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1 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 A A G A A AC SENTA ENTERIC COATED TABLETS 5 (SERRATIOPEPTIDAS E) SENTA ENTERIC COATED TABLETS 5 (SERRATIOPEPTIDAS E)( 鋁箔 ) 井田製 井田製 DANSE E.C. TABLETS 10 信東 "S.T."(SERRAPEPTASE ) TARN JINQ E.F.C. TABLETS 10 "CHEN TA" (SERRATIOPEPTIDAS E) DEDEMA E.F.C. TABLETS 5 "STANDARD" (SERRAPEPTASE) B SYKLOFOSFAMID B DORYX CAPSULES AB CEXIME CAPSULES 100 (CEFIXIME) SERRAPEPTASE (=SERRATIOPEPTID ASE) 5 SERRAPEPTASE (=SERRATIOPEPTID ASE) 5 SERRAPEPTASE (=SERRATIOPEPTID ASE) 10 SERRAPEPTASE 成大 (=SERRATIOPEPTID 藥品 ASE) 10 SERRAPEPTASE 生達 (=SERRATIOPEPTID 化學 ASE) 5 BAX TER FHF AUL CYCLOPHOSPHAMI DE (MONOHYDRATE) 500 DOXYCYCLINE (HCL) 100 信東觀音 CEFIXIME 100 腸溶錠 腸溶錠 腸溶 腸溶 /12/ /12/ /12/ /12/ /12/ /12/ /12/ /12/ B REOSTEO 35 TABLETS PHA RISEDRONATE RMA SODIUM 35 SCIE NCE /12/ B MOZOBIL SOLUTION FOR PAT HEO PLERIXAFOR 20 /ML 1.2 ML /12/ K NOVOMIX 30 FLEXPEN NOV INSULIN ASPART 注射 ONO 100 U/ML (UNIT/ML) 劑 300 U (UNIT) /12/ K NOVORAPID FLEXPEN NOV INSULIN ASPART 注射 ONO 100 U/ML (UNIT/ML) 劑 300 U (UNIT) /12/ K NOVOMIX 50 FLEXPEN NOV INSULIN ASPART 注射 ONO 100 U/ML (UNIT/ML) 劑 300 U (UNIT) /12/ B PLETAAL OD TABLETS 50 OTS UKA 口溶 PHA CILOSTAZOL 50 錠 RMA /12/01 第 1 頁, 共 22 頁

2 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 B PLETAAL OD TABLETS 100 OTS UKA CILOSTAZOL 100 PHA RMA. 口溶錠 /12/ B AA LEUPLIN DEPOT 1M 3.75 S.C. TAK EDA PHA LEUPROLIDE RMA ACETATE 3.75 CEU TICA 凍晶 /12/ B G0 SIBELIUM CAPSULES 5( 鋁箔 / 膠箔 ) JASE NK FLUNARIZINE (HCL) /12/ A ATOVA F.C. TABLETS 10 "YU SHENG" 優生 ATORVASTATIN (CALCIUM) /12/ A EXEN S.R. TABLETS 400 ETODOLAC 衛達 MICRONIZED 400 製造 持續性藥效錠 /12/ B OLANZAPINE SANDOZ FILM COATED TABLETS 5 SAN DOZ ILAC OLANZAPINE 5 SAN AYI VE /12/ A DICYCLOMINE TABLETS 10 "SENTAI" A FERRUM B A CX A A B B "CAPSUGEL" UTROGESTAN SOFT CAPSULE 100 PIZOTAM POWDER FOR I.V. INJ. PIZOTAM POWDER FOR I.V. INJ. LIPO-AB FOR GEMCITABINE SANDOZ 40/ML CONCENTRATE FOR SOLUTION FOR INFUSION GEMCITABINE SANDOZ 40/ML CONCENTRATE FOR SOLUTION FOR INFUSION 仙台製 壽元製 CAP SUG EL 東洋 EBE WE EBE WE DICYCLOMINE HCL 10 FERRIC- (HYDROXIDE- SUCROSE COMPLEX) 20 /ML PROGESTERONE 100 PIPERACILLIN SODIUM 2 GM PIPERACILLIN SODIUM 4 GM AMPHOTERICIN B 50 GEMCITABINE HYDROCHLORIDE 40 /ML GEMCITABINE HYDROCHLORIDE 40 /ML 第 2 頁, 共 22 頁 錠劑 /12/01 軟 乾粉 乾粉 凍晶乾粉 5 ML /12/ /12/ GM /12/ GM /12/ /12/01 5 ML /12/01 25 ML /12/01

3 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 B Y A GEMCITABINE SANDOZ 40/ML CONCENTRATE FOR SOLUTION FOR INFUSION TYSABRI CONCENTRATE FOR SOLUTION FOR INFUSION 300 IPROFEN TABLETS 400 "MACRO" (IBUPROFEN) A RIPAM TABLETS B EPIMATE 100 EBE WE GEMCITABINE HYDROCHLORIDE 40 /ML VET TER PHA natalizumab 20 RMA /ML - FER TIG 50 ML /12/01 15 ML /12/01 羅得 IBUPROFEN 400 錠劑 /12/01 中生 CLONAZEPAM 0.5 生技 淡水 TOR REN T TOPIRAMATE 100 錠劑 /12/ /12/ B APO-DONEPEZIL FILM TABLETS 5 APO TEX RES DONEPEZIL HCL 5 EAR CH PRIV /12/ B APO-DONEPEZIL FILM-COATED TABLETS 10 APO TEX RES DONEPEZIL HCL 10 EAR CH PRIV /12/ B CORYOL 40 FILM COATED TABLETS SAL UTA S GINKGO BILOBA FOLIUM EXTRACT /12/ B SAN DOZ MONTELUKAST ILAC MONTELUKAST SANDOZ 4 SAN (SODIUM) 4 CHEWABLE TABLETS AYI VE 咀嚼錠 /12/ A COUGHMEN TABLETS 20 (BENPROPERINE) "ASTAR" B LIPOSIC EYE GEL B LIPOSIC FLUID EYE GEL 安星 BENPROPERINE 製造 PHOSPHATE 20 CARBOMER GER (=CARBOPOL=CAR HAM BOXYPOLYMETHY LENE) 2 /GM CARBOMER GER (=CARBOPOL=CAR HAM BOXYPOLYMETHY LENE) 2 /GM 錠劑 /12/01 眼用凝膠劑 眼用凝膠劑 10 GM /12/01 10 GM /12/ AB PLETAAL TAB. 50 大塚 CILOSTAZOL 50 錠劑 /12/01 第 3 頁, 共 22 頁

4 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AB AB AB AB AB405831G AB AB AB AB453631G AB AB AB PLETAAL TABLETS 100 FADIN F.C. TABLET 20 "STANDARD" (FAMOTIDINE) OMEZOL CAP. 20 (OMEPRAZOLE) GLUZIDE TABLETS 80 "STANDARD" (GLICLAZIDE) GLUZIDE TABLETS 80 "STANDARD" (GLICLAZIDE)( 鋁箔 / 膠箔 ) Glucomin X.R. Tablets 500mg "P.L." LICODIN F.C.TABLET 250 (TICLOPIDINE) FURIDE TABLETS 40 "STANDARD"(FUROS EMIDE) FURIDE TABLETS 40 "STANDARD"(FUROS EMIDE)( 鋁箔 / 膠箔 ) LOSARTAN F.C. TABLETS 50 "CYH" LOSART F.C. TABLETS 50 "STANDARD" (LOSARTAN POTASSIUM) 大塚 CILOSTAZOL 100 生達 FAMOTIDINE 20 生達 OMEPRAZOLE 20 二 錠劑 /12/ /12/ /12/01 生達 GLICLAZIDE 80 錠劑 /12/01 生達 GLICLAZIDE 80 培力 ATOVER F.C. TABLETS 40 P.L. 培力 " AB RIBARIN CAPSULES AB AB AB AB AB289211G0 NO-TON F.C. TABLETS 500 "STANDARD" Neurtrol F.C. Tablets 300mg CILOPA F.C TABLETS 20 "S.C" PICETAM CAPSULES 400 "STANDARD" (PIRACETAM) PICETAM CAPSULES 400 "STANDARD" (PIRACETAM)( 鋁箔 / 膠箔 ) METFORMIN HCL 500 臺灣東洋 TICLOPIDINE HCL 中壢 250 生達 FUROSEMIDE 40 第二 生達 FUROSEMIDE 40 第二 中化 LOSARTAN 新豐 POTASSIUM 50 製 生達 LOSARTAN 二 POTASSIUM 50 ATORVASTATIN (CALCIUM) 40 臺灣東洋 RIBAVIRIN 200 中壢 生達 NABUMETONE 500 化學 健亞 十全 OXCARBAZEPINE 300 緩釋錠 /12/ /12/01 CITALOPRAM 膜衣 HYDROBROMIDE 20 錠 生達膠囊 PIRACETAM 400 二劑 生達 PIRACETAM 400 二 /12/ /12/ /12/ /12/ /12/ /12/ /12/ /12/ /12/01 第 4 頁, 共 22 頁

5 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AB AB223451G AB AB AB AB NB099311G0 TAMEDIN F.C. TABLETS "STANDARD" (CIMETIDINE) TAMEDIN F.C. TABLETS "STANDARD" (CIMETIDINE)( 鋁箔 / 膠箔 ) DOMPEDON SUPPOSITORY 10 "STANDARD" (DOMPERIDONE) ACARBOSE F.C. TABLETS 50 "CYH" BENTOMIN TABLETS 1000 S.C." GLITOS TABLETS 15 SANYL S.C. TABLETS( 鋁箔 / 膠箔 ) AB PROPRANOLOL TABLETS 10 生達 CIMETIDINE 200 生達 CIMETIDINE 200 生達 DOMPERIDONE 10 二 中化新豐 ACARBOSE 50 製 十全 PROPRANOLOL AB091021G0 TABLETS 10 ( 鋁箔 / 生達 膠箔 ) AB AB AB AB AMLOBIN TABLETS 10 STANDARD " METFORMIN HCL 1000 中化 PIOGLITAZONE 15 新豐 製生達 NICAMETATE 二 CITRATE 50 PROPRANOLOL 生達 HCL 10 PROPRANOLOL HCL 10 生達 AMLODIPINE 二 (BESYLATE) 10 中化 IBESAA F.C. TABLETS IRBESARTAN 300 新豐 300 製 ATORVA FILM- COATED TABLETS 10 STANDARD " (ATORVASTATIN) ATORVA F.C. TAB. 20 "STANDARD" (ATORVASTATIN) 生達 ATORVASTATIN 二 (CALCIUM) 10 生達 ATORVASTATIN 二 (CALCIUM) /12/ /12/01 栓劑 /12/ /12/01 錠劑 /12/01 錠劑 /12/01 糖衣錠 /12/01 錠劑 /12/01 錠劑 /12/ /12/ /12/ /12/ AB BEFAT F.C. TAB. 200 "STANDARD" (BEZAFIBRATE) 生達 BEZAFIBRATE 200 化學 /12/ AB AB BOJUM INTRAVENOUS 0.25G BOJUM INTRAVENOUS 0.5G 展旺 MEROPENEM 針劑 TRIHYDRATE 250 展旺 MEROPENEM 針劑 TRIHYDRATE 500 乾粉 乾粉 /12/ /12/ BB ARBREAST F.C. TAB. 1 (ANASTROZOLE) STA SON PHA ANASTROZOLE 1 RMA CEU TICA /12/01 第 5 頁, 共 22 頁

6 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AB DIFENA SUPP "STANDARD" (DICLOFENAC SODIUM) 生達 DICLOFENAC 二 SODIUM 12.5 栓劑 /12/ AB AB AC AC AC AC AC VOTALIN SUPPOSITORY 12.5 (DICLOFENAC SODIUM) "P.L." ARIPIPRAZOLE TABLETS 10 "GENOVATE" 培力 健亞 DICLOFENAC SODIUM 12.5 ARIPIPRAZOLE 10 PANTOPRAZOLE PANTYL GASTRO- 中化 SODIUM RESISTANT TABLETS 新豐 SESQUIHYDRATE 40 製 40 CAPTOPRI TABLETS 25 (CAPTOPRIL) TANZA F.C. TABLETS 50 C.S." RETONIN F.C. TABLETS 80 LINICOR F.C.T. 500/20 栓劑 /12/01 錠劑 /12/01 腸溶 /12/01 CAPTOPRIL 25 錠劑 /12/01 正和 LOSARTAN 新營 POTASSIUM 50 VALSARTAN 80 健亞 NIACIN (=NICOTINIC ACID) /12/ /12/ /12/ AC ROSULATOR F.C. ROSUVASTATIN 十全 TABLETS 10 "S.C." CALCIUM /12/ AC AC AC AC AC AC NOSPASM TABLETS 10 "Y.Y."(PIPOXOLAN) ZOTAN ORALLY DISINTEGRATING TABLETS 0.2 LOFALIN 1000 (CEFOZOLIN SODIUM) LOFATIN 1000 (CEFOXITI N) LOFADINE 1000 (CEPHRADINE) ANSUZOLE F.C TABLETS AC CELECOLEN CAPSULES AC PINTON SR TABLETS 400 "C.H." PIPOXOLAN HCL 10 中化 TAMSULOSIN HCL 新豐 0.2 製 CEFAZOLIN (SODIUM) 1000 CEFOXITIN (SODIUM) 1000 CEPHRADINE 1000 美時 ANASTROZOLE 1 南投 錠劑 /12/01 持續性釋放口溶錠 乾粉 膠囊 CELECOXIB 200 劑 正和新營 ETODOLAC 400 第 6 頁, 共 22 頁 持續性藥效錠 /12/01 1 GM /12/01 1 GM /12/01 1 GM /12/ /12/ /12/ /12/01

7 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AC AC AC AC AC AC LEVELIN F.C. TABLETS 100 ARIZOLE ORALLY DISINTEGRATING TABLETS 15 FLUOXETINE CAPSULES 20 "CYH" BENSAU SOFT CAPSULES 200 "LOTUS" CETIMIN FILM COATED TABLETS 10 "C.H" GENOL TABLETS 120 (DIBISMUTH TRIOXIDE) TOPIRAMATE 100 中化 ARIPIPRAZOLE 15 新豐 製 中化 FLUOXETINE (HCL) 新豐 20 製 美時 BENZONATATE 200 南投 正和 CETIRIZINE 新營 DIHYDROCHLORID E 10 BISMUTH SUBCITRATE COLLOIDAL(=TRIP OTASSIUM DICITRATE BISMUTHATE) 300 口溶錠 軟 /12/ /12/ /12/ /12/ /12/01 錠劑 /12/ AC STOGAMET TABLETS 400 "SWISS" (CIMETIDINE) CIMETIDINE AC370541G0 STOGAMET TABLETS 400 "SWISS" (CIMETIDINE)( 鋁箔 / 膠箔 ) CIMETIDINE AC EMAZOLE POWDER FOR SOLUTION FOR 生達 ESOMEPRAZOLE /INFUSION 化學 (SODIUM) "STANDARD" 凍晶 /12/ BC OMEPRAZOLE SANDOZ 40 POWDER FOR SOLUTION FOR INFUSION LEK PHA RMA OMEPRAZOLE 40 CEU TICA LS 凍晶 /12/ AC AC GASPIN TABLETS (PIRENZEPINE) ULSAMIN FINE GRANULES 900/GM (BASIC ALUMINUM SUCROSE SULFATE) PIRENZEPINE 2HCL 25 SUCRALFATE(=BAS IC ALUMINUM SUCROSE SULFATE) 900 /GM 錠劑 /12/01 細粒劑 1 GM /12/ AC AC DOMPERAN TABLETS DOMPERIDONE "SWISS" (DOMPERIDONE) MOTIN TABLETS 10 DOMPERIDONE 10 "Y.J."(DOMPERIDONE ) 第 7 頁, 共 22 頁

8 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AC AC STOPIN TABLETS (METHYL- SCOPOLAMINE METHYL SULFATE) SPASTEC F.C. TABLETS 50 "SWISS" METHSCOPOLAMIN E METHYLSULFATE 1 PINAVERIUM BROMIDE /12/ AC LOPERAMIDE LOPERAMIDE HCL 2 膠囊 CAPSULES "HONTEN" 劑 /12/ AC168211G0 LOPERAMIDE LOPERAMIDE HCL 2 膠囊 CAPSULES 劑 "HONTEN"( 鋁箔 / 膠箔 ) /12/ AC METFORMIN TABLETS 500 "C.H." NC B-COMPLEX "Y.Y." NC B-COMPLEX "Y.Y." 正和 METFORMIN HCL 新營 500 THIAMINE HCL (=THIAMINE CHLORIDE HYDROCHLORIDE) 60 /ML THIAMINE HCL (=THIAMINE CHLORIDE HYDROCHLORIDE) 60 /ML 1 ML /12/01 10 ML /12/ AC NICOFEROL CAPSULES (TOCOPHEROL NICOTINATE) TOCOPHEROL NICOTINATE /12/ AC AC566901G AC AC AC PHOSUNK TABLET 667 "SWISS"(CALCIUM ACETATE) KAI-HO CHEWABLE TABLETS 950 "C.S."( 鋁箔 / 膠箔 ) CALAD CALCIUM SUSPENSION CALCIUM ACETATE 667 正和 CALCIUM CITRATE 新營 950 TRICALCIUM PHOSPHATE 103 /ML 正和 DIPYRIDAMOLE S.C. DIPYRIDAMOLE 25 新營 TABLETS 25 "C.H." PERANSIN F.C. TABLETS 75 (DIPYRIDAMOLE) "C.H." 正和 DIPYRIDAMOLE 75 新營 咀嚼錠 內服乳劑 糖衣錠 /12/ ML /12/ /12/ /12/ AC GEXAMIN TRANEXAMIC ACID 注射 100 /ML 劑 (TRANEXAMIC ACID) 2 ML /12/ AC BLOODFULL S.C. TABLETS "C.H." 正和 FERROUS 新營 FUMARATE 50 糖衣錠 /12/01 第 8 頁, 共 22 頁

9 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AC HI-OHB12 5/ML (HYDROXOCOBALA MIN) HYDROXOCOBALA MIN (ACETATE) 5 /ML 1 ML /12/ AC HYCOBAL (HYDROXOCOBALA MINE) "SWISS" HYDROXOCOBALA MIN 2.5 /ML 2 ML /12/ AC HICOVITA THIAMINE DISULFIDE 5 /ML 10 ML /12/ AC COBAMAMIDE COBAMAMIDE 0.25 CAPSULES "HONTEN" /12/ AC HICOBAL CAPSULES COBAMAMIDE /12/ AC ANTIFLAN E.S.C. TABLETS 100 (BROMELAIN)"C.H." 正和 BROMELAIN 100 新營 腸溶糖衣錠 /12/ AC EPINEPHRINE 1/ML "CYH" 中化 EPINEPHRINE 注射新豐 (=ADRENALIN=EPIR 劑製 ENAMINE) 1 /ML 1 ML /12/ AC AC AC AC LIDOCAINE HCL 2% FOR I.V. "LITA" RELAPINE TABLETS "C.H." PROPRANOLOL HYDROCHLORIDE TABLETS "C.H." CAPTOPRI TABLETS 12.5 (CAPTOPRIL) LIDOCAINE HCL 20 /ML 5 ML /12/01 正和 新營 RESERPINE 0.1 正和 PROPRANOLOL 新營 HCL 10 錠劑 /12/01 CAPTOPRIL 12.5 錠劑 /12/ BC LOSARTAN SANDOZ COMP FILM COATED TABLET 50/12.5 LEK PHA RMA LOSARTAN CEU POTASSIUM 50 TICA LS /12/ AC ATOVER F.C. ATORVASTATIN 培力 TABLETS 20 "P.L." (CALCIUM) /12/ AC SORIALEN F.C.TABLETS 10 "SWISS" (METHOXSALEN) METHOXSALEN /12/ AC LOMEANE CREAM "S.C." 十全 MOMETASONE FUROATE 1 /GM 乳膏劑 5 GM /12/ NC ERGOLATE TABLETS AC DEXAMETHASONE "Y.Y." ERGONOVINE MALEATE 0.2 DEXAMETHASONE (SODIUM PHOSPHATE) 2 /ML 1 ML /12/01 第 9 頁, 共 22 頁

10 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AC DEXAMETHASONE 4/ML AC DEXAMETHASONE "Y.Y." AC DEXAMETHASONE "Y.Y." AC AC AC AC AC AC AC578111G0 DEXAMETHASONE 4 /ML METICORT TABLETS 4 "KINGDOM" (METHYLPREDNISOL ONE) MEPRON POWDER FOR 0.04GM MEPRON POWDER FOR INJ. 0.25G MEPRON INJ. 0.5G MEPRON POWDER FOR INJ.1G PREDNISOLONE TABLETS 5 "CYH"( 鋁箔 / 膠箔 ) DEXAMETHASONE PHOSPHATE (SODIUM) 4 /ML DEXAMETHASONE PHOSPHATE (SODIUM) 2 /ML DEXAMETHASONE (SODIUM PHOSPHATE) 2 /ML DEXAMETHASONE PHOSPHATE (SODIUM) 4 /ML 盈盈 METHYLPREDNISO 生技 LONE AC HONTAN TABLETS AC AC AC AC AC AC AC AC SULAMPI POWDER FOR IV 750 SULAMPI POWDER FOR IV 1500 LOFALIN 500 (CEFAZOLIN) CEFACIN "LITA" CEFACIN "LITA" MACEPIM POWDER FOR I.V. (500) MACEPIM POWDER FOR I.V. (1GM) MACEPIM POWDER FOR I.V. (2GM) METHYLPREDNISO LONE (SODIUM SUCCINATE) 40 METHYLPREDNISO LONE (SODIUM SUCCINATE) 250 METHYLPREDNISO LONE (SODIUM SUCCINATE) 500 METHYLPREDNISO LONE (SODIUM SUCCINATE) 1 GM 中化 PREDNISOLONE 5 新豐 製 METHIMAZOLE 5 SULBACTAM (SODIUM) 0.25 GM SULBACTAM (SODIUM) 0.5 GM CEFAZOLIN (SODIUM) 500 CEFAZOLIN (SODIUM) 500 CEFAZOLIN (SODIUM) 1000 CEFEPIME HCL (EQ TO CEFEPIME) 500 CEFEPIME (AS HYDROCHLORIDE) 1 GM 1 ML /12/01 2 ML /12/01 10 ML /12/01 10 ML /12/01 錠劑 /12/01 乾粉 乾粉 乾粉 乾粉 /12/ /12/ /12/01 1 GM /12/01 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 CEFEPIME HCL (EQ 注射 TO CEFEPIME) 2 GM 劑 第 10 頁, 共 22 頁 /12/ GM /12/ /12/ /12/01 1 GM /12/ /12/01 1 GM /12/01 2 GM /12/01

11 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AC AC AC AC AC AC AC AC AC AC AC AC AC AC AC AC AC AC LOFORAN 0.5G (CEFOTAXI ME SODIUM) CEFTAM 0.5GM,1GM,2GM (CEFOTAXIME SODIUM) "LITA" LOFORAN FOR 1GM (CEFOTAXIME SODIUM) CEFTAM 0.5GM,1GM,2GM (CEFOTAXIME SODIUM) "LITA" LOFORAN FOR 2GM (CEFOTAXI ME SODIUM) CEFTAM 0.5GM,1GM,2GM (CEFOTAXIME SODIUM) "LITA" LOTIAM POWDER FOR IV INJ. 250 LOTIAM POWDER FOR IV INJ. 500 LOTIAM POWDER FOR IV INJ CEPIROM POWDER FOR I.V. 1G CEPIROM POWDER FOR I.V. 2G CEFADIME POWDER FOR IV CEFADIME POWDER FOR IV CEFADIME POWDER FOR IV GIBICEF POWDER FOR (CEFUROXIME) GIBICEF POWDER FOR (CEFUROXIME) CLP POWDER FOR 1GM "Y.Y" TOPCEF CAPSULES 250 (CEPHRADINE) CEFOTAXIME (SODIUM) 500 CEFOTAXIME (SODIUM) 500 CEFOTAXIME (SODIUM) 1 GM CEFOTAXIME (SODIUM) 1 GM CEFOTAXIME (SODIUM) 2 GM CEFOTAXIME (SODIUM) 2 GM CEFOTIAM (2HCL) 250 CEFOTIAM (2HCL) 500 CEFOTIAM (2HCL) 1 GM CEFPIROME (SULFATE) 1000 CEFPIROME (SULFATE) 2000 CEFTAZIDIME 500 CEFTAZIDIME 1000 CEFTAZIDIME 2000 CEFUROXIME (SODIUM) 500 CEFUROXIME (SODIUM) 1 GM CEPHALEXIN (SODIUM) 1000 CEPHRADINE MONOHYDRATE 250 第 11 頁, 共 22 頁 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 /12/ /12/01 1 GM /12/01 1 GM /12/01 2 GM /12/01 2 GM /12/ /12/ /12/01 1 GM /12/01 1 GM /12/01 2 GM /12/ /12/01 1 GM /12/01 2 GM /12/ /12/01 1 GM /12/01 1 GM /12/ /12/01

12 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AC AC AC AC AC112241G AC AC AC AC AC AC LOFADINE 500 (CEPHRADINE) CEPHRADINE 500 CEFAMID FOR CEPHRADINE 1000 CEFAMID FOR CEPHRADINE 2000 DOXYNIN CAPSULES "SWISS" DOXYNIN CAPSULES "SWISS"( 鋁箔 / 膠箔 ) ERYTHROMYCIN CAPSULES 250 "HONTEN" FOCIMYCIN POWDER FOR FOCIMYCIN POWDER FOR DOXYCYCLINE (HCL) 100 DOXYCYCLINE (HCL) 100 GENTAMICIN 140/ML GENEM FOR YOUNAM POWDER FOR IV 乾粉 乾粉 ERYTHROMYCIN 膠囊 (ESTOLATE) 250 劑 永信台中 FOSFOMYCIN 2 GM 幼獅 永信台中 FOSFOMYCIN 幼獅 (SODIUM) 4 GM GENTAMICIN (SULFATE) 140 /ML IMIPENEM 250 展旺針劑 IMIPENEM AC Genem for Injection IMIPENEM AC AC AC AC AC AC AC YOUNAM POWDER FOR IV LICOXIN 300/ML (LINCOMYCIN) LICOXIN 300/ML (LINCOMYCIN) MEXOPEM POWDER FOR 展旺針劑 IMIPENEM 500 LINCOMYCIN (HCL) 300 /ML LINCOMYCIN (HCL) 300 /ML MEROPENEM TRIHYDRATE 250 展旺 MEROPENEM MELOPEN POWDER 針劑 TRIHYDRATE 250 FOR 0.25G MEXOPEM POWDER FOR MELOPEN POWDER FOR 0.5G MEROPENEM TRIHYDRATE 500 展旺 MEROPENEM 針劑 TRIHYDRATE 500 第 12 頁, 共 22 頁 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 乾粉 /12/01 1 GM /12/01 2 GM /12/ /12/ /12/ /12/01 2 GM /12/01 4 GM /12/01 10 ML /12/ /12/ /12/ /12/ /12/01 2 ML /12/01 10 ML /12/ /12/ /12/ /12/ /12/01

13 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AC AC AC MELOPEN POWDER FOR 1G BATHOLIN TABLETS Teiconin powder for I.V. Injection 展旺 MEROPENEM 針劑 TRIHYDRATE 1 GM TRIMETHOPRIM 80 TEICOPLANIN 200 乾粉 1 GM /12/01 乾粉 /12/ BC TEICOPLANIN SANDOZ POWDER FOR LEK PHA RMA TEICOPLANIN 400 CEU TICA LS 凍晶 /12/ AC AC AC AC TEICONIN POWDER FOR I.V. TEICOPLANIN 400 VANCO POWDER FOR VANCOMYCIN (VANCOMYCIN) (HCL) 500 VANCO POWDER FOR VANCOMYCIN (VANCOMY (HCL) 1 GM CIN) LISOME TABLETS 30 "HONTEN" (LYSOZYME) LYSOZYME (CHLORIDE) 30 乾粉 乾粉 乾粉 /12/ /12/01 1 GM /12/ BC DOXORUBICIN "ALVOGEN" SOLUTION FOR 2/ML GEN EPH DOXORUBICIN HCL 注射 ARM 2 /ML 劑 S.A. 10 ML /12/ BC DOXORUBICIN "ALVOGEN" SOLUTION FOR 2/ML GEN EPH DOXORUBICIN HCL 注射 ARM 2 /ML 劑 S.A. 50 ML /12/ AC AC422161G AC AC386221G AC FURIL CAPSULES "LOTUS" FLAMQUIT F.C.TABLETS 25 "SWISS" (DICLOFENAC POTASSIUM)( 鋁箔 / 膠箔 ) PAINSTOP E.C. TABLET 50 "SWISS" (DICLOFENAC) PAINSTOP E.C. TABLET 50 "SWISS" (DICLOFENAC)( 鋁箔 / 膠箔 ) PAINSTOP 25/ML (DICLOFENAC) 美時 TEGAFUR 南投 (=FTORAFUR) 100 DICLOFENAC POTASSIUM 25 DICLOFENAC SODIUM 50 DICLOFENAC SODIUM 50 DICLOFENAC SODIUM 25 /ML 第 13 頁, 共 22 頁 /12/ /12/01 3 ML /12/01

14 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AC IBUPROFEN TABLETS 400 "HONTEN" IBUPROFEN AC195961G0 IBUPROFEN TABLETS 400 "HONTEN" ( 鋁箔 / 膠箔 ) IBUPROFEN AC REFEN TABLETS 200 "Y.J."(TIAPROFENIC ACID) AC SUMAKIN CAPSULES TIAPROFENIC ACID 200 CHLORZOXAZONE AC486301G0 SUMAKIN CHLORZOXAZONE CAPSULES( 鋁箔 / 膠箔 ) 150 CHLORZOXAZONE NC NINLAXIN TABLETS NC023191G0 NINLAXIN TABLETS( 鋁箔 / 膠箔 ) AC AC343261G NC AC AC ORFLEX (ORPHENADRINE) URICIN TABLETS 50 (BENZBROMARONE) ( 鋁箔 / 膠箔 ) COLCINE TABLETS "HONTEN" KEYBONE 1/ML ERGOCAFE TABLETS "C.H." NC ERGOFFEINE TABLETS "HONTEN" CHLORZOXAZONE 200 ORPHENADRINE CITRATE 30 /ML BENZBROMARONE 50 錠劑 /12/ /12/ /12/01 2 ML /12/01 COLCHICINE 0.5 南光 IBANDRONIC ACID 1 /ML 正和 ERGOTAMINE 新營 TARTRATE 1 ERGOTAMINE TARTRATE 1 3 ML /12/ AC ANOPAIN 20/ML (NEFOPAM) NEFOPAM HCL 20 /ML 1 ML /12/ AC LEVETIR CONCENTRATE FOR SOLUTION FOR INFUSION 100/ML 聯亞生技 LEVETIRACETAM 新竹 100 /ML 二 5 ML /12/ NC PHENOBARBITAL TABLETS "HONTEN" NC134191G0 PHENOBARBITAL TABLETS "HONTEN" ( 鋁箔 / 膠箔 ) AC ALEVIATIN 聯亞生技新竹二 PHENOBARBITAL 30 PHENOBARBITAL 30 PHENYTOIN (SODIUM) 50 /ML 5 ML /12/ AC SWITANE TABLET 2 "SWISS" (TRIHEXYPHENIDYL) TRIHEXYPHENIDYL HCL (=BENZHEXOL HYDROCHLORIDE) 2 第 14 頁, 共 22 頁

15 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AC395971G0 SWITANE TABLET 2 "SWISS" (TRIHEXYPHENIDYL) ( 鋁箔 / 膠箔 ) TRIHEXYPHENIDYL HCL (=BENZHEXOL HYDROCHLORIDE) AC295031G AC AC429191G0 BROPAN TABLETS 3 BROMAZEPAM 3 (BROMAZEPAM)( 鋁箔 / 膠箔 ) BININ-U (HALOPERIDOL) HALOPERIDOL 5 /ML DOFLEX TABLETS 200)(ME MEPHENOXALONE PHENOXALONE)( 鋁箔 200 / 膠箔 ) NC NOVOMIT TABLETS NC130751G0 NOVOMIT TABLETS( 鋁箔 / 膠箔 ) AC AC296351G AC AC103741G0 DOGWEISU CAPSULES 50 (SULPIRIDE) CINNARIZINE TABLETS "YUNG SHIN"( 鋁箔 / 膠箔 ) CINNARIN TABLETS "HONTEN" CINNARIN TABLETS "HONTEN" ( 鋁箔 / 膠箔 ) PROCHLORPERAZI NE ((DI)MALEATE) 5 PROCHLORPERAZI NE ((DI)MALEATE) 5 SULPIRIDE 50 永信台中 CINNARIZINE 25 幼獅 CINNARIZINE 25 CINNARIZINE 25 1 ML /12/ /12/ AC150901G0 PSEUDOEPHEDRINE PSEUDOEPHEDRINE HCL TABLETS HCL 60 "HONTEN"( 鋁箔 / 膠箔 ) AC TRAMEZIN TABLETS "HONTEN" METHYLEPHEDRIN E DL- HCL AC087531G0 TRAMEZIN TABLETS METHYLEPHEDRIN "HONTEN"( 鋁箔 / 膠箔 ) E DL- HCL AC SALTOLIN (SALBUTAMOL) SALBUTAMOL (SULFATE) 0.5 /ML 1 ML /12/ AC AC AC173281G0 FUMUCIL (ACETYLCYSTEINE) ACETYLCYSTEINE 100 /ML DEXTROMETHORPHA DEXTROMETHORP N TABLETS 30 HAN HBR 30 "HONTEN" DEXTROMETHORPHA DEXTROMETHORP N TABLETS 30 HAN HBR 30 "HONTEN"( 鋁箔 / 膠箔 ) 3 ML /12/ AC BROWN MIXTURE LIQ. (WITH OPIUM) "HEALTH" 健康製 GLYCYRRHIZA EXTRACT 0.12 ML/ML 內服液劑 200 ML /12/01 第 15 頁, 共 22 頁

16 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 AC AC BIOCON COFEN 1 TABLETS (KETOTIFEN) "C.H." AC Minieton Tablets AC481461G0 MINIETON TABLETS( 鋁箔 / 膠箔 ) AC481461G1 MINIETON TABLETS(14 粒 / 瓶 ) AC481461G2 MINIETON TABLETS(28 粒 / 瓶 ) AC481461G4 MINIETON TABLETS(56 粒 / 瓶 ) AC AC AC AC AD AD CURZOLAN EYE DROPS ANZOMIN EYE DROPS LOMOLAN OPHTHALMIC SOLUTION 0.25% GENTLE" LOMOLAN OPHTHALMIC SOLUTION 0.25% GENTLE" Lactulose Liquid "SHUN HWA" Lactulose Liquid "SHUN HWA" CHLORPHENIRAMI NE MALEATE 1 /ML 正和 KETOTIFEN 新營 (FUMARATE) 1 MEQUITAZINE 5 MEQUITAZINE 5 MEQUITAZINE 5 MEQUITAZINE 5 MEQUITAZINE 5 麥迪 ANTAZOLINE HCL 森桃 0.5 /ML 園 麥迪 ANTAZOLINE 森桃 PHOSPHATE 0.15 園 /ML 順華 順華 TIMOLOL (MALEATE) 2.5 /ML TIMOLOL (MALEATE) 2.5 /ML LACTULOSE 600 /ML LACTULOSE 600 /ML 2 ML /12/01 錠劑 /12/01 點眼液劑 點眼液劑 點眼液劑 點眼液劑 內服液劑內服液劑 5 ML /12/01 5 ML /12/01 3 ML /12/01 5 ML /12/ ML /12/ ML /12/ B LEUCOVORIN CALCIUM 50/ML "DBL" HOS PIRA AUS TRA LIA FOLINATE (CALCIUM)=LEUCO VORIN(CALCIUM) 10 /ML 10 ML /12/ A VITAMIN B COMPLEX S.C. TABLETS "F.Y." 元宙 THIAMINE DISULFIDE 50 糖衣錠 /12/ A GLUCOSE 5% 永豐 DEXTROSE 50 /ML 100 ML /12/ A GLUCOSE 5% 永豐 DEXTROSE 50 /ML 250 ML /12/ A GLUCOSE 5% 永豐 DEXTROSE 50 /ML 500 ML /12/ A GLUCOSE 5% 永豐 DEXTROSE 50 /ML 1 L (LITER) /12/ A BICARBONA 永豐 SODIUM BICARBONATE 70 /ML 20 ML /12/01 第 16 頁, 共 22 頁

17 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 A A A A ANCOM TABLETS "D.T.S." COLON TABLETS "D.T.S" RECIN TABLETS 2"D.T.S" ALLEVO F.C. TABLETS 5 CBC " 羅得 羅得 A WE-WANG TABLETS 榮山 A BETACIN OPHTHALMIC SOLUTION DEXAMETHASONE 0.5 PREDNISOLONE 5 錠劑 /12/01 錠劑 /12/01 羅得 DIAZEPAM 2 錠劑 /12/01 中生 LEVOCETIRIZINE 生技 DIHYDROCHLORID 淡水 E 5.00 榮山 A BASOL CREAM 榮山 A BASOL CREAM 榮山 A BASOL CREAM 榮山 A BASOL CREAM 榮山 A BASOL CREAM 榮山 A A A A G0 EYECALM EYE DROPS "STANDARD" PROAZINE TABLETS (PROCHLORPERAZIN E MALEATE) OXOLA TABLETS 100 "KOJAR" (OXOLAMINE CITRATE) OXOLA TABLETS 100 "KOJAR" (OXOLAMINE CITRATE) ( 鋁箔 / 膠箔 ) 生達 合誠 國嘉 國嘉 A MEBLIN 國嘉 A G A MEBLIN TABLETS 50 國嘉 "KOJAR"(MEBHYDRO LIN)( 鋁箔 / 膠箔 ) SILIMIN CAPSULES 150 (SILYMARIN) "KOJAR" 國嘉 BUTYLSCOPOLAMI NE BROMIDE (=HYOSCINE BUTYLBROMIDE) 2.00 GENTAMICIN (SULFATE) 3.00/ML CLOBETASOL PROPIONATE 0.50/GM CLOBETASOL PROPIONATE 0.50/GM CLOBETASOL PROPIONATE 0.50/GM CLOBETASOL PROPIONATE 0.50/GM CLOBETASOL PROPIONATE 0.50/GM GENTAMICIN (SULFATE) 3.00/ML PROCHLORPERAZI NE ((DI)MALEATE) 5.00 OXOLAMINE CITRATE 100 OXOLAMINE CITRATE 100 MEBHYDROLIN (NAPADISYLATE) 50 MEBHYDROLIN (NAPADISYLATE) 50 SILYMARIN (FRUCTUS CARDUI MARIAE EXTRACT) /12/01 錠劑 /12/01 點眼液劑 乳膏劑 乳膏劑 乳膏劑 乳膏劑 乳膏劑 點眼液劑 6 ML /12/01 5 GM /12/01 7 GM /12/01 15 GM /12/01 20 GM /12/01 1 GM /12/01 5 ML /12/01 錠劑 /12/01 錠劑 /12/01 錠劑 /12/01 錠劑 /12/01 錠劑 /12/ /12/01 第 17 頁, 共 22 頁

18 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 A A A A A AC CYPROH SOLUTION 0.4/ML (CYPROHEPTADINE HYDROCHLORIDE) "KOJAR" CYPROH SOLUTION 0.4/ML 60ML CYPROH SOLUTION 0.4/ML (CYPROHEPTADINE HYDROCHLORIDE) "KOJAR" 國嘉 國嘉 國嘉 CYPROHEPTADINE HCL 0.4 /ML CYPROHEPTADINE HCL 0.4 /ML CYPROHEPTADINE HCL 0.4 /ML CYPRON SOLUTION 0.4/ML CYPROHEPTADINE "KOJAR"(CYPROHEPT 國嘉 HCL 0.4 /ML ADINE HYDROCHLORIDE) KUETONBILY TABLETS 10 "KOJAR" (DICYCLOMINE HYDROCHLORIDE) CADOTIN NASAL SPRAY 50IU "STANDARD" (SALMON CALCITONIN) 國嘉 DICYCLOMINE HCL 生達 CALCITONIN 化學 SALMON 550 IU/ML 內服液劑 內服液劑 內服液劑 內服液劑 30 ML /12/01 60 ML /12/ ML /12/01 1 ML /12/01 錠劑 /12/01 鼻用氣化噴霧劑 700 IU /12/ B HAEMOPRESSIN 1 WUL FING TERLIPRESSIN- PHA ACETATE RMA (=GLYPRESSIN) 1 GMB H 乾粉 /12/ B A A A A A CABAGIN-U TABLETS KO "KOWA" WA ICOTON "PANBIOTIC" ICOTON "PANBIOTIC" ICOTON "PANBIOTIC" ICOTON "PANBIOTIC" FORMIN 25/ML (DICLOFENAC) "PZNBIOTIC" VITAMIN U (=METHYLMETHIO NINE SULFONIUM CHLORIDE) 25 GLYCYRRHIZATE 臺灣 AMMONIUM SALT 汎生 (=GLYCAMIL) 2 /ML GLYCYRRHIZATE 臺灣 AMMONIUM SALT 汎生 (=GLYCAMIL) 2 /ML GLYCYRRHIZATE 臺灣 AMMONIUM SALT 汎生 (=GLYCAMIL) 2 /ML GLYCYRRHIZATE 臺灣 AMMONIUM SALT 汎生 (=GLYCAMIL) 2 /ML 臺灣 DICLOFENAC 汎生 SODIUM 25 /ML 糖衣錠 /12/01 2 ML /12/01 5 ML /12/01 10 ML /12/01 20 ML /12/01 3 ML /12/01 第 18 頁, 共 22 頁

19 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 A A A A A A TONMEX 20/ML (PIROXICAM) "PANBIOTIC" TONMEX 20/ML (PIROXICAM) "PANBIOTIC" CEFIN FOR I.V. (CEFTRIAXONE) "PANBIOTIC" CEFIN FOR I.V. (CEFTRIAXONE) "PANBIOTIC" CEFIN FOR I.V. (CEFTRIAXONE) "PANBIOTIC" CEFIN FOR I.V. (CEFTRIAXONE) "PANBIOTIC" A PELION TABLETS A SPIRON TABLETS A G0 SPIRON TABLETS( 鋁箔 / 膠箔 ) A AIFUPO OINTMENT "S.M." A AIFUPO OINTMENT "S.M." A AIFUPO OINTMENT "S.M." A AIFUPO OINTMENT "S.M." A A G A A G A A CIMETIN TABLETS 400 "SENTAI" (CIMETIDINE) CIMETIN TABLETS 400 "SENTAI" (CIMETIDINE)( 鋁箔 / 膠箔 ) CIMETIN TABLETS 200 "SENTAI" (CIMETIDINE) CIMETIN TABLETS 200 "SENTAI" (CIMETIDINE)( 鋁箔 / 膠箔 ) Shuli qing Gel Sentai " Shuli qing Gel Sentai " 臺灣 PIROXICAM 20 汎生 /ML 臺灣 PIROXICAM 20 汎生 /ML CEFTRIAXONE 乾粉臺灣 (DISODIUM 3.5 H2O) 注射汎生 1 GM 劑 CEFTRIAXONE 乾粉臺灣 (DISODIUM 3.5 H2O) 注射汎生 2 GM 劑 CEFTRIAXONE 乾粉臺灣 (DISODIUM 3.5 H2O) 注射汎生 0.25 GM 劑 CEFTRIAXONE 乾粉臺灣 (DISODIUM 3.5 H2O) 注射汎生 500 劑 居禮 CYPROHEPTADINE 化學 HCL 4.00 居禮 SPIRONOLACTONE 化學 居禮 SPIRONOLACTONE 化學 PREDNISOLONE 昱任 1.25/GM PREDNISOLONE 昱任 1.25/GM PREDNISOLONE 昱任 1.25/GM PREDNISOLONE 昱任 1.25/GM 仙台 CIMETIDINE 藥品 工業 仙台 CIMETIDINE 藥品 工業 仙台 CIMETIDINE 藥品 工業 仙台 CIMETIDINE 藥品 工業 仙台製 仙台製 CLINDAMYCIN (PHOSPHATE) 10.00/GM CLINDAMYCIN (PHOSPHATE) 10.00/GM 1 ML /12/01 2 ML /12/01 1 GM /12/01 2 GM /12/ /12/ /12/01 錠劑 /12/01 錠劑 /12/01 錠劑 /12/01 5 GM /12/01 10 GM /12/ GM /12/01 1 GM /12/01 錠劑 /12/01 錠劑 /12/01 錠劑 /12/01 錠劑 /12/01 5 GM /12/01 10 GM /12/01 第 19 頁, 共 22 頁

20 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 A A A Shuli qing Gel Sentai " Shuli qing Gel Sentai " Shuli qing Gel Sentai " B SYKLOFOSFAMID A BETTERSONE OINTMENT A BETTERSONE OINTMENT A BETTERSONE OINTMENT A BETTERSONE OINTMENT A BETTERSONE OINTMENT 仙台 仙台 仙台 BAX TER A BECYLIC OINTMENT A BECYLIC OINTMENT A BECYLIC OINTMENT A BECYLIC OINTMENT A BECYLIC OINTMENT A A PIROCAM GEL 10/GM "M.S." (PIROXICAM) PIROCAM GEL 10/GM "M.S."(PIROXICAM) A BENOVATE SOLUTION 1/ML A BENOVATE SOLUTION 1/ML A BENOVATE SOLUTION 1/ML CLINDAMYCIN (PHOSPHATE) 10.00/GM CLINDAMYCIN (PHOSPHATE) 10.00/GM CLINDAMYCIN (PHOSPHATE) 10.00/GM CYCLOPHOSPHAMI DE (MONOHYDRATE) 500 (VALERATE) 1.00/GM (VALERATE) 1.00/GM (VALERATE) 1.00/GM (VALERATE) 1.00/GM (VALERATE) 1.00/GM (DIPROPIONATE) 0.50/GM (DIPROPIONATE) 0.50/GM (DIPROPIONATE) 0.50/GM (DIPROPIONATE) 0.50/GM (DIPROPIONATE) 0.50/GM PIROXICAM 10.00/GM PIROXICAM 10.00/GM (VALERATE) 1.00/ML (VALERATE) 1.00/ML (17-VALERATE) 1.00/ML 外用液劑 外用液劑 外用液劑 15 GM /12/01 20 GM /12/01 1 GM /12/ /12/01 5 GM /12/01 10 GM /12/01 15 GM /12/ GM /12/01 1 GM /12/01 5 GM /12/01 10 GM /12/01 15 GM /12/01 20 GM /12/01 1 GM /12/01 10 GM /12/01 40 GM /12/01 1 L (LITER) /12/01 10 ML /12/ ML /12/01 第 20 頁, 共 22 頁

21 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 A BENOVATE SOLUTION 1/ML (VALERATE) 1.00/ML 外用液劑 1 ML /12/01 METAPROTERENOL A KOPIN SOLUTION SULFATE(=ORCIPRE 內服 NALINE SULFATE) 液劑 0.50/ML 60 ML /12/01 METAPROTERENOL A KOPIN SOLUTION SULFATE(=ORCIPRE 內服 NALINE SULFATE) 液劑 0.50/ML 1 ML /12/ A BADINE CREAM A BADINE CREAM A BADINE CREAM A Benafine Cream A Benafine Cream A Benafine Cream A Benafine Cream A Benafine Cream A A A A N A A A ALEDO GEL 10/GM ALEDO GEL 10/GM ALEDO GEL 10/GM ALEDO GEL 10/GM DL- METHYLEPHEDRINE HCL TABLETS PIROXICAM GEL 1.0% "N.W." PIROXICAM GEL 1.0% "N.W." PIROXICAM GEL 1.0% "N.W." (DIPROPIONATE) 0.50/GM (DIPROPIONATE) 0.50/GM (DIPROPIONATE) 0.50/GM BUTENAFINE HCL 10.00/GM BUTENAFINE HCL 10.00/GM BUTENAFINE HCL 10.00/GM BUTENAFINE HCL 10.00/GM BUTENAFINE HCL 10.00/GM CLINDAMYCIN (PHOSPHATE) 10.00/GM CLINDAMYCIN (PHOSPHATE) 10.00/GM CLINDAMYCIN (PHOSPHATE) 10.00/GM CLINDAMYCIN (PHOSPHATE) 10.00/GM 大豐製藥 METHYLEPHEDRIN 股份 E DL- HCL 25 有限公司 內外 內外 內外 PIROXICAM 10 /GM PIROXICAM 10 /GM PIROXICAM 10 /GM 第 21 頁, 共 22 頁 乳膏劑 乳膏劑 乳膏劑 乳膏劑乳膏劑乳膏劑乳膏劑乳膏劑 5 GM /12/01 10 GM /12/01 1 GM /12/01 5 GM /12/01 10 GM /12/01 15 GM /12/ GM /12/01 1 GM /12/01 6 GM /12/01 10 GM /12/01 12 GM /12/01 1 GM /12/01 錠劑 /12/01 20 GM /12/01 30 GM /12/01 40 GM /12/01

22 項次發文號健保代碼藥品名稱牌成分及含量劑型規格量原核定價新核定價生效日期 A MANLSUN CAPSULES 中美 FLURAZEPAM 30 (FLURAZEPAM) 製 (HCL) /12/ AC CALCININ NASAL SPRAY 200I.U "PURZER" CALCITONIN 瑞安 SALMON 2200 觀音 IU/ML 鼻用噴液劑 2.8 KIU /12/ AC CASPRAY NASAL SPRAY 200 I.U. CALCITONIN 中化 SALMON 2200 新豐 IU/ML 鼻用噴液劑 2.8 KIU /12/ AC CADOTIN NASAL SPRAY 200IU "STANDARD" (CALCITONIN- SALMON) CALCITONIN 生達 SALMON 2200 化學 IU/ML 鼻用噴液劑 2.8 KIU /12/ B A1 MIACALCIC NASAL SPRAY 100I.U. NOV CALCITONIN ARTI SALMON 1100 S IU/ML 鼻用氣化噴霧劑 1.4 KIU /12/ B MIACALCIC NASAL SPRAY 200 I.U. NOV ARTI CALCITONIN S SALMON 2200 PHA IU/ML RMA SAS 鼻用氣化噴霧劑 2.8 KIU /12/ B APO-CALCITONIN NASAL SPRAY 200IU APO TEX CALCITONIN INC. SALMON IU/ML RIC HMO 鼻用噴液劑 2.8 KIU /12/ B INVANZ 1G LAB ORA TOIR ERTAPENEM ES SODIUM 1000 MER CK 凍晶 1 GM /12/ B ERAXIS FOR 100 PHA RMA CIA ANIDULAFUNGIN & 122 UPJ OHN C 凍晶 /12/01 第 22 頁, 共 22 頁