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["浙江省医保药品编码库变更一览表"]
["序号","医保编码","分类","医保中文名称","英文名称","医保文件剂型","备注","招标药品号","招标药品通用名","商品名","剂型","规格","单位","转换比","包装材质","生产企业","支付标准","变更","变更原因","产品ID  （供参考）"]
[1,"BG20190619002","3","奥比帕利","","","",2019163976,"奥比帕利片","维建乐","薄膜衣片","奥比他韦12.5mg,帕立瑞韦75mg,利托那韦50mg","盒","14","铝箔","爱尔兰Fournier Laboratories Ireland Limited",2712.6,"修改（支付标准）","医药服务便函〔2021〕5号",163976]
[2,"BG20190619003","3","达塞布韦钠","","","",2019163984,"达塞布韦钠片","易奇瑞","薄膜衣片","0.25g","盒","14","铝箔","爱尔兰AbbVie Ireland NL B.V.",235.8,"修改（支付标准）","医药服务便函〔2021〕5号",163984]
[3,"BG20190619004","3","格卡瑞韦哌仑他韦","","","",2019165688,"格卡瑞韦哌仑他韦片","艾诺全","薄膜衣片","格卡瑞韦0.1g,哌仑他韦40mg","盒","21","铝箔","爱尔兰Fournier Laboratories Ireland Limited",4750,"修改（支付标准）","医药服务便函〔2021〕5号",165688]
[4,"BG20190619005","3","达诺瑞韦钠","","","",2018163441,"达诺瑞韦钠片","戈诺卫","薄膜衣片","0.1g","瓶","28","塑料瓶","歌礼药业(浙江)有限公司",476,"修改（支付标准）","医药服务便函〔2021〕5号",163441]
[5,"Db0020151004001","3","盐酸多柔比星脂质体注射液","Doxorubicin Hydrochloride LIposome Injection","注射剂","",2015137720,"盐酸多柔比星脂质体注射液","无","注射液","10ml:20mg","瓶","1","西林瓶","上海复旦张江生物医药股份有限公司",3951.95,"修改（支付标准）","医药服务便函〔2021〕5号",137717]
[6,"Db0020151014001","3","注射用醋酸兰瑞肽","Lanreotide acetate for injection","注射剂","",20155464,"注射用醋酸兰瑞肽","索马杜林","冻干粉针剂","40mg","盒","1","配溶媒","法国IPSEN PHARMA BIOTECH",2800,"修改（支付标准）","医药服务便函〔2021〕5号",141565]
[7,"Db0020151015001","3","特立帕肽注射液","Teriparatide Injection","注射剂","",20153,"特立帕肽注射液","复泰奥","注射液","2.4ml(20μg:80μl)","盒","1","笔芯","法国Lilly France",5200,"修改（支付标准）","医药服务便函〔2021〕5号",147318]
[8,"Db0020151016001","3","注射用伊米苷酶","","注射剂","",2015162524,"注射用伊米苷酶","思而赞","冻干粉针剂","400单位","瓶","1","玻璃瓶","爱尔兰Genzyme Ireland Limited",19999,"修改（支付标准）","医药服务便函〔2021〕5号",162521]
[9,"Db0020151017001","3","盐酸沙丙蝶呤","","片剂","",2015162529,"盐酸沙丙蝶呤片","科望","素片","0.1g","瓶","30","塑料瓶","德国Excella GmbH & Co.KG",7480,"修改（支付标准）","医药服务便函〔2021〕5号",162526]
[10,"Db0020181033001","3","克拉屈滨","","注射剂","",2017144272,"克拉屈滨注射液","艾博定","注射液","10ml:克拉屈滨10mg与氯化钠90mg","瓶","1","玻璃瓶","瀚晖制药有限公司",5911.66,"修改（支付标准）","医药服务便函〔2021〕5号",144271]
[11,"Db0020181035001","3","盐酸达拉他韦","","片剂","",2017163109,"盐酸达拉他韦片","百立泽","薄膜衣片","60mg","盒","14","铝塑","美国AstraZeneca Pharmaceuticals LP",2622.9,"修改（支付标准）","医药服务便函〔2021〕5号",163108]
[12,"Db0020181036001","3","阿舒瑞韦","","软胶囊","",2017163108,"阿舒瑞韦软胶囊","速维普","软胶囊(胶丸)","0.1g","盒","28","铝塑","美国Catalent Pharma Solutions,LLC.",267.4,"修改（支付标准）","医药服务便函〔2021〕5号",163107]
[13,"Db0020181037001","3","索磷布韦","","片剂","",2017163082,"索磷布韦片","索华迪","薄膜衣片","0.4g","瓶","28","塑料瓶","爱尔兰Gilead Sciences Ireland UC",11200,"修改（支付标准）","医药服务便函〔2021〕5号",163081]
[14,"Db0020201040001","3","阿糖苷酶α","","","",2020165679,"注射用阿糖苷酶α","美而赞","冻干粉针剂","50mg","瓶","1","玻璃瓶","爱尔兰Genzyme Ireland Limited",5250,"修改（支付标准）","医药服务便函〔2021〕5号",165679]
[15,"Db0020201041001","3","阿加糖酶β","","","",2020169504,"注射用阿加糖酶β","法布赞","冻干粉针剂","5mg","瓶","1","玻璃瓶","爱尔兰Genzyme Ireland Limited",6300,"修改（支付标准）","医药服务便函〔2021〕5号",169504]
[16,"Db0020201041002","3","阿加糖酶β","","","",2020169557,"注射用阿加糖酶β","法布赞","冻干粉针剂","35mg","瓶","1","玻璃瓶","爱尔兰Genzyme Ireland Limited",37800,"修改（支付标准）","医药服务便函〔2021〕5号",169557]
[17,"e01010120036a001","2","头孢他美酯","Cefetamet Pivoxil","颗粒剂、干混悬剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015131247,"盐酸头孢他美酯颗粒","无","颗粒剂","0.5g","盒","6","铝塑","山东新时代药业有限公司",45.72,"修改（支付标准）","医药服务便函〔2021〕5号",131251]
[18,"e01010120036a002","2","头孢他美酯","Cefetamet Pivoxil","颗粒剂、干混悬剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015145797,"盐酸头孢他美酯干混悬剂","康迈欣","干混悬剂","90.65mg(以头孢他美计)","盒","12","复合膜","浙江普洛康裕制药有限公司",17.17,"修改（支付标准）","医药服务便函〔2021〕5号",145796]
[19,"e01010120036a005","2","头孢他美酯","Cefetamet Pivoxil","颗粒剂、干混悬剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015145794,"盐酸头孢他美酯干混悬剂","康迈欣","干混悬剂","90.65mg(以头孢他美计)","盒","8","复合膜","浙江普洛康裕制药有限公司",13.18,"修改（支付标准）","医药服务便函〔2021〕5号",145793]
[20,"e01010120036a006","2","头孢他美酯","Cefetamet Pivoxil","颗粒剂、干混悬剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015131337,"盐酸头孢他美酯干混悬剂","安素美","干混悬剂","181.3mg(以头孢他美计)","盒","6","铝塑","浙江震元制药有限公司",19.51,"修改（支付标准）","医药服务便函〔2021〕5号",131341]
[21,"e01010120036a007","2","头孢他美酯","Cefetamet Pivoxil","颗粒剂、干混悬剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157853,"盐酸头孢他美酯干混悬剂","安素美","干混悬剂","181.3mg(以头孢他美计)","盒","8","双铝","浙江震元制药有限公司",23.36,"修改（支付标准）","医药服务便函〔2021〕5号",157851]
[22,"e01010120036a009","2","头孢他美酯","Cefetamet Pivoxil","颗粒剂、干混悬剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157495,"盐酸头孢他美酯干混悬剂","安素美","干混悬剂","90.65mg(以头孢他美计)","盒","16","双铝","浙江震元制药有限公司",24.55,"修改（支付标准）","医药服务便函〔2021〕5号",157493]
[23,"e01010600067a010","1","阿奇霉素","Azithromycin","干混悬剂、散剂","",2015159049,"阿奇霉素干混悬剂","无","干混悬剂","0.1g","盒","6","复合膜","江西红星药业有限公司",4.05,"修改（支付标准）","医药服务便函〔2021〕5号",159047]
[24,"e01010600071a003","2","克拉霉素","Clarithromycin","干混悬剂、颗粒剂","",2015147352,"克拉霉素干混悬剂","Klacid","干混悬剂","60ml:1.5g","瓶","1","高密度聚乙烯","意大利ABBVIE S.R.L.",62.5,"修改（支付标准）","医药服务便函〔2021〕5号",147351]
[25,"e01010600072a008","2","罗红霉素","Roxithromycin","混悬剂、颗粒剂","",2015106105,"罗红霉素颗粒","无","颗粒剂","50mg","盒","6","铝塑","天津怀仁制药有限公司",2.46,"修改（支付标准）","医药服务便函〔2021〕5号",106108]
[26,"e01010600072a011","2","罗红霉素","Roxithromycin","混悬剂、颗粒剂","",2015161474,"罗红霉素干混悬剂","无","干混悬剂","25mg","盒","20","复合膜","哈尔滨三三药业有限公司",3.9,"修改（支付标准）","医药服务便函〔2021〕5号",161467]
[27,"e01010600072a012","2","罗红霉素","Roxithromycin","混悬剂、颗粒剂","",2015124502,"罗红霉素干混悬剂","天凯","干混悬剂","50mg","盒","6","铝塑","新华制药(高密)有限公司",2.25,"修改（支付标准）","医药服务便函〔2021〕5号",124499]
[28,"e01010600072a013","2","罗红霉素","Roxithromycin","混悬剂、颗粒剂","",2015124509,"罗红霉素干混悬剂","天凯","干混悬剂","50mg","盒","8","铝塑","新华制药(高密)有限公司",2.99,"修改（支付标准）","医药服务便函〔2021〕5号",124506]
[29,"e01010600072a014","2","罗红霉素","Roxithromycin","混悬剂、颗粒剂","",2015124518,"罗红霉素干混悬剂","天凯","干混悬剂","50mg","盒","10","铝塑","新华制药(高密)有限公司",3.74,"修改（支付标准）","医药服务便函〔2021〕5号",124515]
[30,"e01010600072a015","2","罗红霉素","Roxithromycin","混悬剂、颗粒剂","",2015124526,"罗红霉素干混悬剂","天凯","干混悬剂","50mg","盒","12","铝塑","新华制药(高密)有限公司",4.49,"修改（支付标准）","医药服务便函〔2021〕5号",124523]
[31,"e01010600072a016","2","罗红霉素","Roxithromycin","混悬剂、颗粒剂","",2015134744,"罗红霉素干混悬剂","浦虹","干混悬剂","50mg","盒","6","复合膜","上海现代制药股份有限公司",2.09,"修改（支付标准）","医药服务便函〔2021〕5号",134748]
[32,"e01010600072a017","2","罗红霉素","Roxithromycin","混悬剂、颗粒剂","",2015122830,"罗红霉素颗粒","无","颗粒剂","25mg","盒","12","复合膜","国药集团容生制药有限公司",5.17,"修改（支付标准）","医药服务便函〔2021〕5号",122827]
[33,"e01010600072a018","2","罗红霉素","Roxithromycin","混悬剂、颗粒剂","",2015138590,"罗红霉素颗粒","无","颗粒剂","25mg","盒","12","复合膜","乐普药业科技有限公司",1.82,"修改（支付标准）","医药服务便函〔2021〕5号",138587]
[34,"e01010600072a021","2","罗红霉素","Roxithromycin","混悬剂、颗粒剂","",2015159264,"罗红霉素颗粒","无","颗粒剂","50mg","盒","10","镀铝膜","山西同达药业有限公司",2.34,"修改（支付标准）","医药服务便函〔2021〕5号",159262]
[35,"e01010600072a023","2","罗红霉素","Roxithromycin","混悬剂、颗粒剂","",2015141889,"罗红霉素颗粒","无","颗粒剂","50mg","盒","12","复合膜","上海现代哈森(商丘)药业有限公司",4.16,"修改（支付标准）","医药服务便函〔2021〕5号",141891]
[36,"e01010600072a024","2","罗红霉素","Roxithromycin","混悬剂、颗粒剂","",2015106110,"罗红霉素颗粒","无","颗粒剂","50mg","盒","12","铝塑","天津怀仁制药有限公司",3.95,"修改（支付标准）","医药服务便函〔2021〕5号",106113]
[37,"e03010100187a009","1","对乙酰氨基酚","Paracetamol","糖浆剂、滴剂、栓剂","",2015109966,"对乙酰氨基酚栓","无","栓剂","0.15g","盒","10","附手指套","湖北潜江制药股份有限公司",1.81,"修改（支付标准）","医药服务便函〔2021〕5号",109969]
[38,"e03010307047a002","2","酚麻美敏","","溶液剂","△",2015137443,"酚麻美敏混悬液","泰诺","口服混悬剂","100ml","瓶","1","塑料瓶","上海强生制药有限公司",15.29,"修改（支付标准）","医药服务便函〔2021〕5号",137440]
[39,"e03010307047a003","2","酚麻美敏","","溶液剂","△",2015123301,"酚麻美敏口服溶液","彤贝得","口服溶液剂","100ml","瓶","1","塑料瓶","正大制药(青岛)有限公司",10.27,"修改（支付标准）","医药服务便函〔2021〕5号",123298]
[40,"e04020009020a001","2","小儿氨酚黄那敏颗粒","Compound Paracetamol Powder for Paediatrics","颗粒剂","",20155912,"小儿氨酚黄那敏颗粒","无","颗粒剂","4g(对乙酰氨基酚125mg,马来酸氯苯那敏0.5mg,人工牛黄5mg)","盒","10","复合膜","浙江康乐药业股份有限公司",2.43,"修改（支付标准）","医药服务便函〔2021〕5号",127891]
[41,"e04020009020a002","2","小儿氨酚黄那敏颗粒","Compound Paracetamol Powder for Paediatrics","颗粒剂","",20158359,"小儿氨酚黄那敏颗粒","无","颗粒剂","4g(对乙酰氨基酚125mg,马来酸氯苯那敏0.5mg,人工牛黄5mg)","盒","10","复合膜","浙江泰利森药业有限公司",1.65,"修改（支付标准）","医药服务便函〔2021〕5号",141918]
[42,"e04020009020a003","2","小儿氨酚黄那敏颗粒","Compound Paracetamol Powder for Paediatrics","颗粒剂","",20151270,"小儿氨酚黄那敏颗粒","无","颗粒剂","6g(对乙酰氨基酚125mg,马来酸氯苯那敏0.5mg,体外培育牛黄5mg)","盒","6","复合膜","湖南恒伟药业股份有限公司",19.89,"修改（支付标准）","医药服务便函〔2021〕5号",131420]
[43,"e06010400284a001","1","维生素D","Vitamin D","滴剂","",2015148136,"维生素D滴剂(胶囊型)","无","滴剂","400IU","盒","30","铝塑","国药控股星鲨制药(厦门)有限公司",29.22,"修改（支付标准）","医药服务便函〔2021〕5号",148135]
[44,"e06010400284a002","1","维生素D","Vitamin D","滴剂","",2015131583,"维生素D滴剂(胶囊型)","无","滴剂","400IU","盒","30","铝塑","青岛双鲸药业股份有限公司",30.27,"修改（支付标准）","医药服务便函〔2021〕5号",131587]
[45,"e06010400284a003","1","维生素D","Vitamin D","滴剂","",2015132050,"维生素D滴剂(胶囊型)","无","滴剂","400IU","盒","24","铝塑","青岛双鲸药业股份有限公司",24.22,"修改（支付标准）","医药服务便函〔2021〕5号",132054]
[46,"e06010400284a004","1","维生素D","Vitamin D","滴剂","",2015146121,"维生素D滴剂(胶囊型)","无","滴剂","400IU","盒","24","铝塑","国药控股星鲨制药(厦门)有限公司",21.67,"修改（支付标准）","医药服务便函〔2021〕5号",146120]
[47,"e06010400284a005","1","维生素D","Vitamin D","滴剂","",2015149352,"维生素D滴剂(胶囊型)","无","滴剂","400IU","盒","20","铝塑","青岛双鲸药业股份有限公司",19.75,"修改（支付标准）","医药服务便函〔2021〕5号",149351]
[48,"e06010400284a006","1","维生素D","Vitamin D","滴剂","",2015149359,"维生素D滴剂(胶囊型)","无","滴剂","400IU","盒","36","铝塑","青岛双鲸药业股份有限公司",36.14,"修改（支付标准）","医药服务便函〔2021〕5号",149358]
[49,"e06010400284a007","1","维生素D","Vitamin D","滴剂","",2015157268,"维生素D滴剂(胶囊型)","无","滴剂","400IU","盒","48","铝塑","国药控股星鲨制药(厦门)有限公司",51.14,"修改（支付标准）","医药服务便函〔2021〕5号",157266]
[50,"e06010509006a002","2","维生素A、D","Vitamin A and D","滴剂","",2015139220,"维生素AD滴剂(胶囊型)","贝特令","滴剂","VA2000IU:VD700IU","盒","36","铝塑","浙江仟源海力生制药有限公司",18.72,"修改（支付标准）","医药服务便函〔2021〕5号",139217]
[51,"e06010509006a005","2","维生素A、D","Vitamin A and D","滴剂","",2015139219,"维生素AD滴剂(胶囊型)","贝特令","滴剂","VA2000IU:VD700IU","盒","24","铝塑","浙江仟源海力生制药有限公司",12.67,"修改（支付标准）","医药服务便函〔2021〕5号",139216]
[52,"e06010509006a006","2","维生素A、D","Vitamin A and D","滴剂","",2015143959,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","盒","30","铝塑","国药控股星鲨制药(厦门)有限公司",17.74,"修改（支付标准）","医药服务便函〔2021〕5号",143961]
[53,"e06010509006a007","2","维生素A、D","Vitamin A and D","滴剂","",2015143956,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","30","铝塑","国药控股星鲨制药(厦门)有限公司",15.6,"修改（支付标准）","医药服务便函〔2021〕5号",143958]
[54,"e06010509006a014","2","维生素A、D","Vitamin A and D","滴剂","",2015146739,"维生素AD滴剂(胶囊型)","无","滴剂","VA1800IU:VD600IU","盒","40","铝箔","上海东海制药股份有限公司",17.54,"修改（支付标准）","医药服务便函〔2021〕5号",146738]
[55,"e06010509006a015","2","维生素A、D","VitaminAandD","滴剂","",2015139218,"维生素AD滴剂(胶囊型)","贝特令","滴剂","VA1800IU:VD600IU","盒","36","铝塑","浙江仟源海力生制药有限公司",16.2,"修改（支付标准）","医药服务便函〔2021〕5号",139215]
[56,"e06010509006a016","2","维生素A、D","VitaminAandD","滴剂","",2015139224,"维生素AD滴剂(胶囊型)","贝特令","滴剂","VA1500IU:VD500IU","盒","36","铝塑","浙江仟源海力生制药有限公司",17.72,"修改（支付标准）","医药服务便函〔2021〕5号",139221]
[57,"e06010509006a018","2","维生素A、D","VitaminAandD","滴剂","",2015139217,"维生素AD滴剂(胶囊型)","贝特令","滴剂","VA1800IU:VD600IU","盒","24","铝塑","浙江仟源海力生制药有限公司",10.96,"修改（支付标准）","医药服务便函〔2021〕5号",139214]
[58,"e06010509006a019","2","维生素A、D","Vitamin A and D","滴剂","",2015137068,"维生素AD滴剂(胶囊型)","伊可新","滴剂","VA1500IU:VD500IU","盒","40","铝塑","山东达因海洋生物制药股份有限公司",21,"修改（支付标准）","医药服务便函〔2021〕5号",137065]
[59,"e06010509006a022","2","维生素A、D","Vitamin A and D","滴剂","",2015106833,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","24","铝塑","南京海鲸药业有限公司",15.83,"修改（支付标准）","医药服务便函〔2021〕5号",106836]
[60,"e06010509006a023","2","维生素A、D","Vitamin A and D","滴剂","",2015106839,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","36","铝塑","南京海鲸药业有限公司",23.75,"修改（支付标准）","医药服务便函〔2021〕5号",106842]
[61,"e06010509006a024","2","维生素A、D","Vitamin A and D","滴剂","",2015110956,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","20","铝塑","安徽威尔曼制药有限公司",29.47,"修改（支付标准）","医药服务便函〔2021〕5号",110954]
[62,"e06010509006a025","2","维生素A、D","Vitamin A and D","滴剂","",2015125979,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","20","铝塑","大连水产药业有限公司",13.6,"修改（支付标准）","医药服务便函〔2021〕5号",125978]
[63,"e06010509006a027","2","维生素A、D","Vitamin A and D","滴剂","",2015126029,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","30","铝塑","大连水产药业有限公司",20.4,"修改（支付标准）","医药服务便函〔2021〕5号",126028]
[64,"e06010509006a028","2","维生素A、D","Vitamin A and D","滴剂","",2015126081,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","36","铝塑","大连水产药业有限公司",24.48,"修改（支付标准）","医药服务便函〔2021〕5号",126080]
[65,"e06010509006a029","2","维生素A、D","Vitamin A and D","滴剂","",2015129210,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","板","10","铝塑","大连水产药业有限公司",6.8,"修改（支付标准）","医药服务便函〔2021〕5号",129209]
[66,"e06010509006a030","2","维生素A、D","Vitamin A and D","滴剂","",2015129216,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","板","12","铝塑","大连水产药业有限公司",8.16,"修改（支付标准）","医药服务便函〔2021〕5号",129215]
[67,"e06010509006a031","2","维生素A、D","Vitamin A and D","滴剂","",2015129307,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","板","40","铝塑","大连水产药业有限公司",27.2,"修改（支付标准）","医药服务便函〔2021〕5号",129306]
[68,"e06010509006a032","2","维生素A、D","Vitamin A and D","滴剂","",2015131590,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","30","铝塑","青岛双鲸药业股份有限公司",11.03,"修改（支付标准）","医药服务便函〔2021〕5号",131594]
[69,"e06010509006a033","2","维生素A、D","Vitamin A and D","滴剂","",2015139223,"维生素AD滴剂(胶囊型)","贝特令","滴剂","VA1500IU:VD500IU","盒","24","铝塑","浙江仟源海力生制药有限公司",11.99,"修改（支付标准）","医药服务便函〔2021〕5号",139220]
[70,"e06010509006a034","2","维生素A、D","Vitamin A and D","滴剂","",2015148139,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","36","铝塑","国药控股星鲨制药(厦门)有限公司",18.6,"修改（支付标准）","医药服务便函〔2021〕5号",148138]
[71,"e06010509006a035","2","维生素A、D","Vitamin A and D","滴剂","",2015149524,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","50","铝塑","青岛双鲸药业股份有限公司",18.38,"修改（支付标准）","医药服务便函〔2021〕5号",149523]
[72,"e06010509006a036","2","维生素A、D","Vitamin A and D","滴剂","",2015160658,"维生素AD滴剂(胶囊型)","贝特令","滴剂","VA1500IU:VD500IU","盒","48","铝塑","浙江仟源海力生制药有限公司",23.38,"修改（支付标准）","医药服务便函〔2021〕5号",160651]
[73,"e06010509006a037","2","维生素A、D","Vitamin A and D","滴剂","",2015161120,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","30","铝塑","安徽威尔曼制药有限公司",38.44,"修改（支付标准）","医药服务便函〔2021〕5号",161113]
[74,"e06010509006a038","2","维生素A、D","Vitamin A and D","滴剂","",2015143957,"维生素AD滴剂(胶囊型)","无","滴剂","VA1800IU:VD600IU","盒","30","铝塑","国药控股星鲨制药(厦门)有限公司",23.27,"修改（支付标准）","医药服务便函〔2021〕5号",143959]
[75,"e06010509006a039","2","维生素A、D","Vitamin A and D","滴剂","",2015148165,"维生素AD滴剂(胶囊型)","无","滴剂","VA1800IU:VD600IU","盒","48","铝塑","国药控股星鲨制药(厦门)有限公司",37.22,"修改（支付标准）","医药服务便函〔2021〕5号",148164]
[76,"e06010509006a042","2","维生素A、D","Vitamin A and D","滴剂","",2015106850,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","盒","24","铝塑","南京海鲸药业有限公司",16.07,"修改（支付标准）","医药服务便函〔2021〕5号",106853]
[77,"e06010509006a043","2","维生素A、D","Vitamin A and D","滴剂","",2015106853,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","盒","36","铝塑","南京海鲸药业有限公司",24.1,"修改（支付标准）","医药服务便函〔2021〕5号",106856]
[78,"e06010509006a044","2","维生素A、D","Vitamin A and D","滴剂","",2015110959,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","盒","20","铝塑","安徽威尔曼制药有限公司",29.47,"修改（支付标准）","医药服务便函〔2021〕5号",110957]
[79,"e06010509006a045","2","维生素A、D","Vitamin A and D","滴剂","",2015125988,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","盒","20","铝塑","大连水产药业有限公司",13.48,"修改（支付标准）","医药服务便函〔2021〕5号",125987]
[80,"e06010509006a046","2","维生素A、D","Vitamin A and D","滴剂","",2015126010,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","盒","24","铝塑","大连水产药业有限公司",16.17,"修改（支付标准）","医药服务便函〔2021〕5号",126009]
[81,"e06010509006a048","2","维生素A、D","Vitamin A and D","滴剂","",2015126090,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","盒","36","铝塑","大连水产药业有限公司",24.27,"修改（支付标准）","医药服务便函〔2021〕5号",126089]
[82,"e06010509006a049","2","维生素A、D","Vitamin A and D","滴剂","",2015129197,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","板","10","铝塑","大连水产药业有限公司",6.75,"修改（支付标准）","医药服务便函〔2021〕5号",129196]
[83,"e06010509006a050","2","维生素A、D","Vitamin A and D","滴剂","",2015129206,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","板","40","铝塑","大连水产药业有限公司",26.96,"修改（支付标准）","医药服务便函〔2021〕5号",129205]
[84,"e06010509006a051","2","维生素A、D","Vitamin A and D","滴剂","",2015131598,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","盒","30","铝塑","青岛双鲸药业股份有限公司",12.6,"修改（支付标准）","医药服务便函〔2021〕5号",131602]
[85,"e06010509006a052","2","维生素A、D","Vitamin A and D","滴剂","",2015146145,"维生素AD滴剂(胶囊型)","伊可新","滴剂","VA2000IU:VD700IU","盒","40","铝塑","山东达因海洋生物制药股份有限公司",21.2,"修改（支付标准）","医药服务便函〔2021〕5号",146144]
[86,"e06010509006a053","2","维生素A、D","Vitamin A and D","滴剂","",2015148138,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","盒","36","铝塑","国药控股星鲨制药(厦门)有限公司",21.15,"修改（支付标准）","医药服务便函〔2021〕5号",148137]
[87,"e06010509006a054","2","维生素A、D","Vitamin A and D","滴剂","",2015149525,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","盒","50","铝塑","青岛双鲸药业股份有限公司",21,"修改（支付标准）","医药服务便函〔2021〕5号",149524]
[88,"e06010509006a055","2","维生素A、D","Vitamin A and D","滴剂","",2015160660,"维生素AD滴剂(胶囊型)","贝特令","滴剂","VA2000IU:VD700IU","盒","48","铝塑","浙江仟源海力生制药有限公司",24.7,"修改（支付标准）","医药服务便函〔2021〕5号",160653]
[89,"e06010509006a056","2","维生素A、D","Vitamin A and D","滴剂","",2015161121,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","盒","30","铝塑","安徽威尔曼制药有限公司",38.44,"修改（支付标准）","医药服务便函〔2021〕5号",161114]
[90,"e06020100291a002","1","葡萄糖酸钙","CalciumGluconate","口服液体剂","△",2015111986,"葡萄糖酸钙口服溶液","无","口服溶液剂","10ml:1.0g","盒","10","玻璃瓶","浙江天真健康科技有限公司",10.07,"修改（支付标准）","医药服务便函〔2021〕5号",111984]
[91,"e06020100291a003","1","葡萄糖酸钙","Calcium Gluconate","口服液体剂","△",2015129179,"葡萄糖酸钙口服溶液","无","口服溶液剂","10ml:1.0g","盒","20","玻璃瓶","浙江天真健康科技有限公司",20.13,"修改（支付标准）","医药服务便函〔2021〕5号",129178]
[92,"e06020200298a001","2","葡萄糖酸锌","Granulae Zinci Gluconatis","糖浆剂、口服溶液剂、颗粒剂","",2015143094,"葡萄糖酸锌糖浆","无","糖浆剂","100ml:0.35g","瓶","1","塑料瓶","江苏亚邦生缘药业有限公司",11.08,"修改（支付标准）","医药服务便函〔2021〕5号",143096]
[93,"e06020200298a005","2","葡萄糖酸锌","Granulae Zinci Gluconatis","糖浆剂、口服溶液剂、颗粒剂","",2015143844,"葡萄糖酸锌颗粒","无","颗粒剂","35mg","盒","16","铝塑","浙江杭康药业有限公司",25.41,"修改（支付标准）","医药服务便函〔2021〕5号",143846]
[94,"e06020200298a009","2","葡萄糖酸锌","Granulae Zinci Gluconatis","糖浆剂、口服溶液剂、颗粒剂","",2015147705,"葡萄糖酸锌糖浆","无","糖浆剂","100ml:0.35g","瓶","1","高密度聚乙烯","广西南宁百会药业集团有限公司",10.36,"修改（支付标准）","医药服务便函〔2021〕5号",147704]
[95,"e11010400520a001","2","西替利嗪","Cetirizine","口服溶液剂、滴剂","△",2015142013,"盐酸西替利嗪滴剂","仙特明","滴剂","10ml:0.1g(10mg/ml)","瓶","1","玻璃瓶","意大利AESICA PHARMACEUTICALS S.r.l.",41.91,"修改（支付标准）","医药服务便函〔2021〕5号",142015]
[96,"e11010400520a004","2","西替利嗪","Cetirizine","口服溶液剂、滴剂","△",2015121961,"盐酸西替利嗪口服溶液","无","口服溶液剂","100ml:0.1g(0.1%)","瓶","1","塑料瓶","北京韩美药品有限公司",17,"修改（支付标准）","医药服务便函〔2021〕5号",121958]
[97,"e11010400520a006","2","西替利嗪","Cetirizine","口服溶液剂、滴剂","△",2015132282,"盐酸西替利嗪滴剂","无","滴剂","20ml:0.2g(10mg/ml)","瓶","1","玻璃瓶","香港澳美制药厂",23,"修改（支付标准）","医药服务便函〔2021〕5号",132286]
[98,"e11010400520a008","2","西替利嗪","Cetirizine","口服溶液剂、滴剂","△",2015139983,"盐酸西替利嗪口服溶液","无","口服溶液剂","150ml:0.15g(0.1%)","瓶","1","塑料瓶","广东众生药业股份有限公司",35,"修改（支付标准）","医药服务便函〔2021〕5号",139980]
[99,"e11010400520a009","2","西替利嗪","Cetirizine","口服溶液剂、滴剂","△",2015127832,"盐酸西替利嗪滴剂","无","滴剂","30ml:0.3g(10mg/ml)","瓶","1","玻璃瓶","香港澳美制药厂",33.2,"修改（支付标准）","医药服务便函〔2021〕5号",127831]
[100,"e11010400520a010","2","西替利嗪","Cetirizine","口服溶液剂、滴剂","△",2015121357,"盐酸西替利嗪口服溶液","无","口服溶液剂","10ml:10mg(0.1%)","盒","5","玻璃瓶","广州康臣药业有限公司",18.07,"修改（支付标准）","医药服务便函〔2021〕5号",121354]
[101,"e11010400520a011","2","西替利嗪","Cetirizine","口服溶液剂、滴剂","△",2015151859,"盐酸西替利嗪口服溶液","无","口服溶液剂","60ml:60mg(0.1%)","瓶","1","塑料瓶","四川健能制药有限公司",18.82,"修改（支付标准）","医药服务便函〔2021〕5号",151862]
[102,"e11010500524a004","2","氯雷他定","Loratadine","糖浆剂、颗粒剂","",2015124204,"氯雷他定颗粒","雷诺敏","颗粒剂","5mg","盒","12","复合膜","海南新世通制药有限公司",11.57,"修改（支付标准）","医药服务便函〔2021〕5号",124201]
[103,"e11010500524a005","2","氯雷他定","Loratadine","糖浆剂、颗粒剂","",2015111068,"氯雷他定颗粒","华畅","颗粒剂","5mg","盒","12","铝塑","南京亿华药业有限公司",11.22,"修改（支付标准）","医药服务便函〔2021〕5号",111066]
[104,"e11010500524a006","2","氯雷他定","Loratadine","糖浆剂、颗粒剂","",2015130851,"氯雷他定颗粒","无","颗粒剂","10mg","盒","10","铝塑","鲁南贝特制药有限公司",16.9,"修改（支付标准）","医药服务便函〔2021〕5号",130855]
[105,"e11010500524a008","2","氯雷他定","Loratadine","糖浆剂、颗粒剂","",2015111066,"氯雷他定颗粒","华畅","颗粒剂","5mg","盒","6","铝塑","南京亿华药业有限公司",5.64,"修改（支付标准）","医药服务便函〔2021〕5号",111064]
[106,"e11020000530a003","2","酮替芬","Ketotifen","滴鼻剂、糖浆剂","△",2015143314,"富马酸酮替芬滴鼻液","无","滴鼻剂","10ml:15mg","瓶","1","塑料瓶","武汉五景药业有限公司",13.78,"修改（支付标准）","医药服务便函〔2021〕5号",143316]
[107,"e14010009021a001","2","复方愈创木酚甘油醚（愈酚甲麻那敏）","Compound Guaifenesin","糖浆剂","",2015118711,"愈酚甲麻那敏糖浆","无","糖浆剂","120ml","瓶","1","塑料瓶","史达德药业(北京)有限公司",13.03,"修改（支付标准）","医药服务便函〔2021〕5号",118714]
[108,"e14030500702a004","2","孟鲁司特","Montelukast","颗粒剂、咀嚼片","",2015131131,"孟鲁司特钠咀嚼片","无","咀嚼片","5mg","盒","6","双铝","鲁南贝特制药有限公司",21.09,"修改（支付标准）","医药服务便函〔2021〕5号",131135]
[109,"e14030500702a005","2","孟鲁司特","Montelukast","颗粒剂、咀嚼片","",2015117067,"孟鲁司特钠咀嚼片","无","咀嚼片","5mg","盒","7","铝箔","四川大冢制药有限公司",35.43,"修改（支付标准）","医药服务便函〔2021〕5号",117070]
[110,"e14030500702a006","2","孟鲁司特","Montelukast","颗粒剂、咀嚼片","",2015117054,"孟鲁司特钠咀嚼片","无","咀嚼片","5mg","盒","5","铝箔","四川大冢制药有限公司",25.05,"修改（支付标准）","医药服务便函〔2021〕5号",117057]
[111,"e14030500702a008","2","孟鲁司特","Montelukast","颗粒剂、咀嚼片","",2015146053,"孟鲁司特钠咀嚼片","顺尔宁","咀嚼片","4mg","盒","5","铝塑","英国Merck Sharp & Dohme Ltd.",19.47,"修改（支付标准）","医药服务便函〔2021〕5号",146052]
[112,"e14030500702a009","2","孟鲁司特","Montelukast","颗粒剂、咀嚼片","",2015146052,"孟鲁司特钠咀嚼片","顺尔宁","咀嚼片","5mg","盒","5","铝塑","英国Merck Sharp & Dohme Ltd.",23.1,"修改（支付标准）","医药服务便函〔2021〕5号",146051]
[113,"e14030500702a010","2","孟鲁司特","Montelukast","颗粒剂、咀嚼片","",2015151178,"孟鲁司特钠颗粒","顺尔宁","颗粒剂","0.5g:4mg","盒","7","铝塑","美国Patheon Manufacturing Services LLC<杭州默沙东制药有限公司>分包装",44.02,"修改（支付标准）","医药服务便函〔2021〕5号",151181]
[114,"e14030500702a011","2","孟鲁司特","Montelukast","颗粒剂、咀嚼片","",2017163533,"孟鲁司特钠咀嚼片","无","咀嚼片","4mg","盒","5","双铝","青岛百洋制药有限公司",21.06,"修改（支付标准）","医药服务便函〔2021〕5号",163533]
[115,"e14030500702a012","2","孟鲁司特","Montelukast","颗粒剂、咀嚼片","",2017163534,"孟鲁司特钠咀嚼片","无","咀嚼片","5mg","盒","5","双铝","青岛百洋制药有限公司",23.02,"修改（支付标准）","医药服务便函〔2021〕5号",163534]
[116,"e18030100975a002","2","葡萄糖酸亚铁","FerrousGluconate","糖浆剂","△",2015142818,"葡萄糖酸亚铁糖浆","无","糖浆剂","10ml:0.3g","盒","10","玻璃瓶","浙江天一堂药业有限公司",9.42,"修改（支付标准）","医药服务便函〔2021〕5号",142820]
[117,"e18030100975a003","2","葡萄糖酸亚铁","Ferrous Gluconate","糖浆剂","△",2015115736,"葡萄糖酸亚铁糖浆","无","糖浆剂","10ml:0.3g","盒","10","玻璃瓶","广西梧州制药(集团)股份有限公司",7.27,"修改（支付标准）","医药服务便函〔2021〕5号",115739]
[118,"ez1010109001a006","2","小儿感冒冲剂","","","",2015101273,"小儿感冒颗粒","无","颗粒剂","6g","盒","6","复合膜","杭州前进药业有限公司",20.44,"修改（支付标准）","医药服务便函〔2021〕5号",101278]
[119,"ez1010109001a013","2","小儿感冒冲剂","","","",2015144193,"小儿感冒颗粒","无","颗粒剂","12g","盒","6","复合膜","江苏平光信谊(焦作)中药有限公司",5.4,"修改（支付标准）","医药服务便函〔2021〕5号",144195]
[120,"ez1010109001a014","2","小儿感冒冲剂","","","",2015153418,"小儿感冒颗粒","无","颗粒剂","12g","盒","8","复合膜","西双版纳版纳药业有限责任公司",14.66,"修改（支付标准）","医药服务便函〔2021〕5号",153421]
[121,"ez1010109001a017","2","小儿感冒冲剂","","","",2015160990,"小儿感冒颗粒","无","颗粒剂","12g","盒","10","复合膜","石家庄以岭药业股份有限公司",19.5,"修改（支付标准）","医药服务便函〔2021〕5号",160983]
[122,"ez1010209003a001","2","羚羊感冒口服液","","","",20154805,"羚羊感冒口服液","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","南京同仁堂药业有限责任公司",19.94,"修改（支付标准）","医药服务便函〔2021〕5号",121918]
[123,"ez1060209008a005","2","小儿止咳糖浆","","","",20153305,"小儿止咳糖浆","无","糖浆剂","120ml","瓶","1","塑料瓶","福元药业有限公司",3.51,"修改（支付标准）","医药服务便函〔2021〕5号",133295]
[124,"ez1060209008a007","2","小儿止咳糖浆","","","",20158314,"小儿止咳糖浆","无","糖浆剂","30ml","盒","3","塑料瓶","回音必集团安徽制药有限公司",4.21,"修改（支付标准）","医药服务便函〔2021〕5号",101987]
[125,"ez1140009015a001","2","小儿喜食糖浆","","","",2015142683,"小儿喜食糖浆","无","糖浆剂","10ml","盒","10","玻璃瓶","浙江一新制药股份有限公司",13.36,"修改（支付标准）","医药服务便函〔2021〕5号",142685]
[126,"ez1140009015a002","2","小儿喜食糖浆","","","",2015144635,"小儿喜食糖浆","无","糖浆剂","100ml","瓶","1","塑料瓶","湖北威仕生物药业股份有限公司",13.6,"修改（支付标准）","医药服务便函〔2021〕5号",144637]
[127,"ez1140009015a003","2","小儿喜食糖浆","","","",2015161978,"小儿喜食糖浆","无","糖浆剂","10ml","盒","18","玻璃瓶","浙江一新制药股份有限公司",21.47,"修改（支付标准）","医药服务便函〔2021〕5号",161971]
[128,"ez2010209018a001","2","婴儿素","","","",201521837,"婴儿健脾散(婴儿素)(人工牛黄)","无","散剂","0.5g","盒","10","复合膜","江苏平光信谊(焦作)中药有限公司",2.61,"修改（支付标准）","医药服务便函〔2021〕5号",144240]
[129,"h01010300058u001","2","依替米星","","注射液","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",20157812,"硫酸依替米星氯化钠注射液","爱益","注射液","100ml:0.3g(30万单位):0.9g","瓶","1","玻璃瓶","海南爱科制药有限公司",81.7,"修改（支付标准）","医药服务便函〔2021〕5号",115495]
[130,"h01010300058v001","2","依替米星","","注射液","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",201510406,"硫酸依替米星氯化钠注射液","悉能","注射液","100ml:0.15g(15万单位):0.9g","瓶","1","玻璃瓶","无锡济民可信山禾药业股份有限公司",44.1,"修改（支付标准）","医药服务便函〔2021〕5号",145698]
[131,"h01010300058v002","2","依替米星","","注射液","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",20157832,"硫酸依替米星氯化钠注射液","爱益","注射液","100ml:0.15g(15万单位):0.9g","瓶","1","玻璃瓶","海南爱科制药有限公司",46.55,"修改（支付标准）","医药服务便函〔2021〕5号",115486]
[132,"h01010300058y001","2","依替米星","","注射液","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",201511091,"硫酸依替米星氯化钠注射液","无","注射液","100ml:0.1g(10万单位):0.9g","瓶","1","玻璃瓶","福州海王福药制药有限公司",27.64,"修改（支付标准）","医药服务便函〔2021〕5号",103717]
[133,"h01010300058y002","2","依替米星","","注射液","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",20155503,"硫酸依替米星氯化钠注射液","爱益","注射液","100ml:0.1g(10万单位):0.9g","瓶","1","玻璃瓶","海南爱科制药有限公司",41.87,"修改（支付标准）","医药服务便函〔2021〕5号",115478]
[134,"h01020200092x003","2","氧氟沙星","","注射液","",2015150000,"氧氟沙星氯化钠注射液","无","注射液","100ml:0.2g:0.9g","袋","1","多层共挤输液袋","河南天方华中药业有限公司",2.31,"修改（支付标准）","医药服务便函〔2021〕5号",150003]
[135,"h010202000971002","2","莫西沙星","","注射液","",2015127600,"盐酸莫西沙星氯化钠注射液","拜复乐","注射液","250ml:0.4g:2.0g","瓶","1","玻璃瓶","德国Bayer Pharma AG",196.7,"修改（支付标准）","医药服务便函〔2021〕5号",127593]
[136,"h01020200098y002","2","培氟沙星","","注射液","限二线抗菌药物用药。",20152967,"甲磺酸培氟沙星葡萄糖注射液","典沙","注射液","100ml:0.4g:5.0g","瓶","1","玻璃瓶","四川奇力制药有限公司",16.56,"修改（支付标准）","医药服务便函〔2021〕5号",130192]
[137,"h01020200099x001","2","加替沙星","","注射液","限二线抗菌药物用药。",20157036,"加替沙星葡萄糖注射液","艾尔嘉","注射液","100ml:0.2g:5.0g","瓶","1","塑料瓶","四川科伦药业股份有限公司",25.11,"修改（支付标准）","医药服务便函〔2021〕5号",108617]
[138,"h01020300104z002","2","左奥硝唑氯化钠","","注射液","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",201514717,"左奥硝唑氯化钠注射液","优诺安","注射液","100ml:0.5g:0.83g","瓶","1","玻璃瓶","南京圣和药业股份有限公司",101.89,"修改（支付标准）","医药服务便函〔2021〕5号",145715]
[139,"h12040000562z001","2","倍他司汀","","注射液","",2015121964,"盐酸倍他司汀氯化钠注射液","无","注射液","500ml:20mg:4.5g","瓶","1","塑料瓶","石家庄四药有限公司",3.07,"修改（支付标准）","医药服务便函〔2021〕5号",121961]
[140,"h12040000570v001","2","葛根素","","注射液","",20155882,"葛根素葡萄糖注射液","无","注射液","250ml:0.5g:12.5g","袋","1","多层共挤输液袋","威海爱威制药有限公司",22.67,"修改（支付标准）","医药服务便函〔2021〕5号",114649]
[141,"h12040000570x001","2","葛根素","","注射液","",20153080,"葛根素葡萄糖注射液","无","注射液","250ml:0.3g:12.5g","瓶","1","玻璃瓶","江苏苏中药业集团股份有限公司",16,"修改（支付标准）","医药服务便函〔2021〕5号",137912]
[142,"h12060000581y001","2","胞磷胆碱","","注射剂","",2015146359,"胞磷胆碱钠氯化钠注射液","无","注射液","100ml:0.5g:0.9g","袋","1","非PVC膜+双管双塞","辰欣药业股份有限公司",7.65,"修改（支付标准）","医药服务便函〔2021〕5号",146358]
[143,"h12060000581z001","2","胞磷胆碱","","注射剂","",2015102905,"胞磷胆碱钠氯化钠注射液","加简","注射液","100ml:0.5g:0.9g","瓶","1","玻璃瓶","华仁药业(日照)有限公司",3.66,"修改（支付标准）","医药服务便函〔2021〕5号",102910]
[144,"h12060000584v002","2","吡拉西坦","","注射液","",2015117065,"吡拉西坦氯化钠注射液","无","注射液","100ml:20g:0.9g","瓶","1","塑料瓶","山东威高药业股份有限公司",34,"修改（支付标准）","医药服务便函〔2021〕5号",117068]
[145,"h12060000584x001","2","吡拉西坦","","注射液","",2015145671,"吡拉西坦氯化钠注射液","康容","注射液","100ml:20g:0.9g","瓶","1","玻璃瓶","江苏晨牌药业集团股份有限公司",27.77,"修改（支付标准）","医药服务便函〔2021〕5号",145670]
[146,"h12060000584y002","2","吡拉西坦","","注射液","",2015117053,"吡拉西坦氯化钠注射液","无","注射液","50ml:10g:0.45g","瓶","1","塑料瓶","山东威高药业股份有限公司",20.71,"修改（支付标准）","医药服务便函〔2021〕5号",117056]
[147,"h12060000584z002","2","吡拉西坦","","注射液","",2015151900,"吡拉西坦氯化钠注射液","无","注射液","50ml:10g:0.45g","袋","1","多层共挤输液袋","山东威高药业股份有限公司",21.4,"修改（支付标准）","医药服务便函〔2021〕5号",151903]
[148,"h12090000604y006","2","甘油果糖","","注射液","",2015120113,"甘油果糖氯化钠注射液","无","注射液","250ml:25g:12.5g:2.25g","袋","1","非PVC膜","山东华鲁制药有限公司",11.75,"修改（支付标准）","医药服务便函〔2021〕5号",120110]
[149,"h14010000667p001","2","溴己新","","注射剂","",2015122871,"盐酸溴己新葡萄糖注射液","赛维","注射液","100ml:4mg:5g","瓶","1","玻璃瓶","石家庄四药有限公司",16.44,"修改（支付标准）","医药服务便函〔2021〕5号",122868]
[150,"h14010000667p002","2","溴己新","","注射剂","",2015106938,"盐酸溴己新葡萄糖注射液","无","注射液","100ml:4mg:5g","瓶","1","玻璃瓶","江西科伦药业有限公司",13.29,"修改（支付标准）","医药服务便函〔2021〕5号",106941]
[151,"h14010000668w002","2","氨溴索","","注射液","",2015144301,"盐酸氨溴索葡萄糖注射液","耐邦","注射液","100ml:15mg:5.0g","瓶","1","玻璃瓶","江苏亚邦生缘药业有限公司",2.73,"修改（支付标准）","医药服务便函〔2021〕5号",144303]
[152,"h14010000668x001","2","氨溴索","","注射液","",2015122785,"盐酸氨溴索葡萄糖注射液","菲得欣","注射液","50ml:30mg:2.5g","瓶","1","玻璃瓶","石家庄四药有限公司",9.28,"修改（支付标准）","医药服务便函〔2021〕5号",122782]
[153,"h14010000668x003","2","氨溴索","","注射液","",2015110293,"盐酸氨溴索葡萄糖注射液","坦刻抒","注射液","50ml:30mg:2.5g","瓶","1","玻璃瓶","黑龙江中桂制药有限公司",5.66,"修改（支付标准）","医药服务便函〔2021〕5号",110291]
[154,"h14010000668y002","2","氨溴索","","注射液","",2015110276,"盐酸氨溴索葡萄糖注射液","无","注射液","50ml:15mg:2.5g","瓶","1","玻璃瓶","黑龙江中桂制药有限公司",3.65,"修改（支付标准）","医药服务便函〔2021〕5号",110274]
[155,"h14010000668y003","2","氨溴索","","注射液","",2015134384,"盐酸氨溴索葡萄糖注射液","欣得生","注射液","50ml:15mg:2.5g","瓶","1","玻璃瓶","安徽双鹤药业有限责任公司",1.68,"修改（支付标准）","医药服务便函〔2021〕5号",134388]
[156,"h14010000668y004","2","氨溴索","","注射液","",2015158925,"盐酸氨溴索葡萄糖注射液","菲得欣","注射液","50ml:15mg:2.5g","袋","1","多层共挤输液袋","石家庄四药有限公司",8.52,"修改（支付标准）","医药服务便函〔2021〕5号",158923]
[157,"h14010000668z002","2","氨溴索","","注射液","",2015102845,"盐酸氨溴索葡萄糖注射液","无","注射液","100ml:30mg:5.0g","瓶","1","玻璃瓶","浙江莎普爱思药业股份有限公司",3.45,"修改（支付标准）","医药服务便函〔2021〕5号",102850]
[158,"h14010000668z003","2","氨溴索","","注射液","",2015158685,"盐酸氨溴索葡萄糖注射液","无","注射液","100ml:30mg:5.0g","瓶","1","玻璃瓶","六安华源制药有限公司",1.57,"修改（支付标准）","医药服务便函〔2021〕5号",158683]
[159,"h14030100686x001","2","多索茶碱","","注射剂","非限定支付同类药品无效或不能耐受",2015120286,"多索茶碱葡萄糖注射液","纳德来","注射液","100ml:0.3g:5.0g","瓶","1","塑料瓶","山东华鲁制药有限公司",20.02,"修改（支付标准）","医药服务便函〔2021〕5号",120283]
[160,"h14030100686y001","2","多索茶碱","","注射液","非限定支付同类药品无效或不能耐受",2015116218,"多索茶碱葡萄糖注射液","菲特艾斯","注射液","100ml:0.3g:5.0g","袋","1","多层共挤输液袋","康臣药业(内蒙古)有限责任公司",31.29,"修改（支付标准）","医药服务便函〔2021〕5号",116221]
[161,"h14030100686y002","2","多索茶碱","","注射液","非限定支付同类药品无效或不能耐受",2015125702,"多索茶碱葡萄糖注射液","无","注射液","100ml:0.3g:5.0g","袋","1","多层共挤输液袋","山东齐都药业有限公司",18.9,"修改（支付标准）","医药服务便函〔2021〕5号",125701]
[162,"h14030100686z004","2","多索茶碱","","注射液","非限定支付同类药品无效或不能耐受",2015116639,"多索茶碱葡萄糖注射液","无","注射液","100ml:0.3g:5.0g","瓶","1","玻璃瓶","山东齐都药业有限公司",14.97,"修改（支付标准）","医药服务便函〔2021〕5号",116642]
[163,"h14030100686z005","2","多索茶碱","","注射液","非限定支付同类药品无效或不能耐受",2015156610,"多索茶碱葡萄糖注射液","无","注射液","100ml:0.3g:5.0g","瓶","1","玻璃瓶","扬子江药业集团南京海陵药业有限公司",24,"修改（支付标准）","医药服务便函〔2021〕5号",156608]
[164,"h14030100686z006","2","多索茶碱","","注射液","非限定支付同类药品无效或不能耐受",2015120281,"多索茶碱葡萄糖注射液","纳德来","注射液","100ml:0.3g:5.0g","瓶","1","玻璃瓶","山东华鲁制药有限公司",20,"修改（支付标准）","医药服务便函〔2021〕5号",120278]
[165,"h15050000750y001","2","昂丹司琼","","注射液","非限定支付同类药品无效或不能耐受",2015125640,"盐酸昂丹司琼氯化钠注射液","无","注射液","50ml:8mg:0.45g","袋","1","多层共挤输液袋","山东齐都药业有限公司",26.94,"修改（支付标准）","医药服务便函〔2021〕5号",125639]
[166,"h15050000750z001","2","昂丹司琼","","注射液","非限定支付同类药品无效或不能耐受",2015145687,"盐酸昂丹司琼氯化钠注射液","维泽","注射液","100ml:8mg:0.9g","瓶","1","玻璃瓶","江苏豪森药业集团有限公司",13.65,"修改（支付标准）","医药服务便函〔2021〕5号",145686]
[167,"h15050000750z002","2","昂丹司琼","","注射液","非限定支付同类药品无效或不能耐受",2015139963,"盐酸昂丹司琼氯化钠注射液","恩复德","注射液","100ml:8mg:0.9g","瓶","1","塑料瓶","安徽环球药业股份有限公司",24.58,"修改（支付标准）","医药服务便函〔2021〕5号",139960]
[168,"h15050000751x001","2","格拉司琼","","注射液","非限定支付同类药品无效或不能耐受",201512142,"盐酸格拉司琼氯化钠注射液","无","注射液","100ml:3mg:0.9g","袋","1","非PVC膜","福州海王福药制药有限公司",15.88,"修改（支付标准）","医药服务便函〔2021〕5号",103678]
[169,"h15050000751x003","2","格拉司琼","","注射液","非限定支付同类药品无效或不能耐受",20157725,"盐酸格拉司琼氯化钠注射液","百宏","注射液","100ml:3mg:0.9g","袋","1","多层共挤输液袋","辰欣药业股份有限公司",18.98,"修改（支付标准）","医药服务便函〔2021〕5号",134526]
[170,"h15050000751z004","2","格拉司琼","","注射液","非限定支付同类药品无效或不能耐受",20153205,"盐酸格拉司琼葡萄糖注射液","比立","注射液","50ml:3mg:2.5g","瓶","1","玻璃瓶","扬子江药业集团有限公司",16,"修改（支付标准）","医药服务便函〔2021〕5号",101765]
[171,"h15050000752y002","2","托烷司琼","","注射液","非限定支付同类药品无效或不能耐受",201511802,"盐酸托烷司琼葡萄糖注射液","和太","注射液","100ml:2mg(以托烷司琼计):5g","瓶","1","玻璃瓶","哈尔滨三联药业股份有限公司",38.47,"修改（支付标准）","医药服务便函〔2021〕5号",106625]
[172,"h15050000752z001","2","托烷司琼","","注射液","非限定支付同类药品无效或不能耐受",201510072,"盐酸托烷司琼氯化钠注射液","齐琼","注射液","100ml:5mg(以托烷司琼计):0.9g","瓶","1","玻璃瓶","山东齐都药业有限公司",74.77,"修改（支付标准）","医药服务便函〔2021〕5号",116538]
[173,"h15100000780z001","2","甘草酸二铵","","注射液","限抢救或肝病或工伤保险。",2015118563,"甘草酸二铵氯化钠注射液","甘利欣","注射液","250ml:0.15g:2.25g","瓶","1","玻璃瓶","正大天晴药业集团股份有限公司",13.4,"修改（支付标准）","医药服务便函〔2021〕5号",118566]
[174,"h15100000782h001","2","苦参碱","","注射剂","",20157611,"苦参碱氯化钠注射液","无","注射液","100ml:80mg:0.9g","袋","1","塑料袋","成都盛迪医药有限公司",11,"修改（支付标准）","医药服务便函〔2021〕5号",135786]
[175,"h15100000782i001","2","苦参碱","","注射剂","",201511235,"苦参碱葡萄糖注射液","目源","注射液","250ml:0.15g:12.5g","袋","1","多层共挤输液袋","山东齐都药业有限公司",37.04,"修改（支付标准）","医药服务便函〔2021〕5号",125689]
[176,"h15100000782i002","2","苦参碱","","注射剂","",20153267,"苦参碱葡萄糖注射液","天晴顺欣","注射液","250ml:0.15g:12.5g","瓶","1","玻璃瓶","正大天晴药业集团股份有限公司",16.26,"修改（支付标准）","医药服务便函〔2021〕5号",118577]
[177,"h15100000782y002","2","苦参素","","注射液","",20155422,"苦参素氯化钠注射液","恒迈","注射液","100ml:0.6g:0.9g","袋","1","多层共挤输液袋","江苏恒瑞医药股份有限公司",13,"修改（支付标准）","医药服务便函〔2021〕5号",135787]
[178,"h15100000782z001","2","苦参素","","注射液","",20152738,"苦参素葡萄糖注射液","天晴复欣","注射液","100ml:0.6g:5.0g","瓶","1","玻璃瓶","正大天晴药业集团股份有限公司",11.85,"修改（支付标准）","医药服务便函〔2021〕5号",118590]
[179,"h15100000782z004","2","苦参素","","注射液","",20155633,"苦参素氯化钠注射液","中宝叶宁","注射液","100ml:0.6g:0.9g","瓶","1","玻璃瓶","扬州中宝制药有限公司",11.13,"修改（支付标准）","医药服务便函〔2021〕5号",142036]
[180,"h16030000830x002","2","单硝酸异山梨酯","","注射液","",2015105934,"单硝酸异山梨酯氯化钠注射液","华仁欣舒","注射液","100ml:20mg:0.9g","袋","1","非PVC膜+双管双塞","华仁药业股份有限公司",16.03,"修改（支付标准）","医药服务便函〔2021〕5号",105937]
[181,"h16030000830y001","2","单硝酸异山梨酯","","注射液","",2015116406,"单硝酸异山梨酯葡萄糖注射液","狄苏尼","注射液","100ml:20mg:5.0g","瓶","1","玻璃瓶","山东齐都药业有限公司",12.55,"修改（支付标准）","医药服务便函〔2021〕5号",116409]
[182,"h16030000830y003","2","单硝酸异山梨酯","","注射液","",2015106927,"单硝酸异山梨酯葡萄糖注射液","无","注射液","100ml:20mg:5.0g","瓶","1","玻璃瓶","江西科伦药业有限公司",13.17,"修改（支付标准）","医药服务便函〔2021〕5号",106930]
[183,"h16030000830z002","2","单硝酸异山梨酯","","注射液","",2015125569,"单硝酸异山梨酯氯化钠注射液","无","注射液","250ml:50mg:2.25g","瓶","1","玻璃瓶","西南药业股份有限公司",24.5,"修改（支付标准）","医药服务便函〔2021〕5号",125568]
[184,"h16120000913w003","2","川芎嗪","","注射液","",2015120957,"磷酸川芎嗪氯化钠注射液","长富维秦","注射液","100ml:0.1g:0.9g","瓶","1","玻璃瓶","河南天方华中药业有限公司",3.87,"修改（支付标准）","医药服务便函〔2021〕5号",120954]
[185,"h16120000913w004","2","川芎嗪","","注射液","",2015134364,"盐酸川芎嗪葡萄糖注射液","利川","注射液","100ml:0.1g:5.0g","瓶","1","玻璃瓶","安徽双鹤药业有限责任公司",4,"修改（支付标准）","医药服务便函〔2021〕5号",134368]
[186,"h16120000914z001","2","辅酶Q10","","注射剂","△",2015125580,"辅酶Q10氯化钠注射液","合夫","注射液","250ml:5mg:2.25g","瓶","1","玻璃瓶","西南药业股份有限公司",24.26,"修改（支付标准）","医药服务便函〔2021〕5号",125579]
[187,"h18040000981v001","2","肌苷","","注射液","",2015117611,"肌苷氯化钠注射液","兰旭","注射液","100ml:0.3g:0.9g","瓶","1","玻璃瓶","山东齐都药业有限公司",4.7,"修改（支付标准）","医药服务便函〔2021〕5号",117614]
[188,"h18040000981y001","2","肌苷","","注射液","",2015103695,"肌苷氯化钠注射液","全助","注射液","100ml:0.6g:0.9g","袋","1","多层共挤输液袋","福州海王福药制药有限公司",12.78,"修改（支付标准）","医药服务便函〔2021〕5号",103700]
[189,"h18040000981z002","2","肌苷","","注射液","",2015113963,"肌苷氯化钠注射液","无","注射液","100ml:0.6g:0.9g","瓶","1","玻璃瓶","青岛金峰制药有限公司",5.48,"修改（支付标准）","医药服务便函〔2021〕5号",113961]
[190,"h18040000981z003","2","肌苷","","注射液","",2015158420,"肌苷氯化钠注射液","科米雅","注射液","100ml:0.6g:0.9g","瓶","1","玻璃瓶","湖南科伦制药有限公司",4.93,"修改（支付标准）","医药服务便函〔2021〕5号",158418]
[191,"h18040000981z004","2","肌苷","","注射液","",2015117622,"肌苷氯化钠注射液","兰旭","注射液","100ml:0.6g:0.9g","瓶","1","玻璃瓶","山东齐都药业有限公司",5.46,"修改（支付标准）","医药服务便函〔2021〕5号",117625]
[192,"h18050000990n001","2","奥扎格雷钠","","注射液","",201512459,"奥扎格雷钠氯化钠注射液","奥辛康","注射液","250ml:80mg:2.25g","袋","1","多层共挤输液袋","石家庄四药有限公司",23.8,"修改（支付标准）","医药服务便函〔2021〕5号",122443]
[193,"h18050000990n002","2","奥扎格雷钠","","注射液","",20153187,"奥扎格雷钠氯化钠注射液","泰亚普昔","注射液","250ml:80mg:2.25g","袋","1","非PVC膜","山东华鲁制药有限公司",23.44,"修改（支付标准）","医药服务便函〔2021〕5号",120059]
[194,"h18050000990n003","2","奥扎格雷钠","","注射液","",20156198,"奥扎格雷钠氯化钠注射液","赐禾盈","注射液","250ml:80mg:2.25g","袋","1","多层共挤输液袋","佛山双鹤药业有限责任公司",16.99,"修改（支付标准）","医药服务便函〔2021〕5号",116326]
[195,"h18050000990q002","2","奥扎格雷钠","","注射液","",20156343,"奥扎格雷钠氯化钠注射液","无","注射液","250ml:80mg:2.25g","瓶","1","玻璃瓶","信合援生制药股份有限公司",16.36,"修改（支付标准）","医药服务便函〔2021〕5号",108744]
[196,"h18050000990r001","2","奥扎格雷钠","","注射液","",201513403,"奥扎格雷钠氯化钠注射液","泰亚普昔","注射液","100ml:80mg:0.9g","瓶","1","塑料瓶","山东华鲁制药有限公司",22.36,"修改（支付标准）","医药服务便函〔2021〕5号",120025]
[197,"h18050000990s002","2","奥扎格雷钠","","注射液","",201512863,"奥扎格雷钠氯化钠注射液","丽邦","注射液","100ml:80mg:0.9g","袋","1","多层共挤输液袋","长春豪邦药业有限公司",26.22,"修改（支付标准）","医药服务便函〔2021〕5号",132624]
[198,"h18050000990s003","2","奥扎格雷钠","","注射液","",20159615,"奥扎格雷钠氯化钠注射液","无","注射液","100ml:80mg:0.9g","袋","1","非PVC膜","山东华鲁制药有限公司",24.27,"修改（支付标准）","医药服务便函〔2021〕5号",120037]
[199,"h18050000990t001","2","奥扎格雷钠","","注射液","",201510505,"奥扎格雷钠氯化钠注射液","奥辛康","注射液","100ml:80mg:0.9g","瓶","1","玻璃瓶","石家庄四药有限公司",21.77,"修改（支付标准）","医药服务便函〔2021〕5号",122449]
[200,"h18050000990t002","2","奥扎格雷钠","","注射液","",20158614,"奥扎格雷钠氯化钠注射液","泰亚普昔","注射液","100ml:80mg:0.9g","瓶","1","玻璃瓶","山东华鲁制药有限公司",22.1,"修改（支付标准）","医药服务便函〔2021〕5号",120014]
[201,"h19010001000r001","2","果糖","","注射液","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",201511625,"果糖氯化钠注射液","无","注射液","500ml:25g:4.5g","瓶","1","玻璃瓶","南京小营药业集团有限公司",43.43,"修改（支付标准）","医药服务便函〔2021〕5号",138200]
[202,"h19010001000x001","2","果糖","","注射液","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",201511513,"果糖氯化钠注射液","无","注射液","250ml:12.5g:2.25g","瓶","1","玻璃瓶","南京小营药业集团有限公司",25.41,"修改（支付标准）","医药服务便函〔2021〕5号",138199]
[203,"h19010001000z001","2","果糖","","注射液","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",201513912,"果糖氯化钠注射液","甘乐力","注射液","250ml:12.5g:2.25g","袋","1","直立式输液袋(聚丙烯)","四川科伦药业股份有限公司",27.97,"修改（支付标准）","医药服务便函〔2021〕5号",108914]
[204,"h19040001013z006","2","右旋糖酐40","","注射剂","",2015133348,"右旋糖酐40葡萄糖注射液","无","注射液","500ml:30g:25g","瓶","1","塑料瓶","浙江天瑞药业有限公司",4.45,"修改（支付标准）","医药服务便函〔2021〕5号",133352]
[205,"h19040001013z007","2","右旋糖酐40","","注射剂","",2015108509,"右旋糖酐40葡萄糖注射液","无","注射液","500ml:30g:25g","袋","1","多层共挤输液袋","四川科伦药业股份有限公司",4.48,"修改（支付标准）","医药服务便函〔2021〕5号",108512]
[206,"h19040001013z008","2","右旋糖酐40","","注射剂","",2015109253,"右旋糖酐40葡萄糖注射液","无","注射液","500ml:30g:25g","瓶","1","塑料瓶","四川科伦药业股份有限公司",4.48,"修改（支付标准）","医药服务便函〔2021〕5号",109256]
[207,"h190400010161001","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015121589,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉130/0.4与4.5g氯化钠","袋","1","多层共挤输液袋","北京费森尤斯卡比医药有限公司",96.15,"修改（支付标准）","医药服务便函〔2021〕5号",121586]
[208,"h19040001016q001","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015135923,"羟乙基淀粉200/0.5氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉200/0.5与4.5g氯化钠","瓶","1","玻璃瓶","杭州民生药业有限公司",58.37,"修改（支付标准）","医药服务便函〔2021〕5号",135920]
[209,"h19040001016q002","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015116508,"羟乙基淀粉200/0.5氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉200/0.5与4.5g氯化钠","瓶","1","玻璃瓶","成都倍特药业股份有限公司",72,"修改（支付标准）","医药服务便函〔2021〕5号",116511]
[210,"h19040001016q003","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015116575,"羟乙基淀粉200/0.5氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉200/0.5与4.5g氯化钠","瓶","1","玻璃瓶","山东齐都药业有限公司",65.12,"修改（支付标准）","医药服务便函〔2021〕5号",116578]
[211,"h19040001016r001","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015119584,"羟乙基淀粉200/0.5氯化钠注射液","盈源","注射液","500ml:30g羟乙基淀粉200/0.5与4.5g氯化钠","袋","1","多层共挤输液袋","华润双鹤药业股份有限公司",74.78,"修改（支付标准）","医药服务便函〔2021〕5号",119587]
[212,"h19040001016r002","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015136120,"羟乙基淀粉200/0.5氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉200/0.5与4.5g氯化钠","袋","1","多层共挤输液袋","杭州民生药业有限公司",68.85,"修改（支付标准）","医药服务便函〔2021〕5号",136117]
[213,"h19040001016r003","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015156730,"羟乙基淀粉200/0.5氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉200/0.5与4.5g氯化钠","袋","1","多层共挤输液袋","山东齐都药业有限公司",70.93,"修改（支付标准）","医药服务便函〔2021〕5号",156728]
[214,"h19040001016s001","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015119975,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","250ml:15g羟乙基淀粉130/0.4与2.25g氯化钠","瓶","1","塑料瓶","山东华鲁制药有限公司",38.2,"修改（支付标准）","医药服务便函〔2021〕5号",119978]
[215,"h19040001016t002","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015101106,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","250ml:15g羟乙基淀粉130/0.4与2.25g氯化钠","瓶","1","玻璃瓶","北大医药股份有限公司",27.2,"修改（支付标准）","医药服务便函〔2021〕5号",101111]
[216,"h19040001016t003","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015116560,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","250ml:15g羟乙基淀粉130/0.4与2.25g氯化钠","瓶","1","玻璃瓶","山东齐都药业有限公司",32,"修改（支付标准）","医药服务便函〔2021〕5号",116563]
[217,"h19040001016t005","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015119971,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","250ml:15g羟乙基淀粉130/0.4与2.25g氯化钠","瓶","1","玻璃瓶","山东华鲁制药有限公司",35,"修改（支付标准）","医药服务便函〔2021〕5号",119974]
[218,"h19040001016t006","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015156726,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","250ml:15g羟乙基淀粉130/0.4与2.25g氯化钠","袋","1","多层共挤输液袋","山东齐都药业有限公司",37.37,"修改（支付标准）","医药服务便函〔2021〕5号",156724]
[219,"h19040001016u001","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015102698,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉130/0.4与4.5g氯化钠","瓶","1","塑料瓶","华仁药业(日照)有限公司",55,"修改（支付标准）","医药服务便函〔2021〕5号",102703]
[220,"h19040001016u002","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015119985,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉130/0.4与4.5g氯化钠","瓶","1","塑料瓶","山东华鲁制药有限公司",56.28,"修改（支付标准）","医药服务便函〔2021〕5号",119988]
[221,"h19040001016u003","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015117045,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉130/0.4与4.5g氯化钠","瓶","1","塑料瓶","山东威高药业股份有限公司",55.9,"修改（支付标准）","医药服务便函〔2021〕5号",117048]
[222,"h19040001016v001","2","羟乙基淀粉200","","注射剂","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015107102,"羟乙基淀粉200/0.5氯化钠注射液","无","注射液","250ml:15g羟乙基淀粉200/0.5与2.25g氯化钠","瓶","1","玻璃瓶","辽宁海思科制药有限公司",38,"修改（支付标准）","医药服务便函〔2021〕5号",107105]
[223,"h19040001016w003","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015101821,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉130/0.4与4.5g氯化钠","袋","1","多层共挤输液袋","南京正大天晴制药有限公司",59.97,"修改（支付标准）","医药服务便函〔2021〕5号",101826]
[224,"h19040001016w004","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015119994,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉130/0.4与4.5g氯化钠","袋","1","非PVC膜","山东华鲁制药有限公司",65,"修改（支付标准）","医药服务便函〔2021〕5号",119997]
[225,"h19040001016w005","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015156728,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉130/0.4与4.5g氯化钠","袋","1","多层共挤输液袋","山东齐都药业有限公司",67.6,"修改（支付标准）","医药服务便函〔2021〕5号",156726]
[226,"h19040001016x003","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015116572,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉130/0.4与4.5g氯化钠","瓶","1","玻璃瓶","山东齐都药业有限公司",52,"修改（支付标准）","医药服务便函〔2021〕5号",116575]
[227,"h19040001016x004","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015106632,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉130/0.4与4.5g氯化钠","瓶","1","玻璃瓶","兰西哈三联制药有限公司",47.26,"修改（支付标准）","医药服务便函〔2021〕5号",106635]
[228,"h19040001016x005","2","羟乙基淀粉氯化钠","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015119981,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉130/0.4与4.5g氯化钠","瓶","1","玻璃瓶","山东华鲁制药有限公司",48.77,"修改（支付标准）","医药服务便函〔2021〕5号",119984]
[229,"h19040001016y002","2","高渗氯化钠羟乙基淀粉40","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015238198,"高渗氯化钠羟乙基淀粉40注射液","霍姆","注射液","100ml:7.6g羟乙基淀粉40与4.2g氯化钠","瓶","1","玻璃瓶","上海长征富民金山制药有限公司",106,"修改（支付标准）","医药服务便函〔2021〕5号",138198]
[230,"h19040001016z002","2","高渗氯化钠羟乙基淀粉40","","注射液","限休克抢救，脑梗塞急性期，大手术扩容治疗",2015237911,"高渗氯化钠羟乙基淀粉40注射液","霍姆","注射液","250ml:19g羟乙基淀粉40与10.5g氯化钠","瓶","1","玻璃瓶","上海长征富民金山制药有限公司",194.53,"修改（支付标准）","医药服务便函〔2021〕5号",137911]
[231,"LA000530005","2","替硝唑 替硝唑氯化钠 替硝唑葡萄糖","","注射剂","",2015116749,"替硝唑氯化钠注射液","无","注射液","200ml:0.8g:1.8g","瓶","1","玻璃瓶","海南华拓天涯制药有限公司",4.99,"修改（支付标准）","医药服务便函〔2021〕5号",116752]
[232,"LA000530012","2","替硝唑 替硝唑氯化钠 替硝唑葡萄糖","","注射剂","",2015152707,"替硝唑氯化钠注射液","无","注射液","200ml:0.8g:1.8g","瓶","1","塑料瓶","浙江巨能乐斯药业有限公司",4.5,"修改（支付标准）","医药服务便函〔2021〕5号",152710]
[233,"LA000530019","2","替硝唑 替硝唑氯化钠 替硝唑葡萄糖","","注射剂","",2015108367,"替硝唑葡萄糖注射液","无","注射液","200ml:0.8g:10.0g","袋","1","多层共挤输液袋","四川科伦药业股份有限公司",4.7,"修改（支付标准）","医药服务便函〔2021〕5号",108370]
[234,"LA012000004","2","吡格列酮","","口服常释剂型","",2015141339,"盐酸吡格列酮分散片","万苏敏","分散片","15mg","瓶","30","塑料瓶","江苏万邦生化医药集团有限责任公司",36.13,"修改（支付标准）","医药服务便函〔2021〕5号",141341]
[235,"LA012100004","2","罗格列酮","","口服常释剂型","",20153463,"马来酸罗格列酮片","文迪雅","薄膜衣片","4mg","盒","7","铝塑","葛兰素史克(天津)有限公司",59.01,"修改（支付标准）","医药服务便函〔2021〕5号",132279]
[236,"LA014100001","2","碳酸钙D3","","口服常释剂型 颗粒剂","△",2015102143,"碳酸钙D3颗粒","无","颗粒剂","3g(碳酸钙1.25g(钙0.5g),维生素D3 200IU)","盒","6","复合膜","北京振东康远制药有限公司",22.21,"修改（支付标准）","医药服务便函〔2021〕5号",102148]
[237,"LA014100002","2","碳酸钙D3","","口服常释剂型 颗粒剂","△",2015102152,"碳酸钙D3颗粒","无","颗粒剂","3g(碳酸钙1.25g(钙0.5g),维生素D3 200IU)","盒","10","复合膜","北京振东康远制药有限公司",37.02,"修改（支付标准）","医药服务便函〔2021〕5号",102157]
[238,"LA014100003","2","碳酸钙D3","","口服常释剂型 颗粒剂","△",2015102179,"碳酸钙D3颗粒","无","颗粒剂","3g(碳酸钙1.25g(钙0.5g),维生素D3 200IU)","盒","12","复合膜","北京振东康远制药有限公司",44.24,"修改（支付标准）","医药服务便函〔2021〕5号",102184]
[239,"LA014100004","2","碳酸钙D3","","口服常释剂型 颗粒剂","△",2015157035,"碳酸钙D3颗粒","无","颗粒剂","3g(碳酸钙1.25g(钙0.5g),维生素D3 200IU)","盒","30","复合膜","北京振东康远制药有限公司",111.05,"修改（支付标准）","医药服务便函〔2021〕5号",157033]
[240,"LA014100007","2","碳酸钙D3","","口服常释剂型   颗粒剂","△",2015146952,"碳酸钙D3片","无","薄膜衣片","碳酸钙1.5g(相当于钙0.6g),维生素D3 125IU","瓶","30","塑料瓶","惠氏制药有限公司",27.04,"修改（支付标准）","医药服务便函〔2021〕5号",146951]
[241,"LA014100008","2","碳酸钙D3","","口服常释剂型   颗粒剂","△",2015102473,"碳酸钙D3片(Ⅱ)","无","素片","钙0.5g,维生素D3 5μg(200IU)","瓶","36","塑料瓶","北京振东康远制药有限公司",25.8,"修改（支付标准）","医药服务便函〔2021〕5号",102478]
[242,"LA014100009","2","碳酸钙D3","","口服常释剂型   颗粒剂","△",2015102484,"碳酸钙D3片(Ⅱ)","无","素片","钙0.5g,维生素D3 5μg(200IU)","瓶","72","塑料瓶","北京振东康远制药有限公司",51.6,"修改（支付标准）","医药服务便函〔2021〕5号",102489]
[243,"LA015200001","2","硫酸锌","","口服常释剂型 口服溶液剂","△；限有锌缺乏检验证据的患者",20153149,"硫酸锌口服溶液","无","口服溶液剂","100ml:0.2g","瓶","1","塑料瓶","药都制药集团股份有限公司",5.98,"修改（支付标准）","医药服务便函〔2021〕5号",101263]
[244,"LA015200002","2","硫酸锌","","口服常释剂型 口服溶液剂","△；限有锌缺乏检验证据的患者",20156962,"硫酸锌糖浆","无","糖浆剂","10ml(100ml:0.2g)","盒","10","玻璃瓶","江西永昇制药股份有限公司",14.82,"修改（支付标准）","医药服务便函〔2021〕5号",144280]
[245,"LA015200003","2","硫酸锌","","口服常释剂型 口服溶液剂","△；限有锌缺乏检验证据的患者",20157584,"硫酸锌糖浆","无","糖浆剂","100ml:0.2g","瓶","1","塑料瓶","马应龙药业集团股份有限公司",5.12,"修改（支付标准）","医药服务便函〔2021〕5号",112344]
[246,"LA017100009","1","阿司匹林","","口服常释剂型","",2015161029,"阿司匹林肠溶片","无","肠溶片","50mg","瓶","100","塑料瓶","湖南亚大制药有限公司",2.52,"修改（支付标准）","医药服务便函〔2021〕5号",161022]
[247,"LA020710001","2","卡络磺钠(肾上腺色腙)      卡络磺钠氯化钠","","注射剂","",2015129949,"肾上腺色腙注射液","无","注射液","1ml:5mg","支","1","安瓿","遂成药业股份有限公司",0.39,"修改（支付标准）","医药服务便函〔2021〕5号",129948]
[248,"LA020710003","2","卡络磺钠(肾上腺色腙)      卡络磺钠氯化钠","","注射剂","",2015122551,"注射用卡络磺钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","安徽威尔曼制药有限公司",8.09,"修改（支付标准）","医药服务便函〔2021〕5号",122548]
[249,"LA020710004","2","卡络磺钠(肾上腺色腙)      卡络磺钠氯化钠","","注射剂","",2015106923,"注射用卡络磺钠","无","冻干粉针剂","20mg","瓶","1","玻璃瓶","福安药业集团湖北人民制药有限公司",5.88,"修改（支付标准）","医药服务便函〔2021〕5号",106926]
[250,"LA020710006","2","卡络磺钠(肾上腺色腙)      卡络磺钠氯化钠","","注射剂","",2015107916,"注射用卡络磺钠","普达澳","冻干粉针剂","60mg","瓶","1","玻璃瓶","海南全星制药有限公司",14.32,"修改（支付标准）","医药服务便函〔2021〕5号",107919]
[251,"LA020710007","2","卡络磺钠(肾上腺色腙)      卡络磺钠氯化钠","","注射剂","",2015107928,"注射用卡络磺钠","普达澳","冻干粉针剂","80mg","瓶","1","玻璃瓶","海南全星制药有限公司",17,"修改（支付标准）","医药服务便函〔2021〕5号",107931]
[252,"LA020710008","2","卡络磺钠(肾上腺色腙)      卡络磺钠氯化钠","","注射剂","",2015109572,"注射用卡络磺钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","湖南五洲通药业股份有限公司",11.2,"修改（支付标准）","医药服务便函〔2021〕5号",109575]
[253,"LA020710010","2","卡络磺钠(肾上腺色腙)      卡络磺钠氯化钠","","注射剂","",2015115695,"注射用卡络磺钠","无","冻干粉针剂","20mg","瓶","1","西林瓶","山东罗欣药业集团股份有限公司",6.6,"修改（支付标准）","医药服务便函〔2021〕5号",115698]
[254,"LA020710011","2","卡络磺钠(肾上腺色腙)      卡络磺钠氯化钠","","注射剂","",2015102772,"卡络磺钠氯化钠注射液","格丹","注射液","100ml:80mg:0.9g","瓶","1","玻璃瓶","华仁药业(日照)有限公司",23.1,"修改（支付标准）","医药服务便函〔2021〕5号",102777]
[255,"LA020710012","2","卡络磺钠(肾上腺色腙)      卡络磺钠氯化钠","","注射剂","",2015140233,"卡络磺钠氯化钠注射液","无","注射液","100ml:80mg:0.9g","瓶","1","玻璃瓶","重庆迪康长江制药有限公司",25.31,"修改（支付标准）","医药服务便函〔2021〕5号",140235]
[256,"LA022300001","1","维生素B12","","注射剂","",2015103705,"维生素B12注射液","无","注射液","1ml:1mg","支","1","安瓿","福建三爱药业有限公司",0.26,"修改（支付标准）","医药服务便函〔2021〕5号",103710]
[257,"LA022300002","1","维生素B12","","注射剂","",2015102936,"维生素B12注射液","无","注射液","1ml:1mg","支","1","安瓿","福州海王福药制药有限公司",0.74,"修改（支付标准）","医药服务便函〔2021〕5号",102941]
[258,"LA024100001","2","小儿复方氨基酸（19AA-Ⅰ）","","注射剂","",201512878,"小儿复方氨基酸注射液(19AA-Ⅰ)","无","注射液","20ml:1.2g(总氨基酸)","支","1","安瓿","华润双鹤药业股份有限公司",19.86,"修改（支付标准）","医药服务便函〔2021〕5号",119032]
[259,"LA024100002","2","小儿复方氨基酸（19AA-Ⅰ）","","注射剂","",201511509,"小儿复方氨基酸注射液(19AA-Ⅰ)","无","注射液","100ml:6.0g(总氨基酸)","瓶","1","玻璃瓶","山东齐都药业有限公司",19.8,"修改（支付标准）","医药服务便函〔2021〕5号",116622]
[260,"LA024300001","2","ω-3鱼油脂肪乳","","注射剂","限中重度炎症及感染患者",201510205,"ω-3鱼油脂肪乳注射液","尤文","注射液","100ml:10g(精制鱼油):1.2g(卵磷脂)","瓶","1","玻璃瓶","奥地利Fresenius Kabi Austria GmbH",246.35,"修改（支付标准）","医药服务便函〔2021〕5号",146349]
[261,"LA024700001","2","脂肪乳氨基酸葡萄糖","","注射剂","",2017163267,"脂肪乳氨基酸(17)葡萄糖(11%)注射液","无","注射液","1440ml(脂肪乳注射液(20%)255ml,复方氨基酸(17AA)注射液300ml,葡萄糖注射液(11%)885ml)","袋","1","三层共挤三腔输液袋","费森尤斯卡比华瑞制药有限公司",280.68,"修改（支付标准）","医药服务便函〔2021〕5号",163266]
[262,"LA024700002","2","脂肪乳氨基酸葡萄糖","","注射剂","",201510073,"脂肪乳氨基酸(17)葡萄糖(11%)注射液","卡文","注射液","1920ml(脂肪乳注射液(20%)340ml,复方氨基酸(17AA)注射液400ml,葡萄糖注射液(11%)1180ml)","袋","1","三层共挤三腔输液袋","瑞典Fresenius Kabi AB",327.96,"修改（支付标准）","医药服务便函〔2021〕5号",146347]
[263,"LA024700004","2","脂肪乳氨基酸葡萄糖","","注射剂","",2018163027,"脂肪乳氨基酸(17)葡萄糖(11%)注射液","无","注射液","1440ml(脂肪乳注射液(20%)255ml,复方氨基酸(17AA)注射液300ml,葡萄糖注射液(11%)885ml)","袋","1","三层共挤三腔输液袋","四川科伦药业股份有限公司",199.8,"修改（支付标准）","医药服务便函〔2021〕5号",163027]
[264,"LA024700005","2","脂肪乳氨基酸葡萄糖","","注射剂","",2018163028,"脂肪乳氨基酸(17)葡萄糖(11%)注射液","无","注射液","1920ml(脂肪乳注射液(20%)340ml,复方氨基酸(17AA)注射液400ml,葡萄糖注射液(11%)1180ml)","袋","1","三层共挤三腔输液袋","四川科伦药业股份有限公司",229,"修改（支付标准）","医药服务便函〔2021〕5号",163028]
[265,"LA030100001","2","曲美他嗪","","口服常释剂型 缓释控释剂型","",2015106444,"盐酸曲美他嗪胶囊","无","硬胶囊剂","20mg","盒","30","铝塑","北京嘉林药业股份有限公司",29.29,"修改（支付标准）","医药服务便函〔2021〕5号",106447]
[266,"LA030100002","2","曲美他嗪","","口服常释剂型 缓释控释剂型","",2015142949,"盐酸曲美他嗪胶囊","无","硬胶囊剂","20mg","盒","24","铝塑","山西华元医药生物技术有限公司",24.12,"修改（支付标准）","医药服务便函〔2021〕5号",142951]
[267,"LA030100003","2","曲美他嗪","","口服常释剂型 缓释控释剂型","",2015133250,"盐酸曲美他嗪片","无","薄膜衣片","20mg","盒","30","铝塑","南京恒生制药有限公司",17.72,"修改（支付标准）","医药服务便函〔2021〕5号",133254]
[268,"LA030100005","2","曲美他嗪","","口服常释剂型 缓释控释剂型","",2015110384,"盐酸曲美他嗪片","无","薄膜衣片","20mg","盒","30","铝塑","瑞阳制药有限公司",2.59,"修改（支付标准）","医药服务便函〔2021〕5号",110382]
[269,"LA030100006","2","曲美他嗪","","口服常释剂型 缓释控释剂型","",2015151100,"盐酸曲美他嗪片","无","薄膜衣片","20mg","盒","15","铝塑","山西仟源制药股份有限公司",6.75,"修改（支付标准）","医药服务便函〔2021〕5号",151103]
[270,"LA030100007","2","曲美他嗪","","口服常释剂型 缓释控释剂型","",2015151109,"盐酸曲美他嗪片","无","薄膜衣片","20mg","盒","30","铝塑","山西仟源制药股份有限公司",13.5,"修改（支付标准）","医药服务便函〔2021〕5号",151112]
[271,"LA030100008","2","曲美他嗪","","口服常释剂型 缓释控释剂型","",2015131723,"盐酸曲美他嗪片","万爽力","薄膜衣片","20mg","盒","30","双铝","施维雅(天津)制药有限公司",30.32,"修改（支付标准）","医药服务便函〔2021〕5号",131727]
[272,"LA030100009","2","曲美他嗪","","口服常释剂型 缓释控释剂型","",2015132021,"盐酸曲美他嗪缓释片","无","缓释片","35mg","盒","30","铝塑","施维雅(天津)制药有限公司",68.1,"修改（支付标准）","医药服务便函〔2021〕5号",132025]
[273,"LA030100010","2","曲美他嗪","","口服常释剂型 缓释控释剂型","",2019164599,"盐酸曲美他嗪片","无","薄膜衣片","20mg","盒","45","铝箔","江苏吴中医药集团有限公司苏州制药厂",30.59,"修改（支付标准）","医药服务便函〔2021〕5号",164599]
[274,"LA030710001","2","可乐定","","贴剂 透皮贴剂","限持续使用可乐定的患者且有因禁食、吞咽困难、昏迷等无法使用可乐定口服固体制剂的证据",2015121832,"可乐定透皮贴片","无","透皮贴剂","1mg,1.25cm2","盒","1","复合膜","国药集团山西瑞福莱药业有限公司",109.78,"修改（支付标准）","医药服务便函〔2021〕5号",121829]
[275,"LA031000001","2","多沙唑嗪","","口服常释剂型\n缓释控释剂型","",20156923,"甲磺酸多沙唑嗪胶囊","无","硬胶囊剂","2.0mg","盒","12","铝塑","山东淄博山川药业有限公司",21.22,"修改（支付标准）","医药服务便函〔2021〕5号",143743]
[276,"LA034600009","1","比索洛尔","","口服常释剂型","",2015159535,"富马酸比索洛尔片","无","薄膜衣片","5mg","盒","10","双铝","德国Salutas Pharma GmbH",5.93,"修改（支付标准）","医药服务便函〔2021〕5号",159533]
[277,"LA035200005","1","氨氯地平","","口服常释剂型","",2015134931,"苯磺酸氨氯地平分散片","无","分散片","5mg","盒","7","铝塑","南通久和药业有限公司",8.09,"修改（支付标准）","医药服务便函〔2021〕5号",134935]
[278,"LA035200006","1","氨氯地平","","口服常释剂型","",2015134932,"苯磺酸氨氯地平分散片","无","分散片","5mg","盒","10","铝塑","南通久和药业有限公司",11.56,"修改（支付标准）","医药服务便函〔2021〕5号",134936]
[279,"LA035200007","1","氨氯地平","","口服常释剂型","",2015134933,"苯磺酸氨氯地平分散片","无","分散片","5mg","盒","14","铝塑","南通久和药业有限公司",15.01,"修改（支付标准）","医药服务便函〔2021〕5号",134937]
[280,"LA035200008","1","氨氯地平","","口服常释剂型","",2015134934,"苯磺酸氨氯地平分散片","无","分散片","5mg","盒","20","铝塑","南通久和药业有限公司",22.86,"修改（支付标准）","医药服务便函〔2021〕5号",134938]
[281,"LA035200009","1","氨氯地平","","口服常释剂型","",2015134935,"苯磺酸氨氯地平分散片","无","分散片","5mg","盒","30","铝塑","南通久和药业有限公司",30.84,"修改（支付标准）","医药服务便函〔2021〕5号",134939]
[282,"LA035200010","1","氨氯地平","","口服常释剂型","",2015111961,"苯磺酸氨氯地平分散片","无","分散片","5mg","盒","7","双铝","浙江天真健康科技有限公司",12.63,"修改（支付标准）","医药服务便函〔2021〕5号",111959]
[283,"LA035200011","1","氨氯地平","","口服常释剂型","",2015111972,"苯磺酸氨氯地平分散片","无","分散片","5mg","盒","14","双铝","浙江天真健康科技有限公司",24.33,"修改（支付标准）","医药服务便函〔2021〕5号",111970]
[284,"LA035200012","1","氨氯地平","","口服常释剂型","",2015114647,"苯磺酸氨氯地平分散片","无","分散片","5mg","盒","28","双铝","浙江天真健康科技有限公司",61.33,"修改（支付标准）","医药服务便函〔2021〕5号",114645]
[285,"LA035510028","2","硝苯地平（Ⅰ、Ⅱ、Ⅲ、Ⅳ）","","缓释控释剂型","",2015152219,"硝苯地平缓释片(Ⅱ)","无","缓释片","20mg","盒","24","铝塑","云鹏医药集团有限公司",10.34,"修改（支付标准）","医药服务便函〔2021〕5号",152222]
[286,"LA038600009","2","氯沙坦","","口服常释剂型","",2015159552,"氯沙坦钾片","无","薄膜衣片","50mg","盒","7","双铝","斯洛文尼亚莱柯制药股份公司Lek Pharmaceuticals d.d.",15.99,"修改（支付标准）","医药服务便函〔2021〕5号",159550]
[287,"LA039000013","2","厄贝沙坦氢氯噻嗪","","口服常释剂型","",2015151003,"厄贝沙坦氢氯噻嗪片","无","素片","厄贝沙坦0.15g,氢氯噻嗪12.5mg","盒","12","铝塑","常山生化药业(江苏)有限公司",28.43,"修改（支付标准）","医药服务便函〔2021〕5号",151006]
[288,"LA040100024","2","瑞舒伐他汀","","口服常释剂型","",2019165350,"瑞舒伐他汀钙片","无","薄膜衣片","10mg","盒","14","铝箔","南京先声东元制药有限公司",37.24,"修改（支付标准）","医药服务便函〔2021〕5号",165350]
[289,"LA040810001","2","环丙沙星","","凝胶剂","",2015156127,"盐酸环丙沙星凝胶","无","凝胶剂","20g:60mg","支","1","铝管","国药集团冯了性（佛山）药业有限公司",7.74,"修改（支付标准）","医药服务便函〔2021〕5号",156125]
[290,"LA042700001","2","重组牛碱性成纤维细胞生长因子","","外用冻干制剂","",20155780,"外用重组牛碱性成纤维细胞生长因子","贝复济","冻干粉","3.5万IU","瓶","1","西林瓶","珠海亿胜生物制药有限公司",72.6,"修改（支付标准）","医药服务便函〔2021〕5号",107942]
[291,"LA042900001","2","重组人碱性成纤维细胞生长因子","","外用冻干制剂","",20157444,"外用重组人碱性成纤维细胞生长因子","扶济复","冻干粉","3.5万IU","瓶","1","西林瓶","北京双鹭药业股份有限公司",73.64,"修改（支付标准）","医药服务便函〔2021〕5号",142419]
[292,"LA042900002","2","重组人碱性成纤维细胞生长因子","","外用冻干制剂","",2018157876,"外用重组人碱性成纤维细胞生长因子","盖扶","冻干粉","7万IU","盒","1","配溶媒","南海朗肽制药有限公司",140,"修改（支付标准）","医药服务便函〔2021〕5号",157876]
[293,"LA043510001","2","阿昔洛韦","","凝胶剂","△",2015160357,"阿昔洛韦凝胶","无","凝胶剂","15g:0.15g","支","1","复合管","黑龙江天辰药业有限公司",8.47,"修改（支付标准）","医药服务便函〔2021〕5号",160350]
[294,"LA045110002","1","倍氯米松","","吸入剂\n粉雾剂","",2015115630,"丙酸倍氯米松气雾剂","无","气雾剂","0.25mg/揿,200揿","支","1","铝瓶","山东京卫制药有限公司",86.32,"修改（支付标准）","医药服务便函〔2021〕5号",115633]
[295,"LA045420003","1","地塞米松 地塞米松棕榈酸酯 地塞米松磷酸钠","","注射剂","",2015102977,"地塞米松磷酸钠注射液","无","注射液","1ml:5.0mg","支","1","安瓿","福州海王福药制药有限公司",0.69,"修改（支付标准）","医药服务便函〔2021〕5号",102982]
[296,"LA047000002","2","阿达帕林","","凝胶剂","△",201510897,"阿达帕林凝胶","无","凝胶剂","30g:30mg(0.1%)","支","1","铝塑","江苏中丹制药有限公司",30.86,"修改（支付标准）","医药服务便函〔2021〕5号",132949]
[297,"LA047700001","2","吡美莫司","","软膏剂","限重度特应性皮炎患者的二线用药",201511081,"吡美莫司乳膏","爱宁达","乳膏剂","15g(1%)","支","1","铝管","法国 MEDA Manufacturing",137.22,"修改（支付标准）","医药服务便函〔2021〕5号",144505]
[298,"LA048330008","2","甲硝唑氯化钠 甲硝唑葡萄糖","","注射剂","",2015158682,"甲硝唑氯化钠注射液","无","注射液","100ml:0.5g:0.8g","瓶","1","玻璃瓶","六安华源制药有限公司",0.69,"修改（支付标准）","医药服务便函〔2021〕5号",158680]
[299,"LA048330015","2","甲硝唑氯化钠 甲硝唑葡萄糖","","注射剂","",2015152703,"甲硝唑氯化钠注射液","无","注射液","250ml:0.5g:2.25g","瓶","1","塑料瓶","浙江巨能乐斯药业有限公司",1.5,"修改（支付标准）","医药服务便函〔2021〕5号",152706]
[300,"LA058600001","1","阿莫西林克拉维酸","","口服常释剂型 口服液体剂 颗粒剂","",2015159857,"阿莫西林克拉维酸钾(2:1)片","无","薄膜衣片","0.375g(0.25g/0.125g)","盒","18","复合膜","国药集团威奇达药业有限公司",17.52,"修改（支付标准）","医药服务便函〔2021〕5号",159855]
[301,"LA058600006","1","阿莫西林克拉维酸","","口服常释剂型 口服液体剂 颗粒剂","",2015155922,"阿莫西林克拉维酸钾(2:1)片","无","薄膜衣片","0.375g(0.25g/0.125g)","盒","12","双铝","上海中瀚投资集团宁国国安邦宁药业有限公司",9.9,"修改（支付标准）","医药服务便函〔2021〕5号",155920]
[302,"LA058600007","1","阿莫西林克拉维酸","","口服常释剂型 口服液体剂 颗粒剂","",2015155930,"阿莫西林克拉维酸钾(2:1)片","无","薄膜衣片","0.375g(0.25g/0.125g)","盒","6","双铝","上海中瀚投资集团宁国国安邦宁药业有限公司",5.08,"修改（支付标准）","医药服务便函〔2021〕5号",155928]
[303,"LA058800002","2","氨苄西林舒巴坦","","注射剂","",2015111162,"注射用氨苄西林钠舒巴坦钠(2:1)","施坦宁","粉针剂","3.0g(2.0g/1.0g)","瓶","1","玻璃瓶","广州白云山天心制药股份有限公司",5.81,"修改（支付标准）","医药服务便函〔2021〕5号",111160]
[304,"LA059000001","2","哌拉西林舒巴坦","","注射剂","",201513695,"注射用哌拉西林钠舒巴坦钠(2:1)","无","粉针剂","1.5g(1.0g/0.5g)","瓶","1","西林瓶","苏州二叶制药有限公司",26.04,"修改（支付标准）","医药服务便函〔2021〕5号",141212]
[305,"LA059000002","2","哌拉西林舒巴坦","","注射剂","",201513696,"注射用哌拉西林钠舒巴坦钠(2:1)","无","粉针剂","3.0g(2.0g/1.0g)","瓶","1","西林瓶","苏州二叶制药有限公司",44.25,"修改（支付标准）","医药服务便函〔2021〕5号",141213]
[306,"LA059000003","2","哌拉西林舒巴坦","","注射剂","",201513100,"注射用哌拉西林钠舒巴坦钠(2:1)","无","粉针剂","0.75g(0.5g/0.25g)","瓶","1","玻璃瓶","湘北威尔曼制药股份有限公司",15.38,"修改（支付标准）","医药服务便函〔2021〕5号",128072]
[307,"LA059000004","2","哌拉西林舒巴坦","","注射剂","",20159145,"注射用哌拉西林钠舒巴坦钠(2:1)","无","粉针剂","1.5g(1.0g/0.5g)","瓶","1","玻璃瓶","湘北威尔曼制药股份有限公司",26.15,"修改（支付标准）","医药服务便函〔2021〕5号",128075]
[308,"LA059000005","2","哌拉西林舒巴坦","","注射剂","",20159053,"注射用哌拉西林钠舒巴坦钠(2:1)","无","粉针剂","3.0g(2.0g/1.0g)","瓶","1","玻璃瓶","湘北威尔曼制药股份有限公司",44.45,"修改（支付标准）","医药服务便函〔2021〕5号",128081]
[309,"LA059000006","2","哌拉西林舒巴坦","","注射剂","",20158745,"注射用哌拉西林钠舒巴坦钠(4:1)","益坦","粉针剂","2.5g(2.0g/0.5g)","支","1","玻璃瓶","哈药集团制药总厂",22.63,"修改（支付标准）","医药服务便函〔2021〕5号",119515]
[310,"LA059000007","2","哌拉西林舒巴坦","","注射剂","",201510587,"注射用哌拉西林钠舒巴坦钠(4:1)","无","粉针剂","1.25g(1.0g/0.25g)","瓶","1","玻璃瓶","海南通用康力制药有限公司",13.08,"修改（支付标准）","医药服务便函〔2021〕5号",125022]
[311,"LA059000008","2","哌拉西林舒巴坦","","注射剂","",201510552,"注射用哌拉西林钠舒巴坦钠(4:1)","无","粉针剂","2.5g(2.0g/0.5g)","瓶","1","玻璃瓶","海南通用康力制药有限公司",22.5,"修改（支付标准）","医药服务便函〔2021〕5号",125033]
[312,"LA059000009","2","哌拉西林舒巴坦","","注射剂","",20157911,"注射用哌拉西林钠舒巴坦钠(4:1)","百定","粉针剂","1.25g(1.0g/0.25g)","瓶","1","玻璃瓶","瑞阳制药有限公司",17.01,"修改（支付标准）","医药服务便函〔2021〕5号",110456]
[313,"LA059000010","2","哌拉西林舒巴坦","","注射剂","",20159308,"注射用哌拉西林钠舒巴坦钠(4:1)","百定","粉针剂","2.5g(2.0g/0.5g)","瓶","1","玻璃瓶","瑞阳制药有限公司",27.85,"修改（支付标准）","医药服务便函〔2021〕5号",110462]
[314,"LA059000011","2","哌拉西林舒巴坦","","注射剂","",20159641,"注射用哌拉西林钠舒巴坦钠(4:1)","派纾","粉针剂","1.25g(1.0g/0.25g)","瓶","1","玻璃瓶","上海上药新亚药业有限公司",16.42,"修改（支付标准）","医药服务便函〔2021〕5号",134086]
[315,"LA059000012","2","哌拉西林舒巴坦","","注射剂","",201511401,"注射用哌拉西林钠舒巴坦钠(4:1)","力可多","粉针剂","1.25g(1.0g/0.25g)","瓶","1","玻璃瓶","四川制药制剂有限公司",13.11,"修改（支付标准）","医药服务便函〔2021〕5号",112709]
[316,"LA059000013","2","哌拉西林舒巴坦","","注射剂","",201514101,"注射用哌拉西林钠舒巴坦钠(4:1)","力可多","粉针剂","2.5g(2.0g/0.5g)","瓶","1","玻璃瓶","四川制药制剂有限公司",22.7,"修改（支付标准）","医药服务便函〔2021〕5号",112718]
[317,"LA060000001","2","头孢克洛","","口服常释剂型 缓释控释剂型 口服液体剂 颗粒剂","",2015133764,"头孢克洛分散片","恒迪克","分散片","0.125g","盒","12","铝塑","安徽安科恒益药业有限公司",8.8,"修改（支付标准）","医药服务便函〔2021〕5号",133768]
[318,"LA060200001","2","头孢米诺","","注射剂","",201511565,"注射用头孢米诺钠","无","粉针剂","0.25g","瓶","1","西林瓶","广州白云山天心制药股份有限公司",4.26,"修改（支付标准）","医药服务便函〔2021〕5号",110455]
[319,"LA060200002","2","头孢米诺","","注射剂","",201511024,"注射用头孢米诺钠","无","粉针剂","0.5g","瓶","1","玻璃瓶","国药集团致君(深圳)制药有限公司",9.71,"修改（支付标准）","医药服务便函〔2021〕5号",129750]
[320,"LA060200003","2","头孢米诺","","注射剂","",201510591,"注射用头孢米诺钠","无","粉针剂","0.5g","支","1","玻璃瓶","哈尔滨誉衡制药有限公司",48.92,"修改（支付标准）","医药服务便函〔2021〕5号",118911]
[321,"LA060200004","2","头孢米诺","","注射剂","",201511811,"注射用头孢米诺钠","无","粉针剂","0.25g","瓶","1","玻璃瓶","海南灵康制药有限公司",7.11,"修改（支付标准）","医药服务便函〔2021〕5号",118135]
[322,"LA060200005","2","头孢米诺","","注射剂","",201510140,"注射用头孢米诺钠","无","粉针剂","0.5g","支","1","西林瓶","齐鲁制药有限公司",5.7,"修改（支付标准）","医药服务便函〔2021〕5号",114280]
[323,"LA060200006","2","头孢米诺","","注射剂","",201510149,"注射用头孢米诺钠","无","粉针剂","1.0g","支","1","西林瓶","齐鲁制药有限公司",11.21,"修改（支付标准）","医药服务便函〔2021〕5号",114286]
[324,"LA060200007","2","头孢米诺","","注射剂","",201511580,"注射用头孢米诺钠","无","粉针剂","1.0g","瓶","1","玻璃瓶","山东鲁抗医药股份有限公司",14.22,"修改（支付标准）","医药服务便函〔2021〕5号",113189]
[325,"LA060200008","2","头孢米诺","","注射剂","",20159003,"注射用头孢米诺钠","无","粉针剂","0.5g","瓶","1","西林瓶","山东罗欣药业集团股份有限公司",7.97,"修改（支付标准）","医药服务便函〔2021〕5号",116550]
[326,"LA060200009","2","头孢米诺","","注射剂","",20159004,"注射用头孢米诺钠","无","粉针剂","1.5g","瓶","1","西林瓶","山东罗欣药业集团股份有限公司",16.81,"修改（支付标准）","医药服务便函〔2021〕5号",116570]
[327,"LA060200011","2","头孢米诺","","注射剂","",201510274,"注射用头孢米诺钠","无","粉针剂","1.5g","瓶","1","玻璃瓶","上海上药新亚药业有限公司",28.15,"修改（支付标准）","医药服务便函〔2021〕5号",134053]
[328,"LA060200012","2","头孢米诺","","注射剂","",201510309,"注射用头孢米诺钠","无","粉针剂","2.0g","瓶","1","西林瓶","石药集团中诺药业(石家庄)有限公司",38.89,"修改（支付标准）","医药服务便函〔2021〕5号",114627]
[329,"LA060200013","2","头孢米诺","","注射剂","",201511118,"注射用头孢米诺钠","无","粉针剂","1.0g","瓶","1","西林瓶","四川合信药业有限责任公司",83.48,"修改（支付标准）","医药服务便函〔2021〕5号",115147]
[330,"LA060200014","2","头孢米诺","","注射剂","",201525727,"注射用头孢米诺钠","无","粉针剂","0.5g","瓶","1","西林瓶","苏州东瑞制药有限公司",3.41,"修改（支付标准）","医药服务便函〔2021〕5号",100913]
[331,"LA060200015","2","头孢米诺","","注射剂","",201511285,"注射用头孢米诺钠","无","粉针剂","1.0g","瓶","1","西林瓶","苏州东瑞制药有限公司",4.18,"修改（支付标准）","医药服务便函〔2021〕5号",100923]
[332,"LA060200016","2","头孢米诺","","注射剂","",201514837,"注射用头孢米诺钠","无","粉针剂","1.0g","盒","1","配溶媒","浙江亚太药业股份有限公司",16.96,"修改（支付标准）","医药服务便函〔2021〕5号",139089]
[333,"LA060300001","2","头孢替安","","注射剂","",2015119243,"注射用盐酸头孢替安","无","粉针剂","0.25g","支","1","玻璃瓶","哈药集团制药总厂",13.5,"修改（支付标准）","医药服务便函〔2021〕5号",119246]
[334,"LA060300002","2","头孢替安","","注射剂","",2015119252,"注射用盐酸头孢替安","无","粉针剂","0.5g","支","1","玻璃瓶","哈药集团制药总厂",16.16,"修改（支付标准）","医药服务便函〔2021〕5号",119255]
[335,"LA060300003","2","头孢替安","","注射剂","",2015119273,"注射用盐酸头孢替安","萨兰欣","粉针剂","2.0g","支","1","玻璃瓶","哈药集团制药总厂",59.26,"修改（支付标准）","医药服务便函〔2021〕5号",119276]
[336,"LA060300004","2","头孢替安","","注射剂","",2015107855,"注射用盐酸头孢替安","无","粉针剂","0.25g","瓶","1","玻璃瓶","海南全星制药有限公司",9.32,"修改（支付标准）","医药服务便函〔2021〕5号",107858]
[337,"LA060300005","2","头孢替安","","注射剂","",2015131572,"注射用盐酸头孢替安","无","粉针剂","1.0g","瓶","1","玻璃瓶","韩国大熊制药株式会社Daewoong Pharmaceutical.Co.,Ltd.<华北制药河北华民药业有限责任公司>分包装",25.07,"修改（支付标准）","医药服务便函〔2021〕5号",131576]
[338,"LA060300008","2","头孢替安","","注射剂","",2015115949,"注射用盐酸头孢替安","无","粉针剂","0.5g","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",9.68,"修改（支付标准）","医药服务便函〔2021〕5号",115952]
[339,"LA060300009","2","头孢替安","","注射剂","",2015115960,"注射用盐酸头孢替安","无","粉针剂","2.0g","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",59.5,"修改（支付标准）","医药服务便函〔2021〕5号",115963]
[340,"LA060300010","2","头孢替安","","注射剂","",2015134088,"注射用盐酸头孢替安","锋替新","粉针剂","0.25g","瓶","1","玻璃瓶","上海上药新亚药业有限公司",13.7,"修改（支付标准）","医药服务便函〔2021〕5号",134092]
[341,"LA060300011","2","头孢替安","","注射剂","",2015134089,"注射用盐酸头孢替安","锋替新","粉针剂","0.5g","瓶","1","玻璃瓶","上海上药新亚药业有限公司",22.42,"修改（支付标准）","医药服务便函〔2021〕5号",134093]
[342,"LA060300012","2","头孢替安","","注射剂","",2015134090,"注射用盐酸头孢替安","锋替新","粉针剂","1.0g","瓶","1","玻璃瓶","上海上药新亚药业有限公司",39.13,"修改（支付标准）","医药服务便函〔2021〕5号",134094]
[343,"LA060300013","2","头孢替安","","注射剂","",2015144163,"注射用盐酸头孢替安","无","粉针剂","0.25g","瓶","1","玻璃瓶","浙江永宁药业股份有限公司",12.82,"修改（支付标准）","医药服务便函〔2021〕5号",144165]
[344,"LA060300014","2","头孢替安","","注射剂","",2015144165,"注射用盐酸头孢替安","无","粉针剂","1.0g","瓶","1","玻璃瓶","浙江永宁药业股份有限公司",22.68,"修改（支付标准）","医药服务便函〔2021〕5号",144167]
[345,"LA060800006","2","头孢地尼","","口服常释剂型 颗粒剂","",2015160388,"头孢地尼胶囊","无","硬胶囊剂","0.1g","盒","6","铝塑","日本Astellas Pharma Tech Co., Ltd. Takaoka Plant<广州白云山光华制药股份有限公司>分包装",40.75,"修改（支付标准）","医药服务便函〔2021〕5号",160381]
[346,"LA060800011","2","头孢地尼","","口服常释剂型 颗粒剂","",201513510,"头孢地尼分散片","无","分散片","0.1g","盒","3","铝塑","天津华津制药有限公司",14.75,"修改（支付标准）","医药服务便函〔2021〕5号",116276]
[347,"LA061700001","2","厄他培南","","注射剂","限腹腔感染、复杂性皮肤及附属器感染、社区获得性肺炎、复杂性尿道感染、急性盆腔感染；直结肠手术的预防感染",2017152579,"注射用厄他培南","怡万之","冻干粉针剂","1.0g","瓶","1","西林瓶","法国Laboratoires Merck Sharp & Dohme Chibret (Mirabel)",289.25,"修改（支付标准）","医药服务便函〔2021〕5号",152578]
[348,"LA062810002","2","阿奇霉素","","口服液体剂","",2015159049,"阿奇霉素干混悬剂","无","干混悬剂","0.1g","盒","6","复合膜","江西红星药业有限公司",4.05,"修改（支付标准）","医药服务便函〔2021〕5号",159047]
[349,"LA062810004","2","阿奇霉素","","口服液体剂","",2015136483,"阿奇霉素干混悬剂","无","干混悬剂","0.1g","盒","6","复合膜","浙江康德药业集团股份有限公司",4.5,"修改（支付标准）","医药服务便函〔2021〕5号",136480]
[350,"LA063800002","2","奈替米星","","注射剂","",201513050,"硫酸奈替米星注射液","无","注射液","4ml:0.2g(20万单位)","支","1","安瓿","江苏四环生物制药有限公司",12.05,"修改（支付标准）","医药服务便函〔2021〕5号",132428]
[351,"LA063800005","2","奈替米星","","注射剂","",20155635,"注射用硫酸奈替米星","倍兴","冻干粉针剂","50mg(5万单位)","支","1","玻璃瓶","常州金远药业制造有限公司",6.4,"修改（支付标准）","医药服务便函〔2021〕5号",136275]
[352,"LA064000004","2","依替米星","","注射剂","",20151642,"注射用硫酸依替米星","潘诺","冻干粉针剂","50mg(5万单位)","瓶","1","玻璃瓶","杭州爱大制药有限公司",20.45,"修改（支付标准）","医药服务便函〔2021〕5号",132569]
[353,"LA064000005","2","依替米星","","注射剂","",20151714,"注射用硫酸依替米星","爱大","冻干粉针剂","0.1g(10万单位)","瓶","1","玻璃瓶","杭州爱大制药有限公司",39.77,"修改（支付标准）","医药服务便函〔2021〕5号",132568]
[354,"LA064000006","2","依替米星","","注射剂","",20156434,"注射用硫酸依替米星","无","冻干粉针剂","0.15g(15万单位)","瓶","1","玻璃瓶","杭州爱大制药有限公司",53.45,"修改（支付标准）","医药服务便函〔2021〕5号",132567]
[355,"LA064320009","2","左氧氟沙星葡萄糖 左氧氟沙星氯化钠","","注射剂","",2015120843,"乳酸左氧氟沙星氯化钠注射液","无","注射液","100ml:0.2g","瓶","1","玻璃瓶","河南天方华中药业有限公司",1.27,"修改（支付标准）","医药服务便函〔2021〕5号",120840]
[356,"LA064320012","2","左氧氟沙星葡萄糖 左氧氟沙星氯化钠","","注射剂","",2015140966,"乳酸左氧氟沙星氯化钠注射液","无","注射液","100ml:0.2g","瓶","1","塑料瓶","回音必集团江西东亚制药有限公司",1.16,"修改（支付标准）","医药服务便函〔2021〕5号",140968]
[357,"LA064320023","2","左氧氟沙星葡萄糖 左氧氟沙星氯化钠","","注射剂","",2015152709,"乳酸左氧氟沙星氯化钠注射液","无","注射液","100ml:0.1g:0.9g","瓶","1","塑料瓶","浙江巨能乐斯药业有限公司",1.8,"修改（支付标准）","医药服务便函〔2021〕5号",152712]
[358,"LA064320029","2","左氧氟沙星葡萄糖 左氧氟沙星氯化钠","","注射剂","",2015134517,"乳酸左氧氟沙星葡萄糖注射液","无","注射液","100ml:0.3g:5.0g","袋","1","多层共挤输液袋","辰欣药业股份有限公司",11,"修改（支付标准）","医药服务便函〔2021〕5号",134521]
[359,"LA064710001","2","莫西沙星 莫西沙星氯化钠","","注射剂","限其他抗菌药无效的急性窦炎、下呼吸道感染、社区获得性肺炎；复杂性腹腔感染",2019164746,"盐酸莫西沙星氯化钠注射液","无","注射液","250ml:0.4g:2.0g","袋","1","多层共挤输液袋","成都正康药业有限公司",32.7,"修改（支付标准）","医药服务便函〔2021〕5号",164746]
[360,"LA064710002","2","莫西沙星 莫西沙星氯化钠","","注射剂","限其他抗菌药无效的急性窦炎、下呼吸道感染、社区获得性肺炎；复杂性腹腔感染",2019165099,"盐酸莫西沙星氯化钠注射液","无","注射液","250ml:0.4g:2.0g","瓶","1","玻璃瓶","江苏正大丰海制药有限公司",137.11,"修改（支付标准）","医药服务便函〔2021〕5号",165099]
[361,"LA064710003","2","莫西沙星 莫西沙星氯化钠","","注射剂","限其他抗菌药无效的急性窦炎、下呼吸道感染、社区获得性肺炎；复杂性腹腔感染",2019165608,"盐酸莫西沙星氯化钠注射液","无","注射液","250ml:0.4g:2.0g","袋","1","三层共挤(粉-液)输液袋","山东齐都药业有限公司",32.7,"修改（支付标准）","医药服务便函〔2021〕5号",165608]
[362,"LA064710004","2","莫西沙星 莫西沙星氯化钠","","注射剂","限其他抗菌药无效的急性窦炎、下呼吸道感染、社区获得性肺炎；复杂性腹腔感染",2019165071,"盐酸莫西沙星氯化钠注射液","无","注射液","250ml:0.4g:2.0g","袋","1","多层共挤输液袋","石家庄四药有限公司",32.79,"修改（支付标准）","医药服务便函〔2021〕5号",165071]
[363,"LA064710005","2","莫西沙星 莫西沙星氯化钠","","注射剂","限其他抗菌药无效的急性窦炎、下呼吸道感染、社区获得性肺炎；复杂性腹腔感染",2019165616,"盐酸莫西沙星氯化钠注射液","无","注射液","250ml:0.4g:2.0g","袋","1","直立式输液袋(聚丙烯)","四川科伦药业股份有限公司",135,"修改（支付标准）","医药服务便函〔2021〕5号",165616]
[364,"LA066720001","2","氟康唑 氟康唑氯化钠 氟康唑葡萄糖","","注射剂","",2015125624,"氟康唑注射液","无","注射液","5ml:0.1g","支","1","安瓿","长春长庆药业集团有限公司",3.75,"修改（支付标准）","医药服务便函〔2021〕5号",125623]
[365,"LA066720007","2","氟康唑 氟康唑氯化钠 氟康唑葡萄糖","","注射剂","",2015120946,"氟康唑氯化钠注射液","无","注射液","100ml:0.2g:0.9g","瓶","1","玻璃瓶","河南天方华中药业有限公司",2.78,"修改（支付标准）","医药服务便函〔2021〕5号",120943]
[366,"LA066720014","2","氟康唑 氟康唑氯化钠 氟康唑葡萄糖","","注射剂","",2015103567,"氟康唑葡萄糖注射液","无","注射液","100ml:0.2g:5.0g","瓶","1","玻璃瓶","福建三爱药业有限公司",7.3,"修改（支付标准）","医药服务便函〔2021〕5号",103572]
[367,"LA075900001","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",20155,"注射用地西他滨","无","冻干粉针剂","10mg","瓶","1","玻璃瓶","正大天晴药业集团股份有限公司",1206,"修改（支付标准）","医药服务便函〔2021〕5号",162189]
[368,"LA075900002","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",20156,"注射用地西他滨","无","冻干粉针剂","25mg","瓶","1","玻璃瓶","正大天晴药业集团股份有限公司",2434,"修改（支付标准）","医药服务便函〔2021〕5号",150895]
[369,"LA075900003","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",20157,"注射用地西他滨","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","正大天晴药业集团股份有限公司",4138,"修改（支付标准）","医药服务便函〔2021〕5号",150790]
[370,"LA075900004","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",2018162936,"注射用地西他滨","无","冻干粉针剂","10mg","支","1","玻璃瓶","齐鲁制药(海南)有限公司",979,"修改（支付标准）","医药服务便函〔2021〕5号",162936]
[371,"LA075900005","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",2018163585,"注射用地西他滨","无","冻干粉针剂","25mg","瓶","1","玻璃瓶","江苏奥赛康药业有限公司",1645.03,"修改（支付标准）","医药服务便函〔2021〕5号",163585]
[372,"LA075900006","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",2018162937,"注射用地西他滨","无","冻干粉针剂","25mg","支","1","玻璃瓶","齐鲁制药(海南)有限公司",1483,"修改（支付标准）","医药服务便函〔2021〕5号",162937]
[373,"LA075900007","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",2018162921,"注射用地西他滨","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","杭州中美华东制药有限公司",2300,"修改（支付标准）","医药服务便函〔2021〕5号",162921]
[374,"LA075900008","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",2018150699,"注射用地西他滨","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","江苏奥赛康药业有限公司",2292.74,"修改（支付标准）","医药服务便函〔2021〕5号",150699]
[375,"LA075900009","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",2018154122,"注射用地西他滨","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","江苏豪森药业集团有限公司",3515,"修改（支付标准）","医药服务便函〔2021〕5号",154122]
[376,"LA075900010","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",2018164722,"注射用地西他滨","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","连云港杰瑞药业有限公司",4593.9,"修改（支付标准）","医药服务便函〔2021〕5号",164722]
[377,"LA075900011","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",2018156212,"注射用地西他滨","无","冻干粉针剂","50mg","支","1","玻璃瓶","齐鲁制药(海南)有限公司",2069.99,"修改（支付标准）","医药服务便函〔2021〕5号",156212]
[378,"LA075900012","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",2018147859,"注射用地西他滨","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","山东新时代药业有限公司",3090,"修改（支付标准）","医药服务便函〔2021〕5号",147859]
[379,"LA075900013","2","地西他滨","","注射剂","限高危的骨髓增生异常综合征患者",2018131713,"注射用地西他滨","达珂","粉针剂","50mg","瓶","1","玻璃瓶","荷兰Pharmachemie B.V.",4986,"修改（支付标准）","医药服务便函〔2021〕5号",131713]
[380,"LA077300005","1","紫杉醇","","注射剂","",2015147504,"紫杉醇注射液","无","注射液","5ml:30mg","瓶","1","玻璃瓶","海南紫杉园制药有限公司",47.98,"修改（支付标准）","医药服务便函〔2021〕5号",147503]
[381,"LA077400008","2","多西他赛","","注射剂","",201515131,"多西他赛注射液","无","注射液","0.5ml:20mg","盒","1","配溶媒","扬子江药业集团有限公司",269.98,"修改（支付标准）","医药服务便函〔2021〕5号",101886]
[382,"LA077400012","2","多西他赛","","注射剂","",2018113236,"多西他赛注射液","多帕菲","注射液","0.5ml:20mg","盒","1","配溶媒","齐鲁制药有限公司",93,"修改（支付标准）","医药服务便函〔2021〕5号",113236]
[383,"LA077400013","2","多西他赛","","注射剂","",2018148130,"多西他赛注射液","无","注射液","0.5ml:20mg","盒","1","配溶媒","上海创诺制药有限公司",94.49,"修改（支付标准）","医药服务便函〔2021〕5号",148130]
[384,"LA081300003","2","亮丙瑞林","","微球注射剂      缓释微球注射剂","",20152178,"注射用醋酸亮丙瑞林微球","抑那通","粉针剂","3.75mg","盒","1","配溶媒","日本武田药品工业株式会社大阪工厂Takeda Pharmaceutical Company Limited, Osaka Plant",1593.28,"修改（支付标准）","医药服务便函〔2021〕5号",147062]
[385,"LA082300002","2","聚乙二醇化重组人粒细胞刺激因子","","注射剂","限前次化疗发生过重度中性粒细胞减少合并发热的患者",2015128060,"聚乙二醇化重组人粒细胞刺激因子注射液","津优力","注射液","1ml:3.0mg","支","1","玻璃瓶","石药集团百克(山东)生物制药股份有限公司",1622.4,"修改（支付标准）","医药服务便函〔2021〕5号",128059]
[386,"LA084800007","1","环孢素","","口服常释剂型\n口服液体剂","",2015147019,"环孢素软胶囊(微乳化制剂)","无","软胶囊(胶丸)","25mg","盒","50","铝箔","广东仙乐制药有限公司",163.2,"修改（支付标准）","医药服务便函〔2021〕5号",147018]
[387,"LA084800008","1","环孢素","","口服常释剂型\n口服液体剂","",2015147021,"环孢素软胶囊(微乳化制剂)","无","软胶囊(胶丸)","50mg","盒","50","铝箔","广东仙乐制药有限公司",248.4,"修改（支付标准）","医药服务便函〔2021〕5号",147020]
[388,"LA084800015","1","环孢素","","口服常释剂型\n口服液体剂","",2015156611,"环孢素口服溶液","无","口服溶液剂","50ml:5g","支","1","玻璃瓶","台山市化学制药有限公司",745,"修改（支付标准）","医药服务便函〔2021〕5号",156609]
[389,"LA086300005","1","小儿布洛芬","","栓剂","",2015162359,"小儿布洛芬栓","无","栓剂","50mg","盒","10","塑料壳","山西同达药业有限公司",37,"修改（支付标准）","医药服务便函〔2021〕5号",162352]
[390,"LA088210001","2","汉防己甲素","","注射剂","限尘肺",2015115526,"汉防己甲素注射液","无","注射液","2ml:30mg","支","1","安瓿","海南制药厂有限公司制药二厂",36.38,"修改（支付标准）","医药服务便函〔2021〕5号",115529]
[391,"LA090100001","2","非布司他","","口服常释剂型","",2015150409,"非布司他片","无","薄膜衣片","40mg","盒","12","铝塑","杭州朱养心药业有限公司",38.8,"修改（支付标准）","医药服务便函〔2021〕5号",150407]
[392,"LA090100002","2","非布司他","","口服常释剂型","",2015153170,"非布司他片","无","薄膜衣片","40mg","盒","10","铝塑","江苏恒瑞医药股份有限公司",29.8,"修改（支付标准）","医药服务便函〔2021〕5号",153166]
[393,"LA106810001","2","多奈哌齐","","口腔崩解片","限神经专科医生确诊并处方",2015133245,"盐酸多奈哌齐口腔崩解片","无","口腔崩解片","5mg","盒","10","铝塑","金日制药(中国)有限公司",75.89,"修改（支付标准）","医药服务便函〔2021〕5号",133249]
[394,"LA106810002","2","多奈哌齐","","口腔崩解片","限神经专科医生确诊并处方",2015161462,"盐酸多奈哌齐口腔崩解片","无","口腔崩解片","5mg","盒","12","铝塑","山东方明药业集团股份有限公司",109.37,"修改（支付标准）","医药服务便函〔2021〕5号",161455]
[395,"LA108800003","2","天麻素","","口服常释剂型","",2015141664,"天麻素片","无","素片","25mg","盒","24","铝箔","上海现代哈森(商丘)药业有限公司",6.43,"修改（支付标准）","医药服务便函〔2021〕5号",141666]
[396,"LA108810001","2","天麻素","","注射剂","",2015101053,"天麻素注射液(肌内注射)","无","注射液","2ml:0.2g","支","1","安瓿","广东邦民制药厂有限公司",3.9,"修改（支付标准）","医药服务便函〔2021〕5号",101058]
[397,"LA108810003","2","天麻素","","注射剂","",2015130852,"天麻素注射液(肌内注射)","无","注射液","2ml:0.2g","支","1","安瓿","浙江诚意药业股份有限公司",4.65,"修改（支付标准）","医药服务便函〔2021〕5号",130856]
[398,"LA108810005","2","天麻素","","注射剂","",2015109240,"天麻素注射液(肌内注射,静脉滴注)","无","注射液","1ml:0.1g","支","1","安瓿","湖南五洲通药业股份有限公司",5.54,"修改（支付标准）","医药服务便函〔2021〕5号",109243]
[399,"LA108810006","2","天麻素","","注射剂","",2015146684,"天麻素注射液(肌内注射,静脉滴注)","无","注射液","1ml:0.1g","支","1","安瓿","华润双鹤利民药业（济南）有限公司",2.76,"修改（支付标准）","医药服务便函〔2021〕5号",146683]
[400,"LA108810007","2","天麻素","","注射剂","",2015146049,"天麻素注射液(肌内注射,静脉滴注)","无","注射液","2ml:0.2g","支","1","安瓿","江西国药有限责任公司",4.7,"修改（支付标准）","医药服务便函〔2021〕5号",146048]
[401,"LA108810008","2","天麻素","","注射剂","",2015159076,"天麻素注射液(肌内注射,静脉滴注)","无","注射液","1ml:0.1g","支","1","安瓿","昆明制药集团股份有限公司",10.72,"修改（支付标准）","医药服务便函〔2021〕5号",159074]
[402,"LA108810009","2","天麻素","","注射剂","",2015122582,"天麻素注射液(肌内注射,静脉滴注)","天眩清","注射液","2ml:0.2g","支","1","安瓿","昆明制药集团股份有限公司",16.5,"修改（支付标准）","医药服务便函〔2021〕5号",122579]
[403,"LA108810010","2","天麻素","","注射剂","",2015129055,"天麻素注射液(肌内注射,静脉滴注)","无","注射液","5ml:0.5g","支","1","安瓿","西南药业股份有限公司",23.29,"修改（支付标准）","医药服务便函〔2021〕5号",129054]
[404,"LA108810011","2","天麻素","","注射剂","",2015147049,"天麻素注射液(肌内注射,静脉滴注)","无","注射液","1ml:0.1g","支","1","安瓿","悦康药业集团股份有限公司",6.19,"修改（支付标准）","医药服务便函〔2021〕5号",147048]
[405,"LA108810012","2","天麻素","","注射剂","",2015147050,"天麻素注射液(肌内注射,静脉滴注)","无","注射液","2ml:0.2g","支","1","安瓿","悦康药业集团股份有限公司",10.19,"修改（支付标准）","医药服务便函〔2021〕5号",147049]
[406,"LA108810013","2","天麻素","","注射剂","",2015147082,"天麻素注射液(肌内注射,静脉滴注)","无","注射液","5ml:0.6g","支","1","安瓿","悦康药业集团股份有限公司",25.41,"修改（支付标准）","医药服务便函〔2021〕5号",147081]
[407,"LA108810014","2","天麻素","","注射剂","",2015109914,"注射用天麻素(肌内注射)","优弗林","冻干粉针剂","0.2g","瓶","1","玻璃瓶","瑞阳制药有限公司",11.41,"修改（支付标准）","医药服务便函〔2021〕5号",109917]
[408,"LA112110002","2","奥洛他定","","滴眼剂","△",201510010,"盐酸奥洛他定滴眼液","无","滴眼剂","5ml:5mg(0.1%)","瓶","1","塑料瓶","河北医科大学制药厂",78.46,"修改（支付标准）","医药服务便函〔2021〕5号",122317]
[409,"LA115110002","2","氨溴索","","颗粒剂","",2015149699,"盐酸氨溴索颗粒","无","颗粒剂","15mg","盒","12","复合膜","晋城海斯制药有限公司",13.22,"修改（支付标准）","医药服务便函〔2021〕5号",149698]
[410,"LA117600001","2","地氯雷他定","","口服常释剂型 口服液体剂","△；限二线用药",2015129664,"地氯雷他定干混悬剂","芙必叮","干混悬剂","0.5g:2.5mg","盒","14","复合膜","海南普利制药股份有限公司",29.6,"修改（支付标准）","医药服务便函〔2021〕5号",129663]
[411,"LA117600002","2","地氯雷他定","","口服常释剂型 口服液体剂","△；限二线用药",2015129674,"地氯雷他定干混悬剂","芙必叮","干混悬剂","1g:5mg","盒","10","复合膜","海南普利制药股份有限公司",38.71,"修改（支付标准）","医药服务便函〔2021〕5号",129673]
[412,"LA117600003","2","地氯雷他定","","口服常释剂型 口服液体剂","△；限二线用药",2015126735,"地氯雷他定糖浆","无","糖浆剂","100ml:50mg(50%)","瓶","1","玻璃瓶","万特制药(海南)有限公司",53.45,"修改（支付标准）","医药服务便函〔2021〕5号",126734]
[413,"LA124800001","2","戊乙奎醚","","注射剂","",20156094,"盐酸戊乙奎醚注射液","长托宁","注射液","1ml:1.0mg","瓶","1","安瓿","成都力思特制药股份有限公司",40.42,"修改（支付标准）","医药服务便函〔2021〕5号",126976]
[414,"LA125100001","1","亚叶酸钙","","口服常释剂型","",2015106277,"亚叶酸钙片","福能","素片","15mg","瓶","30","塑料瓶","广东岭南制药有限公司",76.1,"修改（支付标准）","医药服务便函〔2021〕5号",106280]
[415,"LA125300001","2","右丙亚胺（右雷佐生）","","注射剂","限在使用阿霉素后并有心脏损害临床证据",201511626,"注射用右雷佐生","奥诺先","冻干粉针剂","0.25g","盒","1","配溶媒","江苏奥赛康药业有限公司",356.24,"修改（支付标准）","医药服务便函〔2021〕5号",144004]
[416,"LB022300001","2","百蕊颗粒","","","△",201515070,"百蕊颗粒(无糖型)","无","颗粒剂","5g","盒","6","复合膜","安徽九华华源药业有限公司",49.64,"修改（支付标准）","医药服务便函〔2021〕5号",134771]
[417,"LB031900001","2","益血生片(胶囊）","","","△",20151498,"益血生胶囊","无","硬胶囊剂","0.25g","盒","48","铝塑","吉林三九金复康药业有限公司",29.45,"修改（支付标准）","医药服务便函〔2021〕5号",141581]
[418,"LB034400001","2","六味五灵片","","","限有氨酶增高的慢性乙肝患者且经过中医辨证有符合说明书标明症候的",201511631,"六味五灵片","无","薄膜衣片","0.5g","瓶","60","塑料瓶","山东世博金都药业有限公司",99.15,"修改（支付标准）","医药服务便函〔2021〕5号",107418]
[419,"LB048300001","2","参仙升脉口服液","","","△",20159178,"参仙升脉口服液","无","合剂(含口服液)","10ml","盒","6","玻璃瓶","山东步长制药股份有限公司",35.08,"修改（支付标准）","医药服务便函〔2021〕5号",118277]
[420,"LB051600001","2","葛酮通络胶囊","","","△",201511710,"葛酮通络胶囊","无","硬胶囊剂","0.25g","盒","12","铝塑","安徽九方制药有限公司",34.88,"修改（支付标准）","医药服务便函〔2021〕5号",141479]
[421,"LB077500001","2","降脂灵片（颗粒）","","","△",2015159078,"降脂灵片","无","糖衣片","0.3g(片芯重)","盒","60","铝塑","陕西制药有限责任公司",10.87,"修改（支付标准）","医药服务便函〔2021〕5号",159076]
[422,"LB077500002","2","降脂灵片（颗粒）","","","△",2015159082,"降脂灵片","无","糖衣片","0.3g(片芯重)","瓶","100","塑料瓶","陕西制药有限责任公司",17.78,"修改（支付标准）","医药服务便函〔2021〕5号",159080]
[423,"LB086900002","2","复方斑蝥胶囊","","","",20154563,"复方斑蝥胶囊(天然熊胆粉)","无","硬胶囊剂","0.25g","盒","24","铝塑","陕西方舟制药有限公司",26.2,"修改（支付标准）","医药服务便函〔2021〕5号",104224]
[424,"LB096010001","2","乌鸡白凤颗粒","","","△",2015106333,"乌鸡白凤颗粒","无","颗粒剂","2g","盒","10","复合膜","国药集团德众(佛山)药业有限公司",17.1,"修改（支付标准）","医药服务便函〔2021〕5号",106336]
[425,"LB100810004","2","复方血栓通片（颗粒、软胶囊）","","","限有明确的视网膜静脉阻塞的诊断证据",2015115726,"复方血栓通软胶囊","无","软胶囊(胶丸)","0.66g","盒","9","铝塑","广东华南药业集团有限公司",27,"修改（支付标准）","医药服务便函〔2021〕5号",115729]
[426,"LB113600002","2","复方青黛片（胶囊)","","","",20151860,"复方青黛片","无","薄膜衣片","0.48g","盒","32","铝塑","长春海外制药集团有限公司",20.77,"修改（支付标准）","医药服务便函〔2021〕5号",118084]
[427,"x010101100070191","1","阿莫西林","Amoxicillin","口服常释剂型","",2015154770,"阿莫西林胶囊","无","硬胶囊剂","0.25g","盒","50","铝箔","吉林显锋科技制药有限公司",4.32,"修改（支付标准）","医药服务便函〔2021〕5号",154773]
[428,"x010101100071008","2","阿莫西林","Amoxicillin","口服液体剂<br/>颗粒剂","限儿童及吞咽困难者",2015122553,"阿莫西林颗粒","无","颗粒剂","0.125g","盒","12","镀铝膜","北京悦康凯悦制药有限公司",0.98,"修改（支付标准）","医药服务便函〔2021〕5号",122550]
[429,"x010101100071010","2","阿莫西林","Amoxicillin","口服液体剂<br/>颗粒剂","限儿童及吞咽困难者",2015155901,"阿莫西林颗粒","无","颗粒剂","0.125g","盒","12","复合膜","上海中瀚投资集团宁国国安邦宁药业有限公司",1.08,"修改（支付标准）","医药服务便函〔2021〕5号",155899]
[430,"x010101100090002","2","呋布西林","Furbucillin","注射剂","",20157196,"注射用呋布西林钠","无","粉针剂","0.5g","瓶","1","玻璃瓶","海南通用三洋药业有限公司",16.78,"修改（支付标准）","医药服务便函〔2021〕5号",127482]
[431,"x010101100090005","2","呋布西林","Furbucillin","注射剂","",20159942,"注射用呋布西林钠","无","粉针剂","1.0g","瓶","1","西林瓶","苏州二叶制药有限公司",19.23,"修改（支付标准）","医药服务便函〔2021〕5号",141231]
[432,"x010101100090009","2","呋布西林","Furbucillin","注射剂","",20156878,"注射用呋布西林钠","无","粉针剂","2.0g","瓶","1","玻璃瓶","朗致集团博康药业有限公司",60.18,"修改（支付标准）","医药服务便函〔2021〕5号",124659]
[433,"x010101100200005","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",201512999,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","4.5g(4.0g/0.5g)","瓶","1","西林瓶","苏州二叶制药有限公司",29.35,"修改（支付标准）","医药服务便函〔2021〕5号",141197]
[434,"x010101100200009","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",20157390,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","1.125g(1.0g/0.125g)","瓶","1","西林瓶","石药集团中诺药业(石家庄)有限公司",11.98,"修改（支付标准）","医药服务便函〔2021〕5号",114539]
[435,"x010101100200010","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",201513123,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","1.125g(1.0g/0.125g)","瓶","1","玻璃瓶","海口奇力制药股份有限公司",10,"修改（支付标准）","医药服务便函〔2021〕5号",127448]
[436,"x010101100200012","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",20158604,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","2.25g(2.0g/0.25g)","支","1","玻璃瓶","山东鲁抗医药股份有限公司",16.57,"修改（支付标准）","医药服务便函〔2021〕5号",113215]
[437,"x010101100200013","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",201512552,"注射用哌拉西林钠他唑巴坦钠(4:1)","无","冻干粉针剂","1.25g(1.0g/0.25g)","瓶","1","玻璃瓶","浙江昂利康制药股份有限公司",49,"修改（支付标准）","医药服务便函〔2021〕5号",134662]
[438,"x010101100200014","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",201513364,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","3.375g(3.0g/0.375g)","瓶","1","西林瓶","青州尧王制药有限公司",24.81,"修改（支付标准）","医药服务便函〔2021〕5号",135425]
[439,"x010101100200017","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",20151684,"注射用哌拉西林钠他唑巴坦钠(8:1)","邦达","冻干粉针剂","0.5625g(0.5g/62.5mg)","瓶","1","玻璃瓶","山东安信制药有限公司",8.3,"修改（支付标准）","医药服务便函〔2021〕5号",109862]
[440,"x010101100200019","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",20151664,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","4.5g(4.0g/0.5g)","瓶","1","西林瓶","珠海联邦制药股份有限公司中山分公司",42.03,"修改（支付标准）","医药服务便函〔2021〕5号",105838]
[441,"x010101100200021","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",20151716,"注射用哌拉西林钠他唑巴坦钠(8:1)","锋泰灵","冻干粉针剂","2.25g(2.0g/0.25g)","瓶","1","玻璃瓶","上海上药新亚药业有限公司",16.3,"修改（支付标准）","医药服务便函〔2021〕5号",134075]
[442,"x010101100200024","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",20158605,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","1.125g(1.0g/0.125g)","支","1","玻璃瓶","山东鲁抗医药股份有限公司",9.09,"修改（支付标准）","医药服务便函〔2021〕5号",113198]
[443,"x010101100200025","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",201513515,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","0.5625g(0.5g/62.5mg)","瓶","1","玻璃瓶","瑞阳制药有限公司",8.5,"修改（支付标准）","医药服务便函〔2021〕5号",109433]
[444,"x010101100200027","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",201513107,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","4.5g(4.0g/0.5g)","瓶","1","玻璃瓶","海南通用三洋药业有限公司",30.55,"修改（支付标准）","医药服务便函〔2021〕5号",127085]
[445,"x010101100200028","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",201513106,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","0.5625g(0.5g/62.5mg)","瓶","1","玻璃瓶","海南通用三洋药业有限公司",6.78,"修改（支付标准）","医药服务便函〔2021〕5号",127054]
[446,"x010101100200029","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",201513046,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","1.125g(1.0g/0.125g)","瓶","1","玻璃瓶","华北制药股份有限公司",9.02,"修改（支付标准）","医药服务便函〔2021〕5号",101465]
[447,"x010101100200030","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",2015146921,"注射用哌拉西林钠他唑巴坦钠(8:1)","特治星","冻干粉针剂","4.5g(4.0g/0.5g)","支","1","玻璃瓶","意大利Wyeth Lederle S.R.L.",122.64,"修改（支付标准）","医药服务便函〔2021〕5号",146920]
[448,"x010101100200031","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",201513078,"注射用哌拉西林钠他唑巴坦钠(4:1)","无","粉针剂","1.25g(1.0g/0.25g)","瓶","1","玻璃瓶","华北制药股份有限公司",49.39,"修改（支付标准）","医药服务便函〔2021〕5号",101446]
[449,"x010101100200032","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",20159472,"注射用哌拉西林钠他唑巴坦钠(4:1)","无","粉针剂","2.5g(2.0g/0.5g)","瓶","1","玻璃瓶","华北制药股份有限公司",83.41,"修改（支付标准）","医药服务便函〔2021〕5号",101452]
[450,"x010101100200033","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",201512972,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","1.125g(1.0g/0.125g)","瓶","1","西林瓶","苏州二叶制药有限公司",8.88,"修改（支付标准）","医药服务便函〔2021〕5号",141214]
[451,"x010101100200034","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",201512973,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","2.25g(2.0g/0.25g)","瓶","1","西林瓶","苏州二叶制药有限公司",14.57,"修改（支付标准）","医药服务便函〔2021〕5号",141207]
[452,"x010101100200035","2","哌拉西林他唑巴坦\n（哌拉西林三唑巴坦）","Piperacillin and Tazobactam","注射剂","限二线抗菌药物用药。",20151641,"注射用哌拉西林钠他唑巴坦钠(8:1)","凯伦","冻干粉针剂","2.25g(2.0g/0.25g)","瓶","1","玻璃瓶","海南通用三洋药业有限公司",18.4,"修改（支付标准）","医药服务便函〔2021〕5号",127073]
[453,"x010101200230069","1","头孢氨苄","Cefalexin","口服常释剂型\n颗粒剂","",2015109192,"头孢氨苄片","无","薄膜衣片","0.125g","瓶","30","塑料瓶","北京中新制药厂",5.47,"修改（支付标准）","医药服务便函〔2021〕5号",109195]
[454,"x010101200230150","1","头孢氨苄","Cefalexin","口服常释剂型<br/>颗粒剂","",2015102558,"头孢氨苄胶囊","无","硬胶囊剂","0.25g","盒","24","铝塑","福州海王福药制药有限公司",6.99,"修改（支付标准）","医药服务便函〔2021〕5号",102563]
[455,"x010101200240023","1","头孢拉定","Cefradine","口服常释剂型","",2015143924,"头孢拉定胶囊","无","硬胶囊剂","0.5g","盒","20","铝箔","扬州艾迪制药有限公司",8.79,"修改（支付标准）","医药服务便函〔2021〕5号",143926]
[456,"x010101200240025","1","头孢拉定","Cefradine","口服常释剂型","",2015160452,"头孢拉定胶囊","无","硬胶囊剂","0.5g","盒","12","铝箔","南岳生物制药有限公司",4.76,"修改（支付标准）","医药服务便函〔2021〕5号",160445]
[457,"x010101200240031","1","头孢拉定","Cefradine","口服常释剂型","",2015161354,"头孢拉定片","无","薄膜衣片","0.5g","盒","24","铝塑","湖南科伦制药有限公司",8.35,"修改（支付标准）","医药服务便函〔2021〕5号",161347]
[458,"x010101200240032","1","头孢拉定","Cefradine","口服常释剂型","",2015120974,"头孢拉定片","无","薄膜衣片","0.25g","盒","24","铝塑","中山尼克美制药有限公司",6.47,"修改（支付标准）","医药服务便函〔2021〕5号",120971]
[459,"x010101200250019","2","头孢羟氨苄","Cefadroxil","口服常释剂型\r\n颗粒剂","",2015140908,"头孢羟氨苄分散片","来斯","分散片","0.125g","瓶","24","塑料瓶","上海信谊百路达药业有限公司",10.69,"修改（支付标准）","医药服务便函〔2021〕5号",140910]
[460,"x010101200250023","2","头孢羟氨苄","Cefadroxil","口服常释剂型颗粒剂","",2015140909,"头孢羟氨苄分散片","来斯","分散片","0.125g","瓶","36","塑料瓶","上海信谊百路达药业有限公司",14.63,"修改（支付标准）","医药服务便函〔2021〕5号",140911]
[461,"x010101200270001","2","头孢硫脒","Cephathiamidine","注射剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",20156818,"注射用头孢硫脒","无","粉针剂","1.0g","瓶","1","玻璃瓶","广州白云山医药集团股份有限公司白云山制药总厂",42.89,"修改（支付标准）","医药服务便函〔2021〕5号",107173]
[462,"x010101200270003","2","头孢硫脒","Cephathiamidine","注射剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",201511372,"注射用头孢硫脒","无","粉针剂","1.0g","支","1","玻璃瓶","山东鲁抗医药股份有限公司",14.96,"修改（支付标准）","医药服务便函〔2021〕5号",113162]
[463,"x010101200270004","2","头孢硫脒","Cephathiamidine","注射剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",201510967,"注射用头孢硫脒","无","粉针剂","2.0g","瓶","1","西林瓶","广州白云山天心制药股份有限公司",27.1,"修改（支付标准）","医药服务便函〔2021〕5号",110472]
[464,"x010101200270006","2","头孢硫脒","Cephathiamidine","注射剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",201511232,"注射用头孢硫脒","无","粉针剂","0.5g","瓶","1","西林瓶","海南灵康制药有限公司",10.3,"修改（支付标准）","医药服务便函〔2021〕5号",117571]
[465,"x010101200270007","2","头孢硫脒","Cephathiamidine","注射剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",20159734,"注射用头孢硫脒","无","粉针剂","1.0g","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",14.8,"修改（支付标准）","医药服务便函〔2021〕5号",116064]
[466,"x010101200270008","2","头孢硫脒","Cephathiamidine","注射剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",201510199,"注射用头孢硫脒","无","粉针剂","2.0g","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",18.73,"修改（支付标准）","医药服务便函〔2021〕5号",116075]
[467,"x010101200270012","2","头孢硫脒","Cephathiamidine","注射剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",20159713,"注射用头孢硫脒","无","粉针剂","0.5g","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",11.76,"修改（支付标准）","医药服务便函〔2021〕5号",116055]
[468,"x010101200270014","2","头孢硫脒","Cephathiamidine","注射剂","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",201511089,"注射用头孢硫脒","无","粉针剂","1.0g","瓶","1","西林瓶","广东金城金素制药有限公司",12.51,"修改（支付标准）","医药服务便函〔2021〕5号",140072]
[469,"x010101200280058","1","头孢呋辛","Cefuroxime","口服常释剂型","",2017157127,"头孢呋辛酯片","巴欣","薄膜衣片","0.25g","盒","16","铝箔","成都倍特药业股份有限公司",13.48,"修改（支付标准）","医药服务便函〔2021〕5号",157127]
[470,"x010101200280059","1","头孢呋辛","Cefuroxime","口服常释剂型","",2017157634,"头孢呋辛酯片","巴欣","薄膜衣片","0.25g","盒","24","铝箔","成都倍特药业股份有限公司",20.22,"修改（支付标准）","医药服务便函〔2021〕5号",157634]
[471,"x010101200281044","1","头孢呋辛","Cefuroxime","注射剂","",2015144861,"注射用头孢呋辛钠","无","粉针剂","2.25g","支","1","西林瓶","海南卫康制药(潜山)有限公司",10,"修改（支付标准）","医药服务便函〔2021〕5号",144863]
[472,"x010101200281046","1","头孢呋辛","Cefuroxime","注射剂","",2015144862,"注射用头孢呋辛钠","无","粉针剂","2.5g","支","1","西林瓶","海南卫康制药(潜山)有限公司",25.13,"修改（支付标准）","医药服务便函〔2021〕5号",144864]
[473,"x010101200310002","2","头孢美唑","Cefmetazole","注射剂","",20156369,"注射用头孢美唑钠","迈力普","粉针剂","2.0g","瓶","1","西林瓶","韩国大熊制药株式会社Daewoong Pharmaceutical.Co.,Ltd.",59.77,"修改（支付标准）","医药服务便函〔2021〕5号",141258]
[474,"x010101200310005","2","头孢美唑","Cefmetazole","注射剂","",20151073,"注射用头孢美唑钠","先锋美他醇(商标)","粉针剂","1.0g","瓶","1","西林瓶","四川合信药业有限责任公司",38.07,"修改（支付标准）","医药服务便函〔2021〕5号",115109]
[475,"x010101200310006","2","头孢美唑","Cefmetazole","注射剂","",20153982,"注射用头孢美唑钠","无","粉针剂","1.0g","支","1","玻璃瓶","哈药集团制药总厂",26.59,"修改（支付标准）","医药服务便函〔2021〕5号",119394]
[476,"x010101200310008","2","头孢美唑","Cefmetazole","注射剂","",201512596,"注射用头孢美唑钠","美之全","粉针剂","1.0g","瓶","1","西林瓶","福建省福抗药业股份有限公司",24.09,"修改（支付标准）","医药服务便函〔2021〕5号",135415]
[477,"x010101200310009","2","头孢美唑","Cefmetazole","注射剂","",201512597,"注射用头孢美唑钠","美之全","粉针剂","2.0g","瓶","1","西林瓶","福建省福抗药业股份有限公司",42.42,"修改（支付标准）","医药服务便函〔2021〕5号",135416]
[478,"x010101200310010","2","头孢美唑","Cefmetazole","注射剂","",20153954,"注射用头孢美唑钠","无","粉针剂","0.5g","支","1","玻璃瓶","哈药集团制药总厂",16.49,"修改（支付标准）","医药服务便函〔2021〕5号",119382]
[479,"x010101200310011","2","头孢美唑","Cefmetazole","注射剂","",20159709,"注射用头孢美唑钠","美之全","粉针剂","0.5g","瓶","1","西林瓶","福建省福抗药业股份有限公司",14.72,"修改（支付标准）","医药服务便函〔2021〕5号",135414]
[480,"x010101200310013","2","头孢美唑","Cefmetazole","注射剂","",201510895,"注射用头孢美唑钠","无","冻干粉针剂","1.0g","瓶","1","玻璃瓶","深圳华润九新药业有限公司",33.5,"修改（支付标准）","医药服务便函〔2021〕5号",140406]
[481,"x010101200310014","2","头孢美唑","Cefmetazole","注射剂","",201510832,"注射用头孢美唑钠","无","冻干粉针剂","2.0g","瓶","1","玻璃瓶","广东华润顺峰药业有限公司",61.81,"修改（支付标准）","医药服务便函〔2021〕5号",140407]
[482,"x010101200330001","2","头孢西丁","Cefoxitin","注射剂","",2015144137,"注射用头孢西丁钠","无","粉针剂","2.0g","瓶","1","玻璃瓶","苏州中化药品工业有限公司",16.96,"修改（支付标准）","医药服务便函〔2021〕5号",144139]
[483,"x010101200330009","2","头孢西丁","Cefoxitin","注射剂","",2015119293,"注射用头孢西丁钠","益丁欣","粉针剂","1.0g","支","1","玻璃瓶","哈药集团制药总厂",9.18,"修改（支付标准）","医药服务便函〔2021〕5号",119296]
[484,"x010101200330010","2","头孢西丁","Cefoxitin","注射剂","",2015116625,"注射用头孢西丁钠","无","粉针剂","2.0g","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",15.83,"修改（支付标准）","医药服务便函〔2021〕5号",116628]
[485,"x010101200330011","2","头孢西丁","Cefoxitin","注射剂","",2015109612,"注射用头孢西丁钠","无","粉针剂","2.0g","瓶","1","玻璃瓶","瑞阳制药有限公司",19.49,"修改（支付标准）","医药服务便函〔2021〕5号",109615]
[486,"x010101200330012","2","头孢西丁","Cefoxitin","注射剂","",2015133652,"注射用头孢西丁钠","无","粉针剂","3.0g","支","1","西林瓶","山西振东泰盛制药有限公司",51.01,"修改（支付标准）","医药服务便函〔2021〕5号",133656]
[487,"x010101200330016","2","头孢西丁","Cefoxitin","注射剂","",2015124201,"注射用头孢西丁钠","无","粉针剂","0.5g","瓶","1","玻璃瓶","国药集团致君(深圳)制药有限公司",10.11,"修改（支付标准）","医药服务便函〔2021〕5号",124198]
[488,"x010101200330020","2","头孢西丁","Cefoxitin","注射剂","",2015111215,"注射用头孢西丁钠","无","粉针剂","0.5g","瓶","1","玻璃瓶","海口市制药厂有限公司",9.18,"修改（支付标准）","医药服务便函〔2021〕5号",111213]
[489,"x010101200330023","2","头孢西丁","Cefoxitin","注射剂","",2015155151,"注射用头孢西丁钠","无","粉针剂","0.5g","瓶","1","玻璃瓶","深圳立健药业有限公司",12.9,"修改（支付标准）","医药服务便函〔2021〕5号",155149]
[490,"x010101200330024","2","头孢西丁","Cefoxitin","注射剂","",2015157098,"注射用头孢西丁钠","无","粉针剂","0.5g","瓶","1","玻璃瓶","国药集团致君(苏州)制药有限公司",10,"修改（支付标准）","医药服务便函〔2021〕5号",157096]
[491,"x010101200330025","2","头孢西丁","Cefoxitin","注射剂","",2015108630,"注射用头孢西丁钠","无","粉针剂","1.0g","支","1","玻璃瓶","国药集团威奇达药业有限公司",10.58,"修改（支付标准）","医药服务便函〔2021〕5号",108633]
[492,"x010101200330026","2","头孢西丁","Cefoxitin","注射剂","",2015116617,"注射用头孢西丁钠","无","粉针剂","1.0g","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",7.59,"修改（支付标准）","医药服务便函〔2021〕5号",116620]
[493,"x010101200330027","2","头孢西丁","Cefoxitin","注射剂","",2015141886,"注射用头孢西丁钠","无","粉针剂","1.0g","瓶","1","玻璃瓶","深圳立健药业有限公司",19.53,"修改（支付标准）","医药服务便函〔2021〕5号",141888]
[494,"x010101200330028","2","头孢西丁","Cefoxitin","注射剂","",2015138444,"注射用头孢西丁钠","无","粉针剂","3.0g","支","1","玻璃瓶","深圳信立泰药业股份有限公司",32.44,"修改（支付标准）","医药服务便函〔2021〕5号",138441]
[495,"x010101200360002","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015122449,"盐酸头孢他美酯分散片","无","分散片","181.3mg(以头孢他美计,相当于盐酸头孢他美酯0.25g)","盒","12","双铝","山东罗欣药业集团股份有限公司",23.28,"修改（支付标准）","医药服务便函〔2021〕5号",122446]
[496,"x010101200360007","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015122430,"盐酸头孢他美酯分散片","无","分散片","90.7mg(以头孢他美计,相当于盐酸头孢他美酯0.125g)","盒","12","双铝","山东罗欣药业集团股份有限公司",19.44,"修改（支付标准）","医药服务便函〔2021〕5号",122427]
[497,"x010101200360011","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015105886,"盐酸头孢他美酯胶囊","华仙美","硬胶囊剂","90.65mg(以头孢他美计)","盒","10","铝塑","华中药业股份有限公司",12.4,"修改（支付标准）","医药服务便函〔2021〕5号",105889]
[498,"x010101200360013","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015131011,"盐酸头孢他美酯胶囊","安素美","硬胶囊剂","90.65mg(以头孢他美计)","盒","16","双铝","浙江震元制药有限公司",25.58,"修改（支付标准）","医药服务便函〔2021〕5号",131015]
[499,"x010101200360016","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015105890,"盐酸头孢他美酯胶囊","华仙美","硬胶囊剂","90.65mg(以头孢他美计)","盒","20","铝塑","华中药业股份有限公司",23.94,"修改（支付标准）","医药服务便函〔2021〕5号",105893]
[500,"x010101200360034","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015126533,"盐酸头孢他美酯分散片","无","分散片","181.3mg(以头孢他美计,相当于盐酸头孢他美酯0.25g)","盒","12","双铝","成都倍特药业股份有限公司",24.21,"修改（支付标准）","医药服务便函〔2021〕5号",126532]
[501,"x010101200360035","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015156112,"盐酸头孢他美酯分散片","无","分散片","181.3mg(以头孢他美计,相当于盐酸头孢他美酯0.25g)","盒","12","铝塑","海南全星制药有限公司",24.13,"修改（支付标准）","医药服务便函〔2021〕5号",156110]
[502,"x010101200360036","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157720,"盐酸头孢他美酯分散片","无","分散片","181.3mg(以头孢他美计,相当于盐酸头孢他美酯0.25g)","盒","6","铝塑","海南全星制药有限公司",12.48,"修改（支付标准）","医药服务便函〔2021〕5号",157718]
[503,"x010101200360037","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157721,"盐酸头孢他美酯分散片","无","分散片","181.3mg(以头孢他美计,相当于盐酸头孢他美酯0.25g)","盒","8","铝塑","海南全星制药有限公司",15.48,"修改（支付标准）","医药服务便函〔2021〕5号",157719]
[504,"x010101200360038","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157724,"盐酸头孢他美酯分散片","无","分散片","181.3mg(以头孢他美计,相当于盐酸头孢他美酯0.25g)","盒","16","铝塑","海南全星制药有限公司",33.28,"修改（支付标准）","医药服务便函〔2021〕5号",157722]
[505,"x010101200360040","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157726,"盐酸头孢他美酯分散片","无","分散片","181.3mg(以头孢他美计,相当于盐酸头孢他美酯0.25g)","盒","24","铝塑","海南全星制药有限公司",49.92,"修改（支付标准）","医药服务便函〔2021〕5号",157724]
[506,"x010101200360041","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157856,"盐酸头孢他美酯分散片","无","分散片","181.3mg(以头孢他美计,相当于盐酸头孢他美酯0.25g)","盒","18","双铝","成都倍特药业股份有限公司",24.65,"修改（支付标准）","医药服务便函〔2021〕5号",157854]
[507,"x010101200360042","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015158071,"盐酸头孢他美酯分散片","无","分散片","181.3mg(以头孢他美计,相当于盐酸头孢他美酯0.25g)","盒","8","双铝","成都倍特药业股份有限公司",16,"修改（支付标准）","医药服务便函〔2021〕5号",158069]
[508,"x010101200360044","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015156109,"盐酸头孢他美酯分散片","无","分散片","90.7mg(以头孢他美计,相当于盐酸头孢他美酯0.125g)","盒","12","铝塑","海南全星制药有限公司",18.99,"修改（支付标准）","医药服务便函〔2021〕5号",156107]
[509,"x010101200360045","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157714,"盐酸头孢他美酯分散片","无","分散片","90.7mg(以头孢他美计,相当于盐酸头孢他美酯0.125g)","盒","6","铝塑","海南全星制药有限公司",9.49,"修改（支付标准）","医药服务便函〔2021〕5号",157712]
[510,"x010101200360046","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157715,"盐酸头孢他美酯分散片","无","分散片","90.7mg(以头孢他美计,相当于盐酸头孢他美酯0.125g)","盒","8","铝塑","海南全星制药有限公司",12.66,"修改（支付标准）","医药服务便函〔2021〕5号",157713]
[511,"x010101200360047","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157717,"盐酸头孢他美酯分散片","无","分散片","90.7mg(以头孢他美计,相当于盐酸头孢他美酯0.125g)","盒","16","铝塑","海南全星制药有限公司",23,"修改（支付标准）","医药服务便函〔2021〕5号",157715]
[512,"x010101200360048","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157718,"盐酸头孢他美酯分散片","无","分散片","90.7mg(以头孢他美计,相当于盐酸头孢他美酯0.125g)","盒","24","铝塑","海南全星制药有限公司",37.97,"修改（支付标准）","医药服务便函〔2021〕5号",157716]
[513,"x010101200360049","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157918,"盐酸头孢他美酯分散片","无","分散片","90.7mg(以头孢他美计,相当于盐酸头孢他美酯0.125g)","盒","18","铝塑","海南全星制药有限公司",28.48,"修改（支付标准）","医药服务便函〔2021〕5号",157916]
[514,"x010101200360050","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015129587,"盐酸头孢他美酯胶囊","力欣美","硬胶囊剂","181.3mg(以头孢他美计)","盒","6","铝塑","清远华能制药有限公司",20.88,"修改（支付标准）","医药服务便函〔2021〕5号",129586]
[515,"x010101200360052","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015159562,"盐酸头孢他美酯胶囊","力欣美","硬胶囊剂","90.65mg(以头孢他美计)","盒","12","铝塑","清远华能制药有限公司",16.24,"修改（支付标准）","医药服务便函〔2021〕5号",159560]
[516,"x010101200360053","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015159568,"盐酸头孢他美酯胶囊","力欣美","硬胶囊剂","90.65mg(以头孢他美计)","盒","16","铝塑","清远华能制药有限公司",21.43,"修改（支付标准）","医药服务便函〔2021〕5号",159566]
[517,"x010101200360054","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015115226,"盐酸头孢他美酯片","特普欣","薄膜衣片","181.3mg(以头孢他美计)","盒","12","双铝","成都倍特药业股份有限公司",19.07,"修改（支付标准）","医药服务便函〔2021〕5号",115229]
[518,"x010101200360055","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015143887,"盐酸头孢他美酯片","康迈欣","薄膜衣片","181.3mg(以头孢他美计)","盒","8","铝塑","浙江普洛康裕制药有限公司",16.94,"修改（支付标准）","医药服务便函〔2021〕5号",143889]
[519,"x010101200360056","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015143888,"盐酸头孢他美酯片","康迈欣","薄膜衣片","181.3mg(以头孢他美计)","盒","16","铝塑","浙江普洛康裕制药有限公司",20.96,"修改（支付标准）","医药服务便函〔2021〕5号",143890]
[520,"x010101200360057","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015157876,"盐酸头孢他美酯片","康迈欣","薄膜衣片","181.3mg(以头孢他美计)","盒","4","铝塑","浙江普洛康裕制药有限公司",8.69,"修改（支付标准）","医药服务便函〔2021〕5号",157874]
[521,"x010101200360058","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015158073,"盐酸头孢他美酯片","特普欣","薄膜衣片","181.3mg(以头孢他美计)","盒","16","双铝","成都倍特药业股份有限公司",18.45,"修改（支付标准）","医药服务便函〔2021〕5号",158071]
[522,"x010101200360059","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015158253,"盐酸头孢他美酯片","特普欣","薄膜衣片","181.3mg(以头孢他美计)","盒","24","双铝","成都倍特药业股份有限公司",27.09,"修改（支付标准）","医药服务便函〔2021〕5号",158251]
[523,"x010101200360060","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015113577,"盐酸头孢他美酯片","无","薄膜衣片","181.3mg(以头孢他美计,相当于盐酸头孢他美酯0.25g)","盒","8","铝塑","华东医药(西安)博华制药有限公司",16.71,"修改（支付标准）","医药服务便函〔2021〕5号",113575]
[524,"x010101200360062","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015107991,"盐酸头孢他美酯片","康迪欣","薄膜衣片","362.6mg(以头孢他美计,相当于盐酸头孢他美酯0.5g)","盒","6","双铝","国药集团汕头金石制药有限公司",25.25,"修改（支付标准）","医药服务便函〔2021〕5号",107994]
[525,"x010101200360063","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015105889,"盐酸头孢他美酯片","无","薄膜衣片","90.65mg(以头孢他美计)","盒","12","铝箔","大连美罗大药厂",21.14,"修改（支付标准）","医药服务便函〔2021〕5号",105892]
[526,"x010101200360065","2","头孢他美酯","Cefetamet Pivoxil","口服常释剂型","限使用非限定支付的同类药物疗效不可靠或非限定支付抗菌药物疗效不佳。",2015162253,"盐酸头孢他美酯分散片","无","分散片","181.3mg(以头孢他美计,相当于盐酸头孢他美酯0.25g)","盒","24","双铝","成都倍特药业股份有限公司",47.5,"修改（支付标准）","医药服务便函〔2021〕5号",162246]
[527,"x01010120037q001","2","头孢噻肟钠舒巴坦钠","","注射剂","限二线抗菌药物用药。",20151371,"注射用头孢噻肟钠舒巴坦钠(2:1)","无","粉针剂","1.5g(1.0g/0.5g)","瓶","1","玻璃瓶","湘北威尔曼制药股份有限公司",55.62,"修改（支付标准）","医药服务便函〔2021〕5号",128019]
[528,"x010101200390001","2","拉氧头孢","Latamoxef","注射剂","限二线抗菌药物用药。",2015141841,"注射用拉氧头孢钠","无","粉针剂","0.25g","瓶","1","玻璃瓶","浙江惠迪森药业有限公司",25.24,"修改（支付标准）","医药服务便函〔2021〕5号",141843]
[529,"x010101200390002","2","拉氧头孢","Latamoxef","注射剂","限二线抗菌药物用药。",2015141843,"注射用拉氧头孢钠","无","粉针剂","1.0g","瓶","1","玻璃瓶","浙江惠迪森药业有限公司",76.83,"修改（支付标准）","医药服务便函〔2021〕5号",141845]
[530,"x010101200390003","2","拉氧头孢","Latamoxef","注射剂","限二线抗菌药物用药。",2015141842,"注射用拉氧头孢钠","无","粉针剂","0.5g","瓶","1","玻璃瓶","浙江惠迪森药业有限公司",42.77,"修改（支付标准）","医药服务便函〔2021〕5号",141844]
[531,"x010101200390004","2","拉氧头孢","Latamoxef","注射剂","限二线抗菌药物用药。",2015115031,"注射用拉氧头孢钠","噻吗灵","冻干粉针剂","1.0g","瓶","1","玻璃瓶","海南海灵化学制药有限公司",80.59,"修改（支付标准）","医药服务便函〔2021〕5号",115034]
[532,"x010101200390005","2","拉氧头孢","Latamoxef","注射剂","限二线抗菌药物用药。",2015115007,"注射用拉氧头孢钠","噻吗灵","冻干粉针剂","0.25g","瓶","1","玻璃瓶","海南海灵化学制药有限公司",28,"修改（支付标准）","医药服务便函〔2021〕5号",115010]
[533,"x010101200390006","2","拉氧头孢","Latamoxef","注射剂","限二线抗菌药物用药。",2015115020,"注射用拉氧头孢钠","噻吗灵","冻干粉针剂","0.5g","瓶","1","玻璃瓶","海南海灵化学制药有限公司",47.59,"修改（支付标准）","医药服务便函〔2021〕5号",115023]
[534,"x010101200410007","2","头孢哌酮舒巴坦","Cefoperazone and Sulbactam","注射剂","限二线抗菌药物用药。",20152160,"注射用头孢哌酮钠舒巴坦钠(1:1)","舒普深","粉针剂","1.0g(0.5g/0.5g)","瓶","1","玻璃瓶","辉瑞制药有限公司",48.17,"修改（支付标准）","医药服务便函〔2021〕5号",101923]
[535,"x010101200410008","2","头孢哌酮舒巴坦","Cefoperazone and Sulbactam","注射剂","限二线抗菌药物用药。",20152540,"注射用头孢哌酮钠舒巴坦钠(1:1)","无","粉针剂","1.0g(0.5g/0.5g)","瓶","1","西林瓶","苏州中化药品工业有限公司",1.64,"修改（支付标准）","医药服务便函〔2021〕5号",143417]
[536,"x010101200410028","2","头孢哌酮舒巴坦","Cefoperazone and Sulbactam","注射剂","限二线抗菌药物用药。",20156427,"注射用头孢哌酮钠舒巴坦钠(2:1)","无","粉针剂","1.5g(1.0g/0.5g)","瓶","1","玻璃瓶","国药集团致君(深圳)制药有限公司",2.5,"修改（支付标准）","医药服务便函〔2021〕5号",123588]
[537,"x010101200410032","2","头孢哌酮舒巴坦","Cefoperazone and Sulbactam","注射剂","限二线抗菌药物用药。",20158050,"注射用头孢哌酮钠舒巴坦钠(2:1)","无","粉针剂","3.0g(2.0g/1.0g)","支","1","玻璃瓶","哈药集团制药总厂",13.1,"修改（支付标准）","医药服务便函〔2021〕5号",119322]
[538,"x010101200410039","2","头孢哌酮舒巴坦","CefoperazoneandSulbactam","注射剂","限二线抗菌药物用药。",201529542,"注射用头孢哌酮钠舒巴坦钠(1:1)","无","粉针剂","2.0g(1.0g/1.0g)","盒","1","配溶媒","浙江亚太药业股份有限公司",6.03,"修改（支付标准）","医药服务便函〔2021〕5号",152145]
[539,"x010101200410040","2","头孢哌酮舒巴坦","CefoperazoneandSulbactam","注射剂","限二线抗菌药物用药。",201515190,"注射用头孢哌酮钠舒巴坦钠(1:1)","无","粉针剂","1.0g(0.5g/0.5g)","盒","1","配溶媒","浙江亚太药业股份有限公司",3.64,"修改（支付标准）","医药服务便函〔2021〕5号",139090]
[540,"x010101200440002","2","头孢哌酮","Cefoperazone","注射剂","限二线抗菌药物用药。",20157048,"注射用头孢哌酮钠","麦道必","粉针剂","1.0g","瓶","1","玻璃瓶","塞浦路斯麦道甘美大药厂MEDOCHEMIE LTD",23.1,"修改（支付标准）","医药服务便函〔2021〕5号",141864]
[541,"x010101200440003","2","头孢哌酮","Cefoperazone","注射剂","限二线抗菌药物用药。",201512685,"注射用头孢哌酮钠","麦道必","粉针剂","2.0g","瓶","1","玻璃瓶","塞浦路斯麦道甘美大药厂MEDOCHEMIE LTD",44.36,"修改（支付标准）","医药服务便函〔2021〕5号",141865]
[542,"x010101200440007","2","头孢哌酮","Cefoperazone","注射剂","限二线抗菌药物用药。",20152553,"注射用头孢哌酮钠","依美欣","粉针剂","2.0g","瓶","1","西林瓶","江苏恒瑞医药股份有限公司",3.59,"修改（支付标准）","医药服务便函〔2021〕5号",135504]
[543,"x010101200450001","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",20157205,"注射用头孢地嗪钠","康丽能","粉针剂","0.5g","瓶","1","玻璃瓶","丽珠集团丽珠制药厂",15.8,"修改（支付标准）","医药服务便函〔2021〕5号",105394]
[544,"x010101200450002","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",20151780,"注射用头孢地嗪钠","金汕秦","粉针剂","1.5g","盒","1","预充式(预灌封)注射器","汕头金石粉针剂有限公司",51.73,"修改（支付标准）","医药服务便函〔2021〕5号",146822]
[545,"x010101200450003","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",201513997,"注射用头孢地嗪钠","无","粉针剂","1.0g","瓶","1","玻璃瓶","浙江京新药业股份有限公司",21.2,"修改（支付标准）","医药服务便函〔2021〕5号",135915]
[546,"x010101200450004","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",201513996,"注射用头孢地嗪钠","无","粉针剂","0.5g","瓶","1","玻璃瓶","浙江京新药业股份有限公司",16.05,"修改（支付标准）","医药服务便函〔2021〕5号",135914]
[547,"x010101200450005","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",201513211,"注射用头孢地嗪钠","无","粉针剂","2.0g","瓶","1","玻璃瓶","海南灵康制药有限公司",22.65,"修改（支付标准）","医药服务便函〔2021〕5号",117810]
[548,"x010101200450006","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",201513193,"注射用头孢地嗪钠","无","粉针剂","1.0g","瓶","1","玻璃瓶","海南灵康制药有限公司",16.59,"修改（支付标准）","医药服务便函〔2021〕5号",152361]
[549,"x010101200450007","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",201513192,"注射用头孢地嗪钠","无","粉针剂","0.5g","瓶","1","玻璃瓶","海南灵康制药有限公司",12.4,"修改（支付标准）","医药服务便函〔2021〕5号",117789]
[550,"x010101200450008","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",201513191,"注射用头孢地嗪钠","无","粉针剂","0.25g","瓶","1","玻璃瓶","海南灵康制药有限公司",9.4,"修改（支付标准）","医药服务便函〔2021〕5号",117777]
[551,"x010101200450009","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",201512271,"注射用头孢地嗪钠","康丽能","粉针剂","1.5g","瓶","1","玻璃瓶","丽珠集团丽珠制药厂",41.35,"修改（支付标准）","医药服务便函〔2021〕5号",105405]
[552,"x010101200450010","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",201512270,"注射用头孢地嗪钠","康丽能","粉针剂","2.0g","瓶","1","玻璃瓶","丽珠集团丽珠制药厂",55.8,"修改（支付标准）","医药服务便函〔2021〕5号",105411]
[553,"x010101200450015","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",20157206,"注射用头孢地嗪钠","康丽能","粉针剂","1.0g","瓶","1","玻璃瓶","丽珠集团丽珠制药厂",26.09,"修改（支付标准）","医药服务便函〔2021〕5号",105399]
[554,"x010101200450016","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",20157392,"注射用头孢地嗪钠","金汕秦","粉针剂","0.5g","瓶","1","玻璃瓶","汕头金石粉针剂有限公司",12.15,"修改（支付标准）","医药服务便函〔2021〕5号",134621]
[555,"x010101200450017","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",20157371,"注射用头孢地嗪钠","金汕秦","粉针剂","1.0g","瓶","1","玻璃瓶","汕头金石粉针剂有限公司",21.9,"修改（支付标准）","医药服务便函〔2021〕5号",134623]
[556,"x010101200450018","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",201511988,"注射用头孢地嗪钠","康丽能","粉针剂","0.25g","瓶","1","玻璃瓶","丽珠集团丽珠制药厂",12.38,"修改（支付标准）","医药服务便函〔2021〕5号",105387]
[557,"x010101200450019","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",20157414,"注射用头孢地嗪钠","金汕秦","粉针剂","1.5g","瓶","1","玻璃瓶","汕头金石粉针剂有限公司",48.9,"修改（支付标准）","医药服务便函〔2021〕5号",134625]
[558,"x010101200450020","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",20152758,"注射用头孢地嗪钠","高德","粉针剂","0.25g","支","1","玻璃瓶","国药集团鲁亚（山东）制药有限公司",12.78,"修改（支付标准）","医药服务便函〔2021〕5号",142875]
[559,"x010101200450021","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",20157750,"注射用头孢地嗪钠","高德","粉针剂","0.5g","支","1","玻璃瓶","国药集团鲁亚（山东）制药有限公司",19.2,"修改（支付标准）","医药服务便函〔2021〕5号",142873]
[560,"x010101200450022","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",20152724,"注射用头孢地嗪钠","高德","粉针剂","1.0g","支","1","玻璃瓶","国药集团鲁亚（山东）制药有限公司",18.36,"修改（支付标准）","医药服务便函〔2021〕5号",142872]
[561,"x010101200450023","2","头孢地嗪","Cefodizime","注射剂","限二线抗菌药物用药。",20152783,"注射用头孢地嗪钠","高德","粉针剂","2.0g","支","1","玻璃瓶","国药集团鲁亚（山东）制药有限公司",30.02,"修改（支付标准）","医药服务便函〔2021〕5号",142874]
[562,"x010101200460001","2","头孢吡肟","Cefepime","注射剂","限三线抗菌药物用药。",20157835,"注射用盐酸头孢吡肟","达力能","粉针剂","1.0g","瓶","1","玻璃瓶","国药集团致君(深圳)制药有限公司",12.75,"修改（支付标准）","医药服务便函〔2021〕5号",124174]
[563,"x010101200460002","2","头孢吡肟","Cefepime","注射剂","限三线抗菌药物用药。",20159593,"注射用盐酸头孢吡肟","恒苏","粉针剂","1.0g","瓶","1","玻璃瓶","江苏恒瑞医药股份有限公司",20.17,"修改（支付标准）","医药服务便函〔2021〕5号",135773]
[564,"x010101200460003","2","头孢吡肟","Cefepime","注射剂","限三线抗菌药物用药。",201510012,"注射用盐酸头孢吡肟","达力能","粉针剂","2.0g","瓶","1","玻璃瓶","国药集团致君(深圳)制药有限公司",33.94,"修改（支付标准）","医药服务便函〔2021〕5号",124185]
[565,"x010101200460007","2","头孢吡肟","Cefepime","注射剂","限三线抗菌药物用药。",201511953,"注射用盐酸头孢吡肟","英兰","粉针剂","1.0g","支","1","玻璃瓶","齐鲁制药有限公司",12.78,"修改（支付标准）","医药服务便函〔2021〕5号",114357]
[566,"x010101200460015","2","头孢吡肟","Cefepime","注射剂","限三线抗菌药物用药。",201511269,"注射用盐酸头孢吡肟","无","粉针剂","0.5g","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",10.36,"修改（支付标准）","医药服务便函〔2021〕5号",116479]
[567,"x010101200470001","2","头孢匹罗","Cefpirome","注射剂","限三线抗菌药物用药。",201510179,"注射用硫酸头孢匹罗","无","粉针剂","1.0g","瓶","1","西林瓶","江苏恒瑞医药股份有限公司",25.89,"修改（支付标准）","医药服务便函〔2021〕5号",135499]
[568,"x010102000480001","2","比阿培南","Biapenem","注射剂","限三线抗菌药物用药。",20158582,"注射用比阿培南","安信","粉针剂","0.3g","瓶","1","西林瓶","南京先声东元制药有限公司",85,"修改（支付标准）","医药服务便函〔2021〕5号",133584]
[569,"x010102000480002","2","比阿培南","Biapenem","注射剂","限三线抗菌药物用药。",201510017,"注射用比阿培南","天册","粉针剂","0.3g","瓶","1","玻璃瓶","正大天晴药业集团股份有限公司",86.63,"修改（支付标准）","医药服务便函〔2021〕5号",118743]
[570,"x010102000500002","2","美罗培南","Meropenem","注射剂","限三线抗菌药物用药。",201512449,"注射用美罗培南","无","粉针剂","0.5g","支","1","西林瓶","石药集团欧意药业有限公司",66.09,"修改（支付标准）","医药服务便函〔2021〕5号",114519]
[571,"x010102000500005","2","美罗培南","Meropenem","注射剂","限三线抗菌药物用药。",201514389,"注射用美罗培南","无","粉针剂","0.25g","瓶","1","西林瓶","海口市制药厂有限公司",40.55,"修改（支付标准）","医药服务便函〔2021〕5号",111683]
[572,"x010102000500006","2","美罗培南","Meropenem","注射剂","限三线抗菌药物用药。",20151668,"注射用美罗培南","倍能","粉针剂","0.5g","瓶","1","玻璃瓶","深圳市海滨制药有限公司",81.08,"修改（支付标准）","医药服务便函〔2021〕5号",105672]
[573,"x010102000500007","2","美罗培南","Meropenem","注射剂","限三线抗菌药物用药。",20151669,"注射用美罗培南","海正美特","粉针剂","0.5g","瓶","1","玻璃瓶","瀚晖制药有限公司",68.24,"修改（支付标准）","医药服务便函〔2021〕5号",144074]
[574,"x010102000500008","2","美罗培南","Meropenem","注射剂","限三线抗菌药物用药。",20151667,"注射用美罗培南","倍能","粉针剂","0.25g","瓶","1","玻璃瓶","深圳市海滨制药有限公司",51.63,"修改（支付标准）","医药服务便函〔2021〕5号",105668]
[575,"x010102000500009","2","美罗培南","Meropenem","注射剂","限三线抗菌药物用药。",201514388,"注射用美罗培南","无","粉针剂","0.5g","瓶","1","西林瓶","海口市制药厂有限公司",60.05,"修改（支付标准）","医药服务便函〔2021〕5号",111688]
[576,"x010102000500011","2","美罗培南","Meropenem","注射剂","限三线抗菌药物用药。",201510086,"注射用美罗培南","海正美特","粉针剂","0.25g","瓶","1","玻璃瓶","瀚晖制药有限公司",39.65,"修改（支付标准）","医药服务便函〔2021〕5号",144073]
[577,"x010102000520005","2","亚胺培南西司他丁","Imipenem and Cilastatin","注射剂","限三线抗菌药物用药。",20151099,"注射用亚胺培南西司他丁钠(1:1)","泰能","粉针剂","1.0g(0.5g/0.5g)","瓶","1","玻璃瓶","美国Merck Sharp & Dohme Corp",129.55,"修改（支付标准）","医药服务便函〔2021〕5号",146049]
[578,"x010102000520007","2","亚胺培南西司他丁","Imipenem and Cilastatin","注射剂","限三线抗菌药物用药。",20159175,"注射用亚胺培南西司他丁钠(1:1)","无","粉针剂","0.5g(0.25g/0.25g)","瓶","1","玻璃瓶","珠海联邦制药股份有限公司",48.41,"修改（支付标准）","医药服务便函〔2021〕5号",104867]
[579,"x010102000520009","2","亚胺培南西司他丁","Imipenem and Cilastatin","注射剂","限三线抗菌药物用药。",201510383,"注射用亚胺培南西司他丁钠(1:1)","无","粉针剂","0.5g(0.25g/0.25g)","瓶","1","玻璃瓶","深圳市海滨制药有限公司",51.76,"修改（支付标准）","医药服务便函〔2021〕5号",105686]
[580,"x010102000520011","2","亚胺培南西司他丁","Imipenem and Cilastatin","注射剂","限三线抗菌药物用药。",201511986,"注射用亚胺培南西司他丁钠(1:1)","无","粉针剂","1.0g(0.5g/0.5g)","瓶","1","玻璃瓶","瀚晖制药有限公司",88.1,"修改（支付标准）","医药服务便函〔2021〕5号",144131]
[581,"x010102000520012","2","亚胺培南西司他丁","Imipenem and Cilastatin","注射剂","限三线抗菌药物用药。",201511957,"注射用亚胺培南西司他丁钠(1:1)","无","粉针剂","0.5g(0.25g/0.25g)","瓶","1","玻璃瓶","瀚晖制药有限公司",51.53,"修改（支付标准）","医药服务便函〔2021〕5号",144130]
[582,"x010102000520013","2","亚胺培南西司他丁","Imipenem and Cilastatin","注射剂","限三线抗菌药物用药。",201510786,"注射用亚胺培南西司他丁钠(1:1)","谱能","粉针剂","1.0g(0.5g/0.5g)","瓶","1","玻璃瓶","韩国江泰制药株式会社JW PHARMACEUTICAL CORPORATION",70.8,"修改（支付标准）","医药服务便函〔2021〕5号",142014]
[583,"x010103000600002","2","西索米星","Sisomicin","注射剂","",20159495,"硫酸西索米星注射液","无","注射液","1ml:50mg(5万单位)","支","1","安瓿","江苏鹏鹞药业有限公司",1.09,"修改（支付标准）","医药服务便函〔2021〕5号",132429]
[584,"x010105000630014","1","多西环素","Doxycycline","口服常释剂型","",2015160184,"盐酸多西环素胶囊","无","硬胶囊剂","0.1g(10万IU)","盒","12","铝塑","湖南湘雅制药有限公司",23.4,"修改（支付标准）","医药服务便函〔2021〕5号",160177]
[585,"x010106000670039","1","阿奇霉素","Azithromycin","口服常释剂型\n颗粒剂","",2015109119,"阿奇霉素软胶囊","无","软胶囊(胶丸)","0.125g(12.5万单位)","盒","20","铝塑","西安大恒制药有限责任公司",25.54,"修改（支付标准）","医药服务便函〔2021〕5号",109122]
[586,"x010106000670040","1","阿奇霉素","Azithromycin","口服常释剂型\n颗粒剂","",2015109116,"阿奇霉素软胶囊","无","软胶囊(胶丸)","0.125g(12.5万单位)","盒","12","铝塑","西安大恒制药有限责任公司",15.63,"修改（支付标准）","医药服务便函〔2021〕5号",109119]
[587,"x010106000670063","1","阿奇霉素","Azithromycin","口服常释剂型<br/>颗粒剂","",2015155168,"阿奇霉素分散片","无","分散片","0.1g(10万单位)","盒","12","铝箔","新华制药(高密)有限公司",4.22,"修改（支付标准）","医药服务便函〔2021〕5号",155166]
[588,"x010106000670064","1","阿奇霉素","Azithromycin","口服常释剂型<br/>颗粒剂","",2015155313,"阿奇霉素分散片","无","分散片","0.1g(10万单位)","盒","18","铝箔","新华制药(高密)有限公司",6.24,"修改（支付标准）","医药服务便函〔2021〕5号",155311]
[589,"x010106000670070","1","阿奇霉素","Azithromycin","口服常释剂型<br/>颗粒剂","",2015127992,"阿奇霉素分散片","无","分散片","0.25g(25万单位)","盒","6","铝箔","遂成药业股份有限公司",2.2,"修改（支付标准）","医药服务便函〔2021〕5号",127991]
[590,"x010106000670074","1","阿奇霉素","Azithromycin","口服常释剂型<br/>颗粒剂","",2015112318,"阿奇霉素颗粒","无","颗粒剂","0.25g","盒","6","复合膜","广东逸舒制药股份有限公司",5.15,"修改（支付标准）","医药服务便函〔2021〕5号",112316]
[591,"x010106000680066","1","红霉素","Erythromycin","口服常释剂型","",2015157149,"红霉素肠溶胶囊","无","肠溶胶囊(微丸型)","0.125g(12.5万单位)","盒","36","铝塑","福建三爱药业有限公司",28.8,"修改（支付标准）","医药服务便函〔2021〕5号",157147]
[592,"x010106000680072","1","红霉素","Erythromycin","口服常释剂型","",2015156550,"红霉素肠溶片","无","肠溶片","0.125g(12.5万单位)","板","12","铝箔","青岛黄海制药有限责任公司",1.79,"修改（支付标准）","医药服务便函〔2021〕5号",156548]
[593,"x010106000680074","1","红霉素","Erythromycin","口服常释剂型","",2015161607,"红霉素肠溶片","无","肠溶片","0.125g(12.5万单位)","瓶","100","塑料瓶","四川科伦药业股份有限公司",20.77,"修改（支付标准）","医药服务便函〔2021〕5号",161600]
[594,"x010106000680075","1","红霉素","Erythromycin","口服常释剂型","",2015119255,"红霉素肠溶片","无","肠溶片","0.25g(25万单位)","瓶","100","塑料瓶","四川省长征药业股份有限公司",23.4,"修改（支付标准）","医药服务便函〔2021〕5号",119258]
[595,"x010106000680080","1","红霉素","Erythromycin","口服常释剂型","",2015161642,"红霉素肠溶片","无","肠溶片","0.25g(25万单位)","瓶","100","塑料瓶","四川科伦药业股份有限公司",39.03,"修改（支付标准）","医药服务便函〔2021〕5号",161635]
[596,"x010106000680085","1","红霉素","Erythromycin","口服常释剂型","",2015107428,"硬脂酸红霉素胶囊","无","硬胶囊剂","0.125g(12.5万单位)","盒","24","铝塑","吉林恒星科技制药有限公司",41.37,"修改（支付标准）","医药服务便函〔2021〕5号",107431]
[597,"x010106000700009","2","琥乙红霉素","Erythromycin Ethylsuccinate","口服常释剂型\n颗粒剂","",2015109161,"琥乙红霉素片","无","素片","0.1g(10万单位)","盒","24","铝塑","北京中新制药厂",4.95,"修改（支付标准）","医药服务便函〔2021〕5号",109164]
[598,"x010106000700036","2","琥乙红霉素","Erythromycin Ethylsuccinate","口服常释剂型<br/>颗粒剂","",2015122332,"琥乙红霉素颗粒","无","颗粒剂","0.125g(12.5万单位)","盒","10","复合膜","白云山东泰商丘药业有限公司",2.59,"修改（支付标准）","医药服务便函〔2021〕5号",122329]
[599,"x010106000700037","2","琥乙红霉素","Erythromycin Ethylsuccinate","口服常释剂型<br/>颗粒剂","",2015122343,"琥乙红霉素颗粒","无","颗粒剂","0.125g(12.5万单位)","盒","12","复合膜","白云山东泰商丘药业有限公司",3.11,"修改（支付标准）","医药服务便函〔2021〕5号",122340]
[600,"x010106000700044","2","琥乙红霉素","Erythromycin Ethylsuccinate","口服常释剂型<br/>颗粒剂","",2015155910,"琥乙红霉素颗粒","无","颗粒剂","0.1g(10万单位)","盒","12","复合膜","上海中瀚投资集团宁国国安邦宁药业有限公司",1.79,"修改（支付标准）","医药服务便函〔2021〕5号",155908]
[601,"x010106000700053","2","琥乙红霉素","Erythromycin Ethylsuccinate","口服常释剂型<br/>颗粒剂","",2015158615,"琥乙红霉素片","无","素片","0.125g(12.5万单位)","盒","24","铝箔","上海福达制药有限公司",6.42,"修改（支付标准）","医药服务便函〔2021〕5号",158613]
[602,"x010106000700056","2","琥乙红霉素","Erythromycin Ethylsuccinate","口服常释剂型<br/>颗粒剂","",2015122352,"琥乙红霉素片","无","素片","0.1g(10万单位)","盒","24","铝塑","白云山东泰商丘药业有限公司",2.96,"修改（支付标准）","医药服务便函〔2021〕5号",122349]
[603,"x010106000700061","2","琥乙红霉素","Erythromycin Ethylsuccinate","口服常释剂型<br/>颗粒剂","",2015126396,"琥乙红霉素片","无","素片","0.25g(25万单位)","瓶","100","塑料瓶","四川省长征药业股份有限公司",30.16,"修改（支付标准）","医药服务便函〔2021〕5号",126395]
[604,"x010106000700063","2","琥乙红霉素","Erythromycin Ethylsuccinate","口服常释剂型 颗粒剂","",2015153103,"琥乙红霉素干混悬剂","无","干混悬剂","0.1g(10万单位)","盒","10","复合膜","山西皇城相府药业股份有限公司",31.3,"修改（支付标准）","医药服务便函〔2021〕5号",153106]
[605,"x010106000710049","2","克拉霉素","Clarithromycin","口服常释剂型<br/>颗粒剂","",2015138853,"克拉霉素片","无","薄膜衣片","0.25g","盒","12","铝塑","江西国药有限责任公司",6,"修改（支付标准）","医药服务便函〔2021〕5号",138850]
[606,"x010106000710050","2","克拉霉素","Clarithromycin","口服常释剂型<br/>颗粒剂","",2015139369,"克拉霉素片","无","薄膜衣片","0.25g","盒","8","铝塑","江西国药有限责任公司",4.06,"修改（支付标准）","医药服务便函〔2021〕5号",139366]
[607,"x010106000710055","2","克拉霉素","Clarithromycin","口服常释剂型 颗粒剂","",2015162322,"克拉霉素片","安吉尔宁","薄膜衣片","0.125g","盒","12","铝塑","云南永安制药有限公司",6.67,"修改（支付标准）","医药服务便函〔2021〕5号",162315]
[608,"x010106000711001","2","克拉霉素","Clarithromycin","缓释控释剂型","",2015100339,"克拉霉素缓释胶囊","康婷","缓释胶囊","0.25g","盒","8","铝箔","广州柏赛罗药业有限公司",52.53,"修改（支付标准）","医药服务便函〔2021〕5号",100344]
[609,"x010106000711002","2","克拉霉素","Clarithromycin","缓释控释剂型","",2015135591,"克拉霉素缓释片","诺邦","缓释片","0.5g","盒","7","铝塑","江苏恒瑞医药股份有限公司",27.5,"修改（支付标准）","医药服务便函〔2021〕5号",135588]
[610,"x010106000711004","2","克拉霉素","Clarithromycin","缓释控释剂型","",2015135590,"克拉霉素缓释片","诺邦","缓释片","0.5g","盒","3","铝塑","江苏恒瑞医药股份有限公司",12.16,"修改（支付标准）","医药服务便函〔2021〕5号",135587]
[611,"x010106000711005","2","克拉霉素","Clarithromycin","缓释控释剂型","",2015117329,"克拉霉素缓释片","森克","缓释片","0.5g","盒","6","铝箔","河南福森药业有限公司",22.6,"修改（支付标准）","医药服务便函〔2021〕5号",117332]
[612,"x010106000711007","2","克拉霉素","Clarithromycin","缓释控释剂型","",2015117340,"克拉霉素缓释片","森克","缓释片","0.5g","盒","3","铝箔","河南福森药业有限公司",14.55,"修改（支付标准）","医药服务便函〔2021〕5号",117343]
[613,"x010106000711008","2","克拉霉素","Clarithromycin","缓释控释剂型","",2015124722,"克拉霉素缓释片","莫欣","缓释片","0.5g","盒","7","铝塑","海南普利制药股份有限公司",27.03,"修改（支付标准）","医药服务便函〔2021〕5号",124719]
[614,"x010106000720036","2","罗红霉素","Roxithromycin","口服常释剂型","",2015108401,"罗红霉素分散片","乐尔泰","分散片","50mg(5万单位)","盒","24","铝箔","四川省天基生物药业有限公司",5.6,"修改（支付标准）","医药服务便函〔2021〕5号",108404]
[615,"x010106000720053","2","罗红霉素","Roxithromycin","口服常释剂型","",2015116224,"罗红霉素分散片","无","分散片","0.15g(15万单位)","盒","20","铝塑","苏州俞氏药业有限公司",8.45,"修改（支付标准）","医药服务便函〔2021〕5号",116227]
[616,"x010106000720054","2","罗红霉素","Roxithromycin","口服常释剂型","",2015116228,"罗红霉素分散片","无","分散片","0.15g(15万单位)","盒","24","铝塑","苏州俞氏药业有限公司",10.14,"修改（支付标准）","医药服务便函〔2021〕5号",116231]
[617,"x010106000720074","2","罗红霉素","Roxithromycin","口服常释剂型","",2015157282,"罗红霉素胶囊","无","硬胶囊剂","0.3g","盒","6","铝塑","沈阳圣元药业有限公司",5.97,"修改（支付标准）","医药服务便函〔2021〕5号",157280]
[618,"x010106000720075","2","罗红霉素","Roxithromycin","口服常释剂型","",2015154699,"罗红霉素胶囊","无","硬胶囊剂","50mg","盒","12","铝塑","辽宁华瑞联合制药有限公司",2.17,"修改（支付标准）","医药服务便函〔2021〕5号",154702]
[619,"x010106000720076","2","罗红霉素","Roxithromycin","口服常释剂型","",2015154700,"罗红霉素胶囊","无","硬胶囊剂","50mg","盒","50","铝塑","辽宁华瑞联合制药有限公司",8.58,"修改（支付标准）","医药服务便函〔2021〕5号",154703]
[620,"x010106000720087","2","罗红霉素","Roxithromycin","口服常释剂型","",2015149626,"罗红霉素胶囊","无","硬胶囊剂","75mg","盒","12","铝塑","哈药集团三精制药诺捷有限责任公司",3.24,"修改（支付标准）","医药服务便函〔2021〕5号",149625]
[621,"x010106000720096","2","罗红霉素","Roxithromycin","口服常释剂型","",2015157328,"罗红霉素片","无","薄膜衣片","0.3g","盒","6","铝塑","沈阳圣元药业有限公司",6.72,"修改（支付标准）","医药服务便函〔2021〕5号",157326]
[622,"x010107000750001","2","替考拉宁","Teicoplanin","注射剂","限三线抗菌药物用药。",20157122,"注射用替考拉宁","加立信","冻干粉针剂","0.2g","瓶","1","西林瓶","浙江医药股份有限公司新昌制药厂",151.95,"修改（支付标准）","医药服务便函〔2021〕5号",104233]
[623,"x010107000750003","2","替考拉宁","Teicoplanin","注射剂","限三线抗菌药物用药。",201511498,"注射用替考拉宁","大贝辛","冻干粉针剂","0.2g","盒","1","配溶媒","韩国希杰有限公司CJ CheilJedang Corporation",147.21,"修改（支付标准）","医药服务便函〔2021〕5号",141575]
[624,"x010107000750004","2","替考拉宁","Teicoplanin","注射剂","限三线抗菌药物用药。",201514475,"注射用替考拉宁","他格适","冻干粉针剂","0.2g","瓶","1","西林瓶","意大利Sanofi-aventis S.p.A.(赛诺菲(北京)制药有限公司分包装）",246.49,"修改（支付标准）","医药服务便函〔2021〕5号",102358]
[625,"x010107000760005","2","万古霉素","Vancomycin","注射剂","限三线抗菌药物用药。",20152557,"注射用盐酸万古霉素","无","冻干粉针剂","0.5g","瓶","1","西林瓶","浙江医药股份有限公司新昌制药厂",73.39,"修改（支付标准）","医药服务便函〔2021〕5号",104208]
[626,"x010107000760006","2","万古霉素","Vancomycin","注射剂","限三线抗菌药物用药。",20152673,"注射用盐酸万古霉素","稳可信","粉针剂","0.5g","瓶","1","空","希腊VIANEX S.A.(PLANT C)",103.99,"修改（支付标准）","医药服务便函〔2021〕5号",141993]
[627,"x010108000770020","1","克林霉素","Clindamycin","口服常释剂型","",2015104297,"盐酸克林霉素胶囊","无","硬胶囊剂","75mg","盒","10","铝箔","重庆科瑞制药(集团)有限公司",1.92,"修改（支付标准）","医药服务便函〔2021〕5号",104302]
[628,"x010108000771034","1","克林霉素","Clindamycin","注射剂","",2015142774,"克林霉素磷酸酯注射液","无","注射液","4ml:0.6g","支","1","安瓿","江西赣南海欣药业股份有限公司",1.84,"修改（支付标准）","医药服务便函〔2021〕5号",142776]
[629,"x010108000780041","1","林可霉素","Lincomycin","注射剂","",2015103586,"盐酸林可霉素注射液","无","注射液","1ml:0.2g","支","1","安瓿","江苏大红鹰恒顺药业有限公司",0.2,"修改（支付标准）","医药服务便函〔2021〕5号",103591]
[630,"x010108000780042","1","林可霉素","Lincomycin","注射剂","",2015119317,"盐酸林可霉素注射液","无","注射液","1ml:0.2g","支","1","安瓿","四川省长征药业股份有限公司",0.25,"修改（支付标准）","医药服务便函〔2021〕5号",119320]
[631,"x010109000800004","2","氨曲南","Aztreonam","注射剂","限二线抗菌药物用药。",201510571,"注射用氨曲南","无","粉针剂","0.5g","瓶","1","玻璃瓶","海南灵康制药有限公司",10.12,"修改（支付标准）","医药服务便函〔2021〕5号",117651]
[632,"x010109000800005","2","氨曲南","Aztreonam","注射剂","限二线抗菌药物用药。",20151782,"注射用氨曲南","无","粉针剂","0.5g","瓶","1","西林瓶","湖南科伦制药有限公司",13.05,"修改（支付标准）","医药服务便函〔2021〕5号",107921]
[633,"x010109000800008","2","氨曲南","Aztreonam","注射剂","限二线抗菌药物用药。",20159584,"注射用氨曲南","无","粉针剂","2.0g","瓶","1","西林瓶","山东罗欣药业集团股份有限公司",34.68,"修改（支付标准）","医药服务便函〔2021〕5号",116913]
[634,"x010109000800009","2","氨曲南","Aztreonam","注射剂","限二线抗菌药物用药。",20159523,"注射用氨曲南","无","粉针剂","0.5g","瓶","1","西林瓶","山东罗欣药业集团股份有限公司",11,"修改（支付标准）","医药服务便函〔2021〕5号",116898]
[635,"x010109000800010","2","氨曲南","Aztreonam","注射剂","限二线抗菌药物用药。",20159567,"注射用氨曲南","无","粉针剂","1.0g","瓶","1","西林瓶","山东罗欣药业集团股份有限公司",11.82,"修改（支付标准）","医药服务便函〔2021〕5号",116904]
[636,"x010109000800011","2","氨曲南","Aztreonam","注射剂","限二线抗菌药物用药。",20154165,"注射用氨曲南","无","粉针剂","1.0g","瓶","1","玻璃瓶","安徽威尔曼制药有限公司",25.28,"修改（支付标准）","医药服务便函〔2021〕5号",111180]
[637,"x010109000800013","2","氨曲南","Aztreonam","注射剂","限二线抗菌药物用药。",201511679,"注射用氨曲南","无","粉针剂","2.0g","瓶","1","西林瓶","海南斯达制药有限公司",20.18,"修改（支付标准）","医药服务便函〔2021〕5号",125036]
[638,"x010109000800015","2","氨曲南","Aztreonam","注射剂","限二线抗菌药物用药。",201510572,"注射用氨曲南","无","粉针剂","1.0g","瓶","1","玻璃瓶","海南灵康制药有限公司",15.45,"修改（支付标准）","医药服务便函〔2021〕5号",117666]
[639,"x010109000800016","2","氨曲南","Aztreonam","注射剂","限二线抗菌药物用药。",201510474,"注射用氨曲南","无","粉针剂","2.0g","瓶","1","西林瓶","苏州第壹制药有限公司",48,"修改（支付标准）","医药服务便函〔2021〕5号",141262]
[640,"x010109000800017","2","氨曲南","Aztreonam","注射剂","限二线抗菌药物用药。",201510563,"注射用氨曲南","无","粉针剂","1.0g","瓶","1","玻璃瓶","重庆圣华曦药业股份有限公司",7.1,"修改（支付标准）","医药服务便函〔2021〕5号",100468]
[641,"x010109000810001","2","多粘菌素B（多粘菌素）","Polymyxin B","注射剂","限三线抗菌药物用药。",2017163090,"注射用硫酸多黏菌素B","无","冻干粉针剂","50万单位","瓶","1","玻璃瓶","上海上药第一生化药业有限公司",2302.45,"修改（支付标准）","医药服务便函〔2021〕5号",163089]
[642,"x010109000820002","2","夫西地酸","Fusidic Acid","注射剂","限二线抗菌药物用药。",20159433,"注射用夫西地酸钠","无","冻干粉针剂","0.125g","瓶","1","玻璃瓶","成都天台山制药有限公司",32.15,"修改（支付标准）","医药服务便函〔2021〕5号",126992]
[643,"x010109000820003","2","夫西地酸","Fusidic Acid","注射剂","限二线抗菌药物用药。",201513565,"注射用夫西地酸钠","无","冻干粉针剂","0.5g","盒","1","配溶媒","成都苑东生物制药股份有限公司",85.99,"修改（支付标准）","医药服务便函〔2021〕5号",118162]
[644,"x010109000820005","2","夫西地酸","Fusidic Acid","注射剂","限二线抗菌药物用药。",20152340,"注射用夫西地酸钠","立思丁","粉针剂","0.5g","盒","1","配溶媒","丹麦利奥制药有限公司LEO Pharmaceutical Products Ltd. A/S (LEO Pharma A/S)",115.24,"修改（支付标准）","医药服务便函〔2021〕5号",141561]
[645,"x010202000900031","1","环丙沙星","Ciprofloxacin","口服常释剂型","",2015158235,"盐酸环丙沙星片","无","素片","0.5g","盒","20","铝箔","青海制药厂有限公司",19.8,"修改（支付标准）","医药服务便函〔2021〕5号",158233]
[646,"x010202000910120","1","诺氟沙星","Norfloxacin","口服常释剂型","",2015138750,"诺氟沙星胶囊","无","硬胶囊剂","0.1g","盒","24","铝箔","好医生药业集团有限公司",2.99,"修改（支付标准）","医药服务便函〔2021〕5号",138747]
[647,"x010202000930045","1","左氧氟沙星","Levofloxacin","口服常释剂型","",2015141752,"乳酸左氧氟沙星胶囊","汇瑞克","硬胶囊剂","0.1g","盒","12","铝塑","江西汇仁药业股份有限公司",9.98,"修改（支付标准）","医药服务便函〔2021〕5号",141754]
[648,"x010202000930047","1","左氧氟沙星","Levofloxacin","口服常释剂型","",2015135735,"乳酸左氧氟沙星片","无","薄膜衣片","0.5g","盒","4","铝箔","上海中西三维药业有限公司",6.76,"修改（支付标准）","医药服务便函〔2021〕5号",135732]
[649,"x010202000931033","1","左氧氟沙星","Levofloxacin","注射剂","",2015102924,"盐酸左氧氟沙星注射液","安理莱","注射液","5ml:0.3g","支","1","安瓿","江西制药有限责任公司",2.09,"修改（支付标准）","医药服务便函〔2021〕5号",102929]
[650,"x010202000971001","2","莫西沙星","Maxifloxacin","注射剂","限二线抗菌药物用药。",2017162466,"盐酸莫西沙星注射液","无","注射液","20ml:0.4g","支","1","安瓿","成都天台山制药有限公司",151,"修改（支付标准）","医药服务便函〔2021〕5号",162465]
[651,"x010202001000011","2","司帕沙星","Sparfloxacin","口服常释剂型","限二线抗菌药物用药。",201512302,"司帕沙星片","世保扶","薄膜衣片","0.15g","盒","6","铝塑","大同五洲通制药有限责任公司",25.03,"修改（支付标准）","医药服务便函〔2021〕5号",122540]
[652,"x010203001010068","1","甲硝唑","Metronidazole","口服常释剂型","△",2015131042,"甲硝唑片","无","素片","0.2g","盒","100","铝箔","远大医药(中国)有限公司",5.07,"修改（支付标准）","医药服务便函〔2021〕5号",131046]
[653,"x010204001060009","1","呋喃唑酮","Furazolidone","口服常释剂型","",2015161943,"呋喃唑酮片","无","素片","0.1g","瓶","100","塑料瓶","山西汾河制药有限公司",8.35,"修改（支付标准）","医药服务便函〔2021〕5号",161936]
[654,"x010301001070021","1","吡嗪酰胺","Pyrazinamide","口服常释剂型","",2015126386,"吡嗪酰胺片","无","素片","0.5g","瓶","100","塑料瓶","四川省长征药业股份有限公司",32.5,"修改（支付标准）","医药服务便函〔2021〕5号",126385]
[655,"x010301001120023","1","乙胺丁醇","Ethambutol","口服常释剂型","",2015160372,"盐酸乙胺丁醇片","无","素片","0.25g","瓶","100","塑料瓶","吉林恒金药业股份有限公司",14.82,"修改（支付标准）","医药服务便函〔2021〕5号",160365]
[656,"x010301001180003","2","帕司烟肼（对氨基水杨酸异烟肼）","Pasiniazid","口服常释剂型","",20156031,"对氨基水杨酸异烟肼片","无","薄膜衣片","0.1g","瓶","100","塑料瓶","辽宁倍奇药业有限公司",18.1,"修改（支付标准）","医药服务便函〔2021〕5号",126979]
[657,"x010401201300038","1","氟康唑","Fluconazol","口服常释剂型","",2015107384,"氟康唑胶囊","无","硬胶囊剂","0.15g","盒","3","双铝","国药集团广东环球制药有限公司",2.16,"修改（支付标准）","医药服务便函〔2021〕5号",107387]
[658,"x010401201300048","1","氟康唑","Fluconazol","口服常释剂型","",2015107135,"氟康唑片","无","薄膜衣片","50mg","盒","6","铝箔","四川科伦药业股份有限公司",1.7,"修改（支付标准）","医药服务便函〔2021〕5号",107138]
[659,"x010401201310001","2","伏立康唑","Voriconazole","口服常释剂型","限三线抗菌药物用药。",201513462,"伏立康唑胶囊","无","硬胶囊剂","50mg","盒","8","铝箔","四川美大康华康药业有限公司",269.22,"修改（支付标准）","医药服务便函〔2021〕5号",107223]
[660,"x010401201310004","2","伏立康唑","Voriconazole","口服常释剂型","限三线抗菌药物用药。",20159056,"伏立康唑片","无","薄膜衣片","50mg","盒","10","铝塑","北京博康健基因科技有限公司",119.88,"修改（支付标准）","医药服务便函〔2021〕5号",112936]
[661,"x010401201310005","2","伏立康唑","Voriconazole","口服常释剂型","限三线抗菌药物用药。",20159044,"伏立康唑片","无","薄膜衣片","50mg","盒","4","铝塑","成都泰合健康科技集团股份有限公司华神制药厂",150.57,"修改（支付标准）","医药服务便函〔2021〕5号",102650]
[662,"x010401201310006","2","伏立康唑","Voriconazole","口服常释剂型","限三线抗菌药物用药。",20159075,"伏立康唑片","威凡","薄膜衣片","0.2g","盒","10","铝箔","意大利Pfizer Italia S.r.l.",3156.93,"修改（支付标准）","医药服务便函〔2021〕5号",132268]
[663,"x010401201310007","2","伏立康唑","Voriconazole","口服常释剂型","限三线抗菌药物用药。",2017163519,"伏立康唑片","无","薄膜衣片","50mg","盒","10","铝铝","浙江华海药业股份有限公司",795.15,"修改（支付标准）","医药服务便函〔2021〕5号",163519]
[664,"x010401201310008","2","伏立康唑","Voriconazole","口服常释剂型","限三线抗菌药物用药。",2017163517,"伏立康唑片","无","薄膜衣片","0.2g","盒","10","铝铝","浙江华海药业股份有限公司",2396.07,"修改（支付标准）","医药服务便函〔2021〕5号",163517]
[665,"x010401201312003","2","伏立康唑","Voriconazole","注射剂","限重症真菌感染的三线抗菌药物用药。",201510401,"注射用伏立康唑","无","冻干粉针剂","0.2g","瓶","1","玻璃瓶","晋城海斯制药有限公司",286.87,"修改（支付标准）","医药服务便函〔2021〕5号",100822]
[666,"x010401201312004","2","伏立康唑","Voriconazole","注射剂","限重症真菌感染的三线抗菌药物用药。",201512624,"注射用伏立康唑","无","粉针剂","0.1g","瓶","1","玻璃瓶","丽珠集团丽珠制药厂",162.46,"修改（支付标准）","医药服务便函〔2021〕5号",105374]
[667,"x010401201312005","2","伏立康唑","Voriconazole","注射剂","限重症真菌感染的三线抗菌药物用药。",201512809,"注射用伏立康唑","无","粉针剂","0.1g","瓶","1","西林瓶","四川美大康华康药业有限公司",146.87,"修改（支付标准）","医药服务便函〔2021〕5号",107212]
[668,"x010401201312006","2","伏立康唑","Voriconazole","注射剂","限重症真菌感染的三线抗菌药物用药。",20158841,"注射用伏立康唑","威凡","冻干粉针剂","0.2g","支","1","玻璃瓶","美国Pharmacia & Upjohn Company",920.7,"修改（支付标准）","医药服务便函〔2021〕5号",132265]
[669,"x010401201312007","2","伏立康唑","Voriconazole","注射剂","限重症真菌感染的三线抗菌药物用药。",201510233,"注射用伏立康唑","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","珠海亿邦制药股份有限公司",92.01,"修改（支付标准）","医药服务便函〔2021〕5号",117596]
[670,"x010401201321001","2","伊曲康唑","Itraconazole","口服液体剂","限儿童或吞咽困难者的重症真菌感染三线抗菌药物用药。",20156949,"伊曲康唑口服液","斯皮仁诺","口服溶液剂","150ml:1.5g","瓶","1","玻璃瓶","比利时杨森制药公司Janssen Pharmaceutica N.V.",587.5,"修改（支付标准）","医药服务便函〔2021〕5号",131696]
[671,"x010401201322002","2","伊曲康唑","Itraconazole","注射剂","限重症真菌感染的三线抗菌药物用药。",20151085,"伊曲康唑注射液","斯皮仁诺","注射液","25ml:0.25g","盒","1","配溶媒","意大利GlaxoSmithKline Manufacturing S.p.A",807.19,"修改（支付标准）","医药服务便函〔2021〕5号",131690]
[672,"x010402001350001","2","两性霉素B脂质体","Amphotericin B Liposome","注射剂","限三线抗菌药物用药。",20156302,"注射用两性霉素B脂质体","锋克松","冻干粉针剂","10mg","瓶","1","玻璃瓶","上海上药新亚药业有限公司",116.62,"修改（支付标准）","医药服务便函〔2021〕5号",134046]
[673,"x010403001360001","2","卡泊芬净","Caspofungin","注射剂","限重度感染患者的三线抗菌药物用药或工伤保险。",201513463,"注射用醋酸卡泊芬净","科赛斯","冻干粉针剂","50mg","瓶","1","玻璃瓶","法国Laboratoires Merck Sharp & Dohme Chibret (Mirabel)",1499.97,"修改（支付标准）","医药服务便函〔2021〕5号",147467]
[674,"x010403001360002","2","卡泊芬净","Caspofungin","注射剂","限重度感染患者的三线抗菌药物用药或工伤保险。",201513464,"注射用醋酸卡泊芬净","科赛斯","冻干粉针剂","70mg","瓶","1","玻璃瓶","法国Laboratoires Merck Sharp & Dohme Chibret (Mirabel)",1943.27,"修改（支付标准）","医药服务便函〔2021〕5号",147409]
[675,"x010403001360003","2","卡泊芬净","Caspofungin","注射剂","限重度感染患者的三线抗菌药物用药或工伤保险。",2017162767,"注射用醋酸卡泊芬净","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","江苏恒瑞医药股份有限公司",839,"修改（支付标准）","医药服务便函〔2021〕5号",162766]
[676,"x010403001360004","2","卡泊芬净","Caspofungin","注射剂","限重度感染患者的三线抗菌药物用药或工伤保险。",2019165732,"注射用醋酸卡泊芬净","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","正大天晴药业集团股份有限公司",830,"修改（支付标准）","医药服务便函〔2021〕5号",165732]
[677,"x010403001360005","2","卡泊芬净","Caspofungin","注射剂","限重度感染患者的三线抗菌药物用药或工伤保险。",2019165733,"注射用醋酸卡泊芬净","无","冻干粉针剂","70mg","瓶","1","玻璃瓶","正大天晴药业集团股份有限公司",1368,"修改（支付标准）","医药服务便函〔2021〕5号",165733]
[678,"x010403001370001","2","米卡芬净","Micafungin","注射剂","限重度感染患者的三线抗菌药物用药或工伤保险。",201512714,"注射用米卡芬净钠","米开民","冻干粉针剂","50mg","瓶","1","玻璃瓶","日本Astellas Pharma Tech Co., Ltd. Takaoka Plant<安斯泰来制药(中国)有限公司>分包装",455.76,"修改（支付标准）","医药服务便函〔2021〕5号",147190]
[679,"x010403001370002","2","米卡芬净","Micafungin","注射剂","限重度感染患者的三线抗菌药物用药或工伤保险。",2018163352,"注射用米卡芬净钠","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","江苏豪森药业集团有限公司",324.9,"修改（支付标准）","医药服务便函〔2021〕5号",163352]
[680,"x010403001370003","2","米卡芬净","Micafungin","注射剂","限重度感染患者的三线抗菌药物用药或工伤保险。",2018163332,"注射用米卡芬净钠","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","浙江海正药业股份有限公司",334.9,"修改（支付标准）","医药服务便函〔2021〕5号",163332]
[681,"x010501001410068","1","利巴韦林","Ribavirin","口服常释剂型<br/>颗粒剂","",2015102615,"利巴韦林片","无","素片","20mg","瓶","100","塑料瓶","福州海王福药制药有限公司",4.52,"修改（支付标准）","医药服务便函〔2021〕5号",102620]
[682,"x010501001410070","1","利巴韦林","Ribavirin","口服常释剂型<br/>颗粒剂","",2015122462,"利巴韦林片","无","素片","20mg","盒","48","铝塑","白云山东泰商丘药业有限公司",2.18,"修改（支付标准）","医药服务便函〔2021〕5号",122459]
[683,"x010501001410072","1","利巴韦林","Ribavirin","口服常释剂型<br/>颗粒剂","",2015156293,"利巴韦林片","无","素片","20mg","瓶","100","塑料瓶","甘肃成纪生物药业有限公司",6.93,"修改（支付标准）","医药服务便函〔2021〕5号",156291]
[684,"x010501001440003","2","更昔洛韦","Ganciclovir","口服常释剂型","",2015105535,"更昔洛韦胶囊","丽科乐","硬胶囊剂","0.25g","瓶","12","塑料瓶","湖北科益药业股份有限公司",53.29,"修改（支付标准）","医药服务便函〔2021〕5号",105538]
[685,"x010501001440004","2","更昔洛韦","Ganciclovir","口服常释剂型","",2015105525,"更昔洛韦胶囊","丽科乐","硬胶囊剂","0.25g","瓶","6","塑料瓶","湖北科益药业股份有限公司",27.33,"修改（支付标准）","医药服务便函〔2021〕5号",105528]
[686,"x010502001450016","2","阿德福韦酯","Adefovir Dipivoxil","口服常释剂型","限活动性肝炎",2015161958,"阿德福韦酯胶囊","无","硬胶囊剂","10mg","盒","12","铝箔","湖南方盛制药股份有限公司",31.86,"修改（支付标准）","医药服务便函〔2021〕5号",161951]
[687,"x010502001450019","2","阿德福韦酯","Adefovir Dipivoxil","口服常释剂型","限活动性肝炎",2015116850,"阿德福韦酯片","粤宝","素片","10mg","瓶","7","塑料瓶","广东肇庆星湖生物科技股份有限公司星湖生化制药厂",21.98,"修改（支付标准）","医药服务便函〔2021〕5号",116853]
[688,"x010502001450020","2","阿德福韦酯","Adefovir Dipivoxil","口服常释剂型","限活动性肝炎",2015116855,"阿德福韦酯片","粤宝","素片","10mg","瓶","14","塑料瓶","广东肇庆星湖生物科技股份有限公司星湖生化制药厂",37.51,"修改（支付标准）","医药服务便函〔2021〕5号",116858]
[689,"x010502001450021","2","阿德福韦酯","Adefovir Dipivoxil","口服常释剂型","限活动性肝炎",2015116862,"阿德福韦酯片","粤宝","素片","10mg","瓶","28","塑料瓶","广东肇庆星湖生物科技股份有限公司星湖生化制药厂",43.19,"修改（支付标准）","医药服务便函〔2021〕5号",116865]
[690,"x010502001450022","2","阿德福韦酯","Adefovir Dipivoxil","口服常释剂型","限活动性肝炎",2015158808,"阿德福韦酯片","粤宝","素片","10mg","瓶","10","塑料瓶","广东肇庆星湖生物科技股份有限公司星湖生化制药厂",31,"修改（支付标准）","医药服务便函〔2021〕5号",158806]
[691,"x010502001490001","2","拉米夫定","Lamivudine","口服常释剂型","限活动性肝炎",2015102750,"拉米夫定片","贺普丁","薄膜衣片","0.1g","盒","14","铝塑","葛兰素史克制药(苏州)有限公司",128.3,"修改（支付标准）","医药服务便函〔2021〕5号",102755]
[692,"x010502001490004","2","拉米夫定","Lamivudine","口服常释剂型","限活动性肝炎",2015118532,"拉米夫定片","无","薄膜衣片","0.1g","盒","14","铝塑","湖南千金湘江药业股份有限公司",61.97,"修改（支付标准）","医药服务便函〔2021〕5号",118535]
[693,"x010502001490006","2","拉米夫定","Lamivudine","口服常释剂型","限活动性肝炎",2015121429,"拉米夫定片","无","薄膜衣片","0.1g","盒","7","铝塑","湖南千金湘江药业股份有限公司",34.88,"修改（支付标准）","医药服务便函〔2021〕5号",121426]
[694,"x010502001490007","2","拉米夫定","Lamivudine","口服常释剂型","限活动性肝炎",2015133797,"拉米夫定胶囊","无","硬胶囊剂","0.1g","盒","7","铝塑","北京福元医药股份有限公司",53.43,"修改（支付标准）","医药服务便函〔2021〕5号",133801]
[695,"x010502001490008","2","拉米夫定","Lamivudine","口服常释剂型","限活动性肝炎",2015133798,"拉米夫定胶囊","无","硬胶囊剂","0.1g","盒","14","铝塑","北京福元医药股份有限公司",104.11,"修改（支付标准）","医药服务便函〔2021〕5号",133802]
[696,"x010502001490010","2","拉米夫定","Lamivudine","口服常释剂型","限活动性肝炎",2015118787,"拉米夫定片","无","薄膜衣片","0.1g","盒","14","铝塑","中孚药业股份有限公司",54.32,"修改（支付标准）","医药服务便函〔2021〕5号",118790]
[697,"x010502001490011","2","拉米夫定","Lamivudine","口服常释剂型","限活动性肝炎",2015156242,"拉米夫定片","无","薄膜衣片","0.1g","盒","14","铝塑","印度Cipla Ltd.",51,"修改（支付标准）","医药服务便函〔2021〕5号",156240]
[698,"x010502001490012","2","拉米夫定","Lamivudine","口服常释剂型","限活动性肝炎",2015156245,"拉米夫定片","无","薄膜衣片","0.1g","盒","7","铝塑","印度Cipla Ltd.",26.5,"修改（支付标准）","医药服务便函〔2021〕5号",156243]
[699,"x010502001490013","2","拉米夫定","Lamivudine","口服常释剂型","限活动性肝炎",2015161578,"拉米夫定片","无","薄膜衣片","0.1g","盒","7","铝塑","中孚药业股份有限公司",27.86,"修改（支付标准）","医药服务便函〔2021〕5号",161571]
[700,"x010502001490014","2","拉米夫定","Lamivudine","口服常释剂型","限活动性肝炎",2015161804,"拉米夫定片","无","薄膜衣片","0.1g","盒","28","铝塑","中孚药业股份有限公司",105.92,"修改（支付标准）","医药服务便函〔2021〕5号",161797]
[701,"x010502001490016","2","拉米夫定","Lamivudine","口服常释剂型","限活动性肝炎",2015162377,"拉米夫定片","无","薄膜衣片","0.1g","盒","28","铝塑","湖南千金湘江药业股份有限公司",143.3,"修改（支付标准）","医药服务便函〔2021〕5号",162370]
[702,"x010502001510001","2","替比夫定","Telbivudin","口服常释剂型","限活动性肝炎",201512484,"替比夫定片","素比伏","薄膜衣片","0.6g","盒","7","铝塑","北京诺华制药有限公司",123.16,"修改（支付标准）","医药服务便函〔2021〕5号",131519]
[703,"x010503001520006","2","奥司他韦","Oseltamivir","口服常释剂型","限流感重症患者",2015135592,"磷酸奥司他韦胶囊","奥尔菲","硬胶囊剂","75mg","盒","2","铝塑","上海中西三维药业有限公司",29.9,"修改（支付标准）","医药服务便函〔2021〕5号",135589]
[704,"x01050407001d001","1","拉米夫定","Lamivudine","口服常释剂型","限艾滋病病毒感染",2015102750,"拉米夫定片","贺普丁","薄膜衣片","0.1g","盒","14","铝塑","葛兰素史克制药(苏州)有限公司",128.3,"修改（支付标准）","医药服务便函〔2021〕5号",102755]
[705,"x01050407001d005","1","拉米夫定","Lamivudine","口服常释剂型","限艾滋病病毒感染",2015118532,"拉米夫定片","无","薄膜衣片","0.1g","盒","14","铝塑","湖南千金湘江药业股份有限公司",61.97,"修改（支付标准）","医药服务便函〔2021〕5号",118535]
[706,"x01050407001d006","1","拉米夫定","Lamivudine","口服常释剂型","限艾滋病病毒感染",2015121429,"拉米夫定片","无","薄膜衣片","0.1g","盒","7","铝塑","湖南千金湘江药业股份有限公司",34.88,"修改（支付标准）","医药服务便函〔2021〕5号",121426]
[707,"x01050407001d007","1","拉米夫定","Lamivudine","口服常释剂型","限艾滋病病毒感染",2015133797,"拉米夫定胶囊","无","硬胶囊剂","0.1g","盒","7","铝塑","北京福元医药股份有限公司",53.43,"修改（支付标准）","医药服务便函〔2021〕5号",133801]
[708,"x01050407001d008","1","拉米夫定","Lamivudine","口服常释剂型","限艾滋病病毒感染",2015133798,"拉米夫定胶囊","无","硬胶囊剂","0.1g","盒","14","铝塑","北京福元医药股份有限公司",104.11,"修改（支付标准）","医药服务便函〔2021〕5号",133802]
[709,"x01050407001d010","1","拉米夫定","Lamivudine","口服常释剂型","限艾滋病病毒感染",2015118787,"拉米夫定片","无","薄膜衣片","0.1g","盒","14","铝塑","中孚药业股份有限公司",54.32,"修改（支付标准）","医药服务便函〔2021〕5号",118790]
[710,"x01050407001d011","1","拉米夫定","Lamivudine","口服常释剂型","限艾滋病病毒感染",2015156242,"拉米夫定片","无","薄膜衣片","0.1g","盒","14","铝塑","印度Cipla Ltd.",51,"修改（支付标准）","医药服务便函〔2021〕5号",156240]
[711,"x01050407001d012","1","拉米夫定","Lamivudine","口服常释剂型","限艾滋病病毒感染",2015156245,"拉米夫定片","无","薄膜衣片","0.1g","盒","7","铝塑","印度Cipla Ltd.",26.5,"修改（支付标准）","医药服务便函〔2021〕5号",156243]
[712,"x01050407001d013","1","拉米夫定","Lamivudine","口服常释剂型","限艾滋病病毒感染",2015161578,"拉米夫定片","无","薄膜衣片","0.1g","盒","7","铝塑","中孚药业股份有限公司",27.86,"修改（支付标准）","医药服务便函〔2021〕5号",161571]
[713,"x01050407001d014","1","拉米夫定","Lamivudine","口服常释剂型","限艾滋病病毒感染",2015161804,"拉米夫定片","无","薄膜衣片","0.1g","盒","28","铝塑","中孚药业股份有限公司",105.92,"修改（支付标准）","医药服务便函〔2021〕5号",161797]
[714,"x01050407001d016","1","拉米夫定","Lamivudine","口服常释剂型","限艾滋病病毒感染",2015162377,"拉米夫定片","无","薄膜衣片","0.1g","盒","28","铝塑","湖南千金湘江药业股份有限公司",143.3,"修改（支付标准）","医药服务便函〔2021〕5号",162370]
[715,"x010600001570007","1","小檗碱","Berberine","口服常释剂型","△",2015122597,"盐酸小檗碱片","无","糖衣片","0.1g","瓶","100","塑料瓶","山东鲁抗医药集团赛特有限责任公司",9.33,"修改（支付标准）","医药服务便函〔2021〕5号",122594]
[716,"x010600001590001","2","大蒜素","Garlicin","口服常释剂型","",20153370,"大蒜肠溶片","无","肠溶片","10mg","盒","24","铝箔","新疆天山制药工业有限公司",41.72,"修改（支付标准）","医药服务便函〔2021〕5号",126170]
[717,"x020300001760009","1","阿苯达唑","Albendazole","口服常释剂型","△",2015102722,"阿苯达唑胶囊","无","硬胶囊剂","0.1g","盒","10","铝塑","福州海王福药制药有限公司",3.04,"修改（支付标准）","医药服务便函〔2021〕5号",102727]
[718,"x020300001760011","1","阿苯达唑","Albendazole","口服常释剂型","△",2015161247,"阿苯达唑胶囊","无","硬胶囊剂","0.2g","盒","10","铝塑","福州海王福药制药有限公司",5.15,"修改（支付标准）","医药服务便函〔2021〕5号",161240]
[719,"x020300001800002","2","左旋咪唑","Levamisole","口服常释剂型","",2015143157,"盐酸左旋咪唑片","无","素片","25mg","瓶","100","塑料瓶","浙江瑞新药业股份有限公司",9.52,"修改（支付标准）","医药服务便函〔2021〕5号",143159]
[720,"x020300001800003","2","左旋咪唑","Levamisole","口服常释剂型","",2015116932,"盐酸左旋咪唑片","无","素片","25mg","瓶","1000","高密度聚乙烯","桂林南药股份有限公司",14,"修改（支付标准）","医药服务便函〔2021〕5号",116935]
[721,"x020300001800004","2","左旋咪唑","Levamisole","口服常释剂型","",2015147112,"盐酸左旋咪唑片","无","素片","25mg","瓶","1000","塑料瓶","广东南国药业有限公司",26.36,"修改（支付标准）","医药服务便函〔2021〕5号",147111]
[722,"x020300001800005","2","左旋咪唑","Levamisole","口服常释剂型","",2015112428,"盐酸左旋咪唑片","无","素片","25mg","瓶","100","塑料瓶","广东南国药业有限公司",4.91,"修改（支付标准）","医药服务便函〔2021〕5号",112426]
[723,"x020300001800006","2","左旋咪唑","Levamisole","口服常释剂型","",2015103063,"盐酸左旋咪唑片","无","素片","25mg","瓶","100","塑料瓶","南京白敬宇制药有限责任公司",2.26,"修改（支付标准）","医药服务便函〔2021〕5号",103068]
[724,"x020300001800009","2","左旋咪唑","Levamisole","口服常释剂型","",2015108732,"盐酸左旋咪唑片","无","素片","25mg","瓶","100","塑料瓶","仁和堂药业有限公司",1.17,"修改（支付标准）","医药服务便函〔2021〕5号",108735]
[725,"x020300001800011","2","左旋咪唑","Levamisole","口服常释剂型","",2015124770,"盐酸左旋咪唑片","无","素片","25mg","瓶","100","塑料瓶","云鹏医药集团有限公司",3.78,"修改（支付标准）","医药服务便函〔2021〕5号",124767]
[726,"x030101001860006","1","布洛芬","Ibuprofen","口服常释剂型","△",2015111929,"布洛芬片","无","糖衣片","0.1g","瓶","100","塑料瓶","天方药业有限公司",2.64,"修改（支付标准）","医药服务便函〔2021〕5号",111927]
[727,"x030101001860042","1","布洛芬","Ibuprofen","口服常释剂型","△",2015155987,"布洛芬片","无","薄膜衣片","0.2g","瓶","1000","塑料瓶","山东新华制药股份有限公司",75.58,"修改（支付标准）","医药服务便函〔2021〕5号",155985]
[728,"x030101001861037","2","布洛芬","Ibuprofen","口服液体剂 缓释控释剂型 颗粒剂","△",2015139624,"布洛芬混悬液","恬倩","口服混悬剂","30ml:0.6g","盒","4","塑料瓶","扬州市三药制药有限公司",11.28,"修改（支付标准）","医药服务便函〔2021〕5号",139621]
[729,"x030101001861039","2","布洛芬","Ibuprofen","口服液体剂 缓释控释剂型 颗粒剂","△",2015139625,"布洛芬混悬液","恬倩","口服混悬剂","60ml:1.2g","瓶","1","塑料瓶","扬州市三药制药有限公司",4.04,"修改（支付标准）","医药服务便函〔2021〕5号",139622]
[730,"x030101001870048","1","对乙酰氨基酚","Paracetamol","口服常释剂型\n颗粒剂","△",2015137444,"对乙酰氨基酚片","无","素片","0.5g","听","1000","塑料瓶","上海新黄河制药有限公司",110.5,"修改（支付标准）","医药服务便函〔2021〕5号",137441]
[731,"x030101001871013","2","对乙酰氨基酚","Paracetamol","缓释控释剂型\n口服液体剂","△",2015105043,"对乙酰氨基酚滴剂","百服咛","滴剂","15ml:1.5g","盒","1","塑料瓶","中美上海施贵宝制药有限公司",8.69,"修改（支付标准）","医药服务便函〔2021〕5号",105046]
[732,"x030101001871022","2","对乙酰氨基酚","Paracetamol","缓释控释剂型 口服液体剂","△",2015116115,"对乙酰氨基酚口服溶液","无","口服溶液剂","100ml:3.2g(3.2%)","瓶","1","塑料瓶","湖北唯森制药有限公司",12.17,"修改（支付标准）","医药服务便函〔2021〕5号",116118]
[733,"x030101001880026","1","双氯芬酸","Diclofenac","口服常释剂型\n缓释控释剂型","△",2015128743,"双氯芬酸钠缓释片(Ⅳ)","迪克乐克","缓释片","75mg","盒","10","铝塑","山德士(中国)制药有限公司",18.06,"修改（支付标准）","医药服务便函〔2021〕5号",128742]
[734,"x030101001880052","1","双氯芬酸","Diclofenac","口服常释剂型 缓释控释剂型","△",2015138767,"双氯芬酸钾片","无","薄膜衣片","25mg","盒","24","铝箔","广东安诺药业股份有限公司",6.64,"修改（支付标准）","医药服务便函〔2021〕5号",138764]
[735,"x030101001880063","1","双氯芬酸","Diclofenac","口服常释剂型 缓释控释剂型","△",2015160475,"双氯芬酸钠肠溶片","无","肠溶片","25mg","盒","36","铝箔","成都第一制药有限公司",1.69,"修改（支付标准）","医药服务便函〔2021〕5号",160468]
[736,"x030101001880077","1","双氯芬酸","Diclofenac","口服常释剂型 缓释控释剂型","△",2015148976,"双氯芬酸钠缓释片","路林","缓释片","0.1g","盒","24","铝箔","四川华新制药有限公司",41.13,"修改（支付标准）","医药服务便函〔2021〕5号",148975]
[737,"x030101001880079","1","双氯芬酸","Diclofenac","口服常释剂型 缓释控释剂型","△",2015157814,"双氯芬酸钠缓释片","无","缓释片","0.1g","盒","12","铝塑","沈阳药大雷允上药业有限责任公司",4.21,"修改（支付标准）","医药服务便函〔2021〕5号",157812]
[738,"x030101001891014","2","吲哚美辛","Indometacin","口服常释剂型 缓释控释剂型 缓控释颗粒剂","",2015135553,"吲哚美辛胶囊","无","硬胶囊剂","25mg","瓶","100","塑料瓶","苏州第三制药厂有限责任公司",18.36,"修改（支付标准）","医药服务便函〔2021〕5号",135550]
[739,"x030101001900028","2","安乃近","Metamizole","口服常释剂型","",2015160926,"安乃近片","无","素片","0.5g","瓶","1000","塑料瓶","四川峨嵋山药业有限公司",70.2,"修改（支付标准）","医药服务便函〔2021〕5号",160919]
[740,"x030101001930001","2","氟比洛芬酯","Flurbiprofen Axetil","注射剂","限术后镇痛和工伤保险",20157385,"氟比洛芬酯注射液","凯纷","注射液","5ml:50mg","支","1","安瓿","北京泰德制药股份有限公司",21.88,"修改（支付标准）","医药服务便函〔2021〕5号",115383]
[741,"x030101001930002","2","氟比洛芬酯","Flurbiprofen Axetil","注射剂","限术后镇痛和工伤保险",2017163273,"氟比洛芬酯注射液","无","注射液","5ml:50mg","支","1","安瓿","武汉大安制药有限公司",21.95,"修改（支付标准）","医药服务便函〔2021〕5号",163273]
[742,"x030101001950002","2","复方对乙酰氨基酚","Compound Paracetamol","口服常释剂型","△",2015127912,"复方对乙酰氨基酚片","无","素片","对乙酰氨基酚0.126g,阿司匹林0.23g,咖啡因30mg","瓶","100","塑料瓶","浙江康乐药业股份有限公司",20.55,"修改（支付标准）","医药服务便函〔2021〕5号",127911]
[743,"x030101001950008","2","复方对乙酰氨基酚","Compound Paracetamol","口服常释剂型","△",2015151834,"复方对乙酰氨基酚片","无","素片","对乙酰氨基酚0.126g,阿司匹林0.23g,咖啡因30mg","盒","24","铝塑","浙江康乐药业股份有限公司",8.61,"修改（支付标准）","医药服务便函〔2021〕5号",151837]
[744,"x030101001960003","2","精氨酸布洛芬","Ibuprofen Arginine","颗粒剂 口服散剂","",2015107183,"精氨酸布洛芬颗粒","无","颗粒剂","0.4g","盒","10","复合膜","华润三九(唐山)药业有限公司",24.32,"修改（支付标准）","医药服务便函〔2021〕5号",107186]
[745,"x030101001980003","2","氯诺昔康","Lornoxicam","注射剂","",2015147417,"注射用氯诺昔康","可塞风","冻干粉针剂","8mg(实装氯诺昔康8.6mg)","盒","1","配溶媒","德国Wasserburger Arzneimittelwerke",18.03,"修改（支付标准）","医药服务便函〔2021〕5号",147416]
[746,"x030101002020014","2","萘普生","Naproxen","口服常释剂型 缓释控释剂型","△",2015147756,"萘普生分散片","步生","分散片","0.25g","盒","10","铝塑","浙江经纬药业有限公司",3.45,"修改（支付标准）","医药服务便函〔2021〕5号",147755]
[747,"x030101002020023","2","萘普生","Naproxen","口服常释剂型 缓释控释剂型","△",2015154791,"萘普生胶囊","无","硬胶囊剂","0.125g","盒","24","铝箔","吉林显锋科技制药有限公司",2.47,"修改（支付标准）","医药服务便函〔2021〕5号",154794]
[748,"x030101002020025","2","萘普生","Naproxen","口服常释剂型 缓释控释剂型","△",2015160851,"萘普生胶囊","无","硬胶囊剂","0.25g","盒","12","铝箔","吉林金恒制药股份有限公司",2.42,"修改（支付标准）","医药服务便函〔2021〕5号",160844]
[749,"x030101002050001","2","丹皮酚","Paeonol","注射剂","",201510780,"丹皮酚磺酸钠注射液","无","注射液","2ml:0.1g","支","1","安瓿","金陵药业股份有限公司南京金陵制药厂",30.66,"修改（支付标准）","医药服务便函〔2021〕5号",140167]
[750,"x030101002060001","2","右旋布洛芬","Dexibuprofen","栓剂","",201511120,"右旋布洛芬栓","同泽安","栓剂","50mg","盒","6","复合膜","山西迈迪制药有限公司",20.97,"修改（支付标准）","医药服务便函〔2021〕5号",123115]
[751,"x030101002070001","2","二氟尼柳","Diflunisal","口服常释剂型","",20159616,"二氟尼柳分散片","无","分散片","0.25g","盒","12","铝塑","山东罗欣药业集团股份有限公司",40.76,"修改（支付标准）","医药服务便函〔2021〕5号",117450]
[752,"x030101002070004","2","二氟尼柳","Diflunisal","口服常释剂型","",20155544,"二氟尼柳片","宁湖舒欣","薄膜衣片","0.25g","盒","12","铝箔","浙江莎普爱思药业股份有限公司",27.03,"修改（支付标准）","医药服务便函〔2021〕5号",102914]
[753,"x030101002070005","2","二氟尼柳","Diflunisal","口服常释剂型","",20154614,"二氟尼柳胶囊","无","硬胶囊剂","0.25g","盒","6","铝塑","浙江远力健药业有限责任公司",16.55,"修改（支付标准）","医药服务便函〔2021〕5号",139020]
[754,"x030101002070006","2","二氟尼柳","Diflunisal","口服常释剂型","",20155543,"二氟尼柳片","宁湖舒欣","薄膜衣片","0.25g","盒","6","铝箔","浙江莎普爱思药业股份有限公司",13.68,"修改（支付标准）","医药服务便函〔2021〕5号",102909]
[755,"x030101002070007","2","二氟尼柳","Diflunisal","口服常释剂型","",2015162296,"二氟尼柳胶囊","无","硬胶囊剂","0.25g","盒","12","铝塑","浙江远力健药业有限责任公司",30.04,"修改（支付标准）","医药服务便函〔2021〕5号",162289]
[756,"x030101002070008","2","二氟尼柳","Diflunisal","口服常释剂型","",20154922,"二氟尼柳片","优尼森","薄膜衣片","0.25g","盒","12","铝箔","郑州泰丰制药有限公司",25.54,"修改（支付标准）","医药服务便函〔2021〕5号",116994]
[757,"x030102002090001","2","帕瑞昔布","Parecoxib","注射剂","限术后镇痛和工伤保险",201511561,"注射用帕瑞昔布钠","特耐","冻干粉针剂","40mg","瓶","1","玻璃瓶","美国Pharmacia & Upjohn Company<辉瑞制药有限公司>分包装",110.48,"修改（支付标准）","医药服务便函〔2021〕5号",127769]
[758,"x030102002090002","2","帕瑞昔布","Parecoxib","注射剂","限术后镇痛和工伤保险",2018163029,"注射用帕瑞昔布钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","湖南科伦制药有限公司",68.83,"修改（支付标准）","医药服务便函〔2021〕5号",163029]
[759,"x030102002090003","2","帕瑞昔布","Parecoxib","注射剂","限术后镇痛和工伤保险",2018163380,"注射用帕瑞昔布钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","齐鲁制药有限公司",68,"修改（支付标准）","医药服务便函〔2021〕5号",163380]
[760,"x030102002090004","2","帕瑞昔布","Parecoxib","注射剂","限术后镇痛和工伤保险",2019165838,"注射用帕瑞昔布钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","成都苑东生物制药股份有限公司",59.5,"修改（支付标准）","医药服务便函〔2021〕5号",165838]
[761,"x030102002090005","2","帕瑞昔布","Parecoxib","注射剂","限术后镇痛和工伤保险",2019165351,"注射用帕瑞昔布钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","江苏恒瑞医药股份有限公司",61,"修改（支付标准）","医药服务便函〔2021〕5号",165351]
[762,"x030102002090006","2","帕瑞昔布","Parecoxib","注射剂","限术后镇痛和工伤保险",2019165136,"注射用帕瑞昔布钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","南京正大天晴制药有限公司",44.4,"修改（支付标准）","医药服务便函〔2021〕5号",165136]
[763,"x030102002090007","2","帕瑞昔布","Parecoxib","注射剂","限术后镇痛和工伤保险",2019165179,"注射用帕瑞昔布钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","浙江海正药业股份有限公司",77.37,"修改（支付标准）","医药服务便函〔2021〕5号",165179]
[764,"x030102002090008","2","帕瑞昔布","Parecoxib","注射剂","限术后镇痛和工伤保险",2019165064,"注射用帕瑞昔布钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","正大天晴药业集团股份有限公司",59.11,"修改（支付标准）","医药服务便函〔2021〕5号",165064]
[765,"x030103002120002","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015132297,"盐酸氨基葡萄糖胶囊","奥泰灵","硬胶囊剂","0.75g","盒","20","铝塑","香港澳美制药厂（<澳美制药(海南)有限公司>分包装)",36.11,"修改（支付标准）","医药服务便函〔2021〕5号",132301]
[766,"x030103002120004","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015137545,"盐酸氨基葡萄糖胶囊","葡立","硬胶囊剂","0.24g","瓶","24","塑料瓶","北京葡立药业有限公司",25.2,"修改（支付标准）","医药服务便函〔2021〕5号",137542]
[767,"x030103002120005","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015137546,"盐酸氨基葡萄糖片","步迈新","素片","0.24g","瓶","28","塑料瓶","四川新斯顿制药股份有限公司",24.26,"修改（支付标准）","医药服务便函〔2021〕5号",137543]
[768,"x030103002120006","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015137762,"盐酸氨基葡萄糖片","九力","薄膜衣片","0.75g","瓶","30","塑料瓶","江苏正大清江制药有限公司",85.08,"修改（支付标准）","医药服务便函〔2021〕5号",137759]
[769,"x030103002120007","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015137778,"盐酸氨基葡萄糖片","九力","薄膜衣片","0.75g","盒","12","铝塑","江苏正大清江制药有限公司",34.79,"修改（支付标准）","医药服务便函〔2021〕5号",137775]
[770,"x030103002120008","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015102544,"盐酸氨基葡萄糖片","无","素片","0.24g","盒","30","铝箔","四川绿叶制药股份有限公司",33.2,"修改（支付标准）","医药服务便函〔2021〕5号",102549]
[771,"x030103002120010","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015143766,"硫酸氨基葡萄糖胶囊","伊索佳","硬胶囊剂","0.314g(相当于硫酸氨基葡萄糖0.25g)","盒","12","铝塑","浙江海正药业股份有限公司",22.29,"修改（支付标准）","医药服务便函〔2021〕5号",143768]
[772,"x030103002120011","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015143767,"硫酸氨基葡萄糖胶囊","伊索佳","硬胶囊剂","0.314g(相当于硫酸氨基葡萄糖0.25g)","盒","24","铝塑","浙江海正药业股份有限公司",9.18,"修改（支付标准）","医药服务便函〔2021〕5号",143769]
[773,"x030103002120012","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015147449,"硫酸氨基葡萄糖胶囊","无","硬胶囊剂","0.314g(相当于硫酸氨基葡萄糖0.25g)","瓶","30","塑料瓶","台湾永信药品工业股份有限公司台中幼狮厂",45.61,"修改（支付标准）","医药服务便函〔2021〕5号",147448]
[774,"x030103002120013","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015152863,"盐酸氨基葡萄糖胶囊","维尔固","硬胶囊剂","0.24g","瓶","42","塑料瓶","浙江诚意药业股份有限公司",30.5,"修改（支付标准）","医药服务便函〔2021〕5号",152866]
[775,"x030103002120014","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015152868,"盐酸氨基葡萄糖胶囊","维尔固","硬胶囊剂","0.24g","盒","40","铝塑","浙江诚意药业股份有限公司",30.5,"修改（支付标准）","医药服务便函〔2021〕5号",152871]
[776,"x030103002120015","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015152869,"盐酸氨基葡萄糖胶囊","维尔固","硬胶囊剂","0.24g","瓶","90","塑料瓶","浙江诚意药业股份有限公司",63.56,"修改（支付标准）","医药服务便函〔2021〕5号",152872]
[777,"x030103002120016","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015159387,"盐酸氨基葡萄糖片","九力","薄膜衣片","0.75g","盒","18","铝塑","江苏正大清江制药有限公司",52.01,"修改（支付标准）","医药服务便函〔2021〕5号",159385]
[778,"x030103002120017","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015137547,"盐酸氨基葡萄糖片","步迈新","素片","0.24g","瓶","42","塑料瓶","四川新斯顿制药股份有限公司",36.39,"修改（支付标准）","医药服务便函〔2021〕5号",137544]
[779,"x030103002120018","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015152088,"盐酸氨基葡萄糖片","步迈新","素片","0.24g","瓶","60","塑料瓶","四川新斯顿制药股份有限公司",51.99,"修改（支付标准）","医药服务便函〔2021〕5号",152091]
[780,"x030103002120019","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015110781,"硫酸氨基葡萄糖钾胶囊","留普安","硬胶囊剂","0.25g(以硫酸氨基葡萄糖计)","盒","20","铝塑","山西康宝生物制品股份有限公司",32.15,"修改（支付标准）","医药服务便函〔2021〕5号",110779]
[781,"x030103002120020","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015162384,"盐酸氨基葡萄糖胶囊","维尔固","硬胶囊剂","0.24g","瓶","180","塑料瓶","浙江诚意药业股份有限公司",144.59,"修改（支付标准）","医药服务便函〔2021〕5号",162377]
[782,"x030103002120021","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015130826,"盐酸氨基葡萄糖胶囊","维尔固","硬胶囊剂","0.24g","盒","20","铝塑","浙江诚意药业股份有限公司",15.07,"修改（支付标准）","医药服务便函〔2021〕5号",130830]
[783,"x030103002120022","2","氨基葡萄糖","Glucosamine","口服常释剂型","△",2015110776,"硫酸氨基葡萄糖钾片","留普安","素片","0.25g(以硫酸氨基葡萄糖计)","盒","20","铝塑","山西康宝生物制品股份有限公司",33.59,"修改（支付标准）","医药服务便函〔2021〕5号",110774]
[784,"x030103002170003","2","辣椒碱","Capsaicin","软膏剂","△",201510978,"辣椒碱软膏","无","软膏剂","30g:22.5mg","支","1","铝管","福建省力菲克药业有限公司",41.74,"修改（支付标准）","医药服务便函〔2021〕5号",132971]
[785,"x03010307032d001","2","氨酚伪麻那敏","","片剂","△",201518758,"氨酚伪麻那敏片(Ⅱ)","海王银得菲","薄膜衣片","对乙酰氨基酚0.325g、盐酸伪麻黄碱30mg、马来酸氯苯那敏2mg","盒","10","铝塑","深圳海王药业有限公司",4.61,"修改（支付标准）","医药服务便函〔2021〕5号",100520]
[786,"x03010307032d002","2","氨酚伪麻那敏","","片剂","△",20154952,"氨酚伪麻那敏分散片(Ⅲ)","无","分散片","对乙酰氨基酚80mg、盐酸伪麻黄碱7.5mg、马来酸氯苯那敏0.5mg","盒","12","铝塑","山西皇城相府药业股份有限公司",10.23,"修改（支付标准）","医药服务便函〔2021〕5号",127375]
[787,"x03010307032d003","2","氨酚伪麻那敏","","片剂","△",20152569,"氨酚伪麻那敏分散片(Ⅲ)","无","分散片","对乙酰氨基酚80mg、盐酸伪麻黄碱7.5mg、马来酸氯苯那敏0.5mg","盒","24","铝塑","山西皇城相府药业股份有限公司",19.94,"修改（支付标准）","医药服务便函〔2021〕5号",127381]
[788,"x03010307032d004","2","氨酚伪麻那敏","","片剂","△",2015161927,"氨酚伪麻那敏片(Ⅱ)","海王银得菲","薄膜衣片","对乙酰氨基酚0.325g、盐酸伪麻黄碱30mg、马来酸氯苯那敏2mg","盒","24","铝塑","深圳海王药业有限公司",11.07,"修改（支付标准）","医药服务便函〔2021〕5号",161920]
[789,"x03010307039d004","2","氨咖愈敏","","溶液","△",20153253,"氨咖愈敏溶液","无","口服溶液剂","60ml","瓶","1","玻璃瓶","杭州娃哈哈医药保健品有限公司",6.06,"修改（支付标准）","医药服务便函〔2021〕5号",135809]
[790,"x03010307040d001","2","贝敏伪麻","","片剂","△",20155017,"贝敏伪麻片","备疏","素片","复方","盒","12","铝箔","地奥集团成都药业股份有限公司",11.83,"修改（支付标准）","医药服务便函〔2021〕5号",138695]
[791,"x03010307046d001","2","酚咖","","片剂","△",20153588,"酚咖片","加合百服宁","薄膜衣片","对乙酰氨基酚0.5g,咖啡因65mg","盒","10","铝塑","中美上海施贵宝制药有限公司",5.4,"修改（支付标准）","医药服务便函〔2021〕5号",105155]
[792,"x03010307047d002","2","酚麻美敏","","片剂","△",2015136502,"酚麻美敏片","泰诺","薄膜衣片","对乙酰氨基酚0.325g,盐酸伪麻黄碱30mg,氢溴酸右美沙芬15mg,马来酸氯苯那敏2mg","盒","20","铝箔","上海强生制药有限公司",13.47,"修改（支付标准）","医药服务便函〔2021〕5号",136499]
[793,"x03010307066d001","2","复方氢溴酸右美沙芬","","糖浆","△",2015143251,"复方氢溴酸右美沙芬糖浆","无","糖浆剂","100ml(每10ml内含氢溴酸右美沙芬30mg,愈创木酚甘油醚0.2g)","瓶","1","塑料瓶","湖北凤凰白云山药业有限公司",20.88,"修改（支付标准）","医药服务便函〔2021〕5号",143253]
[794,"x03010307068d003","2","复方锌布","","颗粒剂","△",20157084,"复方锌布颗粒","无","颗粒剂","葡萄糖酸锌0.1g,布洛芬0.15g,马来酸氯苯那敏2mg","盒","12","复合膜","海南先声药业有限公司",5.88,"修改（支付标准）","医药服务便函〔2021〕5号",123315]
[795,"x03010307069d002","2","复方盐酸伪麻黄碱","","缓释胶囊","△",2015160849,"复方盐酸伪麻黄碱缓释胶囊","无","缓释胶囊","盐酸伪麻黄碱90mg,马来酸氯苯那敏4mg","盒","8","铝箔","中美天津史克制药有限公司",7.78,"修改（支付标准）","医药服务便函〔2021〕5号",160842]
[796,"x03010307071d003","2","复方愈创木酚磺酸钾","","口服溶液","△",2015141391,"复方愈创木酚磺酸钾口服溶液","无","口服溶液剂","100ml","瓶","1","塑料瓶","杏辉天力(杭州)药业有限公司",4.58,"修改（支付标准）","医药服务便函〔2021〕5号",141393]
[797,"x03010307071d004","2","复方愈创木酚磺酸钾","","口服溶液","△",2015112715,"复方愈创木酚磺酸钾口服溶液","无","口服溶液剂","100ml","瓶","1","塑料瓶","广东南国药业有限公司",6.99,"修改（支付标准）","医药服务便函〔2021〕5号",112713]
[798,"x03010307071d005","2","复方愈创木酚磺酸钾","","口服溶液","△",2015133418,"复方愈创木酚磺酸钾口服溶液","无","口服溶液剂","100ml","瓶","1","塑料瓶","江苏四环生物制药有限公司",2.34,"修改（支付标准）","医药服务便函〔2021〕5号",133422]
[799,"x03010307071d006","2","复方愈创木酚磺酸钾","","口服溶液","△",2015134683,"复方愈创木酚磺酸钾口服溶液","无","口服溶液剂","100ml","瓶","1","塑料瓶","福州海王金象中药制药有限公司",8.04,"修改（支付标准）","医药服务便函〔2021〕5号",134687]
[800,"x03010307071d007","2","复方愈创木酚磺酸钾","","口服溶液","△",2015143249,"复方愈创木酚磺酸钾口服溶液","无","口服溶液剂","100ml","瓶","1","塑料瓶","武汉康乐药业股份有限公司",2.64,"修改（支付标准）","医药服务便函〔2021〕5号",143251]
[801,"x03010307071d010","2","复方愈创木酚磺酸钾","","口服溶液","△",2015160515,"复方愈创木酚磺酸钾口服溶液","无","口服溶液剂","100ml","瓶","1","塑料瓶","广州白云山星群(药业)股份有限公司",6.08,"修改（支付标准）","医药服务便函〔2021〕5号",160508]
[802,"x03010307071d011","2","复方愈创木酚磺酸钾","","口服溶液","△",2015133419,"复方愈创木酚磺酸钾口服溶液","无","口服溶液剂","120ml","瓶","1","塑料瓶","福元药业有限公司",7.15,"修改（支付标准）","医药服务便函〔2021〕5号",133423]
[803,"x03010307071d012","2","复方愈创木酚磺酸钾","","口服溶液","△",2015134684,"复方愈创木酚磺酸钾口服溶液","无","口服溶液剂","2000ml","瓶","1","塑料瓶","福州海王金象中药制药有限公司",21.29,"修改（支付标准）","医药服务便函〔2021〕5号",134688]
[804,"x03010307071d013","2","复方愈创木酚磺酸钾","","口服溶液","△",2015100672,"复方愈创木酚磺酸钾口服溶液","无","口服溶液剂","2500ml","瓶","1","空","广东邦民制药厂有限公司",24.34,"修改（支付标准）","医药服务便函〔2021〕5号",100677]
[805,"x03010307078d001","2","美敏伪麻","","口服液","△",2015137638,"美敏伪麻口服溶液","惠菲宁","口服溶液剂","100ml(每ml含盐酸伪麻黄碱6mg,氢溴酸右美沙芬2mg,马来酸氯苯那敏0.4mg)","瓶","1","塑料瓶","惠氏制药有限公司",12.86,"修改（支付标准）","医药服务便函〔2021〕5号",137635]
[806,"x03010307078d002","2","美敏伪麻","","口服液","△",2015107565,"美敏伪麻口服溶液","无","口服溶液剂","100ml(每ml含盐酸伪麻黄碱3mg,氢溴酸右美沙芬1mg,马来酸氯苯那敏0.2mg)","瓶","1","塑料瓶","天大药业(珠海)有限公司",11.72,"修改（支付标准）","医药服务便函〔2021〕5号",107568]
[807,"x03010307078d003","2","美敏伪麻","","口服液","△",2015137637,"美敏伪麻口服溶液","惠菲宁","口服溶液剂","100ml(每ml含盐酸伪麻黄碱3mg,氢溴酸右美沙芬1mg,马来酸氯苯那敏0.2mg)","瓶","1","塑料瓶","惠氏制药有限公司",12.3,"修改（支付标准）","医药服务便函〔2021〕5号",137634]
[808,"x03010307078d004","2","美敏伪麻","","口服液","△",2015147015,"美敏伪麻口服溶液","无","口服溶液剂","100ml(每ml含盐酸伪麻黄碱3mg,氢溴酸右美沙芬1mg,马来酸氯苯那敏0.2mg)","瓶","1","塑料瓶","四川宝鉴堂药业有限公司",10.6,"修改（支付标准）","医药服务便函〔2021〕5号",147014]
[809,"x03010307107d001","2","复方对乙酰氨基酚(Ⅱ)","","片剂","△",2015116596,"复方对乙酰氨基酚片(Ⅱ)","散利痛","素片","对乙酰氨基0.25g,异丙安替比林0.15g,无水咖啡因50mg","盒","10","铝塑","拜耳医药保健有限公司",5.79,"修改（支付标准）","医药服务便函〔2021〕5号",116599]
[810,"x03010307107d002","2","复方对乙酰氨基酚(Ⅱ)","","片剂","△",2015116604,"复方对乙酰氨基酚片(Ⅱ)","散利痛","素片","对乙酰氨基0.25g,异丙安替比林0.15g,无水咖啡因50mg","盒","20","铝塑","拜耳医药保健有限公司",11.28,"修改（支付标准）","医药服务便函〔2021〕5号",116607]
[811,"x03010307107d003","2","复方对乙酰氨基酚(Ⅱ)","","片剂","△",2015104812,"复方对乙酰氨基酚片(Ⅱ)","无","素片","对乙酰氨基0.25g,异丙安替比林0.15g,无水咖啡因50mg","盒","10","铝箔","重庆科瑞制药(集团)有限公司",5.65,"修改（支付标准）","医药服务便函〔2021〕5号",104817]
[812,"x03010307107d004","2","复方对乙酰氨基酚(Ⅱ)","","片剂","△",2015151572,"复方对乙酰氨基酚片(Ⅱ)","无","素片","对乙酰氨基0.25g,异丙安替比林0.15g,无水咖啡因50mg","盒","10","铝塑","石药集团欧意药业有限公司",7.23,"修改（支付标准）","医药服务便函〔2021〕5号",151575]
[813,"x03010307107d005","2","复方对乙酰氨基酚(Ⅱ)","","片剂","△",2015151573,"复方对乙酰氨基酚片(Ⅱ)","无","素片","对乙酰氨基0.25g,异丙安替比林0.15g,无水咖啡因50mg","盒","20","铝塑","石药集团欧意药业有限公司",21.62,"修改（支付标准）","医药服务便函〔2021〕5号",151576]
[814,"x03010307107d006","2","复方对乙酰氨基酚(Ⅱ)","","片剂","△",2015157225,"复方对乙酰氨基酚片(Ⅱ)","散列通","素片","对乙酰氨基0.25g,异丙安替比林0.15g,无水咖啡因50mg","盒","20","铝塑","西南药业股份有限公司",11.59,"修改（支付标准）","医药服务便函〔2021〕5号",157223]
[815,"x03010307107d007","2","复方对乙酰氨基酚(Ⅱ)","","片剂","△",2015161626,"复方对乙酰氨基酚片(Ⅱ)","无","素片","对乙酰氨基0.25g,异丙安替比林0.15g,无水咖啡因50mg","盒","10","铝塑","哈尔滨泰华药业股份有限公司",6.01,"修改（支付标准）","医药服务便函〔2021〕5号",161619]
[816,"x03010307107d008","2","复方对乙酰氨基酚(Ⅱ)","","片剂","△",2015110200,"复方对乙酰氨基酚片(Ⅱ)","无","素片","对乙酰氨基0.25g,异丙安替比林0.15g,无水咖啡因50mg","盒","20","铝箔","重庆科瑞制药(集团)有限公司",11.48,"修改（支付标准）","医药服务便函〔2021〕5号",110193]
[817,"x03010307115d001","2","氨酚伪麻美芬胶囊","","胶囊","△",201525724,"氨酚伪麻美芬胶囊","无","硬胶囊剂","对乙酰氨基酚0.325g,盐酸伪麻黄碱30mg,无水氢溴酸右美沙芬15mg","盒","12","铝塑","海南葫芦娃药业集团股份有限公司",8.14,"修改（支付标准）","医药服务便函〔2021〕5号",154567]
[818,"x03010307115d002","2","氨酚伪麻美芬胶囊","","胶囊","△",201514864,"氨酚伪麻美芬胶囊","无","硬胶囊剂","对乙酰氨基酚0.325g,盐酸伪麻黄碱30mg,无水氢溴酸右美沙芬15mg","盒","24","铝塑","海南葫芦娃药业集团股份有限公司",16.07,"修改（支付标准）","医药服务便函〔2021〕5号",122659]
[819,"x030200002190001","1","秋水仙碱","Colchicine","口服常释剂型","",2015141658,"秋水仙碱片","无","素片","0.5mg","盒","20","铝塑","台湾景德制药股份有限公司",19.67,"修改（支付标准）","医药服务便函〔2021〕5号",141660]
[820,"x030200002190005","1","秋水仙碱","Colchicine","口服常释剂型","",2015151459,"秋水仙碱片","无","素片","0.5mg","瓶","30","塑料瓶","通化百信药业有限公司",5.48,"修改（支付标准）","医药服务便函〔2021〕5号",151462]
[821,"x040200002450001","2","汉防己甲素","Tetrandrine","口服常释剂型","",2015137316,"汉防己甲素片","无","薄膜衣片","20mg","盒","12","铝塑","浙江金华康恩贝生物制药有限公司",54.92,"修改（支付标准）","医药服务便函〔2021〕5号",137313]
[822,"x040200002450003","2","汉防己甲素","Tetrandrine","口服常释剂型","",2015109205,"汉防己甲素片","无","薄膜衣片","20mg","盒","6","空","广西大海阳光药业有限公司",30.63,"修改（支付标准）","医药服务便函〔2021〕5号",109208]
[823,"x040200002450004","2","汉防己甲素","Tetrandrine","口服常释剂型","",2015148421,"汉防己甲素片","无","薄膜衣片","20mg","盒","6","铝塑","浙江华润三九众益制药有限公司",28.38,"修改（支付标准）","医药服务便函〔2021〕5号",148420]
[824,"x040200002450005","2","汉防己甲素","Tetrandrine","口服常释剂型","",2015148423,"汉防己甲素片","无","薄膜衣片","20mg","盒","12","铝塑","浙江华润三九众益制药有限公司",55.34,"修改（支付标准）","医药服务便函〔2021〕5号",148422]
[825,"x040200002450006","2","汉防己甲素","Tetrandrine","口服常释剂型","",2015148424,"汉防己甲素片","无","薄膜衣片","20mg","盒","30","铝塑","浙江华润三九众益制药有限公司",133.8,"修改（支付标准）","医药服务便函〔2021〕5号",148423]
[826,"x040200002450009","2","汉防己甲素","Tetrandrine","口服常释剂型","",2015158829,"汉防己甲素片","无","薄膜衣片","20mg","盒","6","铝塑","浙江金华康恩贝生物制药有限公司",28.84,"修改（支付标准）","医药服务便函〔2021〕5号",158827]
[827,"x040200002450010","2","汉防己甲素","Tetrandrine","口服常释剂型","",2015160911,"汉防己甲素片","无","薄膜衣片","20mg","盒","36","双铝","广西大海阳光药业有限公司",175.9,"修改（支付标准）","医药服务便函〔2021〕5号",160904]
[828,"x050102002550003","2","丙泊酚中/长链脂肪乳","PropofolMediumandLongChainFatEmulsion","注射剂","限丙泊酚（编号：230）不能耐受",201512746,"丙泊酚中/长链脂肪乳注射液","无","注射液","50ml:0.5g","瓶","1","玻璃瓶","奥地利Fresenius Kabi Austria GmbH<北京费森尤斯卡比医药有限公司>分包装",167.47,"修改（支付标准）","医药服务便函〔2021〕5号",127699]
[829,"x050201002580002","1","丁卡因","Tetracaine","注射剂","",2015145600,"注射用盐酸丁卡因","无","冻干粉针剂","50mg","支","1","玻璃瓶","悦康药业集团股份有限公司",12.78,"修改（支付标准）","医药服务便函〔2021〕5号",145599]
[830,"x050202002610004","1","利多卡因","Lidocaine","注射剂","",2015127077,"碳酸利多卡因注射液","无","注射液","5ml:86.5mg","支","1","安瓿","成都力思特制药股份有限公司",3.55,"修改（支付标准）","医药服务便函〔2021〕5号",127076]
[831,"x050202002610072","1","利多卡因","Lidocaine","注射剂","",2015127803,"盐酸利多卡因注射液","无","注射液","20ml:0.4g","支","1","安瓿","遂成药业股份有限公司",3.21,"修改（支付标准）","医药服务便函〔2021〕5号",127802]
[832,"x050202002610073","1","利多卡因","Lidocaine","注射剂","",2015161835,"盐酸利多卡因注射液","无","注射液","20ml:0.4g","支","1","安瓿","吉林康乃尔药业有限公司",0.69,"修改（支付标准）","医药服务便函〔2021〕5号",161828]
[833,"x050202002610077","1","利多卡因","Lidocaine","注射剂","",2015160768,"盐酸利多卡因注射液(溶剂用)","无","注射液","2ml:4mg","支","1","安瓿","裕松源药业有限公司",0.18,"修改（支付标准）","医药服务便函〔2021〕5号",160761]
[834,"x050202002612001","2","利多卡因(Ⅰ)","Lidocaine(Ⅰ)","胶浆剂","",2015150164,"盐酸利多卡因胶浆(Ⅰ)","无","胶浆剂","20g:0.4g","支","1","塑料瓶","邯郸康业制药有限公司",9.1,"修改（支付标准）","医药服务便函〔2021〕5号",150167]
[835,"x050202002630034","2","罗哌卡因","Ropivacaine","注射剂","",2015140401,"注射用盐酸罗哌卡因","无","冻干粉针剂","75mg","瓶","1","玻璃瓶","广东华润顺峰药业有限公司",24.4,"修改（支付标准）","医药服务便函〔2021〕5号",140403]
[836,"x050202002640001","2","左布比卡因","Levobupivacaine","注射剂","限布比卡因（编号：239）不能耐受的患者",20157851,"盐酸左布比卡因注射液","伊捷卡","注射液","10ml:50mg","支","1","安瓿","珠海润都制药股份有限公司",23.74,"修改（支付标准）","医药服务便函〔2021〕5号",113912]
[837,"x050301202730003","2","巴氯芬","Baclofen","口服常释剂型","",20154370,"巴氯芬片","郝智","素片","10mg","盒","20","铝塑","台湾卫达化学制药股份有限公司",32.48,"修改（支付标准）","医药服务便函〔2021〕5号",144512]
[838,"x060102002770028","1","维生素B1","Vitamin B1","注射剂","",2015127648,"维生素B1注射液","无","注射液","2ml:50mg","支","1","安瓿","遂成药业股份有限公司",0.35,"修改（支付标准）","医药服务便函〔2021〕5号",127647]
[839,"x060102002770031","1","维生素B1","Vitamin B1","注射剂","",2015161845,"维生素B1注射液","无","注射液","2ml:50mg","支","1","安瓿","吉林康乃尔药业有限公司",0.16,"修改（支付标准）","医药服务便函〔2021〕5号",161838]
[840,"x060102002780023","1","维生素B2","Vitamin B2","口服常释剂型","△",2015109209,"维生素B2片","无","素片","5mg","瓶","100","塑料瓶","北京中新制药厂",4.67,"修改（支付标准）","医药服务便函〔2021〕5号",109212]
[841,"x060102002790047","1","维生素B6","Vitamin B6","注射剂","",2015144802,"注射用维生素B6","洁傲","冻干粉针剂","0.1g","支","1","西林瓶","海南卫康制药(潜山)有限公司",1.91,"修改（支付标准）","医药服务便函〔2021〕5号",144804]
[842,"x060102002790065","1","维生素B6","Vitamin B6","注射剂","",2015144800,"注射用维生素B6","洁傲","冻干粉针剂","0.2g","支","1","西林瓶","海南卫康制药(潜山)有限公司",2.34,"修改（支付标准）","医药服务便函〔2021〕5号",144802]
[843,"x060102002790066","1","维生素B6","Vitamin B6","注射剂","",2015144801,"注射用维生素B6","洁傲","冻干粉针剂","0.3g","支","1","西林瓶","海南卫康制药(潜山)有限公司",4.97,"修改（支付标准）","医药服务便函〔2021〕5号",144803]
[844,"x060102002810006","2","烟酸","Nicotinic Acid","口服常释剂型 缓释控释剂型","△",2015150214,"烟酸缓释胶囊","锐旨","缓释胶囊","0.25g","盒","36","铝塑","国药集团广东环球制药有限公司",29.28,"修改（支付标准）","医药服务便函〔2021〕5号",150217]
[845,"x060103002830095","1","维生素C","Vitamin C","注射剂","",2015161841,"维生素C注射液","无","注射液","20ml:2.5g","支","1","安瓿","吉林康乃尔药业有限公司",0.6,"修改（支付标准）","医药服务便函〔2021〕5号",161834]
[846,"x060103002830100","1","维生素C","Vitamin C","注射剂","",2015160773,"维生素C注射液","无","注射液","2ml:0.25g","支","1","安瓿","裕松源药业有限公司",0.18,"修改（支付标准）","医药服务便函〔2021〕5号",160766]
[847,"x060103002830101","1","维生素C","Vitamin C","注射剂","",2015161839,"维生素C注射液","无","注射液","2ml:0.25g","支","1","安瓿","吉林康乃尔药业有限公司",0.13,"修改（支付标准）","医药服务便函〔2021〕5号",161832]
[848,"x060103002831001","2","维生素C","Vitamin C","口服常释剂型","△",2015131815,"维生素C钠胶囊","新维熹","硬胶囊剂","0.112g","盒","30","铝塑","广西圣保堂健康产业股份有限公司",25.98,"修改（支付标准）","医药服务便函〔2021〕5号",131819]
[849,"x060103002831030","2","维生素C","Vitamin C","口服常释剂型","△",2015153792,"维生素C钠胶囊","新维熹","硬胶囊剂","0.112g","瓶","50","塑料瓶","广西圣保堂健康产业股份有限公司",44.23,"修改（支付标准）","医药服务便函〔2021〕5号",153795]
[850,"x060105002880001","2","水溶性维生素","Water-soluble Vitamin","注射剂","限配合肠外营养用",2015136242,"注射用水溶性维生素","无","冻干粉针剂","复方","瓶","1","玻璃瓶","浙江金华康恩贝生物制药有限公司",5.9,"修改（支付标准）","医药服务便函〔2021〕5号",136239]
[851,"x060105002880004","2","水溶性维生素","Water-soluble Vitamin","注射剂","限配合肠外营养用",2015108260,"注射用水溶性维生素","无","冻干粉针剂","复方","瓶","1","玻璃瓶","重庆药友制药有限责任公司",6.2,"修改（支付标准）","医药服务便函〔2021〕5号",108263]
[852,"x060105002880005","2","水溶性维生素","Water-soluble Vitamin","注射剂","限配合肠外营养用",2015157699,"注射用水溶性维生素","无","冻干粉针剂","复方","瓶","1","玻璃瓶","海口奇力制药股份有限公司",3.1,"修改（支付标准）","医药服务便函〔2021〕5号",157697]
[853,"x060105002890002","2","脂溶性维生素（I，II）","Fat-soluble Vitamin（I，II）","注射剂","限配合肠外营养用",2015109004,"脂溶性维生素注射液(Ⅱ)","无","注射用乳剂","10ml(含维生素A 0.99mg(3300IU),维生素D2 5μg(200IU),维生素E 9.1mg(10IU),维生素K1 0.15mg)","瓶","1","安瓿","四川科伦药业股份有限公司",15.7,"修改（支付标准）","医药服务便函〔2021〕5号",109007]
[854,"x060105002890003","2","脂溶性维生素（I，II）","Fat-soluble Vitamin（I，II）","注射剂","限配合肠外营养用",2015129920,"注射用脂溶性维生素(Ⅰ)","无","冻干粉针剂","含维生素A 0.345mg(1150IU),维生素D2 5μg,维生素E 3.2mg,维生素K1 0.1mg","瓶","1","玻璃瓶","成都天台山制药有限公司",20.11,"修改（支付标准）","医药服务便函〔2021〕5号",129919]
[855,"x060105002890005","2","脂溶性维生素（I，II）","Fat-soluble Vitamin（I，II）","注射剂","限配合肠外营养用",2015146423,"注射用脂溶性维生素(Ⅰ)","无","冻干粉针剂","含维生素A棕榈酸酯(以维生素A计2300IU),维生素D2 10μg,维生素E 6.4mg,维生素K1 0.2mg","瓶","1","西林瓶","马鞍山丰原制药有限公司",29.5,"修改（支付标准）","医药服务便函〔2021〕5号",146422]
[856,"x060105002890006","2","脂溶性维生素（I，II）","Fat-soluble Vitamin（I，II）","注射剂","限配合肠外营养用",2015130624,"注射用脂溶性维生素(Ⅱ)","无","冻干粉针剂","含维生素A棕榈酸酯1.94mg(以维生素A计3300IU),维生素D2 5μg(200IU),维生素E 9.1mg(10IU),维生素K1 0.15mg","瓶","1","西林瓶","山西普德药业股份有限公司",19.82,"修改（支付标准）","医药服务便函〔2021〕5号",130628]
[857,"x060105002890009","2","脂溶性维生素（I，II）","Fat-soluble Vitamin（I，II）","注射剂","限配合肠外营养用",2015129914,"注射用脂溶性维生素(Ⅱ)","无","冻干粉针剂","含维生素A 0.495mg(1650IU),维生素D2 2.5μg(100IU),维生素E 4.55mg(5IU),维生素K1 75μg","瓶","1","玻璃瓶","成都天台山制药有限公司",14.85,"修改（支付标准）","医药服务便函〔2021〕5号",129913]
[858,"x060105002890010","2","脂溶性维生素（I，II）","Fat-soluble Vitamin（I，II）","注射剂","限配合肠外营养用",2015112139,"注射用脂溶性维生素(Ⅰ)","无","冻干粉针剂","含维生素A 0.69mg(2300IU),维生素D2 10μg,维生素E 6.4mg,维生素K1 0.2mg","瓶","1","玻璃瓶","瑞阳制药有限公司",34.3,"修改（支付标准）","医药服务便函〔2021〕5号",112137]
[859,"x060105002890011","2","脂溶性维生素（I，II）","Fat-solubleVitamin（I，II）","注射剂","限配合肠外营养用",2015112539,"注射用脂溶性维生素(Ⅱ)","无","冻干粉针剂","含维生素A 0.99mg(3300IU),维生素D2 5μg(200IU),维生素E 9.1mg(10IU),维生素K1 0.15mg","瓶","1","玻璃瓶","瑞阳制药有限公司",25.2,"修改（支付标准）","医药服务便函〔2021〕5号",112537]
[860,"x060105002890012","2","脂溶性维生素（I，II）","Fat-solubleVitamin（I，II）","注射剂","限配合肠外营养用",2015100705,"注射用脂溶性维生素(Ⅱ)","知维保","冻干粉针剂","含维生素A棕榈酸酯1.94mg(以维生素A计3300IU),维生素D2 5μg(200IU),维生素E 9.1mg(10IU),维生素K1 0.15mg","盒","1","配溶媒","华北制药股份有限公司",32.78,"修改（支付标准）","医药服务便函〔2021〕5号",100710]
[861,"x060105002890013","2","脂溶性维生素（I，II）","Fat-soluble Vitamin（I，II）","注射剂","限配合肠外营养用",2015134237,"脂溶性维生素注射液(Ⅱ)","维他利匹特","注射用乳剂","10ml(含维生素A 0.99mg(3300IU),维生素D2 5μg(200IU),维生素E 9.1mg(10IU),维生素K1 0.15mg)","支","1","安瓿","费森尤斯卡比华瑞制药有限公司",11.16,"修改（支付标准）","医药服务便函〔2021〕5号",134241]
[862,"x060105002890014","2","脂溶性维生素（I，II）","Fat-soluble Vitamin（I，II）","注射剂","限配合肠外营养用",2015135930,"脂溶性维生素注射液(Ⅱ)(脂微球乳剂)","无","注射用乳剂","10ml(含维生素A棕榈酸酯1.815mg以维生素A计3300IU,维生素D2 5μg(200IU)维生素E 9.1mg10IU维生素K1 0.15mg)","支","1","安瓿","西安安健药业有限公司",20.64,"修改（支付标准）","医药服务便函〔2021〕5号",135927]
[863,"x06010505289p001","2","注射用脂溶性维生素（II）／注射用水溶性维生素组合包装","","注射剂","限配合肠外营养用",201513026,"注射用脂溶性维生素(Ⅱ)/注射用水溶性维","无","冻干粉针剂","复方","盒","1","玻璃瓶","成都天台山制药有限公司",47.89,"修改（支付标准）","医药服务便函〔2021〕5号",129930]
[864,"x06010508006a001","2","复方芦丁","Compound Rutoside","片剂","",2015118006,"复方芦丁片","无","素片","芦丁20mg,维生素C50mg","瓶","100","塑料瓶","上海朝晖药业有限公司",7.09,"修改（支付标准）","医药服务便函〔2021〕5号",118009]
[865,"x06010508006a003","2","复方芦丁","Compound Rutoside","片剂","",2015110654,"复方芦丁片","无","素片","芦丁20mg,维生素C50mg","瓶","100","塑料瓶","宁波大红鹰药业股份有限公司",3.95,"修改（支付标准）","医药服务便函〔2021〕5号",110652]
[866,"x06010508006a005","2","复方芦丁","Compound Rutoside","片剂","",2015111410,"复方芦丁片","无","素片","芦丁20mg,维生素C50mg","瓶","100","塑料瓶","天津力生制药股份有限公司",4.73,"修改（支付标准）","医药服务便函〔2021〕5号",111408]
[867,"x06010508006a006","2","复方芦丁","Compound Rutoside","片剂","",2015105171,"复方芦丁片","无","素片","芦丁20mg,维生素C50mg","瓶","100","塑料瓶","世贸天阶制药(江苏)有限责任公司",2.8,"修改（支付标准）","医药服务便函〔2021〕5号",105174]
[868,"x06010508006a007","2","复方芦丁","Compound Rutoside","片剂","",2015143233,"复方芦丁片","无","素片","芦丁20mg,维生素C50mg","瓶","100","塑料瓶","江苏亚邦爱普森药业有限公司",8.1,"修改（支付标准）","医药服务便函〔2021〕5号",143235]
[869,"x06020100292p001","2","复方右旋糖酐40","","注射剂","",201514526,"复方右旋糖酐40注射液","无","注射液","500ml","袋","1","非PVC膜","山东华鲁制药有限公司",94.28,"修改（支付标准）","医药服务便函〔2021〕5号",120141]
[870,"x060201002942001","2","碳酸钙维生素D3","Vitamin D3 and Calcium Carbonate","咀嚼片","△",2015127089,"碳酸钙D3咀嚼片","凯思立D","咀嚼片","碳酸钙1.25g(钙0.5g),VD3 200IU","瓶","60","塑料瓶","通用电气药业(上海)有限公司",64.84,"修改（支付标准）","医药服务便函〔2021〕5号",127088]
[871,"x060201002942003","2","碳酸钙维生素D3","Vitamin D3 and Calcium Carbonate","咀嚼片","△",2015146955,"碳酸钙D3咀嚼片(Ⅱ)","无","咀嚼片","碳酸钙0.75g(钙0.3g),VD3 60IU","瓶","30","塑料瓶","惠氏制药有限公司",17.07,"修改（支付标准）","医药服务便函〔2021〕5号",146954]
[872,"x060201002942005","2","碳酸钙维生素D3","Vitamin D3 and Calcium Carbonate","咀嚼片","△",2015156561,"碳酸钙D3咀嚼片","无","咀嚼片","碳酸钙1.25g(钙0.5g),VD3 200IU","瓶","20","塑料瓶","山东威高药业股份有限公司",24.47,"修改（支付标准）","医药服务便函〔2021〕5号",156559]
[873,"x060201002942006","2","碳酸钙维生素D3","Vitamin D3 and Calcium Carbonate","咀嚼片","△",2015161291,"碳酸钙D3咀嚼片","无","咀嚼片","碳酸钙1.25g(钙0.5g),VD3 200IU","瓶","60","塑料瓶","山东威高药业股份有限公司",70.53,"修改（支付标准）","医药服务便函〔2021〕5号",161284]
[874,"x060201002942007","2","碳酸钙维生素D3","Vitamin D3 and Calcium Carbonate","咀嚼片","△",2015162443,"碳酸钙D3咀嚼片","无","咀嚼片","碳酸钙1.25g(钙0.5g),VD3 200IU","瓶","40","塑料瓶","山东威高药业股份有限公司",47.72,"修改（支付标准）","医药服务便函〔2021〕5号",162436]
[875,"x060201002942008","2","碳酸钙维生素D3","Vitamin D3 and Calcium Carbonate","咀嚼片","△",2015162444,"碳酸钙D3咀嚼片","无","咀嚼片","碳酸钙1.25g(钙0.5g),VD3 200IU","瓶","80","塑料瓶","山东威高药业股份有限公司",93.05,"修改（支付标准）","医药服务便函〔2021〕5号",162437]
[876,"x060202002970001","2","硒酵母","Selenious Yeast","口服常释剂型","△",201515268,"硒酵母片","西维尔","素片","50μg","瓶","60","塑料瓶","牡丹江灵泰药业股份有限公司",38.47,"修改（支付标准）","医药服务便函〔2021〕5号",104339]
[877,"x060202002970002","2","硒酵母","Selenious Yeast","口服常释剂型","△",20153936,"硒酵母片","西维尔","素片","50μg","瓶","50","塑料瓶","牡丹江灵泰药业股份有限公司",32.3,"修改（支付标准）","医药服务便函〔2021〕5号",104332]
[878,"x060202002980002","2","葡萄糖酸锌","Granulae Zinci Gluconatis","口服常释剂型","△",2015137634,"葡萄糖酸锌片","无","素片","70mg","瓶","100","塑料瓶","广西南宁百会药业集团有限公司",11.95,"修改（支付标准）","医药服务便函〔2021〕5号",137631]
[879,"x060202002980003","2","葡萄糖酸锌","Granulae Zinci Gluconatis","口服常释剂型","△",2015120161,"葡萄糖酸锌片","无","素片","70mg","瓶","48","塑料瓶","哈药集团制药总厂",21.96,"修改（支付标准）","医药服务便函〔2021〕5号",120158]
[880,"x070101102990016","1","复方氨基酸18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","Compound Amino Acid 18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","注射剂","限以下适应证之一有重度营养风险患者：①胃肠道梗阻；②胃肠瘘或短肠综合征；③肠道广泛炎性疾病(IBD)；④大面积烧伤或严重创伤；⑤恶性肿瘤伴恶液质或严重感染；⑥脏器功能衰竭；⑦各种大手术后禁食；⑧肝硬化合并低蛋白血症。",2015109509,"复方氨基酸注射液(18AA)","无","注射液","500ml:25g(5%)","袋","1","多层共挤输液袋","四川科伦药业股份有限公司",13.2,"修改（支付标准）","医药服务便函〔2021〕5号",109512]
[881,"x070101102990021","1","复方氨基酸18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","Compound Amino Acid 18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","注射剂","限以下适应证之一有重度营养风险患者：①胃肠道梗阻；②胃肠瘘或短肠综合征；③肠道广泛炎性疾病(IBD)；④大面积烧伤或严重创伤；⑤恶性肿瘤伴恶液质或严重感染；⑥脏器功能衰竭；⑦各种大手术后禁食；⑧肝硬化合并低蛋白血症。",2015126140,"小儿复方氨基酸注射液(18AA-Ⅰ)","爱咪特","注射液","20ml:1.348g(总氨基酸)","支","1","安瓿","天津金耀药业有限公司",15.46,"修改（支付标准）","医药服务便函〔2021〕5号",126139]
[882,"x070101102990022","1","复方氨基酸18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","Compound Amino Acid 18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","注射剂","限以下适应证之一有重度营养风险患者：①胃肠道梗阻；②胃肠瘘或短肠综合征；③肠道广泛炎性疾病(IBD)；④大面积烧伤或严重创伤；⑤恶性肿瘤伴恶液质或严重感染；⑥脏器功能衰竭；⑦各种大手术后禁食；⑧肝硬化合并低蛋白血症。",2015103910,"复方氨基酸注射液(18AA-Ⅴ)","无","注射液","500ml:16.12g(总氨基酸)＋25g(木糖醇)","瓶","1","玻璃瓶","福州海王福药制药有限公司",28.2,"修改（支付标准）","医药服务便函〔2021〕5号",103915]
[883,"x070101102990026","1","复方氨基酸18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","Compound Amino Acid 18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","注射剂","限以下适应证之一有重度营养风险患者：①胃肠道梗阻；②胃肠瘘或短肠综合征；③肠道广泛炎性疾病(IBD)；④大面积烧伤或严重创伤；⑤恶性肿瘤伴恶液质或严重感染；⑥脏器功能衰竭；⑦各种大手术后禁食；⑧肝硬化合并低蛋白血症。",2015133985,"复方氨基酸注射液(18AA)","无","注射液","500ml:25g(5%)","瓶","1","玻璃瓶","安徽丰原药业股份有限公司",5.32,"修改（支付标准）","医药服务便函〔2021〕5号",133989]
[884,"x070101102990031","1","复方氨基酸18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","Compound Amino Acid 18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","注射剂","限以下适应证之一有重度营养风险患者：①胃肠道梗阻；②胃肠瘘或短肠综合征；③肠道广泛炎性疾病(IBD)；④大面积烧伤或严重创伤；⑤恶性肿瘤伴恶液质或严重感染；⑥脏器功能衰竭；⑦各种大手术后禁食；⑧肝硬化合并低蛋白血症。",2015103901,"复方氨基酸注射液(18AA-Ⅴ)","无","注射液","250ml:8.06g(总氨基酸)＋12.5g(木糖醇)","瓶","1","玻璃瓶","福州海王福药制药有限公司",17.4,"修改（支付标准）","医药服务便函〔2021〕5号",103906]
[885,"x070101102990033","1","复方氨基酸18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","Compound Amino Acid 18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","注射剂","限以下适应证之一有重度营养风险患者：①胃肠道梗阻；②胃肠瘘或短肠综合征；③肠道广泛炎性疾病(IBD)；④大面积烧伤或严重创伤；⑤恶性肿瘤伴恶液质或严重感染；⑥脏器功能衰竭；⑦各种大手术后禁食；⑧肝硬化合并低蛋白血症。",2015116207,"复方氨基酸注射液(18AA-Ⅴ)","无","注射液","250ml:8.06g(总氨基酸)＋12.5g(木糖醇)","袋","1","多层共挤输液袋","康臣药业(内蒙古)有限责任公司",22.77,"修改（支付标准）","医药服务便函〔2021〕5号",116210]
[886,"x070101102990068","1","复方氨基酸18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","Compound Amino Acid 18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","注射剂","限以下适应证之一有重度营养风险患者：①胃肠道梗阻；②胃肠瘘或短肠综合征；③肠道广泛炎性疾病(IBD)；④大面积烧伤或严重创伤；⑤恶性肿瘤伴恶液质或严重感染；⑥脏器功能衰竭；⑦各种大手术后禁食；⑧肝硬化合并低蛋白血症。",2015137899,"复方氨基酸注射液(18AA-Ⅴ)","无","注射液","250ml:8.06g(总氨基酸)＋12.5g(木糖醇)","瓶","1","玻璃瓶","湖北一半天制药有限公司",14.5,"修改（支付标准）","医药服务便函〔2021〕5号",137896]
[887,"x070101102990070","1","复方氨基酸18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","Compound Amino Acid 18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","注射剂","限以下适应证之一有重度营养风险患者：①胃肠道梗阻；②胃肠瘘或短肠综合征；③肠道广泛炎性疾病(IBD)；④大面积烧伤或严重创伤；⑤恶性肿瘤伴恶液质或严重感染；⑥脏器功能衰竭；⑦各种大手术后禁食；⑧肝硬化合并低蛋白血症。",2015137900,"复方氨基酸注射液(18AA-Ⅴ)","无","注射液","500ml:16.12g(总氨基酸)＋25g(木糖醇)","瓶","1","玻璃瓶","湖北一半天制药有限公司",25.1,"修改（支付标准）","医药服务便函〔2021〕5号",137897]
[888,"x070101102990071","1","复方氨基酸18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","CompoundAminoAcid18AA[18AA-Ⅰ、18AA-Ⅱ、18AA-Ⅲ（18AAF）、18AA-Ⅴ]","注射剂","限以下适应证之一有重度营养风险患者：①胃肠道梗阻；②胃肠瘘或短肠综合征；③肠道广泛炎性疾病(IBD)；④大面积烧伤或严重创伤；⑤恶性肿瘤伴恶液质或严重感染；⑥脏器功能衰竭；⑦各种大手术后禁食；⑧肝硬化合并低蛋白血症。",2015134270,"小儿复方氨基酸注射液(18AA-Ⅰ)","无","注射液","20ml:1.348g(总氨基酸)","支","1","安瓿","辰欣药业股份有限公司",15.51,"修改（支付标准）","医药服务便函〔2021〕5号",134274]
[889,"x07010110299s001","2","脂肪乳氨基酸(18)","","注射剂","限以下适应证之一有重度营养风险患者：①胃肠道梗阻；②胃肠瘘或短肠综合征；③肠道广泛炎性疾病（IBD）；④大面积烧伤或严重创伤；⑤恶性肿瘤伴恶液质或严重感染；⑥脏器功能衰竭；⑦各种大手术后禁食；⑧肝硬化合并低蛋白血症。",201514950,"脂肪乳氨基酸(18)注射液","无","注射液","1000ml(脂肪乳注射液(20%,C14-24)250ml,复方氨基酸注射液(18AA)750ml)","瓶","1","玻璃瓶","四川科伦药业股份有限公司",273.89,"修改（支付标准）","医药服务便函〔2021〕5号",111694]
[890,"x070101103010001","2","复方氨基酸（8-11）","Compound Amino Acid [8-11]","口服常释剂型","限慢性肝病或慢性肾病。",20153640,"复方氨基酸胶囊(8-11)","和安","硬胶囊剂","0.35g","盒","30","铝塑","深圳万和制药有限公司",46.01,"修改（支付标准）","医药服务便函〔2021〕5号",139030]
[891,"x070101203020001","2","复方氨基酸（9AA）","Compound Amino Acid（9AA）","注射剂","",20152823,"复方氨基酸注射液(9AA)","无","注射液","250ml:13.98g(5.592%)","瓶","1","玻璃瓶","安徽丰原药业股份有限公司",5.92,"修改（支付标准）","医药服务便函〔2021〕5号",133992]
[892,"x070101203020004","2","复方氨基酸（9AA）","Compound Amino Acid（9AA）","注射剂","",20152817,"复方氨基酸注射液(9AA)","无","注射液","250ml:13.98g(5.592%)","瓶","1","玻璃瓶","天津金耀集团湖北天药药业股份有限公司",6.1,"修改（支付标准）","医药服务便函〔2021〕5号",131603]
[893,"x070101203050002","2","复方氨基酸（20AA）","CompoundAminoAcid（20AA）","注射剂","",20152897,"复方氨基酸注射液","安平","注射液","500ml:50g(10%)","瓶","1","玻璃瓶","德国B.Braun Melsungen AG",72.2,"修改（支付标准）","医药服务便函〔2021〕5号",142026]
[894,"x070101203050003","2","复方氨基酸（20AA）","Compound Amino Acid（20AA）","注射剂","",20158058,"复方氨基酸注射液(20AA)","无","注射液","500ml:50g(10%)","瓶","1","玻璃瓶","辰欣药业股份有限公司",66.79,"修改（支付标准）","医药服务便函〔2021〕5号",134335]
[895,"x070101203060003","2","复方氨基酸（15AA）","Compound Amino Acid (15AA)","注射剂","限重度创伤患者",20157757,"复方氨基酸注射液(15AA)","无","注射液","250ml:20g(8%)","瓶","1","玻璃瓶","湖南科伦制药有限公司",5.94,"修改（支付标准）","医药服务便函〔2021〕5号",108494]
[896,"x070101203060004","2","复方氨基酸（15AA）","Compound Amino Acid (15AA)","注射剂","限重度创伤患者",20152868,"复方氨基酸注射液(15AA)","无","注射液","250ml:20g(8%)","瓶","1","玻璃瓶","湖北长联杜勒制药有限公司",5.5,"修改（支付标准）","医药服务便函〔2021〕5号",144337]
[897,"x070101203080001","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",20156965,"丙氨酰谷氨酰胺注射液","无","注射液","50ml:10g","瓶","1","玻璃瓶","重庆莱美药业股份有限公司",47.4,"修改（支付标准）","医药服务便函〔2021〕5号",126736]
[898,"x070101203080003","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",20157338,"丙氨酰谷氨酰胺注射液","无","注射液","50ml:10g","瓶","1","玻璃瓶","四川科伦药业股份有限公司",50.59,"修改（支付标准）","医药服务便函〔2021〕5号",109432]
[899,"x070101203080004","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",20156442,"丙氨酰谷氨酰胺注射液","无","注射液","100ml:20g","瓶","1","玻璃瓶","四川科伦药业股份有限公司",94.47,"修改（支付标准）","医药服务便函〔2021〕5号",108694]
[900,"x070101203080005","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",20157304,"N(2)-L-丙氨酰-L-谷氨酰胺注射液","无","注射液","100ml:20g","瓶","1","玻璃瓶","福州海王福药制药有限公司",67.27,"修改（支付标准）","医药服务便函〔2021〕5号",104155]
[901,"x070101203080008","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",201513275,"注射用丙氨酰谷氨酰胺","欣坤畅","冻干粉针剂","10g","盒","1","配溶媒","海南灵康制药有限公司",60.32,"修改（支付标准）","医药服务便函〔2021〕5号",118302]
[902,"x070101203080015","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",201510106,"丙氨酰谷氨酰胺注射液","力太","注射液","100ml:20g","瓶","1","玻璃瓶","费森尤斯卡比华瑞制药有限公司",145.2,"修改（支付标准）","医药服务便函〔2021〕5号",134353]
[903,"x070101203080017","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",20159838,"注射用丙氨酰谷氨酰胺","无","冻干粉针剂","10g","瓶","1","玻璃瓶","海南通用康力制药有限公司",44.13,"修改（支付标准）","医药服务便函〔2021〕5号",125379]
[904,"x070101203080018","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",201513186,"注射用丙氨酰谷氨酰胺","欣坤畅","冻干粉针剂","20g","盒","1","配溶媒","海南灵康制药有限公司",85.97,"修改（支付标准）","医药服务便函〔2021〕5号",118311]
[905,"x070101203080019","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",20157066,"丙氨酰谷氨酰胺注射液","无","注射液","100ml:20g","瓶","1","玻璃瓶","哈尔滨三联药业股份有限公司",86.69,"修改（支付标准）","医药服务便函〔2021〕5号",106644]
[906,"x070101203080020","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",20157075,"丙氨酰谷氨酰胺注射液","无","注射液","50ml:10g","瓶","1","玻璃瓶","哈尔滨三联药业股份有限公司",48.35,"修改（支付标准）","医药服务便函〔2021〕5号",106639]
[907,"x070101203080021","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",20157938,"丙氨酰谷氨酰胺注射液","无","注射液","50ml:10g","瓶","1","玻璃瓶","辰欣药业股份有限公司",57.86,"修改（支付标准）","医药服务便函〔2021〕5号",134354]
[908,"x070101203080022","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",201511554,"注射用丙氨酰谷氨酰胺","培尔吉","粉针剂","10g","盒","1","配溶媒+复方氨基酸(18AA)+无菌导液针","海南全星制药有限公司",80.11,"修改（支付标准）","医药服务便函〔2021〕5号",109020]
[909,"x070101203080023","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",20151059,"丙氨酰谷氨酰胺注射液","力太","注射液","50ml:10g","瓶","1","玻璃瓶","奥地利Fresenius Kabi Austria GmbH",89.7,"修改（支付标准）","医药服务便函〔2021〕5号",146339]
[910,"x070101203080024","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",201514821,"丙氨酰谷氨酰胺注射液","无","注射液","50ml:10g","袋","1","多层共挤输液袋","辰欣药业股份有限公司",68.15,"修改（支付标准）","医药服务便函〔2021〕5号",134529]
[911,"x070101203080025","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",201514820,"丙氨酰谷氨酰胺注射液","无","注射液","100ml:20g","瓶","1","塑料瓶","辰欣药业股份有限公司",118.17,"修改（支付标准）","医药服务便函〔2021〕5号",162200]
[912,"x070101203080026","2","丙氨酰谷氨酰胺","Alanyl Glutamine","注射剂","",201515398,"丙氨酰谷氨酰胺注射液","无","注射液","100ml:20g","袋","1","多层共挤输液袋","辰欣药业股份有限公司",90.68,"修改（支付标准）","医药服务便函〔2021〕5号",134528]
[913,"x070102103090002","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015134377,"脂肪乳注射液(C14-24)","英脱利匹特","注射液","250ml:25g(大豆油):3g(卵磷脂)","瓶","1","玻璃瓶","费森尤斯卡比华瑞制药有限公司",27.56,"修改（支付标准）","医药服务便函〔2021〕5号",134381]
[914,"x070102103090003","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015134376,"脂肪乳注射液(C14-24)","英脱利匹特","注射液","100ml:30g(大豆油):1.2g(卵磷脂)","瓶","1","玻璃瓶","费森尤斯卡比华瑞制药有限公司",42.2,"修改（支付标准）","医药服务便函〔2021〕5号",134380]
[915,"x070102103090004","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015134379,"脂肪乳注射液(C14-24)","英脱利匹特","注射液","250ml:75g(大豆油):3g(卵磷脂)","瓶","1","玻璃瓶","费森尤斯卡比华瑞制药有限公司",86.66,"修改（支付标准）","医药服务便函〔2021〕5号",134383]
[916,"x070102103090006","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015134375,"脂肪乳注射液(C14-24)","英脱利匹特","注射液","100ml:20g(大豆油):1.2g(卵磷脂)","瓶","1","玻璃瓶","费森尤斯卡比华瑞制药有限公司",22.53,"修改（支付标准）","医药服务便函〔2021〕5号",134379]
[917,"x070102103090008","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015158441,"脂肪乳注射液(C14-24)","无","注射液","250ml:50g(大豆油):3g(卵磷脂)","瓶","1","玻璃瓶","四川科伦药业股份有限公司",19.58,"修改（支付标准）","医药服务便函〔2021〕5号",158439]
[918,"x070102103090009","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015134380,"脂肪乳注射液(C14-24)","英脱利匹特","注射液","500ml:50g(大豆油):6g(卵磷脂)","瓶","1","玻璃瓶","费森尤斯卡比华瑞制药有限公司",41.4,"修改（支付标准）","医药服务便函〔2021〕5号",134384]
[919,"x070102103090010","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015134378,"脂肪乳注射液(C14-24)","英脱利匹特","注射液","250ml:50g(大豆油):3g(卵磷脂)","瓶","1","玻璃瓶","费森尤斯卡比华瑞制药有限公司",37.76,"修改（支付标准）","医药服务便函〔2021〕5号",134382]
[920,"x070102103090014","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015123094,"脂肪乳注射液(C14-24)","无","注射液","250ml:25g(大豆油):3g(卵磷脂)","瓶","1","玻璃瓶","四川国瑞药业有限责任公司",16,"修改（支付标准）","医药服务便函〔2021〕5号",123091]
[921,"x070102103090015","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015108580,"脂肪乳注射液(C14-24)","无","注射液","500ml:50g(大豆油):6g(卵磷脂)","袋","1","多层共挤输液袋","四川科伦药业股份有限公司",34,"修改（支付标准）","医药服务便函〔2021〕5号",108583]
[922,"x070102103090016","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015107723,"脂肪乳注射液(C14-24)","力邦英特","注射液","100ml:30g(大豆油):1.2g(卵磷脂)","瓶","1","玻璃瓶","西安力邦制药有限公司",23.17,"修改（支付标准）","医药服务便函〔2021〕5号",107726]
[923,"x070102103090018","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015107746,"脂肪乳注射液(C14-24)","力邦英特","注射液","250ml:75g(大豆油):3g(卵磷脂)","瓶","1","玻璃瓶","西安力邦制药有限公司",51.5,"修改（支付标准）","医药服务便函〔2021〕5号",107749]
[924,"x070102103090023","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015133983,"脂肪乳注射液(C14-24)","无","注射液","500ml:50g(大豆油):6g(卵磷脂)","瓶","1","玻璃瓶","安徽丰原药业股份有限公司",23.2,"修改（支付标准）","医药服务便函〔2021〕5号",133987]
[925,"x070102103090028","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015123084,"脂肪乳注射液(C14-24)","无","注射液","100ml:20g(大豆油):1.2g(卵磷脂)","瓶","1","玻璃瓶","四川国瑞药业有限责任公司",12.64,"修改（支付标准）","医药服务便函〔2021〕5号",123081]
[926,"x070102103090029","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015105251,"脂肪乳注射液(C14-24)","无","注射液","250ml:25g(大豆油):3g(卵磷脂)","瓶","1","玻璃瓶","广州百特侨光医疗用品有限公司",16,"修改（支付标准）","医药服务便函〔2021〕5号",105254]
[927,"x070102103090030","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015105240,"脂肪乳注射液(C14-24)","无","注射液","250ml:50g(大豆油):3g(卵磷脂)","瓶","1","玻璃瓶","广州百特侨光医疗用品有限公司",21.95,"修改（支付标准）","医药服务便函〔2021〕5号",105243]
[928,"x070102103090031","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015135018,"脂肪乳注射液(C14-24)","无","注射液","250ml:50g(大豆油):3g(卵磷脂)","袋","1","非PVC膜+双管双塞","辰欣药业股份有限公司",29.48,"修改（支付标准）","医药服务便函〔2021〕5号",135015]
[929,"x070102103090032","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015105258,"脂肪乳注射液(C14-24)","无","注射液","500ml:50g(大豆油):6g(卵磷脂)","瓶","1","玻璃瓶","广州百特侨光医疗用品有限公司",25.5,"修改（支付标准）","医药服务便函〔2021〕5号",105261]
[930,"x070102103090033","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015134374,"脂肪乳注射液(C14-24)","无","注射液","500ml:50g(大豆油):6g(卵磷脂)","瓶","1","玻璃瓶","辰欣药业股份有限公司",26,"修改（支付标准）","医药服务便函〔2021〕5号",134378]
[931,"x070102103090034","2","脂肪乳（C14-24）（大豆油）","Fat Emulsion (C14-24)","注射剂","",2015135019,"脂肪乳注射液(C14-24)","无","注射液","500ml:50g(大豆油):6g(卵磷脂)","袋","1","非PVC膜+双管双塞","辰欣药业股份有限公司",34.56,"修改（支付标准）","医药服务便函〔2021〕5号",135016]
[932,"x070102203110001","2","中/长链脂肪乳（C6-24）","Medium and Long Chain Fat Emulsion (C6-24)","注射剂","",201512945,"结构脂肪乳注射液(C6-24)","力文","注射液","250ml:50g(20%)","袋","1","塑料袋","瑞典Fresenius Kabi AB",218.86,"修改（支付标准）","医药服务便函〔2021〕5号",146350]
[933,"x070102203110003","2","中/长链脂肪乳（C6-24）","Medium and Long Chain Fat Emulsion (C6-24)","注射剂","",20155643,"中/长链脂肪乳注射液(C6-24)","力能","注射液","250ml:25g(大豆油):25g(中链甘油三酸酯):3g(卵磷脂)","瓶","1","玻璃瓶","费森尤斯卡比华瑞制药有限公司",70.66,"修改（支付标准）","医药服务便函〔2021〕5号",134239]
[934,"x070102203120005","2","中/长链脂肪乳（C8-24，Ve）","Medium and Long Chain Fat Emulsion（C8-24，Ve）","注射剂","",20157885,"中/长链脂肪乳注射液(C8-24Ve)","力保肪宁","注射液","100ml:10g(大豆油):10g(中链甘油三酸酯):1.2g(卵磷脂):2.5g(甘油)","瓶","1","玻璃瓶","德国B.Braun Melsungen AG(贝朗医疗(苏州)有限公司分包装）",48.45,"修改（支付标准）","医药服务便函〔2021〕5号",144475]
[935,"x070102203120006","2","中/长链脂肪乳（C8-24，Ve）","Medium and Long Chain Fat Emulsion（C8-24，Ve）","注射剂","",2017163527,"中/长链脂肪乳注射液(C8-24Ve)","无","注射液","250ml:25g(大豆油):25g(中链甘油三酸酯):3g(卵磷脂):6.25g(甘油)","瓶","1","玻璃瓶","贝朗医疗(苏州)有限公司",94.7,"修改（支付标准）","医药服务便函〔2021〕5号",163527]
[936,"x070102203120007","2","中/长链脂肪乳（C8-24，Ve）","Medium and Long Chain Fat Emulsion（C8-24，Ve）","注射剂","",201514165,"中/长链脂肪乳注射液(C8-24Ve)","力保肪宁","注射液","500ml:25(大豆油):25g(中链甘油三酸酯):4g(卵磷脂):12.5g(甘油)","瓶","1","玻璃瓶","德国B.Braun Melsungen AG",103.6,"修改（支付标准）","医药服务便函〔2021〕5号",142076]
[937,"x070102203120008","2","中/长链脂肪乳（C8-24，Ve）","Medium and Long Chain Fat Emulsion（C8-24，Ve）","注射剂","",20152764,"中/长链脂肪乳注射液(C8-24)","无","注射液","250ml:25g(大豆油):25g(中链甘油三酸酯):3g(卵磷脂):6.25g(甘油)","瓶","1","玻璃瓶","广州百特侨光医疗用品有限公司",67.45,"修改（支付标准）","医药服务便函〔2021〕5号",105226]
[938,"x080100003260003","2","尿促性素","Menotropins","注射剂","",20152322,"注射用尿促性素","无","冻干粉针剂","75单位(以卵泡刺激素效价计)","瓶","1","安瓿","丽珠集团丽珠制药厂",19.5,"修改（支付标准）","医药服务便函〔2021〕5号",105533]
[939,"x080100003260006","2","尿促性素","Menotropins","注射剂","",20154356,"注射用高纯度尿促性素","贺美奇","冻干粉针剂","75IUFSH+75IULH","瓶","1","西林瓶","辉凌(德国)制药有限公司Ferring GmbH",238.7,"修改（支付标准）","医药服务便函〔2021〕5号",141239]
[940,"x080100003270007","2","曲普瑞林","Triptorelin","注射剂","",201514780,"注射用双羟萘酸曲普瑞林","无","冻干粉针剂","15mg","盒","1","配溶媒","法国IPSEN PHARMA BIOTECH",4030,"修改（支付标准）","医药服务便函〔2021〕5号",141566]
[941,"x080100003290001","2","重组人生长激素","Recombinant Human Somatropin（Recombinant Human Growth Hormone  ）","注射剂","限工伤保险或以下适应证之一的重症抢救：①儿童原发性生长激素缺乏症；②慢性阻塞性肺病合并呼吸衰竭；③机械通气；④大面积烧伤或大手术。",20159333,"重组人生长激素注射液","赛增（Jintropin）","注射液","3ml:10mg(30单位)","瓶","1","玻璃瓶","长春金赛药业有限责任公司",1025.96,"修改（支付标准）","医药服务便函〔2021〕5号",123866]
[942,"x080100003290002","2","重组人生长激素","Recombinant Human Somatropin（Recombinant Human Growth Hormone  ）","注射剂","限工伤保险或以下适应证之一的重症抢救：①儿童原发性生长激素缺乏症；②慢性阻塞性肺病合并呼吸衰竭；③机械通气；④大面积烧伤或大手术。",20159890,"重组人生长激素注射液","赛增(Jintropin)","注射液","3ml:5mg(15单位)","瓶","1","玻璃瓶","长春金赛药业有限责任公司",553.14,"修改（支付标准）","医药服务便函〔2021〕5号",123863]
[943,"x080100003290003","2","重组人生长激素","Recombinant Human Somatropin（Recombinant Human Growth Hormone  ）","注射剂","限工伤保险或以下适应证之一的重症抢救：①儿童原发性生长激素缺乏症；②慢性阻塞性肺病合并呼吸衰竭；③机械通气；④大面积烧伤或大手术。",20157395,"注射用重组人生长激素","珍怡","冻干粉针剂","2.0mg(5IU)","支","1","西林瓶","上海联合赛尔生物工程有限公司",80.43,"修改（支付标准）","医药服务便函〔2021〕5号",141097]
[944,"x080100003290004","2","重组人生长激素","Recombinant Human Somatropin（Recombinant Human Growth Hormone  ）","注射剂","限工伤保险或以下适应证之一的重症抢救：①儿童原发性生长激素缺乏症；②慢性阻塞性肺病合并呼吸衰竭；③机械通气；④大面积烧伤或大手术。",20152295,"注射用重组人生长激素","赛增(Jintropin)","冻干粉针剂","0.85mg(2.5IU)","瓶","1","玻璃瓶","长春金赛药业有限责任公司",33.64,"修改（支付标准）","医药服务便函〔2021〕5号",123845]
[945,"x080100003290007","2","重组人生长激素","Recombinant Human Somatropin（Recombinant Human Growth Hormone  ）","注射剂","限工伤保险或以下适应证之一的重症抢救：①儿童原发性生长激素缺乏症；②慢性阻塞性肺病合并呼吸衰竭；③机械通气；④大面积烧伤或大手术。",20152166,"注射用重组人生长激素","珍怡","冻干粉针剂","1.6mg(4IU)","支","1","西林瓶","上海联合赛尔生物工程有限公司",70,"修改（支付标准）","医药服务便函〔2021〕5号",141095]
[946,"x080100003290009","2","重组人生长激素","Recombinant Human Somatropin（Recombinant Human Growth Hormone  ）","注射剂","限工伤保险或以下适应证之一的重症抢救：①儿童原发性生长激素缺乏症；②慢性阻塞性肺病合并呼吸衰竭；③机械通气；④大面积烧伤或大手术。",20152089,"注射用重组人生长激素","赛增(Jintropin)","冻干粉针剂","1.7mg(4.5IU)","瓶","1","玻璃瓶","长春金赛药业有限责任公司",44.84,"修改（支付标准）","医药服务便函〔2021〕5号",123854]
[947,"x080100003290010","2","重组人生长激素","Recombinant Human Somatropin（Recombinant Human Growth Hormone  ）","注射剂","限工伤保险或以下适应证之一的重症抢救：①儿童原发性生长激素缺乏症；②慢性阻塞性肺病合并呼吸衰竭；③机械通气；④大面积烧伤或大手术。",201515241,"注射用人生长激素","安苏萌","冻干粉针剂","1.33mg(4IU)","支","1","玻璃瓶","安徽安科生物工程(集团)股份有限公司",57.58,"修改（支付标准）","医药服务便函〔2021〕5号",136210]
[948,"x080100003290012","2","重组人生长激素","Recombinant Human Somatropin（Recombinant Human Growth Hormone  ）","注射剂","限工伤保险或以下适应证之一的重症抢救：①儿童原发性生长激素缺乏症；②慢性阻塞性肺病合并呼吸衰竭；③机械通气；④大面积烧伤或大手术。",201510793,"注射用人生长激素","安苏萌","冻干粉针剂","1.5mg(4.5IU)","支","1","玻璃瓶","安徽安科生物工程(集团)股份有限公司",73.46,"修改（支付标准）","医药服务便函〔2021〕5号",136209]
[949,"x080100003290016","2","重组人生长激素","Recombinant Human Somatropin（Recombinant Human Growth Hormone  ）","注射剂","限工伤保险或以下适应证之一的重症抢救：①儿童原发性生长激素缺乏症；②慢性阻塞性肺病合并呼吸衰竭；③机械通气；④大面积烧伤或大手术。",20152151,"注射用重组人生长激素","赛增(Jintropin)","冻干粉针剂","1.33mg(4IU)","瓶","1","玻璃瓶","长春金赛药业有限责任公司",45,"修改（支付标准）","医药服务便函〔2021〕5号",123848]
[950,"x080100003300001","2","特利加压素","Terlipressin","注射剂","",201514517,"注射用特利加压素","无","冻干粉针剂","1.0mg(相当于特利加压素0.86mg)","支","1","西林瓶","深圳翰宇药业股份有限公司",186.87,"修改（支付标准）","医药服务便函〔2021〕5号",140061]
[951,"x080100003300002","2","特利加压素","Terlipressin","注射剂","",20156112,"注射用特利加压素","可利新","冻干粉针剂","1.0mg(相当于特利加压素0.86mg)","盒","1","配溶媒","辉凌(德国)制药有限公司Ferring GmbH",149,"修改（支付标准）","医药服务便函〔2021〕5号",141574]
[952,"x080401003540001","2","尼尔雌醇","Nilestriol","口服常释剂型","△",2015157233,"尼尔雌醇片","无","素片","1mg","盒","10","铝塑","廊坊高博京邦制药有限公司",237.38,"修改（支付标准）","医药服务便函〔2021〕5号",157231]
[953,"x080402103590009","1","甲羟孕酮","Medroxyprogesterone","口服常释剂型","",2015146193,"醋酸甲羟孕酮片","无","素片","2mg","瓶","100","塑料瓶","上海信谊天平药业有限公司",8.79,"修改（支付标准）","医药服务便函〔2021〕5号",146192]
[954,"x080402103590010","1","甲羟孕酮","Medroxyprogesterone","口服常释剂型","",2015161987,"醋酸甲羟孕酮片","无","素片","2mg","瓶","100","塑料瓶","北京中新制药厂",12.51,"修改（支付标准）","医药服务便函〔2021〕5号",161980]
[955,"x08050107117d001","2","门冬胰岛素","","注射剂","限内分泌科或内分泌专科医生，且限伴有重要器官并发症的糖尿病患者",2015127153,"门冬胰岛素30注射液","诺和锐 30","注射用混悬剂","3ml:300单位","支","1","特充","丹麦诺和诺德公司Novo Nordisk A/S<诺和诺德(中国)制药有限公司>分包装",77.12,"修改（支付标准）","医药服务便函〔2021〕5号",127152]
[956,"x08050107117d004","2","门冬胰岛素","","注射剂","限内分泌科或内分泌专科医生，且限伴有重要器官并发症的糖尿病患者",2015127112,"门冬胰岛素注射液","诺和锐","注射液","3ml:300单位","支","1","特充","丹麦诺和诺德公司Novo Nordisk A/S<诺和诺德(中国)制药有限公司>分包装",77.12,"修改（支付标准）","医药服务便函〔2021〕5号",127111]
[957,"x08050107118d003","2","赖脯胰岛素","","注射剂","限内分泌科或内分泌专科医生，且限伴有重要器官并发症的糖尿病患者",2015130843,"精蛋白锌重组赖脯胰岛素混合注射液(50R)","优泌乐50","注射用混悬剂","3ml:300单位","盒","1","笔芯","法国Lilly France<礼来苏州制药有限公司>分包装",68.61,"修改（支付标准）","医药服务便函〔2021〕5号",130847]
[958,"x08050107118d004","2","赖脯胰岛素","","注射剂","限内分泌科或内分泌专科医生，且限伴有重要器官并发症的糖尿病患者",2015142209,"精蛋白锌重组赖脯胰岛素混合注射液(25R)","优泌乐25","注射用混悬剂","3ml:300单位","支","1","预充式(预灌封)注射器","法国Lilly France",79.14,"修改（支付标准）","医药服务便函〔2021〕5号",142211]
[959,"x08050107118d005","2","赖脯胰岛素","","注射剂","限内分泌科或内分泌专科医生，且限伴有重要器官并发症的糖尿病患者",2015157394,"精蛋白锌重组赖脯胰岛素混合注射液(25R)","无","注射用混悬剂","3ml:300单位","盒","1","笔芯","甘李药业股份有限公司",60,"修改（支付标准）","医药服务便函〔2021〕5号",157392]
[960,"x08050107118d006","2","赖脯胰岛素","","注射剂","限内分泌科或内分泌专科医生，且限伴有重要器官并发症的糖尿病患者",2015142212,"精蛋白锌重组赖脯胰岛素混合注射液(50R)","优泌乐50","注射用混悬剂","3ml:300单位","盒","1","预充式(预灌封)注射器","法国Lilly France",78.97,"修改（支付标准）","医药服务便函〔2021〕5号",142214]
[961,"x08050107118d007","2","赖脯胰岛素","","注射剂","限内分泌科或内分泌专科医生，且限伴有重要器官并发症的糖尿病患者",2015142213,"赖脯胰岛素注射液","优泌乐","注射液","3ml:300单位","盒","1","预充式(预灌封)注射器","法国Lilly France",80.28,"修改（支付标准）","医药服务便函〔2021〕5号",142215]
[962,"x08050107118d008","2","赖脯胰岛素","","注射剂","限内分泌科或内分泌专科医生，且限伴有重要器官并发症的糖尿病患者",2015117177,"重组赖脯胰岛素注射液","无","注射液","3ml:300单位","支","1","笔芯","甘李药业股份有限公司",60,"修改（支付标准）","医药服务便函〔2021〕5号",117180]
[963,"x08050107118d009","2","赖脯胰岛素","","注射剂","限内分泌科或内分泌专科医生，且限伴有重要器官并发症的糖尿病患者",2015130832,"赖脯胰岛素注射液","优泌乐","注射液","3ml:300单位","盒","1","笔芯","意大利Eli Lilly Italia S.p.A.<礼来苏州制药有限公司>分包装",67.77,"修改（支付标准）","医药服务便函〔2021〕5号",130836]
[964,"x08050107118d010","2","赖脯胰岛素","","注射剂","限内分泌科或内分泌专科医生，且限伴有重要器官并发症的糖尿病患者",2015131329,"精蛋白锌重组赖脯胰岛素混合注射液(25R)","优泌乐25","注射用混悬剂","3ml:300单位","盒","1","笔芯","意大利Eli Lilly Italia S.p.A.<礼来苏州制药有限公司>分包装",67.68,"修改（支付标准）","医药服务便函〔2021〕5号",131333]
[965,"x08050107119d001","2","甘精胰岛素","","注射剂","限反复发作低血糖或有重度合并症的老年糖尿病患者",2020171337,"甘精胰岛素注射液","无","注射液","3ml:300单位","盒","1","预充式(预灌封)注射器","赛诺菲(北京)制药有限公司",184.4,"修改（支付标准）","医药服务便函〔2021〕5号",171337]
[966,"x08050107119d002","2","甘精胰岛素","","注射剂","限反复发作低血糖或有重度合并症的老年糖尿病患者",2020171364,"甘精胰岛素注射液","无","注射液","3ml:300单位","支","1","笔芯","赛诺菲(北京)制药有限公司",163.1,"修改（支付标准）","医药服务便函〔2021〕5号",171364]
[967,"x08050107120d001","2","重组甘精胰岛素","","注射剂","限反复发作低血糖或有重度合并症的老年糖尿病患者",2015117153,"重组甘精胰岛素注射液","长秀霖","注射液","3ml:300单位","支","1","笔芯","甘李药业股份有限公司",144.5,"修改（支付标准）","医药服务便函〔2021〕5号",117156]
[968,"x08050107121d001","2","地特胰岛素","","注射剂","限反复发作低血糖或有重度合并症的老年糖尿病患者",2015127299,"地特胰岛素注射液","诺和平","注射液","3ml:300单位","支","1","特充","丹麦诺和诺德公司Novo Nordisk A/S<诺和诺德(中国)制药有限公司>分包装",191.44,"修改（支付标准）","医药服务便函〔2021〕5号",127298]
[969,"x08050107121d002","2","地特胰岛素","","注射剂","限反复发作低血糖或有重度合并症的老年糖尿病患者",2015127294,"地特胰岛素注射液","诺和平","注射液","3ml:300单位","支","1","笔芯","丹麦诺和诺德公司Novo Nordisk A/S<诺和诺德(中国)制药有限公司>分包装",181.03,"修改（支付标准）","医药服务便函〔2021〕5号",127293]
[970,"x080502103700006","1","格列本脲","Glibenclamide","口服常释剂型","",2015143256,"格列本脲片","无","素片","2.5mg","瓶","100","塑料瓶","扬州艾迪制药有限公司",1.31,"修改（支付标准）","医药服务便函〔2021〕5号",143258]
[971,"x080502103700015","1","格列本脲","Glibenclamide","口服常释剂型","",2015160481,"格列本脲片","无","素片","2.5mg","瓶","100","塑料瓶","成都第一制药有限公司",1.69,"修改（支付标准）","医药服务便函〔2021〕5号",160474]
[972,"x080502103710016","1","格列吡嗪","Glipizide","口服常释剂型","",2015153622,"格列吡嗪胶囊","无","硬胶囊剂","5mg","盒","30","铝塑","青岛圣邦药业有限公司",5.89,"修改（支付标准）","医药服务便函〔2021〕5号",153625]
[973,"x080502103710017","1","格列吡嗪","Glipizide","口服常释剂型","",2015161537,"格列吡嗪胶囊","无","硬胶囊剂","5mg","盒","24","铝箔","四川科伦药业股份有限公司",6.51,"修改（支付标准）","医药服务便函〔2021〕5号",161530]
[974,"x080502103711001","2","格列吡嗪","Glipizide","缓释控释剂型","",2015148444,"格列吡嗪缓释胶囊","麦林格","缓释胶囊","5mg","盒","30","铝塑","苏州统华药品有限公司",29.64,"修改（支付标准）","医药服务便函〔2021〕5号",148443]
[975,"x080502103711008","2","格列吡嗪","Glipizide","缓释控释剂型","",2015159234,"格列吡嗪缓释胶囊","麦林格","缓释胶囊","5mg","盒","10","铝塑","苏州统华药品有限公司",10.28,"修改（支付标准）","医药服务便函〔2021〕5号",159232]
[976,"x080502103730005","2","格列美脲","Glimepiride","口服常释剂型","",2015103013,"格列美脲胶囊","普仁平","硬胶囊剂","2mg","盒","12","铝塑","四川普渡药业有限公司",19.98,"修改（支付标准）","医药服务便函〔2021〕5号",103018]
[977,"x080502103730021","2","格列美脲","Glimepiride","口服常释剂型","",2015161408,"格列美脲胶囊","普仁平","硬胶囊剂","2mg","盒","24","铝塑","四川普渡药业有限公司",38.96,"修改（支付标准）","医药服务便函〔2021〕5号",161401]
[978,"x080502103730038","2","格列美脲","Glimepiride","口服常释剂型","",2015161237,"格列美脲片","万苏平","素片","2mg","盒","100","铝塑","江苏万邦生化医药集团有限责任公司",65.62,"修改（支付标准）","医药服务便函〔2021〕5号",161230]
[979,"x080502203780001","1","二甲双胍","Metformin","口服常释剂型","",2015155182,"盐酸二甲双胍片","无","薄膜衣片","0.5g","盒","72","铝箔","昆山培力药品有限公司",20.51,"修改（支付标准）","医药服务便函〔2021〕5号",155180]
[980,"x080502203780034","1","二甲双胍","Metformin","口服常释剂型","",2015126925,"盐酸二甲双胍肠溶胶囊","无","肠溶胶囊","0.25g","盒","36","铝塑","长春大政药业科技有限公司",14.69,"修改（支付标准）","医药服务便函〔2021〕5号",126924]
[981,"x080502203780036","1","二甲双胍","Metformin","口服常释剂型","",2015126932,"盐酸二甲双胍肠溶胶囊","无","肠溶胶囊","0.25g","盒","72","铝塑","长春大政药业科技有限公司",29.39,"修改（支付标准）","医药服务便函〔2021〕5号",126931]
[982,"x080502203780095","1","二甲双胍","Metformin","口服常释剂型","",2015126921,"盐酸二甲双胍肠溶胶囊","无","肠溶胶囊","0.25g","盒","24","铝塑","长春大政药业科技有限公司",9.79,"修改（支付标准）","医药服务便函〔2021〕5号",126920]
[983,"x080502203781027","2","二甲双胍","Metformin","缓释控释剂型","",2015158720,"盐酸二甲双胍缓释片","无","缓释片","0.5g","瓶","15","塑料瓶","上海上药信谊药厂有限公司",8.96,"修改（支付标准）","医药服务便函〔2021〕5号",158718]
[984,"x080503003830001","2","硫辛酸(α-硫辛酸)","α-Lipoic Acid","注射剂","△",2015147289,"硫辛酸注射液","奥力宝","注射液","12ml:0.3g","支","1","安瓿","德国Siegfried Hameln Gmbh",55.91,"修改（支付标准）","医药服务便函〔2021〕5号",147288]
[985,"x080503003830003","2","硫辛酸(α-硫辛酸)","α-Lipoic Acid","注射剂","△",2015145602,"注射用硫辛酸","无","冻干粉针剂","0.3g","瓶","1","玻璃瓶","福安药业集团烟台只楚药业有限公司",63.46,"修改（支付标准）","医药服务便函〔2021〕5号",145601]
[986,"x080503003830004","2","硫辛酸(α-硫辛酸)","α-Lipoic Acid","注射剂","△",2015142099,"硫辛酸注射液","无","注射液","20ml:0.6g","支","1","安瓿","上海现代哈森(商丘)药业有限公司",64.26,"修改（支付标准）","医药服务便函〔2021〕5号",142101]
[987,"x080503003830005","2","硫辛酸(α-硫辛酸)","α-Lipoic Acid","注射剂","△",2015119513,"硫辛酸注射液","无","注射液","6ml:0.15g","支","1","安瓿","亚宝药业集团股份有限公司",23.38,"修改（支付标准）","医药服务便函〔2021〕5号",119516]
[988,"x080503003830006","2","硫辛酸(α-硫辛酸)","α-Lipoic Acid","注射剂","△",2015108193,"硫辛酸注射液","无","注射液","6ml:0.15g","支","1","安瓿","重庆药友制药有限责任公司",24.83,"修改（支付标准）","医药服务便函〔2021〕5号",108196]
[989,"x080503003830007","2","硫辛酸(α-硫辛酸)","α-Lipoic Acid","注射剂","△",2015145603,"注射用硫辛酸","无","冻干粉针剂","0.15g","瓶","1","玻璃瓶","福安药业集团烟台只楚药业有限公司",37.73,"修改（支付标准）","医药服务便函〔2021〕5号",145602]
[990,"x080503003830008","2","硫辛酸(α-硫辛酸)","α-Lipoic Acid","注射剂","△",2015142098,"硫辛酸注射液","无","注射液","12ml:0.3g","支","1","安瓿","南京新百药业有限公司",28.37,"修改（支付标准）","医药服务便函〔2021〕5号",142100]
[991,"x080503003830009","2","硫辛酸(α-硫辛酸)","α-Lipoic Acid","注射剂","△",2015126358,"硫辛酸注射液","无","注射液","12ml:0.3g","支","1","安瓿","丹东医创药业有限责任公司",28,"修改（支付标准）","医药服务便函〔2021〕5号",126357]
[992,"x080701003920011","2","降钙素","Calcitonin","注射剂","限骨恶性肿瘤，恶性肿瘤骨转移，严重骨质疏松症伴剧烈疼痛，高钙血症，变形性骨炎；或工伤保险",2015156658,"鲑降钙素注射液","无","注射液","1ml:16.7μg(100IU)","支","1","安瓿","成都力思特制药股份有限公司",21.8,"修改（支付标准）","医药服务便函〔2021〕5号",156656]
[993,"x080703003930001","2","阿仑膦酸钠","Alendronate Sodium","口服常释剂型","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",201513855,"阿仑膦酸钠肠溶片","无","肠溶片","70mg","盒","1","双铝","石药集团欧意药业有限公司",21.46,"修改（支付标准）","医药服务便函〔2021〕5号",110164]
[994,"x080703003930005","2","阿仑膦酸钠","Alendronate Sodium","口服常释剂型","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",201510758,"阿仑膦酸钠片","无","素片","70mg","盒","1","铝塑","北京福元医药股份有限公司",10.26,"修改（支付标准）","医药服务便函〔2021〕5号",133791]
[995,"x080703003930006","2","阿仑膦酸钠","Alendronate Sodium","口服常释剂型","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",20157720,"阿仑膦酸钠片","福善美","素片","70mg","盒","1","铝塑","意大利Savio Industrial S.r.L",58.46,"修改（支付标准）","医药服务便函〔2021〕5号",146077]
[996,"x080703003930007","2","阿仑膦酸钠","Alendronate Sodium","口服常释剂型","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",201514707,"阿仑膦酸钠片","无","素片","10mg","盒","10","铝塑","乐普药业（北京）有限责任公司",16.19,"修改（支付标准）","医药服务便函〔2021〕5号",135701]
[997,"x080703003930008","2","阿仑膦酸钠","Alendronate Sodium","口服常释剂型","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",20152063,"阿仑膦酸钠肠溶片","无","肠溶片","70mg","盒","4","双铝","石药集团欧意药业有限公司",81.6,"修改（支付标准）","医药服务便函〔2021〕5号",110756]
[998,"x080703003930009","2","阿仑膦酸钠","Alendronate Sodium","口服常释剂型","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",201510459,"阿仑膦酸钠片","无","素片","70mg","盒","4","铝塑","北京福元医药股份有限公司",39,"修改（支付标准）","医药服务便函〔2021〕5号",133792]
[999,"x080703003950003","2","氯膦酸二钠","Clodronate Disodium","注射剂","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",201511661,"注射用氯膦酸二钠","雅坤宇","冻干粉针剂","0.3g","瓶","1","玻璃瓶","海南灵康制药有限公司",97.83,"修改（支付标准）","医药服务便函〔2021〕5号",119138]
[1000,"x080703003950004","2","氯膦酸二钠","Clodronate Disodium","注射剂","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",20152364,"氯膦酸二钠注射液","德维","注射液","5ml:0.3g","支","1","安瓿","广州白云山明兴制药有限公司",89.93,"修改（支付标准）","医药服务便函〔2021〕5号",112221]
[1001,"x080703003960002","2","帕米膦酸二钠","Pamidronate Disodium","注射剂","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",20152408,"帕米膦酸二钠注射液","无","注射液","5ml:15mg","支","1","安瓿","浙江奥托康制药集团股份有限公司",155.95,"修改（支付标准）","医药服务便函〔2021〕5号",103601]
[1002,"x080703003960004","2","帕米膦酸二钠","Pamidronate Disodium","注射剂","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",201511716,"注射用帕米膦酸二钠","无","冻干粉针剂","15mg","支","1","玻璃瓶","深圳信立泰药业股份有限公司",143,"修改（支付标准）","医药服务便函〔2021〕5号",138387]
[1003,"x080703003960005","2","帕米膦酸二钠","Pamidronate Disodium","注射剂","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",201510519,"注射用帕米膦酸二钠","无","冻干粉针剂","30mg","瓶","1","玻璃瓶","湖北午时药业股份有限公司",202.58,"修改（支付标准）","医药服务便函〔2021〕5号",104347]
[1004,"x080703003960006","2","帕米膦酸二钠","Pamidronate Disodium","注射剂","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",201511829,"帕米膦酸二钠注射液","无","注射液","10ml:30mg","支","1","安瓿","江苏神龙药业有限公司",280.5,"修改（支付标准）","医药服务便函〔2021〕5号",140152]
[1005,"x080703003960008","2","帕米膦酸二钠","Pamidronate Disodium","注射剂","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",20152478,"注射用帕米膦酸二钠","博宁","冻干粉针剂","15mg","盒","1","配溶媒","深圳海王药业有限公司",131.84,"修改（支付标准）","医药服务便函〔2021〕5号",100293]
[1006,"x080703003960011","2","帕米膦酸二钠","Pamidronate Disodium","注射剂","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",201514162,"注射用帕米膦酸二钠","无","冻干粉针剂","30mg","瓶","1","玻璃瓶","成都天台山制药有限公司",249.89,"修改（支付标准）","医药服务便函〔2021〕5号",125775]
[1007,"x080703003960012","2","帕米膦酸二钠","Pamidronate Disodium","注射剂","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",201514161,"注射用帕米膦酸二钠","无","冻干粉针剂","15mg","瓶","1","玻璃瓶","成都天台山制药有限公司",140.38,"修改（支付标准）","医药服务便函〔2021〕5号",125768]
[1008,"x080703003960014","2","帕米膦酸二钠","Pamidronate Disodium","注射剂","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",20157934,"注射用帕米膦酸二钠","无","冻干粉针剂","15mg","支","1","西林瓶","苏州天马医药集团天吉生物制药有限公司",117.63,"修改（支付标准）","医药服务便函〔2021〕5号",141208]
[1009,"x080703003960015","2","帕米膦酸二钠","Pamidronate Disodium","注射剂","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",20159220,"帕米膦酸二钠注射液","无","注射液","5ml:15mg","支","1","安瓿","浙江万翔药业有限公司",135,"修改（支付标准）","医药服务便函〔2021〕5号",143292]
[1010,"x08070305393p001","2","阿仑膦酸钠维D3","","片剂","限工伤保险或骨质疏松症,骨恶性肿瘤，恶性肿瘤骨转移。",201514538,"阿仑膦酸钠维D3片","无","素片","含阿仑膦酸钠70mg(按阿仑膦酸计),维生素D3 2800单位","盒","1","铝塑","西班牙FROSST IBERICA, S.A.(杭州默沙东制药有限公司分包装）",58.91,"修改（支付标准）","医药服务便函〔2021〕5号",146094]
[1011,"x080704003990001","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015116160,"阿法骨化醇胶囊","无","硬胶囊剂","0.5μg","盒","8","铝箔","康臣药业(内蒙古)有限责任公司",22.43,"修改（支付标准）","医药服务便函〔2021〕5号",116163]
[1012,"x080704003990002","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2017108160,"阿法骨化醇片","立庆","素片","0.25μg","盒","20","铝塑","重庆药友制药有限责任公司",23.65,"修改（支付标准）","医药服务便函〔2021〕5号",108160]
[1013,"x080704003990004","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015134868,"阿法骨化醇软胶囊","延迪诺","软胶囊(胶丸)","0.5μg","盒","20","铝塑","上海信谊延安药业有限公司",32.95,"修改（支付标准）","医药服务便函〔2021〕5号",134872]
[1014,"x080704003990005","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015128406,"阿法骨化醇软胶囊","阿法迪三","软胶囊(胶丸)","1.0μg","盒","10","双铝","以色列梯瓦制药工业有限公司Teva Pharmaceutical Industries Ltd.<昆明贝克诺顿制药有限公司>分包装",65.14,"修改（支付标准）","医药服务便函〔2021〕5号",128405]
[1015,"x080704003990006","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015128404,"阿法骨化醇软胶囊","阿法迪三","软胶囊(胶丸)","0.25μg","盒","20","双铝","以色列梯瓦制药工业有限公司Teva Pharmaceutical Industries Ltd.<昆明贝克诺顿制药有限公司>分包装",43.56,"修改（支付标准）","医药服务便函〔2021〕5号",128403]
[1016,"x080704003990008","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015135670,"阿法骨化醇软胶囊","法能","软胶囊(胶丸)","0.25μg","盒","20","双铝","南通华山药业有限公司",13.6,"修改（支付标准）","医药服务便函〔2021〕5号",135667]
[1017,"x080704003990009","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015147516,"阿法骨化醇片","萌格旺","素片","0.5μg","盒","10","空","日本帝人制药株式会社医药岩国制造所TEIJIN PHARMA LIMITED IWAKUNI PHARMACEUTICAL FACTORY",32.94,"修改（支付标准）","医药服务便函〔2021〕5号",147515]
[1018,"x080704003990010","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015154195,"阿法骨化醇胶囊","无","硬胶囊剂","0.5μg","盒","16","铝箔","康臣药业(内蒙古)有限责任公司",43.73,"修改（支付标准）","医药服务便函〔2021〕5号",154198]
[1019,"x080704003990011","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015111876,"阿法骨化醇胶丸","奥司惠","软胶囊(胶丸)","0.25μg","盒","20","双铝","广州白云山星群(药业)股份有限公司",15,"修改（支付标准）","医药服务便函〔2021〕5号",111874]
[1020,"x080704003990012","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015147985,"阿法骨化醇胶丸","奥司惠","软胶囊(胶丸)","0.5μg","盒","10","双铝","广州白云山星群(药业)股份有限公司",16.57,"修改（支付标准）","医药服务便函〔2021〕5号",147984]
[1021,"x080704003990013","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015108152,"阿法骨化醇片","立庆","素片","0.25μg","盒","10","铝塑","重庆药友制药有限责任公司",12.5,"修改（支付标准）","医药服务便函〔2021〕5号",108155]
[1022,"x080704003990015","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015135671,"阿法骨化醇软胶囊","法能","软胶囊(胶丸)","0.25μg","盒","30","双铝","南通华山药业有限公司",20.4,"修改（支付标准）","医药服务便函〔2021〕5号",135668]
[1023,"x080704003990017","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015151840,"阿法骨化醇软胶囊","法能","软胶囊(胶丸)","0.5μg","盒","20","双铝","南通华山药业有限公司",19.4,"修改（支付标准）","医药服务便函〔2021〕5号",151843]
[1024,"x080704003990018","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2015160502,"阿法骨化醇软胶囊","奥司惠","软胶囊(胶丸)","0.5μg","盒","20","双铝","广州白云山星群(药业)股份有限公司",33.14,"修改（支付标准）","医药服务便函〔2021〕5号",160495]
[1025,"x080704003990019","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2017108151,"阿法骨化醇片","立庆","素片","0.5μg","盒","10","铝塑","重庆药友制药有限责任公司",26,"修改（支付标准）","医药服务便函〔2021〕5号",108151]
[1026,"x080704003990020","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2017163491,"阿法骨化醇片","立庆","素片","0.5μg","盒","20","铝箔","重庆药友制药有限责任公司",52,"修改（支付标准）","医药服务便函〔2021〕5号",163491]
[1027,"x080704003990021","2","阿法骨化醇","Alfacalcidol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",2017163184,"阿法骨化醇片","无","素片","0.25μg","盒","30","双铝","重庆药友制药有限责任公司",31.95,"修改（支付标准）","医药服务便函〔2021〕5号",163184]
[1028,"x080704004000001","2","骨化三醇","Calcitriol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",20155807,"骨化三醇软胶囊","盖三淳","软胶囊(胶丸)","0.25μg","盒","10","铝塑","正大制药(青岛)有限公司",36.26,"修改（支付标准）","医药服务便函〔2021〕5号",123262]
[1029,"x080704004000002","2","骨化三醇","Calcitriol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",20154253,"骨化三醇胶丸","罗盖全","软胶囊(胶丸)","0.25μg","盒","10","铝塑","德国Catalent Germany Eberbach GmbH",49,"修改（支付标准）","医药服务便函〔2021〕5号",101684]
[1030,"x080704004000003","2","骨化三醇","Calcitriol","口服常释剂型","限骨质疏松，肾性骨病，甲状旁腺功能减退症,骨恶性肿瘤，恶性肿瘤骨转移。",20154133,"骨化三醇胶丸","海尼威","软胶囊(胶丸)","0.25μg","盒","10","铝塑","台湾井田国际医药厂股份有限公司",36.02,"修改（支付标准）","医药服务便函〔2021〕5号",147452]
[1031,"x080800004040004","2","胰激肽原酶","Pancreatic Kininogenase","口服常释剂型","限糖尿病性肾病,缺血性心血管病,缺血性脑血管病,视网膜病,眼底病,血管闭塞性脉管炎，动脉硬化闭塞性疾病。",2015105439,"胰激肽原酶肠溶片","无","肠溶片","60IU","盒","60","铝箔","上海丽珠制药有限公司",17.34,"修改（支付标准）","医药服务便函〔2021〕5号",105442]
[1032,"x080800004040005","2","胰激肽原酶","PancreaticKininogenase","口服常释剂型","限糖尿病性肾病,缺血性心血管病,缺血性脑血管病,视网膜病,眼底病,血管闭塞性脉管炎，动脉硬化闭塞性疾病。",2015145100,"胰激肽原酶肠溶片","怡开","肠溶片","120IU","袋","24","铝塑","常州千红生化制药股份有限公司",25.94,"修改（支付标准）","医药服务便函〔2021〕5号",145099]
[1033,"x080800004040010","2","胰激肽原酶","Pancreatic Kininogenase","口服常释剂型","限糖尿病性肾病,缺血性心血管病,缺血性脑血管病,视网膜病,眼底病,血管闭塞性脉管炎，动脉硬化闭塞性疾病。",2015160898,"胰激肽原酶肠溶片","无","肠溶片","60IU","盒","48","铝塑","深圳市中联制药有限公司",14.13,"修改（支付标准）","医药服务便函〔2021〕5号",160891]
[1034,"x080800004041001","2","胰激肽原酶","Pancreatic Kininogenase","注射剂","限糖尿病致微循环障碍性疾病",2015115595,"注射用胰激肽原酶","无","冻干粉针剂","40IU","支","1","玻璃瓶","济南维尔康生化制药有限公司",21.43,"修改（支付标准）","医药服务便函〔2021〕5号",115598]
[1035,"x080800004041002","2","胰激肽原酶","PancreaticKininogenase","注射剂","限糖尿病致微循环障碍性疾病",2015145394,"注射用胰激肽原酶","无","冻干粉针剂","40IU","瓶","1","玻璃瓶","常州千红生化制药股份有限公司",24.7,"修改（支付标准）","医药服务便函〔2021〕5号",145393]
[1036,"x090100004080006","2","吗替麦考酚酯","Mycophenolate Mofetil","口服常释剂型","限器官移植后抗排异,严重自身免疫性疾病,工伤保险。",201512543,"吗替麦考酚酯胶囊","骁悉","硬胶囊剂","0.25g","盒","40","铝塑","上海罗氏制药有限公司",500,"修改（支付标准）","医药服务便函〔2021〕5号",144508]
[1037,"x090100004080009","2","吗替麦考酚酯","MycophenolateMofetil","口服常释剂型","限器官移植后抗排异,严重自身免疫性疾病,工伤保险。",20159866,"吗替麦考酚酯分散片","赛可平","分散片","0.25g","盒","40","双铝","杭州中美华东制药有限公司",257.99,"修改（支付标准）","医药服务便函〔2021〕5号",126637]
[1038,"x090100004080010","2","吗替麦考酚酯","MycophenolateMofetil","口服常释剂型","限器官移植后抗排异,严重自身免疫性疾病,工伤保险。",201513609,"吗替麦考酚酯胶囊","无","硬胶囊剂","0.25g","盒","40","铝箔","邛崃天银制药有限公司",190,"修改（支付标准）","医药服务便函〔2021〕5号",136539]
[1039,"x090100004100001","2","咪唑立宾","Mizoribine","口服常释剂型","限器官移植和工伤保险",20157610,"咪唑立宾片","布累迪宁","薄膜衣片","50mg","盒","100","铝箔","日本旭化成制药株式会社 名古屋医药工厂Asahi Kasei Pharma Corporation ,Nagoya Pharmaceuticals Plant",1312.06,"修改（支付标准）","医药服务便函〔2021〕5号",132242]
[1040,"x090100004120004","2","西罗莫司","Sirolimus","口服常释剂型\n口服液体剂","限器官移植和工伤保险",20159176,"西罗莫司口服溶液","赛莫司","口服溶液剂","50ml:50mg","瓶","1","玻璃瓶","杭州中美华东制药有限公司",1038.33,"修改（支付标准）","医药服务便函〔2021〕5号",126868]
[1041,"x090100004120005","2","西罗莫司","Sirolimus","口服常释剂型 口服液体剂","限器官移植和工伤保险",20155933,"西罗莫司片","无","糖衣片","1.0mg","盒","10","铝塑","爱尔兰Pfizer Ireland Pharmaceuticals",400.47,"修改（支付标准）","医药服务便函〔2021〕5号",147362]
[1042,"x090202004160001","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015144766,"注射用重组人干扰素α1b","赛若金","冻干粉针剂","600万IU(60μg)","支","1","西林瓶","深圳科兴药业有限公司",62.93,"修改（支付标准）","医药服务便函〔2021〕5号",144768]
[1043,"x090202004160003","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015144764,"注射用重组人干扰素α1b","赛若金","冻干粉针剂","400万IU(40μg)","支","1","西林瓶","深圳科兴药业有限公司",43.6,"修改（支付标准）","医药服务便函〔2021〕5号",144766]
[1044,"x090202004160004","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015144762,"注射用重组人干扰素α1b","赛若金","冻干粉针剂","200万IU(20μg)","支","1","西林瓶","深圳科兴药业有限公司",25.33,"修改（支付标准）","医药服务便函〔2021〕5号",144764]
[1045,"x090202004160005","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015140033,"重组人干扰素α2b注射液(假单胞菌)","安福隆","注射液","1ml:500万IU","盒","1","预充式(预灌封)注射器","天津未名生物医药有限公司",52.3,"修改（支付标准）","医药服务便函〔2021〕5号",140035]
[1046,"x090202004160006","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015140026,"重组人干扰素α2b注射液(假单胞菌)","安福隆","注射液","1ml:300万IU","盒","1","预充式(预灌封)注射器","天津未名生物医药有限公司",35.53,"修改（支付标准）","医药服务便函〔2021〕5号",140028]
[1047,"x090202004160007","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015138048,"重组人干扰素α2b注射液(假单胞菌)","安福隆","注射液","1ml:100万IU","瓶","1","玻璃瓶","天津未名生物医药有限公司",14.32,"修改（支付标准）","医药服务便函〔2021〕5号",138045]
[1048,"x090202004160009","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015103771,"人干扰素α2a注射液","因特芬","注射液","1ml:100万IU","瓶","1","西林瓶","沈阳三生制药有限责任公司",9.48,"修改（支付标准）","医药服务便函〔2021〕5号",103776]
[1049,"x090202004160014","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015125962,"注射用重组人干扰素α2a","无","冻干粉针剂","500万IU","瓶","1","西林瓶","长春生物制品研究所有限责任公司",38.3,"修改（支付标准）","医药服务便函〔2021〕5号",125961]
[1050,"x090202004160017","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015103778,"人干扰素α2a注射液","因特芬","注射液","1ml:300万IU","瓶","1","西林瓶","沈阳三生制药有限责任公司",25.25,"修改（支付标准）","医药服务便函〔2021〕5号",103783]
[1051,"x090202004160018","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015127829,"重组人干扰素α1b注射液","运德素","注射液","1ml:500万IU(50μg)","支","1","西林瓶","北京三元基因药业股份有限公司",50.45,"修改（支付标准）","医药服务便函〔2021〕5号",127828]
[1052,"x090202004160019","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015127821,"重组人干扰素α1b注射液","运德素","注射液","1ml:300万IU(30μg)","支","1","西林瓶","北京三元基因药业股份有限公司",36.75,"修改（支付标准）","医药服务便函〔2021〕5号",127820]
[1053,"x090202004160020","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015144763,"注射用重组人干扰素α1b","赛若金","冻干粉针剂","300万IU(30μg)","支","1","西林瓶","深圳科兴药业有限公司",35.58,"修改（支付标准）","医药服务便函〔2021〕5号",144765]
[1054,"x090202004160023","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015144765,"注射用重组人干扰素α1b","赛若金","冻干粉针剂","500万IU(50μg)","支","1","西林瓶","深圳科兴药业有限公司",54.33,"修改（支付标准）","医药服务便函〔2021〕5号",144767]
[1055,"x090202004160025","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015127843,"注射用重组人干扰素α1b","运德素","冻干粉针剂","300万IU(30μg)","支","1","西林瓶","北京三元基因药业股份有限公司",36.87,"修改（支付标准）","医药服务便函〔2021〕5号",127842]
[1056,"x090202004160026","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015144761,"注射用重组人干扰素α1b","赛若金","冻干粉针剂","100万IU(10μg)","支","1","西林瓶","深圳科兴药业有限公司",15.61,"修改（支付标准）","医药服务便函〔2021〕5号",144763]
[1057,"x090202004160029","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015137752,"重组人干扰素α2b注射液","凯因益生","注射液","0.6ml:600万IU","盒","1","预充式(预灌封)注射器","北京凯因科技股份有限公司",50.01,"修改（支付标准）","医药服务便函〔2021〕5号",137749]
[1058,"x090202004160031","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015137750,"重组人干扰素α2b注射液","凯因益生","注射液","0.5ml:500万IU","盒","1","预充式(预灌封)注射器","北京凯因科技股份有限公司",40.94,"修改（支付标准）","医药服务便函〔2021〕5号",137747]
[1059,"x090202004160032","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015137751,"重组人干扰素α2b注射液","安达芬","注射液","600万IU","盒","1","预充式(预灌封)注射器","安徽安科生物工程(集团)股份有限公司",55.97,"修改（支付标准）","医药服务便函〔2021〕5号",137748]
[1060,"x090202004160036","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015151136,"重组人干扰素α2b注射液","安达芬","注射液","500万IU","盒","1","预充式(预灌封)注射器","安徽安科生物工程(集团)股份有限公司",48.16,"修改（支付标准）","医药服务便函〔2021〕5号",151139]
[1061,"x090202004160037","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015127877,"重组人干扰素α2b注射液","无","注射液","0.3ml:300万IU","支","1","西林瓶","长春海伯尔生物技术有限责任公司",22.63,"修改（支付标准）","医药服务便函〔2021〕5号",127876]
[1062,"x090202004160038","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015127881,"重组人干扰素α2b注射液","无","注射液","0.5ml:500万IU","支","1","西林瓶","长春海伯尔生物技术有限责任公司",33.38,"修改（支付标准）","医药服务便函〔2021〕5号",127880]
[1063,"x090202004160039","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015127887,"重组人干扰素α2b注射液","无","注射液","0.6ml:600万IU","支","1","西林瓶","长春海伯尔生物技术有限责任公司",46.3,"修改（支付标准）","医药服务便函〔2021〕5号",127886]
[1064,"x090202004160041","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015125957,"注射用重组人干扰素α2a","无","冻干粉针剂","300万IU","瓶","1","西林瓶","长春生物制品研究所有限责任公司",21.83,"修改（支付标准）","医药服务便函〔2021〕5号",125956]
[1065,"x090202004160043","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015125882,"注射用重组人干扰素α2b(大肠杆菌)","长生扶康","冻干粉针剂","300万IU","瓶","1","西林瓶","长春生物制品研究所有限责任公司",32.95,"修改（支付标准）","医药服务便函〔2021〕5号",125881]
[1066,"x090202004160045","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015131786,"注射用重组人干扰素α2b(大肠杆菌)","远策素","冻干粉针剂","500万IU","瓶","1","玻璃瓶","北京远策药业有限责任公司",37.15,"修改（支付标准）","医药服务便函〔2021〕5号",131790]
[1067,"x090202004160046","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015103761,"注射用重组人干扰素α2a","因特芬","冻干粉针剂","300万IU","瓶","1","西林瓶","沈阳三生制药有限责任公司",26.25,"修改（支付标准）","医药服务便函〔2021〕5号",103766]
[1068,"x090202004160047","2","α-干扰素","α-Interferon","注射剂","限用于以下适应证之一，进口产品先由个人自理20%。①各类恶性肿瘤放疗或化疗辅助治疗。每个疗程不超过300万μ×21支，一个结算年度使用不超过2个疗程。②抗肿瘤治疗。用于慢性髓性白血病，毛细胞白血病，多发性骨髓瘤，骨髓增生性疾病，T细胞淋巴瘤，肾癌或恶性黑色素瘤。慢性髓性白血病、毛细胞白血病的治疗期不超过12个月，总剂量不超过300万μ×365支；维持期每月不超过300万μ×12支。多发性骨髓瘤,T细胞淋巴瘤,肾癌,恶性黑色素瘤的治疗期不超过3个月，总剂量600万μ×90支，维持期每月不超过300万μ×12支。③丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。④活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和聚乙二醇干扰素α-2a[α-2b]合并计算。",2015103766,"注射用重组人干扰素α2a","因特芬","冻干粉针剂","500万IU","瓶","1","西林瓶","沈阳三生制药有限责任公司",40.55,"修改（支付标准）","医药服务便函〔2021〕5号",103771]
[1069,"x090202004170001","2","聚乙二醇干扰素α-2a[α-2b]","Peginterferon α-2a[α-2b]","注射剂","活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和α-干扰素合并计算。丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。",20158353,"聚乙二醇干扰素α2a注射液","派罗欣","注射液","0.5ml:135μg","盒","1","预充式(预灌封)注射器","瑞士F. Hoffmann - La Roche Ltd<上海罗氏制药有限公司>分包装",798,"修改（支付标准）","医药服务便函〔2021〕5号",101914]
[1070,"x090202004170005","2","聚乙二醇干扰素α-2a[α-2b]","Peginterferon α-2a[α-2b]","注射剂","活动性乙型肝炎限传染病专科、副高以上职称，按《乙型肝炎治疗指南》使用，累计使用半年无效时应停药，总疗程不超过12个月，疗程和α-干扰素合并计算。丙型肝炎治疗方案及用法、用量按《丙型肝炎防治指南》执行。",20158388,"聚乙二醇干扰素α2a注射液","派罗欣","注射液","0.5ml:180μg","盒","1","预充式(预灌封)注射器","瑞士F. Hoffmann - La Roche Ltd<上海罗氏制药有限公司>分包装",993.86,"修改（支付标准）","医药服务便函〔2021〕5号",101933]
[1071,"x090203004180010","2","重组人白介素－2","Recombinant Human Interleukin-2","注射剂","限肾细胞癌、黑色素瘤",20152544,"注射用重组人白介素-2(Ⅰ)","无","冻干粉针剂","100万IU","盒","1","配溶媒(灭菌注射用水)+一次性输液器","辽宁卫星生物制品研究所(有限公司)",97.83,"修改（支付标准）","医药服务便函〔2021〕5号",129872]
[1072,"x090203004180011","2","重组人白介素－2","Recombinant Human Interleukin-2","注射剂","限肾细胞癌、黑色素瘤",20152655,"注射用重组人白介素-2(Ⅰ)","无","冻干粉针剂","10万IU","盒","1","配溶媒(灭菌注射用水)+一次性输液器","辽宁卫星生物制品研究所(有限公司)",16.75,"修改（支付标准）","医药服务便函〔2021〕5号",129823]
[1073,"x090203004190001","2","重组人白介素-11（重组人白介素-11（酵母））","Recombinant Human Interleukin-11","注射剂","使用其它药物无效的血小板减少症，且血小板计数低于20×109/L。",20155679,"注射用人白介素-11","吉巨芬","冻干粉针剂","2400万单位(3mg)","支","1","西林瓶","杭州九源基因工程有限公司",218.49,"修改（支付标准）","医药服务便函〔2021〕5号",140112]
[1074,"x090203004190004","2","重组人白介素-11（重组人白介素-11（酵母））","Recombinant Human Interleukin-11","注射剂","使用其它药物无效的血小板减少症，且血小板计数低于20×109/L。",201511895,"注射用人白介素-11","吉巨芬","冻干粉针剂","600万单位(0.75mg)","支","1","西林瓶","杭州九源基因工程有限公司",57.44,"修改（支付标准）","医药服务便函〔2021〕5号",140113]
[1075,"x090203004190007","2","重组人白介素-11（重组人白介素-11（酵母））","Recombinant Human Interleukin-11","注射剂","使用其它药物无效的血小板减少症，且血小板计数低于20×109/L。",20158943,"注射用重组人白介素-11","迈格尔","冻干粉针剂","1200万单位(1.5mg)","瓶","1","西林瓶","北京双鹭药业股份有限公司",102.96,"修改（支付标准）","医药服务便函〔2021〕5号",142421]
[1076,"x090203004191001","2","重组人白介素-11[Ⅰ]（重组人白介素-11[Ⅰ]（酵母））","Recombinant Human Interleukin-11(Ⅰ)","注射剂","限放化疗引起的血小板减少患者在三级医院治疗时使用",201514076,"注射用重组人白介素-11(Ⅰ)","百杰依","冻干粉针剂","1200万单位(1.5mg)","支","1","玻璃瓶","华润昂德生物药业有限公司",327.63,"修改（支付标准）","医药服务便函〔2021〕5号",144172]
[1077,"x090204004230001","2","胸腺肽α1（胸腺法新）","Thymosin α1","注射剂","重症乙肝患者的住院治疗；各类恶性肿瘤放疗或化疗辅助治疗，每个疗程不超过1.6mg×8支，一个结算年度使用不超过2个疗程。进口产品先由个人自理20%。",20158690,"注射用胸腺法新","基泰","冻干粉针剂","1.6mg","盒","1","配溶媒","海南双成药业股份有限公司",80.08,"修改（支付标准）","医药服务便函〔2021〕5号",104761]
[1078,"x090204004230002","2","胸腺肽α1（胸腺法新）","Thymosin α1","注射剂","重症乙肝患者的住院治疗；各类恶性肿瘤放疗或化疗辅助治疗，每个疗程不超过1.6mg×8支，一个结算年度使用不超过2个疗程。进口产品先由个人自理20%。",201512190,"注射用胸腺法新","和日","冻干粉针剂","1.6mg","盒","1","配溶媒","海南中和药业股份有限公司",68.7,"修改（支付标准）","医药服务便函〔2021〕5号",111973]
[1079,"x090204004230003","2","胸腺肽α1（胸腺法新）","Thymosin α1","注射剂","重症乙肝患者的住院治疗；各类恶性肿瘤放疗或化疗辅助治疗，每个疗程不超过1.6mg×8支，一个结算年度使用不超过2个疗程。进口产品先由个人自理20%。",20151005,"注射用胸腺法新","迈普新","冻干粉针剂","1.6mg","支","1","玻璃瓶","成都地奥九泓制药厂",94.76,"修改（支付标准）","医药服务便函〔2021〕5号",143044]
[1080,"x090204004230004","2","胸腺肽α1（胸腺法新）","Thymosin α1","注射剂","重症乙肝患者的住院治疗；各类恶性肿瘤放疗或化疗辅助治疗，每个疗程不超过1.6mg×8支，一个结算年度使用不超过2个疗程。进口产品先由个人自理20%。",201512870,"注射用胸腺法新","日达仙","冻干粉针剂","1.6mg","盒","1","配溶媒","意大利培森药厂Patheon Italia S.p.A",465.4,"修改（支付标准）","医药服务便函〔2021〕5号",141573]
[1081,"x090204004240002","2","聚肌胞","Polyinosinic-Polycytidylic Acid","注射剂","每个疗程不超过2mg×26支；\n每年结算年度使用不超过2个疗程。",2015115602,"聚肌胞注射液","无","注射液","2ml:2mg","支","1","安瓿","济南维尔康生化制药有限公司",0.26,"修改（支付标准）","医药服务便函〔2021〕5号",115605]
[1082,"x090204004240005","2","聚肌胞","Polyinosinic-Polycytidylic Acid","注射剂","每个疗程不超过2mg×26支；\n每年结算年度使用不超过2个疗程。",2015113034,"聚肌胞注射液","无","注射液","2ml:2mg","支","1","安瓿","广东南国药业有限公司",5.07,"修改（支付标准）","医药服务便函〔2021〕5号",113032]
[1083,"x090204004240008","2","聚肌胞","Polyinosinic-Polycytidylic Acid","注射剂","每个疗程不超过2mg×26支；\n每年结算年度使用不超过2个疗程。",2015155648,"聚肌胞注射液","无","注射液","2ml:2mg","支","1","安瓿","成都市海通药业有限公司",5.84,"修改（支付标准）","医药服务便函〔2021〕5号",155646]
[1084,"x090204004250003","2","卡介菌多糖、核酸制剂","BCG Polysaccharide and Nacleic Acid Preparation","注射剂","限慢性支气管炎，慢性过敏性疾病，哮喘。",2015120380,"卡介菌多糖核酸注射液","斯奇康","注射液","1ml:含卡介菌多糖0.35mg,核酸不低于40μg","支","1","安瓿","湖南斯奇生物制药有限公司",7.67,"修改（支付标准）","医药服务便函〔2021〕5号",120377]
[1085,"x090204004250004","2","卡介菌多糖、核酸制剂","BCG Polysaccharide and Nacleic Acid Preparation","注射剂","限慢性支气管炎，慢性过敏性疾病，哮喘。",2015134195,"卡介菌多糖核酸注射液","无","注射液","1ml:含卡介菌多糖0.35mg,核酸不低于40μg","支","1","安瓿","浙江万晟药业有限公司",4.92,"修改（支付标准）","医药服务便函〔2021〕5号",134199]
[1086,"x090204004250005","2","卡介菌多糖、核酸制剂","BCG Polysaccharide and Nacleic Acid Preparation","注射剂","限慢性支气管炎，慢性过敏性疾病，哮喘。",2015142258,"卡介菌多糖核酸注射液","无","注射液","1ml:含卡介菌多糖0.35mg,核酸不低于40μg","支","1","安瓿","陕西医药控股集团生物制品有限公司",5.09,"修改（支付标准）","医药服务便函〔2021〕5号",142260]
[1087,"x100101004290001","1","环磷酰胺","Cyclophosphamide","口服常释剂型","",2015107796,"环磷酰胺片","无","糖衣片","50mg","盒","120","铝塑","通化茂祥制药有限公司",97.5,"修改（支付标准）","医药服务便函〔2021〕5号",107799]
[1088,"x100101004530002","2","替莫唑胺","Temozolomide","口服常释剂型","非限定支付抗肿瘤药无效或不能耐受",20155963,"替莫唑胺胶囊","蒂清","硬胶囊剂","0.1g","瓶","5","塑料瓶","江苏天士力帝益药业有限公司",895,"修改（支付标准）","医药服务便函〔2021〕5号",101856]
[1089,"x100101004530003","2","替莫唑胺","Temozolomide","口服常释剂型","非限定支付抗肿瘤药无效或不能耐受",2020171562,"替莫唑胺胶囊","无","硬胶囊剂","0.1g","盒","5","铝塑","芬兰Orion Corporation<杭州默沙东制药有限公司>分包装",3300,"修改（支付标准）","医药服务便函〔2021〕5号",171562]
[1090,"x100101004530004","2","替莫唑胺","Temozolomide","口服常释剂型","非限定支付抗肿瘤药无效或不能耐受",2020171561,"替莫唑胺胶囊","无","硬胶囊剂","20mg","盒","5","铝塑","芬兰Orion Corporation<杭州默沙东制药有限公司>分包装",958.26,"修改（支付标准）","医药服务便函〔2021〕5号",171561]
[1091,"x100101004530006","2","替莫唑胺","Temozolomide","口服常释剂型","非限定支付抗肿瘤药无效或不能耐受",2018142398,"替莫唑胺胶囊","无","硬胶囊剂","20mg","瓶","10","塑料瓶","北京双鹭药业股份有限公司",1041.79,"修改（支付标准）","医药服务便函〔2021〕5号",142398]
[1092,"x100101004530007","2","替莫唑胺","Temozolomide","口服常释剂型","非限定支付抗肿瘤药无效或不能耐受",2019101849,"替莫唑胺胶囊","蒂清","硬胶囊剂","50mg","瓶","7","塑料瓶","江苏天士力帝益药业有限公司",728.06,"修改（支付标准）","医药服务便函〔2021〕5号",101849]
[1093,"x100101004560007","2","伊达比星","Idarubicin","注射剂","非限定支付抗肿瘤药无效或不能耐受",2019164743,"注射用盐酸伊达比星","善唯达","冻干粉针剂","10mg","瓶","1","玻璃瓶","辉瑞制药(无锡)有限公司",2990,"修改（支付标准）","医药服务便函〔2021〕5号",164743]
[1094,"x100101004560008","2","伊达比星","Idarubicin","注射剂","非限定支付抗肿瘤药无效或不能耐受",20158466,"注射用盐酸伊达比星","艾诺宁","冻干粉针剂","10mg","瓶","1","玻璃瓶","瀚晖制药有限公司",1894.38,"修改（支付标准）","医药服务便函〔2021〕5号",144163]
[1095,"x100102004591010","1","甲氨蝶呤","Methotrexate","注射剂","",2015147520,"甲氨蝶呤注射液","无","注射液","10ml:1.0g","瓶","1","塑料瓶","澳大利亚Pfizer (Perth) Pty Limited",174.89,"修改（支付标准）","医药服务便函〔2021〕5号",147519]
[1096,"x100102004630006","2","氟达拉滨","Fludarabine","注射剂","限三级综合或统筹地区最高等级医疗机构或肿瘤专科医院二线用药",2018106195,"注射用磷酸氟达拉滨","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","广东岭南制药有限公司",812.66,"修改（支付标准）","医药服务便函〔2021〕5号",106195]
[1097,"x100102004630007","2","氟达拉滨","Fludarabine","注射剂","限三级综合或统筹地区最高等级医疗机构或肿瘤专科医院二线用药",2018148642,"注射用磷酸氟达拉滨","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","海南锦瑞制药有限公司",760.26,"修改（支付标准）","医药服务便函〔2021〕5号",148642]
[1098,"x100103004770004","2","博来霉素","Bleomycin Hydrochloride","注射剂","",2018147464,"注射用盐酸博来霉素","无","冻干粉针剂","15mg(以博来霉素计)","瓶","1","西林瓶","日本化药株式会社高崎工厂Takasaki plant,NIPPON KAYAKU CO,LTD",138.5,"修改（支付标准）","医药服务便函〔2021〕5号",147464]
[1099,"x100300005070002","2","榄香烯","Elemene","注射剂","",2015114181,"榄香烯乳状注射液","无","注射用乳剂","20ml:88mg","支","1","安瓿","大连华立金港药业有限公司",110.67,"修改（支付标准）","医药服务便函〔2021〕5号",114177]
[1100,"x100300005110002","2","氨磷汀","Amifostine","注射剂","",201514071,"注射用氨磷汀","采福","粉针剂","0.5g","瓶","1","玻璃瓶","印度太阳药业有限公司Sun Pharmaceutical Industries Ltd.",396.16,"修改（支付标准）","医药服务便函〔2021〕5号",147507]
[1101,"x100300005110003","2","氨磷汀","Amifostine","注射剂","",20152207,"注射用氨磷汀","阿米福汀","冻干粉针剂","0.4g","支","1","玻璃瓶","美罗药业股份有限公司",279.92,"修改（支付标准）","医药服务便函〔2021〕5号",103386]
[1102,"x100300005110005","2","氨磷汀","Amifostine","注射剂","",201513649,"注射用氨磷汀","天地达","粉针剂","0.5g","瓶","1","西林瓶","南京绿叶制药有限公司",272.19,"修改（支付标准）","医药服务便函〔2021〕5号",137721]
[1103,"x100300005110006","2","氨磷汀","Amifostine","注射剂","",201510172,"注射用氨磷汀","安福定","冻干粉针剂","0.5g","瓶","1","玻璃瓶","深圳市资福药业有限公司",275.5,"修改（支付标准）","医药服务便函〔2021〕5号",144322]
[1104,"x110103005170013","1","异丙嗪","Promethazine","口服常释剂型","△",2015161116,"盐酸异丙嗪片","无","糖衣片","12.5mg","瓶","100","塑料瓶","开封白云制药有限公司",1.43,"修改（支付标准）","医药服务便函〔2021〕5号",161109]
[1105,"x110104005210001","2","左西替利嗪","Levocetirizine","口服常释剂型\n口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015131095,"盐酸左西替利嗪分散片","诺思达","分散片","5mg","盒","12","铝塑","鲁南贝特制药有限公司",18.5,"修改（支付标准）","医药服务便函〔2021〕5号",131099]
[1106,"x110104005210003","2","左西替利嗪","Levocetirizine","口服常释剂型口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015144924,"盐酸左西替利嗪片","迪皿","素片","5mg","盒","15","铝塑","重庆华邦制药有限公司",21.64,"修改（支付标准）","医药服务便函〔2021〕5号",144926]
[1107,"x110104005210004","2","左西替利嗪","Levocetirizine","口服常释剂型口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015146160,"盐酸左西替利嗪口服溶液","无","口服溶液剂","10ml(0.05%)","盒","6","玻璃瓶","重庆华邦制药有限公司",19.18,"修改（支付标准）","医药服务便函〔2021〕5号",146159]
[1108,"x110104005210007","2","左西替利嗪","Levocetirizine","口服常释剂型\n口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015101151,"盐酸左西替利嗪片","西可新","薄膜衣片","5mg","盒","12","双铝","苏州东瑞制药有限公司",6.1,"修改（支付标准）","医药服务便函〔2021〕5号",101156]
[1109,"x110104005210009","2","左西替利嗪","Levocetirizine","口服常释剂型<br/>口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015114241,"盐酸左西替利嗪胶囊","畅然","硬胶囊剂","5mg","盒","24","铝箔","湖南九典制药股份有限公司",39.33,"修改（支付标准）","医药服务便函〔2021〕5号",114239]
[1110,"x110104005210010","2","左西替利嗪","Levocetirizine","口服常释剂型<br/>口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015148434,"盐酸左西替利嗪口服溶液","无","口服溶液剂","10ml(0.05%)","盒","10","玻璃瓶","重庆华邦制药有限公司",27.8,"修改（支付标准）","医药服务便函〔2021〕5号",148433]
[1111,"x110104005210013","2","左西替利嗪","Levocetirizine","口服常释剂型<br/>口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015114452,"盐酸左西替利嗪片","无","薄膜衣片","5mg","盒","14","铝塑","湖南九典制药股份有限公司",30.91,"修改（支付标准）","医药服务便函〔2021〕5号",114450]
[1112,"x110104005210015","2","左西替利嗪","Levocetirizine","口服常释剂型<br/>口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015138809,"盐酸左西替利嗪片","无","薄膜衣片","5mg","盒","18","铝箔","北京天衡药物研究院南阳天衡制药厂",17.47,"修改（支付标准）","医药服务便函〔2021〕5号",138806]
[1113,"x110104005210016","2","左西替利嗪","Levocetirizine","口服常释剂型<br/>口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015158947,"盐酸左西替利嗪片","无","薄膜衣片","5mg","盒","18","铝箔","湖南九典制药股份有限公司",39.38,"修改（支付标准）","医药服务便函〔2021〕5号",158945]
[1114,"x110104005210017","2","左西替利嗪","Levocetirizine","口服常释剂型<br/>口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015158993,"盐酸左西替利嗪片","无","薄膜衣片","5mg","盒","24","铝箔","湖南九典制药股份有限公司",51.96,"修改（支付标准）","医药服务便函〔2021〕5号",158991]
[1115,"x110104005210018","2","左西替利嗪","Levocetirizine","口服常释剂型<br/>口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015139574,"盐酸左西替利嗪片","强溢","素片","5mg","盒","16","双铝","浙江仟源海力生制药有限公司",15.5,"修改（支付标准）","医药服务便函〔2021〕5号",139571]
[1116,"x110104005210019","2","左西替利嗪","Levocetirizine","口服常释剂型<br/>口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015143988,"盐酸左西替利嗪片","无","素片","5mg","盒","7","铝塑","浙江永宁药业股份有限公司",15,"修改（支付标准）","医药服务便函〔2021〕5号",143990]
[1117,"x110104005210022","2","左西替利嗪","Levocetirizine","口服常释剂型<br/>口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015161175,"盐酸左西替利嗪片","无","素片","5mg","盒","14","铝塑","浙江永宁药业股份有限公司",30.25,"修改（支付标准）","医药服务便函〔2021〕5号",161168]
[1118,"x110104005210023","2","左西替利嗪","Levocetirizine","口服常释剂型<br/>口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015114228,"盐酸左西替利嗪胶囊","畅然","硬胶囊剂","5mg","盒","12","铝箔","湖南九典制药股份有限公司",20.17,"修改（支付标准）","医药服务便函〔2021〕5号",114226]
[1119,"x110104005210024","2","左西替利嗪","Levocetirizine","口服常释剂型<br/>口服液体剂","限西替利嗪（编号：487）治疗失败的患者",2015114234,"盐酸左西替利嗪胶囊","畅然","硬胶囊剂","5mg","盒","18","铝箔","湖南九典制药股份有限公司",29.81,"修改（支付标准）","医药服务便函〔2021〕5号",114232]
[1120,"x110105005240020","2","氯雷他定","Loratadine","口服常释剂型","△",2015150974,"氯雷他定胶囊","精威","硬胶囊剂","10mg","盒","12","铝塑","广西厚德大健康产业股份有限公司",21.06,"修改（支付标准）","医药服务便函〔2021〕5号",150977]
[1121,"x110105005240023","2","氯雷他定","Loratadine","口服常释剂型","△",2015159655,"氯雷他定胶囊","无","硬胶囊剂","10mg","盒","6","铝塑","西安大恒制药有限责任公司",19.23,"修改（支付标准）","医药服务便函〔2021〕5号",159653]
[1122,"x110200005300008","2","酮替芬","Ketotifen","口服常释剂型","△",2015102088,"富马酸酮替芬片","无","素片","1.0mg","瓶","60","塑料瓶","江苏天士力帝益药业有限公司",5.04,"修改（支付标准）","医药服务便函〔2021〕5号",102093]
[1123,"x120101105310001","1","左旋多巴","Levodopa","口服常释剂型","",2015135395,"左旋多巴片","无","素片","0.25g","瓶","100","塑料瓶","上海福达制药有限公司",18.85,"修改（支付标准）","医药服务便函〔2021〕5号",135392]
[1124,"x120102005410009","1","苯海索","Trihexyphenidyl","口服常释剂型","",2015102768,"盐酸苯海索片","无","素片","2mg","瓶","100","塑料瓶","福州海王福药制药有限公司",3.95,"修改（支付标准）","医药服务便函〔2021〕5号",102773]
[1125,"x120301005470014","1","苯妥英钠","Phenytoin Sodium","口服常释剂型","",2015143272,"苯妥英钠片","无","素片","50mg","瓶","100","塑料瓶","扬州艾迪制药有限公司",1.65,"修改（支付标准）","医药服务便函〔2021〕5号",143274]
[1126,"x120400005680002","2","法舒地尔","Fasudil","注射剂","限蛛网膜下腔出血后患者在三级医院或统筹地区最高等级医疗机构使用",20156686,"盐酸法舒地尔注射液","川威","注射液","2ml:30mg","支","1","安瓿","天津红日药业股份有限公司",36.7,"修改（支付标准）","医药服务便函〔2021〕5号",132446]
[1127,"x120400005700010","2","葛根素","Puerarin","注射剂","",20152379,"注射用葛根素","安欣达","冻干粉针剂","0.2g","瓶","1","玻璃瓶","浙江震元制药有限公司",15.65,"修改（支付标准）","医药服务便函〔2021〕5号",130975]
[1128,"x120400005700011","2","葛根素","Puerarin","注射剂","",20151677,"注射用葛根素","麦普宁","冻干粉针剂","0.1g","瓶","1","玻璃瓶","瑞阳制药有限公司",9.43,"修改（支付标准）","医药服务便函〔2021〕5号",109800]
[1129,"x120400005700013","2","葛根素","Puerarin","注射剂","",20159841,"注射用葛根素","安欣达","冻干粉针剂","0.4g","瓶","1","玻璃瓶","浙江震元制药有限公司",26.09,"修改（支付标准）","医药服务便函〔2021〕5号",130985]
[1130,"x120400005700016","2","葛根素","Puerarin","注射剂","",20156087,"注射用葛根素","麦普宁","冻干粉针剂","0.2g","瓶","1","玻璃瓶","瑞阳制药有限公司",16.27,"修改（支付标准）","医药服务便函〔2021〕5号",109814]
[1131,"x120400005700027","2","葛根素","Puerarin","注射剂","",20159870,"葛根素注射液","无","注射液","10ml:0.4g","支","1","安瓿","辰欣药业股份有限公司",14.7,"修改（支付标准）","医药服务便函〔2021〕5号",134209]
[1132,"x120400005741023","2","尼莫地平","Nimodipine","注射剂","",2015150688,"尼莫地平注射液","无","注射液","20ml:4mg","支","1","安瓿","上海信谊金朱药业有限公司",8.28,"修改（支付标准）","医药服务便函〔2021〕5号",150691]
[1133,"x120400005750002","2","七叶皂苷","Aescine","注射剂","",20157768,"注射用七叶皂苷钠","无","冻干粉针剂","15mg","瓶","1","玻璃瓶","无锡凯夫制药有限公司",10.53,"修改（支付标准）","医药服务便函〔2021〕5号",143427]
[1134,"x120400005750006","2","七叶皂苷","Aescine","注射剂","",20152244,"注射用七叶皂苷钠","麦通纳","冻干粉针剂","15mg","瓶","1","玻璃瓶","山东绿叶制药有限公司",22.36,"修改（支付标准）","医药服务便函〔2021〕5号",136266]
[1135,"x120400005750011","2","七叶皂苷","Aescine","注射剂","",201511457,"注射用七叶皂苷钠","无","冻干粉针剂","10mg","瓶","1","玻璃瓶","武汉长联来福制药股份有限公司",3.95,"修改（支付标准）","医药服务便函〔2021〕5号",122976]
[1136,"x120500005780001","2","多奈哌齐","Donepezil","口服常释剂型","限阿尔茨海默病(Alzheimer's Disease)",2015117662,"盐酸多奈哌齐分散片","无","分散片","5mg","盒","12","铝塑","山东罗欣药业集团股份有限公司",80.65,"修改（支付标准）","医药服务便函〔2021〕5号",117665]
[1137,"x120500005780004","2","多奈哌齐","Donepezil","口服常释剂型","限阿尔茨海默病(Alzheimer's Disease)",2015116846,"盐酸多奈哌齐胶囊","赛灵斯","硬胶囊剂","5mg","盒","7","铝塑","西安海欣制药有限公司",39.41,"修改（支付标准）","医药服务便函〔2021〕5号",116849]
[1138,"x120500005780005","2","多奈哌齐","Donepezil","口服常释剂型","限阿尔茨海默病(Alzheimer's Disease)",2015100535,"盐酸多奈哌齐胶囊","加奇","硬胶囊剂","5mg","盒","7","铝塑","扬子江药业集团上海海尼药业有限公司",43.05,"修改（支付标准）","医药服务便函〔2021〕5号",100540]
[1139,"x120500005780007","2","多奈哌齐","Donepezil","口服常释剂型","限阿尔茨海默病(Alzheimer's Disease)",2015145173,"盐酸多奈哌齐片","无","薄膜衣片","5mg","盒","10","铝塑","江苏豪森药业集团有限公司",11.22,"修改（支付标准）","医药服务便函〔2021〕5号",145172]
[1140,"x120500005780008","2","多奈哌齐","Donepezil","口服常释剂型","限阿尔茨海默病",2015129357,"盐酸多奈哌齐片","安理申","薄膜衣片","5mg","盒","7","铝塑","卫材(中国)药业有限公司",95.48,"修改（支付标准）","医药服务便函〔2021〕5号",129356]
[1141,"x120500005780010","2","多奈哌齐","Donepezil","口服常释剂型","限阿尔茨海默病(Alzheimer's Disease)",2015104248,"盐酸多奈哌齐片","阿瑞斯","薄膜衣片","5mg","盒","7","双铝","陕西方舟制药有限公司",28.61,"修改（支付标准）","医药服务便函〔2021〕5号",104253]
[1142,"x120500005780012","2","多奈哌齐","Donepezil","口服常释剂型","限阿尔茨海默病(Alzheimer's Disease)",2015104108,"盐酸多奈哌齐胶囊","盖菲","硬胶囊剂","5mg","盒","4","铝塑","山东淄博新达制药有限公司",23.65,"修改（支付标准）","医药服务便函〔2021〕5号",104113]
[1143,"x120500005790001","2","卡巴拉汀","Rivastigmine","口服常释剂型","限阿尔茨海默病(Alzheimer's Disease)",20151033,"重酒石酸卡巴拉汀胶囊","艾斯能","硬胶囊剂","1.5mg","盒","28","铝塑","西班牙Novartis Farmaceutica S.A.",183.39,"修改（支付标准）","医药服务便函〔2021〕5号",147298]
[1144,"x120500005790002","2","卡巴拉汀","Rivastigmine","口服常释剂型","限阿尔茨海默病(Alzheimer's Disease)",2019163542,"重酒石酸卡巴拉汀胶囊","无","硬胶囊剂","1.5mg","盒","28","铝塑","浙江京新药业股份有限公司",128.37,"修改（支付标准）","医药服务便函〔2021〕5号",163542]
[1145,"x120600005810005","1","胞磷胆碱（胞二磷胆碱）","Citicoline","注射剂","",2015114427,"胞磷胆碱钠注射液","无","注射液","2ml:0.25g","支","1","安瓿","齐鲁制药有限公司",0.71,"修改（支付标准）","医药服务便函〔2021〕5号",114425]
[1146,"x120600005810019","1","胞磷胆碱（胞二磷胆碱）","Citicoline","注射剂","",2015136039,"注射用胞磷胆碱钠","无","冻干粉针剂","0.5g","瓶","1","玻璃瓶","福建省闽东力捷迅药业有限公司",3.17,"修改（支付标准）","医药服务便函〔2021〕5号",136036]
[1147,"x120600005810026","1","胞磷胆碱（胞二磷胆碱）","Citicoline","注射剂","",2015111831,"注射用胞磷胆碱钠","无","冻干粉针剂","0.25g","瓶","1","玻璃瓶","河南辅仁怀庆堂制药有限公司",1.45,"修改（支付标准）","医药服务便函〔2021〕5号",111829]
[1148,"x120600005810029","1","胞磷胆碱（胞二磷胆碱）","Citicoline","注射剂","",2015109987,"注射用胞磷胆碱钠","无","冻干粉针剂","0.25g","瓶","1","玻璃瓶","瑞阳制药有限公司",1.35,"修改（支付标准）","医药服务便函〔2021〕5号",109990]
[1149,"x120600005810031","1","胞磷胆碱（胞二磷胆碱）","Citicoline","注射剂","",2015104133,"胞磷胆碱钠注射液","无","注射液","2ml:0.25g","支","1","安瓿","山西晋新双鹤药业有限责任公司",0.74,"修改（支付标准）","医药服务便函〔2021〕5号",104138]
[1150,"x120600005840012","2","吡拉西坦（乙酰胺吡咯烷酮）","Piracetam","口服常释剂型","",2015143216,"吡拉西坦片","无","素片","0.4g","瓶","100","塑料瓶","扬州艾迪制药有限公司",6.08,"修改（支付标准）","医药服务便函〔2021〕5号",143218]
[1151,"x120600005841019","2","吡拉西坦（乙酰胺吡咯烷酮）","Piracetam","注射剂","",2015142150,"吡拉西坦注射液","无","注射液","5ml:1.0g","支","1","安瓿","上海现代哈森(商丘)药业有限公司",0.38,"修改（支付标准）","医药服务便函〔2021〕5号",142152]
[1152,"x120600005841021","2","吡拉西坦（乙酰胺吡咯烷酮）","Piracetam","注射剂","",2015144453,"吡拉西坦注射液","无","注射液","20ml:4.0g","支","1","安瓿","浙江瑞新药业股份有限公司",1.4,"修改（支付标准）","医药服务便函〔2021〕5号",144455]
[1153,"x120600005841022","2","吡拉西坦（乙酰胺吡咯烷酮）","Piracetam","注射剂","",2015144452,"吡拉西坦注射液","无","注射液","5ml:1.0g","支","1","安瓿","浙江瑞新药业股份有限公司",0.3,"修改（支付标准）","医药服务便函〔2021〕5号",144454]
[1154,"x120900006030013","1","甘露醇","Mannitol","注射剂","",2015127853,"甘露醇注射液","无","注射液","250ml:50g(20%)","瓶","1","塑料瓶","浙江康乐药业股份有限公司",2.05,"修改（支付标准）","医药服务便函〔2021〕5号",127852]
[1155,"x120900006030032","1","甘露醇","Mannitol","注射剂","",2015152724,"甘露醇注射液","无","注射液","250ml:50g(20%)","袋","1","多层共挤输液袋","浙江巨能乐斯药业有限公司",3.3,"修改（支付标准）","医药服务便函〔2021〕5号",152727]
[1156,"x12090000603p001","2","复方甘露醇","","注射剂","",201510540,"复方甘露醇注射液","丰海露","注射液","250ml:37.5g:12.5g:1.125g","瓶","1","玻璃瓶","江苏正大丰海制药有限公司",8.01,"修改（支付标准）","医药服务便函〔2021〕5号",137884]
[1157,"x120900006060012","2","甲钴胺","Mecobalamin","口服常释剂型","",2015141490,"甲钴胺胶囊","泛敏补","硬胶囊剂","0.5mg","盒","30","铝塑","台湾泛生制药厂股份有限公司",18.5,"修改（支付标准）","医药服务便函〔2021〕5号",141492]
[1158,"x120900006060013","2","甲钴胺","Mecobalamin","口服常释剂型","",2015141489,"甲钴胺胶囊","泛敏补","硬胶囊剂","0.5mg","盒","20","铝塑","台湾泛生制药厂股份有限公司",12.5,"修改（支付标准）","医药服务便函〔2021〕5号",141491]
[1159,"x120900006061002","2","甲钴胺","Mecobalamin","注射剂","",2015110649,"注射用甲钴胺","托普优","冻干粉针剂","0.5mg","瓶","1","玻璃瓶","瑞阳制药有限公司",9.9,"修改（支付标准）","医药服务便函〔2021〕5号",110647]
[1160,"x120900006061006","2","甲钴胺","Mecobalamin","注射剂","",2015126091,"甲钴胺注射液","无","注射液","1ml:0.5mg","支","1","安瓿","天津金耀药业有限公司",3.3,"修改（支付标准）","医药服务便函〔2021〕5号",126090]
[1161,"x120900006061007","2","甲钴胺","Mecobalamin","注射剂","",2015101581,"注射用甲钴胺","怡神保","冻干粉针剂","0.5mg","瓶","1","玻璃瓶","华北制药股份有限公司",9.87,"修改（支付标准）","医药服务便函〔2021〕5号",101586]
[1162,"x120900006061008","2","甲钴胺","Mecobalamin","注射剂","",2015134156,"甲钴胺注射液","无","注射液","1ml:0.5mg","支","1","安瓿","辰欣药业股份有限公司",4.05,"修改（支付标准）","医药服务便函〔2021〕5号",134160]
[1163,"x120900006061009","2","甲钴胺","Mecobalamin","注射剂","",2017163653,"甲钴胺注射液","弥可保","注射液","1ml:0.5mg","支","1","安瓿","卫材(中国)药业有限公司",14.04,"修改（支付标准）","医药服务便函〔2021〕5号",163653]
[1164,"x120900006061010","2","甲钴胺","Mecobalamin","注射剂","",2015119524,"甲钴胺注射液","无","注射液","1ml:0.5mg","支","1","安瓿","亚宝药业集团股份有限公司",3.69,"修改（支付标准）","医药服务便函〔2021〕5号",119527]
[1165,"x120900006061011","2","甲钴胺","Mecobalamin","注射剂","",2015103124,"注射用甲钴胺","爱昕保","冻干粉针剂","0.5mg","瓶","1","西林瓶","广东众生药业股份有限公司",8.35,"修改（支付标准）","医药服务便函〔2021〕5号",103129]
[1166,"x120900006081001","2","腺苷钴胺","Cobamamide","注射剂","",2015132805,"注射用腺苷钴胺","无","冻干粉针剂","1.5mg","瓶","1","玻璃瓶","上海上药第一生化药业有限公司",32.57,"修改（支付标准）","医药服务便函〔2021〕5号",132809]
[1167,"x120900006081002","2","腺苷钴胺","Cobamamide","注射剂","",2015100617,"注射用腺苷钴胺","无","冻干粉针剂","1.0mg","盒","1","配溶媒","华北制药股份有限公司",28.5,"修改（支付标准）","医药服务便函〔2021〕5号",100622]
[1168,"x120900006081007","2","腺苷钴胺","Cobamamide","注射剂","",2015108205,"注射用腺苷钴胺","无","冻干粉针剂","0.5mg","瓶","1","玻璃瓶","重庆药友制药有限责任公司",16.33,"修改（支付标准）","医药服务便函〔2021〕5号",108208]
[1169,"x120900006081008","2","腺苷钴胺","Cobamamide","注射剂","",2015100613,"注射用腺苷钴胺","无","冻干粉针剂","0.5mg","盒","1","配溶媒","华北制药股份有限公司",18.69,"修改（支付标准）","医药服务便函〔2021〕5号",100618]
[1170,"x120900006081009","2","腺苷钴胺","Cobamamide","注射剂","",2015132804,"注射用腺苷钴胺","无","冻干粉针剂","0.5mg","瓶","1","玻璃瓶","上海上药第一生化药业有限公司",15.49,"修改（支付标准）","医药服务便函〔2021〕5号",132808]
[1171,"x120900006081011","2","腺苷钴胺","Cobamamide","注射剂","",2015106526,"注射用腺苷钴胺","无","冻干粉针剂","1.0mg","支","1","玻璃瓶","哈尔滨三联药业股份有限公司",27.68,"修改（支付标准）","医药服务便函〔2021〕5号",106529]
[1172,"x120900006081012","2","腺苷钴胺","Cobamamide","注射剂","",2015106530,"注射用腺苷钴胺","无","冻干粉针剂","1.5mg","支","1","玻璃瓶","哈尔滨三联药业股份有限公司",42.98,"修改（支付标准）","医药服务便函〔2021〕5号",106533]
[1173,"x120900006081013","2","腺苷钴胺","Cobamamide","注射剂","",2015152066,"注射用腺苷钴胺","无","冻干粉针剂","1.0mg","瓶","1","玻璃瓶","重庆药友制药有限责任公司",27.58,"修改（支付标准）","医药服务便函〔2021〕5号",152069]
[1174,"x120900006081014","2","腺苷钴胺","Cobamamide","注射剂","",2015108208,"注射用腺苷钴胺","无","冻干粉针剂","1.5mg","瓶","1","玻璃瓶","重庆药友制药有限责任公司",32.46,"修改（支付标准）","医药服务便函〔2021〕5号",108211]
[1175,"x130101106100003","1","奋乃静","Perphenazine","口服常释剂型","",2015135559,"奋乃静片","无","糖衣片","4mg","瓶","100","塑料瓶","江苏黄河药业股份有限公司",29.61,"修改（支付标准）","医药服务便函〔2021〕5号",135556]
[1176,"x130101106100006","1","奋乃静","Perphenazine","口服常释剂型","",2015135558,"奋乃静片","无","糖衣片","2mg","瓶","100","塑料瓶","江苏黄河药业股份有限公司",17.36,"修改（支付标准）","医药服务便函〔2021〕5号",135555]
[1177,"x130101106111005","1","氯丙嗪","Chlorpromazine","注射剂","",2015127289,"盐酸氯丙嗪注射液","无","注射液","1ml:25mg","支","1","安瓿","遂成药业股份有限公司",1.3,"修改（支付标准）","医药服务便函〔2021〕5号",127288]
[1178,"x130101206250001","2","注射用利培酮微球","Risperidone for Depot Suspension","注射剂","限不配合服药患者",2015131724,"注射用利培酮微球","恒德","粉针剂","25mg","盒","1","预充式(预灌封)注射器","美国Alkermes,Inc.",774.67,"修改（支付标准）","医药服务便函〔2021〕5号",131728]
[1179,"x130101206250002","2","注射用利培酮微球","Risperidone for Depot Suspension","注射剂","限不配合服药患者",2015131730,"注射用利培酮微球","恒德","粉针剂","37.5mg","盒","1","预充式(预灌封)注射器","美国Alkermes,Inc.",1056.62,"修改（支付标准）","医药服务便函〔2021〕5号",131734]
[1180,"x130301006480010","1","多塞平","Doxepin","口服常释剂型","",2015135547,"盐酸多塞平片","无","糖衣片","25mg","瓶","100","塑料瓶","上海中西三维药业有限公司",7.67,"修改（支付标准）","医药服务便函〔2021〕5号",135544]
[1181,"x130302006500002","2","马普替林","Maprotiline","口服常释剂型\n口服液体剂","",20154927,"盐酸马普替林片","无","素片","25mg","盒","40","铝塑","北京益民药业有限公司",16,"修改（支付标准）","医药服务便函〔2021〕5号",135039]
[1182,"x130303006570001","2","西酞普兰","Citalopram","口服常释剂型","",201512243,"氢溴酸西酞普兰胶囊","多弗","硬胶囊剂","20mg","盒","14","铝箔","四川科伦药业股份有限公司",35.97,"修改（支付标准）","医药服务便函〔2021〕5号",107168]
[1183,"x130303006570006","2","西酞普兰","Citalopram","口服常释剂型","",2019107158,"氢溴酸西酞普兰片","无","薄膜衣片","20mg","盒","28","铝箔","四川科伦药业股份有限公司",70.14,"修改（支付标准）","医药服务便函〔2021〕5号",107158]
[1184,"x130304006580005","2","文拉法辛","Venlafaxine","口服常释剂型\n缓释控释剂型","",201514015,"盐酸文拉法辛胶囊","无","硬胶囊剂","25mg","盒","24","铝塑","苏州第四制药厂有限公司",23.99,"修改（支付标准）","医药服务便函〔2021〕5号",104118]
[1185,"x130307006610002","2","曲唑酮","Trazodone","口服常释剂型","",20153506,"盐酸曲唑酮片","美时玉","素片","50mg","盒","20","铝箔","台湾美时化学制药股份有限公司",51.43,"修改（支付标准）","医药服务便函〔2021〕5号",147402]
[1186,"x140100006671005","2","溴己新","Bromhexine","注射剂","",2015119342,"盐酸溴己新注射液","无","注射液","2ml:4mg","支","1","安瓿","华润双鹤药业股份有限公司",2.26,"修改（支付标准）","医药服务便函〔2021〕5号",119345]
[1187,"x140100006671006","2","溴己新","Bromhexine","注射剂","",2015100741,"注射用盐酸溴己新","无","冻干粉针剂","4mg","瓶","1","玻璃瓶","晋城海斯制药有限公司",9.92,"修改（支付标准）","医药服务便函〔2021〕5号",100746]
[1188,"x140100006671007","2","溴己新","Bromhexine","注射剂","",2015131114,"注射用盐酸溴己新","无","冻干粉针剂","4mg","瓶","1","玻璃瓶","山西普德药业股份有限公司",12.36,"修改（支付标准）","医药服务便函〔2021〕5号",131118]
[1189,"x140100006671008","2","溴己新","Bromhexine","注射剂","",2015151508,"注射用盐酸溴己新","伏枝","冻干粉针剂","4mg","瓶","1","玻璃瓶","海南葫芦娃药业集团股份有限公司",10.71,"修改（支付标准）","医药服务便函〔2021〕5号",151511]
[1190,"x140100006680033","1","氨溴索","Ambroxol","口服常释剂型 口服液体剂","△",2015110225,"盐酸氨溴索口服溶液","瑞田","口服溶液剂","100ml:0.3g","瓶","1","玻璃瓶","黑龙江中桂制药有限公司",31.07,"修改（支付标准）","医药服务便函〔2021〕5号",110223]
[1191,"x140100006680055","1","氨溴索","Ambroxol","口服常释剂型 口服液体剂","△",2015139967,"盐酸氨溴索口服溶液","双倡","口服溶液剂","10ml:30mg","盒","10","塑料瓶","扬州市三药制药有限公司",7.66,"修改（支付标准）","医药服务便函〔2021〕5号",139964]
[1192,"x140100006680056","1","氨溴索","Ambroxol","口服常释剂型 口服液体剂","△",2015158618,"盐酸氨溴索口服溶液","无","口服溶液剂","10ml:30mg","盒","6","玻璃瓶","上海信谊金朱药业有限公司",11.7,"修改（支付标准）","医药服务便函〔2021〕5号",158616]
[1193,"x140100006680059","1","氨溴索","Ambroxol","口服常释剂型 口服液体剂","△",2015139543,"盐酸氨溴索口服溶液","双倡","口服溶液剂","25ml:75mg","盒","4","塑料瓶","扬州市三药制药有限公司",11.7,"修改（支付标准）","医药服务便函〔2021〕5号",139540]
[1194,"x140100006680060","1","氨溴索","Ambroxol","口服常释剂型 口服液体剂","△",2015139544,"盐酸氨溴索口服溶液","双倡","口服溶液剂","30ml:90mg","盒","4","塑料瓶","扬州市三药制药有限公司",13,"修改（支付标准）","医药服务便函〔2021〕5号",139541]
[1195,"x140100006680066","1","氨溴索","Ambroxol","口服常释剂型 口服液体剂","△",2015158616,"盐酸氨溴索口服溶液","无","口服溶液剂","5ml:15mg","盒","10","玻璃瓶","上海信谊金朱药业有限公司",9.36,"修改（支付标准）","医药服务便函〔2021〕5号",158614]
[1196,"x140100006680067","1","氨溴索","Ambroxol","口服常释剂型 口服液体剂","△",2015158733,"盐酸氨溴索口服溶液","无","口服溶液剂","5ml:15mg","盒","12","玻璃瓶","上海信谊金朱药业有限公司",11.23,"修改（支付标准）","医药服务便函〔2021〕5号",158731]
[1197,"x140100006680068","1","氨溴索","Ambroxol","口服常释剂型 口服液体剂","△",2015139545,"盐酸氨溴索口服溶液","双倡","口服溶液剂","60ml:0.18g","瓶","1","塑料瓶","扬州市三药制药有限公司",6.94,"修改（支付标准）","医药服务便函〔2021〕5号",139542]
[1198,"x140100006680069","1","氨溴索","Ambroxol","口服常释剂型 口服液体剂","△",2015129730,"盐酸氨溴索口服溶液(无糖型)","无","口服溶液剂","100ml:0.3g","瓶","1","塑料瓶","国药集团致君(深圳)坪山制药有限公司",6.11,"修改（支付标准）","医药服务便函〔2021〕5号",129729]
[1199,"x140100006680070","1","氨溴索","Ambroxol","口服常释剂型 口服液体剂","△",2015123981,"盐酸氨溴索口服溶液(无糖型)","无","口服溶液剂","100ml:0.6g","瓶","1","塑料瓶","国药集团致君(深圳)坪山制药有限公司",8.81,"修改（支付标准）","医药服务便函〔2021〕5号",123978]
[1200,"x140100006680073","1","氨溴索","Ambroxol","口服常释剂型 口服液体剂","△",2015106420,"盐酸氨溴索口服溶液(无糖型)","无","口服溶液剂","10ml:30mg","盒","10","玻璃瓶","国药集团汕头金石制药有限公司",12.6,"修改（支付标准）","医药服务便函〔2021〕5号",106423]
[1201,"x140100006681001","2","氨溴索","Ambroxol","注射剂","",2015125693,"盐酸氨溴索注射液","伊诺舒","注射液","4ml:30mg","支","1","安瓿","天津药物研究院药业有限责任公司",6.73,"修改（支付标准）","医药服务便函〔2021〕5号",125692]
[1202,"x140100006681003","2","氨溴索","Ambroxol","注射剂","",2015128645,"盐酸氨溴索注射液","无","注射液","2ml:15mg","支","1","安瓿","云南龙海天然植物药业有限公司",2.28,"修改（支付标准）","医药服务便函〔2021〕5号",128644]
[1203,"x140100006681004","2","氨溴索","Ambroxol","注射剂","",2015141875,"注射用盐酸氨溴索","无","冻干粉针剂","30mg","瓶","1","玻璃瓶","苏州第壹制药有限公司",3.96,"修改（支付标准）","医药服务便函〔2021〕5号",141877]
[1204,"x140100006681006","2","氨溴索","Ambroxol","注射剂","",2015144793,"注射用盐酸氨溴索","诺健","冻干粉针剂","15mg","支","1","西林瓶","海南卫康制药(潜山)有限公司",4.52,"修改（支付标准）","医药服务便函〔2021〕5号",144795]
[1205,"x140100006681007","2","氨溴索","Ambroxol","注射剂","",2015136219,"注射用盐酸氨溴索","兰苏","冻干粉针剂","15mg","瓶","1","玻璃瓶","常州四药制药有限公司",4.56,"修改（支付标准）","医药服务便函〔2021〕5号",136216]
[1206,"x140100006681009","2","氨溴索","Ambroxol","注射剂","",2015120172,"盐酸氨溴索注射液","沐舒坦","注射液","2ml:15mg","支","1","安瓿","西班牙Boehringer Ingelheim Espana, S.A.<上海勃林格殷格翰药业有限公司>分包装",5.03,"修改（支付标准）","医药服务便函〔2021〕5号",120169]
[1207,"x140100006681010","2","氨溴索","Ambroxol","注射剂","",2015149967,"盐酸氨溴索注射液","无","注射液","1ml:7.5mg","支","1","安瓿","河北爱尔海泰制药有限公司",2.72,"修改（支付标准）","医药服务便函〔2021〕5号",149966]
[1208,"x140100006681011","2","氨溴索","Ambroxol","注射剂","",2015126175,"盐酸氨溴索注射液","无","注射液","2ml:15mg","支","1","安瓿","天津金耀药业有限公司",2.74,"修改（支付标准）","医药服务便函〔2021〕5号",126174]
[1209,"x140100006681012","2","氨溴索","Ambroxol","注射剂","",2015156520,"盐酸氨溴索注射液","无","注射液","4ml:30mg","支","1","安瓿","国药集团国瑞药业有限公司",5.96,"修改（支付标准）","医药服务便函〔2021〕5号",156518]
[1210,"x140100006681013","2","氨溴索","Ambroxol","注射剂","",2015158487,"盐酸氨溴索注射液","无","注射液","4ml:30mg","支","1","安瓿","天津金耀药业有限公司",6.41,"修改（支付标准）","医药服务便函〔2021〕5号",158485]
[1211,"x140100006681014","2","氨溴索","Ambroxol","注射剂","",2015136217,"注射用盐酸氨溴索","兰苏","冻干粉针剂","30mg","瓶","1","玻璃瓶","常州四药制药有限公司",7.19,"修改（支付标准）","医药服务便函〔2021〕5号",136214]
[1212,"x140100006690001","2","标准桃金娘油","Myrtol Standardized","口服常释剂型","△",2015141628,"标准桃金娘油肠溶胶囊(成人装)","无","肠溶胶囊","0.3g","盒","10","铝箔","德国保时佳大药厂 G.Pohl-Boskamp Gmbh &Co.KG",20.15,"修改（支付标准）","医药服务便函〔2021〕5号",141630]
[1213,"x140100006690002","2","标准桃金娘油","Myrtol Standardized","口服常释剂型","△",2015141629,"标准桃金娘油肠溶胶囊(儿童装)","无","肠溶胶囊","0.12g","盒","10","铝箔","德国保时佳大药厂 G.Pohl-Boskamp Gmbh &Co.KG",17.1,"修改（支付标准）","医药服务便函〔2021〕5号",141631]
[1214,"x140100006690004","2","标准桃金娘油","MyrtolStandardized","口服常释剂型","△",201511732,"桉柠蒎肠溶软胶囊","切诺","肠溶软胶囊(肠溶胶丸)","0.3g(按桉柠蒎油计)","盒","18","铝塑","北京九和药业有限公司",30.43,"修改（支付标准）","医药服务便函〔2021〕5号",128204]
[1215,"x140100006690006","2","标准桃金娘油","Myrtol Standardized","口服常释剂型","△",2015154211,"标准桃金娘油肠溶胶囊(成人装)","无","肠溶胶囊","0.3g","盒","20","铝箔","德国保时佳大药厂 G.Pohl-Boskamp Gmbh &Co.KG",39.29,"修改（支付标准）","医药服务便函〔2021〕5号",154214]
[1216,"x140100006710016","2","羧甲司坦","Carbocisteine","口服常释剂型 口服液体剂","△",2015143790,"羧甲司坦片","无","素片","0.25g","盒","12","铝塑","万全万特制药（厦门）有限公司",1.33,"修改（支付标准）","医药服务便函〔2021〕5号",143792]
[1217,"x140100006730002","2","厄多司坦","Erdosteine","口服常释剂型","",20155429,"厄多司坦胶囊","阿多停","硬胶囊剂","0.3g","盒","12","铝塑","上海普康药业有限公司",29.86,"修改（支付标准）","医药服务便函〔2021〕5号",139016]
[1218,"x140100006730003","2","厄多司坦","Erdosteine","口服常释剂型","",20156719,"厄多司坦胶囊","坦通","硬胶囊剂","0.15g","盒","12","铝塑","西安海欣制药有限公司",15.52,"修改（支付标准）","医药服务便函〔2021〕5号",116815]
[1219,"x140100006730004","2","厄多司坦","Erdosteine","口服常释剂型","",20155446,"厄多司坦片","露畅","素片","0.15g","瓶","12","塑料瓶","扬子江药业集团有限公司",21.4,"修改（支付标准）","医药服务便函〔2021〕5号",100959]
[1220,"x140100006730006","2","厄多司坦","Erdosteine","口服常释剂型","",2015126993,"厄多司坦胶囊","坦通","硬胶囊剂","0.15g","盒","18","铝塑","西安海欣制药有限公司",21.75,"修改（支付标准）","医药服务便函〔2021〕5号",126986]
[1221,"x140100006730007","2","厄多司坦","Erdosteine","口服常释剂型","",201513447,"厄多司坦分散片","无","分散片","0.15g","盒","12","铝塑","山东罗欣药业集团股份有限公司",18.09,"修改（支付标准）","医药服务便函〔2021〕5号",117534]
[1222,"x140200006740001","1","复方甘草制剂","Compound Liquorice（Glycyrrhiza）Preparations","口服常释剂型\n口服液体剂","",2015135256,"复方甘草口服溶液","无","口服溶液剂","2000ml","瓶","1","塑料瓶","福州海王金象中药制药有限公司",68.72,"修改（支付标准）","医药服务便函〔2021〕5号",135253]
[1223,"x140200006740011","1","复方甘草制剂","Compound Liquorice（Glycyrrhiza）Preparations","口服常释剂型\n口服液体剂","",2015138489,"复方甘草口服溶液","无","口服溶液剂","2500ml","桶","1","空","宁波立华制药有限公司",52,"修改（支付标准）","医药服务便函〔2021〕5号",138486]
[1224,"x140200006740021","1","复方甘草制剂","Compound Liquorice（Glycyrrhiza）Preparations","口服常释剂型\n口服液体剂","",2015139727,"复方甘草口服溶液","无","口服溶液剂","100ml","瓶","1","塑料瓶","宁波立华制药有限公司",3.67,"修改（支付标准）","医药服务便函〔2021〕5号",139724]
[1225,"x140200006740022","1","复方甘草制剂","Compound Liquorice（Glycyrrhiza）Preparations","口服常释剂型\n口服液体剂","",2015139726,"复方甘草口服溶液","无","口服溶液剂","180ml","瓶","1","塑料瓶","宁波立华制药有限公司",12.69,"修改（支付标准）","医药服务便函〔2021〕5号",139723]
[1226,"x140200006810004","2","苯丙哌林","Benproperine","口服常释剂型颗粒剂","",2015105869,"磷酸苯丙哌林片","无","薄膜衣片","20mg(以苯丙哌林计)","盒","24","铝塑","华中药业股份有限公司",5.59,"修改（支付标准）","医药服务便函〔2021〕5号",105872]
[1227,"x140200006810010","2","苯丙哌林","Benproperine","口服常释剂型 颗粒剂","",2015115453,"磷酸苯丙哌林片","无","薄膜衣片","20mg(以苯丙哌林计)","盒","24","铝塑","山东信谊制药有限公司",6.43,"修改（支付标准）","医药服务便函〔2021〕5号",115456]
[1228,"x140200006810011","2","苯丙哌林","Benproperine","口服常释剂型 颗粒剂","",2015154788,"磷酸苯丙哌林片","无","薄膜衣片","20mg(以苯丙哌林计)","盒","35","铝箔","吉林显锋科技制药有限公司",1.16,"修改（支付标准）","医药服务便函〔2021〕5号",154791]
[1229,"x140200006810012","2","苯丙哌林","Benproperine","口服常释剂型 颗粒剂","",2015155585,"磷酸苯丙哌林片","无","薄膜衣片","20mg(以苯丙哌林计)","瓶","100","塑料瓶","山西新宝源制药有限公司",8.08,"修改（支付标准）","医药服务便函〔2021〕5号",155583]
[1230,"x140301006841007","1","氨茶碱","Aminophylline","注射剂","",2015104230,"氨茶碱注射液","无","注射液","2ml:0.25g","支","1","安瓿","山西晋新双鹤药业有限责任公司",1.25,"修改（支付标准）","医药服务便函〔2021〕5号",104235]
[1231,"x140301006860003","2","多索茶碱","Doxofylline","口服常释剂型","非限定支付同类药品无效或不能耐受",2015144010,"多索茶碱片","安赛玛","素片","0.2g","盒","12","双铝","黑龙江福和制药集团股份有限公司",15.24,"修改（支付标准）","医药服务便函〔2021〕5号",144012]
[1232,"x140301006860006","2","多索茶碱","Doxofylline","口服常释剂型","非限定支付同类药品无效或不能耐受",2015157554,"多索茶碱片","新茜平","素片","0.2g","盒","12","铝塑","上海宣泰海门药业有限公司",13.85,"修改（支付标准）","医药服务便函〔2021〕5号",157552]
[1233,"x140301006860007","2","多索茶碱","Doxofylline","口服常释剂型","非限定支付同类药品无效或不能耐受",2015157559,"多索茶碱片","新茜平","素片","0.2g","盒","24","铝塑","上海宣泰海门药业有限公司",28.92,"修改（支付标准）","医药服务便函〔2021〕5号",157557]
[1234,"x140301006861004","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015104537,"注射用多索茶碱","无","冻干粉针剂","0.1g","瓶","1","西林瓶","湖北午时药业股份有限公司",6.54,"修改（支付标准）","医药服务便函〔2021〕5号",104542]
[1235,"x140301006861005","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015123404,"注射用多索茶碱","朗铭","冻干粉针剂","0.3g","支","1","玻璃瓶","开封康诺药业有限公司",25.65,"修改（支付标准）","医药服务便函〔2021〕5号",123401]
[1236,"x140301006861007","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015102120,"注射用多索茶碱","索利安","冻干粉针剂","0.2g","瓶","1","玻璃瓶","陕西博森生物制药股份集团有限公司",23.29,"修改（支付标准）","医药服务便函〔2021〕5号",102125]
[1237,"x140301006861008","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015125615,"注射用多索茶碱","健方能","冻干粉针剂","0.3g","瓶","1","玻璃瓶","西南药业股份有限公司",26.78,"修改（支付标准）","医药服务便函〔2021〕5号",125614]
[1238,"x140301006861009","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015153675,"注射用多索茶碱","无","冻干粉针剂","0.1g","支","1","玻璃瓶","武汉普生制药有限公司",7.37,"修改（支付标准）","医药服务便函〔2021〕5号",153678]
[1239,"x140301006861012","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015144432,"多索茶碱注射液","安赛玛","注射液","20ml:0.3g","支","1","安瓿","黑龙江福和制药集团股份有限公司",23.41,"修改（支付标准）","医药服务便函〔2021〕5号",144434]
[1240,"x140301006861013","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015110507,"注射用多索茶碱","益索","冻干粉针剂","0.2g","瓶","1","玻璃瓶","瑞阳制药有限公司",23.94,"修改（支付标准）","医药服务便函〔2021〕5号",110505]
[1241,"x140301006861014","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015138289,"多索茶碱注射液","无","注射液","10ml:0.1g","支","1","安瓿","南京臣功制药股份有限公司",9,"修改（支付标准）","医药服务便函〔2021〕5号",138286]
[1242,"x140301006861015","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015151897,"多索茶碱注射液","无","注射液","10ml:0.1g","支","1","安瓿","安徽恒星制药有限公司",9.28,"修改（支付标准）","医药服务便函〔2021〕5号",151900]
[1243,"x140301006861016","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015157335,"多索茶碱注射液","无","注射液","10ml:0.2g","支","1","安瓿","安徽恒星制药有限公司",18.82,"修改（支付标准）","医药服务便函〔2021〕5号",157333]
[1244,"x140301006861017","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015153115,"多索茶碱注射液","索霁","注射液","20ml:0.2g","支","1","安瓿","浙江北生药业汉生制药有限公司",17.1,"修改（支付标准）","医药服务便函〔2021〕5号",153118]
[1245,"x140301006861018","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015161257,"多索茶碱注射液","安赛玛","注射液","20ml:0.2g","支","1","安瓿","黑龙江福和制药集团股份有限公司",17.17,"修改（支付标准）","医药服务便函〔2021〕5号",161250]
[1246,"x140301006861019","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015151898,"多索茶碱注射液","无","注射液","20ml:0.3g","支","1","安瓿","安徽恒星制药有限公司",27.2,"修改（支付标准）","医药服务便函〔2021〕5号",151901]
[1247,"x140301006861020","2","多索茶碱","Doxofylline","注射剂","非限定支付同类药品无效或不能耐受",2015138213,"多索茶碱注射液","枢维新","注射液","10ml:0.1g","支","1","安瓿","福安药业集团宁波天衡制药有限公司",7.5,"修改（支付标准）","医药服务便函〔2021〕5号",138210]
[1248,"x140303006910001","1","沙丁胺醇","Salbutamol","吸入剂","",2015147544,"吸入用硫酸沙丁胺醇溶液","万托林","雾化溶液剂","20ml:0.1g","瓶","1","安瓿","英国Glaxo Wellcome Operations",52.97,"修改（支付标准）","医药服务便函〔2021〕5号",147543]
[1249,"x140303006911012","2","沙丁胺醇","Salbutamol","口服常释剂型\n缓释控释剂型","",2015152790,"硫酸沙丁胺醇片","无","素片","2.4mg(相当于沙丁胺醇2mg)","瓶","100","塑料瓶","苏州弘森药业有限公司",14.85,"修改（支付标准）","医药服务便函〔2021〕5号",152793]
[1250,"x140304007000004","2","布地奈德","Budesonide","吸入剂","△",2015132219,"布地奈德粉吸入剂","普米克都保","吸入剂","0.1mg/吸,200吸","支","1","空","瑞典AstraZeneca AB",97.02,"修改（支付标准）","医药服务便函〔2021〕5号",132223]
[1251,"x140304007000005","2","布地奈德","Budesonide","吸入剂","△",2015144534,"布地奈德鼻喷雾剂","无","鼻用喷雾剂","6ml:7.68mg(64μg/喷,120喷)","瓶","1","塑料瓶","台湾乔信元医药生技股份有限公司健乔厂SYNMOSA BIOPHARMA CORPORATION, SYNMOSA PLANT",45.09,"修改（支付标准）","医药服务便函〔2021〕5号",144536]
[1252,"x140305007050001","2","塞曲司特","Seratrodast","口服常释剂型","",201512773,"塞曲司特片","荃康诺","素片","40mg","盒","12","铝塑","山东鲁抗医药股份有限公司",43.36,"修改（支付标准）","医药服务便函〔2021〕5号",113290]
[1253,"x140400007100004","2","复方甲氧那明","Compound Methoxyphenamine","口服常释剂型","",2015158410,"复方甲氧那明胶囊","克之","硬胶囊剂","含氨茶碱25mg,盐酸甲氧那明12.5mg,那可丁7mg,马来酸氯苯那敏(扑尔敏)2mg","瓶","60","塑料瓶","长兴制药股份有限公司",23.72,"修改（支付标准）","医药服务便函〔2021〕5号",158408]
[1254,"x150101007130015","1","枸橼酸铋钾","Bismuth Potassium Citrate","口服常释剂型","△",2015147634,"枸橼酸铋钾胶囊","无","硬胶囊剂","0.3g(含铋0.11g)","盒","20","铝塑","中山尼克美制药有限公司",9.2,"修改（支付标准）","医药服务便函〔2021〕5号",147633]
[1255,"x150101007130016","1","枸橼酸铋钾","Bismuth Potassium Citrate","口服常释剂型","△",2015158817,"枸橼酸铋钾胶囊","无","硬胶囊剂","0.3g(含铋0.11g)","盒","50","铝塑","中山尼克美制药有限公司",23.01,"修改（支付标准）","医药服务便函〔2021〕5号",158815]
[1256,"x150101007130017","1","枸橼酸铋钾","Bismuth Potassium Citrate","口服常释剂型","△",2015158879,"枸橼酸铋钾胶囊","无","硬胶囊剂","0.3g(含铋0.11g)","盒","10","铝塑","中山尼克美制药有限公司",4.6,"修改（支付标准）","医药服务便函〔2021〕5号",158877]
[1257,"x150101007131008","2","枸橼酸铋钾","Bismuth Potassium Citrate","颗粒剂","△",2015113218,"枸橼酸铋钾颗粒","无","颗粒剂","1.0g(含铋0.11g)","盒","28","复合膜","河南九势制药股份有限公司",10.92,"修改（支付标准）","医药服务便函〔2021〕5号",113216]
[1258,"x150101007131011","2","枸橼酸铋钾","Bismuth Potassium Citrate","颗粒剂","△",2015160465,"枸橼酸铋钾颗粒","无","颗粒剂","1.0g(含铋0.11g)","盒","28","复合膜","国药集团武汉中联四药药业有限公司",16.77,"修改（支付标准）","医药服务便函〔2021〕5号",160458]
[1259,"x15010100713p001","2","枸橼酸铋钾片/替硝唑片/克拉霉素片组合包装","","片剂","△",20151381,"枸橼酸铋钾片/替硝唑片/克拉霉素片","无","薄膜衣片","枸橼酸铋钾片0.3g(相当于铋0.11g),替硝唑片0.5g,克拉霉素片0.25g","盒","8","铝箔","丽珠集团丽珠制药厂",17.22,"修改（支付标准）","医药服务便函〔2021〕5号",108042]
[1260,"x150101007140001","1","碳酸氢钠","Sodium Bicarbonate","口服常释剂型","△",2015143185,"碳酸氢钠片","无","素片","0.5g","瓶","100","塑料瓶","扬州艾迪制药有限公司",1.85,"修改（支付标准）","医药服务便函〔2021〕5号",143187]
[1261,"x150101007140004","1","碳酸氢钠","Sodium Bicarbonate","口服常释剂型","△",2015161170,"碳酸氢钠片","无","素片","0.5g","瓶","100","塑料瓶","上海黄海制药有限责任公司",13.34,"修改（支付标准）","医药服务便函〔2021〕5号",161163]
[1262,"x150101007220004","2","尿囊素铝","Aldioxa","口服常释剂型，颗粒剂","△",20154792,"尿囊素铝片","欧迪佳","素片","0.1g","盒","20","复合膜","海南先声药业有限公司",27.8,"修改（支付标准）","医药服务便函〔2021〕5号",123487]
[1263,"x150101007240001","2","L-谷酰胺呱仑酸钠","Sodium gualenate/L-glutamine","颗粒剂","",20155324,"L-谷氨酰胺呱仑酸钠颗粒","麦滋林","颗粒剂","0.67g:L-谷氨酰胺663.3mg,呱仑酸钠2.0mg","包","15","空","日本寿制药株式会社Kotobuki Pharmaceutical Co., Ltd.",19.81,"修改（支付标准）","医药服务便函〔2021〕5号",121005]
[1264,"x150102107250006","1","法莫替丁","Famotidine","口服常释剂型","△",2015155929,"法莫替丁片","无","素片","20mg","盒","24","铝塑","上海中瀚投资集团宁国国安邦宁药业有限公司",2.08,"修改（支付标准）","医药服务便函〔2021〕5号",155927]
[1265,"x150102107260040","1","雷尼替丁","Ranitidine","口服常释剂型","△",2015147100,"盐酸雷尼替丁胶囊","兰百幸","硬胶囊剂","0.15g","瓶","30","塑料瓶","赛诺菲(杭州)制药有限公司",5.29,"修改（支付标准）","医药服务便函〔2021〕5号",147099]
[1266,"x150102207281005","2","奥美拉唑","Omeprazole","注射剂","",2015130532,"注射用奥美拉唑钠(静脉滴注)","洛赛克","冻干粉针剂","40mg","瓶","1","西林瓶","阿斯利康制药有限公司",77.78,"修改（支付标准）","医药服务便函〔2021〕5号",130536]
[1267,"x150102207281007","2","奥美拉唑","Omeprazole","注射剂","",2015147080,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","60mg","支","1","西林瓶","悦康药业集团股份有限公司",21.68,"修改（支付标准）","医药服务便函〔2021〕5号",147079]
[1268,"x150102207281008","2","奥美拉唑","Omeprazole","注射剂","",2015146135,"注射用奥美拉唑钠(静脉滴注)","奥西康","冻干粉针剂","40mg","盒","1","配溶媒","江苏奥赛康药业有限公司",45.52,"修改（支付标准）","医药服务便函〔2021〕5号",146134]
[1269,"x150102207281010","2","奥美拉唑","Omeprazole","注射剂","",2015146171,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","浙江金华康恩贝生物制药有限公司",19.71,"修改（支付标准）","医药服务便函〔2021〕5号",146170]
[1270,"x150102207281014","2","奥美拉唑","Omeprazole","注射剂","",2015127509,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","海口奇力制药股份有限公司",0.98,"修改（支付标准）","医药服务便函〔2021〕5号",127508]
[1271,"x150102207281018","2","奥美拉唑","Omeprazole","注射剂","",2015119093,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","20mg","瓶","1","西林瓶","海南灵康制药有限公司",12.49,"修改（支付标准）","医药服务便函〔2021〕5号",119096]
[1272,"x150102207281021","2","奥美拉唑","Omeprazole","注射剂","",2015146137,"注射用奥美拉唑钠(静脉滴注)","奥西康","冻干粉针剂","20mg","盒","1","配溶媒","江苏奥赛康药业有限公司",27.56,"修改（支付标准）","医药服务便函〔2021〕5号",146136]
[1273,"x150102207281022","2","奥美拉唑","Omeprazole","注射剂","",2015101310,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","20mg","瓶","1","西林瓶","山东北大高科华泰制药有限公司",13.03,"修改（支付标准）","医药服务便函〔2021〕5号",101315]
[1274,"x150102207281023","2","奥美拉唑","Omeprazole","注射剂","",2015108597,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","60mg","瓶","1","玻璃瓶","福安药业集团湖北人民制药有限公司",4.8,"修改（支付标准）","医药服务便函〔2021〕5号",108600]
[1275,"x150102207281024","2","奥美拉唑","Omeprazole","注射剂","",2015146016,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","60mg","瓶","1","西林瓶","苏州二叶制药有限公司",16.23,"修改（支付标准）","医药服务便函〔2021〕5号",146015]
[1276,"x150102207281025","2","奥美拉唑","Omeprazole","注射剂","",2015253295,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","40mg","盒","1","配溶媒(灭菌注射用水)+免推注式移液器","辰欣药业股份有限公司",18.87,"修改（支付标准）","医药服务便函〔2021〕5号",153295]
[1277,"x150102207281026","2","奥美拉唑","Omeprazole","注射剂","",2015252341,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","40mg","盒","1","配溶媒(灭菌注射用水)+免推注式移液器","吉林省辉南长龙生化药业股份有限公司",17.93,"修改（支付标准）","医药服务便函〔2021〕5号",152341]
[1278,"x150102207291001","2","埃索美拉唑（艾司奥美拉唑）","Esomeprazole","注射剂","",201513361,"注射用艾司奥美拉唑钠","耐信","冻干粉针剂","40mg","支","1","玻璃瓶","瑞典AstraZeneca AB",100.12,"修改（支付标准）","医药服务便函〔2021〕5号",162608]
[1279,"x150102207291002","2","埃索美拉唑（艾司奥美拉唑）","Esomeprazole","注射剂","",2015162582,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","无","江苏奥赛康药业有限公司",57.29,"修改（支付标准）","医药服务便函〔2021〕5号",162581]
[1280,"x150102207291003","2","埃索美拉唑（艾司奥美拉唑）","Esomeprazole","注射剂","",2015162531,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","正大天晴药业集团股份有限公司",57.29,"修改（支付标准）","医药服务便函〔2021〕5号",162530]
[1281,"x150102207291004","2","埃索美拉唑（艾司奥美拉唑）","Esomeprazole","注射剂","",2018163338,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","朗天药业(湖北)有限公司",67.8,"修改（支付标准）","医药服务便函〔2021〕5号",163338]
[1282,"x150102207291005","2","埃索美拉唑（艾司奥美拉唑）","Esomeprazole","注射剂","",2018163369,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","山西普德药业有限公司",71,"修改（支付标准）","医药服务便函〔2021〕5号",163369]
[1283,"x150102207291006","2","埃索美拉唑（艾司奥美拉唑）","Esomeprazole","注射剂","",2019163413,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","福安药业集团湖北人民制药有限公司",53.49,"修改（支付标准）","医药服务便函〔2021〕5号",163413]
[1284,"x150102207291007","2","埃索美拉唑（艾司奥美拉唑）","Esomeprazole","注射剂","",2019165705,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","湖南一格制药有限公司",65,"修改（支付标准）","医药服务便函〔2021〕5号",165705]
[1285,"x150102207291008","2","埃索美拉唑（艾司奥美拉唑）","Esomeprazole","注射剂","",2019165193,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","辽宁海思科制药有限公司",9,"修改（支付标准）","医药服务便函〔2021〕5号",165193]
[1286,"x150102207291009","2","埃索美拉唑（艾司奥美拉唑）","Esomeprazole","注射剂","",2019164760,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","苏州特瑞药业有限公司",16.05,"修改（支付标准）","医药服务便函〔2021〕5号",164760]
[1287,"x150102207291010","2","埃索美拉唑（艾司奥美拉唑）","Esomeprazole","注射剂","",2019165507,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","扬子江药业集团有限公司",65,"修改（支付标准）","医药服务便函〔2021〕5号",165507]
[1288,"x150102207300016","2","兰索拉唑","Lansoprazole","口服常释剂型","",2015110454,"兰索拉唑肠溶胶囊","无","肠溶胶囊","30mg","盒","6","铝塑","苏州俞氏药业有限公司",20.47,"修改（支付标准）","医药服务便函〔2021〕5号",110452]
[1289,"x150102207300022","2","兰索拉唑","Lansoprazole","口服常释剂型","",2015110460,"兰索拉唑肠溶胶囊","无","肠溶胶囊","30mg","盒","7","铝塑","苏州俞氏药业有限公司",24.73,"修改（支付标准）","医药服务便函〔2021〕5号",110458]
[1290,"x150102207300023","2","兰索拉唑","Lansoprazole","口服常释剂型","",2015110465,"兰索拉唑肠溶胶囊","无","肠溶胶囊","30mg","盒","10","铝塑","苏州俞氏药业有限公司",38.54,"修改（支付标准）","医药服务便函〔2021〕5号",110463]
[1291,"x150102207300024","2","兰索拉唑","Lansoprazole","口服常释剂型","",2015110469,"兰索拉唑肠溶胶囊","无","肠溶胶囊","30mg","盒","12","铝塑","苏州俞氏药业有限公司",43.62,"修改（支付标准）","医药服务便函〔2021〕5号",110467]
[1292,"x150102207301002","2","兰索拉唑","Lansoprazole","注射剂","",2015144881,"注射用兰索拉唑","无","冻干粉针剂","30mg","支","1","西林瓶","悦康药业集团股份有限公司",37.8,"修改（支付标准）","医药服务便函〔2021〕5号",144883]
[1293,"x150102207301003","2","兰索拉唑","Lansoprazole","注射剂","",2015153042,"注射用兰索拉唑","无","冻干粉针剂","30mg","瓶","1","玻璃瓶","上海上药新亚药业有限公司",26.33,"修改（支付标准）","医药服务便函〔2021〕5号",153045]
[1294,"x150102207301004","2","兰索拉唑","Lansoprazole","注射剂","",2015155500,"注射用兰索拉唑","无","冻干粉针剂","30mg","瓶","1","玻璃瓶","江苏吴中医药集团有限公司苏州制药厂",24.97,"修改（支付标准）","医药服务便函〔2021〕5号",155498]
[1295,"x150102207301005","2","兰索拉唑","Lansoprazole","注射剂","",2015157405,"注射用兰索拉唑","无","冻干粉针剂","30mg","支","1","西林瓶","辰欣药业股份有限公司",25.2,"修改（支付标准）","医药服务便函〔2021〕5号",157403]
[1296,"x150102207301006","2","兰索拉唑","Lansoprazole","注射剂","",2015260405,"注射用兰索拉唑","无","冻干粉针剂","30mg","盒","1","配溶媒(灭菌注射用水)+免推注式移液器","南京海辰药业股份有限公司",38.69,"修改（支付标准）","医药服务便函〔2021〕5号",160405]
[1297,"x150102207310016","2","雷贝拉唑","Rabeprazole","口服常释剂型","",2015106071,"雷贝拉唑钠肠溶胶囊","无","肠溶胶囊","10mg","盒","7","铝箔","丽珠集团丽珠制药厂",23.33,"修改（支付标准）","医药服务便函〔2021〕5号",106074]
[1298,"x150102207310017","2","雷贝拉唑","Rabeprazole","口服常释剂型","",2015106079,"雷贝拉唑钠肠溶胶囊","无","肠溶胶囊","10mg","盒","14","铝箔","丽珠集团丽珠制药厂",45.49,"修改（支付标准）","医药服务便函〔2021〕5号",106082]
[1299,"x150102207310020","2","雷贝拉唑","Rabeprazole","口服常释剂型","",2015161209,"雷贝拉唑钠肠溶胶囊","无","肠溶胶囊","20mg","盒","14","铝箔","丽珠集团丽珠制药厂",80.4,"修改（支付标准）","医药服务便函〔2021〕5号",161202]
[1300,"x150102207320026","2","泮托拉唑","Pantoprazole","口服常释剂型","",2015109079,"泮托拉唑钠肠溶胶囊","无","肠溶胶囊","40mg","盒","10","铝塑","仁和堂药业有限公司",16.33,"修改（支付标准）","医药服务便函〔2021〕5号",109082]
[1301,"x150102207320030","2","泮托拉唑","Pantoprazole","口服常释剂型","",2015128037,"泮托拉唑钠肠溶胶囊","无","肠溶胶囊(微丸型)","20mg","盒","12","铝箔","湖北唯森制药有限公司",14.11,"修改（支付标准）","医药服务便函〔2021〕5号",128036]
[1302,"x150102207320031","2","泮托拉唑","Pantoprazole","口服常释剂型","",2015150856,"泮托拉唑钠肠溶胶囊","无","肠溶胶囊(微丸型)","20mg","盒","16","铝塑","湖北唯森制药有限公司",19.91,"修改（支付标准）","医药服务便函〔2021〕5号",150859]
[1303,"x150102207320038","2","泮托拉唑","Pantoprazole","口服常释剂型","",2015105482,"泮托拉唑钠肠溶片","无","肠溶片","40mg","盒","12","铝塑","世贸天阶制药(江苏)有限责任公司",19.98,"修改（支付标准）","医药服务便函〔2021〕5号",105485]
[1304,"x150102207320043","2","泮托拉唑","Pantoprazole","口服常释剂型","",2015162366,"泮托拉唑钠肠溶胶囊","无","肠溶胶囊","40mg","盒","8","铝塑","仁和堂药业有限公司",13.17,"修改（支付标准）","医药服务便函〔2021〕5号",162359]
[1305,"x150102207320044","2","泮托拉唑","Pantoprazole","口服常释剂型","",2015162367,"泮托拉唑钠肠溶胶囊","无","肠溶胶囊","40mg","盒","20","铝塑","仁和堂药业有限公司",31.84,"修改（支付标准）","医药服务便函〔2021〕5号",162360]
[1306,"x150102207321001","2","泮托拉唑","Pantoprazole","注射剂","",2015247422,"注射用泮托拉唑钠","潘妥洛克","冻干粉针剂","40mg","瓶","1","西林瓶","德国Takeda GmbH Production site Singen",94.42,"修改（支付标准）","医药服务便函〔2021〕5号",147422]
[1307,"x150102207321006","2","泮托拉唑","Pantoprazole","注射剂","",2015136263,"注射用泮托拉唑钠","无","冻干粉针剂","80mg","支","1","玻璃瓶","锦州九泰药业有限责任公司",12.27,"修改（支付标准）","医药服务便函〔2021〕5号",136260]
[1308,"x150102207321007","2","泮托拉唑","Pantoprazole","注射剂","",2015117617,"注射用泮托拉唑钠","无","冻干粉针剂","80mg","支","1","玻璃瓶","辽宁诺维诺制药股份有限公司",11.98,"修改（支付标准）","医药服务便函〔2021〕5号",117620]
[1309,"x150102207321008","2","泮托拉唑","Pantoprazole","注射剂","",2015131062,"注射用泮托拉唑钠","无","冻干粉针剂","60mg","支","1","玻璃瓶","浙江震元制药有限公司",12.99,"修改（支付标准）","医药服务便函〔2021〕5号",131066]
[1310,"x150102207321012","2","泮托拉唑","Pantoprazole","注射剂","",2015139088,"注射用泮托拉唑钠","无","冻干粉针剂","40mg","盒","1","配溶媒","浙江亚太药业股份有限公司",20.3,"修改（支付标准）","医药服务便函〔2021〕5号",139085]
[1311,"x150102207321019","2","泮托拉唑","Pantoprazole","注射剂","",2015126694,"注射用泮托拉唑钠","泮立苏","冻干粉针剂","40mg","瓶","1","玻璃瓶","杭州中美华东制药有限公司",29,"修改（支付标准）","医药服务便函〔2021〕5号",126693]
[1312,"x150102207321020","2","泮托拉唑","Pantoprazole","注射剂","",2015136262,"注射用泮托拉唑钠","诺森","冻干粉针剂","60mg","瓶","1","玻璃瓶","山东绿叶制药有限公司",15.39,"修改（支付标准）","医药服务便函〔2021〕5号",136259]
[1313,"x150102207321023","2","泮托拉唑","Pantoprazole","注射剂","",2015110619,"注射用泮托拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","瑞阳制药有限公司",8,"修改（支付标准）","医药服务便函〔2021〕5号",110617]
[1314,"x150102207321024","2","泮托拉唑","Pantoprazole","注射剂","",2015111747,"注射用泮托拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","河南辅仁怀庆堂制药有限公司",8.21,"修改（支付标准）","医药服务便函〔2021〕5号",111745]
[1315,"x150102207321025","2","泮托拉唑","Pantoprazole","注射剂","",2015134095,"注射用泮托拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","上海上药新亚药业有限公司",7.5,"修改（支付标准）","医药服务便函〔2021〕5号",134099]
[1316,"x150102207321026","2","泮托拉唑","Pantoprazole","注射剂","",2015161122,"注射用泮托拉唑钠","无","冻干粉针剂","60mg","瓶","1","玻璃瓶","浙江亚太药业股份有限公司",34.89,"修改（支付标准）","医药服务便函〔2021〕5号",161115]
[1317,"x150102207321027","2","泮托拉唑","Pantoprazole","注射剂","",2015116410,"注射用泮托拉唑钠","无","冻干粉针剂","80mg","支","1","玻璃瓶","沈阳药大雷允上药业有限责任公司",18.8,"修改（支付标准）","医药服务便函〔2021〕5号",116413]
[1318,"x150102207321028","2","泮托拉唑","Pantoprazole","注射剂","",2015116404,"注射用泮托拉唑钠","无","冻干粉针剂","60mg","支","1","玻璃瓶","沈阳药大雷允上药业有限责任公司",15.27,"修改（支付标准）","医药服务便函〔2021〕5号",116407]
[1319,"x150200007350001","2","胰酶","Pancreatin","口服常释剂型","△",20155622,"胰酶肠溶胶囊","无","肠溶胶囊","0.15g","盒","24","铝塑","重庆佳辰生物工程有限公司",16.92,"修改（支付标准）","医药服务便函〔2021〕5号",150692]
[1320,"x150300007440001","2","屈他维林","Drotaverine","注射剂","",20151042,"盐酸屈他维林注射液","诺仕帕","注射液","2ml:40mg","支","1","安瓿","匈牙利CHINOIN Pharmaceutical and Chemical Works Private Co. Ltd.<赛诺菲(杭州)制药有限公司>分包装",6.63,"修改（支付标准）","医药服务便函〔2021〕5号",147094]
[1321,"x15030008009a001","2","复方庆大霉素普鲁卡因","Compound Gentamycin Sulfate","胶囊剂","",2015103656,"庆大霉素普鲁卡因胶囊","无","硬胶囊剂","硫酸庆大霉素1万单位,盐酸普鲁卡因50mg,VB12 10μg","盒","24","铝塑","浙江奥托康制药集团股份有限公司",3.94,"修改（支付标准）","医药服务便函〔2021〕5号",103661]
[1322,"x15030008009a006","2","复方庆大霉素普鲁卡因","Compound Gentamycin Sulfate","胶囊剂","",2015103646,"庆大霉素普鲁卡因胶囊","无","硬胶囊剂","硫酸庆大霉素1万单位,盐酸普鲁卡因50mg,VB12 10μg","盒","12","铝塑","浙江奥托康制药集团股份有限公司",2.02,"修改（支付标准）","医药服务便函〔2021〕5号",103651]
[1323,"x15030008009a008","2","复方庆大霉素普鲁卡因","Compound Gentamycin Sulfate","胶囊剂","",2015143806,"庆大霉素普鲁卡因维B12胶囊","无","硬胶囊剂","硫酸庆大霉素1万单位,盐酸普鲁卡因50mg,VB12 10μg","盒","36","铝塑","浙江瑞新药业股份有限公司",4.1,"修改（支付标准）","医药服务便函〔2021〕5号",143808]
[1324,"x15030008009a009","2","复方庆大霉素普鲁卡因","Compound Gentamycin Sulfate","胶囊剂","",2015129624,"复方庆大霉素普鲁卡因胶囊","无","硬胶囊剂","硫酸庆大霉素1万单位,盐酸普鲁卡因50mg,VB12 10μg","盒","36","铝塑","海南新世通制药有限公司",6.02,"修改（支付标准）","医药服务便函〔2021〕5号",129623]
[1325,"x15030008009a010","2","复方庆大霉素普鲁卡因","Compound Gentamycin Sulfate","胶囊剂","",2015103660,"庆大霉素普鲁卡因胶囊","无","硬胶囊剂","硫酸庆大霉素1万单位,盐酸普鲁卡因50mg,VB12 10μg","盒","36","铝塑","浙江奥托康制药集团股份有限公司",5.82,"修改（支付标准）","医药服务便函〔2021〕5号",103665]
[1326,"x150500007490008","1","甲氧氯普胺","Metoclopramide","口服常释剂型","",2015116987,"甲氧氯普胺片","无","素片","5mg","瓶","100","塑料瓶","四川大冢制药有限公司",2.77,"修改（支付标准）","医药服务便函〔2021〕5号",116990]
[1327,"x150500007501008","2","昂丹司琼","Ondansetron","注射剂","非限定支付同类药品无效或不能耐受",2015113934,"盐酸昂丹司琼注射液","欧贝","注射液","2ml:4mg","支","1","安瓿","齐鲁制药有限公司",20.95,"修改（支付标准）","医药服务便函〔2021〕5号",113932]
[1328,"x150500007501009","2","昂丹司琼","Ondansetron","注射剂","非限定支付同类药品无效或不能耐受",2015143440,"注射用盐酸昂丹司琼","奥一麦","冻干粉针剂","4mg","瓶","1","西林瓶","江苏奥赛康药业有限公司",15.7,"修改（支付标准）","医药服务便函〔2021〕5号",143442]
[1329,"x150500007501010","2","昂丹司琼","Ondansetron","注射剂","非限定支付同类药品无效或不能耐受",2015143354,"注射用盐酸昂丹司琼","奥一麦","冻干粉针剂","8mg","瓶","1","西林瓶","江苏奥赛康药业有限公司",23.67,"修改（支付标准）","医药服务便函〔2021〕5号",143356]
[1330,"x150500007501012","2","昂丹司琼","Ondansetron","注射剂","非限定支付同类药品无效或不能耐受",2015113944,"盐酸昂丹司琼注射液","欧贝","注射液","4ml:8mg","支","1","安瓿","齐鲁制药有限公司",31.77,"修改（支付标准）","医药服务便函〔2021〕5号",113942]
[1331,"x150500007501016","2","昂丹司琼","Ondansetron","注射剂","非限定支付同类药品无效或不能耐受",2015101306,"盐酸昂丹司琼注射液","无","注射液","2ml:4mg","支","1","安瓿","北大医药股份有限公司",8.1,"修改（支付标准）","医药服务便函〔2021〕5号",101311]
[1332,"x150500007501017","2","昂丹司琼","Ondansetron","注射剂","非限定支付同类药品无效或不能耐受",2015113086,"盐酸昂丹司琼注射液","无","注射液","2ml:4mg","支","1","安瓿","齐鲁制药(海南)有限公司",7.9,"修改（支付标准）","医药服务便函〔2021〕5号",113084]
[1333,"x150500007501018","2","昂丹司琼","Ondansetron","注射剂","非限定支付同类药品无效或不能耐受",2015135984,"盐酸昂丹司琼注射液","无","注射液","2ml:4mg","支","1","安瓿","华润双鹤利民药业（济南）有限公司",7.6,"修改（支付标准）","医药服务便函〔2021〕5号",135981]
[1334,"x150500007501019","2","昂丹司琼","Ondansetron","注射剂","非限定支付同类药品无效或不能耐受",2015113090,"盐酸昂丹司琼注射液","无","注射液","4ml:8mg","支","1","安瓿","齐鲁制药(海南)有限公司",13.8,"修改（支付标准）","医药服务便函〔2021〕5号",113088]
[1335,"x150500007501020","2","昂丹司琼","Ondansetron","注射剂","非限定支付同类药品无效或不能耐受",2015124996,"盐酸昂丹司琼注射液","无","注射液","4ml:8mg","支","1","西林瓶","国药一心制药有限公司",11,"修改（支付标准）","医药服务便函〔2021〕5号",124993]
[1336,"x150500007501021","2","昂丹司琼","Ondansetron","注射剂","非限定支付同类药品无效或不能耐受",2015134267,"盐酸昂丹司琼注射液","无","注射液","4ml:8mg","支","1","安瓿","辰欣药业股份有限公司",11,"修改（支付标准）","医药服务便函〔2021〕5号",134271]
[1337,"x150500007501022","2","昂丹司琼","Ondansetron","注射剂","非限定支付同类药品无效或不能耐受",2015138070,"盐酸昂丹司琼注射液","枢丹","注射液","2ml:4mg","支","1","安瓿","福安药业集团宁波天衡制药有限公司",18.43,"修改（支付标准）","医药服务便函〔2021〕5号",138067]
[1338,"x150500007501023","2","昂丹司琼","Ondansetron","注射剂","非限定支付同类药品无效或不能耐受",2015138071,"盐酸昂丹司琼注射液","枢丹","注射液","4ml:8mg","支","1","安瓿","福安药业集团宁波天衡制药有限公司",29.31,"修改（支付标准）","医药服务便函〔2021〕5号",138068]
[1339,"x150500007511004","2","格拉司琼","Granisetron","注射剂","非限定支付同类药品无效或不能耐受",20158843,"盐酸格拉司琼注射液","无","注射液","3ml:3mg","支","1","安瓿","齐鲁制药有限公司",9.6,"修改（支付标准）","医药服务便函〔2021〕5号",113970]
[1340,"x150500007511005","2","格拉司琼","Granisetron","注射剂","非限定支付同类药品无效或不能耐受",201511368,"盐酸格拉司琼注射液","无","注射液","1ml:1mg","支","1","安瓿","海南惠普森医药生物技术有限公司",6.8,"修改（支付标准）","医药服务便函〔2021〕5号",110197]
[1341,"x150500007511009","2","格拉司琼","Granisetron","注射剂","非限定支付同类药品无效或不能耐受",20157889,"注射用盐酸格拉司琼","佐坦","冻干粉针剂","3mg","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",14,"修改（支付标准）","医药服务便函〔2021〕5号",115830]
[1342,"x150500007511013","2","格拉司琼","Granisetron","注射剂","非限定支付同类药品无效或不能耐受",201521467,"盐酸格拉司琼注射液","无","注射液","3ml:3mg","支","1","安瓿","华润双鹤利民药业（济南）有限公司",8.6,"修改（支付标准）","医药服务便函〔2021〕5号",135985]
[1343,"x150500007511014","2","格拉司琼","Granisetron","注射剂","非限定支付同类药品无效或不能耐受",20151334,"盐酸格拉司琼注射液","枢星","注射液","3ml:3mg","支","1","安瓿","福安药业集团宁波天衡制药有限公司",37.89,"修改（支付标准）","医药服务便函〔2021〕5号",138059]
[1344,"x150500007520002","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",201511124,"注射用盐酸托烷司琼","无","冻干粉针剂","5mg(以托烷司琼计)","瓶","1","玻璃瓶","瑞阳制药有限公司",63.09,"修改（支付标准）","医药服务便函〔2021〕5号",110020]
[1345,"x150500007520003","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",201511382,"注射用盐酸托烷司琼","罗亭","冻干粉针剂","2mg(以托烷司琼计)","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",24.5,"修改（支付标准）","医药服务便函〔2021〕5号",115814]
[1346,"x150500007520005","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",201513245,"盐酸托烷司琼注射液","无","注射液","5ml:5mg(以托烷司琼计)","支","1","安瓿","浙江震元制药有限公司",19.25,"修改（支付标准）","医药服务便函〔2021〕5号",131032]
[1347,"x150500007520006","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",201510659,"盐酸托烷司琼注射液","无","注射液","5ml:5mg(以托烷司琼计)","支","1","安瓿","山西普德药业股份有限公司",23.37,"修改（支付标准）","医药服务便函〔2021〕5号",130465]
[1348,"x150500007520007","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",201512607,"盐酸托烷司琼注射液","维瑞特","注射液","5ml:5mg(以托烷司琼计)","瓶","1","安瓿","江苏恒瑞医药股份有限公司",18.49,"修改（支付标准）","医药服务便函〔2021〕5号",135821]
[1349,"x150500007520008","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",20157993,"盐酸托烷司琼注射液","欣贝","注射液","1ml:5mg(以托烷司琼计)","支","1","安瓿","齐鲁制药有限公司",31.2,"修改（支付标准）","医药服务便函〔2021〕5号",113956]
[1350,"x150500007520009","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",20157992,"盐酸托烷司琼注射液","普洛林","注射液","5ml:5mg(以托烷司琼计)","支","1","安瓿","江苏联环药业股份有限公司",19.1,"修改（支付标准）","医药服务便函〔2021〕5号",102242]
[1351,"x150500007520010","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",20156774,"盐酸托烷司琼注射液","赛格恩","注射液","2ml:2mg(以托烷司琼计)","支","1","安瓿","西南药业股份有限公司",33.9,"修改（支付标准）","医药服务便函〔2021〕5号",125587]
[1352,"x150500007520011","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",20155469,"盐酸托烷司琼注射液","赛格恩","注射液","5ml:5mg(以托烷司琼计)","支","1","安瓿","西南药业股份有限公司",37.7,"修改（支付标准）","医药服务便函〔2021〕5号",125596]
[1353,"x150500007520013","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",201511417,"注射用盐酸托烷司琼","纾吉","冻干粉针剂","2mg(以托烷司琼计)","瓶","1","玻璃瓶","哈尔滨三联药业股份有限公司",24,"修改（支付标准）","医药服务便函〔2021〕5号",106601]
[1354,"x150500007520014","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",201511370,"注射用盐酸托烷司琼","罗亭","冻干粉针剂","5mg(以托烷司琼计)","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",47.2,"修改（支付标准）","医药服务便函〔2021〕5号",115821]
[1355,"x150500007520016","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",20158634,"注射用盐酸托烷司琼","纾吉","冻干粉针剂","5mg(以托烷司琼计)","瓶","1","玻璃瓶","哈尔滨三联药业股份有限公司",45,"修改（支付标准）","医药服务便函〔2021〕5号",106605]
[1356,"x150500007520017","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",201510742,"注射用盐酸托烷司琼","瑞齐泰","冻干粉针剂","5mg(以托烷司琼计)","瓶","1","西林瓶","海南灵康制药有限公司",21.66,"修改（支付标准）","医药服务便函〔2021〕5号",119557]
[1357,"x150500007520018","2","托烷司琼","Tropisetron","注射剂","非限定支付同类药品无效或不能耐受",201510648,"注射用盐酸托烷司琼","瑞齐泰","冻干粉针剂","2mg(以托烷司琼计)","瓶","1","西林瓶","海南灵康制药有限公司",23.96,"修改（支付标准）","医药服务便函〔2021〕5号",119549]
[1358,"x150700007560042","1","开塞露","Glycerine Enema","溶液剂","",2015139771,"开塞露(含甘油)","无","溶液剂","10ml","支","1","塑料瓶","浙江遂昌惠康药业有限公司",0.78,"修改（支付标准）","医药服务便函〔2021〕5号",139768]
[1359,"x150700007560047","1","开塞露","Glycerine Enema","溶液剂","",2015159935,"开塞露(含甘油)","无","溶液剂","20ml","支","1","塑料瓶","广东华润顺峰药业有限公司",3.25,"修改（支付标准）","医药服务便函〔2021〕5号",159933]
[1360,"x150700007560049","1","开塞露","Glycerine Enema","溶液剂","",2015100094,"开塞露(含山梨醇)","无","溶液剂","10ml","瓶","1","塑料瓶","常熟市星海制药有限公司",0.49,"修改（支付标准）","医药服务便函〔2021〕5号",100099]
[1361,"x150700007570002","1","开塞露(甘油)","Glycerini Enema","灌肠剂","△",2015108446,"开塞露(含甘油)","无","灌肠剂","20ml","袋","25","塑料瓶","浙江景岳堂药业有限公司",9.45,"修改（支付标准）","医药服务便函〔2021〕5号",108449]
[1362,"x150900007710001","2","枯草杆菌二联活菌制剂","Live Combined Bacillus Subtilis and Enterococcus Faecium","口服常释剂型","△；限菌群失调",2015121866,"枯草杆菌二联活菌颗粒","妈咪爱/Medilac-Vita","颗粒剂","1.0g","盒","15","铝箔","北京韩美药品有限公司",18.69,"修改（支付标准）","医药服务便函〔2021〕5号",121863]
[1363,"x150900007720001","2","双歧杆菌三联活菌制剂","Bifid Tiple Viable","口服常释剂型\n口服散剂","△；限菌群失调",2015136448,"双歧杆菌三联活菌散","培菲康","散剂","1.0g","盒","7","复合膜","上海上药信谊药厂有限公司",17.69,"修改（支付标准）","医药服务便函〔2021〕5号",136445]
[1364,"x150900007720004","2","双歧杆菌三联活菌制剂","Bifid Tiple Viable","口服常释剂型\r\n口服散剂","△；限菌群失调",2015106497,"双歧杆菌乳杆菌三联活菌片","金双歧","素片","0.5g","盒","36","铝塑","内蒙古双奇药业股份有限公司",25.24,"修改（支付标准）","医药服务便函〔2021〕5号",106500]
[1365,"x150900007720007","2","双歧杆菌三联活菌制剂","Bifid Tiple Viable","口服常释剂型 口服散剂","△；限菌群失调",2015157031,"双歧杆菌三联活菌散","培菲康","散剂","1.0g","盒","9","复合膜","上海上药信谊药厂有限公司",21.72,"修改（支付标准）","医药服务便函〔2021〕5号",157029]
[1366,"x150900007720008","2","双歧杆菌三联活菌制剂","Bifid Tiple Viable","口服常释剂型 口服散剂","△；限菌群失调",2015136449,"双歧杆菌三联活菌散","培菲康","散剂","2.0g","盒","6","复合膜","上海上药信谊药厂有限公司",28.61,"修改（支付标准）","医药服务便函〔2021〕5号",136446]
[1367,"x150900007730001","2","双歧杆菌活菌制剂","Live Bifidobacterium Preparation","口服常释剂型","△；限菌群失调",20151356,"双歧杆菌活菌胶囊","丽珠肠乐","硬胶囊剂","0.35g(含0.5亿活菌)","盒","20","铝箔","丽珠集团丽珠制药厂",22.04,"修改（支付标准）","医药服务便函〔2021〕5号",105119]
[1368,"x150900007730002","2","双歧杆菌活菌制剂","LiveBifidobacteriumPreparation","口服常释剂型","△；限菌群失调",20151407,"双歧杆菌活菌胶囊","丽珠肠乐","硬胶囊剂","0.35g(含0.5亿活菌)","盒","10","铝箔","丽珠集团丽珠制药厂",11.43,"修改（支付标准）","医药服务便函〔2021〕5号",105115]
[1369,"x151000007770006","2","促肝细胞生长素","Hepatocyte Growth-Promoting Factors","注射剂","限工伤保险或重症肝炎。",20152229,"注射用促肝细胞生长素","无","冻干粉针剂","20mg","瓶","1","玻璃瓶","哈尔滨医大药业股份有限公司",6.71,"修改（支付标准）","医药服务便函〔2021〕5号",136042]
[1370,"x151000007770011","2","促肝细胞生长素","Hepatocyte Growth-Promoting Factors","注射剂","限工伤保险或重症肝炎。",20157629,"注射用促肝细胞生长素","无","冻干粉针剂","0.1g","支","1","西林瓶","四环药业股份有限公司",24.97,"修改（支付标准）","医药服务便函〔2021〕5号",103032]
[1371,"x151000007770013","2","促肝细胞生长素","HepatocyteGrowth-PromotingFactors","注射剂","限工伤保险或重症肝炎。",20158221,"注射用促肝细胞生长素","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","广东隆赋药业股份有限公司",11.76,"修改（支付标准）","医药服务便函〔2021〕5号",131425]
[1372,"x151000007770015","2","促肝细胞生长素","HepatocyteGrowth-PromotingFactors","注射剂","限工伤保险或重症肝炎。",20158809,"注射用促肝细胞生长素","无","冻干粉针剂","0.12g","瓶","1","玻璃瓶","广州一品红制药有限公司",59.84,"修改（支付标准）","医药服务便函〔2021〕5号",105426]
[1373,"x151000007781001","2","多烯磷脂酰胆碱","Polyene Phosphatidyl Choline","注射剂","限抢救或肝病。",2015102365,"多烯磷脂酰胆碱注射液","易善复","注射液","5ml:232.5mg","支","1","安瓿","西班牙SANOFI AVENTIS, S.A.<赛诺菲(北京)制药有限公司>分包装",20.62,"修改（支付标准）","医药服务便函〔2021〕5号",102370]
[1374,"x151000007781003","2","多烯磷脂酰胆碱","Polyene Phosphatidyl Choline","注射剂","限抢救或肝病。",2015126963,"多烯磷脂酰胆碱注射液","无","注射液","5ml:232.5mg","支","1","安瓿","成都天台山制药有限公司",19.17,"修改（支付标准）","医药服务便函〔2021〕5号",126959]
[1375,"x151000007791004","2","复方甘草甜素（复方甘草酸苷）","Compound Glycyrrhizin","注射剂","限抢救或肝病或工伤保险。",2015110627,"复方甘草酸苷注射液","无","注射液","20ml:甘草酸苷40mg,盐酸半胱氨酸20mg,甘氨酸0.4g","支","1","安瓿","石药集团欧意药业有限公司",6.95,"修改（支付标准）","医药服务便函〔2021〕5号",110625]
[1376,"x151000007791010","2","复方甘草甜素（复方甘草酸苷）","Compound Glycyrrhizin","注射剂","限抢救或肝病或工伤保险。",2015110484,"注射用复方甘草酸苷","无","冻干粉针剂","甘草酸苷80mg,甘氨酸0.8g,盐酸半胱氨酸40mg","瓶","1","玻璃瓶","瑞阳制药有限公司",20.38,"修改（支付标准）","医药服务便函〔2021〕5号",110482]
[1377,"x151000007791011","2","复方甘草甜素（复方甘草酸苷）","Compound Glycyrrhizin","注射剂","限抢救或肝病或工伤保险。",2015114504,"注射用复方甘草酸苷","无","冻干粉针剂","甘草酸苷40mg,甘氨酸0.4g,盐酸半胱氨酸20mg","瓶","1","西林瓶","石药集团欧意药业有限公司",10.98,"修改（支付标准）","医药服务便函〔2021〕5号",114502]
[1378,"x151000007791013","2","复方甘草甜素（复方甘草酸苷）","Compound Glycyrrhizin","注射剂","限抢救或肝病或工伤保险。",2015136071,"注射用复方甘草酸苷","无","冻干粉针剂","甘草酸苷40mg,甘氨酸0.4g,盐酸半胱氨酸20mg","瓶","1","玻璃瓶","福建省闽东力捷迅药业有限公司",11.81,"修改（支付标准）","医药服务便函〔2021〕5号",136068]
[1379,"x151000007791016","2","复方甘草甜素（复方甘草酸苷）","Compound Glycyrrhizin","注射剂","限抢救或肝病或工伤保险。",2015106708,"注射用复方甘草酸苷","卫伊兴","冻干粉针剂","甘草酸苷80mg,甘氨酸0.8g,盐酸半胱氨酸40mg","瓶","1","玻璃瓶","哈尔滨三联药业股份有限公司",20.5,"修改（支付标准）","医药服务便函〔2021〕5号",106711]
[1380,"x151000007791022","2","复方甘草甜素（复方甘草酸苷）","Compound Glycyrrhizin","注射剂","限抢救或肝病或工伤保险。",2015119761,"复方甘草酸苷注射液","无","注射液","20ml:甘草酸苷40mg,盐酸半胱氨酸20mg,甘氨酸0.4g","支","1","安瓿","西安利君制药有限责任公司",9.3,"修改（支付标准）","医药服务便函〔2021〕5号",119764]
[1381,"x151000007791024","2","复方甘草甜素（复方甘草酸苷）","CompoundGlycyrrhizin","注射剂","限抢救或肝病或工伤保险。",2015106696,"注射用复方甘草酸苷","卫伊兴","冻干粉针剂","甘草酸苷40mg,甘氨酸0.4g,盐酸半胱氨酸20mg","瓶","1","玻璃瓶","哈尔滨三联药业股份有限公司",11.18,"修改（支付标准）","医药服务便函〔2021〕5号",106699]
[1382,"x151000007791025","2","复方甘草甜素（复方甘草酸苷）","CompoundGlycyrrhizin","注射剂","限抢救或肝病或工伤保险。",2015129538,"复方甘草酸苷注射液","美能","注射液","20ml:甘草酸苷40mg,盐酸半胱氨酸20mg,甘氨酸0.4g","支","1","安瓿","日本Minophagen Pharmaceutical Co.,Ltd. Zama Factory<卫材(中国)药业有限公司>分包装",16.1,"修改（支付标准）","医药服务便函〔2021〕5号",129537]
[1383,"x151000007791027","2","复方甘草甜素（复方甘草酸苷）","Compound Glycyrrhizin","注射剂","限抢救或肝病或工伤保险。",2015134213,"复方甘草酸苷注射液","无","注射液","20ml:甘草酸苷40mg,盐酸半胱氨酸20mg,甘氨酸0.4g","支","1","安瓿","辰欣药业股份有限公司",6.3,"修改（支付标准）","医药服务便函〔2021〕5号",134217]
[1384,"x151000007791029","2","复方甘草甜素（复方甘草酸苷）","Compound Glycyrrhizin","注射剂","限抢救或肝病或工伤保险。",2015136072,"注射用复方甘草酸苷","无","冻干粉针剂","甘草酸苷80mg,甘氨酸0.8g,盐酸半胱氨酸40mg","瓶","1","玻璃瓶","福建省闽东力捷迅药业有限公司",17.75,"修改（支付标准）","医药服务便函〔2021〕5号",136069]
[1385,"x151000007801006","2","甘草酸二铵","Diammonium Glycyrrhizinate","注射剂","限抢救或肝病或工伤保险。",2015115620,"注射用甘草酸二铵","无","冻干粉针剂","0.15g","瓶","1","西林瓶","山东罗欣药业集团股份有限公司",4.2,"修改（支付标准）","医药服务便函〔2021〕5号",115623]
[1386,"x151000007801008","2","甘草酸二铵","Diammonium Glycyrrhizinate","注射剂","限抢救或肝病或工伤保险。",2015118568,"甘草酸二铵注射液","甘利欣","注射液","10ml:50mg","支","1","安瓿","正大天晴药业集团股份有限公司",3.08,"修改（支付标准）","医药服务便函〔2021〕5号",118571]
[1387,"x151000007801009","2","甘草酸二铵","Diammonium Glycyrrhizinate","注射剂","限抢救或肝病或工伤保险。",2015132413,"甘草酸二铵注射液","无","注射液","10ml:50mg","支","1","安瓿","浙江天瑞药业有限公司",0.65,"修改（支付标准）","医药服务便函〔2021〕5号",132417]
[1388,"x151000007801015","2","甘草酸二铵","Diammonium Glycyrrhizinate","注射剂","限抢救或肝病或工伤保险。",2015125099,"甘草酸二铵注射液","无","注射液","10ml:50mg","支","1","安瓿","辅仁药业集团有限公司",1.09,"修改（支付标准）","医药服务便函〔2021〕5号",125098]
[1389,"x151000007801016","2","甘草酸二铵","Diammonium Glycyrrhizinate","注射剂","限抢救或肝病或工伤保险。",2015126662,"甘草酸二铵注射液","无","注射液","10ml:50mg","支","1","安瓿","重庆莱美药业股份有限公司",1.3,"修改（支付标准）","医药服务便函〔2021〕5号",126661]
[1390,"x151000007801018","2","甘草酸二铵","Diammonium Glycyrrhizinate","注射剂","限抢救或肝病或工伤保险。",2015158411,"注射用甘草酸二铵","无","冻干粉针剂","0.15g","瓶","1","玻璃瓶","海口奇力制药股份有限公司",4.5,"修改（支付标准）","医药服务便函〔2021〕5号",158409]
[1391,"x151000007810001","2","还原型谷胱甘肽","Glutathione","注射剂","",2015108019,"注射用谷胱甘肽","阿拓莫兰","冻干粉针剂","1.5g","瓶","1","玻璃瓶","重庆药友制药有限责任公司",25.56,"修改（支付标准）","医药服务便函〔2021〕5号",108022]
[1392,"x151000007810002","2","还原型谷胱甘肽","Glutathione","注射剂","",2015138493,"注射用谷胱甘肽","无","冻干粉针剂","0.3g","支","1","玻璃瓶","上海复旦复华药业有限公司",7.14,"修改（支付标准）","医药服务便函〔2021〕5号",138490]
[1393,"x151000007810005","2","还原型谷胱甘肽","Glutathione","注射剂","",2015136060,"注射用谷胱甘肽","绿汀诺","冻干粉针剂","0.3g","瓶","1","玻璃瓶","山东绿叶制药有限公司",7.29,"修改（支付标准）","医药服务便函〔2021〕5号",136057]
[1394,"x151000007810006","2","还原型谷胱甘肽","Glutathione","注射剂","",2015138495,"注射用谷胱甘肽","无","冻干粉针剂","0.9g","支","1","玻璃瓶","上海复旦复华药业有限公司",19.9,"修改（支付标准）","医药服务便函〔2021〕5号",138492]
[1395,"x151000007810007","2","还原型谷胱甘肽","Glutathione","注射剂","",2015136062,"注射用谷胱甘肽","绿汀诺","冻干粉针剂","1.2g","瓶","1","玻璃瓶","山东绿叶制药有限公司",19.79,"修改（支付标准）","医药服务便函〔2021〕5号",136059]
[1396,"x151000007810011","2","还原型谷胱甘肽","Glutathione","注射剂","",2015107998,"注射用谷胱甘肽","阿拓莫兰","冻干粉针剂","0.6g","瓶","1","玻璃瓶","重庆药友制药有限责任公司",12.68,"修改（支付标准）","医药服务便函〔2021〕5号",108001]
[1397,"x151000007810013","2","还原型谷胱甘肽","Glutathione","注射剂","",2015136063,"注射用谷胱甘肽","绿汀诺","冻干粉针剂","1.8g","瓶","1","玻璃瓶","山东绿叶制药有限公司",31.3,"修改（支付标准）","医药服务便函〔2021〕5号",136060]
[1398,"x151000007810014","2","还原型谷胱甘肽","Glutathione","注射剂","",2015115616,"注射用还原型谷胱甘肽钠","松泰斯","冻干粉针剂","0.6g","瓶","1","玻璃瓶","昆明积大制药股份有限公司",13.33,"修改（支付标准）","医药服务便函〔2021〕5号",115619]
[1399,"x151000007810015","2","还原型谷胱甘肽","Glutathione","注射剂","",2015108015,"注射用谷胱甘肽","阿拓莫兰","冻干粉针剂","1.2g","瓶","1","玻璃瓶","重庆药友制药有限责任公司",21.74,"修改（支付标准）","医药服务便函〔2021〕5号",108018]
[1400,"x151000007810017","2","还原型谷胱甘肽","Glutathione","注射剂","",2015107986,"注射用谷胱甘肽","阿拓莫兰","冻干粉针剂","0.3g","瓶","1","玻璃瓶","重庆药友制药有限责任公司",8.7,"修改（支付标准）","医药服务便函〔2021〕5号",107989]
[1401,"x151000007810018","2","还原型谷胱甘肽","Glutathione","注射剂","",2015108006,"注射用谷胱甘肽","阿拓莫兰","冻干粉针剂","0.9g","瓶","1","玻璃瓶","重庆药友制药有限责任公司",17.28,"修改（支付标准）","医药服务便函〔2021〕5号",108009]
[1402,"x151000007810019","2","还原型谷胱甘肽","Glutathione","注射剂","",2015108025,"注射用谷胱甘肽","阿拓莫兰","冻干粉针剂","1.8g","瓶","1","玻璃瓶","重庆药友制药有限责任公司",35.07,"修改（支付标准）","医药服务便函〔2021〕5号",108028]
[1403,"x151000007831007","2","硫普罗宁","Tiopronin","注射剂","",201511736,"硫普罗宁注射液","无","注射液","2ml:0.2g","支","1","安瓿","黑龙江瑞格制药有限公司",19.95,"修改（支付标准）","医药服务便函〔2021〕5号",123244]
[1404,"x151000007840001","2","门冬氨酸鸟氨酸\n(鸟氨酸天门冬氨酸)","OrnithineandAspartate","注射剂","",201511262,"注射用门冬氨酸鸟氨酸","瑞甘","冻干粉针剂","2.5g","瓶","1","玻璃瓶","武汉启瑞药业有限公司",30.19,"修改（支付标准）","医药服务便函〔2021〕5号",127346]
[1405,"x151000007840002","2","门冬氨酸鸟氨酸\n(鸟氨酸天门冬氨酸)","OrnithineandAspartate","注射剂","",20151071,"门冬氨酸鸟氨酸注射液","雅博司","注射液","10ml:5.0g","支","1","安瓿","德国Merz Pharma GmbH & Co.KGaA",41.37,"修改（支付标准）","医药服务便函〔2021〕5号",142191]
[1406,"x151000007880010","2","水飞蓟宾","Silibinin","口服常释剂型","",2019132235,"水飞蓟素胶囊","利加隆","硬胶囊剂","0.14g","盒","10","铝塑","德国马博士大药厂Madaus GmbH",28.24,"修改（支付标准）","医药服务便函〔2021〕5号",132235]
[1407,"x151000007890001","2","腺苷蛋氨酸","Ademetionine","注射剂","限慢性肝病等引起的胆汁郁积或工伤保险",20157922,"注射用丁二磺酸腺苷蛋氨酸","思美泰","冻干粉针剂","0.5g","盒","1","配溶媒","法国FAMAR L` AIGLE",49.68,"修改（支付标准）","医药服务便函〔2021〕5号",162527]
[1408,"x151000007890002","2","腺苷蛋氨酸","Ademetionine","注射剂","限慢性肝病等引起的胆汁郁积或工伤保险",201515200,"注射用丁二磺酸腺苷蛋氨酸","无","冻干粉针剂","0.5g","盒","1","配溶媒","浙江海正药业股份有限公司",48.39,"修改（支付标准）","医药服务便函〔2021〕5号",144011]
[1409,"x151000007910001","2","复方牛胎肝提取物","Compound　Embryonic　Bovine　Liver　Extract　","口服常释剂型","",20156399,"复方牛胎肝提取物片","无","薄膜衣片","40mg(多肽)","盒","36","铝塑","黑龙江江世药业有限公司",56.51,"修改（支付标准）","医药服务便函〔2021〕5号",119495]
[1410,"x151000007910002","2","复方牛胎肝提取物","Compound　Embryonic　Bovine　Liver　Extract　","口服常释剂型","",201513465,"复方牛胎肝提取物片","无","薄膜衣片","40mg(多肽)","瓶","24","塑料瓶","北京第一生物化学药业有限公司",35.63,"修改（支付标准）","医药服务便函〔2021〕5号",146828]
[1411,"x151000007910003","2","复方牛胎肝提取物","Compound　Embryonic　Bovine　Liver　Extract　","口服常释剂型","",2015119505,"复方牛胎肝提取物片","无","薄膜衣片","40mg(多肽)","盒","48","铝塑","黑龙江江世药业有限公司",74.42,"修改（支付标准）","医药服务便函〔2021〕5号",119498]
[1412,"x15100008010a001","2","叶绿素铜钠","Sodium  Cupper  Chlorophyllin","片剂胶囊剂","",20157417,"叶绿素铜钠胶囊","无","硬胶囊剂","20mg","盒","50","铝箔","郑州永和制药有限公司",30.55,"修改（支付标准）","医药服务便函〔2021〕5号",145043]
[1413,"x15100008010a002","2","叶绿素铜钠","Sodium  Cupper  Chlorophyllin","片剂胶囊剂","",20154560,"叶绿素铜钠片","无","糖衣片","20mg","盒","36","铝塑","杭州前进药业有限公司",22.66,"修改（支付标准）","医药服务便函〔2021〕5号",101260]
[1414,"x15100008010a003","2","叶绿素铜钠","Sodium  Cupper  Chlorophyllin","片剂胶囊剂","",20154498,"叶绿素铜钠片","无","糖衣片","20mg","盒","24","铝塑","杭州前进药业有限公司",15.25,"修改（支付标准）","医药服务便函〔2021〕5号",101257]
[1415,"x151100007920016","1","熊去氧胆酸","Ursodeoxycholic Acid","口服常释剂型","",201512393,"牛磺熊去氧胆酸胶囊","滔罗特","硬胶囊剂","0.25g","盒","20","铝箔","意大利多帕药业有限公司DOPPEL FARMACEUTICI S.r.l.",247.39,"修改（支付标准）","医药服务便函〔2021〕5号",120655]
[1416,"x151200007990001","2","地奥司明","Diosmin","口服常释剂型","",2015132012,"地奥司明片","爱脉朗","薄膜衣片","0.5g(以地奥司明计0.45g)","盒","30","铝塑","法国Les Laboratoires Servier Industrie<施维雅(天津)制药有限公司>分包装",53.02,"修改（支付标准）","医药服务便函〔2021〕5号",132016]
[1417,"x151300008010008","1","柳氮磺吡啶","Sulfasalazine","口服常释剂型","",2015159375,"柳氮磺吡啶肠溶片","无","肠溶片","0.25g","瓶","80","塑料瓶","山西同达药业有限公司",33.12,"修改（支付标准）","医药服务便函〔2021〕5号",159373]
[1418,"x151300008010010","1","柳氮磺吡啶","Sulfasalazine","口服常释剂型","",2015135593,"柳氮磺吡啶肠溶片","维柳芬","肠溶片","0.25g","盒","60","铝塑","上海中西三维药业有限公司",16.39,"修改（支付标准）","医药服务便函〔2021〕5号",135590]
[1419,"x151300008020006","2","奥曲肽[8肽]","Octreotide","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",2015117557,"注射用醋酸奥曲肽","无","冻干粉针剂","0.1mg","支","1","玻璃瓶","辽宁诺维诺制药股份有限公司",20.86,"修改（支付标准）","医药服务便函〔2021〕5号",117560]
[1420,"x151300008020012","2","奥曲肽[8肽]","Octreotide","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",2015132243,"醋酸奥曲肽注射液","善宁","注射液","1ml:0.1mg","支","1","安瓿","瑞士Novartis Pharma Stein AG",86.6,"修改（支付标准）","医药服务便函〔2021〕5号",132247]
[1421,"x151300008020018","2","奥曲肽[8肽]","Octreotide","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",2015114056,"醋酸奥曲肽注射液","星安忆","注射液","1ml:0.3mg","瓶","1","西林瓶","广东星昊药业有限公司",52,"修改（支付标准）","医药服务便函〔2021〕5号",114054]
[1422,"x151300008020020","2","奥曲肽[8肽]","Octreotide","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",2015112031,"醋酸奥曲肽注射液","无","注射液","1ml:50μg","瓶","1","西林瓶","海南中和药业股份有限公司",18.23,"修改（支付标准）","医药服务便函〔2021〕5号",112029]
[1423,"x151300008020023","2","奥曲肽[8肽]","Octreotide","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",2018131011,"醋酸奥曲肽注射液","无","注射液","1ml:0.1mg","支","1","安瓿","浙江震元制药有限公司",17.42,"修改（支付标准）","医药服务便函〔2021〕5号",131011]
[1424,"x151300008020024","2","奥曲肽[8肽]","Octreotide","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",2018142838,"注射用醋酸奥曲肽","培新","冻干粉针剂","0.1mg","瓶","1","玻璃瓶","国药集团成都信立邦生物制药有限公司",24.74,"修改（支付标准）","医药服务便函〔2021〕5号",142838]
[1425,"x151300008070006","2","美沙拉嗪","Mesalazine","口服常释剂型 缓释控释剂型 缓控释颗粒剂","",2015115933,"美沙拉嗪肠溶片","无","肠溶片","0.25g","盒","24","铝塑","黑龙江天宏药业股份有限公司",30.78,"修改（支付标准）","医药服务便函〔2021〕5号",115936]
[1426,"x151300008071005","2","美沙拉嗪","Mesalazine","栓剂 灌肠剂","",2015144482,"美沙拉嗪灌肠液","莎尔福","灌肠剂","60g:4g","盒","7","塑管","瑞士Vifor AG Zweigniederlassung Medichemie Ettingen",1009.47,"修改（支付标准）","医药服务便函〔2021〕5号",144484]
[1427,"x151300008071007","2","美沙拉嗪","Mesalazine","栓剂 灌肠剂","",2015115939,"美沙拉嗪栓","无","栓剂","1.0g","盒","7","铝箔","黑龙江天宏药业股份有限公司",59.69,"修改（支付标准）","医药服务便函〔2021〕5号",115942]
[1428,"x151300008080002","2","生长抑素[14肽]","Somatostatin","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",20157881,"注射用生长抑素","无","冻干粉针剂","3mg","瓶","1","玻璃瓶","成都天台山制药有限公司",94.65,"修改（支付标准）","医药服务便函〔2021〕5号",125632]
[1429,"x151300008080003","2","生长抑素[14肽]","Somatostatin","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",20157924,"注射用生长抑素","无","冻干粉针剂","0.75mg","瓶","1","玻璃瓶","成都天台山制药有限公司",34.3,"修改（支付标准）","医药服务便函〔2021〕5号",125624]
[1430,"x151300008080004","2","生长抑素[14肽]","Somatostatin","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",20157676,"注射用生长抑素","无","冻干粉针剂","3mg","瓶","1","玻璃瓶","昆明积大制药股份有限公司",58.5,"修改（支付标准）","医药服务便函〔2021〕5号",115723]
[1431,"x151300008080005","2","生长抑素[14肽]","Somatostatin","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",20156547,"注射用生长抑素","无","冻干粉针剂","3mg","支","1","西林瓶","青岛国大生物制药股份有限公司",58.37,"修改（支付标准）","医药服务便函〔2021〕5号",130512]
[1432,"x151300008080007","2","生长抑素[14肽]","Somatostatin","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",20151413,"注射用生长抑素","思他宁","冻干粉针剂","3mg","支","1","安瓿","瑞士Merck Serono SA,Succursale d` Aubonne",492.25,"修改（支付标准）","医药服务便函〔2021〕5号",144466]
[1433,"x151300008080009","2","生长抑素[14肽]","Somatostatin","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",201514566,"注射用生长抑素","无","冻干粉针剂","2mg","盒","1","预充式(预灌封)注射器","深圳翰宇药业股份有限公司",58.06,"修改（支付标准）","医药服务便函〔2021〕5号",146110]
[1434,"x151300008080010","2","生长抑素[14肽]","Somatostatin","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",201511426,"注射用生长抑素","无","冻干粉针剂","3mg","瓶","1","西林瓶","江苏海岸药业有限公司",102.86,"修改（支付标准）","医药服务便函〔2021〕5号",101526]
[1435,"x151300008080011","2","生长抑素[14肽]","Somatostatin","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",201510988,"注射用生长抑素","无","冻干粉针剂","2mg","支","1","西林瓶","深圳翰宇药业股份有限公司",66.67,"修改（支付标准）","医药服务便函〔2021〕5号",140056]
[1436,"x151300008080012","2","生长抑素[14肽]","Somatostatin","注射剂","限急性胰腺炎，胰瘘，胃肠瘘，胆瘘，肠梗阻，胃肠内分泌肿瘤，食管或胃底静脉破裂出血或胃肠道大出血。",201510077,"注射用生长抑素","无","冻干粉针剂","3mg","瓶","1","玻璃瓶","山东新时代药业有限公司",89,"修改（支付标准）","医药服务便函〔2021〕5号",131326]
[1437,"x151300008090003","2","乌司他丁","Ulinastatin","注射剂","",2015112768,"注射用乌司他丁","天普洛安","冻干粉针剂","10万IU","瓶","1","玻璃瓶","广东天普生化医药股份有限公司",93.3,"修改（支付标准）","医药服务便函〔2021〕5号",112764]
[1438,"x151300008110001","2","酪酸梭菌活菌制剂","Clostridum Butyricum　　","口服常释剂型，口服散剂","限菌群失调。",20154604,"酪酸梭菌活菌片","米雅","素片","含酪酸梭菌活菌数不低于0.35×10(6次方)CFU","盒","20","空","日本米雅利桑制药株式会社Miyarisan Pharmaceutical Co., Ltd.",22.76,"修改（支付标准）","医药服务便函〔2021〕5号",132322]
[1439,"x151300008110002","2","酪酸梭菌活菌制剂","Clostridum Butyricum　　","口服常释剂型，口服散剂","限菌群失调。",20155385,"酪酸梭菌活菌散剂","米雅","散剂","1.0g(含酪酸梭菌活菌数不低于1.0×10(6次方)CFU/g)","袋","6","空","日本米雅利桑制药株式会社Miyarisan Pharmaceutical Co., Ltd.",22.11,"修改（支付标准）","医药服务便函〔2021〕5号",132323]
[1440,"x151300008110004","2","酪酸梭菌活菌制剂","Clostridum Butyricum　　","口服常释剂型，口服散剂","限菌群失调。",201511510,"酪酸梭菌活菌胶囊","米桑","硬胶囊剂","0.2g(含酪酸梭菌活菌数不低于5.0×10(7次方)CFU/g)","盒","36","铝塑","重庆泰平药业有限公司",31.63,"修改（支付标准）","医药服务便函〔2021〕5号",127889]
[1441,"x151300008110006","2","酪酸梭菌活菌制剂","Clostridum Butyricum　　","口服常释剂型，口服散剂","限菌群失调。",20157632,"酪酸梭菌活菌胶囊","米桑","硬胶囊剂","0.2g(含酪酸梭菌活菌数不低于5.0×10(7次方)CFU/g)","盒","24","铝塑","重庆泰平药业有限公司",20.97,"修改（支付标准）","医药服务便函〔2021〕5号",127887]
[1442,"x15130000811p001","2","酪酸梭菌二联活菌制剂","","胶囊剂","限菌群失调。",201510684,"酪酸梭菌二联活菌胶囊","常乐康","硬胶囊剂","0.42g","盒","24","铝箔","山东科兴生物制品有限公司",30.35,"修改（支付标准）","医药服务便函〔2021〕5号",138735]
[1443,"x15130000811s001","2","酪酸梭菌二联活菌制剂","","散剂","限菌群失调。",201510687,"酪酸梭菌二联活菌散","常乐康","散剂","0.5g","盒","20","复合膜","山东科兴生物制品有限公司",27.51,"修改（支付标准）","医药服务便函〔2021〕5号",138361]
[1444,"x151300008120001","2","奥沙拉秦","Olsalazine","口服常释剂型","",20154049,"奥沙拉秦钠胶囊","畅美","硬胶囊剂","0.25g","瓶","36","塑料瓶","天津力生制药股份有限公司",73.35,"修改（支付标准）","医药服务便函〔2021〕5号",111272]
[1445,"x151300008120002","2","奥沙拉秦","Olsalazine","口服常释剂型","",20154098,"奥沙拉秦钠胶囊","帕斯坦","硬胶囊剂","0.25g","盒","24","铝塑","浙江华润三九众益制药有限公司",40.23,"修改（支付标准）","医药服务便函〔2021〕5号",142314]
[1446,"x15130007135d001","2","复方嗜酸乳杆菌","","片剂","△",201513177,"复方嗜酸乳杆菌片","无","素片","0.5g","盒","18","铝塑","通化金马药业集团股份有限公司",28.49,"修改（支付标准）","医药服务便函〔2021〕5号",111962]
[1447,"x15130007135d002","2","复方嗜酸乳杆菌","","片剂","△",201510541,"复方嗜酸乳杆菌片","无","素片","0.5g","盒","24","铝塑","通化金马药业集团股份有限公司",36.78,"修改（支付标准）","医药服务便函〔2021〕5号",111965]
[1448,"x15130007135d003","2","复方嗜酸乳杆菌","","片剂","△",2015114801,"复方嗜酸乳杆菌片","无","素片","0.5g","盒","30","铝塑","通化金马药业集团股份有限公司",46.61,"修改（支付标准）","医药服务便函〔2021〕5号",114794]
[1449,"x15130007139d001","2","复方消化酶","","胶囊","△",2015124753,"复方消化酶胶囊","无","硬胶囊剂","复方","盒","20","铝塑","北京星昊医药股份有限公司(受托生产企业)",32.05,"修改（支付标准）","医药服务便函〔2021〕5号",124750]
[1450,"x15130007139d002","2","复方消化酶","","胶囊","△",2015144986,"复方消化酶胶囊(Ⅱ)","千红怡美","硬胶囊剂","含胃蛋白酶不少于144IU与胰蛋白酶不少于480IU与胰淀粉酶不少于5700IU与胰脂肪酶不少于3000IU","盒","10","铝塑","常州千红生化制药股份有限公司",17.69,"修改（支付标准）","医药服务便函〔2021〕5号",144988]
[1451,"x15130007139d003","2","复方消化酶","","胶囊","△",2015144987,"复方消化酶胶囊(Ⅱ)","千红怡美","硬胶囊剂","含胃蛋白酶不少于144IU与胰蛋白酶不少于480IU与胰淀粉酶不少于5700IU与胰脂肪酶不少于3000IU","盒","20","铝塑","常州千红生化制药股份有限公司",31.31,"修改（支付标准）","医药服务便函〔2021〕5号",144989]
[1452,"x15130007139d004","2","复方消化酶","","胶囊","△",2015141639,"复方消化酶胶囊","达吉","硬胶囊剂","复方","盒","20","铝箔","韩国Hanlim Pharmaceutical Co.,Ltd.",34.05,"修改（支付标准）","医药服务便函〔2021〕5号",141641]
[1453,"x15130007139d005","2","复方消化酶","","胶囊","△",2015124738,"复方消化酶胶囊","无","硬胶囊剂","复方","盒","10","铝塑","北京星昊医药股份有限公司(受托生产企业)",16.85,"修改（支付标准）","医药服务便函〔2021〕5号",124735]
[1454,"x160300008301002","2","单硝酸异山梨酯","Isosorbide Mononitrate","注射剂","",2015123324,"注射用单硝酸异山梨酯","欣奥乐","冻干粉针剂","50mg","瓶","1","玻璃瓶","海南葫芦娃药业集团股份有限公司",25.1,"修改（支付标准）","医药服务便函〔2021〕5号",123321]
[1455,"x160300008301008","2","单硝酸异山梨酯","Isosorbide Mononitrate","注射剂","",2015119311,"单硝酸异山梨酯注射液","艾麦舒","注射液","2ml:25mg","支","1","安瓿","四川省长征药业股份有限公司",8.9,"修改（支付标准）","医药服务便函〔2021〕5号",119314]
[1456,"x160300008301018","2","单硝酸异山梨酯","Isosorbide Mononitrate","注射剂","",2015109868,"注射用单硝酸异山梨酯","平福","冻干粉针剂","25mg","瓶","1","玻璃瓶","瑞阳制药有限公司",17.88,"修改（支付标准）","医药服务便函〔2021〕5号",109871]
[1457,"x160300008301021","2","单硝酸异山梨酯","IsosorbideMononitrate","注射剂","",2015131197,"单硝酸异山梨酯注射液","欣康","注射液","5ml:20mg","支","1","安瓿","鲁南贝特制药有限公司",20.4,"修改（支付标准）","医药服务便函〔2021〕5号",131201]
[1458,"x160300008301022","2","单硝酸异山梨酯","Isosorbide Mononitrate","注射剂","",2015113793,"单硝酸异山梨酯注射液","无","注射液","1ml:10mg","支","1","安瓿","青岛金峰制药有限公司",7.6,"修改（支付标准）","医药服务便函〔2021〕5号",113791]
[1459,"x160300008301024","2","单硝酸异山梨酯","Isosorbide Mononitrate","注射剂","",2015117056,"单硝酸异山梨酯注射液","无","注射液","5ml:20mg","支","1","安瓿","吉林康乃尔药业有限公司",4.98,"修改（支付标准）","医药服务便函〔2021〕5号",117059]
[1460,"x160300008301026","2","单硝酸异山梨酯","Isosorbide Mononitrate","注射剂","",2015142747,"单硝酸异山梨酯注射液","无","注射液","5ml:20mg","支","1","安瓿","福建汇天生物药业有限公司",3.47,"修改（支付标准）","医药服务便函〔2021〕5号",142749]
[1461,"x160300008301027","2","单硝酸异山梨酯","Isosorbide Mononitrate","注射剂","",2015143399,"注射用单硝酸异山梨酯","奥帝亚","冻干粉针剂","20mg","瓶","1","西林瓶","江苏奥赛康药业有限公司",13.08,"修改（支付标准）","医药服务便函〔2021〕5号",143401]
[1462,"x160300008301028","2","单硝酸异山梨酯","Isosorbide Mononitrate","注射剂","",2015109874,"注射用单硝酸异山梨酯","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","瑞阳制药有限公司",27.14,"修改（支付标准）","医药服务便函〔2021〕5号",109877]
[1463,"x160300008301029","2","单硝酸异山梨酯","Isosorbide Mononitrate","注射剂","",2015143400,"注射用单硝酸异山梨酯","奥帝亚","冻干粉针剂","50mg","瓶","1","西林瓶","江苏奥赛康药业有限公司",24,"修改（支付标准）","医药服务便函〔2021〕5号",143402]
[1464,"x160400008310010","1","尼群地平","Nitrendipine","口服常释剂型","",2015106914,"尼群地平软胶囊","无","软胶囊(胶丸)","10mg","瓶","24","塑料瓶","澳诺(青岛)制药有限公司",16.94,"修改（支付标准）","医药服务便函〔2021〕5号",106917]
[1465,"x160400008310036","1","尼群地平","Nitrendipine","口服常释剂型","",2015143083,"尼群地平片","无","素片","10mg","瓶","100","塑料瓶","上海信谊天平药业有限公司",2.47,"修改（支付标准）","医药服务便函〔2021〕5号",143085]
[1466,"x160400008330040","1","硝苯地平","Nifedipine","口服常释剂型","",2015114691,"硝苯地平软胶囊","无","软胶囊(胶丸)","10mg","瓶","60","塑料瓶","国药集团武汉中联四药药业有限公司",23.56,"修改（支付标准）","医药服务便函〔2021〕5号",114689]
[1467,"x160400008330044","1","硝苯地平","Nifedipine","口服常释剂型","",2015158421,"硝苯地平软胶囊","无","软胶囊(胶丸)","5mg","瓶","60","塑料瓶","山东禹王制药有限公司",19.47,"修改（支付标准）","医药服务便函〔2021〕5号",158419]
[1468,"x160400008380030","2","非洛地平","Felodipine","口服常释剂型<br/>缓释控释剂型","",2015162390,"非洛地平片","无","素片","5mg","盒","56","铝塑","杭州苏泊尔南洋药业有限公司",48,"修改（支付标准）","医药服务便函〔2021〕5号",162383]
[1469,"x160400008440001","2","尼索地平","Nisoldipine","口服常释剂型缓释控释剂型","",20156658,"尼索地平缓释胶囊","欣诺金","缓释胶囊","10mg","盒","10","铝塑","西安海欣制药有限公司",25.38,"修改（支付标准）","医药服务便函〔2021〕5号",116868]
[1470,"x160700008620075","1","卡托普利","Captopril","口服常释剂型","",2015135529,"卡托普利片","无","素片","12.5mg","瓶","100","塑料瓶","上海中西三维药业有限公司",1.43,"修改（支付标准）","医药服务便函〔2021〕5号",135526]
[1471,"x160700008710012","2","复方卡托普利","Compound Captopril","口服常释剂型","",2015118144,"复方卡托普利片","无","素片","卡托普利10mg,氢氯噻嗪6mg","瓶","100","塑料瓶","青岛首和金海制药有限公司",8.8,"修改（支付标准）","医药服务便函〔2021〕5号",118147]
[1472,"x160900008790019","1","复方利血平（复方降压片）","Compound Reserpine","口服常释剂型","",2015143235,"复方利血平片","无","薄膜衣片","复方","瓶","120","塑料瓶","上海信谊天平药业有限公司",4.26,"修改（支付标准）","医药服务便函〔2021〕5号",143237]
[1473,"x160900008790021","1","复方利血平（复方降压片）","Compound Reserpine","口服常释剂型","",2015160334,"复方利血平片","无","糖衣片","复方","瓶","100","塑料瓶","邯郸市柏林药业有限公司",6.44,"修改（支付标准）","医药服务便函〔2021〕5号",160327]
[1474,"x16090008011a004","2","复方罗布麻","Compound Apocyne Venete","片剂","",2015111511,"复方罗布麻片(Ⅰ)","无","糖衣片","复方","瓶","100","塑料瓶","亚宝药业集团股份有限公司",14.75,"修改（支付标准）","医药服务便函〔2021〕5号",111509]
[1475,"x16090008011a005","2","复方罗布麻","Compound Apocyne Venete","片剂","",2015124978,"复方罗布麻片(Ⅰ)","无","糖衣片","复方","瓶","100","塑料瓶","云鹏医药集团有限公司",7.42,"修改（支付标准）","医药服务便函〔2021〕5号",124975]
[1476,"x161101008950050","1","辛伐他汀","Simvastatin","口服常释剂型","",2015128157,"辛伐他汀片","无","薄膜衣片","10mg","盒","20","铝箔","遂成药业股份有限公司",3.61,"修改（支付标准）","医药服务便函〔2021〕5号",128156]
[1477,"x161101008950052","1","辛伐他汀","Simvastatin","口服常释剂型","",2015121049,"辛伐他汀片","无","薄膜衣片","20mg","盒","20","铝塑","中山尼克美制药有限公司",5.67,"修改（支付标准）","医药服务便函〔2021〕5号",121046]
[1478,"x161101008950053","1","辛伐他汀","Simvastatin","口服常释剂型","",2015147637,"辛伐他汀片","无","薄膜衣片","20mg","盒","10","铝塑","中山尼克美制药有限公司",2.91,"修改（支付标准）","医药服务便函〔2021〕5号",147636]
[1479,"x161102009010005","2","阿昔莫司","Acipimox","口服常释剂型","",20153444,"阿昔莫司胶囊","无","硬胶囊剂","0.25g","盒","16","铝箔","四川克旨达制药有限公司",37.47,"修改（支付标准）","医药服务便函〔2021〕5号",106628]
[1480,"x161102009020002","2","苯扎贝特","Bezafibrate","口服常释剂型","",201513386,"苯扎贝特胶囊","无","硬胶囊剂","0.2g","盒","24","铝塑","南通久和药业有限公司",28.23,"修改（支付标准）","医药服务便函〔2021〕5号",134927]
[1481,"x161102009080002","2","藻酸双酯钠","Alginic Sodium Diester","口服常释剂型","",2015144572,"藻酸双酯钠片","无","糖衣片","50mg","瓶","100","塑料瓶","上海华源安徽仁济制药有限公司",7.83,"修改（支付标准）","医药服务便函〔2021〕5号",144574]
[1482,"x161102009080006","2","藻酸双酯钠","Alginic Sodium Diester","口服常释剂型","",2015109501,"藻酸双酯钠片","无","糖衣片","50mg","瓶","100","塑料瓶","山东新华制药股份有限公司",11.84,"修改（支付标准）","医药服务便函〔2021〕5号",109504]
[1483,"x161102009080007","2","藻酸双酯钠","Alginic Sodium Diester","口服常释剂型","",2015137692,"藻酸双酯钠片","无","糖衣片","50mg","瓶","100","塑料瓶","山西津华晖星制药有限公司",2.21,"修改（支付标准）","医药服务便函〔2021〕5号",137689]
[1484,"x161200009130001","2","川芎嗪","Ligustrazine","注射剂","",2015134037,"注射用磷酸川芎嗪","均达奎","粉针剂","0.1g","瓶","1","玻璃瓶","上海上药新亚药业有限公司",3.38,"修改（支付标准）","医药服务便函〔2021〕5号",134041]
[1485,"x161200009130006","2","川芎嗪","Ligustrazine","注射剂","",2015113172,"盐酸川芎嗪注射液","无","注射液","2ml:40mg","支","1","安瓿","广东南国药业有限公司",0.3,"修改（支付标准）","医药服务便函〔2021〕5号",113170]
[1486,"x161200009130020","2","川芎嗪","Ligustrazine","注射剂","",2015106545,"注射用盐酸川芎嗪","川青","冻干粉针剂","0.12g","支","1","玻璃瓶","哈尔滨三联药业股份有限公司",19.62,"修改（支付标准）","医药服务便函〔2021〕5号",106548]
[1487,"x161200009130022","2","川芎嗪","Ligustrazine","注射剂","",2015106538,"注射用盐酸川芎嗪","川青","冻干粉针剂","80mg","支","1","玻璃瓶","哈尔滨三联药业股份有限公司",11.3,"修改（支付标准）","医药服务便函〔2021〕5号",106541]
[1488,"x161200009130023","2","川芎嗪","Ligustrazine","注射剂","",2015106894,"注射用盐酸川芎嗪","川青","冻干粉针剂","40mg","支","1","玻璃瓶","哈尔滨三联药业股份有限公司",8.38,"修改（支付标准）","医药服务便函〔2021〕5号",106897]
[1489,"x161200009130027","2","川芎嗪","Ligustrazine","注射剂","",2015111676,"盐酸川芎嗪注射液","无","注射液","2ml:40mg","支","1","安瓿","河南辅仁怀庆堂制药有限公司",0.99,"修改（支付标准）","医药服务便函〔2021〕5号",111674]
[1490,"x161200009130029","2","川芎嗪","Ligustrazine","注射剂","",2015127545,"盐酸川芎嗪注射液","无","注射液","2ml:40mg","支","1","安瓿","遂成药业股份有限公司",1.36,"修改（支付标准）","医药服务便函〔2021〕5号",127544]
[1491,"x161200009130031","2","川芎嗪","Ligustrazine","注射剂","",2015126863,"注射用磷酸川芎嗪","尤尼怡","冻干粉针剂","50mg","瓶","1","西林瓶","海南通用同盟药业有限公司",2.33,"修改（支付标准）","医药服务便函〔2021〕5号",126862]
[1492,"x161200009130032","2","川芎嗪","Ligustrazine","注射剂","",2015107584,"注射用盐酸川芎嗪","无","冻干粉针剂","40mg","瓶","1","西林瓶","湖南科伦制药有限公司",7.26,"修改（支付标准）","医药服务便函〔2021〕5号",107587]
[1493,"x161200009130033","2","川芎嗪","Ligustrazine","注射剂","",2015144120,"注射用盐酸川芎嗪","可杰星","冻干粉针剂","40mg","支","1","玻璃瓶","平光制药股份有限公司",8.66,"修改（支付标准）","医药服务便函〔2021〕5号",144122]
[1494,"x161200009130034","2","川芎嗪","Ligustrazine","注射剂","",2015101983,"注射用盐酸川芎嗪","瑞科林","冻干粉针剂","80mg","支","1","西林瓶","北京四环科宝制药有限公司",10.6,"修改（支付标准）","医药服务便函〔2021〕5号",101988]
[1495,"x161200009150020","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015132082,"环磷腺苷葡胺注射液","无","注射液","5ml:90mg","支","1","安瓿","中孚药业股份有限公司",23.01,"修改（支付标准）","医药服务便函〔2021〕5号",132086]
[1496,"x161200009150021","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015143394,"注射用环磷腺苷葡胺","凯缌","冻干粉针剂","60mg","瓶","1","玻璃瓶","无锡凯夫制药有限公司",21.5,"修改（支付标准）","医药服务便函〔2021〕5号",143396]
[1497,"x161200009150022","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015143395,"注射用环磷腺苷葡胺","凯缌","冻干粉针剂","90mg","瓶","1","玻璃瓶","无锡凯夫制药有限公司",28.07,"修改（支付标准）","医药服务便函〔2021〕5号",143397]
[1498,"x161200009150024","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015142215,"注射用环磷腺苷葡胺","扶信","冻干粉针剂","90mg","瓶","1","玻璃瓶","江苏吴中医药集团有限公司苏州制药厂",29.84,"修改（支付标准）","医药服务便函〔2021〕5号",142217]
[1499,"x161200009150025","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015109379,"注射用环磷腺苷葡胺","万扶","冻干粉针剂","30mg","支","1","玻璃瓶","湖南五洲通药业股份有限公司",10,"修改（支付标准）","医药服务便函〔2021〕5号",109382]
[1500,"x161200009150026","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015142792,"环磷腺苷葡胺注射液","无","注射液","10ml:0.15g","支","1","安瓿","吉林敖东洮南药业股份有限公司",33.83,"修改（支付标准）","医药服务便函〔2021〕5号",142794]
[1501,"x161200009150027","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015109932,"注射用环磷腺苷葡胺","无","冻干粉针剂","30mg","瓶","1","玻璃瓶","瑞阳制药有限公司",11.16,"修改（支付标准）","医药服务便函〔2021〕5号",109935]
[1502,"x161200009150028","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015109938,"注射用环磷腺苷葡胺","无","冻干粉针剂","60mg","瓶","1","玻璃瓶","瑞阳制药有限公司",20.73,"修改（支付标准）","医药服务便函〔2021〕5号",109941]
[1503,"x161200009150030","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015120459,"环磷腺苷葡胺注射液","无","注射液","5ml:90mg","支","1","安瓿","贵州圣济堂制药有限公司",21.8,"修改（支付标准）","医药服务便函〔2021〕5号",120456]
[1504,"x161200009150032","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015110597,"环磷腺苷葡胺注射液","无","注射液","10ml:0.15g","支","1","安瓿","瑞阳制药有限公司",32.8,"修改（支付标准）","医药服务便函〔2021〕5号",110595]
[1505,"x161200009150035","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015118982,"环磷腺苷葡胺注射液","无","注射液","2ml:30mg","支","1","安瓿","长春普华制药股份有限公司",5.4,"修改（支付标准）","医药服务便函〔2021〕5号",118985]
[1506,"x161200009150036","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015123556,"环磷腺苷葡胺注射液","无","注射液","2ml:30mg","支","1","安瓿","山东圣鲁制药有限公司",4.95,"修改（支付标准）","医药服务便函〔2021〕5号",123553]
[1507,"x161200009150038","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015118995,"环磷腺苷葡胺注射液","无","注射液","5ml:60mg","支","1","安瓿","长春普华制药股份有限公司",14,"修改（支付标准）","医药服务便函〔2021〕5号",118998]
[1508,"x161200009150039","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015126757,"环磷腺苷葡胺注射液","无","注射液","5ml:60mg","支","1","安瓿","长春大政药业科技有限公司",15.6,"修改（支付标准）","医药服务便函〔2021〕5号",126756]
[1509,"x161200009150040","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015148986,"环磷腺苷葡胺注射液","无","注射液","5ml:90mg","支","1","安瓿","广东先强药业有限公司",22.53,"修改（支付标准）","医药服务便函〔2021〕5号",148985]
[1510,"x161200009150041","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015143396,"注射用环磷腺苷葡胺","凯缌","冻干粉针剂","30mg","瓶","1","玻璃瓶","无锡凯夫制药有限公司",11.98,"修改（支付标准）","医药服务便函〔2021〕5号",143398]
[1511,"x161200009150042","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015136291,"注射用环磷腺苷葡胺","元杰","冻干粉针剂","60mg","瓶","1","玻璃瓶","山东绿叶制药有限公司",19.6,"修改（支付标准）","医药服务便函〔2021〕5号",136288]
[1512,"x161200009150043","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015140036,"注射用环磷腺苷葡胺","无","冻干粉针剂","60mg","支","1","西林瓶","上海复旦复华药业有限公司",14.8,"修改（支付标准）","医药服务便函〔2021〕5号",140038]
[1513,"x161200009150044","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",2015116714,"注射用环磷腺苷葡胺","尤尼清","冻干粉针剂","90mg","瓶","1","西林瓶","海南通用同盟药业有限公司",32.37,"修改（支付标准）","医药服务便函〔2021〕5号",116717]
[1514,"x161200009150045","2","环磷腺苷","Cyclic Adenosine Monophosphate","注射剂","△",201512371,"注射用环磷腺苷","无","冻干粉针剂","60mg","瓶","1","玻璃瓶","广东华润顺峰药业有限公司",24.95,"修改（支付标准）","医药服务便函〔2021〕5号",140209]
[1515,"x161200009190001","2","三磷酸腺苷","AdenosineTriphosphate","注射剂","限急救或心肌炎，心肌炎后遗症，线粒体病。",2015104144,"三磷酸腺苷二钠注射液","无","注射液","2ml:20mg","支","1","安瓿","山西晋新双鹤药业有限责任公司",1.12,"修改（支付标准）","医药服务便函〔2021〕5号",104149]
[1516,"x161200009190002","2","三磷酸腺苷","AdenosineTriphosphate","注射剂","限急救或心肌炎，心肌炎后遗症，线粒体病。",2015142198,"三磷酸腺苷二钠注射液","无","注射液","2ml:20mg","支","1","安瓿","安徽长江药业有限公司",0.74,"修改（支付标准）","医药服务便函〔2021〕5号",142200]
[1517,"x161200009190003","2","三磷酸腺苷","Adenosine Triphosphate","注射剂","限急救或心肌炎，心肌炎后遗症，线粒体病。",2015111555,"三磷酸腺苷二钠注射液","无","注射液","2ml:20mg","支","1","安瓿","广州白云山天心制药股份有限公司",0.51,"修改（支付标准）","医药服务便函〔2021〕5号",111553]
[1518,"x161200009190004","2","三磷酸腺苷","Adenosine Triphosphate","注射剂","限急救或心肌炎，心肌炎后遗症，线粒体病。",2015113116,"三磷酸腺苷二钠注射液","无","注射液","2ml:20mg","支","1","安瓿","广东南国药业有限公司",0.88,"修改（支付标准）","医药服务便函〔2021〕5号",113114]
[1519,"x161200009190005","2","三磷酸腺苷","Adenosine Triphosphate","注射剂","限急救或心肌炎，心肌炎后遗症，线粒体病。",2015121629,"三磷酸腺苷二钠注射液","无","注射液","2ml:20mg","支","1","安瓿","国药集团容生制药有限公司",1.86,"修改（支付标准）","医药服务便函〔2021〕5号",121626]
[1520,"x161200009190006","2","三磷酸腺苷","Adenosine Triphosphate","注射剂","限急救或心肌炎，心肌炎后遗症，线粒体病。",2015138108,"三磷酸腺苷二钠注射液","无","注射液","2ml:20mg","支","1","安瓿","江苏涟水制药有限公司",0.48,"修改（支付标准）","医药服务便函〔2021〕5号",138105]
[1521,"x161200009190007","2","三磷酸腺苷","Adenosine Triphosphate","注射剂","限急救或心肌炎，心肌炎后遗症，线粒体病。",2015144396,"三磷酸腺苷二钠注射液","无","注射液","2ml:20mg","瓶","1","安瓿","上海禾丰制药有限公司",0.27,"修改（支付标准）","医药服务便函〔2021〕5号",144398]
[1522,"x161200009190008","2","三磷酸腺苷","Adenosine Triphosphate","注射剂","限急救或心肌炎，心肌炎后遗症，线粒体病。",2015150468,"三磷酸腺苷二钠注射液","无","注射液","2ml:20mg","支","1","安瓿","天津金耀集团湖北天药药业股份有限公司",0.6,"修改（支付标准）","医药服务便函〔2021〕5号",150471]
[1523,"x161200009190011","2","三磷酸腺苷","Adenosine Triphosphate","注射剂","限急救或心肌炎，心肌炎后遗症，线粒体病。",2015158883,"注射用三磷酸腺苷二钠","无","冻干粉针剂","20mg","支","1","玻璃瓶","峨眉山通惠制药有限公司",1.62,"修改（支付标准）","医药服务便函〔2021〕5号",158881]
[1524,"x161200009200001","2","依那普利叶酸","Enalapril and Folic Acid","口服常释剂型","",2015116480,"马来酸依那普利叶酸片","无","素片","马来酸依那普利10mg,叶酸0.8mg","盒","7","双铝","深圳奥萨制药有限公司",33.9,"修改（支付标准）","医药服务便函〔2021〕5号",116483]
[1525,"x161200009200002","2","依那普利叶酸","Enalapril and Folic Acid","口服常释剂型","",2015150646,"马来酸依那普利叶酸片","无","素片","马来酸依那普利10mg,叶酸0.8mg","盒","10","双铝","深圳奥萨制药有限公司",48.09,"修改（支付标准）","医药服务便函〔2021〕5号",150649]
[1526,"x16120008012a001","2","三磷酸腺苷(ATP)","Adenosine Triphosphate","片剂","",2015130106,"三磷酸腺苷二钠片","无","肠溶片","20mg","盒","24","铝塑","浙江国镜药业有限公司",2.18,"修改（支付标准）","医药服务便函〔2021〕5号",130110]
[1527,"x16120008012a004","2","三磷酸腺苷(ATP)","Adenosine Triphosphate","片剂","",2015112347,"三磷酸腺苷二钠片","无","肠溶片","20mg","盒","24","铝箔","广东南国药业有限公司",6.07,"修改（支付标准）","医药服务便函〔2021〕5号",112345]
[1528,"x16120008012a007","2","三磷酸腺苷(ATP)","Adenosine Triphosphate","片剂","",2015113509,"三磷酸腺苷二钠片","无","肠溶片","20mg","盒","24","铝塑","广西浦北制药厂",2.18,"修改（支付标准）","医药服务便函〔2021〕5号",113507]
[1529,"x16120008012a008","2","三磷酸腺苷(ATP)","Adenosine Triphosphate","片剂","",2015122841,"三磷酸腺苷二钠片","无","肠溶片","20mg","盒","24","铝箔","国药集团容生制药有限公司",10.86,"修改（支付标准）","医药服务便函〔2021〕5号",122838]
[1530,"x16120008012a009","2","三磷酸腺苷(ATP)","Adenosine Triphosphate","片剂","",2015157297,"三磷酸腺苷二钠片","无","肠溶片","20mg","盒","24","铝塑","福建古田药业有限公司",3.16,"修改（支付标准）","医药服务便函〔2021〕5号",157295]
[1531,"x170101009211028","1","呋塞米","Furosemide","注射剂","",2015107610,"注射用呋塞米","无","冻干粉针剂","20mg","瓶","1","玻璃瓶","湖南科伦制药有限公司",2.49,"修改（支付标准）","医药服务便函〔2021〕5号",107613]
[1532,"x170101009231001","2","托拉塞米","Torasemide","注射剂","",20159259,"托拉塞米注射液","丽泉","注射液","2ml:10mg","支","1","安瓿","浙江诚意药业股份有限公司",13.23,"修改（支付标准）","医药服务便函〔2021〕5号",130813]
[1533,"x170101009231003","2","托拉塞米","Torasemide","注射剂","",201512749,"注射用托拉塞米","泽通","冻干粉针剂","20mg","瓶","1","西林瓶","南京海辰药业股份有限公司",30.99,"修改（支付标准）","医药服务便函〔2021〕5号",141138]
[1534,"x170103009260004","1","氨苯蝶啶","Triamterene","口服常释剂型","",2015161202,"氨苯蝶啶片","无","素片","50mg","瓶","100","塑料瓶","四川禾润制药有限公司",23.4,"修改（支付标准）","医药服务便函〔2021〕5号",161195]
[1535,"x170103009270001","1","螺内酯","Spironolactone","口服常释剂型","",2015104246,"螺内酯胶囊","无","硬胶囊剂","20mg","瓶","100","塑料瓶","重庆科瑞制药(集团)有限公司",11.09,"修改（支付标准）","医药服务便函〔2021〕5号",104251]
[1536,"x17010300928p001","2","复方盐酸阿米洛利","","片剂","",20153393,"复方盐酸阿米洛利片","蒙达清","素片","盐酸阿米洛利2.5mg,氢氯噻嗪25mg","盒","30","铝箔","杭州民生药业有限公司",14.64,"修改（支付标准）","医药服务便函〔2021〕5号",136567]
[1537,"x170300009320021","2","非那雄胺","Finasteride","口服常释剂型","",2015144973,"非那雄胺胶囊","孚列","硬胶囊剂","5mg","盒","6","铝塑","江苏润邦药业有限公司",8.73,"修改（支付标准）","医药服务便函〔2021〕5号",144975]
[1538,"x170300009320022","2","非那雄胺","Finasteride","口服常释剂型","",2015144974,"非那雄胺胶囊","孚列","硬胶囊剂","5mg","盒","10","铝塑","江苏润邦药业有限公司",14.62,"修改（支付标准）","医药服务便函〔2021〕5号",144976]
[1539,"x170300009320023","2","非那雄胺","Finasteride","口服常释剂型","",2015144975,"非那雄胺胶囊","孚列","硬胶囊剂","5mg","盒","12","铝塑","江苏润邦药业有限公司",17.43,"修改（支付标准）","医药服务便函〔2021〕5号",144977]
[1540,"x170300009320024","2","非那雄胺","Finasteride","口服常释剂型","",2015144976,"非那雄胺胶囊","孚列","硬胶囊剂","5mg","盒","20","铝塑","江苏润邦药业有限公司",26.55,"修改（支付标准）","医药服务便函〔2021〕5号",144978]
[1541,"x170300009320025","2","非那雄胺","Finasteride","口服常释剂型","",2015144977,"非那雄胺胶囊","孚列","硬胶囊剂","5mg","盒","60","铝塑","江苏润邦药业有限公司",85.77,"修改（支付标准）","医药服务便函〔2021〕5号",144979]
[1542,"x170300009330001","2","萘哌地尔","Naftopidil","口服常释剂型","",201513969,"萘哌地尔分散片","愈畅","分散片","25mg","盒","8","铝塑","蓬莱金创药业有限公司",21.13,"修改（支付标准）","医药服务便函〔2021〕5号",133164]
[1543,"x170400009380005","2","腹膜透析液","PeritonealDialysisSolution","注射剂","",2015131783,"腹膜透析液(乳酸盐)","无","注射液","2000ml:50g(2.5%)","袋","1","双袋双联(PVC膜)","天津金耀药业有限公司",24.43,"修改（支付标准）","医药服务便函〔2021〕5号",131787]
[1544,"x170400009380017","2","腹膜透析液","Peritoneal Dialysis Solution","注射剂","",2015118540,"腹膜透析液(乳酸盐)","无","注射液","2000ml:30g(1.5%)","袋","1","双袋双联(非PVC膜)","青岛首和金海制药有限公司",27.35,"修改（支付标准）","医药服务便函〔2021〕5号",118543]
[1545,"x170400009380019","2","腹膜透析液","Peritoneal Dialysis Solution","注射剂","",2015118544,"腹膜透析液(乳酸盐)","无","注射液","2000ml:50g(2.5%)","袋","1","双袋双联(非PVC膜)","青岛首和金海制药有限公司",27.35,"修改（支付标准）","医药服务便函〔2021〕5号",118547]
[1546,"x170400009380020","2","腹膜透析液","Peritoneal Dialysis Solution","注射剂","",2015118555,"腹膜透析液(乳酸盐)","无","注射液","2000ml:85g(4.25%)","袋","1","双袋双联(非PVC膜)","青岛首和金海制药有限公司",27.83,"修改（支付标准）","医药服务便函〔2021〕5号",118558]
[1547,"x170400009420001","2","左卡尼汀","Levocarnitine","注射剂","",2015132228,"左卡尼汀注射液","可益能","注射液","5ml:1.0g","瓶","1","玻璃瓶","意大利Alfasigma.S.p.A",47.75,"修改（支付标准）","医药服务便函〔2021〕5号",132232]
[1548,"x170400009420002","2","左卡尼汀","Levocarnitine","注射剂","",2015136185,"注射用左卡尼汀","无","冻干粉针剂","0.5g","支","1","玻璃瓶","锦州九泰药业有限责任公司",11.34,"修改（支付标准）","医药服务便函〔2021〕5号",136182]
[1549,"x170400009420004","2","左卡尼汀","Levocarnitine","注射剂","",2015135924,"左卡尼汀注射液","无","注射液","5ml:1.0g","支","1","安瓿","常州兰陵制药有限公司",27,"修改（支付标准）","医药服务便函〔2021〕5号",135921]
[1550,"x170400009420006","2","左卡尼汀","Levocarnitine","注射剂","",2015119051,"注射用左卡尼汀","誉利","冻干粉针剂","0.5g","支","1","玻璃瓶","哈尔滨誉衡制药有限公司",8.76,"修改（支付标准）","医药服务便函〔2021〕5号",119054]
[1551,"x170400009420010","2","左卡尼汀","Levocarnitine","注射剂","",2015112800,"注射用左卡尼汀","芯能","冻干粉针剂","1.0g","瓶","1","玻璃瓶","长春海悦药业股份有限公司",9,"修改（支付标准）","医药服务便函〔2021〕5号",112798]
[1552,"x170400009420014","2","左卡尼汀","Levocarnitine","注射剂","",2015125484,"注射用左卡尼汀","无","冻干粉针剂","0.5g","瓶","1","玻璃瓶","海南通用康力制药有限公司",8,"修改（支付标准）","医药服务便函〔2021〕5号",125483]
[1553,"x170400009420015","2","左卡尼汀","Levocarnitine","注射剂","",2015119068,"注射用左卡尼汀","誉利","冻干粉针剂","1.0g","支","1","玻璃瓶","哈尔滨誉衡制药有限公司",14.18,"修改（支付标准）","医药服务便函〔2021〕5号",119071]
[1554,"x170400009420017","2","左卡尼汀","Levocarnitine","注射剂","",2015113573,"左卡尼汀注射液","无","注射液","5ml:1.0g","支","1","安瓿","东北制药集团沈阳第一制药有限公司",29.42,"修改（支付标准）","医药服务便函〔2021〕5号",113571]
[1555,"x170400009420018","2","左卡尼汀","Levocarnitine","注射剂","",2015150949,"左卡尼汀注射液","无","注射液","5ml:1.0g","支","1","安瓿","长春翔通药业有限公司",28.61,"修改（支付标准）","医药服务便函〔2021〕5号",150952]
[1556,"x180100009440025","1","氨甲环酸","Tranexamic Acid","注射剂","",2015136054,"注射用氨甲环酸","荷莫塞","冻干粉针剂","0.5g","瓶","1","玻璃瓶","浙江金华康恩贝生物制药有限公司",13.78,"修改（支付标准）","医药服务便函〔2021〕5号",136051]
[1557,"x180100009440035","1","氨甲环酸","Tranexamic Acid","注射剂","",2015136055,"注射用氨甲环酸","荷莫塞","冻干粉针剂","1.0g","瓶","1","玻璃瓶","浙江金华康恩贝生物制药有限公司",21.13,"修改（支付标准）","医药服务便函〔2021〕5号",136052]
[1558,"x180100009520001","2","白眉蛇毒血凝酶","Hemocoagulase","注射剂","",20159438,"注射用白眉蛇毒血凝酶","无","冻干粉针剂","0.5单位(KU)","支","1","玻璃瓶","锦州奥鸿药业有限责任公司",21.27,"修改（支付标准）","医药服务便函〔2021〕5号",123513]
[1559,"x180100009520002","2","白眉蛇毒血凝酶","Hemocoagulase","注射剂","",201512105,"注射用白眉蛇毒血凝酶","无","冻干粉针剂","2单位(KU)","支","1","玻璃瓶","锦州奥鸿药业有限责任公司",56.74,"修改（支付标准）","医药服务便函〔2021〕5号",123533]
[1560,"x180100009520003","2","白眉蛇毒血凝酶","Hemocoagulase","注射剂","",20152617,"注射用白眉蛇毒血凝酶","邦亭","冻干粉针剂","1单位(KU)","支","1","玻璃瓶","锦州奥鸿药业有限责任公司",31.36,"修改（支付标准）","医药服务便函〔2021〕5号",123527]
[1561,"x180100009580001","2","蛇毒血凝酶","Hemocoagulase","注射剂","",201511238,"蛇毒血凝酶注射液","速乐涓","注射液","1ml:1单位","支","1","西林瓶","兆科药业(合肥)有限公司",30.57,"修改（支付标准）","医药服务便函〔2021〕5号",135514]
[1562,"x180100009590002","2","矛头蝮蛇血凝酶(巴曲酶)","HemocoagulaseAtrox","注射剂","",2015146292,"注射用矛头蝮蛇血凝酶","巴曲亭","冻干粉针剂","2单位","支","1","玻璃瓶","蓬莱诺康药业有限公司",62.44,"修改（支付标准）","医药服务便函〔2021〕5号",146291]
[1563,"x180100009590003","2","矛头蝮蛇血凝酶(巴曲酶)","HemocoagulaseAtrox","注射剂","",2015111113,"注射用矛头蝮蛇血凝酶","巴曲亭","冻干粉针剂","1单位","支","1","玻璃瓶","蓬莱诺康药业有限公司",36.19,"修改（支付标准）","医药服务便函〔2021〕5号",111111]
[1564,"x180201109630008","2","低分子肝素","Low molecular weight Heparin(Enoxaparin）","注射剂","",2015132398,"低分子量肝素钙注射液","博璞青","注射液","0.6ml:6000IU","支","1","安瓿","天津红日药业股份有限公司",24.1,"修改（支付标准）","医药服务便函〔2021〕5号",132402]
[1565,"x180201109630037","2","低分子肝素","Low molecular weight Heparin(Enoxaparin）","注射剂","",2015132397,"低分子量肝素钙注射液","博璞青","注射液","0.4ml:4000IU","支","1","安瓿","天津红日药业股份有限公司",17.24,"修改（支付标准）","医药服务便函〔2021〕5号",132401]
[1566,"x180202009700001","2","纤溶酶","Fibrinogenase","注射剂","限抢救",20156404,"纤溶酶注射液","无","注射液","1ml:100单位","支","1","玻璃瓶","北京赛升药业股份有限公司",52.86,"修改（支付标准）","医药服务便函〔2021〕5号",109507]
[1567,"x180202009700002","2","纤溶酶","Fibrinogenase","注射剂","限抢救",20152666,"注射用纤溶酶","无","冻干粉针剂","100单位","支","1","玻璃瓶","北京赛升药业股份有限公司",52.06,"修改（支付标准）","医药服务便函〔2021〕5号",109499]
[1568,"x180202009700003","2","纤溶酶","Fibrinogenase","注射剂","限抢救",20157225,"注射用纤溶酶","无","冻干粉针剂","100单位","支","1","西林瓶","四环药业股份有限公司",58.23,"修改（支付标准）","医药服务便函〔2021〕5号",103021]
[1569,"x180301009770001","2","蔗糖铁","Ferrous Saccharose","注射剂","",20157245,"蔗糖铁注射液","无","注射液","5ml:0.1g铁","支","1","安瓿","南京恒生制药有限公司",30.44,"修改（支付标准）","医药服务便函〔2021〕5号",132461]
[1570,"x180301009770002","2","蔗糖铁","Ferrous Saccharose","注射剂","",20158541,"蔗糖铁注射液","无","注射液","5ml:0.1g铁","支","1","安瓿","成都天台山制药有限公司",29.5,"修改（支付标准）","医药服务便函〔2021〕5号",127045]
[1571,"x180301009770003","2","蔗糖铁","Ferrous Saccharose","注射剂","",201512291,"蔗糖铁注射液","维乐福","注射液","5ml:0.1g铁:1.6g蔗糖","支","1","安瓿","德国IDT Biologika GmbH",84.95,"修改（支付标准）","医药服务便函〔2021〕5号",142245]
[1572,"x180301009800001","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20151700,"人促红素注射液","赛博尔","注射液","1ml:3000IU","支","1","西林瓶","深圳赛保尔生物药业有限公司",19.89,"修改（支付标准）","医药服务便函〔2021〕5号",100306]
[1573,"x180301009800002","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20152430,"重组人促红素注射液(CHO细胞)","环尔博","注射液","0.6ml:3000IU","盒","1","预充式(预灌封)注射器","北京四环生物制药有限公司",20.08,"修改（支付标准）","医药服务便函〔2021〕5号",122148]
[1574,"x180301009800003","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20152415,"重组人促红素注射液(CHO细胞)","环尔博","注射液","0.4ml:2000IU","盒","1","预充式(预灌封)注射器","北京四环生物制药有限公司",20,"修改（支付标准）","医药服务便函〔2021〕5号",122138]
[1575,"x180301009800007","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20159900,"重组人促红素注射液(CHO细胞)","宁红欣","注射液","1ml:3000IU","瓶","1","西林瓶","山西威奇达光明制药有限公司",18.88,"修改（支付标准）","医药服务便函〔2021〕5号",115337]
[1576,"x180301009800008","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20157794,"重组人促红素注射液(CHO细胞)","环尔博","注射液","0.6ml:6000IU","盒","1","预充式(预灌封)注射器","北京四环生物制药有限公司",45.23,"修改（支付标准）","医药服务便函〔2021〕5号",122174]
[1577,"x180301009800009","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",201513154,"人促红素注射液","雪达升","注射液","1ml:4000IU","盒","1","预充式(预灌封)注射器","哈药集团生物工程有限公司",31.83,"修改（支付标准）","医药服务便函〔2021〕5号",122933]
[1578,"x180301009800010","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",201510275,"人促红素注射液","雪达升","注射液","1ml:3000IU","支","1","玻璃瓶","哈药集团生物工程有限公司",19.48,"修改（支付标准）","医药服务便函〔2021〕5号",122919]
[1579,"x180301009800014","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20158326,"重组人促红素注射液(CHO细胞)","佳林豪","注射液","1ml:1.2万IU","支","1","玻璃瓶","华润昂德生物药业有限公司",94.84,"修改（支付标准）","医药服务便函〔2021〕5号",144311]
[1580,"x180301009800015","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20156515,"重组人促红素注射液(CHO细胞)","利血宝","注射液","0.5ml:6000IU","支","1","预充式(预灌封)注射器","日本Teva Takeda Pharma Ltd.,Takayama Plant",204.82,"修改（支付标准）","医药服务便函〔2021〕5号",137811]
[1581,"x180301009800017","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20152252,"人促红素注射液","赛博尔","注射液","1ml:5000IU","支","1","西林瓶","深圳赛保尔生物药业有限公司",33.13,"修改（支付标准）","医药服务便函〔2021〕5号",100322]
[1582,"x180301009800018","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20151397,"重组人促红素注射液(CHO细胞)","环尔博","注射液","1ml:5000IU","瓶","1","西林瓶","北京四环生物制药有限公司",29.85,"修改（支付标准）","医药服务便函〔2021〕5号",122124]
[1583,"x180301009800020","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20152339,"重组人促红素注射液(CHO细胞)","益比奥","注射液","1ml:1万IU","瓶","1","西林瓶","沈阳三生制药有限责任公司",80.09,"修改（支付标准）","医药服务便函〔2021〕5号",103681]
[1584,"x180301009800021","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20151369,"重组人促红素注射液(CHO细胞)","益比奥","注射液","1ml:4000IU","瓶","1","西林瓶","沈阳三生制药有限责任公司",35.75,"修改（支付标准）","医药服务便函〔2021〕5号",103669]
[1585,"x180301009800022","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20151911,"重组人促红素注射液(CHO细胞)","益比奥","注射液","1ml:3000IU","瓶","1","西林瓶","沈阳三生制药有限责任公司",20.95,"修改（支付标准）","医药服务便函〔2021〕5号",103658]
[1586,"x180301009800023","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",201511813,"重组人促红素注射液(CHO细胞)","利血宝","注射液","2ml:3000IU","支","1","预充式(预灌封)注射器","日本Teva Takeda Pharma Ltd.,Takayama Plant",120.63,"修改（支付标准）","医药服务便函〔2021〕5号",137810]
[1587,"x180301009800024","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20159835,"重组人促红素注射液(CHO细胞)","宁红欣","注射液","1ml:4000IU","瓶","1","西林瓶","山西威奇达光明制药有限公司",31.56,"修改（支付标准）","医药服务便函〔2021〕5号",115346]
[1588,"x180301009800025","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20157248,"重组人促红素注射液(CHO细胞)","环尔博","注射液","0.8ml:4000IU","盒","1","预充式(预灌封)注射器","北京四环生物制药有限公司",26.24,"修改（支付标准）","医药服务便函〔2021〕5号",122156]
[1589,"x180301009800027","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20151348,"注射用重组人促红素(CHO细胞)","怡宝","冻干粉针剂","4000IU","瓶","1","西林瓶","上海凯茂生物医药有限公司",32.69,"修改（支付标准）","医药服务便函〔2021〕5号",141294]
[1590,"x180301009800028","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20151640,"注射用重组人促红素(CHO细胞)","怡宝","冻干粉针剂","3000IU","瓶","1","西林瓶","上海凯茂生物医药有限公司",19.38,"修改（支付标准）","医药服务便函〔2021〕5号",141293]
[1591,"x180301009800030","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20153133,"重组人促红素注射液(CHO细胞)","依普定","注射液","1ml:2000IU","支","1","西林瓶","科兴生物制药股份有限公司",19.07,"修改（支付标准）","医药服务便函〔2021〕5号",140078]
[1592,"x180301009800032","2","重组人促红素（CHO细胞）","Recombinant Human Erythropoietin（CHO cell）","注射剂","限以下适应证之一的严重贫血:①肾源性贫血，纯红细胞再障,血色素低于8g/dl可以开始使用，并按月复查，维持治疗不超过11g/dl；②急性再生障碍性贫血,骨髓增生异常综合征，血色素低于6g/dl可以开始使用，并按月复查，维持治疗不超过8g/dl;③重大手术围手术期病人,血色素低于8g/dl。",20151003,"注射用重组人促红素(CHO细胞)","依倍","冻干粉针剂","3000IU","瓶","1","玻璃瓶","成都地奥九泓制药厂",24,"修改（支付标准）","医药服务便函〔2021〕5号",143039]
[1593,"x180400009810033","1","肌苷","Inosine","注射剂","",2015158372,"肌苷注射液","无","注射液","2ml:0.1g","支","1","安瓿","山东华鲁制药有限公司",0.36,"修改（支付标准）","医药服务便函〔2021〕5号",158370]
[1594,"x180400009870001","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20151337,"注射用重组人粒细胞刺激因子(CHO细胞)","格拉诺赛特","冻干粉针剂","0.25mg","支","1","空","日本中外制药工业株式会社宇都宫工厂Utsunomiya Plant of Chugai Pharma Manufacturing Co.,Ltd.",529.44,"修改（支付标准）","医药服务便函〔2021〕5号",147345]
[1595,"x180400009870003","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20151373,"重组人粒细胞刺激因子注射液","金磊赛强","注射液","1ml:0.3mg","瓶","1","玻璃瓶","长春金赛药业有限责任公司",75.61,"修改（支付标准）","医药服务便函〔2021〕5号",123878]
[1596,"x180400009870004","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20151352,"重组人粒细胞刺激因子注射液","金磊赛强","注射液","1ml:0.15mg","瓶","1","玻璃瓶","长春金赛药业有限责任公司",44.53,"修改（支付标准）","医药服务便函〔2021〕5号",123870]
[1597,"x180400009870007","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20159679,"重组人粒细胞刺激因子注射液","里亚金","注射液","0.75ml:0.2mg","盒","1","预充式(预灌封)注射器","哈药集团生物工程有限公司",89.67,"修改（支付标准）","医药服务便函〔2021〕5号",129713]
[1598,"x180400009870008","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20159727,"重组人粒细胞刺激因子注射液","里亚金","注射液","0.75ml:0.1mg","盒","1","预充式(预灌封)注射器","哈药集团生物工程有限公司",57.95,"修改（支付标准）","医药服务便函〔2021〕5号",129721]
[1599,"x180400009870010","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20157199,"重组人粒细胞刺激因子注射液","里亚金","注射液","0.75ml:0.15mg","支","1","玻璃瓶","哈药集团生物工程有限公司",73.2,"修改（支付标准）","医药服务便函〔2021〕5号",129538]
[1600,"x180400009870011","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20151338,"注射用重组人粒细胞刺激因子(CHO细胞)","格拉诺赛特","冻干粉针剂","0.1mg","支","1","空","日本中外制药工业株式会社宇都宫工厂Utsunomiya Plant of Chugai Pharma Manufacturing Co.,Ltd.",260.97,"修改（支付标准）","医药服务便函〔2021〕5号",147344]
[1601,"x180400009870012","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20151336,"注射用重组人粒细胞刺激因子(CHO细胞)","格拉诺赛特","冻干粉针剂","50μg","支","1","空","日本中外制药工业株式会社宇都宫工厂Utsunomiya Plant of Chugai Pharma Manufacturing Co.,Ltd.",153.22,"修改（支付标准）","医药服务便函〔2021〕5号",147343]
[1602,"x180400009870013","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20152653,"重组人粒细胞刺激因子注射液","立生素","注射液","0.2mg","瓶","1","西林瓶","北京双鹭药业股份有限公司",101.86,"修改（支付标准）","医药服务便函〔2021〕5号",142411]
[1603,"x180400009870015","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20152303,"重组人粒细胞刺激因子注射液","欣粒生","注射液","0.6ml:0.15mg","盒","1","预充式(预灌封)注射器","北京四环生物制药有限公司",65.73,"修改（支付标准）","医药服务便函〔2021〕5号",122194]
[1604,"x180400009870016","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20152302,"重组人粒细胞刺激因子注射液","欣粒生","注射液","0.3ml:75μg","盒","1","预充式(预灌封)注射器","北京四环生物制药有限公司",49.77,"修改（支付标准）","医药服务便函〔2021〕5号",122182]
[1605,"x180400009870018","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20152270,"人粒细胞刺激因子注射液","吉粒芬","注射液","0.2ml:50μg","支","1","安瓿","杭州九源基因工程有限公司",27.32,"修改（支付标准）","医药服务便函〔2021〕5号",145875]
[1606,"x180400009870019","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20152208,"重组人粒细胞刺激因子注射液","瑞白","注射液","0.9ml:0.15mg","支","1","安瓿","齐鲁制药有限公司",98.3,"修改（支付标准）","医药服务便函〔2021〕5号",113206]
[1607,"x180400009870021","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20151990,"重组人粒细胞刺激因子注射液","瑞白","注射液","0.6ml:0.1mg","支","1","安瓿","齐鲁制药有限公司",72.77,"修改（支付标准）","医药服务便函〔2021〕5号",113199]
[1608,"x180400009870026","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20156056,"重组人粒细胞刺激因子注射液","特尔津","注射液","0.67ml:0.1mg","支","1","玻璃瓶","厦门特宝生物工程股份有限公司",42.31,"修改（支付标准）","医药服务便函〔2021〕5号",136031]
[1609,"x180400009870029","2","重组人粒细胞刺激因子","RecombinantHumanGranulocyteColony-StimulatingFactor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20157042,"重组人粒细胞刺激因子注射液","里亚金","注射液","0.75ml:0.15mg","盒","1","预充式(预灌封)注射器","哈药集团生物工程有限公司",74.66,"修改（支付标准）","医药服务便函〔2021〕5号",129709]
[1610,"x180400009870030","2","重组人粒细胞刺激因子","RecombinantHumanGranulocyteColony-StimulatingFactor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20151384,"人粒细胞刺激因子注射液","吉粒芬","注射液","0.3ml:75μg","支","1","安瓿","杭州九源基因工程有限公司",36.79,"修改（支付标准）","医药服务便函〔2021〕5号",145874]
[1611,"x180400009870031","2","重组人粒细胞刺激因子","RecombinantHumanGranulocyteColony-StimulatingFactor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20152573,"人粒细胞刺激因子注射液","吉粒芬","注射液","0.4ml:0.1mg","支","1","安瓿","杭州九源基因工程有限公司",45.86,"修改（支付标准）","医药服务便函〔2021〕5号",145873]
[1612,"x180400009870032","2","重组人粒细胞刺激因子","RecombinantHumanGranulocyteColony-StimulatingFactor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20151351,"人粒细胞刺激因子注射液","吉粒芬","注射液","1.2ml:0.3mg","支","1","安瓿","杭州九源基因工程有限公司",109.27,"修改（支付标准）","医药服务便函〔2021〕5号",145871]
[1613,"x180400009870033","2","重组人粒细胞刺激因子","RecombinantHumanGranulocyteColony-StimulatingFactor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20151344,"人粒细胞刺激因子注射液","吉粒芬","注射液","0.6ml:0.15mg","支","1","安瓿","杭州九源基因工程有限公司",67.23,"修改（支付标准）","医药服务便函〔2021〕5号",145869]
[1614,"x180400009870034","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20151107,"重组人粒细胞刺激因子注射液","津恤力","注射液","0.5ml:75μg","支","1","玻璃瓶","石药集团百克(山东)生物制药股份有限公司",24.56,"修改（支付标准）","医药服务便函〔2021〕5号",122214]
[1615,"x180400009870035","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20159158,"重组人粒细胞刺激因子注射液","津恤力","注射液","1ml:0.25mg","支","1","玻璃瓶","石药集团百克(山东)生物制药股份有限公司",91.5,"修改（支付标准）","医药服务便函〔2021〕5号",128057]
[1616,"x180400009870036","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20151346,"重组人粒细胞刺激因子注射液","惠尔血","注射液","0.6ml:0.15mg","支","1","空","日本Nipro pharma Corporation Ise Plant",310.63,"修改（支付标准）","医药服务便函〔2021〕5号",162171]
[1617,"x180400009870037","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20151383,"重组人粒细胞刺激因子注射液","惠尔血","注射液","0.3ml:75μg","支","1","空","日本Nipro pharma Corporation Ise Plant",185.21,"修改（支付标准）","医药服务便函〔2021〕5号",162170]
[1618,"x180400009870038","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",2015162179,"重组人粒细胞刺激因子注射液","惠尔血","注射液","0.7ml:0.3mg","支","1","空","日本Nipro pharma Corporation Ise Plant",576.8,"修改（支付标准）","医药服务便函〔2021〕5号",162172]
[1619,"x180400009870039","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",201511031,"重组人粒细胞刺激因子注射液","金磊赛强","注射液","1ml:0.2mg","瓶","1","玻璃瓶","长春金赛药业有限责任公司",61.4,"修改（支付标准）","医药服务便函〔2021〕5号",123874]
[1620,"x180400009870040","2","重组人粒细胞刺激因子","Recombinant Human Granulocyte Colony-Stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20156205,"重组人粒细胞刺激因子注射液","瑞血新","注射液","0.5ml:0.125mg","支","1","玻璃瓶","深圳未名新鹏生物医药有限公司",54.56,"修改（支付标准）","医药服务便函〔2021〕5号",135802]
[1621,"x180400009880001","2","重组人粒细胞巨噬细胞刺激因子","Recombinant Human Granulocyte/Macrophage Colony-stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20156809,"注射用重组人粒细胞巨噬细胞刺激因子","特尔立","冻干粉针剂","100μg","支","1","玻璃瓶","厦门特宝生物工程股份有限公司",55.8,"修改（支付标准）","医药服务便函〔2021〕5号",136201]
[1622,"x180400009880002","2","重组人粒细胞巨噬细胞刺激因子","Recombinant Human Granulocyte/Macrophage Colony-stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20157021,"注射用重组人粒细胞巨噬细胞刺激因子","特尔立","冻干粉针剂","50μg","支","1","玻璃瓶","厦门特宝生物工程股份有限公司",37,"修改（支付标准）","医药服务便函〔2021〕5号",136204]
[1623,"x180400009880005","2","重组人粒细胞巨噬细胞刺激因子","Recombinant Human Granulocyte/Macrophage Colony-stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20152275,"注射用重组人粒细胞巨噬细胞刺激因子","里亚尔","冻干粉针剂","150μg","支","1","玻璃瓶","哈药集团生物工程有限公司",58.04,"修改（支付标准）","医药服务便函〔2021〕5号",122888]
[1624,"x180400009880006","2","重组人粒细胞巨噬细胞刺激因子","Recombinant Human Granulocyte/Macrophage Colony-stimulating Factor","注射剂","限白细胞低于2000/μl或粒细胞低于1000/μl或工伤保险。",20152418,"注射用重组人粒细胞巨噬细胞刺激因子","里亚尔","冻干粉针剂","75μg","支","1","玻璃瓶","哈药集团生物工程有限公司",34.14,"修改（支付标准）","医药服务便函〔2021〕5号",122879]
[1625,"x18040008014a001","2","小檗胺","Berbamine","片剂","",20156154,"盐酸小檗胺片","无","糖衣片","28mg(相当于小檗胺25mg)","瓶","48","塑料瓶","江苏信孚药业有限公司",7.74,"修改（支付标准）","医药服务便函〔2021〕5号",146184]
[1626,"x18040008014a002","2","小檗胺","Berbamine","片剂","",20154288,"盐酸小檗胺片","无","糖衣片","28mg(相当于小檗胺25mg)","盒","48","铝箔","四川金山禅心制药有限公司",8.23,"修改（支付标准）","医药服务便函〔2021〕5号",129561]
[1627,"x180500009900001","2","奥扎格雷","Ozagrel","注射剂","",20156447,"奥扎格雷钠注射液","晴尔","注射液","4ml:80mg","支","1","安瓿","海南碧凯药业有限公司",15.17,"修改（支付标准）","医药服务便函〔2021〕5号",122447]
[1628,"x180500009900002","2","奥扎格雷","Ozagrel","注射剂","",201511651,"奥扎格雷钠注射液","无","注射液","4ml:80mg","支","1","安瓿","山西恒大制药有限公司",19.33,"修改（支付标准）","医药服务便函〔2021〕5号",111099]
[1629,"x180500009900003","2","奥扎格雷","Ozagrel","注射剂","",201511375,"奥扎格雷钠注射液","无","注射液","2ml:40mg","支","1","安瓿","山西恒大制药有限公司",11.35,"修改（支付标准）","医药服务便函〔2021〕5号",111094]
[1630,"x180500009900004","2","奥扎格雷","Ozagrel","注射剂","",201514211,"奥扎格雷钠注射液","无","注射液","2ml:40mg","支","1","安瓿","沈阳药大雷允上药业有限责任公司",11.06,"修改（支付标准）","医药服务便函〔2021〕5号",116473]
[1631,"x180500009900005","2","奥扎格雷","Ozagrel","注射剂","",20157511,"注射用奥扎格雷钠","无","冻干粉针剂","80mg","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",13.48,"修改（支付标准）","医药服务便函〔2021〕5号",115656]
[1632,"x180500009900012","2","奥扎格雷","Ozagrel","注射剂","",20158657,"注射用奥扎格雷钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",6.8,"修改（支付标准）","医药服务便函〔2021〕5号",115650]
[1633,"x180500009900013","2","奥扎格雷","Ozagrel","注射剂","",20152307,"奥扎格雷钠注射液","晴尔","注射液","2ml:40mg","支","1","安瓿","海南碧凯药业有限公司",9.97,"修改（支付标准）","医药服务便函〔2021〕5号",122439]
[1634,"x180500009900014","2","奥扎格雷","Ozagrel","注射剂","",20156029,"注射用奥扎格雷钠","丹奥","冻干粉针剂","40mg","支","1","西林瓶","丹东医创药业有限责任公司",11.77,"修改（支付标准）","医药服务便函〔2021〕5号",126204]
[1635,"x180500009900015","2","奥扎格雷","Ozagrel","注射剂","",20151617,"注射用奥扎格雷钠","丹奥","冻干粉针剂","20mg","支","1","西林瓶","丹东医创药业有限责任公司",7.35,"修改（支付标准）","医药服务便函〔2021〕5号",126199]
[1636,"x180500009900020","2","奥扎格雷","Ozagrel","注射剂","",20158803,"注射用奥扎格雷钠","丹奥","冻干粉针剂","80mg","支","1","西林瓶","丹东医创药业有限责任公司",21.28,"修改（支付标准）","医药服务便函〔2021〕5号",126210]
[1637,"x180500009910001","2","贝前列素","Beraprost","口服常释剂型","限慢性动脉闭塞症",20157128,"贝前列素钠片","德纳","薄膜衣片","20μg","盒","10","铝塑","日本Toray Industries, Inc. Mishima Plant<深圳万乐药业有限公司>分包装",45.92,"修改（支付标准）","医药服务便函〔2021〕5号",147178]
[1638,"x180500009910002","2","贝前列素","Beraprost","口服常释剂型","限慢性动脉闭塞症",20159092,"贝前列素钠片","无","薄膜衣片","20μg","盒","10","铝塑","北京泰德制药股份有限公司",39.48,"修改（支付标准）","医药服务便函〔2021〕5号",115388]
[1639,"x180500009910003","2","贝前列素","Beraprost","口服常释剂型","限慢性动脉闭塞症",201510379,"贝前列素钠片","无","薄膜衣片","40μg","盒","10","铝塑","北京泰德制药股份有限公司",58,"修改（支付标准）","医药服务便函〔2021〕5号",115391]
[1640,"x180500009930016","2","曲克芦丁","Troxerutin","口服常释剂型 口服液体剂","",2015157526,"曲克芦丁片","无","薄膜衣片","60mg","瓶","100","塑料瓶","山西同达药业有限公司",4.29,"修改（支付标准）","医药服务便函〔2021〕5号",157524]
[1641,"x180500009930018","2","曲克芦丁","Troxerutin","口服常释剂型 口服液体剂","",2015141314,"曲克芦丁片","无","糖衣片","60mg","瓶","100","塑料瓶","上海现代哈森(商丘)药业有限公司",16.76,"修改（支付标准）","医药服务便函〔2021〕5号",141316]
[1642,"x180500009930019","2","曲克芦丁","Troxerutin","口服常释剂型 口服液体剂","",2015157106,"曲克芦丁片","曲克芦丁片","糖衣片","60mg","瓶","100","塑料瓶","山东圣鲁制药有限公司",4.29,"修改（支付标准）","医药服务便函〔2021〕5号",157104]
[1643,"x180500009931019","2","曲克芦丁","Troxerutin","注射剂","",2015106356,"注射用曲克芦丁","元汀","冻干粉针剂","0.48g","瓶","1","玻璃瓶","哈尔滨三联药业股份有限公司",3.09,"修改（支付标准）","医药服务便函〔2021〕5号",106359]
[1644,"x180500009931022","2","曲克芦丁","Troxerutin","注射剂","",2015142200,"曲克芦丁注射液","无","注射液","10ml:0.3g","支","1","安瓿","上海现代哈森(商丘)药业有限公司",1.86,"修改（支付标准）","医药服务便函〔2021〕5号",142202]
[1645,"x180500009950001","2","沙格雷酯","Sarpogrelate","口服常释剂型","限慢性动脉闭塞症",20156043,"盐酸沙格雷酯片","安步乐克","薄膜衣片","0.1g","盒","9","铝箔","日本Mitsubishi Tanabe Pharma Factory Ltd., Yoshitomi Plant",49.21,"修改（支付标准）","医药服务便函〔2021〕5号",162183]
[1646,"x180500009970001","2","西洛他唑","Cilostazol","口服常释剂型","限慢性动脉闭塞症",201510963,"西洛他唑胶囊","斯特里普","硬胶囊剂","50mg","盒","12","铝塑","浙江为康制药有限公司",23.33,"修改（支付标准）","医药服务便函〔2021〕5号",139211]
[1647,"x180500009970002","2","西洛他唑","Cilostazol","口服常释剂型","限慢性动脉闭塞症",201510173,"西洛他唑片","无","素片","50mg","盒","12","双铝","浙江永宁药业股份有限公司",17.43,"修改（支付标准）","医药服务便函〔2021〕5号",143300]
[1648,"x180500009970003","2","西洛他唑","Cilostazol","口服常释剂型","限慢性动脉闭塞症",201513457,"西洛他唑片","无","素片","0.1g","盒","12","铝塑","浙江迪耳药业有限公司",41.09,"修改（支付标准）","医药服务便函〔2021〕5号",139212]
[1649,"x180500009970004","2","西洛他唑","Cilostazol","口服常释剂型","限慢性动脉闭塞症",20153313,"西洛他唑片","培达","素片","50mg","盒","12","铝塑","浙江大冢制药有限公司",50.15,"修改（支付标准）","医药服务便函〔2021〕5号",140121]
[1650,"x180500009970010","2","西洛他唑","Cilostazol","口服常释剂型","限慢性动脉闭塞症",201512600,"西洛他唑胶囊","邦平","硬胶囊剂","50mg","盒","12","铝塑","江苏万邦生化医药集团有限责任公司",18.6,"修改（支付标准）","医药服务便函〔2021〕5号",141620]
[1651,"x180500009970011","2","西洛他唑","Cilostazol","口服常释剂型","限慢性动脉闭塞症",201511412,"西洛他唑片","无","素片","50mg","盒","12","铝塑","山东罗欣药业集团股份有限公司",18.69,"修改（支付标准）","医药服务便函〔2021〕5号",117850]
[1652,"x190100010000001","2","果糖","Fructose","注射剂","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",20158304,"注射用果糖","星雅","粉针剂","12.5g","瓶","1","玻璃瓶","海南灵康制药有限公司",23.5,"修改（支付标准）","医药服务便函〔2021〕5号",119391]
[1653,"x190100010000002","2","果糖","Fructose","注射剂","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",20156050,"果糖注射液","丰海能","注射液","250ml:25g","瓶","1","玻璃瓶","江苏正大丰海制药有限公司",28.98,"修改（支付标准）","医药服务便函〔2021〕5号",137904]
[1654,"x190100010000004","2","果糖","Fructose","注射剂","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",20158006,"果糖注射液","普利康","注射液","250ml:25g","袋","1","多层共挤输液袋","安徽丰原药业股份有限公司",45.7,"修改（支付标准）","医药服务便函〔2021〕5号",133968]
[1655,"x190100010000005","2","果糖","Fructose","注射剂","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",20158043,"果糖注射液","普利康","注射液","250ml:25g","瓶","1","塑料瓶","安徽丰原药业股份有限公司",46.21,"修改（支付标准）","医药服务便函〔2021〕5号",133696]
[1656,"x190100010000009","2","果糖","Fructose","注射剂","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",201526480,"果糖注射液","普利康","注射液","250ml:12.5g","瓶","1","塑料瓶","安徽丰原药业股份有限公司",24.48,"修改（支付标准）","医药服务便函〔2021〕5号",133695]
[1657,"x190100010000010","2","果糖","Fructose","注射剂","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",20159260,"果糖注射液","护川","注射液","500ml:50g","瓶","1","塑料瓶","安徽双鹤药业有限责任公司",57.65,"修改（支付标准）","医药服务便函〔2021〕5号",135236]
[1658,"x190100010000012","2","果糖","Fructose","注射剂","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",20158017,"果糖注射液","普利康","注射液","250ml:12.5g","袋","1","多层共挤输液袋","安徽丰原药业股份有限公司",23.98,"修改（支付标准）","医药服务便函〔2021〕5号",133967]
[1659,"x190100010000014","2","果糖","Fructose","注射剂","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",20156069,"果糖注射液","丰海能","注射液","250ml:12.5g","瓶","1","玻璃瓶","江苏正大丰海制药有限公司",21.87,"修改（支付标准）","医药服务便函〔2021〕5号",137909]
[1660,"x190100010000015","2","果糖","Fructose","注射剂","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",20158305,"注射用果糖","星雅","粉针剂","25g","瓶","1","玻璃瓶","海南灵康制药有限公司",39,"修改（支付标准）","医药服务便函〔2021〕5号",119432]
[1661,"x190100010000016","2","果糖","Fructose","注射剂","限以下情形之一出现胰岛素抵抗的患者：①严重创伤或休克病人；②严重烧伤；③重大手术后应激状态；④糖尿病病人重症抢救时。",20159745,"注射用果糖","无","溶媒结晶粉针剂","12.5g","瓶","1","西林瓶","海南皇隆制药股份有限公司",19.89,"修改（支付标准）","医药服务便函〔2021〕5号",117319]
[1662,"x190100019990137","1","葡萄糖","Glucose","注射剂","",2015158673,"葡萄糖注射液","无","注射液","250ml:12.5g(5%)","瓶","1","玻璃瓶","六安华源制药有限公司",0.96,"修改（支付标准）","医药服务便函〔2021〕5号",158671]
[1663,"x190100019990168","1","葡萄糖","Glucose","注射剂","",2015158671,"葡萄糖注射液","无","注射液","250ml:25g(10%)","瓶","1","玻璃瓶","六安华源制药有限公司",0.9,"修改（支付标准）","医药服务便函〔2021〕5号",158669]
[1664,"x190100019990169","1","葡萄糖","Glucose","注射剂","",2015158661,"葡萄糖注射液","无","注射液","500ml:50g(10%)","瓶","1","玻璃瓶","六安华源制药有限公司",1.23,"修改（支付标准）","医药服务便函〔2021〕5号",158659]
[1665,"x190100019990210","1","葡萄糖","Glucose","注射剂","",2015158679,"葡萄糖注射液","无","注射液","100ml:5g(5%)","瓶","1","玻璃瓶","六安华源制药有限公司",0.77,"修改（支付标准）","医药服务便函〔2021〕5号",158677]
[1666,"x190100019990248","1","葡萄糖","Glucose","注射剂","",2015158676,"葡萄糖注射液","无","注射液","100ml:10g(10%)","瓶","1","玻璃瓶","六安华源制药有限公司",0.73,"修改（支付标准）","医药服务便函〔2021〕5号",158674]
[1667,"x190100019990342","1","葡萄糖","Glucose","注射剂","",2015152695,"葡萄糖注射液","无","注射液","100ml:10g(10%)","瓶","1","塑料瓶","浙江巨能乐斯药业有限公司",0.88,"修改（支付标准）","医药服务便函〔2021〕5号",152698]
[1668,"x190100019990348","1","葡萄糖","Glucose","注射剂","",2015152693,"葡萄糖注射液","无","注射液","500ml:50g(10%)","瓶","1","塑料瓶","浙江巨能乐斯药业有限公司",1.33,"修改（支付标准）","医药服务便函〔2021〕5号",152696]
[1669,"x190100019990349","1","葡萄糖","Glucose","注射剂","",2015152694,"葡萄糖注射液","无","注射液","250ml:25g(10%)","瓶","1","塑料瓶","浙江巨能乐斯药业有限公司",1.04,"修改（支付标准）","医药服务便函〔2021〕5号",152697]
[1670,"x190100019990479","1","葡萄糖","Glucose","注射剂","",2015103365,"葡萄糖注射液","无","注射液","100ml:10g(10%)","瓶","1","玻璃瓶","浙江都邦药业股份有限公司",0.73,"修改（支付标准）","医药服务便函〔2021〕5号",103370]
[1671,"x190100019990481","1","葡萄糖","Glucose","注射剂","",2015113512,"葡萄糖注射液","无","注射液","100ml:10g(10%)","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.1,"修改（支付标准）","医药服务便函〔2021〕5号",113510]
[1672,"x190100019990496","1","葡萄糖","Glucose","注射剂","",2015103351,"葡萄糖注射液","无","注射液","100ml:5g(5%)","瓶","1","玻璃瓶","浙江都邦药业股份有限公司",0.77,"修改（支付标准）","医药服务便函〔2021〕5号",103356]
[1673,"x190100019990537","1","葡萄糖","Glucose","注射剂","",2015103355,"葡萄糖注射液","无","注射液","250ml:12.5g(5%)","瓶","1","玻璃瓶","浙江都邦药业股份有限公司",0.96,"修改（支付标准）","医药服务便函〔2021〕5号",103360]
[1674,"x190100019990538","1","葡萄糖","Glucose","注射剂","",2015113628,"葡萄糖注射液","无","注射液","250ml:12.5g(5%)","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.36,"修改（支付标准）","医药服务便函〔2021〕5号",113626]
[1675,"x190100019990555","1","葡萄糖","Glucose","注射剂","",2015103386,"葡萄糖注射液","无","注射液","250ml:25g(10%)","瓶","1","玻璃瓶","浙江都邦药业股份有限公司",0.9,"修改（支付标准）","医药服务便函〔2021〕5号",103391]
[1676,"x190100019990557","1","葡萄糖","Glucose","注射剂","",2015113543,"葡萄糖注射液","无","注射液","250ml:25g(10%)","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.36,"修改（支付标准）","医药服务便函〔2021〕5号",113541]
[1677,"x190100019990579","1","葡萄糖","Glucose","注射剂","",2015103359,"葡萄糖注射液","无","注射液","500ml:25g(5%)","瓶","1","玻璃瓶","浙江都邦药业股份有限公司",1.31,"修改（支付标准）","医药服务便函〔2021〕5号",103364]
[1678,"x190100019990595","1","葡萄糖","Glucose","注射剂","",2015103401,"葡萄糖注射液","无","注射液","500ml:50g(10%)","瓶","1","玻璃瓶","浙江都邦药业股份有限公司",1.23,"修改（支付标准）","医药服务便函〔2021〕5号",103406]
[1679,"x190100019990597","1","葡萄糖","Glucose","注射剂","",2015113560,"葡萄糖注射液","无","注射液","500ml:50g(10%)","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.83,"修改（支付标准）","医药服务便函〔2021〕5号",113558]
[1680,"x190100019990611","1","葡萄糖","Glucose","注射剂","",2015113672,"葡萄糖注射液","无","注射液","50ml:2.5g(5%)","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.06,"修改（支付标准）","医药服务便函〔2021〕5号",113670]
[1681,"x190100019990626","1","葡萄糖","Glucose","注射剂","",2015113579,"葡萄糖注射液","无","注射液","50ml:5.0g(10%)","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.06,"修改（支付标准）","医药服务便函〔2021〕5号",113577]
[1682,"x19010001999p001","2","葡萄糖氯化钠钾","","注射剂","",20159233,"葡萄糖氯化钠钾注射液","无","注射液","100ml","袋","1","非PVC膜+双管双塞","青岛首和金海制药有限公司",13.13,"修改（支付标准）","医药服务便函〔2021〕5号",118331]
[1683,"x19010001999v001","2","葡萄糖氯化钠钾","","注射剂","",201513140,"葡萄糖氯化钠钾注射液","无","注射液","100ml","瓶","1","塑料瓶","天津金耀集团湖北天药药业股份有限公司",15.04,"修改（支付标准）","医药服务便函〔2021〕5号",131745]
[1684,"x19010001999x001","2","葡萄糖氯化钠钾","","注射剂","",201512662,"葡萄糖氯化钠钾注射液","无","注射液","250ml","瓶","1","塑料瓶","天津金耀集团湖北天药药业股份有限公司",19.93,"修改（支付标准）","医药服务便函〔2021〕5号",131762]
[1685,"x190200010050008","1","氯化钾","Potassium Chloride","口服常释剂型 缓释控释剂型 颗粒剂","",2015139416,"氯化钾缓释片","无","缓释片","0.5g","盒","60","铝塑","上海黄海制药有限责任公司",15.44,"修改（支付标准）","医药服务便函〔2021〕5号",139413]
[1686,"x190200010051033","1","氯化钾","Potassium Chloride","注射剂","",2015160778,"氯化钾注射液","无","注射液","10ml:1.0g","支","1","安瓿","裕松源药业有限公司",0.22,"修改（支付标准）","医药服务便函〔2021〕5号",160771]
[1687,"x190200010060262","1","氯化钠","Sodium Chloride","注射剂","",2015103334,"氯化钠注射液","无","注射液","100ml:0.9g(0.9%)","瓶","1","玻璃瓶","浙江都邦药业股份有限公司",0.71,"修改（支付标准）","医药服务便函〔2021〕5号",103339]
[1688,"x190200010060264","1","氯化钠","Sodium Chloride","注射剂","",2015103341,"氯化钠注射液","无","注射液","250ml:2.25g(0.9%)","瓶","1","玻璃瓶","浙江都邦药业股份有限公司",0.9,"修改（支付标准）","医药服务便函〔2021〕5号",103346]
[1689,"x190200010060272","1","氯化钠","Sodium Chloride","注射剂","",2015113352,"氯化钠注射液","无","注射液","100ml:0.9g(0.9%)","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.12,"修改（支付标准）","医药服务便函〔2021〕5号",113350]
[1690,"x190200010060283","1","氯化钠","Sodium Chloride","注射剂","",2015158680,"氯化钠注射液","无","注射液","100ml:0.9g(0.9%)","瓶","1","玻璃瓶","六安华源制药有限公司",0.71,"修改（支付标准）","医药服务便函〔2021〕5号",158678]
[1691,"x190200010060293","1","氯化钠","Sodium Chloride","注射剂","",2015157713,"氯化钠注射液","无","注射液","150ml:1.35g(0.9%)","袋","1","多层共挤输液袋","佛山双鹤药业有限责任公司",2.12,"修改（支付标准）","医药服务便函〔2021〕5号",157711]
[1692,"x190200010060299","1","氯化钠","Sodium Chloride","注射剂","",2015113358,"氯化钠注射液","无","注射液","250ml:2.25g(0.9%)","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.38,"修改（支付标准）","医药服务便函〔2021〕5号",113356]
[1693,"x190200010060310","1","氯化钠","Sodium Chloride","注射剂","",2015158674,"氯化钠注射液","无","注射液","250ml:2.25g(0.9%)","瓶","1","玻璃瓶","六安华源制药有限公司",0.9,"修改（支付标准）","医药服务便函〔2021〕5号",158672]
[1694,"x190200010060318","1","氯化钠","Sodium Chloride","注射剂","",2015113364,"氯化钠注射液","无","注射液","500ml:4.5g(0.9%)","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.87,"修改（支付标准）","医药服务便函〔2021〕5号",113362]
[1695,"x190200010080001","2","门冬氨酸钾镁","Potassium Magnesium Aspartate","口服常释剂型","限心肌炎后遗症，慢性心功能不全，肝硬化，肝性脑病。",2015135371,"门冬氨酸钾镁片","无","薄膜衣片","0.149g(79mg/70mg)","瓶","100","塑料瓶","上海现代制药股份有限公司",12,"修改（支付标准）","医药服务便函〔2021〕5号",135368]
[1696,"x190200010080002","2","门冬氨酸钾镁","Potassium Magnesium Aspartate","口服常释剂型","限心肌炎后遗症，慢性心功能不全，肝硬化，肝性脑病。",2015142329,"门冬氨酸钾镁片","无","薄膜衣片","0.149g(79mg/70mg)","瓶","100","塑料瓶","浙江华润三九众益制药有限公司",12.44,"修改（支付标准）","医药服务便函〔2021〕5号",142331]
[1697,"x190200010080006","2","门冬氨酸钾镁","Potassium Magnesium Aspartate","口服常释剂型","限心肌炎后遗症，慢性心功能不全，肝硬化，肝性脑病。",2015144544,"门冬氨酸钾镁片","潘南金","薄膜衣片","0.298g(0.158g/0.14g)","瓶","50","塑料瓶","匈牙利吉瑞大药厂Gedeon Richter Plc.",28.96,"修改（支付标准）","医药服务便函〔2021〕5号",144546]
[1698,"x190200010081013","2","门冬氨酸钾镁","Potassium Magnesium Aspartate","注射剂","限心肌炎后遗症，慢性心功能不全，肝硬化，肝性脑病。",2015130568,"注射用门冬氨酸钾镁","欣美佳","冻干粉针剂","1.0g:门冬氨酸钾0.5g与门冬氨酸镁0.5g","瓶","1","西林瓶","山西普德药业股份有限公司",7.9,"修改（支付标准）","医药服务便函〔2021〕5号",130572]
[1699,"x190200010081016","2","门冬氨酸钾镁","Potassium Magnesium Aspartate","注射剂","限心肌炎后遗症，慢性心功能不全，肝硬化，肝性脑病。",2015144874,"注射用门冬氨酸钾镁","维欧路","冻干粉针剂","0.85g/0.114g/0.042g","支","1","西林瓶","海南卫康制药(潜山)有限公司",3,"修改（支付标准）","医药服务便函〔2021〕5号",144876]
[1700,"x190200010081018","2","门冬氨酸钾镁","Potassium Magnesium Aspartate","注射剂","限心肌炎后遗症，慢性心功能不全，肝硬化，肝性脑病。",2015146905,"门冬氨酸钾镁注射液","无","注射液","10ml:(门冬氨酸850mg,氢氧化钾163.6mg,氧化镁69.6mg)","支","1","安瓿","浙江瑞新药业股份有限公司",0.28,"修改（支付标准）","医药服务便函〔2021〕5号",146904]
[1701,"x190200010081019","2","门冬氨酸钾镁","Potassium Magnesium Aspartate","注射剂","限心肌炎后遗症，慢性心功能不全，肝硬化，肝性脑病。",2015132656,"门冬氨酸钾镁注射液","无","注射液","10ml:(门冬氨酸790-910mg,钾106-122mg,镁39-45mg)","支","1","安瓿","浙江天瑞药业有限公司",0.29,"修改（支付标准）","医药服务便函〔2021〕5号",132660]
[1702,"x190200010081023","2","门冬氨酸钾镁","Potassium Magnesium Aspartate","注射剂","限心肌炎后遗症，慢性心功能不全，肝硬化，肝性脑病。",2015110552,"门冬氨酸钾镁注射液","无","注射液","10ml:(无水门冬氨酸钾452mg,无水门冬氨酸镁400mg)","支","1","安瓿","瑞阳制药有限公司",6.6,"修改（支付标准）","医药服务便函〔2021〕5号",110550]
[1703,"x190200010081028","2","门冬氨酸钾镁","Potassium Magnesium Aspartate","注射剂","限心肌炎后遗症，慢性心功能不全，肝硬化，肝性脑病。",2015101294,"注射用门冬氨酸钾镁","无","冻干粉针剂","2.0g:门冬氨酸钾1.0g与门冬氨酸镁1.0g","瓶","1","西林瓶","山东北大高科华泰制药有限公司",13.38,"修改（支付标准）","医药服务便函〔2021〕5号",101299]
[1704,"x19030001009q001","2","钠钾葡萄糖","","注射剂","",201511759,"钠钾葡萄糖注射液","美凌格","注射液","500ml","袋","1","多层共挤输液袋","江苏恒瑞医药股份有限公司",21.49,"修改（支付标准）","医药服务便函〔2021〕5号",135784]
[1705,"x190300010100019","1","乳酸钠林格","Sodium Lactate Ringer's","注射剂","",2015127852,"乳酸钠林格注射液","无","注射液","500ml","瓶","1","塑料瓶","浙江康乐药业股份有限公司",1.57,"修改（支付标准）","医药服务便函〔2021〕5号",127851]
[1706,"x19040001013p001","2","低分子右旋糖酐氨基酸","","注射剂","",20155532,"右旋糖酐40氨基酸注射液","无","注射液","500ml:右旋糖酐40 6%，总氨基酸2.72%?","瓶","1","玻璃瓶","广东雷允上药业有限公司",54.18,"修改（支付标准）","医药服务便函〔2021〕5号",134347]
[1707,"x190400010150001","2","琥珀酰明胶","Succinylated Gelatin","注射剂","限休克抢救",20157633,"琥珀酰明胶注射液","长源雪安","注射液","500ml:20g","瓶","1","玻璃瓶","吉林省长源药业有限公司",70.88,"修改（支付标准）","医药服务便函〔2021〕5号",123853]
[1708,"x190400010150003","2","琥珀酰明胶","Succinylated Gelatin","注射剂","限休克抢救",20155382,"琥珀酰明胶注射液","无","注射液","500ml:20g","袋","1","直立式输液袋(聚丙烯、聚乙烯)","贝朗医疗(苏州)有限公司",71.39,"修改（支付标准）","医药服务便函〔2021〕5号",144533]
[1709,"x190500010170029","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015158678,"葡萄糖氯化钠注射液","无","注射液","100ml:5g:0.9g","瓶","1","玻璃瓶","六安华源制药有限公司",0.73,"修改（支付标准）","医药服务便函〔2021〕5号",158676]
[1710,"x190500010170039","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015152697,"葡萄糖氯化钠注射液","无","注射液","250ml:12.5g:2.25g","瓶","1","塑料瓶","浙江巨能乐斯药业有限公司",1.03,"修改（支付标准）","医药服务便函〔2021〕5号",152700]
[1711,"x190500010170040","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015152698,"葡萄糖氯化钠注射液","无","注射液","100ml:5g:0.9g","瓶","1","塑料瓶","浙江巨能乐斯药业有限公司",0.88,"修改（支付标准）","医药服务便函〔2021〕5号",152701]
[1712,"x190500010170069","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015158672,"葡萄糖氯化钠注射液","无","注射液","250ml:12.5g:2.25g","瓶","1","玻璃瓶","六安华源制药有限公司",0.9,"修改（支付标准）","医药服务便函〔2021〕5号",158670]
[1713,"x190500010170070","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015158662,"葡萄糖氯化钠注射液","无","注射液","500ml:25g:4.5g","瓶","1","玻璃瓶","六安华源制药有限公司",1.22,"修改（支付标准）","医药服务便函〔2021〕5号",158660]
[1714,"x190500010170185","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015152719,"葡萄糖氯化钠注射液","无","注射液","100ml:5g:0.9g","袋","1","多层共挤输液袋","浙江巨能乐斯药业有限公司",1.66,"修改（支付标准）","医药服务便函〔2021〕5号",152722]
[1715,"x190500010170186","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015152718,"葡萄糖氯化钠注射液","无","注射液","250ml:12.5g:2.25g","袋","1","多层共挤输液袋","浙江巨能乐斯药业有限公司",1.87,"修改（支付标准）","医药服务便函〔2021〕5号",152721]
[1716,"x190500010170187","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015152717,"葡萄糖氯化钠注射液","无","注射液","500ml:25g:4.5g","袋","1","多层共挤输液袋","浙江巨能乐斯药业有限公司",2.26,"修改（支付标准）","医药服务便函〔2021〕5号",152720]
[1717,"x190500010170188","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015127837,"葡萄糖氯化钠注射液","无","注射液","250ml:20g:0.45g","瓶","1","塑料瓶","浙江康乐药业股份有限公司",1.14,"修改（支付标准）","医药服务便函〔2021〕5号",127836]
[1718,"x190500010170238","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015152696,"葡萄糖氯化钠注射液","无","注射液","500ml:25g:4.5g","瓶","1","塑料瓶","浙江巨能乐斯药业有限公司",1.31,"修改（支付标准）","医药服务便函〔2021〕5号",152699]
[1719,"x190500010170268","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015101959,"葡萄糖氯化钠注射液","无","注射液","100ml:10g:0.9g","袋","1","多层共挤输液袋","南京正大天晴制药有限公司",3.3,"修改（支付标准）","医药服务便函〔2021〕5号",101964]
[1720,"x190500010170270","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015103404,"葡萄糖氯化钠注射液","无","注射液","100ml:5g:0.9g","瓶","1","玻璃瓶","浙江都邦药业股份有限公司",0.73,"修改（支付标准）","医药服务便函〔2021〕5号",103409]
[1721,"x190500010170292","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015103410,"葡萄糖氯化钠注射液","无","注射液","250ml:12.5g:2.25g","瓶","1","玻璃瓶","浙江都邦药业股份有限公司",0.9,"修改（支付标准）","医药服务便函〔2021〕5号",103415]
[1722,"x190500010170309","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015103418,"葡萄糖氯化钠注射液","无","注射液","500ml:25g:4.5g","瓶","1","玻璃瓶","浙江都邦药业股份有限公司",1.22,"修改（支付标准）","医药服务便函〔2021〕5号",103423]
[1723,"x190500010170321","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015153918,"葡萄糖氯化钠注射液","无","注射液","500ml:40g:0.9g","袋","1","非PVC膜+双管双塞+双层无菌","华仁药业股份有限公司",5.27,"修改（支付标准）","医药服务便函〔2021〕5号",153921]
[1724,"x190500010170323","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015113444,"葡萄糖氯化钠注射液","无","注射液","50ml:2.5g:0.45g","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.19,"修改（支付标准）","医药服务便函〔2021〕5号",113442]
[1725,"x190500010170332","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015113392,"葡萄糖氯化钠注射液","无","注射液","100ml:5g:0.9g","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.2,"修改（支付标准）","医药服务便函〔2021〕5号",113390]
[1726,"x190500010170333","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015113406,"葡萄糖氯化钠注射液","无","注射液","250ml:12.5g:2.25g","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.46,"修改（支付标准）","医药服务便函〔2021〕5号",113404]
[1727,"x190500010170334","1","葡萄糖氯化钠","Glucose and Sodium Chloride","注射剂","",2015113437,"葡萄糖氯化钠注射液","无","注射液","500ml:25g:4.5g","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.94,"修改（支付标准）","医药服务便函〔2021〕5号",113435]
[1728,"x190500010190025","2","灭菌注射用水","Sterile Water for Injection","注射剂","",2015148030,"灭菌注射用水","无","注射液","20ml","瓶","1","塑料安瓿","湖北科伦药业有限公司",1.06,"修改（支付标准）","医药服务便函〔2021〕5号",148029]
[1729,"x190500010190033","2","灭菌注射用水","Sterile Water for Injection","注射剂","",2015160793,"灭菌注射用水","无","注射液","5ml","支","1","安瓿","裕松源药业有限公司",0.1,"修改（支付标准）","医药服务便函〔2021〕5号",160786]
[1730,"x200101100682004","1","红霉素","Erythromycin","软膏剂","△",2015110466,"红霉素软膏","无","软膏剂","8g:80mg(1%)","支","1","塑管","新乡华青药业有限公司",1.09,"修改（支付标准）","医药服务便函〔2021〕5号",110464]
[1731,"x200101100772001","2","克林霉素","Clindamycin","软膏剂","",2015143295,"克林霉素磷酸酯阴道用乳膏","颜乐","阴道乳膏剂","5g:0.1g","支","1","塑管","浙江康恩贝制药股份有限公司",24.97,"修改（支付标准）","医药服务便函〔2021〕5号",143297]
[1732,"x200101101014001","2","甲硝唑","Metronidazole","凝胶剂","△",2015144671,"甲硝唑凝胶","麦芙欣","凝胶剂","5g:37.5mg","盒","7","塑料瓶","天津市天骄制药有限公司",23.42,"修改（支付标准）","医药服务便函〔2021〕5号",144673]
[1733,"x200101110200001","2","过氧苯甲酰","Benzoyl Peroxide","软膏剂\n凝胶剂","△",20151898,"过氧苯甲酰凝胶","班赛","凝胶剂","15g:0.75g(5%)","支","1","低密度聚乙烯","法国Laboratoires GALDERMA",22.46,"修改（支付标准）","医药服务便函〔2021〕5号",147512]
[1734,"x200101201391004","2","特比萘芬","Terbinafine","软膏剂","",201511371,"盐酸特比萘芬乳膏","无","乳膏剂","10g:0.1g(1%)","支","1","铝管","海南凯健制药有限公司",7.39,"修改（支付标准）","医药服务便函〔2021〕5号",112143]
[1735,"x200101210340001","2","联苯苄唑","Bifonazole","外用液体剂\n软膏剂","△",20157328,"联苯苄唑溶液","无","溶液剂","50ml:0.5g","瓶","1","塑料瓶","重庆青阳药业有限公司",22.48,"修改（支付标准）","医药服务便函〔2021〕5号",123299]
[1736,"x200101210340006","2","联苯苄唑","Bifonazole","外用液体剂\n软膏剂","△",201513877,"联苯苄唑乳膏","无","乳膏剂","15g:0.15g","支","1","塑管","湖北东信药业有限公司",2.95,"修改（支付标准）","医药服务便函〔2021〕5号",144585]
[1737,"x200101210360003","2","曲安奈德益康唑（益康唑曲安奈德）","Econazole and Triamcinolone Acetonide","软膏剂","△",2015111246,"曲安奈德益康唑乳膏","无","乳膏剂","20g:曲安奈德20mg,硝酸益康唑200mg","支","1","铝管","华润三九(南昌)药业有限公司",13.21,"修改（支付标准）","医药服务便函〔2021〕5号",111244]
[1738,"x200101210360004","2","曲安奈德益康唑（益康唑曲安奈德）","Econazole and Triamcinolone Acetonide","软膏剂","△",2015143593,"曲安奈德益康唑乳膏","无","乳膏剂","15g:曲安奈德15mg,硝酸益康唑150mg","支","1","铝管","浙江得恩德制药股份有限公司",9.26,"修改（支付标准）","医药服务便函〔2021〕5号",143595]
[1739,"x200101210360006","2","曲安奈德益康唑（益康唑曲安奈德）","EconazoleandTriamcinoloneAcetonide","软膏剂","△",2015131418,"曲安奈德益康唑乳膏","派瑞松","乳膏剂","15g:曲安奈德15mg,硝酸益康唑150mg","支","1","铝管","西安杨森制药有限公司",14.79,"修改（支付标准）","医药服务便函〔2021〕5号",131422]
[1740,"x200101210360007","2","曲安奈德益康唑（益康唑曲安奈德）","EconazoleandTriamcinoloneAcetonide","软膏剂","△",2015136640,"曲安奈德益康唑乳膏","益富清","乳膏剂","20g:曲安奈德20mg,硝酸益康唑200mg","支","1","铝管","永信药品工业(昆山)股份有限公司",9.49,"修改（支付标准）","医药服务便函〔2021〕5号",136637]
[1741,"x200101210360008","2","曲安奈德益康唑（益康唑曲安奈德）","Econazole and Triamcinolone Acetonide","软膏剂","△",2015135722,"醋酸曲安奈德益康唑乳膏","吉佰芙","乳膏剂","15g:醋酸曲安奈德16.5mg,硝酸益康唑150mg","支","1","铝管","江苏恒瑞医药股份有限公司",6.96,"修改（支付标准）","医药服务便函〔2021〕5号",135719]
[1742,"x200101210360009","2","曲安奈德益康唑（益康唑曲安奈德）","Econazole and Triamcinolone Acetonide","软膏剂","△",2015149731,"曲安奈德益康唑乳膏","无","乳膏剂","15g:曲安奈德15mg,硝酸益康唑150mg","支","1","铝管","浙江仙琚制药股份有限公司",8.07,"修改（支付标准）","医药服务便函〔2021〕5号",149730]
[1743,"x200101210380006","2","酮康唑","Ketoconazole","软膏剂","△",20151683,"酮康唑乳膏","无","乳膏剂","10g:0.2g","支","1","铝管","南京白敬宇制药有限责任公司",2.7,"修改（支付标准）","医药服务便函〔2021〕5号",102879]
[1744,"x200101210400006","2","复方酮康唑","Compound Ketoconazole","软膏剂","",2015140553,"复方酮康唑软膏","无","软膏剂","10g(每克含酮康唑10mg和丙酸氯倍他索0.5mg)","支","1","铝管","桂林华信制药有限公司",1.59,"修改（支付标准）","医药服务便函〔2021〕5号",140555]
[1745,"x200101210400007","2","复方酮康唑","Compound Ketoconazole","软膏剂","",2015137394,"复方酮康唑软膏","无","软膏剂","7g(每克含酮康唑10mg和丙酸氯倍他索0.5mg)","瓶","1","塑料瓶","上海通用药业股份有限公司",0.96,"修改（支付标准）","医药服务便函〔2021〕5号",137391]
[1746,"x200101210400010","2","复方酮康唑","Compound Ketoconazole","软膏剂","",2015117803,"复方酮康唑软膏","无","软膏剂","7g(每克含酮康唑10mg和丙酸氯倍他索0.5mg)","瓶","1","塑料瓶","上海朝晖药业有限公司",0.8,"修改（支付标准）","医药服务便函〔2021〕5号",117806]
[1747,"x200101210400011","2","复方酮康唑","Compound Ketoconazole","软膏剂","",2015159425,"复方酮康唑乳膏","无","乳膏剂","10g(酮康唑0.1g、丙酸氯倍他索2.5mg、硫酸新霉素5万单位)","支","1","铝管","福元药业有限公司",1.67,"修改（支付标准）","医药服务便函〔2021〕5号",159423]
[1748,"x200101210400012","2","复方酮康唑","Compound Ketoconazole","软膏剂","",2015146178,"复方酮康唑乳膏","显克欣","乳膏剂","15g(酮康唑0.15g、丙酸氯倍他索3.75mg、硫酸新霉素7.5万单位)","支","1","铝管","上海宝龙药业股份有限公司",8.57,"修改（支付标准）","医药服务便函〔2021〕5号",146177]
[1749,"x200101210400013","2","复方酮康唑","Compound Ketoconazole","软膏剂","",2015119552,"复方酮康唑乳膏","无","乳膏剂","20g(酮康唑0.2g、丙酸氯倍他索5mg、硫酸新霉素10万单位)","支","1","铝管","武汉诺安药业有限公司",10.49,"修改（支付标准）","医药服务便函〔2021〕5号",119555]
[1750,"x200101210400014","2","复方酮康唑","Compound Ketoconazole","软膏剂","",2015117810,"复方酮康唑软膏","无","软膏剂","10g(每克含酮康唑10mg和丙酸氯倍他索0.5mg)","支","1","铝管","上海朝晖药业有限公司",1.5,"修改（支付标准）","医药服务便函〔2021〕5号",117813]
[1751,"x200101210400016","2","复方酮康唑","Compound Ketoconazole","软膏剂","",2015140554,"复方酮康唑软膏","无","软膏剂","15g(每克含酮康唑10mg和丙酸氯倍他索0.5mg)","支","1","铝管","桂林华信制药有限公司",5.31,"修改（支付标准）","医药服务便函〔2021〕5号",140556]
[1752,"x200101210400018","2","复方酮康唑","Compound Ketoconazole","软膏剂","",2015140555,"复方酮康唑软膏","无","软膏剂","7g(每克含酮康唑10mg和丙酸氯倍他索0.5mg)","支","1","铝管","桂林华信制药有限公司",0.8,"修改（支付标准）","医药服务便函〔2021〕5号",140557]
[1753,"x200101210400019","2","复方酮康唑","Compound Ketoconazole","软膏剂","",2015151547,"复方酮康唑乳膏","无","乳膏剂","10g(酮康唑0.1g、丙酸氯倍他索2.5mg、硫酸新霉素5万单位)","支","1","铝管","遂成药业股份有限公司",1.6,"修改（支付标准）","医药服务便函〔2021〕5号",151550]
[1754,"x200101210410002","2","复方克霉唑","Compound Clotrimazole","软膏剂","",201512152,"复方克霉唑乳膏(Ⅱ)","奥青","乳膏剂","20g","支","1","铝管","香港澳美制药厂",11.76,"修改（支付标准）","医药服务便函〔2021〕5号",132288]
[1755,"x200102110450004","2","二硫化硒","Selenium Sulfide","外用液体剂","△",20153056,"二硫化硒洗剂","希尔生","洗剂","50g:1.25g","瓶","1","塑料瓶","江苏迪赛诺制药有限公司",6.89,"修改（支付标准）","医药服务便函〔2021〕5号",139644]
[1756,"x200102110450005","2","二硫化硒","Selenium Sulfide","外用液体剂","△",20153055,"二硫化硒洗剂","希尔生","洗剂","100g:2.5g","瓶","1","塑料瓶","江苏迪赛诺制药有限公司",11.52,"修改（支付标准）","医药服务便函〔2021〕5号",139642]
[1757,"x200104004111001","2","他克莫司","Tacrolimus","软膏剂","限重度特应性皮炎二线和工伤保险",201512752,"他克莫司软膏","普特彼","软膏剂","10g:10mg","支","1","空","日本Astellas Toyama Co., Ltd. Toyama Plant",125.95,"修改（支付标准）","医药服务便函〔2021〕5号",147196]
[1758,"x200104004111002","2","他克莫司","Tacrolimus","软膏剂","限重度特应性皮炎二线和工伤保险",201512717,"他克莫司软膏","普特彼","软膏剂","10g:3mg","支","1","空","日本Astellas Toyama Co., Ltd. Toyama Plant",109.43,"修改（支付标准）","医药服务便函〔2021〕5号",147195]
[1759,"x200104004111003","2","他克莫司","Tacrolimus","软膏剂","限重度特应性皮炎二线和工伤保险",2017154689,"他克莫司软膏","无","软膏剂","10g:3mg","支","1","铝塑","浙江万晟药业有限公司",79.8,"修改（支付标准）","医药服务便函〔2021〕5号",154688]
[1760,"x200104004111004","2","他克莫司","Tacrolimus","软膏剂","限重度特应性皮炎二线和工伤保险",2017154690,"他克莫司软膏","无","软膏剂","10g:10mg","支","1","铝塑","浙江万晟药业有限公司",91.84,"修改（支付标准）","医药服务便函〔2021〕5号",154689]
[1761,"x200104005121013","1","维A酸","Tretinoin","软膏剂 凝胶剂","△",2015132975,"维A酸乳膏","无","乳膏剂","20g:20mg(0.1%)","支","1","铝管","福建省力菲克药业有限公司",9.25,"修改（支付标准）","医药服务便函〔2021〕5号",132979]
[1762,"x200104010640014","1","尿素","Urea","软膏剂","△",2015141320,"尿素乳膏","无","乳膏剂","30g:6g(20%)","支","1","空","宿州亿帆药业有限公司",5.27,"修改（支付标准）","医药服务便函〔2021〕5号",141322]
[1763,"x200104010660002","2","阿维A","Acitretin","口服常释剂型","",20154217,"阿维A胶囊","新体卡松","硬胶囊剂","10mg","盒","30","铝塑","加拿大Patheon Inc.",350.01,"修改（支付标准）","医药服务便函〔2021〕5号",147424]
[1764,"x200104010690001","2","鬼臼毒素","Podophyllotoxin","外用液体剂","△",20157212,"鬼臼毒素酊","尤脱欣","酊剂","5ml:25mg(0.5%)","瓶","1","玻璃瓶","辽宁华卫制药有限公司",105.5,"修改（支付标准）","医药服务便函〔2021〕5号",162213]
[1765,"x200104010690003","2","鬼臼毒素","Podophyllotoxin","外用液体剂","△",20153097,"鬼臼毒素酊","尤脱欣","酊剂","3ml:15mg(0.5%)","瓶","1","玻璃瓶","辽宁华卫制药有限公司",63,"修改（支付标准）","医药服务便函〔2021〕5号",162212]
[1766,"x200104010790001","2","复方肝素钠尿囊素","Campound Haparin Sodium and Allantoin","凝胶剂","",20152124,"复方肝素钠尿囊素凝胶","康瑞保","凝胶剂","10g","支","1","空","德国Merz Pharma GmbH & Co.KGaA",40.65,"修改（支付标准）","医药服务便函〔2021〕5号",141985]
[1767,"x200201100621012","1","氯霉素","Chloramphenicol","滴眼剂","",2015109813,"氯霉素滴眼液","无","滴眼剂","8ml:20mg","支","1","低密度聚乙烯","湖北潜江制药股份有限公司",1.01,"修改（支付标准）","医药服务便函〔2021〕5号",109816]
[1768,"x200201100683005","1","红霉素","Erythromycin","眼膏剂","△",2015111883,"红霉素眼膏","无","眼膏剂","2g:10mg(0.5%)","支","1","塑管","新乡华青药业有限公司",0.46,"修改（支付标准）","医药服务便函〔2021〕5号",111881]
[1769,"x200201100683008","1","红霉素","Erythromycin","眼膏剂","△",2015104554,"红霉素眼膏","无","眼膏剂","2g:10mg(0.5%)","支","1","铝管","重庆科瑞制药(集团)有限公司",0.91,"修改（支付标准）","医药服务便函〔2021〕5号",104559]
[1770,"x200201100683012","1","红霉素","Erythromycin","眼膏剂","△",2015158758,"红霉素眼膏","无","眼膏剂","2g:10mg(0.5%)","支","1","铝管","国药集团三益药业(芜湖)有限公司",0.43,"修改（支付标准）","医药服务便函〔2021〕5号",158756]
[1771,"x200201100783003","2","林可霉素","Lincomycin","滴眼剂","",2015109793,"盐酸林可霉素滴眼液","无","滴眼剂","8ml:0.2g","支","1","塑料瓶","湖北潜江制药股份有限公司",0.78,"修改（支付标准）","医药服务便函〔2021〕5号",109796]
[1772,"x200201100903009","2","环丙沙星","Ciprofloxacin","滴眼剂 眼膏剂","",2015109786,"盐酸环丙沙星滴眼液","无","滴眼剂","5ml:15mg","支","1","塑料瓶","湖北潜江制药股份有限公司",0.9,"修改（支付标准）","医药服务便函〔2021〕5号",109789]
[1773,"x200201100932019","1","左氧氟沙星","Levofloxacin","滴眼剂","",2015127678,"左氧氟沙星滴眼液","无","滴眼剂","10ml:48.8mg","支","1","塑料瓶","河北医科大学制药厂",30.39,"修改（支付标准）","医药服务便函〔2021〕5号",127677]
[1774,"x200201100932020","1","左氧氟沙星","Levofloxacin","滴眼剂","",2015155228,"左氧氟沙星滴眼液","无","滴眼剂","12ml:58.56mg","支","1","塑料瓶","河北医科大学制药厂",41.96,"修改（支付标准）","医药服务便函〔2021〕5号",155226]
[1775,"x200201100932021","1","左氧氟沙星","Levofloxacin","滴眼剂","",2015155227,"左氧氟沙星滴眼液","无","滴眼剂","15ml:73.2mg","支","1","塑料瓶","河北医科大学制药厂",41.47,"修改（支付标准）","医药服务便函〔2021〕5号",155225]
[1776,"x200201100932022","1","左氧氟沙星","Levofloxacin","滴眼剂","",2015122326,"左氧氟沙星滴眼液","无","滴眼剂","5ml:24.4mg","瓶","1","塑料瓶","河北医科大学制药厂",19,"修改（支付标准）","医药服务便函〔2021〕5号",122323]
[1777,"x200201100932023","1","左氧氟沙星","Levofloxacin","滴眼剂","",2015155226,"左氧氟沙星滴眼液","无","滴眼剂","6ml:29.28mg","支","1","塑料瓶","河北医科大学制药厂",17.75,"修改（支付标准）","医药服务便函〔2021〕5号",155224]
[1778,"x200201100932024","1","左氧氟沙星","Levofloxacin","滴眼剂","",2015150475,"左氧氟沙星滴眼液","无","滴眼剂","8ml:39.04mg","支","1","塑料瓶","河北医科大学制药厂",30.19,"修改（支付标准）","医药服务便函〔2021〕5号",150478]
[1779,"x200202310920014","1","噻吗洛尔","Timolol","滴眼剂","",2015138325,"马来酸噻吗洛尔滴眼液","无","滴眼剂","5ml:12.5mg(0.25%)","支","1","低密度聚乙烯","宁夏康亚药业股份有限公司",3.64,"修改（支付标准）","医药服务便函〔2021〕5号",138322]
[1780,"x200202510970001","2","贝美前列素","Bimatoprost","滴眼剂","限非限定支付的抗青光眼药物类滴眼剂无效或不能耐受",20159332,"贝美前列素滴眼液","卢美根","滴眼剂","3ml:0.9mg","支","1","塑料瓶","美国艾尔建公司Allergan Sales LLC",140.05,"修改（支付标准）","医药服务便函〔2021〕5号",141305]
[1781,"x200202510980001","2","拉坦前列素","Latanoprost","滴眼剂","限非限定支付的抗青光眼药物类滴眼剂无效或不能耐受",20157132,"拉坦前列素滴眼液","无","滴眼剂","2.5ml:125μg","瓶","1","塑料瓶","鲁南贝特制药有限公司",120.79,"修改（支付标准）","医药服务便函〔2021〕5号",131156]
[1782,"x200202510980003","2","拉坦前列素","Latanoprost","滴眼剂","限非限定支付的抗青光眼药物类滴眼剂无效或不能耐受",20152998,"拉坦前列素滴眼液","适利达","滴眼剂","2.5ml:125μg","瓶","1","塑料瓶","比利时Pfizer Manufacturing Belgium NV",170.61,"修改（支付标准）","医药服务便函〔2021〕5号",141403]
[1783,"x200202510980004","2","拉坦前列素","Latanoprost","滴眼剂","限非限定支付的抗青光眼药物类滴眼剂无效或不能耐受",20159015,"拉坦前列素滴眼液","无","滴眼剂","2.5ml:125μg","支","1","塑料瓶","成都恒瑞制药有限公司",103.49,"修改（支付标准）","医药服务便函〔2021〕5号",112985]
[1784,"x200202510980005","2","拉坦前列素","Latanoprost","滴眼剂","限非限定支付的抗青光眼药物类滴眼剂无效或不能耐受",201514925,"拉坦前列素滴眼液","无","滴眼剂","2.5ml:125μg","瓶","1","塑料瓶","华润紫竹药业有限公司",133.35,"修改（支付标准）","医药服务便函〔2021〕5号",137670]
[1785,"x200202510990001","2","曲伏前列素","Travoprost","滴眼剂","限非限定支付的抗青光眼药物类滴眼剂无效或不能耐受",20158590,"曲伏前列素滴眼液","苏为坦","滴眼剂","2.5ml:0.1mg","支","1","塑料瓶","西班牙ALCON CUSI, S.A.",168.34,"修改（支付标准）","医药服务便函〔2021〕5号",132192]
[1786,"x20020255098p001","2","拉坦噻吗","","滴眼液","限非限定支付的抗青光眼药物类滴眼剂无效或不能耐受",201513815,"拉坦噻吗滴眼液","无","滴眼剂","2.5ml(每ml溶液含50μg拉坦前列素和6.8mg马来酸噻吗洛尔(相当于5mg噻吗洛尔))","瓶","1","低密度聚乙烯","比利时Pfizer Manufacturing Belgium NV",189.55,"修改（支付标准）","医药服务便函〔2021〕5号",141805]
[1787,"x20020501109r003","2","羟丙甲基纤维素","","滴眼剂","",201513112,"羟丙甲纤维素滴眼液","无","滴眼剂","15ml:75mg","支","1","塑料瓶","江西珍视明药业有限公司",15.16,"修改（支付标准）","医药服务便函〔2021〕5号",140984]
[1788,"x20020501109r004","2","羟丙甲基纤维素","","滴眼剂","",20157707,"羟丙甲纤维素滴眼液","无","滴眼剂","10ml:50mg","瓶","1","塑料瓶","四川升和药业股份有限公司",11.28,"修改（支付标准）","医药服务便函〔2021〕5号",144713]
[1789,"x20020501109s002","2","维生素A棕榈酸酯","","眼用凝胶","",20157995,"维生素A棕榈酸酯眼用凝胶","无","眼用凝胶剂","5g:5000IU(以维生素A计)","支","1","复合管","沈阳兴齐眼药股份有限公司",24.8,"修改（支付标准）","医药服务便函〔2021〕5号",129868]
[1790,"x20020501109t001","2","聚乙烯醇","","滴眼液","",20157726,"聚乙烯醇滴眼液","瑞珠","滴眼剂","0.8ml:11.2mg","盒","10","低密度聚乙烯","湖北远大天天明制药有限公司",14.1,"修改（支付标准）","医药服务便函〔2021〕5号",118184]
[1791,"x20020501109t002","2","聚乙烯醇","","滴眼液","",20159723,"聚乙烯醇滴眼液","无","滴眼剂","0.5ml:7mg","盒","10","塑料瓶","台湾信东生技股份有限公司",32.31,"修改（支付标准）","医药服务便函〔2021〕5号",141307]
[1792,"x20020501109t003","2","聚乙烯醇","","滴眼液","",2015162233,"聚乙烯醇滴眼液","瑞珠","滴眼剂","0.8ml:11.2mg","盒","15","低密度聚乙烯","湖北远大天天明制药有限公司",21.15,"修改（支付标准）","医药服务便函〔2021〕5号",162226]
[1793,"x20020501109u002","2","复方右旋糖酐70","","滴眼液","",20156478,"复方右旋糖酐70滴眼液","无","滴眼剂","8ml:8mg(0.1%)","支","1","塑料瓶","江西禾氏美康药业有限公司",19.74,"修改（支付标准）","医药服务便函〔2021〕5号",100682]
[1794,"x20020501109v001","2","卡波姆","","眼用凝胶","",201512709,"卡波姆眼用凝胶","立宝舒","眼用凝胶剂","10g:20mg(0.2%)","支","1","铝塑","德国Dr.Gerhard Mann,Chem -Pharm. Fabrik GmbH",37.08,"修改（支付标准）","医药服务便函〔2021〕5号",162604]
[1795,"x20020501109w001","2","卡波姆","","滴眼液","",20152431,"卡波姆滴眼液","唯地息","滴眼剂","10g:20mg(0.2%)","支","1","铝塑","德国Dr.Gerhard Mann,Chem -Pharm. Fabrik GmbH",22.81,"修改（支付标准）","医药服务便函〔2021〕5号",162510]
[1796,"x20020501109x001","2","右旋糖酐羟丙甲纤维素","","滴眼液","",201512862,"右旋糖酐羟丙甲纤维素滴眼液","泪然","滴眼剂","15ml:15mg(0.1%)","支","1","塑料瓶","比利时s.a. ALCON-COUVREUR n.v.",28.49,"修改（支付标准）","医药服务便函〔2021〕5号",132204]
[1797,"x20020501109x002","2","右旋糖酐羟丙甲纤维素","","滴眼液","",20158277,"右旋糖酐羟丙甲纤维素滴眼液","倍然","滴眼剂","0.4ml:0.4mg(0.1%)","盒","28","塑料瓶","法国KAYSERSBERG PHARMACEUTICALS",83,"修改（支付标准）","医药服务便函〔2021〕5号",132197]
[1798,"x20020501109y002","2","羟糖甘","","滴眼液","",20156482,"羟糖甘滴眼液","新泪然","滴眼剂","5ml:右旋糖酐70 5mg,羟丙甲纤维素2910 15mg,甘油10mg","支","1","塑料瓶","美国Alcon Research LLC",21.03,"修改（支付标准）","医药服务便函〔2021〕5号",132195]
[1799,"x20020501109z001","2","聚乙二醇","","滴眼液","",2015132192,"聚乙二醇滴眼液","思然","滴眼剂","5ml(1ml:聚乙二醇4mg,丙二醇3mg)","支","1","塑料瓶","美国Alcon Research LLC",31.22,"修改（支付标准）","医药服务便函〔2021〕5号",132196]
[1800,"x200205011100002","2","双氯芬酸钠","Diclofenac Sodium","滴眼剂","△",2015144643,"双氯芬酸钠滴眼液","无","滴眼剂","8ml:8mg","瓶","1","塑料瓶","四川升和药业股份有限公司",8.28,"修改（支付标准）","医药服务便函〔2021〕5号",144645]
[1801,"x200205011200003","2","氨碘肽","Amiotide","滴眼剂","",2015139561,"氨碘肽滴眼液","无","滴眼剂","5ml","支","1","塑料瓶","江苏恒新药业有限公司",7.49,"修改（支付标准）","医药服务便函〔2021〕5号",139558]
[1802,"x200300011390002","2","西地碘","Cydiodine","口服常释剂型","△",2015102357,"西地碘含片","无","含片","1.5mg","盒","30","双铝","浙江华润三九众益制药有限公司",7.61,"修改（支付标准）","医药服务便函〔2021〕5号",102362]
[1803,"x200300011390003","2","西地碘","Cydiodine","口服常释剂型","△",2015114225,"西地碘含片","无","含片","1.5mg","盒","24","铝塑","石药集团欧意药业有限公司",15.72,"修改（支付标准）","医药服务便函〔2021〕5号",114223]
[1804,"x200300011390004","2","西地碘","Cydiodine","口服常释剂型","△",2015122820,"西地碘含片","无","含片","1.5mg","盒","24","复合膜","国药集团容生制药有限公司",17.91,"修改（支付标准）","医药服务便函〔2021〕5号",122817]
[1805,"x200300011390006","2","西地碘","Cydiodine","口服常释剂型","△",2015158355,"西地碘含片","华素片","含片","1.5mg","盒","15","铝塑","北京华素制药股份有限公司",8,"修改（支付标准）","医药服务便函〔2021〕5号",158353]
[1806,"x200300011390007","2","西地碘","Cydiodine","口服常释剂型","△",2015102354,"西地碘含片","无","含片","1.5mg","盒","15","双铝","浙江华润三九众益制药有限公司",3.9,"修改（支付标准）","医药服务便函〔2021〕5号",102359]
[1807,"x200400001032005","2","替硝唑","Tinidazole","外用液体剂","△",2015148092,"浓替硝唑含漱液","无","含漱液","150ml:0.3g","瓶","1","塑料瓶","江苏晨牌邦德药业有限公司",31.55,"修改（支付标准）","医药服务便函〔2021〕5号",148091]
[1808,"x200400001032006","2","替硝唑","Tinidazole","外用液体剂","△",2015148081,"浓替硝唑含漱液","无","含漱液","200ml:0.4g","瓶","1","塑料瓶","江苏晨牌邦德药业有限公司",41.39,"修改（支付标准）","医药服务便函〔2021〕5号",148080]
[1809,"x200501011490001","2","双唑泰","Metronidazole","栓剂","△",2015113485,"双唑泰棉栓","无","栓剂","复方","盒","4","塑料袋","沈阳诺亚荣康生物制药技术有限责任公司",33.57,"修改（支付标准）","医药服务便函〔2021〕5号",113483]
[1810,"x200501011490004","2","双唑泰","Metronidazole","栓剂","△",2015145425,"双唑泰栓","无","栓剂","甲硝唑0.2g,克霉唑0.16g,醋酸氯己定8mg","盒","7","空","湖北东信药业有限公司",5.85,"修改（支付标准）","医药服务便函〔2021〕5号",145424]
[1811,"x200501011490007","2","双唑泰","Metronidazole","栓剂","△",2015101256,"双唑泰栓","无","栓剂","甲硝唑0.2g,克霉唑0.16g,醋酸氯己定8mg","盒","6","铝塑","药都制药集团股份有限公司",18,"修改（支付标准）","医药服务便函〔2021〕5号",101261]
[1812,"x200501011490009","2","双唑泰","Metronidazole","栓剂","△",2015134553,"双唑泰栓","无","栓剂","甲硝唑0.2g,克霉唑0.16g,醋酸氯己定8mg","盒","7","附手指套","上海现代制药股份有限公司",3.61,"修改（支付标准）","医药服务便函〔2021〕5号",134557]
[1813,"x200501011490010","2","双唑泰","Metronidazole","栓剂","△",2015140432,"双唑泰栓","无","栓剂","甲硝唑0.2g,克霉唑0.16g,醋酸氯己定8mg","盒","10","附手指套","江苏远恒药业有限公司",9.35,"修改（支付标准）","医药服务便函〔2021〕5号",140434]
[1814,"x200503001033012","2","替硝唑","Tinidazole","阴道泡腾片栓剂","△",2015109030,"替硝唑栓","无","栓剂","0.2g","盒","7","附手指套","武汉康利达制药有限公司",6,"修改（支付标准）","医药服务便函〔2021〕5号",109033]
[1815,"x200503001033016","2","替硝唑","Tinidazole","阴道泡腾片 栓剂","△",2015102733,"替硝唑阴道泡腾片","无","阴道泡腾片","0.2g","盒","16","铝塑","江西制药有限责任公司",17.78,"修改（支付标准）","医药服务便函〔2021〕5号",102738]
[1816,"x200503001033019","2","替硝唑","Tinidazole","阴道泡腾片 栓剂","△",2015137113,"替硝唑阴道泡腾片","无","阴道泡腾片","0.2g","盒","7","附手指套","江苏中天药业有限公司",3.9,"修改（支付标准）","医药服务便函〔2021〕5号",137110]
[1817,"x200503011530019","2","聚甲酚磺醛","Policresulen","外用液体剂 栓剂","",2015124192,"聚甲酚磺醛栓","无","栓剂","90mg","盒","12","附手指套","葫芦岛国帝药业有限责任公司",53.3,"修改（支付标准）","医药服务便函〔2021〕5号",124189]
[1818,"x200503011550001","2","硝呋太尔制霉菌素","Nifuratel and Nysfungin","栓剂\n阴道软胶囊","△",20157516,"硝呋太尔制霉菌素阴道软胶囊","麦咪康帕","阴道软胶囊(胶丸)","0.5g:20万IU","盒","6","空","意大利多帕药业有限公司DOPPEL FARMACEUTICI S.r.l.",51.06,"修改（支付标准）","医药服务便函〔2021〕5号",132166]
[1819,"x200503011550003","2","硝呋太尔制霉菌素","Nifuratel and Nysfungin","栓剂\n阴道软胶囊","△",201512340,"硝呋太尔制霉素阴道软胶囊","水青","阴道软胶囊(胶丸)","0.5g:20万IU","盒","6","附手指套","华润三九(唐山)药业有限公司",33.15,"修改（支付标准）","医药服务便函〔2021〕5号",103809]
[1820,"x220102011970032","1","碘海醇","Iohexol","注射剂","",2015137873,"碘海醇注射液","枢刻明","注射液","50ml:17.5g(I)","瓶","1","玻璃瓶","福安药业集团宁波天衡制药有限公司",101.19,"修改（支付标准）","医药服务便函〔2021〕5号",137870]
[1821,"x220102011970033","1","碘海醇","Iohexol","注射剂","",2015137859,"碘海醇注射液","枢刻明","注射液","100ml:30g(I)","瓶","1","玻璃瓶","福安药业集团宁波天衡制药有限公司",156.81,"修改（支付标准）","医药服务便函〔2021〕5号",137856]
[1822,"x220102011970034","1","碘海醇","Iohexol","注射剂","",2015137860,"碘海醇注射液","枢刻明","注射液","100ml:35g(I)","瓶","1","玻璃瓶","福安药业集团宁波天衡制药有限公司",197.2,"修改（支付标准）","医药服务便函〔2021〕5号",137857]
[1823,"x230000012360002","2","金黄色葡萄球菌滤液制剂","Staphylococcus　Aureas　Filtrate　Preparation","注射剂","限以下适应证之一，且每个疗程不超过500u×30支，每个结算年度使用不超过2个疗程。①骨折或骨折延迟愈合；②恶性肿瘤放疗或化疗辅助性治疗。",20155885,"金葡素注射液","高聚生","注射液","2ml","支","1","安瓿","沈阳协合生物制药股份有限公司",42.7,"修改（支付标准）","医药服务便函〔2021〕5号",120980]
[1824,"x230000012360004","2","金黄色葡萄球菌滤液制剂","Staphylococcus　Aureas　Filtrate　Preparation","注射剂","限以下适应证之一，且每个疗程不超过500u×30支，每个结算年度使用不超过2个疗程。①骨折或骨折延迟愈合；②恶性肿瘤放疗或化疗辅助性治疗。",20155473,"金葡素注射液","恩格菲","注射液","1ml","支","1","安瓿","浙江万翔药业有限公司",22.5,"修改（支付标准）","医药服务便函〔2021〕5号",143290]
[1825,"x25010408017a006","2","苯扎氯铵","Benzhaluan","贴剂","",2015148482,"苯扎氯铵贴","邦廸","贴剂","25mm×18mm(含苯扎氯铵0.5mg)","盒","100","空","上海强生有限公司",16.53,"修改（支付标准）","医药服务便函〔2021〕5号",148481]
[1826,"x25020508019a003","2","吡诺克辛","Pirenoxine","滴眼剂","",2015144539,"吡诺克辛滴眼液","卡林优","滴眼剂","5ml:0.25mg","支","1","塑料瓶","日本参天制药株式会社能登工厂Santen Pharmaceutical Co.,Ltd. Noto Plant<参天制药(中国)有限公司>分包装",9.96,"修改（支付标准）","医药服务便函〔2021〕5号",144541]
[1827,"x26010101400t001","2","盐酸埃克替尼","Icotinib Hydaochloride","片剂","适用于治疗表皮生长因子受体基因具有敏感突变的局部晚期或转移性非小细胞肺癌患者的一线治疗。用于治疗既往接受过至少一个化疗方案失败后的局部晚期或转移性非小细胞肺癌。基本医疗保险基金支付期间，患者在连续服药1个月后，仍符合服药条件的，允许持医院提供的外配处方到当地医保经办机构指定的定点药店购药，费用按规定（特殊）病种结算。\n",20154,"盐酸埃克替尼片","凯美纳","薄膜衣片","0.125g","盒","21","铝塑","贝达药业股份有限公司",1345.05,"修改（支付标准）","医药服务便函〔2021〕5号",135644]
[1828,"XA01ABT045S006010101427","2","替硝唑","","外用液体剂","",2015158663,"浓替硝唑含漱液","无","含漱液","100ml:0.2g","瓶","1","塑料瓶","江苏晨牌邦德药业有限公司",25.34,"修改（支付标准）","医药服务便函〔2021〕5号",158661]
[1829,"XA01ABT045S006010102166","2","替硝唑","","外用液体剂","",2015151845,"浓替硝唑含漱液","无","含漱液","100ml:0.2g","瓶","1","塑料瓶","四川健能制药有限公司",18.63,"修改（支付标准）","医药服务便函〔2021〕5号",151848]
[1830,"XA01ABT045S006010104642","2","替硝唑","","外用液体剂","",2015143085,"浓替硝唑含漱液","无","含漱液","100ml:0.2g","瓶","1","塑料瓶","浙江杭康药业有限公司",35.59,"修改（支付标准）","医药服务便函〔2021〕5号",143087]
[1831,"XA01ABT045S006020104642","2","替硝唑","","外用液体剂","",2015143086,"浓替硝唑含漱液","无","含漱液","200ml:0.4g","瓶","1","塑料瓶","浙江杭康药业有限公司",66.43,"修改（支付标准）","医药服务便函〔2021〕5号",143088]
[1832,"XA01ABX001S006010104494","2","西吡氯铵","","外用液体剂","",20153211,"西吡氯铵含漱液","依信","含漱液","200ml:0.2g","瓶","1","塑料瓶","杭州民生药业有限公司",10.83,"修改（支付标准）","医药服务便函〔2021〕5号",137548]
[1833,"XA01ADK038A001010304483","2","糠甾醇","","口服常释剂型","",2015139585,"糠甾醇片","无","糖衣片","40mg","瓶","100","塑料瓶","杭州益品新五丰药业有限公司",24.45,"修改（支付标准）","医药服务便函〔2021〕5号",139582]
[1834,"XA01ADK038A018010103134","2","糠甾醇","","口服常释剂型","",2015123209,"糠甾醇片","无","糖衣片","40mg","瓶","100","塑料瓶","开封康诺药业有限公司",4.84,"修改（支付标准）","医药服务便函〔2021〕5号",123206]
[1835,"XA02ABF438A001010101157","1","复方氢氧化铝","","口服常释剂型","",2015126151,"复方氢氧化铝片","无","素片","氢氧化铝0.245g,三硅酸镁0.105g,颠茄流浸膏0.0026ml","瓶","100","塑料瓶","丹东医创药业有限责任公司",5.4,"修改（支付标准）","医药服务便函〔2021〕5号",126150]
[1836,"XA02ABF438A001020102968","1","复方氢氧化铝","","口服常释剂型","",2015125031,"复方氢氧化铝片","无","素片","氢氧化铝0.245g,三硅酸镁0.105g,颠茄流浸膏0.0026ml","瓶","100","塑料瓶","云鹏医药集团有限公司",6.21,"修改（支付标准）","医药服务便函〔2021〕5号",125030]
[1837,"XA02ADL183A001010201007","2","铝碳酸镁","","口服常释剂型","",2015102510,"铝碳酸镁片","威地美","素片","0.5g","盒","36","铝塑","重庆华森制药股份有限公司",14.41,"修改（支付标准）","医药服务便函〔2021〕5号",102515]
[1838,"XA02ADL183A001010205122","2","铝碳酸镁","","口服常释剂型","",2015155999,"铝碳酸镁片","泰德","素片","0.5g","盒","48","铝塑","广西南宁百会药业集团有限公司",15.04,"修改（支付标准）","医药服务便函〔2021〕5号",155997]
[1839,"XA02ADL183A001010301007","2","铝碳酸镁","","口服常释剂型","",2015105952,"铝碳酸镁片","威地美","素片","0.5g","盒","48","铝塑","重庆华森制药股份有限公司",18.91,"修改（支付标准）","医药服务便函〔2021〕5号",105955]
[1840,"XA02ADL183A001010402166","2","铝碳酸镁","","口服常释剂型","",2015156029,"铝碳酸镁片","无","素片","0.5g","盒","50","铝塑","四川健能制药有限公司",16.99,"修改（支付标准）","医药服务便函〔2021〕5号",156027]
[1841,"XA02ADL183A005010104606","2","铝碳酸镁","","咀嚼片","",2015135140,"铝碳酸镁咀嚼片","无","咀嚼片","0.5g","盒","30","铝塑","浙江昂利康制药股份有限公司",10.97,"修改（支付标准）","医药服务便函〔2021〕5号",135137]
[1842,"XA02ADL183A005010200340","2","铝碳酸镁","","咀嚼片","",2020165722,"铝碳酸镁咀嚼片","无","咀嚼片","0.5g","盒","16","铝塑","广东华润顺峰药业有限公司",4.91,"修改（支付标准）","医药服务便函〔2021〕5号",165722]
[1843,"XA02ADL183A005010300002","2","铝碳酸镁","","咀嚼片","",2015116571,"铝碳酸镁咀嚼片","达喜","素片","0.5g","盒","20","铝塑","拜耳医药保健有限公司",17.06,"修改（支付标准）","医药服务便函〔2021〕5号",116574]
[1844,"XA02ADL183A005010300340","2","铝碳酸镁","","咀嚼片","",2020167008,"铝碳酸镁咀嚼片","无","咀嚼片","0.5g","盒","24","铝塑","广东华润顺峰药业有限公司",7.26,"修改（支付标准）","医药服务便函〔2021〕5号",167008]
[1845,"XA02ADL183A005010301007","2","铝碳酸镁","","咀嚼片","",2019164762,"铝碳酸镁咀嚼片","无","咀嚼片","0.5g","盒","48","铝塑","重庆华森制药股份有限公司",12.48,"修改（支付标准）","医药服务便函〔2021〕5号",164762]
[1846,"XA02ADL183A005010301503","2","铝碳酸镁","","咀嚼片","",2015130763,"铝碳酸镁咀嚼片","无","咀嚼片","0.5g","盒","24","铝塑","江苏万高药业股份有限公司",5.6,"修改（支付标准）","医药服务便函〔2021〕5号",130767]
[1847,"XA02AHT018A001010100886","1","碳酸氢钠","","口服常释剂型","",2015111531,"碳酸氢钠片","无","素片","0.5g","瓶","100","塑料瓶","天津力生制药股份有限公司",8.38,"修改（支付标准）","医药服务便函〔2021〕5号",111529]
[1848,"XA02AHT018A001010101984","1","碳酸氢钠","","口服常释剂型","",2020165803,"碳酸氢钠片","无","素片","0.5g","瓶","100","塑料瓶","远大医药(中国)有限公司",12.39,"修改（支付标准）","医药服务便函〔2021〕5号",165803]
[1849,"XA02AHT018A001010102292","1","碳酸氢钠","","口服常释剂型","",2015161534,"碳酸氢钠片","无","素片","0.3g","瓶","100","塑料瓶","四川科伦药业股份有限公司",1.73,"修改（支付标准）","医药服务便函〔2021〕5号",161527]
[1850,"XA02AHT018A001010104827","1","碳酸氢钠","","口服常释剂型","",2020103505,"碳酸氢钠片","无","素片","0.5g","瓶","100","塑料瓶","福州海王福药制药有限公司",48,"修改（支付标准）","医药服务便函〔2021〕5号",103505]
[1851,"XA02AHT018A001010104925","1","碳酸氢钠","","口服常释剂型","",2015152369,"碳酸氢钠片","无","素片","0.5g","瓶","100","塑料瓶","湖南汉森制药股份有限公司",13.43,"修改（支付标准）","医药服务便函〔2021〕5号",152372]
[1852,"XA02AHT018A001010105889","1","碳酸氢钠","","口服常释剂型","",2015156270,"碳酸氢钠片","无","素片","0.3g","瓶","100","塑料瓶","甘肃成纪生物药业有限公司",1.33,"修改（支付标准）","医药服务便函〔2021〕5号",156268]
[1853,"XA02AHT018A001020102292","1","碳酸氢钠","","口服常释剂型","",2015161531,"碳酸氢钠片","无","素片","0.5g","瓶","100","塑料瓶","四川科伦药业股份有限公司",2.54,"修改（支付标准）","医药服务便函〔2021〕5号",161524]
[1854,"XA02AHT018A001020105889","1","碳酸氢钠","","口服常释剂型","",2015156271,"碳酸氢钠片","无","素片","0.5g","瓶","100","塑料瓶","甘肃成纪生物药业有限公司",2.8,"修改（支付标准）","医药服务便函〔2021〕5号",156269]
[1855,"XA02AXF386N001010401351","2","复方铝酸铋","","颗粒剂","",2020168763,"复方铝酸铋颗粒","得必泰","颗粒剂","1.3g","盒","28","复合膜","辽宁奥达制药有限公司",25.02,"修改（支付标准）","医药服务便函〔2021〕5号",168763]
[1856,"XA02AXJ106E001010102868","1","胶体果胶铋","","口服常释剂型","",2015105289,"胶体果胶铋胶囊","无","硬胶囊剂","0.1g","盒","24","铝塑","山西振东安特生物制药有限公司",12.05,"修改（支付标准）","医药服务便函〔2021〕5号",105292]
[1857,"XA02AXJ106E001010104620","1","胶体果胶铋","","口服常释剂型","",2015160869,"胶体果胶铋胶囊","无","硬胶囊剂","0.1g","盒","24","铝塑","浙江得恩德制药股份有限公司",10.79,"修改（支付标准）","医药服务便函〔2021〕5号",160862]
[1858,"XA02AXJ106E001010105199","1","胶体果胶铋","","口服常释剂型","",2015140857,"胶体果胶铋胶囊","无","硬胶囊剂","0.1g","盒","12","铝塑","桂林华信制药有限公司",2.95,"修改（支付标准）","医药服务便函〔2021〕5号",140859]
[1859,"XA02AXJ106E001010202292","1","胶体果胶铋","","口服常释剂型","",2015149763,"胶体果胶铋胶囊","无","硬胶囊剂","50mg","盒","24","铝箔","四川科伦药业股份有限公司",2.43,"修改（支付标准）","医药服务便函〔2021〕5号",149762]
[1860,"XA02AXJ106E001010202868","1","胶体果胶铋","","口服常释剂型","",2015105291,"胶体果胶铋胶囊","无","硬胶囊剂","0.1g","盒","36","铝塑","山西振东安特生物制药有限公司",17.15,"修改（支付标准）","医药服务便函〔2021〕5号",105294]
[1861,"XA02AXJ106E001010202927","1","胶体果胶铋","","口服常释剂型","",2015137262,"胶体果胶铋胶囊","无","硬胶囊剂","50mg","盒","24","铝塑","山西同达药业有限公司",2.43,"修改（支付标准）","医药服务便函〔2021〕5号",137259]
[1862,"XA02AXJ106E001010204620","1","胶体果胶铋","","口服常释剂型","",2015143735,"胶体果胶铋胶囊","无","硬胶囊剂","0.1g","盒","36","铝塑","浙江得恩德制药股份有限公司",15.95,"修改（支付标准）","医药服务便函〔2021〕5号",143737]
[1863,"XA02AXJ106E001010302868","1","胶体果胶铋","","口服常释剂型","",2015105292,"胶体果胶铋胶囊","无","硬胶囊剂","0.1g","盒","48","铝塑","山西振东安特生物制药有限公司",21.97,"修改（支付标准）","医药服务便函〔2021〕5号",105295]
[1864,"XA02AXJ224A001010100453","1","枸橼酸铋钾","","口服常释剂型","",2015106033,"枸橼酸铋钾片","丽珠得乐","薄膜衣片","0.3g(含铋0.11g)","盒","24","铝箔","丽珠集团丽珠制药厂",8.7,"修改（支付标准）","医药服务便函〔2021〕5号",106036]
[1865,"XA02AXJ224A001010102699","1","枸橼酸铋钾","","口服常释剂型","",2015100982,"枸橼酸铋钾片","无","素片","0.3g(含铋0.11g)","盒","12","铝塑","华北制药股份有限公司",4.37,"修改（支付标准）","医药服务便函〔2021〕5号",100987]
[1866,"XA02AXJ224A001010104759","1","枸橼酸铋钾","","口服常释剂型","",2015142316,"枸橼酸铋钾片","必诺片","薄膜衣片","0.3g(含铋0.11g)","盒","16","铝塑","浙江华润三九众益制药有限公司",3.64,"修改（支付标准）","医药服务便函〔2021〕5号",142318]
[1867,"XA02AXJ224A001010200453","1","枸橼酸铋钾","","口服常释剂型","",2015161207,"枸橼酸铋钾片","丽珠得乐","薄膜衣片","0.3g(含铋0.11g)","盒","40","铝箔","丽珠集团丽珠制药厂",16.8,"修改（支付标准）","医药服务便函〔2021〕5号",161200]
[1868,"XA02AXJ224A001010201828","1","枸橼酸铋钾","","口服常释剂型","",2015105634,"枸橼酸铋钾片","丽科得诺","薄膜衣片","0.3g(含铋0.11g)","盒","40","铝塑","湖北科益药业股份有限公司",21.32,"修改（支付标准）","医药服务便函〔2021〕5号",105637]
[1869,"XA02AXJ224A001010204759","1","枸橼酸铋钾","","口服常释剂型","",2015142317,"枸橼酸铋钾片","必诺片","薄膜衣片","0.3g(含铋0.11g)","盒","56","铝塑","浙江华润三九众益制药有限公司",12.17,"修改（支付标准）","医药服务便函〔2021〕5号",142319]
[1870,"XA02AXJ224E001010100453","1","枸橼酸铋钾","","口服常释剂型","",2015105090,"枸橼酸铋钾胶囊","丽珠得乐","硬胶囊剂","0.3g(含铋0.11g)","盒","20","铝箔","丽珠集团丽珠制药厂",11.49,"修改（支付标准）","医药服务便函〔2021〕5号",105093]
[1871,"XA02AXJ224E001010100480","1","枸橼酸铋钾","","口服常释剂型","",2015103931,"枸橼酸铋钾胶囊","无","硬胶囊剂","0.3g(含铋0.11g)","盒","20","铝塑","国药集团汕头金石制药有限公司",10,"修改（支付标准）","医药服务便函〔2021〕5号",103936]
[1872,"XA02AXJ224E001010101016","1","枸橼酸铋钾","","口服常释剂型","",2015104229,"枸橼酸铋钾胶囊","无","硬胶囊剂","0.3g(含铋0.11g)","盒","20","铝箔","重庆科瑞制药(集团)有限公司",10.2,"修改（支付标准）","医药服务便函〔2021〕5号",104234]
[1873,"XA02AXJ224E001010101453","1","枸橼酸铋钾","","口服常释剂型","",2015134818,"枸橼酸铋钾胶囊","无","硬胶囊剂","0.3g(含铋0.11g)","盒","48","铝箔","济川药业集团有限公司",14.27,"修改（支付标准）","医药服务便函〔2021〕5号",134822]
[1874,"XA02AXJ224E001010103010","1","枸橼酸铋钾","","口服常释剂型","",2015125463,"枸橼酸铋钾胶囊","无","硬胶囊剂","0.3g(含铋0.11g)","盒","20","铝箔","辅仁药业集团有限公司",17.23,"修改（支付标准）","医药服务便函〔2021〕5号",125462]
[1875,"XA02AXJ224E001010104759","1","枸橼酸铋钾","","口服常释剂型","",2015142314,"枸橼酸铋钾胶囊","必诺胶囊","硬胶囊剂","0.3g(含铋0.11g)","盒","16","铝塑","浙江华润三九众益制药有限公司",4.04,"修改（支付标准）","医药服务便函〔2021〕5号",142316]
[1876,"XA02AXJ224E001010200453","1","枸橼酸铋钾","","口服常释剂型","",2015105081,"枸橼酸铋钾胶囊","丽珠得乐","硬胶囊剂","0.3g(含铋0.11g)","盒","40","铝箔","丽珠集团丽珠制药厂",22.4,"修改（支付标准）","医药服务便函〔2021〕5号",105084]
[1877,"XA02AXJ224E001010204759","1","枸橼酸铋钾","","口服常释剂型","",2015142315,"枸橼酸铋钾胶囊","必诺胶囊","硬胶囊剂","0.3g(含铋0.11g)","盒","56","铝塑","浙江华润三九众益制药有限公司",13.52,"修改（支付标准）","医药服务便函〔2021〕5号",142317]
[1878,"XA02AXJ224E001010301650","1","枸橼酸铋钾","","口服常释剂型","",2015101559,"枸橼酸铋钾胶囊","无","硬胶囊剂","0.3g(含铋0.11g)","盒","48","铝塑","苏州东瑞制药有限公司",9.25,"修改（支付标准）","医药服务便函〔2021〕5号",101564]
[1879,"XA02AXJ224E001020103010","1","枸橼酸铋钾","","口服常释剂型","",2015125467,"枸橼酸铋钾胶囊","无","硬胶囊剂","0.3g(含铋0.11g)","盒","40","铝箔","辅仁药业集团有限公司",29.9,"修改（支付标准）","医药服务便函〔2021〕5号",125466]
[1880,"XA02AXJ224N001010100239","1","枸橼酸铋钾","","颗粒剂","",2015147060,"枸橼酸铋钾颗粒","无","颗粒剂","1.0g(含铋0.11g)","盒","56","复合膜","悦康药业集团股份有限公司",30.51,"修改（支付标准）","医药服务便函〔2021〕5号",147059]
[1881,"XA02AXJ224N001010100453","1","枸橼酸铋钾","","颗粒剂","",2015105096,"枸橼酸铋钾颗粒","丽珠得乐","颗粒剂","1.0g(含铋0.11g)","盒","28","复合膜","丽珠集团丽珠制药厂",10.87,"修改（支付标准）","医药服务便函〔2021〕5号",105099]
[1882,"XA02AXJ224N001010101055","1","枸橼酸铋钾","","颗粒剂","",2015152550,"枸橼酸铋钾颗粒","无","颗粒剂","1.0g(含铋0.11g)","盒","56","复合膜","天圣制药集团股份有限公司",66.31,"修改（支付标准）","医药服务便函〔2021〕5号",152553]
[1883,"XA02AXJ224N001010103662","1","枸橼酸铋钾","","颗粒剂","",2015106465,"枸橼酸铋钾颗粒","无","颗粒剂","1.0g(含铋0.11g)","盒","56","复合膜","哈尔滨三联药业股份有限公司",30.51,"修改（支付标准）","医药服务便函〔2021〕5号",106468]
[1884,"XA02AXJ224N001010105024","1","枸橼酸铋钾","","颗粒剂","",2015105273,"枸橼酸铋钾颗粒","无","颗粒剂","1.2g(含铋0.11g)","盒","56","复合膜","湖南威特制药股份有限公司",25.38,"修改（支付标准）","医药服务便函〔2021〕5号",105276]
[1885,"XA02AXJ224N001010200453","1","枸橼酸铋钾","","颗粒剂","",2015105104,"枸橼酸铋钾颗粒","丽珠得乐","颗粒剂","1.0g(含铋0.11g)","盒","56","复合膜","丽珠集团丽珠制药厂",33.54,"修改（支付标准）","医药服务便函〔2021〕5号",105107]
[1886,"XA02AXJ224N001010200480","1","枸橼酸铋钾","","颗粒剂","",2015105239,"枸橼酸铋钾颗粒","无","颗粒剂","1.0g(含铋0.11g)","盒","56","复合膜","国药集团汕头金石制药有限公司",12.9,"修改（支付标准）","医药服务便函〔2021〕5号",105242]
[1887,"XA02AXJ224N001010201828","1","枸橼酸铋钾","","颗粒剂","",2015105647,"枸橼酸铋钾颗粒","无","颗粒剂","1.0g(含铋0.11g)","盒","28","复合膜","湖北科益药业股份有限公司",9.37,"修改（支付标准）","医药服务便函〔2021〕5号",105650]
[1888,"XA02AXJ224N001010301828","1","枸橼酸铋钾","","颗粒剂","",2015105655,"枸橼酸铋钾颗粒","无","颗粒剂","1.0g(含铋0.11g)","盒","56","复合膜","湖北科益药业股份有限公司",18.75,"修改（支付标准）","医药服务便函〔2021〕5号",105658]
[1889,"XA02BAF006A001010100269","1","法莫替丁","","口服常释剂型","",2015113826,"法莫替丁片","无","素片","20mg","盒","24","铝塑","广东彼迪药业有限公司",6.57,"修改（支付标准）","医药服务便函〔2021〕5号",113824]
[1890,"XA02BAF006A006010104669","1","法莫替丁","","口服常释剂型","",2015136833,"法莫替丁分散片","凯速特","分散片","20mg","盒","30","铝塑","浙江康德药业集团股份有限公司",8.99,"修改（支付标准）","医药服务便函〔2021〕5号",136830]
[1891,"XA02BAF006A006010202204","1","法莫替丁","","口服常释剂型","",2015130204,"法莫替丁分散片","道安","分散片","20mg","盒","36","铝塑","四川奇力制药有限公司",21.8,"修改（支付标准）","医药服务便函〔2021〕5号",130208]
[1892,"XA02BAF006A006010300385","1","法莫替丁","","口服常释剂型","",2015121333,"法莫替丁分散片","无","分散片","20mg","瓶","72","塑料瓶","广州白云山光华制药股份有限公司",68.56,"修改（支付标准）","医药服务便函〔2021〕5号",121330]
[1893,"XA02BAF006E001010100804","1","法莫替丁","","口服常释剂型","",2015134897,"法莫替丁胶囊","无","硬胶囊剂","20mg","盒","24","铝塑","上海信谊万象药业股份有限公司",7.15,"修改（支付标准）","医药服务便函〔2021〕5号",134901]
[1894,"XA02BAF006E001010103592","1","法莫替丁","","口服常释剂型","",2015158360,"法莫替丁胶囊","无","硬胶囊剂","20mg","盒","24","铝塑","修正药业集团长春高新制药有限公司",5.75,"修改（支付标准）","医药服务便函〔2021〕5号",158358]
[1895,"XA02BAL050A001010102328","1","雷尼替丁","","口服常释剂型","",2015158950,"盐酸雷尼替丁片","无","薄膜衣片","0.15g","盒","12","铝塑","安康北医大制药股份有限公司",1.72,"修改（支付标准）","医药服务便函〔2021〕5号",158948]
[1896,"XA02BAL050A001010104152","1","雷尼替丁","","口服常释剂型","",2015155024,"盐酸雷尼替丁片","无","薄膜衣片","0.15g","瓶","30","塑料瓶","瑞阳制药有限公司",20.15,"修改（支付标准）","医药服务便函〔2021〕5号",155022]
[1897,"XA02BAL050B002010103202","1","雷尼替丁","","注射剂","",2015142248,"盐酸雷尼替丁注射液","无","注射液","2ml:50mg","支","1","安瓿","上海现代哈森(商丘)药业有限公司",2.39,"修改（支付标准）","医药服务便函〔2021〕5号",142250]
[1898,"XA02BAL050B002010104494","1","雷尼替丁","","注射剂","",2015135940,"盐酸雷尼替丁注射液","无","注射液","2ml:50mg","支","1","安瓿","杭州民生药业有限公司",0.9,"修改（支付标准）","医药服务便函〔2021〕5号",135937]
[1899,"XA02BAL050E001010100976","1","雷尼替丁","","口服常释剂型","",2015101968,"盐酸雷尼替丁胶囊","无","硬胶囊剂","0.15g","瓶","30","塑料瓶","北大医药股份有限公司",15.11,"修改（支付标准）","医药服务便函〔2021〕5号",101973]
[1900,"XA02BAL050E001010104670","1","雷尼替丁","","口服常释剂型","",2015143142,"盐酸雷尼替丁胶囊","善得康","硬胶囊剂","0.15g","瓶","30","塑料瓶","浙江康恩贝制药股份有限公司",4.93,"修改（支付标准）","医药服务便函〔2021〕5号",143144]
[1901,"XA02BAL050E001010104685","1","雷尼替丁","","口服常释剂型","",2015143143,"盐酸雷尼替丁胶囊","无","硬胶囊剂","0.15g","瓶","30","塑料瓶","浙江普洛康裕制药有限公司",2.96,"修改（支付标准）","医药服务便函〔2021〕5号",143145]
[1902,"XA02BAL050E001010200567","1","雷尼替丁","","口服常释剂型","",2015117219,"盐酸雷尼替丁胶囊","无","硬胶囊剂","0.15g","瓶","30","塑料瓶","佛山手心制药有限公司",4.86,"修改（支付标准）","医药服务便函〔2021〕5号",117222]
[1903,"XA02BAL050E001010202777","1","雷尼替丁","","口服常释剂型","",2015114259,"盐酸雷尼替丁胶囊","无","硬胶囊剂","0.15g","瓶","30","塑料瓶","石药集团欧意药业有限公司",17.64,"修改（支付标准）","医药服务便函〔2021〕5号",114257]
[1904,"XA02BAL050E001010704152","1","雷尼替丁","","口服常释剂型","",2015110296,"盐酸雷尼替丁胶囊","无","硬胶囊剂","0.15g","瓶","30","塑料瓶","瑞阳制药有限公司",17.97,"修改（支付标准）","医药服务便函〔2021〕5号",110294]
[1905,"XA02BCA081A012010101359","2","埃索美拉唑（艾司奥美拉唑）","","口服常释剂型","",201510499,"艾司奥美拉唑镁肠溶片","耐信","肠溶片","20mg","盒","7","双铝","阿斯利康制药有限公司",61.76,"修改（支付标准）","医药服务便函〔2021〕5号",130574]
[1906,"XA02BCA081A012010105345","2","埃索美拉唑（艾司奥美拉唑）","","口服常释剂型","",2020170896,"艾司奥美拉唑镁肠溶片","无","肠溶片","20mg","盒","7","双铝","江西山香药业有限公司",55.6,"修改（支付标准）","医药服务便函〔2021〕5号",170896]
[1907,"XA02BCA081B001010100993","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020165908,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","重庆迪康长江制药有限公司",55,"修改（支付标准）","医药服务便函〔2021〕5号",165908]
[1908,"XA02BCA081B001010101425","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2021163582,"注射用艾司奥美拉唑钠","无","冻干粉针剂","20mg","瓶","1","西林瓶","江苏奥赛康药业有限公司",42.55,"修改（支付标准）","医药服务便函〔2021〕5号",163582]
[1909,"XA02BCA081B001010101521","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020168014,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","江苏正大丰海制药有限公司",59.73,"修改（支付标准）","医药服务便函〔2021〕5号",168014]
[1910,"XA02BCA081B001010101523","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2021162532,"注射用艾司奥美拉唑钠","无","冻干粉针剂","20mg","支","1","玻璃瓶","正大天晴药业集团股份有限公司",44,"修改（支付标准）","医药服务便函〔2021〕5号",162532]
[1911,"XA02BCA081B001010101563","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020165317,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","南京海辰药业股份有限公司",59.73,"修改（支付标准）","医药服务便函〔2021〕5号",165317]
[1912,"XA02BCA081B001010102087","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020166934,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","四川美大康华康药业有限公司",59.73,"修改（支付标准）","医药服务便函〔2021〕5号",166934]
[1913,"XA02BCA081B001010102503","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020168504,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","10","玻璃瓶","西安利君制药有限责任公司",59.73,"修改（支付标准）","医药服务便函〔2021〕5号",168504]
[1914,"XA02BCA081B001010102918","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2018163369,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","山西普德药业有限公司",71,"修改（支付标准）","医药服务便函〔2021〕5号",163369]
[1915,"XA02BCA081B001010103094","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020169170,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","乐普药业股份有限公司",53.49,"修改（支付标准）","医药服务便函〔2021〕5号",169170]
[1916,"XA02BCA081B001010103942","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020166681,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","德州德药制药有限公司",59.73,"修改（支付标准）","医药服务便函〔2021〕5号",166681]
[1917,"XA02BCA081B001010104141","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020166642,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","山东罗欣药业集团股份有限公司",59.73,"修改（支付标准）","医药服务便函〔2021〕5号",166642]
[1918,"XA02BCA081B001010104612","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020170420,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","浙江贝得药业有限公司",41.81,"修改（支付标准）","医药服务便函〔2021〕5号",170420]
[1919,"XA02BCA081B001010104744","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020169977,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","浙江亚太药业股份有限公司",57.92,"修改（支付标准）","医药服务便函〔2021〕5号",169977]
[1920,"XA02BCA081B001010104995","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2019165705,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","湖南一格制药有限公司",65,"修改（支付标准）","医药服务便函〔2021〕5号",165705]
[1921,"XA02BCA081B001010109554","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2019163413,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","福安药业集团湖北人民制药有限公司",53.49,"修改（支付标准）","医药服务便函〔2021〕5号",163413]
[1922,"XA02BCA081B001010109592","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2021163339,"注射用艾司奥美拉唑钠","无","冻干粉针剂","20mg","支","1","玻璃瓶","朗天药业(湖北)有限公司",44.8,"修改（支付标准）","医药服务便函〔2021〕5号",163339]
[1923,"XA02BCA081B001010110121","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2019164760,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","苏州特瑞药业有限公司",16.05,"修改（支付标准）","医药服务便函〔2021〕5号",164760]
[1924,"XA02BCA081B001010201359","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",201513361,"注射用艾司奥美拉唑钠","耐信","冻干粉针剂","40mg","支","1","玻璃瓶","瑞典AstraZeneca AB",100.12,"修改（支付标准）","医药服务便函〔2021〕5号",162608]
[1925,"XA02BCA081B001010201749","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2019165507,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","扬子江药业集团有限公司",65,"修改（支付标准）","医药服务便函〔2021〕5号",165507]
[1926,"XA02BCA081B001020101425","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015162582,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","无","江苏奥赛康药业有限公司",57.29,"修改（支付标准）","医药服务便函〔2021〕5号",162581]
[1927,"XA02BCA081B001020101523","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015162531,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","正大天晴药业集团股份有限公司",57.29,"修改（支付标准）","医药服务便函〔2021〕5号",162530]
[1928,"XA02BCA081B001020104021","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020165492,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","齐鲁制药有限公司",59.73,"修改（支付标准）","医药服务便函〔2021〕5号",165492]
[1929,"XA02BCA081B001020104152","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020168824,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","瑞阳制药有限公司",59.72,"修改（支付标准）","医药服务便函〔2021〕5号",168824]
[1930,"XA02BCA081B001020106155","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2019165193,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","辽宁海思科制药有限公司",9,"修改（支付标准）","医药服务便函〔2021〕5号",165193]
[1931,"XA02BCA081B001020109592","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2018163338,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","朗天药业(湖北)有限公司",67.8,"修改（支付标准）","医药服务便函〔2021〕5号",163338]
[1932,"XA02BCA081B001020180955","2","埃索美拉唑（艾司奥美拉唑）","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020163547,"注射用艾司奥美拉唑钠","无","冻干粉针剂","40mg","支","1","玻璃瓶","宜昌东阳光长江药业股份有限公司",57.29,"修改（支付标准）","医药服务便函〔2021〕5号",163547]
[1933,"XA02BCA084A012010100453","2","艾普拉唑","","口服常释剂型","限有十二指肠溃疡、反流性食管炎诊断患者的二线用药",2020105287,"艾普拉唑肠溶片","壹丽安","肠溶片","5mg","瓶","6","塑料瓶","丽珠集团丽珠制药厂",78.34,"修改（支付标准）","医药服务便函〔2021〕5号",105287]
[1934,"XA02BCA084B001010100453","2","艾普拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者。",2019163411,"注射用艾普拉唑钠","壹丽安","冻干粉针剂","10mg","瓶","1","玻璃瓶","丽珠集团丽珠制药厂",156,"修改（支付标准）","医药服务便函〔2021〕5号",163411]
[1935,"XA02BCA211A012010203230","1","奥美拉唑","","口服常释剂型","",2015111987,"奥美拉唑镁肠溶片","无","肠溶片","10mg","盒","7","铝箔","许昌高新制药有限公司",26.09,"修改（支付标准）","医药服务便函〔2021〕5号",111985]
[1936,"XA02BCA211A012010204188","1","奥美拉唑","","口服常释剂型","",2020131227,"奥美拉唑肠溶片","无","肠溶片","10mg","盒","28","双铝","山东新时代药业有限公司",27.68,"修改（支付标准）","医药服务便函〔2021〕5号",131227]
[1937,"XA02BCA211A012010204920","1","奥美拉唑","","口服常释剂型","",2015130949,"奥美拉唑肠溶片","无","肠溶片","20mg","盒","28","铝箔","湖南方盛制药股份有限公司",3.36,"修改（支付标准）","医药服务便函〔2021〕5号",130953]
[1938,"XA02BCA211A012010279096","1","奥美拉唑","","口服常释剂型","",2015130648,"奥美拉唑镁肠溶片","洛赛克MUPS","肠溶片","10mg","盒","7","双铝","瑞典AstraZeneca AB<阿斯利康制药有限公司>分包装",30.55,"修改（支付标准）","医药服务便函〔2021〕5号",130652]
[1939,"XA02BCA211A012010301679","1","奥美拉唑","","口服常释剂型","",2015143542,"奥美拉唑钠肠溶片","利韦廷","肠溶片","10mg","盒","28","铝塑","苏州中化药品工业有限公司",6.07,"修改（支付标准）","医药服务便函〔2021〕5号",143544]
[1940,"XA02BCA211A012010304188","1","奥美拉唑","","口服常释剂型","",2020131228,"奥美拉唑肠溶片","无","肠溶片","10mg","盒","36","双铝","山东新时代药业有限公司",35.24,"修改（支付标准）","医药服务便函〔2021〕5号",131228]
[1941,"XA02BCA211A012010403140","1","奥美拉唑","","口服常释剂型","",2015108777,"奥美拉唑肠溶片","无","肠溶片","10mg","盒","36","铝箔","信合援生制药股份有限公司",12.06,"修改（支付标准）","医药服务便函〔2021〕5号",108780]
[1942,"XA02BCA211A012010403230","1","奥美拉唑","","口服常释剂型","",2015111991,"奥美拉唑镁肠溶片","无","肠溶片","10mg","盒","14","铝箔","许昌高新制药有限公司",50.48,"修改（支付标准）","医药服务便函〔2021〕5号",111989]
[1943,"XA02BCA211A012010503140","1","奥美拉唑","","口服常释剂型","",2015162287,"奥美拉唑肠溶片","无","肠溶片","10mg","盒","48","铝箔","信合援生制药股份有限公司",15.91,"修改（支付标准）","医药服务便函〔2021〕5号",162280]
[1944,"XA02BCA211A012020103230","1","奥美拉唑","","口服常释剂型","",2015111998,"奥美拉唑镁肠溶片","无","肠溶片","20mg","盒","7","铝箔","许昌高新制药有限公司",46.6,"修改（支付标准）","医药服务便函〔2021〕5号",111996]
[1945,"XA02BCA211A012020179096","1","奥美拉唑","","口服常释剂型","",2015130639,"奥美拉唑镁肠溶片","洛赛克MUPS","肠溶片","20mg","盒","7","双铝","瑞典AstraZeneca AB<阿斯利康制药有限公司>分包装",51.93,"修改（支付标准）","医药服务便函〔2021〕5号",130643]
[1946,"XA02BCA211A012020279096","1","奥美拉唑","","口服常释剂型","",2015130652,"奥美拉唑镁肠溶片","洛赛克MUPS","肠溶片","20mg","盒","14","双铝","瑞典AstraZeneca AB",101.26,"修改（支付标准）","医药服务便函〔2021〕5号",130656]
[1947,"XA02BCA211B001010101425","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015146137,"注射用奥美拉唑钠(静脉滴注)","奥西康","冻干粉针剂","20mg","盒","1","配溶媒","江苏奥赛康药业有限公司",27.56,"修改（支付标准）","医药服务便函〔2021〕5号",146136]
[1948,"XA02BCA211B001010102092","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020147057,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","40mg","支","1","西林瓶","峨眉山通惠制药有限公司",0.68,"修改（支付标准）","医药服务便函〔2021〕5号",147057]
[1949,"XA02BCA211B001010103421","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015252341,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","40mg","盒","1","配溶媒(灭菌注射用水)+免推注式移液器","吉林省辉南长龙生化药业股份有限公司",17.93,"修改（支付标准）","医药服务便函〔2021〕5号",152341]
[1950,"XA02BCA211B001010104127","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015253295,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","40mg","盒","1","配溶媒(灭菌注射用水)+免推注式移液器","辰欣药业股份有限公司",18.87,"修改（支付标准）","医药服务便函〔2021〕5号",153295]
[1951,"XA02BCA211B001010104656","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015146171,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","浙江金华康恩贝生物制药有限公司",19.71,"修改（支付标准）","医药服务便函〔2021〕5号",146170]
[1952,"XA02BCA211B001010105755","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015127509,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","海口奇力制药股份有限公司",0.98,"修改（支付标准）","医药服务便函〔2021〕5号",127508]
[1953,"XA02BCA211B001010105793","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015119093,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","20mg","瓶","1","西林瓶","海南灵康制药有限公司",12.49,"修改（支付标准）","医药服务便函〔2021〕5号",119096]
[1954,"XA02BCA211B001010109554","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015108597,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","60mg","瓶","1","玻璃瓶","福安药业集团湖北人民制药有限公司",4.8,"修改（支付标准）","医药服务便函〔2021〕5号",108600]
[1955,"XA02BCA211B001010201359","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015130532,"注射用奥美拉唑钠(静脉滴注)","洛赛克","冻干粉针剂","40mg","瓶","1","西林瓶","阿斯利康制药有限公司",77.78,"修改（支付标准）","医药服务便函〔2021〕5号",130536]
[1956,"XA02BCA211B001020101425","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015146135,"注射用奥美拉唑钠(静脉滴注)","奥西康","冻干粉针剂","40mg","盒","1","配溶媒","江苏奥赛康药业有限公司",45.52,"修改（支付标准）","医药服务便函〔2021〕5号",146134]
[1957,"XA02BCA211B001020101651","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015146016,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","60mg","瓶","1","西林瓶","苏州二叶制药有限公司",16.23,"修改（支付标准）","医药服务便函〔2021〕5号",146015]
[1958,"XA02BCA211B014010104069","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015101310,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","20mg","瓶","1","西林瓶","山东北大高科华泰制药有限公司",13.03,"修改（支付标准）","医药服务便函〔2021〕5号",101315]
[1959,"XA02BCA211B014030100239","2","奥美拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015147080,"注射用奥美拉唑钠(静脉滴注)","无","冻干粉针剂","60mg","支","1","西林瓶","悦康药业集团股份有限公司",21.68,"修改（支付标准）","医药服务便函〔2021〕5号",147079]
[1960,"XA02BCA211E005010100239","1","奥美拉唑","","口服常释剂型","",2015144559,"奥美拉唑肠溶胶囊","无","肠溶胶囊","10mg","瓶","14","塑料瓶","悦康药业集团股份有限公司",8,"修改（支付标准）","医药服务便函〔2021〕5号",144561]
[1961,"XA02BCA211E005010101749","1","奥美拉唑","","口服常释剂型","",2020101146,"奥美拉唑肠溶胶囊","无","肠溶胶囊","20mg","瓶","14","塑料瓶","扬子江药业集团有限公司",17.5,"修改（支付标准）","医药服务便函〔2021〕5号",101146]
[1962,"XA02BCA211E005010102292","1","奥美拉唑","","口服常释剂型","",2015107279,"奥美拉唑肠溶胶囊","无","肠溶胶囊","20mg","盒","14","铝箔","四川科伦药业股份有限公司",0.92,"修改（支付标准）","医药服务便函〔2021〕5号",107282]
[1963,"XA02BCA211E005010102897","1","奥美拉唑","","口服常释剂型","",2015137330,"奥美拉唑肠溶胶囊","无","肠溶胶囊(微丸型)","20mg","盒","14","铝塑","山西津华晖星制药有限公司",6.25,"修改（支付标准）","医药服务便函〔2021〕5号",137327]
[1964,"XA02BCA211E005010104656","1","奥美拉唑","","口服常释剂型","",2015154551,"奥美拉唑肠溶胶囊","金奥康","肠溶胶囊(微丸型)","10mg","盒","7","铝塑","浙江金华康恩贝生物制药有限公司",24.34,"修改（支付标准）","医药服务便函〔2021〕5号",154554]
[1965,"XA02BCA211E005010201192","1","奥美拉唑","","口服常释剂型","",2015137331,"奥美拉唑肠溶胶囊","无","肠溶胶囊(微丸型)","20mg","瓶","14","塑料瓶","锦州九泰药业有限责任公司",3.85,"修改（支付标准）","医药服务便函〔2021〕5号",137328]
[1966,"XA02BCA211E005010204141","1","奥美拉唑","","口服常释剂型","",2015117603,"奥美拉唑肠溶胶囊","无","肠溶胶囊","10mg","瓶","14","塑料瓶","山东罗欣药业集团股份有限公司",7.03,"修改（支付标准）","医药服务便函〔2021〕5号",117606]
[1967,"XA02BCA211E005010204656","1","奥美拉唑","","口服常释剂型","",2015158869,"奥美拉唑肠溶胶囊","金奥康","肠溶胶囊(微丸型)","10mg","盒","14","铝塑","浙江金华康恩贝生物制药有限公司",35,"修改（支付标准）","医药服务便函〔2021〕5号",158867]
[1968,"XA02BCA211E005010205776","1","奥美拉唑","","口服常释剂型","",2020115900,"奥美拉唑肠溶胶囊","无","肠溶胶囊","20mg","瓶","14","塑料瓶","海南海灵化学制药有限公司",2.15,"修改（支付标准）","医药服务便函〔2021〕5号",115900]
[1969,"XA02BCA211E005010304747","1","奥美拉唑","","口服常释剂型","",2015104060,"奥美拉唑肠溶胶囊","无","肠溶胶囊(微丸型)","20mg","瓶","14","塑料瓶","浙江医药股份有限公司新昌制药厂",5.34,"修改（支付标准）","医药服务便函〔2021〕5号",104065]
[1970,"XA02BCA211E005010405776","1","奥美拉唑","","口服常释剂型","",2020171097,"奥美拉唑肠溶胶囊","无","肠溶胶囊","20mg","瓶","28","高密度聚乙烯","海南海灵化学制药有限公司",4.19,"修改（支付标准）","医药服务便函〔2021〕5号",171097]
[1971,"XA02BCA211E005020101389","1","奥美拉唑","","口服常释剂型","",2015137327,"奥美拉唑肠溶胶囊","奥克","肠溶胶囊","20mg","瓶","7","塑料瓶","常州四药制药有限公司",17.62,"修改（支付标准）","医药服务便函〔2021〕5号",137324]
[1972,"XA02BCA211E005020104141","1","奥美拉唑","","口服常释剂型","",2015117618,"奥美拉唑肠溶胶囊","无","肠溶胶囊","20mg","瓶","14","塑料瓶","山东罗欣药业集团股份有限公司",0.93,"修改（支付标准）","医药服务便函〔2021〕5号",117621]
[1973,"XA02BCA211E005020200239","1","奥美拉唑","","口服常释剂型","",2015144565,"奥美拉唑肠溶胶囊","无","肠溶胶囊","20mg","瓶","14","塑料瓶","悦康药业集团股份有限公司",0.9,"修改（支付标准）","医药服务便函〔2021〕5号",144567]
[1974,"XA02BCA211E005020201389","1","奥美拉唑","","口服常释剂型","",2015137329,"奥美拉唑肠溶胶囊","奥克","肠溶胶囊","20mg","瓶","14","塑料瓶","常州四药制药有限公司",32.1,"修改（支付标准）","医药服务便函〔2021〕5号",137326]
[1975,"XA02BCA211E005020304656","1","奥美拉唑","","口服常释剂型","",2015136753,"奥美拉唑肠溶胶囊","金奥康","肠溶胶囊(微丸型)","20mg","盒","7","铝塑","浙江金华康恩贝生物制药有限公司",27.46,"修改（支付标准）","医药服务便函〔2021〕5号",136750]
[1976,"XA02BCA211E005020404656","1","奥美拉唑","","口服常释剂型","",2015136756,"奥美拉唑肠溶胶囊","金奥康","肠溶胶囊(微丸型)","20mg","盒","14","铝塑","浙江金华康恩贝生物制药有限公司",52.94,"修改（支付标准）","医药服务便函〔2021〕5号",136753]
[1977,"XA02BCA211E005030105754","1","奥美拉唑","","口服常释剂型","",2015127642,"奥美拉唑肠溶胶囊","无","肠溶胶囊","40mg","盒","14","铝塑","海南葫芦娃药业集团股份有限公司",15.5,"修改（支付标准）","医药服务便函〔2021〕5号",127641]
[1978,"XA02BCA211E005030205754","1","奥美拉唑","","口服常释剂型","",2015127612,"奥美拉唑肠溶胶囊","无","肠溶胶囊","40mg","盒","28","铝塑","海南葫芦娃药业集团股份有限公司",29.21,"修改（支付标准）","医药服务便函〔2021〕5号",127611]
[1979,"XA02BCF721A001010110289","2","伏诺拉生","","口服常释剂型","限反流性食管炎的患者。",2021169316,"富马酸伏诺拉生片","沃克","薄膜衣片","20mg","盒","7","铝塑","日本Takeda Pharmaceutical Company Limited, Hikari Plant",69.3,"修改（支付标准）","医药服务便函〔2021〕5号",169316]
[1980,"XA02BCL033A012010102128","2","兰索拉唑","","口服常释剂型","",2015117261,"兰索拉唑肠溶片","无","肠溶片","30mg","盒","7","铝箔","四川成都同道堂制药有限责任公司",13.75,"修改（支付标准）","医药服务便函〔2021〕5号",117264]
[1981,"XA02BCL033A012010181078","2","兰索拉唑","","口服常释剂型","",2015137223,"兰索拉唑肠溶片","无","肠溶片","30mg","盒","7","铝塑","上海新黄河制药有限公司",18.51,"修改（支付标准）","医药服务便函〔2021〕5号",137220]
[1982,"XA02BCL033A012010204721","2","兰索拉唑","","口服常释剂型","",2015142849,"兰索拉唑肠溶片","无","肠溶片","15mg","盒","14","复合膜","浙江天一堂药业有限公司",9.92,"修改（支付标准）","医药服务便函〔2021〕5号",142851]
[1983,"XA02BCL033A012010281078","2","兰索拉唑","","口服常释剂型","",2015137224,"兰索拉唑肠溶片","无","肠溶片","30mg","盒","14","铝塑","上海新黄河制药有限公司",29.09,"修改（支付标准）","医药服务便函〔2021〕5号",137221]
[1984,"XA02BCL033A012010302128","2","兰索拉唑","","口服常释剂型","",2015117267,"兰索拉唑肠溶片","无","肠溶片","30mg","盒","14","铝箔","四川成都同道堂制药有限责任公司",28.04,"修改（支付标准）","医药服务便函〔2021〕5号",117270]
[1985,"XA02BCL033A012010504141","2","兰索拉唑","","口服常释剂型","",2015117559,"兰索拉唑肠溶片","无","肠溶片","15mg","盒","14","双铝","山东罗欣药业集团股份有限公司",14.4,"修改（支付标准）","医药服务便函〔2021〕5号",117562]
[1986,"XA02BCL033A012020101563","2","兰索拉唑","","口服常释剂型","",2015101609,"兰索拉唑肠溶片","无","肠溶片","30mg","盒","7","铝塑","南京海辰药业股份有限公司",13.96,"修改（支付标准）","医药服务便函〔2021〕5号",101614]
[1987,"XA02BCL033A012020201563","2","兰索拉唑","","口服常释剂型","",2015123606,"兰索拉唑肠溶片","无","肠溶片","30mg","盒","14","铝塑","南京海辰药业股份有限公司",23.21,"修改（支付标准）","医药服务便函〔2021〕5号",123603]
[1988,"XA02BCL033A012020301563","2","兰索拉唑","","口服常释剂型","",2015162017,"兰索拉唑肠溶片","无","肠溶片","30mg","盒","21","铝塑","南京海辰药业股份有限公司",40.23,"修改（支付标准）","医药服务便函〔2021〕5号",162010]
[1989,"XA02BCL033B001010100796","2","兰索拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015153042,"注射用兰索拉唑","无","冻干粉针剂","30mg","瓶","1","玻璃瓶","上海上药新亚药业有限公司",26.33,"修改（支付标准）","医药服务便函〔2021〕5号",153045]
[1990,"XA02BCL033B001010101425","2","兰索拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2021143382,"注射用兰索拉唑","无","冻干粉针剂","30mg","瓶","1","西林瓶","江苏奥赛康药业有限公司",40.39,"修改（支付标准）","医药服务便函〔2021〕5号",143382]
[1991,"XA02BCL033B001010101645","2","兰索拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015155500,"注射用兰索拉唑","无","冻干粉针剂","30mg","瓶","1","玻璃瓶","江苏吴中医药集团有限公司苏州制药厂",24.97,"修改（支付标准）","医药服务便函〔2021〕5号",155498]
[1992,"XA02BCL033B001010101807","2","兰索拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020169521,"注射用兰索拉唑","无","冻干粉针剂","30mg","瓶","1","玻璃瓶","湖北荷普药业股份有限公司",20.86,"修改（支付标准）","医药服务便函〔2021〕5号",169521]
[1993,"XA02BCL033B001010103421","2","兰索拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2020169289,"注射用兰索拉唑","无","冻干粉针剂","30mg","盒","1","玻璃瓶","吉林省辉南长龙生化药业股份有限公司",21.01,"修改（支付标准）","医药服务便函〔2021〕5号",169289]
[1994,"XA02BCL033B001010104127","2","兰索拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015157405,"注射用兰索拉唑","无","冻干粉针剂","30mg","支","1","西林瓶","辰欣药业股份有限公司",25.2,"修改（支付标准）","医药服务便函〔2021〕5号",157403]
[1995,"XA02BCL033B001010104141","2","兰索拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2021115596,"注射用兰索拉唑","无","冻干粉针剂","30mg","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",56,"修改（支付标准）","医药服务便函〔2021〕5号",115596]
[1996,"XA02BCL033B014010100239","2","兰索拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015144881,"注射用兰索拉唑","无","冻干粉针剂","30mg","支","1","西林瓶","悦康药业集团股份有限公司",37.8,"修改（支付标准）","医药服务便函〔2021〕5号",144883]
[1997,"XA02BCL033E001010101841","2","兰索拉唑","","口服常释剂型","",2015111008,"兰索拉唑胶囊","无","肠溶胶囊(微丸型)","15mg","盒","7","铝箔","湖北潜龙药业有限公司",17.47,"修改（支付标准）","医药服务便函〔2021〕5号",111006]
[1998,"XA02BCL033E001010201841","2","兰索拉唑","","口服常释剂型","",2015111004,"兰索拉唑胶囊","无","肠溶胶囊(微丸型)","15mg","盒","14","铝箔","湖北潜龙药业有限公司",32.65,"修改（支付标准）","医药服务便函〔2021〕5号",111002]
[1999,"XA02BCL033E001010301841","2","兰索拉唑","","口服常释剂型","",2015162324,"兰索拉唑胶囊","无","肠溶胶囊(微丸型)","15mg","盒","21","铝箔","湖北潜龙药业有限公司",51.64,"修改（支付标准）","医药服务便函〔2021〕5号",162317]
[2005,"XA02BCL033E005010302277","2","兰索拉唑","","口服常释剂型","",2015125155,"兰索拉唑肠溶胶囊","无","肠溶胶囊","30mg","盒","7","铝塑","四川子仁制药有限公司",22.12,"修改（支付标准）","医药服务便函〔2021〕5号",125154]
[2010,"XA02BCL033E005020100620","2","兰索拉唑","","口服常释剂型","",2015145890,"兰索拉唑肠溶胶囊","无","肠溶胶囊(微丸型)","30mg","盒","7","铝箔","上海爱的发制药有限公司",22.97,"修改（支付标准）","医药服务便函〔2021〕5号",145889]
[2017,"XA02BCL043A012010102856","2","雷贝拉唑","","口服常释剂型","",2015100632,"雷贝拉唑钠肠溶片","无","肠溶片","20mg","盒","4","铝塑","晋城海斯制药有限公司",16.67,"修改（支付标准）","医药服务便函〔2021〕5号",100637]
[2025,"XA02BCL043A012010402135","2","雷贝拉唑","","口服常释剂型","",2015140639,"雷贝拉唑钠肠溶片","安斯菲","肠溶片","20mg","盒","7","铝箔","成都迪康药业股份有限公司",28.5,"修改（支付标准）","医药服务便函〔2021〕5号",140641]
[2028,"XA02BCL043A012010502135","2","雷贝拉唑","","口服常释剂型","",2015140640,"雷贝拉唑钠肠溶片","安斯菲","肠溶片","20mg","盒","10","铝箔","成都迪康药业股份有限公司",33.73,"修改（支付标准）","医药服务便函〔2021〕5号",140642]
[2034,"XA02BCL043E005010101453","2","雷贝拉唑","","口服常释剂型","",2015134800,"雷贝拉唑钠肠溶胶囊","济诺","肠溶胶囊","10mg","盒","6","铝箔","济川药业集团有限公司",24.26,"修改（支付标准）","医药服务便函〔2021〕5号",134804]
[2040,"XA02BCL043E005020100601","2","雷贝拉唑","","口服常释剂型","",2015113887,"雷贝拉唑钠肠溶胶囊","无","肠溶胶囊(微丸型)","20mg","盒","7","铝塑","珠海润都制药股份有限公司",43.72,"修改（支付标准）","医药服务便函〔2021〕5号",113885]
[2043,"XA02BCL043E005020300601","2","雷贝拉唑","","口服常释剂型","",2015161363,"雷贝拉唑钠肠溶胶囊","雨田青","肠溶胶囊(微丸型)","20mg","盒","4","铝塑","珠海润都制药股份有限公司",28.58,"修改（支付标准）","医药服务便函〔2021〕5号",161356]
[2052,"XA02BCP025A012010178687","2","泮托拉唑","","口服常释剂型","",2015147416,"泮托拉唑钠肠溶片","潘妥洛克","肠溶片","40mg","盒","7","双铝","德国Takeda GmbH production site Oranienburg",61.11,"修改（支付标准）","医药服务便函〔2021〕5号",147415]
[2054,"XA02BCP025A012010204942","2","泮托拉唑","","口服常释剂型","",2015154981,"泮托拉唑钠肠溶片","无","肠溶片","20mg","盒","14","铝箔","湖南九典制药股份有限公司",23.62,"修改（支付标准）","医药服务便函〔2021〕5号",154984]
[2059,"XA02BCP025B001010101284","2","泮托拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015117617,"注射用泮托拉唑钠","无","冻干粉针剂","80mg","支","1","玻璃瓶","辽宁诺维诺制药股份有限公司",11.98,"修改（支付标准）","医药服务便函〔2021〕5号",117620]
[2069,"XA02BCP025B001020101606","2","泮托拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2021101860,"注射用泮托拉唑钠","无","冻干粉针剂","80mg","瓶","1","玻璃瓶","南京正大天晴制药有限公司",15.92,"修改（支付标准）","医药服务便函〔2021〕5号",101860]
[2070,"XA02BCP025B001020104744","2","泮托拉唑","","注射剂","限有说明书标明的疾病诊断且有禁食医嘱或吞咽困难的患者",2015139088,"注射用泮托拉唑钠","无","冻干粉针剂","40mg","盒","1","配溶媒","浙江亚太药业股份有限公司",20.3,"修改（支付标准）","医药服务便函〔2021〕5号",139085]
[2078,"XA02BCP025E005010101751","2","泮托拉唑","","口服常释剂型","",2015137629,"泮托拉唑钠肠溶胶囊","无","肠溶胶囊(微丸型)","40mg","瓶","7","塑料瓶","永信药品工业(昆山)股份有限公司",21.4,"修改（支付标准）","医药服务便函〔2021〕5号",137626]
[2082,"XA02BCP025E005010200144","2","泮托拉唑","","口服常释剂型","",2015119457,"泮托拉唑钠肠溶胶囊","无","肠溶胶囊","40mg","盒","10","铝塑","华润双鹤药业股份有限公司",16.68,"修改（支付标准）","医药服务便函〔2021〕5号",119460]
[2088,"XA02BCP025E005020204520","2","泮托拉唑","","口服常释剂型","",2015156620,"泮托拉唑钠肠溶胶囊","泮立苏","肠溶胶囊(微丸型)","40mg","盒","14","铝塑","杭州中美华东制药有限公司",66.46,"修改（支付标准）","医药服务便函〔2021〕5号",156618]
[2095,"XA02BXL152X002010100290","2","硫糖铝","","口服液体剂","",2015115555,"硫糖铝口服混悬液","迪先","口服混悬剂","120ml:24g","瓶","1","塑料瓶","广东华南药业集团有限公司",16.62,"修改（支付标准）","医药服务便函〔2021〕5号",115558]
[2099,"XA02BXR065A001010204631","2","瑞巴派特","","口服常释剂型","",201513317,"瑞巴派特片","无","薄膜衣片","0.1g","盒","24","铝塑","浙江远力健药业有限责任公司",27.31,"修改（支付标准）","医药服务便函〔2021〕5号",102267]
[2104,"XA03AAQ101A006010104606","2","曲美布汀","","口服常释剂型","",2015135134,"马来酸曲美布汀分散片","尼为孚","分散片","0.1g","盒","20","铝塑","浙江昂利康制药股份有限公司",15.48,"修改（支付标准）","医药服务便函〔2021〕5号",135131]
[2111,"XA03AXE020A001010203227","2","二甲硅油","","口服常释剂型","",2015103974,"二甲硅油片","无","素片","25mg","瓶","100","塑料瓶","河南中杰药业有限公司",9.74,"修改（支付标准）","医药服务便函〔2021〕5号",103979]
[2113,"XA03AXE020X003010102166","2","二甲硅油","","口服液体剂","限胃肠镜检查和腹部影像学检查",2015157888,"二甲硅油乳剂","无","口服乳液","20ml:0.4g","瓶","1","塑料瓶","四川健能制药有限公司",59.4,"修改（支付标准）","医药服务便函〔2021〕5号",157886]
[2123,"XA03BAX232B002010103205","2","消旋山莨菪碱","","注射剂","",2015121603,"盐酸消旋山莨菪碱注射液","无","注射液","1ml:10mg","支","1","安瓿","国药集团容生制药有限公司",2.38,"修改（支付标准）","医药服务便函〔2021〕5号",121600]
[2124,"XA03BAX232B002010104494","2","消旋山莨菪碱","","注射剂","",2015135931,"盐酸消旋山莨菪碱注射液","无","注射液","1ml:10mg","支","1","安瓿","杭州民生药业有限公司",2.38,"修改（支付标准）","医药服务便函〔2021〕5号",135928]
[2130,"XA03FAD173A001010100041","1","多潘立酮","","口服常释剂型","",2015126998,"马来酸多潘立酮片","益动","素片","12.72mg(相当于多潘立酮10mg)","盒","30","铝塑","韩国韩美药品株式会社Hanmi Pharm. Co.,Ltd.<北京韩美药品有限公司>分包装",7.93,"修改（支付标准）","医药服务便函〔2021〕5号",126997]
[2139,"XA03FAD173A001010300453","1","多潘立酮","","口服常释剂型","",2015106023,"多潘立酮片","无","素片","10mg","盒","45","铝箔","丽珠集团丽珠制药厂",14.41,"修改（支付标准）","医药服务便函〔2021〕5号",106026]
[2141,"XA03FAD173E001010104043","1","多潘立酮","","口服常释剂型","",2015124373,"多潘立酮胶囊","无","硬胶囊剂","10mg","盒","30","铝箔","青岛黄海制药有限责任公司",8.74,"修改（支付标准）","医药服务便函〔2021〕5号",124370]
[2148,"XA03FAJ085B002010103141","1","甲氧氯普胺","","注射剂","",2015115352,"盐酸甲氧氯普胺注射液","无","注射液","1ml:10mg","支","1","安瓿","海南制药厂有限公司制药二厂",0.29,"修改（支付标准）","医药服务便函〔2021〕5号",115355]
[2153,"XA03FAJ085B002020103139","1","甲氧氯普胺","","注射剂","",2015161500,"盐酸甲氧氯普胺注射液","无","注射液","1ml:10mg","支","1","安瓿","开封制药(集团)有限公司",1.4,"修改（支付标准）","医药服务便函〔2021〕5号",161493]
[2157,"XA03FAM120A001010201444","1","莫沙必利","","口服常释剂型","",2015145343,"枸橼酸莫沙必利片","瑞琪","薄膜衣片","5mg","盒","24","铝塑","江苏豪森药业集团有限公司",11.06,"修改（支付标准）","医药服务便函〔2021〕5号",145342]
[2165,"XA03FAY063A001010100811","2","伊托必利","","口服常释剂型","",201511674,"盐酸伊托必利片","为力苏","薄膜衣片","50mg","盒","20","铝塑","日本MYLAN EPD G.K.,KATSUYAMA PLANT",32.8,"修改（支付标准）","医药服务便函〔2021〕5号",162517]
[2168,"XA03FAY063A006010103944","2","伊托必利","","口服常释剂型","",20156438,"盐酸伊托必利分散片","威太","分散片","50mg","盒","12","铝塑","迪沙药业集团有限公司",10.61,"修改（支付标准）","医药服务便函〔2021〕5号",121542]
[2177,"XA04AAA202A001020204021","1","昂丹司琼","","口服常释剂型","",2019165287,"盐酸昂丹司琼片","欧贝","薄膜衣片","8mg","盒","12","铝塑","齐鲁制药有限公司",201.36,"修改（支付标准）","医药服务便函〔2021〕5号",165287]
[2182,"XA04AAA202B002010104561","2","昂丹司琼","","注射剂","限放化疗且吞咽困难患者",2015138070,"盐酸昂丹司琼注射液","枢丹","注射液","2ml:4mg","支","1","安瓿","福安药业集团宁波天衡制药有限公司",18.43,"修改（支付标准）","医药服务便函〔2021〕5号",138067]
[2185,"XA04AAA202B002020103458","2","昂丹司琼","","注射剂","限放化疗且吞咽困难患者",2015124996,"盐酸昂丹司琼注射液","无","注射液","4ml:8mg","支","1","西林瓶","国药一心制药有限公司",11,"修改（支付标准）","医药服务便函〔2021〕5号",124993]
[2194,"XA04AAG064B002010104021","2","格拉司琼","","注射剂","限放化疗且吞咽困难患者",20158843,"盐酸格拉司琼注射液","无","注射液","3ml:3mg","支","1","安瓿","齐鲁制药有限公司",9.6,"修改（支付标准）","医药服务便函〔2021〕5号",113970]
[2200,"XA04AAP003B002010105847","2","帕洛诺司琼","","注射剂","限放化疗且吞咽困难患者的二线用药",20156951,"盐酸帕洛诺司琼注射液","无","注射液","5ml:0.25mg","支","1","安瓿","齐鲁制药(海南)有限公司",98.03,"修改（支付标准）","医药服务便函〔2021〕5号",113046]
[2201,"XA04AAP003B002010106155","2","帕洛诺司琼","","注射剂","限放化疗且吞咽困难患者的二线用药",2020170781,"盐酸帕洛诺司琼注射液","无","注射液","5ml:0.25mg","支","1","安瓿","辽宁海思科制药有限公司",37.73,"修改（支付标准）","医药服务便函〔2021〕5号",170781]
[2209,"XA04AAT122B002010101445","2","托烷司琼","","注射剂","限放化疗且吞咽困难患者",201512607,"盐酸托烷司琼注射液","维瑞特","注射液","5ml:5mg(以托烷司琼计)","瓶","1","安瓿","江苏恒瑞医药股份有限公司",18.49,"修改（支付标准）","医药服务便函〔2021〕5号",135821]
[2212,"XA04AAT122B002010104021","2","托烷司琼","","注射剂","限放化疗且吞咽困难患者",20157993,"盐酸托烷司琼注射液","欣贝","注射液","1ml:5mg(以托烷司琼计)","支","1","安瓿","齐鲁制药有限公司",31.2,"修改（支付标准）","医药服务便函〔2021〕5号",113956]
[2218,"XA04AAT122B014010104152","2","托烷司琼","","注射剂","限放化疗且吞咽困难患者",201511124,"注射用盐酸托烷司琼","无","冻干粉针剂","5mg(以托烷司琼计)","瓶","1","玻璃瓶","瑞阳制药有限公司",63.09,"修改（支付标准）","医药服务便函〔2021〕5号",110020]
[2224,"XA05AAX163E002010378995","1","熊去氧胆酸","","口服常释剂型","",2015132166,"熊去氧胆酸软胶囊","无","软胶囊(胶丸)","0.1g","盒","30","铝塑","韩国大熊制药株式会社Daewoong Pharmaceutical.Co.,Ltd.",121.41,"修改（支付标准）","医药服务便函〔2021〕5号",132170]
[2233,"XA05BAF632A001010103094","2","复方甘草甜素（复方甘草酸苷）","","口服常释剂型","",2015111083,"复方甘草酸苷片","无","糖衣片","甘草酸苷25mg,甘氨酸25mg,蛋氨酸25mg","盒","30","铝箔","乐普药业股份有限公司",20.03,"修改（支付标准）","医药服务便函〔2021〕5号",111081]
[2236,"XA05BAF632A001010305999","2","复方甘草甜素（复方甘草酸苷）","","口服常释剂型","",2015113823,"复方甘草酸苷片","无","薄膜衣片","甘草酸单铵盐(以甘草酸苷计)25mg,甘氨酸25mg,DL-甲硫氨酸25mg","盒","100","铝箔","新疆特丰药业股份有限公司",95,"修改（支付标准）","医药服务便函〔2021〕5号",113821]
[2244,"XA05BAF632B001030102049","2","复方甘草甜素（复方甘草酸苷）","","注射剂","限肝功能衰竭或无法使用甘草酸口服制剂的患者",2015118199,"注射用复方甘草酸苷","无","冻干粉针剂","甘草酸苷20mg,甘氨酸0.2g,盐酸半胱氨酸10mg","瓶","1","玻璃瓶","成都苑东生物制药股份有限公司",7.79,"修改（支付标准）","医药服务便函〔2021〕5号",118202]
[2248,"XA05BAF632B002010279084","2","复方甘草甜素（复方甘草酸苷）","","注射剂","限肝功能衰竭或无法使用甘草酸口服制剂的患者",2015129538,"复方甘草酸苷注射液","美能","注射液","20ml:甘草酸苷40mg,盐酸半胱氨酸20mg,甘氨酸0.4g","支","1","安瓿","日本Minophagen Pharmaceutical Co.,Ltd. Zama Factory<卫材(中国)药业有限公司>分包装",16.1,"修改（支付标准）","医药服务便函〔2021〕5号",129537]
[2253,"XA05BAF632E001010104232","2","复方甘草甜素（复方甘草酸苷）","","口服常释剂型","",2015106691,"复方甘草酸苷胶囊","无","硬胶囊剂","甘草酸苷25mg,甘氨酸25mg,DL-蛋氨酸25mg","盒","18","铝塑","潍坊中狮制药有限公司",12.42,"修改（支付标准）","医药服务便函〔2021〕5号",106694]
[2259,"XA05BAF632E001010704152","2","复方甘草甜素（复方甘草酸苷）","","口服常释剂型","",2015156475,"复方甘草酸苷胶囊","无","硬胶囊剂","甘草酸苷25mg,甘氨酸25mg,蛋氨酸25mg","盒","45","铝塑","瑞阳制药有限公司",44.59,"修改（支付标准）","医药服务便函〔2021〕5号",156473]
[2262,"XA05BAG021B002010101523","2","甘草酸二铵","","注射剂","限肝功能衰竭或无法使用甘草酸口服制剂的患者",2015118568,"甘草酸二铵注射液","甘利欣","注射液","10ml:50mg","支","1","安瓿","正大天晴药业集团股份有限公司",3.08,"修改（支付标准）","医药服务便函〔2021〕5号",118571]
[2271,"XA05BAG145B002010103282","2","甘草酸单铵半胱氨酸氯化钠","","注射剂","限肝功能衰竭或无法使用甘草酸口服制剂的患者。",2019152827,"甘草酸单铵半胱氨酸氯化钠注射液","无","注射液","100ml","瓶","1","玻璃瓶","弘和制药有限公司",40,"修改（支付标准）","医药服务便函〔2021〕5号",152827]
[2272,"XA05BAG145B002020103282","2","甘草酸单铵半胱氨酸氯化钠","","注射剂","限肝功能衰竭或无法使用甘草酸口服制剂的患者。",2019153761,"甘草酸单铵半胱氨酸氯化钠注射液","无","注射液","250ml","瓶","1","玻璃瓶","弘和制药有限公司",81.16,"修改（支付标准）","医药服务便函〔2021〕5号",153761]
[2279,"XA05BAH032B001070101066","2","还原型谷胱甘肽（谷胱甘肽）","","注射剂","限药物性肝损伤或肝功能衰竭",2015108025,"注射用谷胱甘肽","阿拓莫兰","冻干粉针剂","1.8g","瓶","1","玻璃瓶","重庆药友制药有限责任公司",35.07,"修改（支付标准）","医药服务便函〔2021〕5号",108028]
[2283,"XA05BAH112B001010101066","2","还原型谷胱甘肽（谷胱甘肽）","","注射剂","限药物性肝损伤或肝功能衰竭",2015107986,"注射用谷胱甘肽","阿拓莫兰","冻干粉针剂","0.3g","瓶","1","玻璃瓶","重庆药友制药有限责任公司",8.7,"修改（支付标准）","医药服务便函〔2021〕5号",107989]
[2288,"XA05BAL080H002010200190","1","联苯双酯","","滴丸剂","",2015100852,"联苯双酯滴丸","无","滴丸","1.5mg","瓶","500","塑料瓶","北京协和药厂",8.09,"修改（支付标准）","医药服务便函〔2021〕5号",100857]
[2295,"XA05BAL139B014010100239","2","硫普罗宁","","注射剂","",201511352,"注射用硫普罗宁","无","冻干粉针剂","0.1g","盒","1","配溶媒","悦康药业集团股份有限公司",7.45,"修改（支付标准）","医药服务便函〔2021〕5号",145071]
[2303,"XA05BAP070A001010100267","2","葡醛内酯","","口服常释剂型","",2015160323,"葡醛内酯片","无","素片","0.1g","瓶","100","塑料瓶","广东邦民制药厂有限公司",8.11,"修改（支付标准）","医药服务便函〔2021〕5号",160316]
[2307,"XA05BAP070A001010102968","2","葡醛内酯","","口服常释剂型","",2015124784,"葡醛内酯片","无","素片","0.1g","瓶","100","塑料瓶","云鹏医药集团有限公司",7.7,"修改（支付标准）","医药服务便函〔2021〕5号",124781]
[2314,"XA05BAS114A001010100190","2","双环醇","","口服常释剂型","",2015100710,"双环醇片","百赛诺","薄膜衣片","50mg","盒","18","铝塑","北京协和药厂",110.42,"修改（支付标准）","医药服务便函〔2021〕5号",100715]
[2319,"XA05BAY144B002010101523","2","异甘草酸镁","","注射剂","限肝功能衰竭或无法使用甘草酸口服制剂的患者",20159891,"异甘草酸镁注射液","天晴甘美","注射液","10ml:50mg","支","1","安瓿","正大天晴药业集团股份有限公司",27.91,"修改（支付标准）","医药服务便函〔2021〕5号",118704]
[2323,"XA06ACJ197A001010204187","2","聚卡波非钙","","口服常释剂型","▲",2020156651,"聚卡波非钙片","无","薄膜衣片","0.5g","瓶","30","塑料瓶","山东新华制药股份有限公司",100.2,"修改（支付标准）","医药服务便函〔2021〕5号",156651]
[2330,"XA06ADJ160P001010104929","1","聚乙二醇","","口服散剂","",2019101686,"聚乙二醇4000散","润可隆","散剂","10g","盒","10","复合膜","湖南华纳大药厂股份有限公司",22.4,"修改（支付标准）","医药服务便函〔2021〕5号",101686]
[2332,"XA06ADJ160P001010201954","1","聚乙二醇","","口服散剂","",2020111933,"聚乙二醇4000散","无","散剂","10g","盒","10","复合膜","马应龙药业集团股份有限公司",7.39,"修改（支付标准）","医药服务便函〔2021〕5号",111933]
[2342,"XA06AGK031S003010101978","1","开塞露（甘油）","","灌肠剂","",2015143306,"开塞露(含甘油)","无","灌肠剂","10ml","支","1","塑料瓶","武汉五景药业有限公司",1.87,"修改（支付标准）","医药服务便函〔2021〕5号",143308]
[2347,"XA06AGK031S004020104358","1","开塞露","","外用液体剂","",2015133452,"开塞露(含甘油)","无","溶液剂","20ml","支","1","塑料瓶","福元药业有限公司",1.07,"修改（支付标准）","医药服务便函〔2021〕5号",133456]
[2349,"XA06AGK111S004010100443","1","开塞露（甘油）","","外用液体剂","",2015154912,"开塞露(含甘油)","无","溶液剂","10ml","支","1","塑料瓶","广东恒健制药有限公司",1.8,"修改（支付标准）","医药服务便函〔2021〕5号",154915]
[2358,"XA06AXP121A001010101444","2","普芦卡必利","","口服常释剂型","不限",2020165242,"琥珀酸普芦卡必利片","无","薄膜衣片","1.0mg","盒","7","铝塑","江苏豪森药业集团有限公司",14.96,"修改（支付标准）","医药服务便函〔2021〕5号",165242]
[2361,"XA06AXP121A001020201444","2","普芦卡必利","","口服常释剂型","不限",2020171155,"琥珀酸普芦卡必利片","无","薄膜衣片","2.0mg","盒","14","铝塑","江苏豪森药业集团有限公司",49.59,"修改（支付标准）","医药服务便函〔2021〕5号",171155]
[2366,"XA07AXX082A001010104043","1","小檗碱","","口服常释剂型","",2015124342,"盐酸小檗碱片","无","素片","0.1g","瓶","100","塑料瓶","青岛黄海制药有限责任公司",5.9,"修改（支付标准）","医药服务便函〔2021〕5号",124339]
[2375,"XA07BCM081P001010204636","1","蒙脱石","","口服散剂","",2019138589,"蒙脱石散","肯特令","散剂","3g","盒","12","复合膜","浙江仟源海力生制药有限公司",3.95,"修改（支付标准）","医药服务便函〔2021〕5号",138589]
[2378,"XA07BCM081P001010402264","1","蒙脱石","","口服散剂","",2017163496,"蒙脱石散","无","散剂","3g","盒","15","铝塑","四川维奥制药有限公司",18.48,"修改（支付标准）","医药服务便函〔2021〕5号",163496]
[2384,"XA07CAB163P001010180214","1","补液盐Ⅰ\n补液盐Ⅱ\n补液盐Ⅲ","","口服散剂","",2019166135,"口服补液盐散（Ⅲ）","无","散剂","5.125g","盒","6","复合膜","厦门恩成制药有限公司",28.2,"修改（支付标准）","医药服务便函〔2021〕5号",166135]
[2390,"XA07DAL281E001010200680","1","洛哌丁胺","","口服常释剂型","",2015158638,"盐酸洛哌丁胺胶囊","无","硬胶囊剂","2mg","盒","12","铝箔","上海信谊天平药业有限公司",4,"修改（支付标准）","医药服务便函〔2021〕5号",158636]
[2393,"XA07ECL157A012010200661","1","柳氮磺吡啶","","口服常释剂型","",2015135149,"柳氮磺吡啶肠溶片","无","肠溶片","0.25g","盒","60","铝塑","上海福达制药有限公司",14.3,"修改（支付标准）","医药服务便函〔2021〕5号",135146]
[2401,"XA07ECM053A012010103810","2","美沙拉秦（美沙拉嗪）","","口服常释剂型","",2015110629,"美沙拉嗪肠溶片","惠迪","肠溶片","0.25g","盒","24","复合膜","葵花药业集团佳木斯鹿灵制药有限公司",31.16,"修改（支付标准）","医药服务便函〔2021〕5号",110627]
[2408,"XA07FAD090E001010301161","2","地衣芽孢杆菌活菌","","口服常释剂型","",2015119027,"地衣芽孢杆菌活菌胶囊","整肠生","硬胶囊剂","0.25g(2.5亿活菌)","瓶","36","塑料瓶","东北制药集团沈阳第一制药有限公司",29.78,"修改（支付标准）","医药服务便函〔2021〕5号",119030]
[2413,"XA07FAD090N001010301161","2","地衣芽孢杆菌活菌","","颗粒剂","",2015130819,"地衣芽孢杆菌活菌颗粒","整肠生","颗粒剂","0.5g(5亿活菌)","盒","6","铝塑","东北制药集团沈阳第一制药有限公司",11.74,"修改（支付标准）","医药服务便函〔2021〕5号",130812]
[2417,"XA07FAF604E005010201468","2","缓解消化道不适症状的复方OTC制剂","","","◇；▲",20156113,"复合乳酸菌肠溶胶囊","聚克","肠溶胶囊","0.33g","盒","12","铝塑","江苏美通制药有限公司",21.38,"修改（支付标准）","医药服务便函〔2021〕5号",146540]
[2420,"XA07FAS129E001010100453","2","双歧杆菌活菌","","口服常释剂型","▲",20151407,"双歧杆菌活菌胶囊","丽珠肠乐","硬胶囊剂","0.35g(含0.5亿活菌)","盒","10","铝箔","丽珠集团丽珠制药厂",11.43,"修改（支付标准）","医药服务便函〔2021〕5号",105115]
[2428,"XA07FAS233E005010202856","2","双歧杆菌三联活菌","","口服常释剂型","",2015100482,"双歧杆菌三联活菌肠溶胶囊","无","肠溶胶囊","0.21g","盒","24","铝箔","晋城海斯制药有限公司",20.55,"修改（支付标准）","医药服务便函〔2021〕5号",100487]
[2432,"XA07XAX061A001010200237","2","消旋卡多曲","","口服常释剂型","",2020124739,"消旋卡多曲片","莫尼卡","素片","30mg","盒","20","铝塑","扬子江药业集团北京海燕药业有限公司",31.4,"修改（支付标准）","医药服务便函〔2021〕5号",124739]
[2437,"XA07XAX061N001010402120","2","消旋卡多曲","","颗粒剂","",2015123844,"消旋卡多曲颗粒","杜拉宝","颗粒剂","10mg","盒","18","复合膜","四川百利药业有限责任公司",30.42,"修改（支付标准）","医药服务便函〔2021〕5号",123837]
[2443,"XA09AAM107A001010179540","2","米曲菌胰酶","","口服常释剂型","",2021171639,"米曲菌胰酶片","慷彼申","肠溶片","米曲菌霉24mg与胰酶0.22g","盒","20","铝塑","德国NORDMARK ARZNEIMITTEL GmbH & Co. KG<康哲(湖南)制药有限公司>分包装",38.8,"修改（支付标准）","医药服务便函〔2021〕5号",171639]
[2452,"XA10ABL029B002020178403","2","赖脯胰岛素","","注射剂","限1型糖尿病患者；限其他短效胰岛素或口服药难以控制的2型糖尿病患者",2015142213,"赖脯胰岛素注射液","优泌乐","注射液","3ml:300单位","盒","1","预充式(预灌封)注射器","法国Lilly France",80.28,"修改（支付标准）","医药服务便函〔2021〕5号",142215]
[2455,"XA10ABY100B002010201729","1","胰岛素","","注射剂","",2015142059,"胰岛素注射液","无","注射液","10ml:400IU","支","1","玻璃瓶","江苏万邦生化医药集团有限责任公司",33.15,"修改（支付标准）","医药服务便函〔2021〕5号",142061]
[2461,"XA10ADD335B002010107103","2","德谷门冬双胰岛素","","注射剂","限其他胰岛素或口服药难以控制的2型糖尿病患者。",2021171729,"德谷门冬双胰岛素注射液","诺和佳","注射液","3ml:300单位(笔芯)","盒","1","笔芯","丹麦诺和诺德公司Novo Nordisk A/S",78,"修改（支付标准）","医药服务便函〔2021〕5号",171729]
[2463,"XA10ADI005B002010103546","1","50/50混合重组人胰岛素","","注射剂","",2015117193,"50/50混合重组人胰岛素注射液","甘舒霖50R","注射用混悬剂","3ml:300IU","支","1","笔芯","通化东宝药业股份有限公司",46.6,"修改（支付标准）","医药服务便函〔2021〕5号",117196]
[2472,"XA10ADJ140B002020103687","1","精蛋白重组人胰岛素(预混30/70)","","注射剂","",2020147030,"精蛋白重组人胰岛素注射液(预混30/70)","重和林 M30","注射用混悬剂","3ml:300IU","支","1","笔芯","波兰BIOTON S.A.",46.95,"修改（支付标准）","医药服务便函〔2021〕5号",147030]
[2478,"XA10ADM147B002010107103","2","门冬胰岛素50","","注射剂","限1型糖尿病患者；限其他短效胰岛素或口服药难以控制的2型糖尿病患者",2020168465,"门冬胰岛素50注射液","诺和锐50","注射用混悬剂","3ml:300单位","支","1","特充","丹麦诺和诺德公司Novo Nordisk A/S",86.53,"修改（支付标准）","医药服务便函〔2021〕5号",168465]
[2484,"XA10AEG025B002020181708","2","甘精胰岛素","","注射剂","限1型糖尿病患者；限中长效胰岛素难以控制的2型糖尿病患者",2020171337,"甘精胰岛素注射液","无","注射液","3ml:300单位","盒","1","预充式(预灌封)注射器","赛诺菲(北京)制药有限公司",184.4,"修改（支付标准）","医药服务便函〔2021〕5号",171337]
[2489,"XA10BAE021A001010101493","1","二甲双胍","","口服常释剂型","",2015139972,"盐酸二甲双胍片","无","薄膜衣片","0.25g","瓶","48","塑料瓶","江苏苏中药业集团股份有限公司",2.8,"修改（支付标准）","医药服务便函〔2021〕5号",139969]
[2491,"XA10BAE021A001010104021","1","二甲双胍","","口服常释剂型","",2015114451,"盐酸二甲双胍片","无","薄膜衣片","0.25g","瓶","48","塑料瓶","齐鲁制药有限公司",4.74,"修改（支付标准）","医药服务便函〔2021〕5号",114449]
[2498,"XA10BAE021A001010203944","1","二甲双胍","","口服常释剂型","",2020121492,"盐酸二甲双胍片","无","薄膜衣片","0.25g","盒","96","铝塑","迪沙药业集团有限公司",16,"修改（支付标准）","医药服务便函〔2021〕5号",121492]
[2503,"XA10BAE021A001020102770","1","二甲双胍","","口服常释剂型","",2017163512,"盐酸二甲双胍片","无","薄膜衣片","0.85g","盒","20","铝塑","石药集团欧意药业有限公司",26,"修改（支付标准）","医药服务便函〔2021〕5号",163512]
[2507,"XA10BAE021A010010202770","2","二甲双胍\n二甲双胍Ⅱ","","缓释控释剂型","",2020166217,"盐酸二甲双胍缓释片","无","缓释片","0.5g","瓶","30","塑料瓶","石药集团欧意药业有限公司",24.9,"修改（支付标准）","医药服务便函〔2021〕5号",166217]
[2514,"XA10BAE021A010010380463","2","二甲双胍\n二甲双胍Ⅱ","","缓释控释剂型","",2019165970,"盐酸二甲双胍缓释片","无","缓释片","0.5g","盒","30","铝塑","广东赛康制药厂有限公司",31.64,"修改（支付标准）","医药服务便函〔2021〕5号",165970]
[2522,"XA10BAE021A010020206632","2","二甲双胍/n二甲双胍Ⅱ","","缓释控释剂型","",2015142461,"盐酸二甲双胍缓释片","无","缓释片","0.5g","盒","30","铝塑","江苏德源药业股份有限公司",18.99,"修改（支付标准）","医药服务便函〔2021〕5号",142463]
[2526,"XA10BAE021A012010200062","1","二甲双胍","","口服常释剂型","",2015155870,"盐酸二甲双胍肠溶片","无","肠溶片","0.25g","瓶","100","塑料瓶","北京京丰制药集团有限公司",21.53,"修改（支付标准）","医药服务便函〔2021〕5号",155868]
[2531,"XA10BAE021A012010402662","1","二甲双胍","","口服常释剂型","",2015113162,"盐酸二甲双胍肠溶片","君士达新","肠溶片","0.25g","瓶","100","塑料瓶","河北天成药业股份有限公司",9.55,"修改（支付标准）","医药服务便函〔2021〕5号",113160]
[2538,"XA10BAE021A012030205530","1","二甲双胍","","口服常释剂型","",2015131646,"盐酸二甲双胍肠溶片","无","肠溶片","0.85g","瓶","60","塑料瓶","贵州天安药业股份有限公司",29.98,"修改（支付标准）","医药服务便函〔2021〕5号",131650]
[2542,"XA10BAE021E001010101376","1","二甲双胍","","口服常释剂型","",2015137017,"盐酸二甲双胍胶囊","三肖平","硬胶囊剂","0.25g","盒","48","铝塑","常州兰陵制药有限公司",22.45,"修改（支付标准）","医药服务便函〔2021〕5号",137014]
[2550,"XA10BAE066A010010101013","2","二甲双胍\n二甲双胍Ⅱ","","缓释控释剂型","",2020160306,"盐酸二甲双胍缓释片(Ⅱ)","都乐宁","缓释片","0.5g","盒","10","铝塑","重庆康刻尔制药有限公司",21.6,"修改（支付标准）","医药服务便函〔2021〕5号",160306]
[2555,"XA10BBG065A001010102968","1","格列本脲","","口服常释剂型","",2015125035,"格列本脲片","无","素片","2.5mg","瓶","100","塑料瓶","云鹏医药集团有限公司",3.16,"修改（支付标准）","医药服务便函〔2021〕5号",125034]
[2559,"XA10BBG067A001010104131","1","格列吡嗪","","口服常释剂型","",2015122691,"格列吡嗪片","无","素片","5mg","盒","30","铝塑","山东鲁抗医药集团赛特有限责任公司",5.6,"修改（支付标准）","医药服务便函〔2021〕5号",122688]
[2562,"XA10BBG067A001010200951","1","格列吡嗪","","口服常释剂型","",2015125632,"格列吡嗪片","捷贝","素片","2.5mg","盒","80","铝箔","天津药物研究院药业有限责任公司",12,"修改（支付标准）","医药服务便函〔2021〕5号",125631]
[2568,"XA10BBG067A006010180517","1","格列吡嗪","","口服常释剂型","",2015109134,"格列吡嗪分散片","元坦","分散片","5mg","盒","40","铝塑","山东华素制药有限公司",18.98,"修改（支付标准）","医药服务便函〔2021〕5号",109137]
[2574,"XA10BBG067A011010300044","2","格列吡嗪","","缓释控释剂型","",2021171679,"格列吡嗪控释片","无","控释片","5mg","盒","28","铝箔","北京红林制药有限公司",35,"修改（支付标准）","医药服务便函〔2021〕5号",171679]
[2583,"XA10BBG069A001010100231","1","格列美脲","","口服常释剂型","",2015102379,"格列美脲片","亚莫利","素片","2mg","盒","15","铝塑","赛诺菲(北京)制药有限公司",49.28,"修改（支付标准）","医药服务便函〔2021〕5号",102384]
[2585,"XA10BBG069A001010104187","1","格列美脲","","口服常释剂型","",2015109201,"格列美脲片","佳和洛","素片","1mg","盒","10","铝塑","山东新华制药股份有限公司",13.79,"修改（支付标准）","医药服务便函〔2021〕5号",109204]
[2592,"XA10BBG069A001010300771","1","格列美脲","","口服常释剂型","",2015148631,"格列美脲片","阿茉立","素片","2.0mg","盒","20","铝塑","上海天赐福生物工程有限公司",25.37,"修改（支付标准）","医药服务便函〔2021〕5号",148630]
[2597,"XA10BBG069A001010400771","1","格列美脲","","口服常释剂型","",2015148632,"格列美脲片","阿茉立","素片","2mg","盒","30","铝塑","上海天赐福生物工程有限公司",37.5,"修改（支付标准）","医药服务便函〔2021〕5号",148631]
[2601,"XA10BBG069A001020201729","1","格列美脲","","口服常释剂型","",2015141778,"格列美脲片","万苏平","素片","2mg","盒","12","铝塑","江苏万邦生化医药集团有限责任公司",8.51,"修改（支付标准）","医药服务便函〔2021〕5号",141780]
[2609,"XA10BBG069A006020202777","1","格列美脲","","口服常释剂型","",2015148299,"格列美脲分散片","无","分散片","2mg","盒","30","复合膜","石药集团欧意药业有限公司",46.83,"修改（支付标准）","医药服务便函〔2021〕5号",148298]
[2612,"XA10BBG070A001010100785","1","格列齐特/n格列齐特Ⅱ","","口服常释剂型","",2015134816,"格列齐特片","无","素片","40mg","盒","40","铝箔","上海现代制药股份有限公司",5.32,"修改（支付标准）","医药服务便函〔2021〕5号",134820]
[2621,"XA10BBG070A010010102031","2","格列齐特","","缓释控释剂型","",2015112758,"格列齐特缓释片","无","缓释片","30mg","盒","30","铝塑","成都恒瑞制药有限公司",18.8,"修改（支付标准）","医药服务便函〔2021〕5号",112756]
[2627,"XA10BBG070A010010201444","2","格列齐特","","缓释控释剂型","",2015145344,"格列齐特缓释片","无","缓释片","30mg","盒","30","铝塑","江苏豪森药业集团有限公司",16.46,"修改（支付标准）","医药服务便函〔2021〕5号",145343]
[2632,"XA10BBG070A010010400177","2","格列齐特","","缓释控释剂型","",2015133790,"格列齐特缓释片","无","缓释片","30mg","盒","60","铝塑","北京福元医药股份有限公司",36.88,"修改（支付标准）","医药服务便函〔2021〕5号",133794]
[2633,"XA10BBG070A010010402968","2","格列齐特","","缓释控释剂型","",2015152965,"格列齐特缓释片","无","缓释片","30mg","盒","60","铝塑","云鹏医药集团有限公司",16.29,"修改（支付标准）","医药服务便函〔2021〕5号",152968]
[2638,"XA10BBG070E003010104478","2","格列齐特","","缓释控释剂型","",2015101506,"格列齐特缓释胶囊","无","缓释胶囊","30mg","盒","30","铝塑","杭州国光药业股份有限公司",29.57,"修改（支付标准）","医药服务便函〔2021〕5号",101511]
[2645,"XA10BBG163A001010104658","1","格列齐特/n格列齐特Ⅱ","","口服常释剂型","",2015137314,"格列齐特片(Ⅱ)","无","素片","80mg","盒","60","铝塑","浙江京新药业股份有限公司",16.69,"修改（支付标准）","医药服务便函〔2021〕5号",137311]
[2653,"XA10BDE023A001010104394","2","二甲双胍格列吡嗪","","口服常释剂型","",2020144971,"二甲双胍格列吡嗪片","无","薄膜衣片","盐酸二甲双胍0.25g,格列吡嗪2.5mg","盒","12","铝塑","合肥立方制药股份有限公司",20.63,"修改（支付标准）","医药服务便函〔2021〕5号",144971]
[2656,"XA10BDE023E001010101704","2","二甲双胍格列吡嗪","","口服常释剂型","",2020168556,"二甲双胍格列吡嗪胶囊","无","硬胶囊剂","盐酸二甲双胍0.25g,格列吡嗪2.5mg","盒","10","铝箔","无锡福祈制药有限公司",28.77,"修改（支付标准）","医药服务便函〔2021〕5号",168556]
[2662,"XA10BDR078A001010201444","2","瑞格列奈二甲双胍Ⅰ\n瑞格列奈二甲双胍Ⅱ","","口服常释剂型","",2020169978,"瑞格列奈二甲双胍片(Ⅰ)","无","薄膜衣片","瑞格列奈1.0mg,盐酸二甲双胍0.5g","盒","30","铝塑","江苏豪森药业集团有限公司",40,"修改（支付标准）","医药服务便函〔2021〕5号",169978]
[2668,"XA10BFA025A001010200002","1","阿卡波糖","","口服常释剂型","",2015152126,"阿卡波糖片","拜唐苹","素片","0.1g","盒","30","铝塑","拜耳医药保健有限公司",32.64,"修改（支付标准）","医药服务便函〔2021〕5号",152129]
[2673,"XA10BFA025A005010204520","2","阿卡波糖","","咀嚼片","",2019166565,"阿卡波糖咀嚼片","无","咀嚼片","50mg","盒","60","铝塑","杭州中美华东制药有限公司",27.9,"修改（支付标准）","医药服务便函〔2021〕5号",166565]
[2680,"XA10BFF058A006010101427","2","伏格列波糖","","口服常释剂型","",201512053,"伏格列波糖分散片","无","分散片","0.2mg","盒","30","铝塑","江苏晨牌药业集团股份有限公司",34.82,"修改（支付标准）","医药服务便函〔2021〕5号",144980]
[2682,"XA10BFF058E001020204127","2","伏格列波糖","","口服常释剂型","",20157985,"伏格列波糖胶囊","无","硬胶囊剂","0.2mg","盒","30","铝塑","辰欣药业股份有限公司",33.85,"修改（支付标准）","医药服务便函〔2021〕5号",134900]
[2692,"XA10BGB091A001020106632","2","吡格列酮","","口服常释剂型","",2015142458,"盐酸吡格列酮片","无","薄膜衣片","30mg","盒","7","铝塑","江苏德源药业股份有限公司",17.5,"修改（支付标准）","医药服务便函〔2021〕5号",142460]
[2697,"XA10BGB091A006010105530","2","吡格列酮","","口服常释剂型","",2015131667,"盐酸吡格列酮分散片","无","分散片","30mg","盒","7","铝塑","贵州天安药业股份有限公司",15.42,"修改（支付标准）","医药服务便函〔2021〕5号",131671]
[2703,"XA10BGB091E001010400320","2","吡格列酮","","口服常释剂型","",2015145194,"盐酸吡格列酮胶囊","","硬胶囊剂","15mg","盒","14","铝塑","广东罗特制药有限公司",17.57,"修改（支付标准）","医药服务便函〔2021〕5号",145193]
[2706,"XA10BGL261A001010104129","2","罗格列酮","","口服常释剂型","",201538100,"酒石酸罗格列酮片","无","素片","4mg","盒","7","铝塑","山东鲁抗医药股份有限公司",9.4,"修改（支付标准）","医药服务便函〔2021〕5号",113335]
[2710,"XA10BGL261A006010104658","2","罗格列酮","","口服常释剂型","",20152011137870,"酒石酸罗格列酮分散片","无","分散片","4mg","盒","6","铝塑","浙江京新药业股份有限公司",7.65,"修改（支付标准）","医药服务便函〔2021〕5号",137241]
[2715,"XA10BHS231A001010101523","2","沙格列汀","","口服常释剂型","限二线用药",2020171170,"沙格列汀片","无","薄膜衣片","5mg","盒","7","双铝","正大天晴药业集团股份有限公司",45,"修改（支付标准）","医药服务便函〔2021〕5号",171170]
[2722,"XA10BHW104A001010200111","2","维格列汀","","口服常释剂型","不限",2020171147,"维格列汀片","无","素片","50mg","盒","20","双铝","华润赛科药业有限责任公司",19,"修改（支付标准）","医药服务便函〔2021〕5号",171147]
[2727,"XA10BJA085B002010179096","2","艾塞那肽","","注射剂","限二甲双胍等口服降糖药或胰岛素控制效果不佳的BMI≥25的患者，首次处方时需由二级及以上医疗机构专科医师开具处方。",201514151,"艾塞那肽注射液","百泌达","注射液","10μg(0.25mg/ml,2.4ml/支)","支","1","预充式(预灌封)注射器","美国Baxter Pharmaceutical Solutions LLC",408,"修改（支付标准）","医药服务便函〔2021〕5号",147293]
[2732,"XA10BJJ237B002020101444","2","聚乙二醇洛塞那肽","","注射剂","限二甲双胍等口服降糖药或胰岛素控制效果不佳的BMI≥25的患者，首次处方时需由二级及以上医疗机构专科医师开具处方。",2019165852,"聚乙二醇洛塞那肽注射液","孚来美","注射液","0.5ml:0.2mg","支","1","玻璃瓶","江苏豪森药业集团有限公司",187,"修改（支付标准）","医药服务便函〔2021〕5号",165852]
[2739,"XA10BKE079A001010180023","2","恩格列净","","口服常释剂型","限二线用药。",2019165237,"恩格列净片","欧唐静","薄膜衣片","10mg","盒","10","铝塑","德国勃林格殷格翰药业公司Boehringer Ingelheim Pharma GmbH & Co KG(<上海勃林格殷格翰药业有限公司>分包装)",42.4,"修改（支付标准）","医药服务便函〔2021〕5号",165237]
[2743,"XA10BKK130A001020178537","2","卡格列净","","口服常释剂型","限二线用药。",2019163452,"卡格列净片","怡可安","薄膜衣片","0.3g(以卡格列净无水物计)","盒","10","铝箔","意大利Janssen Cilag S.p.A.",94.6,"修改（支付标准）","医药服务便函〔2021〕5号",163452]
[2751,"XA10BXR068A001010109609","2","瑞格列奈","","口服常释剂型","",2015151708,"瑞格列奈片","无","素片","1.0mg","盒","30","铝塑","天津市康瑞药业有限公司",25.31,"修改（支付标准）","医药服务便函〔2021〕5号",151711]
[2758,"XA10BXR068A001020200177","2","瑞格列奈","","口服常释剂型","",2015149011,"瑞格列奈片","无","素片","1.0mg","盒","30","铝塑","北京福元医药股份有限公司",7.18,"修改（支付标准）","医药服务便函〔2021〕5号",149010]
[2763,"XA10BXR068A006010101444","2","瑞格列奈","","口服常释剂型","",2015155142,"瑞格列奈分散片","无","分散片","0.5mg","盒","30","铝塑","江苏豪森药业集团有限公司",16.43,"修改（支付标准）","医药服务便函〔2021〕5号",155140]
[2767,"XA10XXL154B001020104251","2","硫辛酸","","注射剂","限有明确神经电生理检查证据的痛性糖尿病外周神经病变诊断的患者",2015145602,"注射用硫辛酸","无","冻干粉针剂","0.3g","瓶","1","玻璃瓶","福安药业集团烟台只楚药业有限公司",63.46,"修改（支付标准）","医药服务便函〔2021〕5号",145601]
[2774,"XA10XXL154B002010501066","2","硫辛酸","","注射剂","限有明确神经电生理检查证据的痛性糖尿病外周神经病变诊断的患者",2015108193,"硫辛酸注射液","无","注射液","6ml:0.15g","支","1","安瓿","重庆药友制药有限责任公司",24.83,"修改（支付标准）","医药服务便函〔2021〕5号",108196]
[2776,"XA11CBW032X004010104052","2","维生素AD","","口服液体剂","限夜盲症、儿童佝偻病",2015149524,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","50","铝塑","青岛双鲸药业股份有限公司",18.38,"修改（支付标准）","医药服务便函〔2021〕5号",149523]
[2781,"XA11CBW032X004010301131","2","维生素AD","","口服液体剂","限夜盲症、儿童佝偻病",2015126029,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","30","铝塑","大连水产药业有限公司",20.4,"修改（支付标准）","医药服务便函〔2021〕5号",126028]
[2791,"XA11CBW032X004020304873","2","维生素AD","","口服液体剂","限夜盲症、儿童佝偻病",2015148139,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","36","铝塑","国药控股星鲨制药(厦门)有限公司",18.6,"修改（支付标准）","医药服务便函〔2021〕5号",148138]
[2793,"XA11CBW032X004030101564","2","维生素AD","","口服液体剂","限夜盲症、儿童佝偻病",2015106833,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","24","铝塑","南京海鲸药业有限公司",15.83,"修改（支付标准）","医药服务便函〔2021〕5号",106836]
[2802,"XA11CBW032X004040204354","2","维生素AD","","口服液体剂","限夜盲症、儿童佝偻病",2015161120,"维生素AD滴剂(胶囊型)","无","滴剂","VA1500IU:VD500IU","盒","30","铝塑","安徽威尔曼制药有限公司",38.44,"修改（支付标准）","医药服务便函〔2021〕5号",161113]
[2805,"XA11CBW032X004040304873","2","维生素AD","","口服液体剂","限夜盲症、儿童佝偻病",2015148138,"维生素AD滴剂(胶囊型)","无","滴剂","VA2000IU:VD700IU","盒","36","铝塑","国药控股星鲨制药(厦门)有限公司",21.15,"修改（支付标准）","医药服务便函〔2021〕5号",148137]
[2811,"XA11CCA017A001020101066","2","阿法骨化醇","","口服常释剂型","限中、重度骨质疏松；肾性骨病；甲状旁腺功能减退症",2017108151,"阿法骨化醇片","立庆","素片","0.5μg","盒","10","铝塑","重庆药友制药有限责任公司",26,"修改（支付标准）","医药服务便函〔2021〕5号",108151]
[2816,"XA11CCA017E002010100423","2","阿法骨化醇","","口服常释剂型","限中、重度骨质疏松；肾性骨病；甲状旁腺功能减退症",2015111876,"阿法骨化醇胶丸","奥司惠","软胶囊(胶丸)","0.25μg","盒","20","双铝","广州白云山星群(药业)股份有限公司",15,"修改（支付标准）","医药服务便函〔2021〕5号",111874]
[2822,"XA11CCA017E002020105580","2","阿法骨化醇","","口服常释剂型","限中、重度骨质疏松；肾性骨病；甲状旁腺功能减退症",2015128406,"阿法骨化醇软胶囊","阿法迪三","软胶囊(胶丸)","1.0μg","盒","10","双铝","以色列梯瓦制药工业有限公司Teva Pharmaceutical Industries Ltd.<昆明贝克诺顿制药有限公司>分包装",65.14,"修改（支付标准）","医药服务便函〔2021〕5号",128405]
[2828,"XA11CCW046X004010304077","1","维生素D","","滴剂","限儿童",2020170809,"维生素D滴剂(胶囊型)","无","滴剂","400IU","盒","40","铝塑","山东达因海洋生物制药股份有限公司",26.88,"修改（支付标准）","医药服务便函〔2021〕5号",170809]
[2834,"XA11DAF050A018010100802","2","呋喃硫胺","","片剂","",2015233407,"呋喃硫胺片","无","糖衣片","25mg","瓶","100","塑料瓶","上海信谊九福药业有限公司",3.5,"修改（支付标准）","医药服务便函〔2021〕5号",133407]
[2837,"XA11DAW036A001010103010","2","维生素B1","","口服常释剂型","",2015125304,"维生素B1片","无","素片","10mg","瓶","100","空","辅仁药业集团有限公司",10.01,"修改（支付标准）","医药服务便函〔2021〕5号",125303]
[2845,"XA11DAW036B002010103257","1","维生素B1","","注射剂","",2015130522,"维生素B1注射液","无","注射液","2ml:50mg","支","1","安瓿","河南润弘制药股份有限公司",0.46,"修改（支付标准）","医药服务便函〔2021〕5号",130526]
[2846,"XA11DAW036B002010104494","1","维生素B1","","注射剂","",2015135977,"维生素B1注射液","无","注射液","2ml:0.1g","支","1","安瓿","杭州民生药业有限公司",0.48,"修改（支付标准）","医药服务便函〔2021〕5号",135974]
[2852,"XA11EAF607A001010101470","2","复合维生素B","","口服常释剂型","",2015133420,"复合维生素B片","无","素片","复方","瓶","100","塑料瓶","江苏鹏鹞药业有限公司",9,"修改（支付标准）","医药服务便函〔2021〕5号",133424]
[2857,"XA11GAW043A001010100680","2","维生素C","","口服常释剂型","",2015146188,"维生素C片","无","素片","0.1g","瓶","100","塑料瓶","上海信谊天平药业有限公司",2.99,"修改（支付标准）","医药服务便函〔2021〕5号",146187]
[2864,"XA11GAW043A001010202770","2","维生素C","","口服常释剂型","",2015109563,"维生素C片","无","素片","0.1g","瓶","1000","塑料瓶","石药集团欧意药业有限公司",32.2,"修改（支付标准）","医药服务便函〔2021〕5号",109566]
[2872,"XA11GAW043B001020102357","1","维生素C","","注射剂","",2015146488,"注射用维生素C","无","粉针剂","0.5g","瓶","1","玻璃瓶","陕西博森生物制药股份集团有限公司",3.34,"修改（支付标准）","医药服务便函〔2021〕5号",146487]
[2876,"XA11GAW043B001030102357","1","维生素C","","注射剂","",2015102154,"注射用维生素C","无","粉针剂","1.0g","瓶","1","玻璃瓶","陕西博森生物制药股份集团有限公司",3,"修改（支付标准）","医药服务便函〔2021〕5号",102159]
[2881,"XA11GAW043B002010102000","1","维生素C","","注射剂","",2015112266,"维生素C注射液","无","注射液","2ml:0.5g","支","1","安瓿","宜昌人福药业有限责任公司",0.68,"修改（支付标准）","医药服务便函〔2021〕5号",112264]
[2887,"XA11GAW043B002010104718","1","维生素C","","注射剂","",2015132367,"维生素C注射液","无","注射液","2ml:0.5g","支","1","安瓿","浙江天瑞药业有限公司",0.19,"修改（支付标准）","医药服务便函〔2021〕5号",132371]
[2890,"XA11GAW043B002020100801","1","维生素C","","注射剂","",2015134273,"维生素C注射液","无","注射液","5ml:1.0g","支","1","安瓿","上海信谊金朱药业有限公司",1.35,"修改（支付标准）","医药服务便函〔2021〕5号",134277]
[2899,"XA11GAW043B002030202899","1","维生素C","","注射剂","",2015104256,"维生素C注射液","无","注射液","5ml:0.5g","支","1","安瓿","山西晋新双鹤药业有限责任公司",1.68,"修改（支付标准）","医药服务便函〔2021〕5号",104261]
[2905,"XA11HAW039A001010102000","1","维生素B2","","口服常释剂型","",2019165286,"维生素B2片","无","素片","5mg","瓶","100","高密度聚乙烯","宜昌人福药业有限责任公司",40,"修改（支付标准）","医药服务便函〔2021〕5号",165286]
[2911,"XA11HAW041A001010102831","1","维生素B6","","口服常释剂型","",2015109243,"维生素B6片","无","素片","10mg","瓶","100","塑料瓶","北京中新制药厂",5.79,"修改（支付标准）","医药服务便函〔2021〕5号",109246]
[2916,"XA11HAW041A001010200787","1","维生素B6","","口服常释剂型","",2015137603,"维生素B6片","无","素片","10mg","瓶","100","塑料瓶","上海新黄河制药有限公司",14.46,"修改（支付标准）","医药服务便函〔2021〕5号",137600]
[2922,"XA11HAW041B001030205754","1","维生素B6","","注射剂","",2015125461,"注射用维生素B6","昊强","粉针剂","0.3g","瓶","1","玻璃瓶","海南通用康力制药有限公司",8.03,"修改（支付标准）","医药服务便函〔2021〕5号",125460]
[2923,"XA11HAW041B002010100377","1","维生素B6","","注射剂","",2015111692,"维生素B6注射液","无","注射液","1ml:50mg","支","1","安瓿","广州白云山天心制药股份有限公司",0.68,"修改（支付标准）","医药服务便函〔2021〕5号",111690]
[2933,"XA11HAW041B002020103205","1","维生素B6","","注射剂","",2015121379,"维生素B6注射液","无","注射液","1ml:50mg","支","1","安瓿","国药集团容生制药有限公司",0.77,"修改（支付标准）","医药服务便函〔2021〕5号",121376]
[2935,"XA11HAW041B002030104152","1","维生素B6","","注射剂","",2015156471,"维生素B6注射液","无","注射液","2ml:0.1g","支","1","安瓿","瑞阳制药有限公司",1.66,"修改（支付标准）","医药服务便函〔2021〕5号",156469]
[2942,"XA11HAY031B014030103283","2","烟酰胺","","注射剂","",2020162519,"注射用烟酰胺","普扶林","冻干粉针剂","50mg","支","1","玻璃瓶","吉林津升制药有限公司",48,"修改（支付标准）","医药服务便函〔2021〕5号",162519]
[2947,"XA11JAZ023B001010104152","2","脂溶性维生素Ⅰ/n脂溶性维生素Ⅱ","","注射剂","限与脂肪乳、氨基酸等肠外营养药物配合使用时支付，单独使用不予支付",2015112539,"注射用脂溶性维生素(Ⅱ)","无","冻干粉针剂","含维生素A 0.99mg(3300IU),维生素D2 5μg(200IU),维生素E 9.1mg(10IU),维生素K1 0.15mg","瓶","1","玻璃瓶","瑞阳制药有限公司",25.2,"修改（支付标准）","医药服务便函〔2021〕5号",112537]
[2951,"XA11JAZ023B002010102456","2","脂溶性维生素Ⅰ/n脂溶性维生素Ⅱ","","注射剂","限与脂肪乳、氨基酸等肠外营养药物配合使用时支付，单独使用不予支付",2015135930,"脂溶性维生素注射液(Ⅱ)(脂微球乳剂)","无","注射用乳剂","10ml(含维生素A棕榈酸酯1.815mg以维生素A计3300IU,维生素D2 5μg(200IU)维生素E 9.1mg10IU维生素K1 0.15mg)","支","1","安瓿","西安安健药业有限公司",20.64,"修改（支付标准）","医药服务便函〔2021〕5号",135927]
[2958,"XA12AAC067A001010305805","2","醋酸钙","","口服常释剂型","限慢性肾功能衰竭所致的高磷血症",2020163523,"醋酸钙片","无","素片","0.667g","盒","36","铝塑","海南赛立克药业有限公司",130.21,"修改（支付标准）","医药服务便函〔2021〕5号",163523]
[2966,"XA12AAT012E001020101220","2","碳酸钙","","口服常释剂型","",201515430,"碳酸钙胶囊","无","硬胶囊剂","0.5g(钙0.2g)","盒","36","铝箔","辽宁康辰药业有限公司",20.99,"修改（支付标准）","医药服务便函〔2021〕5号",108448]
[2970,"XA12AXT013N001020300076","2","碳酸钙D3","","颗粒剂","▲",2015102179,"碳酸钙D3颗粒","无","颗粒剂","3g(碳酸钙1.25g(钙0.5g),维生素D3 200IU)","盒","12","复合膜","北京振东康远制药有限公司",44.24,"修改（支付标准）","医药服务便函〔2021〕5号",102184]
[2977,"XA12AXX128N001010604670","2","小儿碳酸钙D3","","颗粒剂","限儿童佝偻病",2020169562,"小儿碳酸钙D3颗粒","无","颗粒剂","碳酸钙0.75g(钙0.3g),维生素D3 100IU","盒","6","复合膜","浙江康恩贝制药股份有限公司",37.2,"修改（支付标准）","医药服务便函〔2021〕5号",169562]
[2982,"XA12BAL208A001010104152","1","氯化钾","","口服常释剂型","",2015110363,"氯化钾片","无","素片","0.25g","瓶","100","塑料瓶","瑞阳制药有限公司",17,"修改（支付标准）","医药服务便函〔2021〕5号",110361]
[2986,"XA12BAL208A010010300543","1","氯化钾","","缓释控释剂型","",2015103648,"氯化钾缓释片","无","缓释片","0.5g","盒","48","铝箔","深圳市中联制药有限公司",8.86,"修改（支付标准）","医药服务便函〔2021〕5号",103653]
[2989,"XA12BAL208N001020201066","1","氯化钾","","颗粒剂","",2019165169,"氯化钾颗粒","无","颗粒剂","1.57g:1.5g","盒","6","复合膜","重庆药友制药有限责任公司",56.19,"修改（支付标准）","医药服务便函〔2021〕5号",165169]
[2995,"XA12BAM074B002010104152","2","门冬氨酸钾镁","","注射剂","限洋地黄中毒引起的心律失常患者",2015110552,"门冬氨酸钾镁注射液","无","注射液","10ml:(无水门冬氨酸钾452mg,无水门冬氨酸镁400mg)","支","1","安瓿","瑞阳制药有限公司",6.6,"修改（支付标准）","医药服务便函〔2021〕5号",110550]
[3000,"XA12CBP084N001010104891","2","葡萄糖酸锌","","糖浆剂、口服溶液剂、颗粒剂","限儿童",2020170776,"葡萄糖酸锌颗粒","无","颗粒剂","70mg","盒","12","复合膜","湖南嘉恒制药有限公司",22.71,"修改（支付标准）","医药服务便函〔2021〕5号",170776]
[3006,"XA16AAY312A001010179282","2","乙酰左卡尼汀","","口服常释剂型","限临床确诊的糖尿病周围神经病变患者。",2021165663,"盐酸乙酰左卡尼汀片","无","素片","0.25g","盒","16","铝塑","海思科制药(眉山)有限公司",9.28,"修改（支付标准）","医药服务便函〔2021〕5号",165663]
[3012,"XB01AAH029A001010178700","1","华法林","","口服常释剂型","",2015132256,"华法林钠片","无","素片","3mg","瓶","100","塑料瓶","芬兰Orion Corporation Orion Pharma",59.8,"修改（支付标准）","医药服务便函〔2021〕5号",132260]
[3018,"XB01ABD056B001010201729","2","低分子肝素","","注射剂","",2015142067,"注射用低分子量肝素钠","苏可诺","冻干粉针剂","2500IU","支","1","玻璃瓶","江苏万邦生化医药集团有限责任公司",10.94,"修改（支付标准）","医药服务便函〔2021〕5号",142069]
[3021,"XB01ABD056B002010104021","2","低分子肝素","","注射剂","",2015122507,"低分子量肝素钠注射液","齐征","注射液","0.2ml:2500IU","支","1","安瓿","齐鲁制药有限公司",10.44,"修改（支付标准）","医药服务便函〔2021〕5号",122504]
[3029,"XB01ABD056B002020204488","2","低分子肝素","","注射剂","",2015140132,"低分子肝素钠注射液","吉派林","注射液","0.5ml:5000IU","支","1","安瓿","杭州九源基因工程有限公司",14.52,"修改（支付标准）","医药服务便函〔2021〕5号",140134]
[3036,"XB01ABN099B002020178564","2","那屈肝素（那曲肝素）","","注射剂","",2019165227,"那屈肝素钙注射液","速碧林","注射液","0.4ml:4100AXaIU","支","1","预充式(预灌封)注射器","法国ASPEN Notre Dame de Bondeville",49.89,"修改（支付标准）","医药服务便函〔2021〕5号",165227]
[3041,"XB01ABY273B002020100536","2","依诺肝素","","注射剂","",2020117898,"依诺肝素钠注射液","无","注射液","0.4ml:40mg","支","1","预充式(预灌封)注射器","深圳市天道医药有限公司",39.27,"修改（支付标准）","医药服务便函〔2021〕5号",117898]
[3047,"XB01ACA056A012010100002","1","阿司匹林","","口服常释剂型（不含分散片）","",2015147036,"阿司匹林肠溶片","无","肠溶片","0.1g","盒","30","铝塑","意大利Bayer HealthCare Manufacturing S.r.l.",15.05,"修改（支付标准）","医药服务便函〔2021〕5号",147035]
[3053,"XB01ACA056A012010304127","1","阿司匹林","","口服常释剂型（不含分散片）","",2015134883,"阿司匹林肠溶片","无","肠溶片","0.1g","盒","30","铝塑","辰欣药业股份有限公司",9.54,"修改（支付标准）","医药服务便函〔2021〕5号",134887]
[3056,"XB01ACA056A012010504127","1","阿司匹林","","口服常释剂型（不含分散片）","",2015134884,"阿司匹林肠溶片","无","肠溶片","0.1g","盒","60","铝塑","辰欣药业股份有限公司",18.6,"修改（支付标准）","医药服务便函〔2021〕5号",134888]
[3060,"XB01ACA056A012030102770","1","阿司匹林","","口服常释剂型（不含分散片）","",2015154602,"阿司匹林肠溶片","无","肠溶片","50mg","瓶","60","塑料瓶","石药集团欧意药业有限公司",9.18,"修改（支付标准）","医药服务便函〔2021〕5号",154605]
[3065,"XB01ACA056E005010401751","1","阿司匹林","","口服常释剂型（不含分散片）","",2015158955,"阿司匹林肠溶胶囊","伯基","肠溶胶囊(微丸型)","0.1g","瓶","60","塑料瓶","永信药品工业(昆山)股份有限公司",32.25,"修改（支付标准）","医药服务便函〔2021〕5号",158953]
[3071,"XB01ACL190A001010103094","2","氯吡格雷","","口服常释剂型","",2015151094,"硫酸氢氯吡格雷片","无","薄膜衣片","25mg","盒","10","铝箔","乐普药业股份有限公司",12.68,"修改（支付标准）","医药服务便函〔2021〕5号",151097]
[3080,"XB01ACL190A001020500553","2","氯吡格雷","","口服常释剂型","不限",2020171505,"硫酸氢氯吡格雷片","泰嘉","薄膜衣片","25mg","盒","60","双铝","深圳信立泰药业股份有限公司",76.08,"修改（支付标准）","医药服务便函〔2021〕5号",171505]
[3083,"XB01ACL190A001030200553","2","氯吡格雷","","口服常释剂型","不限",2020171373,"硫酸氢氯吡格雷片","泰嘉","薄膜衣片","75mg","盒","28","双铝","深圳信立泰药业股份有限公司",84.64,"修改（支付标准）","医药服务便函〔2021〕5号",171373]
[3089,"XB01ACS124A001010101375","1","双嘧达莫","","口服常释剂型","",2015133511,"双嘧达莫片","无","糖衣片","25mg","瓶","100","塑料瓶","常州康普药业有限公司",11.41,"修改（支付标准）","医药服务便函〔2021〕5号",133515]
[3095,"XB01ACS270A001020178189","2","司来帕格","","口服常释剂型","限WHO功能分级II级-III级的肺动脉高压（WHO第1组）的患者。",2019166536,"司来帕格片","优拓比","薄膜衣片","0.6mg","盒","60","铝塑","德国Excella GmbH & Co.KG",7651.8,"修改（支付标准）","医药服务便函〔2021〕5号",166536]
[3100,"XB01ACT132B002010102013","2","替罗非班氯化钠","","注射剂","限急性冠脉综合征的介入治疗",2021171647,"盐酸替罗非班氯化钠注射液","无","注射液","100ml:5mg:0.9g","支","1","安瓿","成都倍特药业股份有限公司",278,"修改（支付标准）","医药服务便函〔2021〕5号",171647]
[3106,"XB01ACT157A001010102770","2","替格瑞洛","","口服常释剂型","限急性冠脉综合症患者，支付不超过12个月。非急性期限二线用药。",2019165721,"替格瑞洛片","无","薄膜衣片","90mg","盒","14","PVC膜","石药集团欧意药业有限公司",13.43,"修改（支付标准）","医药服务便函〔2021〕5号",165721]
[3112,"XB01ACT157A001010301606","2","替格瑞洛","","口服常释剂型","限急性冠脉综合症患者，支付不超过12个月。非急性期限二线用药。",2019165749,"替格瑞洛片","无","薄膜衣片","90mg","盒","28","PVC膜","南京正大天晴制药有限公司",116,"修改（支付标准）","医药服务便函〔2021〕5号",165749]
[3117,"XB01ACX010A001010104751","2","西洛他唑","","口服常释剂型","限有慢性动脉闭塞症诊断且有明确的溃疡、间歇性跛行及严重疼痛体征的患者",201510173,"西洛他唑片","无","素片","50mg","盒","12","双铝","浙江永宁药业股份有限公司",17.43,"修改（支付标准）","医药服务便函〔2021〕5号",143300]
[3124,"XB01ADA066B001020178302","2","阿替普酶","","注射剂","限急性心肌梗死发病12小时内、脑梗死发病3小时内的溶栓治疗，超过说明书规定用药时限的不予支付。",2015247505,"注射用阿替普酶","爱通立","冻干粉针剂","50mg","盒","1","配溶媒","德国勃林格殷格翰药业公司Boehringer Ingelheim Pharma GmbH & Co KG",3570,"修改（支付标准）","医药服务便函〔2021〕5号",147505]
[3126,"XB01ADC119B001010104064","2","重组人组织型纤溶酶原激酶衍生物","","注射剂","限急性心肌梗死发病12小时内使用。",20156904,"重组人组织型纤溶酶原激酶衍生物","瑞通立","冻干粉针剂","18mg","支","1","玻璃瓶","华润昂德生物药业有限公司",1399,"修改（支付标准）","医药服务便函〔2021〕5号",144310]
[3131,"XB01ADN054B001020101576","1","尿激酶","","注射剂","",2015140047,"注射用尿激酶","无","冻干粉针剂","25万单位","瓶","1","西林瓶","南京南大药业有限责任公司",72.16,"修改（支付标准）","医药服务便函〔2021〕5号",140049]
[3141,"XB01AED251E001010100638","2","达比加群酯","","口服常释剂型","限华法林治疗控制不良或出血高危的非瓣膜性房颤患者",2015154648,"达比加群酯胶囊","泰毕全","硬胶囊剂","0.11g","盒","10","双铝","德国勃林格殷格翰药业公司Boehringer Ingelheim Pharma GmbH & Co KG",166.29,"修改（支付标准）","医药服务便函〔2021〕5号",154650]
[3142,"XB01AED251E001010201523","2","达比加群酯","","口服常释剂型","限华法林治疗控制不良或出血高危的非瓣膜性房颤患者",2020168879,"达比加群酯胶囊","无","硬胶囊剂","0.11g","瓶","30","塑料瓶","正大天晴药业集团股份有限公司",365.4,"修改（支付标准）","医药服务便函〔2021〕5号",168879]
[3150,"XB01AFA281A001010201444","2","阿哌沙班","","口服常释剂型","限下肢关节置换手术患者",2019165509,"阿哌沙班片","无","薄膜衣片","2.5mg","盒","14","铝塑","江苏豪森药业集团有限公司",40.68,"修改（支付标准）","医药服务便函〔2021〕5号",165509]
[3154,"XB01AFA319A001020182561","2","艾多沙班","","口服常释剂型","限华法林治疗控制不良或出血高危的非瓣膜性房颤、深静脉血栓、肺栓塞患者。",2021169846,"甲苯磺酸艾多沙班片","里先安","薄膜衣片","30mg","盒","7","铝箔","德国Daiichi Sankyo Europe GmbH",74.55,"修改（支付标准）","医药服务便函〔2021〕5号",169846]
[3161,"XB01AXA073A001010104945","2","阿魏酸哌嗪","","口服常释剂型","",2015147092,"阿魏酸哌嗪片","保圣康","素片","50mg","瓶","50","塑料瓶","康普药业股份有限公司",8.29,"修改（支付标准）","医药服务便函〔2021〕5号",147091]
[3166,"XB01AXA073A001010505792","2","阿魏酸哌嗪","","口服常释剂型","",2015115681,"阿魏酸哌嗪片","无","素片","50mg","瓶","180","塑料瓶","海南林恒制药股份有限公司",40.2,"修改（支付标准）","医药服务便函〔2021〕5号",115684]
[3170,"XB01AXA073E001010101928","2","阿魏酸哌嗪","","口服常释剂型","",2015153598,"阿魏酸哌嗪胶囊","无","硬胶囊剂","0.1g","盒","60","铝箔","武汉钧安制药有限公司",27.17,"修改（支付标准）","医药服务便函〔2021〕5号",153601]
[3178,"XB01AXA223B014010101157","2","奥扎格雷","","注射剂","限新发的急性血栓性脑梗死，支付不超过14天",20151617,"注射用奥扎格雷钠","丹奥","冻干粉针剂","20mg","支","1","西林瓶","丹东医创药业有限责任公司",7.35,"修改（支付标准）","医药服务便函〔2021〕5号",126199]
[3183,"XB01AXA235B002010201207","2","奥扎格雷钠","","注射液","",2020127080,"奥扎格雷钠葡萄糖注射液","丹仑","注射液","100ml:80mg:5.0g","袋","1","多层共挤输液袋","辽宁海神联盛制药有限公司",23.17,"修改（支付标准）","医药服务便函〔2021〕5号",127080]
[3187,"XB01AXC127B002020103282","2","参芎葡萄糖","","注射剂","",2020127532,"参芎葡萄糖注射液","无","注射液","50ml:丹参素10mg,盐酸川芎嗪50mg","瓶","1","玻璃瓶","通化天实制药有限公司",35.04,"修改（支付标准）","医药服务便函〔2021〕5号",127532]
[3195,"XB02AAA172B002010100377","1","氨甲环酸","","注射剂","",2015159457,"氨甲环酸注射液","无","注射液","10ml:1.0g","支","1","安瓿","广州白云山天心制药股份有限公司",11.3,"修改（支付标准）","医药服务便函〔2021〕5号",159455]
[3196,"XB02AAA172B002010104827","1","氨甲环酸","","注射剂","",2015103854,"氨甲环酸注射液","无","注射液","10ml:1.0g","支","1","安瓿","福州海王福药制药有限公司",9.64,"修改（支付标准）","医药服务便函〔2021〕5号",103859]
[3202,"XB02AAA172B014010104656","1","氨甲环酸","","注射剂","",2015136052,"注射用氨甲环酸","荷莫塞","冻干粉针剂","0.2g","瓶","1","玻璃瓶","浙江金华康恩贝生物制药有限公司",7.06,"修改（支付标准）","医药服务便函〔2021〕5号",136049]
[3211,"XB02BAJ058A001010104691","1","甲萘氢醌","","口服常释剂型","",2015143219,"醋酸甲萘氢醌片","无","糖衣片","4mg","瓶","100","塑料瓶","浙江瑞新药业股份有限公司",39.13,"修改（支付标准）","医药服务便函〔2021〕5号",143221]
[3213,"XB02BAW055B002010103202","1","维生素K1","","注射剂","",2015142177,"维生素K1注射液","无","注射液","1ml:10mg","支","1","安瓿","上海现代哈森(商丘)药业有限公司",3.9,"修改（支付标准）","医药服务便函〔2021〕5号",142179]
[3220,"XB02BCN063P009010104995","1","凝血酶","","外用冻干制剂","",2015118675,"凝血酶冻干粉","无","冻干粉","1000单位","瓶","1","玻璃瓶","湖南一格制药有限公司",7.8,"修改（支付标准）","医药服务便函〔2021〕5号",118678]
[3225,"XB02BDC110B001020178997","2","重组人凝血因子Ⅶa","","注射剂","限以下情况方可支付：1、凝血因子Ⅷ或Ⅸ的抑制物>5BU的先天性血友病患者。2、获得性血友病患者。3、先天性FVII缺乏症患者。4、具有GPIIb-IIIa和/或HLA抗体和既往或现在对血小板输注无效或不佳的血小板无力症患者。",2020166569,"注射用重组人凝血因子Ⅶa","诺其","冻干粉针剂","100KIU(2.0mg)","盒","1","预充式(预灌封)注射器","丹麦诺和诺德公司Novo Nordisk A/S",9350,"修改（支付标准）","医药服务便函〔2021〕5号",166569]
[3231,"XB02BXB011B001010101190","2","白眉蛇毒血凝酶","","注射剂","限出血性疾病治疗的二线用药；预防使用不予支付",20159438,"注射用白眉蛇毒血凝酶","无","冻干粉针剂","0.5单位(KU)","支","1","玻璃瓶","锦州奥鸿药业有限责任公司",21.27,"修改（支付标准）","医药服务便函〔2021〕5号",123513]
[3237,"XB02BXJ153B002010102433","2","聚桂醇","","注射剂","限消化道严重出血",201511916,"聚桂醇注射液","无","注射液","10ml:0.1g","支","1","西林瓶","陕西天宇制药有限公司",471.51,"修改（支付标准）","医药服务便函〔2021〕5号",144829]
[3240,"XB02BXK018A001020201510","2","卡络磺钠（肾上腺色腙）","","口服常释剂型","",2015143066,"肾上腺色腙片","无","糖衣片","5mg","瓶","100","塑料瓶","江苏亚邦爱普森药业有限公司",133.33,"修改（支付标准）","医药服务便函〔2021〕5号",143068]
[3249,"XB02BXM155B014010104069","2","矛头蝮蛇血凝酶","","注射剂","限出血性疾病治疗的二线用药；预防使用不予支付",2015111113,"注射用矛头蝮蛇血凝酶","巴曲亭","冻干粉针剂","1单位","支","1","玻璃瓶","蓬莱诺康药业有限公司",36.19,"修改（支付标准）","医药服务便函〔2021〕5号",111111]
[3255,"XB03AAF611N001010103712","2","富马酸亚铁","","颗粒剂","",2015120009,"富马酸亚铁颗粒","无","颗粒剂","2g:0.2g","盒","6","复合膜","哈药集团制药总厂",10.48,"修改（支付标准）","医药服务便函〔2021〕5号",120006]
[3260,"XB03AAH026A001010201529","1","琥珀酸亚铁","","口服常释剂型","",2015140872,"琥珀酸亚铁片","速力菲","薄膜衣片","0.1g","板","24","铝塑","金陵药业股份有限公司南京金陵制药厂",28.63,"修改（支付标准）","医药服务便函〔2021〕5号",140874]
[3264,"XB03AAL151A018010103987","1","硫酸亚铁","","口服常释剂型","",2020125952,"硫酸亚铁片","无","糖衣片","0.3g","瓶","100","塑料瓶","济南永宁制药股份有限公司",34,"修改（支付标准）","医药服务便函〔2021〕5号",125952]
[3272,"XB03AED181E001010100610","2","多糖铁复合物","","口服常释剂型","",20153451,"多糖铁复合物胶囊","力蜚能","硬胶囊剂","0.15g","盒","10","铝塑","美国Kremers Urban Pharmaceuticals Inc.",29.98,"修改（支付标准）","医药服务便函〔2021〕5号",147225]
[3277,"XB03BAJ038A001010202959","2","甲钴胺","","口服常释剂型","",2015159243,"甲钴胺片","亚宝力维","薄膜衣片","0.5mg","盒","60","铝塑","亚宝药业集团股份有限公司",11.28,"修改（支付标准）","医药服务便函〔2021〕5号",159241]
[3281,"XB03BAJ038A006010201490","2","甲钴胺","","口服常释剂型","",2015158592,"甲钴胺分散片","无","分散片","0.5mg","盒","24","双铝","江苏四环生物制药有限公司",24.85,"修改（支付标准）","医药服务便函〔2021〕5号",158590]
[3284,"XB03BAJ038B001010100487","2","甲钴胺","","注射剂","限维生素B12缺乏的巨幼红细胞性贫血且有禁食医嘱或因吞咽困难等，无法使用甲钴胺口服制剂的患者",2015103124,"注射用甲钴胺","爱昕保","冻干粉针剂","0.5mg","瓶","1","西林瓶","广东众生药业股份有限公司",8.35,"修改（支付标准）","医药服务便函〔2021〕5号",103129]
[3290,"XB03BAJ038B002010204127","2","甲钴胺","","注射剂","限维生素B12缺乏的巨幼红细胞性贫血且有禁食医嘱或因吞咽困难等，无法使用甲钴胺口服制剂的患者",2015134156,"甲钴胺注射液","无","注射液","1ml:0.5mg","支","1","安瓿","辰欣药业股份有限公司",4.05,"修改（支付标准）","医药服务便函〔2021〕5号",134160]
[3296,"XB03BAW037B002010100651","1","维生素B12","","注射剂","",2015158632,"维生素B12注射液","无","注射液","1ml:0.25mg","支","1","安瓿","上海上药第一生化药业有限公司",0.64,"修改（支付标准）","医药服务便函〔2021〕5号",158630]
[3301,"XB03BAW037B002020101429","1","维生素B12","","注射剂","",2015103527,"维生素B12注射液","无","注射液","1ml:0.1mg","支","1","安瓿","江苏大红鹰恒顺药业有限公司",2.3,"修改（支付标准）","医药服务便函〔2021〕5号",103532]
[3308,"XB03BAX052B001010202699","2","腺苷钴胺","","注射剂","限巨幼红细胞性贫血且有禁食医嘱或因吞咽困难等，无法使用腺苷钴胺口服制剂的患者",2015100613,"注射用腺苷钴胺","无","冻干粉针剂","0.5mg","盒","1","配溶媒","华北制药股份有限公司",18.69,"修改（支付标准）","医药服务便函〔2021〕5号",100618]
[3316,"XB03BBY050A001010100011","1","叶酸","","口服常释剂型","",2015143149,"叶酸片","斯利安","素片","0.4mg","盒","31","铝塑","北京斯利安药业有限公司",29,"修改（支付标准）","医药服务便函〔2021〕5号",143151]
[3320,"XB03BBY050A001010101510","1","叶酸","","口服常释剂型","",2015143148,"叶酸片","无","素片","5mg","瓶","100","塑料瓶","江苏亚邦爱普森药业有限公司",24,"修改（支付标准）","医药服务便函〔2021〕5号",143150]
[3325,"XB03BBY050A001010200900","1","叶酸","","口服常释剂型","",2015149598,"叶酸片","无","素片","0.4mg","盒","31","铝塑","天津儿童药业有限公司",11.43,"修改（支付标准）","医药服务便函〔2021〕5号",149597]
[3331,"XB03XAC103B002010101313","2","重组人促红素（CHO细胞）","","注射剂","限肾性贫血、非骨髓恶性肿瘤化疗引起的贫血",20152339,"重组人促红素注射液(CHO细胞)","益比奥","注射液","1ml:1万IU","瓶","1","西林瓶","沈阳三生制药有限责任公司",80.09,"修改（支付标准）","医药服务便函〔2021〕5号",103681]
[3334,"XB03XAC103B002020100617","2","重组人促红素（CHO细胞）","","注射剂","限肾性贫血、非骨髓恶性肿瘤化疗引起的贫血",201511813,"重组人促红素注射液(CHO细胞)","利血宝","注射液","2ml:3000IU","支","1","预充式(预灌封)注射器","日本Teva Takeda Pharma Ltd.,Takayama Plant",120.63,"修改（支付标准）","医药服务便函〔2021〕5号",137810]
[3343,"XB03XAC103B002050101313","2","重组人促红素（CHO细胞）","","注射剂","限肾性贫血、非骨髓恶性肿瘤化疗引起的贫血",20151911,"重组人促红素注射液(CHO细胞)","益比奥","注射液","1ml:3000IU","瓶","1","西林瓶","沈阳三生制药有限责任公司",20.95,"修改（支付标准）","医药服务便函〔2021〕5号",103658]
[3345,"XB03XAC103B002090100152","2","重组人促红素（CHO细胞）","","注射剂","限肾性贫血、非骨髓恶性肿瘤化疗引起的贫血",20151397,"重组人促红素注射液(CHO细胞)","环尔博","注射液","1ml:5000IU","瓶","1","西林瓶","北京四环生物制药有限公司",29.85,"修改（支付标准）","医药服务便函〔2021〕5号",122124]
[3350,"XB03XAC103B014040100713","2","重组人促红素（CHO细胞）","","注射剂","限肾性贫血、非骨髓恶性肿瘤化疗引起的贫血",20151348,"注射用重组人促红素(CHO细胞)","怡宝","冻干粉针剂","4000IU","瓶","1","西林瓶","上海凯茂生物医药有限公司",32.69,"修改（支付标准）","医药服务便函〔2021〕5号",141294]
[3360,"XB05AAQ163B002010102013","2","羟乙基淀粉（200/0.5）氯化钠/n羟乙基淀粉（130/0.4）氯化钠","","注射剂","限低血容量性休克或手术创伤、烧伤等引起的显著低血容量患者",2015116508,"羟乙基淀粉200/0.5氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉200/0.5与4.5g氯化钠","瓶","1","玻璃瓶","成都倍特药业股份有限公司",72,"修改（支付标准）","医药服务便函〔2021〕5号",116511]
[3362,"XB05AAQ163B002010106155","2","羟乙基淀粉（200/0.5）氯化钠/n羟乙基淀粉（130/0.4）氯化钠","","注射剂","限低血容量性休克或手术创伤、烧伤等引起的显著低血容量患者",2015107102,"羟乙基淀粉200/0.5氯化钠注射液","无","注射液","250ml:15g羟乙基淀粉200/0.5与2.25g氯化钠","瓶","1","玻璃瓶","辽宁海思科制药有限公司",38,"修改（支付标准）","医药服务便函〔2021〕5号",107105]
[3367,"XB05AAQ164B002010100991","2","羟乙基淀粉（200/0.5）氯化钠/n羟乙基淀粉（130/0.4）氯化钠","","注射剂","限低血容量性休克或手术创伤、烧伤等引起的显著低血容量患者",2015101106,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","250ml:15g羟乙基淀粉130/0.4与2.25g氯化钠","瓶","1","玻璃瓶","北大医药股份有限公司",27.2,"修改（支付标准）","医药服务便函〔2021〕5号",101111]
[3371,"XB05AAQ164B002010104177","2","羟乙基淀粉（200/0.5）氯化钠/n羟乙基淀粉（130/0.4）氯化钠","","注射剂","限低血容量性休克或手术创伤、烧伤等引起的显著低血容量患者",2015117045,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉130/0.4与4.5g氯化钠","瓶","1","塑料瓶","山东威高药业股份有限公司",55.9,"修改（支付标准）","医药服务便函〔2021〕5号",117048]
[3379,"XB05AAQ164B002020504145","2","羟乙基淀粉（200/0.5）氯化钠/n羟乙基淀粉（130/0.4）氯化钠","","注射剂","限低血容量性休克或手术创伤、烧伤等引起的显著低血容量患者",2015116572,"羟乙基淀粉130/0.4氯化钠注射液","无","注射液","500ml:30g羟乙基淀粉130/0.4与4.5g氯化钠","瓶","1","玻璃瓶","山东齐都药业有限公司",52,"修改（支付标准）","医药服务便函〔2021〕5号",116575]
[3386,"XB05BAD252B002020101415","2","多种油脂肪乳(C6～24)","","注射剂","限经营养风险筛查，明确具有营养风险的肝功能不全（严重肝功能不全者除外）患者的二线用药。消化道有功能患者使用时不予支付。",2017154315,"多种油脂肪乳注射液(C6-24)","无","注射液","250ml:15g(精制大豆油):15g(中链甘油三酸酯):12.5g(精制橄榄油):7.5g(纯化鱼油)","瓶","1","玻璃瓶","奥地利Fresenius Kabi Austria GmbH(<费森尤斯卡比华瑞制药有限公司>分包装)",100,"修改（支付标准）","医药服务便函〔2021〕5号",154314]
[3391,"XB05BAF150B002010104948","1","复方氨基酸（18AA）\n复方氨基酸（18AA-Ⅰ）\n复方氨基酸（18AA-Ⅱ）\n复方氨基酸（18AA-Ⅲ）\n复方氨基酸（18AA-Ⅴ）","","注射剂","",2015108504,"复方氨基酸注射液(18AA)","无","注射液","250ml:12.5g(5%)","瓶","1","玻璃瓶","湖南科伦制药有限公司",3.21,"修改（支付标准）","医药服务便函〔2021〕5号",108507]
[3395,"XB05BAF150B002020104289","1","复方氨基酸（18AA）/复方氨基酸（18AA-Ⅰ）/复方氨基酸（18AA-Ⅱ）/复方氨基酸（18AA-Ⅲ）/复方氨基酸（18AA-Ⅴ）","","注射剂","",2015133985,"复方氨基酸注射液(18AA)","无","注射液","500ml:25g(5%)","瓶","1","玻璃瓶","安徽丰原药业股份有限公司",5.32,"修改（支付标准）","医药服务便函〔2021〕5号",133989]
[3402,"XB05BAF152B002020100273","1","复方氨基酸（18AA）\n复方氨基酸（18AA-Ⅰ）\n复方氨基酸（18AA-Ⅱ）\n复方氨基酸（18AA-Ⅲ）\n复方氨基酸（18AA-Ⅴ）","","注射剂","",2015102228,"复方氨基酸注射液(18AA-Ⅱ)","无","注射液","500ml:42.5g(8.5%)","袋","1","多层共挤输液袋","广东大冢制药有限公司",42.24,"修改（支付标准）","医药服务便函〔2021〕5号",102233]
[3404,"XB05BAF152B002020101415","1","复方氨基酸（18AA）\n复方氨基酸（18AA-Ⅰ）\n复方氨基酸（18AA-Ⅱ）\n复方氨基酸（18AA-Ⅲ）\n复方氨基酸（18AA-Ⅴ）","","注射剂","",2015134320,"复方氨基酸注射液(18AA-Ⅱ)","乐凡命","注射液","250ml:21.25g(8.5%)","瓶","1","玻璃瓶","费森尤斯卡比华瑞制药有限公司",21.06,"修改（支付标准）","医药服务便函〔2021〕5号",134324]
[3414,"XB05BAF155B002010109617","2","复方氨基酸（18AA-Ⅶ）","","注射剂","",2020146733,"复方氨基酸注射液(18AA-Ⅶ)","无","注射液","200ml:20.650g(总氨基酸)","瓶","1","玻璃瓶","安徽富邦药业有限公司",30.98,"修改（支付标准）","医药服务便函〔2021〕5号",146733]
[3415,"XB05BAF157B002010102001","1","复方氨基酸（18AA）/复方氨基酸（18AA-Ⅰ）/复方氨基酸（18AA-Ⅱ）/复方氨基酸（18AA-Ⅲ）/复方氨基酸（18AA-Ⅴ）","","注射剂","",2015137899,"复方氨基酸注射液(18AA-Ⅴ)","无","注射液","250ml:8.06g(总氨基酸)＋12.5g(木糖醇)","瓶","1","玻璃瓶","湖北一半天制药有限公司",14.5,"修改（支付标准）","医药服务便函〔2021〕5号",137896]
[3421,"XB05BAF157B002030104827","1","复方氨基酸（18AA）/复方氨基酸（18AA-Ⅰ）/复方氨基酸（18AA-Ⅱ）/复方氨基酸（18AA-Ⅲ）/复方氨基酸（18AA-Ⅴ）","","注射剂","",2015103910,"复方氨基酸注射液(18AA-Ⅴ)","无","注射液","500ml:16.12g(总氨基酸)＋25g(木糖醇)","瓶","1","玻璃瓶","福州海王福药制药有限公司",28.2,"修改（支付标准）","医药服务便函〔2021〕5号",103915]
[3430,"XB05BAF703B002010101927","2","复方氨基酸（14AA-SF)","","注射剂","限需经营养风险筛查，明确具有营养风险，且不能经饮食或使用“肠内营养剂”补充足够营养的住院儿童患者方予支付。",2021171767,"复方氨基酸注射液(14AA-SF)","无","注射液","250ml:21.2g(总氨基酸)","瓶","1","玻璃瓶","湖北一半天制药有限公司",137.44,"修改（支付标准）","医药服务便函〔2021〕5号",171767]
[3433,"XB05BAF705B002010106932","2","复方氨基酸(18AA-Ⅴ-SF)","","注射剂","限经营养风险筛查，明确具有营养风险的患者。消化道有功能患者使用时不予支付。",2019165718,"复方氨基酸注射液(18AA-Ⅴ-SF)","立命","注射液","250ml:8.06g(总氨基酸)＋12.5g(木糖醇)","瓶","1","玻璃瓶","湖北一半天制药有限公司",70.08,"修改（支付标准）","医药服务便函〔2021〕5号",165718]
[3439,"XB05BAX104B002020304127","1","小儿复方氨基酸（18AA-Ⅰ）/n小儿复方氨基酸（18AA-Ⅱ）","","注射剂","",2015134270,"小儿复方氨基酸注射液(18AA-Ⅰ)","无","注射液","20ml:1.348g(总氨基酸)","支","1","安瓿","辰欣药业股份有限公司",15.51,"修改（支付标准）","医药服务便函〔2021〕5号",134274]
[3444,"XB05BAZ018B002010101415","2","脂肪乳（C14-24）[指大豆油]","","注射剂","",2015134375,"脂肪乳注射液(C14-24)","英脱利匹特","注射液","100ml:20g(大豆油):1.2g(卵磷脂)","瓶","1","玻璃瓶","费森尤斯卡比华瑞制药有限公司",22.53,"修改（支付标准）","医药服务便函〔2021〕5号",134379]
[3448,"XB05BAZ018B002020102499","2","脂肪乳（C14-24）[指大豆油]","","注射剂","",2015107723,"脂肪乳注射液(C14-24)","力邦英特","注射液","100ml:30g(大豆油):1.2g(卵磷脂)","瓶","1","玻璃瓶","西安力邦制药有限公司",23.17,"修改（支付标准）","医药服务便函〔2021〕5号",107726]
[3456,"XB05BAZ018B002030504127","2","脂肪乳（C14-24）[指大豆油]","","注射剂","",2015134374,"脂肪乳注射液(C14-24)","无","注射液","500ml:50g(大豆油):6g(卵磷脂)","瓶","1","玻璃瓶","辰欣药业股份有限公司",26,"修改（支付标准）","医药服务便函〔2021〕5号",134378]
[3461,"XB05BAZ018B002060101415","2","脂肪乳（C14-24）[指大豆油]","","注射剂","",2015134380,"脂肪乳注射液(C14-24)","英脱利匹特","注射液","500ml:50g(大豆油):6g(卵磷脂)","瓶","1","玻璃瓶","费森尤斯卡比华瑞制药有限公司",41.4,"修改（支付标准）","医药服务便函〔2021〕5号",134384]
[3465,"XB05BAZ033B002010179246","2","中/长链脂肪乳（C8-24）       中/长链脂肪乳（C8-24Ve）","","注射剂","",2017163527,"中/长链脂肪乳注射液(C8-24Ve)","无","注射液","250ml:25g(大豆油):25g(中链甘油三酸酯):3g(卵磷脂):6.25g(甘油)","瓶","1","玻璃瓶","贝朗医疗(苏州)有限公司",94.7,"修改（支付标准）","医药服务便函〔2021〕5号",163527]
[3473,"XB05BBF390B002010104653","1","复方氯化钠","","注射剂","",2015133938,"复方氯化钠注射液","无","注射液","500ml","袋","1","非PVC膜","济民健康管理股份有限公司",2.16,"修改（支付标准）","医药服务便函〔2021〕5号",133942]
[3480,"XB05BBF390B002010602180","1","复方氯化钠","","注射剂","",2015108708,"复方氯化钠注射液","无","注射液","100ml","瓶","1","塑料瓶","四川科伦药业股份有限公司",2.41,"修改（支付标准）","医药服务便函〔2021〕5号",108711]
[3485,"XB05BBF628B002010404653","2","复方乳酸钠葡萄糖","","注射剂","",20152970,"复方乳酸钠葡萄糖注射液","无","注射液","500ml","瓶","1","塑料瓶","济民健康管理股份有限公司",4.32,"修改（支付标准）","医药服务便函〔2021〕5号",133719]
[3491,"XB05BBG129B002010304286","2","果糖","","注射剂","限因胰岛素抵抗无法使用葡萄糖的抢救患者，果糖总量每日不超过50g",201526480,"果糖注射液","普利康","注射液","250ml:12.5g","瓶","1","塑料瓶","安徽丰原药业股份有限公司",24.48,"修改（支付标准）","医药服务便函〔2021〕5号",133695]
[3492,"XB05BBG129B002020104286","2","果糖","","注射剂","限因胰岛素抵抗无法使用葡萄糖的抢救患者，果糖总量每日不超过50g",20158006,"果糖注射液","普利康","注射液","250ml:25g","袋","1","多层共挤输液袋","安徽丰原药业股份有限公司",45.7,"修改（支付标准）","医药服务便函〔2021〕5号",133968]
[3500,"XB05BBM115B001010200263","2","灭菌注射用水","","注射剂","",2015160261,"灭菌注射用水","无","注射液","500ml","袋","1","直立式输液袋(聚丙烯共混、双阀)","广东艾希德药业有限公司",5,"修改（支付标准）","医药服务便函〔2021〕5号",160254]
[3504,"XB05BBM115B001020103143","2","灭菌注射用水","","注射剂","",2015150321,"灭菌注射用水","无","注射液","5ml","支","1","安瓿","上海浦津林州制药有限公司",0.09,"修改（支付标准）","医药服务便函〔2021〕5号",150324]
[3509,"XB05BBP072B002010104127","1","葡萄糖","","注射剂","",2015134507,"葡萄糖注射液","无","注射液","100ml:10g(10%)","袋","1","多层共挤输液袋","辰欣药业股份有限公司",1.76,"修改（支付标准）","医药服务便函〔2021〕5号",134511]
[3515,"XB05BBP072B002010104948","1","葡萄糖","","注射剂","",2015113502,"葡萄糖注射液","无","注射液","100ml:10g(10%)","袋","1","多层共挤输液袋","湖南科伦制药有限公司",1.55,"修改（支付标准）","医药服务便函〔2021〕5号",113500]
[3524,"XB05BBP072B002010304718","1","葡萄糖","","注射剂","",2015133330,"葡萄糖注射液","无","注射液","100ml:10g(10%)","瓶","1","塑料瓶","浙江天瑞药业有限公司",0.76,"修改（支付标准）","医药服务便函〔2021〕5号",133334]
[3527,"XB05BBP072B002010404693","1","葡萄糖","","注射剂","",2015102395,"葡萄糖注射液","无","注射液","100ml:10g(10%)","瓶","1","塑料瓶","浙江莎普爱思药业股份有限公司",0.88,"修改（支付标准）","医药服务便函〔2021〕5号",102400]
[3535,"XB05BBP072B002011104127","1","葡萄糖","","注射剂","",2015135355,"葡萄糖注射液","无","注射液","100ml:10g(10%)","瓶","1","塑料瓶","辰欣药业股份有限公司",0.83,"修改（支付标准）","医药服务便函〔2021〕5号",135352]
[3539,"XB05BBP072B002020101871","1","葡萄糖","","注射剂","",2015106817,"葡萄糖注射液","无","注射液","20ml:10g(50%)","瓶","1","安瓿","湖北科伦药业有限公司",0.25,"修改（支付标准）","医药服务便函〔2021〕5号",106820]
[3544,"XB05BBP072B002020104718","1","葡萄糖","","注射剂","",2015132647,"葡萄糖注射液","无","注射液","100ml:5g(5%)","袋","1","多层共挤输液袋","浙江天瑞药业有限公司",1.58,"修改（支付标准）","医药服务便函〔2021〕5号",132651]
[3551,"XB05BBP072B002020204688","1","葡萄糖","","注射剂","",2015156625,"葡萄糖注射液","无","注射液","100ml:5g(5%)","袋","1","非PVC膜+双管双塞","浙江都邦药业股份有限公司",1.88,"修改（支付标准）","医药服务便函〔2021〕5号",156623]
[3556,"XB05BBP072B002020404634","1","葡萄糖","","注射剂","",2015128695,"葡萄糖注射液","无","注射液","250ml:12.5g(5%)","袋","1","直立式输液袋(聚丙烯)","浙江国镜药业有限公司",2.34,"修改（支付标准）","医药服务便函〔2021〕5号",128694]
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[3586,"XB05BBP072B002030504688","1","葡萄糖","","注射剂","",2015103250,"葡萄糖注射液","无","注射液","250ml:12.5g(5%)","瓶","1","塑料瓶","浙江都邦药业股份有限公司",0.79,"修改（支付标准）","医药服务便函〔2021〕5号",103255]
[3594,"XB05BBP072B002031104127","1","葡萄糖","","注射剂","",2015135357,"葡萄糖注射液","无","注射液","100ml:5g(5%)","瓶","1","塑料瓶","辰欣药业股份有限公司",0.81,"修改（支付标准）","医药服务便函〔2021〕5号",135354]
[3598,"XB05BBP072B002040104494","1","葡萄糖","","注射剂","",2015136169,"葡萄糖注射液","无","注射液","150ml:7.5g(5%)","袋","1","多层共挤输液袋","杭州民生药业有限公司",4.08,"修改（支付标准）","医药服务便函〔2021〕5号",136166]
[3605,"XB05BBP072B002040304286","1","葡萄糖","","注射剂","",2015144696,"葡萄糖注射液","无","注射液","100ml:5g(5%)","瓶","1","塑料瓶","安徽丰原药业股份有限公司淮海药厂",0.85,"修改（支付标准）","医药服务便函〔2021〕5号",144698]
[3610,"XB05BBP072B002040505319","1","葡萄糖","","注射剂","",2015161494,"葡萄糖注射液","无","注射液","250ml:25g(10%)","瓶","1","玻璃瓶","江西科伦药业有限公司",0.9,"修改（支付标准）","医药服务便函〔2021〕5号",161487]
[3614,"XB05BBP072B002050101512","1","葡萄糖","","注射剂","",2015159455,"葡萄糖注射液","无","注射液","500ml:25g(5%)","袋","1","非PVC膜+双管双塞","江苏亚邦生缘药业有限公司",2.76,"修改（支付标准）","医药服务便函〔2021〕5号",159453]
[3622,"XB05BBP072B002050104948","1","葡萄糖","","注射剂","",2015113623,"葡萄糖注射液","无","注射液","250ml:12.5g(5%)","袋","1","多层共挤输液袋","湖南科伦制药有限公司",1.75,"修改（支付标准）","医药服务便函〔2021〕5号",113621]
[3623,"XB05BBP072B002050204042","1","葡萄糖","","注射剂","",2015105581,"葡萄糖注射液","无","注射液","250ml:12.5g(5%)","袋","1","非PVC膜+双管双塞","华仁药业股份有限公司",3.36,"修改（支付标准）","医药服务便函〔2021〕5号",105584]
[3633,"XB05BBP072B002050404634","1","葡萄糖","","注射剂","",2015128682,"葡萄糖注射液","无","注射液","100ml:10g(10%)","袋","1","直立式输液袋(聚丙烯)","浙江国镜药业有限公司",1.93,"修改（支付标准）","医药服务便函〔2021〕5号",128681]
[3638,"XB05BBP072B002050704634","1","葡萄糖","","注射剂","",2015150777,"葡萄糖注射液","无","注射液","100ml:10g(10%)","瓶","1","塑料瓶","浙江国镜药业有限公司",0.73,"修改（支付标准）","医药服务便函〔2021〕5号",150780]
[3640,"XB05BBP072B002050904346","1","葡萄糖","","注射剂","",2015156801,"葡萄糖注射液","无","注射液","500ml:25g(5%)","袋","1","直立式输液袋(聚丙烯共混)","安徽双鹤药业有限责任公司",2.24,"修改（支付标准）","医药服务便函〔2021〕5号",156799]
[3645,"XB05BBP072B002060104346","1","葡萄糖","","注射剂","",2015134462,"葡萄糖注射液","无","注射液","500ml:50g(10%)","袋","1","非PVC膜","安徽双鹤药业有限责任公司",2,"修改（支付标准）","医药服务便函〔2021〕5号",134466]
[3655,"XB05BBP072B002060204693","1","葡萄糖","","注射剂","",2015102682,"葡萄糖注射液","无","注射液","500ml:50g(10%)","袋","1","软袋单管双阀","浙江莎普爱思药业股份有限公司",2.45,"修改（支付标准）","医药服务便函〔2021〕5号",102687]
[3657,"XB05BBP072B002060304127","1","葡萄糖","","注射剂","",2015135008,"葡萄糖注射液","无","注射液","250ml:12.5g(5%)","袋","1","非PVC膜+双管双塞","辰欣药业股份有限公司",3.36,"修改（支付标准）","医药服务便函〔2021〕5号",135005]
[3664,"XB05BBP072B002060604653","1","葡萄糖","","注射剂","",2015133697,"葡萄糖注射液","无","注射液","250ml:12.5g(5%)","瓶","1","塑料瓶","济民健康管理股份有限公司",0.8,"修改（支付标准）","医药服务便函〔2021〕5号",133701]
[3669,"XB05BBP072B002060904948","1","葡萄糖","","注射剂","",2015113540,"葡萄糖注射液","无","注射液","250ml:25g(10%)","瓶","1","塑料瓶","湖南科伦制药有限公司",0.95,"修改（支付标准）","医药服务便函〔2021〕5号",113538]
[3675,"XB05BBP072B002070104688","1","葡萄糖","","注射剂","",2015154846,"葡萄糖注射液","无","注射液","50ml:2.5g(5%)","袋","1","多层共挤输液袋","浙江都邦药业股份有限公司",1.43,"修改（支付标准）","医药服务便函〔2021〕5号",154849]
[3681,"XB05BBP072B002070204634","1","葡萄糖","","注射剂","",2015147725,"葡萄糖注射液","无","注射液","500ml:50g(10%)","袋","1","多层共挤输液袋","浙江国镜药业有限公司",2.18,"修改（支付标准）","医药服务便函〔2021〕5号",147724]
[3684,"XB05BBP072B002070204718","1","葡萄糖","","注射剂","",2015133275,"葡萄糖注射液","无","注射液","500ml:50g(10%)","袋","1","软袋单管双阀","浙江天瑞药业有限公司",2.6,"修改（支付标准）","医药服务便函〔2021〕5号",133279]
[3693,"XB05BBP072B002070704948","1","葡萄糖","","注射剂","",2015113647,"葡萄糖注射液","无","注射液","500ml:25g(5%)","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.83,"修改（支付标准）","医药服务便函〔2021〕5号",113645]
[3699,"XB05BBP072B002080204042","1","葡萄糖","","注射剂","",2015105660,"葡萄糖注射液","无","注射液","500ml:50g(10%)","袋","1","非PVC膜+双管双塞","华仁药业股份有限公司",3.83,"修改（支付标准）","医药服务便函〔2021〕5号",105663]
[3704,"XB05BBP072B002080304127","1","葡萄糖","","注射剂","",2015135009,"葡萄糖注射液","无","注射液","250ml:25g(10%)","袋","1","非PVC膜+双管双塞","辰欣药业股份有限公司",3.36,"修改（支付标准）","医药服务便函〔2021〕5号",135006]
[3708,"XB05BBP072B002080904948","1","葡萄糖","","注射剂","",2015113554,"葡萄糖注射液","无","注射液","500ml:50g(10%)","瓶","1","塑料瓶","湖南科伦制药有限公司",1.22,"修改（支付标准）","医药服务便函〔2021〕5号",113552]
[3711,"XB05BBP072B002090104127","1","葡萄糖","","注射剂","",2015134511,"葡萄糖注射液","无","注射液","500ml:25g(5%)","袋","1","多层共挤输液袋","辰欣药业股份有限公司",2.41,"修改（支付标准）","医药服务便函〔2021〕5号",134515]
[3719,"XB05BBP072B002090604653","1","葡萄糖","","注射剂","",2015133696,"葡萄糖注射液","无","注射液","500ml:25g(5%)","瓶","1","塑料瓶","济民健康管理股份有限公司",1.03,"修改（支付标准）","医药服务便函〔2021〕5号",133700]
[3723,"XB05BBP072B002091104127","1","葡萄糖","","注射剂","",2015135363,"葡萄糖注射液","无","注射液","500ml:25g(5%)","瓶","1","塑料瓶","辰欣药业股份有限公司",1.23,"修改（支付标准）","医药服务便函〔2021〕5号",135360]
[3728,"XB05BBP072B002100204145","1","葡萄糖","","注射剂","",2015153866,"葡萄糖注射液","无","注射液","50ml:2.5g(5%)","袋","1","非PVC膜+双管双塞","山东齐都药业有限公司",2.64,"修改（支付标准）","医药服务便函〔2021〕5号",153869]
[3734,"XB05BBP072B002100904948","1","葡萄糖","","注射剂","",2015113565,"葡萄糖注射液","无","注射液","50ml:5.0g(10%)","瓶","1","塑料瓶","湖南科伦制药有限公司",0.84,"修改（支付标准）","医药服务便函〔2021〕5号",113563]
[3740,"XB05BBP072B002110204145","1","葡萄糖","","注射剂","",2015153810,"葡萄糖注射液","无","注射液","50ml:5.0g(10%)","袋","1","非PVC膜+双管双塞","山东齐都药业有限公司",2.55,"修改（支付标准）","医药服务便函〔2021〕5号",153813]
[3745,"XB05BBP072B002120104653","1","葡萄糖","","注射剂","",2015133930,"葡萄糖注射液","无","注射液","50ml:5.0g(10%)","袋","1","非PVC膜","济民健康管理股份有限公司",1.5,"修改（支付标准）","医药服务便函〔2021〕5号",133934]
[3752,"XB05BBP072B002160902180","1","葡萄糖","","注射剂","",2015108083,"葡萄糖注射液","无","注射液","50ml:5.0g(10%)","袋","1","多层共挤输液袋","四川科伦药业股份有限公司",1.76,"修改（支付标准）","医药服务便函〔2021〕5号",108086]
[3754,"XB05BBP075B002010104289","1","葡萄糖氯化钠","","注射剂","",2015160648,"葡萄糖氯化钠注射液","无","注射液","100ml:5g:0.9g","袋","1","多层共挤输液袋","安徽丰原药业股份有限公司",1.53,"修改（支付标准）","医药服务便函〔2021〕5号",160641]
[3763,"XB05BBP075B002010204653","1","葡萄糖氯化钠","","注射剂","",2015133912,"葡萄糖氯化钠注射液","无","注射液","100ml:5g:0.9g","袋","1","非PVC膜+双管双塞","济民健康管理股份有限公司",3.05,"修改（支付标准）","医药服务便函〔2021〕5号",133916]
[3769,"XB05BBP075B002010504688","1","葡萄糖氯化钠","","注射剂","",2015103284,"葡萄糖氯化钠注射液","无","注射液","100ml:5g:0.9g","瓶","1","塑料瓶","浙江都邦药业股份有限公司",0.67,"修改（支付标准）","医药服务便函〔2021〕5号",103289]
[3775,"XB05BBP075B002010904346","1","葡萄糖氯化钠","","注射剂","",2015156810,"葡萄糖氯化钠注射液","无","注射液","100ml:5g:0.9g","袋","1","直立式输液袋(聚丙烯共混)","安徽双鹤药业有限责任公司",1.64,"修改（支付标准）","医药服务便函〔2021〕5号",156808]
[3778,"XB05BBP075B002011404145","1","葡萄糖氯化钠","","注射剂","",2015116667,"葡萄糖氯化钠注射液","无","注射液","100ml:5g:0.9g","瓶","1","塑料瓶","山东齐都药业有限公司",0.71,"修改（支付标准）","医药服务便函〔2021〕5号",116670]
[3782,"XB05BBP075B002020104723","1","葡萄糖氯化钠","","注射剂","",2015100635,"葡萄糖氯化钠注射液","无","注射液","500ml:25g:4.5g","袋","1","软袋单管双阀","万邦德制药集团有限公司",3.48,"修改（支付标准）","医药服务便函〔2021〕5号",100640]
[3789,"XB05BBP075B002020304718","1","葡萄糖氯化钠","","注射剂","",2015133326,"葡萄糖氯化钠注射液","无","注射液","100ml:8g:0.18g","瓶","1","塑料瓶","浙江天瑞药业有限公司",1.08,"修改（支付标准）","医药服务便函〔2021〕5号",133330]
[3794,"XB05BBP075B002020704634","1","葡萄糖氯化钠","","注射剂","",2015128671,"葡萄糖氯化钠注射液","无","注射液","250ml:12.5g:2.25g","瓶","1","塑料瓶","浙江国镜药业有限公司",0.86,"修改（支付标准）","医药服务便函〔2021〕5号",128670]
[3798,"XB05BBP075B002030104346","1","葡萄糖氯化钠","","注射剂","",2015134455,"葡萄糖氯化钠注射液","无","注射液","250ml:12.5g:2.25g","袋","1","非PVC膜","安徽双鹤药业有限责任公司",1.65,"修改（支付标准）","医药服务便函〔2021〕5号",134459]
[3806,"XB05BBP075B002030204693","1","葡萄糖氯化钠","","注射剂","",2015102711,"葡萄糖氯化钠注射液","无","注射液","250ml:12.5g:2.25g","袋","1","软袋单管双阀","浙江莎普爱思药业股份有限公司",2.15,"修改（支付标准）","医药服务便函〔2021〕5号",102716]
[3813,"XB05BBP075B002030404693","1","葡萄糖氯化钠","","注射剂","",2015102525,"葡萄糖氯化钠注射液","无","注射液","250ml:12.5g:2.25g","瓶","1","塑料瓶","浙江莎普爱思药业股份有限公司",1.03,"修改（支付标准）","医药服务便函〔2021〕5号",102530]
[3817,"XB05BBP075B002030902180","1","葡萄糖氯化钠","","注射剂","",2015109142,"葡萄糖氯化钠注射液","无","注射液","100ml:5g:0.9g","瓶","1","塑料瓶","四川科伦药业股份有限公司",0.81,"修改（支付标准）","医药服务便函〔2021〕5号",109145]
[3823,"XB05BBP075B002040102180","1","葡萄糖氯化钠","","注射剂","",2015109598,"葡萄糖氯化钠注射液","无","注射液","100ml:8g:0.18g","瓶","1","塑料瓶","四川科伦药业股份有限公司",1.29,"修改（支付标准）","医药服务便函〔2021〕5号",109601]
[3830,"XB05BBP075B002040204653","1","葡萄糖氯化钠","","注射剂","",2015133911,"葡萄糖氯化钠注射液","无","注射液","250ml:12.5g:2.25g","袋","1","非PVC膜+双管双塞","济民健康管理股份有限公司",3.3,"修改（支付标准）","医药服务便函〔2021〕5号",133915]
[3834,"XB05BBP075B002040404127","1","葡萄糖氯化钠","","注射剂","",2015135005,"葡萄糖氯化钠注射液","无","注射液","250ml:20g:0.45g","袋","1","非PVC膜+双管双塞","辰欣药业股份有限公司",3.9,"修改（支付标准）","医药服务便函〔2021〕5号",135002]
[3839,"XB05BBP075B002040904346","1","葡萄糖氯化钠","","注射剂","",2015156807,"葡萄糖氯化钠注射液","无","注射液","500ml:25g:4.5g","袋","1","直立式输液袋(聚丙烯共混)","安徽双鹤药业有限责任公司",2.24,"修改（支付标准）","医药服务便函〔2021〕5号",156805]
[3846,"XB05BBP075B002050104745","1","葡萄糖氯化钠","","注射剂","",2015134471,"葡萄糖氯化钠注射液","无","注射液","500ml:25g:4.5g","袋","1","非PVC膜","浙江康吉尔药业有限公司",2.23,"修改（支付标准）","医药服务便函〔2021〕5号",134475]
[3848,"XB05BBP075B002050204494","1","葡萄糖氯化钠","","注射剂","",2015160543,"葡萄糖氯化钠注射液","无","注射液","500ml:25g:4.5g","袋","1","软袋单管双阀","杭州民生药业有限公司",3.94,"修改（支付标准）","医药服务便函〔2021〕5号",160536]
[3853,"XB05BBP075B002050504346","1","葡萄糖氯化钠","","注射剂","",2015135354,"葡萄糖氯化钠注射液","无","注射液","50ml:2.5g:0.45g","瓶","1","塑料瓶","安徽双鹤药业有限责任公司",0.75,"修改（支付标准）","医药服务便函〔2021〕5号",135351]
[3859,"XB05BBP075B002060104745","1","葡萄糖氯化钠","","注射剂","",2015134472,"葡萄糖氯化钠注射液","无","注射液","50ml:2.5g:0.45g","袋","1","非PVC膜","浙江康吉尔药业有限公司",1.64,"修改（支付标准）","医药服务便函〔2021〕5号",134476]
[3865,"XB05BBP075B002070100628","1","葡萄糖氯化钠","","注射剂","",2015125578,"葡萄糖氯化钠注射液","无","注射液","250ml:12.5g:0.5g","袋","1","非PVC膜+双管双塞+双层无菌","上海百特医疗用品有限公司",5.1,"修改（支付标准）","医药服务便函〔2021〕5号",125577]
[3874,"XB05BBP075B002080402180","1","葡萄糖氯化钠","","注射剂","",2015129496,"葡萄糖氯化钠注射液","无","注射液","250ml:20g:0.45g","袋","1","非PVC膜+双管双塞","四川科伦药业股份有限公司",3.49,"修改（支付标准）","医药服务便函〔2021〕5号",129495]
[3877,"XB05BBP075B002100404653","1","葡萄糖氯化钠","","注射剂","",2015153482,"葡萄糖氯化钠注射液","无","注射液","50ml:4g:0.09g","瓶","1","塑料瓶","济民健康管理股份有限公司",2.5,"修改（支付标准）","医药服务便函〔2021〕5号",153485]
[3883,"XB05BBR057B002010105597","1","乳酸钠林格","","注射剂","",2015161598,"乳酸钠林格注射液","无","注射液","500ml","瓶","1","塑料瓶","昆明南疆制药有限公司",1.74,"修改（支付标准）","医药服务便函〔2021〕5号",161591]
[3888,"XB05BCG027B002010102053","2","甘露醇","","冲洗剂","",2015130620,"甘露醇注射液(冲洗用)","无","冲洗剂","3000ml:150g(5%)","袋","1","PVC膜+双管双塞","成都青山利康药业有限公司",21.13,"修改（支付标准）","医药服务便函〔2021〕5号",130624]
[3892,"XB05BCG027B002010204042","2","甘露醇","","冲洗剂","",2015106149,"甘露醇注射液","无","注射液","3000ml:150g(5%)","袋","1","非PVC膜+双管双塞","华仁药业股份有限公司",18.8,"修改（支付标准）","医药服务便函〔2021〕5号",106152]
[3900,"XB05BCG162B002010101521","1","甘油果糖氯化钠","","注射剂","",2015148188,"甘油果糖氯化钠注射液","无","注射液","250ml:25g:12.5g:2.25g","袋","1","多层共挤输液袋","江苏正大丰海制药有限公司",10.83,"修改（支付标准）","医药服务便函〔2021〕5号",148187]
[3903,"XB05BCG162B002010201521","1","甘油果糖氯化钠","","注射剂","",2015137902,"甘油果糖氯化钠注射液","无","注射液","250ml:25g:12.5g:2.25g","瓶","1","玻璃瓶","江苏正大丰海制药有限公司",7,"修改（支付标准）","医药服务便函〔2021〕5号",137899]
[3912,"XB05CBS079S002010304145","2","生理氯化钠","","冲洗剂","",2015148320,"生理氯化钠溶液","无","冲洗剂","1000ml:9g(0.9%)","瓶","1","塑料瓶","山东齐都药业有限公司",5.91,"修改（支付标准）","医药服务便函〔2021〕5号",148319]
[3917,"XB05CBS079S002030204653","2","生理氯化钠","","冲洗剂","",2015133920,"生理氯化钠溶液","无","冲洗剂","3000ml:27g(0.9%)","袋","1","非PVC膜+双管双塞","济民健康管理股份有限公司",14.04,"修改（支付标准）","医药服务便函〔2021〕5号",133924]
[3918,"XB05CBS079S002040104145","2","生理氯化钠","","冲洗剂","",2015116686,"生理氯化钠溶液","无","冲洗剂","500ml:4.5g(0.9%)","瓶","1","塑料瓶","山东齐都药业有限公司",2.1,"修改（支付标准）","医药服务便函〔2021〕5号",116689]
[3924,"XB05DAD257B020030100384","1","腹膜透析液","","注射剂","",2015117410,"低钙腹膜透析液(乳酸盐-G4.25%)","无","注射液","2000ml(葡萄糖4.25%)(氯化钙0.0183%)","袋","1","双袋双联(PVC膜)","广州百特医疗用品有限公司",29.25,"修改（支付标准）","医药服务便函〔2021〕5号",117413]
[3929,"XB05DAF612B020020104042","1","腹膜透析液","","注射剂","",2015150565,"腹膜透析液(乳酸盐)","无","注射液","2500ml:37.5g(1.5%)","袋","1","双袋双联(非PVC膜)","华仁药业股份有限公司",29.84,"修改（支付标准）","医药服务便函〔2021〕5号",150568]
[3936,"XB05XAG041B002010105006","2","甘油磷酸钠","","注射剂","",201512793,"甘油磷酸钠注射液","无","注射液","10ml:2.16g","支","1","安瓿","湖南科伦制药有限公司",5.88,"修改（支付标准）","医药服务便函〔2021〕5号",162181]
[3944,"XB05XAL209B002040102204","2","氯化钾","","注射剂","",2020130198,"氯化钾氯化钠注射液","美佳莱","注射液","100ml:氯化钾0.3g与氯化钠0.9g","瓶","1","玻璃瓶","四川奇力制药有限公司",6.26,"修改（支付标准）","医药服务便函〔2021〕5号",130198]
[3947,"XB05XAL211B002010104346","1","氯化钠","","注射剂","",2015134451,"氯化钠注射液","无","注射液","100ml:0.9g(0.9%)","袋","1","非PVC膜","安徽双鹤药业有限责任公司",1.45,"修改（支付标准）","医药服务便函〔2021〕5号",134455]
[3953,"XB05XAL211B002010104745","1","氯化钠","","注射剂","",2015134465,"氯化钠注射液","无","注射液","100ml:0.9g(0.9%)","袋","1","非PVC膜","浙江康吉尔药业有限公司",1.62,"修改（支付标准）","医药服务便函〔2021〕5号",134469]
[3959,"XB05XAL211B002010304042","1","氯化钠","","注射剂","",2015105508,"氯化钠注射液","无","注射液","1000ml:9g(0.9%)","袋","1","非PVC膜+双管双塞+双层无菌","华仁药业股份有限公司",7.53,"修改（支付标准）","医药服务便函〔2021〕5号",105511]
[3962,"XB05XAL211B002010404693","1","氯化钠","","注射剂","",2015102411,"氯化钠注射液","无","注射液","100ml:0.9g(0.9%)","瓶","1","塑料瓶","浙江莎普爱思药业股份有限公司",0.84,"修改（支付标准）","医药服务便函〔2021〕5号",102416]
[3971,"XB05XAL211B002020102662","1","氯化钠","","注射剂","",2015113419,"氯化钠注射液","无","注射液","10ml:90mg(0.9%)","瓶","1","安瓿","河北天成药业股份有限公司",0.23,"修改（支付标准）","医药服务便函〔2021〕5号",113417]
[3973,"XB05XAL211B002020104346","1","氯化钠","","注射剂","",2015134452,"氯化钠注射液","无","注射液","250ml:2.25g(0.9%)","袋","1","非PVC膜","安徽双鹤药业有限责任公司",1.65,"修改（支付标准）","医药服务便函〔2021〕5号",134456]
[3983,"XB05XAL211B002020204145","1","氯化钠","","注射剂","",2015125890,"氯化钠注射液","无","注射液","100ml:0.9g(0.9%)","袋","1","非PVC膜+双管双塞","山东齐都药业有限公司",2.66,"修改（支付标准）","医药服务便函〔2021〕5号",125889]
[3988,"XB05XAL211B002020204745","1","氯化钠","","注射剂","",2015134964,"氯化钠注射液","无","注射液","250ml:2.25g(0.9%)","袋","1","软袋单管双阀","浙江康吉尔药业有限公司",3.3,"修改（支付标准）","医药服务便函〔2021〕5号",134968]
[3990,"XB05XAL211B002020305488","1","氯化钠","","注射剂","",2015149360,"氯化钠注射液","无","注射液","250ml:2.25g(0.9%)","袋","1","直立式输液袋(聚丙烯共混)","贵州科伦药业有限公司",1.75,"修改（支付标准）","医药服务便函〔2021〕5号",149359]
[3997,"XB05XAL211B002020704634","1","氯化钠","","注射剂","",2015128659,"氯化钠注射液","无","注射液","250ml:2.25g(0.9%)","瓶","1","塑料瓶","浙江国镜药业有限公司",0.86,"修改（支付标准）","医药服务便函〔2021〕5号",128658]
[4001,"XB05XAL211B002021002180","1","氯化钠","","注射剂","",2015108115,"氯化钠注射液","无","注射液","100ml:0.9g(0.9%)","袋","1","多层共挤输液袋","四川科伦药业股份有限公司",1.64,"修改（支付标准）","医药服务便函〔2021〕5号",108118]
[4007,"XB05XAL211B002030104653","1","氯化钠","","注射剂","",2015133721,"氯化钠注射液","无","注射液","150ml:1.35g(0.9%)","瓶","1","塑料瓶","济民健康管理股份有限公司",1.93,"修改（支付标准）","医药服务便函〔2021〕5号",133725]
[4014,"XB05XAL211B002030202053","1","氯化钠","","注射剂","",2015130608,"氯化钠注射液","无","注射液","2000ml:18g(0.9%)","袋","1","PVC膜+双管双塞","成都青山利康药业有限公司",18.12,"修改（支付标准）","医药服务便函〔2021〕5号",130612]
[4018,"XB05XAL211B002030303459","1","氯化钠","","注射剂","",2015123884,"氯化钠注射液","无","注射液","250ml:2.25g(0.9%)","瓶","1","塑料瓶","吉林省都邦药业股份有限公司",0.85,"修改（支付标准）","医药服务便函〔2021〕5号",123881]
[4023,"XB05XAL211B002030404693","1","氯化钠","","注射剂","",2015102423,"氯化钠注射液","无","注射液","500ml:4.5g(0.9%)","瓶","1","塑料瓶","浙江莎普爱思药业股份有限公司",1.3,"修改（支付标准）","医药服务便函〔2021〕5号",102428]
[4030,"XB05XAL211B002040104098","1","氯化钠","","注射剂","",2015158358,"氯化钠注射液","无","注射液","200ml:1.8g(0.9%)","袋","1","非PVC膜","山东华鲁制药有限公司",3.41,"修改（支付标准）","医药服务便函〔2021〕5号",158356]
[4038,"XB05XAL211B002040204494","1","氯化钠","","注射剂","",2015160559,"氯化钠注射液","无","注射液","250ml:2.25g(0.9%)","袋","1","软袋单管双阀","杭州民生药业有限公司",3.38,"修改（支付标准）","医药服务便函〔2021〕5号",160552]
[4042,"XB05XAL211B002040404634","1","氯化钠","","注射剂","",2015128665,"氯化钠注射液","无","注射液","50ml:0.45g(0.9%)","袋","1","直立式输液袋(聚丙烯)","浙江国镜药业有限公司",2.05,"修改（支付标准）","医药服务便函〔2021〕5号",128664]
[4049,"XB05XAL211B002050102180","1","氯化钠","","注射剂","",2015108113,"氯化钠注射液","无","注射液","150ml:1.35g(0.9%)","袋","1","多层共挤输液袋","四川科伦药业股份有限公司",2.13,"修改（支付标准）","医药服务便函〔2021〕5号",108116]
[4054,"XB05XAL211B002050204494","1","氯化钠","","注射剂","",2015160563,"氯化钠注射液","无","注射液","500ml:4.5g(0.9%)","袋","1","软袋单管双阀","杭州民生药业有限公司",3.87,"修改（支付标准）","医药服务便函〔2021〕5号",160556]
[4058,"XB05XAL211B002050604653","1","氯化钠","","注射剂","",2015133705,"氯化钠注射液","无","注射液","250ml:2.25g(0.9%)","瓶","1","塑料瓶","济民健康管理股份有限公司",0.8,"修改（支付标准）","医药服务便函〔2021〕5号",133709]
[4061,"XB05XAL211B002051404145","1","氯化钠","","注射剂","",2015116661,"氯化钠注射液","无","注射液","250ml:2.25g(0.9%)","瓶","1","塑料瓶","山东齐都药业有限公司",0.84,"修改（支付标准）","医药服务便函〔2021〕5号",116664]
[4067,"XB05XAL211B002060704948","1","氯化钠","","注射剂","",2015113370,"氯化钠注射液","无","注射液","50ml:0.45g(0.9%)","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.1,"修改（支付标准）","医药服务便函〔2021〕5号",113368]
[4072,"XB05XAL211B002070604653","1","氯化钠","","注射剂","",2015133704,"氯化钠注射液","无","注射液","500ml:4.5g(0.9%)","瓶","1","塑料瓶","济民健康管理股份有限公司",1.04,"修改（支付标准）","医药服务便函〔2021〕5号",133708]
[4082,"XB05XAT018B002020105251","1","碳酸氢钠","","注射剂","",2015140904,"碳酸氢钠注射液","无","注射液","250ml:12.5g(5%)","瓶","1","塑料瓶","回音必集团江西东亚制药有限公司",5.29,"修改（支付标准）","医药服务便函〔2021〕5号",140906]
[4084,"XB05XBB120B001010305765","2","丙氨酰谷氨酰胺","","注射剂","限有禁食医嘱的患者，并符合凡例对肠内外营养制剂的规定",201511554,"注射用丙氨酰谷氨酰胺","培尔吉","粉针剂","10g","盒","1","配溶媒+复方氨基酸(18AA)+无菌导液针","海南全星制药有限公司",80.11,"修改（支付标准）","医药服务便函〔2021〕5号",109020]
[4093,"XB05XBB120B002020101415","2","丙氨酰谷氨酰胺","","注射剂","限有禁食医嘱的患者，并符合凡例对肠内外营养制剂的规定",20151059,"丙氨酰谷氨酰胺注射液","力太","注射液","50ml:10g","瓶","1","玻璃瓶","奥地利Fresenius Kabi Austria GmbH",89.7,"修改（支付标准）","医药服务便函〔2021〕5号",146339]
[4096,"XB05XBB120B002020302180","2","丙氨酰谷氨酰胺","","注射剂","限有禁食医嘱的患者，并符合凡例对肠内外营养制剂的规定",20157338,"丙氨酰谷氨酰胺注射液","无","注射液","50ml:10g","瓶","1","玻璃瓶","四川科伦药业股份有限公司",50.59,"修改（支付标准）","医药服务便函〔2021〕5号",109432]
[4101,"XB05ZBX188B001010104042","2","血液滤过置换液","","注射剂","",2020106213,"血液滤过置换液","无","注射液","2000ml","袋","1","非PVC膜+双管双塞","华仁药业股份有限公司",42.6,"修改（支付标准）","医药服务便函〔2021〕5号",106213]
[4108,"XC01BBL054B002010102662","1","利多卡因","","注射剂","",2015113350,"盐酸利多卡因注射液","无","注射液","20ml:0.4g","瓶","1","安瓿","河北天成药业股份有限公司",0.98,"修改（支付标准）","医药服务便函〔2021〕5号",113348]
[4113,"XC01BBL054B002010200665","1","利多卡因","","注射剂","",2015118038,"盐酸利多卡因注射液","无","注射液","10ml:0.2g","支","1","安瓿","上海朝晖药业有限公司",1.12,"修改（支付标准）","医药服务便函〔2021〕5号",118041]
[4119,"XC01BBL054B002020201453","1","利多卡因","","注射剂","",2015134275,"碳酸利多卡因注射液","无","注射液","5ml:86.5mg","支","1","安瓿","济川药业集团有限公司",3.81,"修改（支付标准）","医药服务便函〔2021〕5号",134279]
[4125,"XC01BCP099A001010101397","1","普罗帕酮","","口服常释剂型","",2015103206,"盐酸普罗帕酮片","无","素片","50mg","瓶","50","塑料瓶","常州制药厂有限公司",9.78,"修改（支付标准）","医药服务便函〔2021〕5号",103211]
[4128,"XC01BCP099A001010104127","1","普罗帕酮","","口服常释剂型","",2015135304,"盐酸普罗帕酮片","无","素片","50mg","瓶","50","塑料瓶","辰欣药业股份有限公司",2.34,"修改（支付标准）","医药服务便函〔2021〕5号",135301]
[4136,"XC01BDA201B002010180426","1","胺碘酮","","注射剂","",2015147099,"盐酸胺碘酮注射液","可达龙","注射液","3ml:0.15g","支","1","玻璃瓶","法国Sanofi Winthrop Industrie<赛诺菲(杭州)制药有限公司>分包装",24.43,"修改（支付标准）","医药服务便函〔2021〕5号",147098]
[4137,"XC01BDY054B002010104286","2","伊布利特","","注射剂","限新发房颤转复",201513295,"富马酸伊布利特注射液","无","注射液","10ml:1mg","支","1","安瓿","马鞍山丰原制药有限公司",445.5,"修改（支付标准）","医药服务便函〔2021〕5号",135893]
[4143,"XC01CEM102B002010104383","2","米力农","","注射剂","",2020169511,"米力农注射液","无","注射液","5ml:5mg","盒","1","安瓿","国药集团国瑞药业有限公司",59.36,"修改（支付标准）","医药服务便函〔2021〕5号",169511]
[4152,"XC01DAD024A001010104120","1","单硝酸异山梨酯","","口服常释剂型","",2015122404,"单硝酸异山梨酯片","欣泰","素片","10mg","盒","48","铝塑","山东力诺制药有限公司",18.32,"修改（支付标准）","医药服务便函〔2021〕5号",122401]
[4155,"XC01DAD024A001010200795","1","单硝酸异山梨酯","","口服常释剂型","",2015136861,"单硝酸异山梨酯片","无","素片","20mg","盒","28","铝塑","上海新亚药业闵行有限公司",9.27,"修改（支付标准）","医药服务便函〔2021〕5号",136858]
[4163,"XC01DAD024A010010100863","2","单硝酸异山梨酯/n单硝酸异山梨酯Ⅰ/n单硝酸异山梨酯Ⅱ/n单硝酸异山梨酯Ⅲ/n单硝酸异山梨酯Ⅳ","","缓释控释剂型","",2015128748,"单硝酸异山梨酯缓释片","索尼特","缓释片","60mg","盒","10","铝塑","山德士(中国)制药有限公司",14,"修改（支付标准）","医药服务便函〔2021〕5号",128747]
[4167,"XC01DAD024A010010104021","2","单硝酸异山梨酯/n单硝酸异山梨酯Ⅰ/n单硝酸异山梨酯Ⅱ/n单硝酸异山梨酯Ⅲ/n单硝酸异山梨酯Ⅳ","","缓释控释剂型","",2015151097,"单硝酸异山梨酯缓释片","无","缓释片","30mg","盒","24","铝塑","齐鲁制药有限公司",17.28,"修改（支付标准）","医药服务便函〔2021〕5号",151100]
[4172,"XC01DAD024A010010204145","2","单硝酸异山梨酯/n单硝酸异山梨酯Ⅰ/n单硝酸异山梨酯Ⅱ/n单硝酸异山梨酯Ⅲ/n单硝酸异山梨酯Ⅳ","","缓释控释剂型","",2015117257,"单硝酸异山梨酯缓释片","无","缓释片","60mg","盒","14","铝塑","山东齐都药业有限公司",16.13,"修改（支付标准）","医药服务便函〔2021〕5号",117260]
[4179,"XC01DAD024B002010104046","2","单硝酸异山梨酯","","注射剂","限无法口服硝酸酯类药物的患者",2015113793,"单硝酸异山梨酯注射液","无","注射液","1ml:10mg","支","1","安瓿","青岛金峰制药有限公司",7.6,"修改（支付标准）","医药服务便函〔2021〕5号",113791]
[4181,"XC01DAD024B002010204012","2","单硝酸异山梨酯","","注射剂","限无法口服硝酸酯类药物的患者",2015131197,"单硝酸异山梨酯注射液","欣康","注射液","5ml:20mg","支","1","安瓿","鲁南贝特制药有限公司",20.4,"修改（支付标准）","医药服务便函〔2021〕5号",131201]
[4190,"XC01DAD024E002010104217","1","单硝酸异山梨酯","","口服常释剂型","",2015105995,"单硝酸异山梨酯胶丸","舒必莱特","软胶囊(胶丸)","10mg","盒","24","铝塑","威海华新药业集团有限公司",15.74,"修改（支付标准）","医药服务便函〔2021〕5号",105998]
[4196,"XC01DAD224E003010101416","2","单硝酸异山梨酯/n单硝酸异山梨酯Ⅰ/n单硝酸异山梨酯Ⅱ/n单硝酸异山梨酯Ⅲ/n单硝酸异山梨酯Ⅳ","","缓释控释剂型","",2015130806,"单硝酸异山梨酯缓释胶囊(Ⅰ)","再晟","缓释胶囊","50mg","盒","10","铝塑","华裕(无锡)制药有限公司",23.7,"修改（支付标准）","医药服务便函〔2021〕5号",130810]
[4198,"XC01DAD227E003010100610","2","单硝酸异山梨酯\n单硝酸异山梨酯Ⅰ\n单硝酸异山梨酯Ⅱ\n单硝酸异山梨酯Ⅲ\n单硝酸异山梨酯Ⅳ","","缓释控释剂型","",2020125412,"单硝酸异山梨酯缓释胶囊(Ⅳ)","异乐定","缓释胶囊","50mg","盒","10","铝塑","优时比(珠海)制药有限公司",31.85,"修改（支付标准）","医药服务便函〔2021〕5号",125412]
[4207,"XC01DAX072A003010278718","2","硝酸甘油","","舌下片剂","",2019162760,"硝酸甘油舌下片","耐较咛","舌下片","0.6mg","瓶","100","玻璃瓶","美国Pfizer Pharmaceuticals LLC",398,"修改（支付标准）","医药服务便函〔2021〕5号",162760]
[4213,"XC01DAX078A001010101437","1","硝酸异山梨酯","","口服常释剂型","",2015105209,"硝酸异山梨酯片","无","素片","5mg","瓶","100","塑料瓶","世贸天阶制药(江苏)有限责任公司",4.51,"修改（支付标准）","医药服务便函〔2021〕5号",105212]
[4214,"XC01DAX078A001010102968","1","硝酸异山梨酯","","口服常释剂型","",2015124871,"硝酸异山梨酯片","无","素片","5mg","瓶","100","塑料瓶","云鹏医药集团有限公司",4.19,"修改（支付标准）","医药服务便函〔2021〕5号",124868]
[4222,"XC01DXN039A001010204165","1","尼可地尔","","口服常释剂型","",2020169778,"尼可地尔片","无","素片","5mg","盒","36","铝塑","山东信谊制药有限公司",36.3,"修改（支付标准）","医药服务便函〔2021〕5号",169778]
[4226,"XC01EBC109B001010102049","2","重组人脑利钠肽","","注射剂","限二级及以上医疗机构用于规范治疗效果不佳的急性失代偿性心力衰竭短期治疗，单次住院支付不超过3天。",20158770,"注射用重组人脑利钠肽","新活素","冻干粉针剂","0.5mg(500U)","瓶","1","玻璃瓶","成都诺迪康生物制药有限公司",445,"修改（支付标准）","医药服务便函〔2021〕5号",118223]
[4233,"XC01EBG072B014020104152","2","葛根素","","注射剂","限视网膜动静脉阻塞或突发性耳聋患者，支付不超过14天",20156087,"注射用葛根素","麦普宁","冻干粉针剂","0.2g","瓶","1","玻璃瓶","瑞阳制药有限公司",16.27,"修改（支付标准）","医药服务便函〔2021〕5号",109814]
[4238,"XC01EBQ102A001010104152","2","曲美他嗪","","口服常释剂型","限稳定性心绞痛患者的二线治疗",2015110379,"盐酸曲美他嗪片","无","薄膜衣片","20mg","盒","15","铝塑","瑞阳制药有限公司",1.33,"修改（支付标准）","医药服务便函〔2021〕5号",110377]
[4242,"XC01EBQ102A001010301645","2","曲美他嗪","","口服常释剂型","限稳定性心绞痛患者的二线治疗",2019164599,"盐酸曲美他嗪片","无","薄膜衣片","20mg","盒","45","铝箔","江苏吴中医药集团有限公司苏州制药厂",30.59,"修改（支付标准）","医药服务便函〔2021〕5号",164599]
[4249,"XC01EBQ102A010010300847","2","曲美他嗪","","缓释控释剂型","限稳定性心绞痛患者的二线治疗",2015132021,"盐酸曲美他嗪缓释片","无","缓释片","35mg","盒","30","铝塑","施维雅(天津)制药有限公司",68.1,"修改（支付标准）","医药服务便函〔2021〕5号",132025]
[4257,"XC02ACD066A001010101437","2","地巴唑","","口服常释剂型","",2015105199,"地巴唑片","无","素片","10mg","瓶","100","塑料瓶","世贸天阶制药(江苏)有限责任公司",2.59,"修改（支付标准）","医药服务便函〔2021〕5号",105202]
[4261,"XC02CAC046B001010100796","2","川芎嗪","","注射剂","限急性缺血性脑血管疾病，支付不超过14天",2015134037,"注射用磷酸川芎嗪","均达奎","粉针剂","0.1g","瓶","1","玻璃瓶","上海上药新亚药业有限公司",3.38,"修改（支付标准）","医药服务便函〔2021〕5号",134041]
[4266,"XC02CAC046B001020103662","2","川芎嗪","","注射剂","限急性缺血性脑血管疾病，支付不超过14天",2015106894,"注射用盐酸川芎嗪","川青","冻干粉针剂","40mg","支","1","玻璃瓶","哈尔滨三联药业股份有限公司",8.38,"修改（支付标准）","医药服务便函〔2021〕5号",106897]
[4273,"XC02CAD177A010010178715","2","多沙唑嗪","","缓释控释剂型","",201514342,"甲磺酸多沙唑嗪缓释片","可多华","缓释片","4.0mg","盒","10","铝塑","波多黎各Pfizer Pharmaceuticals LLC<辉瑞制药有限公司>分包装",55.91,"修改（支付标准）","医药服务便函〔2021〕5号",146977]
[4278,"XC02CAP023A001010100818","1","哌唑嗪","","口服常释剂型","",2015137511,"盐酸哌唑嗪片","无","素片","1.0mg","瓶","100","塑料瓶","上海上药信谊药厂有限公司",5.42,"修改（支付标准）","医药服务便函〔2021〕5号",137508]
[4283,"XC02CAW069B002010202503","2","乌拉地尔","","注射剂","",20156301,"盐酸乌拉地尔注射液","利喜定","注射液","10ml:50mg","支","1","安瓿","西安利君制药有限责任公司",35.98,"修改（支付标准）","医药服务便函〔2021〕5号",120060]
[4285,"XC02CAW069B014020104141","2","乌拉地尔","","注射剂","",20159578,"注射用盐酸乌拉地尔","罗浩","冻干粉针剂","50mg","瓶","1","西林瓶","山东罗欣药业集团股份有限公司",34.66,"修改（支付标准）","医药服务便函〔2021〕5号",115640]
[4292,"XC02CXY168W006010179598","2","银杏叶提取物","","口服液体剂","▲",20157097,"银杏叶提取物滴剂","金纳多","滴剂","30ml:1.2g","瓶","1","玻璃瓶","德国威玛舒培博士药厂Dr. Willmar Schwabe GmbH & Co. KG",52.4,"修改（支付标准）","医药服务便函〔2021〕5号",142059]
[4297,"XC02KXA252A001010204647","2","安立生坦","","口服常释剂型","",2020167005,"安立生坦片","无","薄膜衣片","5mg","盒","30.0","双铝","浙江华海药业股份有限公司",600,"修改（支付标准）","医药服务便函〔2021〕5号",167005]
[4303,"XC02KXL363A001030178269","2","利奥西呱","","口服常释剂型","限以下情况方可支付：1.术后持续性或复发性慢性血栓栓塞性肺动脉高压（CTEPH）或不能手术的CTEPH，且（WHO FC）为II-III的患者；2.动脉性肺动脉高压（PAH）且（WHO FC）为II-III患者的二线用药。",2019166630,"利奥西呱片","安吉奥","薄膜衣片","2.5mg","盒","84","铝塑","德国Bayer AG",4167.24,"修改（支付标准）","医药服务便函〔2021〕5号",166630]
[4309,"XC02LAF352A001010104494","1","复方利血平","","口服常释剂型","",2015137403,"复方利血平片","无","薄膜衣片","复方","瓶","100","塑料瓶","杭州民生药业有限公司",2.8,"修改（支付标准）","医药服务便函〔2021〕5号",137400]
[4312,"XC02LAF352A017010300662","1","复方利血平","","口服常释剂型","",2015157513,"复方利血平片","无","薄膜衣片","复方","盒","120","铝塑","上海复旦复华药业有限公司",3.67,"修改（支付标准）","医药服务便函〔2021〕5号",157511]
[4320,"XC03BAY169A001010100228","1","吲达帕胺","","口服常释剂型","",2015109460,"吲达帕胺片","无","薄膜衣片","2.5mg","盒","30","铝塑","国药集团工业有限公司",12.51,"修改（支付标准）","医药服务便函〔2021〕5号",109463]
[4327,"XC03BAY169A001010204190","1","吲达帕胺","","口服常释剂型","",2015121627,"吲达帕胺片","无","糖衣片","2.5mg","盒","24","铝塑","烟台巨先药业有限公司",7.9,"修改（支付标准）","医药服务便函〔2021〕5号",121624]
[4332,"XC03BAY169A010010201816","1","吲达帕胺","","缓释控释剂型","",2015140759,"吲达帕胺缓释片","无","缓释片","1.5mg","盒","30","铝箔","真奥金银花药业有限公司",17.55,"修改（支付标准）","医药服务便函〔2021〕5号",140761]
[4336,"XC03BAY169E001010104043","1","吲达帕胺","","口服常释剂型","",2015124360,"吲达帕胺胶囊","希尔达","硬胶囊剂","2.5mg","盒","30","铝箔","青岛黄海制药有限责任公司",8.04,"修改（支付标准）","医药服务便函〔2021〕5号",124357]
[4344,"XC03CAB176B002020205206","2","布美他尼","","注射剂","",201511817,"布美他尼注射液","无","注射液","2ml:1.0mg","支","1","安瓿","桂林南药股份有限公司",12.16,"修改（支付标准）","医药服务便函〔2021〕5号",116704]
[4347,"XC03CAF056A001010101510","1","呋塞米","","口服常释剂型","",2015143205,"呋塞米片","无","素片","20mg","瓶","100","塑料瓶","江苏亚邦爱普森药业有限公司",29.8,"修改（支付标准）","医药服务便函〔2021〕5号",143207]
[4351,"XC03CAF056B002010101842","1","呋塞米","","注射剂","",2015118509,"呋塞米注射液","无","注射液","2ml:20mg","支","1","安瓿","湖北天圣药业有限公司",1.48,"修改（支付标准）","医药服务便函〔2021〕5号",118512]
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[4363,"XC03DAL269A001010100222","1","螺内酯","","口服常释剂型","",2015109181,"螺内酯片","使尔通","素片","12mg","瓶","100","塑料瓶","北京中新制药厂",31.42,"修改（支付标准）","医药服务便函〔2021〕5号",109184]
[4368,"XC03DAL269A001010105777","1","螺内酯","","口服常释剂型","",2015125466,"螺内酯片","无","素片","20mg","瓶","100","塑料瓶","海南海神同洲制药有限公司",17.5,"修改（支付标准）","医药服务便函〔2021〕5号",125465]
[4373,"XC04ACY028A001010100886","2","烟酸","","口服常释剂型","",2015111381,"烟酸片","无","素片","50mg","瓶","100","塑料瓶","天津力生制药股份有限公司",8.07,"修改（支付标准）","医药服务便函〔2021〕5号",111379]
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[4391,"XC04AXA072A001010202020","2","阿魏酸钠","","口服常释剂型","",20156594,"阿魏酸钠片","无","素片","50mg","盒","36","铝箔","成都第一制药有限公司",9.18,"修改（支付标准）","医药服务便函〔2021〕5号",130444]
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[4403,"XC05CAQ005B001020101701","2","七叶皂苷","","注射剂","限脑水肿的二线治疗，支付不超过10天",20157768,"注射用七叶皂苷钠","无","冻干粉针剂","15mg","瓶","1","玻璃瓶","无锡凯夫制药有限公司",10.53,"修改（支付标准）","医药服务便函〔2021〕5号",143427]
[4406,"XC05CAQ094A001010102897","2","曲克芦丁","","口服常释剂型","",2015137624,"曲克芦丁片","无","糖衣片","60mg","瓶","100","塑料瓶","山西津华晖星制药有限公司",7.2,"修改（支付标准）","医药服务便函〔2021〕5号",137621]
[4415,"XC07AAS196A001010104012","2","索他洛尔","","口服常释剂型","",20156319,"盐酸索他洛尔片","伟特","素片","80mg","盒","24","铝塑","鲁南贝特制药有限公司",27.16,"修改（支付标准）","医药服务便函〔2021〕5号",131173]
[4417,"XC07ABA065A001010100964","1","阿替洛尔","","口服常释剂型","",2015158660,"阿替洛尔片","无","糖衣片","25mg","瓶","50","塑料瓶","天津中新药业集团股份有限公司新新制药厂",5.93,"修改（支付标准）","医药服务便函〔2021〕5号",158658]
[4422,"XC07ABA065A001010104744","1","阿替洛尔","","口服常释剂型","",2015139548,"阿替洛尔片","无","素片","50mg","瓶","100","塑料瓶","浙江亚太药业股份有限公司",9.91,"修改（支付标准）","医药服务便函〔2021〕5号",139545]
[4432,"XC07ABB087A001010202181","1","比索洛尔","","口服常释剂型","",2015113252,"富马酸比索洛尔片","无","素片","2.5mg","盒","18","复合膜","成都苑东生物制药股份有限公司",6.15,"修改（支付标准）","医药服务便函〔2021〕5号",113250]
[4433,"XC07ABB087A001010204918","1","比索洛尔","","口服常释剂型","",2015123681,"富马酸比索洛尔片","无","素片","5mg","盒","24","铝箔","岳阳新华达制药有限公司",13.79,"修改（支付标准）","医药服务便函〔2021〕5号",123678]
[4441,"XC07ABM062A001010200594","1","美托洛尔","","口服常释剂型","",2015103242,"酒石酸美托洛尔片","无","素片","25mg","盒","20","铝塑","珠海同源药业有限公司",13,"修改（支付标准）","医药服务便函〔2021〕5号",103247]
[4445,"XC07ABM062A001010401667","1","美托洛尔","","口服常释剂型","",2015157198,"酒石酸美托洛尔片","无","素片","25mg","盒","30","铝塑","苏州爱美津制药有限公司",18.45,"修改（支付标准）","医药服务便函〔2021〕5号",157196]
[4450,"XC07ABM062A001020204190","1","美托洛尔","","口服常释剂型","",2015121622,"酒石酸美托洛尔片","无","素片","50mg","盒","24","铝塑","烟台巨先药业有限公司",7.67,"修改（支付标准）","医药服务便函〔2021〕5号",121619]
[4457,"XC07ABM062A010020100978","2","美托洛尔","","缓释控释剂型","",2015124841,"酒石酸美托洛尔缓释片","托西尔康","缓释片","50mg","盒","20","铝塑","西南药业股份有限公司",22.06,"修改（支付标准）","医药服务便函〔2021〕5号",124838]
[4462,"XC07AGK029A001010105795","2","卡维地洛","","口服常释剂型","",201511725,"卡维地洛片","无","素片","12.5mg","盒","24","铝塑","海南绿岛制药有限公司",20.88,"修改（支付标准）","医药服务便函〔2021〕5号",124751]
[4467,"XC07AGK029A001030104561","2","卡维地洛","","口服常释剂型","",201511882,"卡维地洛片","枢衡","薄膜衣片","6.25mg","盒","24","铝箔","福安药业集团宁波天衡制药有限公司",11.5,"修改（支付标准）","医药服务便函〔2021〕5号",138674]
[4474,"XC08CAA187A001010201162","1","氨氯地平","","口服常释剂型","",2015152623,"马来酸氨氯地平片","伏络清","素片","5mg","盒","35","铝塑","东北制药集团沈阳第一制药有限公司",19.55,"修改（支付标准）","医药服务便函〔2021〕5号",152626]
[4476,"XC08CAA187A001010202898","1","氨氯地平","","口服常释剂型","",2015117665,"苯磺酸氨氯地平片","无","素片","2.5mg","盒","28","铝塑","山西康立生药业有限公司",9.86,"修改（支付标准）","医药服务便函〔2021〕5号",117668]
[4486,"XC08CAA187A001010404127","1","氨氯地平","","口服常释剂型","",2019134931,"苯磺酸氨氯地平片","无","素片","5mg","盒","14","铝塑","辰欣药业股份有限公司",26.15,"修改（支付标准）","医药服务便函〔2021〕5号",134931]
[4487,"XC08CAA187A001010500111","1","氨氯地平","","口服常释剂型","",2019165844,"苯磺酸氨氯地平片","压氏达","素片","5mg","盒","28","铝塑","华润赛科药业有限责任公司",34.13,"修改（支付标准）","医药服务便函〔2021〕5号",165844]
[4493,"XC08CAA187A001020301650","1","氨氯地平","","口服常释剂型","",2015101251,"苯磺酸氨氯地平片","安内真","素片","2.5mg","盒","28","铝塑","苏州东瑞制药有限公司",10.2,"修改（支付标准）","医药服务便函〔2021〕5号",101256]
[4502,"XC08CAB037A001010280517","2","贝尼地平","","口服常释剂型","",20157152,"盐酸贝尼地平片","元治","薄膜衣片","2mg","盒","24","双铝","山东华素制药有限公司",28.11,"修改（支付标准）","医药服务便函〔2021〕5号",150593]
[4504,"XC08CAF017A001010100190","1","非洛地平","","口服常释剂型","",2015100814,"非洛地平片","无","素片","5mg","盒","20","铝塑","北京协和药厂",15.13,"修改（支付标准）","医药服务便函〔2021〕5号",100819]
[4511,"XC08CAF017A001010404145","1","非洛地平","","口服常释剂型","",2015158612,"非洛地平片","无","素片","5mg","盒","48","铝塑","山东齐都药业有限公司",49.58,"修改（支付标准）","医药服务便函〔2021〕5号",158610]
[4516,"XC08CAF017A010010101389","2","非洛地平/n非洛地平Ⅱ","","缓释控释剂型","",2015136810,"非洛地平缓释片","无","缓释片","5mg","盒","10","铝塑","常州四药制药有限公司",9.71,"修改（支付标准）","医药服务便函〔2021〕5号",136807]
[4520,"XC08CAF017A010010203995","2","非洛地平/n非洛地平Ⅱ","","缓释控释剂型","",2015125248,"非洛地平缓释片","无","缓释片","5mg","盒","20","铝塑","莱阳市江波制药有限责任公司",22.78,"修改（支付标准）","医药服务便函〔2021〕5号",125247]
[4528,"XC08CAF663A010010204394","2","非洛地平/n非洛地平Ⅱ","","缓释控释剂型","",2015144982,"非洛地平缓释片(Ⅱ)","无","缓释片","5mg","盒","14","铝塑","合肥立方制药股份有限公司",26.95,"修改（支付标准）","医药服务便函〔2021〕5号",144984]
[4531,"XC08CAL013A001010178477","2","拉西地平","","口服常释剂型","",2015132249,"拉西地平片","乐息平","薄膜衣片","4mg","盒","7","铝塑","西班牙GLAXO WELLCOME SA",23,"修改（支付标准）","医药服务便函〔2021〕5号",132253]
[4540,"XC08CAM151A001010104655","2","氨氯地平","","口服常释剂型","",2015111656,"门冬氨酸氨氯地平片","力斯得","素片","5mg","盒","7","铝塑","浙江尖峰药业有限公司",14.16,"修改（支付标准）","医药服务便函〔2021〕5号",111654]
[4546,"XC08CAN043A001010102959","1","尼莫地平","","口服常释剂型","",2015111554,"尼莫地平片","无","素片","20mg","瓶","50","塑料瓶","亚宝药业集团股份有限公司",4.19,"修改（支付标准）","医药服务便函〔2021〕5号",111552]
[4551,"XC08CAN043A001010204762","1","尼莫地平","","口服常释剂型","",2015147787,"尼莫地平片","无","素片","20mg","盒","30","复合膜","正大青春宝药业有限公司",15,"修改（支付标准）","医药服务便函〔2021〕5号",147786]
[4557,"XC08CAN043B001010102918","2","尼莫地平","","注射剂","",2015159235,"注射用尼莫地平","无","冻干粉针剂","4mg","支","1","西林瓶","山西普德药业股份有限公司",10.8,"修改（支付标准）","医药服务便函〔2021〕5号",159233]
[4563,"XC08CAN043B002020101453","2","尼莫地平","","注射剂","",2015134423,"尼莫地平注射液","济立","注射液","50ml:10mg","瓶","1","玻璃瓶","济川药业集团有限公司",31.18,"修改（支付标准）","医药服务便函〔2021〕5号",134427]
[4564,"XC08CAN043B002020104127","2","尼莫地平","","注射剂","",2015134430,"尼莫地平注射液","无","注射液","50ml:10mg","瓶","1","玻璃瓶","辰欣药业股份有限公司",26.5,"修改（支付标准）","医药服务便函〔2021〕5号",134434]
[4572,"XC08CAN045A001010104127","1","尼群地平","","口服常释剂型","",2015135367,"尼群地平片","无","素片","10mg","瓶","100","塑料瓶","辰欣药业股份有限公司",0.77,"修改（支付标准）","医药服务便函〔2021〕5号",135364]
[4575,"XC08CAN046A001010101452","2","尼群洛尔","","口服常释剂型","",2020154241,"尼群洛尔片","无","素片","尼群地平10mg,阿替洛尔20mg","盒","12","铝塑","江苏吉贝尔药业股份有限公司",39.9,"修改（支付标准）","医药服务便函〔2021〕5号",154241]
[4581,"XC08CAX066A001010101389","1","硝苯地平","","口服常释剂型","",2015137563,"硝苯地平片","无","糖衣片","10mg","瓶","100","塑料瓶","常州四药制药有限公司",3.2,"修改（支付标准）","医药服务便函〔2021〕5号",137560]
[4587,"XC08CAX066A010010204929","1","硝苯地平/n硝苯地平Ⅰ/n硝苯地平Ⅱ/n硝苯地平Ⅲ/n硝苯地平Ⅳ","","缓释控释剂型","",2015101670,"硝苯地平缓释片","无","缓释片","10mg","盒","60","铝箔","湖南华纳大药厂股份有限公司",16.79,"修改（支付标准）","医药服务便函〔2021〕5号",101675]
[4596,"XC08CAX204E001010204942","2","西尼地平","","口服常释剂型","",20159915,"西尼地平胶囊","久悦","硬胶囊剂","5mg","盒","16","铝塑","湖南九典制药股份有限公司",22.01,"修改（支付标准）","医药服务便函〔2021〕5号",114377]
[4599,"XC08CAX210A010010101747","1","硝苯地平/n硝苯地平Ⅰ/n硝苯地平Ⅱ/n硝苯地平Ⅲ/n硝苯地平Ⅳ","","缓释控释剂型","",2015100636,"硝苯地平缓释片(Ⅰ)","无","缓释片","10mg","盒","16","复合膜","扬子江药业集团江苏制药股份有限公司",4.87,"修改（支付标准）","医药服务便函〔2021〕5号",100641]
[4607,"XC08CAX210A010010502959","1","硝苯地平/n硝苯地平Ⅰ/n硝苯地平Ⅱ/n硝苯地平Ⅲ/n硝苯地平Ⅳ","","缓释控释剂型","",2015111727,"硝苯地平缓释片(Ⅰ)","无","缓释片","10mg","盒","60","铝塑","亚宝药业集团股份有限公司",60.19,"修改（支付标准）","医药服务便函〔2021〕5号",111725]
[4611,"XC08CAX211A010010202968","1","硝苯地平/n硝苯地平Ⅰ/n硝苯地平Ⅱ/n硝苯地平Ⅲ/n硝苯地平Ⅳ","","缓释控释剂型","",2015152963,"硝苯地平缓释片(Ⅱ)","无","缓释片","20mg","瓶","30","塑料瓶","云鹏医药集团有限公司",12.56,"修改（支付标准）","医药服务便函〔2021〕5号",152966]
[4616,"XC08CAX211A010010300681","1","硝苯地平/n硝苯地平Ⅰ/n硝苯地平Ⅱ/n硝苯地平Ⅲ/n硝苯地平Ⅳ","","缓释控释剂型","",2015140888,"硝苯地平缓释片(Ⅱ)","无","缓释片","20mg","盒","48","铝箔","上海信谊天平药业有限公司",21.29,"修改（支付标准）","医药服务便函〔2021〕5号",140890]
[4622,"XC08CAX211A010010504240","1","硝苯地平/n硝苯地平Ⅰ/n硝苯地平Ⅱ/n硝苯地平Ⅲ/n硝苯地平Ⅳ","","缓释控释剂型","",2015135083,"硝苯地平缓释片(Ⅱ)","无","缓释片","20mg","盒","45","铝塑","烟台鲁银药业有限公司",30.34,"修改（支付标准）","医药服务便函〔2021〕5号",135080]
[4625,"XC08CAX212A010010100044","1","硝苯地平/n硝苯地平Ⅰ/n硝苯地平Ⅱ/n硝苯地平Ⅲ/n硝苯地平Ⅳ","","缓释控释剂型","",2015139567,"硝苯地平缓释片(III)","无","缓释片","30mg","盒","7","双铝","北京红林制药有限公司",14.99,"修改（支付标准）","医药服务便函〔2021〕5号",139564]
[4634,"XC08CAZ067A001010102770","2","左氨氯地平（左旋氨氯地平）","","口服常释剂型","",2015110057,"马来酸左氨氯地平片","玄宁","素片","2.5mg","盒","7","双铝","石药集团欧意药业有限公司",15.74,"修改（支付标准）","医药服务便函〔2021〕5号",110055]
[4640,"XC08CAZ067A001010302690","2","左氨氯地平（左旋氨氯地平）","","口服常释剂型","",2015155490,"苯磺酸左氨氯地平片","无","素片","5mg","盒","14","铝塑","华北制药股份有限公司",32.8,"修改（支付标准）","医药服务便函〔2021〕5号",155488]
[4641,"XC08CAZ067A001010305356","2","左氨氯地平（左旋氨氯地平）","","口服常释剂型","",2015100532,"苯磺酸左氨氯地平片","无","素片","2.5mg","盒","14","铝塑","江西施美药业股份有限公司",7.82,"修改（支付标准）","医药服务便函〔2021〕5号",100537]
[4646,"XC08CAZ067A006010202770","2","左氨氯地平（左旋氨氯地平）","","口服常释剂型","",2015110737,"马来酸左氨氯地平分散片","无","分散片","2.5mg","盒","14","双铝","石药集团欧意药业有限公司",33.93,"修改（支付标准）","医药服务便函〔2021〕5号",110735]
[4651,"XC08DAW027A001010101490","1","维拉帕米","","口服常释剂型","",2015133557,"盐酸维拉帕米片","无","糖衣片","40mg","瓶","30","塑料瓶","江苏四环生物制药有限公司",3.32,"修改（支付标准）","医药服务便函〔2021〕5号",133561]
[4658,"XC08DBD069A001010104120","1","地尔硫","","口服常释剂型","",2015122487,"盐酸地尔硫卓片","无","素片","30mg","盒","100","铝塑","山东力诺制药有限公司",21.36,"修改（支付标准）","医药服务便函〔2021〕5号",122484]
[4666,"XC08DBD069E003010200620","2","地尔硫","","缓释控释剂型","",2015158577,"盐酸地尔硫卓缓释胶囊","艾克朗","缓释胶囊","0.12g","盒","20","铝箔","上海爱的发制药有限公司",34.02,"修改（支付标准）","医药服务便函〔2021〕5号",158575]
[4670,"XC09AAB034A001010200553","2","贝那普利","","口服常释剂型","",2015139571,"盐酸贝那普利片","无","薄膜衣片","10mg","盒","14","双铝","深圳信立泰药业股份有限公司",21.39,"修改（支付标准）","医药服务便函〔2021〕5号",139568]
[4677,"XC09AAK028A001010100676","1","卡托普利","","口服常释剂型","",2015141403,"卡托普利片","无","素片","25mg","瓶","100","塑料瓶","上海衡山药业有限公司",11.45,"修改（支付标准）","医药服务便函〔2021〕5号",141405]
[4682,"XC09AAK028A001010102683","1","卡托普利","","口服常释剂型","",2015107154,"卡托普利片","无","糖衣片","12.5mg","瓶","100","塑料瓶","河北永丰药业有限公司",1.9,"修改（支付标准）","医药服务便函〔2021〕5号",107157]
[4686,"XC09AAK028A001010104620","1","卡托普利","","口服常释剂型","",2015143118,"卡托普利片","无","素片","25mg","瓶","100","塑料瓶","浙江得恩德制药股份有限公司",3.13,"修改（支付标准）","医药服务便函〔2021〕5号",143120]
[4693,"XC09AAL030A001020100480","2","赖诺普利","","口服常释剂型","",2015105218,"赖诺普利片","无","素片","20mg","盒","7","铝塑","国药集团汕头金石制药有限公司",16.98,"修改（支付标准）","医药服务便函〔2021〕5号",105221]
[4695,"XC09AAL030E001010101500","2","赖诺普利","","口服常释剂型","",2015101862,"赖诺普利胶囊","帝益洛","硬胶囊剂","10mg","盒","14","铝塑","江苏天士力帝益药业有限公司",20.66,"修改（支付标准）","医药服务便函〔2021〕5号",101867]
[4705,"XC09AAY074A001010101463","1","依那普利","","口服常释剂型","",2020112814,"马来酸依那普利片","无","素片","5mg","盒","14","双铝","江苏康缘药业股份有限公司",4.62,"修改（支付标准）","医药服务便函〔2021〕5号",112814]
[4710,"XC09AAY074A001010200795","1","依那普利","","口服常释剂型","",2015159152,"马来酸依那普利片","无","素片","10mg","盒","24","双铝","上海新亚药业闵行有限公司",10.22,"修改（支付标准）","医药服务便函〔2021〕5号",159150]
[4712,"XC09AAY074A001010201747","1","依那普利","","口服常释剂型","",2015100616,"马来酸依那普利片","依苏","素片","10mg","盒","32","复合膜","扬子江药业集团江苏制药股份有限公司",39,"修改（支付标准）","医药服务便函〔2021〕5号",100621]
[4721,"XC09AAY074A001020202770","1","依那普利","","口服常释剂型","",2015154609,"马来酸依那普利片","勤可息","素片","2.5mg","瓶","50","塑料瓶","石药集团欧意药业有限公司",21.45,"修改（支付标准）","医药服务便函〔2021〕5号",154612]
[4724,"XC09AAY074A001020504127","1","依那普利","","口服常释剂型","",2015160656,"马来酸依那普利片","无","素片","5mg","盒","32","双铝","辰欣药业股份有限公司",9.26,"修改（支付标准）","医药服务便函〔2021〕5号",160649]
[4730,"XC09AAY074E001010104745","1","依那普利","","口服常释剂型","",2015142363,"马来酸依那普利胶囊","无","硬胶囊剂","5mg","瓶","20","塑料瓶","浙江一新制药股份有限公司",19.99,"修改（支付标准）","医药服务便函〔2021〕5号",142365]
[4735,"XC09BAF339A001010100680","2","复方卡托普利","","口服常释剂型","",2015140288,"复方卡托普利片","无","素片","卡托普利10mg,氢氯噻嗪6mg","瓶","100","塑料瓶","上海信谊天平药业有限公司",16.74,"修改（支付标准）","医药服务便函〔2021〕5号",140290]
[4741,"XC09BAP028A001020200847","2","培哚普利吲达帕胺","","口服常释剂型","",20157813,"培哚普利吲达帕胺片","百普乐","素片","培哚普利叔丁胺盐4mg与吲达帕胺1.25mg","盒","20","铝塑","施维雅(天津)制药有限公司",75.98,"修改（支付标准）","医药服务便函〔2021〕5号",131789]
[4747,"XC09CAA257A001010100177","2","奥美沙坦酯","","口服常释剂型","不限",2020133799,"奥美沙坦酯片","兰沙","薄膜衣片","20mg","盒","7","铝塑","北京福元医药股份有限公司",12.23,"修改（支付标准）","医药服务便函〔2021〕5号",133799]
[4753,"XC09CAA257A001010300177","2","奥美沙坦酯","","口服常释剂型","不限",2020133800,"奥美沙坦酯片","兰沙","薄膜衣片","20mg","盒","14","铝塑","北京福元医药股份有限公司",23.85,"修改（支付标准）","医药服务便函〔2021〕5号",133800]
[4756,"XC09CAA284A001010100553","2","阿利沙坦酯","","口服常释剂型","",2016154698,"阿利沙坦酯片","信立坦","薄膜衣片","0.24g","盒","7","铝箔","深圳信立泰药业股份有限公司",42.56,"修改（支付标准）","医药服务便函〔2021〕5号",154693]
[4764,"XC09CAE003A001010201445","2","厄贝沙坦","","口服常释剂型","",2015135685,"厄贝沙坦片","吉加","薄膜衣片","0.15g","盒","14","铝塑","江苏恒瑞医药股份有限公司",9.54,"修改（支付标准）","医药服务便函〔2021〕5号",135682]
[4771,"XC09CAE003A001010404647","2","厄贝沙坦","","口服常释剂型","",2017163329,"厄贝沙坦片","安来","素片","75mg","瓶","28","塑料瓶","浙江华海药业股份有限公司",5.46,"修改（支付标准）","医药服务便函〔2021〕5号",163329]
[4776,"XC09CAE003A006010202767","2","厄贝沙坦","","口服常释剂型","",2015114526,"厄贝沙坦分散片","欣平","分散片","75mg","盒","20","铝塑","石家庄以岭药业股份有限公司",27.25,"修改（支付标准）","医药服务便函〔2021〕5号",114524]
[4780,"XC09CAE003A006020204232","2","厄贝沙坦","","口服常释剂型","",2015108327,"厄贝沙坦分散片","无","分散片","0.15g","盒","14","铝塑","潍坊中狮制药有限公司",29.83,"修改（支付标准）","医药服务便函〔2021〕5号",108330]
[4783,"XC09CAE003E001010200602","2","厄贝沙坦","","口服常释剂型","",2015113939,"厄贝沙坦胶囊","伊泰青","硬胶囊剂","0.15g","盒","12","铝塑","珠海润都制药股份有限公司",23.29,"修改（支付标准）","医药服务便函〔2021〕5号",113937]
[4791,"XC09CAK033A001010204751","2","坎地沙坦酯","","口服常释剂型","",20158288,"坎地沙坦酯片","博力高","素片","8mg","盒","14","铝塑","浙江永宁药业股份有限公司",3.69,"修改（支付标准）","医药服务便函〔2021〕5号",143760]
[4795,"XC09CAK033A001010404751","2","坎地沙坦酯","","口服常释剂型","",2020165924,"坎地沙坦酯片","搏力高","素片","8mg","盒","28","铝塑","浙江永宁药业股份有限公司",7.2,"修改（支付标准）","医药服务便函〔2021〕5号",165924]
[4800,"XC09CAK033E001020204043","2","坎地沙坦酯","","口服常释剂型","",201511062,"坎地沙坦酯胶囊","伲利安","硬胶囊剂","4mg","盒","10","铝箔","青岛黄海制药有限责任公司",14.75,"修改（支付标准）","医药服务便函〔2021〕5号",124393]
[4806,"XC09CAL245A001010204495","2","氯沙坦","","口服常释剂型","",2015162037,"氯沙坦钾片","无","薄膜衣片","0.1g","盒","14","铝塑","英国Merck Sharp & Dohme Ltd.<杭州默沙东制药有限公司>分包装",91.78,"修改（支付标准）","医药服务便函〔2021〕5号",162030]
[4815,"XC09CAL245E001020100177","2","氯沙坦","","口服常释剂型","",2015154264,"氯沙坦钾胶囊","无","硬胶囊剂","0.1g","盒","7","铝塑","北京福元医药股份有限公司",34.2,"修改（支付标准）","医药服务便函〔2021〕5号",154267]
[4818,"XC09CAL245E001020202833","2","氯沙坦","","口服常释剂型","",2015128392,"氯沙坦钾胶囊","无","硬胶囊剂","50mg","盒","14","双铝","涿州东乐制药有限公司",14.33,"修改（支付标准）","医药服务便函〔2021〕5号",128391]
[4824,"XC09CAT039A001010101729","2","替米沙坦","","口服常释剂型","",2015141552,"替米沙坦片","邦坦","素片","40mg","盒","16","双铝","江苏万邦生化医药集团有限责任公司",13.6,"修改（支付标准）","医药服务便函〔2021〕5号",141554]
[4826,"XC09CAT039A001010102470","2","替米沙坦","","口服常释剂型","",2015107265,"替米沙坦片","迪赛平","素片","20mg","盒","30","铝塑","西安迪赛生物药业有限责任公司",26,"修改（支付标准）","医药服务便函〔2021〕5号",107268]
[4835,"XC09CAT039A001010204658","2","替米沙坦","","口服常释剂型","",2015149372,"替米沙坦片","博欣舒","素片","40mg","盒","14","铝塑","浙江京新药业股份有限公司",9.36,"修改（支付标准）","医药服务便函〔2021〕5号",149371]
[4841,"XC09CAT039A001010303098","2","替米沙坦","","口服常释剂型","",2015162151,"替米沙坦片","天易","素片","40mg","盒","28","空","天方药业有限公司",27,"修改（支付标准）","医药服务便函〔2021〕5号",162144]
[4847,"XC09CAT039A001020101997","2","替米沙坦","","口服常释剂型","",2015107523,"替米沙坦片","欧美宁","素片","80mg","盒","7","铝箔","宜昌东阳光长江药业股份有限公司",13.2,"修改（支付标准）","医药服务便函〔2021〕5号",107526]
[4850,"XC09CAT039A001020201650","2","替米沙坦","","口服常释剂型","",2015101452,"替米沙坦片","安内强","素片","80mg","盒","14","双铝","苏州东瑞制药有限公司",21.34,"修改（支付标准）","医药服务便函〔2021〕5号",101457]
[4854,"XC09CAT039A001030105805","2","替米沙坦","","口服常释剂型","",2015104341,"替米沙坦片","立文","素片","80mg","盒","7","铝塑","海南赛立克药业有限公司",14,"修改（支付标准）","医药服务便函〔2021〕5号",104346]
[4861,"XC09CAT039E001010101463","2","替米沙坦","","口服常释剂型","",2015110779,"替米沙坦胶囊","雅屏","硬胶囊剂","40mg","盒","10","铝塑","江苏康缘药业股份有限公司",17.39,"修改（支付标准）","医药服务便函〔2021〕5号",110777]
[4866,"XC09CAT039E001010304145","2","替米沙坦","","口服常释剂型","",2015117546,"替米沙坦胶囊","获平","硬胶囊剂","40mg","盒","14","铝塑","山东齐都药业有限公司",35.49,"修改（支付标准）","医药服务便函〔2021〕5号",117549]
[4870,"XC09CAT039E001010704145","2","替米沙坦","","口服常释剂型","",2015158610,"替米沙坦胶囊","获平","硬胶囊剂","40mg","盒","42","铝塑","山东齐都药业有限公司",106.48,"修改（支付标准）","医药服务便函〔2021〕5号",158608]
[4877,"XC09CAX143A001030304647","1","缬沙坦","","口服常释剂型","",2017163345,"缬沙坦片","无","薄膜衣片","80mg","盒","14","双铝","浙江华海药业股份有限公司",3.14,"修改（支付标准）","医药服务便函〔2021〕5号",163345]
[4885,"XC09CAX143A006010705199","1","缬沙坦","","口服常释剂型","",2015153043,"缬沙坦分散片","无","分散片","80mg","盒","28","铝箔","桂林华信制药有限公司",35.2,"修改（支付标准）","医药服务便函〔2021〕5号",153046]
[4889,"XC09CAX143E001010200111","1","缬沙坦","","口服常释剂型","",2015127715,"缬沙坦胶囊","穗悦","硬胶囊剂","80mg","盒","24","铝塑","华润赛科药业有限责任公司",19.02,"修改（支付标准）","医药服务便函〔2021〕5号",127714]
[4894,"XC09CAX143E001010303212","1","缬沙坦","","口服常释剂型","",2020166832,"缬沙坦胶囊","无","硬胶囊剂","80mg","盒","21","铝塑","乐普恒久远药业有限公司",70.69,"修改（支付标准）","医药服务便函〔2021〕5号",166832]
[4901,"XC09DAE004A001010104617","2","厄贝沙坦氢氯噻嗪","","口服常释剂型","",2015151596,"厄贝沙坦氢氯噻嗪片","无","素片","厄贝沙坦0.15g,氢氯噻嗪12.5mg","盒","7","铝塑","浙江爱诺生物药业股份有限公司",7.32,"修改（支付标准）","医药服务便函〔2021〕5号",151599]
[4905,"XC09DAE004A001010301606","2","厄贝沙坦氢氯噻嗪","","口服常释剂型","",2020168066,"厄贝沙坦氢氯噻嗪片","无","薄膜衣片","厄贝沙坦0.15g,氢氯噻嗪12.5mg","盒","28","铝箔","南京正大天晴制药有限公司",28.56,"修改（支付标准）","医药服务便函〔2021〕5号",168066]
[4913,"XC09DAE004A006010201503","2","厄贝沙坦氢氯噻嗪","","口服常释剂型","",2015130587,"厄贝沙坦氢氯噻嗪分散片","无","分散片","厄贝沙坦0.15g,氢氯噻嗪12.5mg","盒","10","铝塑","江苏万高药业股份有限公司",10.33,"修改（支付标准）","医药服务便函〔2021〕5号",130591]
[4918,"XC09DAE004E001010103922","2","厄贝沙坦氢氯噻嗪","","口服常释剂型","",2015109208,"厄贝沙坦氢氯噻嗪胶囊","安利博","硬胶囊剂","厄贝沙坦0.15g,氢氯噻嗪12.5mg","盒","7","铝塑","元和药业股份有限公司",7.25,"修改（支付标准）","医药服务便函〔2021〕5号",109211]
[4922,"XC09DAK110A001010106632","2","坎地氢噻","","口服常释剂型","",2020142564,"坎地氢噻片","无","划痕片","坎地沙坦酯16mg,氢氯噻嗪12.5mg","盒","7","双铝","江苏德源药业股份有限公司",33.13,"修改（支付标准）","医药服务便函〔2021〕5号",142564]
[4925,"XC09DAL246A001010103092","2","氯沙坦氢氯噻嗪","","口服常释剂型","",2015155711,"氯沙坦钾氢氯噻嗪片","无","薄膜衣片","氯沙坦钾0.1g,氢氯噻嗪25mg","盒","4","铝塑","乐普药业科技有限公司",24.5,"修改（支付标准）","医药服务便函〔2021〕5号",155709]
[4931,"XC09DAT040A001010101397","2","替米沙坦氢氯噻嗪","","口服常释剂型","",2020150735,"替米沙坦氢氯噻嗪片","无","多层片","替米沙坦40mg,氢氯噻嗪12.5mg","盒","14","双铝","常州制药厂有限公司",34.4,"修改（支付标准）","医药服务便函〔2021〕5号",150735]
[4937,"XC09DAX144A001010104010","2","缬沙坦氢氯噻嗪","","口服常释剂型","",20153298,"缬沙坦氢氯噻嗪片","复欣","素片","缬沙坦80mg,氢氯噻嗪12.5mg","盒","12","铝塑","鲁南贝特制药有限公司",29.99,"修改（支付标准）","医药服务便函〔2021〕5号",131305]
[4946,"XC09DBX206A001010200006","2","缬沙坦氨氯地平Ⅰ\n缬沙坦氨氯地平Ⅱ","","口服常释剂型","",2020169456,"缬沙坦氨氯地平片(Ⅰ)","无","薄膜衣片","缬沙坦80mg,氨氯地平5mg","盒","10","铝塑","北京百奥药业有限责任公司",67.12,"修改（支付标准）","医药服务便函〔2021〕5号",169456]
[4948,"XC09DBX206A001010300006","2","缬沙坦氨氯地平Ⅰ\n缬沙坦氨氯地平Ⅱ","","口服常释剂型","",2020169455,"缬沙坦氨氯地平片(Ⅰ)","无","薄膜衣片","缬沙坦80mg,氨氯地平5mg","盒","14","铝塑","北京百奥药业有限责任公司",92.82,"修改（支付标准）","医药服务便函〔2021〕5号",169455]
[4955,"XC10AAA067A001010104876","2","阿托伐他汀","","口服常释剂型","",2019165402,"阿托伐他汀钙片","无","薄膜衣片","10mg","盒","7","双铝","福建东瑞制药有限公司",12.6,"修改（支付标准）","医药服务便函〔2021〕5号",165402]
[4960,"XC10AAA067A001010204876","2","阿托伐他汀","","口服常释剂型","",2019165403,"阿托伐他汀钙片","无","薄膜衣片","10mg","盒","14","双铝","福建东瑞制药有限公司",24.57,"修改（支付标准）","医药服务便函〔2021〕5号",165403]
[4964,"XC10AAA067A001010404876","2","阿托伐他汀","","口服常释剂型","",2019165421,"阿托伐他汀钙片","无","薄膜衣片","10mg","盒","28","双铝","福建东瑞制药有限公司",47.91,"修改（支付标准）","医药服务便函〔2021〕5号",165421]
[4972,"XC10AAA067A006010200356","2","阿托伐他汀","","口服常释剂型","",2020168685,"阿托伐他汀钙分散片","无","分散片","20mg","盒","7","铝塑","广东百科制药有限公司",36.6,"修改（支付标准）","医药服务便函〔2021〕5号",168685]
[4975,"XC10AAA067E001010203098","2","阿托伐他汀","","口服常释剂型","",2015115955,"阿托伐他汀钙胶囊","尤佳","硬胶囊剂","10mg","盒","10","铝箔","天方药业有限公司",30.49,"修改（支付标准）","医药服务便函〔2021〕5号",115958]
[4984,"XC10AAP051A001010100553","2","匹伐他汀","","口服常释剂型","",2020165621,"匹伐他汀钙片","无","薄膜衣片","2.0mg","盒","7","双铝","深圳信立泰药业股份有限公司",6,"修改（支付标准）","医药服务便函〔2021〕5号",165621]
[4990,"XC10AAP051A001020101729","2","匹伐他汀","","口服常释剂型","",2020141533,"匹伐他汀钙片","无","薄膜衣片","2.0mg","盒","7","铝塑","江苏万邦生化医药集团有限责任公司",30.7,"修改（支付标准）","医药服务便函〔2021〕5号",141533]
[4995,"XC10AAP086A001020100745","2","普伐他汀","","口服常释剂型","",20155492,"普伐他汀钠片","美百乐镇","素片","20mg","盒","7","铝塑","第一三共制药(上海)有限公司",36.15,"修改（支付标准）","医药服务便函〔2021〕5号",100042]
[4999,"XC10AAR069A001010104010","2","瑞舒伐他汀","","口服常释剂型","",2019158236,"瑞舒伐他汀钙片","无","薄膜衣片","10mg","盒","7","双铝","鲁南贝特制药有限公司",30.78,"修改（支付标准）","医药服务便函〔2021〕5号",158236]
[5002,"XC10AAR069A001010109659","2","瑞舒伐他汀","","口服常释剂型","",2019165810,"瑞舒伐他汀钙片","无","薄膜衣片","10mg","盒","7","双铝","斯洛文尼亚莱柯制药股份公司Lek Pharmaceuticals d.d.",23.57,"修改（支付标准）","医药服务便函〔2021〕5号",165810]
[5008,"XC10AAR069A001010304658","2","瑞舒伐他汀","","口服常释剂型","",2017136911,"瑞舒伐他汀钙片","无","薄膜衣片","10mg","盒","12","双铝","浙江京新药业股份有限公司",36.99,"修改（支付标准）","医药服务便函〔2021〕5号",136911]
[5016,"XC10AAR069A001020309659","2","瑞舒伐他汀","","口服常释剂型","",2019166353,"瑞舒伐他汀钙片","无","薄膜衣片","5mg","盒","60","双铝","斯洛文尼亚莱柯制药股份公司Lek Pharmaceuticals d.d.(<山德士(中国)制药有限公司>分包装)",7.85,"修改（支付标准）","医药服务便函〔2021〕5号",166353]
[5019,"XC10AAR069A001030110153","2","瑞舒伐他汀","","口服常释剂型","",2015132214,"瑞舒伐他汀钙片","可定","薄膜衣片","5mg","盒","7","铝塑","波多黎各IPR Pharmaceuticals, INC.",22.82,"修改（支付标准）","医药服务便函〔2021〕5号",162572]
[5025,"XC10AAR069E001020104010","2","瑞舒伐他汀","","口服常释剂型","",2015154180,"瑞舒伐他汀钙胶囊","无","硬胶囊剂","20mg","盒","7","双铝","鲁南贝特制药有限公司",52.33,"修改（支付标准）","医药服务便函〔2021〕5号",154183]
[5031,"XC10AAX147A001010104495","1","辛伐他汀","","口服常释剂型","",2015154430,"辛伐他汀片","舒降之","薄膜衣片","20mg","盒","7","铝塑","英国Merck Sharp & Dohme Ltd.<杭州默沙东制药有限公司>分包装",15.67,"修改（支付标准）","医药服务便函〔2021〕5号",154433]
[5036,"XC10AAX147A001010204495","1","辛伐他汀","","口服常释剂型","",2015154431,"辛伐他汀片","舒降之","薄膜衣片","20mg","盒","14","铝塑","英国Merck Sharp & Dohme Ltd.<杭州默沙东制药有限公司>分包装",30.56,"修改（支付标准）","医药服务便函〔2021〕5号",154434]
[5043,"XC10AAX147A001020104658","1","辛伐他汀","","口服常释剂型","",2015137040,"辛伐他汀片","京必舒新","素片","20mg","盒","7","铝塑","浙江京新药业股份有限公司",4.98,"修改（支付标准）","医药服务便函〔2021〕5号",137037]
[5045,"XC10AAX147A001020304658","1","辛伐他汀","","口服常释剂型","",2015137042,"辛伐他汀片","京必舒新","素片","20mg","盒","28","铝塑","浙江京新药业股份有限公司",2.96,"修改（支付标准）","医药服务便函〔2021〕5号",137039]
[5055,"XC10AAX147E001010102596","1","辛伐他汀","","口服常释剂型","",2015131545,"辛伐他汀胶囊","无","硬胶囊剂","20mg","盒","10","铝塑","河北长天药业有限公司",14.36,"修改（支付标准）","医药服务便函〔2021〕5号",131549]
[5060,"XC10AAX147E001020204129","1","辛伐他汀","","口服常释剂型","",2015113440,"辛伐他汀胶囊","幸露","硬胶囊剂","20mg","盒","10","铝塑","山东鲁抗医药股份有限公司",13.97,"修改（支付标准）","医药服务便函〔2021〕5号",113438]
[5066,"XC10ABB079A001010304744","2","苯扎贝特","","口服常释剂型","",20151844,"苯扎贝特片","无","薄膜衣片","0.2g","盒","24","铝塑","浙江亚太药业股份有限公司",19.96,"修改（支付标准）","医药服务便函〔2021〕5号",138953]
[5069,"XC10ABF021A001010100804","2","非诺贝特/n非诺贝特Ⅱ/n非诺贝特Ⅲ","","口服常释剂型","",2015135277,"非诺贝特片","无","素片","0.1g","瓶","100","塑料瓶","上海信谊万象药业股份有限公司",13.27,"修改（支付标准）","医药服务便函〔2021〕5号",135274]
[5073,"XC10ABF021A001010103944","2","非诺贝特/n非诺贝特Ⅱ/n非诺贝特Ⅲ","","口服常释剂型","",2015121684,"非诺贝特片","无","素片","0.1g","盒","40","铝塑","迪沙药业集团有限公司",5.5,"修改（支付标准）","医药服务便函〔2021〕5号",121681]
[5078,"XC10ABF021E002010204604","2","非诺贝特/n非诺贝特Ⅱ/n非诺贝特Ⅲ","","口服常释剂型","",2015136814,"非诺贝特软胶囊(微粒化制剂)","无","软胶囊(胶丸)","0.2g","盒","10","铝塑","浙江爱生药业有限公司",25.9,"修改（支付标准）","医药服务便函〔2021〕5号",136811]
[5085,"XC10ABJ007E001010100269","2","吉非罗齐","","口服常释剂型","",2020114932,"吉非罗齐胶囊","无","硬胶囊剂","0.3g","瓶","30","塑料瓶","广东彼迪药业有限公司",20,"修改（支付标准）","医药服务便函〔2021〕5号",114932]
[5089,"XC10AXY097A001010104920","2","依折麦布","","口服常释剂型","限他汀类药物治疗效果不佳或不耐受的患者",2020171159,"依折麦布片","无","素片","10mg","盒","5","铝塑","湖南方盛制药股份有限公司",33.75,"修改（支付标准）","医药服务便函〔2021〕5号",171159]
[5097,"XD01ACM085F002010104358","1","咪康唑","","软膏剂","",2015159429,"硝酸咪康唑乳膏","无","乳膏剂","15g:0.3g(2%)","支","1","铝管","福元药业有限公司",2.01,"修改（支付标准）","医药服务便函〔2021〕5号",159427]
[5102,"XD01ACM085F002030104982","1","咪康唑","","软膏剂","",2015110088,"硝酸咪康唑乳膏","无","乳膏剂","25g:0.5g(2%)","支","1","铝管","湖南五洲通药业股份有限公司",3.32,"修改（支付标准）","医药服务便函〔2021〕5号",110086]
[5106,"XD01ACQ086F002010104735","2","曲安奈德益康唑","","软膏剂","▲",2015149731,"曲安奈德益康唑乳膏","无","乳膏剂","15g:曲安奈德15mg,硝酸益康唑150mg","支","1","铝管","浙江仙琚制药股份有限公司",8.07,"修改（支付标准）","医药服务便函〔2021〕5号",149730]
[5114,"XD01AEE027S001040101495","2","二硫化硒","","外用液体剂","▲",20153056,"二硫化硒洗剂","希尔生","洗剂","50g:1.25g","瓶","1","塑料瓶","江苏迪赛诺制药有限公司",6.89,"修改（支付标准）","医药服务便函〔2021〕5号",139644]
[5121,"XD01BAT021A001010101556","2","特比萘芬","","口服常释剂型","",20158491,"盐酸特比萘芬片","无","素片","0.25g","盒","6","复合膜","南京臣功制药股份有限公司",34.56,"修改（支付标准）","医药服务便函〔2021〕5号",138519]
[5126,"XD01BAT021A001010304021","2","特比萘芬","","口服常释剂型","",2017114313,"盐酸特比萘芬片","丁克","素片","0.125g","盒","14","铝塑","齐鲁制药有限公司",6.44,"修改（支付标准）","医药服务便函〔2021〕5号",114313]
[5130,"XD02AEN058F002010180637","1","尿素","","软膏剂","",2015141321,"尿素乳膏","无","乳膏剂","35g:7g(20%)","支","1","空","宿州亿帆药业有限公司",6.17,"修改（支付标准）","医药服务便函〔2021〕5号",141323]
[5137,"XD03AXC105U001010100148","2","重组人碱性成纤维细胞生长因子","","凝胶剂","限Ⅱ度烧伤",2020168377,"重组人碱性成纤维细胞生长因子凝胶","扶济复","凝胶剂","2.5万IU","支","1","铝管","北京双鹭药业股份有限公司",248,"修改（支付标准）","医药服务便函〔2021〕5号",168377]
[5139,"XD03AXC156U001010105198","2","重组人表皮生长因子（酵母）","","凝胶剂","",20152565,"重组人表皮生长因子凝胶(酵母)","易孚","凝胶剂","20g:10万IU(200μg)","支","1","铝管","桂林华诺威基因药业有限公司",45.88,"修改（支付标准）","医药服务便函〔2021〕5号",138851]
[5144,"XD05AXK118F001010179051","2","卡泊三醇倍他米松","","软膏剂","",201514227,"卡泊三醇倍他米松软膏","无","软膏剂","15g(1g:卡泊三醇50ug,倍他米松0.5mg)","支","1","铝管","爱尔兰利奥制药有限公司LEO Laboratories Limited",145.28,"修改（支付标准）","医药服务便函〔2021〕5号",141708]
[5154,"XD06AXF254F001020104689","2","复方多粘菌素B","","软膏剂","",2020148348,"复方多粘菌素B软膏","无","软膏剂","15g","支","1","铝管","浙江孚诺医药股份有限公司",52.4,"修改（支付标准）","医药服务便函〔2021〕5号",148348]
[5156,"XD06AXM119F001010179136","2","莫匹罗星","","软膏剂","",2015152941,"莫匹罗星软膏","无","软膏剂","5g:0.1g","支","1","铝管","香港澳美制药厂",10.28,"修改（支付标准）","医药服务便函〔2021〕5号",152944]
[5165,"XD06BBA075F002010101511","1","阿昔洛韦","","软膏剂","",2015143633,"阿昔洛韦乳膏","无","乳膏剂","10g:0.3g(3%)","支","1","铝塑","江苏亚邦强生药业有限公司",1.65,"修改（支付标准）","医药服务便函〔2021〕5号",143635]
[5168,"XD06BBA075F002010101828","1","阿昔洛韦","","软膏剂","",2015105624,"阿昔洛韦乳膏","丽科舒","乳膏剂","10g:0.3g(3%)","支","1","铝塑","湖北科益药业股份有限公司",2.86,"修改（支付标准）","医药服务便函〔2021〕5号",105627]
[5174,"XD06BBP038F002010101003","2","喷昔洛韦","","软膏剂","",20151905,"喷昔洛韦乳膏","夫坦","乳膏剂","10g:0.1g","支","1","铝管","重庆华邦制药有限公司",13.56,"修改（支付标准）","医药服务便函〔2021〕5号",145029]
[5179,"XD07ABD139F002010102029","2","丁酸氢化可的松","","软膏剂","",2015136616,"丁酸氢化可的松乳膏","无","乳膏剂","10g:10mg(0.1%)","支","1","铝管","四川明欣药业有限责任公司",4.78,"修改（支付标准）","医药服务便函〔2021〕5号",136613]
[5183,"XD07ABD139F002020101003","2","丁酸氢化可的松","","软膏剂","",2015145036,"丁酸氢化可的松乳膏","无","乳膏剂","15g:15mg(0.1%)","支","1","铝管","重庆华邦制药有限公司",10.67,"修改（支付标准）","医药服务便函〔2021〕5号",145035]
[5191,"XD07ACK037F002010104735","2","糠酸莫米松","","软膏剂","",2015141702,"糠酸莫米松乳膏","芙美松","乳膏剂","10g:10mg(0.1%)","支","1","铝管","浙江仙琚制药股份有限公司",15.17,"修改（支付标准）","医药服务便函〔2021〕5号",141704]
[5197,"XD07ACK037F002040103049","2","糠酸莫米松","","软膏剂","",2015162160,"糠酸莫米松乳膏","无","乳膏剂","5g:5mg(0.1%)","支","1","铝管","河南羚锐生物药业有限公司",8.48,"修改（支付标准）","医药服务便函〔2021〕5号",162153]
[5200,"XD07ACK037U001010105411","2","糠酸莫米松","","凝胶剂","",2015111196,"糠酸莫米松凝胶","无","凝胶剂","10g:10mg","支","1","铝管","华润三九(南昌)药业有限公司",26.96,"修改（支付标准）","医药服务便函〔2021〕5号",111194]
[5208,"XD07ADB137F002010104454","2","氯倍他索","","软膏剂","",2015202237,"丙酸氯倍他索乳膏","无","乳膏剂","10g:2.0mg(0.02%)","盒","1","铝管","国药集团三益药业(芜湖)有限公司",3.5,"修改（支付标准）","医药服务便函〔2021〕5号",162585]
[5209,"XD07ADH102F002010100931","2","哈西奈德","","软膏剂","",2015220937,"哈西奈德乳膏","无","乳膏剂","10g:10mg","支","1","铝管","天津太平洋制药有限公司",2.6,"修改（支付标准）","医药服务便函〔2021〕5号",120937]
[5215,"XD08AAY084S004030102670","2","依沙吖啶","","外用液体剂","",2015157575,"乳酸依沙吖啶溶液","无","溶液剂","500ml(0.1%)","瓶","1","塑料瓶","河北武罗药业有限公司",3.45,"修改（支付标准）","医药服务便函〔2021〕5号",157573]
[5220,"XD10ADW004F002010104121","1","维A酸","","软膏剂","",2015125639,"维A酸乳膏","无","乳膏剂","15g:15mg(0.1%)","支","1","铝管","山东良福制药有限公司",7.09,"修改（支付标准）","医药服务便函〔2021〕5号",125638]
[5227,"XD10AFH016F001010104127","1","红霉素","","软膏剂","",2015146358,"红霉素软膏","无","软膏剂","10g:0.1g(1%)","支","1","铝管","辰欣药业股份有限公司",0.69,"修改（支付标准）","医药服务便函〔2021〕5号",146357]
[5235,"XD11AXD175F002030101828","2","多塞平","","乳膏剂","",2015155580,"盐酸多塞平乳膏","丽科宁","乳膏剂","30g:1.5g","支","1","塑管","湖北科益药业股份有限公司",26.78,"修改（支付标准）","医药服务便函〔2021〕5号",155578]
[5239,"XD11AXT002F001010102195","2","他克莫司","","软膏剂","限中重度特应性皮炎患者的二线用药",2020148343,"他克莫司软膏","无","软膏剂","10g:10mg","支","1","铝管","四川明欣药业有限责任公司",91.84,"修改（支付标准）","医药服务便函〔2021〕5号",148343]
[5244,"XD11AXT002F001010181475","2","他克莫司","","软膏剂","限中重度特应性皮炎患者的二线用药",2020168778,"他克莫司软膏","无","软膏剂","10g:10mg","支","1","复合管","江苏知原药业股份有限公司",78,"修改（支付标准）","医药服务便函〔2021〕5号",168778]
[5250,"XG01AAX068E009010200085","2","硝呋太尔制霉素","","阴道软胶囊","",20159181,"硝呋太尔制霉素阴道软胶囊","朗依","阴道软胶囊(胶丸)","0.5g:20万IU","盒","6","铝塑","北京金城泰尔制药有限公司",29.27,"修改（支付标准）","医药服务便函〔2021〕5号",140524]
[5253,"XG01AAZ028D003010200176","1","制霉素","","栓剂","",2015136643,"制霉素阴道栓","无","阴道栓","20万IU","盒","12","铝箔","北京双吉制药有限公司",30.42,"修改（支付标准）","医药服务便函〔2021〕5号",136640]
[5262,"XG01AFJ070D003010101792","1","甲硝唑","","栓剂","",2015145412,"甲硝唑栓","无","栓剂","0.5g","盒","10","空","湖北东信药业有限公司",8.59,"修改（支付标准）","医药服务便函〔2021〕5号",145411]
[5268,"XG01AFK079A008010204735","1","克霉唑","","阴道片","",2015141813,"克霉唑阴道片","无","阴道片","0.5g","盒","2","附手指套","浙江圣博康药业有限公司",17.79,"修改（支付标准）","医药服务便函〔2021〕5号",141815]
[5274,"XG01AFM085D003010101556","1","咪康唑","","栓剂","",2015138349,"硝酸咪康唑栓","无","栓剂","0.2g","盒","7","附手指套","南京臣功制药股份有限公司",12.09,"修改（支付标准）","医药服务便函〔2021〕5号",138346]
[5279,"XG01AFM085E009010102529","1","咪康唑","","阴道软胶囊","",2020131363,"硝酸咪康唑阴道软胶囊","达克宁","阴道软胶囊(胶丸)","0.4g","盒","3","铝塑","法国Catalent France Beinheim S.A.",21.27,"修改（支付标准）","医药服务便函〔2021〕5号",131363]
[5281,"XG01AFM085E009010205402","1","咪康唑","","阴道软胶囊","",2015147022,"硝酸咪康唑阴道软胶囊","无","阴道软胶囊(胶丸)","0.4g","盒","6","铝箔","南昌百济制药有限公司",29.66,"修改（支付标准）","医药服务便函〔2021〕5号",147021]
[5286,"XG01AFT045A009010302120","2","替硝唑","","阴道泡腾片","",2015123822,"替硝唑阴道泡腾片","无","阴道泡腾片","0.2g","盒","24","双铝","四川百利药业有限责任公司",22.58,"修改（支付标准）","医药服务便函〔2021〕5号",123819]
[5296,"XG01AXJ156D003010101792","2","聚甲酚磺醛","","栓剂","",2015145347,"聚甲酚磺醛栓","无","栓剂","90mg","盒","6","空","湖北东信药业有限公司",31.12,"修改（支付标准）","医药服务便函〔2021〕5号",145346]
[5298,"XG01AXJ156D003010104188","2","聚甲酚磺醛","","栓剂","",2015131252,"聚甲酚磺醛栓","无","栓剂","90mg","盒","6","附手指套","山东新时代药业有限公司",21.84,"修改（支付标准）","医药服务便函〔2021〕5号",131256]
[5305,"XG01AXJ156D003010205611","2","聚甲酚磺醛","","栓剂","",2015145604,"聚甲酚磺醛栓","无","栓剂","90mg","盒","7","附手指套","昆明源瑞制药有限公司",22.05,"修改（支付标准）","医药服务便函〔2021〕5号",145603]
[5310,"XG01AXJ156S004010102699","2","聚甲酚磺醛","","外用液体剂","",2015100302,"聚甲酚磺醛溶液","无","溶液剂","25ml:9g(36%)","瓶","1","塑料瓶","华北制药河北华诺有限公司",34.7,"修改（支付标准）","医药服务便函〔2021〕5号",100307]
[5314,"XG01AXX067A001010101566","2","硝呋太尔","","口服常释剂型","",20159773,"硝呋太尔片","无","糖衣片","0.2g","盒","14","铝塑","南京厚生药业有限公司",28.8,"修改（支付标准）","医药服务便函〔2021〕5号",145837]
[5321,"XG02ADK026B002010178736","2","卡前列素氨丁三醇","","注射剂","限生育保险",20152492,"卡前列素氨丁三醇注射液","欣母沛","注射液","1ml:0.25mg","支","1","空","美国Pharmacia & Upjohn Company",436.42,"修改（支付标准）","医药服务便函〔2021〕5号",147403]
[5329,"XG02CBX177A001010180481","2","溴隐亭","","口服常释剂型","",20151032,"甲磺酸溴隐亭片","无","素片","2.5mg","瓶","30","玻璃瓶","意大利Novartis Farma S.p.A",91.49,"修改（支付标准）","医药服务便函〔2021〕5号",147325]
[5333,"XG02CXA070B002010178422","2","阿托西班","","注射剂","限妊娠24周到33周，且有明确早产指征者的二线用药",2020141269,"醋酸阿托西班注射液","依保","注射液","0.9ml:6.75mg(以阿托西班计)","瓶","1","西林瓶","辉凌(德国)制药有限公司Ferring GmbH",484.68,"修改（支付标准）","医药服务便函〔2021〕5号",141269]
[5340,"XG03CAB068B002010100874","2","苯甲酸雌二醇","","注射剂","",2018163429,"苯甲酸雌二醇注射液","无","注射液","1ml:1.0mg","支","1","安瓿","天津金耀药业有限公司",98.1,"修改（支付标准）","医药服务便函〔2021〕5号",163429]
[5345,"XG03CAW089A001010107785","2","戊酸雌二醇","","口服常释剂型","",2015120895,"戊酸雌二醇片","补佳乐","糖衣片","1mg","盒","21","铝箔","法国DELPHARM Lille S.A.S.",27.85,"修改（支付标准）","医药服务便函〔2021〕5号",120892]
[5349,"XG03DAH056B002010200375","1","黄体酮","","注射剂","",2015151158,"黄体酮注射液","无","注射液","1ml:20mg","支","1","安瓿","广州白云山明兴制药有限公司",3.05,"修改（支付标准）","医药服务便函〔2021〕5号",151161]
[5352,"XG03DAH056E001010104735","2","黄体酮","","口服常释剂型","",2015141485,"黄体酮胶囊","益玛欣","硬胶囊剂","50mg","盒","20","铝塑","浙江仙琚制药股份有限公司",26.39,"修改（支付标准）","医药服务便函〔2021〕5号",141487]
[5358,"XG03DAH056E002010304747","2","黄体酮","","口服常释剂型","",2015104237,"黄体酮胶丸","来婷","软胶囊(胶丸)","0.1g","瓶","30","塑料瓶","浙江医药股份有限公司新昌制药厂",70.96,"修改（支付标准）","医药服务便函〔2021〕5号",104242]
[5363,"XG03DAJ063A001020104735","1","甲羟孕酮","","口服常释剂型","",2015141352,"醋酸甲羟孕酮片","无","素片","4mg","瓶","100","塑料瓶","浙江仙琚制药股份有限公司",30,"修改（支付标准）","医药服务便函〔2021〕5号",141354]
[5369,"XG03DBJ032A006010202469","1","甲地孕酮","","口服常释剂型","",2015162407,"醋酸甲地孕酮分散片","艾诺克","分散片","40mg","盒","36","铝塑","西安远大德天药业股份有限公司",95.85,"修改（支付标准）","医药服务便函〔2021〕5号",162400]
[5375,"XG03EBQ136A001010104735","2","炔雌醇环丙孕酮","","口服常释剂型","限多囊卵巢综合症",2020141775,"炔雌醇环丙孕酮片","无","薄膜衣片","醋酸环丙孕酮2.0mg,炔雌醇0.035mg","盒","21","铝塑","浙江仙琚制药股份有限公司",34.97,"修改（支付标准）","医药服务便函〔2021〕5号",141775]
[5381,"XG03XAY228E001010100225","2","孕三烯酮","","口服常释剂型","",20154345,"孕三烯酮胶囊","言昌","硬胶囊剂","2.5mg","盒","8","铝塑","华润紫竹药业有限公司",163,"修改（支付标准）","医药服务便函〔2021〕5号",136716]
[5384,"XG03XBM095A001010107360","2","米非司酮/n米非司酮Ⅱ","","口服常释剂型","限生育保险",2015143859,"米非司酮片","无","素片","25mg","盒","6","铝塑","广州朗圣药业有限公司",15.3,"修改（支付标准）","医药服务便函〔2021〕5号",143861]
[5392,"XG03XBM142E001010100544","2","米非司酮\n米非司酮Ⅱ","","口服常释剂型","限生育保险",2020125782,"米非司酮胶囊(Ⅱ)","米福","硬胶囊剂","5mg","盒","10","铝塑","深圳市资福药业有限公司",70,"修改（支付标准）","医药服务便函〔2021〕5号",125782]
[5399,"XG04BDS224A001010104641","2","索利那新","","口服常释剂型","",2020170826,"琥珀酸索利那新片","无","薄膜衣片","5mg","盒","10","铝箔","浙江海正药业股份有限公司",33.16,"修改（支付标准）","医药服务便函〔2021〕5号",170826]
[5404,"XG04BDT121A001010102135","2","托特罗定","","口服常释剂型","",20158336,"酒石酸托特罗定片","贝可","薄膜衣片","2mg","盒","14","铝塑","成都迪康药业股份有限公司",18.48,"修改（支付标准）","医药服务便函〔2021〕5号",140851]
[5410,"XG04BXJ152P001010301566","2","聚苯乙烯磺酸","","口服散剂","",2019148220,"聚苯乙烯磺酸钙散","无","散剂","5g","袋","9","复合膜","日本兴和株式会社 真冈工厂Kowa Company,Ltd.,Mohka Plant",120.64,"修改（支付标准）","医药服务便函〔2021〕5号",148220]
[5416,"XG04BXZ059B002010101376","2","左卡尼汀","","注射剂","限长期血透患者在血透期间使用",2015135924,"左卡尼汀注射液","无","注射液","5ml:1.0g","支","1","安瓿","常州兰陵制药有限公司",27,"修改（支付标准）","医药服务便函〔2021〕5号",135921]
[5419,"XG04BXZ059B014010101192","2","左卡尼汀","","注射剂","限长期血透患者在血透期间使用",2015136185,"注射用左卡尼汀","无","冻干粉针剂","0.5g","支","1","玻璃瓶","锦州九泰药业有限责任公司",11.34,"修改（支付标准）","医药服务便函〔2021〕5号",136182]
[5423,"XG04CAT011A010010205589","2","坦洛新（坦索罗辛）","","缓释控释剂型","",2015116371,"盐酸坦洛新缓释片","积大本特","缓释片","0.2mg","盒","14","双铝","昆明积大制药股份有限公司",47.23,"修改（支付标准）","医药服务便函〔2021〕5号",116374]
[5428,"XG04CAT011E003010204489","2","坦洛新（坦索罗辛）","","缓释控释剂型","",2015142575,"盐酸坦索罗辛缓释胶囊","必坦","缓释胶囊","0.2mg","盒","14","铝箔","杭州康恩贝制药有限公司",29.09,"修改（支付标准）","医药服务便函〔2021〕5号",142577]
[5434,"XG04CAT026A001010200811","1","特拉唑嗪","","口服常释剂型","",2015154864,"盐酸特拉唑嗪片","高特灵","素片","2.0mg","盒","28","铝塑","上海雅培制药有限公司",52.91,"修改（支付标准）","医药服务便函〔2021〕5号",154867]
[5443,"XG04CBF019A001010100111","2","非那雄胺","","口服常释剂型","",2020121229,"非那雄胺片","卡波","薄膜衣片","5mg","盒","10","铝塑","华润赛科药业有限责任公司",19.98,"修改（支付标准）","医药服务便函〔2021〕5号",121229]
[5446,"XG04CBF019A001010103098","2","非那雄胺","","口服常释剂型","",2015112115,"非那雄胺片","无","薄膜衣片","1mg","盒","28","铝箔","天方药业有限公司",83.97,"修改（支付标准）","医药服务便函〔2021〕5号",112113]
[5452,"XG04CBF019A001020103098","2","非那雄胺","","口服常释剂型","",2020112541,"非那雄胺片","蓝乐","薄膜衣片","5mg","盒","10","铝箔","天方药业有限公司",16.58,"修改（支付标准）","医药服务便函〔2021〕5号",112541]
[5458,"XG04CBF019A001020304489","2","非那雄胺","","口服常释剂型","",2020170799,"非那雄胺片","艾仕列","薄膜衣片","5mg","盒","30","铝箔","杭州康恩贝制药有限公司",5.21,"修改（支付标准）","医药服务便函〔2021〕5号",170799]
[5463,"XG04CBF019E001010101506","2","非那雄胺","","口服常释剂型","",2015155746,"非那雄胺胶囊","无","硬胶囊剂","5mg","盒","6","铝塑","江苏祥瑞药业有限公司",5.64,"修改（支付标准）","医药服务便函〔2021〕5号",155744]
[5469,"XH01ACC113B002030103315","2","重组人生长激素","","注射剂","限儿童原发性生长激素缺乏症",20159333,"重组人生长激素注射液","赛增（Jintropin）","注射液","3ml:10mg(30单位)","瓶","1","玻璃瓶","长春金赛药业有限责任公司",1025.96,"修改（支付标准）","医药服务便函〔2021〕5号",123866]
[5475,"XH01BAQ117A001010305842","1","去氨加压素","","口服常释剂型","",2015112016,"去氨加压素片","无","素片","0.089mg","盒","30","铝箔","海南中和药业股份有限公司",122.2,"修改（支付标准）","医药服务便函〔2021〕5号",112014]
[5480,"XH01BAQ117B002010105842","1","去氨加压素","","注射剂","",2015112003,"去氨加压素注射液","无","注射液","1ml:13.35μg","瓶","1","西林瓶","海南中和药业股份有限公司",51.44,"修改（支付标准）","医药服务便函〔2021〕5号",112001]
[5487,"XH01BBS194B002020101598","1","缩宫素","","注射剂","",2015157556,"缩宫素注射液(生物提取)","无","注射液","1ml:5IU","支","1","安瓿","南京新百药业有限公司",10.17,"修改（支付标准）","医药服务便函〔2021〕5号",157554]
[5489,"XH01BBS194B002030104373","1","缩宫素","","注射剂","",2015111516,"缩宫素注射液(生物提取)","无","注射液","1ml:5IU","支","1","安瓿","安徽宏业药业有限公司",6.75,"修改（支付标准）","医药服务便函〔2021〕5号",111514]
[5494,"XH01CBA213B002010105842","2","奥曲肽","","注射剂","胰腺手术，支付不超过7天；神经内分泌肿瘤类癌危象围手术期，支付不超过7天；肝硬化所致的食道或胃静脉曲张出血，支付不超过5天。",2015112031,"醋酸奥曲肽注射液","无","注射液","1ml:50μg","瓶","1","西林瓶","海南中和药业股份有限公司",18.23,"修改（支付标准）","医药服务便函〔2021〕5号",112029]
[5504,"XH01CBS078B001010104188","2","生长抑素","","注射剂","限胰腺手术，支付不超过5天；严重急性食道静脉曲张出血，支付不超过5天。",201510077,"注射用生长抑素","无","冻干粉针剂","3mg","瓶","1","玻璃瓶","山东新时代药业有限公司",89,"修改（支付标准）","医药服务便函〔2021〕5号",131326]
[5505,"XH01CBS078B001010105589","2","生长抑素","","注射剂","限胰腺手术，支付不超过5天；严重急性食道静脉曲张出血，支付不超过5天。",20157676,"注射用生长抑素","无","冻干粉针剂","3mg","瓶","1","玻璃瓶","昆明积大制药股份有限公司",58.5,"修改（支付标准）","医药服务便函〔2021〕5号",115723]
[5513,"XH02ABB044A001010100818","2","倍他米松","","口服常释剂型","",2015137336,"倍他米松片","无","素片","0.5mg","瓶","100","塑料瓶","上海上药信谊药厂有限公司",6.08,"修改（支付标准）","医药服务便函〔2021〕5号",137333]
[5517,"XH02ABD085A001010100943","1","地塞米松","","口服常释剂型","",2015109159,"醋酸地塞米松片","无","素片","0.75mg","瓶","100","塑料瓶","天津天药药业股份有限公司",8.9,"修改（支付标准）","医药服务便函〔2021〕5号",109162]
[5524,"XH02ABD234B001020101291","1","地塞米松磷酸钠","","注射剂","",2015127301,"注射用地塞米松磷酸钠","众益美松","冻干粉针剂","5.0mg","瓶","1","玻璃瓶","沈阳光大制药有限公司",2.48,"修改（支付标准）","医药服务便函〔2021〕5号",127300]
[5529,"XH02ABD234B002010100978","1","地塞米松磷酸钠","","注射剂","",2015125470,"地塞米松磷酸钠注射液","无","注射液","1ml:2.0mg","支","1","安瓿","西南药业股份有限公司",0.25,"修改（支付标准）","医药服务便函〔2021〕5号",125469]
[5533,"XH02ABD234B002020100377","1","地塞米松磷酸钠","","注射剂","",2015111612,"地塞米松磷酸钠注射液","无","注射液","1ml:5.0mg","支","1","安瓿","广州白云山天心制药股份有限公司",0.8,"修改（支付标准）","医药服务便函〔2021〕5号",111610]
[5541,"XH02ABJ061A001010100943","1","甲泼尼龙","","口服常释剂型","",2015109182,"甲泼尼龙片","尤金","素片","4mg","盒","24","铝箔","天津天药药业股份有限公司",21.12,"修改（支付标准）","医药服务便函〔2021〕5号",109185]
[5548,"XH02ABJ061B001020178729","2","甲泼尼龙","","注射剂","",2015141994,"注射用甲泼尼龙琥珀酸钠","甲强龙","冻干粉针剂","40mg","瓶","1","空","比利时Pfizer Manufacturing Belgium NV",23.24,"修改（支付标准）","医药服务便函〔2021〕5号",141996]
[5552,"XH02ABP059A001010100818","1","泼尼松","","口服常释剂型","",2015137480,"醋酸泼尼松片","无","素片","5mg","瓶","100","塑料瓶","上海上药信谊药厂有限公司",9.43,"修改（支付标准）","医药服务便函〔2021〕5号",137477]
[5558,"XH02ABP059A001010204127","1","泼尼松","","口服常释剂型","",2015135283,"醋酸泼尼松片","无","素片","5mg","瓶","100","塑料瓶","辰欣药业股份有限公司",5.2,"修改（支付标准）","医药服务便函〔2021〕5号",135280]
[5559,"XH02ABP059A001010204735","1","泼尼松","","口服常释剂型","",2015141347,"醋酸泼尼松片","无","素片","5mg","瓶","1000","塑料瓶","浙江仙琚制药股份有限公司",57.92,"修改（支付标准）","医药服务便函〔2021〕5号",141349]
[5565,"XH02ABQ060B001010100918","1","氢化可的松","","注射剂","",2015136239,"注射用氢化可的松琥珀酸钠","无","冻干粉针剂","0.1g","支","1","玻璃瓶","天津生物化学制药有限公司",7.1,"修改（支付标准）","医药服务便函〔2021〕5号",136236]
[5574,"XH02ABQ060B002020100874","1","氢化可的松","","注射剂","",2015125927,"氢化可的松注射液","无","注射液","5ml:25mg","支","1","安瓿","天津金耀药业有限公司",0.71,"修改（支付标准）","医药服务便函〔2021〕5号",125926]
[5576,"XH02ABQ082B002010104735","2","曲安奈德","","注射剂","",2015242021,"醋酸曲安奈德注射液","无","注射用混悬剂","1ml:40mg","瓶","1","玻璃瓶","浙江仙琚制药股份有限公司",4.56,"修改（支付标准）","医药服务便函〔2021〕5号",142021]
[5583,"XH03BAB129A001010100665","1","丙硫氧嘧啶","","口服常释剂型","",2015117951,"丙硫氧嘧啶片","无","素片","50mg","瓶","100","塑料瓶","上海朝晖药业有限公司",25.53,"修改（支付标准）","医药服务便函〔2021〕5号",117954]
[5588,"XH05BAG120B002010105589","2","鲑降钙素","","注射剂","",2015155826,"鲑降钙素注射液","考克","注射液","1ml:50IU","盒","1","安瓿","意大利Lisapharma S.p.A.<昆明积大制药股份有限公司>分包装",18.77,"修改（支付标准）","医药服务便函〔2021〕5号",155824]
[5594,"XH05BAG120B014020104029","2","鲑降钙素","","注射剂","",2015130929,"注射用鲑降钙素","盖瑞宁","冻干粉针剂","100IU","支","1","西林瓶","青岛国大生物制药股份有限公司",33.28,"修改（支付标准）","医药服务便函〔2021〕5号",130933]
[5600,"XH05BXP123B002010101445","2","帕立骨化醇","","注射剂","限血透且有继发性甲状旁腺功能亢进的患者",2019163228,"帕立骨化醇注射液","无","注射液","1ml:5μg","瓶","1","玻璃瓶","江苏恒瑞医药股份有限公司",166,"修改（支付标准）","医药服务便函〔2021〕5号",163228]
[5603,"XH05BXP123B002010202181","2","帕立骨化醇","","注射剂","限血透且有继发性甲状旁腺功能亢进的患者",2020169166,"帕立骨化醇注射液","无","注射液","1ml:5μg","支","1","安瓿","成都苑东生物制药股份有限公司",165,"修改（支付标准）","医药服务便函〔2021〕5号",169166]
[5612,"XJ01AAD193E001010400387","1","多西环素","","口服常释剂型","",2015100442,"盐酸多西环素胶囊","无","硬胶囊剂(微丸型)","0.1g(10万IU)","盒","24","铝塑","广州柏赛罗药业有限公司",26.47,"修改（支付标准）","医药服务便函〔2021〕5号",100447]
[5618,"XJ01AAT140B001010101563","2","替加环素","","注射剂","限复杂性腹腔感染、复杂性皮肤及软组织感染、社区获得性肺炎的重症患者，以及多重耐药的鲍曼不动杆菌或碳青霉烯类耐药的肠杆菌感染患者（不包括中枢神经系统、尿路感染）",2018151985,"注射用替加环素","无","冻干粉针剂","50mg","瓶","1","西林瓶","南京海辰药业股份有限公司",249.92,"修改（支付标准）","医药服务便函〔2021〕5号",151985]
[5623,"XJ01CAA032B001010101440","2","阿洛西林","","注射剂","",2015142070,"注射用阿洛西林钠","无","粉针剂","1.5g","瓶","1","玻璃瓶","江苏海宏制药有限公司",10.42,"修改（支付标准）","医药服务便函〔2021〕5号",142072]
[5627,"XJ01CAA032B001020205206","2","阿洛西林","","注射剂","",2015116518,"注射用阿洛西林钠","无","粉针剂","2.0g","瓶","1","玻璃瓶","桂林南药股份有限公司",7.47,"修改（支付标准）","医药服务便函〔2021〕5号",116521]
[5635,"XJ01CAA032B013020104129","2","阿洛西林","","注射剂","",2015113137,"注射用阿洛西林钠","无","冻干粉针剂","2.0g","支","1","玻璃瓶","山东鲁抗医药股份有限公司",6.13,"修改（支付标准）","医药服务便函〔2021〕5号",113135]
[5636,"XJ01CAA032B013020104152","2","阿洛西林","","注射剂","",2015109383,"注射用阿洛西林钠","无","粉针剂","1.0g","瓶","1","玻璃瓶","瑞阳制药有限公司",5.81,"修改（支付标准）","医药服务便函〔2021〕5号",109386]
[5642,"XJ01CAA040A001010105758","1","阿莫西林","","口服常释剂型","",2015111774,"阿莫西林片","无","素片","0.25g","盒","24","铝塑","海口市制药厂有限公司",8.01,"修改（支付标准）","医药服务便函〔2021〕5号",111772]
[5647,"XJ01CAA040A006010105758","1","阿莫西林","","口服常释剂型","",2015111797,"阿莫西林分散片","无","分散片","0.25g","盒","12","铝塑","海口市制药厂有限公司",4.49,"修改（支付标准）","医药服务便函〔2021〕5号",111795]
[5653,"XJ01CAA040A006020202777","1","阿莫西林","","口服常释剂型","",2015113961,"阿莫西林分散片","无","分散片","0.5g","盒","12","复合膜","石药集团中诺药业(石家庄)有限公司",6.54,"修改（支付标准）","医药服务便函〔2021〕5号",113959]
[5659,"XJ01CAA040A006020502297","1","阿莫西林","","口服常释剂型","",2015111568,"阿莫西林分散片","无","分散片","0.125g","盒","50","铝箔","四川制药制剂有限公司",10.83,"修改（支付标准）","医药服务便函〔2021〕5号",111566]
[5664,"XJ01CAA040E001010100267","1","阿莫西林","","口服常释剂型","",2015100959,"阿莫西林胶囊","无","硬胶囊剂","0.125g","盒","50","铝塑","广东邦民制药厂有限公司",6.86,"修改（支付标准）","医药服务便函〔2021〕5号",100964]
[5671,"XJ01CAA040E001010179053","1","阿莫西林","","口服常释剂型","",2015147482,"阿莫西林胶囊","阿莫仙","硬胶囊剂","0.25g","盒","24","铝塑","香港联邦制药厂有限公司",12.84,"修改（支付标准）","医药服务便函〔2021〕5号",147481]
[5679,"XJ01CAA040E001020100381","1","阿莫西林","","口服常释剂型","",2015107576,"阿莫西林胶囊","无","硬胶囊剂","0.5g","盒","20","铝塑","广州白云山医药集团股份有限公司白云山制药总厂",8.71,"修改（支付标准）","医药服务便函〔2021〕5号",107579]
[5683,"XJ01CAA040E001020200600","1","阿莫西林","","口服常释剂型","",2017104884,"阿莫西林胶囊","无","硬胶囊剂","0.25g","盒","24","铝塑","珠海联邦制药股份有限公司中山分公司",10.66,"修改（支付标准）","医药服务便函〔2021〕5号",104884]
[5688,"XJ01CAA040E001020304129","1","阿莫西林","","口服常释剂型","",2015113409,"阿莫西林胶囊","无","硬胶囊剂","0.25g","盒","24","铝塑","山东鲁抗医药股份有限公司",8.15,"修改（支付标准）","医药服务便函〔2021〕5号",113407]
[5694,"XJ01CAA040E001030205758","1","阿莫西林","","口服常释剂型","",2015158467,"阿莫西林胶囊","无","硬胶囊剂","0.5g","盒","20","铝塑","海口市制药厂有限公司",14.8,"修改（支付标准）","医药服务便函〔2021〕5号",158465]
[5697,"XJ01CAA040E001030402699","1","阿莫西林","","口服常释剂型","",2015101172,"阿莫西林胶囊","无","硬胶囊剂","0.5g","盒","24","铝塑","华北制药股份有限公司",15.3,"修改（支付标准）","医药服务便函〔2021〕5号",101177]
[5706,"XJ01CAA040X006010179136","1","阿莫西林","","口服液体剂","限儿童及吞咽困难患者",2020167594,"阿莫西林干混悬剂","无","干混悬剂","0.25g","盒","20","铝塑","香港澳美制药厂",14.17,"修改（支付标准）","医药服务便函〔2021〕5号",167594]
[5708,"XJ01CAA109B001010102946","1","氨苄西林","","注射剂","",2020152519,"注射用氨苄西林钠","无","粉针剂","0.5g","支","1","西林瓶","山西振东泰盛制药有限公司",10,"修改（支付标准）","医药服务便函〔2021〕5号",152519]
[5713,"XJ01CAA109B003030102673","1","氨苄西林","","注射剂","",2020169730,"注射用氨苄西林钠","无","粉针剂","0.5g","瓶","1","玻璃瓶","成都倍特药业股份有限公司",11.2,"修改（支付标准）","医药服务便函〔2021〕5号",169730]
[5723,"XJ01CAM047B001040105006","2","美洛西林","","注射剂","",201511384,"注射用美洛西林钠","无","粉针剂","2.5g","瓶","1","西林瓶","湖南科伦制药有限公司",21.12,"修改（支付标准）","医药服务便函〔2021〕5号",107845]
[5725,"XJ01CAM047B001060101440","2","美洛西林","","注射剂","",201512374,"注射用美洛西林钠","无","粉针剂","3.5g","瓶","1","玻璃瓶","江苏海宏制药有限公司",28.52,"修改（支付标准）","医药服务便函〔2021〕5号",142225]
[5732,"XJ01CEQ054B013010104152","1","青霉素","","注射剂","",2015110093,"注射用青霉素钠","无","粉针剂","0.48g(80万IU)","瓶","1","玻璃瓶","瑞阳制药有限公司",0.28,"修改（支付标准）","医药服务便函〔2021〕5号",110091]
[5736,"XJ01CEQ055A001010103376","1","青霉素V","","口服常释剂型","",2020154772,"青霉素V钾片","无","素片","0.236g(40万单位)","盒","12","铝箔","吉林显锋科技制药有限公司",28.9,"修改（支付标准）","医药服务便函〔2021〕5号",154772]
[5742,"XJ01CFB083B013010104152","1","苯唑西林","","注射剂","",2015110106,"注射用苯唑西林钠","无","粉针剂","0.5g","瓶","1","玻璃瓶","瑞阳制药有限公司",0.52,"修改（支付标准）","医药服务便函〔2021〕5号",110104]
[5749,"XJ01CRA042A001010104010","1","阿莫西林克拉维酸","","口服常释剂型","",2015131291,"阿莫西林克拉维酸钾(2:1)片","无","薄膜衣片","0.375g(0.25g/0.125g)","瓶","10","塑料瓶","鲁南贝特制药有限公司",23.59,"修改（支付标准）","医药服务便函〔2021〕5号",131295]
[5754,"XJ01CRA042A001010205849","1","阿莫西林克拉维酸","","口服常释剂型","",2015132693,"阿莫西林克拉维酸钾(4:1)片","安奇","薄膜衣片","312.5mg(0.25g/62.5mg)","盒","12","复合膜","海南先声药业有限公司",9.16,"修改（支付标准）","医药服务便函〔2021〕5号",132697]
[5758,"XJ01CRA042A006010101556","1","阿莫西林克拉维酸","","口服常释剂型","",2015138368,"阿莫西林克拉维酸钾(7:1)分散片","铿锵","分散片","0.457g(0.4g/57mg)","盒","8","复合膜","南京臣功制药股份有限公司",17.1,"修改（支付标准）","医药服务便函〔2021〕5号",138365]
[5765,"XJ01CRA042B001010100792","2","阿莫西林克拉维酸","","注射剂","",2015134066,"注射用阿莫西林钠克拉维酸钾(5:1)","无","粉针剂","1.2g(1.0g/0.2g)","瓶","1","玻璃瓶","上海上药新亚药业有限公司",3.78,"修改（支付标准）","医药服务便函〔2021〕5号",134070]
[5767,"XJ01CRA042B001010103712","2","阿莫西林克拉维酸","","注射剂","",2015119425,"注射用阿莫西林钠克拉维酸钾(5:1)","无","粉针剂","0.3g(0.25g/0.05g)","支","1","玻璃瓶","哈药集团制药总厂",1.37,"修改（支付标准）","医药服务便函〔2021〕5号",119428]
[5777,"XJ01CRA042E001020204667","1","阿莫西林克拉维酸","","口服常释剂型","",2015139085,"阿莫西林克拉维酸钾(4:1)胶囊","巨泰","硬胶囊剂","156.25mg(0.125g/31.25mg)","盒","12","双铝","浙江巨泰药业有限公司",12.37,"修改（支付标准）","医药服务便函〔2021〕5号",139082]
[5778,"XJ01CRA042E001020404667","1","阿莫西林克拉维酸","","口服常释剂型","",2015139086,"阿莫西林克拉维酸钾(4:1)胶囊","巨泰","硬胶囊剂","156.25mg(0.125g/31.25mg)","盒","18","双铝","浙江巨泰药业有限公司",17.55,"修改（支付标准）","医药服务便函〔2021〕5号",139083]
[5784,"XJ01CRA042X006010105388","1","阿莫西林克拉维酸","","口服液体剂","",2015159656,"阿莫西林克拉维酸钾(4:1)干混悬剂","无","干混悬剂","312.5mg(0.25g/62.5mg)","盒","6","复合膜","国药集团威奇达药业有限公司",15.99,"修改（支付标准）","医药服务便函〔2021〕5号",159654]
[5793,"XJ01CRA112B001010178720","2","氨苄西林舒巴坦","","注射剂","",2015142001,"注射用氨苄西林钠舒巴坦钠(2:1)","优立新","粉针剂","0.75g(0.5g/0.25g)","支","1","玻璃瓶","意大利HAUPT PHARMA LATINA S.R.L.",21.49,"修改（支付标准）","医药服务便函〔2021〕5号",142003]
[5796,"XJ01CRA112B001040102692","2","氨苄西林舒巴坦","","注射剂","",2015101517,"注射用氨苄西林钠舒巴坦钠(2:1)","无","粉针剂","3.0g(2.0g/1.0g)","瓶","1","玻璃瓶","华北制药股份有限公司",6.43,"修改（支付标准）","医药服务便函〔2021〕5号",101522]
[5802,"XJ01CRP017B001010205754","2","哌拉西林舒巴坦","","注射剂","限有明确药敏试验证据或重症感染的患者",201510587,"注射用哌拉西林钠舒巴坦钠(4:1)","无","粉针剂","1.25g(1.0g/0.25g)","瓶","1","玻璃瓶","海南通用康力制药有限公司",13.08,"修改（支付标准）","医药服务便函〔2021〕5号",125022]
[5807,"XJ01CRP017B001030105025","2","哌拉西林舒巴坦","","注射剂","限有明确药敏试验证据或重症感染的患者",20159145,"注射用哌拉西林钠舒巴坦钠(2:1)","无","粉针剂","1.5g(1.0g/0.5g)","瓶","1","玻璃瓶","湘北威尔曼制药股份有限公司",26.15,"修改（支付标准）","医药服务便函〔2021〕5号",128075]
[5811,"XJ01CRP017B013010104152","2","哌拉西林舒巴坦","","注射剂","限有明确药敏试验证据或重症感染的患者",20157911,"注射用哌拉西林钠舒巴坦钠(4:1)","百定","粉针剂","1.25g(1.0g/0.25g)","瓶","1","玻璃瓶","瑞阳制药有限公司",17.01,"修改（支付标准）","医药服务便函〔2021〕5号",110456]
[5819,"XJ01CRP018B001010105755","2","哌拉西林他唑巴坦","","注射剂","限有明确药敏试验证据或重症感染的患者",201513123,"注射用哌拉西林钠他唑巴坦钠(8:1)","无","冻干粉针剂","1.125g(1.0g/0.125g)","瓶","1","玻璃瓶","海口奇力制药股份有限公司",10,"修改（支付标准）","医药服务便函〔2021〕5号",127448]
[5822,"XJ01CRP018B001020102692","2","哌拉西林他唑巴坦","","注射剂","限有明确药敏试验证据或重症感染的患者",201513078,"注射用哌拉西林钠他唑巴坦钠(4:1)","无","粉针剂","1.25g(1.0g/0.25g)","瓶","1","玻璃瓶","华北制药股份有限公司",49.39,"修改（支付标准）","医药服务便函〔2021〕5号",101446]
[5831,"XJ01CRP018B014010104021","2","哌拉西林他唑巴坦","","注射剂","限有明确药敏试验证据或重症感染的患者",20151684,"注射用哌拉西林钠他唑巴坦钠(8:1)","邦达","冻干粉针剂","0.5625g(0.5g/62.5mg)","瓶","1","玻璃瓶","山东安信制药有限公司",8.3,"修改（支付标准）","医药服务便函〔2021〕5号",109862]
[5836,"XJ01CRT036B001020101041","2","替卡西林克拉维酸","","注射剂","",201514718,"注射用替卡西林钠克拉维酸钾(15:1)","无","粉针剂","3.2g(3g/0.2g)","瓶","1","玻璃瓶","福安药业集团庆余堂制药有限公司",26,"修改（支付标准）","医药服务便函〔2021〕5号",107006]
[5843,"XJ01DBT063A001020304129","1","头孢氨苄","","口服常释剂型","",2015113270,"头孢氨苄片","无","薄膜衣片","0.25g","瓶","30","塑料瓶","山东鲁抗医药股份有限公司",7.8,"修改（支付标准）","医药服务便函〔2021〕5号",113268]
[5848,"XJ01DBT063E001010104685","1","头孢氨苄","","口服常释剂型","",2015143783,"头孢氨苄胶囊","无","硬胶囊剂","0.125g","盒","50","铝塑","浙江普洛康裕制药有限公司",6.51,"修改（支付标准）","医药服务便函〔2021〕5号",143785]
[5854,"XJ01DBT063E001020102297","1","头孢氨苄","","口服常释剂型","",2015112118,"头孢氨苄胶囊","无","硬胶囊剂","0.25g","盒","24","铝箔","四川制药制剂有限公司",6.14,"修改（支付标准）","医药服务便函〔2021〕5号",112116]
[5855,"XJ01DBT063E001020103305","1","头孢氨苄","","口服常释剂型","",2020104530,"头孢氨苄胶囊","无","硬胶囊剂","0.25g","盒","24","铝塑","长春迪瑞制药有限公司",8.29,"修改（支付标准）","医药服务便函〔2021〕5号",104530]
[5863,"XJ01DBT074A001010204906","1","头孢拉定","","口服常释剂型","",2015159220,"头孢拉定片","无","薄膜衣片","0.25g","盒","48","铝箔","湖南百草制药有限公司",12.62,"修改（支付标准）","医药服务便函〔2021〕5号",159218]
[5867,"XJ01DBT074E001010104129","1","头孢拉定","","口服常释剂型","",2015113394,"头孢拉定胶囊","无","硬胶囊剂","0.25g","盒","10","铝塑","山东鲁抗医药股份有限公司",3.33,"修改（支付标准）","医药服务便函〔2021〕5号",113392]
[5872,"XJ01DBT074E001010203712","1","头孢拉定","","口服常释剂型","",2015119804,"头孢拉定胶囊","无","硬胶囊剂","0.25g","盒","24","铝塑","哈药集团制药总厂",7.2,"修改（支付标准）","医药服务便函〔2021〕5号",119807]
[5878,"XJ01DBT074E001020104187","1","头孢拉定","","口服常释剂型","",2015154936,"头孢拉定胶囊","无","硬胶囊剂","0.5g","盒","12","铝塑","山东新华制药股份有限公司",8.05,"修改（支付标准）","医药服务便函〔2021〕5号",154939]
[5887,"XJ01DBT075B013020104129","2","头孢硫脒","","注射剂","限有明确药敏试验证据的患者",201511372,"注射用头孢硫脒","无","粉针剂","1.0g","支","1","玻璃瓶","山东鲁抗医药股份有限公司",14.96,"修改（支付标准）","医药服务便函〔2021〕5号",113162]
[5890,"XJ01DBT085A001020100468","2","头孢羟氨苄","","口服常释剂型","",2015122012,"头孢羟氨苄片","力欣奇","素片","0.25g","盒","10","铝塑","清远华能制药有限公司",17.27,"修改（支付标准）","医药服务便函〔2021〕5号",122009]
[5898,"XJ01DBT085E001020400480","2","头孢羟氨苄","","口服常释剂型","",2015107971,"头孢羟氨苄胶囊","无","硬胶囊剂","0.5g","盒","30","铝塑","国药集团汕头金石制药有限公司",17.69,"修改（支付标准）","医药服务便函〔2021〕5号",107974]
[5902,"XJ01DBT103B001010100450","1","头孢唑林","","注射剂","",2021163289,"注射用头孢唑林钠","无","粉针剂","0.5g","瓶","1","西林瓶","广东金城金素制药有限公司",29.8,"修改（支付标准）","医药服务便函〔2021〕5号",163289]
[5907,"XJ01DCF506E001010103687","2","复方头孢克洛","","胶囊剂","",2020118939,"复方头孢克洛胶囊","安卜","硬胶囊剂","头孢克洛0.25g,溴己新8mg","盒","6","铝塑","哈尔滨誉衡制药有限公司",18.3,"修改（支付标准）","医药服务便函〔2021〕5号",118939]
[5914,"XJ01DCT066A001010300480","2","头孢丙烯","","口服常释剂型","",201515051,"头孢丙烯片","无","薄膜衣片","0.25g","盒","6","双铝","国药集团汕头金石制药有限公司",16.1,"修改（支付标准）","医药服务便函〔2021〕5号",103968]
[5919,"XJ01DCT066A006010300727","2","头孢丙烯","","口服常释剂型","",201514257,"头孢丙烯分散片","无","分散片","0.25g","盒","10","铝塑","上海美优制药有限公司",41.58,"修改（支付标准）","医药服务便函〔2021〕5号",135614]
[5924,"XJ01DCT066N001010104021","2","头孢丙烯","","颗粒剂","",20152485,"头孢丙烯颗粒","无","颗粒剂","0.125g","盒","6","复合膜","齐鲁制药有限公司",13.3,"修改（支付标准）","医药服务便函〔2021〕5号",114363]
[5926,"XJ01DCT066N001010205849","2","头孢丙烯","","颗粒剂","",201512014,"头孢丙烯颗粒","无","颗粒剂","0.125g","盒","6","复合膜","海南先声药业有限公司",14.87,"修改（支付标准）","医药服务便函〔2021〕5号",157349]
[5933,"XJ01DCT066X006010305804","2","头孢丙烯","","口服液体剂","",2020167341,"头孢丙烯干混悬剂","无","干混悬剂","0.125g","盒","10","复合袋","海南日中天制药有限公司",36.6,"修改（支付标准）","医药服务便函〔2021〕5号",167341]
[5938,"XJ01DCT070B001010102954","1","头孢呋辛","","注射剂","",2015159669,"注射用头孢呋辛钠","无","粉针剂","0.25g","支","1","玻璃瓶","国药集团威奇达药业有限公司",0.81,"修改（支付标准）","医药服务便函〔2021〕5号",159667]
[5942,"XJ01DCT070B001020100513","1","头孢呋辛","","注射剂","",2015141249,"注射用头孢呋辛钠","无","粉针剂","1.5g","瓶","1","西林瓶","深圳立健药业有限公司",13.43,"修改（支付标准）","医药服务便函〔2021〕5号",141251]
[5949,"XJ01DCT070B001030102701","1","头孢呋辛","","注射剂","",2015131375,"注射用头孢呋辛钠","无","粉针剂","1.5g","支","1","玻璃瓶","华北制药河北华民药业有限责任公司",2.23,"修改（支付标准）","医药服务便函〔2021〕5号",131379]
[5957,"XJ01DCT070B001080100553","1","头孢呋辛","","注射剂","",2015138426,"注射用头孢呋辛钠","信立欣","粉针剂","0.5g","支","1","玻璃瓶","深圳信立泰药业股份有限公司",1.65,"修改（支付标准）","医药服务便函〔2021〕5号",138423]
[5961,"XJ01DCT070B013030104141","1","头孢呋辛","","注射剂","",2015116723,"注射用头孢呋辛钠","无","粉针剂","1.5g","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",1.87,"修改（支付标准）","医药服务便函〔2021〕5号",116726]
[5968,"XJ01DCT072A006010305783","2","头孢克洛","","口服常释剂型","",2015110094,"头孢克洛分散片","希诺","分散片","0.125g","盒","12","铝塑","海南惠普森医药生物技术有限公司",9.08,"修改（支付标准）","医药服务便函〔2021〕5号",110092]
[5973,"XJ01DCT072A006010479234","2","头孢克洛","","口服常释剂型","",2015157643,"头孢克洛分散片","无","分散片","0.25g","盒","24","铝箔","成都倍特药业股份有限公司",20.15,"修改（支付标准）","医药服务便函〔2021〕5号",157641]
[5977,"XJ01DCT072A010010204203","2","头孢克洛/n头孢克洛Ⅱ","","缓释控释剂型","",2015103683,"头孢克洛缓释片","新达罗","缓释片","0.375g","盒","12","双铝","山东淄博新达制药有限公司",41.79,"修改（支付标准）","医药服务便函〔2021〕5号",103688]
[5985,"XJ01DCT072E001010204434","2","头孢克洛","","口服常释剂型","",2015139193,"头孢克洛胶囊","无","硬胶囊剂","0.25g","盒","10","铝塑","上海海虹实业(集团)巢湖今辰药业有限公司",5.59,"修改（支付标准）","医药服务便函〔2021〕5号",139190]
[5986,"XJ01DCT072E001010401679","2","头孢克洛","","口服常释剂型","",2019165995,"头孢克洛胶囊","无","胶囊剂","0.25g","盒","12","铝塑","苏州中化药品工业有限公司",6.9,"修改（支付标准）","医药服务便函〔2021〕5号",165995]
[5996,"XJ01DCT072N001010302779","2","头孢克洛","","颗粒剂","",2015154716,"头孢克洛颗粒","无","颗粒剂","0.1g","盒","12","复合膜","万邦德制药集团有限公司",10.79,"修改（支付标准）","医药服务便函〔2021〕5号",154719]
[6001,"XJ01DCT072X006010101540","2","头孢克洛","","口服液体剂","",2015130538,"头孢克洛干混悬剂","希刻劳","干混悬剂","0.125g","盒","6","复合膜","苏州西克罗制药有限公司",17.93,"修改（支付标准）","医药服务便函〔2021〕5号",130542]
[6003,"XJ01DCT072X006010301522","2","头孢克洛","","口服液体剂","",2015137784,"头孢克洛干混悬剂","无","干混悬剂","0.125g","盒","9","铝塑","江苏正大清江制药有限公司",9.41,"修改（支付标准）","医药服务便函〔2021〕5号",137781]
[6008,"XJ01DCT076B001010104791","2","头孢美唑","","注射剂","限有明确药敏试验证据或重症感染的患者",20159709,"注射用头孢美唑钠","美之全","粉针剂","0.5g","瓶","1","西林瓶","福建省福抗药业股份有限公司",14.72,"修改（支付标准）","医药服务便函〔2021〕5号",135414]
[6018,"XJ01DCT078B001010100792","2","头孢米诺","","注射剂","限有明确药敏试验证据或重症感染的患者",201510274,"注射用头孢米诺钠","无","粉针剂","1.5g","瓶","1","玻璃瓶","上海上药新亚药业有限公司",28.15,"修改（支付标准）","医药服务便函〔2021〕5号",134053]
[6020,"XJ01DCT078B001010103687","2","头孢米诺","","注射剂","限有明确药敏试验证据或重症感染的患者",201510591,"注射用头孢米诺钠","无","粉针剂","0.5g","支","1","玻璃瓶","哈尔滨誉衡制药有限公司",48.92,"修改（支付标准）","医药服务便函〔2021〕5号",118911]
[6027,"XJ01DCT078B013010104141","2","头孢米诺","","注射剂","限有明确药敏试验证据或重症感染的患者",20159003,"注射用头孢米诺钠","无","粉针剂","0.5g","瓶","1","西林瓶","山东罗欣药业集团股份有限公司",7.97,"修改（支付标准）","医药服务便函〔2021〕5号",116550]
[6032,"XJ01DCT098B001010103712","2","头孢替安","","注射剂","限有明确药敏试验证据或重症感染的患者",2015119243,"注射用盐酸头孢替安","无","粉针剂","0.25g","支","1","玻璃瓶","哈药集团制药总厂",13.5,"修改（支付标准）","医药服务便函〔2021〕5号",119246]
[6038,"XJ01DCT098B001020106155","2","头孢替安","","注射剂","限有明确药敏试验证据或重症感染的患者",2020150932,"注射用盐酸头孢替安","无","粉针剂","1.0g","瓶","1","玻璃瓶","辽宁海思科制药有限公司",12.7,"修改（支付标准）","医药服务便函〔2021〕5号",150932]
[6044,"XJ01DCT102B001010100513","2","头孢西丁","","注射剂","限有明确药敏试验证据或重症感染的患者",2015155151,"注射用头孢西丁钠","无","粉针剂","0.5g","瓶","1","玻璃瓶","深圳立健药业有限公司",12.9,"修改（支付标准）","医药服务便函〔2021〕5号",155149]
[6047,"XJ01DCT102B001010102946","2","头孢西丁","","注射剂","限有明确药敏试验证据或重症感染的患者",2015133652,"注射用头孢西丁钠","无","粉针剂","3.0g","支","1","西林瓶","山西振东泰盛制药有限公司",51.01,"修改（支付标准）","医药服务便函〔2021〕5号",133656]
[6056,"XJ01DCT102B013020104152","2","头孢西丁","","注射剂","限有明确药敏试验证据或重症感染的患者",2015109612,"注射用头孢西丁钠","无","粉针剂","2.0g","瓶","1","玻璃瓶","瑞阳制药有限公司",19.49,"修改（支付标准）","医药服务便函〔2021〕5号",109615]
[6062,"XJ01DCT162A001010278462","1","头孢呋辛酯","","口服常释剂型","",2015147397,"头孢呋辛酯片","西力欣","薄膜衣片","0.25g","盒","12","铝箔","英国GLAXO OPERATIONS UK LIMITED",26.44,"修改（支付标准）","医药服务便函〔2021〕5号",147396]
[6067,"XJ01DCT162A001020100600","1","头孢呋辛酯","","口服常释剂型","",2017105692,"头孢呋辛酯片","无","薄膜衣片","0.25g","盒","12","铝塑","珠海联邦制药股份有限公司中山分公司",13.86,"修改（支付标准）","医药服务便函〔2021〕5号",105692]
[6071,"XJ01DCT162A001030201679","1","头孢呋辛酯","","口服常释剂型","",2015151993,"头孢呋辛酯片","伏乐新","薄膜衣片","0.5g","盒","12","双铝","苏州中化药品工业有限公司",40.31,"修改（支付标准）","医药服务便函〔2021〕5号",151996]
[6074,"XJ01DCT162A001040600480","1","头孢呋辛酯","","口服常释剂型","",2015103692,"头孢呋辛酯片","希路信","薄膜衣片","0.5g","盒","8","双铝","国药集团汕头金石制药有限公司",20.28,"修改（支付标准）","医药服务便函〔2021〕5号",103697]
[6082,"XJ01DCT162A017010200555","1","头孢呋辛酯","","口服常释剂型","",2015153473,"头孢呋辛酯片","达力新","薄膜衣片","0.125g","盒","24","双铝","国药集团致君(深圳)制药有限公司",22.84,"修改（支付标准）","医药服务便函〔2021〕5号",153476]
[6086,"XJ01DCT162A017020202013","1","头孢呋辛酯","","口服常释剂型","",2017116238,"头孢呋辛酯片","巴欣","薄膜衣片","0.25g","盒","12","铝箔","成都倍特药业股份有限公司",10.11,"修改（支付标准）","医药服务便函〔2021〕5号",116238]
[6091,"XJ01DCT162E001010200513","1","头孢呋辛酯","","口服常释剂型","",2015141667,"头孢呋辛酯胶囊","立健新","硬胶囊剂","0.125g","盒","24","铝箔","深圳立健药业有限公司",13.05,"修改（支付标准）","医药服务便函〔2021〕5号",141669]
[6098,"XJ01DDL014B001010204651","2","拉氧头孢","","注射剂","限有明确药敏试验证据或重症感染的患者",2015141841,"注射用拉氧头孢钠","无","粉针剂","0.25g","瓶","1","玻璃瓶","浙江惠迪森药业有限公司",25.24,"修改（支付标准）","医药服务便函〔2021〕5号",141843]
[6103,"XJ01DDL014B001060105775","2","拉氧头孢","","注射剂","限有明确药敏试验证据或重症感染的患者",2015115031,"注射用拉氧头孢钠","噻吗灵","冻干粉针剂","1.0g","瓶","1","玻璃瓶","海南海灵化学制药有限公司",80.59,"修改（支付标准）","医药服务便函〔2021〕5号",115034]
[6108,"XJ01DDT068A006010200867","2","头孢地尼","","口服常释剂型","",201513965,"头孢地尼分散片","无","分散片","0.1g","盒","9","铝塑","天津华津制药有限公司",41.77,"修改（支付标准）","医药服务便函〔2021〕5号",116288]
[6115,"XJ01DDT068E001010101444","2","头孢地尼","","口服常释剂型","",20155590,"头孢地尼胶囊","无","硬胶囊剂","0.1g","盒","10","铝塑","江苏豪森药业集团有限公司",32.98,"修改（支付标准）","医药服务便函〔2021〕5号",145166]
[6117,"XJ01DDT068E001010201444","2","头孢地尼","","口服常释剂型","",2020171288,"头孢地尼胶囊","无","硬胶囊剂","0.1g","盒","20","铝箔","江苏豪森药业集团有限公司",72.15,"修改（支付标准）","医药服务便函〔2021〕5号",171288]
[6127,"XJ01DDT073A001010104641","2","头孢克肟","","口服常释剂型","",2015162250,"头孢克肟片","君特","薄膜衣片","0.2g","盒","4","铝塑","浙江巨泰药业有限公司",13.74,"修改（支付标准）","医药服务便函〔2021〕5号",162243]
[6132,"XJ01DDT073A001020201650","2","头孢克肟","","口服常释剂型","",2020101615,"头孢克肟片","司力捷","薄膜衣片","50mg","盒","12","铝箔","苏州东瑞制药有限公司",4.13,"修改（支付标准）","医药服务便函〔2021〕5号",101615]
[6138,"XJ01DDT073A006010400795","2","头孢克肟","","口服常释剂型","",201512923,"头孢克肟分散片","无","分散片","50mg","盒","20","双铝","上海新亚药业闵行有限公司",18.17,"修改（支付标准）","医药服务便函〔2021〕5号",136907]
[6141,"XJ01DDT073A006010604693","2","头孢克肟","","口服常释剂型","",20151426,"头孢克肟分散片","无","分散片","0.1g","盒","16","铝塑","浙江莎普爱思药业股份有限公司",19.2,"修改（支付标准）","医药服务便函〔2021〕5号",102979]
[6145,"XJ01DDT073E001020100555","2","头孢克肟","","口服常释剂型","",20157032,"头孢克肟胶囊","达力芬","硬胶囊剂","0.2g","盒","6","铝塑","国药集团致君(深圳)制药有限公司",20.84,"修改（支付标准）","医药服务便函〔2021〕5号",123714]
[6152,"XJ01DDT073X006010100513","2","头孢克肟","","口服液体剂","",201512082,"头孢克肟干混悬剂","无","干混悬剂","0.1g","盒","6","铝箔","深圳立健药业有限公司",21.6,"修改（支付标准）","医药服务便函〔2021〕5号",141674]
[6157,"XJ01DDT081B001020101679","2","头孢哌酮舒巴坦","","注射剂","限有明确药敏试验证据或重症感染的患者",20152540,"注射用头孢哌酮钠舒巴坦钠(1:1)","无","粉针剂","1.0g(0.5g/0.5g)","瓶","1","西林瓶","苏州中化药品工业有限公司",1.64,"修改（支付标准）","医药服务便函〔2021〕5号",143417]
[6161,"XJ01DDT088B001020100723","1","头孢曲松","","注射剂","",2015101152,"注射用头孢曲松钠","罗氏芬","粉针剂","0.5g","瓶","1","西林瓶","上海罗氏制药有限公司",30.27,"修改（支付标准）","医药服务便函〔2021〕5号",101157]
[6169,"XJ01DDT088B013020104141","1","头孢曲松","","注射剂","",2015116867,"注射用头孢曲松钠","无","粉针剂","1.0g","瓶","1","西林瓶","山东罗欣药业集团股份有限公司",1,"修改（支付标准）","医药服务便函〔2021〕5号",116870]
[6176,"XJ01DDT092B001020104355","1","头孢噻肟","","注射剂","",2015111104,"注射用头孢噻肟钠","无","粉针剂","1.0g","瓶","1","玻璃瓶","安徽威尔曼制药有限公司",5.57,"修改（支付标准）","医药服务便函〔2021〕5号",111102]
[6180,"XJ01DDT092B001040104355","1","头孢噻肟","","注射剂","",2015111116,"注射用头孢噻肟钠","无","粉针剂","3.0g","瓶","1","玻璃瓶","安徽威尔曼制药有限公司",13.55,"修改（支付标准）","医药服务便函〔2021〕5号",111114]
[6185,"XJ01DDT094B001010178476","2","头孢他啶","","注射剂","",2015147828,"注射用头孢他啶(含碳酸钠)","复达欣","粉针剂","1.0g","瓶","1","玻璃瓶","意大利GlaxoSmithKline Manufacturing S.p.A",43.01,"修改（支付标准）","医药服务便函〔2021〕5号",147827]
[6192,"XJ01DDT094B001050300377","2","头孢他啶","","注射剂","",2015110555,"注射用头孢他啶(含碳酸钠)","新天欣","粉针剂","2.0g","瓶","1","玻璃瓶","广州白云山天心制药股份有限公司",11,"修改（支付标准）","医药服务便函〔2021〕5号",110553]
[6197,"XJ01DDT101N001020100483","2","头孢托仑匹酯","","颗粒剂","限儿童患者。",2021162639,"头孢托仑匹酯颗粒","无","颗粒剂","0.5g:50mg","盒","6","复合膜","Meiji Seika Pharma Co.,Ltd. Odawara Plant",72.6,"修改（支付标准）","医药服务便函〔2021〕5号",162639]
[6202,"XJ01DDT104B001020100555","2","头孢唑肟","","注射剂","",201510143,"注射用头孢唑肟钠","无","粉针剂","0.75g","瓶","1","玻璃瓶","国药集团致君(深圳)制药有限公司",20.75,"修改（支付标准）","医药服务便函〔2021〕5号",123808]
[6209,"XJ01DDT104B001020200978","2","头孢唑肟","","注射剂","",201511797,"注射用头孢唑肟钠","益保世灵","粉针剂","0.75g","瓶","1","玻璃瓶","西南药业股份有限公司",41.35,"修改（支付标准）","医药服务便函〔2021〕5号",125719]
[6211,"XJ01DDT104B001030103712","2","头孢唑肟","","注射剂","",20156135,"注射用头孢唑肟钠","无","粉针剂","1.0g","支","1","玻璃瓶","哈药集团制药总厂",24.52,"修改（支付标准）","医药服务便函〔2021〕5号",119217]
[6216,"XJ01DDT153B001030105025","2","头孢曲松钠舒巴坦钠","","注射剂","限二线抗菌药物用药。",2020130094,"注射用头孢曲松钠舒巴坦钠(2:1)","无","粉针剂","3.0g(2.0g/1.0g)","瓶","1","玻璃瓶","湘北威尔曼制药股份有限公司",175,"修改（支付标准）","医药服务便函〔2021〕5号",130094]
[6222,"XJ01DET065B013010104141","2","头孢吡肟","","注射剂","限有明确药敏试验证据或重症感染的患者",201511269,"注射用盐酸头孢吡肟","无","粉针剂","0.5g","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",10.36,"修改（支付标准）","医药服务便函〔2021〕5号",116479]
[6228,"XJ01DFA194B001020104141","2","氨曲南","","注射剂","限有明确药敏试验证据或重症感染的患者",20159567,"注射用氨曲南","无","粉针剂","1.0g","瓶","1","西林瓶","山东罗欣药业集团股份有限公司",11.82,"修改（支付标准）","医药服务便函〔2021〕5号",116904]
[6237,"XJ01DHM046B001010100523","2","美罗培南","","注射剂","限多重耐药的重症感染",20151667,"注射用美罗培南","倍能","粉针剂","0.25g","瓶","1","玻璃瓶","深圳市海滨制药有限公司",51.63,"修改（支付标准）","医药服务便函〔2021〕5号",105668]
[6240,"XJ01DHM046B001010109568","2","美罗培南","","注射剂","限多重耐药的重症感染",2020167051,"注射用美罗培南","无","粉针剂","0.25g","瓶","1","西林瓶","重庆圣华曦药业股份有限公司",26.47,"修改（支付标准）","医药服务便函〔2021〕5号",167051]
[6246,"XJ01DHY002B001010100523","2","亚胺培南西司他丁","","注射剂","限多重耐药的重症感染",201510383,"注射用亚胺培南西司他丁钠(1:1)","无","粉针剂","0.5g(0.25g/0.25g)","瓶","1","玻璃瓶","深圳市海滨制药有限公司",51.76,"修改（支付标准）","医药服务便函〔2021〕5号",105686]
[6251,"XJ01DIF005N001010104929","2","法罗培南","","颗粒剂","限头孢菌素耐药或重症感染儿童患者",2020152277,"法罗培南钠颗粒","忾林","颗粒剂","0.1g","盒","6","复合膜","湖南华纳大药厂股份有限公司",130,"修改（支付标准）","医药服务便函〔2021〕5号",152277]
[6255,"XJ01EEF309A001010102292","1","复方磺胺甲噁唑","","口服常释剂型","",2015161507,"复方磺胺甲噁唑片","无","素片","磺胺甲噁唑0.4g,甲氧苄啶80mg","瓶","100","塑料瓶","四川科伦药业股份有限公司",25.05,"修改（支付标准）","医药服务便函〔2021〕5号",161500]
[6263,"XJ01FAA051A001010104658","1","阿奇霉素","","口服常释剂型","",2015136898,"阿奇霉素片","无","薄膜衣片","0.25g","盒","6","双铝","浙江京新药业股份有限公司",1.8,"修改（支付标准）","医药服务便函〔2021〕5号",136895]
[6266,"XJ01FAA051A001010179335","1","阿奇霉素","","口服常释剂型","",2015121240,"阿奇霉素片","舒美特","薄膜衣片","0.125g","盒","6","空","普利瓦克罗地亚有限公司PLIVA CROATIA Ltd.",28.02,"修改（支付标准）","医药服务便函〔2021〕5号",121237]
[6275,"XJ01FAA051A006010101506","1","阿奇霉素","","口服常释剂型","",2015155744,"阿奇霉素分散片","无","分散片","0.1g(10万单位)","盒","6","铝塑","江苏祥瑞药业有限公司",1.5,"修改（支付标准）","医药服务便函〔2021〕5号",155742]
[6281,"XJ01FAA051A012010404616","1","阿奇霉素","","口服常释剂型","",2015136739,"阿奇霉素肠溶片","无","肠溶片","0.125g(12.5万单位)","盒","24","铝塑","浙江大德药业集团有限公司",19.99,"修改（支付标准）","医药服务便函〔2021〕5号",136736]
[6282,"XJ01FAA051B001010101874","2","阿奇霉素","","注射剂","",2015104514,"注射用阿奇霉素","无","冻干粉针剂","0.1g","瓶","1","西林瓶","湖北午时药业股份有限公司",2.22,"修改（支付标准）","医药服务便函〔2021〕5号",104519]
[6287,"XJ01FAA051B001010201841","2","阿奇霉素","","注射剂","",2015109286,"注射用阿奇霉素","瑞琦霖","冻干粉针剂","0.1g","瓶","1","玻璃瓶","湖北潜龙药业有限公司",3.67,"修改（支付标准）","医药服务便函〔2021〕5号",109289]
[6292,"XJ01FAA051B002020102770","2","阿奇霉素","","注射剂","",2015110365,"乳糖酸阿奇霉素注射液","无","注射液","5ml:0.25g","支","1","安瓿","石药集团欧意药业有限公司",4.29,"修改（支付标准）","医药服务便函〔2021〕5号",110363]
[6299,"XJ01FAA051E001010100153","1","阿奇霉素","","口服常释剂型","",2020169131,"阿奇霉素胶囊","无","硬胶囊剂","0.25g(25万单位)","盒","6","铝箔","北京四环制药有限公司",5.46,"修改（支付标准）","医药服务便函〔2021〕5号",169131]
[6307,"XJ01FAA051E005010104676","1","阿奇霉素","","口服常释剂型","",2015102390,"阿奇霉素肠溶胶囊","无","肠溶胶囊(微丸型)","0.25g(25万单位)","盒","4","铝塑","浙江华润三九众益制药有限公司",20.55,"修改（支付标准）","医药服务便函〔2021〕5号",102395]
[6310,"XJ01FAA051N001010102120","1","阿奇霉素","","颗粒剂","",2015129132,"阿奇霉素颗粒","无","颗粒剂","0.125g","盒","12","复合膜","四川百利药业有限责任公司",5.42,"修改（支付标准）","医药服务便函〔2021〕5号",129131]
[6316,"XJ01FAA051X006010104669","2","阿奇霉素","","口服液体剂","",2015136483,"阿奇霉素干混悬剂","无","干混悬剂","0.1g","盒","6","复合膜","浙江康德药业集团股份有限公司",4.5,"修改（支付标准）","医药服务便函〔2021〕5号",136480]
[6322,"XJ01FAH016B001010105006","1","红霉素","","注射剂","",2015147781,"注射用乳糖酸红霉素","无","粉针剂","0.25g(25万单位)","支","1","西林瓶","湖南科伦制药有限公司",0.92,"修改（支付标准）","医药服务便函〔2021〕5号",147780]
[6325,"XJ01FAH016E005010204676","1","红霉素","","口服常释剂型","",2015102381,"红霉素肠溶胶囊","美红","肠溶胶囊(微丸型)","0.125g(12.5万单位)","盒","24","铝塑","浙江华润三九众益制药有限公司",20.19,"修改（支付标准）","医药服务便函〔2021〕5号",102386]
[6334,"XJ01FAH028A001010104436","2","琥乙红霉素","","口服常释剂型","",2015145337,"琥乙红霉素片","无","素片","0.1g(10万单位)","盒","24","铝塑","上海华源安徽仁济制药有限公司",3.85,"修改（支付标准）","医药服务便函〔2021〕5号",145336]
[6336,"XJ01FAH028A001010202297","2","琥乙红霉素","","口服常释剂型","",2015111622,"琥乙红霉素片","无","素片","0.125g(12.5万单位)","盒","24","铝箔","四川制药制剂有限公司",4.91,"修改（支付标准）","医药服务便函〔2021〕5号",111620]
[6346,"XJ01FAH028N001010204572","2","琥乙红霉素","","颗粒剂","",2015131318,"琥乙红霉素颗粒","无","颗粒剂","0.1g(10万单位)","盒","12","复合膜","浙江家和制药有限公司",1.95,"修改（支付标准）","医药服务便函〔2021〕5号",131322]
[6351,"XJ01FAK067A001010105719","2","克拉霉素","","口服常释剂型","",2015109256,"克拉霉素片","安吉尔宁","薄膜衣片","0.125g","盒","24","铝塑","云南永安制药有限公司",13.33,"修改（支付标准）","医药服务便函〔2021〕5号",109259]
[6353,"XJ01FAK067A001010304612","2","克拉霉素","","口服常释剂型","",2020135160,"克拉霉素片","无","薄膜衣片","0.25g","盒","12","铝塑","浙江贝得药业有限公司",73.08,"修改（支付标准）","医药服务便函〔2021〕5号",135160]
[6360,"XJ01FAK067A006010101997","2","克拉霉素","","口服常释剂型","",2015108008,"克拉霉素分散片","无","分散片","0.25g","盒","6","铝箔","宜昌东阳光长江药业股份有限公司",5.92,"修改（支付标准）","医药服务便函〔2021〕5号",108011]
[6364,"XJ01FAK067A017010100811","2","克拉霉素","","口服常释剂型","",2015139368,"克拉霉素片","克拉仙","薄膜衣片","0.25g","盒","8","铝塑","上海雅培制药有限公司",54.72,"修改（支付标准）","医药服务便函〔2021〕5号",139365]
[6369,"XJ01FAK067E001010103139","2","克拉霉素","","口服常释剂型","",2015120680,"克拉霉素胶囊","无","硬胶囊剂","0.25g","盒","6","铝箔","开封制药(集团)有限公司",2.79,"修改（支付标准）","医药服务便函〔2021〕5号",120677]
[6376,"XJ01FAL262A001010101122","2","罗红霉素","","口服常释剂型","",2015103480,"罗红霉素片","欣美罗","薄膜衣片","75mg","盒","20","铝塑","美罗药业股份有限公司",12.87,"修改（支付标准）","医药服务便函〔2021〕5号",103485]
[6381,"XJ01FAL262A001010205206","2","罗红霉素","","口服常释剂型","",2015116730,"罗红霉素片","无","薄膜衣片","0.15g","盒","12","铝塑","桂林南药股份有限公司",6.8,"修改（支付标准）","医药服务便函〔2021〕5号",116733]
[6386,"XJ01FAL262A006010100453","2","罗红霉素","","口服常释剂型","",2015105168,"罗红霉素分散片","丽珠星","分散片","50mg(5万单位)","盒","12","铝箔","丽珠集团丽珠制药厂",9.82,"修改（支付标准）","医药服务便函〔2021〕5号",105171]
[6393,"XJ01FAL262A006010204145","2","罗红霉素","","口服常释剂型","",2015117306,"罗红霉素分散片","无","分散片","75mg(7.5万单位)","盒","20","铝塑","山东齐都药业有限公司",10.57,"修改（支付标准）","医药服务便函〔2021〕5号",117309]
[6401,"XJ01FAL262A006020302292","2","罗红霉素","","口服常释剂型","",2015149759,"罗红霉素分散片","无","分散片","75mg(7.5万单位)","盒","20","铝箔","四川科伦药业股份有限公司",7.09,"修改（支付标准）","医药服务便函〔2021〕5号",149758]
[6405,"XJ01FAL262A017020100785","2","罗红霉素","","口服常释剂型","",2015134746,"罗红霉素片","浦虹","薄膜衣片","50mg","盒","10","复合膜","上海现代制药股份有限公司",1.78,"修改（支付标准）","医药服务便函〔2021〕5号",134750]
[6412,"XJ01FAL262E001010201749","2","罗红霉素","","口服常释剂型","",2015101010,"罗红霉素胶囊","仁苏","硬胶囊剂","0.15g","盒","12","铝塑","扬子江药业集团有限公司",15.48,"修改（支付标准）","医药服务便函〔2021〕5号",101015]
[6417,"XJ01FAL262E001010500377","2","罗红霉素","","口服常释剂型","",2015111872,"罗红霉素胶囊","无","硬胶囊剂","0.15g","盒","6","铝塑","广州白云山天心制药股份有限公司",6.8,"修改（支付标准）","医药服务便函〔2021〕5号",111870]
[6421,"XJ01FAL262E001020205774","2","罗红霉素","","口服常释剂型","",2015113175,"罗红霉素胶囊","无","硬胶囊剂","0.3g","盒","12","铝塑","海南海力制药有限公司",22.92,"修改（支付标准）","医药服务便函〔2021〕5号",113173]
[6424,"XJ01FAL262E002010404728","2","罗红霉素","","口服常释剂型","",2015152370,"罗红霉素软胶囊","无","软胶囊(胶丸)","0.15g","盒","24","铝塑","浙江维康药业股份有限公司",34.91,"修改（支付标准）","医药服务便函〔2021〕5号",152373]
[6430,"XJ01FFK071B001010105791","1","克林霉素","","注射剂","",2015115606,"注射用盐酸克林霉素","博士多他","冻干粉针剂","0.3g","瓶","1","玻璃瓶","海南倍特药业有限公司",3.38,"修改（支付标准）","医药服务便函〔2021〕5号",115609]
[6435,"XJ01FFK071B002020101877","1","克林霉素","","注射剂","",2015106463,"盐酸克林霉素注射液","无","注射液","2ml:0.2g","支","1","安瓿","福安药业集团庆余堂制药有限公司",6.07,"修改（支付标准）","医药服务便函〔2021〕5号",106466]
[6445,"XJ01FFK071E001010104656","1","克林霉素","","口服常释剂型","",2015137010,"盐酸克林霉素胶囊","无","硬胶囊剂","0.15g","盒","12","铝塑","浙江金华康恩贝生物制药有限公司",5.92,"修改（支付标准）","医药服务便函〔2021〕5号",137007]
[6447,"XJ01FFK071E001010202292","1","克林霉素","","口服常释剂型","",2015106983,"盐酸克林霉素胶囊","无","硬胶囊剂","0.15g","盒","12","铝箔","四川科伦药业股份有限公司",4.24,"修改（支付标准）","医药服务便函〔2021〕5号",106986]
[6456,"XJ01FFK073B001010104661","1","克林霉素磷酸酯","","注射剂","",2015135444,"注射用克林霉素磷酸酯","傲地","冻干粉针剂","0.15g","瓶","1","西林瓶","江苏九旭药业有限公司",4.69,"修改（支付标准）","医药服务便函〔2021〕5号",135441]
[6459,"XJ01FFK073B001020104141","1","克林霉素磷酸酯","","注射剂","",2015115568,"注射用克林霉素磷酸酯","无","冻干粉针剂","0.6g","瓶","1","玻璃瓶","山东罗欣药业集团股份有限公司",2.2,"修改（支付标准）","医药服务便函〔2021〕5号",115571]
[6464,"XJ01FFK073B001040101649","1","克林霉素磷酸酯","","注射剂","",2015141262,"注射用克林霉素磷酸酯","凯甫菲","冻干粉针剂","1.2g","瓶","1","西林瓶","苏州第壹制药有限公司",17.33,"修改（支付标准）","医药服务便函〔2021〕5号",141264]
[6471,"XJ01FFK073B014010204383","1","克林霉素磷酸酯","","注射剂","",2015136305,"注射用克林霉素磷酸酯","无","冻干粉针剂","0.15g","支","1","玻璃瓶","国药集团国瑞药业有限公司",1.63,"修改（支付标准）","医药服务便函〔2021〕5号",136302]
[6476,"XJ01FFK120N001020100976","2","克林霉素棕榈酸酯","","颗粒剂","",2015101284,"盐酸克林霉素棕榈酸酯颗粒","可尔生","颗粒剂","2.0g:75mg","盒","12","铝塑","北大医药股份有限公司",22.6,"修改（支付标准）","医药服务便函〔2021〕5号",101289]
[6482,"XJ01FFL092B002010102000","1","林可霉素","","注射剂","",2015112246,"盐酸林可霉素注射液","无","注射液","2ml:0.6g","支","1","安瓿","宜昌人福药业有限责任公司",0.7,"修改（支付标准）","医药服务便函〔2021〕5号",112244]
[6488,"XJ01FFL092E001010103305","2","林可霉素","","口服常释剂型","",2015104556,"盐酸林可霉素胶囊","无","硬胶囊剂","0.25g","盒","12","铝塑","长春迪瑞制药有限公司",3.97,"修改（支付标准）","医药服务便函〔2021〕5号",104561]
[6491,"XJ01GAL084B001020200505","1","链霉素","","注射剂","",2015142447,"注射用硫酸链霉素","无","粉针剂","1.0g(100万IU)","瓶","1","西林瓶","深圳华药南方制药有限公司",1.37,"修改（支付标准）","医药服务便函〔2021〕5号",142449]
[6499,"XJ01GBA034B002010103202","1","阿米卡星","","注射剂","",2015142105,"硫酸阿米卡星注射液","无","注射液","2ml:0.2g(20万IU)","支","1","安瓿","上海现代哈森(商丘)药业有限公司",3.33,"修改（支付标准）","医药服务便函〔2021〕5号",142107]
[6500,"XJ01GBA034B002010103205","1","阿米卡星","","注射剂","",2015121348,"硫酸阿米卡星注射液","无","注射液","2ml:0.2g(20万IU)","支","1","安瓿","国药集团容生制药有限公司",1.46,"修改（支付标准）","医药服务便函〔2021〕5号",121345]
[6506,"XJ01GBQ072A001010202927","2","庆大霉素","","口服常释剂型","",2015157527,"硫酸庆大霉素片","无","糖衣片","40mg(4万IU)","瓶","100","塑料瓶","山西同达药业有限公司",16.11,"修改（支付标准）","医药服务便函〔2021〕5号",157525]
[6515,"XJ01GBQ072B002020103021","1","庆大霉素","","注射剂","",2015111852,"硫酸庆大霉素注射液","无","注射液","2ml:80mg(8万IU)","支","1","安瓿","河南辅仁怀庆堂制药有限公司",3.5,"修改（支付标准）","医药服务便函〔2021〕5号",111850]
[6518,"XJ01GBQ072B002020104152","1","庆大霉素","","注射剂","",2015156257,"硫酸庆大霉素注射液","无","注射液","1ml:40mg(4万IU)","支","1","安瓿","瑞阳制药有限公司",0.96,"修改（支付标准）","医药服务便函〔2021〕5号",156255]
[6526,"XJ01GBY148B002010179166","2","异帕米星","","注射剂","",2015147278,"硫酸异帕米星注射液","依克沙","注射液","2ml:0.2g","支","1","安瓿","日本旭化成制药株式会社 名古屋医药工厂Asahi Kasei Pharma Corporation ,Nagoya Pharmaceuticals Plant",59.7,"修改（支付标准）","医药服务便函〔2021〕5号",147277]
[6530,"XJ01MAH038A001010101997","1","环丙沙星","","口服常释剂型","",2015108204,"盐酸环丙沙星片","无","薄膜衣片","0.25g","盒","20","铝塑","宜昌东阳光长江药业股份有限公司",7.48,"修改（支付标准）","医药服务便函〔2021〕5号",108207]
[6535,"XJ01MAH038A001010104747","1","环丙沙星","","口服常释剂型","",2015104076,"盐酸环丙沙星片","无","薄膜衣片","0.25g","盒","10","铝塑","浙江医药股份有限公司新昌制药厂",0.97,"修改（支付标准）","医药服务便函〔2021〕5号",104081]
[6542,"XJ01MAH038E001010104531","1","环丙沙星","","口服常释剂型","",2015101576,"盐酸环丙沙星胶囊","无","硬胶囊剂","0.25g","盒","12","铝塑","回音必集团浙江齐齐制药有限公司",7.61,"修改（支付标准）","医药服务便函〔2021〕5号",101581]
[6544,"XJ01MAH038E001010104747","1","环丙沙星","","口服常释剂型","",2015104087,"盐酸环丙沙星胶囊","无","硬胶囊剂","0.25g","盒","10","铝塑","浙江医药股份有限公司新昌制药厂",2.21,"修改（支付标准）","医药服务便函〔2021〕5号",104092]
[6553,"XJ01MAH100B002010204948","2","环丙沙星氯化钠","","注射剂","",2015118425,"乳酸环丙沙星氯化钠注射液","无","注射液","100ml:0.1g","袋","1","软袋单管双阀","湖南科伦制药有限公司",3.16,"修改（支付标准）","医药服务便函〔2021〕5号",118428]
[6559,"XJ01MAM122A001010100002","2","莫西沙星","","口服常释剂型","",2015127546,"盐酸莫西沙星片","拜复乐","薄膜衣片","0.4g","盒","3","铝塑","德国Bayer Pharma AG",13.32,"修改（支付标准）","医药服务便函〔2021〕5号",127549]
[6561,"XJ01MAM122A001010101003","2","莫西沙星","","口服常释剂型","不限",2020167009,"盐酸莫西沙星片","无","薄膜衣片","0.4g","盒","6","铝箔","重庆华邦制药有限公司",18.73,"修改（支付标准）","医药服务便函〔2021〕5号",167009]
[6570,"XJ01MAM134B002010100864","2","莫西沙星氯化钠","","注射剂","限下呼吸道感染、社区获得性肺炎；有明确药敏试验证据的如下感染：急性窦炎、复杂性腹腔感染。",2020168525,"盐酸莫西沙星氯化钠注射液","无","注射液","250ml:0.4g:2.0g","瓶","1","玻璃瓶","天津红日药业股份有限公司",35.08,"修改（支付标准）","医药服务便函〔2021〕5号",168525]
[6576,"XJ01MAM134B002010102763","2","莫西沙星氯化钠","","注射剂","限下呼吸道感染、社区获得性肺炎；有明确药敏试验证据的如下感染：急性窦炎、复杂性腹腔感染。",2019165071,"盐酸莫西沙星氯化钠注射液","无","注射液","250ml:0.4g:2.0g","袋","1","多层共挤输液袋","石家庄四药有限公司",32.79,"修改（支付标准）","医药服务便函〔2021〕5号",165071]
[6577,"XJ01MAM134B002010104145","2","莫西沙星氯化钠","","注射剂","限下呼吸道感染、社区获得性肺炎；有明确药敏试验证据的如下感染：急性窦炎、复杂性腹腔感染。",2019165608,"盐酸莫西沙星氯化钠注射液","无","注射液","250ml:0.4g:2.0g","袋","1","三层共挤(粉-液)输液袋","山东齐都药业有限公司",32.7,"修改（支付标准）","医药服务便函〔2021〕5号",165608]
[6585,"XJ01MAN076E001010102770","1","诺氟沙星","","口服常释剂型","",2015109743,"诺氟沙星胶囊","无","硬胶囊剂","0.1g","盒","24","铝塑","石药集团欧意药业有限公司",9,"修改（支付标准）","医药服务便函〔2021〕5号",109746]
[6589,"XJ01MAN076E001010304747","1","诺氟沙星","","口服常释剂型","",2015104106,"诺氟沙星胶囊","无","硬胶囊剂","0.1g","盒","12","铝塑","浙江医药股份有限公司新昌制药厂",1.01,"修改（支付标准）","医药服务便函〔2021〕5号",104111]
[6596,"XJ01MAZ074A001010104658","1","左氧氟沙星","","口服常释剂型","",2015136951,"盐酸左氧氟沙星片","京必妥新","薄膜衣片","0.1g","盒","6","铝塑","浙江京新药业股份有限公司",1.22,"修改（支付标准）","医药服务便函〔2021〕5号",136948]
[6601,"XJ01MAZ074A001010201599","1","左氧氟沙星","","口服常释剂型","",2015157702,"盐酸左氧氟沙星片","无","薄膜衣片","0.25g","盒","28","铝塑","南京正科医药股份有限公司",34.69,"修改（支付标准）","医药服务便函〔2021〕5号",157700]
[6605,"XJ01MAZ074A001010204744","1","左氧氟沙星","","口服常释剂型","",2015139137,"盐酸左氧氟沙星片","无","素片","0.1g","盒","12","铝塑","浙江亚太药业股份有限公司",8.85,"修改（支付标准）","医药服务便函〔2021〕5号",139134]
[6612,"XJ01MAZ074A001020101599","1","左氧氟沙星","","口服常释剂型","",2015150133,"盐酸左氧氟沙星片","无","薄膜衣片","0.5g","盒","7","铝塑","南京正科医药股份有限公司",15.57,"修改（支付标准）","医药服务便函〔2021〕5号",150136]
[6620,"XJ01MAZ074A001030204131","1","左氧氟沙星","","口服常释剂型","",2015122779,"盐酸左氧氟沙星片","无","薄膜衣片","0.2g","盒","12","铝塑","山东鲁抗医药集团赛特有限责任公司",8.41,"修改（支付标准）","医药服务便函〔2021〕5号",122776]
[6624,"XJ01MAZ074A006010404105","1","左氧氟沙星","","口服常释剂型","",2015112261,"盐酸左氧氟沙星分散片","泉盈","分散片","0.1g","盒","24","铝箔","山东健康药业有限公司",14.3,"修改（支付标准）","医药服务便函〔2021〕5号",112259]
[6629,"XJ01MAZ074B001030102954","1","左氧氟沙星","","注射剂","",2015115404,"注射用盐酸左氧氟沙星","同林","冻干粉针剂","0.4g","瓶","1","玻璃瓶","山西威奇达光明制药有限公司",9.66,"修改（支付标准）","医药服务便函〔2021〕5号",115407]
[6636,"XJ01MAZ074B002030101749","1","左氧氟沙星","","注射剂","",2015101701,"盐酸左氧氟沙星注射液","左克","注射液","2ml:0.2g","支","1","安瓿","扬子江药业集团有限公司",14.49,"修改（支付标准）","医药服务便函〔2021〕5号",101706]
[6640,"XJ01MAZ074E001010104685","1","左氧氟沙星","","口服常释剂型","",2015143983,"盐酸左氧氟沙星胶囊","裕力兴","硬胶囊剂","0.1g","盒","10","铝塑","浙江普洛康裕制药有限公司",1.87,"修改（支付标准）","医药服务便函〔2021〕5号",143985]
[6643,"XJ01MAZ074E001010200600","1","左氧氟沙星","","口服常释剂型","",2015104958,"盐酸左氧氟沙星胶囊","无","硬胶囊剂","0.1g","盒","20","铝塑","珠海联邦制药股份有限公司中山分公司",14.17,"修改（支付标准）","医药服务便函〔2021〕5号",104963]
[6648,"XJ01MAZ074E001010905801","1","左氧氟沙星","","口服常释剂型","",2015124821,"盐酸左氧氟沙星胶囊","无","硬胶囊剂(微丸型)","0.1g","盒","36","铝塑","海南普利制药股份有限公司",20.66,"修改（支付标准）","医药服务便函〔2021〕5号",124818]
[6655,"XJ01MAZ083B002010102087","2","左氧氟沙星氯化钠","","注射剂","",2015106819,"盐酸左氧氟沙星氯化钠注射液","优普罗康","注射液","100ml:0.1g:0.9g","瓶","1","玻璃瓶","四川美大康华康药业有限公司",0.88,"修改（支付标准）","医药服务便函〔2021〕5号",106822]
[6660,"XJ01MAZ083B002010502180","2","左氧氟沙星氯化钠","","注射剂","",2015161546,"盐酸左氧氟沙星氯化钠注射液","瑞科沙","注射液","100ml:0.1g:0.9g","瓶","1","塑料瓶","四川科伦药业股份有限公司",1.97,"修改（支付标准）","医药服务便函〔2021〕5号",161539]
[6666,"XJ01MAZ083B002020104948","2","左氧氟沙星氯化钠","","注射剂","",2015113743,"乳酸左氧氟沙星氯化钠注射液","无","注射液","100ml:0.2g:0.9g","瓶","1","玻璃瓶","湖南科伦制药有限公司",0.79,"修改（支付标准）","医药服务便函〔2021〕5号",113741]
[6672,"XJ01MAZ083B002030101749","2","左氧氟沙星氯化钠","","注射剂","",2015101660,"盐酸左氧氟沙星氯化钠注射液","左克","注射液","100ml:0.2g:0.9g","瓶","1","玻璃瓶","扬子江药业集团有限公司",17.38,"修改（支付标准）","医药服务便函〔2021〕5号",101665]
[6675,"XJ01MAZ083B002030104693","2","左氧氟沙星氯化钠","","注射剂","",2015102877,"乳酸左氧氟沙星氯化钠注射液","无","注射液","100ml:0.3g:0.9g","袋","1","多层共挤输液袋","浙江莎普爱思药业股份有限公司",5.46,"修改（支付标准）","医药服务便函〔2021〕5号",102882]
[6683,"XJ01MAZ083B002040104145","2","左氧氟沙星氯化钠","","注射剂","",2015125565,"盐酸左氧氟沙星氯化钠注射液","迪诺新","注射液","100ml:0.3g:0.86g","袋","1","多层共挤输液袋","山东齐都药业有限公司",6.85,"修改（支付标准）","医药服务便函〔2021〕5号",125564]
[6690,"XJ01MBN102E001010107968","2","奈诺沙星","","口服常释剂型","限二线用药。",2016161608,"苹果酸奈诺沙星胶囊","太捷信","硬胶囊剂","0.25g","盒","6","铝塑","浙江医药股份有限公司新昌制药厂",97.2,"修改（支付标准）","医药服务便函〔2021〕5号",162609]
[6695,"XJ01XAW001B001010178400","2","万古霉素","","注射剂","限甲氧西林耐药阳性球菌感染；病原不明的中枢神经系统、心血管系统重症感染及菌血症",20152673,"注射用盐酸万古霉素","稳可信","粉针剂","0.5g","瓶","1","空","希腊VIANEX S.A.(PLANT C)",103.99,"修改（支付标准）","医药服务便函〔2021〕5号",141993]
[6699,"XJ01XDA222B001010101583","2","奥硝唑","","注射剂","",201511422,"注射用奥硝唑","优伦","冻干粉针剂","0.25g","瓶","1","西林瓶","南京圣和药业股份有限公司",18.5,"修改（支付标准）","医药服务便函〔2021〕5号",144841]
[6707,"XJ01XDA231B002020602180","2","奥硝唑氯化钠","","注射剂","",201514182,"奥硝唑氯化钠注射液","妥苏","注射液","100ml:0.5g:0.9g","瓶","1","塑料瓶","四川科伦药业股份有限公司",21.66,"修改（支付标准）","医药服务便函〔2021〕5号",108855]
[6710,"XJ01XDJ185B002010100628","2","甲硝唑氯化钠","","注射剂","",2015125535,"甲硝唑氯化钠注射液","无","注射液","100ml:0.5g:0.8g","袋","1","非PVC膜+双管双塞+双层无菌","上海百特医疗用品有限公司",6.78,"修改（支付标准）","医药服务便函〔2021〕5号",125534]
[6714,"XJ01XDJ185B002010104634","2","甲硝唑氯化钠","","注射剂","",2015128652,"甲硝唑氯化钠注射液","无","注射液","100ml:0.5g:0.9g","瓶","1","塑料瓶","浙江国镜药业有限公司",0.85,"修改（支付标准）","医药服务便函〔2021〕5号",128651]
[6719,"XJ01XDJ185B002030204042","2","甲硝唑氯化钠","","注射剂","",2015106036,"甲硝唑氯化钠注射液","无","注射液","250ml:1.25g:2.0g","袋","1","非PVC膜+双管双塞","华仁药业股份有限公司",3.71,"修改（支付标准）","医药服务便函〔2021〕5号",106039]
[6726,"XJ01XDT045A001010203973","1","替硝唑","","口服常释剂型","",2015137097,"替硝唑片","无","薄膜衣片","0.5g","盒","8","铝塑","华润双鹤利民药业（济南）有限公司",1.95,"修改（支付标准）","医药服务便函〔2021〕5号",137094]
[6734,"XJ01XDT045E001010104141","1","替硝唑","","口服常释剂型","",2015117891,"替硝唑胶囊","捷力","硬胶囊剂","0.25g","盒","10","铝塑","山东罗欣药业集团股份有限公司",1.74,"修改（支付标准）","医药服务便函〔2021〕5号",117894]
[6737,"XJ01XDT045E001010204141","1","替硝唑","","口服常释剂型","",2015117899,"替硝唑胶囊","捷力","硬胶囊剂","0.25g","盒","16","铝塑","山东罗欣药业集团股份有限公司",2.74,"修改（支付标准）","医药服务便函〔2021〕5号",117902]
[6743,"XJ01XDT146B002010104718","2","替硝唑氯化钠","","注射剂","",2015132653,"替硝唑氯化钠注射液","无","注射液","100ml:0.4g:0.9g","袋","1","多层共挤输液袋","浙江天瑞药业有限公司",2.3,"修改（支付标准）","医药服务便函〔2021〕5号",132657]
[6751,"XJ01XEF053A001010103372","1","呋喃唑酮","","口服常释剂型","",2015160534,"呋喃唑酮片","无","素片","0.1g","瓶","100","塑料瓶","吉林金恒制药股份有限公司",3.04,"修改（支付标准）","医药服务便函〔2021〕5号",160527]
[6754,"XJ01XXD013E001010201473","2","大蒜素","","口服常释剂型","",2015162305,"大蒜素胶囊","无","硬胶囊剂","20mg","盒","36","铝塑","江苏正大清江制药有限公司",18.09,"修改（支付标准）","医药服务便函〔2021〕5号",162298]
[6760,"XJ01XXL070A001010101003","2","利奈唑胺","","口服常释剂型","限万古霉素治疗不可耐受的重症感染的二线治疗；限耐万古霉素的肠球菌感染",2019165814,"利奈唑胺片","无","薄膜衣片","0.6g","盒","12","铝塑","重庆华邦制药有限公司",372,"修改（支付标准）","医药服务便函〔2021〕5号",165814]
[6766,"XJ01XXL096B001030101162","1","磷霉素","","注射剂","",2015113584,"注射用磷霉素钠","无","粉针剂","4.0g(400万单位)","瓶","1","玻璃瓶","东北制药集团沈阳第一制药有限公司",10.65,"修改（支付标准）","医药服务便函〔2021〕5号",113582]
[6769,"XJ01XXL097P001010102954","2","磷霉素氨丁三醇","","口服散剂","",2015123233,"磷霉素氨丁三醇散","无","散剂","3g(300万单位)","支","1","玻璃瓶","山西仟源制药股份有限公司",63.33,"修改（支付标准）","医药服务便函〔2021〕5号",123230]
[6778,"XJ01XXL350B002010201444","2","利奈唑胺葡萄糖","","注射剂","限万古霉素治疗不可耐受的重症感染的二线治疗；限耐万古霉素的肠球菌感染",2015162462,"利奈唑胺葡萄糖注射液","无","注射液","100ml:利奈唑胺0.2g,无水葡萄糖4.6g","瓶","1","玻璃瓶","江苏豪森药业集团有限公司",76,"修改（支付标准）","医药服务便函〔2021〕5号",162457]
[6780,"XJ01XXL350B002020101521","2","利奈唑胺葡萄糖","","注射剂","限万古霉素治疗不可耐受的重症感染的二线治疗；限耐万古霉素的肠球菌感染",2019165497,"利奈唑胺葡萄糖注射液","无","注射液","300ml:利奈唑胺0.6g,葡萄糖15g","袋","1","多层共挤输液袋","江苏正大丰海制药有限公司",200.8,"修改（支付标准）","医药服务便函〔2021〕5号",165497]
[6785,"XJ01XXY209A001010102831","1","鱼腥草素","","口服常释剂型","",2020170209,"鱼腥草素钠片","无","糖衣片","30mg","瓶","100","塑料瓶","北京中新药业股份有限公司",59.8,"修改（支付标准）","医药服务便函〔2021〕5号",170209]
[6795,"XJ02ACF059B001010100611","2","伏立康唑","","注射剂","限有明确的重度免疫缺陷诊断并发严重真菌感染的临床证据；曲霉菌肺炎或中枢神经系统感染",201510233,"注射用伏立康唑","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","珠海亿邦制药股份有限公司",92.01,"修改（支付标准）","医药服务便函〔2021〕5号",117596]
[6796,"XJ02ACF059B001010102856","2","伏立康唑","","注射剂","限有明确的重度免疫缺陷诊断并发严重真菌感染的临床证据；曲霉菌肺炎或中枢神经系统感染",201510401,"注射用伏立康唑","无","冻干粉针剂","0.2g","瓶","1","玻璃瓶","晋城海斯制药有限公司",286.87,"修改（支付标准）","医药服务便函〔2021〕5号",100822]
[6804,"XJ02ACF075A001010204608","1","氟康唑","","口服常释剂型","",2015103737,"氟康唑片","莱抗","薄膜衣片","50mg","盒","6","铝塑","浙江奥托康制药集团股份有限公司",2.11,"修改（支付标准）","医药服务便函〔2021〕5号",103742]
[6808,"XJ02ACF075A006020305781","1","氟康唑","","口服常释剂型","",2015116883,"氟康唑分散片","无","分散片","50mg","盒","12","铝塑","海南皇隆制药股份有限公司",15.9,"修改（支付标准）","医药服务便函〔2021〕5号",116886]
[6813,"XJ02ACF075E001010101510","1","氟康唑","","口服常释剂型","",2015143477,"氟康唑胶囊","无","硬胶囊剂","0.15g","盒","12","铝塑","江苏亚邦爱普森药业有限公司",8,"修改（支付标准）","医药服务便函〔2021〕5号",143479]
[6820,"XJ02ACF075N001010104489","2","氟康唑","","颗粒剂","",2015142620,"氟康唑颗粒","汝宁","颗粒剂","2g:0.1g","盒","7","复合膜","杭州康恩贝制药有限公司",33.87,"修改（支付标准）","医药服务便函〔2021〕5号",142622]
[6824,"XJ02ACF624B002010104718","2","氟康唑氯化钠","","注射剂","",2015132655,"氟康唑氯化钠注射液","无","注射液","100ml:0.2g:0.9g","袋","1","多层共挤输液袋","浙江天瑞药业有限公司",3.25,"修改（支付标准）","医药服务便函〔2021〕5号",132659]
[6832,"XJ02ACY061A006010205844","2","伊曲康唑","","口服常释剂型","",20159834,"伊曲康唑分散片","无","分散片","0.1g","盒","7","铝塑","康芝药业股份有限公司",31.47,"修改（支付标准）","医药服务便函〔2021〕5号",122153]
[6837,"XJ02ACY061E001010202529","2","伊曲康唑","","口服常释剂型","",20154126,"伊曲康唑胶囊","斯皮仁诺","硬胶囊剂","0.1g","盒","14","铝塑","西安杨森制药有限公司",102.42,"修改（支付标准）","医药服务便函〔2021〕5号",131499]
[6839,"XJ02ACY061N001010204141","2","伊曲康唑","","颗粒剂","",20159614,"伊曲康唑颗粒","无","颗粒剂","0.1g","盒","14","复合膜","山东罗欣药业集团股份有限公司",59.2,"修改（支付标准）","医药服务便函〔2021〕5号",117023]
[6849,"XJ02AXK012B001020178892","2","卡泊芬净","","注射剂","限三唑类衍生物无效的念珠菌血症；其他治疗无效或不能耐受的侵袭性曲霉菌病的二线治疗",201513464,"注射用醋酸卡泊芬净","科赛斯","冻干粉针剂","70mg","瓶","1","玻璃瓶","法国Laboratoires Merck Sharp & Dohme Chibret (Mirabel)",1943.27,"修改（支付标准）","医药服务便函〔2021〕5号",147409]
[6850,"XJ02AXM100B001010100773","2","米卡芬净","","注射剂","限三唑类衍生物无效的念珠菌血症；其他治疗无效或不能耐受的侵袭性曲霉菌病的二线治疗",2020166582,"注射用米卡芬净钠","无","冻干粉针剂","50mg","盒","1","玻璃瓶","上海天伟生物制药有限公司",330,"修改（支付标准）","医药服务便函〔2021〕5号",166582]
[6856,"XJ04AAD236A012010103139","1","对氨基水杨酸钠","","口服常释剂型","",2015120536,"对氨基水杨酸钠肠溶片","无","肠溶片","0.5g","瓶","100","塑料瓶","开封制药(集团)有限公司",250,"修改（支付标准）","医药服务便函〔2021〕5号",120529]
[6865,"XJ04ABL062A001010101789","1","利福平/n利福平Ⅱ","","口服常释剂型","",2015126277,"利福平片","无","糖衣片","0.15g","瓶","100","塑料瓶","湖北仁悦药业有限公司",16.54,"修改（支付标准）","医药服务便函〔2021〕5号",126276]
[6867,"XJ04ABL062B001010101003","1","利福平","","注射剂","",2015145388,"注射用利福平","维夫欣","冻干粉针剂","0.45g","瓶","1","玻璃瓶","重庆华邦制药有限公司",37.36,"修改（支付标准）","医药服务便函〔2021〕5号",145387]
[6874,"XJ04ABL062E001020103372","1","利福平/n利福平Ⅱ","","口服常释剂型","",2015160853,"利福平胶囊","无","硬胶囊剂","0.3g","瓶","100","塑料瓶","吉林金恒制药股份有限公司",30.77,"修改（支付标准）","医药服务便函〔2021〕5号",160846]
[6879,"XJ04ACY155A001010104494","1","异烟肼","","口服常释剂型","",2015255012,"异烟肼片","无","素片","0.1g","瓶","100","塑料瓶","杭州民生药业有限公司",3.98,"修改（支付标准）","医药服务便函〔2021〕5号",155012]
[6883,"XJ04AKB103A001010101518","1","吡嗪酰胺","","口服常释剂型","",2015152789,"吡嗪酰胺片","无","素片","0.25g","瓶","100","塑料瓶","苏州弘森药业股份有限公司",30,"修改（支付标准）","医药服务便函〔2021〕5号",152792]
[6891,"XJ04AKY105A001010100375","1","乙胺丁醇","","口服常释剂型","",2015112025,"盐酸乙胺丁醇片","无","素片","0.25g","瓶","100","塑料瓶","广州白云山明兴制药有限公司",34.81,"修改（支付标准）","医药服务便函〔2021〕5号",112023]
[6894,"XJ04AKY105A001010102000","1","乙胺丁醇","","口服常释剂型","",2015112036,"盐酸乙胺丁醇片","无","素片","0.25g","瓶","100","塑料瓶","宜昌人福药业有限责任公司",20.21,"修改（支付标准）","医药服务便函〔2021〕5号",112034]
[6903,"XJ05ABA075A001010100818","1","阿昔洛韦","","口服常释剂型","",2015137343,"阿昔洛韦片","无","素片","0.2g","瓶","25","塑料瓶","上海上药信谊药厂有限公司",5.5,"修改（支付标准）","医药服务便函〔2021〕5号",137340]
[6909,"XJ05ABA075A001010104735","1","阿昔洛韦","","口服常释剂型","",2015141770,"阿昔洛韦片","无","素片","0.1g","盒","24","铝塑","浙江仙琚制药股份有限公司",5.14,"修改（支付标准）","医药服务便函〔2021〕5号",141772]
[6915,"XJ05ABA075A001020100453","1","阿昔洛韦","","口服常释剂型","",2015161205,"阿昔洛韦片","无","素片","0.2g","盒","30","铝箔","丽珠集团丽珠制药厂",10,"修改（支付标准）","医药服务便函〔2021〕5号",161198]
[6918,"XJ05ABA075A006010101840","1","阿昔洛韦","","口服常释剂型","",2015109884,"阿昔洛韦分散片","无","分散片","0.1g","盒","24","铝箔","湖北潜江制药股份有限公司",5.24,"修改（支付标准）","医药服务便函〔2021〕5号",109887]
[6926,"XJ05ABF003A001010100453","2","伐昔洛韦","","口服常释剂型","",20153523,"盐酸伐昔洛韦片","丽珠威","薄膜衣片","0.15g","盒","6","铝箔","丽珠集团丽珠制药厂",18.57,"修改（支付标准）","医药服务便函〔2021〕5号",105196]
[6927,"XJ05ABF003A001010101803","2","伐昔洛韦","","口服常释剂型","",201514932,"盐酸伐昔洛韦片","无","薄膜衣片","0.3g","盒","6","铝塑","湖北广济药业股份有限公司",22.94,"修改（支付标准）","医药服务便函〔2021〕5号",142483]
[6935,"XJ05ABF003A006020101828","2","伐昔洛韦","","口服常释剂型","",20157810,"盐酸伐昔洛韦分散片","丽科分","分散片","0.3g","盒","6","双铝","湖北科益药业股份有限公司",41.48,"修改（支付标准）","医药服务便函〔2021〕5号",105561]
[6938,"XJ05ABF010A001010102089","2","泛昔洛韦","","口服常释剂型","",20153542,"泛昔洛韦片","无","薄膜衣片","0.125g","盒","6","铝箔","地奥集团成都药业股份有限公司",11.31,"修改（支付标准）","医药服务便函〔2021〕5号",138681]
[6944,"XJ05ABF010E001010100269","2","泛昔洛韦","","口服常释剂型","",20153414,"泛昔洛韦胶囊","彼欣","硬胶囊剂","0.125g","盒","6","铝塑","广东彼迪药业有限公司",12.5,"修改（支付标准）","医药服务便函〔2021〕5号",114942]
[6950,"XJ05ABG075B001010101929","2","更昔洛韦","","注射剂","",2020122990,"注射用更昔洛韦","无","冻干粉针剂","0.25g","瓶","1","玻璃瓶","武汉长联来福制药股份有限公司",2.19,"修改（支付标准）","医药服务便函〔2021〕5号",122990]
[6959,"XJ05ABG075B001040201828","2","更昔洛韦","","注射剂","",2015105495,"注射用更昔洛韦","丽科伟","冻干粉针剂","50mg","瓶","1","西林瓶","湖北科益药业股份有限公司",6.07,"修改（支付标准）","医药服务便函〔2021〕5号",105498]
[6962,"XJ05ABG075B002010104127","2","更昔洛韦","","注射剂","",2015134204,"更昔洛韦注射液","君芬","注射液","1ml:50mg","支","1","安瓿","辰欣药业股份有限公司",4.52,"修改（支付标准）","医药服务便函〔2021〕5号",134208]
[6970,"XJ05ACJ120A001010304685","2","金刚乙胺","","口服常释剂型","",2020143896,"盐酸金刚乙胺片","立安","素片","0.1g","盒","10","铝塑","浙江普洛康裕制药有限公司",18.68,"修改（支付标准）","医药服务便函〔2021〕5号",143896]
[6974,"XJ05ADL290B002010101930","2","膦甲酸钠氯化钠","","注射剂","",201511678,"膦甲酸钠氯化钠注射液","无","注射液","250ml:3.0g:2.25g","瓶","1","玻璃瓶","武汉大安制药有限公司",67.53,"修改（支付标准）","医药服务便函〔2021〕5号",105952]
[6979,"XJ05AFA014A001010204021","2","阿德福韦酯","","口服常释剂型","不限",2020164195,"阿德福韦酯片","亿来芬","素片","10mg","瓶","30","塑料瓶","齐鲁制药有限公司",27,"修改（支付标准）","医药服务便函〔2021〕5号",164195]
[6985,"XJ05AFA014E001020101523","2","阿德福韦酯","","口服常释剂型","",2015118527,"阿德福韦酯胶囊","名正","硬胶囊剂","10mg","盒","14","双铝","正大天晴药业集团股份有限公司",50.12,"修改（支付标准）","医药服务便函〔2021〕5号",118530]
[6988,"XJ05AFE013A001010100842","2","恩替卡韦","","口服常释剂型","",2015104876,"恩替卡韦片","博路定","薄膜衣片","0.5mg","盒","7","铝箔","中美上海施贵宝制药有限公司",141.53,"修改（支付标准）","医药服务便函〔2021〕5号",104881]
[6997,"XJ05AFE013A006010205337","2","恩替卡韦","","口服常释剂型","",2017160059,"恩替卡韦分散片","无","分散片","0.5mg","盒","10","铝塑","江西青峰药业有限公司",74.27,"修改（支付标准）","医药服务便函〔2021〕5号",160059]
[7003,"XJ05AFE013A006010401523","2","恩替卡韦","","口服常释剂型","",2017162308,"恩替卡韦分散片","无","分散片","0.5mg","盒","28","双铝","正大天晴药业集团股份有限公司",164.8,"修改（支付标准）","医药服务便函〔2021〕5号",162308]
[7004,"XJ05AFE013A006010405337","2","恩替卡韦","","口服常释剂型","",2017163280,"恩替卡韦分散片","无","分散片","0.5mg","盒","28","铝塑","江西青峰药业有限公司",249.64,"修改（支付标准）","医药服务便函〔2021〕5号",163280]
[7009,"XJ05AFE013E001010179282","2","恩替卡韦","","口服常释剂型","",2015148871,"恩替卡韦胶囊","无","硬胶囊剂","0.5mg","盒","7","铝箔","海思科制药(眉山)有限公司",10.5,"修改（支付标准）","医药服务便函〔2021〕5号",148870]
[7014,"XJ05AFE013E001010379282","2","恩替卡韦","","口服常释剂型","不限",2020169241,"恩替卡韦胶囊","无","硬胶囊剂","0.5mg","盒","21","铝箔","四川海思科制药有限公司",31.5,"修改（支付标准）","医药服务便函〔2021〕5号",169241]
[7021,"XJ05AFL008A001010379537","2","拉米夫定","","口服常释剂型","限有活动性乙型肝炎的明确诊断及检验证据或母婴乙肝传播阻断",2015156245,"拉米夫定片","无","薄膜衣片","0.1g","盒","7","铝塑","印度Cipla Ltd.",26.5,"修改（支付标准）","医药服务便函〔2021〕5号",156243]
[7029,"XJ05AFL008E001010100177","2","拉米夫定","","口服常释剂型","限有活动性乙型肝炎的明确诊断及检验证据或母婴乙肝传播阻断",2015133797,"拉米夫定胶囊","无","硬胶囊剂","0.1g","盒","7","铝塑","北京福元医药股份有限公司",53.43,"修改（支付标准）","医药服务便函〔2021〕5号",133801]
[7033,"XJ05AFT043A001010102013","2","替诺福韦二吡呋酯","","口服常释剂型","",2017163079,"富马酸替诺福韦二吡呋酯片","无","薄膜衣片","0.3g","盒","10","铝塑","成都倍特药业股份有限公司",75.57,"修改（支付标准）","医药服务便函〔2021〕5号",163079]
[7040,"XJ05AFT043A001010202013","2","替诺福韦二吡呋酯","","口服常释剂型","",2017163080,"富马酸替诺福韦二吡呋酯片","无","薄膜衣片","0.3g","盒","20","铝塑","成都倍特药业股份有限公司",147.35,"修改（支付标准）","医药服务便函〔2021〕5号",163080]
[7045,"XJ05AHA218E001010178794","2","奥司他韦","","口服常释剂型","限流感重症高危人群及重症患者的抗流感病毒治疗",2015144513,"磷酸奥司他韦胶囊","达菲","硬胶囊剂","75mg","盒","10","铝塑","意大利Roche S.p.A.<上海罗氏制药有限公司>分包装",209.1,"修改（支付标准）","医药服务便函〔2021〕5号",144515]
[7049,"XJ05APA312A001010178633","2","艾尔巴韦格拉瑞韦","","口服常释剂型","限经HCV基因分型检测确诊为基因1b型的慢性丙型肝炎患者。",2019165505,"艾尔巴韦格拉瑞韦片","择必达","薄膜衣片","艾尔巴韦50mg,格拉瑞韦0.1g","盒","28","双铝","爱尔兰MSD International GmbH",2193.24,"修改（支付标准）","医药服务便函〔2021〕5号",165505]
[7056,"XJ05APL052A001020304755","1","利巴韦林","","口服常释剂型","",2015137222,"利巴韦林片","威利宁","素片","0.2g","盒","24","铝塑","浙江浙北药业有限公司",8.62,"修改（支付标准）","医药服务便函〔2021〕5号",137219]
[7058,"XJ05APL052A025010103205","1","利巴韦林","","口服常释剂型","",2015122852,"利巴韦林片","无","素片","20mg","盒","24","铝箔","国药集团容生制药有限公司",3.29,"修改（支付标准）","医药服务便函〔2021〕5号",122849]
[7068,"XJ05APL052E001010104615","1","利巴韦林","","口服常释剂型","",2015130789,"利巴韦林胶囊","维拉克","硬胶囊剂","0.15g","盒","20","铝塑","浙江诚意药业股份有限公司",19.6,"修改（支付标准）","医药服务便函〔2021〕5号",130793]
[7073,"XJ05ARA315A001010178451","2","艾考恩丙替","","口服常释剂型","限艾滋病病毒感染。",2019165463,"艾考恩丙替片","捷扶康","薄膜衣片","艾维雷韦0.15g,考比司他0.15g,恩曲他滨0.2g,丙酚替诺福韦10mg","瓶","30","塑料瓶","加拿大Patheon Inc.",1290,"修改（支付标准）","医药服务便函〔2021〕5号",165463]
[7075,"XJ05ARQ009A001010179474","2","齐多拉米双夫定","","口服常释剂型","限艾滋病病毒感染",201515361,"齐多拉米双夫定片","双汰芝","划痕片","拉米夫定0.15g,齐多夫定0.3g","盒","60","铝塑","英国Glaxo Operations UK Ltd t/a Glaxo Wellcome Operations",1225,"修改（支付标准）","医药服务便函〔2021〕5号",147542]
[7084,"XJ05AXF718A001010104641","2","法维拉韦(法匹拉韦)","","口服常释剂型","限流感重症高危人群及重症患者的抗流感病毒治疗。",2021167280,"法维拉韦片","无","薄膜衣片","0.2g","盒","20","铝塑","浙江海正药业股份有限公司",73.8,"修改（支付标准）","医药服务便函〔2021〕5号",167280]
[7087,"XJ06BBR006B001010100473","2","人狂犬病免疫球蛋白","","注射剂","",2019165593,"狂犬病人免疫球蛋白","无","注射液","2ml:200IU","瓶","1","玻璃瓶","广东双林生物制药有限公司",139.98,"修改（支付标准）","医药服务便函〔2021〕5号",165593]
[7093,"XL01AAH040B001010178259","1","环磷酰胺","","注射剂","",2015128097,"注射用环磷酰胺","安道生","粉针剂","0.2g","支","1","玻璃瓶","德国Baxter Oncology GmbH",24.15,"修改（支付标准）","医药服务便函〔2021〕5号",128096]
[7098,"XL01AAY145B001020101445","2","异环磷酰胺","","注射剂","",20151414,"注射用异环磷酰胺","匹服平","冻干粉针剂","1.0g","瓶","1","西林瓶","江苏恒瑞医药股份有限公司",73.85,"修改（支付标准）","医药服务便函〔2021〕5号",135484]
[7104,"XL01AXT041E001010104495","2","替莫唑胺","","口服常释剂型","限多形性胶质母细胞瘤、间变性星形细胞瘤",2020171562,"替莫唑胺胶囊","无","硬胶囊剂","0.1g","盒","5","铝塑","芬兰Orion Corporation<杭州默沙东制药有限公司>分包装",3300,"修改（支付标准）","医药服务便函〔2021〕5号",171562]
[7110,"XL01BAP030B001010101594","2","培美曲塞","","注射剂","限局部晚期或转移性非鳞状细胞型非小细胞肺癌；恶性胸膜间皮瘤",2018154904,"注射用培美曲塞二钠","捷佰立","冻干粉针剂","0.1g","瓶","1","玻璃瓶","南京先声东元制药有限公司",449.09,"修改（支付标准）","医药服务便函〔2021〕5号",154904]
[7116,"XL01BAP030B001010179280","2","培美曲塞","","注射剂","限局部晚期或转移性非鳞状细胞型非小细胞肺癌；恶性胸膜间皮瘤",2018154961,"注射用培美曲塞二钠","无","冻干粉针剂","0.1g","瓶","1","玻璃瓶","海南锦瑞制药有限公司",764.99,"修改（支付标准）","医药服务便函〔2021〕5号",154961]
[7119,"XL01BAP030B001020103942","2","培美曲塞","","注射剂","限局部晚期或转移性非鳞状细胞型非小细胞肺癌；恶性胸膜间皮瘤",2018164583,"注射用培美曲塞二钠","无","冻干粉针剂","0.2g","瓶","1","西林瓶","德州德药制药有限公司",847,"修改（支付标准）","医药服务便函〔2021〕5号",164583]
[7127,"XL01BBF066B001010100310","2","氟达拉滨","","注射剂","限B细胞慢性淋巴细胞白血病或滤泡淋巴瘤",2018106195,"注射用磷酸氟达拉滨","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","广东岭南制药有限公司",812.66,"修改（支付标准）","医药服务便函〔2021〕5号",106195]
[7134,"XL01BCD089B001010101425","2","地西他滨","","注射剂","限IPSS评分系统中中危-2和高危的初治、复治骨髓增生异常综合征患者",2018163585,"注射用地西他滨","无","冻干粉针剂","25mg","瓶","1","玻璃瓶","江苏奥赛康药业有限公司",1645.03,"修改（支付标准）","医药服务便函〔2021〕5号",163585]
[7139,"XL01BCD089B001020101425","2","地西他滨","","注射剂","限IPSS评分系统中中危-2和高危的初治、复治骨髓增生异常综合征患者",2018150699,"注射用地西他滨","无","冻干粉针剂","50mg","瓶","1","玻璃瓶","江苏奥赛康药业有限公司",2292.74,"修改（支付标准）","医药服务便函〔2021〕5号",150699]
[7143,"XL01BCD089B001020105847","2","地西他滨","","注射剂","限IPSS评分系统中中危-2和高危的初治、复治骨髓增生异常综合征患者",2018162937,"注射用地西他滨","无","冻干粉针剂","25mg","支","1","玻璃瓶","齐鲁制药(海南)有限公司",1483,"修改（支付标准）","医药服务便函〔2021〕5号",162937]
[7146,"XL01BCD089B001030105847","2","地西他滨","","注射剂","限IPSS评分系统中中危-2和高危的初治、复治骨髓增生异常综合征患者",2018156212,"注射用地西他滨","无","冻干粉针剂","50mg","支","1","玻璃瓶","齐鲁制药(海南)有限公司",2069.99,"修改（支付标准）","医药服务便函〔2021〕5号",156212]
[7154,"XL01BCJ011B001010178396","2","吉西他滨","","注射剂","",20151998,"注射用盐酸吉西他滨","健择","冻干粉针剂","0.2g","瓶","1","玻璃瓶","希腊Vianex S.A.-Plant C",340.56,"修改（支付标准）","医药服务便函〔2021〕5号",148391]
[7158,"XL01BCJ011B001020105847","2","吉西他滨","","注射剂","",2018113104,"注射用盐酸吉西他滨","无","冻干粉针剂","1.0g","支","1","玻璃瓶","齐鲁制药(海南)有限公司",237.5,"修改（支付标准）","医药服务便函〔2021〕5号",113104]
[7163,"XL01BCK023A001010104021","2","卡培他滨","","口服常释剂型","",2018162926,"卡培他滨片","无","薄膜衣片","0.15g","盒","10","铝塑","齐鲁制药有限公司",9.21,"修改（支付标准）","医药服务便函〔2021〕5号",162926]
[7169,"XL01BCT033A001010204827","2","替吉奥","","口服常释剂型","",2018157953,"替吉奥片","无","素片","替加氟20mg,吉美嘧啶5.8mg,奥替拉西钾19.6mg","盒","42","铝塑","福州海王福药制药有限公司",227,"修改（支付标准）","医药服务便函〔2021〕5号",157953]
[7178,"XL01BCT033E001010401445","2","替吉奥","","口服常释剂型","",2019135617,"替吉奥胶囊","无","硬胶囊剂","替加氟20mg,吉美嘧啶5.8mg,奥替拉西钾19.6mg","盒","42","铝塑","江苏恒瑞医药股份有限公司",227.19,"修改（支付标准）","医药服务便函〔2021〕5号",135617]
[7181,"XL01BCT033E001020104188","2","替吉奥","","口服常释剂型","",2018164726,"替吉奥胶囊","维康达","硬胶囊剂","替加氟25mg,吉美嘧啶7.25mg,奥替拉西钾24.5mg","盒","12","铝塑","山东新时代药业有限公司",313.72,"修改（支付标准）","医药服务便函〔2021〕5号",164726]
[7187,"XL01BCT034B002010100874","2","替加氟","","注射剂","",2018126108,"替加氟注射液","无","注射液","5ml:0.2g","支","1","安瓿","天津金耀药业有限公司",14.34,"修改（支付标准）","医药服务便函〔2021〕5号",126108]
[7193,"XL01CAC020B002010105847","2","长春瑞滨","","注射剂","",2018113093,"酒石酸长春瑞滨注射液","无","注射液","1ml:10mg","支","1","玻璃瓶","齐鲁制药(海南)有限公司",55.79,"修改（支付标准）","医药服务便函〔2021〕5号",113093]
[7198,"XL01CBT111B001010178679","2","托泊替康","","注射剂","",201512648,"注射用盐酸托泊替康","和美新","冻干粉针剂","1.0mg","瓶","1","玻璃瓶","意大利GlaxoSmithKline Manufacturing S.p.A",401,"修改（支付标准）","医药服务便函〔2021〕5号",132269]
[7204,"XL01CBY057B002010178716","2","伊立替康","","注射剂","",201513899,"盐酸伊立替康注射液","开普拓","注射液","2ml:40mg","瓶","1","塑料瓶","澳大利亚Pfizer (Perth) Pty Limited",995.87,"修改（支付标准）","医药服务便函〔2021〕5号",147521]
[7210,"XL01CDD194B002010101445","2","多西他赛","","注射剂","",20158071,"多西他赛注射液","艾素","注射液","1.5ml:60mg","瓶","1","配溶媒","江苏恒瑞医药股份有限公司",617.05,"修改（支付标准）","医药服务便函〔2021〕5号",135519]
[7213,"XL01CDD194B002010104127","2","多西他赛","","注射剂","",2018135399,"多西他赛注射液","无","注射液","0.5ml:20mg","支","1","西林瓶","辰欣药业股份有限公司",143,"修改（支付标准）","医药服务便函〔2021〕5号",135399]
[7217,"XL01CDD194B002020102317","2","多西他赛","","注射剂","",2019165978,"多西他赛注射液","无","注射液","4ml:80mg","支","1","西林瓶","四川汇宇制药股份有限公司",2335.12,"修改（支付标准）","医药服务便函〔2021〕5号",165978]
[7224,"XL01CDZ046B002010105758","1","紫杉醇","","注射剂","",2015111290,"紫杉醇注射液","特素","注射液","10ml:60mg","瓶","1","玻璃瓶","海口市制药厂有限公司",312.26,"修改（支付标准）","医药服务便函〔2021〕5号",111288]
[7229,"XL01CDZ046B002020101749","1","紫杉醇","","注射剂","",2015101817,"紫杉醇注射液","无","注射液","5ml:30mg","瓶","1","玻璃瓶","扬子江药业集团有限公司",137.65,"修改（支付标准）","医药服务便函〔2021〕5号",101822]
[7233,"XL01CDZ046B017010101586","2","紫杉醇","","脂质体注射剂","限1.卵巢癌的一线化疗及以后卵巢转移性癌的治疗、作为一线化疗，也可与顺铂联合应用；2.用于曾用过含阿霉素标准化疗的乳腺癌患者的后续治疗或复发患者的治疗。3.可与顺铂联合用于不能手术或放疗的非小细胞肺癌患者的一线化疗。",2015137753,"注射用紫杉醇脂质体","力扑素","冻干粉针剂","30mg","瓶","1","西林瓶","南京绿叶制药有限公司",228,"修改（支付标准）","医药服务便函〔2021〕5号",137750]
[7240,"XL01CXL035B002010109563","2","榄香烯","","注射剂","限癌性胸腹水患者",2018115920,"榄香烯注射液","无","注射液","10ml:0.2g","支","1","安瓿","石药集团远大(大连)制药有限公司",271.47,"修改（支付标准）","医药服务便函〔2021〕5号",115920]
[7248,"XL01DBR040B001010104188","1","柔红霉素","","注射剂","",2015131232,"注射用盐酸柔红霉素","无","冻干粉针剂","20mg","瓶","1","玻璃瓶","山东新时代药业有限公司",24.78,"修改（支付标准）","医药服务便函〔2021〕5号",131236]
[7252,"XL01DBY055B001020101606","2","伊达比星","","注射剂","限二线用药",2020170883,"注射用盐酸伊达比星","无","冻干粉针剂","10mg","瓶","1","玻璃瓶","南京正大天晴制药有限公司",1864,"修改（支付标准）","医药服务便函〔2021〕5号",170883]
[7257,"XL01XAA215B001010105847","2","奥沙利铂","","注射剂","",2015113071,"注射用奥沙利铂","无","冻干粉针剂","0.1g","支","1","玻璃瓶","齐鲁制药(海南)有限公司",98.14,"修改（支付标准）","医药服务便函〔2021〕5号",113069]
[7264,"XL01XAA254B002010101445","2","奥沙利铂甘露醇","","注射剂","",2015135811,"奥沙利铂甘露醇注射液","艾恒","注射液","100ml:0.1g:5.0g","瓶","1","玻璃瓶","江苏恒瑞医药股份有限公司",381.34,"修改（支付标准）","医药服务便函〔2021〕5号",135808]
[7268,"XL01XAK014B002020104021","1","卡铂","","注射剂","",2015113336,"卡铂注射液","波贝","注射液","10ml:50mg","支","1","安瓿","齐鲁制药有限公司",30.35,"修改（支付标准）","医药服务便函〔2021〕5号",113334]
[7276,"XL01XCB194B002010179436","2","贝伐珠单抗","","注射剂","限晚期转移性结直肠癌或晚期非鳞非小细胞肺癌。",2015244529,"贝伐珠单抗注射液","安维汀","注射液","4ml:0.1g","瓶","1","西林瓶","德国Roche Diagnostics GmbH",1500,"修改（支付标准）","医药服务便函〔2021〕5号",144529]
[7277,"XL01XCB194B002010181451","2","贝伐珠单抗","","注射剂","限晚期转移性结直肠癌或晚期非鳞非小细胞肺癌。",2020169608,"贝伐珠单抗注射液","达攸同","注射液","4ml:0.1g","瓶","1","西林瓶","信达生物制药(苏州)有限公司",1188,"修改（支付标准）","医药服务便函〔2021〕5号",169608]
[7287,"XL01XCT181B002010181823","2","特瑞普利单抗","","注射剂","限既往接受全身系统治疗失败的不可切除或转移性黑色素瘤的治疗。",2019165280,"特瑞普利单抗注射液","拓益","注射液","6ml:0.24g","瓶","1","玻璃瓶","苏州众合生物医药科技有限公司",2100.97,"修改（支付标准）","医药服务便函〔2021〕5号",165280]
[7288,"XL01XCT181B002020181823","2","特瑞普利单抗","","注射剂","限既往接受全身系统治疗失败的不可切除或转移性黑色素瘤的治疗。",2021171735,"特瑞普利单抗注射液","拓益","注射液","2ml:80mg","瓶","1.0","安瓿","苏州众合生物医药科技有限公司",906.08,"修改（支付标准）","医药服务便函〔2021〕5号",171735]
[7294,"XL01XEA288A001010101445","2","阿帕替尼","","口服常释剂型","限既往至少接受过2种系统化疗后进展或复发的晚期胃腺癌或胃-食管结合部腺癌患者。",2016162589,"甲磺酸阿帕替尼片","艾坦","薄膜衣片","0.25g","盒","10","双铝","江苏恒瑞医药股份有限公司",1150,"修改（支付标准）","医药服务便函〔2021〕5号",162587]
[7300,"XL01XEA297A001010100638","2","阿法替尼","","口服常释剂型","1.具有EGFR基因敏感突变的局部晚期或转移性非小细胞肺癌，既往未接受过EGFR-TKI治疗。2.含铂化疗期间或化疗后疾病进展的局部晚期或转移性鳞状组织学类型的非小细胞肺癌。",2017162832,"马来酸阿法替尼片","吉泰瑞","薄膜衣片","30mg","盒","7","铝塑","德国勃林格殷格翰药业公司Boehringer Ingelheim Pharma GmbH & Co KG",1123.5,"修改（支付标准）","医药服务便函〔2021〕5号",162831]
[7309,"XL01XEB228A001020101445","2","吡咯替尼","","口服常释剂型","限表皮生长因子受体2（HER2）阳性的复发或转移性乳腺癌患者的二线治疗。",2019163666,"马来酸吡咯替尼片","艾瑞妮","薄膜衣片","80mg","瓶","14","塑料瓶","江苏恒瑞医药股份有限公司",1204,"修改（支付标准）","医药服务便函〔2021〕5号",163666]
[7311,"XL01XED246A001010101523","2","达沙替尼","","口服常释剂型","限对伊马替尼耐药或不耐受的慢性髓细胞白血病患者",2016154955,"达沙替尼片","无","薄膜衣片","20mg","盒","7","铝塑","正大天晴药业集团股份有限公司",188.22,"修改（支付标准）","医药服务便函〔2021〕5号",154952]
[7318,"XL01XEE006A001010178794","2","厄洛替尼","","口服常释剂型","限表皮生长因子受体（EGFR）基因敏感突变的晚期非小细胞肺癌患者。",2016121218,"盐酸厄洛替尼片","特罗凯","薄膜衣片","0.1g","盒","30","空","意大利Delpharm Milano S. r.l",1781.7,"修改（支付标准）","医药服务便函〔2021〕5号",121216]
[7323,"XL01XEJ008A001010101523","2","吉非替尼","","口服常释剂型","限EGFR基因敏感突变的晚期非小细胞肺癌",2019165712,"吉非替尼片","无","薄膜衣片","0.25g","盒","10","复合膜","正大天晴药业集团股份有限公司",450,"修改（支付标准）","医药服务便函〔2021〕5号",165712]
[7327,"XL01XEJ008A001010204948","2","吉非替尼","","口服常释剂型","限EGFR基因敏感突变的晚期非小细胞肺癌",2020166856,"吉非替尼片","无","薄膜衣片","0.25g","盒","30","铝箔","湖南科伦制药有限公司",690,"修改（支付标准）","医药服务便函〔2021〕5号",166856]
[7335,"XL01XEN092E001040178679","2","尼洛替尼","","口服常释剂型","限治疗新诊断的费城染色体阳性的慢性髓性白血病（Ph+CML）慢性期成人患者，或对既往治疗（包括伊马替尼）耐药或不耐受的费城染色体阳性的慢性髓性白血病（Ph+ CML）慢性期或加速期成人患者。",2021171674,"尼洛替尼胶囊","达希纳","硬胶囊剂","50mg","盒","120","铝塑","瑞士Novartis Pharma Stein AG",3848.4,"修改（支付标准）","医药服务便函〔2021〕5号",171674]
[7338,"XL01XEP043B001010101444","2","硼替佐米","","注射剂","限多发性骨髓瘤、复发或难治性套细胞淋巴瘤患者，并满足以下条件：1、每2个疗程需提供治疗有效的证据后方可继续支付；2、由三级医院血液专科或血液专科医院医师处方。",2018163030,"注射用硼替佐米","无","冻干粉针剂","1mg","瓶","1","玻璃瓶","江苏豪森药业集团有限公司",600,"修改（支付标准）","医药服务便函〔2021〕5号",163030]
[7347,"XL01XEP043B001020101594","2","硼替佐米","","注射剂","限多发性骨髓瘤、复发或难治性套细胞淋巴瘤患者，并满足以下条件：1、每2个疗程需提供治疗有效的证据后方可继续支付；2、由三级医院血液专科或血液专科医院医师处方。",2020167046,"注射用硼替佐米","无","冻干粉针剂","3.5mg","瓶","1","玻璃瓶","南京先声东元制药有限公司",2743.2,"修改（支付标准）","医药服务便函〔2021〕5号",167046]
[7353,"XL01XER081A001010178262","2","瑞戈非尼","","口服常释剂型","1.肝细胞癌二线治疗；2.转移性结直肠癌三线治疗；3.胃肠道间质瘤三线治疗。",2017164547,"瑞戈非尼片","拜万戈","薄膜衣片","40mg","瓶","28","塑料瓶","德国Bayer AG",4829.44,"修改（支付标准）","医药服务便函〔2021〕5号",164547]
[7358,"XL01XES267E001010178672","2","塞瑞替尼","","口服常释剂型","限间变性淋巴瘤激酶（ALK）阳性的局部晚期或转移性非小细胞肺癌（NSCLC）患者的治疗。",2017164545,"塞瑞替尼胶囊","赞可达","硬胶囊剂","0.15g","盒","150","铝塑","瑞士Novartis Pharma Stein AG",20400,"修改（支付标准）","医药服务便函〔2021〕5号",164545]
[7362,"XL01XEY059A001010207237","2","伊马替尼","","口服常释剂型","限有慢性髓性白血病诊断并有费城染色体阳性的检验证据的患者；有急性淋巴细胞白血病诊断并有费城染色体阳性的检验证据的儿童患者；难治的或复发的费城染色体阳性的急性淋巴细胞白血病成人患者；胃肠间质瘤患者。",2018163432,"甲磺酸伊马替尼片","无","薄膜衣片","0.1g","盒","60","铝塑","石药集团欧意药业有限公司",585.9,"修改（支付标准）","医药服务便函〔2021〕5号",163432]
[7365,"XL01XEZ104E001010182282","2","泽布替尼","","口服常释剂型","限：1.既往至少接受过一种治疗的成人套细胞淋巴瘤（MCL）患者。2.既往至少接受过一种治疗的成人慢性淋巴细胞白血病（CLL）/ 小淋巴细胞淋巴瘤（SLL）患者。",2020170843,"泽布替尼胶囊","百悦泽","硬胶囊剂","80mg","瓶","64","塑料瓶","百济神州(苏州)生物科技有限公司",6336,"修改（支付标准）","医药服务便函〔2021〕5号",170843]
[7371,"XL01XXG011B014010104139","2","甘氨双唑钠","","注射剂","限头颈部恶性肿瘤",201512687,"注射用甘氨双唑钠","希美纳","冻干粉针剂","0.25g","瓶","1","玻璃瓶","山东绿叶制药有限公司",62.91,"修改（支付标准）","医药服务便函〔2021〕5号",136065]
[7377,"XL01XXX228A001010109758","2","西达本胺","","口服常释剂型","限既往至少接受过1次全身化疗的复发或难治的外周T细胞淋巴瘤（PTCL）患者。",2016162915,"西达本胺片","爱谱沙","素片","5mg","盒","24","铝塑","深圳微芯生物科技有限责任公司",8232,"修改（支付标准）","医药服务便函〔2021〕5号",162910]
[7382,"XL02AEG063J004020101359","2","戈舍瑞林","","缓释植入剂","",2019166121,"醋酸戈舍瑞林缓释植入剂","诺雷得","缓释植入剂","3.6mg","盒","1","预充式(预灌封)注射器","英国AstraZeneca UK Limited",1179.95,"修改（支付标准）","医药服务便函〔2021〕5号",166121]
[7388,"XL02AEQ108B002010102066","2","曲普瑞林","","注射剂","",201510087,"醋酸曲普瑞林注射液","无","注射液","1ml:0.1mg","支","1","安瓿","成都天台山制药有限公司",49.5,"修改（支付标准）","医药服务便函〔2021〕5号",126136]
[7394,"XL02BAT120A001010178700","2","托瑞米芬","","口服常释剂型","",20153737,"枸橼酸托瑞米芬片","法乐通","素片","60mg","盒","30","铝箔","芬兰Orion Corporation",250.4,"修改（支付标准）","医药服务便函〔2021〕5号",132259]
[7397,"XL02BBA292A001010104021","2","阿比特龙","","口服常释剂型","限转移性去势抵抗性前列腺癌、新诊断的高危转移性内分泌治疗敏感性前列腺癌。",2020169035,"醋酸阿比特龙片","无","素片","0.25g","瓶","120","塑料瓶","齐鲁制药有限公司",1996.88,"修改（支付标准）","医药服务便函〔2021〕5号",169035]
[7406,"XL02BBB085A001010200665","2","比卡鲁胺","","口服常释剂型","",201512506,"比卡鲁胺片","无","薄膜衣片","50mg","盒","28","铝箔","上海朝晖药业有限公司",703.28,"修改（支付标准）","医药服务便函〔2021〕5号",117933]
[7408,"XL02BGA045A001010101003","2","阿那曲唑","","口服常释剂型","",20154747,"阿那曲唑片","瑞婷","素片","1.0mg","盒","14","铝塑","重庆华邦制药有限公司",39.58,"修改（支付标准）","医药服务便函〔2021〕5号",144892]
[7418,"XL02BGY096A001010104021","2","依西美坦","","口服常释剂型","",20153762,"依西美坦片","速莱","素片","25mg","盒","14","铝塑","齐鲁制药有限公司",70.56,"修改（支付标准）","医药服务便函〔2021〕5号",113344]
[7423,"XL03AAC106B002010104870","2","重组人粒细胞刺激因子","","注射剂","限放化疗后的骨髓抑制",20156056,"重组人粒细胞刺激因子注射液","特尔津","注射液","0.67ml:0.1mg","支","1","玻璃瓶","厦门特宝生物工程股份有限公司",42.31,"修改（支付标准）","医药服务便函〔2021〕5号",136031]
[7429,"XL03AAC106B002020103708","2","重组人粒细胞刺激因子","","注射剂","限放化疗后的骨髓抑制",20157042,"重组人粒细胞刺激因子注射液","里亚金","注射液","0.75ml:0.15mg","盒","1","预充式(预灌封)注射器","哈药集团生物工程有限公司",74.66,"修改（支付标准）","医药服务便函〔2021〕5号",129709]
[7432,"XL03AAC106B002020204488","2","重组人粒细胞刺激因子","","注射剂","限放化疗后的骨髓抑制",20152573,"人粒细胞刺激因子注射液","吉粒芬","注射液","0.4ml:0.1mg","支","1","安瓿","杭州九源基因工程有限公司",45.86,"修改（支付标准）","医药服务便函〔2021〕5号",145873]
[7436,"XL03AAC106B002040100148","2","重组人粒细胞刺激因子","","注射剂","限放化疗后的骨髓抑制",20152653,"重组人粒细胞刺激因子注射液","立生素","注射液","0.2mg","瓶","1","西林瓶","北京双鹭药业股份有限公司",101.86,"修改（支付标准）","医药服务便函〔2021〕5号",142411]
[7441,"XL03AAC106B002060204488","2","重组人粒细胞刺激因子","","注射剂","限放化疗后的骨髓抑制",20151384,"人粒细胞刺激因子注射液","吉粒芬","注射液","0.3ml:75μg","支","1","安瓿","杭州九源基因工程有限公司",36.79,"修改（支付标准）","医药服务便函〔2021〕5号",145874]
[7448,"XL03AAC146B001010279189","2","重组人粒细胞刺激因子（CHO细胞）","","注射剂","限放化疗后的骨髓抑制",20151338,"注射用重组人粒细胞刺激因子(CHO细胞)","格拉诺赛特","冻干粉针剂","0.1mg","支","1","空","日本中外制药工业株式会社宇都宫工厂Utsunomiya Plant of Chugai Pharma Manufacturing Co.,Ltd.",260.97,"修改（支付标准）","医药服务便函〔2021〕5号",147344]
[7452,"XL03AAJ213B002010204021","2","聚乙二醇化重组人粒细胞刺激因子","","注射剂","限前次化疗曾发生重度中性粒细胞减少合并发热的患者",2015162590,"聚乙二醇化重组人粒细胞刺激因子注射液","无","注射液","1ml:3.0mg","盒","1","安瓿","齐鲁制药有限公司",1622.4,"修改（支付标准）","医药服务便函〔2021〕5号",162593]
[7460,"XL03ABC094B014040100510","2","重组人干扰素α1b","","注射剂","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",2015144764,"注射用重组人干扰素α1b","赛若金","冻干粉针剂","400万IU(40μg)","支","1","西林瓶","深圳科兴药业有限公司",43.6,"修改（支付标准）","医药服务便函〔2021〕5号",144766]
[7467,"XL03ABC095B014020101313","2","重组人干扰素α2a","","注射剂","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",2015103761,"注射用重组人干扰素α2a","因特芬","冻干粉针剂","300万IU","瓶","1","西林瓶","沈阳三生制药有限责任公司",26.25,"修改（支付标准）","医药服务便函〔2021〕5号",103766]
[7471,"XL03ABC097B002020100070","2","重组人干扰素α2b","","注射剂","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",2015137750,"重组人干扰素α2b注射液","凯因益生","注射液","0.5ml:500万IU","盒","1","预充式(预灌封)注射器","北京凯因科技股份有限公司",40.94,"修改（支付标准）","医药服务便函〔2021〕5号",137747]
[7477,"XL03ABC097B014020103320","2","重组人干扰素α2b","","注射剂","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",2015125882,"注射用重组人干扰素α2b(大肠杆菌)","长生扶康","冻干粉针剂","300万IU","瓶","1","西林瓶","长春生物制品研究所有限责任公司",32.95,"修改（支付标准）","医药服务便函〔2021〕5号",125881]
[7484,"XL03ABJ164B002020104870","2","聚乙二醇干扰素α2b","","注射剂","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",2019162633,"聚乙二醇干扰素α2b注射液","派格宾","注射液","0.5ml:180μg(66万U)","支","1","预充式(预灌封)注射器","厦门特宝生物工程股份有限公司",820.48,"修改（支付标准）","医药服务便函〔2021〕5号",162633]
[7489,"XL03ACC084B014020100148","2","重组人白介素-11","","注射剂","限放化疗引起的严重血小板减少患者",20158943,"注射用重组人白介素-11","迈格尔","冻干粉针剂","1200万单位(1.5mg)","瓶","1","西林瓶","北京双鹭药业股份有限公司",102.96,"修改（支付标准）","医药服务便函〔2021〕5号",142421]
[7493,"XL03ACC086B002010100152","2","重组人白介素-2","","注射剂","限肾细胞癌、黑色素瘤、癌性胸腹腔积液",20156045,"重组人白介素-2注射液","新德路生","注射液","0.4ml:50万IU","盒","1","预充式(预灌封)注射器","北京四环生物制药有限公司",46.6,"修改（支付标准）","医药服务便函〔2021〕5号",122087]
[7500,"XL03ACC128B001010104149","2","重组人白介素-2（Ⅰ）","","注射剂","限肾细胞癌、黑色素瘤、癌性胸腹腔积液",20151951,"注射用重组人白介素-2(Ⅰ)","泉奇","冻干粉针剂","100万IU","支","1","玻璃瓶","山东泉港药业有限公司",71.97,"修改（支付标准）","医药服务便函〔2021〕5号",144156]
[7502,"XL03AXA195A001010101148","2","氨肽素","","口服常释剂型","",2015121652,"氨肽素片","无","糖衣片","0.2g","瓶","100","塑料瓶","辽宁丹生生物制药有限公司",7.44,"修改（支付标准）","医药服务便函〔2021〕5号",121649]
[7507,"XL03AXJ004B002010101842","1","肌苷","","注射剂","",2015118521,"肌苷注射液","无","注射液","10ml:0.4g","支","1","安瓿","湖北天圣药业有限公司",3.37,"修改（支付标准）","医药服务便函〔2021〕5号",118524]
[7517,"XL03AXX234B001010105842","2","胸腺法新","","注射剂","限工伤保险",201512190,"注射用胸腺法新","和日","冻干粉针剂","1.6mg","盒","1","配溶媒","海南中和药业股份有限公司",68.7,"修改（支付标准）","医药服务便函〔2021〕5号",111973]
[7519,"XL03AXX234B003010102018","2","胸腺法新","","注射剂","限工伤保险",20151005,"注射用胸腺法新","迈普新","冻干粉针剂","1.6mg","支","1","玻璃瓶","成都地奥九泓制药厂",94.76,"修改（支付标准）","医药服务便函〔2021〕5号",143044]
[7528,"XL04AAL019A001010201645","2","来氟米特","","口服常释剂型","",20152501,"来氟米特片","爱若华","薄膜衣片","10mg","盒","16","铝箔","苏州长征-欣凯制药有限公司",49.6,"修改（支付标准）","医药服务便函〔2021〕5号",138727]
[7531,"XL04AAL019A001020104021","2","来氟米特","","口服常释剂型","",2020169343,"来氟米特片","无","薄膜衣片","20mg","瓶","30","高密度聚乙烯","齐鲁制药有限公司",210,"修改（支付标准）","医药服务便函〔2021〕5号",169343]
[7537,"XL04AAM033A012010178679","2","麦考酚钠","","口服常释剂型","限器官移植后的抗排异反应",2020171133,"麦考酚钠肠溶片","米芙","肠溶片","0.18g","盒","50","空","德国Novartis Pharma Produktions GmbH",612.6,"修改（支付标准）","医药服务便函〔2021〕5号",171133]
[7542,"XL04AAT163A001010104948","2","托法替布","","口服常释剂型","限诊断明确的类风湿关节炎经传统DMARDs治疗3-6个月疾病活动度下降低于50%者，并需风湿病专科医师处方。",2020171106,"枸橼酸托法替布片","无","薄膜衣片","5mg(以托法替布计)","瓶","20","塑料瓶","湖南科伦制药有限公司",143,"修改（支付标准）","医药服务便函〔2021〕5号",171106]
[7546,"XL04AAW118B001010179422","2","维得利珠单抗","","注射剂","限中度至重度活动性溃疡性结肠炎的二线用药或中度至重度活动性克罗恩病的二线用药。",2021171358,"注射用维得利珠单抗","安吉优","冻干粉针剂","0.3g","盒","1","玻璃瓶","日本Takeda Pharmaceutical Company Ltd.",4980,"修改（支付标准）","医药服务便函〔2021〕5号",171358]
[7554,"XL04ABA249B002010181451","2","阿达木单抗","","注射剂","限以下情况方可支付：1.诊断明确的类风湿关节炎经传统DMARDs治疗3-6个月疾病活动度下降低于50%者；诊断明确的强直性脊柱炎（不含放射学前期中轴性脊柱关节炎）NSAIDs充分治疗3个月疾病活动度下降低于50%者；并需风湿病专科医师处方。2.对系统性治疗无效、禁忌或不耐受的中重度斑块状银屑病患者，需按说明书用药。",2020171105,"阿达木单抗注射液","苏立信","注射液","0.8ml:40mg","盒","1","西林瓶","信达生物制药(苏州)有限公司",1150,"修改（支付标准）","医药服务便函〔2021〕5号",171105]
[7560,"XL04ABC082B001010100835","2","重组人Ⅱ型肿瘤坏死因子受体-抗体融合蛋白","","注射剂","限诊断明确的类风湿关节炎经传统DMARDs治疗3-6个月疾病活动度下降低于50%者；诊断明确的强直性脊柱炎（不含放射学前期中轴性脊柱关节炎）NSAIDs充分治疗3个月疾病活动度下降低于50%者；并需风湿病专科医师处方。限成人重度斑块状银屑病。",201510296,"注射用重组人Ⅱ型肿瘤坏死因子受体-抗体融合蛋白","益赛普","冻干粉针剂","12.5mg","支","1","西林瓶","三生国健药业（上海）股份有限公司",188,"修改（支付标准）","医药服务便函〔2021〕5号",141273]
[7563,"XL04ABG180B002010178323","2","戈利木单抗","","注射剂","限诊断明确的类风湿关节炎经传统DMARDs治疗3-6个月疾病活动度下降低于50%者；诊断明确的强直性脊柱炎（不含放射学前期中轴性脊柱关节炎）NSAIDs充分治疗3个月疾病活动度下降低于50%者；并需风湿病专科医师处方。",2020163340,"戈利木单抗注射液","欣普尼","注射液","0.5ml:50mg","盒","1","预充式(预灌封)注射器","瑞士Cilag AG",4900,"修改（支付标准）","医药服务便函〔2021〕5号",163340]
[7571,"XL04ADH033B002010104127","1","环孢素","","注射剂","",2015150793,"环孢素注射液","无","注射液","5ml:0.25g","支","1","安瓿","辰欣药业股份有限公司",90.31,"修改（支付标准）","医药服务便函〔2021〕5号",150796]
[7572,"XL04ADH033B002010178679","1","环孢素","","注射剂","",2015132241,"环孢素注射液","山地明","注射液","5ml:0.25g","支","1","玻璃瓶","瑞士Novartis Pharma Stein AG",124.74,"修改（支付标准）","医药服务便函〔2021〕5号",132245]
[7578,"XL04ADH033E002010104690","1","环孢素","","口服常释剂型","",2015102299,"环孢素软胶囊","无","软胶囊(胶丸)","25mg","盒","50","铝箔","浙江瑞邦药业股份有限公司",159,"修改（支付标准）","医药服务便函〔2021〕5号",102304]
[7583,"XL04ADH033E002020105777","1","环孢素","","口服常释剂型","",2015159947,"环孢素软胶囊(微乳化制剂)","无","软胶囊(胶丸)","50mg","盒","50","铝塑","海南海神同洲制药有限公司",257.5,"修改（支付标准）","医药服务便函〔2021〕5号",159945]
[7590,"XL04ADT002E001020101076","2","他克莫司","","口服常释剂型","",201512763,"他克莫司胶囊","普乐可复","硬胶囊剂","1.0mg","盒","50","铝塑","爱尔兰Astellas Ireland Co., Ltd.<安斯泰来制药(中国)有限公司>分包装",1155.65,"修改（支付标准）","医药服务便函〔2021〕5号",147193]
[7598,"XL04AXL344E001010100148","2","来那度胺","","口服常释剂型","限曾接受过至少一种疗法的多发性骨髓瘤的成年患者，并满足以下条件：1、每2个疗程需提供治疗有效的证据后方可继续支付；2、由三级医院血液专科或血液专科医院医师处方。",2018163161,"来那度胺胶囊","无","硬胶囊剂","10mg","瓶","28","塑料瓶","北京双鹭药业股份有限公司",3657.92,"修改（支付标准）","医药服务便函〔2021〕5号",163161]
[7602,"XL04AXL344E001010279563","2","来那度胺","","口服常释剂型","限曾接受过至少一种疗法的多发性骨髓瘤的成年患者，并满足以下条件：1、每2个疗程需提供治疗有效的证据后方可继续支付；2、由三级医院血液专科或血液专科医院医师处方。",2016149809,"来那度胺胶囊","瑞复美","硬胶囊剂","10mg","盒","21","铝塑","瑞士Celgene International Sarl",17050.32,"修改（支付标准）","医药服务便函〔2021〕5号",149807]
[7607,"XL04AXM088A001010179166","2","咪唑立宾","","口服常释剂型","限器官移植后的排异反应",20157610,"咪唑立宾片","布累迪宁","薄膜衣片","50mg","盒","100","铝箔","日本旭化成制药株式会社 名古屋医药工厂Asahi Kasei Pharma Corporation ,Nagoya Pharmaceuticals Plant",1312.06,"修改（支付标准）","医药服务便函〔2021〕5号",132242]
[7613,"XM01ABC065A012010101452","2","醋氯芬酸","","口服常释剂型","",20158619,"醋氯芬酸肠溶片","爱芬","肠溶片","50mg","盒","16","铝塑","江苏吉贝尔药业股份有限公司",11.96,"修改（支付标准）","医药服务便函〔2021〕5号",136862]
[7616,"XM01ABS120A001010101466","1","双氯芬酸","","口服常释剂型","",2015138850,"双氯芬酸钾片","菲亚宁","薄膜衣片","50mg","盒","12","铝塑","江苏涟水制药有限公司",3.6,"修改（支付标准）","医药服务便函〔2021〕5号",138847]
[7625,"XM01ABS120A010010104623","1","双氯芬酸/n双氯芬酸Ⅰ/n双氯芬酸Ⅲ/n双氯芬酸Ⅳ/n双氯芬酸Ⅴ","","缓释控释剂型","",2015139522,"双氯芬酸钠缓释片","无","缓释片","0.1g","盒","10","铝塑","浙江迪耳药业有限公司",9.1,"修改（支付标准）","医药服务便函〔2021〕5号",139519]
[7631,"XM01ABS120A010010404929","1","双氯芬酸/n双氯芬酸Ⅰ/n双氯芬酸Ⅲ/n双氯芬酸Ⅳ/n双氯芬酸Ⅴ","","缓释控释剂型","",2015158395,"双氯芬酸钠缓释片","无","缓释片","0.1g","盒","24","铝箔","湖南华纳大药厂股份有限公司",23.01,"修改（支付标准）","医药服务便函〔2021〕5号",158393]
[7637,"XM01ABS120A012010105295","1","双氯芬酸","","口服常释剂型","",2015138768,"双氯芬酸钠肠溶片","无","肠溶片","25mg","盒","48","铝箔","江西红星药业有限公司",5.11,"修改（支付标准）","医药服务便函〔2021〕5号",138765]
[7642,"XM01ABS120E003010100601","1","双氯芬酸/n双氯芬酸Ⅰ/n双氯芬酸Ⅲ/n双氯芬酸Ⅳ/n双氯芬酸Ⅴ","","缓释控释剂型","",2015114141,"双氯芬酸钠缓释胶囊","无","缓释胶囊","0.1g","盒","10","铝塑","珠海润都制药股份有限公司",6.8,"修改（支付标准）","医药服务便函〔2021〕5号",114139]
[7644,"XM01ABS120E003010201555","1","双氯芬酸/n双氯芬酸Ⅰ/n双氯芬酸Ⅲ/n双氯芬酸Ⅳ/n双氯芬酸Ⅴ","","缓释控释剂型","",2015145265,"双氯芬酸钠缓释胶囊","无","缓释胶囊","50mg","盒","24","铝塑","南京长澳制药有限公司",7.15,"修改（支付标准）","医药服务便函〔2021〕5号",145264]
[7649,"XM01ABS120E003020100601","1","双氯芬酸/n双氯芬酸Ⅰ/n双氯芬酸Ⅲ/n双氯芬酸Ⅳ/n双氯芬酸Ⅴ","","缓释控释剂型","",2015114127,"双氯芬酸钠缓释胶囊","无","缓释胶囊","50mg","盒","10","铝塑","珠海润都制药股份有限公司",4.31,"修改（支付标准）","医药服务便函〔2021〕5号",114125]
[7659,"XM01ABS213E003010305140","1","双氯芬酸/n双氯芬酸Ⅰ/n双氯芬酸Ⅲ/n双氯芬酸Ⅳ/n双氯芬酸Ⅴ","","缓释控释剂型","",2015105267,"双氯芬酸钠缓释胶囊(Ⅰ)","特邦","缓释胶囊","0.1g","盒","12","铝塑","陕西步长制药有限公司",17.75,"修改（支付标准）","医药服务便函〔2021〕5号",105270]
[7661,"XM01ABT149B002010102013","2","酮咯酸氨丁三醇","","注射剂","限手术后疼痛或严重急性疼痛的短期治疗",2019165681,"酮咯酸氨丁三醇注射液","无","注射液","1ml:15mg","支","1","安瓿","成都倍特药业股份有限公司",45.9,"修改（支付标准）","医药服务便函〔2021〕5号",165681]
[7668,"XM01ABY174D001010101954","1","吲哚美辛","","栓剂","",2015111450,"吲哚美辛栓","无","栓剂","50mg","盒","10","空","马应龙药业集团股份有限公司",3.2,"修改（支付标准）","医药服务便函〔2021〕5号",111448]
[7673,"XM01ACB098A001010104083","2","吡罗昔康","","口服常释剂型","",2015139607,"吡罗昔康片","无","糖衣片","10mg","瓶","100","塑料瓶","山东方明药业集团股份有限公司",8.34,"修改（支付标准）","医药服务便函〔2021〕5号",139604]
[7677,"XM01ACL238B001010104756","2","氯诺昔康","","注射剂","",2015130992,"注射用氯诺昔康","无","冻干粉针剂","8mg(实装氯诺昔康8.6mg)","瓶","1","玻璃瓶","浙江震元制药有限公司",11.86,"修改（支付标准）","医药服务便函〔2021〕5号",130996]
[7684,"XM01ACM049A001010104735","2","美洛昔康","","口服常释剂型","",2015141541,"美洛昔康片","洛珂","素片","7.5mg","板","10","铝塑","浙江仙琚制药股份有限公司",11.61,"修改（支付标准）","医药服务便函〔2021〕5号",141543]
[7692,"XM01ACM049A006010301510","2","美洛昔康","","口服常释剂型","",2015159629,"美洛昔康分散片","奈邦","分散片","7.5mg","盒","28","铝箔","江苏亚邦爱普森药业有限公司",33.43,"修改（支付标准）","医药服务便函〔2021〕5号",159627]
[7696,"XM01ACM049E001010102122","2","美洛昔康","","口服常释剂型","",2015102530,"美洛昔康胶囊","统克","硬胶囊剂","7.5mg","盒","10","铝箔","四川绿叶制药股份有限公司",20.88,"修改（支付标准）","医药服务便函〔2021〕5号",102535]
[7701,"XM01AEB173A001010101397","1","布洛芬","","口服常释剂型","",2015103224,"布洛芬片","无","薄膜衣片","0.1g","瓶","100","塑料瓶","常州制药厂有限公司",8.37,"修改（支付标准）","医药服务便函〔2021〕5号",103229]
[7708,"XM01AEB173A001020204187","1","布洛芬","","口服常释剂型","",2015159314,"布洛芬片","无","薄膜衣片","0.2g","盒","24","铝塑","山东新华制药股份有限公司",2.64,"修改（支付标准）","医药服务便函〔2021〕5号",159312]
[7712,"XM01AEB173A010020100978","2","布洛芬","","缓释控释剂型","",2015129924,"布洛芬缓释片","无","缓释片","0.3g","盒","10","铝塑","西南药业股份有限公司",17.8,"修改（支付标准）","医药服务便函〔2021〕5号",129923]
[7715,"XM01AEB173E001010103305","1","布洛芬","","口服常释剂型","",2015104451,"布洛芬胶囊","无","硬胶囊剂","0.2g","盒","12","铝塑","长春迪瑞制药有限公司",3.87,"修改（支付标准）","医药服务便函〔2021〕5号",104456]
[7721,"XM01AEB173E003010300601","2","布洛芬","","缓释控释剂型","",2015114120,"布洛芬缓释胶囊","无","缓释胶囊","0.3g","盒","28","铝塑","珠海润都制药股份有限公司",11.76,"修改（支付标准）","医药服务便函〔2021〕5号",114118]
[7726,"XM01AEB173N001010203634","2","布洛芬","","颗粒剂","",2015157754,"布洛芬颗粒","无","颗粒剂","0.1g","盒","12","复合膜","哈尔滨华瑞生化药业有限责任公司",4.35,"修改（支付标准）","医药服务便函〔2021〕5号",157752]
[7736,"XM01AEB173X002020101740","2","布洛芬","","口服液体剂","",2015139623,"布洛芬混悬液","恬倩","口服混悬剂","25ml:0.5g","盒","4","塑料瓶","扬州市三药制药有限公司",9.43,"修改（支付标准）","医药服务便函〔2021〕5号",139620]
[7738,"XM01AEB173X002030101958","2","布洛芬","","口服液体剂","",2015111469,"布洛芬混悬液","迪尔诺","口服混悬剂","60ml:1.2g","瓶","1","塑料瓶","武汉人福药业有限责任公司",4.54,"修改（支付标准）","医药服务便函〔2021〕5号",111467]
[7744,"XM01AEJ130N001020205838","2","精氨酸布洛芬","","颗粒剂","",2015126432,"精氨酸布洛芬颗粒","司百得","颗粒剂","0.4g","盒","12","复合膜","海南赞邦制药有限公司",27.13,"修改（支付标准）","医药服务便函〔2021〕5号",126431]
[7747,"XM01AEL283A001010201337","2","洛索洛芬","","口服常释剂型","",2020126594,"洛索洛芬钠片","安普洛","素片","60mg","盒","20","铝塑","卫材(辽宁)制药有限公司",18.98,"修改（支付标准）","医药服务便函〔2021〕5号",126594]
[7755,"XM01AEN028A001010101471","2","萘普生","","口服常释剂型","",2015143092,"萘普生片","无","素片","0.1g","瓶","100","塑料瓶","江苏平光制药有限责任公司",5.72,"修改（支付标准）","医药服务便函〔2021〕5号",143094]
[7762,"XM01AEN028E001010100267","2","萘普生","","口服常释剂型","",2015100840,"萘普生胶囊","无","硬胶囊剂","0.125g","盒","20","铝塑","广东邦民制药厂有限公司",2.9,"修改（支付标准）","医药服务便函〔2021〕5号",100845]
[7767,"XM01AEX094D001010201792","1","小儿布洛芬","","栓剂","",2015147622,"小儿布洛芬栓","无","栓剂","50mg","盒","6","空","湖北东信药业有限公司",21.71,"修改（支付标准）","医药服务便函〔2021〕5号",147621]
[7773,"XM01AHP006B001010101425","2","帕瑞昔布","","注射剂","限不能口服药物或口服药物效果不理想的术后镇痛",2021163551,"注射用帕瑞昔布钠","无","冻干粉针剂","20mg","瓶","1","玻璃瓶","江苏奥赛康药业有限公司",37.5,"修改（支付标准）","医药服务便函〔2021〕5号",163551]
[7779,"XM01AHP006B001010104642","2","帕瑞昔布","","注射剂","限不能口服药物或口服药物效果不理想的术后镇痛",2020171038,"注射用帕瑞昔布钠","无","冻干粉针剂","40mg","盒","1","玻璃瓶","浙江杭康药业有限公司",99.47,"修改（支付标准）","医药服务便函〔2021〕5号",171038]
[7782,"XM01AHP006B001010179286","2","帕瑞昔布","","注射剂","限不能口服药物或口服药物效果不理想的术后镇痛",2020165888,"注射用帕瑞昔布钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","湖南赛隆药业有限公司",44.93,"修改（支付标准）","医药服务便函〔2021〕5号",165888]
[7786,"XM01AHP006B001020101606","2","帕瑞昔布","","注射剂","限不能口服药物或口服药物效果不理想的术后镇痛",2019165136,"注射用帕瑞昔布钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","南京正大天晴制药有限公司",44.4,"修改（支付标准）","医药服务便函〔2021〕5号",165136]
[7791,"XM01AHP006B001020202092","2","帕瑞昔布","","注射剂","限不能口服药物或口服药物效果不理想的术后镇痛",2020166255,"注射用帕瑞昔布钠","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","峨眉山通惠制药有限公司",2.98,"修改（支付标准）","医药服务便函〔2021〕5号",166255]
[7797,"XM01AHY094A001010102181","2","依托考昔","","口服常释剂型","不限",2020167269,"依托考昔片","无","薄膜衣片","30mg","盒","5","铝箔","成都苑东生物制药股份有限公司",7.48,"修改（支付标准）","医药服务便函〔2021〕5号",167269]
[7806,"XM01AXA165A001010102273","2","氨基葡萄糖","","口服常释剂型","限工伤保险",2015137546,"盐酸氨基葡萄糖片","步迈新","素片","0.24g","瓶","28","塑料瓶","四川新斯顿制药股份有限公司",24.26,"修改（支付标准）","医药服务便函〔2021〕5号",137543]
[7809,"XM01AXA165A001010202273","2","氨基葡萄糖","","口服常释剂型","限工伤保险",2015137547,"盐酸氨基葡萄糖片","步迈新","素片","0.24g","瓶","42","塑料瓶","四川新斯顿制药股份有限公司",36.39,"修改（支付标准）","医药服务便函〔2021〕5号",137544]
[7815,"XM01AXA165E001010109906","2","氨基葡萄糖","","口服常释剂型","限工伤保险",2015137545,"盐酸氨基葡萄糖胶囊","葡立","硬胶囊剂","0.24g","瓶","24","塑料瓶","北京葡立药业有限公司",25.2,"修改（支付标准）","医药服务便函〔2021〕5号",137542]
[7821,"XM01AXA165E001010404615","2","氨基葡萄糖","","口服常释剂型","限工伤保险",2020165648,"盐酸氨基葡萄糖胶囊","无","硬胶囊剂","0.48g","盒","60","铝塑","浙江诚意药业股份有限公司",130.59,"修改（支付标准）","医药服务便函〔2021〕5号",165648]
[7826,"XM01AXA165E001030304615","2","氨基葡萄糖","","口服常释剂型","限工伤保险",2015152868,"盐酸氨基葡萄糖胶囊","维尔固","硬胶囊剂","0.24g","盒","40","铝塑","浙江诚意药业股份有限公司",30.5,"修改（支付标准）","医药服务便函〔2021〕5号",152871]
[7833,"XM01AXN018E001010200976","1","萘丁美酮","","口服常释剂型","",2020101401,"萘丁美酮胶囊","科芬汀","硬胶囊剂","0.25g","盒","24","铝塑","北大医药股份有限公司",58.8,"修改（支付标准）","医药服务便函〔2021〕5号",101401]
[7838,"XM01AXN042A006010500205","1","尼美舒利","","口服常释剂型","",201513491,"尼美舒利分散片","苏榕","分散片","0.1g","盒","24","铝塑","乐普药业（北京）有限责任公司",14.11,"修改（支付标准）","医药服务便函〔2021〕5号",135602]
[7843,"XM02AAS197U002010100100","2","双氯芬酸二乙胺","","凝胶剂","",2015131529,"双氯芬酸二乙胺乳胶剂","扶他林","乳胶剂","20g:0.2g(1%)","支","1","铝管","北京诺华制药有限公司",17.18,"修改（支付标准）","医药服务便函〔2021〕5号",131533]
[7850,"XM02AXH005B002010203141","2","汉防己甲素","","注射剂","限单纯硅肺和煤硅肺",2015115526,"汉防己甲素注射液","无","注射液","2ml:30mg","支","1","安瓿","海南制药厂有限公司制药二厂",36.38,"修改（支付标准）","医药服务便函〔2021〕5号",115529]
[7852,"XM02AXZ008F001010100952","2","樟脑","","软膏剂","",2020167232,"樟脑软膏","无","软膏剂","20g:2.0g","瓶","1","塑料瓶","天津金耀药业有限公司",34,"修改（支付标准）","医药服务便函〔2021〕5号",167232]
[7857,"XM03ACB211B002010180476","2","苯磺顺阿曲库铵","","注射剂","",20152957,"苯磺顺阿曲库铵注射液","赛机宁","注射液","5ml:10mg","瓶","1","玻璃瓶","意大利GlaxoSmithKline Manufacturing S.p.A",103,"修改（支付标准）","医药服务便函〔2021〕5号",142149]
[7867,"XM03BBF399A001010104120","2","复方氯唑沙宗","","口服常释剂型","",2015122428,"复方氯唑沙宗片","无","素片","氯唑沙宗0.125g,对乙酰氨基酚0.15g","盒","24","铝塑","山东力诺制药有限公司",9.22,"修改（支付标准）","医药服务便函〔2021〕5号",122425]
[7868,"XM03BBF399A006010104010","2","复方氯唑沙宗","","口服常释剂型","",2015131029,"复方氯唑沙宗分散片","鲁南贝特","分散片","氯唑沙宗0.125g,对乙酰氨基酚0.15g","盒","24","铝塑","鲁南贝特制药有限公司",13.06,"修改（支付标准）","医药服务便函〔2021〕5号",131033]
[7876,"XM03BXY112A001010204028","2","乙哌立松","","口服常释剂型","",20155022,"盐酸乙哌立松片","宜宇","素片","50mg","盒","20","铝塑","青岛国海生物制药有限公司",14.46,"修改（支付标准）","医药服务便函〔2021〕5号",138883]
[7880,"XM04AAF670A001010204522","2","非布司他","","口服常释剂型","限肾功能不全或别嘌醇过敏的痛风患者",2015150409,"非布司他片","无","薄膜衣片","40mg","盒","12","铝塑","杭州朱养心药业有限公司",38.8,"修改（支付标准）","医药服务便函〔2021〕5号",150407]
[7887,"XM04ABB077A001010201375","2","苯溴马隆","","口服常释剂型","",2015160954,"苯溴马隆片","尤诺","素片","50mg","盒","20","铝塑","常州康普药业有限公司",36.33,"修改（支付标准）","医药服务便函〔2021〕5号",160947]
[7892,"XM05BAA029A001010178639","2","阿仑膦酸","","口服常释剂型","限中重度骨质疏松",20157720,"阿仑膦酸钠片","福善美","素片","70mg","盒","1","铝塑","意大利Savio Industrial S.r.L",58.46,"修改（支付标准）","医药服务便函〔2021〕5号",146077]
[7896,"XM05BAA029A012010202770","2","阿仑膦酸钠","","口服常释剂型","限中重度骨质疏松",20152063,"阿仑膦酸钠肠溶片","无","肠溶片","70mg","盒","4","双铝","石药集团欧意药业有限公司",81.6,"修改（支付标准）","医药服务便函〔2021〕5号",110756]
[7904,"XM05BAP004B001010201669","2","帕米膦酸二钠","","注射剂","限癌症骨转移",20157934,"注射用帕米膦酸二钠","无","冻干粉针剂","15mg","支","1","西林瓶","苏州天马医药集团天吉生物制药有限公司",117.63,"修改（支付标准）","医药服务便函〔2021〕5号",141208]
[7911,"XM05BAY053B002020102679","2","伊班膦酸","","注射剂","限重度骨质疏松或恶性肿瘤骨转移并有明显癌痛的患者",20159905,"伊班膦酸钠注射液","艾本","注射液","2ml:2mg","支","1","安瓿","河北医科大学生物医学工程中心",498.94,"修改（支付标准）","医药服务便函〔2021〕5号",115789]
[7915,"XM05BAZ079B002010101523","2","唑来膦酸","","注射剂","限重度骨质疏松或癌症骨转移",2015118713,"唑来膦酸注射液","无","注射液","100ml:5mg","瓶","1","玻璃瓶","正大天晴药业集团股份有限公司",1639.51,"修改（支付标准）","医药服务便函〔2021〕5号",118712]
[7920,"XM05BAZ079B002020101523","2","唑来膦酸","","注射剂","限重度骨质疏松或癌症骨转移",20157171,"唑来膦酸注射液","天晴依泰","注射液","5ml:4mg","支","1","安瓿","正大天晴药业集团股份有限公司",385,"修改（支付标准）","医药服务便函〔2021〕5号",118706]
[7927,"XM09AXB146B002010100629","2","玻璃酸钠","","注射剂","",20152347,"玻璃酸钠注射液","无","注射液","2.5ml:25mg","盒","1","预充式(预灌封)注射器","上海景峰制药有限公司",112.5,"修改（支付标准）","医药服务便函〔2021〕5号",141285]
[7928,"XM09AXB146B002010100688","2","玻璃酸钠","","注射剂","",201510402,"玻璃酸钠注射液","无","注射液","2ml:20mg","盒","1","预充式(预灌封)注射器","上海昊海生物科技股份有限公司",98.95,"修改（支付标准）","医药服务便函〔2021〕5号",135491]
[7937,"XN01AXA327B002010101445","2","艾司氯胺酮","","注射剂","限用于与镇静麻醉药联合诱导和实施全身麻醉。",2021171720,"盐酸艾司氯胺酮注射液","无","注射液","2ml:50mg","支","1","玻璃瓶","江苏恒瑞医药股份有限公司",91.8,"修改（支付标准）","医药服务便函〔2021〕5号",171720]
[7939,"XN01AXB122B022010101435","1","丙泊酚","","注射剂","",2015147300,"丙泊酚乳状注射液","无","注射液","20ml:0.2g","支","1","安瓿","江苏恩华药业股份有限公司",14.13,"修改（支付标准）","医药服务便函〔2021〕5号",147299]
[7946,"XN01AXB122B022030100033","1","丙泊酚","","注射剂","",2015127709,"丙泊酚乳状注射液","静安","注射液","50ml:1.0g","瓶","1","玻璃瓶","奥地利Fresenius Kabi Austria GmbH<北京费森尤斯卡比医药有限公司>分包装",100.5,"修改（支付标准）","医药服务便函〔2021〕5号",127708]
[7951,"XN01AXB122B022040102499","1","丙泊酚","","注射剂","",2015107659,"丙泊酚乳状注射液","力蒙欣","注射液","50ml:0.5g","瓶","1","玻璃瓶","西安力邦制药有限公司",48.49,"修改（支付标准）","医药服务便函〔2021〕5号",107662]
[7957,"XN01AXB123B002040109556","2","丙泊酚中/长链脂肪乳","","注射剂","限丙泊酚注射剂不能耐受的患者",2018158374,"丙泊酚中/长链脂肪乳注射液","无","注射液","20ml:0.2g","支","1","安瓿","四川国瑞药业有限责任公司",56.47,"修改（支付标准）","医药服务便函〔2021〕5号",158374]
[7963,"XN01BAD135B001010104982","1","丁卡因","","注射剂","",2015109643,"注射用盐酸丁卡因","无","冻干粉针剂","50mg","支","1","玻璃瓶","湖南五洲通药业股份有限公司",11.26,"修改（支付标准）","医药服务便函〔2021〕5号",109646]
[7966,"XN01BAD135U001030102502","2","丁卡因","","凝胶剂","",2015115322,"盐酸丁卡因胶浆","无","胶浆剂","8g:80mg","瓶","1","塑料瓶","西安利君精华药业有限责任公司",18.44,"修改（支付标准）","医药服务便函〔2021〕5号",115325]
[7975,"XN01BBL265B001010104188","2","罗哌卡因","","注射剂","",2015131315,"注射用甲磺酸罗哌卡因","无","冻干粉针剂","47.7mg","瓶","1","玻璃瓶","山东新时代药业有限公司",16.26,"修改（支付标准）","医药服务便函〔2021〕5号",131319]
[7981,"XN01BBL265B002010102499","2","罗哌卡因","","注射剂","",2015107707,"甲磺酸罗哌卡因注射液","力蒙乐","注射液","10ml:120mg","支","1","安瓿","西安汉丰药业有限责任公司",19.5,"修改（支付标准）","医药服务便函〔2021〕5号",107710]
[7986,"XN01BBL265B002010200469","2","罗哌卡因","","注射剂","",2015154150,"盐酸罗哌卡因注射液","无","注射液","10ml:0.1g","支","1","安瓿","广东嘉博制药有限公司",20.6,"修改（支付标准）","医药服务便函〔2021〕5号",154153]
[7990,"XN01BBL265B002020204354","2","罗哌卡因","","注射剂","",2015110964,"甲磺酸罗哌卡因注射液","威赛因","注射液","10ml:23.8mg","支","1","安瓿","安徽威尔曼制药有限公司",6.52,"修改（支付标准）","医药服务便函〔2021〕5号",110962]
[7998,"XN01BBL284X007010104669","2","利多卡因/n利多卡因Ⅰ","","胶浆剂","",2015136076,"盐酸利多卡因胶浆(Ⅰ)","无","胶浆剂","10g:0.2g","盒","6","玻璃瓶","浙江康德药业集团股份有限公司",32.38,"修改（支付标准）","医药服务便函〔2021〕5号",136073]
[7999,"XN01BBZ055B002010101445","2","左布比卡因","","注射剂","限布比卡因注射剂不能耐受的患者",20152668,"盐酸左布比卡因注射液","速卡","注射液","5ml:37.5mg","支","1","安瓿","江苏恒瑞医药股份有限公司",18.95,"修改（支付标准）","医药服务便函〔2021〕5号",135820]
[8005,"XN02AAL277A001010200228","2","洛芬待因","","口服常释剂型","",20156391,"洛芬待因片","可普芬","薄膜衣片","布洛芬0.2g,磷酸可待因12.5mg","盒","20","铝塑","国药集团工业有限公司",28.44,"修改（支付标准）","医药服务便函〔2021〕5号",109409]
[8010,"XN02AJA146A001010102391","2","氨酚双氢可待因","","口服常释剂型","",20155906,"氨酚双氢可待因片","无","素片","对乙酰氨基酚0.5g,酒石酸双氢可待因10mg","盒","12","铝塑","陕西九州制药有限责任公司",18.71,"修改（支付标准）","医药服务便函〔2021〕5号",102763]
[8017,"XN02BAA056A012010103372","1","阿司匹林","","口服常释剂型（不含分散片）","",2015160556,"阿司匹林肠溶片","无","肠溶片","0.3g","瓶","100","塑料瓶","吉林金恒制药股份有限公司",11.2,"修改（支付标准）","医药服务便函〔2021〕5号",160549]
[8022,"XN02BAL023B001030104288","2","赖氨匹林","","注射剂","",2015143028,"注射用赖氨匹林","来比林","粉针剂","0.9g","瓶","1","玻璃瓶","蚌埠丰原涂山制药有限公司",2.65,"修改（支付标准）","医药服务便函〔2021〕5号",143030]
[8027,"XN02BBA095A001020104726","2","安乃近","","口服常释剂型","",2015134879,"安乃近片","无","素片","0.5g","盒","24","铝塑","浙江万晟药业有限公司",3.45,"修改（支付标准）","医药服务便函〔2021〕5号",134883]
[8034,"XN02BED158A001010103098","1","对乙酰氨基酚","","口服常释剂型","",2015115173,"对乙酰氨基酚片","无","素片","0.3g","盒","12","铝箔","天方药业有限公司",1.98,"修改（支付标准）","医药服务便函〔2021〕5号",115176]
[8042,"XN02BED158A001020200480","1","对乙酰氨基酚","","口服常释剂型","",2015103816,"对乙酰氨基酚片","无","素片","0.5g","瓶","100","塑料瓶","国药集团汕头金石制药有限公司",25,"修改（支付标准）","医药服务便函〔2021〕5号",103821]
[8046,"XN02BED158D001010101792","2","对乙酰氨基酚","","栓剂","",2015145404,"对乙酰氨基酚栓","无","栓剂","0.15g","盒","10","空","湖北东信药业有限公司",1.27,"修改（支付标准）","医药服务便函〔2021〕5号",145403]
[8051,"XN02BED158X001010100315","2","对乙酰氨基酚","","口服液体剂","",2015112648,"对乙酰氨基酚口服溶液","无","口服溶液剂","100ml:2.4g(2.4%)","瓶","1","塑料瓶","广东南国药业有限公司",15,"修改（支付标准）","医药服务便函〔2021〕5号",112646]
[8057,"XN02BED158X001010205000","2","对乙酰氨基酚","","口服液体剂","",2015146667,"对乙酰氨基酚口服溶液","无","口服溶液剂","10ml:0.24g(2.4%)","盒","6","玻璃瓶","湖南正清制药集团股份有限公司",17.25,"修改（支付标准）","医药服务便函〔2021〕5号",146666]
[8060,"XN02BED158X001020104043","2","对乙酰氨基酚","","口服液体剂","",2015160958,"对乙酰氨基酚口服溶液","无","口服溶液剂","60ml:1.44g(2.4%)","瓶","1","塑料瓶","青岛黄海制药有限责任公司",6.17,"修改（支付标准）","医药服务便函〔2021〕5号",160951]
[8069,"XN02BED158X012010100734","2","对乙酰氨基酚","","口服液体剂","",2015137447,"对乙酰氨基酚混悬滴剂","泰诺林","口服混悬剂","15ml:1.5g","瓶","1","塑料瓶","上海强生制药有限公司",8.7,"修改（支付标准）","医药服务便函〔2021〕5号",137444]
[8071,"XN02BEF250A001010105650","2","复方对乙酰氨基酚","","口服常释剂型","",2015124102,"复方对乙酰氨基酚片","无","素片","对乙酰氨基酚0.126g,阿司匹林0.23g,咖啡因30mg","盒","12","铝塑","云南昊邦制药有限公司",4.55,"修改（支付标准）","医药服务便函〔2021〕5号",124099]
[8076,"XN02BGP112E001010105847","2","普瑞巴林","","口服常释剂型","",2020167915,"普瑞巴林胶囊","无","硬胶囊剂","75mg","盒","8","铝塑","齐鲁制药(海南)有限公司",65.22,"修改（支付标准）","医药服务便函〔2021〕5号",167915]
[8086,"XN03ABB074A001010100787","1","苯妥英钠","","口服常释剂型","",2015154229,"苯妥英钠片","无","素片","0.1g","瓶","100","塑料瓶","上海新黄河制药有限公司",26.08,"修改（支付标准）","医药服务便函〔2021〕5号",154232]
[8088,"XN03ABB074A001010102880","1","苯妥英钠","","口服常释剂型","",2015159811,"苯妥英钠片","无","素片","50mg","瓶","100","塑料瓶","山西汾河制药有限公司",2.65,"修改（支付标准）","医药服务便函〔2021〕5号",159809]
[8095,"XN03AFA206A001020100153","1","奥卡西平","","口服常释剂型","",20158993,"奥卡西平片","仁澳","薄膜衣片","0.3g","盒","30","铝塑","北京四环制药有限公司",40.2,"修改（支付标准）","医药服务便函〔2021〕5号",125856]
[8099,"XN03AFK019A001010100787","1","卡马西平","","口服常释剂型","",2015137666,"卡马西平片","无","素片","0.1g","瓶","100","塑料瓶","上海新黄河制药有限公司",26.08,"修改（支付标准）","医药服务便函〔2021〕5号",137663]
[8105,"XN03AGB139A010010104971","2","丙戊酸镁","","缓释控释剂型","",2015242333,"丙戊酸镁缓释片","无","缓释片","0.25g","瓶","30","塑料瓶","湖南省湘中制药有限公司",40.42,"修改（支付标准）","医药服务便函〔2021〕5号",142333]
[8112,"XN03AGB140B001010101332","2","丙戊酸钠","","注射剂","",2015131522,"注射用丙戊酸钠","无","冻干粉针剂","0.4g","支","1","玻璃瓶","沈阳新马药业有限公司",77.8,"修改（支付标准）","医药服务便函〔2021〕5号",131526]
[8117,"XN03AXB239A001010282465","2","吡仑帕奈","","口服常释剂型","",2021166585,"吡仑帕奈片","卫克泰","薄膜衣片","2.0mg","盒","28","铝塑","日本Eisai Co.,Ltd.(Kawashima Factory)",126.56,"修改（支付标准）","医药服务便函〔2021〕5号",166585]
[8121,"XN03AXJ019E001010101445","2","加巴喷丁","","口服常释剂型","",20157063,"加巴喷丁胶囊","派汀","硬胶囊剂","0.1g","盒","50","铝塑","江苏恒瑞医药股份有限公司",6,"修改（支付标准）","医药服务便函〔2021〕5号",135577]
[8128,"XN03AXL009A001020204647","2","拉莫三嗪","","口服常释剂型","",2020169468,"拉莫三嗪片","无","薄膜衣片","0.1g","盒","20","铝塑","浙江华海药业股份有限公司",101.73,"修改（支付标准）","医药服务便函〔2021〕5号",169468]
[8130,"XN03AXL371A001010178930","2","拉考沙胺","","口服常释剂型","",2020165362,"拉考沙胺片","维派特","薄膜衣片","0.1g","盒","14","铝塑","德国Aesica Pharmaceuticals GmbH",186,"修改（支付标准）","医药服务便函〔2021〕5号",165362]
[8140,"XN03AXZ075A001010304647","2","左乙拉西坦","","口服常释剂型","",2020168108,"左乙拉西坦片","无","薄膜衣片","0.25g","盒","30","铝塑","浙江华海药业股份有限公司",71.79,"修改（支付标准）","医药服务便函〔2021〕5号",168108]
[8141,"XN03AXZ075A001010304658","2","左乙拉西坦","","口服常释剂型","",2017156489,"左乙拉西坦片","无","薄膜衣片","0.25g","盒","30","铝塑","浙江京新药业股份有限公司",71.79,"修改（支付标准）","医药服务便函〔2021〕5号",156489]
[8147,"XN03AXZ075A001020304658","2","左乙拉西坦","","口服常释剂型","",2015256490,"左乙拉西坦片","无","薄膜衣片","0.5g","盒","30","铝塑","浙江京新药业股份有限公司",122.03,"修改（支付标准）","医药服务便函〔2021〕5号",156490]
[8156,"XN03AXZ075B004010178930","2","左乙拉西坦","","注射剂","",2019163232,"左乙拉西坦注射用浓溶液","开浦兰","注射液","5ml:0.5g","瓶","1","玻璃瓶","意大利培森药厂Patheon Italia S.p.A",98,"修改（支付标准）","医药服务便函〔2021〕5号",163232]
[8159,"XN03AXZ075X001010178930","2","左乙拉西坦","","口服液体剂","限儿童",2020168505,"左乙拉西坦口服溶液","开浦兰","口服溶液剂","150ml(10%)","瓶","1","玻璃瓶","法国NextPharma SAS",189.56,"修改（支付标准）","医药服务便函〔2021〕5号",168505]
[8165,"XN04BAD164A001010200723","1","多巴丝肼","","口服常释剂型","",2015144494,"多巴丝肼片","美多芭","素片","0.25g(左旋多巴200mg,苄丝肼50mg)","盒","40","双铝","上海罗氏制药有限公司",77.1,"修改（支付标准）","医药服务便函〔2021〕5号",144496]
[8170,"XN04BAK135A010010104495","2","卡左双多巴（左旋多巴/卡比多巴）","","缓释控释剂型","",20153980,"卡左双多巴缓释片","息宁","缓释片","卡比多巴50mg,左旋多巴0.2g","盒","30","铝塑","意大利Savio Industrial S.r.L(<杭州默沙东制药有限公司>分包装)",49.67,"修改（支付标准）","医药服务便函〔2021〕5号",146053]
[8174,"XN04BBJ119A001010100804","1","金刚烷胺","","口服常释剂型","",2015135310,"盐酸金刚烷胺片","无","素片","0.1g","瓶","100","塑料瓶","上海信谊万象药业股份有限公司",5.86,"修改（支付标准）","医药服务便函〔2021〕5号",135307]
[8182,"XN04BCP088A001010104658","2","普拉克索","","口服常释剂型","",2019164619,"盐酸普拉克索片","无","素片","0.25mg","盒","30","铝箔","浙江京新药业股份有限公司",114.54,"修改（支付标准）","医药服务便函〔2021〕5号",164619]
[8189,"XN04BDL360A001010178914","2","雷沙吉兰","","口服常释剂型","限二线用药",2018163173,"甲磺酸雷沙吉兰片","安齐来","素片","1.0mg(以雷沙吉兰计)","盒","14","双铝","以色列梯瓦制药工业有限公司Teva Pharmaceutical Industries Ltd.",560,"修改（支付标准）","医药服务便函〔2021〕5号",163173]
[8194,"XN05AAL192B002010103205","1","氯丙嗪","","注射剂","",2015121598,"盐酸氯丙嗪注射液","无","注射液","2ml:50mg","支","1","安瓿","国药集团容生制药有限公司",1.48,"修改（支付标准）","医药服务便函〔2021〕5号",121595]
[8199,"XN05ABF041B002010104152","1","奋乃静","","注射剂","",2020163392,"奋乃静注射液","无","注射液","1ml:5mg","支","1","安瓿","瑞阳制药有限公司",48.07,"修改（支付标准）","医药服务便函〔2021〕5号",163392]
[8206,"XN05AEQ010A001010301034","2","齐拉西酮","","口服常释剂型","",2015162293,"盐酸齐拉西酮片","力复君安","薄膜衣片","20mg","盒","30","铝塑","重庆圣华曦药业股份有限公司",68.19,"修改（支付标准）","医药服务便函〔2021〕5号",162286]
[8211,"XN05AFL242A018010100818","2","氯普噻吨","","口服常释剂型","",2015137653,"氯普噻吨片","无","糖衣片","25mg","瓶","100","塑料瓶","上海上药信谊药厂有限公司",12.25,"修改（支付标准）","医药服务便函〔2021〕5号",137650]
[8217,"XN05AGW076A018020205007","1","五氟利多","","口服常释剂型","",2015105323,"五氟利多片","无","糖衣片","20mg","瓶","24","塑料瓶","湖南中南制药有限责任公司",40.85,"修改（支付标准）","医药服务便函〔2021〕5号",105326]
[8218,"XN05AHA204A001010101444","2","奥氮平","","口服常释剂型","",2017144900,"奥氮平片","欧兰宁","薄膜衣片","10mg","盒","7","铝塑","江苏豪森药业集团有限公司",43.6,"修改（支付标准）","医药服务便函〔2021〕5号",144900]
[8226,"XN05AHA204A001020201444","2","奥氮平","","口服常释剂型","",2017144901,"奥氮平片","欧兰宁","薄膜衣片","5mg","盒","14","铝塑","江苏豪森药业集团有限公司",50,"修改（支付标准）","医药服务便函〔2021〕5号",144901]
[8230,"XN05AHA204A022010178403","2","奥氮平","","口腔崩解片","限吞咽困难的患者",2020141991,"奥氮平口崩片","无","口腔崩解片","10mg","盒","7","空","英国Catalent UK Swindon Zydis Limited",220.85,"修改（支付标准）","医药服务便函〔2021〕5号",141991]
[8235,"XN05AHA204A022020101444","2","奥氮平","","口腔崩解片","限吞咽困难的患者",2020170965,"奥氮平口崩片","无","口腔崩解片","10mg","盒","7","铝塑","江苏豪森药业集团有限公司",43.6,"修改（支付标准）","医药服务便函〔2021〕5号",170965]
[8241,"XN05AHK094A001010104917","1","喹硫平","","口服常释剂型","",2015119907,"富马酸喹硫平片","启维","薄膜衣片","0.1g","盒","30","铝塑","湖南洞庭药业股份有限公司",39.99,"修改（支付标准）","医药服务便函〔2021〕5号",119910]
[8250,"XN05AHK094A001050101359","1","喹硫平","","口服常释剂型","",2015130705,"富马酸喹硫平片","思瑞康","薄膜衣片","25mg","盒","20","铝塑","阿斯利康制药有限公司",58.4,"修改（支付标准）","医药服务便函〔2021〕5号",130709]
[8253,"XN05AHK094A010010180279","2","喹硫平","","缓释控释剂型","",2020166544,"富马酸喹硫平缓释片","无","缓释片","0.2g","盒","20","铝箔","佛山德芮可制药有限公司",174.4,"修改（支付标准）","医药服务便函〔2021〕5号",166544]
[8261,"XN05AHL195A022010104917","2","氯氮平","","口腔崩解片","",2015128104,"氯氮平口腔崩解片","无","口腔崩解片","0.1g","瓶","30","塑料瓶","湖南洞庭药业股份有限公司",19.6,"修改（支付标准）","医药服务便函〔2021〕5号",128103]
[8265,"XN05ALA161A001020104021","2","氨磺必利","","口服常释剂型","",2015218434,"氨磺必利片","无","素片","50mg","盒","20","铝塑","齐鲁制药有限公司",53.45,"修改（支付标准）","医药服务便函〔2021〕5号",118434]
[8270,"XN05ALS090A001010101436","1","舒必利","","口服常释剂型","",2015102512,"舒必利片","无","素片","0.1g","瓶","100","塑料瓶","江苏恩华药业股份有限公司",31.41,"修改（支付标准）","医药服务便函〔2021〕5号",102517]
[8277,"XN05ANT017A001010204971","1","碳酸锂","","口服常释剂型","",2015142687,"碳酸锂片","无","素片","0.25g","瓶","100","塑料瓶","湖南省湘中制药有限公司",35.56,"修改（支付标准）","医药服务便函〔2021〕5号",142689]
[8279,"XN05AXA028A001010100834","1","阿立哌唑","","口服常释剂型","",2015141767,"阿立哌唑片","奥派","素片","10mg","盒","7","铝塑","上海上药中西制药有限公司",19.99,"修改（支付标准）","医药服务便函〔2021〕5号",141769]
[8288,"XN05AXA028A022010104021","1","阿立哌唑","","口腔崩解片","",2020169228,"阿立哌唑口崩片","无","口腔崩解片","10mg","盒","14","铝塑","齐鲁制药有限公司",59.7,"修改（支付标准）","医药服务便函〔2021〕5号",169228]
[8289,"XN05AXA028A022020102016","1","阿立哌唑","","口腔崩解片","",2015117337,"阿立哌唑口崩片","博思清","口腔崩解片","5mg","盒","20","铝箔","成都康弘药业集团股份有限公司",44.08,"修改（支付标准）","医药服务便函〔2021〕5号",117340]
[8296,"XN05AXL071A001010102529","2","利培酮","","口服常释剂型","",2015131711,"利培酮片","维思通","薄膜衣片","1.0mg","盒","20","铝塑","西安杨森制药有限公司",39.35,"修改（支付标准）","医药服务便函〔2021〕5号",131715]
[8301,"XN05AXL071A001010304647","2","利培酮","","口服常释剂型","",2017103157,"利培酮片","索乐","薄膜衣片","1.0mg","盒","30","双铝","浙江华海药业股份有限公司",25.64,"修改（支付标准）","医药服务便函〔2021〕5号",103157]
[8305,"XN05AXL071A001020102529","2","利培酮","","口服常释剂型","",2015131717,"利培酮片","维思通","薄膜衣片","2.0mg","盒","20","铝塑","西安杨森制药有限公司",66.89,"修改（支付标准）","医药服务便函〔2021〕5号",131721]
[8312,"XN05AXL071A022010101389","2","利培酮","","口腔崩解片","",2015137212,"利培酮口崩片","无","口腔崩解片","1.0mg","盒","20","铝塑","常州四药制药有限公司",20.05,"修改（支付标准）","医药服务便函〔2021〕5号",137209]
[8320,"XN05AXL071X008020182214","2","利培酮","","口服液体剂","",2015131720,"利培酮口服液","维思通","口服溶液剂","30ml:30mg","瓶","1","玻璃瓶","比利时杨森制药公司Janssen Pharmaceutica N.V.<西安杨森制药有限公司>分包装",142,"修改（支付标准）","医药服务便函〔2021〕5号",131724]
[8324,"XN05AXP001A010020101444","2","帕利哌酮","","缓释控释剂型","",2020169954,"帕利哌酮缓释片","无","缓释片","6mg","盒","7","铝塑","江苏豪森药业集团有限公司",225.6,"修改（支付标准）","医药服务便函〔2021〕5号",169954]
[8331,"XN05AXZ101B002030182023","2","棕榈帕利哌酮酯（3M）","","注射剂","限接受过棕榈酸帕利哌酮注射液（1个月剂型）至少4个月充分治疗的精神分裂症患者。",2021164458,"棕榈帕利哌酮酯注射液(3M)","善妥达","注射液","1.315ml:0.263g(以帕利哌酮计)","盒","1","预充式(预灌封)注射器","比利时杨森制药公司Janssen Pharmaceutica N.V.",3798,"修改（支付标准）","医药服务便函〔2021〕5号",164458]
[8336,"XN05BET010A001010106571","2","坦度螺酮","","口服常释剂型","",20152011012305,"枸橼酸坦度螺酮片","希德","薄膜衣片","10mg","盒","21","铝箔","日本Sumitomo Dainippon Pharma Co., Ltd. Suzuka Plant（<住友制药(苏州)有限公司>分包装）",57.81,"修改（支付标准）","医药服务便函〔2021〕5号",146369]
[8340,"XN05CFY202A001010102041","2","右佐匹克隆","","口服常释剂型","",2020124447,"右佐匹克隆片","无","薄膜衣片","3mg","盒","7","铝箔","成都康弘药业集团股份有限公司",4.3,"修改（支付标准）","医药服务便函〔2021〕5号",124447]
[8348,"XN05CMY189B002020201749","2","右美托咪定","","注射剂","",2017163504,"盐酸右美托咪定注射液","无","注射液","2ml:0.2mg","支","1","安瓿","扬子江药业集团有限公司",133,"修改（支付标准）","医药服务便函〔2021〕5号",163504]
[8349,"XN06AAA037A001010101389","1","阿米替林","","口服常释剂型","",2015137550,"盐酸阿米替林片","无","糖衣片","25mg","瓶","100","塑料瓶","常州四药制药有限公司",19.8,"修改（支付标准）","医药服务便函〔2021〕5号",137547]
[8359,"XN06AAL237A017010104917","1","氯米帕明","","口服常释剂型","",2015119936,"盐酸氯米帕明片","无","薄膜衣片","25mg","盒","48","铝塑","湖南洞庭药业股份有限公司",14.83,"修改（支付标准）","医药服务便函〔2021〕5号",119939]
[8364,"XN06ABA225A001010104647","1","艾司西酞普兰","","口服常释剂型","",2020166649,"草酸艾司西酞普兰片","无","薄膜衣片","10mg","盒","14","双铝","浙江华海药业股份有限公司",54.33,"修改（支付标准）","医药服务便函〔2021〕5号",166649]
[8366,"XN06ABA225A001010178996","1","艾司西酞普兰","","口服常释剂型","",2019165257,"草酸艾司西酞普兰片","来士普","薄膜衣片","10mg","盒","7","铝塑","丹麦灵北制药有限公司H.Lundbeck A/S",77.08,"修改（支付标准）","医药服务便函〔2021〕5号",165257]
[8375,"XN06ABA225A001020204647","1","艾司西酞普兰","","口服常释剂型","",2020166700,"草酸艾司西酞普兰片","无","薄膜衣片","5mg","盒","28","双铝","浙江华海药业股份有限公司",56,"修改（支付标准）","医药服务便函〔2021〕5号",166700]
[8378,"XN06ABF071A001010178890","2","氟伏沙明","","口服常释剂型","",20154068,"马来酸氟伏沙明片","兰释","薄膜衣片","50mg","盒","30","空","法国MylanLaboratoriesSAS",88.76,"修改（支付标准）","医药服务便函〔2021〕5号",147528]
[8383,"XN06ABF098E001010200834","1","氟西汀","","口服常释剂型","",2019141607,"盐酸氟西汀胶囊","奥麦伦","硬胶囊剂","20mg","盒","14","铝塑","上海上药中西制药有限公司",40.92,"修改（支付标准）","医药服务便函〔2021〕5号",141607]
[8390,"XN06ABP002A001010300177","1","帕罗西汀","","口服常释剂型","",2015149006,"盐酸帕罗西汀片","无","薄膜衣片","20mg","盒","14","铝塑","北京福元医药股份有限公司",22.94,"修改（支付标准）","医药服务便函〔2021〕5号",149005]
[8395,"XN06ABP002A023020179544","2","帕罗西汀","","肠溶缓释片","",2015147545,"盐酸帕罗西汀肠溶缓释片","无","肠溶缓释片","25mg","盒","10","铝塑","加拿大GLAXOSMITHKLINE INC.",35.2,"修改（支付标准）","医药服务便函〔2021〕5号",147544]
[8401,"XN06ABS066A001010202920","2","舍曲林","","口服常释剂型","",2015123216,"盐酸舍曲林片","无","素片","50mg","盒","14","铝塑","山西仟源制药股份有限公司",21.47,"修改（支付标准）","医药服务便函〔2021〕5号",123213]
[8407,"XN06ABS066E001010104658","2","舍曲林","","口服常释剂型","",2015137374,"盐酸舍曲林胶囊","无","硬胶囊剂","50mg","盒","7","铝塑","浙江京新药业股份有限公司",20,"修改（支付标准）","医药服务便函〔2021〕5号",137371]
[8410,"XN06ABX016A001010182110","2","西酞普兰","","口服常释剂型","",20156001,"氢溴酸西酞普兰片","喜普妙","薄膜衣片","20mg","盒","14","铝塑","丹麦灵北制药有限公司H.Lundbeck A/S<西安杨森制药有限公司>分包装",109.54,"修改（支付标准）","医药服务便函〔2021〕5号",131431]
[8419,"XN06AXD151E005010302770","2","度洛西汀","","口服常释剂型","",2021171279,"盐酸度洛西汀肠溶胶囊","无","肠溶胶囊","60mg","瓶","30","塑料瓶","石药集团欧意药业有限公司",290.7,"修改（支付标准）","医药服务便函〔2021〕5号",171279]
[8425,"XN06AXM093A001010103662","1","米氮平","","口服常释剂型","",201511838,"米氮平片","米尔宁","薄膜衣片","15mg","盒","20","铝塑","哈尔滨三联药业股份有限公司",62.93,"修改（支付标准）","医药服务便函〔2021〕5号",106260]
[8430,"XN06AXM103A001010100814","2","米那普仑","","口服常释剂型","",2020155146,"盐酸米那普仑片","无","薄膜衣片","25mg","盒","14","复合膜","上海现代制药股份有限公司",109.9,"修改（支付标准）","医药服务便函〔2021〕5号",155146]
[8434,"XN06AXW067A010020202016","1","文拉法辛","","缓释控释剂型","",20157158,"盐酸文拉法辛缓释片","无","缓释片","75mg","盒","14","铝塑","成都康弘药业集团股份有限公司",87.8,"修改（支付标准）","医药服务便函〔2021〕5号",117331]
[8437,"XN06AXW067E001010202013","1","文拉法辛","","口服常释剂型","",201511793,"盐酸文拉法辛胶囊","无","硬胶囊剂","25mg","盒","24","铝箔","成都倍特药业股份有限公司",29.78,"修改（支付标准）","医药服务便函〔2021〕5号",116361]
[8445,"XN06BXJ053E001020100353","2","甲氯芬酯","","口服常释剂型","",201514520,"盐酸甲氯芬酯胶囊","无","硬胶囊剂","0.2g","盒","36","铝塑","广东先强药业有限公司",23.39,"修改（支付标准）","医药服务便函〔2021〕5号",148963]
[8449,"XN06CAF088A001010179282","2","氟哌噻吨美利曲辛","","口服常释剂型","",2015162561,"氟哌噻吨美利曲辛片","无","薄膜衣片","氟哌噻吨0.5mg和美利曲辛10mg","盒","14","双铝","海思科制药(眉山)有限公司",22.93,"修改（支付标准）","医药服务便函〔2021〕5号",162563]
[8454,"XN06DAD171A001010101693","2","多奈哌齐","","口服常释剂型","限明确诊断的阿尔茨海默病",2020165484,"盐酸多奈哌齐片","安理申","薄膜衣片","10mg","盒","7","铝塑","卫材(中国)药业有限公司",162.32,"修改（支付标准）","医药服务便函〔2021〕5号",165484]
[8461,"XN06DAD171A001020404647","2","多奈哌齐","","口服常释剂型","限明确诊断的阿尔茨海默病",2020168885,"盐酸多奈哌齐片","无","薄膜衣片","5mg","盒","28","双铝","浙江华海药业股份有限公司",36.93,"修改（支付标准）","医药服务便函〔2021〕5号",168885]
[8469,"XN06DAJ021A006010104745","2","加兰他敏","","口服常释剂型","限明确诊断的阿尔茨海默病",2020166819,"氢溴酸加兰他敏分散片","无","分散片","5mg","盒","24","铝塑","浙江一新制药股份有限公司",108.3,"修改（支付标准）","医药服务便函〔2021〕5号",166819]
[8472,"XN06DAL359V002020178672","2","利斯的明","","贴剂","限明确诊断的阿尔茨海默病",2019163507,"利斯的明透皮贴剂","艾斯能","透皮贴剂","9.5mg(10cm2)","盒","7","铝塑","德国LTS Lohmann Therapie-Systeme AG",68.6,"修改（支付标准）","医药服务便函〔2021〕5号",163507]
[8478,"XN07AAX155B002010100801","1","新斯的明","","注射剂","",2015134197,"甲硫酸新斯的明注射液","无","注射液","2ml:1.0mg","支","1","安瓿","上海信谊金朱药业有限公司",3.56,"修改（支付标准）","医药服务便函〔2021〕5号",134201]
[8480,"XN07AAX155B002020101424","1","新斯的明","","注射剂","",2015155203,"甲硫酸新斯的明注射液","无","注射液","2ml:1.0mg","支","1","安瓿","江苏浦金药业有限公司",3.5,"修改（支付标准）","医药服务便函〔2021〕5号",155201]
[8490,"XN07CAD070A001010104960","1","地芬尼多","","口服常释剂型","",2015118505,"盐酸地芬尼多片","无","糖衣片","25mg","瓶","30","塑料瓶","湖南千金湘江药业股份有限公司",10.31,"修改（支付标准）","医药服务便函〔2021〕5号",118508]
[8495,"XN07CAF072E001010102529","1","氟桂利嗪","","口服常释剂型","",2015131367,"盐酸氟桂利嗪胶囊","西比灵","硬胶囊剂","5mg","盒","20","铝塑","西安杨森制药有限公司",21.16,"修改（支付标准）","医药服务便函〔2021〕5号",131371]
[8501,"XN07XXB025A001010304799","2","胞磷胆碱","","口服常释剂型","",2015136510,"胞磷胆碱钠片","无","素片","0.2g","盒","20","铝箔","福建省闽东力捷迅药业有限公司",47.55,"修改（支付标准）","医药服务便函〔2021〕5号",136507]
[8504,"XN07XXB025E001010304021","2","胞磷胆碱","","口服常释剂型","",2015156248,"胞磷胆碱钠胶囊","思考林","硬胶囊剂","0.1g","盒","42","铝塑","齐鲁制药有限公司",54.67,"修改（支付标准）","医药服务便函〔2021〕5号",156246]
[8508,"XN07XXB220B001010103021","2","胞磷胆碱（胞二磷胆碱）","","注射剂","限出现意识障碍的急性颅脑外伤和脑手术后患者，支付不超过14天",2015111831,"注射用胞磷胆碱钠","无","冻干粉针剂","0.25g","瓶","1","玻璃瓶","河南辅仁怀庆堂制药有限公司",1.45,"修改（支付标准）","医药服务便函〔2021〕5号",111829]
[8515,"XN07XXB221A001010104494","2","吡拉西坦（乙酰胺吡咯烷酮）","","口服常释剂型","",2015137464,"吡拉西坦片","无","素片","0.4g","瓶","100","塑料瓶","杭州民生药业有限公司",19.32,"修改（支付标准）","医药服务便函〔2021〕5号",137461]
[8520,"XN07XXG107A001010102831","2","谷维素","","口服常释剂型","",2015161999,"谷维素片","无","素片","10mg","瓶","100","塑料瓶","北京中新制药厂",19.54,"修改（支付标准）","医药服务便函〔2021〕5号",161992]
[8524,"XN07XXL068A001010105848","2","利鲁唑","","口服常释剂型","",201513079,"利鲁唑片","无","薄膜衣片","50mg","盒","24","铝塑","万特制药(海南)有限公司",600,"修改（支付标准）","医药服务便函〔2021〕5号",118326]
[8532,"XN07XXT050B002020105614","2","天麻素","","注射剂","限无法口服的血管神经性头痛或眩晕症患者，支付不超过14天",2015122582,"天麻素注射液(肌内注射,静脉滴注)","天眩清","注射液","2ml:0.2g","支","1","安瓿","昆明制药集团股份有限公司",16.5,"修改（支付标准）","医药服务便函〔2021〕5号",122579]
[8539,"XN07XXY184B001010100344","2","尤瑞克林","","注射剂","限新发的急性中度缺血性脑卒中患者，应在发作48小时内开始使用，支付不超过21天。",201510203,"注射用尤瑞克林","凯力康","冻干粉针剂","0.15PNA单位","瓶","1","玻璃瓶","广东天普生化医药股份有限公司",100,"修改（支付标准）","医药服务便函〔2021〕5号",112748]
[8543,"XP01ABA222A001010104920","2","奥硝唑","","口服常释剂型","",2020168054,"奥硝唑片","无","薄膜衣片","0.25g","盒","24","铝塑","湖南方盛制药股份有限公司",12,"修改（支付标准）","医药服务便函〔2021〕5号",168054]
[8548,"XP01ABJ070A001010102959","1","甲硝唑","","口服常释剂型","",2015111526,"甲硝唑片","无","素片","0.2g","袋","21","复合膜","亚宝药业集团股份有限公司",3.07,"修改（支付标准）","医药服务便函〔2021〕5号",111524]
[8555,"XP01BAQ034A001010178247","2","羟氯喹","","口服常释剂型","",2020171134,"硫酸羟氯喹片","无","薄膜衣片","0.2g","盒","10","铝塑","西班牙SANOFI AVENTIS, S.A.",45,"修改（支付标准）","医药服务便函〔2021〕5号",171134]
[8559,"XP02CAA010A001010103864","1","阿苯达唑","","口服常释剂型","",2015141091,"阿苯达唑片","无","薄膜衣片","0.2g","盒","10","铝塑","赤峰蒙欣药业有限公司",4.99,"修改（支付标准）","医药服务便函〔2021〕5号",141093]
[8567,"XR01AAQ032L002010201589","2","羟甲唑啉","","吸入剂","",2015162430,"盐酸羟甲唑啉喷雾剂","无","喷雾剂","10ml:5mg(33μg/喷,150喷)","盒","2","塑料瓶","南京天朗制药有限公司",43.51,"修改（支付标准）","医药服务便函〔2021〕5号",162423]
[8572,"XR01AAQ032R010020101589","2","羟甲唑啉","","滴鼻剂","",2015140940,"盐酸羟甲唑啉滴鼻液","无","滴鼻剂","3ml:1.5mg(0.05%)","瓶","1","塑料瓶","南京天朗制药有限公司",6.02,"修改（支付标准）","医药服务便函〔2021〕5号",140942]
[8574,"XR01AAS013R010010101984","2","赛洛唑啉","","滴鼻剂","",2020131346,"盐酸赛洛唑啉滴鼻液","诺通","滴鼻剂","10ml:10mg","支","1","低密度聚乙烯","湖北远大天天明制药有限公司",14.82,"修改（支付标准）","医药服务便函〔2021〕5号",131346]
[8579,"XR01ACA210A001010201076","2","奥洛他定","","口服常释剂型","限二线用药",2020165300,"盐酸奥洛他定片","阿洛刻","薄膜衣片","5mg","盒","14","铝塑","日本Nipro Pharma Corporation Kagamiishi Plant",48.36,"修改（支付标准）","医药服务便函〔2021〕5号",165300]
[8585,"XR01ADB041L023010178331","1","倍氯米松","","吸入剂","",2015149797,"吸入用丙酸倍氯米松混悬液","无","吸入剂","2ml:0.8mg","瓶","1","塑料瓶","意大利凯西制药公司Chiesi Farmaceutici S.p.A.",11.87,"修改（支付标准）","医药服务便函〔2021〕5号",149796]
[8591,"XR01ADK037L025010104735","2","糠酸莫米松","","吸入剂","",2015149729,"糠酸莫米松鼻喷雾剂","无","鼻用喷雾剂","0.05%(50μg/掀,60揿)","瓶","1","塑料瓶","浙江仙琚制药股份有限公司",40.17,"修改（支付标准）","医药服务便函〔2021〕5号",149728]
[8600,"XR03ACS048L001010103633","1","沙丁胺醇","","吸入剂","",2015109961,"沙丁胺醇气雾剂(混悬型)","无","气雾剂","0.1mg/掀,200掀","瓶","1","铝瓶","黑龙江省福乐康药业有限公司",18.56,"修改（支付标准）","医药服务便函〔2021〕5号",109964]
[8603,"XR03ACS048L020020100500","1","沙丁胺醇","","吸入剂","",2015127716,"硫酸沙丁胺醇雾化吸入溶液","达芬科闯","吸入溶液剂","20ml:0.1g","瓶","1","塑料瓶","深圳大佛药业股份有限公司",124.42,"修改（支付标准）","医药服务便函〔2021〕5号",127715]
[8609,"XR03ACY268L031010278672","2","茚达特罗","","粉雾剂","限二线用药",2015141726,"马来酸茚达特罗吸入粉雾剂","昂润 比斯海乐","吸入粉雾剂","0.15mg","盒","30","附吸入器","瑞士Novartis Pharma Stein AG",335.46,"修改（支付标准）","医药服务便函〔2021〕5号",141722]
[8614,"XR03AKB237L031030179096","2","布地奈德福莫特罗(Ⅰ) 布地奈德福莫特罗(Ⅱ)","","吸入剂","",2015155166,"布地奈德福莫特罗吸入粉雾剂(Ⅱ)","无","吸入剂","(320μg/9μg)/吸,60吸","盒","1","附吸入器","瑞典AstraZeneca AB",296.73,"修改（支付标准）","医药服务便函〔2021〕5号",155164]
[8618,"XR03AKS054L030020178564","2","沙美特罗替卡松","","吸入剂","",20154131,"沙美特罗替卡松吸入粉雾剂","舒利迭","吸入剂","(50μg/250μg)/泡×60","盒","1","空","法国Glaxo Wellcome Production",191.61,"修改（支付标准）","医药服务便函〔2021〕5号",132271]
[8626,"XR03BAB165L023010200545","2","布地奈德","","吸入剂","",2020170897,"吸入用布地奈德混悬液","无","吸入剂","2ml:0.5mg","盒","10","低密度聚乙烯","健康元海滨药业有限公司",81,"修改（支付标准）","医药服务便函〔2021〕5号",170897]
[8629,"XR03BAB165L031010178700","2","布地奈德","","吸入剂","",2015132208,"布地奈德吸入粉雾剂","无","粉雾剂","0.2mg/吸,200吸","盒","1","附吸入器","芬兰Orion Corporation Orion Pharma, Espoo Plant",157.16,"修改（支付标准）","医药服务便函〔2021〕5号",132212]
[8638,"XR03BBS010L031020104735","2","噻托溴铵","","吸入剂","",20151540,"噻托溴铵吸入粉雾剂","无","粉雾剂","18μg","盒","6","附吸入器","浙江仙琚制药股份有限公司",36.6,"修改（支付标准）","医药服务便函〔2021〕5号",141817]
[8644,"XR03CCB016A001010101359","1","班布特罗","","口服常释剂型","",20153636,"盐酸班布特罗片","帮备","素片","10mg","盒","10","铝塑","阿斯利康药业(中国)有限公司",21.62,"修改（支付标准）","医药服务便函〔2021〕5号",130424]
[8645,"XR03CCB016A001010104021","1","班布特罗","","口服常释剂型","",20154450,"盐酸班布特罗片","汇杰","素片","10mg","盒","12","铝塑","齐鲁制药有限公司",18.24,"修改（支付标准）","医药服务便函〔2021〕5号",114158]
[8650,"XR03CCB127E001010100296","2","丙卡特罗","","口服常释剂型","",2015155258,"盐酸丙卡特罗胶囊","川迪","硬胶囊剂","25μg","瓶","20","塑料瓶","广东隆信制药有限公司",19.99,"修改（支付标准）","医药服务便函〔2021〕5号",155256]
[8655,"XR03CCS048A001010101375","1","沙丁胺醇","","口服常释剂型","",2015133463,"硫酸沙丁胺醇片","无","素片","2.4mg(相当于沙丁胺醇2mg)","瓶","100","塑料瓶","常州康普药业有限公司",5.01,"修改（支付标准）","医药服务便函〔2021〕5号",133467]
[8662,"XR03CCT022B014010100151","2","特布他林","","注射剂","",2015153595,"注射用硫酸特布他林","布瑞平","冻干粉针剂","0.25mg","支","1","西林瓶","北京四环科宝制药有限公司",14.02,"修改（支付标准）","医药服务便函〔2021〕5号",153598]
[8670,"XR03DAA113A001010104187","1","氨茶碱","","口服常释剂型","",2015109507,"氨茶碱片","无","素片","0.1g","瓶","100","塑料瓶","山东新华制药股份有限公司",4.95,"修改（支付标准）","医药服务便函〔2021〕5号",109510]
[8673,"XR03DAA113A010010100978","1","氨茶碱","","缓释控释剂型","",2015124851,"氨茶碱缓释片","无","缓释片","0.1g","盒","20","铝塑","西南药业股份有限公司",14.83,"修改（支付标准）","医药服务便函〔2021〕5号",124848]
[8679,"XR03DAA113B002010200375","1","氨茶碱","","注射剂","",2015111960,"氨茶碱注射液","无","注射液","2ml:0.25g","支","1","安瓿","广州白云山明兴制药有限公司",0.85,"修改（支付标准）","医药服务便函〔2021〕5号",111958]
[8685,"XR03DAC011A010010104187","1","茶碱/n茶碱Ⅱ","","缓释控释剂型","",2015109322,"茶碱缓释片","无","缓释片","0.1g","盒","24","铝塑","山东新华制药股份有限公司",11.38,"修改（支付标准）","医药服务便函〔2021〕5号",109325]
[8688,"XR03DAC011A010010304152","1","茶碱/n茶碱Ⅱ","","缓释控释剂型","",2015110347,"茶碱缓释片","无","缓释片","0.1g","盒","15","双铝","瑞阳制药有限公司",9.7,"修改（支付标准）","医药服务便函〔2021〕5号",110345]
[8697,"XR03DAD179B001010101874","2","多索茶碱","","注射剂","限无法口服且氨茶碱不能耐受的患者",2015104537,"注射用多索茶碱","无","冻干粉针剂","0.1g","瓶","1","西林瓶","湖北午时药业股份有限公司",6.54,"修改（支付标准）","医药服务便函〔2021〕5号",104542]
[8699,"XR03DAD179B001020100978","2","多索茶碱","","注射剂","限无法口服且氨茶碱不能耐受的患者",2015125615,"注射用多索茶碱","健方能","冻干粉针剂","0.3g","瓶","1","玻璃瓶","西南药业股份有限公司",26.78,"修改（支付标准）","医药服务便函〔2021〕5号",125614]
[8709,"XR03DAD179B002020107478","2","多索茶碱","","注射剂","限无法口服且氨茶碱不能耐受的患者",2015151898,"多索茶碱注射液","无","注射液","20ml:0.3g","支","1","安瓿","安徽恒星制药有限公司",27.2,"修改（支付标准）","医药服务便函〔2021〕5号",151901]
[8714,"XR03DAE030A001010100931","2","二羟丙茶碱","","口服常释剂型","",2015120992,"二羟丙茶碱片","无","素片","0.2g","瓶","50","塑料瓶","天津太平洋制药有限公司",6.5,"修改（支付标准）","医药服务便函〔2021〕5号",120989]
[8716,"XR03DAE030B002010100874","2","二羟丙茶碱","","注射剂","",2015126103,"二羟丙茶碱注射液","无","注射液","2ml:0.25g","支","1","安瓿","天津金耀药业有限公司",0.79,"修改（支付标准）","医药服务便函〔2021〕5号",126102]
[8723,"XR03DCM082A001010102770","2","孟鲁司特","","口服常释剂型","",2020168712,"孟鲁司特钠片","无","薄膜衣片","10mg","瓶","30","塑料瓶","石药集团欧意药业有限公司",108,"修改（支付标准）","医药服务便函〔2021〕5号",168712]
[8727,"XR03DCM082A001010202132","2","孟鲁司特","","口服常释剂型","",2015117100,"孟鲁司特钠片","无","薄膜衣片","10mg","盒","7","铝箔","四川大冢制药有限公司",26.21,"修改（支付标准）","医药服务便函〔2021〕5号",117103]
[8732,"XR03DCM082A005010104494","2","孟鲁司特","","咀嚼片","限儿童",2017163533,"孟鲁司特钠咀嚼片","无","咀嚼片","4mg","盒","5","双铝","青岛百洋制药有限公司",21.06,"修改（支付标准）","医药服务便函〔2021〕5号",163533]
[8739,"XR03DCM082A005030105847","2","孟鲁司特","","咀嚼片","限儿童",2020169662,"孟鲁司特钠咀嚼片","无","咀嚼片","5mg","盒","14","铝塑","齐鲁制药(海南)有限公司",3.54,"修改（支付标准）","医药服务便函〔2021〕5号",169662]
[8744,"XR03DCM082N001010303307","2","孟鲁司特","","颗粒剂","限儿童",2019165796,"孟鲁司特钠颗粒","无","颗粒剂","0.5g:4mg","盒","10","铝塑","长春海悦药业股份有限公司",25.99,"修改（支付标准）","医药服务便函〔2021〕5号",165796]
[8749,"XR05CBA198A001010100863","1","氨溴索","","口服常释剂型","",2015128745,"盐酸氨溴索片","安普索","素片","30mg","盒","20","铝塑","山德士(中国)制药有限公司",11,"修改（支付标准）","医药服务便函〔2021〕5号",128744]
[8756,"XR05CBA198A001010301445","1","氨溴索","","口服常释剂型","",2015135646,"盐酸氨溴索片","贝莱","素片","30mg","盒","20","铝塑","江苏恒瑞医药股份有限公司",4.89,"修改（支付标准）","医药服务便函〔2021〕5号",135643]
[8764,"XR05CBA198A006010402920","1","氨溴索","","口服常释剂型","",2020123159,"盐酸氨溴索分散片","抒坦清","分散片","30mg","盒","50","双铝箔","山西仟源医药集团股份有限公司",5.25,"修改（支付标准）","医药服务便函〔2021〕5号",123159]
[8768,"XR05CBA198B001020101389","2","氨溴索","","注射剂","限无法使用氨溴索口服制剂的排痰困难患者",2015136217,"注射用盐酸氨溴索","兰苏","冻干粉针剂","30mg","瓶","1","玻璃瓶","常州四药制药有限公司",7.19,"修改（支付标准）","医药服务便函〔2021〕5号",136214]
[8775,"XR05CBA198B002010104046","2","氨溴索","","注射剂","限无法使用氨溴索口服制剂的排痰困难患者",2020157661,"盐酸氨溴索注射液","无","注射液","2ml:15mg","支","1","安瓿","青岛金峰制药有限公司",0.98,"修改（支付标准）","医药服务便函〔2021〕5号",157661]
[8780,"XR05CBA198B002010305331","2","氨溴索","","注射剂","限无法使用氨溴索口服制剂的排痰困难患者",2020166741,"盐酸氨溴索注射液","无","注射液","2ml:15mg","支","1","安瓿","江西欧氏药业有限责任公司",1.25,"修改（支付标准）","医药服务便函〔2021〕5号",166741]
[8784,"XR05CBA198B002020104145","2","氨溴索","","注射剂","限无法使用氨溴索口服制剂的排痰困难患者",2020167014,"盐酸氨溴索注射液","无","注射液","2ml:15mg","支","1","安瓿","山东齐都药业有限公司",1.6,"修改（支付标准）","医药服务便函〔2021〕5号",167014]
[8787,"XR05CBA198B002030300951","2","氨溴索","","注射剂","限无法使用氨溴索口服制剂的排痰困难患者",2015125693,"盐酸氨溴索注射液","伊诺舒","注射液","4ml:30mg","支","1","安瓿","天津药物研究院药业有限责任公司",6.73,"修改（支付标准）","医药服务便函〔2021〕5号",125692]
[8793,"XR05CBA198K001010101512","2","氨溴索","","口服液体剂","",2015143135,"盐酸氨溴索糖浆","无","糖浆剂","100ml:0.6g(5ml:30mg)","瓶","1","塑料瓶","江苏亚邦生缘药业有限公司",12.29,"修改（支付标准）","医药服务便函〔2021〕5号",143137]
[8798,"XR05CBA198N001010110296","2","氨溴索","","颗粒剂","",2015118333,"盐酸氨溴索颗粒","无","颗粒剂","15mg","盒","12","复合膜","天津梅花生物医药科技有限公司",15.84,"修改（支付标准）","医药服务便函〔2021〕5号",118336]
[8808,"XR05CBA198X001010102680","2","氨溴索","","口服液体剂","",2015122215,"盐酸氨溴索口服溶液","无","口服溶液剂","100ml:0.3g","瓶","1","塑料瓶","河北医科大学制药厂",6.37,"修改（支付标准）","医药服务便函〔2021〕5号",122212]
[8810,"XR05CBA198X001010104434","2","氨溴索","","口服液体剂","",2015139971,"盐酸氨溴索口服溶液(无糖型)","无","口服溶液剂","100ml:0.6g","瓶","1","塑料瓶","上海海虹实业(集团)巢湖今辰药业有限公司",34.33,"修改（支付标准）","医药服务便函〔2021〕5号",139968]
[8819,"XR05CBA198X001020203804","2","氨溴索","","口服液体剂","",2015110738,"盐酸氨溴索口服溶液","瑞田","口服溶液剂","10ml:30mg","盒","15","玻璃瓶","黑龙江中桂制药有限公司",57.66,"修改（支付标准）","医药服务便函〔2021〕5号",110736]
[8822,"XR05CBA198X001030101442","2","氨溴索","","口服液体剂","",2015139966,"盐酸氨溴索口服溶液","无","口服溶液剂","10ml:30mg","盒","10","塑料瓶","江苏汉晨药业有限公司",14,"修改（支付标准）","医药服务便函〔2021〕5号",139963]
[8828,"XR05CBF100A001010101521","2","福多司坦","","口服常释剂型","限二线用药",20151280,"福多司坦片","无","薄膜衣片","0.2g","盒","12","铝塑","江苏正大丰海制药有限公司",13.12,"修改（支付标准）","医药服务便函〔2021〕5号",139007]
[8834,"XR05CBF100A001010302292","2","福多司坦","","口服常释剂型","限二线用药",2019165642,"福多司坦片","无","薄膜衣片","0.2g","盒","18","铝箔","四川科伦药业股份有限公司",25.18,"修改（支付标准）","医药服务便函〔2021〕5号",165642]
[8839,"XR05CBS192A001010100480","1","羧甲司坦","","口服常释剂型","",2015105300,"羧甲司坦片","无","素片","0.25g","盒","12","铝塑","国药集团汕头金石制药有限公司",0.97,"修改（支付标准）","医药服务便函〔2021〕5号",105303]
[8845,"XR05CBS192X001030200381","2","羧甲司坦","","口服液体剂","",2015107134,"羧甲司坦口服溶液(无糖型)","无","口服溶液剂","10ml:0.5g(5%)","盒","10","玻璃瓶","广州白云山医药集团股份有限公司白云山制药总厂",21.17,"修改（支付标准）","医药服务便函〔2021〕5号",107137]
[8851,"XR05CBX169B002010100144","2","溴己新","","注射剂","限无法使用溴己新口服制剂的排痰困难患者",2015119342,"盐酸溴己新注射液","无","注射液","2ml:4mg","支","1","安瓿","华润双鹤药业股份有限公司",2.26,"修改（支付标准）","医药服务便函〔2021〕5号",119345]
[8854,"XR05CBY116A013010178962","2","乙酰半胱氨酸","","泡腾片","限有大量浓稠痰液的慢性阻塞性肺病（COPD）患者",2015147428,"乙酰半胱氨酸泡腾片","富露施","泡腾片","0.6g","盒","4","双铝","意大利ZAMBON S.p.A.",20.3,"修改（支付标准）","医药服务便函〔2021〕5号",147427]
[8862,"XR05CBY116N001010205838","2","乙酰半胱氨酸","","颗粒剂","",2015161870,"乙酰半胱氨酸颗粒","富露施","颗粒剂","0.1g","盒","20","复合膜","海南赞邦制药有限公司",23.24,"修改（支付标准）","医药服务便函〔2021〕5号",161863]
[8863,"XR05CBY116N001010400265","2","乙酰半胱氨酸","","颗粒剂","",2015160988,"乙酰半胱氨酸颗粒","无","颗粒剂","0.1g","盒","15","复合膜","广东百澳药业有限公司",18.26,"修改（支付标准）","医药服务便函〔2021〕5号",160981]
[8869,"XR05DBP035A001010101157","1","喷托维林","","口服常释剂型","",2015126129,"枸橼酸喷托维林片","无","糖衣片","25mg","瓶","100","塑料瓶","丹东医创药业有限责任公司",8.2,"修改（支付标准）","医药服务便函〔2021〕5号",126128]
[8878,"XR05FBF273A001010204827","1","复方甘草","","口服常释剂型","",2015102875,"复方甘草片","无","素片","复方","瓶","100","塑料瓶","福州海王福药制药有限公司",24.66,"修改（支付标准）","医药服务便函〔2021〕5号",102880]
[8881,"XR05FBF273X001010101554","1","复方甘草","","口服液体剂","",2015102667,"复方甘草口服溶液","无","口服溶液剂","100ml","瓶","1","塑料瓶","南京白敬宇制药有限责任公司",6.8,"修改（支付标准）","医药服务便函〔2021〕5号",102672]
[8889,"XR05FBF273X001020105357","1","复方甘草","","口服液体剂","",2015155247,"复方甘草口服溶液","无","口服溶液剂","180ml","瓶","1","塑料瓶","浙江国光生物制药有限公司",9.43,"修改（支付标准）","医药服务便函〔2021〕5号",155245]
[8893,"XR05FBF273X001030101954","1","复方甘草","","口服液体剂","",2015111331,"复方甘草口服溶液","无","口服溶液剂","2500ml","瓶","1","塑料瓶","马应龙药业集团股份有限公司",76.05,"修改（支付标准）","医药服务便函〔2021〕5号",111329]
[8898,"XR05XXA153E001010205754","2","氨酚伪麻美芬胶囊","","","◇；▲",201514864,"氨酚伪麻美芬胶囊","无","硬胶囊剂","对乙酰氨基酚0.325g,盐酸伪麻黄碱30mg,无水氢溴酸右美沙芬15mg","盒","24","铝塑","海南葫芦娃药业集团股份有限公司",16.07,"修改（支付标准）","医药服务便函〔2021〕5号",122659]
[8905,"XR05XXB174A001010401780","2","缓解感冒症状的复方OTC制剂","","","◇；▲",2020125276,"布洛伪麻片","诺合","薄膜衣片","布洛芬0.2g,盐酸伪麻黄碱30mg","盒","24","铝箔","湖北亨迪药业股份有限公司",14.01,"修改（支付标准）","医药服务便函〔2021〕5号",125276]
[8907,"XR05XXF032A001010100842","2","酚咖片","","","◇；▲",20153588,"酚咖片","加合百服宁","薄膜衣片","对乙酰氨基酚0.5g,咖啡因65mg","盒","10","铝塑","中美上海施贵宝制药有限公司",5.4,"修改（支付标准）","医药服务便函〔2021〕5号",105155]
[8916,"XR05XXF592K001020100978","2","缓解感冒症状的复方OTC制剂","","","◇；▲",2020167023,"复方愈酚喷托那敏糖浆","无","糖浆剂","150ml(每10ml含愈创甘油醚0.15g,枸橼酸喷托维林15mg,马来酸氯苯那敏3mg,薄荷脑1mg)","瓶","1","塑料瓶","西南药业股份有限公司",32.37,"修改（支付标准）","医药服务便函〔2021〕5号",167023]
[8922,"XR05XXF656X001010104828","2","复方愈创木酚磺酸钾口服溶液","","","◇；▲",2015134683,"复方愈创木酚磺酸钾口服溶液","无","口服溶液剂","100ml","瓶","1","塑料瓶","福州海王金象中药制药有限公司",8.04,"修改（支付标准）","医药服务便函〔2021〕5号",134687]
[8928,"XR05XXM050X001020101421","2","美敏伪麻口服液","","","◇；▲",2015137638,"美敏伪麻口服溶液","惠菲宁","口服溶液剂","100ml(每ml含盐酸伪麻黄碱6mg,氢溴酸右美沙芬2mg,马来酸氯苯那敏0.4mg)","瓶","1","塑料瓶","惠氏制药有限公司",12.86,"修改（支付标准）","医药服务便函〔2021〕5号",137635]
[8933,"XR06AAB058B002010103204","1","苯海拉明","","注射剂","",2015127271,"盐酸苯海拉明注射液","无","注射液","1ml:20mg","支","1","安瓿","遂成药业股份有限公司",1.4,"修改（支付标准）","医药服务便函〔2021〕5号",127270]
[8939,"XR06AAC010A001020200202","2","茶苯海明","","口服常释剂型","",2015135287,"茶苯海明片","无","素片","50mg","瓶","20","塑料瓶","北京益民药业有限公司",1.65,"修改（支付标准）","医药服务便函〔2021〕5号",135284]
[8940,"XR06ABL189A001010100340","1","氯苯那敏","","口服常释剂型","",2015141006,"马来酸氯苯那敏片","无","素片","4mg","瓶","100","塑料瓶","广东华润顺峰药业有限公司",6.51,"修改（支付标准）","医药服务便函〔2021〕5号",141008]
[8948,"XR06ABL189B002010103204","2","氯苯那敏","","注射剂","",2015127259,"马来酸氯苯那敏注射液","无","注射液","1ml:10mg","支","1","安瓿","遂成药业股份有限公司",1.63,"修改（支付标准）","医药服务便函〔2021〕5号",127258]
[8952,"XR06ADY136A001010100886","1","异丙嗪","","口服常释剂型","",2015111499,"盐酸异丙嗪片","无","薄膜衣片","25mg","瓶","100","塑料瓶","天津力生制药股份有限公司",16.6,"修改（支付标准）","医药服务便函〔2021〕5号",111497]
[8959,"XR06AEX017A001010178928","2","西替利嗪","","口服常释剂型","",2015141602,"盐酸西替利嗪片","仙特明","薄膜衣片","10mg","盒","5","铝塑","瑞士UCB Farchim SA",15.62,"修改（支付标准）","医药服务便函〔2021〕5号",141604]
[8964,"XR06AEX017A001010278928","2","西替利嗪","","口服常释剂型","",2015141603,"盐酸西替利嗪片","仙特明","薄膜衣片","10mg","盒","10","铝塑","瑞士UCB Farchim SA",30.45,"修改（支付标准）","医药服务便函〔2021〕5号",141605]
[8968,"XR06AEX017A001010601679","2","西替利嗪","","口服常释剂型","",2020152023,"盐酸西替利嗪片","希瓦丁","薄膜衣片","10mg","盒","24","铝塑","苏州中化药品工业有限公司",2.95,"修改（支付标准）","医药服务便函〔2021〕5号",152023]
[8976,"XR06AEX017X004010178928","2","西替利嗪","","口服液体剂","限儿童",2015142013,"盐酸西替利嗪滴剂","仙特明","滴剂","10ml:0.1g(10mg/ml)","瓶","1","玻璃瓶","意大利AESICA PHARMACEUTICALS S.r.l.",41.91,"修改（支付标准）","医药服务便函〔2021〕5号",142015]
[8983,"XR06AEZ066A001010178928","2","左西替利嗪","","口服常释剂型","限二线用药",2020141685,"盐酸左西替利嗪片","优泽","薄膜衣片","5mg","盒","7","铝箔","瑞士UCB Farchim SA",29.38,"修改（支付标准）","医药服务便函〔2021〕5号",141685]
[8987,"XR06AEZ066A001010304494","2","左西替利嗪","","口服常释剂型","限二线用药",2019165918,"盐酸左西替利嗪片","无","片剂","5mg","盒","14","双层铝箔泡罩","杭州民生药业有限公司",2.11,"修改（支付标准）","医药服务便函〔2021〕5号",165918]
[8992,"XR06AEZ066E001010204942","2","左西替利嗪","","口服常释剂型","限二线用药",2015114228,"盐酸左西替利嗪胶囊","畅然","硬胶囊剂","5mg","盒","12","铝箔","湖南九典制药股份有限公司",20.17,"修改（支付标准）","医药服务便函〔2021〕5号",114226]
[8999,"XR06AXB217A001010101003","2","贝他斯汀","","口服常释剂型","限二线用药",2020167406,"苯磺贝他斯汀片","无","薄膜衣片","10mg","盒","14","铝塑","重庆华邦制药有限公司",56.54,"修改（支付标准）","医药服务便函〔2021〕5号",167406]
[9003,"XR06AXD078A001010104759","2","地氯雷他定","","口服常释剂型","",2015156872,"地氯雷他定片","无","薄膜衣片","5mg","盒","6","铝塑","浙江华润三九众益制药有限公司",10.27,"修改（支付标准）","医药服务便函〔2021〕5号",156870]
[9006,"XR06AXD078A001010204759","2","地氯雷他定","","口服常释剂型","",2015161888,"地氯雷他定片","无","薄膜衣片","5mg","盒","12","铝塑","浙江华润三九众益制药有限公司",20.11,"修改（支付标准）","医药服务便函〔2021〕5号",161881]
[9012,"XR06AXD078X006010505801","2","地氯雷他定","","口服液体剂","限儿童",2015129664,"地氯雷他定干混悬剂","芙必叮","干混悬剂","0.5g:2.5mg","盒","14","复合膜","海南普利制药股份有限公司",29.6,"修改（支付标准）","医药服务便函〔2021〕5号",129663]
[9018,"XR06AXL226A001010100841","1","氯雷他定","","口服常释剂型","",2015100481,"氯雷他定片","无","素片","10mg","盒","6","铝塑","扬子江药业集团上海海尼药业有限公司",8.53,"修改（支付标准）","医药服务便函〔2021〕5号",100486]
[9023,"XR06AXL226A001010105589","1","氯雷他定","","口服常释剂型","",2015116338,"氯雷他定片","奥米新","素片","10mg","盒","6","双铝","昆明积大制药股份有限公司",5.8,"修改（支付标准）","医药服务便函〔2021〕5号",116341]
[9029,"XR06AXL226A001010304658","1","氯雷他定","","口服常释剂型","",2015149354,"氯雷他定片","彼赛宁","素片","10mg","盒","20","铝塑","浙江京新药业股份有限公司",15.35,"修改（支付标准）","医药服务便函〔2021〕5号",149353]
[9035,"XR06AXL226E001010100757","1","氯雷他定","","口服常释剂型","",2015102044,"氯雷他定胶囊","无","硬胶囊剂","10mg","盒","6","铝塑","上海中华药业有限公司",9.23,"修改（支付标准）","医药服务便函〔2021〕5号",102049]
[9038,"XR06AXL226E001010104203","1","氯雷他定","","口服常释剂型","",2015103818,"盐酸氯雷他定胶囊","道敏奇","硬胶囊剂","10mg","盒","6","铝塑","山东淄博新达制药有限公司",23.4,"修改（支付标准）","医药服务便函〔2021〕5号",103823]
[9046,"XR06AXM089A010010182198","2","咪唑斯汀","","缓释控释剂型","",20151086,"咪唑斯汀缓释片","皿治林","缓释片","10mg","盒","7","双铝","法国Sanofi Winthrop Industrie",20.2,"修改（支付标准）","医药服务便函〔2021〕5号",131670]
[9053,"XR06AXS011A001010201389","1","赛庚啶","","口服常释剂型","",2015137515,"盐酸赛庚啶片","无","素片","2mg","瓶","100","塑料瓶","常州四药制药有限公司",2.86,"修改（支付标准）","医药服务便函〔2021〕5号",137512]
[9058,"XR06AXT061A001010200676","2","酮替芬","","口服常释剂型","",2015141394,"富马酸酮替芬片","无","素片","1.0mg","瓶","60","塑料瓶","上海衡山药业有限公司",14.03,"修改（支付标准）","医药服务便函〔2021〕5号",141396]
[9062,"XR06AXT061E001010200676","2","酮替芬","","口服常释剂型","",2015141393,"富马酸酮替芬胶囊","无","硬胶囊剂","1.0mg","瓶","30","塑料瓶","上海衡山药业有限公司",13.01,"修改（支付标准）","医药服务便函〔2021〕5号",141395]
[9070,"XR07AAZ038B002020178331","2","猪肺磷脂","","注射剂","限新生儿",20152517,"猪肺磷脂注射液","固尔苏","注射液","3ml:0.24g","瓶","1","玻璃瓶","意大利凯西制药公司Chiesi Farmaceutici S.p.A.",5548,"修改（支付标准）","医药服务便函〔2021〕5号",142083]
[9073,"XR07ABN040B002010100673","1","尼可刹米","","注射剂","",2015144400,"尼可刹米注射液","无","注射液","1.5ml:0.375g","瓶","1","安瓿","上海禾丰制药有限公司",3.9,"修改（支付标准）","医药服务便函〔2021〕5号",144402]
[9077,"XS01AAF075G010010102585","2","氟康唑","","滴眼剂","",2015150154,"氟康唑滴眼液(含玻璃酸钠)","无","滴眼剂","5ml:25mg","瓶","1","塑料瓶","邯郸康业制药有限公司",13.4,"修改（支付标准）","医药服务便函〔2021〕5号",150157]
[9082,"XS01AAH016G004020104127","1","红霉素","","眼膏剂","",2015134837,"红霉素眼膏","无","眼膏剂","2g:10mg(0.5%)","支","1","铝管","辰欣药业股份有限公司",0.47,"修改（支付标准）","医药服务便函〔2021〕5号",134841]
[9089,"XS01AAL232G010020103305","1","氯霉素","","滴眼剂","",2015104349,"氯霉素滴眼液","无","滴眼剂","8ml:20mg","支","1","低密度聚乙烯","长春迪瑞制药有限公司",3.38,"修改（支付标准）","医药服务便函〔2021〕5号",104354]
[9097,"XS01AAT125G010010104478","2","妥布霉素","","滴眼剂","",2015101166,"妥布霉素滴眼液","无","滴眼剂","5ml:15mg","瓶","1","塑料瓶","杭州国光药业股份有限公司",2.55,"修改（支付标准）","医药服务便函〔2021〕5号",101171]
[9100,"XS01AAT125G010020101506","2","妥布霉素","","滴眼剂","",2015155733,"妥布霉素滴眼液","无","滴眼剂","8ml:24mg","瓶","1","塑料瓶","江苏祥瑞药业有限公司",2.08,"修改（支付标准）","医药服务便函〔2021〕5号",155731]
[9106,"XS01ADA075G010010101840","1","阿昔洛韦","","滴眼剂","",2015109731,"阿昔洛韦滴眼液","无","滴眼剂","8ml:8mg(0.1%)","支","1","低密度聚乙烯","湖北潜江制药股份有限公司",1.24,"修改（支付标准）","医药服务便函〔2021〕5号",109734]
[9112,"XS01ADL052G010010100840","1","利巴韦林","","滴眼剂","",2015137672,"利巴韦林滴眼液","无","滴眼剂","10ml:50mg","瓶","1","塑料瓶","上海信谊金朱药业有限公司",3.06,"修改（支付标准）","医药服务便函〔2021〕5号",137669]
[9117,"XS01AEY040G004010101322","2","氧氟沙星","","眼膏剂","",2015123590,"氧氟沙星眼膏(凝胶型)(含玻璃酸钠)","迪可罗","眼膏剂","3.5g:10.5mg","支","1","铝管","沈阳兴齐眼药股份有限公司",13.71,"修改（支付标准）","医药服务便函〔2021〕5号",123587]
[9123,"XS01AEY040G010010105387","2","氧氟沙星","","滴眼剂","",2015153256,"氧氟沙星滴眼液","无","滴眼剂","10ml:30mg","支","1","塑料瓶","江西珍视明药业有限公司",2.37,"修改（支付标准）","医药服务便函〔2021〕5号",153259]
[9129,"XS01AEZ074G010010100089","1","左氧氟沙星","","滴眼剂","",2015134672,"盐酸左氧氟沙星滴眼液","朗悦","滴眼剂","5ml:15mg","支","1","塑料瓶","北京朋来制药有限公司",6.1,"修改（支付标准）","医药服务便函〔2021〕5号",134676]
[9132,"XS01AEZ074G010010104127","1","左氧氟沙星","","滴眼剂","",2015146487,"盐酸左氧氟沙星滴眼液","无","滴眼剂","5ml:15mg","支","1","低密度聚乙烯","辰欣药业股份有限公司",2.17,"修改（支付标准）","医药服务便函〔2021〕5号",146486]
[9141,"XS01AEZ074G010060107415","1","左氧氟沙星","","滴眼剂","",2015156141,"盐酸左氧氟沙星滴眼液(含玻璃酸钠)","无","滴眼剂","8ml:24mg","瓶","1","塑料瓶","广东宏盈科技有限公司",15.8,"修改（支付标准）","医药服务便函〔2021〕5号",156139]
[9143,"XS01AXQ022G010010101016","1","羟苄唑","","滴眼剂","",2015204609,"盐酸羟苄唑滴眼液","无","滴眼剂","8ml:8mg","瓶","1","低密度聚乙烯","重庆科瑞制药(集团)有限公司",3,"修改（支付标准）","医药服务便函〔2021〕5号",104609]
[9148,"XS01BAF080G010020109591","2","氟米龙","","滴眼剂","",2015144537,"氟米龙滴眼液","氟美童","滴眼剂","5ml:5mg(0.1%)","支","1","塑料瓶","日本参天制药株式会社滋贺工厂Santen Pharmaceutical Co., Ltd. Shiga Plant",16.41,"修改（支付标准）","医药服务便函〔2021〕5号",144539]
[9158,"XS01BCS227G010030100600","2","双氯芬酸钠","","滴眼剂","",2015105666,"双氯芬酸钠滴眼液(含玻璃酸钠)","无","滴眼剂","5ml:5mg","瓶","1","塑料瓶","珠海联邦制药股份有限公司中山分公司",7.69,"修改（支付标准）","医药服务便函〔2021〕5号",105669]
[9159,"XS01BCX230G010010179077","2","溴芬酸钠","","滴眼剂","限眼部手术后炎症",201514635,"溴芬酸钠滴眼液","普罗纳克","滴眼剂","5ml:5mg(0.1%)","支","1","塑料瓶","日本千寿制药株式会社唐津工厂Senju Pharmaceutical Co.,Ltd. Karatsu Plant",52.34,"修改（支付标准）","医药服务便函〔2021〕5号",121070]
[9167,"XS01EBM035G010010104072","1","毛果芸香碱","","滴眼剂","",2015114885,"硝酸毛果芸香碱滴眼液(含玻璃酸钠)","真瑞","滴眼剂","5ml:0.1g","支","1","塑料瓶","山东博士伦福瑞达制药有限公司",14.42,"修改（支付标准）","医药服务便函〔2021〕5号",114883]
[9171,"XS01ECB234G010010178672","2","布林佐胺溴莫尼定","","滴眼剂","限二线用药。",2021171069,"布林佐胺溴莫尼定滴眼液","无","滴眼剂","5ml:布林佐胺50mg,酒石酸溴莫尼定10mg","支","1","低密度聚乙烯","s.a. ALCON-COUVREUR n.v.",63,"修改（支付标准）","医药服务便函〔2021〕5号",171069]
[9176,"XS01EDB212G010010178672","2","布林佐胺噻吗洛尔","","滴眼剂","限二线用药。",2021162668,"布林佐胺噻吗洛尔滴眼液","无","滴眼剂","5ml:布林佐胺50mg,马来酸噻吗洛尔25mg(以噻吗洛尔计)","盒","1","低密度聚乙烯","s.a. ALCON-COUVREUR n.v.",41,"修改（支付标准）","医药服务便函〔2021〕5号",162668]
[9183,"XS01EEL010G010010100225","2","拉坦前列素","","滴眼剂","限二线用药",201514925,"拉坦前列素滴眼液","无","滴眼剂","2.5ml:125μg","瓶","1","塑料瓶","华润紫竹药业有限公司",133.35,"修改（支付标准）","医药服务便函〔2021〕5号",137670]
[9187,"XS01EEQ092G010010101652","2","曲伏前列素","","滴眼剂","限二线用药",2020170944,"曲伏前列素滴眼液","无","滴眼剂","2.5ml:0.1mg","支","1","塑料瓶","苏州工业园区天龙制药有限公司",152.8,"修改（支付标准）","医药服务便函〔2021〕5号",170944]
[9195,"XS01FAT109G010010105319","1","托吡卡胺","","滴眼剂","",2015106919,"托吡卡胺滴眼液","无","滴眼剂","6ml:15mg","瓶","1","塑料瓶","江西科伦药业有限公司",0.98,"修改（支付标准）","医药服务便函〔2021〕5号",106922]
[9200,"XS01GXD041G010010100371","2","氮斯汀","","滴眼剂","",2015128319,"盐酸氮卓斯汀滴眼液","无","滴眼剂","6ml:3mg(0.05%)","瓶","1","低密度聚乙烯","广东众生药业股份有限公司",35.9,"修改（支付标准）","医药服务便函〔2021〕5号",128318]
[9202,"XS01GXY072G010010178672","2","依美斯汀","","滴眼剂","",20152697,"富马酸依美斯汀滴眼液","埃美丁","滴眼剂","5ml:2.5mg","支","1","塑料瓶","比利时s.a. ALCON-COUVREUR n.v.",27.22,"修改（支付标准）","医药服务便函〔2021〕5号",132208]
[9212,"XS01LAA308G003010178269","2","阿柏西普","","眼内注射溶液","限以下疾病：1.50岁以上的湿性年龄相关性黄斑变性（AMD）；2.糖尿病性黄斑水肿（DME）引起的视力损害。应同时符合以下条件：1.需三级综合医院眼科或二级及以上眼科专科医院医师处方；2.首次处方时病眼基线矫正视力0.05-0.5；3.事前审查后方可用，初次申请需有血管造影或OCT（全身情况不允许的患者可以提供OCT血管成像）证据；4.每眼累计最多支付9支，第1年度最多支付5支。阿柏西普、雷珠单抗和康柏西普的药品支数合并计算。",2018163371,"阿柏西普眼内注射溶液","艾力雅","注射液","0.1ml:4mg","盒","1","玻璃瓶(每盒附一个过滤针头)","德国Vetter Pharma-Fertigung GmbH & Co.KG",4100,"修改（支付标准）","医药服务便函〔2021〕5号",163371]
[9213,"XS01LAK119B023010109681","2","康柏西普","","眼用注射液","限以下疾病：1.50岁以上的湿性年龄相关性黄斑变性（AMD）；2.糖尿病性黄斑水肿（DME）引起的视力损害；3.脉络膜新生血管（CNV）导致的视力损害。应同时符合以下条件：1.需三级综合医院眼科或二级及以上眼科专科医院医师处方；2.首次处方时病眼基线矫正视力0.05-0.5；3.事前审查后方可用，初次申请需有血管造影或OCT（全身情况不允许的患者可以提供OCT血管成像）证据；4.每眼累计最多支付9支，第1年度最多支付5支。阿柏西普、雷珠单抗和康柏西普的药品支数合并计算。",2016155177,"康柏西普眼用注射液","朗沐","注射液","0.2ml(10mg/ml)","支","1","玻璃瓶","成都康弘生物科技有限公司",4160,"修改（支付标准）","医药服务便函〔2021〕5号",155169]
[9219,"XS01XAQ020A001010101555","2","羟苯磺酸","","口服常释剂型","",20156111,"羟苯磺酸钙片","利倍思","素片","0.5g","盒","20","铝塑","南京长澳制药有限公司",30.43,"修改（支付标准）","医药服务便函〔2021〕5号",145259]
[9228,"XS01XAQ020E001010205530","2","羟苯磺酸","","口服常释剂型","",2015131702,"羟苯磺酸钙胶囊","安多明","硬胶囊剂","0.25g","盒","48","铝塑","贵州天安药业股份有限公司",34.4,"修改（支付标准）","医药服务便函〔2021〕5号",131695]
[9230,"XS01XAQ020E001010305911","2","羟苯磺酸","","口服常释剂型","",201514763,"羟苯磺酸钙胶囊","昊畅","硬胶囊剂","0.25g","盒","48","铝塑","宁夏康亚药业股份有限公司",35.62,"修改（支付标准）","医药服务便函〔2021〕5号",139473]
[9237,"XS02AAY040Q010010101978","1","氧氟沙星","","滴耳剂","",2015143320,"氧氟沙星滴耳液","无","滴耳剂","5ml:15mg","瓶","1","塑料瓶","武汉五景药业有限公司",1.28,"修改（支付标准）","医药服务便函〔2021〕5号",143322]
[9242,"XV01AAC025X002020201630","2","肠内营养剂(SP)","","口服混悬剂","限重症患者",20152974,"肠内营养混悬液(SP)","百普力","口服混悬剂","500ml(1Kcal/ml)","瓶","1","玻璃瓶","纽迪希亚制药(无锡)有限公司",78.14,"修改（支付标准）","医药服务便函〔2021〕5号",130385]
[9246,"XV01AAC027X002070201630","2","肠内营养剂(TPF)","","口服混悬剂","限重症患者",20153108,"肠内营养混悬液(TPF)","能全力","口服混悬剂","500ml(1kcal/ml)","瓶","1","玻璃瓶","纽迪希亚制药(无锡)有限公司",38.87,"修改（支付标准）","医药服务便函〔2021〕5号",130349]
[9254,"XV01AAC037P004010181018","2","肠内营养粉(AA)","","口服粉剂","限重症患者",2020162842,"肠内营养粉剂(AA)","无","粉剂","80g","瓶","1","玻璃瓶","日本EA制药株式会社福岛工厂EA Pharma Co.,Ltd.Fukushima Plant",68.58,"修改（支付标准）","医药服务便函〔2021〕5号",162842]
[9257,"XV02DEF113A001010202662","2","复方α-酮酸","","口服常释剂型","",2021113190,"复方α-酮酸片","无","薄膜衣片","0.63g","盒","96","铝塑","河北天成药业股份有限公司",129.3,"修改（支付标准）","医药服务便函〔2021〕5号",113190]
[9266,"XV02DXH041B001020101956","2","环磷腺苷","","注射剂","",20159731,"注射用环磷腺苷","无","冻干粉针剂","40mg","瓶","1","玻璃瓶","武汉普生制药有限公司",15.27,"修改（支付标准）","医药服务便函〔2021〕5号",153724]
[9272,"XV02DXS025B001010102092","2","三磷酸腺苷","","注射剂","限急救、抢救",2015158883,"注射用三磷酸腺苷二钠","无","冻干粉针剂","20mg","支","1","玻璃瓶","峨眉山通惠制药有限公司",1.62,"修改（支付标准）","医药服务便函〔2021〕5号",158881]
[9278,"XV02DXS025B002010201866","2","三磷酸腺苷","","注射剂","限急救、抢救",2015150468,"三磷酸腺苷二钠注射液","无","注射液","2ml:20mg","支","1","安瓿","天津金耀集团湖北天药药业股份有限公司",0.6,"修改（支付标准）","医药服务便函〔2021〕5号",150471]
[9281,"XV03ABF079B002010104561","1","氟马西尼","","注射剂","",2015138231,"氟马西尼注射液","无","注射液","10ml:1mg","支","1","安瓿","福安药业集团宁波天衡制药有限公司",45,"修改（支付标准）","医药服务便函〔2021〕5号",138228]
[9289,"XV03ABN007B001010103458","1","纳洛酮","","注射剂","",2015125062,"注射用盐酸纳洛酮","无","冻干粉针剂","0.8mg","支","1","西林瓶","国药一心制药有限公司",14.19,"修改（支付标准）","医药服务便函〔2021〕5号",125061]
[9290,"XV03ABN007B001020104127","1","纳洛酮","","注射剂","",2015135447,"注射用盐酸纳洛酮","无","冻干粉针剂","1.0mg","支","1","西林瓶","辰欣药业股份有限公司",23.87,"修改（支付标准）","医药服务便函〔2021〕5号",135444]
[9298,"XV03ABN007B002010101066","1","纳洛酮","","注射剂","",2015108442,"盐酸纳洛酮注射液","无","注射液","10ml:4.0mg","支","1","安瓿","重庆药友制药有限责任公司",30.41,"修改（支付标准）","医药服务便函〔2021〕5号",108445]
[9301,"XV03ABN007B002010102013","1","纳洛酮","","注射剂","",2015116552,"盐酸纳洛酮注射液","无","注射液","10ml:4.0mg","支","1","安瓿","成都苑东生物制药股份有限公司",13.85,"修改（支付标准）","医药服务便函〔2021〕5号",116555]
[9307,"XV03ABN007B002030401066","1","纳洛酮","","注射剂","",2015108278,"盐酸纳洛酮注射液","无","注射液","1ml:1.0mg","支","1","安瓿","重庆药友制药有限责任公司",5.49,"修改（支付标准）","医药服务便函〔2021〕5号",108281]
[9313,"XV03ACD216A006010178679","2","地拉罗司","","口服常释剂型","",2017141718,"地拉罗司分散片","恩瑞格","分散片","0.125g","盒","28","空","瑞士Novartis Pharma Stein AG",554.4,"修改（支付标准）","医药服务便函〔2021〕5号",141717]
[9322,"XV03AFY023B001020101445","1","亚叶酸钙","","注射剂","",2015135482,"注射用亚叶酸钙","无","冻干粉针剂","25mg","瓶","1","西林瓶","江苏恒瑞医药股份有限公司",5.96,"修改（支付标准）","医药服务便函〔2021〕5号",135479]
[9325,"XV03AFY185B001010101425","2","右丙亚胺（右雷佐生）","","注射剂","限在使用多柔比星后并有心脏损害临床证据。",201511626,"注射用右雷佐生","奥诺先","冻干粉针剂","0.25g","盒","1","配溶媒","江苏奥赛康药业有限公司",356.24,"修改（支付标准）","医药服务便函〔2021〕5号",144004]
[9333,"XV08ABD104B002020178927","1","碘佛醇","","注射剂","",201512675,"碘佛醇注射液","安射力","注射液","100ml:35g(I)","瓶","1","玻璃瓶","加拿大Liebel-Flarsheim Canada Inc",308.91,"修改（支付标准）","医药服务便函〔2021〕5号",147440]
[9337,"XV08ABD104B002040101445","1","碘佛醇","","注射剂","",201511567,"碘佛醇注射液","无","注射液","50ml:33.9g(每1ml含320mg碘)","瓶","1","玻璃瓶","江苏恒瑞医药股份有限公司",114.29,"修改（支付标准）","医药服务便函〔2021〕5号",135812]
[9342,"XV08ABD107B002010100839","1","碘海醇","","注射剂","",2015127072,"碘海醇注射液","欧乃派克","注射液","100ml:35g(I)","瓶","1","玻璃瓶","通用电气药业(上海)有限公司",316.47,"修改（支付标准）","医药服务便函〔2021〕5号",127071]
[9348,"XV08ABD107B002020101749","1","碘海醇","","注射剂","",2021101623,"碘海醇注射液","欧苏","注射液","100ml:35g(I)","瓶","1","玻璃瓶","扬子江药业集团有限公司",295.28,"修改（支付标准）","医药服务便函〔2021〕5号",101623]
[9351,"XV08ABD107B002020104936","1","碘海醇","","注射剂","",2015107690,"碘海醇注射液","无","注射液","100ml:35g(I)","瓶","1","玻璃瓶","湖南金健药业有限责任公司",201.94,"修改（支付标准）","医药服务便函〔2021〕5号",107693]
[9360,"XV08ABD107B002070100014","1","碘海醇","","注射剂","",2015105828,"碘海醇注射液","双北","注射液","75ml:22.5g(I)","瓶","1","玻璃瓶","北京北陆药业股份有限公司",147.45,"修改（支付标准）","医药服务便函〔2021〕5号",105831]
[9366,"XV08ABD113B002010101445","2","碘克沙醇","","注射剂","",2016165815,"碘克沙醇注射液","无","注射液","100ml:32g(I)","瓶","1","玻璃瓶","江苏恒瑞医药股份有限公司",450.03,"修改（支付标准）","医药服务便函〔2021〕5号",135813]
[9367,"XV08ABD113B002010101749","2","碘克沙醇","","注射剂","",2021171655,"碘克沙醇注射液","无","注射液","100ml:27g(I)","瓶","1","玻璃瓶","扬子江药业集团有限公司",521,"修改（支付标准）","医药服务便函〔2021〕5号",171655]
[9377,"XV08ABD115B002020100639","1","碘帕醇","","注射剂","",201510338,"碘帕醇注射液","典比乐","注射液","100ml:37g(I)","瓶","1","玻璃瓶","上海博莱科信谊药业有限责任公司",291.88,"修改（支付标准）","医药服务便函〔2021〕5号",144332]
[9379,"XV08ABD117B002010107785","1","碘普罗胺","","注射剂","",20152729,"碘普罗胺注射液","优维显","注射液","100ml:62.34g","瓶","1","玻璃瓶","德国Bayer Pharma AG",264.94,"修改（支付标准）","医药服务便函〔2021〕5号",128378]
[9384,"XV08CAG002B002010100808","2","钆喷酸葡胺","","注射剂","",20155472,"钆喷酸葡胺注射液","无","注射液","15ml:7.04g(469.01mg/ml)","瓶","1","玻璃瓶","上海旭东海普药业有限公司",100.6,"修改（支付标准）","医药服务便函〔2021〕5号",137880]
[9392,"XV08CAG003B002020178446","1","钆双胺","","注射剂","",201512905,"钆双胺注射液","欧乃影","注射液","15ml:4.305g","瓶","1","玻璃瓶","爱尔兰GE Healthcare Ireland",175.3,"修改（支付标准）","医药服务便函〔2021〕5号",120389]
[9396,"XV08CAG154B002010278271","2","钆布醇","","注射剂","",2021129947,"钆布醇注射液","加乐显","注射液","15ml:9.0708g","瓶","1","玻璃瓶","德国Bayer AG",246.16,"修改（支付标准）","医药服务便函〔2021〕5号",129947]
[9403,"z010101000020004","1","九味羌活丸（颗粒）","","","",2015161368,"九味羌活丸","无","小蜜丸","9g(1.8g/10丸)","盒","6","复合膜","山西华康药业股份有限公司",6.29,"修改（支付标准）","医药服务便函〔2021〕5号",161361]
[9408,"z010102000130037","1","感冒清胶囊（片）","","","",2015120816,"感冒清胶囊","无","硬胶囊剂","0.5g(含对乙酰氨基酚24mg)","瓶","30","塑料瓶","广东省罗浮山白鹤制药厂",4.9,"修改（支付标准）","医药服务便函〔2021〕5号",120813]
[9412,"z010102000150014","1","银翘解毒丸（颗粒、胶囊、片）","","","△",2015129815,"银翘解毒丸(浓缩水丸)","无","浓缩丸","1.5g/10丸","盒","64","铝塑","太极集团重庆中药二厂有限公司",5.23,"修改（支付标准）","医药服务便函〔2021〕5号",129814]
[9419,"z010102000151007","2","银翘解毒合剂（软胶囊、液）","","","△",2015112899,"银翘解毒软胶囊","无","软胶囊(胶丸)","0.45g","瓶","48","塑料瓶","江苏康缘药业股份有限公司（受托生产企业）",35.11,"修改（支付标准）","医药服务便函〔2021〕5号",112897]
[9421,"z010102000210001","2","桑菊感冒丸（颗粒、片）","","","△",2015127005,"桑菊感冒颗粒","无","颗粒剂","11g","盒","10","复合膜","广西日田药业集团有限责任公司",3.9,"修改（支付标准）","医药服务便函〔2021〕5号",127004]
[9431,"z010102000230011","2","维C银翘颗粒（胶囊、片）","","","△",2015126008,"维C银翘片","无","薄膜衣片","含维生素C49.5mg,对乙酰氨基酚105mg,马来酸氯苯那敏1.05mg","袋","12","复合膜","湖北济安堂药业有限公司",0.5,"修改（支付标准）","医药服务便函〔2021〕5号",126007]
[9436,"z010103000330005","1","小柴胡丸（颗粒、胶囊、片）","","","△",2015121083,"小柴胡颗粒(无蔗糖)","无","颗粒剂","3g","盒","20","复合膜","北京亚东生物制药有限公司",14.54,"修改（支付标准）","医药服务便函〔2021〕5号",121080]
[9438,"z010103000340002","2","九味双解口服液","","","△",2015118693,"九味双解口服液","无","合剂(含口服液)","10ml","盒","12","玻璃瓶","吉林恒金药业股份有限公司",25.08,"修改（支付标准）","医药服务便函〔2021〕5号",118696]
[9447,"z010201000441002","2","藿香正气颗粒（胶囊、软胶囊、片、口服液）","","","△",2015103220,"藿香正气胶囊","无","硬胶囊剂","0.3g","盒","48","铝箔","贵州三力制药有限责任公司",19.01,"修改（支付标准）","医药服务便函〔2021〕5号",103225]
[9450,"z010201000441027","2","藿香正气颗粒（胶囊、软胶囊、片、口服液）","","","△",2015145323,"藿香正气片","无","素片","0.3g","盒","36","铝塑","江西心诚药业有限公司",2.8,"修改（支付标准）","医药服务便函〔2021〕5号",145322]
[9456,"z010203000540004","2","午时茶颗粒","","","",2015133878,"午时茶颗粒","无","颗粒剂","6g","包","20","复合膜","葵花药业集团(襄阳)隆中有限公司",28,"修改（支付标准）","医药服务便函〔2021〕5号",133882]
[9462,"z010300000600002","2","苁蓉通便口服液","","","△",2015126105,"苁蓉通便口服液","无","合剂(含口服液)","10ml","盒","6","玻璃瓶","甘肃天水岐黄药业有限责任公司",22.68,"修改（支付标准）","医药服务便函〔2021〕5号",126104]
[9465,"z010401000710007","1","牛黄解毒丸（胶囊、软胶囊、片）","","","",2015121763,"牛黄解毒片(人工牛黄)","无","糖衣片","小片","盒","300","铝箔","广西玉兰制药有限公司",12.08,"修改（支付标准）","医药服务便函〔2021〕5号",121760]
[9473,"z010401000770002","2","清宁丸","","","△",2015157355,"清宁丸","无","浓缩丸","6g","盒","6","复合袋","天津中新药业集团股份有限公司乐仁堂制药厂",28.65,"修改（支付标准）","医药服务便函〔2021〕5号",157353]
[9479,"z010401000820001","2","黄连胶囊","","","",201513937,"黄连胶囊","无","硬胶囊剂","0.25g","瓶","50","塑料瓶","湖北香连药业有限责任公司",17.85,"修改（支付标准）","医药服务便函〔2021〕5号",135228]
[9482,"z010402000830046","1","板蓝根颗粒","","","△",2015129798,"板蓝根颗粒","无","颗粒剂","10g(相当于原生药14g)","盒","40","复合膜","修正药业集团股份有限公司",16.85,"修改（支付标准）","医药服务便函〔2021〕5号",129797]
[9490,"z010402000860010","1","清热解毒颗粒（胶囊、片）","","","△",2015115067,"清热解毒片","无","薄膜衣片","0.52g","盒","48","铝塑","黑龙江澳利达奈德制药有限公司",12.87,"修改（支付标准）","医药服务便函〔2021〕5号",115070]
[9497,"z010402000890003","2","复方双花颗粒（片、口服液）","","","△",20155149,"复方双花片","无","薄膜衣片","0.62g","盒","24","铝塑","陕西康惠制药股份有限公司",16.8,"修改（支付标准）","医药服务便函〔2021〕5号",128580]
[9502,"z010402000940009","2","抗病毒丸（颗粒、胶囊、片、口服液）","","","",2015136105,"抗病毒口服液","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","浙江大德药业集团有限公司",24.98,"修改（支付标准）","医药服务便函〔2021〕5号",136102]
[9506,"z010402000940020","2","抗病毒丸（颗粒、胶囊、片、口服液）","","","",2015161044,"抗病毒口服液","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","安徽东盛友邦制药有限公司",12.03,"修改（支付标准）","医药服务便函〔2021〕5号",161037]
[9509,"z010402000940024","2","抗病毒丸（颗粒、胶囊、片、口服液）","","","",2015125255,"抗病毒口服液(无蔗糖)","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","远大医药黄石飞云制药有限公司",18,"修改（支付标准）","医药服务便函〔2021〕5号",125254]
[9517,"z010402000980010","2","清热散结胶囊（片）","","","△",2015162403,"清热散结胶囊","无","硬胶囊剂","0.35g","盒","60","铝塑","江西普正制药股份有限公司",26.57,"修改（支付标准）","医药服务便函〔2021〕5号",162396]
[9521,"z010402001140003","2","复方鱼腥草合剂（颗粒）","","","",2015115725,"复方鱼腥草合剂","无","合剂(含口服液)","10ml","盒","6","玻璃瓶","浙江国镜药业有限公司",8.43,"修改（支付标准）","医药服务便函〔2021〕5号",115728]
[9526,"z010402001140008","2","复方鱼腥草合剂（颗粒）","","","",2015160122,"复方鱼腥草合剂","无","合剂(含口服液)","10ml","盒","12","玻璃瓶","浙江国镜药业有限公司",16.86,"修改（支付标准）","医药服务便函〔2021〕5号",160115]
[9532,"z010402001140014","2","复方鱼腥草合剂（颗粒）","","","",2015162451,"复方鱼腥草合剂","无","合剂(含口服液)","10ml","盒","18","玻璃瓶","浙江康恩贝中药有限公司",28.48,"修改（支付标准）","医药服务便函〔2021〕5号",162444]
[9541,"z010403101230003","2","清热灵颗粒","","","",2015147785,"清热灵颗粒(无蔗糖)","无","颗粒剂","5g","盒","24","复合膜","正大青春宝药业有限公司",28.48,"修改（支付标准）","医药服务便函〔2021〕5号",147784]
[9544,"z010403201270003","2","复方益肝灵胶囊（片）","","","",20154428,"复方益肝灵片","无","薄膜衣片","21mg(含水飞蓟素以水飞蓟宾计)","瓶","100","塑料瓶","吉林省博维药业有限公司",11.82,"修改（支付标准）","医药服务便函〔2021〕5号",155610]
[9550,"z010403301491001","2","苦黄注射液","","","",20151701,"苦黄注射液","无","注射液","10ml","支","1","安瓿","常熟雷允上制药有限公司",10.07,"修改（支付标准）","医药服务便函〔2021〕5号",142112]
[9556,"z010403401590018","1","复方黄连素片","","","",2015138711,"复方黄连素片","无","糖衣片","30mg(以盐酸小檗碱计)","盒","40","铝箔","四川好医生攀西药业有限责任公司",3.32,"修改（支付标准）","医药服务便函〔2021〕5号",138708]
[9561,"z01040348004a004","2","胃灵颗粒","","","",20154444,"胃灵颗粒","无","颗粒剂","5g","盒","20","复合膜","山东凤凰制药股份有限公司",14.9,"修改（支付标准）","医药服务便函〔2021〕5号",136442]
[9568,"z010501201860015","1","香砂养胃丸（颗粒、胶囊、片）","","","△",2015128867,"香砂养胃丸","无","浓缩丸","每8丸相当于原药材3g","瓶","360","塑料瓶","兰州佛慈制药股份有限公司",25.2,"修改（支付标准）","医药服务便函〔2021〕5号",128866]
[9573,"z010601001910019","1","通宣理肺丸（颗粒、胶囊、片）","","","△",2015151855,"通宣理肺颗粒(无糖型)","无","颗粒剂","3g","盒","12","复合膜","哈尔滨瀚钧现代制药有限公司",19,"修改（支付标准）","医药服务便函〔2021〕5号",151858]
[9576,"z010602002000009","1","蛇胆川贝液","","","△",2015108571,"蛇胆川贝液","无","合剂(含口服液)","10ml","盒","6","空","四川省通园制药集团有限公司",5.38,"修改（支付标准）","医药服务便函〔2021〕5号",108574]
[9580,"z010602002000017","1","蛇胆川贝液","","","△",2015115590,"蛇胆川贝液","无","糖浆剂","10ml","盒","6","空","广西梧州制药(集团)股份有限公司",13.34,"修改（支付标准）","医药服务便函〔2021〕5号",115593]
[9587,"z010602002000025","1","蛇胆川贝液","","","△",2015159164,"蛇胆川贝液(无糖型)","无","合剂(含口服液)","240ml","瓶","1","塑料瓶","安徽安科余良卿药业有限公司",59.6,"修改（支付标准）","医药服务便函〔2021〕5号",159162]
[9592,"z010602002060002","2","牛黄蛇胆川贝散（胶囊、片、滴丸、液）","","","△",201514898,"牛黄蛇胆川贝胶囊(人工牛黄)","无","硬胶囊剂","0.5g","盒","36","铝塑","合肥今越制药有限公司",39.06,"修改（支付标准）","医药服务便函〔2021〕5号",103882]
[9596,"z010603002180033","1","橘红丸（颗粒、胶囊、片）","","","△",2015129825,"橘红丸","无","浓缩丸","3g(0.3g/10丸)","盒","9","复合膜","太极集团重庆中药二厂有限公司",4.41,"修改（支付标准）","医药服务便函〔2021〕5号",129824]
[9603,"z010603002240044","2","强力枇杷露（胶囊）","","","△",2015154887,"强力枇杷露","无","糖浆剂","150ml","瓶","1","塑料瓶","山东华信制药集团股份有限公司",7.71,"修改（支付标准）","医药服务便函〔2021〕5号",154890]
[9611,"z010603002350003","2","银杏露","","","",2015136074,"银杏露","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","浙江大德药业集团有限公司",25.87,"修改（支付标准）","医药服务便函〔2021〕5号",136071]
[9615,"z010603002370005","2","天一止咳糖浆","","","",2015110568,"天一止咳糖浆","无","糖浆剂","120ml","瓶","1","塑料瓶","西安天一秦昆制药有限责任公司",26.83,"修改（支付标准）","医药服务便函〔2021〕5号",110566]
[9620,"z010604002440007","2","竹沥合剂（胶囊）","","","",20154955,"竹沥合剂","无","合剂(含口服液)","20ml","盒","6","玻璃瓶","杭州天目山药业股份有限公司",6.75,"修改（支付标准）","医药服务便函〔2021〕5号",162184]
[9627,"z01060408006a011","2","半夏露(糖浆）","","","",2015159478,"半夏糖浆","无","糖浆剂","100ml","瓶","1","塑料瓶","江苏亚邦生缘药业有限公司",10.83,"修改（支付标准）","医药服务便函〔2021〕5号",159476]
[9631,"z010605002520002","2","固本咳喘胶囊（片）","","","△",20151229,"固本咳喘胶囊","无","硬胶囊剂","0.4g","盒","36","铝塑","江西银涛药业有限公司",20.84,"修改（支付标准）","医药服务便函〔2021〕5号",144940]
[9639,"z010701002640003","2","安脑丸（片）","","","",2015148852,"安脑片(人工牛黄)","无","薄膜衣片","0.5g","盒","8","铝塑","哈尔滨蒲公英药业有限公司",27.63,"修改（支付标准）","医药服务便函〔2021〕5号",148851]
[9640,"z010701002640004","2","安脑丸（片）","","","",2015124915,"安脑丸(人工牛黄)","无","小蜜丸","3g(3g/11粒)","盒","6","塑料壳","哈尔滨蒲公英药业有限公司",47.08,"修改（支付标准）","医药服务便函〔2021〕5号",124912]
[9650,"z010702002750001","2","神香苏合丸","","","",2015128376,"神香苏合丸(人工麝香)","无","水丸","0.7g","盒","2","空","杭州胡庆余堂药业有限公司",18.73,"修改（支付标准）","医药服务便函〔2021〕5号",128375]
[9655,"z010901102821005","2","补中益气合剂（片、口服液）","","","△",2015126252,"补中益气片","无","素片","0.46g","盒","30","铝塑","陕西利君现代中药有限公司",10.63,"修改（支付标准）","医药服务便函〔2021〕5号",126251]
[9657,"z010901102821008","2","补中益气合剂（片、口服液）","","","△",2015145389,"补中益气口服液","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","浙江爱诺生物药业股份有限公司",19.27,"修改（支付标准）","医药服务便函〔2021〕5号",145388]
[9663,"z010901102860008","2","黄芪颗粒（片）","","","△",2015142978,"黄芪片","无","薄膜衣片","0.55g","盒","40","复合膜","四川国康药业有限公司",32.35,"修改（支付标准）","医药服务便函〔2021〕5号",142980]
[9672,"z010901102900009","2","复方猴头颗粒（胶囊）","","","",2015132580,"复方猴头颗粒","无","颗粒剂","5g(硫糖铝0.5g,次硝酸铋0.2g,三硅酸镁0.25g)","盒","12","复合膜","台州南峰药业有限公司",12.2,"修改（支付标准）","医药服务便函〔2021〕5号",132584]
[9674,"z010901202910024","1","香砂六君丸","","","△",2015131189,"香砂六君丸","无","水丸","6g(6g/100粒)","盒","12","复合膜","北京同仁堂制药有限公司",13.16,"修改（支付标准）","医药服务便函〔2021〕5号",131193]
[9681,"z010902003060011","1","归脾丸（合剂）","","","",2015162077,"归脾丸","无","浓缩丸","3g/8丸","瓶","200","塑料瓶","兰州佛慈制药股份有限公司",14.34,"修改（支付标准）","医药服务便函〔2021〕5号",162070]
[9686,"z010902003060039","1","归脾丸（合剂）","","","",2015134695,"归脾丸","无","浓缩丸","3g/8丸","瓶","200","高密度聚乙烯","上海华源制药安徽广生药业有限公司",7.23,"修改（支付标准）","医药服务便函〔2021〕5号",134699]
[9690,"z010902003060051","1","归脾丸（合剂）","","","",2015161679,"归脾丸","无","水蜜丸","6g(10g/100丸)","盒","6","复合膜","山西华康药业股份有限公司",4.63,"修改（支付标准）","医药服务便函〔2021〕5号",161672]
[9698,"z010903103230020","1","六味地黄丸","","","△",2015106662,"六味地黄丸","无","浓缩丸","1.44g(相当于原药材3g)/8丸","瓶","200","塑料瓶","仲景宛西制药股份有限公司",25.22,"修改（支付标准）","医药服务便函〔2021〕5号",106665]
[9701,"z010903103230025","1","六味地黄丸","","","△",2015115599,"六味地黄丸","无","大蜜丸","9g","盒","10","塑料壳","广西梧州制药(集团)股份有限公司",13.49,"修改（支付标准）","医药服务便函〔2021〕5号",115602]
[9710,"z010903103230040","1","六味地黄丸","","","△",2015135377,"六味地黄丸","无","水蜜丸","60g","瓶","1","塑料瓶","福州海王金象中药制药有限公司",24.99,"修改（支付标准）","医药服务便函〔2021〕5号",135374]
[9716,"z010903103230050","1","六味地黄丸","","","△",2015154262,"六味地黄丸","无","水蜜丸","6g","盒","10","复合膜","浙江天一堂药业有限公司",25.69,"修改（支付标准）","医药服务便函〔2021〕5号",154265]
[9721,"z010903103230058","1","六味地黄丸","","","△",2015125307,"六味地黄丸","无","小蜜丸","120g","瓶","1","塑料瓶","九芝堂股份有限公司",23.65,"修改（支付标准）","医药服务便函〔2021〕5号",125306]
[9725,"z010903103231008","2","六味地黄颗粒（胶囊、片）","","","△",2015116907,"六味地黄胶囊","无","硬胶囊剂","0.3g","盒","60","铝箔","广西鸿博原生制药有限公司",31.62,"修改（支付标准）","医药服务便函〔2021〕5号",116910]
[9728,"z010903103231013","2","六味地黄颗粒（胶囊、片）","","","△",2015150739,"六味地黄胶囊","无","硬胶囊剂","0.3g","盒","48","铝箔","葵花药业集团（吉林）临江有限公司",45.52,"修改（支付标准）","医药服务便函〔2021〕5号",150742]
[9734,"z010903103231020","2","六味地黄颗粒（胶囊、片）","","","△",2015120608,"六味地黄胶囊","无","硬胶囊剂","0.5g","瓶","48","塑料瓶","贵州圣济堂制药有限公司",29.74,"修改（支付标准）","医药服务便函〔2021〕5号",120605]
[9740,"z010903103231031","2","六味地黄颗粒（胶囊、片）","","","△",2015161162,"六味地黄胶囊","无","硬胶囊剂","0.5g","盒","36","铝塑","杨凌生物医药科技股份有限公司",13.49,"修改（支付标准）","医药服务便函〔2021〕5号",161155]
[9745,"z010903103240010","1","知柏地黄丸","","","△",2015106584,"知柏地黄丸","无","大蜜丸","9g","盒","10","蜡壳","国药集团冯了性（佛山）药业有限公司",15.87,"修改（支付标准）","医药服务便函〔2021〕5号",106587]
[9751,"z010903103240021","1","知柏地黄丸","","","△",2015145988,"知柏地黄丸","无","浓缩丸","1.7g/10丸","瓶","200","塑料瓶","江西药都樟树制药有限公司",6.76,"修改（支付标准）","医药服务便函〔2021〕5号",145987]
[9757,"z010903103240028","1","知柏地黄丸","","","△",2015126684,"知柏地黄丸","无","水蜜丸","60g","瓶","1","塑料瓶","太极集团重庆中药二厂有限公司",10.76,"修改（支付标准）","医药服务便函〔2021〕5号",126683]
[9760,"z010903103240032","1","知柏地黄丸","","","△",2015161574,"知柏地黄丸","无","水蜜丸","60g","瓶","1","塑料瓶","广东逢春制药有限公司",25,"修改（支付标准）","医药服务便函〔2021〕5号",161567]
[9769,"z010903103260002","2","苁蓉益肾颗粒","","","△",20157327,"苁蓉益肾颗粒","无","颗粒剂","2g","盒","10","复合膜","内蒙古兰太药业有限责任公司",58.34,"修改（支付标准）","医药服务便函〔2021〕5号",141943]
[9771,"z010903103300006","2","参麦地黄丸","","","",2015161393,"参麦地黄丸","无","水蜜丸","9g(3g/40粒)","盒","8","复合膜","福州海王金象中药制药有限公司",37.67,"修改（支付标准）","医药服务便函〔2021〕5号",161386]
[9781,"z010903103320003","2","消疲灵颗粒","","","",2015136713,"消疲灵颗粒(无糖型)","无","颗粒剂","6g","包","8","铝塑","浙江大德药业集团有限公司",38.48,"修改（支付标准）","医药服务便函〔2021〕5号",136710]
[9786,"z010903203390004","2","黄芪生脉饮","","","",2015105295,"黄芪生脉饮(无糖型)","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","江西南昌济生制药有限责任公司",13.07,"修改（支付标准）","医药服务便函〔2021〕5号",105298]
[9792,"z010903303410025","1","杞菊地黄丸（胶囊、片）","","","△",2015155006,"杞菊地黄胶囊","无","硬胶囊剂","0.3g","盒","90","塑料瓶","昆明中药厂有限公司",13.59,"修改（支付标准）","医药服务便函〔2021〕5号",155004]
[9795,"z010903303410036","1","杞菊地黄丸（胶囊、片）","","","△",2015108134,"杞菊地黄丸","无","浓缩丸","每8丸相当于原药材3g","盒","192","铝塑","兰州太宝制药有限公司",10.24,"修改（支付标准）","医药服务便函〔2021〕5号",108137]
[9799,"z010903303410041","1","杞菊地黄丸（胶囊、片）","","","△",2015133487,"杞菊地黄丸","无","浓缩丸","每8丸相当于原药材3g","瓶","200","塑料瓶","芜湖张恒春药业有限公司",5.85,"修改（支付标准）","医药服务便函〔2021〕5号",133491]
[9804,"z010903303410047","1","杞菊地黄丸（胶囊、片）","","","△",2015150415,"杞菊地黄丸","无","水蜜丸","60g","瓶","1","塑料瓶","广东联康药业有限公司",6.24,"修改（支付标准）","医药服务便函〔2021〕5号",150418]
[9811,"z010903303410059","1","杞菊地黄丸（胶囊、片）","","","△",2015124695,"杞菊地黄丸","无","水蜜丸","6g(1g/20丸)","盒","20","复合膜","太极集团重庆桐君阁药厂有限公司",55.21,"修改（支付标准）","医药服务便函〔2021〕5号",124692]
[9815,"z010903303410065","1","杞菊地黄丸（胶囊、片）","","","△",2015158330,"杞菊地黄丸","无","水蜜丸","6g","盒","9","复合膜","爱民药业集团股份有限公司",22.5,"修改（支付标准）","医药服务便函〔2021〕5号",158328]
[9823,"z010904003500021","1","金匮肾气丸（片）","","","△",2015161700,"金匮肾气丸","无","水蜜丸","40g(20g/100粒)","瓶","1","塑料瓶","山东大陆药业有限公司",4.55,"修改（支付标准）","医药服务便函〔2021〕5号",161693]
[9830,"z010906003560004","2","补肾益脑丸（胶囊、片）","","","△",201512223,"补肾益脑胶囊","无","硬胶囊剂","0.27g","盒","24","铝塑","浙江优胜美特中药有限公司",11.4,"修改（支付标准）","医药服务便函〔2021〕5号",133048]
[9834,"z010906003560011","2","补肾益脑丸（胶囊、片）","","","△",20158439,"补肾益脑丸(浓缩水丸)","无","浓缩丸","2g/10丸","瓶","100","塑料瓶","牡丹江灵泰药业股份有限公司",40.2,"修改（支付标准）","医药服务便函〔2021〕5号",105969]
[9840,"z010907003710007","2","生脉饮（片）（党参方）","","","△",2015120440,"生脉片(党参方)","无","糖衣片","/","盒","54","铝箔","四川森科制药有限公司",20.36,"修改（支付标准）","医药服务便函〔2021〕5号",120437]
[9847,"z010907003790007","2","益脑胶囊（片）","","","△",2015111744,"益脑片","无","薄膜衣片","0.3g","盒","60","铝塑","贵州三仁堂药业有限公司",41.2,"修改（支付标准）","医药服务便函〔2021〕5号",111740]
[9852,"z010908003810011","1","参麦注射液","","","限急症，重症或住院病人用药。",2015106312,"参麦注射液","无","注射液","100ml","瓶","1","玻璃瓶","正大青春宝药业有限公司",97.17,"修改（支付标准）","医药服务便函〔2021〕5号",106315]
[9856,"z010908003810019","1","参麦注射液","","","限急症，重症或住院病人用药。",2015131961,"参麦注射液","无","注射液","10ml","支","1","安瓿","云南植物药业有限公司",2.25,"修改（支付标准）","医药服务便函〔2021〕5号",131965]
[9863,"z010908003820010","1","生脉饮（颗粒、胶囊）","","","△",2015112590,"生脉胶囊","无","硬胶囊剂","0.35g","盒","60","铝箔","国药集团宜宾制药有限责任公司",25.7,"修改（支付标准）","医药服务便函〔2021〕5号",112588]
[9865,"z010908003820014","1","生脉饮（颗粒、胶囊）","","","△",2015123273,"生脉颗粒(党参方)","无","颗粒剂","10g","盒","9","复合膜","山西迈迪制药有限公司",7.62,"修改（支付标准）","医药服务便函〔2021〕5号",123270]
[9870,"z010908003820019","1","生脉饮（颗粒、胶囊）","","","△",2015156759,"生脉颗粒(党参方)","无","颗粒剂","10g","盒","12","复合膜","广西玉兰制药有限公司",7.18,"修改（支付标准）","医药服务便函〔2021〕5号",156757]
[9880,"z011001003860021","1","天王补心丸（片）","","","",2015108036,"天王补心丸","无","浓缩丸","每8丸相当于原生药3g","瓶","200","塑料瓶","安徽泰恩康制药有限公司",7.16,"修改（支付标准）","医药服务便函〔2021〕5号",108039]
[9882,"z011001003860037","1","天王补心丸（片）","","","",2015143615,"天王补心丸","无","大蜜丸","9g","盒","10","铝箔","江苏平光信谊(焦作)中药有限公司",4.62,"修改（支付标准）","医药服务便函〔2021〕5号",143617]
[9891,"z011002003940011","2","七叶神安片","","","",2015159226,"七叶神安片","无","薄膜衣片","0.3g(含三七叶总皂苷50mg)","盒","24","铝塑","昆明制药集团股份有限公司",6.6,"修改（支付标准）","医药服务便函〔2021〕5号",159224]
[9894,"z011002003950003","2","养血安神丸（糖浆、颗粒、片）","","","△",2015119178,"养血安神颗粒(无蔗糖)","无","颗粒剂","3g","盒","10","镀铝膜","河北万岁药业有限公司",18,"修改（支付标准）","医药服务便函〔2021〕5号",119181]
[9900,"z011002003950022","2","养血安神丸（糖浆、颗粒、片）","","","△",2015148517,"养血安神片","无","糖衣片","0.25g(基片重)(相当于总药材1.1g)","盒","36","铝箔","广西梧州制药(集团)股份有限公司",5.9,"修改（支付标准）","医药服务便函〔2021〕5号",148516]
[9905,"z011004003990007","2","安神补脑颗粒（胶囊、片、液）","","","△",2015105000,"安神补脑片","无","薄膜衣片","0.31g","盒","24","铝塑","通化茂祥制药有限公司",27.3,"修改（支付标准）","医药服务便函〔2021〕5号",105003]
[9909,"z011004003990011","2","安神补脑颗粒（胶囊、片、液）","","","△",2015140587,"安神补脑液","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","吉林敖东延边药业股份有限公司",21.73,"修改（支付标准）","医药服务便函〔2021〕5号",140589]
[9917,"z011100004060014","1","槐角丸","","","△",2015159938,"槐角丸","无","大蜜丸","9g","盒","10","铝箔","洛阳顺势药业有限公司",6.24,"修改（支付标准）","医药服务便函〔2021〕5号",159936]
[9924,"z011201004180006","1","血栓心脉宁胶囊（片）","","","",2015112421,"血栓心脉宁胶囊(人工牛黄、人工麝香)","无","硬胶囊剂","0.5g","盒","80","铝箔","通化金恺威药业有限公司",23.48,"修改（支付标准）","医药服务便函〔2021〕5号",112419]
[9929,"z011202004440002","1","香丹注射液","","","",2015106335,"香丹注射液","无","注射液","10ml","支","1","安瓿","正大青春宝药业有限公司",4.54,"修改（支付标准）","医药服务便函〔2021〕5号",106338]
[9934,"z011202004440024","1","香丹注射液","","","",2015118608,"香丹注射液","无","注射液","2ml","支","1","安瓿","湖北天圣药业有限公司",1.24,"修改（支付标准）","医药服务便函〔2021〕5号",118611]
[9935,"z011202004440028","1","香丹注射液","","","",2015145741,"香丹注射液","无","注射液","20ml","支","1","安瓿","四川升和药业股份有限公司",6.5,"修改（支付标准）","医药服务便函〔2021〕5号",145740]
[9941,"z011203004580015","1","丹参注射液","","","限心脑血管病，缺血性周围血管病",2015152568,"丹参注射液","无","注射液","2ml","支","1","安瓿","河南同源制药有限公司",1.08,"修改（支付标准）","医药服务便函〔2021〕5号",152571]
[9946,"z011207004800012","2","红花注射液","","","",20151614,"红花注射液","无","注射液","20ml","支","1","安瓿","山西华卫药业有限公司",30.77,"修改（支付标准）","医药服务便函〔2021〕5号",111957]
[9953,"z01120707004d002","2","银杏叶丸（片、口服液、颗粒、胶囊、滴丸）","","","",2015128622,"银杏叶颗粒","无","颗粒剂","2g(相当于银杏叶提取物80mg)","盒","20","铝塑","山东中健康桥制药有限公司",23.04,"修改（支付标准）","医药服务便函〔2021〕5号",128621]
[9961,"z01120707004d023","2","银杏叶丸（片、口服液、颗粒、胶囊、滴丸）","","","",2015100877,"银杏叶片","无","薄膜衣片","含总黄酮醇苷9.6mg,萜类内酯2.4mg","盒","36","铝塑","扬子江药业集团有限公司",17.35,"修改（支付标准）","医药服务便函〔2021〕5号",100882]
[9965,"z01120707004d041","2","银杏叶丸（片、口服液、颗粒、胶囊、滴丸）","","","",2015112374,"银杏叶胶囊","无","硬胶囊剂","0.25g(含总黄酮醇苷40mg,萜类内酯10mg)","瓶","20","塑料瓶","湖南华宝通制药有限公司",27.77,"修改（支付标准）","医药服务便函〔2021〕5号",112372]
[9970,"z01120707004d048","2","银杏叶丸（片、口服液、颗粒、胶囊、滴丸）","","","",2015152050,"银杏叶胶囊","无","硬胶囊剂","含总黄酮醇苷9.6mg,萜类内酯2.4mg","盒","36","铝箔","桂林红会药业有限公司",13.55,"修改（支付标准）","医药服务便函〔2021〕5号",152053]
[9976,"z01120707004d056","2","银杏叶丸（片、口服液、颗粒、胶囊、滴丸）","","","",2015102387,"银杏叶片","无","薄膜衣片","0.5g(含总黄酮醇苷19.2mg,萜类内酯4.8mg)","盒","24","铝塑","大连美罗中药厂有限公司",33.19,"修改（支付标准）","医药服务便函〔2021〕5号",102392]
[9979,"z01120707004d061","2","银杏叶丸（片、口服液、颗粒、胶囊、滴丸）","","","",2015106945,"银杏叶片","无","薄膜衣片","含总黄酮醇苷9.6mg,萜类内酯2.4mg","盒","24","铝箔","仲景宛西制药股份有限公司",20.15,"修改（支付标准）","医药服务便函〔2021〕5号",106948]
[9988,"z01120707006d006","2","银杏酮酯颗粒（片、胶囊、滴丸）","","","",2015134671,"银杏酮酯滴丸","无","滴丸","每丸含银杏酮酯10mg","瓶","80","塑料瓶","浙江九旭药业有限公司",61.42,"修改（支付标准）","医药服务便函〔2021〕5号",134675]
[9994,"z01120707009d009","2","舒血宁注射液（银杏叶注射液）","","","",20152546,"舒血宁注射液","无","注射液","5ml","支","1","安瓿","黑龙江珍宝岛药业股份有限公司",13.42,"修改（支付标准）","医药服务便函〔2021〕5号",116791]
[10000,"z01120707011d002","2","银杏叶提取物片（滴剂）","","","",20157097,"银杏叶提取物滴剂","金纳多","滴剂","30ml:1.2g","瓶","1","玻璃瓶","德国威玛舒培博士药厂Dr. Willmar Schwabe GmbH & Co. KG",52.4,"修改（支付标准）","医药服务便函〔2021〕5号",142059]
[10005,"z011208005060006","2","消栓通络颗粒（胶囊、片）","","","△",20154775,"消栓通络胶囊","无","硬胶囊剂","0.37g","盒","72","铝塑","吉林省东北亚药业股份有限公司",33.66,"修改（支付标准）","医药服务便函〔2021〕5号",109040]
[10007,"z011208005150001","2","血脉通胶囊","","","",20158788,"血脉通胶囊","无","硬胶囊剂","0.26g","盒","36","铝塑","贵州益康制药有限公司",28.92,"修改（支付标准）","医药服务便函〔2021〕5号",105857]
[10014,"z01120807012d004","1","血栓通注射液","","","",2015105915,"血栓通注射液","无","注射液","5ml:0.175g","支","1","安瓿","丽珠集团利民制药厂",6.74,"修改（支付标准）","医药服务便函〔2021〕5号",105918]
[10018,"z01120807016d007","2","灯盏花素注射液","","","",2015153307,"灯盏花素注射液","无","注射液","5ml:20mg","支","1","安瓿","朗致集团万荣药业有限公司",5.94,"修改（支付标准）","医药服务便函〔2021〕5号",153310]
[10024,"z01120807018d011","2","血塞通颗粒(胶囊、片）","","","",2015130170,"血塞通胶囊","无","硬胶囊剂","0.1g","盒","24","铝塑","云南白药集团文山七花有限责任公司",50.31,"修改（支付标准）","医药服务便函〔2021〕5号",130174]
[10031,"z01120807018d019","2","血塞通颗粒(胶囊、片）","","","",2015151022,"血塞通片","无","薄膜衣片","0.1g","盒","12","铝箔","湖南绅泰春药业有限公司",26.65,"修改（支付标准）","医药服务便函〔2021〕5号",151025]
[10036,"z01120807018d024","2","血塞通颗粒(胶囊、片）","","","",2015151079,"血塞通片","无","薄膜衣片","50mg","盒","20","铝箔","湖南绅泰春药业有限公司",22.22,"修改（支付标准）","医药服务便函〔2021〕5号",151082]
[10040,"z01120807018d028","2","血塞通颗粒(胶囊、片）","","","",2015109794,"血塞通片","无","薄膜衣片","86mg(含三七总皂苷50mg)","盒","40","铝塑","云南维和药业股份有限公司",37.77,"修改（支付标准）","医药服务便函〔2021〕5号",109797]
[10047,"z011209005170014","2","大黄虫丸（胶囊、片）","","","",20155831,"大黄蟅虫丸","无","水蜜丸","60g(0.72g/10丸)","瓶","1","塑料瓶","广东三蓝药业股份有限公司",21.57,"修改（支付标准）","医药服务便函〔2021〕5号",108153]
[10055,"z011301005280058","1","逍遥丸（颗粒）","","","△",2015126641,"逍遥丸","无","浓缩丸","每8丸相当于原药材3g","瓶","200","塑料瓶","太极集团重庆中药二厂有限公司",10.07,"修改（支付标准）","医药服务便函〔2021〕5号",126640]
[10059,"z011302005420044","1","元胡止痛颗粒（胶囊、片、滴丸）","","","△",2015153774,"元胡止痛胶囊","无","硬胶囊剂","0.25g","盒","40","铝塑","广西圣保堂健康产业股份有限公司",8.97,"修改（支付标准）","医药服务便函〔2021〕5号",153777]
[10064,"z011302005480001","2","加味左金丸","","","△",2017161743,"加味左金丸","无","水丸","6g(6g/100粒)","瓶","10","复合膜","北京同仁堂制药有限公司",14.59,"修改（支付标准）","医药服务便函〔2021〕5号",161743]
[10071,"z011400005700045","1","保和丸（颗粒、片）","","","",2015129079,"保和颗粒","无","颗粒剂","4.5g","盒","9","铝塑","兰州和盛堂制药有限公司",6.72,"修改（支付标准）","医药服务便函〔2021〕5号",129078]
[10075,"z011400005850003","2","消食健胃片","","","",2015139233,"消食健胃片","无","素片","0.5g","盒","40","铝塑","北京九龙制药有限公司",4.6,"修改（支付标准）","医药服务便函〔2021〕5号",139230]
[10078,"z011501005860002","1","川芎茶调丸（散、颗粒、片）","","","",2015101769,"川芎茶调颗粒(无蔗糖)","无","颗粒剂","4g(相当于饮片7.35g)","盒","16","复合膜","四川志远嘉宝药业有限责任公司",28.85,"修改（支付标准）","医药服务便函〔2021〕5号",101774]
[10084,"z011501005930004","2","头风痛丸（胶囊）","","","△",2015162348,"头风痛丸","无","水丸","6g","盒","8","复合膜","甘肃佛仁制药科技有限公司",21.16,"修改（支付标准）","医药服务便函〔2021〕5号",162341]
[10089,"z011502006020006","2","强力定眩胶囊（片）","","","△",2015145225,"强力定眩胶囊","无","硬胶囊剂","0.4g","盒","48","铝塑","江西银涛药业有限公司",33.33,"修改（支付标准）","医药服务便函〔2021〕5号",145224]
[10099,"z011502006050011","2","全天麻胶囊（片）","","","△",2015159101,"全天麻片","无","薄膜衣片","0.6g","盒","36","铝塑","翔宇药业股份有限公司",16.63,"修改（支付标准）","医药服务便函〔2021〕5号",159099]
[10101,"z011502006050013","2","全天麻胶囊（片）","","","△",2015159166,"全天麻片","无","薄膜衣片","0.6g","盒","54","铝塑","翔宇药业股份有限公司",25.3,"修改（支付标准）","医药服务便函〔2021〕5号",159164]
[10108,"z011507006340002","1","华佗再造丸","","","",2015108365,"华佗再造丸(浓缩水蜜丸)","无","浓缩丸","8g","盒","12","复合膜","广州白云山奇星药业有限公司",35.65,"修改（支付标准）","医药服务便函〔2021〕5号",108368]
[10113,"z011507006440014","2","小活络丸（片）","","","",2015160700,"小活络丸","无","大蜜丸","3g","盒","10","铝箔","河北恒祥医药集团扁鹊制药有限公司",6.25,"修改（支付标准）","医药服务便函〔2021〕5号",160693]
[10118,"z011601006610002","2","复方追风膏","","","△",2015162447,"复方追风膏(人工麝香)","无","橡胶膏剂","11cm×15cm","盒","12","复合膜","重庆陪都药业股份有限公司",40.34,"修改（支付标准）","医药服务便函〔2021〕5号",162440]
[10125,"z011606006970007","2","复方石淋通胶囊（片）","","","",2015121199,"复方石淋通片","无","薄膜衣片","0.45g","盒","36","铝塑","吉林吉春制药股份有限公司",6.24,"修改（支付标准）","医药服务便函〔2021〕5号",121196]
[10130,"z011607007190007","1","癃闭舒胶囊（片）","","","",2015160069,"癃闭舒片","无","薄膜衣片","0.3g","盒","24","铝塑","石家庄科迪药业有限公司",23.61,"修改（支付标准）","医药服务便函〔2021〕5号",160062]
[10136,"z011608007340007","2","肾康宁颗粒（胶囊、片）","","","△",20155583,"肾康宁片","无","薄膜衣片","0.33g","瓶","80","塑料瓶","正大青春宝药业有限公司",9.09,"修改（支付标准）","医药服务便函〔2021〕5号",106420]
[10142,"z020102007750002","1","锡类散","","","",2015102090,"锡类散(人工牛黄)","无","散剂","1g","瓶","1","塑料瓶","太极集团浙江东方制药有限公司",2.45,"修改（支付标准）","医药服务便函〔2021〕5号",102095]
[10145,"z020102008040011","2","珍黄胶囊","","","",2015142915,"珍黄胶囊(人工牛黄)","无","硬胶囊剂","0.2g","盒","24","铝塑","浙江天一堂药业有限公司",16.71,"修改（支付标准）","医药服务便函〔2021〕5号",142917]
[10149,"z020103008050002","1","马应龙麝香痔疮膏","","","△",2015111283,"马应龙麝香痔疮膏(人工牛黄、人工麝香)","无","软膏剂","10g","支","1","铝塑","马应龙药业集团股份有限公司",7.89,"修改（支付标准）","医药服务便函〔2021〕5号",111281]
[10154,"z020103008200001","2","石淋通冲剂","","","",20154531,"石淋通颗粒","无","颗粒剂","15g(相当于总药材15g)","包","10","复合膜","广西圣特药业有限公司",1.87,"修改（支付标准）","医药服务便函〔2021〕5号",120299]
[10160,"z020104008240009","2","金钱草颗粒（胶囊、片）","","","",2015152874,"金钱草颗粒","无","颗粒剂","10g","包","18","复合膜","重庆东方药业股份有限公司",12.3,"修改（支付标准）","医药服务便函〔2021〕5号",152877]
[10169,"z030100008430001","2","复方红豆杉胶囊","","","限中晚期肿瘤",20153689,"复方红豆杉胶囊","无","硬胶囊剂","0.3g","盒","12","铝塑","重庆赛诺生物药业股份有限公司",225.08,"修改（支付标准）","医药服务便函〔2021〕5号",142494]
[10172,"z030100008490002","2","消癌平丸（胶囊、片）","","","限中晚期肿瘤",20159387,"通关藤片","无","薄膜衣片","0.32g","盒","120","铝塑","陕西健民制药有限公司",49.33,"修改（支付标准）","医药服务便函〔2021〕5号",133230]
[10178,"z030100008491003","2","消癌平注射液","","","限中晚期肿瘤",20156663,"通关藤注射液(静脉注射)","无","注射液","20ml","支","1","安瓿","南京圣和药业股份有限公司",201.17,"修改（支付标准）","医药服务便函〔2021〕5号",145975]
[10184,"z030100008500013","2","鸦胆子油软胶囊（口服乳液）","","","限中晚期肿瘤",201513949,"鸦胆子油软胶囊","无","软胶囊(胶丸)","0.53g","瓶","48","铝塑","华润三九(南昌)药业有限公司",171.07,"修改（支付标准）","医药服务便函〔2021〕5号",111124]
[10189,"z030200008610001","2","金复康口服液","","","限肺癌",20154654,"金复康口服液","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","吉林三九金复康药业有限公司",62.85,"修改（支付标准）","医药服务便函〔2021〕5号",153326]
[10196,"z030200008680010","2","贞芪扶正颗粒（胶囊、片）","","","限恶性肿瘤放疗或化疗辅助用药。",2015124614,"贞芪扶正胶囊","无","硬胶囊剂","每6粒相当于原生药12.5g","瓶","48","塑料瓶","甘肃兰药药业有限公司",25.64,"修改（支付标准）","医药服务便函〔2021〕5号",124611]
[10198,"z030200008680012","2","贞芪扶正颗粒（胶囊、片）","","","限恶性肿瘤放疗或化疗辅助用药。",2015112423,"贞芪扶正颗粒","无","颗粒剂","15g","盒","6","复合膜","湖南华宝通制药有限公司",10.02,"修改（支付标准）","医药服务便函〔2021〕5号",112421]
[10207,"z03020007027d005","2","百令胶囊（片）","","","限器官移植后抗排异，脏器衰竭，慢性肾病，慢性阻塞性肺疾患，支气管哮喘，肺纤维化或免疫功能低下。",2015124665,"百令片","无","薄膜衣片","0.45g(相当于发酵虫草菌粉0.2g)","盒","60","铝塑","青海珠峰冬虫夏草药业有限公司",49.72,"修改（支付标准）","医药服务便函〔2021〕5号",124662]
[10213,"z03020007030d006","2","宁心宝胶囊","","","限器官移植后抗排异，脏器衰竭，慢性肾病，慢性阻塞性肺疾患，支气管哮喘，肺纤维化或免疫功能低下。",2015139583,"宁心宝胶囊","无","硬胶囊剂","0.25g","瓶","50","塑料瓶","上海普康药业有限公司",18.01,"修改（支付标准）","医药服务便函〔2021〕5号",139580]
[10215,"z03020007030d009","2","宁心宝胶囊","","","限器官移植后抗排异，脏器衰竭，慢性肾病，慢性阻塞性肺疾患，支气管哮喘，肺纤维化或免疫功能低下。",2015157591,"宁心宝胶囊","无","硬胶囊剂","0.25g","盒","36","铝箔","沈阳东新药业有限公司",18.1,"修改（支付标准）","医药服务便函〔2021〕5号",157589]
[10220,"z040101008760001","2","经舒颗粒（胶囊）","","","",20156188,"经舒颗粒","无","颗粒剂","12g","盒","6","复合膜","北京长城制药有限公司",28.52,"修改（支付标准）","医药服务便函〔2021〕5号",121120]
[10230,"z040102008940003","2","舒尔经颗粒（胶囊、片）","","","△",201514637,"舒尔经片","无","薄膜衣片","0.5g","盒","24","铝塑","合肥今越制药有限公司",51.09,"修改（支付标准）","医药服务便函〔2021〕5号",104003]
[10231,"z040102008970010","2","新生化颗粒（片）","","","",2015130739,"新生化颗粒","无","颗粒剂","6g(相当于原药材9g)","盒","10","复合膜","江苏万高药业股份有限公司",5.8,"修改（支付标准）","医药服务便函〔2021〕5号",130743]
[10239,"z040201009170011","2","盆炎净颗粒（胶囊、片）","","","△",201511954,"盆炎净胶囊","无","硬胶囊剂","0.42g","盒","36","铝塑","贵阳济仁堂药业有限公司",26.81,"修改（支付标准）","医药服务便函〔2021〕5号",128734]
[10243,"z040201009180003","2","妇炎灵胶囊（泡腾片）","","","",2015136847,"妇炎灵胶囊","无","阴道胶囊剂","0.4g","瓶","16","塑料瓶","杭州苏泊尔南洋药业有限公司",7.03,"修改（支付标准）","医药服务便函〔2021〕5号",136844]
[10248,"z040300009270019","1","八珍益母丸（胶囊、片）","","","△",2015104837,"八珍益母片","无","糖衣片","0.3g","盒","36","铝塑","牡丹江灵泰药业股份有限公司",30.68,"修改（支付标准）","医药服务便函〔2021〕5号",104842]
[10255,"z040300009320002","2","产复康颗粒","","","△",201513409,"产复康颗粒(无糖型)","无","颗粒剂","5g","盒","15","复合膜","广东三顺制药有限公司",31.14,"修改（支付标准）","医药服务便函〔2021〕5号",149413]
[10259,"z040400009420003","1","乳癖消颗粒（胶囊、片）","","","",2015119267,"乳癖消颗粒","无","颗粒剂","8g(相当于原药材6g)","盒","12","复合膜","哈尔滨泰华药业股份有限公司",35.63,"修改（支付标准）","医药服务便函〔2021〕5号",119270]
[10267,"z040400009510004","2","乳增宁胶囊（片）","","","△",20159582,"乳增宁胶囊","无","硬胶囊剂","0.5g","盒","72","铝塑","陕西健民制药有限公司",26.02,"修改（支付标准）","医药服务便函〔2021〕5号",133184]
[10274,"z050200009640038","1","明目地黄丸","","","△",2015143088,"明目地黄丸","无","水蜜丸","60g","瓶","1","塑料瓶","西安碑林药业股份有限公司",8.19,"修改（支付标准）","医药服务便函〔2021〕5号",143090]
[10278,"z050200009660010","1","珍珠明目滴眼液","","","",2015157511,"珍珠明目滴眼液(胶体溶液)(含玻璃酸钠)","无","滴眼剂","15ml","支","1","塑料瓶","苏州工业园区天龙制药有限公司",15.62,"修改（支付标准）","医药服务便函〔2021〕5号",157509]
[10283,"z050300009731007","2","复方血栓通颗粒（片）","","","",2015159223,"复方血栓通片","无","薄膜衣片","0.4g","盒","48","铝塑","扬州中惠制药有限公司",31.35,"修改（支付标准）","医药服务便函〔2021〕5号",159221]
[10290,"z060300010080010","2","玄麦甘桔颗粒（胶囊）","","","△",2015151524,"玄麦甘桔颗粒","无","颗粒剂","10g","盒","20","复合膜","四川峨嵋山药业有限公司",5.46,"修改（支付标准）","医药服务便函〔2021〕5号",151527]
[10291,"z060300010080014","2","玄麦甘桔颗粒（胶囊）","","","△",2015161670,"玄麦甘桔颗粒","无","颗粒剂","10g","袋","30","复合膜","四川科伦药业股份有限公司",16.77,"修改（支付标准）","医药服务便函〔2021〕5号",161663]
[10300,"z070101010221008","2","接骨七厘丸（散）","","","",2015158859,"接骨七厘散","无","散剂","1.5g","盒","12","复合膜","牡丹江灵泰药业股份有限公司",32.88,"修改（支付标准）","医药服务便函〔2021〕5号",158857]
[10302,"z070101010300005","2","龙血竭散（胶囊、片）","","","△",20154619,"龙血竭片","无","肠溶片","0.4g(基片重)","盒","24","铝塑","云南大唐汉方制药股份有限公司",19.86,"修改（支付标准）","医药服务便函〔2021〕5号",121783]
[10309,"z070102010251005","1","云南白药膏（酊、气雾剂）","","","△",2015128176,"云南白药膏","无","橡胶膏剂","6.5cm×10cm","盒","10","空","云南白药集团无锡药业有限公司",40.82,"修改（支付标准）","医药服务便函〔2021〕5号",128175]
[10314,"z070102010440002","2","麝香镇痛膏","","","△",2015150723,"麝香镇痛膏(人工麝香)","无","橡胶膏剂","7cm×10cm","盒","10","复合膜","湖北康源药业有限公司",6.5,"修改（支付标准）","医药服务便函〔2021〕5号",150726]
[10320,"z070102010440011","2","麝香镇痛膏","","","△",2015101468,"麝香镇痛膏(人工麝香)","无","橡胶膏剂","8cm×13cm","盒","10","复合膜","黄石燕舞药业有限公司",6.99,"修改（支付标准）","医药服务便函〔2021〕5号",101473]
[10326,"z070102010440017","2","麝香镇痛膏","","","△",2015101485,"麝香镇痛膏(人工麝香)","无","橡胶膏剂","8cm×10cm","盒","5","复合膜","黄石燕舞药业有限公司",2.19,"修改（支付标准）","医药服务便函〔2021〕5号",101490]
[10329,"z070102010440020","2","麝香镇痛膏","","","△",2015159622,"麝香镇痛膏(人工麝香)","无","橡胶膏剂","8cm×10cm","盒","12","复合膜","浙江鼎泰药业股份有限公司",9.66,"修改（支付标准）","医药服务便函〔2021〕5号",159620]
[10338,"z070202010461001","2","活血止痛膏","","","",2015159180,"活血止痛膏","无","橡胶膏剂","11cm×15cm","盒","4","复合膜","安徽安科余良卿药业有限公司",31.34,"修改（支付标准）","医药服务便函〔2021〕5号",159178]
[10344,"z070202010660003","2","骨质宁搽剂","","","△",201512719,"骨质宁搽剂","无","搽剂","100ml","瓶","1","塑料瓶","浙江景岳堂药业有限公司",25.61,"修改（支付标准）","医药服务便函〔2021〕5号",105056]
[10349,"z070300010740002","1","仙灵骨葆胶囊","","","△",2015128879,"仙灵骨葆胶囊","无","硬胶囊剂","0.5g","瓶","72","塑料瓶","国药集团同济堂(贵州)制药有限公司",44.53,"修改（支付标准）","医药服务便函〔2021〕5号",128878]
[10353,"z070300010810015","2","抗骨增生丸（颗粒、胶囊、片）","","","△",2015100239,"抗骨增生片","无","薄膜衣片","0.25g","盒","24","铝箔","通化百信药业有限公司",6.75,"修改（支付标准）","医药服务便函〔2021〕5号",100244]
[10361,"z090000000070004","2","二十五味珊瑚丸（胶囊）","","","",201512868,"二十五味珊瑚丸(人工麝香)","无","水丸","1g/4丸","盒","20","铝箔","西藏昌都光宇利民药业有限责任公司",24,"修改（支付标准）","医药服务便函〔2021〕5号",138685]
[10362,"z090000000090001","2","二十五味珍珠丸","","","",20158536,"二十五味珍珠丸(体外培育牛黄、人工麝香)","无","水丸","1g","盒","10","铝箔","西藏昌都日通藏医药研制中心藏药厂",63.05,"修改（支付标准）","医药服务便函〔2021〕5号",122342]
[10368,"ZA01AAG0118010200200","1","感冒清热颗粒（片、胶囊）","","","",2015161118,"感冒清热胶囊","无","硬胶囊剂","0.45g","盒","36","铝塑","北京亚东生物制药有限公司",28.86,"修改（支付标准）","医药服务便函〔2021〕5号",161111]
[10373,"ZA01AAG0120010100878","1","感冒清热颗粒（片、胶囊）","","","",2015155444,"感冒清热颗粒(无蔗糖)","无","颗粒剂","6g","盒","10","复合膜","河北百善药业有限公司",12.35,"修改（支付标准）","医药服务便函〔2021〕5号",155442]
[10380,"ZA01AAG0120010205844","1","感冒清热颗粒（片、胶囊）","","","",2015122247,"感冒清热颗粒(无蔗糖)","无","颗粒剂","6g","盒","10","铝塑","康芝药业股份有限公司",21.73,"修改（支付标准）","医药服务便函〔2021〕5号",122244]
[10385,"ZA01AAG0127010303389","2","感冒疏风丸（片、胶囊、颗粒）","","","",2020122746,"感冒疏风胶囊","无","硬胶囊剂","0.3g","盒","36","铝塑","吉林龙鑫药业有限公司",27.28,"修改（支付标准）","医药服务便函〔2021〕5号",122746]
[10390,"ZA01AAJ0545020102192","2","荆防颗粒（合剂）","","","",2020163618,"荆防合剂","无","合剂(含口服液)","10ml","盒","6","玻璃瓶","绵阳一康制药有限公司",27,"修改（支付标准）","医药服务便函〔2021〕5号",163618]
[10397,"ZA01AAJ0629010105855","1","九味羌活丸（颗粒）","","","",2015158094,"九味羌活丸","无","水丸","6g","盒","10","复合膜","甘肃佛仁制药科技有限公司",4.68,"修改（支付标准）","医药服务便函〔2021〕5号",158092]
[10405,"ZA01BAC0286010103010","1","柴胡注射液","","","",2015160537,"柴胡注射液","无","注射液","2ml","支","1","安瓿","辅仁药业集团有限公司",1.29,"修改（支付标准）","医药服务便函〔2021〕5号",160530]
[10409,"ZA01BAC0289020302120","2","柴黄片（颗粒）","","","",2015123631,"柴黄颗粒","无","颗粒剂","4g","盒","18","复合膜","四川百利药业有限责任公司",25.65,"修改（支付标准）","医药服务便函〔2021〕5号",123624]
[10414,"ZA01BAC0304010104012","2","柴银颗粒（口服液）","","","",20156083,"柴银口服液","无","合剂(含口服液)","20ml","盒","6","玻璃瓶","鲁南厚普制药有限公司",10.94,"修改（支付标准）","医药服务便函〔2021〕5号",131395]
[10420,"ZA01BAF0399010200315","2","复方感冒灵片（胶囊、颗粒）","","","",2020112272,"复方感冒灵片","无","糖衣片","含原药材6.25g,含对乙酰氨基酚42mg","瓶","100","塑料瓶","广东南国药业有限公司",15,"修改（支付标准）","医药服务便函〔2021〕5号",112272]
[10423,"ZA01BAF0558020203783","2","复方芩兰口服液","","","▲",2020167007,"复方芩兰口服液(无蔗糖)","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","黑龙江珍宝岛药业股份有限公司",72,"修改（支付标准）","医药服务便函〔2021〕5号",167007]
[10432,"ZA01BAG0117010303020","1","感冒清片（胶囊）","","","",2015117290,"感冒清片","无","薄膜衣片","0.22g(素片重)(含对乙酰氨基酚12mg)","瓶","100","塑料瓶","河南福森药业有限公司",15.5,"修改（支付标准）","医药服务便函〔2021〕5号",117293]
[10434,"ZA01BAN0120010303719","2","牛黄清感胶囊","","","",2021171752,"牛黄清感胶囊(人工牛黄)","无","硬胶囊剂","0.3g","盒","48.0","铝塑","黑龙江澳利达奈德制药有限公司",31.68,"修改（支付标准）","医药服务便函〔2021〕5号",171752]
[10439,"ZA01BAS0160010100362","2","桑菊感冒丸（片、颗粒）","","","▲",2015154454,"桑菊感冒片","无","素片","/","瓶","80","塑料瓶","广东沙溪制药有限公司",32.5,"修改（支付标准）","医药服务便函〔2021〕5号",154457]
[10449,"ZA01BAS0835010103095","1","双黄连片（胶囊、颗粒、合剂、口服液）","","","",2020137963,"双黄连合剂(无糖型)","无","合剂(含口服液)","100ml(每1ml相当于饮片1.5g)","瓶","1","玻璃瓶","河南太龙药业股份有限公司",79.8,"修改（支付标准）","医药服务便函〔2021〕5号",137963]
[10451,"ZA01BAS0836010300063","1","双黄连片（胶囊、颗粒、合剂、口服液）","","","",2015154421,"双黄连胶囊","无","硬胶囊剂","0.4g","盒","64","铝塑","陕西东泰制药有限公司",19.9,"修改（支付标准）","医药服务便函〔2021〕5号",154424]
[10458,"ZA01BAW0053010105160","2","维C银翘片（颗粒）","","","",2015151246,"维C银翘颗粒","无","颗粒剂","10g(含维生素C99mg,对乙酰氨基酚210mg)","包","12","复合膜","广西药用植物园制药厂",17.94,"修改（支付标准）","医药服务便函〔2021〕5号",151249]
[10462,"ZA01BAW0054020105437","2","维C银翘片（颗粒）","","","",2015131540,"维C银翘片","无","糖衣片","含维生素C49.5mg,对乙酰氨基酚105mg,马来酸氯苯那敏1.05mg","盒","24","铝塑","贵州百灵企业集团制药股份有限公司",4.23,"修改（支付标准）","医药服务便函〔2021〕5号",131544]
[10467,"ZA01BAX0377010100362","2","小儿感冒颗粒","","","",2015154447,"小儿感冒颗粒","无","颗粒剂","12g","包","20","复合膜","广东沙溪制药有限公司",66.92,"修改（支付标准）","医药服务便函〔2021〕5号",154450]
[10474,"ZA01BAX0377010304155","2","小儿感冒颗粒","","","",2015153144,"小儿感冒颗粒","无","颗粒剂","6g","盒","24","复合膜","华润三九(枣庄)药业有限公司",38.74,"修改（支付标准）","医药服务便函〔2021〕5号",153147]
[10480,"ZA01BAX0496010205261","2","小儿热速清颗粒（口服液、糖浆）","","","",2015149936,"小儿热速清颗粒","无","颗粒剂","2g","盒","10","复合膜","江西倍肯药业有限公司",20.26,"修改（支付标准）","医药服务便函〔2021〕5号",149935]
[10484,"ZA01BAX0496020305261","2","小儿热速清颗粒（口服液、糖浆）","","","",2020149936,"小儿热速清颗粒","无","颗粒剂","6g","盒","12","复合膜","江西倍肯药业有限公司",31.98,"修改（支付标准）","医药服务便函〔2021〕5号",149936]
[10491,"ZA01BAX0752010102816","1","芎菊上清丸（片、颗粒）","","","",2015103024,"芎菊上清丸","无","水丸","6g","盒","10","复合膜","药都制药集团股份有限公司",23.53,"修改（支付标准）","医药服务便函〔2021〕5号",103029]
[10493,"ZA01BAX0752010104118","1","芎菊上清丸（片、颗粒）","","","",2015113165,"芎菊上清丸","无","水丸","6g(1g/20粒)","盒","10","塑料袋","山东孔圣堂制药有限公司",8.98,"修改（支付标准）","医药服务便函〔2021〕5号",113163]
[10503,"ZA01BAY0521010200582","1","银翘解毒丸（片、胶囊、颗粒）","","","",2015118714,"银翘解毒颗粒","无","颗粒剂","15g","包","10","复合膜","中山市恒生药业有限公司",7.45,"修改（支付标准）","医药服务便函〔2021〕5号",118717]
[10504,"ZA01BAY0521010205069","1","银翘解毒丸（片、胶囊、颗粒）","","","",2015145455,"银翘解毒颗粒","无","颗粒剂","15g","盒","10","复合膜","广西邦琪药业集团有限公司",13.86,"修改（支付标准）","医药服务便函〔2021〕5号",145454]
[10510,"ZA01BAY0524010301463","2","银翘解毒液（合剂、软胶囊）","","","▲",2015112899,"银翘解毒软胶囊","无","软胶囊(胶丸)","0.45g","瓶","48","塑料瓶","江苏康缘药业股份有限公司（受托生产企业）",35.11,"修改（支付标准）","医药服务便函〔2021〕5号",112897]
[10519,"ZA01BAY0525010105156","1","银翘解毒丸（片、胶囊、颗粒）","","","",2015115608,"银翘解毒丸","无","大蜜丸","9g","盒","10","塑料壳","广西梧州制药(集团)股份有限公司",12.5,"修改（支付标准）","医药服务便函〔2021〕5号",115611]
[10522,"ZA01BAY0526020100290","2","银翘解毒液（合剂、软胶囊）","","","▲",2015157219,"银翘解毒液","无","合剂(含口服液)","120ml","瓶","1","塑料瓶","广东众生药业股份有限公司",14.5,"修改（支付标准）","医药服务便函〔2021〕5号",157217]
[10528,"ZA01CAF0010010103503","1","防风通圣丸（颗粒）","","","",2015157757,"防风通圣丸","无","浓缩丸","每8丸相当于原药材6g","瓶","200","塑料瓶","吉林紫鑫药业股份有限公司",12.51,"修改（支付标准）","医药服务便函〔2021〕5号",157755]
[10533,"ZA01CAX0332010204641","1","小柴胡片（胶囊、颗粒）","","","",2015143945,"小柴胡胶囊","无","硬胶囊剂","0.4g","盒","36","铝塑","浙江海正药业股份有限公司",28.33,"修改（支付标准）","医药服务便函〔2021〕5号",143947]
[10537,"ZA01CAX0333020101463","1","小柴胡片（胶囊、颗粒）","","","",2015110722,"小柴胡颗粒(无蔗糖)","无","颗粒剂","2.5g","盒","10","铝塑","江苏康缘药业股份有限公司",6.26,"修改（支付标准）","医药服务便函〔2021〕5号",110720]
[10545,"ZA01DAY0619010300294","1","玉屏风颗粒","","","",2015107306,"玉屏风颗粒","无","颗粒剂","5g","盒","15","复合膜","国药集团广东环球制药有限公司",21.04,"修改（支付标准）","医药服务便函〔2021〕5号",107309]
[10552,"ZA02AAH0436010304584","1","藿香正气水（丸、片、胶囊、颗粒、口服液、软胶囊）","","","",2015102066,"藿香正气胶囊","无","硬胶囊剂","0.3g","盒","36","铝塑","太极集团浙江东方制药有限公司",16.38,"修改（支付标准）","医药服务便函〔2021〕5号",102071]
[10557,"ZA02AAH0440010300960","1","藿香正气水（丸、片、胶囊、颗粒、口服液、软胶囊）","","","",2015122070,"藿香正气软胶囊","无","软胶囊(胶丸)","0.45g","盒","30","铝箔","天津中新药业集团股份有限公司达仁堂制药厂",21.73,"修改（支付标准）","医药服务便函〔2021〕5号",122067]
[10563,"ZA02AAH0442010101966","1","藿香正气水（丸、片、胶囊、颗粒、口服液、软胶囊）","","","",2015152398,"藿香正气丸","无","浓缩丸","3g/8丸","瓶","200","塑料瓶","武汉太福制药有限公司",7.5,"修改（支付标准）","医药服务便函〔2021〕5号",152401]
[10569,"ZA02AAH0442010104684","1","藿香正气水（丸、片、胶囊、颗粒、口服液、软胶囊）","","","",2015133117,"藿香正气丸","无","浓缩丸","3g/8丸","盒","48","铝塑","浙江优胜美特中药有限公司",4.72,"修改（支付标准）","医药服务便函〔2021〕5号",133121]
[10574,"ZA02BAS0551010100315","1","十滴水","","","",2015112955,"十滴水","无","酊剂","5ml","盒","10","塑料瓶","广东南国药业有限公司",4.99,"修改（支付标准）","医药服务便函〔2021〕5号",112953]
[10580,"ZA03AAJ0228010303022","2","降脂通便胶囊","","","▲",2020121568,"降脂通便胶囊","无","硬胶囊剂","0.5g","盒","36","铝箔","河南辅仁堂制药有限公司",43.17,"修改（支付标准）","医药服务便函〔2021〕5号",121568]
[10581,"ZA03AAS0044020104834","2","三黄膏（丸）","","","▲",201511744,"三黄膏","无","膏药剂","40g","支","1","塑管","福州屏山制药有限公司",27.9,"修改（支付标准）","医药服务便函〔2021〕5号",130276]
[10589,"ZA03AAT0182010202506","2","通便灵胶囊","","","",2015110884,"通便灵胶囊","无","硬胶囊剂","0.25g","盒","36","铝塑","陕西东泰制药有限公司",22.43,"修改（支付标准）","医药服务便函〔2021〕5号",110882]
[10593,"ZA03BAB0348010101946","2","便通片（胶囊）","","","",20156523,"便通胶囊","无","硬胶囊剂","0.35g","盒","18","铝塑","健民药业集团股份有限公司",17.6,"修改（支付标准）","医药服务便函〔2021〕5号",115083]
[10598,"ZA03BAC0508020205880","2","苁蓉通便口服液","","","▲",2015126112,"苁蓉通便口服液","无","合剂(含口服液)","10ml","盒","8","玻璃瓶","甘肃天水岐黄药业有限责任公司",30.19,"修改（支付标准）","医药服务便函〔2021〕5号",126111]
[10604,"ZA03BAM0013010101843","2","麻仁丸（胶囊、软胶囊）","","","",2015124565,"麻仁丸","无","水蜜丸","6g","盒","10","复合膜","湖北天圣清大制药有限公司",17.2,"修改（支付标准）","医药服务便函〔2021〕5号",124562]
[10613,"ZA04AAD0182010303005","2","当归龙荟丸（片、胶囊）","","","▲",201513772,"当归龙荟胶囊","无","硬胶囊剂","0.4g","瓶","36","塑料瓶","保和堂(焦作)制药有限公司",35.59,"修改（支付标准）","医药服务便函〔2021〕5号",149777]
[10616,"ZA04AAH0302010200973","1","黄连上清丸（片、胶囊、颗粒）","","","",2015158858,"黄连上清胶囊","无","硬胶囊剂","0.4g","盒","54","铝塑","太极集团重庆涪陵制药厂有限公司",54,"修改（支付标准）","医药服务便函〔2021〕5号",158856]
[10624,"ZA04AAH0305010102039","1","黄连上清丸（片、胶囊、颗粒）","","","",2015128848,"黄连上清丸","无","水丸","6g","盒","6","复合膜","成都九芝堂金鼎药业有限公司",11.51,"修改（支付标准）","医药服务便函〔2021〕5号",128847]
[10628,"ZA04AAH0305030300974","1","黄连上清丸（片、胶囊、颗粒）","","","",2015129804,"黄连上清丸(浓缩水丸)","无","浓缩丸","6g(0.3g/10丸)","盒","10","复合膜","太极集团重庆桐君阁药厂有限公司",65,"修改（支付标准）","医药服务便函〔2021〕5号",129803]
[10633,"ZA04AAN0112010300074","1","牛黄解毒丸（片、胶囊、软胶囊）","","","",2015142549,"牛黄解毒软胶囊(人工牛黄)","无","软胶囊(胶丸)","0.4g","盒","48","铝塑","北京康而福药业有限责任公司",14.14,"修改（支付标准）","医药服务便函〔2021〕5号",142551]
[10640,"ZA04AAN0130010204434","1","牛黄上清丸（片、胶囊）","","","",2015139450,"牛黄上清片(人工牛黄)","无","糖衣片","/","盒","48","铝塑","上海海虹实业(集团)巢湖今辰药业有限公司",10.49,"修改（支付标准）","医药服务便函〔2021〕5号",139447]
[10642,"ZA04AAN0132010102816","1","牛黄上清丸（片、胶囊）","","","",2015100649,"牛黄上清丸(人工牛黄)","无","大蜜丸","6g","盒","10","铝塑","药都制药集团股份有限公司",21.65,"修改（支付标准）","医药服务便函〔2021〕5号",100654]
[10651,"ZA04AAQ0494010503302","2","清胃止痛微丸","","","",2021171756,"清胃止痛微丸(浓缩微丸)","无","浓缩丸","3.2g","盒","15.0","复合膜","吉林华康药业股份有限公司",53.25,"修改（支付标准）","医药服务便函〔2021〕5号",171756]
[10657,"ZA04AAY0212010200582","2","一清片（胶囊、颗粒）","","","",2015152022,"一清颗粒","无","颗粒剂","7.5g","盒","12","复合膜","中山市恒生药业有限公司",12.8,"修改（支付标准）","医药服务便函〔2021〕5号",152025]
[10658,"ZA04AAY0212010204365","2","一清片（胶囊、颗粒）","","","",2015157687,"一清颗粒","无","颗粒剂","7.5g","盒","12","复合膜","安庆回音必制药股份有限公司",17,"修改（支付标准）","医药服务便函〔2021〕5号",157685]
[10664,"ZA04AAY0213010402364","2","一清片（胶囊、颗粒）","","","",2015110508,"一清片","无","薄膜衣片","0.4g","盒","48","铝塑","陕西东泰制药有限公司",28.72,"修改（支付标准）","医药服务便函〔2021〕5号",110506]
[10668,"ZA04BAB0189010103374","1","板蓝根颗粒","","","",2015160359,"板蓝根颗粒","无","颗粒剂","5g(相当于原生药7g)","盒","9","复合膜","吉林吉春制药股份有限公司",1.96,"修改（支付标准）","医药服务便函〔2021〕5号",160352]
[10675,"ZA04BAB0189010204422","1","板蓝根颗粒","","","",2015102056,"板蓝根颗粒","无","颗粒剂","10g(相当于原生药14g)","袋","20","复合膜","回音必集团安徽制药有限公司",26,"修改（支付标准）","医药服务便函〔2021〕5号",102061]
[10683,"ZA04BAB0189020104684","1","板蓝根颗粒","","","",2015132698,"板蓝根颗粒(无蔗糖)","无","颗粒剂","3g(相当于原生药7g)","袋","20","复合膜","浙江优胜美特中药有限公司",18.17,"修改（支付标准）","医药服务便函〔2021〕5号",132702]
[10687,"ZA04BAB0190010105069","2","板蓝根片（口服液）","","","▲",2020155255,"板蓝根口服液","无","合剂(含口服液)","10ml","盒","9","玻璃瓶","广西邦琪药业集团有限公司",38.5,"修改（支付标准）","医药服务便函〔2021〕5号",155255]
[10694,"ZA04BAD0144010305840","2","胆木浸膏片","","","",20151195,"胆木浸膏片","无","薄膜衣片","0.5g","盒","28","铝塑","海南制药厂有限公司",24.05,"修改（支付标准）","医药服务便函〔2021〕5号",126720]
[10699,"ZA04BAD0328010103070","2","冬凌草片（胶囊）","","","",2015138683,"冬凌草胶囊","无","硬胶囊剂","0.3g","盒","30","铝箔","河南省济源市济世药业有限公司",25.9,"修改（支付标准）","医药服务便函〔2021〕5号",138680]
[10703,"ZA04BAF0615010102395","2","复方双花片（颗粒、口服液）","","","▲",20155149,"复方双花片","无","薄膜衣片","0.62g","盒","24","铝塑","陕西康惠制药股份有限公司",16.8,"修改（支付标准）","医药服务便函〔2021〕5号",128580]
[10711,"ZA04BAJ0090030105390","2","健儿清解液","","","",201515163,"健儿清解液","无","合剂(含口服液)","150ml","瓶","1","塑料瓶","江西钟山药业有限责任公司",14.38,"修改（支付标准）","医药服务便函〔2021〕5号",134691]
[10712,"ZA04BAJ0394010305551","2","金莲花片（胶囊、颗粒、口服液、软胶囊）","","","▲",20158227,"金莲花胶囊","无","硬胶囊剂","0.35g","盒","36","铝塑","贵州益康制药有限公司",14.89,"修改（支付标准）","医药服务便函〔2021〕5号",105809]
[10722,"ZA04BAJ0490010301986","1","金叶败毒颗粒","","","",2020164083,"金叶败毒颗粒","无","颗粒剂","10g","盒","8","复合膜","国药集团中联药业有限公司",49.8,"修改（支付标准）","医药服务便函〔2021〕5号",164083]
[10727,"ZA04BAJ0499020401795","2","金银花口服液","","","",2021171772,"金银花口服液","无","合剂(含口服液)","20ml(每1ml相当于饮片90mg)","盒","18.0","复合片","真奥金银花药业有限公司",94.32,"修改（支付标准）","医药服务便函〔2021〕5号",171772]
[10729,"ZA04BAK0055010104616","2","抗病毒胶囊（颗粒、口服液）","","","▲",2015136105,"抗病毒口服液","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","浙江大德药业集团有限公司",24.98,"修改（支付标准）","医药服务便函〔2021〕5号",136102]
[10738,"ZA04BAL0020010304912","2","蓝芩颗粒（口服液）","","","▲",2021167913,"蓝芩颗粒","无","颗粒剂","8g","盒","6","复合膜","湖南德康制药股份有限公司",37.9,"修改（支付标准）","医药服务便函〔2021〕5号",167913]
[10741,"ZA04BAL0021020301749","2","蓝芩口服液","","","▲",2021151762,"蓝芩口服液","无","合剂(含口服液)","10ml(相当于原药材21.2g)","盒","12","玻璃瓶","扬子江药业集团有限公司",70.56,"修改（支付标准）","医药服务便函〔2021〕5号",151762]
[10747,"ZA04BAQ0392010603845","1","清开灵片（胶囊、颗粒、软胶囊）","","","",2015159643,"清开灵颗粒(无糖型)","无","颗粒剂","1.5g(含黄芩苷20mg)","盒","26","复合膜","哈尔滨一洲制药有限公司",28.95,"修改（支付标准）","医药服务便函〔2021〕5号",159641]
[10753,"ZA04BAQ0395010504631","1","清开灵片（胶囊、颗粒、软胶囊）","","","",2015158874,"清开灵片","无","薄膜衣片","0.5g(含黄芩苷20mg)","盒","12","铝塑","浙江远力健药业有限责任公司",6.58,"修改（支付标准）","医药服务便函〔2021〕5号",158872]
[10758,"ZA04BAQ0441010102537","1","清热解毒片（胶囊、颗粒）","","","▲",2015116353,"清热解毒胶囊","无","硬胶囊剂","0.3g","盒","36","铝塑","陕西步长制药有限公司",14.02,"修改（支付标准）","医药服务便函〔2021〕5号",116356]
[10764,"ZA04BAQ0443010105300","2","清热解毒口服液","","","▲",2015148111,"清热解毒口服液(无糖型)","无","合剂(含口服液)","10ml","盒","12","玻璃瓶","江西济民可信药业有限公司",12.78,"修改（支付标准）","医药服务便函〔2021〕5号",148110]
[10770,"ZA04BAQ0463010103053","2","清热散结片（胶囊）","","","▲",201513837,"清热散结片","无","薄膜衣片","0.52g","盒","24","铝箔","河南明善堂药业有限公司",23.16,"修改（支付标准）","医药服务便函〔2021〕5号",132904]
[10773,"ZA04BAQ0463010305459","2","清热散结片（胶囊）","","","▲",2020167715,"清热散结片","无","糖衣片","0.18g(基片重)(相当于药材3.0g)","盒","80","铝塑","贵阳润丰制药有限公司",27.95,"修改（支付标准）","医药服务便函〔2021〕5号",167715]
[10782,"ZA04BAX0391010101946","1","小儿化毒散（胶囊）","","","",2015115143,"小儿化毒散(人工牛黄)","无","散剂","0.6g","盒","10","复合膜","健民药业集团股份有限公司",17.62,"修改（支付标准）","医药服务便函〔2021〕5号",115146]
[10788,"ZA04BAY0630010305020","2","玉叶解毒颗粒","","","▲",2020170108,"玉叶解毒颗粒","无","颗粒剂","12g","袋","20","复合膜","三金集团湖南三金制药有限责任公司",28.9,"修改（支付标准）","医药服务便函〔2021〕5号",170108]
[10793,"ZA04CAQ0333010200836","2","清肺抑火丸（片、胶囊）","","","",2020146950,"清肺抑火胶囊","无","硬胶囊剂","0.5g","瓶","40","高密度聚乙烯","上海方心制药科技有限公司",39.71,"修改（支付标准）","医药服务便函〔2021〕5号",146950]
[10797,"ZA04CAY0497010101055","1","银黄片（胶囊、颗粒）","","","",2015118110,"银黄胶囊","无","硬胶囊剂","0.3g","盒","24","铝塑","天圣制药集团股份有限公司",30.63,"修改（支付标准）","医药服务便函〔2021〕5号",118113]
[10800,"ZA04CAY0497010102767","1","银黄片（胶囊、颗粒）","","","",2015114538,"银黄胶囊","无","硬胶囊剂","0.3g","瓶","48","塑料瓶","石家庄以岭药业股份有限公司",10.14,"修改（支付标准）","医药服务便函〔2021〕5号",114536]
[10808,"ZA04CAY0499010103082","1","银黄片（胶囊、颗粒）","","","",2015106847,"银黄颗粒","无","颗粒剂","4g","盒","10","复合膜","仲景宛西制药股份有限公司",16.5,"修改（支付标准）","医药服务便函〔2021〕5号",106850]
[10812,"ZA04CAY0499010200915","1","银黄片（胶囊、颗粒）","","","",2015148854,"银黄颗粒(无糖型)","无","颗粒剂","3g","盒","12","复合膜","哈尔滨瀚钧现代制药有限公司",17.36,"修改（支付标准）","医药服务便函〔2021〕5号",148853]
[10817,"ZA04CAY0499010300915","1","银黄片（胶囊、颗粒）","","","",2015152826,"银黄颗粒(无糖型)","无","颗粒剂","3g","盒","16","复合膜","哈尔滨瀚钧现代制药有限公司",23.15,"修改（支付标准）","医药服务便函〔2021〕5号",152829]
[10824,"ZA04CAY0499030105403","1","银黄片（胶囊、颗粒）","","","",2015142625,"银黄颗粒(无蔗糖)","无","颗粒剂","2g","盒","16","复合膜","南昌济顺制药有限公司",26.67,"修改（支付标准）","医药服务便函〔2021〕5号",142627]
[10832,"ZA04CBA0076010102725","2","安络化纤丸","","","限有乙肝导致肝硬化的明确诊断证据",2020129815,"安络化纤丸","无","浓缩丸","6g","盒","6","复合膜","森隆药业有限公司",39.78,"修改（支付标准）","医药服务便函〔2021〕5号",129815]
[10835,"ZA04CBF0720010205045","2","复方益肝灵片（胶囊）","","","",20155550,"复方益肝灵胶囊","无","硬胶囊剂","0.37g(含水飞蓟素以水飞蓟宾计为42mg)","盒","36","铝箔","湖南泰阳药业有限公司",43.59,"修改（支付标准）","医药服务便函〔2021〕5号",121408]
[10841,"ZA04CBG0075020102183","2","肝苏片（胶囊、颗粒）","","","",20153515,"肝苏颗粒(无糖型)","无","颗粒剂","3g(含原药材16.7g)","盒","9","复合膜","四川古蔺肝苏药业有限公司",15.67,"修改（支付标准）","医药服务便函〔2021〕5号",140329]
[10843,"ZA04CBG0076010102143","2","肝苏片（胶囊、颗粒）","","","",20157958,"肝苏片","无","薄膜衣片","0.3g(基片重)","盒","60","铝箔","四川古蔺肝苏药业有限公司",15.97,"修改（支付标准）","医药服务便函〔2021〕5号",140690]
[10853,"ZA04CBH0203010105547","2","护肝宁丸（片、胶囊）","","","",20156276,"护肝宁片","无","薄膜衣片","0.35g","瓶","100","塑料瓶","贵州信邦制药股份有限公司",30.15,"修改（支付标准）","医药服务便函〔2021〕5号",137418]
[10858,"ZA04CBW0286010102349","1","五灵胶囊","","","",2017118432,"五灵胶囊","无","硬胶囊剂","0.35g","瓶","60","塑料瓶","清华德人西安幸福制药有限公司",82.91,"修改（支付标准）","医药服务便函〔2021〕5号",119431]
[10864,"ZA04CBY0291010100665","1","益肝灵片（胶囊）","","","",2015123875,"益肝灵片","无","薄膜衣片","0.24g(含水飞蓟素以水飞蓟宾计38.5mg)","瓶","100","塑料瓶","上海朝晖药业有限公司",19.6,"修改（支付标准）","医药服务便函〔2021〕5号",123872]
[10867,"ZA04CBZ0389010109538","2","猪苓多糖胶囊","","","",2020166811,"猪苓多糖胶囊","无","硬胶囊剂","0.25g(相当于猪苓16.7g)","瓶","24","塑料瓶","湖北梦阳药业股份有限公司",298,"修改（支付标准）","医药服务便函〔2021〕5号",166811]
[10871,"ZA04CCC0478010305310","2","垂盆草片（颗粒）","","","",2020105832,"垂盆草颗粒","无","颗粒剂","10g","盒","15","复合膜","江西京通美联药业有限公司",26.55,"修改（支付标准）","医药服务便函〔2021〕5号",105832]
[10878,"ZA04CCD0170010305374","2","当飞利肝宁片（胶囊）","","","",20151236,"当飞利肝宁片","无","薄膜衣片","0.45g","盒","48","铝塑","江西心正药业有限责任公司",33.09,"修改（支付标准）","医药服务便函〔2021〕5号",115549]
[10883,"ZA04CCK0210020101363","2","苦黄注射液","","","限二级及以上医疗机构",20151701,"苦黄注射液","无","注射液","10ml","支","1","安瓿","常熟雷允上制药有限公司",10.07,"修改（支付标准）","医药服务便函〔2021〕5号",142112]
[10887,"ZA04CCL0294010201797","1","龙胆泻肝丸（片、胶囊、颗粒）","","","",201513956,"龙胆泻肝胶囊","无","硬胶囊剂","0.25g","瓶","48","塑料瓶","湖北福人药业股份有限公司",21.99,"修改（支付标准）","医药服务便函〔2021〕5号",140830]
[10895,"ZA04CCL0299020202816","1","龙胆泻肝丸（片、胶囊、颗粒）","","","",2020101288,"龙胆泻肝丸","无","水丸","6g","盒","10","复合膜","药都制药集团股份有限公司",25.6,"修改（支付标准）","医药服务便函〔2021〕5号",101288]
[10902,"ZA04CCY0465010204012","1","茵栀黄颗粒（口服液）","","","",2015131477,"茵栀黄颗粒","无","颗粒剂","3g","盒","10","铝塑","鲁南厚普制药有限公司",19.32,"修改（支付标准）","医药服务便函〔2021〕5号",131481]
[10906,"ZA04CDC0265010303099","2","苍苓止泻口服液","","","",2015162402,"苍苓止泻口服液","无","合剂(含口服液)","10ml","盒","12","玻璃瓶","河南天方药业中药有限公司",34.3,"修改（支付标准）","医药服务便函〔2021〕5号",162395]
[10911,"ZA04CDE0029020204398","2","儿泻停颗粒","","","",20159660,"儿泻停颗粒","无","颗粒剂","1g","盒","12","铝箔","合肥华润神鹿药业有限公司",24.6,"修改（支付标准）","医药服务便函〔2021〕5号",142656]
[10918,"ZA04CDF0441010302237","1","复方黄连素片","","","",2015108245,"复方黄连素片","无","糖衣片","30mg(以盐酸小檗碱计)","瓶","100","塑料瓶","四川省通园制药集团有限公司",7.55,"修改（支付标准）","医药服务便函〔2021〕5号",108248]
[10922,"ZA04CDG0175020105184","2","葛根芩连丸（片、胶囊、颗粒、口服液）","","","",2020169280,"葛根芩连丸(浓缩水丸)","无","浓缩丸","3g","盒","6","复合膜","广西壮族自治区花红药业股份有限公司",35.98,"修改（支付标准）","医药服务便函〔2021〕5号",169280]
[10930,"ZA04CDX0131010201878","1","香连丸（片、胶囊）","","","",2015146904,"香连片","无","薄膜衣片","0.3g(相当于饮片1g)","盒","45","铝塑","湖北香连药业有限责任公司",26.67,"修改（支付标准）","医药服务便函〔2021〕5号",146903]
[10935,"ZA04CDX0133010104586","1","香连丸（片、胶囊）","","","",2015139938,"香连丸","无","水丸","15g(3g/70粒)","瓶","1","塑料瓶","温州海鹤药业有限公司",6.25,"修改（支付标准）","医药服务便函〔2021〕5号",139935]
[10937,"ZA04CDX0534010103065","1","小儿泻速停颗粒","","","",2015158192,"小儿泻速停颗粒","无","颗粒剂","10g","盒","10","复合膜","河南省百泉制药有限公司",51.11,"修改（支付标准）","医药服务便函〔2021〕5号",158190]
[10942,"ZA04CDX0534030203065","1","小儿泻速停颗粒","","","",2015150654,"小儿泻速停颗粒","无","颗粒剂","5g","盒","12","复合膜","河南省百泉制药有限公司",26.21,"修改（支付标准）","医药服务便函〔2021〕5号",150657]
[10948,"ZA05AAF0279010105415","1","附子理中丸（片）","","","",2015151671,"附子理中片","无","糖衣片","0.25g(基片重)","瓶","100","塑料瓶","贵州汉方药业有限公司",26.21,"修改（支付标准）","医药服务便函〔2021〕5号",151674]
[10954,"ZA05AAF0280010103119","1","附子理中丸（片）","","","",2015143646,"附子理中丸","无","大蜜丸","9g","盒","10","铝箔","江苏平光信谊(焦作)中药有限公司",4.75,"修改（支付标准）","医药服务便函〔2021〕5号",143648]
[10963,"ZA05AAH0314010181049","2","黄芪建中丸","","","",2020169875,"黄芪建中丸","无","大蜜丸","9g","盒","8","铝塑","石家庄御和堂药业股份有限公司",198,"修改（支付标准）","医药服务便函〔2021〕5号",169875]
[10966,"ZA05AAL0062010100295","1","理中丸","","","",2015128816,"理中丸(党参理中丸)","无","大蜜丸","9g","盒","10","塑料壳","广东嘉应制药股份有限公司",32.49,"修改（支付标准）","医药服务便函〔2021〕5号",128815]
[10972,"ZA05AAX0568030104889","2","小建中片（胶囊、颗粒）","","","",201513461,"小建中颗粒","无","颗粒剂","15g","盒","9","复合膜","湖南康尔佳制药股份有限公司",19.58,"修改（支付标准）","医药服务便函〔2021〕5号",128010]
[10977,"ZA05BAX0154010205590","1","香砂养胃丸（片、胶囊、颗粒）","","","",2015130228,"香砂养胃片","无","素片","0.6g","盒","48","铝塑","云南白药集团股份有限公司",17.25,"修改（支付标准）","医药服务便函〔2021〕5号",130232]
[10981,"ZA05BAX0157010100962","1","香砂养胃丸（片、胶囊、颗粒）","","","",2015158589,"香砂养胃丸","无","水丸","9g","盒","6","复合膜","天津中新药业集团股份有限公司乐仁堂制药厂",14.18,"修改（支付标准）","医药服务便函〔2021〕5号",158587]
[10989,"ZA05BAX0157010103503","1","香砂养胃丸（片、胶囊、颗粒）","","","",2015157788,"香砂养胃丸","无","水丸","9g","盒","10","复合膜","吉林紫鑫药业股份有限公司",7.41,"修改（支付标准）","医药服务便函〔2021〕5号",157786]
[10992,"ZA05BAX0157010105015","1","香砂养胃丸（片、胶囊、颗粒）","","","",2015125297,"香砂养胃丸","无","浓缩丸","0.2g(每8丸相当于原药材3g)","瓶","200","塑料瓶","九芝堂股份有限公司",19.21,"修改（支付标准）","医药服务便函〔2021〕5号",125296]
[11001,"ZA06AAT0244010102303","1","通宣理肺丸（片、胶囊、颗粒）","","","",2015132676,"通宣理肺颗粒","无","颗粒剂","9g","盒","10","复合膜","太极集团四川绵阳制药有限公司",21.6,"修改（支付标准）","医药服务便函〔2021〕5号",132680]
[11007,"ZA06AAT0246010100963","1","通宣理肺丸（片、胶囊、颗粒）","","","",2015158986,"通宣理肺片","无","薄膜衣片","0.3g","盒","32","铝箔","天津中新药业集团股份有限公司隆顺榕制药厂",13.91,"修改（支付标准）","医药服务便函〔2021〕5号",158984]
[11008,"ZA06AAT0246010205615","1","通宣理肺丸（片、胶囊、颗粒）","","","",2015110128,"通宣理肺片","无","薄膜衣片","0.3g","盒","36","铝塑","昆明中药厂有限公司",11.41,"修改（支付标准）","医药服务便函〔2021〕5号",110126]
[11016,"ZA06AAX0744030101948","2","杏苏止咳颗粒（糖浆）","","","",2020159189,"杏苏止咳糖浆","无","糖浆剂","240ml","瓶","1","塑料瓶","武汉贝参药业股份有限公司",24.98,"修改（支付标准）","医药服务便函〔2021〕5号",159189]
[11019,"ZA06AAZ0110010102237","2","镇咳宁胶囊（颗粒、口服液、糖浆）","","","",2020166732,"镇咳宁糖浆","无","糖浆剂","100ml","瓶","1","塑料瓶","四川省通园制药集团有限公司",17,"修改（支付标准）","医药服务便函〔2021〕5号",166732]
[11025,"ZA06BBJ0441010303729","2","金荞麦片（胶囊）","","","▲",201514689,"金荞麦胶囊","无","硬胶囊剂","0.22g","盒","60","铝塑","多多药业有限公司",35.28,"修改（支付标准）","医药服务便函〔2021〕5号",117387]
[11033,"ZA06BBQ0240010102374","1","强力枇杷露（胶囊、颗粒）","","","",2015141903,"强力枇杷露","无","糖浆剂","10ml","盒","18","复合膜","陕西汉王药业股份有限公司",19.99,"修改（支付标准）","医药服务便函〔2021〕5号",141905]
[11037,"ZA06BBQ0240010104434","1","强力枇杷露（胶囊、颗粒）","","","",2015139865,"强力枇杷露","无","糖浆剂","100ml","瓶","1","塑料瓶","上海海虹实业(集团)巢湖今辰药业有限公司",11.12,"修改（支付标准）","医药服务便函〔2021〕5号",139862]
[11042,"ZA06BBQ0240010105363","1","强力枇杷露（胶囊、颗粒）","","","",2015157894,"强力枇杷露","无","糖浆剂","15ml","盒","12","空","江西泽众制药股份有限公司",20.57,"修改（支付标准）","医药服务便函〔2021〕5号",157892]
[11048,"ZA06BBQ0240010205509","1","强力枇杷露（胶囊、颗粒）","","","",2015150579,"强力枇杷露","无","糖浆剂","100ml","盒","2","塑料瓶","贵州神奇药业有限公司",19.13,"修改（支付标准）","医药服务便函〔2021〕5号",150582]
[11051,"ZA06BBQ0240020101951","1","强力枇杷露（胶囊、颗粒）","","","",2015160468,"强力枇杷露","无","糖浆剂","180ml","瓶","1","塑料瓶","武汉康乐药业股份有限公司",10.37,"修改（支付标准）","医药服务便函〔2021〕5号",160461]
[11060,"ZA06BBQ0240030101512","1","强力枇杷露（胶囊、颗粒）","","","",2015159476,"强力枇杷露","无","糖浆剂","180ml","瓶","1","塑料瓶","江苏亚邦生缘药业有限公司",20,"修改（支付标准）","医药服务便函〔2021〕5号",159474]
[11062,"ZA06BBQ0240030101851","1","强力枇杷露（胶囊、颗粒）","","","",2015140977,"强力枇杷露","无","糖浆剂","150ml","瓶","1","塑料瓶","湖北东信药业有限公司",10.82,"修改（支付标准）","医药服务便函〔2021〕5号",140979]
[11072,"ZA06BBQ0240060104422","1","强力枇杷露（胶囊、颗粒）","","","",2015159142,"强力枇杷露","无","糖浆剂","250ml","瓶","1","塑料瓶","回音必集团安徽制药有限公司",23.14,"修改（支付标准）","医药服务便函〔2021〕5号",159140]
[11077,"ZA06BBQ0582010200415","1","祛痰止咳颗粒","","","",2020109063,"祛痰止咳颗粒(无糖型)","无","颗粒剂","3g","盒","12","复合膜","广州花城药业有限公司",13,"修改（支付标准）","医药服务便函〔2021〕5号",109063]
[11079,"ZA06BBQ0624040105359","1","强力枇杷膏(蜜炼)","","","",2020164081,"强力枇杷膏(蜜炼)","无","煎膏剂","300g","瓶","1","玻璃瓶","江西滕王阁药业有限公司",52,"修改（支付标准）","医药服务便函〔2021〕5号",164081]
[11086,"ZA06BBX0787030105869","2","宣肺止嗽合剂","","","",2020130218,"宣肺止嗽合剂","无","合剂(含口服液)","20ml","盒","6","塑料瓶","甘肃普安制药股份有限公司",40.5,"修改（支付标准）","医药服务便函〔2021〕5号",130218]
[11090,"ZA06BBZ0189010202380","2","止咳丸(片、胶囊）","","","",2020156099,"止咳片","无","薄膜衣片","0.6g","盒","48","铝塑","陕西华西制药股份有限公司",37.48,"修改（支付标准）","医药服务便函〔2021〕5号",156099]
[11095,"ZA06BCL0468010202767","2","连花清咳片","","","",2021169686,"连花清咳片","无","薄膜衣片","0.46g(相当于饮片1.84g)","盒","36.0","铝箔","石家庄以岭药业股份有限公司",46.44,"修改（支付标准）","医药服务便函〔2021〕5号",169686]
[11102,"ZA06CAF0672010205327","2","复方鲜竹沥液","","","",2015104580,"复方鲜竹沥液","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","江西南昌济生制药有限责任公司",5.95,"修改（支付标准）","医药服务便函〔2021〕5号",104585]
[11106,"ZA06CAJ0683010104117","1","橘红丸（片、胶囊、颗粒）","","","",2015114725,"橘红颗粒(无蔗糖)","无","颗粒剂","4g","盒","20","铝塑","山东孔府制药有限公司",16.06,"修改（支付标准）","医药服务便函〔2021〕5号",114723]
[11114,"ZA06CAJ0692010102039","1","橘红丸（片、胶囊、颗粒）","","","",2015128858,"橘红丸","无","水蜜丸","7.2g(10g/100丸)","盒","6","复合膜","成都九芝堂金鼎药业有限公司",10.86,"修改（支付标准）","医药服务便函〔2021〕5号",128857]
[11119,"ZA06CAJ0692010105615","1","橘红丸（片、胶囊、颗粒）","","","",2015110117,"橘红丸","无","大蜜丸","6g","盒","10","铝塑","昆明中药厂有限公司",6.72,"修改（支付标准）","医药服务便函〔2021〕5号",110115]
[11127,"ZA06CAP0035010205414","2","枇杷止咳胶囊（颗粒、软胶囊）","","","",2020100626,"枇杷止咳颗粒","无","颗粒剂","3g","盒","12","复合膜","江西品信药业股份有限公司",9,"修改（支付标准）","医药服务便函〔2021〕5号",100626]
[11131,"ZA06CAQ0421010105374","2","清气化痰丸","","","",2020167470,"清气化痰丸","无","水丸","6g","盒","10","复合膜","江西心正药业有限责任公司",17,"修改（支付标准）","医药服务便函〔2021〕5号",167470]
[11138,"ZA06CAS0325010105156","1","蛇胆川贝液","","","▲",2015115590,"蛇胆川贝液","无","糖浆剂","10ml","盒","6","空","广西梧州制药(集团)股份有限公司",13.34,"修改（支付标准）","医药服务便函〔2021〕5号",115593]
[11143,"ZA06CAS0325010305168","1","蛇胆川贝液","","","▲",2015156775,"蛇胆川贝液","无","糖浆剂","10ml","盒","8","塑料瓶","广西玉兰制药有限公司",5.03,"修改（支付标准）","医药服务便函〔2021〕5号",156773]
[11147,"ZA06CAS0338020105762","2","射麻口服液","","","",2020166697,"射麻口服液","无","合剂(含口服液)","10ml(每1ml相当于饮片2.4g)","盒","12","玻璃瓶","海南中盛合美生物制药有限公司",47.76,"修改（支付标准）","医药服务便函〔2021〕5号",166697]
[11150,"ZA06CAX0434010102304","2","小儿咳喘灵颗粒（口服液、合剂）","","","",2015158439,"小儿咳喘灵颗粒","无","颗粒剂","2g","盒","10","复合膜","太极集团四川南充制药有限公司",7.8,"修改（支付标准）","医药服务便函〔2021〕5号",158437]
[11156,"ZA06CAX0434010205256","2","小儿咳喘灵颗粒（口服液、合剂）","","","",2015115885,"小儿咳喘灵颗粒","无","颗粒剂","4g","盒","8","铝塑","江西百神药业股份有限公司",30.43,"修改（支付标准）","医药服务便函〔2021〕5号",115888]
[11161,"ZA06CAX0435010106187","2","小儿咳喘灵颗粒（口服液、合剂）","","","",2015116324,"小儿咳喘灵口服液","无","合剂(含口服液)","100ml","瓶","1","塑料瓶","杨凌步长制药有限公司",23.26,"修改（支付标准）","医药服务便函〔2021〕5号",116327]
[11171,"ZA06CAZ0179010405844","2","止咳橘红丸（胶囊、颗粒）","","","",2020122221,"止咳橘红颗粒(无糖型)","无","颗粒剂","3g","盒","20","铝塑","康芝药业股份有限公司",31.8,"修改（支付标准）","医药服务便函〔2021〕5号",122221]
[11173,"ZA06CBM0018010105003","2","麻杏宣肺颗粒","","","",2020166069,"麻杏宣肺颗粒","无","颗粒剂","8g","盒","6","复合膜","湖南康寿制药有限公司",129,"修改（支付标准）","医药服务便函〔2021〕5号",166069]
[11182,"ZA06DAM0127020100411","2","蜜炼川贝枇杷膏","","","▲",2020168225,"蜜炼川贝枇杷膏","无","煎膏剂","210g","瓶","1","塑料瓶","广州白云山潘高寿药业股份有限公司",53.5,"修改（支付标准）","医药服务便函〔2021〕5号",168225]
[11185,"ZA06DAR0173010106298","2","润肺膏","","","▲",2015150681,"润肺膏","无","煎膏剂","250g","瓶","1","塑料瓶","山东润中药业有限公司",35,"修改（支付标准）","医药服务便函〔2021〕5号",150684]
[11191,"ZA06DAX0489010105727","2","小儿清热止咳口服液（合剂、糖浆）","","","",2015104266,"小儿清热止咳口服液","无","合剂(含口服液)","10ml","盒","6","玻璃瓶","云南云龙制药股份有限公司",11.8,"修改（支付标准）","医药服务便函〔2021〕5号",104271]
[11197,"ZA06DAX0489030100430","2","小儿清热止咳口服液（合剂、糖浆）","","","",2015132153,"小儿清热止咳口服液","无","合剂(含口服液)","120ml","瓶","1","塑料瓶","国药集团致君(深圳)坪山制药有限公司",16.1,"修改（支付标准）","医药服务便函〔2021〕5号",132157]
[11200,"ZA06DAY0145010302893","1","养阴清肺丸（膏、颗粒、口服液、糖浆）","","","",2015162291,"养阴清肺颗粒","无","颗粒剂","15g","盒","10","铝塑","山西黄河中药有限公司",21.61,"修改（支付标准）","医药服务便函〔2021〕5号",162284]
[11208,"ZA06EAD0410010204669","2","丹龙口服液","","","",2020166109,"丹龙口服液","无","合剂(含口服液)","10ml(相当于饮片10g)","盒","12","玻璃瓶","浙江康德药业集团股份有限公司",151.02,"修改（支付标准）","医药服务便函〔2021〕5号",166109]
[11214,"ZA06EAG0461010204828","1","桂龙咳喘宁片（胶囊）","","","",2015152092,"桂龙咳喘宁片","无","薄膜衣片","0.54g","盒","60","铝塑","福州海王金象中药制药有限公司",33.33,"修改（支付标准）","医药服务便函〔2021〕5号",152095]
[11217,"ZA06EAG0489020203391","1","蛤蚧定喘丸","","","",2015140658,"蛤蚧定喘丸","无","水蜜丸","6g","盒","10","复合膜","吉林市鹿王制药股份有限公司",12.32,"修改（支付标准）","医药服务便函〔2021〕5号",140660]
[11225,"ZA06EAX0357010101055","2","小儿肺咳颗粒","","","",2015152555,"小儿肺咳颗粒","无","颗粒剂","2g","盒","9","复合膜","天圣制药集团股份有限公司",17.1,"修改（支付标准）","医药服务便函〔2021〕5号",152558]
[11226,"ZA06EAX0357010201055","2","小儿肺咳颗粒","","","",2015124751,"小儿肺咳颗粒","无","颗粒剂","2g","盒","18","复合膜","天圣制药集团股份有限公司",33.91,"修改（支付标准）","医药服务便函〔2021〕5号",124748]
[11232,"ZA07AAA0061010104481","1","安宫牛黄丸","","","限高热惊厥或中风所致的昏迷急救、抢救时使用",2015120677,"安宫牛黄丸(天然牛黄、人工麝香)","无","大蜜丸","3g","盒","1","塑料壳","杭州胡庆余堂药业有限公司",87.52,"修改（支付标准）","医药服务便函〔2021〕5号",120674]
[11241,"ZA07AAX0718010103097","2","醒脑静注射液","","","限二级及以上医疗机构并有中风昏迷、脑外伤昏迷或酒精中毒昏迷抢救的患者",2015109819,"醒脑静注射液(人工麝香)","无","注射液","10ml","支","1","安瓿","河南天地药业股份有限公司",29.25,"修改（支付标准）","医药服务便函〔2021〕5号",109822]
[11244,"ZA07AAX0718020105577","2","醒脑静注射液","","","限二级及以上医疗机构并有中风昏迷、脑外伤昏迷或酒精中毒昏迷抢救的患者",2015111448,"醒脑静注射液(人工麝香)","无","注射液","2ml","支","1","安瓿","大理药业股份有限公司",8.84,"修改（支付标准）","医药服务便函〔2021〕5号",111446]
[11252,"ZA08BAG0315010102454","2","固肠止泻丸（胶囊）","","","",2015155290,"固肠止泻丸","无","浓缩丸","4g(1g/9粒)","盒","15","复合膜","西安阿房宫药业股份有限公司",20.94,"修改（支付标准）","医药服务便函〔2021〕5号",155288]
[11256,"ZA08CAS0999010204925","1","缩泉丸（胶囊）","","","",2015100577,"缩泉胶囊","无","硬胶囊剂","0.3g","瓶","60","塑料瓶","湖南汉森制药股份有限公司",32,"修改（支付标准）","医药服务便函〔2021〕5号",100582]
[11261,"ZA09AAB0470010204617","2","补中益气片（合剂、口服液）","","","▲",2015145384,"补中益气口服液","无","合剂(含口服液)","10ml","盒","20","玻璃瓶","浙江爱诺生物药业股份有限公司",34,"修改（支付标准）","医药服务便函〔2021〕5号",145383]
[11268,"ZA09AAB0472010103119","1","补中益气丸（颗粒）","","","",2015144226,"补中益气丸","无","水丸","6g(3g/50丸)","盒","10","复合膜","江苏平光信谊(焦作)中药有限公司",6.76,"修改（支付标准）","医药服务便函〔2021〕5号",144228]
[11270,"ZA09AAB0472010105156","1","补中益气丸（颗粒）","","","",2015115603,"补中益气丸","无","大蜜丸","9g","盒","10","塑料壳","广西梧州制药(集团)股份有限公司",13,"修改（支付标准）","医药服务便函〔2021〕5号",115606]
[11279,"ZA09AAC0067010205693","1","参苓白术丸（散、颗粒）","","","",2015126911,"参苓白术颗粒","无","颗粒剂","6g","盒","10","复合膜","云南腾药制药股份有限公司",12.36,"修改（支付标准）","医药服务便函〔2021〕5号",126910]
[11285,"ZA09AAC0071010205966","1","参苓白术丸（散、颗粒）","","","",2015152150,"参苓白术丸","无","水丸","6g(6g/100粒)","盒","10","复合膜","库尔勒龙之源药业有限责任公司",14.29,"修改（支付标准）","医药服务便函〔2021〕5号",152153]
[11291,"ZA09AAH0319010302148","2","黄芪片（颗粒）","","","▲",2015142978,"黄芪片","无","薄膜衣片","0.55g","盒","40","复合膜","四川国康药业有限公司",32.35,"修改（支付标准）","医药服务便函〔2021〕5号",142980]
[11296,"ZA09AAS0629010203502","2","十一味参芪片（胶囊）","","","▲",20155531,"十一味参芪片","无","薄膜衣片","0.3g","盒","48","铝箔","吉林金恒制药股份有限公司",32.05,"修改（支付标准）","医药服务便函〔2021〕5号",116472]
[11298,"ZA09ABA0125010300435","2","安胃疡胶囊","","","",2015136752,"安胃疡胶囊","无","硬胶囊剂","0.2g","盒","36","铝塑","惠州市九惠制药股份有限公司",28.8,"修改（支付标准）","医药服务便函〔2021〕5号",136749]
[11303,"ZA09ABE0016010205443","2","儿脾醒颗粒","","","",2020139015,"儿脾醒颗粒","无","颗粒剂","2.5g","盒","15","铝塑","贵州润生制药有限公司",31.14,"修改（支付标准）","医药服务便函〔2021〕5号",139015]
[11311,"ZA09ABJ0096010202729","2","健儿消食合剂（口服液）","","","",2015159662,"健儿消食口服液","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","神威药业集团有限公司",16.64,"修改（支付标准）","医药服务便函〔2021〕5号",159660]
[11315,"ZA09ABJ0134010201946","2","健脾生血片（颗粒)","","","",2015127168,"健脾生血片","无","薄膜衣片","0.6g","盒","36","铝箔","健民药业集团股份有限公司",32.21,"修改（支付标准）","医药服务便函〔2021〕5号",127167]
[11322,"ZA09ABR0035010102685","2","人参健脾丸（片）","","","▲",2015108879,"人参健脾片","无","薄膜衣片","0.51g(相当于饮片1.59g)","盒","24","铝塑","河北百善药业有限公司",32.97,"修改（支付标准）","医药服务便函〔2021〕5号",118804]
[11327,"ZA09ABW0092010104481","2","胃复春片（胶囊)","","","",2020168207,"胃复春胶囊","无","硬胶囊剂","0.35g","瓶","60","塑料瓶","杭州胡庆余堂药业有限公司",85,"修改（支付标准）","医药服务便函〔2021〕5号",168207]
[11331,"ZA09ABX0146010100286","1","香砂六君丸","","","",2015111769,"香砂六君丸","无","水丸","30g","瓶","1","塑料瓶","广东恒诚制药股份有限公司",4.84,"修改（支付标准）","医药服务便函〔2021〕5号",111767]
[11339,"ZA09ABY0026010201055","2","延参健胃胶囊","","","▲",2020118415,"延参健胃胶囊","无","硬胶囊剂","0.3g","盒","36","铝塑","天圣制药集团股份有限公司",47.41,"修改（支付标准）","医药服务便函〔2021〕5号",118415]
[11346,"ZA09ABY0343010104394","2","益气和胃胶囊","","","",2020145103,"益气和胃胶囊","无","硬胶囊剂","0.5g","盒","24","铝塑","合肥立方制药股份有限公司",30.31,"修改（支付标准）","医药服务便函〔2021〕5号",145103]
[11350,"ZA09BAB0043010203560","1","八珍丸（片、胶囊、颗粒）","","","",2015159634,"八珍胶囊","无","硬胶囊剂","0.4g","盒","36","铝塑","通化金马药业集团股份有限公司",22.75,"修改（支付标准）","医药服务便函〔2021〕5号",159632]
[11355,"ZA09BAB0044010104557","1","八珍丸（片、胶囊、颗粒）","","","",2015138561,"八珍颗粒(无糖型)","无","颗粒剂","3.5g","盒","10","复合膜","宁波立华制药有限公司",26.95,"修改（支付标准）","医药服务便函〔2021〕5号",138558]
[11362,"ZA09BAB0046010102347","1","八珍丸（片、胶囊、颗粒）","","","",2015113962,"八珍片","无","薄膜衣片","0.45g","盒","36","铝塑","金花企业(集团)股份有限公司西安金花制药厂",28.26,"修改（支付标准）","医药服务便函〔2021〕5号",113960]
[11366,"ZA09BAB0047020105693","1","八珍丸（片、胶囊、颗粒）","","","",2015160689,"八珍丸","无","大蜜丸","9g","盒","10","铝塑","云南腾药制药股份有限公司",4.76,"修改（支付标准）","医药服务便函〔2021〕5号",160682]
[11369,"ZA09BAD0199010100362","2","当归养血丸","","","",2020156582,"当归养血丸","无","水蜜丸","54g","瓶","1","塑料瓶","广东沙溪制药有限公司",30.54,"修改（支付标准）","医药服务便函〔2021〕5号",156582]
[11375,"ZA09BAG0394010105667","1","归脾丸（合剂）","","","",2015149428,"归脾合剂","无","合剂(含口服液)","100ml","瓶","1","塑料瓶","云南龙发制药股份有限公司",7.36,"修改（支付标准）","医药服务便函〔2021〕5号",149427]
[11381,"ZA09BAG0397010102030","2","归脾片（胶囊、颗粒）","","","",2020118495,"归脾片","无","素片","0.45g","瓶","36","塑料瓶","成都亨达药业有限公司",39.2,"修改（支付标准）","医药服务便函〔2021〕5号",118495]
[11386,"ZA09BAG0398010102950","1","归脾丸（合剂）","","","",2015157568,"归脾丸","无","大蜜丸","9g","盒","10","铝箔","山西天生制药有限责任公司",11.32,"修改（支付标准）","医药服务便函〔2021〕5号",157566]
[11392,"ZA09BAG0398020102816","1","归脾丸（合剂）","","","",2015100988,"归脾丸","无","水蜜丸","6g","盒","10","复合膜","药都制药集团股份有限公司",15.98,"修改（支付标准）","医药服务便函〔2021〕5号",100993]
[11398,"ZA09BAG0398030101844","1","归脾丸（合剂）","","","",2015153530,"归脾丸","无","水蜜丸","6g","盒","10","复合膜","湖北瑞华制药有限责任公司",5.23,"修改（支付标准）","医药服务便函〔2021〕5号",153533]
[11401,"ZA09BAS0949010102210","2","四物片（胶囊、颗粒)","","","",2020147601,"四物胶囊","无","硬胶囊剂","0.58g","盒","24","铝塑","四川宝鉴堂药业有限公司",41.04,"修改（支付标准）","医药服务便函〔2021〕5号",147601]
[11409,"ZA09BAZ0003010180671","2","再造生血片(胶囊）","","","",2020167155,"再造生血胶囊","无","硬胶囊剂","0.32g","瓶","45","塑料瓶","安徽誉隆亚东药业有限公司",44.64,"修改（支付标准）","医药服务便函〔2021〕5号",167155]
[11416,"ZA09CAD0007010100715","2","大补阴丸","","","",2015115963,"大补阴丸","无","水蜜丸","120g","瓶","1","塑料瓶","上海雷允上封浜制药有限公司",34.78,"修改（支付标准）","医药服务便函〔2021〕5号",115966]
[11421,"ZA09CAL0259010105521","2","六味地黄片（胶囊、颗粒、口服液）","","","▲",2015120608,"六味地黄胶囊","无","硬胶囊剂","0.5g","瓶","48","塑料瓶","贵州圣济堂制药有限公司",29.74,"修改（支付标准）","医药服务便函〔2021〕5号",120605]
[11425,"ZA09CAL0259010303972","2","六味地黄片（胶囊、颗粒、口服液）","","","▲",2015159074,"六味地黄胶囊","无","硬胶囊剂","0.5g","盒","48","铝塑","翔宇药业股份有限公司",27.34,"修改（支付标准）","医药服务便函〔2021〕5号",159072]
[11433,"ZA09CAL0264010100962","1","六味地黄丸","","","▲",2015158598,"六味地黄丸","无","水蜜丸","60g(20g/100粒)","瓶","1","塑料瓶","天津中新药业集团股份有限公司乐仁堂制药厂",20.5,"修改（支付标准）","医药服务便函〔2021〕5号",158596]
[11436,"ZA09CAL0264010102039","1","六味地黄丸","","","▲",2015151112,"六味地黄丸","无","水蜜丸","60g","瓶","1","塑料瓶","成都九芝堂金鼎药业有限公司",25,"修改（支付标准）","医药服务便函〔2021〕5号",151115]
[11440,"ZA09CAL0264010103119","1","六味地黄丸","","","▲",2015143697,"六味地黄丸","无","大蜜丸","9g","盒","10","铝箔","江苏平光信谊(焦作)中药有限公司",3.9,"修改（支付标准）","医药服务便函〔2021〕5号",143699]
[11445,"ZA09CAL0264010105156","1","六味地黄丸","","","▲",2015115599,"六味地黄丸","无","大蜜丸","9g","盒","10","塑料壳","广西梧州制药(集团)股份有限公司",13.49,"修改（支付标准）","医药服务便函〔2021〕5号",115602]
[11452,"ZA09CAL0264020100256","1","六味地黄丸","","","▲",2015106514,"六味地黄丸","无","水蜜丸","6g","盒","10","复合膜","国药集团冯了性（佛山）药业有限公司",18.85,"修改（支付标准）","医药服务便函〔2021〕5号",106517]
[11460,"ZA09CAL0264030105015","1","六味地黄丸","","","▲",2015125307,"六味地黄丸","无","小蜜丸","120g","瓶","1","塑料瓶","九芝堂股份有限公司",23.65,"修改（支付标准）","医药服务便函〔2021〕5号",125306]
[11463,"ZA09CAM0042010302279","2","麦味地黄丸（片、胶囊、口服液)","","","▲",2020170667,"麦味地黄口服液","无","合剂(含口服液)","10ml","盒","30","玻璃瓶","四川旭阳药业有限责任公司",65.2,"修改（支付标准）","医药服务便函〔2021〕5号",170667]
[11469,"ZA09CAZ0151010100975","1","知柏地黄丸","","","▲",2015126684,"知柏地黄丸","无","水蜜丸","60g","瓶","1","塑料瓶","太极集团重庆中药二厂有限公司",10.76,"修改（支付标准）","医药服务便函〔2021〕5号",126683]
[11475,"ZA09CAZ0151010103860","1","知柏地黄丸","","","▲",2015128259,"知柏地黄丸","无","大蜜丸","9g","盒","10","铝塑","包头中药有限责任公司",9.57,"修改（支付标准）","医药服务便函〔2021〕5号",128258]
[11480,"ZA09CAZ0151010200974","1","知柏地黄丸","","","▲",2015129878,"知柏地黄丸","无","水蜜丸","6g(3g/30粒)","盒","20","复合膜","太极集团重庆桐君阁药厂有限公司",45.32,"修改（支付标准）","医药服务便函〔2021〕5号",129877]
[11486,"ZA09CAZ0151020105880","1","知柏地黄丸","","","▲",2015129006,"知柏地黄丸","无","水蜜丸","/","瓶","200","塑料瓶","甘肃天水岐黄药业有限责任公司",7.22,"修改（支付标准）","医药服务便函〔2021〕5号",129005]
[11492,"ZA09CBB0394010100365","2","补肺活血胶囊","","","",20155573,"补肺活血胶囊","无","硬胶囊剂","0.35g","瓶","40","塑料瓶","广东雷允上药业有限公司",32.68,"修改（支付标准）","医药服务便函〔2021〕5号",135285]
[11495,"ZA09CCM0079010104540","2","慢肝养阴片（胶囊）","","","▲",2020141542,"慢肝养阴片","无","薄膜衣片","0.4g","盒","36","铝塑","浙江新明珠药业有限公司",51.58,"修改（支付标准）","医药服务便函〔2021〕5号",141542]
[11504,"ZA09CCQ0124010103119","1","杞菊地黄丸（片、胶囊）","","","▲",2015143684,"杞菊地黄丸","无","大蜜丸","9g","盒","10","铝箔","江苏平光信谊(焦作)中药有限公司",3.64,"修改（支付标准）","医药服务便函〔2021〕5号",143686]
[11506,"ZA09CCQ0124010104456","1","杞菊地黄丸（片、胶囊）","","","▲",2015133487,"杞菊地黄丸","无","浓缩丸","每8丸相当于原药材3g","瓶","200","塑料瓶","芜湖张恒春药业有限公司",5.85,"修改（支付标准）","医药服务便函〔2021〕5号",133491]
[11511,"ZA09CCQ0124010205015","1","杞菊地黄丸（片、胶囊）","","","▲",2015159746,"杞菊地黄丸","无","浓缩丸","每8丸相当于原药材3g","瓶","360","塑料瓶","九芝堂股份有限公司",30.43,"修改（支付标准）","医药服务便函〔2021〕5号",159744]
[11521,"ZA09CDX0227010202651","2","消渴康颗粒","","","",20155033,"消渴康颗粒","无","颗粒剂","9g","盒","9","复合膜","河北万邦复临药业有限公司",24.26,"修改（支付标准）","医药服务便函〔2021〕5号",144198]
[11523,"ZA09DBD0367010104416","2","杜仲颗粒","","","",20155768,"杜仲颗粒","无","颗粒剂","5g","盒","10","复合膜","黄山市天目药业有限公司",4.37,"修改（支付标准）","医药服务便函〔2021〕5号",136491]
[11530,"ZA09DBJ0389010102816","1","金匮肾气丸（片）","","","",2015100436,"金匮肾气丸","无","大蜜丸","6g","盒","10","铝塑","药都制药集团股份有限公司",21.65,"修改（支付标准）","医药服务便函〔2021〕5号",100441]
[11534,"ZA09DBJ0389020102816","1","金匮肾气丸（片）","","","",2015101349,"金匮肾气丸","无","水蜜丸","5g(20g/100粒)","盒","10","复合膜","药都制药集团股份有限公司",24.09,"修改（支付标准）","医药服务便函〔2021〕5号",101354]
[11539,"ZA09DBS0931010103082","1","四神丸（片）","","","",2015106897,"四神丸","无","水丸","9g","盒","10","复合膜","仲景宛西制药股份有限公司",12.26,"修改（支付标准）","医药服务便函〔2021〕5号",106900]
[11546,"ZA09EAX0649010302786","2","心脑欣片（胶囊）","","","▲",2015115910,"心脑欣片","无","薄膜衣片","0.52g","盒","24","铝塑","景忠山国药(唐山)有限公司",26.08,"修改（支付标准）","医药服务便函〔2021〕5号",115913]
[11550,"ZA09FAB0150010306297","2","百令片（胶囊）","","","▲；限器官移植抗排异、肾功能衰竭及肺纤维化",2015124665,"百令片","无","薄膜衣片","0.45g(相当于发酵虫草菌粉0.2g)","盒","60","铝塑","青海珠峰冬虫夏草药业有限公司",49.72,"修改（支付标准）","医药服务便函〔2021〕5号",124662]
[11558,"ZA09FAN0099010201477","2","宁心宝胶囊","","","▲；限难治性缓慢型心律失常患者使用。",2015139831,"宁心宝胶囊","无","硬胶囊剂","0.25g","瓶","50","塑料瓶","江苏神华药业有限公司",11.41,"修改（支付标准）","医药服务便函〔2021〕5号",139828]
[11565,"ZA09FAS0514010202349","1","生血宝颗粒（合剂）","","","",2015154292,"生血宝合剂","无","合剂(含口服液)","100ml","盒","2","塑料瓶","清华德人西安幸福制药有限公司",110,"修改（支付标准）","医药服务便函〔2021〕5号",154295]
[11570,"ZA09FBB0435010202364","2","补肾益脑丸（片、胶囊）","","","▲",201512619,"补肾益脑胶囊","无","硬胶囊剂","0.27g","盒","60","铝塑","陕西东泰制药有限公司",26.58,"修改（支付标准）","医药服务便函〔2021〕5号",110807]
[11575,"ZA09GAC0123010203050","1","参芪降糖片（胶囊、颗粒）","","","",2015117602,"参芪降糖胶囊","无","硬胶囊剂","0.35g","瓶","90","高密度聚乙烯","河南羚锐制药股份有限公司",48.09,"修改（支付标准）","医药服务便函〔2021〕5号",117605]
[11576,"ZA09GAC0124010104012","1","参芪降糖片（胶囊、颗粒）","","","",2015131385,"参芪降糖颗粒","无","颗粒剂","3g","盒","10","复合膜","鲁南厚普制药有限公司",23.5,"修改（支付标准）","医药服务便函〔2021〕5号",131389]
[11582,"ZA09GAG0308010102397","2","固本丸","","","",20157380,"固本丸","无","浓缩丸","每12丸相当于总药材3g","瓶","200","塑料瓶","陕西利君现代中药有限公司",16.52,"修改（支付标准）","医药服务便函〔2021〕5号",126264]
[11591,"ZA09GAS0498010100430","2","生脉饮（党参方）、生脉片（颗粒）（党参方）","","","▲",2015131643,"生脉颗粒(党参方)","无","颗粒剂","10g","盒","20","复合膜","国药集团致君(深圳)坪山制药有限公司",18.69,"修改（支付标准）","医药服务便函〔2021〕5号",131647]
[11593,"ZA09GAS0498010104684","2","生脉饮（党参方）、生脉片（颗粒）（党参方）","","","▲",2015132667,"生脉颗粒(党参方)","无","颗粒剂","10g","盒","10","复合膜","浙江优胜美特中药有限公司",18.55,"修改（支付标准）","医药服务便函〔2021〕5号",132671]
[11600,"ZA09GAT0088010202610","2","天麦消渴片","","","",20159285,"天麦消渴片","无","薄膜衣片","0.12g(含吡考啉酸铬1.6mg)","盒","24","铝塑","河北富格药业有限公司",40.49,"修改（支付标准）","医药服务便函〔2021〕5号",140814]
[11605,"ZA09GAX0782010202058","2","虚汗停胶囊（颗粒）","","","▲",201514250,"虚汗停胶囊","无","硬胶囊剂","0.35g","盒","48","铝箔","四川森科制药有限公司",49.54,"修改（支付标准）","医药服务便函〔2021〕5号",120569]
[11609,"ZA09GAY0332010205507","2","益脑片（胶囊）","","","▲",2015111739,"益脑片","无","薄膜衣片","0.3g","盒","48","铝塑","贵州三仁堂药业有限公司",31.04,"修改（支付标准）","医药服务便函〔2021〕5号",111732]
[11617,"ZA09HAC0101010104762","1","参麦注射液","","","限二级及以上医疗机构并有急救、抢救临床证据或肿瘤放化疗证据的患者。",2015106312,"参麦注射液","无","注射液","100ml","瓶","1","玻璃瓶","正大青春宝药业有限公司",97.17,"修改（支付标准）","医药服务便函〔2021〕5号",106315]
[11620,"ZA09HAC0101030102129","1","参麦注射液","","","限二级及以上医疗机构并有急救、抢救临床证据或肿瘤放化疗证据的患者。",2015115842,"参麦注射液","无","注射液","20ml","瓶","1","安瓿","四川川大华西药业股份有限公司",12.42,"修改（支付标准）","医药服务便函〔2021〕5号",115845]
[11629,"ZA09HAS0496010302294","1","生脉饮、生脉胶囊（颗粒）","","","▲",2015112590,"生脉胶囊","无","硬胶囊剂","0.35g","盒","60","铝箔","国药集团宜宾制药有限责任公司",25.7,"修改（支付标准）","医药服务便函〔2021〕5号",112588]
[11635,"ZA09HAS0507010102312","1","生脉注射液","","","限二级及以上医疗机构并有急救抢救临床证据的患者",2015131525,"生脉注射液","无","注射液","10ml","支","1","安瓿","华润三九(雅安)药业有限公司",11.04,"修改（支付标准）","医药服务便函〔2021〕5号",131529]
[11641,"ZA09HAY0339010105755","2","益气复脉胶囊（颗粒）","","","",20153841,"益气复脉胶囊","无","硬胶囊剂","0.37g","盒","24","铝塑","海口奇力制药股份有限公司",17.5,"修改（支付标准）","医药服务便函〔2021〕5号",127312]
[11644,"ZA09HAZ0413010100940","2","注射用益气复脉(冻干)","","","限二级及以上医疗机构冠心病心绞痛及冠心病所致左心功能不全II-III级的患者，单次住院最多支付14天。",201513144,"注射用益气复脉","无","冻干粉针剂","0.65g(相当于含红参0.5g,五味子0.75g和麦冬1.5g)","瓶","1","玻璃瓶","天津天士力之骄药业有限公司",16.5,"修改（支付标准）","医药服务便函〔2021〕5号",102878]
[11652,"ZA10AAB0174010104456","1","柏子养心丸（片、胶囊）","","","",2015146260,"柏子养心丸","无","水蜜丸","36g","瓶","1","塑料瓶","芜湖张恒春药业有限公司",3.85,"修改（支付标准）","医药服务便函〔2021〕5号",146259]
[11653,"ZA10AAB0174010104828","1","柏子养心丸（片、胶囊）","","","",2015146362,"柏子养心丸","无","水蜜丸","60g","瓶","1","塑料瓶","福州海王金象中药制药有限公司",7.62,"修改（支付标准）","医药服务便函〔2021〕5号",146361]
[11659,"ZA10AAJ0638010100014","2","九味镇心颗粒","","","限有明确的焦虑症诊断证据",20158121,"九味镇心颗粒","无","颗粒剂","6g","盒","10","复合膜","北京北陆药业股份有限公司",54.73,"修改（支付标准）","医药服务便函〔2021〕5号",105936]
[11664,"ZA10AAT0106010100256","1","天王补心丸（片）","","","",2015106546,"天王补心丸","无","水蜜丸","6g","盒","10","复合膜","国药集团冯了性（佛山）药业有限公司",20.44,"修改（支付标准）","医药服务便函〔2021〕5号",106549]
[11670,"ZA10AAT0106010105015","1","天王补心丸（片）","","","",2015129327,"天王补心丸","无","小蜜丸","120g","瓶","1","塑料瓶","九芝堂股份有限公司",19.14,"修改（支付标准）","医药服务便函〔2021〕5号",129326]
[11676,"ZA10AAZ0011010102371","2","枣仁安神胶囊（颗粒、液）","","","▲",2015120114,"枣仁安神颗粒","无","颗粒剂","5g","盒","6","复合膜","陕西海天制药有限公司",38.87,"修改（支付标准）","医药服务便函〔2021〕5号",120111]
[11685,"ZA10BAC0142010402364","2","参芪五味子片（胶囊、颗粒）","","","",201514631,"参芪五味子胶囊","无","硬胶囊剂","0.25g","盒","64","铝塑","陕西东泰制药有限公司",23.68,"修改（支付标准）","医药服务便函〔2021〕5号",110549]
[11688,"ZA10BAQ0046010104652","2","七叶神安片","","","",2015157391,"七叶神安片","无","薄膜衣片","含三七叶总皂苷50mg","盒","24","铝塑","浙江惠松制药有限公司",9.05,"修改（支付标准）","医药服务便函〔2021〕5号",157389]
[11696,"ZA10BAX0247010405310","2","消疲灵颗粒","","","",2020170626,"消疲灵颗粒(无糖型)","无","颗粒剂","6g","盒","24","复合膜","江西京通美联药业有限公司",83.66,"修改（支付标准）","医药服务便函〔2021〕5号",170626]
[11700,"ZA10BAY0113010103692","2","养血安神片（颗粒）","","","▲",2015120343,"养血安神片","无","糖衣片","0.25g(基片重)(相当于总药材1.1g)","盒","36","铝塑","葵花药业集团(佳木斯)有限公司",12,"修改（支付标准）","医药服务便函〔2021〕5号",120340]
[11705,"ZA10CAS0758010205448","2","舒眠片（胶囊）","","","",20153921,"舒眠胶囊","无","硬胶囊剂","0.4g","盒","36","铝塑","贵州大隆药业有限责任公司",32.2,"修改（支付标准）","医药服务便函〔2021〕5号",130489]
[11711,"ZA10DAA0090010400356","2","安神补脑片（胶囊、颗粒、液）","","","▲",2015105372,"安神补脑颗粒","无","颗粒剂","1g","盒","12","复合膜","广东百科制药有限公司",23.04,"修改（支付标准）","医药服务便函〔2021〕5号",105375]
[11714,"ZA10DAA0092020103425","2","安神补脑片（胶囊、颗粒、液）","","","▲",2015127721,"安神补脑片","无","薄膜衣片","0.31g","盒","24","铝箔","吉林省集安益盛药业股份有限公司",27.26,"修改（支付标准）","医药服务便函〔2021〕5号",127720]
[11723,"ZA10DAT0128010204134","2","甜梦胶囊（口服液）","","","",2020150841,"甜梦口服液(无糖型)","无","合剂(含口服液)","10ml(相当于总药材6.53g)","盒","15","塑料瓶","荣昌制药(淄博)有限公司",43.96,"修改（支付标准）","医药服务便函〔2021〕5号",150841]
[11729,"ZA11AAD0353010705853","2","独一味丸（片、胶囊、颗粒、软胶囊）","","","",2015150900,"独一味胶囊","无","硬胶囊剂","0.3g","瓶","65","塑料瓶","康县独一味生物制药有限公司",35.75,"修改（支付标准）","医药服务便函〔2021〕5号",150903]
[11730,"ZA11AAD0355010101419","2","独一味丸（片、胶囊、颗粒、软胶囊）","","","",2015108290,"独一味颗粒","无","颗粒剂","10g(相当于3g生药材)","盒","9","复合膜","江苏融昱药业有限公司",31.81,"修改（支付标准）","医药服务便函〔2021〕5号",108293]
[11740,"ZA11AAD0357010205853","2","独一味丸（片、胶囊、颗粒、软胶囊）","","","",2015129601,"独一味片","无","糖衣片","0.26g(片芯重)","瓶","50","塑料瓶","康县独一味生物制药有限公司",23.32,"修改（支付标准）","医药服务便函〔2021〕5号",129600]
[11742,"ZA11AAD0358010105331","2","独一味丸（片、胶囊、颗粒、软胶囊）","","","",2015138990,"独一味软胶囊","无","软胶囊(胶丸)","0.5g","盒","12","铝塑","江西欧氏药业有限责任公司",8.24,"修改（支付标准）","医药服务便函〔2021〕5号",138987]
[11749,"ZA11AAD0358010805331","2","独一味丸（片、胶囊、颗粒、软胶囊）","","","",2015138993,"独一味软胶囊","无","软胶囊(胶丸)","0.5g","盒","45","铝塑","江西欧氏药业有限责任公司",29.43,"修改（支付标准）","医药服务便函〔2021〕5号",138990]
[11754,"ZA11AAH0269010102458","1","槐角丸","","","",2015144147,"槐角丸","无","水蜜丸","6g","袋","10","复合膜","西安碑林药业股份有限公司",6.59,"修改（支付标准）","医药服务便函〔2021〕5号",144149]
[11759,"ZA11AAH0269010103119","1","槐角丸","","","",2015143703,"槐角丸","无","大蜜丸","9g","盒","10","铝箔","江苏平光信谊(焦作)中药有限公司",5.07,"修改（支付标准）","医药服务便函〔2021〕5号",143705]
[11766,"ZA11AAL0422010105377","2","裸花紫珠片（胶囊、颗粒）","","","",2015141558,"裸花紫珠胶囊","无","硬胶囊剂","0.4g(含干浸膏0.3g)","盒","48","铝塑","江西杏林白马药业股份有限公司",32.17,"修改（支付标准）","医药服务便函〔2021〕5号",141551]
[11771,"ZA11AAL0424010205787","2","裸花紫珠片（胶囊、颗粒）","","","",2020123175,"裸花紫珠片","无","薄膜衣片","含干浸膏0.5g","盒","24","铝塑","海南九芝堂药业有限公司",19.73,"修改（支付标准）","医药服务便函〔2021〕5号",123175]
[11775,"ZA11AAZ0250010102039","2","止血镇痛胶囊","","","",20157350,"止血镇痛胶囊","无","硬胶囊剂","0.35g","盒","20","铝箔","成都九芝堂金鼎药业有限公司",20,"修改（支付标准）","医药服务便函〔2021〕5号",120409]
[11782,"ZA12AAD0219020105614","2","灯银脑通胶囊","","","",2020122703,"灯银脑通胶囊","无","硬胶囊剂","0.26g","盒","24","铝塑","昆药集团股份有限公司",39.96,"修改（支付标准）","医药服务便函〔2021〕5号",122703]
[11784,"ZA12AAD0362010303357","2","杜蛭丸","","","限中风病中经络恢复期患者。可支付规格：5g/25粒。",2019146550,"杜蛭丸(浓缩水蜜丸)","无","浓缩丸","5g/25粒","盒","200","铝箔","吉林敖东延边药业股份有限公司",51.92,"修改（支付标准）","医药服务便函〔2021〕5号",146550]
[11794,"ZA12AAN0012010280671","2","脑安片（胶囊、颗粒、滴丸）","","","",2015101786,"脑安胶囊","无","硬胶囊剂","0.4g","瓶","30","塑料瓶","安徽誉隆亚东药业有限公司",29.67,"修改（支付标准）","医药服务便函〔2021〕5号",101791]
[11799,"ZA12AAQ0060030100941","2","芪参益气滴丸","","","",201515379,"芪参益气滴丸","无","滴丸","0.5g","盒","15","复合膜","天士力医药集团股份有限公司",33.29,"修改（支付标准）","医药服务便函〔2021〕5号",103999]
[11801,"ZA12AAQ0061010207004","2","芪丹通络颗粒","","","",2019166637,"芪丹通络颗粒","无","颗粒剂","8g","盒","6","复合膜","河北中唐医药有限公司",24.96,"修改（支付标准）","医药服务便函〔2021〕5号",166637]
[11810,"ZA12AAX0268010103767","2","消栓颗粒(肠溶胶囊)","","","",20157363,"消栓颗粒","无","颗粒剂","4g","盒","6","复合膜","黑龙江省济仁药业有限公司",23.23,"修改（支付标准）","医药服务便函〔2021〕5号",108935]
[11813,"ZA12AAX0685010103425","2","心悦胶囊","","","",20157102,"心悦胶囊","无","硬胶囊剂","0.3g(相当于含西洋参茎叶总皂苷50mg)","盒","24","复合膜","吉林省集安益盛药业股份有限公司",33.73,"修改（支付标准）","医药服务便函〔2021〕5号",127493]
[11819,"ZA12AAY0417010105774","2","益心舒丸（片、胶囊、颗粒）","","","",2015113031,"益心舒颗粒","无","颗粒剂","4g","盒","12","铝塑","海南海力制药有限公司",26.57,"修改（支付标准）","医药服务便函〔2021〕5号",113029]
[11825,"ZA12AAY0418010201463","2","益心舒丸（片、胶囊、颗粒）","","","",2015148868,"益心舒片","无","薄膜衣片","0.4g","盒","60","铝塑","江苏康缘药业股份有限公司",38.99,"修改（支付标准）","医药服务便函〔2021〕5号",148867]
[11828,"ZA12AAY0418010300585","2","益心舒丸（片、胶囊、颗粒）","","","",2015112001,"益心舒片","无","薄膜衣片","0.4g","盒","36","铝塑","广东先通药业有限公司",35.74,"修改（支付标准）","医药服务便函〔2021〕5号",111999]
[11836,"ZA12BAF0351010105955","1","复方丹参片（丸、胶囊、颗粒、滴丸）","","","",2015159211,"复方丹参胶囊","无","硬胶囊剂","0.3g","盒","60","铝箔","青海益欣药业有限责任公司",28.11,"修改（支付标准）","医药服务便函〔2021〕5号",159209]
[11843,"ZA12BAF0354010105607","1","复方丹参片（丸、胶囊、颗粒、滴丸）","","","",2015130977,"复方丹参片","无","薄膜衣片","0.32g(相当于饮片0.6g)","瓶","120","塑料瓶","云南白药集团股份有限公司",19.01,"修改（支付标准）","医药服务便函〔2021〕5号",130981]
[11848,"ZA12BAF0357010303108","1","复方丹参片（丸、胶囊、颗粒、滴丸）","","","",2015158298,"复方丹参丸","无","浓缩丸","0.7g(9mg/丸)","盒","15","复合膜","爱民药业集团股份有限公司",25,"修改（支付标准）","医药服务便函〔2021〕5号",158296]
[11853,"ZA12BAG0352010303373","2","冠脉宁片（胶囊）","","","",201513988,"冠脉宁片","无","薄膜衣片","0.5g","盒","48","铝箔","吉林华康药业股份有限公司",25.88,"修改（支付标准）","医药服务便函〔2021〕5号",117983]
[11860,"ZA12BAL0038010105490","2","乐脉丸（片、胶囊、颗粒）","","","",20152041,"乐脉丸(浓缩水丸)","无","浓缩丸","1.5g","盒","9","复合膜","贵州景峰注射剂有限公司",25.52,"修改（支付标准）","医药服务便函〔2021〕5号",148214]
[11865,"ZA12BAL0454010205497","2","理气活血滴丸","","","",2020152131,"理气活血滴丸","无","滴丸","25mg","瓶","90","塑料瓶","贵州民族药业股份有限公司",32.13,"修改（支付标准）","医药服务便函〔2021〕5号",152131]
[11869,"ZA12BAS0986010200961","1","速效救心丸","","","",2015131819,"速效救心丸","无","滴丸","40mg","盒","150","空","天津中新药业集团股份有限公司第六中药厂",38,"修改（支付标准）","医药服务便函〔2021〕5号",131823]
[11872,"ZA12BAX0110010104762","1","香丹注射液","","","限二级及以上医疗机构",2015106335,"香丹注射液","无","注射液","10ml","支","1","安瓿","正大青春宝药业有限公司",4.54,"修改（支付标准）","医药服务便函〔2021〕5号",106338]
[11880,"ZA12BAX0625010202181","2","心可舒丸（片、胶囊、颗粒）","","","",2015156578,"心可舒颗粒(无蔗糖)","无","颗粒剂","3g","盒","18","复合膜","四川科瑞德制药股份有限公司",38.96,"修改（支付标准）","医药服务便函〔2021〕5号",156576]
[11884,"ZA12BAX0830010100865","1","血府逐瘀丸（片、胶囊）","","","",2015117748,"血府逐瘀胶囊","无","硬胶囊剂","0.4g","盒","24","复合膜","天津宏仁堂药业有限公司",19.67,"修改（支付标准）","医药服务便函〔2021〕5号",117751]
[11889,"ZA12BAX0832010103357","2","血府逐瘀颗粒（口服液）","","","",2015140539,"血府逐瘀口服液","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","吉林敖东延边药业股份有限公司",20.88,"修改（支付标准）","医药服务便函〔2021〕5号",140541]
[11895,"ZA12BAX0836020102816","1","血府逐瘀丸（片、胶囊）","","","",2015103041,"血府逐瘀丸","无","水蜜丸","48g(20g/100丸)","瓶","1","塑料瓶","药都制药集团股份有限公司",15.13,"修改（支付标准）","医药服务便函〔2021〕5号",103046]
[11904,"ZA12CAD0068030201566","2","丹参片（胶囊、颗粒、口服液、合剂、滴丸）","","","",2015154397,"丹参片","无","薄膜衣片","0.27g","瓶","100","塑料瓶","南京厚生药业有限公司",34.18,"修改（支付标准）","医药服务便函〔2021〕5号",154400]
[11907,"ZA12CAD0073010102729","1","丹参注射液","","","限二级及以上医疗机构并有明确的缺血性心脑血管疾病急性发作证据的患者",2015159651,"丹参注射液","无","注射液","10ml","支","1","安瓿","神威药业集团有限公司",3.85,"修改（支付标准）","医药服务便函〔2021〕5号",159649]
[11913,"ZA12CAD0087020103962","2","丹红注射液","","","限二级及以上医疗机构并有明确的缺血性心脑血管疾病急性发作证据的重症抢救患者。",2015116258,"丹红注射液","无","注射液","20ml","支","1","安瓿","山东丹红制药有限公司",29.44,"修改（支付标准）","医药服务便函〔2021〕5号",116261]
[11919,"ZA12CAF0328010204085","2","复方川芎片（胶囊）","","","",20159610,"复方川芎胶囊","无","硬胶囊剂","0.37g","盒","36","铝塑","山东凤凰制药股份有限公司",16.5,"修改（支付标准）","医药服务便函〔2021〕5号",136806]
[11924,"ZA12FAC0236010104073","2","参仙升脉口服液","","","▲",20159178,"参仙升脉口服液","无","合剂(含口服液)","10ml","盒","6","玻璃瓶","山东步长制药股份有限公司",35.08,"修改（支付标准）","医药服务便函〔2021〕5号",118277]
[11931,"ZA12GAG0377010102667","1","冠心苏合丸（胶囊、软胶囊）","","","",2015119339,"冠心苏合胶囊","无","硬胶囊剂","0.35g","盒","20","铝塑","河北万岁药业有限公司",8.1,"修改（支付标准）","医药服务便函〔2021〕5号",119342]
[11936,"ZA12GAG0379010100928","1","冠心苏合丸（胶囊、软胶囊）","","","",2015100093,"冠心苏合软胶囊","无","软胶囊(胶丸)","0.31g","盒","20","铝塑","天津市中央药业有限公司",14.49,"修改（支付标准）","医药服务便函〔2021〕5号",100098]
[11939,"ZA12GAG0380010103830","1","冠心苏合丸（胶囊、软胶囊）","","","",2015157253,"冠心苏合丸","无","大蜜丸","/","瓶","30","塑料瓶","黑龙江参鸽药业有限公司",6.08,"修改（支付标准）","医药服务便函〔2021〕5号",157251]
[11943,"ZA12GAH0386010200381","1","活心丸","","","",2020170517,"活心丸(体外培育牛黄、人工麝香)","无","水丸","20mg(素丸重)","瓶","10","塑料瓶","广州白云山医药集团股份有限公司白云山制药总厂",52.39,"修改（支付标准）","医药服务便函〔2021〕5号",170517]
[11950,"ZA12GAN0049010202295","2","脑心清片（胶囊）","","","",20158490,"脑心清胶囊","无","硬胶囊剂","0.15g(含柿叶干浸膏50mg)","盒","36","铝箔","国药集团宜宾制药有限责任公司",33.55,"修改（支付标准）","医药服务便函〔2021〕5号",101734]
[11955,"ZA12GAT0241010104066","2","通心舒胶囊","","","▲",2020169441,"通心舒胶囊","无","硬胶囊剂","0.3g","盒","12","铝箔","山东中健康桥制药有限公司",120,"修改（支付标准）","医药服务便函〔2021〕5号",169441]
[11959,"ZA12GAY0027010104336","2","延丹胶囊","","","▲",2020162904,"延丹胶囊","无","硬胶囊剂","0.3g","盒","24","铝塑","天长亿帆制药有限公司",52.45,"修改（支付标准）","医药服务便函〔2021〕5号",162904]
[11966,"ZA12HAD0011010101204","2","大川芎片（口服液）","","","",2020125158,"大川芎口服液","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","辽宁东方人药业有限公司",85.63,"修改（支付标准）","医药服务便函〔2021〕5号",125158]
[11974,"ZA12HAD0227010102982","2","灯盏花素注射液","","","限二级及以上医疗机构并有明确的缺血性心脑血管疾病急性发作证据的患者",2015153307,"灯盏花素注射液","无","注射液","5ml:20mg","支","1","安瓿","朗致集团万荣药业有限公司",5.94,"修改（支付标准）","医药服务便函〔2021〕5号",153310]
[11978,"ZA12HAD0392010205497","2","丹灯通脑片（胶囊、滴丸）","","","",2020163993,"丹灯通脑滴丸","无","滴丸","2.16g(60mg/丸)","盒","15","复合膜","贵州民族药业股份有限公司",95,"修改（支付标准）","医药服务便函〔2021〕5号",163993]
[11983,"ZA12HAG0369010202946","2","冠心宁注射液","","","限二级及以上医疗机构",20157230,"冠心宁注射液","无","注射液","10ml","支","1","安瓿","山西振东泰盛制药有限公司",8.69,"修改（支付标准）","医药服务便函〔2021〕5号",134146]
[11990,"ZA12HAM0047010602364","2","脉管复康片（胶囊）","","","",2015148693,"脉管复康胶囊","无","硬胶囊剂","0.45g","盒","48","铝塑","陕西东泰制药有限公司",39.04,"修改（支付标准）","医药服务便函〔2021〕5号",148692]
[11994,"ZA12HAM0064010201035","2","脉血康胶囊（肠溶片）","","","",2015145205,"脉血康胶囊","无","肠溶胶囊","0.25g(相当于14个抗凝血酶活性单位)","盒","36","铝塑","重庆多普泰制药股份有限公司",31.24,"修改（支付标准）","医药服务便函〔2021〕5号",145204]
[12002,"ZA12HAT0057010204085","2","天丹通络片（胶囊）","","","",2015137579,"天丹通络胶囊(人工牛黄)","无","硬胶囊剂","0.4g","瓶","60","塑料瓶","山东凤凰制药股份有限公司",31.68,"修改（支付标准）","医药服务便函〔2021〕5号",137576]
[12003,"ZA12HAT0058010204085","2","天丹通络片（胶囊）","","","",2020147882,"天丹通络片(人工牛黄)","无","薄膜衣片","0.415g","盒","60","双铝","山东凤凰制药股份有限公司",53.82,"修改（支付标准）","医药服务便函〔2021〕5号",147882]
[12013,"ZA12HAX0863010205632","2","血塞通片（颗粒、胶囊、软胶囊、滴丸、分散片）","","","▲",2015130170,"血塞通胶囊","无","硬胶囊剂","0.1g","盒","24","铝塑","云南白药集团文山七花有限责任公司",50.31,"修改（支付标准）","医药服务便函〔2021〕5号",130174]
[12018,"ZA12HAX0867010205703","2","血塞通片（颗粒、胶囊、软胶囊、滴丸、分散片）","","","▲",2015124867,"血塞通片","无","薄膜衣片","75mg(含三七总皂苷50mg)","盒","40","铝塑","云南特安呐制药股份有限公司",20.53,"修改（支付标准）","医药服务便函〔2021〕5号",124864]
[12020,"ZA12HAX0867010305703","2","血塞通片（颗粒、胶囊、软胶囊、滴丸、分散片）","","","▲",2015124878,"血塞通片","无","薄膜衣片","75mg(含三七总皂苷50mg)","盒","60","铝塑","云南特安呐制药股份有限公司",31.51,"修改（支付标准）","医药服务便函〔2021〕5号",124875]
[12026,"ZA12HAX0867050305698","2","血塞通片（颗粒、胶囊、软胶囊、滴丸、分散片）","","","▲",2015151863,"血塞通片","无","薄膜衣片","68mg(含三七总皂苷25mg)","盒","40","铝塑","云南维和药业股份有限公司",19.32,"修改（支付标准）","医药服务便函〔2021〕5号",151866]
[12035,"ZA12HAX0873020100454","1","血栓通注射液","","","限二级及以上医疗机构的中风偏瘫或视网膜中央静脉阻塞的患者",2015105915,"血栓通注射液","无","注射液","5ml:0.175g","支","1","安瓿","丽珠集团利民制药厂",6.74,"修改（支付标准）","医药服务便函〔2021〕5号",105918]
[12037,"ZA12HAY0544010104661","2","银杏酮酯片（颗粒、胶囊、滴丸、分散片）","","","▲",2015134668,"银杏酮酯滴丸","无","滴丸","每丸含银杏酮酯10mg","瓶","24","塑料瓶","浙江九旭药业有限公司",17.46,"修改（支付标准）","医药服务便函〔2021〕5号",134672]
[12044,"ZA12HAY0544010604661","2","银杏酮酯片（颗粒、胶囊、滴丸、分散片）","","","▲",2015134671,"银杏酮酯滴丸","无","滴丸","每丸含银杏酮酯10mg","瓶","80","塑料瓶","浙江九旭药业有限公司",61.42,"修改（支付标准）","医药服务便函〔2021〕5号",134675]
[12049,"ZA12HAY0552010204956","2","银杏叶丸（片、颗粒、胶囊、滴丸、口服液、酊）","","","▲",2015112374,"银杏叶胶囊","无","硬胶囊剂","0.25g(含总黄酮醇苷40mg,萜类内酯10mg)","瓶","20","塑料瓶","湖南华宝通制药有限公司",27.77,"修改（支付标准）","医药服务便函〔2021〕5号",112372]
[12053,"ZA12HAY0553010304066","2","银杏叶丸（片、颗粒、胶囊、滴丸、口服液、酊）","","","▲",2015128624,"银杏叶颗粒","无","颗粒剂","2g(相当于银杏叶提取物80mg)","盒","40","铝塑","山东中健康桥制药有限公司",46.08,"修改（支付标准）","医药服务便函〔2021〕5号",128623]
[12061,"ZA12HAY0555010104670","2","银杏叶丸（片、颗粒、胶囊、滴丸、口服液、酊）","","","▲",2015143965,"银杏叶片","无","薄膜衣片","含总黄酮醇苷19.2mg,萜类内酯4.8mg","盒","24","铝塑","浙江康恩贝制药股份有限公司",18.2,"修改（支付标准）","医药服务便函〔2021〕5号",143967]
[12064,"ZA12HAY0555010304670","2","银杏叶丸（片、颗粒、胶囊、滴丸、口服液、酊）","","","▲",2015143966,"银杏叶片","天保宁","薄膜衣片","含总黄酮醇苷19.2mg,萜类内酯4.8mg","盒","36","铝塑","浙江康恩贝制药股份有限公司",27.46,"修改（支付标准）","医药服务便函〔2021〕5号",143968]
[12073,"ZA12HAY0555020204670","2","银杏叶丸（片、颗粒、胶囊、滴丸、口服液、酊）","","","▲",2015143972,"银杏叶片","无","薄膜衣片","含总黄酮醇苷9.6mg,萜类内酯2.4mg","盒","42","铝塑","浙江康恩贝制药股份有限公司",25.21,"修改（支付标准）","医药服务便函〔2021〕5号",143974]
[12079,"ZA12HAY0759010106725","2","银杏内酯注射液","","","限二级及以上医疗机构脑梗死恢复期患者，单次住院最多支付14天。",2016135850,"银杏内酯注射液","无","注射液","2ml(含萜类内酯10mg)","支","1","安瓿","成都百裕制药股份有限公司",19.68,"修改（支付标准）","医药服务便函〔2021〕5号",135849]
[12084,"ZA12HAZ0412010205156","1","注射用血栓通（冻干）","","","限二级及以上医疗机构的中风偏瘫或视网膜中央静脉阻塞的患者",2015115550,"注射用血栓通","无","冻干粉针剂","0.1g","瓶","1","玻璃瓶","广西梧州制药(集团)股份有限公司",20.15,"修改（支付标准）","医药服务便函〔2021〕5号",115553]
[12088,"ZA12IAD0018010105336","2","大黄虫丸（片、胶囊）","","","",201510996,"大黄蟅虫片","无","薄膜衣片","0.52g","盒","24","铝塑","江西青春康源制药有限公司",15.8,"修改（支付标准）","医药服务便函〔2021〕5号",101530]
[12091,"ZA12IAH0400010303503","2","活血通脉片（胶囊）","","","",201512469,"活血通脉片","无","薄膜衣片","0.5g","瓶","90","塑料瓶","吉林紫鑫药业股份有限公司",22.39,"修改（支付标准）","医药服务便函〔2021〕5号",109496]
[12097,"ZA12IAZ0327010102384","2","蛭蛇通络胶囊","","","限中风病中经络(轻中度脑梗塞)恢复期气虚血瘀证。",2021133266,"蛭蛇通络胶囊","无","硬胶囊剂","0.5g","盒","24","铝塑","陕西健民制药有限公司",39.6,"修改（支付标准）","医药服务便函〔2021〕5号",133266]
[12103,"ZA12JAX0669010102402","2","心速宁胶囊","","","",2020166724,"心速宁胶囊","无","硬胶囊剂","0.48g","盒","12","铝塑","陕西摩美得气血和制药有限公司",79,"修改（支付标准）","医药服务便函〔2021〕5号",166724]
[12108,"ZA13AAD0133010104828","1","丹栀逍遥丸","","","",2015134724,"丹栀逍遥丸","无","水丸","60g","瓶","1","高密度聚乙烯","福州海王金象中药制药有限公司",5.97,"修改（支付标准）","医药服务便函〔2021〕5号",134728]
[12115,"ZA13AAJ0621010104889","2","九味肝泰胶囊","","","",201513344,"九味肝泰胶囊","无","硬胶囊剂","0.35g","盒","48","铝箔","湖南康尔佳制药股份有限公司",37.86,"修改（支付标准）","医药服务便函〔2021〕5号",128003]
[12120,"ZA13AAX0176010102303","1","逍遥丸（颗粒）","","","",2015132678,"逍遥颗粒","无","颗粒剂","15g","盒","10","复合膜","太极集团四川绵阳制药有限公司",25,"修改（支付标准）","医药服务便函〔2021〕5号",132682]
[12123,"ZA13AAX0179010100974","1","逍遥丸（颗粒）","","","",2015157202,"逍遥丸","无","水丸","6g","盒","10","复合膜","太极集团重庆桐君阁药厂有限公司",27.5,"修改（支付标准）","医药服务便函〔2021〕5号",157200]
[12132,"ZA13AAX0179010105892","1","逍遥丸（颗粒）","","","",2015162006,"逍遥丸","无","浓缩丸","每8丸相当于原药材3g","瓶","200","塑料瓶","兰州佛慈制药股份有限公司",12.34,"修改（支付标准）","医药服务便函〔2021〕5号",161999]
[12134,"ZA13AAX0179020103082","1","逍遥丸（颗粒）","","","",2015108288,"逍遥丸","无","浓缩丸","每8丸相当于原药材3g","瓶","200","塑料瓶","仲景宛西制药股份有限公司",21.49,"修改（支付标准）","医药服务便函〔2021〕5号",108291]
[12144,"ZA13BAD0263010503108","2","颠茄片","","","",2015158290,"颠茄片","无","素片","含颠茄浸膏10mg","瓶","570","塑料瓶","爱民药业集团股份有限公司",164.05,"修改（支付标准）","医药服务便函〔2021〕5号",158288]
[12149,"ZA13BAG0029010100255","2","肝达康片（胶囊、颗粒）","","","",201512820,"肝达康颗粒","无","颗粒剂","4g","盒","9","复合膜","国药集团德众(佛山)药业有限公司",36.68,"修改（支付标准）","医药服务便函〔2021〕5号",121033]
[12155,"ZA13BAJ0484010105723","1","金胃泰胶囊","","","",20154575,"金胃泰胶囊","无","硬胶囊剂","0.3g","盒","20","铝塑","云南佑生药业有限责任公司",23.31,"修改（支付标准）","医药服务便函〔2021〕5号",116687]
[12158,"ZA13BAM0155020402591","2","摩罗丹","","","",2020162758,"摩罗丹","无","浓缩丸","1.84g(相当于生药材4.5g)/16丸","盒","288","复合膜","邯郸制药股份有限公司",51,"修改（支付标准）","医药服务便函〔2021〕5号",162758]
[12162,"ZA13BAM0177010103119","2","木香顺气丸（颗粒)","","","",2020147029,"木香顺气丸","无","水丸","6g(6g/100丸)","盒","10","复合膜","江苏平光信谊(焦作)中药有限公司",4.58,"修改（支付标准）","医药服务便函〔2021〕5号",147029]
[12167,"ZA13BAM0177030203108","2","木香顺气丸（颗粒)","","","",2020158138,"木香顺气丸","无","水丸","9g(6g/100丸)","盒","10","复合膜","爱民药业集团股份有限公司",23.07,"修改（支付标准）","医药服务便函〔2021〕5号",158138]
[12174,"ZA13BAS0712010105893","2","舒肝消积丸","","","▲",2020170135,"舒肝消积丸","无","水蜜丸","2.1g/10丸(相当于原生药1.8g)","瓶","360","塑料瓶","兰州佛慈制药股份有限公司",72.72,"修改（支付标准）","医药服务便函〔2021〕5号",170135]
[12178,"ZA13BAW0100010102257","2","胃康灵丸（片、胶囊、颗粒）","","","",2020104772,"胃康灵胶囊","无","硬胶囊剂","0.4g","盒","24","铝箔","四川泰乐制药有限公司",8.5,"修改（支付标准）","医药服务便函〔2021〕5号",104772]
[12186,"ZA13BAY0674010204670","1","元胡止痛片（胶囊、颗粒、滴丸）","","","",2015160649,"元胡止痛胶囊","无","硬胶囊剂","0.45g","盒","36","铝塑","浙江康恩贝制药股份有限公司",23.35,"修改（支付标准）","医药服务便函〔2021〕5号",160642]
[12193,"ZA13BAZ0533010101878","2","左金丸（片、胶囊）","","","",20153328,"左金丸","无","水丸","18g","瓶","1","塑料瓶","湖北香连药业有限责任公司",3.11,"修改（支付标准）","医药服务便函〔2021〕5号",146901]
[12197,"ZA14BAB0242010304296","1","保和丸（片、颗粒）","","","",2015141931,"保和颗粒","无","颗粒剂","4.5g","盒","20","复合膜","安徽九方制药有限公司",14,"修改（支付标准）","医药服务便函〔2021〕5号",141933]
[12202,"ZA14BAB0245010100288","1","保和丸（片、颗粒）","","","",2015161737,"保和丸","无","大蜜丸","9g","盒","10","塑料壳","广东宏兴集团股份有限公司宏兴制药厂",4.76,"修改（支付标准）","医药服务便函〔2021〕5号",161730]
[12209,"ZA14BAB0245010105898","1","保和丸（片、颗粒）","","","",2015108145,"保和丸","无","浓缩丸","每8丸相当于原生药3g","盒","192","铝塑","兰州太宝制药有限公司",13.18,"修改（支付标准）","医药服务便函〔2021〕5号",108148]
[12215,"ZA14BAC0365010703108","2","沉香化滞丸","","","",2020158217,"沉香化滞丸","无","水丸","6g","袋","27","复合膜","爱民药业集团股份有限公司",67.5,"修改（支付标准）","医药服务便函〔2021〕5号",158217]
[12219,"ZA14BAK0011010103109","2","开胸顺气丸（胶囊）","","","",2020164899,"开胸顺气丸","无","水丸","6g","盒","10","复合袋","河南润弘本草制药有限公司",22.3,"修改（支付标准）","医药服务便函〔2021〕5号",164899]
[12226,"ZA14BAY0207010101928","2","一捻金、一捻金胶囊","","","限儿童",20155484,"一捻金","无","散剂","1.2g","盒","10","复合膜","武汉钧安制药有限公司",22.32,"修改（支付标准）","医药服务便函〔2021〕5号",148247]
[12228,"ZA15AAC0437010105541","1","川芎茶调丸（散、片、颗粒）","","","",2015161834,"川芎茶调颗粒(无蔗糖)","无","颗粒剂","4g(相当于饮片7.35g)","盒","12","复合膜","贵州威门药业股份有限公司",25.34,"修改（支付标准）","医药服务便函〔2021〕5号",161827]
[12233,"ZA15AAC0438010204159","2","川芎茶调口服液","","","▲",2020128187,"川芎茶调口服液","无","合剂(含口服液)","10ml","盒","6","玻璃瓶","山东胜利药业有限公司",29.2,"修改（支付标准）","医药服务便函〔2021〕5号",128187]
[12243,"ZA15AAS0781010100295","2","疏风活络丸（片）","","","",2020167901,"疏风活络片","无","薄膜衣片","0.3g(相当于原生药0.76g)","盒","36","铝塑","广东嘉应制药股份有限公司",28.06,"修改（支付标准）","医药服务便函〔2021〕5号",167901]
[12245,"ZA15AAT0292020105855","2","头风痛丸（胶囊）","","","",20152873,"头风痛丸","无","水丸","6g","盒","9","复合膜","甘肃佛仁制药科技有限公司",21.1,"修改（支付标准）","医药服务便函〔2021〕5号",115997]
[12254,"ZA15BAQ0227010102374","2","强力定眩片（胶囊）","","","▲",2015158242,"强力定眩片","无","薄膜衣片","0.35g","盒","30","铝塑","陕西汉王药业股份有限公司",19.98,"修改（支付标准）","医药服务便函〔2021〕5号",158240]
[12257,"ZA15BAQ0415010205509","2","清脑降压片（胶囊、颗粒）","","","",2020102684,"清脑降压胶囊","无","硬胶囊剂","0.55g","盒","72","铝塑","贵州神奇药业有限公司",29.5,"修改（支付标准）","医药服务便函〔2021〕5号",102684]
[12263,"ZA15BAQ0606010505551","2","全天麻片（胶囊）","","","▲",2015157316,"全天麻胶囊","无","硬胶囊剂","0.5g","盒","60","铝塑","贵州益康制药有限公司",26.37,"修改（支付标准）","医药服务便函〔2021〕5号",157314]
[12268,"ZA15BAQ0607010503972","2","全天麻片（胶囊）","","","▲",2015159165,"全天麻片","无","薄膜衣片","0.6g","盒","72","铝塑","翔宇药业股份有限公司",34.17,"修改（支付标准）","医药服务便函〔2021〕5号",159163]
[12272,"ZA15BAZ0064010101539","2","珍菊降压片","","","",2015137699,"珍菊降压片","无","薄膜衣片","0.25g(含盐酸可乐定0.03mg,氢氯噻嗪5mg,芦丁20mg)","瓶","48","塑料瓶","雷允上药业集团有限公司",22.54,"修改（支付标准）","医药服务便函〔2021〕5号",137696]
[12280,"ZA15BAZ0064010204620","2","珍菊降压片","","","",2015160872,"珍菊降压片","无","薄膜衣片","0.25g(含盐酸可乐定0.03mg,氢氯噻嗪5mg,芦丁20mg)","瓶","120","塑料瓶","浙江得恩德制药股份有限公司",16.48,"修改（支付标准）","医药服务便函〔2021〕5号",160865]
[12287,"ZA15CAN0033010102667","2","脑立清丸（片、胶囊）","","","",2015226391,"脑立清丸","无","水丸","11g(1.1g/10丸)","瓶","1","塑料瓶","河北万岁药业有限公司",3.5,"修改（支付标准）","医药服务便函〔2021〕5号",126391]
[12292,"ZA15DAH0243010405538","2","化风丹","","","",2020128042,"化风丹","无","水丸","0.12g","瓶","90","塑料瓶","贵州万胜药业有限责任公司",87.86,"修改（支付标准）","医药服务便函〔2021〕5号",128042]
[12298,"ZA15EAT0100010201463","1","天舒片(胶囊)","","","",2020112842,"天舒片","无","薄膜衣片","0.34g","瓶","60","塑料瓶","江苏康缘药业股份有限公司",52.11,"修改（支付标准）","医药服务便函〔2021〕5号",112842]
[12299,"ZA15EAT0294020102537","2","头痛宁胶囊","","","",20158182,"头痛宁胶囊","无","硬胶囊剂","0.4g","盒","36","铝塑","杨凌步长制药有限公司",24.9,"修改（支付标准）","医药服务便函〔2021〕5号",116282]
[12304,"ZA15GAD0035010305379","2","大活络丸（胶囊）","","","",20155270,"大活络胶囊(人工牛黄、人工麝香)","无","硬胶囊剂","0.25g","瓶","60","塑料瓶","江西药都樟树制药有限公司",46.71,"修改（支付标准）","医药服务便函〔2021〕5号",139584]
[12313,"ZA15GAS0348020201061","2","麝香海马追风膏","","","",2020166418,"麝香海马追风膏(人工麝香)","无","橡胶膏剂","8cm×13cm","盒","6","复合膜","重庆希尔安药业有限公司",65.47,"修改（支付标准）","医药服务便函〔2021〕5号",166418]
[12316,"ZA15GAT0199010102666","2","通络开痹片","","","",2020119307,"通络开痹片","无","薄膜衣片","0.31g","盒","12","铝塑","河北通络药业有限公司",33.66,"修改（支付标准）","医药服务便函〔2021〕5号",119307]
[12324,"ZA16AAF0073010309682","1","风湿骨痛片（胶囊、颗粒）","","","",2015138884,"风湿骨痛片","无","薄膜衣片","0.36g(相当于饮片0.721g)","盒","48","铝塑","安徽美欣制药有限公司",30.11,"修改（支付标准）","医药服务便函〔2021〕5号",138881]
[12328,"ZA16AAF0274010402548","2","附桂骨痛片（胶囊、颗粒）","","","",2020168072,"附桂骨痛片","无","糖衣片","0.33g","盒","72","铝箔","安国市天下康制药有限公司",39.69,"修改（支付标准）","医药服务便函〔2021〕5号",168072]
[12333,"ZA16AAG0340030101385","2","关节止痛膏","","","▲",2020166310,"关节止痛膏","无","橡胶膏剂","12cm×18cm","袋","9","复合袋","常州市盛辉药业有限公司",69.9,"修改（支付标准）","医药服务便函〔2021〕5号",166310]
[12339,"ZA16AAZ0455010480086","1","追风透骨丸（片、胶囊）","","","",2015101000,"追风透骨胶囊","无","硬胶囊剂","0.26g","盒","36","铝箔","天地恒一制药股份有限公司",37.69,"修改（支付标准）","医药服务便函〔2021〕5号",101005]
[12342,"ZA16AAZ0457020101343","1","追风透骨丸（片、胶囊）","","","",2015129178,"追风透骨丸","无","水蜜丸","6g(1g/10丸)","盒","10","镀铝膜","沈阳红药集团股份有限公司",18.36,"修改（支付标准）","医药服务便函〔2021〕5号",129177]
[12351,"ZA16BAH0237010303159","1","滑膜炎片","","","",2020165133,"滑膜炎片","无","薄膜衣片","0.6g","盒","36","铝箔","洛阳远洋生物制药有限公司",50.37,"修改（支付标准）","医药服务便函〔2021〕5号",165133]
[12357,"ZA16BAT0268010101307","2","痛风舒片","","","",2020117795,"痛风舒片","无","薄膜衣片","0.35g","盒","24","铝塑","沈阳绿洲制药有限责任公司",40,"修改（支付标准）","医药服务便函〔2021〕5号",117795]
[12363,"ZA16CAF0083010303041","2","风湿马钱片","","","",2020169945,"风湿马钱片","无","糖衣片","/","盒","28","铝塑","河南蓝天药业有限公司",34.8,"修改（支付标准）","医药服务便函〔2021〕5号",169945]
[12368,"ZA16CAF0386020300312","1","复方风湿宁片（胶囊、颗粒）","","","",2015154100,"复方风湿宁片","无","薄膜衣片","0.21g","盒","60","铝箔","广东罗浮山国药股份有限公司",32.17,"修改（支付标准）","医药服务便函〔2021〕5号",154103]
[12370,"ZA16CAH0094010205489","2","黑骨藤追风活络胶囊","","","",20159517,"黑骨藤追风活络胶囊","无","硬胶囊剂","0.3g","盒","36","铝塑","国药集团同济堂(贵州)制药有限公司",34.24,"修改（支付标准）","医药服务便函〔2021〕5号",114756]
[12377,"ZA16CAH0185010305336","2","虎力散、虎力散片（胶囊）","","","",201514232,"虎力散片","无","薄膜衣片","0.38g","盒","12","铝塑","江西青春康源制药有限公司",28.84,"修改（支付标准）","医药服务便函〔2021〕5号",101439]
[12381,"ZA16CAJ0345010103079","2","金骨莲片（胶囊）","","","",2020132890,"金骨莲片","无","薄膜衣片","0.24g","盒","24","铝箔","河南省新四方制药有限公司",38.74,"修改（支付标准）","医药服务便函〔2021〕5号",132890]
[12386,"ZA16CAL0465010104774","1","雷公藤片/n雷公藤多苷[甙]片","","","",2015142689,"雷公藤多苷片","无","素片","10mg","瓶","50","高密度聚乙烯","福建汇天生物药业有限公司",11.9,"修改（支付标准）","医药服务便函〔2021〕5号",142691]
[12393,"ZA16DAB0427010100931","2","补肾通淋颗粒","","","",2020120964,"补肾通淋颗粒","无","颗粒剂","7g","盒","10","复合膜","天津太平洋制药有限公司",59.66,"修改（支付标准）","医药服务便函〔2021〕5号",120964]
[12399,"ZA16DAY0593020101214","2","瘀血痹片（胶囊、颗粒）","","","",2020169546,"瘀血痹片","无","薄膜衣片","0.5g","盒","60","铝塑","辽宁华润本溪三药有限公司",47.5,"修改（支付标准）","医药服务便函〔2021〕5号",169546]
[12403,"ZA16EAS0458010101210","2","肾炎消肿片","","","",2020121735,"肾炎消肿片","无","薄膜衣片","0.34g","瓶","80","塑料瓶","辽宁上药好护士药业(集团)有限公司",24,"修改（支付标准）","医药服务便函〔2021〕5号",121735]
[12410,"ZA16FAB0056010202402","2","八正片（胶囊、颗粒）","","","",201511935,"八正片","无","薄膜衣片","0.6g","盒","48","铝塑","陕西摩美得气血和制药有限公司",38.44,"修改（支付标准）","医药服务便函〔2021〕5号",112593]
[12418,"ZA16FAL0342010205555","1","癃清片（胶囊）","","","",2015121864,"癃清胶囊","无","硬胶囊剂","0.5g","盒","36","铝塑","贵州远程制药有限责任公司",29.73,"修改（支付标准）","医药服务便函〔2021〕5号",121861]
[12422,"ZA16FAM0118010105438","2","泌淋胶囊（颗粒）","","","",201514762,"泌淋颗粒","无","颗粒剂","6g","盒","6","复合膜","贵州益佰女子大药厂有限责任公司",31.47,"修改（支付标准）","医药服务便函〔2021〕5号",115632]
[12427,"ZA16FAN0074010204762","2","尿感宁颗粒","","","",2015109775,"尿感宁颗粒(无蔗糖)","无","颗粒剂","5g","盒","12","复合膜","正大青春宝药业有限公司",13.89,"修改（支付标准）","医药服务便函〔2021〕5号",109778]
[12434,"ZA16FAQ0171010100453","2","前列安栓","","","",2020105737,"前列安栓","无","栓剂","2g","盒","5","附手指套","丽珠集团丽珠制药厂",31.59,"修改（支付标准）","医药服务便函〔2021〕5号",105737]
[12438,"ZA16FAQ0174010105528","2","前列倍喜胶囊","","","",2015115094,"前列倍喜胶囊","无","硬胶囊剂","0.4g","瓶","54","塑料瓶","贵州太和制药有限公司",39.19,"修改（支付标准）","医药服务便函〔2021〕5号",115097]
[12441,"ZA16FAQ0195010202551","2","前列舒通胶囊","","","",20158141,"前列舒通胶囊","无","硬胶囊剂","0.4g","盒","36","铝塑","保定天浩制药有限公司",41.73,"修改（支付标准）","医药服务便函〔2021〕5号",119360]
[12447,"ZA16FAQ0201010402364","2","前列通片（胶囊）","","","",2020110579,"前列通胶囊","无","硬胶囊剂","0.38g","盒","64","铝塑","陕西东泰制药有限公司",30,"修改（支付标准）","医药服务便函〔2021〕5号",110579]
[12452,"ZA16FAR0013010105541","2","热淋清片（胶囊、颗粒）","","","",20154208,"热淋清颗粒(无糖型)","无","颗粒剂","4g","盒","8","复合膜","贵州威门药业股份有限公司",23.69,"修改（支付标准）","医药服务便函〔2021〕5号",112947]
[12462,"ZA16FAS0874010202402","1","双石通淋胶囊","","","",2020120114,"双石通淋胶囊","无","硬胶囊剂","0.5g","盒","36","铝塑","陕西摩美得气血和制药有限公司",44.93,"修改（支付标准）","医药服务便函〔2021〕5号",120114]
[12464,"ZA16FAW0191010202364","2","翁沥通片（胶囊、颗粒）","","","",201514629,"翁沥通颗粒","无","颗粒剂","5g","盒","8","复合膜","陕西东泰制药有限公司",38,"修改（支付标准）","医药服务便函〔2021〕5号",110562]
[12471,"ZA16GAL0339010101427","1","癃闭舒片（胶囊）","","","",2015145280,"癃闭舒片","无","薄膜衣片","0.3g","盒","24","铝塑","江苏晨牌药业集团股份有限公司",17.39,"修改（支付标准）","医药服务便函〔2021〕5号",145279]
[12476,"ZA16GAQ0186010201503","2","前列癃闭通片（胶囊、颗粒）","","","",2015130702,"前列癃闭通片","无","薄膜衣片","0.5g","盒","36","铝塑","江苏万高药业股份有限公司",22.4,"修改（支付标准）","医药服务便函〔2021〕5号",130695]
[12481,"ZA16HAB0331010105290","2","萆薢分清丸","","","",201512005,"萆薢分清丸","无","水丸","36g(1g/20粒)","瓶","1","塑料瓶","江西国药有限责任公司",15.6,"修改（支付标准）","医药服务便函〔2021〕5号",139602]
[12488,"ZA16HAP0076010205612","1","普乐安片（胶囊）","","","",2015161331,"普乐安片","无","薄膜衣片","0.64g(含油菜花粉0.5g)","瓶","120","塑料瓶","云南白药集团股份有限公司",26.26,"修改（支付标准）","医药服务便函〔2021〕5号",161324]
[12493,"ZA16HAT0179010306298","2","通痹片（胶囊）","","","",2020150685,"通痹胶囊","无","硬胶囊剂","0.31g","盒","24","铝塑","山东润中药业有限公司",40.68,"修改（支付标准）","医药服务便函〔2021〕5号",150685]
[12499,"ZA16HAY0380010201522","2","益肾蠲痹丸","","","",20154321,"益肾蠲痹丸","无","丸剂","8g","盒","12","铝塑","江苏正大清江制药有限公司",24.19,"修改（支付标准）","医药服务便函〔2021〕5号",137763]
[12505,"ZA17AAJ0222010100974","2","降脂灵片（颗粒）","","","",2015157234,"降脂灵片","无","薄膜衣片","0.25g","盒","60","铝塑","太极集团重庆桐君阁药厂有限公司",25.19,"修改（支付标准）","医药服务便函〔2021〕5号",157232]
[12508,"ZA17AAJ0230010105722","2","降脂通脉胶囊","","","",20155619,"降脂通脉胶囊","无","硬胶囊剂","0.5g","盒","24","铝塑","云南优克制药公司",27.6,"修改（支付标准）","医药服务便函〔2021〕5号",116543]
[12512,"ZA17AAJ0244010302328","2","绞股蓝总苷胶囊（颗粒）","","","▲",2020148412,"绞股蓝总苷胶囊","无","硬胶囊剂","60mg","盒","36","铝塑","安康北医大制药股份有限公司",49.2,"修改（支付标准）","医药服务便函〔2021〕5号",148412]
[12517,"ZA17AAK0109010203894","2","壳脂胶囊","","","",201510883,"壳脂胶囊","无","硬胶囊剂","0.25g","盒","105","铝塑","内蒙古福瑞医疗科技股份有限公司",96.71,"修改（支付标准）","医药服务便函〔2021〕5号",103579]
[12523,"ZA17AAZ0543010106461","2","脂必妥胶囊","","","",2020166917,"脂必妥胶囊","无","硬胶囊剂","0.32g","盒","24","铝塑","西藏藏药集团股份有限公司",31.2,"修改（支付标准）","医药服务便函〔2021〕5号",166917]
[12532,"ZB01AAJ0323010400716","2","金胆片","","","",2015110182,"金胆片","无","薄膜衣片","0.33g","瓶","100","塑料瓶","上海雷允上药业有限公司",24.28,"修改（支付标准）","医药服务便函〔2021〕5号",110180]
[12535,"ZB01AAX0289010100295","1","消炎利胆片（胶囊、颗粒）","","","",2015121387,"消炎利胆片","无","糖衣片","0.25g(片芯重)(相当于饮片2.6g)","瓶","100","塑料瓶","广东嘉应制药股份有限公司",15.72,"修改（支付标准）","医药服务便函〔2021〕5号",121384]
[12541,"ZB01BAH0180010101057","2","虎黄烧伤搽剂","","","",2020162863,"虎黄烧伤搽剂","无","搽剂","50ml","瓶","1","塑料瓶","重庆喜旋生物科技有限公司",69.13,"修改（支付标准）","医药服务便函〔2021〕5号",162863]
[12547,"ZB01BAJ0289040105184","2","解毒生肌膏","","","",2020164398,"解毒生肌膏","无","软膏剂","50g","支","1","复合管","广西壮族自治区花红药业股份有限公司",245,"修改（支付标准）","医药服务便函〔2021〕5号",164398]
[12552,"ZB01BAK0033010105601","2","康复新液","","","",2015138490,"康复新液","无","合剂(含口服液)","100ml","瓶","1","塑料瓶","昆明赛诺制药股份有限公司",32.03,"修改（支付标准）","医药服务便函〔2021〕5号",138487]
[12559,"ZB01BAK0033030303893","2","康复新液","","","",2015148121,"康复新液","无","合剂(含口服液)","30ml","盒","2","塑料瓶","内蒙古京新药业有限公司",17.73,"修改（支付标准）","医药服务便函〔2021〕5号",148120]
[12561,"ZB01BAK0033040103893","2","康复新液","","","",2015135205,"康复新液","无","合剂(含口服液)","50ml","瓶","1","塑料瓶","内蒙古京新药业有限公司",12.28,"修改（支付标准）","医药服务便函〔2021〕5号",135202]
[12570,"ZB01BAL0337020101954","2","龙珠软膏","","","",2020111616,"龙珠软膏","无","软膏剂","15g","支","1","铝塑","马应龙药业集团股份有限公司",17.65,"修改（支付标准）","医药服务便函〔2021〕5号",111616]
[12576,"ZB01BAW0251010102959","2","五福化毒丸（片）","","","限儿童",2020151884,"五福化毒片","无","糖衣片","0.1g","盒","42","铝塑","亚宝药业集团股份有限公司",33.33,"修改（支付标准）","医药服务便函〔2021〕5号",151884]
[12578,"ZB01BAW0370010110146","2","五虎口服液","","","",2021171686,"五虎口服液","无","合剂(含口服液)","10ml(相当于饮片6g)","支","5","玻璃瓶","江苏九旭药业有限公司",58,"修改（支付标准）","医药服务便函〔2021〕5号",171686]
[12583,"ZB01CAG0157010104241","2","肛安栓","","","▲",2020145062,"肛安栓(人工麝香)","无","栓剂","1g","盒","6","铝箔","烟台荣昌制药股份有限公司",17.94,"修改（支付标准）","医药服务便函〔2021〕5号",145062]
[12593,"ZB01CAM0031030101954","1","马应龙麝香痔疮膏","","","▲",2015111293,"马应龙麝香痔疮膏(人工牛黄、人工麝香)","无","软膏剂","20g","支","1","铝塑","马应龙药业集团股份有限公司",13.8,"修改（支付标准）","医药服务便函〔2021〕5号",111291]
[12594,"ZB01CAP0074010204005","2","普济痔疮栓","","","",20155806,"普济痔疮栓","无","栓剂","1.3g","盒","10","附手指套","山东新时代药业有限公司",48.35,"修改（支付标准）","医药服务便函〔2021〕5号",131275]
[12602,"ZB01CAZ0305010103312","2","痔康片（胶囊）","","","",2020167248,"痔康胶囊","无","硬胶囊剂","0.3g","盒","20","铝塑","长春海外制药集团有限公司",41.03,"修改（支付标准）","医药服务便函〔2021〕5号",167248]
[12606,"ZB01DAJ0272010105295","1","结石通片（胶囊）","","","",201511303,"结石通胶囊","无","硬胶囊剂","0.35g","盒","24","铝塑","江西红星药业有限公司",17.1,"修改（支付标准）","医药服务便函〔2021〕5号",139353]
[12611,"ZB01DAJ0435010501016","2","金钱草片（胶囊、颗粒）","","","",2015104730,"金钱草颗粒","无","颗粒剂","10g","袋","21","复合膜","重庆科瑞制药(集团)有限公司",17.7,"修改（支付标准）","医药服务便函〔2021〕5号",104735]
[12618,"ZB01DAP0012010501591","1","排石颗粒","","","",2015156527,"排石颗粒(无蔗糖)","无","颗粒剂","5g","盒","18","复合膜","南京同仁堂药业有限责任公司",37.24,"修改（支付标准）","医药服务便函〔2021〕5号",156525]
[12622,"ZB01DAS0432020104961","2","肾石通丸（片、颗粒）","","","",201511672,"肾石通颗粒(无蔗糖)","无","颗粒剂","5g","盒","10","复合膜","华润三九(郴州)制药有限公司",20.5,"修改（支付标准）","医药服务便函〔2021〕5号",132741]
[12630,"ZB02AAN0067020205898","1","内消瘰疬丸","","","",2015108186,"内消瘰疬丸","无","水丸","9g","盒","12","复合膜","兰州太宝制药有限公司",32.29,"修改（支付标准）","医药服务便函〔2021〕5号",108189]
[12637,"ZB02AAX0570010302235","2","小金丸（片、胶囊）","","","",2015108361,"小金胶囊(人工麝香)","无","硬胶囊剂","0.3g","盒","16","铝箔","四川省天基生物药业有限公司",35.81,"修改（支付标准）","医药服务便函〔2021〕5号",108364]
[12641,"ZB02AAX0572010302076","2","小金丸（片、胶囊）","","","",2015103121,"小金丸(人工麝香)","无","微丸","0.6g","盒","12","复合膜","成都永康制药有限公司",27.97,"修改（支付标准）","医药服务便函〔2021〕5号",103126]
[12646,"ZC01AAC0061010302870","2","参莲胶囊（颗粒）","","","限中晚期癌症",20158539,"参莲胶囊","无","硬胶囊剂","0.5g","盒","72","铝塑","山西澳迩药业有限公司",60.43,"修改（支付标准）","医药服务便函〔2021〕5号",118002]
[12653,"ZC01AAF0479020102970","2","复方苦参注射液","","","限二级及以上医疗机构中晚期癌症",2020104399,"复方苦参注射液","无","注射液","5ml","瓶","1","安瓿","山西振东制药股份有限公司",32,"修改（支付标准）","医药服务便函〔2021〕5号",104399]
[12655,"ZC01AAG0044010105032","2","肝复乐片（胶囊）","","","限肝癌",20157712,"肝复乐胶囊","无","硬胶囊剂","0.5g","瓶","60","塑料瓶","康普药业股份有限公司",98,"修改（支付标准）","医药服务便函〔2021〕5号",147087]
[12660,"ZC01AAH0222010304189","1","华蟾素片（胶囊)","","","限癌症疼痛",201514536,"华蟾素胶囊","无","肠溶胶囊","0.3g","盒","20","双铝","山东鑫齐药业有限公司",261.76,"修改（支付标准）","医药服务便函〔2021〕5号",101096]
[12665,"ZC01AAK0036010104672","2","康莱特注射液","","","限二级及以上医疗机构中晚期肺癌或中晚期肝癌。",2015135796,"康莱特注射液","无","注射液","100ml:10g","瓶","1","玻璃瓶","浙江康莱特药业有限公司",136,"修改（支付标准）","医药服务便函〔2021〕5号",135793]
[12672,"ZC01AAX0185010103227","2","消癌平丸(胶囊、颗粒、口服液）、消癌平片(通关藤片）","","","限中晚期癌症",2020104148,"消癌平口服液","无","合剂(含口服液)","10ml","盒","12","玻璃瓶","河南中杰药业有限公司",104.4,"修改（支付标准）","医药服务便函〔2021〕5号",104148]
[12677,"ZC01AAY0003010304721","2","鸦胆子油软胶囊（口服乳液）","","","限中晚期癌症",201513724,"鸦胆子油软胶囊","无","软胶囊(胶丸)","0.54g","盒","36","铝塑","浙江天一堂药业有限公司",129.02,"修改（支付标准）","医药服务便函〔2021〕5号",142915]
[12683,"ZC02AAA0069010104295","2","安康欣胶囊","","","限中晚期癌症",2020143533,"安康欣胶囊","无","硬胶囊剂","0.5g","盒","45","铝塑","安徽高山药业有限公司",117.13,"修改（支付标准）","医药服务便函〔2021〕5号",143533]
[12689,"ZC02AAJ0142020301061","2","健脾益肾颗粒","","","限恶性肿瘤放化疗血象指标低下及免疫功能低下的患者",2020166449,"健脾益肾颗粒","无","颗粒剂","10g(相当于饮片8.68g)","盒","12","复合膜","重庆希尔安药业有限公司",63.28,"修改（支付标准）","医药服务便函〔2021〕5号",166449]
[12692,"ZC02AAK0019030103291","2","康艾注射液","","","限二级及以上医疗机构说明书标明恶性肿瘤的中晚期治疗。",2015126838,"康艾注射液","无","注射液","5ml","支","1","玻璃瓶","长白山制药股份有限公司",11.73,"修改（支付标准）","医药服务便函〔2021〕5号",126837]
[12701,"ZC02AAZ0046010105863","1","贞芪扶正片（胶囊、颗粒）","","","限恶性肿瘤放化疗血象指标低下",2015124614,"贞芪扶正胶囊","无","硬胶囊剂","每6粒相当于原生药12.5g","瓶","48","塑料瓶","甘肃兰药药业有限公司",25.64,"修改（支付标准）","医药服务便函〔2021〕5号",124611]
[12707,"ZC02AAZ0047010204956","1","贞芪扶正片（胶囊、颗粒）","","","限恶性肿瘤放化疗血象指标低下",2015114772,"贞芪扶正颗粒","无","颗粒剂","15g","盒","12","复合膜","湖南华宝通制药有限公司",20.04,"修改（支付标准）","医药服务便函〔2021〕5号",114770]
[12712,"ZC02AAZ0047020302877","1","贞芪扶正片（胶囊、颗粒）","","","限恶性肿瘤放化疗血象指标低下",2015113476,"贞芪扶正颗粒(无糖型)","无","颗粒剂","5g","盒","18","复合膜","山西德元堂药业有限公司",30.37,"修改（支付标准）","医药服务便函〔2021〕5号",113474]
[12716,"ZD01AAB0460010205046","1","补血益母丸（颗粒）","","","",2020147699,"补血益母丸","无","浓缩丸","12g(12g/200丸)","盒","10","复合膜","株洲千金药业股份有限公司",61.81,"修改（支付标准）","医药服务便函〔2021〕5号",147699]
[12724,"ZD01AAF0728010101463","2","复方益母片（胶囊、颗粒）","","","",2020110723,"复方益母颗粒","无","颗粒剂","10g","盒","6","复合膜","江苏康缘药业股份有限公司",25.38,"修改（支付标准）","医药服务便函〔2021〕5号",110723]
[12725,"ZD01AAF0729010103095","2","复方益母口服液","","","▲",2020137878,"复方益母口服液","无","合剂(含口服液)","10ml","盒","10","玻璃瓶","河南太龙药业股份有限公司",59.9,"修改（支付标准）","医药服务便函〔2021〕5号",137878]
[12731,"ZD01AAK0238010104394","1","坤宁颗粒（口服液）","","","",20158947,"坤宁颗粒","无","颗粒剂","15g","盒","6","铝塑","合肥立方制药股份有限公司",29.23,"修改（支付标准）","医药服务便函〔2021〕5号",144941]
[12736,"ZD01AAW0279010303729","2","五加生化胶囊","","","",2020117362,"五加生化胶囊","无","硬胶囊剂","0.4g","盒","36","铝塑","多多药业有限公司",38.16,"修改（支付标准）","医药服务便函〔2021〕5号",117362]
[12743,"ZD01BAG0475010102941","1","桂枝茯苓丸（片、胶囊）","","","",2015153355,"桂枝茯苓丸","无","大蜜丸","6g","盒","10","铝塑","朗致集团双人药业有限公司",4.67,"修改（支付标准）","医药服务便函〔2021〕5号",153358]
[12751,"ZD01BAK0235010202395","2","坤复康片（胶囊）","","","",20157962,"坤复康片","无","薄膜衣片","0.4g","盒","48","铝塑","陕西康惠制药股份有限公司",22.43,"修改（支付标准）","医药服务便函〔2021〕5号",128577]
[12754,"ZD01BAS0301010103357","1","少腹逐瘀丸（胶囊、颗粒）","","","",2015154931,"少腹逐瘀颗粒","无","颗粒剂","5g","盒","12","复合膜","吉林敖东延边药业股份有限公司",18.24,"修改（支付标准）","医药服务便函〔2021〕5号",154934]
[12760,"ZD01BAS0691010405764","2","舒尔经片（胶囊、颗粒）","","","▲",2020147639,"舒尔经胶囊","无","硬胶囊剂","0.5g","盒","20","铝塑","海南博大制药厂",41.32,"修改（支付标准）","医药服务便函〔2021〕5号",147639]
[12768,"ZD01BAX0704010301890","2","新生化片（颗粒）","","","",2015160991,"新生化颗粒","无","颗粒剂","12g(相当于原药材18g)","盒","16","复合膜","远大医药黄石飞云制药有限公司",17.27,"修改（支付标准）","医药服务便函〔2021〕5号",160984]
[12772,"ZD01BAY0316010101843","1","益母草膏（片、胶囊、颗粒）","","","",2015118178,"益母草膏","无","煎膏剂","200g","瓶","1","塑料瓶","湖北天圣清大制药有限公司",24.06,"修改（支付标准）","医药服务便函〔2021〕5号",118181]
[12777,"ZD01BAY0316010104584","1","益母草膏（片、胶囊、颗粒）","","","",2015102045,"益母草膏","无","煎膏剂","250g","瓶","1","玻璃瓶","太极集团浙江东方制药有限公司",29.95,"修改（支付标准）","医药服务便函〔2021〕5号",102050]
[12783,"ZD01BAY0317010201338","1","益母草膏（片、胶囊、颗粒）","","","",2015124609,"益母草胶囊","无","硬胶囊剂","0.35g","盒","36","铝塑","沈阳永大制药股份有限公司",18.42,"修改（支付标准）","医药服务便函〔2021〕5号",124606]
[12786,"ZD01BAY0318010102020","1","益母草膏（片、胶囊、颗粒）","","","",2015147172,"益母草颗粒(无蔗糖)","无","颗粒剂","3g","盒","10","复合膜","成都第一制药有限公司",8.58,"修改（支付标准）","医药服务便函〔2021〕5号",147171]
[12795,"ZD01BAY0318030205414","1","益母草膏（片、胶囊、颗粒）","","","",2015100594,"益母草颗粒(无糖型)","无","颗粒剂","5g","盒","20","复合膜","江西品信药业股份有限公司",43.71,"修改（支付标准）","医药服务便函〔2021〕5号",100599]
[12801,"ZD01CAD0383010204422","2","断血流片（胶囊、颗粒、口服液）","","","",2015101845,"断血流片","无","糖衣片","0.3g(基片重)","盒","60","铝塑","回音必集团安徽制药有限公司",25.94,"修改（支付标准）","医药服务便函〔2021〕5号",101850]
[12802,"ZD01CAF0195010205046","2","妇科断红饮胶囊","","","不限",2020143481,"妇科断红饮胶囊","无","硬胶囊剂","0.4g","盒","36","铝塑","株洲千金药业股份有限公司",55.73,"修改（支付标准）","医药服务便函〔2021〕5号",143481]
[12812,"ZD02AAF0223010302364","2","妇乐片（胶囊、颗粒）","","","",2015110529,"妇乐片","无","薄膜衣片","0.5g","盒","40","铝塑","陕西东泰制药有限公司",35.82,"修改（支付标准）","医药服务便函〔2021〕5号",110527]
[12814,"ZD02AAF0255010300347","2","妇炎平胶囊","","","",2020114950,"妇炎平胶囊","无","阴道胶囊剂","0.28g","盒","36","铝塑","广东万年青制药股份有限公司",54,"修改（支付标准）","医药服务便函〔2021〕5号",114950]
[12821,"ZD02AAF0263010305438","1","妇炎消胶囊","","","",2015115717,"妇炎消胶囊","无","硬胶囊剂","0.45g","盒","48","铝塑","贵州益佰女子大药厂有限责任公司",30.3,"修改（支付标准）","医药服务便函〔2021〕5号",115720]
[12825,"ZD02AAG0229020105325","1","宫炎平片（胶囊）","","","",2015106511,"宫炎平胶囊","无","硬胶囊剂","0.25g","盒","48","铝塑","江西民济药业有限公司",18.35,"修改（支付标准）","医药服务便函〔2021〕5号",106514]
[12830,"ZD02AAJ0337010205139","2","金刚藤丸（片、胶囊、颗粒）","","","",2015111128,"金刚藤颗粒","无","颗粒剂","7g","盒","18","复合膜","广西润达制药股份有限公司",37.64,"修改（支付标准）","医药服务便函〔2021〕5号",111126]
[12837,"ZD02AAK0077010205014","2","抗宫炎片（胶囊、颗粒）","","","",2015160824,"抗宫炎片","无","薄膜衣片","含干浸膏0.375g","盒","108","铝箔","怀化正好制药有限公司",30.1,"修改（支付标准）","医药服务便函〔2021〕5号",160817]
[12845,"ZD02BAB0238010405763","1","保妇康栓","","","",2015127994,"保妇康栓","无","栓剂","1.74g","盒","12","附手指套","海南碧凯药业有限公司",49,"修改（支付标准）","医药服务便函〔2021〕5号",127993]
[12849,"ZD02BAF0266010104372","2","妇阴康洗剂","","","▲",2020162883,"妇阴康洗剂","无","洗剂","10ml","盒","1","塑料瓶","宿州亿帆药业有限公司",42.18,"修改（支付标准）","医药服务便函〔2021〕5号",162883]
[12854,"ZD02BAZ0550010203560","2","治糜康栓","","","",2015112235,"治糜康栓(治糜灵栓)","无","栓剂","3g","盒","5","附手指套","通化金马药业集团股份有限公司",23.19,"修改（支付标准）","医药服务便函〔2021〕5号",112233]
[12856,"ZD03AAA0043010102891","1","艾附暖宫丸","","","",2015107120,"艾附暖宫丸","无","水蜜丸","6g(10g/100粒)","盒","6","复合膜","山西华康药业股份有限公司",6.76,"修改（支付标准）","医药服务便函〔2021〕5号",107123]
[12866,"ZD03AAB0052010103391","1","八珍益母丸（片、胶囊）","","","",2015140686,"八珍益母丸","无","大蜜丸","9g","盒","10","铝箔","吉林市鹿王制药股份有限公司",6.93,"修改（支付标准）","医药服务便函〔2021〕5号",140688]
[12867,"ZD03AAB0052010103860","1","八珍益母丸（片、胶囊）","","","",2015127154,"八珍益母丸","无","大蜜丸","9g","盒","10","铝塑","包头中药有限责任公司",6.18,"修改（支付标准）","医药服务便函〔2021〕5号",127153]
[12873,"ZD03AAD0255010101055","2","地贞颗粒","","","▲",2020118136,"地贞颗粒","无","颗粒剂","5g","盒","9","复合膜","天圣制药集团股份有限公司",54.65,"修改（支付标准）","医药服务便函〔2021〕5号",118136]
[12882,"ZD03AAG0195010105378","2","更年安丸（胶囊）","","","",2015159475,"更年安胶囊","无","硬胶囊剂","0.3g","盒","24","铝塑","江西药都仁和制药有限公司",15.21,"修改（支付标准）","医药服务便函〔2021〕5号",159473]
[12885,"ZD03AAG0196010100962","1","更年安片","","","",2015142980,"更年安片","无","薄膜衣片","0.31g","盒","60","铝塑","天津中新药业集团股份有限公司乐仁堂制药厂",8.9,"修改（支付标准）","医药服务便函〔2021〕5号",142982]
[12891,"ZD03AAN0175010100963","2","女金丸（片、胶囊）","","","▲",20151207,"女金片","无","薄膜衣片","0.61g","盒","36","铝箔","天津中新药业集团股份有限公司隆顺榕制药厂",26.11,"修改（支付标准）","医药服务便函〔2021〕5号",124866]
[12896,"ZD03AAW0205010102816","1","乌鸡白凤丸（片、胶囊）","","","",2015100572,"乌鸡白凤丸","无","大蜜丸","9g","盒","10","铝塑","药都制药集团股份有限公司",25,"修改（支付标准）","医药服务便函〔2021〕5号",100577]
[12900,"ZD03AAW0205010105693","1","乌鸡白凤丸（片、胶囊）","","","",2015153759,"乌鸡白凤丸","无","水蜜丸","60g","瓶","1","塑料瓶","云南腾药制药股份有限公司",13.05,"修改（支付标准）","医药服务便函〔2021〕5号",153762]
[12908,"ZD03AAZ0473010100428","2","滋肾育胎丸","","","",2020150766,"滋肾育胎丸(浓缩水蜜丸)","无","浓缩丸","5g","盒","6","复合膜","广州白云山中一药业有限公司",83.5,"修改（支付标准）","医药服务便函〔2021〕5号",150766]
[12915,"ZD04AAR0122010102328","2","乳康丸（片、胶囊、颗粒）","","","",2020148441,"乳康胶囊","无","硬胶囊剂","0.5g","盒","24","铝塑","安康北医大制药股份有限公司",33.3,"修改（支付标准）","医药服务便函〔2021〕5号",148441]
[12920,"ZD04AAR0137010103257","2","乳宁丸（片、胶囊）","","","▲",2020130514,"乳宁胶囊","无","硬胶囊剂","0.32g","盒","48","铝箔","河南润弘制药股份有限公司",32.59,"修改（支付标准）","医药服务便函〔2021〕5号",130514]
[12926,"ZD04AAR0147010202353","2","乳癖散结片（胶囊、颗粒）","","","",2015101017,"乳癖散结颗粒","无","颗粒剂","4g","盒","12","铝塑","陕西白鹿制药股份有限公司",46.9,"修改（支付标准）","医药服务便函〔2021〕5号",101022]
[12932,"ZD04AAR0153020101343","1","乳癖消片（胶囊、颗粒）","","","",2015121650,"乳癖消片","无","薄膜衣片","0.67g","盒","36","铝箔","沈阳红药集团股份有限公司",17.28,"修改（支付标准）","医药服务便函〔2021〕5号",121647]
[12935,"ZD04AAR0159010102384","2","乳增宁片（胶囊）","","","▲",20157804,"乳增宁胶囊","无","硬胶囊剂","0.5g","盒","36","铝塑","陕西健民制药有限公司",13.16,"修改（支付标准）","医药服务便函〔2021〕5号",133183]
[12939,"ZD04AAX0249010204158","2","消乳散结胶囊","","","",2020123411,"消乳散结胶囊","无","硬胶囊剂","0.4g","盒","60","铝塑","山东步长神州制药有限公司",37.07,"修改（支付标准）","医药服务便函〔2021〕5号",123411]
[12940,"ZD04AAY0038010105704","2","岩鹿乳康片（胶囊）","","","",20154229,"岩鹿乳康胶囊","无","硬胶囊剂","0.4g","盒","30","铝塑","云南海沣药业有限公司",28.58,"修改（支付标准）","医药服务便函〔2021〕5号",128643]
[12941,"ZD04AAY0038010305704","2","岩鹿乳康片（胶囊）","","","",20151261,"岩鹿乳康胶囊","无","硬胶囊剂","0.4g","盒","40","铝塑","云南海沣药业有限公司",37.35,"修改（支付标准）","医药服务便函〔2021〕5号",128642]
[12942,"ZD04AAY0039010205438","2","岩鹿乳康片（胶囊）","","","",201512364,"岩鹿乳康片","无","薄膜衣片","0.4g","瓶","60","塑料瓶","贵州益佰女子大药厂有限责任公司",46.94,"修改（支付标准）","医药服务便函〔2021〕5号",115765]
[12943,"ZD04AAZ0223010303379","2","止痛化癥片（胶囊、颗粒）","","","",20153976,"止痛化癥胶囊","无","硬胶囊剂","0.3g","盒","60","铝箔","吉林金宝药业股份有限公司",21.89,"修改（支付标准）","医药服务便函〔2021〕5号",131723]
[12944,"ZD04AAZ0223010403379","2","止痛化癥片（胶囊、颗粒）","","","",20158879,"止痛化癥胶囊","无","硬胶囊剂","0.3g","盒","72","铝箔","吉林金宝药业股份有限公司",25.17,"修改（支付标准）","医药服务便函〔2021〕5号",131717]
[12945,"ZD04AAZ0224010104235","2","止痛化癥片（胶囊、颗粒）","","","",2015106533,"止痛化癥颗粒","无","颗粒剂","2g","盒","15","铝塑","烟台东诚大洋制药有限公司",27.98,"修改（支付标准）","医药服务便函〔2021〕5号",106526]
[12946,"ZD04AAZ0224010204235","2","止痛化癥片（胶囊、颗粒）","","","",201515155,"止痛化癥颗粒","无","颗粒剂","2g","盒","24","铝塑","烟台东诚大洋制药有限公司",44.19,"修改（支付标准）","医药服务便函〔2021〕5号",106519]
[12947,"ZD04AAZ0225010602364","2","止痛化癥片（胶囊、颗粒）","","","",201511627,"止痛化癥片","无","薄膜衣片","0.6g","盒","36","铝塑","陕西东泰制药有限公司",30.53,"修改（支付标准）","医药服务便函〔2021〕5号",110494]
[12948,"ZE01AAB0185010180473","2","板蓝根滴眼液","","","",2020127757,"板蓝根滴眼液","无","滴眼剂","8ml","支","1","塑料瓶","四川禾亿制药有限公司",38.8,"修改（支付标准）","医药服务便函〔2021〕5号",127757]
[12949,"ZE01AAB0385010100974","2","拨云退翳丸","","","",2020129808,"拨云退翳丸","无","水蜜丸","6g(1g/10丸)","盒","10","复合膜","太极集团重庆桐君阁药厂有限公司",40,"修改（支付标准）","医药服务便函〔2021〕5号",129808]
[12950,"ZE01AAF0686030103318","2","复方熊胆滴眼液","","","",2021118906,"复方熊胆滴眼液","无","滴眼剂","8ml","瓶","1","塑料瓶","长春普华制药股份有限公司",25.8,"修改（支付标准）","医药服务便函〔2021〕5号",118906]
[12951,"ZE01AAF0686030203318","2","复方熊胆滴眼液","","","",2021166702,"复方熊胆滴眼液","无","滴眼剂","8ml","盒","2","塑料瓶","长春普华制药股份有限公司",51.6,"修改（支付标准）","医药服务便函〔2021〕5号",166702]
[12952,"ZE01AAH0308010103860","1","黄连羊肝丸","","","",2015128247,"黄连羊肝丸","无","大蜜丸","9g","盒","10","铝塑","包头中药有限责任公司",10.2,"修改（支付标准）","医药服务便函〔2021〕5号",128246]
[12953,"ZE01AAH0308020102816","1","黄连羊肝丸","","","",2015153965,"黄连羊肝丸","无","小蜜丸","54g(20g/100丸)","瓶","1","塑料瓶","药都制药集团股份有限公司",14.62,"修改（支付标准）","医药服务便函〔2021〕5号",153968]
[12954,"ZE01AAM0030020101954","2","马应龙八宝眼膏","","","",2020165259,"马应龙八宝眼膏","无","眼膏剂","5g","支","1","复合管","马应龙药业集团股份有限公司",58,"修改（支付标准）","医药服务便函〔2021〕5号",165259]
[12955,"ZE01AAM0146010102683","2","明目蒺藜丸","","","",2015107272,"明目蒺藜丸","无","水丸","9g(1g/20粒)","盒","10","复合膜","河北永丰药业有限公司",26.16,"修改（支付标准）","医药服务便函〔2021〕5号",107275]
[12956,"ZE01AAM0146010103421","2","明目蒺藜丸","","","",2015150382,"明目蒺藜丸","无","水丸","9g(1g/20粒)","盒","10","复合膜","吉林省辉南长龙生化药业股份有限公司",21.2,"修改（支付标准）","医药服务便函〔2021〕5号",150385]
[12957,"ZE01AAM0146010202561","2","明目蒺藜丸","","","",2015148880,"明目蒺藜丸","无","水丸","9g(1g/20粒)","盒","10","复合膜","保定中药制药股份有限公司",22.69,"修改（支付标准）","医药服务便函〔2021〕5号",148879]
[12958,"ZE01AAM0148010100962","1","明目上清丸（片）","","","",2015148493,"明目上清丸","无","水丸","9g","盒","6","复合膜","天津中新药业集团股份有限公司乐仁堂制药厂",20,"修改（支付标准）","医药服务便函〔2021〕5号",148492]
[12959,"ZE01AAM0148010102397","1","明目上清丸（片）","","","",2015126210,"明目上清丸","无","水丸","9g","盒","8","复合膜","陕西利君现代中药有限公司",16.87,"修改（支付标准）","医药服务便函〔2021〕5号",126209]
[12960,"ZE01AAM0148010102571","1","明目上清丸（片）","","","",2015140390,"明目上清丸","无","水丸","9g","盒","6","复合膜","承德天原药业有限公司",18.46,"修改（支付标准）","医药服务便函〔2021〕5号",140392]
[12961,"ZE01AAX0775010105619","1","熊胆滴眼液","","","",2020162802,"熊胆滴眼液","无","滴眼剂","10ml","支","1","塑料瓶","云南傣药有限公司",30.43,"修改（支付标准）","医药服务便函〔2021〕5号",162802]
[12962,"ZE01AAY0604010202210","2","鱼腥草滴眼液","","","",20152043,"鱼腥草滴眼液","无","滴眼剂","8ml","盒","2","塑料瓶","四川升和药业股份有限公司",26.15,"修改（支付标准）","医药服务便函〔2021〕5号",144826]
[12963,"ZE02AAF0785010102380","2","复明片（胶囊、颗粒）","","","",201512352,"复明胶囊","无","硬胶囊剂","0.3g","盒","36","铝塑","陕西华西制药股份有限公司",13.68,"修改（支付标准）","医药服务便函〔2021〕5号",106417]
[12964,"ZE02AAF0785010104183","2","复明片（胶囊、颗粒）","","","",201512074,"复明胶囊","无","硬胶囊剂","0.4g","盒","24","铝塑","山东仙河药业有限公司",20.66,"修改（支付标准）","医药服务便函〔2021〕5号",115058]
[12965,"ZE02AAF0785010204183","2","复明片（胶囊、颗粒）","","","",201513288,"复明胶囊","无","硬胶囊剂","0.4g","盒","36","铝塑","山东仙河药业有限公司",25.37,"修改（支付标准）","医药服务便函〔2021〕5号",115064]
[12966,"ZE02AAH0078020102458","2","和血明目片","","","",20154982,"和血明目片","无","糖衣片","0.3g(基片重)","盒","60","铝塑","西安碑林药业股份有限公司",34.13,"修改（支付标准）","医药服务便函〔2021〕5号",143720]
[12967,"ZE02AAM0144010103082","1","明目地黄丸","","","",2015108318,"明目地黄丸","无","浓缩丸","每8丸相当于原生药3g","瓶","200","塑料瓶","仲景宛西制药股份有限公司",24.92,"修改（支付标准）","医药服务便函〔2021〕5号",108321]
[12968,"ZE02AAM0144010103136","1","明目地黄丸","","","",2015160127,"明目地黄丸","无","浓缩丸","每8丸相当于原生药3g","瓶","200","塑料瓶","上海金不换兰考制药有限公司",9.05,"修改（支付标准）","医药服务便函〔2021〕5号",160120]
[12969,"ZE02AAM0144010104456","1","明目地黄丸","","","",2015133474,"明目地黄丸","无","浓缩丸","每8丸相当于原生药3g","瓶","200","塑料瓶","芜湖张恒春药业有限公司",7.28,"修改（支付标准）","医药服务便函〔2021〕5号",133478]
[12970,"ZE02AAM0144010104721","1","明目地黄丸","","","",2015142882,"明目地黄丸","无","水蜜丸","6g","盒","10","复合膜","浙江天一堂药业有限公司",26.05,"修改（支付标准）","医药服务便函〔2021〕5号",142884]
[12971,"ZE02AAM0144010105015","1","明目地黄丸","","","",2015129581,"明目地黄丸","无","小蜜丸","120g","瓶","1","塑料瓶","九芝堂股份有限公司",20,"修改（支付标准）","医药服务便函〔2021〕5号",129580]
[12972,"ZE02AAM0144010105693","1","明目地黄丸","","","",2015160704,"明目地黄丸","无","水蜜丸","60g","瓶","1","塑料瓶","云南腾药制药股份有限公司",8.35,"修改（支付标准）","医药服务便函〔2021〕5号",160697]
[12973,"ZE02AAM0144010105880","1","明目地黄丸","","","",2015126125,"明目地黄丸","无","浓缩丸","每8丸相当于原生药3g","瓶","200","塑料瓶","甘肃天水岐黄药业有限责任公司",9.79,"修改（支付标准）","医药服务便函〔2021〕5号",126124]
[12974,"ZE02AAM0144010105892","1","明目地黄丸","","","",2015162013,"明目地黄丸","无","浓缩丸","每8丸相当于原生药3g","瓶","200","塑料瓶","兰州佛慈制药股份有限公司",10.96,"修改（支付标准）","医药服务便函〔2021〕5号",162006]
[12975,"ZE02AAM0144010105898","1","明目地黄丸","","","",2015108161,"明目地黄丸","无","浓缩丸","每8丸相当于原生药3g","盒","192","铝塑","兰州太宝制药有限公司",9.59,"修改（支付标准）","医药服务便函〔2021〕5号",108164]
[12976,"ZE02AAM0144010203082","1","明目地黄丸","","","",2015162393,"明目地黄丸","无","浓缩丸","每8丸相当于原生药3g","瓶","240","塑料瓶","仲景宛西制药股份有限公司",29.9,"修改（支付标准）","医药服务便函〔2021〕5号",162386]
[12977,"ZE02AAM0144020102816","1","明目地黄丸","","","",2015101182,"明目地黄丸","无","水蜜丸","6g","盒","10","复合膜","药都制药集团股份有限公司",21.65,"修改（支付标准）","医药服务便函〔2021〕5号",101187]
[12978,"ZE02AAM0144020102971","1","明目地黄丸","","","",2015111210,"明目地黄丸","无","水蜜丸","6g","盒","10","复合膜","山西正元盛邦制药有限公司",7.8,"修改（支付标准）","医药服务便函〔2021〕5号",111208]
[12979,"ZE02AAM0144030102816","1","明目地黄丸","","","",2015101139,"明目地黄丸","无","小蜜丸","54g(9g/45粒)","瓶","1","塑料瓶","药都制药集团股份有限公司",14.99,"修改（支付标准）","医药服务便函〔2021〕5号",101144]
[12980,"ZE02AAM0144030103082","1","明目地黄丸","","","",2015108323,"明目地黄丸","无","水蜜丸","60g(20g/100粒)","瓶","1","塑料瓶","仲景宛西制药股份有限公司",19.33,"修改（支付标准）","医药服务便函〔2021〕5号",108326]
[12981,"ZE02AAQ0091010104726","2","芪明颗粒","","","限2型糖尿病视网膜病变单纯型",201513624,"芪明颗粒","无","颗粒剂","4.5g","盒","15","复合膜","浙江万晟药业有限公司",44.45,"修改（支付标准）","医药服务便函〔2021〕5号",134747]
[12982,"ZE02AAS0647010204481","1","石斛夜光丸","","","▲",20156627,"石斛夜光丸","无","水蜜丸","7.3g","盒","10","复合膜","杭州胡庆余堂药业有限公司",14.63,"修改（支付标准）","医药服务便函〔2021〕5号",129543]
[12983,"ZE02AAS0815010100103","2","双丹明目胶囊","","","限2型糖尿病视网膜病变单纯型",2020163102,"双丹明目胶囊","无","硬胶囊剂","0.5g","瓶","48","塑料瓶","北京岐黄医药股份有限公司",112.8,"修改（支付标准）","医药服务便函〔2021〕5号",163102]
[12984,"ZE02AAZ0040010100331","1","障眼明片（胶囊）","","","",2015111444,"障眼明胶囊","无","硬胶囊剂","0.4g","盒","24","铝塑","广东省惠州市中药厂有限公司",19.57,"修改（支付标准）","医药服务便函〔2021〕5号",111442]
[12985,"ZE02AAZ0040010200331","1","障眼明片（胶囊）","","","",2015114856,"障眼明胶囊","无","硬胶囊剂","0.4g","瓶","36","塑料瓶","广东省惠州市中药厂有限公司",28.03,"修改（支付标准）","医药服务便函〔2021〕5号",114854]
[12986,"ZE02AAZ0040010209604","1","障眼明片（胶囊）","","","",2015136668,"障眼明胶囊","无","硬胶囊剂","0.25g","盒","36","铝箔","湖南天济草堂制药股份有限公司",26.57,"修改（支付标准）","医药服务便函〔2021〕5号",136665]
[12987,"ZE02AAZ0040010409604","1","障眼明片（胶囊）","","","",2015136669,"障眼明胶囊","无","硬胶囊剂","0.25g","盒","48","铝箔","湖南天济草堂制药股份有限公司",35.06,"修改（支付标准）","医药服务便函〔2021〕5号",136666]
[12988,"ZE02AAZ0040010509604","1","障眼明片（胶囊）","","","",2015149269,"障眼明胶囊","无","硬胶囊剂","0.25g","盒","60","铝箔","湖南天济草堂制药股份有限公司",41.57,"修改（支付标准）","医药服务便函〔2021〕5号",149268]
[12989,"ZE02AAZ0041020200428","1","障眼明片（胶囊）","","","",2015157862,"障眼明片","无","薄膜衣片","0.42g","瓶","100","塑料瓶","广州白云山中一药业有限公司",70.49,"修改（支付标准）","医药服务便函〔2021〕5号",157860]
[12990,"ZE02AAZ0087010101978","1","珍珠明目滴眼液","","","",2015143436,"珍珠明目滴眼液","无","滴眼剂","10ml","瓶","1","塑料瓶","武汉五景药业有限公司",4.94,"修改（支付标准）","医药服务便函〔2021〕5号",143438]
[12991,"ZE02AAZ0087010104508","1","珍珠明目滴眼液","","","",2015137704,"珍珠明目滴眼液","无","滴眼剂","10ml","瓶","1","塑料瓶","杭州天目山药业股份有限公司",4.95,"修改（支付标准）","医药服务便函〔2021〕5号",137701]
[12992,"ZE02AAZ0087020101652","1","珍珠明目滴眼液","","","",2015157510,"珍珠明目滴眼液","无","滴眼剂","12ml","支","1","塑料瓶","苏州工业园区天龙制药有限公司",8,"修改（支付标准）","医药服务便函〔2021〕5号",157508]
[12993,"ZE02AAZ0087020101978","1","珍珠明目滴眼液","","","",2015147046,"珍珠明目滴眼液","无","滴眼剂","15ml","瓶","1","塑料瓶","武汉五景药业有限公司",7.38,"修改（支付标准）","医药服务便函〔2021〕5号",147045]
[12994,"ZE02AAZ0087020104508","1","珍珠明目滴眼液","","","",2015137705,"珍珠明目滴眼液","无","滴眼剂","15ml","瓶","1","塑料瓶","杭州天目山药业股份有限公司",8.3,"修改（支付标准）","医药服务便函〔2021〕5号",137702]
[12995,"ZE03AAF0697010300340","2","复方血栓通片（颗粒、软胶囊、滴丸）","","","▲",2020169489,"复方血栓通滴丸","无","滴丸","30mg","盒","450","复合膜","广州威斯宝药业有限公司",71.56,"修改（支付标准）","医药服务便函〔2021〕5号",169489]
[12996,"ZE03AAF0698010200371","1","复方血栓通胶囊","","","▲",2015157216,"复方血栓通胶囊","无","硬胶囊剂","0.5g","盒","36","铝塑","广东众生药业股份有限公司",23.85,"修改（支付标准）","医药服务便函〔2021〕5号",157214]
[12997,"ZE03AAF0700010200371","2","复方血栓通片（颗粒、软胶囊、滴丸）","","","▲",2015153036,"复方血栓通片","无","薄膜衣片","0.35g","盒","36","铝塑","广东众生药业股份有限公司",25.88,"修改（支付标准）","医药服务便函〔2021〕5号",153039]
[12998,"ZE03AAF0700010201745","2","复方血栓通片（颗粒、软胶囊、滴丸）","","","▲",2015139051,"复方血栓通片","无","薄膜衣片","0.4g","盒","36","铝塑","扬州中惠制药有限公司",23.71,"修改（支付标准）","医药服务便函〔2021〕5号",139048]
[12999,"ZE03AAF0700010301745","2","复方血栓通片（颗粒、软胶囊、滴丸）","","","▲",2015159223,"复方血栓通片","无","薄膜衣片","0.4g","盒","48","铝塑","扬州中惠制药有限公司",31.35,"修改（支付标准）","医药服务便函〔2021〕5号",159221]
[13000,"ZE03AAF0701010100290","2","复方血栓通片（颗粒、软胶囊、滴丸）","","","▲",2015115726,"复方血栓通软胶囊","无","软胶囊(胶丸)","0.66g","盒","9","铝塑","广东华南药业集团有限公司",27,"修改（支付标准）","医药服务便函〔2021〕5号",115729]
[13001,"ZE03AAX0065010105387","2","夏天无滴眼液","","","",20158001,"夏天无滴眼液(含玻璃酸钠)","无","滴眼剂","10ml","支","1","塑料瓶","江西珍视明药业有限公司",23.91,"修改（支付标准）","医药服务便函〔2021〕5号",140905]
[13002,"ZF01AAE0033010402786","2","耳聋丸（胶囊）","","","",201512880,"耳聋胶囊","无","硬胶囊剂","0.42g","盒","36","铝塑","景忠山国药(唐山)有限公司",35.73,"修改（支付标准）","医药服务便函〔2021〕5号",115908]
[13003,"ZF01AAE0036010102786","2","耳聋丸（胶囊）","","","",2020165445,"耳聋丸","无","大蜜丸","7g","盒","10","铝塑","景忠山国药(唐山)有限公司",21.73,"修改（支付标准）","医药服务便函〔2021〕5号",165445]
[13004,"ZF01AAE0037010100674","1","耳聋左慈丸","","","",2015146157,"耳聋左慈丸","无","水蜜丸","60g(10g/100粒)","瓶","1","塑料瓶","上海和黄药业有限公司",15.2,"修改（支付标准）","医药服务便函〔2021〕5号",146156]
[13005,"ZF01AAE0037010103503","1","耳聋左慈丸","","","",2015110746,"耳聋左慈丸","无","浓缩丸","3g/8丸","瓶","120","塑料瓶","吉林紫鑫药业股份有限公司",16.77,"修改（支付标准）","医药服务便函〔2021〕5号",110744]
[13006,"ZF01AAE0037010104481","1","耳聋左慈丸","","","",2015120852,"耳聋左慈丸","无","水蜜丸","60g(10g/100粒)","瓶","1","高密度聚乙烯","杭州胡庆余堂药业有限公司",23.41,"修改（支付标准）","医药服务便函〔2021〕5号",120849]
[13007,"ZF01AAE0037010104721","1","耳聋左慈丸","","","",2015146856,"耳聋左慈丸","无","水蜜丸","6g(10g/100粒)","盒","10","复合膜","浙江天一堂药业有限公司",24.62,"修改（支付标准）","医药服务便函〔2021〕5号",146855]
[13008,"ZF01AAT0227010103319","1","通窍耳聋丸","","","",2015123206,"通窍耳聋丸","无","水丸","6g(6g/100粒)","盒","6","复合膜","长春人民药业集团有限公司",32.31,"修改（支付标准）","医药服务便函〔2021〕5号",123203]
[13009,"ZF01AAT0227010202683","1","通窍耳聋丸","","","",2015161961,"通窍耳聋丸","无","水丸","6g(6g/100粒)","盒","8","复合膜","河北永丰药业有限公司",26.29,"修改（支付标准）","医药服务便函〔2021〕5号",161954]
[13010,"ZF01AAT0227010302683","1","通窍耳聋丸","","","",2015107280,"通窍耳聋丸","无","水丸","6g(6g/100粒)","盒","10","复合膜","河北永丰药业有限公司",27.9,"修改（支付标准）","医药服务便函〔2021〕5号",107283]
[13011,"ZF02AAB0314020100255","1","鼻炎康片","","","",2015116122,"鼻炎康片","无","薄膜衣片","0.37g(含马来酸氯苯那敏1mg)","瓶","96","塑料瓶","国药集团德众(佛山)药业有限公司",20.58,"修改（支付标准）","医药服务便函〔2021〕5号",116125]
[13012,"ZF02AAB0319010201986","2","鼻炎片","","","",201512220,"鼻炎片","无","薄膜衣片","0.5g","盒","36","铝塑","国药集团中联药业有限公司",20.68,"修改（支付标准）","医药服务便函〔2021〕5号",102883]
[13013,"ZF02AAB0328010304005","2","鼻渊通窍颗粒","","","",20156417,"鼻渊通窍颗粒","无","颗粒剂","15g","盒","10","铝塑","山东新时代药业有限公司",16.21,"修改（支付标准）","医药服务便函〔2021〕5号",131233]
[13014,"ZF02AAC0262010402153","2","苍耳子鼻炎滴丸","","","",2020157504,"苍耳子鼻炎滴丸","无","滴丸","1.2g(43mg/丸)","盒","9","铝箔","四川字库山制药有限公司",41.88,"修改（支付标准）","医药服务便函〔2021〕5号",157504]
[13015,"ZF02AAC0263010202154","2","苍耳子鼻炎滴丸（胶囊）","","","",20159910,"苍耳子鼻炎胶囊","无","硬胶囊剂","0.4g","盒","36","铝箔","四川禾泰药业有限公司",17.54,"修改（支付标准）","医药服务便函〔2021〕5号",145806]
[13016,"ZF02AAC0263010302154","2","苍耳子鼻炎滴丸（胶囊）","","","",2015154758,"苍耳子鼻炎胶囊","无","硬胶囊剂","0.4g","盒","48","铝箔","四川禾泰药业有限公司",23.39,"修改（支付标准）","医药服务便函〔2021〕5号",154751]
[13017,"ZF02AAH0419010100716","1","藿胆丸（片、滴丸）","","","",2015161371,"藿胆滴丸","无","滴丸","50mg","瓶","30","塑料瓶","上海雷允上药业有限公司",18,"修改（支付标准）","医药服务便函〔2021〕5号",161364]
[13018,"ZF02AAH0419010200716","1","藿胆丸（片、滴丸）","","","",2015110278,"藿胆滴丸","无","滴丸","50mg","瓶","60","塑料瓶","上海雷允上药业有限公司",33.62,"修改（支付标准）","医药服务便函〔2021〕5号",110276]
[13019,"ZF02AAH0420010103503","1","藿胆丸（片、滴丸）","","","",2015110932,"藿胆片","无","糖衣片","0.2g(片芯重)","盒","24","铝塑","吉林紫鑫药业股份有限公司",17.45,"修改（支付标准）","医药服务便函〔2021〕5号",110930]
[13020,"ZF02AAH0420010203503","1","藿胆丸（片、滴丸）","","","",2015109857,"藿胆片","无","糖衣片","0.2g(片芯重)","盒","36","铝塑","吉林紫鑫药业股份有限公司",25.3,"修改（支付标准）","医药服务便函〔2021〕5号",109860]
[13021,"ZF02AAH0420010403503","1","藿胆丸（片、滴丸）","","","",2015109872,"藿胆片","无","糖衣片","0.2g(片芯重)","瓶","60","塑料瓶","吉林紫鑫药业股份有限公司",42.04,"修改（支付标准）","医药服务便函〔2021〕5号",109875]
[13022,"ZF02AAH0421010100286","1","藿胆丸（片、滴丸）","","","",2015111787,"藿胆丸","无","水丸","60g","瓶","1","塑料瓶","广东恒诚制药股份有限公司",12.8,"修改（支付标准）","医药服务便函〔2021〕5号",111785]
[13023,"ZF02AAH0421010100311","1","藿胆丸（片、滴丸）","","","",2015161572,"藿胆丸","无","水丸","36g","瓶","1","塑料瓶","广东逢春制药有限公司",20,"修改（支付标准）","医药服务便函〔2021〕5号",161565]
[13024,"ZF02AAH0421010100365","1","藿胆丸（片、滴丸）","","","",2015135233,"藿胆丸","无","水丸","36g","瓶","1","塑料瓶","广东雷允上药业有限公司",17.16,"修改（支付标准）","医药服务便函〔2021〕5号",135230]
[13025,"ZF02AAH0421010100415","1","藿胆丸（片、滴丸）","","","",2015109102,"藿胆丸","无","水丸","36g","瓶","1","塑料瓶","广州花城药业有限公司",8.37,"修改（支付标准）","医药服务便函〔2021〕5号",109105]
[13026,"ZF02AAH0421010100424","1","藿胆丸（片、滴丸）","","","",2015109257,"藿胆丸","无","水丸","36g","瓶","1","塑料瓶","广州王老吉药业股份有限公司",17.39,"修改（支付标准）","医药服务便函〔2021〕5号",109260]
[13027,"ZF02AAH0421010101966","1","藿胆丸（片、滴丸）","","","",2015147097,"藿胆丸","无","水丸","36g","瓶","1","塑料瓶","武汉太福制药有限公司",5.8,"修改（支付标准）","医药服务便函〔2021〕5号",147096]
[13028,"ZF02AAH0421010105147","1","藿胆丸（片、滴丸）","","","",2015110298,"藿胆丸","无","水丸","36g","瓶","1","高密度聚乙烯","广西天天乐药业股份有限公司",4.42,"修改（支付标准）","医药服务便函〔2021〕5号",110296]
[13029,"ZF02AAS1048010101749","2","散风通窍滴丸","","","",2020165750,"散风通窍滴丸","无","滴丸","0.76g/20丸(每1g相当于饮片5.99g)","瓶","100","塑料瓶","扬子江药业集团有限公司",83.89,"修改（支付标准）","医药服务便函〔2021〕5号",165750]
[13030,"ZF02AAT0224010102129","2","通窍鼻炎片（胶囊、颗粒）","","","",2015115877,"通窍鼻炎胶囊","无","硬胶囊剂","0.4g","盒","30","铝箔","四川川大华西药业股份有限公司",16.1,"修改（支付标准）","医药服务便函〔2021〕5号",115880]
[13031,"ZF02AAT0224010105379","2","通窍鼻炎片（胶囊、颗粒）","","","",2015139896,"通窍鼻炎胶囊","无","硬胶囊剂","0.4g","瓶","45","塑料瓶","江西药都樟树制药有限公司",21.07,"修改（支付标准）","医药服务便函〔2021〕5号",139893]
[13032,"ZF02AAT0224010202129","2","通窍鼻炎片（胶囊、颗粒）","","","",2015155294,"通窍鼻炎胶囊","无","硬胶囊剂","0.4g","盒","60","铝箔","四川川大华西药业股份有限公司",26.44,"修改（支付标准）","医药服务便函〔2021〕5号",155292]
[13033,"ZF02AAT0225010102135","2","通窍鼻炎片（胶囊、颗粒）","","","",2015140358,"通窍鼻炎颗粒","无","颗粒剂","2g","盒","9","复合膜","成都迪康药业股份有限公司",13.98,"修改（支付标准）","医药服务便函〔2021〕5号",140360]
[13034,"ZF02AAT0225010202129","2","通窍鼻炎片（胶囊、颗粒）","","","",2015115887,"通窍鼻炎颗粒","无","颗粒剂","2g","盒","12","复合膜","四川川大华西药业股份有限公司",19.95,"修改（支付标准）","医药服务便函〔2021〕5号",115890]
[13035,"ZF02AAT0225010202135","2","通窍鼻炎片（胶囊、颗粒）","","","",2015140359,"通窍鼻炎颗粒","无","颗粒剂","2g","盒","12","复合膜","成都迪康药业股份有限公司",18.13,"修改（支付标准）","医药服务便函〔2021〕5号",140361]
[13036,"ZF02AAT0225010302129","2","通窍鼻炎片（胶囊、颗粒）","","","",2015115893,"通窍鼻炎颗粒","无","颗粒剂","2g","盒","15","复合膜","四川川大华西药业股份有限公司",20.82,"修改（支付标准）","医药服务便函〔2021〕5号",115896]
[13037,"ZF02AAT0225010402135","2","通窍鼻炎片（胶囊、颗粒）","","","",2015140360,"通窍鼻炎颗粒","无","颗粒剂","2g","盒","18","复合膜","成都迪康药业股份有限公司",29.72,"修改（支付标准）","医药服务便函〔2021〕5号",140362]
[13038,"ZF02AAT0226010100584","2","通窍鼻炎片（胶囊、颗粒）","","","",2015118952,"通窍鼻炎片","无","薄膜衣片","0.3g(相当于饮片1.1g)","盒","36","铝塑","中山市恒生药业有限公司",5.89,"修改（支付标准）","医药服务便函〔2021〕5号",118955]
[13039,"ZF02AAT0226010103204","2","通窍鼻炎片（胶囊、颗粒）","","","",2015127885,"通窍鼻炎片","无","薄膜衣片","0.31g","盒","24","铝箔","遂成药业股份有限公司",3.95,"修改（支付标准）","医药服务便函〔2021〕5号",127884]
[13040,"ZF02AAT0226010200584","2","通窍鼻炎片（胶囊、颗粒）","","","",2015118959,"通窍鼻炎片","无","薄膜衣片","0.3g(相当于饮片1.1g)","盒","48","铝塑","中山市恒生药业有限公司",7.77,"修改（支付标准）","医药服务便函〔2021〕5号",118962]
[13041,"ZF02AAT0226020205264","2","通窍鼻炎片（胶囊、颗粒）","","","",2015137581,"通窍鼻炎片","无","糖衣片","0.3g","瓶","80","塑料瓶","江西博士达药业有限责任公司",14.65,"修改（支付标准）","医药服务便函〔2021〕5号",137578]
[13042,"ZF02AAX0125010204073","1","香菊片（胶囊）","","","",2015118260,"香菊胶囊","无","硬胶囊剂","0.3g","盒","48","铝塑","山东步长制药股份有限公司",22.84,"修改（支付标准）","医药服务便函〔2021〕5号",118263]
[13043,"ZF02AAX0127010102354","1","香菊片（胶囊）","","","",2015104682,"香菊片","无","薄膜衣片","0.32g","盒","36","铝塑","陕西白云制药有限公司",18.85,"修改（支付标准）","医药服务便函〔2021〕5号",104687]
[13044,"ZF02AAX0127010402354","1","香菊片（胶囊）","","","",2015104669,"香菊片","无","薄膜衣片","0.32g","盒","72","铝塑","陕西白云制药有限公司",47.79,"修改（支付标准）","医药服务便函〔2021〕5号",104674]
[13045,"ZF02AAX0127020202440","1","香菊片（胶囊）","","","",2015144627,"香菊片","无","薄膜衣片","0.32g","瓶","60","塑料瓶","陕西香菊药业集团有限公司",33.03,"修改（支付标准）","医药服务便函〔2021〕5号",144629]
[13046,"ZF02AAX0688010104684","1","辛芩颗粒","","","",2015159277,"辛芩颗粒","无","颗粒剂","10g","盒","8","复合膜","浙江优胜美特中药有限公司",6.38,"修改（支付标准）","医药服务便函〔2021〕5号",159275]
[13047,"ZF02AAX0688010202260","1","辛芩颗粒","","","",2015153702,"辛芩颗粒","无","颗粒剂","20g","盒","10","复合膜","四川同人泰药业有限公司",9.18,"修改（支付标准）","医药服务便函〔2021〕5号",153705]
[13048,"ZF02AAX0689010202294","2","辛芩片","","","",2020112563,"辛芩片","无","薄膜衣片","0.8g","盒","36","铝箔","国药集团宜宾制药有限责任公司",27.35,"修改（支付标准）","医药服务便函〔2021〕5号",112563]
[13049,"ZF03AAC0568010102140","2","川射干黄酮胶囊","","","",2020167459,"川射干黄酮胶囊","无","硬胶囊剂","0.36g(含川射干黄酮提取物0.35g)","盒","12","铝塑","四川逢春制药有限公司",45.6,"修改（支付标准）","医药服务便函〔2021〕5号",167459]
[13050,"ZF03AAC0568010202140","2","川射干黄酮胶囊","","","",2020167122,"川射干黄酮胶囊","无","硬胶囊剂","0.36g(含川射干黄酮提取物0.35g)","盒","24","铝塑","四川逢春制药有限公司",91.2,"修改（支付标准）","医药服务便函〔2021〕5号",167122]
[13051,"ZF03AAE0027010102281","2","儿童清咽解热口服液","","","",2020119086,"儿童清咽解热口服液","无","合剂(含口服液)","10ml","盒","6","玻璃瓶","亚宝药业四川制药有限公司",45,"修改（支付标准）","医药服务便函〔2021〕5号",119086]
[13052,"ZF03AAE0027010202281","2","儿童清咽解热口服液","","","",2020163230,"儿童清咽解热口服液","无","合剂(含口服液)","10ml","盒","9","玻璃瓶","亚宝药业四川制药有限公司",67.5,"修改（支付标准）","医药服务便函〔2021〕5号",163230]
[13053,"ZF03AAF0758010202087","2","复方珍珠口疮颗粒","","","",2020168741,"复方珍珠口疮颗粒","无","颗粒剂","10g","盒","6","复合膜","四川美大康药业股份有限公司",35.66,"修改（支付标准）","医药服务便函〔2021〕5号",168741]
[13054,"ZF03AAF0758010302087","2","复方珍珠口疮颗粒","","","",2020168658,"复方珍珠口疮颗粒","无","颗粒剂","10g","盒","10","复合膜","四川美大康药业股份有限公司",58.33,"修改（支付标准）","医药服务便函〔2021〕5号",168658]
[13055,"ZF03AAG0013010179276","2","甘桔清咽颗粒","","","",2020110758,"甘桔清咽颗粒","无","颗粒剂","10g","盒","6","复合袋","郑州卓峰制药有限公司",54.3,"修改（支付标准）","医药服务便函〔2021〕5号",110758]
[13056,"ZF03AAH0333010201697","1","黄氏响声丸","","","",2015145327,"黄氏响声丸(浓缩水丸)","无","浓缩丸","0.133g","盒","108","铝塑","无锡济民可信山禾药业股份有限公司",18.06,"修改（支付标准）","医药服务便函〔2021〕5号",145326]
[13057,"ZF03AAJ0358010105470","2","金喉健喷雾剂","","","▲",20153168,"金喉健喷雾剂","无","喷雾剂","20ml","瓶","1","塑料瓶","贵州宏宇药业有限公司",18.47,"修改（支付标准）","医药服务便函〔2021〕5号",136424]
[13058,"ZF03AAJ0448010102458","2","金嗓开音丸（片、胶囊、颗粒）","","","",2020168292,"金嗓开音胶囊","无","硬胶囊剂","0.4g","盒","18","双铝","西安碑林药业股份有限公司",34.29,"修改（支付标准）","医药服务便函〔2021〕5号",168292]
[13059,"ZF03AAJ0460010202458","2","金嗓散结丸（片、胶囊、颗粒）","","","",2020168310,"金嗓散结胶囊","无","硬胶囊剂","0.4g","盒","18","双铝","西安碑林药业股份有限公司",34.43,"修改（支付标准）","医药服务便函〔2021〕5号",168310]
[13060,"ZF03AAJ0461010102458","2","金嗓散结丸（片、胶囊、颗粒）","","","",2020167396,"金嗓散结颗粒","无","颗粒剂","3g","盒","6","复合袋","西安碑林药业股份有限公司",86,"修改（支付标准）","医药服务便函〔2021〕5号",167396]
[13061,"ZF03AAK0002030105506","2","开喉剑喷雾剂(含儿童型)","","","",2015103147,"开喉剑喷雾剂","无","喷雾剂","30ml","瓶","1","塑料瓶","贵州三力制药有限责任公司",31.51,"修改（支付标准）","医药服务便函〔2021〕5号",103152]
[13062,"ZF03AAK0003030105506","2","开喉剑喷雾剂(含儿童型)","","","",2015103158,"开喉剑喷雾剂(儿童型)","无","喷雾剂","30ml","瓶","1","塑料瓶","贵州三力制药有限责任公司",30.62,"修改（支付标准）","医药服务便函〔2021〕5号",103163]
[13063,"ZF03AAL0245010201539","2","六神胶囊","","","",2020137192,"六神胶囊(人工牛黄、人工麝香)","无","硬胶囊剂","0.19g","盒","12","铝塑","雷允上药业集团有限公司",35.22,"修改（支付标准）","医药服务便函〔2021〕5号",137192]
[13064,"ZF03AAL0245010301539","2","六神胶囊","","","",2020137193,"六神胶囊(人工牛黄、人工麝香)","无","硬胶囊剂","0.19g","盒","18","铝塑","雷允上药业集团有限公司",52.05,"修改（支付标准）","医药服务便函〔2021〕5号",137193]
[13065,"ZF03AAL0249010100716","1","六神丸","","","",2020164962,"六神丸(人工麝香)","无","水丸","3.125g/1000粒","盒","5","塑料瓶","上海雷允上药业有限公司",19.25,"修改（支付标准）","医药服务便函〔2021〕5号",164962]
[13066,"ZF03AAL0249010300716","1","六神丸","","","",2020164963,"六神丸(人工麝香)","无","水丸","3.125g/1000粒","盒","10","塑料瓶","上海雷允上药业有限公司",38.5,"修改（支付标准）","医药服务便函〔2021〕5号",164963]
[13067,"ZF03AAL0249010401539","1","六神丸","","","",2020137647,"六神丸(人工麝香)","无","水丸","3.125g/1000粒","盒","120","塑料瓶","雷允上药业集团有限公司",27.33,"修改（支付标准）","医药服务便函〔2021〕5号",137647]
[13068,"ZF03AAL0249040100716","1","六神丸","","","",2020166716,"六神丸(人工麝香)","无","水丸","3.125g/1000粒","瓶","50","塑料瓶","上海雷允上药业有限公司",19.25,"修改（支付标准）","医药服务便函〔2021〕5号",166716]
[13069,"ZF03AAL0249040400716","1","六神丸","","","",2020111075,"六神丸(人工麝香)","无","水丸","3.125g/1000粒","瓶","100","塑料瓶","上海雷允上药业有限公司",38.5,"修改（支付标准）","医药服务便函〔2021〕5号",111075]
[13070,"ZF03AAQ0517010300961","1","清咽滴丸","","","",2015159373,"清咽滴丸","无","滴丸","20mg","瓶","80","空","天津中新药业集团股份有限公司第六中药厂",26.65,"修改（支付标准）","医药服务便函〔2021〕5号",159371]
[13071,"ZF03AAQ0517010500961","1","清咽滴丸","","","",2015159374,"清咽滴丸","无","滴丸","20mg","瓶","120","空","天津中新药业集团股份有限公司第六中药厂",39.98,"修改（支付标准）","医药服务便函〔2021〕5号",159372]
[13072,"ZF03AAT0303010100053","2","退热清咽颗粒","","","",2020169841,"退热清咽颗粒(无糖型)","无","颗粒剂","5g","盒","10","复合膜","北京华洋奎龙药业有限公司",63.04,"修改（支付标准）","医药服务便函〔2021〕5号",169841]
[13073,"ZF03AAX0792010102041","1","玄麦甘桔胶囊（颗粒）","","","",2015155015,"玄麦甘桔胶囊","无","硬胶囊剂","0.35g","盒","48","铝塑","成都康弘制药有限公司",21.07,"修改（支付标准）","医药服务便函〔2021〕5号",155013]
[13074,"ZF03AAX0793010100972","1","玄麦甘桔胶囊（颗粒）","","","",2015153318,"玄麦甘桔颗粒","无","颗粒剂","10g","盒","10","复合膜","葵花药业集团重庆小葵花儿童制药有限公司",14.29,"修改（支付标准）","医药服务便函〔2021〕5号",153321]
[13075,"ZF03AAX0793010101055","1","玄麦甘桔胶囊（颗粒）","","","",2015118277,"玄麦甘桔颗粒","无","颗粒剂","10g","盒","10","复合膜","天圣制药集团股份有限公司",14.78,"修改（支付标准）","医药服务便函〔2021〕5号",118280]
[13076,"ZF03AAX0793010102237","1","玄麦甘桔胶囊（颗粒）","","","",2015108175,"玄麦甘桔颗粒","无","颗粒剂","10g","包","20","复合膜","四川省通园制药集团有限公司",6.1,"修改（支付标准）","医药服务便函〔2021〕5号",108178]
[13077,"ZF03AAX0793020701032","1","玄麦甘桔胶囊（颗粒）","","","",2015160008,"玄麦甘桔颗粒(无蔗糖)","无","颗粒剂","5g","包","25","复合膜","重庆三峡云海药业股份有限公司",30.58,"修改（支付标准）","医药服务便函〔2021〕5号",160001]
[13078,"ZF03AAY0017010305475","2","咽立爽口含滴丸","","","",2015150998,"咽立爽口含滴丸","无","滴丸","25mg","盒","100","塑料瓶","贵州黄果树立爽药业有限公司",31,"修改（支付标准）","医药服务便函〔2021〕5号",151001]
[13079,"ZF04AAD0309010200535","2","丁细牙痛胶囊","","","",2020104330,"丁细牙痛胶囊","无","硬胶囊剂","0.45g","盒","24","铝塑","深圳市泰康制药有限公司",34.3,"修改（支付标准）","医药服务便函〔2021〕5号",104330]
[13080,"ZF04AAS0991010101796","2","速效牙痛宁酊","","","",2020108014,"速效牙痛宁酊","无","酊剂","20ml","瓶","1","塑料瓶","湖北午时药业股份有限公司",50.76,"修改（支付标准）","医药服务便函〔2021〕5号",108014]
[13081,"ZF05AAK0183010103498","1","口腔溃疡散","","","",2015149892,"口腔溃疡散","无","散剂","3g","瓶","1","塑料瓶","吉林万通药业集团梅河药业股份有限公司",16.09,"修改（支付标准）","医药服务便函〔2021〕5号",149891]
[13082,"ZF05AAK0184010103790","2","口腔炎气雾剂（喷雾剂）","","","",20154767,"口腔炎喷雾剂","无","喷雾剂","10ml","瓶","1","铝瓶","黑龙江天龙药业有限公司",15.5,"修改（支付标准）","医药服务便函〔2021〕5号",132828]
[13083,"ZF05AAK0184010105387","2","口腔炎气雾剂（喷雾剂）","","","",20158049,"口腔炎喷雾剂","无","喷雾剂","10ml","瓶","1","塑料瓶","江西珍视明药业有限公司",13.14,"修改（支付标准）","医药服务便函〔2021〕5号",141018]
[13084,"ZF05AAK0184040103790","2","口腔炎气雾剂（喷雾剂）","","","",201515115,"口腔炎喷雾剂","无","喷雾剂","25ml","瓶","1","铝瓶","黑龙江天龙药业有限公司",24.93,"修改（支付标准）","医药服务便函〔2021〕5号",132830]
[13085,"ZF05AAK0189010102539","1","口炎清颗粒","","","",2015100737,"口炎清颗粒","无","颗粒剂","10g","包","10","复合膜","延安制药股份有限公司",13.45,"修改（支付标准）","医药服务便函〔2021〕5号",100742]
[13086,"ZF05AAK0189010300374","1","口炎清颗粒","","","",2015156879,"口炎清颗粒","无","颗粒剂","10g","包","20","复合膜","广州白云山和记黄埔中药有限公司",28.52,"修改（支付标准）","医药服务便函〔2021〕5号",156877]
[13087,"ZF05AAK0189010302539","1","口炎清颗粒","","","",2015154207,"口炎清颗粒","无","颗粒剂","10g","盒","12","复合膜","延安制药股份有限公司",16.14,"修改（支付标准）","医药服务便函〔2021〕5号",154210]
[13088,"ZF05AAK0189010402539","1","口炎清颗粒","","","",2015154209,"口炎清颗粒","无","颗粒剂","10g","包","20","复合膜","延安制药股份有限公司",26.91,"修改（支付标准）","医药服务便函〔2021〕5号",154212]
[13089,"ZF05AAK0189020200374","1","口炎清颗粒","","","",2015104641,"口炎清颗粒(无蔗糖)","无","颗粒剂","3g","盒","16","复合膜","广州白云山和记黄埔中药有限公司",24.2,"修改（支付标准）","医药服务便函〔2021〕5号",104646]
[13090,"ZF05AAK0257010102013","2","口炎清片（胶囊）","","","",2015116400,"口炎清胶囊","无","硬胶囊剂","0.5g","盒","12","铝箔","成都倍特药业股份有限公司",17.03,"修改（支付标准）","医药服务便函〔2021〕5号",116403]
[13091,"ZF05AAK0259010102367","2","口腔炎气雾剂（喷雾剂）","","","",2020166979,"口腔炎气雾剂","无","气雾剂","10ml:19g","瓶","1","铝瓶","陕西冯武臣大药堂制药厂有限公司",41,"修改（支付标准）","医药服务便函〔2021〕5号",166979]
[13092,"ZF05AAL0442010301645","2","连芩珍珠滴丸","","","",2020149458,"连芩珍珠滴丸(人工牛黄)","无","滴丸","35mg","瓶","48","塑料瓶","江苏吴中医药集团有限公司苏州制药厂",46.08,"修改（支付标准）","医药服务便函〔2021〕5号",149458]
[13093,"ZG01AAD0282010104920","2","跌打活血散（胶囊）","","","",2020168053,"跌打活血胶囊","无","硬胶囊剂","0.5g","盒","40","铝箔","湖南方盛制药股份有限公司",30.19,"修改（支付标准）","医药服务便函〔2021〕5号",168053]
[13094,"ZG01AAD0282010204920","2","跌打活血散（胶囊）","","","",2020168304,"跌打活血胶囊","无","硬胶囊剂","0.5g","盒","48","铝箔","湖南方盛制药股份有限公司",36.36,"修改（支付标准）","医药服务便函〔2021〕5号",168304]
[13095,"ZG01AAD0295020102816","1","跌打丸","","","",2020153981,"跌打丸","无","小蜜丸","54g(20g/100丸)","瓶","1","塑料瓶","药都制药集团股份有限公司",44.98,"修改（支付标准）","医药服务便函〔2021〕5号",153981]
[13096,"ZG01AAF0578010103391","2","复方三七胶囊","","","",2020140663,"复方三七胶囊","无","硬胶囊剂","0.25g","盒","24","铝箔","吉林市鹿王制药股份有限公司",9.19,"修改（支付标准）","医药服务便函〔2021〕5号",140663]
[13097,"ZG01AAF0578010403391","2","复方三七胶囊","","","",2020170022,"复方三七胶囊","无","硬胶囊剂","0.25g","盒","40","铝箔","吉林市鹿王制药股份有限公司",15.32,"修改（支付标准）","医药服务便函〔2021〕5号",170022]
[13098,"ZG01AAF0589010305883","2","复方伤痛胶囊","","","",201512697,"复方伤痛胶囊","无","硬胶囊剂","0.3g","盒","24","铝塑","甘肃省西峰制药有限责任公司",34.14,"修改（支付标准）","医药服务便函〔2021〕5号",111033]
[13099,"ZG01AAF0589010405883","2","复方伤痛胶囊","","","",2015162425,"复方伤痛胶囊","无","硬胶囊剂","0.3g","盒","30","铝塑","甘肃省西峰制药有限责任公司",42.85,"修改（支付标准）","医药服务便函〔2021〕5号",162418]
[13100,"ZG01AAF0589010505883","2","复方伤痛胶囊","","","",2015114657,"复方伤痛胶囊","无","硬胶囊剂","0.3g","盒","36","铝塑","甘肃省西峰制药有限责任公司",51.08,"修改（支付标准）","医药服务便函〔2021〕5号",114650]
[13101,"ZG01AAG0298010203373","2","骨折挫伤胶囊","","","",2015218066,"骨折挫伤胶囊","无","硬胶囊剂","0.29g","瓶","100","塑料瓶","吉林华康药业股份有限公司",22,"修改（支付标准）","医药服务便函〔2021〕5号",118066]
[13102,"ZG01AAH0139010101522","2","红药片（胶囊）","","","",201514446,"红药胶囊","无","硬胶囊剂","0.25g","盒","24","铝塑","江苏正大清江制药有限公司",16.09,"修改（支付标准）","医药服务便函〔2021〕5号",137770]
[13103,"ZG01AAH0139010102147","2","红药片（胶囊）","","","",20151784,"红药胶囊","无","硬胶囊剂","0.25g","盒","30","铝箔","四川广元蓉成制药有限公司",22.5,"修改（支付标准）","医药服务便函〔2021〕5号",115171]
[13104,"ZG01AAH0139010105716","2","红药片（胶囊）","","","",201514420,"红药胶囊","无","硬胶囊剂","0.25g","盒","24","铝塑","云南康恩贝希陶药业有限公司",18.45,"修改（支付标准）","医药服务便函〔2021〕5号",115457]
[13105,"ZG01AAH0139010201522","2","红药片（胶囊）","","","",2015157425,"红药胶囊","无","硬胶囊剂","0.25g","盒","36","铝塑","江苏正大清江制药有限公司",21.92,"修改（支付标准）","医药服务便函〔2021〕5号",157418]
[13106,"ZG01AAH0140010102251","2","红药片（胶囊）","","","",201510209,"红药片","无","糖衣片","0.25g(素片重)","盒","24","铝箔","四川依科制药有限公司",6.65,"修改（支付标准）","医药服务便函〔2021〕5号",162180]
[13107,"ZG01AAJ0248010204937","1","接骨七厘散（丸、片、胶囊）","","","",2015113028,"接骨七厘胶囊","无","硬胶囊剂","0.26g","盒","18","铝塑","湖南金沙药业有限责任公司",49.85,"修改（支付标准）","医药服务便函〔2021〕5号",113026]
[13108,"ZG01AAJ0248010304937","1","接骨七厘散（丸、片、胶囊）","","","",2015113036,"接骨七厘胶囊","无","硬胶囊剂","0.26g","盒","24","铝塑","湖南金沙药业有限责任公司",65.24,"修改（支付标准）","医药服务便函〔2021〕5号",113034]
[13109,"ZG01AAJ0249020104937","1","接骨七厘散（丸、片、胶囊）","","","",2015113014,"接骨七厘片","无","糖衣片","相当于原生药量0.3g","瓶","60","塑料瓶","湖南金沙药业有限责任公司",29.8,"修改（支付标准）","医药服务便函〔2021〕5号",113012]
[13110,"ZG01AAJ0249020204937","1","接骨七厘散（丸、片、胶囊）","","","",2015119594,"接骨七厘片","无","糖衣片","相当于原生药量0.3g","瓶","90","塑料瓶","湖南金沙药业有限责任公司",44.34,"修改（支付标准）","医药服务便函〔2021〕5号",119597]
[13111,"ZG01AAJ0250010101084","1","接骨七厘散（丸、片、胶囊）","","","",2015150050,"接骨七厘散","无","散剂","1.5g","盒","6","复合膜","鞍山制药有限公司",17.48,"修改（支付标准）","医药服务便函〔2021〕5号",150053]
[13112,"ZG01AAJ0250010103820","1","接骨七厘散（丸、片、胶囊）","","","",2015104412,"接骨七厘散","无","散剂","1.5g","盒","6","复合膜","牡丹江灵泰药业股份有限公司",18.78,"修改（支付标准）","医药服务便函〔2021〕5号",104417]
[13113,"ZG01AAJ0251010103154","1","接骨七厘散（丸、片、胶囊）","","","",2015109187,"接骨七厘丸","无","水丸","1.5g","盒","6","复合膜","洛阳顺势药业有限公司",18.79,"修改（支付标准）","医药服务便函〔2021〕5号",109190]
[13114,"ZG01AAJ0251010203154","1","接骨七厘散（丸、片、胶囊）","","","",2015132723,"接骨七厘丸","无","水丸","1.5g","盒","10","复合膜","洛阳顺势药业有限公司",31.03,"修改（支付标准）","医药服务便函〔2021〕5号",132727]
[13115,"ZG01AAL0327010205231","2","龙血竭散（片、胶囊）","","","",20151543,"龙血竭胶囊","无","硬胶囊剂","0.3g","盒","36","铝箔","桂林三金药业股份有限公司",15.11,"修改（支付标准）","医药服务便函〔2021〕5号",106025]
[13116,"ZG01AAL0327010505726","2","龙血竭散（片、胶囊）","","","",201513276,"龙血竭胶囊","无","硬胶囊剂","0.3g","盒","48","铝塑","云南云河药业股份有限公司",16.56,"修改（支付标准）","医药服务便函〔2021〕5号",118780]
[13117,"ZG01AAL0330010105764","2","龙血竭散（片、胶囊）","","","",2020128299,"龙血竭散","无","散剂","1.2g","盒","10","复合膜","海南博大制药厂",26.35,"修改（支付标准）","医药服务便函〔2021〕5号",128299]
[13118,"ZG01AAL0330010305764","2","龙血竭散（片、胶囊）","","","",2020159358,"龙血竭散","无","散剂","1.2g","盒","20","复合膜","海南博大制药厂",52.7,"修改（支付标准）","医药服务便函〔2021〕5号",159358]
[13119,"ZG01AAQ0007010200229","1","七厘散（胶囊）","","","",2015147139,"七厘胶囊","无","硬胶囊剂","0.5g","盒","24","铝塑","华颐药业有限公司",35.41,"修改（支付标准）","医药服务便函〔2021〕5号",147138]
[13120,"ZG01AAS0082010102865","1","三七伤药片（胶囊、颗粒）","","","",2015159852,"三七伤药胶囊","无","硬胶囊剂","0.33g","盒","24","铝塑","山西华元医药生物技术有限公司",12.79,"修改（支付标准）","医药服务便函〔2021〕5号",159850]
[13121,"ZG01AAS0082010202865","1","三七伤药片（胶囊、颗粒）","","","",2015159855,"三七伤药胶囊","无","硬胶囊剂","0.3g","盒","36","铝塑","山西华元医药生物技术有限公司",19.37,"修改（支付标准）","医药服务便函〔2021〕5号",159853]
[13122,"ZG01AAS0082010205172","1","三七伤药片（胶囊、颗粒）","","","",2015102986,"三七伤药胶囊","无","硬胶囊剂","0.25g","盒","48","铝箔","广西玉林制药集团有限责任公司",32.2,"修改（支付标准）","医药服务便函〔2021〕5号",102991]
[13123,"ZG01AAS0082010402865","1","三七伤药片（胶囊、颗粒）","","","",2015104727,"三七伤药胶囊","无","硬胶囊剂","0.3g","盒","60","铝塑","山西华元医药生物技术有限公司",31.8,"修改（支付标准）","医药服务便函〔2021〕5号",104732]
[13124,"ZG01AAS0084010100716","1","三七伤药片（胶囊、颗粒）","","","",2015110190,"三七伤药片","无","薄膜衣片","0.33g","瓶","27","塑料瓶","上海雷允上药业有限公司",11.46,"修改（支付标准）","医药服务便函〔2021〕5号",110188]
[13125,"ZG01AAS0084010102454","1","三七伤药片（胶囊、颗粒）","","","",2015121275,"三七伤药片","无","糖衣片","/","盒","36","铝塑","西安阿房宫药业股份有限公司",6.08,"修改（支付标准）","医药服务便函〔2021〕5号",121272]
[13126,"ZG01AAS0084010103503","1","三七伤药片（胶囊、颗粒）","","","",2015110909,"三七伤药片","无","薄膜衣片","0.3g","瓶","100","塑料瓶","吉林紫鑫药业股份有限公司",19.33,"修改（支付标准）","医药服务便函〔2021〕5号",110907]
[13127,"ZG01AAS0084010103814","1","三七伤药片（胶囊、颗粒）","","","",2015159452,"三七伤药片","无","糖衣片","/","瓶","27","塑料瓶","葵花药业集团(伊春)有限公司",12.75,"修改（支付标准）","医药服务便函〔2021〕5号",159450]
[13128,"ZG01AAS0084010105703","1","三七伤药片（胶囊、颗粒）","","","",2015124976,"三七伤药片","无","糖衣片","/","盒","48","铝塑","云南特安呐制药股份有限公司",17.25,"修改（支付标准）","医药服务便函〔2021〕5号",124973]
[13129,"ZG01AAS0265010201123","1","伤科接骨片","","","",2015102263,"伤科接骨片","无","薄膜衣片","0.33g","瓶","60","塑料瓶","大连美罗中药厂有限公司",34.94,"修改（支付标准）","医药服务便函〔2021〕5号",102268]
[13130,"ZG01AAS0405010201343","2","沈阳红药、沈阳红药胶囊","","","",2020121726,"沈阳红药","无","薄膜衣片","0.26g","盒","24","双铝","沈阳红药集团股份有限公司",23.4,"修改（支付标准）","医药服务便函〔2021〕5号",121726]
[13131,"ZG01AAS0406010201343","2","沈阳红药、沈阳红药胶囊","","","",2020121745,"沈阳红药胶囊","无","硬胶囊剂","0.25g","盒","36","铝箔","沈阳红药集团股份有限公司",23.4,"修改（支付标准）","医药服务便函〔2021〕5号",121745]
[13132,"ZG01AAY0663010100995","2","愈伤灵胶囊","","","",20154107,"愈伤灵胶囊","无","硬胶囊剂","0.3g","盒","30","铝塑","重庆神奇药业股份有限公司",11,"修改（支付标准）","医药服务便函〔2021〕5号",107935]
[13133,"ZG01AAY0714010105629","1","云南白药、云南白药片（胶囊）","","","",2015130915,"云南白药胶囊","无","硬胶囊剂","0.25g","盒","16","铝塑","云南白药集团股份有限公司",17.64,"修改（支付标准）","医药服务便函〔2021〕5号",130919]
[13134,"ZG01AAY0714010205629","1","云南白药、云南白药片（胶囊）","","","",2015130918,"云南白药胶囊","无","硬胶囊剂","0.25g","瓶","32","塑料瓶","云南白药集团股份有限公司",34.12,"修改（支付标准）","医药服务便函〔2021〕5号",130922]
[13135,"ZG01AAY0718010205729","2","云南红药胶囊","","","",2020105409,"云南红药胶囊","无","硬胶囊剂","0.25g","盒","24","铝塑","云南植物药业有限公司",25.84,"修改（支付标准）","医药服务便函〔2021〕5号",105409]
[13136,"ZG01AAY0718010305729","2","云南红药胶囊","","","",2020105412,"云南红药胶囊","无","硬胶囊剂","0.25g","盒","36","铝塑","云南植物药业有限公司",38.77,"修改（支付标准）","医药服务便函〔2021〕5号",105412]
[13137,"ZG01AAZ0125010101283","2","正骨紫金丸","","","",2020167275,"正骨紫金丸","无","水丸","4.5g(1g/20丸)","盒","6","复合膜","沈阳东新药业有限公司",82.4,"修改（支付标准）","医药服务便函〔2021〕5号",167275]
[13138,"ZG01BAH0141010101300","2","红药贴膏（气雾剂）","","","",2020121463,"红药气雾剂","无","气雾剂","100g","罐","1","铝瓶","沈阳红药精诚药业有限公司",34.8,"修改（支付标准）","医药服务便函〔2021〕5号",121463]
[13139,"ZG01BAH0141020101300","2","红药贴膏（气雾剂）","","","",2020121471,"红药气雾剂","无","气雾剂","60g","罐","1","铝瓶","沈阳红药精诚药业有限公司",27.78,"修改（支付标准）","医药服务便函〔2021〕5号",121471]
[13140,"ZG01BAH0142010101343","2","红药贴膏（气雾剂）","","","",2020167775,"红药贴膏","无","橡胶膏剂","7cm×10cm","盒","4","镀铝膜","沈阳红药集团股份有限公司",12,"修改（支付标准）","医药服务便函〔2021〕5号",167775]
[13141,"ZG01BAH0142010201343","2","红药贴膏（气雾剂）","","","",2020167606,"红药贴膏","无","橡胶膏剂","7cm×10cm","盒","8","镀铝膜","沈阳红药集团股份有限公司",24,"修改（支付标准）","医药服务便函〔2021〕5号",167606]
[13142,"ZG01BAH0142010301343","2","红药贴膏（气雾剂）","","","",2020121710,"红药贴膏","无","橡胶膏剂","7cm×10cm","盒","12","镀铝膜","沈阳红药集团股份有限公司",36,"修改（支付标准）","医药服务便函〔2021〕5号",121710]
[13143,"ZG01BAH0142010401343","2","红药贴膏（气雾剂）","","","",2020167774,"红药贴膏","无","橡胶膏剂","7cm×10cm","盒","20","镀铝膜","沈阳红药集团股份有限公司",60,"修改（支付标准）","医药服务便函〔2021〕5号",167774]
[13144,"ZG01BAH0389010178998","2","活血风湿膏","","","",2020153572,"活血风湿膏","无","巴布膏剂","10cm×15cm","袋","1","铝箔","台湾得生制药股份有限公司",26.09,"修改（支付标准）","医药服务便函〔2021〕5号",153572]
[13145,"ZG01BAH0389010278998","2","活血风湿膏","","","",2020153552,"活血风湿膏","无","巴布膏剂","10cm×15cm","袋","2","铝箔","台湾得生制药股份有限公司",52.17,"修改（支付标准）","医药服务便函〔2021〕5号",153552]
[13146,"ZG01BAH0389010378998","2","活血风湿膏","","","",2020153573,"活血风湿膏","无","巴布膏剂","10cm×15cm","袋","4","铝箔","台湾得生制药股份有限公司",104.34,"修改（支付标准）","医药服务便函〔2021〕5号",153573]
[13147,"ZG01BAJ0524010105555","2","筋骨伤喷雾剂","","","",20158970,"筋骨伤喷雾剂","无","喷雾剂","100ml","瓶","1","塑料瓶","贵州远程制药有限责任公司",36.49,"修改（支付标准）","医药服务便函〔2021〕5号",121847]
[13148,"ZG01BAS0266010105466","2","伤科灵喷雾剂","","","▲",2015122776,"伤科灵喷雾剂","无","喷雾剂","100ml","瓶","1","塑料瓶","贵州恒霸药业有限责任公司",37.87,"修改（支付标准）","医药服务便函〔2021〕5号",122773]
[13149,"ZG01BAS0266040105466","2","伤科灵喷雾剂","","","▲",2015161013,"伤科灵喷雾剂","无","喷雾剂","70ml","瓶","1","塑料瓶","贵州恒霸药业有限责任公司",22.57,"修改（支付标准）","医药服务便函〔2021〕5号",161006]
[13150,"ZG01BAS0350010105491","2","麝香活血化瘀膏","","","",2020163201,"麝香活血化瘀膏(人工麝香)","无","橡胶膏剂","7cm×10cm","盒","3","塑料袋","贵州联盛药业有限公司",62.5,"修改（支付标准）","医药服务便函〔2021〕5号",163201]
[13151,"ZG01BAS0350010305491","2","麝香活血化瘀膏","","","",2020163200,"麝香活血化瘀膏(人工麝香)","无","橡胶膏剂","7cm×10cm","盒","6","塑料袋","贵州联盛药业有限公司",125,"修改（支付标准）","医药服务便函〔2021〕5号",163200]
[13152,"ZG01BAS0396010100369","2","神农镇痛膏","","","",201515393,"神农镇痛膏(人工麝香)","无","橡胶膏剂","10cm×14cm","盒","8","复合膜","广东湛江吉民药业股份有限公司",40.26,"修改（支付标准）","医药服务便函〔2021〕5号",144177]
[13153,"ZG01BAS0396010200369","2","神农镇痛膏","","","",2015162456,"神农镇痛膏(人工麝香)","无","橡胶膏剂","10cm×14cm","盒","10","复合膜","广东湛江吉民药业股份有限公司",49.96,"修改（支付标准）","医药服务便函〔2021〕5号",162449]
[13154,"ZG01BAS0396030101899","2","神农镇痛膏","","","",201513523,"神农镇痛膏(人工麝香)","无","橡胶膏剂","9.5cm×11.6cm","盒","5","复合膜","黄石燕舞药业有限公司",21.39,"修改（支付标准）","医药服务便函〔2021〕5号",101458]
[13155,"ZG01BAS0396030301899","2","神农镇痛膏","","","",201514758,"神农镇痛膏(人工麝香)","无","橡胶膏剂","9.5cm×11.6cm","盒","10","复合膜","黄石燕舞药业有限公司",45.05,"修改（支付标准）","医药服务便函〔2021〕5号",101463]
[13156,"ZG01BAY0712010105629","1","云南白药酊（膏、气雾剂）","","","▲",2015130951,"云南白药酊","无","酊剂","120ml","瓶","1","塑料瓶","云南白药集团股份有限公司",46.48,"修改（支付标准）","医药服务便函〔2021〕5号",130955]
[13157,"ZG01BAY0712060105629","1","云南白药酊（膏、气雾剂）","","","▲",2015130946,"云南白药酊","无","酊剂","60ml","瓶","1","塑料瓶","云南白药集团股份有限公司",24.66,"修改（支付标准）","医药服务便函〔2021〕5号",130950]
[13158,"ZG01BAY0712070105629","1","云南白药酊（膏、气雾剂）","","","▲",2015130948,"云南白药酊","无","酊剂","90ml","瓶","1","塑料瓶","云南白药集团股份有限公司",35.82,"修改（支付标准）","医药服务便函〔2021〕5号",130952]
[13159,"ZG01BAY0713010501752","1","云南白药酊（膏、气雾剂）","","","▲",2015128176,"云南白药膏","无","橡胶膏剂","6.5cm×10cm","盒","10","空","云南白药集团无锡药业有限公司",40.82,"修改（支付标准）","医药服务便函〔2021〕5号",128175]
[13160,"ZG01BAY0716010105629","1","云南白药酊（膏、气雾剂）","","","▲",2015130930,"云南白药气雾剂","无","气雾剂","50g/60g","瓶","1","铝瓶","云南白药集团股份有限公司",29.08,"修改（支付标准）","医药服务便函〔2021〕5号",130934]
[13161,"ZG01BAY0716030105629","1","云南白药酊（膏、气雾剂）","","","▲",2015130934,"云南白药气雾剂","无","气雾剂","85g/30g","瓶","1","铝瓶","云南白药集团股份有限公司",29.39,"修改（支付标准）","医药服务便函〔2021〕5号",130938]
[13162,"ZG02AAG0401010304011","2","归芪活血胶囊","","","▲；限神经根型颈椎病",2020131401,"归芪活血胶囊","无","硬胶囊剂","0.53g","盒","36","铝塑","鲁南厚普制药有限公司",336.17,"修改（支付标准）","医药服务便函〔2021〕5号",131401]
[13163,"ZG02AAH0397010104234","2","活血舒筋酊","","","▲",2020168743,"活血舒筋酊","无","酊剂","60ml","盒","1","玻璃瓶","烟台渤海制药集团有限公司",96,"修改（支付标准）","医药服务便函〔2021〕5号",168743]
[13164,"ZG02AAH0408020201609","1","活血止痛散（片、胶囊、软胶囊）","","","",2015118883,"活血止痛胶囊","无","硬胶囊剂","0.5g","盒","36","铝塑","南京中山制药有限公司",21.48,"修改（支付标准）","医药服务便函〔2021〕5号",118886]
[13165,"ZG02AAH0408020300586","1","活血止痛散（片、胶囊、软胶囊）","","","",2015124578,"活血止痛胶囊","无","硬胶囊剂","0.5g","盒","40","铝塑","珠海安生凤凰制药有限公司",25.96,"修改（支付标准）","医药服务便函〔2021〕5号",124575]
[13166,"ZG02AAH0408020301609","1","活血止痛散（片、胶囊、软胶囊）","","","",2015161389,"活血止痛胶囊","无","硬胶囊剂","0.5g","盒","54","铝塑","南京中山制药有限公司",32.64,"修改（支付标准）","医药服务便函〔2021〕5号",161382]
[13167,"ZG02AAH0408020500586","1","活血止痛散（片、胶囊、软胶囊）","","","",2015129061,"活血止痛胶囊","无","硬胶囊剂","0.5g","盒","60","铝塑","珠海安生凤凰制药有限公司",38.26,"修改（支付标准）","医药服务便函〔2021〕5号",129060]
[13168,"ZG02AAH0409010305339","1","活血止痛散（片、胶囊、软胶囊）","","","",2015101560,"活血止痛片","无","薄膜衣片","0.31g(含生药0.5g)","盒","24","铝塑","江西仁丰药业有限公司",19.33,"修改（支付标准）","医药服务便函〔2021〕5号",101565]
[13169,"ZG02AAH0409010401503","1","活血止痛散（片、胶囊、软胶囊）","","","",2015130663,"活血止痛片","无","薄膜衣片","0.4g","盒","30","铝塑","江苏万高药业股份有限公司",15.81,"修改（支付标准）","医药服务便函〔2021〕5号",130667]
[13170,"ZG02AAH0409010405339","1","活血止痛散（片、胶囊、软胶囊）","","","",2015102185,"活血止痛片","无","薄膜衣片","0.31g(含生药0.5g)","盒","36","铝塑","江西仁丰药业有限公司",22.85,"修改（支付标准）","医药服务便函〔2021〕5号",102190]
[13171,"ZG02AAH0409010501503","1","活血止痛散（片、胶囊、软胶囊）","","","",2015130676,"活血止痛片","无","薄膜衣片","0.4g","盒","36","铝塑","江苏万高药业股份有限公司",17.09,"修改（支付标准）","医药服务便函〔2021〕5号",130680]
[13172,"ZG02AAH0409010605313","1","活血止痛散（片、胶囊、软胶囊）","","","",2015150632,"活血止痛片","无","薄膜衣片","0.8g","盒","36","铝塑","江西桔王药业有限公司",24.14,"修改（支付标准）","医药服务便函〔2021〕5号",150635]
[13173,"ZG02AAH0409010705313","1","活血止痛散（片、胶囊、软胶囊）","","","",2015150709,"活血止痛片","无","薄膜衣片","0.8g","盒","48","铝塑","江西桔王药业有限公司",30.46,"修改（支付标准）","医药服务便函〔2021〕5号",150712]
[13174,"ZG02AAH0410010501818","1","活血止痛散（片、胶囊、软胶囊）","","","",2020134697,"活血止痛软胶囊","无","软胶囊(胶丸)","0.65g","瓶","24","高密度聚乙烯","湖北惠海希康制药有限公司",35.22,"修改（支付标准）","医药服务便函〔2021〕5号",134697]
[13175,"ZG02AAH0410010701818","1","活血止痛散（片、胶囊、软胶囊）","","","",2020168995,"活血止痛软胶囊","无","软胶囊(胶丸)","0.65g","盒","36","铝箔","湖北惠海希康制药有限公司",52.05,"修改（支付标准）","医药服务便函〔2021〕5号",168995]
[13176,"ZG02AAJ0579010104312","1","颈舒颗粒","","","",2015109035,"颈舒颗粒(人工牛黄)","无","颗粒剂","6g","盒","9","复合膜","国药集团精方（安徽）药业股份有限公司",34.37,"修改（支付标准）","医药服务便函〔2021〕5号",109038]
[13177,"ZG02AAJ0580010101179","2","颈通颗粒","","","▲",2020164166,"颈通颗粒","无","颗粒剂","10g","盒","6","复合膜","四川德峰药业有限公司",58,"修改（支付标准）","医药服务便函〔2021〕5号",164166]
[13178,"ZG02AAJ0582010204144","2","颈痛颗粒","","","",20155228,"颈痛颗粒","无","颗粒剂","4g","盒","12","铝塑","山东明仁福瑞达制药股份有限公司",44.91,"修改（支付标准）","医药服务便函〔2021〕5号",135582]
[13179,"ZG02AAN0187010101697","2","扭伤归胶囊","","","",2020149830,"扭伤归胶囊","无","硬胶囊剂","0.5g","盒","20","铝塑","无锡济民可信山禾药业股份有限公司",60.6,"修改（支付标准）","医药服务便函〔2021〕5号",149830]
[13180,"ZG02AAS0732010105295","1","舒筋活血丸（片、胶囊）","","","",2015139515,"舒筋活血胶囊","无","硬胶囊剂","0.35g","盒","36","铝塑","江西红星药业有限公司",18.53,"修改（支付标准）","医药服务便函〔2021〕5号",139512]
[13181,"ZG02AAS0732010109604","1","舒筋活血丸（片、胶囊）","","","",2015136535,"舒筋活血胶囊","无","硬胶囊剂","0.35g","盒","36","铝箔","湖南天济草堂制药股份有限公司",20.77,"修改（支付标准）","医药服务便函〔2021〕5号",136532]
[13182,"ZG02AAS0732010205295","1","舒筋活血丸（片、胶囊）","","","",2015162387,"舒筋活血胶囊","无","硬胶囊剂","0.35g","盒","48","铝塑","江西红星药业有限公司",24.7,"修改（支付标准）","医药服务便函〔2021〕5号",162380]
[13183,"ZG02AAS0732010304482","1","舒筋活血丸（片、胶囊）","","","",2015161732,"舒筋活血胶囊","无","硬胶囊剂","0.45g","盒","60","铝塑","杭州华东医药集团康润制药有限公司",38.1,"修改（支付标准）","医药服务便函〔2021〕5号",161725]
[13184,"ZG02AAS0732010305295","1","舒筋活血丸（片、胶囊）","","","",2015161579,"舒筋活血胶囊","无","硬胶囊剂","0.35g","盒","60","铝塑","江西红星药业有限公司",26.2,"修改（支付标准）","医药服务便函〔2021〕5号",161572]
[13185,"ZG02AAS0732010309604","1","舒筋活血丸（片、胶囊）","","","",2015136536,"舒筋活血胶囊","无","硬胶囊剂","0.35g","盒","48","铝箔","湖南天济草堂制药股份有限公司",27.41,"修改（支付标准）","医药服务便函〔2021〕5号",136533]
[13186,"ZG02AAS0732010409604","1","舒筋活血丸（片、胶囊）","","","",2015136537,"舒筋活血胶囊","无","硬胶囊剂","0.35g","盒","60","铝箔","湖南天济草堂制药股份有限公司",33.98,"修改（支付标准）","医药服务便函〔2021〕5号",136534]
[13187,"ZG02AAS0733010103154","1","舒筋活血丸（片、胶囊）","","","",2015132852,"舒筋活血片","无","素片","0.3g","盒","90","铝箔","洛阳顺势药业有限公司",9.26,"修改（支付标准）","医药服务便函〔2021〕5号",132856]
[13188,"ZG02AAS0733010104579","1","舒筋活血丸（片、胶囊）","","","",2015132910,"舒筋活血片","无","素片","相当于原药材0.69g","盒","60","铝箔","台州南峰药业有限公司",6.58,"修改（支付标准）","医药服务便函〔2021〕5号",132914]
[13189,"ZG02AAS0733010204579","1","舒筋活血丸（片、胶囊）","","","",2015133507,"舒筋活血片","无","素片","相当于原药材0.69g","瓶","100","塑料瓶","台州南峰药业有限公司",9.4,"修改（支付标准）","医药服务便函〔2021〕5号",133511]
[13190,"ZG02AAS0733010404584","1","舒筋活血丸（片、胶囊）","","","",2015102053,"舒筋活血片","无","薄膜衣片","0.37g(相当于饮片0.691g)","瓶","100","塑料瓶","太极集团浙江东方制药有限公司",18.15,"修改（支付标准）","医药服务便函〔2021〕5号",102058]
[13191,"ZG02AAT0287010105694","2","痛舒片（胶囊）","","","",201514602,"痛舒片","无","薄膜衣片","0.4g","盒","48","双铝","云南白药集团股份有限公司",42.83,"修改（支付标准）","医药服务便函〔2021〕5号",119401]
[13192,"ZG02AAT0289010104774","2","痛血康胶囊","","","",2020167375,"痛血康胶囊","无","硬胶囊剂","0.1g","盒","36","铝箔","福建汇天生物药业有限公司",38.89,"修改（支付标准）","医药服务便函〔2021〕5号",167375]
[13193,"ZG02AAY0157010101463","1","腰痹通胶囊","","","",2015148608,"腰痹通胶囊","无","硬胶囊剂","0.42g","盒","30","铝塑","江苏康缘药业股份有限公司",22.42,"修改（支付标准）","医药服务便函〔2021〕5号",148607]
[13194,"ZG02AAY0157010401463","1","腰痹通胶囊","","","",2015110915,"腰痹通胶囊","无","硬胶囊剂","0.42g","盒","100","铝塑","江苏康缘药业股份有限公司",70.2,"修改（支付标准）","医药服务便函〔2021〕5号",110913]
[13195,"ZG02AAZ0291010204522","2","治伤胶囊","","","",2015136975,"治伤胶囊","无","硬胶囊剂","0.25g","盒","42","铝塑","杭州朱养心药业有限公司",27.67,"修改（支付标准）","医药服务便函〔2021〕5号",136972]
[13196,"ZG02BAD0296010100398","2","跌打万花油","","","",2015219931,"跌打万花油","无","搽剂","25ml","瓶","1","塑料瓶","广州白云山敬修堂药业股份有限公司",5.1,"修改（支付标准）","医药服务便函〔2021〕5号",119931]
[13197,"ZG02BAF0541010201469","1","复方南星止痛膏","","","",2015156151,"复方南星止痛膏","无","橡胶膏剂","10cm×13cm","盒","4","铝箔","江苏康缘阳光药业有限公司",21.43,"修改（支付标准）","医药服务便函〔2021〕5号",156149]
[13198,"ZG02BAF0541010401469","1","复方南星止痛膏","","","",2015134567,"复方南星止痛膏","无","橡胶膏剂","10cm×13cm","盒","6","铝箔","江苏康缘阳光药业有限公司",31.91,"修改（支付标准）","医药服务便函〔2021〕5号",134571]
[13199,"ZG02BAG0233010104522","1","狗皮膏","","","",2015137305,"狗皮膏","无","膏药剂","24g","袋","2","空","杭州朱养心药业有限公司",5.98,"修改（支付标准）","医药服务便函〔2021〕5号",137302]
[13200,"ZG02BAG0234010401199","1","狗皮膏(改进型)","","","",2020134578,"狗皮膏(改进型)","无","橡胶膏剂","4.5cm×8cm","盒","6","复合膜","锦州紫金药业有限公司",29.37,"修改（支付标准）","医药服务便函〔2021〕5号",134578]
[13201,"ZG02BAG0283030305211","2","骨通贴膏","","","▲",2015108672,"骨通贴膏(聚异丁烯型)","无","橡胶膏剂","7cm×10cm","盒","10","复合膜","桂林华润天和药业有限公司",32.39,"修改（支付标准）","医药服务便函〔2021〕5号",108675]
[13202,"ZG02BAG0283120205211","2","骨通贴膏","","","▲",2015161970,"骨通贴膏(聚异丁烯型)","无","橡胶膏剂","8cm×13cm","盒","10","复合膜","桂林华润天和药业有限公司",50.89,"修改（支付标准）","医药服务便函〔2021〕5号",161963]
[13203,"ZG02BAG0291010101057","2","骨友灵搽剂","","","▲",2020162857,"骨友灵搽剂","无","搽剂","50ml","瓶","1","塑料瓶","重庆喜旋生物科技有限公司",49.8,"修改（支付标准）","医药服务便函〔2021〕5号",162857]
[13204,"ZG02BAG0338010100716","2","关节镇痛巴布膏","","","",2020169508,"关节镇痛巴布膏","无","贴膏剂(凝胶膏剂)","8cm×12cm","盒","1","复合袋","上海雷允上药业有限公司",33,"修改（支付标准）","医药服务便函〔2021〕5号",169508]
[13205,"ZG02BAG0338010200716","2","关节镇痛巴布膏","","","",2020166730,"关节镇痛巴布膏","无","贴膏剂(凝胶膏剂)","8cm×12cm","袋","2","复合袋","上海雷允上药业有限公司",66,"修改（支付标准）","医药服务便函〔2021〕5号",166730]
[13206,"ZG02BAH0407010104276","2","活血止痛膏","","","▲",2015159180,"活血止痛膏","无","橡胶膏剂","11cm×15cm","盒","4","复合膜","安徽安科余良卿药业有限公司",31.34,"修改（支付标准）","医药服务便函〔2021〕5号",159178]
[13207,"ZG02BAH0407010204276","2","活血止痛膏","","","▲",2015162417,"活血止痛膏","无","橡胶膏剂","11cm×15cm","盒","6","复合膜","安徽安科余良卿药业有限公司",46.59,"修改（支付标准）","医药服务便函〔2021〕5号",162410]
[13208,"ZG02BAH0407010304276","2","活血止痛膏","","","▲",2015162415,"活血止痛膏","无","橡胶膏剂","11cm×15cm","盒","10","复合膜","安徽安科余良卿药业有限公司",80.98,"修改（支付标准）","医药服务便函〔2021〕5号",162408]
[13209,"ZG02BAJ0565010101022","1","精制狗皮膏","","","",2015101297,"精制狗皮膏","无","橡胶膏剂","11cm×15cm","盒","6","复合膜","重庆陪都药业股份有限公司",20.19,"修改（支付标准）","医药服务便函〔2021〕5号",101302]
[13210,"ZG02BAJ0565010200946","1","精制狗皮膏","","","",2015156043,"精制狗皮膏","无","橡胶膏剂","6.5cm×9.5cm","盒","6","复合膜","天津同仁堂集团股份有限公司",18,"修改（支付标准）","医药服务便函〔2021〕5号",156041]
[13211,"ZG02BAJ0565010301022","1","精制狗皮膏","","","",2015101665,"精制狗皮膏","无","橡胶膏剂","11cm×15cm","盒","10","复合膜","重庆陪都药业股份有限公司",28.81,"修改（支付标准）","医药服务便函〔2021〕5号",101670]
[13212,"ZG02BAJ0565010401022","1","精制狗皮膏","","","",2015162446,"精制狗皮膏","无","橡胶膏剂","11cm×15cm","盒","12","复合膜","重庆陪都药业股份有限公司",37.2,"修改（支付标准）","医药服务便函〔2021〕5号",162439]
[13213,"ZG02BAJ0565010401825","1","精制狗皮膏","","","",2015138578,"精制狗皮膏","无","橡胶膏剂","7cm×10cm","盒","10","复合膜","湖北康源药业有限公司",7.3,"修改（支付标准）","医药服务便函〔2021〕5号",138575]
[13214,"ZG02BAJ0565010501022","1","精制狗皮膏","","","",2015162445,"精制狗皮膏","无","橡胶膏剂","11cm×15cm","盒","16","复合膜","重庆陪都药业股份有限公司",54.61,"修改（支付标准）","医药服务便函〔2021〕5号",162438]
[13215,"ZG02BAJ0746010101463","2","筋骨止痛凝胶","","","",2021171749,"筋骨止痛凝胶","无","凝胶剂","15g(每1g相当于饮片1g,含薄荷脑3.6mg)","支","1.0","复合管","江苏康缘药业股份有限公司",55,"修改（支付标准）","医药服务便函〔2021〕5号",171749]
[13216,"ZG02BAL0460010105495","2","六味祛风活络膏","","","▲",2020162901,"六味祛风活络膏","无","橡胶膏剂","7cmX10cm","盒","3","复合膜","贵州苗药药业有限公司",60,"修改（支付标准）","医药服务便函〔2021〕5号",162901]
[13217,"ZG02BAL0460010205495","2","六味祛风活络膏","","","▲",2020162902,"六味祛风活络膏","无","橡胶膏剂","7cmX10cm","盒","5","复合膜","贵州苗药药业有限公司",100,"修改（支付标准）","医药服务便函〔2021〕5号",162902]
[13218,"ZG02BAX0706010201281","1","新型狗皮膏","","","",2015124375,"新型狗皮膏","无","橡胶膏剂","6.5cm×10cm","盒","8","复合膜","沈阳东陵药业股份有限公司",19.39,"修改（支付标准）","医药服务便函〔2021〕5号",124372]
[13219,"ZG02BAZ0113010180377","2","镇痛活络酊","","","▲",2020141347,"镇痛活络酊","无","酊剂","50ml","瓶","1","塑料瓶","贵州景诚制药有限公司",38.77,"修改（支付标准）","医药服务便函〔2021〕5号",141347]
[13220,"ZG02BAZ0292010104684","2","治伤软膏","","","▲",2015133276,"治伤软膏","无","软膏剂","15g","支","1","塑管","浙江优胜美特中药有限公司",18.39,"修改（支付标准）","医药服务便函〔2021〕5号",133280]
[13221,"ZG02BAZ0292020104684","2","治伤软膏","","","▲",2015133277,"治伤软膏","无","软膏剂","30g","支","1","塑管","浙江优胜美特中药有限公司",36.77,"修改（支付标准）","医药服务便函〔2021〕5号",133281]
[13222,"ZG02BAZ0420010101022","2","壮骨麝香止痛膏","","","▲",2020101313,"壮骨麝香止痛膏(人工麝香)","无","橡胶膏剂","11cm×15cm","盒","6","复合膜","重庆陪都药业股份有限公司",32.01,"修改（支付标准）","医药服务便函〔2021〕5号",101313]
[13223,"ZG02BAZ0420010201022","2","壮骨麝香止痛膏","","","▲",2020151410,"壮骨麝香止痛膏(人工麝香)","无","橡胶膏剂","11cm×15cm","盒","12","复合膜","重庆陪都药业股份有限公司",64.02,"修改（支付标准）","医药服务便函〔2021〕5号",151410]
[13224,"ZG03AAG0249010102395","1","骨刺丸（片、胶囊）","","","",2015128558,"骨刺胶囊","无","硬胶囊剂","0.35g","盒","36","铝塑","陕西康惠制药股份有限公司",21.73,"修改（支付标准）","医药服务便函〔2021〕5号",128557]
[13225,"ZG03AAG0249010204728","1","骨刺丸（片、胶囊）","","","",2015103717,"骨刺胶囊","无","硬胶囊剂","0.36g","盒","36","铝塑","浙江维康药业股份有限公司",24.33,"修改（支付标准）","医药服务便函〔2021〕5号",103722]
[13226,"ZG03AAG0249010301745","1","骨刺丸（片、胶囊）","","","",2015139293,"骨刺胶囊","无","硬胶囊剂","0.35g","盒","48","铝塑","扬州中惠制药有限公司",25.64,"修改（支付标准）","医药服务便函〔2021〕5号",139290]
[13227,"ZG03AAG0249010304728","1","骨刺丸（片、胶囊）","","","",2015152371,"骨刺胶囊","无","硬胶囊剂","0.36g","盒","48","铝塑","浙江维康药业股份有限公司",31.1,"修改（支付标准）","医药服务便函〔2021〕5号",152374]
[13228,"ZG03AAG0253010103423","1","骨刺丸（片、胶囊）","","","",2015160582,"骨刺片","无","糖衣片","/","盒","48","铝塑","吉林省天泰药业股份有限公司",4.06,"修改（支付标准）","医药服务便函〔2021〕5号",160575]
[13229,"ZG03AAG0253010201804","1","骨刺丸（片、胶囊）","","","",2015161749,"骨刺片","无","糖衣片","/","瓶","100","塑料瓶","湖北广仁药业有限公司",10.96,"修改（支付标准）","医药服务便函〔2021〕5号",161742]
[13230,"ZG03AAG0256010102667","1","骨刺丸（片、胶囊）","","","",2015126343,"骨刺丸","无","水蜜丸","6g(5g/100粒)","盒","10","铝塑","河北万岁药业有限公司",17.39,"修改（支付标准）","医药服务便函〔2021〕5号",126342]
[13231,"ZG03AAG0256010202667","1","骨刺丸（片、胶囊）","","","",2015119102,"骨刺丸","无","水蜜丸","6g(5g/100粒)","盒","20","铝塑","河北万岁药业有限公司",34.78,"修改（支付标准）","医药服务便函〔2021〕5号",119105]
[13232,"ZG03AAG0269010105542","2","骨康胶囊","","","▲",2015100142,"骨康胶囊","无","硬胶囊剂","0.4g","盒","24","铝塑","贵州维康子帆药业股份有限公司",20.52,"修改（支付标准）","医药服务便函〔2021〕5号",100147]
[13233,"ZG03AAG0269010305542","2","骨康胶囊","","","▲",2015100150,"骨康胶囊","无","硬胶囊剂","0.4g","盒","48","铝塑","贵州维康子帆药业股份有限公司",35.67,"修改（支付标准）","医药服务便函〔2021〕5号",100155]
[13234,"ZG03AAG0278010101220","2","骨疏康胶囊（颗粒）","","","",20154683,"骨疏康颗粒(无糖型)","无","颗粒剂","10g","盒","6","铝塑","辽宁康辰药业有限公司",26.1,"修改（支付标准）","医药服务便函〔2021〕5号",107000]
[13235,"ZG03AAG0280020505457","2","骨松宝胶囊（颗粒）","","","",2020122272,"骨松宝颗粒(无糖型)","无","颗粒剂","5g","盒","6","复合膜","贵州富华药业有限责任公司",37.66,"修改（支付标准）","医药服务便函〔2021〕5号",122272]
[13236,"ZG03AAG0294020103433","2","骨愈灵片（胶囊）","","","",2020123916,"骨愈灵片","无","薄膜衣片","0.4g","盒","30","铝塑","吉林省利华制药有限公司",41.73,"修改（支付标准）","医药服务便函〔2021〕5号",123916]
[13237,"ZG03AAH0102010105665","2","恒古骨伤愈合剂","","","",201515148,"恒古骨伤愈合剂","无","合剂(含口服液)","12.5ml","瓶","1","塑料瓶","赛灵药业科技集团股份有限公司",19.69,"修改（支付标准）","医药服务便函〔2021〕5号",109378]
[13238,"ZG03AAH0102030105665","2","恒古骨伤愈合剂","","","",20155788,"恒古骨伤愈合剂","无","合剂(含口服液)","50ml","瓶","1","塑料瓶","赛灵药业科技集团股份有限公司",74.34,"修改（支付标准）","医药服务便函〔2021〕5号",109391]
[13239,"ZG03AAH0207010100253","2","护骨胶囊","","","",2020167834,"护骨胶囊","无","硬胶囊剂","0.45g","盒","48","铝箔","广东安诺药业股份有限公司",43.71,"修改（支付标准）","医药服务便函〔2021〕5号",167834]
[13240,"ZG03AAK0081010201463","2","抗骨增生丸（片、胶囊、颗粒）","","","",2015110906,"抗骨增生胶囊","无","硬胶囊剂","0.35g","盒","100","铝塑","江苏康缘药业股份有限公司",29.89,"修改（支付标准）","医药服务便函〔2021〕5号",110904]
[13241,"ZG03AAK0084010100256","2","抗骨增生丸（片、胶囊、颗粒）","","","",2015106961,"抗骨增生片","无","糖衣片","/","瓶","100","塑料瓶","国药集团冯了性（佛山）药业有限公司",31.95,"修改（支付标准）","医药服务便函〔2021〕5号",106964]
[13242,"ZG03AAK0084010102404","2","抗骨增生丸（片、胶囊、颗粒）","","","",2015108924,"抗骨增生片","无","糖衣片","/","盒","24","铝塑","陕西盘龙药业集团股份有限公司",7.1,"修改（支付标准）","医药服务便函〔2021〕5号",108927]
[13243,"ZG03AAK0084010103594","2","抗骨增生丸（片、胶囊、颗粒）","","","",2015119137,"抗骨增生片","无","糖衣片","/","盒","36","铝塑","修正药业集团股份有限公司",10.53,"修改（支付标准）","医药服务便函〔2021〕5号",119140]
[13244,"ZG03AAK0084010104833","2","抗骨增生丸（片、胶囊、颗粒）","","","",2015137249,"抗骨增生片","无","糖衣片","/","盒","48","铝塑","福州闽海药业有限公司",11.62,"修改（支付标准）","医药服务便函〔2021〕5号",137246]
[13245,"ZG03AAK0084010105015","2","抗骨增生丸（片、胶囊、颗粒）","","","",2015159730,"抗骨增生片","无","薄膜衣片","0.26g(相当于饮片1.006g)","盒","48","铝塑","九芝堂股份有限公司",35.88,"修改（支付标准）","医药服务便函〔2021〕5号",159728]
[13246,"ZG03AAK0084010203022","2","抗骨增生丸（片、胶囊、颗粒）","","","",2015129605,"抗骨增生片","无","糖衣片","0.3g(基片重)","盒","48","铝箔","河南辅仁堂制药有限公司",9.11,"修改（支付标准）","医药服务便函〔2021〕5号",129604]
[13247,"ZG03AAK0086010100256","2","抗骨增生丸（片、胶囊、颗粒）","","","",2015159294,"抗骨增生丸(浓缩大蜜丸)","无","浓缩丸","3g","盒","10","蜡壳","国药集团冯了性（佛山）药业有限公司",16.7,"修改（支付标准）","医药服务便函〔2021〕5号",159292]
[13248,"ZG03AAK0086020105288","2","抗骨增生丸（片、胶囊、颗粒）","","","",2015145820,"抗骨增生丸(浓缩小蜜丸)","无","浓缩丸","3g","盒","10","复合膜","江西广信药业有限公司",20.28,"修改（支付标准）","医药服务便函〔2021〕5号",145819]
[13249,"ZG03AAQ0071010104875","2","芪骨胶囊","","","限女性绝经后骨质疏松症",2020145221,"芪骨胶囊","无","硬胶囊剂","0.55g","盒","36","铝塑","厦门中药厂有限公司",40.6,"修改（支付标准）","医药服务便函〔2021〕5号",145221]
[13250,"ZG03AAQ0220010100104","2","强骨胶囊","","","",2020133176,"强骨胶囊","无","硬胶囊剂","0.25g","盒","12","铝塑","北京岐黄医药股份有限公司",28.95,"修改（支付标准）","医药服务便函〔2021〕5号",133176]
[13251,"ZG03AAQ0598010105332","2","全杜仲胶囊","","","限肾虚腰痛",2020137128,"全杜仲胶囊","无","硬胶囊剂","0.48g(相当于原药材2.5g)","盒","12","铝塑","江西普正制药股份有限公司",54.03,"修改（支付标准）","医药服务便函〔2021〕5号",137128]
[13252,"ZG03AAT0045010209579","2","藤黄健骨丸（片、胶囊）","","","",201513628,"藤黄健骨胶囊","无","硬胶囊剂","0.25g","盒","24","铝塑","甘肃省西峰制药有限责任公司",35.84,"修改（支付标准）","医药服务便函〔2021〕5号",111042]
[13253,"ZG03AAT0045010409579","2","藤黄健骨丸（片、胶囊）","","","",2015114706,"藤黄健骨胶囊","无","硬胶囊剂","0.25g","盒","36","铝塑","甘肃省西峰制药有限责任公司",52.97,"修改（支付标准）","医药服务便函〔2021〕5号",114699]
[13254,"ZG03AAT0045010509579","2","藤黄健骨丸（片、胶囊）","","","",2015111056,"藤黄健骨胶囊","无","硬胶囊剂","0.25g","盒","48","铝塑","甘肃省西峰制药有限责任公司",69.89,"修改（支付标准）","医药服务便函〔2021〕5号",111049]
[13255,"ZG03AAT0046010104920","2","藤黄健骨丸（片、胶囊）","","","",201514000,"藤黄健骨片","无","薄膜衣片","0.5g","盒","24","铝箔","湖南方盛制药股份有限公司",24.94,"修改（支付标准）","医药服务便函〔2021〕5号",130423]
[13256,"ZG03AAT0046010204920","2","藤黄健骨丸（片、胶囊）","","","",201514001,"藤黄健骨片","无","薄膜衣片","0.5g","盒","36","铝箔","湖南方盛制药股份有限公司",35.28,"修改（支付标准）","医药服务便函〔2021〕5号",130426]
[13257,"ZG03AAT0046010304920","2","藤黄健骨丸（片、胶囊）","","","",2015131044,"藤黄健骨片","无","薄膜衣片","0.5g","盒","48","铝箔","湖南方盛制药股份有限公司",48.63,"修改（支付标准）","医药服务便函〔2021〕5号",131037]
[13258,"ZG03AAT0047010102960","2","藤黄健骨丸（片、胶囊)","","","",2020156173,"藤黄健骨丸(浓缩水蜜丸)","无","浓缩丸","1.25g/10丸","盒","180","铝塑","天圣制药集团山西有限公司",33.3,"修改（支付标准）","医药服务便函〔2021〕5号",156173]
[13259,"ZG03AAT0047010202941","2","藤黄健骨丸（片、胶囊)","","","",2020170047,"藤黄健骨丸(浓缩水蜜丸)","无","浓缩丸","1.25g/10丸","盒","180","铝塑","朗致集团双人药业有限公司",31.14,"修改（支付标准）","医药服务便函〔2021〕5号",170047]
[13260,"ZG03AAT0047010202960","2","藤黄健骨丸（片、胶囊)","","","",2020169861,"藤黄健骨丸(浓缩水蜜丸)","无","浓缩丸","1.25g/10丸","瓶","200","塑料瓶","天圣制药集团山西有限公司",37,"修改（支付标准）","医药服务便函〔2021〕5号",169861]
[13261,"ZG03AAT0047020203319","2","藤黄健骨丸（片、胶囊)","","","",2020130050,"藤黄健骨丸(浓缩水蜜丸)","无","浓缩丸","2g","盒","12","复合膜","长春人民药业集团有限公司",23.05,"修改（支付标准）","医药服务便函〔2021〕5号",130050]
[13262,"ZG03AAX0082010305535","1","仙灵骨葆胶囊","","","限中、重度骨质疏松",2015128879,"仙灵骨葆胶囊","无","硬胶囊剂","0.5g","瓶","72","塑料瓶","国药集团同济堂(贵州)制药有限公司",44.53,"修改（支付标准）","医药服务便函〔2021〕5号",128878]
[13263,"ZG03AAZ0415010100474","2","壮骨关节丸（胶囊）","","","▲",2015110255,"壮骨关节胶囊","无","硬胶囊剂","0.45g","盒","24","铝塑","华润三九医药股份有限公司",27.2,"修改（支付标准）","医药服务便函〔2021〕5号",110253]
[13264,"ZG03AAZ0424010302190","2","壮骨止痛胶囊","","","限有原发性骨质疏松的诊断并有骨痛的临床症状",2020140764,"壮骨止痛胶囊","无","硬胶囊剂","0.45g","盒","36","铝箔","四川美大康药业股份有限公司",60,"修改（支付标准）","医药服务便函〔2021〕5号",140764]
[13265,"ZH01AAB0067010102021","2","疤痕止痒软化乳膏（软化膏）","","","限工伤保险",20159740,"疤痕止痒软化乳膏","无","乳膏剂","20g","支","1","铝管","四川德峰药业有限公司",49.92,"修改（支付标准）","医药服务便函〔2021〕5号",111944]
[13266,"ZH01AAD0180010200073","2","当归苦参丸","","","▲",2020108543,"当归苦参丸","无","水蜜丸","6g(10g/100粒)","盒","12","复合膜","北京康蒂尼药业有限公司",24.77,"修改（支付标准）","医药服务便函〔2021〕5号",108543]
[13267,"ZH01AAD0180010201283","2","当归苦参丸","","","▲",2020126932,"当归苦参丸","无","水蜜丸","5.5g(1g/20粒)","盒","15","复合膜","沈阳东新药业有限公司",30.1,"修改（支付标准）","医药服务便函〔2021〕5号",126932]
[13268,"ZH01AAF0136020105264","2","肤痒颗粒","","","",201512993,"肤痒颗粒(低糖型)","无","颗粒剂","6g","盒","18","铝塑","江西博士达药业有限责任公司",17.95,"修改（支付标准）","医药服务便函〔2021〕5号",136729]
[13269,"ZH01AAF0136020202135","2","肤痒颗粒","","","",201510653,"肤痒颗粒(无糖型)","无","颗粒剂","6g","盒","12","复合膜","成都迪康药业股份有限公司",16.35,"修改（支付标准）","医药服务便函〔2021〕5号",140308]
[13270,"ZH01AAF0136020305650","2","肤痒颗粒","","","",20154611,"肤痒颗粒","无","颗粒剂","9g","盒","18","铝塑","云南昊邦制药有限公司",20.39,"修改（支付标准）","医药服务便函〔2021〕5号",123968]
[13271,"ZH01AAF0559010202430","2","复方青黛丸（片、胶囊）","","","",201513025,"复方青黛胶囊","无","硬胶囊剂","0.5g","盒","48","铝箔","陕西医药控股集团天宁制药有限责任公司",31.11,"修改（支付标准）","医药服务便函〔2021〕5号",115211]
[13272,"ZH01AAF0640010100830","2","复方土槿皮酊","","","",2015108130,"复方土槿皮酊","无","酊剂","15ml(每1ml的总酸量为187.5mg)","瓶","1","高密度聚乙烯","上海运佳黄浦制药有限公司",1.54,"修改（支付标准）","医药服务便函〔2021〕5号",108133]
[13273,"ZH01AAF0640010101790","2","复方土槿皮酊","","","",2015144601,"复方土槿皮酊","无","酊剂","15ml(每1ml的总酸量为187.5mg)","瓶","1","塑料瓶","湖北东信药业有限公司",1.55,"修改（支付标准）","医药服务便函〔2021〕5号",144603]
[13274,"ZH01AAF0772020101945","2","复方紫草油","","","▲",2020167480,"复方紫草油","无","油剂","50ml","瓶","1","玻璃瓶","健民集团叶开泰国药(随州)有限公司",85,"修改（支付标准）","医药服务便函〔2021〕5号",167480]
[13275,"ZH01AAJ0319010101061","1","金蝉止痒胶囊","","","限荨麻疹",2020166415,"金蝉止痒胶囊","无","硬胶囊剂","0.5g","盒","24","铝箔","重庆希尔安药业有限公司",47.01,"修改（支付标准）","医药服务便函〔2021〕5号",166415]
[13276,"ZH01AAJ0547010102144","2","荆肤止痒颗粒","","","",20156544,"荆肤止痒颗粒","无","颗粒剂","3g","盒","6","复合膜","四川光大制药有限公司",18.33,"修改（支付标准）","医药服务便函〔2021〕5号",106176]
[13277,"ZH01AAP0030020100053","2","皮肤康洗液","","","▲",2020169839,"皮肤康洗液","无","洗剂","125ml","瓶","1","塑料瓶","北京华洋奎龙药业有限公司",128,"修改（支付标准）","医药服务便函〔2021〕5号",169839]
[13278,"ZH01AAR0185010305535","1","润燥止痒胶囊","","","",2015123595,"润燥止痒胶囊","无","硬胶囊剂","0.5g","盒","48","铝塑","国药集团同济堂(贵州)制药有限公司",33.44,"修改（支付标准）","医药服务便函〔2021〕5号",123592]
[13279,"ZH01AAS1060010107018","2","蛇脂参黄软膏","","","▲",2020166411,"蛇脂参黄软膏","无","软膏剂","10g","支","1","铝管","广东太安堂药业股份有限公司",48,"修改（支付标准）","医药服务便函〔2021〕5号",166411]
[13280,"ZH01AAS1060020107018","2","蛇脂参黄软膏","","","▲",2020166471,"蛇脂参黄软膏","无","软膏剂","15g","支","1","铝管","广东太安堂药业股份有限公司",68,"修改（支付标准）","医药服务便函〔2021〕5号",166471]
[13281,"ZH01AAX0196010403503","2","消风止痒颗粒","","","限儿童",20158623,"消风止痒颗粒","无","颗粒剂","15g","盒","30","复合膜","吉林紫鑫药业股份有限公司",32.71,"修改（支付标准）","医药服务便函〔2021〕5号",109376]
[13282,"ZH01AAX0304010202402","1","消银片（胶囊、颗粒）","","","",2015112427,"消银胶囊","无","硬胶囊剂","0.3g","盒","45","铝塑","陕西摩美得气血和制药有限公司",25.15,"修改（支付标准）","医药服务便函〔2021〕5号",112425]
[13283,"ZH01AAY0536010202907","2","银屑胶囊（颗粒）","","","▲",2020166906,"银屑颗粒","无","颗粒剂","15g(相当于原药材27g)","盒","10","复合膜","朗致集团双人药业有限公司",56.56,"修改（支付标准）","医药服务便函〔2021〕5号",166906]
[13284,"ZH01AAY0536010204134","2","银屑胶囊（颗粒）","","","▲",2020152319,"银屑颗粒(无糖型)","无","颗粒剂","6g(相当于原药材27g)","盒","6","复合膜","荣昌制药(淄博)有限公司",52.14,"修改（支付标准）","医药服务便函〔2021〕5号",152319]
[13285,"ZH01AAY0536010304134","2","银屑胶囊（颗粒）","","","▲",2020145456,"银屑颗粒(无糖型)","无","颗粒剂","6g(相当于原药材27g)","盒","12","复合膜","荣昌制药(淄博)有限公司",104.28,"修改（支付标准）","医药服务便函〔2021〕5号",145456]
[13286,"ZH01AAY0536020104134","2","银屑胶囊（颗粒）","","","▲",2020145455,"银屑颗粒","无","颗粒剂","15g(相当于原药材27g)","盒","10","复合膜","荣昌制药(淄博)有限公司",51.81,"修改（支付标准）","医药服务便函〔2021〕5号",145455]
[13287,"ZH01AAY0646010102440","2","郁金银屑片","","","",20153996,"郁金银屑片","无","糖衣片","0.24g","瓶","100","塑料瓶","陕西香菊药业集团有限公司",19.34,"修改（支付标准）","医药服务便函〔2021〕5号",144824]
[13288,"ZI01AAA0052010105934","2","安儿宁颗粒","","","",20159629,"安儿宁颗粒(人工牛黄)","无","颗粒剂","3g","盒","9","复合膜","金诃藏药股份有限公司",17.82,"修改（支付标准）","医药服务便函〔2021〕5号",118229]
[13289,"ZI01AAA0052010205934","2","安儿宁颗粒","","","",2015152078,"安儿宁颗粒(人工牛黄)","无","颗粒剂","3g","盒","12","复合膜","金诃藏药股份有限公司",23.76,"修改（支付标准）","医药服务便函〔2021〕5号",152071]
[13290,"ZI01AAA0052010305934","2","安儿宁颗粒","","","",2021171760,"安儿宁颗粒(人工牛黄)","无","颗粒剂","3g","盒","18","复合膜","金诃藏药股份有限公司",35.64,"修改（支付标准）","医药服务便函〔2021〕5号",171760]
[13291,"ZI01AAA0107010105932","2","安神丸","","","",2020129511,"安神丸","无","水丸","0.3g","盒","15","铝箔","青海帝玛尔藏药药业有限公司",22,"修改（支付标准）","医药服务便函〔2021〕5号",129511]
[13292,"ZI01AAB0104020105742","2","白脉软膏","","","",2015142999,"白脉软膏","无","软膏剂","20g","支","1","铝塑","西藏奇正藏药股份有限公司",49.94,"修改（支付标准）","医药服务便函〔2021〕5号",143001]
[13293,"ZI01AAB0364020105751","2","冰黄肤乐软膏","","","",2020167728,"冰黄肤乐软膏","无","软膏剂","30g","支","1","铝管","西藏海容唐果药业有限公司",49.8,"修改（支付标准）","医药服务便函〔2021〕5号",167728]
[13294,"ZI01AAD0051010105932","2","大月晶丸","","","",2020129577,"大月晶丸","无","水丸","0.6g","盒","24","铝箔","青海帝玛尔藏药药业有限公司",38,"修改（支付标准）","医药服务便函〔2021〕5号",129577]
[13295,"ZI01AAE0060010105750","2","二十味沉香丸","","","",2020150941,"二十味沉香丸(人工牛黄)","无","水丸","5.6g/10丸","盒","48","铝塑","西藏雄巴拉曲神水藏药有限公司",73.15,"修改（支付标准）","医药服务便函〔2021〕5号",150941]
[13296,"ZI01AAE0060010105932","2","二十味沉香丸","","","",2020129585,"二十味沉香丸(体外培育牛黄)","无","水丸","5.6g/10丸","盒","24","铝箔","青海帝玛尔藏药药业有限公司",47.6,"修改（支付标准）","医药服务便函〔2021〕5号",129585]
[13297,"ZI01AAE0067010205934","2","二十五味儿茶丸","","","",2020167742,"二十五味儿茶丸(人工麝香)","无","水丸","0.3g","盒","90","铝箔","金诃藏药股份有限公司",140.85,"修改（支付标准）","医药服务便函〔2021〕5号",167742]
[13298,"ZI01AAE0071010105750","2","二十五味驴血丸","","","",2020150944,"二十五味驴血丸(人工牛黄、人工麝香)","无","水丸","0.25g","盒","54","铝塑","西藏雄巴拉曲神水藏药有限公司",84,"修改（支付标准）","医药服务便函〔2021〕5号",150944]
[13299,"ZI01AAE0071010105932","2","二十五味驴血丸","","","",2020129603,"二十五味驴血丸(体外培育牛黄、人工麝香)","无","水丸","0.25g","盒","15","铝箔","青海帝玛尔藏药药业有限公司",26.3,"修改（支付标准）","医药服务便函〔2021〕5号",129603]
[13300,"ZI01AAE0076010105738","2","二十五味珊瑚丸（胶囊）","","","",201511694,"二十五味珊瑚丸(人工麝香)","无","水丸","1g","盒","10","铝箔","西藏昌都光宇利民药业有限责任公司",65.32,"修改（支付标准）","医药服务便函〔2021〕5号",138684]
[13301,"ZI01AAE0076010205851","2","二十五味珊瑚丸（胶囊）","","","",20158808,"二十五味珊瑚丸(人工麝香)","无","水丸","0.2g","盒","30","铝塑","甘肃佛阁藏药有限公司",50.52,"修改（支付标准）","医药服务便函〔2021〕5号",105681]
[13302,"ZI01AAE0076020205740","2","二十五味珊瑚丸（胶囊）","","","",20159756,"二十五味珊瑚丸(人工麝香)","无","水丸","1g/4丸","盒","24","铝塑","西藏金珠雅砻藏药有限责任公司",24.4,"修改（支付标准）","医药服务便函〔2021〕5号",129322]
[13303,"ZI01AAE0077010105738","2","二十五味松石丸","","","",201510022,"二十五味松石丸(体外培育牛黄、人工麝香)","无","水丸","1g","盒","10","铝箔","西藏昌都光宇利民药业有限责任公司",68.57,"修改（支付标准）","医药服务便函〔2021〕5号",138687]
[13304,"ZI01AAE0077010105740","2","二十五味松石丸","","","",20157438,"二十五味松石丸(体外培育牛黄、人工麝香)","无","水丸","1g/4丸","盒","24","铝塑","西藏金珠雅砻藏药有限责任公司",26.14,"修改（支付标准）","医药服务便函〔2021〕5号",129318]
[13305,"ZI01AAE0077010205738","2","二十五味松石丸","","","",20154091,"二十五味松石丸(体外培育牛黄、人工麝香)","无","水丸","1g/4丸","盒","10","铝箔","西藏昌都光宇利民药业有限责任公司",13.26,"修改（支付标准）","医药服务便函〔2021〕5号",138688]
[13306,"ZI01AAE0080010105738","2","二十五味珍珠丸","","","",201510021,"二十五味珍珠丸(体外培育牛黄、人工麝香)","无","水丸","1g","盒","10","铝箔","西藏昌都光宇利民药业有限责任公司",70.33,"修改（支付标准）","医药服务便函〔2021〕5号",138689]
[13307,"ZI01AAE0080020205740","2","二十五味珍珠丸","","","",20159862,"二十五味珍珠丸(体外培育牛黄、人工麝香)","无","水丸","1g/4丸","盒","24","铝塑","西藏金珠雅砻藏药有限责任公司",29.28,"修改（支付标准）","医药服务便函〔2021〕5号",129315]
[13308,"ZI01AAH0116010105851","2","红花如意丸","","","",2021105713,"红花如意丸(天然熊胆粉)","无","水丸","2g/10丸","盒","30","铝塑","甘肃佛阁藏药有限公司",21,"修改（支付标准）","医药服务便函〔2021〕5号",105713]
[13309,"ZI01AAH0116010205851","2","红花如意丸","","","",2021153277,"红花如意丸(天然熊胆粉)","无","水丸","2g/10丸","盒","45","铝塑","甘肃佛阁藏药有限公司",31.5,"修改（支付标准）","医药服务便函〔2021〕5号",153277]
[13310,"ZI01AAJ0255010405894","2","洁白丸（胶囊）","","","",201515322,"洁白胶囊","无","硬胶囊剂","0.4g","盒","36","铝塑","兰州和盛堂制药股份有限公司",25.84,"修改（支付标准）","医药服务便函〔2021〕5号",126672]
[13311,"ZI01AAJ0256010105851","2","洁白丸（胶囊）","","","",2020169766,"洁白丸","无","水蜜丸","0.8g","盒","20","铝塑","甘肃佛阁藏药有限公司",31.71,"修改（支付标准）","医药服务便函〔2021〕5号",169766]
[13312,"ZI01AAJ0624010105934","2","九味牛黄丸","","","",2020167757,"九味牛黄丸","无","水丸","0.5g","盒","60","铝箔","金诃藏药股份有限公司",128.7,"修改（支付标准）","医药服务便函〔2021〕5号",167757]
[13313,"ZI01AAJ0624020105934","2","九味牛黄丸","","","",2020167759,"九味牛黄丸","无","水丸","0.5g","盒","20","铝箔","金诃藏药股份有限公司",42.9,"修改（支付标准）","医药服务便函〔2021〕5号",167759]
[13314,"ZI01AAL0097010105955","2","利舒康胶囊","","","",20159672,"利舒康胶囊","无","硬胶囊剂","0.5g","盒","24","铝箔","青海益欣药业有限责任公司",37.41,"修改（支付标准）","医药服务便函〔2021〕5号",121069]
[13315,"ZI01AAL0097010205955","2","利舒康胶囊","","","",2015150531,"利舒康胶囊","无","硬胶囊剂","0.5g","盒","36","铝箔","青海益欣药业有限责任公司",56.6,"修改（支付标准）","医药服务便函〔2021〕5号",150524]
[13316,"ZI01AAL0097010305955","2","利舒康胶囊","","","",2015162341,"利舒康胶囊","无","硬胶囊剂","0.5g","盒","48","铝箔","青海益欣药业有限责任公司",76.33,"修改（支付标准）","医药服务便函〔2021〕5号",162334]
[13317,"ZI01AAL0232010205935","2","流感丸","","","",20153834,"流感丸(人工牛黄、人工麝香)","无","水丸","0.2g","盒","45","铝箔","青海晶珠藏药高新技术产业股份有限公司",13.8,"修改（支付标准）","医药服务便函〔2021〕5号",143697]
[13318,"ZI01AAL0270010105934","2","六味明目丸","","","",2020154659,"六味明目丸","无","水丸","0.5g","盒","24","铝箔","金诃藏药股份有限公司",72.5,"修改（支付标准）","医药服务便函〔2021〕5号",154659]
[13319,"ZI01AAL0270010205934","2","六味明目丸","","","",2020167743,"六味明目丸","无","水丸","0.5g","盒","48","铝箔","金诃藏药股份有限公司",145,"修改（支付标准）","医药服务便函〔2021〕5号",167743]
[13320,"ZI01AAL0274010105735","2","六味能消丸（胶囊）","","","",20155171,"六味能消胶囊","无","硬胶囊剂","0.45g","盒","20","铝塑","西藏藏药集团股份有限公司",21.65,"修改（支付标准）","医药服务便函〔2021〕5号",127051]
[13321,"ZI01AAL0275010105750","2","六味能消丸（胶囊）","","","",201512966,"六味能消丸","无","水丸","0.5g","盒","48","铝塑","西藏雄巴拉曲神水藏药有限公司",53.3,"修改（支付标准）","医药服务便函〔2021〕5号",150943]
[13322,"ZI01AAP0004010105750","2","帕朱丸","","","",2020150946,"帕朱丸","无","水丸","0.5g","盒","48","铝塑","西藏雄巴拉曲神水藏药有限公司",83.6,"修改（支付标准）","医药服务便函〔2021〕5号",150946]
[13323,"ZI01AAQ0020010105752","2","七味红花殊胜散（丸）","","","",2020155587,"七味红花殊胜丸","无","水丸","0.3g","瓶","40","塑料瓶","西藏甘露藏药股份有限公司",43.75,"修改（支付标准）","医药服务便函〔2021〕5号",155587]
[13324,"ZI01AAQ0610010105948","2","青鹏膏剂（软膏）","","","",20158676,"青鹏软膏(人工麝香)","无","软膏剂","30g","支","1","铝管","青海省通天河藏药制药有限责任公司",20.78,"修改（支付标准）","医药服务便函〔2021〕5号",138815]
[13325,"ZI01AAQ0610030105742","2","青鹏膏剂（软膏）","","","",20156565,"青鹏软膏(人工麝香)","无","软膏剂","20g","支","1","铝塑","西藏奇正藏药股份有限公司",15.57,"修改（支付标准）","医药服务便函〔2021〕5号",142965]
[13326,"ZI01AAQ0610030105948","2","青鹏膏剂（软膏）","","","",20158675,"青鹏软膏(人工麝香)","无","软膏剂","50g","支","1","铝管","青海省通天河藏药制药有限责任公司",31.52,"修改（支付标准）","医药服务便函〔2021〕5号",138816]
[13327,"ZI01AAQ0610040105948","2","青鹏膏剂（软膏）","","","",20157458,"青鹏软膏(人工麝香)","无","软膏剂","100g","支","1","铝管","青海省通天河藏药制药有限责任公司",59.24,"修改（支付标准）","医药服务便函〔2021〕5号",138814]
[13328,"ZI01AAR0064010205934","2","仁青芒觉、仁青芒觉胶囊","","","",2020119814,"仁青芒觉","无","水丸","1g","盒","6","铝箔","金诃藏药股份有限公司",120,"修改（支付标准）","医药服务便函〔2021〕5号",119814]
[13329,"ZI01AAR0065010105851","2","仁青芒觉、仁青芒觉胶囊","","","",2020146939,"仁青芒觉胶囊","无","硬胶囊剂","0.25g","盒","12","铝塑","甘肃佛阁藏药有限公司",124.34,"修改（支付标准）","医药服务便函〔2021〕5号",146939]
[13330,"ZI01AAR0106010105934","2","如意珍宝丸","","","",201511172,"如意珍宝丸(天然牛黄、人工麝香)","无","水丸","0.25g","盒","30","铝箔","金诃藏药股份有限公司",29.02,"修改（支付标准）","医药服务便函〔2021〕5号",121313]
[13331,"ZI01AAR0193010105871","2","如意珍宝片","","","",2021156014,"如意珍宝片(人工牛黄、人工麝香)","无","薄膜衣片","0.5g","瓶","30","塑料瓶","甘肃奇正藏药有限公司",56.1,"修改（支付标准）","医药服务便函〔2021〕5号",156014]
[13332,"ZI01AAS0250010105750","2","珊瑚七十味丸","","","",2020162742,"珊瑚七十味丸","无","水丸","1g","盒","6","铝塑","西藏雄巴拉曲神水藏药有限公司",195,"修改（支付标准）","医药服务便函〔2021〕5号",162742]
[13333,"ZI01AAS0598010105932","2","十味黑冰片丸","","","",2020129526,"十味黑冰片丸","无","水丸","0.25g","盒","60","铝箔","青海帝玛尔藏药药业有限公司",39.9,"修改（支付标准）","医药服务便函〔2021〕5号",129526]
[13334,"ZI01AAS0601010205735","2","十味龙胆花胶囊（颗粒）","","","",2020127069,"十味龙胆花胶囊","无","硬胶囊剂","0.45g","盒","24","铝塑","西藏藏药集团股份有限公司",39.9,"修改（支付标准）","医药服务便函〔2021〕5号",127069]
[13335,"ZI01AAS0616010105934","2","十五味龙胆花丸","","","",2020167745,"十五味龙胆花丸","无","水丸","3g/10丸","盒","45","铝箔","金诃藏药股份有限公司",39.99,"修改（支付标准）","医药服务便函〔2021〕5号",167745]
[13336,"ZI01AAS0616010205934","2","十五味龙胆花丸","","","",2020167746,"十五味龙胆花丸","无","水丸","3g/10丸","盒","135","铝箔","金诃藏药股份有限公司",119.97,"修改（支付标准）","医药服务便函〔2021〕5号",167746]
[13337,"ZI01AAS0656010105888","2","石榴健胃丸(片、胶囊、散）","","","",201514230,"石榴健胃片","无","素片","0.6g","盒","24","铝塑","酒泉大得利制药股份有限公司",28.44,"修改（支付标准）","医药服务便函〔2021〕5号",121097]
[13338,"ZI01AAS0658010105750","2","石榴健胃丸(片、胶囊、散）","","","",2020150942,"石榴健胃丸","无","水丸","0.6g","盒","48","铝塑","西藏雄巴拉曲神水藏药有限公司",68.66,"修改（支付标准）","医药服务便函〔2021〕5号",150942]
[13339,"ZI01AAX0279010405742","2","消痛贴膏","","","▲",2015153753,"消痛贴膏","无","贴膏剂","1.2g","盒","6","铝塑","西藏奇正藏药股份有限公司",66.11,"修改（支付标准）","医药服务便函〔2021〕5号",153756]
[13340,"ZI01AAZ0330010105752","2","智托洁白丸","","","",2020128199,"智托洁白丸","无","水丸","14g/10丸","盒","20","塑料瓶","西藏甘露藏药股份有限公司",31.92,"修改（支付标准）","医药服务便函〔2021〕5号",128199]
[13341,"ZI01AAZ0534010105934","2","坐珠达西","","","",20156269,"坐珠达西(天然牛黄、人工麝香)","无","水丸","0.25g","盒","12","铝箔","金诃藏药股份有限公司",36.9,"修改（支付标准）","医药服务便函〔2021〕5号",121306]
[13342,"ZI02AAA0032010103909","2","阿拉坦五味丸","","","",20155059,"阿拉坦五味丸","无","水丸","0.2g","盒","60","铝塑","内蒙古蒙药股份有限公司",16.5,"修改（支付标准）","医药服务便函〔2021〕5号",125869]
[13343,"ZI02AAA0032010201173","2","阿拉坦五味丸","","","",20157411,"阿拉坦五味丸","无","水丸","1.25g/10粒","盒","96","塑料瓶","阜新蒙药有限责任公司",17.33,"修改（支付标准）","医药服务便函〔2021〕5号",128922]
[13344,"ZI02AAA0032010301173","2","阿拉坦五味丸","","","",2015152833,"阿拉坦五味丸","无","水丸","1.25g/10粒","瓶","120","塑料瓶","阜新蒙药有限责任公司",18.41,"修改（支付标准）","医药服务便函〔2021〕5号",152826]
[13345,"ZI02AAA0098010103931","2","安神补心六味丸","","","",2020129199,"安神补心六味丸","无","水丸","2g/10丸","盒","30","铝塑","乌兰浩特中蒙制药有限公司",70.8,"修改（支付标准）","医药服务便函〔2021〕5号",129199]
[13346,"ZI02AAB0064010103931","2","巴特日七味丸","","","",20153128,"巴特日七味丸(人工麝香)","无","水丸","2g/10粒","盒","60","铝塑","乌兰浩特中蒙制药有限公司",16.22,"修改（支付标准）","医药服务便函〔2021〕5号",127157]
[13347,"ZI02AAD0025010103888","2","大黄三味片","","","",2020127857,"大黄三味片","无","糖衣片","0.3g(片芯重)","盒","24","铝塑","内蒙古奥特奇蒙药股份有限公司金山蒙药厂",66.48,"修改（支付标准）","医药服务便函〔2021〕5号",127857]
[13348,"ZI02AAF0068010103931","2","风湿二十五味丸","","","",201512073,"风湿二十五味丸","无","水丸","2g/10粒","盒","30","铝塑","乌兰浩特中蒙制药有限公司",52.04,"修改（支付标准）","医药服务便函〔2021〕5号",129045]
[13349,"ZI02AAH0115010101173","2","红花清肝十三味丸","","","",20157383,"红花清肝十三味丸(人工牛黄、人工麝香)","无","水丸","1g/10粒","盒","120","塑料瓶","阜新蒙药有限责任公司",21.44,"修改（支付标准）","医药服务便函〔2021〕5号",128893]
[13350,"ZI02AAH0115020203906","2","红花清肝十三味丸","","","",20157160,"红花清肝十三味丸(人工牛黄、人工麝香)","无","水丸","2g/10粒","盒","60","铝塑","内蒙古库伦蒙药有限公司",20.52,"修改（支付标准）","医药服务便函〔2021〕5号",124390]
[13351,"ZI02AAH0275020209605","2","黄柏八味片","","","",2020149975,"黄柏八味片","无","糖衣片","0.5g(基片重)","瓶","36","塑料瓶","湖南兴蒙制药有限公司",39.34,"修改（支付标准）","医药服务便函〔2021〕5号",149975]
[13352,"ZI02AAJ0019010101173","2","吉祥安坤丸","","","",201513037,"吉祥安坤丸(人工牛黄)","无","水丸","2g/10粒","盒","60","铝塑","阜新蒙药有限责任公司",34.89,"修改（支付标准）","医药服务便函〔2021〕5号",129535]
[13353,"ZI02AAJ0019010103891","2","吉祥安坤丸","","","",20155634,"吉祥安坤丸(人工牛黄)","无","水丸","2g/10粒","盒","60","铝箔","内蒙古大唐药业股份有限公司",38.87,"修改（支付标准）","医药服务便函〔2021〕5号",128329]
[13354,"ZI02AAJ0019010201173","2","吉祥安坤丸","","","",201512942,"吉祥安坤丸(人工牛黄)","无","水丸","0.8g/10粒","盒","80","塑料瓶","阜新蒙药有限责任公司",18.5,"修改（支付标准）","医药服务便函〔2021〕5号",128886]
[13355,"ZI02AAL0146010103888","2","凉血十味散（片）","","","",2020127847,"凉血十味片","无","薄膜衣片","0.51g","盒","24","铝塑","内蒙古奥特奇蒙药股份有限公司金山蒙药厂",70.38,"修改（支付标准）","医药服务便函〔2021〕5号",127847]
[13356,"ZI02AAL0250010105264","2","六味安消散（片、胶囊）","","","",2015153445,"六味安消胶囊","无","硬胶囊剂","0.5g","盒","60","铝塑","江西博士达药业有限责任公司",20.4,"修改（支付标准）","医药服务便函〔2021〕5号",153448]
[13357,"ZI02AAL0250010305264","2","六味安消散（片、胶囊）","","","",2015137193,"六味安消胶囊","无","硬胶囊剂","0.5g","盒","40","铝塑","江西博士达药业有限责任公司",13.6,"修改（支付标准）","医药服务便函〔2021〕5号",137190]
[13358,"ZI02AAL0250010305547","2","六味安消散（片、胶囊）","","","",2015137197,"六味安消胶囊","无","硬胶囊剂","0.5g","盒","48","铝塑","贵州信邦制药股份有限公司",18.96,"修改（支付标准）","医药服务便函〔2021〕5号",137194]
[13359,"ZI02AAL0250010405381","2","六味安消散（片、胶囊）","","","",2015145278,"六味安消胶囊","无","硬胶囊剂","0.5g","盒","48","铝塑","江西银涛药业有限公司",17.79,"修改（支付标准）","医药服务便函〔2021〕5号",145277]
[13360,"ZI02AAL0250010505381","2","六味安消散（片、胶囊）","","","",2015151697,"六味安消胶囊","无","硬胶囊剂","0.5g","盒","60","铝塑","江西银涛药业有限公司",22.17,"修改（支付标准）","医药服务便函〔2021〕5号",151700]
[13361,"ZI02AAL0252010103931","2","六味安消散（片、胶囊）","","","",2015149726,"六味安消散","无","散剂","18g","盒","1","复合膜","乌兰浩特中蒙制药有限公司",25.36,"修改（支付标准）","医药服务便函〔2021〕5号",149725]
[13362,"ZI02AAL0252010105934","2","六味安消散（片、胶囊）","","","",2015118301,"六味安消散","无","散剂","1.5g","盒","12","复合膜","金诃藏药股份有限公司",18.23,"修改（支付标准）","医药服务便函〔2021〕5号",118304]
[13363,"ZI02AAL0252010203931","2","六味安消散（片、胶囊）","","","",2015149727,"六味安消散","无","散剂","18g","盒","2","复合膜","乌兰浩特中蒙制药有限公司",53.4,"修改（支付标准）","医药服务便函〔2021〕5号",149726]
[13364,"ZI02AAL0252010205934","2","六味安消散（片、胶囊）","","","",2015152087,"六味安消散","无","散剂","1.5g","盒","18","复合膜","金诃藏药股份有限公司",27.35,"修改（支付标准）","医药服务便函〔2021〕5号",152090]
[13365,"ZI02AAN0003010103909","2","那如三味丸","","","",2020129248,"那如三味丸","无","水丸","2g/10粒","盒","30","铝塑","内蒙古蒙药股份有限公司",28.43,"修改（支付标准）","医药服务便函〔2021〕5号",129248]
[13366,"ZI02AAN0003010203909","2","那如三味丸","","","",2020167041,"那如三味丸","无","水丸","2g/10粒","盒","40","铝塑","内蒙古蒙药股份有限公司",37.51,"修改（支付标准）","医药服务便函〔2021〕5号",167041]
[13367,"ZI02AAN0003020203931","2","那如三味丸","","","",2020129690,"那如三味丸","无","水丸","2g/10粒","瓶","40","塑料瓶","乌兰浩特中蒙制药有限公司",28.86,"修改（支付标准）","医药服务便函〔2021〕5号",129690]
[13368,"ZI02AAN0159010103891","2","暖宫七味丸（散）","","","",20159720,"暖宫七味散","无","散剂","3g","盒","5","铝塑","内蒙古大唐药业股份有限公司",28.9,"修改（支付标准）","医药服务便函〔2021〕5号",122217]
[13369,"ZI02AAN0160010101173","2","暖宫七味丸（散）","","","",20157120,"暖宫七味丸","无","水丸","2g/10丸","盒","60","铝塑","阜新蒙药有限责任公司",13.89,"修改（支付标准）","医药服务便函〔2021〕5号",129532]
[13370,"ZI02AAN0160010203909","2","暖宫七味丸（散）","","","",20158583,"暖宫七味丸","无","水丸","2g/10丸","瓶","75","塑料瓶","内蒙古蒙药股份有限公司",21.99,"修改（支付标准）","医药服务便函〔2021〕5号",129287]
[13371,"ZI02AAQ0359010203888","2","清感九味丸","","","",201511675,"清感九味丸","无","水丸","2g/10粒","盒","40","铝塑","内蒙古奥特奇蒙药股份有限公司金山蒙药厂",16.28,"修改（支付标准）","医药服务便函〔2021〕5号",127861]
[13372,"ZI02AAQ0426010203888","2","清热八味丸（散、胶囊）","","","",201514705,"清热八味胶囊(人工牛黄)","无","硬胶囊剂","0.3g","盒","12","铝塑","内蒙古奥特奇蒙药股份有限公司金山蒙药厂",34.3,"修改（支付标准）","医药服务便函〔2021〕5号",122896]
[13373,"ZI02AAQ0427010103906","2","清热八味丸（散、胶囊）","","","",2020166973,"清热八味散(人工牛黄)","无","散剂","15g","袋","1","铝箔","内蒙古库伦蒙药有限公司",48,"修改（支付标准）","医药服务便函〔2021〕5号",166973]
[13374,"ZI02AAQ0427010103931","2","清热八味丸（散、胶囊）","","","",2020166981,"清热八味散(人工牛黄)","无","散剂","15g","袋","1","复合膜","乌兰浩特中蒙制药有限公司",80,"修改（支付标准）","医药服务便函〔2021〕5号",166981]
[13375,"ZI02AAQ0428010103909","2","清热八味丸（散、胶囊）","","","",20153093,"清热八味丸(人工牛黄)","无","水丸","2g/10丸","盒","60","铝塑","内蒙古蒙药股份有限公司",22.02,"修改（支付标准）","医药服务便函〔2021〕5号",129126]
[13376,"ZI02AAQ0502010103909","2","清心沉香八味丸（散）","","","",2020125946,"清心沉香八味散","无","散剂","3g","盒","5","复合膜","内蒙古蒙药股份有限公司",26,"修改（支付标准）","医药服务便函〔2021〕5号",125946]
[13377,"ZI02AAQ0502010203909","2","清心沉香八味丸（散）","","","",2020167736,"清心沉香八味散","无","散剂","3g","盒","60","复合膜","内蒙古蒙药股份有限公司",312,"修改（支付标准）","医药服务便函〔2021〕5号",167736]
[13378,"ZI02AAQ0502010203931","2","清心沉香八味丸（散）","","","",2020166982,"清心沉香八味散","无","散剂","3g","盒","15","复合膜","乌兰浩特中蒙制药有限公司",90,"修改（支付标准）","医药服务便函〔2021〕5号",166982]
[13379,"ZI02AAQ0503010101173","2","清心沉香八味丸（散）","","","",20157053,"清心沉香八味丸","无","水丸","7.5g","盒","2","塑料瓶","阜新蒙药有限责任公司",27.47,"修改（支付标准）","医药服务便函〔2021〕5号",129792]
[13380,"ZI02AAR0101010103909","2","肉蔻五味丸","","","",20154159,"肉蔻五味丸","无","水丸","2g/10粒","盒","60","铝塑","内蒙古蒙药股份有限公司",15.98,"修改（支付标准）","医药服务便函〔2021〕5号",125894]
[13381,"ZI02AAR0101010503906","2","肉蔻五味丸","","","",201514551,"肉蔻五味丸","无","水丸","2g/10粒","瓶","75","塑料瓶","内蒙古库伦蒙药有限公司",20.66,"修改（支付标准）","医药服务便函〔2021〕5号",128048]
[13382,"ZI02AAS0172010103868","2","扫日劳清肺止咳胶囊","","","",2020167143,"扫日劳清肺止咳胶囊","无","硬胶囊剂","0.4g","盒","24","铝塑","内蒙古天奇中蒙制药股份有限公司",48,"修改（支付标准）","医药服务便函〔2021〕5号",167143]
[13383,"ZI02AAS0172010203868","2","扫日劳清肺止咳胶囊","","","",2020107003,"扫日劳清肺止咳胶囊","无","硬胶囊剂","0.4g","盒","36","铝塑","内蒙古天奇中蒙制药股份有限公司",72,"修改（支付标准）","医药服务便函〔2021〕5号",107003]
[13384,"ZI02AAS0942020103931","2","四味土木香散","","","",2020166980,"四味土木香散","无","散剂","20g","袋","1","复合膜","乌兰浩特中蒙制药有限公司",85,"修改（支付标准）","医药服务便函〔2021〕5号",166980]
[13385,"ZI02AAT0159010103931","2","调元大补二十五味汤散","","","",2020167186,"调元大补二十五味汤散","无","散剂","15g","盒","1","复合膜","乌兰浩特中蒙制药有限公司",98,"修改（支付标准）","医药服务便函〔2021〕5号",167186]
[13386,"ZI02AAW0012010103909","2","外用溃疡散","","","",20156763,"外用溃疡散(人工麝香)","无","散剂","0.5g","盒","4","高密度聚乙烯","内蒙古蒙药股份有限公司",20.99,"修改（支付标准）","医药服务便函〔2021〕5号",125849]
[13387,"ZI02AAW0012020103909","2","外用溃疡散","","","",201514920,"外用溃疡散(人工麝香)","无","散剂","0.75g","盒","4","高密度聚乙烯","内蒙古蒙药股份有限公司",29.49,"修改（支付标准）","医药服务便函〔2021〕5号",125854]
[13388,"ZI02AAW0223010103931","2","乌兰十三味汤散","","","",2020167185,"乌兰十三味汤散","无","散剂","15g","盒","2","复合膜","乌兰浩特中蒙制药有限公司",135,"修改（支付标准）","医药服务便函〔2021〕5号",167185]
[13389,"ZI02AAX0207010103906","2","消积洁白丸","","","",20151273,"消积洁白丸","无","水丸","2g/10丸","瓶","75","塑料瓶","内蒙古库伦蒙药有限公司",34.44,"修改（支付标准）","医药服务便函〔2021〕5号",124379]
[13390,"ZI02AAX0501010103931","2","小儿石蔻散","","","",2020129276,"小儿石蔻散","无","散剂","2g","盒","3","复合膜","乌兰浩特中蒙制药有限公司",58.26,"修改（支付标准）","医药服务便函〔2021〕5号",129276]
[13391,"ZI02AAY0386010103931","2","益肾十七味丸","","","",2020130113,"益肾十七味丸(人工麝香)","无","水丸","2g/10粒","盒","30","铝塑","乌兰浩特中蒙制药有限公司",111.99,"修改（支付标准）","医药服务便函〔2021〕5号",130113]
[13392,"ZI02AAZ0031010103906","2","扎冲十三味丸","","","",20157426,"扎冲十三味丸(人工麝香)","无","水丸","1g/10丸","盒","30","铝塑","内蒙古库伦蒙药有限公司",21.21,"修改（支付标准）","医药服务便函〔2021〕5号",124091]
[13393,"ZI02AAZ0031010103909","2","扎冲十三味丸","","","",20155051,"扎冲十三味丸(人工麝香)","无","水丸","2g/10粒","盒","18","铝塑","内蒙古蒙药股份有限公司",19.64,"修改（支付标准）","医药服务便函〔2021〕5号",129099]
[13394,"ZI02AAZ0031010103931","2","扎冲十三味丸","","","",201512941,"扎冲十三味丸(人工麝香)","无","水丸","1g/10粒","盒","60","复合膜","乌兰浩特中蒙制药有限公司",38.76,"修改（支付标准）","医药服务便函〔2021〕5号",127188]
[13395,"ZI02AAZ0031020103891","2","扎冲十三味丸","","","",20151456,"扎冲十三味丸(人工麝香)","无","水丸","2g/10粒","瓶","30","塑料瓶","内蒙古大唐药业股份有限公司",37.78,"修改（支付标准）","医药服务便函〔2021〕5号",128077]
[13396,"ZI02AAZ0055010103909","2","珍宝丸","","","",20154598,"珍宝丸(人工牛黄、人工麝香)","无","水丸","2g/10粒","盒","60","铝塑","内蒙古蒙药股份有限公司",25.89,"修改（支付标准）","医药服务便函〔2021〕5号",129280]
[13397,"ZI02AAZ0055010103931","2","珍宝丸","","","",201513548,"珍宝丸(人工牛黄、人工麝香)","无","水丸","1g/10粒","盒","180","复合膜","乌兰浩特中蒙制药有限公司",36.3,"修改（支付标准）","医药服务便函〔2021〕5号",127250]
[13398,"ZI02AAZ0055010301173","2","珍宝丸","","","",20157054,"珍宝丸(人工牛黄、人工麝香)","无","水丸","1g/10粒","盒","120","塑料瓶","阜新蒙药有限责任公司",28.93,"修改（支付标准）","医药服务便函〔2021〕5号",128891]
[13399,"ZI02AAZ0055010401173","2","珍宝丸","","","",2015152831,"珍宝丸(人工牛黄、人工麝香)","无","水丸","1g/10粒","盒","180","复合膜","阜新蒙药有限责任公司",36.89,"修改（支付标准）","医药服务便函〔2021〕5号",152824]
[13400,"ZI02AAZ0093010103931","2","珍珠通络丸","","","",2020129255,"珍珠通络丸","无","水丸","2g/10丸","盒","30","铝塑","乌兰浩特中蒙制药有限公司",83,"修改（支付标准）","医药服务便函〔2021〕5号",129255]
[13401,"ZI03AAA0037010102425","2","阿娜尔妇洁液","","","",201513759,"阿娜尔妇洁液","无","搽剂","100ml","瓶","1","塑料瓶","陕西康惠制药股份有限公司",16.79,"修改（支付标准）","医药服务便函〔2021〕5号",129912]
[13402,"ZI03AAA0037020100368","2","阿娜尔妇洁液","","","",201512483,"阿娜尔妇洁液","无","洗剂","200ml","瓶","1","塑料瓶","广东在田药业股份有限公司",24.37,"修改（支付标准）","医药服务便函〔2021〕5号",141087]
[13403,"ZI03AAA0049010103766","2","爱维心口服液","","","",2020163949,"爱维心口服液","无","合剂(含口服液)","10ml","盒","6","玻璃瓶","哈尔滨美君制药有限公司",84.99,"修改（支付标准）","医药服务便函〔2021〕5号",163949]
[13404,"ZI03AAB0162010105416","2","百癣夏塔热片（胶囊）","","","",20151515,"百癣夏塔热胶囊","无","硬胶囊剂","0.3g(相当于原药材0.327g)","盒","24","铝箔","贵阳济仁堂药业有限公司",13,"修改（支付标准）","医药服务便函〔2021〕5号",128736]
[13405,"ZI03AAB0163010181912","2","百癣夏塔热片（胶囊）","","","",201511353,"百癣夏塔热片","无","薄膜衣片","0.47g","盒","36","铝塑","武汉同济中维医药有限责任公司",29.56,"修改（支付标准）","医药服务便函〔2021〕5号",115190]
[13406,"ZI03AAB0163010402364","2","百癣夏塔热片（胶囊）","","","",20157996,"百癣夏塔热片","无","糖衣片","0.3g(素片重)","盒","75","铝塑","陕西东泰制药有限公司",32.14,"修改（支付标准）","医药服务便函〔2021〕5号",110666]
[13407,"ZI03AAF0405010106004","2","复方高滋斑片","","","",2020151635,"复方高滋斑片","无","糖衣片","/","盒","24","铝箔","新疆维吾尔药业有限责任公司",72.72,"修改（支付标准）","医药服务便函〔2021〕5号",151635]
[13408,"ZI03AAF0405010206004","2","复方高滋斑片","","","",2020166922,"复方高滋斑片","无","糖衣片","/","盒","36","铝箔","新疆维吾尔药业有限责任公司",109.08,"修改（支付标准）","医药服务便函〔2021〕5号",166922]
[13409,"ZI03AAF0475010106002","2","复方卡力孜然酊","","","",20158398,"复方卡力孜然酊","无","酊剂","30ml","瓶","1","塑料瓶","新疆维阿堂制药有限公司",58.67,"修改（支付标准）","医药服务便函〔2021〕5号",139718]
[13410,"ZI03AAF0535010106004","2","复方木尼孜其颗粒","","","",20157129,"复方木尼孜其颗粒","无","颗粒剂","12g","盒","6","复合膜","新疆维吾尔药业有限责任公司",35.75,"修改（支付标准）","医药服务便函〔2021〕5号",120825]
[13411,"ZI03AAH0045010105985","2","寒喘祖帕颗粒","","","",2015122938,"寒喘祖帕颗粒","无","颗粒剂","12g","盒","6","复合膜","新疆银朵兰维药股份有限公司",20.3,"修改（支付标准）","医药服务便函〔2021〕5号",122935]
[13412,"ZI03AAH0045010106004","2","寒喘祖帕颗粒","","","",2015120845,"寒喘祖帕颗粒","无","颗粒剂","12g","盒","6","复合膜","新疆维吾尔药业有限责任公司",21.94,"修改（支付标准）","医药服务便函〔2021〕5号",120842]
[13413,"ZI03AAH0045010205985","2","寒喘祖帕颗粒","","","",2015122942,"寒喘祖帕颗粒","无","颗粒剂","12g","盒","8","复合膜","新疆银朵兰维药股份有限公司",24.76,"修改（支付标准）","医药服务便函〔2021〕5号",122939]
[13414,"ZI03AAH0045010205996","2","寒喘祖帕颗粒","","","",2015121833,"寒喘祖帕颗粒(无蔗糖)","无","颗粒剂","6g","盒","6","复合膜","新奇康药业股份有限公司",21.54,"修改（支付标准）","医药服务便函〔2021〕5号",121830]
[13415,"ZI03AAH0045010305996","2","寒喘祖帕颗粒","","","",2015127932,"寒喘祖帕颗粒(无蔗糖)","无","颗粒剂","6g","盒","10","复合膜","新奇康药业股份有限公司",35.9,"修改（支付标准）","医药服务便函〔2021〕5号",127931]
[13416,"ZI03AAH0199020106004","2","护肝布祖热颗粒","","","",2020169637,"护肝布祖热颗粒","无","颗粒剂","6g","盒","6","复合袋","新疆维吾尔药业有限责任公司",58.19,"修改（支付标准）","医药服务便函〔2021〕5号",169637]
[13417,"ZI03AAH0199020206004","2","护肝布祖热颗粒","","","",2020166802,"护肝布祖热颗粒","无","颗粒剂","6g","盒","9","复合袋","新疆维吾尔药业有限责任公司",86,"修改（支付标准）","医药服务便函〔2021〕5号",166802]
[13418,"ZI03AAJ0175010106001","2","健心合米尔高滋斑安比热片","","","",2020115223,"健心合米尔高滋斑安比热片","无","糖衣片","0.5g","盒","12","铝箔","和田维吾尔药业股份有限公司",143,"修改（支付标准）","医药服务便函〔2021〕5号",115223]
[13419,"ZI03AAM0033010106004","2","玛木然止泻胶囊","","","",2020166924,"玛木然止泻胶囊","无","硬胶囊剂","0.3g","盒","24","铝箔","新疆维吾尔药业有限责任公司",57.84,"修改（支付标准）","医药服务便函〔2021〕5号",166924]
[13420,"ZI03AAM0033010206004","2","玛木然止泻胶囊","","","",2020166926,"玛木然止泻胶囊","无","硬胶囊剂","0.3g","盒","36","铝箔","新疆维吾尔药业有限责任公司",85.48,"修改（支付标准）","医药服务便函〔2021〕5号",166926]
[13421,"ZI03AAN0082010305985","2","尿通卡克乃其片","","","",2020123033,"尿通卡克乃其片","无","薄膜衣片","0.5g","盒","24","铝箔","新疆银朵兰维药股份有限公司",38.4,"修改（支付标准）","医药服务便函〔2021〕5号",123033]
[13422,"ZI03AAN0082010405985","2","尿通卡克乃其片","","","",2020123037,"尿通卡克乃其片","无","薄膜衣片","0.5g","盒","36","铝箔","新疆银朵兰维药股份有限公司",57.6,"修改（支付标准）","医药服务便函〔2021〕5号",123037]
[13423,"ZI03AAQ0450020106004","2","清热卡森颗粒","","","",2020166804,"清热卡森颗粒","无","颗粒剂","6g","盒","9","复合袋","新疆维吾尔药业有限责任公司",75.99,"修改（支付标准）","医药服务便函〔2021〕5号",166804]
[13424,"ZI03AAT0250010181912","2","通滞苏润江片（胶囊）","","","",20158588,"通滞苏润江胶囊","无","硬胶囊剂","0.3g","盒","27","铝塑","武汉同济中维医药有限责任公司",32.53,"修改（支付标准）","医药服务便函〔2021〕5号",115246]
[13425,"ZI03AAT0250010205985","2","通滞苏润江片（胶囊）","","","",201510782,"通滞苏润江胶囊","无","硬胶囊剂","0.25g","盒","36","铝箔","新疆银朵兰维药股份有限公司",24.05,"修改（支付标准）","医药服务便函〔2021〕5号",123053]
[13426,"ZI03AAT0250010281912","2","通滞苏润江片（胶囊）","","","",201515101,"通滞苏润江胶囊","无","硬胶囊剂","0.3g","盒","36","铝塑","武汉同济中维医药有限责任公司",40.11,"修改（支付标准）","医药服务便函〔2021〕5号",115254]
[13427,"ZI03AAT0250010403767","2","通滞苏润江片（胶囊）","","","",201512706,"通滞苏润江胶囊","无","硬胶囊剂","0.3g","盒","40","双铝","黑龙江省济仁药业有限公司",29.84,"修改（支付标准）","医药服务便函〔2021〕5号",108811]
[13428,"ZI03AAT0250010502364","2","通滞苏润江片（胶囊）","","","",20157997,"通滞苏润江胶囊","无","硬胶囊剂","0.3g","盒","36","铝塑","陕西东泰制药有限公司",31.11,"修改（支付标准）","医药服务便函〔2021〕5号",110691]
[13429,"ZI03AAT0250010602364","2","通滞苏润江片（胶囊）","","","",2015151923,"通滞苏润江胶囊","无","硬胶囊剂","0.3g","盒","48","铝塑","陕西东泰制药有限公司",41.05,"修改（支付标准）","医药服务便函〔2021〕5号",151916]
[13430,"ZI03AAT0251010281912","2","通滞苏润江片（胶囊）","","","",2020166816,"通滞苏润江片","无","薄膜衣片","0.52g","盒","18","铝箔","武汉同济中维医药有限责任公司",50.22,"修改（支付标准）","医药服务便函〔2021〕5号",166816]
[13431,"ZI03AAX0014040105996","2","西帕依固龈液","","","",2020167769,"西帕依固龈液","无","合剂(含口服液)","30ml","瓶","1","塑料瓶","新奇康药业股份有限公司",36.85,"修改（支付标准）","医药服务便函〔2021〕5号",167769]
[13432,"ZI03AAY0103030106004","2","养心达瓦依米西克蜜膏","","","",2020166803,"养心达瓦依米西克蜜膏(人工麝香)","无","煎膏剂","3g","盒","6","复合袋","新疆维吾尔药业有限责任公司",127.98,"修改（支付标准）","医药服务便函〔2021〕5号",166803]
[13433,"ZI03AAY0407010103909","2","益心巴迪然吉布亚颗粒","","","▲",20158709,"益心巴迪然吉布亚颗粒(无糖型)","无","颗粒剂","3.6g","盒","12","复合膜","内蒙古蒙药股份有限公司",24.28,"修改（支付标准）","医药服务便函〔2021〕5号",125862]
[13434,"ZI03AAZ0523010103891","2","祖卡木颗粒","","","",2015149489,"祖卡木颗粒","无","颗粒剂","12g","盒","12","复合膜","内蒙古大唐药业股份有限公司",31.33,"修改（支付标准）","医药服务便函〔2021〕5号",149488]
[13435,"ZI03AAZ0523010203891","2","祖卡木颗粒","","","",2015149471,"祖卡木颗粒","无","颗粒剂","12g","盒","6","复合膜","内蒙古大唐药业股份有限公司",16.07,"修改（支付标准）","医药服务便函〔2021〕5号",149470]
[13436,"ZI03AAZ0523010205985","2","祖卡木颗粒","","","",2015153630,"祖卡木颗粒","无","颗粒剂","12g","盒","9","复合膜","新疆银朵兰维药股份有限公司",23.5,"修改（支付标准）","医药服务便函〔2021〕5号",153633]
[13437,"ZI03AAZ0523010206004","2","祖卡木颗粒","","","",2015120800,"祖卡木颗粒","无","颗粒剂","12g","盒","9","复合膜","新疆维吾尔药业有限责任公司",21.82,"修改（支付标准）","医药服务便函〔2021〕5号",120797]
[13438,"ZV01AAJ0737010103291","2","蒺藜皂苷胶囊","","","限中风病中经络（轻中度脑梗死）恢复期患者。",2021166089,"蒺藜皂苷胶囊","无","硬胶囊剂","65mg(含蒺藜皂苷提取物56.7mg)","盒","12","铝塑","长白山制药股份有限公司",36.84,"修改（支付标准）","医药服务便函〔2021〕5号",166089]