1 1070057523 BC27436217 BORTEZOMIB 3.5 LYOPHILIZED POWDER FOR SOLUTION FOR INJECTION PHARMIDEA PHARMIDEA BORTEZOMIB 3.5 凍晶注射劑 3.5 -- 29531 107/10/01 2 1070052002 WC00017100 EXCELSIOR" BH4 TABLETS 10 " 3 1070052002 WC00018100 EXCELSIOR" BH4 TABLETS 50 " 4 1070053218 VC00041100 KUVAN SOLUBLE TABLET 100 五洲製 五洲製 EXCELLA GMBH & CO. K Sapropterin (6R)-L-erythro- tetrahydrobiopterin dihydrochloride 10 Sapropterin (6R)-L-erythro- tetrahydrobiopterin dihydrochloride 50 Sapropterin (6R)-L-erythro- tetrahydrobiopterin dihydrochloride 100 錠劑 -- 86 107/10/01 錠劑 -- 433 107/10/01 錠劑 -- 780 107/10/01 5 1070060935 BC26419209 FOLOTYN (PRALATREXATE INJECTION) SOLUTION FOR INTRAVENOUS INJECTION 6 1070061084 VC00039100 TECFIDERA 120 GASTRO-RESISTANT HARD CAPSULE 7 1070061084 VC00040100 TECFIDERA 240 GASTRO-RESISTANT HARD CAPSULE BAXTER Pralatrexate 20 /ML 注射劑 1 ML -- 25096 107/10/01 VIFOR SA dimethyl fumarate 120 膠囊劑 -- 252 107/10/01 VIFOR SA dimethyl fumarate 240 膠囊劑 -- 454 107/10/01 8 1070056083 X000138100 PROVIGIL TABLETS 200 PATHEON C MODAFINIL 200 錠劑 0 166 107/10/01 9 1070056083 X000138100 PROVIGIL TABLETS 200 PATHEON C MODAFINIL 200 錠劑 166 0 108/10/01 10 1070054463 AC196201G0 NAPROXEN TABLETS SINPHAR"( 鋁箔 / 膠箔 )" 11 1070054520 AC559851G0 METFOPIN F.C. TABLETS 850( 鋁箔 / 膠箔 ) 杏輝 ( 宜蘭廠 ) NAPROXEN 250 錠劑 -- 2 107/10/01 瑞士新市廠 METFORMIN HCL 850 12 1070054520 AC588291G0 CALM-UP F.C. TABLETS 200( 鋁箔 / 膠箔 ) 瑞士新市廠 SULPIRIDE 200 13 1070054521 AB49517100 GAPATIN F.C. TABLETS 600 瑞士新市廠 GABAPENTIN 600 膜衣錠 12.6 0 107/11/01 14 1070054521 AC391681G0 VEINTONIC F.C. TABLETS 9.6 SWISS"(GINKGOFLAVON GLYCOSIDE)" 瑞士新市廠 GINKGO BILOBA EXTRACT 40 15 1070054521 AC49517100 GAPATIN F.C. TABLETS 600 瑞士新市廠 GABAPENTIN 600 膜衣錠 0 12.6 107/10/01 16 1070054619 AC43313321 ET CREAM 壽元製 ECONAZOLE NITRATE 10 /GM 17 1070054619 AC43313329 ET CREAM 壽元製 ECONAZOLE NITRATE 10 /GM 乳膏劑 5 GM -- 11 107/10/01 乳膏劑 10 GM -- 20 107/10/01 18 1070054619 AC43313335 ET CREAM 壽元製 ECONAZOLE NITRATE 1 /GM 乳膏劑 15 GM -- 34.6 107/10/01 19 1070054619 AC43313338 ET CREAM 壽元製 ECONAZOLE NITRATE 10 /GM 乳膏劑 20 GM -- 36.2 107/10/01 20 1070054619 AC43693324 CLOB CREAM 壽元製 CLOBETASOL 17-PROPIONATE 0.5 /GM 乳膏劑 7 GM -- 14.1 107/10/01 21 1070054619 AC43693329 CLOB CREAM 壽元製 CLOBETASOL 17-PROPIONATE 0.5 /GM 乳膏劑 10 GM -- 15.4 107/10/01 第 1 頁, 共 6 頁
22 1070054619 AC43693335 CLOB CREAM 壽元製 CLOBETASOL 17-PROPIONATE 0.5 /GM 乳膏劑 15 GM -- 26.5 107/10/01 23 1070054619 AC43693338 CLOB CREAM 壽元製 CLOBETASOL 17-PROPIONATE 0.5 /GM 乳膏劑 20 GM -- 46.9 107/10/01 24 1070055127 A043693321 CLOB CREAM 壽元製 CLOBETASOL 17-PROPIONATE 0.5 /GM 乳膏劑 5 GM 13.8 0 107/11/01 25 1070055127 AC43693321 CLOB CREAM 壽元製 CLOBETASOL 17-PROPIONATE 0.5 /GM 乳膏劑 5 GM -- 13.8 107/10/01 26 1070055366 AC578651G0 GASOTIN F.C. TABLETS 5 YU SHENG"( 鋁箔 / 膠 箔 )" 優生 MOSAPRIDE (CITRATE DIHYDRATE) 5 27 1070055440 BC26527100 JUBILANT DONEPEZIL 10 FILM-COATED TABLETS Jubilant Generics Li DONEPEZIL HCL 10 膜衣錠 -- 67 107/10/01 28 1070055710 AC59866100 SOFLOW FILM COATED TABLETS 5 永信台中幼獅廠 SOLIFENACIN SUCCINATE 5 膜衣錠 -- 24.6 107/10/01 29 1070056036 AC59868500 ESVATIN VAGINAL TABLETS 健喬信元健喬廠 ESTRIOL 0.5 陰道錠 -- 12.8 107/10/01 30 1070056045 AC322771G0 PEESU TABLETS KOJAR"( 鋁箔 / 膠箔 )" 國嘉幼獅三廠 PSEUDOEPHEDRINE HCL 60 錠劑 -- 2 107/10/01 31 1070056087 AC59894100 ESOCOMFORT E.F.C. TABLETS 40 皇佳製 ESOMEPRAZOLE (MAG. TRIHYDRATE) 40 膜衣錠 -- 6 107/10/01 32 1070056132 AC44503421 TROPICAN OPHTHALMIC SOLUTION 1.0% PATRON"" 臺灣派頓 TROPICAMIDE 10 /ML 點眼液劑 5 ML -- 71 107/10/01 33 1070056207 AA52530100 ATORIN F.C. TABLETS 20(28 粒 / 鋁箔盒裝 ) 健亞 ATORVASTATIN (CALCIUM) 20 膜衣錠 22.2 0 107/11/01 34 1070056207 AC52530100 ATORIN F.C. TABLETS 20 健亞 ATORVASTATIN (CALCIUM) 20 膜衣錠 0 22.2 107/10/01 35 1070056208 AA58235100 BESTAN 300 FILM- (28 粒 / 鋁箔盒裝 ) 健亞 IRBESARTAN 300 膜衣錠 12 0 107/11/01 36 1070056208 AC58235100 BESTAN 300 FILM- 健亞 IRBESARTAN 300 膜衣錠 0 12 107/10/01 37 1070056233 A040659110 CEFACLOR FOR ORAL SUSPENSION 25/ML SCB"" 政德 CEFACLOR 25 /ML 懸液用顆粒 劑 60 ML 110 0 107/11/01 38 1070056233 AC40659110 CEFACLOR FOR ORAL SUSPENSION 25/ML SCB"" 政德 CEFACLOR 25 /ML 懸液用顆粒 劑 60 ML -- 112 107/10/01 39 1070056319 AC225691G0 CIMETIDINE TABLETS 200 T.F."( 鋁箔 / 膠箔 )" 大豐製藥股份有 CIMETIDINE 200 錠劑 -- 2 107/10/01 40 1070056375 AC464471G0 TIZALIN TABLETS 2 GENTLE"( 鋁箔 / 膠箔 )" 政德 TIZANIDINE HYDROCHLORIDE 2 錠劑 -- 2 107/10/01 第 2 頁, 共 6 頁
41 1070056421 AC479911G0 ANXOFIN F.C. TABLETS 850 歐帕生技 METFORMIN HCL 850 42 1070056421 AC482291G0 ANXOKEN F.C. TABLETS 1000 歐帕生技 METFORMIN HCL 1000 43 1070056426 BC27416263 ALVOAZOLE 200 LYOPHILIZED POWDER FOR SOLUTION FOR INFUSION 44 1070056452 AC59888100 LEFLO F.C. TABLETS 500 H.S."" ANFARM HELLAS S.A. VORICONAZOLE 200 凍晶注射劑 200 -- 3345 107/10/01 華興 LEVOFLOXACIN 500 膜衣錠 -- 32.5 107/10/01 45 1070056610 BB23503100 DIAMICRON MR TABLETS 30 LES GLICLAZIDE 30 LABORATORIES 持續性藥效錠 1.94 0 107/11/01 46 1070056610 BC235031G0 DIAMICRON MR TABLETS 30( 鋁箔 / 膠箔 ) LES GLICLAZIDE 30 LABORATORIES 持續性藥效錠 -- 2 107/10/01 47 1070057125 A036332143 GIKO DROPS 9.6 黃氏 GINKGO BILOBA EXTRACT 40 (GYNKGOFLAVONGLYCO /ML SIDE) H.S."" 內服液劑 30 ML 176 0 107/11/01 48 1070057125 AC309161G0 KOTOGEN TABLETS 50 H.S." (BENZBROMARONE)( 鋁箔 / 膠箔 )" 黃氏 BENZBROMARONE 50 錠劑 -- 2 107/10/01 49 1070057125 AC326421G0 GIKO FILM-COATED TABLETS 9.6 (GINKGOFLAVONGLYCO SIDES)H.S."( 鋁箔 / 膠箔 )" 黃氏 GINKGO BILOBA EXTRACT 40 50 1070057125 AC36332143 GIKO DROPS 9.6 黃氏 GINKGO BILOBA EXTRACT 40 (GYNKGOFLAVONGLYCO /ML SIDE) H.S."" 內服液劑 30 ML -- 176 107/10/01 51 1070057126 AC45018100 STIMIN F.C.TABLETS 10 皇佳製 ZOLPIDEM HEMITARTRATE 10 膜衣錠 -- 2.04 107/10/01 52 1070057400 A036031321 BETAGEN CREAM 美西 BETAMETHASONE (VALERATE) 1 /GM 53 1070057400 A036031329 BETAGEN CREAM 美西 BETAMETHASONE (VALERATE) 1 /GM 54 1070057400 A036031335 BETAGEN CREAM 美西 BETAMETHASONE (VALERATE) 1 /GM 乳膏劑 5 GM 13.1 0 107/11/01 乳膏劑 10 GM 13.8 0 107/11/01 乳膏劑 15 GM 19.6 0 107/11/01 55 1070057400 A036031338 BETAGEN CREAM 美西 BETAMETHASONE (VALERATE) 1 /GM 乳膏劑 20 GM 19.6 0 107/11/01 56 1070057400 AC36031321 BETAGEN CREAM 美西 BETAMETHASONE (VALERATE) 1 /GM 57 1070057400 AC36031329 BETAGEN CREAM 美西 BETAMETHASONE (VALERATE) 1 /GM 乳膏劑 5 GM -- 14.2 107/10/01 乳膏劑 10 GM -- 15.2 107/10/01 58 1070057400 AC36031335 BETAGEN CREAM 美西 BETAMETHASONE (VALERATE) 1 /GM 乳膏劑 15 GM -- 19.6 107/10/01 59 1070057400 AC36031338 BETAGEN CREAM 美西 BETAMETHASONE (VALERATE) 1 /GM 乳膏劑 20 GM -- 19.6 107/10/01 60 1070057401 A051713321 SALISONE OINTMENT 美西 SALICYLIC ACID 30 /GM 軟膏劑 5 GM 11.9 0 107/11/01 61 1070057401 A051713329 SALISONE OINTMENT 美西 SALICYLIC ACID 30 /GM 軟膏劑 10 GM 22.5 0 107/11/01 第 3 頁, 共 6 頁
項次發文號健保代碼藥品名稱廠牌成分及含量劑型規格量原核定價新核定價生效日期 62 1070057401 A051713335 SALISONE OINTMENT 美西 SALICYLIC ACID 30 /GM 軟膏劑 15 GM 57 0 107/11/01 63 1070057401 A051713338 SALISONE OINTMENT 美西 SALICYLIC ACID 30 /GM 軟膏劑 20 GM 71 0 107/11/01 64 1070057401 A051713340 SALISONE OINTMENT 美西 SALICYLIC ACID 30 /GM 軟膏劑 25 GM 81 0 107/11/01 65 1070057401 A051713343 SALISONE OINTMENT 美西 SALICYLIC ACID 30 /GM 軟膏劑 30 GM 81 0 107/11/01 66 1070057401 AC51713321 SALISONE OINTMENT 美西 SALICYLIC ACID 30 /GM 軟膏劑 5 GM -- 11.9 107/10/01 67 1070057401 AC51713329 SALISONE OINTMENT 美西 SALICYLIC ACID 30 /GM 軟膏劑 10 GM -- 22.8 107/10/01 68 1070057401 AC51713335 SALISONE OINTMENT 美西 SALICYLIC ACID 30 /GM 軟膏劑 15 GM -- 65 107/10/01 69 1070057401 AC51713338 SALISONE OINTMENT 美西 SALICYLIC ACID 30 /GM 軟膏劑 20 GM -- 81 107/10/01 70 1070057401 AC51713340 SALISONE OINTMENT 美西 SALICYLIC ACID 30 /GM 軟膏劑 25 GM -- 81 107/10/01 71 1070057401 AC51713343 SALISONE OINTMENT 美西 SALICYLIC ACID 30 /GM 軟膏劑 30 GM -- 81 107/10/01 72 1070057404 AC598301G0 SAUA F.C. TABLETS 5( 鋁箔 / 膠箔 ) 井田國際醫藥廠 MOSAPRIDE (CITRATE DIHYDRATE) 5 73 1070057442 AC60114100 ROSUTOR FILM-COATED TABLETS 5 衛達製造 ROSUVASTATIN CALCIUM 5 膜衣錠 -- 12 107/10/01 74 1070057522 BC274151G0 DIABETMIN 850 FILM- COATED TABLET( 鋁箔 / 膠 箔 ) HOVID BERHAD METFORMIN HCL 850 75 1070057533 BC27432217 MYZOMIB MYLAN -OTL BORTEZOMIB 3.5 凍晶注射劑 3.5 -- 29531 107/10/01 76 1070057533 BC27448100 FEMOLET Delpharm Lille SAS LETROZOLE 2.5 膜衣錠 -- 43.5 107/10/01 77 1070010534 BC22842100 ARTHROTEC 75 TABLET PIRAMAL HEALTHCARE UK LIMITED DICLOFENAC 70 + MISOPROSTOL 200MCG 一般錠劑膠囊劑 5.5 0 107/11/01 78 1070010964 N011147355 CALAMAUM LOTION 明華化學製藥廠 股份有 CALAMINE 80/ML + ZINC OXIDE 60/ML + DIPHENHYDRAMINE 10/ML + CAMPHOR 10/ML 100.00ML 外用液劑 100ML 16.3 0 107/11/01 79 1070010964 N011147357 CALAMAUM LOTION 寶齡富錦生技股 份有平鎮 廠 CALAMINE 80/ML + ZINC OXIDE 60/ML + DIPHENHYDRAMINE 10/ML + CAMPHOR 10/ML 120.00ML 外用液劑 120ML 24.8 0 107/11/01 80 1070011322 A041173100 PIPEMIDIC ACID TAB. 250 81 1070011469 BC24869277 HESTAR-200 PENTASTARCH 10% 國嘉製藥工業股份有幼獅三廠 CLARIS LIFESCIENCES LIMITED PIPEMIDIC ACID 250.00 一般錠劑膠囊劑 HYDROXYETHYL STARCH 70/0.5-450/0.7 10%, 500.00ML 3.07 0 107/11/01 注射劑 500ML 448 0 107/11/01 82 1070011928 AC26976100 DOGMATYL FILM 200 (SULPIRIDE) 聯亞生技開發股份有新竹二廠 SULPIRIDE 200.00 一般錠劑膠囊劑 1.93 0 107/11/01 第 4 頁, 共 6 頁
83 1070011928 BC25061151 SOLIAN ORAL SOLUTION 100/ML UNITHER LIQUID MANUFACTURI NG AMISULPRIDE 100/ML 60.00 ML 內服液劑 60ML 1230 0 107/11/01 84 1070035756 AC58156209 BROSYM FOR INJECTION 信東觀音廠 CEFOPERAZONE SODIUM 500 乾粉注射劑 1 GM 255 242 107/10/01 85 1070035879 BC26643100 ATOZET F.C. TABLETS 10/10 MSD INTERNATIONA L 86 1070035894 BC25756100 EDARBI TABLETS 40 TAKEDA CA 87 1070035905 BC26124100 ELIQUIS FILM-COATED TABLET 2.5 BRISTOL- MYERS ATORVASTATIN CALCIUM 10 AZILSARTAN MEDOXOMIL 40 膜衣錠 31.5 29.9 107/10/01 錠劑 14.3 13.5 107/10/01 Apixaban 2.5 膜衣錠 31.9 31.6 107/10/01 88 1070035905 BC26133100 ELIQUIS FILM-COATED TABLET 5 BRISTOL- MYERS Apixaban 5 膜衣錠 31.9 31.6 107/10/01 89 1070036061 A021228100 LOPERADIUM CAPSULES (LOPERAMIDE) "P.J." 北進國際有 LOPERAMIDE HCL2 膠囊劑 0 0.94 0 107/11/01 90 1070036061 A027021214 SIKACIN INJECTION 100/ML "SHITEH" 西德有機化學藥品股份有 AMIKACIN (SULFATE)100/ML 注射劑 2.5ML 29.4 0 107/11/01 91 1070036061 A030781209 UNIZONE INJ. 1GM (CEFOPERAZONE) "UNION" CEFOPERAZONE (SODIUM)1000 注射劑 1GM 148 0 107/11/01 92 1070036061 A030781277 UNIZONE INJECTION 0.5 GM "UNION" CEFOPERAZONE (SODIUM)500 注射劑 500 101 0 107/11/01 93 1070036061 A036152435 SU SU EYE DROPS "T.F." 大豐製藥股份有 94 1070036061 A036154421 SHINE LOOK EYE DROPS "T.F" 95 1070036061 A036154435 SHINE LOOK EYE DROPS "T.F" 96 1070036061 A036224421 TIMOL EYE DROPS 0.25% (TIMOLOL) "UNION" 大豐製藥股份有 大豐製藥股份有 NAPHAZOLINE HCL0.03/ML 點眼液劑 15ML 29.9 0 107/11/01 NAPHAZOLINE HCL0.03/ML 點眼液劑 5ML 11 0 107/11/01 NAPHAZOLINE HCL0.03/ML 點眼液劑 15ML 29.9 0 107/11/01 TIMOLOL (MALEATE)2.5/ML 點眼液劑 5ML 50 0 107/11/01 97 1070036061 A036242421 TIMOL EYE DROPS 0.5% (TIMOLOL) "UNION" 98 1070036061 A036340100 GLURENORM TABLETS 30 (GLIQUIDONE) 臺灣百靈佳殷格翰股份有 TIMOLOL (MALEATE)5/ML 點眼液劑 5ML 102 0 107/11/01 GLIQUIDONE30 錠劑 0 2.02 0 107/11/01 99 1070036061 A041891100 CEPHA CAPSULES 500 壽元化學工業股份有 CEPHALEXIN (MONOHYDRATE)500 膠囊劑 0 1.75 0 107/11/01 100 1070036061 A041913100 MOBIC TABLETS 7.5 臺灣百靈佳殷格 翰股份有 MELOXICAM7.5 錠劑 0 1.95 0 107/11/01 101 1070036061 A041914100 MOBIC TABLETS 15 (MELOXICAM) 臺灣百靈佳殷格翰股份有 MELOXICAM15 錠劑 0 6 0 107/11/01 102 1070036061 A041947100 POLI TABLETS 30 (EPRAZINONE HYDROCHLORIDE)"EAYU NG" 103 1070036061 A042125100 CHINOCON TABLETS 1.5 (DIHYDROERGOTOXINE MESYLATE)"EAYUNG" 易陽實業有 易陽實業有 EPRAZINONE HCL30 錠劑 0 0.64 0 107/11/01 DIHYDROERGOTOXINE METHANESULFONATE1.5 錠劑 0 1.32 0 107/11/01 104 1070036061 A042149100 CEFAC CAPSULES 250 105 1070036061 A045390421 STROPIN EYE DROPS 0.5% 壽元化學工業股份有 榮山藥品股份有 CEFACLOR250 膠囊劑 0 3.21 0 107/11/01 TROPICAMIDE 5/ML 點眼液劑 5ML 15.1 0 107/11/01 第 5 頁, 共 6 頁
106 1070036061 AC09409100 CO-TRIMOXAZOLE TABLETS "Y.S." 優生製藥廠股份有 TRIMETHOPRIM80 錠劑 0 1.5 0 107/11/01 107 1070036061 AC35893209 XYLITOL INJECTION 5% 108 1070036061 AC35893238 XYLITOL INJECTION 5% 109 1070036061 AC35893265 XYLITOL INJECTION 5% 110 1070036061 AC35893277 XYLITOL INJECTION 5% 南光化學製藥股份有 南光化學製藥股份有 南光化學製藥股份有 南光化學製藥股份有 111 1070036061 AC42174121 GUARINA GRANULES 臺灣美強股份有 112 1070036061 AC49308100 GLUNAT TABLETS 120 五洲製藥股份有 113 1070036061 BC14823100 SPASMONAL CAPSULES 台灣邁蘭有限公 司 114 1070036061 BC19810100 DAPA-TABS 2.5 海喬國際股份有 XYLITOL50/ML 注射劑 1L (LITER) 44.9 0 107/11/01 XYLITOL50/ML 注射劑 20ML 15 0 107/11/01 XYLITOL50/ML 注射劑 250ML 22 0 107/11/01 XYLITOL50/ML 注射劑 500ML 26.7 0 107/11/01 GUAR GUM1GM/GM 內服顆粒劑 5GM 6.9 0 107/11/01 NATEGLINIDE120 膜衣錠 0 2.98 0 107/11/01 ALVERINE CITRATE60 膠囊劑 0 1.98 0 107/11/01 INDAPAMIDE (HEMIHYDRATE)2.5 錠劑 0 2.07 0 107/11/01 115 1070036061 BC19843100 ARATAC 100 TABLETS 海喬國際股份有 AMIODARONE HCL100 錠劑 0 2.05 0 107/11/01 116 1070036061 KC00271248 BUMINATE 25%, ALBUMIN (HUMAN) USP, 25% SOLUTION 百昇特生技醫藥股份有 ALBUMIN HUMAN NORMAL SERUM250/ML 注射劑 50ML 1519 0 107/11/01 117 1070058545 BC26140212 HALAVEN 0.5/ML SOLUTION FOR INJECTION NERPHARMA S.R.L Eribulin mesylate 0.5 /ML 注射劑 2 ML 12370 11751 107/10/01 118 1070058641 BC25418100 EXFORGE HCT FILM 5/160/25 119 1070058641 BC25419100 EXFORGE HCT FILM 5/160/12.5 120 1070058641 BC25420100 EXFORGE HCT FILM 10/160/12.5 121 1070058641 BC25421100 EXFORGE HCT FILM 10/160/25 122 1070058789 BC25886100 DEXILANT DELAYED RELEASE CAPSULES 30 123 1070058789 BC25887100 DEXILANT DELAYED RELEASE CAPSULES 60 124 1070059506 BC25537100 TRAJENTA 5 FILM- TAKEDA CA TAKEDA CA BOEHRINGER ROXANE IN VALSARTAN 160 膜衣錠 17 16.1 107/10/01 VALSARTAN 160 膜衣錠 17 16.1 107/10/01 VALSARTAN 160 膜衣錠 21.1 20 107/10/01 VALSARTAN 160 膜衣錠 21.1 20 107/10/01 DEXLANSOPRAZOLE (TAK-390) 30 DEXLANSOPRAZOLE (TAK-390) 60 膠囊劑 17.5 16.6 107/10/01 膠囊劑 20.1 19 107/10/01 LINAGLIPTIN 5 膜衣錠 19.9 18.9 107/10/01 125 1070060624 KC00914216 VICTOZA NOVONO LIRAGLUTIDE 6 /ML 注射劑 3 ML 1719 1633 107/10/01 第 6 頁, 共 6 頁