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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","医保文件剂型","备注","招标药品ID","招标药品通用名","商品名","剂型","规格","单位","转换比","包装材质","药品企业","支付标准","变更","变更原因","药品类型（供参考）"]
["1","XJ05AHA218X006010179426","2","磷酸奥司他韦干混悬剂","","","174401","磷酸奥司他韦干混悬剂","无","口服混悬剂","0.36g(按C16H28N2O4计)","盒","1","琥珀色玻璃瓶(III型)和儿童安全塑料密封盖带胀接PE垫组成","Hetero Labs Limited","35.11","启用","医保发〔2023〕30号",""]
["2","XJ05AHA218X006010180081","2","磷酸奥司他韦干混悬剂","","","176374","磷酸奥司他韦干混悬剂","无","干混悬剂","0.36g(按C16H28N204计)","盒","1","玻璃瓶","博瑞制药(苏州)有限公司","32.8","启用","医保发〔2023〕30号",""]
["3","XJ05AHA218X006010102013","2","磷酸奥司他韦干混悬剂","","","175503","磷酸奥司他韦干混悬剂","无","干混悬剂","0.36g(按C16H28N204计)","盒","1","玻璃瓶","成都倍特药业股份有限公司","35.11","启用","医保发〔2023〕30号",""]
["4","XJ05AHA218X006010180537","2","磷酸奥司他韦干混悬剂","","","203813","磷酸奥司他韦干混悬剂","无","口服混悬剂","0.36g(按C16H28N2O4计)","盒","1","钠钙玻璃模制药瓶,口服液体药用高密度聚乙烯揿压瓶盖","南京海纳制药有限公司","35.11","启用","医保发〔2023〕30号",""]
["5","XJ05AHA218X006010105847","2","磷酸奥司他韦干混悬剂","","","203322","磷酸奥司他韦干混悬剂","无","口服混悬剂","0.36g(按C？？H？？N？O？ 计)","盒","1","钠钙玻璃模制药瓶,口服药用聚丙烯压旋盖","齐鲁制药(海南)有限公司","24.8","启用","医保发〔2023〕30号",""]
["6","XJ05AHA218X006010101651","2","磷酸奥司他韦干混悬剂","","","203469","磷酸奥司他韦干混悬剂","无","口服混悬剂","0.36g(按C？？H？？N？O？计)","盒","1","钠钙玻璃模制药瓶＋药用聚丙烯瓶盖","苏州二叶制药有限公司","35.11","启用","医保发〔2023〕30号",""]
["7","XJ05AHA218X006010183817","2","磷酸奥司他韦干混悬剂","","","203690","磷酸奥司他韦干混悬剂","无","口服混悬剂","0.36g( 按C？？H？？N？O？ 计)","盒","1","钠钙玻璃模制药瓶,儿童安全阻开盖","天津汉瑞药业有限公司","35.11","启用","医保发〔2023〕30号",""]
["8","XN06ABA225X001010181591","2","草酸艾司西酞普兰口服溶液","","","310135","草酸艾司西酞普兰口服溶液","无","口服溶液剂","120ml:120mg(按C？？H？？FN？O计)","盒","1","口服液体药用聚酯瓶(含瓶盖)装,附带聚丙烯量杯","成都迪康药业股份有限公司","36.19","启用","医保发〔2023〕30号","竞价药品"]
["9","XB05CXS291S002010104653","2","山梨醇甘露醇冲洗剂","","限经尿道前列腺切除术及其他泌尿外科手术的术中冲洗。","201507","山梨醇甘露醇冲洗剂","无","冲洗剂","3000ml","袋","1","三层共挤输液用袋","济民健康管理股份有限公司","168.00","启用","医保发〔2023〕30号","竞价药品"]
["10","XR05CBA198L019010100123","2","吸入用盐酸氨溴索溶液","","","175145","吸入用盐酸氨溴索溶液","无","吸入用溶液剂","2ml:15mg","支","1","中硼硅玻璃安瓿","银谷制药有限责任公司","8.47","启用","医保发〔2023〕30号","竞价药品"]
["11","XR05CBA198L019010206286","2","吸入用盐酸氨溴索溶液","","","171814","吸入用盐酸氨溴索溶液","无","吸入用溶液剂","2ml:15mg","支","1","中性硼硅玻璃安瓿(棕色)","云南龙海天然植物药业有限公司","8.50","启用","医保发〔2023〕30号","竞价药品"]
["12","XR01ACA210N001010400151","2","盐酸奥洛他定颗粒","","","60045","盐酸奥洛他定颗粒","无","颗粒剂","2.5mg","盒","24","双向拉伸聚酯/聚乙烯药用复合膜为内包装,聚酯/铝/聚乙烯药用复合袋为外包装","北京四环科宝制药股份有限公司","49.80","启用","医保发〔2023〕30号","国谈药品"]
["13","XJ01DDT188B001010178719","2","注射用头孢他啶阿维巴坦钠","","","165811","注射用头孢他啶阿维巴坦钠","思福妥","注射剂","2.5g(C22H22N6O7S2 2.0g 与 C7H11N3O6S 0.5g)","盒","1","玻璃瓶","意大利ACS Dobfar S.p.A.","340.00","启用","医保发〔2023〕30号","竞价药品"]
["14","XJ01XDZ105B001010101749","2","注射用磷酸左奥硝唑酯二钠","","限：1.肠道和肝脏严重的阿米巴病；2.奥硝唑敏感厌氧菌引起的手术后感染；3.预防外科手术导致的敏感厌氧菌感染。","173213","注射用磷酸左奥硝唑酯二钠","新锐","注射液","0.125g(按C7H10ClN3O3计)","瓶","1","玻璃瓶","扬子江药业集团有限公司","25.18","修改（医保信息）","医保发〔2023〕30号","国谈药品"]
["15","ZA04CAT0312010100705","2","痰热清胶囊","","清热，化痰，解毒。用于风温肺热病属风热袭肺证，症见发热，恶风，咳嗽，咯痰，或咽痛，流涕，口干等。","157218","痰热清胶囊","无","硬胶囊剂","0.4g","盒","18","双铝","上海凯宝药业股份有限公司","73.62","修改（医保备注）","医保发〔2023〕30号","国谈药品"]
["16","ZA01BAX0377010102767","2","小儿感冒颗粒","","","160983","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","19.50","修改（医保备注）","医保发〔2023〕30号",""]
["17","ZA01BAX0377010104499","2","小儿感冒颗粒","","","101278","小儿感冒颗粒","无","颗粒剂","6g","盒","6","复合膜","浙江前进药业有限公司","20.44","修改（医保备注）","医保发〔2023〕30号",""]
["18","XA02BCA081X006010101425","2","艾司奥美拉唑镁肠溶干混悬剂","","限：1.胃食管反流病；2.与幽门螺杆菌相关的十二指肠溃疡；3.需要持续非甾体抗炎药(NSAID)治疗，且与使用NSAID治疗相关的胃溃疡。","203930","艾司奥美拉唑镁肠溶干混悬剂","无","口服混悬剂","10mg(按C？？H？？N？O？S计)","盒","14","聚酯/铝/聚乙烯药品包装用复合膜包装","扬州市三药制药有限公司","36.64","启用","医保发〔2023〕30号",""]
["19","XL04AAT163A010010302180","2","枸橼酸托法替布缓释片","","","206289","枸橼酸托法替布缓释片","无","片剂","11mg(按C？？H？？N？O计)","盒","30","药用铝箔、聚酰胺/铝/聚氯乙烯冷冲压成型固体药用复合硬片包装","四川科伦药业股份有限公司","447.00","启用","医保发〔2023〕30号","竞价药品"]
["20","XB02BXA336A001010201606","2","马来酸阿伐曲泊帕片","","限择期行诊断性操作或者手术的慢性肝病相关血小板减少症的成年患者。","60043","马来酸阿伐曲泊帕片","无","薄膜衣片","20mg(按C？？H？？C？？N？O？S？计)","盒","10","药用铝箔和聚酰胺/铝/聚氯乙烯冷冲压成型固体药用复合硬片包装。","南京正大天晴制药有限公司","4560.00","启用","医保发〔2023〕30号","国谈药品"]
["21","XB02BXA336A001010401606","2","马来酸阿伐曲泊帕片","","限择期行诊断性操作或者手术的慢性肝病相关血小板减少症的成年患者。","60044","马来酸阿伐曲泊帕片","无","薄膜衣片","20mg(按C？？H？？C？？N？O？S？计)","盒","15","药用铝箔和聚酰胺/铝/聚氯乙烯冷冲压成型固体药用复合硬片包装。","南京正大天晴制药有限公司","6840.00","启用","医保发〔2023〕30号","国谈药品"]
["22","XC02KXM170A001010104520","2","马昔腾坦片","","限WHO功能分级II级-III级的肺动脉高压(WHO第1组)的患者。","206179","马昔腾坦片","无","薄膜衣片","10mg","盒","30","聚氯乙烯/聚乙烯/聚偏二氯乙烯固体药用复合硬片/药用铝箔","杭州中美华东制药有限公司","3726.00","启用","医保发〔2023〕30号","国谈药品"]
["23","XC02KXM170A001010184207","2","马昔腾坦片","","限WHO功能分级II级-III级的肺动脉高压(WHO第1组)的患者。","206191","马昔腾坦片","无","薄膜衣片","10mg","盒","30","聚氯乙烯/聚乙烯/聚偏二氯乙烯固体药用复合硬片和药用铝箔包装","江苏宣泰药业有限公司","3280.00","启用","医保发〔2023〕30号","国谈药品"]
["24","XC02KXM170A001010101606","2","马昔腾坦片","","限WHO功能分级II级-III级的肺动脉高压(WHO第1组)的患者。","206144","马昔腾坦片","无","薄膜衣片","10mg","盒","30","聚氯乙烯/聚乙烯/聚偏二氯乙烯(PVC/PE/PVDC)固体药用复合硬片和药用铝箔包装","南京正大天晴制药有限公司","3960.00","修改（招标药品ID）","医保发〔2023〕30号","国谈药品"]
["25","XL01EFP135E001010100647","2","哌柏西利胶囊","","限激素受体(HR)阳性、人表皮生长因子受体2(HER2)阴性的局部晚期或转移性乳腺癌。","205357","哌柏西利胶囊","无","胶囊剂","125mg","瓶","21","口服固体药用高密度聚乙烯瓶包装系统","上海创诺制药有限公司","3598.00","启用","医保发〔2023〕30号","竞价药品"]
["26","XJ02ACB206A012010105345","2","泊沙康唑肠溶片","","限13岁和13岁以上重度免疫缺陷患者。","205419","泊沙康唑肠溶片","无","薄膜包衣片","100mg","盒","24","铝塑泡罩包装(聚三氟氯乙烯/聚氯乙烯固体药用复合硬片和药用铝箔)","江西山香药业有限公司","2268.00","启用","医保发〔2023〕30号","竞价药品"]
["27","XR05CBA198L019010102829","2","吸入用盐酸氨溴索溶液","","","177037","吸入用盐酸氨溴索溶液","无","吸入溶液剂","2ml:15mg","盒","1","安瓿","河北凯威制药有限责任公司","8.50","启用","医保发〔2023〕30号","竞价药品"]
["28","XJ01XXT182B001010184520","2","注射用磷酸特地唑胺","","限急性细菌性皮肤及皮肤软组织感染。","204453","注射用磷酸特地唑胺","无","注射剂","200mg","瓶","1","中硼硅玻璃管制注射剂瓶、注射用冷冻干燥无菌粉末用覆聚四氟乙烯/乙烯共聚 物膜氯化丁基橡胶塞、抗生素瓶用铝塑组合盖。","江西科睿药业有限公司","136.00","启用","医保发〔2023〕30号",""]
["29","XJ01XXT182B001010101606","2","注射用磷酸特地唑胺","","限急性细菌性皮肤及皮肤软组织感染。","202547","注射用磷酸特地唑胺","无","注射剂","200mg","盒","1","中硼硅玻璃管制注射剂瓶、注射用冷冻干燥用卤化丁基橡胶塞(溴化)、抗生素瓶用铝塑组合盖。","南京正大天晴制药有限公司","136.00","启用","医保发〔2023〕30号",""]
["30","XJ01XXT182B001010105847","2","注射用磷酸特地唑胺","","限急性细菌性皮肤及皮肤软组织感染。","204571","注射用磷酸特地唑胺","无","注射剂","0.2g","盒","1","中硼硅玻璃管制注射剂瓶、冷冻干燥用溴化丁基橡胶塞和抗生素瓶用铝塑组合盖","齐鲁制药(海南)有限公司","136.00","启用","医保发〔2023〕30号",""]
["31","XJ01XXT182B001010104152","2","注射用磷酸特地唑胺","","限急性细菌性皮肤及皮肤软组织感染。","200992","注射用磷酸特地唑胺","无","注射剂","0.2g","瓶","1","中硼硅玻璃管制注射剂瓶、注射用冷冻干燥用聚对二甲苯镀膜溴化丁基橡胶塞和抗生素瓶用铝塑组合盖包装","瑞阳制药股份有限公司","136.00","启用","医保发〔2023〕30号",""]
["32","XJ01XXT182B001010102770","2","注射用磷酸特地唑胺","","限急性细菌性皮肤及皮肤软组织感染。","204665","注射用磷酸特地唑胺","无","注射剂","200mg","盒","1","中性硼硅玻璃管制注射剂瓶、注射用冷冻干燥用氯化丁基橡胶塞、抗生素瓶用铝塑组合盖","石药集团欧意药业有限公司","136.00","启用","医保发〔2023〕30号",""]
["33","XJ01XXT182B001010101749","2","注射用磷酸特地唑胺","","限急性细菌性皮肤及皮肤软组织感染。","175919","注射用磷酸特地唑胺","无","冻干粉针剂","0.2g","瓶","1","玻璃瓶","扬子江药业集团有限公司","136.00","启用","医保发〔2023〕30号",""]
["34","XA02BCA081X006010104655","2","艾司奥美拉唑镁肠溶干混悬剂","","限：1.胃食管反流病；2.与幽门螺杆菌相关的十二指肠溃疡；3.需要持续非甾体抗炎药(NSAID)治疗，且与使用NSAID治疗相关的胃溃疡。","202339","艾司奥美拉唑镁肠溶干混悬剂","无","干混悬剂","40mg(按C17H19N3O3S计)","盒","7","聚酯/铝/聚乙烯药用复合膜","浙江尖峰药业有限公司","52.94","启用","医保发〔2023〕30号",""]
["35","XN03AXL371X001010105337","2","拉考沙胺口服溶液","","","202574","拉考沙胺口服溶液","无","口服溶液剂","200ml:2g","盒","1","口服液体药用聚酯瓶,带有高密度聚乙烯瓶盖,盒内含一个20ml量杯和一支5ml带有转接头的口服 给药器。","江西科睿药业有限公司","44.75","启用","医保发〔2023〕30号",""]
["36","XN03AXL371X001010178930","2","拉考沙胺口服溶液","","","173245","拉考沙胺口服溶液","无","口服溶液剂","200ml:2.0g","盒","1","玻璃瓶","美国Unither Manufacturing LLC","44.75","启用","医保发〔2023〕30号",""]
["37","XN03AXL371X001010110323","2","拉考沙胺口服溶液","","","176648","拉考沙胺口服溶液","无","口服溶液剂","200ml:2.0g","盒","1","塑料瓶","山东朗诺制药有限公司","44.75","启用","医保发〔2023〕30号",""]