全民健康保險藥品價格明細表 項次發文號健保代碼藥品名稱廠牌成分及含量劑型 AC ANBICYN F.C.TABLETS 625MG 中化台中 AMOXYCILLIN (TRIHYDRATE) 500MG, CLAVULANATE (POTASSIUM) 12

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1 AC ANBICYN F.C.TABLETS 625 中化台中 AMOXYCILLIN (TRIHYDRATE) 500, CLAVULANATE (POTASSIUM) /03/ A BISOLVON SOLUTION 2/ML (BROMHEXINE HYDROCHLORIDE) 臺灣百靈佳殷格翰 BROMHEXINE HCL 2.00/ML 內服液 50 ML /02/ A MEXITIL CAPSULES 100 (MEXILETINE HYDROCHLORIDE) 臺灣百靈佳殷格翰 MEXILETINE HCL /02/ A SACLONAL TABLETS 10 (HOMOCHLORCYCLIZINE ) P.J. 北進國際 HOMOCHLORCYCLIZINE 2HCL(=HOMOCLOMIN) /02/ A BIPERIDEN TABLET 2 K.Y. 洸洋 BIPERIDEN HCL /02/ A PEDERCON TABLETS 200 (FLAVOXATE) YUNG CHI 永吉 FLAVOXATE HCL /02/ A NOOGICA CAPSULES 400CHEN TA 成大藥品 PIRACETAM 膠囊 /02/ A SULPIRIDE INJ. 25/ML 2ML 壽元 SULPIRIDE 25.00/ML 注射 2 ML /02/ A SODIUM BICARBONATE INJ. 70/ML 20ML 壽元 SODIUM BICARBONATE 70.00/ML 注射 20 ML /02/ A CEPANON FOR TAI YU (CEFOPERAZONE) 臺裕 CEFOPERAZONE (SODIUM) 1.00GM 乾粉注射 1 GM /02/ A CEPANON FOR TAI YU(CEFOPERAZONE) 臺裕 CEFOPERAZONE (SODIUM) 乾粉注射 /02/ A NONSED TABLETS 10 L.O. 美時 CETIRIZINE DIHYDROCHLORIDE /02/ A PUROMIN TABLETS 5 TAI YU 臺裕 MEDROXYPROGESTERO NE ACETATE /02/ A G0 PUROMIN TABLETS 5 TAI YU( 鋁箔 / 膠箔 ) 臺裕 MEDROXYPROGESTERO NE ACETATE /02/ A ACIDAM TABLET 瑩碩 BUTINOLIN PHOSPHATE /02/01 第 1 頁, 共 28 頁

2 A TEICOCID LYOPHILIZED FOR IV 200 BEST 倍斯特 TEICOPLANIN 凍晶 注射 /02/ B ETOPOSIDE-TEVA 20/ML 海喬 ETOPOSIDE 20.00/ML 注射 5 ML /02/ B ETOPOSIDE-TEVA 20/ML 海喬 ETOPOSIDE 20.00/ML 注射 10 ML /02/ B LEUCOVORIN-TEVA 10/ML 海喬 FOLINATE(=LEUCOVORI N)(CALCIUM 5H2O) 10.00/ML 注射 5 ML /02/ B LEUCOVORIN-TEVA 10/ML 海喬 FOLINATE(=LEUCOVORI N)(CALCIUM 5H2O) 10.00/ML 注射 10 ML /02/ B LEUCOVORIN-TEVA 10/ML 海喬 FOLINATE(=LEUCOVORI N)(CALCIUM 5H2O) 10.00/ML 注射 20 ML /02/ B LEUCOVORIN TEVA 10/ML 海喬 FOLINATE(=LEUCOVORI N)(CALCIUM 5H2O) 10.00/ML 注射 50 ML /02/ B ABIPLATIN 0.5/ML 海喬 CISPLATIN (=CIS- DDP=DDP) 0.50/ML 注射 20 ML /02/ B ABIPLATIN 0.5/ML 海喬 CISPLATIN (=CIS- DDP=DDP) 0.50/ML 注射 100 ML /02/ B ABIPLATIN 0.5/ML 海喬 CISPLATIN (=CIS- DDP=DDP) 0.50/ML 注射 200 ML /02/ B BETAMAC T50 興采 SULPIRIDE /02/ B CAPD/DPCA 11 STAY SAFE PERITONEAL DIALYSIS SOLUTION 費森尤斯 SODIUM CHLORIDE 5.79/ML 透析用液 2 L /02/ B CAPD/DPCA 11 STAY SAFE PERITONEAL DIALYSIS SOLUTION 費森尤斯 SODIUM CHLORIDE 5.79/ML 透析用液 2.5 L /02/ B CAPD/DPCA 11 STAY SAFE PERITONEAL DIALYSIS SOLUTION 費森尤斯 SODIUM CHLORIDE 5.79/ML 透析用液 5 L /02/ B CAPD/DPCA 12 STAY SAFE PERITONEAL DIALYSIS SOLUTION 費森尤斯 SODIUM CHLORIDE 5.79/ML 透析用液 2 L /02/01 第 2 頁, 共 28 頁

3 B CAPD/DPCA 12 STAY SAFE PERITONEAL DIALYSIS SOLUTION 費森尤斯 SODIUM CHLORIDE 5.79/ML 透析用液 2.5 L /02/ B CAPD/DPCA 12 STAY SAFE PERITONEAL DIALYSIS SOLUTION 費森尤斯 SODIUM CHLORIDE 5.79/ML 透析用液 5 L /02/ B CAPD/DPCA 10 STAY SAFE PERITONEAL DIALYSIS SOLUTION 費森尤斯 SODIUM CHLORIDE 5.79/ML 透析用液 2 L /02/ B CAPD/DPCA 10 STAY SAFE PERITONEAL DIALYSIS SOLUTION 費森尤斯 SODIUM CHLORIDE 5.79/ML 透析用液 2.5 L /02/ B CAPD/DPCA 10 STAY SAFE PERITONEAL DIALYSIS SOLUTION 費森尤斯 SODIUM CHLORIDE 5.79/ML 透析用液 5 L /02/ B ALCALROLE CAPSULE 0.25 大正 CALCITRIOL 軟膠 (=DIHYDROXYCHOLECA 囊 LCIFEROL 1-ALPHA, 25-) 0.25MCG /02/ B CLOPILET 漢佑 CLOPIDOGREL 膜衣 /02/ BC LASTET 臺灣日化 ETOPOSIDE 20.00/ML 注射 5 ML /02/ BC LIPIGEM TABLETS. 600 海喬 GEMFIBROZIL /02/ BC Amlodipine besilate - Teva 5mg Tablets 海喬 AMLODIPINE (BESYLATE) /02/ N PETOL 信東生技 PANTHENOL /ML 注射 1 ML /02/ AC ULEXIN FOR ORAL SUSPENSION (CEPHALEXIN) 瑞士新市廠 CEPHALEXIN (MONOHYDRATE) 25 /ML 懸液用顆粒 60 ML /02/ KC NORDITROPIN SIMPLEXX 5/1.5ML NOVO NORDISK A/S SOMATROPIN 注射 (BIOSYNTHETIC HUMAN GROWTH HORMONE) 10 IU/ML 15 IU /04/ AC ENTIGIN FILM COATED TABLETS 0.5 永信台中幼獅廠 ENTECAVIR /04/ BC KLIOGEST NOVO NORDISK OESTROGEN (=ESTROGEN=ESTROGE NIC SUBSTANCE) /04/01 第 3 頁, 共 28 頁

4 BC TRISEQUENS NOVO NORDISK ESTRADIOL /04/ BC ACTIVELLE NOVO NORDISK ESTRADIOL /04/ AC SOLANTIN S.C. TABLETS 25 (DIPYRIDAMOLE) 中化新豐 DIPYRIDAMOLE 25 糖衣 /04/ AC325301G0 SOLANTIN S.C. TABLETS 25 (DIPYRIDAMOLE)( 鋁箔 / 膠箔 ) 中化新豐 DIPYRIDAMOLE 25 糖衣 /04/ B CORYOL 40 FILM COATED TABLETS SALUTAS PHARMA GMBH GINKGO BILOBA FOLIUM EXTRACT /04/ BC NEXIUM TAB.20 ASTRAZE NECA ESOMEPRAZOLE (MAG. TRIHYDRATE) /04/ BC VYTORIN TABLETS 10/10 MSD Internationa l Gm EZETIMIBE /04/ AC LECORT IN ORAL BASE (TRIAMCINOLONE) 瑞士新市廠 TRIAMCINOLONE (ACETONIDE) 1 /GM 口內膏 5 GM /04/ A BUTANIDE TABLET 1 (BUMETANIDE) LITA BUMETANIDE /03/ A G0 METFORMIN TABLET 500 LITA( 鋁箔 / 膠箔 ) METFORMIN HCL /03/ A GINBININ S.C TABLETS 9.6 (GINKGOFLAVONGLYCO SIDE) LITA GINKGO BILOBA EXTRACT 40 糖衣 /03/ A G0 CIMEWEI TABLETS 200 LITA( 鋁箔 / 膠 箔 ) CIMETIDINE /03/ A G0 MOCOUGH CAPSULES LITA( 鋁箔 / 膠箔 ) POTASSIUM CRESOLSULFONATE /03/ A G0 COTON TABLETS 500 LITA( 鋁箔 / 膠箔 ) MEFENAMIC ACID /03/01 第 4 頁, 共 28 頁

5 項次 發文號 健保代碼 藥品名稱 廠牌 成分及含量 型 規格原核定新核定量價價 生效日期 AC BUTANIDE TABLET 1 (BUMETANIDE) LITA BUMETANIDE /02/ AC362011G0 METFORMIN TABLET 500 LITA( 鋁箔 / 膠箔 ) METFORMIN HCL /02/ AC386161G0 MECOMIN CAPSULES 0.5 (MECOBALAMIN) LITA( 鋁箔 / 膠箔 ) MECOBALAMIN 500 MCG /02/ AC GINBININ S.C TABLETS 9.6 (GINKGOFLAVONGLYCO SIDE) LITA GINKGO BILOBA EXTRACT 40 糖衣 /02/ AC476121G0 CIMEWEI TABLETS 200 LITA( 鋁箔 / 膠 箔 ) CIMETIDINE /02/ AC476531G0 MOCOUGH CAPSULES LITA( 鋁箔 / 膠箔 ) POTASSIUM CRESOLSULFONATE /02/ AC483941G0 COTON TABLETS 500 LITA( 鋁箔 / 膠箔 ) MEFENAMIC ACID /02/ A LITALON TABLETS LITA NALIDIXIC ACID /03/ A TERSULTRAN TABLETS 2.5 (TERBUTALINE) LITA TERBUTALINE SULFATE /03/ A IBUFEN TABLETS 400 (IBUPROFEN)LITA IBUPROFEN /03/ A ALPUTON TABLETS 300 LITA ALLOPURINOL /03/ A SULPIRIDE TABLETS 200 LITA SULPIRIDE /03/ AC LITALON TABLETS LITA NALIDIXIC ACID /02/ AC TERSULTRAN TABLETS 2.5 (TERBUTALINE) LITA TERBUTALINE SULFATE /02/01 第 5 頁, 共 28 頁

6 項次 發文號 健保代碼 藥品名稱 廠牌 成分及含量 型 規格原核定新核定量價價 生效日期 AC IBUFEN TABLETS 400 (IBUPROFEN)LITA IBUPROFEN /02/ AC ALPUTON TABLETS 300 LITA ALLOPURINOL /02/ AC SULPIRIDE TABLETS 200 LITA SULPIRIDE /02/ AB HYDROCHLOROTHIAZID E TABLETS VPP HYDROCHLOROTHIAZID E /02/ AB033881G0 HYDROCHLOROTHIAZID E TABLETS VPP( 鋁箔 / 膠 箔 ) HYDROCHLOROTHIAZID E /02/ AB ACETAZOLAMIDE TABLETS 250 VPP ACETAZOLAMIDE /02/ AB BISMUTH SUBCARBONATE TABLETS 324 VPP BISMUTH /02/01 SUBCARBONATE AB198751G0 CARDOLOL TABLETS 40 (PROPRANOLOL) V.P.P.( 鋁箔 / 膠箔 ) PROPRANOLOL HCL /02/ AB CARDOLOL TABLETS 10 (PROPRANOLOL) VPP PROPRANOLOL HCL /02/ AB230371G0 CARDOLOL TABLETS 10 (PROPRANOLOL) VPP ( 鋁箔 / 膠箔 ) PROPRANOLOL HCL /02/ AB SUCRAL TABLETS 500 VPP (SUCRALFATE) SUCRALFATE(=BASIC ALUMINUM SUCROSE SULFATE) /02/ AB297291G0 SUCRAL TABLETS 500 VPP ( 鋁箔 / 膠箔 ) SUCRALFATE(=BASIC ALUMINUM SUCROSE SULFATE) /02/ AC HYDROCHLOROTHIAZID E TABLETS VPP HYDROCHLOROTHIAZID E /03/ AC033881G0 HYDROCHLOROTHIAZID E TABLETS VPP( 鋁箔 / 膠 箔 ) HYDROCHLOROTHIAZID E /03/01 第 6 頁, 共 28 頁

7 項次 發文號 健保代碼 藥品名稱 廠牌 成分及含量 型 規格原核定新核定量價價 生效日期 AC ACETAZOLAMIDE TABLETS 250 VPP ACETAZOLAMIDE /03/ AC BISMUTH SUBCARBONATE TABLETS 324 VPP BISMUTH /03/01 SUBCARBONATE AC198751G0 CARDOLOL TABLETS 40 (PROPRANOLOL) V.P.P.( 鋁箔 / 膠箔 ) PROPRANOLOL HCL /03/ AC CARDOLOL TABLETS 10 (PROPRANOLOL) VPP PROPRANOLOL HCL /03/ AC230371G0 CARDOLOL TABLETS 10 (PROPRANOLOL) VPP (28 粒 / 瓶裝 ) PROPRANOLOL HCL /03/ AC SUCRAL TABLETS 500 VPP (SUCRALFATE) SUCRALFATE(=BASIC ALUMINUM SUCROSE SULFATE) /03/ AC297291G0 SUCRAL TABLETS 500 VPP ( 鋁箔 / 膠箔 ) SUCRALFATE(=BASIC ALUMINUM SUCROSE SULFATE) /03/ AA OKPINE F.C. TABLETS 5(28 粒 / 鋁箔盒裝 ) 南光 OLANZAPINE 5 膜衣 /02/ AB NOOPOL F.C. TABLETS 1200 N.K. 南光 PIRACETAM 1200 膜衣 /02/ AB YOU-JET F.C. TABLETS 100 南光 SERTRALINE(AS HYDROCHLORIDE) /02/ AC NOOPOL F.C. TABLETS 1200 N.K. 南光 PIRACETAM 1200 膜衣 /03/ AC YOU-JET F.C. TABLETS 100 南光 SERTRALINE(AS HYDROCHLORIDE) /03/ AC OKPINE F.C. TABLETS 5 南光 OLANZAPINE 5 膜衣 /03/ AB NOESIN TAI YU (PIRACETAM) 台裕 PIRACETAM 200 /ML 注射 5 ML /02/ AB NOESIN TAI YU (PIRACETAM) 台裕 PIRACETAM 200 /ML 注射 10 ML /02/01 第 7 頁, 共 28 頁

8 AC NOESIN TAI YU (PIRACETAM) 台裕 PIRACETAM 200 /ML 注射 規格原核定新核定生效日期量價價 5 ML /03/ AC NOESIN TAI YU (PIRACETAM) 台裕 PIRACETAM 200 /ML 注射 10 ML /03/ A MUROZO LOTION 0.1% W/W 歐帕生技 MOMETASONE FUROATE 1 /GM 洗 10 ML /03/ A MUROZO LOTION 0.1% W/W 歐帕生技 MOMETASONE FUROATE 1 /GM 洗 30 ML /03/ AC MUROZO LOTION 0.1% W/W 歐帕生技 MOMETASONE FUROATE 1 /GM 洗 10 ML /02/ AC MUROZO LOTION 0.1% W/W 歐帕生技 MOMETASONE FUROATE 1 /GM 洗 30 ML /02/ BC BALANCE 2.3% GLUCOSE, 1.25 MMOL/L CALCIUM, SOLUTION FOR PERITONEAL DIALYSIS FRESEM GLUCOSE ANHYDROUS /ML 透析用液 2.5 L /02/ BC BALANCE 4.25% GLUCOSE, 1.25 MMOL/L CALCIUM, SOLUTION FOR PERITONEAL DIALYSIS FRESEM GLUCOSE ANHYDROUS 42.5 /ML 透析用液 2.5 L /02/ BC BALANCE 1.5% GLUCOSE, 1.25 MMOL/L CALCIUM, SOLUTION FOR PERITONEAL DIALYSIS FRESEM GLUCOSE ANHYDROUS 15 /ML 透析用液 2.5 L /02/ A G0 PURINOL TABLETS (ALLOPURINOL) ROYAL( 鋁箔 / 膠箔 ) 皇佳製 ALLOPURINOL /03/ A G0 LYDICON CAPSULES ROYAL 皇佳製 LYSOZYME (CHLORIDE) /03/ AC195571G0 PURINOL TABLETS (ALLOPURINOL) ROYAL( 鋁箔 / 膠箔 ) 皇佳製 ALLOPURINOL /02/ AC201151G0 TRIDERGEN TABLETS (DIHYDROERGOTOXINE MESYLATE) ROYAL 皇佳製 DIHYDROERGOTOXINE METHANESULFONATE /02/ AC438021G0 LYDICON CAPSULES ROYAL( 鋁箔 / 膠箔 ) 皇佳製 LYSOZYME (CHLORIDE) /02/01 第 8 頁, 共 28 頁

9 BA EC-PRAM 20 (ESCITALOPRAM F.C. TABLETS 20)(30 粒 / 鋁箔盒裝 ) HETERO LABS UNIT V ESCITALOPRAM (AS OXALATE) /02/ BA EC-PRAM 10 (ESCITALOPRAM F.C. TABLETS 10)(30 粒 / 鋁箔盒裝 ) HETERO LABS UNIT V ESCITALOPRAM (AS OXALATE) /02/ A ERYTHROMYCIN ESTOLATE CAPSULES LITA ERYTHROMYCIN (ESTOLATE) /03/ A FUZIN CAPSULES LITA BUTYLSCOPOLAMINE BROMIDE (=HYOSCINE BUTYLBROMIDE) /03/ A D.X. CAPSULES LITA DOXYCYCLINE (HCL) /03/ A BORGAL TABLETS LITA TRIMETHOPRIM /03/ A DEXTROMETHORPHAN TABLETS 30 LITA DEXTROMETHORPHAN HBR /03/ A ANETHOLE CAPSULES LITA ANETHOLE TRITHIONE /03/ A METHYLSCOPOLAMINE METHYLSULFATE TABLETS LITA METHSCOPOLAMINE METHYLSULFATE /03/ A MEBENDAZOLE TABLETS LITA MEBENDAZOLE /03/ A ZUCERINE TABLETS 250 (TRANEXAMIC ACID) LITA TRANEXAMIC ACID /03/ A DUORIDONE TABLETS 10 (DOMPERIDONE) LITA DOMPERIDONE /03/ AC ERYTHROMYCIN ESTOLATE CAPSULES LITA ERYTHROMYCIN (ESTOLATE) /02/01 第 9 頁, 共 28 頁

10 AC FUZIN CAPSULES LITA BUTYLSCOPOLAMINE BROMIDE (=HYOSCINE BUTYLBROMIDE) /02/ AC D.X. CAPSULES LITA DOXYCYCLINE (HCL) /02/ AC BORGAL TABLETS LITA TRIMETHOPRIM /02/ AC DEXTROMETHORPHAN TABLETS 30 LITA DEXTROMETHORPHAN HBR /02/ AC ANETHOLE CAPSULES LITA ANETHOLE TRITHIONE /02/ AC METHYLSCOPOLAMINE METHYLSULFATE TABLETS LITA METHSCOPOLAMINE METHYLSULFATE /02/ AC MEBENDAZOLE TABLETS LITA MEBENDAZOLE /02/ AC ZUCERINE TABLETS 250 (TRANEXAMIC ACID) LITA TRANEXAMIC ACID /02/ AC DUORIDONE TABLETS 10 (DOMPERIDONE) LITA DOMPERIDONE /02/ B VESANOID SOFT GELATIN CAPSULES 10 CATALEN T GERMAN Y EB TRETINOIN 10 軟 /03/ BC VESANOID SOFT GELATIN CAPSULES 10 CATALEN T GERMAN Y EB TRETINOIN 10 軟 /02/ AB YUPIME POWDER FOR 中化台南三廠 CEFEPIME (AS 乾粉 HYDROCHLORIDE) 1 GM 注射 1 GM /02/ AB YUPIME POWDER FOR 中化台南三廠 CEFEPIME (AS 乾粉 HYDROCHLORIDE) 2 GM 注射 2 GM /02/01 第 10 頁, 共 28 頁

11 AB YUPIME POWDER FOR 中化台南三廠 CEFEPIME (AS HYDROCHLORIDE) 500 乾粉注射 /02/ AC YUPIME POWDER FOR 中化台南三廠 CEFEPIME (AS 乾粉 HYDROCHLORIDE) 1 GM 注射 1 GM /03/ AC YUPIME POWDER FOR 中化台南三廠 CEFEPIME (AS 乾粉 HYDROCHLORIDE) 2 GM 注射 2 GM /03/ AC YUPIME POWDER FOR 中化台南三廠 CEFEPIME (AS HYDROCHLORIDE) 500 乾粉注射 /03/ A SUCRA TABLETS 500 H.S. (SUCRALFATE) 華興化學 SUCRALFATE(=BASIC ALUMINUM SUCROSE SULFATE) /03/ AC SUCRA TABLETS 500 H.S. (SUCRALFATE) 華興化學 SUCRALFATE(=BASIC ALUMINUM SUCROSE SULFATE) /02/ B SEROQUEL TABLETS 300 ASTRA ZENECA UK LIMI QUETIAPINE (AS FUMARATE) /03/ B BYETTA 0.25 /ML USA BAXTER PHAR EXENATIDE 0.25 /ML 注射 2.4 ML /03/ B BYETTA 0.25 /ML USA BAXTER PHAR EXENATIDE 0.25 /ML 注射 1.2 ML /03/ B ONGLYZA FILM-COATED TABLETS 2.5 BRISTOL SAXAGLIPTIN 2.5 膜衣 /03/ B ONGLYZA FILM-COATED TABLETS 5 BRISTOL SAXAGLIPTIN 5 膜衣 /03/ B VIMOVO DELAYED RELEASE TABLETS 500/20 PATHEON NAPROXEN 500 PHARMAC EUTIC 緩釋 /03/ B KOMBIGLYZE XR TABLETS 5/1000 BRISTOL SAXAGLIPTIN 5 持續性藥效 /03/ B KOMBIGLYZE XR TABLETS 5/500 BRISTOL SAXAGLIPTIN 5 持續性藥效 /03/01 第 11 頁, 共 28 頁

12 B KOMBIGLYZE XR TABLETS 2.5/1000 BRISTOL SAXAGLIPTIN 2.5 持續性藥效 /03/ BC SEROQUEL TABLETS 300 ASTRAZE QUETIAPINE (AS NECA FUMARATE) 300 PHARMAC E /02/ BC BYETTA 0.25 /ML USA BAXTER PHAR EXENATIDE 0.25 /ML 注射 2.4 ML /02/ BC BYETTA 0.25 /ML USA BAXTER PHAR EXENATIDE 0.25 /ML 注射 1.2 ML /02/ BC ONGLYZA FILM-COATED TABLETS 2.5 BRISTOL SAXAGLIPTIN 2.5 膜衣 /02/ BC ONGLYZA FILM-COATED TABLETS 5 BRISTOL SAXAGLIPTIN 5 膜衣 /02/ BC VIMOVO DELAYED RELEASE TABLETS 500/20 PATHEON NAPROXEN 500 PHARMAC EUTIC 緩釋 /02/ BC KOMBIGLYZE XR TABLETS 5/1000 BRISTOL SAXAGLIPTIN 5 持續性藥效 /02/ BC KOMBIGLYZE XR TABLETS 5/500 BRISTOL SAXAGLIPTIN 5 持續性藥效 /02/ BC KOMBIGLYZE XR TABLETS 2.5/1000 BRISTOL SAXAGLIPTIN 2.5 持續性藥效 /02/ B VIDISIC GEL GERHAM CARBOMER 眼用 (=CARBOPOL=CARBOXY 凝膠 POLYMETHYLENE) 2 /GM 10 GM /03/ B DEXAGEL EYE DROPS GERHAM DEXAMETHASONE 1 /GM 眼用凝膠 5 GM /03/ B Liposic eye gel GERHAM CARBOMER 眼用 (=CARBOPOL=CARBOXY 凝膠 POLYMETHYLENE) 2 /GM 10 GM /03/01 第 12 頁, 共 28 頁

13 BC VIDISIC GEL GERHAM CARBOMER 眼用 (=CARBOPOL=CARBOXY 凝膠 POLYMETHYLENE) 2 /GM 規格原核定新核定生效日期量價價 10 GM /02/ BC DEXAGEL EYE DROPS GERHAM DEXAMETHASONE 1 /GM 眼用凝膠 5 GM /02/ BC Liposic eye gel GERHAM CARBOMER 眼用 (=CARBOPOL=CARBOXY 凝膠 POLYMETHYLENE) 2 /GM 10 GM /02/ AC PREON TAB 明德 PREDNISOLONE /02/ AB AVERINE TABLETS 40 羅得 ALVERINE CITRATE /02/ AC AVERINE TABLETS 40 羅得 ALVERINE CITRATE /03/ A INDOCINE CAPSULES 西德 INDOMETHACIN 25 膠囊 /03/ A CYPRODINE TABLETS (CYPROHEPTADINE HCL) 西德 CYPROHEPTADINE HCL /03/ A DACTJIN F.C. TABLETS SHITEH 西德 TRIMETHOPRIM 80 膜衣 /03/ A EROMYCIN F.C. TABLET 250 SHITEH 西德 ERYTHROMYCIN /03/ A BISTOR CAPSULE 西德 (DOXYCYCLINE) SHITEH DOXYCYCLINE (HCL) /03/ A FORMAX ENTERIC- MICRO-ENCAPSULED CAPSULE 50 SHITEN (DICLOFENAC) 西德 DICLOFENAC SODIUM 50 腸溶 /03/ A ALLERCURE CREAM SHITEH 西德 NEOMYCIN (SULFATE) 5 /GM 乳膏 15 GM /03/01 第 13 頁, 共 28 頁

14 A DAILY-PLUS CHEWABLE TABLET 0.5 (HYDROXOCOBALAMIN ACETATE )SHITEH 西德 HYDROXOCOBALAMIN ACETATE 0.5 咀嚼 /03/ A B.&N. ISOCON-F CREAM SHITEH 西德 DIFLUCORTOLONE VALERATE 1 /GM 乳膏 18 GM /03/ A HEALING BUCCAL TABLET 0.025SHITEH(TRIAMI CINOLONE ACETONIDE) 西德 TRIAMCINOLONE (ACETONIDE) 口腔 /03/ AC INDOCINE CAPSULES 西德 INDOMETHACIN 25 膠囊 /02/ AC CYPRODINE TABLETS (CYPROHEPTADINE HCL) 西德 CYPROHEPTADINE HCL /02/ AC DACTJIN F.C. TABLETS SHITEH 西德 TRIMETHOPRIM 80 膜衣 /02/ AC EROMYCIN F.C. TABLET 250 SHITEH 西德 ERYTHROMYCIN /02/ AC BISTOR CAPSULE 西德 (DOXYCYCLINE) SHITEH DOXYCYCLINE (HCL) /02/ AC FORMAX ENTERIC- MICRO-ENCAPSULED CAPSULE 50 SHITEN (DICLOFENAC) 西德 DICLOFENAC SODIUM 50 腸溶 /02/ AC ALLERCURE CREAM SHITEH 西德 NEOMYCIN (SULFATE) 5 /GM 乳膏 15 GM /02/ AC DAILY-PLUS CHEWABLE TABLET 0.5 (HYDROXOCOBALAMIN ACETATE )SHITEH 西德 HYDROXOCOBALAMIN ACETATE 0.5 咀嚼 /02/ AC B.&N. ISOCON-F CREAM SHITEH 西德 DIFLUCORTOLONE VALERATE 1 /GM 乳膏 18 GM /02/ AC CARBOXE HEALING BUCCAL TABLET SHITEH (TRIAMCINOLONE ACETONIDE) 西德 TRIAMCINOLONE (ACETONIDE) 口腔 /02/01 第 14 頁, 共 28 頁

15 項次 發文號 健保代碼 藥品名稱 廠牌 成分及含量 型 規格原核定新核定量價價 生效日期 AC OXOMINE TABLETS 100 H.S. 華興 OXOLAMINE CITRATE /02/ AC MIZTIN CREAM MEIDER 明德 NYSTATIN IU/GM 乳膏 5 GM /02/ BC QUETIAPINE-TEVA 25 FILM-COATED TABLETS TEVA QUETIAPINE (AS PHARMAC FUMARATE) 25 EUTICAL /02/ A CINRIZIN TABLETS 25 KOJAR(CINNARIZINE) 國嘉幼獅三廠 CINNARIZINE /03/ AC CINRIZIN TABLETS 25 KOJAR(CINNARIZINE) 國嘉幼獅三廠 CINNARIZINE /02/ AC STALOP F.C. TABLETS 10 YU SHENG 優生 ESCITALOPRAM (AS OXALATE) /02/ AC KOULELE ORABASE 1/G SOUNLIN (DEXAMETHASONE) 明德 DEXAMETHASONE 1 /GM 口內膏 2 GM /02/ AC KOULELE ORABASE 1/G SOUNLIN (DEXAMETHASONE) 明德 DEXAMETHASONE 1 /GM 口內膏 5 GM /02/ AC KOULELE ORABASE 1/G SOUNLIN (DEXAMETHASONE) 明德 DEXAMETHASONE 1 /GM 口內膏 8 GM /02/ BA MOSMASS TABLETS 70(4 粒 / 鋁箔盒裝 ) RAFARM SA ALENDRONATE /02/ BC MOSMASS TABLETS 70 RAFARM SA ALENDRONATE /03/ B VERPAMIL 2.5/ML ORION CORPORA TION VERAPAMIL HCL 2.5 /ML 注射 2 ML /03/ BC VERPAMIL 2.5/ML ORION CORPORA TION VERAPAMIL HCL 2.5 /ML 注射 2 ML /02/ AA ROPICIN F.C. TABLETS 10(28 粒 / 鋁箔盒裝 ) 瑞士新市廠 ROSUVASTATIN CALCIUM /02/ AC ROPICIN F.C. TABLETS 10 瑞士新市廠 ROSUVASTATIN CALCIUM /03/ AC SHECO SOLUTION CENTER 晟德 CODEINE PHOSPHATE 0.6 /ML 內服液 60 ML /02/01 第 15 頁, 共 28 頁

16 AC SHECO SOLUTION CENTER 晟德 CODEINE PHOSPHATE 0.6 /ML 內服液 120 ML /02/ AA BESTAN 300 FILM- COATED TABLETS(28 粒 / 鋁箔盒裝 ) 健亞 IRBESARTAN 300 膜衣 /02/ AC BESTAN 300 FILM- COATED TABLETS 健亞 IRBESARTAN 300 膜衣 /03/ AA IRINO SOLUTION FOR I.V. INFUSION 臺灣東洋中壢廠 IRINOTECAN HYDROCHLORIDE TRIHYDRATE 20 /ML 注射 2 ML /02/ AA IRINO SOLUTION FOR I.V. INFUSION 臺灣東洋中壢廠 IRINOTECAN HYDROCHLORIDE TRIHYDRATE 20 /ML 注射 5 ML /02/ AB IRINO SOLUTION FOR I.V. INFUSION 臺灣東洋中壢廠 IRINOTECAN HYDROCHLORIDE TRIHYDRATE 20 /ML 注射 2 ML /03/ AB IRINO SOLUTION FOR I.V. INFUSION 臺灣東洋中壢廠 IRINOTECAN HYDROCHLORIDE TRIHYDRATE 20 /ML 注射 5 ML /03/ AA OXALIP (10 毫 升 / 瓶裝 ) 臺灣東洋中壢廠 OXALIPLATIN 5 /ML 注射 10 ML /02/ AA OXALIP (20 毫 升 / 瓶裝 ) 臺灣東洋中壢廠 OXALIPLATIN 5 /ML 注射 20 ML /02/ AB OXALIP 臺灣東洋 中壢廠 OXALIPLATIN 5 /ML 注射 10 ML /03/ AB OXALIP 臺灣東洋 中壢廠 OXALIPLATIN 5 /ML 注射 20 ML /03/ BC CISATRACURIUM KABI 2/ML SOLUTION FOR /INFUSION Fresenius ATRACURIUM ( Kabi Manuf BESYLATE CIS-) 2 /ML 注射 5 ML /02/ BC DBL CYTARABINE HOSPIRA CYTARABINE 100 AUSTRALI /ML A 注射液 1 ML /02/ BC DBL CYTARABINE HOSPIRA CYTARABINE 100 AUSTRALI /ML A 注射液 5 ML /02/01 第 16 頁, 共 28 頁

17 BC DBL CYTARABINE HOSPIRA CYTARABINE 100 AUSTRALI /ML A 注射液 規格原核定新核定生效日期量價價 10 ML /02/ BB AROMATT 1 HETERO (ANASTROZOLE TABLETS LABS 1) LIMITED, ANASTROZOLE /02/ A ANTISEMIN TABLETS 優良化學 製藥 CYPROHEPTADINE HCL /03/ A UFUNIN TABLETS 優良化學 製藥 LOPERAMIDE HCL /03/ AC ANTISEMIN TABLETS 優良化學 製藥 CYPROHEPTADINE HCL /02/ AC UFUNIN TABLETS 優良化學 製藥 LOPERAMIDE HCL /02/ AC BRECALIN HARD CAPSULE 75 歐帕生技 PREGABALIN 75 膠囊 /02/ AB SEMI-NAX F.C. TAB. 10 D.T 南光 ZOLPIDEM HEMITARTRATE /02/ AC SEMI-NAX F.C. TAB. 10 D.T 南光 ZOLPIDEM HEMITARTRATE /03/ BC CO-ALVOPREL 300/25 FILM- COATED TABLETS GENEPHA RM S.A. IRBESARTAN /02/ AB Q-PINE XR EXTENDED- RELEASE TABLETS 200 TAI YU 台裕 QUETIAPINE FUMARATE 持續性藥效 /02/ AC Q-PINE XR EXTENDED- RELEASE TABLETS 200 TAI YU 台裕 QUETIAPINE FUMARATE 持續性藥效 /03/ A G0 DESPUTIN TABLETS 30TAI YU(AMBROXOL HYDROCHLORIDE)( 鋁箔 / 膠箔 ) 臺裕製造 AMBROXOL /03/01 HYDROCHLORIDE AB403021G0 DESPUTIN TABLETS 30TAI YU(AMBROXOL HYDROCHLORIDE)( 鋁箔 / 膠箔 ) 臺裕製造 AMBROXOL /02/01 HYDROCHLORIDE 30 第 17 頁, 共 28 頁

18 AC265261G0 DOGMATYL F.C. TABLETS 50 (SULPIRIDE)( 鋁箔 / 膠箔 ) 聯亞生技新竹二廠 SULPIRIDE /02/ BB ALVOTINIB 100 FILM- COATED TABLETS REMEDIC A LTD. IMATINIB MESYLATE /02/ BB ALVOTINIB 400 FILM- COATED TABLETS REMEDIC A LTD. IMATINIB MESYLATE /02/ A DINSIA SOFT CAPSULES 300 漁人 VALPROIC ACID 300 軟 /03/ AC DINSIA SOFT CAPSULES 300 漁人 VALPROIC ACID 300 軟 /02/ BC PRESOLOL TABLETS 100 ALPHAPH ARM PTY. LTD. LABETALOL HCL /02/ A TRANEXAMIC ACID S.Y. 壽元製 TRANEXAMIC ACID 50 /ML 注射 5 ML /03/ A FUCON CREAM S.Y. 壽元製 ECONAZOLE NITRATE 10 /GM 乳膏 5 GM /03/ AC TRANEXAMIC ACID S.Y. 壽元製 TRANEXAMIC ACID 50 /ML 注射 5 ML /02/ AC FUCON CREAM S.Y. 壽元製 ECONAZOLE NITRATE 10 /GM 乳膏 5 GM /02/ A HOROMPELIN ORIENTAL METOCLOPRAMIDE 5 /ML 注射 2 ML /03/ A ATROPINE SULFATE INJCETION ORIENTAL ATROPINE SULFATE 1 /ML 注射 1 ML /03/ A LYSIMIN LYSINE L- HCL 20 /ML 注射 20 ML /03/ A VITAMIN C 250/ML (ASCORBIC ACID) ORIENTAL ASCORBIC ACID (=VIT C) 250 /ML 注射 20 ML /03/ A OXYTOCIN 10IU/ML OXYTOCIN 10 IU/ML 注射 10 IU /03/ AC HOROMPELIN ORIENTAL METOCLOPRAMIDE 5 /ML 注射 2 ML /02/ AC ATROPINE SULFATE INJCETION ORIENTAL ATROPINE SULFATE 1 /ML 注射 1 ML /02/01 第 18 頁, 共 28 頁

19 AC LYSIMIN LYSINE L- HCL 20 /ML 注射 規格原核定新核定生效日期量價價 20 ML /02/ AC VITAMIN C 250/ML (ASCORBIC ACID) ORIENTAL ASCORBIC ACID (=VIT C) 250 /ML 注射 5 ML /02/ AC VITAMIN C 250/ML (ASCORBIC ACID) ORIENTAL ASCORBIC ACID (=VIT C) 250 /ML 注射 20 ML /02/ AC OXYTOCIN 10IU/ML OXYTOCIN 10 IU/ML 注射 10 IU /02/ N AMINOPHYLLIN ORIENTAL AMINOPHYLLINE (=COROPHYLLIN) 25 /ML 注射 10 ML /03/ N METHOXINE M METHOXYPHENAMINE HCL 50 /ML 注射 1 ML /03/ N METHOXINE M METHOXYPHENAMINE HCL 50 /ML 注射 2 ML /03/ NC AMINOPHYLLIN ORIENTAL AMINOPHYLLINE (=COROPHYLLIN) 25 /ML 注射 10 ML /02/ NC ACTIBISIX PYRIDOXAL 5- PHOSPHATE 10 /ML 注射 1 ML /02/ NC METHOXINE M METHOXYPHENAMINE HCL 50 /ML 注射 1 ML /02/ NC METHOXINE M METHOXYPHENAMINE HCL 50 /ML 注射 2 ML /02/ A NEO-ERGO ORIENTAL METHYLERGONOVINE MALEATE 0.2 /ML 注射 1 ML /03/ A MECO B12 0.5/ML (MECOBALAMIN) ORIENTAL MECOBALAMIN 500 MCG/ML (=UG/ML) 注射 1 ML /03/ A DIPROFEN PROPOFOL 10 /ML 注射 20 ML /03/ A DIPROFEN 20/ML PROPOFOL 20 /ML 注射 20 ML /03/ AC NEO-ERGO ORIENTAL METHYLERGONOVINE MALEATE 0.2 /ML 注射 1 ML /02/01 第 19 頁, 共 28 頁

20 AC MECO B12 0.5/ML (MECOBALAMIN) ORIENTAL MECOBALAMIN 500 MCG/ML (=UG/ML) 注射 規格原核定新核定生效日期量價價 1 ML /02/ AC MECO B12 0.5/ML (MECOBALAMIN) ORIENTAL MECOBALAMIN 500 MCG 注射 2 ML /02/ AC DIPROFEN PROPOFOL 10 /ML 注射 20 ML /02/ AC DIPROFEN 20/ML PROPOFOL 20 /ML 注射 20 ML /02/ N PHENINE-H METHIONINE DL- 20 /ML 注射 2 ML /03/ N METHIVITAN-S THIAMINE HCL (=THIAMINE CHLORIDE HYDROCHLORIDE) 5 /ML 注射 2 ML /03/ N METHIVITAN METHIONINE DL- 30 /ML 注射 20 ML /03/ NC ACTAMIN FORTE THIAMINE PHOSPHORIC ACID ESRER CHLORIDE HCL 10 /ML 注射 2 ML /02/ NC ACTAMIN FORTE THIAMINE PHOSPHORIC ACID ESRER CHLORIDE HCL 10 /ML 注射 5 ML /02/ NC PHENINE-H METHIONINE DL- 20 /ML 注射 2 ML /02/ NC METHIVITAN-S THIAMINE HCL (=THIAMINE CHLORIDE HYDROCHLORIDE) 5 /ML 注射 2 ML /02/ NC METHIVITAN METHIONINE DL- 30 /ML 注射 20 ML /02/ BA APO-RISPERIDONE SOLUTION, 1/ML(30ML/ 塑膠瓶裝 ) APOTEX INC. - RICHMO RISPERIDONE 1 /ML 內服液 30 ML /02/ BC APO-RISPERIDONE SOLUTION, 1/ML APOTEX INC. - RICHMO RISPERIDONE 1 /ML 內服液 30 ML /03/01 第 20 頁, 共 28 頁

21 KC ALBURX TM 20 CSL BEHRING AG ALBUMIN HUMAN 200 /ML 注射液 規格原核定新核定生效日期量價價 50 ML /02/ KC ALBURX TM 20 CSL BEHRING AG ALBUMIN HUMAN 200 /ML 注射液 100 ML /02/ KC ALBURX TM 25 CSL BEHRING AG ALBUMIN HUMAN 250 /ML 注射液 50 ML /02/ KC PRIVIGEN CSL BEHRING AG IMMUNOGLOBULIN HUMAN 100 /ML 注射液 50 ML /02/ KC PRIVIGEN CSL BEHRING AG IMMUNOGLOBULIN HUMAN 100 /ML 注射液 100 ML /02/ KC PRIVIGEN CSL BEHRING AG IMMUNOGLOBULIN HUMAN 100 /ML 注射液 200 ML /02/ AC DIABEX TABLETS Y.C. 元宙 METFORMIN HCL /02/ BC PMS-PREGABALIN CAPSULES 75 PHARMAS CIENCE INC. PREGABALIN /02/ BC MOXETERO (MOXIFLOXACIN HCL TABLETS 400) HETERO LABS UNIT V MOXIFLOXACIN HYDROCHLORIDE /02/ BC BICATERO 50 HETERO LABS LIMITED, BICALUTAMIDE /02/ AB CEFULIN FOR (CEFTAZIDIME) 瑞士新市廠 CEFTAZIDIME 1000 乾粉注射 1 GM /02/ AB CEFULIN FOR (CEFTAZIDIME) 瑞士新市廠 CEFTAZIDIME 2000 乾粉注射 2 GM /02/ AB CEFULIN FOR (CEFTAZIDIME) 瑞士新市廠 CEFTAZIDIME 500 乾粉注射 /02/ AC CEFULIN FOR (CEFTAZIDIME) 瑞士新市廠 CEFTAZIDIME 1000 乾粉注射 1 GM /03/01 第 21 頁, 共 28 頁

22 AC CEFULIN FOR (CEFTAZIDIME) 瑞士新市廠 CEFTAZIDIME 2000 乾粉注射 規格原核定新核定生效日期量價價 2 GM /03/ AC CEFULIN FOR (CEFTAZIDIME) 瑞士新市廠 CEFTAZIDIME 500 乾粉注射 /03/ AC LETRAMASE F.C. TABLETS 2.5 中化新豐製 LETROZOLE /02/ AA ENVIR F.C. TABLETS 0.5(30 粒 / 鋁箔盒裝 ) 中化新豐製 ENTECAVIR /02/ AC ENVIR F.C. TABLETS 0.5 中化新豐製 ENTECAVIR /03/ BA SERLIN 50 TABLETS(28 粒 / 鋁箔盒裝 ) CADILA HEALTHC ARE LI SERTRALINE(AS HYDROCHLORIDE) /02/ BB Serlin 50 Tablets CADILA HEALTHC ARE LI SERTRALINE(AS HYDROCHLORIDE) /03/ AB YOU-JET F.C. TABLETS 50 南光 SERTRALINE(AS HYDROCHLORIDE) /02/ AC YOU-JET F.C. TABLETS 50 南光 SERTRALINE(AS HYDROCHLORIDE) /03/ AA OKPINE F.C. TABLETS 10 (28 粒 / 鋁箔裝 ) 南光 OLANZAPINE 10 膜衣 /02/ AA FU 50/ML(20ML/ 玻璃瓶 裝 ) 南光 FLUOROURACIL 50 /ML 注射 20 ML /02/ AA FU 50/ML(50ML/ 玻璃瓶 裝 ) 南光 FLUOROURACIL 50 /ML 注射 50 ML /02/ AA FU 50/ML(100ML/ 玻璃瓶 裝 ) 南光 FLUOROURACIL 50 /ML 注射 100 ML /02/ AC OKPINE F.C. TABLETS 10 南光 OLANZAPINE 10 膜衣 /03/ AC FU 50/ML 南光 FLUOROURACIL 50 /ML 注射 20 ML /03/01 第 22 頁, 共 28 頁

23 AC FU 50/ML 南光 FLUOROURACIL 50 /ML 注射 規格原核定新核定生效日期量價價 50 ML /03/ AC FU 50/ML 南光 FLUOROURACIL 50 /ML 注射 100 ML /03/ NA ESCOPAN N.K. (1ML/ 玻璃安瓿裝 ) 南光 BUTYLSCOPOLAMINE BROMIDE (=HYOSCINE BUTYLBROMIDE) 20 /ML 注射 1 ML /02/ NC ESCOPAN N.K. 南光 BUTYLSCOPOLAMINE BROMIDE (=HYOSCINE BUTYLBROMIDE) 20 /ML 注射 1 ML /03/ BC ESOMEPRAZOL STADA 40 STADA- VN JOINT VENTU ESOMEPRAZOLE (MAG. TRIHYDRATE) /02/ K RECORMON SOLUTION FOR IN PRE- FILLED SYRINGE 5000IU VETTER PHARMA- FERTIG EPOETIN BETA (GENETICAL RECOMBINANT) 5 KIU 注射 5 KIU /03/ K RECORMON SOLUTION FOR IN PRE- FILLED SYRINGE 2000IU VETTER PHARMA- FERTIG EPOETIN BETA (GENETICAL RECOMBINANT) 2 KIU 注射 2 KIU /03/ K RECORMON SOLUTION FOR IN PRE- VETTER PHARMA- FILLED SYRINGE IU FERTIG VETTER, GERMANY EPOETIN BETA (GENETICAL RECOMBINANT) 10 KIU 注射 10 KIU /03/ KC RECORMON SOLUTION FOR IN PRE- FILLED SYRINGE 5000IU VETTER PHARMA- FERTIG EPOETIN BETA (GENETICAL RECOMBINANT) 5 KIU 注射 5 KIU /02/ KC RECORMON SOLUTION FOR IN PRE- FILLED SYRINGE 2000IU VETTER PHARMA- FERTIG EPOETIN BETA (GENETICAL RECOMBINANT) 2 KIU 注射 2 KIU /02/ KC RECORMON SOLUTION FOR IN PRE- VETTER PHARMA- FILLED SYRINGE IU FERTIG VETTER, GERMANY EPOETIN BETA (GENETICAL RECOMBINANT) 10 KIU 注射 10 KIU /02/ BC ESOMEPRAZOL STADA 20 STADA- VN JOINT VENTU ESOMEPRAZOLE PELLET 22% /02/ A TRICOLINE TABLETS 世達 TRIMETOQUINOL HCL 3 3(TRIMETOQUINO)S.D /03/01 第 23 頁, 共 28 頁

24 項次 發文號 健保代碼 藥品名稱 廠牌 成分及含量 型 規格原核定新核定量價價 生效日期 AC TRICOLINE TABLETS 3(TRIMETOQUINO)S.D. 世達 TRIMETOQUINOL HCL /02/ AC414991G0 CIRZODONE TABLET 50 SINPHAR(TRAZODONE HYDROCHLORIDE)( 鋁箔 / 膠箔 ) 杏輝 ( 宜蘭廠 ) TRAZODONE /02/01 HYDROCHLORIDE BC ETUMINE TABLETS 40 (CLOTIAPINE) Famar L Aigle CLOTHIAPINE /02/ A DICLOFENAC ENTERIC COATED TABLETS Y.C. 明大 DICLOFENAC SODIUM 25 腸溶 /03/ AC DICLOFENAC ENTERIC COATED TABLETS Y.C. 明大 DICLOFENAC SODIUM 25 腸溶 /02/ AC BRIMO OPHTHALMIC SOLUTION 0.2% PATRON 臺灣派頓 BRIMONIDINE TARTRATE 2 /ML 點眼液 10 ML /02/ AC ROZININ F.C. TABLETS 20 瑞士新市廠 ROSUVASTATIN CALCIUM /02/ AB GLUCOFIT ER TABLETS 500 SWISS 瑞士新市廠 METFORMIN HCL 500 持續性藥效 /02/ AB494571G0 GLUCOFIT ER TABLETS 500 SWISS ( 鋁箔 / 膠箔 ) 瑞士新市廠 METFORMIN HCL 500 持續性藥效 /02/ AC GLUCOFIT ER TABLETS 500 SWISS 瑞士新市廠 METFORMIN HCL 500 持續性藥效 /03/ AC TAMOKAS PROLONGED 歐帕生技 TAMSULOSIN HCL 0.4 RELEASE TABLETS 0.4 持續性藥效 /02/ BC LETROZOLE-ACEPHARM F.C. TABLETS 2.5 SYNTHON LETROZOLE /02/ AB DIVOSHOT EXTENDED- RELEASE TABLETS 250 TWI 安成國際中壢廠 DIVALPROEX (SODIUM) 250 持續釋放 /02/ AA VOSAA F.C. TABLETS 80(28 粒鋁箔盒裝 ) 中化新豐製 VALSARTAN /03/01 第 24 頁, 共 28 頁

25 AA VOSAA F.C. TABLETS 160(28 粒 / 鋁箔盒裝 ) 中化新豐製 VALSARTAN /03/ AB VOSAA F.C. TABLETS 80 中化新豐製 VALSARTAN /02/ AB VOSAA F.C. TABLETS 160 中化新豐製 VALSARTAN /02/ AA ATOTY F.C. TABLETS 10 (30 粒 / 鋁箔盒裝 ) 中化新豐製 ATORVASTATIN (CALCIUM) /02/ AC ATOTY F.C. TABLETS 10 中化新豐製 ATORVASTATIN (CALCIUM) /03/ AA LOSARTAN F.C. TABLETS 50 CYH (28 粒 / 鋁箔膠 箔 ) 中化新豐製 LOSARTAN POTASSIUM /03/ AA LOSA&HYDRO F.C. TABLETS 50/12.5 CYH (28 粒 / 鋁箔膠箔 ) 中化新豐製 LOSARTAN POTASSIUM /03/ AB LOSARTAN F.C. TABLETS 50 CYH 中化新豐製 LOSARTAN POTASSIUM /02/ AB LOSA&HYDRO F.C. TABLETS 50/12.5 CYH 中化新豐製 LOSARTAN POTASSIUM /02/ AC CRAVIT IV SOLUTION FOR INFUSION 5/ML 健亞 LEVOFLOXACIN (HEMIHYDRATE) 5 /ML 注射 150 ML /04/ AE00447 BC JANUVIA 50 F.C. TABLETS MERCK SHARP & DOHME SITAGLIPTIN (AS MONOHYDRATE PHOSPHATE SALT) /02/ BC Tarceva Film-Coated tablets 150mg Kremers Urban Pharma ERLOTINIB HYDROCHLORIDE /02/ BC TARCEVA FILM-COATED TABLETS 150 ITALY ROCHE S.P.A. ERLOTINIB HYDROCHLORIDE /02/ BC REVLIMID CAPSULES 5 CELGENE LENALIDOMIDE 5 INTERNAT IONA /02/ B BALANCE 1.5% GLUCOSE, 1.75 MMOL/L CALCIUM, PERITONEAL DIALYSIS SOLUTION FRESEM GLUCOSE MONOHYDRATE 16.5 /ML 透析用液 3 L /04/01 第 25 頁, 共 28 頁

26 B BALANCE 4.25% GLUCOSE, 1.75 MMOL/L CALCIUM, PERITONEAL DIALYSIS SOLUTION FRESEM GLUCOSE MONOHYDRATE /ML 透析用液 3 L /04/ B BALANCE 2.3% GLUCOSE, 1.75 MMOL/L CALCIUM, PERITONEAL DIALYSIS SOLUTION FRESEM GLUCOSE MONOHYDRATE 25 /ML 透析用液 3 L /04/ B CEFROM POWDER FOR I.V 1GM PATHEO CEFPIROME 1000 乾粉 注射 1 GM /02/ A ENPURIN S.C. TABLETS VEI MIN 明大 BROMELAIN 50 糖衣 /03/ A EPICORT CREAM VEIMIN 明大 ECONAZOLE NITRATE 10 /GM 乳膏 10 GM /03/ A RINDERON SUSPENSION 5/ML 鹽野義 BETAMETHASONE ACETATE 4 /ML 注射 0.5 ML /03/ A ASPIRIN POWDER FOR 0.9GM (LYSINE ACETYLSALICYLATE) LITA ACETYLSALICYLATE (LYSINE) 500 乾粉注射 /02/ A WILCON LYO- 20 (FAMOTIDINE) UNION 聯邦製 FAMOTIDINE 20 凍晶 注射 /02/ A NORESTRIN TABLETS 華盛頓 ESTRADIOL /02/ A ERYTHROMYCIN CAPSULES 250 WAH FOO 政德 ERYTHROMYCIN (ESTOLATE) /03/ A KANFUYEN CAPSULES 政德 CEPHALEXIN (MONOHYDRATE) /03/ A ANKOCILLIN CAPSULES 500 W.F. 政德 AMOXYCILLIN (TRIHYDRATE) /03/ BC SYNTHAMINE 14, 8.5% AMINO ACID IV INFUSION WITHOUT ELECTROLYTE, SOLUTION FOR INFUSION 8.5% W/V BHCL ARGININE L /ML 注射 250 ML /02/01 第 26 頁, 共 28 頁

27 BC OLICLINOMEL N6-900 E EMULSION FOR INFUSION( 依仿單含熱量 1015KCAL) BAXTER S.A. GLUCOSE 300 /ML 注射 1 L /02/ BC OLICLINOMEL N6-900 E EMULSION FOR INFUSION( 依仿單含熱量 1525KCAL) BAXTER S.A. GLUCOSE 300 /ML 注射 1.5 L /02/ BC OLICLINOMEL N6-900 E EMULSION FOR INFUSION( 依仿單含熱量 2030KCAL) BAXTER S.A. GLUCOSE 300 /ML 注射 2 L /02/ B HEPARIN SODIUM- FRESENIUS 5000IU/ML Fresenius HEPARIN SODIUM 5000 Kabi Manuf U/ML (UNIT/ML) 注射 25 KIU /02/ B HEPARIN SODIUM- FRESENIUS 5000IU/ML Fresenius HEPARIN SODIUM 5000 Kabi Manuf IU/ML 注射 1 KIU /02/ B HEPARIN SODIUM- FRESENIUS 1000IU/ML Fresenius HEPARIN SODIUM 1000 Kabi Manuf U/ML (UNIT/ML) 注射 5 KIU /02/ A BISZOLE CREAM S.L 信隆 BIFONAZOLE 10 /GM 乳膏 5 GM /02/ A BISZOLE CREAM S.L 信隆 BIFONAZOLE 10 /GM 乳膏 10 GM /02/ A BISZOLE CREAM S.L 信隆 BIFONAZOLE 10 /GM 乳膏 20 GM /02/ Y CEREZYME 200UNITS GENZYME IMIGLUCERASE 200 U (UNIT) 凍晶注射 200 U (UNIT ) /03/ A SIVKORT STERILE SUSPENSION 40 (TRIAMCINOLONE) 壽元製 TRIAMCINOLONE (ACETONIDE) 40 /ML 注射 5 ML /03/ AC SIVKORT STERILE SUSPENSION 40 (TRIAMCINOLONE) 壽元製 TRIAMCINOLONE (ACETONIDE) 40 /ML 注射 1 ML /03/ AC SIVKORT STERILE SUSPENSION 40 (TRIAMCINOLONE) 壽元製 TRIAMCINOLONE (ACETONIDE) 40 /ML 注射 2 ML /03/ AC SIVKORT STERILE SUSPENSION 40 (TRIAMCINOLONE) 壽元製 TRIAMCINOLONE (ACETONIDE) 40 /ML 注射 10 ML /03/01 第 27 頁, 共 28 頁

28 X PROLEUKIN FOR BOEHRIN GER INGELHEI M ALDESLEUKIN 18 MIU/ML 凍晶注射 18 MIU /02/ BC SEGLOR 5 CAPSULES SANOFI DIHYDROERGOTAMINE METHANESULPHONATE /03/ AC HAO GRANULES FOR ORAL SOLUTION 1200 Y.C. 元宙 PIRACETAM 1200 內服 顆粒 1.2 GM /04/ AC ULSAMIN FINE GRANULES 900/GM (BASIC ALUMINUM SUCROSE SULFATE) 政德 SUCRALFATE(=BASIC ALUMINUM SUCROSE SULFATE) 900 /GM 細粒 1 GM /04/ BC Ulban A Gran. TOWA PHAR. SUCRALFATE(=BASIC ALUMINUM SUCROSE SULFATE) 900 /GM 內服顆粒 1 GM /04/ AC NOOPOL GRANULES FOR ORAL SOLUTION 1200 南光 PIRACETAM 1200 內服 顆粒 1.2 GM /04/ AC SYNTAM GRANULES FOR 優良 PIRACETAM 1200 內服 ORAL SOLUTION 1200 顆粒 1.2 GM /04/01 第 28 頁, 共 28 頁