裝 訂 線 衛生福利部中央健康保險署函 受文者 : 中華民國藥師公會全國聯合會 第 1 頁, 共 1 頁 地址 : 臺北市信義路 3 段 140 號傳真 :(02)27027723 承辦人及電話 : 洛彤 (02)27065866 轉 3028 電子信箱 :r02849027@nhigovtw 發文日期 : 中華民國 108 年 5 月 28 日發文字號 : 健保審字第 1080035565 號速別 : 最速件密等及解密條件或保密期限 : 附件 : 一份 ( 請至本署全球資訊網擷取 ) 主旨 : 有關 108 年 6 月份全民健康保險藥品價格之異動情形, 詳如 藥品價格明細表 ( 共 174 項 ), 請查照並轉知所屬會員或 特約醫療院所 說明 : 前揭資料, 置於本署全球資訊網 / 藥材專區 / 藥品 / 健保用藥 品項, 請自行下載 檔號 : 保存年限 : 正本 : 中華民國醫師公會全國聯合會 社團法人中華民國牙醫師公會全國聯合會 中華民國藥師公會全國聯合會 中華民國藥劑生公會全國聯合會 中華民國開發性製藥研究協會 台灣藥品行銷暨管理協會 中華民國製藥發展協會 台灣醫院協會 台灣製藥工業同業公會 中華民國西藥商業同業公會全國聯合會 台北市西藥代理商業同業公會 中華民國西藥代理商業同業公會 社團法人中華民國學名藥協會 台灣研發型生技新藥發展協會 台北市電腦商業同業公會 本署各分區業務組副本 : 衛生福利部附屬醫療及社會福利機構管理會 衛生福利部社會保險司
項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 1 1080035365 AC59251100 AGITIN TABLETS 10/20 歐帕生技 EZETIMIBE 10 劑 224 176 108/06/01 2 1080035365 BC24058100 EZETROL TABLETS 10 MSD ONAL EZETIMIBE 10 劑 216 157 108/06/01 3 1080035365 BC24250100 VYTORIN TABLETS 10/20 MSD International Gm EZETIMIBE 10 劑 224 176 108/06/01 4 1080035365 BC26552100 EZETIMIBE SANDOZ 10 TABLETS LEK PHARMACEUTICALS EZETIMIBE 10 劑 178 129 108/06/01 5 1080035365 BC26643100 ATOZET FC TABLETS 10/10 MSD ONAL ATORVASTATIN CALCIUM 10 6 1080035365 BC27283100 ATOZET FC TABLETS 10/20 MSD ONAL ATORVASTATIN CALCIUM 20 膜衣 299 265 108/06/01 膜衣 262 265 108/06/01 7 1080035365 BC27311100 EZZICAD (EZETIMIBE) 10 TABLETS GLENMARK PHARMACEUTI EZETIMIBE 10 劑 172 125 108/06/01 8 1080035459 BC24727100 NEXAVAR FILM-COATED TABLETS 200 BAYER PHARMA AG SORAFENIB TOSYLATE, MICRONIZED 200 膜衣 911 863 108/06/01 9 1080035459 BC26168100 STIVARGA FILM-COATED TABLETS 40 BAYER PHARMA AG REGORAFENIB 40 膜衣 941 890 108/06/01 10 1080055891 YC00016243 SOLIRIS 300 CONCENTRATE PATHEON ITALIA SPA Eculizumab 10 /ML 注射液劑 30 ML 170166 155822 108/06/01 11 1070061072 AC42798338 BENOVATE SOLUTION 1/ML 美西 BETAMETHASONE (17- VALERATE) 1 /ML 外用液劑 20 ML -- 373 108/06/01 12 1070063128 NC12741100 PRESOLONE TABLETS 5 CBC"" 中生生技淡水 PREDNISOLONE 5 劑 -- 15 108/06/01 13 1070063348 BC27504221 PACLITERO (PACLITAXEL INJECTION 6/ML) 14 1070063348 BC27504248 PACLITERO (PACLITAXEL INJECTION 6/ML) 15 1070063348 BC275042E2 PACLITERO (PACLITAXEL INJECTION 6/ML) HETERO LABS LIMITED, HETERO LABS LIMITED, HETERO LABS LIMITED, PACLITAXEL 6 /ML 注射劑 5 ML -- 859 108/06/01 PACLITAXEL 6 /ML 注射劑 50 ML -- 22960 108/06/01 PACLITAXEL 6 /ML 注射劑 167 ML -- 2313 108/06/01 16 1070063762 A000647100 CYTADINE 2 TABLETS(CYPROHEPTADINE) 17 1070063762 AC00647100 CYTADINE 2 TABLETS(CYPROHEPTADINE) 生達化學 CYPROHEPTADINE HCL 2 劑 032 0 108/07/01 生達化學 CYPROHEPTADINE HCL 2 劑 -- 15 108/06/01 18 1070063857 AC60186100 SIGTIN FILM-COATED TABLETS 100 19 1070063865 AC36811212 DUOCER INJECTION 100/ML TF"" 生達二廠 SITAGLIPTIN (AS MONOHYDRATE PHOSPHATE SALT) 100 膜衣 -- 20 108/06/01 大豐製藥股份有限公司 CIMETIDINE 100 /ML 注射劑 2 ML -- 15 108/06/01 20 1070063957 BC27503100 ALZER 10 (DONEPEZIL HETERO LABS UNIT V DONEPEZIL HCL 10 膜衣 -- 64 108/06/01 HYDROCHLORIDE TABLETS USP 10) 21 1070063958 BC27393100 MINIRIN MELT 240 ΜCG CATALENT UK DESMOPRESSIN ACETATE (TRIHYDRATE) 240 MCG 凍晶口溶 -- 83 108/06/01 22 1070063958 BC27472119 PENTASA SACHET, GRANULES, 4G FERRING ONA 23 1070064259 KC01078299 XYNTHA SOLOFUSE 2000 IU VETTER PHARMA- FERTIG MESALAZINE (= AMINOSALICYLIC ACID META-) 4 GM 顆粒劑 4 GM -- 63 108/06/01 MOROCTOCOG ALFA 1000 IU 凍晶注射劑 1 IU -- 23 108/06/01 24 1070064362 AC18598335 HEMODIN OINTMENT PATRON"" 臺灣派頓 BETAMETHASONE VALERATE 05 /GM 軟膏劑 15 GM -- 68 108/06/01 25 1070064362 AC43843429 FLUORONE OPHTHALMIC SUSPENSION 02/ML PATRON"" 臺灣派頓 FLUOROMETHOLONE 02 /ML 點眼懸液劑 10 ML -- 60 108/06/01 26 1070064367 AC59225100 DERSPIN TABLETS 元宙 TROSPIUM CHLORIDE 20 劑 -- 99 108/06/01 27 1070064649 AC60197100 ROSUTOR FILM-COATED TABLETS 20 衛達製造 ROSUVASTATIN CALCIUM 20 膜衣 -- 238 108/06/01 28 1070064680 A009010421 NEOCOSON EYE DROPS PATRON"" 29 1070064680 AC09010421 NEOCOSON EYE DROPS PATRON"" 臺灣派頓 臺灣派頓 HYDROCORTISONE ACETATE 15 /ML HYDROCORTISONE ACETATE 15 /ML 點眼液劑 5 ML 214 0 108/07/01 點眼液劑 5 ML -- 214 108/06/01 30 1070064680 AC14321429 PAMESONE OPHTHALMIC SOLUTION PATRON"" 臺灣派頓 DEXAMETHASONE PHOSPHATE (SODIUM) 1 /ML 點眼液劑 10 ML -- 254 108/06/01 第 1 頁, 共 6 頁
31 1070064680 AC34643429 GENDERON OPHTHALMIC 臺灣派頓 BETAMETHASONE (SODIUM 點眼液劑 10 ML -- 497 108/06/01 SOLUTION PATRON"" PHOSPHATE) 1 /ML 32 1070064680 AC43747429 FOXIN OPHTHALMIC SOLUTION 30/ML PATRON" (NORFLOXACIN)" 臺灣派頓 NORFLOXACIN (=BACCIDAL) 3 /ML 33 1070064789 A001400100 PROPHYLLIN TABLETS 大豐製藥股份有限公司 DYPHYLLINE(=DIHYDROXYPRO PYL-THEOPHYLLINE) 100 點眼液劑 10 ML -- 83 108/06/01 劑 061 0 108/07/01 34 1070064789 AC01400100 PROPHYLLIN TABLETSTF"" 大豐製藥股份有限公司 DYPHYLLINE(=DIHYDROXYPRO PYL-THEOPHYLLINE) 100 劑 -- 15 108/06/01 35 1070064888 AC58980157 BICODIN SYRUP 生達二廠 BROMHEXINE HCL 08 /ML 糖漿劑 120 ML -- 25 108/06/01 36 1070064940 AC60201100 CO-MIDIS TABLETS 80/5 生達化學 TELMISARTAN 80 劑 -- 141 108/06/01 37 1070065031 BC27532255 PEMETREXED LYOPHILIZED POWDER FOR CONCENTRATE CYH"" 38 1070065031 BC27532277 PEMETREXED LYOPHILIZED POWDER FOR CONCENTRATE CYH"" ONCOMED MANUFACTURIN ONCOMED MANUFACTURIN PEMETREXED DISODIUM HEPTAHYDRATE 100 PEMETREXED DISODIUM HEPTAHYDRATE 500 凍晶注射劑 100 -- 5556 108/06/01 凍晶注射劑 500 -- 25210 108/06/01 39 1070065060 AC60159100 SETRON FC TABLETS 2 南光 GRANISETRON HYDROCHLORIDE 2 40 1070065078 BB22387100 NATRILIX SR FILM-COATED TABLETS 15 LES LABORATORIES INDAPAMIDE 15 持續性藥效 膜衣 -- 267 108/06/01 19 0 108/07/01 41 1070065078 BC223871G0 NATRILIX SR FILM-COATED TABLETS 15( 鋁 LES LABORATORIES INDAPAMIDE 15 持續性藥效 42 1070065157 VC00005100 KELFER CAPSULES 500 CIPLA LTD INDIA DEFERIPRONE 500 膠囊劑 -- 60 108/06/01 43 1070065167 AC395471G0 CENTAL FC TABLETS 100 壽元製 PENTOXIFYLLINE 100 膜衣 SY"(PENTTOXIFYLLINE)( 鋁" 44 1070065167 AC397341G0 DICRON TABLETS 80 SY"(GLICLAZIDE)( 鋁" 壽元製 GLICLAZIDE 80 劑 45 1070065167 AC421041G0 LORA TABLET 10 SY"(LORATADINE)( 鋁" 壽元製 LORATADINE 10 劑 46 1070065167 AC426561G0 CETIZINE FC TABLET 10 (CETIRIZINE)( 鋁 壽元製 CETIRIZINE DIHYDROCHLORIDE 10 膜衣 47 1070065167 AC485101G0 DICRON MR TABLETS 30( 鋁 壽元製 GLICLAZIDE 30 持續性藥效 48 1070065182 AC60177100 PEXO TABLETS 1 五洲製 PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE 1 劑 -- 39 108/06/01 49 1070065182 AC60188100 ETOR FC TABLETS 60 五洲製 ETORICOXIB 60 膜衣 -- 11 108/06/01 50 1070065531 AC60174100 PITAVASTATIN FC TABLETS 2 CYH"" 中化新豐製 PITAVASTATIN CALCIUM 2 膜衣 -- 129 108/06/01 51 1070065552 A035049212 UFO POWDER FOR INJ 2GM (FOSFOMYCIN) UNION" " 52 1070065552 A035049219 UFO POWDER FOR INJECTION (FOSFOMYCIN) UNION"" 53 1070065552 AC35049212 UFO POWDER FOR INJECTION (FOSFOMYCIN) 政德 FOSFOMYCIN (SODIUM) 2 GM 乾粉注射劑 2 GM 186 0 108/07/01 政德 FOSFOMYCIN (SODIUM) 4 GM 乾粉注射劑 4 GM 310 0 108/07/01 政德 FOSFOMYCIN (SODIUM) 2 GM 乾粉注射劑 2 GM -- 196 108/06/01 54 1070065552 AC35049219 UFO POWDER FOR INJECTION (FOSFOMYCIN) 政德 FOSFOMYCIN (SODIUM) 4 GM 乾粉注射劑 4 GM -- 361 108/06/01 55 1070065717 BC231961G0 NEURAMIN CAPSULES 500UG( 鋁 DONGKOO BIO & PHARM MECOBALAMIN 500 MCG 膠囊劑 56 1080050082 AC401521G0 HOMAGYL TABLETS 50 WS"( 鋁" 利達 SULPIRIDE 50 劑 第 2 頁, 共 6 頁
57 1080050581 AC60206100 HUCANON TABLETS 300 保瑞藥業 TENOFOVIR DISOPROXIL (FUMARATE) 245 膜衣 -- 130 108/06/01 58 1080050660 AC457521G0 SLEEPMAN TABLETS( 鋁 中美製 ZOLPIDEM HEMITARTRATE 10 劑 59 1080050730 AC416061G0 SINZAC CAPSULES 20 ST"( 鋁" 大豐製藥股份有限公司 FLUOXETINE (HCL) 20 膠囊劑 60 1080050730 AC448531G0 DOPHILIN TABLETS 2 ST"( 鋁 " 信東生技 DOXAZOSIN (MESYLATE) 2 劑 61 1080050730 AC451471G0 ZOPIM FC TABLETS 10(ZOLPIDEM)( 鋁 62 1080050730 AC559901G0 MOSA FC TABLETS 5( 鋁箔 / 63 1080050731 AC28562340 CLOBETASOL OINTMENT 05/GM SINPHAR"" 信東生技 ZOLPIDEM HEMITARTRATE 10 信東 DIHYDRATE) 5 杏輝 ( 宜蘭廠 ) CLOBETASOL PROPIONATE 05 /GM 膜衣 膜衣 軟膏劑 25 GM -- 75 108/06/01 64 1080050731 AC34569345 BESONG SCALP SOLUTION 1/ML SINPHAR(BETAMETHASONE) 65 1080050731 AC41753338 AZEIC-A CREAM 200 /GM (AZELAIC ACID)SINPHAR"" 66 1080050731 AC41753343 AZEIC-A CREAM 200 /GM (AZELAIC ACID)SINPHAR"" 67 1080051034 AC10654209 NORM-SALINE INJECTION OTSUKA"(1L)" 68 1080051034 AC10654255 NORM-SALINE INJECTION OTSUKA"(100ML)" 69 1080051034 AC10654265 NORM-SALINE INJECTION OTSUKA"(250ML)" 杏輝 ( 宜蘭廠 ) BETAMETHASONE (17- VALERATE) 1 /ML 外用液劑 40 ML -- 51 108/06/01 杏輝 ( 宜蘭廠 ) AZELAIC ACID 200 /GM 乳膏劑 20 GM -- 152 108/06/01 杏輝 ( 宜蘭廠 ) AZELAIC ACID 200 /GM 乳膏劑 30 GM -- 208 108/06/01 大塚 SODIUM CHLORIDE 9 /ML 注射劑 1 L (LITER) -- 35 108/06/01 大塚 SODIUM CHLORIDE 9 /ML 注射劑 100 ML -- 22 108/06/01 大塚 SODIUM CHLORIDE 9 /ML 注射劑 250 ML -- 22 108/06/01 70 1080051425 BC27534100 SIMVAEZ TABLETS 10/20 WATSON PHARMA EZETIMIBE 10 劑 -- 14 108/06/01 71 1080051425 BC27535100 SIMVAEZ TABLETS 10/10 WATSON PHARMA EZETIMIBE 10 劑 -- 113 108/06/01 72 1080051501 AC59415100 AMLOS TABLETS 5 健喬信元健喬廠 AMLODIPINE (BESYLATE) 5 劑 -- 457 108/06/01 73 1080051514 AC60194100 NORVAN FILM-COATED TAB 5/80 YJ"" 衛達製造 VALSARTAN 80 膜衣 -- 112 108/06/01 74 1080051526 BC215311G0 STILNOX FILM-COATED SCORED SANOFI WINTHROP TABLETS 10( 鋁 INDU ZOLPIDEM TARTRATE 10 膜衣 75 1080051562 AC306181G0 BROMAZAEPAM TABLETS(BROMAZEPAM)( 鋁箔 / 衛肯 BROMAZEPAM 3 劑 76 1080051562 AC388401G0 SILYGEN-H CAPSULE 150 (SILYMARIN)( 鋁 衛肯 SILYMARIN (FRUCTUS CARDUI MARIAE EXTRACT) 150 膠囊劑 77 1080051631 AC60219100 VIPROOF FILM COATED TABLETS 300 永信台中幼獅廠 TENOFOVIR DISOPROXIL (FUMARATE) 245 膜衣 -- 130 108/06/01 78 1080051698 AC60176100 CELECOLEN CAPSULES 100 瑞士新市廠 CELECOXIB 100 膠囊劑 -- 465 108/06/01 79 1080051769 AC60202238 ALPROSM LYOPHILIZED POWDER FOR INJECTION 80 1080051770 AC325841G0 BININ-U TABLETS 5 (HALOPERIDOL)( 鋁 杏林新生 ALPROSTADIL ALPHA- CYCLODEXTRIN CLATHRATE 20 MCG 凍晶注射劑 20 MCG -- 569 108/06/01 瑞士新市廠 HALOPERIDOL 5 劑 81 1080051770 AC379971G0 MODIPANOL TABLET 2 SWISS" (FLUNITRAZEPAM)( 鋁箔 / " 82 1080051771 AC484721G0 FALLEP TABLETS 2( 鋁箔 / 膠 瑞士新市廠 FLUNITRAZEPAM 2 劑 瑞士新市廠 FLUNITRAZEPAM 2 劑 83 1080051772 AC465631G0 ZIPSOON FC TABLETS 10( 鋁 84 1080051773 BC27525209 TAXOHOPE-N 20/ML NIPRO PHARMA CONCENTRATE FOR SOLUTION ODATE FOR INFUSION 85 1080051780 AC452791G0 U-CHU" ZODEM TABLETS 10( 鋁" 生達化學 ZOLPIDEM HEMITARTRATE 10 DOCETAXEL ANHYDROUS 20 /ML 五洲製 ZOLPIDEM HEMITARTRATE 10 膜衣 注射劑 1 ML -- 3644 108/06/01 膜衣 86 1080051780 AC555641G0 MOSAD TABLETS 5 (MOSAPRIDE)( 鋁 五洲製 DIHYDRATE) 5 膜衣 87 1080051883 AC582521G0 ZOPIMEN FC TABLETS 10( 鋁 瑞士新市廠 ZOLPIDEM TARTRATE 10 膜衣 第 3 頁, 共 6 頁
88 1080051884 AC237931G0 LIVERALL FC TABLETS YC"( 鋁" 元宙 CYSTEINE HCL 20 膜衣 89 1080051885 AC478901G0 NASAGA FC TABLETS YC"( 鋁 " 元宙 HYDROCHLORIDE 60 膜衣 90 1080051887 AC446051G0 ZOLNOX FC TABLETS 10( 鋁 羅得 ZOLPIDEM HEMITARTRATE 10 膜衣 91 1080051933 AC476561G0 MOPRIDE FC TABLETS 5( 鋁 臺灣東洋六堵廠 DIHYDRATE) 5 膜衣 92 1080051951 A021484100 TONCOPIN TABLETS NCP" " 93 1080051951 AC200431G0 SINOX TABLETS NCP" (MEBENDAZOLE)( 鋁" 新喜國際 CODEINE PHOSPHATE 6 劑 1 0 108/07/01 新喜國際 MEBENDAZOLE 100 劑 94 1080051951 AC21484100 TONCOPIN TABLETS NCP"" 新喜國際 CODEINE PHOSPHATE 6 劑 -- 15 108/06/01 95 1080051951 AC240771G0 CIMEWET TABLETS (CIMETIDINE) NCP"( 鋁" 新喜國際 CIMETIDINE 200 劑 96 1080051952 AC472311G0 GLUNORMAL TABLETS 30 YY"( 鋁" 應元 GLIQUIDONE 30 劑 97 1080051956 AC443171G0 BUWECON TABLETS 0125 YUNG SHIN"( 鋁" 98 1080051956 AC492171G0 ZODENOX FILM COATED TABLETS 10 YUNG SHIN ( 鋁 99 1080051956 AC555661G0 MOSAPULIN FILM COATED TABLETS 5( 鋁 永信台中幼獅廠 HYOSCYAMINE SULFATE 0125 永信台中幼獅廠 ZOLPIDEM HEMITARTRATE 10 永信台中幼獅廠 DIHYDRATE) 5 劑 膜衣 膜衣 100 1080051956 AC571471G0 ALLEDINE FC TABLETS 60( 鋁 永信台中幼獅廠 HYDROCHLORIDE 60 膜衣 101 1080051958 AA48007100 PIOGLIT TABLETS 30 生達化學 PIOGLITAZONE 30 劑 126 0 108/07/01 STANDARD" (PIOGLITAZONE)(30 粒 / 鋁箔盒裝 )" 102 1080051958 AC48007100 PIOGLIT TABLETS 30 STANDARD" (PIOGLITAZONE)" 生達化學 PIOGLITAZONE 30 劑 -- 126 108/06/01 103 1080051996 AC463861G0 LOXOL SR TABLETS 75( 鋁箔 / 健亞 AMBROXOL HYDROCHLORIDE 75 持續性釋放 104 1080051997 AC423781G0 GENZOSIN TABLET 2 健亞 DOXAZOSIN (MESYLATE) 2 劑 (DOXAZOSIN MESYLATE)( 鋁箔 / 膠 105 1080052006 AC406491G0 MEBERINE TABLETS 135 元宙 MEBEVERINE HCL 135 劑 (MEBEVERINE HCL) YC"( 鋁箔 / 膠 " 106 1080052038 AC448261G0 ZOPIDEM FC TABLETS 10 STANDARD"( 鋁" 生達化學 ZOLPIDEM HEMITARTRATE 10 膜衣 107 1080052038 AC473721G0 INDAP SR TABLETS 15 STANDARD"( 鋁" 生達化學 INDAPAMIDE (HEMIHYDRATE) 15 持續性藥效 108 1080052038 AC559541G0 FEXODINE FC TABLETS 60 STANDARD ( HYDROCHLORIDE)( 鋁 生達化學 HYDROCHLORIDE 60 膜衣 109 1080052038 AC572541G0 MOSAPIN FC TABLET 5 STANDARD" (MOSAPRIDE)( 鋁箔 / " 生達二廠 DIHYDRATE) 5 膜衣 110 1080052051 AC59694129 WEITONHOU SUSPENSION 20/ML SENTAI"" 111 1080052051 AC59694135 WEITONHOU SUSPENSION 20/ML SENTAI"" 112 1080052052 AC429771G0 FLUX MICROENCAPSULATED CAPSULES 20 STANDARD" (FLUOXETINE)( 鋁" 仙台製 CIMETIDINE 20 /ML 懸液劑 10 ML -- 134 108/06/01 仙台製 CIMETIDINE 20 /ML 懸液劑 15 ML -- 134 108/06/01 生達二廠 FLUOXETINE (HCL) 20 膠囊劑 113 1080052101 AC487051G0 INDAPIN SR FILM-COATED TABLETS 15 ( 鋁 瑞士新市廠 INDAPAMIDE 15 持續性膜衣 劑 114 1080052101 AC555681G0 PERISCON FC TABLETS 5 ( 鋁 瑞士新市廠 DIHYDRATE) 5 膜衣 115 1080052101 AC599021G0 GENLEASE TABLETS 2( 鋁箔 / 瑞士新市廠 DOXAZOSIN (MESYLATE) 2 劑 116 1080052123 BC27562100 QUETIAPINE SANDOZ TABLETS 400 QUETIAPINE FUMARATE 46048 持續性藥效膜衣 -- 58 108/06/01 第 4 頁, 共 6 頁
117 1080052123 BC27563100 QUETIAPINE SANDOZ TABLETS 300 QUETIAPINE FUMARATE 34536 持續性藥效膜衣 -- 40 108/06/01 118 1080052123 BC27564100 QUETIAPINE SANDOZ TABLETS 200 QUETIAPINE FUMARATE 23024 持續性藥效膜衣 -- 323 108/06/01 119 1080052123 BC27565100 QUETIAPINE SANDOZ TABLETS 50 QUETIAPINE FUMARATE 5756 持續性藥效膜衣 -- 169 108/06/01 120 1080052141 BC21641100 DOXABEN TABLET 2 Pfizer Manufacturing DOXAZOSIN (MESYLATE) 2 劑 196 0 108/07/01 121 1080052141 BC216411G0 DOXABEN TABLET 2( 鋁箔 / 膠 Pfizer Manufacturing DOXAZOSIN (MESYLATE) 2 劑 122 1080052141 BC21643100 DOXABEN TABLET 1 PFIZER AUSTRALIA PTY DOXAZOSIN (MESYLATE) 1 劑 196 0 108/07/01 123 1080052141 BC216431G0 DOXABEN TABLET 1( 鋁箔 / 膠 PFIZER AUSTRALIA PTY DOXAZOSIN (MESYLATE) 1 劑 124 1080052148 A023131321 AIFUPO OINTMENT SM"" 美西 PREDNISOLONE 125 /GM 軟膏劑 5 GM 94 0 108/07/01 125 1080052148 A023131329 AIFUPO OINTMENT SM"" 美西 PREDNISOLONE 125 /GM 軟膏劑 10 GM 181 0 108/07/01 126 1080052148 A050141321 TGB CREAM 美西 TRIAMCINOLONE ACETONIDE 1 乳膏劑 5 GM 139 0 108/07/01 127 1080052148 A050141323 TGB CREAM 美西 /GM NYSTATIN 100000 U/GM 乳膏劑 6 GM 146 0 108/07/01 128 1080052148 A050141329 TGB CREAM 美西 NYSTATIN 100000 U/GM 乳膏劑 10 GM 186 0 108/07/01 129 1080052148 A050141330 TGB CREAM 美西 NYSTATIN 100000 U/GM 乳膏劑 12 GM 193 0 108/07/01 130 1080052148 A050141335 TGB CREAM 美西 GRAMICIDIN 025 /GM 乳膏劑 15 GM 303 0 108/07/01 131 1080052148 A050141336 TGB CREAM 美西 NYSTATIN 100000 U/GM 乳膏劑 16 GM 307 0 108/07/01 132 1080052148 A050141338 TGB CREAM 美西 NYSTATIN 100000 U/GM 乳膏劑 20 GM 58 0 108/07/01 133 1080052148 AC23131321 AIFUPO OINTMENT YU"" 美西 PREDNISOLONE 125 /GM 軟膏劑 5 GM -- 10 108/06/01 134 1080052148 AC23131329 AIFUPO OINTMENT YU"" 美西 PREDNISOLONE 125 /GM 軟膏劑 10 GM -- 181 108/06/01 135 1080052148 AC50141321 TGB CREAM 美西 TRIAMCINOLONE ACETONIDE 1 /GM 乳膏劑 5 GM -- 141 108/06/01 136 1080052148 AC50141323 TGB CREAM 美西 NYSTATIN 100000 U/GM 乳膏劑 6 GM -- 148 108/06/01 137 1080052148 AC50141329 TGB CREAM 美西 NYSTATIN 100000 U/GM 乳膏劑 10 GM -- 189 108/06/01 138 1080052148 AC50141330 TGB CREAM 美西 NYSTATIN 100000 U/GM 乳膏劑 12 GM -- 202 108/06/01 139 1080052148 AC50141335 TGB CREAM 美西 GRAMICIDIN 025 /GM 乳膏劑 15 GM -- 307 108/06/01 140 1080052148 AC50141336 TGB CREAM 美西 NYSTATIN 100000 U/GM 乳膏劑 16 GM -- 307 108/06/01 141 1080052148 AC50141338 TGB CREAM 美西 NYSTATIN 100000 U/GM 乳膏劑 20 GM -- 60 108/06/01 142 1080052157 A0209211G0 CEFENINE SC TABLETS (DIPHENIDOL) 143 1080052157 AC081691G0 OUTALLERGIN TABLETS( 鋁 144 1080052157 AC209211G0 CEFENINE SC TABLETS (DIPHENIDOL) ( 鋁 衛肯 DIPHENIDOL HCL 25 糖衣 15 0 108/07/01 衛肯 CYPROHEPTADINE HCL 4 劑 衛肯 DIPHENIDOL HCL 25 糖衣 145 1080052157 AC222071G0 DICLOFEN TABLETS 衛肯 DICLOFENAC SODIUM 25 劑 (DICLOFENAC) WELCAN"( 鋁" 146 1080052157 AC249431G0 LORAPAM TABLETS 1(?T??/????) 衛肯 LORAZEPAM 1 劑 147 1080052157 AC250961G0 DIAZEPAM TABLETS 2( 鋁箔 / 衛肯 DIAZEPAM 2 劑 148 1080052169 AC390871G0 TRENFYLLINE SRFC TABLETS 中化新豐製 PENTOXIFYLLINE 400 持續性藥效 400 (PENTOXIFYLLINE)( 鋁箔 / 149 1080052169 AC450391G0 XADOSIN TABLETS 2( 鋁箔 / 膠 中化新豐製 DOXAZOSIN (MESYLATE) 2 劑 150 1080052169 AC555841G0 MOZAPRY FC TABLETS 5 ( 鋁 中化新豐製 DIHYDRATE) 5 膜衣 151 1080052170 AC571271G0 FCTABLETS 60 CYH"( 鋁" 中化新豐製 HYDROCHLORIDE 60 膜衣 152 1080052174 AC60185100 CARICALM TABLETS YY"" 應元 CARISOPRODOL 175 劑 -- 368 108/06/01 第 5 頁, 共 6 頁
153 1080056520 BC25272100 REVOLADE FILM-COATED TABLETS 25 GLAXO OPERATIONS UK ELTROMBOPAG (OLAMINE, MILLED) 25 膜衣 1298 1078 108/06/01 154 1080056544 BC27547100 EPCLUSA FILM-COATED TABLETS GILEAD SCIENCES IREL 155 1080056544 HCVDAA0015 EPCLUSA 治療基因型第 1 2 3 GILEAD SCIENCES 4 5 或 6 型,12 週療程 IREL SOFOSBUVIR 400 膜衣 -- 0 108/06/01 膜衣 -- 2380 108/06/01 156 1080056544 HCVDAA0016 EPCLUSA + RIBAVIRIN 治療基因 型第 1 2 3 4 5 或 6 型,12 週療 程 157 1080075729 BC25071100 TARCEVA FILM-COATED TABLETS 150 ITALY 158 1080075729 BC25077100 TARCEVA FILM-COATED TABLETS 100 ITALY 159 1080075729 BC26873100 TARCEVA FILM-COATED TABLETS 100 160 1080075729 BC26874100 TARCEVA FILM-COATED TABLETS 150 161 1080075741 BC26031100 GIOTRIF FILM-COATED TABLETS 20 162 1080075741 BC26032100 GIOTRIF FILM-COATED TABLETS 30 163 1080075741 BC26033100 GIOTRIF FILM-COATED TABLETS 40 164 1080075741 BC26034100 GIOTRIF FILM-COATED TABLETS 50 GILEAD SCIENCES IREL ROCHE SPA ROCHE SPA FHOFFMANN-LA ROCHE FHOFFMANN-LA ROCHE 165 1080004639 BC22034343 DAIVONEX CREAM LEO LABORATORIES LIMITED 166 1080005458 BC14287255 ANEGYN INJECTION 05%W/V BAXTER HEALTHCARE SA 167 1080006083 BC24923100 METOZ 5 TABLETS CENTAUR PHARMACEUTICALS PRIVATE LIMITED 168 1080006101 BC26065209 GEMCITABINE TEVA POWDER 169 1080006101 BC26065212 GEMCITABINE TEVA POWDER 170 1080006101 BC26065263 GEMCITABINE TEVA POWDER 171 1080053625 AB42755100 DEHERP TABLET 200 STANDARD" (ACYCLOVIR)" 172 1080053625 AC42755100 DEHERP TABLET 200 STANDARD" (ACYCLOVIR)" 150 100 100 150 膜衣 -- 2380 108/06/01 膜衣 1081 1059 108/06/01 膜衣 834 817 108/06/01 膜衣 834 817 108/06/01 膜衣 1081 1059 108/06/01 BOEHIK AFATINIB DIMALEATE 20 膜衣 1438 1392 108/06/01 BOEHIK AFATINIB DIMALEATE 30 膜衣 1438 1392 108/06/01 BOEHIK AFATINIB DIMALEATE 40 膜衣 1438 1392 108/06/01 BOEHIK AFATINIB DIMALEATE 50 膜衣 1438 1392 108/06/01 CALCIPOTRIOL 005 /GM, 3000 GM 外用軟膏劑 30 GM 480 0 108/07/01 METRONIDAZOLE 50000 注射劑 100 ML 485 0 108/07/01 METOLAZONE 500 一般劑膠囊劑 123 0 108/07/01 PHARMACHEMIE BV GEMCITABINE 100000 注射劑 1 GM 3585 0 108/07/01 PHARMACHEMIE BV GEMCITABINE 200000 注射劑 2 GM 8108 0 108/07/01 PHARMACHEMIE BV GEMCITABINE 20000 注射劑 200 757 0 108/07/01 生達化學 ACYCLOVIR 200 劑 57 0 108/06/01 生達化學 ACYCLOVIR 200 劑 -- 315 108/06/01 173 1080054032 KC006252B5 HERCEPTIN VIAL 440 GENENTECH INC TRASTUZUMAB 440 凍晶注射劑 440 0 46895 108/06/01 174 1080054032 KC006252B5 HERCEPTIN VIAL 440 GENENTECH INC TRASTUZUMAB 440 凍晶注射劑 440 46895 0 109/07/01 第 6 頁, 共 6 頁