全民健康保險藥品價格明細表 發文號 項次 藥品代碼 藥品名稱 廠牌 成分及含量 劑型 規格量原核定價 新核定價 '0960022698 1 A0398511G0 CYMA CAPSULES." CHINTENG"( 鋁箔 ) ACETAMINOPHEN (=PARACETAMOL) 250 膠囊劑 -- 1.5 '0960023070 2 A048764321 ANCE-CURE '0960023070 3 A048764335 ANCE-CURE '0960023070 4 A048764343 ANCE-CURE '0960023070 5 A048764345 ANCE-CURE '0960023070 6 A048764363 ANCE-CURE '0960023070 7 A048764399 ANCE-CURE '0960021704 8 A0480811G0 KUWEIHAU "CHIN TENG"( 鋁 '0960021704 9 A0331571G0 WEISUFU "CHIN TENG"( 鋁 '0960021429 10 A028505155 MUCOSOLV AN LIQUID 3/ML (AMBROXOL HYDROCHL ORIDE) '0960021704 11 A0424611G0 FUSEN ENTERIC MICROENCA PSULATED CAPSULES 100"CHIN TENG"( 鋁 順生製造 ADAPALENE 1 /GM 乳膏劑 5 GM -- 42.3 順生製造 ADAPALENE 1 /GM 乳膏劑 15 GM -- 97 順生製造 ADAPALENE 1 /GM 乳膏劑 30 GM -- 211 順生製造 ADAPALENE 1 /GM 乳膏劑 40 GM -- 282 順生製造 ADAPALENE 1 /GM 乳膏劑 200 GM -- 1115 順生製造 ADAPALENE 1 /GM 乳膏劑 1 GM -- 5.5 ALUMINUM DIHYDROXYALLANTOI NATE (=ALDIOXA) 50 ALUMINUM SILICATE 60 百靈佳殷 AMBROXOL HYDROCHLORIDE 3 /ML 內服液劑 ASPIRIN 100 腸溶微 粒膠囊 劑 100 ML -- 74 -- 1.5 '0960021940 12 B024566100 IMUPRIN 50 REMEDI AZATHIOPRINE 50 錠劑 0 -- 25.7 CA LTD. '0960022531 13 A048285321 NISKIN AZELAIC ACID 200 乳膏劑 5 GM -- 32.5 Cream "Chin /GM '0960022531 14 A048285329 NISKIN AZELAIC ACID 200 乳膏劑 10 GM -- 66 Cream "Chin /GM '0960022531 15 A048285338 NISKIN AZELAIC ACID 200 乳膏劑 20 GM -- 192 Cream "Chin /GM '0960022531 16 A048285343 NISKIN Cream "Chin AZELAIC ACID 200 /GM 乳膏劑 30 GM -- 239 '0960022531 17 A048285372 NISKIN "CHIN TENG" AZELAIC ACID 200 /GM 乳膏劑 450 GM -- 1866
'0960022531 18 A048285399 NISKIN AZELAIC ACID 200 /GM "CHIN TENG" '0960022531 19 A048446100 SOKEZ 20 '0960023127 20 A048808100 ECYCLE F.C. 16 Y.Y. '0960023393 21 A048834209 CEFIM POWDER FOR INJECTION 1 '0960023550 22 A048860143 MINERGY ORAL SOLUTION 1/ML '0960023550 23 A048860151 MINERGY ORAL SOLUTION 1/ML '0960023550 24 A048860157 MINERGY ORAL SOLUTION 1/ML '0960023550 25 A048860199 MINERGY ORAL SOLUTION 1/ML BENPROPERINE PHOSPHATE 20 應元 BETAHISTINE 2HCL 16 永信三廠 CEFEPIME DIHYDROCHLORIDE MONOHYDRATE 1 GM 內外 內外 內外 內外 CETIRIZINE DIHYDROCHLORIDE 1 /ML CETIRIZINE DIHYDROCHLORIDE 1 /ML CETIRIZINE DIHYDROCHLORIDE 1 /ML CETIRIZINE DIHYDROCHLORIDE 1 /ML 乳膏劑 1 GM -- 3.36 錠劑 0 -- 2.05 膜衣錠 0 -- 3.37 乾粉注射劑 內服液劑 內服液劑 內服液劑 內服液劑 1 GM -- 620 30 ML -- 47.2 60 ML -- 57 120 ML -- 171 1 ML -- 0.76 '0960022698 26 A0368921G0 HOU WE MING F.C. 200 (CIMETIDINE ) CIMETIDINE 200 膜衣錠 -- 1.5 '0960022698 27 A0156291G0 CINNARIZIN E ( 鋁箔 ) '0960022698 28 A0407941G0 COSOPIN ( 鋁箔 ) CINNARIZINE 25 '0960015894 29 A024961212 T.T.Y. COLIMYCIN INJECTION 2000000 U (COLISTIN METHANESU LFONATE) 聯亞生技二廠 CODEINE PHOSPHATE 5 COLISTIMETHATE (SODIUM) 2000000 U (UNIT) 注射劑 2 MU -- 20
'0960023262 30 A0319331G0 SOURIREE COMCEB CAPSULES 1 (CYANOCOB ALAMIN)( 鋁 '0960023611 31 A0047371G0 PILIAN "Y.S."( 鋁箔 ) '0960022698 32 N0151011G0 KOVIN TONG ) '0960022639 33 A046259412 DRXALINE ORAL PASTE 1/GM '0960022640 34 A0440381G0 SONLI CAPSULES( 鋁箔 ) '0960022105 35 A0000591G0 DIAPIN 2 (DIAZEPAM) '0960022106 36 A0000601G0 DIAPIN 5 (DIAZEPAM) '0960022531 37 A032279500 DICLOFENA C SUPPOSITOR IES 50 '0960022698 38 A0329261G0 DICLOFENA C E.C. 50 '0960022698 39 A0340881G0 KANTUU 10 (DOMPERID ONE)( 鋁箔 ) '0960022835 40 B024638221 FYTOSID FOR IV INJECTION '0960023103 41 K000836299 BAXTER ADVATE 500 IU POWDER AND SOLVENT FOR 盈盈生技 CYANOCOBALAMIN (=VIT B12) 1 永信 CYPROHEPTADINE HCL 4 DEXAMETHASONE 0.5 聯亞 DEXAMETHASONE 1 /GM DEXTROMETHORPHAN HBR 20 膠囊劑 -- 1.5 軟膏劑 2 GM -- 17.2 膠囊劑 -- 1.5 盈盈生技 DIAZEPAM 2 盈盈生技 DIAZEPAM 5 DICLOFENAC SODIUM 50 DICLOFENAC SODIUM 50 栓劑 0 -- 8.9 腸溶錠 -- 1.5 DOMPERIDONE 10 DABUR PHARMA LIMITED BAXTER S.A. ETOPOSIDE 20 /ML 注射劑 5 ML -- 417 FACTOR VIII 100 IU/ML 凍晶注射劑 1 IU -- 24.1
'0960023103 42 K000838299 BAXTER BAXTER ADVATE S.A. 1000 IU POWDER AND SOLVENT '0960023103 43 K000837299 BAXTER ADVATE 250 IU POWDER AND SOLVENT FOR '0960022698 44 A0315931G0 FURNAZM 5 (FLUNARIZI NE) '0960022638 45 A048731100 CAFONIA Y.C. '0960022573 46 A048765100 Bloodlet Tablets 15mg Yung Shin '0960022791 47 A048810100 CALFOLIN 15 JOHNSON '0960021704 48 A0181711G0 WEICOLA ( 鋁箔 ) '0960021704 49 A0021401G0 VITAMIN B12 S.C. '0960022698 50 N0161571G0 IMINE S.C. ) ( 鋁箔 ) BAXTER S.A. FACTOR VIII 200 IU/ML 凍晶注射劑 FACTOR VIII 50 IU/ML FLUNARIZINE (HCL) 5 元宙 永信 強生 '0960023072 51 B024617212 IRINOTECAN MAYNE INJECTION CONCENTRA TE '0960023072 52 B024617221 Irinotecan Injection Concentrate '0960023979 53 A047443161 ITRAZOLE ORAL SOLUTION "H.S." FOLINATE (CALCIUM)=LEUCOVO RIN(CALCIUM) 15 FOLINATE CALCIUM 5H2O 15 FOLINATE CALCIUM 5H2O 15 HOMATROPINE METHYLBROMIDE 2.5 HYDROXOCOBALAMIN 500 MCG IMIPRAMINE HCL 25 IRINOTECAN HYDROCHLORIDE TRIHYDRATE 20 /ML MAYNE IRINOTECAN HYDROCHLORIDE TRIHYDRATE 20 黃氏 ITRACONAZOLE 10 /ML 凍晶注射劑 1 IU -- 24.1 1 IU -- 24.1 錠劑 0 -- 37.3 錠劑 0 -- 37.3 錠劑 0 -- 37.3 糖衣錠 -- 1.5 糖衣錠 -- 1.5 注射劑 2 ML -- 3000 注射劑 5 ML -- 6752 內服液劑 150 ML -- 1153
'0960021704 54 A0345591G0 KETOTIFEN 1 '0960023607 55 A048694100 LEFLODAL 中化新豐 F.C. 製 100 '0960022698 56 A0395951G0 SANPO CAPSULES 2 "CHIN TENG"( 鋁 '0960022698 57 A0380551G0 FUAN 5 (MEDROXYP ROGESTERO '0960022698 58 A0128311G0 MEFEN ( 鋁箔 ) '0960022698 59 A0324131G0 MEFEN F.C 500 (MEFENAMI C ACID) ( 鋁箔 ) KETOTIFEN (FUMARATE) 1 LEVOFLOXACIN 100 LOPERAMIDE HCL 2 MEDROXYPROGESTER ONE ACETATE 5 MEFENAMIC ACID 250 MEFENAMIC ACID 500 '0960023680 60 A048800100 MESACLON ENTERIC FILM COATED 400 永信 MESALAZINE (= AMINOSALICYLIC ACID META-) 400 '0960022384 61 B024611100 ASACOL 800 GASTRO- RESISTANT '0960022698 62 A0093341G0 FUZUIN S.C. "CHINGTEN G"( 鋁箔 ) '0960021705 63 A048691100 MERONIN ORALLY DISINTEGRA TING 15 '0960022698 64 A0389831G0 NOMPIN 20 (NOSCAPINE ) TILOTS MESALAZINE (= AMINOSALICYLIC ACID META-) 800 METRONIDAZOLE 250 錠劑 0 -- 30.5 膠囊劑 -- 1.5 膜衣錠 -- 1.5 腸溶膜衣錠 腸溶膜衣錠 永信 MIRTAZAPINE 15 口溶錠 劑 0 -- 11.6 0 -- 26.2 糖衣錠 -- 1.5 0 -- 18.4 NOSCAPINE 20
'0960023548 65 A048838229 OPATIN I.V. INJECTION 5/ML '0960022698 66 A0376801G0 ANLIN CAPSULES 10 (OXAZOLAM ) '0960022709 67 A048022113 NUXITAM GRANULES FOR ORAL SOLUTION 2400 '0960022709 68 A048727113 SYNTAM GRANULES FOR ORAL SOLUTION 2400 南光 OXALIPLATIN 5 /ML 注射劑 10 ML -- 5518 OXAZOLAM 10 膠囊劑 -- 1.5 聯亞 PIRACETAM 2400 內服顆 粒劑 健喬信元 PIRACETAM 2400 內服顆粒劑 2.4 -- 14.3 2.4 -- 14.3 '0960022233 69 A048836100 RAPMITEC 聯亞 RAMIPRIL 10 錠劑 0 -- 20.9 10 '0960022698 70 A0340791G0 VESUTON F.C 10 (SCOPOLAMI NE)( 鋁箔 ) SCOPOLAMINE 10 膜衣錠 -- 1.5 '0960022698 71 A0311071G0 SENTA ENTERIC COATED 5 (SERRATIOP EPTIDASE)( '0960022698 72 A0414541G0 SOTER 2.5 (TERBUTALI NE)( 鋁箔 ) '0960022531 73 A041482321 TOLFENE '0960022531 74 A041482329 TOLFENE '0960022531 75 A041482335 TOLFENE '0960022531 76 A041482399 TOLFENE SERRAPEPTASE 腸溶錠 -- 1.5 (=SERRATIOPEPTIDASE ) 5 TERBUTALINE SULFATE 2.5 TOLNAFTATE 20 /GM TOLNAFTATE 20 /GM TOLNAFTATE 20 /GM TOLNAFTATE 20 /GM 乳膏劑 5 GM -- 17.2 乳膏劑 10 GM -- 30.9 乳膏劑 15 GM -- 41.8 乳膏劑 1 GM -- 2.4
'0960022698 77 A0111251G0 KERCORT "CHIN TENG"( 鋁 '0960022531 78 A048555100 LEGAN CAPSULES 300 '0960024732 79 A048678145 Mecalis Solution TRIAMCINOLONE 4 聯亞 URSODEOXYCHOLIC ACID 300 VALPROATE SODIUM 200 /ML 膠囊劑 0 -- 6.7 內服液劑 40 ML -- 123
生效日期