胺咖敏胶囊,,西药,10%,10%,10%,

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67,氨酚烷胺那敏胶囊,,西药,10%,10%,10%,

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68,氨酚伪麻胶囊,,西药,10%,10%,10%,

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69,氨酚伪麻咀嚼片,,西药,10%,10%,10%,

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70,氨酚伪麻颗粒剂,,西药,10%,10%,10%,

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71,氨酚伪麻美芬片/氨麻美敏片Ⅱ,,西药,10%,10%,10%,

72,氨酚伪麻美芬片Ⅱ/氨麻苯美片,,西药,0%,0%,0%,

73,氨酚伪麻美芬片Ⅱ/氨麻苯美片,,西药,0%,0%,0%,

74,氨酚伪麻美那敏片,,西药,10%,10%,10%,

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75,氨酚伪麻那敏胶囊,,西药,10%,10%,10%,

76,氨酚伪麻那敏胶囊(夜用）,,西药,10%,10%,10%,

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77,氨酚伪麻那敏咀嚼片,,西药,10%,10%,10%,

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78,氨酚伪麻那敏片,,西药,10%,10%,10%,

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79,氨酚伪麻那敏溶液,,西药,10%,10%,10%,

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80,氨酚伪麻片,,西药,10%,10%,10%,

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81,氨磺必利,口服常释剂型,西药,20%,20%,20%,限二线用药

82,氨基己酸,口服常释剂型,西药,0%,0%,0%,

83,氨基己酸,注射剂,西药,0%,0%,0%,

84,氨基葡萄糖,颗粒剂,西药,20%,20%,20%,△

85,氨基葡萄糖,口服常释剂型,西药,20%,20%,20%,△

86,氨基酸型肠内营养剂,口服散剂,西药,30%,30%,30%,

；限有营养风险和不能进食的重症患者

87,氨甲苯酸,注射剂,西药,0%,0%,0%,

88,氨甲环酸,口服常释剂型,西药,0%,0%,0%,

89,氨金黄敏颗粒,,西药,10%,10%,10%,

90,氨咖黄敏胶囊,,西药,0%,0%,0%,

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91,氨咖黄敏片,,西药,0%,0%,0%,

92,氨咖麻敏胶囊,,西药,0%,0%,0%,

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93,氨咖愈敏溶液,,西药,10%,10%,10%,

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94,氨氯地平,口服常释剂型,西药,10%,10%,10%,

95,氨曲南,注射剂,西药,30%,30%,30%,

96,氨肽素,口服常释剂型,西药,10%,10%,10%,△

97,氨糖美辛,口服常释剂型,西药,30%,30%,30%,

98,氨溴索,缓释控释剂型,西药,10%,10%,10%,

99,氨溴索,注射剂,西药,10%,10%,10%,

100,昂丹司琼,口服常释剂型,西药,20%,20%,20%,

101,昂丹司琼,注射剂,西药,20%,20%,20%,限二线用药

102,奥氮平,口服常释剂型口腔崩解片,西药,30%,30%,30%,

103,奥卡西平,口服常释剂型,西药,20%,20%,20%,

104,奥卡西平,口服液体剂,西药,20%,20%,20%,

105,奥拉西坦,注射剂,西药,30%,30%,30%,

106,奥美拉唑,注射剂,西药,20%,20%,20%,

107,奥美沙坦酯,口服常释剂型,西药,30%,30%,30%,限对血管紧张素转换酶抑制剂治疗不能耐受的患者

108,奥曲肽[8肽],注射剂,西药,20%,20%,20%,限胰腺炎、食道静脉出血

109,奥沙利铂,注射剂,西药,10%,10%,10%,

110,奥沙西泮,口服常释剂型,西药,0%,0%,0%,

111,奥司他韦,口服常释剂型,西药,30%,30%,30%,限流感重症患者

112,奥昔布宁,口服常释剂型,西药,30%,30%,30%,

113,奥硝唑,口服常释剂型,西药,10%,10%,10%,

114,奥硝唑,注射剂,西药,10%,10%,10%,

115,奥扎格雷,注射剂,西药,30%,30%,30%,

116,巴氯芬,口服常释剂型,西药,30%,30%,30%,

117,巴曲酶(降纤酶）,注射剂,西药,10%,10%,10%,

118,白眉蛇毒血凝酶,注射剂,西药,10%,10%,10%,

119,白芍总苷,口服常释剂型,西药,30%,30%,30%,

120,白消安,注射剂,西药,20%,20%,20%,限二线用药

121,班布特罗,口服常释剂型,西药,0%,0%,0%,

122,斑蝥酸钠,注射剂,西药,20%,20%,20%,

123,包醛氧淀粉,口服常释剂型口服散剂,西药,0%,0%,0%,

124,胞磷胆碱,口服常释剂型,西药,0%,0%,0%,

125,贝美前列素,滴眼剂,西药,30%,30%,30%,限二线用药

126,贝敏伪麻片,,西药,10%,10%,10%,

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127,贝那普利,口服常释剂型,西药,0%,0%,0%,

128,贝尼地平,口服常释剂型,西药,30%,30%,30%,

129,贝前列素,口服常释剂型,西药,30%,30%,30%,限慢性动脉闭塞症

130,倍氯米松,软膏剂,西药,0%,0%,0%,

131,倍氯米松,吸入剂,西药,10%,10%,10%,

132,倍他洛尔,滴眼剂,西药,30%,30%,30%,

133,倍他米松,口服常释剂型,西药,0%,0%,0%,

134,倍他米松,吸入剂,西药,10%,10%,10%,

135,倍他米松,注射剂,西药,10%,10%,10%,

136,倍他司汀,口服常释剂型,西药,0%,0%,0%,

137,倍他司汀,注射剂,西药,0%,0%,0%,

138,苯丙醇,口服常释剂型,西药,0%,0%,0%,△

139,苯丁酸氮芥,口服常释剂型,西药,10%,10%,10%,

140,苯甲酸,软膏剂,西药,10%,10%,10%,

141,苯甲酸雌二醇,注射剂,西药,0%,0%,0%,

142,苯溴马隆,口服常释剂型,西药,0%,0%,0%,

143,苯扎贝特,口服常释剂型,西药,20%,20%,20%,

144,苯唑西林,口服常释剂型,西药,0%,0%,0%,

145,比阿培南,注射剂,西药,30%,30%,30%,限其他抗生素治疗无效的重度感染

146,比卡鲁胺,口服常释剂型,西药,20%,20%,20%,

147,比索洛尔,口服常释剂型,西药,10%,10%,10%,

148,吡贝地尔,缓释控释剂型,西药,20%,20%,20%,

149,吡格列酮,口服常释剂型,西药,10%,10%,10%,限不适用胰岛素药物且使用其他口服降糖药物无效的患者

150,吡拉西坦,口服常释剂型,西药,0%,0%,0%,

151,吡拉西坦,注射剂,西药,10%,10%,10%,

152,吡硫醇,注射剂,西药,20%,20%,20%,

153,吡罗昔康,"口服常释剂型

缓释控释剂型",西药,0%,0%,0%,

154,吡嘧司特钾,滴眼剂,西药,10%,10%,10%,

155,吡嘧司特钾,口服常释剂型,西药,10%,10%,10%,

156,吡诺克辛,滴眼剂,西药,10%,10%,10%,

157,吡柔比星,注射剂,西药,10%,10%,10%,

158,蓖麻油,口服液体剂,西药,0%,0%,0%,

159,苄星青霉素,注射剂,西药,0%,0%,0%,

160,标准桃金娘油,口服常释剂型,西药,丙1,丙1,20%,△

161,表柔比星,注射剂,西药,10%,10%,10%,

162,别嘌醇,缓释控释剂型,西药,0%,0%,0%,

163,丙氨瑞林,注射剂,西药,20%,20%,20%,

164,丙氨酰谷氨酰胺,注射剂,西药,30%,30%,30%,

165,丙吡胺,口服常释剂型,西药,0%,0%,0%,

166,丙泊酚中/长链脂肪乳,注射剂,西药,30%,30%,30%,限丙泊酚（编号：323）不能耐受新的药品导入

167,丙磺舒,口服常释剂型,西药,0%,0%,0%,

168,丙卡特罗,口服常释剂型,西药,10%,10%,10%,

169,丙硫异烟胺,口服常释剂型,西药,0%,0%,0%,

170,丙酸氯倍他索,软膏剂,西药,0%,0%,0%,

171,丙戊酸镁,缓释控释剂型,西药,10%,10%,10%,

172,丙戊酸钠,缓释控释剂型,西药,10%,10%,10%,

173,丙戊酸钠,注射剂,西药,10%,10%,10%,

174,博来霉素,注射剂,西药,20%,20%,20%,

175,布地奈德,吸入剂,西药,0%,0%,0%,△

176,布地奈德福莫特罗,吸入剂,西药,20%,20%,20%,限二线用药

177,布桂嗪,口服常释剂型,西药,0%,0%,0%,

178,布桂嗪,注射剂,西药,0%,0%,0%,

179,布林佐胺,滴眼剂,西药,30%,30%,30%,

180,布洛芬,缓释控释剂型,西药,0%,0%,0%,

181,布洛芬,颗粒剂,西药,0%,0%,0%,△

182,布洛芬,口服液体剂,西药,丙1,丙1,0%,△

183,布洛芬,乳膏剂,西药,0%,0%,0%,△

184,布洛芬,栓剂,西药,丙1,丙1,0%,△；限儿童

185,布洛伪麻分散片,,西药,10%,10%,10%,

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186,布洛伪麻胶囊,,西药,10%,10%,10%,

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187,布洛伪麻颗粒剂,,西药,丙1,丙1,10%,

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188,布洛伪麻片,,西药,10%,10%,10%,

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189,布美他尼,口服常释剂型,西药,20%,20%,20%,

190,布美他尼,注射剂,西药,20%,20%,20%,

191,布替萘芬,软膏剂,西药,0%,0%,0%,△

192,布托啡诺,注射剂,西药,30%,30%,30%,

193,参芎葡萄糖,注射剂,西药,30%,30%,30%,

194,草分枝杆菌F.U.36,注射剂,西药,30%,30%,30%,

195,草木犀流浸液,口服常释剂型,西药,10%,10%,10%,

196,草乌甲素,口服常释剂型,西药,30%,30%,30%,

197,茶苯海明,口服常释剂型,西药,0%,0%,0%,△

198,长春地辛,注射剂,西药,10%,10%,10%,

199,长春碱,注射剂,西药,10%,10%,10%,限二线用药

200,长春瑞滨,注射剂,西药,10%,10%,10%,

201,长春西汀,注射剂,西药,20%,20%,20%,

202,川芎嗪,注射剂,西药,10%,10%,10%,

203,垂体后叶素,吸入剂,西药,20%,20%,20%,

204,雌二醇,凝胶剂,西药,30%,30%,30%,△

205,雌莫司汀,口服常释剂型,西药,20%,20%,20%,

206,醋氯芬酸,口服常释剂型,西药,10%,10%,10%,

207,醋酸钙,口服常释剂型,西药,30%,30%,30%,△

208,达卡巴嗪,注射剂,西药,10%,10%,10%,

209,达克罗宁,口服液体剂,西药,30%,30%,30%,

210,达那唑,口服常释剂型,西药,0%,0%,0%,

211,大观霉素,注射剂,西药,30%,30%,30%,

212,大蒜素,口服常释剂型,西药,0%,0%,0%,

213,大蒜素,注射剂,西药,20%,20%,20%,

214,丹参酮IIA,注射剂,西药,20%,20%,20%,

215,单唾液酸四己糖神经节苷脂,注射剂,西药,30%,30%,30%,

216,单硝酸异山梨酯,缓释控释剂型,西药,0%,0%,0%,

217,单硝酸异山梨酯,口服常释剂型,西药,0%,0%,0%,

218,单硝酸异山梨酯,注射剂,西药,0%,0%,0%,

219,弹性酶,口服常释剂型,西药,30%,30%,30%,

220,氮甲,口服常释剂型,西药,0%,0%,0%,

221,氮卓斯汀,吸入剂,西药,30%,30%,30%,

222,低分子肝素,注射剂,西药,0%,0%,0%,

223,地奥司明,口服常释剂型,西药,30%,30%,30%,

224,地巴唑,口服常释剂型,西药,0%,0%,0%,

225,地蒽酚,软膏剂,西药,10%,10%,10%,

226,地尔硫卓,缓释控释剂型,西药,0%,0%,0%,

227,地尔硫卓,口服常释剂型,西药,0%,0%,0%,

228,地尔硫卓,注射剂,西药,10%,10%,10%,

229,地氟烷,液体剂型,西药,10%,10%,10%,

230,地高辛,口服液体剂,西药,0%,0%,0%,

231,地红霉素,口服常释剂型,西药,20%,20%,20%,

232,地氯雷他定,口服常释剂型,西药,10%,10%,10%,

233,地奈德,软膏剂,西药,10%,10%,10%,△

234,地匹福林,滴眼剂,西药,20%,20%,20%,

235,地屈孕酮,口服常释剂型,西药,30%,30%,30%,

236,地塞米松,软膏剂,西药,0%,0%,0%,

237,地特胰岛素,注射剂,西药,30%,30%,30%,限反复发作低血糖或有重度合并症的老年糖尿病患者

238,地衣芽胞杆菌活菌制剂,口服常释剂型,西药,10%,10%,10%,△；限菌群失调

239,地佐辛,注射剂,西药,30%,30%,30%,

240,碘克沙醇,注射剂,西药,20%,20%,20%,

241,碘美普尔,注射剂,西药,20%,20%,20%,

242,碘曲仑,注射剂,西药,20%,20%,20%,

243,碘塞罗宁,口服常释剂型,西药,30%,30%,30%,

244,碘他拉葡甲胺,注射剂,西药,30%,30%,30%,

245,丁苯酞,口服常释剂型,西药,30%,30%,30%,

246,丁卡因,口服液体剂,西药,10%,10%,10%,

247,丁咯地尔,口服常释剂型,西药,20%,20%,20%,

248,丁咯地尔,注射剂,西药,20%,20%,20%,

249,丁螺环酮,口服常释剂型,西药,30%,30%,30%,

250,丁酸氢化可的松,软膏剂,西药,10%,10%,10%,△

251,丁溴东莨菪碱,口服常释剂型,西药,10%,10%,10%,

252,丁溴东莨菪碱,注射剂,西药,10%,10%,10%,

253,东莨菪碱,口服常释剂型,西药,0%,0%,0%,

254,东莨菪碱,眼膏剂,西药,0%,0%,0%,

255,东莨菪碱,注射剂,西药,0%,0%,0%,

256,动物源肺表面活性物质,注射剂,西药,丙1,丙1,30%,

；限新生儿

257,冻干人凝血酶原复合物,注射剂,西药,10%,10%,10%,限手术大出血及肝硬变、肝坏死导致的出血

258,度洛西汀,口服常释剂型,西药,30%,30%,30%,

259,短肽型肠内营养剂,"口服散剂

口服液体剂",西药,30%,30%,30%,

；限有营养风险和不能进食的重症患者

260,对氨基水杨酸异烟肼,口服常释剂型,西药,10%,10%,10%,

261,对乙酰氨基酚,缓释控释剂型,西药,0%,0%,0%,△

262,对乙酰氨基酚,口服液体剂,西药,0%,0%,0%,△

263,多巴丝肼,口服常释剂型,西药,0%,0%,0%,

264,多磺酸粘多糖,软膏剂,西药,20%,20%,20%,

265,多库酯钠,口服常释剂型,西药,30%,30%,30%,

266,多酶,口服常释剂型,西药,0%,0%,0%,△

267,多奈哌齐,口服常释剂型,西药,30%,30%,30%,限三级医院治疗中度以上痴呆

268,多廿烷醇,口服常释剂型,西药,30%,30%,30%,

269,多潘立酮,栓剂,西药,20%,20%,20%,限儿童及呑咽困难者

270,多塞平,乳膏剂,西药,30%,30%,30%,

271,多沙普仑,注射剂,西药,30%,30%,30%,

272,多沙唑嗪,"口服常释剂型

缓释控释剂型",西药,30%,30%,30%,

273,多索茶碱,口服常释剂型,西药,30%,30%,30%,限二线用药

274,多索茶碱,注射剂,西药,30%,30%,30%,限二线用药

275,多糖铁复合物,口服常释剂型,西药,30%,30%,30%,

276,多西他赛,注射剂,西药,20%,20%,20%,限二线用药

277,多烯磷脂酰胆碱,口服常释剂型,西药,30%,30%,30%,△

278,多烯磷脂酰胆碱,注射剂,西药,30%,30%,30%,限抢救、肝功能衰竭

279,多粘菌素B（多粘菌素）,注射剂,西药,30%,30%,30%,

280,多种微量元素（Ⅰ，Ⅱ）,注射剂,西药,30%,30%,30%,限配合肠外营养用

281,厄贝沙坦,"口服常释剂型

缓释控释剂型",西药,10%,10%,10%,限对血管紧张素转换酶抑制剂治疗不能耐受的患者

282,恩夫韦肽,注射剂,西药,30%,30%,30%,限艾滋病病毒感染

283,恩曲他滨,口服常释剂型,西药,30%,30%,30%,限艾滋病病毒感染

284,恩他卡朋,口服常释剂型,西药,30%,30%,30%,限三级医院重症患者

285,恩替卡韦,口服常释剂型,西药,20%,20%,20%,限活动性肝炎

286,二氮嗪,注射剂,西药,0%,0%,0%,

287,二丁酰环磷腺苷钙,注射剂,西药,20%,20%,20%,

288,二甲弗林,注射剂,西药,0%,0%,0%,

289,二甲硅油,口服常释剂型,西药,0%,0%,0%,△

290,二甲双胍,缓释控释剂型,西药,0%,0%,0%,

291,二硫化硒,外用液体剂,西药,30%,30%,30%,△

292,二羟丙茶碱,口服常释剂型,西药,0%,0%,0%,△

293,二羟丙茶碱,注射剂,西药,0%,0%,0%,

294,二氢麦角碱,缓释控释剂型,西药,10%,10%,10%,

295,二氢麦角碱,口服常释剂型,西药,10%,10%,10%,

296,二氧丙嗪,口服常释剂型,西药,0%,0%,0%,

297,伐昔洛韦,口服常释剂型,西药,30%,30%,30%,

298,法罗培南,口服常释剂型,西药,30%,30%,30%,限其他抗生素治疗无效的重度感染

299,法舒地尔,注射剂,西药,30%,30%,30%,限蛛网膜下腔出血后患者在三级医院使用

300,泛昔洛韦,口服常释剂型,西药,20%,20%,20%,

301,泛昔洛韦,注射剂,西药,20%,20%,20%,

302,泛影酸钠,注射剂,西药,30%,30%,30%,

303,非洛地平,缓释控释剂型,西药,0%,0%,0%,

304,非洛地平,口服常释剂型,西药,0%,0%,0%,

305,非那吡啶,口服常释剂型,西药,20%,20%,20%,限膀胱镜检查使用

306,非那雄胺,口服常释剂型,西药,0%,0%,0%,

307,非诺贝特,口服常释剂型,西药,0%,0%,0%,

308,芬太尼,贴剂,西药,30%,30%,30%,限癌症疼痛病人口服和注射镇痛失败者

309,酚苄明,口服常释剂型,西药,0%,0%,0%,

310,酚苄明,注射剂,西药,0%,0%,0%,

311,酚磺乙胺,注射剂,西药,0%,0%,0%,

312,酚咖麻敏胶囊,,西药,10%,10%,10%,

313,酚咖片,,西药,10%,10%,10%,

；△

314,酚麻美敏胶囊,,西药,0%,0%,0%,

；△

315,酚麻美敏片,,西药,0%,0%,0%,

；△

316,酚麻美软胶囊,,西药,10%,10%,10%,

317,酚美愈伪麻口服液,,西药,10%,10%,10%,

；△

318,酚明伪麻片,,西药,10%,10%,10%,

；△

319,夫西地酸,软膏剂,西药,30%,30%,30%,

320,夫西地酸,注射剂,西药,30%,30%,30%,限重度感染

321,呋麻,滴鼻剂,西药,0%,0%,0%,△

322,呋喃硫胺,口服常释剂型,西药,0%,0%,0%,

323,伏格列波糖,口服常释剂型,西药,30%,30%,30%,

324,伏立康唑,口服常释剂型,西药,30%,30%,30%,限重症真菌感染

325,伏立康唑,口服液体剂,西药,30%,30%,30%,"限儿童及吞咽困难者的重症

真菌感染"

326,伏立康唑,注射剂,西药,30%,30%,30%,限重症真菌感染

327,氟胞嘧啶,口服常释剂型,西药,10%,10%,10%,

328,氟胞嘧啶,注射剂,西药,10%,10%,10%,

329,氟比洛芬,贴剂,西药,30%,30%,30%,

330,氟比洛芬酯,注射剂,西药,30%,30%,30%,限术后镇痛和工伤保险

331,氟吡汀,口服常释剂型,西药,30%,30%,30%,

332,氟达拉滨,注射剂,西药,20%,20%,20%,限三级综合、肿瘤专科医院二线用药

333,氟伐他汀,缓释控释剂型,西药,20%,20%,20%,限二线用药

334,氟伐他汀,口服常释剂型,西药,20%,20%,20%,限二线用药

335,氟芬那酸,口服常释剂型,西药,10%,10%,10%,

336,氟奋乃静,口服常释剂型,西药,0%,0%,0%,

337,氟奋乃静,注射剂,西药,0%,0%,0%,

338,氟伏沙明,口服常释剂型,西药,30%,30%,30%,

339,氟桂利嗪,口服常释剂型,西药,0%,0%,0%,

340,氟康唑,滴眼剂,西药,20%,20%,20%,

341,氟康唑,注射剂,西药,20%,20%,20%,

342,氟罗沙星,注射剂,西药,30%,30%,30%,限二线用药

343,氟米龙(氟甲松龙),滴眼剂,西药,20%,20%,20%,

344,氟米龙庆大霉素,滴眼剂,西药,20%,20%,20%,

345,氟尿嘧啶,软膏剂,西药,0%,0%,0%,

346,氟尿嘧啶,植入剂,西药,20%,20%,20%,

347,氟尿嘧啶氯化钠,注射剂,西药,0%,0%,0%,

348,氟尿嘧啶葡萄糖,注射剂,西药,0%,0%,0%,

349,氟哌利多,注射剂,西药,0%,0%,0%,

350,氟哌噻吨,口服常释剂型,西药,0%,0%,0%,

351,氟哌噻吨,注射剂,西药,0%,0%,0%,

352,氟哌噻吨美利曲辛,口服常释剂型,西药,20%,20%,20%,

353,氟他胺,口服常释剂型,西药,10%,10%,10%,

354,氟替卡松,软膏剂,西药,30%,30%,30%,

355,氟替卡松,吸入剂,西药,30%,30%,30%,△

356,氟西汀,口服常释剂型,西药,20%,20%,20%,

357,福莫司汀,注射剂,西药,20%,20%,20%,限二线用药

358,福莫特罗,吸入剂,西药,30%,30%,30%,限二线用药

359,福辛普利,口服常释剂型,西药,10%,10%,10%,

360,辅酶A,注射剂,西药,10%,10%,10%,限急救

361,辅酶Q10,口服常释剂型,西药,10%,10%,10%,

362,辅酶Q10,注射剂,西药,10%,10%,10%,△

363,复方α-酮酸,口服常释剂型,西药,20%,20%,20%,

364,复方阿米洛利,口服常释剂型,西药,0%,0%,0%,

365,复方阿嗪米特,口服常释剂型,西药,20%,20%,20%,△

366,复方阿司匹林,口服常释剂型,西药,0%,0%,0%,

367,复方阿替卡因制剂,注射剂,西药,30%,30%,30%,

368,复方安息香酊,外用液体剂,西药,20%,20%,20%,

369,复方氨酚美沙糖浆,,西药,10%,10%,10%,

；△

370,复方氨酚那敏颗粒,,西药,10%,10%,10%,

；△

371,复方氨酚葡锌片,,西药,10%,10%,10%,

372,复方氨酚烷胺胶囊,,西药,0%,0%,0%,

373,复方氨酚烷胺颗粒,,西药,0%,0%,0%,

；△

374,复方氨酚烷胺片,,西药,0%,0%,0%,

；△

375,复方氨基酸（15AA）,注射剂,西药,20%,20%,20%,限重度创伤患者

376,复方氨基酸（17AA-H）,注射剂,西药,20%,20%,20%,

377,复方氨基酸（18AA-Ⅶ，18B）,注射剂,西药,20%,20%,20%,限重度创伤患者

378,复方氨基酸(19AA-1),注射剂,西药,丙1,丙1,20%,限儿童

379,复方氨基酸（20AA）,注射剂,西药,20%,20%,20%,

380,复方氨基酸（3AA）,注射剂,西药,20%,20%,20%,

381,复方氨基酸（6AA）,注射剂,西药,20%,20%,20%,

382,复方氨基酸（9AA）,注射剂,西药,20%,20%,20%,

383,复方北豆根氨酚那敏片,,西药,10%,10%,10%,

384,复方贝母氯化铵片,,西药,10%,10%,10%,

385,复方倍氯米松樟脑,软膏剂,西药,0%,0%,0%,

386,复方丙谷胺西咪替丁片,,西药,30%,30%,30%,

387,复方丙氧氨酚,口服常释剂型,西药,10%,10%,10%,

388,复方茶碱,口服常释剂型,西药,0%,0%,0%,

389,复方醋酸曲安奈德,滴耳剂,西药,20%,20%,20%,△

390,复方颠茄铋镁片,,西药,10%,10%,10%,

391,复方颠茄氢氧化铝片,,西药,10%,10%,10%,

；△

392,复方颠茄氢氧化铝散,,西药,10%,10%,10%,

；△

393,复方淀粉酶口服溶液,,西药,20%,20%,20%,

；△

394,复方对乙酰氨基酚,口服常释剂型,西药,0%,0%,0%,△

395,复方多粘菌素B,软膏剂,西药,20%,20%,20%,

396,复方莪术油,栓剂,西药,10%,10%,10%,△

397,复方泛影葡胺,注射剂,西药,10%,10%,10%,

398,复方酚咖伪麻胶囊,,西药,0%,0%,0%,

；△

399,复方氟尿嘧啶,注射剂,西药,0%,0%,0%,

400,复方甘铋镁,口服常释剂型,西药,20%,20%,20%,

401,复方甘草氯化铵糖浆,,西药,10%,10%,10%,

；△

402,复方甘草麻黄碱片,,西药,10%,10%,10%,

；△

403,复方甘草酸单胺,注射剂,西药,30%,30%,30%,

404,复方甘草甜素（复方甘草酸苷）,口服常释剂型,西药,30%,30%,30%,△

405,复方甘草甜素（复方甘草酸苷）,注射剂,西药,30%,30%,30%,限抢救、肝功能衰竭和工伤保险

406,复方甘草浙贝氯化铵片,,西药,10%,10%,10%,

407,复方甘露醇,注射剂,西药,10%,10%,10%,

408,复方甘油,注射剂,西药,0%,0%,0%,

409,复方谷氨酰胺,口服常释剂型,西药,20%,20%,20%,

410,复方骨肽,注射剂,西药,30%,30%,30%,

411,复方磺胺甲噁唑,注射剂,西药,0%,0%,0%,

412,复方磺胺嘧啶锌,凝胶剂,西药,0%,0%,0%,

413,复方甲硝唑,栓剂,西药,10%,10%,10%,△

414,复方甲硝唑,阴道泡腾片,西药,10%,10%,10%,△

415,复方甲氧那明,口服常释剂型,西药,10%,10%,10%,

416,复方角菜酸酯,栓剂,西药,20%,20%,20%,△

417,复方卡托普利,口服常释剂型,西药,0%,0%,0%,

418,复方雷尼替丁胶囊,,西药,20%,20%,20%,

；△

419,复方磷酸可待因,溶液剂,西药,0%,0%,0%,

420,复方硫酸软骨素,口服常释剂型,西药,10%,10%,10%,

421,复方硫酸双肼屈嗪,口服常释剂型,西药,0%,0%,0%,

422,复方龙胆碳酸氢钠片,,西药,20%,20%,20%,

；△

423,复方芦丁,口服常释剂型,西药,0%,0%,0%,

424,复方芦荟维U片,,西药,30%,30%,30%,

；△

425,复方铝酸铋,颗粒剂,西药,10%,10%,10%,△

426,复方氯丙那林鱼腥草素钠片,,西药,20%,20%,20%,

427,复方氯己定,外用液体剂,西药,0%,0%,0%,

428,复方氯唑沙宗,口服常释剂型,西药,10%,10%,10%,△

429,复方木香铝镁片,,西药,10%,10%,10%,

430,复方木香小檗碱片,,西药,20%,20%,20%,

431,复方尿囊素片,,西药,30%,30%,30%,

；△

432,复方诺氟沙星,滴鼻剂,西药,0%,0%,0%,

433,复方枇杷氯化铵糖浆,,西药,10%,10%,10%,

；△

434,复方羟甲唑啉,吸入剂,西药,20%,20%,20%,

435,复方氢溴酸右美沙芬胶囊,,西药,10%,10%,10%,

；△

436,复方氢溴酸右美沙芬糖浆,,西药,10%,10%,10%,

；△

437,复方曲安缩松,软膏剂,西药,10%,10%,10%,

438,复方忍冬藤阿司匹林片,,西药,10%,10%,10%,

；△

439,复方乳酸钠葡萄糖,注射剂,西药,10%,10%,10%,

440,复方嗜酸乳杆菌片,,西药,20%,20%,20%,

；△

441,复方水杨酸,外用液体剂,西药,0%,0%,0%,△

442,复方土槿皮酊,外用液体剂,西药,0%,0%,0%,

443,复方托吡卡胺,滴眼剂,西药,20%,20%,20%,

444,复方维生素U胶囊,,西药,20%,20%,20%,

445,复方胃蛋白酶颗粒,,西药,20%,20%,20%,

446,复方消化酶胶囊,,西药,20%,20%,20%,

；△

447,复方锌布颗粒剂,,西药,30%,30%,30%,

448,复方溴丙胺太林铝镁片,,西药,20%,20%,20%,

；△

449,复方延胡索氢氧化铝片,,西药,20%,20%,20%,

；△

450,复方盐酸氯丙嗪,注射剂,西药,0%,0%,0%,

451,复方盐酸伪麻黄碱缓释胶囊,,西药,0%,0%,0%,

452,复方胰酶散,,西药,20%,20%,20%,

；△

453,复方异丙托溴铵（异丙托溴铵沙丁胺醇）,吸入剂,西药,10%,10%,10%,限二线用药

454,复方银翘氨敏胶囊,,西药,10%,10%,10%,

455,复方愈创木酚磺酸钾口服溶液,,西药,10%,10%,10%,

456,复方愈酚喷托那敏糖浆,,西药,10%,10%,10%,

；△

457,复方樟脑酊,口服液体剂,西药,0%,0%,0%,

458,复合辅酶,注射剂,西药,30%,30%,30%,

459,复合磷酸氢钾,注射剂,西药,20%,20%,20%,

460,复合乳酸菌胶囊,,西药,20%,20%,20%,

461,复合维生素B,口服常释剂型,西药,0%,0%,0%,△

462,富马酸亚铁,咀嚼片,西药,10%,10%,10%,△

463,富马酸亚铁,口服常释剂型,西药,10%,10%,10%,△

464,腹膜透析液,注射剂,西药,0%,0%,0%,

465,钆贝葡胺,注射剂,西药,20%,20%,20%,

466,钆喷酸葡胺,注射剂,西药,20%,20%,20%,

467,钆特酸葡胺,注射剂,西药,20%,20%,20%,

468,盖胃平片,,西药,0%,0%,0%,

；△

469,干酵母,口服常释剂型,西药,10%,10%,10%,△

470,甘草酸二铵,口服常释剂型,西药,10%,10%,10%,△

471,甘草酸二铵,注射剂,西药,10%,10%,10%,限抢救、肝功能衰竭和工伤保险

472,甘精胰岛素,注射剂,西药,30%,30%,30%,限反复发作低血糖或有重度合并症的老年糖尿病患者

473,甘露聚糖肽,注射剂,西药,30%,30%,30%,

474,甘油,灌肠剂,西药,0%,0%,0%,△

475,甘油,栓剂,西药,0%,0%,0%,

476,甘油磷酸钠,注射剂,西药,20%,20%,20%,

477,高锰酸钾,外用片剂,西药,0%,0%,0%,

478,高三尖杉酯碱氯化钠,注射剂,西药,0%,0%,0%,

479,高血糖素,注射剂,西药,30%,30%,30%,限严重低血糖症和儿童

480,戈那瑞林,注射剂,西药,30%,30%,30%,

481,戈舍瑞林,缓释植入剂,西药,30%,30%,30%,

482,戈舍瑞林,口服常释剂型,西药,30%,30%,30%,

483,格拉司琼,口服常释剂型,西药,20%,20%,20%,

484,格拉司琼,注射剂,西药,20%,20%,20%,限二线用药

485,格列吡嗪,缓释控释剂型,西药,0%,0%,0%,

486,格列喹酮,口服常释剂型,西药,0%,0%,0%,

487,格列美脲,口服常释剂型,西药,0%,0%,0%,

488,格列齐特,缓释控释剂型,西药,10%,10%,10%,

489,格列齐特,口服常释剂型,西药,0%,0%,0%,

490,葛根素,注射剂,西药,10%,10%,10%,

491,更昔洛韦,口服常释剂型,西药,30%,30%,30%,

492,更昔洛韦,眼用凝胶,西药,30%,30%,30%,

493,更昔洛韦,注射剂,西药,30%,30%,30%,

494,枸地氯雷他定,口服常释剂型,西药,20%,20%,20%,

495,枸橼酸铋钾,颗粒剂,西药,0%,0%,0%,△

496,枸橼酸钾,颗粒剂,西药,10%,10%,10%,

497,谷维素,口服常释剂型,西药,0%,0%,0%,△

498,骨瓜提取物,注射剂,西药,30%,30%,30%,限重度骨质疏松患者确诊为骨折延迟愈合后6个月内使用和工伤保险

499,骨化三醇,口服常释剂型,西药,20%,20%,20%,限重度骨质疏松、肾性骨病、甲状旁腺功能减退症

500,骨化三醇,注射剂,西药,20%,20%,20%,

501,骨肽,注射剂,西药,30%,30%,30%,限重度骨质疏松患者确诊为骨折延迟愈合后4个月内使用和工伤保险

502,癸氟奋乃静,注射剂,西药,0%,0%,0%,

503,鬼臼毒素,外用液体剂,西药,30%,30%,30%,△

504,桂利嗪,口服常释剂型,西药,0%,0%,0%,

505,桂哌齐特,注射剂,西药,30%,30%,30%,限雷诺氏病和工伤保险

506,果糖,注射剂,西药,30%,30%,30%,限因胰岛素抵抗无法使用葡萄糖的抢救患者

507,果糖二磷酸钠,注射剂,西药,30%,30%,30%,限急救

508,过氧苯甲酰,凝胶剂,西药,10%,10%,10%,△

509,过氧化氢,溶液剂,西药,10%,10%,10%,

510,哈西奈德,软膏剂,西药,10%,10%,10%,

511,哈西奈德,外用液体剂,西药,10%,10%,10%,

512,海藻酸铝镁颗粒,,西药,30%,30%,30%,

；△

513,核糖核酸Ⅱ,注射剂,西药,30%,30%,30%,

514,黑豆馏油,软膏剂,西药,10%,10%,10%,

515,后马托品,眼膏剂,西药,0%,0%,0%,

516,琥珀酸亚铁,口服常释剂型,西药,0%,0%,0%,△

517,琥珀酰明胶,注射剂,西药,20%,20%,20%,限休克抢救

518,琥乙红霉素,颗粒剂,西药,0%,0%,0%,

519,琥乙红霉素,口服常释剂型,西药,0%,0%,0%,

520,还原型谷胱甘肽,注射剂,西药,20%,20%,20%,

521,环吡酮胺,软膏剂,西药,0%,0%,0%,△

522,环丙沙星,滴耳剂,西药,10%,10%,10%,

523,环丙沙星,"滴眼剂

眼膏剂",西药,10%,10%,10%,

524,环磷腺苷,注射剂,西药,20%,20%,20%,△

525,环轮宁,注射剂,西药,30%,30%,30%,限三级医院全身麻醉使用

526,黄体酮,口服常释剂型,西药,10%,10%,10%,

527,黄体酮,凝胶剂,西药,30%,30%,30%,

528,磺胺醋酰钠,滴眼剂,西药,0%,0%,0%,△

529,磺胺多辛,口服常释剂型,西药,0%,0%,0%,

530,磺胺嘧啶锌,软膏剂,西药,0%,0%,0%,

531,磺胺嘧啶银,软膏剂,西药,0%,0%,0%,△

532,磺胺嘧啶银,外用散剂,西药,0%,0%,0%,△

533,磺苄西林,注射剂,西药,20%,20%,20%,

534,磺达肝癸钠,注射剂,西药,30%,30%,30%,

535,茴拉西坦,颗粒剂,西药,10%,10%,10%,

536,茴拉西坦,口服常释剂型,西药,10%,10%,10%,

537,茴三硫,口服常释剂型,西药,10%,10%,10%,

538,混合糖电解质,注射剂,西药,30%,30%,30%,

539,肌苷,口服常释剂型,西药,0%,0%,0%,△

540,吉法酯,口服常释剂型,西药,20%,20%,20%,

541,吉非罗齐,口服常释剂型,西药,0%,0%,0%,

542,吉米沙星,口服常释剂型,西药,30%,30%,30%,限二线用药

543,吉西他滨,注射剂,西药,10%,10%,10%,

544,疾病特异型肠内营养剂,"口服散剂

口服液体剂",西药,30%,30%,30%,

；限有营养风险和不能进食的重症患者

545,己酸羟孕酮,注射剂,西药,0%,0%,0%,

546,己酮可可碱,缓释控释剂型,西药,20%,20%,20%,

547,己酮可可碱,口服常释剂型,西药,20%,20%,20%,

548,己酮可可碱,注射剂,西药,20%,20%,20%,

549,加巴喷丁,口服常释剂型,西药,30%,30%,30%,

550,加贝酯,注射剂,西药,30%,30%,30%,

551,加兰他敏,口服常释剂型,西药,10%,10%,10%,

552,加兰他敏,注射剂,西药,0%,0%,0%,

553,加替沙星,注射剂,西药,20%,20%,20%,

554,甲地孕酮,口服常释剂型,西药,10%,10%,10%,

555,甲砜霉素甘氨酸酯,注射剂,西药,30%,30%,30%,

556,甲钴胺,口服常释剂型,西药,10%,10%,10%,

557,甲钴胺,注射剂,西药,10%,10%,10%,

558,甲基斑蝥胺,口服常释剂型,西药,10%,10%,10%,

559,甲基多巴,口服常释剂型,西药,0%,0%,0%,

560,甲氯芬酯,口服常释剂型,西药,10%,10%,10%,

561,甲泼尼龙,口服常释剂型,西药,10%,10%,10%,

562,甲泼尼龙,注射剂,西药,10%,10%,10%,

563,甲羟孕酮,注射剂,西药,10%,10%,10%,

564,甲硝唑,凝胶剂,西药,10%,10%,10%,△

565,甲氧苄啶,口服常释剂型,西药,0%,0%,0%,

566,甲氧沙林,口服常释剂型,西药,10%,10%,10%,

567,甲氧沙林,外用液体剂,西药,10%,10%,10%,

568,甲异靛,口服常释剂型,西药,10%,10%,10%,

569,甲紫,外用液体剂,西药,0%,0%,0%,

570,尖吻蝮蛇血凝酶,注射剂,西药,10%,10%,10%,

571,碱式水杨酸铋,口服液体剂,西药,丙1,丙1,10%,

572,降钙素,吸入剂,西药,30%,30%,30%,限高钙血症患者和工伤保险

573,降钙素,注射剂,西药,20%,20%,20%,限高钙血症患者和工伤保险

574,胶体果胶铋,口服常释剂型,西药,10%,10%,10%,△

575,结构脂肪乳(C6~24),注射剂,西药,20%,20%,20%,

576,结合雌激素,口服常释剂型,西药,10%,10%,10%,△

577,结合雌激素/甲羟孕酮,口服常释剂型,西药,30%,30%,30%,△

578,金刚乙胺,"口服常释剂型

口服液体剂

颗粒剂",西药,丙1,丙1,0%,限儿童

579,精氨酸布洛芬,颗粒剂,西药,30%,30%,30%,

580,精制抗狂犬病血清,注射剂,西药,10%,10%,10%,

581,精制抗蛇毒血清,注射剂,西药,10%,10%,10%,

582,精制抗炭疽血清,注射剂,西药,10%,10%,10%,

583,精制破伤风抗毒素,注射剂,西药,10%,10%,10%,

584,肼屈嗪,口服常释剂型,西药,10%,10%,10%,

585,肼屈嗪,注射剂,西药,10%,10%,10%,

586,静脉注射用人免疫球蛋白(pH4),注射剂,西药,丙1,丙1,40%,限儿童重度病毒感染和工伤保险

587,聚桂醇,注射剂,西药,30%,30%,30%,限严重消化道大出血

588,聚甲酚磺醛,"外用液体剂

栓剂",西药,30%,30%,30%,

589,聚乙二醇,口服散剂,西药,20%,20%,20%,

590,聚乙二醇干扰素α-2a[α-2b],注射剂,西药,30%,30%,30%,限丙肝、慢性活动性乙肝，连续使用6个月无效时停药，连续使用不超过12个月

591,卷曲霉素,注射剂,西药,30%,30%,30%,

592,咖酚伪麻片,,西药,10%,10%,10%,

；△

593,卡巴克络,口服常释剂型,西药,0%,0%,0%,

594,卡巴克络,注射剂,西药,0%,0%,0%,

595,卡巴拉汀,口服常释剂型,西药,30%,30%,30%,限三级医院治疗中度以上痴呆

596,卡贝缩宫素,注射剂,西药,30%,30%,30%,限抢救

597,卡比多巴,口服常释剂型,西药,0%,0%,0%,

598,卡比马唑,口服常释剂型,西药,10%,10%,10%,

599,卡泊三醇,外用液体剂软膏剂,西药,30%,30%,30%,限牛皮癣

600,卡介菌纯蛋白衍化物,注射剂,西药,10%,10%,10%,

601,卡马西平,缓释控释剂型,西药,0%,0%,0%,

602,卡莫氟,口服常释剂型,西药,10%,10%,10%,

603,卡莫司汀,注射剂,西药,10%,10%,10%,

604,卡培他滨,口服常释剂型,西药,20%,20%,20%,

605,卡前列甲酯,栓剂,西药,30%,30%,30%,

606,卡替洛尔,滴眼剂,西药,20%,20%,20%,

607,卡维地洛,口服常释剂型,西药,10%,10%,10%,

608,坎地沙坦,口服常释剂型,西药,30%,30%,30%,限对血管紧张素转换酶抑制剂治疗不能耐受的患者

609,糠馏油,软膏剂,西药,10%,10%,10%,

610,糠莫米松,吸入剂,西药,30%,30%,30%,

611,糠酸莫米松,软膏剂,西药,20%,20%,20%,△

612,糠甾醇(牙周宁),口服常释剂型,西药,10%,10%,10%,

613,抗敌素,注射剂,西药,30%,30%,30%,

614,考来烯胺,口服散剂,西药,30%,30%,30%,

615,可待因,口服常释剂型,西药,0%,0%,0%,

616,可待因,注射剂,西药,0%,0%,0%,

617,可的松,口服常释剂型,西药,0%,0%,0%,

618,可乐定,滴眼剂,西药,10%,10%,10%,

619,可乐定,口服常释剂型,西药,0%,0%,0%,

620,可愈糖浆,口服液体剂,西药,10%,10%,10%,△；限二线用药

621,克拉霉素,缓释控释剂型,西药,20%,20%,20%,

622,克拉霉素,颗粒剂,西药,20%,20%,20%,

623,克拉霉素,口服常释剂型,西药,20%,20%,20%,

624,克拉霉素,口服液体剂,西药,丙1,丙1,20%,

625,克林霉素,软膏剂,西药,0%,0%,0%,

626,克林霉素,外用液体剂,西药,0%,0%,0%,

627,克林霉素磷酸酯,凝胶剂,西药,0%,0%,0%,

628,克仑特罗,口服常释剂型,西药,10%,10%,10%,

629,克仑特罗,栓剂,西药,10%,10%,10%,

630,克罗米通,软膏剂,西药,10%,10%,10%,△

631,克洛己新,口服常释剂型,西药,10%,10%,10%,

632,克洛己新,口服液体剂,西药,10%,10%,10%,

633,克霉唑,滴耳剂,西药,0%,0%,0%,

634,克霉唑,口服常释剂型,西药,0%,0%,0%,

635,克霉唑,贴剂,西药,0%,0%,0%,

636,枯草杆菌、肠球菌二联活菌制剂,口服常释剂型,西药,30%,30%,30%,△；限菌群失调

637,枯草杆菌二联活菌制剂,口服常释剂型,西药,30%,30%,30%,△；限菌群失调

638,苦参素,口服常释剂型,西药,20%,20%,20%,

639,苦参素(苦参总碱),注射剂,西药,20%,20%,20%,

640,奎宁,注射剂,西药,0%,0%,0%,

641,喹硫平,口服常释剂型,西药,30%,30%,30%,

642,拉贝洛尔,口服常释剂型,西药,30%,30%,30%,

643,拉米夫定,口服常释剂型,西药,20%,20%,20%,限活动性肝炎

644,拉莫三嗪,口服常释剂型,西药,20%,20%,20%,

645,拉坦前列素,滴眼剂,西药,20%,20%,20%,限二线用药

646,拉西地平,口服常释剂型,西药,20%,20%,20%,

647,拉氧头孢,注射剂,西药,20%,20%,20%,

648,蜡样芽胞杆菌,口服常释剂型,西药,30%,30%,30%,

649,辣椒碱,软膏剂,西药,10%,10%,10%,△

650,来氟米特,口服常释剂型,西药,30%,30%,30%,

651,来曲唑,口服常释剂型,西药,20%,20%,20%,

652,赖氨匹林,注射剂,西药,30%,30%,30%,

653,赖脯胰岛素,注射剂,西药,30%,30%,30%,限反复发作低血糖的I型、脆性糖尿病

654,赖诺普利,口服常释剂型,西药,10%,10%,10%,

655,兰索拉唑,口服常释剂型,西药,20%,20%,20%,

656,兰索拉唑,注射剂,西药,20%,20%,20%,

657,榄香烯,口服液体剂,西药,30%,30%,30%,限出现癌性胸水的患者

658,榄香烯,注射剂,西药,30%,30%,30%,限出现癌性胸水的患者和工伤保险

659,劳拉西泮,口服常释剂型,西药,20%,20%,20%,

660,乐卡地平,口服常释剂型,西药,30%,30%,30%,

661,雷贝拉唑,口服常释剂型,西药,30%,30%,30%,

662,雷洛昔芬,口服常释剂型,西药,20%,20%,20%,

663,雷米普利,口服常释剂型,西药,30%,30%,30%,

664,雷替曲塞,注射剂,西药,30%,30%,30%,

665,利巴韦林,滴鼻剂,西药,10%,10%,10%,

666,利巴韦林,吸入剂,西药,0%,0%,0%,

667,利多卡因,"外用液体剂

吸入剂

凝胶剂",西药,10%,10%,10%,

668,利多卡因(Ⅰ),胶浆剂,西药,10%,10%,10%,

669,利伐沙班,口服常释剂型,西药,30%,30%,30%,限下肢关节置换术后

670,利福布汀,口服常释剂型,西药,30%,30%,30%,

671,利福霉素,注射剂,西药,20%,20%,20%,

672,利福平,注射剂,西药,20%,20%,20%,

673,利福昔明,口服常释剂型,西药,10%,10%,10%,

674,利可君(利血生),口服常释剂型,西药,0%,0%,0%,

675,利拉萘酯,软膏剂,西药,10%,10%,10%,

676,利奈唑胺,口服常释剂型,西药,30%,30%,30%,限万古霉素治疗无效或不可耐受的重症感染患者的序贯治疗

677,利奈唑胺,注射剂,西药,30%,30%,30%,限万古霉素治疗无效或不可耐受的重症感染

678,利培酮,"口服常释剂型

口服液体剂",西药,10%,10%,10%,

679,利培酮,口腔崩解片,西药,10%,10%,10%,限不配合服药患者

680,利塞膦酸钠,口服常释剂型,西药,20%,20%,20%,限重度骨质疏松和工伤保险

681,利托君,口服常释剂型,西药,30%,30%,30%,

682,利托君,注射剂,西药,30%,30%,30%,

683,利血平,口服常释剂型,西药,0%,0%,0%,

684,利扎曲普坦,口服常释剂型,西药,30%,30%,30%,限偏头痛急性发作二线用药，3日内使用

685,联苯苄唑,软膏剂,西药,10%,10%,10%,△

686,联苯苄唑,外用液体剂,西药,10%,10%,10%,△

687,联磺甲氧苄啶,口服常释剂型,西药,0%,0%,0%,

688,两性霉素B,注射剂,西药,30%,30%,30%,

689,亮丙瑞林微球,注射剂,西药,30%,30%,30%,

690,亮菌甲素,注射剂,西药,0%,0%,0%,

691,林旦,软膏剂,西药,0%,0%,0%,

692,林可霉素,滴眼剂,西药,0%,0%,0%,

693,林可霉素,口服常释剂型,西药,0%,0%,0%,

694,林可霉素,软膏剂,西药,0%,0%,0%,

695,磷霉素,口服常释剂型,西药,0%,0%,0%,

696,磷霉素,口服散剂,西药,0%,0%,0%,

697,膦甲酸钠,注射剂,西药,30%,30%,30%,

698,硫必利,口服常释剂型,西药,10%,10%,10%,

699,硫必利,注射剂,西药,10%,10%,10%,

700,硫磺,软膏剂,西药,0%,0%,0%,

701,硫利达嗪,口服常释剂型,西药,0%,0%,0%,

702,硫鸟嘌呤,口服常释剂型,西药,10%,10%,10%,

703,硫普罗宁,口服常释剂型,西药,10%,10%,10%,

704,硫普罗宁,注射剂,西药,0%,0%,0%,

705,硫酸锌,口服常释剂型,西药,0%,0%,0%,△

706,硫糖铝,"口服常释剂型

口服液体剂",西药,0%,0%,0%,△

707,硫糖铝小檗碱片,,西药,0%,0%,0%,

；△

708,硫辛酸(α-硫辛酸),注射剂,西药,30%,30%,30%,

709,柳酚咖敏片,,西药,10%,10%,10%,

；△

710,六氟化硫微泡,注射剂,西药,30%,30%,30%,

711,六甲蜜胺,口服常释剂型,西药,20%,20%,20%,

712,咯奈啶,注射剂,西药,0%,0%,0%,

713,咯萘啶,注射剂,西药,30%,30%,30%,

714,龙胆碳酸氢钠片(健胃片),,西药,20%,20%,20%,

；△

715,龙胆碳酸氢钠散,,西药,20%,20%,20%,

；△

716,卤米松,乳膏剂,西药,20%,20%,20%,

717,卤米松三氯生,软膏剂,西药,20%,20%,20%,

718,鹿瓜多肽,注射剂,西药,30%,30%,30%,限重度骨质疏松患者确诊为骨折延迟愈合后5个月内使用和工伤保险

719,铝镁颠茄片,,西药,20%,20%,20%,

720,铝镁加混悬液,,西药,20%,20%,20%,

721,铝碳酸镁,口服常释剂型咀嚼片,西药,10%,10%,10%,△

722,氯苯那敏,注射剂,西药,0%,0%,0%,

723,氯吡格雷,口服常释剂型,西药,20%,20%,20%,

724,氯丙那林,口服常释剂型,西药,10%,10%,10%,

725,氯法齐明,口服常释剂型,西药,10%,10%,10%,

726,氯化钙,注射剂,西药,0%,0%,0%,

727,氯化钙溴化钠,注射剂,西药,10%,10%,10%,

728,氯雷他定,口服常释剂型,西药,10%,10%,10%,

729,氯膦酸二钠,口服常释剂型,西药,30%,30%,30%,限癌症骨转移和工伤保险

730,氯膦酸二钠,注射剂,西药,30%,30%,30%,限癌症骨转移和工伤保险

731,氯霉素甘油,滴耳剂,西药,0%,0%,0%,

732,氯霉素氢化可的松,滴耳剂,西药,0%,0%,0%,

733,氯美扎酮,口服常释剂型,西药,30%,30%,30%,

734,氯米芬,口服常释剂型,西药,0%,0%,0%,

735,氯米帕明,口服常释剂型,西药,10%,10%,10%,

736,氯诺昔康,注射剂,西药,30%,30%,30%,

737,氯哌噻吨,注射剂,西药,20%,20%,20%,

738,氯普噻吨,口服常释剂型,西药,10%,10%,10%,

739,氯普噻吨,注射剂,西药,10%,10%,10%,

740,氯沙坦钾,口服常释剂型,西药,20%,20%,20%,限对血管紧张素转换酶抑制剂治疗不能耐受的患者

741,氯硝柳胺,口服常释剂型,西药,0%,0%,0%,

742,氯硝西泮,口服常释剂型,西药,0%,0%,0%,

743,氯硝西泮,注射剂,西药,0%,0%,0%,

744,氯唑沙宗,口服常释剂型,西药,10%,10%,10%,

745,罗格列酮,口服常释剂型,西药,0%,0%,0%,限不适用胰岛素药物且使用其他口服降糖药物无效的患者

746,罗红霉素,口服常释剂型缓释控释剂型,西药,0%,0%,0%,

747,罗红霉素氨溴索,口服常释剂型,西药,10%,10%,10%,

748,罗库溴铵,注射剂,西药,20%,20%,20%,

749,罗哌卡因,注射剂,西药,20%,20%,20%,

750,罗通定,口服常释剂型,西药,0%,0%,0%,△

751,罗通定,注射剂,西药,0%,0%,0%,

752,螺旋霉素,口服常释剂型,西药,10%,10%,10%,

753,洛铂,注射剂,西药,20%,20%,20%,限其他铂类药物无效或不能耐受

754,洛伐他汀,口服常释剂型,西药,0%,0%,0%,限二线用药

755,洛芬待因(布洛芬可待因),"口服常释剂型

缓释控释剂型",西药,20%,20%,20%,

756,洛美沙星,滴耳剂,西药,10%,10%,10%,

757,洛美沙星,滴眼剂,西药,10%,10%,10%,

758,洛美沙星,口服常释剂型,西药,0%,0%,0%,

759,洛美沙星,注射剂,西药,0%,0%,0%,

760,洛莫司汀,口服常释剂型,西药,10%,10%,10%,

761,洛哌丁胺,口服常释剂型,西药,0%,0%,0%,

762,洛索洛芬,口服常释剂型,西药,20%,20%,20%,

763,马普替林,口服常释剂型,西药,10%,10%,10%,

764,马普替林,口服液体剂,西药,10%,10%,10%,

765,吗啡,缓释控释剂型,西药,0%,0%,0%,

766,吗氯贝胺,口服常释剂型,西药,30%,30%,30%,

767,吗替麦考酚酯,口服常释剂型,西药,20%,20%,20%,限器官移植和工伤保险

768,麦考酚钠,口服常释剂型,西药,30%,30%,30%,限器官移植和工伤保险

769,煤焦油,"外用液体剂

软膏剂",西药,20%,20%,20%,

770,美尔伪麻溶液,,西药,10%,10%,10%,

；△

771,美法仑,口服常释剂型,西药,30%,30%,30%,

772,美酚伪麻片,,西药,10%,10%,10%,

；△

773,美金刚,口服常释剂型,西药,30%,30%,30%,限三级医院重症患者

774,美罗培南,注射剂,西药,30%,30%,30%,限其他抗生素治疗无效的重度感染

775,美洛西林,注射剂,西药,20%,20%,20%,

776,美洛西林舒巴坦,注射剂,西药,20%,20%,20%,限重度感染

777,美洛昔康,口服常释剂型,西药,0%,0%,0%,

778,美敏伪麻,咀嚼片,西药,30%,30%,30%,

779,美敏伪麻口服液,,西药,0%,0%,0%,

；△

780,美扑伪麻片,,西药,10%,10%,10%,

；△

781,美沙拉嗪,"口服常释剂型

缓释控释剂型

缓控释颗粒剂",西药,20%,20%,20%,

782,美沙拉嗪,"栓剂

灌肠剂",西药,20%,20%,20%,

783,美沙酮,"口服常释剂型

口服液体剂",西药,20%,20%,20%,

784,美沙酮,注射剂,西药,20%,20%,20%,

785,美司钠,注射剂,西药,20%,20%,20%,

786,美索巴莫,口服常释剂型,西药,30%,30%,30%,

787,美托洛尔,缓释控释剂型,西药,10%,10%,10%,

788,美愈伪麻胶囊,,西药,10%,10%,10%,

；△

789,美愈伪麻口服溶液,,西药,10%,10%,10%,

；△

790,美愈伪麻口服液,,西药,10%,10%,10%,

；△

791,门冬氨酸钾镁,口服常释剂型,西药,20%,20%,20%,限低钾低镁血症

792,门冬氨酸钾镁,注射剂,西药,10%,10%,10%,限低钾低镁血症

793,门冬氨酸鸟氨酸（鸟氨酸天门冬氨酸）,注射剂,西药,30%,30%,30%,

794,门冬胰岛素,注射剂,西药,10%,10%,10%,限反复发作低血糖的I型、脆性糖尿病

795,孟鲁司特,口服常释剂型,西药,30%,30%,30%,

796,咪达普利,口服常释剂型,西药,30%,30%,30%,

797,咪达唑仑,口服常释剂型,西药,10%,10%,10%,

798,咪康唑,口服常释剂型,西药,10%,10%,10%,

799,咪康唑,阴道泡腾片,西药,10%,10%,10%,

800,咪康唑,阴道片,西药,10%,10%,10%,

801,咪康唑,阴道软胶囊,西药,10%,10%,10%,

802,咪康唑,注射剂,西药,10%,10%,10%,

803,咪唑立宾,口服常释剂型,西药,30%,30%,30%,限器官移植和工伤保险

804,咪唑斯汀,缓释控释剂型,西药,20%,20%,20%,

805,咪唑斯汀,口服常释剂型,西药,20%,20%,20%,

806,糜蛋白酶,注射剂,西药,10%,10%,10%,

807,米安色林,口服常释剂型,西药,30%,30%,30%,限二线用药

808,米氮平,口服常释剂型,西药,30%,30%,30%,

809,米多君,口服常释剂型,西药,30%,30%,30%,

810,米格来宁,口服常释剂型,西药,10%,10%,10%,

811,米格列奈,口服常释剂型,西药,30%,30%,30%,

812,米力农,注射剂,西药,20%,20%,20%,

813,米诺地尔,口服常释剂型,西药,10%,10%,10%,

814,米诺环素,"口服常释剂型

颗粒剂",西药,10%,10%,10%,

815,米曲菌胰酶,口服常释剂型,西药,20%,20%,20%,△

816,米托蒽醌,注射剂,西药,10%,10%,10%,

817,灭菌注射用水,注射剂,西药,0%,0%,0%,

818,明胶海绵,贴剂,西药,30%,30%,30%,

819,莫雷西嗪,口服常释剂型,西药,10%,10%,10%,

820,莫匹罗星,软膏剂,西药,10%,10%,10%,△

821,莫沙必利,颗粒剂,西药,0%,0%,0%,△

822,莫沙必利,口服常释剂型,西药,0%,0%,0%,△

823,莫西沙星,口服常释剂型,西药,30%,30%,30%,限二线用药

824,莫西沙星,注射剂,西药,30%,30%,30%,限二线用药

825,木糖醇,注射剂,西药,30%,30%,30%,

826,那格列奈,口服常释剂型,西药,30%,30%,30%,

827,那他霉素,滴眼剂,西药,30%,30%,30%,

828,钠钾镁钙葡萄糖,注射剂,西药,30%,30%,30%,

829,奈达铂,注射剂,西药,20%,20%,20%,限二线用药

830,奈替米星,注射剂,西药