全民健康保險藥品支付價格暨品項表
Transcription
全民健康保險藥品支付價格暨品項表
「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 1 2 A000015421 A000059100 3 A0000591G0 4 A000060100 5 A0000601G0 6 7 8 9 A000072100 A000076100 A000096100 A000106100 10 11 12 A000111100 A000118100 A0001181G0 13 A000119100 14 A0001191G0 15 16 17 18 19 A000137151 A000173100 A000175100 A000178100 A0001781G0 YEN KUANG EYE DROPS DIAPIN TABLETS 2MG (DIAZEPAM)"PINE LAWER" DIAPIN TABLETS 2MG (DIAZEPAM)"PINE LAWER"(鋁箔) DIAPIN TABLETS 5MG (DIAZEPAM) "PINE LAWER" DIAPIN TABLETS 5MG (DIAZEPAM) "PINE LAWER"(鋁箔) EPHEDRINE HCL TABELTS 25MG ACETAMINOPHEN TABLETS 0.3 GM "F.Y." MENNA CAPSULES ERYTHROMYCIN CAPSULES 250MG "KINGDOM" ESTRIOL TABLETS "HONTEN" EPHEDRINE HCL TABLETS 25 MG "F.Y." EPHEDRINE HCL TABLETS 25 MG "F.Y."(瓶 裝/42粒/瓶)、(瓶裝/84 DL-METHYLEPHEDRINE HCL TABLETS 25.MG "F.Y." DL-METHYLEPHEDRINE HCL TABLETS 25.MG "F.Y."(鋁箔/膠箔) BROWN MIXTURE LIQUID (WITHOUT FUDECOUGH TABLETS 15MG "F.Y." FUDECOUGH TABLETS 10MG "F.Y." APREZIN TABLETS "JOHNSON" APREZIN TABLETS "JOHNSON"(84粒/瓶) 20 A000263209 21 A000263277 22 23 24 25 26 27 28 29 30 A000373100 A000389100 A000415100 A000419212 A000419229 A000420100 A000428100 A000429100 A000480209 31 A000518100 32 33 34 35 36 37 38 39 40 41 42 43 44 45 A000519100 A000541100 A000542100 A000552209 A000572100 A000581212 A000582212 A000582221 A000582238 A000604151 A000605316 A000605321 A000638100 A000639100 46 48 49 50 51 52 A0006391G0 TRYNOL S.C. TABLETS 25MG "JOHNSON"(瓶裝/84粒/瓶) (鋁箔/膠箔 A000647100 CYTADINE 2MG TABLETS(CYPROHEPTADINE) A000649100 TRYNOL S.C. TABLETS 10MG A000655100 AMINOPHYLLINE TABLETS 0.1GM "F.Y." A000706109 PEPTIDIN GRANULES A000755199 ANTI-COUGH SYRUP "WASHINGTON" A000769209 LYO-KEROMYCIN INJECTION 1GM "C.C.P." 53 A000773100 47 DEXTROSE AND SODIUM CHLORIDE INJECTION "Y.F." DEXTROSE AND SODIUM CHLORIDE INJECTION "Y.F." PELITIN CAPSULES LUXSON TABLETS 40MG GASMIN TABLETS "F.Y." DEXASONLIN INJECTION "SINTON" DEXASONLIN INJECTION "SINTON" REIZER S.C. TABLETS 100 MG "F.Y." SECOPON S.C. TABLETS WINON TABLETS ADRENALIN INJECTION OXYTETRACYCLINE HCL CAPSULES "TAH-AN" TETRACYCLINE CAPSULES "TAH-AN" AMPICILLIN CAPSULES "Y.Y." ERYTHROMYCIN CAPSULES "TAH-AN" NEOLEWESHUE INJECTION PROWEL S.C.TABLETS METHORPHAN INJECTION " K.S." FUBANOL INJECTION FUBANOL INJECTION FUBANOL INJECTION MEDICON SYRUP FLUCORT-F OINTMENT 0.025% FLUCORT-F OINTMENT 0.025% SODINATE S.C. TABLETS TRYNOL S.C. TABLETS 25MG "JOHNSON" PULINPELIN CAPSULES 5MG (METOCLOPRAMIDE) "C.T." 100年1月 項次 支付價 8.8 1 2 0.2 3 1.5 4 0.31 5 1.5 0.32 6 0.5 7 0.48 8 9 1.13 0.3 10 0.15 11 12 1.5 13 0.15 14 1.5 5.5 15 0.6 16 0.41 17 0 18 19 0 20 29.6 21 18 1 22 0.2 23 0.3 24 0 25 0 26 0.92 27 0.9 28 2.01 29 30 10 31 0.82 0.64 32 1 33 1.16 34 3.78 35 0.24 36 4.53 37 1.36 38 3.17 39 3.62 40 37 41 0 42 57 43 0 44 45 0 46 1.5 47 0.32 0 48 0.14 49 1.38 50 0.41 51 52 13.4 53 0.2 CODE 藥品名稱 A000015421 A000059100 YEN KUANG EYE DROPS DIAPIN TABLETS 2MG (DIAZEPAM)"PINE LAWER" DIAPIN TABLETS 2MG (DIAZEPAM)"PINE LAWER"(鋁箔) DIAPIN TABLETS 5MG (DIAZEPAM) "PINE LAWER" DIAPIN TABLETS 5MG (DIAZEPAM) "PINE LAWER"(鋁箔) EPHEDRINE HCL TABELTS 25MG ACETAMINOPHEN TABLETS 0.3 GM "F.Y." MENNA CAPSULES ERYTHROMYCIN CAPSULES 250MG "KINGDOM" ESTRIOL TABLETS "HONTEN" EPHEDRINE HCL TABLETS 25 MG "F.Y." EPHEDRINE HCL TABLETS 25 MG "F.Y."(瓶 裝/42粒/瓶)、(瓶裝/84粒/瓶) DL-METHYLEPHEDRINE HCL TABLETS 25.MG "F.Y." BROWN MIXTURE LIQUID (WITHOUT OPIUM) FUDECOUGH TABLETS 15MG "F.Y." FUDECOUGH TABLETS 10MG "F.Y." APREZIN TABLETS "JOHNSON" APREZIN TABLETS "JOHNSON"(84粒/瓶) DEXTROSE AND SODIUM CHLORIDE INJECTION "Y.F." DEXTROSE AND SODIUM CHLORIDE INJECTION "Y.F." PELITIN CAPSULES A0000591G0 A000060100 A0000601G0 A000072100 A000076100 A000096100 A000106100 A000111100 A000118100 A0001181G0 A000119100 A000137151 A000173100 A000175100 A000178100 A0001781G0 A000263209 A000263277 A000373100 A000389100 A000415100 A000419212 A000419229 A000420100 A000428100 A000429100 A000480209 A000518100 A000519100 A000541100 A000542100 A000552209 A000572100 A000581212 A000582212 A000582221 A000582238 A000604151 A000605316 A000605321 A000638100 A000639100 A0006391G0 A000647100 A000649100 A000655100 A000706109 A000755199 A000769209 A000773100 A000822157 第 1 頁,共 382 頁 說明 9901 支付價 8.80 0.20 1.50 0.31 1.50 0.32 0.50 0.48 1.13 0.30 0.15 1.50 0.15 5.50 新增 0.60 0.41 0.80 1.50 29.60 刪除 刪除 18.00 1.00 LUXSON TABLETS 40MG GASMIN TABLETS "F.Y." DEXASONLIN INJECTION "SINTON" DEXASONLIN INJECTION "SINTON" REIZER S.C. TABLETS 100 MG "F.Y." SECOPON S.C. TABLETS WINON TABLETS ADRENALIN INJECTION OXYTETRACYCLINE HCL CAPSULES "TAH-AN" TETRACYCLINE CAPSULES "TAH-AN" 0.20 0.30 3.34 9.20 0.92 0.90 2.01 3.85 0.82 AMPICILLIN CAPSULES "Y.Y." ERYTHROMYCIN CAPSULES "TAH-AN" NEOLEWESHUE INJECTION PROWEL S.C.TABLETS METHORPHAN INJECTION " K.S." FUBANOL INJECTION FUBANOL INJECTION FUBANOL INJECTION MEDICON SYRUP FLUCORT-F OINTMENT 0.025% FLUCORT-F OINTMENT 0.025% SODINATE S.C. TABLETS TRYNOL S.C. TABLETS 25MG TRYNOL S.C. TABLETS 25MG "JOHNSON"(瓶裝/84粒/瓶) (鋁箔/膠箔) CYTADINE 2MG TABLETS(CYPROHEPTADINE) TRYNOL S.C. TABLETS 10MG 1.00 1.16 3.78 0.24 4.53 1.36 3.17 3.62 37.00 40.70 57.00 0.61 0.80 1.50 AMINOPHYLLINE TABLETS 0.1GM "F.Y." PEPTIDIN GRANULES ANTI-COUGH SYRUP "WASHINGTON" LYO-KEROMYCIN INJECTION 1GM "C.C.P." PULINPELIN CAPSULES 5MG (METOCLOPRAMIDE) "C.T." FUSOCO SYRUP "L.S." 0.14 1.38 0.41 13.40 0.20 刪除 刪除 調整 0.64 刪除 刪除 刪除 0.32 0.37 30.20 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 54 55 A000822157 A000842100 FUSOCO SYRUP "L.S." ENPURIN S.C. TABLETS "VEI MIN" 56 A000844100 59 60 61 62 63 64 TRANCOLON F.C. TABLETS 7.5MG (MEPENZOLATE BROMIDE) A0008441G0 TRANCOLON F.C. TABLETS 7.5MG (MEPENZOLATE BROMIDE)(鋁箔/膠 A000849100 ERYTHROMYCIN ESTOLATE CAPSULES "LITA" A000862100 ANTACID-C TABLETS "C.T." A000863100 ISOXINE TABLETS A000865277 BLUTON INJECTION 10% "C.C.P." A000895100 TRANZEPAM TABLETS A000897212 PROTHIAMIN B12 INJECTION "SINTON" A000900100 ADREBLOCK TABLETS 65 A000912100 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 A000917100 A000985100 A001001100 A0010011G0 A001027277 A001045100 A001046100 A001047100 A0010471G0 A001048199 A001050277 A001051277 A001059100 A001068100 A001085209 A001085255 A001085265 A001085277 A001086209 A001086277 A001112100 A001143100 A001154100 A0011541G0 A001155100 A001177100 A001192100 A0011921G0 A001206100 A001217100 A001226100 A001386500 A001398100 A001400100 A001413100 A001420309 A001437277 A001446100 A001448100 A001449100 106 A001473277 107 108 109 110 111 112 113 114 115 A001493229 A001493238 A001532100 A001563212 A001577100 A001584100 A001599100 A001604212 A001607100 57 58 INZUTOLIN CAPSULES 25MG (INDOMTHACIN) "C.T." DENFLU CAPSULES DOZIGEN S.C. TABLETS 50MG DANZEN TABLETS DANZEN TABLETS(鋁箔/膠箔) BLUTON-SALINE INJECTION VESSELON CAPSULES "H.L." MAGNESIUM OXIDE TABLETS URETROPIC TABLETS URETROPIC TABLETS(鋁箔/膠箔) TECOSIN SYRUP DEXTROSE INJECTION 10% "ASTAR" SODIUM CHLORIDE INJECTION 3% DECADOLONE TABLETS AMPICILLIN CAPSULES 250MG "SINTON" SODIUM CHLORIDE INJECTION "Y.F." SODIUM CHLORIDE INJECTION "Y.F." SODIUM CHLORIDE INJECTION "Y.F." SODIUM CHLORIDE INJECTION "Y.F." GLUCOSE INJECTION 10% "Y.F." GLUCOSE INJECTION 10% "Y.F." TRICO TABLETS PIDONIN TABLETS "N.T." INDOY CAPSULES INDOY CAPSULES(鋁箔/膠箔) PHENOBARBITAL TABLETS "JENG LITALON TABLETS "LITA" CINBININ TABLETS CINBININ TABLETS(瓶裝/100粒/瓶) HISUNSERO CAPSULES DIAZEPAM TABLETS PREDNISOLONE TABLETS 5MG "S.Y." INDOMEN SUPPOSITORIES "YUNG SHIN" NALIDIN TABLETS 500MG "N.C.P." PROPHYLLIN TABLETS VALISIN TABLETS FURAN OINTMENT AMPICILLIN INJECTION 500 MG "CHI AMPICILLIN CAPSULES 500MG "SINTON" NOSCAPINE TABLETS "YU SHENG" NALIC TABLETS AMPICILLIN FOR INJECTION 500MG "SINTON" KANAMYCIN SULFATE INJ. "SINTON" KANAMYCIN SULFATE INJ. "SINTON" MEDAZIN CAPSULES 5MG DIAZEPAM INJECTION "ORIENTAL" TRIPYLINE TABLETS 25MG MAGNESIA TABLETS "WASHINGTON" MEBRON FILM COATING TABLETS HOROMPELIN INJECTION "ORIENTAL" ZUDAW S.C. TABLETS "YU SHENG" 100年1月 項次 支付價 30.2 54 55 3.36 56 1.29 57 1.5 58 0.91 0.18 59 0.7 60 20 61 0.31 62 0 63 64 0 65 0.5 0.91 66 0.3 67 1 68 1.5 69 15.2 70 1.07 71 0.13 72 1 73 1.5 74 0.06 75 20 76 23.1 77 0.5 78 0 79 26.3 80 14.7 81 17.9 82 17.1 83 30.9 84 20 85 1 86 0.38 87 0 88 0 89 0.14 90 2.09 91 0.49 92 1.5 93 1.13 94 0.31 95 0.49 96 3.29 97 2.09 98 0.4 99 0.2 100 0.32 101 6.9 102 0 103 1 104 105 2.38 106 0 0 107 0 108 0.73 109 3.36 110 0.77 111 0.1 112 1.22 113 3 114 115 0.3 CODE 藥品名稱 A000842100 A000844100 ENPURIN S.C. TABLETS "VEI MIN" TRANCOLON F.C. TABLETS 7.5MG (MEPENZOLATE BROMIDE) A0008441G0 TRANCOLON F.C. TABLETS 7.5MG (MEPENZOLATE BROMIDE)(鋁箔/膠箔) A000849100 ERYTHROMYCIN ESTOLATE CAPSULES "LITA" A000862100 ANTACID-C TABLETS "C.T." A000863100 A000865277 A000895100 A000897212 A000900100 A000912100 A000917100 A000985100 A001001100 A0010011G0 A001027277 A001045100 A001046100 A001047100 A0010471G0 A001048199 A001050277 A001051277 A001059100 A001068100 A001085209 A001085255 A001085265 A001085277 A001086209 A001086277 A001112100 A001143100 A001154100 A0011541G0 A001155100 A001177100 A001192100 A0011921G0 A001206100 A001217100 A001226100 A001386500 A001398100 A001400100 A001413100 A001420309 A001437277 A001446100 A001448100 A001449100 A001473277 A001493229 A001493238 A001532100 A001563212 A001577100 A001584100 A001599100 A001604212 A001607100 A001624100 第 2 頁,共 382 頁 說明 9901 支付價 3.36 1.29 1.50 0.91 0.18 ISOXINE TABLETS BLUTON INJECTION 10% "C.C.P." TRANZEPAM TABLETS PROTHIAMIN B12 INJECTION "SINTON" ADREBLOCK TABLETS INZUTOLIN CAPSULES 25MG (INDOMTHACIN) "C.T." DENFLU CAPSULES 0.70 20.00 0.31 6.20 0.24 0.50 DOZIGEN S.C. TABLETS 50MG DANZEN TABLETS DANZEN TABLETS(鋁箔/膠箔) BLUTON-SALINE INJECTION VESSELON CAPSULES "H.L." MAGNESIUM OXIDE TABLETS URETROPIC TABLETS URETROPIC TABLETS(鋁箔/膠箔) TECOSIN SYRUP DEXTROSE INJECTION 10% "ASTAR" SODIUM CHLORIDE INJECTION 3% DECADOLONE TABLETS AMPICILLIN CAPSULES 250MG "SINTON" SODIUM CHLORIDE INJECTION "Y.F." SODIUM CHLORIDE INJECTION "Y.F." SODIUM CHLORIDE INJECTION "Y.F." SODIUM CHLORIDE INJECTION "Y.F." GLUCOSE INJECTION 10% "Y.F." GLUCOSE INJECTION 10% "Y.F." TRICO TABLETS PIDONIN TABLETS "N.T." INDOY CAPSULES INDOY CAPSULES(鋁箔) PHENOBARBITAL TABLETS "JENG LITALON TABLETS "LITA" CINBININ TABLETS CINBININ TABLETS(瓶裝/100粒/瓶) HISUNSERO CAPSULES DIAZEPAM TABLETS PREDNISOLONE TABLETS 5MG "S.Y." INDOMEN SUPPOSITORIES "YUNG SHIN" NALIDIN TABLETS 500MG "N.C.P." PROPHYLLIN TABLETS VALISIN TABLETS FURAN OINTMENT AMPICILLIN INJECTION 500 MG "CHI AMPICILLIN CAPSULES 500MG "SINTON" NOSCAPINE TABLETS "YU SHENG" NALIC TABLETS AMPICILLIN FOR INJECTION 500MG "SINTON" KANAMYCIN SULFATE INJ. "SINTON" 0.30 1.00 1.50 15.20 1.07 0.13 1.00 1.50 0.06 20.00 23.10 0.50 0.97 26.30 14.70 17.90 17.10 30.90 20.00 1.00 0.38 0.74 1.50 0.14 2.09 0.49 1.50 1.13 0.31 0.49 3.29 2.09 0.40 0.20 0.32 6.90 1.50 1.00 2.38 5.10 KANAMYCIN SULFATE INJ. "SINTON" MEDAZIN CAPSULES 5MG DIAZEPAM INJECTION "ORIENTAL" TRIPYLINE TABLETS 25MG MAGNESIA TABLETS "WASHINGTON" MEBRON FILM COATING TABLETS HOROMPELIN INJECTION "ORIENTAL" ZUDAW S.C. TABLETS "YU SHENG" GLYCYRRHIZA AND OPIUM COMPOUND TABLETS 25.70 0.73 3.36 0.77 0.10 1.22 3.00 0.30 0.25 刪除 刪除 0.91 刪除 刪除 刪除 刪除 15.80 刪除 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 CODE 藥品名稱 100年1月 項次 支付價 A001624100 GLYCYRRHIZA AND OPIUM COMPOUND 116 0.25 TABLETS 0.29 117 A001625100 LUMRIN S.C. TABLETS 0 118 A001632100 MINOCIN CAPSULES 100MG 0.32 119 A001641100 CYTADINE TABLETS 4MG 1 120 A001646100 DIAZEPAM TABLETS "KINGDOM" 1.5 121 A0016461G0 DIAZEPAM TABLETS(鋁箔) A001648100 JOHNCIDIN S.C. TABLETS "JOHNSON" 122 0.12 A001662100 AMINOPHYLLINE TABLETS 100MG 123 0 "JOHNSON" 0.51 124 A001673100 CINNAZINE TABLETS 1.5 125 A0016731G0 CINNAZINE TABLETS(鋁箔) 0.45 126 A001691100 PULIN S.C. TABLETS 0.91 127 A001692100 ASTHIMA CAPSULES 12 128 A001701238 ANTIMIN INJECTION "C.C.P." 3.96 129 A001713100 ENZYME TABLETS "H.C.T." 0.75 130 A001726100 ALIMEZINE TABLETS 0.88 131 A001735100 KAPIN S.C. TABLETS "YU SHENG" 1.15 132 A001741100 ASPARA-CA TABLETS 0.5 133 A001779100 MEDESONE TABLETS 0.5 134 A001781100 VANMESON TABLETS 0.4 135 A001782100 CABETAN S.C. TABLETS 1 136 A001793100 LIGHT SUN CAPSULES "H.S." 0.65 137 A001799100 WE-WANG TABLETS 0.77 138 A001806100 PROPRANOLOL TABLETS 40MG 0.31 139 A001816100 VANTYL TABLETS 2 140 A001832209 DEMETHOR INJECTION "CHI SHENG" 8.8 141 A001833229 DECAMIN INJECTION "ORIENTAL" 1 142 A001850100 AMPICILLIN CAPSULES 250MG A001853277 AMPOLIN INJECTION 500MG 143 9.4 A001856100 ERYTHROMYCIN CAPSULES 250MG "WAH 144 1.14 FOO" 0.28 145 A001862100 KOLIGIN TABLETS "JEN SHENG" 7 146 A001864209 PANMESON INJECTION 27.6 147 A001864229 PANMESON INJECTION 3.5 148 A001865212 FANIN INJECTION "PANBIOTIC" 1.5 149 A001866100 AMPICILLIN CAPSULES 500MG A001867277 AMPICILLIN INJECTION 500MG 150 5.3 "PANBIOTIC" A001868209 AMPICILLIN INJECTION 1000MG 151 7.6 "PANBIOTIC" A001879209 PYRIDOXINE HCL INJECTION 50 MG "CHI 152 2.1 SHENG" A001886100 LICHECHIN TABLETS 10MG 153 0.4 (VALETHAMATE BROMIDE) "C.T." A001894100 SUMINCURDA TABLETS 10MG 154 0.29 (CHLORDIAZEPOXIDE) "C.T." 1 155 A001941100 SUZIN F.C. TABLETS "YU SHENG" 1.5 156 A0019411G0 SUZIN F.C. TABLETS "YU SHENG"(鋁箔) 0.94 157 A001946100 PREVOMIC S.C. TABLETS 1.5 158 A0019461G0 PREVOMIC S.C. TABLETS(鋁箔) 1 159 A001963100 FUNA TABLETS "CURIE" 1.5 160 A0019631G0 FUNA TABLETS "CURIE"(鋁箔/膠箔) 5 161 A001982212 VANTYL INJECTION 0.7 162 A001997100 TRANSONE TABLETS 0.75 163 A002076100 RIOTOL TABLETS 0.2 164 A002078100 MESUCON TABLETS 9.5 165 A002079219 KANASIDINE INJECTION "PANBIOTIC" 19.6 166 A002079229 KANASIDINE INJECTION "PANBIOTIC" 0.59 167 A002086100 WEIERNIN TABLETS "NAN TO" 0 168 A002101100 PERONE S.C. TABLETS "JOHNSON" 0.38 169 A002112100 UROBENIN S.C. TABLETS A002137100 COLWEN TABLETS 170 1 1 171 A002140100 VITAMIN B12 S.C. TABLETS "CHINTENG" A0021401G0 VITAMIN B12 S.C. TABLETS 172 1.5 "CHINTENG"(鋁箔) A002242100 UNSULON TABLETS "CHINTENG" 173 2.43 說明 CODE 藥品名稱 A001625100 LUMRIN S.C. TABLETS 0.29 A001632100 A001641100 A001646100 A0016461G0 A001648100 A001662100 MINOCIN CAPSULES 100MG CYTADINE TABLETS 4MG DIAZEPAM TABLETS "KINGDOM" DIAZEPAM TABLETS(鋁箔) JOHNCIDIN S.C. TABLETS "JOHNSON" AMINOPHYLLINE TABLETS 100MG "JOHNSON" CINNAZINE TABLETS 6.60 0.32 1.00 1.50 0.12 0.24 A001673100 9901 支付價 刪除 0.51 刪除 A0016731G0 A001691100 A001692100 A001701238 A001713100 A001726100 A001735100 A001741100 A001779100 A001781100 A001782100 A001793100 A001799100 A001806100 A001816100 A001832209 A001833229 A001850100 A001853277 A001856100 A001862100 A001864209 A001864229 A001865212 A001866100 A001867277 A001868209 A001879209 A001886100 A001894100 A001941100 A0019411G0 A001946100 A0019461G0 A001963100 A001982212 A001997100 A002076100 A002078100 A002079219 A002079229 A002086100 A002101100 A002112100 A002137100 A002140100 A0021401G0 A002242100 A002244100 CINNAZINE TABLETS(鋁箔) PULIN S.C. TABLETS ASTHIMA CAPSULES ANTIMIN INJECTION "C.C.P." ENZYME TABLETS "H.C.T." ALIMEZINE TABLETS KAPIN S.C. TABLETS "YU SHENG" ASPARA-CA TABLETS MEDESONE TABLETS VANMESON TABLETS CABETAN S.C. TABLETS LIGHT SUN CAPSULES "TK&A" WE-WANG TABLETS PROPRANOLOL TABLETS 40MG VANTYL TABLETS DEMETHOR INJECTION "CHI SHENG" DECAMIN INJECTION "ORIENTAL" AMPICILLIN CAPSULES 250MG AMPOLIN INJECTION 500MG ERYTHROMYCIN CAPSULES 250MG "WAH FOO" KOLIGIN TABLETS "JEN SHENG" 1.50 0.45 0.91 12.00 3.96 0.75 0.88 1.15 0.50 0.50 0.40 1.00 0.65 0.77 0.31 2.00 8.80 1.00 9.40 1.14 PANMESON INJECTION PANMESON INJECTION FANIN INJECTION "PANBIOTIC" AMPICILLIN CAPSULES 500MG AMPICILLIN INJECTION 500MG AMPICILLIN INJECTION 1000MG "PANBIOTIC" PYRIDOXINE HCL INJECTION 50 MG "CHI SHENG" LICHECHIN TABLETS 10MG (VALETHAMATE BROMIDE) "C.T." SUMINCURDA TABLETS 10MG (CHLORDIAZEPOXIDE) "C.T." SUZIN F.C. TABLETS "YU SHENG" 7.00 27.60 3.50 1.50 5.30 7.60 SUZIN F.C. TABLETS "YU SHENG"(鋁箔) PREVOMIC S.C. TABLETS PREVOMIC S.C. TABLETS(鋁箔) FUNA TABLETS "CURIE" VANTYL INJECTION TRANSONE TABLETS RIOTOL TABLETS MESUCON TABLETS KANASIDINE INJECTION "PANBIOTIC" KANASIDINE INJECTION "PANBIOTIC" WEIERNIN TABLETS "NAN TO" PERONE S.C. TABLETS "JOHNSON" UROBENIN S.C. TABLETS COLWEN TABLETS VITAMIN B12 S.C. TABLETS "CHINTENG" VITAMIN B12 S.C. TABLETS "CHINTENG"(鋁箔) UNSULON TABLETS "CHINTENG" JINLUN TABLETS "CHINTENG" 1.50 0.94 1.50 1.00 5.00 0.70 0.75 0.20 9.50 19.60 0.59 0.50 0.38 1.00 1.00 1.50 A0022441G0 JINLUN TABLETS "CHINTENG"(鋁箔/膠 箔) 第 3 頁,共 382 頁 0.28 2.10 0.40 0.29 1.00 2.43 0.31 1.50 新增 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 CODE 藥品名稱 100年1月 項次 支付價 0.31 174 A002244100 JINLUN TABLETS "CHINTENG" A0022441G0 JINLUN TABLETS "CHINTENG"(鋁箔/膠 175 1.5 箔) 3.36 176 A002314212 DIANZEM INJECTION "Y.Y." 8.6 177 A002314221 DIANZEM INJECTION "Y.Y." A002320100 ALEVIATIN TABLETS 178 0.74 1.5 179 A0023201G0 ALEVIATIN TABLETS(鋁箔/膠箔) 3.88 180 A002321212 BUSCOMINE INJECTION A002323100 ERYTHROMYCIN ESTOLATE CAPSULES 181 1.13 250MG "CHI SHENG" A002327209 CLOXAMPLCLN INJ 1GM 182 17.5 11.3 183 A002327277 CLOXAMPICIN INJECTION "PANBIOTIC" 0.91 184 A002328100 BOMIT TABLETS "C.C.P." A002341355 CALAMINE LOTION PHENOLATED AND 185 10.1 MENTHOLATED "KINGDOM" 0.31 186 A002343100 THININ TABLETS "YU SHENG" 19.3 187 A002355229 KANAMYCIN INJECTION "ORIENTAL" 0.6 188 A002359100 PREDNISOLONE TABLETS "YU SHENG" 0.68 189 A002362100 BROSCO TABLETS "ORIENTAL" A002368100 NADIS TABLETS 190 1 1.5 191 A0023681G0 NADIS TABLETS(鋁箔/膠箔) 0.49 192 A002385100 PREDNISOLONE TABLETS "SANTONG" A002389100 COMPOUND GLYCYRRHIZIAE TABLETS 193 0.3 "CURIE" 0 194 A002393100 THEOLINATE S.C. TABLETS 100MG A002394238 PAMPARA INJECTION 195 95 1 196 A002403100 AMPICILLIN CAPSULES "KINGDOM" 0 197 A002444100 ANCILLIN CAPSULES 500MG A002445100 CLOXAMPICIN CAPSULES 250MG 198 2.07 "PANBIOTIC" 0.15 199 A002555100 MAWEI TABLETS "YU SHENG" 0.89 200 A002562100 BENZYMIN S.C. TABLETS "YU SHENG" 1.03 201 A002573100 SKELAXINE TABLETS 1.5 202 A0025731G0 SKELAXINE TABLETS(鋁箔/膠箔) 75 203 A002581277 CHIAMINE-S INJECTION 0 204 A002589100 DIPORAX S.C. TABLETS 0.24 205 A002595100 BALON S.C. TABLETS 0.52 206 A002626100 PROSTEN CAPSULES 0.89 207 A002635100 GASTROPAN S.C. TABLETS 1 208 A002644100 TONIPIN TABLETS "YU SHENG" 3.8 209 A002657209 PROGESTERONE INJECTION 2.5% "ASTAR" 14.8 210 A002657229 PROGESTERONE INJECTION 2.5% "ASTAR" 1.83 211 A002658100 LIUMPIN TABLETS 0.29 212 A002684100 ILITAN TABLETS "YU SHENG" 0.3 213 A002699100 ACETAMINOPHEN TABLETS "S.S.P." 0.84 214 A002756100 YAJUNLO TABLETS "YU SHENG" 0.6 215 A002760100 THIAN TABLETS "YU SHENG" A002763100 PHENYTOIN TABLETS "JOHNSON" 216 0 0.23 217 A002766100 ACETAMINOPHEN TABLETS "CENTRAL" 33 218 A002801209 LACTATED RINGER'S B INJECTION "Y.F." 20 219 A002801277 LACTATED RINGER'S B INJECTION "Y.F." A002844100 DL-METHYLEPHEDRINE HCL TABLETS 220 0.24 "YU SHENG" A002846100 WANSE S.C. TABLETS "YU SHENG" 221 0.45 0.7 222 A002856100 FULLPHAGEN TABLETS "F.Y." 1 223 A002863100 GLIBEN TABLETS 1.5 224 A0028631G0 GLIBEN TABLETS(鋁箔) A002874100 VITAMIN K1 FILM COATED TABLETS 225 0 "YUNG SHIN" 0 226 A002904100 CYPRODIN TABLETS 0.95 227 A002915100 ESUMIN S.C. TABLETS "YU SHENG" 0.4 228 A002921100 MININ S.C. TABLETS "YU SHENG" 0 229 A002938100 MEDAZEPAM CAPSULES 1.45 230 A002947100 SHITON S.C. TABLETS "YU SHENG" 2.43 231 A002956100 VITA MESTEROM CAPSULES "Y.S." 說明 CODE 藥品名稱 A002314212 A002314221 DIANZEM INJECTION "Y.Y." DIANZEM INJECTION "Y.Y." 3.36 8.60 A002320100 A002321212 A002323100 ALEVIATIN TABLETS BUSCOMINE INJECTION ERYTHROMYCIN ESTOLATE CAPSULES 250MG "CHI SHENG" CLOXAMPLCLN INJ 1GM CLOXAMPICIN INJECTION "PANBIOTIC" BOMIT TABLETS "C.C.P." 0.74 3.88 1.13 A002327209 A002327277 A002328100 A002341355 A002343100 A002355229 A002359100 A002362100 A002368100 A0023681G0 A002385100 A002389100 A002393100 A002394238 A002403100 A002444100 A002445100 A002555100 A002562100 A002573100 17.50 11.30 0.91 CALAMINE LOTION PHENOLATED AND MENTHOLATED "KINGDOM" THININ TABLETS "YU SHENG" KANAMYCIN INJECTION "ORIENTAL" PREDNISOLONE TABLETS "YU SHENG" 10.10 BROSCO TABLETS "ORIENTAL" NADIS TABLETS NADIS TABLETS(鋁箔/膠箔) PREDNISOLONE TABLETS "SANTONG" COMPOUND GLYCYRRHIZIAE TABLETS "CURIE" THEOLINATE S.C. TABLETS 100MG PAMPARA INJECTION AMPICILLIN CAPSULES "KINGDOM" 0.68 1.00 1.50 0.49 0.30 ANCILLIN CAPSULES 500MG CLOXAMPICIN CAPSULES 250MG "PANBIOTIC" MAWEI TABLETS "YU SHENG" BENZYMIN S.C. TABLETS "YU SHENG" SKELAXINE TABLETS A002581277 A002589100 A002595100 A002626100 A002635100 A002644100 A002657209 A002657229 A002658100 A002684100 A002699100 A002756100 A002760100 A002763100 A002766100 A002801209 A002801277 A002844100 CHIAMINE-S INJECTION DIPORAX S.C. TABLETS BALON S.C. TABLETS PROSTEN CAPSULES GASTROPAN S.C. TABLETS TONIPIN TABLETS "YU SHENG" PROGESTERONE INJECTION 2.5% "ASTAR" PROGESTERONE INJECTION 2.5% "ASTAR" LIUMPIN TABLETS ILITAN TABLETS "YU SHENG" ACETAMINOPHEN TABLETS "S.S.P." YAJUNLO TABLETS "YU SHENG" THIAN TABLETS "YU SHENG" PHENYTOIN TABLETS "JOHNSON" ACETAMINOPHEN TABLETS "CENTRAL" LACTATED RINGER'S B INJECTION "Y.F." LACTATED RINGER'S B INJECTION "Y.F." DL-METHYLEPHEDRINE HCL TABLETS "YU SHENG" A002846100 WANSE S.C. TABLETS "YU SHENG" A002856100 FULLPHAGEN TABLETS "F.Y." A002863100 GLIBEN TABLETS A0028631G0 GLIBEN TABLETS(鋁箔) A002874100 9901 支付價 0.31 19.30 0.60 0.87 95.00 1.00 1.50 2.07 0.15 0.89 1.03 75.00 0.62 0.24 0.52 0.89 1.00 3.80 14.80 1.83 0.29 0.30 0.84 0.60 0.34 0.23 33.00 20.00 0.24 刪除 刪除 刪除 刪除 0.45 0.70 1.00 1.50 1.00 A002904100 A002915100 A002921100 A002938100 VITAMIN K1 FILM COATED TABLETS "YUNG SHIN" CYPRODIN TABLETS ESUMIN S.C. TABLETS "YU SHENG" MININ S.C. TABLETS "YU SHENG" MEDAZEPAM CAPSULES A002947100 A002956100 A002960100 A002961100 A002962100 A002963100 SHITON S.C. TABLETS "YU SHENG" VITA MESTEROM CAPSULES "Y.S." COLD CAPSULES "Y.S." METROLE S.C. TABLETS PREIN TABLETS CALCIUM GLUCONATED 1.45 2.43 0.36 1.00 0.28 1.62 第 4 頁,共 382 頁 新增 0.34 0.95 0.40 1.00 刪除 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 A002960100 A002961100 A002962100 A002963100 A002971100 A002975100 A002976100 A002979100 A002994100 A003006209 A003023212 A003025221 A003084100 A003086100 A003092100 A003098100 A0030981G0 A003107100 A003116100 A003156212 A003157221 A003159238 A003160238 A003171100 A003173100 A003174100 A003206100 A003222221 A003224100 A003225212 A003243100 A003244100 A003245100 A0032451G0 A003263100 A003266100 A003286100 A0032861G0 270 271 272 273 274 275 276 A003291100 A0032911G0 A003293212 A003296229 A003301100 A003311100 A003314100 277 278 279 280 281 282 A003318100 A0033181G0 A003326100 A003355212 A003365100 A0033651G0 283 284 A003373321 A003373329 285 286 287 288 A003373399 A003386209 A003386212 A003386229 289 290 A003388100 A0033881G0 291 A003389100 292 293 294 A003390100 A003392100 A003393100 藥品名稱 100年1月 支付價 0 COLD CAPSULES "Y.S." 1 METROLE S.C. TABLETS 0.28 PREIN TABLETS 1.62 CALCIUM GLUCONATED 0.12 DL-METHYLEPHEDRINE HCL TABLETS 0.7 INDETOLE CAPSULES "Y.S." 1 STOMATH TABLETS "Y.S." 0.62 EPAL TABLETS 0.62 KANGCHINMIN CAPSULES "Y.S." 0 TESTENAN DEPOT INJECTION 7.1 FUYULIN INJECTION "ASTAR" 0 HISTIDINE INJECTION "SINTON" 0.7 FUZIN CAPSULES "LITA" 0.5 DEXAMETHASONE TABLETS "Y.S." 0.45 ASPIRIN TABLETS 500MG "S.Y." 0.43 DITHIAZIDE TABLETS 1.5 DITHIAZIDE TABLETS(鋁箔/膠箔) 0.55 URICAN S.C. TABLETS 0.81 CEDRIC CAPSULES 2.72 VITA-6 INJECTION "ANSHIN" 4.8 HISTIDINE INJECTION "ANSHIN" 10 PARAKERN INJECTION "PANBIOTIC" 6.8 PROCARNE INJECTION "PANBIOTIC" 0.5 DECALON TABLETS "YU SHENG" 2.55 FETIRIN S.C. TABLETS 10MG 1.15 FETIRIN S.C. TABLETS 5MG 0 PASSTON CAPSULES 5 HISULX INJECTION "N.K." 0 SUROLE CAPSULES 2.2 ANCONMIN INJECTION "AN SHIN" 1 TRANTHISON TABLETS "YU SHENG" 1 ROUMIN TABLETS "YU SHENG" 0.35 EARMIN TABLETS "YU SHENG" 1.5 EARMIN TABLETS "YU SHENG"(鋁箔/膠箔) 0.37 ERCAZON TABLETS 1.27 D.X. CAPSULES "LITA" 1.06 HYLOMYCIN CAPSULES 250MG "SWISS" HYLOMYCIN CAPSULES 250MG 1.5 "SWISS"(鋁箔/膠箔) 1 PINSAUN TABLETS "YU SHENG" 1.5 PINSAUN TABLETS "YU SHENG"(鋁箔/膠 3.36 DIAZEPAM INJECTION 7.8 METHASONE INJECTION 0.2 DIAZEZIN TABLETS 2MG (DIAZEPAM) 0.73 TRIENZYME CAPSULES "WASHINGTON" YUNSTAN CAPSULES 0.64 0 PROMERAN F.C.TABLETS 3.84MG 0 PROMERAN F.C.TABLETS 3.84MG(鋁箔/膠 0.97 PINGIN TABLETS 0 DIANLIN INJECTION "N.K." 0.37 PREDNISOLONE TABLETS "VPP" PREDNISOLONE TABLETS 5MG "VPP"(鋁箔 1.5 /膠箔) 30.9 FLUCONIN OINT. FLUCONIN OINT. 23.1 2.31 FLUCONIN OINT. 19.8 ORICORT-IM INJECTION "ORIENTAL" 19 ORICORT-IM INJECTION "ORIENTAL" ORICORT-IM INJECTION 69 0.35 HYDROCHLOROTHIAZIDE TABLETS "VPP" HYDROCHLOROTHIAZIDE TABLETS 1.5 "VPP"(30粒/瓶)(鋁箔/膠箔) ACETAZOLAMIDE TABLETS 250MG "VPP" 1.46 0.28 MEPROBAMATE TABLETS 200MG "VPP" 0.2 ISONIAZID TABLETS "V.P.P." CHLORPROMAZINE HCL S.C. TABLETS 1 100MG "VPP" 說明 項次 CODE 藥品名稱 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 A002971100 A002975100 A002976100 A002979100 A002994100 A003006209 A003023212 A003025221 A003084100 A003086100 A003092100 A003098100 A003107100 A003116100 A003156212 A003157221 A003159238 A003160238 A003171100 A003173100 A003174100 A003206100 A003222221 A003224100 A003225212 A003243100 A003244100 A003245100 A0032451G0 A003263100 A003266100 A003286100 A003291100 A0032911G0 A003293212 A003296229 A003301100 A003311100 DL-METHYLEPHEDRINE HCL TABLETS INDETOLE CAPSULES "Y.S." STOMATH TABLETS "Y.S." EPAL TABLETS KANGCHINMIN CAPSULES "Y.S." TESTENAN DEPOT INJECTION FUYULIN INJECTION "ASTAR" HISTIDINE INJECTION "SINTON" FUZIN CAPSULES "LITA" DEXAMETHASONE TABLETS "Y.S." ASPIRIN TABLETS 500MG "S.Y." DITHIAZIDE TABLETS URICAN S.C. TABLETS CEDRIC CAPSULES VITA-6 INJECTION "ANSHIN" HISTIDINE INJECTION "ANSHIN" PARAKERN INJECTION "PANBIOTIC" PROCARNE INJECTION "PANBIOTIC" DECALON TABLETS "YU SHENG" FETIRIN S.C. TABLETS 10MG FETIRIN S.C. TABLETS 5MG PASSTON CAPSULES HISULX INJECTION "N.K." SUROLE CAPSULES ANCONMIN INJECTION "AN SHIN" TRANTHISON TABLETS "YU SHENG" ROUMIN TABLETS "YU SHENG" EARMIN TABLETS "YU SHENG" EARMIN TABLETS "YU SHENG"(鋁箔/膠箔) ERCAZON TABLETS D.X. CAPSULES "LITA" HYLOMYCIN CAPSULES 250MG "SWISS" PINSAUN TABLETS "YU SHENG" PINSAUN TABLETS "YU SHENG"(鋁箔/膠 DIAZEPAM INJECTION METHASONE INJECTION DIAZEZIN TABLETS 2MG (DIAZEPAM) TRIENZYME CAPSULES "WASHINGTON" 0.12 0.70 1.00 0.62 0.62 59.00 7.10 4.00 0.70 0.50 0.45 0.43 0.55 0.81 2.72 4.80 10.00 6.80 0.50 2.55 1.15 0.70 5.00 4.04 2.20 1.00 1.00 0.35 1.50 0.37 1.27 1.06 1.00 1.50 3.36 7.80 0.20 0.73 270 271 272 273 274 275 276 A003314100 A003318100 A0033181G0 A003326100 A003355212 A003365100 A0033651G0 0.64 0.60 1.50 0.97 10.00 0.37 1.50 277 278 279 280 281 282 A003373321 A003373329 A003373399 A003386209 A003386212 A003386229 YUNSTAN CAPSULES PROMERAN F.C.TABLETS 3.84MG PROMERAN F.C.TABLETS 3.84MG(鋁箔) PINGIN TABLETS DIANLIN INJECTION "N.K." PREDNISOLONE TABLETS "VPP" PREDNISOLONE TABLETS 5MG "VPP"(鋁箔 /膠箔) FLUCONIN OINT. FLUCONIN OINT. FLUCONIN OINT. ORICORT-IM INJECTION "ORIENTAL" ORICORT-IM INJECTION "ORIENTAL" ORICORT-IM INJECTION 283 284 A003388100 HYDROCHLOROTHIAZIDE TABLETS "VPP" A0033881G0 HYDROCHLOROTHIAZIDE TABLETS "VPP"(30粒/瓶)(鋁箔/膠箔) A003389100 ACETAZOLAMIDE TABLETS 250MG "VPP" A003390100 MEPROBAMATE TABLETS 200MG "VPP" A003392100 ISONIAZID TABLETS "V.P.P." A003393100 CHLORPROMAZINE HCL S.C. TABLETS 100MG "VPP" A003403100 NITROFURANTOIN TABLETS "Y.S." A003417209 STREPTOMYCIN SULFATE FOR INJECTION 1G "VPP" A003442100 CHLORPHENIRAMINE MALEATE TABLETS "VPP" A003446221 ORICORT INJECTION "ORIENTAL" A003462100 TAY HOU CHIN S.C. TABLETS A003468212 RESERPINE INJECTION "ASTAR" 0.35 1.50 285 286 287 288 289 290 291 292 293 294 第 5 頁,共 382 頁 9901 支付價 30.90 23.10 2.31 19.80 19.00 69.00 1.46 0.28 0.20 1.00 0.45 52.00 0.10 26.60 1.00 2.99 刪除 刪除 刪除 新增 刪除 刪除 刪除 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 295 296 A003403100 A003417209 297 A003442100 298 299 300 301 302 303 304 A003446221 A003462100 A003468212 A003469209 A003494100 A003534100 A003551100 NITROFURANTOIN TABLETS "Y.S." STREPTOMYCIN SULFATE FOR INJECTION 1G "VPP" CHLORPHENIRAMINE MALEATE TABLETS "VPP" ORICORT INJECTION "ORIENTAL" TAY HOU CHIN S.C. TABLETS RESERPINE INJECTION "ASTAR" NEOSTIGMINE INJECTION "ASTAR" BETAMETHASONE TABLETS "LITA" DESON TABLETS "H.C." PRONALATE TABLETS "PANBIOTIC" 305 306 307 308 309 310 A003552212 A003558212 A003572421 A003573221 A003601100 A003619209 311 312 313 314 315 316 317 318 319 320 A003619277 A003621100 A003622100 A003633100 A003687100 A003696100 A003697417 A003699212 A003699229 A003700212 321 322 323 324 325 326 A003700229 A003703100 A0037031G0 A003705219 A003705229 A003715271 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 A003727100 A003742100 A003757100 A003759100 A003764100 A003773100 A003775100 A003777100 A003782209 A003786209 A003792100 A003794100 A003796229 A003851100 A003852100 A003867209 A003873100 A003881209 A003893100 A003898238 A003902100 A003903100 A003911100 A003941421 A003943100 352 353 354 355 356 357 A003948417 A003967229 A003968421 A003968429 A003969417 A003976100 PROMERAN INJECTION PROPHYLLIN INJECTION "ASTAR" CON-F EYE DROPS PLASLLOID INJECTION CHLORAMPHENICOL CAPSULES DEXTROSE IN SALINE INJECTION "SINTONG" DEXTROSE IN SALINE INJECTION DEXCON TABLETS 10MG HONCALM CAPSULES BENDA TABLETS "Y.S." DOXYCYCLINE HCL CAPSULES LI-CILLIN CAPSULES 500MG TETRACYCLINE EYE OINTMENT "OASIS" DEXARON INJECTION 1MG DEXARON INJECTION 1MG DEXARON INJECTION 2MG DEXARON INJECTION 2MG EPILON TABLETS "YUNG SHIN" EPILON TABLETS "YUNG SHIN"(鋁箔) KANAMYCIN INJECITON "TAH-AN" KANAMYCIN INJECITON "TAH-AN" LEUCOMYCIN INTRAVENOUS INJ 400MG "T.T.Y" HITUS CAPSULES 25 MG CLOBRATE CAPSULES "JOHNSON" FEBICON S.C. TABLETS INTEAN CAPSULES LILIAN TABLETS "CURIE" SWEICON TABLETS "YUNG CHI" ERYTHROMYCIN CAPSULES "YUNG SHIN" TZUCHIEH S.C. TABLETS CHLORPHENIRAMINE INJECTION ERGOMETRIN INJECTION "ASTAR" TOLBUTAMIDE TABLETS "R.S.P.P." EPHEDRINE SULFATE CAPSULES "VPP" AMINOPHYLLINE INJECTION "VPP" RIPOLIN CAPSULES 150MG RIPOLIN CAPSULES 300MG LIHOSIN INJECTION TETRACYCLINE HCL CAPSULES DEXAMETHASONE INJECTION NITROFURANTOIN TABLETS 100MG KCL INJECTION "C.C.P." SUSWUN TABLETS PELION TABLETS AMINOPHYLLINE TABLETS 200MG "VPP" NARPINA EYE DROPS SPARKAN CAPSULES "VEI MIN" ATROPINE EYE OINTMENT CYANOCOBALAMIN INJECTION "R.S.P.P." SULOMIN EYE DROPS SULOMIN EYE DROPS CODEMYCIN EYE OINTMENT BISMUTH SUBCARBONATE TABLETS 324MG "VPP" 100年1月 項次 支付價 0.45 295 296 52 297 0.1 26.6 298 1 299 2.99 300 2 301 0.45 302 0.5 303 304 1.17 5.5 305 2.5 306 18.3 307 13.6 308 1 309 310 29 16.7 311 0.6 312 0.29 313 0.27 314 0 315 1.53 316 7.2 317 2.94 318 8.8 319 320 6.7 9.5 321 1 322 1.5 323 11.7 324 19.8 325 326 50 0.45 327 0 328 1.17 329 0.32 330 0.81 331 1 332 1.22 333 1 334 1.6 335 2.75 336 1.02 337 0.51 338 3.6 339 2.08 340 9 341 6.4 342 0.69 343 8.6 344 0.24 345 6.8 346 0.94 347 0.33 348 0.34 349 12.7 350 351 2.58 26.9 352 10 353 8.3 354 8.3 355 17.9 356 357 0.58 說明 CODE 藥品名稱 A003469209 A003494100 NEOSTIGMINE INJECTION "ASTAR" BETAMETHASONE TABLETS "LITA" 2.00 0.45 A003534100 DESON TABLETS "H.C." 0.50 A003551100 A003552212 A003558212 A003572421 A003573221 A003601100 A003619209 PRONALATE TABLETS "PANBIOTIC" PROMERAN INJECTION PROPHYLLIN INJECTION "ASTAR" CON-F EYE DROPS PLASLLOID INJECTION CHLORAMPHENICOL CAPSULES DEXTROSE IN SALINE INJECTION "SINTONG" DEXTROSE IN SALINE INJECTION DEXCON TABLETS 10MG HONCALM CAPSULES BENDA TABLETS "Y.S." DOXYCYCLINE HCL CAPSULES LI-CILLIN CAPSULES 500MG 1.17 5.50 2.50 18.30 13.60 1.00 29.00 TETRACYCLINE EYE OINTMENT "OASIS" DEXARON INJECTION 1MG DEXARON INJECTION 1MG DEXARON INJECTION 2MG DEXARON INJECTION 2MG EPILON TABLETS "YUNG SHIN" EPILON TABLETS "YUNG SHIN"(鋁箔) KANAMYCIN INJECITON "TAH-AN" KANAMYCIN INJECITON "TAH-AN" LEUCOMYCIN INTRAVENOUS INJ 400MG "T.T.Y" HITUS CAPSULES 25 MG CLOBRATE CAPSULES "JOHNSON" FEBICON S.C. TABLETS INTEAN CAPSULES LILIAN TABLETS "CURIE" SWEICON TABLETS "YUNG CHI" 7.20 2.94 8.80 6.70 9.50 1.00 1.50 11.70 19.80 50.00 ERYTHROMYCIN CAPSULES "YUNG SHIN" TZUCHIEH S.C. TABLETS CHLORPHENIRAMINE INJECTION ERGOMETRIN INJECTION "ASTAR" TOLBUTAMIDE TABLETS "R.S.P.P." EPHEDRINE SULFATE CAPSULES "VPP" AMINOPHYLLINE INJECTION "VPP" RIPOLIN CAPSULES 150MG RIPOLIN CAPSULES 300MG LIHOSIN INJECTION TETRACYCLINE HCL CAPSULES DEXAMETHASONE INJECTION NITROFURANTOIN TABLETS 100MG KCL INJECTION "C.C.P." SUSWUN TABLETS PELION TABLETS AMINOPHYLLINE TABLETS 200MG "VPP" NARPINA EYE DROPS SPARKAN CAPSULES "VEI MIN" ATROPINE EYE OINTMENT CYANOCOBALAMIN INJECTION "R.S.P.P." SULOMIN EYE DROPS SULOMIN EYE DROPS CODEMYCIN EYE OINTMENT BISMUTH SUBCARBONATE TABLETS 324MG "VPP" CON-N EYE-DROPS PILOCARPINE EYE DROPS 4% LICOTIN TABLETS "YUNG CHI" JOHNSTAL CAPSULES SELEAR EYE DROPS STACORT-A INJECTION 10MG "STANDARD" 1.22 1.00 1.60 2.75 1.02 0.51 3.60 2.08 9.00 6.40 0.69 8.60 0.24 6.80 0.94 0.33 0.34 12.70 2.58 26.90 10.00 8.30 8.30 17.90 0.58 A003619277 A003621100 A003622100 A003633100 A003687100 A003696100 A003697417 A003699212 A003699229 A003700212 A003700229 A003703100 A0037031G0 A003705219 A003705229 A003715271 A003727100 A003742100 A003757100 A003759100 A003764100 A003773100 A003775100 A003777100 A003782209 A003786209 A003792100 A003794100 A003796229 A003851100 A003852100 A003867209 A003873100 A003881209 A003893100 A003898238 A003902100 A003903100 A003911100 A003941421 A003943100 A003948417 A003967229 A003968421 A003968429 A003969417 A003976100 A003994421 A004001421 A004042100 A004052100 A004068429 A004073221 第 6 頁,共 382 頁 9901 支付價 16.70 0.60 0.29 0.27 1.27 1.53 刪除 0.45 1.03 1.17 0.32 0.81 1.00 15.20 42.70 0.73 0.67 17.20 26.30 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 A003994421 A004001421 A004042100 A004052100 A004068429 A004073221 A004073299 A004099100 A004115100 A004122100 A004151209 A004156417 A004163100 A004166421 A004180100 A004188417 A004189100 A004194100 A004219100 A004221100 CON-N EYE-DROPS PILOCARPINE EYE DROPS 4% LICOTIN TABLETS "YUNG CHI" JOHNSTAL CAPSULES SELEAR EYE DROPS STACORT-A INJECTION 10MG STACORT-A INJECTION 10MG MECOSON TABLETS 15MG GENCAN S.C. TABLETS "YUNG CHI" BAOGIN TABLETS 2MG "BOWLIN" KANAMYCIN SULFATE INJECTION VITA A EYE OINTMENT "OASIS" ESCIN S.C. TABLETS COLSAMIN EYE DROPS AMPICILLIN CAPSULES "ASTAR" F.A.D. EYE OINTMENT RESERPINE TABLETS "VPP" LUNGING TABLETS BISLAN TABLETS "YUNG SHIN" LICA TABLETS 378 379 380 381 382 383 A0042211G0 A004222100 A004223100 A004247100 A004249100 A004255100 384 385 386 387 388 389 390 391 392 393 394 395 396 LICA TABLETS(鋁箔/膠箔) BETA-DEXALONE TABLETS SULFISOMEZOLE TABLETS "R.S.P.P." ERYTHROMYCIN CAPSULES "CENTROL" DYNIN TABLETS ERYTHROMYCIN ESTOLATE CAPSULES "ASTAR" A004256100 CHLORAMPHENICOL CAPSULES A004263100 ANTICOUGH CAPSULES A004265100 TONILIN CAP. 250MG A004266100 NAGOMIN TABLETS (NALIDIXIC A004276100 EAZIDE TABLETS A0042761G0 EAZIDE TABLETS (鋁箔/膠箔) A004280100 DICLOCIL CAPSULES 250MG A004287100 POTON CAPSULES A004300100 TAWEGEN TABLETS "YUNG CHI" A004302100 PUTELOME S.C. TABLETS A004322229 VITAMIN B COMPLEX INJECTION "VPP" A004326100 TEANLANG TABLETS A004347209 VITAMIN K1 INJECTION "N.K." 397 398 399 400 401 A004404100 A004411100 A004417100 A004423100 A004441100 STUGEIN TABLETS TUBAX S.C. TABLETS HAOWEINENG S.C. TABLETS ESTROMON S.C. TABLETS DEAN TABLETS 5MG "YUNG CHI" 402 A004459199 403 404 405 406 A004461100 A004462100 A004463212 A004466297 CHLORAMPHENICOL PALMITATE GRANULES 250MG/GM "SINTON" ANTICOUGH TABLETS DEXAMETHASONE TABLETS "ASTAR" SINTHATO INJECTION TRICILLIN INJECTION "VPP" 407 A004467210 408 409 410 A004475100 A004484100 A004488421 411 412 A004489417 A004490417 413 414 415 416 A004491417 A004506100 A004514100 A004539157 417 418 A004565209 A004565229 100年1月 支付價 15.2 42.7 0.73 0 17.2 26.3 5.2 0.5 0.55 0.74 0 18 2.18 13.6 1 21.8 0.09 0.2 0.35 項次 CODE 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 A004073299 A004099100 A004115100 A004122100 A004151209 A004156417 A004163100 A004166421 A004180100 A004188417 A004189100 A004194100 A004219100 A004221100 A0042211G0 A004222100 A004223100 A004247100 A004249100 A004255100 COLIMYCIN EYE OINTMENT CHLORAMPHENICOL OPHTHALMIC OINTMENT ERYSMYCIN EYE OINTMENT FUCON TABLETS DUOCIDE TABLETS BOINTUSSIN SOLUTION 20MG/ML (GUAIFENESIN)"BOWLIN" DECAMIN INJECTION 4MG/ML DECAMIN INJECTION 4MG/ML 說明 9901 支付價 5.20 0.50 0.55 0.74 15.00 18.00 2.18 13.60 1.00 21.80 0.09 0.20 0.35 0.26 1.50 0.32 0.85 1.23 1.00 1.03 378 379 380 381 382 383 STACORT-A INJECTION 10MG MECOSON TABLETS 15MG GENCAN S.C. TABLETS "YUNG CHI" BAOGIN TABLETS 2MG "BOWLIN" KANAMYCIN SULFATE INJECTION VITA A EYE OINTMENT "OASIS" ESCIN S.C. TABLETS COLSAMIN EYE DROPS AMPICILLIN CAPSULES "ASTAR" F.A.D. EYE OINTMENT RESERPINE TABLETS "VPP" LUNGING TABLETS BISLAN TABLETS "YUNG SHIN" LICA TABLETS LICA TABLETS(鋁箔/膠箔) BETA-DEXALONE TABLETS SULFISOMEZOLE TABLETS "R.S.P.P." ERYTHROMYCIN CAPSULES "CENTROL" DYNIN TABLETS ERYTHROMYCIN ESTOLATE CAPSULES "ASTAR" A004256100 CHLORAMPHENICOL CAPSULES A004263100 ANTICOUGH CAPSULES A004265100 TONILIN CAP. 250MG A004266100 NAGOMIN TABLETS (NALIDIXIC A004276100 EAZIDE TABLETS A0042761G0 EAZIDE TABLETS (鋁箔/膠箔) 384 385 386 387 388 389 390 391 392 393 394 395 396 A004280100 A004287100 A004300100 A004302100 A004322229 A004326100 A004347209 A004404100 A004411100 A004417100 A004423100 A004441100 A004459199 2.57 0.39 0.77 0.20 11.60 0.37 3.78 0.25 6.50 0.45 2.96 0.72 1.38 397 398 399 400 401 A004461100 A004462100 A004463212 A004466297 A004467210 402 0 0.46 403 0.37 404 2.8 405 406 12.4 407 10 0.28 408 1 409 410 17 22 411 412 13.7 17.7 413 0 414 0.97 415 416 18.5 3.8 417 15.9 418 A004475100 DICLOCIL CAPSULES 250MG POTON CAPSULES TAWEGEN TABLETS "YUNG CHI" PUTELOME S.C. TABLETS VITAMIN B COMPLEX INJECTION "VPP" TEANLANG TABLETS VITAMIN K1 INJECTION "N.K." STUGEIN TABLETS TUBAX S.C. TABLETS HAOWEINENG S.C. TABLETS ESTROMON S.C. TABLETS DEAN TABLETS 5MG "YUNG CHI" CHLORAMPHENICOL PALMITATE GRANULES 250MG/GM "SINTON" ANTICOUGH TABLETS DEXAMETHASONE TABLETS "ASTAR" SINTHATO INJECTION TRICILLIN INJECTION "VPP" PROCAINE PENICILLIN G FOR AQUA INJECTION 1,500,000 UNITS "VPP" PREDNISOLONE TABLETS "ASTAR" SOLIKIN CAPSULES "YUNG SHIN" BISMING EYE DROPS COLIMYCIN EYE OINTMENT CHLORAMPHENICOL OPHTHALMIC OINTMENT ERYSMYCIN EYE OINTMENT 1.00 17.00 22.00 13.70 1.00 0.97 18.50 A004568100 A004574100 A004575100 A004587238 FUCON TABLETS DUOCIDE TABLETS BOINTUSSIN SOLUTION 20MG/ML (GUAIFENESIN)"BOWLIN" DECAMIN INJECTION 4MG/ML DECAMIN INJECTION 4MG/ML "ORIENTAL" STOPAIN CAPSULES WINDOL TABLETS SECOBARBITAL SODIUM CAPSULES "VPP" DEXTRON V INJECTION "N.K." A004643100 A004648100 XATONE E.C. TABLETS "F.Y." DECARON TABLETS "TK&A." 0.26 1.5 0.32 0.85 1.23 1 1.03 0.68 0.94 1 2.09 1 1.5 2.57 0.39 0.77 0.2 11.6 0.37 8 0.25 6.5 0.45 2.96 0.72 PROCAINE PENICILLIN G FOR AQUA INJECTION 1,500,000 UNITS PREDNISOLONE TABLETS "ASTAR" SOLIKIN CAPSULES "YUNG SHIN" BISMING EYE DROPS 藥品名稱 刪除 刪除 0.68 0.94 1.00 2.09 1.00 1.50 調整 0.46 0.37 2.80 12.40 10.00 0.28 刪除 A004484100 A004488421 A004489417 A004490417 A004491417 A004506100 A004514100 A004539157 A004565209 A004565229 第 7 頁,共 382 頁 17.70 3.80 15.90 0.64 2.36 2.10 4.07 0.45 0.37 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 419 420 421 422 423 424 425 A004568100 A004574100 A004575100 A004587238 A004643100 A004648100 A004649321 426 A004649329 427 428 429 430 431 A004649399 A004675100 A004676100 A004678277 A004692100 432 A004703100 433 434 435 436 437 438 A004704100 A004715100 A0047151G0 A004722100 A004737100 A0047371G0 439 440 441 442 443 444 A004739100 A004761329 A004763100 A004766100 A004771238 A004771263 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 A004776229 A004778100 A004813100 A004815100 A004820100 A004835100 A004838100 A004852212 A004853209 A004857100 A004865209 A004899100 A0048991G0 A004917421 A004919100 460 A0049191G0 461 A004928321 462 463 464 465 A004928399 A004932238 A004933100 A004942209 466 A004942221 467 A004942229 468 469 470 471 A004951209 A004957100 A004963100 A0049631G0 472 473 474 475 476 A004973321 A004974416 A004975416 A004975421 A004977421 藥品名稱 100年1月 支付價 0 STOPAIN CAPSULES 2.36 WINDOL TABLETS 2.1 SECOBARBITAL SODIUM CAPSULES "VPP" 4.07 DEXTRON V INJECTION "N.K." 0.45 XATONE E.C. TABLETS "F.Y." 0.37 DECARON TABLETS LI KA LANG OINTMENT "H.S." 36.6 LI KA LANG OINTMENT "H.S." 33.9 1.26 LI KA LANG OINTMENT "H.S." 5.6 RIF CAPSULES 150MG 10.1 RIF CAPSULES 300MG 72 MORIAMIN-2 INJECTION COPALIN TABLETS (CHLORMEZANONE) 0.6 "M.T." CHLORDIAZEPOXIDE HCL CAPSULES 0.32 10MG "VPP" 0.1 CHLORPHENIRAMINE TABLETS "ASTAR" 0 DIABETIN TABLETS "Y.S." 1.5 DIABETIN TABLETS "Y.S." (鋁箔) 0.16 CYPRO TABLETS 4MG "F.Y." 0 PILIAN TABLETS "Y.S." PILIAN TABLETS "Y.S."(鋁箔) 1.5 3.7 CHISOU CAPSULES "H.C.T." 44.5 SHIELIN POWDER 0.26 HONTAN TABLETS 0.49 LISU TABLETS "H.S." 21.4 MAGNESIUM SULFATE INJECTION "S.T." MAGNESIUM SULFATE INJECTION 163 "SINTONG" 2.45 AMINOPHYLLINE INJECTION "ASTAR" 0.38 LI SHIN NING CAPSULES"J.H." 0.25 ASPIRIN TABLETS "VPP" 0.31 DIAZEPAM TABLETS "ASTAR" 0.63 CHITOU TABLETS "Y.S." 0.4 ECHICON TABLETS "Y.S." 0.5 PISULOU CAPSULES "Y.S." 4.07 COUGSTIN INJECTION "ASTAR" 3.64 TRILIZIN INJECTION "ASTAR" 1 ZIKAN TABLETS "Y.S." 6 VITAMIN K1 INJECTION 0 NARIZIN TABLETS "JOHNSON" 0 NARIZIN TABLETS "JOHNSON"(鋁箔/膠箔) 14.6 ANGEL EYE DROPS BAKTAR TABLETS 400MG 1.14 BAKTAR TABLETS 400MG (鋁箔) 1.5 BETADERM CREAM 0 0 BETADERM CREAM 10 LAMVITA INJECTION 0.7 FUWEININ CAPSULES "Y.S." PROGESTERONE INJECTION 25MG 2.22 "PANBIOTIC" PROGESTERONE INJECTION 25MG 9.7 "PANBIOTIC" PROGESTERONE INJECTION 25MG 19.2 "PANBIOTIC" 3.88 ATROPINE SULFATE INJECTION 1.14 KANFUYEN CAPSULES 0.8 TETRACYCLINE HCL CAPSULES "C.C.P." TETRACYCLINE HCL CAPSULES "C.C.P."( 1.5 鋁箔/膠箔) 42.8 RINDERON-VA CREAM 0.06% 44.4 EYE RINDERON-A OINTMENT 47.3 EYE RINDERON-A SOLUTION 34.4 EYE RINDERON-A SOLUTION 15.2 YEN SAN EYE DROPS 項次 CODE 419 420 421 422 423 424 425 A004649321 A004649329 A004649399 A004675100 A004676100 A004678277 A004692100 藥品名稱 427 428 429 430 431 LI KA LANG OINTMENT "TK&A" LI KA LANG OINTMENT "TK&A" LI KA LANG OINTMENT "TK&A" RIF CAPSULES 150MG RIF CAPSULES 300MG MORIAMIN-2 INJECTION COPALIN TABLETS (CHLORMEZANONE) "M.T." A004703100 CHLORDIAZEPOXIDE HCL CAPSULES 10MG "VPP" A004704100 CHLORPHENIRAMINE TABLETS "ASTAR" A004715100 DIABETIN TABLETS "Y.S." A0047151G0 DIABETIN TABLETS "Y.S." (鋁箔) A004722100 CYPRO TABLETS 4MG "F.Y." A004737100 PILIAN TABLETS "Y.S." 432 A0047371G0 PILIAN TABLETS "Y.S."(鋁箔) 433 434 435 436 437 438 A004739100 A004761329 A004763100 A004766100 A004771238 A004771263 439 440 441 442 443 444 A004776229 A004778100 A004813100 A004815100 A004820100 A004835100 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 A004838100 A004852212 A004853209 A004857100 A004865209 A004899100 A0048991G0 A004917421 A004919100 A0049191G0 A004928321 A004928399 A004932238 A004933100 A004942209 426 CHISOU CAPSULES "H.C.T." SHIELIN POWDER HONTAN TABLETS LISU TABLETS "TK&A." MAGNESIUM SULFATE INJECTION "S.T." MAGNESIUM SULFATE INJECTION "SINTONG" AMINOPHYLLINE INJECTION "ASTAR" LI SHIN NING CAPSULES"J.H." ASPIRIN TABLETS "VPP" DIAZEPAM TABLETS "ASTAR" CHITOU TABLETS "Y.S." ECHICON TABLETS "Y.S." 說明 9901 支付價 36.60 30.30 1.26 5.60 10.10 72.00 0.60 0.32 調整 0.10 1.00 1.50 0.16 0.80 1.50 3.70 44.50 0.26 0.49 21.40 163.00 0.50 4.07 3.64 1.00 6.00 0.80 1.50 14.60 1.14 1.50 26.20 3.46 10.00 0.70 2.22 466 467 A004974416 EYE RINDERON-A OINTMENT 44.40 468 469 470 471 A004975416 A004975421 A004977421 A004977429 EYE RINDERON-A SOLUTION EYE RINDERON-A SOLUTION YEN SAN EYE DROPS YEN SAN EYE DROPS 47.30 34.40 15.20 26.80 472 473 474 475 476 A004995100 A0049951G0 A005024100 A005041100 A005045100 CEPHALIN CAPSULES CEPHALIN CAPSULES (鋁箔/膠箔) ELINE S.C. TABLETS "Y.S." NICOXAN TABLETS YUNGISUMIN TABLETS "CHEN TA" 461 462 463 464 465 第 8 頁,共 382 頁 刪除 刪除 2.45 0.38 0.25 0.31 0.63 0.40 PISULOU CAPSULES "Y.S." COUGSTIN INJECTION "ASTAR" TRILIZIN INJECTION "ASTAR" ZIKAN TABLETS "Y.S." VITAMIN K1 INJECTION NARIZIN TABLETS "JOHNSON" NARIZIN TABLETS "JOHNSON"(鋁箔/膠箔) ANGEL EYE DROPS BAKTAR TABLETS 400MG BAKTAR TABLETS 400MG (鋁箔) BETADERM CREAM BETADERM CREAM LAMVITA INJECTION FUWEININ CAPSULES "Y.S." PROGESTERONE INJECTION 25MG "PANBIOTIC" A004942221 PROGESTERONE INJECTION 25MG "PANBIOTIC" A004942229 PROGESTERONE INJECTION 25MG "PANBIOTIC" A004951209 ATROPINE SULFATE INJECTION A004957100 KANFUYEN CAPSULES A004963100 TETRACYCLINE HCL CAPSULES "C.C.P." A0049631G0 TETRACYCLINE HCL CAPSULES "C.C.P."( 鋁箔/膠箔) A004973321 RINDERON-VA CREAM 0.06% 460 刪除 刪除 刪除 9.70 19.20 3.88 1.14 0.80 1.50 42.80 1.19 1.50 1.00 1.00 0.54 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 CODE 藥品名稱 100年1月 支付價 26.8 A004977429 YEN SAN EYE DROPS 1.19 A004995100 CEPHALIN CAPSULES 1.5 A0049951G0 CEPHALIN CAPSULES (鋁箔/膠箔) 1 A005024100 ELINE S.C. TABLETS "Y.S." 1 A005041100 NICOXAN TABLETS 0.54 A005045100 YUNGISUMIN TABLETS "CHEN TA" 1.5 A0050451G0 YUNGISUMIN TABLETS (鋁箔/膠箔) 0.71 A005054100 INDOCINE CAPSULES 1.12 A005062100 KIDOLEX CAPSULES "KINGDOM" 0.44 A005090100 ZUCAIN TABLETS "CURIE" 0.2 A005097100 FETEFU TABLETS 0.31 A005135100 TZUCHUNAN TABLETS 0.29 A005136100 BALAMIN S.C. TABLETS "JEN SHENG" 0.63 A005185100 TRIAMCINOLONE TABLETS "JEN SHENG" 0.42 A005191100 KANGCHINMIN S.C. TABLETS 0 A005200100 PERSINE S.C. TABLETS 25MG 0.82 A005225100 COLCHICINE TABLETS 0.4 A005227100 PREDNISOLONE TABLETS "DAU CHI" 0.29 A005228100 ZUNCHIN CAPSULES "DAU CHI" A005232100 COLD CAPSULES "M.T." 2.28 0.14 A005247100 METHYLEPHEDRINE HCL TABLETS 0.7 A005249100 CYANTON CAPSULES "Y.S." 1 A005250100 LINAGAN TABLETS A005266100 HYDRALAZINE HCL TABLETS "JEN 0.32 SHENG" 2.09 A005272100 HUEI YI CAPSULES "J.H." A005286100 DEKESU TABLETS 0.5MG 0.37 (DEXAMETHASONE)"F.S." 0 A005290100 EUROID TABLETS 0.18 A005300100 PHENOBARBITAL TABLETS 32MG "VPP" 1 A005305100 SATAMOL TABLETS A005313100 TRANTAL FILM COATED TABLETS "YUNG 0.64 SHIN" 1 A005321100 METOYUI CAPSULES "DAU CHI" 14.4 A005324209 DELTONIN INJECTION "N.K." A005324221 DELTONIN INJECTION "N.K." 58 0 A005353100 HICONCIL CAPSULES 500MG 0 A005354100 HICONCIL CAPSULES 250MG 1 A005359100 METRODIN S.C. TABLETS "YUNG CHI" 0.7 A005381100 SHUTON CAPSULES "N.W." 0.91 A005412100 MEDISOL TABLETS 15MG A005414100 WNSHINLIEN S.C. TABLETS 12.5MG 0.49 (DIPYRIDAMOLE)"F.S." 0.8 A005418100 O.D.K. CAPSULES "ORIENT" 0.4 A005420100 RONPILINE TABLETS "DAU CHI" 2.36 A005431100 NALIXIN TABLETS "Y.S." 1.86 A005445100 PARAFLEX CAPSULES 500MG 1.11 A005446100 PARAFLEX CAPSULES 250MG 1 A005454100 AMCICORT TABLETS "N.W." 0 A005483212 DIPROPHYLLIN INJECTION "SINTON" 1.28 A005491100 AMPICILLIN CAPSULES 500MG "PRINCE" 1.26 A005495100 DOINMYCIN CAPSULES 0.9 A005508100 GLARE CAPSULES "F.Y." 0.23 A005515100 AMINOPHYLLINE TABLETS "Y.S." A005517100 INDOSUN E.C. TABLETS 0.32 0.25 A005519100 CHINCOUGH CAPSULES "PANBIOTIC" 18.7 A005521421 CODEMYCIN EYE DROPS 10 A005592417 CHLORTETRACYCLINE OINTMENT "C.Y." 12.8 A005592421 CHLORTETRACYCLINE OINTMENT "C.Y." 22 A005603221 GLUCAL BLACK INJECTION A005616229 DEXAMETHASONE-21 INJECTION 12.3 1MG/ML"C.Y." 6.2 A005628229 PHENAMINCAL-B6 INJECTION "C.Y." 6 A005661500 OMNIN VAGINAL TABLETS 2.04 A005664100 FLUFEMIN CAPSULES 0.14 A005669100 AMINOPHYLLINE TABLETS "ASTAR" A005691100 CAFETON TABLETS 1.07 說明 項次 CODE 藥品名稱 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 A0050451G0 A005054100 A005062100 A005090100 A005097100 A005135100 A005136100 A005185100 A005191100 A005200100 A005225100 A005227100 A005228100 A005232100 A005247100 A005249100 A005250100 A005266100 A005272100 A005286100 497 498 499 500 A005290100 A005300100 A005305100 A005313100 501 502 A005321100 A005324209 YUNGISUMIN TABLETS (鋁箔/膠箔) INDOCINE CAPSULES KIDOLEX CAPSULES "KINGDOM" ZUCAIN TABLETS "CURIE" FETEFU TABLETS TZUCHUNAN TABLETS BALAMIN S.C. TABLETS "JEN SHENG" TRIAMCINOLONE TABLETS "JEN SHENG" KANGCHINMIN S.C. TABLETS PERSINE S.C. TABLETS 25MG COLCHICINE TABLETS PREDNISOLONE TABLETS "DAU CHI" ZUNCHIN CAPSULES "DAU CHI" COLD CAPSULES "M.T." METHYLEPHEDRINE HCL TABLETS CYANTON CAPSULES "Y.S." LINAGAN TABLETS HYDRALAZINE HCL TABLETS "JEN HUEI YI CAPSULES "J.H." DEKESU TABLETS 0.5MG (DEXAMETHASONE)"F.S." EUROID TABLETS PHENOBARBITAL TABLETS 32MG "VPP" SATAMOL TABLETS TRANTAL FILM COATED TABLETS "YUNG SHIN" METOYUI CAPSULES "DAU CHI" DELTONIN INJECTION "N.K." 1.00 14.40 503 504 505 506 A005324221 A005353100 A005354100 A005359100 DELTONIN INJECTION "N.K." HICONCIL CAPSULES 500MG HICONCIL CAPSULES 250MG METRODIN S.C. TABLETS "YUNG CHI" 58.00 1.56 1.00 1.00 507 508 509 A005381100 A005412100 A005414100 510 511 512 513 514 515 A005418100 A005420100 A005431100 A005445100 A005446100 A005454100 SHUTON CAPSULES "N.W." MEDISOL TABLETS 15MG WNSHINLIEN S.C. TABLETS 12.5MG (DIPYRIDAMOLE)"F.S." O.D.K. CAPSULES "ORIENT" RONPILINE TABLETS "DAU CHI" NALIXIN TABLETS "Y.S." PARAFLEX CAPSULES 500MG PARAFLEX CAPSULES 250MG AMCICORT TABLETS "N.W." 516 517 518 519 520 521 522 523 524 525 526 527 A005483212 A005491100 A005495100 A005508100 A005515100 A005517100 A005519100 A005521421 A005592417 A005592421 A005603221 A005616229 528 529 530 531 532 533 A005628229 A005661500 A005664100 A005669100 A005691100 A005708100 534 535 536 537 538 A005712100 A005716100 A005724100 A005749100 A005753212 第 9 頁,共 382 頁 9901 支付價 1.50 0.71 1.12 0.44 0.20 0.31 0.29 0.63 0.42 1.00 0.82 0.40 0.29 2.28 0.14 0.70 1.00 0.32 2.09 0.37 刪除 0.63 0.18 1.00 0.64 刪除 0.70 0.91 0.49 0.80 0.40 2.36 1.86 1.11 1.00 DIPROPHYLLIN INJECTION "SINTON" AMPICILLIN CAPSULES 500MG "PRINCE" DOINMYCIN CAPSULES GLARE CAPSULES "F.Y." AMINOPHYLLINE TABLETS "Y.S." INDOSUN E.C. TABLETS CHINCOUGH CAPSULES "PANBIOTIC" CODEMYCIN EYE DROPS CHLORTETRACYCLINE OINTMENT "C.Y." CHLORTETRACYCLINE OINTMENT "C.Y." GLUCAL BLACK INJECTION DEXAMETHASONE-21 INJECTION 1MG/ML"C.Y." PHENAMINCAL-B6 INJECTION "C.Y." OMNIN VAGINAL TABLETS FLUFEMIN CAPSULES AMINOPHYLLINE TABLETS "ASTAR" CAFETON TABLETS BROWN MIXTURE TABLETS 3.49 1.28 1.26 0.90 0.23 0.32 0.25 18.70 10.00 12.80 22.00 12.30 DIPROPHYLLIN TABLETS "ASTAR" PRINCEMYLON CAPSULES 500MG PHYTOMENADIONE TABLETS "JEN MEDISOL CAPSULES 30MG THIAMINE HYDROCHLORIDE INJECTION 50MG "ASTAR" 0.50 2.25 0.77 0.91 1.79 6.20 6.00 2.04 0.14 1.07 0.20 刪除 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 539 540 541 542 543 544 A005708100 A005712100 A005716100 A005724100 A005749100 A005753212 藥品名稱 545 546 547 548 549 550 BROWN MIXTURE TABLETS DIPROPHYLLIN TABLETS "ASTAR" PRINCEMYLON CAPSULES 500MG PHYTOMENADIONE TABLETS "JEN MEDISOL CAPSULES 30MG THIAMINE HYDROCHLORIDE INJECTION 50MG "ASTAR" A005757100 CHIERHSIN TABLETS 10MG A005789100 FUSTON TABLETS 100MG "Y.S." A005807100 LONFLEX CAPSULES "UNION" A005811100 STROCAIN TABLETS A0058111G0 STROCAIN TABLETS(鋁箔) A005812100 HOMOCLOMIN TABLETS 551 552 A0058121G0 HOMOCLOMIN TABLETS(鋁箔) A005813100 SOLAXIN TABLETS 553 A0058131G0 SOLAXIN TABLETS(鋁箔) 554 555 556 A005827100 A005833100 A005855209 557 558 A005857100 A005858100 559 A005860100 560 561 562 A005863177 A005863199 A005865100 563 564 565 A005869155 A005869199 A005874209 566 A005886209 567 568 A005889209 A005891209 AMINOPHYLINE TABLETS "JEN SHENG" TANCOSIL TABLETS 200MG INJECTIO ALKALOIDI OPII HYDROCHLORIDI ET SCOPOLAMINAE CODEINE PHOSPHATE TABLETS 15 MG PETHIDINE HYDROCHLORIDE TABLETS 50 MG MORPHINE HYDROCHLORIDE TABLETS 10MG CAMPHORATED OPIUM TINCTURE CAMPHORATED OPIUM TINCTURE CODEINE PHOSPHATE TABLETS 30MG OPIUM TINCTURE OPIUM TINCTURE PETHIDINE HYDROCHLORIDE INJECTION 50MG/ML MORPHINE HYDROCHLORIDE 20MG/ML 579 580 CODEINE PHOSPHATE INJECTION MORPHINE HYDROCHLORIDE INJECTION 10MG/ML A005896209 IMPERAN INJECTION "N.K." A005896212 IMPERAN INJECTION "N.K." A005925100 MERISLON TABLETS 6MG (BETAHISTINE MESILATE) A0059251G0 MERISLON TABLETS 6MG (BETAHISTINE MESILATE)(鋁箔) A005936100 SETON TABLETS 100MG (ETHAVERINE) A005945100 DEXTROMETHORPHAN TABLETS "JEN SHENG" A005949500 INTOCIN SUPPOSITORIES A005954100 COSPANON CAPSULES A0059541G0 COSPANON CAPSULES(鋁箔/膠箔) A005986100 MENIPERAN TABLETS 5MG "M.T." (METOCLOPRAMIDE) A005987100 INOLIN TABLETS 3MG A005989100 INDOCAPS CAPSULES 581 582 583 584 585 586 A006003100 A006006100 A006086317 A006087100 A006171100 A006172100 587 588 589 590 591 592 A006187417 A006194100 A006228100 A006232100 A006233100 A006245100 569 570 571 572 573 574 575 576 577 578 ERGONOVINE MALEATE S.C. TABLETS PONSTAL CAPSULES FLUO A OINTMENT 0.03% PITHATE TABLETS HEPI CAPSULES "H.C.T." CHLORPHENIRAMINE MALEATE TABLETS "S.S.P." COLSAMIN EYE OINTMENT PRONALOL TABLETS PENAZOL S.C. TABLETS MATALMIN TABLETS ENTERAN S.C. TABLETS KINLIZONE TABLETS 100年1月 支付價 0 0.5 2.25 0.77 0.91 1.79 0.5 0.28 1.22 0.88 1.5 說明 項次 CODE 藥品名稱 539 540 541 542 543 544 A005757100 A005789100 A005807100 A005811100 A0058111G0 A005812100 CHIERHSIN TABLETS 10MG FUSTON TABLETS 100MG "Y.S." LONFLEX CAPSULES "UNION" STROCAIN TABLETS STROCAIN TABLETS(鋁箔) HOMOCLOMIN TABLETS 545 546 547 548 549 550 A0058121G0 A005813100 A0058131G0 A005827100 A005833100 A005855209 A005863177 A005863199 A005865100 HOMOCLOMIN TABLETS(鋁箔) SOLAXIN TABLETS SOLAXIN TABLETS(鋁箔) AMINOPHYLINE TABLETS "JEN SHENG" TANCOSIL TABLETS 200MG INJECTIO ALKALOIDI OPII HYDROCHLORIDI ET SCOPOLAMINAE CODEINE PHOSPHATE TABLETS 15 MG PETHIDINE HYDROCHLORIDE TABLETS 50 MG MORPHINE HYDROCHLORIDE TABLETS 10MG CAMPHORATED OPIUM TINCTURE CAMPHORATED OPIUM TINCTURE CODEINE PHOSPHATE TABLETS 30MG 135.00 0.27 2.00 A005869155 A005869199 OPIUM TINCTURE OPIUM TINCTURE 230.00 2.30 1 1.5 551 552 1 553 1.5 0.14 554 0.3 555 556 19.5 1.5 557 558 4.3 559 2.8 135 560 0.27 561 562 2 230 563 2.3 564 565 20 566 18 15 567 568 16 3.63 569 0 570 571 1 572 1.5 1.74 573 574 0.37 3.73 575 1.31 576 1.5 577 578 0.2 1.33 579 580 0.6 0.27 581 0.69 582 30.4 583 1.63 584 0.71 585 586 0.27 13.8 587 0.7 588 0.4 589 1 590 0 591 0.45 592 A005857100 A005858100 A005860100 A005874209 PETHIDINE HYDROCHLORIDE INJECTION 50MG/ML A005886209 MORPHINE HYDROCHLORIDE 20MG/ML A005889209 CODEINE PHOSPHATE INJECTION A005891209 MORPHINE HYDROCHLORIDE INJECTION 10MG/ML A005896209 IMPERAN INJECTION "N.K." A005896212 IMPERAN INJECTION "N.K." A005925100 MERISLON TABLETS 6MG (BETAHISTINE MESILATE) A0059251G0 MERISLON TABLETS 6MG (BETAHISTINE MESILATE)(鋁箔) A005936100 SETON TABLETS 100MG (ETHAVERINE) A005945100 DEXTROMETHORPHAN TABLETS "JEN SHENG" A005949500 INTOCIN SUPPOSITORIES A005954100 COSPANON CAPSULES A0059541G0 COSPANON CAPSULES(鋁箔/膠箔) A005986100 A005987100 A005989100 MENIPERAN TABLETS 5MG "M.T." (METOCLOPRAMIDE) INOLIN TABLETS 3MG INDOCAPS CAPSULES A006003100 A006006100 A006086317 A006087100 ERGONOVINE MALEATE S.C. TABLETS PONSTAL CAPSULES FLUO A OINTMENT 0.03% PITHATE TABLETS A006171100 A006172100 A006187417 A006194100 A006228100 A006232100 A006233100 A006245100 HEPI CAPSULES "H.C.T." CHLORPHENIRAMINE MALEATE TABLETS "S.S.P." COLSAMIN EYE OINTMENT PRONALOL TABLETS PENAZOL S.C. TABLETS MATALMIN TABLETS ENTERAN S.C. TABLETS KINLIZONE TABLETS A006271100 A006316100 A006318100 A006344100 A006345100 A006373100 FUCOLE PARAN TABLETS CENTICON TABLETS CENTRARIN TABLETS BUSTON S.C. TABLETS INDETOLE S.C. TABLETS "Y.S." HEMAGEN CAPSULES 第 10 頁,共 382 頁 9901 支付價 0.50 0.28 1.22 0.88 1.50 1.00 刪除 1.50 1.00 1.50 0.14 0.30 19.50 1.50 4.30 2.80 20.00 18.00 15.00 16.00 3.63 3.00 1.00 1.50 1.74 0.37 3.73 1.31 1.50 刪除 0.20 1.33 0.60 0.27 0.69 30.40 1.63 0.71 0.27 13.80 0.70 0.40 1.00 0.30 0.45 0.69 0.50 0.40 1.00 0.64 0.48 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 593 594 595 596 597 A006271100 A006316100 A006318100 A006344100 A006345100 FUCOLE PARAN TABLETS CENTICON TABLETS CENTRARIN TABLETS BUSTON S.C. TABLETS INDETOLE S.C. TABLETS "Y.S." 598 599 A006373100 A006394100 HEMAGEN CAPSULES PYRIDAMOLE S.C. TABLETS 600 601 602 603 A006485500 A006486100 A006543100 A006551100 604 605 A006552100 A006554100 606 607 608 A006558100 A006567100 A006568100 LYBRILE SUPPOSITORIES CYPROHEPTADINE TABLETS 2MG "F.S." PREDNISOLONE TABLETS 5MG "CHEN NIRAMINE TABLETS 4MG "CHEN TA" (CHLORGHENIRAMINE MALEATE) ALLERMIN TABLETS 4MG ERYTHROMYCIN CAPSULES 250MG "HONTEN" NITOX CAPSULES DIAZEPAM TABELTS 5MG "F.S." NALIDIXIC ACID TABLETS 250MG "F.S." 609 610 611 612 613 614 A006572277 A006574100 A006618100 A006645100 A006677100 A006691100 615 616 617 A006696100 A006697100 A006698100 YEIAMIN-X INJECTION WAN RIH NIN CAPSULES ZITHINE TABLETS METHYLEPHEDRINE TABLETS VALEMATE TABLETS 10 MG UCALON TABLETS 0.5MG "CHEN TA" (DEXAMETHASONE) DICYCLOMINE TABLETS "C.T." GLIBENCLAMIDE TABLETS "C.T." LONGCORT TABLETS 618 A006747100 CEPHALEXIN CAPSULES 619 620 A0067471G0 CEPHALEXIN CAPSULES(鋁箔/膠箔) A006749209 LONGCORT INJECTION 621 622 623 A006761100 A006795100 A006819100 624 A006820277 625 626 A006821100 A006822100 627 628 629 630 A006823100 A006827100 A006849100 A006865100 631 632 A006873100 A006932209 633 634 635 636 A006943100 A006959100 A006964100 A006984100 637 638 A006987100 A007024100 639 A007037100 TUNFON TABLETS "H.C.T." INCHLOMYCIN SODIUM SUCCINATE INJECTION 1GM "C.Y." TETOCYN CAPSULES TERIMAN CAPSULES "CHEN TA" SEDITON TABLETS METHYLTESTOSTERONE TABLETS 10MG "VPP" RIRITON S.C. TABLETS FUNIONE TABLETS 250MG (METRONIDAZOLE) CERIATIN TABLETS 640 A007038100 PROMIN TABLETS 641 642 A007067100 A007073100 POLUN S.C. TABLETS "J.S." REFERLAS CAPSULES 643 A007091100 INCHLOMYCIN CAPSULES "C.Y." TRIZYLASE CAPSULES "BOWLIN" MAGNESIUM OXIDE TABLETS "HONTEN" CHLORPROMAZINE HCL S.C. TABLETS 50MG "VPP" SODIUM AMPICILLIN FOR INJECTION 500MG "VPP" AMPICILLIN CAPSULES 250MG "VPP" CHLORPROMAZINE HCL S.C. TABLETS 25MG "VPP" CHLORPROPAMIDE TABLETS "RSPP" AMINOPHYLLINE TABLETS 100MG "VPP" YEA BUN CAPSULES "L.D." CLOFIBRATE CAPSULES "HON TEN" 100年1月 支付價 0.69 0.5 0.4 1 項次 CODE 藥品名稱 593 594 595 596 597 A006394100 A006485500 A006486100 A006543100 A006551100 A006558100 A006567100 A006568100 A006572277 PYRIDAMOLE S.C. TABLETS LYBRILE SUPPOSITORIES CYPROHEPTADINE TABLETS 2MG "F.S." PREDNISOLONE TABLETS 5MG "CHEN NIRAMINE TABLETS 4MG "CHEN TA" (CHLORGHENIRAMINE MALEATE) ALLERMIN TABLETS 4MG ERYTHROMYCIN CAPSULES 250MG "HONTEN" NITOX CAPSULES DIAZEPAM TABELTS 5MG "F.S." NALIDIXIC ACID TABLETS 250MG "F.S." YEIAMIN-X INJECTION A006574100 A006618100 WAN RIH NIN CAPSULES ZITHINE TABLETS 0.64 0.48 598 599 0.88 2.27 600 0.34 601 0.25 602 603 0.1 0.11 604 605 1 1 606 0.31 607 608 1.84 88 609 2.34 610 0.5 611 0.14 612 0.4 613 614 0.37 0.42 615 0 616 617 0.5 618 0 1.5 619 620 14.4 1 621 0.15 622 623 0.51 624 9.4 1 625 626 0.16 0.87 627 0.28 628 0.86 629 630 1.6 1 631 632 12.3 0.6 633 0.78 634 0.19 635 636 0.8 0.46 637 638 1 639 0.28 640 0.37 0.2 641 642 0.65 0.8 643 A006552100 A006554100 A006645100 A006677100 A006691100 METHYLEPHEDRINE TABLETS VALEMATE TABLETS 10 MG UCALON TABLETS 0.5MG "CHEN TA" (DEXAMETHASONE) A006696100 DICYCLOMINE TABLETS "C.T." A006697100 GLIBENCLAMIDE TABLETS "C.T." A006698100 LONGCORT TABLETS A006747100 CEPHALEXIN CAPSULES A0067471G0 CEPHALEXIN CAPSULES(鋁箔/膠箔) A006749209 LONGCORT INJECTION A006761100 A006795100 A006819100 說明 9901 支付價 0.88 2.27 0.34 0.25 0.10 0.11 1.00 1.00 0.31 1.84 88.00 2.34 0.50 0.14 0.40 0.37 0.42 1.00 0.50 1.07 1.50 14.40 1.00 0.15 0.51 A006823100 A006827100 A006849100 TRIZYLASE CAPSULES "BOWLIN" MAGNESIUM OXIDE TABLETS "HONTEN" CHLORPROMAZINE HCL S.C. TABLETS 50MG "VPP" SODIUM AMPICILLIN FOR INJECTION 500MG "VPP" AMPICILLIN CAPSULES 250MG "VPP" CHLORPROMAZINE HCL S.C. TABLETS 25MG "VPP" CHLORPROPAMIDE TABLETS "RSPP" AMINOPHYLLINE TABLETS 100MG "VPP" YEA BUN CAPSULES "L.D." A006865100 CLOFIBRATE CAPSULES "HON TEN" 1.60 A006873100 A006932209 TUNFON TABLETS "H.C.T." INCHLOMYCIN SODIUM SUCCINATE INJECTION 1GM "C.Y." TETOCYN CAPSULES TERIMAN CAPSULES "CHEN TA" SEDITON TABLETS METHYLTESTOSTERONE TABLETS 10MG "VPP" RIRITON S.C. TABLETS FUNIONE TABLETS 250MG (METRONIDAZOLE) CERIATIN TABLETS PROMIN TABLETS POLUN S.C. TABLETS "J.S." REFERLAS CAPSULES 1.00 12.30 INCHLOMYCIN CAPSULES "C.Y." CYANOCOBALAMIN INJECTION "PANBIOTIC" A007096229 CYANOCOBALAMIN INJECTION "PANBIOTIC" A007114209 EPHEDRINE SULFATE INJECTION 25MG/ML "VPP" A007140100 CHLORZOXAZONE TABLETS "VPP" A0071401G0 CHLORZOXAZONE TABLETS "VPP"(鋁箔/ 膠箔) A007157100 OXAPAM TABLETS 0.80 2.16 A006820277 A006821100 A006822100 A006943100 A006959100 A006964100 A006984100 A006987100 A007024100 A007037100 A007038100 A007067100 A007073100 A007091100 A007096209 第 11 頁,共 382 頁 刪除 9.40 刪除 1.00 0.16 0.87 0.28 0.86 0.60 0.78 0.19 0.80 0.46 1.00 0.28 0.37 0.20 0.65 10.00 2.15 0.80 1.50 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 644 645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 688 689 690 691 692 693 694 695 696 697 698 699 700 701 702 CODE 藥品名稱 100年1月 項次 支付價 A007096209 CYANOCOBALAMIN INJECTION 644 2.16 "PANBIOTIC" A007096229 CYANOCOBALAMIN INJECTION 645 10 "PANBIOTIC" A007114209 EPHEDRINE SULFATE INJECTION 646 2.15 25MG/ML "VPP" 0.8 647 A007140100 CHLORZOXAZONE TABLETS "VPP" A0071401G0 CHLORZOXAZONE TABLETS "VPP"(鋁箔/ 648 1.5 膠箔) 1 649 A007157100 OXAPAM TABLETS 0.8 650 A007165100 ANZULENE S.C. TABLETS "N.W." 37 651 A007167335 KONIF OINTMENT"CHEN TA" 779 652 A007167377 KONIF OINTMENT"CHEN TA" 1.55 653 A007167399 KONIF OINTMENT"CHEN TA" 0 654 A007175100 PRANOL TABLETS 20MG "JOHNSON" 0.31 655 A007190100 TENSANLIN TABLETS 0.25 656 A007202100 PUN LIH LONG TABLETS "L.D." 4 657 A007204229 LIFUTIN INJECTION "ASTAR" A007213100 AMINOPHYLLINE TABLETS "BEYDAR" 658 0.28 1.27 659 A007233100 DOXYCYCLINE CAPSULES 0.2 660 A007243100 EPHEDRINE HCL TABLETS 25MG "VPP" 0.3 661 A007245100 AMINOPHYLLINE TABLETS 100MG "S.S.P." 0.5 662 A007254100 DECARONE TABLETS 2.9 663 A007256100 PROCID TABLETS A007258100 CHLORAMPHENICOL CAPSULES 250MG 664 0.87 "VPP" A007261100 BETASHIN TABLETS 665 0.5 0.76 666 A007264100 BETAMETHASONE TABLETS 0.55 667 A007266100 FUNINTAN S.C. TABLETS "J.S." 0 668 A007342100 APULON TABLETS "Y.S." 0.63 669 A007362100 CHINACAN TABLETS 1 670 A007372100 GRISEOFULVIN TABLETS A007374100 MAGNESIUM HYDROXIDE TABLETS 671 0.18 "SHINLON" 1 672 A007396100 PAMOXICILLIN CAPSULES "C.Y." 1.5 673 A0073961G0 PAMOXICILLIN CAPSULES "C.Y."(鋁箔/膠 0 674 A007399209 LILACILLIN INJECTION 1GM 104 675 A007402212 LILACILLIN INJECTION 2GM 39 676 A007443323 PARACORT OINTMENT 44.5 677 A007443329 PARACORT OINTMENT 4.08 678 A007454221 GLYMINE INJECTION A007456100 GETIGON TABLETS 679 1 0.76 680 A007475100 INDOMETHACIN CAPSULES "SHOU CHAN" 0.28 681 A007513100 ANTONON TABLETS "AND" 0.66 682 A007514100 DIMENHYDRINATE TABLETS "AND" A007525199 DUOCIDE GRANULES 683 0.97 0.53 684 A007543100 FOLIC ACID TABLETS "VPC" A0075431G0 FOLIC ACID TABLETS "VPC" (30粒/瓶) (鋁 685 1.5 箔/膠箔) 3.64 686 A007544221 CHLORPROMAZINE HCL 125MG/5ML 1.76 687 A007552100 ROOBICAN-P TABLETS 0.8 688 A007605100 BACERON TABLETS A007612100 PUSUAN S.C. TABLETS 5MG 689 0.33 (METOCLOPRAMIDE)"F.S." 1 690 A007618100 EKAM CAPSULES "S.C." 2.9 691 A007630212 PULIN INJECTION "YUNG SHIN" 0 692 A007641100 DELCOPAN TABLETS 30MG 0.25 693 A007665100 PRENINE TABLETS 0 694 A007670229 DOUCEIN INJECTION "Y.Y." 0 695 A007673100 PREDNISOLONE TABLETS "P.L." 0 696 A007676100 BROPHEMIN TABLETS 1.58 697 A007679100 RESPLAMIN TABLETS 1.21 698 A007680100 LIPHALEXIN CAPSULES 250MG "LITA" 8.7 699 A007681229 DEXASON INJECTION 2MG/ML "LITA" 13.7 700 A007682229 DEXASON INJECTION 4MG/ML "LITA" 1.58 701 A007693100 FUBAXIN TABLETS 1.06 702 A007707100 CANMALIN CAPSULES 說明 CODE 藥品名稱 A007165100 ANZULENE S.C. TABLETS "N.W." A007167335 KONIF OINTMENT"CHEN TA" 37.00 A007167377 KONIF OINTMENT"CHEN TA" 779.00 A007167399 A007175100 KONIF OINTMENT"CHEN TA" PRANOL TABLETS 20MG "JOHNSON" 1.55 0.73 A007190100 A007202100 A007204229 A007213100 A007233100 A007243100 A007245100 A007254100 A007256100 A007258100 TENSANLIN TABLETS PUN LIH LONG TABLETS "L.D." LIFUTIN INJECTION "ASTAR" AMINOPHYLLINE TABLETS "BEYDAR" DOXYCYCLINE CAPSULES EPHEDRINE HCL TABLETS 25MG "VPP" AMINOPHYLLINE TABLETS 100MG "S.S.P." DECARONE TABLETS PROCID TABLETS CHLORAMPHENICOL CAPSULES 250MG "VPP" BETASHIN TABLETS BETAMETHASONE TABLETS FUNINTAN S.C. TABLETS "J.S." APULON TABLETS "Y.S." CHINACAN TABLETS "TK&A." GRISEOFULVIN TABLETS 0.31 0.25 4.00 0.28 1.27 0.20 0.30 0.50 2.90 0.87 A007261100 A007264100 A007266100 A007342100 A007362100 A007372100 A007374100 MAGNESIUM HYDROXIDE TABLETS "SHINLON" A007396100 PAMOXICILLIN CAPSULES "C.Y." A0073961G0 PAMOXICILLIN CAPSULES "C.Y."(鋁箔/膠 A007399209 LILACILLIN INJECTION 1GM A007402212 LILACILLIN INJECTION 2GM A007443323 PARACORT OINTMENT A007443329 PARACORT OINTMENT A007454221 A007456100 A007475100 A007513100 A007514100 A007525199 A007543100 A0075431G0 9901 支付價 0.80 0.50 0.76 0.55 0.38 0.63 1.00 0.18 1.00 1.50 71.00 104.00 39.00 44.50 A007618100 A007630212 GLYMINE INJECTION GETIGON TABLETS INDOMETHACIN CAPSULES "SHOU CHAN" ANTONON TABLETS "AND" DIMENHYDRINATE TABLETS "AND" DUOCIDE GRANULES FOLIC ACID TABLETS "VPC" FOLIC ACID TABLETS "VPC" (30粒/瓶) (鋁 箔/膠箔) CHLORPROMAZINE HCL 125MG/5ML ROOBICAN-P TABLETS BACERON TABLETS PUSUAN S.C. TABLETS 5MG (METOCLOPRAMIDE)"F.S." EKAM CAPSULES "S.C." PULIN INJECTION "YUNG SHIN" A007641100 A007665100 A007670229 A007673100 DELCOPAN TABLETS 30MG PRENINE TABLETS DOUCEIN INJECTION "Y.Y." PREDNISOLONE TABLETS "P.L." 1.00 0.25 37.80 0.42 A007676100 A007679100 A007680100 A007681229 A007682229 A007693100 A007707100 A007715421 A007748100 A007749100 A007772100 A007773100 A007780212 BROPHEMIN TABLETS RESPLAMIN TABLETS LIPHALEXIN CAPSULES 250MG "LITA" DEXASON INJECTION 2MG/ML "LITA" DEXASON INJECTION 4MG/ML "LITA" FUBAXIN TABLETS CANMALIN CAPSULES LOSEMIN EYE DROPS "OASIS" GASCON TABLETS "SHOU CHAN" DELAX TABLETS "SHOU CHAN" CEPHALEXIN CAPSULES "H.S.C." KEFLEXIN CAPSULES 250MG "PRINCE" DEPOT TESTODIOL INJECTION "LITA" 0.43 1.58 1.21 8.70 13.70 1.58 1.06 11.90 0.32 0.55 1.20 1.17 25.20 A007544221 A007552100 A007605100 A007612100 第 12 頁,共 382 頁 刪除 4.08 1.00 0.76 0.28 0.66 0.97 0.53 1.50 刪除 刪除 3.64 1.76 0.80 0.33 1.00 2.90 刪除 刪除 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 703 704 705 706 707 708 709 710 711 712 713 714 A007715421 A007748100 A007749100 A007772100 A007773100 A007780212 A007786100 A007792100 A007796100 A007803100 A007809100 A007819100 LOSEMIN EYE DROPS "OASIS" GASCON TABLETS "SHOU CHAN" DELAX TABLETS "SHOU CHAN" CEPHALEXIN CAPSULES "H.S.C." KEFLEXIN CAPSULES 250MG "PRINCE" DEPOT TESTODIOL INJECTION "LITA" BACIDIM TABLETS "CHI SHENG" SULFAPRIME TABLETS PETTI CAPSULES AIFU TABLETS "H.S." CARDERAL TABLETS "VEIMIN" ACETAZOLAMAX TABLETS "PFOSHEN" 715 716 717 718 719 720 A007822100 A007828277 A007830212 A007936100 A007944100 A0079441G0 721 722 A007949100 A007973421 AMOXICILLIN CAPSULES "PANBIOTIC" LACTATED RINGER'S INJECTION "ASTAR" LINWELS INJECTION BORGAL TABLETS "LITA" DETTACKS S.C. TABLETS 10 MG "F.Y." DETTACKS S.C. TABLETS 10 MG "F.Y."(瓶 裝/84粒/瓶) CEFALOX CAPSULES 250MG NEOSINICIN EYE DROPS 5% "OASIS" 723 724 725 726 A007974212 A007974229 A007976100 A007983100 727 728 A008017100 A008032100 729 730 731 732 733 734 735 A008050100 A008053100 A008061100 A008062100 A008073100 A008089100 A008097100 736 737 738 739 740 741 A008160100 A008165100 A008169100 A008192100 A008262100 A008279100 742 743 744 745 746 747 748 749 750 751 752 753 754 755 A008309100 A008310100 A008311100 A008312209 A008312229 A008355100 A008380100 A008470212 A008472100 A008473221 A008499100 A008505100 A008510100 A008519100 756 757 758 759 760 761 A008526100 A008533100 A008534209 A008536100 A008541100 A008565100 762 763 764 A008590100 A008591100 A008592100 LARKMYCIN INJECTION 40MG/ML "LITA" LARKMYCIN INJECTION 40MG/ML "LITA" RIKAPARIN CAPSULES PROPANTHELINE BROMIDE S.C. TABLETS "SHOU CHAN" MERPURINE TABLETS LITANAN S.C. TABLETS 12.5MG (ANETHOLE)"F.S." CEPHALEXIN CAPSULES COFGEN TABLETS WINCOU TABLETS CINNARIZINE TABLETS PULPERAN TABLETS "H.S." SINFLEX CAPSULES “TAITEN” INDOMETHACIN CAPSULES "MEIDER" CANON CAPSULES "YUNG SHIN" WATOLIN TABLETS 8MG OUTALLERGIN TABLETS "A.L." BROMOCIX TABLETS MINOCIN CAPSULES 50MG KESHIAU TABLETS 25MG (HYDROCHLOROTHIAZIDE)"F.S." BEGATAL S.C. TABLETS RIFAMPICIN CAPSULES 300MG "LITA" RIFAMPICIN CAPSULES 150MG "LITA" LARKCORT INJECTION 40MG/ML "LITA" LARKCORT INJECTION 40MG/ML "LITA" GASLAN TABLETS "CHINTENG" PERISIN S.C. TABLETS "Y.S." COTORIN INJECTION ASPARA-K TABLETS DOUBLE BETASON INJECTION "LITA" SULFAMETHOXAZOLE TABLETS "M.T." METOPERAN TABLETS DACOCILIN CAPSULES 250MG VALEMATE S.C. TABLETS 10MG SZULEN S.C. TABLETS LINPERAN S.C. TABLETS "TAH-AN" SCOBTIN INJECTION R-WEX TABLETS "ORIENT" TONPHEN TABLETS "H.C" MEANLOU S.C. TABLETS 50MG (BENZYDAMINE)"F.S." COMIOSAN CAPSULES "Y.S." GUAIN TABLETS PACINOL TABLETS 100年1月 支付價 11.9 0.32 0.55 1.2 0 25.2 0.62 0.68 0.55 0.48 0.5 1.29 1 20 1.68 1 0.69 說明 項次 CODE 藥品名稱 703 704 705 706 707 708 709 710 711 712 713 714 A007786100 A007792100 A007796100 A007803100 A007809100 A007819100 A007822100 A007828277 A007830212 A007936100 A007944100 A0079441G0 715 716 717 718 719 720 A007949100 A007973421 A007974212 A007974229 A007976100 A007983100 A008050100 A008053100 A008061100 A008062100 BACIDIM TABLETS "CHI SHENG" SULFAPRIME TABLETS PETTI CAPSULES AIFU TABLETS "TK&A." CARDERAL TABLETS "VEIMIN" ACETAZOLAMAX TABLETS "PFOSHEN" AMOXICILLIN CAPSULES "PANBIOTIC" LACTATED RINGER'S INJECTION "ASTAR" LINWELS INJECTION BORGAL TABLETS "LITA" DETTACKS S.C. TABLETS 10 MG "F.Y." DETTACKS S.C. TABLETS 10 MG "F.Y."(瓶 裝/84粒/瓶) CEFALOX CAPSULES 250MG NEOSINICIN EYE DROPS 5% "OASIS" LARKMYCIN INJECTION 40MG/ML "LITA" LARKMYCIN INJECTION 40MG/ML "LITA" RIKAPARIN CAPSULES PROPANTHELINE BROMIDE S.C. TABLETS "SHOU CHAN" MERPURINE TABLETS LITANAN S.C. TABLETS 12.5MG (ANETHOLE)"F.S." CEPHALEXIN CAPSULES COFGEN TABLETS WINCOU TABLETS CINNARIZINE TABLETS A008073100 A008089100 PULPERAN TABLETS "TK&A" SINFLEX CAPSULES “TAITEN” 0.23 1.14 A008097100 A008160100 A008165100 A008169100 A008192100 A008262100 A008279100 INDOMETHACIN CAPSULES "MEIDER" CANON CAPSULES "YUNG SHIN" WATOLIN TABLETS 8MG OUTALLERGIN TABLETS "A.L." BROMOCIX TABLETS MINOCIN CAPSULES 50MG KESHIAU TABLETS 25MG (HYDROCHLOROTHIAZIDE)"F.S." BEGATAL S.C. TABLETS RIFAMPICIN CAPSULES 300MG "LITA" RIFAMPICIN CAPSULES 150MG "LITA" LARKCORT INJECTION 40MG/ML "LITA" LARKCORT INJECTION 40MG/ML "LITA" GASLAN TABLETS "CHINTENG" 0.60 1.68 0.30 0.25 0.50 4.13 0.19 1.5 1.2 721 722 29.9 7.5 723 15.7 724 1.34 725 726 0.68 0 727 728 0.55 1.2 729 0.8 730 0.29 731 0.28 732 0.23 733 0 734 735 0.6 1.68 736 0.3 737 0.25 738 0.5 739 4.13 740 741 0.19 0.67 742 8.1 743 1.35 744 19.8 745 30 746 0.5 747 0.56 748 4 749 1.25 750 83 751 0.75 752 0.2 753 0 754 755 0.4 1.15 756 0.27 757 5.6 758 0.55 759 0.4 760 761 0.81 1.05 762 0.94 763 0.3 764 A008017100 A008032100 A008309100 A008310100 A008311100 A008312209 A008312229 A008355100 A008380100 A008470212 A008472100 A008473221 A008499100 A008505100 A008510100 A008519100 A008526100 A008533100 A008534209 A008536100 A008541100 A008565100 A008590100 A008591100 A008592100 A008606100 A008642209 A008645417 PERISIN S.C. TABLETS "Y.S." COTORIN INJECTION ASPARA-K TABLETS DOUBLE BETASON INJECTION "LITA" SULFAMETHOXAZOLE TABLETS "M.T." METOPERAN TABLETS DACOCILIN CAPSULES 250MG VALEMATE S.C. TABLETS 10MG SZULEN S.C. TABLETS LINPERAN S.C. TABLETS "TAH-AN" SCOBTIN INJECTION R-WEX TABLETS "ORIENT" TONPHEN TABLETS "H.C" MEANLOU S.C. TABLETS 50MG (BENZYDAMINE)"F.S." COMIOSAN CAPSULES "Y.S." GUAIN TABLETS PACINOL TABLETS HISTANTI F.C. TABLETS FUCON INJECTION PZULEN EYE OINTMENT "OASIS" A008662100 A008663100 A008676100 SENFIHU TABLETS CHIAOWELGEN S.C. TABLETS BENTEA "JENN MAW" 第 13 頁,共 382 頁 9901 支付價 0.62 0.68 0.55 0.48 0.50 1.29 1.00 20.00 1.68 1.00 0.69 1.50 刪除 1.20 29.90 7.50 15.70 1.38 0.68 13.40 0.55 1.20 0.80 0.29 0.28 調整 刪除 刪除 0.67 8.10 1.35 19.80 30.00 0.50 0.56 4.00 1.25 83.00 0.75 0.20 1.21 0.40 1.15 0.27 5.60 0.55 0.40 0.81 1.05 0.94 0.30 0.97 6.50 15.50 1.00 0.56 0.72 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 765 766 767 768 769 770 771 772 773 774 775 776 777 778 779 780 781 782 783 784 785 786 787 788 789 790 791 792 793 794 795 796 797 798 799 800 801 802 803 804 805 806 807 808 809 810 811 812 813 814 815 816 817 818 819 820 821 822 823 824 825 826 827 828 829 830 831 832 833 834 835 CODE 藥品名稱 100年1月 支付價 0.97 A008606100 HISTANTI F.C. TABLETS 0 A008642209 FUCON INJECTION 15.5 A008645417 PZULEN EYE OINTMENT "OASIS" 0.32 A008661100 TONFONYUANIN CAPSULES "K.N." 1 A008662100 SENFIHU TABLETS 0.56 A008663100 CHIAOWELGEN S.C. TABLETS 0.72 A008676100 BENTEA "JENN MAW" 41.9 A008678335 BETASON-G CREAM "LITA" 1 A008715100 PRENIN TABLETS 1 A008743100 COYENLIN TABLETS "S.C." 0.4 A008753100 TRAMEZIN TABLETS "HONTEN" 1.5 A0087531G0 TRAMEZIN TABLETS "HONTEN"(鋁箔/膠 0.45 A008757100 BASED TABLETS "CURIE" 1.02 A008761199 ASVERIN GRANULES 0.5 A008764100 COSTOL CAPSULES 1 A008766100 PATETIN CAPSULES 1 A008774100 PONSTAN F.C. TABLETS 0.25 A008822100 SUNPRED TABLETS 0.29 A008839100 DERTIN S.C. TABLETS "YUNG CHI" 0.32 A008840100 BEINSON TABLETS "YUNG CHI" 0 A008851209 ANCILLINA INJECTION 1GM 0 A008855100 CHEMIX TABLETS "YUNG SHIN" 0 A008870100 PARACETAMOL TABLETS "KINGDOM" 0.79 A008883100 METHYLTESTOSTERONE CAPSULES "Y.S." 0.73 A008888100 PANTHDAN CAPSULES 1 A008890100 WINACORT-A TABLETS "WINSTON" 4.5 A008894212 WINPERAN INJECTION "WINSTON" 1 A008896100 WINTYL TABLETS "WINSTON" 0 A008899100 ANTIMONAS S.C. TABLETS 0.59 A008905100 ASVERIN TABLETS 10MG 1 A008907100 ASVERIN TABLETS 20MG 24.4 A008910248 SANYL LYO INJECTION 40.8 A008912221 ESCIN LYO-INJECTION 6.5 A008913209 PIPETO INJECTION 0 A008917100 PULIN COATED TABLETS 5MG 28 A008924321 SUFUCIN OINTMENT "S.T." 0.62 A008927100 TRIMEZOL TABLETS 0.37 A008928100 DEXAMETHASONE TABLETS "MEIDER" 0.5 A008934100 RINMESON TABLETS 12.6 A008956212 GENTAMYCIN INJECTION 6.3 A008956299 GENTAMYCIN INJECTION 1 A008957100 WINCOLD CAPSULES "WINSTON" 0.07 A008970199 GUAIACOSIN SYRUP 21.5 A009010421 NEOCOSON EYE DROPS 0.4 A009038100 BISCO TABLETS 8MG 0.45 A009043100 SUMENCHITON TABLETS 0.2 A009055100 DAOLIN TABLETS 3.68 A009067212 KASON INJECTION "YUNG SHIN" 0.97 A009071199 BROADIM GRANULES 3 A009086212 GUAIC INJECTION 42.9 A009094209 COHORMON INJECTION "C.C.P." 1.24 A009096100 DOUCEIN TABLETS "Y.Y." 1.19 A009099100 IKODIN CAPSULES 250MG 1.5 A0090991G0 IKODIN CAPSULES 250MG(鋁箔/膠箔) 0.91 A009102100 PROPRANOLOL TABLETS 10MG 1.5 A0091021G0 PROPRANOLOL TABLETS10MG (鋁箔/膠 0.39 A009104100 APAP TABLETS 0.33 A009106100 BROMINE TABLETS "YUNG SHIN" 0.47 A009111100 SOLCON TABLETS 8MG 1 A009115100 PRINCUR F.C. TABLETS 1 A009138100 POINSTAN CAPSULES 9.3 A009167209 WINACORT-A INJECTION "WINSTON" 22.2 A009167221 WINACORT-A INJECTION "WINSTON" 0.5 A009205100 SUNDRON TABLETS 0.97 A009211100 ALUDENE TABLETS 1.5 A0092111G0 ALUDENE TABLETS(鋁箔/膠箔) 2.43 A009250500 BISACODYL SUPPOSITORIES "YUNG 0.25 A009252100 LUTUTIN TABLETS 0.48 A009255100 GERSCON TABLETS 0 A009256100 SOMEPRIM TABLETS 0.99 A009260100 SEPCIDIM TABLETS 項次 765 766 767 768 769 770 771 772 773 774 775 776 777 778 779 780 781 782 783 784 785 786 787 788 789 790 791 792 793 794 795 796 797 798 799 800 801 802 803 804 805 806 807 808 809 810 811 812 813 814 815 816 817 818 819 820 821 822 823 824 825 826 827 828 829 830 831 832 833 834 835 CODE 9901 支付價 A008678335 BETASON-G CREAM "LITA" 41.90 A008715100 PRENIN TABLETS 1.00 A008743100 COYENLIN TABLETS "S.C." 1.00 A008753100 TRAMEZIN TABLETS "HONTEN" 0.40 A0087531G0 TRAMEZIN TABLETS "HONTEN"(鋁箔/膠 1.50 A008757100 BASED TABLETS "CURIE" 0.45 A008761199 ASVERIN GRANULES 1.02 A008764100 COSTOL CAPSULES 0.50 A008766100 PATETIN CAPSULES 1.00 A008774100 PONSTAN F.C. TABLETS 1.00 A008822100 SUNPRED TABLETS 0.25 A008839100 DERTIN S.C. TABLETS "YUNG CHI" 0.29 A008840100 BEINSON TABLETS "YUNG CHI" 0.32 A008851209 ANCILLINA INJECTION 1GM 13.80 A008855100 CHEMIX TABLETS "YUNG SHIN" 1.00 A008870100 PARACETAMOL TABLETS "KINGDOM" 0.45 A008883100 METHYLTESTOSTERONE CAPSULES "Y.S." 0.79 A008888100 PANTHDAN CAPSULES 0.73 A008890100 WINACORT-A TABLETS "WINSTON" 1.00 A008894212 WINPERAN INJECTION "WINSTON" 4.50 A008896100 WINTYL TABLETS "WINSTON" 1.00 A008899100 ANTIMONAS S.C. TABLETS 1.00 A008905100 ASVERIN TABLETS 10MG 0.59 A008907100 ASVERIN TABLETS 20MG 1.00 A008910248 SANYL LYO INJECTION 24.40 A008912221 ESCIN LYO-INJECTION 40.80 A008913209 PIPETO INJECTION 6.50 A008917100 PULIN COATED TABLETS 5MG 0.42 A008924321 SUFUCIN OINTMENT "S.T." 28.00 A008927100 TRIMEZOL TABLETS 0.62 A008928100 DEXAMETHASONE TABLETS "MEIDER" 0.37 A008934100 RINMESON TABLETS 0.50 A008956212 GENTAMYCIN INJECTION 12.60 A008956299 GENTAMYCIN INJECTION 6.30 A008957100 WINCOLD CAPSULES "WINSTON" 1.00 A008970199 GUAIACOSIN SYRUP 0.07 A009010421 NEOCOSON EYE DROPS 21.50 A009038100 BISCO TABLETS 8MG 0.40 A009043100 SUMENCHITON TABLETS 0.45 A009055100 DAOLIN TABLETS 0.20 A009067212 KASON INJECTION "YUNG SHIN" 3.68 A009071199 BROADIM GRANULES 0.97 A009086212 GUAIC INJECTION 3.00 A009094209 COHORMON INJECTION "C.C.P." 42.90 A009096100 DOUCEIN TABLETS "Y.Y." 1.24 A009099100 IKODIN CAPSULES 250MG 1.19 A0090991G0 IKODIN CAPSULES 250MG(鋁箔/膠箔) 1.50 A009102100 PROPRANOLOL TABLETS 10MG 0.91 A0091021G0 PROPRANOLOL TABLETS10MG (鋁箔/膠 1.50 A009104100 APAP TABLETS 0.39 A009106100 BROMINE TABLETS "YUNG SHIN" 0.33 A009111100 SOLCON TABLETS 8MG 0.47 A009115100 PRINCUR F.C. TABLETS 1.00 A009138100 POINSTAN CAPSULES 1.00 A009167209 WINACORT-A INJECTION "WINSTON" 9.30 A009167221 WINACORT-A INJECTION "WINSTON" 22.20 A009205100 SUNDRON TABLETS 0.50 A009211100 ALUDENE TABLETS 0.97 A0092111G0 ALUDENE TABLETS(鋁箔/膠箔) 1.50 A009250500 BISACODYL SUPPOSITORIES "YUNG 2.43 A009252100 LUTUTIN TABLETS 0.25 A009255100 GERSCON TABLETS 0.48 A009256100 SOMEPRIM TABLETS 1.00 A009260100 SEPCIDIM TABLETS 0.99 A009271277 SORBIT-HARTMANN INJECTION 50.00 A009272209 SPASMEX INJECTION 0.6MG 10.00 A009275100 VICOMP S.C. TABLETS "YUNG SHIN" 0.44 A009289212 WINII INJECTION "WINSTON" 5.00 A009291100 EUCLIDAN TABLETS 50MG 1.00 A0092911G0 EUCLIDAN TABLETS 50MG(鋁箔) 1.50 A009296100 TONIKER TABLETS 500MG 0.47 第 14 頁,共 382 頁 說明 藥品名稱 刪除 刪除 刪除 刪除 刪除 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 836 837 838 839 840 841 842 843 A009271277 A009272209 A009275100 A009289212 A009291100 A0092911G0 A009296100 A009299100 SORBIT-HARTMANN INJECTION SPASMEX INJECTION 0.6MG VICOMP S.C. TABLETS "YUNG SHIN" WINII INJECTION "WINSTON" EUCLIDAN TABLETS 50MG EUCLIDAN TABLETS 50MG(鋁箔) TONIKER TABLETS 500MG LIGILIN CAPSULES 844 845 846 847 848 849 850 A009300100 A009309100 A009311100 A009314100 A009334100 A0093341G0 A009346212 851 852 853 854 855 856 857 858 A009352100 A009364100 A009366100 A009367100 A009369100 A009393100 A009397100 A009404212 BETAMETHASONE TABLETS "Y.C." CHINPIN TABLETS "Y.C." KONACOTO TABLETS "Y.C." CHLORTERACYCLINE HCL CAPSULES FUZUIN S.C. TABLETS "CHINGTENG" FUZUIN S.C. TABLETS "CHINGTENG"(鋁 PYRIDOXAL PHOSPHATE INJECTION 20MG "KYORIN" HOMALIN TABLETS "SHIN FONG" BISAPAN S.C. TABLETS "WINSTON" BISPAN CAPSULES "WINSTON" AETHOCAF CAPSULES BISACODYL S.C. TABLETS "HONTEN" BETAMETHASONE TABLETS "YU SHENG" DOXYCYCLINE HCL CAPSULES "Y.C." WINTYL INJECTION "WINSTON" 859 860 A009408100 A009409100 METRONIDAZOLE TABLETS "YU SHENG" CO-TRIMOXAZOLE TABLETS "Y.S." 861 862 863 864 865 A009438212 A009440221 A009440229 A009453100 A009454100 866 867 A009463100 A009469421 868 869 A009470100 A009472212 SINCEN INJECTION LARKCORT INJECTION 10MG/ML LARKCORT INJECTION 10MG/ML CEPHANMYCIN CAPSULES "YUNG SHIN" DOXYCYCLINE HCL CAPSULES 100MG "PRINCE" AMOXICILLIN CAPSULES "Y.C." HYDROCORTISONE ACETATE OPHTHALMIC SUSPENSION 0.5% "OASIS" YUNGBAYAN TABLETS "Y.C." PYDOXIN INJ 870 871 872 873 A009480100 A009484277 A009486417 A009496100 RAMIN CAPSULES 25MG GLUCOSAN INJECTION "CHI SHENG" NEOSONE OPHTHALMIC OINTMENT WALIN TABLETS 2MG 874 875 876 A009514100 EGOTAN S.C. TABLETS "WINSTON" A009570100 OUTERDZEN S.C. TABLETS "CHINTENG" A0095701G0 OUTERDZEN S.C. TABLETS "CHINTENG" (鋁箔/膠箔) A009594212 DISEMIDE INJECTION "WINSTON" A009596209 BETAMETHASONE INJECTION A009609100 AMPICILLIN CAPSULES 500MG "VPP" A0096091G0 AMPICILLIN CAPSULES 500MG "VPP"(鋁箔 /膠箔) A009610265 SODIUM AMPICILLIN FOR INJECTION 250MG "VPP" A009615100 CYPRODINE TABLETS "MEIDER" A009616100 GLANEGA TABLETS "MEIDER" A009619100 BISADYL E.C. TABLETS "MEIDER" A0096191G0 BISADYL E.C. TABLETS "MEIDER"(鋁箔/膠 A009625100 PONSUTON CAPSULES "C.S." A009632100 BAKRIN TABLETS A009633255 MANITON INJECTION A009633266 MANITON INJECTION A009633277 MANITON INJECTION A009638100 CHANPON TABLETS "Y.C." A009645209 STACORT-A INJECTION 40MG A009645221 STACORT-A INJECTION 40MG A009649209 AMPICILLIN INJECTION 1 GM "CHI A009654100 DOXYMYCIN CAPSULES "YUNG SHIN" 877 878 879 880 881 882 883 884 885 886 887 888 889 890 891 892 893 894 895 100年1月 支付價 50 10 0.44 5 1 1.5 0.47 1.54 0.32 0.45 0.63 0.9 1 1.5 10 1 0.91 1.4 1.37 0.4 0.32 1.44 說明 項次 CODE 藥品名稱 836 837 838 839 840 841 842 843 A009299100 A009300100 A009309100 A009311100 A009314100 A009334100 A0093341G0 A009346212 1.54 0.32 0.45 0.63 0.90 1.00 1.50 10.00 844 845 846 847 848 849 850 A009352100 A009364100 A009366100 A009367100 A009369100 A009393100 A009397100 LIGILIN CAPSULES BETAMETHASONE TABLETS "Y.C." CHINPIN TABLETS "Y.C." KONACOTO TABLETS "Y.C." CHLORTERACYCLINE HCL CAPSULES FUZUIN S.C. TABLETS "CHINGTENG" FUZUIN S.C. TABLETS "CHINGTENG"(鋁 PYRIDOXAL PHOSPHATE INJECTION 20MG "KYORIN" HOMALIN TABLETS "SHIN FONG" BISAPAN S.C. TABLETS "WINSTON" BISPAN CAPSULES "WINSTON" AETHOCAF CAPSULES BISACODYL S.C. TABLETS "HONTEN" BETAMETHASONE TABLETS "YU SHENG" DOXYCYCLINE HCL CAPSULES "Y.C." 851 852 853 854 855 856 857 858 A009404212 A009408100 A009409100 A009438212 A009440221 A009440229 A009453100 A009454100 5.20 1.00 1.00 11.10 26.60 28.00 1.21 1.27 A009470100 A009472212 A009480100 A009484277 A009486417 WINTYL INJECTION "WINSTON" METRONIDAZOLE TABLETS "YU SHENG" CO-TRIMOXAZOLE TABLETS "Y.S." SINCEN INJECTION LARKCORT INJECTION 10MG/ML LARKCORT INJECTION 10MG/ML CEPHANMYCIN CAPSULES "YUNG SHIN" DOXYCYCLINE HCL CAPSULES 100MG "PRINCE" AMOXICILLIN CAPSULES "Y.C." HYDROCORTISONE ACETATE OPHTHALMIC SUSPENSION 0.5% "OASIS" YUNGBAYAN TABLETS "Y.C." PYDOXIN INJ RAMIN CAPSULES 25MG GLUCOSAN INJECTION "CHI SHENG" NEOSONE OPHTHALMIC OINTMENT A009496100 A009514100 WALIN TABLETS 2MG EGOTAN S.C. TABLETS "WINSTON" 5.2 1 859 860 1 11.1 861 26.6 862 28 863 1.21 864 865 1.27 0.75 866 867 21.6 0.78 868 869 2.86 0.43 870 21.7 871 17.3 872 873 0 0.67 874 0.75 875 876 1.5 2.43 877 6.6 878 1.49 879 880 1.5 881 5.9 0.33 882 2.09 883 1 884 1.5 885 0.41 886 1 887 59 888 45.2 889 122 890 1 891 19.8 892 44.4 893 0 894 1.48 895 A009463100 A009469421 A009570100 OUTERDZEN S.C. TABLETS "CHINTENG" A0095701G0 OUTERDZEN S.C. TABLETS "CHINTENG" (鋁箔/膠箔) A009594212 DISEMIDE INJECTION "WINSTON" A009596209 BETAMETHASONE INJECTION A009609100 AMPICILLIN CAPSULES 500MG "VPP" A009610265 SODIUM AMPICILLIN FOR INJECTION 250MG "VPP" A009615100 CYPRODINE TABLETS "MEIDER" A009616100 GLANEGA TABLETS "MEIDER" A009619100 BISADYL E.C. TABLETS "MEIDER" A009625100 A009632100 A009633255 A009633266 PONSUTON CAPSULES "C.S." BAKRIN TABLETS MANITON INJECTION MANITON INJECTION A009633277 MANITON INJECTION A009638100 A009645209 A009645221 A009649209 A009654100 A009673100 A009683277 A009685199 A009690100 A009691100 A009705100 A009722100 A009732212 A009743100 CHANPON TABLETS "Y.C." STACORT-A INJECTION 40MG STACORT-A INJECTION 40MG AMPICILLIN INJECTION 1 GM "CHI DOXYMYCIN CAPSULES "YUNG SHIN" LIMOX CAPSULES 250MG "LITA" XYLITOL INJECTION 5% "KYORIN" ANTICOUGH SYRUP "Y.C." COMBICIN TABLETS PUKAMIN TABLETS "CHINTENG" NADON CAPSULES MEFEINE TABLETS "H.C" METOCLOPRAMIDE INJECTION "PRINCE" RIDONRA TABLETS 9901 支付價 1.00 0.91 1.40 1.37 0.40 0.32 1.44 0.75 21.60 0.78 2.86 0.43 21.70 17.30 0.30 0.67 0.75 1.50 2.43 6.60 1.49 5.90 刪除 0.33 2.09 1.00 0.41 1.00 59.00 45.20 新增 第 15 頁,共 382 頁 122.00 1.00 19.80 44.40 11.60 1.48 1.00 21.10 0.19 0.80 0.60 2.36 0.41 3.50 0.58 新增 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 896 897 898 899 900 901 902 903 904 905 A009673100 A009683277 A009685199 A009690100 A009691100 A009705100 A009722100 A009732212 A009743100 A009750100 906 907 908 909 910 911 912 913 914 915 A009754209 A009763100 A009767100 A009782100 A009791100 A009792100 A009915100 A0099151G0 A009916100 A009918100 916 917 918 919 920 921 922 923 924 925 926 927 928 929 930 931 932 A009927100 A009939212 A009939221 A009941100 A009943100 A009945100 A009961209 A009961212 A009963100 A009975248 A009982238 A009983100 A0099831G0 A009987100 A0099871G0 A009990212 A009990221 933 934 935 936 937 938 A009991100 A010057229 A010058100 A010066277 A010068277 A010069277 939 940 941 942 A010072100 A010079100 A010082396 A010116100 943 944 945 946 A010120100 A010124277 A010127100 A010137100 947 948 A010139100 A010140100 949 950 951 952 953 954 A010150212 A010159100 A010162100 A010168100 A0101681G0 A010182209 955 956 A010183100 A010184317 957 A010192100 藥品名稱 100年1月 支付價 1 LIMOX CAPSULES 250MG "LITA" 21.1 XYLITOL INJECTION 5% "KYORIN" 0.19 ANTICOUGH SYRUP "Y.C." 0.8 COMBICIN TABLETS 0.6 PUKAMIN TABLETS "CHINTENG" 2.36 NADON CAPSULES 0.41 MEFEINE TABLETS "H.C" 0 METOCLOPRAMIDE INJECTION "PRINCE" 0.58 RIDONRA TABLETS AMOXICILLIN CAPSULES 250MG "PRINCE" 0 6.7 B-RED INJECTION "KYORIN" 0.39 BENZAMINE TABLETS 0.62 CLIZEP S.C. TABLETS 0.5 INDAL TABLETS 1.19 CEPHALEXIN CAPSULES "Y.C." 1 BENTYL TABLETS 10MG 0.5 METASONE TABLETS "H.H." 1.5 METASONE TABLETS "H.S."(鋁箔/膠箔) 0.42 DEXAN TABLETS "H.H." AISULAN TABLETS 2MG (GUAIAZULENE) 0.86 "F.S." 0.6 VITA-LONG S.C. TABLETS "WINSTON" 18.3 SINICORT IMM. INJECTION 52 SINICORT IM INJECTION 1.32 WINPICILLIN CAPSULES 500MG 1 WINPICILLIN CAPSULES 250MG 0.66 MUSCLO TABLETS 3.5 WINDICON INJECTION "WINSTON" 3.9 WINDICON INJECTION "WINSTON" 1.29 KOSPANONE CAPSULES "YU SHENG" 25.1 EUCLIDAN INJECTION 50MG 2.32 DEXTROSE INJECTION 20% "S.Y." 0.78 CYASIN S.C. TABLETS 1.5 CYASIN S.C. TABLETS(鋁箔/膠箔) 0 CONICINE TABLETS "H.H." 1.5 CONICINE TABLETS "H.H."(鋁箔/膠箔) 1.78 ASCORBIC ACID INJECTION "S.Y." ASCORBIC ACID INJECTION "S.Y." 3.85 0.31 TOUFONG TABLETS 5MG "CHEN TA." 19.2 RESPLAMIN INJECTION 20% 0.81 PROPRANOLOL TABLETS "YU SHENG" 30.7 FRUCTOSE INJECTION 5% 41.8 GLUCURONSAN DEXTROSE INJECTION HARTMANN'S INJECTION 19.4 0 HUKURON S.C. TABLETS "H.H." 0.55 CARBETIN TABLETS 38.9 REFULEN LIQUID "H.H." CARBETAPENTANE CAPSULES 30MG 0.55 "PRINCE" 0.65 CENTRAL CO-TRIMOXAZOL TABLETS 21.1 SORBIT INJECTION 5% 0.35 COLONLAX ENTERIC-COATED TABLETS PREDNISOLONE TABLETS "YUNG CHI" 0.25 0.4 PREDNISOLONE TABLETS "H.H." YUAKOLI TABLETS 4MG 0.63 (TRIAMCINOLONE)"C.T." 4 DIZEPAM INJECTION "S.Y." 0.32 CHILIEANZIN TABLETS "C.S." 1 WINMOX CAPSULES "WINSTON" 0 DECAN TABLETS "YUNG SHIN" 1.5 DECAN TABLETS "YUNG SHIN"(鋁箔) KANAMYCIN INJECTION "YUNG SHIN" 14.4 1.26 WITHAMYCIN CAPSULES "WINSTON" DECANEOMYCIN OPHTHALMIC 13.2 OINTMENT "C.Y." 0.83 WINTELLIN CAPSULES "WINSTON" 項次 CODE 藥品名稱 896 897 898 899 900 901 902 903 904 905 A009750100 A009754209 A009763100 A009767100 A009782100 A009791100 A009792100 A009915100 A009916100 A009918100 906 907 908 909 910 911 912 913 914 915 A009927100 A009939212 A009939221 A009941100 A009943100 A009945100 A009961209 A009961212 A009963100 A009975248 AMOXICILLIN CAPSULES 250MG "PRINCE" B-RED INJECTION "KYORIN" BENZAMINE TABLETS CLIZEP S.C. TABLETS INDAL TABLETS CEPHALEXIN CAPSULES "Y.C." BENTYL TABLETS 10MG METASONE TABLETS "H.H." DEXAN TABLETS "H.H." AISULAN TABLETS 2MG (GUAIAZULENE) "F.S." VITA-LONG S.C. TABLETS "WINSTON" SINICORT IMM. INJECTION SINICORT IM INJECTION WINPICILLIN CAPSULES 500MG WINPICILLIN CAPSULES 250MG MUSCLO TABLETS WINDICON INJECTION "WINSTON" WINDICON INJECTION "WINSTON" KOSPANONE CAPSULES "YU SHENG" EUCLIDAN INJECTION 50MG 916 917 918 919 920 921 922 923 924 925 926 927 928 929 930 931 932 A009982238 A009983100 A0099831G0 A009987100 A0099871G0 A009990212 A009990221 A009991100 A010057229 A010058100 A010066277 A010068277 A010069277 A010072100 A010079100 A010082396 A010116100 933 934 935 936 937 938 A010120100 A010124277 A010127100 A010137100 A010139100 A010140100 939 940 941 942 A010150212 A010159100 A010162100 A010168100 943 944 945 946 A0101681G0 A010182209 A010183100 A010184317 947 948 A010192100 A010194100 949 950 951 952 953 954 A010195100 A010196229 A010204100 A010207100 A010211100 A010213100 955 956 957 說明 9901 支付價 1.00 6.70 0.39 0.62 0.50 1.19 1.00 0.50 0.42 0.86 刪除 0.60 18.30 52.00 1.32 1.00 0.66 3.50 3.90 1.29 25.10 DEXTROSE INJECTION 20% "S.Y." CYASIN S.C. TABLETS CYASIN S.C. TABLETS(鋁箔/膠箔) CONICINE TABLETS "H.H." CONICINE TABLETS "H.H."(鋁箔/膠箔) ASCORBIC ACID INJECTION "S.Y." ASCORBIC ACID INJECTION "S.Y." TOUFONG TABLETS 5MG "CHEN TA." RESPLAMIN INJECTION 20% PROPRANOLOL TABLETS "YU SHENG" FRUCTOSE INJECTION 5% GLUCURONSAN DEXTROSE INJECTION HARTMANN'S INJECTION HUKURON S.C. TABLETS "H.H." CARBETIN TABLETS REFULEN LIQUID "H.H." CARBETAPENTANE CAPSULES 30MG "PRINCE" CENTRAL CO-TRIMOXAZOL TABLETS SORBIT INJECTION 5% COLONLAX ENTERIC-COATED TABLETS PREDNISOLONE TABLETS "YUNG CHI" PREDNISOLONE TABLETS "H.H." YUAKOLI TABLETS 4MG (TRIAMCINOLONE)"C.T." DIZEPAM INJECTION "S.Y." CHILIEANZIN TABLETS "C.S." WINMOX CAPSULES "WINSTON" DECAN TABLETS "YUNG SHIN" 2.32 0.78 1.50 1.23 1.50 1.78 3.85 0.31 19.20 0.81 30.70 41.80 19.40 1.00 0.55 38.90 0.55 DECAN TABLETS "YUNG SHIN"(鋁箔) KANAMYCIN INJECTION "YUNG SHIN" WITHAMYCIN CAPSULES "WINSTON" DECANEOMYCIN OPHTHALMIC OINTMENT "C.Y." WINTELLIN CAPSULES "WINSTON" WINLEX CAPSULES "WINSTON" 1.50 14.40 1.26 13.20 0.90 18.80 0.79 1.00 0.25 1.20 A010221321 A010221329 WINLERIL S.C. TABLETS "WINSTON" WINAMYCIN INJECTION 250MG FUZINLIN CAPSULES "C.S." INDECIN CAPSULES "H.S." BRONCOMINE TABLETS "HONTEN" CEPHALEXIN CAPSULES 250 MG "CHI SHENG" WINCORT CREAM "WINSTON" WINCORT CREAM "WINSTON" A010221399 WINCORT CREAM "WINSTON" 第 16 頁,共 382 頁 刪除 新增 刪除 0.65 21.10 0.35 0.25 0.40 0.63 4.00 0.32 1.00 0.64 刪除 0.83 1.93 38.00 37.60 1.23 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 958 959 960 961 962 963 964 965 A010194100 A010195100 A010196229 A010204100 A010207100 A0102071G0 A010211100 A010213100 966 967 968 969 970 A010221321 A010221329 A010221399 A010229100 A010246100 WINLEX CAPSULES "WINSTON" WINLERIL S.C. TABLETS "WINSTON" WINAMYCIN INJECTION 250MG FUZINLIN CAPSULES "C.S." INDECIN CAPSULES "H.S." INDECIN CAPSULES "H.S."(鋁箔/膠箔) BRONCOMINE TABLETS "HONTEN" CEPHALEXIN CAPSULES 250 MG "CHI SHENG" WINCORT CREAM "WINSTON" WINCORT CREAM "WINSTON" WINCORT CREAM "WINSTON" THIMAZOL S.C. TABLETS "SHUN HWA" NITROFURANTOIN E.C. TABLETS 971 972 973 974 975 976 977 978 979 A010248100 A0102481G0 A010249100 A0102491G0 A010256100 A010269100 A010282100 A0102821G0 A010288212 COOCHIL TABLETS "CHINTENG" COOCHIL TABLETS "CHINTENG"(鋁箔/膠 PIWEILIN TABLETS "CHINTENG" PIWEILIN TABLETS "CHINTENG"(鋁箔/膠 HUA PAM TABLETS "H.H." FLOPROPIONE CAPSULES "Y.S." BACIDE TABLETS "VPP" BACIDE TABLETS "VPP"(鋁箔/膠箔) WINCYNON INJECTION "WINSTON" 980 981 A010296100 A010320277 982 983 984 985 A010323100 A010332100 A010333212 A010334100 COLILON S.C. TABLETS ELECTRO-5% DEXTROSE INFUSION SOLUTION "Y.F." BIGUNAL TABLETS 50MG CINDERAL TABLETS "PATRON" TONTYL INJECTION "PATRON" TONTYL TABLETS "PATRON" 986 A010339321 CORTISON-D-PASTA 987 988 989 990 A010358100 A010365100 A010374100 A0103741G0 991 992 A010376421 A010380199 993 994 995 A010381316 A010381329 A010382100 HERBESSER TABLETS AMOXICILLIN CAPSULES "KINGDOM" CINNARIN TABLETS "HONTEN" CINNARIN TABLETS "HONTEN" (鋁箔/膠 箔) DECANEOMYCIN OPHTHALMIC TETRACYCLINE PHOSPHATE COMPLEX GRANULES "PATRON" PATRONCORT-F OINTMENT "PATRON" PATRONCORT-F OINTMENT "PATRON" PATOCILLIN CAPSULES "PATRON" 996 A010391209 1007 1008 1009 1010 1011 1012 1013 BETAMETHASONE SODIUM PHOSPHATE INJECTION "PRINCE" A010392100 THIAMPHENICOL CAPSULES 250MG "PRINCE" A010395100 TRAN TABLETS "YUNG SHIN" A010398100 MELLAZINE S.C. TABLETS 50MG A010402100 ZINPIN TABLETS A010409238 INSELON INJECTION "Y.Y." A010414417 EYE WINACORT OINTMENT "WINSTON" A010414429 EYE WINACORT OINTMENT A010415100 ANCOCILLIN CAPSULES A010416100 ENTERCON TABLETS A010422212 THIAMINE HYDROCHLORIDE INJECTION 50MG "S.Y." A010428100 WINHOAMIN S.C. TABLETS 100MG A010431100 CALITH CAPSULES "PATRON" A010446100 ANZUWEI CAPSULES "H.H." A0104461G0 ANZUWEI CAPSULES "H.H."(鋁箔/膠箔) A010449221 LIPOIC AC INJECTION A010452221 HISTIDINE INJECTION A010453212 PADELIN INJECTION "PATRON" 1014 A010457209 997 998 999 1000 1001 1002 1003 1004 1005 1006 PANTHOL INJECTION 100MG "Y.Y" 100年1月 支付價 1.93 0.9 18.8 0.79 1 1.5 0.25 1.2 38 37.6 1.23 0.7 1 0.8 1.5 0.92 1.5 0.5 1.33 1 1.5 項次 CODE 藥品名稱 958 959 960 961 962 963 964 965 A010229100 A010246100 A010248100 A0102481G0 A010249100 A0102491G0 A010256100 A010269100 THIMAZOL S.C. TABLETS "SHUN HWA" NITROFURANTOIN E.C. TABLETS COOCHIL TABLETS "CHINTENG" COOCHIL TABLETS "CHINTENG"(鋁箔/膠 PIWEILIN TABLETS "CHINTENG" PIWEILIN TABLETS "CHINTENG"(鋁箔/膠 HUA PAM TABLETS "H.H." FLOPROPIONE CAPSULES "Y.S." 966 967 968 969 970 A010282100 A0102821G0 A010288212 A010296100 A010320277 971 972 973 974 975 976 977 978 979 28.7 0.6 980 981 38.4 2.69 982 0.91 983 2.91 984 985 1.18 986 24.7 1.77 987 1 988 0.25 989 990 1.5 15.2 991 992 0.75 19.4 993 22.9 994 995 2.37 996 0 997 0 0 998 2.36 999 1.79 1000 13.7 1001 22.2 1002 54 1003 2.43 1004 0.28 1005 1006 1.79 0.75 1007 1.57 1008 1 1009 1.5 1010 0 1011 4.32 1012 1013 3.36 5.4 1014 說明 9901 支付價 0.70 1.00 0.80 1.50 0.92 1.50 0.50 1.33 BACIDE TABLETS "VPP" BACIDE TABLETS "VPP"(鋁箔/膠箔) WINCYNON INJECTION "WINSTON" COLILON S.C. TABLETS ELECTRO-5% DEXTROSE INFUSION SOLUTION "Y.F." A010323100 BIGUNAL TABLETS 50MG A010332100 CINDERAL TABLETS "PATRON" A010333212 TONTYL INJECTION "PATRON" A010334100 TONTYL TABLETS "PATRON" A010339321 CORTISON-D-PASTA A010358100 HERBESSER TABLETS A010365100 AMOXICILLIN CAPSULES "KINGDOM" A010374100 CINNARIN TABLETS "HONTEN" A0103741G0 CINNARIN TABLETS "HONTEN" (鋁箔/膠 箔) A010376421 DECANEOMYCIN OPHTHALMIC A010380199 TETRACYCLINE PHOSPHATE COMPLEX GRANULES "PATRON" A010381316 PATRONCORT-F OINTMENT "PATRON" A010381329 PATRONCORT-F OINTMENT "PATRON" A010382100 PATOCILLIN CAPSULES "PATRON" A010391209 BETAMETHASONE SODIUM PHOSPHATE INJECTION "PRINCE" A010392100 THIAMPHENICOL CAPSULES 250MG "PRINCE" A010395100 TRAN TABLETS "YUNG SHIN" A010398100 MELLAZINE S.C. TABLETS 50MG A010402100 ZINPIN TABLETS A010409238 INSELON INJECTION "Y.Y." 1.00 1.50 28.70 0.60 38.40 A010414417 A010414429 EYE WINACORT OINTMENT "WINSTON" EYE WINACORT OINTMENT 22.20 54.00 A010415100 A010416100 A010422212 2.43 0.28 1.79 A010428100 ANCOCILLIN CAPSULES ENTERCON TABLETS THIAMINE HYDROCHLORIDE INJECTION 50MG "S.Y." WINHOAMIN S.C. TABLETS 100MG A010431100 CALITH CAPSULES "PATRON" 1.57 A010446100 A010449221 A010452221 A010453212 A010457209 A010457212 A010478416 A010479100 A010482100 ANZUWEI CAPSULES "H.H." LUCINSON INJECTION "S.Y." HISTIDINE INJECTION PADELIN INJECTION "PATRON" PANTHOL INJECTION 100MG "Y.Y" PANTHOL INJECTION 100MG "Y.Y" EYE BETASON-N OINTMENT "WINSTON" PONPAI CAPSULES BENZEL CAPSULES "YUNG CHI" 1.00 5.60 4.32 3.36 5.40 8.00 15.50 0.80 0.54 A010487100 A0104871G0 A010488100 A010489100 A010491100 A010508221 A010510100 HUASWEI TABLETS "H.H." HUASWEI TABLETS "H.H."(鋁箔) HUAVINE TABLETS "H.H." HUAROKINE CAPSULES "H.S." NOGERON CAPSULES "PATRON" LONACORT INJECTION 10MG/ML "C.Y." SUMIN TABLETS 0.5MG (BETAMETHASONE) "F.S." DIAZEPAM INJECTION "LITA" 1.00 1.50 0.40 0.89 0.60 26.60 0.32 新增 2.69 0.91 2.91 1.18 24.70 1.77 1.00 0.25 1.50 15.20 0.75 19.40 22.90 2.37 6.60 1.39 0.52 2.36 1.79 13.70 0.75 刪除 A010547212 第 17 頁,共 382 頁 10.00 刪除 刪除 新增 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 1015 A010457212 PANTHOL INJECTION 100MG "Y.Y" 1016 1017 1018 1019 1020 1021 1022 1023 1024 1025 1026 A010478416 A010479100 A010482100 A010487100 A0104871G0 A010488100 A010489100 A0104891G0 A010491100 A010508221 A010510100 1027 1028 A010547212 A010569209 1029 1030 1031 1032 1033 1034 1035 1036 1037 1038 1039 1040 1041 1042 1043 1044 1045 1046 1047 1048 1049 1050 1051 1052 1053 A010576100 A010582100 A010615399 A010625100 A010638277 A010648100 A010652277 A010654277 A010655277 A010683100 A010688100 A010689100 A010691100 A010692100 A010704100 A010720209 A010720221 A010721209 A010721229 A010722209 A010726100 A010727100 A010741100 A010747100 A010764100 EYE BETASON-N OINTMENT "WINSTON" PONPAI CAPSULES BENZEL CAPSULES "YUNG CHI" HUASWEI TABLETS "H.H." HUASWEI TABLETS "H.H."(鋁箔) HUAVINE TABLETS "H.H." HUAROKINE CAPSULES "H.S." HUAROKINE CAPSULES "H.S."(鋁箔/膠箔) NOGERON CAPSULES "PATRON" LONACORT INJECTION 10MG/ML "C.Y." SUMIN TABLETS 0.5MG (BETAMETHASONE) "F.S." DIAZEPAM INJECTION "LITA" KANAMYCIN SULFATE FOR INJECTION 1GM "VPC" BROADIN-S TABLETS GYLONOL TABLETS LEDERCORT A TOPICAL CREAM 0.1% WINLEX CAPSULES 250MG "WINSTON" STAMINA INJECTION "CHI SHENG" PARAFLU CAPSULES "PANBIOTIC" RINGER'S INJECTION "OTSUKA" NORM-SALINE INJECTION "OTSUKA" DEXT-SALINE INJECTION "OTSUKA" ACETANIN TABLETS "HONTEN" ERYTHROCIN CAPSULES "WINSTON" LICOMINE TABLETS "WINSTON" WINBUTOL TABLETS 400MG "WINSTON" WINBUTOL-I TABLETS "WINSTON" LOXAPAC CAPSULES 25MG OGECORT SUSPENDED INJECTIONS "Y.Y." OGECORT SUSPENDED INJECTIONS "Y.Y." CYANOCOBALAMINE INJECTIONS "S.Y." CYANOCOBALAMINE INJECTION "S.Y." SEKIJIS INJECTION MELLAZINE S.C. TABLETS 100MG FURESURE S.C. TABLETS TONZ TABLETS "S.T." SUROATE TABLETS "HONTEN" BACDAN TABLETS "PATRON" 1054 1055 1056 1057 1058 1059 1060 1061 1062 A010773100 A010774100 A010775100 A010777340 A0107773CH A010784209 A010794229 A010800100 A010802100 AMPOLIN CAPSULES 500MG PIMINTON TABLETS "PATRON" BRONDIN TABLETS "PATRON" NIFUCIN OINTMENT "PATRON" NIFUCIN OINTMENT "PATRON" PANACAL INJECTION "PANBIOTIC" PATAMICIN INJ. DOXCYCLINE CAPSULES “TAITEN” PECTRIN S.C. TABLETS 25MG 1063 1064 1065 1066 A010812100 A010815100 A010819100 A0108191G0 1067 1068 1069 1070 1071 1072 1073 1074 1075 1076 1077 1078 HERSUN TABLETS 10MG "F.Y." BETAMETHASONE TABLETS "PRINCE" SUPERCILLIN CAPSULES 250MG "VPP" SUPERCILLIN CAPSULES 250MG "VPP"(鋁 箔/膠箔) A010823100 TAREIN TABLETS "YUNG CHI" A010830212 DIAZEPAM INJECTION A010848212 PRANOL INJECTION "Y.Y." A010858100 MECLIZINE TABLETS A010871277 STIN POWDER FOR INJECTION A010906229 SUNAMYCIN INJECTION A010909100 CINNARIZINE TABLETS "YU SHENG" A010912212 HOBERINOL INJECTION "G.C." A010914221 LIDOCAINE HCL 2% FOR I.V. INJECTION "LITA" A010916100 MEBRON FILM COATING TABLETS 100MG A010917100 BEHYD TABLETS A0109171G0 BEHYD TABLETS(鋁箔) 100年1月 項次 支付價 1015 8 15.5 1016 0.8 1017 0.54 1018 1 1019 1.5 1020 0.4 1021 0.89 1022 1.5 1023 0.6 1024 26.6 1025 1026 0.32 10 1027 1028 9.9 1 1029 0.58 1030 0 1031 1.12 1032 28.7 1033 1.29 1034 18.7 1035 16.4 1036 15.5 1037 0.51 1038 1.05 1039 0.53 1040 1.68 1041 2.51 1042 0 1043 19.8 1044 39.3 1045 2.42 1046 10 1047 5 1048 5.2 1049 0.5 1050 1 1051 0.29 1052 1053 1 1.32 1054 0.37 1055 1.53 1056 18.2 1057 288 1058 1.66 1059 15.7 1060 1.44 1061 1062 0.98 0.24 1063 0 1064 1 1065 1066 1.5 0.5 1067 3.36 1068 17 1069 0.7 1070 10 1071 18.8 1072 0.42 1073 3.44 1074 1075 50 2.57 1076 1.28 1077 1.5 1078 說明 CODE 藥品名稱 A010569209 A010576100 A010582100 A010615399 A010625100 A010638277 A010648100 A010652277 A010654277 A010655277 A010683100 A010688100 KANAMYCIN SULFATE FOR INJECTION 1GM "VPC" BROADIN-S TABLETS GYLONOL TABLETS LEDERCORT A TOPICAL CREAM 0.1% WINLEX CAPSULES 250MG "WINSTON" STAMINA INJECTION "CHI SHENG" PARAFLU CAPSULES "PANBIOTIC" RINGER'S INJECTION "OTSUKA" NORM-SALINE INJECTION "OTSUKA" DEXT-SALINE INJECTION "OTSUKA" ACETANIN TABLETS "HONTEN" ERYTHROCIN CAPSULES "WINSTON" 1.00 0.58 1.56 1.12 28.70 1.29 18.70 16.40 15.50 0.51 1.05 A010689100 A010691100 LICOMINE TABLETS "WINSTON" WINBUTOL TABLETS 400MG "WINSTON" 0.53 1.68 A010692100 A010704100 A010720209 A010720221 A010721209 A010721229 A010722209 A010726100 A010727100 A010741100 A010747100 A010764100 A010773100 A010774100 A010775100 A010777340 A0107773CH A010784209 A010794229 A010800100 A010802100 A010812100 A010815100 A010819100 A0108191G0 WINBUTOL-I TABLETS "WINSTON" LOXAPAC CAPSULES 25MG OGECORT SUSPENDED INJECTIONS "Y.Y." OGECORT SUSPENDED INJECTIONS "Y.Y." CYANOCOBALAMINE INJECTIONS "S.Y." CYANOCOBALAMINE INJECTION "S.Y." SEKIJIS INJECTION MELLAZINE S.C. TABLETS 100MG FURESURE S.C. TABLETS TONZ TABLETS "S.T." SUROATE TABLETS "HONTEN" BACDAN TABLETS "PATRON" AMPOLIN CAPSULES 500MG PIMINTON TABLETS "PATRON" BRONDIN TABLETS "PATRON" NIFUCIN OINTMENT "PATRON" NIFUCIN OINTMENT "PATRON" PANACAL INJECTION "PANBIOTIC" PATAMICIN INJ. DOXCYCLINE CAPSULES “TAITEN” PECTRIN S.C. TABLETS 25MG HERSUN TABLETS 10MG "F.Y." BETAMETHASONE TABLETS "PRINCE" SUPERCILLIN CAPSULES 250MG "VPP" SUPERCILLIN CAPSULES 250MG "VPP"(鋁 箔/膠箔) A010823100 TAREIN TABLETS "YUNG CHI" A010830212 DIAZEPAM INJECTION A010848212 PRANOL INJECTION "Y.Y." A010858100 MECLIZINE TABLETS A010871277 STIN POWDER FOR INJECTION A010906229 SUNAMYCIN INJECTION A010909100 CINNARIZINE TABLETS "YU SHENG" A010912212 HOBERINOL INJECTION "G.C." A010914221 LIDOCAINE HCL 2% FOR I.V. INJECTION "LITA" A010916100 MEBRON FILM COATING TABLETS 100MG A010917100 BEHYD TABLETS A0109171G0 BEHYD TABLETS(鋁箔) A010928209 TUDIN INJECTION "Y.Y." 9901 支付價 9.90 2.51 7.00 19.80 39.30 2.42 10.00 5.00 5.20 0.50 1.00 0.29 1.00 1.32 0.37 1.53 18.20 288.00 1.66 15.70 1.44 0.98 0.24 0.50 1.00 1.50 刪除 刪除 0.50 3.36 17.00 0.70 10.00 18.80 0.42 3.44 50.00 2.57 1.28 1.50 1.75 A010939277 A010941100 A010992100 A011003100 A011005100 A011006100 A011012100 A011013100 A011014155 SAILISANNA INJECTION "S.Y." FUNGACIN CAPSULES "PATRON" PASTON CAPSULES "P.L." AMOLIN CAPSULES "Y.F." SUTAN TABLETS NICAMET SUGAR COATING TABLETS SKETA CAPSULES "PATRON" ANTICOLD CAPSULES "PATRON" COUGH SYRUP "PATRON" 18.00 1.38 0.50 1.00 0.30 0.70 1.64 1.60 35.00 A011014157 A011014199 A011044100 COUGH SYRUP "PATRON" COUGH SYRUP "PATRON" NONASMA TABLETS 37.80 0.28 1.00 第 18 頁,共 382 頁 新增 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 1079 1080 1081 1082 1083 1084 1085 1086 1087 1088 1089 1090 1091 1092 1093 1094 1095 1096 A010928209 A010939277 A010941100 A010992100 A011003100 A011005100 A011006100 A011012100 A011013100 A011014155 A011014157 A011014199 A011044100 A011047221 A011048100 A011063100 A011075209 A011075221 TUDIN INJECTION "Y.Y." SAILISANNA INJECTION "S.Y." FUNGACIN CAPSULES "PATRON" PASTON CAPSULES "P.L." AMOLIN CAPSULES "Y.F." SUTAN TABLETS NICAMET SUGAR COATING TABLETS SKETA CAPSULES "PATRON" ANTICOLD CAPSULES "PATRON" COUGH SYRUP "PATRON" COUGH SYRUP "PATRON" COUGH SYRUP "PATRON" NONASMA TABLETS METHIOLAMINE-B12 INJECTION "Y.Y." EXPECTOLIN TABLETS 8MG KOAN-I TABLETS SINCORT SUSPENDED INJECTION SINCORT SUSPENDED INJECTION 1097 1098 1099 1100 1101 1102 1103 1104 1105 1106 1107 A011075229 A011076100 A011078100 A011081321 A011082100 A011084100 A011093151 A011093199 A011124100 A011125100 A0111251G0 SINCORT SUSPENDED INJECTION CHAN-WAE TABLETS "P.L." PEI-MINE TABLETS "P.L." BENISON CREAM 0.1% "GENTLE" INDOZU E.C. TABLETS "YUNG CHI" NORSON TABLETS "HONTEN" COTAINE SYRUP "HEALTH" COTAINE SYRUP "HEALTH" BUTYPON S.C. TABLETS KERCORT TABLETS "CHIN TENG" KERCORT TABLETS "CHIN TENG"(鋁箔) 1108 A011128100 KODA SUGAR-COATED TABLETS 100年1月 支付價 1.75 18 1.38 0.5 1 0.3 0 1.64 1.6 35 37.8 0.28 0 8.5 0.29 1 13.3 53 95 0 0.25 36.4 0.38 0.4 20 0.03 1 1 項次 CODE 1079 1080 1081 1082 1083 1084 1085 1086 1087 1088 1089 1090 1091 1092 1093 1094 1095 1096 A011047221 A011048100 A011063100 A011075209 A011075221 A011075229 A011076100 A011078100 A011081321 A011082100 A011084100 A011093151 A011093199 A011124100 A011125100 A0111251G0 A011128100 A011129100 1109 METHIOLAMINE-B12 INJECTION "Y.Y." EXPECTOLIN TABLETS 8MG KOAN-I TABLETS SINCORT SUSPENDED INJECTION SINCORT SUSPENDED INJECTION SINCORT SUSPENDED INJECTION CHAN-WAE TABLETS "P.L." PEI-MINE TABLETS "P.L." BENISON CREAM 0.1% "GENTLE" INDOZU E.C. TABLETS "YUNG CHI" NORSON TABLETS "HONTEN" COTAINE SYRUP "HEALTH" COTAINE SYRUP "HEALTH" BUTYPON S.C. TABLETS KERCORT TABLETS "CHIN TENG" KERCORT TABLETS "CHIN TENG"(鋁箔) KODA SUGAR-COATED TABLETS CORSETE S.C. TABLETS 0.5MG "CHEN TA" (COBAMAMIDE) A011135209 CLOXAMPICILLIN INJECTION 1GM "C.Y." A011136209 VETHASONE INJECTION "S.Y." A011150212 SUOPINCHON INJECTION "S.Y." A011154100 SEQUITON TABLETS A011168100 BETAMETHASONE TABLETS "NCP" A011175277 PAN-AMIN G INJECTION A011180100 MESMIN TABLETS 15MG A011189151 COLISO SYRUP A011189157 COLISO SYRUP "WINSTON" A011189199 COLISO SYRUP A011193100 TEITHCAN SUGAR COATING TABLETS "CHIN TENG" A0111931G0 TEITHCAN SUGAR COATING TABLETS "CHIN TENG"(鋁箔/膠箔) A011199212 MATOLON INJECTION "Y.A." 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 A011207155 A011224100 A0112241G0 A011230100 A011308209 A011317100 A0113171G0 A011318100 A011331299 A011341100 A011343100 SOMEPRIM GRANULES DOXYNIN CAPSULES "SWISS" DOXYNIN CAPSULES "SWISS"(鋁箔/膠箔) HICOBAL CAPSULES "GENTLE" BETASONE INJECTION "K.S." ANTI-COUGH TABLETS "S.Y." ANTI-COUGH TABLETS (瓶裝/56粒/瓶) OLYRRHIZIN S.C TABLETS "MEIDER" GENTAMICIN INJECTION "YUNG SHIN" GLUVENTIN TABLETS 8MG KANGCHITAN S.C. TABALETS 1121 A011344100 AMOXICILLIN CAPSULES 500MG "Y.C." 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 1135 1136 1137 1138 A011358100 A011410100 A011411100 A011420221 A011420229 A011421100 A011431437 A011449100 A011465212 A011475229 A011476221 A011476229 A011477212 A011479100 A011482238 A011483100 A011489100 1139 1140 1141 1142 A011493151 A011518100 A011526100 A011547100 TRANTIN S.C. TABLETS "YU SHENG" PAINMEZONE TABLETS NICOPLAMIN TABLETS NOOPOL INJECTION "N.K." NOOPOL INJECTION "N.K." NOOPOL CAPSULES "N.K." MYTEAR EYE LOTION PANTOMIN F.C. TABLETS HUAZIN INJECTION SHINCORT I.M. INJECTION "YUNG SHIN" SHINCORT INJECTION "YUNG SHIN" SHINCORT INJECTION "YUNG SHIN" DECAN INJECTION "YUNG SHIN" CINNARIZINE TABLETS "JEN SHENG" POLYVITA INJECTION "Y.Y" GASTON TABLETS PRENPERON S.C. TABLETS 10MG (METOCLOPRAMIDE) AREMIN COLD SOLUTION NEOMYCIN CAPSULES 250MG DEXAMETHASONE TABLETS "S.C." ALLORIC TABLETS 1097 1098 1099 1100 1101 1102 1103 1104 1105 1106 1107 1.5 1108 0.5 1109 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 1135 1136 1137 1138 CORSETE S.C. TABLETS 0.5MG "CHEN TA" (COBAMAMIDE) A011135209 CLOXAMPICILLIN INJECTION 1GM "C.Y." A011136209 VETHASONE INJECTION "S.Y." A011150212 SUOPINCHON INJECTION "S.Y." A011154100 SEQUITON TABLETS A011168100 BETAMETHASONE TABLETS "NCP" A011175277 PAN-AMIN G INJECTION A011180100 MESMIN TABLETS 15MG A011189151 COLISO SYRUP A011189157 COLISO SYRUP "WINSTON" A011189199 COLISO SYRUP A011193100 TEITHCAN SUGAR COATING TABLETS "CHIN TENG" A0111931G0 TEITHCAN SUGAR COATING TABLETS "CHIN TENG"(鋁箔/膠箔) A011199212 MATOLON INJECTION "Y.A." A011207155 SOMEPRIM GRANULES A011224100 DOXYNIN CAPSULES "SWISS" A0112241G0 DOXYNIN CAPSULES "SWISS"(鋁箔/膠箔) A011230100 HICOBAL CAPSULES "GENTLE" A011308209 BETASONE INJECTION "K.S." A011317100 ANTI-COUGH TABLETS "S.Y." A0113171G0 ANTI-COUGH TABLETS (瓶裝/56粒/瓶) A011318100 OLYRRHIZIN S.C TABLETS "MEIDER" A011331299 GENTAMICIN INJECTION "YUNG SHIN" A011341100 GLUVENTIN TABLETS 8MG A011343100 KANGCHITAN S.C. TABALETS A011344100 AMOXICILLIN CAPSULES 500MG "Y.C." A011358100 TRANTIN S.C. TABLETS "YU SHENG" A011410100 PAINMEZONE TABLETS A011411100 NICOPLAMIN TABLETS A011420221 NOOPOL INJECTION "N.K." 1139 1140 1141 1142 A011420229 A011421100 A011431437 A011449100 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 1121 A011129100 NOOPOL INJECTION "N.K." NOOPOL CAPSULES "N.K." MYTEAR EYE LOTION PANTOMIN F.C. TABLETS 1.11 16.1 16.9 10 1 0.32 74 0.55 23.2 38.7 0.15 藥品名稱 說明 9901 支付價 8.50 0.29 1.00 13.30 53.00 95.00 1.00 0.25 36.40 0.38 0.40 20.00 0.03 1.00 1.00 1.50 0.50 1.11 16.10 16.90 10.00 1.00 0.32 74.00 0.55 23.20 38.70 0.15 0.80 刪除 刪除 刪除 1.50 1.68 114.00 1.27 1.50 1.11 6.60 0.55 1.50 1.00 1.26 0.30 0.55 0.8 1.5 1.68 0 1.27 1.5 1.11 6.6 0.55 1.5 1 0 0.3 0.55 1.21 0.6 0.7 0.78 0 41.8 1.24 0 2.12 第 19 頁,共 382 頁 1.21 0.60 0.70 0.78 10.00 41.80 1.24 47.00 2.12 2.59 69.00 26.10 28.50 4.00 0.28 4.79 0.21 0.91 刪除 刪除 刪除 28.20 2.13 0.40 0.58 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 1143 1144 1145 1146 1147 1148 1149 1150 1151 A011465212 A011475229 A011476221 A011476229 A011477212 A011479100 A011482238 A011483100 A011489100 藥品名稱 1152 1153 1154 1155 1156 1157 1158 1159 1160 1161 1162 1163 1164 1165 1166 1167 1168 1169 1170 1171 1172 1173 1174 1175 1176 1177 1178 1179 1180 1181 1182 HUAZIN INJECTION SHINCORT I.M. INJECTION "YUNG SHIN" SHINCORT INJECTION "YUNG SHIN" SHINCORT INJECTION "YUNG SHIN" DECAN INJECTION "YUNG SHIN" CINNARIZINE TABLETS "JEN SHENG" POLYVITA INJECTION "Y.Y" GASTON TABLETS PRENPERON S.C. TABLETS 10MG (METOCLOPRAMIDE) A011493151 AREMIN COLD SOLUTION A011518100 NEOMYCIN CAPSULES 250MG A011526100 DEXAMETHASONE TABLETS "S.C." A011547100 ALLORIC TABLETS A011548100 ACENOL TABLETS 500MG A011552265 DEXTROSE INJECTION 5% "OTSUKA" A011552277 DEXTROSE INJECTION 5% "OTSUKA" A011562100 PANTRIM TABLETS A011564335 WANTACORT CREAM "W.T." A011564399 WANTACORT CREAM "W.T." A011570229 SERACIN INJECTION A011570238 SERACIN INJECTION A011576212 SWITYL INJECTION "SWISS" A011644100 CONQUER TABLETS "YUNG SHIN" A011652321 BETTERSONE OINTMENT A011652329 BETTERSONE OINTMENT A011652335 BETTERSONE OINTMENT A011652372 BETTERSONE OINTMENT A011652399 BETTERSONE OINTMENT A011655100 VIVIKA TABLETS "YUNG SHIN" A0116551G0 VIVIKA TABLETS "YUNG SHIN"(鋁箔) A011665209 ASTHPIN INJECTION A011667216 RIFOMYCIN INJECTION "LITA" A011701100 PEIWETSU TABLETS "P.L." A011703212 SINCOVLIN INJECTION "ASTAR" A011706100 MINXLN TABLETS A0117061G0 MINXLN TABLETS(鋁箔/膠箔) A011711277 10% DEXTROSE INJECTION A011723277 AMINOL-K INJECTION A011750212 BIOMIN INJECTION "YUNG SHIN" A011756100 KELEXIN CAPSULES "SHINLON" 1183 A011762212 100年1月 支付價 2.59 69 26.1 28.5 0 0.28 4.79 0.21 0.91 28.2 2.13 0 0.58 0 17.7 17.4 1 65 4.15 13.4 33.8 3.85 1.51 10.9 17.4 41.4 865 1.44 0.75 1.5 2.72 61 1.37 3.17 0.75 1.5 19.9 88 0 CODE 藥品名稱 1143 1144 1145 1146 1147 1148 1149 1150 1151 A011548100 A011552265 A011552277 A011562100 A011564335 A011564399 A011570229 A011570238 A011576212 ACENOL TABLETS 500MG DEXTROSE INJECTION 5% "OTSUKA" DEXTROSE INJECTION 5% "OTSUKA" PANTRIM TABLETS WANTACORT CREAM "W.T." WANTACORT CREAM "W.T." SERACIN INJECTION SERACIN INJECTION SWITYL INJECTION "SWISS" 1152 1153 1154 1155 1156 1157 1158 1159 1160 1161 1162 1163 1164 1165 1166 1167 1168 1169 1170 1171 1172 1173 1174 1175 1176 1177 1178 1179 1180 1181 1182 A011644100 A011652321 A011652329 A011652335 A011652372 A011652399 A011655100 A0116551G0 A011665209 A011667216 A011701100 A011703212 A011706100 A011711277 A011723277 A011750212 A011756100 A011762212 A011762238 A011764216 A011775212 A011776212 A011780212 A011782209 A011786100 A011788100 A011792100 A011794100 A011795212 A011806100 A011832212 1183 A011832221 1184 A011832229 1185 A011832238 1186 A011838417 1187 1188 1189 1190 1191 1192 1193 A011845209 A011845265 A011845277 A011850155 A011850199 A011865212 A011886277 A011890212 A011897199 A011898100 CONQUER TABLETS "YUNG SHIN" BETTERSONE OINTMENT BETTERSONE OINTMENT BETTERSONE OINTMENT BETTERSONE OINTMENT BETTERSONE OINTMENT VIVIKA TABLETS "YUNG SHIN" VIVIKA TABLETS "YUNG SHIN"(鋁箔) ASTHPIN INJECTION RIFOMYCIN INJECTION "LITA" PEIWETSU TABLETS "P.L." SINCOVLIN INJECTION "ASTAR" MINXLN TABLETS 10% DEXTROSE INJECTION AMINOL-K INJECTION BIOMIN INJECTION "YUNG SHIN" KELEXIN CAPSULES "SHINLON" SULIVITA INJECTION 100MG SULIVITA INJECTION 100MG BERINE INJECTION CHIAOWELGEN INJECTION "SWISS" SWELIUM INJECTION METOPERAN INJECTION ASTHNIL INJECTION COFCON TABLETS 15MG EDITIN TABLETS 2MG AMOXCIN CAPSULES "PATRON" HUSCOL CAPSULES "SHIN FONG" CHUCO INJECTION INDOTHAN CAPSULES SEAFAR POWDER 1G, 2G, 5G, 10G, 20G FOR INJECTION SEAFAR POWDER 1G, 2G, 5G, 10G, 20G FOR INJECTION SEAFAR POWDER 1G, 2G, 5G, 10G, 20G FOR INJECTION SEAFAR POWDER 1G, 2G, 5G, 10G, 20G FOR INJECTION GENTAMICIN OPHTHALMIC OINTMENT "OASIS" FRUCTOSE INJECTION 5% "N.K." FRUCTOSE INJECTION 5% "N.K." FRUCTOSE INJECTION 5% "N.K." CONFLU SYRUP CONFLU SYRUP BIOVITAS INJECTION DEXTROSE AND SODIUM CHLORIDE INJECTION "ASTAR" UCOUGIN-MEI INJECTION HISTAPP ELIXIR OUCEMIN TABLETS "Y.Y." A011921238 CHINLIVITA INJECTION A011926100 COMFORT TABLETS 5MG 0.31 A011928100 COMIN F.C. TABLETS "CHINTENG" 0.60 A011929100 SOLAX CAPSULES "CHEN TA" 1.03 A011931100 PREDNISOLONE TABLETS "MEIDER" 0.25 1.23 SULIVITA INJECTION 100MG 2.42 1184 A011762238 SULIVITA INJECTION 100MG 7.8 1185 A011764216 BERINE INJECTION 5 1186 A011775212 CHIAOWELGEN INJECTION "SWISS" 1187 1188 1189 1190 1191 1192 1193 A011776212 A011780212 A011782209 A011786100 A011788100 A011792100 A011794100 SWELIUM INJECTION METOPERAN INJECTION ASTHNIL INJECTION COFCON TABLETS 15MG EDITIN TABLETS 2MG AMOXCIN CAPSULES "PATRON" HUSCOL CAPSULES "SHIN FONG" 1194 1195 1196 A011795212 A011806100 A011832212 1197 A011832221 1198 A011832229 1199 A011832238 1200 A011838417 1201 A011845209 CHUCO INJECTION INDOTHAN CAPSULES SEAFAR POWDER 1G, 2G, 5G, 10G, 20G FOR INJECTION SEAFAR POWDER 1G, 2G, 5G, 10G, 20G FOR INJECTION SEAFAR POWDER 1G, 2G, 5G, 10G, 20G FOR INJECTION SEAFAR POWDER 1G, 2G, 5G, 10G, 20G FOR INJECTION GENTAMICIN OPHTHALMIC OINTMENT "OASIS" FRUCTOSE INJECTION 5% "N.K." 5.5 3.36 1.85 10 0.42 0.2 0.9 說明 項次 1 3.9 1194 0.32 1195 1196 85 1197 231 1198 463 1199 927 1200 21 38.1 1201 第 20 頁,共 382 頁 9901 支付價 0.47 17.70 17.40 1.00 65.00 4.15 13.40 33.80 3.85 1.51 10.90 17.40 41.40 865.00 1.44 0.75 1.50 2.72 61.00 1.37 3.17 0.75 19.90 88.00 2.72 1.23 2.42 7.80 5.00 5.50 3.36 1.85 10.00 0.42 0.20 0.90 1.00 3.90 0.32 85.00 231.00 463.00 927.00 21.00 38.10 16.80 30.70 27.20 0.18 6.90 19.90 4.00 0.30 1.00 10.00 刪除 刪除 刪除 新增 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 1202 1203 1204 1205 1206 1207 A011845265 A011845277 A011850155 A011850199 A011865212 A011886277 1208 1209 1210 1211 1212 1213 1214 1215 1216 1217 1218 1219 1220 A011890212 A011897199 A011898100 A011921238 A011926100 A011928100 A011929100 A011931100 A011933209 A011933277 A011949100 A011951100 A011964100 FRUCTOSE INJECTION 5% "N.K." FRUCTOSE INJECTION 5% "N.K." CONFLU SYRUP CONFLU SYRUP BIOVITAS INJECTION DEXTROSE AND SODIUM CHLORIDE INJECTION "ASTAR" UCOUGIN-MEI INJECTION HISTAPP ELIXIR OUCEMIN TABLETS "Y.Y." CHINLIVITA INJECTION COMFORT TABLETS 5MG COMIN F.C. TABLETS "CHINTENG" SOLAX CAPSULES "CHEN TA" PREDNISOLONE TABLETS "MEIDER" CEFACIN INJECTION "LITA" CEFACIN INJECTION "LITA" ENTERAN TABLETS "S.C." CEPHALEXIN CAP. TEKILON CAPSULES "P.L." 1221 1222 1223 A011969100 A011979100 A011982100 PINSU TABLETS LISUEN TABLETS "P.L." NICEFON TABLETS 1224 A011983100 ORCITRAN TABLETS 1225 1226 1227 1228 1229 1230 1231 1232 1233 1234 A011986100 A012000100 A012001399 A012008100 A012019212 A012050212 A012050229 A012050299 A012051100 A0120511G0 1250 1251 1252 1253 1254 1255 1256 1257 1258 1259 RIOTOL TABLETS 400MG TRIANPRES S.C. TABLETS "N.C.P." QUADRICREM CREAM LISALENB TABLETS "BEYDAR" GENTAMICIN INJECTION "Y.Y." GENTACIN INJCETON "S.T." GENTACIN INJECTION GENTACIN INJECTION AMOXICILLIN CAPSULES 250MG "C.C.P." AMOXICILLIN CAPSULES 250MG "C.C.P."(鋁箔/膠箔) A012053212 GENTAMYCIN INJECTION 40MG "ORIENTAL" A012053229 GENTAMYCIN INJECTION 40MG A012055100 MIN-TA-WE TABLETS (DIHYDROXYALUMINUM A012059100 TETRACYCLINE HCL CAPSULES 500MG "Y.C." A012060209 BRONDIN INJECTION "PATRON" A012076100 MYANLIN CAPSULES "PRINCE" A012080100 PURINOL TABLETS "CURIE" A012081100 SPIRON TABLETS A0120811G0 SPIRON TABLETS(鋁箔/膠箔) A012082100 ANTIMIN CAPSULES "M.S." A012115100 PROFEN CAPSULES 200MG "SHIN FONG" A012147100 SULFATRIM TABLETS "JEN SHENG" A012223100 ALISIN-F S.C. TABLETS A012228110 PAMOXICILLIN POWDER FOR ORAL SUSPENSION A012228199 PAMOXICILLIN POWDER FOR ORAL SUSPENSION A012229100 BIOVITA S.C. TABLETS "CHEN TA" A012243100 B.H. TABLETS 8MG "LITA" A012300329 VEIMINCORT CREAM "VEIMIN" A012300372 VEIMINCORT CREAM "VEIMIN" A012311221 TROBICIN INJECTION "CHI SHENG" A012311238 TROBICIN INJECTION "CHI SHENG" A012315100 DICA TABLETS A012318100 YIKANG TABLETS A012325100 WEOWE TABLETS "M.S." A012336100 SU SOU TABLETS "C.R." 1260 1261 A012337100 A012343100 1235 1236 1237 1238 1239 1240 1241 1242 1243 1244 1245 1246 1247 1248 1249 SLEEPIN TABLETS "C.R." BUSCIN TABLETS "C.R." 100年1月 支付價 16.8 30.7 27.2 0.18 6.9 19.9 4 0.3 1 10 0.31 0.6 1.03 0.25 22.4 10.8 0.45 1.22 項次 CODE 藥品名稱 1202 1203 1204 1205 1206 1207 A011933209 A011933277 A011949100 A011951100 A011964100 A011969100 CEFACIN INJECTION "LITA" CEFACIN INJECTION "LITA" ENTERAN TABLETS "S.C." CEPHALEXIN CAP. TEKILON CAPSULES "P.L." PINSU TABLETS 1208 1209 1210 1211 1212 1213 1214 1215 1216 1217 1218 1219 1220 A011979100 A011982100 A011983100 A011986100 A012000100 A012001399 A012008100 A012019212 A012050212 A012050229 A012050299 A012051100 A0120511G0 0 0.5 1221 0.8 1222 1223 1 1224 0.87 1.07 1225 0.78 1226 1.31 1227 1.97 1228 10 1229 10 1230 15.7 1231 1.26 1232 0 1233 1234 0 1235 10 15.7 1236 1237 0.79 1238 0.93 4.95 1239 1.03 1240 1 1241 1.25 1242 1.5 1243 0 1244 1 1245 0.74 1246 0.6 1247 1248 32.8 1249 0.54 1.29 1250 0.8 1251 15.6 1252 999 1253 3.38 1254 8 1255 0.6 1256 1 1257 1 1258 1259 0.37 0.38 1260 0 1261 說明 9901 支付價 22.40 10.80 0.45 1.22 1.00 0.50 LISUEN TABLETS "P.L." NICEFON TABLETS ORCITRAN TABLETS RIOTOL TABLETS 400MG TRIANPRES S.C. TABLETS "N.C.P." QUADRICREM CREAM LISALENB TABLETS "BEYDAR" GENTAMICIN INJECTION "Y.Y." GENTACIN INJCETON "S.T." GENTACIN INJECTION GENTACIN INJECTION AMOXICILLIN CAPSULES "C.C.P." AMOXICILLIN CAPSULES 250MG "C.C.P."(鋁箔/膠箔) A012053212 GENTAMYCIN INJECTION 40MG A012053229 GENTAMYCIN INJECTION 40MG A012055100 MIN-TA-WE TABLETS (DIHYDROXYALUMINUM A012059100 TETRACYCLINE HCL CAPSULES 500MG "Y.C." A012060209 BRONDIN INJECTION "PATRON" A012076100 MYANLIN CAPSULES "PRINCE" A012080100 PURINOL TABLETS "CURIE" A012081100 SPIRON TABLETS A0120811G0 SPIRON TABLETS(鋁箔/膠箔) A012082100 ANTIMIN CAPSULES "M.S." A012115100 PROFEN CAPSULES 200MG "SHIN FONG" A012147100 SULFATRIM TABLETS "JEN SHENG" A012223100 ALISIN-F S.C. TABLETS A012228110 PAMOXICILLIN POWDER FOR ORAL SUSPENSION A012228199 PAMOXICILLIN POWDER FOR ORAL SUSPENSION A012229100 BIOVITA S.C. TABLETS "CHEN TA" A012243100 B.H. TABLETS 8MG "LITA" 0.80 1.00 0.87 1.07 0.78 1.31 1.97 10.00 10.00 15.70 1.26 1.00 1.50 A012300329 VEIMINCORT CREAM "VEIMIN" 15.60 A012300372 A012311221 A012311238 A012315100 A012318100 A012325100 A012336100 A012337100 A012343100 A012371100 VEIMINCORT CREAM "VEIMIN" TROBICIN INJECTION "CHI SHENG" TROBICIN INJECTION "CHI SHENG" DICA TABLETS YIKANG TABLETS WEOWE TABLETS "M.S." SU SOU TABLETS "C.R." SLEEPIN TABLETS "C.R." BUSCIN TABLETS "C.R." BETAMETHASONE TABLETS "M.T." A012377329 BETTER-INODINE OINTMENT (POVIDONE IODINE) "WEI-MING" BETTER-INODINE OINT. HELZIN S.C. TABLETS "PFOSHEN" BENEMYCIN EYE OINTMENT "OASIS" PHUSDOR TABLETS 200MG "Y.S." ANTI-GI SUPPOSITORY COLIOPAN TABLETS E.L.R. INJECTION NO.2 SULIKON CREAM "S.S.P." INTHACID SUPPOSITORIES "PATRON" BETASON TABLETS 0.5MG "CHEN TA" (BETAMETHASONE) BOSCON S.C. TABLETS "Y.S." HIDOMIN INJECTION "YUNG SHIN" A012377399 A012383100 A012393417 A012400100 A012407500 A012414100 A012419277 A012424321 A012443500 A012446100 A012447100 A012451229 第 21 頁,共 382 頁 刪除 10.00 15.70 0.79 0.93 4.95 1.03 1.00 1.35 1.50 1.38 1.00 0.74 0.60 32.80 刪除 刪除 0.54 1.29 0.80 999.00 3.38 8.00 0.60 1.00 1.00 0.37 0.38 1.00 0.32 調整 刪除 20.20 0.83 0.33 19.40 0.70 7.80 1.17 43.10 33.40 3.73 0.32 1.00 10.00 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 1262 1263 A012371100 A012377329 1264 1265 A012377399 A012383100 BETAMETHASONE TABLETS "M.T." BETTER-INODINE OINTMENT (POVIDONE IODINE) "WEI-MING" BETTER-INODINE OINT. HELZIN S.C. TABLETS "PFOSHEN" 1266 A012393417 BENEMYCIN EYE OINTMENT "OASIS" 1267 1268 1269 1270 1271 1272 1273 A012400100 A012407500 A012414100 A012419277 A012424321 A012443500 A012446100 1274 1275 1276 1277 1278 1279 A012447100 A012451229 A012452100 A012458100 A012472100 A012474209 1280 A012474229 1281 1282 1283 1284 A012484100 A012488100 A012492100 A012506100 PHUSDOR TABLETS 200MG "Y.S." ANTI-GI SUPPOSITORY COLIOPAN TABLETS E.L.R. INJECTION NO.2 SULIKON CREAM "S.S.P." INTHACID SUPPOSITORIES "PATRON" BETASON TABLETS 0.5MG "CHEN TA" (BETAMETHASONE) BOSCON S.C. TABLETS "Y.S." HIDOMIN INJECTION "YUNG SHIN" FLACIL CAPSULES EURODIN TABLETS 2MG BROMHEXIN TABLETS "GENTLE" DEXAMETHASONE INJECTION 4MG/ML "N.K." DEXAMETHASONE INJECTION 4MG/ML "N.K." LISON TABLETS "P.L." SULININ TABLETS "K.N." PREDNISOLONE TABLETS "C.R" UPTHASONE TABLETS "JINUP" 1285 A012517100 CAROLIN TABLETS "C.R." 1286 A012519100 ANETHION S.C. TABLETS 1287 1288 1289 1290 1291 1292 1293 1294 1295 A012521212 A012521229 A012521299 A012524100 A012527229 A012528221 A012538100 A012551100 A012552100 GENTACIN INJECTION GENTACIN INJECTION GENTACIN INJECTION MINRID TABLETS "H.H." SIVKORT SUSPENSION SEVATRIM INJECTION DOXYCYCLINE CAPSULES "C.S." SKELIN TABLETS "F.Y." CININ TABLETS "N.C.P." 1296 1297 1298 1299 A012556109 A012557100 A012596100 A012597209 1300 A012597212 1301 A012597229 1302 1303 A012603100 A012639100 SHECO GRANULES DURAMYCIN CAPSULES MECOFAN TABLETS "ASTAR" BERLICORT SUSPENSION IM. INJECTION 40MG "PRINCE" BERLICORT SUSPENSION IM. INJECTION 40MG "PRINCE" BERLICORT SUSPENSION IM. INJECTION 40MG "PRINCE" METHOMINE TABLETS "S.C." TETRACYCLINE HCL TABLETS "C.C.P." 1304 A012646100 GYNEDOL TABLETS 1MG 1305 1306 1307 1308 1309 1310 A012673100 A012675100 A012687100 A012694100 A012703100 A0127031G0 1311 1312 1313 A012714100 A012735212 A012735229 GASTON TABLETS "ORIENTAL" CINNARIZINE TABLETS "C.T." WINPECON TABLETS "YUNG CHI" ULCEN TABLETS "MEIDER" SINPRIM F.C. TABLETS "CHINTENG" SINPRIM F.C. TABLETS "CHINTENG"(鋁箔/ 膠箔) NO-PEIN CAPSULES "P.L." GENTAMYCIN INJECTION 40MG/ML "C.Y." GENTAMYCIN INJECTION 40MG/ML "C.Y." 1314 1315 A012745309 A012745329 PARMASON CREAM "BOWLIN" PARMASON CREAM "BOWLIN" 100年1月 項次 支付價 0.32 1262 1263 20.2 0.83 1264 1265 0.33 1266 19.4 0.7 1267 7.8 1268 1.17 1269 43.1 1270 33.4 1271 3.73 1272 1273 0.32 1 1274 10 1275 0 1276 2.32 1277 0.3 1278 1279 0 1280 16 0.6 1281 0.29 1282 0 1283 1284 0.32 1285 0 1286 0 11.7 1287 20.9 1288 2.09 1289 0.4 1290 25.5 1291 18.6 1292 1.44 1293 0.63 1294 1295 0.28 6.1 1296 1.44 1297 0.55 1298 1299 0 1300 0 1301 0 0.2 1302 1303 0.8 1304 1.14 0.18 1305 0.5 1306 0 1307 0.55 1308 0.35 1309 1310 1.5 0.6 1311 10 1312 1313 15.6 800 1314 31.5 1315 說明 CODE 藥品名稱 A012452100 A012458100 FLACIL CAPSULES EURODIN TABLETS 2MG 8.10 2.32 A012472100 A012474209 0.30 3.08 A012484100 A012492100 A012506100 A012517100 A012519100 A012521212 A012521229 BROMHEXIN TABLETS "GENTLE" DEXAMETHASONE INJECTION 4MG/ML "N.K." DEXAMETHASONE INJECTION 4MG/ML "N.K." LISON TABLETS "P.L." PREDNISOLONE TABLETS "C.R" UPTHASONE TABLETS "JINUP" CAROLIN TABLETS "C.R." ANETHION S.C. TABLETS GENTACIN INJECTION GENTACIN INJECTION A012521299 A012524100 A012527229 A012528221 A012538100 A012551100 GENTACIN INJECTION MINRID TABLETS "H.H." SIVKORT SUSPENSION SEVATRIM INJECTION DOXYCYCLINE CAPSULES "C.S." SKELIN TABLETS "F.Y." A012552100 CININ TABLETS "N.C.P." A012474229 9901 支付價 16.00 0.60 0.35 0.32 0.37 0.94 11.70 20.90 2.09 0.40 25.50 18.60 1.44 0.63 刪除 刪除 A012556109 A012557100 A012596100 A012597209 SHECO GRANULES DURAMYCIN CAPSULES MECOFAN TABLETS "ASTAR" BERLICORT SUSPENSION IM. INJECTION 40MG "PRINCE" A012597212 BERLICORT SUSPENSION IM. INJECTION 40MG "PRINCE" A012597229 BERLICORT SUSPENSION IM. INJECTION 40MG "PRINCE" A012603100 METHOMINE TABLETS "S.C." A012639100 TETRACYCLINE HCL TABLETS "C.C.P." A012646100 GYNEDOL TABLETS 1MG A012673100 GASTON TABLETS "ORIENTAL" A012675100 CINNARIZINE TABLETS "C.T." A012687100 WINPECON TABLETS "YUNG CHI" A012694100 ULCEN TABLETS "MEIDER" A012703100 SINPRIM F.C. TABLETS "CHINTENG" A0127031G0 SINPRIM F.C. TABLETS "CHINTENG"(鋁箔/ 膠箔) A012714100 NO-PEIN CAPSULES "P.L." A012735212 GENTAMYCIN INJECTION 40MG/ML "C.Y." A012735229 GENTAMYCIN INJECTION 40MG/ML "C.Y." A012745309 PARMASON CREAM "BOWLIN" 0.28 6.10 1.44 0.55 19.80 刪除 18.30 刪除 64.00 刪除 0.20 0.80 1.14 0.18 0.50 2.09 0.55 0.35 1.50 0.60 10.00 15.60 800.00 刪除 A012745329 PARMASON CREAM "BOWLIN" 31.50 A012745338 PARMASON CREAM "BOWLIN" 43.10 刪除 刪除 A012745399 A012752229 PARMASON CREAM "BOWLIN" CANTAMYCIN INJECTION 40MG (POTENCY)/ML "PRINCE" A012752238 CANTAMYCIN INJECTION 40MG (POTENCY)/ML "PRINCE" A012763100 DEYANJUNN TABLETS A012765100 IBUGEN TABLETS "P.L." A012782100 DOXYCYCLINE CAPSULES 100MG "CSP" A012803100 EULIVER S.C. TABLETS "H.H." A0128031G0 EULIVER S.C. TABLETS "H.H."(鋁箔) A012804100 SUPITON TABLETS "S.C." A012807100 A012817100 A012824277 A012825100 A012828100 第 22 頁,共 382 頁 OUTINFLAME TABLETS "H.H." MEICO TABLETS 15MG LOW MOLECULAR DEXTRAN DEXTROSE INJECTION "OTSUKA" NITROGLYCERIN TABLETS 0.6 MG ALUZAINE TABLETS 0.80 15.60 33.80 0.74 1.00 1.01 0.93 1.50 0.64 1.00 0.45 231.00 2.03 1.00 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 1316 1317 1318 A012745338 A012745399 A012752229 1319 A012752238 1320 1321 1322 1323 1324 1325 1326 1327 1328 A012763100 A012765100 A012782100 A012803100 A0128031G0 A012804100 A012807100 A012817100 A012824277 1329 1330 1331 1332 1333 1334 1335 1336 1337 1338 1339 1340 1341 1342 1343 1344 1345 1346 1347 1348 1349 1350 1351 1352 1353 1354 1355 1356 1357 1358 1359 1360 1361 1362 1363 1364 1365 1366 A012825100 A012828100 A0128281G0 A012831100 A0128311G0 A012833100 A012837100 A0128371G0 A012858277 A012860100 A012876100 A012880100 A012886321 A012886329 A012886399 A012898100 A012901321 A012902100 A012910100 A012951100 A012955100 A012958100 A012973421 A012975100 A012986277 A012989100 A012999323 A013012212 A013024199 A013049100 A013054100 A013077100 A013078100 A013082100 A013083100 A0130831G0 A013084100 A013085100 PARMASON CREAM "BOWLIN" PARMASON CREAM "BOWLIN" CANTAMYCIN INJECTION 40MG (POTENCY)/ML "PRINCE" CANTAMYCIN INJECTION 40MG (POTENCY)/ML "PRINCE" DEYANJUNN TABLETS IBUGEN TABLETS "P.L." DOXYCYCLINE CAPSULES 100MG "CSP" EULIVER S.C. TABLETS "H.H." EULIVER S.C. TABLETS "H.H."(鋁箔) SUPITON TABLETS "S.C." OUTINFLAME TABLETS "H.H." MEICO TABLETS 15MG LOW MOLECULAR DEXTRAN DEXTROSE INJECTION "OTSUKA" NITROGLYCERIN TABLETS 0.6 MG ALUZAINE TABLETS ALUZAINE TABLETS(鋁箔) MEFEN TABLETS "CHINTENG" MEFEN TABLETS "CHINTENG"(鋁箔) PYMADON TABLETS "CHINTENG" HYLAZINE TABLETS "HONTEN" HYLAZINE TABLETS "HONTEN"(鋁箔/膠 DICILLIN INJECTION 500MG NONASMA TABLETS 20MG BIOTASE TABLETS "YUNG SHIN" COUGHMIN S.C. TABLETS "KYORIN" SUNBIN MEDICINE CREAM SUNBIN MEDICINE CREAM SUNBIN MEDICINE CREAM SERPINE TABLETS "Y.C." AYGAUSHON OINTMENT "J.H." KUAY WEY HAO TABLETS "J.H." IBUFEN TABLETS 200MG TRIMEZOLE TABLETS ECON TABLETS 40MG TWUCOLIN CAPSULES GENTAMICIN EYE DROPS "OASIS" SALTOLIN TABLETS "GENTLE" DEXT-SALINE INJECTION 5:0.3 "OTSUKA" IPUFEN TABLETS "PFOSHEN" BETA CORT CREAM SAUCON INJECTION "H.S.C." CEPHALEXIN GRANULES "H.S.C." SOURIREE COMNAMINE-F S.C. TABLET QURMININ-H CAPSULES "S.C." HUALISHIH CAPSULES "H.S." JIEE-SUAN-LONG TABLETS SALBUTAMOL TABLETS "PRINCE" ISONIAZID TABLETS "WINSTON" ISONIAZID TABLETS "WINSTON" (鋁箔/膠 NOSCAPINE TABLETS 20MG "C.S." IBUPROFEN TABLETS 200MG "C.S." 1367 1368 A013089100 A013091100 SALBUTAMOL TABLETS MEPENZOLATE TABLETS "S.C." 1369 1370 1371 1372 A0130911G0 A013093100 A013097100 A013103109 MEPENZOLATE TABLETS "S.C."(鋁箔/膠箔) AMPICILLIN CAPSULES 500MG "CHI IBUPROFEN S.C. TABLETS "Y.S." HISTAPP GRANULES 1373 1374 1375 1376 1377 A013118100 A013126100 A013130100 A013133100 A013137100 CHLORMEZANONE TABLETS "SHIELD" HCNORITLE PIPRINHYDRINATE TABLETS OXELADIN CAP. GLYCERYL TABLETS "Y.C." SCOPOMINE TABLETS "C.T." 1378 1379 A013141209 A013141212 GENTAMYCIN INJECTION "H.S.C." GENTAMYCIN INJECTION "H.S.C." 100年1月 項次 支付價 43.1 1316 0.62 1317 1318 15.6 1319 33.8 0.74 1320 1 1321 1.01 1322 0.93 1323 1.5 1324 0.64 1325 1 1326 0.45 1327 1328 231 2.03 1329 1 1330 1.5 1331 0.37 1332 1.5 1333 0.42 1334 0.58 1335 1.5 1336 0 1337 0 1338 1 1339 0.8 1340 5.9 1341 15.4 1342 1.18 1343 0.32 1344 15.2 1345 0.52 1346 0.58 1347 0.62 1348 0.3 1349 0.37 1350 15.1 1351 0.8 1352 17.8 1353 0.8 1354 43.2 1355 4.66 1356 0.87 1357 0.22 1358 1 1359 1.07 1360 0.6 1361 0 1362 0.2 1363 1.5 1364 0.8 1365 1366 0.94 0 1367 1368 1 1.5 1369 1.3 1370 0.5 1371 1372 4.13 0.66 1373 0.5 1374 0.4 1375 0.36 1376 1377 0.8 2 1378 7.5 1379 CODE 藥品名稱 說明 9901 支付價 A0128281G0 ALUZAINE TABLETS(鋁箔) A012831100 MEFEN TABLETS "CHINTENG" A0128311G0 MEFEN TABLETS "CHINTENG"(鋁箔) 1.50 0.37 1.50 A012833100 PYMADON TABLETS "CHINTENG" 0.42 A012837100 A0128371G0 A012858277 A012860100 A012876100 A012880100 A012886321 A012886329 A012886399 HYLAZINE TABLETS "HONTEN" HYLAZINE TABLETS "HONTEN"(鋁箔/膠 DICILLIN INJECTION 500MG NONASMA TABLETS 20MG BIOTASE TABLETS "YUNG SHIN" COUGHMIN S.C. TABLETS "KYORIN" SUNBIN MEDICINE CREAM SUNBIN MEDICINE CREAM SUNBIN MEDICINE CREAM 0.58 1.50 10.80 1.52 1.00 0.80 5.90 15.40 1.18 A012898100 A012901321 A012902100 A012910100 A012951100 A012955100 A012958100 A012973421 A012975100 A012986277 A012989100 A012999323 A013012212 A013024199 A013049100 A013054100 A013077100 A013078100 A013082100 A013083100 A0130831G0 A013084100 A013085100 A013089100 A013091100 A0130911G0 A013093100 A013097100 A013103109 A013118100 A013126100 A013130100 A013133100 A013137100 A013141209 A013141212 A013162100 A013168100 SERPINE TABLETS "Y.C." AYGAUSHON OINTMENT "J.H." KUAY WEY HAO TABLETS "J.H." IBUFEN TABLETS 200MG TRIMEZOLE TABLETS ECON TABLETS 40MG TWUCOLIN CAPSULES GENTAMICIN EYE DROPS "OASIS" SALTOLIN TABLETS "GENTLE" DEXT-SALINE INJECTION 5:0.3 "OTSUKA" IPUFEN TABLETS "PFOSHEN" BETA CORT CREAM SAUCON INJECTION "H.S.C." CEPHALEXIN GRANULES "H.S.C." SOURIREE COMNAMINE-F S.C. TABLET QURMININ-H CAPSULES "S.C." HUALISHIH CAPSULES "TK&A" JIEE-SUAN-LONG TABLETS SALBUTAMOL TABLETS "PRINCE" ISONIAZID TABLETS "WINSTON" ISONIAZID TABLETS "WINSTON" (鋁箔/膠 NOSCAPINE TABLETS 20MG "C.S." IBUPROFEN TABLETS 200MG "C.S." SALBUTAMOL TABLETS MEPENZOLATE TABLETS "S.C." MEPENZOLATE TABLETS "S.C."(鋁箔/膠箔) AMPICILLIN CAPSULES 500MG "CHI IBUPROFEN S.C. TABLETS "Y.S." HISTAPP GRANULES CHLORMEZANONE TABLETS "SHIELD" HCNORITLE PIPRINHYDRINATE TABLETS OXELADIN CAP. GLYCERYL TABLETS "Y.C." SCOPOMINE TABLETS "C.T." GENTAMYCIN INJECTION "H.S.C." GENTAMYCIN INJECTION "H.S.C." BETAMETHASONE TABLETS "JOHNSON" METOCLOPRAMIDE S.C. TABLETS "ORIENTAL" PREDNISOLONE TABLETS "C.H." NALIDIXIC ACID TABLETS 500MG "SHINLON" URINTESTIN TABLETS 500MG "VPP" ORCIPRENALINE INJECTION "S.Y." BATHOLIN GRANULES "GENTLE" TEH LI KON ANODYNE CAPSULES(IBUPROFEN 200MG) AMOXICILLIN CAPSULES "YUNG SHIN" FUCOLE IBUPROFEN CAPSULES COBAMAMIDE CAPSULES "C.R." TRIMOX TABLETS "PRINCE" TRIAMCINOLONE SUSPENDED INJECTION 10MG "PRINCE" ACETAMINOPHEN TABLETS "Y.C." MEFENAMIC ACID CAPSULES "C.H." 0.32 15.20 0.52 0.58 0.62 0.30 0.37 15.10 0.80 17.80 0.80 43.20 4.66 0.87 0.22 1.00 1.07 0.60 0.67 0.20 1.50 0.80 0.94 0.88 1.00 1.50 1.30 0.50 4.13 0.66 0.50 0.40 0.36 0.80 2.00 7.50 0.86 0.25 A013175100 A013180100 A013181100 A013199209 A013205199 A013228100 A013229100 A013230100 A013247100 A013348100 A013349229 A013351100 A013361100 第 23 頁,共 382 頁 0.25 2.25 2.35 7.80 1.11 0.50 1.00 1.00 1.08 0.86 22.90 0.20 0.78 調整 刪除 刪除 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 1380 1381 A013162100 A013168100 1382 1383 A013175100 A013180100 1384 1385 A013181100 A013199209 BETAMETHASONE TABLETS "JOHNSON" METOCLOPRAMIDE S.C. TABLETS "ORIENTAL" PREDNISOLONE TABLETS "C.H." NALIDIXIC ACID TABLETS 500MG "SHINLON" URINTESTIN TABLETS 500MG "VPP" ORCIPRENALINE INJECTION "S.Y." 1386 1387 A013205199 A013228100 1388 1389 1390 1391 A013229100 A013230100 A013247100 A013339151 1392 1393 1394 A013339157 A013348100 A013349229 1395 1396 1397 1398 A013351100 A013361100 A013366100 A013381100 1399 1400 A013382100 A013403209 1401 1402 A013405100 A013408199 1403 1404 A013415100 A013429100 1405 1406 1407 1408 A013433100 A013480100 A013491100 A013503100 1409 1410 1411 A013509277 A013510338 A013511100 1412 A013520321 PANCOPAR SYRUP "BOWLIN" TRIMOX TABLETS "PRINCE" TRIAMCINOLONE SUSPENDED INJECTION 10MG "PRINCE" ACETAMINOPHEN TABLETS "Y.C." MEFENAMIC ACID CAPSULES "C.H." SINZUIN TABLETS "YUNG CHI" CORTISONE ACETATE TABLETS 25MG"PING LAWER" MAGNESIUM OXIDE TABLETS 250MG METHYLERGONOVINE MALEATE INJECTION "N.K." MEFENAMIC ACID CAPSULES "N.C.P." ERYTHROMYCIN ESTOLATE GRANULES "H.S.C." IBUPROFEN CAPSULES "H.C." NEUZYM TABLETS 30MG (LYSOZYME TABLETS 30MG) ALLOPURINOL TABLETS "MEIDER" KANMO CAPSULES "C.S." SUNSHING COUGH CAPSULES "H.H." ERGONOVINE MALEATE TABLETS "PFOSHEN" DEXSALIN INJECTION "CHI SHENG" MESENZIN OINTMENT "Y.C." CHLOROMEZANONE TABLETS "YUNG CHI" METHASONE OINTMENT "S.C." 1413 A013525100 BROMHEXINE TABLETS "PRINCE" 1414 1415 1416 1417 1418 1419 1420 1421 1422 A013531100 A013535157 A013535199 A013546100 A013547100 A013548100 A013574238 A013575209 A013575229 SEDASPA S.C. TABLETS "H.H." ANTICOUGH SYRUP WITH CODEINE ANTICOUGH SYRUP WITH CODEINE PAPAVERINE CAPSULES "C.S." ANETHOL CAPSULES "M.T." HOWELLS TABLETS "C.R." TAIBILONE INJECTION "TAI YU" PROGESTERONE INJECTION "TAI YU" PROGESTERONE INJECTION "TAI YU" 1423 1424 1425 1426 1427 1428 A013576229 A013576299 A013577212 A013577229 A013577238 A013578209 1429 A013578221 1430 A013578229 1431 1432 A013581277 A013582238 KANAMYCIN INJECTION "TAI YU" KANAMYCIN INJECTION "TAI YU" VITAMIN C INJECTION "TAI YU" VITAMIN C INJECTION "TAI YU" VITAMIN C INJECTION "TAI YU" TRIAMCINOLONE SUSPENDED INJECTION 10MG "TAI YU" TRIAMCINOLONE SUSPENDED INJECTION 10MG "TAI YU" TRIAMCINOLONE SUSPENDED INJECTION 10MG "TAI YU" AMPICILLIN SODIUM INJECTION "TAI YU" GLUCAMETHI INJECTION "TAI YU" BATHOLIN GRANULES "GENTLE" TEH LI KON ANODYNE CAPSULES(IBUPROFEN 200MG) AMOXICILLIN CAPSULES "YUNG SHIN" FUCOLE IBUPROFEN CAPSULES COBAMAMIDE CAPSULES "C.R." PANCOPAR SYRUP "BOWLIN" 100年1月 項次 支付價 0 1380 1381 0.25 0.25 1382 1383 2.25 2.35 1384 1385 7.8 1.11 1386 1387 0.5 0 1388 1 1389 0 1390 1391 14.4 28.5 1392 0 1393 1394 0 0.2 1395 0.78 1396 0.62 1397 1398 1.43 0.18 1399 1400 10 0.37 1401 1402 0.66 0.6 1403 1404 1 1 1405 1 1406 1.05 1407 1408 0.37 17.7 1409 46.2 1410 1411 0.31 1412 14.9 1413 0.29 0.64 1414 25 1415 0.15 1416 1.03 1417 1 1418 0.22 1419 1.13 1420 2.71 1421 1422 14.5 18.8 1423 1.88 1424 2.41 1425 4.83 1426 8.7 1427 1428 10.7 1429 24.9 1430 26.9 6.3 1431 3.91 1432 說明 CODE 藥品名稱 A013366100 A013381100 A013535199 A013546100 SINZUIN TABLETS "YUNG CHI" CORTISONE ACETATE TABLETS 25MG"PING LAWER" MAGNESIUM OXIDE TABLETS 250MG METHYLERGONOVINE MALEATE INJECTION "N.K." MEFENAMIC ACID CAPSULES "N.C.P." ERYTHROMYCIN ESTOLATE GRANULES "H.S.C." IBUPROFEN CAPSULES "H.C." NEUZYM TABLETS 30MG (LYSOZYME TABLETS 30MG) ALLOPURINOL TABLETS "MEIDER" KANMO CAPSULES "C.S." SUNSHING COUGH CAPSULES "H.H." ERGONOVINE MALEATE TABLETS "PFOSHEN" DEXSALIN INJECTION "CHI SHENG" MESENZIN OINTMENT "Y.C." CHLOROMEZANONE TABLETS "YUNG CHI" METHASONE OINTMENT "S.C." BROMHEXINE TABLETS "PRINCE" SEDASPA S.C. TABLETS "H.H." ANTICOUGH SYRUP WITH CODEINE "C.S.P." ANTICOUGH SYRUP WITH CODEINE PAPAVERINE CAPSULES "C.S." A013547100 A013548100 ANETHOL CAPSULES "M.T." HOWELLS TABLETS "C.R." 1.00 0.22 A013574238 A013575209 TAIBILONE INJECTION "TAI YU" PROGESTERONE INJECTION "TAI YU" 1.13 2.71 A013575229 A013576229 A013576299 A013577212 PROGESTERONE INJECTION "TAI YU" KANAMYCIN INJECTION "TAI YU" KANAMYCIN INJECTION "TAI YU" VITAMIN C INJECTION "TAI YU" 14.50 18.80 1.88 2.41 A013382100 A013403209 A013405100 A013408199 A013415100 A013429100 A013433100 A013480100 A013491100 A013503100 A013509277 A013510338 A013511100 A013520321 A013525100 A013531100 A013535157 A013577229 A013577238 A013578209 9901 支付價 0.62 1.43 0.18 10.00 0.37 0.66 0.60 1.00 1.00 1.00 1.05 0.37 17.70 46.20 0.31 刪除 刪除 刪除 刪除 14.90 0.29 0.64 25.00 0.15 1.03 VITAMIN C INJECTION "TAI YU" VITAMIN C INJECTION "TAI YU" TRIAMCINOLONE SUSPENDED INJECTION 10MG "TAI YU" A013578221 TRIAMCINOLONE SUSPENDED INJECTION 10MG "TAI YU" A013578229 TRIAMCINOLONE SUSPENDED INJECTION 10MG "TAI YU" A013581277 AMPICILLIN SODIUM INJECTION "TAI YU" A013582238 GLUCAMETHI INJECTION "TAI YU" A013583209 HYDROXOCOBALAMIN INJECTION "TAI A013583229 HYDROXOCOBALAMIN INJECTION "TAI A013591100 GRISEOFULVIN TABALETS "Y.C." A013612100 IBUPROFEN CAPSULES "HONTEN" A013631100 CARBINOXAMINE TAB. A013634100 DIPYRIDAMOLE S.C. TABLETS "YUNG A0136341G0 DIPYRIDAMOLE S.C. TABLETS "YUNG SHIN"(鋁箔) A013637212 GENTAMICIN SULFATE INJECTION "NCP" A013637229 GENTAMICIN SULFATE INJ. 10ML A013637238 GENTAMICIN SULFATE INJ. 20ML A013638100 BROMPHENIRAMINE TABLETS "J.S." A013644100 LONTEC TABLETS "H.H." A013645238 SALCON INJECTION "N.K." 4.83 8.70 10.70 A013647321 GENTASONE CREAM 14.80 A013647329 GENTASONE CREAM 37.80 A013647335 A013647399 GENTASONE CREAM GENTASONE CREAM 51.00 1.87 第 24 頁,共 382 頁 刪除 24.90 26.90 6.30 3.91 6.60 8.90 2.71 1.00 0.71 1.00 1.50 11.90 18.10 38.00 0.33 1.00 10.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 1433 1434 1435 1436 1437 1438 A013583209 A013583229 A013591100 A013612100 A013631100 A013634100 藥品名稱 1440 1441 1442 1443 1444 1445 1446 1447 HYDROXOCOBALAMIN INJECTION "TAI HYDROXOCOBALAMIN INJECTION "TAI GRISEOFULVIN TABALETS "Y.C." IBUPROFEN CAPSULES "HONTEN" CARBINOXAMINE TAB. DIPYRIDAMOLE S.C. TABLETS "YUNG SHIN" A0136341G0 DIPYRIDAMOLE S.C. TABLETS "YUNG SHIN"(鋁箔) A013637212 GENTAMICIN SULFATE INJECTION A013637229 GENTAMICIN SULFATE INJECTION A013637238 GENTAMICIN SULFATE INJECTION A013638100 BROMPHENIRAMINE TABLETS "J.S." A013644100 LONTEC TABLETS "H.H." A013645238 SALCON INJECTION "N.K." A013647321 GENTASONE CREAM A013647329 GENTASONE CREAM 1448 A013647335 1449 1450 1451 1469 1470 1471 1472 1473 1474 1475 1476 1477 1478 1479 1480 1481 A013647399 GENTASONE CREAM A013650100 INAVITA TABLETS "WINSTON" A0136501G0 INAVITA TABLETS "WINSTON"(鋁箔/膠 箔) A013651229 FELINAMIN INJECTION "CHI SHENG" A013651238 FELINAMIN INJECTION "CHI SHENG" A013662100 METRONIDAZOLE CAPSULES "C.H." A013664100 METRONIDAZOLE CAPSULES 250MG "SHINLON" A0136641G0 METRONIDAZOLE CAPSULES 250MG "SHINLON"(鋁箔/膠箔) A013666100 RELAX ANALGESIC TABLETS 500MG A013679229 LINCOMYCIN INJECTION "SWISS" A013710100 NALIDIXIC ACID TABLETS "C.I." A013711100 CHLORAMPHENICOL CAPSULES 250MG A013712100 ERYTHROMYCIN CAPSULES 250MG "C.I." A013713100 AMPICILLIN CAPSULES 250MG "C.I." A013714100 ERGOMETRINE MALEATE S.C. TABLETS A013718209 5%/0.45% DEXTROSE AND SODIUM CHLORIDE INJECTION "Y.F." A013718277 5%/0.45% DEXTROSE AND SODIUM CHLORIDE INJECTION "Y.F." A013719100 LIBUSE S.C. TABLETS "JEN SHENG" A013720100 MEFENAMIC ACID CAPSULES "JEN SHENG" A013722500 METRONIDAZOLE SUPPOSITORIES "EAYUNG" A013723100 CHLORZOXAZONE TABLETS "PFOSHEN" A013727100 TETRACYCLINE HCL CAPSULES 250MG A013728100 PREDNISOLONE TABLETS "C.I." A013741100 GLYCERYL GUAIACOLATE TABLETS A013743100 PYRITHIOXIN S.C. TABLETS A013744100 CONJUGATED ESTROGEN S.C. TABLETS A013748100 AMITRIPTYLINE S.C. TABLETS A013751100 VALETHAMATE S.C. TABLETS A013761100 TINIDAZOLE TABLETS "HONTEN" A013766100 METOCLOPRAMIDE S.C. TABLETS A013778100 NO-COUGH CAPSULES "M.T." A0137781G0 NO-COUGH CAPSULES "M.T."(鋁箔/膠箔) A013796100 BETAMETHASONE TABLETS "SHINLON" 1482 A013800100 1483 A013801100 1439 100年1月 支付價 6.6 8.9 2.71 1 0.71 項次 CODE 1433 1434 1435 1436 1437 1438 A013650100 A0136501G0 A013651229 A013651238 A013662100 A013664100 0 1439 1.5 11.9 18.1 38 0.33 1 10 14.8 1440 1441 1442 1443 1444 1445 1446 1447 37.8 1452 1453 1454 1455 1456 1457 1458 1459 1460 1461 1462 1463 1464 1465 1466 1467 1468 1484 1485 1486 1487 1488 GENTASONE CREAM WILCON U TABLETS "C.Y." DIPYRIDAMOLE S.C. TABLETS "STANDARD" A0138011G0 DIPYRIDAMOLE S.C. TABLETS "STANDARD"(鋁箔) A013817265 AMINOPLEX INJECTION "TAI YU" A013817266 AMINOPLEX INJECTION "TAI YU" A013817277 AMINOPLEX INJECTION "TAI YU" A013876100 IBUPROFEN CAPSULES "S.T." 1448 51 1.87 1449 0.25 1450 1451 1.5 42.4 1452 6.9 1453 1 1454 1455 1 1456 1.5 0.5 1457 23.5 1458 2.09 1459 0.7 1460 1.21 1461 1 1462 0.2 1463 1464 38.6 1465 20 0.62 1466 1467 0.37 1468 2.39 0.45 1469 0.63 1470 0.3 1471 0.45 1472 2.2 1473 2.96 1474 0.76 1475 0.4 1476 2.18 1477 0.2 1478 1 1479 1.5 1480 1481 0.32 1482 1.91 1483 1 1484 1.5 111 1485 91 1486 63 1487 0.89 1488 藥品名稱 INAVITA TABLETS "WINSTON" INAVITA TABLETS "WINSTON"(鋁箔/膠 FELINAMIN INJECTION "CHI SHENG" FELINAMIN INJECTION "CHI SHENG" METRONIDAZOLE CAPSULES "C.H." METRONIDAZOLE CAPSULES 250MG "SHINLON" A0136641G0 METRONIDAZOLE CAPSULES 250MG "SHINLON"(鋁箔/膠箔) A013666100 RELAX ANALGESIC TABLETS 500MG A013679229 LINCOMYCIN INJECTION "SWISS" A013710100 NALIDIXIC ACID TABLETS "C.I." A013711100 CHLORAMPHENICOL CAPSULES 250MG A013712100 ERYTHROMYCIN CAPSULES 250MG "C.I." A013713100 AMPICILLIN CAPSULES 250MG "C.I." A013714100 ERGOMETRINE MALEATE S.C. TABLETS A013718209 5%/0.45% DEXTROSE AND SODIUM CHLORIDE INJECTION "Y.F." A013718277 5%/0.45% DEXTROSE AND SODIUM CHLORIDE INJECTION "Y.F." A013719100 LIBUSE S.C. TABLETS "JEN SHENG" A013720100 MEFENAMIC ACID CAPSULES "JEN A013722500 METRONIDAZOLE SUPPOSITORIES "PFOSHEN" A013723100 CHLORZOXAZONE TABLETS "PFOSHEN" A013727100 TETRACYCLINE HCL CAPSULES 250MG A013728100 PREDNISOLONE TABLETS "C.I." A013741100 GLYCERYL GUAIACOLATE TABLETS "N.T." A013743100 PYRITHIOXIN S.C. TABLETS 說明 9901 支付價 0.25 1.50 42.40 6.90 1.00 1.00 刪除 1.50 0.50 23.50 2.09 0.70 1.21 1.00 0.20 38.60 20.00 0.62 0.37 2.39 0.45 0.63 0.30 0.45 2.20 A013744100 A013748100 A013751100 A013761100 A013766100 A013778100 A0137781G0 A013796100 CONJUGATED ESTROGEN S.C. TABLETS AMITRIPTYLINE S.C. TABLETS VALETHAMATE S.C. TABLETS TINIDAZOLE TABLETS "HONTEN" METOCLOPRAMIDE S.C. TABLETS NO-COUGH CAPSULES "M.T." NO-COUGH CAPSULES "M.T."(鋁箔/膠箔) BETAMETHASONE TABLETS "SHINLON" 2.96 0.76 0.40 2.18 0.20 1.00 1.50 0.32 A013800100 WILCON U TABLETS "C.Y." 1.91 A013801100 DIPYRIDAMOLE S.C. TABLETS A0138011G0 DIPYRIDAMOLE S.C. TABLETS "STANDARD"(鋁箔) A013817265 AMINOPLEX INJECTION "TAI YU" A013817266 A013817277 A013876100 A013879100 A013900100 A013906238 A013907238 A013912209 A013912229 A013914100 A0139141G0 A013920277 A013929238 1.00 1.50 111.00 91.00 63.00 0.89 0.42 2.36 4.50 4.50 3.33 16.00 0.90 1.50 10.30 3.62 A013955100 AMINOPLEX INJECTION "TAI YU" AMINOPLEX INJECTION "TAI YU" IBUPROFEN CAPSULES "S.T." COLD CAPSULES "S.T." NALIDIXIC ACID TABLETS VITAGEN-SF INJECTION VITAGEN-S INJECTION DEXAMETHASONE INJECTION DEXAMETHASONE INJECTION CETYL TABLETS "S.C." CETYL TABLETS "S.C."(鋁箔/膠箔) CEFAZOLIN INJECTION DEXTROSE-LACTATED RINGER'S INJECTION "TAI YU" DEXTROSE-LACTATED RINGER'S INJECTION "TAI YU" DEXTROSE-LACTATED RINGER'S INJECTION "TAI YU" ORCIPRENALINE TABLETS "S.Y." A013964238 A013964277 A013969100 A013980238 XYLITOL INJECTION "S.Y." XYLITOL INJECTION "S.Y." DEXTROMETHORPHAN TABLETS "Y.C." DEXTROSE INJECTION 20% "TAI YU" 3.31 21.10 0.55 2.70 A013929265 A013929277 第 25 頁,共 382 頁 25.90 36.50 1.47 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 1489 1490 1491 1492 1493 1494 1495 1496 1497 1498 1499 1500 1501 1502 1503 1504 1505 1506 1507 1508 1509 1510 1511 1512 1513 1514 1515 1516 1517 1518 1519 1520 1521 1522 1523 1524 1525 1526 1527 1528 1529 1530 1531 1532 1533 1534 1535 1536 1537 1538 1539 1540 1541 1542 1543 CODE 藥品名稱 100年1月 項次 支付價 0.42 1489 A013879100 COLD CAPSULES "S.T." 2.36 1490 A013900100 NALIDIXIC ACID TABLETS A013906238 VITAGEN-SF INJECTION 1491 4.5 4.5 1492 A013907238 VITAGEN-S INJECTION 3.33 1493 A013912209 DEXAMETHASONE INJECTION 16 1494 A013912229 DEXAMETHASONE INJECTION 0.9 1495 A013914100 CETYL TABLETS "S.C." 1.5 1496 A0139141G0 CETYL TABLETS "S.C."(鋁箔/膠箔) 10.3 1497 A013920277 CEFAZOLIN INJECTION A013929238 DEXTROSE-LACTATED RINGER'S 1498 3.62 INJECTION "TAI YU" A013929265 DEXTROSE-LACTATED RINGER'S 1499 25.9 INJECTION "TAI YU" A013929277 DEXTROSE-LACTATED RINGER'S 1500 36.5 INJECTION "TAI YU" 1.47 1501 A013955100 ORCIPRENALINE TABLETS "S.Y." 3.31 1502 A013964238 XYLITOL INJECTION "S.Y." 21.1 1503 A013964277 XYLITOL INJECTION "S.Y." 0.55 1504 A013969100 DEXTROMETHORPHAN TABLETS "Y.C." 2.7 1505 A013980238 DEXTROSE INJECTION 20% "TAI YU" 21.2 1506 A013980277 DEXTROSE INJECTION 20% "TAI YU" 2.25 1507 A013981209 ESTRADIOL BENZOATE INJECTION "TAI A013985209 TESTOSTERONE CYPIONATE INJECTION 1508 15.4 "TAI YU" A013990100 CHUWEIYU GRANULES "J.H." 1509 1.32 A014015100 SPIRONOLACTONE TABLETS 1510 1.29 1.87 1511 A014025100 KENTAMIN CAPSULES 2.54 1512 A014030212 METOCLOPRAMIDE INJECTION "TAI YU" 1.21 1513 A014040100 CEPHALEXIN CAPSULES "C.I." A014044100 PIPRINHYDRINATE S.C. TABLETS "Y.S." 1514 0.5 0 1515 A014079100 CLONIDINE TABLETS "YUNG SHIN" 3.25 1516 A014081109 CEPHANMYCIN GRANULES "YUNG SHIN" 2.22 1517 A014088100 ZUNO-NATHASID TABLETS "Y.C." 3 1518 A014092209 PYRIDOXAL PHOSPHATE INJECTION A014093238 GISALCON INJECTION "Y.Y." 1519 7.7 1 1520 A014102100 AMOXICILLIN CAPSULES "C.I." 2.61 1521 A014108100 SPAGASTROL TABLETS "SWISS" 1.57 1522 A014111100 PHLOROPROPIOPHENONE CAPSULES 77 1523 A014118335 FUMEI OINTMENT "IDEAL" 0.3 1524 A014121100 BROMHEXINE TABLETS "ASTAR" A014148212 HYDROXOCOBALAMIN INJECTION "CHI 1525 8.2 SHENG" A014148229 HYDROXOCOBALAMIN INJECTION "CHI 1526 22.4 SHENG" A014148299 HYDROXOCOBALAMIN INJECTION 1527 2.24 5MG/ML "CHI SHENG" 4.41 1528 A014152212 LINCOMYCIN INJECTION " K.S." A014152229 LINCOMYCIN INJECTION " K.S." 1529 16.9 1 1530 A014154100 ALLOPURINOL TABLETS "STANDARD" A0141541G0 ALLOPURINOL TABLETS "STANDARD"(鋁 1531 1.5 箔/膠箔) 0.5 1532 A014170100 DEXAMETHASONE TABLETS "YUNG CHI" 1.23 1533 A014171100 CEPHALEXIN CAPSULES "Y.Y." 0.51 1534 A014183100 DEXAMETHASONE TABLETS "WINSTON" 0.8 1535 A014184100 PREDNISOLONE TABLETS "WINSTON" A0141841G0 PREDNISOLONE TABLETS "WINSTON"( 1536 1.5 鋁箔/膠箔) 0.37 1537 A014185100 DEXTROMETHORPHAN TABLETS A014195100 D.A.A. TABLETS "F.Y." 1538 1.27 1.81 1539 A014205238 SURPLEX INJECTION "CHI SHENG" 30.4 1540 A014205277 SURPLEX INJECTION "CHI SHENG" 0.78 1541 A014220100 ANTICOLD CAPSULES "C.S." 2.03 1542 A014224212 VITAMIN B12 INJECTION "LITA" 8.3 1543 A014224229 VITAMIN B12 INJECTION "LITA" 說明 CODE 藥品名稱 A013980277 A013981209 A013985209 A013990100 A014015100 A014025100 A014030212 A014040100 A014044100 A014079100 DEXTROSE INJECTION 20% "TAI YU" ESTRADIOL BENZOATE INJECTION "TAI TESTOSTERONE CYPIONATE INJECTION "TAI YU" CHUWEIYU GRANULES "J.H." SPIRONOLACTONE TABLETS KENTAMIN CAPSULES METOCLOPRAMIDE INJECTION "TAI YU" CEPHALEXIN CAPSULES "C.I." PIPRINHYDRINATE S.C. TABLETS "Y.S." CLONIDINE TABLETS "YUNG SHIN" A014081109 CEPHANMYCIN GRANULES "YUNG SHIN" 3.25 A014088100 ZUNO-NATHASID TABLETS "Y.C." 2.22 A014092209 A014093238 A014102100 A014108100 A014111100 A014118335 A014121100 A014148212 PYRIDOXAL PHOSPHATE INJECTION GISALCON INJECTION "Y.Y." AMOXICILLIN CAPSULES "C.I." SPAGASTROL TABLETS "SWISS" PHLOROPROPIOPHENONE CAPSULES FUMEI OINTMENT "IDEAL" BROMHEXINE TABLETS "ASTAR" HYDROXOCOBALAMIN INJECTION "CHI SHENG" A014148229 HYDROXOCOBALAMIN INJECTION "CHI SHENG" A014148299 HYDROXOCOBALAMIN INJECTION 5MG/ML "CHI SHENG" A014152212 LINCOMYCIN INJECTION " K.S." A014152229 LINCOMYCIN INJECTION " K.S." A014154100 ALLOPURINOL TABLETS "STANDARD" A0141541G0 ALLOPURINOL TABLETS "STANDARD"(鋁 箔/膠箔) A014170100 DEXAMETHASONE TABLETS "YUNG CHI" A014171100 CEPHALEXIN CAPSULES "Y.Y." A014183100 DEXAMETHASONE TABLETS "WINSTON" A014184100 PREDNISOLONE TABLETS "WINSTON" A0141841G0 PREDNISOLONE TABLETS "WINSTON"( 鋁箔/膠箔) A014185100 DEXTROMETHORPHAN TABLETS A014195100 D.A.A. TABLETS "F.Y." A014205238 SURPLEX INJECTION "CHI SHENG" A014205277 SURPLEX INJECTION "CHI SHENG" A014220100 ANTICOLD CAPSULES "C.S." A014224212 VITAMIN B12 INJECTION "LITA" A014224229 VITAMIN B12 INJECTION "LITA" A014227100 BETAMETHASONE TABLETS "YUNG SHIN" A014228100 ALLOPURINOL TABLETS"YUNGSHIN" A0142281G0 ALLOPURINOL TABLETS"YUNGSHIN"(鋁 箔/膠箔) A014230100 OXESILIN TABLETS "JOHNSON" A014233100 RIFAMPICIN CAPSULES "WINSTON" A014235100 A014238399 A0142383AN A014241212 A014258100 GUAPYNG TABLETS ZINC OXIDE OINT. ZINC OXIDE OINTMENT "WST" DIPROPHYLLIN INJECTION "TAI YU" KAIZOLE TABLETS (MEBENDAZOLE) A014274100 ERYTHROMYCIN CAPSULES "UNION" A0142741G0 ERYTHROMYCIN CAPSULES "UNION"(鋁 箔/膠箔) A014277100 SAUSCON TABLETS "ORIENT" A014287100 TRIAMCINOLONE TABLETS "PFOSHEN" A014304212 ANTICOUGH INJECTION "PATRON" A014318212 PATOMIN INJECTION "PATRON" A014320435 NAZAMINE NASAL DROPS "PATRON" 第 26 頁,共 382 頁 9901 支付價 21.20 2.25 15.40 1.32 1.39 1.87 2.54 1.21 0.50 1.00 3.00 7.70 1.00 2.61 1.57 77.00 0.30 8.20 22.40 2.24 調整 4.41 16.90 1.00 1.50 0.50 1.23 0.51 0.80 1.50 0.37 1.27 1.81 30.40 0.78 2.03 8.30 0.83 1.00 1.50 0.85 5.40 0.45 0.18 41.80 4.56 1.51 0.90 1.50 0.83 0.63 3.50 3.62 34.20 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 1544 1545 1546 1547 1548 1549 1550 1551 1552 1553 1554 1555 1556 1557 1558 1559 1560 1561 1562 1563 1564 1565 1566 1567 1568 1569 1570 1571 1572 1573 1574 1575 1576 1577 1578 1579 1580 1581 1582 1583 1584 1585 1586 1587 1588 1589 1590 1591 1592 1593 1594 1595 1596 1597 1598 CODE 藥品名稱 100年1月 項次 支付價 A014227100 BETAMETHASONE TABLETS "YUNG 1544 0.83 SHIN" 0 1545 A014228100 ALLOPURINOL TABLETS"YUNGSHIN" A0142281G0 ALLOPURINOL TABLETS"YUNGSHIN"(鋁 1546 1.5 箔/膠箔) 0.85 1547 A014230100 OXESILIN TABLETS "JOHNSON" 5.4 1548 A014233100 RIFAMPICIN CAPSULES "WINSTON" 0.45 1549 A014235100 GUAPYNG TABLETS 0.18 1550 A014238399 ZINC OXIDE OINT. A0142383AN ZINC OXIDE OINTMENT "WST" 1551 41.8 A014241212 DIPROPHYLLIN INJECTION "TAI YU" 1552 4.56 0 1553 A014258100 KAIZOLE TABLETS (MEBENDAZOLE) 0.9 1554 A014274100 ERYTHROMYCIN CAPSULES "UNION" A0142741G0 ERYTHROMYCIN CAPSULES "UNION"(鋁 1555 1.5 箔/膠箔) 0.83 1556 A014277100 SAUSCON TABLETS "ORIENT" A014287100 TRIAMCINOLONE TABLETS "PFOSHEN" 1557 0.63 3.5 1558 A014304212 ANTICOUGH INJECTION "PATRON" 3.62 1559 A014318212 PATOMIN INJECTION "PATRON" 34.2 1560 A014320435 NAZAMINE NASAL DROPS "PATRON" A014321421 PAMESONE OPHTHALMIC SOLUTION 1561 15.2 "PATRON" A014325209 DEXAMETHASONE INJECTION "TAI YU" 1562 3.08 A014325229 DEXAMETHASONE INJECTION "TAI YU" 1563 9.2 0.65 1564 A014328100 SMOOTH TABLETS 0.68 1565 A014331100 FLAMBACK TABLETS 0.5 1566 A014332100 KOTOWI TABLETS 1 1567 A014343100 COBAMAMIDE CAPSULES "HONTEN" A014346100 HYDROCHLOROTHIAZIDE TABLETS 1568 0.22 "SHINLON" A014348100 METHYLSCOPOLAMINE 1569 0.6 METHYLSULFATE S.C. TABLETS "S.S.P." 10 1570 A014350212 GENTAMICIN INJECTION 40MG/ML "Y.F." 1.26 1571 A014350299 GENTAMICIN INJ. 40MG/ML 21.1 1572 A014354277 XYLITOL INJECTION 5% "TAI YU" 2.55 1573 A014355209 ATROPINE SULFATE INJECTION "TAI YU" A014356209 TESTOSTERONE PROPIONATE INJECTION 1574 2.49 "TAI YU" 9.3 1575 A014357238 PYRICOBAMIN INJECTION "TAI YU" 16.6 1576 A014359209 ESTRADIOL CYPIONATE INJECTION "TAI 3.62 1577 A014360212 SKIMITIN INJECTION "TAI YU" 5 1578 A014360238 SKIMITIN INJECTION "TAI YU" A014361209 NEOSTIGMINE METHYLSULFATE 1579 1.83 INJECTION "TAI YU" A014363209 ERGONOVINE MALEATE INJECTION "TAI 1580 2.02 YU" 0.37 1581 A014395100 DEXAMETHASONE TABLETS "C.I." 0.16 1582 A014416199 METOCLOPRAMIDE SYRUP 100MG 0.78 1583 A014418100 KOWELL-U TABLETS 1.03 1584 A014427100 CLOFIBRATE CAPSULES 250MG 0 1585 A014435399 VENAPAS-A OINTMENT A014441221 BLONDA INJECTION 5% (TRANEXAMIC 1586 10.9 ACID) "C.C.P. 1 1587 A014447100 BROMELAIN ENTERIC S.C. TABLETS 2.25 1588 A014449100 COUGH CAPSULES "PATRON" 0.19 1589 A014453199 COTONPIN SYRUP 6.2 1590 A014456238 AMINO COMPOSITE INJECTION "TAI YU" 0.39 1591 A014459100 BUCLIZINE TABLETS 0.35 1592 A014461100 AIPATRON S.C. TABLETS "PATRON" 28.8 1593 A014552265 SORBIT-SALINE INJECTION 46.7 1594 A014552277 SORBIT-SALINE INJECTION 2.93 1595 A014596500 NYSTATIN VAGINAL TABLETS "YUNG 0.29 1596 A014601399 NITROFURAZONE OINTMENT "GENTLE" A014604100 METHYLSCOPOLAMINE 1597 0.6 METHYLSULFATE TABLETS "C.S." 0.3 1598 A014607100 ACETAMINOPHEN TABLETS 500MG CODE 藥品名稱 A014321421 PAMESONE OPHTHALMIC SOLUTION "PATRON" DEXAMETHASONE INJECTION "TAI YU" DEXAMETHASONE INJECTION "TAI YU" A014325209 A014325229 A014328100 A014331100 A014332100 A014343100 A014346100 A014348100 A014350212 A014350299 A014354277 A014355209 A014356209 A014357238 A014359209 A014360212 A014360238 A014361209 SMOOTH TABLETS FLAMBACK TABLETS KOTOWI TABLETS COBAMAMIDE CAPSULES "HONTEN" HYDROCHLOROTHIAZIDE TABLETS "SHINLON" METHYLSCOPOLAMINE METHYLSULFATE S.C. TABLETS "S.S.P." GENTAMICIN INJECTION 40MG/ML "Y.F." GENTAMICIN INJ. 40MG/ML XYLITOL INJECTION 5% "TAI YU" ATROPINE SULFATE INJECTION "TAI YU" TESTOSTERONE PROPIONATE INJECTION "TAI YU" PYRICOBAMIN INJECTION "TAI YU" ESTRADIOL CYPIONATE INJECTION "TAI SKIMITIN INJECTION "TAI YU" SKIMITIN INJECTION "TAI YU" 說明 9901 支付價 15.20 3.08 9.20 0.65 0.68 0.50 1.00 0.22 0.60 10.00 1.26 21.10 9.30 16.60 3.62 5.00 1.83 10.90 A014447100 A014449100 A014453199 A014456238 A014459100 BLONDA INJECTION 5% (TRANEXAMIC ACID) "C.C.P. BROMELAIN ENTERIC S.C. TABLETS COUGH CAPSULES "PATRON" COTONPIN SYRUP AMINO COMPOSITE INJECTION "TAI YU" BUCLIZINE TABLETS A014461100 A014552265 A014552277 A014596500 A014601399 AIPATRON S.C. TABLETS "PATRON" SORBIT-SALINE INJECTION SORBIT-SALINE INJECTION NYSTATIN VAGINAL TABLETS "YUNG NITROFURAZONE OINTMENT "GENTLE" 0.35 28.80 46.70 2.93 0.29 A014604100 METHYLSCOPOLAMINE METHYLSULFATE TABLETS "C.S." ACETAMINOPHEN TABLETS 500MG GENTAMYCIN INJECTION "PANBIOTIC" GENTAMYCIN INJECTION "PANBIOTIC" OXYMETAZOLINE SPRAY "CURIE" FUTIGEN-H INJECTION "S.Y." FUTIGEN-H INJECTION "S.Y." 0.60 A014395100 A014416199 A014418100 A014427100 A014435399 A014441221 A014607100 A014614212 A014614229 A014620435 A014622212 A014622221 A014622238 A014623100 A014624100 A014664229 A014665100 A014692100 A014704100 A014722199 A014733100 A014739100 A014746100 A014749100 第 27 頁,共 382 頁 FUTIGEN-H INJECTION "S.Y." ANETHOLE CAPSULES "Y.C." BUPROFEN CAPSULES 400MG "LITA" DEXAMETHASONE INJECTION CHLORDIAZEPOXIDE CAPSULES DEXAMETHASONE TABLETS METOCLOPRAMIDE S.C. TABLETS "C.I." SAULONLU SOLUTION "Y.Y." PUSKO S.C. TABLETS "CHEN TA" ORCIRIMINE CAPSULES "C.R." SCOPOLAMINE BUTYLBROMIDE CAPSULES "YUNG CHI" ACETAMINOPHEN TABLETS "JINUP" 刪除 2.55 2.49 NEOSTIGMINE METHYLSULFATE INJECTION "TAI YU" ERGONOVINE MALEATE INJECTION "TAI YU" DEXAMETHASONE TABLETS "C.I." METOCLOPRAMIDE SYRUP 100MG KOWELL-U TABLETS CLOFIBRATE CAPSULES 250MG VENAPAS-A OINTMENT A014363209 刪除 2.02 0.37 0.16 0.78 1.03 1.80 1.00 2.25 0.19 6.20 0.39 0.30 7.50 14.50 17.50 1.36 3.90 9.70 0.67 1.00 16.00 0.50 0.31 0.25 0.09 0.77 0.54 0.73 0.30 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 1599 1600 1601 1602 1603 A014614212 A014614229 A014620435 A014622212 A014622221 GENTAMYCIN INJECTION "PANBIOTIC" GENTAMYCIN INJECTION "PANBIOTIC" OXYMETAZOLINE SPRAY "CURIE" FUTIGEN-H INJECTION "S.Y." FUTIGEN-H INJECTION "S.Y." 1604 1605 1606 1607 1608 1609 1610 A014622238 A014623100 A014624100 A014664229 A014665100 A014692100 A014704100 FUTIGEN-H INJECTION "S.Y." ANETHOLE CAPSULES "Y.C." BUPROFEN CAPSULES 400MG "LITA" DEXAMETHASONE INJECTION CHLORDIAZEPOXIDE CAPSULES DEXAMETHASONE TABLETS METOCLOPRAMIDE S.C. TABLETS "C.I." 1611 1612 1613 A014722199 A014733100 A014739100 SAULONLU SOLUTION "Y.Y." PUSKO S.C. TABLETS "CHEN TA" ORCIRIMINE CAPSULES "C.R." 1614 A014746100 1615 1616 1617 1618 A014749100 A014750229 A014755100 A014756209 SCOPOLAMINE BUTYLBROMIDE CAPSULES "YUNG CHI" ACETAMINOPHEN TABLETS "JINUP" LICOMYCIN INJECTION 300MG/ML "C.S.P." DIKUTON TABLETS PENICILLIN G SODIUM INJECTION "Y.F." 1619 1620 A014756216 A014756229 1621 1622 1623 1624 1625 A014759209 A014759229 A014769100 A014779100 A014783100 PENICILLIN G SODIUM INJECTION "Y.F." PENICILLIN G SODIUM INJECTION 10000000U "Y.F." B-COMPLEX INJECTION "TAI YU" B-COMPLEX INJECTION "TAI YU" MEBENDAZOLE TABLETS "Y.C." BAENTA S.C. TABLETS "Y.S." MEFENAMIC ACID CAPSULES "WST" 1626 A014791100 IBUPROFEN CAPSULES 1627 A014823100 1628 1629 1630 A014832199 A014833100 A014842100 1631 1632 1633 1634 1635 A014845100 A014864100 A014865100 A014873100 A014880100 1636 1637 1638 1639 A014894212 A014894299 A014900229 A014900238 ACETAMINOPHEN TABLETS 500MG "CHI SHENG" EPILON POWDER "YUNG SHIN" CHOLAR S.C. TABLETS 25MG "YUNG DEXTROMETHORPHAN TABLETS 30MG "LITA" FULUCON TABLETS "S.T." DEMETHOR TABLETS "CHI SHENG" IBUFEN TABLETS "S.C." IBUPROFEN S.C. TABLETS "J.S." METHYLSCOPOLAMINE METHYLSULFASTE TABLETS "S.Y." GENTAMICIN INJECTION 4% "TAI YU" GENTAMICIN INJ. 4% LINCOMYCIN INJECTION "PRINCE" LINCOMYCIN INJECTION "PRINCE" 1640 1641 1642 A014909100 A014912100 A014914209 1643 A014914221 1644 A014914229 1645 1646 1647 1648 1649 1650 1651 1652 1653 A014915329 A014915373 A014915399 A014917100 A014922100 A014926212 A014929100 A014930100 A014932100 MEFENAMIC ACID CAPSULES "PFOSHEN" NALIDIXIC ACID TABLETS "CHI SHENG" TRIAMCINOLONE SUSPENDED INJECTION 4% "TAI YU" TRIAMCINOLONE SUSPENDED INJECTION 4% "TAI YU" TRIAMCINOLONE SUSPENDED INJECTION 4% "TAI YU" FLUCORTONE OINT. FLUCORTONE OINT. FLUCORTONE OINTMENT "TAI YU" FERACON F.C. TABLETS NOSOUTIN TABLETS "ORIENTAL" BROMHEXINE INJECTION "S.Y." BETAMETHASONE TABLETS "C.I." CHLORZOXAZONE TABLETS "WINSTON" AMOXICILLIN CAPSULES "Y.Y." 100年1月 支付價 7.5 14.5 7 1.36 3.9 9.7 0.67 1 16 0.5 0.31 項次 CODE 1599 1600 1601 1602 1603 A014750229 A014755100 A014756209 A014756216 A014756229 1604 1605 1606 1607 1608 1609 1610 A014759209 A014759229 A014769100 A014779100 A014783100 A014791100 A014823100 0.25 0.09 1611 0.77 1612 1613 0.54 1614 0.73 0.3 1615 16.9 1616 1.14 1617 1618 7.83 20 1619 1620 45 1.81 1621 8.9 1622 0.75 1623 1 1624 1625 0.37 1626 1 1627 0.28 1.1 1628 0 1629 1630 0.62 0.5 1631 0.37 1632 0.5 1633 0.73 1634 1635 0.6 10 1636 1.26 1637 26.7 1638 1639 40.6 0.37 1640 2.09 1641 1642 19.8 1643 47.2 1644 69 22.9 1645 688 1646 1.51 1647 2.04 1648 0.86 1649 5 1650 0.32 1651 0.8 1652 1 1653 A014832199 A014833100 A014842100 A014845100 A014864100 A014865100 A014873100 A014880100 A014894212 A014894299 A014900229 A014900238 A014909100 A014912100 A014914209 說明 藥品名稱 9901 支付價 LICOMYCIN INJECTION 300MG/ML "C.S.P." 16.90 DIKUTON TABLETS 1.14 PENICILLIN G SODIUM INJECTION "Y.F." 7.83 PENICILLIN G SODIUM INJECTION "Y.F." 20.00 PENICILLIN G SODIUM INJECTION 45.00 10000000U "Y.F." B-COMPLEX INJECTION "TAI YU" 1.81 B-COMPLEX INJECTION "TAI YU" 8.90 MEBENDAZOLE TABLETS "Y.C." 0.75 BAENTA S.C. TABLETS "Y.S." 1.00 MEFENAMIC ACID CAPSULES "WST" 0.37 IBUPROFEN CAPSULES 1.00 ACETAMINOPHEN TABLETS 500MG "CHI 0.28 SHENG" EPILON POWDER "YUNG SHIN" 1.10 CHOLAR S.C. TABLETS 25MG "YUNG 0.79 DEXTROMETHORPHAN TABLETS 30MG 0.62 "LITA" FULUCON TABLETS "S.T." 0.50 DEMETHOR TABLETS "CHI SHENG" IBUFEN TABLETS "S.C." IBUPROFEN S.C. TABLETS "J.S." METHYLSCOPOLAMINE METHYLSULFASTE TABLETS "S.Y." GENTAMICIN INJECTION 4% "TAI YU" GENTAMICIN INJ. 4% 0.37 0.50 0.73 0.60 10.00 1.26 A014915329 A014915373 A014915399 LINCOMYCIN INJECTION "PRINCE" LINCOMYCIN INJECTION "PRINCE" MEFENAMIC ACID CAPSULES "PFOSHEN" NALIDIXIC ACID TABLETS "CHI SHENG" TRIAMCINOLONE SUSPENDED INJECTION 4% "TAI YU" TRIAMCINOLONE SUSPENDED INJECTION 4% "TAI YU" TRIAMCINOLONE SUSPENDED INJECTION 4% "TAI YU" FLUCORTONE OINT. FLUCORTONE OINT. FLUCORTONE OINTMENT "TAI YU" A014917100 A014922100 A014926212 A014929100 A014930100 FERACON F.C. TABLETS NOSOUTIN TABLETS "ORIENTAL" BROMHEXINE INJECTION "S.Y." BETAMETHASONE TABLETS "C.I." CHLORZOXAZONE TABLETS "WINSTON" A014932100 A014975100 A014981209 A015021100 A015029212 A015029229 A015029238 AMOXICILLIN CAPSULES "Y.Y." CINNARIZINE TABLETS "TK&A." CLONIDINE INJECTION "YUNG SHIN" GUAIAZULENE SODIUM SULFONATE TABLETS "YUNG CHI" CARLMYCIN INJECTION 250MG/ML CARLMYCIN INJECTION 250MG/ML CARLMYCIN INJECTION 250MG/ML A015030100 ZUNTON TABLETS "C.S." 0.45 A015033100 PSEUDOEPHEDRINE TABLETS "CURIE" 0.40 A015034100 A015041100 A015042100 A015056238 A015065100 A015078100 A0150781G0 A015080329 A015085100 ACETAMINOPHEN TABLETS "C.R" KETOFEN CAPSULES "H.H." PROPRANOLOL TABLETS 10MG DEXTROSE INJECTION 50% "TAI YU" LITONBA TABLETS "Y.S." DIPHENIDOL S.C. TABLETS DIPHENIDOL S.C. TABLETS(鋁箔) Y.T.M. OINTMENT "TAI YU" COLD CAPSULES "HONTEN" A014914221 A014914229 第 28 頁,共 382 頁 調整 26.70 40.60 0.37 2.09 19.80 47.20 69.00 22.90 688.00 1.51 2.04 0.86 5.00 0.32 0.80 1.00 0.25 37.00 1.10 4.16 16.90 26.60 0.49 1.21 0.24 2.70 0.94 1.00 1.50 28.00 1.36 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 1654 A014975100 CINNARIZINE TABLETS "H.S." 1655 A014981209 CLONIDINE INJECTION "YUNG SHIN" 1656 A015021100 1657 1658 1659 1660 1661 A015029212 A015029229 A015029238 A015030100 A015033100 GUAIAZULENE SODIUM SULFONATE TABLETS "YUNG CHI" CARLMYCIN INJECTION 250MG/ML CARLMYCIN INJECTION 250MG/ML CARLMYCIN INJECTION 250MG/ML ZUNTON TABLETS "C.S." PSEUDOEPHEDRINE TABLETS "CURIE" 1662 1663 1664 1665 1666 1667 1668 1669 1670 A0150331G0 PSEUDOEPHEDRINE TABLETS "CURIE"(鋁 箔/膠箔) A015034100 ACETAMINOPHEN TABLETS "C.R" A015041100 KETOFEN CAPSULES "H.H." A0150411G0 KETOFEN CAPSULES "H.H."(鋁箔/膠箔) A015042100 PROPRANOLOL TABLETS 10MG A015056238 DEXTROSE INJECTION 50% "TAI YU" A015065100 LITONBA TABLETS "Y.S." A015078100 DIPHENIDOL S.C. TABLETS A0150781G0 DIPHENIDOL S.C. TABLETS(鋁箔) 1671 1672 A015080329 A015085100 1673 A015090100 Y.T.M. OINTMENT "TAI YU" COLD CAPSULES "HONTEN" 1693 1694 1695 1696 PSEUDOEPHEDRINE HCL TABLETS "HONTEN" A0150901G0 PSEUDOEPHEDRINE HCL TABLETS "HONTEN"(鋁箔/膠箔) A015091100 KETOPROFEN CAPSULES 50MG "F.Y." A015100100 RIF CAPSULES 450MG A015118100 RIFAMPIN CAPSULES 150MG "WINSTON" A015180212 COLISTIN INJECTION "ORIENTAL" A015190100 DIMETHICONE TABLETS "S.Y." A015195100 NARCARICIN CAPSULES (BENZBROMARONE) "SWISS" A015199100 PYRININ TABLETS "GENTLE" A015201100 ANKOCILLIN CAPSULES 500MG "W.F." A015218238 DEXTROSE INJECTION 5% "TAI YU" A015218255 DEXTROSE INJECTION 5% "TAI YU" A015218265 DEXTROSE INJECTION 5% "TAI YU" A015218277 DEXTROSE INJECTION 5% "TAI YU" A015219500 PEDIATRIC ASPIRIN SUPPOSITORIES A015242100 STOMACHIC TABLETS "PATRON" A015246265 5% DEXTROSE IN 0.33% SALINE INJECTION "SIN TONG" A015246277 5% DEXTROSE IN 0.33% SALINE A015253209 PYRIDOXINE HCL INJECTION 100MG/ML "TAI YU" A015253229 PYRIDOXINE HCL INJECTION 100MG/ML "TAI YU" A015259100 TRIAMCINOLONE TABLETS 4MG "C.R." A015265100 CHLORPROMAZINE TABLETS "PFOSHEN" A015268100 DEXAMETHASONE TABLETS "S.Y." A015269100 SINFLEX CAPSULES 500MG“TAITEN” 1697 A015277429 PLATINUM EYE SOLUTION 1698 1699 1700 1701 1702 1703 1704 1705 1706 1707 1708 1709 A015279209 A015279229 A015284100 A015285100 A015287100 A015291100 A015317100 A015343221 A015344100 A015345100 A015346100 A015354343 DEXAMETHASONE INJECTION 4MG "TAI DEXAMETHASONE INJECTION 4MG "TAI DIAZEPAM TABLETS "C.I." AMPICILLIN CAPSULES 500MG "C.I." ACETAMINOPHEN TABLETS 500MG "C.S." CLEMASTINE TABLETS "S.T." ACETAMINOPHEN TABLETS "N.T." HISTIDINE INJECTION "TAI YU" BROMHEXINE TABLETS 8MG "F.Y." TRIMESIN TABLETS ACETAMINOPHEN TABLETS 500MG "F.Y." SABINA CREAM 1674 1675 1676 1677 1678 1679 1680 1681 1682 1683 1684 1685 1686 1687 1688 1689 1690 1691 1692 100年1月 項次 支付價 1654 0.25 1655 37 1656 1.1 4.16 1657 16.9 1658 26.6 1659 0.45 1660 1661 0.4 1662 1.5 0.49 1663 0 1664 1.5 1665 0.24 1666 2.7 1667 0.94 1668 1 1669 1670 1.5 28 1671 1672 1.36 1673 0 1674 1.5 1.12 1675 11 1676 2.44 1677 20 1678 0.25 1679 1680 2.09 1 1681 1.28 1682 2.52 1683 12.7 1684 16.8 1685 17.3 1686 2.04 1687 2.85 1688 1689 16.4 16.4 1690 1691 1.64 1692 10 0 1693 0.75 1694 0.39 1695 1696 1.92 1697 34.4 3.08 1698 15.5 1699 0.31 1700 1.51 1701 0.42 1702 0.6 1703 0.28 1704 3.02 1705 0.29 1706 0.68 1707 0.26 1708 46.6 1709 CODE 藥品名稱 A015090100 PSEUDOEPHEDRINE HCL TABLETS "HONTEN" A0150901G0 PSEUDOEPHEDRINE HCL TABLETS "HONTEN"(鋁箔/膠箔) A015091100 KETOPROFEN CAPSULES 50MG "F.Y." A015100100 A015118100 A015180212 A015190100 A015195100 說明 9901 支付價 1.00 1.50 1.12 RIF CAPSULES 450MG RIFAMPIN CAPSULES 150MG "WINSTON" COLISTIN INJECTION "ORIENTAL" DIMETHICONE TABLETS "S.Y." NARCARICIN CAPSULES (BENZBROMARONE) "SWISS" PYRININ TABLETS "GENTLE" 11.00 2.44 20.00 0.25 2.09 ANKOCILLIN CAPSULES 500MG "W.F." DEXTROSE INJECTION 5% "TAI YU" DEXTROSE INJECTION 5% "TAI YU" DEXTROSE INJECTION 5% "TAI YU" DEXTROSE INJECTION 5% "TAI YU" PEDIATRIC ASPIRIN SUPPOSITORIES STOMACHIC TABLETS "PATRON" 5% DEXTROSE IN 0.33% SALINE INJECTION "SIN TONG" 5% DEXTROSE IN 0.33% SALINE PYRIDOXINE HCL INJECTION 100MG/ML "TAI YU" PYRIDOXINE HCL INJECTION 100MG/ML "TAI YU" TRIAMCINOLONE TABLETS 4MG "C.R." 1.28 2.52 12.70 16.80 17.30 2.04 2.85 16.40 CHLORPROMAZINE TABLETS "PFOSHEN" DEXAMETHASONE TABLETS "S.Y." SINFLEX CAPSULES 500MG“TAITEN” PLATINUM EYE SOLUTION DEXAMETHASONE INJECTION 4MG "TAI DEXAMETHASONE INJECTION 4MG "TAI YU" DIAZEPAM TABLETS "C.I." AMPICILLIN CAPSULES 500MG "C.I." ACETAMINOPHEN TABLETS 500MG "C.S." CLEMASTINE TABLETS "S.T." ACETAMINOPHEN TABLETS "N.T." HISTIDINE INJECTION "TAI YU" BROMHEXINE TABLETS 8MG "F.Y." TRIMESIN TABLETS ACETAMINOPHEN TABLETS 500MG "F.Y." 0.75 0.39 1.92 34.40 3.08 15.50 SABINA CREAM ANETHOL TRITHIONE S.C. TABLETS "SHINLON" A015368100 DIPHENIDOL SUGAR COATING TABLETS "YUNG SHIN" A015373309 PRETTY CREAM "S.C." A015376100 PORSUCON S.C. TABLETS "HONTEN" A015387100 NAPOSIN TABLETS (NAPROXEN)250MG A015394100 METHYLSCOPOLAMINE METHYLSULFATE TABLETS "LITA A015396100 COCARBOXYLASE S.C. TABLETS "CHINTENG" A015397100 ALUFIBRATE A015398100 ASTOMIN S.C. TABLETS A015402212 LINCOMYCIN INJECTION "C.Y." A015402229 LINCOMYCIN INJECTION "C.Y." A015405100 RIFAMPICIN CAPSULES 450MG A015407229 LINCOMYCIN INJECTION "SINTONG" A015409100 TAI CHI TABLETS "CURIE" A015422100 RELAZIDE S.C. TABLETS "STANDARD" A0154221G0 RELAZIDE S.C. TABLETS "STANDARD"(鋁 A015423199 METOCLOPRAMIDE GRANULES A015430238 SPORMINE INJECTION "TAI YU" A015430265 SPORMINE INJECTION "TAI YU" 46.60 0.60 A015199100 1.00 新增 A015201100 A015218238 A015218255 A015218265 A015218277 A015219500 A015242100 A015246265 A015246277 A015253209 A015253229 A015259100 A015265100 A015268100 A015269100 A015277429 A015279209 A015279229 A015284100 A015285100 A015287100 A015291100 A015317100 A015343221 A015344100 A015345100 A015346100 A015354343 A015359100 第 29 頁,共 382 頁 刪除 新增 16.40 1.64 10.00 刪除 1.00 0.31 1.51 0.42 0.60 0.28 3.02 0.29 0.68 0.26 1.00 1.20 0.90 1.45 0.60 2.79 1.03 1.13 22.00 27.50 13.60 27.40 0.45 1.00 1.50 0.26 1.81 18.10 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 1710 A015359100 1711 A015368100 1712 1713 A015373309 A015376100 ANETHOL TRITHIONE S.C. TABLETS "SHINLON" DIPHENIDOL SUGAR COATING TABLETS "YUNG SHIN" PRETTY CREAM "S.C." PORSUCON S.C. TABLETS "HONTEN" 1714 A015387100 NAPOSIN TABLETS (NAPROXEN)250MG 1715 1718 1719 A0153871G0 NAPOSIN TABLETS 250MG(NAPROXEN)(鋁 箔/膠箔) A015394100 METHYLSCOPOLAMINE METHYLSULFATE TABLETS "LITA A015396100 COCARBOXYLASE S.C. TABLETS "CHINTENG" A015397100 ALUFIBRATE A015398100 ASTOMIN S.C. TABLETS 1720 1721 1722 1723 1724 1725 1726 1727 A015402212 A015402229 A015405100 A015407229 A015409100 A015422100 A0154221G0 A015423199 1728 A015430238 1729 1730 1731 1732 1733 A015430265 A015430266 A015430277 A015436100 A015467100 1734 A015469100 1735 A015473299 1736 1737 1738 1739 A015514209 A015518100 A015520100 A015522100 1740 1741 1742 1743 1744 A015526229 A015529100 A015539238 A015540100 A015543100 1745 A0155431G0 PEICHIA TABLETS "P.L."(鋁箔) 1746 1747 A015549100 A015553212 1748 A015553229 1749 1750 A015561255 A015561266 1751 1752 1753 1754 1755 A015561277 A015566100 A015578100 A015579100 A0155791G0 1756 1757 1758 1759 A015582277 A015584299 A015596100 A015613209 1716 1717 LINCOMYCIN INJECTION "C.Y." LINCOMYCIN INJECTION "C.Y." RIFAMPICIN CAPSULES 450MG LINCOMYCIN INJECTION "SINTONG" TAI CHI TABLETS "CURIE" RELAZIDE S.C. TABLETS "STANDARD" RELAZIDE S.C. TABLETS "STANDARD"(鋁 METOCLOPRAMIDE GRANULES "CHINTENG" SPORMINE INJECTION "TAI YU" SPORMINE INJECTION "TAI YU" SPORMINE INJECTION "TAI YU" SPORMINE INJECTION "TAI YU" URSODESOXYCHOLIC ACID TABLETS DEXAMETHASONE TABLETS 4MG "STANDARD" COLD SUGAR COATING TABLETS "UNIVERSAL" LINCOMYCIN HCL INJ. 300MG EPINEPHRINE INJECTION "VPP" BROMHEXINE TABLETS "C.I." ANETHOLE S.C. TABLETS CANCIDIN TABLETS 500MG "B&F" (TINIDAZOLE) LINCOMYCIN INJECTION "YUNG SHIN" DICYCLOMINE TABLETS "A.D." K.C.L. INJECTION "CHI SHENG" NORSECON TABLETS "CHINTENG" PEICHIA TABLETS "P.L." PEDIATRIC ACETAMINOPHEN TABLETS GENTAMICIN SULFATE INJECTION 40MG "WINSTON" GENTAMICIN SULFATE INJECTION 40MG "WINSTON" MANNITOL INJECTION 20% 100ML MANNITOL INJECTION 20% 300ML MANNITOL INJECTION 20% "SHUN HWA" STROVITAN S.C. TABLETS MEBENDAZOLE TABLETS "CHI SHENG" TRIAMCINOLONE TABLETS 4 MG "F.Y." TRIAMCINOLONE TABLETS 4MG "F.Y."(鋁 箔/膠箔) AMPICLOXACIN INJECTION "TAI YU" LINCOMYCIN INJECTION "C.C.P." APAP TABLETS 500MG ORCIPRENALINE INJECTIONS "Y.Y." 100年1月 項次 支付價 1710 0.6 1711 0 1.2 1712 1713 0.9 1714 1.45 1715 1.5 1716 0.6 1717 2.79 1.03 1718 1719 1.13 22 1720 27.5 1721 13.6 1722 27.4 1723 0.45 1724 0 1725 1.5 1726 1727 0.26 1728 1.81 18.1 1729 21.8 1730 28.8 1731 2.06 1732 1733 1.45 1734 0.78 1735 2.61 2.8 1736 0.29 1737 0.55 1738 1739 1.5 27.1 1740 0.25 1741 7.1 1742 0.5 1743 1744 0 1745 1.5 0.77 1746 1747 12.7 1748 23.1 58 1749 1750 45.2 119 1751 1 1752 0.75 1753 0.63 1754 1755 1.5 10 1756 4 1757 0.2 1758 7.8 1759 說明 CODE 藥品名稱 A015430266 SPORMINE INJECTION "TAI YU" 9901 支付價 21.80 A015430277 SPORMINE INJECTION "TAI YU" 28.80 A015436100 A015467100 2.06 1.45 A015473299 URSODESOXYCHOLIC ACID TABLETS DEXAMETHASONE TABLETS 4MG "STANDARD" COLD SUGAR COATING TABLETS "UNIVERSAL" LINCOMYCIN HCL INJ. 300MG A015514209 EPINEPHRINE INJECTION "VPP" 2.80 A015518100 BROMHEXINE TABLETS "C.I." 0.29 刪除 A015469100 A015520100 A015522100 ANETHOLE S.C. TABLETS CANCIDIN TABLETS 500MG "B&F" (TINIDAZOLE) A015526229 LINCOMYCIN INJECTION "YUNG SHIN" A015529100 DICYCLOMINE TABLETS "A.D." A015539238 K.C.L. INJECTION "CHI SHENG" A015540100 NORSECON TABLETS "CHINTENG" A015543100 PEICHIA TABLETS "P.L." A0155431G0 PEICHIA TABLETS "P.L."(鋁箔) A015549100 PEDIATRIC ACETAMINOPHEN TABLETS A015553212 GENTAMICIN SULFATE INJECTION 40MG "WINSTON" A015553229 GENTAMICIN SULFATE INJECTION 40MG "WINSTON" A015561255 MANNITOL INJECTION 20% 100ML A015561266 MANNITOL INJECTION 20% 300ML A015561277 MANNITOL INJECTION 20% "SHUN HWA" A015566100 STROVITAN S.C. TABLETS A015578100 MEBENDAZOLE TABLETS "CHI SHENG" A015579100 TRIAMCINOLONE TABLETS 4 MG "F.Y." A0155791G0 TRIAMCINOLONE TABLETS 4MG "F.Y."(鋁 箔/膠箔) A015582277 AMPICLOXACIN INJECTION "TAI YU" A015584299 LINCOMYCIN INJECTION "C.C.P." A015596100 APAP TABLETS 500MG A015613209 ORCIPRENALINE INJECTIONS "Y.Y." A015616100 A015622100 A015629100 A0156291G0 A015630100 0.78 2.61 0.55 1.50 27.10 0.25 7.10 0.50 1.00 1.50 0.77 12.70 23.10 58.00 45.20 119.00 1.00 0.75 0.63 1.50 10.00 4.00 0.20 7.80 A015637100 A015638199 BACZINE TABLETS "TK&A." MEBENDAZOLE TABLETS "YUNG CHI" CINNARIZINE TABLETS "CHINTENG" CINNARIZINE TABLETS "CHINTENG"(鋁 DEXTROMETHORPHAN S.C. TABLETS "WEI LI" DEPOT. TESTOESTRADIOL INJECTION "TAI YU" MEBENDAZOLE TABLETS "C.S." A.A.P. SOLUTION "S.Y." A015639100 PACINOL TABLETS 500MG 0.30 A015660100 A015666100 1.89 0.30 A015670100 A015672100 A015674100 A015684100 A015691212 CEPHALEXIN CAPSULES "S.T." ACETAMINOPHEN TABLETS 300MG "YU SHENG" SPILAZIDE TABLETS "C.R." D.M.C.C. TABLETS "C.I." SESDEN CAPSULES (TIMEPIDIUM) NITRAZEPAM TABLETS "PFOSHEN" GENTAMICIN INJECTIONS "TAH-AN" 1.89 0.86 3.49 0.75 10.00 A015691229 A015692229 A015694100 A015697100 GENTAMICIN INJECTIONS "TAH-AN" LINCOMYCIN INJECTIONS "TAH-AN" IBUPROFEN S.C. TABLETS 100MG "F.Y." LIPHALEXIN CAPSULES 500MG "LITA" 15.70 23.40 0.73 1.93 A015632209 第 30 頁,共 382 頁 刪除 0.68 0.75 0.28 1.50 0.41 刪除 20.80 0.75 0.15 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 1760 1761 1762 1763 1764 1765 1766 1767 1768 1769 1770 1771 1772 1773 1774 1775 1776 1777 1778 1779 1780 1781 1782 1783 1784 1785 1786 1787 1788 1789 1790 1791 1792 1793 1794 1795 1796 1797 1798 1799 1800 1801 1802 1803 1804 1805 1806 1807 1808 1809 CODE 藥品名稱 100年1月 項次 支付價 A015616100 BACZINE TABLETS "H.S." 1760 0.68 0.75 1761 A015622100 MEBENDAZOLE TABLETS "YUNG CHI" 0.28 1762 A015629100 CINNARIZINE TABLETS "CHINTENG" 1.5 1763 A0156291G0 CINNARIZINE TABLETS "CHINTENG"(鋁 A015630100 DEXTROMETHORPHAN S.C. TABLETS 1764 0.41 "WEI LI" A015632209 DEPOT. TESTOESTRADIOL INJECTION 1765 20.8 "TAI YU" A015637100 MEBENDAZOLE TABLETS "C.S." 1766 0.75 0.15 1767 A015638199 A.A.P. SOLUTION "S.Y." 0.3 1768 A015639100 PACINOL TABLETS 500MG 1.89 1769 A015660100 CEPHALEXIN CAPSULES "S.T." A015666100 ACETAMINOPHEN TABLETS 300MG "YU 1770 0.3 SHENG" 1.89 1771 A015670100 SPILAZIDE TABLETS "C.R." 0.86 1772 A015672100 D.M.C.C. TABLETS "C.I." 3.49 1773 A015674100 SESDEN CAPSULES (TIMEPIDIUM) A015684100 NITRAZEPAM TABLETS "PFOSHEN" 1774 0.75 10 1775 A015691212 GENTAMICIN INJECTIONS "TAH-AN" 15.7 1776 A015691229 GENTAMICIN INJECTIONS "TAH-AN" 23.4 1777 A015692229 LINCOMYCIN INJECTIONS "TAH-AN" 0.73 1778 A015694100 IBUPROFEN S.C. TABLETS 100MG "F.Y." 1.93 1779 A015697100 LIPHALEXIN CAPSULES 500MG "LITA" A015698100 TRIMEPRAZINE TARTRATE TABLETS 1780 0.68 "HONTEN" A015703100 LIMOX CAPSULES 500MG "LITA" 1781 1.29 0.78 1782 A015721100 DIS S.C. TABLETS (DIPHENIDOL) A015722100 BIONAMIN-H TABLETS "C.Y." 1783 0.36 A015740100 COLD CAPSULES "SWISS BRAND" 1784 1.92 A015748100 ALDIOXA TABLETS "PATRON" 1785 0.8 (DIHYDROXYALUMINUM A015751100 METHYLSCOPOLAMINE 1786 0.6 METHYLSULFATE TABLETS 1MG "CHEN 1 1787 A015752100 ANETHOLE S.C. TABLETS 25MG "CHEN 33.2 1788 A015762435 KASULO NASAL SPRAY "C.S.P." 0.61 1789 A015791100 TETRACYCLINE HCL CAPSULES 250MG A0157911G0 TETRACYCLINE HCL CAPSULES 250MG 1790 1.5 "VPP"(鋁箔/膠箔) 1.08 1791 A015815100 FONGMIN CAPSULES 24 1792 A015829229 LINCOMYCIN INJECTION "CHI SHENG" 2.35 1793 A015829299 LINCOMYCIN INJECTION "CHI SHENG" A015833100 AMPICILLIN CAPSULES 500MG "YUNG 1794 1.37 CHANG" 0.45 1795 A015834100 GLYCERYL GUAIACOLATE TABLETS A015837100 PYRAZINAMIDE TABLETS "L.E." 1796 0 0.3 1797 A015839100 SALTOL TABLETS (SALBUTAMOL) "C.C.P." 19.8 1798 A015842209 CEFAZOLIN INJECTION 1GM "YUNG SHIN" 10.6 1799 A015843277 CEFAZOLIN INJECTION "YUNG SHIN" A015845216 PENICILLIN G SODIUM INJECTION "Y.F." 1800 20 A015845229 PENICILLIN G SODIUM INJECTION 1801 45 10000000U "Y.F." 3.41 1802 A015849100 CLOMIPHENE CAPSULES 50MG "YU A015853100 LONG-ONE CAPSULES 1803 2.39 (FLUOXYMESTERONE)"S.C." A015908209 HYDROXYPROGESTERONE CAPROATE 1804 30.8 INJECTIONS "TAI YU" 0 1805 A015910100 PIPRINHYDRINATE TABLETS "P.L." 13.7 1806 A015911209 AMPOLIN INJECTIONS 1000MG A015912100 SALBUTAMOL TABLETS 1807 0.28 A015916100 POKITON TABLETS "Y.C." 1808 0.5 16.3 1809 A015917209 AMCLOCILLIN INJECTION "TAI YU" CODE 藥品名稱 A015698100 TRIMEPRAZINE TARTRATE TABLETS "HONTEN" LIMOX CAPSULES 500MG "LITA" DIS S.C. TABLETS (DIPHENIDOL) BIONAMIN-H TABLETS "C.Y." COLD CAPSULES "SWISS BRAND" A015703100 A015721100 A015722100 A015740100 A015748100 ALDIOXA TABLETS "PATRON" (DIHYDROXYALUMINUM A015751100 METHYLSCOPOLAMINE METHYLSULFATE TABLETS 1MG "CHEN A015752100 ANETHOLE S.C. TABLETS 25MG "CHEN A015762435 KASULO NASAL SPRAY "C.S.P." A015791100 TETRACYCLINE HCL CAPSULES 250MG A0157911G0 TETRACYCLINE HCL CAPSULES 250MG "VPP"(鋁箔/膠箔) A015815100 FONGMIN CAPSULES A015829229 LINCOMYCIN INJECTION "CHI SHENG" A015829299 LINCOMYCIN INJECTION "CHI SHENG" A015833100 AMPICILLIN CAPSULES 500MG "YUNG CHANG" A015834100 GLYCERYL GUAIACOLATE TABLETS A015837100 PYRAZINAMIDE TABLETS "L.E." A015839100 SALTOL TABLETS (SALBUTAMOL) "C.C.P." A015842209 CEFAZOLIN INJECTION 1GM "YUNG SHIN" A015843277 CEFAZOLIN INJECTION "YUNG SHIN" A015845216 PENICILLIN G SODIUM INJECTION "Y.F." A015845229 說明 9901 支付價 0.68 1.29 0.78 0.36 1.92 0.80 0.60 1.00 33.20 0.61 1.50 1.08 24.00 2.35 1.37 0.45 2.92 0.30 19.80 10.60 20.00 45.00 A015910100 PENICILLIN G SODIUM INJECTION 10000000U "Y.F." CLOMIPHENE CAPSULES 50MG "YU LONG-ONE CAPSULES (FLUOXYMESTERONE)"S.C." HYDROXYPROGESTERONE CAPROATE INJECTIONS "TAI YU" PIPRINHYDRINATE TABLETS "P.L." A015911209 AMPOLIN INJECTIONS 1000MG 13.70 A015912100 A015916100 A015917209 A015919157 SALBUTAMOL TABLETS POKITON TABLETS "Y.C." AMCLOCILLIN INJECTION "TAI YU" COLD COUGH SOLUTION "C.M." 0.28 0.50 16.30 12.40 A015919199 A015980209 A015984100 A015985100 COLD COUGH SYRUP"C.M." PROGESTERONE INJECTION 25MG "G.C." DIAZEPAM TABLETS 5MG "JEN SHENG" CLONIDINE TABLETS "N.W." A015987212 A015988229 A016011100 DIAZEPAM INJECTIONS "TAI YU" LINCOMYCIN HYDROCHLORIDE INJECTION "Y.F." ANETHOLE CAPSULES "TA&A" PANATOL TABLETS "M.T." BROMHEXINE TABLETS "PFOSHEN" SCOPOLAMINE BUTYLBROMIDE S.C. TABLETS "PFOSHEN" FONGMIN S.C. TABLETS "A.D." A016019100 A016020100 MEBENDAZOLE TABLETS "Y.S." BATHOLIN TABLETS "GENTLE" 1.30 0.84 A016021100 DICYCLOMINE TABLETS "Y.C." 0.25 A016028100 A016055100 A016065209 TONPYRON TABLETS "PATRON" MEBENDAZOLE TABLETS "SHINLON" DEXAMETHASONE INJECTIONS 4MG "ASTAR" DEXAMETHASONE INJECTIONS 4MG "ASTAR" ANTICOUGH CAPSULES "HEALTH" 1.00 0.75 3.92 A015849100 A015853100 A015908209 A015989100 A015992100 A016009100 A016010100 A016065229 A016084100 第 31 頁,共 382 頁 3.41 2.39 30.80 0.46 0.10 2.22 0.31 1.00 3.36 18.70 刪除 0.67 0.91 0.63 0.80 1.40 16.00 1.17 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 1810 1811 1812 1813 1814 1815 1816 1817 1818 1819 1820 1821 1822 1823 1824 1825 1826 1827 1828 1829 1830 1831 1832 1833 1834 1835 1836 1837 1838 1839 1840 1841 1842 1843 1844 1845 1846 1847 1848 1849 1850 1851 1852 1853 1854 1855 1856 1857 CODE 藥品名稱 100年1月 項次 支付價 12.4 1810 A015919157 COLD COUGH SOLUTION "C.M." 0.1 1811 A015919199 COLD COUGH SYRUP"C.M." A015980209 PROGESTERONE INJECTION 25MG "G.C." 1812 0 0.31 1813 A015984100 DIAZEPAM TABLETS 5MG "JEN SHENG" 1 1814 A015985100 CLONIDINE TABLETS "N.W." 3.36 1815 A015987212 DIAZEPAM INJECTIONS "TAI YU" A015988229 LINCOMYCIN HYDROCHLORIDE 1816 18.7 INJECTION "Y.F." 0.67 1817 A015989100 ANETHOLE CAPSULES "H.S." 0.91 1818 A015992100 PANATOL TABLETS "M.T." 0.63 1819 A016009100 BROMHEXINE TABLETS "PFOSHEN" A016010100 SCOPOLAMINE BUTYLBROMIDE S.C. 1820 0.8 TABLETS "PFOSHEN" A016011100 FONGMIN S.C. TABLETS "A.D." 1821 1.4 1.3 1822 A016019100 MEBENDAZOLE TABLETS "Y.S." 0.84 1823 A016020100 BATHOLIN TABLETS "GENTLE" A016021100 DICYCLOMINE TABLETS "Y.C." 1824 0 1 1825 A016028100 TONPYRON TABLETS "PATRON" A016055100 MEBENDAZOLE TABLETS "SHINLON" 1826 0.75 A016065209 DEXAMETHASONE INJECTIONS 4MG 1827 3.92 "ASTAR" A016065229 DEXAMETHASONE INJECTIONS 4MG 1828 16 "ASTAR" 1.17 1829 A016084100 ANTICOUGH CAPSULES "HEALTH" A016088100 SEDENTON TABLETS "F.S." 1830 0.45 A016093100 TONLAN TABLETS 500MG "CHEN TA" 1831 0.29 A016099100 CLOXAMPICIN CAPSULES 500MG 1832 2.27 "PANBIOTIC" A016108100 HONBITAN CAPSULES "HONTEN" 1833 1.33 1.66 1834 A016133100 MAICA CAPSULES "P.L." 0.3 1835 A016141100 SALBUTAMOL TABLETS 4MG "F.Y." 1.5 1836 A0161411G0 SALBUTAMOL TABLETS 4MG "F.Y."(84粒/ 0.29 1837 A016143100 BROMHEXINE TABLETS "Y.C." 0.28 1838 A016144100 CINNARIZINE TABLETS "S.T." 0.62 1839 A016162100 CO-TRIMO TABLETS "F.Y." 0.75 1840 A016172100 MEBENDAZOLE TABLETS "MEIDER" A016195100 DEXTROMETHORPHAN TABLETS 30MG 1841 0.5 "CURIE" A016204100 VITATROSCINE TABLETS "CHINTENG" 1842 0 A016220100 ACETAMINOPHEN TABLETS "J.S." 1843 0.37 A016221209 PENICILLIN G SODIUM FOR INJECTION 1 1844 9.9 ,000,000 UNITS "VPP" A016222435 SUBICIN NASAL SPRAY "WINSTON" 1845 23.3 A016223100 PROCHLORPERAZINE MALEATE S.C. 1846 1 TABLETS 5MG "VPP" A016224209 ASCORBIC ACID INJECTION "TAH-AN" 1847 1.93 A016227100 DOXYCYCLINE CAPSULES "YY" 1848 1.01 0.75 1849 A016247100 MEBENDAZOLE TABLETS "PANBIOTIC" A0162471G0 MEBENDAZOLE TABLETS "PANBIOTIC"( 1850 1.5 鋁箔/膠箔) A016248157 NOGESIC SYRUP (ACETAMINOPHEN) 1851 18.1 "HEALTH" A016298100 CHIAKANG TABLETS "ORIENTAL" 1852 0.86 1.57 1853 A016299100 PHLOROPROPIOPHENONE CAPSULES 12.6 1854 A016303421 DECASON EYE DROPS "KINGDOM" 0.7 1855 A016317100 CASCARA S.C. TABLETS 130MG "V.P.P." 1.13 1856 A016318100 CASCARA S.C. TABLETS 250MG "V.P.P." 0.79 1857 A016322100 HOWEI TABLETS CODE 藥品名稱 A016088100 A016093100 A016099100 說明 9901 支付價 SEDENTON TABLETS "F.S." TONLAN TABLETS 500MG "CHEN TA" CLOXAMPICIN CAPSULES 500MG "PANBIOTIC" A016108100 HONBITAN CAPSULES "HONTEN" A016133100 MAICA CAPSULES "P.L." A016141100 SALBUTAMOL TABLETS 4MG "F.Y." A0161411G0 SALBUTAMOL TABLETS 4MG "F.Y."(84粒/ 瓶) A016143100 BROMHEXINE TABLETS "Y.C." A016144100 CINNARIZINE TABLETS "S.T." A016162100 CO-TRIMO TABLETS "F.Y." A016172100 MEBENDAZOLE TABLETS "MEIDER" 0.45 0.29 2.27 A016195100 0.50 A016224209 DEXTROMETHORPHAN TABLETS 30MG "CURIE" VITATROSCINE TABLETS "CHINTENG" ACETAMINOPHEN TABLETS "J.S." PENICILLIN G SODIUM FOR INJECTION 1 ,000,000 UNITS "VPP" SUBICIN NASAL SPRAY "WINSTON" PROCHLORPERAZINE MALEATE S.C. TABLETS 5MG "VPP" ASCORBIC ACID INJECTION "TAH-AN" A016227100 DOXYCYCLINE CAPSULES "YY" A016204100 A016220100 A016221209 A016222435 A016223100 A016247100 MEBENDAZOLE TABLETS "PANBIOTIC" A0162471G0 MEBENDAZOLE TABLETS "PANBIOTIC"( 鋁箔/膠箔) A016248157 NOGESIC SYRUP (ACETAMINOPHEN) "HEALTH" A016298100 CHIAKANG TABLETS "ORIENTAL" A016299100 A016303421 A016317100 A016318100 A016322100 A016332100 A016336100 A016337100 A016348100 PHLOROPROPIOPHENONE CAPSULES "TK&A." DECASON EYE DROPS "KINGDOM" CASCARA S.C. TABLETS 130MG "V.P.P." CASCARA S.C. TABLETS 250MG "V.P.P." HOWEI TABLETS MEFENAMIC ACID CAPSULES 250MG BEYLIYAN TABLETS "M.T." VITA B.E. TABLETS "ORIENTAL" RHIN TABLETS "GCPC" A016349321 BETASONE CREAM (BETAMETHASONE) "GCPC" A016349329 BETASONE CREAM (BETAMETHASONE) "GCPC" A016349399 BETASONE CREAM (BETAMETHASONE) "GCPC" A0163493B9 BETASONE CREAM (BETAMETHASONE) "GCPC" A016350100 ENDURE TABLETS (PROPRANOLOL) "GCPC" A016351100 EXTAMINE TABLETS (BROMPHENIRAMINE) "GCPC" A016353435 EPHRINE NASAL DROPS (OXYMETAZOLIN) "GCPC" A016373100 ACETAMINOPHEN TABLETS "K.B." A016374100 WELIMIN TABLETS "M.T." A016378100 AMPICILLIN CAPSULES "SINTONG" A016390155 ZUTON SYRUP 15MG/ML (ACETAMINOPHEN)"L.S." BETAMETHASONE TABLETS "HONTEN" BUCLIZINE TABLETS "C.S." SILVER SULFADIAZINE CREAM SILVER SULFADIAZINE CREAM SILVER SULFADIAZINE CREAM A016392100 A016395100 A016402338 A016402348 A016402371 第 32 頁,共 382 頁 刪除 1.33 1.66 0.30 1.50 0.29 0.28 0.62 0.75 0.18 0.37 9.90 刪除 23.30 1.00 1.93 1.01 0.75 1.50 18.10 0.86 1.57 12.60 0.70 1.13 0.79 0.37 0.62 0.86 0.62 15.70 刪除 12.70 0.93 895.00 0.50 0.45 5.00 0.19 0.50 1.35 23.50 0.32 0.46 24.70 41.00 311.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 1858 1859 1860 1861 1862 A016332100 A016336100 A016337100 A016348100 A016349321 藥品名稱 1890 1891 1892 1893 MEFENAMIC ACID CAPSULES 250MG BEYLIYAN TABLETS "M.T." VITA B.E. TABLETS "ORIENTAL" RHIN TABLETS "GCPC" BETASONE CREAM (BETAMETHASONE) "GCPC" A016349329 BETASONE CREAM (BETAMETHASONE) "GCPC" A016349399 BETASONE CREAM (BETAMETHASONE) "GCPC" A0163493B9 BETASONE CREAM (BETAMETHASONE) "GCPC" A016350100 ENDURE TABLETS (PROPRANOLOL) "GCPC" A016351100 EXTAMINE TABLETS (BROMPHENIRAMINE) "GCPC" A016353435 EPHRINE NASAL DROPS (OXYMETAZOLIN) "GCPC" A016373100 ACETAMINOPHEN TABLETS "K.B." A016374100 WELIMIN TABLETS "M.T." A016378100 AMPICILLIN CAPSULES "SINTONG" A016390155 ZUTON SYRUP 15MG/ML (ACETAMINOPHEN)"L.S." A016392100 BETAMETHASONE TABLETS "HONTEN" A016395100 BUCLIZINE TABLETS "C.S." A016402338 SILVER SULFADIAZINE CREAM A016402348 SILVER SULFADIAZINE CREAM A016402371 SILVER SULFADIAZINE CREAM A016402377 SILVER SULFADIAZINE CREAM A016402399 SILVESINE SULFADIAZINE CREAM A016420100 CHLORZOXAZONE TABLETS "L.D." A016422100 SEUPHENON TABLETS "A.L." A016432100 ANTON TABLETS "SWISS" A0164321G0 ANTON TABLETS "SWISS"(鋁箔/膠箔) A016444100 PRINATE TABLETS "CHINTENG" (PIPRINHYDRINATE) A016446100 BROMHEXINE HCL TABLETS "WINSTON" A016447229 LINCOMYCIN HCL INJECTION 300MG "WINSTON" A016449100 CEPHENDOL S.C. TABLETS 25MG (DIPHENIDOL) "F.Y A0164491G0 CEPHENDOL S.C. TABLETS 25MG (DIPHENIDOL) "F.Y"(鋁箔/膠箔) A016457212 HYCOBAL INJECTION (HYDROXOCOBALAMINE) "SWISS" A016464100 PREDNISOLONE TABLETS "P.J." A016467100 CADIORAL TABLETS (PROPRANOLOL) A016469100 NADIXIN TABLETS (NALIDIXIC ACID) A016474100 CEPHALEXIN CAPSULES "TAI YU" 1894 A016476238 MANNITOL INJECTION "TAI YU" 1895 1896 A016476266 A016476277 MANNITOL INJECTION "TAI YU" MANNITOL INJECTION "TAI YU" 1897 1898 1899 1900 A016481219 A016489100 A016496100 A016498100 AMPICILLIN INJECTION 500MG "Y.Y." PSUBITY TABLETS "S.T." DEXAMETHASONE TABLETS "Y.C." SUBETE TABLETS "C.S." 1901 A016499240 1902 1903 1904 1905 1906 1907 1908 A016500100 A016503100 A016506100 A016508100 A016509100 A016583229 A016584209 LICOLASE LYOPHILIZED INJECTION "LITA" CHYMOTRYPSIN E.C. TABLETS ISOPRIN TABLETS (ISOXSUPRINE) "P.J." DEXTROMETHORPHAN HBR TABLETS BISOLDIN TABLETS (BROMHEXINE) "P.J." ACETAMINOPHEN TABLETS "P.J." GENTAMICIN INJECTION 40MG/ML "Y.A." SALBUTAMOL INJECTION "YUNG SHIN" 1909 A016585100 HATRANPIN TABLETS (MEBENDAZOLE) 1863 1864 1865 1866 1867 1868 1869 1870 1871 1872 1873 1874 1875 1876 1877 1878 1879 1880 1881 1882 1883 1884 1885 1886 1887 1888 1889 100年1月 支付價 0.37 0.62 0.86 0.62 說明 項次 CODE 藥品名稱 9901 支付價 1858 1859 1860 1861 1862 A016402399 A016420100 A016422100 A016432100 A0164321G0 SILVESINE SULFADIAZINE CREAM CHLORZOXAZONE TABLETS "L.D." SEUPHENON TABLETS "A.L." ANTON TABLETS "SWISS" ANTON TABLETS "SWISS"(鋁箔/膠箔) 0.63 0.50 1.00 1.00 1.50 1863 A016444100 0.60 1864 A016446100 PRINATE TABLETS "CHINTENG" (PIPRINHYDRINATE) BROMHEXINE HCL TABLETS "WINSTON" 1865 A016447229 15.7 12.7 0.30 0.93 895 1866 0.5 1867 0.45 1868 5 0.19 1869 0.5 1870 1.35 1871 1872 23.5 0.32 1873 0.46 1874 24.7 1875 41 1876 311 1877 579 1878 0.63 1879 0.5 1880 1 1881 1 1882 1.5 1883 1884 0.6 0.3 1885 1886 27.6 1887 0.99 1888 1.5 1889 9.1 0.45 1890 0.6 1891 2.36 1892 1893 1.13 1894 12.9 38.4 1895 1896 60 7.4 1897 0.96 1898 0.31 1899 1900 0.45 1901 35.9 6.3 1902 0.53 1903 0.5 1904 0.29 1905 0.54 1906 14 1907 1908 6.3 0.75 1909 LINCOMYCIN HCL INJECTION 300MG "WINSTON" A016449100 CEPHENDOL S.C. TABLETS 25MG (DIPHENIDOL) "F.Y A0164491G0 CEPHENDOL S.C. TABLETS 25MG (DIPHENIDOL) "F.Y"(鋁箔/膠箔) A016457212 HYCOBAL INJECTION (HYDROXOCOBALAMINE) "SWISS" A016464100 PREDNISOLONE TABLETS "P.J." A016467100 CADIORAL TABLETS (PROPRANOLOL) A016469100 NADIXIN TABLETS (NALIDIXIC ACID) A016474100 CEPHALEXIN CAPSULES "TAI YU" 27.60 A016476238 A016476266 A016476277 A016481219 A016489100 A016496100 A016498100 A016499240 A016500100 A016503100 A016506100 A016508100 MANNITOL INJECTION "TAI YU" MANNITOL INJECTION "TAI YU" MANNITOL INJECTION "TAI YU" AMPICILLIN INJECTION 500MG "Y.Y." PSUBITY TABLETS "S.T." DEXAMETHASONE TABLETS "Y.C." SUBETE TABLETS "C.S." LICOLASE LYOPHILIZED INJECTION CHYMOTRYPSIN E.C. TABLETS ISOPRIN TABLETS (ISOXSUPRINE) "P.J." DEXTROMETHORPHAN HBR TABLETS BISOLDIN TABLETS (BROMHEXINE) "P.J." 12.90 38.40 60.00 7.40 0.96 0.31 0.45 35.90 6.30 0.53 0.50 0.29 A016509100 A016583229 ACETAMINOPHEN TABLETS "P.J." GENTAMICIN INJECTION 40MG/ML "Y.A." 0.54 14.00 A016584209 SALBUTAMOL INJECTION "YUNG SHIN" 6.30 A016585100 HATRANPIN TABLETS (MEBENDAZOLE) 0.75 A016592100 POLYYEN S.C. TABLETS "K.B." 0.89 A016594100 A016595100 A016605299 A016616100 WEI YUNG AN TABLETS "K.B." CHOLIGEN S.C. TABLETS "K.B." LINCOMYCIN INJECTION "STANDARD" GUAIAZULENE SODIUM SULFONATE S.C. TABLETS "A.D." A016672100 METOPELAN S.C. TABLETS (METOCLOPRAMIDE) "P.J. A016674100 ITON CAPSULES "N.C.P." A016678100 FUNGACIN TABLETS 125MG (GRISEOFULVIN) "P.J." A016679100 IPUTON TABLETS (IBUPROFEN) A016692100 METHYLEPHEDRINE HCL TAB "J.S." A016698100 WINSOCAINE TABLETS "N.W." A016700100 METHYLSCOPOLAMINE METHYLSULFATE TABLETS "TK&A." A016705377 EUDERMA CREAM (TRIAMCINOLONE) 1MG/G 500G A016705399 EUDERMA CREAM 1MG/G A016706100 ULEXIN CAPSULES (CEPHALEXIN) A0167061G0 ULEXIN CAPSULES (CEPHALEXIN)(鋁箔/膠 A016712100 ANTISEMIN TABLETS A016713100 XYLONOL TABLETS (ALLOPURINOL) A016751100 COLDENIN S.C. TABLETS A016816100 CYPRODINE TABLETS (CYPROHEPTADINE HCL) A016821100 LOPERAMIDE CAPSULES "HONTEN" 第 33 頁,共 382 頁 0.99 1.50 9.10 0.45 0.60 2.36 1.13 0.50 0.72 3.66 0.86 0.45 0.50 0.81 1.00 0.12 0.86 0.60 753.00 1.27 1.20 1.50 0.70 1.00 0.89 0.33 0.73 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 CODE 藥品名稱 100年1月 項次 支付價 A016592100 POLYYEN S.C. TABLETS "K.B." 1910 0.89 A016594100 WEI YUNG AN TABLETS "K.B." 1911 0.5 0.72 1912 A016595100 CHOLIGEN S.C. TABLETS "K.B." 3.66 1913 A016605299 LINCOMYCIN INJECTION "STANDARD" A016616100 GUAIAZULENE SODIUM SULFONATE S.C. 1914 0.86 TABLETS "A.D." A016672100 METOPELAN S.C. TABLETS 1915 0.45 (METOCLOPRAMIDE) "P.J. A016674100 ITON CAPSULES "N.C.P." 1916 0.5 A016678100 FUNGACIN TABLETS 125MG 1917 (GRISEOFULVIN) "P.J." 0.81 1 1918 A016679100 IPUTON TABLETS (IBUPROFEN) 0.12 1919 A016692100 METHYLEPHEDRINE HCL TAB "J.S." 0.86 1920 A016698100 WINSOCAINE TABLETS "N.W." A016700100 METHYLSCOPOLAMINE 1921 0.6 METHYLSULFATE TABLETS A016705377 EUDERMA CREAM (TRIAMCINOLONE) 1922 753 1MG/G 500G A016705399 EUDERMA CREAM 1MG/G 1923 1.27 A016706100 ULEXIN CAPSULES (CEPHALEXIN) 1924 1.2 A0167061G0 ULEXIN CAPSULES (CEPHALEXIN)(鋁箔/膠 1925 1.5 箔) A016712100 ANTISEMIN TABLETS 1926 0.7 (CYPROHEPTADINE) A016713100 XYLONOL TABLETS (ALLOPURINOL) 1927 1 0.89 1928 A016751100 COLDENIN S.C. TABLETS A016816100 CYPRODINE TABLETS (CYPROHEPTADINE 1929 0.33 HCL) A016821100 LOPERAMIDE CAPSULES "HONTEN" 1930 0.73 A0168211G0 LOPERAMIDE CAPSULES "HONTEN"(鋁箔/ 1931 1.5 膠箔) A016829100 UPVENA TABLETS 4MG 1932 0.71 (CARBINOXAMINE)"JINUP" A016830100 PAINLAX CAPSULES "JINUP" 1933 0.77 (DICYCLOMINE) A016838100 KETOPROFEN CAPSULES 50MG "P.J." 1934 1.31 A016839100 MEBENZOLE TABLETS (MEBENDAZOLE) 1935 0.75 "H.H." A0168391G0 MEBENZOLE TABLETS 1936 1.5 "H.H."(MEBENDAZOLE)(鋁箔) A016844277 COBAMAMIDE LYOPHILIZED INJECTION 1937 24.9 "LITA" A016850100 TAR WEING TABLETS 1938 (METHYLSCOPOLAMIN METHYL 0.6 SULFATE)"S.T." A016854100 SUPRIM TABLETS "P.J." 1939 1 A016862321 TOPCORT CREAM (FLUOCINONIDE)"S.C." 1940 42.6 64 1941 A016862329 TOPCORT CREAM (FLUOCINONIDE)"S.C." A016863212 BISCO INJECTION "STANDARD" 1942 6.4 (BROMHEXINE) A016867199 ERYTHROMYCIN ESTOLATE FOR ORAL 1943 0.81 SUSPENSION "P.J." A016868209 HYOSCON INJECTION (SCOPOLAMINE 1944 3.85 BUTYLBROMIDE)"TAI YU" A016873100 YIPAITAN TABLETS 8MG "Y.S." 1945 0.3 (BROMHEXINE) A016878229 LINCOMYCIN HYDROCHLORIDE 1946 27.1 INJECTION "LITA" A016879100 WACICORT TABLETS "WST" 1947 0.8 (TRIAMCINOLONE) CODE 藥品名稱 A0168211G0 LOPERAMIDE CAPSULES "HONTEN"(鋁箔/ 膠箔) A016829100 UPVENA TABLETS 4MG (CARBINOXAMINE)"JINUP" A016830100 PAINLAX CAPSULES "JINUP" A016838100 KETOPROFEN CAPSULES 50MG "P.J." A016839100 MEBENZOLE TABLETS (MEBENDAZOLE) "H.H." A0168391G0 MEBENZOLE TABLETS "H.H."(MEBENDAZOLE)(鋁箔) A016844277 COBAMAMIDE LYOPHILIZED INJECTION "LITA" A016850100 TAR WEING TABLETS (METHYLSCOPOLAMIN METHYL SULFATE)"S.T." A016854100 SUPRIM TABLETS "P.J." A016862321 TOPCORT CREAM (FLUOCINONIDE)"S.C." A016862329 TOPCORT CREAM (FLUOCINONIDE)"S.C." A016863212 BISCO INJECTION "STANDARD" (BROMHEXINE) A016867199 ERYTHROMYCIN ESTOLATE FOR ORAL SUSPENSION "P.J." A016868209 HYOSCON INJECTION (SCOPOLAMINE BUTYLBROMIDE)"TAI YU" A016873100 YIPAITAN TABLETS 8MG "Y.S." (BROMHEXINE) A016878229 LINCOMYCIN HYDROCHLORIDE INJECTION "LITA" A016879100 WACICORT TABLETS "WST" (TRIAMCINOLONE) A016887209 ANTITUSSIVE INJECTION (DEXTROMETHORPHAN) "TAI YU" A016901399 YONFU OINTMENT A016902100 METOPERAN S.C. TABLETS (METOCLOPRAMIDE) A016908209 5% DEXTROSE IN 0.225% SALINE INJECTION "S.T." A016908277 5% DEXTROSE IN 0.225% SALINE INJECTION "S.T." A016909399 HAIRFEELY TISEN OINTMENT "C.M." A016913209 說明 9901 支付價 1.50 0.71 0.77 1.31 0.75 1.50 24.90 0.60 1.00 42.60 64.00 6.40 0.81 3.85 0.30 27.10 0.80 1.73 0.78 0.50 28.90 16.20 1.19 A016941100 CARBENMYCIN INJECTION "YUNG SHIN"(CARBENICILLIN)118 SEUDORIN TABLETS (PSEUDOEPHEDRINE HCL) METOCLOPRAMIDE S.C. TABLETS "WINSTON" ERGONOVINE MALEATE TABLETS "S.H." A016944100 IBUPROFEN TABLETS "SHINLON" 0.73 A016951100 LITON ENTERIC-COATED TABLETS (BISACODYL)"Y.C." 0.42 A016958100 NICOFEROL CAPSULES (TOCOPHEROL NICOTINATE) "GENTLE" MEDAZOLE S.C. TABLETS 100MG (MEBENDAZOLE)"F.S." SABUTAL TABLETS (SALBUTAMOL) SIVKORT STERILE SUSPENSION 40MG (TRIAMCINOLONE) SIVKORT STERILE SUSPENSION 40MG (TRIAMCINOLONE) SIVKORT STERILE SUSPENSION 40MG (TRIAMCINOLONE) SIVKORT STERILE SUSPENSION 40MG (TRIAMCINOLONE) LISUZONE TABLETS (HYDROCHLOROTHIAZIDE)"Y.C." CONAMIN TABLETS "GENTLE" 1.00 A016932100 A016938100 A016959100 A016962100 A016963209 A016963212 A016963221 A016963229 A016964100 A016969100 第 34 頁,共 382 頁 83.00 0.37 0.30 0.39 0.75 0.30 19.80 18.30 51.00 69.00 0.19 1.96 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 CODE 藥品名稱 100年1月 項次 支付價 A016887209 ANTITUSSIVE INJECTION 1948 1.73 (DEXTROMETHORPHAN) "TAI YU" 0.78 1949 A016901399 YONFU OINTMENT A016902100 METOPERAN S.C. TABLETS 1950 0.5 (METOCLOPRAMIDE) A016908209 5% DEXTROSE IN 0.225% SALINE 1951 28.9 INJECTION "S.T." A016908277 5% DEXTROSE IN 0.225% SALINE 1952 16.2 INJECTION "S.T." 1.19 1953 A016909399 HAIRFEELY TISEN OINTMENT "C.M." A016913209 CARBENMYCIN INJECTION "YUNG 1954 83 SHIN"(CARBENICILLIN)118 A016932100 SEUDORIN TABLETS (PSEUDOEPHEDRINE 1955 0.37 HCL) A0169321G0 SEUDORIN TABLETS (PSEUDOEPHEDRINE 1956 1.5 HCL)(鋁箔/膠箔) A016938100 METOCLOPRAMIDE S.C. TABLETS 1957 0.3 "WINSTON" 0 1958 A016941100 ERGONOVINE MALEATE TABLETS "S.H." 0.73 1959 A016944100 IBUPROFEN TABLETS "SHINLON" A016951100 LITON ENTERIC-COATED TABLETS 1960 0.42 (BISACODYL)"Y.C." A016958100 NICOFEROL CAPSULES (TOCOPHEROL 1961 1 NICOTINATE) "GENTLE" A016959100 MEDAZOLE S.C. TABLETS 100MG 1962 0 (MEBENDAZOLE)"F.S." 0.3 1963 A016962100 SABUTAL TABLETS (SALBUTAMOL) A016963209 SIVKORT STERILE SUSPENSION 40MG 1964 19.8 (TRIAMCINOLONE) A016963212 SIVKORT STERILE SUSPENSION 40MG 1965 18.3 (TRIAMCINOLONE) A016963221 SIVKORT STERILE SUSPENSION 40MG 1966 51 (TRIAMCINOLONE) A016963229 SIVKORT STERILE SUSPENSION 40MG 1967 69 (TRIAMCINOLONE) A016964100 LISUZONE TABLETS 1968 0.19 (HYDROCHLOROTHIAZIDE)"Y.C." 1.96 1969 A016969100 CONAMIN TABLETS "GENTLE" 0.25 1970 A016972100 SWITYL TABLETS "SWISS" 1.08 1971 A017006100 FONES-TON CAPSULES "K.B." A017007277 CEFAZOLIN INJECTION 0.5GM "C.C.P." 1972 10 43.4 1973 A017014321 TOPCORT OINTMENT (FLUOCINONIDE) A017014329 TOPCORT OINTMENT (FLUOCINONIDE) 1974 64 "S.C." A017017100 MEBENDAZOLE TABLETS 1975 1.5 A017018100 LETANLON S.C. TABLETS (ANETHOLE 1976 1 TRITHIONE) A017022277 HARTMANN'S G INJECTION 1977 50 0.45 1978 A017082100 SIDUS TABLETS "F.Y." 1 1979 A017084100 IBUPROFEN CAPSULES 5 1980 A017088238 GISACON-B12 INJECTION "Y.A" 1 1981 A017107100 DEPAIN TABLETS 0 1982 A017119100 DESININE S.C. TABLETS "PFOSHEN" 1 1983 A017121100 MIN'S TABLETS "H.C." (CLEMASTINE) 0.17 1984 A017124100 WEYAN TABLETS "M.T." A0171241G0 WEYAN TABLETS "M.T." (鋁箔/膠箔) 1985 1.5 A017125248 FURATONIN INJECTION "G.C." 1986 86 A017136100 TONPEN TABLETS "Y.C." 1987 0.5 A017138100 CYHEPDIN TABLETS 1988 0.34 (CYPROHEPTADINE)"J.H." 1.5 1989 A017143100 WISH TABLETS A017144321 BAK CREAM "H.S.C." 1990 32.2 0.35 1991 A017153100 CYPROHEPTADINE HCL TABLETS 0.45 1992 A017179100 SHULIJN TABLETS " CHEN TA" 說明 CODE 藥品名稱 A016972100 SWITYL TABLETS "SWISS" A017006100 A017007277 FONES-TON CAPSULES "K.B." CEFAZOLIN INJECTION 0.5GM "C.C.P." 1.08 10.00 A017014321 43.40 A017022277 TOPCORT OINTMENT (FLUOCINONIDE) "S.C." TOPCORT OINTMENT (FLUOCINONIDE) "S.C." MEBENDAZOLE TABLETS LETANLON S.C. TABLETS (ANETHOLE TRITHIONE) HARTMANN'S G INJECTION A017082100 SIDUS TABLETS "F.Y." 0.45 A017084100 IBUPROFEN CAPSULES 1.00 A017088238 A017107100 A017119100 GISACON-B12 INJECTION "Y.A" DEPAIN TABLETS DESININE S.C. TABLETS "PFOSHEN" 5.00 1.00 3.41 A017121100 MIN'S TABLETS "H.C." (CLEMASTINE) 1.00 A017124100 WEYAN TABLETS "M.T." 0.17 A017014329 A017017100 A017018100 9901 支付價 0.25 64.00 1.50 1.00 50.00 新增 刪除 刪除 A0171241G0 WEYAN TABLETS "M.T." (鋁箔/膠箔) A017125248 FURATONIN INJECTION "G.C." 1.50 86.00 A017136100 TONPEN TABLETS "Y.C." 0.50 A017138100 0.34 A017143100 CYHEPDIN TABLETS (CYPROHEPTADINE)"J.H." WISH TABLETS A017144321 BAK CREAM "H.S.C." A017153100 A017179100 A017181100 A017185100 CYPROHEPTADINE HCL TABLETS SHULIJN TABLETS " CHEN TA" IPROEFEN CAPSULES "S.S.P." MEFANA TABLETS (MEFENAMIC ACID) "GCPC" TON FONLIN CAPSULES "Y.S." DECASON EYE DROPS "OASIS" (DEXAMETHASONE) GLYCYRRIZINE & OPIUM COMPOUND TABLETS "HEALTH" BROWN MIXTURE LIQ. (WITH OPIUM) "HEALTH" BROWN MIXTURE LIQUID (WITH OPIUM) "HEALTH" SHOUENLIN TABLETS (IBUPROFEN)"Y.Y." MORIEIN TABLETS (BENZYDAMINE) MIGUZETO TABLETS "M.T." BROWN MIXTURE TABLETS "C.T." BETALIN TABLETS (BETAMETHASONE) GENTAMICIN EYE DROPS "GCPC" GENTAMICIN EYE DROPS "GCPC" ULEXIN FOR ORAL SUSPENSION (CEPHALEXIN) ULEXIN FOR ORAL SUSPENSION (CEPHALEXIN) PYSTON TABLETS (MEFENAMIC ACID)"SHINLON" COMAKIN CAPSULES "F.S." A017199100 A017200421 A017203100 A017204157 A017204199 A017205100 A017245100 A017248100 A017252100 A017256100 A017279416 A017279421 A017280144 A017280199 A017291100 A017299100 A017302100 A017303238 A017308100 A017313100 第 35 頁,共 382 頁 COUGHXIN TABLET 8MG (BROMHEXINE) GLUMINE INJECTION (THIAMINE DISULFIDE) "LITA" KETOPROFEN S.C. TABLETS "HONTEN" METOCLOPRAMIDE S.C. TABLETS "C.I." 1.50 32.20 0.35 0.45 1.00 0.37 1.00 17.40 0.14 32.20 0.13 1.00 0.78 0.48 0.14 0.50 8.70 13.80 36.50 0.28 0.37 0.78 0.45 7.70 1.32 0.20 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 1993 A017181100 1994 A017185100 1995 1996 A017199100 A017200421 1997 A017203100 1998 A017204157 1999 A017204199 2000 A017205100 IPROEFEN CAPSULES "S.S.P." (IBUPROFEN) MEFANA TABLETS (MEFENAMIC ACID) "GCPC" TON FONLIN CAPSULES "Y.S." DECASON EYE DROPS "OASIS" (DEXAMETHASONE) GLYCYRRIZINE & OPIUM COMPOUND TABLETS "HEALTH" BROWN MIXTURE LIQ. (WITH OPIUM) "HEALTH" BROWN MIXTURE LIQUID (WITH OPIUM) "HEALTH" SHOUENLIN TABLETS (IBUPROFEN)"Y.Y." 2001 A017245100 2002 2003 2004 2005 2006 2007 A017248100 A017252100 A017256100 A017279416 A017279421 A017280144 2008 A017280199 2009 A017291100 2010 2011 A017299100 A017302100 2012 A017303238 MORIEIN TABLETS (BENZYDAMINE) "AND" MIGUZETO TABLETS "M.T." BROWN MIXTURE TABLETS "C.T." BETALIN TABLETS (BETAMETHASONE) GENTAMICIN EYE DROPS "GCPC" GENTAMICIN EYE DROPS "GCPC" ULEXIN FOR ORAL SUSPENSION (CEPHALEXIN) ULEXIN FOR ORAL SUSPENSION (CEPHALEXIN) PYSTON TABLETS (MEFENAMIC ACID)"SHINLON" COMAKIN CAPSULES "F.S." COUGHXIN TABLET 8MG (BROMHEXINE) 2020 GLUMINE INJECTION (THIAMINE DISULFIDE) "LITA" A017308100 KETOPROFEN S.C. TABLETS "HONTEN" A017313100 METOCLOPRAMIDE S.C. TABLETS "C.I." A017328100 DEXTROMETHORPHAN TABLETS 30MG "HONTEN" A0173281G0 DEXTROMETHORPHAN TABLETS 30MG "HONTEN"(鋁箔/膠箔) A017331100 MEFENAMIC ACID CAPSULES "WINSTON" A017341100 DEXTROMETHORPHAN TABLETS 30MG "C.T." A017343100 DEXTROMETHORPHAN TABLETS 30MG "AND" A017350212 DIPYRIDAMOLE INJECTION "STANDARD" 2021 A017351100 2013 2014 2015 2016 2017 2018 2019 2024 INDOCIN E.C. TABLETS 25MG "CHEN TA" (INDOMETHACIN) A017353100 N-METHYLSCOPOLAMINE METHYL SULFATE TABLETS "M.T." A0173531G0 N-METHYLSCOPOLAMINE METHYL SULFATE TABLETS "M.T."(鋁箔/膠 A017367100 PILINTON CAPSULES "W.F." 2025 2026 2027 2028 2029 2030 A017382100 A017383100 A017402100 A017429100 A017433100 A017438100 NORDRON S.C. TABLETS ANTICOLD CAPSULES "CHINTENG" SULNIN CAPSULES "LITA" ISOPRINE S.C. TABLETS (ISOXSUPRINE) SULFATRIME TABLETS "J.H." IBUPROFEN CAPSULES "WINSTON" 2031 2032 2033 A017441100 A017450100 A017454423 2034 A017482100 PITONNING TABLETS "CHEN TA" TINIDAZOLE TABLETS 500MG "H.H." RINTERON OPHTHALMIC SOLUTION "MAY SEE" COROMALIN TABLETS "KUANG NAN" 2035 A017494212 GENTAMICIN INJECTION "S.T." 40MG 2036 2037 A017494229 A017494238 GENTAMICIN INJECTION "S.T." 40MG GENTAMICIN INJECTION "S.T." 40MG 2022 2023 100年1月 項次 支付價 1993 1 1994 0.37 1 1995 1996 17.4 1997 0.14 1998 32.2 1999 0.13 2000 1 2001 0.78 0.48 2002 0.14 2003 0.5 2004 8.7 2005 13.8 2006 2007 36.5 2008 0.28 2009 0.37 0.78 2010 2011 0.45 2012 7.7 1.32 2013 0.2 2014 2015 1 2016 1.5 0.93 2017 2018 0.46 2019 1 2020 6.8 2021 0.38 2022 0.6 2023 1.5 2024 3.51 1.47 2025 1.17 2026 1 2027 0.53 2028 1 2029 2030 0.55 0.72 2031 2.19 2032 2033 36.3 2034 0.45 2035 0 0 2036 0 2037 CODE 藥品名稱 A017328100 說明 9901 支付價 DEXTROMETHORPHAN TABLETS 30MG "HONTEN" A0173281G0 DEXTROMETHORPHAN TABLETS 30MG "HONTEN"(鋁箔/膠箔) A017331100 MEFENAMIC ACID CAPSULES "WINSTON" A017341100 DEXTROMETHORPHAN TABLETS 30MG "C.T." A017343100 DEXTROMETHORPHAN TABLETS 30MG "AND" A017350212 DIPYRIDAMOLE INJECTION "STANDARD" 1.00 A017351100 INDOCIN E.C. TABLETS 25MG "CHEN TA" (INDOMETHACIN) A017353100 N-METHYLSCOPOLAMINE METHYL SULFATE TABLETS "M.T." A0173531G0 N-METHYLSCOPOLAMINE METHYL SULFATE TABLETS "M.T."(鋁箔/膠箔) A017367100 PILINTON CAPSULES "W.F." A017382100 NORDRON S.C. TABLETS A017383100 ANTICOLD CAPSULES "CHINTENG" A017402100 SULNIN CAPSULES "LITA" A017429100 ISOPRINE S.C. TABLETS (ISOXSUPRINE) A017433100 SULFATRIME TABLETS "J.H." 0.38 A017438100 IBUPROFEN CAPSULES "WINSTON" 0.55 A017441100 PITONNING TABLETS "CHEN TA" 0.72 A017450100 A017454423 TINIDAZOLE TABLETS 500MG "H.H." RINTERON OPHTHALMIC SOLUTION "MAY SEE" GENTAMICIN INJECTION "S.T." 40MG 2.19 36.30 GENTAMICIN INJECTION "S.T." 40MG GENTAMICIN INJECTION "S.T." 40MG ROWELCON S.C. TABLETS (METOCLOPRAMIDE) HANTOLINE TABLETS (MECLIZINE)"Y.C." 15.50 33.80 0.23 A017494212 A017494229 A017494238 A017497100 A017498100 A017503100 A017507212 CLOMIPHENE TABLETS ANSULIN SUSPENDED INJECTION 40MG "S.T." A017507229 ANSULIN SUSPENDED INJECTION 40MG "S.T." A017508100 KNOWFUL CAPSULES "YUNG SHIN"(PIRACETAM) A0175081G0 KNOWFUL CAPSULES "YUNG SHIN"(PIRACETAM)(鋁箔/膠箔) A017527100 CHLORPHEN TABLETS 1.50 0.93 0.46 1.00 6.80 0.60 1.50 3.51 1.66 1.17 1.00 0.53 1.00 10.00 0.22 3.50 17.80 62.00 1.25 1.50 0.80 A017530100 KETOPROFEN CAPSULES "F.S." 1.12 A017534100 DRIED ALUMINUM HYDROXIDE GEL TABLETS 300MG "C.T." ESTRAMON INJECTION "Y.Y." RESERPINE INJECTION "TAI YU" COLDEX CAPSULES "KINGDOM" ANTONE TABLETS "PFOSHEN" ASTHAN S.C. TABLETS "Y.Y" DICOROL S.C. TABLETS "C.R."(DIPYRIDAMOLE) DEX-CHLORPHENIRAMINE TABLETS RIFAMPIN CAPSULES 300MG ALON CAPSULES 0.12 STOPIN TABLETS "GENTLE"(METHYLSCOPOLAMINE METHYL SULFATE) CALVAMOX TABLETS "S.C." (MEBENDAZOLE) COBAMAMIDE TABLETS "C.I." VILITOMIN INJECTION 0.60 A017537209 A017538209 A017543100 A017545100 A017568100 A017573100 A017588100 A017594100 A017621100 A017628100 A017632100 A017707100 A017711212 第 36 頁,共 382 頁 6.20 4.58 0.98 0.19 5.10 0.33 調整 0.54 9.00 0.75 1.37 0.75 21.00 刪除 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050 2051 2052 2053 2054 2055 2056 2057 2058 2059 2060 2061 2062 2063 2064 2065 2066 2067 2068 2069 2070 2071 2072 2073 2074 2075 2076 2077 2078 2079 2080 2081 2082 2083 2084 2085 2086 2087 2088 CODE 藥品名稱 100年1月 項次 支付價 A017497100 ROWELCON S.C. TABLETS 2038 0.23 (METOCLOPRAMIDE) 0.22 2039 A017498100 HANTOLINE TABLETS (MECLIZINE)"Y.C." 3.5 2040 A017503100 CLOMIPHENE TABLETS A017507212 ANSULIN SUSPENDED INJECTION 40MG 2041 0 "S.T." A017507229 ANSULIN SUSPENDED INJECTION 40MG 2042 0 "S.T." A017508100 KNOWFUL CAPSULES "YUNG 2043 1.25 SHIN"(PIRACETAM) A0175081G0 KNOWFUL CAPSULES "YUNG 2044 1.5 SHIN"(PIRACETAM)(鋁箔/膠箔) 0.8 2045 A017527100 CHLORPHEN TABLETS 1.12 2046 A017530100 KETOPROFEN CAPSULES "F.S." A017534100 DRIED ALUMINUM HYDROXIDE GEL 2047 0.12 TABLETS 300MG "C.T." 6.2 2048 A017537209 ESTRAMON INJECTION "Y.Y." 4.58 2049 A017538209 RESERPINE INJECTION "TAI YU" 0.98 2050 A017543100 COLDEX CAPSULES "KINGDOM" 0.19 2051 A017545100 ANTONE TABLETS "PFOSHEN" 5.1 2052 A017568100 ASTHAN S.C. TABLETS "Y.Y" A017573100 DICOROL S.C. TABLETS 2053 0.33 "C.R."(DIPYRIDAMOLE) 0.54 2054 A017588100 DEX-CHLORPHENIRAMINE TABLETS 9 2055 A017594100 RIFAMPIN CAPSULES 300MG 0 2056 A017621100 ALON CAPSULES A017628100 STOPIN TABLETS "GENTLE"(METHYL2057 0.6 SCOPOLAMINE METHYL SULFATE) A017632100 CALVAMOX TABLETS "S.C." 2058 1.37 (MEBENDAZOLE) A017707100 COBAMAMIDE TABLETS "C.I." 2059 0.75 21 2060 A017711212 VILITOMIN INJECTION A017712209 CEFAZOLIN INJECTION 1GM "C.C.P." 2061 19.5 0.75 2062 A017713100 MEBENDAZOLE TABLETS "LITA" A017723100 MEBENDAZOLE TABLETS "N.W." 2063 0.75 0.32 2064 A017732100 SUWEI TABLETS "S.T." A017733435 SWININ NASAL SPRAYS 2065 25.2 (OXYMETAZOLINE) "SWISS" 0.47 2066 A017793100 SALBUTAMOL TABLETS "C.S." A017794100 PREDNISOLONE TABLETS "L.S." 2067 0.25 A017795321 SOFT CREAM 2068 10.9 17 2069 A017795329 SOFT CREAM 37.2 2070 A017795335 SOFT CREAM 19.6 2071 A017795338 SOFT CREAM 0.98 2072 A017795399 SOFT CREAM 0.95 2073 A017799100 PAPAVERINE HCL TABLETS 30MG A017805229 KANAMYCIN SULFATE INJECTION 2074 18.8 "ASTAR" 26.6 2075 A017805238 KANAMYCIN SULFATE INJECTION 1.33 2076 A017805299 KANAMYCIN SULFATE INJECTION 35.9 2077 A017806157 PANCOUDENIN SYRUP "PANBIOTIC" 0.22 2078 A017806199 PANCOUDENIN SYRUP 1.23 2079 A017809100 NOSCOUGH TABLETS "CHINTENG" A017833277 CEFAZOLIN INJECTION 2080 10.9 0.45 2081 A017842100 TUTON TABLETS "Y.S." 1 2082 A017857100 DE-ASTHMA TABLETS "H.H." 1.48 2083 A017859100 AMPICILLIN CAPSULES 500MG 0.6 2084 A017860100 ZEMIN TABLETS (CLEMASTINE) A017862100 ETHYLPAPAVERINE HYDROCHLORIDE 2085 2.18 TABLETS 100MG "F.S." 0.62 2086 A017863100 SINOPRIN TABLETS "SHIN FONG" A017864100 TOFEN CAPSULES 2087 0 (KETOPROFEN)"CHINTENG" 0.17 2088 A017866100 SPARTIN TABLETS CODE 藥品名稱 A017712209 CEFAZOLIN INJECTION 1GM "C.C.P." A017713100 A017723100 A017732100 MEBENDAZOLE TABLETS "LITA" MEBENDAZOLE TABLETS "N.W." SUWEI TABLETS "S.T." A017733435 A017793100 SWININ NASAL SPRAYS (OXYMETAZOLINE) "SWISS" SALBUTAMOL TABLETS "C.S." A017794100 PREDNISOLONE TABLETS "L.S." A017799100 A017805229 A017805238 PAPAVERINE HCL TABLETS 30MG KANAMYCIN SULFATE INJECTION KANAMYCIN SULFATE INJECTION "ASTAR" KANAMYCIN SULFATE INJECTION PANCOUDENIN SYRUP "PANBIOTIC" PANCOUDENIN SYRUP NOSCOUGH TABLETS "CHINTENG" CEFAZOLIN INJECTION TUTON TABLETS "Y.S." 說明 9901 支付價 19.50 0.75 0.75 0.32 刪除 A017805299 A017806157 A017806199 A017809100 A017833277 A017842100 A017857100 A017859100 A017860100 A017862100 A017863100 A017864100 A017866100 A017868100 A017869100 A017872212 A017873100 A017874100 A017877100 A017880416 A017880421 A017881321 A017882163 A017882199 A017887100 A017890100 A017919209 A017950100 A017959100 A017960100 A017966100 A017984100 A018006100 A018014100 A018023329 A018023377 A018023399 A018037100 A018048212 A018051100 A018053321 第 37 頁,共 382 頁 25.20 刪除 0.47 0.25 0.95 18.80 26.60 1.33 35.90 0.22 1.23 10.90 0.45 DE-ASTHMA TABLETS "H.H." AMPICILLIN CAPSULES 500MG ZEMIN TABLETS (CLEMASTINE) ETHYLPAPAVERINE HYDROCHLORIDE TABLETS 100MG "F.S." SINOPRIN TABLETS "SHIN FONG" 1.00 1.48 0.60 2.18 TOFEN CAPSULES (KETOPROFEN)"CHINTENG" SPARTIN TABLETS SUWIMIN TABLETS "CHEN TA"(DICYCLOMINE) PREDNISOLONE TABLETS 5MG "C.T." YUOSINCIN INJECTION (DIPYRIDAMOLE)"S.Y." FONSUCAINE TABLETS "Y.Y." INDOMETHACIN CAPSULES "PFOSHEN" 1.32 COSUTONE TABLETS "H.H." GENTAMYCIN OPHTHALMIC SOLUTION "SHIONOGI" GENTAMYCIN OPHTHALMIC SOLUTION "SHIONOGI" GENTAMYCIN CREAM "SHIONOGI" UNITUSSIN SYRUP " CENTER" UNITUSSIN SYRUP " CENTER" COBAMAMIDE CAPSULES "Y.C." SELADIN CAPSULES TESTOSTERONE CYPIONATE INJECTION "Y.Y." FANTONCHU TABLETS "C.T." ASTAMOL TABLETS (SALBUTAMOL) PHENOZOLATE TABLETS "TK&A." COMMONCOLD CAPSULES "N.W." METOCLOPRAMIDE TABALETS "Y.C." DIPHACOL S.C. TABLETS "S.C." (DIPHENIDOL) SOLAXIN TABLET "C.R." FUNGIDERMA CREAM FUNGIDERMA CREAM FUNGIDERMA CREAM DIPHENIDOL TABLETS "L.E." 1.00 33.10 VITAMIN BC INJECTION "LITA" HALOSTEN TABLETS 1MG (HALOPERIDOL) SWISSCORT CREAM "SWISS BRAND" 刪除 0.62 0.17 0.25 0.25 4.39 0.55 0.53 34.20 32.90 25.70 0.11 0.75 1.23 15.90 新增 新增 新增 新增 新增 0.45 0.50 0.50 0.55 0.25 0.80 0.78 45.40 692.00 1.38 0.83 1.40 1.43 刪除 14.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 2089 A017868100 2090 2091 A017869100 A017872212 2092 2093 2094 A017873100 A017874100 A017877100 SUWIMIN TABLETS "CHEN TA"(DICYCLOMINE) PREDNISOLONE TABLETS 5MG "C.T." YUOSINCIN INJECTION (DIPYRIDAMOLE)"S.Y." FONSUCAINE TABLETS "Y.Y." INDOMETHACIN CAPSULES "PFOSHEN" COSUTONE TABLETS "H.H." 2095 A017880416 2096 A017880421 2097 2098 2099 2100 A017881321 A017882163 A017882199 A017887100 GENTAMYCIN OPHTHALMIC SOLUTION "SHIONOGI" GENTAMYCIN OPHTHALMIC SOLUTION "SHIONOGI" GENTAMYCIN CREAM "SHIONOGI" UNITUSSIN SYRUP " CENTER" UNITUSSIN SYRUP " CENTER" COBAMAMIDE CAPSULES "Y.C." 2101 A017890100 SELADIN CAPSULES 2102 A017919209 2103 2104 A017950100 A017959100 2105 2106 2107 2108 A017960100 A017966100 A017984100 A018006100 2109 2110 2111 2112 2113 2114 2115 2116 2117 2118 2119 2120 2121 A018014100 A018023329 A018023377 A018023399 A018037100 A018048212 A018051100 A018053321 A018061100 A018062100 A018063316 A018063321 A018063329 TESTOSTERONE CYPIONATE INJECTION "Y.Y." FANTONCHU TABLETS "C.T." ASTAMOL TABLETS (SALBUTAMOL) "N.W." PHENOZOLATE TABLETS "H.S." COMMONCOLD CAPSULES "N.W." METOCLOPRAMIDE TABALETS "Y.C." DIPHACOL S.C. TABLETS "S.C." (DIPHENIDOL) SOLAXIN TABLET "C.R." FUNGIDERMA CREAM FUNGIDERMA CREAM FUNGIDERMA CREAM DIPHENIDOL TABLETS "L.E." VITAMIN BC INJECTION "LITA" HALOSTEN TABLETS 1MG SWISSCORT CREAM "SWISS BRAND" COPHYLLINE TABLETS "H.C." CHUNBIK TABLETS (MEBENDAZOLE) TOPSYM CREAM (FLUOCINONIDE) TOPSYM CREAM (FLUOCINONIDE) TOPSYM CREAM (FLUOCINONIDE) 2122 A018069100 2123 A018086100 ANCOTON TABLETS (ACETAMINOPHEN)"H.C." CAMYLOFIN S.C. TABLETS “TEN SUN” 2124 A018088321 TOPSYM OINTMENT (FLUOCINONIDE) 2125 A018089100 TINIDAZOLE CAPSULES 150MG "P.J." 2126 A018091100 METHON TABLETS 15MG 2127 2128 A018097100 A018098110 KETOPROFEN CAPSULES "M.T." SUPERCILLIN (AMOXICILLIN) POWDER FOR ORAL SUSPENSION 2129 A018098199 2130 2131 2132 A018100100 A018132100 A018133100 2133 2134 2135 2136 2137 A018136100 A018153100 A018155100 A018157329 A018157399 SUPERCILLIN POWDER FOR ORAL SUSPENSION(12.5G/500ML) DELUGI TABLETS "WP" (NALIDIXIC ACID) WETUNLIN TABLETS "S.Y." BENTOLIN TABLETS 4MG (SALBUTAMOL)"F.S." ACETAMINOPHEN TABLETS "Y.S." BETAMETHASONE TABLETS 0.5MG "C.T." BUCLIZINE TABLETS "P.J." CROLAX-H CREAM "P.J." CROLAX-H CREAM "P.J." 2138 A018160100 DEHYDRI S.C. TABLETS "P.J." 100年1月 項次 支付價 2089 0.25 0.25 2090 2091 4.39 0.55 2092 0.53 2093 2094 1 2095 33.1 2096 34.2 32.9 2097 25.7 2098 0.11 2099 2100 0 2101 1.23 2102 15.9 0.45 2103 2104 0.5 0.5 2105 0.55 2106 0.25 2107 2108 0.8 0.78 2109 45.4 2110 692 2111 1.38 2112 0 2113 1.4 2114 1.43 2115 14 2116 1 2117 0.75 2118 50 2119 50 2120 2121 86 2122 0.3 2123 1.29 2124 50 2125 1.5 2126 0.72 1.1 2127 2128 36.6 2129 0.61 2.09 2130 1 2131 2132 0.62 0.28 2133 0.32 2134 0.4 2135 10.1 2136 2137 1.01 0.8 2138 說明 CODE 藥品名稱 A018061100 COPHYLLINE TABLETS "H.C." A018062100 A018063316 CHUNBIK TABLETS (MEBENDAZOLE) TOPSYM CREAM (FLUOCINONIDE) 0.75 50.00 A018063321 A018063329 A018069100 50.00 86.00 0.30 A018086100 TOPSYM CREAM (FLUOCINONIDE) TOPSYM CREAM (FLUOCINONIDE) ANCOTON TABLETS (ACETAMINOPHEN)"H.C." CAMYLOFIN S.C. TABLETS “TEN SUN” A018088321 TOPSYM OINTMENT (FLUOCINONIDE) 50.00 A018089100 A018091100 A018097100 A018098110 TINIDAZOLE CAPSULES 150MG "P.J." METHON TABLETS 15MG KETOPROFEN CAPSULES "M.T." SUPERCILLIN (AMOXICILLIN) POWDER FOR ORAL SUSPENSION SUPERCILLIN POWDER FOR ORAL SUSPENSION(12.5G/500ML) DELUGI TABLETS "WP" (NALIDIXIC ACID) 1.50 0.72 1.10 36.60 WETUNLIN TABLETS "S.Y." BENTOLIN TABLETS 4MG (SALBUTAMOL)"F.S." ACETAMINOPHEN TABLETS "Y.S." BETAMETHASONE TABLETS 0.5MG "C.T." BUCLIZINE TABLETS "P.J." CROLAX-H CREAM "P.J." 1.00 0.62 A018098199 A018100100 A018132100 A018133100 A018136100 A018153100 A018155100 A018157329 A018157399 A018160100 A018162100 A018171100 A0181711G0 A018183100 A018204212 A018220100 A018231100 A018232100 A018237100 A018240100 A0182401G0 9901 支付價 1.00 1.29 刪除 0.61 2.09 0.28 0.32 0.40 10.10 CROLAX-H CREAM "P.J." DEHYDRI S.C. TABLETS "P.J." PAINTYL TABLETS "P.J." WEICOLA TABLETS "CHINTENG" WEICOLA TABLETS "CHINTENG" (鋁箔) RELAPINE TABLETS "C.H." SEQUITON INJECTION SAMOL TABLETS (SALBUTAMOL) "T.F." MEPENZOL TABLETS "P.J." SUSEMIDE TABLETS (HYDRALAZINE) SOFTCOUGH CAPSULES "PANBITOTIC" PHENYTOIN TABLETS "VPP" PHENYTOIN TABLETS 100MG"VPP"(鋁箔/ 膠箔) A018250100 CARDIOLOL TABLETS 40MG (PROPRANOLOL) A0182501G0 CARDIOLOL TABLETS 40MG (PROPRANOLOL) (鋁箔/膠箔) A018251100 CARDIOLOL TABLETS 10MG (PROPRANOLOL) A0182511G0 CARDIOLOL TABLETS 10MG (PROPRANOLOL)(鋁箔/膠箔) A018255212 U-GENCIN INJECTION 40MG/ML (GENTAMYCIN) A018270100 COLDLAX CAPSULES "JINUP" A018281100 HUGALIN S.C. TABLETS (DIISOPROPYLAMINE DICHLOROACETATE) "H.H." A018282100 SEPRONIN CAPSULES "SHITEH" (KETOPROFEN) A018291212 GENTA-C INJECTION 40MG/ML "GENTLE" A018296100 SUBILIN TABLETS "C.T." A018322321 GENDERON CREAM "PATRON" 1.01 0.80 0.45 1.10 1.50 0.71 10.00 1.00 0.45 0.93 1.07 0.34 1.50 A018322329 A018322399 A018331100 A018332100 A018336100 17.30 1.42 0.75 0.60 1.00 A018342100 第 38 頁,共 382 頁 GENDERON CREAM "PATRON" GENDERON CREAM "PATRON" SALBUTAMOL TABLETS "HONTEN" NOVAZIL TABLETS "S.C." KENACORT TABLETS (TRIAMCINOLONE)"Y.Y." LOBAK TABLETS "CHINTENG" 0.81 1.50 0.91 1.50 10.00 0.63 1.00 1.38 11.00 0.56 33.80 1.00 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 2139 2140 2141 2142 A018162100 A018171100 A0181711G0 A018183100 2143 2144 2145 2146 2147 2148 2149 A018204212 A018220100 A018231100 A018232100 A018237100 A018240100 A0182401G0 2150 A018250100 2151 A0182501G0 2152 A018251100 2153 A0182511G0 2154 A018255212 2155 2156 A018270100 A018281100 2157 A018282100 2158 A018291212 2159 2160 2161 A018296100 A018322321 A018322329 2162 2163 2164 A018322399 A018331100 A018332100 2165 A018336100 2166 2167 2168 2169 2170 A018342100 A0183421G0 A018358100 A018361100 A018373100 2171 2172 2173 2174 A018406100 A018411100 A018413238 A018415399 2175 A018416100 2176 A018424212 2177 A018425100 2178 A018432100 2179 A018433100 2180 2181 2182 2183 2184 2185 A018434100 A018437321 A018437329 A018437338 A018437399 A018444100 2186 A0184441G0 藥品名稱 100年1月 支付價 0.45 PAINTYL TABLETS "P.J." 1.1 WEICOLA TABLETS "CHINTENG" 1.5 WEICOLA TABLETS "CHINTENG" (鋁箔) RELAPINE TABLETS "C.H." 0.71 10 SEQUITON INJECTION 0 SAMOL TABLETS (SALBUTAMOL) "T.F." 0.45 MEPENZOL TABLETS "P.J." 0.93 SUSEMIDE TABLETS (HYDRALAZINE) 1.07 SOFTCOUGH CAPSULES "PANBITOTIC" 0.34 PHENYTOIN TABLETS "VPP" PHENYTOIN TABLETS 100MG"VPP"(鋁箔/ 1.5 膠箔) CARDIOLOL TABLETS 40MG 0.81 (PROPRANOLOL) CARDIOLOL TABLETS 40MG 1.5 (PROPRANOLOL) (鋁箔/膠箔) CARDIOLOL TABLETS 10MG 0.91 (PROPRANOLOL) CARDIOLOL TABLETS 10MG 1.5 (PROPRANOLOL)(鋁箔/膠箔) U-GENCIN INJECTION 40MG/ML 10 (GENTAMYCIN) 0.63 COLDLAX CAPSULES "JINUP" HUGALIN S.C. TABLETS (DIISOPROPYLAMINE 1 DICHLOROACETATE) "H. SEPRONIN CAPSULES "SHITEH" 1.38 (KETOPROFEN) GENTA-C INJECTION 40MG/ML "GENTLE" 0 0.56 SUBILIN TABLETS "C.T." 33.8 GENDERON CREAM "PATRON" GENDERON CREAM "PATRON" 17.3 1.42 GENDERON CREAM "PATRON" 0.75 SALBUTAMOL TABLETS "HONTEN" NOVAZIL TABLETS "S.C." 0.6 KENACORT TABLETS 0 (TRIAMCINOLONE)"Y.Y." 1 LOBAK TABLETS "CHINTENG" 1.5 LOBAK TABLETS "CHINTENG"(鋁箔/膠箔) 1.26 NURCOUGH TABLETS "AND" 0.63 COLD S.C. TABLETS TATONLIN CAPSULES "Y.S." (MEFENAMIC 0.41 ACID) 0.28 CINNARIZINE TABLETS "C.H." 1.5 MEBENDAZOLE TABLETS "CHINTENG" 10 TRITAMIN B12 INJECTION "LITA" CALAMINE LOTION "WP." 0.14 PRO-LIVER S.C. TABLETS "M.T." 1.24 ASCORBIC ACID INJECTION 500MG 1.93 "SWISS" MEBENDAZOLE TABLETS "WINSTON" 1.5 ACETAMINOPHEN TABLETS "WINSTON" 0.74 ACTIVE-B6 CAPSULES (PYRIDOXAL 1.92 PHOSPHATE)"CHINTENG" 0 TRIAMCINOLONE TABLETS "MERDER" 18 BETASONE CREAM L.S. 17 BETASONE CREAM L.S. 69 BETASONE CREAM L.S. 1.7 BETASONE CREAM L.S. CABIDRIN FILM COATED TABLETS 0.68 "JOHNSON" CABIDRIN FILM COATED TABLETS 0 "JOHNSON"(鋁箔/膠箔) 說明 項次 CODE 藥品名稱 9901 支付價 2139 2140 2141 2142 A0183421G0 A018358100 A018361100 A018373100 2143 2144 2145 2146 2147 2148 2149 A018406100 A018411100 A018413238 A018415399 A018416100 A018424212 A018425100 LOBAK TABLETS "CHINTENG"(鋁箔/膠箔) NURCOUGH TABLETS "AND" COLD S.C. TABLETS TATONLIN CAPSULES "Y.S." (MEFENAMIC ACID) CINNARIZINE TABLETS "C.H." MEBENDAZOLE TABLETS "CHINTENG" TRITAMIN B12 INJECTION "LITA" CALAMINE LOTION "WP." PRO-LIVER S.C. TABLETS "M.T." ASCORBIC ACID INJECTION 500MG MEBENDAZOLE TABLETS "WINSTON" 2150 A018432100 ACETAMINOPHEN TABLETS "WINSTON" 0.74 2151 A018433100 1.92 2152 A018434100 ACTIVE-B6 CAPSULES (PYRIDOXAL PHOSPHATE)"CHINTENG" TRIAMCINOLONE TABLETS "MERDER" 2153 A018437321 BETASONE CREAM L.S. 18.00 2154 A018437329 BETASONE CREAM L.S. 17.00 2155 2156 A018437338 A018437399 BETASONE CREAM L.S. BETASONE CREAM L.S. 69.00 1.70 2157 A018444100 2158 A018448100 2159 2160 2161 A018451100 A018458100 A018460100 2162 2163 2164 A018467100 A018471321 A018479100 2165 A018498100 CABIDRIN FILM COATED TABLETS "JOHNSON" SUYALIN TABLETS 10MG (HYDRALAZINE) "ASTAR" G.P.D. CAPSULES "HEALTH" PROSANOL TABLETS (PROPRANOLOL) BUU SHIEE VITAMINE CAPSULES (COBAMAMIDE) "TK&A." HALOSTEN TABLETS 2MG GENTAMYCIN OINTMENT "SHIONOGI" PELON CAPSULES (TOCOPHEROL NICOTINATE) "F.S." PISANTONG TABLETS "CHINTENG" 2166 2167 2168 2169 2170 A018507212 A018514399 A018519209 A018519265 A018519277 PYRIDOXAL PHOSPHATE INJECTION PEIJISONE CREAM (BETAMETHASONE) PROMIN INJECTION "N.K." PROMIN INJECTION "N.K." PROMIN INJECTION "N.K." 2171 2172 2173 2174 A018522100 A018530212 A018530238 A018555100 1.50 1.26 0.63 0.41 0.28 1.50 10.00 0.14 1.24 1.93 1.50 刪除 0.63 0.68 0.32 刪除 1.05 0.70 1.08 1.84 32.90 0.99 1.17 刪除 2179 BALLEKA S.C. TABLETS "MEIDER" VITAMINE C INJECTION "PANBIOTIC" VITAMINE C INJECTION "PANBIOTIC" PANATOL TABLETS (ACETAMINOPHEN) "PANBIOTIC" A018559100 LONZUMIN TABLETS "STANDARD" (BUCLIZINE) A018569100 SPIROTONE TABLETS 25MG (SPIRONOLACTONE) "V.P.P." A0185691G0 SPIROTONE TABLETS 25MG (SPIRONOLACTONE) "V.P.P."(鋁箔/膠箔) A018570100 MYOLAX TABLETS 500MG (METHOCARBAMOL) "VPP" A018572100 KETOPROFEN CAPSULES "CHEN TA" 2180 2181 2182 2183 2184 2185 A018573100 A018589209 A018592100 A018597500 A018598329 A018605209 AMITRIPTYLINE TABLETS NEO-ERGO INJECTION "ORIENTAL" ECAN CAPSULES (ANETHOLE) "S.T." HEMODIN SUPPOSITORIES "PATRON" HEMODIN OINTMENT "PATRON" PABICON INJECTION "PATRON" 2186 A018609100 ANALGESIC TABLETS 500MG "SOURIREE" (ACETAMINOPHEN) 2175 2176 2177 2178 第 39 頁,共 382 頁 6.40 2.06 62.00 23.70 27.50 0.54 1.93 8.90 0.42 0.46 1.42 1.50 1.22 1.10 0.34 10.00 1.00 5.50 66.00 1.60 刪除 0.20 刪除+新增 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 2187 A018448100 2188 2189 2190 A018451100 A018458100 A018460100 2191 2192 2193 A018467100 A018471321 A018479100 2194 2195 2196 2197 A018498100 A018507212 A018514399 A018519209 SUYALIN TABLETS 10MG (HYDRALAZINE) "ASTAR" G.P.D. CAPSULES "HEALTH" PROSANOL TABLETS (PROPRANOLOL) BUU SHIEE VITAMINE CAPSULES "H.S."(COBAMAMIDE) HALOSTEN TABLETS 2MG GENTAMYCIN OINTMENT "SHIONOGI" PELON CAPSULES (TOCOPHEROL NICOTINATE) "F.S." PISANTONG TABLETS "CHINTENG" PYRIDOXAL PHOSPHATE INJECTION PEIJISONE CREAM (BETAMETHASONE) PROMIN INJECTION "N.K." 2198 A018519265 PROMIN INJECTION "N.K." 2199 A018519277 PROMIN INJECTION "N.K." 2200 A018522100 BALLEKA S.C. TABLETS "MEIDER" 2201 2202 2203 A018530212 A018530238 A018555100 2208 VITAMINE C INJECTION "PANBIOTIC" VITAMINE C INJECTION "PANBIOTIC" PANATOL TABLETS (ACETAMINOPHEN) "PANBIOTIC" A018559100 LONZUMIN TABLETS "STANDARD" (BUCLIZINE) A018569100 SPIROTONE TABLETS 25MG (SPIRONOLACTONE) "V.P.P." A0185691G0 SPIROTONE TABLETS 25MG (SPIRONOLACTONE) "V.P.P."(鋁箔/膠箔) A018570100 MYOLAX TABLETS 500MG (METHOCARBAMOL) "VPP" A018572100 KETOPROFEN CAPSULES "CHEN TA" 2209 A018573100 AMITRIPTYLINE TABLETS 2210 2211 A018589209 A018592100 NEO-ERGO INJECTION "ORIENTAL" ECAN CAPSULES (ANETHOLE) "S.T." 2212 A018597500 HEMODIN SUPPOSITORIES "PATRON" 2213 2214 2215 A018598329 A018605209 A018609100 2204 2205 2206 2207 2221 HEMODIN OINTMENT "PATRON" PABICON INJECTION "PATRON" ANALGESIC TABLETS 500MG "SOURIREE" (ACETAMINOPHEN) A018620100 UNDIARRHEA CAPSULES"YUNG SHIN" (LOPERAMIDE) A018637100 COLAC E.C. TABLETS "S.C." (BISACODYL) A018638100 SUJNLI TABLETS "CHEN TA" A018646100 DIPHENIDOL S.C. TABLETS "H.S." A0186461G0 DIPHENIDOL S.C. TABLETS "H.H."(鋁箔/膠 箔) A018648100 KORYNASE E.C. TABLETS 10MG 2222 A018649100 KORYNASE E.C. TABLETS 5MG 2223 A018654100 COFFEGOT TABLETS "Y.Y." 2224 2225 2226 2227 A018659100 A018660100 A018664100 A018665100 2228 A018669212 2229 A018670209 2230 A018670229 2231 A018678100 ACETAMINOPHEN TABLETS "S.Y." ACETAMINOPHEN TABLETS 500MG "C.T." PROPRANOLOL TABLETS "Y.S." LINPEMYCIN CAPSULES 500MG (AMPICILLIN) BETAMETHASONE SUSPENDED INJECTION "GENTLE" DEXAMETHASONE INJECTION 4MG/ML "GENTLE" DEXAMETHASONE INJECTION 4 MG/ML "GENTLE" BIDICON TABLETS 2216 2217 2218 2219 2220 100年1月 項次 支付價 2187 0.32 1.05 2188 0.7 2189 2190 1.08 1.84 2191 32.9 2192 2193 0.99 1.17 2194 6.4 2195 0.82 2196 2197 62 2198 23.7 2199 27.5 2200 0 1.93 2201 8.9 2202 2203 0.42 2204 0.46 2205 1.29 2206 1.5 2207 1.22 2208 1.1 2209 0.34 10 2210 2211 1 2212 5.5 66 2213 1.6 2214 2215 0.2 2216 0 0.96 2217 0.6 2218 1 2219 2220 1.5 2221 3.2 2222 4.07 2223 0.91 0.28 2224 0.19 2225 0.67 2226 2227 1.53 2228 120 2229 3.14 2230 16.2 0.46 2231 說明 CODE 藥品名稱 A018620100 0.67 A018637100 A018638100 A018646100 UNDIARRHEA CAPSULES"YUNG SHIN" (LOPERAMIDE) COLAC E.C. TABLETS "S.C." (BISACODYL) SUJNLI TABLETS "CHEN TA" DIPHENIDOL S.C. TABLETS "H.S." A018648100 A018649100 A018654100 KORYNASE E.C. TABLETS 10MG KORYNASE E.C. TABLETS 5MG COFFEGOT TABLETS "Y.Y." 3.20 4.07 0.91 A018659100 A018660100 A018664100 A018665100 ACETAMINOPHEN TABLETS "S.Y." ACETAMINOPHEN TABLETS 500MG "C.T." PROPRANOLOL TABLETS "Y.S." LINPEMYCIN CAPSULES 500MG (AMPICILLIN) BETAMETHASONE SUSPENDED INJECTION "GENTLE" DEXAMETHASONE INJECTION 4MG/ML "GENTLE" DEXAMETHASONE INJECTION 4 MG/ML "GENTLE" BIDICON TABLETS DEXAMETHASONE INJECTION 0.5% IRTONPYSON S.C. TABLETS (PHENYLBUTAZONE) MEBENDAZOLE TABLETS "M.T." 0.28 0.19 0.67 1.53 A018669212 A018670209 A018670229 A018678100 A018679209 A018680100 A018692100 9901 支付價 0.96 0.60 1.00 120.00 3.14 16.20 刪除 0.46 8.60 3.41 0.75 A0186921G0 MEBENDAZOLE TABLETS "M.T."(鋁箔/膠 箔) A018694209 ATROPINE SULFATE INJECTION 1MG/ML "VPP" A018696100 BIDYL S.C. TABLETS (BISACODYL) "C.C.P." A018700100 FUNGACIN CAPSULES 500MG (GRISEOFULVIN) "P.J" A018705100 ALLOPRIM TABLETS (ALLOPURINOL) "SHINLON" A018718100 ANTICOLD CAPSULES "C.R." A018719100 IMIMINE S.C. TABLETS 25MG (IMIPRAMINE) "VPP" A0187191G0 IMIMINE S.C. TABLETS 25MG (IMIPRAMINE) "VPP" (鋁箔/膠箔) A018726100 GU YEN TABLETS "S.T." A0187261G0 GU YEN TABLETS "S.T."(鋁箔/膠箔) A018727100 NALIDIXIC ACID TABLETS 500MG "C.T." 1.50 A018738100 0.88 A018786500 A018789100 A018791100 A018798335 SUFFIN TABLETS (PSEUDOEPHEDRINE HCL) "C.R." COLDENIN CAPSULES ZUTON TABLETS "YU SHENG" TOLDINE OINTMENT "S.T." KOSULER PASTE (TRIAMCINOLONE) "PANBIOTIC" KOSULER PASTE (TRIAMCINOLONE) "PANBIOTIC" FURAMMINE TABLETS 50MG (DIMENHYDRINATE) "F.S." CLONIDINE TABLETS 0.15MG (CLONIDINE)"F.S." TRICO VAGINAL TABLETS POSTON CAPSULES 250MG "CHEN TA" SEDENIN TABLETS "MEIDER" TRICODEX CREAM "C.C.P." A018803100 SULAN SUGAR COATED TABLETS "P.L." A018805221 CHYMASE LYOPHILIZED INJECTION (CHYMOTRYPSIN) UPDIAN TABLETS "JINUP" (METRONIDAZOLE) VITAMIN B COMPLEX INJECTION A018750100 A018756100 A018771329 A018772121 A018772129 A018773100 A018783100 A018808100 A018820299 第 40 頁,共 382 頁 調整 調整 3.46 0.84 2.71 1.00 1.17 1.00 1.50 0.20 1.50 2.09 刪除 1.18 1.00 35.20 31.60 新增 90.00 0.60 1.00 4.00 0.80 0.45 65.00 1.00 32.50 1.00 1.59 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 2232 2233 2234 2235 2236 2237 2238 2239 2240 2241 2242 2243 2244 2245 2246 2247 2248 2249 2250 2251 2252 2253 2254 2255 2256 2257 2258 2259 2260 2261 2262 2263 2264 2265 2266 2267 2268 2269 2270 2271 2272 2273 2274 2275 2276 CODE 藥品名稱 100年1月 項次 支付價 8.6 2232 A018679209 DEXAMETHASONE INJECTION 0.5% A018680100 IRTONPYSON S.C. TABLETS 2233 3.41 (PHENYLBUTAZONE) A018692100 MEBENDAZOLE TABLETS "M.T." 2234 0.75 A0186921G0 MEBENDAZOLE TABLETS "M.T."(鋁箔/膠 2235 1.5 箔) A018694209 ATROPINE SULFATE INJECTION 1MG/ML 2236 3.46 "VPP" 0.84 2237 A018696100 BIDYL S.C. TABLETS (BISACODYL) A018700100 FUNGACIN CAPSULES 500MG 2238 2.71 (GRISEOFULVIN) "P.J" A018705100 ALLOPRIM TABLETS (ALLOPURINOL) 2239 1 "SHINLON" 1.17 2240 A018718100 ANTICOLD CAPSULES "C.R." A018719100 IMIMINE S.C. TABLETS 25MG 2241 1 (IMIPRAMINE) "VPP" A0187191G0 IMIMINE S.C. TABLETS 25MG 2242 1.5 (IMIPRAMINE) "VPP" (鋁箔/膠箔) A018726100 GU YEN TABLETS "S.T." 2243 0.2 1.5 2244 A0187261G0 GU YEN TABLETS "S.T."(鋁箔/膠箔) A018727100 NALIDIXIC ACID TABLETS 500MG "C.T." 2245 2.09 A018738100 SUFFIN TABLETS (PSEUDOEPHEDRINE 2246 0.88 HCL) "C.R." A0187381G0 SUFFIN TABLETS (PSEUDOEPHEDRINE 2247 1.5 HCL) "C.R."(鋁箔/膠箔) 1.18 2248 A018750100 COLDENIN CAPSULES 1 2249 A018756100 ZUTON TABLETS "YU SHENG" 35.2 2250 A018771329 TOLDINE OINTMENT "S.T." A018772121 KOSULER PASTE (TRIAMCINOLONE) 2251 31.6 "PANBIOTIC" A018772129 KOSULER PASTE (TRIAMCINOLONE) 2252 90 "PANBIOTIC" A018773100 FURAMMINE TABLETS 50MG 2253 0.6 (DIMENHYDRINATE) "F.S." A018783100 CLONIDINE TABLETS 0.15MG 2254 1 (CLONIDINE)"F.S." 4 2255 A018786500 TRICO VAGINAL TABLETS 0.8 2256 A018789100 POSTON CAPSULES 250MG "CHEN TA" 0.45 2257 A018791100 SEDENIN TABLETS "MEIDER" 65 2258 A018798335 TRICODEX CREAM "C.C.P." 1 2259 A018803100 SULAN SUGAR COATED TABLETS "P.L." A018805221 CHYMASE LYOPHILIZED INJECTION 2260 32.5 (CHYMOTRYPSIN) A018808100 UPDIAN TABLETS "JINUP" 2261 1 (METRONIDAZOLE) 1.59 2262 A018820299 VITAMIN B COMPLEX INJECTION 1 2263 A018823100 SUNET HTON TABLETS A018828100 COLDEX CAPSULES "PRINCE" 2264 1.26 A018848421 ATROPINE EYE DROPS (ATROPINE 2265 29.9 SULFATE)"OASIS" 20 2266 A018860277 GUROCAN INJECTION "N.K." 0.41 2267 A018862100 MEFENAMIC ACID CAPSULES "S.T." 0.66 2268 A018873100 BUCLIZINE TABLETS "H.H." A018884265 SUPERCILLIN FOR INJECTION "VPP" 2269 14.9 1.1 2270 A018886100 KETOPROFENE CAPSULES "LITA" A018887100 HOTITON TABLETS 2271 1 A018896100 SALUTOL TABLETS (SALBUTAMOL) 2272 0.88 "KINGDOM" A0188961G0 SALUTOL TABLETS (SALBUTAMOL) 2273 1.5 "KINGDOM"(鋁箔) A018905100 THIRIZINE S.C. TABLETS (THIORIDAZINE) 2274 0.84 "VPP" 0.17 2275 A018916100 TOPICAINE TABLETS (OXETHAZINE) A018920100 DACTIRAN F.C. TABLETS (PIPERIDOLATE) 2276 2.07 "KYORIN" 說明 CODE 藥品名稱 A018823100 A018828100 SUNET HTON TABLETS COLDEX CAPSULES "PRINCE" A018848421 29.90 A018860277 ATROPINE EYE DROPS (ATROPINE SULFATE)"OASIS" GUROCAN INJECTION "N.K." A018862100 MEFENAMIC ACID CAPSULES "S.T." 0.41 A018873100 A018884265 BUCLIZINE TABLETS "H.H." SUPERCILLIN FOR INJECTION "VPP" 0.66 14.90 A018886100 KETOPROFENE CAPSULES "LITA" A018887100 A018896100 HOTITON TABLETS SALUTOL TABLETS (SALBUTAMOL) "KINGDOM" A0188961G0 SALUTOL TABLETS (SALBUTAMOL) "KINGDOM"(鋁箔) A018905100 THIRIZINE S.C. TABLETS (THIORIDAZINE) "VPP" A018916100 TOPICAINE TABLETS (OXETHAZINE) A018920100 DACTIRAN F.C. TABLETS (PIPERIDOLATE) "KYORIN" A018926100 TIOPRONIN S.C. TABLETS "S.T." 9901 支付價 1.00 1.26 20.00 1.10 1.00 0.88 1.50 0.84 0.17 2.07 4.68 A018927329 VENIFCORT CREAM "N.K." 18.00 A018929100 A018930100 A018946209 A018946229 ANTALGIC TABLETS "H.H." KETOPROFEN CAPSULES 50MG "C.T." DEXAMETHASONE INJECTION "Y.Y." DEXAMETHASONE INJECTION "Y.Y." 0.80 1.10 4.43 1.90 A018949100 BISACODYL E.C. TABLETS 5MG "VPP" 0.80 新增 A0189491G0 BISACODYL E.C. TABLETS 5MG "VPP"(鋁 箔/膠箔) A018952333 HEPARINOID OINTMENT "Y.Y." 43.60 A018959100 A018973100 A018985163 A018985199 A018987421 A018996100 0.60 1.00 25.80 0.10 24.80 0.60 A019115100 POLYASE TABLETS "P.J." AMPICILLIN CAPSULES 250MG "CSP" PACOUGH SYRUP "PATRON" PACOUGH SYRUP "PATRON" BENOXINATE EYE DROPS "OASIS" M.B. TABLETS (MEPENZOLATE BROMIDE) "M.T." GEMOX CAPSULES 500MG (AMOXYCILLIN) "GENTLE" KOCHANIIN TABLETS (CLONIDINE) "S.Y." AMITRIPTYLINE TABLETS "JINUP" GEMOX CAPSULES 250MG (AMOXYCILLIN) "GENTLE" TANPAMIDE TABLETS (CHLORPROPAMIDE) "SHINLON" KETOPROFEN CAPSULES "Y.S." CLOMIPHENE CAPSULES 50MG "JINUP" DIPHENIDOL TABLETS LOFAXIN CAPSULES 250MG (CEPHALEXIN) "GENTLE" BICOROMIN TABLETS "MEIDER" VERMICIDE TABLETS (MEBENDAZOLE) "PFOSHEN" PAWINT TABLETS "PATRON" A019127100 STANOL TABLETS (STANOZOLOL) "H.H." 1.20 A019129100 LEVODOPA CAPSULES "F.S." 6.70 A019135100 A019137100 AMPICILLIN CAPSULES 500MG "GENTLE" ANICAMET S.C. TABLETS (NICAMETATE) "H.C." 1.31 0.71 A019033100 A019039100 A019040100 A019054100 A019070100 A019072100 A019087100 A019093100 A019097100 A019102100 A019111100 第 41 頁,共 382 頁 1.50 1.28 1.00 0.90 0.80 0.87 1.10 4.06 0.78 1.15 0.69 0.75 1.36 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 2277 2278 2279 2280 2281 2282 2283 2284 A018926100 A018927329 A018929100 A018930100 A018946209 A018946229 A018949100 A0189491G0 2285 2286 2287 A018952333 A018959100 A018973100 TIOPRONIN S.C. TABLETS "S.T." VENIFCORT CREAM "N.K." ANTALGIC TABLETS "H.H." KETOPROFEN CAPSULES 50MG "C.T." DEXAMETHASONE INJECTION "Y.Y." DEXAMETHASONE INJECTION "Y.Y." BISACODYL E.C. TABLETS 5MG "VPP" BISACODYL E.C. TABLETS 5MG "VPP"(鋁 箔/膠箔) HEPARINOID OINTMENT "Y.Y." POLYASE TABLETS "P.J." AMPICILLIN CAPSULES 250MG "CSP" 2288 2289 2290 A018985163 A018985199 A018987421 PACOUGH SYRUP "PATRON" PACOUGH SYRUP "PATRON" BENOXINATE EYE DROPS "OASIS" 2291 A018996100 2292 A019033100 2293 A019039100 M.B. TABLETS (MEPENZOLATE BROMIDE) "M.T." GEMOX CAPSULES 500MG (AMOXYCILLIN) "GENTLE" KOCHANIIN TABLETS (CLONIDINE) "S.Y." 2294 2295 A019040100 A019054100 2296 A019070100 2297 A019072100 AMITRIPTYLINE TABLETS "JINUP" GEMOX CAPSULES 250MG (AMOXYCILLIN) "GENTLE" TANPAMIDE TABLETS (CHLORPROPAMIDE) "SHINLON" KETOPROFEN CAPSULES "Y.S." 2298 A019087100 CLOMIPHENE CAPSULES 50MG "JINUP" 2299 A019093100 DIPHENIDOL TABLETS 2300 A019097100 2301 2302 A019102100 A019111100 2303 2304 2305 2306 A019115100 A019127100 A019129100 A019135100 LOFAXIN CAPSULES 250MG "GENTLE" (CEPHALEXIN) BICOROMIN TABLETS "MEIDER" VERMICIDE TABLETS (MEBENDAZOLE) "PFOSHEN" PAWINT TABLETS "PATRON" STANOL TABLETS (STANOZOLOL) "H.H." LEVODOPA CAPSULES "F.S." AMPICILLIN CAPSULES 500MG "GENTLE" 2307 A019137100 2308 2309 2310 2311 2312 2313 2314 2315 2316 2317 A019138100 A019141100 A019142100 A019144351 A019144355 A019144399 A019150238 A019150265 A019150277 A019154100 2318 A019157100 2319 A019159100 2320 A019161421 2321 A019177100 2322 2323 2324 A019178100 A019192100 A019200100 2325 2326 A019210100 A019244100 ANICAMET S.C. TABLETS (NICAMETATE) "H.C." DIPYRIDAMOLE S.C. TABLETS "SHINLON" TENING TABLETS (DIAZEPAM) "C.H." ACETAZONE TABLETS "J.H." DEHIST LOTION "GCPC" DEHIST LOTION "GCPC" DEHIST LOTION "GCPC" VITAPLEX INJECTION "S.Y." VITAPLEX INJECTION "S.Y." VITAPLEX INJECTION "S.Y." CAPDES TABLETS "JOHNSON" NIFUTOIN TABLETS "C.H."(NITROFURANTOIN) ACETA TABLETS (ACETAMINOPHEN) "J.H." LARKASONE EYE DROPS "LITA" SUWEILAN TABLETS (METOCLOPRAMIDE) "S.Y." ANTIASTHMA CAPSULES PROPRANOLOL TABLETS "SHINLON" SPAPIN S.C. TABLETS 1MG (METHYLSCOPOLAMINE) "F.S." ERGOCAFE TABLETS "C.H." SEDALOON TABLETS 100年1月 支付價 4.68 18 0.8 1.1 4.43 1.9 0.8 說明 項次 CODE 藥品名稱 2277 2278 2279 2280 2281 2282 2283 2284 A019138100 A019141100 A019142100 A019144351 A019144355 A019144399 A019150238 A019150265 DIPYRIDAMOLE S.C. TABLETS "SHINLON" TENING TABLETS (DIAZEPAM) "C.H." ACETAZONE TABLETS "J.H." DEHIST LOTION "GCPC" DEHIST LOTION "GCPC" DEHIST LOTION "GCPC" VITAPLEX INJECTION "S.Y." VITAPLEX INJECTION "S.Y." 0.60 0.31 0.74 18.40 26.70 0.06 3.72 30.60 A019150277 A019154100 A019157100 33.60 0.84 0.24 A019178100 VITAPLEX INJECTION "S.Y." CAPDES TABLETS "JOHNSON" NIFUTOIN TABLETS "C.H."(NITROFURANTOIN) ACETA TABLETS (ACETAMINOPHEN) LARKASONE EYE DROPS "LITA" SUWEILAN TABLETS (METOCLOPRAMIDE) "S.Y." ANTIASTHMA CAPSULES A019192100 PROPRANOLOL TABLETS "SHINLON" 0.50 A019200100 0.60 A019210100 A019244100 SPAPIN S.C. TABLETS 1MG (METHYLSCOPOLAMINE) "F.S." ERGOCAFE TABLETS "C.H." SEDALOON TABLETS A019246100 BONAS E.S. TABLETS (BROMELAIN) "S.Y." 1.08 SILENCE TABLETS "YUNG SHIN" (LORAZEPAM) A0192471G0 SILENCE TABLETS (LORAZEPAM) "YUNG SHIN"(鋁箔) A019251100 NEO-ANTIHISTAMINE TABLETS (CHLORPHENIRAMINE) "J.H." A019252100 KETOFEN CAPSULES (KETOPROFEN) "J.H." 1.00 A019260100 A019263100 1.80 0.60 1.5 43.6 2285 0.6 2286 2287 1 25.8 2288 0.1 2289 2290 24.8 2291 0.6 2292 1.28 2293 1 0.9 2294 2295 0.8 2296 0.87 2297 1.1 2298 4.06 2299 0.78 2300 0 0.69 2301 2302 0.75 1.36 2303 0 2304 6.7 2305 2306 1.31 2307 0.71 0.6 2308 0.31 2309 0.74 2310 18.4 2311 26.7 2312 0.06 2313 3.72 2314 30.6 2315 33.6 2316 2317 0 2318 0.24 2319 0.31 2320 27.1 2321 0.25 1.07 2322 0.5 2323 2324 0.6 1.46 2325 1 2326 A019159100 A019161421 A019177100 A019247100 9901 支付價 0.31 27.10 0.25 1.07 1.46 1.00 1.50 0.13 1.10 刪除 A019328100 A019330238 A019337100 DYS-COLD CAPSULES "H.H." MUQUAPIN S.C. TABLETS "H.S." (NMETHYLSCOPOLAMINE SIFUZIN CREAM "YUNG CHANG" TRI-B INJECTION "WINSTON" SARIN TABLETS "J.H." THIOCTAN INJECTION (THIOCTIC ACID) "TAI YU" THIOCTAN INJECTION (THIOCTIC ACID) "TAI YU" CEFAZOLIN INJECTION 1GM "CHI SHENG" CEFAZOLIN INJECTION 2GM CEFAZOLIN INJECTION "CHI SHENG" CEFAZOLIN INJECTION "CHI SHENG" CEFAZOLIN INJECTION "CHI SHENG" CEFAZOLIN INJECTION "CHI SHENG" THIORIDAZINE S.C. TABLETS "C.I." KETOPROFEN CAPSULES "ORIENTAL" DEPAINING INJECTION "TAI YU" PANDOL LIQUID (HALOPERIDOL) "PANBIOTIC" PANDOL LIQUID (HALOPERIDOL) "PANBIOTIC" PANDOL LIQUID (HALOPERIDOL) "PANBIOTIC" PANDOL LIQUID (HALOPERIDOL) "PANBIOTIC" PANDOL LIQUID (HALOPERIDOL) "PANBIOTIC" DEXTROMETORPHAN TABLETS "JEN RENMATIN INJECTION "WINSTON" LIMODIUM TABLETS (LOPERAMIDE)"H.C." A019339100 A019343100 DIPHENIDOL HCL S.C. TABLETS "J.S." ACETAMINOPHEN TABLETS "C.T." A019269329 A019272238 A019275100 A019276212 A019276221 A019280209 A019280212 A019280221 A019280229 A019280238 A019280277 A019281100 A019289100 A019296238 A019299135 A019299143 A019299151 A019299157 A019299199 第 42 頁,共 382 頁 30.50 10.00 0.32 3.63 刪除 2.72 23.40 85.00 231.00 463.00 927.00 11.00 0.82 1.10 4.29 24.40 刪除 45.40 35.20 155.00 0.58 0.60 10.50 1.00 0.66 0.39 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 2327 2328 A019246100 A019247100 2329 A0192471G0 2330 A019251100 2331 2332 2333 A019252100 A019260100 A019263100 2334 A0192631G0 2335 A019269329 2336 2337 A019272238 A019275100 2338 A019276212 2339 A019276221 2340 A019280209 2341 A019280212 2342 A019280221 2343 A019280229 2344 A019280238 2345 A019280277 2346 2347 2348 2349 A019281100 A019289100 A019296238 A019299135 2350 A019299143 2351 A019299151 2352 A019299157 2353 A019299199 2354 A019328100 2355 2356 2357 A019330238 A019337100 A0193371G0 2358 A019339100 2359 A019343100 2360 A019348100 2361 A019350100 2362 2363 A019353100 A019358277 2364 2365 A019359100 A019360100 2366 A0193601G0 2367 A019410100 藥品名稱 100年1月 項次 支付價 1.08 2327 BONAS E.S. TABLETS (BROMELAIN) "S.Y." SILENCE TABLETS "YUNG SHIN" 2328 1 (LORAZEPAM) SILENCE TABLETS (LORAZEPAM) "YUNG 2329 1.5 SHIN"(鋁箔) NEO-ANTIHISTAMINE TABLETS 2330 0.13 (CHLORPHENIRAMINE) "J.H." 1.1 2331 KETOFEN CAPSULES (KETOPROFEN) "J.H." 1.8 2332 DYS-COLD CAPSULES "H.H." MUQUAPIN S.C. TABLETS "H.S." (N2333 0.6 METHYLSCOPOLAMINE METHYLSUL MUQUAPIN S.C. TABLETS "H.S." (N2334 1.5 METHYLSCOPOLAMINE METHYLSUL SIFUZIN CREAM "YUNG CHANG" 2335 30.5 10 2336 TRI-B INJECTION "WINSTON" SARIN TABLETS "J.H." 2337 0.32 THIOCTAN INJECTION (THIOCTIC ACID) 2338 3.63 "TAI YU" THIOCTAN INJECTION (THIOCTIC ACID) 2339 2.72 "TAI YU" CEFAZOLIN INJECTION 1GM "CHI SHENG" 2340 23.4 CEFAZOLIN INJECTION 2GM 2341 85 CEFAZOLIN INJECTION "CHI SHENG" 2342 231 CEFAZOLIN INJECTION "CHI SHENG" 2343 463 CEFAZOLIN INJECTION "CHI SHENG" 2344 927 CEFAZOLIN INJECTION "CHI SHENG" 2345 11 0.82 2346 THIORIDAZINE S.C. TABLETS "C.I." 1.1 2347 KETOPROFEN CAPSULES "ORIENTAL" 4.29 2348 DEPAINING INJECTION "TAI YU" PANDOL LIQUID (HALOPERIDOL) 2349 24.4 "PANBIOTIC" PANDOL LIQUID (HALOPERIDOL) 2350 45.4 "PANBIOTIC" PANDOL LIQUID (HALOPERIDOL) 2351 35.2 "PANBIOTIC" PANDOL LIQUID (HALOPERIDOL) 2352 155 "PANBIOTIC" PANDOL LIQUID (HALOPERIDOL) 2353 0.58 "PANBIOTIC" DEXTROMETORPHAN TABLETS "JEN 2354 0.6 SHENG" 10.5 2355 RENMATIN INJECTION "WINSTON" 1 2356 LIMODIUM TABLETS (LOPERAMIDE)"H.C." LIMODIUM TABLETS 2357 1.5 (LOPERAMIDE)"H.C."(鋁箔/膠箔) DIPHENIDOL HCL S.C. TABLETS "J.S." 2358 0.66 ACETAMINOPHEN TABLETS "C.T." 2359 0.39 KUANIUM S.C. TABLETS "VPP" 2360 0.8 PAINLAX TABLETS 20MG 2361 0.58 (DICYCLOMINE)"JINUP" 2.11 2362 STAZYME F.C. TABLETS "STANDARD" CEFAMANDOLE INJECTION "YUNG SHIN" 2363 26 1.52 2364 PAINLESS TABLETS "YUNG SHIN" ASMELLIN-EPG TABLETS "CHINTENG" 2365 1.05 ASMELLIN-EPG TABLETS "CHINTENG"( 2366 1.5 鋁箔/膠箔) UNCOLA CAPSULES "S.C." 2367 1.24 CODE 藥品名稱 A019348100 A019350100 A019353100 KUANIUM S.C. TABLETS "VPP" PAINLAX TABLETS 20MG (DICYCLOMINE)"JINUP" STAZYME F.C. TABLETS "STANDARD" A019358277 CEFAMANDOLE INJECTION "YUNG SHIN" 說明 9901 支付價 0.80 0.58 2.11 26.00 A019359100 PAINLESS TABLETS "YUNG SHIN" A019360100 ASMELLIN-EPG TABLETS "CHINTENG" A0193601G0 ASMELLIN-EPG TABLETS "CHINTENG"( 鋁箔/膠箔) A019410100 UNCOLA CAPSULES "S.C." 1.52 1.05 1.50 A019411100 1.48 1.24 新增 DOXYMYCIN ENTERIC COATED TABLETS "YUNG SHIN" A019412100 SEDICON TABLETS "YU SHENG" A019418100 DECONE TABLETS (DEXAMETHASONE) "SINPHAR" A0194181G0 DECONE TABLETS (DEXAMETHASONE) "SINPHAR"(鋁箔/膠箔) A019419100 PONSTAL CAPSULES (MEFENAMIC ACID) "SINPHAR" A0194191G0 PONSTAL CAPSULES (MEFENAMIC ACID) "SINPHAR" )(鋁箔/膠箔) A019420100 PONSTAL F.C. TABLETS 500MG (MEFENAMIC ACID) "SINPHAR" A0194201G0 PONSTAL F.C. TABLETS 500MG (MEFENAMIC ACID) "SINPHAR")(鋁箔/膠 A019421100 PONSTAL TABLETS 250MG (MEFENAMIC ACID) "SINPHAR" A019422335 SCALPHEN OINTMENT (MESULPHEN) "SINPHAR" A019443100 C C MYCIN CAPSULES (CHLORAMPHENICOL) "WASHINGTON" A019444100 MEBENDAZOLE TABLETS "S.Y." A019445100 KPHADOL TABLETS (DIPHENIDOL) A019459100 SERAZIDE TABLETS "WINSTON" A019461100 METHYLDOPA S.C. TABLETS "JOHNSON" A019468100 PHENAZODINE S.C. TABLETS A019473329 VEDARON OINTMENT A019474100 TTMYCIN CAPSULES "WASHINGTON" (TETRACYCILINE HCL) ANDERAN TABLETS (PROPRANOLOL) "A.S." DEXCHLORPHENIRAMINE TABLETS "HONTEN" CLOMIPHENE TABLETS "HONTEN" METRONIDAZOLE S.C. TABLETS "C.I." LORAZEPAM TABLETS 1MG "LITA" A019484100 A019485100 A019486100 A019492100 A019495100 1.00 0.37 1.50 0.80 1.50 0.72 1.50 0.37 40.30 0.50 0.75 0.81 0.78 2.21 0.64 84.00 0.75 0.50 0.60 3.78 1.00 0.93 新增 A019503100 SINPHADOL S.C. TABLETS (DIPHENIDOL) "SINPHAR" A0195031G0 SINPHADOL S.C. TABLETS (DIPHENIDOL) "SINPHAR"(鋁箔/膠箔) A019505209 BUTYSCOL INJECTION "STANDARD" (SCOPOLAMINE) A019518100 FULOAN CAPSULES (FLUOXYMESTERONE) "N.C.P." A019522100 BICOTAN E.C. TABLETS A019533100 CHLORAMPHENICOL S.C. TABLET 250MG "SINPHAR" A019535100 BETAMETHASONE TABLETS "ORIENTAL" A019548100 ASRITIN TABLETS (ORCIPRENALINE) "ROYAL" A019549100 TELINCOL TABLETS "ROYAL" 0.66 A019553100 1.52 第 43 頁,共 382 頁 HALOLIUM TABLETS (HALOPERIDOL) "ROYAL" 1.50 4.34 2.39 0.56 1.00 0.59 1.51 0.33 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 2368 A0194101G0 UNCOLA CAPSULES "S.C."(鋁箔/膠箔) 2369 A019411100 2370 A019412100 2371 A019418100 DOXYMYCIN ENTERIC COATED TABLETS "YUNG SHIN" SEDICON TABLETS "YU SHENG" 2380 DECONE TABLETS (DEXAMETHASONE) "SINPHAR" A0194181G0 DECONE TABLETS (DEXAMETHASONE) "SINPHAR"(鋁箔/膠箔) A019419100 PONSTAL CAPSULES (MEFENAMIC ACID) "SINPHAR" A0194191G0 PONSTAL CAPSULES (MEFENAMIC ACID) "SINPHAR" )(鋁箔/膠箔) A019420100 PONSTAL F.C. TABLETS 500MG (MEFENAMIC ACID) "SINPHAR" A0194201G0 PONSTAL F.C. TABLETS 500MG (MEFENAMIC ACID) "SINPHAR")(鋁 A019421100 PONSTAL TABLETS 250MG (MEFENAMIC ACID) "SINPHAR" A019422335 SCALPHEN OINTMENT (MESULPHEN) "SINPHAR" A019443100 C C MYCIN CAPSULES (CHLORAMPHENICOL) "WASHINGTON" A019444100 MEBENDAZOLE TABLETS "S.Y." 2381 A019445100 2382 2383 2384 2385 2386 A019459100 A019461100 A019468100 A019473329 A019474100 2387 2388 A019484100 A019485100 2389 2390 A019486100 A019492100 KPHADOL TABLETS (DIPHENIDOL) "SWISS" SERAZIDE TABLETS "WINSTON" METHYLDOPA S.C. TABLETS "JOHNSON" PHENAZODINE S.C. TABLETS VEDARON OINTMENT TTMYCIN CAPSULES "WASHINGTON" (TETRACYCILINE HCL) ANDERAN TABLETS (PROPRANOLOL) DEXCHLORPHENIRAMINE TABLETS "HONTEN" CLOMIPHENE TABLETS "HONTEN" METRONIDAZOLE S.C. TABLETS "C.I." 2391 A019495100 LORAZEPAM TABLETS 1MG "LITA" 2392 A019503100 2372 2373 2374 2375 2376 2377 2378 2379 2400 SINPHADOL S.C. TABLETS (DIPHENIDOL) "SINPHAR" A0195031G0 SINPHADOL S.C. TABLETS (DIPHENIDOL) "SINPHAR"(鋁箔/膠箔) A019505209 BUTYSCOL INJECTION "STANDARD" (SCOPOLAMINE) A019518100 FULOAN CAPSULES (FLUOXYMESTERONE) "N.C.P." A019522100 BICOTAN E.C. TABLETS (BISACODYL)"H.C." A019533100 CHLORAMPHENICOL S.C. TABLET 250MG "SINPHAR" A019535100 BETAMETHASONE TABLETS "ORIENTAL" A019548100 ASRITIN TABLETS (ORCIPRENALINE) "ROYAL" A019549100 TELINCOL TABLETS "ROYAL" 2401 A019553100 2393 2394 2395 2396 2397 2398 2399 2402 2403 2404 2405 2406 2407 2408 HALOLIUM TABLETS (HALOPERIDOL) "ROYAL" A019556100 CYPRO TABLETS (CYPROHEPTADINE) "ROYAL" A019557100 PURINOL TABLETS (ALLOPURINOL) "ROYAL" A0195571G0 PURINOL TABLETS (ALLOPURINOL) "ROYAL"(鋁箔/膠箔) A019558100 NAPROXEN TABLETS "ROYAL" A019573100 FOCEL TABLETS (CLOMIPHENE) "S.C." A019577100 BACTALIN TABLETS "S.Y." A019579100 LIMIN TABLETS (NITRAZEPAM) "YU 100年1月 項次 支付價 2368 1.5 2369 1.48 2370 1 2371 0.37 2372 1.5 2373 0.8 2374 1.5 2375 0.72 2376 1.5 2377 0.37 2378 40.3 2379 0.5 2380 0.75 2381 0.81 0 2382 0 2383 0.64 2384 84 2385 2386 0.75 0.5 2387 2388 0.6 3.78 2389 2390 1 2391 0.93 2392 0.66 2393 1.5 2394 4.34 2395 2.39 2396 0.56 2397 1 0.59 2398 2399 1.51 2400 0.33 2401 1.52 2402 0.25 2403 1 2404 1.5 1.23 2405 3.97 2406 0.62 2407 1 2408 CODE 藥品名稱 A019556100 說明 9901 支付價 CYPRO TABLETS (CYPROHEPTADINE) "ROYAL" A019557100 PURINOL TABLETS (ALLOPURINOL) "ROYAL" A0195571G0 PURINOL TABLETS (ALLOPURINOL) "ROYAL"(鋁箔/膠箔) A019558100 NAPROXEN TABLETS "ROYAL" 0.25 A019573100 FOCEL TABLETS (CLOMIPHENE) "S.C." 3.97 A019577100 BACTALIN TABLETS "S.Y." 0.62 LIMIN TABLETS (NITRAZEPAM) "YU SHENG" A019595100 INDALGIN CAPSULES 25MG (INDOMETHACIN) "VPP" A0195951G0 INDALGIN CAPSULES 25MG (INDOMETHACIN) "VPP"(鋁箔/膠箔) A019596100 IBUPROFEN TABLETS 400MG "HONTEN" 1.00 A0195961G0 IBUPROFEN TABLETS 400MG "HONTEN" (鋁箔/膠箔) A019597100 LOPERAMIDE CAPSULES "F.S." 1.50 A019600100 2.30 A019579100 A019610100 A019614329 A019615329 A019616321 A019616329 A019616399 NEGACHINE TABLETS (NALIDIXIC ACID) "H.C." ROITONIN S.C. TABLETS (DICLOFENAC) "JOHNSON" SINPHARDERM-HC CREAM "SINPHAR" SINQUART CREAM "SINPHAR" BETAMETHASONE OINTMENT "SINPHAR" BETAMETHASONE OINTMENT "SINPHAR" BETAMETHASONE OINTMENT "SINPHAR" A019620100 A019624100 新增 1.00 1.50 1.23 0.90 1.50 1.00 0.60 1.00 22.70 19.30 13.60 19.60 0.89 NAPROXEN TABLETS "SINPHAR" IPROFEN F.C. TABLETS (IBUPROFEN) "ROYAL" A019625100 PISANTA CAPSULES (PIRACETAM) A019627100 PESADIN F.C TABLETS (DIPYRIDAMOLE) "ROYAL" A019636100 CLEANSERA CAPSULES (TOCOPHERYL NICOTINATE) "ROYAL" A019639100 PROPRA TABLETS (PROPRANOLOL) "ROYAL" A0196391G0 PROPRA TABLETS (PROPRANOLOL) "ROYAL"(鋁箔/膠箔) A019640100 ALKANTIN TABLETS "ROYAL" 1.18 1.00 A019643100 1.42 A019649100 DORISON TABLETS (DEXAMETHASONE) "ROYAL" SALBUTOL TABLETS (SALBUTAMOL) "ROYAL" JACIDE TABLETS "ROYAL" A019650100 A019654299 BROMCO TABLETS (BROMHEXINE) KANAMYCIN INJECTION "YUNG SHIN" 0.29 2.70 A019656100 0.80 A019659209 AZUNEN TABLETS "MEIDER" (GUAIAZULENE) BETAMETHASONE INJECTION "Y.Y." A019659229 BETAMETHASONE INJECTION "Y.Y." 28.10 A019665100 LORAZEPAM TABLETS 0.5MG "LITA" 0.28 A019676209 FERVAN INJECTION "PANBIOTIC" 18.60 A019676210 A019676214 A019682100 A019705100 FERVAN INJECTION "PANBIOTIC" FERVAN INJECTION "PANBIOTIC" HISTIDINE HCL CAPSULES "F.S." COUGHCIN TABLETS "WINSTON" 27.20 20.50 1.01 1.74 A019644100 第 44 頁,共 382 頁 1.25 0.67 0.94 0.50 1.50 1.37 0.75 1.00 6.00 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 2409 A019595100 2410 2411 2412 藥品名稱 INDALGIN CAPSULES 25MG (INDOMETHACIN) "VPP" A0195951G0 INDALGIN CAPSULES 25MG (INDOMETHACIN) "VPP"(鋁箔/膠箔) A019596100 IBUPROFEN TABLETS 400MG "HONTEN" 2416 2417 2418 2419 A0195961G0 IBUPROFEN TABLETS 400MG "HONTEN" (鋁箔/膠箔) A019597100 LOPERAMIDE CAPSULES "F.S." A019600100 NEGACHINE TABLETS (NALIDIXIC ACID) "H.C." A019610100 ROITONIN S.C. TABLETS (DICLOFENAC) "JOHNSON" A019614329 SINPHARDERM-HC CREAM "SINPHAR" A019615329 SINQUART CREAM "SINPHAR" A019616321 BETAMETHASONE OINTMENT "SINPHAR" A019616329 BETAMETHASONE OINTMENT "SINPHAR" 2420 2421 2422 A019616399 A019620100 A019624100 2423 2424 A019625100 A0196251G0 2425 A019627100 2426 A019636100 2427 2428 A019639100 A0196391G0 2429 2430 2431 A019640100 A0196401G0 A019643100 2432 A0196431G0 2433 A019644100 2434 A019649100 2435 A019650100 2436 A019654299 2437 A019656100 2438 2439 A019659209 A019659229 AZUNEN TABLETS "MEIDER" (GUAIAZULENE) BETAMETHASONE INJECTION "Y.Y." BETAMETHASONE INJECTION "Y.Y." 2440 A019665100 LORAZEPAM TABLETS 0.5MG "LITA" 2441 A019676209 FERVAN INJECTION "PANBIOTIC" 2442 2443 2444 2445 2446 2447 A019676210 A019676214 A019682100 A019705100 A019706100 A019709100 2413 2414 2415 2448 2449 2450 2451 2452 2453 2454 BETAMETHASONE OINTMENT "SINPHAR" NAPROXEN TABLETS "SINPHAR" IPROFEN F.C. TABLETS (IBUPROFEN) "ROYAL" PISANTA CAPSULES (PIRACETAM) PISANTA CAPSULES (PIRACETAM) "ROYAL"(鋁箔/膠箔) PESADIN F.C TABLETS (DIPYRIDAMOLE) "ROYAL" CLEANSERA CAPSULES (TOCOPHERYL NICOTINATE) "ROYAL" PROPRA TABLETS (PROPRANOLOL) PROPRA TABLETS (PROPRANOLOL) "ROYAL"(鋁箔/膠箔) ALKANTIN TABLETS "ROYAL" ALKANTIN TABLETS "ROYAL"(鋁箔/膠箔) DORISON TABLETS (DEXAMETHASONE) "ROYAL" DORISON TABLETS (DEXAMETHASONE) "ROYAL"(鋁箔/膠箔) SALBUTOL TABLETS (SALBUTAMOL) "ROYAL" JACIDE TABLETS "ROYAL" BROMCO TABLETS (BROMHEXINE) "ROYAL" KANAMYCIN INJECTION "YUNG SHIN" FERVAN INJECTION "PANBIOTIC" FERVAN INJECTION "PANBIOTIC" HISTIDINE HCL CAPSULES "F.S." COUGHCIN TABLETS "WINSTON" DIFENDOL S.C. TABLETS "JOHNSON" MESCO TABLETS (METHYLSCOPOLAMINE METHYLSULFATE) "J.H." A019749100 PRIMRAN F.C. TABLETS (METOCLOPRAMIDE) "ROYAL" A0197491G0 PRIMRAN F.C. TABLETS (METOCLOPRAMIDE) "ROYAL"(鋁箔/膠箔) A019752100 SINCLOCILLIN CAPSULES 500MG A019753100 AMPICILLIN CAPSULES 250MG "SINPHAR" A019754100 AMPICILLIN CAPSULES 500MG "SINPHAR" A019756100 CLOXACILLIN CAPSULES "SINPHAR" A019764212 STOPNIN INJECTION 5MG "KYORIN" 100年1月 項次 支付價 2409 0.9 2410 1.5 2411 1 2412 1.5 0.6 2413 2414 2.3 2415 0 22.7 2416 19.3 2417 13.6 2418 2419 19.6 0.89 2420 1.18 2421 2422 1 1.25 2423 2424 1.5 2425 0.67 2426 0.94 0.5 2427 2428 1.5 1.37 2429 1.5 2430 2431 1.42 2432 1.5 2433 0.75 2434 1 2435 0.29 2436 2.7 2437 0.8 6 2438 2439 28.1 2440 0.28 2441 18.6 27.2 2442 20.5 2443 1.01 2444 0 2445 0 2446 2447 0.62 2448 0.25 2449 1.5 2.43 2450 1 2451 1.52 2452 1.5 2453 5 2454 說明 CODE 藥品名稱 A019706100 0.83 A019753100 A019754100 DIFENDOL S.C. TABLETS (DIPHENIDOL) "JOHNSON" MESCO TABLETS (METHYLSCOPOLAMINE METHYLSULFATE) "J.H." PRIMRAN F.C. TABLETS (METOCLOPRAMIDE) "ROYAL" SINCLOCILLIN CAPSULES 500MG "SINPHAR" AMPICILLIN CAPSULES 250MG "SINPHAR" AMPICILLIN CAPSULES 500MG "SINPHAR" A019756100 CLOXACILLIN CAPSULES "SINPHAR" 1.50 A019764212 A019769100 A0197691G0 A019786100 5.00 0.67 1.50 2.21 A019793212 A019793221 A019793229 STOPNIN INJECTION 5MG "KYORIN" LOPERAMIDE CAPSULES "H.H." LOPERAMIDE CAPSULES "H.H."(鋁箔) TIDAZOL F.C. TABLETS (TINIDAZOLE) "STANDARD" ICOTON INJECTION "PANBIOTIC" ICOTON INJECTION "PANBIOTIC" ICOTON INJECTION "PANBIOTIC" 4.68 7.70 14.00 A019793238 A019794209 ICOTON INJECTION "PANBIOTIC" DISEMONE INJECTION "N.K." 18.40 25.10 A019799212 A019819100 A019853209 PYRIDOXAL PHOSPHATE INJECTION "TAI YU" DECALIN TABLETS (DEXAMETHASONE)"C.H." ANTONIN CAPSULES PRO-ESTRAMON-S INJECTION "C.C.P." A019858100 A019861100 A019864100 TINIDAZOLE CAPSULES 500MG "P.J." DICYCLOMINE HCL TABLETS "LONG ACEDOL TABLETS "ROYAL" A019709100 A019749100 A019752100 9901 支付價 0.62 0.25 2.43 1.00 1.52 刪除 A019800100 A019865100 MEMODIN TABLETS (DIPHENIDOL) "ROYAL" A019875100 CARDOLOL TABLETS 40MG (PROPRANOLOL) "V.P.P." A0198751G0 CARDOLOL TABLETS 40MG (PROPRANOLOL) "V.P.P."(鋁箔/膠箔) A019877100 EPBUTOL TABLETS (ETHAMBUTOL) "YU SHENG" A019895100 CARDITONIN S.C. TABLETS 25MG (DIPYRIDAMOLE) "VPP" A0198951G0 CARDITONIN S.C. TABLETS 25MG (DIPYRIDAMOLE) "VPP"((28粒/瓶)(鋁箔/膠 A019899100 DACTJIN F.C. TABLETS "SHITEH" A019904421 WINMEGEN OPHTHALMIC SOLUTION "WINSTON" A019904429 WINMEGEN OPHTHALMIC SOLUTION "WINSTON" A019904435 WINMEGEN OPHTHALMIC SOLUTION "WINSTON" A019915421 DELONE EYE DROP "SINPHAR" A019915429 DELONE EYE DROPS "SINPHAR" A019927209 PROGESTEDIOL INJECTION "TAI YU" A019935265 VELIP INFUSION SOLUTION "N.K." A019935277 VELIP INFUSION SOLUTION "N.K." A019937421 FLUOROMETHOLONE EYE DROPS "OASIS" A019941277 VITAMINOPLEX INJECTION "TAI YU" A019945100 KETOPROFEN CAPSULES "N.T." A019947100 A019949100 A019952100 A019961342 A019962277 NOSCAPINE TABLETS "H.C." ANTI-COUGH CAPSULES "SOURIREE" FULIVER S.C. TABLETS "CHEN TA" NITROFURAZONE OINTMENT "Y.Y." AMINOPLEXYTOL INJECTION "TAI YU" 2.90 0.50 1.35 10.00 2.20 0.64 0.50 1.00 新增 1.27 1.50 2.40 1.00 1.50 0.70 12.30 19.30 34.50 14.70 34.40 2.72 20.30 61.00 15.90 刪除 刪除 129.00 1.12 新增 第 45 頁,共 382 頁 1.00 1.00 1.55 22.80 88.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 2495 100年1月 項次 支付價 0.67 2455 A019769100 LOPERAMIDE CAPSULES "H.H." 1.5 2456 A0197691G0 LOPERAMIDE CAPSULES "H.H."(鋁箔) A019786100 TIDAZOL F.C. TABLETS (TINIDAZOLE) 2457 2.21 "STANDARD" 4.68 2458 A019793212 ICOTON INJECTION "PANBIOTIC" A019793221 ICOTON INJECTION "PANBIOTIC" 2459 7.7 14 2460 A019793229 ICOTON INJECTION "PANBIOTIC" 18.4 2461 A019793238 ICOTON INJECTION "PANBIOTIC" 25.1 2462 A019794209 DISEMONE INJECTION "N.K." A019799212 PYRIDOXAL PHOSPHATE INJECTION "TAI 2463 2.9 YU" A019800100 DECALIN TABLETS 2464 0.5 (DEXAMETHASONE)"C.H." A019819100 ANTONIN CAPSULES 2465 1.35 10 2466 A019853209 PRO-ESTRAMON-S INJECTION "C.C.P." 2.2 2467 A019858100 TINIDAZOLE CAPSULES 500MG "P.J." A019861100 DICYCLOMINE HCL TABLETS "LONG 2468 0.64 DER" A019864100 ACEDOL TABLETS "ROYAL" 2469 0.5 1 2470 A019865100 MEMODIN TABLETS (DIPHENIDOL) A0198651G0 MEMODIN TABLETS (DIPHENIDOL) 2471 1.5 "ROYAL"(鋁箔/膠箔) A019875100 CARDOLOL TABLETS 40MG 2472 1.27 (PROPRANOLOL) "V.P.P." A0198751G0 CARDOLOL TABLETS 40MG 2473 1.5 (PROPRANOLOL) "V.P.P."(鋁箔/膠箔) A019877100 EPBUTOL TABLETS (ETHAMBUTOL) "YU 2474 2.4 SHENG" A019895100 CARDITONIN S.C. TABLETS 25MG 2475 1 (DIPYRIDAMOLE) "VPP" A0198951G0 CARDITONIN S.C. TABLETS 25MG 2476 1.5 (DIPYRIDAMOLE) "VPP"((28粒/瓶) 0.7 2477 A019899100 DACTJIN F.C. TABLETS "SHITEH" A019904421 WINMEGEN OPHTHALMIC SOLUTION 2478 12.3 "WINSTON" A019904429 WINMEGEN OPHTHALMIC SOLUTION 2479 19.3 "WINSTON" A019904435 WINMEGEN OPHTHALMIC SOLUTION 2480 34.5 "WINSTON" 14.7 2481 A019915421 DELONE EYE DROP "SINPHAR" A019915429 DELONE EYE DROPS "SINPHAR" 2482 34.4 A019927209 PROGESTEDIOL INJECTION "TAI YU" 2483 2.72 20.3 2484 A019935265 VELIP INFUSION SOLUTION "N.K." A019935277 VELIP INFUSION SOLUTION "N.K." 2485 61 15.9 2486 A019937421 FLUOROMETHOLONE EYE DROPS "OASIS" 129 2487 A019941277 VITAMINOPLEX INJECTION "TAI YU" 1.12 2488 A019945100 KETOPROFEN CAPSULES "N.T." 1 2489 A019947100 NOSCAPINE TABLETS "H.C." 1 2490 A019949100 ANTI-COUGH CAPSULES "SOURIREE" 1.55 2491 A019952100 FULIVER S.C. TABLETS "CHEN TA" 22.8 2492 A019961342 NITROFURAZONE OINTMENT "Y.Y." A019962277 AMINOPLEXYTOL INJECTION "TAI YU" 2493 88 A019968199 SHU-SHAU GRANULES "M.T" 2494 1.05 A019969100 HEPAMIN S.C. TABLETS 2495 2496 A019970100 THIAMPHENICOL CAP. 250MG "P.J." 2497 2498 A019976100 A019977100 2499 2500 A019982100 A019983100 RIFAMPIN CAPSULES 300MG "VPP" MESYTOL TABLETS 6MG "CHEN TA" (BETAHISTINE) AMOXICILLIN CAPSULES 500MG KETOFEN CAPSULE. (KETOPROFEN) 2455 2456 2457 2458 2459 2460 2461 2462 2463 2464 2465 2466 2467 2468 2469 2470 2471 2472 2473 2474 2475 2476 2477 2478 2479 2480 2481 2482 2483 2484 2485 2486 2487 2488 2489 2490 2491 2492 2493 2494 CODE 藥品名稱 0.45 2496 1.6 4 2497 2498 0.85 1.27 2499 1.33 2500 說明 CODE 藥品名稱 A019968199 A019969100 A019970100 SHU-SHAU GRANULES "M.T" HEPAMIN S.C. TABLETS THIAMPHENICOL CAP. 250MG "P.J." 1.05 0.45 1.60 A019976100 A019977100 RIFAMPIN CAPSULES 300MG "VPP" MESYTOL TABLETS 6MG "CHEN TA" (BETAHISTINE) AMOXICILLIN CAPSULES 500MG KETOFEN CAPSULE. (KETOPROFEN) COBAMAMIDE CAP. "J.H." KETOPROFEN CAPSULES 50MG 4.00 0.85 A019982100 A019983100 A019984100 A019985100 A019987100 9901 支付價 1.27 1.33 1.11 1.10 BROAIN S.C. TABLETS (BROMELAIN) "CHIN TENG" A0199871G0 BROAIN S.C. TABLETS (BROMELAIN) "CHIN TENG"(鋁箔/膠箔) A020018100 CANTIL TABLETS "C.H." A020022100 TERBULINE TABLETS (TERBUTALINE) A020037100 SONGORA F.C TABLETS (NICAMETATE) "ROYAL" A0200371G0 SONGORA F.C TABLETS "ROYAL"(NICAMETATE)(鋁箔) A020038100 DICLOFENAC E.C. TABLETS "YUNG CHI" A020043100 SINOX TABLETS "N.C.P." (MEBENDAZOLE) 0.80 A020044100 SIOFULIN TABLETS (DICLOFENAC) "S.Y." 1.00 A020046100 LESUTON TABLETS "YUNG CHI" 0.45 A020058100 LIDERIUM CAPSULES (LOPERAMIDE) 0.67 A020059100 1.50 0.45 1.00 1.00 1.50 0.49 0.75 LOPERAM CAPSULES (LOPERAMIDE) "JOHNSON" A0200591G0 LOPERAM CAPSULES (LOPERAMIDE) "JOHNSON"(鋁箔/膠箔) A020063100 URECIN TABLETS (ALLOPURINOL) "Y.Y." A020070100 CLOMIFEN CAPSULES (CLOMIPHENE) "ROYAL" A020080212 BIOCON INJECTION "GENTLE" 1.00 A020084100 1.00 FENOTEROL TABLETS "YUNG SHIN" A020088100 A020092100 NAGENTON TABLETS (NAPROXEN) "N.K." SOOTHING TABLETS "YUNG SHIN"(OXETHAZAINE) A020096100 SULQUINYL CAPSULES (SULPIRIDE) "PATRON" A020100238 MAMICON INJECTION "PATRON" A020101100 SUFUPIN TABLETS (BUCLIZINE) "YUNG CHANG" A020102321 TRIACT CREAM "GCPC" A020102323 TRIACT CREAM "GCPC" A020102336 TRIACT CREAM "GCPC" A020102399 TRIACT CREAM 900G A020103100 DICLOFEN S.C. TABLET (DICLOFENAC) A020109100 ROYADRIN TABLETS "ROYAL" A020111100 TRISDOWN F.C TABLETS "ROYAL" A020112100 TRICOGYL F.C TABLETS (METRONIDAZOLE) "ROYAL" A0201121G0 TRICOGYL F.C TABLETS (METRONIDAZOLE) "ROYAL"(鋁箔/膠箔) A020115100 TRIDERGEN TABLETS (DIHYDROERGOTOXINE MESYLATE)" ROYAL " A020116100 URODIX TABLETS (NALIDIXIC ACID) "ROYAL" A020118212 GURON-BC INJECTION "GENTLE" A020118221 GURON-BC INJECTION "GENTLE" A020137100 A020144100 第 46 頁,共 382 頁 IBUPROFEN F.C. TABLETS 400MG LIPAIMIN S.C. TABLETS "PFOSHEN" 1.50 1.00 3.50 2.72 1.23 1.00 1.00 9.70 0.70 11.50 18.00 62.00 2.00 0.80 0.80 1.00 1.00 1.50 3.16 2.09 3.62 7.70 1.00 0.57 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 2501 2502 2503 A019984100 A019985100 A019987100 藥品名稱 2525 COBAMAMIDE CAP. "J.H." KETOPROFEN CAPSULES 50MG BROAIN S.C. TABLETS (BROMELAIN) "CHIN TENG" A0199871G0 BROAIN S.C. TABLETS (BROMELAIN) "CHIN TENG"(鋁箔/膠箔) A020018100 CANTIL TABLETS "C.H." A020022100 TERBULINE TABLETS (TERBUTALINE) A020037100 SONGORA F.C TABLETS (NICAMETATE) "ROYAL" A0200371G0 SONGORA F.C TABLETS "ROYAL"(NICAMETATE)(鋁箔) A020038100 DICLOFENAC E.C. TABLETS "YUNG CHI" A020043100 SINOX TABLETS "N.C.P." (MEBENDAZOLE) A020044100 SIOFULIN TABLETS (DICLOFENAC) "S.Y." A020046100 LESUTON TABLETS "YUNG CHI" A020058100 LIDERIUM CAPSULES (LOPERAMIDE) A020059100 LOPERAM CAPSULES (LOPERAMIDE) "JOHNSON" A0200591G0 LOPERAM CAPSULES (LOPERAMIDE) "JOHNSON"(鋁箔/膠箔) A020063100 URECIN TABLETS (ALLOPURINOL) "Y.Y." A020070100 CLOMIFEN CAPSULES (CLOMIPHENE) "ROYAL" A020080212 BIOCON INJECTION "GENTLE" A020084100 FENOTEROL TABLETS "YUNG SHIN" A020088100 NAGENTON TABLETS (NAPROXEN) "N.K." A020092100 SOOTHING TABLETS "YUNG SHIN"(OXETHAZAINE) A020096100 SULQUINYL CAPSULES (SULPIRIDE) "PATRON" A020100238 MAMICON INJECTION "PATRON" A020101100 SUFUPIN TABLETS (BUCLIZINE) "YUNG CHANG" A020102321 TRIACT CREAM "GCPC" 2526 2527 2528 2529 2530 A020102323 A020102336 A020102399 A020103100 A0201031G0 2531 2532 A020109100 A020111100 2533 2538 2539 A0201111G0 TRISDOWN F.C. TABLETS "ROYAL"(鋁箔/ 膠箔) A020112100 TRICOGYL F.C TABLETS (METRONIDAZOLE) "ROYAL" A0201121G0 TRICOGYL F.C TABLETS (METRONIDAZOLE) "ROYAL"(鋁箔/膠箔) A020115100 TRIDERGEN TABLETS (DIHYDROERGOTOXINE MESYLATE)" ROYAL " A020116100 URODIX TABLETS (NALIDIXIC ACID) "ROYAL" A020118212 GURON-BC INJECTION "GENTLE" A020118221 GURON-BC INJECTION "GENTLE" 2540 2541 2542 2543 2544 2545 A020137100 A020144100 A020148212 A020156100 A020159100 A020174100 2546 A0201741G0 LOTINTON TABLETS(鋁箔/膠箔) 2547 A020205100 ORONAMINE S.C. TABLETS "C.Y." 2548 A020215343 SINBABY BABY LOTION "SINPHAR" 2504 2505 2506 2507 2508 2509 2510 2511 2512 2513 2514 2515 2516 2517 2518 2519 2520 2521 2522 2523 2524 2534 2535 2536 2537 TRIACT CREAM "GCPC" TRIACT CREAM "GCPC" TRIACT CREAM 900G DICLOFEN S.C. TABLET (DICLOFENAC) DICLOFEN S.C. TABLET (DICLOFENAC) "H.H."(鋁箔/膠箔) ROYADRIN TABLETS "ROYAL" TRISDOWN F.C TABLETS "ROYAL" IBUPROFEN F.C. TABLETS 400MG LIPAIMIN S.C. TABLETS "PFOSHEN" HEPATOSWISS IM INJECTION "SWISS" DIAZEPAM TABLETS "C.I." HO CULAR TABLETS (LOPERAMIDE) "P.L." LOTINTON TABLETS 100年1月 項次 支付價 1.11 2501 1.1 2502 2503 0.8 2504 1.5 0.45 2505 1 2506 2507 1 2508 1.5 0.49 2509 0.75 2510 1 2511 0.45 2512 0.67 2513 2514 0 2515 0 1 2516 2517 3.5 2.72 2518 0 2519 1.23 2520 2521 1 2522 1 9.7 2523 2524 0.7 2525 11.5 18 2526 62 2527 2 2528 0.8 2529 2530 1.5 0.8 2531 2532 1 2533 1.5 2534 1 2535 1.5 2536 CODE 說明 藥品名稱 A020148212 A020156100 A020159100 9901 支付價 HEPATOSWISS IM INJECTION "SWISS" 38.70 DIAZEPAM TABLETS "C.I." 0.50 HO CULAR TABLETS (LOPERAMIDE) "P.L." 0.66 A020174100 LOTINTON TABLETS 0.50 A0201741G0 LOTINTON TABLETS(鋁箔/膠箔) A020205100 ORONAMINE S.C. TABLETS "C.Y." A020215343 SINBABY BABY LOTION "SINPHAR" 1.50 0.36 12.00 A020215357 SINBABY BABY LOTION "SINPHAR" 33.70 A020215399 A020226199 A020228221 A020256100 A020257100 A020264100 0.26 0.26 107.00 2.09 0.78 1.22 A020267100 SINBABY BABY LOTION "SINPHAR" COUGH FREE SYRUP "CHI SHENG" HEPATOSWISS I.V. INJECTION "SWISS" SADIXIN TABLETS (NALIDIXIC ACID) MEFENAMIC ACID CAPSULE "A.S." DOZIN TABLETS (NAPROXEN) "YUNGCHANG" FLUFENAMIC ACID CAPSULE "HONTEN" A020276348 A020276365 UBURN CREAM (SILVER SULFADIAZINE) UBURN CREAM (SILVER SULFADIAZINE) 46.70 172.00 A020276377 A020276399 A020279100 A020285100 UBURN CREAM (SILVER SULFADIAZINE) UBURN CREAM (SILVER SULFADIAZINE) ANCHEN TABLETS (MEBENDAZOLE) "J.H." SOLAX CAPSULAS "ROYAL" 579.00 0.62 1.50 1.13 A020286100 SUSPAN F.C TABLETS (SCOPOLAMINE BUTYL BROMIDE) " ROYAL " CINATIN TABLETS (CINNARIZINE) CARBELONE TABLETS (CARBENOXOLONE) "ROYAL" ANTIFUNGAL VAGINAL TABLETS "YUNG SHIN"(MICONAZOLE) WINSOLVE ANTIFUNGAL CREAM WINSOLVE ANTIFUNGAL CREAM WINSOLVE ANTIFUNGAL CREAM LIKANCOCHIEN S.C. TABLETS SULINTEN TABLETS (FENOTEROL) "S.Y." 0.77 刪除 2.04 刪除 A020287100 A020288100 A020295500 A020296321 A020296329 A020296399 A020299100 A020309100 刪除 0.28 2.55 7.30 24.60 42.00 1.76 1.33 0.80 新增 A020318100 A020333100 CANTIL TABLETS "F.S." VOREN ENTERIC COATED TABLETS "YUNG SHIN" (DICLOFENAC) A0203331G0 VOREN ENTERIC COATED TABLETS "YUNG SHIN" (DICLOFENAC)"(鋁箔/膠箔) A020338100 ATUSSIN S.C. TABLETS (SODIUM DIBUNATE) "VPP" A020340100 DISKO S.C. TABLETS "CHEN TA" 0.74 1.08 1.50 新增 0.98 1.00 A020359209 KPHADOL INJECTION (DIPHENIDOL) "SWISS" 10.00 A020368100 NAPROXEN TABLETS "JOHNSON" 1.04 A020370100 A020384100 LOPERAMIDE CAPSULES 2MG "C.T." GFMYCIN CAPSULE 125MG (GRISEOFULVIN) "WST" NAPROXEN TABLETS "YUNG CHI" AMCLOCIN CAPSULE "KINGDOM" BININ-U TABLETS 2MG (HALOPERIDOL) MEFENAMIC CAPSULES "UNION" DISCO TABLETS (BROMHEXINE) "S.Y." KINGMIN OPHTHALMIC SOLUTION "KINGDOM" (SULFAMETHOXAZOLE) KINGMIN OPHTHALMIC SOLUTION (SULFAMETHOXAZOLE) "KINGDOM" KINGMIN OPHTHALMIC SOLUTION "KINGDOM" PARAMOL TABLETS (ACETAMINOPHEN) 0.78 1.00 3.16 2537 2.09 3.62 2538 2539 7.7 1 2540 0.57 2541 38.7 2542 0.5 2543 0 2544 2545 0.5 2546 1.5 2547 0.36 12 2548 A020387100 A020405100 A020420100 A020433100 A020435100 A020441421 A020441429 A020441435 A020444100 第 47 頁,共 382 頁 1.23 2.32 1.27 0.55 0.29 5.20 6.50 9.60 0.74 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 2549 2550 2551 2552 2553 2554 2555 2556 2557 2558 2559 2560 2561 2562 2563 2564 2565 2566 2567 2568 2569 2570 2571 2572 2573 2574 2575 2576 2577 2578 2579 2580 2581 2582 2583 2584 2585 2586 2587 2588 2589 2590 2591 2592 2593 CODE 藥品名稱 100年1月 項次 支付價 A020215357 SINBABY BABY LOTION "SINPHAR" 2549 33.7 0.26 2550 A020215399 SINBABY BABY LOTION "SINPHAR" 0.26 2551 A020226199 COUGH FREE SYRUP "CHI SHENG" A020228221 HEPATOSWISS I.V. INJECTION "SWISS" 2552 107 A020256100 SADIXIN TABLETS (NALIDIXIC ACID) 2553 2.09 "S.Y." A020257100 MEFENAMIC ACID CAPSULE "A.S." 2554 0.78 A020264100 DOZIN TABLETS (NAPROXEN) "YUNG2555 1.19 CHANG" 2.04 2556 A020267100 FLUFENAMIC ACID CAPSULE "HONTEN" 46.7 2557 A020276348 UBURN CREAM (SILVER SULFADIAZINE) 172 2558 A020276365 UBURN CREAM (SILVER SULFADIAZINE) 579 2559 A020276377 UBURN CREAM (SILVER SULFADIAZINE) 0.62 2560 A020276399 UBURN CREAM (SILVER SULFADIAZINE) 1.5 2561 A020279100 ANCHEN TABLETS (MEBENDAZOLE) "J.H." 1.13 2562 A020285100 SOLAX CAPSULAS "ROYAL" 1.5 2563 A0202851G0 SOLAX CAPSULAS "ROYAL"(鋁箔/膠箔) A020286100 SUSPAN F.C TABLETS (SCOPOLAMINE 2564 0.77 BUTYL BROMIDE) " ROYAL " 0.28 2565 A020287100 CINATIN TABLETS (CINNARIZINE) A0202871G0 CINATIN TABLETS (CINNARIZINE) 2566 1.5 "ROYAL"(鋁箔/膠箔) A020288100 CARBELONE TABLETS 2567 2.55 (CARBENOXOLONE) "ROYAL" A020295500 ANTIFUNGAL VAGINAL TABLETS "YUNG 2568 7.3 SHIN"(MICONAZOLE) 24.6 2569 A020296321 WINSOLVE ANTIFUNGAL CREAM A020296329 WINSOLVE ANTIFUNGAL CREAM 2570 42 A020296399 WINSOLVE ANTIFUNGAL CREAM 2571 1.76 1.33 2572 A020299100 LIKANCOCHIEN S.C. TABLETS 0.8 2573 A020309100 SULINTEN TABLETS (FENOTEROL) "S.Y." 0.74 2574 A020318100 CANTIL TABLETS "F.S." A020333100 VOREN ENTERIC COATED TABLETS 2575 0 "YUNG SHIN" (DICLOFENAC) A0203331G0 VOREN ENTERIC COATED TABLETS 2576 1.5 "YUNG SHIN" (DICLOFENAC)"(鋁 A020338100 ATUSSIN S.C. TABLETS (SODIUM 2577 0.98 DIBUNATE) "VPP" 1 2578 A020340100 DISKO S.C. TABLETS "CHEN TA" 10 2579 A020359209 KPHADOL INJECTION (DIPHENIDOL) 0 2580 A020368100 NAPROXEN TABLETS "JOHNSON" A020370100 LOPERAMIDE CAPSULES 2MG "C.T." 2581 0.78 A020384100 GFMYCIN CAPSULE 125MG 2582 1 (GRISEOFULVIN) "WST" 1.18 2583 A020387100 NAPROXEN TABLETS "YUNG CHI" 2.32 2584 A020405100 AMCLOCIN CAPSULE "KINGDOM" A020420100 BININ-U TABLETS 2MG (HALOPERIDOL) 2585 1.27 A020433100 MEFENAMIC CAPSULES "UNION" 2586 0.55 A020435100 DISCO TABLETS (BROMHEXINE) "S.Y." 2587 0.29 A020441421 KINGMIN OPHTHALMIC SOLUTION 2588 5.2 "KINGDOM" (SULFAMETHOXAZOLE) A020441429 KINGMIN OPHTHALMIC SOLUTION 2589 6.5 (SULFAMETHOXAZOLE) "KINGDOM" A020441435 KINGMIN OPHTHALMIC SOLUTION 2590 9.6 "KINGDOM" A020444100 PARAMOL TABLETS (ACETAMINOPHEN) 2591 0.74 A020451100 ALOPRINOL TABLETS (ALLOPURINOL) 2592 0 "JOHNSON" A020453212 DIPROPHYLLINE INJECTION "S.Y." 2593 4.5 說明 CODE 藥品名稱 A020451100 A020520100 ALOPRINOL TABLETS (ALLOPURINOL) "JOHNSON" DIPROPHYLLINE INJECTION "S.Y." MAGNESIUM HYDROXIDE 300MG "CHEN RIBOFLAVIN TETRABUTYRATE TABLETS "YUNG CHI" CP MYCIN CAPSULE 500MG (CEPHALEXIN)"WP" JOHNSTAL FILM COATED TABLETS (MEFENAMIC ACID)"JOHNSON" YU-MIN TABLETS "YU SHENG" A020538238 A020538277 A020549100 A020557100 A020564100 A020573221 A020573229 A020573238 A020578100 PLEXVITE INJECTION "ASTAR" PLEXVITA INJECTION "ASTAR" QUININE HCL CAPSULES "J.S." ACETOMIN TABLETS 500MG SEDON TABLETS "PRINCE" POTASSIUM CHLORIDE INJECTION 15% POTASSIUM CHLORIDE INJECTION 15% POTASSIUM CHLORIDE INJECTION 15% IBUPROFEN CAPSULES "M.T." 1.81 31.80 2.18 0.20 0.50 3.00 5.90 5.80 0.50 A020591277 A020604100 16.60 1.00 A020613100 DEXT-SALINE INJECTION 2.5:0.45 ALLOPURINOL TABLETS 100MG "CHEN TA" CLONIDINE TABLETS "H.H." A020616100 NITRAZE TABLETS (NITRAZEPAM) "S.C." 0.55 A020453212 A020455100 A020458100 A020459100 A020485100 9901 支付價 1.00 4.50 0.24 1.46 1.93 1.00 0.99 調整 A020638209 A020638277 CEFADOL INJECTION 1GM CEFADOL INJECTION 0.5GM (CEFAMANDOLE) A020651255 SOLU-TISONE INJECTION 100MG "C.C.P." (HYDROCORTISONE) A020656371 POLVIDINE OINTMENT 10% "VPP" A020664100 GLIBENCLAMIDE TABLETS "WINSTON" A0206641G0 GLIBENCLAMIDE TABLETS "WINSTON"(鋁 A020668209 PANBICORT INJECTION (TRIAMCINOLONE) "PANBIOTIC" A020668221 PANBICORT INJECTION (TRIAMCINOLONE) "PANBIOTIC" A020668229 PANBICORT INJECTION (TRIAMCINOLONE) "PANBIOTIC" A020684100 HONLOW TABLETS (NAPROXEN) "CURIE" A020694429 ENGENE EYE DROPS "PATRON" A020700100 KETOPROFEN CAPSULES "WINSTON" A020707100 DEPYRETIN TABLETS (ACETAMINOPHEN) "VPP" A020713100 DIABEN TABLETS (GLIBENCLAMIDE) "ROYAL" A020715100 SINTON TABLETS (NAPROXEN) A020738100 SOUDIPAN TABLETS (DIAZEPAM) "S.Y." A020746100 ALLOPURINE TABLETS (ALLOPURINOL) "PFOSHEN" A020755100 ERYCIN CAPSULES (ERYTHROMYCIN STEARATE) A020756113 URYCIN FOR ORAL SUSPENSION (ERYTHROMYCIN ETHYLSUCCINATE) A020758100 COTAMIDE CAPSULES (COBAMAMIDE) "H.C." A020781100 TRIAMCINOLONE TABLETS "N.C.P." A020782209 A020782212 A020785212 A020785216 第 48 頁,共 382 頁 PANDOL INJECTION (HALOPERIDOL) "PANBIOTIC" PANDOL INJECTION (HALOPERIDOL) "PANBIOTIC" VOREN INJECTION (DICLOFENAC) "YUNG SHIN" VOREN INJECTION (DICLOFENAC) "YUNG SHIN" 1.00 82.00 48.50 49.00 256.00 1.00 1.50 19.80 刪除 39.30 68.00 1.23 51.00 3.39 0.80 刪除 1.00 1.25 0.31 0.58 調整 1.17 54.00 1.00 0.63 16.70 13.80 6.50 刪除 6.50 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 2594 A020455100 2595 A020458100 2596 A020459100 2597 A020485100 2598 2599 A020520100 A020538238 MAGNESIUM HYDROXIDE 300MG "CHEN TA" RIBOFLAVIN TETRABUTYRATE TABLETS "YUNG CHI" CP MYCIN CAPSULE 500MG (CEPHALEXIN)"WP" JOHNSTAL FILM COATED TABLETS (MEFENAMIC ACID)"JOHNSON" YU-MIN TABLETS "YU SHENG" PLEXVITE INJECTION "ASTAR" 2600 2601 2602 A020538277 A020549100 A020557100 PLEXVITA INJECTION "ASTAR" QUININE HCL CAPSULES "J.S." ACETOMIN TABLETS 500MG 2603 2604 2605 2606 A020564100 A020573221 A020573229 A020573238 SEDON TABLETS "PRINCE" POTASSIUM CHLORIDE INJECTION 15% POTASSIUM CHLORIDE INJECTION 15% POTASSIUM CHLORIDE INJECTION 15% 2607 A020578100 IBUPROFEN CAPSULES "M.T." 2608 2609 A020591277 A020604100 2610 2611 2612 2613 A020613100 A020616100 A020638209 A020638277 2614 A020651255 2615 2616 A020656371 A020664100 DEXT-SALINE INJECTION 2.5:0.45 ALLOPURINOL TABLETS 100MG "CHEN TA" CLONIDINE TABLETS "H.H." NITRAZE TABLETS (NITRAZEPAM) "S.C." CEFADOL INJECTION 1GM CEFADOL INJECTION 0.5GM (CEFAMANDOLE) SOLU-TISONE INJECTION 100MG "C.C.P." (HYDROCORTISONE) POLVIDINE OINTMENT 10% "VPP" GLIBENCLAMIDE TABLETS "WINSTON" 2617 2618 2621 A0206641G0 GLIBENCLAMIDE TABLETS "WINSTON"(鋁 A020668209 PANBICORT INJECTION (TRIAMCINOLONE) "PANBIOTIC" A020668221 PANBICORT INJECTION (TRIAMCINOLONE) "PANBIOTIC" A020668229 PANBICORT INJECTION (TRIAMCINOLONE) "PANBIOTIC" A020684100 HONLOW TABLETS (NAPROXEN) "CURIE" 2622 A020694429 ENGENE EYE DROPS "PATRON" 2623 A020700100 KETOPROFEN CAPSULES "WINSTON" 2624 A020707100 2625 A020713100 2626 2627 2628 A020715100 A020738100 A020746100 2629 A020755100 2630 A020756113 2631 2632 2633 A020758100 A020781100 A020782209 2634 A020782212 2635 A020785212 2636 A020785216 DEPYRETIN TABLETS (ACETAMINOPHEN) "VPP" DIABEN TABLETS (GLIBENCLAMIDE) "ROYAL" SINTON TABLETS (NAPROXEN) SOUDIPAN TABLETS (DIAZEPAM) "S.Y." ALLOPURINE TABLETS (ALLOPURINOL) "PFOSHEN" ERYCIN CAPSULES (ERYTHROMYCIN STEARATE) URYCIN FOR ORAL SUSPENSION (ERYTHROMYCIN ETHYLSUCCINATE) COTAMIDE CAPSULES (COBAMAMIDE) TRIAMCINOLONE TABLETS "N.C.P." PANDOL INJECTION (HALOPERIDOL) "PANBIOTIC" PANDOL INJECTION (HALOPERIDOL) "PANBIOTIC" VOREN INJECTION (DICLOFENAC) "YUNG SHIN" VOREN INJECTION (DICLOFENAC) "YUNG SHIN" 2619 2620 100年1月 項次 支付價 2594 0.24 2595 1.46 2596 1.93 2597 0 0.99 2598 2599 1.81 31.8 2600 2.18 2601 2602 0.2 0 2603 3 2604 5.9 2605 2606 5.8 2607 0.5 16.6 2608 2609 1 1 2610 0.55 2611 82 2612 2613 48.5 2614 35.3 256 2615 2616 1 1.5 2617 2618 19.8 2619 39.3 2620 68 2621 1.18 2622 51 2623 3.39 2624 0.8 2625 1 1.25 2626 0.31 2627 2628 0.58 2629 1.17 2630 54 1 2631 0.63 2632 2633 16.7 2634 13.8 2635 6.5 2636 0 說明 CODE 藥品名稱 A020791100 1.00 A020793100 PYRAZODINE S.C. TABLETS (PHENAZOPYRIDINE) "C.H." ACETAMINOPHEN TABLETS 500MG A020801100 LIY'S CAPSULES (LOPERAMIDE)"CURIE" 0.45 A020832100 DL-METHYLEPHEDRINE HCL TABLETS "H.C." A020843212 DICYCLOMINE INJECTION " K.S." A020846100 CONEST S.C. TABLETS (CONJUGATED ESTROGEN)"C.H." A020847100 WILCONIN TABLETS "C.Y." A020849100 LOPERAMIDE TABLETS 2 MG "F.Y." A0208491G0 LOPERAMIDE TABLETS 2 MG "F.Y."(28粒/ 瓶裝) A020854100 CENSOLIN TABLETS (SALBUTAMOL) A020857100 ROSTAN CAPSULES "CHEN TA"(BA020860100 SINSOLAX TABLETS "S.Y." A020871100 PROPRA TABLETS 10MG (PROPRANOLOL) "ROYAL" A0208711G0 PROPRA TABLETS 10MG (PROPRANOLOL) "ROYAL"(鋁箔/膠箔) A020873100 CLIXIN F.C TABLETS "ROYAL" A020878212 PRIMRAN INJECTION (METOCLOPRAMIDE) "ROYAL" A020879199 HALOLIUM DROPS "ROYAL" A020892343 SINPHARDERM CREAM "SINPHAR" A020893100 SINAL TABLETS (PROPRANOLOL) A020894100 URINOL TABLETS (ALLOPURINOL) "SINPHAR" A0208941G0 URINOL TABLETS (ALLOPURINOL) "SINPHAR"(鋁箔/膠箔) A020900100 SIRIN S.C. TABLETS (SILYMARIN) "Y. S." A020904100 JYYKO TABLETS 30MG (DEXTROMETHORPHEN) "H.L." A020908221 METHOCARBAMOL INJECTION "K.S." A020910100 DOLCOL FILM COATING TABLETS 250MG 9901 支付價 0.38 0.12 刪除 2.88 2.96 1.00 0.48 1.50 0.80 4.39 2.34 0.50 1.50 0.64 1.68 1.92 39.30 0.50 1.00 1.50 調整 2.16 0.46 6.20 6.80 A020911100 SONCO TABLETS "ROYAL" 0.96 A020921100 0.66 A020936100 CEFENINE S.C. TABLETS (DIPHENIDOL) "H.C." FUTOCAN CREAM "SHINLON"(FLUCOCINOLONE) PROPRALOL TABLETS "PFOSHEN" (PROPRANOLOL) CYRITIN TABLETS (CINNARIZINE) "SHINLON" VENMOIMYCIN CAPSULES (DOXYCYCLINE) "N.W." MUSLAX-A TABLETS "C.C.P." A020940100 A020948100 A020959100 DOMETON CAPSULES (SULPIRIDE) "AND" CLONIDINE TABLETS "Y.S." CLONIN CAPSULES (CLOMIPHENE) A020964329 SCABI CREAM (GAMMA-BHC) "KINGDOM" A020968212 BERBERIN INJECTION "K.S." A020975100 A020976100 A020998321 VOLTON CAPSULES (DICLOFENAC) "AND" SEUSTON CAPSULES (MEFENAMIC ACID) BEGTI CREAM "STANDARD" A021010100 LIAID CAPSULES (LOPERAMIDE) "SHIN FONG" WINZOLIN INJECTION 1G (CEFAZOLIN) "WINSTON" SAUTUN TABLETS (DEXTROMETHORPHAN) "WP" A020926329 A020927100 A020930100 A020931100 A021012209 A021014100 第 49 頁,共 382 頁 刪除 29.00 調整 0.30 0.50 1.44 1.00 0.80 1.00 4.07 100.00 2.74 0.83 0.37 16.10 0.70 23.50 0.37 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 2637 A020791100 2638 A020793100 2639 2640 2641 2642 A020801100 A020832100 A020843212 A020846100 2643 2644 2645 A020847100 A020849100 A0208491G0 2646 A020854100 2647 2648 2649 A020857100 A020860100 A020871100 2650 A0208711G0 2651 2652 2653 A020873100 A0208731G0 A020878212 2654 2655 2656 2657 A020879199 A020892343 A020893100 A020894100 2658 A0208941G0 2659 2660 A020900100 A020904100 2661 2662 2663 2664 A020908221 A020910100 A020911100 A020921100 2665 A0209211G0 2666 A020926329 2667 A020927100 2668 A020930100 2669 A020931100 2670 A020936100 2671 A020940100 2672 A020948100 2673 A020959100 2674 2675 2676 2677 A020964329 A020968212 A020975100 A020976100 2678 2679 A020998321 A021010100 2680 A021012209 2681 A021014100 藥品名稱 100年1月 項次 支付價 PYRAZODINE S.C. TABLETS 2637 1 (PHENAZOPYRIDINE) "C.H." ACETAMINOPHEN TABLETS 500MG 2638 0.38 0.45 2639 LIY'S CAPSULES (LOPERAMIDE)"CURIE" 0.12 2640 DL-METHYLEPHEDRINE HCL TABLETS 2.88 2641 DICYCLOMINE INJECTION " K.S." CONEST S.C. TABLETS (CONJUGATED 2642 2.96 ESTROGEN)"C.H." 1 2643 WILCONIN TABLETS "C.Y." 0.48 2644 LOPERAMIDE TABLETS 2 MG "F.Y." LOPERAMIDE TABLETS 2 MG "F.Y."(28粒/ 2645 1.5 瓶裝) CENSOLIN TABLETS (SALBUTAMOL) 2646 0.8 "S.C." 4.39 2647 ROSTAN CAPSULES "CHEN TA"(B2.34 2648 SINSOLAX TABLETS "S.Y." PROPRA TABLETS 10MG (PROPRANOLOL) 2649 0.5 "ROYAL" PROPRA TABLETS 10MG (PROPRANOLOL) 2650 "ROYAL"(鋁箔/膠箔) 1.5 0.64 2651 CLIXIN F.C TABLETS "ROYAL" 1.5 2652 CLIXIN F.C. TABLETS "ROYAL"(鋁箔/膠 PRIMRAN INJECTION 2653 1.68 (METOCLOPRAMIDE) "ROYAL" 1.92 2654 HALOLIUM DROPS "ROYAL" 39.3 2655 SINPHARDERM CREAM "SINPHAR" 0.5 2656 SINAL TABLETS (PROPRANOLOL) URINOL TABLETS (ALLOPURINOL) 2657 1 "SINPHAR" URINOL TABLETS (ALLOPURINOL) 2658 1.5 "SINPHAR"(鋁箔/膠箔) 2.16 2659 SIRIN S.C. TABLETS (SILYMARIN) "Y. S." JYYKO TABLETS 30MG 2660 0.46 (DEXTROMETHORPHEN) "H.L." 6.2 2661 METHOCARBAMOL INJECTION "K.S." 6.8 2662 DOLCOL FILM COATING TABLETS 250MG 0.96 2663 SONCO TABLETS "ROYAL" CEFENINE S.C. TABLETS (DIPHENIDOL) 2664 0.66 "H.C." CEFENINE S.C. TABLETS (DIPHENIDOL) 2665 1.5 "H.C."(鋁箔/膠箔) FUTOCAN CREAM 2666 29 "SHINLON"(FLUCOCINOLONE) PROPRALOL TABLETS "PFOSHEN" 2667 0.3 (PROPRANOLOL) CYRITIN TABLETS (CINNARIZINE) 2668 0.5 "SHINLON" VENMOIMYCIN CAPSULES 2669 1.44 (DOXYCYCLINE) "N.W." MUSLAX-A TABLETS "C.C.P." 2670 1 DOMETON CAPSULES (SULPIRIDE) "AND" 2671 0.8 CLONIDINE TABLETS "Y.S." 2672 1 CLONIN CAPSULES (CLOMIPHENE) 2673 4.07 100 2674 SCABI CREAM (GAMMA-BHC) "KINGDOM" 2.74 2675 BERBERIN INJECTION "K.S." 0.83 2676 VOLTON CAPSULES (DICLOFENAC) "AND" SEUSTON CAPSULES (MEFENAMIC ACID) 2677 0.37 16.1 2678 BEGTI CREAM "STANDARD" LIAID CAPSULES (LOPERAMIDE) "SHIN 2679 0.7 FONG" WINZOLIN INJECTION 1G (CEFAZOLIN) 2680 23.5 "WINSTON" SAUTUN TABLETS 2681 0.37 (DEXTROMETHORPHAN) "WP" CODE 藥品名稱 A021020212 ORPHENADRINE INJECTION "Y.Y." A021029100 FULNIN CAPSULES (LOPERAMIDE) "PANBIOTIC" BIOTIN-H INJECTION ANTIDIA CAPSULES (LOPERAMIDE) "S.C." PLEXINA INJECTION "ROYAL" LOTAMIN TABLETS (PROCHLORPERAZINE) "SWISS" IANSOU OPHTHALMIC SOLUTION IANSOU OPHTHALMIC SOLUTION AMCICORT CREAM (TRIAMCINOLONE) "N.W." LOPEDIN CAPSULES "STANDARD" (LOPERAMIDE) FUZETAMIN INJECTION FUZETAMIN INJECTION CINNARIZINE TABLETS 50MG "M.T." A021030212 A021032100 A021033216 A021036100 A021054421 A021054423 A021062321 A021063100 A021075229 A021075238 A021078100 A021101199 說明 9901 支付價 10.00 0.70 3.44 0.90 50.00 0.49 8.70 36.30 5.80 0.80 10.30 10.00 0.50 A021109238 A021111151 A021117100 ERYSROCIN GRANULES FOR ORAL SUSPENSION (ERYTHROMYCIN ETHYLSUCCINATE) "KINGDOM" HICOVITA INJECTION "GENTLE" KODAPIN SYRUP "ROYAL" ERGOFEIN CAPSULES "PATRON" 1.14 10.00 30.60 0.77 A021120229 A021125100 A021148100 A021154277 DEXAMETHASONE INJECTION 0.4% MEDON CAPSULES (MEDAZEPAM) "F.S." TRIAMCINOLONE TABLETS "S.Y." WINZOLIN INJECTION 500MG "WINSTON" 16.30 1.13 0.63 10.00 A021155238 FRUCTOSE INJECTION "S.Y." A021155277 A021158212 A021189212 A021190100 A021191421 A021196100 FRUCTOSE INJECTION "S.Y." SULQUINYL INJECTION "PATRON" (SULPIRIDE) METOCLOPRAMIDE INJECTION "LITA" LOPERAMIDE CAPSULES "Y.S." CHLORAMPHENICOL EYE DROPS "OASIS" HI-EFFECT TABLETS (BUCLIZINE) "S.C." A021199100 SULPIRIDE CAPSULES "JOHNSON" 1.00 A021200100 LOPERAMIDE CAPSULES "CHI SHENG" 0.48 A021201100 1.00 A021281212 A021290100 FUZINE S.C. TABLETS (TRIFLUOPERAZINE HCL) "SHIN FONG" CEFAMON INJECTION (CEFAMANDOLE) "LITA" DICLOCIN CAPSULES (DICLOXACILLIN) "KINGDOM" AMPICILLIN INJECTION 1GM (POTENCY)/VIAL "TAI YU" LOPERADIUM CAPSULES (LOPERAMIDE) "P.J." METOCLOPRAMIDE HCL S.C. TABLETS 10MG "J.S." SUCOTIN TABLETS (SALBUTAMOL) "WINSTON" BERIAN INJECTION "N.K." LIVERGEN CAPSULES "ROYAL" LYSOZYME TABLETS "AND" XANPLAMIN TABLETS 150MG (XANTHINOL NICOTINATE) "VPP" KETOPROFEN I.M INJECTION "Y.Y." FLOPROPIONE CAPSULES "M.T." A021298100 COBAMAMIDE CAPSULES "M.T." 新增 3.60 30.70 12.60 2.27 1.00 19.20 0.50 新增 A021204209 A021213100 A021223209 A021228100 A021241100 A021253100 A021263212 A021265100 A021272100 A021274100 A0212981G0 COBAMAMIDE CAPSULES "M.T."(鋁箔/膠 箔) 第 50 頁,共 382 頁 49.30 1.42 10.40 0.77 0.23 0.50 3.17 1.61 0.40 0.87 10.00 1.57 1.08 1.50 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 2682 2683 A021020212 A021029100 2684 2685 2686 2687 A021030212 A021032100 A021033216 A021036100 2688 2689 2690 A021054421 A021054423 A021062321 2691 A021063100 2692 A021075229 ORPHENADRINE INJECTION "Y.Y." FULNIN CAPSULES (LOPERAMIDE) "PANBIOTIC" BIOTIN-H INJECTION ANTIDIA CAPSULES (LOPERAMIDE) "S.C." PLEXINA INJECTION "ROYAL" LOTAMIN TABLETS (PROCHLORPERAZINE) "SWISS" IANSOU OPHTHALMIC SOLUTION IANSOU OPHTHALMIC SOLUTION AMCICORT CREAM (TRIAMCINOLONE) "N.W." LOPEDIN CAPSULES "STANDARD" (LOPERAMIDE) FUZETAMIN INJECTION 2693 2694 2695 A021075238 A021078100 A021101199 2696 2697 2698 2699 A021109238 A021111151 A021117100 A021120229 2700 A021125100 FUZETAMIN INJECTION CINNARIZINE TABLETS 50MG "M.T." ERYSROCIN GRANULES FOR ORAL SUSPENSION (ERYTHROMYCIN ETHYLS HICOVITA INJECTION "GENTLE" KODAPIN SYRUP "ROYAL" ERGOFEIN CAPSULES "PATRON" DEXAMETHASONE INJECTION 0.4% "SWISS" MEDON CAPSULES (MEDAZEPAM) "F.S." 2701 A021148100 TRIAMCINOLONE TABLETS "S.Y." 2702 2703 A021154277 A021155238 WINZOLIN INJECTION 500MG "WINSTON" FRUCTOSE INJECTION "S.Y." 2704 2705 A021155277 A021158212 2706 2707 2708 2709 2710 2711 2712 A021189212 A021190100 A021191421 A021196100 A021199100 A021200100 A021201100 2713 A021204209 2714 A021213100 2715 A021223209 2716 A021228100 2717 A021241100 2718 A021253100 2719 2720 2721 A021263212 A021265100 A021272100 FRUCTOSE INJECTION "S.Y." SULQUINYL INJECTION "PATRON" (SULPIRIDE) METOCLOPRAMIDE INJECTION "LITA" LOPERAMIDE CAPSULES "Y.S." CHLORAMPHENICOL EYE DROPS "OASIS" HI-EFFECT TABLETS (BUCLIZINE) "S.C." SULPIRIDE CAPSULES "JOHNSON" LOPERAMIDE CAPSULES "CHI SHENG" FUZINE S.C. TABLETS (TRIFLUOPERAZINE HCL) "SHIN FONG" CEFAMON INJECTION (CEFAMANDOLE) "LITA" DICLOCIN CAPSULES (DICLOXACILLIN) "KINGDOM" AMPICILLIN INJECTION 1GM (POTENCY)/VIAL "TAI YU" LOPERADIUM CAPSULES (LOPERAMIDE) "P.J." METOCLOPRAMIDE HCL S.C. TABLETS 10MG "J.S." SUCOTIN TABLETS (SALBUTAMOL) "WINSTON" BERIAN INJECTION "N.K." LIVERGEN CAPSULES "ROYAL" LYSOZYME TABLETS "AND" 2722 A021274100 2723 2724 2725 2726 2727 2728 2729 2730 XANPLAMIN TABLETS 150MG (XANTHINOL NICOTINATE) "VPP" A021281212 KETOPROFEN I.M INJECTION "Y.Y." A021290100 FLOPROPIONE CAPSULES "M.T." A021298100 COBAMAMIDE CAPSULES "M.T." A0212981G0 COBAMAMIDE CAPSULES "M.T."(鋁箔/膠 A021316100 SALBUTAMOL TABLETS "M.T." A021326100 ISIDIUM CAPSULES (LOPERAMIDE) "N.W." A021328100 SILYGEN CAPSULES "STANDARD" A0213281G0 SILYGEN CAPSULES "STANDARD"(鋁箔/膠 箔) 100年1月 項次 支付價 10 2682 2683 0.7 3.44 2684 0.9 2685 50 2686 2687 0.49 8.7 2688 36.3 2689 2690 5.8 2691 0 2692 10.3 10 2693 0.5 2694 2695 1.14 10 2696 30.6 2697 0.77 2698 2699 0 2700 1.13 2701 0.63 10 2702 2703 3.6 30.7 2704 2705 12.6 2.27 2706 1 2707 19.2 2708 0.5 2709 0 2710 0.48 2711 2712 1 2713 49.3 2714 1.42 2715 10.4 2716 0.77 2717 0.23 2718 0.5 3.17 2719 1.61 2720 2721 0.4 2722 0.87 10 2723 1.57 2724 1.08 2725 1.5 2726 0.28 2727 0.76 2728 2729 0 2730 0 說明 CODE 藥品名稱 9901 支付價 A021316100 A021326100 SALBUTAMOL TABLETS "M.T." ISIDIUM CAPSULES (LOPERAMIDE) "N.W." 0.28 0.76 A021328100 A0213281G0 A021343238 A021366100 1.38 1.50 49.90 0.78 A021372221 A021372238 A021381100 SILYGEN CAPSULES "STANDARD" SILYGEN CAPSULES "STANDARD"(鋁箔/膠 POTASSIUM PHOSPHATE INJECTION BENZYUANINE CAPSULES 50MG (BENZYDAMINE) "C.T." PIRACETAM INJECTION "Y.Y." PIRACETAM INJECTION "Y.Y." FUCHEN "CURIE" A021388100 EGALON-B CAPSULES "N.K." 1.36 HECAMOL TABLETS (ACETAMINOPHEN) "HEALTH" A021391321 TEPSIM CREAM "C.R." (FLUOCINONIDE) A021391335 TEPSIM CREAM "C.R." (FLUOCINONIDE) A021395500 INDOMETHACIN SUPPOSITORIES "PFOSHEN" A021399100 NAPROXEN TABLETS "LITA" A021406100 WETONLIN TABLETS "M.T." A0214061G0 WETONLIN TABLETS "M.T."(鋁箔/膠箔) A021410221 ANSUCORT INJECTION 10MG/ML "S.T."(TRIAMCINOLONE) A021410229 ANSUCORT INJECTION 10MG/ML "S.T."(TRIAMCINOLONE) A021418212 WINZOLIN INJECTION 2GM (CEFAZOLIN) "WINSTON" A021441100 AMOXICILLIN CAPSULES "TAI YU" A021449100 PORPIN E.C. TABLETS 50MG (BROMELAIN)"F.S." A021450238 SUNSUVITA INJECTION "S.Y." A021455335 XYLMOL OINTMENT "SINPHAR" 0.37 10.00 64.00 3.53 刪除 A021390100 A021459100 A021462100 A021463209 A021480100 A0214801G0 A021484100 A021491100 37.50 60.00 3.29 1.22 0.32 1.50 21.60 刪除 22.90 87.00 1.00 0.56 7.70 56.00 3.83 1.00 2.37 1.00 1.50 1.00 1.00 A021507100 ACTIVE TABLETS (LEVAMISOLE) ZECOL TABLETS ATROPINE SULFATE INJECTION "ASTAR" CLONIDINE TABLETS "SWISS" CLONIDINE TABLETS "SWISS"(鋁箔/膠箔) TONCOPIN TABLETS "N.C.P." IZAN E.C. TABLETS 100MG (BROMELAIN) "LITA" ATIPAM TABLETS (LORAZEPAM) "ROYAL" OXECAIN TABLETS "YU SHENG" A021514100 CHLORZOXAZONE TABLETS 200MG 0.45 A021529100 0.50 A021534100 EXTANCIN TABLETS (GLYCERYL GUAIACOLATE) "H.H." CLEMASTINE CAPSULES ""CHEN TA." A021539100 RISONIN CAPSULES "AND" 4.21 A021552100 A021558100 A021563100 SUNTONIN CAPSULES "S.S.P." SIMETHON TABLETS (DIMETHICONE) WINMOX CAPSULES 500MG (AMOXICILLIN) "WINSTON" PYDAMOLE S.C. TABLETS (DIPYRIDAMOLE)"H.C." BELINRON EYE DROPS "Y.S." SCHEREE CREAM "BOWLIN" SCHEREE CREAM "BOWLIN" DIMENHYDRINATE TABLETS "C.Y." FMINA CREAM (MICONAZOLE) AMPICILLIN CAPSULES "TAI YU" HEMALOL TABLETS (PROPRANOLOL) "SWISS" WINLIPAN CAPSULES (LOPERAMIDE) "WINSTON" 0.79 0.16 1.10 A021495100 A021566100 A021572421 A021573316 A021573324 A021586100 A021587321 A021591100 A021603100 A021606100 第 51 頁,共 382 頁 刪除 0.40 0.41 0.60 0.78 33.90 23.30 22.50 0.38 25.50 1.00 0.78 刪除 0.65 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 2731 A021343238 2732 A021366100 2733 A021372221 POTASSIUM PHOSPHATE INJECTION "U.L." BENZYUANINE CAPSULES 50MG (BENZYDAMINE) "C.T." PIRACETAM INJECTION "Y.Y." 2734 A021372238 PIRACETAM INJECTION "Y.Y." 2735 A021381100 FUCHEN "CURIE" 2736 A021388100 EGALON-B CAPSULES "N.K." 2737 A021390100 2747 HECAMOL TABLETS (ACETAMINOPHEN) "HEALTH" A021391321 TEPSIM CREAM "C.R." (FLUOCINONIDE) A021391335 TEPSIM CREAM "C.R." (FLUOCINONIDE) A021395500 INDOMETHACIN SUPPOSITORIES A021399100 NAPROXEN TABLETS "LITA" A021406100 WETONLIN TABLETS "M.T." A0214061G0 WETONLIN TABLETS "M.T."(鋁箔/膠箔) A021410221 ANSUCORT INJECTION 10MG/ML "S.T."(TRIAMCINOLONE) A021410229 ANSUCORT INJECTION 10MG/ML "S.T."(TRIAMCINOLONE) A021418212 WINZOLIN INJECTION 2GM (CEFAZOLIN) "WINSTON" A021441100 AMOXICILLIN CAPSULES "TAI YU" 2748 A021449100 2749 2750 2751 2752 2753 2754 A021450238 A021455335 A021459100 A021462100 A021463209 A021480100 2755 A0214801G0 CLONIDINE TABLETS "SWISS"(鋁箔/膠箔) 2756 2757 A021484100 A021491100 2758 2759 A021495100 A021507100 2760 2761 A021514100 A021529100 2762 2763 A021534100 A021539100 2764 2765 A021552100 A021558100 2738 2739 2740 2741 2742 2743 2744 2745 2746 2766 2767 2768 2769 2770 2771 2772 2773 2774 2775 2776 2777 PORPIN E.C. TABLETS 50MG (BROMELAIN)"F.S." SUNSUVITA INJECTION "S.Y." XYLMOL OINTMENT "SINPHAR" ACTIVE TABLETS (LEVAMISOLE) ZECOL TABLETS ATROPINE SULFATE INJECTION "ASTAR" CLONIDINE TABLETS "SWISS" TONCOPIN TABLETS "N.C.P." IZAN E.C. TABLETS 100MG (BROMELAIN) "LITA" ATIPAM TABLETS (LORAZEPAM) OXECAIN TABLETS "YU SHENG" CHLORZOXAZONE TABLETS 200MG EXTANCIN TABLETS (GLYCERYL GUAIACOLATE) "H.H." CLEMASTINE CAPSULES ""CHEN TA." RISONIN CAPSULES "AND" SUNTONIN CAPSULES "S.S.P." SIMETHON TABLETS (DIMETHICONE) "AND" A021563100 WINMOX CAPSULES 500MG (AMOXICILLIN) "WINSTON" A021566100 PYDAMOLE S.C. TABLETS (DIPYRIDAMOLE)"H.C." A021572421 BELINRON EYE DROPS "Y.S." A021573316 SCHEREE CREAM "BOWLIN" A021573324 SCHEREE CREAM "BOWLIN" A021586100 DIMENHYDRINATE TABLETS "C.Y." A021587321 FMINA CREAM (MICONAZOLE) A021591100 AMPICILLIN CAPSULES "TAI YU" A021603100 HEMALOL TABLETS (PROPRANOLOL) "SWISS" A021606100 WINLIPAN CAPSULES (LOPERAMIDE) "WINSTON" A0216061G0 WINLIPAN CAPSULES (LOPERAMIDE) "WINSTON"(鋁箔) A021611100 DEXAMETHASONE TABLETS "M.T." 100年1月 項次 支付價 2731 49.9 2732 0.78 2733 10 2734 64 2735 3.53 2736 1.36 2737 0.37 37.5 2738 60 2739 3.29 2740 1.19 2741 0.32 2742 1.5 2743 2744 0 2745 0 2746 87 2747 1 2748 0.56 7.7 2749 56 2750 3.83 2751 1 2752 2.37 2753 2754 1 2755 1.5 1 2756 2757 1 0.4 2758 2759 0.41 0.45 2760 2761 0.5 0.6 2762 2763 4.21 0.79 2764 2765 0.16 2766 1.1 2767 0.78 33.9 2768 9.3 2769 22.3 2770 0.38 2771 25.5 2772 1 2773 2774 0.78 2775 0.65 2776 1.5 0.31 2777 CODE 藥品名稱 說明 9901 支付價 A0216061G0 WINLIPAN CAPSULES (LOPERAMIDE) "WINSTON"(鋁箔) A021611100 DEXAMETHASONE TABLETS "M.T." 1.50 A021614100 0.89 A021619180 A021619199 A021622100 A021623199 A021629265 A021629277 A021630265 A021630277 A021632265 A021632277 A021633399 SPOLINE S.C. TABLETS (SCOPOLAMINE BUTYLBROMIDE) ULEX FOR ORAL SUSPENSION 250MG (CEPHALEXINE) ULEX FOR ORAL SUSPENSION 250MG (CEPHALEXINE) MEPRAM S.C. TABLETS (METOCLOPRAMIDE) "SHINLON" COSOPHYLLINE GRANULES "ORIENTAL" 0.31 2,604.00 4.34 0.20 0.54 TAITA NO.3 INJECTION "OTSUKA" TAITA NO.3 INJECTION "OTSUKA" TAITA NO.2 INJECTION "OTSUKA" TAITA NO.2 INJECTION "OTSUKA" TAITA NO.1 INJECTION "OTSUKA" TAITA NO.1 INJECTION "OTSUKA" ANCO CREAM "ROYAL" (SILVER SULF ADIAZINE) LIPIN TABLETS (METHYLSCOPOLAMINE METHYLSULFAT) "ROYAL" GLIDIAB TABLETS 5MG(GLIPIZIDE) 40.50 37.60 47.90 30.70 37.80 33.20 0.63 A0216401G0 GLIDIAB TABLETS 5MG(GLIPIZIDE) (鋁箔 盒裝) A021652143 MINTAPP SYRUP "SINPHAR" 1.50 A021635100 A021640100 A021652151 A021652155 A021652157 A021652199 A021656100 A021670212 A021670229 A021678151 A021678157 A021678199 A021681100 MINTAPP SYRUP "SINPHAR" MINTAPP SYRUP "SINPHAR" MINTAPP SYRUP "SINPHAR" MINTAPP SYRUP "SINPHAR" TEOLLIN TABLETS "YU SHENG" DEXAMETHASONE PHOSPHATE INJECTION 5MG " K.S." DEXAMETHASONE PHOSPHATE INJECTION 5MG " K.S." CODIN P SYRUP "SINPHAR" CODIN P SYRUP "SINPHAR" 刪除 0.78 刪除 1.00 41.90 25.00 112.00 51.00 0.25 0.48 3.34 6.00 20.00 24.90 CODIN P SYRUP "SINPHAR" GRAMAZINE TABLETS 500MG (NALIDIXIC ACID) "JOHSON" CLONIDINE TABLETS "JOHNSON" LOPERAMIDE CAPSULES "Y.C." 0.15 2.26 1.61 0.48 A021709212 HUMELIN CAPSULES "PATRON" GENLATIN CAPSULES "TAITEN" (LOPERAMIDE) RIFAMPIN CAPSULES 450MG "VPP" PERAMIDE CAPSULES (LOPERAMIDE) "KINGDOM" TRANEXAMIC ACID INJECTION "S.Y." A021709221 TRANEXAMIC ACID INJECTION "S.Y." A021709238 A021715100 A021719438 A021724399 A021731157 A021748277 A021754100 TRANEXAMIC ACID INJECTION "S.Y." MEBENDAZOLE TABLETS "YU SHENG" NASAL SPRAY "NYSCO" MICONAZOLE CREAM "Y.S." ANTISEMIN DRY SYRUP 6-H.E.S. INJECTION COLCIN TABLETS (COLCHICINE) A021755100 BIOGEN TABLETS "ROYAL" 2.11 A021756209 SCODEXIN INJECTION "TAI YU" 1.81 A021758100 MEDICON-A CAPSULES 1.72 A021684100 A021693100 A021698100 A021703100 A021706100 A021707100 第 52 頁,共 382 頁 調整 1.00 0.48 13.60 0.68 4.55 8.50 35.20 1.42 32.70 1.77 27.60 271.00 0.82 調整 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 2778 2779 2780 2781 2782 2783 2784 2785 2786 2787 2788 2789 2790 2791 2792 2793 2794 2795 2796 2797 2798 2799 2800 2801 2802 2803 2804 2805 2806 2807 2808 2809 2810 2811 2812 2813 2814 2815 2816 2817 2818 2819 2820 2821 2822 2823 2824 2825 2826 CODE 藥品名稱 100年1月 項次 支付價 A021614100 SPOLINE S.C. TABLETS (SCOPOLAMINE 2778 0.89 BUTYLBROMIDE) A021619180 ULEX FOR ORAL SUSPENSION 250MG 2779 2604 (CEPHALEXINE) A021619199 ULEX FOR ORAL SUSPENSION 250MG 2780 4.34 (CEPHALEXINE) A021622100 MEPRAM S.C. TABLETS 2781 0.2 (METOCLOPRAMIDE) "SHINLON" 0.54 2782 A021623199 COSOPHYLLINE GRANULES "ORIENTAL" A021629265 TAITA NO.3 INJECTION "OTSUKA" 2783 40.5 A021629277 TAITA NO.3 INJECTION "OTSUKA" 2784 37.6 47.9 2785 A021630265 TAITA NO.2 INJECTION "OTSUKA" 30.7 2786 A021630277 TAITA NO.2 INJECTION "OTSUKA" 37.8 2787 A021632265 TAITA NO.1 INJECTION "OTSUKA" A021632277 TAITA NO.1 INJECTION "OTSUKA" 2788 33.2 A021633399 ANCO CREAM "ROYAL" (SILVER SULF 2789 0.63 ADIAZINE) A021635100 LIPIN TABLETS (METHYLSCOPOLAMINE 2790 0.78 METHYLSULFAT) "ROYAL" A0216351G0 LIPIN TABLETS (METHYLSCOPOLAMINE 2791 1.5 METHYLSULFAT) "ROYAL"(鋁箔 1 2792 A021640100 GLIDIAB TABLETS 5MG(GLIPIZIDE) A0216401G0 GLIDIAB TABLETS 5MG(GLIPIZIDE) (鋁箔 2793 1.5 盒裝) 41.9 2794 A021652143 MINTAPP SYRUP "SINPHAR" A021652151 MINTAPP SYRUP "SINPHAR" 2795 25 A021652155 MINTAPP SYRUP "SINPHAR" 2796 112 51 2797 A021652157 MINTAPP SYRUP "SINPHAR" 0.25 2798 A021652199 MINTAPP SYRUP "SINPHAR" 0.48 2799 A021656100 TEOLLIN TABLETS "YU SHENG" A021670212 DEXAMETHASONE PHOSPHATE 2800 3.34 INJECTION 5MG " K.S." A021670229 DEXAMETHASONE PHOSPHATE 2801 6 INJECTION 5MG " K.S." 20 2802 A021678151 CODIN P SYRUP "SINPHAR" 24.9 2803 A021678157 CODIN P SYRUP "SINPHAR" 0.15 2804 A021678199 CODIN P SYRUP "SINPHAR" A021681100 GRAMAZINE TABLETS 500MG (NALIDIXIC 2805 0 ACID) "JOHSON" 0 2806 A021684100 CLONIDINE TABLETS "JOHNSON" 0 2807 A021693100 LOPERAMIDE CAPSULES "Y.C." 1.61 2808 A021698100 HUMELIN CAPSULES "PATRON" A021703100 GENLATIN CAPSULES "TAITEN" 2809 0.48 (LOPERAMIDE) A021706100 RIFAMPIN CAPSULES 450MG "VPP" 2810 13.6 A021707100 PERAMIDE CAPSULES (LOPERAMIDE) 2811 0.68 "KINGDOM" A021709212 TRANEXAMIC ACID INJECTION "S.Y." 2812 4.55 A021709221 TRANEXAMIC ACID INJECTION "S.Y." 2813 8.5 A021709238 TRANEXAMIC ACID INJECTION "S.Y." 2814 35.2 1.42 2815 A021715100 MEBENDAZOLE TABLETS "YU SHENG" 32.7 2816 A021719438 NASAL SPRAY "NYSCO" 1.77 2817 A021724399 MICONAZOLE CREAM "Y.S." 27.6 2818 A021731157 ANTISEMIN DRY SYRUP 271 2819 A021748277 6-H.E.S. INJECTION 0.82 2820 A021754100 COLCIN TABLETS (COLCHICINE) 1.5 2821 A0217541G0 COLCIN TABLETS (COLCHICINE)(鋁箔/膠 2.11 2822 A021755100 BIOGEN TABLETS "ROYAL" 1.81 2823 A021756209 SCODEXIN INJECTION "TAI YU" 1.72 2824 A021758100 MEDICON-A CAPSULES 1.69 2825 A021767100 DIPHENIDOL S.C. TABLETS 888 2826 A021776118 CODEPIN SYRUPS "N.C.P." 說明 CODE 藥品名稱 A021767100 DIPHENIDOL S.C. TABLETS A021776118 CODEPIN SYRUPS "N.C.P." 888.00 A021776151 CODEPIN SYRUPS "N.C.P." 17.20 A021776157 CODEPIN SOLUTION "N.C.P." 31.10 A021792100 A021815100 A021845321 CHLORZOXAZONE TABLETS "ASTAR" BROMELAIN ENTERIC SUGAR COATED TABLETS "YUNG CHI" TETRACYCLINE HCL CAPSULES 500MG "PRINCE" LOPERAMIDE CAPSULES "YUNG CHI" SERPATHIAZIDE F.C. TABLETS "WST" LOPERAMIN TABLETS (LOPERAMIDE) TONPASS CAPSULES 250MG (MEFENAMIC ACID) "JINUP" SUMINCON TABLETS (PIPRINHYDRINATE) "H.H." BEAUTYSKIN CREAM "ROYAL" 30.10 A021853329 DAFRIN CREAM (MICONAZOLE) "SWISS" 41.50 A021855100 A021857199 COLD S.C. TABLET "H.C." AZUEIN GRANULES (AZULENE) "Y.Y" 1.00 3.17 A021870100 A021871100 0.46 1.53 A021880316 A021880321 A021880329 A021880399 ASTAR TABLETS (ASPIRIN) "S.Y." MEBEZOL TABLETS (MEBENDAZOLE) "JOHNSON" IMODE CAPSULES (LOPERAMIDE) "YU SHENG" WANT CREAM "HSC" WANT CREAM "HSC" WANT CREAM "HSC" WANT CREAM "HSC" A021882100 NINGILON CAPSULES "P.L." A021817100 A021819100 A021820100 A021830100 A021832100 A021841100 9901 支付價 1.69 0.45 0.52 0.82 0.93 1.00 0.48 0.60 0.50 新增 A021875100 A021883263 A021886100 A021887416 A021887417 AMINOL 12X INJECTION "S.T" BETAMETHASONE TABLETS "S.Y." LECORT IN ORAL BASE LECORT IN ORAL BASE (TRIAMCINOLONE) A021887421 LECORTIN ORAL BASE A021887423 LECORT IN ORAL BASE A021887429 LECORT IN ORAL BASE A021887499 LECORT IN ORAL BASE (TRIAMCINOLONE) A021890100 METATU HON TABLETS (DICLOFENAC) "CURIE" A021893209 METHYLERGONOVINE INJECTION "TAI YU" A021896100 PISUTON CAPSULE (MEFENAMIC ACID) "PRINCE" A021905100 WINTEL CAPSULES (TETRACYCLINE METAPHOSPHATE)"WINSTON" A0219051G0 WINTEL CAPSULES (TETRACYCLINE METAPHOSPHATE)"WINSTON"(鋁箔) A021923100 SODIUM BICARBONATE TABLETS A021924321 MY COMB CREAM "SINPHAR" A021924323 MY COMB CREAM "SINPHAR" A021924329 MY COMB CREAM "SINPHAR" A021924336 MY COMB CREAM "SINPHAR" A021924399 MY COMB CREAM "SINPHAR" A021932100 CLEMASTINE TABLETS "YU SHENG" A021959209 BETAMETHASONE INJECTION "TAI YU" A021959221 BETAMETHASONE INJECTION "TAI YU" A021959229 BETAMETHASONE INJECTION "TAI YU" A021960151 COCOSAU SYRUP "Y.Y" A021961100 CEPHADROXIL CAPSULES "LITA" 第 53 頁,共 382 頁 0.84 24.10 30.90 38.70 3.55 2.03 108.00 0.32 20.80 22.70 29.10 63.00 20.30 2.03 刪除 刪除 刪除 0.49 10.00 0.37 1.09 1.50 1.57 14.20 17.80 25.40 55.00 1.99 0.64 7.40 23.00 14.20 20.00 2.22 新增 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 2827 2828 2829 2830 2831 2832 2833 2834 2835 2836 2837 2838 2839 2840 2841 2842 2843 2844 2845 2846 2847 2848 2849 2850 2851 2852 2853 2854 2855 2856 2857 2858 2859 2860 2861 2862 2863 2864 2865 2866 2867 2868 2869 2870 2871 2872 2873 CODE 藥品名稱 100年1月 項次 支付價 17.2 2827 A021776151 CODEPIN SYRUPS "N.C.P." 31.1 2828 A021776157 CODEPIN SOLUTION "N.C.P." A021792100 CHLORZOXAZONE TABLETS "ASTAR" 2829 0.45 A021815100 BROMELAIN ENTERIC SUGAR COATED 2830 0.52 TABLETS "YUNG CHI" A021817100 TETRACYCLINE HCL CAPSULES 500MG 2831 0.82 "PRINCE" A021819100 LOPERAMIDE CAPSULES "YUNG CHI" 2832 0.93 1 2833 A021820100 SERPATHIAZIDE F.C. TABLETS "WST" A021830100 LOPERAMIN TABLETS (LOPERAMIDE) 2834 0.48 "M.T." A021832100 TONPASS CAPSULES 250MG (MEFENAMIC 2835 0.6 ACID) "JINUP" A021841100 SUMINCON TABLETS (PIPRINHYDRINATE) 2836 0.5 "H.H." A021845321 BEAUTYSKIN CREAM "ROYAL" 2837 30.1 A021853329 DAFRIN CREAM (MICONAZOLE) "SWISS" 2838 41.5 1 2839 A021855100 COLD S.C. TABLET "H.C." 3.17 2840 A021857199 AZUEIN GRANULES (AZULENE) "Y.Y" 0.46 2841 A021870100 ASTAR TABLETS (ASPIRIN) "S.Y." A021871100 MEBEZOL TABLETS (MEBENDAZOLE) 2842 0 "JOHNSON" A021875100 IMODE CAPSULES (LOPERAMIDE) "YU 2843 0.84 SHENG" 24.1 2844 A021880316 WANT CREAM "HSC" 30.9 2845 A021880321 WANT CREAM "HSC" 38.7 2846 A021880329 WANT CREAM "HSC" 3.55 2847 A021880399 WANT CREAM "HSC" 2.03 2848 A021882100 NINGILON CAPSULES "P.L." 108 2849 A021883263 AMINOL 12X INJECTION "S.T" 121 2850 A021883265 AMINOL 12X INJECTION "S.T" A021886100 BETAMETHASONE TABLETS "S.Y." 2851 0.32 A021887416 LECORT IN ORAL BASE 2852 20.8 (TRIAMCINOLONE) 22.7 2853 A021887417 LECORT IN ORAL BASE 29.1 2854 A021887421 LECORTIN ORAL BASE 63 2855 A021887423 LECORT IN ORAL BASE 20.3 2856 A021887429 LECORT IN ORAL BASE 2.03 2857 A021887499 LECORT IN ORAL BASE A021890100 METATU HON TABLETS (DICLOFENAC) 2858 0.49 "CURIE" A021893209 METHYLERGONOVINE INJECTION "TAI 2859 10 YU" A021896100 PISUTON CAPSULE (MEFENAMIC ACID) 2860 0.37 "PRINCE" A021905100 WINTEL CAPSULES (TETRACYCLINE 2861 1.09 METAPHOSPHATE)"WINSTON" A0219051G0 WINTEL CAPSULES (TETRACYCLINE 2862 1.5 METAPHOSPHATE)"WINSTON"(鋁箔) A021923100 SODIUM BICARBONATE TABLETS 2863 1.57 "ASTAR" A021924321 MY COMB CREAM "SINPHAR" 2864 14.2 A021924323 MY COMB CREAM "SINPHAR" 2865 17.8 A021924329 MY COMB CREAM "SINPHAR" 2866 25.4 A021924336 MY COMB CREAM "SINPHAR" 2867 55 1.87 2868 A021924399 MY COMB CREAM "SINPHAR" 0.64 2869 A021932100 CLEMASTINE TABLETS "YU SHENG" 7.4 2870 A021959209 BETAMETHASONE INJECTION "TAI YU" 23 2871 A021959221 BETAMETHASONE INJECTION "TAI YU" A021959229 BETAMETHASONE INJECTION "TAI YU" 2872 14.2 20 2873 A021960151 COCOSAU SYRUP "Y.Y" CODE 藥品名稱 A021965100 A021978221 A021981417 LYSOZYME TABLETS 30MG "M.T." URAMIN INJECTION (DOPAMINE) NINCORT ORAL GEL (TRIAMCINOLONE) "SINPHAR" A021981421 NINCORT ORAL GEL (TRIAMCINOLONE) "SINPHAR" A021981423 NINCORT ORAL GEL (TRIAMCINOLONE) "SINPHAR" A021981499 NINCORT ORAL GEL (TRIAMCINOLONE) "SINPHAR" A021990100 SONCHI TABLETS "CURIE" A021996100 OPIUM AND GLYCYRRHIZA MIXTURE TABLETS "ASTAR" A0219961G0 OPIUM AND GLYCYRRHIZA MIXTURE TABLETS "ASTAR"(鋁箔/膠箔) A022002100 PAMOXICILLIN CAPSULES 500MG (AMOXICILLIN) "C.Y." A022010212 HYCOMIN INJECTION "S.Y." (HYDROXOCOBALAMINE) A022010229 HYCOMIN INJECTION "S.Y." (HYDROXOCOBALAMINE) A022023100 FUSO TABLETS "ROYAL" A022036100 WINII TABLETS (DIAZEPAM) "WINSTON" A022043100 ALETON TABLETS "YUNG CHI" A022045100 CARMEITON TABLETS "AND" 說明 9901 支付價 0.40 24.20 24.70 28.90 63.00 5.70 1.65 0.20 1.50 1.48 5.70 27.40 0.17 0.31 0.79 0.78 刪除 A022049209 A022050100 A022055238 A022062100 A022069100 A022073229 A022077100 A022078321 A022082248 A022083238 A022084100 A022092100 A022096151 A022096199 A022100100 A022105100 A022106100 A022109100 A022115212 A022117100 A022120100 DIPHENHYDRAMINE HCL INJECTION "TAI YU" EDEPRESS CAPSULES "SHIN FONG" PROVITA INJECTION "S.T." AMOXICILLIN CAPSULES "SINTON" SILYMARIN CAPSULES "P.L." HI-METHASONE INJECTION "TAH-AN" COLCHICINE TABLETS "N.Y." ANTIFUNGUS CREAM "GCPC" NUTRASE INJECTION 50MG (COCARBOXYLASE) NUTRASE INJECTION 20MG (COCARBOXYLASE) TECOLIN TABLETS "ROYAL" GASZEPIN TABLETS (PIRENZEPINE) APPITAMINE SYRUP "S.Y." APPITAMINE SYRUP "S.Y." LYZOIN TABLETS (LYSOZYME) "YUNG ULEXIN CAPSULES 500MG (CEPHALEXIN) SABUCHAN TABLETS (SALBUTAMOL)"YUNG CHANG" IMODINE CAPSULES (LOPERAMIDE) "KINK" CIMETINE INJECTION "PATRON" (CIMETIDINE) PANACON TABLETS WHITE ANTI-PEPTIC ULCER TABLETS (GEFARNATE) A022122100 LACTAM TABLETS (ACETAMINOPHEN) "SINPHAR" A022123100 IMOLEX CAPSULES (LOPERAMIDE) "SINPHAR" A0221231G0 IMOLEX CAPSULES (LOPERAMIDE) "SINPHAR" (鋁箔/膠箔) A022124100 TONLAXAN ETERIC-COATED TABLETS "N.W." A022128100 DIAZEPAM TABLETS "TAI YU" A022139421 NEOMYCIN EYE DROPS "OASIS" A022140100 LIFUNE TABLETS "CHEN TA" A022141100 SILIPIN TABLETS "H.H." A022150100 CHICOUGH TABLETS (DEXTROMETHORPHAN)"H.C." A022178100 CINNARIZINE TABLETS "PRINCE" 第 54 頁,共 382 頁 1.35 1.44 7.80 1.00 1.83 16.30 0.82 42.20 11.10 新增 16.80 0.30 1.93 5.40 0.07 0.40 1.93 0.30 0.75 10.00 0.28 1.53 0.42 0.92 1.50 0.80 0.31 19.70 1.20 0.50 0.73 0.28 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 2874 2875 2876 2877 2878 2879 2880 2881 2882 2883 2884 2885 2886 2887 2888 2889 2890 2891 2892 2893 2894 2895 2896 2897 2898 2899 2900 2901 2902 2903 2904 2905 2906 2907 2908 2909 2910 2911 2912 2913 2914 2915 2916 2917 CODE 藥品名稱 100年1月 項次 支付價 A021961100 CEPHADROXIL CAPSULES "LITA" 2874 2.22 A021965100 LYSOZYME TABLETS 30MG "M.T." 2875 0.4 24.2 2876 A021978221 URAMIN INJECTION (DOPAMINE) A021981417 NINCORT ORAL GEL (TRIAMCINOLONE) 2877 24.7 "SINPHAR" A021981421 NINCORT ORAL GEL (TRIAMCINOLONE) 2878 28.9 "SINPHAR" A021981423 NINCORT ORAL GEL (TRIAMCINOLONE) 2879 63 "SINPHAR" A021981499 NINCORT ORAL GEL (TRIAMCINOLONE) 2880 5.7 "SINPHAR" 1.65 2881 A021990100 SONCHI TABLETS "CURIE" A021996100 OPIUM AND GLYCYRRHIZA MIXTURE 2882 0.2 TABLETS "ASTAR" A0219961G0 OPIUM AND GLYCYRRHIZA MIXTURE 2883 1.5 TABLETS "ASTAR"(鋁箔/膠箔) A022002100 PAMOXICILLIN CAPSULES 500MG 2884 1.48 (AMOXICILLIN) "C.Y." A022010212 HYCOMIN INJECTION "S.Y." 2885 5.7 (HYDROXOCOBALAMINE) A022010229 HYCOMIN INJECTION "S.Y." 2886 27.4 (HYDROXOCOBALAMINE) 0.17 2887 A022023100 FUSO TABLETS "ROYAL" 0.31 2888 A022036100 WINII TABLETS (DIAZEPAM) "WINSTON" A022043100 ALETON TABLETS "YUNG CHI" 2889 0.79 0.78 2890 A022045100 CARMEITON TABLETS "AND" A022049209 DIPHENHYDRAMINE HCL INJECTION "TAI 2891 1.35 YU" 1.44 2892 A022050100 EDEPRESS CAPSULES "SHIN FONG" A022055238 PROVITA INJECTION "S.T." 2893 0 0 2894 A022062100 AMOXICILLIN CAPSULES "SINTON" A022069100 SILYMARIN CAPSULES "P.L." 2895 1.83 16.3 2896 A022073229 HI-METHASONE INJECTION "TAH-AN" 0.82 2897 A022077100 COLCHICINE TABLETS "N.Y." 42.2 2898 A022078321 ANTIFUNGUS CREAM "GCPC" A022082248 NUTRASE INJECTION 50MG 2899 11.1 (COCARBOXYLASE) A022083238 NUTRASE INJECTION 20MG 2900 16.8 (COCARBOXYLASE) 0.3 2901 A022084100 TECOLIN TABLETS "ROYAL" 0 2902 A022092100 GASZEPIN TABLETS (PIRENZEPINE) 5.4 2903 A022096151 APPITAMINE SYRUP "S.Y." 0.07 2904 A022096199 APPITAMINE SYRUP "S.Y." 0.4 2905 A022100100 LYZOIN TABLETS (LYSOZYME) "YUNG A022105100 ULEXIN CAPSULES 500MG (CEPHALEXIN) 2906 1.93 A022106100 SABUCHAN TABLETS 2907 0.3 (SALBUTAMOL)"YUNG CHANG" A022109100 IMODINE CAPSULES (LOPERAMIDE) 2908 0.75 "KINK" A022115212 CIMETINE INJECTION "PATRON" 2909 10 (CIMETIDINE) A022117100 PANACON TABLETS 2910 0.28 A022120100 WHITE ANTI-PEPTIC ULCER TABLETS 2911 1.53 (GEFARNATE) A022122100 LACTAM TABLETS (ACETAMINOPHEN) 2912 0.42 "SINPHAR" A022123100 IMOLEX CAPSULES (LOPERAMIDE) 2913 0.92 "SINPHAR" A0221231G0 IMOLEX CAPSULES (LOPERAMIDE) 2914 1.5 "SINPHAR" (鋁箔/膠箔) A022124100 TONLAXAN ETERIC-COATED TABLETS 2915 0.8 "N.W." 0.31 2916 A022128100 DIAZEPAM TABLETS "TAI YU" 19.7 2917 A022139421 NEOMYCIN EYE DROPS "OASIS" CODE 藥品名稱 A022181100 TECLIN CAPSULES (TETRACYCLINE HCL) "P.L." COUNTHIN S.C. TABLETS "CHEN TA."(DIPYRIDAMOLE) CIMETINE TABLETS "PATRON" CIMETIDINE TABLETS "HSC" A022187100 A022189100 A022191100 A022192321 說明 9901 支付價 0.71 0.33 1.00 1.00 A022198421 SEPTON CREAM (BETAMETHASONE DIPROPIONATE) SEPTON OINTMENT (BETAMETHASONE DIPROPIONATE) GENTAMICIN EYE DROPS "SINPHAR" A022199100 A022200500 COULITIN TABLETS "ASTAR" XYLMOL SUPPOSITORY "SINPHAR" 0.56 3.24 A022207100 DICLOFEN TABLETS (DICLOFENAC) "H.C." 0.53 A022209100 ANROKIN TABLETS (CHLORZOXAZONE) "H.C." CIWEITIN TABLETS (CIMETIDINE) "CURIE" STAPAM TABLETS (LORAZEPAM) "STANDARD" DEXAMETHASONE TABLETS IBUPROFEN TABLETS "S.Y." NICE FILM COATED TABLETS (NITROXOLINE)"YUNG SHIN" SULOFAGEN INJECTION BICODIN TABLETS "STANDARD" 0.89 A022193321 A022210100 A022211100 A022212100 A022223100 A022225100 A022226212 A022227100 A0222271G0 BICODIN TABLETS "STANDARD"(鋁箔/膠 A022229100 WACO TABLETS (GLYCERYL GUAIACOLATE) "W.P." A022239100 AMPICILLIN CAPSULES 500MG "ASTAR" A022241212 TENSIONLEX INJECTION (ORPHENADRINE) "PANHIOTIC" A022259100 PRANOLOL TABLETS (PROPRANOLOL) A022262100 SAFE F.C. TABLETS "ROYAL" A022265100 OXACAIN TABLETS A0222651G0 OXACAIN TABLETS "M.T."(OXETHAZAINE) (鋁箔/膠箔) A022272209 BININ-U INJECTION (HALOPERIDOL) "SWISS" A022274100 UFUNIN TABLETS (LOPERAMIDE) A022286100 CINNARINZINE TABLETS "S.Y." A022289100 LOPERAMIDE CAPSULES "CHEN TA."" A0222891G0 LOPERAMIDE CAPSULES "N.M" (鋁箔/膠 A022296100 CIMETIN TABLETS (CIMETIDINE) A0222961G0 CIMETIN TABLETS "JOHNSON"(CIMETIDINE)(鋁箔/膠箔) A022298100 CHLORZOXAZONE TABLETS 200MG "C.T." A022301155 18.70 18.70 14.90 1.00 0.75 0.49 1.00 1.69 2.59 1.36 1.50 0.45 1.53 11.40 0.50 2.34 1.00 1.50 16.80 1.00 0.28 0.48 1.50 1.00 1.50 0.45 A022319209 FUMUCIL GRAMULES (ACETYLCYSTEINE) "SWISS" FUMUCIL GRAMULES (ACETYLCYSTEINE) "SWISS" RADI-K TABLETS (POTASSIUM GLUCONATE) "BOWLIN" PANTOTHENOL INJECTION "S.Y." A022319212 PANTOTHENOL INJECTION "S.Y." 8.00 A022339100 ULCUS CAPSULES (SULPIRIDE) "M.S." 1.00 A022340321 TOTUSAN OINTMENT 17.20 A022340329 TOTUSAN OINTMENT 30.90 A022340335 A022340399 TOTUSAN OINTMENT TOTUSAN OINTMENT 41.80 2.44 A022301199 A022314100 第 55 頁,共 382 頁 刪除 刪除 73.00 0.58 1.93 4.32 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 2918 A022140100 LIFUNE TABLETS "CHEN TA" 2919 A022141100 SILIPIN TABLETS "H.H." 2920 A022150100 2921 2922 A022178100 A022181100 2923 A022187100 2924 2925 2926 A022189100 A022191100 A022192321 2927 A022193321 2928 2929 A022198421 A022199100 CHICOUGH TABLETS (DEXTROMETHORPHAN)"H.C." CINNARIZINE TABLETS "PRINCE" TECLIN CAPSULES (TETRACYCLINE HCL) "P.L." COUNTHIN S.C. TABLETS "CHEN TA."(DIPYRIDAMOLE) CIMETINE TABLETS "PATRON" CIMETIDINE TABLETS "HSC" SEPTON CREAM (BETAMETHASONE DIPROPIONATE) SEPTON OINTMENT (BETAMETHASONE DIPROPIONATE) GENTAMICIN EYE DROPS "SINPHAR" COULITIN TABLETS "ASTAR" 2930 2931 2932 A022200500 A022207100 A022209100 2937 2938 XYLMOL SUPPOSITORY "SINPHAR" DICLOFEN TABLETS (DICLOFENAC) "H.C." ANROKIN TABLETS (CHLORZOXAZONE) "H.C." A0222091G0 ANROKIN TABLETS (CHLORZOXAZONE) "H.C."(鋁箔/膠箔) A022210100 CIWEITIN TABLETS (CIMETIDINE) A0222101G0 CIWEITIN TABLETS (CIMETIDINE) "CURIE"(鋁箔/膠箔) A022211100 STAPAM TABLETS (LORAZEPAM) "STANDARD" A022212100 DEXAMETHASONE TABLETS A022223100 IBUPROFEN TABLETS "S.Y." 2939 A022225100 2933 2934 2935 2936 2947 NICE FILM COATED TABLETS (NITROXOLINE)"YUNG SHIN" A022226212 SULOFAGEN INJECTION A022227100 BICODIN TABLETS "STANDARD" A0222271G0 BICODIN TABLETS "STANDARD"(鋁箔/膠 箔) A022229100 WACO TABLETS (GLYCERYL GUAIACOLATE) "W.P." A022239100 AMPICILLIN CAPSULES 500MG "ASTAR" A022241212 TENSIONLEX INJECTION (ORPHENADRINE) "PANHIOTIC" A022259100 PRANOLOL TABLETS (PROPRANOLOL) "H.L." A022262100 SAFE F.C. TABLETS "ROYAL" 2948 A022265100 2940 2941 2942 2943 2944 2945 2946 2951 OXACAIN TABLETS (OXETHAZAINE)"M.T." A0222651G0 OXACAIN TABLETS "M.T."(OXETHAZAINE) (鋁箔/膠箔) A022272209 BININ-U INJECTION (HALOPERIDOL) "SWISS" A022274100 UFUNIN TABLETS (LOPERAMIDE) 2952 2953 2954 2955 2956 A022286100 A022289100 A0222891G0 A022296100 A0222961G0 2957 2958 A022298100 A022301155 2959 A022301199 2960 A022314100 2961 A022319209 2949 2950 CINNARINZINE TABLETS "S.Y." LOPERAMIDE CAPSULES "CHEN TA."" LOPERAMIDE CAPSULES "N.M" (鋁箔/膠 CIMETIN TABLETS (CIMETIDINE) CIMETIN TABLETS "JOHNSON"(CIMETIDINE)(鋁箔/膠箔) CHLORZOXAZONE TABLETS 200MG "C.T." FUMUCIL GRAMULES (ACETYLCYSTEINE) "SWISS" FUMUCIL GRAMULES (ACETYLCYSTEINE) "SWISS" RADI-K TABLETS (POTASSIUM GLUCONATE) "BOWLIN" PANTOTHENOL INJECTION "S.Y." 100年1月 項次 支付價 2918 1.2 2919 0.5 2920 0.73 0.28 2921 2922 0.71 2923 0.33 1 2924 1 2925 2926 18.7 2927 18.7 14.9 2928 2929 0.56 3.24 2930 0.53 2931 2932 0.89 2933 1.5 1 2934 2935 1.5 2936 0 0.49 2937 2938 1 2939 1.69 2.59 2940 0 2941 2942 0 2943 0.45 1.53 2944 2945 11.4 2946 0.5 2947 2.34 2948 1 2949 1.5 2950 16.8 2951 1 0.28 2952 0.48 2953 1.5 2954 0 2955 2956 0 0.45 2957 2958 73 2959 0.58 2960 1.93 4.32 2961 說明 CODE 藥品名稱 9901 支付價 A022343277 LOFALIN INJECTION 500MG (CEFAZOLIN) 10.30 "GENTLE" A022345100 TAMEDIN F.C. TABLETS (CIMETIDINE) 1.00 "STANDARD" A0223451G0 TAMEDIN F.C. TABLETS (CIMETIDINE) 1.50 "STANDARD"(鋁箔) A022348100 HUCOPIN TABLETS "S.Y." 0.59 A022357100 LYCOZE TABLETS (LYSOZYME) "H.C." 1.00 A022392321 NEOSONE CREAM "GCPC" 28.50 A022392329 A022392399 A022393221 NEOSONE CREAM "GCPC" NEOSONE CREAM "GCPC" RASEMIN INJECTION (TRAREXAMIC ACID) "Y.Y." VITACON-C INJECTION "WINSTON" 28.70 1.56 7.50 A022398212 A022403199 A022404100 24.60 A022416151 LONFLEX GRANULES (CEPHALEXIN) LILITIN TABLETS (LITHIUM CARBONATE) "KINK" KETOPROFEN CAPSULES 50MG "CHI C.M.T. TABLETS (CIMETIDINE) "BOWLIN" CEFAZIN INJECTION "KINGDOM"(CEFAZOLIN ECTION) SATO SYRUP A022416157 A022416199 SATO SYRUP "ORIENT" SATO SYRUP A022419100 TETRACYCLINE HCL CAPSULES "ASTAR" 0.56 A022432100 A022433151 1.20 14.80 A022442100 CEPHALEXIN CAPSULES "SINTON" SHOWMIN SYRUP "CURIE" (CYPROHEPTADINE) SHOWMIN SYRUP "CURIE" (CYPROHEPTADINE) SHOWMIN SYRUP 0.4MG/ML 3800ML NAPROXEN TABLETS "JINUP" WINPRON TABLETS 250MG (NAPROXEN) "WINSTON" ENLAIN S.C TABLETS 100MG "CHEN TA" A022444100 A022448100 TIGAWET TABLETS (CIMETIDINE) "H.C." DOLAN TABLETS 1.00 2.85 A022450100 3.30 A022467100 A022470100 WINCYNON TABLETS 250MG (ETHAMSYLATE) "WINSTON PIPRIL PARENTERAL 2GM (PIPERACILLIN SODIUM) PIPRIL PARENTERAL 1GM (PIPERACILLIN SODIUM) GENTAMICIN INJECTION 140MG/ML "GENTLE" GENTAMICIN INJECTION 140 MG/ML "GENTLE" GENTAMICIN INJECTION 140 MG/ML "GENTLE" YULVIX CAPSULES "JINUP" LICOTON INJECTION "S.Y." CIMETIDINE TABLETS "SHIN FONG" CIMETIDINE TABLETS "CHI SHENG" CIMETIDINE INJECTION "CHI SHENG" 200 MG/ML INCALM TABLETS "SINPHAR" DEXAMETHASONE TABLETS "TAI YU" A022471421 BECA-N EYE DROPS "C.R." A022473429 PATEAR EYE LOTIONS "PATRON" 34.20 A022474321 HIRUCORT CREAM "PATRON" 44.60 A022407100 A022408100 A022412277 1.87 1.56 1.10 1.00 10.50 20.00 新增 25.00 0.15 新增 刪除 A022433157 A022433199 A022434100 A022441100 A022457212 A022458209 A022459209 A022459212 A022459229 A022460100 A022461238 A022463100 A022464100 A022465212 第 56 頁,共 382 頁 21.70 0.09 1.22 1.05 刪除 刪除 0.93 67.00 149.00 31.20 24.10 93.00 0.74 10.00 1.00 1.00 7.40 刪除 刪除 0.80 0.37 8.70 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 2962 2963 A022319212 A022339100 PANTOTHENOL INJECTION "S.Y." ULCUS CAPSULES (SULPIRIDE) "M.S." 2964 A022340321 TOTUSAN OINTMENT 2965 A022340329 TOTUSAN OINTMENT 2966 A022340335 TOTUSAN OINTMENT 2967 2968 A022340399 A022343277 2974 2975 TOTUSAN OINTMENT LOFALIN INJECTION 500MG (CEFAZOLIN) "GENTLE" A022345100 TAMEDIN F.C. TABLETS (CIMETIDINE) "STANDARD" A0223451G0 TAMEDIN F.C. TABLETS (CIMETIDINE) "STANDARD"(鋁箔) A022348100 HUCOPIN TABLETS "S.Y." A022357100 LYCOZE TABLETS (LYSOZYME) "H.C." A0223571G0 LYCOZE TABLETS (LYSOZYME) "H.C."(鋁 箔/膠箔) A022392321 NEOSONE CREAM "GCPC" A022392329 NEOSONE CREAM "GCPC" 2976 2977 A022392399 A022393221 2978 2979 2980 A022398212 A022403199 A022404100 2981 A022407100 2982 2983 A022408100 A022412277 2984 2985 2986 2987 2988 A022416151 A022416157 A022416199 A022419100 A022432100 2989 A022433151 2990 A022433157 2991 2992 A022433199 A022434100 2993 A022441100 2969 2970 2971 2972 2973 NEOSONE CREAM "GCPC" RASEMIN INJECTION (TRAREXAMIC ACID) "Y.Y." VITACON-C INJECTION "WINSTON" LONFLEX GRANULES (CEPHALEXIN) LILITIN TABLETS (LITHIUM CARBONATE) "KINK" KETOPROFEN CAPSULES 50MG "CHI SHENG" C.M.T. TABLETS (CIMETIDINE) "BOWLIN" CEFAZIN INJECTION "KINGDOM"(CEFAZOLIN ECTION) SATO SYRUP SATO SYRUP "ORIENT" SATO SYRUP TETRACYCLINE HCL CAPSULES "ASTAR" CEPHALEXIN CAPSULES "SINTON" SHOWMIN SYRUP "CURIE" (CYPROHEPTADINE) SHOWMIN SYRUP "CURIE" (CYPROHEPTADINE) SHOWMIN SYRUP 0.4MG/ML 3800ML NAPROXEN TABLETS "JINUP" 2997 WINPRON TABLETS 250MG (NAPROXEN) "WINSTON" A022442100 ENLAIN S.C TABLETS 100MG "CHEN TA" A022444100 TIGAWET TABLETS (CIMETIDINE) "H.C." A0224441G0 TIGAWET TABLETS (CIMETIDINE) "H.C."(鋁箔/膠箔) A022448100 DOLAN TABLETS 2998 A022450100 2999 A022457212 3000 A022458209 3001 A022459209 3002 A022459212 3003 A022459229 3004 A022460100 2994 2995 2996 WINCYNON TABLETS 250MG (ETHAMSYLATE) "WINSTON PIPRIL PARENTERAL 2GM (PIPERACILLIN SODIUM) PIPRIL PARENTERAL 1GM (PIPERACILLIN SODIUM) GENTAMICIN INJECTION 140MG/ML "GENTLE" GENTAMICIN INJECTION 140 MG/ML "GENTLE" GENTAMICIN INJECTION 140 MG/ML "GENTLE" YULVIX CAPSULES "JINUP" 100年1月 項次 支付價 8 2962 2963 1 2964 17.2 2965 30.9 2966 41.8 2.44 2967 2968 10.3 2969 1 2970 1.5 0.59 2971 1 2972 2973 1.5 28.5 2974 2975 28.7 1.56 2976 2977 7.5 24.6 2978 1.87 2979 2980 1.56 2981 1.1 1 2982 2983 10.5 20 2984 25 2985 0.15 2986 0.56 2987 2988 0 2989 14.8 2990 21.7 0.09 2991 2992 1.2 2993 1.05 0.93 2994 1 2995 2996 1.5 2997 2.85 2998 3.3 2999 0 3000 0 3001 0 3002 0 3003 0 3004 0.74 CODE 說明 A022515435 A022519277 9901 支付價 HIRUCORT CREAM "PATRON" 71.00 FUMUCIL INJECTION (ACETYLCYSTEINE) 8.00 "SWISS" NYCITON CAPSULES (NIFLUMIC ACID) 2.55 "CURIE" EBUTOL F.C. TABLETS 400MG 2.05 (ETHAMBUTOL) "VPP" LOVEGEN F.C. TABLETS (CONJUGATED 2.96 ESTROGEN) "ROYAL" FIVERINGS SUPER EYE LOTION 57.00 LYO-POVIGEN INJECTION "C.C.P." 27.30 A022519299 LYO-POVIGEN INJECTION "C.C.P." 5.40 A022525321 CLOMELON CREAM (CLOTRIMAZOLE) "GENTLE" ASMETHOL SUPPOSITORIES "C.C.P." BROMPHENIRAMINE TABLETS "TAI YU" CEPHALEXIN CAPSULES 500MG "SINTON" 9.60 COLICINE TABLETS (COLCHICINE) "H.C." METHASONE TABLETS (BETAMETHASONE) "H.C." EPIDREM OINTMENT "SINPHAR" GRIFULVIN CAPSULES (GRISEOFULVIN) "C.I." LOLILIN TABLETS (LOPERAMIDE) "C.I." GERIUM CAPSULES (LOPERAMIDE) REASON TABLETS (LYSOZYME) "ROYAL" 1.01 0.50 A022474329 A022476216 A022499100 A022501100 A022507100 A022526500 A022529100 A022532100 藥品名稱 3.90 0.25 1.92 新增 A022534100 A022535100 A022540321 A022541100 A022542100 A022554100 A022557100 A022559100 A022565212 A022565216 ROYAMET F.C. TABLETS (CIMETIDINE) "ROYAL" KETOPROFEN INJECTION "S.Y." KETOPROFEN INJECTION "S.Y." A022565238 A022568212 A022568216 A022569100 A022572100 17.40 0.81 0.48 0.60 0.76 1.00 10.00 10.00 KETOPROFEN INJECTION "S.Y." CIMETIDINE INJECTION "N.K." CIMETIDINE INJECTION "NK" CIMETIDINE TABLETS 200MG "Y.S." TETRACYCLINE HCL CAPSULES 500MG "SWISS" A0225721G0 TETRACYCLINE HCL CAPSULES 500MG "SWISS"(鋁箔/膠箔) A022582212 LICOXIN INJECTION 300MG/ML (LINCOMYCIN) "GENTLE" A022586100 ELININ CAPSULES (LOPER A0225861G0 ELININ CAPSULES (LOPER AMIDE)"SHINLON"(鋁箔/膠箔) A022588209 BENAMINE INJECTION 30MG/ML (DIPHENHYDRAMINE HCL) "VPP" A022595100 POUGENIN CAPSULES (SILYMARIN) A022596100 LOIDIUM CAPSULES (LOPETAMIDE) "C.R." A022602100 BISCOMP TALBETS "C.R." 25.70 7.70 8.60 1.00 0.82 A022608212 11.50 A022611100 ORFLEX INJECTION (ORPHENADRINE) "GENTLE" PAWSANLON CAPSULES "J.S." A022622212 SUWELIN INJECTION (CIMETIDINE)"S.Y." 10.00 A022622216 SUWELIN INJECTION (CIMETIDINE)"S.Y." 6.70 刪除 1.50 22.00 0.55 1.50 調整 1.72 2.16 0.83 0.45 新增 1.00 刪除 刪除 A022628100 PIPMA FILM COATED TABLETS (PIPEMIDIC ACID) A022630100 WINTIN TABLETS (LORAZEPAM) "WINSTON" A0226301G0 WINTIN TABLETS (LORAZEPAM) "WINSTON"(鋁箔/膠箔) A022634100 DIABITIN TABLETS 5MG (GLIBENCLAMIDE) "VPP" 第 57 頁,共 382 頁 2.48 刪除 1.00 刪除 1.50 刪除 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3005 A022461238 LICOTON INJECTION "S.Y." 3006 3007 A022463100 A022464100 CIMETIDINE TABLETS "SHIN FONG" CIMETIDINE TABLETS "CHI SHENG" 3008 A022465212 3009 3010 3011 A022467100 A022470100 A022471421 CIMETIDINE INJECTION "CHI SHENG" 200 MG/ML INCALM TABLETS "SINPHAR" DEXAMETHASONE TABLETS "TAI YU" BECA-N EYE DROPS "C.R." 3012 3013 A022473429 A022474321 PATEAR EYE LOTIONS "PATRON" HIRUCORT CREAM "PATRON" 3014 A022474329 HIRUCORT CREAM "PATRON" 3015 A022476216 3016 A022499100 3017 A022501100 3018 A022507100 3019 3020 A022515435 A022519277 FUMUCIL INJECTION (ACETYLCYSTEINE) "SWISS" NYCITON CAPSULES (NIFLUMIC ACID) "CURIE" EBUTOL F.C. TABLETS 400MG (ETHAMBUTOL) "VPP" LOVEGEN F.C. TABLETS (CONJUGATED ESTROGEN) "ROYAL" FIVERINGS SUPER EYE LOTION LYO-POVIGEN INJECTION "C.C.P." 3021 A022519299 LYO-POVIGEN INJECTION "C.C.P." 3022 A022525321 3023 A022526500 CLOMELON CREAM (CLOTRIMAZOLE) "GENTLE" ASMETHOL SUPPOSITORIES "C.C.P." 3024 3025 3026 3027 A022529100 A022532100 A022534100 A022535100 3036 BROMPHENIRAMINE TABLETS "TAI YU" CEPHALEXIN CAPSULES 500MG "SINTON" COLICINE TABLETS (COLCHICINE) "H.C." METHASONE TABLETS (BETAMETHASONE) "H.C." A022540321 EPIDREM OINTMENT "SINPHAR" A022541100 GRIFULVIN CAPSULES (GRISEOFULVIN) "C.I." A022542100 LOLILIN TABLETS (LOPERAMIDE) "C.I." A022554100 GERIUM CAPSULES (LOPERAMIDE) A022557100 REASON TABLETS (LYSOZYME) "ROYAL" A0225571G0 REASON TABLETS (LYSOZYME) "ROYAL"(鋁箔/膠箔) A022559100 ROYAMET F.C. TABLETS (CIMETIDINE) "ROYAL" A0225591G0 ROYAMET F.C. TABLETS (CIMETIDINE) "ROYAL"(鋁箔/膠箔) A022565212 KETOPROFEN INJECTION "S.Y." 3037 3038 3039 3040 A022565216 A022565238 A022568212 A022568216 3041 3042 A022569100 A022572100 3028 3029 3030 3031 3032 3033 3034 3035 3043 3044 3045 3046 3047 3048 3049 KETOPROFEN INJECTION "S.Y." KETOPROFEN INJECTION "S.Y." CIMETIDINE INJECTION "N.K." CIMETIDINE INJECTION "NK" CIMETIDINE TABLETS 200MG "Y.S." TETRACYCLINE HCL CAPSULES 500MG "SWISS" A0225721G0 TETRACYCLINE HCL CAPSULES 500MG "SWISS"(鋁箔/膠箔) A022582212 LICOXIN INJECTION 300MG/ML (LINCOMYCIN) "GENTLE" A022586100 ELININ CAPSULES (LOPER A0225861G0 ELININ CAPSULES (LOPER AMIDE)"SHINLON"(鋁箔/膠箔) A022588209 BENAMINE INJECTION 30MG/ML (DIPHENHYDRAMINE HCL) "VPP" A022595100 POUGENIN CAPSULES (SILYMARIN) A022596100 LOIDIUM CAPSULES (LOPETAMIDE) "C.R." 100年1月 項次 支付價 3005 10 1 3006 3007 1 3008 7.4 0.8 3009 0.37 3010 3011 8.7 34.2 3012 3013 44.6 3014 71 3015 8 3016 2.55 3017 2.05 3018 2.96 57 3019 3020 27.3 3021 5.4 3022 9.6 3023 3.9 0.25 3024 0 3025 1 3026 3027 0.5 17.4 3028 3029 0.81 0.48 3030 0.6 3031 0.76 3032 3033 1.5 3034 1 3035 1.5 3036 10 10 3037 25.7 3038 0 3039 3040 8.6 1 3041 3042 0.82 3043 1.5 3044 22 0.55 3045 3046 1.5 3047 1.72 2.16 3048 0 3049 CODE 藥品名稱 A0226341G0 DIABITIN TABLETS 5MG (GLIBENCLAMIDE) "VPP" (鋁箔/膠箔) A022641100 ROSIS TABLETS 40MG (FUROSEMIDE) A0226411G0 ROSIS TABLETS 40MG (FUROSEMIDE) "VPP"(鋁箔/膠箔) A022652100 LOMIFEN CAPSULES (CLOMIPHENE) "SHIN FONG" A022656100 DICYCLOMINE TABLETS "S.Y." A022657100 HEMA F S.C. TABLETS "S.C." A022658100 PRESITON TABLETS 250MG (MEFENAMIC ACID) A022664100 AMOXICILLIN CAPSULES 500MG "C.R." A022666209 DEXTROSE 5% AND SODIUM CHLORIDE 0.33% INJECTION "Y.F." A022666277 DEXTROSE 5% AND SODIUM CHLORIDE 0.33% INJECTION "Y.F." A022674100 PRESITON TABLETS 500MG (MEFENAMIC ACID) A022678100 BRAMIN TABLETS (BROMPHENIRAMIN) "PANBIOTIC" A022682265 TAITA NO.5 INJECTION "OTSUKA" 說明 9901 支付價 1.50 1.01 1.50 4.12 0.25 0.65 0.37 1.21 36.10 19.30 0.82 0.21 27.30 A022682271 TAITA NO.5 INJECTION "OTSUKA" 42.50 A022682277 A022685100 31.00 1.00 A022693329 A022701266 A022701277 A022712100 TAITA NO.5 INJECTION "OTSUKA" WERGEN TABLETS (CIMETIDINE) "YUNG CHI" CLOMAZOLE CREAM 1% (CLOTRIMAZOLE) "VPP" AMMONIUM CHLORIDE E.C. TABLETS "W.P." CIMETINE TABLETS (CIMETIDINE) "GOLDEN HORSE" FLUOCINONIDE OINTMENT "TK&A" ALLAMIN INJECTION 3%ISOTONIC ALLAMIN INJECTION ISOTONIC "KYORIN" TOLMETIN TABLETS "H.S.C." A022719421 A022722100 CONDRON-DEMISON EYE DROP BUCOFENE TABLETS "H.C." 15.10 0.72 A022686329 A022689100 A022690100 A022723100 A022729229 A022729238 A022729299 DIPYRIDAMOLE TABLETS "TAI YU" GENTAMICIN SULFATE INJECTION GENTAMICIN SULFATE INJECTION GENTAMICIN SULFATE INJECTION "ASTAR" A022736109 CHLORAMPHENICOL PALMITATE GRANULES 250MG/GM "PRINCE" A022743100 STOGAMET TABLETS (CIMETIDINE) "SWISS" A0227431G0 STOGAMET TABLETS "SWISS" (CIMETIDINE)(鋁箔/膠箔) A022746100 SUWELIN TABLETS (CIMETIDINE)"S.Y." A022747100 PISUNIN TABLETS "CHEN TA" A022766212 CIMETIDINE INJECTION "H.S.C." A022767500 DAFRIN VAGINAL TABLETS (MICONAZOLE) "SWISS" A022782299 DICILLIN INJECTION "VPP" A022786100 SPOLIN TABLETS (LORAZEPAM) "H.H." A0227861G0 SPOLIN TABLETS (LORAZEPAM) "H.H."(鋁 箔) A022793100 LOPERAMIDE CAPSULES "PRINCE" 21.50 0.35 1.00 70.00 91.00 72.00 6.90 0.33 15.60 33.80 1.26 新增 760.00 1.00 新增 1.50 1.00 0.45 6.20 7.10 刪除 6.20 0.81 1.50 0.50 A022796212 A022800229 KETOPROFEN INJECTION 50MG/ML "Y.Y." MID-METHASONE INJECTION "TAH-AN" 10.00 9.20 A022801100 CONSPIN TABLETS (TOLPERISONE) "H.H." 2.17 A022814229 A022815100 GENTAMYCIN SULFATE INJECTION 4% LORAZEPAM TABLETS 0.5 MG "F.Y." 第 58 頁,共 382 頁 刪除 調整 15.70 0.39 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 3050 3051 3052 3053 3054 3055 3056 3057 3058 3059 3060 3061 3062 3063 3064 3065 3066 3067 3068 3069 3070 3071 3072 3073 3074 3075 3076 3077 3078 3079 3080 3081 3082 3083 3084 3085 3086 3087 3088 3089 3090 CODE 藥品名稱 100年1月 項次 支付價 A022602100 BISCOMP TALBETS "C.R." 3050 0.45 A022608212 ORFLEX INJECTION (ORPHENADRINE) 3051 11.5 "GENTLE" 1 3052 A022611100 PAWSANLON CAPSULES "J.S." A022622212 SUWELIN INJECTION (CIMETIDINE)"S.Y." 3053 10 A022622216 SUWELIN INJECTION (CIMETIDINE)"S.Y." 3054 6.7 A022628100 PIPMA FILM COATED TABLETS 3055 2.48 (PIPEMIDIC ACID) 1 3056 A022630100 WINTIN TABLETS (LORAZEPAM) A0226301G0 WINTIN TABLETS (LORAZEPAM) 3057 1.5 "WINSTON"(鋁箔/膠箔) A022634100 DIABITIN TABLETS 5MG 3058 1 (GLIBENCLAMIDE) "VPP" A0226341G0 DIABITIN TABLETS 5MG 3059 1.5 (GLIBENCLAMIDE) "VPP" (鋁箔/膠箔) 1.01 3060 A022641100 ROSIS TABLETS 40MG (FUROSEMIDE) A0226411G0 ROSIS TABLETS 40MG (FUROSEMIDE) 3061 1.5 "VPP"(鋁箔/膠箔) A022652100 LOMIFEN CAPSULES (CLOMIPHENE) 3062 4.12 "SHIN FONG" 0.25 3063 A022656100 DICYCLOMINE TABLETS "S.Y." A022657100 HEMA F S.C. TABLETS "S.C." 3064 0.65 A022658100 PRESITON TABLETS 250MG (MEFENAMIC 3065 0.37 ACID) 1.21 3066 A022664100 AMOXICILLIN CAPSULES 500MG "C.R." A022666209 DEXTROSE 5% AND SODIUM CHLORIDE 3067 36.1 0.33% INJECTION "Y.F." A022666277 DEXTROSE 5% AND SODIUM CHLORIDE 3068 19.3 0.33% INJECTION "Y.F." A022674100 PRESITON TABLETS 500MG (MEFENAMIC 3069 0.82 ACID) A022678100 BRAMIN TABLETS (BROMPHENIRAMIN) 3070 0.21 "PANBIOTIC" A022682265 TAITA NO.5 INJECTION "OTSUKA" 3071 27.3 42.5 3072 A022682271 TAITA NO.5 INJECTION "OTSUKA" A022682277 TAITA NO.5 INJECTION "OTSUKA" 3073 31 A022685100 WERGEN TABLETS (CIMETIDINE) "YUNG 3074 1 CHI" A022686329 CLOMAZOLE CREAM 1% 3075 21.5 (CLOTRIMAZOLE) "VPP" A022689100 AMMONIUM CHLORIDE E.C. TABLETS 3076 0.35 "W.P." A022690100 CIMETINE TABLETS (CIMETIDINE) 3077 1 "GOLDEN HORSE" 70 3078 A022693329 FLUOCINONIDE OINTMENT "H.S." A022701266 ALLAMIN INJECTION 3%ISOTONIC 3079 91 "KYORIN" 72 3080 A022701277 ALLAMIN INJECTION ISOTONIC "KYORIN" A022712100 TOLMETIN TABLETS "H.S.C." 3081 6.9 A022719421 CONDRON-DEMISON EYE DROP 3082 15.1 A022722100 BUCOFENE TABLETS "H.C." 3083 0.72 A022723100 DIPYRIDAMOLE TABLETS "TAI YU" 3084 0.33 15.6 3085 A022729229 GENTAMICIN SULFATE INJECTION 33.8 3086 A022729238 GENTAMICIN SULFATE INJECTION 1.26 3087 A022729299 GENTAMICIN SULFATE INJECTION A022736109 CHLORAMPHENICOL PALMITATE 3088 0 GRANULES 250MG/GM "PRINCE" A022743100 STOGAMET TABLETS (CIMETIDINE) 3089 1 "SWISS" A0227431G0 STOGAMET TABLETS "SWISS" 3090 1.5 (CIMETIDINE)(鋁箔/膠箔) CODE 藥品名稱 說明 9901 支付價 A0228151G0 LORAZEPAM TABLETS 0.5 MG "F.Y."(21粒/ 瓶)(鋁箔/膠箔) A022816100 LORAZIN TABLETS (LORAZEPAM) "JOHNSON" A022819100 LORAZEPAM TABLETS 1 MG "F.Y." A0228191G0 LORAZEPAM TABLETS 1 MG "F.Y."."(21粒/ 瓶)(鋁箔/膠箔) A022836100 DEFENSE FILM COATED TABLETS (CIMETIDINE) "YUNG SHIN" A0228361G0 DEFENSE FILM COATED TABLETS (CIMETIDINE) "YUNG SHIN"(鋁箔/膠箔) A022840209 ATROPINE SULFATE INJCETION A022843100 CHLORMEZANONE TABLETS "S.Y." 1.50 A022852100 DIPHENIDOL S.C. TABLETS "SHOU CHAN" 0.90 A022865500 DICLOFENAC SUPPOSITORIES "YUNG CHI" MYCOMB OTIC DROPS "SINPHAR" GASTROPIN TABLETS "VPP" 8.90 A022867421 A022872100 A022875110 A022876100 A022879100 A022890100 AMOXICILLIN POWDER FOR ORAL SUSPENSION "SINPHAR" LYSOZYME TABLETS 30MG "P.L." DHAA TABLETS 100MG (DIHYDROXY ALUMINUM ALLANTOINATE)"H.C.T." MILISHER TABLETS (LYSOZYME) "H.H." A022901100 A022902100 0.83 0.45 1.50 1.18 1.50 3.00 0.45 55.00 0.15 39.60 1.00 1.48 0.84 TRICORT TABLETS (TRIAMCINOLONE) GASTRODIN TABLETS 300MG (CIMETIDINE) A022903100 GASTRODIN TABLETS 200MG (CIMETIDINE) A0229031G0 GASTRODIN TABLETS 200MG (CIMETIDINE)(鋁箔/膠箔) A022904199 COCOLIN SYRUP "S.C." 0.80 1.16 A022905100 1.31 TRANZANSHOW CAPSULES (TRANEXAMIC ACID)"CURIE" A022908100 SPIRONOLACTONE TABLETS "S.C." A0229081G0 SPIRONOLACTONE TABLETS "S.C."(鋁箔/ 膠箔) A022920417 CHLORSON EYE OINTMENT "OASIS" 1.34 1.50 0.06 1.39 1.50 18.20 A022928100 ODETIN TABLETS (BUCLIZINE) "VPP" 0.70 A022930212 GEXAMIN INJECTION (TRANEXAMIC ACID) "GENTLE" CONAMIN INJECTION "WINSTON" 5.30 A022937212 A022940209 A022941100 A022949277 A022952289 A022960100 A022964100 A022970209 A022973100 A022982100 A022983212 A022984212 DEPO-OVADIOL INJECTION "ORIENTAL" TRIAMCORT TABLETS "K.B." (TRIAMCINOLONE) COFLEX INJECTION "S.Y." UCEFAXIM INJECTION 750MG (CEFUROXIME) ZINGA TABLETS (ZINC GLUCONATE) "BOWLIN" NARCARICIN CAPSULES 100MG (BENZBROMARONE) "SWISS" CANHONLIN INJECTION "Y.A." (ANETHOLE TRITHIONE) WETIDINE TABLETS (LIMETIDINE) "TAHBISOCU TABLETS (BROMHEXINE)"W.P." COUGHANPIN INJECTION "SINTON" MINFUGEN H INJECTION "SINTON" 10.70 59.00 0.63 76.00 32.20 1.19 5.00 10.00 1.00 0.29 3.62 3.85 刪除 A022987100 PRIMPERAN FILM COATED TABLETS (METOCLOPRAMIDE A0229871G0 PRIMPERAN FILM COATED TABLETS (METOCLOPRAMIDE)(鋁箔) 第 59 頁,共 382 頁 1.00 1.50 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3091 A022746100 SUWELIN TABLETS (CIMETIDINE)"S.Y." 3092 A022747100 PISUNIN TABLETS "CHEN TA" 3093 A022766212 CIMETIDINE INJECTION "H.S.C." 3094 A022767500 3095 A022782299 DAFRIN VAGINAL TABLETS (MICONAZOLE) "SWISS" DICILLIN INJECTION "VPP" 3096 3097 3098 3099 3100 3101 3102 3103 3104 A022786100 A0227861G0 A022793100 A022796212 A022800229 A022801100 A022814229 A022815100 A0228151G0 3105 A022816100 3106 A022819100 3107 3111 3112 A0228191G0 LORAZEPAM TABLETS 1 MG "F.Y."."(21粒/ 瓶)(鋁箔/膠箔) A022836100 DEFENSE FILM COATED TABLETS (CIMETIDINE) "YUNG SHIN" A0228361G0 DEFENSE FILM COATED TABLETS (CIMETIDINE) "YUNG SHIN"(鋁箔/ A022840209 ATROPINE SULFATE INJCETION "ORIENTAL" A022843100 CHLORMEZANONE TABLETS "S.Y." A022852100 DIPHENIDOL S.C. TABLETS "SHOU CHAN" 3113 3114 3115 A022865500 A022867421 A022872100 DICLOFENAC SUPPOSITORIES "YUNG MYCOMB OTIC DROPS "SINPHAR" GASTROPIN TABLETS "VPP" 3116 A022875110 3117 A022876100 AMOXICILLIN POWDER FOR ORAL SUSPENSION "SINPHAR" LYSOZYME TABLETS 30MG "P.L." 3118 A022879100 3119 A022890100 3120 3121 3122 3123 A022901100 A022902100 A022903100 A0229031G0 3124 A022904199 3125 A022905100 3108 3109 3110 3126 3127 3128 3129 3130 3131 3132 3133 3134 3135 SPOLIN TABLETS (LORAZEPAM) "H.H." SPOLIN TABLETS (LORAZEPAM) "H.H."(鋁 LOPERAMIDE CAPSULES "PRINCE" KETOPROFEN INJECTION 50MG/ML "Y.Y." MID-METHASONE INJECTION "TAH-AN" CONSPIN TABLETS (TOLPERISONE) "H.H." GENTAMYCIN SULFATE INJECTION 4% LORAZEPAM TABLETS 0.5 MG "F.Y." LORAZEPAM TABLETS 0.5 MG "F.Y."(21粒/ 瓶)(鋁箔/膠箔) LORAZIN TABLETS "JOHNSON" (LORAZEPAM) LORAZEPAM TABLETS 1 MG "F.Y." DHAA TABLETS 100MG (DIHYDROXY ALUMINUM ALLANTOINATE)"H.C.T. MILISHER TABLETS (LYSOZYME) "H.H." TRICORT TABLETS (TRIAMCINOLONE) GASTRODIN TABLETS 300MG GASTRODIN TABLETS 200MG GASTRODIN TABLETS 200MG (CIMETIDINE)(鋁箔/膠箔) COCOLIN SYRUP "S.C." TRANZANSHOW CAPSULES (TRANEXAMIC ACID)"CURIE" A022908100 SPIRONOLACTONE TABLETS "S.C." A0229081G0 SPIRONOLACTONE TABLETS "S.C."(鋁箔/ 膠箔) A022920417 CHLORSON EYE OINTMENT "OASIS" A022928100 ODETIN TABLETS (BUCLIZINE) "VPP" A022930212 GEXAMIN INJECTION (TRANEXAMIC ACID) "GENTLE" A022937212 CONAMIN INJECTION "WINSTON" A022940209 DEPO-OVADIOL INJECTION "ORIENTAL" A022941100 TRIAMCORT TABLETS "K.B." (TRIAMCINOLONE) A022949277 COFLEX INJECTION "S.Y." A022952289 UCEFAXIM INJECTION 750MG (CEFUROXIME) 100年1月 項次 支付價 3091 1 3092 0.45 3093 6.2 3094 7.1 3095 6.2 0.81 3096 1.5 3097 0 3098 10 3099 9.2 3100 2.17 3101 15.7 3102 0.39 3103 3104 1.5 3105 0 3106 0.45 3107 1.5 3108 1.18 3109 1.5 3110 3 0.45 3111 3112 0.9 8.9 3113 55 3114 3115 0.15 3116 39.6 3117 0 3118 1.48 3119 0.84 0.8 3120 1.16 3121 1.34 3122 3123 1.5 3124 0.06 3125 1.31 1.29 3126 3127 1.5 18.2 3128 0.7 3129 3130 5.3 10.7 3131 59 3132 3133 0.63 76 3134 3135 32.2 CODE 藥品名稱 A022990335 BACITRACIN NEOMYCIN OINTMENT "SHITEH" BACITRACIN NEOMYCIN OINTMENT "SHITEH" BACITRACIN NEOMYCIN OINTMENT "SHITEH" CIMETIDINE TABLETS 200MG "F.Y." A022990343 A022990399 A022995100 A0229951G0 CIMETIDINE TABLETS 200MG "F.Y."(鋁箔/ 膠箔) A022999100 IMOLI CAPSULES (LOPERAMIDE) "N.T." A023008100 CIMETIN TABLETS (CIMETIDINE) "TAI A023012321 SINSODERM CREAM "S.Y." A023020100 FASTOP TABLETS 200MG "SHITEH" A023021100 CIWETIM TABLETS (CIMETIDINE)"M.S." A023023209 CEPHEN INJECTION (DIPHENIDOL) "Y.Y." A023023212 CEPHEN INJECTION (DIPHENIDOL) "Y.Y." A023028100 DA CON WEI TABLETS (CIMETIDINE) A023029100 SULPIRID CAPSULES "H.S.C." A023033100 CIMETINE TABLETS (CIMETIDINE) "PRINCE" A023035321 GYNO-MYCODERIN CREAM (MICONAZOLE) "BOWLIN" A023037100 CARDOLOL TABLETS 10MG (PROPRANOLOL) "VPP" A0230371G0 CARDOLOL TABLETS 10MG (PROPRANOLOL) "VPP" (28粒/瓶裝及鋁箔/ A023038321 CHAA CREAM (CHLOROHYDROXY ALUMINUM ALLANTOINATE) "H.C.T." A023039100 CEFALOX CAPSULES 500MG (CEPHALEXIN) "Y.F." A023041100 ALLOPURINOL TABLETS "PANBIOTIC" A023042100 AMOLIN CAPSULES 500MG (AMOXICILLIN) "Y.F." A023048209 CEZOLIN INJECTION 1GM "SWISS" A023054100 CEPHEN TABLETS (DIPHENIDOL) "Y.Y." A023084229 LICOSON INJECTION (DEXAMETHASONE SODIUM)"SINTON" A023100100 AMPICILLIN CAPSULES 250MG "YUNG CHANG" A023102100 PONTON TABLETS 500MG (MEFENAMIC ACID) "EVEREST" A023108214 TRANEXAMIC ACID INJECTION 100MG/ML "G.C." A023108221 TRANEXAMIC ACID INJECTION 100MG/ML "G.C." A023109212 CIMETIDINE INJECTION 100MG/ML "Y.Y." A023110100 MEGATO TABLETS (CMETIDINE) A023113209 LUMIATO INJECTION "TAI YU" A023114212 SERACIN INJECTION 6% (GENTAMYCIN SULFATE) "SWISS" A023115335 CLOMAZOLE SOLUTION 1% (CLOTRIMAZOLE) "VPP" A023131321 AIFUPO OINTMENT "S.M." 說明 9901 支付價 17.00 36.10 1.12 1.00 1.50 0.50 1.00 19.20 1.00 1.00 10.00 6.00 1.00 0.80 1.00 刪除 24.00 0.59 1.50 36.30 1.95 0.83 1.44 21.40 0.83 15.90 1.00 0.79 刪除 7.50 10.40 6.20 1.00 1.81 16.00 45.90 9.50 A023131329 A023131372 AIFUPO OINTMENT "S.M." AIFUPO OINTMENT "S.M." A023131399 A023133323 A023133329 AIFUPO OINTMENT "S.M." EXTRACOMB CREAM "S.Y." EXTRACOMB CREAM "S.Y." 0.90 18.10 25.20 A023133330 A023133335 A023133399 EXTRACOMB CREAM EXTRACOMB CREAM "S.Y." EXTRACOMB CREAM 24.50 55.00 2.00 A023135100 TAGASON TABLETS (CIMETIDINE) "Y.Y." A0231351G0 TAGASON TABLETS (CIMETIDINE) "Y.Y." (鋁箔/膠箔) 1.00 1.50 第 60 頁,共 382 頁 刪除 19.10 779.00 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3136 A022960100 3137 A022964100 3138 A022970209 3139 A022973100 3140 3141 3142 A022982100 A022983212 A022984212 ZINGA TABLETS (ZINC GLUCONATE) "BOWLIN" NARCARICIN CAPSULES 100MG (BENZBROMARONE) "SWISS" CANHONLIN INJECTION "Y.A." (ANETHOLE TRITHIONE) WETIDINE TABLETS (LIMETIDINE) "TAHAN" BISOCU TABLETS (BROMHEXINE)"W.P." COUGHANPIN INJECTION "SINTON" MINFUGEN H INJECTION "SINTON" 3143 A022987100 3144 3145 3146 3147 3148 3149 PRIMPERAN FILM COATED TABLETS (METOCLOPRAMIDE A0229871G0 PRIMPERAN FILM COATED TABLETS (METOCLOPRAMIDE)(鋁箔) A022990335 BACITRACIN NEOMYCIN OINTMENT "SHITEH" A022990343 BACITRACIN NEOMYCIN OINTMENT "SHITEH" A022990399 BACITRACIN NEOMYCIN OINTMENT "SHITEH" A022995100 CIMETIDINE TABLETS 200MG "F.Y." 3150 3151 3152 3153 A0229951G0 CIMETIDINE TABLETS 200MG "F.Y."(鋁箔/ 膠箔) A022999100 IMOLI CAPSULES (LOPERAMIDE) "N.T." A023008100 CIMETIN TABLETS (CIMETIDINE) "TAI A023012321 SINSODERM CREAM "S.Y." A023020100 FASTOP TABLETS 200MG "SHITEH" 3154 3155 3156 A023021100 A023023209 A023023212 CIWETIM TABLETS (CIMETIDINE)"M.S." CEPHEN INJECTION (DIPHENIDOL) "Y.Y." CEPHEN INJECTION (DIPHENIDOL) "Y.Y." 3157 A023028100 3158 A023029100 DA CON WEI TABLETS (CIMETIDINE) "C.M." SULPIRID CAPSULES "H.S.C." 3159 A023033100 3167 CIMETINE TABLETS (CIMETIDINE) "PRINCE" A023035321 GYNO-MYCODERIN CREAM (MICONAZOLE) "BOWLIN" A023037100 CARDOLOL TABLETS 10MG (PROPRANOLOL) "VPP" A0230371G0 CARDOLOL TABLETS 10MG (PROPRANOLOL) "VPP" (28粒/瓶裝及鋁箔/ A023038321 CHAA CREAM (CHLOROHYDROXY ALUMINUM ALLANTOINATE) "H.C.T." A023039100 CEFALOX CAPSULES 500MG (CEPHALEXIN) "Y.F." A023041100 ALLOPURINOL TABLETS "PANBIOTIC" A023042100 AMOLIN CAPSULES 500MG (AMOXICILLIN) "Y.F." A023048209 CEZOLIN INJECTION 1GM "SWISS" 3168 A023054100 CEPHEN TABLETS (DIPHENIDOL) "Y.Y." 3169 A023084229 3170 A023100100 3171 A023102100 3172 A023108214 3173 A023108221 3174 3175 3176 A023109212 A023110100 A023113209 LICOSON INJECTION (DEXAMETHASONE SODIUM)"SINTON" AMPICILLIN CAPSULES 250MG "YUNG CHANG" PONTON TABLETS 500MG (MEFENAMIC ACID) "EVEREST" TRANEXAMIC ACID INJECTION 100MG/ML "G.C." TRANEXAMIC ACID INJECTION 100MG/ML "G.C." CIMETIDINE INJECTION 100MG/ML "Y.Y." MEGATO TABLETS (CMETIDINE) LUMIATO INJECTION "TAI YU" 3160 3161 3162 3163 3164 3165 3166 100年1月 項次 支付價 3136 1 3137 5 3138 10 3139 1 0.29 3140 0 3141 3142 0 3143 1 3144 1.5 3145 17 3146 36.1 3147 1.12 3148 1 3149 1.5 0.5 3150 1 3151 19.2 3152 3153 1 1 3154 10 3155 3156 6 3157 1 3158 0.8 3159 1 3160 24 3161 0.59 3162 1.5 3163 36.3 3164 1.95 0.83 3165 3166 1.44 3167 21.4 3168 0.83 3169 0 3170 1 3171 0.79 3172 0 3173 0 6.2 3174 1 3175 1.81 3176 CODE 藥品名稱 A023143100 PSEUBYIRIN TABLETS (PSEUDOEPHEDRINE HCL) "EVEREST" WIN-WAY NASAL SPRAY "WINSTON" A023148435 A023150421 說明 9901 支付價 0.47 調整 36.90 A023157335 EYESMIN EYE DROPS (NEOSTIGMINE METHYLSULFATE) "OASIS" EYESMIN EYE DROPS (NEOSTIGMINE METHYLSULFATE) "OASIS" ERGONOVINE MALEATE S.C. TABLETS CAFEGOTAMINE S.C. TABLETS "S.C." ZUCERIN INJECTION (TRANEXAMIC ACID) "LITA" JOYLA CREAM "SINPHAR" A023162100 RE-LIVER CAPSULES "JINUP" 1.61 A023164500 5.70 A023167319 CLOMAZOLE VAGINAL SUPPOSITORIES (CLOTRIMAZOLE) "VEIMIN" VISDERM H CREAM 0.1% (AMCINONIDE) 47.00 A023167399 VISDERM H CREAM 0.1% (AMCINONIDE) 8.70 A023169500 CLOMAZOLE VAGINAL TABLETS 0.1GM (CLOTRIMAZOLE) "VPP" TETRADERM CREAM 7.50 0.32 1.21 1.00 1.94 A023231321 BETAMETHASONE TABLETS "ASTAR" AMPICILLIN CAPSULES 500MG "K.T." SABUMOL TABLETS (SALBUTAMOL) PIZEPIN TABLETS "STANDARD" (PIRENZEPINE 2HCL) NEUER CAPSULES 100MG (CETRAXATE PIPEMID CAPSULES (PIPEMIDIC ACID) POTON CAPSULES 500MG (MEFENAMIC ACID) "CURIE" BIOSAREN CAPSULES (TRANEXAMIC ACID) "PANBIOTIC" HYDRO-B12 INJECTION (HYDROXOCOBALAMIN) "Y.A" RASEMIN INJECTION 10% "Y.Y" (TRANEXAMIC ACID) RASEMIN INJECTION 10% (TRANEXAMIC ACID) "Y.Y" CIVIDOID GEL (HEPARINOID) "SINPHAR" A023231329 CIVIDOID GEL (HEPARINOID) "SINPHAR" 37.40 A023231338 CIVIDOID GEL (HEPARINOID) "SINPHAR" 48.40 A023234100 DOGEN TABLETS (PIPEMIDIC ACID) "M.T." 2.32 A023239100 AMOXICILLIN CAPSULES 500MG "S.T." A0232391G0 AMOXICILLIN CAPSULES 500MG "S.T."(鋁 箔/膠箔) A023250238 K-CILLIN INJECTION 20,000,000 UNITS (POTASSIUM PENICILLIN G) "VPP" A023253100 LISAMIN CAPSULES (TRANEXAMIC ACID) "N.K." A023257100 FULETIN TABLETS "TK&A." 1.18 1.50 A023150429 A023151100 A023152100 A023156221 A023185399 A023186100 A023192100 A023194100 A023196100 A023200100 A023217100 A023219100 A023220100 A023226212 A023230221 A023230229 10.60 16.90 0.60 1.45 7.50 刪除 刪除 54.00 0.90 4.72 2.34 0.70 1.38 5.00 10.30 38.40 21.90 76.00 1.35 0.40 刪除 A023264100 AMOXICILLIN CAPSULES 250MG "S.T." 1.00 A0232641G0 AMOXICILLIN CAPSULES 250MG "S.T."(鋁 箔/膠箔) A023265277 PAMOXICILLIN INJECTION 500MG (AMOXICILLIN)"C.Y." A023266212 ALON INJECTION 1.50 26.80 A023266216 A023281100 A023284100 10.00 1.00 0.75 刪除 10.00 刪除 第 61 頁,共 382 頁 ALON INJECTION CIVIGEN TABLETS "C.R." NEWZYME TABLETS "STANDARD" 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3177 A023114212 3178 A023115335 3179 A023131321 SERACIN INJECTION 6% (GENTAMYCIN SULFATE) "SWISS" CLOMAZOLE SOLUTION 1% (CLOTRIMAZOLE) "VPP" AIFUPO OINTMENT "S.M." 3180 A023131329 AIFUPO OINTMENT "S.M." 3181 3182 3183 A023131372 A023131399 A023133323 AIFUPO OINTMENT "S.M." AIFUPO OINTMENT "S.M." EXTRACOMB CREAM "S.Y." 3184 3185 3186 A023133329 A023133330 A023133335 EXTRACOMB CREAM "S.Y." EXTRACOMB CREAM EXTRACOMB CREAM "S.Y." 3187 A023133399 EXTRACOMB CREAM 3188 3189 3191 A023135100 TAGASON TABLETS (CIMETIDINE) "Y.Y." A0231351G0 TAGASON TABLETS (CIMETIDINE) "Y.Y." (鋁箔/膠箔) A023143100 PSEUBYIRIN TABLETS (PSEUDOEPHEDRINE HCL) "EVEREST" A023148435 WIN-WAY NASAL SPRAY "WINSTON" 3192 A023150421 3193 A023150429 3194 3195 3196 A023151100 A023152100 A023156221 3197 3198 A023157335 A023162100 3199 A023164500 3200 3201 3202 A023167319 A023167399 A023169500 3203 A023185399 CLOMAZOLE VAGINAL SUPPOSITORIES (CLOTRIMAZOLE) "VEIMIN" VISDERM H CREAM 0.1% (AMCINONIDE) VISDERM H CREAM 0.1% (AMCINONIDE) CLOMAZOLE VAGINAL TABLETS 0.1GM (CLOTRIMAZOLE) "VPP" TETRADERM CREAM 3204 A023186100 BETAMETHASONE TABLETS "ASTAR" 3205 A023192100 AMPICILLIN CAPSULES 500MG "K.T." 3206 A023194100 3190 3207 3208 3209 3210 3211 3212 3213 3214 3215 3216 3217 3218 EYESMIN EYE DROPS (NEOSTIGMINE METHYLSULFATE) "OASIS" EYESMIN EYE DROPS (NEOSTIGMINE METHYLSULFATE) "OASIS" ERGONOVINE MALEATE S.C. TABLETS CAFEGOTAMINE S.C. TABLETS "S.C." ZUCERIN INJECTION (TRANEXAMIC ACID) "LITA" JOYLA CREAM "SINPHAR" RE-LIVER CAPSULES "JINUP" SABUMOL TABLETS (SALBUTAMOL) "H.C." A0231941G0 SABUMOL TABLETS (SALBUTAMOL) "H.C."(鋁箔/膠箔) A023196100 PIZEPIN TABLETS "STANDARD" (PIRENZEPINE 2HCL) A023200100 NEUER CAPSULES 100MG (CETRAXATE HCL) A023217100 PIPEMID CAPSULES (PIPEMIDIC ACID) "M.S." A023219100 POTON CAPSULES 500MG (MEFENAMIC ACID) "CURIE" A023220100 BIOSAREN CAPSULES (TRANEXAMIC ACID) "PANBIOTIC" A023226212 HYDRO-B12 INJECTION (HYDROXOCOBALAMIN) "Y.A" A023230221 RASEMIN INJECTION 10% "Y.Y" (TRANEXAMIC ACID) A023230229 RASEMIN INJECTION 10% (TRANEXAMIC ACID) "Y.Y" A023231321 CIVIDOID GEL (HEPARINOID) "SINPHAR" A023231329 CIVIDOID GEL (HEPARINOID) "SINPHAR" A023231338 CIVIDOID GEL (HEPARINOID) "SINPHAR" 100年1月 項次 支付價 3177 16 3178 45.9 3179 9.5 3180 19.1 779 3181 0.9 3182 3183 18.1 25.2 3184 24.5 3185 3186 55 3187 2 1 3188 3189 1.5 3190 0.47 3191 36.9 3192 10.6 3193 16.9 0.6 3194 1.45 3195 3196 7.5 54 3197 3198 1.61 3199 5.7 47 3200 8.7 3201 3202 7.5 3203 0.9 3204 0.32 3205 1.21 3206 1 3207 1.5 3208 1.94 3209 4.72 3210 2.34 3211 0.7 3212 1.34 3213 5 3214 10.3 3215 38.4 21.9 3216 37.4 3217 48.4 3218 CODE 藥品名稱 A023285100 YUPENT TABLETS (ORCIPRENALINE) "TAI YU" AMPICILLIN CAPSULES 500MG "TAI YU" A023287100 A023288209 KOSCOPAN INJECTION (HYOSCINE-NBUTYLBROMIDE) A023290100 FUPAUCAN CAPSULES (PIPEMIDIC ACID) "UIRIE" A023293118 LOPERA SYRUP (LOPERAMIDE) "IDEAL" A023293199 LOPERA SYRUP (LOPERAMIDE) "VEIMIN" A023297100 METICON TABLETS 30MG (DEXTROMETHORPHAN) "S.Y." A023309100 AFUCO TABLETS 100MG A023312277 AMINOGEN X INJECTION "N.K." A023318100 DIFENDIN TABLETS (DIPHENIDOL) "CHINTENG" A0233181G0 DIFENDIN TABLETS (DIPHENIDOL) "CHINTENG"(鋁箔/膠箔) A023319100 CLEMASTINE TABLETS "CHINTENG" A023320100 YUMENIN TABLETS (NITROFURANTOIN) "TAI YU" A023321100 PYDAMOLE S.C. TABLETS 12.5MG (DIPYRIDAMOLE) "H.C." A023322100 POSTON CAPSULES (MEFENAMIC ACID) "H.C." A023331100 PYLINATON TABLETS 500MG A023334221 A023336329 A023341216 A023342100 A023344100 A023352100 KOSAMIN INJECTION (TRANEXAMIC ACID)"TAH-AN" PASCA GEL "SHIONOGI" VENTON INJECTION (DICLOFENAC) LORAT TABLETS (LORAZEPAM) "M.T." 說明 9901 支付價 1.53 1.34 3.85 2.02 1,065.00 0.28 0.46 1.00 145.00 0.78 1.50 1.00 0.35 0.49 0.97 0.20 7.50 39.50 3.88 0.40 0.75 0.27 A023353100 ANTHEL TABLETS "Y.Y." SATINMIN TABLETS "S.C." (CARBINOXAMINE) PARANADRINE TABLETS "S.C." A023356100 A023359238 A023361100 SU'S CAPSULES (SULPIRIDE) "CURIE" SUNLILIN INJECTION "S.Y." BICOMTRON S.C. TABLETS "C.R." 1.00 9.30 0.32 A023370100 ANZEPAM TABLETS 0.5MG (LORAZEPAM) "KINGDOM" A0233701G0 ANZEPAM TABLETS 0.5MG (LORAZEPAM) "KINGDOM"(鋁箔) A023374212 CIMETINE INJECTION 100MG/ML (CIMETIDINE) "TAI YU" A023378212 CIMETINE INJECTION 100MG/ML (CIMETIDINE) "PRINCE" A023380435 YIPI NASAL SOLUTION "HEALTH" 1.56 1.00 1.50 6.20 6.20 23.30 新增 A023380477 YIPI NASAL SOLUTION "HEALTH" A023389100 467.00 DICLOFON S.C. TABLETS (DICLOFENAC) "F.Y." A0233891G0 DICLOFON S.C. TABLETS (DICLOFENAC) "F.Y."(瓶裝/84粒/瓶) A023391100 STROMAFON TABLETS "PFOSHEN" 0.49 A023394212 6.20 A023397100 A023398100 A023399212 A023412100 A023415100 A023422238 第 62 頁,共 382 頁 WETIDINE INJECTION (CIMETIDINE) "TAH-AN" EACO TABLETS 30MG (DEXTROMETHORPHAN) "SWISS" PAPAVERINE HYDROCHLORIDE TABLETS "C.I." KETOPHEN INJECTION "SINTON" (KETOPROFEN) ANQUWEI TABLETS (PIRENZEPINE) WEIANLIN TABLETS "H.S.C." GLYGEN-M INJECTION "N.K." 1.50 0.32 調整 0.60 0.94 4.00 1.60 0.55 10.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 3219 3220 3221 A023234100 A023239100 A0232391G0 3222 A023250238 3223 A023253100 3224 3225 3226 A023257100 A023264100 A0232641G0 3227 A023265277 3228 A023266212 3229 A023266216 3230 3231 3232 A023281100 A023284100 A023285100 3233 3234 A023287100 A023288209 3235 A023290100 3236 3237 3238 A023293118 A023293199 A023297100 3239 3240 3241 A023309100 A023312277 A023318100 3242 A0233181G0 3243 3244 A023319100 A023320100 3245 A023321100 3246 A023322100 3247 3248 A023331100 A023334221 3249 A023336329 3250 A023341216 3251 A023342100 3252 3253 A023344100 A023352100 3254 3255 3256 3257 3258 A023353100 A023356100 A023359238 A023361100 A023370100 3259 A0233701G0 3260 A023374212 3261 A023378212 3262 A023380435 藥品名稱 100年1月 項次 支付價 2.32 3219 DOGEN TABLETS (PIPEMIDIC ACID) "M.T." 1.18 3220 AMOXICILLIN CAPSULES 500MG "S.T." AMOXICILLIN CAPSULES 500MG "S.T."(鋁 3221 1.5 箔/膠箔) K-CILLIN INJECTION 20,000,000 UNITS 3222 76 (POTASSIUM PENICILLIN LISAMIN CAPSULES (TRANEXAMIC ACID) 3223 0 "N.K." 0.4 3224 FULETIN TABLETS 1 3225 AMOXICILLIN CAPSULES 250MG "S.T." AMOXICILLIN CAPSULES 250MG "S.T."(鋁 3226 1.5 箔/膠箔) PAMOXICILLIN INJECTION 500MG 3227 26.8 (AMOXICILLIN)"C.Y." ALON INJECTION 3228 10 ALON INJECTION 3229 10 0 3230 CIVIGEN TABLETS "C.R." 0.75 3231 NEWZYME TABLETS "STANDARD" YUPENT TABLETS (ORCIPRENALINE) "TAI 3232 1.53 YU" 1.34 3233 AMPICILLIN CAPSULES 500MG "TAI YU" KOSCOPAN INJECTION (HYOSCINE-N3234 3.85 BUTYLBROMIDE) FUPAUCAN CAPSULES (PIPEMIDIC ACID) 3235 2.02 "UIRIE" 1065 3236 LOPERA SYRUP (LOPERAMIDE) "IDEAL" 0.28 3237 LOPERA SYRUP (LOPERAMIDE) "VEIMIN" METICON TABLETS 30MG 3238 0.46 (DEXTROMETHORPHAN) "S.Y." 1 3239 AFUCO TABLETS 100MG 145 3240 AMINOGEN X INJECTION "N.K." DIFENDIN TABLETS (DIPHENIDOL) 3241 0.78 "CHINTENG" DIFENDIN TABLETS (DIPHENIDOL) 3242 1.5 "CHINTENG"(鋁箔/膠箔) 1 3243 CLEMASTINE TABLETS "CHINTENG" YUMENIN TABLETS (NITROFURANTOIN) 3244 0.35 "TAI YU" PYDAMOLE S.C. TABLETS 12.5MG 3245 0.49 (DIPYRIDAMOLE) "H.C." POSTON CAPSULES (MEFENAMIC ACID) 3246 0.97 "H.C." 0.2 3247 PYLINATON TABLETS 500MG KOSAMIN INJECTION (TRANEXAMIC 3248 7.5 ACID)"TAH-AN" PASCA GEL "SHIONOGI" 3249 39.5 VENTON INJECTION (DICLOFENAC) 3250 3.88 "LITA" LORAT TABLETS (LORAZEPAM) "M.T." 3251 0.4 0.75 3252 ANTHEL TABLETS "Y.Y." SATINMIN TABLETS "S.C." 3253 0.27 (CARBINOXAMINE) 1.56 3254 PARANADRINE TABLETS "S.C." 1 3255 SU'S CAPSULES (SULPIRIDE) "CURIE" 9.3 3256 SUNLILIN INJECTION "S.Y." 0.32 3257 BICOMTRON S.C. TABLETS "C.R." ANZEPAM TABLETS 0.5MG (LORAZEPAM) 3258 1 "KINGDOM" ANZEPAM TABLETS 0.5MG (LORAZEPAM) 3259 1.5 "KINGDOM"(鋁箔) CIMETINE INJECTION 100MG/ML 3260 6.2 (CIMETIDINE) "TAI YU" CIMETINE INJECTION 100MG/ML 3261 0 (CIMETIDINE) "PRINCE" YIPI NASAL SOLUTION "HEALTH" 3262 23.3 說明 CODE 藥品名稱 A023424209 A023430100 A023434100 HEXOESTROL INJECTION "TAI YU" GASPIN TABLETS (PIRENZEPINE) LYSOEM TABLETS (LYSOZYME) "AND" 7.70 1.71 1.00 A023435216 STAREN INJECTION (DICLOFENAC) "N.K." 6.00 A023437212 3.77 A023445209 A023446100 A023457100 ZEMIN INJECTION (CLEMASTINE) "PANBIOTIC" TRAVELLIN INJECTION "TAI YU" AMOXICILLIN CAPSULES "ASTAR" AMOXICILLIN CAPSULES 500MG "K.T." A023466100 TRIFLUOPERAZINE HCL TABLETS "S.C." 0.66 A023479209 2.94 A023481100 A023483100 A023488100 DEXAMETHASONE INJECTION 1MG/ML "TAI YU" DEXAMETHASONE INJECTION 1MG/ML "TAI YU" CEPHALIN CAPSULES 500MG KU-WE-RIN TABLETS (CIMETIDINE) "Y.C." ULCOGEN TABLETS "S.Y." A023490100 A023491100 SODICON TABLETS "SINPHAR" SODICON-G TABLETS "SINPHAR" 0.80 1.00 A023479299 9901 支付價 刪除 1.75 1.00 1.21 0.78 1.90 1.00 0.70 A0234911G0 SODICON-G TABLETS "SINPHAR"(鋁箔/膠 箔) A023492212 DEPO-B12 INJECTION A023499100 LOPERAMIDE CAPSULES "J.H." A023500100 AZULIN TABLETS (GUAIAZULENE) "K.B." 1.50 A023508100 A023521100 A023524100 2.27 0.20 0.60 A023527100 A023531421 A023532100 DALCONE TABLETS (PIPEMIDIC ACID) MAGNESIUM OXIDE TABLETS COSTENE TABLETS (CARBETAPENTANE) "H.H." AZENOL TABLETS (AZULENE) "CENTRAL" 3.56 0.68 0.68 1.00 28.00 1.60 A023534100 BENEMYCIN EYE DROPS "OASIS" LIZEPINE TABLETS (PIRENZEPINE DIHYDROCHLORIDE) FUNGICIDE CREAM (CLOTRIMAZOLE) "ROYAL" ROPAL TABLETS (ASPIRIN) "ROYAL" A023536100 A023547209 COFUCAINE TABLETS "F.S." ANETHOLE INJECTION "K.S." 0.73 10.00 A023562216 A023565100 A023571100 ORITAREN INJECTION (DICLOFENAC) "ORIENTAL" KETOFEN INJECTION (KETOPROFEN) "ORIENTAL" KETOFEN INJECTION (KETOPROFEN) "ORIENTAL" LYSOZYME TABLETS 50MG "SINPHAR" VITALY S.C. TABLETS "PRINCE" A023572100 A023576100 A023587421 A023587423 A023589100 WYPIRIDE CAPSULES (SULPIRIDE) "S.P.C." CHLORAMPHENICOL CAPSULES "C.R." E E N EYE DROPS "GCPC" E E N EYE DROPS "GCPC" LOGMAL CAPSULES (SULPIRIDE) "M.T." 0.80 0.50 21.90 36.30 1.00 A0235891G0 LOGMAL CAPSULES (SULPIRIDE) "M.T."( 鋁箔/膠箔) A023592100 CIMETIDINE TABLETS "PFOSHEN" 1.50 A023593100 DIPHENIDOL S.C. TABLETS "PFOSHEN" 0.66 A023599100 PELIN CAPSULES (DL-ALPHATOCOPHEROL NICOTINATE) 1.00 A023533329 A023563212 A023563216 刪除 21.10 0.50 6.40 4.00 7.50 0.80 0.89 1.00 刪除 第 63 頁,共 382 頁 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3263 A023380477 YIPI NASAL SOLUTION "HEALTH" 3264 A023389100 3271 3272 3273 3274 3275 3276 3277 DICLOFON S.C. TABLETS (DICLOFENAC) "F.Y." A0233891G0 DICLOFON S.C. TABLETS (DICLOFENAC) "F.Y."(瓶裝/84粒/瓶) A023391100 STROMAFON TABLETS "PFOSHEN" A023394212 WETIDINE INJECTION (CIMETIDINE) "TAH-AN" A023397100 EACO TABLETS 30MG (DEXTROMETHORPHAN) "SWISS" A023398100 PAPAVERINE HYDROCHLORIDE TABLETS "C.I." A023399212 KETOPHEN INJECTION "SINTON" (KETOPROFEN) A023412100 ANQUWEI TABLETS (PIRENZEPINE) A023415100 WEIANLIN TABLETS "H.S.C." A023422238 GLYGEN-M INJECTION "N.K." A023424209 HEXOESTROL INJECTION "TAI YU" A023430100 GASPIN TABLETS (PIRENZEPINE) A023434100 LYSOEM TABLETS (LYSOZYME) "AND" A023435216 STAREN INJECTION (DICLOFENAC) "N.K." 3278 A023437212 3279 3280 3281 A023445209 A023446100 A023457100 3282 3283 A023466100 A023479209 3265 3266 3267 3268 3269 3270 ZEMIN INJECTION (CLEMASTINE) "PANBIOTIC" TRAVELLIN INJECTION "TAI YU" AMOXICILLIN CAPSULES "ASTAR" AMOXICILLIN CAPSULES 500MG "K.T." 3285 3286 3287 3288 3289 3290 TRIFLUOPERAZINE HCL TABLETS "S.C." DEXAMETHASONE INJECTION 1MG/ML "TAI YU" A023479299 DEXAMETHASONE INJECTION 1MG/ML "TAI YU" A023481100 CEPHALIN CAPSULES 500MG A023483100 KU-WE-RIN TABLETS (CIMETIDINE) "Y.C." A023488100 ULCOGEN TABLETS "S.Y." A0234881G0 ULCOGEN TABLETS "S.Y."(鋁箔/膠箔) A023490100 SODICON TABLETS "SINPHAR" A023491100 SODICON-G TABLETS "SINPHAR" 3291 3292 3293 3294 3295 3296 3297 A0234911G0 A023492212 A023499100 A023500100 A023508100 A023521100 A023524100 3298 A023527100 3299 3300 A023531421 A023532100 3301 A023533329 3302 3303 3304 A023534100 A023536100 A023547209 3305 A023562216 3306 A023563212 3307 A023563216 3308 3309 A023565100 A023571100 ORITAREN INJECTION (DICLOFENAC) "ORIENTAL" KETOFEN INJECTION (KETOPROFEN) "ORIENTAL" KETOFEN INJECTION (KETOPROFEN) "ORIENTAL" LYSOZYME TABLETS 50MG "SINPHAR" VITALY S.C. TABLETS "PRINCE" 3310 3311 A023572100 A023576100 WYPIRIDE CAPSULES (SULPIRIDE) "S.P.C." CHLORAMPHENICOL CAPSULES "C.R." 3284 SODICON-G TABLETS "SINPHAR"(鋁箔/膠 DEPO-B12 INJECTION LOPERAMIDE CAPSULES "J.H." AZULIN TABLETS (GUAIAZULENE) "K.B." DALCONE TABLETS (PIPEMIDIC ACID) MAGNESIUM OXIDE TABLETS COSTENE TABLETS (CARBETAPENTANE) "H.H." AZENOL TABLETS (AZULENE) "CENTRAL" BENEMYCIN EYE DROPS "OASIS" LIZEPINE TABLETS (PIRENZEPINE DIHYDROCHLORIDE) FUNGICIDE CREAM (CLOTRIMAZOLE) "ROYAL" ROPAL TABLETS (ASPIRIN) "ROYAL" COFUCAINE TABLETS "F.S." ANETHOLE INJECTION "K.S." 100年1月 項次 支付價 3263 467 3264 0.49 3265 1.5 0.32 3266 3267 6.2 3268 0.6 3269 0.94 3270 0 1.6 3271 0.55 3272 10 3273 7.7 3274 1.71 3275 1 3276 3277 6 3278 3.77 1.75 3279 1 3280 3281 1.21 0.66 3282 3283 2.94 3284 0.78 1.9 3285 1 3286 0.7 3287 1.5 3288 0.8 3289 3290 1 1.5 3291 3.56 3292 0.68 3293 0.68 3294 2.27 3295 0.2 3296 3297 0.6 3298 1 28 3299 3300 1.6 3301 21.1 0.5 3302 0.73 3303 3304 10 3305 6.4 3306 4 3307 7.5 0.8 3308 3309 0 0.8 3310 0 3311 CODE 藥品名稱 A023600321 CAMISTEN CREAM (MICONAZOLE) "SINPHAR" SINDINE OINTMENT (POVIDONE-IODINE) "SINPHAR" SEZUMINE INJECTION "PANHIOTIC" A023602399 A023603209 A023603216 A023604209 A023604212 A023606100 SEZUMINE INJECTION "PANHIOTIC" SEPINE INJECTION (HYDROXOCOBALAMIN) "PANBIOTIC" SEPINE INJECTION (HYDROXOCOBALAMIN) "PANBIOTIC" PEPTIDIN (R) TABLETS A0236061G0 PEPTIDIN (R) TABLETS(鋁箔) 說明 9901 支付價 20.20 0.85 4.00 11.50 9.10 10.00 1.00 1.50 刪除 A023616100 A023619100 A023622212 A023624271 A023625271 A023626321 A023627100 A023644100 A023645100 SEDENTON TABLETS AMOXICILLIN CAPSULES 250MG CIMETIDINE INJECTION 150MG/ML "G.C." PAREMENTAL A INJECTION "C.C.P." PAREMENTAL-B INJECTION "C.C.P." DAFRIN-H CREAM "SWISS" VENTURIN TABLETS (DIPHENIDOL) "YUNG CHANG" GASPIN INJECTION (PIRENZEPINE) "GENTLE" TOPICON CREAM (FLUCLOROLONE) TOPICON CREAM (FLUCLOROLONE) RITESONE CAPSULES (ERYTHROMYCIN ESTOLATE) PERITIN F.C. TABLETS (DIPYRIDAMOLE) HECODEN TABLETS A023646100 CEPHALEXIN CAPSULES 1.20 A023648100 A023652100 A023653100 A023654100 A023655100 A023656100 DOXYCYCLINE CAPSULES BECOLON CAPSULES CHLORAMPHENICOL CAPSULES DECOUGH CAPSULES (CARBOCISTEINE) SALBUTAMOL TABLETS ANTICOUGH TABLETS (DEXTROMETHOPHAN)" F.S." ECOSONE CREAM "BOWLIN" ECOSONE CREAM "BOWLIN" ECOSONE CREAM "BOWLIN" ECOZIN CREAM ECOZIN CREAM ECOZIN CREAM ECOZIN CREAM 1.44 1.00 0.90 1.63 0.30 0.40 A023628212 A023631321 A023631399 A023635100 A023662329 A023662330 A023662399 A023663321 A023663329 A023663335 A023663377 A023664500 A023666329 A023668212 A023670100 ECONAZOLE VAGINAL SUPPOSITORIES "Y.S." TUAN OINTMENT "S.C." CLEMASTINE INJECTION "Y.Y." 0.50 1.00 10.00 48.70 48.70 34.40 1.63 29.30 29.80 5.90 1.22 0.60 1.56 26.30 8.90 0.74 7.30 28.10 21.90 489.00 8.20 27.50 3.77 A023686100 PIROCAM CAPSULES (PIROXICAM) "GENTLE" FENOT TABLETS 2.5MG (FENOTEROL) PANTRIUM GRANULES "H.C." REPACIN F.C TABLETS (BETA-AESCIN) "ROYAL" LYSOZYME TABLETS 90MG "EVEREST" A023687309 FUDELIN CREAM "L.S." (FLUOCINONIDE) 2,554.00 A023687321 FUDELIN CREAM "L.S." (FLUOCINONIDE) 40.50 A023687399 A023695100 FUDELIN CREAM "L.S." (FLUOCINONIDE) PYRIXAL E.C. TABLETS (PYRIDOXAL PHOSPHATE) "M.T." SULPIRIDE INJECTION "H.S.C." ESCIN S.C. TABLETS (BETA-AESIN) 2.55 0.75 A023671100 A023677199 A023683100 A023700212 A023708100 第 64 頁,共 382 頁 新增 0.91 0.80 0.85 2.51 0.87 刪除 10.00 2.51 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 3312 3313 3314 3315 3316 3317 3318 3319 3320 3321 3322 3323 3324 3325 3326 3327 3328 3329 3330 3331 3332 3333 3334 3335 3336 3337 3338 3339 3340 3341 3342 3343 3344 3345 3346 3347 3348 3349 3350 3351 3352 3353 3354 3355 3356 3357 3358 3359 3360 3361 CODE 藥品名稱 100年1月 項次 支付價 21.9 3312 A023587421 E E N EYE DROPS "GCPC" A023587423 E E N EYE DROPS "GCPC" 3313 36.3 1 3314 A023589100 LOGMAL CAPSULES (SULPIRIDE) "M.T." A0235891G0 LOGMAL CAPSULES (SULPIRIDE) "M.T."( 3315 1.5 鋁箔/膠箔) 1 3316 A023592100 CIMETIDINE TABLETS "PFOSHEN" 0.66 3317 A023593100 DIPHENIDOL S.C. TABLETS "PFOSHEN" A023599100 PELIN CAPSULES (DL-ALPHA3318 1 TOCOPHEROL NICOTINATE) A023600321 CAMISTEN CREAM (MICONAZOLE) 3319 20.2 "SINPHAR" A023602399 SINDINE OINTMENT (POVIDONE-IODINE) 3320 0.85 "SINPHAR" A023603209 SEZUMINE INJECTION "PANHIOTIC" 3321 4 11.5 3322 A023603216 SEZUMINE INJECTION "PANHIOTIC" A023604209 SEPINE INJECTION 3323 9.1 (HYDROXOCOBALAMIN) "PANBIOTIC" A023604212 SEPINE INJECTION 3324 10 (HYDROXOCOBALAMIN) "PANBIOTIC" 1 3325 A023606100 PEPTIDIN (R) TABLETS 1.5 3326 A0236061G0 PEPTIDIN (R) TABLETS(鋁箔) 0.5 3327 A023616100 SEDENTON TABLETS 1 3328 A023619100 AMOXICILLIN CAPSULES 250MG A023622212 CIMETIDINE INJECTION 150MG/ML "G.C." 3329 10 A023624271 PAREMENTAL A INJECTION "C.C.P." 3330 48.7 A023625271 PAREMENTAL-B INJECTION "C.C.P." 3331 48.7 34.4 3332 A023626321 DAFRIN-H CREAM "SWISS" A023627100 VENTURIN TABLETS (DIPHENIDOL) 3333 1.63 "YUNG CHANG" 29.3 3334 A023628212 GASPIN INJECTION (PIRENZEPINE) 29.8 3335 A023631321 TOPICON CREAM (FLUCLOROLONE) 5.9 3336 A023631399 TOPICON CREAM (FLUCLOROLONE) A023635100 RITESONE CAPSULES (ERYTHROMYCIN 3337 1.22 ESTOLATE) A023644100 PERITIN F.C. TABLETS (DIPYRIDAMOLE) 3338 0.6 1.56 3339 A023645100 HECODEN TABLETS 1.2 3340 A023646100 CEPHALEXIN CAPSULES 1.44 3341 A023648100 DOXYCYCLINE CAPSULES 1 3342 A023652100 BECOLON CAPSULES 0.9 3343 A023653100 CHLORAMPHENICOL CAPSULES 1.63 3344 A023654100 DECOUGH CAPSULES (CARBOCISTEINE) 0.3 3345 A023655100 SALBUTAMOL TABLETS A023656100 ANTICOUGH TABLETS 3346 0.4 (DEXTROMETHOPHAN)" F.S." A023662329 ECOSONE CREAM "BOWLIN" 3347 26.3 8.9 3348 A023662330 ECOSONE CREAM "BOWLIN" A023662399 ECOSONE CREAM "BOWLIN" 3349 0.74 7.3 3350 A023663321 ECOZIN CREAM 28.3 3351 A023663329 ECOZIN CREAM A023663335 ECOZIN CREAM 3352 21.9 489 3353 A023663377 ECOZIN CREAM A023664500 ECONAZOLE VAGINAL SUPPOSITORIES 3354 8.2 "Y.S." 27.5 3355 A023666329 TUAN OINTMENT "S.C." 3.77 3356 A023668212 CLEMASTINE INJECTION "Y.Y." 0 3357 A023670100 PIROCAM CAPSULES (PIROXICAM) 0.8 3358 A023671100 FENOT TABLETS 2.5MG (FENOTEROL) 0.85 3359 A023677199 PANTRIUM GRANULES "H.C." A023683100 REPACIN F.C TABLETS (BETA-AESCIN) 3360 2.51 "ROYAL" A023686100 LYSOZYME TABLETS 90MG "EVEREST" 3361 0.87 說明 CODE 藥品名稱 A023711321 A023714199 A023715100 A023723100 PIDELON CREAM NOFLAGMA GRANULES (LYSOZYME) "YUNG SHIN" 1KG CARMIN TABLETS "Y.Y." TRIAMCINOLONE TABLETS "C.H." A023729321 A023733263 A023733266 QUADRIGEN CREAM "SWISS" GLYCETOSE INJECTION GLYCETOSE INJECTION 18.90 82.00 100.00 A023733277 GLYCETOSE INJECTION "S.T." 87.00 A023736100 9901 支付價 7.30 1.90 1.00 0.63 PIROCAM CAPSULES (PIROXICAM) "SWISS" A0237361G0 PIROCAM CAPSULES (PIROXICAM) "SWISS"(鋁箔/膠箔) A023742100 EFU CAPSULE "C.H." A023743100 PARAMMINE TABLETS 1.00 A023756100 0.80 LOPERAMIDE CAPSULES A023762100 A023763100 A023764100 A023769100 A023771100 1.50 2.34 0.60 KASCOPAN S.C. TABLETS"TAH-AN" LYZOTOSE TABLETS (LYSOZYME) CLONIDINE TABLETS MEFENAMA CAPSULES (MEFENAMIC PROCOTON TABLETS (MEFENAMIC ACID) "H.C." A023773100 FOLDCAM CAPSULES (PIROXICAM) "CHINTHENG" A0237731G0 FOLDCAM CAPSULES (PIROXICAM) "CHINTHENG"(鋁箔/膠箔) A023775100 COLISTIN SULFATE CAPSULES A023785100 ASCOPINE TABLETS "YU SHENG" 0.68 1.00 1.00 0.65 0.60 A023789100 A023790100 A023791100 A023793100 TRANCOSU TABLETS "Y.S." FENOTER TABLETS (FENOTEROL) "LITA" ENLAIN S.C. TABLETS "CHEN TA" LIVERALL S.C. TABLETS 5.30 0.80 1.80 2.00 ECORIN VAGINAL SUPPOSITORY (ECONAZOLE) "H.C.T." A023819100 CODECON CAPSULES A023820100 CITIDINE TABLETS (CIMETIDINE) A0238201G0 CITIDINE TABLETS (CIMETIDINE)鋁箔/膠 A023822100 DEPHEDOL F.C. TABLETS (DIPHRNIDOL) A023825100 SPLOTIN TABLETS (SULPIRIDE) A023833100 SWEI TABLETS "YU SHENG" A023839157 CORIGIN SYRUP "S.Y." A023839199 CORIGIN SYRUP"S.Y." 8.20 A023796500 A023844212 A023862100 A023864500 STOGAMET INJECTION (CIMETIDINE) "SWISS"200 MG/ML CHIERHSIN-40MG TABLETS WINDPIN TABLETS (BETAHISTINE) "YUNG CHI" AN-AN TABLETS "AND" LORAZEPAM TABLETS SULICAN S.C. TABLETS (SILYMARIN) "YU SHENG" FELON CAPSULES (PIROXICAM) "AND" GISHOULOW SUPPOSITORIE "S.C." A023866100 A023876100 A023879100 A023882100 A023889100 A023890277 GENLIMIN S.C. TABLETS "F.S." LEMISOL TABLETS (LEVAMISOLE) ROTEC TABLETS "F.Y." HEMATONIC F.C. TABLETS "GCPC" KONSUL TABLETS (PRIDINOL) "LITA" AMINOL-V INJECTION "S.T." A023901100 PYROCAM CAPSULES 10MG (PIROXICAM) "F.Y." A023845100 A023846100 A023850100 A023857100 A023860100 第 65 頁,共 382 頁 0.91 1.50 6.70 1.00 1.00 1.00 1.50 0.83 3.03 0.75 36.40 0.14 6.60 0.50 0.98 2.50 0.84 1.81 調整 0.91 5.00 0.32 4.68 1.00 1.68 0.91 126.00 0.91 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 3362 3363 3364 3365 3366 3367 3368 3369 3370 3371 3372 3373 3374 3375 3376 3377 3378 3379 3380 3381 3382 3383 3384 3385 3386 3387 3388 3389 3390 3391 3392 3393 3394 3395 3396 3397 3398 3399 3400 3401 3402 3403 3404 3405 3406 3407 3408 3409 3410 CODE 藥品名稱 100年1月 項次 支付價 2554 3362 A023687309 FUDELIN CREAM "L.S." (FLUOCINONIDE) 40.5 3363 A023687321 FUDELIN CREAM "L.S." (FLUOCINONIDE) A023687399 FUDELIN CREAM "L.S." (FLUOCINONIDE) 3364 2.55 A023695100 PYRIXAL E.C. TABLETS (PYRIDOXAL 3365 0.75 PHOSPHATE) "M.T." A023700212 SULPIRIDE INJECTION "H.S.C." 3366 10 A023708100 ESCIN S.C. TABLETS (BETA-AESIN) 3367 2.51 0 3368 A023711321 PIDELON CREAM "N.K." A023714199 NOFLAGMA GRANULES (LYSOZYME) 3369 1.9 "YUNG SHIN" 1KG 1 3370 A023715100 CARMIN TABLETS "Y.Y." 0.63 3371 A023723100 TRIAMCINOLONE TABLETS "C.H." 18.9 3372 A023729321 QUADRIGEN CREAM "SWISS" 82 3373 A023733263 GLYCETOSE INJECTION A023733266 GLYCETOSE INJECTION 3374 100 87 3375 A023733277 GLYCETOSE INJECTION "S.T." 1 3376 A023736100 PIROCAM CAPSULES (PIROXICAM) A0237361G0 PIROCAM CAPSULES (PIROXICAM) 3377 1.5 "SWISS"(鋁箔/膠箔) A023742100 EFU CAPSULE "C.H." 3378 2.34 A023743100 PARAMMINE TABLETS 3379 0.6 0.8 3380 A023756100 LOPERAMIDE CAPSULES 0.68 3381 A023762100 KASCOPAN S.C. TABLETS"TAH-AN" 1 3382 A023763100 LYZOTOSE TABLETS (LYSOZYME) 1 3383 A023764100 CLONIDINE TABLETS 0.65 3384 A023769100 MEFENAMA CAPSULES (MEFENAMIC A023771100 PROCOTON TABLETS (MEFENAMIC ACID) 3385 0.6 "H.C." A023773100 FOLDCAM CAPSULES (PIROXICAM) 3386 0.91 "CHINTHENG" A0237731G0 FOLDCAM CAPSULES (PIROXICAM) 3387 1.5 "CHINTHENG"(鋁箔/膠箔) 6.7 3388 A023775100 COLISTIN SULFATE CAPSULES A023785100 ASCOPINE TABLETS "YU SHENG" 3389 1 A023789100 TRANCOSU TABLETS "Y.S." 3390 5.3 0.8 3391 A023790100 FENOTER TABLETS (FENOTEROL) "LITA" A023791100 ENLAIN S.C. TABLETS "CHEN TA" 3392 1.8 2 3393 A023793100 LIVERALL S.C. TABLETS A023796500 ECORIN VAGINAL SUPPOSITORY 3394 8.2 (ECONAZOLE) "H.C.T." 1 3395 A023819100 CODECON CAPSULES 1 3396 A023820100 CITIDINE TABLETS (CIMETIDINE) 1.5 3397 A0238201G0 CITIDINE TABLETS (CIMETIDINE)鋁箔/膠 0.83 3398 A023822100 DEPHEDOL F.C. TABLETS (DIPHRNIDOL) 3.03 3399 A023825100 SPLOTIN TABLETS (SULPIRIDE) 0.75 3400 A023833100 SWEI TABLETS "YU SHENG" 36.4 3401 A023839157 CORIGIN SYRUP "S.Y." A023839199 CORIGIN SYRUP"S.Y." 3402 0.14 A023844212 STOGAMET INJECTION (CIMETIDINE) 3403 6.6 "SWISS"200 MG/ML 0.5 3404 A023845100 CHIERHSIN-40MG TABLETS A023846100 WINDPIN TABLETS (BETAHISTINE) "YUNG 3405 0.98 CHI" 2.49 3406 A023850100 AN-AN TABLETS "AND" A023857100 LORAZEPAM TABLETS 3407 0.84 A023860100 SULICAN S.C. TABLETS (SILYMARIN) "YU 3408 1.81 SHENG" 0.91 3409 A023862100 FELON CAPSULES (PIROXICAM) "AND" A023864500 GISHOULOW SUPPOSITORIE "S.C." 3410 5 CODE 藥品名稱 A023903238 A023904100 A023912100 AIVITAL INJECTION "PATRON" LIDONIN TABLETS (DICLOFENAC) "TAI BENZOLE TABLETS (MEBENDAZOLE) "HONTEN" WEICOLIN TABLETS (CIMETIDINE) "W.P." A023913100 A023918100 說明 9901 支付價 52.00 0.49 1.30 1.00 FLUZINE TABLETS 5MG(FLUNARIZINE)"STANDARD" BROPIN F.C. TABLETS (BROMOPRIDE) "STANDARD" COUGDAU TABLETS "NCP" AZOL TABLETS (ACETAZOLAMIDE) "NCP" 2.03 BISMUTH SUBCARBONATE TABLETS ATON TABLETS (ACETAMINOPHEN) CEPHA INJECTION "K.S." MERO CAPSULES (KETOPROFEN) "NCP" ERYTHROCIN CAPSULES“TAITEN” (ERYTHROMYCIN ESTOLATES) ASU CAPSULES "NCP" BOCYLINE CAPSULES 500MG“TAITEN” ZUYAN SUSPENSION "NCP" 0.64 0.19 10.90 1.37 0.75 0.98 A024006271 ZIMIN S.C. TABLETS (CHLORCYCLIZINE) "NCP" CEPHANMYCIN GRANULES 500MG (CEPHALEXIN) "YUNG SHIN" PIROXICAM CAPSULES "S.C." ALUFIBRATE CAPSULES BACIDE CAPSULES (PIPEMIDIC ACID) TETRACYCLINE HCL CAPSULES BUGIFENE TABLETS "L.E."(BUCLIZINE) TEPEZINE F.C. TABLETS (TRIFLUOPERAZINE HCL) TPN NO.8-A INJECTION "S.T." A024008199 CEPHALEXIN GRANULES A023920100 A023925100 A023932100 A023936100 A023954100 A023967277 A023969100 A023970100 A023973100 A023978100 A023979399 A023981100 A023990199 A023996100 A023998100 A023999100 A024002100 A024004100 A024005100 A024010100 A024014221 IBUPROFEN F.C. TABLETS TRANSACID INJECTION (TRANEXAMIC ACID) "SWISS" A024016199 ERYSONE GRANULES(ERYTHROMYCIN ESTOLATE) A024017100 CIMEDIN TABLETS (CIMETIDINE) "S.T." A0240171G0 CIMEDIN TABLETS (CIMETIDINE) "S.T."(鋁 箔/膠箔) A024018100 NIFEPIN CAPSULES (NIFEDIPINE) A024020100 POUDERCAM CAPSULES "H.S." A024023100 A024029263 A024040209 A024044100 A024053100 A024055100 A024063100 A024071500 1.39 0.16 1.46 1.09 0.75 0.10 3.98 1.00 3.04 2.11 0.57 0.80 1.17 56.00 1.87 1.00 7.70 0.61 1.00 1.50 2.82 2.08 A024073212 ANJAL TABLETS "YU SHENG" MORIAMIN-SN INJECTION KONSUL INJECTION (PRIDINOL) "LITA" BACTIN TABLETS (TRIMETHOPRIM) BLOODFULL S.C. TABLETS "C.H." IBUPROFEN F.C. TABLETS "H.C." FENOTEROL HBR TABLETS 2.5MG "S.C." GLYDGICON VAGINAL SUPPO-SITORIES (ECONAZOLE) CIMEDIN INJECTION (CIMETIDINE) "S.T." A024076100 A024077100 PRANOL F.C. TABLETS (PROPRANOLOL) CIMEWET TABLETS (CIMETIDINE) "N.C.P." 0.95 1.00 A024078100 A024085100 PRIDINOL TABLETS "P.L." WEIBAMYCIN CAPSULES "TAI YU" (DOXYCYCLINE) BISPLEN TABLETS (EPRAZINONE) 1.00 1.01 TONTARIN F.C. TABLETS (DICLOFENAC) HERSUN TABLETS 40MG (PROPRANOLOL HYDROCHLORIDE)"F.Y." 0.49 0.50 A024098100 A024103100 A024104100 第 66 頁,共 382 頁 刪除 1.48 196.00 14.70 0.42 2.04 1.00 0.82 8.20 10.00 0.60 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3411 3412 A023866100 A023876100 GENLIMIN S.C. TABLETS "F.S." LEMISOL TABLETS (LEVAMISOLE) 3413 A023879100 ROTEC TABLETS "F.Y." 3414 3415 A023882100 A023889100 HEMATONIC F.C. TABLETS "GCPC" KONSUL TABLETS (PRIDINOL) "LITA" 3416 A023890277 AMINOL-V INJECTION "S.T." 3417 A023901100 3418 A023903238 PYROCAM CAPSULES 10MG (PIROXICAM) "F.Y." AIVITAL INJECTION "PATRON" 3419 A023904100 3420 A023912100 3421 3422 A023913100 A023918100 3423 A023920100 3424 3425 3426 A023925100 A023932100 A023936100 3427 3428 A023954100 A023967277 3429 3430 A023969100 A023970100 3431 A023973100 3432 3433 3434 A023978100 A023979399 A023981100 3435 A023990199 3436 3437 3438 3439 A023996100 A023998100 A023999100 A024002100 3440 A024004100 3441 A024005100 3442 A024006271 TEPEZINE F.C. TABLETS (TRIFLUOPERAZINE HCL) TPN NO.8-A INJECTION "S.T." 3443 A024008199 CEPHALEXIN GRANULES 3444 3445 A024010100 A024014221 3446 3447 3448 3449 3450 3451 3452 3453 3454 3455 3456 LIDONIN TABLETS (DICLOFENAC) "TAI YU" BENZOLE TABLETS (MEBENDAZOLE) "HONTEN" WEICOLIN TABLETS (CIMETIDINE) "W.P." FLUZINE TABLETS 5MG(FLUNARIZINE)"STANDARD" BROPIN F.C. TABLETS (BROMOPRIDE) "STANDARD" COUGDAU TABLETS "NCP" AZOL TABLETS (ACETAZOLAMIDE) "NCP" BISMUTH SUBCARBONATE TABLETS "N.C.P." ATON TABLETS (ACETAMINOPHEN) CEPHA INJECTION "K.S." MERO CAPSULES (KETOPROFEN) "NCP" ERYTHROCIN CAPSULES“TAITEN” (ERYTHROMYCIN ESTOLATES) ASU CAPSULES "NCP" BOCYLINE CAPSULES 500MG“TAITEN” ZUYAN SUSPENSION "NCP" ZIMIN S.C. TABLETS (CHLORCYCLIZINE) "NCP" CEPHANMYCIN GRANULES 500MG (CEPHALEXIN) "YUNG SHIN" PIROXICAM CAPSULES "S.C." ALUFIBRATE CAPSULES BACIDE CAPSULES (PIPEMIDIC ACID) TETRACYCLINE HCL CAPSULES "SINPHAR" BUGIFENE TABLETS "L.E."(BUCLIZINE) IBUPROFEN F.C. TABLETS TRANSACID INJECTION (TRANEXAMIC ACID) "SWISS" A024016199 ERYSONE GRANULES(ERYTHROMYCIN ESTOLATE) A024017100 CIMEDIN TABLETS (CIMETIDINE) "S.T." A0240171G0 CIMEDIN TABLETS (CIMETIDINE) "S.T."(鋁 箔/膠箔) A024018100 NIFEPIN CAPSULES (NIFEDIPINE) A024020100 POUDERCAM CAPSULES "H.S." A024023100 ANJAL TABLETS "YU SHENG" A024029263 MORIAMIN-SN INJECTION A024040209 KONSUL INJECTION (PRIDINOL) "LITA" A024044100 BACTIN TABLETS (TRIMETHOPRIM) A024053100 BLOODFULL S.C. TABLETS "C.H." A024055100 IBUPROFEN F.C. TABLETS "H.C." 100年1月 項次 支付價 0.32 3411 3412 4.68 3413 1 1.68 3414 3415 0.91 3416 126 3417 0.91 3418 52 3419 0.49 3420 1.3 1 3421 3422 2.03 3423 1.39 0.16 3424 1.46 3425 3426 0.64 0.19 3427 3428 10.9 1.37 3429 3430 0.75 3431 1.09 0.75 3432 0.1 3433 3434 0.98 3435 3.98 1 3436 3.04 3437 2.11 3438 3439 0.57 3440 0.8 3441 1.17 3442 56 3443 1.87 1 3444 3445 7.7 3446 0.61 1 3447 3448 1.5 2.82 3449 0 3450 1.48 3451 196 3452 14.7 3453 0.42 3454 2.04 3455 3456 1 CODE 藥品名稱 A024107212 A024113209 KOMETIN INJECTION (SULPIRIDE) "N.K." DEXTROSE AND SODIUM CHLORIDE INJECTION 5%/0.9% "Y.F." DEXTROSE AND SODIUM CHLORIDE INJECTION 5%/0.9% "Y.F." PISANTA INJECTION (PIRACETAM) DICLOFENAC ENTERIC COATED TABLETS "Y.C." DICLOFEN FILM COATED TABLETS (DICLOFENAC) AMOXICILLIN CAPSULES 500MG A024113277 A024114221 A024115100 A024127100 A024132100 說明 9901 支付價 10.00 29.00 17.80 10.00 0.49 0.49 1.35 A0241321G0 AMOXICILLIN CAPSULES 500MG(鋁箔/膠 箔) A024135100 GENYAN S.C. TABLETS (ANETHOLE) "SHOU CHAN" A024142100 BRENCO TABLETS (FENOTEROL) 1.50 A0241421G0 BRENCO TABLETS (FENOTEROL)(鋁箔) A024154100 SULIN TABLETS 5MG (DIAZEPAM) "ORIENTAL" A024155100 CHLOPHEDIANOL HCL TABLETS "S.C." 1.50 0.31 A024175100 A024182100 A024187100 0.67 0.85 1.93 A024192221 A024195100 A024196100 A024197100 REAZONE TABLETS ROXSON TABLETS "Y.Y"(PRIDINOL) TRENTAL DRAGEE 100MG (PENTOXIFYLLINE) REPACIN LYO-INJECTION (BETA-AESCIN) ULOPINE TABLETS (PIRENZEPINE DIHYDROCHLORIDE) "PANHIOTIC" PIPEMID TABLETS (PIPEMIDIC ACID) DICLOFENAC S.C. TABLETS "CHINTENG" A0241971G0 DICLOFENAC E.F.C. TABLETS "CHINTENG" (鋁箔/膠箔) A024198212 AMIKACIN INJECTION 125MG/ML "N.K." A024198299 AMIKACIN INJECTION 125MG/ML "N.K." A024199100 NAROXIN TABLETS "H.C" (NAPROXEN) A024203216 ACETYLCYSTEINE INJECTION 100MG/ML "LITA" A024212238 0.45% SODIUM CHLORIDE INJECTION A024212277 SODIUM CHLORIDE INJECTION 0.45% A0242122D9 SODIUM CHLORIDE INJECTION 0.45% A024225338 WHITE CLOUD OINTMENT (FLUOCINONIDE)"C.H." A024225399 WHITE CLOUD OINTMENT (FLUOCINONIDE)"C.H." A024227100 IBUPROFEN S.C. TABLETS "C.H." A024229100 1.00 1.00 1.00 41.20 1.88 2.46 1.00 1.50 33.70 16.80 1.05 7.50 2.90 19.30 85.00 116.00 3.08 0.84 A024239100 A024246100 PRIMRAM S.C. TABLETS (METOCLOPRAMIDE) "C.H." CARBETAN F.C. TABLETS 30MG "CHINTENG" (CARBETAPENTANE) NEWTASE TABLETS "CHINTENG" INOPAO CAPSULES "C.H." A024247321 ECOSONE CREAM "M.S." 13.60 A024247377 A024247399 ECOSONE CREAM "M.S." ECOSONE CREAM "M.S." 561.00 1.12 A024250321 A024250335 A024251100 A024258277 A024260100 A024261100 A024266100 A024269100 FUBININ CREAM "Y.S." FUBININ CREAM "Y.S." LITAZIN CAPSULES (PIPEMIDIC ACID) TAITA NO.4 INJECTION ELIANINE CAPSULES (SILYMARIN) ELIAMINE S.C. TABLETS (SILYMARIN) DIYUN TABLETS (DIPHENIDOL) "S.T." BUSKOBUN S.C. TABLETS (HYOSCINE BUTYLBROMIDE) "C.H." A024236100 第 67 頁,共 382 頁 0.54 0.50 1.00 2.34 13.70 59.00 2.11 35.60 1.83 1.90 1.64 1.01 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 3457 3458 A024063100 A024071500 3459 A024073212 3460 3461 A024076100 A024077100 3462 3463 A024078100 A024085100 藥品名稱 100年1月 項次 支付價 0.82 3457 FENOTEROL HBR TABLETS 2.5MG "S.C." GLYDGICON VAGINAL SUPPO-SITORIES 3458 8.2 (ECONAZOLE) CIMEDIN INJECTION (CIMETIDINE) "S.T." 3459 10 0.95 3460 PRANOL F.C. TABLETS (PROPRANOLOL) CIMEWET TABLETS (CIMETIDINE) "N.C.P." 3461 3479 3480 PRIDINOL TABLETS "P.L." WEIBAMYCIN CAPSULES "TAI YU" (DOXYCYCLINE) A024098100 BISPLEN TABLETS (EPRAZINONE) A024103100 TONTARIN F.C. TABLETS (DICLOFENAC) A024104100 HERSUN TABLETS 40MG (PROPRANOLOL HYDROCHLORIDE)"F.Y." A024107212 KOMETIN INJECTION (SULPIRIDE) "N.K." A024113209 DEXTROSE AND SODIUM CHLORIDE INJECTION 5%/0.9% "Y.F." A024113277 DEXTROSE AND SODIUM CHLORIDE INJECTION 5%/0.9% "Y.F." A024114221 PISANTA INJECTION (PIRACETAM) A024115100 DICLOFENAC ENTERIC COATED TABLETS "Y.C." A024127100 DICLOFEN FILM COATED TABLETS (DICLOFENAC) A024132100 AMOXICILLIN CAPSULES 500MG A0241321G0 AMOXICILLIN CAPSULES 500MG(鋁箔/膠 箔) A024135100 GENYAN S.C. TABLETS (ANETHOLE) "SHOU CHAN" A024142100 BRENCO TABLETS (FENOTEROL) A0241421G0 BRENCO TABLETS (FENOTEROL)(鋁箔) A024154100 SULIN TABLETS 5MG (DIAZEPAM) "ORIENTAL" A024155100 CHLOPHEDIANOL HCL TABLETS "S.C." A024175100 REAZONE TABLETS 3481 3482 A024182100 A024187100 3464 3465 3466 3467 3468 3469 3470 3471 3472 3473 3474 3475 3476 3477 3478 3488 3489 3490 ROXSON TABLETS "Y.Y"(PRIDINOL) TRENTAL DRAGEE 100MG (PENTOXIFYLLINE) A024192221 REPACIN LYO-INJECTION (BETA-AESCIN) A024195100 ULOPINE TABLETS (PIRENZEPINE DIHYDROCHLORIDE) "PANHIOTIC" A024196100 PIPEMID TABLETS (PIPEMIDIC ACID) A024197100 DICLOFENAC S.C. TABLETS "CHINTENG" A0241971G0 DICLOFENAC E.F.C. TABLETS "CHINTENG" (鋁箔/膠箔) A024198212 AMIKACIN INJECTION 125MG/ML "N.K." A024198299 AMIKACIN INJECTION 125MG/ML "N.K." A024199100 NAROXIN TABLETS "H.C" (NAPROXEN) 3491 A024203216 3492 A024212238 3493 3494 3495 3500 A024212277 SODIUM CHLORIDE INJECTION 0.45% A0242122D9 SODIUM CHLORIDE INJECTION 0.45% A024225338 WHITE CLOUD OINTMENT (FLUOCINONIDE)"C.H." A024225399 WHITE CLOUD OINTMENT (FLUOCINONIDE)"C.H." A024227100 IBUPROFEN S.C. TABLETS "C.H." A024229100 PRIMRAM S.C. TABLETS (METOCLOPRAMIDE) "C.H." A024236100 CARBETAN F.C. TABLETS 30MG "CHINTENG" (CARBETAPENTANE) A024239100 NEWTASE TABLETS "CHINTENG" 3501 A024246100 3483 3484 3485 3486 3487 3496 3497 3498 3499 ACETYLCYSTEINE INJECTION 100MG/ML "LITA" 0.45% SODIUM CHLORIDE INJECTION INOPAO CAPSULES "C.H." 1 0 3462 3463 1.01 0.6 3464 0.49 3465 3466 0.5 10 3467 3468 29 3469 17.8 10 3470 3471 0.49 3472 0.49 0 3473 3474 0 3475 1 1 3476 1.5 3477 3478 0.31 1 3479 3480 0.67 0.85 3481 3482 1.93 41.2 3483 3484 1.88 2.46 3485 1 3486 3487 1.5 33.7 3488 16.8 3489 3490 1.03 3491 7.5 3492 2.9 19.3 3493 85 3494 3495 116 3496 3.08 0.84 3497 3498 0.54 3499 0.5 3500 1 2.34 3501 說明 CODE 藥品名稱 A024270100 A024271100 2.17 0.76 A024291100 A024301100 PISON CAPSULES "C.H." ISMEDINE TABLETS (GUANETHIDINE SULFATE) "C.H." ERGO-M S.C. TABLETS "C.H."(ERGOMETRINE MALEATE) SULYANG CAPSUES (SULPIRIDE) "S.T." ANTOXINE TABLETS (DIHYDROERGOTOXINE METHANESULFONATE) "AND" LYSOZYME TABLETS 50MG "F.S." FIMEPON S.C. TABLETS "TK&A." A024304100 A024305100 A024309100 PEGIEN TABLETS "F.S." ULSPAN CAPSULES (SULPIRIDE) DARAFFIN TABLETETS "S.C." 0.65 1.00 1.00 A024272100 A024277100 A024280100 9901 支付價 0.18 1.00 3.36 0.59 1.75 A024310100 RESERZIDE S.C. TABLETS A0243101G0 RESERZIDE S.C. TABLETS (鋁箔/膠箔) 1.00 1.50 A024313100 FRUFE CAPSULES (GRISEOFULVIN) "Y.Y." 1.54 A024318100 A024319221 LORAZEPAM TABLETS 2MG "F.S." TREN INJECTION 100MG (TRANEXAMIC ACID) "YUNG SHIN" LIROCAM CAPSULE (PIROXICAM) "LITA" 0.64 10.40 A024329100 A024330100 A024335100 A024336100 A024338321 A024338329 A024338335 A024350100 A024356100 PIROCAM CAPSULES (PIROXICAM) SALBUTAMO TABLETS 4MG (SALBUTAMOL) AMITRIPTYLINE HYDROCHLORIDE S.C. TABLETS "C.H." TRISONE CREAM TRISONE CREAM TRISONE CREAM 1.00 0.91 0.50 刪除 11.50 10.70 25.50 1.31 0.49 FELVITEN S.C. TABLETS (ANETHOLE) DEXAMETHASONE TABLETS 0.5MG (DEXAMETHASONE) "L.S." THIAMPHENICOL CAPSULES 250MG "Y.C." GRISEOFULVIN TABLETS 250MG LORAZEPAM TABLETS 1MG 0.67 0.37 A0243841G0 LORAZEPAM TABLETS 1MG (鋁箔/膠箔) A024385100 LOPERAMIDE CAPSULES A024387100 DECAS S.C. TABLETS (LEVAMISOLE) "SHOU CHAN" A024398100 ANAPROX TABLETS (NAPROXEN SODIUM) A024431100 PAOWEIAN TABLETS 200MG (CIMETIDINE ) "C.H." A024433100 FUBININ TABLETS "MEIDER" A024440100 IKODIN CAPSULES 500MG (CEPHALEXIN) A024441100 CODEM CAPSULES "C.H." 1.50 0.68 1.83 A024456100 MEDONIN CAPSULES 10MG "CHEN TA" (SEAPROSE S) A024463100 ANXIEDIN TABLETS 0.5MG (LORAZEPAM) A0244631G0 ANXIEDIN TABLETS 0.5MG (LORAZEPAM)(鋁箔) A024465100 ASPIRIN TABLETS "JOHNSON" 3.17 A024474100 1.52 A024369100 A024372100 A024374100 A024375100 A024384100 A024486100 第 68 頁,共 382 頁 LIDIN TABLETS 300MG (LITHIUM CARBONATE) DIPHENHYDRAMINE CAPSULES 刪除 1.00 RELCON CAPSULES 250MG "YUNG CHI" CORODIL S.C. TABLETS 25MG (DIPYRIDAMOLE) ANPIMINE ELIXIR BIAUIANLINN "N.C.P" A024359199 A024362100 刪除 0.13 0.62 1.58 1.67 0.50 調整 1.38 1.00 0.77 1.84 1.00 0.80 1.50 0.45 0.39 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3502 A024247321 ECOSONE CREAM "M.S." 3503 A024247377 ECOSONE CREAM "M.S." 3504 3505 A024247399 A024250321 ECOSONE CREAM "M.S." FUBININ CREAM "Y.S." 3506 A024250335 FUBININ CREAM "Y.S." 3507 A024251100 3508 3509 A024258277 A024260100 LITAZIN CAPSULES (PIPEMIDIC ACID) "LITA" TAITA NO.4 INJECTION ELIANINE CAPSULES (SILYMARIN) 3510 A024261100 ELIAMINE S.C. TABLETS (SILYMARIN) 3511 A024266100 DIYUN TABLETS (DIPHENIDOL) "S.T." 3512 A024269100 3513 A024270100 BUSKOBUN S.C. TABLETS (HYOSCINE BUTYLBROMIDE) "C.H." PISON CAPSULES "C.H." 3514 A024271100 3532 3533 3534 ISMEDINE TABLETS (GUANETHIDINE SULFATE) "C.H." A024272100 ERGO-M S.C. TABLETS "C.H."(ERGOMETRINE MALEATE) A024277100 SULYANG CAPSUES (SULPIRIDE) "S.T." A024280100 ANTOXINE TABLETS (DIHYDROERGOTOXINE METHANESULFONATE) "AND" A024291100 LYSOZYME TABLETS 50MG "F.S." A024301100 FIMEPON S.C. TABLETS "H.S." A024304100 PEGIEN TABLETS "F.S." A024305100 ULSPAN CAPSULES (SULPIRIDE) A024309100 DARAFFIN TABLETETS "S.C." A024310100 RESERZIDE S.C. TABLETS A0243101G0 RESERZIDE S.C. TABLETS (鋁箔/膠箔) A024313100 FRUFE CAPSULES (GRISEOFULVIN) "Y.Y." A024318100 LORAZEPAM TABLETS 2MG "F.S." A024319221 TREN INJECTION 100MG (TRANEXAMIC ACID) "YUNG SHIN" A024329100 LIROCAM CAPSULE (PIROXICAM) "LITA" A024330100 PIROCAM CAPSULES (PIROXICAM) A024335100 SALBUTAMO TABLETS 4MG A024336100 AMITRIPTYLINE HYDROCHLORIDE S.C. TABLETS "C.H." A024338321 TRISONE CREAM A024338329 TRISONE CREAM A024338335 TRISONE CREAM 3535 3536 A024350100 A024356100 3515 3516 3517 3518 3519 3520 3521 3522 3523 3524 3525 3526 3527 3528 3529 3530 3531 3537 3538 3539 3540 3541 3542 3543 3544 3545 3546 3547 3548 3549 3550 RELCON CAPSULES 250MG "YUNG CHI" CORODIL S.C. TABLETS 25MG (DIPYRIDAMOLE) A024359199 ANPIMINE ELIXIR A024362100 BIAUIANLINN "N.C.P" A024369100 FELVITEN S.C. TABLETS (ANETHOLE) A024372100 DEXAMETHASONE TABLETS 0.5MG (DEXAMETHASONE) "L.S." A024374100 THIAMPHENICOL CAPSULES 250MG "Y.C." A024375100 GRISEOFULVIN TABLETS 250MG A024384100 LORAZEPAM TABLETS 1MG A0243841G0 LORAZEPAM TABLETS 1MG (鋁箔/膠箔) A024385100 LOPERAMIDE CAPSULES A024387100 DECAS S.C. TABLETS (LEVAMISOLE) "SHOU CHAN" A024398100 ANAPROX TABLETS (NAPROXEN A024431100 PAOWEIAN TABLETS 200MG (CIMETIDINE ) "C.H." A024433100 FUBININ TABLETS "MEIDER" A024440100 IKODIN CAPSULES 500MG (CEPHALEXIN) 100年1月 項次 支付價 3502 13.6 3503 561 1.07 3504 3505 13.7 3506 59 3507 2.11 35.6 3508 3509 1.83 3510 1.9 3511 1.64 3512 1.01 3513 2.17 3514 0.76 3515 0.18 1 3516 3517 3.36 0.59 1.75 0.65 1 1 1 1.5 1.54 0.64 3518 3519 3520 3521 3522 3523 3524 3525 3526 3527 10.4 1 3528 0.91 3529 0.5 3530 3531 1 11.5 3532 10.7 3533 3534 25.5 1.31 3535 3536 0 0.13 3537 0.62 3538 0.67 3539 3540 0.37 1.58 3541 1.67 3542 0.5 3543 1.5 3544 0.68 3545 3546 1.83 1.38 3547 3548 1 0.77 3549 1.84 3550 CODE 藥品名稱 A024488100 PROAZINE TABLETS (PROCHLORPERAZINE MALEATE) PIPERAN CAPSULES (PIPEMIDIC ACID )"YU SHENG" TEANLANG TABLETS 0.75MG LISOME TABLETS 30MG (LYSOZYME) "HONTEN" FLURAZINE F.C. TABLETS 5MG (TRIFLUOPERAZINE) "VPP" CONICA CAPSULES 400MG "S.T." (PIRACETAM) SODIUM CHLORIDE INJECTION 0.9 "TAI SODIUM CHLORIDE INJECTION 0.9% "TAI YU" SODIUM CHLORIDE INJECTION 0.9% "TAI YU" SODIUM CHLORIDE INJECTION 0.9% "TAI YU" SODIUM CHLORIDE INJECTION 0.9% "TAI YU" SODIUM CHLORIDE INJECTION 0.9% "TAI YU" SODIUM CHLORIDE INJECTION 0.9% "TAI YU" A.D.E. CREAM "SINPHAR" A024490100 A024493100 A024494100 A024509100 A024514100 A024516209 A024516212 A024516216 A024516248 A024516255 A024516265 A024516277 A024519343 說明 9901 支付價 0.30 2.27 0.31 0.84 1.17 1.22 24.20 70.00 86.00 8.10 14.70 15.50 17.30 45.90 A024519399 A024536100 A.D.E. CREAM "SINPHAR" PROPRANOLOL HYDROCHLORIDE TABLETS "C.H." A024571321 A024571329 A024571338 A024571355 A024571372 A024588100 A024592100 A024593277 A024596209 A024597100 EPARCORT CREAM EPARCORT CREAM EPARCORT CREAM EPARCORT CREAM EPARCORT CREAM SALUPEN TABLETS SULMIN TABLETS DEXTROSAN INJECTION ALLERCON INJECIOTN ALLERCON TABLETS A024598100 A024599100 A024601100 A024609100 SIULON TABLETS ANTI TABLETS KOMIAN TABLETS "TK&A." AMIPHEN TABLETS 500MG "SPC" A024610329 A024610399 A024615100 28.10 1.22 2.34 A024644100 A024660212 A024667265 A024667277 A024673265 A024673277 ECONIN CREAM "AND" ECONIN CREAM "AND" PICOL F.C. TABLETS (PIPEMIDIC ACID) "ROYAL" ACETAMINOPHEN TABLETS 500MG AMIKACIN SULFATE INJECTION 250MG "Y.Y." MULTIVITA INJECTION MULTIVITA INJECTION ACETAMINOPHEN TABLETS 325MG "C.T." ACETAMINOPHEN TABLETS 325MG "ASTAR" WUNTON TABLETS "W.P." PAPASTIN INJECTION RINGER INJECTION RINGER INJECTION RINGER INJDECTION "S.Y." RINGER INJDECTION "S.Y." A024675221 A024678100 GALLUCAN INJECTION GALLUCON TABLETS 10.10 0.80 A024695100 A024696216 FUDELLINE TABLETS DICLOFENAC INJECTION 25MG "TAI YU" A024616100 A024619212 A024620212 A024620221 A024622100 A024623100 第 69 頁,共 382 頁 調整 1.45 0.91 13.70 9.20 29.00 140.00 571.00 1.53 0.55 31.10 4.02 0.46 0.25 0.33 0.16 0.20 0.60 35.30 刪除 20.40 55.00 0.35 0.42 0.66 3.90 17.10 18.20 12.20 19.00 0.73 4.88 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3551 A024441100 CODEM CAPSULES "C.H." 3552 A024456100 3560 MEDONIN CAPSULES 10MG "CHEN TA" (SEAPROSE S) A024463100 ANXIEDIN TABLETS 0.5MG (LORAZEPAM) A0244631G0 ANXIEDIN TABLETS 0.5MG (LORAZEPAM)(鋁箔) A024465100 ASPIRIN TABLETS "JOHNSON" A024474100 LIDIN TABLETS 300MG (LITHIUM CARBONATE) A024486100 DIPHENHYDRAMINE CAPSULES A024488100 PROAZINE TABLETS (PROCHLORPERAZINE MALEATE) A024490100 PIPERAN CAPSULES (PIPEMIDIC ACID )"YU SHENG" A024493100 TEANLANG TABLETS 0.75MG 3561 A024494100 3562 A024509100 3563 A024514100 3564 3565 A024516209 A024516212 3566 A024516216 3567 A024516248 3568 A024516255 3569 A024516265 3570 A024516277 3571 3572 3573 A024519343 A024519399 A024536100 3574 A024571321 LISOME TABLETS 30MG (LYSOZYME) "HONTEN" FLURAZINE F.C. TABLETS 5MG (TRIFLUOPERAZINE) "VPP" CONICA CAPSULES 400MG "S.T." (PIRACETAM) SODIUM CHLORIDE INJECTION 0.9 "TAI SODIUM CHLORIDE INJECTION 0.9% "TAI YU" SODIUM CHLORIDE INJECTION 0.9% "TAI YU" SODIUM CHLORIDE INJECTION 0.9% "TAI YU" SODIUM CHLORIDE INJECTION 0.9% "TAI YU" SODIUM CHLORIDE INJECTION 0.9% "TAI YU" SODIUM CHLORIDE INJECTION 0.9% "TAI YU" A.D.E. CREAM "SINPHAR" A.D.E. CREAM "SINPHAR" PROPRANOLOL HYDROCHLORIDE TABLETS "C.H." EPARCORT CREAM 3575 A024571329 EPARCORT CREAM 3576 3577 3578 3579 A024571338 A024571355 A024571372 A024588100 EPARCORT CREAM EPARCORT CREAM EPARCORT CREAM SALUPEN TABLETS 3580 A024592100 SULMIN TABLETS 3581 A024593277 DEXTROSAN INJECTION 3582 A024596209 ALLERCON INJECIOTN 3583 3584 A024597100 A024598100 ALLERCON TABLETS SIULON TABLETS 3585 3586 3587 3588 A024599100 A024601100 A024609100 A024610329 ANTI TABLETS KOMIAN TABLETS AMIPHEN TABLETS 500MG "SPC" ECONIN CREAM "AND" 3589 A024610399 ECONIN CREAM "AND" 3590 A024615100 3591 A024616100 PICOL F.C. TABLETS (PIPEMIDIC ACID) "ROYAL" ACETAMINOPHEN TABLETS 500MG "ASTAR" 3553 3554 3555 3556 3557 3558 3559 100年1月 項次 支付價 3551 1 3552 3.17 0.8 3553 3554 1.5 0.45 3555 3556 1.52 0.39 3557 3558 0.3 3559 2.27 3560 0.31 3561 0.84 3562 1.17 3563 1.22 24.2 3564 3565 70 3566 86 3567 8.1 3568 14.7 3569 15.5 3570 17.3 45.9 3571 1.45 3572 3573 0.91 3574 13.7 3575 9.2 29 3576 140 3577 571 3578 3579 1.53 3580 0.55 3581 31.1 3582 4.02 0.46 3583 3584 0.25 0.33 3585 0.16 3586 0.2 3587 3588 0 3589 1.07 3590 2.34 3591 0.6 CODE 藥品名稱 A024703100 SULPI CAPSULES 50MG (SULPIRIDE) "WINSTON" A0247031G0 SULPI CAPSULES 50MG (SULPIRIDE) "WINSTON"(鋁箔) A024706100 SUPIAN TABLETS (PSEUDOEPHEDRINE A024708100 SORIN TABLETS 200MG (CHLORZOXAZONE) "YUNG SHIN" A024710100 CIMETIDINE TABLETS 200MG "C.T." A0247101G0 CIMETIDINE TABLETS 200MG "C.T." (鋁箔/ 膠箔) A024714100 BIODASE TABLETS "H.H." A024726100 PARAS TABLETS "YUNG SHIN" A024729212 A024730500 A024738212 A024740100 A024742100 GASZEPIN INJECTION (PIRENZEPINE 2HCL) "SWISS" FUCODINE VAGINAL TABLETS 100MG (CLOTRIMAZOLE)"N.W." DICYCLOMINE INJECTION 10MG/ML "SINTON" LYSOZYME TABLETS 100MG "M.T." 說明 9901 支付價 1.00 1.50 0.56 0.98 1.00 1.50 1.00 1.19 12.70 6.20 2.91 1.00 A024752321 MILISHER TABLETS 100MG (LYSOZYME) "H.H." CIMETIDINE INJECTION 100MG POTASSIUM CHLORIDE INJECTION 15% "KINGDOM" TOSEN OINTMENT "M.S." A024752399 TOSEN OINTMENT "M.S." 2.40 A024754100 ZECOLIN TABLETS 250MG 1.40 A024756277 DEXTROSE INJECTION 10% "TAI YU" A024750212 A024751221 A024757100 SUTON E.C. TABLETS 500MG (MEFENAMIC ACID) "N.W." A024758100 LYSOZYME TABLETS 90MG "SPC" A024766100 HETEL CAPSULES (CLOMIPHENE)"M.T." A024772212 ORISANTIN INJECTION 5MG/ML (DIPYRIDAMOLE) "ORIENTAL" A024789100 ERYMYCIN CAPSULES 250MG (ERYTHROMYCIN ESTOLATE) "VPP" A0247891G0 ERYMYCIN CAPSULES 250MG (ERYTHROMYCIN ESTOLATE) "VPP"(鋁箔/ 膠箔) A024790100 AMOXICILLIN CAPSULES 500MG "TAHA024807100 SALBUTAMOL TABLETS 4MG "Y.S." A024810100 WEIZAIN TABLETS "HONTEN" A024817100 BROTHINE TABLETS 2.5MG (TERBUTALINE SULFATE) A024832100 HYPOLAX TABLETS 0.1MG (CLONIDINE) "JINUP" A024833100 FLURAZINE S.C. TABLETS 2MG (TRIFLUOPERAZINE) "VPP" A024837100 TONIFEN F.C. TABLETS 500MG (MEFENAMIC ACID) " ROYAL " A024838100 RIFAMPICIN CAPSULES A024840277 CEMANDOLE INJECTION 500MG (CEFAMANDOLE) A024841100 CLOMIPHENE CAPSULES 50MG A024842100 ANTICOLD CAPAULES A024843100 CHIMIN TABLETS 0.5MG A024845100 AZUMON S.C. TABLETS 1.25MG "CHEN TA" (CONJUGATED ESTROGENS) A024856100 CEFLEXIN CAPSULES 250MG (CEPHALEXIN) "VPP" A024862100 OROTIN S.C. TABLETS "C.H." A024866100 第 70 頁,共 382 頁 HYTERGEN TABLETS 1.5MG (DIHYDROERGOTOXINE MESYLATE) 1.68 10.00 3.85 20.00 20.00 0.60 1.00 3.50 7.00 1.17 1.50 1.30 0.30 0.74 1.00 0.82 1.17 0.73 8.10 25.90 4.13 1.00 0.61 2.96 刪除 1.20 調整 0.64 2.29 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 3592 3593 3594 3595 3596 3597 3598 3599 3600 3601 3602 3603 3604 3605 3606 3607 3608 3609 3610 3611 3612 3613 3614 3615 3616 3617 3618 3619 3620 3621 3622 3623 3624 3625 3626 3627 3628 3629 3630 3631 3632 3633 3634 3635 3636 3637 CODE 藥品名稱 100年1月 項次 支付價 A024619212 AMIKACIN SULFATE INJECTION 250MG 3592 35.3 "Y.Y." 20.4 3593 A024620212 MULTIVITA INJECTION 55 3594 A024620221 MULTIVITA INJECTION 0 3595 A024622100 ACETAMINOPHEN TABLETS 325MG "C.T." 0.42 3596 A024623100 ACETAMINOPHEN TABLETS 325MG 0.66 3597 A024644100 WUNTON TABLETS "W.P." A024660212 PAPASTIN INJECTION 3598 3.9 17.1 3599 A024667265 RINGER INJECTION 18.2 3600 A024667277 RINGER INJECTION A024673265 RINGER INJDECTION "S.Y." 3601 12.2 A024673277 RINGER INJDECTION "S.Y." 3602 19 A024675221 GALLUCAN INJECTION 3603 10.1 0.8 3604 A024678100 GALLUCON TABLETS 0.73 3605 A024695100 FUDELLINE TABLETS 4.88 3606 A024696216 DICLOFENAC INJECTION 25MG "TAI YU" A024703100 SULPI CAPSULES 50MG (SULPIRIDE) 3607 1 "WINSTON" A0247031G0 SULPI CAPSULES 50MG (SULPIRIDE) 3608 1.5 "WINSTON"(鋁箔) 0.56 3609 A024706100 SUPIAN TABLETS (PSEUDOEPHEDRINE A0247061G0 SUPIAN TABLETS (PSEUDOEPHEDRINE 3610 1.5 HCL)(鋁箔/膠箔) A024708100 SORIN TABLETS 200MG 3611 0 (CHLORZOXAZONE) "YUNG SHIN" A024710100 CIMETIDINE TABLETS 200MG "C.T." 3612 1 A0247101G0 CIMETIDINE TABLETS 200MG "C.T." (鋁箔/ 3613 1.5 膠箔) 1 3614 A024714100 BIODASE TABLETS "H.H." 1.19 3615 A024726100 PARAS TABLETS "YUNG SHIN" A024729212 GASZEPIN INJECTION (PIRENZEPINE 3616 0 2HCL) "SWISS" A024730500 FUCODINE VAGINAL TABLETS 100MG 3617 6.2 (CLOTRIMAZOLE)"N.W." A024738212 DICYCLOMINE INJECTION 10MG/ML 3618 0 "SINTON" A024740100 LYSOZYME TABLETS 100MG "M.T." 3619 1 A024742100 MILISHER TABLETS 100MG (LYSOZYME) 3620 0 "H.H." A024750212 CIMETIDINE INJECTION 100MG 3621 10 "ORIENTAL" A024751221 POTASSIUM CHLORIDE INJECTION 15% 3622 3.85 "KINGDOM" 20 3623 A024752321 TOSEN OINTMENT "M.S." 2.4 3624 A024752399 TOSEN OINTMENT "M.S." 1.33 3625 A024754100 ZECOLIN TABLETS 250MG 20 3626 A024756277 DEXTROSE INJECTION 10% "TAI YU" A024757100 SUTON E.C. TABLETS 500MG 3627 0.6 (MEFENAMIC ACID) "N.W." 1 3628 A024758100 LYSOZYME TABLETS 90MG "SPC" 3.5 3629 A024766100 HETEL CAPSULES (CLOMIPHENE)"M.T." A024772212 ORISANTIN INJECTION 5MG/ML 3630 7 (DIPYRIDAMOLE) "ORIENTAL" A024789100 ERYMYCIN CAPSULES 250MG 3631 1.17 (ERYTHROMYCIN ESTOLATE) "VPP" A0247891G0 ERYMYCIN CAPSULES 250MG 3632 1.5 (ERYTHROMYCIN ESTOLATE) "VPP"(鋁箔/ 1.3 3633 A024790100 AMOXICILLIN CAPSULES 500MG "TAH0.3 3634 A024807100 SALBUTAMOL TABLETS 4MG "Y.S." 0.74 3635 A024810100 WEIZAIN TABLETS "HONTEN" A024817100 BROTHINE TABLETS 2.5MG 3636 1 (TERBUTALINE SULFATE) A024832100 HYPOLAX TABLETS 0.1MG (CLONIDINE) 3637 0.82 "JINUP" CODE 藥品名稱 A024867100 RISCO TABLETS (EPRAZINONE) "Y.C." A024873100 A024877100 A024878321 A024878335 A024878399 A024881100 UROPINE S.C. TABLETS "MEIDER" STANOZOLOL TABLETS 2MG "C.H." PERICON CREAM "CENTURY" PERICON CREAM "CENTURY" PERICON CREAM "CENTURY" KIDNIN CAPSULES 250MG (PIPEMIDIC ACID) "WINSTON" A024883212 DICOLOFENAC INJECTION 25MG/ML "H.S." A024885100 ANXIEDIN TABLETS 1MG (LORAZEPAM) A0248851G0 ANXIEDIN TABLETS 1MG (LORAZEPAM)(鋁箔) A024888100 CEFLEXIN CAPSULES 500MG (CEPHALEXIN) "VPP" A024889151 CASTEINE SYRUP (SCARBOXYMETHLCYSTEINE) A024894100 ETHAMBUTOL TABLETS 400MG "L.E." A024916277 HESTA INJECTION "N.K." A024921100 LEPOTIN TABLETS 1MG (CLEMASTINE) A024922277 AMPICLOXACIN FOR INJECTION A024924216 說明 9901 支付價 0.77 0.69 1.13 13.60 60.00 1.21 2.21 4.47 1.00 1.50 1.93 63.00 1.90 216.00 0.71 11.20 A024943100 DICLOFENAC SODIUM INJECTION 25MG/ML "S.Y." SUWEILIN TABLETS 200MG "SINTON" ERGODAN TABLETS "H.H.P." ERGO ENBRAIN TABLETS 1.5MG (DIHYDROERGOTOXINE MESYLATE) SALTOLIN INJECTION (SALBUTAMOL) "GENTLE" LORAPAM TABLETS 1MG (LORAZEPAM) A024944100 A024952209 A024952229 SPIRZIDE SPIRZIDE TABLETS DEXAMETHASONE INJECTION 4MG "Y.Y." DEXAMETHASONE INJECTION 4MG "Y.Y." A024953209 PROGESTERONE INJECTION 25MG "Y.Y." 2.85 A024953229 PROGESTERONE INJECTION 25MG "Y.Y" 19.20 A024957100 ISCAN F.C. TABLETS 200MG (CIMETIDINE) "SPC" MINLICK TABLETS (CLEMASTINE) "SPC" A024935100 A024936100 A024937100 A024942209 刪除 6.50 1.00 0.50 新增 2.29 刪除 6.30 0.40 0.78 3.08 13.70 刪除 刪除 A024958100 1.00 0.60 刪除 A024961212 T.T.Y. COLIMYCIN INJECTION 2000000 U (COLISTIN METHANESULFONATE) A024963209 SINCLOCILLIN INJECTION 1GM "SINPHAR" A024964100 MORCASIN TABLETS "SINPHAR" A0249641G0 MORCASIN TABLETS "SINPHAR"(鋁箔/膠 A024974100 MERIS SC TABLETS (BETAHISTINE) A024982100 JUWEILON TABLETS "M.T." A024986265 GLYCEROL INJECTION A024986266 A024986277 A024987100 55.00 23.30 1.00 1.50 1.00 0.28 88.00 A024990271 GLYCEROL INJECTION "N.K." GLYCEROL INJECTION CENDMYCIN CAPSULES 500MG (CEFADROXIL) "KINGDOM" TPN NO.8B INJECTION "S.T." A024991100 DIPHENIDOL S.C.TABLETS 25MG "C.H" A024995100 A025002329 A025015238 A025017100 TACRETON TABLETS 200MG EPICORT CREAM "VEIMIN" SANVITA INJECTION "ASTAR" YULANTYL TABLETS "TAI YU" 1.00 9.20 10.00 0.71 A025020100 ERYSTAC CAPSULES 250MG (ERYTHROMYCIN STEARATE) 1.16 第 71 頁,共 382 頁 102.00 103.00 2.02 50.00 1.00 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3638 A024833100 3639 A024837100 3640 A024838100 FLURAZINE S.C. TABLETS 2MG (TRIFLUOPERAZINE) "VPP" TONIFEN F.C. TABLETS 500MG (MEFENAMIC ACID) " ROYAL " RIFAMPICIN CAPSULES 3641 A024840277 3642 3643 3644 A024841100 A024842100 A024843100 3645 A024845100 3646 A024856100 3647 3648 A024862100 A024866100 3649 A024867100 CEMANDOLE INJECTION 500MG (CEFAMANDOLE) CLOMIPHENE CAPSULES 50MG ANTICOLD CAPAULES CHIMIN TABLETS 0.5MG (BETAMETHASONE) AZUMON S.C. TABLETS 1.25MG "CHEN TA" (CONJUGATED ESTROGENS) CEFLEXIN CAPSULES 250MG (CEPHALEXIN) "VPP" OROTIN S.C. TABLETS "C.H." HYTERGEN TABLETS 1.5MG (DIHYDROERGOTOXINE MESYLATE) RISCO TABLETS (EPRAZINONE) "Y.C." 3650 3651 3652 A024873100 A024877100 A024878321 UROPINE S.C. TABLETS "MEIDER" STANOZOLOL TABLETS 2MG "C.H." PERICON CREAM "CENTURY" 3653 3654 3655 A024878335 A024878399 A024881100 3656 A024883212 PERICON CREAM "CENTURY" PERICON CREAM "CENTURY" KIDNIN CAPSULES 250MG (PIPEMIDIC ACID) "WINSTON" DICOLOFENAC INJECTION 25MG/ML "H.S." 3657 3658 3661 A024885100 ANXIEDIN TABLETS 1MG (LORAZEPAM) A0248851G0 ANXIEDIN TABLETS 1MG (LORAZEPAM)(鋁箔) A024888100 CEFLEXIN CAPSULES 500MG (CEPHALEXIN) "VPP" A024889151 CASTEINE SYRUP (SCARBOXYMETHLCYSTEINE) A024894100 ETHAMBUTOL TABLETS 400MG "L.E." 3662 3663 3664 3665 A024916277 A024921100 A024922277 A024924216 3666 3667 A024935100 A024936100 3668 A024937100 3669 A024942209 3670 3671 A024943100 A024944100 ENBRAIN TABLETS 1.5MG (DIHYDROERGOTOXINE MESYLATE) SALTOLIN INJECTION (SALBUTAMOL) "GENTLE" LORAPAM TABLETS 1MG (LORAZEPAM) SPIRZIDE SPIRZIDE TABLETS 3672 A024952209 DEXAMETHASONE INJECTION 4MG "Y.Y." 3673 3674 A024952229 A024953209 DEXAMETHASONE INJECTION 4MG "Y.Y." PROGESTERONE INJECTION 25MG "Y.Y." 3675 3676 A024953229 A024957100 3677 A024958100 PROGESTERONE INJECTION 25MG "Y.Y" ISCAN F.C. TABLETS 200MG (CIMETIDINE) "SPC" MINLICK TABLETS (CLEMASTINE) "SPC" 3678 A024961212 3659 3660 3679 3680 3681 HESTA INJECTION "N.K." LEPOTIN TABLETS 1MG (CLEMASTINE) AMPICLOXACIN FOR INJECTION DICLOFENAC SODIUM INJECTION 25MG/ML "S.Y." SUWEILIN TABLETS 200MG "SINTON" ERGODAN TABLETS "H.H.P." T.T.Y. COLIMYCIN INJECTION 2000000 U (COLISTIN METHANESULFO A024963209 SINCLOCILLIN INJECTION 1GM "SINPHAR" A024964100 MORCASIN TABLETS "SINPHAR" A0249641G0 MORCASIN TABLETS "SINPHAR"(鋁箔/膠 100年1月 項次 支付價 3638 1.17 3639 0.73 3640 8.1 3641 25.9 4.13 3642 1 3643 3644 0.61 3645 2.96 3646 1.2 0.64 3647 3648 2.29 3649 0.77 0.69 3650 1.13 3651 3652 13.6 60 3653 1.09 3654 3655 2.21 3656 4.47 1 3657 3658 1.5 3659 1.93 3660 63 3661 0 216 3662 0.71 3663 11.2 3664 3665 6.5 0 3666 3667 0.5 3668 2.29 3669 0 0.4 3670 3671 0.78 3672 3.08 13.7 3673 3674 2.85 19.2 3675 3676 1 3677 0.6 3678 138 3679 23.3 1 3680 1.5 3681 說明 CODE 藥品名稱 A025025100 NYSTATIN TABLETS 2.73 A025027100 DEXCHLORPHENIRAMINE MALEATE TABLETS 2MG "Y.C." TRIROGIN TABLETS 1.5MG (DIHYDROERGOTOXINE) ACETAMINOPHEN TABLETS 500MG "SINTON" KAOPECTIN SUSPENSION "SINPHAR" BIODASE POWDER TENOBEC TABLETS 5MG (FENOTEROL) "PANBIOTIC" ANLITON TABLETS "F.S." 0.80 A025028100 A025031100 A025034199 A025039199 A025054100 A025055100 A025057100 KANSAMIN CAPSULES 250MG (TRANEXAMIC ACID) "SINTON" A025058100 VANCONIN TABLETS 2MG (DIAZEPAM) A0250581G0 VANCONIN TABLETS 2MG (DIAZEPAM) "VPP" (90粒/瓶) (鋁箔/膠箔) A025060221 KANSAMIN INJECTION 100MG/ML (TRANEXAMIC ACID)"SINTON" A025061100 MEPENATE TABLETS 25MG A025079100 COMBICILLIN CAPSULES "C.R." A025081100 RECOUGH TABLETS 20MG "S.C." (EPRAZINONE) A025083100 UCEFA CAPSULES 500MG (CEFADROXIL) A025086100 GAIN-VITA S.C. TABLETS A025091100 MAGOCAIN TABLETS A025095100 9901 支付價 2.55 0.20 0.09 1.03 1.53 1.52 1.38 0.29 1.50 10.10 0.73 4.97 1.00 2.06 2.09 1.00 A025096100 A025104277 WINTIDINE TABLETS 200MG (CIMETIDINE) "WINSTON DIAZEPAM TABLETS 2MG "H.C" FRUCERINTONE INTECTION "TAI YU" A025108100 NOSCAPINE TABLETS "UNION" 1.00 A025110100 DEXTROLAMINE CAPSULES "S.C." 1.01 A025118100 NEUROPAM TABLETS 2MG (LORAZEPAM) "PANBIOTIC" BISCO TABLETS 12MG (BROMHEXINE) TRANEXAMIC CAPSULES 250MG "JINUP" ZINC TABLETS 15MG "GCPC" CEFAMANDOLE FOR INJECTION 1GM 0.65 A025121100 A025123100 A025124100 A025125209 A025128417 A025128421 A025130100 A025131100 GENTAMYCIN OPHTH. OINTMENT GENTAMYCIN OINTMENT OPHTHALMIC "GCPC" NOFLAGMA CAPSULES 50MG (LYSOZYME) "YUNG SHIN" AZEPIN TABLETS 2MG (DIAZEPAM) "S.H." 調整 1.00 0.20 106.00 刪除 0.23 1.38 1.29 48.10 21.10 29.80 刪除 1.00 0.23 刪除 A025132209 A025136321 A025136329 A025149100 A025159100 A025160100 A025163100 A025170100 A025181100 A025191100 A025194157 A025194199 第 72 頁,共 382 頁 DEHISTANE INJECTION "PANBIOTIC" MYCOSTEN CREAM 10MG/GM (CLOTRIMAZOLE) "SINPHAR" MYCOSTEN CREAM 10MG/GM (CLOTRIMAZOLE) "SINPHAR" LICHANYU TABLETS "HONTEN" GRIFUCIN TABLETS 500MG (GRISEOFULVIN) "PRINCE ASPIRIN F.C. TABLETS 500MG "TAI YU" DECA TABLETS 0.75MG (DEXAMETHASONE) "S.T." DEPAIN TABLETS 500MG (ACETAMINOPHEN) "W.P." FUANTIN TABLETS 1MG (DIHYDROERGOTOXINE MESYLATE WINSUMIN S.C. TABLETS 50MG (CHLORPROMAZINE HCL) KOSONIN SYRUP "UNION" KOSONIN SYRUP "UNION" 1.81 9.40 19.70 0.48 2.35 0.62 0.67 0.19 2.57 調整 0.80 28.60 0.19 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3682 3683 3684 A024974100 A024982100 A024986265 MERIS SC TABLETS (BETAHISTINE) JUWEILON TABLETS "M.T." GLYCEROL INJECTION 3685 3686 3687 A024986266 A024986277 A024987100 3688 3689 3690 A024990271 A024991100 A024995100 3691 3692 3693 A025002329 A025015238 A025017100 GLYCEROL INJECTION "N.K." GLYCEROL INJECTION CENDMYCIN CAPSULES 500MG (CEFADROXIL) "KINGDOM" TPN NO.8B INJECTION "S.T." DIPHENIDOL S.C.TABLETS 25MG "C.H" TACRETON TABLETS 200MG (CIMETIDINE) EPICORT CREAM "VEIMIN" SANVITA INJECTION "ASTAR" YULANTYL TABLETS "TAI YU" 3694 A025020100 3695 3696 A025025100 A025027100 3697 A025028100 3698 A025031100 3699 A025034199 ERYSTAC CAPSULES 250MG (ERYTHROMYCIN STEARATE) NYSTATIN TABLETS DEXCHLORPHENIRAMINE MALEATE TABLETS 2MG "Y.C." TRIROGIN TABLETS 1.5MG (DIHYDROERGOTOXINE) ACETAMINOPHEN TABLETS 500MG "SINTON" KAOPECTIN SUSPENSION "SINPHAR" 3700 A025039199 BIODASE POWDER 3701 A025054100 TENOBEC TABLETS 5MG (FENOTEROL) "PANBIOTIC" ANLITON TABLETS "F.S." 100年1月 項次 支付價 1 3682 0.28 3683 3684 88 102 3685 0 3686 3687 2.02 50 3688 1 3689 3690 1 9.2 3691 10 3692 3693 0.71 3694 1.16 2.73 3695 3696 0.8 3697 2.55 3698 0 3699 0.09 3700 藥品名稱 A025195100 A025196100 A025201100 A025224100 DYPHACOL TABLETS EASYGO TABLETS "S.T." TECON CAPSULES 10MG (PIROXICAM) "PANBIOTIC" FELCAM CAPSULES 10MG (PIROXICAM) COMFORT CAPSULES "S.C." CHLORPHENIRAMINE MALEATE TABLETS 4MG "W.P." POLIMIN-B12 INJECTION "Y.Y." POLIMIN-B12 INJECTION "Y.Y." ANTIFUNGAL VAGINAL TABLETS 100MG "S.C." (MICONAZOLE) KONAZOLE OINTMENT AMOXICILLIN CAPSULES 250MG "TAHTOEEFON TABLETS 250MG (MEFENAMIC ACID) "T.F." ORIBIRA TABLETS "ORIENTAL" A025228335 A025230100 BINCON OINTMENT (INDOMETHACIN) DOGWEISU CAPSULES 50MG (SULPIRIDE) 32.00 1.00 A025231100 KETOEN CAPSULES 50MG (KETOPROFEN) "SPC" TRETINOIN CREAM 0.1% 1.10 A025202100 A025209100 A025214100 A025216229 A025216238 A025217500 A025218329 A025221100 A025223100 A025237321 A025055100 A025243100 3701 A025244100 3702 A025245209 3703 0 0.29 3704 3705 1.5 3706 0 0.73 3707 4.97 3708 3709 1 2.06 3710 2.09 3711 1 3712 3713 1 0.2 3714 106 3715 3716 1 3717 1.01 3718 0.65 0.23 3719 3720 1.35 1.29 3721 3722 48.1 21.1 3723 3724 29.8 3725 0 0.23 3726 1.81 3727 A025245277 1.53 1.52 3703 3714 3715 3716 KANSAMIN CAPSULES 250MG (TRANEXAMIC ACID) "SINTON" A025058100 VANCONIN TABLETS 2MG (DIAZEPAM) A0250581G0 VANCONIN TABLETS 2MG (DIAZEPAM) "VPP" (90粒/瓶) (鋁箔/膠 A025060221 KANSAMIN INJECTION 100MG/ML (TRANEXAMIC ACID)"SINTON" A025061100 MEPENATE TABLETS 25MG A025079100 COMBICILLIN CAPSULES "C.R." A025081100 RECOUGH TABLETS 20MG "S.C." (EPRAZINONE) A025083100 UCEFA CAPSULES 500MG (CEFADROXIL) A025086100 GAIN-VITA S.C. TABLETS A025091100 MAGOCAIN TABLETS A025095100 WINTIDINE TABLETS 200MG (CIMETIDINE) "WINSTON A025096100 DIAZEPAM TABLETS 2MG "H.C" A025104277 FRUCERINTONE INTECTION "TAI YU" A025108100 NOSCAPINE TABLETS "UNION" 3717 A025110100 DEXTROLAMINE CAPSULES "S.C." 3718 A025118100 3719 3720 A025121100 A025123100 NEUROPAM TABLETS 2MG (LORAZEPAM) "PANBIOTIC" BISCO TABLETS 12MG (BROMHEXINE) TRANEXAMIC CAPSULES 250MG "JINUP" 3721 3722 A025124100 A025125209 ZINC TABLETS 15MG "GCPC" CEFAMANDOLE FOR INJECTION 1GM 3723 3724 A025128417 A025128421 3725 A025130100 3726 3727 A025131100 A025132209 GENTAMYCIN OPHTH. OINTMENT GENTAMYCIN OINTMENT OPHTHALMIC "GCPC" NOFLAGMA CAPSULES 50MG (LYSOZYME) "YUNG SHIN" AZEPIN TABLETS 2MG (DIAZEPAM) "S.H." DEHISTANE INJECTION "PANBIOTIC" 3704 3705 3706 3707 3708 3709 3710 3711 3712 3713 A025057100 9901 支付價 1.00 0.88 0.91 1.00 0.36 0.30 刪除 10.00 7.70 6.20 41.50 0.90 0.60 5.80 22.00 刪除 A025240100 1.03 3702 說明 CODE A025254100 A025261199 A025272100 A025273100 A025275100 A025279100 A025287277 A025290100 A025291321 A025291325 TAGNESON CAPSULES 50MG (SULPIRIDE) "JINUP" ERGOXIN TABLETS 1.5MG (DIHYDROERGOTOXINE METHANESULFONATE) "S.C." LIKODIN CAPSULES 500MG (CEFADROXIL) "SWISS" APRELAZINE INJECTION 20MG/ML (HYDRALAZINE) APRELAZINE INJECTION 20MG/ML (HYDRALAZINE) LYSOZYME TABLETS 90MG "S.C." CYPROHEPTADINE SYRUP 0.4MG/ML "ORIENTAL" DIPYRIDAMOLE S.C. TABLETS 25MG "C.H." PIMICOL TABLETS 250MG (PIPEMIDIC NORSETOA CAPSULES "CHINTENG" SUPERZYME TABLETS 90MG (LYSOZYME) "S.Y." CEFAMANDOLE FOR INJECTION 500MG PIROX CAPSULES (PIROXICAM) SEEDO-SANIN CREAM SEEDO-SANIN CREAM A025291329 A025291399 A025301100 0.80 2.55 2.01 27.30 18.50 刪除 1.00 0.08 0.84 刪除 2.05 0.90 1.00 26.20 1.00 9.00 12.90 SEEDO-SANIN CREAM SEEDO-SANIN CREAM OXO CAPSULES "YUNG SHIN" (OXOLAMINE CITRATE) A025304100 COSTAN TABLETS 20MG (EPRAZINONE) "S.T." A025309157 CARSTIN SYRUP 20MG/ML (SCARBOXYMETHYLCYSTEINE) A025310100 FUROKAN CAPSULES (PIROXICAM) A025314100 NIFLUCIL CAPSULES 250MG "S.S." (NIFLUMIC ACID) A025316100 TRANEXMIN CAPSULES 250MG A0253161G0 TRANEXMIN CAPSULES 250MG "CHINTENG"(鋁箔/膠箔) A025323209 BETAMETHASONE INJECTION 4MG/ML A025323229 BETAMETHASONE INJECTION 4MG/ML "Y.A" A025349100 LICOTIN-A CAPSULES "YUNG CHI" 19.10 1.21 0.96 A025355266 A025355277 97.00 95.00 0.60 27.10 0.91 2.50 調整 1.38 1.50 6.60 14.60 1.00 刪除 第 73 頁,共 382 頁 FRUCEROL INJECTION FRUCEROL INJECTION 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3728 A025136321 3729 A025136329 3730 3731 A025149100 A025159100 3732 A025160100 MYCOSTEN CREAM 10MG/GM (CLOTRIMAZOLE) "SINPHAR" MYCOSTEN CREAM 10MG/GM (CLOTRIMAZOLE) "SINPHAR" LICHANYU TABLETS "HONTEN" GRIFUCIN TABLETS 500MG (GRISEOFULVIN) "PRINCE ASPIRIN F.C. TABLETS 500MG "TAI YU" 3733 A025163100 3734 A025170100 3735 A025181100 3736 A025191100 3737 3738 3739 A025194157 A025194199 A025195100 3740 3741 A025196100 A025201100 DECA TABLETS 0.75MG (DEXAMETHASONE) "S.T." DEPAIN TABLETS 500MG (ACETAMINOPHEN) "W.P." FUANTIN TABLETS 1MG (DIHYDROERGOTOXINE MESYLATE WINSUMIN S.C. TABLETS 50MG (CHLORPROMAZINE HCL) KOSONIN SYRUP "UNION" KOSONIN SYRUP "UNION" DYPHACOL TABLETS 3744 EASYGO TABLETS "S.T." TECON CAPSULES 10MG (PIROXICAM) "PANBIOTIC" A025202100 FELCAM CAPSULES 10MG (PIROXICAM) A0252021G0 FELCAM CAPSULES 10MG (PIROXICAM)(鋁箔/膠箔) A025209100 COMFORT CAPSULES "S.C." 3745 A025214100 3746 A025216229 3747 3748 A025216238 A025217500 3749 A025218329 3750 A025221100 3751 A025223100 3752 3753 3754 3755 A025224100 A025228335 A025230100 A025231100 3756 3757 A025237321 A025240100 3758 A025243100 3759 A025244100 3742 3743 3760 3761 3762 A025245209 A025245277 A025254100 CHLORPHENIRAMINE MALEATE TABLETS 4MG "W.P." POLIMIN-B12 INJECTION "Y.Y." POLIMIN-B12 INJECTION "Y.Y." ANTIFUNGAL VAGINAL TABLETS 100MG "S.C." (MICONAZOLE) KONAZOLE OINTMENT (MICONAZOLE)"Y.Y." AMOXICILLIN CAPSULES 250MG "TAHAN" TOEEFON TABLETS 250MG (MEFENAMIC ACID) "T.F." ORIBIRA TABLETS "ORIENTAL" BINCON OINTMENT (INDOMETHACIN) DOGWEISU CAPSULES 50MG (SULPIRIDE) KETOEN CAPSULES 50MG (KETOPROFEN) "SPC" TRETINOIN CREAM 0.1% TAGNESON CAPSULES 50MG (SULPIRIDE) "JINUP" ERGOXIN TABLETS 1.5MG (DIHYDROERGOTOXINE METHANESULFONATE) LIKODIN CAPSULES 500MG (CEFADROXIL) "SWISS" APRELAZINE INJECTION 20MG/ML (HYDRALAZINE) APRELAZINE INJECTION 20MG/ML (HYDRALAZINE) LYSOZYME TABLETS 90MG "S.C." 100年1月 項次 支付價 3728 9.4 3729 19.7 0.48 3730 3731 2.35 3732 0.62 3733 0.67 3734 0.19 3735 0 3736 0 28.6 3737 0.19 3738 3739 1 0.88 3740 3741 0.91 1 3742 3743 1.5 3744 0.36 3745 0.3 3746 10 7.7 3747 3748 6.2 3749 41.5 3750 0.9 3751 0.6 5.8 3752 32 3753 1 3754 3755 1.1 22 3756 3757 0.8 3758 CODE 藥品名稱 A025365100 ESIDAR S.C. TABLETS "M.T." 3764 3765 3766 A025261199 A025272100 A025273100 A025275100 CYPROHEPTADINE SYRUP 0.4MG/ML "ORIENTAL" DIPYRIDAMOLE S.C. TABLETS 25MG "C.H." PIMICOL TABLETS 250MG (PIPEMIDIC ACID) NORSETOA CAPSULES "CHINTENG" 1.50 A025377100 A025381100 3.61 0.37 A025279100 SUPERZYME TABLETS 90MG (LYSOZYME) "S.Y." TIOPRONIN S.C. TABLETS 100MG "F.S." POSDAN CAPSULES 250MG "K.S." A025396100 MEFETON F.C. TABLETS 500MG (MEFENAMIC ACID) A0253961G0 MEFETON F.C. TABLETS 500MG (MEFENAMIC ACID) "S.Y."(瓶裝/84粒/瓶) A025402100 SOLACON TABLETS 200MG (CHLORZOXAZONE) "STANDARD" A0254021G0 SOLACON TABLETS 200MG (CHLORZOXAZONE) "STANDARD"(鋁箔) A025406100 PERANSIN F.C. TABLETS 75MG (DIPYRIDAMOLE) "C.H." A025419100 REZINON TABLETS 20MG (EPRAZINONE) A025420100 DEXAMETHASONE TABLETS A025426212 PYRIDOXAL PHOSPHATE INJECTION 10MG/ML "Y.Y." A025427100 DISOPYRAMIDE CAPSULES 100MG "Y.S." A025428416 RUCOS ORAL BASE 0.1% (TRIAMCINOLONE) A025428421 RUCOS ORAL BASE 0.1% A025430209 NEUROPAM INJECTION 2MG/ML (LORAZEPAM) A025430212 NEUROPAM INJECTION 2MG/ML (LORAZEPAM) A025431100 DIPYRIDAMOLE S.C. TABLETS 75MG"ORIENTAL" A025436100 DICLOTON TABLETS 25MG (DICLOFENAC) "TK&A" A025442199 DESPLEN GRANULES (EPRAZINONE) A025443100 KONSHIEN CAPSULES "YU SHENG" A025445100 NORUOLU TABLETS 5MG (NORETHISTERONE) A025446100 PIROXIM CAPSULES 10MG (PIROXICAM) "STANDARD" A0254461G0 PIROXIM CAPSULES 10MG (PIROXICAM) "STANDARD" (鋁箔/膠箔) A025447100 ANSRON FILM COATED TABLETS 100MG A025449114 AMIYU GRANULES A025452100 ZUCON TABLETS 25MG (DICLOFENAC) A025456100 HOWELL TABLETS 100MG (DIHYDROXYALUMINUM A025460100 TRANEXAMIC ACID 250MG CAPSULES A025462100 SULPIRIDE TABLETS 100MG "Y.S.C." 0.60 1.50 0.80 1.50 刪除 1.00 刪除 0.80 0.49 2.90 5.00 20.80 28.90 10.00 新增 18.70 1.00 0.49 1.99 1.00 1.45 1.49 1.50 5.00 14.40 0.50 1.46 1.41 2.73 A025466100 LEVAZOL TABLETS 40MG (LEVAMISOLE) "S.T." 3.94 3759 A025467100 0.96 3760 A025471100 3761 A025477100 3762 A025478100 3763 A025482209 3764 A025483100 3765 A025485209 3766 A025485277 3767 A025487100 LYZINE TABLETS 50MG (LYSOZYME) "S.T." MUSZEPIN TABLETS 25MG (PIRENZEPINE HYDROCHLORIDE) WINBETA TABLETS 0.5MG (BETAMETHASONE) "WINSTON" VILECON CAPSULES 30MG (PYRIDOXALPHOSPHATE) "F.S." ATROPINE SULFATE INJECTION 2MG/ML "VPP" SHOUCA TABLETS 100MG (MEBENDAZOLE) "S.C." DEXTROSE 5% AND SODIUM CHLORIDE 0.225% INJECTION "Y.F." DEXTROSE 5% AND SODIUM CHLORIDE 0.225% INJECTION "Y.F." LONDEC TABALETS "K.S." 2.55 2.01 27.3 18.5 0.08 0.84 2.05 0.9 3767 0.71 A0253651G0 ESIDAR S.C. TABLETS "M.T."(鋁箔/膠箔) 1 3763 說明 9901 支付價 1 第 74 頁,共 382 頁 1.93 0.32 0.75 3.46 1.45 28.90 16.30 0.45 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 3768 3769 3770 3771 3772 3773 3774 A025287277 A025290100 A025291321 A025291325 A025291329 A025291399 A025301100 藥品名稱 3783 3784 3785 3786 3787 3788 CEFAMANDOLE FOR INJECTION 500MG PIROX CAPSULES (PIROXICAM) SEEDO-SANIN CREAM SEEDO-SANIN CREAM SEEDO-SANIN CREAM SEEDO-SANIN CREAM OXO CAPSULES "YUNG SHIN" (OXOLAMINE CITRATE) A025304100 COSTAN TABLETS 20MG (EPRAZINONE) "S.T." A025309157 CARSTIN SYRUP 20MG/ML (SCARBOXYMETHYLCYSTEINE) A025310100 FUROKAN CAPSULES (PIROXICAM) A025314100 NIFLUCIL CAPSULES 250MG "S.S." (NIFLUMIC ACID) A025316100 TRANEXMIN CAPSULES 250MG A0253161G0 TRANEXMIN CAPSULES 250MG "CHINTENG"(鋁箔/膠箔) A025323209 BETAMETHASONE INJECTION 4MG/ML A025323229 BETAMETHASONE INJECTION 4MG/ML "Y.A" A025349100 LICOTIN-A CAPSULES "YUNG CHI" A025355266 FRUCEROL INJECTION A025355277 FRUCEROL INJECTION A025365100 ESIDAR S.C. TABLETS "M.T." A0253651G0 ESIDAR S.C. TABLETS "M.T."(鋁箔/膠箔) A025377100 TIOPRONIN S.C. TABLETS 100MG "F.S." 3789 3790 A025381100 A025396100 3775 3776 3777 3778 3779 3780 3781 3782 3795 3796 POSDAN CAPSULES 250MG "K.S." MEFETON F.C. TABLETS 500MG (MEFENAMIC ACID) A0253961G0 MEFETON F.C. TABLETS 500MG (MEFENAMIC ACID) "S.Y."(瓶裝/84 A025402100 SOLACON TABLETS 200MG (CHLORZOXAZONE) "STANDARD" A0254021G0 SOLACON TABLETS 200MG (CHLORZOXAZONE) "STANDARD"(鋁箔) A025406100 PERANSIN F.C. TABLETS 75MG (DIPYRIDAMOLE) "C.H." A025419100 REZINON TABLETS 20MG (EPRAZINONE) A025420100 DEXAMETHASONE TABLETS 3797 A025426212 3798 3799 3800 A025427100 A025428416 A025428421 3801 A025430209 3802 A025430212 3803 A025431100 3804 3805 A025436100 A025442199 3806 3807 A025443100 A025445100 3791 3792 3793 3794 3808 3809 3810 3811 3812 3813 3814 PYRIDOXAL PHOSPHATE INJECTION 10MG/ML "Y.Y." DISOPYRAMIDE CAPSULES 100MG "Y.S." RUCOS ORAL BASE 0.1% RUCOS ORAL BASE 0.1% (TRIAMCINOLONE) NEUROPAM INJECTION 2MG/ML (LORAZEPAM) NEUROPAM INJECTION 2MG/ML (LORAZEPAM) DIPYRIDAMOLE S.C. TABLETS 75MG"ORIENTAL" DICLOTON TABLETS 25MG (DICLOFENAC) DESPLEN GRANULES (EPRAZINONE) KONSHIEN CAPSULES "YU SHENG" NORUOLU TABLETS 5MG (NORETHISTERONE) A025446100 PIROXIM CAPSULES 10MG (PIROXICAM) "STANDARD" A0254461G0 PIROXIM CAPSULES 10MG (PIROXICAM) "STANDARD" (鋁箔/膠箔) A025447100 ANSRON FILM COATED TABLETS 100MG A025449114 AMIYU GRANULES A025452100 ZUCON TABLETS 25MG (DICLOFENAC) A025456100 HOWELL TABLETS 100MG (DIHYDROXYALUMINUM A025460100 TRANEXAMIC ACID 250MG CAPSULES 100年1月 支付價 26.2 1 9 12.9 19.1 1.09 項次 CODE 3768 3769 3770 3771 3772 3773 3774 A025492212 A025495100 A025504421 A025504423 A025504499 A025517100 A025520100 0 3775 0.6 3776 27.1 0.91 3777 3778 2.5 1.35 3779 3780 1.5 6.6 3781 3782 14.6 1 3783 97 3784 95 3785 0.71 3786 1.5 3787 3788 3.61 0.37 3789 3790 0.6 3791 1.5 3792 0 3793 1.5 3794 1 0.8 3795 3796 0.49 3797 2.9 5 3798 20.8 3799 3800 28.9 3801 10 3802 18.7 3803 1 0.49 3804 3805 1.99 1 3806 3807 1.26 3808 0 3809 0 5 3810 14.4 3811 0.5 3812 3813 1.46 1.33 3814 藥品名稱 BITAS-H INJECTION "Y.Y." NAPROXEN TABLETS 250MG "TAH-AN" YECOLON ORABESE (TRIAMCINOLONE) YECOLON ORABASE (TRIAMCINOLONE) YECOLON ORABESE (TRIAMCINOLONE) THECOUGHEN TABLETS "T.F." METHOPTERIN TABLETS 2.5MG (METHOTREXATE) A025524100 VOREN ENTERIC COATED TABLETS 50MG "YUNG SHIN A0255241G0 VOREN ENTERIC COATED TABLETS 50MG "YUNG SHIN"(鋁箔) A025525100 KODERLIN TABLETS "MEIDER" A025528277 KALTOSE INJECTION "N.K." 說明 9901 支付價 2.59 1.22 28.60 63.00 5.30 0.50 3.00 刪除 1.16 1.50 3.21 116.00 A025539229 A025541100 LINCOMYCIN INJECTION 300MG "Y.Y." SILYMARIN S.C. TABLETS 35MG 27.60 1.80 A025547100 A025548100 2.63 1.60 A025564100 A025567321 REMEXIN TABLETS "S.T." PIZEPINE TABLETS 25MG (PIRENZEPINE DIHYDROCHLORIDE) TOLMETIN TABLETS 200MG "LITA" AMIYU INJECTION BAKTSIN TABLETS "Y.S." LORAZEPAM TABLETS 1MG "C.S." SULPIRIDE CAPSULES 50MG "C.S." SINICORT INJECTION 10MG/ML (TRIAMCINOLONE ACETONIDE) PIREPINE TABLETS 25MG "YU SHENG" ECONALONE CREAM "SINPHAR" A025567329 ECONALONE CREAM "SINPHAR" 24.00 A025567399 ECONALONE CREAM "SINPHAR" 1.05 A025570100 LYSOZYME TABLETS 50MG 0.76 A025571100 SPANTON TABLETS 0.86 A025581100 A025582100 RICO CAPSULES "H.H." EPRANONE TABLETS 20MG (EPRAZINONE) "H.H." LORAZEPAM TABLETS 1MG "C.H." 0.90 1.00 A025549100 A025550263 A025555100 A025556100 A025557100 A025563221 調整 調整 8.00 137.00 0.62 0.40 1.01 26.60 1.76 11.60 刪除 A025586100 A025588100 A025589100 A025590100 0.79 MAXOLONE TABLETS 10MG "Y.Y" LORAZEPAM TABLETS 1MG "CHEN TA" LYSOZYME CHLORIDE TABLETS 50MG "CHINTENG" A0255901G0 LYSOZYME CHLORIDE TABLETS 50MG "CHINTENG"(鋁箔/膠箔) A025595229 LINCOMYCIN HCL INJECTION 300MG/ML 16.90 A025595238 LINCOMYCIN HCL INJECTION 300MG/ML 33.80 A025601100 A025604100 EPRAZINONE TABLETS 30MG BERODIN TABLETS 2.5MG (FENOTEROL) "AND" LORAZEPAM TABLETS 1MG "S.Y." CEFADROXIL CAPSULES 500MG "Y.S." 0.80 0.84 TOBRA INJECTION 40MG/ML (TOBRAMYCIN) LOVAMIN TABLETS 1MG (LORAZEPAM) "T.F." PLOCON TABLETS 3MG "Y.Y" CIMETIDINE TABLETS 200MG "TK&A." DICYCLOMINE TABLETS 10MG "Y.Y" PIROCAM CAPSULES 20MG (PIROXICAM) "N.W." HONSTRONG TABLETS 45.40 A025610100 A025617100 0.23 0.40 0.90 1.50 0.40 2.35 調整 A025621212 A025623100 A025624100 A025628100 A025629100 A025632100 A025640100 第 75 頁,共 382 頁 刪除 0.78 刪除 0.51 1.00 0.36 1.23 1.39 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3815 A025462100 SULPIRIDE TABLETS 100MG "Y.S.C." 3816 A025466100 3817 A025467100 3818 A025471100 3819 A025477100 3820 A025478100 3821 A025482209 3822 A025483100 3823 A025485209 3824 A025485277 3825 A025487100 LEVAZOL TABLETS 40MG (LEVAMISOLE) "S.T." LYZINE TABLETS 50MG (LYSOZYME) "S.T." MUSZEPIN TABLETS 25MG (PIRENZEPINE HYDROCHLORIDE) WINBETA TABLETS 0.5MG (BETAMETHASONE) "WINSTON" VILECON CAPSULES 30MG (PYRIDOXALPHOSPHATE) "F.S." ATROPINE SULFATE INJECTION 2MG/ML "VPP" SHOUCA TABLETS 100MG (MEBENDAZOLE) "S.C." DEXTROSE 5% AND SODIUM CHLORIDE 0.225% INJECTION "Y.F." DEXTROSE 5% AND SODIUM CHLORIDE 0.225% INJECTION "Y.F." LONDEC TABALETS "K.S." 3826 A025492212 BITAS-H INJECTION "Y.Y." 3827 A025495100 NAPROXEN TABLETS 250MG "TAH-AN" 3828 3829 A025504421 A025504423 YECOLON ORABESE (TRIAMCINOLONE) YECOLON ORABASE (TRIAMCINOLONE) 3830 A025504499 YECOLON ORABESE (TRIAMCINOLONE) 3831 3832 3833 A025507277 A025517100 A025520100 3842 AMINOL INFUSION "S.T." THECOUGHEN TABLETS "T.F." METHOPTERIN TABLETS 2.5MG (METHOTREXATE) A025524100 VOREN ENTERIC COATED TABLETS 50MG "YUNG SHIN A0255241G0 VOREN ENTERIC COATED TABLETS 50MG "YUNG SHIN"(鋁箔) A025525100 KODERLIN TABLETS "MEIDER" A025528277 KALTOSE INJECTION "N.K." A025539229 LINCOMYCIN INJECTION 300MG "Y.Y." A025541100 SILYMARIN S.C. TABLETS 35MG A025547100 REMEXIN TABLETS "S.T." A025548100 PIZEPINE TABLETS 25MG (PIRENZEPINE DIHYDROCHLORIDE) A025549100 TOLMETIN TABLETS 200MG "LITA" 3843 A025550263 AMIYU INJECTION 3844 3845 A025555100 A025556100 BAKTSIN TABLETS "Y.S." LORAZEPAM TABLETS 1MG "C.S." 3846 A025557100 SULPIRIDE CAPSULES 50MG "C.S." 3847 A025563221 3848 A025564100 SINICORT INJECTION 10MG/ML (TRIAMCINOLONE ACETONIDE) PIREPINE TABLETS 25MG "YU SHENG" 3849 3850 A025567321 A025567329 ECONALONE CREAM "SINPHAR" ECONALONE CREAM "SINPHAR" 3851 3852 A025567399 A025570100 ECONALONE CREAM "SINPHAR" LYSOZYME TABLETS 50MG 3853 3854 A025571100 A025581100 SPANTON TABLETS RICO CAPSULES "H.H." 3855 A025582100 3856 A025586100 EPRANONE TABLETS 20MG (EPRAZINONE) "H.H." LORAZEPAM TABLETS 1MG "C.H." 3834 3835 3836 3837 3838 3839 3840 3841 100年1月 項次 支付價 3815 2.73 3816 3.94 3817 0.96 3818 1.93 3819 0.32 3820 0.75 3821 3.46 3822 1.45 3823 28.9 3824 16.3 3825 0.45 3826 2.59 3827 1.19 28.6 3828 3829 63 3830 5.3 288 3831 0.5 3832 3833 3 3834 0 3835 1.5 3.21 3836 116 3837 27.6 3838 1.8 3839 2.63 3840 3841 1.6 3842 8 3843 137 0.62 3844 3845 0.4 3846 1 3847 26.6 3848 1.76 11.6 3849 3850 24.1 1.05 3851 3852 0.76 0.86 3853 3854 0.9 3855 1 0.79 3856 CODE 藥品名稱 A025643100 說明 9901 支付價 SIGAMET F.C. TABLETS 200MG (CIMETIDINE) "SINPHAR" A0256431G0 SIGAMET F.C. TABLETS 200MG (CIMETIDINE) "SINPHAR"(鋁箔/膠箔) A025644100 PRIMLAN TABLETS 10MG (METOCLOPRAMIDE) "P.L." A025654212 METOPERON INJECTION 5MG/ML " K.S." 1.00 A025659100 CEFADROXIL CAPSULES 500MG "S.T." 2.22 A025662100 SEMINCON CAPSULES 10MG (PIROXICAM) "F.S." SUSOUCON CAPSULES 30MG (DEXTROMETHORPHAN) "ORIENTAL" ANMIN TABLETS 2.5MG (TRIPROLIDINE) "AND" MALTOSE INJECTION 10% "N.K." 0.91 A025663100 A025671100 A025675277 A025683100 1.50 0.65 2.54 0.55 0.75 103.00 PINSANIDINE TABLETS 0.15MG (CLANIDINE) "Y.S." A025686100 POSHINLEN S.C. TABLETS 25MG (DIPYRIDAMOLE) "H.H." A0256861G0 POSHINLEN S.C. TABLETS 25MG (DIPYRIDAMOLE) "H.H."(鋁箔/膠箔) A025688100 ANTICON TABLETS 15MG (DEXTROMETHORPHAN) A025692100 CODECON CAPSULES "C.S." A025698100 PIPEMIDON CAPSULES 250MG (PIPEMIDIC ACID) "T.F." A025706100 STARGEN S.C. TABLETS 100MG (TIOPRONIN) "S.T." A025707100 CEPHALEXIN CAPSULES 500MG "N.W." A025711100 CEFADROXIL CAPSULES 500MG "Y.Y." A025714100 CIWIDINE TABLETS 200MG 1.00 A025715100 0.40 A025716100 A025717317 A025717321 A025717335 A025717399 A025718100 A025720100 A025726100 ACETIZYME TABLETS 30MG (LYSOZYME) "PANBIOTIC" TRANEXAMIN CAPSULES 250MG (TRANEXAMIC ACID) "S.C." ECONOL-T CREAM "GCPC" ECONOL-T CREAM "GCPC" ECONOL-T CREAM "GCPC" ECONOL-T CREAM "GCPC" FUNTONNON TABLETS KETOPROFEN CAPSULES 50MG "TAH-AN" A025789100 BEROGIN TABLETS 2.5MG (FENOTEROL) "HONTEN" ERYTHROMYCIN STEARATE FILM COATED TABLETS 250MG "SHITEH" PIROXICAM CAPSULES 10MG "L.S." SIDOMON CAPSULES 5MG (FLUOXYMESTERONE) "K.B." FORSTRONG LYO-INJECTION 5000IU (CHORIONIC GONADOTROPIN) PICOTAM CAPSULES 400MG (PIPEMIDIC ACID) "GENTLE" CYSTIN POWDER 40MG/GM (ACETYLCYSTEINE) "LITA" COLIMAL WITH CODEINE SYRUP "L.S." COUGHTININ TABLETS 100MG "AND" (OXOLAMINE CITRATE) IBUPROFEN TABLETS 100MG ES MYCIN F.C. TABLETS 500MG (ERYTHROMYCIN STEARATE) "W.P." TRI-ZYME TABLETS "S.T." PULINPELIN TABLETS 10MG (METOCLOPRAMIDE) "C.T." ACTIZYME 90MG CAPSULES (LYSOZYME) A025790216 CLOFON INJECTION 25MG/ML A025739100 A025740100 A025747100 A025748221 A025754100 A025760109 A025762199 A025768100 A025770100 A025773100 A025778100 A025785100 第 76 頁,共 382 頁 1.00 1.50 0.45 調整 1.00 2.34 4.40 1.93 2.22 1.00 刪除 1.40 30.00 13.30 40.50 1.20 0.79 1.29 1.00 1.23 0.91 0.79 186.00 調整 2.85 0.85 0.35 0.69 調整 0.73 3.83 1.00 0.25 0.60 6.50 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 3857 3858 3859 3860 3861 3862 3863 3864 3865 3866 3867 3868 3869 3870 3871 3872 3873 3874 3875 3876 3877 3878 3879 3880 3881 3882 3883 3884 3885 3886 3887 3888 3889 3890 3891 3892 3893 3894 3895 3896 3897 3898 CODE 藥品名稱 100年1月 項次 支付價 0.23 3857 A025588100 MAXOLONE TABLETS 10MG "Y.Y" A025589100 LORAZEPAM TABLETS 1MG "CHEN TA" 3858 0.4 A025590100 LYSOZYME CHLORIDE TABLETS 50MG 3859 0.9 "CHINTENG" A0255901G0 LYSOZYME CHLORIDE TABLETS 50MG 3860 1.5 "CHINTENG"(鋁箔/膠箔) 16.9 3861 A025595229 LINCOMYCIN HCL INJECTION 300MG/ML 33.8 3862 A025595238 LINCOMYCIN HCL INJECTION 300MG/ML A025596100 TOFOANIN TABLETS 25MG 3863 0.32 (INDOMETHACIN) A025601100 EPRAZINONE TABLETS 30MG 3864 0.8 "CHINTENG" A025604100 BERODIN TABLETS 2.5MG (FENOTEROL) 3865 0.84 "AND" A025610100 LORAZEPAM TABLETS 1MG "S.Y." 3866 0.4 2.35 3867 A025617100 CEFADROXIL CAPSULES 500MG "Y.S." 45.4 3868 A025621212 TOBRA INJECTION 40MG/ML A025623100 LOVAMIN TABLETS 1MG (LORAZEPAM) 3869 0.78 "T.F." A025624100 PLOCON TABLETS 3MG "Y.Y" 3870 0.51 1 3871 A025628100 CIMETIDINE TABLETS 200MG 0.36 3872 A025629100 DICYCLOMINE TABLETS 10MG "Y.Y" A025632100 PIROCAM CAPSULES 20MG (PIROXICAM) 3873 1.22 "N.W." A025640100 HONSTRONG TABLETS 3874 1.39 A025643100 SIGAMET F.C. TABLETS 200MG 3875 1 (CIMETIDINE) "SINPHAR" A0256431G0 SIGAMET F.C. TABLETS 200MG 3876 1.5 (CIMETIDINE) "SINPHAR"(鋁箔/膠箔 A025644100 PRIMLAN TABLETS 10MG 3877 0 (METOCLOPRAMIDE) "P.L." A025654212 METOPERON INJECTION 5MG/ML " K.S." 3878 2.54 A025659100 CEFADROXIL CAPSULES 500MG "S.T." 3879 2.22 A025662100 SEMINCON CAPSULES 10MG (PIROXICAM) 3880 0.91 "F.S." A025663100 SUSOUCON CAPSULES 30MG 3881 0.55 (DEXTROMETHORPHAN) "ORIENTAL" A025671100 ANMIN TABLETS 2.5MG (TRIPROLIDINE) 3882 0.75 "AND" 0 3883 A025675277 MALTOSE INJECTION 10% "N.K." A025683100 PINSANIDINE TABLETS 0.15MG 3884 1 (CLANIDINE) "Y.S." A025686100 POSHINLEN S.C. TABLETS 25MG 3885 1 (DIPYRIDAMOLE) "H.H." A0256861G0 POSHINLEN S.C. TABLETS 25MG 3886 1.5 (DIPYRIDAMOLE) "H.H."(鋁箔/膠箔 A025688100 ANTICON TABLETS 15MG 3887 0.45 (DEXTROMETHORPHAN) 1 3888 A025692100 CODECON CAPSULES "C.S." A025698100 PIPEMIDON CAPSULES 250MG (PIPEMIDIC 3889 2.34 ACID) "T.F." A025706100 STARGEN S.C. TABLETS 100MG 3890 4.4 (TIOPRONIN) "S.T." A025707100 CEPHALEXIN CAPSULES 500MG "N.W." 3891 1.93 2.22 3892 A025711100 CEFADROXIL CAPSULES 500MG "Y.Y." 1 3893 A025714100 CIWIDINE TABLETS 200MG A025715100 ACETIZYME TABLETS 30MG (LYSOZYME) 3894 0.4 "PANBIOTIC" A025716100 TRANEXAMIN CAPSULES 250MG 3895 1.33 (TRANEXAMIC ACID) "S.C." 30 3896 A025717317 ECONOL-T CREAM "GCPC" A025717321 ECONOL-T CREAM "GCPC" 3897 13.3 40.5 3898 A025717335 ECONOL-T CREAM "GCPC" CODE 藥品名稱 A025801500 A025802265 ECOZOL SUPPOSITORY 150MG CEFOXIN INJECTION 250MG (CEFUROXIME) "KINGDOM" PROMIN DEPOT-125MG/ML INJECTION "Y.Y." (HYDROXYPROGESTERONE SINDELIN S.C. TABLETS A025803209 A025806100 A025810209 A025816329 A025817100 CEPHA FOR INJECTION 1 GM "K.S." YEAFULIN CREAM "Y.S" GOODGEN CAPSULES 10MG (PIROXICAM) "PATRON" A025824100 GASZEPIN TABLETS 25MG (PIRENZEPINE HCL) A025828100 PITOCAM CAPSULES 10MG (PIROXICAM) "SPC" A0258281G0 PITOCAM CAPSULES 10MG (PIROXICAM) "SPC"(鋁箔/膠箔) A025830100 LYSO TABLETS 50MG (LYSOZYME) A025832329 ANSUSEN CREAM "S.S.P." A025833100 SUSTON CAPSULES 250MG (MEFENAMIC ACID) "Y.C." A025835100 SEIZYME TABLETS 60MG (LYSOZYME) "N.W." A025836100 TONLIAN TABLETS A025840100 ATENOL F.C. TABLETS 100MG A025841100 ANTIMIGRAINE FILM COATED TABLETS "T.F." A025842100 TRANEXIC TABLETS 250MG "L.E." (TRANEXAMIC ACID) A025844209 METHYLERGONOVINE MALEATE INJECTION 0.2MG/ML "Y.Y." A025847100 AISOPENT TABLETS 20MG (ORCIPRENALINE) "T.F." A025848100 ASPIRIN CHEWABLE TABLETS 150MG "SINPHAR" A025849212 METOCLOPRAMIDE INJECTION 5MG/ML "Y.Y." A025851100 UNISIN S.C. TABLETS 25MG (DIPYRIDAMOLE) "UNION" A025855500 ASPIRIN SUPPOSITORIES 325MG "Y.C." A025856100 說明 9901 支付價 8.30 41.80 30.80 0.50 22.70 8.30 1.00 1.60 0.91 1.50 0.76 26.10 0.37 1.28 0.94 2.46 0.55 調整 1.38 10.00 1.53 0.50 刪除 3.36 0.33 2.27 RESCO TABLETS 20MG (EPRAZINONE) "GENTLE" PARACETAMOL TABLETS 1.00 LYSOZYME TABLETS 30MG "C.T." AMOXICILLIN CAPSULES 500MG "YUNG SHIN" PIROXICAM CAPSULES 10MG "Y.Y." 0.50 1.48 0.49 A025882100 LISOZYME TABLETS 30MG (LYSOZYME) "C.I." LYCOSU TABLETS 50MG A025883321 A025883335 MICONASON CREAM MICONASON CREAM 35.10 91.00 A025883338 MICONASON CREAM 122.00 A025900199 ERYTHROMYCIN ESTOLATE POWDER FOR ORAL SUSPENSION 25MG/ML MALTOSE INJECTION 10% KODAPIN F.C. TABLETS SENIDOL INJECTION 20MG/ML "PANBIOTIC" SENIDOL INJECTION 20MG/ML "PANBIOTIC" DICYCLOMINE INJECTION 10MG/ML "Y.Y" REPRACON TABLETS 20MG (EPRAZINONE DIHYDROCHLORIDE) ANCOGEN TABLETS "H.H." A025857100 A025865100 A025866100 A025871100 A025874100 A025902277 A025905100 A025908209 A025908212 A025918212 A025921100 A025925100 第 77 頁,共 382 頁 0.37 刪除 0.91 0.59 0.80 130.00 1.59 10.00 6.40 調整 5.40 1.00 1.20 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3899 3900 A025717399 A025718100 ECONOL-T CREAM "GCPC" FUNTONNON TABLETS 3901 A025720100 KETOPROFEN CAPSULES 50MG "TAH-AN" 3902 A025726100 3903 A025739100 3904 3905 A025740100 A025747100 3906 A025748221 3907 A025754100 3908 A025760109 3909 A025762199 BEROGIN TABLETS 2.5MG (FENOTEROL) "HONTEN" ERYTHROMYCIN STEARATE FILM COATED TABLETS 250MG "SHITEH" PIROXICAM CAPSULES 10MG "L.S." SIDOMON CAPSULES 5MG (FLUOXYMESTERONE) "K.B." FORSTRONG LYO-INJECTION 5000IU (CHORIONIC GONADOTROPIN) PICOTAM CAPSULES 400MG GENTLE (PIPEMIDIC ACID) CYSTIN POWDER 40MG/GM (ACETYLCYSTEINE) "LITA" COLIMAL WITH CODEINE SYRUP "L.S." 3910 A025768100 3911 A025770100 3912 A025773100 3913 3914 A025778100 A025785100 3915 3916 A025789100 A025790216 3917 A025801500 3918 A025802265 3919 A025803209 3920 A025806100 ES MYCIN F.C. TABLETS 500MG (ERYTHROMYCIN STEARATE) "W.P." TRI-ZYME TABLETS "S.T." PULINPELIN TABLETS 10MG (METOCLOPRAMIDE) "C.T." ACTIZYME 90MG CAPSULES (LYSOZYME) CLOFON INJECTION 25MG/ML (DICLOFENAC) ECOZOL SUPPOSITORY 150MG (ECONAZOLE) CEFOXIN INJECTION 250MG (CEFUROXIME) "KINGDOM" PROMIN DEPOT-125MG/ML INJECTION "Y.Y." (HYDROXYPROGESTERONE SINDELIN S.C. TABLETS 3921 A025810209 CEPHA FOR INJECTION 1 GM "K.S." 3922 A025816329 YEAFULIN CREAM "Y.S" 3923 A025817100 3924 3925 3926 3927 3928 3929 3930 3931 3932 3933 3934 3935 3936 COUGHTININ TABLETS 100MG "AND" (OXOLAMINE CITRATE) IBUPROFEN TABLETS 100MG GOODGEN CAPSULES 10MG (PIROXICAM) "PATRON" A025824100 GASZEPIN TABLETS 25MG (PIRENZEPINE HCL) A025828100 PITOCAM CAPSULES 10MG (PIROXICAM) "SPC" A0258281G0 PITOCAM CAPSULES 10MG (PIROXICAM) "SPC"(鋁箔/膠箔) A025830100 LYSO TABLETS 50MG (LYSOZYME) "PRINCE" A025832329 ANSUSEN CREAM "S.S.P." A025833100 SUSTON CAPSULES 250MG (MEFENAMIC ACID) "Y.C." A025835100 SEIZYME TABLETS 60MG (LYSOZYME) "N.W." A025836100 TONLIAN TABLETS A025840100 ATENOL F.C. TABLETS 100MG (ATENOLOL) A025841100 ANTIMIGRAINE FILM COATED TABLETS "T.F." A025842100 TRANEXIC TABLETS 250MG "L.E." (TRANEXAMIC ACID) A025844209 METHYLERGONOVINE MALEATE INJECTION 0.2MG/ML "Y.Y." A025847100 AISOPENT TABLETS 20MG (ORCIPRENALINE) "T.F." 100年1月 項次 支付價 1.08 3899 3900 0.79 3901 1.29 3902 1 3903 1.23 0.91 3904 3905 0.79 3906 186 3907 0 3908 0.85 3909 0.35 3910 0.69 3911 0.73 3912 3.83 1 3913 3914 0.25 0.6 3915 3916 6.5 3917 8.3 3918 41.8 3919 30.8 3920 0.5 3921 22.7 3922 8.3 3923 1 3924 1.6 3925 0.91 3926 1.5 3927 0.76 26.1 3928 3929 0.37 3930 1.28 0.94 3931 3932 2.46 3933 0.55 3934 0 3935 10 3936 1.53 CODE 藥品名稱 A0259251G0 ANCOGEN TABLETS "H.H."(鋁箔) A025937100 COEN TABLETS 20MG (EPRAZINONE)"YU SHENG" A025939100 ACETIN CAPSULES 200MG (ACETYLCYSTEINE) "MAYER" A025941100 DECAMIN TABLETS 4MG (CYPROHEPTADINE HCL) "S.Y." A025944100 ESMYCIN F.C. TABLETS 250MG (ERYTHROMYCIN) "W.P." A025949100 CYPROHEPTADINE HCL TABLETS 4MG A025956100 NORETONE TABLETS 5MG (NORETHINDRONE ACETATE) "SHIN A025959277 CEFAZOLIN FOR INJECTION 500MG "ORIENTAL" A025960100 DEXCHLORPHENIRAMINE TABLETS 2MG "C.T." A025965100 SHYYLOUH TABLETS 25MG (SPIRONOLACTONE) "Y.S." A025967500 PHEPIX VAGINAL SUPPOSITORY 150MG (ECONAZOLE) A025976100 LYSOZYME CHLORIDE TABLETS 30MG "PFOSHEN" A025977125 AMOXICILLIN GRANULES 200MG/GM "YUNG SHIN" A025977199 AMOXICILLIN GRANULES 200MG/GM "YUNG SHIN" A025983277 FRUCTOSE INJECTION 5% "CHI SHENG" A025985100 SUDOGAN S.C. TABLETS "CHEN TA" A026002100 A026007100 A026008100 A026011100 A026016199 A026019100 A026021214 A026021221 A026025100 A026026100 CODEMIN CAPSULES "S.T." NOFLAGMA TABLETS 90MG (LYSOZYME) "YUNG SHIN" PENSALINE S.C. TABLETS 25MG (DIPYRIDAMOLE) "S METHYLTESTOSTERONE S.C. TABLETS "YU SHENG" COSTAN GRANULES 100MG/GM (EPRAZINONE HCL) "S.T." CHLORPHENIRAMINE MALEATE TABLETS 4MG ANTISAMIN INJECTION 100MG/ML (TRANEXAMIC ACID) ANTISAMIN INJECTION 100MG/ML (TRANEXAMIC ACID) BININ F.C. TABLET 說明 9901 支付價 1.50 1.00 3.24 0.16 1.23 0.16 1.47 10.90 0.54 刪除 1.20 8.50 0.80 30.60 1.36 30.70 0.72 0.90 1.00 0.33 0.86 1.99 0.10 7.50 10.20 1.00 1.39 A026027100 TRAXEMIN CAPSULES 250MG (TRANEXAMIC ACID) "S.T." HEMIDOL TABLETS 2.5MG (INDAPAMIDE) A026028238 CONBIHOL INJECTION "LITA" 9.00 A026032100 ALMEDOPA TABLETS 250MG (L-ALPHAMETHYL DOPA) "UNION" LOPERAMIDE CAPSULES 2MG "TK&A." CHUSELIN CAPSULES 250MG (TRANEXAMIC ACID) "Y.S." MOJUNE TABLETS 25MG (DIPHENIDOL) "K.B." CEFADROXIL CAPSULES 500MG "Y.C." A.T. TABLETS 500MG (ACETAMINOPHEN) "LITA" ALLERMIN INJECTION 3MG/ML (PIPRINHYDIRNATE)"Y.Y." SUIT CAPSULES 20MG (PIROXICAM) "KINK" CINOPAL*F.C. TABLETS 200MG (FENBUFEN) COBACIDE TABLETS 2.18 A026039100 A026041100 A026043100 A026045100 A026056100 A026058209 A026062100 A026072100 A026073100 第 78 頁,共 382 頁 調整 2.97 0.60 1.39 0.66 2.28 0.19 3.68 1.23 刪除 3.43 0.68 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3937 A025848100 3938 A025849212 3939 A025851100 3940 3941 A025855500 A025856100 3942 A025857100 ASPIRIN CHEWABLE TABLETS 150MG "SINPHAR" METOCLOPRAMIDE INJECTION 5MG/ML "Y.Y." UNISIN S.C. TABLETS 25MG (DIPYRIDAMOLE) "UNION" ASPIRIN SUPPOSITORIES 325MG "Y.C." RESCO TABLETS 20MG (EPRAZINONE) "GENTLE" PARACETAMOL TABLETS 3943 3944 A025865100 A025866100 3945 3946 A025871100 A025874100 3947 A025882100 LYSOZYME TABLETS 30MG "C.T." AMOXICILLIN CAPSULES 500MG "YUNG SHIN" PIROXICAM CAPSULES 10MG "Y.Y." LISOZYME TABLETS 30MG (LYSOZYME) "C.I." LYCOSU TABLETS 50MG 3948 A025883321 MICONASON CREAM 3949 3950 A025883335 A025883338 MICONASON CREAM MICONASON CREAM 3951 A025900199 3952 3953 3954 3955 A025902277 A025905100 A025908209 A025908212 3956 A025918212 ERYTHROMYCIN ESTOLATE POWDER FOR ORAL SUSPENSION 25MG/ML "S MALTOSE INJECTION 10% KODAPIN F.C. TABLETS SENIDOL INJECTION 20MG/ML SENIDOL INJECTION 20MG/ML "PANBIOTIC" DICYCLOMINE INJECTION 10MG/ML "Y.Y" 3957 A025921100 3958 A025925100 3959 A0259251G0 ANCOGEN TABLETS "H.H."(鋁箔) 3960 A025937100 3961 A025939100 3962 A025941100 3963 A025944100 3964 A025949100 3965 A025956100 3966 A025959277 3967 A025960100 3968 A025965100 3969 A025967500 3970 A025976100 3971 A025977125 3972 A025977199 3973 A025983277 NORETONE TABLETS 5MG (NORETHINDRONE ACETATE) "SHIN CEFAZOLIN FOR INJECTION 500MG "ORIENTAL" DEXCHLORPHENIRAMINE TABLETS 2MG "C.T." SHYYLOUH TABLETS 25MG (SPIRONOLACTONE) "Y.S." PHEPIX VAGINAL SUPPOSITORY 150MG (ECONAZOLE) LYSOZYME CHLORIDE TABLETS 30MG "PFOSHEN" AMOXICILLIN GRANULES 200MG/GM "YUNG SHIN" AMOXICILLIN GRANULES 200MG/GM "YUNG SHIN" FRUCTOSE INJECTION 5% "CHI SHENG" 3974 3975 A025985100 A026002100 SUDOGAN S.C. TABLETS "CHEN TA" CODEMIN CAPSULES "S.T." REPRACON TABLETS 20MG (EPRAZINONE DIHYDROCHLORIDE) ANCOGEN TABLETS "H.H." COEN TABLETS 20MG (EPRAZINONE)"YU SHENG" ACETIN CAPSULES 200MG (ACETYLCYSTEINE) "MAYER" DECAMIN TABLETS 4MG (CYPROHEPTADINE HCL) "S.Y." ESMYCIN F.C. TABLETS 250MG (ERYTHROMYCIN) "W.P." CYPROHEPTADINE HCL TABLETS 4MG 100年1月 項次 支付價 3937 0.5 3938 3.36 3939 0.33 2.27 3940 3941 1 3942 0.37 0.5 3943 3944 1.48 0.91 3945 3946 0.49 3947 0.59 3948 35.1 91 3949 3950 122 3951 0.8 130 3952 1.59 3953 10 3954 3955 6.4 3956 5.4 3957 1 3958 1.2 3959 1.5 3960 1 3961 3.24 3962 0.16 3963 1.23 3964 0.16 3965 1.47 3966 10.9 3967 0.54 3968 1.2 3969 8.5 3970 0.8 3971 30.6 3972 1.36 3973 30.7 0.72 3974 3975 0.9 說明 CODE 藥品名稱 A026078100 NOSEMIN TABLETS "VPP" 0.78 A026079100 BROMAZIN TABLETS 6MG (BROMAZEPAM) BROMAZIN TABLETS 3MG (BROMAZEPAM) KACILEN INJECTION COTRAN TABLETS 4MG (SALBUTAMOL) "YU SHENG" SU-FU-DOU TABLETS 500MG (TINIDAZOLE)"M.T." NAPROXEN TABLETS 250MG TRANEXAMIC ACID 500MG TABLETS "F.S." LOPERAMIDE CAPSULES 2MG "ASTAR" IBUPROFEN CAPSULES 200MG 2.76 ELISTIN TABLETS 1.5MG "STANDARD" (DIHYDROERGOTOXINE MESYLATE) DICLOFENAC ENTERIC SUGAR COATED TABLETS 25MG "Y.S." EMODINE CAPSULES IRIDINE CAPSULES 2MG (LOPERAMIDE) "Y.S." SOON INJECTION "YUNG SHIN" 2.62 A026080100 A026082238 A026084100 A026089100 A026090100 A026093100 A026098100 A026102100 A026105100 A026106100 A026114100 A026115100 A026118209 A026121100 A026123157 A026123199 A026124100 9901 支付價 1.24 6.40 0.60 1.50 1.23 3.57 0.85 0.89 0.60 0.48 0.63 10.00 COBICIN TABLETS "YU SHENG" ANTICA SYRUP "SWISS" ANTICA SYRUP "SWISS" GAWEI TABLETS 200MG (CIMETIDINE) "YU SHENG" A0261241G0 GAWEI TABLETS 200MG (CIMETIDINE) "YUSHENG" (鋁箔) A026127100 NAPOXEN TABLETS 250MG 0.90 38.00 0.17 1.00 A026128340 35.70 1.50 1.22 A026138100 SULFASIL CREAM 1% (SILVER SULFADIAZINE) "VPP" SULFASIL CREAM 1% (SILVER SULFADIAZINE) "VPP" SULFASIL CREAM 1% (SILVER SULFADIAZINE) "VPP" SULFASIL CREAM 1% (SILVER SULFADIAZINE) "VPP" SULFASIL CREAM 1% (SILVER SULFADIAZINE) "VPP" SULFASIL CREAM 1% (SILVER SULFADIAZINE) "VPP" TAWEMET TABLETS 200MG (CIMETIDINE) "C.T." SUCAFATE TABLETS 500MG (BASIC ALUMINUM SUCROSE SULFATE) TOLPERISONE TABLETS 100MG "S.C." A026144100 CLONIDINE TABLETS 0.15MG "C.H." 1.00 A026153100 0.45 A026155329 EMOSE CAPSULES 2MG "S.S.P." (LOPERAMIDE) BUDEMA TABLETS 1MG (BUMETANIDE) "S.T." ECONAT CREAM "WINSTON" A026155399 ECONAT CREAM "WINSTON" 1.16 A026157100 DE-PAIN TABLETS 20MG (DIMETHOTHIAZINE) "S.C." BRISCOL TABLETS 25MG (CHLOPHEDIANOL) "H.H." ASPIRIN CAFFEINE TABLETS "LITA" TRANEXAMIC ACID INJECTION 50MG "TAI YU" 3.57 A026128348 A026128363 A026128365 A026128377 A026128399 A026131100 A026133100 A026154100 A026158100 A026164100 A026173212 第 79 頁,共 382 頁 43.40 268.00 172.00 579.00 0.65 1.00 1.20 2.49 1.52 28.50 1.00 0.91 4.55 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 3976 A026007100 3977 A026008100 3978 A026011100 3979 A026016199 3980 A026019100 3981 A026021214 3982 A026021221 3983 A026025100 NOFLAGMA TABLETS 90MG (LYSOZYME) "YUNG SHIN" PENSALINE S.C. TABLETS 25MG (DIPYRIDAMOLE) "S METHYLTESTOSTERONE S.C. TABLETS "YU SHENG" COSTAN GRANULES 100MG/GM (EPRAZINONE HCL) "S.T." CHLORPHENIRAMINE MALEATE TABLETS 4MG ANTISAMIN INJECTION 100MG/ML (TRANEXAMIC ACID) ANTISAMIN INJECTION 100MG/ML (TRANEXAMIC ACID) BININ F.C. TABLET 3984 A026026100 3985 A026027100 TRAXEMIN CAPSULES 250MG (TRANEXAMIC ACID) "S.T." HEMIDOL TABLETS 2.5MG (INDAPAMIDE) 3986 A026028238 CONBIHOL INJECTION "LITA" 3987 A026032100 3988 A026039100 ALMEDOPA TABLETS 250MG (L-ALPHAMETHYL DOPA) "UNION" LOPERAMIDE CAPSULES 2MG 3989 A026041100 3990 A026043100 3991 A026045100 3992 A026056100 3993 A026058209 3994 A026062100 3995 3996 3997 3998 A026072100 A026073100 A026078100 A026079100 3999 4000 A026080100 A026082238 4001 A026084100 4002 A026089100 4003 A026090100 4004 A026093100 4005 A026098100 4006 4007 A026102100 A026105100 4008 A026106100 4009 4010 A026114100 A026115100 4011 4012 4013 A026118209 A026121100 A026123157 IBUPROFEN CAPSULES 200MG ELISTIN TABLETS 1.5MG "STANDARD" (DIHYDROERGOTOXINE MESYLAT DICLOFENAC ENTERIC SUGAR COATED TABLETS 25MG "Y.S." EMODINE CAPSULES IRIDINE CAPSULES 2MG (LOPERAMIDE) "Y.S." SOON INJECTION "YUNG SHIN" COBICIN TABLETS "YU SHENG" ANTICA SYRUP "SWISS" 4014 A026123199 ANTICA SYRUP "SWISS" CHUSELIN CAPSULES 250MG (TRANEXAMIC ACID) "Y.S." MOJUNE TABLETS 25MG (DIPHENIDOL) "K.B." CEFADROXIL CAPSULES 500MG "Y.C." A.T. TABLETS 500MG (ACETAMINOPHEN) "LITA" ALLERMIN INJECTION 3MG/ML (PIPRINHYDIRNATE)"Y.Y." SUIT CAPSULES 20MG (PIROXICAM) "KINK" CINOPAL*F.C. TABLETS 200MG COBACIDE TABLETS NOSEMIN TABLETS "VPP" BROMAZIN TABLETS 6MG (BROMAZEPAM) BROMAZIN TABLETS 3MG KACILEN INJECTION COTRAN TABLETS 4MG (SALBUTAMOL) "YU SHENG" SU-FU-DOU TABLETS 500MG (TINIDAZOLE)"M.T." NAPROXEN TABLETS 250MG TRANEXAMIC ACID 500MG TABLETS "F.S." LOPERAMIDE CAPSULES 2MG "ASTAR" 100年1月 項次 支付價 3976 0 3977 0.33 3978 0.86 3979 1.99 3980 0.1 3981 7.5 3982 10.2 3983 1 3984 1.33 3985 2.97 3986 9 3987 2.18 3988 0.6 3989 1.33 3990 0.66 3991 2.28 3992 0.19 3993 3.68 3994 1.22 0 3995 0.68 3996 0.78 3997 3998 0 0 3999 4000 6.4 4001 0.6 4002 1.5 4003 1.23 4004 3.57 4005 0.85 0.89 4006 4007 2.62 4008 0.6 0.48 4009 4010 0.63 10 4011 0.9 4012 4013 38 4014 0.17 說明 CODE 藥品名稱 A026173221 A026177329 TRANEXAMIC ACID INJECTION 50MG "TAI YU" URODINE F.C. TABLETS 100MG (PHENAZOPYRIDINE) PESUGEN CAPSULES 10MG (PIROXICAM) "S.T." SMELON CREAM "N.W." A026177372 SMELON CREAM "N.W." 664.00 A026177399 SMELON CREAM "N.W." 1.20 A026185100 ISOPRINOSINE TABLETS 500MG (METHISOPRINOL) "PANBIOTIC" WINPRESS TABLETS 0.15MG (CLONIDINE) "WINSTON" AMPICILLIN CAPSULES 5.70 TANCOCIN TABLETS 200MG (GLYCEROL GUAIACOLATE)"F.S." RIVAPRESS TABLETS 250MG (METHYLDOPA) "PANBIOTIC" SULFAMETHOXAZOLE TABLETS 500MG "SPC" TIOPRONIN INJECTION 50MG/ML "PANBIOTIC" TIOPRONIN INJECTION 50MG/ML "PANBIOTIC" AZUMOL TABLETS 2MG (GUAIAZULENE) 0.45 A026175100 A026176100 A026188100 A026192100 9901 支付價 7.50 刪除 0.65 0.91 28.70 1.00 1.53 調整 A026195100 A026199100 A026205100 A026208212 A026208221 A026209100 A026232421 CARBOXE ORABASE 20MG (CARBENOXOLONE) "SHITEH" A026233100 FLUNAZON CAPSULES 5MG (FLUNARIZINE) "N.K." A026234500 KANEZIN VAGINAL TABLETS 100MG (CLOTRIMAZOLE) A026243100 LICOLIN CAPSULES 2MG (LOPERAMIDE) "SINTON" A026256100 FUTON E.C. TABLETS 25MG A0262561G0 FUTON E.C. TABLETS 25MG(鋁箔) A026259100 TININ TABLETS 500MG (TINIDAZOLE) A026261100 METHISINE TABLETS 500MG (METHISOPRINOL) "UNION" A026263100 VIRUX TABLETS 500MG A026265209 AVTON INJECTION 20MG/ML (NEFOPAM) "N.K." A026266209 ANOPAIN INJECTION 20MG/ML (NEFOPAM) "GENTLE" A026269209 KETOPEN INJECTION 20MG/ML (NEFOPAM) A026270209 KOLIPAN INJECTION 20MG/ML (NEFOPAM) "S.T." A026273209 ACUPAINLEX INJECTION 20MG/ML (NEFOPAM) "PANBIOTIC" A026275209 PATON INJECTION 20MG/ML "PATRON"(NEFOPAM) A026276100 LYSOZYME CAPSULES 90MG "ORIENTAL" A026278100 NOSCAPINE TABLETS 15MG "SINPHAR" A026280100 A026284100 A026287100 A026289100 A026299100 A026303100 A026308321 第 80 頁,共 382 頁 1.37 0.62 7.90 17.80 調整 0.80 52.00 1.32 6.10 0.48 1.00 1.50 2.20 5.70 5.70 8.10 8.90 10.00 8.10 8.90 10.00 1.00 0.80 EACOUG TABLETS 20MG (EPRAZINONE HCL) "NCP" CEPIN TABLETS 25MG (DIPHENIDOL) NOMA TABLETS "H.H." 0.60 P.P.C. CAPSULES TSUFONLOL TABLETS "S.T." ZUCERINE TABLETS 250MG (TRANEXAMIC ACID) "LITA" CANFLAME CREAM 10MG/GM (SILVER SULFADIAZINE) "WINSTON" 1.00 1.13 1.37 0.83 1.00 19.70 調整 刪除 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 4015 4016 4017 4018 4019 4020 4021 4022 4023 4024 4025 4026 4027 4028 4029 4030 4031 4032 4033 4034 4035 4036 4037 4038 4039 4040 4041 4042 4043 4044 4045 4046 4047 4048 4049 4050 4051 4052 CODE 藥品名稱 100年1月 項次 支付價 A026124100 GAWEI TABLETS 200MG (CIMETIDINE) 4015 1 "YU SHENG" A0261241G0 GAWEI TABLETS 200MG (CIMETIDINE) 4016 1.5 "YUSHENG" (鋁箔) A026127100 NAPOXEN TABLETS 250MG 4017 1.19 A026128340 SULFASIL CREAM 1% (SILVER 4018 35.7 SULFADIAZINE) "VPP" A026128348 SULFASIL CREAM 1% (SILVER 4019 43.4 SULFADIAZINE) "VPP" A026128363 SULFASIL CREAM 1% (SILVER 4020 268 SULFADIAZINE) "VPP" A026128365 SULFASIL CREAM 1% (SILVER 4021 172 SULFADIAZINE) "VPP" A026128377 SULFASIL CREAM 1% (SILVER 4022 579 SULFADIAZINE) "VPP" A026128399 SULFASIL CREAM 1% (SILVER 4023 0.65 SULFADIAZINE) "VPP" A026131100 TAWEMET TABLETS 200MG (CIMETIDINE) 4024 1 "C.T." A026133100 SUCAFATE TABLETS 500MG (BASIC 4025 1.2 ALUMINUM SUCROSE SULFATE) A026138100 TOLPERISONE TABLETS 100MG "S.C." 4026 2.49 1 4027 A026144100 CLONIDINE TABLETS 0.15MG "C.H." A026153100 EMOSE CAPSULES 2MG "S.S.P." 4028 0.45 (LOPERAMIDE) A026154100 BUDEMA TABLETS 1MG (BUMETANIDE) 4029 1.52 "S.T." A026155329 ECONAT CREAM "WINSTON" 4030 28.5 1.09 4031 A026155399 ECONAT CREAM "WINSTON" A026157100 DE-PAIN TABLETS 20MG 4032 3.57 (DIMETHOTHIAZINE) "S.C." A026158100 BRISCOL TABLETS 25MG 4033 0 (CHLOPHEDIANOL) "H.H." 0.91 4034 A026164100 ASPIRIN CAFFEINE TABLETS "LITA" A026173212 TRANEXAMIC ACID INJECTION 50MG 4035 4.55 "TAI YU" A026173221 TRANEXAMIC ACID INJECTION 50MG 4036 7.5 "TAI YU" A026175100 URODINE F.C. TABLETS 100MG 4037 0.65 (PHENAZOPYRIDINE) A026176100 PESUGEN CAPSULES 10MG (PIROXICAM) 4038 0.91 "S.T." 28.7 4039 A026177329 SMELON CREAM "N.W." 664 4040 A026177372 SMELON CREAM "N.W." A026177399 SMELON CREAM "N.W." 4041 1.08 A026185100 ISOPRINOSINE TABLETS 500MG 4042 5.2 (METHISOPRINOL) "PANBIOTIC" A026188100 WINPRESS TABLETS 0.15MG (CLONIDINE) 4043 1 "WINSTON" A026192100 AMPICILLIN CAPSULES 4044 1.53 A026195100 TANCOCIN TABLETS 200MG (GLYCEROL 4045 0.45 GUAIACOLATE)"F.S." A026199100 RIVAPRESS TABLETS 250MG 4046 1.37 (METHYLDOPA) "PANBIOTIC" A026205100 SULFAMETHOXAZOLE TABLETS 500MG 4047 0.62 "SPC" A026208212 TIOPRONIN INJECTION 50MG/ML 4048 7.9 "PANBIOTIC" A026208221 TIOPRONIN INJECTION 50MG/ML 4049 17.8 "PANBIOTIC" 0.8 4050 A026209100 AZUMOL TABLETS 2MG (GUAIAZULENE) A026232421 CARBOXE ORABASE 20MG 4051 52 (CARBENOXOLONE) "SHITEH" A026233100 FLUNAZON CAPSULES 5MG 4052 0 (FLUNARIZINE) "N.K." CODE 藥品名稱 A026308340 CANFLAME CREAM 10MG/GM (SILVER SULFADIAZINE) "WINSTON" CANFLAME CREAM 10MG/GM (SILVER SULFADIAZINE) "WINSTON" CANFLAME CREAM 10MG/GM (SILVER SULFADIAZINE) "WINSTON" CANFLAME CREAM 10MG/GM (SILVER SULFADIAZINE) "WINSTON" CANFLAME CREAM 10MG/GM (SILVER SULFADIAZINE) "WINSTON" CANFLAME CREAM 10MG/GM "WINSTON" (SILVER SULFADIAZINE) FUROKAN CAPSULES 20MG (PIROXICAM) A026308348 A026308365 A026308372 A026308377 A026308399 A026314100 A026319212 說明 9901 支付價 33.20 46.40 173.00 調整 297.00 579.00 0.62 1.22 2.91 A026322216 DICYCLOMINE HCL INJECTION 10MG/ML "S.Y." DIFENAC INJECTION 25MG/ML " K.S." A026323100 A.H.BUTON TABLETS 500MG "YU SHENG" 0.53 A026324100 3.88 PIROCAM CAPSULES 10MG (PIROXICAM)"M.T." A0263241G0 PIROCAM CAPSULES 10MG (PIROXICAM)"M.T."(鋁箔/膠箔) A026327100 ANCOUGHRIN CAPSULES "Y.S." A026328100 NEWMAZOLE TABLETS 10MG (CARBIMAZOLE) A026329100 AMMONIUM CHLORIDE E.F.C. TABLETS 500MG "W.P." A026330100 TRANEXAM TABLETS 250MG (TRANEXAMIC ACID) A026338329 CEFUL CREAM "S.C." A026339100 YOURGEN TABLETS 41.60 1.52 A026343321 10.30 A026343329 A026343399 A026346100 A026356100 A026357265 A026357277 A026361100 A026363100 ECONOL CREAM 1% (ECONAZOLE) "GCPC" ECONOL CREAM 10G ECONOL CREAM 1% (ECONAZOLE) "GCPC" BIMINING TABLETS "Y.S." WINCEF CAPSULES 500MG (CEFADROXIL) "WINSTON" DEXTROSE-SALINE INJECTION "TAI YU" 0.91 1.50 2.14 1.00 0.18 1.20 刪除 29.90 0.80 0.72 2.24 17.90 DEXTROSE-SALINE INJECTION "TAI YU" PIROCAM CAPSULES 10MG MUSCONE TABLETS 50MG (TOPERISONE) "SHIN FONG" ENODONE TABLETS "W.P." 18.00 0.91 2.70 FORMIN INJECTION 25MG/ML (DICLOFENAC) "PZNBIOTIC" REUCAM CAPSULES 10MG (PIROXICAM) "WINSTON" NEFOPAM TABLETS 30MG "S.T." 5.30 1.00 A026400277 ANTIEXPECT TABLETS 20MG "JINUP" (EPRAZINONE HCL) TPN NO.2 INJECTION "S.T." 40.90 A026401277 TPN NO.4 INJECTION 32.40 A026402277 TPN NO.3 INJECTION "S.T." 42.10 A026405100 A026407100 RELIZINE TABLETS "S.C." DIUREN TABLETS "GCPC" 1.00 1.49 A026410216 DICLODENAC INJECTION 25MG/ML "Y.Y" 3.88 A026365100 調整 調整 1.02 調整 A026380216 A026384100 A026385100 A026390100 第 81 頁,共 382 頁 1.00 2.10 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 4053 A026234500 藥品名稱 4066 KANEZIN VAGINAL TABLETS 100MG (CLOTRIMAZOLE) A026243100 LICOLIN CAPSULES 2MG (LOPERAMIDE) "SINTON" A026256100 FUTON E.C. TABLETS 25MG A0262561G0 FUTON E.C. TABLETS 25MG(鋁箔) A026259100 TININ TABLETS 500MG (TINIDAZOLE) A026261100 METHISINE TABLETS 500MG (METHISOPRINOL) "UNION" A026263100 VIRUX TABLETS 500MG A026265209 AVTON INJECTION 20MG/ML (NEFOPAM) "N.K." A026266209 ANOPAIN INJECTION 20MG/ML (NEFOPAM) "GENTLE" A026269209 KETOPEN INJECTION 20MG/ML A026270209 KOLIPAN INJECTION 20MG/ML (NEFOPAM) "S.T." A026273209 ACUPAINLEX INJECTION 20MG/ML (NEFOPAM) "PANBIOTIC" A026275209 PATON INJECTION 20MG/ML "PATRON"(NEFOPAM) A026276100 LYSOZYME CAPSULES 90MG "ORIENTAL" 4067 A026278100 NOSCAPINE TABLETS 15MG "SINPHAR" 4068 A026280100 4069 A026284100 4070 A026287100 EACOUG TABLETS 20MG (EPRAZINONE HCL) "NCP" CEPIN TABLETS 25MG (DIPHENIDOL) "SPC" NOMA TABLETS "H.H." 4071 A026289100 P.P.C. CAPSULES 4072 A026299100 TSUFONLOL TABLETS "S.T." 4073 A026303100 4074 A026308321 4075 A026308340 4076 A026308348 4077 A026308365 4078 A026308372 4079 A026308377 4080 A026308399 4081 4082 A026314100 A026319212 4083 4084 A026322216 A026323100 ZUCERINE TABLETS 250MG (TRANEXAMIC ACID) "LITA" CANFLAME CREAM 10MG/GM (SILVER SULFADIAZINE) "WINSTON" CANFLAME CREAM 10MG/GM (SILVER SULFADIAZINE) "WINSTON" CANFLAME CREAM 10MG/GM (SILVER SULFADIAZINE) "WINSTON" CANFLAME CREAM 10MG/GM (SILVER SULFADIAZINE) "WINSTON" CANFLAME CREAM 10MG/GM (SILVER SULFADIAZINE) "WINSTON" CANFLAME CREAM 10MG/GM (SILVER SULFADIAZINE) "WINSTON" CANFLAME CREAM 10MG/GM "WINSTON" (SILVER SULFADIAZINE) FUROKAN CAPSULES 20MG (PIROXICAM) DICYCLOMINE HCL INJECTION 10MG/ML "S.Y." DIFENAC INJECTION 25MG/ML " K.S." A.H.BUTON TABLETS 500MG "YU SHENG" 4085 A026324100 4054 4055 4056 4057 4058 4059 4060 4061 4062 4063 4064 4065 4087 PIROCAM CAPSULES 10MG (PIROXICAM)"M.T." A0263241G0 PIROCAM CAPSULES 10MG (PIROXICAM)"M.T."(鋁箔/膠箔) A026327100 ANCOUGHRIN CAPSULES "Y.S." 4088 A026328100 4086 4089 4090 4091 NEWMAZOLE TABLETS 10MG (CARBIMAZOLE) A0263281G0 NEWMAZOLE TABLETS 10MG (CARBIMAZOLE)(鋁箔/膠箔) A026329100 AMMONIUM CHLORIDE E.F.C. TABLETS 500MG "W.P." A026330100 TRANEXAM TABLETS 250MG (TRANEXAMIC ACID) 100年1月 項次 支付價 4053 6.1 4054 0 1 4055 1.5 4056 2.2 4057 4058 5.7 5.7 4059 4060 8.1 4061 8.9 10 4062 4063 0 4064 8.9 4065 10 4066 1 4067 0.8 4068 0.6 4069 0.83 4070 1 4071 0 4072 1.13 4073 1.36 4074 19.7 4075 33.2 4076 46.4 4077 173 4078 297 4079 579 4080 0.62 1.04 4081 4082 2.91 0 4083 4084 0.53 4085 0.91 4086 1.5 4087 2.14 4088 1 4089 0 4090 0.18 4091 0 CODE 藥品名稱 A026412214 BIOSAREN INJECTION 100MG/ML (TRANEXAMIC ACID) BIOSAREN INJECTION 100MG/ML (TRANEXAMIC ACID) KODER-G SYRUP "STANDARD" TPN NO.1 INJECTION "S.T." TPN NO.1 INJECTION ININ TABLETS 2MG "YU SHENG" A026412221 A026416199 A026420265 A026420277 A026425100 A026430100 A026439100 A026440100 A026442100 A026445209 METICON-A CAP. LONFADROXIL CAPSULES 500MG (CEFADROXIL) "UNION" ERGOTIN TABLETS 1.5MG (DIHYDROERGOTOXINE) "C.H." ANPIN CAPSULES 15MG (SEAPROSE-S) PAWINT INJECTION 50MG/ML "PATRON" 說明 9901 支付價 7.70 10.30 刪除 0.07 23.00 25.10 1.54 0.95 2.24 2.34 6.90 15.60 刪除 A026447212 A026447221 A026448216 A026454100 A026456100 A026457100 A026461100 A026462209 A026462229 A026465100 A026467100 A026468429 A026476100 A026485212 A026485221 A026485238 A026487100 A026489209 A026491100 A026499100 A026500100 A026504123 A026506212 A026509277 A026511100 A026514209 A026523500 A026526100 第 82 頁,共 382 頁 WINACORT INJECTION 40MG/ML (TRIAMCINOLONE ACETONIDE) WINACORT INJECTION 40MG/ML (TRIAMCINOLONE ACETONIDE) DICLOFEN INJECTION 25MG/ML (DICLOFENAC) "CHI SHENG" DEASTHMA TABLETS 2.5MG (FENOTEROL) "S.T." UPANTA TABLETS 25MG (BUCLIZINE) "JINUP" DIMELON TABLETS 20MG (DIMETHOTHIAZINE) "H.H." PIROXIM CAPSULES 20MG (PIROXICAM) "STANDARD" PROGESTERONE INJECTION 50MG/ML "TAI YU" PROGESTERONE INJECTION 50MG/ML "TAI YU" UPMIDIC TABLETS 250MG (PIPEMIDIC ACID) "JINUP" CIYANLIN TABLETS 200MG (CIMETIDINE) "S.T." PILOCARPINE HCL OPHTHALMIC SOLUTION 2% "WU-FU" EPRACOUGH TABLETS 20MG (EPRAZINONE HCL)"HONTEN" ASCORBIC ACID INJECTION 250MG/ML "S.Y." ASCORBIC ACID INJECTION 250MG/ML "S.Y." ASCORBIC ACID INJECTION 250MG/ML "S.Y." LONFADROXIL CAPSULES 250MG (CEFADROXIL) "UNION" NEFOPAM INJECTION 20MG/ML "S.Y." PITON CAPSULES 10MG (PIROXICAM) "N.C.P." DICLOFENAC TABLETS 25MG "S.S.P." BOLTONIN TABLETS 25MG (DICLOFENAC) "CHI SHENG LYSOZYME GRANULE FOR ORAL SYRUP 10% "SINPHAR" CIMEWEI INJECTION 100MG/ML (CIMETIDINE) "LITA LONFAMANDOLE INJECTION 500MG (CEFAMANDOLE)"UNION" LICOU TABLETS "S.Y." 18.30 39.30 3.88 1.00 0.80 3.30 1.23 4.75 刪除 26.10 2.37 調整 1.00 41.60 1.00 3.85 7.80 10.00 6.40 8.10 1.00 調整 0.49 0.49 刪除 8.40 6.20 25.90 1.12 ANTON INJECTION 20MG/ML "Y.A" (NEFOPAM) ASPIRIN SUPPOSITORY 200MG "TAI YU" 8.10 DOGMATYL FILM COATED TABLETS 50MG (SULPIRIDE) 2.95 刪除+新增 2.04 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 4092 4093 4094 A026338329 A026339100 A026343321 4095 4096 A026343329 A026343399 4097 A026346100 4098 A026356100 4099 4100 4101 4102 A026357265 A026357277 A026361100 A026363100 4103 4104 A026365100 A026380216 4105 A026384100 4106 A026385100 4107 A026390100 4108 A026400277 4109 A026401277 4110 4111 4112 A026402277 A026405100 A026407100 4113 4114 A026410216 A026412214 4115 A026412221 4116 A026416199 4117 A026420265 4118 A026420277 4119 A026425100 4120 A026430100 4121 A026439100 4122 A026440100 4123 4124 4125 A026442100 A026445209 A026447212 4126 A026447221 4127 A026448216 4128 A026454100 4129 A026456100 4130 A026457100 4131 A026461100 4132 A026462209 藥品名稱 100年1月 項次 支付價 41.6 4092 CEFUL CREAM "S.C." 1.52 4093 YOURGEN TABLETS ECONOL CREAM 1% (ECONAZOLE) 4094 10.3 "GCPC" 29.9 4095 ECONOL CREAM 10G ECONOL CREAM 1% (ECONAZOLE) 4096 0.8 "GCPC" BIMINING TABLETS "Y.S." 4097 0.72 WINCEF CAPSULES 500MG (CEFADROXIL) 4098 2.24 "WINSTON" 17.9 4099 DEXTROSE-SALINE INJECTION "TAI YU" 18 4100 DEXTROSE-SALINE INJECTION "TAI YU" 0.91 4101 PIROCAM CAPSULES 10MG MUSCONE TABLETS 50MG (TOPERISONE) 4102 2.7 "SHIN FONG" 1.02 4103 ENODONE TABLETS "W.P." FORMIN INJECTION 25MG/ML 4104 (DICLOFENAC) "PZNBIOTIC" 5.3 REUCAM CAPSULES 10MG (PIROXICAM) 4105 1 "WINSTON" NEFOPAM TABLETS 30MG "S.T." 4106 2.1 ANTIEXPECT TABLETS 20MG "JINUP" 4107 1 (EPRAZINONE HCL) TPN NO.2 INJECTION "S.T." 4108 40.9 TPN NO.4 INJECTION 4109 32.4 42.1 4110 TPN NO.3 INJECTION "S.T." 1 4111 RELIZINE TABLETS "S.C." DIUREN TABLETS "GCPC" 4112 1.49 3.88 4113 DICLODENAC INJECTION 25MG/ML "Y.Y" BIOSAREN INJECTION 100MG/ML 4114 7.7 (TRANEXAMIC ACID) BIOSAREN INJECTION 100MG/ML 4115 10.3 (TRANEXAMIC ACID) KODER-G SYRUP "STANDARD" 4116 0.07 TPN NO.1 INJECTION "S.T." 4117 23 TPN NO.1 INJECTION 4118 25.1 ININ TABLETS 2MG "YU SHENG" 4119 1.54 METICON-A CAP. 4120 0.95 LONFADROXIL CAPSULES 500MG 4121 2.24 (CEFADROXIL) "UNION" ERGOTIN TABLETS 1.5MG 4122 2.34 (DIHYDROERGOTOXINE) "C.H." 6.9 4123 ANPIN CAPSULES 15MG (SEAPROSE-S) 15.6 4124 PAWINT INJECTION 50MG/ML "PATRON" WINACORT INJECTION 40MG/ML 4125 18.3 (TRIAMCINOLONE ACETONIDE) "WINST WINACORT INJECTION 40MG/ML 4126 39.3 (TRIAMCINOLONE ACETONIDE) "WINST DICLOFEN INJECTION 25MG/ML 4127 3.88 (DICLOFENAC) "CHI SHENG" DEASTHMA TABLETS 2.5MG 4128 1 (FENOTEROL) "S.T." UPANTA TABLETS 25MG (BUCLIZINE) 4129 0.8 "JINUP" DIMELON TABLETS 20MG 4130 3.3 (DIMETHOTHIAZINE) "H.H." PIROXIM CAPSULES 20MG (PIROXICAM) 4131 0 "STANDARD" PROGESTERONE INJECTION 50MG/ML 4132 4.75 "TAI YU" CODE 藥品名稱 A026532100 A026547100 A026549100 BECTON F.C. TABLETS "W.P." KOPIDIN TABLETS "CHEN TA" KOUMIN TABLETS 2MG (DEXCHLORPHENIRAMINE) LYSOZYME TABLETS 90MG "W.P." FLUTAFIN GRANULES 20MG/GM "SHITEH" (ACETYLCYSTEINE) HYCOMIN-S INJECITON 5MG/ML (HYDROXOCOBALAMIN) "S.Y." STADERM CREAM "STANDARD" A026550100 A026551121 A026552212 A026554321 A026554329 A026554335 A026554399 A026556100 A026583100 A026588100 STADERM CREAM "STANDARD" STADERM CREAM "STANDARD" STADERM CREAM "STANDARD" SULFINPYRAZONE CAPSULES 100MG "S.C." CEFAZOLIN FOR INJECTION 500MG DELAMIN TABLETS 2MG (DEXCHLORPHENIRAMINE MALEATE) "STANDARD" NURODIN INJECTION 150MG/ML (CIMETIDINE) FASTIN VAGINAL TABLETS 200MG (CLOTRIMAZOLE) TONLIPIN TABLETS 20MG (DIMETHOTHIAZINE) HYDROXOBAM INJECTION 2.5MG/ML (HYDROXOCOBALAMIN) "TAI YU" HYDROXOBAM INJECTION 2.5MG/ML (HYDROXOCOBALAMIN) "TAI YU" HYCOMINE INJECTION 5MG/ML HYCOMINE INJECTION 5MG/ML HI-OHB12 INJECTION 5MG/ML (HYDROXOCOBALAMIN)"GENTLE" TIBICAN TABLETS 500MG (TINIDAZOLE) SPAGASGEL TABLETS "SWISS" A026595100 NONANTICOLD S.C. TABLETS A026604429 A026636329 PILOCARPINE OPHTHALMIC SOLUTION 1% "WU-FU" LONFAMANDOLE INJECTION 1000MG (CEFAMANDOLE) "UNION" LINCOMYCIN HYDROCHLORIDE INJECTION 300MG/ML"ASTAR" LINCOMYCIN HYDROCHLORIDE INJECTION 300MG/ML"ASTAR" LINCOMYCIN HYDROCHLORIDE INJECTION 300MG/ML"ASTAR" ULEX CREAM "SINPHAR" A026636399 ULEX CREAM "SINPHAR" A026557277 A026559100 A026562212 A026563500 A026566100 A026572212 A026572229 A026573209 A026573212 A026576209 A026631209 A026633229 A026633238 A026633299 A026642212 A026643100 A026644100 說明 9901 支付價 2.32 0.70 0.60 1.00 2.28 9.50 13.90 28.90 59.00 1.21 5.00 10.30 0.36 10.00 15.30 3.30 3.56 27.30 3.56 6.40 10.00 2.21 3.82 0.90 30.70 49.00 26.90 41.00 2.05 13.40 1.34 BROMHEXINE INJECTION2MG/ML "Y.Y" RESPININE TABLETS 30MG (EPRAZINONE) DICOK E.C. TABLETS 25MG (DICLOFENAC)"M.T." A0266441G0 DICOK E.C. TABLETS 25MG (DICLOFENAC)"M.T."(鋁箔/膠箔) A026647100 WEISU-S TABLETS 6.40 1.00 0.90 A026649100 HELOSON CAPSULES (ERYTHROMYCIN) "HEALTH" WEISU TABLETS "S.Y." 1.00 DIFENA ENTERIC F.C. TABLETS 25MG "STANDARD" (DICLOFENAC) PAMCL INJECTION 50MG/ML "ORIENTAL" 0.90 A026651100 A026653100 A026664229 1.50 0.80 0.20 95.00 刪除 A026673100 第 83 頁,共 382 頁 RESPIRID CAPSULES 40MG "SHIN FONG"(FENSPRIDE) 2.23 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 4133 A026462229 4134 A026465100 4135 A026467100 4136 A026468429 4137 A026476100 4138 4139 A026485212 A026485221 4140 A026485238 4141 A026487100 4142 4143 A026489209 A026491100 4144 4145 A026499100 A026500100 4146 A026504123 4147 A026506212 4148 A026509277 4149 4150 A026511100 A026514209 4151 4152 A026523500 A026526100 4153 A026532100 4154 4155 A026547100 A026549100 4156 4157 A026550100 A026551121 4158 A026552212 4159 A026554321 4160 4161 A026554329 A026554335 4162 4163 4164 4165 A026554399 A026556100 A026557277 A026559100 4166 A026562212 4167 A026563500 4168 A026566100 4169 A026572212 4170 A026572229 4171 4172 4173 A026573209 A026573212 A026576209 4174 A026583100 藥品名稱 100年1月 項次 支付價 PROGESTERONE INJECTION 50MG/ML 4133 26.1 "TAI YU" UPMIDIC TABLETS 250MG (PIPEMIDIC 4134 2.37 ACID) "JINUP" CIYANLIN TABLETS 200MG (CIMETIDINE) 4135 1 "S.T." PILOCARPINE HCL OPHTHALMIC 4136 41.6 SOLUTION 2% "WU-FU" EPRACOUGH TABLETS 20MG 4137 1 (EPRAZINONE HCL)"HONTEN" 3.85 4138 ASCORBIC ACID INJECTION 250MG/ML ASCORBIC ACID INJECTION 250MG/ML 4139 7.8 "S.Y." ASCORBIC ACID INJECTION 250MG/ML 4140 10 "S.Y." LONFADROXIL CAPSULES 250MG 4141 6.4 (CEFADROXIL) "UNION" 8.1 4142 NEFOPAM INJECTION 20MG/ML "S.Y." PITON CAPSULES 10MG (PIROXICAM) 4143 1 "N.C.P." 0.49 4144 DICLOFENAC TABLETS 25MG "S.S.P." BOLTONIN TABLETS 25MG (DICLOFENAC) 4145 0.49 "CHI SHENG LYSOZYME GRANULE FOR ORAL SYRUP 4146 8.4 10% "SINPHAR" CIMEWEI INJECTION 100MG/ML 4147 6.2 (CIMETIDINE) "LITA LONFAMANDOLE INJECTION 500MG 4148 25.9 (CEFAMANDOLE)"UNION" 1.12 4149 LICOU TABLETS "S.Y." ANTON INJECTION 20MG/ML "Y.A" 4150 8.1 (NEFOPAM) 2.04 4151 ASPIRIN SUPPOSITORY 200MG "TAI YU" DOGMATYL FILM COATED TABLETS 4152 2.95 50MG (SULPIRIDE) BECTON F.C. TABLETS "W.P." 4153 2.32 0.7 4154 KOPIDIN TABLETS "CHEN TA" KOUMIN TABLETS 2MG 4155 0.6 (DEXCHLORPHENIRAMINE) 1 4156 LYSOZYME TABLETS 90MG "W.P." FLUTAFIN GRANULES 20MG/GM "SHITEH" 4157 2.28 (ACETYLCYSTEINE) HYCOMIN-S INJECITON 5MG/ML 4158 9.5 (HYDROXOCOBALAMIN) "S.Y." STADERM CREAM "STANDARD" 4159 0 0 4160 STADERM CREAM "STANDARD" STADERM CREAM "STANDARD" 4161 0 0 4162 STADERM CREAM "STANDARD" 5 4163 SULFINPYRAZONE CAPSULES 100MG 0 4164 CEFAZOLIN FOR INJECTION 500MG DELAMIN TABLETS 2MG 4165 (DEXCHLORPHENIRAMINE MALEATE) 0.36 "STANDARD NURODIN INJECTION 150MG/ML 4166 10 (CIMETIDINE) FASTIN VAGINAL TABLETS 200MG 4167 15.3 (CLOTRIMAZOLE) TONLIPIN TABLETS 20MG 4168 3.3 (DIMETHOTHIAZINE) HYDROXOBAM INJECTION 2.5MG/ML 4169 3.56 (HYDROXOCOBALAMIN) "TAI YU" HYDROXOBAM INJECTION 2.5MG/ML 4170 27.3 (HYDROXOCOBALAMIN) "TAI YU" 3.56 4171 HYCOMINE INJECTION 5MG/ML 6.4 4172 HYCOMINE INJECTION 5MG/ML HI-OHB12 INJECTION 5MG/ML 4173 10 (HYDROXOCOBALAMIN)"GENTLE" 2.21 4174 TIBICAN TABLETS 500MG (TINIDAZOLE) 說明 CODE 藥品名稱 A026675277 MALTON INFUSION 10% (MALTOSE) A026677100 SULINDEC TABLETS 200MG "S.T." 2.23 A026678100 SULINDAC TABLETS 100MG "W.P." 1.52 A026679100 SULIC TABLETS 200MG (SULINDAC) 2.18 A026681100 TUSUTON TABLETS 100MG (SULINDAC) 2.65 A026683100 A026686209 2.29 8.10 A026703340 SULINDA TABLETS 100MG (SULINDAC) LICOPAM INJECTION 20MG/ML (NEFOPAM)"Y.Y." SILVA-SULFA 1% CREAM (SILVER SULFADIAZINE) "GCPC" SILVA-SULFA 1% CREAM A026703348 A026703363 SILVA-SULFA 1% CREAM SILVA-SULFA 1% CREAM 46.40 268.00 A026703365 A026703371 SILVA-SULFA 1% CREAM SILVA-SULFA 1% CREAM 173.00 311.00 A026703372 SILVA-SULFA 1% CREAM 286.00 A026703377 SILVA-SULFA 1% CREAM 579.00 A026703399 SILVA-SULFA 1% CREAM 0.63 A026707100 A026711100 NAPOSIN TABLETS 500MG (NAPROXEN) TANNALBIN TABLETS 500MG 3.70 0.55 A026717100 A026724100 MUCO CAPSULES 375MG "PATRON" ANTIDIARRHEAL TABLETS "C.S." 1.63 0.78 A026703338 A026728100 9901 支付價 96.00 24.70 30.70 ZONON E.S.C. TABLETS 50MG (BROMELAIN)"BEYDAR" A026741100 DAMIN TABLETS 1MG (PRAZOSIN) A0267411G0 DAMIN TABLETS 1MG (PRAZOSIN)(鋁箔) 1.00 A026742100 A026747500 UCOL TABLETS ACETA SUPPOSITORY 100MG (ACETAMINOPHEN) WEILIN TABLETS 0.50 1.54 2.83 A026782212 A026787216 A026793265 A026793266 NICE SUGAR COATED TABLETS 100MG (NITROXOLINE) "YUNG SHIN" PERSANTINE S.C. TABLETS 25MG "TK&A" SODIUM BICARBONATE INJECTION 70MG/ML "TAI YU" DIARRIKE INJECTION 6MG/ML "PATRON" DICLOFENAC INJECTION 25MG/ML GLYCEROL INJECTION "S.Y." GLYCEROL INJECTION "S.Y." A026793277 GLYCEROL INJECTION "S.Y." A026798100 BISLAN TABLETS 12MG (BROMHEXINE) "YUNG SHIN" METHASONE INJECTION 5MG/ML (DEXAMETHASONE PHOSPHATE) "VPP" SUNCHISU TABLETS 2.5MG (FENOTEROL) A026757100 A026763100 A026770100 A026772238 A026804209 A026805100 A026817255 A026817266 A026834100 A026835100 SABS INJECTION FOR IV INFUSION 5MG/ML SABS INJECTION FOR IV INFUSION PHYLLINTAL TABLETS "T.F." TINIZOL TABLETS 500MG "K.S." A026841212 DAIZIN INJECTION 第 84 頁,共 382 頁 1.00 1.50 0.50 0.60 3.50 3.48 4.00 86.00 90.00 108.00 0.35 10.00 0.80 27.30 183.00 1.00 1.50 4.00 刪除 刪除 刪除 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 4175 4176 4177 4178 4179 4180 4181 4182 4183 4184 4185 4186 4187 4188 4189 4190 4191 4192 4193 4194 4195 4196 4197 4198 4199 4200 4201 4202 4203 4204 4205 4206 4207 4208 4209 4210 4211 4212 4213 4214 4215 4216 CODE 藥品名稱 100年1月 項次 支付價 A026588100 SPAGASGEL TABLETS "SWISS" 4175 3.82 A026595100 NONANTICOLD S.C. TABLETS 4176 0.9 A026604429 PILOCARPINE OPHTHALMIC SOLUTION 4177 30.7 1% "WU-FU" A026631209 LONFAMANDOLE INJECTION 1000MG 4178 49 (CEFAMANDOLE) "UNION" A026633229 LINCOMYCIN HYDROCHLORIDE 4179 26.9 INJECTION 300MG/ML"ASTAR" A026633238 LINCOMYCIN HYDROCHLORIDE 4180 41 INJECTION 300MG/ML"ASTAR" A026633299 LINCOMYCIN HYDROCHLORIDE 4181 2.05 INJECTION 300MG/ML"ASTAR" A026636329 ULEX CREAM "SINPHAR" 4182 13.4 1.34 4183 A026636399 ULEX CREAM "SINPHAR" 6.4 4184 A026642212 BROMHEXINE INJECTION2MG/ML "Y.Y" 1 4185 A026643100 RESPININE TABLETS 30MG (EPRAZINONE) A026644100 DICOK E.C. TABLETS 25MG 4186 0.9 (DICLOFENAC)"M.T." A0266441G0 DICOK E.C. TABLETS 25MG 4187 1.5 (DICLOFENAC)"M.T."(鋁箔/膠箔) 0.8 4188 A026647100 WEISU-S TABLETS A026649100 HELOSON CAPSULES (ERYTHROMYCIN) 4189 1 "HEALTH" A026651100 WEISU TABLETS "S.Y." 4190 0.2 A026653100 DIFENA ENTERIC F.C. TABLETS 25MG 4191 0.9 "STANDARD" (DICLOFENAC) 95 4192 A026664229 PAMCL INJECTION 50MG/ML "ORIENTAL" A026673100 RESPIRID CAPSULES 40MG "SHIN 4193 2.23 FONG"(FENSPRIDE) 96 4194 A026675277 MALTON INFUSION 10% (MALTOSE) A026677100 SULINDEC TABLETS 200MG "S.T." 4195 2.23 A026678100 SULINDAC TABLETS 100MG "W.P." 4196 1.52 A026679100 SULIC TABLETS 200MG (SULINDAC) 4197 1.93 A026681100 TUSUTON TABLETS 100MG (SULINDAC) 4198 2.65 A026683100 SULINDA TABLETS 100MG (SULINDAC) 4199 2.29 A026686209 LICOPAM INJECTION 20MG/ML 4200 8.1 (NEFOPAM)"Y.Y." A026703338 SILVA-SULFA 1% CREAM (SILVER 4201 24.7 SULFADIAZINE) "GCPC" 30.7 4202 A026703340 SILVA-SULFA 1% CREAM A026703348 SILVA-SULFA 1% CREAM 4203 46.4 A026703363 SILVA-SULFA 1% CREAM 4204 268 173 4205 A026703365 SILVA-SULFA 1% CREAM 311 4206 A026703371 SILVA-SULFA 1% CREAM 286 4207 A026703372 SILVA-SULFA 1% CREAM 579 4208 A026703377 SILVA-SULFA 1% CREAM 0.63 4209 A026703399 SILVA-SULFA 1% CREAM A026707100 NAPOSIN TABLETS 500MG (NAPROXEN) 4210 3.7 0.55 4211 A026711100 TANNALBIN TABLETS 500MG 1.63 4212 A026717100 MUCO CAPSULES 375MG "PATRON" A026724100 ANTIDIARRHEAL TABLETS "C.S." 4213 0.78 A026728100 ZONON E.S.C. TABLETS 50MG 4214 1 (BROMELAIN)"BEYDAR" A026741100 DAMIN TABLETS 1MG (PRAZOSIN) 4215 1 A0267411G0 DAMIN TABLETS 1MG (PRAZOSIN)(鋁箔) 4216 1.5 說明 CODE 藥品名稱 A026849100 A026861329 PYRUDON TABLETS 300MG (ACETAMINOPHEN) "T.F." FORMAX INJECTION 20MG/ML (NEFOPAM)"N.C.P." PROPADOM CREAM 0.25MG/GM (BECLOMETHASONE)"N.C.P." PROPADOM CREAM 0.25MG/GM (BECLOMETHASONE)"N.C.P." PROPADOM CREAM 0.25MG/GM (BECLOMETHASONE)"N.C.P." PECIGEN CREAM "VPP" A026861338 PECIGEN CREAM "VPP" A026870100 A026906321 FELCAM CAPSULES 10MG (PIROXICAM) "VPP" BENDOL F.C. TABLETS CENLOPER CAPSULES 2MG RIYAZINE CAPSULES "TK&A." INOSINE TABLETS 500MG (METHISOPRINOL) "H.S." REGASTRIC TABLETS 25MG "JINUP" (PIRENZEPINE) CODEPINE TABLETS GASTROTRINE TABLETS 25MG (PIRENZEPINE HCL) "S.C." BEROCOL INJECTION 0.2MG/ML (TERBUTALINE) "PANBIOTIC" EPISONE CREAM "S.Y." 13.60 A026906329 A026906335 EPISONE CREAM "S.Y." EPISONE CREAM 15GM "S.Y" 28.10 25.50 A026906399 A026908100 A026936209 EPISONE CREAM "S.Y." RERTOXIN TABLETS 1.5MG (DIHYDROERGOTOXINE) "UNION" DEMINE INJECTION 5MG/ML (CHLORPHENIRAMINE MALEATE)"Y.Y." MUCORPIN CAPSULES 375MG "Y.Y." (CARBOCYSTLINE) ENCORE INJECTION 100MG/ML (ACETYLCYSTEINE) LOTAL S.C. TABLETS 50MG (NITROCOLINE) "KINK" LISAIMIN INJECTION 5MG/ML "SINTON" A026936212 LISAIMIN INJECTION 5MG/ML "SINTON" A026851209 A026858321 A026858329 A026858335 A026872100 A026873100 A026875100 A026880100 A026881100 A026883100 A026894100 A026899209 A026921209 A026922100 A026926216 A026927100 A026946100 PIROCAM CAPSULES 20MG (PIROXICAM) A0269461G0 PIROCAM CAPSULES 20MG (PIROXICAM)(鋁箔/膠箔) A026955100 TOLSON CAPSULE 100MG (TOLPERISONE) "Y.Y" A026961265 SALINE-TROSE INJECTION "TAI YU" A026961277 SALINE-TROSE INJECTION "TAI YU" A026963100 KUSO TABLETS A026974100 PYDINOL TABLETS (PRIDINOL) A026975100 DOXEPIN CAPSULES 25MG "S.C." A026976100 DOGMATYL FILM COATED TABLETS 200MG (SULPIRIDE) A026981100 BISUMIN TABLETS A026984100 PEACE TABLETS "YUNG SHIN" A026986110 UCEFA FOR ORAL SUSPENSION 125MG/5ML (CEFADROXIL)"U.L." A026990209 BETASON INJECTION 4MG/ML (BETAMETHASONE) "LITA" A026990229 BETASON INJECTION 4MG/ML (BETAMETHASONE) "LITA" A026994321 FUTALIN CREAM 0.025% (BECLOMETHASONE) 第 85 頁,共 382 頁 9901 支付價 0.28 8.10 37.90 60.00 105.00 8.30 29.00 1.59 2.50 0.61 1.17 5.70 1.93 0.87 1.60 3.93 1.21 3.06 2.70 1.39 調整 14.30 1.70 3.44 8.40 1.07 1.50 2.07 16.80 17.80 1.22 0.85 1.65 4.45 0.45 1.00 78.00 6.60 14.20 37.90 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 4217 A026742100 4218 A026747500 4219 A026757100 4220 A026763100 4221 4222 A026770100 A026772238 4223 4224 4225 4226 4227 A026782212 A026787216 A026793265 A026793266 A026793277 4228 A026798100 4229 A026804209 4230 4231 4232 4233 4234 A026805100 A026817255 A026817266 A026834100 A026835100 4235 A026841212 4236 A026849100 4237 A026851209 4238 A026858321 4239 A026858329 4240 A026858335 4241 4242 4243 A026861329 A026861338 A026870100 4244 A026872100 4245 A026873100 4246 A026875100 4247 A026880100 4248 A026881100 4249 4250 A026883100 A026894100 4251 A026899209 4252 A026906321 4253 A026906329 4254 4255 4256 A026906335 A026906399 A026908100 4257 A026921209 4258 A026922100 藥品名稱 100年1月 項次 支付價 UCOL TABLETS 4217 0.5 ACETA SUPPOSITORY 100MG 4218 1.54 (ACETAMINOPHEN) WEILIN TABLETS 4219 0.5 NICE SUGAR COATED TABLETS 100MG 4220 2.83 (NITROXOLINE) "YUNG SHIN" 0.6 4221 PERSANTINE S.C. TABLETS 25MG SODIUM BICARBONATE INJECTION 4222 3.5 70MG/ML "TAI YU" 3.48 4223 DIARRIKE INJECTION 6MG/ML "PATRON" 0 4224 DICLOFENAC INJECTION 25MG/ML 86 4225 GLYCEROL INJECTION "S.Y." 90 4226 GLYCEROL INJECTION "S.Y." GLYCEROL INJECTION "S.Y." 4227 108 BISLAN TABLETS 12MG (BROMHEXINE) 4228 0.35 "YUNG SHIN" METHASONE INJECTION 5MG/ML 4229 10 (DEXAMETHASONE PHOSPHATE) "VPP" 0.8 4230 SUNCHISU TABLETS 2.5MG (FENOTEROL) 27.3 4231 SABS INJECTION FOR IV INFUSION 183 4232 SABS INJECTION FOR IV INFUSION 1 4233 PHYLLINTAL TABLETS "T.F." TINIZOL TABLETS 500MG "K.S." 4234 1.5 DAIZIN INJECTION 4235 4 5MG/ML(DIAZEPAM)"S.T." PYRUDON TABLETS 300MG 4236 0.28 (ACETAMINOPHEN) "T.F." FORMAX INJECTION 20MG/ML 4237 8.1 (NEFOPAM)"N.C.P." PROPADOM CREAM 0.25MG/GM 4238 37.9 (BECLOMETHASONE)"N.C.P." PROPADOM CREAM 0.25MG/GM 4239 60 (BECLOMETHASONE)"N.C.P." PROPADOM CREAM 0.25MG/GM 4240 105 (BECLOMETHASONE)"N.C.P." 8.3 4241 PECIGEN CREAM "VPP" 29 4242 PECIGEN CREAM "VPP" FELCAM CAPSULES 10MG (PIROXICAM) 4243 1.59 "VPP" BENDOL F.C. TABLETS 4244 2.5 CENLOPER CAPSULES 2MG 4245 0.61 (LOPERAMIDE) RIYAZINE CAPSULES "H.S." 4246 1.17 INOSINE TABLETS 500MG 4247 5.7 (METHISOPRINOL) "H.S." REGASTRIC TABLETS 25MG "JINUP" 4248 1.93 (PIRENZEPINE) 0.87 4249 CODEPINE TABLETS GASTROTRINE TABLETS 25MG 4250 1.6 (PIRENZEPINE HCL) "S.C." BEROCOL INJECTION 0.2MG/ML 4251 3.93 (TERBUTALINE) "PANBIOTIC" EPISONE CREAM "S.Y." 4252 13.6 EPISONE CREAM "S.Y." 4253 28.3 25.5 4254 EPISONE CREAM 15GM "S.Y" 1.09 4255 EPISONE CREAM "S.Y." RERTOXIN TABLETS 1.5MG 4256 3.06 (DIHYDROERGOTOXINE) "UNION" DEMINE INJECTION 5MG/ML 4257 0 (CHLORPHENIRAMINE MALEATE)"Y.Y." MUCORPIN CAPSULES 375MG "Y.Y." 4258 1.39 (CARBOCYSTLINE) 說明 CODE 藥品名稱 A026994329 A027055100 FUTALIN CREAM 0.025% (BECLOMETHASONE) FUTALIN CREAM 0.025% (BECLOMETHASONE) SALINE INJECTION 0.9% (SODIUM CHLORIDE)"S.Y." SALINE INJECTION 0.9% (SODIUM CHLORIDE)"S.Y." SWEET TABLETS 50MG (SULPIRIDE) THRONE ENTERIC SUGAR COATED TABLETS 100MG "YUNG SHIN" R.H.H TABLETS "Y.Y" VITAMIN C INJECTION 100MG/ML "TAI VITAMIN C INJECTION 100MG/ML "TAI SIKACIN INJECTION 100MG/ML "SHITEH" RECOUGH TABLETS 30MG (EPRAZINONE) "S.C." FELCON CAPSULES 20MG (PIROXICAM)"C.T." DICLOFEN E.C. TABLETS 50MG (DICLOFENAC) "H.H." ALUFIBRATE CAPSULES 500MG "Y.Y" ANTIFUNG CREAM "SINPHAR" DELMINT TABLETS "J.S." DEX-CTM TABLETS 2MG "S.Y." ANTIBLEED CAPSULES 250MG (TRANEXAMIC ACID) "T.F." HYCOBAMIN INJECTION 2.5MG (HYDROXOCOBALAMIN)"Y.Y" CURRENT TABLETS "Y.Y" A027060100 NASALCON TABLETS "N.C.P." 1.00 SUZYME TABLETS 90MG (LYSOZYME) "YU SHENG" A027082100 SECORIN CAPSULES 10MG (OXAZOLAM) "STANDARD" A0270821G0 SECORIN CAPSULES 10MG (OXAZOLAM) "STANDARD"(鋁箔/膠箔) A027087100 PROBUCOL TABLETS 250MG "PANBIOTIC" A027088100 DICLOPHEN TABLETS 25MG A027090263 AMINOL-RF INJECTION "S.T." 1.00 A026994335 A027003265 A027003277 A027007100 A027011100 A027013100 A027016209 A027016221 A027021214 A027024100 A027033100 A027034100 A027035100 A027036399 A027038100 A027040100 A027044100 A027049212 A027068100 A027093100 A027102100 A027109100 A027110100 A027123100 A027126100 A027131100 A027137255 9901 支付價 60.00 105.00 18.40 17.30 1.00 1.61 0.50 1.93 2.41 35.40 1.00 1.23 1.00 1.31 1.17 0.75 0.54 1.37 9.30 2.27 1.00 1.50 2.14 0.49 115.00 CEFAXIL CAPSULES 500MG (CEFADROXIL) "STANDARD ACETAMINOPHEN TABLETS 500MG "YUNG CHI" GRIFULCIN TABLETS 500MG (GRISEOFULVIN) "C.M." RHINOX CAPSULES "SINPHAR" 2.20 AMOCILLIN CAPSULES 500MG (AMOXICILLIN) "CHI SHENG" LYSOZYME TABLETS 50MG FONING CAPUSLES "UNION" 1.27 0.19 2.69 0.78 0.59 1.10 14.80 A027144151 A027144199 A027146321 RINGER'S SOLUTION FOR INJECTION "TAI YU" RINGER'S SOLUTION FOR INJECTION "TAI YU" RINGER'S SOLUTION FOR INJECTION "TAI YU" PEACE SYRUP "YUNG SHIN" PEACE SYRUP "YUNG SHIN" FU-KONG CREAM "T.L.B" A027146335 FU-KONG CREAM "T.L.B" 21.90 A027157100 WINTOHOW TABLETS 500MG (NALIDIXIC ACID) A027137265 A027137277 刪除 17.00 17.40 調整 25.00 0.17 9.90 調整 刪除 第 86 頁,共 382 頁 2.33 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 4259 4260 4261 4262 4263 4264 4265 4266 4267 4268 4269 4270 4271 4272 4273 4274 4275 4276 4277 4278 4279 4280 4281 4282 4283 4284 4285 4286 4287 4288 4289 4290 4291 4292 4293 4294 4295 4296 4297 4298 4299 4300 4301 CODE 藥品名稱 100年1月 項次 支付價 A026926216 ENCORE INJECTION 100MG/ML 4259 14.3 (ACETYLCYSTEINE) A026927100 LOTAL S.C. TABLETS 50MG 4260 1.7 (NITROCOLINE) "KINK" A026936209 LISAIMIN INJECTION 5MG/ML "SINTON" 4261 0 A026936212 LISAIMIN INJECTION 5MG/ML "SINTON" 4262 0 A026946100 PIROCAM CAPSULES 20MG (PIROXICAM) 4263 1.07 A0269461G0 PIROCAM CAPSULES 20MG 4264 1.5 (PIROXICAM)(鋁箔/膠箔) A026955100 TOLSON CAPSULE 100MG (TOLPERISONE) 4265 2.07 "Y.Y" 16.8 4266 A026961265 SALINE-TROSE INJECTION "TAI YU" 17.8 4267 A026961277 SALINE-TROSE INJECTION "TAI YU" 1.22 4268 A026963100 KUSO TABLETS 0.85 4269 A026974100 PYDINOL TABLETS (PRIDINOL) 1.65 4270 A026975100 DOXEPIN CAPSULES 25MG "S.C." A026976100 DOGMATYL FILM COATED TABLETS 4271 4.45 200MG (SULPIRIDE) 0.45 4272 A026981100 BISUMIN TABLETS 1 4273 A026984100 PEACE TABLETS "YUNG SHIN" A026986110 UCEFA FOR ORAL SUSPENSION 4274 78 125MG/5ML (CEFADROXIL)"U.L." A026990209 BETASON INJECTION 4MG/ML 4275 6.6 (BETAMETHASONE) "LITA" A026990229 BETASON INJECTION 4MG/ML 4276 14.2 (BETAMETHASONE) "LITA" A026994321 FUTALIN CREAM 0.025% 4277 37.9 (BECLOMETHASONE) A026994329 FUTALIN CREAM 0.025% 4278 60 (BECLOMETHASONE) A026994335 FUTALIN CREAM 0.025% 4279 105 (BECLOMETHASONE) A027003265 SALINE INJECTION 0.9% (SODIUM 4280 18.4 CHLORIDE)"S.Y." A027003277 SALINE INJECTION 0.9% (SODIUM 4281 17.3 CHLORIDE)"S.Y." 1 4282 A027007100 SWEET TABLETS 50MG (SULPIRIDE) A027011100 THRONE ENTERIC SUGAR COATED 4283 1.61 TABLETS 100MG "YUNG SHIN" 0.5 4284 A027013100 R.H.H TABLETS "Y.Y" A027016209 VITAMIN C INJECTION 100MG/ML "TAI 4285 1.93 YU" A027016221 VITAMIN C INJECTION 100MG/ML "TAI 4286 2.41 YU" 35.4 4287 A027021214 SIKACIN INJECTION 100MG/ML "SHITEH" A027024100 RECOUGH TABLETS 30MG (EPRAZINONE) 4288 1 "S.C." A027033100 FELCON CAPSULES 20MG 4289 1.22 (PIROXICAM)"C.T." A027034100 DICLOFEN E.C. TABLETS 50MG 4290 1 (DICLOFENAC) "H.H." 1.31 4291 A027035100 ALUFIBRATE CAPSULES 500MG "Y.Y" 1.17 4292 A027036399 ANTIFUNG CREAM "SINPHAR" 0.75 4293 A027038100 DELMINT TABLETS "J.S." 0.54 4294 A027040100 DEX-CTM TABLETS 2MG "S.Y." A027044100 ANTIBLEED CAPSULES 250MG 4295 1.36 (TRANEXAMIC ACID) "T.F." A027049212 HYCOBAMIN INJECTION 2.5MG 4296 9.3 (HYDROXOCOBALAMIN)"Y.Y" A027055100 CURRENT TABLETS "Y.Y" 4297 2.27 1 4298 A027060100 NASALCON TABLETS "N.C.P." A027068100 SUZYME TABLETS 90MG (LYSOZYME) 4299 1 "YU SHENG" A027082100 SECORIN CAPSULES 10MG (OXAZOLAM) 4300 0 "STANDARD" A0270821G0 SECORIN CAPSULES 10MG (OXAZOLAM) 4301 0 "STANDARD"(鋁箔/膠箔) 說明 CODE 藥品名稱 A027162212 A027174100 KAWAIPIN INJECTION 5MG/ML (PIRENZEPINE) "S.Y." TRANEX CAPSULES 250MG (TRANEXAMIC ACID) TON-PASS FILM COATED TABLETS 500MG (MEFENAMIC ACID) "TAI YU" CEFADIN INJECTION (CEPHRADINE) "STANDARD" CEFADIN INJECTION (CEPHRADINE) "STANDARD" QUINIDINE SULFATE TABLETS 200MG "ULIANG" LYSOZYME TABLETS 60MG "TK&A." A027177121 A027181238 A027193321 A027196100 A027206100 A027210212 ACTEIN GRANULES 20MG/GM "S.Y." AMINE INJECTION "N.K." ECONAZOLE LOTION 1% "MAYER" KOCAT TABLETS ISHUTIN TABLETS 500MG (ISOPRINOSINE) SURSO INJECTION "S.Y." 2.09 10.00 25.00 1.10 4.45 3.50 A027221100 A027229221 A027233500 LEUCOMYCIN CAPSULES 250MG EUMOCIL INJECTION 8MG/ML SAINT-IODINE VAGINAL SUPPOSITORIES 200MG (POVIDONE-IODINE) "PATRON" TRIMETHOPRIM TABLETS 100MG "PATRON" TENGAM CAPSULES "MT" 2.90 20.20 11.60 A027163100 A027164100 A027170209 A027170277 A027172100 A027234100 A027236100 9901 支付價 11.50 1.21 0.60 刪除 45.60 刪除 36.00 3.87 0.84 0.42 1.14 A0272361G0 TENGAM CAPSULES "MT"(鋁箔/膠箔) 1.50 A027244100 1.56 A027246277 A027267212 BUMETA TABLETS 1MG (BUMETANIDE) "H.H." HARTMANN-SORBITOL INJECTION "S.T." 44.60 A027280212 DILANTIN INJECTION 50MG/ML (PHENYTOIN) HUSTEN INJECTION "Y.Y" A027287100 A027288199 UPROFEN TABLETS 200MG (IBUPROFEN) CHEMIX GRANULES "YUNG SHIN" 1.00 0.95 A027289338 A027297100 33.40 2.53 A027361100 A027368100 UREA CREAM 100MG/GM "YUNG SHIN" DOMILIUM TABLETS 10MG (TRIFLUOPERAZINE) MEFENA F.C. TABLETS 500MG "GCPC" (MEFENAMIC ACID) SEZEN TABLETS 30MG (NEFOPAM) U-SODIN INJECTION 2.5MG/ML (VERAPAMIL) METOCLOPRAMIDE S.C. TABLETS 7.67MG "PFOSHEN" METHYLSCOPOLAMINE TABLETS 1MG "PFOSHEN" ESUSIN S.C. TABLETS 20MG "M.T." CONAMIN INJECTION "N.K." LACTATED RINGER'S INJECTION "S.H." GANIN CAPSULES "N.C.P." PROASMA INJECTION 100MG/ML (METHOXYPHENAMINE)"Y.Y" NEOPROXEN TABLETS 275MG (NAPROXEN)"SHIN FONG" HEMOCLOT INJECTIONS 10% (TRANEXAMIC ACID) DITROPAN TABLETS 5MG (OXYBUTYNIN) ASGIN F.C. TABLETS (TINIDAZOLE) "S.Y." A027372238 KALIMINE-A INJECTION "UNION" 20.10 A027373349 CALAMOL LOTION "VPP" 26.00 A027298100 A027300100 A027307212 A027312100 A027313100 A027317100 A027328277 A027329277 A027330100 A027332209 A027346100 A027356221 40.50 3.90 0.60 2.14 65.00 0.27 調整 0.55 2.45 68.00 20.00 1.09 4.24 調整 1.23 10.40 3.00 2.21 刪除 第 87 頁,共 382 頁 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 4302 4303 4304 4305 4306 4307 4308 4309 4310 4311 4312 4313 4314 4315 4316 4317 4318 4319 4320 4321 4322 4323 4324 4325 4326 4327 4328 4329 4330 4331 4332 4333 4334 4335 4336 4337 4338 4339 4340 4341 4342 CODE 藥品名稱 100年1月 項次 支付價 2.14 4302 A027087100 PROBUCOL TABLETS 250MG "PANBIOTIC" A027088100 DICLOPHEN TABLETS 25MG 4303 0.49 (DICLOFENAC) 115 4304 A027090263 AMINOL-RF INJECTION "S.T." A027093100 CEFAXIL CAPSULES 500MG 4305 2.2 (CEFADROXIL) "STANDARD A027102100 ACETAMINOPHEN TABLETS 500MG 4306 0.19 "YUNG CHI" A027109100 GRIFULCIN TABLETS 500MG 4307 2.69 (GRISEOFULVIN) "C.M." 0.78 4308 A027110100 RHINOX CAPSULES "SINPHAR" A027123100 AMOCILLIN CAPSULES 500MG 4309 1.27 (AMOXICILLIN) "CHI SHENG" 0.59 4310 A027126100 LYSOZYME TABLETS 50MG A027131100 FONING CAPUSLES "UNION" 4311 1.1 A027137255 RINGER'S SOLUTION FOR INJECTION "TAI 4312 14.8 YU" A027137265 RINGER'S SOLUTION FOR INJECTION "TAI 4313 17 YU" A027137277 RINGER'S SOLUTION FOR INJECTION "TAI 4314 17.4 YU" 25 4315 A027144151 PEACE SYRUP "YUNG SHIN" A027144199 PEACE SYRUP "YUNG SHIN" 4316 0.17 A027146321 FU-KONG CREAM "T.L.B" 4317 9.9 A027146335 FU-KONG CREAM "T.L.B" 4318 21.9 A027157100 WINTOHOW TABLETS 500MG (NALIDIXIC 4319 2.33 ACID) A027162212 KAWAIPIN INJECTION 5MG/ML 4320 11.5 (PIRENZEPINE) "S.Y." A027163100 TRANEX CAPSULES 250MG 4321 1.14 (TRANEXAMIC ACID) A027164100 TON-PASS FILM COATED TABLETS 500MG 4322 0.6 (MEFENAMIC ACID) "TAI YU A027170209 CEFADIN INJECTION (CEPHRADINE) 4323 45.6 "STANDARD" A027170277 CEFADIN INJECTION (CEPHRADINE) 4324 36 "STANDARD" A027172100 QUINIDINE SULFATE TABLETS 200MG "U4325 3.87 LIANG" A027174100 LYSOZYME TABLETS 60MG "H.S." 4326 0.84 A027177121 ACTEIN GRANULES 20MG/GM "S.Y." 4327 2.09 A027181238 AMINE INJECTION "N.K." 4328 10 A027193321 ECONAZOLE LOTION 1% "MAYER" 4329 25 1.1 4330 A027196100 KOCAT TABLETS A027206100 ISHUTIN TABLETS 500MG (ISOPRINOSINE) 4331 4.45 A027210212 SURSO INJECTION "S.Y." 4332 3.5 A027221100 LEUCOMYCIN CAPSULES 250MG 4333 2.9 "CENTER" 20.2 4334 A027229221 EUMOCIL INJECTION 8MG/ML A027233500 SAINT-IODINE VAGINAL SUPPOSITORIES 4335 11.6 200MG (POVIDONE-IODINE) 0.42 4336 A027234100 TRIMETHOPRIM TABLETS 100MG 1.14 4337 A027236100 TENGAM CAPSULES "MT" A0272361G0 TENGAM CAPSULES "MT"(鋁箔/膠箔) 4338 1.5 A027244100 BUMETA TABLETS 1MG (BUMETANIDE) 4339 0 "H.H." 44.6 4340 A027246277 HARTMANN-SORBITOL INJECTION "S.T." A027267212 DILANTIN INJECTION 50MG/ML 4341 40.5 (PHENYTOIN) 3.9 4342 A027280212 HUSTEN INJECTION "Y.Y" 說明 CODE 藥品名稱 A027374100 A027405100 ARTINE TABLETS 2MG SILLIVER CAPSULE 70MG (SILYMARIN) "C.M." SILUMA CAPSULE "M.T." BRONPHYLAT TABLETS "WEIDAR" 0.78 1.78 CAPETAN TABLETS 30MG (CARBETAPENTANE) "WEIDAR" PRO F.C.TABLETS 200MG 0.55 A027407100 A027412100 A027413100 A027418100 A027427321 A027432100 TERRAMYCIN OINTMENT DARVINE TABLETS 1.34MG (CLEMASTINE) "WEIDAR" A027433100 COTINOL TABLETS "WEIDAR" A027434100 BETASONE TABLETS 0.6MG (BETAMETHASONE) "WEIDAR" A027435100 SADAMOL TABLETS 4MG (SALBUTAMOL) "WEIDAR" A027436100 LOPAM TABLETS 1MG (LORAZEPAM) "WEIDAR" A027437100 METHOCON TABLETS 30MG (DEXTROMETHORPHAN) "WEIDAR" A027438100 ISOBIDE TABLETS 10MG "WEIDAR" A0274381G0 ISOBIDE TABLETS 10MG "WEIDAR"(鋁箔/ 膠箔) A027439100 NEDIPIN CAPSULES 10MG (NIFEDIPINE) "WEIDAR" A027440100 ETHAVIN TABLETS 100MG (ETHAVERINE) "WEIDAR" A027443100 PIRODENE CAPSULES 20MG (PIROXICAM) "WEIDAR" A027444100 CARBOTIN CAPSULES 375MG (SCARBOXYMETHYLCYSTEINE) "WEIDAR" A027445100 SANDEL S.C. TABLETS 50MG (DIPYRIDAMOLE) "WEIDAR" A027446100 BENOTON TABLETS 30MG (NEFOPAM) "WEIDAR" A027448100 SLOSAT TABLETS "WEIDAR" A027449100 A027450100 A027451100 A027452100 A027456238 A027456263 A027456265 A027457100 A027459100 A027474100 A027476100 A027479435 A027484100 A027492100 A027496100 LOPICOL F.C. TABLETS 250MG (PROBUCOL) "WEIDAR PROLAX TABLETS 250MG (CHLORZOXAZONE) "WEIDAR" SULORIL TABLETS 100MG (SULINDAC) "WEIDAR" ATENOL TABLETS 50MG (ATENOLOL) "WEIDAR" ROLIKAN INJECTION (SODIUM BICARBONATE) ROLIKAN INJECTION (SODIUM BICARBONATE) ROLIKAN INJECTION LIPOLAR CAPSULES 10MG (BROMOPRIDE) "S.T." DEPROLAC TABLETS 2.87MG (BROMOCRIPTINE) "WEIDAR" TRIALAM TABLETS 0.25MG (TRIAZOLAM) "H.S." SCRAT TABLETS 500MG MEI-LIAN EYE SOLUTION 9901 支付價 1.61 0.59 6.80 10.00 1.00 1.57 0.59 0.75 1.00 0.68 0.76 1.50 2.82 3.49 1.07 1.60 1.78 調整 1.84 2.29 3.57 0.96 2.66 2.03 4.95 28.80 35.20 1.40 4.18 1.82 1.20 51.00 8.60 1.31 1.82 A027499100 NEUER CAPSULES 200MG (CETRAXATE KALIMINE-A S.C. TABLETS 50MG (UNION) WINMARIN CAPSULES 70MG (SILYMARIN) "WINSTON" SILYME-V CAPSULES "Y.Y" A027501100 A027504100 SILIGEN CAPSULES "S.Y" POULICAN CAPSULES 1.61 1.55 A027505100 TALCAN CAPSULES "S.T." 1.41 1.61 刪除 第 88 頁,共 382 頁 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 4343 4344 4345 A027287100 A027288199 A027289338 UPROFEN TABLETS 200MG (IBUPROFEN) CHEMIX GRANULES "YUNG SHIN" UREA CREAM 100MG/GM "YUNG SHIN" 4346 A027297100 4347 A027298100 4348 A027300100 DOMILIUM TABLETS 10MG (TRIFLUOPERAZINE) MEFENA F.C. TABLETS 500MG "GCPC" (MEFENAMIC ACID) SEZEN TABLETS 30MG (NEFOPAM) 4349 A027307212 4350 A027312100 4351 A027313100 4352 A027317100 U-SODIN INJECTION 2.5MG/ML (VERAPAMIL) METOCLOPRAMIDE S.C. TABLETS 7.67MG "PFOSHEN" METHYLSCOPOLAMINE TABLETS 1MG "PFOSHEN" ESUSIN S.C. TABLETS 20MG "M.T." 4353 A027328277 CONAMIN INJECTION "N.K." 4354 4355 A027329277 A027330100 LACTATED RINGER'S INJECTION "S.H." GANIN CAPSULES "N.C.P." 4356 A027332209 4357 A027346100 4358 A027356221 4359 4360 4361 4362 A027361100 A027368100 A027372238 A027373349 PROASMA INJECTION 100MG/ML (METHOXYPHENAMINE)"Y.Y" NEOPROXEN TABLETS 275MG (NAPROXEN)"SHIN FONG" HEMOCLOT INJECTIONS 10% (TRANEXAMIC ACID) DITROPAN TABLETS 5MG (OXYBUTYNIN) ASGIN F.C. TABLETS (TINIDAZOLE) "S.Y." KALIMINE-A INJECTION "UNION" CALAMOL LOTION "VPP" 4363 A027374100 ARTINE TABLETS 2MG 4364 A027405100 4365 4366 4367 A027407100 A027412100 A027413100 4368 A027418100 SILLIVER CAPSULE 70MG (SILYMARIN) "C.M." SILUMA CAPSULE "M.T." BRONPHYLAT TABLETS "WEIDAR" CAPETAN TABLETS 30MG (CARBETAPENTANE) "WEIDAR" PRO F.C.TABLETS 200MG 4369 A027427321 TERRAMYCIN OINTMENT 4370 A027432100 4371 A027433100 DARVINE TABLETS 1.34MG (CLEMASTINE) "WEIDAR" COTINOL TABLETS "WEIDAR" 4372 A027434100 4373 A027435100 4374 A027436100 4375 A027437100 4376 A027438100 4377 A0274381G0 ISOBIDE TABLETS 10MG "WEIDAR"(鋁箔/ 膠箔) A027439100 NEDIPIN CAPSULES 10MG (NIFEDIPINE) "WEIDAR" A027440100 ETHAVIN TABLETS 100MG (ETHAVERINE) "WEIDAR" A027443100 PIRODENE CAPSULES 20MG (PIROXICAM) "WEIDAR" A027444100 CARBOTIN CAPSULES 375MG (SCARBOXYMETHYLCYSTEINE) "WEIDAR" 4378 4379 4380 4381 BETASONE TABLETS 0.6MG (BETAMETHASONE) "WEIDAR" SADAMOL TABLETS 4MG (SALBUTAMOL) "WEIDAR" LOPAM TABLETS 1MG (LORAZEPAM) "WEIDAR" METHOCON TABLETS 30MG (DEXTROMETHORPHAN) "WEIDAR" ISOBIDE TABLETS 10MG "WEIDAR" 100年1月 項次 支付價 1 4343 0.95 4344 4345 33.4 4346 2.53 4347 0.6 4348 2.14 4349 65 4350 0.27 4351 0.55 4352 2.45 4353 68 20 4354 4355 1.09 4356 4.24 4357 1.23 4358 10.4 3 4359 2.21 4360 20.1 4361 4362 26 4363 0.78 4364 1.78 1.61 4365 0 4366 4367 0.55 4368 6.8 4369 10 4370 1 4371 1.57 4372 0.59 4373 0.75 4374 1 4375 0.68 4376 0.76 4377 1.5 4378 2.82 4379 3.49 4380 1.07 4381 1.6 CODE 藥品名稱 A027506100 A027508100 A027513100 KANPIAN CAPSULES "C.H." SIMALON CAPSULES U-CLOR CAPSULES 250MG (CEFACLOR) "U.L." A027520100 DOMETON TABLETS 200MG (SULINDAC) "N.K." A027521100 BOMECON TABLETS 500MG (SULFASALAZINE) "F.S." A027528100 METHON TABLETS 30MG (DEXTROMETHORPHAN) "C.C.P." A027531100 PROMETIN S.C. TABLETS 5 (METOCLOPRAMIDE) A0275311G0 PROMETIN S.C. TABLETS 5 (METOCLOPRAMIDE)(鋁箔) A027554277 PANSPORIN INTRAVENOUS 0.5GM (CEFOTIAM) A027557500 STATIN VAGINAL TABLETS 100000 UNITS "STANDARD" (NYSTATIN) A027558100 SELADIN TABLETS 250MG (NAPROXEN) "YUNG SHIN" A027566100 TETROX TABLET M.S. A027568100 ZIMARON TABLETS 50MG (BENZBROMARONE) "S.T." A027569100 SOMIN TABLETS 2MG (DEXCHLORPHENIRAMINE) "YUNG SHIN" A027576100 PONIKAN CAPSULES A027577212 BUSIX INJECTION 0.25MG/ML (BUMETANIDE) "S.T." A027598100 FUCOU CAPSULES "H.H." A0275981G0 FUCOU CAPSULES "H.S."(鋁箔/膠箔) A027624100 LITABAO CAPSULES A027629100 VOLBRO CAPSULES 2.5MG (BROMOCRIPTINE) A027638209 CLAVOX FOR INJECTION 1.0 GM (CEFOTAXIME) A027638277 CLAVOX FOR INJECTION 1.0 GM (CEFOTAXIME) A027646216 FUKAN INJECTION "Y.Y." A027676100 LOPID CAPSULES 300MG (GEMFIBROZIL) A027687216 LIBAAMIN INJECTION A027706100 A027716209 A027717206 A027718206 CLODNIN TABLETS 25MG(CHLOPHEDIANOL)"MEDIDE" NOVAMIN INJECTION 5MG/ML (PROCHLORPERAZINE) RINDERON SUSPENSION 5MG/ML 說明 9901 支付價 1.63 1.61 3.45 2.08 3.66 0.95 1.00 1.50 176.00 2.67 1.23 7.00 2.12 0.60 1.56 6.60 1.00 1.50 1.36 3.62 144.00 39.50 9.00 1.84 10.00 1.00 15.30 41.10 A027737216 RINDERON INJECTION 4MG/ML (BETAMETHASONE) RINDERON INJECTION 4MG/ML (BETAMETHASONE) CITRUGEN INJECTION "STANDARD" A027775100 SINROX F.C TABLETS 40MG (VERAPAMIL) 1.22 A027776100 GRISEN TABLETS 500MG (GRISEOFULVIN) "VPP" TAMEDIN INJECTION 100MG/ML (CIMETIDINE) "STANDARD" DEPERMIDE S.C. TABLETS (INDAPAMIDE) 2.78 A027718209 A027812212 A027818100 A027849100 LOWEN TABLETS 0.5MG (LORAZEPAM) "C.C.P." A0278491G0 LOWEN TABLETS 0.5MG (LORAZEPAM) "C.C.P."(鋁箔盒裝) A027850212 DUPIN INJECTION 5MG/ML (DIAZEPAM) "C.C.P." A027851255 MEDAZOLE INJECTION FOR INTRAVENOUS INFUSION 0.5% 第 89 頁,共 382 頁 33.60 16.90 15.70 10.00 3.22 0.80 1.50 9.20 30.80 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 4382 A027445100 4383 A027446100 4384 A027448100 SANDEL S.C. TABLETS 50MG (DIPYRIDAMOLE) "WEIDAR" BENOTON TABLETS 30MG (NEFOPAM) "WEIDAR" SLOSAT TABLETS "WEIDAR" 4385 A027449100 4386 A027450100 4387 A027451100 4388 A027452100 4389 A027456238 4390 A027456263 4391 4392 A027456265 A027457100 4393 A027459100 4394 A027474100 4395 4396 A027476100 A027479435 4397 A027484100 4398 A027492100 4399 A027496100 4400 A027499100 WINMARIN LIVER-PROTECTED CAPSULES 70MG "WINSTON" (SILYMARIN SILYME-V CAPSULES "Y.Y" 4401 A027501100 SILIGEN CAPSULES "S.Y" 4402 A027504100 POULICAN CAPSULES 4403 A027505100 TALCAN CAPSULES "S.T." 4404 A027506100 KANPIAN CAPSULES "C.H." 4405 4406 A027508100 A027513100 4407 4408 4409 4410 4411 4412 4413 4414 4415 4416 4417 4418 LOPICOL F.C. TABLETS 250MG (PROBUCOL) "WEIDAR PROLAX TABLETS 250MG (CHLORZOXAZONE) "WEIDAR" SULORIL TABLETS 100MG (SULINDAC) "WEIDAR" ATENOL TABLETS 50MG (ATENOLOL) "WEIDAR" ROLIKAN INJECTION (SODIUM BICARBONATE) ROLIKAN INJECTION (SODIUM BICARBONATE) ROLIKAN INJECTION LIPOLAR CAPSULES 10MG (BROMOPRIDE) "S.T." DEPROLAC TABLETS 2.87MG (BROMOCRIPTINE) "WEIDAR" TRIALAM TABLETS 0.25MG (TRIAZOLAM) "H.S." SCRAT TABLETS 500MG MEI-LIAN EYE SOLUTION NEUER CAPSULES 200MG (CETRAXATE HCL) KALIMINE-A S.C. TABLETS 50MG (UNION) SIMALON CAPSULES U-CLOR CAPSULES 250MG (CEFACLOR) "U.L." A027520100 DOMETON TABLETS 200MG (SULINDAC) "N.K." A027521100 BOMECON TABLETS 500MG (SULFASALAZINE) "F.S." A027528100 METHON TABLETS 30MG (DEXTROMETHORPHAN) "C.C.P." A027531100 PROMETIN S.C. TABLETS 5 (METOCLOPRAMIDE) A0275311G0 PROMETIN S.C. TABLETS 5 (METOCLOPRAMIDE)(鋁箔) A027554277 PANSPORIN INTRAVENOUS 0.5GM (CEFOTIAM) A027557500 STATIN VAGINAL TABLETS 100000 UNITS "STANDARD" (NYSTATIN) A027558100 SELADIN TABLETS 250MG (NAPROXEN) "YUNG SHIN" A027566100 TETROX TABLET M.S. A027568100 ZIMARON TABLETS 50MG (BENZBROMARONE) "S.T." A027569100 SOMIN TABLETS 2MG (DEXCHLORPHENIRAMINE) "YUNG SHIN" A027576100 PONIKAN CAPSULES 100年1月 項次 支付價 4382 1.78 4383 1.84 4384 2.29 4385 3.57 4386 0.96 4387 2.66 4388 2.03 4389 4.95 4390 28.8 35.2 4391 4392 1.4 4393 4.18 4394 1.82 1.2 4395 4396 51 4397 8.6 4398 1.31 4399 0 4400 1.61 4401 1.61 4402 1.55 4403 1.41 4404 1.63 1.61 4405 4406 3.45 4407 2.08 4408 3.66 4409 0.95 4410 1 4411 1.5 4412 176 4413 2.67 4414 1.23 7 4415 4416 2.12 4417 0.6 4418 1.56 說明 CODE 藥品名稱 A027864212 AMIKACIN INJECTION 250MG/ML "N.K." 9901 支付價 32.30 A027864229 AMIKACIN INJECTION 250MG/ML "N.K." 158.00 A027876100 1.82 A027928212 LIVORIN CAPSULES 70MG (SILYMARIN) "WEIDAR" UNIKIN INJECTION 200MG (AMIKACIN) "UNION" FLUNAZINE TABLETS 5MG "H.C."(FLUNARIZINE) METHYLTESTOSTERONE TABLETS "HONTEN" ROSIS INJECTION (FUROSEMIDE) "VPP" A027930221 LYOPLEX-L INJECTION A027934100 DECOFEN TABLETS "VPP" 0.80 A027936100 A027939221 BENAMINE CAPSULES 50MG "VPP" BEESIX INJECTION 100MG/ML (PYRIDOXINE HCL) "VPP" BEESIX TABLETS 50MG (PYRIDOXINE HCL) "VPP" NITROFURAZONE OINTMENT "VPP" 0.45 3.86 A027886263 A027887100 A027888100 A027940100 A027942399 A027943100 VANCONIN TABLETS 5MG "VPP" A0279431G0 VANCONIN TABLETS 5MG "VPP"(90粒/ 瓶)(鋁箔/膠箔) A027946100 METHASONE TABLETS 0.25MG (DEXAMETHASONE) "VPP A027948212 VANCONIN INJECTION 5MG/ML (DIAZEPAM) "VPP" A027956209 CECONINE FOR INJECTION 1G (CEPHALORIDINE) "VPP" A027957277 CECONINE FOR INJECTION 0.5G (CEPHALORIDINE) "VPP" A027971100 MISPANTON CAPSULES 500MG (MEFENAMIC ACID) "C.M." A027973289 CEFOXIN INJECTION 750MG (CEFUROXIME) "KINGDOM" A027978100 STILBESTOL ECT 1MG (DIETHYLSTILBESTROL) "NYSCO" A027979209 PAMOXICILLIN INJECTION 1GM (AMOXICILLIN) "UNION" A027989199 CHLORPHENIRAMINE SOLUTION A027998199 FUDOLON SOLUTION 24MG/ML (ACETAMINOPHEN) "BOWLIN" A028013100 CLOMID TABLETS 50MG (CLOMIFENE) "SHIONOGI" A028014100 PIPERA CAPSULES 200MG (PIPEMIDIC ACID) "WEIDAR" A028015100 TRIPRIM TABLETS 100MG (TRIMETHOPRIM) "WEIDAR" A028016100 TINIZOL TABLETS 500MG (TINIDAZOLE) "WEIDAR" A028017100 DICLOREN E.C. TABLETS 50MG (DICLOFENAC) "WEIDAR" A028020199 KAOTIN SUSPENSION 80.00 1.54 1.43 4.80 12.00 0.45 0.29 0.31 1.50 0.59 4.00 38.80 刪除 21.80 0.76 36.40 3.20 71.00 0.10 0.11 8.80 2.01 0.75 2.22 1.00 0.08 A028021321 AIRFUL CREAM 1MG/GM (TRETINOIN) A028029100 DIMENHYDRINATE TABLETS 0.94 A028032100 VETRIMIL S.C. TABLETS 40MG A0280321G0 VETRIMIL S.C. TABLETS 40MG (鋁 箔)(VERAPAMIL) A028033100 SUCWAY TABLETS 500MG (SUCRALFATE) 1.19 1.50 A028034100 6.10 第 90 頁,共 382 頁 PANALDINE F.C. TABLETS 100MG (TICLOPIDINE) 39.50 1.02 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 4419 4420 4421 4422 4423 4424 4425 4426 4427 4428 4429 4430 4431 4432 4433 4434 4435 4436 4437 4438 4439 4440 4441 4442 4443 4444 4445 4446 4447 4448 4449 4450 4451 4452 4453 4454 4455 4456 CODE 藥品名稱 100年1月 項次 支付價 A027577212 BUSIX INJECTION 0.25MG/ML 4419 6.6 (BUMETANIDE) "S.T." 0 4420 A027598100 FUCOU CAPSULES "H.H." 1.5 4421 A0275981G0 FUCOU CAPSULES "H.S."(鋁箔/膠箔) 1.36 4422 A027624100 LITABAO CAPSULES A027629100 VOLBRO CAPSULES 2.5MG 4423 3.62 (BROMOCRIPTINE) A027638209 CLAVOX FOR INJECTION 1.0 GM 4424 0 (CEFOTAXIME) A027638277 CLAVOX FOR INJECTION 0.5 GM 4425 0 (CEFOTAXIME) A027646216 FUKAN INJECTION "Y.Y." 4426 9 1.84 4427 A027676100 LOPID CAPSULES 300MG (GEMFIBROZIL) A027687216 LIBAAMIN INJECTION 4428 10 A027706100 CLODNIN TABLETS 4429 1 25MG(CHLOPHEDIANOL)"MEDIDE" A027716209 NOVAMIN INJECTION 5MG/ML 4430 15.3 (PROCHLORPERAZINE) A027717206 RINDERON SUSPENSION 5MG/ML 4431 41.1 A027718206 RINDERON INJECTION 4MG/ML 4432 33.6 (BETAMETHASONE) A027718209 RINDERON INJECTION 4MG/ML 4433 16.9 (BETAMETHASONE) 15.7 4434 A027737216 CITRUGEN INJECTION "STANDARD" A027775100 SINROX F.C TABLETS 40MG (VERAPAMIL) 4435 1.22 A027776100 GRISEN TABLETS 500MG (GRISEOFULVIN) 4436 2.78 "VPP" A027812212 TAMEDIN INJECTION 100MG/ML 4437 10 (CIMETIDINE) "STANDARD" A027818100 DEPERMIDE S.C. TABLETS (INDAPAMIDE) 4438 3.22 A027849100 LOWEN TABLETS 0.5MG (LORAZEPAM) 4439 0.8 "C.C.P." A0278491G0 LOWEN TABLETS 0.5MG (LORAZEPAM) 4440 1.5 "C.C.P."(鋁箔/膠箔) A027850212 DUPIN INJECTION 5MG/ML (DIAZEPAM) 4441 9.2 "C.C.P." A027851255 MEDAZOLE INJECTION FOR 4442 30.8 INTRAVENOUS INFUSION 0.5% A027864212 AMIKACIN INJECTION 250MG/ML "N.K." 4443 32.3 A027864229 AMIKACIN INJECTION 250MG/ML "N.K." 4444 158 A027876100 LIVORIN CAPSULES 70MG (SILYMARIN) 4445 1.83 "WEIDAR" A027886263 UNIKIN INJECTION 200MG (AMIKACIN) 4446 80 "UNION" A027887100 FLUNAZINE TABLETS 5MG 4447 1.54 "H.C."(FLUNARIZINE) A027888100 METHYLTESTOSTERONE TABLETS 4448 1.43 "HONTEN" A027928212 ROSIS INJECTION (FUROSEMIDE) "VPP" 4449 4.8 A027930221 LYOPLEX-L INJECTION 4450 12 0.8 4451 A027934100 DECOFEN TABLETS "VPP" A027936100 BENAMINE CAPSULES 50MG "VPP" 4452 0.45 A027939221 BEESIX INJECTION 100MG/ML 4453 3.86 (PYRIDOXINE HCL) "VPP" A027940100 BEESIX TABLETS 50MG (PYRIDOXINE 4454 0.45 HCL) "VPP" A027942399 NITROFURAZONE OINTMENT "VPP" 4455 0.29 A027943100 VANCONIN TABLETS 5MG "VPP" 4456 0.31 說明 CODE 藥品名稱 9901 支付價 A028041100 AMIORONE TAB. 200MG (AMIODARONE) A028047212 A028047229 A028054100 A028055100 SAVOX INJECTION 125MG/ML SAVOX INJECTION 125MG/ML FUYOU TABLETS FUYOU TABLETS 500MG A028066100 HEBOVITA TABLETS 1.00 A028069100 KYOPINAL F.C. TABLETS (ALCLOFENAC) 7.10 A028078100 SULPIN F.C. TABLETS 200MG (SULPIRIDE) "S.T." BUSIX TABLETS 1.0MG (BUMETANID) LEBUFEN F.C. TABLETS 200MG (FENBUFEN) "S.T." FLUFEN CAPSULES 125MG (ALUMINUM FLUFENAMATE)"P.L." ACETAMOL TABLETS 500MG (ACETAMINOPHEN) "WEIDAR" FUROXIME FOR INJECTION (CEFUROXIME) "S.T." FUROXIME FOR INJECTION (CEFUROXIME) "S.T." FUROXIME FOR INJECTION (CEFUROXIME) PICOSONE CREAM "C.M." ALAT CAPSULES 5MG (NIFEDIPINE) "YUNG SHIN" SELADIN TABLETS 500MG (NAPROXEN) "YUNG SHIN" RIPIN CAPSULE 300MG 3.71 6.50 35.30 90.00 0.88 2.62 刪除 刪除 刪除 A028079100 A028080100 A028091100 A028098100 A028099210 A028099265 A028099289 A028115377 A028131100 A028136100 A028140100 A028141399 A028142100 A028149100 A028150212 A028151212 A028151229 A028158277 A028160100 FLUGEN OINTMENT 10MG (SILVER SULFADIAZINE "YUNG SHIN" KASTEINE TABLETS 375MG (SCARBOXYMETHYLCYSTEINE "YUNG TITALAM TABLETS 0.25MG (TRIAZOLAM) UNIKIN INJECJION 500MG "UNION" (AMIKACIN SULFATE) UNIKIN INJECTION 250MG(AMIKACIN SULFATE)"UNION" UNIKIN INJECTION 250MG(AMIKACIN SULFATE)"UNION" KINFOMYCIN INJECTION 500MG (FOSFOMYCIN) "KINGDOM" ANDIZA TABLETS 25MG (DIPHENIDOL) 1.37 1.97 3.25 0.44 78.00 40.60 36.80 567.00 2.02 3.14 7.10 0.63 1.62 1.78 31.40 42.90 113.00 74.00 0.80 調整 A0281601G0 ANDIZA TABLETS 25MG (DIPHENIDOL)(鋁 箔/膠箔) A028168338 SILVADENE CREAM 1% (SILVER SULFADIAZINE) A028168348 SILVADENE CREAM 1% (SILVER SULFADIAZINE) A028168371 SILVADENE CREAM 1% (SILVER SULFADIAZINE) A028168399 SILVADENE CREAM 1% (SILVER SULFADIAZINE) A028171100 SOOTHER TABLETS 1MG (KETOTIFEN) A0281711G0 SOOTHER TABLETS 1MG (KETOTIFEN)(鋁 箔盒裝) A028200100 WINMIDE S.C. TABLETS 2.5MG (INDAPAMIDE) "WINSTON" A028206100 OHMINASE S.C. TABLETS A028210100 A028218100 第 91 頁,共 382 頁 INFLAMNIL TABLETS 100MG (TRIMETHOPRIM) LOPELA CAPSULES 2MG (LOPERAMIDE) "WEIDAR" 1.50 37.70 46.70 311.00 0.63 1.00 1.50 3.24 1.01 0.42 0.93 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 4457 4458 4459 4460 4461 4462 4463 4464 4465 4466 4467 4468 4469 4470 4471 4472 4473 4474 4475 4476 4477 4478 4479 4480 4481 4482 4483 4484 4485 4486 4487 4488 4489 4490 4491 4492 4493 CODE 藥品名稱 100年1月 項次 支付價 A0279431G0 VANCONIN TABLETS 5MG "VPP"(90粒/ 4457 1.5 瓶)(鋁箔/膠箔) A027946100 METHASONE TABLETS 0.25MG 4458 0.59 (DEXAMETHASONE) "VPP A027948212 VANCONIN INJECTION 5MG/ML 4459 4 (DIAZEPAM) "VPP" A027956209 CECONINE FOR INJECTION 1G 4460 38.8 (CEPHALORIDINE) "VPP" A027957277 CECONINE FOR INJECTION 0.5G 4461 21.8 (CEPHALORIDINE) "VPP" A027971100 MISPANTON CAPSULES 500MG 4462 0.76 (MEFENAMIC ACID) "C.M." A027973289 CEFOXIN INJECTION 750MG 4463 36.4 (CEFUROXIME) "KINGDOM" A027978100 STILBESTOL ECT 1MG 4464 3.2 (DIETHYLSTILBESTROL) "NYSCO" A027979209 PAMOXICILLIN INJECTION 1GM 4465 71 (AMOXICILLIN) "UNION" A027989199 CHLORPHENIRAMINE SOLUTION 4466 0.1 0.4MG/ML A027998199 FUDOLON SOLUTION 24MG/ML 4467 0.11 (ACETAMINOPHEN) "BOWLIN" A028013100 CLOMID TABLETS 50MG (CLOMIFENE) 4468 8.8 "SHIONOGI" A028014100 PIPERA CAPSULES 200MG (PIPEMIDIC 4469 2.01 ACID) "WEIDAR" A028015100 TRIPRIM TABLETS 100MG 4470 0.75 (TRIMETHOPRIM) "WEIDAR" A028016100 TINIZOL TABLETS 500MG (TINIDAZOLE) 4471 2.22 "WEIDAR" A028017100 DICLOREN E.C. TABLETS 50MG 4472 1 (DICLOFENAC) "WEIDAR" A028020199 KAOTIN SUSPENSION 4473 0.08 39.5 4474 A028021321 AIRFUL CREAM 1MG/GM (TRETINOIN) A028029100 DIMENHYDRINATE TABLETS 4475 0.94 A028032100 VETRIMIL S.C. TABLETS 40MG 4476 1.19 (VERAPAMIL) A0280321G0 VETRIMIL S.C. TABLETS 40MG (鋁 4477 1.5 箔)(VERAPAMIL) 1.02 4478 A028033100 SUCWAY TABLETS 500MG (SUCRALFATE) A028034100 PANALDINE F.C. TABLETS 100MG 4479 6.1 (TICLOPIDINE) 6.5 4480 A028041100 AMIORONE TAB. 200MG (AMIODARONE) 35.3 4481 A028047212 SAVOX INJECTION 125MG/ML A028047229 SAVOX INJECTION 125MG/ML 4482 90 (AMIKACIN) A028054100 FUYOU TABLETS 4483 0.88 A028055100 FUYOU TABLETS 500MG 4484 2.62 A028066100 HEBOVITA TABLETS 4485 1 A028069100 KYOPINAL F.C. TABLETS (ALCLOFENAC) 4486 7.1 A028078100 SULPIN F.C. TABLETS 200MG (SULPIRIDE) 4487 3.71 "S.T." A028079100 BUSIX TABLETS 1.0MG (BUMETANID) 4488 1.37 "S.T." A028080100 LEBUFEN F.C. TABLETS 200MG 4489 1.76 (FENBUFEN) "S.T." A028091100 FLUFEN CAPSULES 125MG (ALUMINUM 4490 3.25 FLUFENAMATE)"P.L." A028098100 ACETAMOL TABLETS 500MG 4491 0.44 (ACETAMINOPHEN) "WEIDAR" A028099210 FUROXIME FOR INJECTION "S.T." 4492 78 (CEFUROXIME) A028099265 FUROXIME FOR INJECTION "S.T." 4493 40.6 (CEFUROXIME) 說明 CODE 藥品名稱 A028243100 ISONIN TABLETS 100MG 0.20 GLIBIDE TABLETS 5MG (GLIBENCLAMIDE) "WEIDAR" A0282451G0 GLIBIDE TABLETS 5MG (GLIBENCLAMIDE) "WEIDAR"(鋁箔/膠 A028254309 LOSUCON CREAM 1.00 A028245100 9901 支付價 1.50 301.00 A028254329 LOSUCON CREAM 30.40 A028254399 LOSUCON CREAM 0.30 A028283100 SUFUNI CAPSULES 5MG (FLUNARIZINE) 1.55 A028284100 0.40 A028314277 COCOBITA F.C. TABLETS 30MG (CARBETAPENTANE) "T.F." PIMICID F.C. TABLETS 250MG (PIPEMIDIC ACID) NINIOL CAPSULES 100MG (NITROXOLINE)"CHEU TA" TIARAMIDE TABLETS 100MG (TIARAMIDE) "MEIDER" SORBILAC RINGER'S INJECTION A028315500 HEMOTHOL SUPPOSITORIES 4.50 A028318100 TEGANSIA TABLETS 40MG (FENSPIRIDE) "MEIDER" UPROFEN TABLETS 400MG (IBUPROFEN) 1.80 DICLOF E.C. TABLETS 50MG "CHEN TA"(DICLOFENAC) A028332100 GAIN-TONIN TABLETS 10MG (DOMPERIDONE)"MEIDER" A028333100 LUCKYHEPA CAPSULES "YUNG SHIN" A028341500 GYNOMYCODERIN VAGINAL TABLETS 100MG (MICONAZOE NITRATE) A028350212 ACEMYCIN INJECTION 100MG/ML (AMIK ACIN)"YUNG SHIN" A028371100 SAFEWAY F.C. TABLETS 200MG (CIMETIDINE) "VPP" A028374100 SEDES TABLETS A0283741G0 SEDES TABLETS(鋁箔) 0.60 A028302100 A028307100 A028313100 A028321100 A028324100 A028379100 A028380100 A028451100 2.41 2.51 1.41 50.00 1.00 0.59 1.58 6.10 80.00 1.00 1.03 1.50 PIROXICAM CAPSULES 20MG "YUNG CHI" SULINDAC TABLETS 100MG "Y.C." BISOLVON TABLETS 8MG (BROMHEXINE HYDROCHLORIDE) A028452100 BUSCOPAN S.C. TABLETS 10MG (HYOSCINE-N-BUTYL BROMIDE) A0284521G0 BUSCOPAN S.C. TABLETS 10MG (HYOSCINE-N-BUTYL BROMIDE)(鋁箔/膠 A028453100 MUCOSOLVAN TABLETS 30MG (AMBROXOL HYDROCHLORIDE) A0284531G0 MUCOSOLVAN TABLETS 30MG (AMBROXOL HYDROCHLORIDE)(鋁箔) A028454100 PERSANTIN S.C. TABLETS 25MG (DIPYRIDAMOLE) A0284541G0 PERSANTIN S.C. TABLETS 25MG (DIPYRIDAMOLE)(鋁箔) A028458100 PIRACETAM CAPSULES 400MG "Y.S." 1.05 1.52 1.04 A028461100 1.00 1.42 1.50 1.00 1.50 1.00 1.50 1.22 調整 DOMPE TABLETS 10MG (DOMPERIDONE)"H.H." A0284611G0 DOMPE TABLETS 10MG (DOMPERIDONE)"H.H."(鋁箔)/膠箔 A028462100 CRIP CAPSULES 2.5MG (BROMOCRIPTINE)"H.H." A028470100 TRENTAL DRAGEE 400MG (PENTOXIFYLLINE) 第 92 頁,共 382 頁 1.50 4.20 3.65 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 4494 A028099289 4495 A028115377 FUROXIME FOR INJECTION "S.T." (CEFUROXIME) PICOSONE CREAM "C.M." 4496 A028131100 4497 A028136100 4498 A028140100 4499 A028141399 ALAT CAPSULES 5MG (NIFEDIPINE) "YUNG SHIN" SELADIN TABLETS 500MG (NAPROXEN) "YUNG SHIN" RIPIN CAPSULE 300MG 4521 FLUGEN OINTMENT 10MG (SILVER SULFADIAZINE "YUNG SHIN" A028142100 KASTEINE TABLETS 375MG (SCARBOXYMETHYLCYSTEINE "YUNG A028149100 TITALAM TABLETS 0.25MG (TRIAZOLAM) A028150212 UNIKIN INJECJION 500MG "UNION" (AMIKACIN SULFATE) A028151212 UNIKIN INJECTION 250MG(AMIKACIN SULFATE)"UNION" A028151229 UNIKIN INJECTION 250MG(AMIKACIN SULFATE)"UNION" A028158277 KINFOMYCIN INJECTION 500MG (FOSFOMYCIN) "KINGDOM" A028160100 ANDIZA FILM COATED TABLETS 25MG (DIPHENIDOL) A0281601G0 ANDIZA FILM COATED TABLETS 25MG(鋁 箔/膠箔) A028168338 SILVADENE CREAM 1% (SILVER SULFADIAZINE) A028168348 SILVADENE CREAM 1% (SILVER SULFADIAZINE) A028168371 SILVADENE CREAM 1% (SILVER SULFADIAZINE) A028168399 SILVADENE CREAM 1% (SILVER SULFADIAZINE) A028171100 SOOTHER TABLETS 1MG (KETOTIFEN) A0281711G0 SOOTHER TABLETS 1MG (KETOTIFEN)(鋁 箔盒裝) A028200100 WINMIDE S.C. TABLETS 2.5MG (INDAPAMIDE) "WINSTON" A028206100 OHMINASE S.C. TABLETS A028210100 INFLAMNIL TABLETS 100MG (TRIMETHOPRIM) A028218100 LOPELA CAPSULES 2MG (LOPERAMIDE) "WEIDAR" A028243100 ISONIN TABLETS 100MG A028245100 GLIBIDE TABLETS 5MG (GLIBENCLAMIDE) "WEIDAR" A0282451G0 GLIBIDE TABLETS 5MG (GLIBENCLAMIDE) "WEIDAR"(鋁箔/膠 A028254309 LOSUCON CREAM 4522 A028254329 LOSUCON CREAM 4523 A028254399 LOSUCON CREAM 4524 A028283100 SUFUNI CAPSULES 5MG (FLUNARIZINE) 4525 A028284100 4526 A028302100 4527 A028307100 4528 A028313100 4529 A028314277 COCOBITA F.C. TABLETS 30MG (CARBETAPENTANE) "T.F." PIMICID F.C. TABLETS 250MG (PIPEMIDIC ACID) NINIOL CAPSULES 100MG (NITROXOLINE)"CHEU TA" TIARAMIDE TABLETS 100MG (TIARAMIDE) "MEIDER" SORBILAC RINGER'S INJECTION 4530 A028315500 HEMOTHOL SUPPOSITORIES 4500 4501 4502 4503 4504 4505 4506 4507 4508 4509 4510 4511 4512 4513 4514 4515 4516 4517 4518 4519 4520 100年1月 項次 支付價 4494 36.8 4495 567 4496 2.02 4497 3.14 4498 7.1 4499 0.63 4500 1.62 1.78 4501 4502 31.4 4503 42.9 4504 113 4505 0 4506 0.8 4507 1.5 4508 37.7 4509 46.7 4510 311 4511 0.63 1 4512 4513 1.5 4514 3.24 0 4515 4516 0.42 4517 0.93 0.2 4518 4519 1 4520 1.5 4521 301 4522 30.4 4523 0.3 4524 0 4525 0.4 4526 2.41 4527 2.51 4528 1.41 4529 50 4530 4.5 CODE 藥品名稱 A028475277 GLYBRAIN INJECTION A028476100 ANTITUSSIVE TABLETS 30MG (DEXTROMETHORPHAN) "TAI YU" ACEMYCIN INJECTION 250MG/ML (AMIKACIN) "YUNG SHIN" ACEMYCIN INJECTION 250MG/ML (AMIKACIN) "YUNG SHIN" CHLORPHENIRAMINE INJECTION 5MG/ML "TAI YU" VILIABES S.C. TABALETS "JOHNSON" A028477212 A028477229 A028478209 A028482100 A028501100 BEROTEC TABLETS 2.5MG (FENOTEROL HYDROBROMIDE) A028502151 BEROTEC LIQUID 0.5MG/ML A028502199 BEROTEC LIQUID 0.5MG/ML (FENOTEROL HYDROBROMIDE) A028503100 DULCOLAX E.S.C. TABLETS 5MG (BISACODYL) A0285031G0 DULCOLAX E.S.C. TABLETS 5MG (BISACODYL)(鋁箔) A028504100 CATAPRES TABLETS 75UG (CLONIDINE HYDROCHLORIDE) A028505155 MUCOSOLVAN LIQUID 3MG/ML (AMBROXOL HYDROCHLORIDE) A028505199 MUCOSOLVAN LIQUID 3MG/ML (AMBROXOL HYDROCHLORIDE) A028507100 PERSANTIN S.C. TABLETS 75MG (DIPYRIDAMOLE) A028515100 ALUPENT TABLETS 20MG (ORCIPRENALINE SULFATE) A028517100 PLOTON TABLETS A028518209 PLOTON INJECTION A028519199 A028533100 CARTEINE SOLUTION 50MG/ML "C.M" NOOBICA CAPSULES 400MG (PIRACETAM) "YU SHENG" A0285331G0 NOOBICA CAPSULES 400MG (PIRACETAM) "YU SHENG"(鋁箔/膠箔) A028535277 POTACOL-R INJECTION A028538209 C.P.Z. INJECTION 1GM "STANDARD" (CEFOPERAZONE) A028542265 PANTOGEN INJECTION "SINTONG" 說明 9901 支付價 147.00 0.60 73.00 260.00 1.60 1.16 1.00 27.60 0.46 1.03 1.50 2.38 刪除 29.60 0.29 2.58 1.54 0.46 3.17 1.11 1.25 1.50 104.00 283.00 26.30 A028542277 A028560255 PANTOGEN INJECTION METRONIDAZOLE INJECTION 5MG/ML 31.80 31.50 A028560263 METRONIDAZOLE INJECTION 5MG/ML 69.00 A028562321 CLOBETASOL OINTMENT 0.5MG/GM "SINPHAR" A028562324 CLOBETASOL OINTMENT 0.5MG/GM "SINPHAR" A028562329 CLOBETASOL OINTMENT 0.5MG/GM "SINPHAR" A028562399 CLOBETASOL OINTMENT 0.5MG/GM "SINPHAR" A028576216 DIFENA INJECTION 25MG/ML "STANDARD" (DICLOFENAC) A028578329 PIRIGEN CREAM 0.5MG/MG (CLOBETASOL) A028578399 PIRIGEN CREAM 0.5MG/GM (CLOBETASOL) A028581100 FLUNAZINE TABLETS 5MG (FLUNARIZINE) A0285811G0 FLUNAZINE TABLETS 5MG (FLUNARIZINE) (鋁箔/膠箔) A028592100 PAROTIN S.C. TABLETS 75MG (DIPYRIDAMOLE)"Y.S." 第 93 頁,共 382 頁 刪除 14.90 21.90 22.60 0.92 刪除 5.10 24.00 0.94 1.20 1.50 1.62 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 4531 A028318100 4532 4533 A028321100 A028324100 4534 A028332100 4535 A028333100 TEGANSIA TABLETS 40MG (FENSPIRIDE) "MEIDER" UPROFEN TABLETS 400MG (IBUPROFEN) DICLOF E.C. TABLETS 50MG "CHEN TA"(DICLOFENAC) GAIN-TONIN TABLETS 10MG (DOMPERIDONE)"MEIDER" LUCKYHEPA CAPSULES "YUNG SHIN" 4536 A028341500 4539 4540 GYNOMYCODERIN VAGINAL TABLETS 100MG (MICONAZOE NITRATE) A028350212 ACEMYCIN INJECTION 100MG/ML (AMIK ACIN)"YUNG SHIN" A028371100 SAFEWAY F.C. TABLETS 200MG (CIMETIDINE) "VPP" A028374100 SEDES TABLETS A0283741G0 SEDES TABLETS(鋁箔) 4541 A028379100 PIROXICAM CAPSULES 20MG "YUNG CHI" 4542 A028380100 SULINDAC TABLETS 100MG "Y.C." 4543 A028451100 4537 4538 4550 BISOLVON TABLETS 8MG (BROMHEXINE HYDROCHLORIDE) A028452100 BUSCOPAN S.C. TABLETS 10MG (HYOSCINE-N-BUTYL BROMIDE) A0284521G0 BUSCOPAN S.C. TABLETS 10MG (HYOSCINE-N-BUTYL BROMIDE)(鋁箔/ A028453100 MUCOSOLVAN TABLETS 30MG (AMBROXOL HYDROCHLORIDE) A0284531G0 MUCOSOLVAN TABLETS 30MG (AMBROXOL HYDROCHLORIDE)(鋁箔) A028454100 PERSANTIN S.C. TABLETS 25MG (DIPYRIDAMOLE) A0284541G0 PERSANTIN S.C. TABLETS 25MG (DIPYRIDAMOLE)(鋁箔) A028458100 PIRACETAM CAPSULES 400MG "Y.S." 4551 A028461100 4544 4545 4546 4547 4548 4549 4560 DOMPE TABLETS 10MG (DOMPERIDONE)"H.H." A0284611G0 DOMPE TABLETS 10MG (DOMPERIDONE)"H.H."(鋁箔)/膠箔 A028462100 CRIP CAPSULES 2.5MG (BROMOCRIPTINE)"H.H." A028470100 TRENTAL DRAGEE 400MG (PENTOXIFYLLINE) A028475277 GLYBRAIN INJECTION A028476100 ANTITUSSIVE TABLETS 30MG (DEXTROMETHORPHAN) "TAI YU" A028477212 ACEMYCIN INJECTION 250MG/ML (AMIKACIN) "YUNG SHIN" A028477229 ACEMYCIN INJECTION 250MG/ML (AMIKACIN) "YUNG SHIN" A028478209 CHLORPHENIRAMINE INJECTION 5MG/ML "TAI YU" A028482100 VILIABES S.C. TABALETS "JOHNSON" 4561 A028501100 4552 4553 4554 4555 4556 4557 4558 4559 4562 4563 4564 4565 4566 4567 BEROTEC TABLETS 2.5MG (FENOTEROL HYDROBROMIDE) A028502151 BEROTEC LIQUID 0.5MG/ML A028502199 BEROTEC LIQUID 0.5MG/ML (FENOTEROL HYDROBROMIDE) A028503100 DULCOLAX E.S.C. TABLETS 5MG (BISACODYL) A0285031G0 DULCOLAX E.S.C. TABLETS 5MG (BISACODYL)(鋁箔) A028504100 CATAPRES TABLETS 75UG (CLONIDINE HYDROCHLORIDE) A028505155 MUCOSOLVAN LIQUID 3MG/ML (AMBROXOL HYDROCHLORIDE) 100年1月 項次 支付價 4531 1.8 1 4532 4533 0.6 4534 0.59 4535 1.58 4536 4.25 4537 80 4538 1 0 4539 4540 0 4541 1.03 4542 1.52 4543 1.04 4544 1.42 4545 1.5 4546 1 4547 1.5 4548 1 4549 1.5 4550 1.22 4551 0 4552 1.5 4553 4.2 4554 3.65 147 4555 4556 0.6 4557 73 4558 260 4559 1.6 4560 0 4561 1 27.6 4562 4563 0.46 4564 1.03 4565 1.5 4566 2.38 4567 29.6 CODE 藥品名稱 A028604116 ENCORE GRANULES 200MG/3GM (ACETYLCYSTEINE) VETIN INJECTION 25MG/ML COMPOUND GLYCYRRHIZA MIXTURE "KINGDOM" COMPOUND GLYCYRRHIZA MIXTURE "KINGDOM" COMPOUND GLYCYRRHIZA MIXTURE "KINGDOM" COMPOUND GLYCYRRHIZA MIXTURE "KINGDOM" COMPOUND GLYCYRRHIZA MIXTURE "KINGDOM" DERMOCURE CREAM 0.5MG/GM (CLOBETASOL)"KINGDOM" ISCOTIN TABLETS PYRUDOM TABLETS 500MG "T.F."(ACETAMINOPHEN) BISOLVON SOLUTION 2MG/ML (BROMHEXINE HYDROCHLORIDE) BISOLVON SOLUTION 2MG/ML (BROMHEXINE HYDROCHLORIDE) MEXITIL CAPSULES 100MG (MEXILETINE HYDROCHLORIDE) ECOZOL VAGINAL TABLETS 150MG (ECONAZOLE) "WEIDAR" PIFUSION CREAM 0.5MG/GM "TF"(FLUOCINOIDE) SUTONLEN TABLETS A028605216 A028606138 A028606157 A028606159 A028606163 A028606199 A028607329 A028609100 A028610100 A028613148 A028613199 A028614100 A028615500 A028616329 A028618100 A028619100 ANTIRHEUMATIC CAPSULES 200MG "T.F."(FLUFENAMIC ACID) A028623100 TOEEFON CAPSULES 500MG "T.F." (MEFENAMIC ACID) A028642100 CRIPTINE TABLETS 2.5MG (BROMOCRIPTINE) A028648100 KETIBRON CAPSULES 1MG (KETOTIFEN) "WEIDAR" A028649100 SECORIN S.C.TABLET 10MG (OXAZOLAM)"STANDARD" A0286491G0 SECORIN S.C.TABLET 10MG (OXAZOLAM)"STANDARD"(鋁箔) A028650209 CETAX INJECTION "STANDARD" (CEFOTAXIME) A028650277 CETAX INJECTION "STANDARD" (CEFOTAXIME) A028656500 VOREN 12.5MG SUPPOSITORY A028757100 WINLIDON TABLETS "WINSTON" 說明 9901 支付價 1.92 6.60 3.78 15.50 19.20 29.70 調整 0.12 24.60 0.78 0.20 刪除 55.00 調整 1.10 4.20 11.00 64.00 0.45 1.89 1.00 3.48 1.02 1.00 刪除 1.50 186.00 171.00 1.70 1.11 A0287571G0 WINLIDON TABLETS "WINSTON"(鋁箔) 1.50 A028779100 1.00 MEROLIN TABLETS 50MG (MEBHYDROLINE)"H.H." A0287791G0 MEROLIN TABLETS 50MG (MEBHYDROLINE)"H.H."(鋁箔/膠箔) A028799100 PYRAZEN TABLETS 500MG (PYRAZINAMIDE)"SINPHAR" A028801100 HALDOLIN TABLETS 5MG (HALOPERIDOL) "WEIDAR" A028803100 YIAUKE TABLETS 100MG A028804500 MULTIDON SUPPOSITORY 25MG (DICLOFENAC) A028805500 MULTIDON SUPPOSITORY 12.5MG (DICLOFENAC) A028921100 PICETAM CAPSULES 400MG (PIRACETAM)"STANDARD" A0289211G0 PICETAM CAPSULES 400MG (PIRACETAM)"STANDARD" (鋁箔/膠箔) A028922100 FUNOW CAPSULES 400MG (PIRACETAM)"SPC" 第 94 頁,共 382 頁 刪除 1.50 1.89 刪除 3.33 0.75 2.87 1.79 1.23 1.50 1.22 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 4568 4569 4570 4571 4572 4573 4574 4575 4576 4577 4578 4579 4580 4581 4582 4583 4584 4585 4586 4587 4588 4589 4590 4591 4592 4593 4594 4595 4596 4597 4598 4599 4600 4601 4602 4603 4604 4605 4606 4607 CODE 藥品名稱 100年1月 項次 支付價 A028505199 MUCOSOLVAN LIQUID 3MG/ML 4568 0.29 (AMBROXOL HYDROCHLORIDE) A028507100 PERSANTIN S.C. TABLETS 75MG 4569 2.58 (DIPYRIDAMOLE) A028515100 ALUPENT TABLETS 20MG 4570 1.54 (ORCIPRENALINE SULFATE) 0.46 4571 A028517100 PLOTON TABLETS 3.17 4572 A028518209 PLOTON INJECTION 1.11 4573 A028519199 CARTEINE SOLUTION 50MG/ML "C.M" A028533100 NOOBICA CAPSULES 400MG (PIRACETAM) 4574 1.25 "YU SHENG" A0285331G0 NOOBICA CAPSULES 400MG (PIRACETAM) 4575 1.5 "YU SHENG"(鋁箔/膠箔) 104 4576 A028535277 POTACOL-R INJECTION A028538209 C.P.Z. INJECTION 1GM "STANDARD" 4577 283 (CEFOPERAZONE) 26.3 4578 A028542265 PANTOGEN INJECTION "SINTONG" 31.8 4579 A028542277 PANTOGEN INJECTION 31.5 4580 A028560255 METRONIDAZOLE INJECTION 5MG/ML A028560263 METRONIDAZOLE INJECTION 5MG/ML 4581 69 A028562321 CLOBETASOL OINTMENT 0.5MG/GM 4582 14.9 "SINPHAR" A028562324 CLOBETASOL OINTMENT 0.5MG/GM 4583 21.9 "SINPHAR" A028562329 CLOBETASOL OINTMENT 0.5MG/GM 4584 22.6 "SINPHAR" A028562399 CLOBETASOL OINTMENT 0.5MG/GM 4585 0.81 "SINPHAR" A028576216 DIFENA INJECTION 25MG/ML 4586 5.1 "STANDARD" (DICLOFENAC) A028578329 PIRIGEN CREAM 0.5MG/MG 4587 22.7 (CLOBETASOL) 0.82 4588 A028578399 PIRIGEN CREAM 0.5MG/GM 1.2 4589 A028581100 FLUNAZINE TABLETS 5MG A0285811G0 FLUNAZINE TABLETS 5MG 4590 1.5 (FLUNARIZINE) (鋁箔/膠箔) A028592100 PAROTIN S.C. TABLETS 75MG 4591 1.62 (DIPYRIDAMOLE)"Y.S." A028604116 ENCORE GRANULES 200MG/3GM 4592 1.92 (ACETYLCYSTEINE) A028605216 VETIN INJECTION 25MG/ML 4593 6.6 (DICLOFENAC) A028606138 COMPOUND GLYCYRRHIZA MIXTURE 4594 3.78 "KINGDOM" A028606157 COMPOUND GLYCYRRHIZA MIXTURE 4595 15.5 "KINGDOM" A028606159 COMPOUND GLYCYRRHIZA MIXTURE 4596 19.2 "KINGDOM" A028606163 COMPOUND GLYCYRRHIZA MIXTURE 4597 29.7 "KINGDOM" A028606199 COMPOUND GLYCYRRHIZA MIXTURE 4598 0.12 "KINGDOM" A028607329 DERMOCURE CREAM 0.5MG/GM 4599 24 (CLOBETASOL)"KINGDOM" A028609100 ISCOTIN TABLETS 4600 0.78 A028610100 PYRUDOM TABLETS 500MG 4601 0.2 "T.F."(ACETAMINOPHEN) A028613148 BISOLVON SOLUTION 2MG/ML 4602 55 (BROMHEXINE HYDROCHLORIDE) A028613199 BISOLVON SOLUTION 2MG/ML 4603 1.1 (BROMHEXINE HYDROCHLORIDE) A028614100 MEXITIL CAPSULES 100MG (MEXILETINE 4604 4.2 HYDROCHLORIDE) A028615500 ECOZOL VAGINAL TABLETS 150MG 4605 11 (ECONAZOLE) "WEIDAR" A028616329 PIFUSION CREAM 0.5MG/GM 4606 64 "TF"(FLUOCINOIDE) A028618100 SUTONLEN TABLETS 4607 0.45 說明 CODE 藥品名稱 A028923399 EUROTECH EUBAR OINTMENT 2.86 A028924399 WINSOLVE FLARZON OINTMENT 0.93 A028925321 ECONAZINE CREAM 11.40 A028925329 A028925399 A028927100 A028938100 ECONAZINE CREAM ECONAZINE CREAM LIPITIN TABLETS "T.F." (LOPERAMIDE) PHENOBARBITAL TABLETS 30MG "U.L." 27.70 1.12 0.48 0.36 A0289381G0 PHENOBARBITAL TABLETS 30MG "U.L."(鋁箔/膠箔) A028940100 FENBUPOL TABLETS 200MG (FENBUFEN) A028942100 METHYLEPHEDRINE HCL TABLETS 25MG "U.L." A028943100 L.A. TABLET "U.L." A028945100 AMINOPHYLLINE TABLETS 100MG "U.L." A028952343 ULEX LOTION 10%(CROTAMITON) A028954100 PROGENA SUGAR COATED TABLETS 250MG (PROTHIONAMIDE)"SINPHAR" A028956199 DETICON GRANULES (CHLOPHEDIANOL)"S.T." A028957100 DETICON TABLETS 25MG "S.T." (CHLOPHENDIANOL) A028958100 CHOLEXAMIN TABLETS 200MG (NICOMOL) A028965100 SUTA CAPSULES 300MG (FENBUFEN)"C.M." A028976100 NEO-FLU CAPSULES A028982110 A028983100 A029005421 A029008100 A029011138 A029011199 A029034100 A029036100 A029037100 A029059100 ERYMYCIN (ERYTHROMYCIN ESTOLATE) FOR ORAL SUSPENSION "VPP" METECOL TABLETS MYROSONE OPHTHALMIC SOLUTION DICLOFENAC SODIUM TABLETS 25MG "S.C." BEROTEC SOLUTION 5MG/ML (FENOTEROL HYDROBROMIDE) BEROTEC SOLUTION 5MG/ML (FENOTEROL HYDROBROMIDE) METHYCOBAL CAPSULES 250UG "EISAI"(MECOBALAMIN) AMANTADINE CAPSULES 100MG (AMANTADINE)"GENTLE" RELAX CAPSULES 9901 支付價 1.50 1.82 0.35 0.60 0.55 29.70 6.50 1.16 0.64 3.61 3.26 調整 1.00 48.70 1.56 24.70 0.62 280.00 11.80 2.73 2.33 6.00 A029061209 POSIPIN CAPSULES 10MG "N.K."(NIFEDIPINE) HATERMAS INJECTION "N.K." 84.00 A029061277 HATERMAS INJECTION "N.K." 50.00 A029071209 CEPOR INJECTION 1000MG "N.K." (CEFOTAXIME) CEPOR INJECTION 500MG "N.K."(CEFOTAXIME) NAKACEF A INJECTION 1000MG "N.K."(CEPHRADINE) NAKACEF-A INJECTION 500MG "N.K." (CEPHRADINE) SHINFOMYCIN INJECTION 1GM (CEFOPERAZONE) ZIEFMYCIN CAPSULES 250MG (DICLOXACILLIN) BROBEN S.C. TABLETS 400MG (IBUPROFEN)"Y.S." MEDASON FOR INJECTION 40MG (METHYLPREDNISOLONE)"N.K." MEDASON FOR INJECTION 125MG (METHYLPREDNISOLONE)"N.K." A029072277 A029073209 A029074277 A029078209 A029079100 A029080100 A029085245 A029085258 第 95 頁,共 382 頁 調整 調整 2.37 120.00 調整 36.20 40.10 35.40 248.00 1.44 1.00 51.00 181.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 4608 A028619100 4609 A028623100 4610 4611 A028642100 A028648100 4612 A0286481G0 4613 A028649100 4614 A0286491G0 4615 A028650209 4616 A028650277 4617 A028656500 4618 A028757100 4619 4620 A0287571G0 A028779100 4621 A0287791G0 4622 A028799100 4623 A028801100 4624 4625 A028803100 A028804500 4626 A028805500 4627 A028921100 4628 A0289211G0 4629 A028922100 4630 4631 4632 4633 4634 A028923399 A028924399 A028925321 A028925329 A028925399 4635 4636 A028927100 A028938100 4637 A0289381G0 4638 A028940100 4639 A028942100 4640 4641 4642 A028943100 A028945100 A0289451G0 4643 A028952343 4644 A028954100 4645 A028956199 4646 A028957100 4647 4648 4649 A028958100 A028965100 A028976100 藥品名稱 100年1月 項次 支付價 ANTIRHEUMATIC CAPSULES 200MG 4608 1.89 "T.F."(FLUFENAMIC ACID) TOEEFON CAPSULES 500MG "T.F." 4609 1 (MEFENAMIC ACID) 3.48 4610 CRIPTINE TABLETS 2.5MG KETIBRON CAPSULES 1MG (KETOTIFEN) 4611 1.02 "WEIDAR" KETIBRON CAPSULES 1MG (KETOTIFEN) 4612 1.5 "WEIDAR"(鋁箔/膠箔) SECORIN S.C.TABLET 10MG 4613 0 (OXAZOLAM)"STANDARD" SECORIN S.C.TABLET 10MG 4614 0 (OXAZOLAM)"STANDARD"(鋁箔) CETAX INJECTION "STANDARD" 4615 186 (CEFOTAXIME) CETAX INJECTION "STANDARD" 4616 171 (CEFOTAXIME) VOREN SUPPOSITORIES 12.5MG 4617 0 (DICLOFENAC) WINLIDON TABLETS "WINSTON" 4618 1.11 1.5 4619 WINLIDON TABLETS "WINSTON"(鋁箔) MEROLIN TABLETS 50MG 4620 0 (MEBHYDROLINE)"H.H." MEROLIN TABLETS 50MG 4621 1.5 (MEBHYDROLINE)"H.H."(鋁箔/膠箔) PYRAZEN TABLETS 500MG 4622 1.89 (PYRAZINAMIDE)"SINPHAR" HALDOLIN TABLETS 5MG 4623 3.33 (HALOPERIDOL) "WEIDAR" 0.75 4624 YIAUKE TABLETS 100MG MULTIDON SUPPOSITORY 25MG 4625 2.87 (DICLOFENAC) MULTIDON SUPPOSITORY 12.5MG 4626 1.79 (DICLOFENAC) PICETAM CAPSULES 400MG 4627 0 (PIRACETAM)"STANDARD" PICETAM CAPSULES 400MG 4628 1.5 (PIRACETAM)"STANDARD" (鋁箔/膠箔) FUNOW CAPSULES 400MG 4629 1.22 (PIRACETAM)"SPC" 2.86 4630 EUROTECH EUBAR OINTMENT 0.93 4631 WINSOLVE FLARZON OINTMENT 0 4632 ECONAZINE CREAM 27.9 4633 ECONAZINE CREAM ECONAZINE CREAM 4634 1.09 0.48 4635 LIPITIN TABLETS "T.F." (LOPERAMIDE) PHENOBARBITAL TABLETS 30MG "U.L." 4636 0.36 PHENOBARBITAL TABLETS 30MG 4637 1.5 "U.L."(鋁箔/膠箔) FENBUPOL TABLETS 200MG (FENBUFEN) 4638 1.5 METHYLEPHEDRINE HCL TABLETS 25MG 4639 0.35 "U.L." 0.6 4640 L.A. TABLET "U.L." 0.55 4641 AMINOPHYLLINE TABLETS 100MG "U.L." AMINOPHYLLINE TABLETS 100MG 4642 1.5 "U.L."(鋁箔//膠箔) ULEX LOTION 10%(CROTAMITON) 4643 29.7 PROGENA SUGAR COATED TABLETS 4644 6.5 250MG (PROTHIONAMIDE)"SINPHAR" DETICON GRANULES 4645 1.16 (CHLOPHEDIANOL)"S.T." DETICON TABLETS 25MG "S.T." 4646 0.64 (CHLOPHENDIANOL) 3.61 4647 CHOLEXAMIN TABLETS 200MG 3.26 4648 SUTA CAPSULES 300MG 1 4649 NEO-FLU CAPSULES 說明 CODE 藥品名稱 A029085265 A029086100 A029090100 MEDASON FOR INJECTION "N.K." (METHYLPREDNISOLONE) MEDASON FOR INJECTION 500MG (METHYLPREDNISOLONE)"N.K." SOFTIN TABLETS 10MG (BROMOPRIDE) TONFUL TABLETS A029106100 BEHYD RA TABLETS A029108209 BABYSALT INJECTION "N.K." 35.00 A029108265 BABYSALT INJECTION "N.K." 16.20 A029108266 BABYSALT INJECTION "N.K." 19.40 A029108277 BABYSALT INJECTION "N.K." 16.60 CERECON INJECTION 1GM/5ML (PIRACETAM) "KINGDOM" A029122100 BAOJEN CAPSULES 5MG "T.F." (FLUOXYMESTERONE) A029132100 ENSOQONE CAPSULES 50MG (ESCIN)"T.F." A029139100 KETOZOL TABLETS 200MG (KETOCONAZOLE)"WEIDAR" A029171100 SERRA E.C. TABLETS (SERRATIOPEPTIDASE)"H.H." A0291711G0 SERRA E.C. TABLETS (SERRATIOPEPTIDASE)"H.H."(鋁箔/膠箔) A029172100 CEPHANMYCIN CAPSULES 500MG(CEPHALEXIN) A029201135 BERODUAL METERED AEROSOL A029202135 ALUPENT METERED AEROSOL (ORCIPRENALINE SULFATE) A029207218 HEMODIALYSIS SOLUTION NO.360GA 10.00 A029085277 9901 支付價 234.00 131.00 1.20 6.10 2.67 刪除 刪除 A029117221 刪除 0.79 2.87 4.26 刪除 1.00 1.50 1.92 437.00 123.00 164.00 A029210100 TRIDIGESTS TABLETS "T.F." 1.00 A029213500 FUNGICIDON VAGINAL SUPPOSITORIES 150MG "T.F." (ECONAZOLE) VITABUTYRIMIN TABLETS "T.F." 8.20 ANTIFUNGUO CREAM 10GM ANTIFUNGUO CREAM 20GM ANTIFUNGUO CREAM FENSPIRIDE TABLETS 40MG "P.L." NAPOSIN SUPPOSITORIES 500MG (NAPROXEN) FUCOLE COLD CAPSULES DEXADROL TABLETS (DEXAMETHASONE)"T.F." ANOPIRIN INJECTION 500MG "GENTLE" (ACETYLSALICYLIC ACID) TROPICAMIDE OPHTHALMIC SOLUTION 0.5% "WU FU" SOURIREE COMCIDIN S.C. TABLETS 28.10 47.20 1.23 2.12 14.20 2.14 1.00 1.00 A029253100 U-PIRIDE TABLETS 200MG (SULPIRIDE) U-PIRIDE TABLETS 50MG (SULPIRIDE) SERENIN TABLETS 10MG "S.T." (OXAZOLAM) LIDONIN E.C. TABLETS 50MG (DICLOFENAC)"TAI YU" SOURIREE COM-COLD CO. CAPSULES A029276277 AMINOPOLY-H INJECTION A029278216 CIDIX INJECTION "N.K." A029279309 A029279324 A029279329 BESTASOL CREAM (CLOBETASOL) BESTASOL CREAM (CLOBETASOL) BESTASOL CREAM (CLOBETASOL) 刪除 A029216100 A029217329 A029217338 A029217399 A029220100 A029222500 A029226100 A029227100 A029231277 A029244421 A029247100 A029249100 A029250100 A029251100 A029252100 第 96 頁,共 382 頁 0.30 刪除 調整 調整 0.60 0.37 8.50 12.40 調整 0.74 0.60 1.10 231.00 6.00 352.00 21.00 24.60 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 4650 4651 4652 4653 4654 4655 4656 4657 4658 4659 4660 4661 4662 4663 4664 4665 4666 4667 4668 4669 4670 4671 4672 4673 4674 4675 4676 4677 4678 4679 4680 4681 4682 4683 4684 4685 4686 4687 CODE 藥品名稱 100年1月 項次 支付價 A028982110 ERYMYCIN (ERYTHROMYCIN ESTOLATE) 4650 48.7 FOR ORAL SUSPENSION "VPP" 0 4651 A028983100 METECOL TABLETS 24.7 4652 A029005421 MYROSONE OPHTHALMIC SOLUTION A029008100 DICLOFENAC SODIUM TABLETS 25MG 4653 0.62 "S.C." A029011138 BEROTEC SOLUTION 5MG/ML 4654 0 (FENOTEROL HYDROBROMIDE) A029011199 BEROTEC SOLUTION 5MG/ML 4655 0 (FENOTEROL HYDROBROMIDE) A029034100 METHYCOBAL CAPSULES 250UG 4656 2.73 "EISAI"(MECOBALAMIN) A029036100 AMANTADINE CAPSULES 100MG 4657 0 (AMANTADINE)"GENTLE" A029037100 RELAX CAPSULES 4658 6 A029059100 POSIPIN CAPSULES 10MG 4659 2.37 "N.K."(NIFEDIPINE) A029061209 HATERMAS INJECTION "N.K." 4660 84 50 4661 A029061277 HATERMAS INJECTION "N.K." A029071209 CEPOR INJECTION 1000MG "N.K." 4662 120 (CEFOTAXIME) A029072277 CEPOR INJECTION 500MG 4663 36.2 "N.K."(CEFOTAXIME) A029073209 NAKACEF A INJECTION 1000MG 4664 40.1 "N.K."(CEPHRADINE) A029074277 NAKACEF-A INJECTION 500MG "N.K." 4665 35.4 (CEPHRADINE) A029078209 SHINFOMYCIN INJECTION 1GM 4666 248 (CEFOPERAZONE) A029079100 ZIEFMYCIN CAPSULES 250MG 4667 1.44 (DICLOXACILLIN) A029080100 BROBEN S.C. TABLETS 400MG 4668 1 (IBUPROFEN)"Y.S." A029085245 MEDASON FOR INJECTION 40MG 4669 51 (METHYLPREDNISOLONE)"N.K." A029085258 MEDASON FOR INJECTION 125MG 4670 181 (METHYLPREDNISOLONE)"N.K." A029085265 MEDASON FOR INJECTION "N.K." 4671 234 (METHYLPREDNISOLONE) A029085277 MEDASON FOR INJECTION 500MG 4672 131 (METHYLPREDNISOLONE)"N.K." A029086100 SOFTIN TABLETS 10MG (BROMOPRIDE) 4673 1.2 "Y.S." A029090100 TONFUL TABLETS 4674 6.1 A029106100 BEHYD RA TABLETS 4675 2.67 A029108209 BABYSALT INJECTION "N.K." 4676 35 A029108265 BABYSALT INJECTION "N.K." 4677 16.2 19.4 4678 A029108266 BABYSALT INJECTION "N.K." 16.6 4679 A029108277 BABYSALT INJECTION "N.K." A029117221 CERECON INJECTION 1GM/5ML 4680 10 (PIRACETAM) "KINGDOM" A029122100 BAOJEN CAPSULES 5MG "T.F." 4681 0.79 (FLUOXYMESTERONE) A029132100 ENSOQONE CAPSULES 50MG (ESCIN)"T.F." 4682 2.87 A029139100 KETOZOL TABLETS 200MG 4683 4.26 (KETOCONAZOLE)"WEIDAR" A029171100 SERRA E.C. TABLETS 4684 0 (SERRATIOPEPTIDASE)"H.H." A0291711G0 SERRA E.C. TABLETS 4685 1.5 (SERRATIOPEPTIDASE)"H.H."(鋁箔/膠箔) A029172100 CEPHANMYCIN CAPSULES 4686 1.92 500MG(CEPHALEXIN) A029201135 BERODUAL METERED AEROSOL 4687 437 CODE 藥品名稱 A029279377 BESTASOL CREAM (CLOBETASOL) A029279399 A029286329 A029287209 說明 9901 支付價 654.00 BESTASOL CREAM (CLOBETASOL) BIODYNE OINTMENT (POVIDONE IODINE) PAPARIN INJECTION 30MG/ML (PAPAVERINE HYDROCHLORIDE)"U-L" A029292209 ULOTHIN NEUTRAL INJECTION 1.0GM (CEPHALOTHIN) A029295100 ENDASE E.C. TABLETS 5MG "N.K." (SERRATIOPEPTIDASE) A029298338 LEEZE CREAM 50MG/G (BENZOYL PEROXIDE) "ROYAL" A029301100 CANCLIOL TABLETS 100MG (METOPROLOL) A029313100 BETAPRESS TABLETS 100MG "S.T." (METOPROLOL) A029316100 SUGEN TABLETS 200MG (KETOCONAZOLE)"C.M." A029317199 PORO (R) SOLUTION 24MG/ML (ACETAMINOPHEN) A029320100 AMIZIDE TABLETS "STANDARD" A029323277 ASPARIN INJECTION 500MG "N.K." (ASPIRIN) A029325100 ESULIN TABLETS 100MG TOLAZAMIDE "C.M." A029327100 WEISDIN F.C. TABLETS 400MG "WEIDAR" (CIMETIDINE) A0293271G0 WEISDIN F.C. TABLETS 400MG "WEIDAR" (CIMETIDINE) (鋁箔/膠箔) A029328100 HALDOLIN TABLETS 3MG "WEIDAR" (HALOPERIDOL) A029330277 NAKO NO.4 INJECTION "N.K." 0.71 20.20 52.00 A029331277 NAKO NO.2 INJECTION "H.K." 26.10 A029332277 NAKO NO.3 INJECTION "N.K." 32.40 A029333265 NAKO NO.1 INJECTION "H.K." 30.00 A029333277 NAKO NO.1 INJECTION "H.K." 27.90 A029334277 NAKO NO.5 INJECTION "N.K." 30.80 A029337100 DICLAZIDE TABLETS 80MG "WEIDAR" (GLICLAZIDE) PILOCARPINE HCL OPTHALMIC SOLUTION (O.P.D.) 2% NEOSTIGMINE METHYLSULFATE OPHTHALMIC SOLUTION (O.N.S.D.) 0.01% FLAGYL ORAL TABLETS 250MG (METRONIDAZOLE) CIWETIN TABLETS 400MG "CURIE" (CIMETIDINE) URAZONE INJECTION 1GM SUTENTEN TABLETS "CHEN TA" LOFALIN INJECTION 1000MG "GENTLE" (CEFOZOLIN SODIUM) CLOBESOL CREAM 0.5MG "GENTLE" (CLOBETASOL PROPIONATE) CLOBESOL CREAM 0.5MG "GENTLE" (CLOBETASOL PROPIONATE) CLOBESOL CREAM 0.5MG "GENTLE" (CLOBETASOL PROPIONATE) STACAINE TABLETS "STANDARD" A029342429 A029343429 A029345100 A029349100 A029351209 A029352100 A029353209 A029354319 A029354324 A029354329 A029355100 刪除 29.90 刪除 1.00 刪除 62.00 4.78 刪除 4.78 4.87 0.15 2.05 8.00 4.59 1.00 1.50 1.31 30.20 1.90 40.70 17.50 3.19 1.00 162.00 0.45 22.70 9.00 24.60 19.40 1.00 刪除 A0293551G0 STACAINE TABLETS "STANDARD"(鋁箔) 1.50 A029356100 1.58 A029363277 第 97 頁,共 382 頁 MERISLON TABLETS 12MG (BETAHISTINE MESYLATE) SHIOMARIN FOR INJECTION 0.5GM, 1.0GM I.M. I.V. (LATAMOXEF) 294.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 4688 4689 4690 4691 4692 4693 4694 4695 4696 4697 4698 4699 4700 4701 4702 4703 4704 4705 4706 4707 4708 4709 4710 4711 4712 4713 4714 4715 4716 4717 4718 4719 4720 4721 4722 4723 4724 4725 4726 4727 4728 4729 4730 4731 CODE 藥品名稱 100年1月 項次 支付價 A029202135 ALUPENT METERED AEROSOL 4688 0 (ORCIPRENALINE SULFATE) A029207218 HEMODIALYSIS SOLUTION NO.360GA 4689 0 A029210100 TRIDIGESTS TABLETS "T.F." 4690 1 A029213500 FUNGICIDON VAGINAL SUPPOSITORIES 4691 8.2 150MG "T.F." (ECONAZOLE) A029216100 VITABUTYRIMIN TABLETS "T.F." 4692 0.3 28.3 4693 A029217329 ANTIFUNGUO CREAM 10GM 47.2 4694 A029217338 ANTIFUNGUO CREAM 20GM 1.07 4695 A029217399 ANTIFUNGUO CREAM A029220100 FENSPIRIDE TABLETS 40MG "P.L." 4696 2.12 A029222500 NAPOSIN SUPPOSITORIES 500MG 4697 14.2 (NAPROXEN) A029226100 FUCOLE COLD CAPSULES 4698 0.6 A029227100 DEXADROL TABLETS 4699 0.37 (DEXAMETHASONE)"T.F." A029231277 ANOPIRIN INJECTION 500MG "GENTLE" 4700 8.5 (ACETYLSALICYLIC ACID) A029244421 TROPICAMIDE OPHTHALMIC SOLUTION 4701 12.4 0.5% "WU FU" 0.74 4702 A029247100 SOURIREE COMCIDIN S.C. TABLETS 2.14 4703 A029249100 U-PIRIDE TABLETS 200MG (SULPIRIDE) 1 4704 A029250100 U-PIRIDE TABLETS 50MG (SULPIRIDE) 1 4705 A029251100 SERENIN TABLETS 10MG "S.T." A029252100 LIDONIN E.C. TABLETS 50MG 4706 0.6 (DICLOFENAC)"TAI YU" 1.1 4707 A029253100 SOURIREE COM-COLD CO. CAPSULES 231 4708 A029276277 AMINOPOLY-H INJECTION 6 4709 A029278216 CIDIX INJECTION "N.K." 352 4710 A029279309 BESTASOL CREAM (CLOBETASOL) A029279324 BESTASOL CREAM (CLOBETASOL) 4711 20.9 24 4712 A029279329 BESTASOL CREAM (CLOBETASOL) 654 4713 A029279377 BESTASOL CREAM (CLOBETASOL) 0.71 4714 A029279399 BESTASOL CREAM (CLOBETASOL) 20.2 4715 A029286329 BIODYNE OINTMENT (POVIDONE IODINE) A029287209 PAPARIN INJECTION 30MG/ML 4716 0 (PAPAVERINE HYDROCHLORIDE)"U-L" A029292209 ULOTHIN NEUTRAL INJECTION 1.0GM 4717 29.9 (CEPHALOTHIN) A029295100 ENDASE E.C. TABLETS 5MG "N.K." 4718 0 (SERRATIOPEPTIDASE) A029298338 LEEZE CREAM 50MG/G (BENZOYL 4719 62 PEROXIDE) "ROYAL" 4.88 4720 A029301100 CANCLIOL TABLETS 100MG A029313100 BETAPRESS TABLETS 100MG "S.T." 4721 4.83 (METOPROLOL) A029316100 SUGEN TABLETS 200MG 4722 4.87 (KETOCONAZOLE)"C.M." A029317199 PORO (R) SOLUTION 24MG/ML 4723 0.15 (ACETAMINOPHEN) A029320100 AMIZIDE TABLETS "STANDARD" 4724 0 A029323277 ASPARIN INJECTION 500MG "N.K." 4725 8 (ASPIRIN) A029325100 ESULIN TABLETS 100MG TOLAZAMIDE 4726 4.59 "C.M." A029327100 WEISDIN F.C. TABLETS 400MG "WEIDAR" 4727 1 (CIMETIDINE) A0293271G0 WEISDIN F.C. TABLETS 400MG "WEIDAR" 4728 1.5 (CIMETIDINE) (鋁箔/膠 A029328100 HALDOLIN TABLETS 3MG "WEIDAR" 4729 0 (HALOPERIDOL) 30.2 4730 A029330277 NAKO NO.4 INJECTION "N.K." A029331277 NAKO NO.2 INJECTION "H.K." 4731 26.1 CODE 藥品名稱 A029366216 DICLOFENAC INJECTION 25MG/ML "G.C." (DICLOFENAC) THIAMCOL CAPSULES 250MG "UNION" (THIAMPHENICOL) DIEN E.C. TABLETS 50MG "S.T." (DICLOFENAC) CAMAPINE TABLETS 200MG "P.L." (CARBAMAZEPINE) SUMOFEN E.C. TABLETS 50MG (DICLOFENAC) MAXZIDE TABLETS "MEIDER" TALAMIN-E INJECTION "CHI SHENG" PIECHAN TABLETS "T.F." PERSANTIN S.C. TABLETS 50MG (DIPYRIDAMOLE) SINDIPINE MICROENCAPSULATED CAPSULE 10MG (NIFEDIPINE) "Y.S." FENSCIN TABLETS 40MG "YU SHENG" (FENSPIRIDE) FUNAZINE TABLETS 10MG "WEIDAR" (FLUNARIZINE) COLDES GRANULES "T.F." A029371100 A029374100 A029375100 A029378100 A029379100 A029417263 A029418100 A029432100 A029436100 A029437100 A029440100 A029441172 A029442100 A029443100 A029447209 A029447212 A029447277 A029455266 AMANDIN CAPSULES 100MG "YU SHENG" (AMANTADIN) TENOL TABLETS 100MG "Y.S." CEFA INJECTION (CEPHAZOLIN) CEFA INJECTION CEFA INJECTION (CEPHAZOLIN) PAREN-AID NO. 1 INJECTION "OTSUKA" A029457271 A029457283 A029458271 A029458283 A029465100 PAREN-AID NO. 2 INJECTION "OTSUKA" PAREN-AID NO. 2 INJECTION "OTSUKA" PAREN-AID NO.3 INJECTION "OTSUKA" PAREN-AID NO.3 INJECTION "OTSUKA" METISONE TABLETS 2MG "S.T." (METHYLPREDNISOLONE) A029470100 DANAZOL CAPSULE 200MG "TAI YU" A029473100 ASO TABLETS 500MG (SUCRALFATE) A029475265 FRUCEOL INJECTION "CHI SHENG" A029476100 LUTIN CAPSULES 10MG A0294761G0 LUTIN CAPSULES 10MG(鋁箔) 說明 9901 支付價 5.70 刪除 1.59 刪除 0.60 3.03 0.60 1.46 91.00 1.00 2.22 調整 調整 2.38 1.79 2.68 175.00 2.33 2.04 22.70 85.00 10.80 62.00 67.00 152.00 67.00 152.00 2.75 12.80 1.20 75.00 1.00 1.50 調整 調整 刪除 A029478100 A029486100 A029496209 UROSIN FILM COATED TABLETS 100MG (ATENOLOL) BENLY SUPPOSITORIES 10MG (BISACODYL) "T.F." ALUFATE CHEWING TABLETS 1000MG "C.M." DACOTON TABLETS "STANDARD" PU-I NO.2 INJECTION "CHI SHENG" 3.10 17.40 A029496265 PU-I NO.2 INJECTION "CHI SHENG" 22.60 A029496277 PU-I NO.2 INJECTION "CHI SHENG" 24.90 A029498100 CLEAR TABLETS 200MG "MEIDER" (KETOCONAZOLE) TERSULTRAN TABLETS 2.5MG (TERBUTALINE) "Y.S." TRIMETHOPRIM TABLETS 100MG "Y.S." A029482500 A029484100 2.09 2.38 刪除 2.58 調整 調整 A029499100 A029500100 A029504209 A029506309 A029510100 LOFADINE INJECTION 1000MG "GENTLE" (CEPHRADINE) PERITONEAL DIALYSIS SOLUTION-A "S.T." BACCIDAL F.C. TABLETS (NORFLOXACIN) 4.87 刪除 1.00 0.75 40.80 33.00 2.68 刪除 A029511100 A029513100 第 98 頁,共 382 頁 MANLSUN CAPSULES 30MG ANTIGLUCON TABLETS 5MG "T.F." (GLIBENCLAMIDE) 3.39 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 4732 A029332277 NAKO NO.3 INJECTION "N.K." 4733 A029333265 NAKO NO.1 INJECTION "H.K." 4734 4735 4736 A029333277 A029334277 A029337100 4742 4743 NAKO NO.1 INJECTION "H.K." NAKO NO.5 INJECTION "N.K." DICLAZIDE TABLETS 80MG "WEIDAR" (GLICLAZIDE) A029342429 PILOCARPINE HCL OPTHALMIC SOLUTION (O.P.D.) 2% A029343429 NEOSTIGMINE METHYLSULFATE OPHTHALMIC SOLUTION (O.N.S.D.) 0. A029345100 FLAGYL ORAL TABLETS 250MG (METRONIDAZOLE) A029349100 CIWETIN TABLETS 400MG "CURIE" (CIMETIDINE) A0293491G0 CIWETIN TABLETS 400MG "CURIE" (CIMETIDINE)(鋁箔/膠箔) A029351209 URAZONE INJECTION 1GM A029352100 SUTENTEN TABLETS "CHEN TA" 4744 A029353209 4745 A029354319 4746 A029354324 CLOBESOL CREAM 0.5MG "GENTLE" (CLOBETASOL PROPIONATE) 4747 A029354329 4748 A029355100 CLOBESOL CREAM 0.5MG "GENTLE" (CLOBETASOL PROPIONATE) STACAINE TABLETS "STANDARD" 4737 4738 4739 4740 4741 LOFALIN INJECTION 1000MG "GENTLE" (CEFOZOLIN SODIUM) CLOBESOL CREAM 0.5MG "GENTLE" (CLOBETASOL PROPIONATE) 100年1月 項次 支付價 4732 0 4733 30 27.9 4734 30.8 4735 4736 1.9 4737 40.7 4738 17.5 4739 3.19 4740 1 4741 1.5 162 4742 4743 0.45 4744 0 4745 4752 A029363277 A029366216 4753 A029371100 4754 A029374100 4755 4756 4757 A029375100 A029378100 A029379100 A029523289 37.10 A029524100 A029525100 A029526100 A029536100 A029417263 TALAMIN-E INJECTION "CHI SHENG" 4759 4760 A029418100 A029432100 4761 A029436100 4762 A029437100 4763 A029440100 4764 4765 A029441172 A029442100 4766 4767 A029443100 A029447209 PIECHAN TABLETS "T.F." PERSANTIN S.C. TABLETS 50MG (DIPYRIDAMOLE) SINDIPINE MICROENCAPSULATED CAPSULE 10MG (NIFEDIPINE) "Y.S. FENSCIN TABLETS 40MG "YU SHENG" (FENSPIRIDE) FUNAZINE TABLETS 10MG "WEIDAR" (FLUNARIZINE) COLDES GRANULES "T.F." AMANDIN CAPSULES 100MG "YU SHENG" (AMANTADIN) TENOL TABLETS 100MG "Y.S." CEFA INJECTION (CEPHAZOLIN) 4768 A029447212 CEFA INJECTION 4769 A029447277 CEFA INJECTION (CEPHAZOLIN) 9.10 3.57 2.47 0.65 新增 1.40 4757 A029575100 6.90 4758 91 1 4759 4760 2.22 4761 2.38 4762 1.79 4763 2.68 175 4764 4765 2.33 2.04 4766 4767 22.7 4768 85 10.8 4769 A029576100 SUZIN CAPSULES 10MG (FLUNARIZINE) "STANDARD" SERELAM CAPSULES 10MG (OXAZOLAM)"WEIDAR" DICENS TABLETS 50MG (DICLOFENAC) CANERCON CAPSULES "T.F." ZECO TABLETS 100MG "YU SHENG" (OXOLAMIN CITRATE) AMANTA SOLUTION 10MG/ML "GENTLE" (AMANTADINE HCL) AMANTA SOLUTION 10ML/ML"GENTLE" (AMANTADINE HCL) U-SAVE CAPSULES 250MG (CEPHRADINE) U-SAVE FOR INJECTION 1.0GM 0.69 4749 4750 1.58 4751 294 4752 0 4753 1.59 4754 0.6 A029544100 A029545100 2.04 0.33 0.79 刪除 0.29 1.50 調整 1.00 3.25 1.79 2.89 1.00 16.40 刪除 2.33 2.03 29.10 3.03 0.6 1.46 4758 刪除 1.20 SONGI OINTMENT "STANDARD" 4748 1.5 4751 18.10 1.00 5.20 MENIMYCIN INJECTION 750MG "TAI YU" (CEFUROXIME) TRIZIN CAPSULES 250MG "TAI YU" (CEFATRIZINE) NAKACEF CAPSULE 500MG "N.K." (CEPHRADINE) NAKACEF CAPSULE 250MG "N.K." (CEPHRADINE) ASPIRIN TABLETS 500MG "Y.C." 1.50 A029574399 19.4 A0293551G0 STACAINE TABLETS "STANDARD"(鋁箔) MERISLON TABLETS 12MG (BETAHISTINE MESYLATE) SHIOMARIN FOR INJECTION 0.5GM, 1.0GM I.M. I.V. (LATAMOXEF) DICLOFENAC INJECTION 25MG/ML "G.C." (DICLOFENAC) THIAMCOL CAPSULES 250MG "UNION" (THIAMPHENICOL) DIEN E.C. TABLETS 50MG "S.T." (DICLOFENAC) CAMAPINE TABLETS 200MG "P.L." (CARBAMAZEPINE) SUMOFEN E.C. TABLETS 50MG (DICLOFENAC) MAXZIDE TABLETS "MEIDER" A0295131G0 ANTIGLUCON TABLETS 5MG"T.F."(GLIBENCLAMIDE) (鋁箔/膠箔) A029515100 SUCRA TABLETS 500MG "H.H." (SUCRALFATE) A029517277 ELECTROSE INJECTION "TAI YU" A029521100 C.M.T. TABLETS 400MG (CIMETIDINE) A029522209 PRODIOL INJECTION "TAI YU" 4756 4747 1 A029356100 說明 9901 支付價 4755 4746 24 4750 藥品名稱 FLUFENAMIC ACID CAPSULES "M.T." METOCO TABLETS(METOCLOPRAMIDE)"M.T." A029546100 METHYLTESTOSTERONE CAPSULES 10MG "M.T." A029549100 SUGENT CAPSULES 10MG (CHLORDIAZEPOXIDE HYDROCHLORIDE )"M.T." A0295491G0 SUGENT CAPSULES 10MG (CHLORDIAZEPOXIDE HYDROCHLORIDE )"M.T."(鋁箔/膠箔) A029551100 YUPIN CAPSULES 10MG (OXAZOLAM) "YU SHENG" A029552100 PROCOL TABLETS 250MG "YU SHENG" (PROBUCOL) A029558500 SHOREN SUPPOSITORIES 12.5MG "T.F." (DICLOFENAC) A029559500 SHOREN SUPPOSITORIES 25MG "T.F." (DICLOFENAC) A029562100 OXY TABLETS 100MG "S.T." (OXOLAMINE CITRATE) A029563329 NYSUL CREAM 30MG/GM (NIFLUMIC ACID) A029564100 ANASIN CAPSULES 100MG (AMANTADINE) A029572100 SUZIN CAPSULES 5MG (FLUNARIZINE) "STANDARD" A029574329 SONGI OINTMENT "STANDARD" 9 4749 CODE A029581100 A029590100 A029594100 A029598155 A029598199 A029599100 A029600209 A029601100 A029608500 A029609500 A029611100 第 99 頁,共 382 頁 PREDNISOLONE TABLETS 5MG SUMOFEN SUPPOSITORY 12.5MG (DICLOFENAC) SUMOFEN SUPPOSITORY 25MG (DICLOFENAC) MEFENAMIC ACID CAPSULES "M.T." 0.89 1.00 2.34 122.00 0.53 2.64 42.90 0.38 1.68 2.88 0.37 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 4770 4771 4772 4773 4774 4775 4776 4777 4778 4779 4780 4781 4782 4783 4784 4785 4786 4787 4788 4789 4790 4791 4792 4793 4794 4795 4796 4797 4798 4799 4800 4801 4802 4803 4804 4805 4806 4807 4808 4809 4810 CODE 藥品名稱 100年1月 項次 支付價 62 4770 A029455266 PAREN-AID NO. 1 INJECTION "OTSUKA" A029457271 PAREN-AID NO. 2 INJECTION "OTSUKA" 4771 67 A029457283 PAREN-AID NO. 2 INJECTION "OTSUKA" 4772 152 A029458271 PAREN-AID NO.3 INJECTION "OTSUKA" 4773 67 A029458283 PAREN-AID NO.3 INJECTION "OTSUKA" 4774 152 A029465100 METISONE TABLETS 2MG "S.T." 4775 2.75 (METHYLPREDNISOLONE) 12.8 4776 A029470100 DANAZOL CAPSULE 200MG "TAI YU" 1.2 4777 A029473100 ASO TABLETS 500MG (SUCRALFATE) 75 4778 A029475265 FRUCEOL INJECTION "CHI SHENG" 0 4779 A029476100 LUTIN R CAPSULES 10MG (OXAZOLAM) 1.5 4780 A0294761G0 LUTIN CAPSULES 10MG(鋁箔) A029478100 UROSIN FILM COATED TABLETS 100MG 4781 0 (ATENOLOL) A029482500 BENLY SUPPOSITORIES 10MG 4782 2.38 (BISACODYL) "T.F." A029484100 ALUFATE CHEWING TABLETS 1000MG 4783 2.58 "C.M." 3.1 4784 A029486100 DACOTON TABLETS "STANDARD" A029496209 PU-I NO.2 INJECTION "CHI SHENG" 4785 17.4 A029496265 PU-I NO.2 INJECTION "CHI SHENG" 4786 22.6 A029496277 PU-I NO.2 INJECTION "CHI SHENG" 4787 24.9 A029498100 CLEAR TABLETS 200MG "MEIDER" 4788 4.87 (KETOCONAZOLE) A029499100 TERSULTRAN TABLETS 2.5MG 4789 1 (TERBUTALINE) "Y.S." 0.75 4790 A029500100 TRIMETHOPRIM TABLETS 100MG "Y.S." A029504209 LOFADINE INJECTION 1000MG "GENTLE" 4791 0 (CEPHRADINE) 33 4792 A029506309 PERITONEAL DIALYSIS SOLUTION-A 2.68 4793 A029510100 BACCIDAL F.C. TABLETS (NORFLOXACIN) 3.39 4794 A029511100 MANLSUN CAPSULES 30MG A029513100 ANTIGLUCON TABLETS 5MG "T.F." 4795 1 (GLIBENCLAMIDE) A0295131G0 ANTIGLUCON TABLETS 4796 1.5 5MG"T.F."(GLIBENCLAMIDE) (鋁箔/膠箔) A029515100 SUCRA TABLETS 500MG "H.H." 4797 1.2 (SUCRALFATE) 18.1 4798 A029517277 ELECTROSE INJECTION "TAI YU" A029521100 C.M.T. TABLETS 400MG (CIMETIDINE) 4799 1 A029522209 PRODIOL INJECTION "TAI YU" 4800 5.2 A029523289 MENIMYCIN INJECTION 750MG "TAI YU" 4801 37.1 (CEFUROXIME) A029524100 TRIZIN CAPSULES 250MG "TAI YU" 4802 9.1 (CEFATRIZINE) A029525100 NAKACEF CAPSULE 500MG "N.K." 4803 3.57 (CEPHRADINE) A029526100 NAKACEF CAPSULE 250MG "N.K." 4804 2.47 (CEPHRADINE) A029536100 ASPIRIN TABLETS 500MG "Y.C." 4805 0.65 2.04 4806 A029544100 FLUFENAMIC ACID CAPSULES "M.T." A029545100 METOCO 4807 0.33 TABLETS(METOCLOPRAMIDE)"M.T." A029546100 METHYLTESTOSTERONE CAPSULES 10MG 4808 0.79 "M.T." A029549100 SUGENT CAPSULES 10MG 4809 (CHLORDIAZEPOXIDE HYDROCHLORIDE 0.29 )"M.T. A0295491G0 SUGENT CAPSULES 10MG 4810 (CHLORDIAZEPOXIDE HYDROCHLORIDE 1.5 )"M.T. CODE 藥品名稱 A029613100 A029615100 MEBENDAZOLE TABLETS 100MG "S.T." SALET TABLETS 500MG "TAI YU" (SUCRALFATE) UROXATE TABLETS 200MG (FLAVOXATE)"WEIDAR" LACEF CAPSULES 500MG "TAI YU" (CEPHRADINE) TINIDAZOLE FILM COATED TABLETS "YUNG SHIN" METHYCOBAL CAPSULES 500UG "EISAI"(MECOBALAMIN) PEDOLIN SYRUP "STANDARD" PEDOLIN SYRUP "STANDARD" NOCOUGH SYRUP "SINPHAR" NOCOUGH SYRUP "SINPHAR" NOCOUGH SYRUP "SINPHAR" CINNARIZINE TABLETS "YUNG SHIN" A029617100 A029623100 A029627100 A029630100 A029631157 A029631199 A029634151 A029634157 A029634199 A029635100 說明 9901 支付價 0.75 1.20 4.17 4.34 2.09 2.90 21.70 0.16 8.20 19.20 0.13 0.45 刪除 刪除 A029636100 A029707427 A029715100 DIANOL TABLETS 25MG "SINPHAR" (CHLOPHEDIANOL) ULOSINA CAPSULES (ERYTHROMYCIN ESTOLATE) ULOSINA ORAL SUSPENSION ULOSINA FOR ORAL SUSPENSION (ERYTHROMYCIN ESTOLATE) ULOSINA FOR ORAL SUSPENSION (ERYTHROMYCIN ESTOLATE) ULOSINA FOR ORAL SUSPENSION (ERYTHROMYCIN ESTOLATE) AMANDINE TABLETS 100MG "H.H." (AMANTADINE) DOLCID TABLETS 400MG (PIPEMIDIC ACID) "SINPHAR" TOBISPRAY METERED NASAL SPRAY MELON TABLETS (MEPIRIZOLE) "H.S.C." A029721500 A029722309 A029722321 A029722329 DICLOFENAC SUPPOSITORY FLUCONIN S CREAM 0.5MG/GM "S.Y." FLUCONIN S CREAM 0.5MG/GM "S.Y." FLUCONIN S CREAM 0.5MG/GM "S.Y." 1.78 2,572.00 37.50 68.00 A029722399 FLUCONIN S CREAM 0.5MG/GM "S.Y." 2.57 A029697100 A029701110 A029701139 A029701180 A029701199 A029702100 A029704100 0.70 1.19 37.20 36.20 1,050.00 1.51 2.33 2.74 247.00 1.97 刪除 A029726500 CHLOTIN VAGINAL SUPPOSITORIES "YUNG SHIN" A029727100 BECAME TABLETS A029728277 UNITAX INJ. 0.5GM (CEFOTAXIME SODIUM) "UNION" A029729100 SUCRAL TABLETS 500MG "VPP" (SUCRALFATE) A0297291G0 SUCRAL TABLETS 500MG "VPP" (鋁箔/膠 箔) A029730100 YUCOMY TABLETS 200MG (KETOCONAZOLE) A029733100 ANSUTAL TABLETS 40MG (FENSPIRIDE) A029735100 3.08 0.99 39.60 1.03 1.50 4.62 2.08 A029738209 A029738277 TIATENOL TABLETS 100MG "T.F." (ATENOLOL) ULSAWE TABLETS 500MG "T.F."(SUCRALFATE) SUNTOSE INJECTION 0.45% "N.K." SUNTOSE INJECTION 0.45% "N.K." 35.00 17.70 A029739329 TOPSYM LOTION (FLUOCINONIDE) 90.00 A029740100 A.A.C. TABLETS A029742277 BIOLYTE NO.4 INJECTION "CHI SHENG" A029736100 第 100 頁,共 382 頁 2.09 1.05 1.56 43.70 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 4811 4812 4813 4814 4815 4816 4817 4818 4819 4820 4821 4822 4823 4824 4825 4826 4827 4828 4829 4830 4831 4832 4833 4834 4835 4836 4837 4838 4839 4840 4841 4842 4843 4844 4845 4846 4847 4848 4849 CODE 藥品名稱 100年1月 項次 支付價 A029551100 YUPIN CAPSULES 10MG (OXAZOLAM) 4811 1 "YU SHENG" A029552100 PROCOL TABLETS 250MG "YU SHENG" 4812 3.25 (PROBUCOL) A029558500 SHOREN SUPPOSITORIES 12.5MG "T.F." 4813 0 (DICLOFENAC) A029559500 SHOREN SUPPOSITORIES 25MG "T.F." 4814 2.89 (DICLOFENAC) A029562100 OXY TABLETS 100MG "S.T." (OXOLAMINE 4815 1 CITRATE) A029563329 NYSUL CREAM 30MG/GM (NIFLUMIC 4816 16.4 ACID) A029564100 ANASIN CAPSULES 100MG 4817 2.33 (AMANTADINE) A029572100 SUZIN CAPSULES 5MG (FLUNARIZINE) 4818 0 "STANDARD" A029574329 SONGI OINTMENT "STANDARD" 4819 0 0 4820 A029574399 SONGI OINTMENT "STANDARD" A029575100 SUZIN CAPSULES 10MG (FLUNARIZINE) 4821 0 "STANDARD" A029576100 SERELAM CAPSULES 10MG 4822 0.89 (OXAZOLAM)"WEIDAR" A029581100 DICENS TABLETS 50MG (DICLOFENAC) 4823 1 A029590100 CANERCON CAPSULES "T.F." 4824 2.34 A029594100 ZECO TABLETS 100MG "YU SHENG" 4825 0.69 (OXOLAMIN CITRATE) A029598155 AMANTA SOLUTION 10MG/ML "GENTLE" 4826 122 (AMANTADINE HCL) A029598199 AMANTA SOLUTION 10ML/ML"GENTLE" 4827 0.53 (AMANTADINE HCL) 2.64 4828 A029599100 U-SAVE CAPSULES 250MG (CEPHRADINE) A029600209 U-SAVE FOR INJECTION 1.0GM 4829 42.9 A029601100 PREDNISOLONE TABLETS 5MG 4830 0 A029608500 SUMOFEN SUPPOSITORY 12.5MG 4831 1.68 (DICLOFENAC) A029609500 SUMOFEN SUPPOSITORY 25MG 4832 2.88 (DICLOFENAC) 0.37 4833 A029611100 MEFENAMIC ACID CAPSULES "M.T." 0.75 4834 A029613100 MEBENDAZOLE TABLETS 100MG "S.T." A0296131G0 MEBENDAZOLE TABLETS 100MG "S.T."(鋁 4835 1.5 箔/膠箔) A029615100 SALET TABLETS 500MG "TAI YU" 4836 1.2 (SUCRALFATE) A029617100 UROXATE TABLETS 200MG 4837 4.17 (FLAVOXATE)"WEIDAR" A029623100 LACEF CAPSULES 500MG "TAI YU" 4838 4.34 (CEPHRADINE) A029627100 TINIDAZOLE FILM COATED TABLETS 4839 2.09 "YUNG SHIN" A029630100 METHYCOBAL CAPSULES 500UG 4840 2.9 "EISAI"(MECOBALAMIN) A029631157 PEDOLIN SYRUP "STANDARD" 4841 21.7 0.16 4842 A029631199 PEDOLIN SYRUP "STANDARD" A029634151 NOCOUGH SYRUP "SINPHAR" 4843 8.2 19.2 4844 A029634157 NOCOUGH SYRUP "SINPHAR" A029634199 NOCOUGH SYRUP "SINPHAR" 4845 0.13 0 4846 A029635100 CINNARIZINE TABLETS "YUNG SHIN" A029636100 DIANOL TABLETS 25MG "SINPHAR" 4847 0.7 (CHLOPHEDIANOL) A029697100 ULOSINA CAPSULES (ERYTHROMYCIN 4848 0 ESTOLATE) A029701110 ULOSINA ORAL SUSPENSION 4849 37.2 說明 CODE 藥品名稱 A029743277 BIOLYTE NO.3 INJECTION "CHI SHENG" 9901 支付價 54.00 A029744277 BIOLYTE NO.2 INJECTION "CHI SHENG" 54.00 A029746209 EUJUM INJECTION 5MG/ML (PROSTAGLANDIN F2) FOCUS CAPSULES 10MG (PIROXICAM) 201.00 A029747100 刪除 1.00 A0297471G0 FOCUS CAPSULES 10MG (PIROXICAM)(鋁 箔) A029748100 CINCA S.C. TABLETS 50MG "Y.S." (NICAMETATE) A029749100 PEDIC F.C. TABLETS 250MG "TAI YU" (PIPEMIDIC ACID) A029752100 ALLERGEN TABLETS 50MG "S.T." (MEBHYDROLIN) A029753100 STONE TABLETS 500MG "S.T." (MEFENAMIC ACID) A029754100 MUSOLIN TABLETS "S.T." A029755500 EKONA VAGINAL SUP. (ECONAZOLE) 1.50 A029758110 2.28 0.64 2.34 1.10 刪除 1.00 2.36 7.20 刪除 刪除 刪除 A029758116 A029758199 A029759100 A029760421 A029766100 ACETIN GRANULES 66.67MG/GM "TAI YU" (ACETYLCYSTEINE) ACETIN GRANULES 66.67MG/GM "TAI YU" (ACETYLCYSTEINE) ACETIN GRANULES 66.67MG/GM "TAI YU" (ACETYLCYSTEINE) BAESUKANG CAPSULES 0.5MG (METHYLCOBALAMIN)"C.M." GARABETA EYE DROPS "WINSTON" A029786100 PERDAMOLE F.C. TABLETS 75MG "T.F." (DIPYRIDAMOLE) SULON OINTMENT "L.S." KETAZOLE TABLETS 200MG "UNION" (KETOCONAZOLE) ERGOMETRINE TABLETS 0.2MG "YUNG SHIN" GLUCOLIN TABLETS (GLICLAZIDE) A029788100 COMFORT E.C. TABLETS 650MG "MEIDER" A029789321 A029789329 A029790329 EXELDERM CREAM (SULCONAZOLE) EXELDERM CREAM (SULCONAZOLE) EXELDERM SOLUTION (SULCONAZOLE) A029768343 A029774100 A029784100 A029791212 PITAMYCIN INJECTION 1GM, 2GM, 4GM, (PIPERACILLIN SODIUM) A029791219 PITAMYCIN INJECTION 1GM, 2GM, 4GM, (PIPERACILLIN SODIUM) A029793100 MULER TABLETS 200MG (FENBUFEN) "GENTLE" A029794100 SENTA TABLETS 250MG (DIFLUNISAL)"GENTLE" A029797100 CIWEI TABLETS 200MG "H.H." (CIMETIDINE) A0297971G0 CIWEI TABLETS 200MG "H.H." (CIMETIDINE)(鋁箔/膠箔) A029798100 CIWEI TABLETS 400MG A0297981G0 CIWEI TABLETS 400MG "H.H."(CIMETIDINE)(鋁箔) A029802100 CEFADROXIL CAPSULES 500MG A029803399 AUFIZIN CREAM 10MG/GM (SILVER SULFADIAZINE) A029804100 SHPYNJA TABLETS "C.M." A029805100 DEURON TABLETS 50MG "YU SHENG" (BENZBROMARONE) A029806100 TOPHARDIN TABLETS (AMANTADINE HCL) A029810100 TRILONE TABLETS 4MG "H.H." (TRIAMCINOLONE) 第 101 頁,共 382 頁 1.95 0.65 2.88 20.50 1.00 14.10 4.93 0.45 刪除 1.90 0.80 41.10 70.00 80.00 64.00 127.00 1.93 7.70 1.00 1.50 1.00 1.50 2.17 0.65 6.90 1.90 刪除 2.33 刪除 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 4850 A029701139 4851 A029701180 4852 A029701199 4853 A029702100 4854 A029704100 4855 4856 A029707427 A029715100 ULOSINA FOR ORAL SUSPENSION (ERYTHROMYCIN ESTOLATE) ULOSINA FOR ORAL SUSPENSION (ERYTHROMYCIN ESTOLATE) ULOSINA FOR ORAL SUSPENSION (ERYTHROMYCIN ESTOLATE) AMANDINE TABLETS 100MG "H.H." (AMANTADINE) DOLCID TABLETS 400MG (PIPEMIDIC ACID) "SINPHAR" TOBISPRAY METERED NASAL SPRAY MELON TABLETS (MEPIRIZOLE) "H.S.C." 4857 A029721500 DICLOFENAC SUPPOSITORY 4858 A029722309 FLUCONIN S CREAM 0.5MG/GM "S.Y." 4859 4860 4861 4862 A029722321 A029722329 A029722399 A029726500 4863 4864 4865 4866 4867 4868 4869 4870 4871 4872 4873 4874 4875 4876 4877 4878 4879 4880 4881 FLUCONIN S CREAM 0.5MG/GM "S.Y." FLUCONIN S CREAM 0.5MG/GM "S.Y." FLUCONIN S CREAM 0.5MG/GM "S.Y." CHLOTIN VAGINAL SUPPOSITORIES "YUNG SHIN" A029727100 BECAME TABLETS A029728277 UNITAX INJ. 0.5GM (CEFOTAXIME SODIUM) "UNION" A029729100 SUCRAL TABLETS 500MG "VPP" (SUCRALFATE) A0297291G0 SUCRAL TABLETS 500MG "VPP" (鋁箔/膠 A029730100 YUCOMY TABLETS 200MG (KETOCONAZOLE) A029733100 ANSUTAL TABLETS 40MG (FENSPIRIDE) A029735100 TIATENOL TABLETS 100MG "T.F." (ATENOLOL) A029736100 ULSAWE TABLETS 500MG "T.F."(SUCRALFATE) A029738209 SUNTOSE INJECTION 0.45% "N.K." A029738277 SUNTOSE INJECTION 0.45% "N.K." A029739329 TOPSYM LOTION (FLUOCINONIDE) A029740100 A.A.C. TABLETS A029742277 BIOLYTE NO.4 INJECTION "CHI SHENG" A029743277 BIOLYTE NO.3 INJECTION "CHI SHENG" A029744277 BIOLYTE NO.2 INJECTION "CHI SHENG" A029746209 EUJUM INJECTION 5MG/ML (PROSTAGLANDIN F2) A029747100 FOCUS CAPSULES 10MG (PIROXICAM) 4885 A0297471G0 FOCUS CAPSULES 10MG (PIROXICAM)(鋁 A029748100 CINCA S.C. TABLETS 50MG "Y.S." (NICAMETATE) A029749100 PEDIC F.C. TABLETS 250MG "TAI YU" (PIPEMIDIC ACID) A029752100 ALLERGEN TABLETS 50MG "S.T." (MEBHYDROLIN) A029753100 STONE TABLETS 500MG "S.T." (MEFENAMIC ACID) A029754100 MUSOLIN TABLETS "S.T." 4886 A029755500 EKONA VAGINAL SUP. (ECONAZOLE) 4887 A029758110 4888 A029758116 4889 A029758199 4890 A029759100 4891 A029760421 ACETIN GRANULES 66.67MG/GM "TAI YU" (ACETYLCYSTEINE) ACETIN GRANULES 66.67MG/GM "TAI YU" (ACETYLCYSTEINE) ACETIN GRANULES 66.67MG/GM "TAI YU" (ACETYLCYSTEINE) BAESUKANG CAPSULES 0.5MG (METHYLCOBALAMIN)"C.M." GARABETA EYE DROPS "WINSTON" 4892 A029766100 4882 4883 4884 PERDAMOLE F.C. TABLETS 75MG "T.F." (DIPYRIDAMOLE) 100年1月 項次 支付價 4850 36.2 4851 1050 4852 1.51 4853 2.33 4854 2.74 247 4855 4856 1.97 4857 1.78 4858 2572 37.5 4859 68 4860 2.57 4861 4862 3.08 0.99 4863 4864 39.6 4865 1.03 1.5 4866 4867 4.62 2.08 4868 4869 0 4870 1.05 35 4871 17.7 4872 90 4873 1.56 4874 43.7 4875 54 4876 54 4877 4878 201 4879 0 1.5 4880 4881 0.64 4882 2.34 4883 1.1 4884 1 4885 2.36 4886 7.2 4887 2.28 4888 1.95 4889 0.65 4890 2.88 4891 20.5 4892 1 CODE 藥品名稱 A029811100 KALIPION CAPSULES 250MG (CLOFIBRATE) "YUNG SHIN" SCOTON TABLETS 400MG (IBUPROFEN) A029812100 A029813216 A029814100 A029823100 IMIDAKIN VIAL 500MG/3ML(ORNIDAZOLE) U-COMPHEN TABLETS 說明 9901 支付價 1.13 0.93 484.00 2.68 A029833100 A029834209 A029834265 A029834277 AMANTEC CAPSULES 100MG (AMANTADINE) DIMAX TABLETS 80MG CORT. S. OINTMENT 1% (HYDROCORTISONE ACETATE)"M.S." CORT. S. OINTMENT 1% (HYDROCORTISONE ACETATE)"M.S." KASCOAL TABLETS 40MG (DIMETHYLPOLYSILOXANE) KAICIDE TABLETS 600MG SUNTOSE INJECTION 5% "N.K." SUNTOSE INJECTION 5% "N.K." SUNTOSE INJECTION 5% "N.K." A029835209 A029835238 GITOSE INJECTION 5% "N.K." GITOSE INJECTION 5% "N.K." 26.00 3.60 A029835255 GITOSE INJECTION 5% "N.K." 12.70 A029835265 A029835277 GITOSE INJECTION 5% "N.K." GITOSE INJECTION 5% "N.K." 16.10 17.30 A029836209 A029836255 SALINE INJECTION 0.9% "N.K." SALINE INJECTION 0.9% "N.K." 25.40 14.70 A029836265 SALINE INJECTION 0.9% "N.K." 15.70 A029836277 A029837209 A029837255 A029837265 A029837277 A029838277 A029847157 A029852329 SALINE INJECTION 0.9% "N.K." HAFORMAN INJECTION "N.K." HAFORMAN INJECTION "N.K." HAFORMAN INJECTION "N.K." HAFORMAN INJECTION "N.K." GITOSE INJECTION 10% "N.K." ANSOUHAU SYRUP "H.S." SFUSONE CREAM 5MG/G (TRIAMCINOLONE ACETONIDE) "H.S." SFUSONE CREAM 5MG/G (TRIAMCINOLONE ACETONIDE) "H.S." KANMAU CAPSULES "HS" COCHILIN CAPSULES "HS" 15.90 51.00 14.80 23.30 18.00 20.00 33.40 53.00 A029824100 A029825321 A029825348 A029828100 2.33 1.90 8.60 54.00 0.48 125.00 29.00 17.70 18.00 刪除 A029852399 A029853100 A029859100 A029860100 2.28 刪除 1.09 0.75 ISIHTONNIN CAPSULES 50MG (KETOPROFEN) "HS" SHIKENUOH TABLETS 500MG "HS" 1.10 5.40 A029875100 HIRANIN CAPSULES 350MG (CARISOPRODOL) "HS" ANTIRHEUMATIC CAPSULES 25MG (INDOMETHACIN) "HS" VOTONNIN CAPSULES 25MG (DICLOFENAC) "HS" HOW NAMIN CAPSULES "HS" A029876321 BETAZOLE CREAM "KINGDOM" 18.50 A029876329 BETAZOLE CREAM "KINGDOM" 64.00 A029876340 BETAZOLE CREAM "KINGDOM" 83.00 A029881100 PROPRANOLOL TABLETS 40MG "YUNG SHIN" TOEEFON FILM COATED TABLETS 500MG "T.F." (MEFENAMICA ACID) A029863100 A029866100 A029867100 A029874100 A029885100 第 102 頁,共 382 頁 0.28 0.32 1.00 0.20 0.70 0.60 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 4893 4894 4895 4896 4897 4898 4899 4900 4901 4902 4903 4904 4905 4906 4907 4908 4909 4910 4911 4912 4913 4914 4915 4916 4917 4918 4919 4920 4921 4922 4923 4924 4925 4926 4927 4928 4929 4930 4931 4932 CODE 藥品名稱 100年1月 項次 支付價 A029768343 SULON OINTMENT "L.S." 4893 14.1 A029774100 KETAZOLE TABLETS 200MG "UNION" 4894 4.93 (KETOCONAZOLE) A029784100 ERGOMETRINE TABLETS 0.2MG "YUNG 4895 0 SHIN" A029786100 GLUCOLIN TABLETS (GLICLAZIDE) 4896 1.9 A029788100 COMFORT E.C. TABLETS 650MG "MEIDER" 4897 0.8 41.1 4898 A029789321 EXELDERM CREAM (SULCONAZOLE) A029789329 EXELDERM CREAM (SULCONAZOLE) 4899 70 80 4900 A029790329 EXELDERM SOLUTION (SULCONAZOLE) A029791212 PITAMYCIN INJECTION 1GM, 2GM, 4901 64 4GM, (PIPERACILLIN SODIUM) A029791219 PITAMYCIN INJECTION 1GM, 2GM, 4902 127 4GM, (PIPERACILLIN SODIUM) A029793100 MULER TABLETS 200MG (FENBUFEN) 4903 0 "GENTLE" A029794100 SENTA TABLETS 250MG 4904 0 (DIFLUNISAL)"GENTLE" A029797100 CIWEI TABLETS 200MG "H.H." 4905 1 (CIMETIDINE) A0297971G0 CIWEI TABLETS 200MG "H.H." 4906 1.5 (CIMETIDINE)(鋁箔/膠箔) A029798100 CIWEI TABLETS 400MG 4907 0 "H.H."(CIMETIDINE) A0297981G0 CIWEI TABLETS 400MG 4908 1.5 "H.H."(CIMETIDINE)(鋁箔) A029802100 CEFADROXIL CAPSULES 500MG 4909 2.17 A029803399 AUFIZIN CREAM 10MG/GM (SILVER 4910 0.65 SULFADIAZINE) A029804100 SHPYNJA TABLETS "C.M." 4911 6.9 A029805100 DEURON TABLETS 50MG "YU SHENG" 4912 1.9 (BENZBROMARONE) 2.33 4913 A029806100 TOPHARDIN TABLETS (AMANTADINE A029810100 TRILONE TABLETS 4MG "H.H." 4914 1 (TRIAMCINOLONE) A0298101G0 TRILONE TABLETS 4MG "H.H." 4915 1.5 (TRIAMCINOLONE)(鋁箔/膠箔) A029811100 KALIPION CAPSULES 250MG 4916 1.13 (CLOFIBRATE) "YUNG SHIN" 0.93 4917 A029812100 SCOTON TABLETS 400MG (IBUPROFEN) 484 4918 A029813216 IMIDAKIN VIAL 2.68 4919 A029814100 U-COMPHEN TABLETS A029823100 AMANTEC CAPSULES 100MG 4920 2.33 (AMANTADINE) A029824100 DIMAX TABLETS 80MG 4921 1.9 A029825321 CORT. S. OINTMENT 1% 4922 8.6 (HYDROCORTISONE ACETATE)"M.S." A029825348 CORT. S. OINTMENT 1% 4923 54 (HYDROCORTISONE ACETATE)"M.S." A029828100 KASCOAL TABLETS 40MG 4924 0.48 (DIMETHYLPOLYSILOXANE) 125 4925 A029833100 KAICIDE TABLETS 600MG A029834209 SUNTOSE INJECTION 5% "N.K." 4926 29 17.7 4927 A029834265 SUNTOSE INJECTION 5% "N.K." A029834277 SUNTOSE INJECTION 5% "N.K." 4928 18 A029835209 GITOSE INJECTION 5% "N.K." 4929 26 A029835238 GITOSE INJECTION 5% "N.K." 4930 3.6 12.7 4931 A029835255 GITOSE INJECTION 5% "N.K." A029835265 GITOSE INJECTION 5% "N.K." 4932 16.1 說明 CODE 藥品名稱 A029886199 A029906100 A029907157 CHILDREN'S PANACON ELIXIR 24MG/ML (ACETAMINOPHEN)"S.Y." ASPIRIN ENTERIC FILM COATED TABLETS 650MG "T.F." CEDOL FOR INJECTION 500MG (CEFAMANDOLE NAFATE) CEDOL FOR INJECTION 500MG (CEFAMANDOLE NAFATE) CEDOL FOR INJECTION 500MG (CEFAMANDOLE NAFATE) INDECIN CREAM (INDOMETHACIN) NOSPAN TABLETS 30MG (DEXTROMETHORPHAN) FUCOLE NOSPAN TABLETS 15MG CODENIN SYRUP "H.S." A029907199 CODENIN SYRUP "H.S." 0.18 A029912100 NYSTATIN CAPSULES 2.30 A029917100 KASCOAL TABLETS 50MG (DIMETHYLPOLYSILOXANE) UNIDROXYL GRANULES 200MG/GM (CEFADROXIL)"UNION" METHYLTESTOSTERONE CAPSULES 10MG (METHYLTESTOSTERONE) "HS" CHANSIAN CAPSULES 5MG (PREDNISOLONE) "HS" TIBILIN S.C. TABLETS "HS" 0.40 MALENATE TABLETS 4MG (CHLORPHENIRAMINE MALEATE) "HS" AKANA CREAM (BENZOYL PEROXIDE) 0.54 A029888100 A029889209 A029889212 A029889277 A029903329 A029905100 9901 支付價 0.15 0.80 50.00 刪除 189.00 26.50 21.40 0.82 0.60 34.70 刪除 A029919199 A029929100 A029931100 A029933100 A029937100 A029949324 A029951100 A029960265 A029960277 A029961100 DOTIDONE TABLETS 10MG "CURIL"(DOMPERIDONE) SUNTOSE INJ. 2.5% "N.K." 刪除 4.31 0.79 0.25 刪除 0.45 67.00 0.59 19.40 15.60 2.67 A029984209 SUNTOSE INJ. 2.5% "N.K." MIDE TABLETS 500MG (PYRAZINAMIDE)"WINSTON" HARINGER INJECTION "N.K." A029984238 HARINGER INJECTION "N.K." 3.62 A029984255 A029984265 A029984277 A029987100 A030054212 HARINGER INJECTION "N.K." HARINGER INJECTION "N.K." HARINGER INJECTION "N.K." DOMPEDON F.C. TAB. 10MG (DOMPERIDONE)"STANDARD" LICODYNE TABLETS 375MG (CARBOCISTEINE) "Y.C." KINGFAMANDOLE INJECTION 1GM (CEFAMANDOLE)"KINGDOM" ORPHENADRINE INJECTION "YUNG SHIN" A030055100 PROCANIN CAPSULES "N.W." 1.79 TOLECTIN TABLETS 200MG (TOLMETIN) NICOGUS TABLETS 200MG (KETOCONAZOLE) "H.H" A030058100 EROMYCIN F.C. TABLET 250MG "SHITEH" A030119100 POTARLON FILM COATED TABLETS 500MG (MEFENAMIC ACID) A0301201G0 CINTSU SUGAR COATED TABLETS 40MG (VERAPAMIL)"YUNG SHIN"(鋁箔/膠箔) A030122100 POTARLON CAPSULES 250MG (MEFENAMIC ACID) A030123209 INJECTIO NALORPHINE HYDROCHLORIDI A030257100 AMANDA F.C. TABLETS 100MG (AMANTADINE)"WEIDAR" 9.40 4.19 31.40 新增 A029988100 A030039209 A030056100 A030057100 第 103 頁,共 382 頁 14.80 17.00 18.90 1.00 1.41 49.60 11.30 1.25 1.00 1.50 0.74 26.70 2.33 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 4933 4934 4935 4936 4937 A029835277 A029836209 A029836255 A029836265 A029836277 GITOSE INJECTION 5% "N.K." SALINE INJECTION 0.9% "N.K." SALINE INJECTION 0.9% "N.K." SALINE INJECTION 0.9% "N.K." SALINE INJECTION 0.9% "N.K." 4938 A029837209 HAFORMAN INJECTION "N.K." 100年1月 支付價 17.3 25.4 14.7 15.7 項次 4933 4934 4935 4936 4937 15.9 4938 51 4939 A029837255 HAFORMAN INJECTION "N.K." 4939 14.8 4940 A029837265 HAFORMAN INJECTION "N.K." 4940 23.3 4941 A029837277 HAFORMAN INJECTION "N.K." 4941 18 4942 A029838277 4943 4944 A029847157 A029852329 GITOSE INJECTION 10% "N.K." 4951 ANSOUHAU SYRUP "H.S." SFUSONE CREAM 5MG/G (TRIAMCINOLONE ACETONIDE) "H.S." A029852399 SFUSONE CREAM 5MG/G (TRIAMCINOLONE ACETONIDE) "H.S." A029853100 KANMAU CAPSULES "HS" A029859100 COCHILIN CAPSULES "HS" A0298591G0 COCHILIN CAPSULES "HS"(鋁箔/膠箔) A029860100 ISIHTONNIN CAPSULES 50MG (KETOPROFEN) "HS" A0298601G0 ISIHTONNIN CAPSULES "HS" 50MG (KETOPROFEN)(鋁箔/膠箔) A029863100 SHIKENUOH TABLETS 500MG "HS" 4952 A029866100 4945 4946 4947 4948 4949 4950 4957 4958 4959 4960 4961 HIRANIN CAPSULES 350MG (CARISOPRODOL) "HS" A029867100 ANTIRHEUMATIC CAPSULES 25MG (INDOMETHACIN) "HS" A0298671G0 ANTIRHEUMATIC CAPSULES 25MG "HS"(INDOMETHACIN)(鋁箔/膠箔) A029874100 VOTONNIN CAPSULES 25MG (DICLOFENAC) "HS" A0298741G0 VOTONNIN CAPSULES 25MG (DICLOFENAC) "HS"(鋁箔/膠箔) A029875100 HOW NAMIN CAPSULES "HS" A0298751G0 HOW NAMIN CAPSULES "HS"(鋁箔/膠箔) A029876321 BETAZOLE CREAM "KINGDOM" A029876329 BETAZOLE CREAM "KINGDOM" A029876340 BETAZOLE CREAM "KINGDOM" 4962 A029881100 4963 A029885100 4964 A029886199 4965 A029888100 4966 A029889209 4967 A029889212 4968 A029889277 4969 4970 A029903329 A029905100 4971 4972 4973 A029906100 A029907157 A029907199 4974 4975 A029912100 A029917100 4953 4954 4955 4956 PROPRANOLOL TABLETS 40MG "YUNG SHIN" TOEEFON FILM COATED TABLETS 500MG "T.F." (MEFENAMICA ACID) CHILDREN'S PANACON ELIXIR 24MG/ML (ACETAMINOPHEN)"S.Y." ASPIRIN ENTERIC FILM COATED TABLETS 650MG "T.F." CEDOL FOR INJECTION 500MG (CEFAMANDOLE NAFATE) CEDOL FOR INJECTION 500MG (CEFAMANDOLE NAFATE) CEDOL FOR INJECTION 500MG (CEFAMANDOLE NAFATE) INDECIN CREAM (INDOMETHACIN) NOSPAN TABLETS 30MG (DEXTROMETHORPHAN) FUCOLE NOSPAN TABLETS 15MG CODENIN SYRUP "H.S." CODENIN SYRUP "H.S." NYSTATIN CAPSULES KASCOAL TABLETS 50MG (DIMETHYLPOLYSILOXANE) 4942 20 33.4 4943 4944 53 4945 2.28 1.09 4946 0.75 4947 1.5 4948 4949 1.1 4950 1.5 4951 0.28 4952 5.4 4953 0.32 4954 1.5 4955 1 4956 1.5 0.2 4957 1.5 4958 18.5 4959 64 4960 4961 83 4962 0.7 4963 0.6 4964 0.15 4965 0.8 4966 50 4967 189 4968 26.5 21.4 4969 4970 0 0.6 4971 34.7 4972 4973 0.18 2.3 4974 4975 0.4 說明 CODE 藥品名稱 9901 支付價 A030270335 ACNIE-5 LOTION (BENZOYL PEROXIDE) 88.00 A030281209 KOFATOL INJECTION 1.0GM 22.10 A030281277 KOFATOL INJECTION 0.5GM 10.80 A030302399 M. C. SKIN LOTION 0.65 A030304100 CHLORPHENIRAMINE MALEATE TABLETS 0.10 "M.T." A030305100 LITANGEN TABLETS 250MG 0.84 (CHLORPROPAMIDE)" M.T." A0303051G0 LITANGEN TABLETS 250MG 1.50 (CHLORPROPAMIDE)" M.T."(鋁箔/膠箔) A030307100 DEXAMETHASONE S.C. TABLETS 0.5MG 0.50 "M.T." A0303071G0 DEXAMETHASONE S.C. TABLETS 0.5MG 1.50 "M.T." (鋁箔/膠箔) A030308100 SULUGEN S.C. TABLETS 100MG 0.64 (PHENAZOPYRIDINE)"M.T." A030309100 NAUEAN TABLETS (CINNARIZINE)"M.T." 0.28 A0303091G0 NAUEAN TABLETS (CINNARIZINE)"M.T." 1.50 (鋁箔/膠箔) A030310100 THINTHIN CAPSULES 10MG (HYOSCINE-N0.70 BUTYL BROMIDE)"M.T." A030311100 DEXAMETHASONE TABLETS "M.T." 0.37 A030312100 NITROFURANTOIN CAPSULES 100MG 0.35 A030319100 VEKAIN TABLETS (R) 1.00 A030320100 METASONE TABLETS 0.5MG 0.64 (BETAMETHASONE) "N.W." A030322100 WEKLIN TABLETS 500MG (NALIDIXIC 2.00 ACID) "N.W." A030323100 NEKMIN TABLETS 4MG 0.40 (CYPROHETADINE HCL) "N.W." A030331100 TRANSAMIN TABLETS 500MG 4.21 A030336100 CORSINTIN S.C.TAB. "PRINCE" 0.19 A030337100 TIUSOUPIN TAB. "PRINCE" 0.86 A030338100 AMINOPHYLLINE TAB. "PRINCE" 0.14 A030341100 L.A. TAB. "PRINCE" 0.25 A030343100 A030351100 A030352100 A030354100 A030362100 0.08 0.32 0.45 1.08 0.64 A030363100 DESERPIN TAB. "PRINCE" CYEDA CIN CAP. "PRINCE" PENZIN S.C. TAB."PRINCE" TENZONINE TAB. "PRINCE" SAUPINE S.C.TAB. 30MG (DEXTROMETHORPHAN) "PRINCE" TLANCOBALU TABLETS A030364100 THOLITHIN S.C.TAB. "PRINCE" 0.71 A030365100 AIFULIN TABLETS "N.W." 0.45 A030383135 A030385100 HALDOMIN ORAL SOLUTION (HALOPERIDOL) HALDOMIN ORAL SOLUTION (HALOPERIDOL) MELON TABLETS 50MG (MEPIRIZOLE) "H.S.C." SULPIRIDE TABLETS A030387351 A030389100 ACNIE WASH (BENZOYL PEROXIDE) COLISTIN CAPSULES "C.C.P." A030383155 A030384100 0.45 53.00 236.00 1.20 2.11 103.00 6.20 刪除 A030390212 AMIKACIN INJECTION 125MG/ML A030396100 COLCHICINE TABLETS 0.5MG "SHIONOGI" A0303961G0 COLCHICINE TABLETS 0.5MG "SHIONOGI"(鋁箔/膠箔) A030415100 MINISON TABLETS 1MG (PRAZOSIN) A030417209 LYBRILE INJECTION (ACETYLSALICYLIC ACID) 第 104 頁,共 382 頁 31.80 1.20 1.50 1.00 8.30 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 4976 A029919199 4977 A029929100 4978 A029931100 4979 4980 A029933100 A029937100 4981 A029949324 UNIDROXYL GRANULES 200MG/GM (CEFADROXIL)"UNION" METHYLTESTOSTERONE CAPSULES 10MG (METHYLTESTOSTERONE) "HS" CHANSIAN CAPSULES 5MG (PREDNISOLONE) "HS" TIBILIN S.C. TABLETS "HS" MALENATE TABLETS 4MG (CHLORPHENIRAMINE MALEATE) "HS" AKANA CREAM (BENZOYL PEROXIDE) 4982 A029951100 4987 DOTIDONE TABLETS 10MG "CURIL"(DOMPERIDONE) A0299511G0 DOTIDONE TABLETS 10MG "CURIL"(DOMPERIDONE)(鋁箔/膠箔) A029960265 SUNTOSE INJ. 2.5% "N.K." A029960277 SUNTOSE INJ. 2.5% "N.K." A029961100 MIDE TABLETS 500MG (PYRAZINAMIDE)"WINSTON" A029984209 HARINGER INJECTION "N.K." 4988 4989 A029984238 A029984255 HARINGER INJECTION "N.K." HARINGER INJECTION "N.K." 4990 4991 4992 A029984265 A029984277 A029987100 4993 A029988100 4994 A030039209 4995 4996 A030054212 A030055100 HARINGER INJECTION "N.K." HARINGER INJECTION "N.K." DOMPEDON F.C. TAB. 10MG (DOMPERIDONE)"STANDARD" LICODYNE TABLETS 375MG (CARBOCISTEINE) "Y.C." KINGFAMANDOLE INJECTION 1GM (CEFAMANDOLE)"KINGDOM" ORPHENADRINE INJECTION "YUNG SHIN" PROCANIN CAPSULES "N.W." 4997 4998 A030056100 A030057100 4999 A030058100 5000 A030119100 4983 4984 4985 4986 TOLECTIN TABLETS 200MG (TOLMETIN) NICOGUS TABLETS 200MG (KETOCONAZOLE) "H.H" EROMYCIN F.C. TABLET 250MG "SHITEH" 5003 POTARLON FILM COATED TABLETS 500MG (MEFENAMIC ACID) A0301201G0 CINTSU SUGAR COATED TABLETS 40MG (VERAPAMIL)"YUNG SHIN"(鋁 A030122100 POTARLON CAPSULES 250MG (MEFENAMIC ACID) A030123209 INJECTIO NALORPHINE HYDROCHLORIDI 5004 A030257100 5005 A030270335 5006 5007 A030281209 A030281277 5001 5002 5008 5009 5010 5011 5012 5013 5014 5015 AMANDA F.C. TABLETS 100MG (AMANTADINE)"WEIDAR" ACNIE-5 LOTION (BENZOYL PEROXIDE) KOFATOL INJECTION 1.0GM KOFATOL INJECTION 0.5GM (CEPHAZOLIN) A030302399 M. C. SKIN LOTION A030304100 CHLORPHENIRAMINE MALEATE TABLETS "M.T." A030305100 LITANGEN TABLETS 250MG (CHLORPROPAMIDE)" M.T." A0303051G0 LITANGEN TABLETS 250MG (CHLORPROPAMIDE)" M.T."(鋁箔/膠箔) A030307100 DEXAMETHASONE S.C. TABLETS 0.5MG "M.T." A0303071G0 DEXAMETHASONE S.C. TABLETS 0.5MG "M.T." (鋁箔/膠箔) A030308100 SULUGEN S.C. TABLETS 100MG (PHENAZOPYRIDINE)"M.T." A030309100 NAUEAN TABLETS (CINNARIZINE)"M.T." 100年1月 項次 支付價 4976 4.31 4977 0.79 4978 0.25 0.45 4979 4980 0.54 4981 67 4982 0.59 4983 1.5 19.4 4984 15.6 4985 4986 2.67 4987 31.4 3.62 4988 4989 14.8 17 4990 18.9 4991 4992 1 4993 1.41 4994 49.6 11.3 4995 4996 1.79 9.4 4997 4998 0 4999 1.25 5000 0 5001 1.5 5002 0 5003 26.7 5004 2.33 5005 88 22.1 5006 5007 10.8 0.65 5008 5009 0.1 5010 0.84 5011 1.5 5012 0.5 5013 1.5 5014 0.64 5015 0.28 CODE 藥品名稱 A030418100 BUBDEL TABLETS 80MG (ACETAMINOPHEN)"WINSTON" KETOPROFEN INJECTION 25MG/ML "ASTAR" CAPOMIL TABLETS 25MG (CAPTOPRIL)"WEIDAR" CHILDRENS ACETA 80 CHEWABLE TRIAMZIDE CAPSULES "WEIDAR" A030442212 A030452100 A030453100 A030455100 A030456100 說明 9901 支付價 0.50 10.00 2.45 0.80 1.44 A030463199 DIHYDROCHLOROTHIAZIDE TABLETS "ORIENTAL" BENADRYL SYRUP 0.19 A030465309 EPISONE SOLUTION (BETAMETHASONE) 2,160.00 EPISONE SOLUTION (BETAMETHASONE) EPISONE SOLUTION (BETAMETHASONE) IBUPROFEN FILM COATED TABLETS 400MG "YUNG SHIN" A0304661G0 IBUPROFEN FILM COATED TABLETS 400MG "YUNG SHIN"(鋁箔) A030507100 DIAZEPAM TABLETS 2MG "YUNG SHIN" A0305071G0 DIAZEPAM TABLETS 2MG "YUNG SHIN"(鋁箔/膠箔) A030510100 DIAZEPAM TABLETS 5MG "YUNG SHIN" A030512100 DIAMICRON (GLICLAZIDE) TABLETS A030513100 MORESAFE TABLETS 5MG (ALLYLESTRENOL) A030521212 RASITOL INJECTION 10MG/ML (FUROSEMIDE) A030525100 PANTOMIN FILM COATING TABLETS 60MG A030526100 SPIRONOLACTONE TABLETS "ROYAL" A030530329 SALIC OINTMENT (SALICYLIC ACID)"STANDARD" A030531343 FOOTCON OINTMENT "STANDARD" A030532100 ASTIFEN TABLETS 1MG (KETOTIFEN) "VPP" A030533100 GOUT TABLETS 50MG (BENZBROMARONE) "P.L." A030535209 LEPHOCIN INJECTION 1GM (CEFOXITIN) 44.60 1.16 1.00 0.25 新增 A030465329 A030465399 A030466100 1.50 0.30 1.50 0.35 1.85 3.08 10.00 3.03 1.39 11.30 16.30 1.01 刪除 2.12 154.00 刪除 A030538500 A030545100 ECOVAL SUPPOSITORY 50MG (ECONAZOLE) "P.L." INFLU CAPSULES 100MG (AMANTADINE) 7.50 ANTIFLAN E.S.C. TABLETS 100MG (BROMELAIN)"C.H." ACETA 600 SUPPOSITORY (ACETAMINOPHEN) YUNGBENRONE TABLET (BENZBROMARONE) "YUNG SINE" DICLOFENAC E.S.C. TAB 50MG "YUNG LOFADINE INJECTION 500MG (CEPHRADINE) "GENTLE" OROMIN CAPSULES THIAMINE HCL TAB. 50MG "WASHINGTON" SERADASE E.C. TABLETS 5MG "WEIDAR" (SERRATIOPEPTIDASE) TARIVID FILM COATED TABLETS (OFLOXACIN) THIOPHENICOL F.C. TABLET 1.00 2.33 刪除 A030549100 A030551500 A030556100 A030557100 A030559277 A030563100 A030566100 A030572100 A030573100 A030581100 A030587100 A030590100 A030591500 第 105 頁,共 382 頁 TEGOL TABLETS 200MG (CARBAMAZEPINE) "YU SHENG" BEZALITE TABLETS 200MG (BEZAFIBRATE) VOTALIN SUPPOSITORY 50MG (DICLOFENAC) 7.70 2.02 0.70 35.40 0.85 0.30 1.00 4.12 1.59 2.78 2.69 8.90 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 5016 5017 5018 5019 5020 5021 5022 5023 5024 5025 5026 5027 5028 5029 5030 5031 5032 5033 5034 5035 5036 5037 5038 5039 5040 5041 5042 5043 5044 5045 5046 5047 5048 5049 5050 5051 5052 5053 5054 5055 CODE 藥品名稱 100年1月 項次 支付價 A0303091G0 NAUEAN TABLETS (CINNARIZINE)"M.T." 5016 1.5 (鋁箔/膠箔) A030310100 THINTHIN CAPSULES 10MG (HYOSCINE-N5017 0.7 BUTYL BROMIDE)"M.T." A030311100 DEXAMETHASONE TABLETS "M.T." 5018 0.37 0.35 5019 A030312100 NITROFURANTOIN CAPSULES 100MG A030319100 VEKAIN TABLETS (R) 5020 1 A030320100 METASONE TABLETS 0.5MG 5021 0.64 (BETAMETHASONE) "N.W." A030322100 WEKLIN TABLETS 500MG (NALIDIXIC 5022 2 ACID) "N.W." A030323100 NEKMIN TABLETS 4MG 5023 0.4 (CYPROHETADINE HCL) "N.W." A030331100 TRANSAMIN TABLETS 500MG 5024 4.21 A030336100 CORSINTIN S.C.TAB. "PRINCE" 5025 0 A030337100 TIUSOUPIN TAB. "PRINCE" 5026 0.86 0.14 5027 A030338100 AMINOPHYLLINE TAB. "PRINCE" 0 5028 A030341100 L.A. TAB. "PRINCE" 0 5029 A030343100 DESERPIN TAB. "PRINCE" 0 5030 A030351100 CYEDA CIN CAP. "PRINCE" 0.45 5031 A030352100 PENZIN S.C. TAB."PRINCE" 0 5032 A030354100 TENZONINE TAB. "PRINCE" A030362100 SAUPINE S.C.TAB. 30MG 5033 0 (DEXTROMETHORPHAN) "PRINCE" A030363100 TLANCOBALU TABLETS 5034 0.45 A030364100 THOLITHIN S.C.TAB. "PRINCE" 5035 0 A030365100 AIFULIN TABLETS "N.W." 5036 0.45 A030383135 HALDOMIN ORAL SOLUTION 5037 53 (HALOPERIDOL) A030383155 HALDOMIN ORAL SOLUTION 5038 236 (HALOPERIDOL) A030384100 MELON TABLETS 50MG (MEPIRIZOLE) 5039 1.2 "H.S.C." 2.11 5040 A030385100 SULPIRIDE TABLETS A030387351 ACNIE WASH (BENZOYL PEROXIDE) 5041 103 6.2 5042 A030389100 COLISTIN CAPSULES "C.C.P." A030390212 AMIKACIN INJECTION 125MG/ML 5043 31.8 A030396100 COLCHICINE TABLETS 0.5MG "SHIONOGI" 5044 0 A0303961G0 COLCHICINE TABLETS 0.5MG 5045 1.5 "SHIONOGI"(鋁箔/膠箔) A030415100 MINISON TABLETS 1MG (PRAZOSIN) 5046 0 A030417209 LYBRILE INJECTION (ACETYLSALICYLIC 5047 8.3 ACID) A030418100 BUBDEL TABLETS 80MG 5048 0.5 (ACETAMINOPHEN)"WINSTON" A030442212 KETOPROFEN INJECTION 25MG/ML 5049 10 "ASTAR" A030452100 CAPOMIL TABLETS 25MG 5050 2.45 (CAPTOPRIL)"WEIDAR" 0.8 5051 A030453100 CHILDRENS ACETA 80 CHEWABLE A030455100 TRIAMZIDE CAPSULES "WEIDAR" 5052 0 A030456100 DIHYDROCHLOROTHIAZIDE TABLETS 5053 0.19 "ORIENTAL" A030463199 BENADRYL SYRUP 5054 0.25 A030465309 EPISONE SOLUTION (BETAMETHASONE) 5055 2160 CODE 藥品名稱 A030594100 說明 9901 支付價 KOZEN E.C. TABLETS 5MG (SERRATIOPEPTIDASE) "S.D." A030601100 PACOMIN TABLETS 20MG "PATRON" (OXELADIN) A030605100 MAMICON CAPSULES 1MG "PATRON" (KETOTIFEN) A030607100 ESIDRI S.C. TABLETS (R) A030609100 TIAMIDE TABLETS 100MG (TIARAMIDE) "M.S." A030610100 INROLIN TABLETS 50MG (MEBBYDROLINE) "YU SHENG" A030611100 KATIFEN TABLETS 1MG (KETOTIFEN) "YU SHENG" A030612100 SULINTON TABLETS 200MG (SULINDAC)"Y.S." A030614100 DOPERAN CAPSULES 400MG (PIPEMIDIC ACID) "Y.S." A030615100 ISOMIL S.C. TABLETS 40MG (VERAPAMIL) "Y.S." A0306151G0 ISOMIL S.C. TABLETS 40MG (VERAPAMIL) "Y.S."(鋁箔/膠箔) A030618100 BROMAZAEPAM TABLETS A030619100 D.M.P. TABLETS (DOMPERIDONE) A0306191G0 D.M.P. TABLETS (DOMPERIDONE)(鋁箔/膠 A030620289 CEFUROXIME INJECTION 750MG A030622321 LOCASALEN OINTMENT (R) A030622335 LOCASALEN OINTMENT (R) A030622399 LOCASALEN OINTMENT (R) 1.00 0.91 1.00 1.50 35.00 62.00 89.00 5.90 A030624343 SALICYLIC ACID AND BENZOIC ACID OINTMENT HILAMIN INJECTION 5MG/ML (HYDROXOCOBALAMINE) "PATRON" HILAMIN INJECTION 5MG/ML (HYDROXOCOBALAMINE) "PATRON" NAKASSER TABLET 30MG (DILTIAZEM) "N.K." MECOZOL TABLET 200MG "N.K." (KETOCONAZOLE) RELEX GEL 50MG/G "N.K." (ETOFENAMATE) RELEX GEL 50MG/G "N.K." DEFENSE FILM COATED TABLET 400MG (CIMETIDINE) LISUAN TABLETS 8MG (BROMHEXINE) DIFENA SUPP. 12.5MG "STANDARD" (DICLOFENAC SODIUM) SUTAN CAPSULES 500MG (MEFENAMIC ACID) "H.S." DAWEISON TAB. 10MG (DOMPERIDONE) "H.S." HITOLIN TABLETS 100MG (MEBENDAZOLE) "H.S." DIFENA SUPP. 25MG "STANDARD" (DICLOFENAC SODIUM) KETOFEN TAB. (KETOTIFENE) "H.C." 34.00 DICOKAN TABLETS 30MG (DEXTROMETHORPHAN) "T.F." A030695100 CORTICORD TABLETS 4MG (TRIAMCINOLONE) "T.F." A030697100 LYSIX TABLETS 40MG (FUROSEMIDE) A0306971G0 LYSIX TABLETS 40MG (FUROSEMIDE) "T.F."(鋁箔/膠箔) A030698100 GLICRON TABLETS 80MG (GLICLAZIDE) "YU SHENG" A030712100 LAVOCOHERE TAB. 200MG "WINSTON" (LABETALOL) A030740100 RITALIN TABLETS 10MG (METHYLPHENIDATE) 0.82 1.00 1.02 2.53 1.39 1.00 1.00 2.22 2.70 1.15 刪除 1.50 刪除 刪除 刪除 刪除 刪除 A030628209 A030628212 A030629100 A030633100 A030634329 A030634338 A030642100 A030645100 A030647500 A030648100 A030649100 A030650100 A030651500 A030693100 A030694100 第 106 頁,共 382 頁 10.00 刪除 10.00 1.69 4.93 32.80 53.00 1.60 0.29 1.75 0.60 刪除 0.66 0.75 刪除 2.60 1.00 0.63 1.01 1.50 刪除 1.66 3.54 2.64 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 5056 A030465329 EPISONE SOLUTION (BETAMETHASONE) 5057 A030465399 EPISONE SOLUTION (BETAMETHASONE) 5058 A030466100 5062 IBUPROFEN FILM COATED TABLETS 400MG "YUNG SHIN" A0304661G0 IBUPROFEN FILM COATED TABLETS 400MG "YUNG SHIN"(鋁箔) A030507100 DIAZEPAM TABLETS 2MG "YUNG SHIN" A0305071G0 DIAZEPAM TABLETS 2MG "YUNG SHIN"(鋁箔/膠箔) A030510100 DIAZEPAM TABLETS 5MG "YUNG SHIN" 5063 5064 A030512100 A030513100 5065 A030521212 5066 5067 A030525100 A030526100 5068 A0305261G0 SPIRONOLACTONE TABLETS "ROYAL"(鋁 箔/膠箔) A030530329 SALIC OINTMENT (SALICYLIC ACID)"STANDARD" A030531343 FOOTCON OINTMENT "STANDARD" A030532100 ASTIFEN TABLETS 1MG (KETOTIFEN) "VPP" A030533100 GOUT TABLETS 50MG (BENZBROMARONE) "P.L." A030535209 LEPHOCIN INJECTION 1GM (CEFOXITIN) A030538500 ECOVAL SUPPOSITORY 50MG (ECONAZOLE) "P.L." A030545100 INFLU CAPSULES 100MG (AMANTADINE) A030549100 ANTIFLAN E.S.C. TABLETS 100MG (BROMELAIN)"C.H." A030551500 ACETA 600 SUPPOSITORY (ACETAMINOPHEN) A030556100 YUNGBENRONE TABLET (BENZBROMARONE) "YUNG SINE" A030557100 DICLOFENAC E.S.C. TAB 50MG "YUNG A030559277 LOFADINE INJECTION 500MG (CEPHRADINE) "GENTLE" A030563100 OROMIN CAPSULES A030566100 THIAMINE HCL TAB. 50MG A030572100 SERADASE E.C. TABLETS 5MG "WEIDAR" (SERRATIOPEPTIDASE) A030573100 TARIVID FILM COATED TABLETS (OFLOXACIN) A030581100 THIOPHENICOL F.C. TABLET A030587100 TEGOL TABLETS 200MG (CARBAMAZEPINE) "YU SHENG" A030590100 BEZALITE TABLETS 200MG (BEZAFIBRATE) A030591500 VOTALIN SUPPOSITORY 50MG (DICLOFENAC) A030594100 KOZEN E.C. TABLETS 5MG (SERRATIOPEPTIDASE) "S.D." A030601100 PACOMIN TABLETS 20MG "PATRON" (OXELADIN) A030605100 MAMICON CAPSULES 1MG "PATRON" (KETOTIFEN) A030607100 ESIDRI S.C. TABLETS (R) A030609100 TIAMIDE TABLETS 100MG (TIARAMIDE) "M.S." A030610100 INROLIN TABLETS 50MG (MEBBYDROLINE) "YU SHENG" A030611100 KATIFEN TABLETS 1MG (KETOTIFEN) "YU SHENG" A030612100 SULINTON TABLETS 200MG (SULINDAC)"Y.S." 5059 5060 5061 5069 5070 5071 5072 5073 5074 5075 5076 5077 5078 5079 5080 5081 5082 5083 5084 5085 5086 5087 5088 5089 5090 5091 5092 5093 5094 5095 5096 DIAMICRON (GLICLAZIDE) TABLETS MORESAFE TABLETS 5MG (ALLYLESTRENOL) RASITOL INJECTION 10MG/ML (FUROSEMIDE) PANTOMIN FILM COATING TABLETS SPIRONOLACTONE TABLETS "ROYAL" 100年1月 項次 支付價 5056 44.5 5057 0.94 5058 0 5059 1.5 0 5060 5061 1.5 5062 0 1.85 5063 5064 3.08 5065 10 3.03 5066 5067 1.29 5068 1.5 5069 11.3 16.3 5070 5071 1.01 5072 2.12 154 5073 5074 0 2.33 5075 5076 1 5077 7.7 5078 2.02 0.7 5079 5080 35.4 0.85 5081 0.3 5082 5083 1 5084 4.12 1.59 5085 5086 2.78 5087 2.69 5088 8.9 5089 1 5090 1 5091 1.02 2.53 5092 5093 1.39 5094 1 5095 1 5096 2.22 CODE 藥品名稱 A030741100 WEITUL F.C. TABLETS 10MG (DOMPERIDONE) "WEIDAR" APRESOLINE (R) S.C. TABLETS 25MG (HYDRALAZINE) APRESOLINE (R) S.C. TABLETS 50MG (HYDRALAZINE) FUDGEN CREAM "H.S." A030742100 A030743100 A030748329 A030749100 RASITOL TABLETS 40MG (FUROSEMIDE) A0307491G0 RASITOL TABLETS 40MG (FUROSEMIDE)(鋁箔/膠箔) A030753100 ANZULENE 2MG (GUAIAZULENE SODIUM SULFONATE)"N.W." A030754321 HUPICON CREAM "Y.Y." A030759100 NAPATON 500MG (ACETAMINOPHEN)"N.W." A030763221 INFUVITA INJECTION A030765277 A030766100 A030767100 A030774100 A030775100 A030778100 A030781209 A030781277 A030783399 A030790100 A030791209 A030791277 A030799209 A030799212 A030800221 A030801212 A030803100 A030804100 A030811100 A030816100 A030836157 A030837100 A030838335 A030838399 A030859421 A030862157 A030862199 A030864321 A030864329 A030864335 A030864399 第 107 頁,共 382 頁 VIDOPA INJECTION CLOESTIN TABLETS 200MG (BEZAFIBRATE) "H.S." KANYENING CAPSULES 300MG (FENBUFEN) "H.S." COTRIZINE TABLETS 200MG "SWISS" (KETOCONAZOLE) ASPIRIN TABLETS 500MG "CHINTENG" SPIROPENT TABLETS 20MCG (CLENBUTEROL HYDROCHLORIDE) UNIZONE INJ. 1GM (CEFOPERAZONE) "UNION" UNIZONE INJECTION 0.5 GM "UNION" MIPING CREAM 0.5MG/G (CLOBETASOL) "SHITEH" EUCLIDAN TABLETS 100MG CETAXIMA INJECTION 0.5GM,1GM (CEFOTAXIME SODIUM) CETAXIMA INJECTION 0.5GM,1GM (CEFOTAXIME SODIUM) MECOMIN INJECTION (MECOBALAMIN) 說明 9901 支付價 0.59 調整 1.84 調整 1.82 刪除 36.10 1.00 1.50 刪除 0.68 刪除 13.60 0.33 71.00 249.00 2.87 調整 3.25 新增 4.83 0.75 1.85 164.00 177.00 1.09 刪除 0.99 131.00 39.50 29.40 MECOMIN INJECTION (MECOBALAMIN) NICEWE INJ. 10MG/ML "N.K." (RANITIDINE HCL) CHLORAMPHENICOL INJECTION "Y.Y" DITROPAN TABLETS 2.5MG PERDIPINE S.C. TABLETS 20MG (NICARDIPINE) AMOXICILLIN CAPSULES 500MG "TAI YU" 10.00 41.10 CEPHALEXIN CAPSULES 500MG "TAI YU" MUCO SYRUP 20MG/ML (CARBOCISTEINE) "PATRON" ANRIGIN TABLETS 100MG (AMANTADINE HCL) "H.S." KOTASON CREAM 0.5MG/G (CLOBETASOL) "H.S." KOTASON CREAM 0.5MG/G (CLOBETASOL) "H.S." PHENYLEPRINE HYDROCHLORIDE OPHTHALMIC SOLUTION 10% "WU FU" COUGH MIXTURE 1.96 27.10 COUGH MIXTURE MECOZOL CREAM 20 MG/G (KETOCONAZOLE) "N.K." MECOZOL CREAM 20 MG/G (KETOCONAZOLE) "N.K." MECOZ0L CREAM 20MG/G (KETOCONAZOLE) "N.K." MECOZOL CREAM 20 MG/G (KETOCONAZOLE) "N.K." 0.17 24.30 9.40 2.26 3.32 1.28 2.33 32.80 0.97 53.00 25.00 18.20 56.00 1.82 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 5097 5098 5099 5100 5101 5102 5103 5104 5105 5106 5107 5108 5109 5110 5111 5112 5113 5114 5115 5116 5117 5118 5119 5120 5121 5122 5123 5124 5125 5126 5127 5128 5129 5130 5131 5132 5133 CODE 藥品名稱 100年1月 項次 支付價 A030614100 DOPERAN CAPSULES 400MG (PIPEMIDIC 5097 2.7 ACID) "Y.S." A030615100 ISOMIL S.C. TABLETS 40MG (VERAPAMIL) 5098 1.15 "Y.S." A0306151G0 ISOMIL S.C. TABLETS 40MG (VERAPAMIL) 5099 1.5 "Y.S."(鋁箔/膠箔) A030618100 BROMAZAEPAM TABLETS 5100 0.91 (BROMAZEPAM) A030619100 D.M.P. TABLETS (DOMPERIDONE) 5101 1 1.5 5102 A0306191G0 D.M.P. TABLETS (DOMPERIDONE)(鋁箔/膠 A030620289 CEFUROXIME INJECTION 750MG 5103 35 62 5104 A030622321 LOCASALEN OINTMENT (R) A030622335 LOCASALEN OINTMENT (R) 5105 89 A030622399 LOCASALEN OINTMENT (R) 5106 5.9 A030624343 SALICYLIC ACID AND BENZOIC ACID 5107 34 OINTMENT A030628209 HILAMIN INJECTION 5MG/ML 5108 10 (HYDROXOCOBALAMINE) "PATRON" A030628212 HILAMIN INJECTION 5MG/ML 5109 10 (HYDROXOCOBALAMINE) "PATRON" A030629100 NAKASSER TABLET 30MG (DILTIAZEM) 5110 1.69 "N.K." A030633100 MECOZOL TABLET 200MG "N.K." 5111 4.93 (KETOCONAZOLE) A030634329 RELEX GEL 50MG/G "N.K." 5112 32.8 (ETOFENAMATE) A030634338 RELEX GEL 50MG/G "N.K." 5113 53 (ETOFENAMATE) A030642100 DEFENSE FILM COATED TABLET 400MG 5114 1.6 (CIMETIDINE) A030645100 LISUAN TABLETS 8MG (BROMHEXINE) 5115 0.29 "H.S." A030647500 DIFENA SUPP. 12.5MG "STANDARD" 5116 0 (DICLOFENAC SODIUM) A030648100 SUTAN CAPSULES 500MG (MEFENAMIC 5117 0.6 ACID) "H.S." A0306481G0 SUTAN CAPSULES 500MG 5118 1.5 "H.S."(MEFENAMIC ACID)(鋁箔/膠箔) A030649100 DAWEISON TAB. 10MG (DOMPERIDONE) 5119 0.66 "H.S." A0306491G0 DAWEISON TAB. 10MG (DOMPERIDONE) 5120 1.5 "H.S."(鋁箔/膠箔) A030650100 HITOLIN TABLETS 100MG 5121 0.75 (MEBENDAZOLE) "H.S." A030651500 DIFENA SUPP. 25MG "STANDARD" 5122 0 (DICLOFENAC SODIUM) 1 5123 A030693100 KETOFEN TAB. (KETOTIFENE) "H.C." A030694100 DICOKAN TABLETS 30MG 5124 0.82 (DEXTROMETHORPHAN) "T.F." A030695100 CORTICORD TABLETS 4MG 5125 0.63 (TRIAMCINOLONE) "T.F." A030697100 LYSIX TABLETS 40MG (FUROSEMIDE) 5126 0 "T.F." A0306971G0 LYSIX TABLETS 40MG (FUROSEMIDE) 5127 1.5 "T.F."(鋁箔/膠箔) A030698100 GLICRON TABLETS 80MG (GLICLAZIDE) 5128 1.66 "YU SHENG" A030712100 LAVOCOHERE TAB. 200MG "WINSTON" 5129 3.54 (LABETALOL) A030740100 RITALIN TABLETS 10MG 5130 2.68 (METHYLPHENIDATE) A030741100 WEITUL F.C. TABLETS 10MG 5131 0.59 (DOMPERIDONE) "WEIDAR" A030742100 APRESOLINE (R) S.C. TABLETS 25MG 5132 1.84 (HYDRALAZINE) A030743100 APRESOLINE (R) S.C. TABLETS 50MG 5133 1.82 (HYDRALAZINE) CODE 藥品名稱 A030865100 LINDAC TABLETS 200MG (SULINDAC) "S.C." A030871100 ASKACEF (CEPHRADINE) CAPSULES 500MG "VPP" A030873100 FLUTAFIN CAPSULE 200MG (ACEFYLOYSTEINE) A030874100 ASKACEF (CEPHRADINE) CAPSULES 250MG "VPP" A030879100 APRESOLIN S.C. TABLETS 10MG (HYDRALAZINE) A030881100 ZADITEN TABLETS 1MG (KETOTIFEN) A030882100 PARLODEL TABLETS 2.5MG (BROMOCRIPTINE) A030883100 BRINERDIN S.C. TABLETS A030888100 TAGAWEI TABLETS 400MG (CIMETIDINE) "Y.S." A0308881G0 TAGAWEI TABLETS 400MG "Y.S." (CIMETIDINE)(鋁箔) A030889100 KOBAL CAPSULES 0.5MG (MECOBALAMIN) "WEIDAR" A030890100 ULSATE TABLETS 500MG (SUCRALFATE) "WEIDAR" A030891100 U-RITIS TABLETS 250MG (NAPROXEN) A030894100 A030895100 TOFRANIL S.C. TABLETS 25MG (IMIPRAMINE HYDROCHLORIDE) ACTIN TABLETS A030896100 EUMI TABLETS 100MG "H.S." (TRIMETHOPRIM) A030897209 CEFIN INJECTION 1GM (CEPHRADINE) "TAI YU" A030898100 TANLIN TABLETS 375MG (CARBOCISTEINE) "Y.Y." A0309131AH AUSTIN POWDER (C GLUCOSE)523.1MG (PSYLLIUM HUSK) "GENTLE" A030916100 KOTOGEN TABLETS 50MG "H.S." (BENZBROMARONE) A030917100 DIFENA ENTERIC F.C.TAB. 50MG "STANDARD" (DICLOFENAC) A030924199 BESUTON SYRUP 說明 9901 支付價 2.18 4.59 3.11 2.93 1.00 3.88 11.90 3.31 1.00 1.50 2.73 1.20 1.20 2.41 1.00 0.42 42.90 1.41 4.78 2.12 刪除 0.80 0.16 A030936100 FOSELIN TABLETS 10MG (DOMPERIDONE) 0.90 A030942100 PANTOMIN F.C. TABLETS 100MG (PANTETHINE) SULON SOLUTION (INDOMENTHACIN) 3.47 A030944338 A030945100 A030954100 A030955100 A030963100 A030964100 A030965199 A030967100 A030970100 A030975100 A030977221 A030981212 A030984100 第 108 頁,共 382 頁 HYDERGINE TABLETS 1.5MG (DIHYDROERGOTOXINE MESYLATE) HOKURAMIDE CAP. (COBAMAMIDE) "P.J." YUNGPRIDE CAPSULE 10MG (BROMOPRIDE) "YUNG SING" EPILEPTIN (PHENYTOIN) CAPSULES 100MG "VPP" SHOREN ENTERIC FILM COATED TABLETS 25MG (DICLOFENAC)"T.F." CEFADROXIL GRANULE FOR SYRUP "YUNG SHIN" SHOREN ENTERIC FILM COATED TABLETS 50MG (DICLOFENAC)"T.F." MEZIDE TABLETS 80MG (GLICLAZIDE) "M.S." DOMETON TABLET 100MG (SULINDAC) "N.K." WINTAC INJ. 10MG/ML (RANITIDINE HYDROCHLORIDE)"WINSTON" BRAXOL INJECTION 2MG/ML "WINSTON" (BROMHEXINE) INFAXIL CAPSULES 500MG (CEPHADROXIL) 53.00 3.12 刪除 1.00 1.42 0.34 0.49 刪除 3.83 1.00 1.78 2.29 調整 40.20 6.40 2.22 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 5134 A030748329 FUDGEN CREAM "H.S." 5135 A030749100 RASITOL TABLETS 40MG (FUROSEMIDE) 5136 5138 A0307491G0 RASITOL TABLETS 40MG (FUROSEMIDE)(鋁箔/膠箔) A030753100 ANZULENE 2MG (GUAIAZULENE SODIUM SULFONATE)"N.W." A030754321 HUPICON CREAM "Y.Y." 5139 A030759100 5140 5141 5142 A030763221 A030765277 A030766100 5143 A030767100 5144 A030774100 5145 A030775100 5146 A030778100 5147 A030781209 5148 A030781277 5149 A030783399 5150 5151 A030790100 A030791209 5152 A030791277 5153 5154 5155 A030799209 A030799212 A030800221 5156 A030801212 5157 A030803100 5158 A030804100 5159 5160 A030811100 A030816100 5161 A030836157 5162 A030837100 5163 A030838335 5164 A030838399 5165 A030859421 5166 A030862157 MUCO SYRUP 20MG/ML (CARBOCISTEINE) "PATRON" ANRIGIN TABLETS 100MG (AMANTADINE HCL) "H.S." KOTASON CREAM 0.5MG/G (CLOBETASOL) "H.S." KOTASON CREAM 0.5MG/G (CLOBETASOL) "H.S." PHENYLEPRINE HYDROCHLORIDE OPHTHALMIC SOLUTION 10% "WU FU" COUGH MIXTURE 5167 A030862199 COUGH MIXTURE 5168 A030864321 5169 A030864329 5170 A030864335 5171 A030864399 MECOZOL CREAM 20 MG/G (KETOCONAZOLE) "N.K." MECOZOL CREAM 20 MG/G (KETOCONAZOLE) "N.K." MECOZ0L CREAM 20MG/G (KETOCONAZOLE) "N.K." MECOZOL CREAM 20 MG/G (KETOCONAZOLE) "N.K." 5137 NAPATON 500MG (ACETAMINOPHEN)"N.W." INFUVITA INJECTION VIDOPA INJECTION CLOESTIN TABLETS 200MG (BEZAFIBRATE) "H.S." KANYENING CAPSULES 300MG (FENBUFEN) "H.S." COTRIZINE TABLETS 200MG "SWISS" (KETOCONAZOLE) ASPIRIN TABLETS 500MG "CHINTENG" SPIROPENT TABLETS 20MCG (CLENBUTEROL HYDROCHLORIDE) UNIZONE INJ. 1GM (CEFOPERAZONE) "UNION" UNIZONE INJECTION 0.5 GM "UNION" MIPING CREAM 0.5MG/G (CLOBETASOL) "SHITEH" EUCLIDAN TABLETS 100MG CETAXIMA INJECTION 0.5GM,1GM (CEFOTAXIME SODIUM) CETAXIMA INJECTION 0.5GM,1GM (CEFOTAXIME SODIUM) MECOMIN INJECTION (MECOBALAMIN) MECOMIN INJECTION (MECOBALAMIN) NICEWE INJ. 10MG/ML "N.K." (RANITIDINE HCL) CHLORAMPHENICOL INJECTION "Y.Y" DITROPAN TABLETS 2.5MG (OXYBUTYNIN) PERDIPINE S.C. TABLETS 20MG (NICARDIPINE) AMOXICILLIN CAPSULES 500MG "TAI YU" CEPHALEXIN CAPSULES 500MG "TAI YU" 100年1月 項次 支付價 5134 36.1 5135 0 5136 0 5137 0.68 5138 13.6 5139 0.33 71 5140 249 5141 5142 2.87 5143 3.25 5144 4.83 5145 0.75 5146 1.85 5147 164 5148 177 5149 0.84 0.99 5150 5151 0 5152 39.5 29.4 5153 10 5154 5155 41.1 5156 9.4 5157 2.26 5158 3.32 1.28 5159 5160 1.96 5161 27.1 5162 2.33 5163 32.8 5164 0.81 5165 53 5166 25 5167 0.17 5168 24.3 5169 14.7 5170 56 5171 0.76 CODE 藥品名稱 A030987100 A030994151 A030994199 A030996100 REBAMOL TABLETS 500MG (METHOCARBAMOL) " WINSTON " GANTA INJECTION 140MG/ML (GENTAMICIN)"WINSTON" GANTA INJECTION 140MG/ML (GENTAMICIN)"WINSTON" GANTA INJECTION 140MG/ML (GENTAMICIN)"WINSTON" RICH CREAM 20MG/G (KETOCONAZOLE) "WINSTON" RICH CREAM 20MG/G (KETOCONAZOLE) "WINSTON" AMTADINE SYRUP AMTADINE SYRUP 10MG/ML KETIMIN TABLETS 1MG (KETOTIFEN) A030997100 VENTON TAB. 50MG"LITA"(DICLOFENAC) A030988209 A030988212 A030988229 A030989329 A030989335 A0309971G0 VENTON TABLETS 50MG(DICLOFENAC) "LITA"(鋁箔/膠箔) A030999100 PETHO S.C. TABLETS 10MG (PIPETHANATE A031000100 INFLAMNIL TABLET 300MG (TRIMETHOPRIM) A031002212 SERACIN INJECTION 140MG/ML (GENTAMYCIN) "SWISS" A031002229 SERACIN INJECTION 140MG/ML (GENTAMYCIN) "SWISS" A031003151 COUGH MIXTURE A SOLUTION "CHI SHENG" A031003159 COUGH MIXTURE A SOLUTION "CHI A031003199 COUGH MIXTURE A SOLUTION "CHI SHENG" A031004151 COUGH MIXTURE B SYRUP A031004159 A031004199 A031005100 COUGH MIXTURE B SYRUP COUGH MIXTURE B SOLUTION "CHI FOLIC ACID TABLETS 5MG "WINSTON" A031006100 TREPIN CAPSULES 250MG (TRANEXAMIC ACID) "Y.Y" ZENICORTINE OPHTHALMIC SUSPENSION "WINSTON" COLIN SOLUTION A031008421 A031011157 A031017329 A031020100 說明 9901 支付價 1.33 34.10 刪除 22.30 刪除 94.00 18.20 54.00 38.40 0.49 1.05 0.60 1.50 1.52 2.05 24.10 82.00 5.60 調整 7.10 0.05 刪除 14.40 28.10 0.20 0.28 1.41 38.90 26.40 A031033277 PHISODERM ANTI-ACNE GEL 10% UNIDAC TABLETS 200MG (SULINDAC)"UNION" SAXIZON INJECTION (HYDROCORTISION SUCCINATE) "SHUN HWA" CARDINOL TAB. 100MG (METOPROLOL) "KINGDOM" FRUCTMANIT INJECTION A031034377 NORMAL SALINE SOLUTION "OTSUKA" 18.30 A031036155 205.00 A031049157 EA TEN ORAL SOLUTION (TRIHEXYPHENIDYL) CIMEFINE INJECTION 150MG/ML (CIMETIDINE) SUERTEL F.C.TAB. 50MG (TIARAMIDE) "PRINCE" COUGEL SYRUP "H.S." A031049199 COUGEL SYRUP "H.S." 0.35 A031050100 VIRACON TABLET 100MG (AMANTADINE) "YY" ARRING TABLETS 0.25MG (TRIAZOLAM) 2.33 A031024255 A031032100 40.10 2.20 49.00 5.40 122.00 調整 A031043212 A031044100 25.50 0.89 45.20 調整 A031054100 第 109 頁,共 382 頁 1.97 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 5172 5173 5174 5175 5176 5177 5178 5179 5180 5181 5182 5183 5184 5185 5186 5187 5188 5189 5190 5191 5192 5193 5194 5195 5196 5197 5198 5199 5200 5201 5202 5203 5204 5205 5206 5207 5208 CODE 藥品名稱 100年1月 項次 支付價 A030865100 LINDAC TABLETS 200MG (SULINDAC) 5172 2.18 "S.C." A030871100 ASKACEF (CEPHRADINE) CAPSULES 5173 4.59 500MG "VPP" A030873100 FLUTAFIN CAPSULE 200MG 5174 3.11 (ACEFYLOYSTEINE) A030874100 ASKACEF (CEPHRADINE) CAPSULES 5175 2.93 250MG "VPP" A030879100 APRESOLIN S.C. TABLETS 10MG 5176 1 (HYDRALAZINE) A030881100 ZADITEN TABLETS 1MG (KETOTIFEN) 5177 3.88 A030882100 PARLODEL TABLETS 2.5MG 5178 11.9 (BROMOCRIPTINE) 3.31 5179 A030883100 BRINERDIN S.C. TABLETS A030888100 TAGAWEI TABLETS 400MG (CIMETIDINE) 5180 1 "Y.S." A0308881G0 TAGAWEI TABLETS 400MG "Y.S." 5181 1.5 (CIMETIDINE)(鋁箔) A030889100 KOBAL CAPSULES 0.5MG 5182 2.73 (MECOBALAMIN) "WEIDAR" A030890100 ULSATE TABLETS 500MG (SUCRALFATE) 5183 1.2 "WEIDAR" A030891100 U-RITIS TABLETS 250MG (NAPROXEN) 5184 1.2 A030894100 TOFRANIL S.C. TABLETS 25MG 5185 2.41 (IMIPRAMINE HYDROCHLORIDE) 1 5186 A030895100 ACTIN TABLETS A030896100 EUMI TABLETS 100MG "H.S." 5187 0.42 (TRIMETHOPRIM) A0308961G0 EUMI TABLETS 100MG "H.S." 5188 1.5 (TRIMETHOPRIM)(鋁箔/膠箔) A030897209 CEFIN INJECTION 1GM (CEPHRADINE) 5189 42.9 "TAI YU" A030898100 TANLIN TABLETS 375MG 5190 (CARBOCISTEINE) "Y.Y." 0 A0309131AH AUSTIN POWDER (C GLUCOSE)523.1MG 5191 4.78 (PSYLLIUM HUSK) "GENTLE" A030916100 KOTOGEN TABLETS 50MG "H.S." 5192 2.12 (BENZBROMARONE) A030917100 DIFENA ENTERIC F.C.TAB. 50MG 5193 0.8 "STANDARD" (DICLOFENAC) A030924199 BESUTON SYRUP 5194 0.16 A030936100 FOSELIN TABLETS 10MG (DOMPERIDONE) 5195 0.9 A030942100 PANTOMIN F.C. TABLETS 100MG 5196 3.47 (PANTETHINE) 53 5197 A030944338 SULON SOLUTION (INDOMENTHACIN) A030945100 HYDERGINE TABLETS 1.5MG 5198 3.12 (DIHYDROERGOTOXINE MESYLATE) 1 5199 A030954100 HOKURAMIDE CAP. (COBAMAMIDE) "P.J." A030955100 YUNGPRIDE CAPSULE 10MG 5200 1.42 (BROMOPRIDE) "YUNG SING" A030963100 EPILEPTIN (PHENYTOIN) CAPSULES 5201 0.34 100MG "VPP" A030964100 SHOREN ENTERIC FILM COATED 5202 0.49 TABLETS 25MG (DICLOFENAC)"T.F." A030965199 CEFADROXIL GRANULE FOR SYRUP 5203 3.83 "YUNG SHIN" A030967100 SHOREN ENTERIC FILM COATED 5204 1 TABLETS 50MG (DICLOFENAC)"T.F." A030970100 MEZIDE TABLETS 80MG (GLICLAZIDE) 5205 1.78 "M.S." A030975100 DOMETON TABLET 100MG (SULINDAC) 5206 2.29 "N.K." A030977221 WINTAC INJ. 10MG/ML (RANITIDINE 5207 40.2 HYDROCHLORIDE)"WINSTON" A030981212 BRAXOL INJECTION 2MG/ML "WINSTON" 5208 0 (BROMHEXINE) CODE 藥品名稱 A031058100 FLUFEN S.C. TABLETS 50MG (FLURBIPROFEN) "WEIDAR" SOCOL CREAM (ISOCONAZOLE) A031059399 A031068100 LONGMETON S. C. 400MG (IBUPROFEN) "LONG DER" A031069100 ATELON TABLETS 100MG (ATENOLOL) "H.S." A031072100 UNIFRADINE CAPSULES 250MG (CEPHRADINE) "UNION" A031073100 UNIFRADINE CAPSULES 500MG (CEPHRADINE) "UNION" A031086329 SEPTON SOL (BETAMETHASONE DIPROPIONATE) "SHIONOGI" A031088100 SINUDIN TABLETS A031094209 UROXIME INJECTION"UNION"(CEFUROXIME) A031094210 UROXIME INJECTION (CEFUROXIME) "UNION" A031094265 UROXIME INJ. 250MG. (CEFUROXIME) "UNION" A031094277 UROXIME INJ. 500MG. (CEFUROXIME) "UNION" A031094289 UROXIME INJ. 750MG. (CEFUROXIME) "UNION" A031095100 KIDOLEX CAPSULES 500MG (CEPHALEXIN) "KINGDOM" A031101100 LOLIAN CAPSULES 150MG "H.S." A031104100 EUCOME CAPSULES 100MG (MECLOFENAMATE SODIUM) "U-LIANG" A031107100 SENTA ENTERIC COATED TABLETS 5MG (SERRATIOPEPTIDASE) A0311071G0 SENTA ENTERIC COATED TABLETS 5MG (SERRATIOPEPTIDASE)(鋁箔) A031110100 RIKAPARIN CAPSULES 500MG (TRANEXAMIC ACID) "TAIWAN TUNG YANG" A031113121 U-CITRA GRANULES A031119100 A031138100 A031142109 A031142199 A031150321 A031153100 A031154212 A031163119 A031165100 A031168100 A031170363 A031171100 A031172100 A031173100 A031174100 A031175100 A031176500 第 110 頁,共 382 頁 AMANTADINE SULFATE CAPSULES 100MG "HCT" BEFAT F.C. TAB. 200MG (BEZAFIBRATE) "STANDARD" ULEX FOR ORAL SUSPENSION 500MG (CEPHALEXIN) ULEX FOR ORAL SUSPENSION 500MG (CEPHALEXIN) LOCACORTEN OINTMENT NOSCAPINE TABLETS "L.S." HYCOMB INJECTION 10MG (HYDROXOCOBALAMIN) DYMEDE SYRUP "T.F." ATADIN CAP. 100MG "STANDARD" (AMANTADINE) ISORMOL TABLET 20MG (ISOSORBIDE) "TAIWAN TUNG YANG" PARMASON GARGLE SOLUTION (CHLORHEXIDINE) "B&F" CLINDAMYCIN CAPSULES 150MG "KINGDOM" CLOMINE TABLETS 10MG (HOMOCHLORCYCILIZINE) "PFOSHEN" ISONINE S.C. TABLETS 40MG (VERAPAMIL) "PFOSHEN" SULPYRONE TABLETS 100MG (SULPIRIDE) "PFOSHEN" URININE TABLETS 50MG (BENZBROMARONE) "PFOSHEN" VOREN SUPPOSITORIES 25MG 說明 9901 支付價 3.04 1.48 0.93 2.47 2.63 3.64 116.00 1.00 178.00 70.00 40.50 107.00 37.10 1.79 1.83 2.18 1.00 1.50 3.80 刪除 9.80 2.33 2.47 3,473.00 3.33 50.00 0.73 10.00 740.00 2.33 1.93 58.00 1.24 0.92 1.21 2.73 1.50 2.61 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 5209 5210 5211 5212 5213 5214 5215 5216 5217 5218 5219 5220 5221 5222 5223 5224 5225 5226 5227 5228 5229 5230 5231 5232 5233 5234 5235 5236 5237 5238 5239 5240 5241 5242 5243 5244 5245 5246 5247 CODE 藥品名稱 100年1月 項次 支付價 A030984100 INFAXIL CAPSULES 500MG 5209 2.22 (CEPHADROXIL) A030987100 REBAMOL TABLETS 500MG 5210 1.33 (METHOCARBAMOL) " WINSTON " A030988209 GANTA INJECTION 140MG/ML 5211 34.1 (GENTAMICIN)"WINSTON" A030988212 GANTA INJECTION 140MG/ML 5212 22.3 (GENTAMICIN)"WINSTON" A030988229 GANTA INJECTION 140MG/ML 5213 94 (GENTAMICIN)"WINSTON" A030989329 RICH CREAM 20MG/G (KETOCONAZOLE) 5214 14.7 "WINSTON" A030989335 RICH CREAM 20MG/G (KETOCONAZOLE) 5215 54 "WINSTON" 38.4 5216 A030994151 AMTADINE SYRUP A030994199 AMTADINE SYRUP 10MG/ML 5217 0.49 (AMANTADINE) A030996100 KETIMIN TABLETS 1MG (KETOTIFEN) 5218 1.05 0.6 5219 A030997100 VENTON TAB. 50MG"LITA"(DICLOFENAC) A0309971G0 VENTON TABLETS 50MG(DICLOFENAC) 5220 1.5 "LITA"(鋁箔/膠箔) A030999100 PETHO S.C. TABLETS 10MG 5221 0 (PIPETHANATE A031000100 INFLAMNIL TABLET 300MG 5222 2.05 (TRIMETHOPRIM) A031002212 SERACIN INJECTION 140MG/ML 5223 24.1 (GENTAMYCIN) "SWISS" A031002229 SERACIN INJECTION 140MG/ML 5224 82 (GENTAMYCIN) "SWISS" A031003151 COUGH MIXTURE A SOLUTION "CHI 5225 5.6 SHENG" 7.1 5226 A031003159 COUGH MIXTURE A SOLUTION "CHI 0.05 5227 A031003199 COUGH MIXTURE A SOLUTION "CHI A031004151 COUGH MIXTURE B SYRUP 5228 14.4 28.1 5229 A031004159 COUGH MIXTURE B SYRUP A031004199 COUGH MIXTURE B SOLUTION "CHI 5230 0.2 SHENG" A031005100 FOLIC ACID TABLETS 5MG "WINSTON" 5231 0.28 A031006100 TREPIN CAPSULES 250MG (TRANEXAMIC 5232 1.33 ACID) "Y.Y" A031008421 ZENICORTINE OPHTHALMIC SUSPENSION 5233 38.9 "WINSTON" 26.4 5234 A031011157 COLIN SOLUTION 40.1 5235 A031017329 PHISODERM ANTI-ACNE GEL 10% A031020100 UNIDAC TABLETS 200MG 5236 2.2 (SULINDAC)"UNION" A031024255 SAXIZON INJECTION (HYDROCORTISION 5237 SUCCINATE) "SHUN HWA" 35.3 A031032100 CARDINOL TAB. 100MG (METOPROLOL) 5238 5.7 "KINGDOM" A031033277 FRUCTMANIT INJECTION 5239 0 A031034377 NORMAL SALINE SOLUTION "OTSUKA" 5240 18.3 A031036155 EA TEN ORAL SOLUTION 5241 205 (TRIHEXYPHENIDYL) A031043212 CIMEFINE INJECTION 150MG/ML 5242 25.5 (CIMETIDINE) A031044100 SUERTEL F.C.TAB. 50MG (TIARAMIDE) 5243 0.89 "PRINCE" 45.2 5244 A031049157 COUGEL SYRUP "H.S." A031049199 COUGEL SYRUP "H.S." 5245 0.35 A031050100 VIRACON TABLET 100MG (AMANTADINE) 5246 2.33 "YY" 1.97 5247 A031054100 ARRING TABLETS 0.25MG (TRIAZOLAM) CODE 藥品名稱 A031179100 HYDROCHLOROTHIAZIDE TABLETS 25MG "JEN SHENG" PROCHLORPERAZINE MALEATE TABLETS 8MG "JEN SHENG" CHINSALO TABLETS 200MG (BEZAFIBRATE) "PFOSHEN" DIFLUINE TABLETS 250MG (DIFLUNISAL) "CHINTENG" DEANGER TABLETS 10MG "S.C."(TRIFLUOPERAZINE) SUMIN TABLETS 2MG (DEXCHLORPHENIRAMINE) "CHINTENG" VOREN EMULGEL (DICLOFENAC) A031180100 A031183100 A031185100 A031186100 A031187100 A031188329 A031188338 A031189100 說明 9901 支付價 0.19 0.20 2.85 7.40 2.53 0.36 調整 21.00 A031193151 A031193199 VOREN EMULGEL (DICLOFENAC) TRIMCORT TABLETS 100MG (TRIMETHOPRIM) "YUNG SHIN" LICHEIN CAPSULES 0.5MG (MECOBALAMIN) "CHINTENG" SUNSO SYRUP SUNSO SYRUP A031194100 RANIDINE F.C.TAB. (RANITIDINE) "S.T." 2.88 A031203199 CODIUM GRANULES 30MG (DEXTROMETHORPHAN) "C.H." LENDORMIN TABLETS 250MCG 1.52 A031190100 35.70 0.82 2.53 21.00 0.35 刪除 A031205100 A031208229 A031213209 A031214212 A031219100 A031223100 A031224100 A031225100 A031226100 A031228100 A031234100 A031238100 A031258421 A031259100 LIZEPINE LYOPHILIZED INJECTION (PIRENZEPINE) "LITA" LOFATIN INJECTION 1000MG (CEFOXITIN) "GENTLE" CHLOMIM-H INJECTION BISTOR CAPSULE (DOXYCYCLINE) ATENO TABLETS 100MG (ATENOLOL) "CHINTENG" KETOTIFEN CAPSULES "PFOSHEN" ACERINE S.C. TABLETS 5MG (NICERGOLINE) "WEIDAR" LATOL F.C.TABLET 200MG "STANDARD" (LABETALOL) EFOSIN S.C. TABLETS 50MG "KOJAR" (DIPYRIDAMOLE) RIFAMPICIN CAPSULES 300MG "R.T." MEBEN CAPSULES 300MG (FENBUFEN) GENTASONE EYE DROPS "UNION" UNITADIN CAPSULES 100MG (AMANTADINE) "UNION" A031260100 HODRIN TABLETS 1.5MG (DIHYDROERGOTOXINE MESYLATE) "WEIDAR" A031263100 KETOFEN TABLETS "H.S.C." (KETOTIFENE) A031270100 OXYTETRACYCLINE HYDROCHLORIDE CAPSULES 250MG "R.T" A0312701G0 OXYTETRACYCLINE HYDROCHLORIDE CAPSULES 250MG "R.T"(鋁箔) A031274212 UNISONE INJECTION 4MG/ML (DEXAMETHASONE) "UNION" A031274229 UNISONE INJECTION 4MG/ML (DEXAMETHASONE) "UNION" A031276100 TECYTEINE CAPSULES 375MG (CARBOCYSTEINE) "R.T." A031277100 LIMODER CAPSULES "R.T." A031280100 DANOL CAPSULES 200MG (DANAZOL) "WEIDAR" A031282100 MARION TABLETS 10MG (NICERGOLIN) "LITA" A031283100 MARION TABLETS 5MG"LITA" 第 111 頁,共 382 頁 4.23 33.00 170.00 3.17 1.47 2.45 1.04 4.94 3.64 2.04 調整 8.10 3.22 21.50 2.33 3.11 調整 1.00 調整 0.80 刪除 1.50 18.30 16.00 1.63 0.89 14.10 5.80 4.94 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 5248 A031055100 5249 A031058100 5250 A031059399 COSTINE TAB LETS 10MG (DOMPERIDONE) "K.N." FLUFEN S.C. TABLETS 50MG (FLURBIPROFEN) "WEIDAR" SOCOL CREAM (ISOCONAZOLE) 5251 A031068100 5252 A031069100 5253 A031072100 5254 A031073100 5255 A031086329 5256 A031088100 5257 A031094209 LONGMETON S. C. 400MG (IBUPROFEN) "LONG DER" ATELON TABLETS 100MG (ATENOLOL) "H.S." UNIFRADINE CAPSULES 250MG (CEPHRADINE) "UNION" UNIFRADINE CAPSULES 500MG (CEPHRADINE) "UNION" SEPTON SOL (BETAMETHASONE DIPROPIONATE) "SHIONOGI" SINUDIN TABLETS 5268 UROXIME INJECTION"UNION"(CEFUROXIME) A031094210 UROXIME INJECTION (CEFUROXIME) "UNION" A031094265 UROXIME INJ. 250MG. (CEFUROXIME) "UNION" A031094277 UROXIME INJ. 500MG. (CEFUROXIME) "UNION" A031094289 UROXIME INJ. 750MG. (CEFUROXIME) "UNION" A031095100 KIDOLEX CAPSULES 500MG (CEPHALEXIN) "KINGDOM" A031101100 LOLIAN CAPSULES 150MG "H.S." (SILYBIN) A031104100 EUCOME CAPSULES 100MG (MECLOFENAMATE SODIUM) "U-LIANG" A031107100 SENTA ENTERIC COATED TABLETS 5MG (SERRATIOPEPTIDASE) A0311071G0 SENTA ENTERIC COATED TABLETS 5MG (SERRATIOPEPTIDASE)(鋁箔) A031110100 RIKAPARIN CAPSULES 500MG (TRANEXAMIC ACID) "TAIWAN TUNG A031113121 U-CITRA GRANULES 5269 A031119100 5270 A031138100 5271 A031142109 5272 A031142199 5273 A031150321 AMANTADINE SULFATE CAPSULES 100MG "HCT" BEFAT F.C. TAB. 200MG (BEZAFIBRATE) "STANDARD" ULEX FOR ORAL SUSPENSION 500MG (CEPHALEXIN) ULEX FOR ORAL SUSPENSION 500MG (CEPHALEXIN) LOCACORTEN OINTMENT 5274 A031153100 NOSCAPINE TABLETS "L.S." 5275 A031154212 5276 A031163119 HYCOMB INJECTION 10MG (HYDROXOCOBALAMIN) DYMEDE SYRUP "T.F." 5277 A031165100 5278 A031168100 5279 A031170363 5280 A031171100 5281 A031172100 5282 A031173100 5258 5259 5260 5261 5262 5263 5264 5265 5266 5267 ATADIN CAP. 100MG "STANDARD" (AMANTADINE) ISORMOL TABLET 20MG (ISOSORBIDE) "TAIWAN TUNG YANG" PARMASON GARGLE SOLUTION (CHLORHEXIDINE) "B&F" CLINDAMYCIN CAPSULES 150MG "KINGDOM" CLOMINE TABLETS 10MG (HOMOCHLORCYCILIZINE) "PFOSHEN" ISONINE S.C. TABLETS 40MG (VERAPAMIL) "PFOSHEN" 100年1月 項次 支付價 5248 0.59 5249 3.04 5250 1.48 5251 0.93 5252 2.47 5253 2.63 5254 3.64 5255 116 5256 1 5257 178 5258 70 5259 40.5 5260 107 5261 37.1 5262 1.79 5263 1.83 5264 2.18 5265 1 5266 1.5 5267 3.8 5268 9.8 5269 2.33 5270 2.47 5271 3473 5272 3.33 5273 50 5274 0.73 5275 10 5276 740 5277 0 5278 0 5279 58 5280 1.24 5281 0.92 5282 1.21 CODE 藥品名稱 A031284100 CHAZE TABLETS 200MG (BEZAFIBRATE) "CHINTENG" A031289199 EFACO GRANULES 100MG/GM (EPRAZINONE) "KOJAR" A031290100 LINCOMYCIN HYDROCHLORIDE CAPSULES 500MG "R.T" A031291100 KONATON TABLETS 500MG (ACETAMINOPHEN) "KOJAR" A031292100 SANWELL F.C. TABLETS 200MG (CIMETIDINE) "KOJAR" A0312921G0 SANWELL F.C. TABLETS 200MG "KOJAR" (CIMETIDINE) 鋁箔/膠箔 A031295100 SEANTO CAPSULES 10MG (OXAZOLAM) "KOJAR" A0312951G0 SEANTO CAPSULES 10MG (OXAZOLAM) "KOJAR"(鋁箔/膠箔) A031299100 FORMAX ENTERIC-MICRO-ENCAPSULED 25MG "SHITEN" (DICLOFENAC) A031300100 FORMAX ENTERIC-MICRO-ENCAPSULED CAPSULE 50MG "SHITEN" (DICLOFENAC) A031302309 MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" A031302319 MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" A031302321 MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" A031302323 MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" A031302324 MULTIGIVE CREAM 0.5MG/GM A031302329 A031302335 A031302338 A031302340 A031302372 A031302377 A031302399 A031303309 A031303319 A031303321 A031303324 A031303329 A031303335 A031303338 A031303340 A031303355 A031303372 A031303399 A031307100 A031308100 第 112 頁,共 382 頁 MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON DECOLD CAPSULES 100MG (AMANTADINE) wR.T." TICOQUER TABLETS 100MG (MEBENDANOLE) "R.T." 說明 9901 支付價 2.85 1.94 6.90 0.25 1.00 1.50 1.00 1.50 1.00 1.00 306.00 8.10 17.60 19.70 21.90 19.40 30.60 54.00 39.20 405.00 654.00 0.71 306.00 8.10 17.60 21.90 19.40 30.60 54.00 39.20 刪除 226.00 刪除 405.00 0.71 2.33 0.75 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 5283 A031174100 5284 A031175100 5285 A031176500 5286 A031179100 5287 A031180100 5288 A031183100 5289 A031185100 5290 A031186100 5291 A031187100 5292 A031188329 SULPYRONE TABLETS 100MG (SULPIRIDE) "PFOSHEN" URININE TABLETS 50MG (BENZBROMARONE) "PFOSHEN" VOREN SUPPOSITORIES 25MG (DICLOFENAC) HYDROCHLOROTHIAZIDE TABLETS 25MG "JEN SHENG" PROCHLORPERAZINE MALEATE TABLETS 8MG "JEN SHENG" CHINSALO TABLETS 200MG (BEZAFIBRATE) "PFOSHEN" DIFLUINE TABLETS 250MG (DIFLUNISAL) "CHINTENG" DEANGER TABLETS 10MG "S.C."(TRIFLUOPERAZINE) SUMIN TABLETS 2MG (DEXCHLORPHENIRAMINE) "CHINTENG" VOREN EMULGEL (DICLOFENAC) 5293 A031188338 VOREN EMULGEL (DICLOFENAC) 5294 A031189100 5295 A031190100 5296 A031193151 TRIMCORT TABLETS 100MG (TRIMETHOPRIM) "YUNG SHIN" LICHEIN CAPSULES 0.5MG (MECOBALAMIN) "CHINTENG" SUNSO SYRUP 5297 5298 A031193199 A031194100 SUNSO SYRUP RANIDINE F.C.TAB. (RANITIDINE) "S.T." 5299 A031203199 5300 A031205100 CODIUM GRANULES 30MG (DEXTROMETHORPHAN) "C.H." LENDORMIN TABLETS 250MCG 5301 A031208229 5302 A031213209 5303 A031214212 5304 A031219100 5305 A031223100 5306 5307 A031224100 A031225100 5308 A031226100 5309 A031228100 5310 A031234100 5311 A031238100 5312 A031258421 5313 A031259100 100年1月 項次 支付價 5283 2.73 5284 1.5 5285 2.61 5286 0.19 5287 0.2 5288 2.85 5289 7.4 5290 2.53 5291 0.36 5292 21 5293 CODE A0313081G0 TICOQUER TABLETS 100MG (MEBENDANOLE) "R.T."(鋁箔) A031309100 IMIN TABLETS (METHISOPRINOL)"YUNG SHIN" A031317421 ACOLON ORABASE 1MG/G (DEXAMETHASONE) "MEIDER" A031321399 SLIKA A CREAM "MEIDER" A0313213AH SLIKA A CREAM "MEIDER" A031322100 A031323100 A031325324 A031327212 A031349100 A031355100 35 5314 5315 5316 5317 LIZEPINE LYOPHILIZED INJECTION (PIRENZEPINE) "LITA" LOFATIN INJECTION 1000MG (CEFOXITIN) "GENTLE" CHLOMIM-H INJECTION BISTOR CAPSULE (DOXYCYCLINE) "SHITEH" ATENO TABLETS 100MG (ATENOLOL) "CHINTENG" KETOTIFEN CAPSULES "PFOSHEN" ACERINE S.C. TABLETS 5MG (NICERGOLINE) "WEIDAR" LATOL F.C.TABLET 200MG "STANDARD" (LABETALOL) EFOSIN S.C. TABLETS 50MG "KOJAR" (DIPYRIDAMOLE) RIFAMPICIN CAPSULES 300MG "R.T." MEBEN CAPSULES 300MG (FENBUFEN) "Y.C." GENTASONE EYE DROPS "UNION" UNITADIN CAPSULES 100MG (AMANTADINE) "UNION" A031260100 HODRIN TABLETS 1.5MG (DIHYDROERGOTOXINE MESYLATE) "WEIDAR" A031263100 KETOFEN TABLETS "H.S.C." (KETOTIFENE) A031270100 OXYTETRACYCLINE HYDROCHLORIDE CAPSULES 250MG "R.T" A0312701G0 OXYTETRACYCLINE HYDROCHLORIDE CAPSULES 250MG "R.T"(鋁箔) 藥品名稱 5294 A031356129 5295 A031367100 5296 21 0.35 5297 5298 2.88 5299 1.52 5300 4.23 5301 33 5302 0 5303 3.17 5304 1.47 5305 2.45 1.04 5306 5307 4.94 5308 3.64 5309 2.04 5310 8.1 5311 3.22 5312 21.5 5313 2.33 5314 A031368212 0 2.53 A031369100 A031434100 A031445100 DEMECLINE CAPSULES 150MG (DEMECLOCYCLINE) "WINSTON" SOLANTIN F.C. TABLETS (DIPYRIDAMOLE) SLIKA B CREAM (ISOCONAZOLE) "MEIDER" VESYCA INJECTION 25MG/ML (RANITIDINE) UNEW TABLETS 2.5MG (BROMOCRIPTINE) "CHINTENG" CROFIN S.C. TABLETS 25MG (CHLOROPHYLLINE SODIUM COPPER) "UNION" CONTRACID SUSPENSION 20MG/ML (CIMETIDINE) DANZEN TABLETS 10MG (SERRATIOPEPTIDASE) CLINCIN INJ. 150MG/ML (CLINDAMYCIN) "N.K." GASTER S.C. TABLETS 20MG DECOUZE TABLETS 250MG (PROBUCOL) "R.T." CEPHALEXIN CAPSULES 250MG "R.T" A031446324 CLOTASOL CREAM 0.5MG/GM (CLOBETASOL) "R.T" A031446329 CLOTASOL CREAM 0.5MG/GM (CLOBETASOL) "R.T" A031446399 CLOTASOL CREAM 0.5MG/GM (CLOBETASOL) "R.T" A031447100 SUPERFECT FILM COATING TABLETS 50MG (DICLOFENAC) A031450100 HALOPIN TABLETS 5MG (HALOPERIDOL) "JOHNSON" A031451100 BENZHEXOL TABLETS 5MG (TRIHEXYPHENIDYL HCL) "JOHNSON" A031476100 ETUMINE TABLETS 40MG (CLOTIAPINE) A031480100 FULIKAN TABLETS 500MG "R.T"(TINIDAZOLE) A031481100 SILIRIN CAPSULES 150MG (SILYMARIR) "CHINTENG" A031482100 SEROMIN S.C. TABLETS 10MG (NICERGOLIN) "Y.S." A031484100 TARIVID FILM COATED TABLETS 200MG (OFLOXACIN) A031488100 ERYTHROMYCIN ESTOLATE CAPSULES 250MG "R.T" A0314881G0 ERYTHROMYCIN ESTOLATE CAPSULES 250MG "R.T"(鋁箔) A031489100 ANKUMIN TABLETS 6MG (BETAHISTINE) "R.T." A0314891G0 ANKUMIN TABLETS 6MG (BETAHISTINE) "R.T."(鋁箔) 說明 9901 支付價 1.50 6.90 43.20 1.62 27.90 2.69 1.00 31.40 35.20 4.20 2.36 調整 14.60 刪除 1.14 23.70 3.96 3.51 1.23 24.60 19.40 0.95 刪除 1.00 1.69 0.80 7.10 2.19 2.23 5.70 7.40 0.90 1.50 0.80 1.50 3.11 5315 A031493100 5316 A031495100 5317 A031500100 1 0.8 1.5 第 113 頁,共 382 頁 CHIPHONE TABLETS 100MG (BENZBROMARONE) "R.T." CENCA TABLETS 950MG (CALCIUM CITRATE) "U-LIANG" MEPIRON S.C. TABLETS 100MG (MEPIRIAOLE) "PFOSHEN" 5.00 2.33 1.79 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 5318 A031274212 5319 A031274229 5320 A031276100 5321 A031277100 UNISONE INJECTION 4MG/ML (DEXAMETHASONE) "UNION" UNISONE INJECTION 4MG/ML (DEXAMETHASONE) "UNION" TECYTEINE CAPSULES 375MG (CARBOCYSTEINE) "R.T." LIMODER CAPSULES "R.T." 5322 A031280100 5323 A031282100 5324 A031283100 5325 A031284100 DANOL CAPSULES 200MG (DANAZOL) "WEIDAR" MARION TABLETS 10MG (NICERGOLIN) "LITA" MARION TABLETS 5MG"LITA" 5339 CHAZE TABLETS 200MG (BEZAFIBRATE) "CHINTENG" A031289199 EFACO GRANULES 100MG/GM (EPRAZINONE) "KOJAR" A031290100 LINCOMYCIN HYDROCHLORIDE CAPSULES 500MG "R.T" A031291100 KONATON TABLETS 500MG (ACETAMINOPHEN) "KOJAR" A031292100 SANWELL F.C. TABLETS 200MG (CIMETIDINE) "KOJAR" A0312921G0 SANWELL F.C. TABLETS 200MG "KOJAR" (CIMETIDINE) 鋁箔/膠箔 A031295100 SEANTO CAPSULES 10MG (OXAZOLAM) "KOJAR" A0312951G0 SEANTO CAPSULES 10MG (OXAZOLAM) "KOJAR"(鋁箔/膠箔) A031299100 FORMAX ENTERIC-MICRO-ENCAPSULED 25MG "SHITEN" (DICLOFENAC) A031300100 FORMAX ENTERIC-MICRO-ENCAPSULED CAPSULE 50MG "SHITEN" (DICL A031302309 MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" A031302319 MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" A031302321 MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" A031302323 MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" A031302324 MULTIGIVE CREAM 0.5MG/GM 5340 A031302329 5341 A031302335 5342 A031302338 5343 A031302340 5344 A031302372 5345 A031302377 5346 A031302399 5347 A031303309 5348 A031303319 5349 A031303321 5350 A031303324 5351 A031303329 5352 A031303335 5326 5327 5328 5329 5330 5331 5332 5333 5334 5335 5336 5337 5338 MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE CREAM 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON" MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON MULTIGIVE OINTMENT 0.5MG/G (CLOBETASOL PROPIONATE) "WINSTON 100年1月 項次 支付價 5318 18.3 5319 16 5320 1.63 5321 0.89 5322 14.1 5323 5.8 5324 4.94 5325 2.85 5326 1.94 5327 6.9 5328 0.25 5329 1 5330 1.5 5331 1 5332 1.5 5333 1 5334 1 5335 306 5336 8.1 5337 17.6 5338 19.7 5339 21.9 5340 19.4 5341 30.6 5342 54 5343 39.2 5344 405 5345 654 5346 0.71 5347 306 5348 8.1 5349 17.6 5350 21.9 5351 19.4 5352 30.6 CODE 藥品名稱 A031501100 COLFERIN CAPSULES "CHINTENG" A031505100 HALIN TABLETS 5MG (HALOPERIDOL) "YU SHENG" A031507100 DUORIDONE TABLETS 10MG (DOMPERIDONE) "LITA" A0315071G0 DUORIDONE TABLETS 10MG (DOMPERIDONE) "LITA" (鋁箔/膠箔) A031508209 PIROCAN INJECTION 20MG (PIROXICAM) "SIU GUAN" A031508212 PIROCAN INJECTION 20MG (PIROXICAM) "SIU GUAN" A031513100 ROPECON TABLETS 250MG (PIPEMIDIC ACID) "YUNG CHI" A031514100 ASMAC TABLETS 2.5MG (FENOTEROL HBR) "YUNG CHI" A031515100 ELININ TABLETS 20MG (OXAZOLAM) "R.T." A031519151 BECANDINE SOLUTION "R.T." 說明 9901 支付價 1.02 2.84 0.65 1.50 10.00 10.00 2.34 0.80 2.23 10.30 A031519199 BECANDINE SOLUTION "R.T." 0.15 A031520100 CEPHALEXIN CAPSULES 500MG "R.T." 1.92 A031521221 PENTAL INJECTION 20MG/ML (PENTOXIFYLLIN) "LITA" LILONTON CAPSULE 400MG (PIRACETAM) "SIU GUAN" LILONTON INJECTION 200MG (PIRACETAM) "SIU GUAN" LILONTON INJECTION 200MG (PIRACETAM) "SIU GUAN" STABLE (HYDRALAZINE) TABLETS 25MG "VPP" STABLE (HYDRALAZINE) TABLETS 25MG "VPP"( 鋁箔/膠箔) ULSAFE F.C.TABLETS 150MG(RANITIDINE HYDROCHLORIDE) PICOLIN F.C. TABLETS 250MG (PIPEMIDIC ACID) "KOJAR" SINGEN F.C.TABLETS 40MG (VERAPAMIL) "KOJAR" STABLE (HYDRALAZINE) TABLETS 10MG "VPP" STABLE (HYDRALAZINE) TABLETS 10MG "VPP" (90粒/瓶裝及鋁箔/膠箔) KODAZOL CAPSULES 200MG (DANAZOL) "KOJAR" CHLORTETRACYCLINE HYDROCHLORIDE CAPSULES 250MG "R.T." MEWELLIN F.C. TABLETS 10MG (DOMPERIDONE) "KOJAR" MEWELLIN F.C. TABLETS 10MG (DOMPERIDONE) "KOJAR"(鋁箔/膠箔) FURNAZM TABLETS 5MG (FLUNARIZINE) "CHINTENG" FURNAZM TABLETS 5MG (FLUNARIZINE) "CHINTENG"(鋁箔) LICODIN F.C. TABLET 100MG (TICLODINE) "TAIWAN TUNG YANG" DOMPEDON SUPPOSITORY 10MG (DOMPERIDONE) "STANDARD" LIGISIN F.C. TABLETS 200MG (BEZAFIBRATE) "KOJAR" STACORT DENTAL PASTE 1MG/G "STANDARD" (TRIAMCINOLONE) AMINOLEBAN INJECTION A031525100 A031526221 A031526229 A031534100 A0315341G0 A031535100 A031536100 A031537100 A031540100 A0315401G0 A031544100 A031545100 A031592100 A0315921G0 A031593100 A0315931G0 A031596100 A031608500 A031609100 A031614423 A031628277 A031630209 第 114 頁,共 382 頁 CETAME FOR INJECTION (CEFOTAXIME)"SWISS" 16.70 1.25 10.00 45.90 1.00 1.50 3.36 2.39 0.97 0.64 1.50 12.60 0.94 0.59 1.50 1.19 1.50 6.30 3.39 2.86 63.00 219.00 144.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 5353 5354 5355 5356 5357 5358 5359 5360 5361 5362 5363 5364 5365 5366 5367 5368 5369 5370 5371 5372 5373 5374 5375 5376 5377 5378 5379 5380 5381 5382 5383 5384 5385 5386 5387 5388 5389 CODE 藥品名稱 100年1月 項次 支付價 A031303338 MULTIGIVE OINTMENT 0.5MG/G 5353 54 (CLOBETASOL PROPIONATE) "WINSTON A031303340 MULTIGIVE OINTMENT 0.5MG/G 5354 39.2 (CLOBETASOL PROPIONATE) "WINSTON A031303355 MULTIGIVE OINTMENT 0.5MG/G 5355 226 (CLOBETASOL PROPIONATE) "WINSTON A031303372 MULTIGIVE OINTMENT 0.5MG/G 5356 405 (CLOBETASOL PROPIONATE) "WINSTON A031303399 MULTIGIVE OINTMENT 0.5MG/G 5357 0.71 (CLOBETASOL PROPIONATE) "WINSTON A031307100 DECOLD CAPSULES 100MG 5358 2.33 (AMANTADINE) wR.T." A031308100 TICOQUER TABLETS 100MG 5359 0.75 (MEBENDANOLE) "R.T." A0313081G0 TICOQUER TABLETS 100MG 5360 1.5 (MEBENDANOLE) "R.T."(鋁箔) A031309100 IMIN TABLETS (METHISOPRINOL)"YUNG 5361 5.9 SHIN" A031317421 ACOLON ORABASE 1MG/G 5362 43.2 (DEXAMETHASONE) "MEIDER" A031321399 SLIKA A CREAM "MEIDER" 5363 1.62 A0313213AH SLIKA A CREAM "MEIDER" 5364 27.9 A031322100 DEMECLINE CAPSULES 150MG 5365 2.69 (DEMECLOCYCLINE) "WINSTON" 1 5366 A031323100 SOLANTIN F.C. TABLETS 31.4 5367 A031325324 SLIKA B CREAM (ISOCONAZOLE) 35.2 5368 A031327212 VESYCA INJECTION 25MG/ML A031349100 UNEW TABLETS 2.5MG (BROMOCRIPTINE) 5369 4.2 "CHINTENG" A031355100 CROFIN S.C. TABLETS 25MG 5370 2.36 (CHLOROPHYLLINE SODIUM COPPER) A031356129 CONTRACID SUSPENSION 20MG/ML 5371 14.6 (CIMETIDINE) A031367100 DANZEN TABLETS 10MG 5372 1.14 (SERRATIOPEPTIDASE) A031368212 CLINCIN INJ. 150MG/ML (CLINDAMYCIN) 5373 23.7 "N.K." A031369100 GASTER S.C. TABLETS 20MG 5374 3.96 (FAMOTIDINE) A031434100 DECOUZE TABLETS 250MG (PROBUCOL) 5375 3.51 "R.T." 1.23 5376 A031445100 CEPHALEXIN CAPSULES 250MG "R.T" A031446324 CLOTASOL CREAM 0.5MG/GM 5377 24.3 (CLOBETASOL) "R.T" A031446329 CLOTASOL CREAM 0.5MG/GM 5378 19.4 (CLOBETASOL) "R.T" A031446399 CLOTASOL CREAM 0.5MG/GM 5379 0.83 (CLOBETASOL) "R.T" A031447100 SUPERFECT FILM COATING TABLETS 5380 1 50MG (DICLOFENAC) A031450100 HALOPIN TABLETS 5MG "JOHNSON" 5381 0 (HALOPERIDOL) A031451100 BENZHEXOL TABLETS 5MG "JOHNSON" 5382 0 (TRIHEXYPHENIDYL HCL) A031476100 ETUMINE TABLETS 40MG (CLOTIAPINE) 5383 7.1 A031480100 FULIKAN TABLETS 500MG 5384 2.19 "R.T"(TINIDAZOLE) A031481100 SILIRIN CAPSULES 150MG (SILYMARIR) 5385 2.23 "CHINTENG" A031482100 SEROMIN S.C. TABLETS 10MG 5386 5.7 (NICERGOLIN) "Y.S." A031484100 TARIVID FILM COATED TABLETS 200MG 5387 7.4 (OFLOXACIN) A031488100 ERYTHROMYCIN ESTOLATE CAPSULES 5388 0.9 250MG "R.T" A0314881G0 ERYTHROMYCIN ESTOLATE CAPSULES 5389 1.5 250MG "R.T"(鋁箔) 說明 CODE 藥品名稱 A031630277 A031649329 CETAME FOR INJECTION"SWISS"(CEFOTAXIME) FEVILON TABLETS 200MG "LITA" (BEZAFIBRATE) EPELON CREAM "N.K." A031649338 EPELON CREAM "N.K." 69.00 A031651417 SCORO ORABASE 22.70 A031641100 A031651421 SCORO ORABASE 1MG/G (TRIAMCINOLONE) "MEIDER" A031656100 WEISU TABLETS 400MG (CIMETIDINE) "S.D." A0316561G0 WEISU TABLETS 400MG (CIMETIDINE) "S.D."(鋁箔/膠箔) A031660100 ANTISSVES CAPSULES "CHINTENG" 9901 支付價 39.30 2.69 33.60 28.60 1.00 1.50 2.13 調整 A031662100 AXOL TABLETS 30MG (AMBROXOL) "YUNG SHIN" A031666100 CATIN TABLETS 100MG (TRIMETHOPRIM) "KOJAR" A0316661G0 CATIN TABLETS 100MG (TRIMETHOPRIM) "KOJAR"(鋁箔/膠箔) A031667100 NIFU CAPSULES 250MG (NIFLUMIC ACID) "KOJAR" A031671100 SUCOUGH S.C. TABLETS A031673100 SOURIREE COM-TRIMETON TABLETS 4MG A031675335 CORN REMOVAL A031676100 COMPESOLON TABLETS 5MG "PINE LAWER" (PREDNISOLONE) A0316761G0 COMPESOLON TABLETS 5MG "PINE LAWER" (PREDNISOLONE) (鋁箔/膠箔) A031680100 VOMISEDA TABLETS 25MG"SOURIREE" A031690100 FETISMA TABLETS 2.5MG (FENOTEROL) "KOJAR" A0316901G0 FETISMA TABLETS 2.5MG (FENOTEROL) "KOJAR"(鋁箔/膠箔) A031694100 STOIN TABLETS 10MG (OXETHAZAINE) "KOJAR" A031728100 GASTRODIN TABLETS 400MG (CIMETIDINE) "U-LIANG" A031737151 SANCOUGH-CO SYRUP A031737157 SANCOUGH-CO SYRUP 1.00 0.78 1.50 2.73 1.50 0.39 33.00 1.00 1.50 0.22 0.80 1.50 0.83 1.00 20.50 28.60 調整 A031737199 SANCOUGH-CO SYRUP 0.19 A031753100 B.M.O. TABLETS 0.14 A031757157 B.M.O LIQUID A031757199 B.M.O.Liquid 調整 31.70 0.12 刪除 A031770100 LIDONIN TABLETS 10MG (DOMPERIDONE) "S.D." A031778100 PROXEN TABLETS 375MG (NAPROXEN) "TAIWAN TANABE" A031796100 OXOLA TABLETS 100MG "KOJAR" (OXOLAMINE CITRATE) A0317961G0 OXOLA TABLETS 100MG "KOJAR" (OXOLAMINE CITRATE) (鋁箔/膠箔) A031799100 GASCON TABLET 40MG (DIMETHICONE) 0.65 A031800100 TOPAAL CHEWABLE TABLETS 3.47 A031801100 KETOSMA CAPSULES 1MG (KETOTIFEN) "KOJAR" CHINSA TABLETS 200MG "Y.C." (BEZAFIBRATE) 1.01 A031807100 第 115 頁,共 382 頁 刪除 4.29 0.69 1.50 0.72 2.89 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 5390 A031489100 藥品名稱 5395 ANKUMIN TABLETS 6MG (BETAHISTINE) "R.T." A0314891G0 ANKUMIN TABLETS 6MG (BETAHISTINE) "R.T."(鋁箔) A031493100 CHIPHONE TABLETS 100MG (BENZBROMARONE) "R.T." A031495100 CENCA TABLETS 950MG (CALCIUM CITRATE) "U-LIANG" A031500100 MEPIRON S.C. TABLETS 100MG (MEPIRIAOLE) "PFOSHEN" A031501100 COLFERIN CAPSULES "CHINTENG" 5396 A031505100 5391 5392 5393 5394 5404 HALIN TABLETS 5MG (HALOPERIDOL) "YU SHENG" A031507100 DUORIDONE TABLETS 10MG (DOMPERIDONE) "LITA" A0315071G0 DUORIDONE TABLETS 10MG (DOMPERIDONE) "LITA" (鋁箔/膠箔) A031508209 PIROCAN INJECTION 20MG (PIROXICAM) "SIU GUAN" A031508212 PIROCAN INJECTION 20MG (PIROXICAM) "SIU GUAN" A031513100 ROPECON TABLETS 250MG (PIPEMIDIC ACID) "YUNG CHI" A031514100 ASMAC TABLETS 2.5MG (FENOTEROL HBR) "YUNG CHI" A031515100 ELININ TABLETS 20MG (OXAZOLAM) "R.T." A031519151 BECANDINE SOLUTION "R.T." 5405 A031519199 BECANDINE SOLUTION "R.T." 5406 A031520100 CEPHALEXIN CAPSULES 500MG "R.T." 5407 A031521221 5408 A031525100 5409 A031526221 5410 A031526229 5411 A031534100 5412 A0315341G0 5413 A031535100 5414 A031536100 5415 A031537100 5416 A031540100 5417 A0315401G0 5418 A031544100 5419 A031545100 5420 A031592100 5421 A0315921G0 5422 A031593100 5423 A0315931G0 5424 A031596100 PENTAL INJECTION 20MG/ML (PENTOXIFYLLIN) "LITA" LILONTON CAPSULE 400MG (PIRACETAM) "SIU GUAN" LILONTON INJECTION 200MG (PIRACETAM) "SIU GUAN" LILONTON INJECTION 200MG (PIRACETAM) "SIU GUAN" STABLE (HYDRALAZINE) TABLETS 25MG "VPP" STABLE (HYDRALAZINE) TABLETS 25MG "VPP"( 鋁箔/膠箔) ULSAFE F.C.TABLETS 150MG(RANITIDINE HYDROCHLORIDE) PICOLIN F.C. TABLETS 250MG (PIPEMIDIC ACID) "KOJAR" SINGEN F.C.TABLETS 40MG (VERAPAMIL) "KOJAR" STABLE (HYDRALAZINE) TABLETS 10MG "VPP" STABLE (HYDRALAZINE) TABLETS 10MG "VPP" (90粒/瓶裝及鋁箔/膠 KODAZOL CAPSULES 200MG (DANAZOL) "KOJAR" CHLORTETRACYCLINE HYDROCHLORIDE CAPSULES 250MG "R.T." MEWELLIN F.C. TABLETS 10MG (DOMPERIDONE) "KOJAR" MEWELLIN F.C. TABLETS 10MG (DOMPERIDONE) "KOJAR"(鋁箔/膠箔) FURNAZM TABLETS 5MG (FLUNARIZINE) "CHINTENG" FURNAZM TABLETS 5MG (FLUNARIZINE) "CHINTENG"(鋁箔) LICODIN F.C. TABLET 100MG (TICLODINE) "TAIWAN TUNG YANG" 5397 5398 5399 5400 5401 5402 5403 100年1月 項次 支付價 5390 0.8 5391 1.5 5392 5 5393 2.33 5394 0 5395 1.02 5396 2.84 5397 0.65 5398 1.5 5399 10 5400 10 5401 2.34 5402 0.8 5403 2.23 5404 10.3 5405 0.15 5406 1.92 5407 16.7 5408 1.25 5409 10 5410 45.9 5411 1 5412 1.5 5413 3.36 5414 2.39 5415 0.97 5416 0.64 5417 1.5 5418 12.6 5419 0.94 5420 0.59 5421 1.5 5422 1.19 5423 1.5 5424 0 說明 CODE 藥品名稱 A031808100 MENYAN S.C. TAbLETS 50MG (MEDHYDROLINE) "PFOSHER" CATON TAB "C.H." 1.08 2.33 A031837100 SIMON CAPSULES 100MG "Y.C." (AMANTADINE) BENZSIN TABLETS 50MG (BENZBROMARONE) "KOJAR" CIMEWELL F.C. TABLETS 400MG (CIMETIDINE) "KOJAR" BECASONE TABLETS 0.6MG (BETAMETHASONE) "KOJAR" ULECIN CAPSULES 150MG (CLINDAMYCIN) "UNION" USEMIN CAPSULES 500MG (TRANEXAMIC ACID) "UNION" CEFLOUR INJECTION 0.75GM "YUNG SHIN" (CEFUROXIME) PORO TABLETS 80MG (ACETAMINOPHEN) A031838100 SEDON TABLETS "PFOSHEN" A031840421 18.70 A031882209 FLULON EYE DROPS 1MG/ML (FLUOROMETHOLONE) "UNION" ULECIN INJECTION 150MG/ML (CLINDAMYCIN) "UNION" DORINK CAPSULES 200MG (DANAZOL)"DCPC" GENXATE TABLETS 200MG "Y.S."(FLAVOXATE) DIMEN INJECTION 50MG/ML (DIMENHYDRINATE) "UNION" VOTALIN SUPPOSITORY 12.5MG (DICLOFENAC SODIUM) "P.L." U-SAVE-A FOR INJECTION (CEPHRADINE) A031882277 U-SAVE-A FOR INJECTION (CEPHRADINE) 35.40 A031889100 HESOR A031809100 A031820100 A031823100 A031824100 A031825100 A031831100 A031833100 A031835289 A031846212 A031847100 A031853100 A031878209 A031881500 A031890127 SEMIDE POWDER (CHOLESTYRAMINE RESIN) "S.S.P" A031894100 ASTHAN TABLETS 1MG (KETOTIFEN) "P.L" A0318941G0 ASTHAN TABLETS 1MG (KETOTIFEN) "P.L"(鋁箔/膠箔) A031895100 MELLERZIN S.C. TABLETS 50MG (THIORIDAZINE) "P.L" A031896100 MUSCO TABLETS 30MG "STANDARD" (AMBROXOL HYDROCHLORIDE) A0318961G0 MUSCO TABLETS 30MG "STANDARD" (AMBROXOL HYDROCHLORIDE)(鋁箔) A031906100 BARLOLIN CAPSULE 2.5MG "SWISS" (BROMOCRIPTINE) A031907100 NEOBA CAPSULES 500MCG (METHYL COBALAMINE) "S.Y." A031908255 FLUGEN INJECTION 5MG (TINIDAZOLE) "SIU GUAN" A031909100 MAXPRESS TABLET A031911100 9901 支付價 4.00 2.07 1.61 刪除 0.60 1.46 3.57 35.90 0.50 0.45 23.70 15.20 4.15 13.20 1.73 38.10 1.45 15.30 1.04 1.50 2.37 1.00 1.50 4.12 2.45 132.00 1.44 DARGEN E.S.C. TAbLETS 5MG (SERRATIOPEPTIDASE) "PFOSHEN" AMBROXOL TABLETS 30MG "CHINTENG" 1.00 A0319121G0 AMBROXOL TABLETS 30MG "CHINTENG" (鋁箔/膠箔) A031922338 INDOCIN CREAM 10MG/GM (INDOMETHACIN) "S.Y." A031927138 OCTA-VITA DROPS "SOURIREE" 1.50 A031912100 第 116 頁,共 382 頁 1.00 42.80 48.90 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 5425 A031608500 5426 A031609100 5427 A031614423 5428 A031628277 DOMPEDON SUPPOSITORY 10MG "STANDARD"(DOMPERIDONE) LIGISIN F.C. TABLETS 200MG (BEZAFIBRATE) "KOJAR" STACORT DENTAL PASTE 1MG/G "STANDARD" (TRIAMCINOLONE) AMINOLEBAN INJECTION 5429 A031630209 5430 A031630277 5431 A031641100 5432 A031649329 CETAME FOR INJECTION (CEFOTAXIME)"SWISS" CETAME FOR INJECTION"SWISS"(CEFOTAXIME) FEVILON TABLETS 200MG "LITA" (BEZAFIBRATE) EPELON CREAM "N.K." 5433 A031649338 EPELON CREAM "N.K." 5434 A031651417 SCORO ORABASE 5435 A031651421 5445 SCORO ORABASE 1MG/G (TRIAMCINOLONE) "MEIDER" A031651423 SCORO ORABASE 1MG/G (TRIAMCINOLONE) "MEIDER" A031651499 SCORO ORABASE 1MG/G (TRIAMCINOLONE) "MEIDER" A031656100 WEISU TABLETS 400MG (CIMETIDINE) A0316561G0 WEISU TABLETS 400MG (CIMETIDINE) "S.D."(鋁箔/膠箔) A031660100 ANTISSVES CAPSULES "CHINTENG" A031662100 AXOL TABLETS 30MG (AMBROXOL) "YUNG SHIN" A031666100 CATIN TABLETS 100MG (TRIMETHOPRIM) "KOJAR" A0316661G0 CATIN TABLETS 100MG (TRIMETHOPRIM) "KOJAR"(鋁箔/膠箔) A031667100 NIFU CAPSULES 250MG (NIFLUMIC ACID) "KOJAR" A031671100 SUCOUGH S.C. TABLETS 5446 A031673100 SOURIREE COM-TRIMETON TABLETS 4MG 5447 A031675335 CORN REMOVAL 5448 A031676100 5436 5437 5438 5439 5440 5441 5442 5443 5444 5450 COMPESOLON TABLETS 5MG "PINE LAWER" (PREDNISOLONE) A0316761G0 COMPESOLON TABLETS 5MG "PINE LAWER" (PREDNISOLONE) (鋁箔/ A031680100 VOMISEDA TABLETS 25MG"SOURIREE" 5451 A031690100 5449 5455 5456 FETISMA TABLETS 2.5MG (FENOTEROL) "KOJAR" A0316901G0 FETISMA TABLETS 2.5MG (FENOTEROL) "KOJAR"(鋁箔/膠箔) A031694100 STOIN TABLETS 10MG (OXETHAZAINE) "KOJAR" A031728100 GASTRODIN TABLETS 400MG (CIMETIDINE) "U-LIANG" A031737151 SANCOUGH-CO SYRUP A031737157 SANCOUGH-CO SYRUP 5457 A031737199 SANCOUGH-CO SYRUP 5458 A031753100 B.M.O. TABLETS 5459 A031757157 B.M.O LIQUID 5460 5461 A031757199 A031770100 B.M.O.Liquid LIDONIN TABLETS 10MG (DOMPERIDONE) "S.D." 5452 5453 5454 100年1月 項次 支付價 5425 0 5426 2.86 5427 63 5428 219 5429 144 5430 39.3 5431 2.69 5432 33.6 5433 69 5434 22.7 5435 28.6 5436 43.8 5437 2.03 1 5438 5439 1.5 2.13 5440 5441 0 5442 0.78 5443 1.5 5444 2.73 5445 1.5 5446 0.39 5447 33 5448 1 5449 1.5 5450 0.22 5451 0.8 5452 1.5 5453 0.83 5454 1 20.5 5455 5456 28.6 5457 0.19 5458 0.14 5459 31.7 0.12 5460 5461 0.65 CODE 藥品名稱 A031932100 DIAMINE CAPSULES 25MG" SOURIREE"(DIPHENHYDRAMINE HCL) A031933100 SOURIREE COMCEB CAPSULES 1MG (CYANOCOBALAMIN) A0319331G0 SOURIREE COMCEB CAPSULES 1MG (CYANOCOBALAMIN)(鋁箔) A031938157 COMPOUND GLYCYRRHIZA MIXTURE SOL. "WITH OPIUM " "SOURIREE" A031938163 COMPOUND GLYCYRRHIZA MIXTURE SOLUTION (WITH OPIUM) "CENTER" A031938199 COMPOUND GLYCYRRHIZA MIXTURE SOL. "WITH OPIUM " "SOURIREE" A031952100 FUNASIN CAPSULES 5MG "KOJAR" (FLUNARIZINE) A031953100 SULISOU CAPSULES 250MG "KOJAR" (CHENODEOXYCHOLIC ACID) A031954100 BEZIN TABLETS 200MG (BEZAFIBRATE) "S.D." A031976500 STAZOL VAG. SUPP. 150MG "STANDARD" (ECONAZOLE) A031977100 FLUOXYMESTERONE CAPSULES 5MG (FLUOXYMESTERONE)"C.H." A031978329 TRINAZOLE CREAM "YUNG CHI" A031979100 ANTADINE TABLETS 100MG (AMANTADINE) "YUNG CHI" A031983238 DITROSE INJECTION 5% (DEXTROSE) A031983265 DITROSE INJECTION 5% (DEXTROSE) "S.Y." A031983277 DITROSE INJECTION 5% (DEXTROSE) A031988100 MOTURIN TALBETS 10MG (DOMPERIDONE) "Y.S." A031989100 MELZIN S.C. TALBETS 25MG (THIORIDAZINE) "Y.S." A031990100 FENCAINE TABLETS 10MG (OXETHAZAINE)"Y.S." A031991100 UTELAX TABLETS 10MG (RITODRINE HYDROCHLORIDE) "WEIDAR" A031993100 BESUTIN TABLETS 6MG (BETAHISTINE) "Y.S." A031999100 MUCOBRON TABLETS 30MG (AMBROXOL HYDROCHLORIDE) "WEIDAR" A0319991G0 MUCOBRON TABLETS 30MG (AMBROXOL HYDROCHLORIDE) "WEIDAR" (鋁箔/膠 A032000100 PENTOSIN E.S.C.TABLETS 100MG (PENTOXIFYLLINE) "KOJAR" A032001100 COSIN TABLETS 20MG "KOJAR" (NOSCAPINE) A0320011G0 COSIN TABLETS 20MG "KOJAR" (NOSCAPINE)(鋁箔/膠箔) A032002100 MEBLIN A032003100 NAPOSIN TABLETS 250MG "KOJAR" (NAPROXEN) A032004100 MITON FILM COATING TAB. 100MG "KOJAR" (MEPIRIZOLE) A032006321 COBESONE CREAM 0.5MG/G (CLOBETASOL) "P.J." A032006324 COBESONE CREAM 0.5MG/GM "P.J" A032006329 COBESONE CREAM 0.5MG/G (CLOBETASOL) "P.J." A032006399 COBESONE CREAM 0.5MG/G "P.J." (CLOBETASOL) A032007100 ETOSCOL TABLETS 0.5MG (HEXOPRENALINE) A032011100 BROMOTINE TABLETS 2.87MG (BROMOCRIPTINE) "P.J." A032014100 EUZIP TABLETS 50MG (NICAMETATE) A0320141G0 EUZIP TABLETS 50MG (NICAMETATE)(鋁 箔) 第 117 頁,共 382 頁 說明 9901 支付價 0.39 刪除 0.50 1.50 15.50 29.70 0.12 1.19 8.70 2.79 11.00 0.79 28.80 2.33 新增 3.31 16.80 17.40 1.00 刪除 0.82 1.00 4.02 0.98 1.00 1.50 0.79 1.00 1.50 1.10 1.22 2.17 17.40 21.90 25.00 0.92 2.03 4.13 0.74 1.50 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 5462 A031778100 藥品名稱 5465 PROXEN TABLETS 375MG (NAPROXEN) "TAIWAN TANABE" A031796100 OXOLA TABLETS 100MG "KOJAR" (OXOLAMINE CITRATE) A0317961G0 OXOLA TABLETS 100MG "KOJAR" (OXOLAMINE CITRATE) (鋁箔/膠箔 A031799100 GASCON TABLET 40MG (DIMETHICONE) 5466 A031800100 TOPAAL CHEWABLE TABLETS 5467 A031801100 5468 A031807100 5469 A031808100 5470 A031809100 KETOSMA CAPSULES 1MG (KETOTIFEN) "KOJAR" CHINSA TABLETS 200MG "Y.C." (BEZAFIBRATE) MENYAN S.C. TAbLETS 50MG (MEDHYDROLINE) "PFOSHER" CATON TAB "C.H." 5471 A031820100 5472 A031823100 5473 A031824100 5474 A031825100 5475 A031831100 5476 A031833100 5477 A031835289 5478 A031837100 SIMON CAPSULES 100MG "Y.C." (AMANTADINE) BENZSIN TABLETS 50MG (BENZBROMARONE) "KOJAR" CIMEWELL F.C. TABLETS 400MG (CIMETIDINE) "KOJAR" BECASONE TABLETS 0.6MG (BETAMETHASONE) "KOJAR" ULECIN CAPSULES 150MG (CLINDAMYCIN) "UNION" USEMIN CAPSULES 500MG (TRANEXAMIC ACID) "UNION" CEFLOUR INJECTION 0.75GM "YUNG SHIN" (CEFUROXIME) PORO TABLETS 80MG (ACETAMINOPHEN) 5479 A031838100 SEDON TABLETS "PFOSHEN" 5480 A031840421 5463 5464 5481 5482 5483 5484 5485 5486 5487 5488 5489 5490 5491 5492 5493 5494 5495 5496 5497 5498 FLULON EYE DROPS 1MG/ML (FLUOROMETHOLONE) "UNION" A031846212 ULECIN INJECTION 150MG/ML (CLINDAMYCIN) "UNION" A031847100 DORINK CAPSULES 200MG (DANAZOL)"DCPC" A031853100 GENXATE TABLETS 200MG "Y.S."(FLAVOXATE) A031878209 DIMEN INJECTION 50MG/ML (DIMENHYDRINATE) "UNION" A031881500 VOTALIN SUPPOSITORY 12.5MG (DICLOFENAC SODIUM) "P.L." A031882209 U-SAVE-A FOR INJECTION (CEPHRADINE) A031882277 U-SAVE-A FOR INJECTION (CEPHRADINE) A031889100 HESOR A031890127 SEMIDE POWDER (CHOLESTYRAMINE RESIN) "S.S.P" A031894100 ASTHAN TABLETS 1MG (KETOTIFEN) "P.L" A0318941G0 ASTHAN TABLETS 1MG (KETOTIFEN) "P.L"(鋁箔/膠箔) A031895100 MELLERZIN S.C. TABLETS 50MG (THIORIDAZINE) "P.L" A031896100 MUSCO TABLETS 30MG "STANDARD" (AMBROXOL HYDROCHLORIDE) A0318961G0 MUSCO TABLETS 30MG "STANDARD" (AMBROXOL HYDROCHLORIDE)(鋁箔 A031906100 BARLOLIN CAPSULE 2.5MG "SWISS" (BROMOCRIPTINE) A031907100 NEOBA CAPSULES 500MCG (METHYL COBALAMINE) "S.Y." A031908255 FLUGEN INJECTION 5MG (TINIDAZOLE) "SIU GUAN" A031909100 MAXPRESS TABLET 100年1月 項次 支付價 5462 4.29 5463 0.69 5464 1.5 5465 0.72 5466 3.47 5467 1.01 5468 2.89 5469 1.08 5470 4 5471 2.33 5472 2.07 5473 1.61 5474 0.6 5475 1.46 5476 3.57 5477 35.9 5478 0.5 5479 0.45 5480 18.7 5481 23.7 5482 15.2 5483 4.15 5484 13.2 5485 1.73 38.1 5486 35.4 5487 1.45 5488 5489 15.3 5490 0 5491 1.5 5492 2.37 5493 1 5494 1.5 5495 4.12 5496 2.45 5497 132 1.44 5498 說明 CODE 藥品名稱 A032018100 A032027338 TRANLO TABLETS 15MG (MEPENZOLATE BROMIDE) "PFOSHEN" TORICAM GEL 5MG/G (PIROXICAM) 37.20 A032028100 VITAMIN B12 TALBETS 1MG "JOHNSON" 0.50 A032029100 FLURAZIN F.C. TABLETS 5MG "JOHNSON" (TRIFLUOPERAZINE) HALOPIN TABLETS 10MG (HALOPERIDOL) "JOHNSON" TRIALAM TABLETS 0.25MG (TRIAZOLAM) "WEIDER" ASPIRIN E.F.C.TABLETS 650MG "KOJAR" 1.05 A032030100 A032042100 A032045100 A0320461G0 DIPYRIDAMOLE S.C. TABLETS 75MG "YUNG SHIN"(鋁箔/膠箔) A032047100 YUREN E.F.C.TABLETS 50MG (DICLOFENAC SODIUM) "Y.S." A032048100 FELDINE CAPSULES 10MG (PIROXOCAM)"KINGDOM" A032049100 AMANTADINE HYDROCHLORIDE CAPSULES 100MG "KINGDOM" A032050429 ATROPINE SULPHATE OPHTHALMIC SOLUTION 1% "WU FU" A032051399 BETAMETHASONE OINTMENT 0.5MG/GM "SINPHAR" A032053100 PENTAL S.C.TABLETS 100MG (PENTOXIFYLLINE) "JOHNSON" A032054100 LICOS TABLETS 50MG (PIPERIDOLATE) "MEIDER" A032056100 SERRALO E.F.C.TABLETS 5MG (SERRATIOPEPTIDASE) "KOJAR" A032058421 ATROPINE SULPHATE OPHTHALMIC SOLUTION 0.5% "WU FU" A032058429 ATROPINE SULPHATE OPHTHALMIC SOLUTION 0.5% "WU FU" A032064100 WINTIDINE F.C. TALBET 400MG (CIMETIDINE) "WINSTON" A0320641G0 WINTIDINE F.C. TALBET 400MG (CIMETIDINE) "WINSTON"(鋁箔) A032065100 CLINCIN CAP. 150MG (CLINDAMYCIN) "N.K." A032070321 EYME CREAM "CHINTENG" 9901 支付價 0.82 3.04 1.73 0.80 1.50 0.60 0.91 2.33 33.90 0.89 1.44 1.67 1.00 21.00 33.90 1.00 1.50 1.53 11.80 A032070329 EYME CREAM "CHINTENG" 9.70 A032070399 EYME CREAM "CHINTENG" 0.97 A032105329 A032105335 A032105399 A032111100 FUCON CREAM "S.Y." FUCON CREAM "S.Y." FUCON CREAM "S.Y." ACTIRIN TABLETS "SINPHAR" A032112100 COLIMAN S.C. TABLETS 100MG (CHLORPROMAZINE) "P.L." TOSUMIN TABLETS "WEIDAR" 1.00 BENZBROMARONE TABLETS 50MG "CHIN TENG" SERENIN S.C. TABLETS 10MG (OXAZOLAM) "PFOSHEN" APOLIN TABLETS 25MG (HYDRALAZINE) "T.S." EUKACIN INJECTION 250MG/ML (AMIKACIN) "U-LIANG" EUKACIN INJECTION 250MG/ML (AMIKACIN) "U-LIANG" SATA INJECTION FOR INTRAVENOUS INFUSION 5MG/ML (TINIDAZOLE) "S.T." C.A.P. CAPSULES "KINGDOM" 2.12 A032113100 A032114100 A032116100 A032117100 A032118212 A032118229 A032122255 A032124100 第 118 頁,共 382 頁 28.30 47.40 1.23 0.80 刪除 0.75 1.00 1.00 32.30 154.00 134.00 0.75 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 5499 A031911100 5500 A031912100 DARGEN E.S.C. TAbLETS 5MG (SERRATIOPEPTIDASE) "PFOSHEN" AMBROXOL TABLETS 30MG "CHINTENG" 5501 5515 A0319121G0 AMBROXOL TABLETS 30MG "CHINTENG" (鋁箔/膠箔) A031922338 INDOCIN CREAM 10MG/GM (INDOMETHACIN) "S.Y." A031927138 OCTA-VITA DROPS "SOURIREE" A031932100 DIAMINE CAPSULES 25MG" SOURIREE"(DIPHENHYDRAMINE HCL) A031933100 SOURIREE COMCEB CAPSULES 1MG (CYANOCOBALAMIN) A0319331G0 SOURIREE COMCEB CAPSULES 1MG (CYANOCOBALAMIN)(鋁箔) A031938157 COMPOUND GLYCYRRHIZA MIXTURE SOL. (WITH OPIUM) "CENTER" A031938163 COMPOUND GLYCYRRHIZA MIXTURE SOLUTION (WITH OPIUM) "CENTER" A031938199 COMPOUND GLYCYRRHIZA MIXTURE SOL. "WITH OPIUM " "SOURIREE" A031952100 FUNASIN CAPSULES 5MG "KOJAR" (FLUNARIZINE) A031953100 SULISOU CAPSULES 250MG "KOJAR" (CHENODEOXYCHOLIC ACID) A031954100 BEZIN TABLETS 200MG (BEZAFIBRATE) "S.D." A031976500 STAZOL VAG. SUPP. 150MG "STANDARD" (ECONAZOLE) A031977100 FLUOXYMESTERONE CAPSULES 5MG (FLUOXYMESTERONE)"C.H." A031978329 TRINAZOLE CREAM "YUNG CHI" 5516 A031979100 5502 5503 5504 5505 5506 5507 5508 5509 5510 5511 5512 5513 5514 5517 5518 5519 5520 5521 5522 5523 5524 5525 5526 5527 5528 5529 5530 5531 5532 5533 5534 ANTADINE TABLETS 100MG (AMANTADINE) "YUNG CHI" A031983238 DITROSE INJECTION 5% (DEXTROSE) "S.Y." A031983265 DITROSE INJECTION 5% (DEXTROSE) "S.Y." A031983277 DITROSE INJECTION 5% (DEXTROSE) "S.Y." A031988100 MOTURIN TALBETS 10MG (DOMPERIDONE) "Y.S." A031989100 MELZIN S.C. TALBETS 25MG (THIORIDAZINE) "Y.S." A031990100 FENCAINE TABLETS 10MG (OXETHAZAINE)"Y.S." A031991100 UTELAX TABLETS 10MG (RITODRINE HYDROCHLORIDE) "WEIDAR" A031993100 BESUTIN TABLETS 6MG (BETAHISTINE) "Y.S." A031999100 MUCOBRON TABLETS 30MG (AMBROXOL HYDROCHLORIDE) "WEIDAR" A0319991G0 MUCOBRON TABLETS 30MG (AMBROXOL HYDROCHLORIDE) "WEIDAR" ( A032000100 PENTOSIN E.S.C.TABLETS 100MG (PENTOXIFYLLINE) "KOJAR" A032001100 COSIN TABLETS 20MG "KOJAR" (NOSCAPINE) A0320011G0 COSIN TABLETS 20MG "KOJAR" (NOSCAPINE)(鋁箔/膠箔) A032002100 MEBLIN A032003100 NAPOSIN TABLETS 250MG "KOJAR" (NAPROXEN) A032004100 MITON FILM COATING TAB. 100MG "KOJAR" (MEPIRIZOLE) A032006321 COBESONE CREAM 0.5MG/G (CLOBETASOL) "P.J." A032006324 COBESONE CREAM 0.5MG/GM "P.J" 100年1月 項次 支付價 5499 1 5500 1 5501 1.5 5502 42.8 48.9 5503 5504 0.39 5505 0.5 5506 1.5 5507 0 5508 29.7 5509 0.12 5510 1.19 5511 8.7 5512 2.79 5513 0 5514 0.79 5515 28.8 5516 2.33 5517 3.31 5518 16.8 5519 17.4 5520 1 5521 0.82 5522 1 5523 4.02 5524 0.98 5525 1 5526 1.5 5527 0.79 5528 1 5529 1.5 1.1 5530 5531 1.19 5532 2.17 5533 17.4 5534 21.9 說明 CODE 藥品名稱 A032125209 A032162100 PIXTIM INJECTION 20MG/ML (PIROXICAM) "UNION" PIXTIM INJECTION 20MG/ML (PIROXICAM) "UNION" TIMOLOL OPHTHALMIC SOLUTION 0.5% "WU-FU" TIMOLOL OPHTHALMIC SOLUTION 0.25% "WU-FU" TIDACT CAPSULES 150MG MUCOCIL GRANULES 40MG/GM (ACETYLCYSTEINE) "SINPHAR" SOURIREE COMTON TABLETS A032164100 SOURIREE COM-DIASTASE-P S.C. TABLET A032170335 ALLERCURE CREAM "SHITEH" 24.00 A032171221 AGGLUTEX INJECTION 1000U. (HEPARIN SODIUM) AGGLUTEX INJECTION 1000U. (HEPARIN SODIUM) AGGLUTEX INJECTION 5000U. (HEPARIN SODIUM) AGGLUTEX INJECTION 5000U. (HEPARIN SODIUM) AGGLUTEX INJECTION 5000IU/ML(HEPARIN SODIUM) TRIECO CREAM "SHITEH" 29.50 A032125212 A032135421 A032136421 A032137100 A032158199 9901 支付價 10.00 10.00 117.00 81.00 1.75 0.61 0.45 0.68 刪除 A032171299 A032172240 A032172248 A032172299 A032173329 3.60 73.00 131.00 1.10 28.00 刪除 A032175329 A032175340 A032181329 A032181335 A032181399 A032182100 A032208121 A032210100 A032217372 A032217399 A032223151 A032250100 A032251212 A032251229 A032259500 A032260500 A032261100 A032263212 A032263229 A032263238 A032264309 第 119 頁,共 382 頁 INDO CREAM 10MG/GM (INDOMETHACIN) "H.S." INDO CREAM 10MG/GM (INDOMETHACIN) "H.S." C.P.P. CREAM 500MCG/G (CLOBETASOL) "SWISS" C.P.P. CREAM 500MCG/G (CLOBETASOL) "SWISS" C.P.P CREAM 500MCG/GM "SWISS"(CLOBETASOL) DANAZOL CAPSULES 200MG (DANAZOL) "SWISS" EQUSIL GRANULES 20MG/GM (ACETYLCYSTEINE) "LITA" PHENOBARBITAL TABLETS 10MG "P.L." 21.40 SHIN-SHIN CREAM "SWISS" 0.5MG (BETAMETHASONE) SHIN-SHIN CREAM "SWISS" 0.5MG (BETAMETHASONE) ACETAMINOPHEN LIQUID 12MG/ML (ACETAMINOPHEN) "LONG DER" SUPERTIDINE S.C. TABLETS 20MG (FAMOTIDINE) "VPP" AMIKACIN INJECTION 250MG/ML "TAI YU" AMIKACIN INJECTION 250MG/ML "TAI YU" SUZOTON SUPPOSITORIES 25MG (DICLOFENAC) "Y.C" SUZOTON SUPPOSITORIES 12.5MG (DICLOFENAC) "Y.C" LOPER CAPSULES 2MG (LOPERAMIDE) GENTAMYCIN INJECTION 40MG/ML (GENTAMYCIN)"S.Y." GENTAMYCIN INJECTION 40MG/ML (GENTAMYCIN)"S.Y." GENTAMYCIN INJECTION 40MG/ML "S.Y." (GENTAMYCIN) CLOBETA CREAM 500MCG "S.Y." (CLOBETASOL 17-PROPIONATE) 403.00 64.00 25.30 32.30 0.91 12.70 2.28 0.40 0.89 11.50 3.84 31.80 153.00 2.88 1.77 0.67 12.70 調整 23.10 169.00 306.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 5535 A032006329 5536 A032006399 5537 A032007100 5538 A032011100 5539 A032014100 COBESONE CREAM 0.5MG/G (CLOBETASOL) "P.J." COBESONE CREAM 0.5MG/G "P.J." (CLOBETASOL) ETOSCOL TABLETS 0.5MG (HEXOPRENALINE) BROMOTINE TABLETS 2.87MG (BROMOCRIPTINE) "P.J." EUZIP TABLETS 50MG (NICAMETATE) 5540 5542 A0320141G0 EUZIP TABLETS 50MG (NICAMETATE)(鋁 箔) A032018100 TRANLO TABLETS 15MG (MEPENZOLATE BROMIDE) "PFOSHEN" A032027338 TORICAM GEL 5MG/G (PIROXICAM) 5543 A032028100 VITAMIN B12 TALBETS 1MG "JOHNSON" 5544 A032029100 5545 A032030100 5546 A032042100 5547 A032045100 FLURAZIN F.C. TABLETS 5MG "JOHNSON" (TRIFLUOPERAZINE) HALOPIN TABLETS 10MG "JOHNSON" (HALOPERIDOL) TRIALAM TABLETS 0.25MG (TRIAZOLAM) "WEIDER" ASPIRIN E.F.C.TABLETS 650MG "KOJAR" 5548 5561 5562 5563 5564 A0320461G0 DIPYRIDAMOLE S.C. TABLETS 75MG "YUNG SHIN"(鋁箔/膠箔) A032047100 YUREN E.F.C.TABLETS 50MG (DICLOFENAC SODIUM) "Y.S." A032048100 FELDINE CAPSULES 10MG (PIROXOCAM)"KINGDOM" A032049100 AMANTADINE HYDROCHLORIDE CAPSULES 100MG "KINGDOM" A032050429 ATROPINE SULPHATE OPHTHALMIC SOLUTION 1% "WU FU" A032051399 BETAMETHASONE OINTMENT 0.5MG/GM "SINPHAR" A032053100 PENTAL S.C.TABLETS 100MG (PENTOXIFYLLINE) "JOHNSON" A032054100 LICOS TABLETS 50MG (PIPERIDOLATE) "MEIDER" A032056100 SERRALO E.F.C.TABLETS 5MG (SERRATIOPEPTIDASE) "KOJAR" A032058421 ATROPINE SULPHATE OPHTHALMIC SOLUTION 0.5% "WU FU" A032058429 ATROPINE SULPHATE OPHTHALMIC SOLUTION 0.5% "WU FU" A032064100 WINTIDINE F.C. TALBET 400MG (CIMETIDINE) "WINSTON" A0320641G0 WINTIDINE F.C. TALBET 400MG (CIMETIDINE) "WINSTON"(鋁箔) A032065100 CLINCIN CAP. 150MG (CLINDAMYCIN) A032070321 EYME CREAM "CHINTENG" A032070329 EYME CREAM "CHINTENG" A032070399 EYME CREAM "CHINTENG" 5565 A032105329 FUCON CREAM "S.Y." 5566 5567 5568 A032105335 A032105399 A032111100 FUCON CREAM "S.Y." FUCON CREAM "S.Y." ACTIRIN TABLETS "SINPHAR" 5569 A032112100 5570 A032113100 COLIMAN S.C. TABLETS 100MG (CHLORPROMAZINE) "P.L." TOSUMIN TABLETS "WEIDAR" 5571 A032114100 5572 A032116100 5541 5549 5550 5551 5552 5553 5554 5555 5556 5557 5558 5559 5560 BENZBROMARONE TABLETS 50MG "CHIN TENG" SERENIN S.C. TABLETS 10MG (OXAZOLAM) "PFOSHEN" 100年1月 項次 支付價 5535 23.3 5536 0.83 5537 2.03 5538 4.13 5539 0 5540 1.5 5541 0.82 5542 37.2 5543 0.5 5544 0 5545 0 5546 1.73 5547 0.8 5548 1.5 5549 0.6 5550 0.91 5551 2.33 5552 33.9 5553 0.89 5554 0 5555 1.67 5556 1 5557 21 5558 33.9 5559 1 5560 1.5 1.53 5561 11.8 5562 9.7 5563 5564 0.97 5565 28.3 47.4 5566 1.1 5567 5568 0.8 5569 0 5570 0.75 5571 2.12 5572 1 CODE 藥品名稱 A032264321 CLOBETA CREAM 500MCG "S.Y." (CLOBETASOL 17-PROPIONATE) Clobeta Cream 500mcg"S.Y."(Clobetasol 17Propionate) CLOBETA CREAM 500MCG "S.Y." (CLOBETASOL 17-PROPIONATE) CLOBETA CREAM 500MCG "S.Y." (CLOBETASOL 17-PROPIONATE) CLOBETA CREAM 500MCG "S.Y." (CLOBETASOL 17-PROPIONATE) CLOBETA CREAM 500MCG "S.Y." (CLOBETASOL 17-PROPIONATE) CLOBETA CREAM 500MCG "S.Y." (CLOBETASOL 17-PROPIONATE) FLUNEPAN TABLE 2MG (FLUNITRAZEPAM) "PANBIOTIN" CLOTRIMAZOLE VAG. TAB. (CLOTRIMAZOLE) "PANBIOTIC" DOMPERIDONE 10MG (DOMPERIDONE) "Y.S" CEPORIN TABLETS 25MG (CAPTOPRIL) "S.T." PEESU TABLETS "KOJAR" A032264324 A032264329 A032264335 A032264338 A032264372 A032264399 A032265100 A032267500 A032268100 A032275100 A032277100 A032278100 說明 9901 支付價 12.30 調整 24.60 調整 21.00 30.80 53.00 刪除 428.00 0.71 3.11 18.40 0.76 刪除 2.32 刪除 0.83 A032288309 CLOZENE CAPSULES 7.5MG (CLORAZEPATE) "WEIDAR" DICLOFENAC SUPPOSITORIES 50MG "CHINTENG" FLAVOXE S.C. TABLETS 200MG (FLAVOXATE) "PFOSHEN" CHLORAMPHENICOL OPHTHALMIC SOLUTION 0.25% "KINGDOM" CHLORAMPHENICOL OPHTHALMIC SOLUTION 0.25% "KINGDOM" PILOCARPINE OPHTHALMIC SOLUTION 2% "KINGDOM" PILOCARPINE OPHTHALMIC SOLUTION 2% "KINGDOM" PILOCARPINE OPHTHALMIC SOLUTION 1% "KINGDOM" PILOCARPINE OPHTHALMIC SOLUTION 1% "KINGDOM" ANTIASTH SLOW RELEASE TABLETS 225MG (AMINOPHYLLINE) SENIDOL TAB. 25MG (DIPHENIDOL) "PANBIOTIC" FUTUSOA CREAM "S.Y." A032288321 FUTUSOA CREAM "S.Y." 22.50 A032288329 FUTUSOA CREAM "S.Y." 17.50 A032279500 A032280100 A032282421 A032282429 A032283429 A032283435 A032284429 A032284435 A032286100 A032287100 A032288338 A032288372 A032288399 A032292100 FUTUSOA CREAM "S.Y." FUTUSOA CREAM "S.Y." FUTUSOA CREAM "S.Y." PANCOBAMIN CAPSULE 500MCG (MECOBALAMIN) "PANBIOTIC" A032295100 CEFADIN CAP 500MG (CEPHRADINE) "STANDARD" A032309100 SOCAINE TABLET A0323091G0 SOCAINE TABLET(鋁箔/膠箔) A032311100 DANALOL CAPSULE 200MG (DANAZOL) "PURZER" A032312100 PURFEN F.C. TABLET 400MG (IBUPROFEN) "PURZER" A0323121G0 PURFEN F.C. TABLET 400MG "PURZER" (IBUPROFEN)(鋁箔/膠箔) A032313100 REFEXIN CAPSULE 500MG (CEPHALEXIN) "PURZER" A032314100 DUOCER F.C TABLET 400MG (CIMETIDINE) "PURZER" 第 120 頁,共 382 頁 3.31 8.90 3.80 11.30 17.10 34.30 77.00 25.00 刪除 62.00 3.28 0.78 1,166.00 19.60 865.00 0.98 2.44 4.38 1.00 1.50 13.20 調整 1.00 刪除 1.50 1.81 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 5573 A032117100 藥品名稱 5578 APOLIN TABLETS 25MG (HYDRALAZINE) "T.S." A0321171G0 APOLIN TABLETS 25MG (HYDRALAZINE) "Y.S."(鋁箔/膠箔) A032118212 EUKACIN INJECTION 250MG/ML (AMIKACIN) "U-LIANG" A032118229 EUKACIN INJECTION 250MG/ML (AMIKACIN) "U-LIANG" A032122255 SATA INJECTION FOR INTRAVENOUS INFUSION 5MG/ML (TINIDAZOLE) A032124100 C.A.P. CAPSULES "KINGDOM" 5579 A032125209 5580 A032125212 5581 A032135421 5582 A032136421 5583 A032137100 5584 A032158199 5585 A032162100 PIXTIM INJECTION 20MG/ML (PIROXICAM) "UNION" PIXTIM INJECTION 20MG/ML (PIROXICAM) "UNION" TIMOLOL OPHTHALMIC SOLUTION 0.5% "WU-FU" TIMOLOL OPHTHALMIC SOLUTION 0.25% "WU-FU" TIDACT CAPSULES 150MG (CLINDAMYCIN) MUCOCIL GRANULES 40MG/GM (ACETYLCYSTEINE) "SINPHAR" SOURIREE COMTON TABLETS 5586 A032164100 SOURIREE COM-DIASTASE-P S.C. TABLET 5587 5588 A032170335 A032171221 5589 A032171299 5590 A032172240 5591 A032172248 5592 A032172299 5593 A032173329 ALLERCURE CREAM "SHITEH" AGGLUTEX INJECTION 1000U. (HEPARIN SODIUM) AGGLUTEX INJECTION 1000U. (HEPARIN SODIUM) AGGLUTEX INJECTION 5000U. (HEPARIN SODIUM) AGGLUTEX INJECTION 5000U. (HEPARIN SODIUM) AGGLUTEX INJECTION 5000IU/ML(HEPARIN SODIUM) TRIECO CREAM "SHITEH" 5594 A032175329 5595 A032175340 5596 A032181329 5597 A032181335 5598 A032181399 5599 A032182100 5600 A032208121 5601 5602 A032210100 A032217372 5603 A032217399 5604 A032223151 5605 A032250100 5606 A032251212 5607 A032251229 5608 A032259500 5574 5575 5576 5577 INDO CREAM 10MG/GM (INDOMETHACIN) "H.S." INDO CREAM 10MG/GM (INDOMETHACIN) "H.S." C.P.P. CREAM 500MCG/G (CLOBETASOL) "SWISS" C.P.P. CREAM 500MCG/G (CLOBETASOL) "SWISS" C.P.P CREAM 500MCG/GM "SWISS"(CLOBETASOL) DANAZOL CAPSULES 200MG (DANAZOL) "SWISS" EQUSIL GRANULES 20MG/GM (ACETYLCYSTEINE) "LITA" PHENOBARBITAL TABLETS 10MG "P.L." SHIN-SHIN CREAM "SWISS" 0.5MG (BETAMETHASONE) SHIN-SHIN CREAM "SWISS" 0.5MG (BETAMETHASONE) ACETAMINOPHEN LIQUID 12MG/ML (ACETAMINOPHEN) "LONG DER" SUPERTIDINE S.C. TABLETS 20MG (FAMOTIDINE) "VPP" AMIKACIN INJECTION 250MG/ML "TAI YU" AMIKACIN INJECTION 250MG/ML "TAI YU" SUZOTON SUPPOSITORIES 25MG (DICLOFENAC) "Y.C" 100年1月 項次 支付價 5573 1 5574 1.5 5575 32.3 5576 154 5577 134 5578 0.75 5579 10 5580 10 5581 117 5582 81 5583 1.75 5584 0.61 5585 0.45 5586 0.68 24 5587 5588 38.3 5589 3.6 5590 92 5591 170 5592 1.1 5593 28.1 5594 21.4 5595 64 5596 23.6 5597 32.3 5598 0.8 5599 12.7 5600 2.28 0.4 5601 5602 403 5603 0.89 5604 11.5 5605 3.84 5606 31.8 5607 153 5608 2.88 CODE 藥品名稱 A0323141G0 DUOCER F.C TABLET 400MG (CIMETIDINE) "PURZER"(鋁箔/膠箔) A032315100 DUOCER F.C TABLET 200MG (CIMETIDINE) "PURZER" A0323151G0 DUOCER F.C TABLET 200MG (CIMETIDINE) "PURZER"(鋁箔/膠箔) A032317209 SEZOLIN FOR INJECTION (CEFAZOLIN) "PURZER" A032319321 GENTADERM CREAM A032320100 A032322100 A032323114 A032323121 A032324100 A032325321 A032325325 A032325329 A032325335 A032325338 A032327100 ACETAL TABLET 500MG (ACETAMINOPHEN) "PURZER" TENOLOL F.C TABLET 100MG (ATENOLOL) "PURZER" FLUCIL GRANULE 40MG/GM (ACETYLCYSTEINE) "PURZER" FLUCIL GRANULE 40MG/GM (ACETYLCYSTEINE) "PURZER" RECEF CAPSULE 500MG (CEPHRADINE) "PURZER" METHACIN GEL 10MG/GM (INDOMETHACIN) "PURZER" METHACIN GEL 10MG/GM (INDOMETHACIN) "PURZER" METHACIN GEL 10MG/GM (INDOMETHACIN) "PURZER" METHACIN GEL 10MG/GM (INDOMETHACIN) "PURZER" METHACIN GEL 10MG/GM LONINE CAPSULES 200MG (ETODOLAC) 說明 9901 支付價 1.50 1.00 新增 1.50 22.50 13.50 0.60 2.26 2.15 1.94 3.84 14.10 19.80 21.40 32.00 43.70 5.80 調整 A032332100 A032333100 TIARAM TABLETS 100MG (TIARAMIDE) "H.H." COLDOL CAPSULE 1.40 1.00 調整 A032334209 RECEF-A FOR INJECTION 1000MG (CEPHRADINE) A032334277 RECEF-A FOR INJECTION 1000MG (CEPHRADINE) A032336100 HOMOMIN TABLETS 10MG (HOMOCHLORCYCLIZINE) "Y.Y" A0323361G0 HOMOMIN TABLETS 10MG (HOMOCHLORCYCLIZINE) "Y.Y"(鋁箔/膠 A032338337 JELINDO OINTMENT 10MG/GM (INDOMETHACIN) A032340100 NIXO TABLETS 5MG (NICERGOLINE) "H.H." A032350221 TRANDATE INJECTION 5MG/ML (LABETALOL) A032352100 PHENYTOIN TABLETS 20MG "PL" 45.00 調整 36.00 0.70 調整 1.50 55.00 3.80 調整 86.00 0.30 調整 A032353100 NICAN F.C. TABLETS 50MG (NICAMETATE) "CHIN TENG" A0323531G0 NICAN F.C. TABLETS 50MG (NICAMETATE) "CHIN TENG"(鋁箔/膠 A032358100 DOMPER TABLETS 10MG (DOMPERIDONE) A032361100 UROL TABLETS 200MG (FLAVOXATE) "H.H" A032363100 COPU TABLETS 50MG "WINSTON" (CARBENOXOLONE) A032364100 BEMIDON F.C. TALBETS 50MG (TIARAMIDE) "KOJAR" A032367100 WEICHILIN TABLETS 150MG (RANITIDINE HYDROCHLORIDE) A032368100 KETOTI TABLETS 1MG (KETOTIFEN) "YUNG CHI" A032369212 MECOBAL INJECTION 500MCG/ML (MECOBALAMIN) A032371100 TRANLEN TABLETS 1MG (KETOTIFEN) "M.S." 第 121 頁,共 382 頁 0.71 1.50 1.00 3.60 2.48 1.24 3.36 1.00 10.00 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 5609 A032260500 5610 A032261100 5611 A032263212 5612 A032263229 5613 A032263238 5614 A032264309 5615 A032264321 5616 A032264324 5617 A032264329 5618 A032264335 5619 A032264338 5620 A032264372 5621 A032264399 5622 A032265100 5623 A032267500 5624 5625 A032268100 A032275100 5626 5627 A032277100 A032278100 5628 A032279500 5629 A032280100 5630 A032282421 5631 A032282429 5632 A032283429 5633 A032283435 5634 A032284429 5635 A032284435 5636 A032286100 5637 A032287100 5638 A032288309 5639 5640 A032288321 A032288329 5641 5642 A032288338 A032288372 5643 5644 A032288399 A032292100 5645 A032295100 5646 A032309100 藥品名稱 100年1月 項次 支付價 SUZOTON SUPPOSITORIES 12.5MG 5609 1.77 (DICLOFENAC) "Y.C" LOPER CAPSULES 2MG (LOPERAMIDE) 5610 0.67 "H.S." GENTAMYCIN INJECTION 40MG/ML 5611 12.7 (GENTAMYCIN)"S.Y." GENTAMYCIN INJECTION 40MG/ML 5612 23.1 (GENTAMYCIN)"S.Y." GENTAMYCIN INJECTION 40MG/ML "S.Y." 5613 169 (GENTAMYCIN) CLOBETA CREAM 500MCG "S.Y." 5614 306 (CLOBETASOL 17-PROPIONATE) CLOBETA CREAM 500MCG "S.Y." 5615 12.3 (CLOBETASOL 17-PROPIONATE) Clobeta Cream 500mcg"S.Y."(Clobetasol 175616 24.3 Propionate) CLOBETA CREAM 500MCG "S.Y." 5617 21 (CLOBETASOL 17-PROPIONATE) CLOBETA CREAM 500MCG "S.Y." 5618 30.8 (CLOBETASOL 17-PROPIONATE) CLOBETA CREAM 500MCG "S.Y." 5619 53 (CLOBETASOL 17-PROPIONATE) CLOBETA CREAM 500MCG "S.Y." 5620 428 (CLOBETASOL 17-PROPIONATE) CLOBETA CREAM 500MCG "S.Y." 5621 0.71 (CLOBETASOL 17-PROPIONATE) FLUNEPAN TABLE 2MG 5622 3.11 (FLUNITRAZEPAM) "PANBIOTIN" CLOTRIMAZOLE VAG. TAB. 5623 18.4 (CLOTRIMAZOLE) "PANBIOTIC" 0.76 5624 DOMPERIDONE 10MG (DOMPERIDONE) CEPORIN TABLETS 25MG (CAPTOPRIL) 5625 2.32 "S.T." 0.83 5626 PEESU TABLETS "KOJAR" CLOZENE CAPSULES 7.5MG 5627 3.31 (CLORAZEPATE) "WEIDAR" DICLOFENAC SUPPOSITORIES 50MG 5628 8.9 "CHINTENG" FLAVOXE S.C. TABLETS 200MG 5629 3.8 (FLAVOXATE) "PFOSHEN" CHLORAMPHENICOL OPHTHALMIC 5630 11.3 SOLUTION 0.25% "KINGDOM" CHLORAMPHENICOL OPHTHALMIC 5631 17.1 SOLUTION 0.25% "KINGDOM" PILOCARPINE OPHTHALMIC SOLUTION 5632 34.3 2% "KINGDOM" PILOCARPINE OPHTHALMIC SOLUTION 5633 77 2% "KINGDOM" PILOCARPINE OPHTHALMIC SOLUTION 5634 25 1% "KINGDOM" PILOCARPINE OPHTHALMIC SOLUTION 5635 62 1% "KINGDOM" ANTIASTH SLOW RELEASE TABLETS 5636 3.28 225MG (AMINOPHYLLINE) SENIDOL TAB. 25MG (DIPHENIDOL) 5637 0.78 "PANBIOTIC" FUTUSOA CREAM "S.Y." 5638 1166 22.5 5639 FUTUSOA CREAM "S.Y." FUTUSOA CREAM "S.Y." 5640 17.5 19.6 5641 FUTUSOA CREAM "S.Y." FUTUSOA CREAM "S.Y." 5642 865 0.98 5643 FUTUSOA CREAM "S.Y." PANCOBAMIN CAPSULE 500MCG 5644 2.44 (MECOBALAMIN) "PANBIOTIC" CEFADIN CAP 500MG (CEPHRADINE) 5645 4.38 "STANDARD" SOCAINE TABLET 5646 1 CODE 藥品名稱 A032372100 CONSLIFE SUGAR COATED TABLETS 說明 9901 支付價 0.50 A0323721G0 CONSLIFE SUGAR COATED TABLETS(鋁箔 /膠箔) A032373100 QUICRAN F.C.TABLETS 150MG (RANITIDINE HYDROCHLORIDE) A032376329 NISOLON GEL 50MG/G (ETOFENAMATE) 32.80 A032378500 26.00 FEMSTAT VAGINAL SUPPOSITORY 100MG (BUTOCONAZOLE) A032380100 TERLAM CAPSULE 10MG (OXAZOLAM) "YUNG SINE" A032383100 PELIDONE TABLET 10MG (DOMPERIDONE) "YUNG SINE" A032390100 CONCLOMIN TABLET 10MG (HOMOCHLORCYCLIZINE) "YUNG SINE" A032413100 MEFEN F.C TABLETS 500MG (MEFENAMIC ACID) "CHINTENG" A0324131G0 MEFEN F.C TABLETS 500MG (MEFENAMIC ACID) "CHINTENG"(鋁箔) A032416209 PIROCAM INJECTION 20MG/ML (PIROXICAM) A032419329 BETADERM CREAM "SINPHAR" A032437100 A032438100 A032450100 A032458199 A032463100 A032469100 A032474100 A032475100 A032477100 A032490100 A032492100 A032493100 1.00 1.00 0.70 調整 0.85 1.50 10.00 17.00 5.50 CARBEDANE S.C. TABLETS 25MG (CARBETAPENTANE) TRANMIN F.C. TABLETS 200MG (LABETALOL) WYEANIN F.C. TABLETS 10MG (DOMPERIDONE) "S.L." TOMIN TABLETS 2MG (DEXCHLORPHENIRAMINE) "KOJAR" L.A TABLETS 0.50 FLUBEN S.C. TABLETS 40MG (FLURBIPROFEN) "PFOSHEN" A032495100 COWBALIN TABLETS 100MG (MEBENDAZOLE) "KOJAR" A0324951G0 COWBALIN TABLETS 100MG "KOJAR" (MEBENDAZOLE)(鋁箔/膠箔) A032496100 ALDIN F.C. TABLETS 250MG (METHYLDOPA) "KOJAR" A032500100 DEBRONC TABLETS 50MG (EPRAZINONE) "LITA" A032504100 ANTADINE CAPSULES 100MG (AMANTADINE) "H.L." A032505372 SHIN-SHIN OINTMENT 500MCG/GM A032506100 PIPETO F.C. TAB. 10MG (PIPERILATE ETHOBROMIDE) "STANDARD" A032514421 TOBEYESON OPHTHALMIC SOLUTION A032524100 MOKOTAM TABLETS 30MG (AMBROXOL) "Y.S." A032528151 TRIMERIN SYRUP A032528199 TRIMERIN SYRUP SOLANTIN S.C. TABLETS 25MG (DIPYRIDAMOLE) A0325301G0 SOLANTIN S.C. TABLETS 25MG (DIPYRIDAMOLE)(鋁箔) 第 122 頁,共 382 頁 3.43 NORMABRAIN F.C. TABLETS 800MG (PIRACETAM) NORMABRAIN CAPSULES 400MG (PIRACETAM) NILACHE F.C. TABLETS 500MG (MEFENAMIC ACID) "KUAI KUAI" COKE SOLUTION GROOVY CAPSULES 375MG (CARBOCYSTEINE) LONGIAN TABLETS 25MG (BUCLIZINE) SAPIA TABLETS A032494100 A032530100 1.50 1.25 0.73 0.08 1.64 0.57 0.79 3.64 0.59 0.60 0.30 4.12 0.75 1.50 1.37 3.84 2.33 403.00 1.52 29.20 1.00 25.30 0.42 1.00 1.50 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 5647 5648 5649 5650 5651 5652 5653 5654 5655 5656 5657 5658 5659 5660 5661 5662 5663 5664 5665 5666 5667 5668 5669 5670 5671 5672 5673 5674 5675 5676 5677 5678 5679 5680 5681 5682 5683 CODE 藥品名稱 100年1月 項次 支付價 A0323091G0 SOCAINE TABLET(鋁箔/膠箔) 5647 1.5 A032311100 DANALOL CAPSULE 200MG (DANAZOL) 5648 13.2 "PURZER" A032312100 PURFEN F.C. TABLET 400MG (IBUPROFEN) 5649 1 "PURZER" A0323121G0 PURFEN F.C. TABLET 400MG "PURZER" 5650 1.5 (IBUPROFEN)(鋁箔/膠箔) A032313100 REFEXIN CAPSULE 500MG (CEPHALEXIN) 5651 1.81 "PURZER" A032314100 DUOCER F.C TABLET 400MG 5652 1 (CIMETIDINE) "PURZER" A0323141G0 DUOCER F.C TABLET 400MG 5653 1.5 (CIMETIDINE) "PURZER"(鋁箔/膠箔) A032315100 DUOCER F.C TABLET 200MG 5654 1 (CIMETIDINE) "PURZER" A0323151G0 DUOCER F.C TABLET 200MG 5655 1.5 (CIMETIDINE) "PURZER"(鋁箔/膠箔) A032317209 SEZOLIN FOR INJECTION (CEFAZOLIN) 5656 22.5 "PURZER" A032319321 GENTADERM CREAM 5657 13.5 A032320100 ACETAL TABLET 500MG 5658 0.6 (ACETAMINOPHEN) "PURZER" A032322100 TENOLOL F.C TABLET 100MG 5659 2.26 (ATENOLOL) "PURZER" A032323114 FLUCIL GRANULE 40MG/GM 5660 2.15 (ACETYLCYSTEINE) "PURZER" A032323121 FLUCIL GRANULE 40MG/GM 5661 1.94 (ACETYLCYSTEINE) "PURZER" A032324100 RECEF CAPSULE 500MG (CEPHRADINE) 5662 3.84 "PURZER" A032325321 METHACIN GEL 10MG/GM 5663 14.1 (INDOMETHACIN) "PURZER" A032325325 METHACIN GEL 10MG/GM 5664 19.8 (INDOMETHACIN) "PURZER" A032325329 METHACIN GEL 10MG/GM 5665 21.4 (INDOMETHACIN) "PURZER" A032325335 METHACIN GEL 10MG/GM 5666 32 (INDOMETHACIN) "PURZER" 43.7 5667 A032325338 METHACIN GEL 10MG/GM 0 5668 A032327100 LONINE CAPSULES 200MG (ETODOLAC) A032332100 TIARAM TABLETS 100MG (TIARAMIDE) 5669 0 "H.H." 1 5670 A032333100 COLDOL CAPSULE A032334209 RECEF-A FOR INJECTION 1000MG 5671 45 (CEPHRADINE) A032334277 RECEF-A FOR INJECTION 1000MG 5672 36 (CEPHRADINE) A032336100 HOMOMIN TABLETS 10MG 5673 0.7 (HOMOCHLORCYCLIZINE) "Y.Y" A0323361G0 HOMOMIN TABLETS 10MG 5674 1.5 (HOMOCHLORCYCLIZINE) "Y.Y"(鋁箔/膠 A032338337 JELINDO OINTMENT 10MG/GM 5675 55 (INDOMETHACIN) A032340100 NIXO TABLETS 5MG (NICERGOLINE) 5676 3.8 "H.H." A032350221 TRANDATE INJECTION 5MG/ML 5677 86 (LABETALOL) 0.3 5678 A032352100 PHENYTOIN TABLETS 20MG "PL" A032353100 NICAN F.C. TABLETS 50MG 5679 0.71 (NICAMETATE) "CHIN TENG" A0323531G0 NICAN F.C. TABLETS 50MG 5680 1.5 (NICAMETATE) "CHIN TENG"(鋁箔/膠箔 A032358100 DOMPER TABLETS 10MG (DOMPERIDONE) 5681 0 A032361100 UROL TABLETS 200MG (FLAVOXATE) 5682 0 "H.H" A032363100 COPU TABLETS 50MG "WINSTON" 5683 2.48 (CARBENOXOLONE) 說明 CODE 藥品名稱 A032531100 A032535100 HYDERTOSIN TABLETS 1.5MG (DIHYDROERGOTOXINE MESYLATE) TRIMERIN TABLETS A032549209 STAZOLIN INJ. "STANDARD" (CEFAZOLIN) 22.90 A032549277 STAZOLIN INJ. "STANDARD" (CEFAZOLIN) 10.80 A032561100 A032562321 URINOL TABLETS 200MG (FLAVOXATE) "ROYAL" CLEOSOL CREAM 0.5MG/GM (CLOBETASOL) "GCPC" CLEOSOL CREAM 5GM 14.80 A032562324 CLEOSOL CREAM 0.5MG/GM "GCPC" 24.90 A032562338 CLEOSOL CREAM 0.5MG/GM "GCPC" (CLOBETASOL0 CLEOSOL CREAM 0.5MG/GM (CLOBETASOL) "GCPC" URAGEM CAPSULES 300MG (GEMFIBROZIL) "U-LIANG" RETIN-A CREAM 0.5MG/GM (TRETINOIN) 56.00 A032562319 A032562399 A032563100 A032568338 A032571338 A032583100 SILIVERZINE CREAM 10MG/GM (SULFADIAZINE SILIVER)"SINP HAR" "SINPHAR" SILIVERZINE CREAM 10MG/GM (SULFADIAZINE SILVER) SACLONAL TABLETS 10MG (HOMOCHLORCYCLIZINE) "P.J." MERANOM S.C. TABLETS 25MG (DIPHENIDOL) "P.J." PAINSTOP INJECTION 25MG/ML (DICLOFENAC) DEBLEEDING CAPSULES 250MG (TRANEXAMIC ACID) "H.C." ANTICOLD CAPSULES "KOJAR" A032584100 BININ-U TABLETS 5MG (HALOPERIDOL) A032601329 A032601335 A032601372 MYCOCIN CREAM MYCOCIN CREAM MYCOCIN CREAM A032571399 A032572100 A032573100 A032576216 A032579100 9901 支付價 3.11 1.00 3.62 8.10 0.94 1.75 168.00 32.00 0.60 0.79 0.83 6.40 1.39 1.02 3.73 33.80 73.00 1,107.00 刪除 刪除 A032601399 A032619100 MYCOCIN CREAM NIDOLIUM TABLET 10MG (DOMPERIDONE) "SINPHAR" A0326191G0 NIDOLIUM TABLET 10MG (DOMPERIDONE) "SINPHAR"(鋁箔/膠箔) A032624212 EUDAMYCIN INJECTION 150MG/ML (CLINDAMYCIN) "U-LIANG" A032625151 COSILY LIQUID 650MG/ML (LACTULOSE) "MEIDER" A032625157 COSILY LIQUID 650MG/ML (LACTULOSE) "MEIDER" A032625166 COSILY LIQUID 650MG/ML "MEIDER" (LACTULOSE) A032625199 COSILY LIQUID 650MG/ML (LACTULOSE) "MEIDER" A032631100 CIMETIDINE TABLETS 400MG "R.T." A0326311G0 CIMETIDINE TABLETS 400MG "R.T."(鋁箔) A032632100 A032634338 A032638500 A032640212 第 123 頁,共 382 頁 SPINAX TABLETS 10.0MG (BACLOFEN) "WEIDAR" TONDONAC GEL 10MG/GM (DICLOFENAC SODIUM) DICLOFENAC SUPPOSITORIES 12.5MG "CHINTENG" TIDACT INJECTION 150MG/ML (CLINDAMYCIN) 1.63 0.65 1.50 21.70 29.30 52.00 252.00 0.43 1.00 1.50 1.04 36.30 刪除 1.82 刪除 23.70 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 5684 A032364100 藥品名稱 5700 BEMIDON F.C. TALBETS 50MG (TIARAMIDE) "KOJAR" A032367100 WEICHILIN TABLETS 150MG (RANITIDINE HYDROCHLORIDE) A032368100 KETOTI TABLETS 1MG (KETOTIFEN) "YUNG CHI" A032369212 MECOBAL INJECTION 500MCG/ML (MECOBALAMIN) A032371100 TRANLEN TABLETS 1MG (KETOTIFEN) "M.S." A032372100 CONSLIFE SUGAR COATED TABLETS A0323721G0 CONSLIFE SUGAR COATED TABLETS(鋁箔 /膠箔) A032373100 QUICRAN F.C.TABLETS 150MG (RANITIDINE HYDROCHLORIDE) A032376329 NISOLON GEL 50MG/G (ETOFENAMATE) A032378500 FEMSTAT VAGINAL SUPPOSITORY 100MG (BUTOCONAZOLE) A032380100 TERLAM CAPSULE 10MG (OXAZOLAM) "YUNG SINE" A032383100 PELIDONE TABLET 10MG (DOMPERIDONE) "YUNG SINE" A032390100 CONCLOMIN TABLET 10MG (HOMOCHLORCYCLIZINE) "YUNG SINE" A032413100 MEFEN F.C TABLETS 500MG (MEFENAMIC ACID) "CHINTENG" A0324131G0 MEFEN F.C TABLETS 500MG (MEFENAMIC ACID) "CHINTENG"(鋁箔) A032416209 PIROCAM INJECTION 20MG/ML (PIROXICAM) A032419329 BETADERM CREAM "SINPHAR" 5701 A032437100 5702 A032438100 5703 A032450100 5704 5705 A032458199 A032463100 5706 A032469100 NORMABRAIN F.C. TABLETS 800MG (PIRACETAM) NORMABRAIN CAPSULES 400MG (PIRACETAM) NILACHE F.C. TABLETS 500MG (MEFENAMIC ACID) "KUAI KUAI" COKE SOLUTION GROOVY CAPSULES 375MG (CARBOCYSTEINE) LONGIAN TABLETS 25MG (BUCLIZINE) 5707 A032474100 SAPIA TABLETS 5708 A032475100 5685 5686 5687 5688 5689 5690 5691 5692 5693 5694 5695 5696 5697 5698 5699 5709 5710 5711 5712 5713 5714 5715 5716 5717 5718 5719 5720 CARBEDANE S.C. TABLETS 25MG (CARBETAPENTANE) A032477100 TRANMIN F.C. TABLETS 200MG (LABETALOL) A032490100 WYEANIN F.C. TABLETS 10MG (DOMPERIDONE) "S.L." A032492100 TOMIN TABLETS 2MG (DEXCHLORPHENIRAMINE) "KOJAR" A032493100 L.A TABLETS A032494100 FLUBEN S.C. TABLETS 40MG (FLURBIPROFEN) "PFOSHEN" A032495100 COWBALIN TABLETS 100MG (MEBENDAZOLE) "KOJAR" A0324951G0 COWBALIN TABLETS 100MG "KOJAR" (MEBENDAZOLE)(鋁箔/膠箔) A032496100 ALDIN F.C. TABLETS 250MG (METHYLDOPA) "KOJAR" A032500100 DEBRONC TABLETS 50MG (EPRAZINONE) "LITA" A032504100 ANTADINE CAPSULES 100MG (AMANTADINE) "H.L." A032505372 SHIN-SHIN OINTMENT 500MCG/GM "SWISS" A032506100 PIPETO F.C. TAB. 10MG (PIPERILATE ETHOBROMIDE) "STANDARD" 100年1月 項次 支付價 5684 1.24 5685 3.36 5686 1 5687 10 5688 1 0 5689 5690 1.5 5691 3.43 32.8 5692 5693 26 5694 1 5695 1 5696 0.7 5697 0.85 5698 1.5 5699 10 5700 17 5701 5.5 5702 1.25 5703 0.73 0.08 5704 5705 1.64 5706 0.57 5707 0.79 5708 0.5 5709 3.64 5710 0.59 5711 0.6 0.3 5712 5713 4.12 5714 0.75 5715 1.5 5716 1.37 5717 3.84 5718 2.33 5719 403 5720 1.52 CODE 藥品名稱 A032642100 GIKO FILM-COATED TABLETS 9.6MG (GYNKGOFLAVONGLYCOSIDE)"H.S." VESYCA FILM COATED TABLETS 150MG (RANITIDINE HYDROCHLORIDE) SWEGA TABLETS 400MG (CIMETIDINE) "H.S." KETIFEN TABLETS 1MG (KETOTIFEN) "H.S." DANTASE E.C. TABLET 5MG (SERRATIOPEPTIDASE) "Y.S." VIRLESS CREAM 5% VIRLESS CREAM 5% (ACYCLOVIR) "YUNG SHIN" CIKETIN INJ. 150MG/ML (CIMETIDINE) "UNION" BIPERIDEN TABLET 2MG "K.Y." DOPAMIN (DOPAMINE) INJECTION 40MG/ML "VPP" DOPAMIN INJECTION 10MG/ML (DOPAMINE) "VPP" MECON TABLETS 30MG (DEXTROMETHORPHAN) "H.S." CAPTOPRI TABLETS 12.5MG (CAPTOPRIL) A032648100 A032649100 A032651100 A032681100 A032684321 A032684399 A032695212 A032702100 A032704221 A032705221 A032710100 A032711100 A032712100 A032716100 A032722177 A032723100 A032724100 A032729100 A032736238 A032737199 A032743335 A032760114 A032760155 A032761100 A032770100 A032774100 A032783100 A032785321 A032785399 A032789221 A032792229 A032800500 A032801100 A032803100 A032805100 A032807238 第 124 頁,共 382 頁 ENDASE E.C. TABLETS 10MG (SERRATIOPEPTIDASE) "N.K." DOMPERAN TABLETS 10MG (DOMPERIDONE) "SWISS" YIAUKE GRANULES 100MG/GM (MEBENDAZOLE) "T.F." PAPIROR E.C. TABLETS 100MG (PENTOXYFYLLINE) "KYORIN" JEFRON S.C. TABLETS 25MG "KYORIN" (DIPHENIDOL) SHERY E.C. TABLETS 100MG (PENTOXIFYLLINE) "H.S." WILCON LYO-INJECTION 20MG (FAMOTIDINE) "UNION" TECOSIN SOLUTION NEO-TONFONRIN GEL 10MG/G (INDOMETHACIN) "SWISS" ACETYLEINE GRANULES 40MG/GM "H.S." (ACETYLCYSTEINE) ACETYLEINE GRANULES 40MG/GM "H.S." (ACETYLCYSTEINE) MINOCYCLINE CAPSULE 100MG "PANBIOTIC" ANTERIN E.F.C TABLETS 50MG (DICLOFENAC SODIUM) "F.S" SUWEL TABLETS 500MG (SUCRALFATE) PEDERCON TABLETS 200MG (FLAVOXATE) "YUNG CHI" ACYCLOVIR CREAM 50MG/GM "U. CHU." ACYCLOVIR CREAM 50MG/GM UTIDINE INJECTION 10MG/ML (RANITIDINE) "U-LIANG" DOPAMIN (DOPAMINE) INJECTION 20MG/ML "VPP" DICLOREN SUPPOSITORIES 12.5MG(DICLOFENAC) "WEIDAR" ALAT CAPSULES 10MG (NIFEDIPINE) SLEEPING-DEPOT 0.25MG (TRIAZOLAM) "JINUP" BUTANIDE TABLET 1MG (BUMETANIDE) "YUNG SINE" SODIUM ACETATE INJECTION 2MEQ/ML "U-LIANG" 說明 9901 支付價 2.54 2.89 1.00 1.00 1.00 47.80 5.50 10.00 3.07 28.30 39.20 0.55 5.70 1.00 0.65 63.00 1.54 0.78 1.13 56.00 0.11 32.00 2.32 108.00 5.20 0.60 1.03 3.80 47.30 3.19 28.30 28.20 1.82 2.47 1.60 1.58 15.50 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 5721 5722 5723 5724 5725 5726 5727 5728 5729 5730 5731 5732 5733 5734 5735 5736 5737 5738 5739 5740 5741 5742 5743 5744 5745 5746 5747 5748 5749 5750 5751 5752 5753 5754 5755 5756 5757 5758 5759 5760 CODE 藥品名稱 100年1月 項次 支付價 A032514421 TOBEYESON OPHTHALMIC SOLUTION 5721 29.2 A032524100 MOKOTAM TABLETS 30MG (AMBROXOL) 5722 1 "Y.S." 25.3 5723 A032528151 TRIMERIN SYRUP A032528199 TRIMERIN SYRUP 5724 0.42 A032530100 SOLANTIN S.C. TABLETS 25MG 5725 1 (DIPYRIDAMOLE) A0325301G0 SOLANTIN S.C. TABLETS 25MG 5726 1.5 (DIPYRIDAMOLE)(鋁箔) A032531100 HYDERTOSIN TABLETS 1.5MG 5727 3.11 (DIHYDROERGOTOXINE MESYLATE) 1 5728 A032535100 TRIMERIN TABLETS 22.9 5729 A032549209 STAZOLIN INJ. "STANDARD" (CEFAZOLIN) A032549277 STAZOLIN INJ. "STANDARD" (CEFAZOLIN) 5730 10.8 A032561100 URINOL TABLETS 200MG (FLAVOXATE) 5731 3.62 "ROYAL" A032562319 CLEOSOL CREAM 0.5MG/GM 5732 8.1 (CLOBETASOL) "GCPC" A032562321 CLEOSOL CREAM 5GM 5733 14.8 A032562324 CLEOSOL CREAM 0.5MG/GM "GCPC" 5734 23.7 A032562338 CLEOSOL CREAM 0.5MG/GM "GCPC" 5735 56 (CLOBETASOL0 A032562399 CLEOSOL CREAM 0.5MG/GM 5736 0.81 (CLOBETASOL) "GCPC" A032563100 URAGEM CAPSULES 300MG 5737 1.75 (GEMFIBROZIL) "U-LIANG" A032568338 RETIN-A CREAM 0.5MG/GM (TRETINOIN) 5738 168 A032571338 SILIVERZINE CREAM 10MG/GM 5739 32 (SULFADIAZINE SILIVER)"SINP HAR" A032571372 "SINPHAR" SILIVERZINE CREAM 5740 286 10MG/GM (SULFADIAZINE SILVER) A032571377 "SINPHAR" SILIVERZINE CREAM 5741 579 10MG/GM (SULFADIAZINE SILVER) A032571399 "SINPHAR" SILIVERZINE CREAM 5742 0.6 10MG/GM (SULFADIAZINE SILVER) A032572100 SACLONAL TABLETS 10MG 5743 0.79 (HOMOCHLORCYCLIZINE) "P.J." A032573100 MERANOM S.C. TABLETS 25MG 5744 0.83 (DIPHENIDOL) "P.J." A032576216 PAINSTOP INJECTION 25MG/ML 5745 6.4 (DICLOFENAC) A032579100 DEBLEEDING CAPSULES 250MG 5746 1.33 (TRANEXAMIC ACID) "H.C." 1.02 5747 A032583100 ANTICOLD CAPSULES "KOJAR" 3.73 5748 A032584100 BININ-U TABLETS 5MG (HALOPERIDOL) 33.8 5749 A032601329 MYCOCIN CREAM 73 5750 A032601335 MYCOCIN CREAM 1107 5751 A032601372 MYCOCIN CREAM 1.63 5752 A032601399 MYCOCIN CREAM A032619100 NIDOLIUM TABLET 10MG 5753 0.65 (DOMPERIDONE) "SINPHAR" A0326191G0 NIDOLIUM TABLET 10MG 5754 1.5 (DOMPERIDONE) "SINPHAR"(鋁箔/膠箔) A032624212 EUDAMYCIN INJECTION 150MG/ML 5755 21.7 (CLINDAMYCIN) "U-LIANG" A032625151 COSILY LIQUID 650MG/ML (LACTULOSE) 5756 29.3 "MEIDER" A032625157 COSILY LIQUID 650MG/ML (LACTULOSE) 5757 52 "MEIDER" A032625166 COSILY LIQUID 650MG/ML "MEIDER" 5758 252 (LACTULOSE) A032625199 COSILY LIQUID 650MG/ML (LACTULOSE) 5759 0.43 "MEIDER" A032631100 CIMETIDINE TABLETS 400MG "R.T." 5760 1 CODE 藥品名稱 A032809500 NOTAREN SUPPOSITORIED 25MG (DICLOFENAC) "PATRON" CLOMOLD CREAM 20GM A032812338 A032812372 A032812399 說明 9901 支付價 2.88 56.00 A032814100 CLOMOLD CREAM 0.5MG/GM 450GM CLOMOLD CREAM 0.5MG/GM "T.F." (CLOBETASOL PROPIONATE) MERO TABLETS 30MG A032815100 DEPRESS TABLETS "CHINTENG" 1.17 A032816100 NASCO TABLETS "H.S." 1.00 A032821100 A032825100 A032828338 EULICHAN S.C. TABLET 50MG "YUNG MENTONG TABLETS "CHINTENG" SIGEL CREAM 10MG/G (SILVER SULFADIAZINE) "C.H." SIGEL CREAM 10MG/G (SILVER SULFADIAZINE) "C.H." BETAPID TABLETS 200MG (BEZAFIBRATE) A032828399 A032830100 A032831100 A032833100 A032834100 A032848324 A032848329 A032848335 DESUMIDE TABLETS 100MG (TOLAZAMIDE) "H.S." GEMD CAPSULES 300MG (GEMFIBROZIL)"YUNG SHIN" MOLIN TABLETS 10MG (DOMPERIDONE)"T.F." DERMOSOL CREAM 0.5MG/G (CLOBETASOL) "PATRON" DERMOSOL CREAM 0.5MG/G "PATRON" 438.00 0.94 0.46 0.56 1.00 36.60 0.65 2.90 4.72 1.72 調整 0.84 24.60 調整 19.40 DERMOSOL CREAM 0.5MG/G "PATRON"(CLOBETASOL) DERMOSOL CREAM 0.5MG/G "PATRON" 30.60 0.76 A032856329 DERMOSOL CREAM 0.5MG/G (CLOBETASOL) "PATRON" MEZAIN TABLET 5MG (OXETHAZAINE) "STANDARD" ADERNAN TABLETS 50MG (HYDRALAZINE) WEICORT-N CREAM "WEIDAR" A032856399 WEICORT-N CREAM "WEIDAR" 1.28 A032876100 4.72 A032880100 A032881321 A032881329 A032881338 A032881399 A032882309 A032882321 HERBESSER TABLETS 60MG (DILTIAZEM HYDROCHLORIDE) VOLEN E.C. TABLET 50MG (DICLOFENAC) "WINSTON" AMBROXOL TABLETS 30MG "KOJAR" E.F. CREAM E.F. CREAM E.F. CREAM 20GM E.F. CREAM SALIC OINTMENT SALIC OINTMENT A032882329 SALIC OINTMENT 28.60 A032882335 SALIC OINTMENT 38.50 A032882338 SALIC OINTMENT 55.00 A032882340 SALIC OINTMENT 73.00 A032882343 SALIC OINTMENT 83.00 A032882399 SALIC OINTMENT 1.40 A032884199 CASEMYCIN GRANULES 500MG/GN (CEPHALEXIN) "T.F." 3.95 A032848338 A032848399 A032849100 A032851100 A032877100 第 125 頁,共 382 頁 57.00 0.50 1.12 39.40 1.00 調整 1.00 20.50 34.10 51.00 1.64 2,173.00 15.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 5761 A0326311G0 CIMETIDINE TABLETS 400MG "R.T."(鋁箔) 5762 A032632100 5780 SPINAX TABLETS 10.0MG (BACLOFEN) "WEIDAR" A0326321G0 SPINAX TABLETS 10.0MG (BACLOFEN) "WEIDAR"(鋁箔/膠箔) A032634338 TONDONAC GEL 10MG/GM (DICLOFENAC SODIUM) A032638500 DICLOFENAC SUPPOSITORIES 12.5MG "CHINTENG" A032640212 TIDACT INJECTION 150MG/ML (CLINDAMYCIN) A032642100 GIKO FILM-COATED TABLETS 9.6MG (GYNKGOFLAVONGLYCOSIDE)"H.S. A032648100 VESYCA FILM COATED TABLETS 150MG (RANITIDINE HYDROCHLORIDE) A032649100 SWEGA TABLETS 400MG (CIMETIDINE) A0326491G0 SWEGA TABLETS 400MG "H.S."(CIMETIDINE) (鋁箔/膠箔) A032651100 KETIFEN TABLETS 1MG (KETOTIFEN) "H.S." A032681100 DANTASE E.C. TABLET 5MG (SERRATIOPEPTIDASE) "Y.S." A032684321 VIRLESS CREAM 5% A032684399 VIRLESS CREAM 5% (ACYCLOVIR) "YUNG SHIN" A032695212 CIKETIN INJ. 150MG/ML (CIMETIDINE) "UNION" A032702100 BIPERIDEN TABLET 2MG "K.Y." A032704221 DOPAMIN (DOPAMINE) INJECTION 40MG/ML "VPP" A032705221 DOPAMIN INJECTION 10MG/ML (DOPAMINE) "VPP" A032710100 MECON TABLETS 30MG (DEXTROMETHORPHAN) "H.S." A032711100 CAPTOPRI TABLETS 12.5MG (CAPTOPRIL) 5781 A032712100 5763 5764 5765 5766 5767 5768 5769 5770 5771 5772 5773 5774 5775 5776 5777 5778 5779 5782 5783 5784 5785 5786 5787 5788 5789 5790 5791 5792 5793 5794 5795 5796 5797 5798 ENDASE E.C. TABLETS 10MG (SERRATIOPEPTIDASE) "N.K." A032716100 DOMPERAN TABLETS 10MG (DOMPERIDONE) "SWISS" A032722177 YIAUKE GRANULES 100MG/GM (MEBENDAZOLE) "T.F." A032723100 PAPIROR E.C. TABLETS 100MG (PENTOXYFYLLINE) "KYORIN" A032724100 JEFRON S.C. TABLETS 25MG "KYORIN" (DIPHENIDOL) A032729100 SHERY E.C. TABLETS 100MG (PENTOXIFYLLINE) "H.S." A0327291G0 SHERY E.C. TABLETS 100MG (PENTOXIFYLLINE) "H.S."(鋁箔/膠箔) A032736238 WILCON LYO-INJECTION 20MG (FAMOTIDINE) "UNION" A032737199 TECOSIN SOLUTION A032743335 NEO-TONFONRIN GEL 10MG/G (INDOMETHACIN) "SWISS" A032760114 ACETYLEINE GRANULES 40MG/GM "H.S." (ACETYLCYSTEINE) A032760155 ACETYLEINE GRANULES 40MG/GM "H.S." (ACETYLCYSTEINE) A032761100 MINOCYCLINE CAPSULE 100MG "PANBIOTIC" A032770100 ANTERIN E.F.C TABLETS 50MG (DICLOFENAC SODIUM) "F.S" A032774100 SUWEL TABLETS 500MG (SUCRALFATE) A032783100 PEDERCON TABLETS 200MG (FLAVOXATE) "YUNG CHI" A032785321 ACYCLOVIR CREAM 50MG/GM "U. CHU." A032785399 ACYCLOVIR CREAM 50MG/GM 100年1月 項次 支付價 5761 1.5 5762 1.04 5763 1.5 5764 36.3 5765 1.82 5766 23.7 5767 2.52 5768 2.89 1 5769 5770 1.5 5771 1 5772 1 47.8 5773 5774 5.5 5775 10 3.07 5776 5777 28.3 5778 39.2 5779 0.55 5780 5.7 5781 1 5782 0.65 5783 63 5784 1.54 5785 0.78 5786 1.13 5787 1.5 5788 56 0.11 5789 5790 32 5791 2.32 5792 108 5793 5.2 5794 0.6 1.03 5795 5796 3.8 47.3 5797 5798 3.19 說明 CODE 藥品名稱 A032885500 VAZOLE VAGINAL TABLETS 250MG (METRONIDAZOLE)"H.S." UPDOPA TABLETS 2.5MG (BROMOCRIPTINE) "JINUP" AMOXICILLIN CAPSULES 500MG "T.F." 4.00 MOLIN SUPPOSITORY 10MG (DOMPERIDONE) "T.F." ERYMYCIN FILM COATED TABLETS 500MG (ERYTHROMYCIN ESTOLATE) "T.F" GOODLUCK CREAM 0.5MG/GM (CLOBETASONE) GOOD LUCK CREAM 3.35 A032886100 A032891100 9901 支付價 4.18 1.28 新增 A032892500 A032893100 A032898330 A032898399 3.33 81.00 1.79 調整 A032917209 A032917212 A032918100 A032924100 A032925157 PIROCAM INJ. 20MG/ML (PIROXICAM) "N.K" PIROCAM INJ. 20MG/ML (PIROXICAM) NICEWE FC TAB 300MG (RANITIDINE) "N.K." SILENAL TABLETS 20MG (OXAZOLAM) "AND" KALA SOLUTION "YU SHENG" A032925199 A032926100 10.00 10.00 6.50 1.98 21.00 KALA SOLUTION "YU SHENG" DICLOFENAC E.C. TABLETS 50MG "CHINTENG" A0329261G0 DICLOFENAC E.C. TABLETS 50MG "CHINTENG"(鋁箔) A032927100 NOSCAPINE TABLETS 20MG "ROOT" A032933100 ASIR TABLETS 20MG (TIPEPIDINE) "YU SHENG" A032936100 CEPHRADINE CAPSULES 500MG "ROOT" 0.16 0.70 A032937500 2.88 A032938323 A032938329 A032938399 A032939100 A032940100 A032942100 A032943100 A032945100 A032946100 A032949100 A032950100 A032951100 A032952100 A032957100 A032958329 DICLOFEN SUPPOSITORY 25MG (DICLOFENAC) "H.S." CHEMIN OINTMENTO 0.25%(DESOXIMETASONE)"H.S." CHEMIN OINTMENTO 0.25%(DESOXIMETASONE)"H.S." CHEMIN OINTMENTO 0.25%(DESOXIMETASONE)"H.S." SINFLEX CAPSULE 500MG (CEPHALEXIN) "SINPHAR" SINFLEX CAPSULE 250MG (CEPHALEXIN) "SINPHAR" DEMIL TABLETS 2.5MG (BROMOCRIPTINE) "KOJAR" NIFAN CAPSULES 250MG (NIFLUMIC ACID) "H.S." TUENSILIN TABLETS 2.5MG (FENOTEROL)"ROOT" MINCON CAPSULES "ROOT" SUCROXINE TABLETS "ROOT" POUWEPIN TABLETS 200MG (CIMETIDINE)"ROOT" COYENPIN TABLETS 25MG (DICLOFENAC)"ROOT" PANMITIN TABLETS 100MG (TRIMETHOPRIM)"ROOT" NITROLIR S.C. TABLETS 50MG (NITROXOLINE) "Y.Y" "GRAPE" BIFONAZOLE CREAM 10MG/GM A032969100 DEANTRAN TABLETS 1MG "R.T." A0329691G0 DEANTRAN TABLETS 1MG "R.T."(鋁箔) A032970100 A032971329 第 126 頁,共 382 頁 SANTITEN TABLETS YIHFU OINTMENT 0.5MG/GM (CLOBETASOL PROPIONATE)"S.D." 1.50 0.80 0.67 3.57 38.40 66.00 3.33 1.91 1.17 4.10 2.28 1.00 新增 1.00 0.80 1.00 0.49 0.75 1.48 49.50 1.00 1.50 1.00 24.80 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 5799 5800 5801 5802 5803 5804 5805 5806 5807 5808 5809 5810 5811 5812 5813 5814 5815 5816 5817 5818 5819 5820 5821 5822 5823 5824 5825 5826 5827 5828 5829 5830 5831 5832 5833 5834 5835 5836 5837 5838 5839 CODE 藥品名稱 100年1月 項次 支付價 A032789221 UTIDINE INJECTION 10MG/ML 5799 0 (RANITIDINE) "U-LIANG" A032792229 DOPAMIN (DOPAMINE) INJECTION 5800 28.2 20MG/ML "VPP" A032800500 DICLOREN SUPPOSITORIES 5801 1.82 12.5MG(DICLOFENAC) "WEIDAR" 2.47 5802 A032801100 ALAT CAPSULES 10MG (NIFEDIPINE) A032803100 SLEEPING-DEPOT 0.25MG (TRIAZOLAM) 5803 1.6 "JINUP" A032805100 BUTANIDE TABLET 1MG (BUMETANIDE) 5804 1.58 "YUNG SINE" A032807238 SODIUM ACETATE INJECTION 2MEQ/ML 5805 15.5 "U-LIANG" A032809500 NOTAREN SUPPOSITORIED 25MG 5806 2.88 (DICLOFENAC) "PATRON" 56 5807 A032812338 CLOMOLD CREAM 20GM A032812372 CLOMOLD CREAM 0.5MG/GM 450GM 5808 438 A032812399 CLOMOLD CREAM 0.5MG/GM "T.F." 5809 0.82 (CLOBETASOL PROPIONATE) A032814100 MERO TABLETS 30MG 5810 0.46 1.17 5811 A032815100 DEPRESS TABLETS "CHINTENG" A032816100 NASCO TABLETS "H.S." 5812 1 A0328161G0 NASCO TABLETS "H.S."(鋁箔/膠箔) 5813 1.5 A032821100 EULICHAN S.C. TABLET 50MG "YUNG 5814 0.56 SINE" A032825100 MENTONG TABLETS "CHINTENG" 5815 1 A032828338 SIGEL CREAM 10MG/G (SILVER 5816 36.6 SULFADIAZINE) "C.H." A032828399 SIGEL CREAM 10MG/G (SILVER 5817 0.65 SULFADIAZINE) "C.H." 0 5818 A032830100 BETAPID TABLETS 200MG (BEZAFIBRATE) A032831100 DESUMIDE TABLETS 100MG 5819 0 (TOLAZAMIDE) "H.S." A032833100 GEMD CAPSULES 300MG 5820 1.72 (GEMFIBROZIL)"YUNG SHIN" A032834100 MOLIN TABLETS 10MG 5821 0.84 (DOMPERIDONE)"T.F." A032848324 DERMOSOL CREAM 0.5MG/G 5822 24.3 (CLOBETASOL) "PATRON" A032848329 DERMOSOL CREAM 0.5MG/G "PATRON" 5823 19.4 A032848335 DERMOSOL CREAM 0.5MG/G 5824 30.6 "PATRON"(CLOBETASOL) 57 5825 A032848338 DERMOSOL CREAM 0.5MG/G "PATRON" A032848399 DERMOSOL CREAM 0.5MG/G 5826 0.76 (CLOBETASOL) "PATRON" A032849100 MEZAIN TABLET 5MG (OXETHAZAINE) 5827 0.5 "STANDARD" 1.12 5828 A032851100 ADERNAN TABLETS 50MG A032856329 WEICORT-N CREAM "WEIDAR" 5829 39.4 1.28 5830 A032856399 WEICORT-N CREAM "WEIDAR" A032876100 HERBESSER TABLETS 60MG (DILTIAZEM 5831 4.72 HYDROCHLORIDE) A032877100 VOLEN E.C. TABLET 50MG (DICLOFENAC) 5832 1 "WINSTON" 1 5833 A032880100 AMBROXOL TABLETS 30MG "KOJAR" A0328801G0 AMBROXOL TABLETS 30MG "KOJAR"(鋁 5834 1.5 箔/膠箔) 20.5 5835 A032881321 E.F. CREAM A032881329 E.F. CREAM 5836 34.1 51 5837 A032881338 E.F. CREAM 20GM A032881399 E.F. CREAM 5838 1.64 2173 5839 A032882309 SALIC OINTMENT CODE 藥品名稱 A032971399 YIHFU OINTMENT 0.5MG/GM (CLOBETASOL PROPIONATE)"S.D." COLIBRATE TABLET 200MG (BEZAFIBRATE) "YUNG SINE" ECORT CREAM "WEIDAR" A032985100 A032988329 A032988399 A032989209 A032989221 A032990238 A033006321 ECORT CREAM "WEIDAR" MECOBAL INJECTION 0.5MG/ML(MECOBALAMIN)"T.F" MECOBAL INJECTION 0.5MG/ML(MECOBALAMIN)"T.F" FADIN LYO-INJECTION 20MG (FAMOTIDINE)"STANDARD" BETAMETHASONE CREAM "FUSENG" A033006399 A033007321 BETAMETHASONE CREAM "FUSENG" LESUMIN OINTMENT "FUSENG" (FLUOCINOLONE ACETONIDE) A033007399 LESUMIN OINTMENT "FUSENG" (FLUOCINOLONE ACETONIDE) A033022100 SUYANLEN CAPSULES 100MG "F.S." (FLUFENAMIC ACID) A033023100 SULOWEILIN TABLETS "ROOT" A033024100 INDERSHIN CAPSULES 25MG "F.S." (INDOMETHACIN) A033027100 TRICOLINE TABLETS 3MG(TRIMETOQUINO)"S.D." A033029100 ATEOL F.C.TAB. 100MG "STANDARD" (ATENOLOL) A033048100 NAPTON S.R. TABLETS 750MG (NAPROXEN) "B&F" A033049100 TALIPIN TABLET 30MG (AMBROXOL) "SWISS" A0330491G0 TALIPIN TABLET 30MG (AMBROXOL) "SWISS"(鋁箔/膠箔) A033051199 OUTCOLD SOLUTION "CHINTENG" A033052100 ANCOUGH TABLETS 100MG (OXOLAMINE CITRATE)"ROOT" A033053155 ASIR POWDER 100MG/GM (TIPEPIDINE)"Y.S" A033053199 ASIR POWDER 100MG/GM (TIPEPIDINE)"Y.S" A033054100 BROMA-DEL TABLETS 2.5MG (BROMOCRIPITINE) "CCPC" A033063321 JINRIH CREAM 50MG/GM (ACYCLOVIR) "CHINTENG" A033063399 JINRIH CREAM 50MG/GM (ACYCLOVIR) "CHINTENG" A033064100 IBUPROFEN F.C. TABLETS 400MG "KOJAR" A0330641G0 IBUPROFEN F.C. TABLETS 400MG "KOJAR" (鋁箔/膠箔) A033072212 FAMOTIDINE INJECTION 10MG/ML (FAMOTIDINE)"N.K." A033072229 FAMODINE INJECTION 10MG/ML "N.K." A033073100 CASEMYCIN CAPSULES 500MG (CEPHALEXIN) "T.F." A033074321 KENALON CREAM "T.F." A033074338 KENALON CREAM 20GM A033074399 A033079100 A033080100 KENALON CREAM "T.F." PIROXICAM TABLETS 20MG "H.S." PROTANON TABLETS 5MG "Y.S" (ALLYLESTRENOL) A033081100 KEFEN TABLETS "H.S" (KETOTIFEN) A0330811G0 KEFEN TABLETS "H.S" (KETOTIFEN)(鋁箔/ 膠箔) A033082100 ULCERBAN TABLETS 500MG A033091100 LICODIN F.C.TABLET 250MG (TICLOPIDINE)"TAIWAN TUNG YANG" A033093209 METACIN FOR INJECTION 第 127 頁,共 382 頁 說明 9901 支付價 0.95 刪除 2.89 28.10 1.20 28.80 46.40 49.40 18.70 3.74 35.10 4.20 調整 1.22 0.32 0.32 1.32 新增 2.13 5.40 1.00 1.50 0.07 0.69 刪除 刪除 340.00 3.34 4.20 調整 47.60 3.55 1.00 1.50 55.00 71.00 1.95 15.00 61.00 2.29 1.23 2.58 1.00 1.50 1.20 5.90 150.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 5840 5841 5842 A032882321 A032882329 A032882335 SALIC OINTMENT SALIC OINTMENT SALIC OINTMENT 5843 A032882338 SALIC OINTMENT 5844 A032882340 SALIC OINTMENT 5845 A032882343 SALIC OINTMENT 5846 A032882399 SALIC OINTMENT 100年1月 項次 支付價 15 5840 28.6 5841 5842 38.5 5843 55 5844 73 5845 83 5846 1.4 5847 5849 A032886100 5850 5851 A032891100 A032892500 5852 A032893100 5853 A032898330 5854 5855 A032898399 A032917209 5856 5857 5858 A032917212 A032918100 A032924100 5859 A032925157 CASEMYCIN GRANULES 500MG/GN (CEPHALEXIN) "T.F." VAZOLE VAGINAL TABLETS 250MG (METRONIDAZOLE)"H.S." UPDOPA TABLETS 2.5MG (BROMOCRIPTINE) "JINUP" AMOXICILLIN CAPSULES 500MG "T.F." MOLIN SUPPOSITORY 10MG (DOMPERIDONE) "T.F." ERYMYCIN FILM COATED TABLETS 500MG (ERYTHROMYCIN ESTOLATE) GOODLUCK CREAM 0.5MG/GM (CLOBETASONE) GOOD LUCK CREAM PIROCAM INJ. 20MG/ML (PIROXICAM) "N.K" PIROCAM INJ. 20MG/ML (PIROXICAM) NICEWE FC TAB 300MG (RANITIDINE) SILENAL TABLETS 20MG (OXAZOLAM) "AND" KALA SOLUTION "YU SHENG" 5860 A032925199 KALA SOLUTION "YU SHENG" 5861 A032926100 5848 A032884199 A032885500 5863 DICLOFENAC E.C. TABLETS 50MG "CHINTENG" A0329261G0 DICLOFENAC E.C. TABLETS 50MG "CHINTENG"(鋁箔) A032927100 NOSCAPINE TABLETS 20MG "ROOT" 5864 A032933100 5865 A032934151 ASIR TABLETS 20MG (TIPEPIDINE) "YU SHENG" LIKANCOUGH LIQUID 5866 5867 A032934157 A032934199 LIKANCOUGH LIQUID LIKANCOUGH LIQUID 5868 A032936100 CEPHRADINE CAPSULES 500MG "ROOT" 5869 A032937500 5870 A032938323 5871 A032938329 5872 A032938399 5873 A032939100 5874 A032940100 5875 A032942100 5876 A032943100 5877 A032945100 5878 A032946100 DICLOFEN SUPPOSITORY 25MG (DICLOFENAC) "H.S." CHEMIN OINTMENTO 0.25%(DESOXIMETASONE)"H.S." CHEMIN OINTMENTO 0.25%(DESOXIMETASONE)"H.S." CHEMIN OINTMENTO 0.25%(DESOXIMETASONE)"H.S." SINFLEX CAPSULE 500MG (CEPHALEXIN) "SINPHAR" SINFLEX CAPSULE 250MG (CEPHALEXIN) "SINPHAR" DEMIL TABLETS 2.5MG (BROMOCRIPTINE) "KOJAR" NIFAN CAPSULES 250MG (NIFLUMIC ACID) "H.S." TUENSILIN TABLETS 2.5MG (FENOTEROL)"ROOT" MINCON CAPSULES "ROOT" 5862 5847 3.95 5848 4 5849 4.18 1.28 5850 5851 3.35 5852 3.33 5853 81 1.79 5854 5855 10 0 5856 6.5 5857 5858 0 5859 21 5860 0.16 5861 0.7 5862 1.5 5863 0.8 5864 0.67 5865 10.3 21 5866 5867 0.15 5868 3.57 5869 2.88 5870 38.4 5871 66 5872 0 5873 1.91 5874 1.17 5875 4.1 5876 2.28 5877 1 1 5878 CODE 藥品名稱 A033149209 S-60 INJECTION (CEPHRADINE) 說明 9901 支付價 A033093277 METACIN FOR INJECTION 105.00 A033097199 AMOXICILLIN GRANULES 200MG "C.C.P." 1.17 A033098100 CIKETIN TABLETS 400MG (CIMETIDINE) 1.00 "UNION" A0330981G0 CIKETIN TABLETS 400MG (CIMETIDINE) 1.50 "UNION"(鋁箔/膠箔) A033122100 DICLOFEN ENTERIC FILM COATING 0.72 TABLETS 50MG"KOJAR"(DICLOFENAC) A0331221G0 DICLOFEN ENTERIC FILM COATING 1.50 TABLETS 50MG "KOJAR"( DICOLFENAC) (鋁箔/膠箔) A033123100 SEZOLAM CAPSULE 10MG 0.60 (OXAZOLAM)"CURIE" A033124100 ANLIPIN F.C. TABLETS 100MG 2.40 (ATENOLOL) "KOJAR" A033125100 FUCOTIN F.C. TABLETS 200MG 4.29 (FLAVOXATE) "KOJAR" A033126100 FUROL CAPSULES 10MG (BROMOPRIDE) 1.38 "KOJAR" A033128100 MEFENA 1.00 A0331281G0 MEFENA F.C. TABLETS 500MG"KOJAR" 1.50 (MEFENAMIC ACID)(鋁箔/膠箔) A033140100 FREE S.C. TABLETS 0.94 A033149277 A033153343 S-60 INJECTION (CEPHRADINE) BIOFUR ACNE LOTION 50MG/GM "SINPHAR"(SULFUR PRECIPITATED) A033157100 WEISUFU TABLETS "CHIN TENG" A0331571G0 WEISUFU TABLETS "CHIN TENG" (鋁箔) A033163100 CO-TRIZOL TABLETS "Y.C." 43.80 35.30 16.50 0.60 1.50 1.00 刪除 刪除 A033166100 BROMPHENIRAMINE MALEATE TABLETS "Y.C." SHUAYAN TABLETS 0.5MG (DEXAMETHASONE)"Y.C." ANSWET TABLETS 5MG (NITRAZEPAM) "Y.C." HEITOMIN S.C. TABLETS "Y.C." 0.25 0.60 A033194100 MENICON TABLETS 30MG (DEXTROMETHORPHAN)"Y.C." FLOUOXYMESTERONE CAPSULES 5MG (FLUOXYMESTERINE)"Y.C." MEZOLE TABLETS 100MG (MEBENDAZOLE) "Y.C." VITAMIN B COMPLEX TABLETS "Y.C." PRITHMOW TABLETS 5MG (PREDNISOLONE)"Y.C." TERICO-S F.C.TABLETS 250MG (METRONIDAZOLE) "Y.C." TRIAMCINOLONE TABLETS 4MG (TRIAMCINOLONE)"Y.C." SONZIN TABLETS 250MG (CHLORZOXAZONE)"Y.C." PARKER TABLETS 8MG (BROMHEXINE HCL)"Y.C." OROLISIN S.C. TABLETS "Y.C." A033195100 MECLIZINE HCL TABLETS 25MG "Y.C." 0.22 A033196100 HOUNOW TABLETS 15MG (CINNARIZINE)"Y.C." NALIDIXIC ACID TABLETS 500MG (NALIDIXIC ACID )"Y.C." SEPHYLLINE TABLETS 100MG (PENTOXIFYLLINE) YUETAN TABLETS 30MG (AMBROXOL)"S.D." AMBROXOL TABLETS 30MG "R.T." 0.17 A033170100 A033171100 A033172100 A033175100 A033176100 A033178100 A033182100 A033184100 A033185100 A033187100 A033190100 A033191100 0.37 0.38 0.50 0.79 0.75 1.00 0.25 新增 新增 新增 1.00 0.80 0.80 0.29 0.90 刪除 A033197100 A033201100 A033203100 A033204100 第 128 頁,共 382 頁 2.38 0.85 1.00 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 5879 A032949100 SUCROXINE TABLETS "ROOT" 5880 A032950100 5881 A032951100 5882 A032952100 5883 A032957100 5884 A032958329 POUWEPIN TABLETS 200MG (CIMETIDINE)"ROOT" COYENPIN TABLETS 25MG (DICLOFENAC)"ROOT" PANMITIN TABLETS 100MG (TRIMETHOPRIM)"ROOT" NITROLIR S.C. TABLETS 50MG (NITROXOLINE) "Y.Y" "GRAPE" BIFONAZOLE CREAM 10MG/GM 5885 5886 A032969100 DEANTRAN TABLETS 1MG "R.T." A0329691G0 DEANTRAN TABLETS 1MG "R.T."(鋁箔) 5887 A032970100 5888 A032971329 5889 A032971399 5890 A032985100 5891 5892 5893 A032988329 A032988399 A032989209 5894 A032989221 5895 A032990238 5896 A033006321 SANTITEN TABLETS 1MG(KETOTIFEN)"S.D." YIHFU OINTMENT 0.5MG/GM (CLOBETASOL PROPIONATE)"S.D." YIHFU OINTMENT 0.5MG/GM (CLOBETASOL PROPIONATE)"S.D." COLIBRATE TABLET 200MG (BEZAFIBRATE) "YUNG SINE" ECORT CREAM "WEIDAR" ECORT CREAM "WEIDAR" MECOBAL INJECTION 0.5MG/ML(MECOBALAMIN)"T.F" MECOBAL INJECTION 0.5MG/ML(MECOBALAMIN)"T.F" FADIN LYO-INJECTION 20MG (FAMOTIDINE)"STANDARD" BETAMETHASONE CREAM "FUSENG" 5897 A033006399 BETAMETHASONE CREAM "FUSENG" 5898 A033007321 5909 LESUMIN OINTMENT "FUSENG" (FLUOCINOLONE ACETONIDE) A033007399 LESUMIN OINTMENT "FUSENG" (FLUOCINOLONE ACETONIDE) A033022100 SUYANLEN CAPSULES 100MG "F.S." (FLUFENAMIC ACID) A033023100 SULOWEILIN TABLETS "ROOT" A0330231G0 SULOWEILIN TABLETS "ROOT"(鋁箔/膠箔) A033024100 INDERSHIN CAPSULES 25MG "F.S." (INDOMETHACIN) A033027100 TRICOLINE TABLETS 3MG(TRIMETOQUINO)"S.D." A033029100 ATEOL F.C.TAB. 100MG "STANDARD" (ATENOLOL) A033048100 NAPTON S.R. TABLETS 750MG (NAPROXEN) "B&F" A033049100 TALIPIN TABLET 30MG (AMBROXOL) "SWISS" A0330491G0 TALIPIN TABLET 30MG (AMBROXOL) "SWISS"(鋁箔/膠箔) A033051199 OUTCOLD SOLUTION "CHINTENG" 5910 A033052100 5899 5900 5901 5902 5903 5904 5905 5906 5907 5908 5911 5912 5913 5914 5915 5916 5917 ANCOUGH TABLETS 100MG (OXOLAMINE CITRATE)"ROOT" A033053155 ASIR POWDER 100MG/GM A033053199 ASIR POWDER 100MG/GM (TIPEPIDINE)"Y.S" A033054100 BROMA-DEL TABLETS 2.5MG (BROMOCRIPITINE) "CCPC" A033063321 JINRIH CREAM 50MG/GM (ACYCLOVIR) "CHINTENG" A033063399 JINRIH CREAM 50MG/GM (ACYCLOVIR) "CHINTENG" A033064100 IBUPROFEN F.C. TABLETS 400MG "KOJAR" A0330641G0 IBUPROFEN F.C. TABLETS 400MG "KOJAR" (鋁箔/膠箔) 100年1月 項次 支付價 5879 0.8 5880 1 5881 0.49 5882 0.75 5883 1.48 5884 49.5 1 5885 5886 1.5 5887 1 5888 23.3 5889 0.83 5890 2.89 28.3 5891 1.07 5892 5893 28.8 5894 46.4 5895 49.4 5896 18.7 5897 3.74 5898 35.1 5899 4.2 5900 1.22 0.32 5901 1.5 5902 5903 0.32 5904 1.32 5905 2.13 5906 5.4 5907 1 5908 1.5 5909 0.07 5910 0.69 340 5911 5912 3.34 5913 4.2 5914 47.6 5915 3.55 1 5916 5917 1.5 CODE 藥品名稱 A033207100 PIANT TABLETS 500MG(ACETAMINOPHEN)"ROOT" HEXOPAL TABLETS 100MG (PENTOXIPHYLLINE)"R.T" UMINON CAPSULES 100MG (MINOCYCLINE) "UNION" ACTIRIN CAPSULES 10MG (OXAZOLAM) "Y.C." TRACE ELEMENT INJECTION "C.C.P.C" A033208100 A033214100 A033220100 A033223229 A033224100 說明 9901 支付價 0.19 0.80 5.20 0.90 95.00 A033237100 DILTISSER TABLETS 30MG (DILTIAZEM HYDROCHLORIDE) "C.C.C.P." CEFSPAN CAPSULE 100MG (CEFIXIME) JINFSONE CREAM 0.5MG/GM (CLOBETASOL) "YUNG SINE" PEJITUSSIN SYRUP 20 MG/ML (GUAIFENESIN) "P.J." PREDNISOLONE S.C. TABLETS 5NG "F.S." A033253329 E-FLOW CREAM "M.T." 8.30 A033253335 E-FLOW CREAM "M.T." 47.30 A033258321 A033258329 A033258335 BETAMAZOLE CREAM 5GM BETAMAZOLE CREAM "GCPC" BETAMAZOLE CREAM "GCPC" 21.00 42.10 43.40 A033258338 BETAMAZOLE CREAM "GCPC" 74.00 A033258399 BETAMAZOLE CREAM "GCPC" 0.86 A033260221 A033268100 TRANEXAMIC ACID INJECTION 100MG/ML "ASTAR" PROGESTERONE INJECTION 50MG/ML "ASTAR" PROGESTERONE INJECTION 50MG/ML "ASTAR" E-LICON CAPSULES A033269100 BUZETIN CAPSULES 0.91 A033270100 A033271100 A033272100 KOPIN TABLETS BISUMIN-G TABLETS IPRON TABLETS 0.91 0.72 0.91 A033274100 ANCOUGH CAPSULES 3.96 A033282338 LIFULIN OINTMENT "M.T." A033285151 FUSOSHU SYRUP "M.T" 20.00 A033285199 FUSOSHU SYRUP "M.T." 0.15 A033288329 FLUSIN CREAM 0.05% 10GM "M.T" A033292100 COMFORT TABLETS 500MG (ASPIRIN)"MEIDER" SERIL-K S.C. TABLETS A033225100 A033226329 A033227199 1.45 7.70 19.40 0.11 0.30 調整 調整 A033261209 A033261229 A033303100 A033304100 A033321212 10.20 5.30 40.20 3.53 111.00 68.00 0.58 1.50 IBUPROFEN F.C. TABLETS 400MG "C.H." NICEWE INJECTION 25MG/ML "N.K." (RANITIDINE HYDROCHLORIDE) GENTAMYCIN INJECTION 140MG/ML "T.F" 1.00 40.20 93.00 A033377321 GENTAMYCIN INJECTION 140MG/ML "T.F." URESON CREAM A033377329 A033377335 URESON CREAM URESON CREAM 21.00 63.00 A033376212 A033376229 第 129 頁,共 382 頁 調整 調整 23.90 13.40 新增 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 5918 A033072212 5919 5920 A033072229 A033073100 5921 5922 A033074321 A033074338 FAMOTIDINE INJECTION 10MG/ML (FAMOTIDINE)"N.K." FAMODINE INJECTION 10MG/ML "N.K." CASEMYCIN CAPSULES 500MG (CEPHALEXIN) "T.F." KENALON CREAM "T.F." KENALON CREAM 20GM 5923 A033074399 KENALON CREAM "T.F." 5924 5925 A033079100 PIROXICAM TABLETS 20MG "H.S." A0330791G0 PIROXICAM TABLETS 20MG "H.S."(鋁箔/膠 箔) A033080100 PROTANON TABLETS 5MG "Y.S" (ALLYLESTRENOL) A033081100 KEFEN TABLETS "H.S" (KETOTIFEN) 5926 5927 5928 5929 5930 5931 5932 5933 5934 5935 5936 5937 5938 5939 5940 5941 5942 5943 A0330811G0 KEFEN TABLETS "H.S" (KETOTIFEN)(鋁箔/ 膠箔) A033082100 ULCERBAN TABLETS 500MG (SUCRALFATE) A033091100 LICODIN F.C.TABLET 250MG (TICLOPIDINE)"TAIWAN TUNG YANG" A033093209 METACIN FOR INJECTION A033093277 METACIN FOR INJECTION (CEFMETAZOLE) A033097199 AMOXICILLIN GRANULES 200MG "C.C.P." A033098100 CIKETIN TABLETS 400MG (CIMETIDINE) "UNION" A0330981G0 CIKETIN TABLETS 400MG (CIMETIDINE) "UNION"(鋁箔/膠箔) A033122100 DICLOFEN ENTERIC FILM COATING TABLETS 50MG"KOJAR"(DICLOFENA A0331221G0 DICLOFEN ENTERIC FILM COATING TABLETS 50MG "KOJAR"( DICOLF A033123100 SEZOLAM CAPSULE 10MG (OXAZOLAM)"CURIE" A033124100 ANLIPIN F.C. TABLETS 100MG (ATENOLOL) "KOJAR" A033125100 FUCOTIN F.C. TABLETS 200MG (FLAVOXATE) "KOJAR" A033126100 FUROL CAPSULES 10MG (BROMOPRIDE) "KOJAR" A033128100 MEFENA 5944 5945 5946 A0331281G0 MEFENA F.C. TABLETS 500MG"KOJAR" (MEFENAMIC ACID)(鋁箔/膠 A033140100 FREE S.C. TABLETS A033149209 S-60 INJECTION (CEPHRADINE) A033149277 S-60 INJECTION (CEPHRADINE) 5947 A033153343 5948 A033157100 5949 5950 A0331571G0 WEISUFU TABLETS "CHIN TENG" (鋁箔) A033163100 CO-TRIZOL TABLETS "Y.C." 5951 A033166100 5952 A033170100 5953 A033171100 5954 A033172100 5955 A033175100 5956 A033176100 BIOFUR ACNE LOTION 50MG/GM "SINPHAR"(SULFUR PRECIPITATED) WEISUFU TABLETS "CHIN TENG" BROMPHENIRAMINE MALEATE TABLETS "Y.C." SHUAYAN TABLETS 0.5MG (DEXAMETHASONE)"Y.C." ANSWET TABLETS 5MG (NITRAZEPAM) "Y.C." HEITOMIN S.C. TABLETS "Y.C." MENICON TABLETS 30MG (DEXTROMETHORPHAN)"Y.C." FLOUOXYMESTERONE CAPSULES 5MG (FLUOXYMESTERINE)"Y.C." 100年1月 項次 支付價 5918 55 71 5919 5920 1.95 15 5921 5922 61 5923 2.11 1.22 5924 5925 1.5 5926 2.58 5927 1 5928 1.5 5929 1.2 5930 0 150 5931 5932 105 0 5933 5934 1 5935 1.5 5936 0.72 5937 1.5 5938 0.6 5939 2.4 5940 4.29 5941 1.38 5942 1 5943 1.5 0.94 5944 43.8 5945 5946 35.3 5947 16.5 5948 0.6 1.5 5949 5950 1 5951 0.25 5952 0.37 5953 0.38 5954 0.5 5955 0.6 5956 0.79 CODE 藥品名稱 A033377336 URESON CREAM A033377399 A033380100 URESON CREAM FUCON TABLETS 100MG (PENTOXIFYLLINE) "Y.C." A033382100 CLINDAMYCIN CAPSULES 150MG "T.F" A033383335 ETOFEN CREAM 100MG/GM (ETOFENAMATE)"Y.S" A033387100 SURIN TABLETS 200MG (SULPIRIDE) "YU SHENG" A033388100 EUGEN TABLETS "YU SHENG" A033389100 DEGISON CAPSULES 25MG "KOJAR" (DANTROLENE) A033390100 SOMILIN TABLETS 0.25MG (TRIAZOLAM)"KOJAR" A033391100 ANCOU TABLETS 15MG (DEXTROMETHORPHAN)"KOJAR" A033392100 SILYCON CAPSULES 150MG (SILYMARIN)"AND" A033411100 ANCOU TABLETS 30MG (DEXTROMETHORPHAN)"KOJAR" A0334111G0 ANCOU TABLETS 30MG (DEXTROMETHORPHAN)"KOJAR"(鋁箔/膠 A033415100 AMBROXOL TABLETS 30MG "SINPHAR" A0334151G0 AMBROXOL TABLETS 30MG "SINPHAR"(鋁箔/膠箔) A033423100 TOFILLINE 100MG S.C. TABLETS "S.L." A033425266 SUNNYTOL INFUSION 20% (MANNITOL)"N.K" A033426100 IBUPROFEN S.C. TABLET 200MG "WINSTON" A033429238 PITRESSIN 20 UNITS/AMP 說明 9901 支付價 56.00 1.52 1.61 1.46 38.10 4.04 1.00 6.20 1.94 0.37 2.14 0.75 1.50 刪除 1.00 1.50 1.05 45.20 0.50 325.00 A033433100 SINSULIN CAPSULES 10MG "ASTAR" 1.00 A033434100 KETOFEN CAPSULES 50MG "SINTON" (KETOPROFEN) CIMETIDINE TABLETS 200MG "ASTAR" 1.08 CIMETIDINE INJECTION 100MG/ML "ASTAR" MITOXANTRONE INJECTION 2MG/ML "KINGDOM" MITOXANTRONE INJECTION 2MG/ML "KINGDOM" PIROCAN 0.5% GEL "S.Y." 6.20 A033435100 A033436212 A033445229 A033445299 A033447338 A033448100 A033449100 A033453100 A033456209 A033456212 A033457100 A033459100 A033460100 A033461100 A033468100 COSIN CAPSULES "W.P." NAPROXEN 250MG TABLETS "Y.S." MECOMIN CAPSULES 0.5MG (MECOBALAMIN)"Y.C." UZOLIN INJECTION (CEPHAZOLIN SODIUM)"UNION" UZOLIN INJ. 2GM (CEPHAZOLIN SODIUM) "UNION" CLINDAMYCIN CAPSULES 150MG "C.C.P." NOXACIN CAPSULES 100MG (NORFLOXACIN)"GENTLE" NOXACIN CAPSULES 400MG (NORFLOXACIN) "GENTLE" FENOTIN TABLETS 2.5MG "S.L." 1.00 2,654.00 265.00 37.20 1.04 1.22 2.88 24.00 87.00 1.46 2.32 40.80 0.80 A033472329 SILIMIN CAPSULES 150MG (SILYMARIN) "KOJAR" BORYMYCIN CAPSULES 100MG (MINOCYCLINE) YUREA CREAM "YU SHENG" 21.00 A033474221 GETWAY 10MG INJ. (RANITIDINE)"SWISS" 40.50 A033471100 第 130 頁,共 382 頁 調整 調整 2.10 6.30 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 5957 5958 5959 5960 5961 5962 5963 5964 5965 5966 5967 5968 5969 5970 5971 5972 5973 5974 5975 5976 5977 5978 5979 5980 5981 5982 5983 5984 5985 5986 5987 5988 5989 5990 5991 5992 5993 5994 CODE 藥品名稱 100年1月 項次 支付價 A033178100 MEZOLE TABLETS 100MG 5957 0.75 (MEBENDAZOLE) "Y.C." A033180100 SU KU TA TABLETS "Y.C." 5958 0.5 1 5959 A033182100 VITAMIN B COMPLEX TABLETS "Y.C." A033184100 PRITHMOW TABLETS 5MG 5960 0.25 (PREDNISOLONE)"Y.C." A033185100 TERICO-S F.C.TABLETS 250MG 5961 1 (METRONIDAZOLE) "Y.C." A033187100 TRIAMCINOLONE TABLETS 4MG 5962 0.8 (TRIAMCINOLONE)"Y.C." A033190100 SONZIN TABLETS 250MG 5963 0.8 (CHLORZOXAZONE)"Y.C." A033191100 PARKER TABLETS 8MG (BROMHEXINE 5964 0.29 HCL)"Y.C." A033194100 OROLISIN S.C. TABLETS "Y.C." 5965 0.9 0.22 5966 A033195100 MECLIZINE HCL TABLETS 25MG "Y.C." A033196100 HOUNOW TABLETS 15MG 5967 0.17 (CINNARIZINE)"Y.C." A033197100 NALIDIXIC ACID TABLETS 500MG 5968 2.38 (NALIDIXIC ACID )"Y.C." A033201100 SEPHYLLINE TABLETS 100MG 5969 0.85 (PENTOXIFYLLINE) A033203100 YUETAN TABLETS 30MG 5970 1 (AMBROXOL)"S.D." 1 5971 A033204100 AMBROXOL TABLETS 30MG "R.T." A0332041G0 AMBROXOL TABLETS 30MG "R.T."(鋁箔/膠 5972 1.5 箔) A033207100 PIANT TABLETS 5973 0.19 500MG(ACETAMINOPHEN)"ROOT" A033208100 HEXOPAL TABLETS 100MG 5974 0.8 (PENTOXIPHYLLINE)"R.T" A033214100 UMINON CAPSULES 100MG 5975 5.2 (MINOCYCLINE) "UNION" A033220100 ACTIRIN CAPSULES 10MG (OXAZOLAM) 5976 0.9 "Y.C." 95 5977 A033223229 TRACE ELEMENT INJECTION "C.C.P.C" A033224100 DILTISSER TABLETS 30MG "C.C.C.P." 5978 1.45 (DILTIAZEM HYDROCHLORIDE) A0332241G0 DILTISSER TABLETS 30MG (DILTIAZEM 5979 1.5 HYDROCHLORIDE) "C.C.P."( A033225100 CEFSPAN CAPSULE 100MG (CEFIXIME) 5980 7.7 A033226329 JINFSONE CREAM 0.5MG/GM 5981 19.4 (CLOBETASOL) "YUNG SINE" A033227199 PEJITUSSIN SYRUP 20 MG/ML 5982 0.11 (GUAIFENESIN) "P.J." A033237100 PREDNISOLONE S.C. TABLETS 5NG "F.S." 5983 0.3 8.3 5984 A033253329 E-FLOW CREAM "M.T." A033253335 E-FLOW CREAM "M.T." 5985 47.3 A033258321 BETAMAZOLE CREAM 5GM 5986 21 A033258329 BETAMAZOLE CREAM "GCPC" 5987 42.1 A033258335 BETAMAZOLE CREAM "GCPC" 5988 43.4 A033258338 BETAMAZOLE CREAM "GCPC" 5989 74 A033258399 BETAMAZOLE CREAM "GCPC" 5990 0.78 A033260221 TRANEXAMIC ACID INJECTION 100MG/ML 5991 10.2 "ASTAR" A033260229 TRANEXAMIC ACID INJECTION 100MG/ML 5992 35.2 "ASTAR" A033261209 PROGESTERONE INJECTION 50MG/ML 5993 5.3 "ASTAR" A033261229 PROGESTERONE INJECTION 50MG/ML 5994 40.2 "ASTAR" CODE 藥品名稱 A033476100 GEMNPID CAPSULE 300MG (GEMFIBROZIL) "C.C.P.C" CLINCIN CAPSULES 150MG (CLINDAMYCIN)"TAIWAN TUNG YANG" KETOPROFEN INJECTION 50MG/ML COFEDENIN TABELTS 22.14MG (TIPEPIDINE HIBENZATE) "C.J." DANAZOL CAPSULES 200MG "SINTON" A033480100 A033487212 A033489100 A033490100 A033491199 說明 9901 支付價 1.59 1.46 新增 7.20 0.80 13.00 CEPHALIN GRANULES 500MG (CEPHALEXIN MONOHYDRATE) GENUPROXIN TABLETS 250MG (NAPROXEN) "GCPC" SALBUTAMOL TABLETS 4MG "SINPHAR" 3.48 UCOLAR CAPSULES 100MG(TOCOPHEROL NICOTINATE)"SINPHAR" COLD CAPSULES "SINPHAR" CINNARIZINE CAPSULES 25MG "SINPHAR" 0.73 RONGIFENE TABLETS 50MG (BUCLIZINE)"SINPHAR" IBUPROFEN TABLETS 400MG "SINPHAR" 0.72 A0335041G0 IBUPROFEN TABLETS 400MG "SINPHAR"(鋁箔/膠箔) A033506100 OXELADINE TABLETS 20MG "SINPHAR" A033510100 RIBRIN CAPSULES 10MG (CHLORDIAZEPOXIDE HCL)"SINPHAR" A033511100 TSUNG YAN S.C. TABLETS "SINPHAR" 1.50 A033513100 CIPHMIN TABLETS "SINPHAR " 0.45 A033518100 1.00 A033520329 AN ANTLER HORMON CAPSULES "SINPHAR" RINA OINTMENT "SINPHAR" A033529100 A033531100 ANETHOLE CAPSULES 25MG "SINPHAR" LYSOZYME TABLETS 90MG "SINPHAR" 0.67 1.00 A033532100 ANPIRIN TABLETS "SINPHAR" 0.50 A033533100 1.30 A033547212 ETHAVERINE CAPSULES 100MG (ETHAVERINE HCL)"SINPHAR" N-METHYLSCOPOLAMINE METHYLSULFATE S.C TABLETS 1MG NITROFURAZONE OINTMENT 2MG/GM "SINPHAR" NITROFURAZONE OINTMENT 2MG/GM "SINPHAR" PROHEPAM CAPSULES "SINPHAR" RECEF CAPSULE 250MG (CEPHRADINE)"PURZER" ORALOG ORABASE 1MG/GM (TRIAMCINOLONE)"PURZER" ORALOG ORABASE 1MG/GM "PURZER"(TRIAMCINOLONE) MEPHAN TABLET 30MG (DEXTROMETHORPHAN) "PURZER" CLOFEN E.C TABLET 50MG (DICLOFENAC)"PURZER" CLOFEN E.C TABLET 25MG (DICLOFENAC)"PURZER" ANTHIMIN INJECTION "T.F." A033548212 C-B COMPLEX INJECTION "T.F." 1.80 A033549238 NEO METHION B INJECTION "T.F." 3.50 A033551100 DIAZEPAM TABLETS 2MG "SINPHAR" 0.20 A033493100 A033495100 A033496100 A033497100 A033498100 A033502100 A033504100 A033534100 A033536372 A033536399 A033537100 A033540100 A033541421 A033541423 A033544100 A033545100 A033546100 1.23 0.52 1.17 0.50 1.00 0.40 0.29 新增 0.45 27.90 0.60 329.00 0.29 1.44 2.48 25.40 43.80 1.00 1.00 1.00 調整 3.86 新增 第 131 頁,共 382 頁 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 5995 5996 5997 5998 5999 6000 6001 6002 6003 6004 6005 6006 6007 6008 6009 6010 6011 6012 6013 6014 6015 6016 6017 6018 6019 6020 6021 6022 6023 6024 6025 6026 6027 6028 6029 6030 6031 6032 6033 6034 6035 CODE 藥品名稱 100年1月 項次 支付價 A033268100 E-LICON CAPSULES 5995 3.53 0.91 5996 A033269100 BUZETIN CAPSULES A033270100 KOPIN TABLETS 5997 0.91 A033271100 BISUMIN-G TABLETS 5998 0.72 0.91 5999 A033272100 IPRON TABLETS 3.96 6000 A033274100 ANCOUGH CAPSULES 111 6001 A033282338 LIFULIN OINTMENT "M.T." 20 6002 A033285151 FUSOSHU SYRUP "M.T" A033285199 FUSOSHU SYRUP "M.T." 6003 0.15 68 6004 A033288329 FLUSIN CREAM 0.05% 10GM "M.T" A033292100 COMFORT TABLETS 500MG 6005 0.58 (ASPIRIN)"MEIDER" 0 6006 A033303100 SERIL-K S.C. TABLETS A033304100 IBUPROFEN F.C. TABLETS 400MG "C.H." 6007 1 A033321212 NICEWE INJECTION 25MG/ML "N.K." 6008 40.2 (RANITIDINE HYDROCHLORIDE) 23.9 6009 A033376212 GENTAMYCIN INJECTION 140MG/ML "T.F" A033376229 GENTAMYCIN INJECTION 140MG/ML 6010 0 "T.F." A033377321 URESON CREAM 6011 13.4 A033377329 URESON CREAM 6012 21 A033377335 URESON CREAM 6013 63 A033377336 URESON CREAM 6014 56 A033377399 URESON CREAM 6015 1.52 A033380100 FUCON TABLETS 100MG 6016 1.61 (PENTOXIFYLLINE) "Y.C." 1.46 6017 A033382100 CLINDAMYCIN CAPSULES 150MG "T.F" A033383335 ETOFEN CREAM 100MG/GM 6018 38.1 (ETOFENAMATE)"Y.S" A033387100 SURIN TABLETS 200MG (SULPIRIDE) "YU 6019 4.04 SHENG" A033388100 EUGEN TABLETS "YU SHENG" 6020 1 A033389100 DEGISON CAPSULES 25MG "KOJAR" 6021 6.2 (DANTROLENE) A033390100 SOMILIN TABLETS 0.25MG 6022 1.94 (TRIAZOLAM)"KOJAR" A033391100 ANCOU TABLETS 15MG 6023 0.37 (DEXTROMETHORPHAN)"KOJAR" A033392100 SILYCON CAPSULES 150MG 6024 2.14 (SILYMARIN)"AND" A033411100 ANCOU TABLETS 30MG 6025 0.75 (DEXTROMETHORPHAN)"KOJAR" A0334111G0 ANCOU TABLETS 30MG 6026 1.5 (DEXTROMETHORPHAN)"KOJAR"(鋁箔/膠 A033415100 AMBROXOL TABLETS 30MG "SINPHAR" 6027 1 A0334151G0 AMBROXOL TABLETS 30MG 6028 1.5 "SINPHAR"(鋁箔/膠箔) 1.05 6029 A033423100 TOFILLINE 100MG S.C. TABLETS "S.L." A033425266 SUNNYTOL INFUSION 20% 6030 45.2 (MANNITOL)"N.K" A033426100 IBUPROFEN S.C. TABLET 200MG 6031 0.5 "WINSTON" A033429238 PITRESSIN 20 UNITS/AMP 6032 325 A033433100 SINSULIN CAPSULES 10MG "ASTAR" 6033 1 A033434100 KETOFEN CAPSULES 50MG "SINTON" 6034 0 (KETOPROFEN) 1 6035 A033435100 CIMETIDINE TABLETS 200MG "ASTAR" CODE 藥品名稱 A033553100 PRIPERIM S.C. TABLETS 10MG "SINPHAR"(METOCLOPRAMIDE) A033554100 INDOMETHACIN CAPSULES 25MG A033557100 METRONIDAZOLE TABLETS 250MG "SINPHAR" A0335571G0 METRONIDAZOLE TABLETS 250MG "SINPHAR"(鋁箔/膠箔) A033558212 NEO HUSTEN INJECTION "T. F." A033560212 BERBENOL INJECTION "T.F." A033561221 ANTI-ULCER INJECTION "T.F." A033562238 GLUCRON DEXTROSE INJECTION "T.F." A033563212 ANTICO INJECTION 5MG/ML (DEXTROMETHORPHAN) "T.F." A033564212 OBALLERGEN-H INJECTION "T.F." A033566209 RE-HISTAMIN INJECTION 30MG/ML (DIPHENHYDRAMINE)"T.F." A033567209 PHENOATO INJECTION "T.F." A033569212 DIPHYLLIN M INJECTION 150MG/ML (DIPROPHYLLINE)"T.F." A033571248 RND LYO-INJECTION 50MG (RANITIDINE) "STANDARD" A033572212 CLINDAMYCIN INJECTION 150MG A033578338 CLOMOLD OINTMENT 0.5MG/GM (CLOBETASOL PROPIONATE) "T.F." A033578399 CLOMOLD OINTMENT 0.5MG/GM (CLOBETASOL PROPIONATE) "T.F." A033582238 SODIUM ACETATE INJECTION 4MEQ/ML "KINGDOM" A033583229 PROPOR INJECTION 0.1% (PROTOPORPHYRIN)"T.F." A033584212 MYANESIN INJECTION 100MG/ML (MEPHENESIN)"T.F." A033585209 OBNAUSEANT INJECTION 5MG/ML (PERPHENAZINE)"T.F." A033586238 SALSOBROCAROSE INJECTION "T.F." A033587157 A033587199 VITAFONCAL GRANULES VITAFONSCAL GRANULES A033588100 URIBRONE TABELETS 50MG "W.P." A033589212 A033591100 RANNINE INJECTION 25MG/ML (RANITIDINE)"S.Y." DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) DEVIRUS CREAM 50MG/G (ACYCLOVIR) "WINSTON" DEVIRUS CREAM 50MG/G (ACYCLOVIR) "WINSTON" DEVIRUS CREAM 50MG/G (ACYCLOVIR) "WINSTON" DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) DEVIRUS CREAM 50MG/G(ACYCLOVIR) DEVIRUS CREAM 50MG/G (ACYCLOVIR) "WINSTON" DEVIRUS CREAM 50MG/G (ACYCLOVIR) "WINSTON" DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) THIAMPHENICOL CAPSULES 250MG "Y.C." A033592100 HINICOL CAPSULES 250MG A033590312 A033590316 A033590317 A033590319 A033590321 A033590323 A033590325 A033590326 A033590329 A033590355 A033590372 A033590377 A033590399 說明 9901 支付價 0.34 0.46 1.00 1.50 3.26 3.44 3.62 3.17 2.56 7.00 1.25 1.81 5.00 刪除 40.30 19.90 56.00 刪除 0.97 28.00 13.90 8.70 3.65 10.00 46.70 0.38 2.11 41.10 48.10 43.70 54.00 17.50 41.30 41.30 58.00 56.00 42.00 437.00 913.00 1,462.00 2.03 1.65 刪除 第 132 頁,共 382 頁 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6036 A033436212 6037 A033445229 6038 A033445299 6039 6040 A033447338 A033448100 CIMETIDINE INJECTION 100MG/ML "ASTAR" MITOXANTRONE INJECTION 2MG/ML "KINGDOM" MITOXANTRONE INJECTION 2MG/ML "KINGDOM" PIROCAN 0.5% GEL "S.Y." COSIN CAPSULES "W.P." 6041 A033449100 NAPROXEN 250MG TABLETS "Y.S." 6042 A033453100 6043 A033456209 6044 A033456212 6045 A033457100 MECOMIN CAPSULES 0.5MG (MECOBALAMIN)"Y.C." UZOLIN INJECTION (CEPHAZOLIN SODIUM)"UNION" UZOLIN INJ. 2GM (CEPHAZOLIN SODIUM) "UNION" CLINDAMYCIN CAPSULES 150MG "C.C.P." 6046 A033459100 6047 A033460100 6048 6049 A033461100 A033468100 6050 A033471100 6051 6052 A033472329 A033474221 6053 A033476100 6054 A033480100 6055 A033487212 6056 A033489100 6057 A033490100 6058 A033491199 6059 A033493100 6060 A033495100 6061 A033496100 6062 6063 6064 A033497100 A033498100 A033502100 6065 A033504100 6066 6067 A0335041G0 IBUPROFEN TABLETS 400MG "SINPHAR"(鋁箔/膠箔) A033506100 OXELADINE TABLETS 20MG "SINPHAR" 6068 A033510100 6069 6070 A033511100 A033513100 6071 A033518100 6072 6073 6074 A033520329 A033529100 A033531100 NOXACIN CAPSULES 100MG (NORFLOXACIN)"GENTLE" NOXACIN CAPSULES 400MG (NORFLOXACIN) "GENTLE" FENOTIN TABLETS 2.5MG "S.L." SILIMIN CAPSULES 150MG (SILYMARIN) "KOJAR" BORYMYCIN CAPSULES 100MG (MINOCYCLINE) YUREA CREAM "YU SHENG" GETWAY 10MG INJ. (RANITIDINE)"SWISS" GEMNPID CAPSULE 300MG (GEMFIBROZIL) "C.C.P.C" CLINCIN CAPSULES 150MG (CLINDAMYCIN)"TAIWAN TUNG YANG" KETOPROFEN INJECTION 50MG/ML "ASTAR" COFEDENIN TABELTS 22.14MG (TIPEPIDINE HIBENZATE) "C.J." DANAZOL CAPSULES 200MG "SINTON" CEPHALIN GRANULES 500MG (CEPHALEXIN MONOHYDRATE) GENUPROXIN TABLETS 250MG (NAPROXEN) "GCPC" SALBUTAMOL TABLETS 4MG "SINPHAR" UCOLAR CAPSULES 100MG(TOCOPHEROL NICOTINATE)"SINPHAR" COLD CAPSULES "SINPHAR" CINNARIZINE CAPSULES 25MG "SINPHAR" RONGIFENE TABLETS 50MG (BUCLIZINE)"SINPHAR" IBUPROFEN TABLETS 400MG "SINPHAR" RIBRIN CAPSULES 10MG (CHLORDIAZEPOXIDE HCL)"SINPHAR" TSUNG YAN S.C. TABLETS "SINPHAR" CIPHMIN TABLETS "SINPHAR " AN ANTLER HORMON CAPSULES "SINPHAR" RINA OINTMENT "SINPHAR" ANETHOLE CAPSULES 25MG "SINPHAR" LYSOZYME TABLETS 90MG "SINPHAR" 100年1月 項次 支付價 6036 6.2 6037 2654 6038 265 37.2 6039 6040 1.04 6041 1.19 6042 2.88 6043 24 6044 87 6045 1.46 6046 2.32 6047 40.8 0.8 6048 6049 2.1 6050 6.3 21 6051 6052 40.5 6053 1.59 6054 1.46 6055 7.2 6056 0.8 6057 0 6058 3.48 6059 1.23 6060 0.52 6061 0.73 1.17 6062 0.5 6063 6064 0.72 6065 1 6066 1.5 6067 0.4 6068 0.29 0.45 6069 6070 0.45 6071 1 27.9 6072 0.67 6073 6074 1 CODE 說明 A033595212 9901 支付價 TRANEXAMIC ACID INJECTION 50MG/ML 10.00 "T.F." METOPERAN INJECTION 5MG/ML 4.00 (METOCLOPRAMIDE)"T.F." FUROSEMIDE INJECTION 10MG/ML "T.F." 4.00 A033597212 A033598209 4.00 5.00 A033593211 A033594212 藥品名稱 DIAZEPAM INJECTION 5MG/ML "T.F." PAOSU COAN INJECTION 20MG/ML (SCOPOLAMINE)"T.F." A033664100 MESYREL TABLETS 50MG (TRAZODONE HYDROCHLORIDE)"M.S." A033675100 DECLOT F.C. TABLETS 100MG (TICLOPIDINE)"WEIDAR" A033676100 MULAX TABLETS 10MG (BACLOFEN) "TAIWAN TUNG YANG" A033677335 FORMAX GEL 10MG/GM (DICLOFENAC SODIUM) "SHITEH" A033677338 FORMAX GEL 10MG/GM (DICLOFENAC SODIUM) "SHITEH" A033677343 FORMAX GEL "SHITEH" 10MG/GM(DICLOFENAC SODIUM) A033698209 VETERIN (CEFAZOLIN) FOR INJECTION "VPP" A033698277 VETERIN (CEFAZOLIN) FOR INJECTION A033699100 VOREN ENTERIC-MICROENCAPSULATED CAPSULES 50MG (DICLOFENAC) A0336991G0 VOREN ENTERIC-MICROENCAPSULATED CAPSULES 50MG (DICLOFENAC)(鋁箔/膠 A033700238 PLUSAMIN INJECTION "T.F." A033701100 MEFENA CAPSULES 250MG (MEFENAMIC ACID) "KOJAR" A033729329 ISORADIN CREAM "YUNG SHIN" 3.24 調整 4.77 1.10 32.30 36.30 40.30 24.00 10.50 1.29 1.50 8.60 0.50 33.80 A033729399 ISORADIN CREAM "YUNG SHIN" A033730309 A033740299 MYCOSON CREAM 10MG/GM "S.Y." (BIFONAZOLE) MYCOSON CREAM 10MG/G (S.Y.) (BIFONAZOLE) MYCOSON CREAM 10MG/GM "S.Y." (BIFONAZOLE) CEGELIN TABLETS 200MG (BEZAFIBRATE) "YUNG CHI" DEVIRO OPHTHALMIC OINTMENT 3% (ACYCLOVIR) "KINGDOM" DEVIRO OPHTHALMIC OINTMENT 3% (ACYCLOVIR) "KINGDOM" HINICOL INJECTION A033757238 A033758212 A033760212 GLUCOSE INJECTION 50% "T.F." TAURINE B INJECTION "T.F." ANTIDOTALGEN INJECTION "T.F." 2.97 2.72 3.00 A033761209 EPIRENAMIN HYDROCHLORIDE INJECTION 1MG/ML (EPINEPHRINE)"T.F." ATROPINE SULFATE INJECTION 1MG/ML "T.F." CAFFEINE & SODIUM BENZOATE INJECTION 100MG/ML "T.F." OUABAIN INJECTION 0.075MG/ML "T.F." 2.43 A033730329 A033730399 A033733100 A033738320 A033738321 A033763209 A033766212 A033771209 A033773209 A033773229 TUNNACORT INJECTION 40MG/ML"T.F" TUNNACORT INJECTION 40MG/ML (TRIAMCINOLONE)"T.F." A033774100 DAILY-PLUS CHEWABLE TABLET 0.5MG (HYDROXOCOBALAMIN ACETATE A033822100 ISOPERDINE TABLETS 40MG "S.L." A033823100 PREDNISOLONE 5MG TABLETS "Y.Y." A0338231G0 PREDNISOLONE 5MG TABLETS "Y.Y." (鋁 箔/膠箔) 第 133 頁,共 382 頁 1.63 1,882.00 80.00 1.88 刪除 2.69 463.00 195.00 1.88 1.45 7.80 6.50 19.80 69.00 1.37 0.97 0.71 1.50 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 6075 6076 6077 6078 6079 6080 6081 6082 6083 6084 6085 6086 6087 6088 6089 6090 6091 6092 6093 6094 6095 6096 6097 6098 6099 6100 6101 6102 6103 6104 6105 6106 6107 6108 6109 6110 6111 CODE 藥品名稱 100年1月 項次 支付價 A033532100 ANPIRIN TABLETS "SINPHAR" 6075 0.5 A033533100 ETHAVERINE CAPSULES 100MG 6076 1.3 (ETHAVERINE HCL)"SINPHAR" A033534100 N-METHYLSCOPOLAMINE 6077 0.6 METHYLSULFATE S.C TABLETS 1MG A033536372 NITROFURAZONE OINTMENT 2MG/GM 6078 329 "SINPHAR" A033536399 NITROFURAZONE OINTMENT 2MG/GM 6079 0.29 "SINPHAR" A033537100 PROHEPAM CAPSULES "SINPHAR" 6080 1.44 A033540100 RECEF CAPSULE 250MG 6081 2.48 (CEPHRADINE)"PURZER" A033541421 ORALOG ORABASE 1MG/GM 6082 25.4 (TRIAMCINOLONE)"PURZER" A033541423 ORALOG ORABASE 1MG/GM 6083 43.8 "PURZER"(TRIAMCINOLONE) A033544100 MEPHAN TABLET 30MG 6084 1 (DEXTROMETHORPHAN) "PURZER" A033545100 CLOFEN E.C TABLET 50MG 6085 1 (DICLOFENAC)"PURZER" A033546100 CLOFEN E.C TABLET 25MG 6086 1 (DICLOFENAC)"PURZER" 3.86 6087 A033547212 ANTHIMIN INJECTION "T.F." 1.8 6088 A033548212 C-B COMPLEX INJECTION "T.F." 3.5 6089 A033549238 NEO METHION B INJECTION "T.F." A033551100 DIAZEPAM TABLETS 2MG "SINPHAR" 6090 0.2 A033553100 PRIPERIM S.C. TABLETS 10MG 6091 0.34 "SINPHAR"(METOCLOPRAMIDE) A033554100 INDOMETHACIN CAPSULES 25MG 6092 0.46 "SINPHAR" A033557100 METRONIDAZOLE TABLETS 250MG 6093 1 "SINPHAR" A0335571G0 METRONIDAZOLE TABLETS 250MG 6094 1.5 "SINPHAR"(鋁箔/膠箔) A033558212 NEO HUSTEN INJECTION "T. F." 6095 3.26 A033560212 BERBENOL INJECTION "T.F." 6096 3.44 A033561221 ANTI-ULCER INJECTION "T.F." 6097 3.62 A033562238 GLUCRON DEXTROSE INJECTION "T.F." 6098 3.17 A033563212 ANTICO INJECTION 5MG/ML 6099 2.56 (DEXTROMETHORPHAN) "T.F." 7 6100 A033564212 OBALLERGEN-H INJECTION "T.F." A033566209 RE-HISTAMIN INJECTION 30MG/ML 6101 1.25 (DIPHENHYDRAMINE)"T.F." A033567209 PHENOATO INJECTION "T.F." 6102 1.81 A033569212 DIPHYLLIN M INJECTION 150MG/ML 6103 5 (DIPROPHYLLINE)"T.F." A033571248 RND LYO-INJECTION 50MG (RANITIDINE) 6104 "STANDARD" 40.3 A033572212 CLINDAMYCIN INJECTION 150MG 6105 19.9 "C.C.P.C." A033578338 CLOMOLD OINTMENT 0.5MG/GM 6106 56 (CLOBETASOL PROPIONATE) "T.F." A033578399 CLOMOLD OINTMENT 0.5MG/GM 6107 0.81 (CLOBETASOL PROPIONATE) "T.F." A033582238 SODIUM ACETATE INJECTION 4MEQ/ML 6108 28 "KINGDOM" A033583229 PROPOR INJECTION 0.1% 6109 13.9 (PROTOPORPHYRIN)"T.F." A033584212 MYANESIN INJECTION 100MG/ML 6110 8.7 (MEPHENESIN)"T.F." A033585209 OBNAUSEANT INJECTION 5MG/ML 6111 3.65 (PERPHENAZINE)"T.F." 說明 CODE 藥品名稱 A033825100 NIGOLINE TABLETS 10MG (NICERGOLINE) "Y.C." PISU LIQUID "J.C.S." 5.60 MOTON TABLETS 500MG (MEFENAMIC ACID)"YU SHENG" HUAN HSI CREAM 0.6MG/GM (ESTRADIOL) "CHINTENG" HUAN HSI CREAM 0.6MG/GM (ESTRADIOL) "CHINTENG" NOSCAPINE HYDROCHLORIDE TABLETS "T.F." DIAZEJIN TABLETS 5MG "C.T." (DIAZEPAM) NUGACHENIN TABLETS 0.5MG "C.T." (DEXAMETHASONE) PAPAVERINE HCL CAPSULES 20MG "C.T." 0.70 A033827199 A033829100 A033830329 A033830399 A033854100 A033856100 A033858100 A033861100 A033862100 9901 支付價 0.17 63.00 5.20 0.73 0.31 0.37 0.66 1.00 A033866221 METROCIDE CAPSULES 250MG "T.F."(METRONIDAZOLE) OBALLERCAL INJECTION "T.F." A033867209 EPHEDRIN INJECTION 40MG/ML "T.F." 3.73 A033868100 A033869100 A033870100 A033871100 3.44 ORULIN CAPSULES "C.T." SLITONIN TABLETS "C.T." VIPEIN CAPSULES "C.T." FORLIVER CAPSULES 150MG "ROOT" (SILYBIN) A033872100 CIKETIN TABLETS 200MG (CIMETIDINE) "UNION" A0338721G0 CIKETIN TABLETS 200MG (CIMETIDINE) "UNION"(鋁箔/膠箔) A033873229 OXOCIN INJECTION 10IU/ML (OXYTOCIN)"T.F." A033876221 REHISTACAL B6 INJECTION "T.F." 0.41 0.45 0.78 1.83 A033883100 1.00 EXSOL CAPSULES 100MG (OXOLAMINE CITRATE) "Y.Y." A0338831G0 EXSOL CAPSULES 100MG (OXOLAMINE CITRATE) "Y.Y."(鋁箔/膠箔) A033884100 MEYUAN TABLET 100MG (MEPIRIZOLE) "YUNG SINE" A033887321 ENFULON CREAM 1MG/GM (DIFLUCORTOLONE) "GCPC" A033887329 ENFULON CREAM 1MG/GM (DIFLUCORTOLONE) "GCPC" A033887343 ENFULON CREAM 1MG/GM A033887399 ENFULON CREAM 1MG/GM (DIFLUCORTOLONE) "GCPC" A033888100 TEMPTE TABLETS 500MG (ACETAMINOPHEN) "DCPC" A033889100 SUSHEU TABLETS 200MG (BEZAFIBRATE) "SINTON" A033890100 LIGAT TABLETS 100MG (URSODEOXYCHOLIC ACID) "TAIWAN TUNG YANG" A033891109 ACETYLCYSTEINE GRANULES 66.67MG/GM "YUNG SINE" A033891116 ACETYLCYSTEINE GRANULES 66.67MG/GM "YUNG SINE" A033892100 TRANEXAMIC ACID TABLETS 250MG "ASTAR" A033894100 DECA TABLETS 0.75MG (DEXAMETHASONE)"KOJAR" A0338941G0 DECA TABLETS 0.75MG (DEXAMETHASONE)"KOJAR"(鋁箔/膠箔) A033896100 SUWEIDA TABLETS 10MG (DOMPERIDONE)"S.C." A033900100 SINLIHAUL TABLETS 40MG (PROPRANOLOL) "H.S." 第 134 頁,共 382 頁 1.00 1.50 8.00 3.50 1.50 2.19 15.40 30.90 85.00 1.25 0.39 2.55 1.90 817.00 1.89 1.39 調整 0.68 1.50 1.00 0.70 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6112 A033586238 SALSOBROCAROSE INJECTION "T.F." 6113 A033587157 VITAFONCAL GRANULES 6114 A033587199 VITAFONSCAL GRANULES 6115 6116 A033588100 A033589212 6117 A033590312 6118 A033590316 6119 A033590317 6120 A033590319 6121 A033590321 6122 A033590323 6123 A033590325 6124 A033590326 6125 6126 A033590329 A033590355 6127 A033590372 6128 A033590377 6129 A033590399 6130 A033591100 URIBRONE TABELETS 50MG "W.P." RANNINE INJECTION 25MG/ML (RANITIDINE)"S.Y." DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) DEVIRUS CREAM 50MG/G (ACYCLOVIR) "WINSTON" DEVIRUS CREAM 50MG/G (ACYCLOVIR) "WINSTON" DEVIRUS CREAM 50MG/G (ACYCLOVIR) "WINSTON" DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) DEVIRUS CREAM 50MG/G(ACYCLOVIR) DEVIRUS CREAM 50MG/G (ACYCLOVIR) "WINSTON" DEVIRUS CREAM 50MG/G (ACYCLOVIR) "WINSTON" DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) DEVIRUS CREAM 50MG/G "WINSTON"(ACYCLOVIR) THIAMPHENICOL CAPSULES 250MG "Y.C." 6131 A033592100 HINICOL CAPSULES 250MG 6132 A033593211 6133 A033594212 6134 A033595212 TRANEXAMIC ACID INJECTION 50MG/ML "T.F." METOPERAN INJECTION 5MG/ML (METOCLOPRAMIDE)"T.F." FUROSEMIDE INJECTION 10MG/ML "T.F." 6135 A033597212 DIAZEPAM INJECTION 5MG/ML "T.F." 6136 A033598209 6137 6138 6139 6140 6141 6142 6143 6144 6145 6146 6147 6148 PAOSU COAN INJECTION 20MG/ML (SCOPOLAMINE)"T.F." A033664100 MESYREL TABLETS 50MG (TRAZODONE HYDROCHLORIDE)"M.S." A033675100 DECLOT F.C. TABLETS 100MG (TICLOPIDINE)"WEIDAR" A033676100 MULAX TABLETS 10MG (BACLOFEN) "TAIWAN TUNG YANG" A033677335 FORMAX GEL 10MG/GM (DICLOFENAC SODIUM) "SHITEH" A033677338 FORMAX GEL 10MG/GM (DICLOFENAC SODIUM) "SHITEH" A033677343 FORMAX GEL "SHITEH" 10MG/GM(DICLOFENAC SODIUM) A033698209 VETERIN (CEFAZOLIN) FOR INJECTION "VPP" A033698277 VETERIN (CEFAZOLIN) FOR INJECTION "VPP" A033699100 VOREN ENTERIC-MICROENCAPSULATED CAPSULES 50MG (DICLOFENAC) A0336991G0 VOREN ENTERIC-MICROENCAPSULATED CAPSULES 50MG (DICLOFENAC)( A033700238 PLUSAMIN INJECTION "T.F." A033701100 MEFENA CAPSULES 250MG (MEFENAMIC ACID) "KOJAR" 100年1月 項次 支付價 6112 10 6113 46.7 6114 0.38 2.11 6115 6116 41.1 6117 48.1 6118 43.7 6119 54 6120 17.5 6121 41.3 6122 41.3 6123 58 6124 56 42 6125 6126 437 6127 913 6128 1462 6129 2.03 6130 1.65 6131 1 6132 10 6133 4 6134 4 6135 4 6136 5 6137 3.24 6138 4.77 6139 1.1 6140 32.3 6141 36.3 6142 40.3 6143 24 6144 10.5 6145 0 6146 1.5 8.6 6147 6148 0.5 CODE 藥品名稱 A0339001G0 SINLIHAUL TABLETS 40MG (PROPRANOLOL) "H.S."(鋁箔/膠箔) A033901100 POTAN TABLETS 500MG "H.S." (MEFENAMIC ACID) A0339011G0 POTAN TABLETS 500MG "H.S." (MEFENAMIC ACID) (鋁箔/膠箔) A033902100 BIESCON CAPSULES A033910100 CAPTOPIN TABLETS 25MG (CAPTOPRIL) "B & F" A033915100 CAPTOPIN TABLETS 12.5MG (CAPTOPRIL) "B & F" A033920209 PHENOBITAL INJECTION 100MG/ML (PHENOBARBITAL)"T.F." A033921100 CULCER EXTRA F.C. TABLETS 150MG A033922277 LACT-RINGER INJECTION "S.Y." A033925216 DICLOFENAC INJECTION 25MG/ML "ASTAR" L.K.T E.C.T (DICLOFENAC) "C.H." A033927100 A033929100 LARPAM TABLETS 2MG (LORAZEPAM) "S.D." A0339291G0 LARPAM TABLETS 2MG (LORAZEPAM) "S.D."(鋁箔/膠箔) A033930330 EUNEN CREAM 0.05%(CLOBETASONE) A033930399 EUNEN CREAM 0.05% (CLOBETASONE) A033932100 TETRACYCLINE HYDROCHLORIDE CAPSULES 500MG "ROOT" A0339321G0 TETRACYCLINE HYDROCHLORIDE CAPSULES 500MG "ROOT"(鋁箔) A033933100 CARBIZO TABLETS 10MG (CARBIMAZOLE) "YU SHENG" A033935209 CEFTAM INJECTION 0.5GM,1GM,2GM (CEFOTAXIME SODIUM) "LITA" A033935277 CEFTAM INJECTION 0.5GM,1GM,2GM (CEFOTAXIME SODIUM) "LITA" A033936100 ILOMYCIN CAPSULES 250MG (ERYTHROMYCIN ESTOLATE) "Y.C" A033938329 FUNGIN CREAM 10MG/GM (BIFONAZOLE) "SWISS" A033938335 FUNGIN CREAM 10MG/GM (BIFONAZOLE) "SWISS" A033938399 FUNGIN CREAM 10MG/GM (BIFONAZOLE) "SWISS" A033939100 ABROXOL TABLETS 30MG (AMBROXOL HYDROCHLORIDE) "JOHNSON" A033940277 UZOLIN INJECTION 500MG (CEPHAZOLIN) "UNION" A033942212 TOPRAMYCIN INJECTION 40MG/ML (TOBRAMYCIN) "PANBIOTIC" A033942221 TOPRAMYCIN INJECTION 40MG/ML (TOBRAMYCIN) "PANBIOTIC" A033943329 CHENG HOU CREAM "C.T" 說明 9901 支付價 1.50 1.00 1.50 0.92 2.45 5.80 10.00 3.37 20.00 3.88 0.60 1.16 1.50 81.00 1.79 0.80 1.50 1.00 140.00 39.60 0.99 68.00 105.00 1.95 1.00 10.50 49.20 160.00 22.20 A033943372 CHENG HOU CREAM "C.T" 368.00 A033943399 CHENG HOU CREAM "C.T" 0.81 A033945216 VOTAN INJECTION 25MG/ML (DICLOFENAC) "SING TONE" A033947100 EMETROL TABLET 10MG (DOMPERIDONE) "PURZER" A0339471G0 EMETROL TABLET 10MG (DOMPERIDONE) "PURZER""(鋁箔/膠箔) A033950100 N.F.S. F.C.T. 100MG (NORFLOXACIN) "C.H." 6.50 A033959100 A033960100 1.68 1.46 第 135 頁,共 382 頁 DROWSY TABLETS 0.25MG "H.S" CLEDOMYCIN CAPSULES 150MG (CLINDAMYCIN) "ROOT" 1.00 1.50 刪除 2.44 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 6149 6150 6151 6152 6153 6154 6155 6156 6157 6158 6159 6160 6161 6162 6163 6164 6165 6166 6167 6168 6169 6170 6171 6172 6173 6174 6175 6176 6177 6178 6179 6180 6181 6182 6183 6184 6185 6186 6187 CODE 藥品名稱 100年1月 項次 支付價 A033729329 ISORADIN CREAM "YUNG SHIN" 6149 33.8 A033729399 ISORADIN CREAM "YUNG SHIN" 6150 1.63 A033730309 MYCOSON CREAM 10MG/GM "S.Y." 6151 1882 (BIFONAZOLE) A033730329 MYCOSON CREAM 10MG/G (S.Y.) 6152 80 (BIFONAZOLE) A033730399 MYCOSON CREAM 10MG/GM "S.Y." 6153 1.88 (BIFONAZOLE) A033733100 CEGELIN TABLETS 200MG 6154 2.69 (BEZAFIBRATE) "YUNG CHI" A033738320 DEVIRO OPHTHALMIC OINTMENT 3% 6155 463 (ACYCLOVIR) "KINGDOM" A033738321 DEVIRO OPHTHALMIC OINTMENT 3% 6156 195 (ACYCLOVIR) "KINGDOM" A033740299 HINICOL INJECTION 6157 1.88 2.97 6158 A033757238 GLUCOSE INJECTION 50% "T.F." 2.72 6159 A033758212 TAURINE B INJECTION "T.F." 3 6160 A033760212 ANTIDOTALGEN INJECTION "T.F." A033761209 EPIRENAMIN HYDROCHLORIDE 6161 10 INJECTION 1MG/ML (EPINEPHRINE)"T.F A033763209 ATROPINE SULFATE INJECTION 1MG/ML 6162 1.45 "T.F." A033766212 CAFFEINE & SODIUM BENZOATE 6163 7.8 INJECTION 100MG/ML "T.F." A033771209 OUABAIN INJECTION 0.075MG/ML "T.F." 6164 6.5 A033773209 TUNNACORT INJECTION 40MG/ML"T.F" 6165 19.8 A033773229 TUNNACORT INJECTION 40MG/ML 6166 69 (TRIAMCINOLONE)"T.F." A033774100 DAILY-PLUS CHEWABLE TABLET 0.5MG 6167 1.37 (HYDROXOCOBALAMIN ACETATE 0.97 6168 A033822100 ISOPERDINE TABLETS 40MG "S.L." 0.71 6169 A033823100 PREDNISOLONE 5MG TABLETS "Y.Y." A0338231G0 PREDNISOLONE 5MG TABLETS "Y.Y." (鋁 6170 1.5 箔/膠箔) A033825100 NIGOLINE TABLETS 10MG (NICERGOLINE) 6171 5.6 "Y.C." 0.17 6172 A033827199 PISU LIQUID "J.C.S." A033829100 MOTON TABLETS 500MG (MEFENAMIC 6173 0.7 ACID)"YU SHENG" A033830329 HUAN HSI CREAM 0.6MG/GM 6174 63 (ESTRADIOL) "CHINTENG" A033830399 HUAN HSI CREAM 0.6MG/GM 6175 5.2 (ESTRADIOL) "CHINTENG" A033854100 NOSCAPINE HYDROCHLORIDE TABLETS 6176 0.73 "T.F." A033856100 DIAZEJIN TABLETS 5MG "C.T." 6177 0.31 (DIAZEPAM) A033858100 NUGACHENIN TABLETS 0.5MG "C.T." 6178 0.37 (DEXAMETHASONE) A033861100 PAPAVERINE HCL CAPSULES 20MG "C.T." 6179 0.66 A033862100 METROCIDE CAPSULES 250MG 6180 1 "T.F."(METRONIDAZOLE) A033866221 OBALLERCAL INJECTION "T.F." 6181 3.44 3.73 6182 A033867209 EPHEDRIN INJECTION 40MG/ML "T.F." A033868100 ORULIN CAPSULES "C.T." 6183 0.41 A033869100 SLITONIN TABLETS "C.T." 6184 0.45 A033870100 VIPEIN CAPSULES "C.T." 6185 0.78 A033871100 FORLIVER CAPSULES 150MG "ROOT" 6186 1.83 (SILYBIN) A033872100 CIKETIN TABLETS 200MG (CIMETIDINE) 6187 1 "UNION" CODE 藥品名稱 A033961100 IPUFEN F.C. TABLETS 400MG "CHINTENG"(IBUPROFEN) A0339611G0 IPUFEN F.C. TABLETS 400MG "CHINTENG"(IBUPROFEN)(鋁箔/膠箔) A033966229 LINCOMYCIN INJECTION 300MG/ML "SINTON" A033966238 LINCOMYCIN INJECTION 300MG/ML "SINTON" A033968417 CLEO EYE DROP 3MG/ML (TOBRAMYCIN) "PURZER" A033969100 SHEUAN TABLET 200MG (FLAVOXATE) "SINTON" A033970100 FLUNARCA TABLET 10MG (FLUNARIZINE) "SINTON" A033971100 MENTON TABLETS 10MG (DOMPERIDONE) "H.C" A033973199 TIDACT GRANULES 37.5MG/GM (CLINDAMYCIN) 1KG A033990100 GASAFE F.C. TABLETS 20MG A033994209 TESTODIOL DEPOT INJECTION "T.F." A033998165 MAGVAC ORAL SOLUTION A033999100 USOMONO TABLETS 20MG (ISOSORBIDE) "U-LIANG" A0339991G0 USOMONO TABLETS 20MG (ISOSORBIDE) "U-LIANG"(鋁箔/膠箔) A034000151 AXOL LIQUID 3MG/ML (AMBROXOL) "YUNG SHIN" A034002100 COUSEL TABLETS 20MG (TIPEPIDINE) "KOJAR" A034003100 WANIDINE CAPSULES 200MG (QUINIDINE SULFATE) "WASHINGTON" A034004321 ISOCORT CREAM 說明 9901 支付價 1.00 1.50 23.10 38.50 75.00 3.48 2.86 0.65 3.68 4.16 27.10 47.20 1.09 調整 1.50 20.00 0.96 4.02 19.70 A034004329 ISOCORT CREAM 28.90 A034004399 A034005421 A034008329 ISOCORT CREAM OPTISONE EYE DROP BESOL CREAM 0.05% (CLOBETASOL) "C.H." BESOL CREAM 0.05% (CLOBETASOL) "C.H." DEXTROSE 50% INJECTION "S.Y" LENSPURE EYE DROP "SINPHAR" 1.63 20.50 24.60 A034008399 A034010238 A034011421 A034014100 NOYAN TABLETS 375MG (NAPROXEN) "WEIDAR" A034015317 ANCLOZIN CREAM 50MG/GM (ACYCLOVIR) "ROOT" A034015321 ANCLOZIN CREAM 50MG/GM (ACYCLOVIR) "ROOT" A034015399 ANCLOZIN CREAM 50MG/GM (ACYCLOVIR) "ROOT" A034016100 TICLOPINE S.C. TABLETS 100MG (TICLOPIDINE) A034017100 CABOTIN TABLETS 375MG (CARBOCYSTEINE) "KOJAR" A034018100 DECA TABLETS 0.5MG (DEXAMETHASONE) "KOJAR" A0340181G0 DECA TABLETS 0.5MG (DEXAMETHASONE) "KOJAR"(鋁箔/膠箔) A034023100 BRUFEN S.C. TABLETS 200MG A034032209 CHEF FOR INJECTION (CEFTRIAXONE) "PURZER" A034032277 CHEF FOR INJECTION (CEFTRIAXONE) "PURZER" A034037100 CEKODIN CAPSULES 250MG "SWISS"(CEPHRADINE) A034038100 CEKODIN CAPSULES 500MG "SWISS"(CEPHRADINE) A034040399 S.S. CREAM 第 136 頁,共 382 頁 1.18 2.70 17.40 3.13 54.00 47.60 4.29 5.10 1.61 0.50 1.50 1.00 416.00 161.00 2.69 4.38 1.63 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 6188 A0338721G0 6189 A033873229 6190 A033876221 6191 A033883100 6192 A0338831G0 6193 A033884100 6194 A033887321 6195 A033887329 6196 A033887343 6197 A033887399 6198 A033888100 6199 A033889100 6200 A033890100 6201 A033891109 6202 A033891116 6203 A033892100 6204 A033894100 6205 A0338941G0 6206 A033896100 6207 A033900100 6208 A0339001G0 6209 A033901100 6210 A0339011G0 6211 A033902100 6212 A033910100 6213 A033915100 6214 A033920209 6215 A033921100 6216 A033922277 6217 A033925216 6218 6219 A033927100 A033929100 6220 A0339291G0 6221 6222 A033930330 A033930399 藥品名稱 100年1月 項次 支付價 CIKETIN TABLETS 200MG (CIMETIDINE) 6188 1.5 "UNION"(鋁箔/膠箔) OXOCIN INJECTION 10IU/ML 6189 8 (OXYTOCIN)"T.F." REHISTACAL B6 INJECTION "T.F." 6190 3.5 EXSOL CAPSULES 100MG (OXOLAMINE 6191 1 CITRATE) "Y.Y." EXSOL CAPSULES 100MG (OXOLAMINE 6192 1.5 CITRATE) "Y.Y."(鋁箔/膠箔) MEYUAN TABLET 100MG (MEPIRIZOLE) 6193 2.19 "YUNG SINE" ENFULON CREAM 1MG/GM 6194 15.4 (DIFLUCORTOLONE) "GCPC" ENFULON CREAM 1MG/GM 6195 30.9 (DIFLUCORTOLONE) "GCPC" ENFULON CREAM 1MG/GM 6196 85 ENFULON CREAM 1MG/GM 6197 1.25 (DIFLUCORTOLONE) "GCPC" TEMPTE TABLETS 500MG 6198 0.39 (ACETAMINOPHEN) "DCPC" SUSHEU TABLETS 200MG (BEZAFIBRATE) 6199 0 "SINTON" LIGAT TABLETS 100MG 6200 (URSODEOXYCHOLIC ACID) "TAIWAN 1.9 TUNG YAN ACETYLCYSTEINE GRANULES 6201 817 66.67MG/GM "YUNG SINE" ACETYLCYSTEINE GRANULES 6202 1.89 66.67MG/GM "YUNG SINE" TRANEXAMIC ACID TABLETS 250MG 6203 1.33 "ASTAR" DECA TABLETS 0.75MG 6204 0.68 (DEXAMETHASONE)"KOJAR" DECA TABLETS 0.75MG 6205 1.5 (DEXAMETHASONE)"KOJAR"(鋁箔/膠箔) SUWEIDA TABLETS 10MG 6206 1 (DOMPERIDONE)"S.C." SINLIHAUL TABLETS 40MG 6207 0.7 (PROPRANOLOL) "H.S." SINLIHAUL TABLETS 40MG 6208 1.5 (PROPRANOLOL) "H.S."(鋁箔/膠箔) POTAN TABLETS 500MG "H.S." 6209 1 (MEFENAMIC ACID) POTAN TABLETS 500MG "H.S." 6210 1.5 (MEFENAMIC ACID) (鋁箔/膠箔) BIESCON CAPSULES 6211 0.92 CAPTOPIN TABLETS 25MG (CAPTOPRIL) 6212 2.21 "B & F" CAPTOPIN TABLETS 12.5MG (CAPTOPRIL) 6213 5.8 "B & F" PHENOBITAL INJECTION 100MG/ML 6214 10 (PHENOBARBITAL)"T.F." CULCER EXTRA F.C. TABLETS 150MG 6215 3.37 LACT-RINGER INJECTION "S.Y." 6216 20 DICLOFENAC INJECTION 25MG/ML 6217 "ASTAR" 3.88 0.6 6218 L.K.T E.C.T (DICLOFENAC) "C.H." LARPAM TABLETS 2MG (LORAZEPAM) 6219 1.16 "S.D." LARPAM TABLETS 2MG (LORAZEPAM) 6220 1.5 "S.D."(鋁箔/膠箔) 81 6221 EUNEN CREAM 0.05%(CLOBETASONE) EUNEN CREAM 0.05% (CLOBETASONE) 6222 1.79 說明 CODE 藥品名稱 A034044199 COSICA LIQUID "J.C.S." 0.15 A034050199 NEWTASE POWDER "CHIN TENG" 1.17 A034059100 CIMEFINE F.C. TABLETS 400MG (CIMETIDINE) A0340591G0 CIMEFINE F.C. TABLETS 400MG (CIMETIDINE)(鋁箔/膠箔) A034060100 SUMON CAPSULES 100MG (AMANTADINE) "SINTON" A034061500 ISOGEN VAG. TABLET 100MG (ISOCONAZOLE) "PURZER" A034062100 SINTONFON TABLET 50MG (BENZBROMARONE) "SINTON" A034070421 GENTAMYCIN OPHTHALMIC SOLUTION 3MG/ML "WU-FU" A034071421 TOBRAMYCIN OPHTHALMIC SOLUTION 3MG/ML "WU-FU" A034072100 CIMEFINE F.C. TABLETS 200MG (CIMETIDINE) A034076212 FORGAS INJECTION 10MG/ML "PANBIOTIC" A034076219 FORGAS INJECTION 10MG/ML "PANBIOTIC" A034078100 NYSIN TABLETS 100MG "CHINTENG"(NITROXOLINE) A034079100 VESUTON S.C TABLETS 10MG "CHINTENG"(SCOPOLAMINE) A0340791G0 VESUTON F.C TABLETS 10MG "CHINTENG"(SCOPOLAMINE)(鋁箔) A034080157 EUGEN LIQUID "YU SHENG" 9901 支付價 1.00 1.50 2.33 7.60 1.85 14.90 56.00 1.29 55.00 115.00 刪除 2.85 0.80 1.50 18.70 調整 A034080199 A034082100 EUGEN LIQUID "YU SHENG" FUROFEN TABLETS 50MG (FLURBIPROFEN) "M.S." A034087100 RND F.C. TABLETS 150MG (RANITIDINE) "STANDARD" A034088100 KANTUU TABLETS 10MG "CHINTENG"(DOMPERIDONE) A0340881G0 KANTUU TABLETS 10MG "CHINTENG"(DOMPERIDONE)(鋁箔) A034089417 AYCO IN ORABASE 1MG/GM (TRIAMCINOLONE ACETONIDE) "ROOT" A034089421 AYCO IN ORABASE 1MG/GM (TRIAMCINOLONE ACETONIDE) "ROOT" A034089423 AYCO IN ORABASE 1MG/GM (TRIAMCINOLONE ACETONIDE) "ROOT" A034089499 AYCO IN ORABASE 1MG/GM (TRIAMCINOLONE ACETONIDE) "ROOT" A034090100 MILIX CAPSULES 2.5MG (INDAPAMIDE) "M.S." A034096100 GLUCOMINE F.C. TABLETS 500MG (METFORMIN) "P.L" A0340961G0 GLUCOMINE F.C. TABLETS 500MG (METFORMIN) "P.L"(鋁箔/膠箔) A034098100 SOTOCON TABLETS 20MG "CHINTENG"(DEXTROMETHORPHAN) A0340981G0 SOTOCON TABLETS 20MG "CHINTENG"(DEXTROMETHORPHAN)(鋁 箔/膠箔) A034103100 PROLIVRIN CAPSULES "ROOT" A034105100 SINTON TABLETS 375MG (NAPROXEN) "CHIN TENG" A034108209 PIROCAM INJECTION 20MG/ML (PIROXICAM) "GENTLE" A034110100 AMANTADINE F.C. TABLETS 100MG A034111100 BETAHISTANE TABLETS 6MG (BETAHISTINE) "PFOSHEN" 第 137 頁,共 382 頁 0.15 2.66 3.43 1.00 1.50 22.70 28.30 63.00 2.03 調整 3.12 1.00 1.50 0.60 1.50 1.61 2.88 10.00 2.33 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6223 A033932100 6224 A0339321G0 6225 A033933100 6226 A033935209 6227 A033935277 6228 A033936100 6229 A033938329 6230 A033938335 6231 A033938399 6232 A033939100 6233 A033940277 6234 A033942212 6235 A033942221 6236 6237 6238 6239 A033943329 A033943372 A033943399 A033945216 6240 A033947100 6241 A0339471G0 6242 6243 6244 A033950100 A033959100 A033960100 6245 A033961100 6246 A0339611G0 6247 A033966229 6248 A033966238 6249 A033968417 6250 A033969100 6251 A033970100 6252 A033971100 6253 A033973199 6254 6255 6256 6257 A033990100 A033994209 A033998165 A033999100 6258 A0339991G0 6259 A034000151 6260 A034002100 6261 A034003100 TETRACYCLINE HYDROCHLORIDE CAPSULES 500MG "ROOT" TETRACYCLINE HYDROCHLORIDE CAPSULES 500MG "ROOT"(鋁箔) CARBIZO TABLETS 10MG (CARBIMAZOLE) "YU SHENG" CEFTAM INJECTION 0.5GM,1GM,2GM (CEFOTAXIME SODIUM) "LITA" CEFTAM INJECTION 0.5GM,1GM,2GM (CEFOTAXIME SODIUM) "LITA" ILOMYCIN CAPSULES 250MG (ERYTHROMYCIN ESTOLATE) "Y.C" FUNGIN CREAM 10MG/GM (BIFONAZOLE) "SWISS" FUNGIN CREAM 10MG/GM (BIFONAZOLE) "SWISS" FUNGIN CREAM 10MG/GM (BIFONAZOLE) "SWISS" ABROXOL TABLETS 30MG (AMBROXOL HYDROCHLORIDE) "JOHNSON" UZOLIN INJECTION 500MG (CEPHAZOLIN) "UNION" TOPRAMYCIN INJECTION 40MG/ML (TOBRAMYCIN) "PANBIOTIC" TOPRAMYCIN INJECTION 40MG/ML (TOBRAMYCIN) "PANBIOTIC" CHENG HOU CREAM "C.T" CHENG HOU CREAM "C.T" CHENG HOU CREAM "C.T" VOTAN INJECTION 25MG/ML (DICLOFENAC) "SING TONE" EMETROL TABLET 10MG (DOMPERIDONE) "PURZER" EMETROL TABLET 10MG (DOMPERIDONE) "PURZER""(鋁箔/膠箔) N.F.S. F.C.T. 100MG (NORFLOXACIN) "C.H." DROWSY TABLETS 0.25MG "H.S" CLEDOMYCIN CAPSULES 150MG (CLINDAMYCIN) "ROOT" IPUFEN F.C. TABLETS 400MG "CHINTENG"(IBUPROFEN) IPUFEN F.C. TABLETS 400MG "CHINTENG"(IBUPROFEN)(鋁箔/膠箔 LINCOMYCIN INJECTION 300MG/ML "SINTON" LINCOMYCIN INJECTION 300MG/ML "SINTON" CLEO EYE DROP 3MG/ML (TOBRAMYCIN) "PURZER" SHEUAN TABLET 200MG (FLAVOXATE) "SINTON" FLUNARCA TABLET 10MG (FLUNARIZINE) "SINTON" MENTON TABLETS 10MG (DOMPERIDONE) "H.C" TIDACT GRANULES 37.5MG/GM (CLINDAMYCIN) 1KG GASAFE F.C. TABLETS 20MG TESTODIOL DEPOT INJECTION "T.F." MAGVAC ORAL SOLUTION USOMONO TABLETS 20MG (ISOSORBIDE) "U-LIANG" USOMONO TABLETS 20MG (ISOSORBIDE) "U-LIANG"(鋁箔/膠箔) AXOL LIQUID 3MG/ML (AMBROXOL) "YUNG SHIN" COUSEL TABLETS 20MG (TIPEPIDINE) "KOJAR" WANIDINE CAPSULES 200MG (QUINIDINE SULFATE) "WASHINGTON" 100年1月 項次 支付價 6223 0.8 6224 1.5 6225 1 6226 140 6227 39.6 6228 0.99 6229 68 6230 105 6231 1.95 6232 0 6233 10.5 6234 49.2 6235 160 22.2 6236 368 6237 0.81 6238 6239 6.5 6240 1 6241 1.5 2.44 6242 1.68 6243 6244 1.46 6245 1 6246 1.5 6247 0 6248 0 6249 75 6250 0 6251 0 6252 0.65 6253 3.68 4.16 6254 0 6255 47.2 6256 6257 1.09 6258 1.5 6259 20 6260 0.96 6261 4.02 CODE 藥品名稱 A034112100 說明 9901 支付價 LOPETIN CAPSULES 2MG (LOPERAMIDE) "KOJAR" A0341121G0 LOPETIN CAPSULES 2MG "KOJAR" (LOPERAMIDE) 鋁箔/膠箔 A034114212 META C-B INJECTION "T.F." 0.48 A034119100 POULI CAPSULES "CHINTENG" 0.94 A034120100 WEIZIP TABLETS 500MG (SUCRALFATE) 1.20 A034123100 4.05 A034128309 YUTODIN TABLET 10MG (RITODRINE HCL) "PURZER" GENTAMYCIN CREAM 1MG/GM "SINPHAR" GENTAMYCIN CREAM 1MG/GM "SINPHAR" GENTAMYCIN CREAM 1MG/GM "SINPHAR" ACZO GEL 50MG/GM (BENZOYL PEROXIDE) "SINPHAR" CLOTRISONE CREAM A034128321 CLOTRISONE CREAM 22.20 A034128329 CLOTRISONE CREAM 48.90 A034128335 A034128338 A034128399 A034129212 CLOTRISONE CREAM CLOTRISONE CREAM CLOTRISONE CREAM LINCOMYCIN 300MG/ML INJECTION "S.Y." 47.80 87.00 0.90 4.41 A034129229 LINCOMYCIN 300MG/ML INJECTION "S.Y." 18.70 A034129238 LINCOMYCIN 300MG/ML INJECTION "S.Y." 33.80 A034144100 A034145100 A034146329 1.03 2.85 15.00 A034158100 NOCA TABLETS 15MG (NOSCAPINE) "H.S." PAINIL TABLETS 50MG (FLURBIPROFEN) PIROXIM GEL 0.5% (PIROXICAM) "STANDARD" ACETAMINOPHEN SOLUTION 24MG/ML "S.Y" VILLFULL TABLETS 5MG (NORETHINDRONE) SEFREE CAPSULES 500MG (CEPHRADINE) "PANBIOTIC" CERETAL S.C. TAB. 400MG (PENTOXIFYLLINE) "S.T." AMOXICILLIN CAPSULES 500MG "ASTAR" A034159338 TEIRIA GEL 50MG/GM(ETOFENAMATE) 49.50 A034159345 TEIRIA GEL 50MG/GM(ETOFENAMATE) 91.00 A034161100 A034165265 ULIDAN S.C. TABLETS 50MG (NICAMETATE CITRATE) "CENTURY" NEPHROCARE INJECTION 5.4% "N.K." 143.00 A034166255 A034166277 A034169321 A034169330 HEPACARE INJECTION 8% "N.K." HEPACARE INJECTION 8% "N.K." EFU CREAM "Y.C" EFU CREAM "Y.C" 102.00 217.00 19.90 46.30 A034124321 A034124335 A034124399 A034127329 A034147199 A034151100 A034153100 A034157100 1.50 2.26 9.70 34.30 1.08 28.00 刪除 1,753.00 0.15 1.52 3.57 刪除 2.96 刪除 1.28 刪除 刪除 A034171100 FOAN CAPSULES 10MG (OXAZOLAM) "S.C" A0341711G0 FOAN CAPSULES 10MG (OXAZOLAM) "S.C"(鋁箔/膠箔) A034172277 KELIN FOR INJECTION (CEFAZOLIN) "TAI YU" A034174335 NISOLON GEL 100MG/G (ETOFENAMATE) 第 138 頁,共 382 頁 1.00 1.00 1.50 10.40 38.10 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 6262 6263 6264 6265 6266 6267 6268 6269 6270 6271 6272 6273 6274 6275 6276 6277 6278 6279 6280 6281 6282 6283 6284 6285 6286 6287 6288 6289 6290 6291 6292 6293 6294 6295 6296 6297 6298 CODE 藥品名稱 100年1月 項次 支付價 A034004321 ISOCORT CREAM 6262 19.7 A034004329 ISOCORT CREAM 6263 28.9 A034004399 ISOCORT CREAM 6264 1.63 A034005421 OPTISONE EYE DROP 6265 20.5 A034008329 BESOL CREAM 0.05% (CLOBETASOL) 6266 24 "C.H." A034008399 BESOL CREAM 0.05% (CLOBETASOL) 6267 1.05 "C.H." A034010238 DEXTROSE 50% INJECTION "S.Y" 6268 2.7 17.4 6269 A034011421 LENSPURE EYE DROP "SINPHAR" A034014100 NOYAN TABLETS 375MG (NAPROXEN) 6270 3.13 "WEIDAR" A034015317 ANCLOZIN CREAM 50MG/GM 6271 54 (ACYCLOVIR) "ROOT" A034015321 ANCLOZIN CREAM 50MG/GM 6272 47.6 (ACYCLOVIR) "ROOT" A034015399 ANCLOZIN CREAM 50MG/GM 6273 4.29 (ACYCLOVIR) "ROOT" A034016100 TICLOPINE S.C. TABLETS 100MG 6274 5.1 (TICLOPIDINE) A034017100 CABOTIN TABLETS 375MG 6275 1.61 (CARBOCYSTEINE) "KOJAR" A034018100 DECA TABLETS 0.5MG 6276 0.5 (DEXAMETHASONE) "KOJAR" A0340181G0 DECA TABLETS 0.5MG 6277 1.5 (DEXAMETHASONE) "KOJAR"(鋁箔/膠箔) A034023100 BRUFEN S.C. TABLETS 200MG 6278 1 (IBUPROFEN) A034032209 CHEF FOR INJECTION (CEFTRIAXONE) 6279 416 "PURZER" A034032277 CHEF FOR INJECTION (CEFTRIAXONE) 6280 161 "PURZER" A034037100 CEKODIN CAPSULES 250MG 6281 2.69 "SWISS"(CEPHRADINE) A034038100 CEKODIN CAPSULES 500MG 6282 4.38 "SWISS"(CEPHRADINE) 1.63 6283 A034040399 S.S. CREAM 0.15 6284 A034044199 COSICA LIQUID "J.C.S." A034050199 NEWTASE POWDER "CHIN TENG" 6285 1.17 A034059100 CIMEFINE F.C. TABLETS 400MG 6286 1 (CIMETIDINE) A0340591G0 CIMEFINE F.C. TABLETS 400MG 6287 1.5 (CIMETIDINE)(鋁箔/膠箔) A034060100 SUMON CAPSULES 100MG (AMANTADINE) 6288 0 "SINTON" A034061500 ISOGEN VAG. TABLET 100MG 6289 7.6 (ISOCONAZOLE) "PURZER" A034062100 SINTONFON TABLET 50MG 6290 0 (BENZBROMARONE) "SINTON" A034070421 GENTAMYCIN OPHTHALMIC SOLUTION 6291 14.9 3MG/ML "WU-FU" A034071421 TOBRAMYCIN OPHTHALMIC SOLUTION 6292 56 3MG/ML "WU-FU" A034072100 CIMEFINE F.C. TABLETS 200MG 6293 1.29 (CIMETIDINE) A034076212 FORGAS INJECTION 10MG/ML 6294 55 "PANBIOTIC" A034076219 FORGAS INJECTION 10MG/ML 6295 115 "PANBIOTIC" A034078100 NYSIN TABLETS 100MG 6296 2.85 "CHINTENG"(NITROXOLINE) A034079100 VESUTON S.C TABLETS 10MG 6297 0.8 "CHINTENG"(SCOPOLAMINE) A0340791G0 VESUTON F.C TABLETS 10MG 6298 1.5 "CHINTENG"(SCOPOLAMINE)(鋁箔) CODE 藥品名稱 A034179100 IBUFEN TABLETS 400MG (IBUPROFEN) "CURIE" MAC SAFE ORAL SUSPENSION 20MG/ML (IBUPROFEN) MAC SAFE ORAL SUSPENSION 20MG/ML (IBUPROFEN) MAC SAFE ORAL SUSPENSION 20MG/ML (IBUPROFEN) MAC SAFE ORAL SUSPENSION 20MG/ML (IBUPROFEN) TUSOLVAN LIQUID 3MG/ML (AMBROXOL) "S.S.P." TUSOLVAN LIQUID 3MG/ML (AMBROXOL) "S.S.P." ACYCLOVIR CREAM 50MG/GM DEVIRO CREAM 50MG/GM (ACYCLOVIR) A034222151 A034222157 A034222177 A034222199 A034223151 A034223199 A034224312 A034224321 A034224372 ACYCLOVIR CREAM 50MG/GM "KINGDOM" A034236100 SERRA E.C TABLETS 10MG (SERRATIOPEPTIDASE) "H.S." A034237100 SUNPYLON TABLETS 200MG (SULPIRIDE) "S.S.P." A034238100 MACLOFEN TABLETS 10MG (BACLOFEN) "S.S.P." A0342381G0 MACLOFEN TABLETS 10MG (BACLOFEN) "S.S.P."(鋁箔/膠箔) A034240100 SUSA TABLETS 2.5MG (FENOTEROL) "H.S." A034242100 說明 9901 支付價 1.00 25.00 60.00 259.00 0.22 調整 25.00 調整 0.17 49.70 47.80 933.00 1.00 2.07 1.04 1.50 0.80 A034255356 CHENONINE CAPSULES 125MG (CHENODEOXYCHOLIC ACID) "PFOSHEN" TON LIN CAPSULES 10MG (FLUOXYMESTERONE) "CHINTENG" CORIN TABLETS 100MG (OXOLAMINE CITRATE) "CHINTENG" EVAC ENEMA 42.60 A034270321 BETACLOSONE CREAM "UNION" 21.00 A034270335 BETACLOSONE CREAM "UNION" 47.10 A034270372 A034272100 A034283100 A034285100 BETACLOSONE CREAM "UNION" CLIZINE TABLETS 25MG "VPP" URENIDE TABLETS 1MG (BUMETANIDE) "ROOT" VILI TABLETS "S.D." A034288209 CEPIN FOR INJECTION A034300100 TENSOLIN TABLET "Y.S" A034301209 174.00 A034307336 U-DOLAN DECANOATE INJ. 50MG/ML (HALOPERIDOL) "U-LIANG" PERIDON TABLETS 10MG (DOMPERIDONE) "PFOSHEN" KEC. JEN OINTMENT 0.05% (CLOBETASOL PROPIONATE) "CHINTENG" VIVICOME CREAM “S.D” A034307372 VIVICOME CREAM “S.D” 733.00 A034308100 3.80 A034314100 TONLIN TABLETS 200MG (FLAVOXATE) "S.D." DERMIN TABLETS 0.25MG (TRIAZOLAM) "ROOT" USOMONO TABLETS 40MG (ISOSORBIDE) "U-LIANG" RECALM TABLETS "STANDARD" A034317229 KANAMYCIN 250MG/ML INJECTION "S.Y" 18.80 A034243100 A034244100 8.00 2.55 0.69 938.00 0.91 1.52 1.00 42.90 6.90 刪除 A034304100 A034306329 A034310100 A034312100 第 139 頁,共 382 頁 0.59 刪除 24.60 25.80 1.60 5.20 1.25 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6299 A034080157 EUGEN LIQUID "YU SHENG" 6300 A034080199 EUGEN LIQUID "YU SHENG" 6301 A034082100 6302 6303 6304 6305 6306 6307 6308 6309 6310 6311 6312 6313 6314 FUROFEN TABLETS 50MG (FLURBIPROFEN) "M.S." A034087100 RND F.C. TABLETS 150MG (RANITIDINE) "STANDARD" A034088100 KANTUU TABLETS 10MG "CHINTENG"(DOMPERIDONE) A0340881G0 KANTUU TABLETS 10MG "CHINTENG"(DOMPERIDONE)(鋁箔) A034089417 AYCO IN ORABASE 1MG/GM (TRIAMCINOLONE ACETONIDE) "ROOT" A034089421 AYCO IN ORABASE 1MG/GM (TRIAMCINOLONE ACETONIDE) "ROOT" A034089423 AYCO IN ORABASE 1MG/GM (TRIAMCINOLONE ACETONIDE) "ROOT" A034089499 AYCO IN ORABASE 1MG/GM (TRIAMCINOLONE ACETONIDE) "ROOT" A034090100 MILIX CAPSULES 2.5MG (INDAPAMIDE) "M.S." A034096100 GLUCOMINE F.C. TABLETS 500MG (METFORMIN) "P.L" A0340961G0 GLUCOMINE F.C. TABLETS 500MG (METFORMIN) "P.L"(鋁箔/膠箔) A034098100 SOTOCON TABLETS 20MG "CHINTENG"(DEXTROMETHORPHAN) A0340981G0 SOTOCON TABLETS 20MG "CHINTENG"(DEXTROMETHORPHAN)(鋁 箔/膠箔 A034103100 PROLIVRIN CAPSULES "ROOT" 100年1月 項次 支付價 6299 18.7 6300 0.15 6301 2.66 6302 3.43 6303 1 6304 1.5 6305 22.7 6306 28.3 6307 63 6308 2.03 6309 3.12 6310 0 6311 1.5 6312 0.6 6313 CODE A034323100 COWEMIN TABLETS 300MG (CIMETIDINE) "CHINTENG" A0343231G0 COWEMIN TABLETS 300MG (CIMETIDINE) "CHINTENG"(鋁箔/膠箔) A034325500 DEFEVER SUPPOSITORIES 100MG "S.D."(INDOMETHACIN) A034326100 URICIN TABLETS 50MG (BENZBROMARONE) "GENTLE" A034327199 CODEPINE SYRUP "J.C.S" A034329209 A034329265 A034330100 A034331209 A034331277 A034332100 A034346100 A034348100 A034350100 A034352255 6321 SINTON TABLETS 375MG (NAPROXEN) "CHIN TENG" A034108209 PIROCAM INJECTION 20MG/ML (PIROXICAM) "GENTLE" A034110100 AMANTADINE F.C. TABLETS 100MG A034111100 BETAHISTANE TABLETS 6MG (BETAHISTINE) "PFOSHEN" A034112100 LOPETIN CAPSULES 2MG (LOPERAMIDE) "KOJAR" A0341121G0 LOPETIN CAPSULES 2MG "KOJAR" (LOPERAMIDE) 鋁箔/膠箔 A034114212 META C-B INJECTION "T.F." 6322 A034119100 POULI CAPSULES "CHINTENG" 6323 A034120100 WEIZIP TABLETS 500MG (SUCRALFATE) 6324 A034123100 6325 A034124321 6326 A034124335 6327 A034124399 6328 A034127329 6329 A034128309 YUTODIN TABLET 10MG (RITODRINE HCL) "PURZER" GENTAMYCIN CREAM 1MG/GM "SINPHAR" GENTAMYCIN CREAM 1MG/GM "SINPHAR" GENTAMYCIN CREAM 1MG/GM "SINPHAR" ACZO GEL 50MG/GM (BENZOYL PEROXIDE) "SINPHAR" CLOTRISONE CREAM 6330 6331 A034128321 A034128329 CLOTRISONE CREAM CLOTRISONE CREAM 6332 6333 6334 A034128335 A034128338 A034128399 CLOTRISONE CREAM CLOTRISONE CREAM CLOTRISONE CREAM 6335 A034129212 LINCOMYCIN 300MG/ML INJECTION "S.Y." 6316 6317 6318 6319 6320 UFIN FOR I.V. INJ. 1GM (CEFTRIAXONE) "UNION" UFIN FOR IV INJECTION (CEFTRIAXONE) "UNION" ANCOUGH TABLETS 20MG (TIPEPIDINE) "SINTON" CEBID FOR INJECTION (CEFOPERAZONE) "PURZER" CEBID FOR INJECTION (CEFOPERAZONE) "PURZER" CEPHALEXIN CAPSULES 500MG "ASTAR" SUTONIN TABLET 10MG (DOMPERIDONE) "SINTON" ANNEUTON TABLETS 80MG (GLICLAZIDE) "ROOT" DAIL TABLET 80MG (GLICLAZIDE) "SINTON" MIROSIN 100MG FOR INJECTION (MINOCYCLINE) "PANBIOTIC" 說明 9901 支付價 1.19 1.50 3.73 2.12 0.35 418.00 159.00 0.80 255.00 176.00 1.92 0.66 刪除 1.90 1.86 60.00 1.5 6314 A034354100 6315 A034355321 6316 10 2.33 6317 6318 1 6319 0.48 6320 1.5 6321 2.26 6322 0.94 6323 1.2 6324 0 6325 9.7 6326 34.3 6327 1.08 6328 28 6329 1753 22.2 6330 6331 48.9 47.8 6332 87 6333 6334 0.78 6335 4.41 A034355377 1.61 6315 藥品名稱 A034105100 2.88 A034356100 A034357100 YURO F.C. TABLETS 100MG (NITROXOLINE) "YU SHENG" CYCLOUIR CREAM 50MG/GM (ACYCLOVIR) "T.F" CYCLOUIR CREAM 50MG/GM (ACYCLOVIR) "T.F" DICLOFENAC TABLET 25MG "SINTON" CEPHALEXIN CAPSULES 250MG "ASTAR" A034358100 DEFEN CAPSULE 1MG (KETOTIFEN) "PURZER" A0343581G0 DEFEN CAPSULE 1MG (KETOTIFEN) "PURZER"(鋁箔/膠箔) A034359100 STERMIN F.C. TABLETS 100MG (ATENOLOL) "S.T." A034363229 AMIKACIN INJECTION 250MG/ML (AMIKACIN) "C.C.P.C." A034364100 PENTOP S.C. TABLETS 100MG (PENTOXIFYLLINE) "Y.S" A034366100 OXYBAN TABLETS 5MG (OXYBUTYNIN) "WEIDAR" A034372329 FUCON 0.05% CREAM (CLOBETASOL PROPIONATE) "Y.Y." A034373100 AERISIN TABLETS 30MG (DILTIAZEM) "YUAN CHOU" A034375100 TIMEN CAPSULES 30MG (TIMEPIDIUM BROMIDE) "WEIDAR" A034503429 ARTIFICIAL TEAR "WU-FU" A034504100 PAWEGON 200MG TABLETS (CIMETIDINE) "EVEREST" A034507277 BABYNNA INJECTION "S.Y" A034508338 CLOPAIN GEL 10MG/GM (DICLOFENAC SODIUM) "B & F" A034511100 LISUMEN CAPSULES 30MG "ASTAR" A034518100 COFEN 1MG TABLETS (KETOTIFEN) "C.H." A034523100 AMOXICILLIN 500MG CAPSULES "PANBIOTIC" A0345231G0 AMOXICILLIN 500MG CAPSULES "PANBIOTIC"鋁箔/膠箔 第 140 頁,共 382 頁 2.86 47.80 1,462.00 1.00 1.09 1.00 1.50 2.04 154.00 1.62 2.63 刪除 19.40 1.65 2.02 28.90 1.00 19.70 31.20 3.38 1.01 1.42 調整 1.50 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 6336 6337 A034129229 A034129238 6338 A034144100 6339 6340 A034145100 A034146329 6341 6342 A034147199 A034151100 6343 A034153100 6344 A034157100 6345 6346 6347 A034158100 A034159338 A034159345 6348 A034161100 6349 A034165265 6350 A034166255 6351 A034166277 6352 A034169321 6353 6354 A034169330 A034171100 6355 A0341711G0 6356 A034172277 6357 A034174335 6358 A034179100 6359 A0341791G0 6360 A034222151 6361 A034222157 6362 A034222177 6363 A034222199 6364 A034223151 6365 A034223199 6366 6367 A034224312 A034224321 6368 A034224372 6369 A034236100 6370 A0342361G0 6371 A034237100 6372 A034238100 6373 A0342381G0 6374 A034240100 藥品名稱 100年1月 項次 支付價 18.7 6336 LINCOMYCIN 300MG/ML INJECTION "S.Y." LINCOMYCIN 300MG/ML INJECTION "S.Y." 6337 33.8 NOCA TABLETS 15MG (NOSCAPINE) "H.S." 6338 0 2.85 6339 PAINIL TABLETS 50MG (FLURBIPROFEN) PIROXIM GEL 0.5% (PIROXICAM) 6340 15 "STANDARD" 0.15 6341 ACETAMINOPHEN SOLUTION 24MG/ML VILLFULL TABLETS 5MG 6342 1.47 (NORETHINDRONE) SEFREE CAPSULES 500MG (CEPHRADINE) 6343 3.57 "PANBIOTIC" CERETAL S.C. TAB. 400MG 6344 2.96 (PENTOXIFYLLINE) "S.T." 1.28 6345 AMOXICILLIN CAPSULES 500MG "ASTAR" 49.5 6346 TEIRIA GEL 50MG/GM(ETOFENAMATE) TEIRIA GEL 50MG/GM(ETOFENAMATE) 6347 91 ULIDAN S.C. TABLETS 50MG 6348 1 (NICAMETATE CITRATE) "CENTURY" NEPHROCARE INJECTION 5.4% "N.K." 6349 143 HEPACARE INJECTION 8% "N.K." 6350 102 HEPACARE INJECTION 8% "N.K." 6351 217 EFU CREAM "Y.C" 6352 19.9 46.3 6353 EFU CREAM "Y.C" FOAN CAPSULES 10MG (OXAZOLAM) 6354 1 "S.C" FOAN CAPSULES 10MG (OXAZOLAM) 6355 1.5 "S.C"(鋁箔/膠箔) KELIN FOR INJECTION (CEFAZOLIN) "TAI 6356 10.4 YU" NISOLON GEL 100MG/G (ETOFENAMATE) 6357 38.1 IBUFEN TABLETS 400MG (IBUPROFEN) 6358 1 "CURIE" IBUFEN TABLETS 400MG (IBUPROFEN) 6359 1.5 "CURIE"(鋁箔/膠箔) MAC SAFE ORAL SUSPENSION 20MG/ML 6360 25 (IBUPROFEN) MAC SAFE ORAL SUSPENSION 20MG/ML 6361 60 (IBUPROFEN) MAC SAFE ORAL SUSPENSION 20MG/ML 6362 259 (IBUPROFEN) MAC SAFE ORAL SUSPENSION 20MG/ML 6363 0.22 (IBUPROFEN) TUSOLVAN LIQUID 3MG/ML (AMBROXOL) 6364 25 "S.S.P." TUSOLVAN LIQUID 3MG/ML (AMBROXOL) 6365 0.17 "S.S.P." 49.7 6366 ACYCLOVIR CREAM 50MG/GM DEVIRO CREAM 50MG/GM (ACYCLOVIR) 6367 47.8 ACYCLOVIR CREAM 50MG/GM 6368 933 "KINGDOM" SERRA E.C TABLETS 10MG 6369 0 (SERRATIOPEPTIDASE) "H.S." SERRA E.C TABLETS 10MG 6370 1.5 (SERRATIOPEPTIDASE) "H.S."(鋁箔/膠箔 SUNPYLON TABLETS 200MG (SULPIRIDE) 6371 2.07 "S.S.P." MACLOFEN TABLETS 10MG (BACLOFEN) 6372 1.04 "S.S.P." MACLOFEN TABLETS 10MG (BACLOFEN) 6373 1.5 "S.S.P."(鋁箔/膠箔) SUSA TABLETS 2.5MG (FENOTEROL) "H.S." 6374 0.8 CODE 藥品名稱 A034524100 A034528100 BACLOFEN 10MG "S.Y." ERY-B E.C. CAPSULES 250MG (ERYTHROMYCIN) "KINGDOM" DAIPIN FILM COATED TABLETS 1MG (NMETHYLSCOPOLAMINE SUGENFU CREAM 10MG/GM SOLOFEN TABLETS 10MG (BACLOFEN) A034530100 A034531321 A034534100 A034535100 A034540199 SUPELI CAPSULES "KOJAR" IBUTEN GRANULES 400MG/GM (IBUPROFEN) "AND" A034541100 BEROTIN TABLETS 2.5MG (FENOTEROL) "N.W." A034542100 NEWEDON TABLETS 10MG (DOMPERIDONE) "N.W." A034545329 WIPOIDO CREAM A034547100 MEFENAMIC ACID TABLETS 500MG "M.T" A0345471G0 MEFENAMIC ACID TABLETS 500MG "M.T" 鋁箔/膠箔 A034549100 MEGLUMINE TABLETS 500MG (METFORMIN) "S.S.P." A034550100 GLUPIZIDE TABLETS 5MG (GLIPIZIDE) "S.S.P." A0345501G0 GLUPIZIDE TABLETS 5MG (GLIPIZIDE) "S.S.P." (鋁箔/膠箔) A034551100 SULIMEN TABLETS 100MG (SULINDAC) "KOJAR" A034553100 NICARPINE S.C. TABLETS 20MG (NICARDIPINE) "P.L" A034556100 SOU-AN CAPSULES "CHINTENG" A034557100 ZU-U TABLETS 100MG (BENZARONE) "CHINTENG" A034558100 BROSOU TABLETS 20MG (TIPEPIDINE) "CHINTENG" A034559100 KETOTIFEN TABLETS 1MG "CHINTENG" 說明 9901 支付價 1.10 1.18 2.09 刪除 15.60 1.04 0.78 1.50 調整 1.00 0.59 70.00 0.60 1.50 1.00 1.00 1.50 2.62 3.24 1.00 4.33 1.00 1.00 A0345591G0 KETOTIFEN TABLETS 1MG "CHINTENG"(鋁箔) A034564100 LIVER CHOLINE S.C. TABLETS "EVEREST" 1.50 A0345641G0 LIVER CHOLINE S.C. TABLETS "EVEREST"(鋁箔/膠箔) A034569340 BESONG SCALP SOLUTION 1MG/ML (BETAMETHASONE) A034569399 BESONG SCALP SOLUTION 1MG/ML (BETAMETHASONE) A034573329 SALOSON 1% EMUGEL (DICLOFENAC) "MEY SEE" A034573343 SALOSON 1% EMUGEL (DICLOFENAC) "MEY SEE" A034575100 SUCRATE TABLETS 500MG (SUCRALFATE) "KOJAR" A034577212 AMIKACIN INJECTION 125MG/ML "S.Y." 1.50 A034577229 A034579216 AMIKACIN INJECTION 125MG/ML "S.Y." GARA INJECTION 40MG/ML (GENTAMYCIN SULFATE) A034579229 GARA INJECTION 40MG /ML (GENTAMYCIN SULFATE) A034579299 GARA INJ. 40MG/ML (GENTAMYCIN IULFATE) A034583100 VIRLESS TABLETS 200MG "YUNG SHIN" (ACYCLOVIR) A034584100 EASYING FILM COATED TABLETS 25MG (DIPYRIDAMOLE) "ROOT" A0345841G0 EASYING FILM COATED TABLETS 25MG (DIPYRIDAMOLE) "ROOT"(鋁箔) A034585500 NYDASIN VAGINAL SUPPOSITORIES "WEIDAR" A034589100 SERELAM CAPSULES 10MG (OXAZOLAM) "N.W." 第 141 頁,共 382 頁 1.00 新增 30.00 0.90 24.60 39.80 1.22 34.90 90.00 18.20 14.30 1.26 刪除 10.50 新增 0.33 1.50 2.83 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 6375 6379 A0342401G0 SUSA TABLETS 2.5MG (FENOTEROL) "H.S."(鋁箔/膠箔) A034242100 CHENONINE CAPSULES 125MG (CHENODEOXYCHOLIC ACID) "PFOSHEN" A034243100 TON LIN CAPSULES 10MG (FLUOXYMESTERONE) "CHINTENG" A034244100 CORIN TABLETS 100MG (OXOLAMINE CITRATE) "CHINTENG" A034255356 EVAC ENEMA 6380 A034270321 BETACLOSONE CREAM "UNION" 6381 A034270335 BETACLOSONE CREAM "UNION" 6382 A034270372 BETACLOSONE CREAM "UNION" 6383 6384 A034272100 A034283100 6385 A034285100 CLIZINE TABLETS 25MG "VPP" URENIDE TABLETS 1MG (BUMETANIDE) "ROOT" VILI TABLETS "S.D." 6386 A034288209 CEPIN FOR INJECTION 6387 A034300100 TENSOLIN TABLET "Y.S" 6388 A034301209 6389 A034304100 6390 A034306329 6391 A034307336 U-DOLAN DECANOATE INJ. 50MG/ML (HALOPERIDOL) "U-LIANG" PERIDON TABLETS 10MG (DOMPERIDONE) "PFOSHEN" KEC. JEN OINTMENT 0.05% (CLOBETASOL PROPIONATE) "CHINTENG" VIVICOME CREAM “S.D” 6392 A034307372 VIVICOME CREAM “S.D” 6393 A034308100 6394 A034310100 6395 A034312100 6396 A034314100 TONLIN TABLETS 200MG (FLAVOXATE) "S.D." DERMIN TABLETS 0.25MG (TRIAZOLAM) "ROOT" USOMONO TABLETS 40MG (ISOSORBIDE) "U-LIANG" RECALM TABLETS "STANDARD" 6397 6398 A034317229 A034323100 6376 6377 6378 藥品名稱 6402 KANAMYCIN 250MG/ML INJECTION "S.Y" COWEMIN TABLETS 300MG (CIMETIDINE) "CHINTENG" A0343231G0 COWEMIN TABLETS 300MG (CIMETIDINE) "CHINTENG"(鋁箔/膠箔) A034325500 DEFEVER SUPPOSITORIES 100MG "S.D."(INDOMETHACIN) A034326100 URICIN TABLETS 50MG "GENTLE" (BENZBROMARONE) A034327199 CODEPINE SYRUP "J.C.S" 6403 A034329209 6404 A034329212 6405 A034329265 6406 A034330100 6407 A034331209 6408 A034331277 6409 A034332100 6410 A034346100 6399 6400 6401 UFIN FOR I.V. INJ. 1GM (CEFTRIAXONE) "UNION" UFIN FOR IV INJECTION "UNION"(CEFTRIAXONE) UFIN FOR IV INJECTION (CEFTRIAXONE) "UNION" ANCOUGH TABLETS 20MG (TIPEPIDINE) "SINTON" CEBID FOR INJECTION (CEFOPERAZONE) "PURZER" CEBID FOR INJECTION (CEFOPERAZONE) "PURZER" CEPHALEXIN CAPSULES 500MG "ASTAR" SUTONIN TABLET 10MG (DOMPERIDONE) "SINTON" 100年1月 項次 支付價 6375 1.5 6376 8 6377 2.55 6378 0.69 6379 42.6 6380 21 6381 47.1 6382 938 0.91 6383 6384 1.52 6385 1 6386 42.9 6387 6.9 6388 174 6389 0.59 6390 24 6391 25.8 6392 733 6393 3.8 6394 1.6 6395 5.2 6396 1.25 18.8 6397 6398 1.19 6399 1.5 6400 3.73 6401 0 6402 0.35 6403 418 6404 769 6405 159 6406 0 6407 255 6408 176 6409 1.92 6410 0 CODE 藥品名稱 A034595321 SILVER CREAM 10MG/GM (SILVER SULFADIAZINE) "MEIDER" SILVER CREAM 10MG/GM (SILVER SULFADIAZINE) "MEIDER" KENERLIN TABLET 1MG (KETOTIFEN) "SINTON" CAPTROL TABLET 25MG (CAPTOPRIL) "PURZER" EULICA TABLETS 50MG (NICAMETATE) "S.D." DECOUGH GRANULES 100MG/GM (EPRAZINONE) "S.C." DECOUGH GRANULES 100MG/GM (EPRAZINONE) "S.C." DECOUGH GRANULES 100MG/GM (EPRAZINONE) "S.C." RELAC TABLETS 5MG (BUSPIRONE) MODRON TABLETS 50MG (ORPHENADRINE) "TAI YU" KELIN FOR INJECTION "TAI YU" (CEFAZOLIN) KELIN FOR INJECTION "TAI YU" (CEFAZOLIN) KELIN FOR INJECTION "TAI YU" (CEFAZOLIN) UNDACID OINTMENT "VPP" A034595338 A034597100 A034598100 A034608100 A034609109 A034609177 A034609199 A034610100 A034613100 A034614209 A034614212 A034614221 A034618343 A034619209 BATONSU INJECTION 4MG/ML (BETAMETHASONE) "SINTON" A034621100 GLUTROL TABLET 5MG (GLIPIZIDE) "PURZER" A0346211G0 GLUTROL TABLET 5MG (GLIPIZIDE) "PURZER""(鋁箔/膠箔) A034626209 MECO B12 INJECTION 0.5MG/ML (MECOBALAMIN) "ORIENTAL" A034632100 DANAL 200MG CAPSULES (DANAZOLE) "ROYAL" A034633100 MANTA 100MG CAPSULES (AMANTADINE) "C.H." A034634100 KETOZEN 1MG TABLETS (KETOTIFEN)"S.L." A034635100 DERCON 10MG TABLETS (DEMPERIDONE) "YUNG CHI" A034636100 BROMHEXIN 8MG TABLETS "EVEREST" A034637100 BAFEN 10MG TABLETS (BACLOFEN) 說明 9901 支付價 19.70 新增 37.70 1.00 2.29 0.55 2,026.00 1,738.00 2.02 2.07 1.30 23.40 85.00 137.00 15.50 6.00 1.00 調整 1.50 18.60 14.90 2.33 1.00 0.59 0.29 1.04 A034640100 SULPIRIDE 200MG TABLETS "S.Y." 2.10 A034641100 LEZECON CAPSULES 30MG (TIMEPIDIUM) "Y.C." GENDERON OPHTHALMIC SOLUTION "PATRON" BRUPHEN FILM COATED TABLETS 600MG (IBUPROFEN) LOMANDOLE FOR INJECTION 1000MG "GENTLE" DANROINE ENTERIC F.C.TAB. 5MG "H.C."(SERRAPEPTASE) DANROINE ENTERIC F.C. TABLETS 10MG "H.C."(SERRATIOPEPTIDASE) LOSOLVAN 3MG/ML SOLUTION (AMBROXOL) LOSOLVAN 3MG/ML SOLUTION (AMBROXOL) LOSOLVAN 3MG/ML SOLUTION (AMBROXOL) SERADASE E.C. TABLETS 10MG (SERRATIOPEPTIDASE) "WEIDAR" ME DROLINE 50MG S.C. TABLETS (MEBHYDROLIN) "C.H." 2.02 A034643421 A034647100 A034648277 A034652100 A034653100 A034654151 A034654155 A034654199 A034657100 A034658100 第 142 頁,共 382 頁 20.50 刪除 3.27 26.20 1.00 新增 1.00 25.00 刪除 25.00 0.17 1.07 1.12 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 6428 100年1月 項次 支付價 A034348100 ANNEUTON TABLETS 80MG (GLICLAZIDE) 6411 1.9 "ROOT" A034350100 DAIL TABLET 80MG (GLICLAZIDE) 6412 0 "SINTON" A034352255 MIROSIN 100MG FOR INJECTION 6413 60 (MINOCYCLINE) "PANBIOTIC" A034354100 YURO F.C. TABLETS 100MG 6414 2.86 (NITROXOLINE) "YU SHENG" A034355321 CYCLOUIR CREAM 50MG/GM 6415 47.8 (ACYCLOVIR) "T.F" A034355377 CYCLOUIR CREAM 50MG/GM 6416 1462 (ACYCLOVIR) "T.F" A034356100 DICLOFENAC TABLET 25MG "SINTON" 6417 0 1.09 6418 A034357100 CEPHALEXIN CAPSULES 250MG "ASTAR" A034358100 DEFEN CAPSULE 1MG (KETOTIFEN) 6419 0 "PURZER" A0343581G0 DEFEN CAPSULE 1MG (KETOTIFEN) 6420 1.5 "PURZER"(鋁箔/膠箔) A034359100 STERMIN F.C. TABLETS 100MG 6421 2.04 (ATENOLOL) "S.T." A034363229 AMIKACIN INJECTION 250MG/ML 6422 154 (AMIKACIN) "C.C.P.C." A034364100 PENTOP S.C. TABLETS 100MG 6423 1.62 (PENTOXIFYLLINE) "Y.S" A034366100 OXYBAN TABLETS 5MG (OXYBUTYNIN) 6424 2.63 "WEIDAR" A034372329 FUCON 0.05% CREAM (CLOBETASOL 6425 19.4 PROPIONATE) "Y.Y." A034373100 AERISIN TABLETS 30MG (DILTIAZEM) 6426 1.65 "YUAN CHOU" A034375100 TIMEN CAPSULES 30MG (TIMEPIDIUM 6427 2.02 BROMIDE) "WEIDAR" A034503429 ARTIFICIAL TEAR "WU-FU" 6428 6429 A034504100 6430 6431 A034507277 A034508338 6411 6412 6413 6414 6415 6416 6417 6418 6419 6420 6421 6422 6423 6424 6425 6426 6427 CODE 藥品名稱 CODE A034659100 WINTIDINE 800MG F.C. TABLETS (CIMETIDINE) "WINSTAN" A034660329 SPORTON GEL 100MG/GM (ETOFENAMATE) "C.T." A034660338 SPORTON GEL 100MG/GM (ETOFENAMATE) "C.T." A034660345 SPORTON GEL 100MG/GM (ETOFENAMATE) "C.T." A034670100 FOLACIN F.C. TABLETS 5MG (FOLIC ACID) "JOHNSON" A0346701G0 FOLACIN F.C. TABLETS 5MG (FOLIC ACID) "JOHNSON (鋁箔/膠箔) A034721100 SUFUCON TABLETS 500MG (ACETAMINOPHEN) "ORIENTAL" A034722277 GLYCEOL INJECTION A034723100 FUSTHMA TABLETS 1MG (KETOTIFEN)"S.F." A034726323 CLOTASONE CREAM 0.5MG/GM (CLOBETASOL) "M.S." A034726377 CLOTASONE CREAM 0.5MG/GM "M.S." (CLOBETASOL) A034726399 CLOTASONE CREAM 0.5MG/GM "M.S." (CLOBETASOL) A034727100 MEGEJOHN TAB. 40MG "JOHNSON" (MEGESTROL) A034735100 CORGARD TABLETS 80MG (NADOLOL) A034736100 A034741209 A034742100 A034743209 28.9 PAWEGON 200MG TABLETS (CIMETIDINE) "EVEREST" 6439 6440 6441 BABYNNA INJECTION "S.Y" CLOPAIN GEL 10MG/GM (DICLOFENAC SODIUM) "B & F" A034511100 LISUMEN CAPSULES 30MG "ASTAR" A034518100 COFEN 1MG TABLETS (KETOTIFEN) "C.H." A034523100 AMOXICILLIN 500MG CAPSULES "PANBIOTIC" A0345231G0 AMOXICILLIN 500MG CAPSULES "PANBIOTIC"鋁箔/膠箔 A034524100 BACLOFEN 10MG "S.Y." A034528100 ERY-B E.C. CAPSULES 250MG (ERYTHROMYCIN) "KINGDOM" A034530100 DAIPIN FILM COATED TABLETS 1MG (NMETHYLSCOPOLAMINE METHY A034531321 SUGENFU CREAM 10MG/GM A034534100 SOLOFEN TABLETS 10MG (BACLOFEN) A034535100 SUPELI CAPSULES "KOJAR" 6442 A034540199 6443 A034541100 6444 A034542100 6445 A034545329 6446 6447 A034547100 MEFENAMIC ACID TABLETS 500MG "M.T" A0345471G0 MEFENAMIC ACID TABLETS 500MG "M.T" 鋁箔/膠箔 A034549100 MEGLUMINE TABLETS 500MG (METFORMIN) "S.S.P." 6432 6433 6434 6435 6436 6437 6438 6448 IBUTEN GRANULES 400MG/GM (IBUPROFEN) "AND" BEROTIN TABLETS 2.5MG (FENOTEROL) "N.W." NEWEDON TABLETS 10MG (DOMPERIDONE) "N.W." WIPOIDO CREAM 6429 1 19.7 6430 6431 30.1 3.38 6432 1.01 6433 6434 1.42 6435 1.5 1.1 6436 6437 1.18 6438 2.09 15.6 6439 0 6440 6441 0.78 6442 1.5 6443 1 6444 0.59 6445 70 0.6 6446 6447 1.5 6448 1 藥品名稱 A034743299 A034746321 A034746335 GLICALIN TABLETS 80MG (GLICLAZIDE) "KOJAR" KENACORT-A INTRAMUSCULAR INJECTION 40MG/ML (TRIAMCINOLONE PRONESTYL CAPSULES 250MG (PROCAINAMIDE HCL) KENACORT-A INTRA-ARTICULARINTRADERMAL (TRIAMCINOLONE ACETONIDE) KENACORT-A INTRA-ARTICULARINTRADERMAL (TRIAMCINOLONE ACETONIDE) KENACOMB CREAM KENACOMB CREAM 說明 9901 支付價 5.40 32.70 刪除 34.40 75.00 0.65 1.50 0.20 刪除 105.00 1.00 刪除 19.70 638.00 0.91 14.20 9.20 1.90 99.00 4.38 46.90 17.20 19.20 67.00 調整 A034746399 A034749100 A034750399 A034751399 A034754100 A034756100 A034762209 A034762277 A034763100 A034764500 A034794500 A034795500 A034796127 A034799100 A034802100 A034804100 A034805100 第 143 頁,共 382 頁 KENACOMB CREAM VELOSEF CAPSULES 250MG KENACORT-A CREAM 1MG/GM (TRIAMCINOLONE ACETONIDE) KENACORT-A OINTMENT 1MG/GM (TRIAMCINOLONE ACETONIDE) CAPOTEN TABLETS 25MG (CAPTOPRIL) MYCOSTATIN SUGAR COATED TABLETS 500,000UNITS (NYSTATIN) VELOSEF-A FOR INJECTION (CEPHRADINE) VELOSEF-A FOR INJECTION DURACEF CAPSULES 500MG DICLOFEN SUPPOSITORIES 12.5MG (DICLOFENAC)"H.S" TALSUTIN VAGINAL TABLETS MYCOSTATIN E.V. TABLETS 100000UNITS (NYSTATIN) QUESTRAN POWDER (CHOLESTYRAMINE) MEDRONE TABLETS 10MG "WEIDAR" (MEDROXYPROGESTERONE) KING-P CAPSULES "H.S." IPROFEN TABLETS 400MG (IBUPROFEN) "S.S.P." SUTOLIN TABLETS 250MG (NAPROXEN) "S.D." 2.88 2.87 1.48 1.47 2.52 4.44 45.00 38.00 2.42 1.79 5.80 3.45 15.40 1.27 0.78 1.00 1.23 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 6449 6450 6451 6452 6453 6454 6455 6456 6457 6458 6459 6460 6461 6462 6463 6464 6465 6466 6467 6468 6469 6470 6471 6472 6473 6474 6475 6476 6477 6478 6479 6480 6481 6482 6483 6484 6485 CODE 藥品名稱 100年1月 項次 支付價 A034550100 GLUPIZIDE TABLETS 5MG (GLIPIZIDE) 6449 1 "S.S.P." A0345501G0 GLUPIZIDE TABLETS 5MG (GLIPIZIDE) 6450 1.5 "S.S.P." (鋁箔/膠箔) A034551100 SULIMEN TABLETS 100MG (SULINDAC) 6451 2.62 "KOJAR" A034553100 NICARPINE S.C. TABLETS 20MG 6452 3.24 (NICARDIPINE) "P.L" 1 6453 A034556100 SOU-AN CAPSULES "CHINTENG" A034557100 ZU-U TABLETS 100MG (BENZARONE) 6454 4.33 "CHINTENG" A034558100 BROSOU TABLETS 20MG (TIPEPIDINE) 6455 1 "CHINTENG" 1 6456 A034559100 KETOTIFEN TABLETS 1MG "CHINTENG" A0345591G0 KETOTIFEN TABLETS 1MG 6457 1.5 "CHINTENG"(鋁箔) A034564100 LIVER CHOLINE S.C. TABLETS "EVEREST" 6458 1 A0345641G0 LIVER CHOLINE S.C. TABLETS 6459 1.5 "EVEREST"(鋁箔/膠箔) A034569340 BESONG SCALP SOLUTION 1MG/ML 6460 30 (BETAMETHASONE) A034569399 BESONG SCALP SOLUTION 1MG/ML 6461 0.83 (BETAMETHASONE) A034573329 SALOSON 1% EMUGEL (DICLOFENAC) 6462 24.6 "MEY SEE" A034573343 SALOSON 1% EMUGEL (DICLOFENAC) 6463 39.8 "MEY SEE" A034575100 SUCRATE TABLETS 500MG 6464 1.22 (SUCRALFATE) "KOJAR" 34.9 6465 A034577212 AMIKACIN INJECTION 125MG/ML "S.Y." A034577229 AMIKACIN INJECTION 125MG/ML "S.Y." 6466 90 A034579216 GARA INJECTION 40MG/ML 6467 18.2 (GENTAMYCIN SULFATE) A034579229 GARA INJECTION 40MG /ML 6468 14.3 (GENTAMYCIN SULFATE) A034579299 GARA INJ. 40MG/ML (GENTAMYCIN 6469 1.26 IULFATE) A034583100 VIRLESS TABLETS 200MG "YUNG SHIN" 6470 10.5 (ACYCLOVIR) A034584100 EASYING FILM COATED TABLETS 25MG 6471 0.33 (DIPYRIDAMOLE) "ROOT" A0345841G0 EASYING FILM COATED TABLETS 25MG 6472 1.5 (DIPYRIDAMOLE) "ROOT"(鋁箔 A034585500 NYDASIN VAGINAL SUPPOSITORIES 6473 2.83 "WEIDAR" A034589100 SERELAM CAPSULES 10MG (OXAZOLAM) 6474 1 "N.W." A034595321 SILVER CREAM 10MG/GM (SILVER 6475 19.7 SULFADIAZINE) "MEIDER" A034595338 SILVER CREAM 10MG/GM (SILVER 6476 37.7 SULFADIAZINE) "MEIDER" A034597100 KENERLIN TABLET 1MG (KETOTIFEN) 6477 0 "SINTON" A034598100 CAPTROL TABLET 25MG (CAPTOPRIL) 6478 2.29 "PURZER" A034608100 EULICA TABLETS 50MG (NICAMETATE) 6479 0.55 "S.D." A034609109 DECOUGH GRANULES 100MG/GM 6480 2026 (EPRAZINONE) "S.C." A034609177 DECOUGH GRANULES 100MG/GM 6481 1738 (EPRAZINONE) "S.C." A034609199 DECOUGH GRANULES 100MG/GM 6482 2.02 (EPRAZINONE) "S.C." A034610100 RELAC TABLETS 5MG (BUSPIRONE) 6483 2.07 "UNION" A034613100 MODRON TABLETS 50MG 6484 1.3 (ORPHENADRINE) "TAI YU" A034614209 KELIN FOR INJECTION "TAI YU" 6485 23.4 (CEFAZOLIN) CODE 藥品名稱 A0348051G0 SUTOLIN TABLETS 250MG (NAPROXEN) "S.D."(鋁箔/膠箔) A034809100 DANONICE CAPSULES 200MG (DANAZOLE) "JINUP" A034811100 LOPERADINE CAPSULES 2MG (LOPERAMIDE) "EVEREST" A034813100 BINODONE TABLETS "EVEREST" A034818100 A034819100 A034821321 A034821329 A034822100 A034824100 A034825157 A034825199 A034827100 GOOD FOR YOU ANTI-COLD CAPSULES ANLITON TABLETS 500MG (ACETAMINOPHEN) "EVEREST" AMELON CREAM "EVEREST" AMELON CREAM "EVEREST" TINIZOLE TABLETS 500MG (TINIDAZOLE) "JOHNSON" URIDRON F.C. TABLETS 200MG (FLAVOXATE) "JOHNSON" LOPERAMIDE SYRUP 0.2MG/ML "ORIENTAL" LOPERAMIDE SYRUP 0.2MG/ML "ORIENTAL" CAFEMINE TABLETS "M.T." 說明 9901 支付價 1.50 15.30 0.66 0.45 1.02 0.30 14.00 28.70 2.20 3.58 41.90 0.30 1.01 調整 A034829100 A034834330 A034840100 BENKORINE TABLETS 20MG (BENPROPERINE) "PFOSHEN" ISUCON CREAM "PATRON" 1.95 78.00 LIFER TABLET 150MG (BUFLOMEDIL) "CURIE" LEXOTAN TABLETS 6MG (BROMAZEPAM) LAROXYL S.C. TABLETS 25MG (AMITRIPTYLINE) LEXOTAN TABLETS 3MG (BROMAZEPAM) 6.30 1.70 A034854100 LEXOTAN TABLETS 1.5MG (BROMAZEPAM) MACALOL SOFT CAPSULES 0.25UG "F.M." A034859100 PACOALON CAPSULES "H.S." 2.13 A034846100 A034847100 A034848100 A034849100 A034862100 AMSOL TABLETS 30MG (AMBROXOL) "Y.Y." A0348621G0 AMSOL TABLETS 30MG (AMBROXOL) "Y.Y."(鋁箔/膠箔) A034869329 FULIN CREAM 30MG/GM (NIFLUMIC ACID)"GCPC" A034880100 CAPTOLIN TABLETS 25MG (CAPTOPRIL) "KOJAR" A034881199 WAINUHOW SUSPENSION 20MG/ML (CIMETIDINE) "J.C.S." A034883329 CLODAI CREAM "CHINTENG" 3.94 1.88 2.06 4.60 1.00 1.50 16.40 2.42 0.28 28.30 A034888100 MADOPAR CAPSULES 125MG 5.00 A034889100 MOGADON TABLETS 5MG (NITRAZEPAM) 1.71 A034890100 VALIUM TABLETS 2MG (DIAZEPAM) 1.00 A034891100 SUWEILIN TABLET 400MG (CIMETIDINE) "SINTON" GLIMICON TABLETS 80MG (GLICLAZIDE) "Y.C." LIME TABLETS 0.25MG (TRIAZOLAM) "H.S." VOLTON ENTERIC-COATED TABLETS 50MG (DICLOFENAC) "H.S." DOXYCYCLINE CAPSULES 100MG "P.L." 1.00 COLISTIN SULFATE CAPSULES 1,000, 000 U "P.L" 6.70 刪除 A034893100 A034896100 A034898100 A034900100 A034901100 第 144 頁,共 382 頁 1.82 1.60 1.00 1.31 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6486 A034614212 6487 A034614221 6488 A034618343 KELIN FOR INJECTION "TAI YU" (CEFAZOLIN) KELIN FOR INJECTION "TAI YU" (CEFAZOLIN) UNDACID OINTMENT "VPP" 6489 A034619209 6490 6491 6492 6493 6494 6495 6496 6497 6498 6499 6500 6501 6502 6503 6504 6505 6506 6507 6508 6509 6510 6511 6512 6513 6514 6515 6516 6517 6518 6519 6520 6521 6522 BATONSU INJECTION 4MG/ML (BETAMETHASONE) "SINTON" A034621100 GLUTROL TABLET 5MG (GLIPIZIDE) "PURZER" A0346211G0 GLUTROL TABLET 5MG (GLIPIZIDE) "PURZER""(鋁箔/膠箔) A034626209 MECO B12 INJECTION 0.5MG/ML (MECOBALAMIN) "ORIENTAL" A034632100 DANAL 200MG CAPSULES (DANAZOLE) "ROYAL" A034633100 MANTA 100MG CAPSULES (AMANTADINE) "C.H." A034634100 KETOZEN 1MG TABLETS (KETOTIFEN)"S.L." A034635100 DERCON 10MG TABLETS (DEMPERIDONE) "YUNG CHI" A034636100 BROMHEXIN 8MG TABLETS "EVEREST" A034637100 BAFEN 10MG TABLETS (BACLOFEN) A034640100 SULPIRIDE 200MG TABLETS "S.Y." A034641100 LEZECON CAPSULES 30MG (TIMEPIDIUM) "Y.C." A034643421 GENDERON OPHTHALMIC SOLUTION "PATRON" A034647100 BRUPHEN FILM COATED TABLETS 600MG (IBUPROFEN) A034648277 LOMANDOLE FOR INJECTION 1000MG "GENTLE" A034652100 DANROINE ENTERIC F.C.TAB. 5MG "H.C."(SERRAPEPTASE) A034653100 DANROINE ENTERIC F.C. TABLETS 10MG "H.C."(SERRATIOPEPTIDAS A034654151 LOSOLVAN 3MG/ML SOLUTION (AMBROXOL) A034654155 LOSOLVAN 3MG/ML SOLUTION (AMBROXOL) A034654199 LOSOLVAN 3MG/ML SOLUTION (AMBROXOL) A034657100 SERADASE E.C. TABLETS 10MG (SERRATIOPEPTIDASE) "WEIDAR" A034658100 ME DROLINE 50MG S.C. TABLETS (MEBHYDROLIN) "C.H." A034659100 WINTIDINE 800MG F.C. TABLETS (CIMETIDINE) "WINSTAN" A034660329 SPORTON GEL 100MG/GM (ETOFENAMATE) "C.T." A034660338 SPORTON GEL 100MG/GM (ETOFENAMATE) "C.T." A034660345 SPORTON GEL 100MG/GM (ETOFENAMATE) "C.T." A034670100 FOLACIN F.C. TABLETS 5MG (FOLIC ACID) "JOHNSON" A0346701G0 FOLACIN F.C. TABLETS 5MG (FOLIC ACID) "JOHNSON" (鋁箔/膠箔) A034721100 SUFUCON TABLETS 500MG (ACETAMINOPHEN) "ORIENTAL" A034722277 GLYCEOL INJECTION A034723100 FUSTHMA TABLETS 1MG (KETOTIFEN)"S.F." A034726323 CLOTASONE CREAM 0.5MG/GM (CLOBETASOL) "M.S." A034726377 CLOTASONE CREAM 0.5MG/GM "M.S." (CLOBETASOL) A034726399 CLOTASONE CREAM 0.5MG/GM "M.S." (CLOBETASOL) 100年1月 項次 支付價 6486 85 6487 137 6488 15.5 6489 0 6490 1 6491 1.5 6492 18.6 6493 14.9 6494 2.33 6495 1 6496 0.59 0.29 6497 1.04 6498 2.1 6499 6500 2.02 6501 20.5 6502 3.27 6503 26.2 6504 1 6505 1 6506 25 6507 25 6508 0.17 6509 1.07 6510 1.12 6511 5.4 6512 32.7 6513 34.4 6514 75 6515 0 6516 0 6517 0.2 105 6518 6519 1 6520 19.7 6521 638 6522 0.8 CODE A034904139 A034909100 A034911329 說明 藥品名稱 9901 支付價 MYCOSTATIN FOR ORAL SUSPENSION 100 98.00 ,000 UNITS/ML (NYSTATIN) AMCLO CAPSULES "UNION" 2.36 24.50 A034921321 DERMOLEX CREAM 0.5MG/GM (CLOBETASOL)"PURZER" ISO COSAN CREAM A034921329 ISO COSAN CREAM 31.80 A034922100 GLIN TABLETS 2.5MG (TERBUTALINE SULFATE) FENOL TABLETS 2.5MG (FENOTEROL) "CHINTENG" T.C.P. F.C. TABLETS 100MG (TICLOPIDINE) "KINGDOM" CEFADROXIL CAPSULE 500MG "SINPHAR" 1.00 PROPHYLAXIN TABLETS 30MG (PYRIDOSTIGMINE BROMIDE) "VPP" A034943100 ANASEC TABLETS 275MG (NAPROXEN SODIUM) "S.S.P." A034944100 LISEIPIN F.C. TABLETS "ROOT" A0349441G0 LISEIPIN F.C. TABLETS "ROOT"(鋁箔) A034946199 SINLEX A034950100 SHITAN TABLETS 8MG (BROMHEXINE) "KOJAR" A034952100 HAUANMIN TABLETS 0.25MG (TRIAZOLAM)"CHIN TENG" A034955229 AMIKIN PARENTERAL 125MG (AMIKACIN) 1.84 15.90 刪除 A034924100 A034927100 A034938100 A034940100 A034960100 0.80 5.00 2.29 1.26 0.40 1.50 3.50 0.80 1.96 121.00 MADOPAR TABLETS 250MG 9.80 SISTIN GRANULES 20MG/GM (ACETYLCYSTEINE) "ROOT" A034966335 CLOSOL 0.05% CREAM "CHEN TA"(CLOBETASOL PROPIONATE) A034966377 CLOSOL 0.05% CREAM "CHEN TA" (CLOBETASOL PROPIONATE) A034966399 CLOSOL CREAM 0.05% "CHEN TA." (CLOBETASOL PROPIONATE) A034968100 SEROLIN CAPSULES 10MG (OXAZOLAM)"W.P." A034969100 SERECIN CAPSULES 10MG (OXAZOLAM) "YY" A034978500 DICLOPHEN SUPPOSITORY 12.5MG (DICLOFENAC) "PFOSHEN" A034979100 DERZIQU TABLETS 400MG (CIMETIDINE) "M.T." A0349791G0 DERZIQU TABLETS 400MG (CIMETIDINE) "M.T."(鋁箔) A034980500 DICLOPHEN SUPPOSITORY 25MG (DICLOFENAC) "PFOSHEN" A034981100 URIMARON TABLETS 50MG (BENZBROMARONE) "N.W." A034986100 CUNTONG TABLETS 20MG (PIROXICAM) "ROOT" A034989329 ISODERM CREAM 0.65 A034965199 32.80 654.00 0.91 0.56 1.00 1.78 1.00 1.50 2.87 1.50 1.23 刪除 33.60 刪除 A034989338 ISODERM CREAM A034989399 A035002100 ISODERM CREAM DORMICUM F.C. TABLETS 7.5MG (MIDAZOLAM) BETADERM CREAM0.5MG/GM (CLORBETASOL) BETADERM CREAM0.5MG/GM (CLORBETASOL) BETADERM CREAM 0.5MG/GM (CLOBETASOL) A035007329 A035007338 A035007399 第 145 頁,共 382 頁 77.00 1.63 3.85 22.80 57.00 0.96 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6523 A034727100 6524 6525 A034735100 A034736100 6526 A034741209 6527 A034742100 6528 A034743209 6529 A034743299 6530 6531 A034746321 A034746335 MEGEJOHN TAB. 40MG "JOHNSON" (MEGESTROL) CORGARD TABLETS 80MG (NADOLOL) GLICALIN TABLETS 80MG (GLICLAZIDE) "KOJAR" KENACORT-A INTRAMUSCULAR INJECTION 40MG/ML (TRIAMCINOLONE A PRONESTYL CAPSULES 250MG (PROCAINAMIDE HCL) KENACORT-A INTRA-ARTICULARINTRADERMAL (TRIAMCINOLONE ACETO KENACORT-A INTRA-ARTICULARINTRADERMAL (TRIAMCINOLONE ACETO KENACOMB CREAM KENACOMB CREAM 6532 A034746399 KENACOMB CREAM 6533 6534 A034749100 A034750399 6535 A034751399 6536 A034754100 VELOSEF CAPSULES 250MG KENACORT-A CREAM 1MG/GM (TRIAMCINOLONE ACETONIDE) KENACORT-A OINTMENT 1MG/GM (TRIAMCINOLONE ACETONIDE) CAPOTEN TABLETS 25MG (CAPTOPRIL) 6537 A034756100 6552 MYCOSTATIN SUGAR COATED TABLETS 500,000UNITS (NYSTATIN) A034762209 VELOSEF-A FOR INJECTION (CEPHRADINE) A034762277 VELOSEF-A FOR INJECTION (CEPHRADINE) A034763100 DURACEF CAPSULES 500MG A034764500 DICLOFEN SUPPOSITORIES 12.5MG (DICLOFENAC)"H.S" A034794500 TALSUTIN VAGINAL TABLETS A034795500 MYCOSTATIN E.V. TABLETS 100000UNITS (NYSTATIN) A034796127 QUESTRAN POWDER (CHOLESTYRAMINE) A034799100 MEDRONE TABLETS 10MG "WEIDAR" (MEDROXYPROGESTERONE) A034802100 KING-P CAPSULES "H.S." A034804100 IPROFEN TABLETS 400MG (IBUPROFEN) "S.S.P." A034805100 SUTOLIN TABLETS 250MG (NAPROXEN) "S.D." A0348051G0 SUTOLIN TABLETS 250MG (NAPROXEN) "S.D."(鋁箔/膠箔) A034809100 DANONICE CAPSULES 200MG (DANAZOLE) "JINUP" A034811100 LOPERADINE CAPSULES 2MG (LOPERAMIDE) "EVEREST" A034813100 BINODONE TABLETS "EVEREST" 6553 6554 A034818100 A034819100 6555 6556 A034821321 A034821329 6557 A034822100 6558 A034824100 6559 A034825157 6560 6561 6562 A034825199 A034827100 A034829100 6563 A034834330 6538 6539 6540 6541 6542 6543 6544 6545 6546 6547 6548 6549 6550 6551 GOOD FOR YOU ANTI-COLD CAPSULES ANLITON TABLETS 500MG (ACETAMINOPHEN) "EVEREST" AMELON CREAM "EVEREST" AMELON CREAM "EVEREST" TINIZOLE TABLETS 500MG (TINIDAZOLE) "JOHNSON" URIDRON F.C. TABLETS 200MG (FLAVOXATE) "JOHNSON" LOPERAMIDE SYRUP 0.2MG/ML "ORIENTAL" LOPERAMIDE SYRUP 0.2MG/ML CAFEMINE TABLETS "M.T." BENKORINE TABLETS 20MG (BENPROPERINE) "PFOSHEN" ISUCON CREAM "PATRON" 100年1月 項次 支付價 6523 14.2 0 6524 6525 1.9 6526 99 6527 0 6528 46.9 6529 17.2 19.2 6530 6531 67 6532 2.88 0 6533 6534 0 6535 0 6536 0 6537 4.44 6538 0 6539 0 0 6540 6541 1.79 0 6542 6543 3.45 15.4 6544 6545 1.27 0.78 6546 6547 1 6548 1.23 6549 1.5 6550 15.3 6551 0.66 6552 0.45 1.02 6553 6554 0.3 14 6555 6556 28.7 6557 0 6558 0 6559 41.9 0.3 6560 1.01 6561 6562 1.95 78 6563 說明 CODE 藥品名稱 A035009100 A035037329 OXYTYNIN TABLETS 5MG (OXYBUTYNIN) "CHINETENG" BUSP TABLETS 10MG (BUSPIRONE) "H.S." MINIBENES TABLETS 5MG (GLIPIZIDE) "N.W." VIRUN CREAM 50MG/GM (ACYCLOVIR) "H.S." VIRUN CREAM 50MG/GM (ACYCLOVIR) "H.S." DICLOFEN GEL 1% (DICLOFENAC) "H.S." A035037335 DICLOFEN GEL 1% (DICLOFENAC) "H.S." 32.30 A035037340 A035042100 43.70 1.08 A035045100 A035046151 DICLOFEN GEL 1% (DICLOFENAC) "H.S." MEBHYLIN F.C. TABLETS 50MG (MEBHYDROLINE) "N.W." KOZEN E.F.C. TABLETS 10MG (SERRATIOPEPTIDASE) "S.D." NOCA TABLETS 15MG (NOSCAPINE) "H.S." CODERINE SYRUP "C.P." A035046199 CODERINE SYRUP "C.P." A035049212 A035055321 A035055329 UFO POWDER FOR INJ. 2GM (FOSFOMYCIN) "UNION" UFO POWDER FOR INJ. 500MG. (FOSFOMYCIN) DOMPE SUPPOSITORIES 10MG (DOMPERIDONE) "H.S." LEFENINE F.C.TABLETS 50MG (FLURBIPROFEN) "C.H." BECYLIC OINTMENT BECYLIC OINTMENT A035055335 A035055338 BECYLIC OINTMENT BECYLIC OINTMENT 40.60 55.00 A035055399 A035057421 BECYLIC OINTMENT BETTERCIN EYE DROPS 3MG/ML 1.39 13.10 A035057429 A035058100 BETTERCIN EYE DROPS 3MG/ML PEPTASE 5MG E.F.C. TABLETS (SERRATIOPEPTIDASE) "ROYAL" AMGICOL 30MG TABLETS (AMBROXOL) "ROYAL" GINBONIN F.C. TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "N.W." FENDECA 8MG/ML INJECTION (FENSPIRIDE) "SWISS" MYCOME TABLETS 125MG (MICONAZOLE) "SWISS" BLASEC TABLETS 5MG (OXYBUTYNIN) "S.S.P." BETTERSONE EYE DROPS BETTERSONE EYE DROPS 37.30 1.00 BETTERSONE EYE DROPS INOTON CREAM 1% (INDOMETHACIN) "WEIDAR" OXYPAN TABLETS 5MG (OXYBUTYNIN) "N.W." BENZARONE TABLETS 100MG "C.H." 32.00 21.60 A035011100 A035012100 A035035317 A035035372 A035043100 9901 支付價 2.83 7.90 1.00 刪除 54.00 913.00 刪除 24.60 1.07 0.69 21.00 刪除 刪除 0.35 刪除 A035049277 A035051500 A035054100 A035060100 A035064100 A035067221 A035068100 A035069100 A035071421 A035071423 A035071429 A035072329 A035082100 A035087100 247.00 刪除 73.00 3.14 刪除 3.22 15.00 28.00 刪除 刪除 刪除 1.00 2.54 17.00 13.20 2.58 20.50 28.00 3.00 刪除 3.98 刪除 A035088500 A035129100 A035140337 A035140365 VETIN SUPPOSITORIES 12.5MG (DICLOFENAC) "C.C.P.C." SURING TABLETS "ROOT" TEMENAZOLE CREAM TEMENAZOLE CREAM A035141199 AMOXICILLIN GRANULES 200MG/GM 第 146 頁,共 382 頁 1.80 1.00 66.00 585.00 1.34 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6564 A034840100 6565 A034846100 LIFER TABLET 150MG (BUFLOMEDIL) "CURIE" LEXOTAN TABLETS 6MG (BROMAZEPAM) 6566 A034847100 6576 LAROXYL S.C. TABLETS 25MG (AMITRIPTYLINE) A034848100 LEXOTAN TABLETS 3MG (BROMAZEPAM) A034849100 LEXOTAN TABLETS 1.5MG (BROMAZEPAM) A034854100 MACALOL SOFT CAPSULES 0.25UG "F.M." A034859100 PACOALON CAPSULES "H.S." A034862100 AMSOL TABLETS 30MG (AMBROXOL) "Y.Y." A0348621G0 AMSOL TABLETS 30MG (AMBROXOL) "Y.Y."(鋁箔/膠箔) A034869329 FULIN CREAM 30MG/GM (NIFLUMIC ACID)"GCPC" A034880100 CAPTOLIN TABLETS 25MG (CAPTOPRIL) "KOJAR" A034881199 WAINUHOW SUSPENSION 20MG/ML (CIMETIDINE) "J.C.S." A034883329 CLODAI CREAM "CHINTENG" 6577 A034888100 MADOPAR CAPSULES 125MG 6578 A034889100 MOGADON TABLETS 5MG (NITRAZEPAM) 6579 A034890100 VALIUM TABLETS 2MG (DIAZEPAM) 6580 A034891100 6567 6568 6569 6570 6571 6572 6573 6574 6575 6585 SUWEILIN TABLET 400MG (CIMETIDINE) "SINTON" A034893100 GLIMICON TABLETS 80MG (GLICLAZIDE) "Y.C." A034896100 LIME TABLETS 0.25MG (TRIAZOLAM) "H.S." A034898100 VOLTON ENTERIC-COATED TABLETS 50MG (DICLOFENAC) "H.S." A0348981G0 VOLTON ENTERIC-COATED TABLETS 50MG (DICLOFENAC) "H.S."(鋁箔 A034900100 DOXYCYCLINE CAPSULES 100MG "P.L." 6586 A034901100 6587 A034904139 6588 A034909100 6589 A034911329 6590 A034921321 DERMOLEX CREAM 0.5MG/GM (CLOBETASOL)"PURZER" ISO COSAN CREAM 6591 A034921329 ISO COSAN CREAM 6592 A034922100 6593 A034924100 6594 A034927100 6595 A034938100 GLIN TABLETS 2.5MG (TERBUTALINE SULFATE) FENOL TABLETS 2.5MG (FENOTEROL) "CHINTENG" T.C.P. F.C. TABLETS 100MG (TICLOPIDINE) "KINGDOM" CEFADROXIL CAPSULE 500MG "SINPHAR" 6596 A034940100 6597 A034943100 6598 A034944100 6599 A0349441G0 LISEIPIN F.C. TABLETS "ROOT"(鋁箔) 6600 A034946199 6581 6582 6583 6584 COLISTIN SULFATE CAPSULES 1,000, 000 U "P.L" MYCOSTATIN FOR ORAL SUSPENSION 100 ,000 UNITS/ML (NYSTATIN) AMCLO CAPSULES "UNION" PROPHYLAXIN TABLETS 30MG (PYRIDOSTIGMINE BROMIDE) "VPP" ANASEC TABLETS 275MG (NAPROXEN SODIUM) "S.S.P." LISEIPIN F.C. TABLETS "ROOT" SINLEX GRANULES FOR DRY SYRUP 250MG "S.T." 100年1月 項次 支付價 6564 6.3 6565 3.94 6566 1.88 2.06 6567 6568 1.7 4.6 6569 0 6570 6571 0 6572 1.5 6573 16.4 6574 2.42 6575 0.28 6576 28.3 6577 5 6578 1.71 6579 1 6580 0 6581 1.82 6582 1.6 6583 1 6584 1.5 6585 1.31 6586 6.7 6587 98 6588 2.36 6589 23.2 6590 15.9 6591 31.8 6592 0 6593 0.8 6594 5 6595 2.29 6596 1.84 6597 1.19 6598 0.4 6599 1.5 6600 3.5 說明 CODE 藥品名稱 A035145100 LOPERAMIDE CAPSULES 2MG "J.A." 0.48 A035146100 SALBUTAN TABLETS 4MG "J.A." (SALBUTAMOL) YUCHITONMIN CAPSULES "J.A." 0.30 SABOLI CAPSULES "J.A." TINIZIN TABLETS 500MG "J.A." (TINIDAZOLE) YUCHITONMIN TABLETS "J.A." TRAVE LAC TABLETS "J.A." EULON CAPSULES 100MG (TOCOPHEROL NICOTINATE) "J.A." URITEC CAPSULES 250MG (PIPEMIDIC ACID) "J.A." BETA-AESCIN CAPSULES 20MG "J.A." 1.00 1.50 DEMISOLE TABLETS 150MG "J.A."(LEVAMISOLE) CIMETIN TABLETS 300MG "J.A." (CIMETIDINE) PAURAPOL CAPSULES 250MG (METRONIDAZOLE) "J.A." PROPHYRIN S.C. TABLETS 200MG (PROTOPORPHYRIN) "J.A." SULPIDIN CAPSULES 50MG "J.A." (SULPIRIDE) LONGIMIN TABLETS 50MG "J.A." (BUCLIZINE) TRIRAZINE CAPSULES 2MG (TRIFLUOPERAZINE) "J.A." SMED CREAM "MEIDER" 4.68 A035149100 A035150100 A035151100 A035152100 A035153100 A035154100 A035155100 A035157100 A035158100 A035159100 A035160100 A035161100 A035163100 A035164100 A035165100 A035167330 A035169500 9901 支付價 0.77 0.50 0.24 0.73 刪除 2.35 2.45 1.20 1.00 1.24 0.80 0.63 1.17 刪除 61.00 7.40 A035171100 CAMAZOLE VAGINAL TABLET 100MG (CLOTRIMAZOLE) "PURZER" VITAMIX FILM COATED TABLETS "T.F." A035176100 LYSOZYME TABLETS 30MG "J.A." 0.40 A035177100 ROTILIUM 10MG F.C. TABLETS (DOMPERIDONE) "ROYAL" KETOMIN CAPSULES 1MG (KETOTIFEN) "EVEREST" LEFENINE F.C. TABLETS 100MG (FLURBIPROFEN) "C.H." FENOTEC TABLETS 2.5MG (FENOTEROL) "EVEREST" CETAZONE INJECTION (CEFMETAZOLE) "S.T." CETAZONE INJECTION "S.T." (CEFMETAZOLE) CETAZONE INJECTION (CEFMETAZOLE) "S.T." KETOCONAZOLE CREAM 20MG/GM "SINPHAR" KETOCONAZOLE CREAM 20MG/GM "SINPHAR" KETOCONAZOLE CREAM 20MG/GM "SINPHAR" KETOCONAZOLE CREAM 20MG/GM "SINPHAR" KETOCONAZOLE CREAM 20MG/GM "SINPHAR" KETOCONAZOLE CREAM 20MG/GM "SINPHAR" KETOCONAZOLE CREAM 20MG/GM "SINPHAR" TUSOLOC TABLETS 2.5MG (TERBUTALINE SULFATE) "S.S.P." FORBES CREAM 20MG/GM (KETOCONAZOLE) "MEIDER" 0.59 A035178100 A035179100 A035180100 A035182209 A035182212 A035182277 A035183309 A035183321 A035183329 A035183335 A035183338 A035183372 A035183399 A035184100 A035185321 第 147 頁,共 382 頁 刪除 2.34 1.00 8.10 1.00 150.00 調整 394.00 89.00 693.00 刪除 22.70 15.60 54.00 57.00 407.00 調整 0.69 1.00 24.10 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6601 A034950100 6602 A034952100 6603 A034955229 SHITAN TABLETS 8MG (BROMHEXINE) "KOJAR" HAUANMIN TABLETS 0.25MG (TRIAZOLAM)"CHIN TENG" AMIKIN PARENTERAL 125MG (AMIKACIN) 6604 A034960100 MADOPAR TABLETS 250MG 6605 A034965199 6617 SISTIN GRANULES 20MG/GM (ACETYLCYSTEINE) "ROOT" A034966335 CLOSOL 0.05% CREAM "CHEN TA"(CLOBETASOL PROPIONATE) A034966377 CLOSOL 0.05% CREAM "CHEN TA" (CLOBETASOL PROPIONATE) A034966399 CLOSOL CREAM 0.05% "CHEN TA." (CLOBETASOL PROPIONATE) A034968100 SEROLIN CAPSULES 10MG (OXAZOLAM)"W.P." A034969100 SERECIN CAPSULES 10MG (OXAZOLAM) "YY" A034978500 DICLOPHEN SUPPOSITORY 12.5MG (DICLOFENAC) "PFOSHEN" A034979100 DERZIQU TABLETS 400MG (CIMETIDINE) "M.T." A0349791G0 DERZIQU TABLETS 400MG (CIMETIDINE) "M.T."(鋁箔) A034980500 DICLOPHEN SUPPOSITORY 25MG (DICLOFENAC) "PFOSHEN" A034981100 URIMARON TABLETS 50MG (BENZBROMARONE) "N.W." A034986100 CUNTONG TABLETS 20MG (PIROXICAM) "ROOT" A034989329 ISODERM CREAM 6618 6619 6620 A034989338 A034989399 A035002100 6621 A035007329 6622 A035007338 6623 A035007399 6624 A035009100 6625 A035011100 6626 A035012100 6627 A035035317 6628 A035035372 6629 6630 6631 A035037329 A035037335 A035037340 6632 A035042100 6633 A035043100 6634 6635 6636 A035045100 A035046151 A035046199 6637 A035049212 6638 A035049219 6606 6607 6608 6609 6610 6611 6612 6613 6614 6615 6616 ISODERM CREAM ISODERM CREAM DORMICUM F.C. TABLETS 7.5MG (MIDAZOLAM) BETADERM CREAM0.5MG/GM (CLORBETASOL) BETADERM CREAM0.5MG/GM (CLORBETASOL) BETADERM CREAM 0.5MG/GM (CLOBETASOL) OXYTYNIN TABLETS 5MG (OXYBUTYNIN) "CHINETENG" BUSP TABLETS 10MG (BUSPIRONE) "H.S." MINIBENES TABLETS 5MG (GLIPIZIDE) "N.W." VIRUN CREAM 50MG/GM (ACYCLOVIR) "H.S." VIRUN CREAM 50MG/GM (ACYCLOVIR) "H.S." DICLOFEN GEL 1% (DICLOFENAC) "H.S." DICLOFEN GEL 1% (DICLOFENAC) "H.S." DICLOFEN GEL 1% (DICLOFENAC) "H.S." MEBHYLIN F.C. TABLETS 50MG (MEBHYDROLINE) "N.W." KOZEN E.F.C. TABLETS 10MG (SERRATIOPEPTIDASE) "S.D." NOCA TABLETS 15MG (NOSCAPINE) "H.S." CODERINE SYRUP "C.P." CODERINE SYRUP "C.P." UFO POWDER FOR INJ. 2GM (FOSFOMYCIN) "UNION" UFO POWDER FOR INJECTION (FOSFOMYCIN) "UNION" 100年1月 項次 支付價 6601 0.8 6602 1.96 6603 0 6604 9.8 6605 0.65 6606 32.8 6607 654 6608 0.8 6609 0.56 6610 1 6611 1.78 6612 1 6613 1.5 6614 2.87 6615 1.5 6616 1.22 6617 33.6 77 6618 1.63 6619 6620 3.85 6621 22.6 6622 57 6623 0.81 6624 2.83 6625 7.9 6626 1 6627 54 6628 913 24.6 6629 32.3 6630 6631 43.7 6632 1.08 6633 1.07 0.69 6634 21 6635 6636 0.35 6637 247 6638 444 CODE 藥品名稱 A035185355 FORBES CREAM 20MG/GM "MEIDER" (KETOCONAZOLE) FORBES CREAM 20MG/GM "MEIDER" (KETOCONAZOLE) EULIGAN CREAM 0.05% "Y.Y." (CLOBETASONE) EULIGAN CREAM 0.05% "Y.Y." (CLOBETASONE) EULIGAN CREAM 0.05% (CLOBETASONE) "Y.Y." EULIGAN CREAM 0.05% "Y.Y" (CLOBETASONE) MELLERZIN SC.TABLETS 100MG (THIORIDAZINE) "P.L." MEBERINE F.C.TABLET 135MG "T.T.Y" (MEBEVERINE HYDROCHLORIDE) SIMETHICONE TABLETS 40MG "KOJAR" A035185399 A035188321 A035188329 A035188335 A035188399 A035195100 A035211100 A035212100 A035213100 SALINE S.C. TABLETS 50MG (NICAMETATE) "EVEREST" A0352131G0 SALINE S.C. TABLETS 50MG (NICAMETATE) "EVEREST" (90粒/瓶) (鋁 A035214100 KETOFEN TABLETS 1MG (KETOTIFEN) "N.W." A035235100 SEROL TABLETS 20MG (OXAZOLAM) "KOJAR" A035254100 TANTELL TABLETS 5MG (GLIBENCLAMIDE) "EVEREST" A035255100 ADEC TABLETS 100MG (MEBENDAZOLE) "EVEREST" A035256100 SULNINE CAPSULES 10MG (OXAZOLAM) "EVEREST" A0352561G0 SULNINE CAPSULES 10MG (OXAZOLAM) "EVEREST"(90/瓶) A035266238 GITOSE 20% INJECTION "N.K." A035267238 GITOSE 50% INJECTION (DEXTROSE) A035269209 KETOFPAN INJECTION 50MG (KETOPROFEN) "PANBIOTIC" A035269212 KETOFPAN INJECTION 50MG (KETOPROFEN) "PANBIOTIC" A035276100 LOMYCIN CAPSULES 500MG (CHLORAMPHENICE) "Y.C." A035277100 URINIS CAPSULES "YY" 說明 9901 支付價 663.00 2.10 28.80 刪除 47.10 45.60 1.79 4.98 1.93 調整 0.18 0.75 1.50 1.00 1.99 0.25 0.75 1.00 調整 1.50 2.58 2.88 10.00 10.00 調整 0.65 1.44 調整 A035278100 A035281100 A035282100 A035285100 A035287336 A035287338 A035287399 A035288500 UROCON TABLETS 5MG "STANDARD" (OXYBUTYNIN) PROXEN TABLETS 500MG "AND" (NAPROXEN) POWEGON F.C.T. 400MG (CIMETIDINE) "EVEREST" SOONWAY TABLETS 10MG (SCOPOLAMINE) "ROOT" AYFUCO CREAM "ROOT" AYFUCO CREAM AYFUCO CREAM SUZUIN SUPPOSITORIES 12.5MG (DICLOFENAC) "YUNG CHI" A035291212 FEBIN INJECTION 25MG/ML "TAI YU" (KETOPROFEN) A035293338 TEIMEI CREAM 10MG/GM "U CHU" (CENTELLA ASIATICA) A035297100 AWAC CAPSULES A035324100 METFORMIN TABLETS 500MG "PFOSHEN" A0353241G0 METFORMIN TABLETS 500MG "PFOSHEN"(鋁箔/膠箔) A035336100 URINSU TABLETS 200MG (FLAVOXATE)"YY" A035354321 XOXACIN CREAM 5% (ACYCLOVIR) "N.W." 第 148 頁,共 382 頁 3.01 2.65 1.00 0.60 25.80 29.20 1.07 1.77 10.00 135.00 1.04 1.00 1.50 3.80 47.60 新增 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6639 A035049277 UFO POWDER FOR INJ. 500MG. (FOSFOMYCIN) 6640 A035051500 DOMPE SUPPOSITORIES 10MG (DOMPERIDONE) "H.S." LEFENINE F.C.TABLETS 50MG (FLURBIPROFEN) "C.H." BECYLIC OINTMENT 100年1月 項次 支付價 6639 6642 A035054100 A035055321 6656 A035399100 NAPROXEN TABLETS 500MG "ASTAR" 2.64 6657 2.58 20.5 6658 28 6659 6660 32 6661 21.6 6662 3 3.98 6663 6664 1.8 1 6665 66 6666 585 6667 1.34 6668 6669 0.48 6670 0.3 6671 0.77 6672 1 6673 1.5 6674 0.5 6675 0.24 6676 0.73 A035410100 NAPROXEN TABLETS 250MG "ASTAR" 1.15 A035411100 A035412100 A035414100 CIMETIDINE TABLETS 400MG "ASTAR" CEPHALEXIN TABLETS 500MG "S.T." DIARONZIDE TABLETS 80MG (GLICLAZIDE) "CHEN TA" BEROASMA TABLETS 2.5MG (FENOTEROL) "CHEN TA" MEILISU S.C. TABLETS (NICERGOLINE)"YY" GINTEC FILM COATED TABLET LISSES CAPSULES "YY" 1.00 1.95 1.82 WET EYE DROPS "T.F." WET EYE DROPS "T.F." SMARTEN TABLETS 25MG BACLOFEN TABLETS 10MG "C.H." PANATOL ELIXIR 24MG/ML (ACETAMINOPHEN) "PANBIOTIC" PANATOL ELIXIR 24MG/ML (ACETAMINOPHEN) "PANBIOTIC" PANATOL ELIXIR 24MG/ML (ACETAMINOPHEN) "PANBIOTIC" CHOLES POWDER (CHOLESTYRAMINE RESIN) "S.D." NEROPIN TABLETS 200MG (FLAVOXATE)"N.W." LIBRIUM S.C. TABLETS 5MG (CHLORDIAZEPOXIDE) BINISON INJ. 50MG/ML (HALOPERIDOL)"SWISS" BINISON INJ. 50MG/ML (HALOPERIDOL)"SWISS" 11.00 46.70 2.45 1.09 16.90 6641 3.22 6642 A035055329 BECYLIC OINTMENT 6643 28 6644 A035055335 BECYLIC OINTMENT 6644 40.6 6645 A035055338 BECYLIC OINTMENT 6645 55 6646 A035055399 BECYLIC OINTMENT 6646 1.39 6647 A035057421 BETTERCIN EYE DROPS 3MG/ML 6647 13.1 6648 A035057429 BETTERCIN EYE DROPS 3MG/ML 6648 37.3 6649 6658 6659 6660 PEPTASE 5MG E.F.C. TABLETS (SERRATIOPEPTIDASE) "ROYAL" A0350581G0 PEPTASE 5MG E.F.C. TABLETS (SERRATIOPEPTIDASE) "ROYAL"(鋁箔 A035060100 AMGICOL 30MG TABLETS (AMBROXOL) "ROYAL" A0350601G0 AMGICOL 30MG TABLETS (AMBROXOL) "ROYAL"(鋁箔/膠箔) A035064100 GINBONIN F.C. TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "N.W." A035065100 BIGAST TABLETS 1000MG (SUCRALFATE) "Y.C." A035067221 FENDECA 8MG/ML INJECTION (FENSPIRIDE) "SWISS" A035068100 MYCOME TABLETS 125MG (MICONAZOLE) "SWISS" A035069100 BLASEC TABLETS 5MG (OXYBUTYNIN) "S.S.P." A035071421 BETTERSONE EYE DROPS A035071423 BETTERSONE EYE DROPS A035071429 BETTERSONE EYE DROPS 6661 A035072329 6662 A035082100 6663 6664 A035087100 A035088500 6665 6666 6667 6668 6669 A035129100 A035140337 A035140365 A035141199 A035145100 6670 A035146100 6671 A035149100 SALBUTAN TABLETS 4MG "J.A." (SALBUTAMOL) YUCHITONMIN CAPSULES "J.A." 6672 A035150100 SABOLI CAPSULES "J.A." 6673 A035151100 6674 A035152100 TINIZIN TABLETS 500MG "J.A." (TINIDAZOLE) YUCHITONMIN TABLETS "J.A." 6675 A035153100 TRAVE LAC TABLETS "J.A." 6676 A035154100 EULON CAPSULES 100MG (TOCOPHEROL NICOTINATE) "J.A." 6650 6651 6652 6653 6654 6655 6656 6657 A035058100 INOTON CREAM 1% (INDOMETHACIN) "WEIDAR" OXYPAN TABLETS 5MG (OXYBUTYNIN) "N.W." BENZARONE TABLETS 100MG "C.H." VETIN SUPPOSITORIES 12.5MG (DICLOFENAC) "C.C.P.C." SURING TABLETS "ROOT" TEMENAZOLE CREAM TEMENAZOLE CREAM AMOXICILLIN GRANULES 200MG/GM LOPERAMIDE CAPSULES 2MG "J.A." 6649 1 6650 1.5 6651 1 6652 1.5 6653 2.52 6654 2.47 A035355100 說明 9901 支付價 6655 6640 3.14 15 6643 藥品名稱 PARTANE TABLETS 5MG (TRIHEXYPHENIDEL HYDROCHLORIDE) "S.S.P." A035363338 MYCOSON EXTERNAL SOLUTION 10MG/ML "S.Y." (BIFONAZOLE) A035363345 MYCOSON EXTERNAL SOLUTION 10MG/ML "S.Y." (BIFONAZOLE) A035363399 MYCOSON EXTERNAL SOLUTION 10MG/ML "S.Y." (BIFONAZOLE) A035365100 GENLOIN TABLETS 10MG (DOMPERIDONE)"YY" A0353651G0 GENOLIN TABLETS 10MG (DOMPERIDONE)"YY"(鋁箔/膠箔) A035366135 FUNWIHU SUSPENSION 20MG/ML (CIMETIDINE) "CHEN TA" A035367100 WESIPIN F.C.TABLETS 100MG (ATENOLOL) "EVEREST" A035370100 DECORON TABLETS 0.5MG (DEXAMETHASONE) "EVEREST" A035390100 NAPOTON TABLETS 500MG (NAPROXEN) "YY" A035391321 ACLOVIR CREAM 50MG/GM (ACYCLOVIR) "SINPHAR" A035391399 ACLOVIR CREAM 50MG/GM (ACYCLOVIR) "SINPHAR" A035393100 LOTONIN CAPSULE 250MG (MEFENAMIC ACID) "SINTON" A035396100 TAMOZEN ENTERIC FILM COATED TABLETS 5MG A035397338 DICLOREN EMULGEL 1% (DICLOFENAC SODIUM) "WEIDAR" A035397372 DICLOREN EMULGEL 1% (DICLOFENAC SODIUM) "WEIDAR" A035398100 TRIVEMIN TABLETS 73 6641 CODE 1.00 104.00 160.00 4.02 0.59 1.50 13.40 2.04 0.37 2.27 47.80 5.70 新增 0.37 1.00 新增 36.00 調整 1,136.00 1.56 17 13.2 A035415100 A035416100 A035417100 A035418100 A035419421 A035419435 A035420100 A035422100 A035423151 A035423157 A035423199 A035424127 A035425100 A035426100 A035430209 A035430216 第 149 頁,共 382 頁 0.80 2.29 2.18 1.05 18.10 0.11 12.30 3.80 1.60 157.00 354.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6677 A035155100 6678 6679 A035157100 A035158100 6680 A035159100 6681 A035160100 6682 A035161100 6683 A035163100 URITEC CAPSULES 250MG (PIPEMIDIC ACID) "J.A." BETA-AESCIN CAPSULES 20MG "J.A." DEMISOLE TABLETS 150MG "J.A."(LEVAMISOLE) CIMETIN TABLETS 300MG "J.A." (CIMETIDINE) PAURAPOL CAPSULES 250MG (METRONIDAZOLE) "J.A." PROPHYRIN S.C. TABLETS 200MG (PROTOPORPHYRIN) "J.A." SULPIDIN CAPSULES 50MG "J.A." (SULPIRIDE) 6684 A035164100 100年1月 項次 支付價 6677 2.35 2.45 6678 6679 4.68 6680 1.2 6681 1 6682 1.24 6683 CODE 藥品名稱 A035433212 KETOFEN-H INJECTION 50MG/ML (KETOPROFEN) "SINTON" KENBO CAPSULES 150MG PIERCOL TABLETS 250MG (PIPEMIDIC ACID) "TK&A." ANTIFAT TABLETS 200MG (BEZAFIBRATE) "ASTAR" INDOL GEL 10MG/GM "SINPHAR"(INDOMETHACIN) JINCOLIN SYRUP "CHEN TA" A035434100 A035436100 A035439100 A035440329 A035441199 A035445100 0.8 6685 6686 A035165100 A035167330 LONGIMIN TABLETS 50MG "J.A." (BUCLIZINE) TRIRAZINE CAPSULES 2MG (TRIFLUOPERAZINE) "J.A." SMED CREAM "MEIDER" 6684 A035447355 6685 A035449100 6686 A035451330 6687 0 2.34 6688 0.4 6689 6690 0.59 6691 1 6692 8.1 6693 1 6694 150 6695 394 6696 0 6697 693 6698 22.7 6699 14.2 6700 54 6701 57 6702 407 6703 0.63 6704 1 6705 24.1 6706 663 6707 0.84 6708 28.8 6709 47.1 6710 45.6 6711 1.79 6712 4.98 A035451372 0.63 1.17 61 6687 A035169500 6688 6689 6690 A035171100 A035176100 A035177100 6691 A035178100 6692 A035179100 6693 A035180100 6694 A035182209 6695 A035182212 6696 A035182277 6697 A035183309 6698 A035183321 6699 A035183329 6700 A035183335 6701 A035183338 6702 A035183372 6703 A035183399 6704 A035184100 6705 A035185321 6706 A035185355 6707 A035185399 6708 A035188321 6709 A035188329 6710 A035188335 6711 A035188399 6712 A035195100 CAMAZOLE VAGINAL TABLET 100MG (CLOTRIMAZOLE) "PURZER" VITAMIX FILM COATED TABLETS "T.F." LYSOZYME TABLETS 30MG "J.A." ROTILIUM 10MG F.C. TABLETS (DOMPERIDONE) "ROYAL" KETOMIN CAPSULES 1MG (KETOTIFEN) "EVEREST" LEFENINE F.C. TABLETS 100MG (FLURBIPROFEN) "C.H." FENOTEC TABLETS 2.5MG (FENOTEROL) "EVEREST" CETAZONE INJECTION "S.T." (CEFMETAZOLE) CETAZONE INJECTION "S.T." (CEFMETAZOLE) CETAZONE INJECTION (CEFMETAZOLE) "S.T." KETOCONAZOLE CREAM 20MG/GM "SINPHAR" KETOCONAZOLE CREAM 20MG/GM "SINPHAR" KETOCONAZOLE CREAM 20MG/GM "SINPHAR" KETOCONAZOLE CREAM 20MG/GM "SINPHAR" KETOCONAZOLE CREAM 20MG/GM "SINPHAR" KETOCONAZOLE CREAM 20MG/GM "SINPHAR" KETOCONAZOLE CREAM 20MG/GM "SINPHAR" TUSOLOC TABLETS 2.5MG (TERBUTALINE SULFATE) "S.S.P." FORBES CREAM 20MG/GM (KETOCONAZOLE) "MEIDER" FORBES CREAM 20MG/GM "MEIDER" (KETOCONAZOLE) FORBES CREAM 20MG/GM "MEIDER" (KETOCONAZOLE) EULIGAN CREAM 0.05% "Y.Y." (CLOBETASONE) EULIGAN CREAM 0.05% "Y.Y." (CLOBETASONE) EULIGAN CREAM 0.05% (CLOBETASONE) "Y.Y." EULIGAN CREAM 0.05% "Y.Y" (CLOBETASONE) MELLERZIN SC.TABLETS 100MG (THIORIDAZINE) "P.L." A035452100 A035455151 A035455199 A035459417 A035460329 A035461100 A035462100 A035463100 A035464421 A035467100 A035471399 A035473209 A035476500 A035477100 A035486100 A035487321 A035487338 A035487399 A035488221 A035500209 A035502100 A035504129 A035506100 A035515100 A035517100 第 150 頁,共 382 頁 TINSAN F.C. TABETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "CHINTENG" ACNE LOTION 4% (SULFUR PRECIPITATED) "KINGDOM" COYEN ENTERIC COATED TABLETS 10MG (SERRATIOPEPTIDASE) "ROOT" WAZOLE CREAM 10MG/G (ISOCONAZOLE) "W.P." WAZOLE CREAM 10MG/G (ISOCONAZOLE) "W.P." LOPERAMIDE CAPSULES 2MG SALBUTAMOL SYRUP 0.4MG/ML "C.H." SALBUTAMOL SYRUP 0.4MG/ML "C.H." ERYTHROMYCIN OPHTHALMIC OINTMENT 0.5% ISONALON CREAM "N.W." LOTAN TABLETS 3MG (BROMAZEPAM) "N.W." SEGININE TABLETS 5MG (SELEGILINE) "S.S.P." DECO TABLETS 20MG (DEXTROMETHORPHAN) "S.D." CHLORAMPHENICOL EYE DROPS 0.25% "OASIS" NEWIN TABLETS 5MG (OXYBUTYNIN) "ROOT" COTASOL CREAM "N.W." 說明 9901 支付價 7.20 2.18 2.34 2.69 20.00 0.35 2.55 30.00 1.03 108.00 1,224.00 刪除 0.80 25.70 0.27 12.40 33.60 0.79 6.10 0.80 12.40 刪除 3.00 0.96 ORIZONE POWDER FOR INJECTION (CEFOPERAZONE) "ORIENTAL" VORTAGEN SUPPS. 12.5MG (DICLOFENAC) "EVEREST" PADALIN TABLETS 100MG (MEBEVERINE) "S.S.P." KETOFPAN CAPSULE 100MG (KETOPROFEN) "PANBIOTIC" KETOZOL CREAM 2% "WEIDAR" (KETOCONAZOLE). KETOZOL CREAM 2% "WEIDAR" (KETOCONAZOLE) KETOZOL CREAM 2% "WEIDAR" (KETOCONAZOLE) SONTAC INJECTION 10MG/ML (RANITIDINE) "T.F." NEOBA INJECTION 0.5MG/ML (MECOBALAMINE) "S.Y." BACLOFEN TABLETS 5MG "C.H." 162.00 ATROVENT METERED DOSE INHALER 0.4MG/ML (IPRATROPIUM BROMDIE) EYZU F.C. TABLETS 0.625MG (CONJUGATED ESTROGENS) "CHINTENG" MYLIN F.C. TABLETS 9.6MG (GINKGOFLAVON GLYCOSIDE) "S.D." AMOXICILLIN CAPSULES 500MG "SINTON" 170.00 調整 1.78 2.05 2.98 24.70 調整 59.00 2.24 41.30 17.90 調整 1.00 2.00 2.54 1.30 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 6713 A035211100 6714 6715 A035212100 A035213100 6716 A0352131G0 6717 6718 A035214100 A035235100 6719 A035254100 6720 A035255100 6721 A035256100 6722 A0352561G0 6723 6724 6725 A035266238 A035267238 A035269209 6726 A035269212 6727 A035276100 6728 A035277100 6729 A035278100 6730 A035281100 6731 A035282100 6732 A035285100 6733 6734 6735 A035287336 A035287338 A035287399 6736 A035288500 6737 A035291212 6738 A035293338 6739 6740 6741 A035297100 A035324100 A0353241G0 6742 A035336100 6743 A035354321 6744 A035355100 6745 A035363338 6746 A035363345 6747 A035363399 6748 A035365100 6749 A0353651G0 6750 A035366135 6751 A035367100 藥品名稱 100年1月 項次 支付價 MEBERINE F.C.TABLET 135MG "T.T.Y" 6713 1.93 (MEBEVERINE HYDROCHLORID 0.18 6714 SIMETHICONE TABLETS 40MG "KOJAR" SALINE S.C. TABLETS 50MG 6715 0.75 (NICAMETATE) "EVEREST" SALINE S.C. TABLETS 50MG 6716 1.5 (NICAMETATE) "EVEREST" (90粒/瓶) 1 6717 KETOFEN TABLETS 1MG (KETOTIFEN) SEROL TABLETS 20MG (OXAZOLAM) 6718 1.99 "KOJAR" TANTELL TABLETS 5MG 6719 0.25 (GLIBENCLAMIDE) "EVEREST" ADEC TABLETS 100MG (MEBENDAZOLE) 6720 0.75 "EVEREST" SULNINE CAPSULES 10MG (OXAZOLAM) 6721 1 "EVEREST" SULNINE CAPSULES 10MG (OXAZOLAM) 6722 1.5 "EVEREST"(90/瓶) 0 6723 GITOSE 20% INJECTION "N.K." 0 6724 GITOSE 50% INJECTION (DEXTROSE) KETOFPAN INJECTION 50MG 6725 10 (KETOPROFEN) "PANBIOTIC" KETOFPAN INJECTION 50MG 6726 10 (KETOPROFEN) "PANBIOTIC" LOMYCIN CAPSULES 500MG 6727 0.65 (CHLORAMPHENICE) "Y.C." URINIS CAPSULES "YY" 6728 1.44 UROCON TABLETS 5MG "STANDARD" 6729 3.01 (OXYBUTYNIN) PROXEN TABLETS 500MG "AND" 6730 2.65 (NAPROXEN) POWEGON F.C.T. 400MG (CIMETIDINE) 6731 1 "EVEREST" SOONWAY TABLETS 10MG 6732 0.6 (SCOPOLAMINE) "ROOT" 25.8 6733 AYFUCO CREAM "ROOT" 29.2 6734 AYFUCO CREAM AYFUCO CREAM 6735 1.07 SUZUIN SUPPOSITORIES 12.5MG 6736 1.77 (DICLOFENAC) "YUNG CHI" FEBIN INJECTION 25MG/ML "TAI YU" 6737 10 (KETOPROFEN) TEIMEI CREAM 10MG/GM "U CHU" 6738 135 (CENTELLA ASIATICA) 1.04 6739 AWAC CAPSULES 1 6740 METFORMIN TABLETS 500MG "PFOSHEN" METFORMIN TABLETS 500MG 6741 1.5 "PFOSHEN"(鋁箔/膠箔) URINSU TABLETS 200MG 6742 3.8 (FLAVOXATE)"YY" XOXACIN CREAM 5% (ACYCLOVIR) 6743 47.6 "N.W." PARTANE TABLETS 5MG 6744 (TRIHEXYPHENIDEL HYDROCHLORIDE) 1 "S.S.P. MYCOSON EXTERNAL SOLUTION 6745 104 10MG/ML "S.Y." (BIFONAZOLE) MYCOSON EXTERNAL SOLUTION 6746 160 10MG/ML "S.Y." (BIFONAZOLE) MYCOSON EXTERNAL SOLUTION 6747 4.02 10MG/ML "S.Y." (BIFONAZOLE) GENLOIN TABLETS 10MG 6748 0.59 (DOMPERIDONE)"YY" GENOLIN TABLETS 10MG 6749 1.5 (DOMPERIDONE)"YY"(鋁箔/膠箔) FUNWIHU SUSPENSION 20MG/ML 6750 13.4 (CIMETIDINE) "CHEN TA" WESIPIN F.C.TABLETS 100MG 6751 2.04 (ATENOLOL) "EVEREST" CODE 藥品名稱 A035519100 LACEF CAPSULES 250MG (CEPHRADINE) "TAI YU" A035544321 V.F. CREAM 50MG/GM (ACYCLOVIR) A035546429 SINDECON NASAL SPRAY 0.5MG/ML "STANDARD" (OXYMETAZOLINE) A035597421 TROPICAMIDE OPHTHALMIC SOLUTION 4MG/ML "WU-FU" A035634100 PARAMINE CAPSULE "EVEREST" A0356341G0 PARAMINE CAPSULE "EVEREST"(鋁箔/膠 箔) A035637100 POSIPIN CAPSUULE 5MG (NIFEDIPINE)"N.K." A035638100 BADUSON F.C.TABLETS 200MG (FLAVOXATE) "C.C.P.C" A035639309 "Y.F"N.S IRRIGATION 說明 9901 支付價 2.20 49.30 52.00 40.40 0.62 1.50 2.03 4.20 23.30 A035639312 N.S. IRRIGATION "Y.F." 55.00 A035639316 A035639377 A035641238 N.S. IRRIGATION "Y.F." "Y.F"N.S IRRIGATION ANVITA INJECTION "ASTAR" 68.00 17.20 10.00 A035649100 IPROFEN 400MG F.C.T "ROYAL" A035651151 IBUPROFEN SYRUP 20MG/ML (IBUPROFEN) "C.H." IBUPROFEN SYRUP 20MG/ML (IBUPROFEN) "C.H." SULPIRIDE TABLETS 200MG "ASTAR" A035651199 A035656100 A035657100 LOPIN TABLET 200MG (SULPIRIDE)"SINTON" A035665100 GLUCOMINE F.C. TABLETS 250MG (METFORMIN) "P.L." A0356651G0 GLUCOMINE F.C. TABLETS 250MG "P.L."(METFORMIN)(鋁箔) A035668209 DIPHENIDOL INJECTION 20MG/ML "S.Y." A035670100 GLIPIN TABLET 5MG (GLIPIZIDE) "SWISS" A035671209 FLUCAN INJECTION 25MG/ML (FLUPAHEAZINE) "SWISS" A035671219 FLUCAN INJECTION 25MG/ML (FLUPAHEAZINE) "SWISS" A035672100 SULAN TABLETS 100MG (FLURBIPROFEN) "N.W." A035676335 PAINSTOP GEL 1% "SWISS" (DICLOFENAC) A035676338 PAINSTOP GEL 1% "SWISS"(DICLOFENAC) A035676343 PAINSTOP GEL 1% "SWISS" A035678100 WECOLI TABLET 10MG (BETHANECHOL CHLORIDE) "YY" A0356781G0 WECOLI TABLET 10MG (BETHANECHOL CHLORIDE) "YY"(鋁箔/膠箔) A035679212 KETOFEN INJECTION 50MG/ML (KETOPROFEN) "SWISS" A035680321 S.Z. CREAM 0.5MG/G "STANDARD" (CLOBETASOL) A035680329 A035680399 A035691100 A035692100 A035696329 A035696335 A035697335 第 151 頁,共 382 頁 S.Z. CREAM 0.5MG/G "STANDARD" (CLOBETASOL) S.Z. CREAM 0.5MG/G "STANDARD" (CLOBETASOL) BININ-U TABLET 10MG (HALOPERIDOL)"SWISS" DOXYMYCIN ENTERIC COATED CAPSULES 100MG "YUNG FREE GEL 7.5MG/GM (METRONIDAZOLE) "SWISS" FREE GEL 7.5MG/GM (METRONIDAZOLE) "SWISS" ZUMELIN CREAM 20MG/GM "TK&A"(KETOCONAZOLE) 0.96 25.00 0.20 2.10 2.16 1.07 1.50 10.00 1.00 90.00 255.00 7.20 32.20 35.70 35.10 0.55 1.50 10.00 17.30 24.60 0.99 4.55 1.47 85.00 84.00 56.00 刪除 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6752 A035370100 6753 A035390100 6754 A035391321 6755 A035391399 6756 A035393100 6757 A035396100 6758 A035397338 6759 A035397372 6760 6761 6762 6763 6764 A035398100 A035399100 A035410100 A035411100 A035412100 DECORON TABLETS 0.5MG (DEXAMETHASONE) "EVEREST" NAPOTON TABLETS 500MG (NAPROXEN) "YY" ACLOVIR CREAM 50MG/GM (ACYCLOVIR) "SINPHAR" ACLOVIR CREAM 50MG/GM (ACYCLOVIR) "SINPHAR" LOTONIN CAPSULE 250MG (MEFENAMIC ACID) "SINTON" TAMOZEN ENTERIC FILM COATED TABLETS 5MG (SERRATIOPEPTIDASE) DICLOREN EMULGEL 1% (DICLOFENAC SODIUM) "WEIDAR" DICLOREN EMULGEL 1% (DICLOFENAC SODIUM) "WEIDAR" TRIVEMIN TABLETS NAPROXEN TABLETS 500MG "ASTAR" NAPROXEN TABLETS 250MG "ASTAR" CIMETIDINE TABLETS 400MG "ASTAR" CEPHALEXIN TABLETS 500MG "S.T." 6765 A035414100 6766 A035415100 6767 6768 A035416100 A035417100 DIARONZIDE TABLETS 80MG (GLICLAZIDE) "CHEN TA" BEROASMA TABLETS 2.5MG (FENOTEROL) "CHEN TA" MEILISU S.C. TABLETS GINTEC FILM COATED TABLET 6769 A035418100 LISSES CAPSULES "YY" 6770 A035419421 WET EYE DROPS "T.F." 6771 A035419435 WET EYE DROPS "T.F." 6772 A035420100 6773 6774 A035422100 A035423151 6775 A035423157 6776 A035423199 6777 A035424127 6778 A035425100 6779 A035426100 6780 A035430209 6781 A035430216 6782 A035433212 6783 6784 6785 A035434100 A035436100 A035439100 6786 A035440329 6787 6788 A035441199 A035445100 6789 A035447355 6790 A035449100 6791 A035451330 SMARTEN TABLETS 25MG (CAPTOPRIL)"H.S." BACLOFEN TABLETS 10MG "C.H." PANATOL ELIXIR 24MG/ML (ACETAMINOPHEN) "PANBIOTIC" PANATOL ELIXIR 24MG/ML (ACETAMINOPHEN) "PANBIOTIC" PANATOL ELIXIR 24MG/ML (ACETAMINOPHEN) "PANBIOTIC" CHOLES POWDER (CHOLESTYRAMINE RESIN) "S.D." NEROPIN TABLETS 200MG (FLAVOXATE)"N.W." LIBRIUM S.C. TABLETS 5MG (CHLORDIAZEPOXIDE) BINISON INJ. 50MG/ML (HALOPERIDOL)"SWISS" BINISON INJ. 50MG/ML (HALOPERIDOL)"SWISS" KETOFEN-H INJECTION 50MG/ML (KETOPROFEN) "SINTON" KENBO CAPSULES 150MG PIERCOL TABLETS 250MG (PIPEMIDIC ANTIFAT TABLETS 200MG (BEZAFIBRATE) "ASTAR" INDOL GEL 10MG/GM "SINPHAR"(INDOMETHACIN) JINCOLIN SYRUP "CHEN TA" TINSAN F.C. TABETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "CHIN ACNE LOTION 4% (SULFUR PRECIPITATED) "KINGDOM" COYEN ENTERIC COATED TABLETS 10MG (SERRATIOPEPTIDASE) "ROOT WAZOLE CREAM 10MG/G (ISOCONAZOLE) "W.P." 100年1月 項次 支付價 6752 0.37 6753 2.27 6754 47.8 6755 5.7 6756 0 6757 0 6758 35.9 6759 1136 1.56 6760 2.64 6761 1.15 6762 1 6763 6764 1.95 6765 1.82 6766 0.8 2.29 6767 6768 2.18 6769 1.05 6770 11 6771 46.7 6772 0 1.09 6773 6774 16.9 6775 18.1 6776 0.11 6777 12.3 6778 3.8 6779 1.6 6780 157 6781 354 6782 0 2.18 6783 2.34 6784 6785 2.69 6786 20 0.35 6787 6788 2.55 6789 30 6790 1.03 6791 108 說明 CODE 藥品名稱 A035697338 A035706329 ZUMELIN CREAM 20MG/GM "TK&A"(KETOCONAZOLE) B-CUT SOLUTION 60% "YUNG SHIN" (LACTULOSE) FRAGIVIX TABLETS 100MG (BENZARONE) "S.D." BONSTAN F.C. TABLET 500MG (MEFENAMIC ACID) "EVEREST" SCARTENAN-N CREAM A035706335 SCARTENAN-N CREAM 67.00 A035706399 SCARTENAN-N CREAM 2.37 A035788321 NYCINDIN CREAM 15.60 A035788330 A035788335 A035788336 A035788399 A035794100 NYCINDIN CREAM NYCINDIN CREAM NYCINDIN CREAM NYCINDIN CREAM ATAN TABLETS 5MG (TRIHEXYPHENIDYL HYDROCHLORIDE) "N.W." GLICLA TABLETS 80MG "CHINTENG" (GLICLAZIDE) FETODRIN INJECTION 10MG/ML (RITODRINE HYDROCHLORDE)"T.T.Y." GLUPIZIDE TABLETS 5MG E.CAL TABLETS 950MG (CALCIUM CITRATE) "S.S.P." GLIZIDE TABLETS 5MG "PTOSHEN" (GLIPIZIDE) BECANTEX S.C.TABLET 30MG (SODIUM DIBUNATE) "C.H." CETALIN FOR INJECTION (CEFTRIAXONE)"CHI SHENG" CETALIN FOR INJECTION (CEFTRIAXONE)"CHI SHENG" NORMAL SALINE SOLUTION "CHI SHENG" NORMAL SALINE SOLUTION "CHI SHENG" 25.10 63.00 60.00 2.09 0.72 A035698199 A035702100 A035705100 9901 支付價 58.00 0.49 4.42 0.92 34.00 刪除 刪除 調整 A035795100 A035804221 A035806100 A035811100 A035813100 A035817100 A035831209 A035831277 A035833309 A035833377 A035834135 1.89 34.80 1.00 2.73 1.00 2.82 419.00 97.00 刪除 24.30 18.40 182.00 A035856138 BEROTEC 200 METERED DOSE INHALEN 15ML (FENOTERQL BROMIDE) MEDNIN TABLETS 4MG (METHYLPREDNISOLONE)"H.S." CAPROINE TABLETS 50MG "ROYAL" (CAPTOPRIL) FAMODINE INJECTION 10MG/ML (FAMOTIDINE)"S.Y." GEMBIT CAPSULES 300MG (GEMFIBROZIL) SEPHROS CAPSULES 500MG (CEPHRADINE) "YUNG SHIN" M.F.N. F.C.T. 500MG (MEFENAMIC ACID) "C.H." CON-GEL SUSPENSION A035856163 A035856199 A035868100 CON-GEL SUSPENSION CON-GEL SUSPENSION MINOCYCLINE CAPSULE 100MG "CCPC" 43.10 0.14 5.10 A035835100 A035836100 A035837212 A035838100 A035844100 A035845100 2.51 8.80 55.00 1.75 3.71 0.60 7.70 刪除 A035869329 EFUCON GEL 7.5MG/GM (METRONIDAZOLE) A035869330 EFUCON GEL 7.5MG/GM A035869335 EFUCON GEL 7.5MG/GM (METRONIDAZOLE) A035869399 EFUCON GEL 7.5MG/GM (METRONIDAZOLE) A035870335 ISOGEN CREAM 10MG/GM "PURZER" (ISOCONAZOLE) A0358703AH ISOGEN CREAM 10MG/GM "PURZER" (ISOCONAZOLE) 第 152 頁,共 382 頁 85.00 44.00 98.00 3.66 70.00 22.80 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6792 A035451372 6793 6794 A035452100 A035455151 WAZOLE CREAM 10MG/G (ISOCONAZOLE) "W.P." LOPERAMIDE CAPSULES 2MG SALBUTAMOL SYRUP 0.4MG/ML "C.H." 6795 6796 A035455199 A035459417 6797 6798 A035460329 A035461100 6799 A035462100 6800 A035463100 6801 A035464421 6802 A035467100 6803 6804 A035471399 A035473209 6805 A035476500 6806 A035477100 6807 A035486100 6808 A035487321 6809 A035487338 6810 A035487399 6811 A035488221 6812 A035500209 6813 6814 A035502100 A035504129 6815 A035506100 6816 A035515100 6817 A035517100 6818 A035519100 6819 A035544321 6820 A035546429 6821 A035597421 6822 A035634100 6823 6824 A0356341G0 PARAMINE CAPSULE "EVEREST"(鋁箔/膠 A035637100 POSIPIN CAPSUULE 5MG (NIFEDIPINE)"N.K." 6825 A035638100 SALBUTAMOL SYRUP 0.4MG/ML "C.H." ERYTHROMYCIN OPHTHALMIC OINTMENT 0.5% ISONALON CREAM "N.W." LOTAN TABLETS 3MG (BROMAZEPAM) "N.W." SEGININE TABLETS 5MG (SELEGILINE) "S.S.P." DECO TABLETS 20MG (DEXTROMETHORPHAN) "S.D." CHLORAMPHENICOL EYE DROPS 0.25% "OASIS" NEWIN TABLETS 5MG (OXYBUTYNIN) "ROOT" COTASOL CREAM "N.W." ORIZONE POWDER FOR INJECTION (CEFOPERAZONE) "ORIENTAL" VORTAGEN SUPPS. 12.5MG (DICLOFENAC) "EVEREST" PADALIN TABLETS 100MG (MEBEVERINE) "S.S.P." KETOFPAN CAPSULE 100MG (KETOPROFEN) "PANBIOTIC" KETOZOL CREAM 2% "WEIDAR" (KETOCONAZOLE). KETOZOL CREAM 2% "WEIDAR" (KETOCONAZOLE) KETOZOL CREAM 2% "WEIDAR" (KETOCONAZOLE) SONTAC INJECTION 10MG/ML (RANITIDINE) "T.F." NEOBA INJECTION 0.5MG/ML (MECOBALAMINE) "S.Y." BACLOFEN TABLETS 5MG "C.H." ATROVENT METERED DOSE INHALER 0.4MG/ML (IPRATROPIUM BROMDIE EYZU F.C. TABLETS 0.625MG (CONJUGATED ESTROGENS) "CHINTENG" MYLIN F.C. TABLETS 9.6MG (GINKGOFLAVON GLYCOSIDE) "S.D." AMOXICILLIN CAPSULES 500MG "SINTON" LACEF CAPSULES 250MG (CEPHRADINE) "TAI YU" V.F. CREAM 50MG/GM (ACYCLOVIR) "SWISS" SINDECON NASAL SPRAY 0.5MG/ML "STANDARD" (OXYMETAZOLINE) TROPICAMIDE OPHTHALMIC SOLUTION 4MG/ML "WU-FU" PARAMINE CAPSULE "EVEREST" 100年1月 項次 支付價 6792 1224 0.8 6793 6794 25.7 0.27 6795 6796 12.4 33.6 6797 6798 0.79 6799 6.1 6800 0.8 6801 12.4 6802 3 0.81 6803 6804 162 6805 1.78 6806 2.05 6807 2.98 6808 24.7 6809 59 6810 0.89 6811 41.3 6812 17.9 1 6813 6814 170 6815 2 6816 2.52 6817 0 6818 2.2 6819 49.3 6820 52 6821 40.4 6822 0.62 1.5 6823 6824 藥品名稱 A035878100 A035888321 A035888329 TONLAEN CAPSULE 300MG "CHEN TA" (FENBUFEN) SEPRIDE TABLETS 200MG (SULPIRIDE) HYDROCORTISONE CREAM 10MG/GM "SINPHAR" SALINSE OINTMENT "GCPC" SALINSE OINT. A035888335 A035888372 SALINSE OINTMENT "GCPC" SALINSE OINTMENT "GCPC" A035888399 SALINSE OINT. A035889157 KANGSAU SOLUTION A035890100 A035893209 A035893238 CLINDAMYCIN HYDROCHLORIDE 150MG CAP "YY" AJULATE SOFT CAPSULE 10MG "F.M." (NIFEDIPINE) XYLITOL INJECTION 5% "N.K." XYLITOL INJECTION 5% "N.K." 44.90 3.31 A035893265 XYLITOL INJECTION 5% "N.K." 19.80 A035893277 XYLITOL INJECTION 5% "N.K." 28.30 A035911212 54.00 A035929277 GASTINE INJECTION 10MG/ML "PURZER"(FAMOTIDINE) LITION CAPSULES 10MG (PHENOXYBENZAMINE ANLICIDE TABLETS 500MG "ASTAR" (NALIDIXIC ACID) GLUCOZIDE TABLETS 5MG (GLIPIZIDE) "WEIDAR" LISACEF FOR INJECTION (CEPHRADINE) "S.T." Lisacef for Injection "S.T."(cephradine) A035931212 A035931229 AMIKACIN 250MG/ML INJECTION "S.Y." AMIKACIN 250MG/ML INJECTION "S.Y." 32.30 153.00 A035936100 SENIN S.C TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "PFOSHEN" P.Z.A. TABLETS 500MG (PYRAZINAMIDE)"Y.S." CHILON GEL 1% (DICLOFENAC SODIUM) "N.W." CHILON GEL 1% (DICLOFENAC SODIUM) "N.W." CHILON GEL 1% (DICLOFENAC SODIUM) "N.W." CHILON GEL 1% (DICLOFENAC SODIUM) "N.W." CHILON GEL 1% (DICLOFENAC SODIUM) "N.W." CHILON GEL 1% (DICLOFENAC SODIUM) "N.W." S.C.F. TABLET 1000MG "C.H." KINGDACIN CAPSULE 300MG (CLINDAMYCIN HYDROCHLORIDE) "CHI SHENG" CLOZE TABLETS 100MG (BENZARONE) "ROOT" SULMATYL TABLETS 100MG (SULPIRIDE)"P.L" SULMATYL TABLETS 200MG (SULPIRIDE)"P.L." ESHINOLE F.C. TBALETS 5MG (NICERGOLINE) "F.S." PARKINIDYL TABLETS 5MG (TRIHEXYPHENIDYL) A035879100 A035883329 A035891100 A035912100 A035913100 A035915100 A035929209 A035944100 A035945329 A035945335 A035945338 A035945343 A035945345 A035945399 A035955100 A035957100 2.03 6826 A035639309 BADUSON F.C.TABLETS 200MG (FLAVOXATE) "C.C.P.C" "Y.F"N.S IRRIGATION 6825 A035960100 6826 A035961100 6827 A035963100 6828 A035964100 6829 A035966100 4.2 23.3 6827 A035639312 N.S. IRRIGATION "Y.F." 55 6828 A035639316 N.S. IRRIGATION "Y.F." 68 6829 A035639377 "Y.F"N.S IRRIGATION 說明 CODE 17.2 第 153 頁,共 382 頁 9901 支付價 2.75 2.15 15.00 15.90 49.90 70.00 1,169.00 1.66 27.00 1.26 2.74 調整 5.80 2.10 1.00 調整 41.70 35.30 2.54 2.33 調整 24.30 刪除 32.30 36.00 39.80 36.20 0.90 2.50 3.09 4.32 2.36 1.97 3.21 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6830 A035641238 ANVITA INJECTION "ASTAR" 6831 6832 A035649100 A035651151 6833 A035651199 6834 A035656100 IPROFEN 400MG F.C.T "ROYAL" IBUPROFEN SYRUP 20MG/ML (IBUPROFEN) "C.H." IBUPROFEN SYRUP 20MG/ML (IBUPROFEN) "C.H." SULPIRIDE TABLETS 200MG "ASTAR" 6835 A035657100 6838 LOPIN TABLET 200MG (SULPIRIDE)"SINTON" A035665100 GLUCOMINE F.C. TABLETS 250MG (METFORMIN) "P.L." A0356651G0 GLUCOMINE F.C. TABLETS 250MG "P.L."(METFORMIN)(鋁箔/膠箔) A035668209 DIPHENIDOL INJECTION 20MG/ML "S.Y." 6839 A035670100 6840 A035671209 6836 6837 GLIPIN TABLET 5MG (GLIPIZIDE) "SWISS" 6861 6862 FLUCAN INJECTION 25MG/ML (FLUPAHEAZINE) "SWISS" A035671219 FLUCAN INJECTION 25MG/ML (FLUPAHEAZINE) "SWISS" A035672100 SULAN TABLETS 100MG (FLURBIPROFEN) "N.W." A035676335 PAINSTOP GEL 1% "SWISS" (DICLOFENAC) A035676338 PAINSTOP GEL 1% "SWISS"(DICLOFENAC) A035676343 PAINSTOP GEL 1% "SWISS" (DICLOFENAC) A035678100 WECOLI TABLET 10MG (BETHANECHOL CHLORIDE) "YY" A0356781G0 WECOLI TABLET 10MG (BETHANECHOL CHLORIDE) "YY"(鋁箔/膠箔) A035679212 KETOFEN INJECTION 50MG/ML (KETOPROFEN) "SWISS" A035680321 S.Z. CREAM 0.5MG/G "STANDARD" (CLOBETASOL) A035680329 S.Z. CREAM 0.5MG/G "STANDARD" (CLOBETASOL) A035680399 S.Z. CREAM 0.5MG/G "STANDARD" (CLOBETASOL) A035691100 BININ-U TABLET 10MG (HALOPERIDOL)"SWISS" A035692100 DOXYMYCIN ENTERIC COATED CAPSULES 100MG "YUNG A035696329 FREE GEL 7.5MG/GM (METRONIDAZOLE) "SWISS" A035696335 FREE GEL 7.5MG/GM (METRONIDAZOLE) "SWISS" A035697335 ZUMELIN CREAM 20MG/GM "H.S."(KETOCONAZOLE) A035697338 ZUMELIN CREAM 20MG/GM "H.S."(KETOCONAZOLE) A035698199 B-CUT SOLUTION 60% "YUNG SHIN" (LACTULOSE) A035702100 FRAGIVIX TABLETS 100MG (BENZARONE) "S.D." A035705100 BONSTAN F.C. TABLET 500MG (MEFENAMIC ACID) "EVEREST" A035706329 SCARTENAN-N CREAM A035706335 SCARTENAN-N CREAM 6863 A035706399 SCARTENAN-N CREAM 6864 A035788321 NYCINDIN CREAM 6865 A035788330 NYCINDIN CREAM 6866 A035788335 NYCINDIN CREAM 6841 6842 6843 6844 6845 6846 6847 6848 6849 6850 6851 6852 6853 6854 6855 6856 6857 6858 6859 6860 100年1月 項次 支付價 6830 10 0.96 6831 6832 25 6833 0.2 6834 2.1 6835 0 6836 0 6837 1.5 6838 10 6839 1 6840 90 6841 255 6842 7.2 6843 32.2 35.2 6844 6845 35.1 6846 0.55 6847 1.5 6848 10 6849 0 6850 0 6851 0 6852 4.55 6853 1.47 6854 85 6855 84 6856 56 6857 58 6858 0.49 6859 4.42 6860 0.92 34 6861 6862 67 6863 2.37 6864 15.6 6865 25.1 6866 63 CODE 藥品名稱 A035967100 PARKINIDYL TABLETS 2MG (TRIHEXYPHENIDYL) A035968321 QUARDISONE CREAM A035969100 MINOCYCLINE HYDROCHLORIDE 100MG CAPSULE "YY" A035974100 P.U.N.F.C.TABLET 400MG (CIMETIDINE) "C.H." A035977321 CYCLOVIR CREAM 50MG/GM (ACYCLOVIR) "S.Y." A035977329 CYCLOVIR CREAM 50MG/GM "S.Y." (ACYCLOVIR) A035977399 CYCLOVIR CREAM 50MG/GM (ACYCLOVIR) "S.Y." A035981100 AMBRON TABLET 30MG (AMBROXOL) "F.Y" A0359811G0 AMBRON TABLET 30MG (AMBROXOL) "F.Y"(鋁箔/膠箔) A035986100 DEGOUT TABLETS 50MG (BENZBROMARONE) "H.S." A035989100 LIBRAX S.C. TABLETS "ROCHE" A035991209 說明 9901 支付價 0.69 15.50 5.10 1.00 47.10 43.20 刪除 3.25 刪除 1.00 1.50 2.02 2.59 92.00 A036015338 ROLES POWDER FOR INJECTION 1GM "GENTLE" (CEPHALEXIN) PERTIAZEM TABLETS 30MG (DILTIAZEM HYDROCHLORIDE)"ROYAL" MECO 0.5MG CAPSULES. (MECOBALAMIN) "S.L" IBUPROFEN TABLETS 400MG "ASTAR" ULCERTOP TABLETS 300MG (DIBISMUTH TRIOXIDE) "B&F" MESTINON S.C. TABLETS 60MG (PYRIDOSTIGMINE BROMIDE) 0.45% SODIUM CHLORIDE INJECTION "Y.F." TEIRIA GEL 100MG/GM (ETOFENAMATE) A036015345 TEIRIA GEL 100MG/GM (ETOFENAMATE) 75.00 A036016100 DANAZOL CAPSULES 200MG "ASTAR" 12.70 A036020100 A036031321 TEGRETOL TABLETS 200MG (CARBAMAZEPINE) SUICRATE TABLETS 500MG (SUCRALFATE) "S.L." BETAGEN CREAM 10.90 A036031329 BETAGEN CREAM 17.30 A036031335 BETAGEN CREAM 37.80 A036031338 BETAGEN CREAM 19.60 A036031399 BETAGEN CREAM 0.98 A036034100 SILYMARIN CAPSULES 70MG "TAI YU" 1.86 A036041109 SUCA GRANULES FOR SUSPENSION 1GM/1.02GM(SUCRALFATE) CIGAMATE SUSPENSION 20MG/ML "SINPHAR" (CIMETIDINE) B.B. CAP. 150MG (CLINDAMYCIN) BABYATE ORAL ELECTROLYTE MAINTENANCE SOLUTION BABYATE ORAL ELECTROLYTE MAINTENANCE SOLUTION BABYATE ORAL ELECTROLYTE MAINTENANCE DE-SPASM CAPSULES 30MG (TIMEPIDIUM BROMIDE) "H.S." COLLOBIS CHEWABLE TABLETS 120MG (DIBISMUTH TRIOXIDE) "S.S.P." 5.00 A035996100 A035997100 A036004100 A036006100 A036008100 A036014277 1.65 2.42 1.00 6.50 調整 4.94 19.30 39.50 刪除 刪除 A036029100 A036044129 A036047100 A036049109 A036049165 A036049177 A036060100 A036061100 第 154 頁,共 382 頁 3.37 刪除 1.16 9.70 1.77 48.80 28.60 47.40 1.95 5.50 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 6867 6868 A035788336 A035788399 NYCINDIN CREAM NYCINDIN CREAM 6869 A035794100 6870 A035795100 6871 A035804221 6872 6873 A035806100 A035811100 6874 A035813100 6875 A035817100 6876 A035831209 6877 A035831277 6878 A035833309 ATAN TABLETS 5MG (TRIHEXYPHENIDYL HYDROCHLORIDE) "N.W." GLICLA TABLETS 80MG "CHINTENG" (GLICLAZIDE) FETODRIN INJECTION 10MG/ML (RITODRINE HYDROCHLORDE)"T.T.Y." GLUPIZIDE TABLETS 5MG E.CAL TABLETS 950MG (CALCIUM CITRATE) "S.S.P." GLIZIDE TABLETS 5MG "PTOSHEN" (GLIPIZIDE) BECANTEX S.C.TABLET 30MG (SODIUM DIBUNATE) "C.H." CETALIN FOR INJECTION (CEFTRIAXONE)"CHI SHENG" CETALIN FOR INJECTION (CEFTRIAXONE)"CHI SHENG" NORMAL SALINE SOLUTION "CHI SHENG" 6879 6880 A035833377 A035834135 6881 A035835100 6882 A035836100 6883 A035837212 6884 A035838100 6885 A035844100 6886 A035845100 6887 A035856138 NORMAL SALINE SOLUTION "CHI SHENG" BEROTEC 200 METERED DOSE INHALEN 15ML (FENOTERQL BROMIDE) MEDNIN TABLETS 4MG (METHYLPREDNISOLONE)"H.S." CAPROINE TABLETS 50MG "ROYAL" (CAPTOPRIL) FAMODINE INJECTION 10MG/ML (FAMOTIDINE)"S.Y." GEMBIT CAPSULES 300MG (GEMFIBROZIL) SEPHROS CAPSULES 500MG (CEPHRADINE) "YUNG SHIN" M.F.N. F.C.T. 500MG (MEFENAMIC ACID) "C.H." CON-GEL SUSPENSION 6888 6889 A035856163 A035856199 CON-GEL SUSPENSION CON-GEL SUSPENSION 6890 6891 6892 6893 6894 A035868100 A035869329 A035869330 A035869335 A035869399 6900 MINOCYCLINE CAPSULE 100MG "CCPC" EFUCON GEL 7.5MG/GM EFUCON GEL 7.5MG/GM EFUCON GEL 7.5MG/GM EFUCON GEL 7.5MG/GM (METRONIDAZOLE) A035870335 ISOGEN CREAM 10MG/GM "PURZER" (ISOCONAZOLE) A0358703AH ISOGEN CREAM 10MG/GM "PURZER" (ISOCONAZOLE) A035878100 TONLAEN CAPSULE 300MG "CHEN TA" (FENBUFEN) A035879100 SEPRIDE TABLETS 200MG (SULPIRIDE) A035883329 HYDROCORTISONE CREAM 10MG/GM "SINPHAR" A035888321 SALINSE OINTMENT "GCPC" 6901 6902 A035888329 A035888335 SALINSE OINT. SALINSE OINTMENT "GCPC" 6903 A035888372 SALINSE OINTMENT "GCPC" 6904 A035888399 SALINSE OINT. 6905 A035889157 KANGSAU SOLUTION 6906 A035890100 CLINDAMYCIN HYDROCHLORIDE 150MG CAP "YY" 6895 6896 6897 6898 6899 100年1月 項次 支付價 60 6867 6868 2.09 6869 0.72 6870 1.89 6871 34.8 1 6872 6873 2.73 6874 1 6875 2.82 6876 419 6877 97 6878 24.3 18.4 6879 6880 182 6881 0 6882 8.8 6883 55 6884 1.75 6885 3.71 6886 0.6 6887 7.7 43.1 6888 6889 0.14 5.1 6890 85 6891 43 6892 98 6893 6894 3.58 6895 70 6896 22.8 6897 2.75 2.15 6898 6899 15 6900 15.9 49.9 6901 6902 70 6903 1169 6904 1.66 6905 27 6906 1.26 CODE 藥品名稱 A036067199 A036069100 COSOPIN SYRUP 3.8L MOREN E.F.C. TABLET 50MG (DICLOFENAC SODIUM) "ROYAL" CLEDOMYCIN CAPSULES 300MG "ROOT" (CLINDAMYCIN) NICERLINE S.C. TABLETS 5MG (NICERGOLINE) "PFOSHEN" WEISU CAPSULES "TK&A." A036072100 A036073100 A036075100 A036077118 A036079100 說明 9901 支付價 0.32 0.60 2.86 2.29 0.78 PACOUGH SYRUP RIVOTRIL TABLETS 0.5MG (CLONAZEPAM) CERO CAPSULES 250MG (CAFACLOR) "S.T." DUBLECON TABLETS "EVEREST" 1,333.00 1.47 CORKELIN ORAL GEL 1MG/GM "M.S" (TRIAMCINOLONE) CORKELIN ORAL GEL 1MG/GM "M.S" (TRIAMCINOLONE) CORKELIN ORAL GEL 1MG/GM "M.S."(TRIAMCINOLONE ) PENTOXILLINE INJECTION 20MG/ML TAILIWELL TABLETS 200MG (CIMETIDINE) "JENSHENG" XAMACID CREAM 29.10 GUAPHEN SYRUP 20MG/ML (GUAIFENESIN) "CENTER" GUAPHEN SYRUP 20MG/ML (GUAIFENESIN) "CENTER" GUAPHEN SYRUP 20MG/ML (GUAIFENESIN) "CENTER" SPUTANT TABLET 16.60 FUERCON F.C.TABLETS 200MG (FLAVOXATE) "F.S." A036098100 A.P.N. TABLETS 100MG (ALLOPURINOL) "C.H." A036099100 DICLOFENAC E.F.C. TABLETS 25MG A0360991G0 DICLOFENAC E.F.C. TABLETS 25MG "KOJAR"(鋁箔/膠箔) A036105100 NAPOSIN C.R. TABLETS 750MG A036129100 ATENOLOL F.C. TABLETS 50MG A036130100 ATENOLOL F.C. TABLETS 100MG A036131100 ILACEN CAPSULE (DIFLUNISAL) A036132100 BLOODNONE CAPSULES 250MG (TRANEXAMIC ACID) "EVEREST" A036151100 MUBROXOL TABLETS 30MG (AMBROXOL) "C.C.P.C" A0361511G0 MUBROXOL TABLETS 30MG (AMBROXOL) "C.C.P.C" (鋁箔) A036152435 SU SU EYE DROPS "T.F." 4.14 29.90 A036154421 A036154435 11.00 29.90 A036082100 A036083100 A036084421 A036084429 A036084499 A036088221 A036091100 A036092329 3.43 0.72 41.70 2.40 12.20 1.00 34.10 刪除 A036094157 A036094163 A036094199 A036095100 A036097100 A036157100 SHINE LOOK EYE DROPS "T.F" SHINE LOOK EYE DROPS "T.F" URIMARONE TABLETS 50MG (BENZBROMARONE) "ASTAR" A036159109 TIPIDINE POWDERS (TIPEPIDINE) A036160110 AMOLIN POWDER FOR ORAL SUSPENSION (AMOXICILLIN) A036161209 ORICEF INJECTION "ORIENTAL" (CEFAZOLIN) A036162100 PIROCAM CAPSULES 20MG "KOJAR" (PIROXICAM) A0361621G0 PIROCAM CAPSULES 20MG "KOJAR" (PIROXICAM)(鋁箔/膠箔) A036167212 TRAMADOL INJECTION 50MG/ML "S.Y" 第 155 頁,共 382 頁 26.40 0.11 0.79 1.00 0.49 1.50 5.70 1.73 2.36 7.80 1.28 調整 調整 1.00 1.50 1.50 3.05 36.70 22.50 1.23 1.50 35.90 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 6907 6908 6909 6910 6911 6912 6913 6914 6915 6916 6917 6918 6919 6920 6921 6922 6923 6924 6925 6926 6927 6928 6929 6930 6931 6932 6933 6934 6935 6936 6937 6938 6939 6940 6941 6942 6943 6944 6945 CODE 藥品名稱 100年1月 項次 支付價 A035891100 AJULATE SOFT CAPSULE 10MG "F.M." 6907 2.74 (NIFEDIPINE) 44.9 6908 A035893209 XYLITOL INJECTION 5% "N.K." 3.31 6909 A035893238 XYLITOL INJECTION 5% "N.K." 19.8 6910 A035893265 XYLITOL INJECTION 5% "N.K." 28.3 6911 A035893277 XYLITOL INJECTION 5% "N.K." A035911212 GASTINE INJECTION 10MG/ML 6912 54 "PURZER"(FAMOTIDINE) A035912100 LITION CAPSULES 10MG 6913 5.8 (PHENOXYBENZAMINE A035913100 ANLICIDE TABLETS 500MG "ASTAR" 6914 2.1 (NALIDIXIC ACID) A035915100 GLUCOZIDE TABLETS 5MG (GLIPIZIDE) 6915 1 "WEIDAR" A035929209 LISACEF FOR INJECTION (CEPHRADINE) 6916 41.7 1G "S.T." A035929277 LISACEF FOR INJECTION (CEPHRADINE) 6917 35.3 500MG "S.T." 32.3 6918 A035931212 AMIKACIN 250MG/ML INJECTION "S.Y." 153 6919 A035931229 AMIKACIN 250MG/ML INJECTION "S.Y." A035936100 SENIN S.C TABLETS 9.6MG 6920 2.51 (GINKGOFLAVONGLYCOSIDE) "PFOSHEN" A035944100 P.Z.A. TABLETS 500MG 6921 2.33 (PYRAZINAMIDE)"Y.S." A035945329 CHILON GEL 1% (DICLOFENAC SODIUM) 6922 24.3 "N.W." A035945335 CHILON GEL 1% (DICLOFENAC SODIUM) 6923 32.3 "N.W." A035945338 CHILON GEL 1% (DICLOFENAC SODIUM) 6924 35.8 "N.W." A035945343 CHILON GEL 1% (DICLOFENAC SODIUM) 6925 39.8 "N.W." A035945345 CHILON GEL 1% (DICLOFENAC SODIUM) 6926 36.2 "N.W." A035945399 CHILON GEL 1% (DICLOFENAC SODIUM) 6927 0.9 "N.W." 2.5 6928 A035955100 S.C.F. TABLET 1000MG "C.H." A035957100 KINGDACIN CAPSULE 300MG 6929 3.09 (CLINDAMYCIN HYDROCHLORIDE) A035960100 CLOZE TABLETS 100MG (BENZARONE) 6930 4.32 "ROOT" A035961100 SULMATYL TABLETS 100MG 6931 2.36 (SULPIRIDE)"P.L" A035963100 SULMATYL TABLETS 200MG 6932 0 (SULPIRIDE)"P.L." A035964100 ESHINOLE F.C. TBALETS 5MG 6933 3.21 (NICERGOLINE) "F.S." A035966100 PARKINIDYL TABLETS 5MG 6934 1 (TRIHEXYPHENIDYL) A035967100 PARKINIDYL TABLETS 2MG 6935 0.69 (TRIHEXYPHENIDYL) A035968321 QUARDISONE CREAM 6936 15.5 A035969100 MINOCYCLINE HYDROCHLORIDE 100MG 6937 5.1 CAPSULE "YY" A035974100 P.U.N.F.C.TABLET 400MG (CIMETIDINE) 6938 1 "C.H." A035977321 CYCLOVIR CREAM 50MG/GM 6939 47.1 (ACYCLOVIR) "S.Y." A035977329 CYCLOVIR CREAM 50MG/GM "S.Y." 6940 43.2 (ACYCLOVIR) A035977399 CYCLOVIR CREAM 50MG/GM 6941 3.25 (ACYCLOVIR) "S.Y." A035981100 AMBRON TABLET 30MG (AMBROXOL) 6942 1 "F.Y" A0359811G0 AMBRON TABLET 30MG (AMBROXOL) 6943 1.5 "F.Y"(鋁箔/膠箔) A035986100 DEGOUT TABLETS 50MG 6944 0 (BENZBROMARONE) "H.S." A035989100 LIBRAX S.C. TABLETS "ROCHE" 6945 2.59 說明 CODE 藥品名稱 A036172157 SECODRINE-C SYRUP A036172199 A036174309 A036174321 A036174329 A036174335 SECODRINE-C SYRUP BETAGEN CREAM "GCPC" BETAGEN CREAM "GCPC" BETAGEN CREAM 10G BETAGEN CREAM "GCPC" 0.26 1,187.00 10.90 17.50 37.20 A036174399 BETAGEN CREAM "GCPC" 1.18 A036175100 RIVOTRIL TABLETS 2MG (CLONAZEPAM) 2.99 A036176209 22.20 A036181321 A036181329 A036181335 0.45% SOLUTIO NATRII CHLORIDI ISOTONICA 0.45% SOLUTIO NATRII CHLORIDI ISOTONICA "CHI-SHENG" PIROCAM CAPSULES 10MG "KOJAR" (PIROXICAM) VACORT CREAM "GCPC" VACORT CREAM"GCPC" VACORT CREAM "GCPC" A036181338 VACORT CREAM "GCPC" 51.00 A036181399 VACORT CREAM "GCPC" 1.64 A036182109 U-PEDIA ORAL SUSPENSION 20MG/ML (IBUPROFEN) "U-LIANG" U-PEDIA ORAL SUSPENSION 20MG/ML (IBUPROFEN) "U-LIANG" U-PEDIA ORAL SUSPENSION 20MG/ML (IBUPROFEN) "U-LIANG" U-PEDIA ORAL SUSP. 20MG/ML 60ML 367.00 U-PEDIA ORAL SUSPENSION 20MG/ML (IBUPROFEN) "U-LIANG" PICKTON TABLET (BACLOFEN) B.B CAPSULE 300MG (CLINDAMYCIN ) 0.15 NIXO TABLETS 10MG "H.S."(NICERGOLINE) CEPHALEXIN CAPSULES 500MG "YY" 5.80 A036176277 A036178100 9901 支付價 37.00 17.30 0.91 14.40 28.80 42.80 調整 A036182118 A036182119 A036182151 A036182199 A036184100 A036188100 A036192100 A036193100 A036195100 578.00 調整 765.00 25.00 1.07 3.17 1.93 BETADINE TABLETS 12MG (BETAHISTINE)"CHINTENG" A0361951G0 BETADINE TABLETS 12MG (BETAHISTINE)"CHINTENG"(鋁箔/膠箔) A036201100 METFORMIN TABLET 500MG "Y.S" 1.32 A036203100 2.47 ULCERFATE TABLETS 1000MG (SUCRALFATE) "S.S.P." A036204100 BICANOL TABLETS 500MG (METFORMIN) "CHINTENG" A0362041G0 BICANOL TABLETS 500MG (METFORMIN) "CHINTENG"(鋁箔/膠箔) A036207338 FLUSAN OINTMENT "T.F." A036207399 刪除 1.50 1.00 1.00 1.50 76.00 FLUSAN OINTMENT "T.F." 1.70 CEFADROXIL GRANULE FORSYRUP 200MG/GM "C.C.P.C" A036214100 CITAMET F.C. TABLETS 400MG (CIMETIDINE) "Y.C." A0362141G0 CITAMET F.C TABLETS 400MG "YC" (CIMETIDINE)鋁箔/膠箔 A036215100 PARKRYL TABLETS "M.S."(SELEGILINE) 4.38 A036216100 CHIWEGON TABLETS "EVEREST" 0.79 A036224421 TIMOL EYE DROPS 0.25% (TIMOLOL) "UNION" A036211199 1.00 1.50 5.70 刪除 第 156 頁,共 382 頁 70.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 6946 6947 6948 6949 6950 6951 6952 6953 6954 6955 6956 6957 6958 6959 6960 6961 6962 6963 6964 6965 6966 6967 6968 6969 6970 6971 6972 6973 6974 6975 6976 6977 6978 6979 6980 6981 6982 6983 CODE 藥品名稱 100年1月 項次 支付價 A035991209 ROLES POWDER FOR INJECTION 1GM 6946 0 "GENTLE" (CEPHALEXIN) A035996100 PERTIAZEM TABLETS 30MG (DILTIAZEM 6947 1.65 HYDROCHLORIDE)"ROYAL" A035997100 MECO 0.5MG CAPSULES. 6948 2.42 (MECOBALAMIN) "S.L" A036004100 IBUPROFEN TABLETS 400MG "ASTAR" 6949 1 A036006100 ULCERTOP TABLETS 300MG (DIBISMUTH 6950 6.5 TRIOXIDE) "B&F" A036008100 MESTINON S.C. TABLETS 60MG 6951 4.94 (PYRIDOSTIGMINE BROMIDE) 19.3 6952 A036014277 0.45% SODIUM CHLORIDE INJECTION 39.5 6953 A036015338 TEIRIA GEL 100MG/GM (ETOFENAMATE) A036015345 TEIRIA GEL 100MG/GM (ETOFENAMATE) 6954 75 A036016100 DANAZOL CAPSULES 200MG "ASTAR" 6955 12.7 A036020100 TEGRETOL TABLETS 200MG 6956 3.37 (CARBAMAZEPINE) A036029100 SUICRATE TABLETS 500MG 6957 1.16 (SUCRALFATE) "S.L." 10.9 6958 A036031321 BETAGEN CREAM A036031329 BETAGEN CREAM 6959 17.3 A036031335 BETAGEN CREAM 6960 37.8 A036031338 BETAGEN CREAM 6961 19.6 A036031399 BETAGEN CREAM 6962 0.98 A036034100 SILYMARIN CAPSULES 70MG "TAI YU" 6963 1.86 A036041109 SUCA GRANULES FOR SUSPENSION 6964 5 1GM/1.02GM(SUCRALFATE) A036044129 CIGAMATE SUSPENSION 20MG/ML 6965 9.7 "SINPHAR" (CIMETIDINE) A036047100 B.B. CAP. 150MG (CLINDAMYCIN) 6966 0 A036049109 BABYATE ORAL ELECTROLYTE 6967 48.8 MAINTENANCE SOLUTION A036049165 BABYATE ORAL ELECTROLYTE 6968 28.6 MAINTENANCE SOLUTION A036049177 BABYATE ORAL ELECTROLYTE 6969 47.4 MAINTENANCE A036060100 DE-SPASM CAPSULES 30MG (TIMEPIDIUM 6970 1.95 BROMIDE) "H.S." A036061100 COLLOBIS CHEWABLE TABLETS 120MG 6971 5.5 (DIBISMUTH TRIOXIDE) "S.S.P 0.32 6972 A036067199 COSOPIN SYRUP 3.8L A036069100 MOREN E.F.C. TABLET 50MG 6973 0.6 (DICLOFENAC SODIUM) "ROYAL" A0360691G0 MOREN E.F.C. TABLET 50MG 6974 1.5 (DICLOFENAC SODIUM) "ROYAL"(鋁箔/ A036072100 CLEDOMYCIN CAPSULES 300MG "ROOT" 6975 2.86 (CLINDAMYCIN) A036073100 NICERLINE S.C. TABLETS 5MG 6976 2.29 (NICERGOLINE) "PFOSHEN" A036075100 WEISU CAPSULES 6977 0.78 A036077118 PACOUGH SYRUP 6978 1333 A036079100 RIVOTRIL TABLETS 0.5MG 6979 1.47 (CLONAZEPAM) A036082100 CERO CAPSULES 250MG (CAFACLOR) 6980 3.43 "S.T." 0.72 6981 A036083100 DUBLECON TABLETS "EVEREST" A036084421 CORKELIN ORAL GEL 1MG/GM "M.S" 6982 29.1 (TRIAMCINOLONE) A036084429 CORKELIN ORAL GEL 1MG/GM "M.S" 6983 41.7 (TRIAMCINOLONE) CODE 藥品名稱 A036232100 CYCLOLADY CAPSULE 200MG (DANAZOL) A036234100 NAPUTON TABLET 250MG (NAPROXEN) "Y.S" A036237100 LINTON F.C. TABLETS 10MG "KOJAR" (HYOSCINE BUTYLBROMIDE) A0362371G0 LINTON F.C. TABLETS 10MG "KOJAR" (HYOSCINE BUTYLBROMIDE)(鋁箔/膠箔) A036238100 SHUERSU CAPSULES "F.S." A036240100 GLIZIDE TABLETS 80MG "H.S." (GLICLAZIDE) A036241100 TIMEPIN TABLETS 30MG "H.S." A036242421 TIMOL EYE DROPS 0.5% (TIMOLOL) A036243100 GINLOBA FILM COATED TABLETS 9.6MG (GINKGO FLAVONGLYCOSIDE) "UNION" A036247100 TAMEDIN F.C. TABLET 400MG (CIMETIDINE) "STANDARD" A0362471G0 TAMEDIN F.C. TABLET 400MG (CIMETIDINE) "STANDARD"(鋁箔/膠箔) A036248100 L.F.N. TABLET "C.H." 100MG (FLURBIPROFEN) A036252100 NITRAZEPAM TABLETS 5MG "ASTAR" A036263100 ELTROXIN TABLETS 100MCG (THYROXINE SODIUM) A036266100 MELICIN CAPSULES 100MG (MINOCYCLINE) "H.S." A036267100 ANAZIN TABLETS 50MG (FLURBIPROFEN) "SHOU CHAN" A036268100 DEXFERIN TABLETS 2MG (DEXCHLORPHENIRAMINE) "JOHNSON" A036276100 DESOBLITE S.C. TABLETS 100MG (BENCYCLANE) "CHINTENG" A036280100 REPININ TABLETS 5MG (OXYBUTYNIN) "H.C" A036281100 CYCLIN CAPSULE 100MG (MINOCYCLINE) "PURZER" A036283100 MUSCOFEN TABLETS 10MG (BACLOFEN) "H.C" A036284212 GENTAMYCIN INJECTION 140MG/ML "S.Y." A036284229 GENTAMYCIN INJECTION 140MG/ML"S.Y." A036312100 A036313335 TOCOLIN F.C.T. 30MG (CARBETAPENTANE CITRATE) "EVEREST" BIFONAZOLE CREAM 10MG/GM "M.S." A036313372 BIFONAZOLE CREAM 10MG/GM "M.S." A036313399 A036315321 BIFONAZOLE CREAM 10MG/GM "M.S." CLOBETASOL CREAM 0.5MG/GM "SINPHAR" CLOBETASOL CREAM 0.5MG/GM "SINPHAR" CLOBETASOL CREAM 0.5MG/GM "SINPHAR" CLOBETASOL CREAM 0.5MG/GM "SINPHAR" ETHOS CAPSULES 100MG (MECLOFENAMIC ACID) VENTOL LIQUID 5.34MG//ML (THEOPHYLLINE) "PURZER" GIKO DROPS 9.6MG (GYNKGOFLAVONGLYCOSIDE) "H.S." HEMOBEND TABLETS 100MG (BENZARONE) "H.S." GLURENORM TABLETS 30MG MESMIN TABLET 30MG (DEXTROMETHORPHAN) "Y.S" PROXACIN INFUSION SOLUTION 2MG/ML (CIPROFLOXACIN) A036315324 A036315329 A036315399 A036322100 A036330151 A036332143 A036338100 A036340100 A036342100 A036345255 第 157 頁,共 382 頁 說明 9901 支付價 17.80 刪除 1.22 1.00 1.50 0.79 1.87 1.98 116.00 2.54 1.35 1.50 2.56 0.35 1.62 5.70 3.22 0.54 8.50 3.04 6.30 1.09 刪除 20.50 93.00 0.55 106.00 1,006.00 1.93 15.50 21.90 新增 23.20 0.92 2.18 20.00 176.00 3.77 2.59 0.50 329.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 6984 6985 6986 6987 6988 6989 6990 6991 6992 6993 6994 6995 6996 6997 6998 6999 7000 7001 7002 7003 7004 7005 7006 7007 7008 7009 7010 7011 7012 7013 7014 7015 7016 7017 7018 7019 7020 7021 7022 CODE 藥品名稱 100年1月 項次 支付價 A036084499 CORKELIN ORAL GEL 1MG/GM 6984 2.4 "M.S."(TRIAMCINOLONE ) 12.2 6985 A036088221 PENTOXILLINE INJECTION 20MG/ML A036091100 TAILIWELL TABLETS 200MG 6986 1 (CIMETIDINE) "JENSHENG" 34.1 6987 A036092329 XAMACID CREAM A036094157 GUAPHEN SYRUP 20MG/ML 6988 16.6 (GUAIFENESIN) "CENTER" A036094163 GUAPHEN SYRUP 20MG/ML 6989 26.4 (GUAIFENESIN) "CENTER" A036094199 GUAPHEN SYRUP 20MG/ML 6990 0.11 (GUAIFENESIN) "CENTER" 0 6991 A036095100 SPUTANT TABLET A036097100 FUERCON F.C.TABLETS 200MG 6992 4.14 (FLAVOXATE) "F.S." A036098100 A.P.N. TABLETS 100MG (ALLOPURINOL) 6993 1 "C.H." A036099100 DICLOFENAC E.F.C. TABLETS 25MG 6994 0.49 "KOJAR" A0360991G0 DICLOFENAC E.F.C. TABLETS 25MG 6995 1.5 "KOJAR"(鋁箔/膠箔) A036105100 NAPOSIN C.R. TABLETS 750MG 6996 5.7 (NAPROXEN) A036129100 ATENOLOL F.C. TABLETS 50MG 6997 0 "JOHNSON" A036130100 ATENOLOL F.C. TABLETS 100MG 6998 0 "JOHNSON" 7.8 6999 A036131100 ILACEN CAPSULE (DIFLUNISAL) A036132100 BLOODNONE CAPSULES 250MG 7000 1.28 (TRANEXAMIC ACID) "EVEREST" A036151100 MUBROXOL TABLETS 30MG (AMBROXOL) 7001 1 "C.C.P.C" A0361511G0 MUBROXOL TABLETS 30MG (AMBROXOL) 7002 1.5 "C.C.P.C" (鋁箔) 29.9 7003 A036152435 SU SU EYE DROPS "T.F." A036154421 SHINE LOOK EYE DROPS "T.F" 7004 11 A036154435 SHINE LOOK EYE DROPS "T.F" 7005 29.9 A036157100 URIMARONE TABLETS 50MG 7006 1.5 (BENZBROMARONE) "ASTAR" A036159109 TIPIDINE POWDERS (TIPEPIDINE) 7007 3.05 A036160110 AMOLIN POWDER FOR ORAL 7008 36.7 SUSPENSION (AMOXICILLIN) A036161209 ORICEF INJECTION "ORIENTAL" 7009 22.5 (CEFAZOLIN) A036162100 PIROCAM CAPSULES 20MG "KOJAR" 7010 1.22 (PIROXICAM) A0361621G0 PIROCAM CAPSULES 20MG "KOJAR" 7011 1.5 (PIROXICAM)(鋁箔/膠箔) 35.9 7012 A036167212 TRAMADOL INJECTION 50MG/ML "S.Y" A036172157 SECODRINE-C SYRUP 7013 37 A036172199 SECODRINE-C SYRUP 7014 0.26 A036174309 BETAGEN CREAM "GCPC" 7015 1187 A036174321 BETAGEN CREAM "GCPC" 7016 10.9 A036174329 BETAGEN CREAM 10G 7017 17.5 A036174335 BETAGEN CREAM "GCPC" 7018 37.2 A036174399 BETAGEN CREAM "GCPC" 7019 1.18 2.99 7020 A036175100 RIVOTRIL TABLETS 2MG (CLONAZEPAM) A036176209 0.45% SOLUTIO NATRII CHLORIDI 7021 22.2 ISOTONICA A036176277 0.45% SOLUTIO NATRII CHLORIDI 7022 17.3 ISOTONICA "CHI-SHENG" 說明 CODE 藥品名稱 9901 支付價 A036349100 UFORMIN TABLETS 500MG 1.00 A0363491G0 UFORMIN TABLETS 500MG (鋁箔/膠箔) A036350500 BISADYL SUPPOSITORIES 10MG (BISACODYL) "MEIDER" A036356100 TIDACT CAPSULES 300MG A036357329 SAN-TON GEL 100MG/GM "CHINTENG" (ETOFENAMATE) A036357399 SAN-TON GEL 100MG/GM "CHINTENG" (ETOFENAMATE) A036360100 VORTAGEN E.C. TAB. 50MG "EVEREST" (DICLOFENAC) A036365209 KIDOXIM INJ (CEFOTAXIME) A036365277 KIDOXIM INJ (CEFOTAXIME) 1.50 2.03 3.16 32.70 3.27 0.60 141.00 39.50 A036367100 AMITON TABLETS "H.S." 2.15 A036370100 CLONICE TABLETS 5MG (OXYBUTYNIN) "T.F." EULIP TABLETS "W.P." (BEZAFIBRATE) 2.58 A036374100 A036378100 BLOMED TABLETS 150MG (BUFLOMEDIL) "GENTLE" A036385100 MESCO CAPSULES 500UG (MECOBALAMIN) "YY" A036386221 TECENSER INJECTION 8MG/ML (FENSPIRIDE) "PATRON" A036389100 LEGAFEN TABLETS (BACLOFEN) "Y.C" A036391100 KODIDEN TABLETS 25MG (DICLOFENAC) "M.T" A036395100 GLIGLUCON TABLETS 5MG (GLIPIZIDE) "ROYAL" A0363951G0 GLIGLUCON TABLETS 5MG (GLIPIZIDE) "ROYAL"(鋁箔/膠箔) A036396100 MENCHUAN TABLET 100MG A036399100 SILYGEN-F.S.C. TABLETS 35MG "H.C." (SILYMARIN) A036402209 MENITO INJECTION 50MG/ML (DIMENHYDRINATE) "ORENTAL" A036403100 STAYBAN TABLETS 50MG (FLURBIPROFEM) A036408326 OPPVIR CREAM 50MG/GM (ACYCLOVIR) "S.D." A036410100 MODONE TABLETS 10MG "EVEREST" (DOMPERIDONE) A0364101G0 MODONE TABLETS 10MG "EVEREST" (DOMPERIDONE)(鋁箔/膠箔) A036413329 SEU-SU CREAM 1MG/GM (TRIAMCINOLONE ACETONIDE) A036413399 SEU-SU CREAM 1MG/GM (TRIAMCINOLONE ACETONIDE) A036416421 EYECALM EYE DROPS "STANDARD" A036418229 DOXOR LYO INJECTION 10MG (DOXORUBICIN) "UNION" A036420209 SISOGEN INJECTION 50MG/ML (SISOMICIN) "GENTLE" A036420212 SISOGEN INJECTION 50MG/ML (SISOMICIN) "GENTLE" A036422100 MEPRIM TABLETS 100MG. (TRIMETHOPNIM) "JOHNSON" A036423127 CHOLESTAMIN POWDER "CHI SHENG" (CHOLEXTYRAMINE RESIN) A036425100 KERFENMYCIN CAPSULES 500MG (CEFACLOR) A036426100 KERFENMYCIN CAPSULES 250MG (CEFACLOR) A036427100 BACLOFEN TABLETS 10MG "ASTER" A036430100 COAN CAPSULES 250MG (NIFLUMIC ACID) "S.C." A036431100 GLIBETIN TABLETS 5MG (GLIPIZIDE)"JOHNSON" 第 158 頁,共 382 頁 刪除 2.69 6.30 2.88 刪除 19.60 刪除 1.03 0.49 1.00 1.50 5.00 2.16 16.00 2.67 56.00 0.65 1.50 15.70 調整 1.28 19.90 349.00 62.00 112.00 0.42 14.00 8.00 3.66 1.02 2.55 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 7023 7024 7025 7026 7027 7028 7029 7030 7031 7032 7033 7034 7035 7036 7037 7038 7039 7040 7041 7042 7043 7044 7045 7046 7047 7048 7049 7050 7051 7052 7053 7054 7055 7056 7057 7058 7059 7060 7061 7062 7063 7064 CODE 藥品名稱 100年1月 項次 支付價 A036178100 PIROCAM CAPSULES 10MG "KOJAR" 7023 0.91 (PIROXICAM) A036181321 VACORT CREAM "GCPC" 7024 14.4 A036181329 VACORT CREAM"GCPC" 7025 28.8 42.8 7026 A036181335 VACORT CREAM "GCPC" 51 7027 A036181338 VACORT CREAM "GCPC" 1.64 7028 A036181399 VACORT CREAM "GCPC" A036182109 U-PEDIA ORAL SUSPENSION 20MG/ML 7029 367 (IBUPROFEN) "U-LIANG" A036182118 U-PEDIA ORAL SUSPENSION 20MG/ML 7030 578 (IBUPROFEN) "U-LIANG" A036182119 U-PEDIA ORAL SUSPENSION 20MG/ML 7031 765 (IBUPROFEN) "U-LIANG" 25 7032 A036182151 U-PEDIA ORAL SUSP. 20MG/ML 60ML A036182199 U-PEDIA ORAL SUSPENSION 20MG/ML 7033 0.15 (IBUPROFEN) "U-LIANG" A036184100 PICKTON TABLET (BACLOFEN) 7034 1.07 3.17 7035 A036188100 B.B CAPSULE 300MG (CLINDAMYCIN ) 5.8 7036 A036192100 NIXO TABLETS 10MG A036193100 CEPHALEXIN CAPSULES 500MG "YY" 7037 1.93 A036195100 BETADINE TABLETS 12MG 7038 1.32 (BETAHISTINE)"CHINTENG" A0361951G0 BETADINE TABLETS 12MG 7039 1.5 (BETAHISTINE)"CHINTENG"(鋁箔/膠箔) 1 7040 A036201100 METFORMIN TABLET 500MG "Y.S" A036203100 ULCERFATE TABLETS 1000MG 7041 2.47 (SUCRALFATE) "S.S.P." A036204100 BICANOL TABLETS 500MG (METFORMIN) 7042 1 "CHINTENG" A0362041G0 BICANOL TABLETS 500MG (METFORMIN) 7043 1.5 "CHINTENG"(鋁箔/膠箔) 76 7044 A036207338 FLUSAN OINTMENT "T.F." 1.7 7045 A036207399 FLUSAN OINTMENT "T.F." A036211199 CEFADROXIL GRANULE FORSYRUP 7046 4.38 200MG/GM "C.C.P.C" A036214100 CITAMET F.C. TABLETS 400MG 7047 1 (CIMETIDINE) "Y.C." A0362141G0 CITAMET F.C TABLETS 400MG "YC" 7048 1.5 (CIMETIDINE)鋁箔/膠箔 5.7 7049 A036215100 PARKRYL TABLETS "M.S."(SELEGILINE) 0.79 7050 A036216100 CHIWEGON TABLETS "EVEREST" A036224421 TIMOL EYE DROPS 0.25% (TIMOLOL) 7051 70 "UNION" A036232100 CYCLOLADY CAPSULE 200MG 7052 17.8 (DANAZOL) A036234100 NAPUTON TABLET 250MG (NAPROXEN) 7053 1.19 "Y.S" A036237100 LINTON F.C. TABLETS 10MG "KOJAR" 7054 1 (HYOSCINE BUTYLBROMIDE) A0362371G0 LINTON F.C. TABLETS 10MG "KOJAR" 7055 1.5 (HYOSCINE BUTYLBROMIDE)(鋁 A036238100 SHUERSU CAPSULES "F.S." 7056 0.79 A036240100 GLIZIDE TABLETS 80MG "H.S." 7057 1.87 (GLICLAZIDE) 1.98 7058 A036241100 TIMEPIN TABLETS 30MG "H.S." 116 7059 A036242421 TIMOL EYE DROPS 0.5% (TIMOLOL) A036243100 GINLOBA FILM COATED TABLETS 9.6MG 7060 2.51 (GINKGO FLAVONGLYCOSIDE) A036247100 TAMEDIN F.C. TABLET 400MG 7061 1.35 (CIMETIDINE) "STANDARD" A0362471G0 TAMEDIN F.C. TABLET 400MG 7062 1.5 (CIMETIDINE) "STANDARD"(鋁箔/膠箔 A036248100 L.F.N. TABLET "C.H." 100MG 7063 2.56 (FLURBIPROFEN) A036252100 NITRAZEPAM TABLETS 5MG "ASTAR" 7064 0.35 CODE 藥品名稱 A036434238 "U-LIANG" FAMODIN LYO-INJECTION 20MG (FAMOTIDINE) A036440118 IBUFINE SYRO 20MG/ML (IBUPROFEN) "SHENG CHUN" A036440157 IBUFINE SYRO 20MG/ML (IBUPROFEN) "SHENG CHUN" A036454100 MEZOLIN CAPSULES "EVEREST" A0364541G0 MEZOLIN CAPSULES "EVEREST"(鋁箔/膠 A036469212 B. B. INJECTION 150MG/ML A036475100 CIRCULON F.C. TABLETS 9.6MG 說明 9901 支付價 54.00 578.00 60.00 1.00 1.50 23.70 2.54 A036477100 BENZARONE TABLET 100MG "Y.S" 4.33 A036480100 ANWENIN TABLETS 500MG(SUCRALFATE) 1.01 A036481312 A036481317 ANTIVIRS CREAM 50MG/GM ANTIVIRS CREAM 50MG/GM 48.10 54.00 A036481321 47.80 A036490100 A036493100 ANTIVIRS CREAM 50MG/GM (ACYCLOVIR) "GCPC" ANTIVIRS CREAM 50MG/GM ANTIVIRS CREAM CLEAROL CAPSULES 300MG (GEMFIBROZIL) "H.S" METIPINE TABLETS 300MG "KOJAR"(TRIMETHOPRIM) FUKON TABLETS 50MG (FLURBIPROFEN)"KOJAR" NOOGICA CAPSULES 400MG"CHEN TA" NALIDIXIC ACID CAPSULES 500MG "L.D." A036494100 LUCKY HORMON CAPSULES A036500329 SHU-BA-HANI CREAM"CHINTENG" A036500399 A036503100 A036506100 A036591321 SHU-BA-HANI CREAM "CHINTENG" CONAPIN TABLET SUNPYLON TABLETS 50MG "S.S.P." (SULPIRIDE) ANTIGLUCON TABLETS 80MG "F.S." (GLICLAZIDE) OFLOCIN F.C. TABLETS. 100MG (OFLOXACIN) "H.S." KIDAZONE FOR IM/IV POWER FOR INJ. SPASTOLATE TABLETS "NYSCO" NOOJOHN CAPSULES 400MG. (PIRACETAM) "JOHNSON" CULIUM TABLET 3MG "CURIE" (BROMAZEAM) CERO GRANULES FOR SYRUP 50MG/ML "S.T." (CEFACOLR) GENTAX EYE DROPS 3MG/ML (GENTAMICIN) "S.T." SUXEN FILM COATED TABLETS 750MG (CIPROFLOXACIN) VORTAGEN EMULGEL 1% (DICLOFENAC SODIUM) "EVEREST" VORTAGEN EMULGEL 1% (DICLOFENAC SODIUM) "EVEREST" VORTAGEN EMULGEL 1% VORTAGEN EMULGEL 1% GINKGO F.C.TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "C.H." RIPA OINTMENT A036591345 RIPA OINTMENT 89.00 A036597209 TRADOL INJECTION 50MG/ML (TRAMADOL HYDROCHLORIDE) CADIOPIRIN TABLETS (ASPIRIN) 100MG "VPP" 36.30 A036481325 A036481399 A036483100 A036484100 A036485100 A036507100 A036508100 A036510209 A036511100 A036534100 A036542100 A036574110 A036576477 A036580100 A036587329 A036587338 A036587343 A036587396 A036588100 A036599100 第 159 頁,共 382 頁 58.00 3.25 1.75 1.92 3.04 1.26 2.31 1.29 29.30 2.65 1.00 3.03 1.82 3.84 162.00 0.46 1.24 0.91 110.00 調整 1.31 48.50 24.60 33.40 39.80 58.00 2.20 調整 36.40 0.64 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 7065 A036263100 7066 A036266100 7067 A036267100 7068 A036268100 7069 A036276100 7070 A036280100 7071 A036281100 7072 A036283100 7073 7074 A036284212 A036284229 ELTROXIN TABLETS 100MCG (THYROXINE SODIUM) MELICIN CAPSULES 100MG (MINOCYCLINE) "H.S." ANAZIN TABLETS 50MG (FLURBIPROFEN) "SHOU CHAN" DEXFERIN TABLETS 2MG (DEXCHLORPHENIRAMINE) "JOHNSON" DESOBLITE S.C. TABLETS 100MG (BENCYCLANE) "CHINTENG" REPININ TABLETS 5MG (OXYBUTYNIN) "H.C" CYCLIN CAPSULE 100MG (MINOCYCLINE) "PURZER" MUSCOFEN TABLETS 10MG (BACLOFEN) "H.C" GENTAMYCIN INJECTION 140MG/ML GENTAMYCIN INJECTION 140MG/ML"S.Y." 7075 A036312100 7076 A036313335 TOCOLIN F.C.T. 30MG (CARBETAPENTANE CITRATE) "EVEREST" BIFONAZOLE CREAM 10MG/GM "M.S." 7077 A036313372 BIFONAZOLE CREAM 10MG/GM "M.S." 7078 A036313399 BIFONAZOLE CREAM 10MG/GM "M.S." 7079 A036315321 7090 7091 CLOBETASOL CREAM 0.5MG/GM "SINPHAR" A036315324 CLOBETASOL CREAM 0.5MG/GM "SINPHAR" A036315329 CLOBETASOL CREAM 0.5MG/GM "SINPHAR" A036315399 CLOBETASOL CREAM 0.5MG/GM A036322100 ETHOS CAPSULES 100MG (MECLOFENAMIC ACID) A036330151 VENTOL LIQUID 5.34MG//ML (THEOPHYLLINE) "PURZER" A036332143 GIKO DROPS 9.6MG (GYNKGOFLAVONGLYCOSIDE) "H.S." A036338100 HEMOBEND TABLETS 100MG (BENZARONE) "H.S." A036340100 GLURENORM TABLETS 30MG (GLIQUIDONE) A036342100 MESMIN TABLET 30MG (DEXTROMETHORPHAN) "Y.S" A036345255 PROXACIN INFUSION SOLUTION 2MG/ML (CIPROFLOXACIN) A036349100 UFORMIN TABLETS 500MG A0363491G0 UFORMIN TABLETS 500MG (鋁箔/膠箔) 7092 A036350500 7093 A036356100 7094 A036357329 7095 A036357399 7096 A036360100 7097 7098 7099 A036365209 A036365277 A036367100 7100 A036370100 7101 A036374100 7102 A036378100 7080 7081 7082 7083 7084 7085 7086 7087 7088 7089 BISADYL SUPPOSITORIES 10MG (BISACODYL) "MEIDER" TIDACT CAPSULES 300MG (CLINDAMYCIN) SAN-TON GEL 100MG/GM "CHINTENG" (ETOFENAMATE) SAN-TON GEL 100MG/GM "CHINTENG" (ETOFENAMATE) VORTAGEN E.C. TAB. 50MG "EVEREST" (DICLOFENAC) KIDOXIM INJ (CEFOTAXIME) KIDOXIM INJ (CEFOTAXIME) AMITON TABLETS "H.S." CLONICE TABLETS 5MG (OXYBUTYNIN) "T.F." EULIP TABLETS "W.P." (BEZAFIBRATE) BLOMED TABLETS 150MG (BUFLOMEDIL) "GENTLE" 100年1月 項次 支付價 7065 1.62 7066 0 7067 3.22 7068 0.54 7069 8.5 7070 3.04 7071 6.3 7072 1.09 20.5 7073 7074 93 7075 0.55 7076 106 7077 1006 7078 1.93 7079 15.5 7080 21.9 7081 23.2 0.81 7082 7083 2.18 7084 20 7085 176 7086 0 7087 2.59 7088 0.5 7089 329 1 7090 7091 1.5 7092 2.03 7093 3.16 7094 32.7 7095 3.27 7096 0.6 141 7097 39.5 7098 7099 2.15 7100 2.58 7101 2.69 7102 6.3 CODE 藥品名稱 A036600100 TOWELL TABLETS "EVEREST" A0366001G0 TOWELL TABLETS "EVEREST"(鋁箔/膠箔) 說明 9901 支付價 0.55 1.50 刪除 A036601221 GINTEC INJECTION 0.84MG/ML "S.Y." (GINKGOFLAVONGLYCOSIDE) A036612100 PEPTOSOL TABLET 120MG (DIBISMUTH TRIOXIDE) "SINPHAR" A036632421 SINTROPIC OPHTHALMIC SOLUTION 10MG/ML (TROPICAMIDE) "SINPHAR" A036641100 SESTAN CAPSULES 30MG (TIMEPIDIUM BROMIDE) "PFOSHEN" A036644100 ATROGEM TABLETS 200MG "S.S.P" (TIAPROFENIC ACID) A036654477 FUSONE EYE DROPS 1MG/ML "S.T" (BETAMETHASONE) A036657121 K-CITRATE GRANULES "GENTLE" A036658100 FLAVOID S.C.TABLETS 9.6MG "S.S.P."(GINKGOFLAVONGLYCOSIDE) A036661100 CERELINE TABLETS 5MG (NICERGOLINE) "ROYAL" A036662100 ISCAN F.C. TABLETS 400MG (CIMETIDINE) "S.L" A0366621G0 ISCAN F.C. TABLETS 400MG (CIMETIDINE) "S.L"(鋁箔/膠箔) A036663100 KETOTIFEN TABLETS 1MG (KETOTIFEN) "S.Y." A036667100 NOCIGEN CAPSULES 100MG "SWISS" (MINOCYCLINE) A036668100 DEDEMA E.F.C. TABLETS 5MG (SERRAPEPTASE) "STANDARD" A036669212 ULCERTIN INJECTION 10MG/ML (FAMOTIDINE) "SWISS" A036673100 BACLOFEN TABLETS 5MG "S.F." A036675100 ELP CAPSULES 50MG (ALPRENOLOL HYDROCHLORIDE) "S.D." A036676100 LOPERDIN CAPSULES 2MG (LOPERAMIDE) "S.Y." A036677100 DALMADORM CAPSULES 30MG (FLURAZEPAM) A036678221 YUTODIN INJECTION 10MG/ML (RITODRINE HYDROCHLORIDE) "PURZER" A036679100 DALMADORM CAPSULES 15MG (FLURAZEPAM) A036693100 LISACEF CAPSULES 250MG (CEPHRADINE) "S.T." A036700421 TROPIN EYE DROPS 0.5% (TROPICAMIDE) "UNION" A036733100 BACOFEN TABLETS 10MG (BACLOFEN) A036735100 HOMO TABLETS 10MG (HOMOCHLORCYCLIZINE) "S.Y." A036736100 ROYAMET F.C.TABLETS 400MG (CIMETIDINE) "ROYAL" A0367361G0 ROYAMET F.C.TABLETS 400MG (CIMETIDINE) "ROYAL"(鋁箔/膠箔) A036739321 VIRHAIL CREAM 5% (ACYCLOVIR) "H.S." 47.00 A036740212 10.00 A036749100 KETOFEN-S INJECTION 50MG/ML (KETOPROFEN) "S.Y." SOMA CAPSULES "STANDARD" A0367491G0 SOMA CAPSULES "STANDARD"(鋁箔/膠箔) A036751209 SINTRIX INJECTION (CEFTRIAXONE) "S.T." A036751212 SINTRIX FOR IV INJECTION (CEFTRIAXONE) "S.T." A036751277 SINTRIX INJECTION (CEFTRIAXONE) "S.T." A036753100 A036756100 第 160 頁,共 382 頁 SAFE CAPSULES 2MG (LOPERAMIDE) "TAI YU" TICLOPIDINE TABLETS 250MG "S.F." 6.50 67.00 2.02 3.30 2.96 9.20 2.54 2.11 1.00 1.50 1.00 5.10 1.00 46.90 1.01 6.90 調整 0.48 5.80 35.00 刪除 4.87 2.59 12.50 1.08 0.68 1.00 1.50 47.80 1.18 1.50 370.00 769.00 137.00 0.65 6.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 7103 7104 7105 7106 7107 7108 7109 7110 7111 7112 7113 7114 7115 7116 7117 7118 7119 7120 7121 7122 7123 7124 7125 7126 7127 7128 7129 7130 7131 7132 7133 7134 7135 7136 7137 7138 7139 7140 7141 7142 CODE 藥品名稱 100年1月 項次 支付價 A036385100 MESCO CAPSULES 500UG 7103 0 (MECOBALAMIN) "YY" A036386221 TECENSER INJECTION 8MG/ML 7104 19.6 (FENSPIRIDE) "PATRON" 1.03 7105 A036389100 LEGAFEN TABLETS (BACLOFEN) "Y.C" A036391100 KODIDEN TABLETS 25MG (DICLOFENAC) 7106 0.49 "M.T" A036395100 GLIGLUCON TABLETS 5MG (GLIPIZIDE) 7107 1 "ROYAL" A0363951G0 GLIGLUCON TABLETS 5MG (GLIPIZIDE) 7108 1.5 "ROYAL"(鋁箔/膠箔) 5 7109 A036396100 MENCHUAN TABLET 100MG A036399100 SILYGEN-F.S.C. TABLETS 35MG "H.C." 7110 2.16 (SILYMARIN) A036402209 MENITO INJECTION 50MG/ML 7111 16 (DIMENHYDRINATE) "ORENTAL" A036403100 STAYBAN TABLETS 50MG 7112 2.67 (FLURBIPROFEM) A036408326 OPPVIR CREAM 50MG/GM (ACYCLOVIR) 7113 56 "S.D." A036410100 MODONE TABLETS 10MG "EVEREST" 7114 0.65 (DOMPERIDONE) A0364101G0 MODONE TABLETS 10MG "EVEREST" 7115 1.5 (DOMPERIDONE)(鋁箔/膠箔) A036413329 SEU-SU CREAM 1MG/GM 7116 15.7 (TRIAMCINOLONE ACETONIDE) A036413399 SEU-SU CREAM 1MG/GM 7117 1.28 (TRIAMCINOLONE ACETONIDE) A036416421 EYECALM EYE DROPS "STANDARD" 7118 19.9 A036418229 DOXOR LYO INJECTION 10MG 7119 349 (DOXORUBICIN) "UNION" A036420209 SISOGEN INJECTION 50MG/ML 7120 0 (SISOMICIN) "GENTLE" A036420212 SISOGEN INJECTION 50MG/ML 7121 0 (SISOMICIN) "GENTLE" A036422100 MEPRIM TABLETS 100MG. 7122 0 (TRIMETHOPNIM) "JOHNSON" A036423127 CHOLESTAMIN POWDER "CHI SHENG" 7123 14 (CHOLEXTYRAMINE RESIN) A036425100 KERFENMYCIN CAPSULES 500MG 7124 8 (CEFACLOR) A036426100 KERFENMYCIN CAPSULES 250MG 7125 3.66 (CEFACLOR) 1.02 7126 A036427100 BACLOFEN TABLETS 10MG "ASTER" A036430100 COAN CAPSULES 250MG (NIFLUMIC 7127 2.55 ACID) "S.C." A036431100 GLIBETIN TABLETS 5MG 7128 1 (GLIPIZIDE)"JOHNSON" A036434238 "U-LIANG" FAMODIN LYO-INJECTION 7129 54 20MG (FAMOTIDINE) A036440118 IBUFINE SYRO 20MG/ML (IBUPROFEN) 7130 578 "SHENG CHUN" A036440157 IBUFINE SYRO 20MG/ML (IBUPROFEN) 7131 60 "SHENG CHUN" A036454100 MEZOLIN CAPSULES "EVEREST" 7132 1 A0364541G0 MEZOLIN CAPSULES "EVEREST"(鋁箔/膠 7133 1.5 箔) A036469212 B. B. INJECTION 150MG/ML 7134 23.7 (CLINDAMYCIN) 2.52 7135 A036475100 CIRCULON F.C. TABLETS 9.6MG 4.33 7136 A036477100 BENZARONE TABLET 100MG "Y.S" 1.01 7137 A036480100 ANWENIN TABLETS 500MG(SUCRALFATE) 48.1 7138 A036481312 ANTIVIRS CREAM 50MG/GM 54 7139 A036481317 ANTIVIRS CREAM 50MG/GM A036481321 ANTIVIRS CREAM 50MG/GM 7140 47.8 (ACYCLOVIR) "GCPC" A036481325 ANTIVIRS CREAM 50MG/GM 7141 58 3.25 7142 A036481399 ANTIVIRS CREAM 說明 CODE 藥品名稱 9901 支付價 A036757100 COUDE CAPSULES "S.D." 1.00 A036758100 VICAPOLE CAPSULES"H.S." 1.00 A036759119 A036759151 KOUSULIN SYRUP "M.T" KOUSULIN SYRUP "M.T" 1,800.00 21.00 A036759157 KOUSULIN SYRUP "M.T" 54.00 A036759199 KOUSULIN SYRUP "M.T" 0.35 A036765321 A036765399 PRURINON CREAM"M.S" PRURINON CREAM"M.S" 21.70 0.97 A036766100 LIMBITROL CAPSULES A036768209 TONMEX INJECTION 20MG/ML (PIROXICAM) "PANBIOTIC" TONMEX INJECTION 20MG/ML (PIROXICAM) "PANBIOTIC" TONMEX TABLETS 20MG (PIROXICAM) "PANBIOTIC" FLOCIDAL F.C. TABLETS 100MG (NORFLOXACIN) "VPP" S.N.A. CAPSULES 10MG(FLUNARIZINE) "C.H." ZINC CHEWABLE TABLET 15MG "S.Y" 刪除 A036768212 A036769100 A036772100 A036783100 A036784100 A036785100 A036787338 A036787399 A036788100 A036790100 ASFEN TABLETS 1MG (KETOTIFEN) "STANDARD" SILIVERINE CREAM 10MG/GM "S.Y" (SILVER SULFADIAZINE) SILIVERINE CREAM 10MG/GM "S.Y" (SILVER SULFADIAZINE) CAPDON TABLETS 25MG "STANDARD" (CAPTOPRIL) EXCEL TABLETS 25MG (CAPTOPRIL)"VPP" 2.18 14.70 13.40 1.05 2.64 1.38 1.17 0.80 38.20 0.63 刪除 2.12 刪除 2.26 刪除 A036794100 2.54 A036816100 A036817100 PROCAL TABLETS 667MG (CALCIUM ACETATE) "PL" MINOLINE CAPSULES 50MG (MINOCYCLINE) MINOLINE CAPSLES 100MG (MINOCYCLINE) "S.T" ANSOCAINE TABLETS "ASTAR" CIMETIDINE TABLET 400MG "YS" A036820100 METFORMIN TABLETS 500MG "C.H." 1.00 A036822209 AMOXICILLIN INJECTION 1G "PANBIOTIC" 71.00 A036824421 "OASIS" FLUOROMETHOLONE OPH. SUSPEN. 0.02% "OASIS" FLUOROMETHOLONE OPHTHALMIC. SUSPENSION. 0.02% YUTAM CREAM 50MG/GM (ACYCLOVIR)"YU SHENG" CONJUESTROGEN S.C TABLETS 0.625MG (CONJUGATED ESTROGEN) MECOTON F.C. TABLET 100MG (MEPIRIZOLE) "S.L." BENDOPA CAPSULES "WEIDAR" CYPRO SYRUP 0.4MG/ML"PANBIOTIC" CYPRO SYRUP 0.4MG/ML"PANBIOTIC" CYPRO SYRUP 0.4MG/ML"PANBIOTIC" CYPRO SYRUP 0.4MG/ML"PANBIOTIC" BETTERLOCK TABLET 100MG (METOPROLOL) "CURIE" DECORON F.C. TAB. "EVEREST" 0.75MG (DEXAMETHASONE) METFORMIN TABLETS 500MG "S.F." 18.60 A036813100 A036815100 A036824429 A036825316 A036836100 A036838100 A036840100 A036841118 A036841151 A036841157 A036841199 A036844100 A036845100 A036848100 第 161 頁,共 382 頁 3.31 5.10 0.79 1.00 78.00 42.70 2.14 2.02 4.21 140.00 5.40 22.60 0.03 5.40 0.18 1.00 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 7143 A036483100 7144 A036484100 7145 A036485100 7146 A036490100 CLEAROL CAPSULES 300MG (GEMFIBROZIL) "H.S" METIPINE TABLETS 300MG "KOJAR"(TRIMETHOPRIM) FUKON TABLETS 50MG (FLURBIPROFEN)"KOJAR" NOOGICA CAPSULES 400MG"CHEN TA" 7147 A036493100 NALIDIXIC ACID CAPSULES 500MG "L.D." 7148 A036494100 LUCKY HORMON CAPSULES 7149 A036500329 SHU-BA-HANI CREAM"CHINTENG" 7150 7151 A036500399 A036503100 SHU-BA-HANI CREAM "CHINTENG" CONAPIN TABLET 7152 A036506100 7153 A036507100 7154 A036508100 7155 A036510209 SUNPYLON TABLETS 50MG "S.S.P." (SULPIRIDE) ANTIGLUCON TABLETS 80MG "F.S." (GLICLAZIDE) OFLOCIN F.C. TABLETS. 100MG (OFLOXACIN) "H.S." KIDAZONE FOR IM/IV POWER FOR INJ. 7156 A036511100 SPASTOLATE TABLETS "NYSCO" 7157 A036534100 7158 A036542100 7159 A036574110 7160 A036576477 7161 A036580100 7162 A036587329 7163 A036587338 7164 7165 7166 A036587343 A036587396 A036588100 7167 A036591321 NOOJOHN CAPSULES 400MG. (PIRACETAM) "JOHNSON" CULIUM TABLET 3MG "CURIE" (BROMAZEAM) CERO GRANULES FOR SYRUP 50MG/ML "S.T." (CEFACOLR) GENTAX EYE DROPS 3MG/ML "MEDICINE" (GENTAMICIN) SUXEN FILM COATED TABLETS 750MG (CIPROFLOXACIN) VORTAGEN EMULGEL 1% (DICLOFENAC SODIUM) "EVEREST" VORTAGEN EMULGEL 1% (DICLOFENAC SODIUM) "EVEREST" VORTAGEN EMULGEL 1% VORTAGEN EMULGEL 1% GINKGO F.C.TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "C.H." RIPA OINTMENT 7168 A036591345 RIPA OINTMENT 7169 A036597209 7170 A036599100 7171 A036600100 TRADOL INJECTION 50MG/ML (TRAMADOL HYDROCHLORIDE) CADIOPIRIN TABLETS (ASPIRIN) 100MG "VPP" TOWELL TABLETS "EVEREST" 7172 7173 A0366001G0 TOWELL TABLETS "EVEREST"(鋁箔/膠箔) A036601221 GINTEC INJECTION 0.84MG/ML "S.Y." (GINKGOFLAVONGLYCOSIDE) A036612100 PEPTOSOL TABLET 120MG (DIBISMUTH TRIOXIDE) "SINPHAR" A036632421 SINTROPIC OPHTHALMIC SOLUTION 10MG/ML (TROPICAMIDE) "SINPHA A036641100 SESTAN CAPSULES 30MG (TIMEPIDIUM BROMIDE) "PFOSHEN" A036644100 ATROGEM TABLETS 200MG "S.S.P" (TIAPROFENIC ACID) A036654477 FUSONE EYE DROPS 1MG/ML "MEDICINE" (BETAMETHASONE) A036657121 K-CITRATE GRANULES "GENTLE" 7174 7175 7176 7177 7178 7179 100年1月 項次 支付價 7143 0 7144 1.92 7145 3.04 7146 1.26 7147 2.31 7148 1.29 7149 29.3 2.65 7150 7151 1 7152 3.03 7153 1.82 7154 3.84 7155 162 7156 0.46 7157 0 7158 0.91 7159 110 7160 1.31 7161 48.5 7162 24.6 7163 33.4 39.8 7164 58 7165 7166 2.2 7167 36.4 7168 89 7169 36.3 7170 0.64 7171 0.55 1.5 7172 7173 47 7174 6.5 7175 67 7176 2.02 7177 3.3 7178 2.96 7179 0 CODE 藥品名稱 A0368481G0 METFORMIN TABLETS 500MG "S.F."(鋁箔/ 膠箔) A036851100 LICON TABLETS 50MG "F.S." (BENZBROMARONE) A036853100 ACE-CAL TABLETS 667MG (CALCIUM ACETATE) "S.S.P." A036854100 GINKO TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "S.Y." A036857100 DECLOT S.C. TABLETS 250MG (TICLOPIDINE) "WEIDAR" A036858417 AMCICORT IN ORABASE 0.1% "N.W" (TRIAMCINOLONE ACETONIDE) A036858421 AMCICORT IN ORABASE 0.1% (TRIAMCINOLONE ACETONIDE) "N.W." A036862100 DIABES TABLETS 5MG (GLIPIZIDE) "P.L." A036863500 DOMPER SUPPOSITORIES 10MG (DOMPERIDONE) A036864151 ACTIN SOLUTION "CHINTENG" 說明 9901 支付價 1.50 刪除 1.50 2.51 2.18 6.00 24.70 28.60 1.00 3.34 10.30 A036864155 ACTIN SOLUTION "CHINTENG" 17.30 A036864199 ACTIN SOLUTION "CHINTENG" 0.16 A036865321 LEO CREAM 200MG/GM (AZELAIC ACID) "S.S.P." A036865329 LEO CREAM 200MG/GM "S.S.P."(AZELAIC ACID) A036865330 LEO CREAM 200MG/GM “MACRO” (AZELAIC ACID) A036865338 LEO CREAM 200MG/GM “MACRO” (AZELAIC ACID) A036865343 LEO CREAM 200MG/GM (AZELAIC ACID) "S.S.P." A036865399 LEO CREAM 200MG/GM "S.S.P" (AZELAIC ACID) A036867329 KEPANIN GEL 1% (DICLOFENAC) "CHEN TA" A036867338 KEPANIN GEL 1% (DICLOFENAC) "CHEN TA" A036867343 KEPANIN GEL 1% (DICLOFENAC) "CHEN TA" A036867399 KEPANIN GEL 1% (DICLOFENAC) "CHEN A036868221 VITAMIN C INJECTION 250MG/ML "Y.Y." A036869100 FAMODINE F.C. TABLETS 40MG (FAMOTIDINE) "N.K." A036884417 "U-LIANG"TOBRA OPHTHALMIC SOLUTION 3MG/ML (TOBRAMYCIN) A036885209 MECOBALAMIN INJECTION 0.5MG/ML "ASTAR" A036885212 MECOBALAMINE INJECTION 0.5MG/ML "ASTAR" A036885221 MECOBALAMIN INJECTION 0.5MG/ML "ASTAR" A036890100 THIAMCOL CAPSULES 250MG (THIAMPHENICOL) "SINTON" A036891209 AMPICILLIN FOR INJECTION 1G "SINTON" A036892100 HOU WE MING F.C. TABLETS 200MG (CIMETIDINE) "CHINTENG" A0368921G0 HOU WE MING F.C. TABLETS 200MG (CIMETIDINE) "CHINTENG"(鋁箔) A036894329 CHIN LEIN CREAM "CHINTENG" A036902100 A036904100 A036905209 A036905265 第 162 頁,共 382 頁 SULTON TABLET 100MG (SULINDAC) "SINTON" MISUDIN TABLETS 150MG "SWISS" (BUFLOMEDIL) NAKAXONE FOR I.V. INJECTION (CEFTRIAXONE) "N.K." NAKAXONE FOR I.V. INJECTION (CEFTRIAXONE) "N.K." 27.70 71.00 113.00 刪除 192.00 209.00 2.25 24.60 36.00 40.30 1.34 10.00 13.70 75.00 17.90 10.00 53.00 1.43 5.50 1.00 1.50 19.60 1.56 6.40 356.00 133.00 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 7180 A036658100 7181 7182 7183 7184 7185 7186 7187 7188 7189 7190 7191 7192 7193 7194 7195 7196 7197 7198 7199 7200 7201 7202 7203 7204 7205 藥品名稱 FLAVOID S.C.TABLETS 9.6MG "S.S.P."(GINKGOFLAVONGLYCOSIDE) A036661100 CERELINE TABLETS 5MG (NICERGOLINE) "ROYAL" A036662100 ISCAN F.C. TABLETS 400MG (CIMETIDINE) "S.L" A0366621G0 ISCAN F.C. TABLETS 400MG (CIMETIDINE) "S.L"(鋁箔/膠箔) A036663100 KETOTIFEN TABLETS 1MG (KETOTIFEN) "S.Y." A036667100 NOCIGEN CAPSULES 100MG "SWISS" (MINOCYCLINE) A036668100 DEDEMA E.F.C. TABLETS 5MG (SERRAPEPTASE) "STANDARD" A036669212 ULCERTIN INJECTION 10MG/ML (FAMOTIDINE) "SWISS" A036673100 BACLOFEN TABLETS 5MG "S.F." A036675100 ELP CAPSULES 50MG (ALPRENOLOL HYDROCHLORIDE) "S.D." A036676100 LOPERDIN CAPSULES 2MG (LOPERAMIDE) "S.Y." A036677100 DALMADORM CAPSULES 30MG (FLURAZEPAM) A036678221 YUTODIN INJECTION 10MG/ML (RITODRINE HYDROCHLORIDE) "PURZER A036679100 DALMADORM CAPSULES 15MG (FLURAZEPAM) A036693100 LISACEF CAPSULES 250MG A036700421 TROPIN EYE DROPS 0.5% (TROPICAMIDE) "UNION" A036733100 BACOFEN TABLETS 10MG (BACLOFEN) A036735100 HOMO TABLETS 10MG (HOMOCHLORCYCLIZINE) "S.Y." A036736100 ROYAMET F.C.TABLETS 400MG (CIMETIDINE) "ROYAL" A0367361G0 ROYAMET F.C.TABLETS 400MG (CIMETIDINE) "ROYAL"(鋁箔/膠箔) A036739321 VIRHAIL CREAM 5% (ACYCLOVIR) "H.S." A036740212 KETOFEN-S INJECTION 50MG/ML (KETOPROFEN) "S.Y." A036749100 SOMA CAPSULES "STANDARD" A0367491G0 SOMA CAPSULES "STANDARD"(鋁箔/膠箔) A036751209 SINTRIX FOR INJECTION 1G (CEFTRIAXONE) A036751212 SINTRIX FOR INJECTION 2G (CEFTRIAXONE) 100年1月 項次 支付價 7180 2.51 7181 2.11 7182 1 7183 1.5 7184 1 7185 0 7186 1 7187 46.9 1.01 7188 7189 6.9 7190 0.48 7191 5.8 7192 0 7193 4.87 2.59 7194 7195 12.5 1.08 7196 7197 0.68 7198 1 7199 1.5 47.8 7200 7201 10 0 7202 0 7203 7204 370 7205 藥品名稱 A036905277 A036917100 NAKAXONE FOR I.V. INJECTION (CEFTRIAXONE) "N.K." IMINZIN TABLET 50MG (MEBHYDROLINE) "SINTON" PRIDINOL INJECTION 2MG/ML (PRIDINOL MESILATE) "ASTAR" URIBENORM TABLETS 100MG "CHEN TA" (BENZBROMARONE) DANZOL CAPSULES 200MG (DANAZOL) "KINGDOM" GLIDIN TABLET 5MG (GLIPIZIDE) "CURIE" A036925338 VETIN GEL 10MG/GM (DICLOFENAC) A036926100 VETIN E.C. TABLETS 25MG. (DICLOFENAC) VETIN E.C. TABLETS 50MG. CEFACLOR CAPSULE 250MG."C.C.P.C." 1.06 2.04 A036963309 SEDAMIN F.C. TABLETS 100MG. (ATENOLOL) "C.C.P.C." MERO CAPSULE 100MG (MINOCYCLINE) "KINGDOM" ATROVENT INHALANT SOLUTION 0.25MG/ML (IPRATROPIUM BROMIDE) BIPIDEN TABLET 2MG (BIPERIDEN) "SWISS" AMOXICILLIN CAPSULES 500MG "C.I." A-CONTENT TABLETS 500MG (ACETAMINOPHEN) "H.S." COTU SYRUP "C.H." SUMETON TABLETS 200MG "CHEN TA" (SULINDAC) PAINSTOP F.C. TABLETS 500MG "SHENG CHUN" (MEFENAMIC ACID) BENCOGEN CREAM A036963321 A036963329 BENCOGEN CREAM BENCOGEN CREAM A036963372 A036963399 A036964100 A037042329 A037053209 BENCOGEN CREAM BENCOGEN CREAM UROBENIN S.C. TABLET 100MG (PHENAZOPYRIDINE) "SWISS" CIRLITON FILM TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "SHENG CHUN" CARTIL TABLETS 30MG (DILTIAZEM HYDROCHLORIDE) "S.Y." FEBIN INJECTION 50MG/ML (KETOPROFEN) "TAI YU" ESTRA GEL 0.6MG/GM (ESTRADIOL) CLINDAMYCIN CAPSULE 300MG HISALINE INJECTION 30MG/ML (SODIUM CHLORIDE) "TAI YU" Y.F. NO.2 INJECTION "Y.F." CIPROFLO INFUSION SOLUTION 2MG/ML "S.Y." CIPROFLO INFUSION SOLUTION 2MG/ML "S.Y." NIFUROX CAPSULES 200MG (NIFUROXAZIDE) "H.S." VITADOXIN E.C. TABLETS 30MG (PYRIDOXAL-5-PHOSPHATE)"H.S." OXAZIDE CAPSULES 200MG (NIFUROXAZIDE) FLUTHASONE CREAM "CHINTENG" PIROXICAM INJECTION 20MG/ML "Y.Y" A037053212 PIROXICAM INJECTION 20MG/ML "Y.Y" A036906100 A036907209 A036915100 A036916100 A036751277 7207 A036753100 7208 7209 7210 A036756100 A036757100 A036758100 SINTRIX FOR INJECTION 500MG (CEFTRIAXONE) SAFE CAPSULES 2MG (LOPERAMIDE) "TAI YU" TICLOPIDINE TABLETS 250MG "S.F." COUDE CAPSULES "S.D." VICAPOLE CAPSULES"H.S." 7211 7212 A036759119 A036759151 KOUSULIN SYRUP "M.T" KOUSULIN SYRUP "M.T" 7213 A036759157 KOUSULIN SYRUP "M.T" 7214 A036759199 KOUSULIN SYRUP "M.T" 7215 A036765321 PRURINON CREAM"M.S" 7216 A036765399 PRURINON CREAM"M.S" 7217 7218 A036766100 A036768209 7219 A036768212 LIMBITROL CAPSULES TONMEX INJECTION 20MG/ML (PIROXICAM) "PANBIOTIC" TONMEX INJECTION 20MG/ML (PIROXICAM) "PANBIOTIC" 9901 支付價 90.00 調整 1.00 11.60 4.89 12.70 1.00 刪除 A036927100 A036928100 A036935100 A036940100 A036941138 A036944100 A036950100 A036951100 A036954199 A036961100 A036962100 A036965100 769 7206 說明 CODE 7206 A036966100 7207 0.65 6 7208 1 7209 7210 1 1800 7211 7212 21 7213 54 7214 0.35 7215 21.7 7216 0.78 2.18 7217 7218 14.7 7219 13.4 A036967212 137 A036969314 A036971100 A036976277 A036984277 A037004248 A037004255 A037029100 A037030100 A037034100 第 163 頁,共 382 頁 36.30 1.03 3.64 4.92 58.00 刪除 3.07 1.28 0.28 0.35 2.15 0.60 885.00 14.40 28.80 1,107.00 0.88 0.70 刪除 刪除 2.56 1.45 5.50 13.00 2.86 15.40 26.10 127.00 329.00 3.23 0.75 2.80 調整 49.00 11.90 11.80 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 7220 A036769100 7221 A036772100 7222 A036783100 7223 A036784100 TONMEX TABLETS 20MG (PIROXICAM) "PANBIOTIC" FLOCIDAL F.C. TABLETS 100MG (NORFLOXACIN) "VPP" S.N.A. CAPSULES 10MG(FLUNARIZINE) "C.H." ZINC CHEWABLE TABLET 15MG "S.Y" 7224 A036785100 7242 7243 ASFEN TABLETS 1MG (KETOTIFEN) "STANDARD" A036787338 SILIVERINE CREAM 10MG/GM "S.Y" (SILVER SULFADIAZINE) A036787399 SILIVERINE CREAM 10MG/GM "S.Y" (SILVER SULFADIAZINE) A036788100 CAPDON TABLETS 25MG "STANDARD" (CAPTOPRIL) A036790100 EXCEL TABLETS 25MG (CAPTOPRIL)"VPP" A036794100 PROCAL TABLETS 667MG (CALCIUM ACETATE) "PL" A036813100 MINOLINE CAPSULES 50MG A036815100 MINOLINE CAPSLES 100MG (MINOCYCLINE) "S.T" A036816100 ANSOCAINE TABLETS "ASTAR" A036817100 CIMETIDINE TABLET 400MG "YS" A036820100 METFORMIN TABLETS 500MG "C.H." A0368201G0 METFORMIN TABLETS 500MG "C.H."(鋁箔/ 膠箔) A036822209 AMOXICILLIN INJECTION 1G "PANBIOTIC" A036824421 "OASIS" FLUOROMETHOLONE OPH. SUSPEN. 0.02% A036824429 "OASIS" FLUOROMETHOLONE OPHTHALMIC. SUSPENSION. 0.02% A036825316 YUTAM CREAM 50MG/GM (ACYCLOVIR)"YU SHENG" A036836100 CONJUESTROGEN S.C TABLETS 0.625MG (CONJUGATED ESTROGEN) A036838100 MECOTON F.C. TABLET 100MG (MEPIRIZOLE) "S.L." A036840100 BENDOPA CAPSULES "WEIDAR" A036841118 CYPRO SYRUP 0.4MG/ML"PANBIOTIC" 7244 A036841151 CYPRO SYRUP 0.4MG/ML"PANBIOTIC" 7245 7246 A036841157 A036841199 CYPRO SYRUP 0.4MG/ML"PANBIOTIC" CYPRO SYRUP 0.4MG/ML"PANBIOTIC" 7247 A036844100 7248 A036845100 7249 A036848100 BETTERLOCK TABLET 100MG (METOPROLOL) "CURIE" DECORON F.C. TAB. "EVEREST" 0.75MG (DEXAMETHASONE) METFORMIN TABLETS 500MG "S.F." 7250 A0368481G0 METFORMIN TABLETS 500MG "S.F."(鋁箔/ 膠箔) A036851100 LICON TABLETS 50MG "F.S." (BENZBROMARONE) A036853100 ACE-CAL TABLETS 667MG (CALCIUM ACETATE) "S.S.P." A036854100 GINKO TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "S.Y." A036857100 DECLOT S.C. TABLETS 250MG (TICLOPIDINE) "WEIDAR" A036858417 AMCICORT IN ORABASE 0.1% "N.W" (TRIAMCINOLONE ACETONIDE) A036858421 AMCICORT IN ORABASE 0.1% (TRIAMCINOLONE ACETONIDE) "N.W." A036862100 DIABES TABLETS 5MG (GLIPIZIDE) "P.L." A036863500 DOMPER SUPPOSITORIES 10MG (DOMPERIDONE) A036864151 ACTIN SOLUTION "CHINTENG" A036864155 ACTIN SOLUTION "CHINTENG" 7225 7226 7227 7228 7229 7230 7231 7232 7233 7234 7235 7236 7237 7238 7239 7240 7241 7251 7252 7253 7254 7255 7256 7257 7258 7259 7260 100年1月 項次 支付價 7220 1.03 7221 2.64 7222 1.38 7223 1.17 7224 0.8 7225 38.2 7226 0.63 7227 2.12 2.23 7228 7229 2.54 3.31 7230 7231 5.1 0.79 7232 1 7233 1 7234 7235 1.5 71 7236 7237 18.6 7238 78 7239 42.7 7240 2.14 7241 2.02 4.21 7242 7243 140 7244 5.4 22.6 7245 7246 0.03 7247 5.4 7248 0.18 7249 1 7250 1.5 7251 1.5 7252 2.51 7253 2.18 7254 0 7255 24.7 7256 28.6 0 7257 7258 3.34 10.3 7259 17.3 7260 CODE 藥品名稱 A037054100 STOGAMET TABLETS 400MG (CIMETIDINE) "SWISS" A0370541G0 STOGAMET TABLETS 400MG (CIMETIDINE) "SWISS" (鋁箔/膠箔) A037060100 SERASE ENTERIC F.C. TABLETS 5MG "S.Y." (SERRATIOPEPTIDASE) A037061100 SERASE ENTERIC F.C. TABLETS 10MG "S.Y."(SERRATIOPEPTIDASE) A037062209 PANCOBAMIN INJECTION 0.5MG/ML (MECOBALAMIN) "PANBIOTIC" A037062221 PANCOBAMIN INJECTION 0.5MG/ML (MECOBALAMIN) "PANBIOTIC" A037063421 TRACORT ORABASE 1MG/GM (TRIAMCINOLONE ACETONIDE)"PATRON" A037064209 CEFE INJECTION (CEFMETAZOLE) "SWISS" A037064277 CEFE INJECTION (CEFMETAZOLE) A037067329 CLOSONE CREAM 說明 9901 支付價 1.00 調整 1.50 1.00 1.00 29.20 53.00 28.90 150.00 122.00 42.10 A037067399 A037069309 CLOSONE CREAM BETA CREAM "SINPHAR" 3.41 468.00 A037069321 A037069335 A037069343 A037069372 BETA CREAM "SINPHAR" BETA CREAM "SINPHAR" BETA CREAM "SINPHAR" BETA CREAM "SINPHAR" 17.50 22.40 33.40 419.00 A037069399 A037074335 0.46 66.00 A037078321 BETA CREAM "SINPHAR" CETALA CREAM 10MG/GM (CENTELLA ASIATICA) "PFOSHEN" BALINSE OINTMENT 5GM A037078329 BALINSE OINTMENT "GCPC" 28.00 A037078335 BALINSE OINTMENT "GCPC" 40.60 A037078340 BALINSE OINTMENT "GCPC" 73.00 A037078399 A037093329 BALINSE OINTMENT 900GM CLINER SOLUTION 10MG/ML (CLINDAMYCIN)"B&F" CLINER SOLUTION 10MG/ML (CLINDAMYCIN)"B&F" CLINER SOLUTION 10MG/ML DEFULIN CREAM 0.05% "EVREEST" (CLOBETASOL PROPIONATE) DEFULIN CREAM 0.05% "EVEREST" (CLOBETASOL PROPIONATE) DEFULIN CREAM 0.05% "EVEREST" (CLOBETASOL PROPIONATE)" DEFULIN CREAM 0.05% "EVEREST" (CLOBETASOL PROPIONATE) DEFULIN CREAM 0.05% "EVEREST" (CLOBETASOL PROPIONATE) DEFULIN CREAM 0.05% "EVEREST" (CLOBETASOL PROPIONATE) DEFULIN CREAM 0.05% "EVREEST" (CLOBETASOL PROPIONATE) KETOTIFEN TABLETS 1MG "ASTAR" 1.91 22.80 A037093338 A037093399 A037096309 A037096321 A037096324 A037096329 A037096335 A037096338 A037096399 A037099100 A037125100 13.70 31.20 1.56 348.00 12.30 22.90 19.40 31.60 56.00 0.71 1.00 A037128309 A037128323 LISACEF CAPSULES 500MG "S.T." (CAPHRADINE) ANPO INJECTION 10MG/ML "S.T" (RITODRINE HYDROCHLORIDE) SODIUM BICARBONATE INJECTION 70MG/ML "ASTAR" EUCLOBE CREAM 0.5MG/GM EUCLOBE CREAM 0.5MG/GM 306.00 20.30 A037128329 A037128377 EUCLOBE CREAM 0.5MG/GM EUCLOBE CREAM 0.5MG/GM 19.40 654.00 A037126221 A037127238 第 164 頁,共 382 頁 調整 3.75 刪除 30.90 3.20 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 7261 7262 A036864199 A036865321 7263 A036865329 7264 A036865330 7265 A036865338 7266 A036865343 7267 A036865399 7268 7269 7270 7271 7272 A036867329 A036867338 A036867343 A036867399 A036868221 ACTIN SOLUTION "CHINTENG" LEO CREAM 200MG/GM (AZELAIC ACID) "S.S.P." LEO CREAM 200MG/GM "S.S.P."(AZELAIC ACID) LEO CREAM 200MG/GM “MACRO” (AZELAIC ACID) LEO CREAM 200MG/GM “MACRO” (AZELAIC ACID) LEO CREAM 200MG/GM (AZELAIC ACID) "S.S.P." LEO CREAM 200MG/GM "S.S.P" (AZELAIC ACID) KEPANIN GEL 1% (DICLOFENAC) "CHEN KEPANIN GEL 1% (DICLOFENAC) "CHEN KEPANIN GEL 1% (DICLOFENAC) "CHEN KEPANIN GEL 1% (DICLOFENAC) "CHEN VITAMIN C INJECTION 250MG/ML "Y.Y." 7273 A036869100 7274 A036884417 7275 A036885209 7276 A036885212 7277 A036885221 7278 A036890100 7279 A036891209 7280 A036892100 FAMODINE F.C. TABLETS 40MG (FAMOTIDINE) "N.K." "U-LIANG"TOBRA OPHTHALMIC SOLUTION 3MG/ML (TOBRAMYCIN) MECOBALAMIN INJECTION 0.5MG/ML "ASTAR" MECOBALAMINE INJECTION 0.5MG/ML "ASTAR" MECOBALAMIN INJECTION 0.5MG/ML "ASTAR" THIAMCOL CAPSULES 250MG (THIAMPHENICOL) "SINTON" AMPICILLIN FOR INJECTION 1G "SINTON" 7282 HOU WE MING F.C. TABLETS 200MG (CIMETIDINE) "CHINTENG" A0368921G0 HOU WE MING F.C. TABLETS 200MG (CIMETIDINE) "CHINTENG"(鋁箔 A036894329 CHIN LEIN CREAM "CHINTENG" 7283 A036902100 7284 A036904100 7285 A036905209 7286 A036905265 7287 A036905277 7288 A036906100 7289 A036907209 7290 A036915100 7291 A036916100 7292 7293 A036917100 A036925338 7294 7295 7296 7297 A036926100 A036927100 A036928100 A036935100 7298 A036940100 7299 A036941138 7300 7301 A036944100 A036950100 7281 SULTON TABLET 100MG (SULINDAC) "SINTON" MISUDIN TABLETS 150MG "SWISS" (BUFLOMEDIL) NAKAXONE FOR I.V. INJECTION (CEFTRIAXONE) "N.K." NAKAXONE FOR I.V. INJECTION (CEFTRIAXONE) "N.K." NAKAXONE FOR I.V. INJECTION (CEFTRIAXONE) "N.K." IMINZIN TABLET 50MG (MEBHYDROLINE) "SINTON" PRIDINOL INJECTION 2MG/ML (PRIDINOL MESILATE) "ASTAR" URIBENORM TABLETS 100MG "CHEN TA" (BENZBROMARONE) DANZOL CAPSULES 200MG (DANAZOL) "KINGDOM" GLIDIN TABLET 5MG (GLIPIZIDE) "CURIE" VETIN GEL 10MG/GM (DICLOFENAC) VETIN E.C. TABLETS 25MG. VETIN E.C. TABLETS 50MG. CEFACLOR CAPSULE 250MG."C.C.P.C." SEDAMIN F.C. TABLETS 100MG. (ATENOLOL) "C.C.P.C." MERO CAPSULE 100MG (MINOCYCLINE) "KINGDOM" ATROVENT INHALANT SOLUTION 0.25MG/ML (IPRATROPIUM BROMIDE) BIPIDEN TABLET 2MG (BIPERIDEN) AMOXICILLIN CAPSULES 500MG "C.I." 100年1月 項次 支付價 0.16 7261 7262 27.7 7263 71 7264 113 7265 192 7266 209 7267 2.25 24.6 7268 36 7269 40.3 7270 0 7271 7272 10 7273 13.7 7274 75 7275 17.9 7276 10 7277 53 7278 0 7279 0 7280 1 7281 1.5 7282 19.6 7283 0 7284 6.4 7285 356 7286 133 7287 90 7288 0 7289 11.6 7290 0 7291 12.7 1 7292 7293 36.3 1.06 7294 1.03 7295 3.64 7296 7297 2.04 7298 4.92 7299 0 3.07 7300 1.28 7301 說明 CODE 藥品名稱 A037128399 A037133100 A037134329 EUCLOBE CREAM 0.5MG/GM TIMETIN CAPSULES 30MG (TIMEPIDIUM BROMIDE) "Y.Y" B.B. GEL 1% (CLINDAMYCIN) 17.90 A037134335 B.B. GEL 1% (CLINDAMYCIN) 30.70 A037134338 B.B. GEL 1% (CLINDAMYCIN) 81.00 A037134343 B.B. GEL 1% (CLINDAMYCIN) 93.00 A037136100 LIVERIN CAPSULE "N.W." A037139316 A037139321 A037140100 A037141100 A037157100 ACYLETE CREAM 50MG/GM (ACYCLOVIR) ACYLETE CREAM 50MG/GM (ACYCLOVIR) BEFON TABLETS 10MG "M.S." BEFON TABLETS 5MG M.S(BACLOFEN) MEHYMINE TABLETS 50MG (MEBHYDROLIN) "CHINTENG" A0371571G0 MEHYMINE TABLETS 50MG (MEBHYDROLIN) "CHINTENG"(鋁箔/膠箔) A037161100 KENDENUE F.C. TABLETS 25MG (ANETHOLE) "ROOT" A037165100 HEMALIN S.C. TABLETS 100MG (PENTOXIFYLLINE) "S.S.P." A037166100 SIN TONG E.F.C TABLETS 100MG (PENTOXYFYLLINE) "CHINTENG" A037167100 RINA CAPSULES "P.L." A037190100 A037191112 A037196100 A037197100 A037200209 A037200212 A037204100 A037210100 9901 支付價 0.71 2.02 1.61 41.80 41.20 1.10 1.21 1.08 1.50 0.67 0.85 1.63 12.10 NIROZIDE CAPSULES 200MG (NIFROXAZIDE) "ROYAL" ERYTHROMYCIN ETHYL SUCCINATE GRANULES 200MG/GM "P.L." ANPO 3.23 SWIFLOR CAPSULES 250MG (CEFACLOR) "SWISS" KEPRO INJECTION 50MG/ML (KETOPROFEN) "T.F." KEPRO INJECTION 50MG/ML (KETOPROFEN) CALATEC TABLETS 25MG (CAPTOPRIL) 3.68 刪除 4.78 刪除 3.88 4.00 10.00 刪除 2.08 A037216221 COUGHNIN TABLET 20MG (BENPROPERINE) "SINTON" KANIYA TABLETS 100MG "SINTON " (TICLOPIDINE) PIPEMIC TABLETS 250MG "ASTAR" (PIPEMIDIC ACID) ECONTIN VAGINAL SUPPOSITORY 150MG (ECONAZOLE) "TAI YU" BETAGEN OPHTHALMIC SOULTION "GCPC" EUBRAIN A037217100 EUBRAIN CAPSULES 400MG (PIRACETAM) 1.30 A037224100 A037225100 0.80 3.85 A037227100 A037228329 A037228336 A037228338 ASMALIN TABLETS 2.5MG (FENOTEROL) WECOLI TABLETS 25MG (BETHANECHOL CHLORIDE) "YY" CEFACLOR CAPSULES 250MG "KINGDOM" LEVALONE CREAM LEVALONE CREAM LEVALONE CREAM A037228399 LEVALONE CREAM 1.62 A037229100 CINTSU S.R.F.C. TABLETS 240MG (VERAPAMIL) "YUNG SHIN" CORTOLONE CREAM CORTOLONE CREAM 7.40 A037211100 A037212100 A037213500 A037214421 刪除 1.61 5.00 2.34 7.10 刪除 18.40 10.00 刪除 A037240329 A037240399 第 165 頁,共 382 頁 3.29 31.80 47.30 63.00 刪除 33.60 1.63 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 7302 7303 7304 7305 7306 7307 7308 7309 7310 7311 7312 7313 7314 7315 7316 7317 7318 7319 7320 7321 7322 7323 7324 7325 7326 7327 7328 7329 7330 7331 7332 7333 7334 7335 7336 7337 7338 7339 7340 CODE 藥品名稱 100年1月 項次 支付價 A036951100 A-CONTENT TABLETS 500MG 7302 0.28 (ACETAMINOPHEN) "H.S." 0.35 7303 A036954199 COTU SYRUP "C.H." A036961100 SUMETON TABLETS 200MG "CHEN TA" 7304 2.15 (SULINDAC) A036962100 PAINSTOP F.C. TABLETS 500MG "SHENG 7305 0.6 CHUN" (MEFENAMIC ACID) A036963309 BENCOGEN CREAM 7306 885 14.4 7307 A036963321 BENCOGEN CREAM 28.8 7308 A036963329 BENCOGEN CREAM 1107 7309 A036963372 BENCOGEN CREAM A036963399 BENCOGEN CREAM 7310 0.88 A036964100 UROBENIN S.C. TABLET 100MG 7311 0.7 (PHENAZOPYRIDINE) "SWISS" A036965100 CIRLITON FILM TABLETS 9.6MG 7312 2.56 (GINKGOFLAVONGLYCOSIDE) "SHENG A036966100 CARTIL TABLETS 30MG (DILTIAZEM 7313 1.45 HYDROCHLORIDE) "S.Y." A036967212 FEBIN INJECTION 50MG/ML 7314 5.5 (KETOPROFEN) "TAI YU" 13 7315 A036969314 ESTRA GEL 0.6MG/GM (ESTRADIOL) 2.86 7316 A036971100 CLINDAMYCIN CAPSULE 300MG A036976277 HISALINE INJECTION 30MG/ML (SODIUM 7317 15.4 CHLORIDE) "TAI YU" 26.1 7318 A036984277 Y.F. NO.2 INJECTION "Y.F." A037004248 CIPROFLO INFUSION SOLUTION 2MG/ML 7319 127 "S.Y." A037004255 CIPROFLO INFUSION SOLUTION 2MG/ML 7320 329 "S.Y." A037029100 NIFUROX CAPSULES 200MG 7321 3.23 (NIFUROXAZIDE) "H.S." A037030100 VITADOXIN E.C. TABLETS 30MG 7322 0.75 (PYRIDOXAL-5-PHOSPHATE)"H.S." A037034100 OXAZIDE CAPSULES 200MG 7323 2.8 (NIFUROXAZIDE) 49 7324 A037042329 FLUTHASONE CREAM "CHINTENG" A037053209 PIROXICAM INJECTION 20MG/ML "Y.Y" 7325 11.9 11.8 7326 A037053212 PIROXICAM INJECTION 20MG/ML "Y.Y" A037054100 STOGAMET TABLETS 400MG 7327 1 (CIMETIDINE) "SWISS" A0370541G0 STOGAMET TABLETS 400MG 7328 1.5 (CIMETIDINE) "SWISS" (鋁箔/膠箔) A037060100 SERASE ENTERIC F.C. TABLETS 5MG 7329 1 "S.Y." (SERRATIOPEPTIDASE) A037061100 SERASE ENTERIC F.C. TABLETS 10MG 7330 1 "S.Y."(SERRATIOPEPTIDASE) A037062209 PANCOBAMIN INJECTION 0.5MG/ML 7331 29.2 (MECOBALAMIN) "PANBIOTIC" A037062221 PANCOBAMIN INJECTION 0.5MG/ML 7332 53 (MECOBALAMIN) "PANBIOTIC" A037063421 TRACORT ORABASE 1MG/GM 7333 28.9 (TRIAMCINOLONE ACETONIDE)"PATRON" A037064209 CEFE INJECTION (CEFMETAZOLE) 7334 150 "SWISS" A037064212 CEFE INJECTION "SWISS" 7335 394 (CEFMETAZOLE) A037064277 CEFE INJECTION (CEFMETAZOLE) 7336 122 "SWISS" A037067329 CLOSONE CREAM 7337 42.1 A037067335 CLOSONE CREAM 7338 43.4 A037067399 CLOSONE CREAM 7339 1.36 A037069309 BETA CREAM "SINPHAR" 7340 468 說明 CODE 藥品名稱 A037243100 1.27 A037246212 A037248100 FUZIN TABLETS "N.W." (ZINC GLUCONATE) KETOPROFEN INJECTION 50MG/ML "N.K." HALOPERIDOL TABLETS 5MG "C.I." A037249100 ANLITON TABLETS "EVEREST" 0.91 A037250100 VANKOTEN TABLET 200MG (FENBUFEN) "SHENG CHUN" A037252212 KETOPROFEN INJECTION 25MG/ML "N.K." A037252216 KETOPROFEN INJECTION 25MG/ML "N.K." A037255100 LIVER HOW CAPSULES "CHINTENG" A0372551G0 LIVER HOW CAPSULES "CHINTENG"(鋁箔/ 膠箔) A037256100 CHILON E.F.C. TABLETS 50MG (DICLOFENAC ) "N.W" A037257100 DEGITON F.C. TABLETS 400MG (IBUPROFEN) "ROOT" A0372571G0 DEGITON F.C. TABLETS 400MG (IBUPROFEN) "ROOT"(鋁箔) A037286321 VICORAX CREAM 5% "WEIDAR" 9901 支付價 7.20 1.69 1.93 10.00 10.00 1.32 1.50 0.60 1.00 1.50 47.60 A037286329 A037286399 A037287421 VICORAX CREAM 5% "WEIDAR" VICORAX CREAM 5% "WEIDAR" DENECIN EYE DROPS 36.80 3.68 14.50 A037287429 A037288329 DENECIN EYE DROPS SWIVAZIN CREAM 10MG/GM (CENTELLA ASIATICA) SWIVAZIN OINTMENT 10MG/G 34.40 65.00 A037288338 A037290209 A037292100 A037301157 A037307100 A037309100 VANCO POWDER FOR INJECTION (VANCOMYCIN) "GENTLE" NICER TABLETS 10MG (NICERGOLINE) "H.S." ZECOL SYRUP 135.00 528.00 5.00 21.00 A037311335 A037312199 SEDATIN F.C. TABLETS 200MG NOXACIN 100MG F.C.TABLETS (NORFLOXACIN) "KINGDOM" AROMA CREAM 20MG/G COUGH SYRUP WITH CODEINE 50.00 0.18 A037314321 CLINDAMYCIN GEL 10MG/GM "C.C.P.C." 10.80 A037314338 CLINDAMYCIN GEL 10MG/GM "C.C.P.C." 81.00 A037314372 CLINDAMYCIN GEL 10MG/GM "C.C.P.C." 404.00 A037314399 CLINDAMYCIN GEL 10MG/GM "C.C.P.C." 0.79 A037344100 BOKEY ENTERIC-MICROENCAPSULATED CAPSULES 100MG (ASPIRIN) A0373441G0 BOKEY ENTERIC-MICROENCAPSULATED CAPSULES 100MG (ASPIRIN) (鋁箔) A037352100 HOPAN TABLETS 0.5MG (HALOPERIDOL) "KOJAR" A0373521G0 HOPAN TABLETS 0.5MG (HALOPERIDOL) "KOJAR"(鋁箔/膠箔) A037355100 DICLOFENAC E.S.C. TABLETS 50MG "YUNG CHI" A037368100 FLUFEN FILM COATED TABLETS 250MG (ALUMINUM FLUFENAMATE) "P.L" A037375100 GINKON FILM COATED TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) A037376100 SULORIL TABLETS 200MG (SULINDAC) "WEIDAR" A037378100 TRIMSOAN TABLETS 3MG (TRIMETOQUINOL) "CHINTENG" 第 166 頁,共 382 頁 1.92 2.44 1.00 1.50 0.63 1.50 0.60 3.97 2.54 2.23 調整 1.27 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 7341 A037069321 BETA CREAM "SINPHAR" 7342 A037069335 BETA CREAM "SINPHAR" 100年1月 項次 支付價 7341 17.5 7342 22.4 7343 A037069343 BETA CREAM "SINPHAR" 7343 33.4 7344 A037069372 BETA CREAM "SINPHAR" 7344 419 7345 A037069399 BETA CREAM "SINPHAR" 7345 0.46 7346 7347 A037074335 A037078321 CETALA CREAM 10MG/GM (CENTELLA ASIATICA) "PFOSHEN" BALINSE OINTMENT 5GM 7346 66 7347 13.7 7348 A037078329 BALINSE OINTMENT "GCPC" 7348 28 7349 A037078335 BALINSE OINTMENT "GCPC" 7349 40.6 7350 A037078340 BALINSE OINTMENT "GCPC" 7350 73 7351 A037078399 BALINSE OINTMENT 900GM 7351 1.91 7352 A037093329 CLINER SOLUTION 10MG/ML (CLINDAMYCIN)"B&F" CLINER SOLUTION 10MG/ML (CLINDAMYCIN)"B&F" CLINER SOLUTION 10MG/ML DEFULIN CREAM 0.05% "EVREEST" (CLOBETASOL PROPIONATE) DEFULIN CREAM 0.05% "EVEREST" (CLOBETASOL PROPIONATE) DEFULIN CREAM 0.05% "EVEREST" (CLOBETASOL PROPIONATE)" DEFULIN CREAM 0.05% "EVEREST" (CLOBETASOL PROPIONATE) DEFULIN CREAM 0.05% "EVEREST" (CLOBETASOL PROPIONATE) DEFULIN CREAM 0.05% "EVEREST" (CLOBETASOL PROPIONATE) DEFULIN CREAM 0.05% "EVREEST" (CLOBETASOL PROPIONATE) KETOTIFEN TABLETS 1MG "ASTAR" 7353 A037093338 7354 7355 A037093399 A037096309 7356 A037096321 7357 A037096324 7358 A037096329 7359 A037096335 7360 A037096338 7361 A037096399 7362 A037099100 7363 A037125100 7364 A037126221 7365 A037127238 7366 A037128309 7367 7368 7369 7370 7371 A037128323 A037128329 A037128377 A037128399 A037133100 7372 7373 A037134329 A037134335 EUCLOBE CREAM 0.5MG/GM EUCLOBE CREAM 0.5MG/GM EUCLOBE CREAM 0.5MG/GM EUCLOBE CREAM 0.5MG/GM TIMETIN CAPSULES 30MG (TIMEPIDIUM BROMIDE) "Y.Y" B.B. GEL 1% (CLINDAMYCIN) B.B. GEL 1% (CLINDAMYCIN) 7374 7375 7376 A037134338 A037134343 A037136100 B.B. GEL 1% (CLINDAMYCIN) B.B. GEL 1% (CLINDAMYCIN) LIVERIN CAPSULE "N.W." 7377 A037139316 ACYLETE CREAM 50MG/GM (ACYCLOVIR) 7378 A037139321 ACYLETE CREAM 50MG/GM (ACYCLOVIR) 7379 A037140100 BEFON TABLETS 10MG "M.S." (BACLOFEN) LISACEF CAPSULES 500MG "S.T." (CAPHRADINE) ANPO INJECTION 10MG/ML "S.T" (RITODRINE HYDROCHLORIDE) SODIUM BICARBONATE INJECTION 70MG/ML "ASTAR" EUCLOBE CREAM 0.5MG/GM 7352 22.8 7353 31.2 1.08 7354 7355 348 7356 12.3 7357 22.9 7358 19.4 7359 31.6 7360 56 7361 0.71 7362 1 7363 3.75 7364 30.9 7365 3.2 7366 306 20.3 7367 19.4 7368 654 7369 0.71 7370 7371 0 17.9 7372 7373 30.7 81 7374 93 7375 7376 1.61 7377 41.8 7378 41.2 7379 1.1 CODE 藥品名稱 A0373781G0 TRIMSOAN TABLETS 3MG (TRIMETOQUINOL) "CHINTENG" (鋁箔/ 膠箔) A037379100 SEDEPAM TABLETS 0.25MG "S.S.P."(FLUDIAZEPAM) A037382100 BISCON TABLETS 8MG (BROMHEXINE) "TAI YU" A037384209 CEFOXINE FOR INJECTION (CEFOTAXIME SODIUM) "TAI YU" A037384277 CEFOXINE FOR INJECTION (CEFOTAXIME SODIUM) "TAI YU" A037386314 LADIOL GEL 0.6MG/GM "SIMPHAR"(ESTRADIOL) A037386343 LADIOL GEL 0.6MG/GM (ESTRADIOL) "SINPHAR" A037390100 U-SAVE CAPSULES 500MG (CEPHRADINE) "U-LIANG" A037396100 BRANDYL TABLETS 2.5MG (TERBUTALINE SULFATE) "C.C.P.C." A0373961G0 BRANDYL TABLETS 2.5MG (TERBUTALINE SULFATE) "C.C.P.C."(鋁箔/ A037400100 SULTON TABLETS 200MG (SULINDAC) "SINTON" A037402100 EFACO TABLETS 20MG (EPRAZINONE) "KOJAR" A037431329 INHFUNGUS CREAM "CHEN TA" 說明 9901 支付價 1.50 1.88 0.29 120.00 36.20 15.00 108.00 3.25 1.00 1.50 2.13 0.60 28.10 A037431335 A037431377 INHFUNGUS CREAM "CHEN TA" INHFUNGUS CREAM "CHEN TA" 59.00 568.00 A037431399 INHFUNGUS CREAM "CHEN TA" 1.13 A037441100 BIPERIN TABLETS 2MG (BIPERIDEN) "UNION" KINFOTIN POWDER FOR INJECTION (CEFOXITIN) "KINGDOM" JABISYNLON TABLET 80MG (GLICLAZIDE) "DCPC" YENPIN TABLET 400MG (PIPEMIDIC ACID) "SINTON" DIFEN SUPPOSITORY 12.5MG (DICLOFENAC) "TAI YU" FUYEN TABLET 200MG (TIAPROFENIC ACID) "SINTON" NIJASYN CAPSULES 250MG (NIFLUMIC ACID) "DCPC" JATRISYN S.C. TABLET 2.5MG "DCPC" (INDAPAMIDE) SELEGYL TABLETS 5MG "SWISS" (DEPRENYL) FENSIN INJECTION 8MG/ML (FENSPIRIDE) "S.Y." LIVERON CAPSULES (SILYMARIN) "H.S." ISOLON CREAM "H.S." ISOLON CREAM "H.S." ISOLON CREAM "H.S." SONA CREAM 2.62 A037442209 A037445100 A037447100 A037449500 A037451100 A037473100 A037474100 A037497100 A037498221 A037500100 A037501329 A037501335 A037501399 A037510335 調整 154.00 1.82 2.39 1.77 3.25 2.35 3.25 6.00 19.20 1.89 33.60 57.00 1.62 57.00 刪除 A037511329 A037520100 C.G.B. CREAM "H.S." CAPHOS TABLETS 667MG (CALCIUM ACETATE) "M.S." A037523100 CEPHALEXIN F.C.TABLET 500MG "S.T." A037525212 MAMICON-P INJECTION "PATRON" A037527100 GLEUTON TABLETS 5MG (GLYBURIDE) "YU SHENG" A0375271G0 GLEUTON TABLETS 5MG "YU SHENG" (GLYBURIDE)(鋁箔) A037549100 CEBONIN F.C. TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE)"N.K." A037550212 AMINFEC INJECTION 125MG/ML (AMIKACIN) "STANDARD" 第 167 頁,共 382 頁 55.00 2.11 1.95 44.90 1.00 1.50 2.51 36.40 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 7380 A037141100 BEFON TABLETS 5MG M.S(BACLOFEN) 7381 A037157100 7386 MEHYMINE TABLETS 50MG (MEBHYDROLIN) "CHINTENG" A0371571G0 MEHYMINE TABLETS 50MG (MEBHYDROLIN) "CHINTENG"(鋁箔/膠箔) A037161100 KENDENUE F.C. TABLETS 25MG (ANETHOLE) "ROOT" A037165100 HEMALIN S.C. TABLETS 100MG (PENTOXIFYLLINE) "S.S.P." A037166100 SIN TONG E.F.C TABLETS 100MG (PENTOXYFYLLINE) "CHINTENG" A037167100 RINA CAPSULES "P.L." 7387 A037190100 7388 A037191112 7389 A037196100 7390 A037197100 7391 A037200209 7392 7393 7394 A037200212 A037204100 A037210100 7395 A037211100 7396 A037212100 7397 A037213500 7398 7399 A037214421 A037216221 7400 A037217100 SWIFLOR CAPSULES 250MG (CEFACLOR) "SWISS" KEPRO INJECTION 50MG/ML (KETOPROFEN) "T.F." KEPRO INJECTION 50MG/ML CALATEC TABLETS 25MG (CAPTOPRIL) COUGHNIN TABLET 20MG (BENPROPERINE) "SINTON" KANIYA TABLETS 100MG "SINTON " (TICLOPIDINE) PIPEMIC TABLETS 250MG "ASTAR" (PIPEMIDIC ACID) ECONTIN VAGINAL SUPPOSITORY 150MG (ECONAZOLE) "TAI YU" BETAGEN OPHTHALMIC SOULTION EBRAIN INJECTION 200MG/ML (PIRACETAM) EUBRAIN CAPSULES 400MG (PIRACETAM) 7401 A037224100 ASMALIN TABLETS 2.5MG (FENOTEROL) 7402 A037225100 7403 A037227100 WECOLI TABLETS 25MG (BETHANECHOL CHLORIDE) "YY" CEFACLOR CAPSULES 250MG "KINGDOM" 7404 A037228329 LEVALONE CREAM 7405 A037228336 LEVALONE CREAM 7406 A037228338 LEVALONE CREAM 7407 A037228399 LEVALONE CREAM 7408 A037229100 7409 A037240329 CINTSU S.R.F.C. TABLETS 240MG (VERAPAMIL) "YUNG SHIN" CORTOLONE CREAM 7410 7411 7412 7413 A037240399 A037243100 A037246212 A037248100 CORTOLONE CREAM FUZIN TABLETS "N.W." (ZINC KETOPROFEN INJECTION 50MG/ML "N.K." HALOPERIDOL TABLETS 5MG "C.I." 7414 A037249100 ANLITON TABLETS "EVEREST" 7415 A037250100 7416 A037252212 VANKOTEN TABLET 200MG (FENBUFEN) "SHENG CHUN" KETOPROFEN INJECTION 25MG/ML "N.K." 7417 7418 A037252216 A037255100 KETOPROFEN INJECTION 25MG/ML "N.K." LIVER HOW CAPSULES "CHINTENG" 7382 7383 7384 7385 NIROZIDE CAPSULES 200MG (NIFROXAZIDE) "ROYAL" ERYTHROMYCIN ETHYL SUCCINATE GRANULES 200MG/GM "P.L." ANPO 100年1月 項次 支付價 7380 1.21 7381 1.08 7382 1.5 7383 0.67 7384 0.85 7385 1.63 7386 12.1 7387 3.23 7388 4.78 7389 3.88 7390 0 7391 4 10 7392 2.08 7393 7394 0 7395 0 7396 2.34 7397 7.1 18.4 7398 7399 10 7400 1.3 7401 0.8 7402 0 7403 3.29 7404 31.8 7405 47.3 7406 63 7407 1.62 7408 7.4 7409 33.6 1.63 7410 1 7411 0 7412 7413 1.69 7414 0.91 7415 1.79 7416 10 10 7417 7418 1.32 CODE 藥品名稱 A037551100 KINTHREE FILM TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "EVEREST" CELOR CAPSULES 250MG (CEFACLOR) "C.H." VICIN CAPSULE 150MG (CLINDAMYCIN) "PURZER" SAFELON CREAM "EVEREST" A037552100 A037556100 A037563321 A037565100 說明 9901 支付價 2.55 3.61 1.77 21.70 A037580321 TINIJING F.C.TABLETS 500MG "CHINTENG" ULSAMIN FINE GRANULES 900MG/GM (BASIC ALUMINUM SUCROSE SULFATE) EUFAXIN GRANULES 500MG/GM (CEPHALEXIN) "TAI YU" EUFAXIN GRANULES 500MG/GM (CEPHALEXIN) "TAI YU" EUFAXIN GRANULES 500MG/GM (CEPHALEXIN) "TAI YU" ERA TABLET 0.25MG (FLUDIAZEPAM) "T.T.Y." FUKOLE TABLETS 200MG (FLUCONAZOLE) CLOSONE CREAM A037580329 A037580330 A037580399 CLOSONE CREAM CLOSONE CREAM CLOSONE CREAM A037584526 EQUITOR VAGINAL CREAM 0.625MG/GM 116.00 A037586100 GINKOBA F.C.TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "ROYAL" COJALIN SOLUTION "CHINTENG" 2.28 A037570109 A037575109 A037575177 A037575199 A037577100 A037579100 1.50 3.91 4,210.00 1,902.00 1.52 2.67 336.00 刪除 21.70 42.10 26.70 1.10 刪除 刪除 A037592118 A037592148 A037595100 A037596109 A037598116 A037601100 COJALIN SOLUTION "CHINTENG" NAFXEN TABLETS 500MG (NAPROXEN) "TAI YU" SUCRALFATE GRANULES 900MG/GM "SINPHAR" ACTEIN GRANULES 66.7MG/GM (ACETYLCYSTEINE) "S.Y." WELIZEN F.C. TABLETS 20MG "N.K." 1,710.00 17.50 2.32 3.95 1.87 3.44 刪除 A037603100 VALTAFEN ENTERIC F.C. TABLET 50MG "SINPHAR"(DICLOFENAC) A0376031G0 VALTAFEN ENTERIC F.C. TABLET 50MG "SINPHAR"(DICLOFENAC)(鋁箔/膠箔) A037605100 TONLISU TABLET 50MG (FLURBIPROFEN) "SINTON" A037607321 CLOTRIMAZOLE CREAM 20MG/GM "PANBIOTIC" A037607329 CLOTRIMAZOLE CREAM 20MG/GM "PANBIOTIC" A037607399 CLOTRIMAZOLE CREAM 20MG/GM "PANBIOTIC" A037608100 PIRACETAM CAPSULES 400MG "KOJAR" (PIRACETAM) A037609151 COLDENIN SOLUTION "N.W." A037609157 COLDENIN SOLUTION "N.W." A037609199 COLDENIN SOLUTION "N.W." A037622321 DERMALEAN GEL 10MG/GM (CLINDAMYCIN) "B&F" A037622323 DERMALEAN GEL 10MG/GM (CLINDAMYCIN) "B&F" A037622329 DERMALEAN GEL 10MG/GM (CLINDAMYCIN) "B&F" A037622330 DERMALEAN GEL 10MG/GM (CLINDAMYCIN) "B&F" A037622335 DERMALEAN GEL 10MG/GM A037622399 DERMALEAN GEL 10MG/GM (CLINDAMYCIN) "B&F" 第 168 頁,共 382 頁 0.80 1.50 3.04 24.20 65.00 1.97 1.22 10.30 21.00 0.15 10.40 調整 刪除 20.60 17.40 調整 22.40 36.10 1.17 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 7419 7423 A0372551G0 LIVER HOW CAPSULES "CHINTENG"(鋁箔/ 膠箔) A037256100 CHILON E.F.C. TABLETS 50MG (DICLOFENAC ) "N.W" A037257100 DEGITON F.C. TABLETS 400MG (IBUPROFEN) "ROOT" A0372571G0 DEGITON F.C. TABLETS 400MG (IBUPROFEN) "ROOT"(鋁箔) A037286321 VICORAX CREAM 5% "WEIDAR" 7424 A037286329 VICORAX CREAM 5% "WEIDAR" 7425 7426 A037286399 A037287421 VICORAX CREAM 5% "WEIDAR" DENECIN EYE DROPS 7427 A037287429 DENECIN EYE DROPS 7428 A037288329 7429 7430 A037288338 A037290209 7431 7432 7433 7434 A037292100 A037301157 A037307100 A037309100 7435 A037311335 SWIVAZIN CREAM 10MG/GM (CENTELLA ASIATICA) SWIVAZIN OINTMENT 10MG/G VANCO POWDER FOR INJECTION (VANCOMYCIN) "GENTLE" NICER TABLETS 10MG (NICERGOLINE) ZECOL SYRUP SEDATIN F.C. TABLETS 200MG NOXACIN 100MG F.C.TABLETS (NORFLOXACIN) "KINGDOM" AROMA CREAM 20MG/G 7436 7437 A037312199 A037314321 COUGH SYRUP WITH CODEINE CLINDAMYCIN GEL 10MG/GM "C.C.P.C." 7438 A037314338 CLINDAMYCIN GEL 10MG/GM "C.C.P.C." 7439 A037314372 CLINDAMYCIN GEL 10MG/GM "C.C.P.C." 7440 A037314399 CLINDAMYCIN GEL 10MG/GM "C.C.P.C." 7441 A037344100 7420 7421 7422 7442 7443 7444 7445 7446 7447 7448 7449 7450 7451 7452 7453 7454 7455 7456 藥品名稱 BOKEY ENTERIC-MICROENCAPSULATED CAPSULES 100MG (ASPIRIN) A0373441G0 BOKEY ENTERIC-MICROENCAPSULATED CAPSULES 100MG (ASPIRIN) ( A037352100 HOPAN TABLETS 0.5MG (HALOPERIDOL) "KOJAR" A0373521G0 HOPAN TABLETS 0.5MG (HALOPERIDOL) "KOJAR"(鋁箔/膠箔) A037355100 DICLOFENAC E.S.C. TABLETS 50MG "YUNG CHI" A037368100 FLUFEN FILM COATED TABLETS 250MG (ALUMINUM FLUFENAMATE) "P. A037375100 GINKON FILM COATED TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) A037376100 SULORIL TABLETS 200MG (SULINDAC) "WEIDAR" A037378100 TRIMSOAN TABLETS 3MG (TRIMETOQUINOL) "CHINTENG" A0373781G0 TRIMSOAN TABLETS 3MG (TRIMETOQUINOL) "CHINTENG" (鋁箔/ A037379100 SEDEPAM TABLETS 0.25MG "S.S.P."(FLUDIAZEPAM) A037382100 BISCON TABLETS 8MG (BROMHEXINE) "TAI YU" A037384209 CEFOXINE FOR INJECTION (CEFOTAXIME SODIUM) "TAI YU" A037384277 CEFOXINE FOR INJECTION (CEFOTAXIME SODIUM) "TAI YU" A037386314 LADIOL GEL 0.6MG/GM "SIMPHAR"(ESTRADIOL) A037386343 LADIOL GEL 0.6MG/GM (ESTRADIOL) "SINPHAR" 100年1月 項次 支付價 7419 1.5 7420 0.6 7421 1 7422 1.5 7423 47.6 7424 36.8 3.68 7425 7426 14.5 7427 34.4 7428 65 135 7429 7430 0 5 7431 21 7432 1.92 7433 7434 2.44 7435 50 0.18 7436 7437 11.3 7438 81 7439 404 7440 0.62 7441 0 7442 1.5 7443 0.63 7444 1.5 7445 0.6 7446 3.97 7447 2.51 7448 2.23 7449 1.27 7450 1.5 7451 1.88 7452 0.29 7453 120 7454 36.2 7455 15 7456 108 說明 CODE 藥品名稱 A037632151 SCONIN ORAL SUSPENSION 20MG/ML 9901 支付價 25.00 A037632157 SCONIN ORAL SUSPENSION 20MG/ML 60.00 A037632199 SCONIN ORAL SUSPENSION 20MG/ML 0.22 POWEGON SUSPENSION 20MG/ML "EVEREST" (CIMETIDINE) A037644100 EFOSIN S.C TABLETS 25MG "KOJAR" (DIPYRIDAMOLE) A0376441G0 EFOSIN S.C TABLETS 25MG "KOJAR" (DIPYRIDAMOLE) (鋁箔/膠箔) A037645500 ATHMACON SUPPOSITORIES "H.S." A037651100 CEGOLIN F.C. TABLETS 9.6MG (GINKFLAVONGLYCOSIDE) "WEIDAR" A037652100 SEAPRO CAPSULES 10MG (SEAPROSE) "CHINTENG" A0376542B9 A.S.P.-L INJECTION 900MG (LYSINE ASPIRIN) "ORIENTAL" A037655321 UERALY CREAM A037655335 UERALY CREAM 74.00 A037655336 A037655338 A037655399 A037656100 47.20 55.00 1.75 0.69 A037637157 1.00 1.50 4.04 2.54 3.20 8.60 11.50 54.00 刪除 UERALY CREAM UERALY CREAM UERALY CREAM SCOPINE F.C. TABLETS 10MG "EVEREST" (SCOPOLAMINE BUTYLBROMIDE) A037661100 TENSIONLEX TABLETS 100MG (ORHENADRINE CITRATE) "PANBIOTIC" A037665100 BENLATE TABLETS 5MG (OXYBUTYNIN) A037668153 CIRLITON DROPS 9.6MG (GINKGOFLAVONGLYCOSIDE) "S.C." A037669143 EUMED DROPS 9.6MG/ML(GINGOFLAVONGLYCOSIDES) A037669151 EUMED DROPS 9.6MG/ML(GINGOFLAVONGLYCOSIDES) A037669155 EUMED DROPS 9.6MG/ML(GINGOFLAVONGLYCOSIDES) A037669157 EUMED DROPS 9.6MG/ML(GINGOFLAVONGLYCOSIDES) A037675100 BACONE TABLETS 10MG "H.S." (BACLOFEN) A037680100 ANLIN CAPSULES 10MG (OXAZOLAM) "CHINTENG" A0376801G0 ANLIN CAPSULES 10MG (OXAZOLAM) "CHINTENG"(鋁箔) A037681100 EQUITOR S.C. TABLETS 0.625MG "S.S.P" (CONJUGATED ESTROGENS) A037682100 NAPUSIN TABLETS 250MG (NAPROXEN) A037684277 FLUMARIN FOR INJECTION A037685100 GEMD FILM COATED TABLETS 600MG (GEMFIBROZIL) SENIN SOLUTION 9.6MG/ML (GYNKGOFLAVONGLYCOSIDE) "PULZER" SENIN SOLUTION 9.6MG/ML (GYNKGOFLAVONGLYCOSIDE) "PULZER" SENIN FILM-COATED TABLET 40MG "RURZER"(GYNKGOFLAVONGLYCOSIDE) CIPROFLO INFUSION SOLUTION 10MG/ML "S.Y." AELOCON S.C. TABLETS "EVEREST" 3.40 3.04 382.00 調整 176.00 319.00 515.00 調整 626.00 刪除 1.06 0.90 1.50 2.00 1.22 328.00 調整 A037686155 A037686157 A037687100 A037688245 A037689100 3.38 515.00 626.00 2.33 654.00 0.67 A0376891G0 AELOCON S.C. TABLETS "EVEREST"(鋁 箔/膠箔) A037691329 PIROCAM CREAM 10MG/GM(PIROXICAM) 23.60 A037691336 40.90 第 169 頁,共 382 頁 PIROCAM CREAM 10MG/GM 1.50 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 7457 7458 7459 7460 7461 7462 7463 7464 7465 7466 7467 7468 7469 7470 7471 7472 7473 7474 7475 7476 7477 7478 7479 7480 7481 7482 7483 7484 7485 7486 7487 7488 7489 7490 7491 7492 7493 7494 7495 7496 CODE 藥品名稱 100年1月 項次 支付價 A037390100 U-SAVE CAPSULES 500MG (CEPHRADINE) 7457 3.25 "U-LIANG" A037396100 BRANDYL TABLETS 2.5MG 7458 1 (TERBUTALINE SULFATE) "C.C.P.C." A0373961G0 BRANDYL TABLETS 2.5MG "C.C.P.C." 7459 1.5 (TERBUTALINE SULFATE)(鋁箔 A037400100 SULTON TABLETS 200MG (SULINDAC) 7460 0 "SINTON" A037402100 EFACO TABLETS 20MG (EPRAZINONE) 7461 0.6 "KOJAR" A037431329 INHFUNGUS CREAM "CHEN TA" 7462 28.3 A037431335 INHFUNGUS CREAM "CHEN TA" 7463 0 568 7464 A037431377 INHFUNGUS CREAM "CHEN TA" A037431399 INHFUNGUS CREAM "CHEN TA" 7465 1.08 2.62 7466 A037441100 BIPERIN TABLETS 2MG (BIPERIDEN) A037442209 KINFOTIN POWDER FOR INJECTION 7467 154 (CEFOXITIN) "KINGDOM" A037445100 JABISYNLON TABLET 80MG 7468 1.82 (GLICLAZIDE) "DCPC" A037447100 YENPIN TABLET 400MG (PIPEMIDIC ACID) 7469 0 "SINTON" A037449500 DIFEN SUPPOSITORY 12.5MG 7470 1.77 (DICLOFENAC) "TAI YU" A037451100 FUYEN TABLET 200MG (TIAPROFENIC 7471 0 ACID) "SINTON" A037473100 NIJASYN CAPSULES 250MG (NIFLUMIC 7472 2.35 ACID) "DCPC" A037474100 JATRISYN S.C. TABLET 2.5MG "DCPC" 7473 3.25 (INDAPAMIDE) A037497100 SELEGYL TABLETS 5MG "SWISS" 7474 6 (DEPRENYL) A037498221 FENSIN INJECTION 8MG/ML (FENSPIRIDE) 7475 19.2 "S.Y." A037500100 LIVERON CAPSULES (SILYMARIN) "H.S." 7476 1.89 33.6 7477 A037501329 ISOLON CREAM "H.S." 57 7478 A037501335 ISOLON CREAM "H.S." 1.62 7479 A037501399 ISOLON CREAM "H.S." 57 7480 A037510335 SONA CREAM 0 7481 A037511329 C.G.B. CREAM "H.S." A037512209 FOFOCIN POWDER FOR INJECTION 7482 129 (FOSFOMYCIN) "LITA" A037512212 FOFOCIN POWDER FOR INJECTION 7483 247 (FOSFOMYCIN) "LITA" A037512277 FOFOCIN (POWDER FOR) INJECTION 7484 72 (FOSFOMYCIN) "LITA" A037520100 CAPHOS TABLETS 667MG (CALCIUM 7485 2.11 ACETATE) "M.S." A037523100 CEPHALEXIN F.C.TABLET 500MG "S.T." 7486 1.95 A037525212 MAMICON-P INJECTION "PATRON" 7487 44.9 A037527100 GLEUTON TABLETS 5MG (GLYBURIDE) 7488 1 "YU SHENG" A0375271G0 GLEUTON TABLETS 5MG "YU SHENG" 7489 1.5 (GLYBURIDE)(鋁箔) A037549100 CEBONIN F.C. TABLETS 9.6MG 7490 2.48 (GINKGOFLAVONGLYCOSIDE)"N.K." A037550212 AMINFEC INJECTION 125MG/ML 7491 36.4 (AMIKACIN) "STANDARD" A037551100 KINTHREE FILM TABLETS 9.6MG 7492 2.55 (GINKGOFLAVONGLYCOSIDE) "EVERES A037552100 CELOR CAPSULES 250MG (CEFACLOR) 7493 3.61 "C.H." A037556100 VICIN CAPSULE 150MG (CLINDAMYCIN) 7494 1.77 "PURZER" 21.7 7495 A037563321 SAFELON CREAM "EVEREST" 1.5 7496 A037565100 TINIJING F.C.TABLETS 500MG CODE 說明 藥品名稱 A037691338 9901 支付價 PIROCAM CREAM 10MG/GM(PIROXICAM) 33.00 A037691340 PIROCAM CREAM 10MG/GM(PIROXICAM) 64.00 A037691345 PIROCAM CREAM 10MG/GM(PIROXICAM) 52.00 A037691399 PIROCAM CREAM 10MG/GM 1.32 A0376913AK PIROCAM CREAM 10MG/GM 56.00 A037695414 U-TIMOL OPHTHALMIC SOLUTION 5MG/ML (TIMOLOL) "U-LIANG" HOPAN TABLETS 5MG (HALOPERIDOL) "KOJAR" THROUGH TABLETS (SENNOSIDES) KERSAN TABLETS 100MG (ASPIRIN) "CHINTENG" PEDOLIN F.C. TABLETS "STANDARD" FLUNEPAN INJ 2MG/ML 69.00 0.53 A037807100 A037808100 A037809100 A037810277 A037816165 A037833100 PARTANE TABLETS 2MG "S.S.P." (TRIHEXYPHENIDYL HYDROCHLORIDE) YENTAC TABLET 200MG (SULINDAC) "S.L." RANIDINE INJETION 10MG/ML (RANTIDINE) "S.T." NAZOLE CREAM 2% (KETOCONAZOLE) "S.Y." NAZOLE CREAM 2% (KETOCONAZOLE) "S.Y." BONSTAN CAPSULES 250MG "EVEREST"(MEFENAMIC ACID) TRICEF FOR I.V. INJECTION (CEFTRIAXAXONE) "SWISS" TRICEF FOR I.V. INJECTION (CEFTRIAXAXONE) "SWISS" LORPIN TABLETS 2MG (LORAZEPAM) "TAI YU" ACECAINE TABLETS "P.L." SEGIPAR TABLETS 5MG NAPOFEN POLYMIN INJECTION 3% "N.K." SOONER ORAL SOLUTION "CURIE" APUZIN TABLETS 50MG (CAPTOPRIL) A037835100 APUZIN TABLETS 25MG (CAPTOPRIL) 2.08 A037837100 KCB F.C. TABLETS 120MG (DIBISMUTH TRIOXIDE) "SWISS" SDERMA CREAM 1% (SILVER SULFADIAZINE) "STANDARD" SDERMA CREAM 1% (SILVER SULFADIAZINE) "STANDARD" SDERMA CREAM 1% (SILVER SULFADIAZINE) "STANDARD" ECONAZOLE VAGINAL SUPPOSITORY 150MG "SINPHAR" IBUFEN SYRUP 20MG/ML "ORIENTAL" (IBUPROFEN) V-CEFRA FOR INJECTION (CEPHRADINE)"VPP" UNIMARON TAB. 6.30 刪除 A037696100 A037697100 A037702100 A037703100 A037705209 A037712100 A037715100 A037722221 A037739329 A037739399 A037740100 A037741209 A037741277 A037792100 調整 1.69 刪除 1.33 0.70 調整 0.81 31.00 2.15 刪除 41.10 14.60 刪除 0.72 0.37 418.00 97.00 0.65 1.00 5.90 1.67 155.00 47.10 7.30 刪除 新增 A037838335 A037838338 A037838372 A037840500 A037851119 A037858277 A037861100 A037862100 A037865100 A037866421 A037868100 A037874421 第 170 頁,共 382 頁 NOPROFEN CAPSULES 200MG (FENOPROFEN) "CURIE" SUDANIN TABLETS 150MG "TAI YU" (SULINDAC) SINTROPIC OPHTHALMIC SOLUTION 5MG/ML "SINPHAR" TORICAM CAPSULES 20MG (PIROXICAM) EUXINC ORABASE 0.1% 21.20 37.70 286.00 8.20 765.00 35.30 調整 2.04 6.90 1.92 12.20 1.23 43.20 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 7497 7498 7499 7500 7501 7502 7503 7504 7505 7506 7507 7508 7509 7510 7511 7512 7513 7514 7515 7516 7517 7518 7519 7520 7521 7522 7523 7524 7525 7526 7527 7528 7529 7530 7531 7532 7533 CODE 藥品名稱 100年1月 項次 支付價 A037570109 ULSAMIN FINE GRANULES 900MG/GM 7497 0 (BASIC ALUMINUM SUCROSE SULF A037575109 EUFAXIN GRANULES 500MG/GM 7498 4210 (CEPHALEXIN) "TAI YU" A037575177 EUFAXIN GRANULES 500MG/GM 7499 1902 (CEPHALEXIN) "TAI YU" A037575199 EUFAXIN GRANULES 500MG/GM 7500 1.52 (CEPHALEXIN) "TAI YU" A037577100 ERA TABLET 0.25MG (FLUDIAZEPAM) 7501 2.67 "T.T.Y." 336 7502 A037579100 FUKOLE TABLETS 200MG A037580321 CLOSONE CREAM 7503 21.7 A037580329 CLOSONE CREAM 7504 42.1 A037580330 CLOSONE CREAM 7505 26.7 A037580399 CLOSONE CREAM 7506 0.78 A037584526 EQUITOR VAGINAL CREAM 0.625MG/GM 7507 116 A037586100 GINKOBA F.C.TABLETS 9.6MG 7508 2.17 (GINKGOFLAVONGLYCOSIDE) "ROYAL" A037592118 COJALIN SOLUTION "CHINTENG" 7509 1710 A037592148 COJALIN SOLUTION "CHINTENG" 7510 17.5 A037595100 NAFXEN TABLETS 500MG (NAPROXEN) 7511 2.32 "TAI YU" A037596109 SUCRALFATE GRANULES 900MG/GM 7512 3.95 "SINPHAR" A037598116 ACTEIN GRANULES 66.7MG/GM 7513 1.87 (ACETYLCYSTEINE) "S.Y." 3.44 7514 A037601100 WELIZEN F.C. TABLETS 20MG "N.K." A037603100 VALTAFEN ENTERIC F.C. TABLET 50MG 7515 0.8 "SINPHAR"(DICLOFENAC) A0376031G0 VALTAFEN ENTERIC F.C. TABLET 50MG 7516 1.5 "SINPHAR"(DICLOFENAC)(鋁 A037605100 TONLISU TABLET 50MG (FLURBIPROFEN) 7517 0 "SINTON" A037607321 CLOTRIMAZOLE CREAM 20MG/GM 7518 24.2 "PANBIOTIC" A037607329 CLOTRIMAZOLE CREAM 20MG/GM 7519 65 "PANBIOTIC" A037607399 CLOTRIMAZOLE CREAM 20MG/GM 7520 1.97 "PANBIOTIC" A037608100 PIRACETAM CAPSULES 400MG "KOJAR" 7521 1.22 (PIRACETAM) A037609151 COLDENIN SOLUTION "N.W." 7522 10.3 21 7523 A037609157 COLDENIN SOLUTION "N.W." A037609199 COLDENIN SOLUTION "N.W." 7524 0.15 A037622321 DERMALEAN GEL 10MG/GM 7525 10.4 (CLINDAMYCIN) "B&F" A037622323 DERMALEAN GEL 10MG/GM 7526 20.6 (CLINDAMYCIN) "B&F" A037622329 DERMALEAN GEL 10MG/GM 7527 16 (CLINDAMYCIN) "B&F" A037622330 DERMALEAN GEL 10MG/GM 7528 22.4 (CLINDAMYCIN) "B&F" 36 7529 A037622335 DERMALEAN GEL 10MG/GM A037622399 DERMALEAN GEL 10MG/GM 7530 0.62 (CLINDAMYCIN) "B&F" 25 7531 A037632151 SCONIN ORAL SUSPENSION 20MG/ML A037632157 SCONIN ORAL SUSPENSION 20MG/ML 7532 60 A037632199 SCONIN ORAL SUSPENSION 20MG/ML 7533 0.22 說明 CODE 藥品名稱 A037874426 EUXINC ORABASE 0.1% 9901 支付價 46.30 A037874499 EUXINC ORABASE 0.1% 5.70 A037875100 AMBROXOL TABLETS 30MG "S.Y." 1.00 A037876100 POKEN CAP. 1.83 A037878500 VALTAFEN SUPPOSITORY 12.5MG (DICLOFENAC) "SINPHAR" CEFAZOLIN FOR INJECTION 1G "SINTON" GEFANATE CAPSULES 50MG (GEFARNATE) "ROYAL" SULIRAM TABLETS 200MG (SULINDAC) "F.Y." SUGEI TABLETS 10MG "PFOSHEN" (BACLOFEN) MINSONE CREAM 0.5MG/GM "M.H"(CLOBETASONE) MINSONE CREAM 0.5MG/GM "M.H"(CLOBETASONE) BAXICIN OPHTHALMIC SOLUTION 3MG/ML (NORFLOXACIN) "S.T." ATENOL F.C. TABLETS 100MG (ATENOLOL) "WEIDAR" SYNOTEC TABLETS 200MG (TIAPROFENIC ACID) "U CHIU" ANALGESIC CAPLETS 1.75 刪除 A037895209 A037899100 A037902100 A037907100 A037923316 A037923321 A037924477 A037928100 A037934100 A037944100 A037945100 CIMETIN F.C. TABLETS 400MG "JOHNSON" (CIMETIN) A0379451G0 CIMETIN F.C. TABLETS 400MG "JOHNSON" (CIMETIDINE)(56粒/瓶) A037988100 GOUTIL TABLETS A037991100 WEIDOS F.C. TABLET 300MG (RANITIDINE) "WEIDAR" A037995209 TRIMIN INJECTION 50MG/ML "SWISS"(DIMENHYDRINATE) A037995221 TRIMIN INJECTION 50MG/ML "SWISS"(DIMENHYDRINATE) A037996100 PHOSUNK TABLET 667MG "SWISS"(CALCIUM ACETATE) A037997100 MODIPANOL TABLET 2MG "SWISS"(FLUNITRAZEPAM) A038013500 ECOVALE SUPPOSITORIES 150 MG "P.L." (ECONAZOLE) A038016100 GEM-S F.C. TABLETS 600MG (GEMFIBROZIL) "S.T." A038019100 VOREN SR FILM COATED TABLETS 100MG (DICLOFENAC) A038020100 AEZOC E.C. TABLET 5MG A0380201G0 AEZOC E.C. TABLET 5MG (SERRAPEPTASE)(鋁箔/膠箔) A038023100 UROPRIL TABLETS 100MG (ALLOPURINOL) "T.F." A038025100 ATIZEPAM TABLETS 0.5MG "P.J." (LORAZEPAM) A038030100 PROCAM CAPSULES 150MG "EVEREST" (SILYMARIN) A038034100 BISOL F.C.TABLET 300MG (DIBISMUTH TRIOXIDE) "PURZER" A038046100 ULSANIC TABLETS 500MG (SUCRALFATE) A038049321 CENTALLA OINTMENT "SINPHAR" 22.50 1.61 2.15 1.01 32.10 調整 28.80 3.16 調整 2.47 3.93 0.86 1.00 1.50 2.14 7.40 16.00 86.00 刪除 2.54 3.13 7.20 3.08 3.33 1.00 1.50 0.58 0.36 1.82 調整 6.50 1.21 44.60 調整 調整 A038049338 A038053212 A038055100 第 171 頁,共 382 頁 CENTALLA OINTMENT "SINPHAR" GETWAY INJECTION 25 MG/ML (RANITIDINE) FUAN TABLETS 5MG "CHINTENG"(MEDROXYPROGESTERONE) 139.00 41.30 0.80 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 7534 A037637157 POWEGON SUSPENSION 20MG/ML "EVEREST" (CIMETIDINE) 7535 A037644100 100年1月 項次 支付價 7534 74 7541 7542 7543 EFOSIN S.C TABLETS 25MG "KOJAR" (DIPYRIDAMOLE) A0376441G0 EFOSIN S.C TABLETS 25MG "KOJAR" (DIPYRIDAMOLE) (鋁箔/膠箔 A037645500 ATHMACON SUPPOSITORIES "H.S." A037651100 CEGOLIN F.C. TABLETS 9.6MG (GINKFLAVONGLYCOSIDE) "WEIDAR" A037652100 SEAPRO CAPSULES 10MG (SEAPROSE) "CHINTENG" A0376542B9 A.S.P.-L INJECTION 900MG (LYSINE ASPIRIN) "ORIENTAL" A037655321 UERALY CREAM A037655335 UERALY CREAM A037655336 UERALY CREAM 7544 7545 7546 A037655338 A037655399 A037656100 7536 7537 7538 7539 7540 7559 UERALY CREAM UERALY CREAM SCOPINE F.C. TABLETS 10MG "EVEREST" (SCOPOLAMINE BUTYLBROMI A037661100 TENSIONLEX TABLETS 100MG (ORHENADRINE CITRATE) "PANBIOTIC" A037665100 BENLATE TABLETS 5MG (OXYBUTYNIN) A037668153 CIRLITON DROPS 9.6MG (GINKGOFLAVONGLYCOSIDE) "S.C." A037669143 EUMED DROPS 9.6MG/ML(GINGOFLAVONGLYCOSIDES) A037669151 EUMED DROPS 9.6MG/ML(GINGOFLAVONGLYCOSIDES) A037669155 EUMED DROPS 9.6MG/ML(GINGOFLAVONGLYCOSIDES) A037669157 EUMED DROPS 9.6MG/ML(GINGOFLAVONGLYCOSIDES) A037675100 BACONE TABLETS 10MG "H.S." (BACLOFEN) A0376751G0 BACONE TABLETS 10MG "H.S." (BACLOFEN)(鋁箔/膠箔) A037680100 ANLIN CAPSULES 10MG (OXAZOLAM) "CHINTENG" A0376801G0 ANLIN CAPSULES 10MG (OXAZOLAM) "CHINTENG"(鋁箔) A037681100 EQUITOR S.C. TABLETS 0.625MG "S.S.P" (CONJUGATED ESTROGENS) A037682100 NAPUSIN TABLETS 250MG (NAPROXEN) 7560 A037684277 7561 A037685100 7547 7548 7549 7550 7551 7552 7553 7554 7555 7556 7557 7558 FLUMARIN FOR INJECTION 7568 GEMD FILM COATED TABLETS 600MG (GEMFIBROZIL) A037686155 SENIN SOLUTION 9.6MG/ML (GYNKGOFLAVONGLYCOSIDE) "PULZER" A037686157 SENIN SOLUTION 9.6MG/ML (GYNKGOFLAVONGLYCOSIDE) "PULZER" A037687100 SENIN FILM-COATED TABLET 9.6MG "RURZER"(GYNKGOFLAVONGLYCOSI A037688245 CIPROFLO INFUSION SOLUTION 10MG/ML "S.Y." A037689100 AELOCON S.C. TABLETS "EVEREST" A0376891G0 AELOCON S.C. TABLETS "EVEREST"(鋁 箔/膠箔) A037691329 PIROCAM CREAM 10MG/GM(PIROXICAM) 7569 A037691336 PIROCAM CREAM 10MG/GM 7570 A037691338 PIROCAM CREAM 10MG/GM(PIROXICAM) 7571 A037691340 PIROCAM CREAM 10MG/GM(PIROXICAM) 7562 7563 7564 7565 7566 7567 7535 1 7536 1.5 4.04 7537 7538 2.51 7539 3.2 7540 8.6 11.5 7541 54 7542 7543 47.2 55 7544 1.75 7545 7546 0.69 7547 3.4 3.04 7548 7549 382 7550 176 7551 319 7552 515 7553 626 7554 1.06 7555 1.5 7556 0.9 7557 1.5 7558 2 7559 1.19 7560 328 7561 3.38 7562 515 7563 626 7564 0 7565 654 0.67 7566 7567 1.5 7568 23.6 7569 40.9 7570 33 7571 64 CODE 藥品名稱 A0380551G0 FUAN TABLETS 5MG "CHINTENG"(MEDROXYPROGESTERONE)( 鋁箔) A038056100 BLASEC TABLETS 2.5MG (OXYBUTYNIN) "S.S.P." A038073314 ESTRAD GEL 0.06% (ESTRADIOL) "H.S." A038073343 A038075351 ESTRAD GEL 0.06% (ESTRADIOL) "H.S." CORTEMA ENEMA 1.667MG/ML (HYDROCORTISONE) "PURZER" A038076100 BENZU TABLETS 3MG (BROMAZEPAM) "CHINTENG" A0380761G0 BENZU TABLETS 3MG (BROMAZEPAM) "CHINTENG"(鋁箔/膠箔) A038081100 ANSUTAN CAP. A0380811G0 ANSUTAN CAP.(瓶裝/84粒/瓶) A038088100 WERGEN TABLETS 400MG (CIMETIDINE) "YUNG CHI" A038091100 TENGEN TABLETS "S.S.P." A038097100 HEPANAT CAPSULES 150MG (SILYMARIN) A038101100 TRIZICEF CAPSULES 250MG (CEFATRIZINE) "C.C.P.C." A038102100 BEZILON TABLETS 200MG (BEZAFIBRATE) A038104100 Pyrazinamide Tablets 500mg "P.L." A038108212 RANIDAC INJECTION 25MG/ML (RANITIDINE) "Y.Y" A038113421 PILOCARPINE EYE DROPS 2% "OASIS" A038132100 說明 9901 支付價 1.50 1.90 15.20 128.00 73.00 調整 1.27 1.50 1.00 1.50 1.00 3.89 2.13 9.10 2.69 4.68 28.30 32.00 SALALIN TABLETS 250MG (CHLORZOXAZONE)"KOJAR" EPRAZINE TABLETS 30MG (EPRAZINONE) "TK&A." SILYMA CAPSULES 150MG (SILYMARIN) 0.73 31.50 A038138199 TRAMED INJECTION 50MG/ML (TRAMADOL HYDROCHLORIDE) "SWISS" TRAMED INJECTION 50MG/ML (TRAMADOL HYDROCHLORIDE) "SWISS" EXTAMINE-P ELIXIR "GCPC" A038145212 TRAMTOR INJ. 40.30 A038146209 NAKAXONE FOR IM INJECTION "N.K" (CEFTRIAXONE) NAKAXONE FOR IM INJECTION "N.K" (CEFTRIAXONE) NAKAXONE FOR IM INJECTION (CEFTRIAXONE) "N.K" GENOL TABLETS 120MG (DIBISMUTH TRIOXIDE) "GENTLE" BISMOL F.C.TABLETS 120MG (DIBISMUTH TRIOXIDE) "WEIDAR" AJULATE SOFT CAPSULES 5MG (NIFEDIPINE) "F.M." ERYTHROMYCIN F.C. TABLET 500MG "KINGDOM" AZOL-CORT CREAM 356.00 AZOL-CORT CREAM CHINHO TABLETS 8MG (BROMHEXINE) "SINTON" BEROCOL TABLETS 5MG (TERBUTALINE SULFATE) "PANBIOTIC" ACETYL GRANULES 66.67MG/GM (ACETYLCYSTEINE) "CHEN TA" ACETYL GRANULES 66.67MG/GM (ACETYLCYSTEINE) "CHEN TA" TIAP TABLET 200MG (TIAPROFENIC ACID) "SWISS" 67.00 0.29 A038133100 A038134100 A038135209 A038135212 A038146265 A038146277 A038147100 A038150100 A038154100 A038158100 A038159321 A038159335 A038160100 A038162100 A038163116 A038163199 A038164100 第 172 頁,共 382 頁 0.74 2.18 36.20 0.14 133.00 調整 90.00 6.50 6.50 1.97 3.81 刪除 19.70 1.00 1.89 0.63 3.30 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 7572 7573 7574 7575 7576 7577 7578 7579 7580 7581 7582 7583 7584 7585 7586 7587 7588 7589 7590 7591 7592 7593 7594 7595 7596 7597 7598 7599 7600 7601 7602 7603 7604 7605 7606 7607 7608 7609 7610 7611 7612 7613 CODE 藥品名稱 100年1月 項次 支付價 A037691345 PIROCAM CREAM 10MG/GM(PIROXICAM) 7572 52 1.32 7573 A037691399 PIROCAM CREAM 10MG/GM 56 7574 A0376913AK PIROCAM CREAM 10MG/GM A037695414 U-TIMOL OPHTHALMIC SOLUTION 7575 0 5MG/ML (TIMOLOL) "U-LIANG" A037696100 HOPAN TABLETS 5MG (HALOPERIDOL) 7576 1.69 "KOJAR" 1.33 7577 A037697100 THROUGH TABLETS (SENNOSIDES) A037702100 KERSAN TABLETS 100MG (ASPIRIN) 7578 0.7 "CHINTENG" 0.81 7579 A037703100 PEDOLIN F.C. TABLETS "STANDARD" 31 7580 A037705209 FLUNEPAN INJ 2MG/ML A037712100 PARTANE TABLETS 2MG "S.S.P." 7581 0.53 (TRIHEXYPHENIDYL HYDROCHLORIDE 2.15 7582 A037715100 YENTAC TABLET 200MG (SULINDAC) A037722221 RANIDINE INJETION 10MG/ML 7583 41.1 (RANTIDINE) "S.T." A037739329 NAZOLE CREAM 2% (KETOCONAZOLE) 7584 14.2 "S.Y." 0.63 7585 A037739399 NAZOLE CREAM 2% (KETOCONAZOLE) A037740100 BONSTAN CAPSULES 250MG 7586 0.37 "EVEREST"(MEFENAMIC ACID) A037741209 TRICEF FOR I.V. INJECTION 7587 418 (CEFTRIAXAXONE) "SWISS" A037741277 TRICEF FOR I.V. INJECTION 7588 97 (CEFTRIAXAXONE) "SWISS" A037792100 LORPIN TABLETS 2MG (LORAZEPAM) 7589 0.65 "TAI YU" A037807100 ACECAINE TABLETS "P.L." 7590 1 A037808100 SEGIPAR TABLETS 5MG 7591 5.9 A037809100 NAPOFEN 7592 1.5 0 7593 A037810277 POLYMIN INJECTION 3% "N.K." 47.1 7594 A037816165 SOONER ORAL SOLUTION "CURIE" A037833100 APUZIN TABLETS 50MG (CAPTOPRIL) 7595 7.3 A037835100 APUZIN TABLETS 25MG (CAPTOPRIL) 7596 2.08 A037837100 KCB F.C. TABLETS 120MG (DIBISMUTH 7597 6.3 TRIOXIDE) "SWISS" A037838335 SDERMA CREAM 1% (SILVER 7598 21.2 SULFADIAZINE) "STANDARD" A037838338 SDERMA CREAM 1% (SILVER 7599 37.7 SULFADIAZINE) "STANDARD" A037838372 SDERMA CREAM 1% (SILVER 7600 286 SULFADIAZINE) "STANDARD" A037840500 ECONAZOLE VAGINAL SUPPOSITORY 7601 8.2 150MG "SINPHAR" A037851119 IBUFEN SYRUP 20MG/ML "ORIENTAL" 7602 765 (IBUPROFEN) A037858277 V-CEFRA FOR INJECTION 7603 35.3 (CEPHRADINE)"VPP" A037861100 UNIMARON TAB. 7604 2.04 A037862100 NOPROFEN CAPSULES 200MG 7605 6.9 (FENOPROFEN) "CURIE" A037865100 SUDANIN TABLETS 150MG "TAI YU" 7606 1.92 (SULINDAC) A037866421 SINTROPIC OPHTHALMIC SOLUTION 7607 12.2 5MG/ML "SINPHAR" 1.22 7608 A037868100 TORICAM CAPSULES 20MG (PIROXICAM) 43.2 7609 A037874421 EUXINC ORABASE 0.1% 46.3 7610 A037874426 EUXINC ORABASE 0.1% 5.7 7611 A037874499 EUXINC ORABASE 0.1% A037875100 AMBROXOL TABLETS 30MG "S.Y." 7612 1 A037876100 POKEN CAP. 7613 1.83 說明 CODE 藥品名稱 9901 支付價 A038168100 A038171321 A038180100 A038181100 PROPRANOL TAB. 40MG "SENTAI" (PROPRANOLOL) FUILI CREAM 2% (KETOCONAZOLE) "YY" COHEAL CAPSULES "STANDARD" GLICTAN TAB 80MG "SL" (GLICLAZIDE ) 22.70 0.90 1.88 A038184321 TRIDERMSONE CREAM 25.40 A038184329 A038184338 TRIDERMSONE CREAM TRIDERMSONE CREAM 63.00 134.00 A038184372 A038184399 A038185212 TRIDERMSONE CREAM TRIDERMSONE CREAM SUWELIN INJ. 150MG/ML 2ML 820.00 1.82 8.50 0.50 刪除 A038186100 A038188100 YIPA DICLOFEN F.C.TABLET 50MG "H.C."(DICLOFENAC) A038189100 CIMEDIN F.C. TABLETS 800MG (CIMETIDINE) "S.T." A038192212 TAIBAMIN INJ. 5MG/ML A038194100 HEARTQUINONE CAPSULES 10MG (UBIDECARENONE) "S.D." A038198100 UBITEN F.C. TABLET 10MG (UBIDECARENONE) "PURZER" A038203100 GYNEDOL TABLETS 5 MG (HALOPERIDOL) "CENTRAL" A038204100 CABUDAN TABLETS 25MG (CAPTOPRIL) "S.Y." A038209100 SERRALO E.F.C. TABLETS 10MG (SERRATIOPEPTIDASE) "KOJAR" A038211100 POSTON TABLETS 500MG (MEFENAMIC ACID) "CHEN TA" A0382111G0 POSTON TABLETS 500MG (MEFENAMIC ACID) "CHEN TA" (鋁箔/膠箔) A038213100 SINFLO F.C.TAB. 200MG A038235100 PROCANPEN S.C TABLETS "CHINTENG" A038241335 KETAZOLE CREAM 20MG/G (KETOCONAZOLE) "UNION" A038244100 HOPAN TABLETS 10MG (HALOPERIDOL) "KOJAR" A038247100 CIMETIDINE TAB. 400MG 2.81 0.60 5.40 9.50 5.40 5.20 1.69 2.07 1.04 0.70 1.50 5.10 1.80 48.70 1.00 NIFUGEN CAP. 200MG 3.23 A038260100 2.54 A038263100 JINBO FILM-COATING TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "YUDEMINE A038266100 CODELIN TABLETS "KOJAR" 0.96 A038267100 DELINCAL TABLETS 667MG (CALCIUM ACETATE) "N.W." CHITAN GRANULES 66.67 MG/GM (ACETYLCYSTEINE) "CHINTENG" CHITAN GRANULES 66.67 MG/GM (ACETYLCYSTEINE) "CHINTENG" KERPHEN CREAM 1% 2.54 A038275199 A038276329 A038280100 A038281100 A038283309 A038283312 A038283316 A038283377 A038284238 A038286100 第 173 頁,共 382 頁 ANSOLIN TABLET 5MG (HALOPERIDOL) "GCPC" ANSOLIN TABLET 10MG (HALOPERIDOL) "GCPC" SALINE SOLUTION "S.T" SALINE SOLUTION "S.T" SALINE SOLUTION "S.T" SALINE SOLUTION "S.T" BUTAMINE INJECTION 12.5MG/ML (DOBUTAMINE) THIAMPHENICOL CAPSULES 250MG "KINGDOM" 調整 刪除 3.04 A038259100 A038275116 調整 調整 1.28 1.90 0.63 24.60 1.69 3.04 24.30 55.00 68.00 18.50 98.00 1.35 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 7614 A037878500 7615 A037895209 VALTAFEN SUPPOSITORY 12.5MG (DICLOFENAC) "SINPHAR" CEFAZOLIN FOR INJECTION 1G "SINTON" 7616 A037899100 7617 A037902100 7618 A037907100 7619 A037923316 7620 A037923321 7621 A037924477 7622 A037928100 7623 A037934100 7624 A037944100 7625 A037945100 7626 7627 7628 7629 7630 7631 7632 7633 7634 7635 7636 7637 7638 7639 7640 GEFANATE CAPSULES 50MG (GEFARNATE) "ROYAL" SULIRAM TABLETS 200MG (SULINDAC) "F.Y." SUGEI TABLETS 10MG "PFOSHEN" (BACLOFEN) MINSONE CREAM 0.5MG/GM "M.H"(CLOBETASONE) MINSONE CREAM 0.5MG/GM "M.H"(CLOBETASONE) BAXICIN OPHTHALMIC SOLUTION 3MG/ML (NORFLOXACIN) "S.T." ATENOL F.C. TABLETS 100MG (ATENOLOL) "WEIDAR" SYNOTEC TABLETS 200MG (TIAPROFENIC ACID) "U CHIU" ANALGESIC CAPLETS CIMETIN F.C. TABLETS 400MG "JOHNSON" (CIMETIN) A0379451G0 CIMETIN F.C. TABLETS 400MG "JOHNSON" (CIMETIDINE)(56粒/瓶) A037988100 GOUTIL TABLETS A037991100 WEIDOS F.C. TABLET 300MG (RANITIDINE) "WEIDAR" A037995209 TRIMIN INJECTION 50MG/ML "SWISS"(DIMENHYDRINATE) A037995221 TRIMIN INJECTION 50MG/ML "SWISS"(DIMENHYDRINATE) A037996100 PHOSUNK TABLET 667MG "SWISS"(CALCIUM ACETATE) A037997100 MODIPANOL TABLET 2MG "SWISS"(FLUNITRAZEPAM) A038013500 ECOVALE SUPPOSITORIES 150 MG "P.L." (ECONAZOLE) A038016100 GEM-S F.C. TABLETS 600MG (GEMFIBROZIL) "S.T." A038019100 VOREN SR FILM COATED TABLETS 100MG (DICLOFENAC) A038020100 AEZOC E.C. TABLET 5MG A0380201G0 AEZOC E.C. TABLET 5MG (SERRAPEPTASE)(鋁箔/膠箔) A038023100 UROPRIL TABLETS 100MG (ALLOPURINOL) "T.F." A038025100 ATIZEPAM TABLETS 0.5MG "P.J." (LORAZEPAM) A038030100 PROCAM CAPSULES 150MG "EVEREST" (SILYMARIN) 100年1月 項次 支付價 7614 1.75 7615 0 7616 1.61 7617 2.15 7618 1.01 7619 32.1 7620 28.8 7621 3.16 7622 2.47 7623 3.93 7624 0.86 7625 0 7626 1.5 2.14 7627 7628 7.4 7629 16 7630 86 7631 2.54 7632 3.13 7633 0 7634 3.08 7635 3.33 1 7636 7637 1.5 7638 0.58 7639 0.36 7640 CODE 藥品名稱 A038288321 DEHERP CREAM 5% (ACYCLOVIR) "STANDARD" DEHERP CREAM 5% (ACYCLOVIR) "STANDARD" WEIMOK F.C. TABLETS 40MG (FAMOTIDINE) "WEIDAR" WARROWSOL F.C. TABLET 500MG (MEFENAMIC ACID) "KINGDOM" KAPOS TAB. 250MG A038288329 A038291100 A038292100 A038295100 A038296100 A038312277 A038314100 A038316209 A038316277 A038317209 A038034100 7642 A038046100 7643 7644 7645 A038049321 A038049338 A038053212 7646 7647 7648 7649 7650 BISOL F.C.TABLET 300MG (DIBISMUTH TRIOXIDE) "PURZER" ULSANIC TABLETS 500MG (SUCRALFATE) CENTALLA OINTMENT "SINPHAR" CENTALLA OINTMENT "SINPHAR" GETWAY INJECTION 25 MG/ML (RANITIDINE) A038055100 FUAN TABLETS 5MG "CHINTENG"(MEDROXYPROGESTERONE) A0380551G0 FUAN TABLETS 5MG "CHINTENG"(MEDROXYPROGESTERONE)( 鋁箔) A038056100 BLASEC TABLETS 2.5MG (OXYBUTYNIN) "S.S.P." A038073314 ESTRAD GEL 0.06% (ESTRADIOL) "H.S." A038073343 ESTRAD GEL 0.06% (ESTRADIOL) "H.S." 42.60 刪除 15.90 0.70 2.15 3.38 241.00 1.00 27.60 19.40 A038323321 DRAMINE INJECTION 50MG/ML (DIMENHYDRINATE) "S.Y." DEVIRA CREAM 50MG/GM A038323399 DEVIRA CREAM 50MG/GM 3.19 15.30 REFEN 200MG ENZDASE E.C. TABLETS 5MG (SERRATIOPEPTIDASE) A0383291G0 ENZDASE E.C. TABLETS 5MG (SERRATIOPEPTIDASE)(鋁箔) A038330277 SODIUM CHLORIDE INJECTION 3% "Y.F." 3.31 1.00 47.60 刪除 A038327100 A038329100 A038332100 1.50 22.60 3.68 A038333100 UCLOR CAPSULES 250MG (CEFACLOR) "UNION" V-COME CAPSULES "VPP" A038353100 TOPCEF CAPSULES 250MG (CEPHRADINE) 2.60 A038356329 A038427321 A038427329 A038427336 SUITERIN CREAM 1% (DICLOFENAC) "EVEREST" SUITERIN CREAM 1% (DICLOFENAC) "EVEREST" MEDECOUGH CAPSULES "H.C" SUPEROCIN F.C. TABLETS 500MG (CIPROFLOXACIN) "WEIDAR" ANIN TABLETS 5MG (HALOPERIDOL) "N.W." STOGAMET F.C. TABLETS 300MG (CIMETIDINE) "SWISS" GINA'EX F.C. TABLET "T.T.Y."(9.6MG GINKGOFLAVON GLYCOSIDES AND 2.4MG TERPENLACTONES) CARTIL TABLETS 60MG (DILTIAZEM HYDROCHLORIDE) "S.Y." ANTIDIA CAPSULES 200MG (NIFUROXAZIDE) "S.D." RAMIN CREAM "EVEREST" RAMIN CREAM "EVEREST" RAMIN CREAM "EVEREST" A038427338 RAMIN CREAM "EVEREST" 134.00 A038427355 RAMIN CREAM "EVEREST" 242.00 A038427372 RAMIN CREAM "EVEREST" 691.00 A038427399 A038438338 RAMIN CREAM "EVEREST" DICLOFENAC EMULGEL 1% "S.Y." 1.81 刪除 A038356338 A038357100 A038368100 A038415100 A038419100 A038421100 1.82 7641 GEMNPID F.C. TABLETS 600MG (GEMFIBROZIL) "C.C.P.C." KIDOXONE FOR IV.INJECTION (CEFTRIAXONE) "KINGDOM" TRENTEC TABLETS 2.5MG (FENOTEROL HYDROBROMIDE) "YU SHENG" ROPCIN FOR INJECTION (CEPHALOTHIN) "TAI YU" ROPCIN FOR INJ. 說明 9901 支付價 41.30 7641 A038422100 7642 1.21 44.6 7643 139 7644 7645 41.3 7646 0.8 7647 A038426100 6.5 24.60 33.20 1.00 12.70 2.00 1.02 7.30 4.34 3.24 24.30 63.00 68.00 1.5 7648 1.9 15.2 7649 128 7650 第 174 頁,共 382 頁 1.53 36.30 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 7651 A038075351 藥品名稱 7669 CORTEMA ENEMA 1.667MG/ML (HYDROCORTISONE) "PURZER" A038076100 BENZU TABLETS 3MG (BROMAZEPAM) "CHINTENG" A0380761G0 BENZU TABLETS 3MG (BROMAZEPAM) "CHINTENG"(鋁箔/膠箔) A038081100 ANSUTAN CAP. A0380811G0 ANSUTAN CAP.(瓶裝/84粒/瓶) A038088100 WERGEN TABLETS 400MG (CIMETIDINE) "YUNG CHI" A038091100 TENGEN TABLETS "S.S.P." A038097100 HEPANAT CAPSULES 150MG (SILYMARIN) A038101100 TRIZICEF CAPSULES 250MG (CEFATRIZINE) "C.C.P.C." A038102100 BEZILON TABLETS 200MG (BEZAFIBRATE) A038104100 Pyrazinamide Tablets 500mg "P.L." A038108212 RANIDAC INJECTION 25MG/ML (RANITIDINE) "Y.Y" A038113421 PILOCARPINE EYE DROPS 2% "OASIS" A038132100 SALALIN TABLETS 250MG (CHLORZOXAZONE)"KOJAR" A038133100 EPRAZINE TABLETS 30MG "H.S."(EPRAZINONE) A038134100 SILYMA CAPSULES 150MG (SILYMARIN) A038135209 TRAMED INJECTION 50MG/ML (TRAMADOL HYDROCHLORIDE) "SWISS" A038135212 TRAMED INJECTION 50MG/ML (TRAMADOL HYDROCHLORIDE) "SWISS" A038138199 EXTAMINE-P ELIXIR "GCPC" 7670 A038145212 TRAMTOR INJ. 7671 A038146209 7672 A038146265 7673 A038146277 7674 A038147100 7675 A038150100 7676 A038154100 7677 A038158100 7678 A038159321 NAKAXONE FOR IM INJECTION "N.K" (CEFTRIAXONE) NAKAXONE FOR IM INJECTION "N.K" (CEFTRIAXONE) NAKAXONE FOR IM INJECTION (CEFTRIAXONE) "N.K" GENOL TABLETS 120MG (DIBISMUTH TRIOXIDE) "GENTLE" BISMOL F.C.TABLETS 120MG (DIBISMUTH TRIOXIDE) "WEIDAR" AJULATE SOFT CAPSULES 5MG (NIFEDIPINE) "F.M." ERYTHROMYCIN F.C. TABLET 500MG "KINGDOM" AZOL-CORT CREAM 7679 A038159335 AZOL-CORT CREAM 7680 A038160100 7681 A038162100 7682 A038163116 7683 A038163199 7684 A038164100 7685 A038168100 7686 A038171321 CHINHO TABLETS 8MG (BROMHEXINE) "SINTON" BEROCOL TABLETS 5MG (TERBUTALINE SULFATE) "PANBIOTIC" ACETYL GRANULES 66.67MG/GM (ACETYLCYSTEINE) "CHEN TA" ACETYL GRANULES 66.67MG/GM (ACETYLCYSTEINE) "CHEN TA" TIAP TABLET 200MG (TIAPROFENIC ACID) "SWISS" PROPRANOL TAB. 40MG "SENTAI" (PROPRANOLOL) FUILI CREAM 2% (KETOCONAZOLE) "YY" 7687 A038180100 COHEAL CAPSULES "STANDARD" 7688 A038181100 GLICTAN TAB 80MG "SL" (GLICLAZIDE ) 7689 A038184321 TRIDERMSONE CREAM 7652 7653 7654 7655 7656 7657 7658 7659 7660 7661 7662 7663 7664 7665 7666 7667 7668 100年1月 項次 支付價 7651 73 7652 1.27 7653 1.5 1 7654 1.5 7655 7656 1 3.89 7657 2.13 7658 7659 9.1 7660 2.69 4.68 7661 7662 28.3 32 7663 7664 0.73 7665 0.74 2.18 7666 7667 31.5 7668 36.2 7669 0.14 7670 40.3 7671 356 7672 133 7673 90 7674 6.5 7675 0 7676 1.97 7677 3.81 7678 19.7 7679 67 7680 0 7681 1 7682 1.89 7683 0.63 7684 0 7685 0.5 7686 22.7 7687 0 7688 1.88 7689 25.4 CODE 藥品名稱 A038445277 GLUSALINE INJECTION "ASTAR" A038446100 說明 9901 支付價 18.80 BUSPAN TABLETS 10MG (SCOPOLAMINE BUTYLBROMIDE)"S.C" A0384461G0 BUSPAN TABLETS 10MG "S.C."(SCOPOLAMINE BUTYLBROMIDE)(鋁 A038449100 LYSOZYME TABLETS 90MG "S.C" A038450100 ACETIN TABLETS"S.C." A038453100 TRIMPRIM TABLETS 100MG (TRIMETHOPRIM) "S.C" A038454100 CIMETIDINE TABLETS 200MG "S.C" A0384541G0 CIMETIDINE TABLETS 200MG "S.C"(鋁箔) A038457100 ANTAMIN TABLETS"S.C." 1.00 A038458100 3.30 A038460100 A038462100 LADIES PEARL S.C. TABLETS 1.25MG (CONJUGATED ESTROGENS) "S.C." PIROCAM TABLETS 20MG (PIROXICAM) KOMPIMIN TABLETS "S.C." A038464100 A038465100 ASTHMA TABLETS "S.C" DIALICON TABLETS "S.C" 0.56 1.00 A0384651G0 DIALICON TABLETS "S.C"(鋁箔/膠箔) 1.50 0.60 1.55 1.00 1.00 1.50 0.90 1.14 0.50 1.50 A038466100 A038472169 KOBAMIN TABLETS "S.C" ALUZAINE SUSPENSION "STANDARD" 0.91 83.00 A038472199 ALUZAINE SUSPENSION "STANDARD" 0.23 A038474100 SPANIL TABLETS 135MG (MEBEVERINE HYDROCHLORIDE) "ROYAL" A038479100 GINKGO BILOBA F.C. TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE)"RO OT" A038480100 THI FEN TABLETS 300MG (TRIMETHOPRIM) "PFOSHEN" A038487100 CHIANDA TABLETS 0.15MG "CHINTENG" (CLONIDINE) A038493100 PAS CALCIUM F.C. TABLETS 500MG (CALCIUM PAMINOSALICYLATE) "P.L." A038494100 NALODINE F.C. TABLETS 100MG (TICLOPIDINE) "ROYAL" A038498100 METFORMIN F.C. TABLET 500MG "KINGDOM" A0384981G0 METFORMIN F.C. TABLET 500MG "KINGDOM"(鋁箔) A038500100 GLICRON TABLETS 80 MG 1.92 A038504100 2.14 2.54 2.09 1.00 6.50 5.10 1.00 刪除 1.50 1.79 A038509377 CALOWLIN TABLETS 667MG (CALCIUM ACETETE) "U-LIANG" KYOMUDYNE F.C. TABLETS 250MG (CARBOCYSTEINE) U-BURNDIN CREAM A038509399 U-BURNDIN CREAM 0.97 A038510100 SUME TABLET 2MG (FLUNITRAZEPAM) "Y.S." VAGENT CREAM 10MG/GM (ISOCONAZOLE) "GCPC" VAGENT CREAM 10MG/G 3.25 A038506100 2.29 489.00 刪除 A038511321 A038511399 17.10 1.46 刪除 A0385113AH VAGENT CREAM 10MG/G A038523238 A038523277 A038524321 A038524329 第 175 頁,共 382 頁 DEOSE INJECTION 50MG/ML (DEXTROSE)"ASTAR" DEOSE INJECTION 50MG/ML (DEXTROSE)"ASTAR" ENCORT CREAM 0.1% "EVEREST" (TRIAMCINOLONE ACETONIDE) ENCORT CREAM 0.1% "EVEREST" (TRIAMCINOLONE ACETONIDE) 22.70 2.80 17.40 刪除 6.10 15.70 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 7690 7691 7692 7693 7694 7695 7696 7697 7698 7699 7700 7701 7702 7703 7704 7705 7706 7707 7708 7709 7710 7711 7712 7713 7714 7715 7716 7717 7718 7719 7720 7721 7722 7723 7724 7725 CODE 藥品名稱 100年1月 項次 支付價 A038184329 TRIDERMSONE CREAM 7690 63 A038184338 TRIDERMSONE CREAM 7691 134 A038184372 TRIDERMSONE CREAM 7692 820 A038184399 TRIDERMSONE CREAM 7693 1.82 A038185212 SUWELIN INJ. 150MG/ML 2ML 7694 8.5 A038186100 YIPA 7695 2.81 A038188100 DICLOFEN F.C.TABLET 50MG 7696 0.6 "H.C."(DICLOFENAC) A038189100 CIMEDIN F.C. TABLETS 800MG 7697 5.4 (CIMETIDINE) "S.T." A038192212 TAIBAMIN INJ. 5MG/ML 7698 9.5 A038194100 HEARTQUINONE CAPSULES 10MG 7699 5.4 (UBIDECARENONE) "S.D." A038198100 UBITEN F.C. TABLET 10MG 7700 5.2 (UBIDECARENONE) "PURZER" A038203100 GYNEDOL TABLETS 5 MG 7701 1.69 (HALOPERIDOL) "CENTRAL" A038204100 CABUDAN TABLETS 25MG (CAPTOPRIL) 7702 2.07 "S.Y." A038209100 SERRALO E.F.C. TABLETS 10MG 7703 1.04 (SERRATIOPEPTIDASE) "KOJAR" A038211100 POSTON TABLETS 500MG (MEFENAMIC 7704 0.7 ACID) "CHEN TA" A0382111G0 POSTON TABLETS 500MG (MEFENAMIC 7705 1.5 ACID) "CHEN TA" (鋁箔/膠箔) A038213100 SINFLO F.C.TAB. 200MG 7706 5.1 1.8 7707 A038235100 PROCANPEN S.C TABLETS "CHINTENG" A038241335 KETAZOLE CREAM 20MG/G 7708 48.7 (KETOCONAZOLE) "UNION" A038244100 HOPAN TABLETS 10MG (HALOPERIDOL) 7709 3.04 "KOJAR" A038247100 CIMETIDINE TAB. 400MG 7710 1 A038259100 NIFUGEN CAP. 200MG 7711 3.23 A038260100 JINBO FILM-COATING TABLETS 9.6MG 7712 2.52 (GINKGOFLAVONGLYCOSIDE) "Y A038263100 DEMINE 7713 1.28 A038266100 CODELIN TABLETS "KOJAR" 7714 0.96 A038267100 DELINCAL TABLETS 667MG (CALCIUM 7715 2.54 ACETATE) "N.W." A038275116 CHITAN GRANULES 66.67 MG/GM 7716 1.9 (ACETYLCYSTEINE) "CHINTENG" A038275199 CHITAN GRANULES 66.67 MG/GM 7717 0.63 (ACETYLCYSTEINE) "CHINTENG" A038276329 KERPHEN CREAM 1% 7718 24.6 A038280100 ANSOLIN TABLET 5MG (HALOPERIDOL) 7719 1.69 "GCPC" A038281100 ANSOLIN TABLET 10MG (HALOPERIDOL) 7720 3.04 "GCPC" 24.3 7721 A038283309 SALINE SOLUTION "S.T" A038283312 SALINE SOLUTION "S.T" 7722 55 A038283316 SALINE SOLUTION "S.T" 7723 68 A038283377 SALINE SOLUTION "S.T" 7724 18.5 A038284238 BUTAMINE INJECTION 12.5MG/ML 7725 0 (DOBUTAMINE) CODE 藥品名稱 A038524335 ENCORT CREAM 0.1% "EVEREST" (TRIAMCINOLONE ACETONIDE) A038524399 ENCORT CREAM 0.1% "EVEREST" (TRIAMCINOLONE ACETONIDE) A038527100 UNIPRO FILM-COATED TABLETS 750MG (CIPROFLOXACIN) "UNION" A038528100 CIFLODAL F.F. TABLETS 500MG (CIPROFLOXACIN) "C.C.P.C." A038530100 CIMET TABLET 400MG (CIMETIDINE) "CHEN TA" A0385301G0 CIMET TABLET 400MG (CIMETIDINE) "CHEN TA" (鋁箔/膠箔) A038531100 CIMET TABLET 200MG (CIMETIDINE) "CHEN TA" A0385311G0 CIMET TABLET 200MG (CIMETIDINE) "CHEN TA"(鋁箔/膠箔) A038540329 FUMELON CREAM 10MG/GM (CENTELLA ASIATICA) "N.W." A038540399 FUMELON CREAM 10MG/GM "N.W" (CENTELLA ASIATICA) A038544265 CEKONIN FOR INJECTION (CEFUROXIME)"SWISS" A038544289 CEKONIN FOR INJECTION "SWISS" (CEFUROXIME) A038554100 SINFLO F.C.TAB. 100MG A038555255 A038556100 CINOLONE IV INFUSION 2MG/ML "S.T." (CIPROFLOXACIN) CIMEDIN TABLETS 400MG (CIMETIDINE) A0385561G0 CIMEDIN TABLETS 400MG (CIMETIDINE)(30粒/瓶)(鋁箔/膠箔) A038559100 GINKGO S.C. TABLETS 9.6MG 'C.H.(GINKGOFLAVONGLYCOSIDE) A038571100 KETOLIN CAP. 10MG A038573212 FORTUM INJECTION I.V. INFUSION 2GM (CEFTAZIDIME) A038574100 POTARLON TABLETS 250MG (MEFENAMIC ACID) A038575100 MABAL CAPSULES 0.5MG "YU SHENG" (MECOBALAMIN) A038578100 I.B.F.F.C. TABLETS 400MG (IBUPROFEN) "KINGDOM" A0385781G0 I.B.F.F.C. TABLETS 400MG "KINGDOM"(IBUPROFEN)(鋁箔) A038580209 CHLORAMPHENICOL SODIUM SUCCINATE POWDER FOR INJECTION A038591100 TIOPEN TABLETS 200MG "WEIDAR" (TIAPROFENIC ACID) A038600100 HESOR TABLETS 60MG (DILTIAZEM HYDROCHIORIDE) "YU SHENG" A038604329 ANKAJEN CREAM 5% (ACYCLOVIR) "C.H." 說明 9901 支付價 15.10 1.01 60.00 10.00 1.00 1.50 1.00 1.50 57.00 5.70 41.80 36.60 1.55 329.00 1.00 1.50 2.20 0.91 739.00 0.77 2.48 0.96 1.50 調整 12.30 3.31 3.77 41.40 A038604399 ANKAJEN CREAM 5% (ACYCLOVIR) "C.H." 4.14 A038605100 FADIN F.C. TABLET 20MG (FAMOTIDINE) "STANDARD" BETAFORM F.C. TAB. 500MG 3.78 A038610100 1.00 A0386101G0 BETAFORM F.C. TAB. 500MG(鋁箔/膠箔) 1.50 A038612100 A038614216 3.22 7.50 A038615209 A038615212 A038615265 第 176 頁,共 382 頁 AN LIN TABLETS 2MG (FLUNITRAZEPAM) KOTAN INJECTION 100MG/ML (ACETYLCYSTEINE) "ASTAR" CEFIN FOR I.V. INJECTION (CEFTRIAXONE) "PANBIOTIC" CEFIN FOR I.V. INJECTION (CEFTRIAXONE) "PANBIOTIC" CEFIN FOR I.V. INJECTION (CEFTRIAXONE) "PANBIOTIC" 419.00 769.00 159.00 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 7726 7727 7728 7729 7730 7731 7732 7733 7734 7735 7736 7737 7738 7739 7740 7741 7742 7743 7744 7745 7746 7747 7748 7749 7750 7751 7752 7753 7754 7755 7756 7757 7758 7759 7760 7761 7762 CODE 藥品名稱 100年1月 項次 支付價 A038286100 THIAMPHENICOL CAPSULES 250MG 7726 1.35 "KINGDOM" A038288321 DEHERP CREAM 5% (ACYCLOVIR) 7727 41.3 "STANDARD" A038288329 DEHERP CREAM 5% (ACYCLOVIR) 7728 42.6 "STANDARD" A038291100 WEIMOK F.C. TABLETS 40MG 7729 15.9 (FAMOTIDINE) "WEIDAR" A038292100 WARROWSOL F.C. TABLET 500MG 7730 0.7 (MEFENAMIC ACID) "KINGDOM" A038295100 KAPOS TAB. 250MG 7731 2.15 A038296100 GEMNPID F.C. TABLETS 600MG 7732 3.38 (GEMFIBROZIL) "C.C.P.C." A038312277 KIDOXONE FOR IV.INJECTION 7733 241 (CEFTRIAXONE) "KINGDOM" A038314100 TRENTEC TABLETS 2.5MG (FENOTEROL 7734 1 HYDROBROMIDE) "YU SHENG" A038316209 ROPCIN FOR INJECTION (CEPHALOTHIN) 7735 27.6 "TAI YU" A038316277 ROPCIN FOR INJ. 7736 19.4 A038317209 DRAMINE INJECTION 50MG/ML 7737 15.3 (DIMENHYDRINATE) "S.Y." 47.6 7738 A038323321 DEVIRA CREAM 50MG/GM A038323399 DEVIRA CREAM 50MG/GM 7739 3.19 A038327100 REFEN 200MG 7740 3.31 A038329100 ENZDASE E.C. TABLETS 5MG 7741 1 (SERRATIOPEPTIDASE) A0383291G0 ENZDASE E.C. TABLETS 5MG 7742 1.5 (SERRATIOPEPTIDASE)(鋁箔/膠箔) A038330277 SODIUM CHLORIDE INJECTION 3% "Y.F." 7743 22.6 A038332100 UCLOR CAPSULES 250MG (CEFACLOR) 7744 3.68 "UNION" A038333100 V-COME CAPSULES "VPP" 7745 1.81 A038353100 TOPCEF CAPSULES 250MG (CEPHRADINE) 7746 0 A038356329 SUITERIN CREAM 1% (DICLOFENAC) 7747 24.6 "EVEREST" A038356338 SUITERIN CREAM 1% (DICLOFENAC) 7748 33.2 "EVEREST" 1 7749 A038357100 MEDECOUGH CAPSULES "H.C" 1.5 7750 A0383571G0 MEDECOUGH CAPSULES "H.C"(鋁箔/膠箔) A038368100 SUPEROCIN F.C. TABLETS 500MG 7751 12.7 (CIPROFLOXACIN) "WEIDAR" 2 7752 A038415100 ANIN TABLETS 5MG (HALOPERIDOL) A038419100 STOGAMET F.C. TABLETS 300MG 7753 1.02 (CIMETIDINE) "SWISS" A038421100 GINA'EX F.C. TABLET "T.T.Y."(9.6MG 7754 7.3 GINKGOFLAVON GLYCOSIDES A038422100 CARTIL TABLETS 60MG (DILTIAZEM 7755 4.34 HYDROCHLORIDE) "S.Y." A038426100 ANTIDIA CAPSULES 200MG 7756 3.24 (NIFUROXAZIDE) "S.D." A038427321 RAMIN CREAM "EVEREST" 7757 24.3 A038427329 RAMIN CREAM "EVEREST" 7758 63 A038427336 RAMIN CREAM "EVEREST" 7759 68 A038427338 RAMIN CREAM "EVEREST" 7760 134 A038427355 RAMIN CREAM "EVEREST" 7761 242 A038427372 RAMIN CREAM "EVEREST" 7762 691 CODE 藥品名稱 A038615277 CEFIN FOR I.V. INJECTION (CEFTRIAXONE) "PANBIOTIC" A038616100 MECOMIN CAPSULES 0.5MG (MECOBALAMIN) "LITA" A038618209 CLINDAMYCIN INJECTION 150MG/ML "S.Y." A038620100 MEDROLIN FILM COATED TABLETS 50MG (MEBHYDROLINE) "F.Y." A0386201G0 MEDROLIN FILM COATED TABLETS 50MG (MEBHYDROLINE) "F.Y."(鋁箔/膠箔) A038622100 PAINSTOP E.C. TABLET 50MG (DICLOFENAC) "SWISS" A038650100 AKIN TABLETS 2MG (BIPERIDEN) "H.S." A038652212 A038657100 A038663421 A038664421 A038680100 V-GENTA INJECTION 40MG/ML (GENTAMICIN SULFATE) "VPP" ROLFEC CAP 250MG DELOLOL OPHTHALMIC SOLUTION 5MG/ML (TIMOLOL) "SINPHAR" DELOLOL OPHTHALMIC SOLUTION 2.5MG/ML (TIMOLOL) "SINPHAR" VOLV TABLETS 500MG (MOTFORMIN) A0386801G0 VOLV TABLETS 500MG (MOTFORMIN)(鋁 A038681100 DIMATAN TABLETS 80MG (GLICLAZIDE) "PFOSHEN" A038684100 ALININ CAPSULES 200MG (NIFUROXAZIDE) "N.W." A038685100 POTARLON TABLETS 500MG (MEFENAMIC ACID) A038686100 GINBININ S.C. TAB. 9.6MG A038687421 說明 9901 支付價 161.00 2.82 68.00 1.12 1.50 0.60 2.90 12.70 3.63 115.00 81.00 1.00 1.50 1.83 3.24 1.00 2.58 NORFLO OPHTHALMIC SOLUTION 3MG/ML (NORFLOXACIN) "UNION" FENOTEROL TABLETS 2.5MG "KINGDOM" 32.70 80.00 A038711209 UTAMINE INJECTION 12.5MG/ML (DOBUTAMINE) "KU-LINANG" SANWELL SUSPENSION 20MG/ML (CIMETIDINE) "KOJER" VESYCA FILM COATED TABLETS 300MG (RANITIDINE HYDROCHLORIDE) CEFAMID FOR INJECTION "GENTLE" A038711212 A038712309 A038712335 CEFAMID FOR INJECTION "GENTLE" TOPIDIN CREAM TOPIDIN CREAM A038712399 A038721100 TOPIDIN CREAM DILAN TABLETS 150MG (BUFLOMEDIL) "ASTAR" COS TABLETS "CHINTENG" A038698100 A038707238 A038708129 A038710100 A038722100 0.80 9.70 刪除 7.30 43.50 182.00 677.00 54.00 0.67 6.40 0.80 A0387221G0 COS TABLETS "CHINTENG"(鋁箔/膠箔) 1.50 A038723100 VICARIN CAPSULES "H.S." 1.61 A038724209 MECOMIN INJECTION 0.5MG/ML (MECOBALAMIN) "LITA" MEC0MIN INJECTION 0.5MG/ML (MECOBALAMIN) "LITA" PIXICAM I.M. INJECTION 20MG/ML (PIROXICAM)"ORIENTAL" PIXICAM I.M. INJECTION 20MG/ML (PIROXICAM)"ORIENTAL" CINOLONE F.C. TABLET 250MG (CIPROFLOXACIN) "S.T." CANSEN CREAM 10MG/GM "F.Y" (CLOTRIMAZOLE) A038724221 A038737209 A038737212 A038747100 A038758321 第 177 頁,共 382 頁 18.60 53.00 10.00 10.00 15.70 8.20 新增 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 7763 7764 7765 7766 7767 7768 7769 7770 7771 7772 7773 7774 7775 7776 7777 7778 7779 7780 7781 7782 7783 7784 7785 7786 7787 7788 7789 7790 7791 7792 7793 7794 7795 7796 7797 7798 7799 7800 7801 7802 CODE 藥品名稱 100年1月 項次 支付價 A038427399 RAMIN CREAM "EVEREST" 7763 1.53 A038438338 DICLOFENAC EMULGEL 1% "S.Y." 7764 36.3 A038445277 GLUSALINE INJECTION "ASTAR" 7765 18.8 A038446100 BUSPAN TABLETS 10MG (SCOPOLAMINE 7766 1 BUTYLBROMIDE)"S.C" A0384461G0 BUSPAN TABLETS 10MG 7767 1.5 "S.C."(SCOPOLAMINE BUTYLBROMIDE)(鋁 0.6 7768 A038449100 LYSOZYME TABLETS 90MG "S.C" A038450100 ACETIN TABLETS"S.C." 7769 1.55 A038453100 TRIMPRIM TABLETS 100MG 7770 1 (TRIMETHOPRIM) "S.C" A038454100 CIMETIDINE TABLETS 200MG "S.C" 7771 1 A0384541G0 CIMETIDINE TABLETS 200MG "S.C"(鋁箔) 7772 1.5 A038457100 ANTAMIN TABLETS"S.C." 7773 0.9 A038458100 LADIES PEARL S.C. TABLETS 1.25MG 7774 3.3 (CONJUGATED ESTROGENS) "S. A038460100 PIROCAM TABLETS 20MG (PIROXICAM) 7775 1.14 "S.C" A038462100 KOMPIMIN TABLETS "S.C." 7776 0.5 0.56 7777 A038464100 ASTHMA TABLETS "S.C" 1 7778 A038465100 DIALICON TABLETS "S.C" 1.5 7779 A0384651G0 DIALICON TABLETS "S.C"(鋁箔/膠箔) 0.91 7780 A038466100 KOBAMIN TABLETS "S.C" A038472169 ALUZAINE SUSPENSION "STANDARD" 7781 0 0 7782 A038472199 ALUZAINE SUSPENSION "STANDARD" A038474100 SPANIL TABLETS 135MG (MEBEVERINE 7783 1.92 HYDROCHLORIDE) "ROYAL" A038479100 GINKGO BILOBA F.C. TABLETS 9.6MG 7784 2.52 (GINKGOFLAVONGLYCOSIDE)"RO A038480100 THI FEN TABLETS 300MG 7785 2.09 (TRIMETHOPRIM) "PFOSHEN" A038487100 CHIANDA TABLETS 0.15MG "CHINTENG" 7786 1 (CLONIDINE) A0384871G0 CHIANDA TABLETS 0.15MG "CHINTENG" 7787 1.5 (CLONIDINE)(鋁箔/膠箔) A038493100 PAS CALCIUM F.C. TABLETS 500MG 7788 6.5 (CALCIUM PAMINOSALICYLATE) " A038494100 NALODINE F.C. TABLETS 100MG 7789 5.1 (TICLOPIDINE) "ROYAL" A038498100 METFORMIN F.C. TABLET 500MG 7790 1 "KINGDOM" A0384981G0 METFORMIN F.C. TABLET 500MG 7791 1.5 "KINGDOM"(鋁箔) 1.79 7792 A038500100 GLICRON TABLETS 80MG (GLICLAZIDE) A038504100 CALOWLIN TABLETS 667MG (CALCIUM 7793 2.14 ACETETE) "U-LIANG" A038506100 KYOMUDYNE F.C. TABLETS 250MG 7794 2.29 (CARBOCYSTEINE) A038509377 U-BURNDIN CREAM 7795 489 A038509399 U-BURNDIN CREAM 7796 0.97 A038510100 SUME TABLET 2MG (FLUNITRAZEPAM) 7797 3.25 "Y.S." A038511321 VAGENT CREAM 10MG/GM 7798 17.1 (ISOCONAZOLE) "GCPC" 1.46 7799 A038511399 VAGENT CREAM 10MG/G 22.7 7800 A0385113AH VAGENT CREAM 10MG/G A038523238 DEOSE INJECTION 50MG/ML 7801 2.8 (DEXTROSE)"ASTAR" A038523277 DEOSE INJECTION 50MG/ML 7802 17.4 (DEXTROSE)"ASTAR" CODE 藥品名稱 A038758338 CANSEN CREAM 10MG/GM "F.Y" (CLOTRIMAZOLE) A038760100 KERI CAPSULES 200MG (NIFUROXAZIDE) "H.S." A038761100 MELICIN CAPSULES 50MG (MINOCYCLINE) "H.S." A038763100 N-WAY TABLETS 400MG (CIMETIDINE) "MEIDER" A038764100 N-WAY TABLETS 200MG "MEIDER"(CIMETIDINE) A038765209 LUMIATO INJECTION A038772443 BERTON NASAL SPRAY 0.1% (OXYMETAZOLINE) "C.M." A038773163 COWEMIN SUSPENSION 20MG/ML "CHINTENG" (CIMETIDINE) A038773199 COWEMIN SUSPENSION 20MG/ML "CHINTENG" (CIMETIDINE) A038776100 SUWEFUE F.C. TABLET 40MG "H.C"(FAMOTIDINE) A038777209 GIBICEF POWDER FOR INJECTION (CEFUROXIME) A038777277 GIBICEF POWDER FOR INJECTION (CEFUROXIME) A038779100 VOLEN E.C. TABLET (DICLOFENAC) "CHEN TA" A0387791G0 VOLEN E.C. TABLET (DICLOFENAC) "CHEN TA" (鋁箔/膠箔) A038780199 COUGHTIN SYRUP "ORIENTAL" A038785212 QUICRAN INJECTION A038819100 ROMICON-A CAPSULES "KINGDOM" A0388191G0 ROMICON-A CAPSULES "KINGDOM"(鋁箔) A038821140 GINLOBA DROPS 9.6 MG/ML (GINKGOFLAVONGLYCOSIDE) "UNION" A038830100 CENPARKIN CAPSULES 250MG A038831100 CENPARKIN CAPSULES 125MG A038833100 SIGAMET F.C. TABLETS 400MG (CIMETIDINE) "SINPHAR" A038837100 CIMENICE TABLETS 200MG (CIMETIDINE) "JINUP" A038838100 LINOL F.C. TABLETS 120 MG (DIBISMUTH TRIOXIDE) "N.W." A038840100 SILYGEN-H CAPSULE 150MG (SILYMARIN) "H.C." A038843209 CEFMORE INJECTION (CEFOXITIN SODIUM) "SWISS" A038846100 BENZOX TABLETS 2MG (TRIHEXYPHENIDYL) "LITA" A0388461G0 BENZOX TABLETS 2MG (TRIHEXYPHENIDYL) "LITA"(鋁箔/膠箔) A038848109 TOPCEF GRANULES FOR ORAL SUSPENSION 50MG/ML (CEPHRADINE) A038850151 COLDYNIL SOLUTION A038850157 COLDYNIL SOLUTION 說明 9901 支付價 50.00 2.87 3.33 1.00 1.00 2.00 99.00 91.00 0.28 16.00 178.00 106.00 0.60 1.50 0.17 38.40 0.99 1.50 159.00 9.70 4.22 1.60 調整 1.00 6.50 2.20 新增 156.00 0.69 1.50 8.10 10.30 21.00 A038850199 COLDYNIL SOLUTION 0.16 A038851100 3.31 A038862338 A038862343 A038862399 TECON TABLETS 200MG (TIAPROFENIC ACID) "M.T." KIDOZIME FOR INJETION (CEFTAZIDIME) "KINGDOM" GINKON F.C. TABLET 9.6MG (GINKGOFLAVONE GLYCOSIDE) DICLOFEN GEL 10MG/GM (DICLOFENAC) "KOJAR" DICLOFEN GEL 10MG/GM "KOJAR" DICLOFEN GEL 10MG/GM "KOJAR" DICLOFEN GEL 10MG/GM "KOJAR" A038865100 BETALEN TAB. 100MG A038854277 A038856100 A038862329 第 178 頁,共 382 頁 刪除 刪除 71.00 2.16 24.60 36.00 39.80 1.32 5.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 7803 A038524321 藥品名稱 7817 ENCORT CREAM 0.1% "EVEREST" (TRIAMCINOLONE ACETONIDE) A038524329 ENCORT CREAM 0.1% "EVEREST" (TRIAMCINOLONE ACETONIDE) A038524335 ENCORT CREAM 0.1% "EVEREST" (TRIAMCINOLONE ACETONIDE) A038524399 ENCORT CREAM 0.1% "EVEREST" (TRIAMCINOLONE ACETONIDE) A038527100 UNIPRO FILM-COATED TABLETS 750MG (CIPROFLOXACIN) "UNION" A038528100 CIFLODAL F.C. TABLETS 500MG (CIPROFLOXACIN) "C.C.P.C." A038530100 CIMET TABLET 400MG (CIMETIDINE) "CHEN TA" A0385301G0 CIMET TABLET 400MG (CIMETIDINE) "CHEN TA" (鋁箔/膠箔) A038531100 CIMET TABLET 200MG (CIMETIDINE) "CHEN TA" A0385311G0 CIMET TABLET 200MG (CIMETIDINE) "CHEN TA"(鋁箔/膠箔) A038540329 FUMELON CREAM 10MG/GM (CENTELLA ASIATICA) "N.W." A038540399 FUMELON CREAM 10MG/GM "N.W" (CENTELLA ASIATICA) A038544265 CEKONIN FOR INJECTION (CEFUROXIME)"SWISS" A038544289 CEKONIN FOR INJECTION "SWISS" (CEFUROXIME) A038554100 SINFLO F.C.TAB. 100MG 7818 A038555255 7819 A038556100 7820 7831 A0385561G0 CIMEDIN TABLETS 400MG (CIMETIDINE)(30粒/瓶)(鋁箔/膠箔) A038559100 GINKGO S.C. TABLETS 9.6MG 'C.H.(GINKGOFLAVONGLYCOSIDE) A038571100 KETOLIN CAP. 10MG A038573212 FORTUM INJECTION I.V. INFUSION 2GM (CEFTAZIDIME) A038574100 POTARLON TABLETS 250MG (MEFENAMIC ACID) A038575100 MABAL CAPSULES 0.5MG "YU SHENG" (MECOBALAMIN) A038578100 I.B.F.F.C. TABLETS 400MG (IBUPROFEN) "KINGDOM" A0385781G0 I.B.F.F.C. TABLETS 400MG "KINGDOM"(IBUPROFEN)(鋁箔) A038580209 CHLORAMPHENICOL SODIUM SUCCINATE POWDER FOR INJECTION A038591100 TIOPEN TABLETS 200MG "WEIDAR" (TIAPROFENIC ACID) A038600100 HESOR TABLETS 60MG (DILTIAZEM HYDROCHIORIDE) "YU SHENG" A038604329 ANKAJEN CREAM 5% (ACYCLOVIR) "C.H." 7832 A038604399 7833 A038605100 7804 7805 7806 7807 7808 7809 7810 7811 7812 7813 7814 7815 7816 7821 7822 7823 7824 7825 7826 7827 7828 7829 7830 CINOLONE IV INFUSION 2MG/ML "S.T." (CIPROFLOXACIN) CIMEDIN TABLETS 400MG (CIMETIDINE) ANKAJEN CREAM 5% (ACYCLOVIR) "C.H." 7834 7835 7836 FADIN F.C. TABLET 20MG (FAMOTIDINE) "STANDARD" A038610100 BETAFORM F.C. TAB. 500MG A0386101G0 BETAFORM F.C. TAB. 500MG(鋁箔/膠箔) A038612100 AN LIN TABLETS 2MG (FLUNITRAZEPAM) 7837 A038614216 7838 A038615209 7839 A038615212 KOTAN INJECTION 100MG/ML (ACETYLCYSTEINE) "ASTAR" CEFIN FOR I.V. INJECTION (CEFTRIAXONE) "PANBIOTIC" CEFIN FOR I.V. INJECTION (CEFTRIAXONE) "PANBIOTIC" 100年1月 項次 支付價 7803 6.1 7804 15.7 7805 15.1 7806 1.01 7807 60 7808 10 7809 1 7810 1.5 7811 1 7812 1.5 7813 57 7814 5.7 7815 41.8 7816 36.6 7817 1.55 7818 329 7819 1 7820 1.5 7821 2.2 0.91 7822 7823 739 7824 0 7825 2.48 7826 0.96 7827 1.5 7828 12.3 7829 0 7830 3.77 7831 41.4 7832 4.14 7833 3.78 1 7834 1.5 7835 7836 3.22 7837 7.5 7838 419 7839 769 CODE 藥品名稱 A038867100 ATEOL F.C. TABLETS 50MG (ATENOLOL) "STANDARD" PAINSTOP E.C. TABLETS 25MG (DICLOFENAC)"SWISS" KETONA CREAM 450GM A038868100 A038870321 A038870329 說明 9901 支付價 2.04 0.49 23.00 A038870399 KETONA CREAM 20MG/GM (KETOCONAZOLE) "KOJAR" KETONA CREAM 20MG/GM (KETOCONAZOLE) "KOJAR" KETONA CREAM 20MG/GM (KETOCONAZOLE) "KOJAR" KETONA CREAM A038873100 MEQUIT TAB. 5MG 1.23 A038890100 VEWON TABLETS 5MG (FLUOXYMESTERONE) "YUNG SHIN" BIGACON FILM COATED TABLETS 200MG"YUNG SHIN" (CIMETIDINE) ASPIRIN POWDER FOR INJECTION 0.9GM (LYSINE ACETYLSALICYLATE) "LITA" BALAX TABLETS 10MG (BACLOFEN) "YU SHENG" GIBBER S.C. TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "Y.Y" SINSO F.C TAB. 40MG "CHINTENG" (VERAPAMIL) ZOPES CREAM 50MG/GM (ACYCLOVIR) "PURZER" UNO INJECTION 25MG/ML (RANITIDINE)"PURZER" MAGNESIUM SULFATE INJECTION 100MG/ML"C.C.P.C." PHOS-CAL F.C. TABLETS 667MG (CALCIUM ACETATE) "W.P." BEBENLINE F.C. TABLETS 135MG (MEBEVERINE HYDROCHLORIDE) 5-HTP TATUMCEF POWDER FOR I.V. INJECTION (CEFTAZIDIME) "C.C.P.C." TATUMCEF POWDER FOR I.V. INJECTION "C.C.P.C."(CEFTAZIDIME) TATUMCEF POWDER FOR I.V. INJECTION"C.C.P.C." (CEFTAZIDIME) KU SOU AN SYRUP "M.S." 2.39 A038870335 A038870338 A038891100 A038892229 A038923100 A038925100 A038926100 A038927323 A038928212 A038935263 A038944100 A038946100 A038948100 A038949209 A038949212 A038949277 A038952199 A038954100 A038955100 A038956100 14.20 56.00 57.00 1.42 1.00 8.50 1.10 2.26 0.97 41.30 41.30 163.00 2.51 1.92 27.70 117.00 679.00 刪除 70.00 0.46 MEGATO TABLETS 400MG (CIMETIDINE) "GENTLE" METISONE TABLETS 4MG (METHYLPREDNISOLONE) "S.D." SOLIKY TABLETS 200MG 1.00 ATOMIN TABLET 100MG "SHENG CHUN"[ATENOLOL] FUCOCIL GRANULES 66.7MG/GM (ACETYLCYSTEINE) "N.W." AXONECEF FOR IV INJECTION (CEFTRIAXONE) SILYVITA CAPSULES 2.04 2.58 2.20 刪除 A038964100 A038968116 A038972277 A038974100 A038980421 A038980429 A038982321 A038982329 A038982335 A038982338 第 179 頁,共 382 頁 LAN-YEN EYE DROPS "YY" LAN-YEN EYE DROPS "YY" ROYALSENSE ACNE GEL 10MG/GM (CLINDAMYCIN) "SINPHAR" ROYALSENSE ACNE GEL 10MG/GM (CLINDAMYCIN) "SINPHAR" ROYALSENSE ACNE GEL 10MG/GM (CLINDAMYCIN) "SINPHAR" ROYALSENSE ACNE GEL 10MG/GM (CLINDAMYCIN) "SINPHAR" 1.89 90.00 1.32 18.70 44.80 9.70 21.00 30.70 94.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 7840 A038615265 藥品名稱 7847 CEFIN FOR I.V. INJECTION (CEFTRIAXONE) "PANBIOTIC" A038615277 CEFIN FOR I.V. INJECTION (CEFTRIAXONE) "PANBIOTIC" A038616100 MECOMIN CAPSULES 0.5MG (MECOBALAMIN) "LITA" A038618209 CLINDAMYCIN INJECTION 150MG/ML "S.Y." A038620100 MEDROLIN FILM COATED TABLETS 50MG (MEBHYDROLINE) "F.Y." A0386201G0 MEDROLIN FILM COATED TABLETS 50MG (MEBHYDROLINE) "F.Y."(鋁 A038622100 PAINSTOP E.C. TABLET 50MG (DICLOFENAC) "SWISS" A038650100 AKIN TABLETS 2MG (BIPERIDEN) "H.S." 7848 A038652212 7849 7850 A038657100 A038663421 7851 A038664421 7852 A038680100 7853 7859 A0386801G0 VOLV TABLETS 500MG (MOTFORMIN)(鋁 箔) A038681100 DIMATAN TABLETS 80MG (GLICLAZIDE) "PFOSHEN" A038684100 ALININ CAPSULES 200MG (NIFUROXAZIDE) "N.W." A038685100 POTARLON TABLETS 500MG (MEFENAMIC ACID) A038686100 GINBININ S.C. TAB. 9.6MG A038687421 NORFLO OPHTHALMIC SOLUTION 3MG/ML (NORFLOXACIN) "UNION" A038698100 FENOTEROL TABLETS 2.5MG "KINGDOM" 7860 A038707238 7861 A038708129 7862 A038710100 7863 7864 7865 7866 7867 7868 A038711209 A038711212 A038712309 A038712335 A038712399 A038721100 7869 A038722100 7870 A0387221G0 COS TABLETS "CHINTENG"(鋁箔/膠箔) 7871 A038723100 VICARIN CAPSULES "H.S." 7872 A038724209 7873 A038724221 7874 A038737209 7875 A038737212 7876 A038747100 7877 A038758321 7878 A038758338 MECOMIN INJECTION 0.5MG/ML (MECOBALAMIN) "LITA" MEC0MIN INJECTION 0.5MG/ML (MECOBALAMIN) "LITA" PIXICAM I.M. INJECTION 20MG/ML (PIROXICAM)"ORIENTAL" PIXICAM I.M. INJECTION 20MG/ML (PIROXICAM)"ORIENTAL" CINOLONE F.C. TABLET 250MG (CIPROFLOXACIN) "S.T." CANSEN CREAM 10MG/GM "F.Y" (CLOTRIMAZOLE) CANSEN CREAM 10MG/GM "F.Y" (CLOTRIMAZOLE) 7841 7842 7843 7844 7845 7846 7854 7855 7856 7857 7858 V-GENTA INJECTION 40MG/ML (GENTAMICIN SULFATE) "VPP" ROLFEC CAP 250MG DELOLOL OPHTHALMIC SOLUTION 5MG/ML (TIMOLOL) "SINPHAR" DELOLOL OPHTHALMIC SOLUTION 2.5MG/ML (TIMOLOL) "SINPHAR" VOLV TABLETS 500MG (MOTFORMIN) UTAMINE INJECTION 12.5MG/ML (DOBUTAMINE) "KU-LINANG" SANWELL SUSPENSION 20MG/ML (CIMETIDINE) "KOJER" VESYCA FILM COATED TABLETS 300MG (RANITIDINE HYDROCHLORIDE) CEFAMID FOR INJECTION "GENTLE" CEFAMID FOR INJECTION "GENTLE" TOPIDIN CREAM TOPIDIN CREAM TOPIDIN CREAM DILAN TABLETS 150MG (BUFLOMEDIL) "ASTAR" COS TABLETS "CHINTENG" 100年1月 項次 支付價 7840 159 7841 161 7842 2.82 7843 68 7844 1.12 7845 1.5 7846 0.6 7847 2.9 7848 12.7 3.63 7849 7850 115 7851 81 7852 1 7853 1.5 7854 1.83 7855 3.24 7856 0 2.58 7857 7858 32.7 7859 0.8 7860 80 7861 9.7 7862 7.3 43.5 7863 182 7864 677 7865 54 7866 0.67 7867 7868 6.4 7869 0.8 7870 1.5 7871 1.61 7872 18.6 7873 53 7874 10 7875 10 7876 15.7 7877 8.2 7878 50 CODE 藥品名稱 A038982399 ROYALSENSE ACNE GEL 10MG/GM (CLINDAMYCIN) "SINPHAR" A0389823B9 ROYALSENSE ACNE GEL 10MG/GM (CLINDAMYCIN) "SINPHAR" A038983100 NOMPIN TABLETS 20MG (NOSCAPINE) "CHINTENG" A0389831G0 NOMPIN TABLETS 20MG (NOSCAPINE) "CHINTENG"(鋁箔) A038989100 DICLOFENAC SODIUM ENTERIC F.C TABLET 50MG "KINGDOM" A038992100 PROCA TABLETS 667MG (CALCIUM ACETATE) "BOWLIN" A038996100 NIFECARDIA CAPSULES 10MG (NIFEDIPINE) A038997100 NATOXEN TABLET 250MG "SHENG CHUN"[NAPROXEN] A039005321 SKIRAX CREAM 50MG/GM (ACYCLOVIR) A039005329 A039007100 說明 9901 支付價 0.87 789.00 1.00 1.50 0.60 2.54 2.40 1.24 47.60 SKIRAX CREAM 50MG/GM (ACYCLOVIR) ARAX TABLETS 25MG (HYDROXYZINE HYDROCHLORIDE) "ASTAR" MECO TABLETS 30MG (DEXTROMETHORPHAN) "CHINTENG" ASTEC TABLETS. 2.5MG "SHENG CHUN"[FENOTEROL] KEMEZIMIN CREAM 10MG/GM (BIFONAZOLE) "N.W." KEMEZIMIN CREAM 10MG/GM (BIFONAZOLE) "N.W." LABENON TAB. 200MG 42.60 1.00 0.24 A039036100 FANATON TABLETS 500MG (ACETAMINOPHEN) SULPIRIDE INJ. 25MG/ML 2ML ANME EYE DROPS 5.0MG/ML (TIMOLOL) "S.T." ANME EYE DROPS 2.5MG/ML (TIMOLOL) "S.T." QUICRAN F.C. TABLETS 300MG (RANITIDINE HYDROCHLORIDE) SKIRAX 800MG TAB. A039037100 NEURONIN CAPSULES A039039329 A039039335 A039039338 A039039372 A039039399 A039040212 YUH EEL FU CREAM 15GM YUH EEL FU CREAM 15GM YUH EEL FU CREAM 10GM YUHEELFU CREAM "S.C." YUHEELFU CREAM "S.C." KETIN INJECTION 50MG (KETOPROFEN) 63.00 49.20 87.00 938.00 0.97 10.00 DIMOLE S.C. TABLETS 25MG "EVEREST" (DIPYRIDAMOLE) A0390421G0 DIMOLE S.C. TABLETS 25MG "EVEREST" (DIPYRIDAMOLE)(90顆) A039045100 MEPRED TABLETS 4MG (METHYLPREDNISOLONE) "F.S." A039048123 KERFENMYCIN GRAN. FOR ORAL SUSP. 250MG/G A039048199 KERFENMYCIN GRANULES FOR ORAL SUSPENSION 250MG/GM (CEFACLOR) A039049100 GLAZIDE TABLETS 80MG (GLICLAZIDE) "S.S.P" A039050109 SUTAN GRANULE 20MG/G 1000G 0.74 A039013100 A039015100 A039017321 A039017329 A039018100 A039025100 A039032212 A039033477 A039034477 A039035100 A039042100 0.46 0.80 15.10 70.00 3.64 刪除 12.10 12.10 5.50 6.60 37.40 2.75 1.50 1.15 73.00 7.00 1.91 579.00 A039050199 SUTAN GRANULE 20MG/G 1000G 0.57 A039054100 UBIHEART CAP. 10MG 5.50 A039057109 SUTUN GRANULE 66.67MG/G 1000G 第 180 頁,共 382 頁 804.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 7879 A038760100 7880 A038761100 7881 A038763100 7882 A038764100 7883 A038765209 KERI CAPSULES 200MG (NIFUROXAZIDE) "H.S." MELICIN CAPSULES 50MG (MINOCYCLINE) "H.S." N-WAY TABLETS 400MG (CIMETIDINE) "MEIDER" N-WAY TABLETS 200MG "MEIDER"(CIMETIDINE) LUMIATO INJECTION 7884 A038772443 7892 BERTON NASAL SPRAY 0.1% (OXYMETAZOLINE) "C.M." A038773163 COWEMIN SUSPENSION 20MG/ML "CHINTENG" (CIMETIDINE) A038773199 COWEMIN SUSPENSION 20MG/ML "CHINTENG" (CIMETIDINE) A038776100 SUWEFUE F.C. TABLET 40MG "H.C"(FAMOTIDINE) A038777209 GIBICEF POWDER FOR INJECTION (CEFUROXIME) A038777277 GIBICEF POWDER FOR INJECTION (CEFUROXIME) A038779100 VOLEN E.C. TABLET (DICLOFENAC) "CHEN TA" A0387791G0 VOLEN E.C. TABLET (DICLOFENAC) "CHEN TA" (鋁箔/膠箔) A038780199 COUGHTIN SYRUP "ORIENTAL" 7893 A038785212 7894 A038819100 7895 7896 7897 A0388191G0 ROMICON-A CAPSULES "KINGDOM"(鋁箔) A038821140 GINLOBA DROPS 9.6 MG/ML (GINKGOFLAVONGLYCOSIDE) "UNION" A038830100 CENPARKIN CAPSULES 250MG 7898 A038831100 7899 A038833100 7885 7886 7887 7888 7889 7890 7891 QUICRAN INJECTION 25MG/ML(RANITIDINE) ROMICON-A CAPSULES "KINGDOM" CENPARKIN CAPSULES 125MG 7907 7908 SIGAMET F.C. TABLETS 400MG (CIMETIDINE) "SINPHAR" A038837100 CIMENICE TABLETS 200MG (CIMETIDINE) "JINUP" A038838100 LINOL F.C. TABLETS 120 MG (DIBISMUTH TRIOXIDE) "N.W." A038840100 SILYGEN-H CAPSULE 150MG (SILYMARIN) "H.C." A038843209 CEFMORE INJECTION (CEFOXITIN SODIUM) "SWISS" A038846100 BENZOX TABLETS 2MG (TRIHEXYPHENIDYL) "LITA" A0388461G0 BENZOX TABLETS 2MG (TRIHEXYPHENIDYL) "LITA"(鋁箔/膠箔) A038848109 TOPCEF GRANULES FOR ORAL SUSPENSION 50MG/ML (CEPHRADINE) A038850151 COLDYNIL SOLUTION A038850157 COLDYNIL SOLUTION 7909 A038850199 COLDYNIL SOLUTION 7910 A038851100 7911 A038854277 7912 A038856100 7913 A038862329 7914 A038862338 TECON TABLETS 200MG (TIAPROFENIC ACID) "M.T." KIDOZIME FOR INJETION (CEFTAZIDIME) "KINGDOM" GINKON F.C. TABLET 9.6MG (GINKGOFLAVONE GLYCOSIDE) DICLOFEN GEL 10MG/GM (DICLOFENAC) "KOJAR" DICLOFEN GEL 10MG/GM "KOJAR" 7900 7901 7902 7903 7904 7905 7906 100年1月 項次 支付價 7879 0 7880 3.33 7881 1 7882 1 7883 2 7884 99 7885 91 7886 0.28 7887 16 7888 0 7889 0 7890 0.6 7891 1.5 7892 0.17 7893 38.4 7894 0.99 1.5 7895 7896 159 7897 9.7 7898 4.22 7899 1.6 7900 1 7901 6.5 7902 2.2 7903 156 7904 0.69 7905 1.5 7906 8.1 10.3 7907 7908 21 7909 0.16 7910 3.31 7911 71 7912 0 7913 24.6 7914 35.8 說明 CODE 藥品名稱 9901 支付價 A039057110 SUTUN GRANULE 66.67MG/G 1.5G 2.22 A039057116 SUTUN GRANULE 66.67MG/G 3G 1.96 A039057177 SUTUN GRANULE 66.67MG/G A039057199 SUTUN GRANULE 66.67MG/G 1000G A039058209 LIMADOL INJECTION 50MG/ML (TRAMADOL HCL) "N.K." LIMADOL INJECTION 50MG/ML (TRAMADOL HCL) "N.K." DANLASE E.C.TABLETS 5MG"EVEREST" 刪除 A039058212 A039059100 A0390591G0 DANLASE E.C.TABLETS 5MG "EVEREST" (鋁箔/膠箔) A039065238 SODIUM BICARBONATE INJ. 70MG/ML 20ML A039069100 MEFENTIN CAPSULES 250MG (MEFENAMIC ACIA) "C.C.P.C." A0390691G0 MEFENTIN CAPSULES 250MG (MEFENAMIC ACIA) "C.C.P.C."(鋁箔) A039074100 MINOINE ANTIBIOTIC CAP. 100MG (MINOCYCLINE) "C.H." A039075100 NAPROXEN F.C. TABLET 500MG "KINGDOM" A039078209 ZONCEF FOR INJECTION(CEFOPERAZONE) 1G A039084209 CEPANON FOR INJECTION "TAI YU" (CEFOPERAZONE) A039084277 CEPANON FOR INJECTION "TAI YU"(CEFOPERAZONE) A039085100 K.T.L. TABLET "Y.S." A039087100 TRENFYLLINE S.R.F.C. TABLETS 400MG (PENTOXIFYLLINE) A039094212 CAFODUR FOR INJECTION (CEFOPERAZONE) "VPP" A039094277 CAFODUR FOR INJECTION (CEFOPERAZONE) "VPP" A039120100 AELICON CAPSULES 200MG (NIFURXAZIDE) Y.C." A039135100 KINDASE ENTERIC F.C. TABLETS. 5MG (SERRATIOPEPTIDASE) "KINGDOM" A039137212 NEOPHYLLIN INJECTION 150MG/ML "S.T." (DYPHYLLINE) A039138277 KLITOL INJECTION 5% "S.T." (XYLITOL) 354.00 0.65 36.40 39.50 1.00 1.50 3.20 0.37 刪除 1.50 刪除 5.10 2.63 162.00 162.00 64.00 0.63 3.15 215.00 64.00 3.23 1.00 2.94 31.50 A039139238 KLITOL INJECTION 10% "S.T." (XYLITOL) 3.68 A039144100 CLAZIDE TABLETS 80MG (GLICLAZIDE) "JOHNSON" BUMEDIN F.C. TABLETS 150MG "JOHNSON" (BUFLOMEDIL) SILYGEN CAP. 150MG 1.82 CEFAZOLIN INJETCION 1GM "SINPNAR" VEINTONIC F.C. TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "SWISS" L.A. INJECTION 900MG (LYSINE ASPIRIN) "STANDARD" CIPROFLOXACIN F.C. TABLETS 500MG "KINGDOM" MAJORMET TABLETS 25/250MG 22.10 2.54 A039145100 A039146100 A039155209 A039168100 A039169277 A039170100 A039211100 A039217100 A039218100 A039220100 第 181 頁,共 382 頁 5.40 2.13 6.80 14.40 9.00 WEIDOS F.C. TABLETS 150MG (RANITIDINE) "WEIDAR" SOWECAINE TABLETS 5MG "EVEREST" 3.29 PASHIN F.C. TABLETS 25MG (CLOMIPRAMINE) "S.D." 2.79 刪除 0.17 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 7915 7916 7917 7918 7919 7920 7921 7922 7923 7924 7925 7926 7927 7928 7929 7930 7931 7932 7933 7934 7935 7936 7937 7938 7939 7940 7941 7942 7943 7944 7945 7946 7947 7948 7949 7950 CODE 藥品名稱 100年1月 項次 支付價 A038862343 DICLOFEN GEL 10MG/GM "KOJAR" 7915 39.8 A038862399 DICLOFEN GEL 10MG/GM "KOJAR" 7916 1.32 A038865100 BETALEN TAB. 100MG 7917 5 A038867100 ATEOL F.C. TABLETS 50MG (ATENOLOL) 7918 2.04 "STANDARD" A038868100 PAINSTOP E.C. TABLETS 25MG 7919 0.49 (DICLOFENAC)"SWISS" A0388681G0 PAINSTOP E.C. TABLETS 25MG 7920 1.5 (DICLOFENAC)"SWISS"(鋁箔/膠箔)(2 23 7921 A038870321 KETONA CREAM 450GM A038870329 KETONA CREAM 20MG/GM 7922 14 (KETOCONAZOLE) "KOJAR" A038870335 KETONA CREAM 20MG/GM 7923 56 (KETOCONAZOLE) "KOJAR" A038870338 KETONA CREAM 20MG/GM 7924 57 (KETOCONAZOLE) "KOJAR" A038870399 KETONA CREAM 7925 0.67 A038873100 MEQUIT TAB. 5MG 7926 1.23 A038890100 VEWON TABLETS 5MG 7927 2.39 (FLUOXYMESTERONE) "YUNG SHIN" A038891100 BIGACON FILM COATED TABLETS 7928 0 200MG"YUNG SHIN" (CIMETIDINE) A038892229 ASPIRIN POWDER FOR INJECTION 0.9GM 7929 8.5 (LYSINE ACETYLSALICYLATE A038923100 BALAX TABLETS 10MG (BACLOFEN) "YU 7930 1.1 SHENG" A038925100 GIBBER S.C. TABLETS 9.6MG 7931 2.26 (GINKGOFLAVONGLYCOSIDE) "Y.Y" A038926100 SINSO F.C TAB. 40MG "CHINTENG" 7932 0.97 (VERAPAMIL) A038927323 ZOPES CREAM 50MG/GM (ACYCLOVIR) 7933 41.3 "PURZER" A038928212 UNO INJECTION 25MG/ML 7934 41.3 (RANITIDINE)"PURZER" A038935263 MAGNESIUM SULFATE INJECTION 7935 163 100MG/ML"C.C.P.C." A038944100 PHOS-CAL F.C. TABLETS 667MG 7936 2.51 (CALCIUM ACETATE) "W.P." A038946100 BEBENLINE F.C. TABLETS 135MG 7937 1.92 (MEBEVERINE HYDROCHLORIDE) A038948100 5-HTP CAPSULE 100MG 7938 27.7 "C.C.P.C."(OXITRIPTAN) A038949209 TATUMCEF POWDER FOR I.V. INJECTION 7939 117 (CEFTAZIDIME) "C.C.P.C." A038949212 TATUMCEF POWDER FOR I.V. INJECTION 7940 679 "C.C.P.C."(CEFTAZIDIME) A038949277 TATUMCEF POWDER FOR I.V. 7941 70 INJECTION"C.C.P.C." (CEFTAZIDIME) A038952199 KU SOU AN SYRUP "M.S." 7942 0.46 A038954100 MEGATO TABLETS 400MG (CIMETIDINE) 7943 1 "GENTLE" A038955100 METISONE TABLETS 4MG 7944 2.58 (METHYLPREDNISOLONE) "S.D." A038956100 SOLIKY TABLETS 200MG 7945 2.2 A038964100 ATOMIN TABLET 100MG "SHENG 7946 2.04 CHUN"[ATENOLOL] A038968116 FUCOCIL GRANULES 66.7MG/GM 7947 1.89 (ACETYLCYSTEINE) "N.W." A038972277 AXONECEF FOR IV INJECTION 7948 90 (CEFTRIAXONE) A038974100 SILYVITA CAPSULES 7949 1.32 A038980421 LAN-YEN EYE DROPS "YY" 7950 18.7 說明 CODE 藥品名稱 A039221100 A039229100 BUISLINE TABLETS 10MG (BUSPIRONE) "H.S." CEFULIN FOR INJECTION (CEFTAZIDIME) "TAI YU" BONALIP F.C. TABLETS 200MG (BEZAFIBRATE) "S.C." IEJYHHAO TAB. 100MG A039233100 MEROLIN TAB. 50MG 1.06 A039235100 SERRASE ENTERIC-COATED 10MG 1.05 A039239100 A039240100 5.70 1.00 A039251277 BROEN C S.C. TABLETS "N.K." WEISUN TABLETS 400MG (CIMETIDINE) "EVEREST" Y.F. NO.1 INJECTION "Y.F." 25.20 A039252277 Y.F. NO.3 INJECTION "Y.F." 32.00 A039257100 A039277100 SULPYRIDE F.C. TABLETS 200MG "H.C"(SULPIRIDE) SINFAMANDOL INJECTION 1GM (CEFAMANDOLE) "SINPHAR" UNIPRO FILM COATED TABLETS 250MG (CIPROFLOXACIN) "UNION" IBUFEN TABLETS 400MG (IBUPROFEN) A039278271 Y.F. NO.5 INJECTION "Y.F." 14.90 A039278277 YF NO.5 INJECTION 26.50 A039279277 Y.F. NO.4 INJECTION "Y.F." 30.20 A039291100 SICOTAN CAPSULES "N.W." 1.00 A039297100 CHILON ENTERIC MICRO-ENCAPSULATED CAPSULES 50MG "N.W."(DICLOFENAC) DOMPERID SUPP. 30MG 1.00 1.84 A039306338 ESTROMON F.C.TABLETS 0.625MG "STANDARD" RINDARON TABLETS 0.5MG"EVEREST" (BETAMETHASONE) AG-S COMPLEX CREAM 67.00 A039306348 AG-S COMPLEX CREAM 64.00 A039306377 AG-S COMPLEX CREAM 489.00 A039306399 AG-S COMPLEX CREAM 0.97 A039307100 9.00 A039315100 DELIPIC TABLETS (LOVASTATIN) "STANDARD" BORYMYCIN GRANULES 20MG/GM (MINOCYCLINE) ASDOWN SOLUTION 0.2MG/ML "S.S.P."(KETOTIFEN) ASDOWN SOLUTION (KETOTIFEN) 0.2MG/ML"S.S.P." URICIN TABLETS 100MG (BENZBROMARONE) ACYLETE TABLETS 400MG (ACYCLOVIR) A039318212 ONZOD INJ. 2MG/ML 2ML A039319209 TONCAM INJECTION 20MG/ML (PIROXICAM) "CHI SHENG" TONCAM INJECTION 20MG/ML (PIROXICAM) "CHI SHENG" MENTON TABLETS 500MG "SHENG CHUN"[ACETAMINOPHEN] A039223209 A039228100 A039258209 A039271100 9901 支付價 6.60 136.00 2.79 3.77 調整 4.38 調整 47.90 17.90 0.96 刪除 A039303500 A039304100 A039305100 A039308199 A039309151 A039309199 A039312100 A039319212 A039322100 第 182 頁,共 382 頁 5.00 0.32 3.06 55.00 0.91 5.00 10.00 213.00 10.00 10.00 0.19 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 7951 A038980429 LAN-YEN EYE DROPS "YY" 7952 A038982321 7978 7979 ROYALSENSE ACNE GEL 10MG/GM (CLINDAMYCIN) "SINPHAR" A038982329 ROYALSENSE ACNE GEL 10MG/GM (CLINDAMYCIN) "SINPHAR" A038982335 ROYALSENSE ACNE GEL 10MG/GM (CLINDAMYCIN) "SINPHAR" A038982338 ROYALSENSE ACNE GEL 10MG/GM (CLINDAMYCIN) "SINPHAR" A038982399 ROYALSENSE ACNE GEL 10MG/GM (CLINDAMYCIN) "SINPHAR" A0389823B9 ROYALSENSE ACNE GEL 10MG/GM (CLINDAMYCIN) "SINPHAR" A038983100 NOMPIN TABLETS 20MG (NOSCAPINE) "CHINTENG" A0389831G0 NOMPIN TABLETS 20MG (NOSCAPINE) "CHINTENG"(鋁箔) A038989100 DICLOFENAC SODIUM ENTERIC F.C TABLET 50MG "KINGDOM" A038992100 PROCA TABLETS 667MG (CALCIUM ACETATE) "BOWLIN" A038996100 NIFECARDIA CAPSULES 10MG (NIFEDIPINE) A038997100 NATOXEN TABLET 250MG "SHENG CHUN"[NAPROXEN] A039005321 SKIRAX CREAM 50MG/GM (ACYCLOVIR) A039005329 SKIRAX CREAM 50MG/GM (ACYCLOVIR) A039007100 ARAX TABLETS 25MG (HYDROXYZINE HYDROCHLORIDE) "ASTAR" A0390071G0 ARAX TABLETS 25MG (HYDROXYZINE HYDROCHLORIDE) "ASTAR"(鋁箔/ A039013100 MECO TABLETS 30MG (DEXTROMETHORPHAN) "CHINTENG" A039015100 ASTEC TABLETS. 2.5MG "SHENG CHUN"[FENOTEROL] A039017321 KEMEZIMIN CREAM 10MG/GM (BIFONAZOLE) "N.W." A039017329 KEMEZIMIN CREAM 10MG/GM (BIFONAZOLE) "N.W." A039018100 LABENON TAB. 200MG A039025100 FANATON TABLETS 500MG (ACETAMINOPHEN) A039032212 SULPIRIDE INJ. 25MG/ML 2ML A039033477 ANME EYE DROPS 5.0MG/ML (TIMOLOL) "S.T." A039034477 ANME EYE DROPS 2.5MG/ML (TIMOLOL) "S.T." A039035100 QUICRAN F.C. TABLETS 300MG (RANITIDINE HYDROCHLORIDE) A039036100 SKIRAX 800MG TAB. A039037100 NEURONIN CAPSULES 7980 A039039329 YUH EEL FU CREAM 15GM 7981 A039039335 YUH EEL FU CREAM 15GM 7982 7983 7984 A039039338 A039039372 A039039399 YUH EEL FU CREAM 10GM YUHEELFU CREAM "S.C." YUHEELFU CREAM "S.C." 7985 7986 A039040212 A039042100 7953 7954 7955 7956 7957 7958 7959 7960 7961 7962 7963 7964 7965 7966 7967 7968 7969 7970 7971 7972 7973 7974 7975 7976 7977 7987 7988 7989 KETIN INJECTION 50MG (KETOPROFEN) DIMOLE S.C. TABLETS 25MG "EVEREST" (DIPYRIDAMOLE) A0390421G0 DIMOLE S.C. TABLETS 25MG "EVEREST" (DIPYRIDAMOLE)(90顆) A039045100 MEPRED TABLETS 4MG (METHYLPREDNISOLONE) "F.S." A039048123 KERFENMYCIN GRAN. FOR ORAL SUSP. 250MG/G 100年1月 項次 支付價 7951 44.8 7952 9.7 7953 19.5 7954 30.6 7955 94 7956 0.64 7957 789 7958 1 7959 1.5 7960 0.6 7961 2.54 7962 2.4 7963 1.18 47.6 7964 42.6 7965 7966 1 7967 1.5 7968 0.46 7969 0.8 7970 15.1 7971 70 3.64 7972 7973 0.24 12.1 7974 7975 12.1 7976 5.5 7977 6.6 37.4 7978 7979 2.75 7980 63 7981 49.2 87 7982 938 7983 7984 0.78 10 7985 7986 0.74 7987 1.5 7988 1.15 7989 73 CODE 藥品名稱 A039323100 METHYLNICE CAPSULES 0.5MG (MECOBALAMIN) "JINUP" MORCASIN OPHTHALMIC SOLUTION 40MG/ML (SULFAMETHOXAZOLE) MORCASIN OPHTHALMIC SOLUTION 40MG/ML (SULFAMETHOXAZOLE) HALDECAN INJ. 50MG 1ML A039345421 A039345435 A039346209 說明 9901 支付價 2.79 5.20 10.10 調整 154.00 調整 A039347277 72.00 A039349343 SINFOMYCIN INJECTION 0.5GM (FOSFOMYCIN) "SINPHAR" VOREN-G GEL 10MG/GM (DICLOFENAC) A039349345 VOREN-G GEL 10MG/GM (DICLOFENAC) 35.40 A039350500 DICLOFEN SUPP. 25MG 2.94 A039351500 DICLOFEN SUPP. 12.5MG 1.77 A039358100 FLODIL F.C.TAB. 150MG 6.30 A039366100 BOFEN TABLETS 200MG (IBUPROFEN) 0.50 A039368100 38.80 A039385100 VIRLESS TABLETS 800MG (ACYCLOVIR) "YUNG SHIN" BOLAXIN F.C. TABLETS A039387100 A039392221 A039396100 OSTELIN 250MG LYO-POVIGENT INJECTION DISPEC TAB 40MG 1.44 69.00 0.50 A039397100 ANFLUPIN TAB 100MG 6.80 A039401100 ENALATEC TABLETS 20MG (ENALAPRIL) 2.85 A039407100 MEKIN TABLETS 5MG "S.C." 2.64 39.80 調整 1.62 調整 新增 A039408100 GLIUCON TABLETS 5MG (GLIBENCLAMIDE) A0394081G0 GLIUCON TABLETS 5MG (GLIBENCLAMIDE)(鋁箔) A039409100 TRIVEGEN F.C. TABLETS "ROYAL" A039414100 SINTEC TABLETS 20MG (ENALAPRIL) "S.T." A039429329 TORICAM GEL 10MG/G (PIROXICAM) A039429338 TORICAM GEL 10MG/G (PIROXICAM) 23.60 28.50 A039429343 TORICAM GEL 10MG/G (PIROXICAM) 55.00 A039429345 TORICAM GEL 10MG/G (PIROXICAM) 52.00 A0394293AK TORICAM GEL 10MG/G (PIROXICAM) A039431100 DOPADINE F.C. TABLET 100MG (AMANTADINE) "SWISS" A039432438 BECOTON NASAL SPRAY 0.42MG/GM (BECLOMETHASONE) "B&F" A039484100 OSAMINE CAPSULES 250MG (GLUCOSAMINE SULFATE) "S.S.P." A039485109 IPUTON SUSPENSION 20MG/ML A039485151 IPUTON SUSPENSION 20MG/ML A039485157 IPUTON SUSPENSION 20MG/ML (IBUPROFEN) "N.W." A039485199 IPUTON SUSPENSION 20MG/ML A039488100 UNIPRO FILM-COATED TABLETS 500MG (CIPROFLOXACIN) "UNION" A039517210 ZINACEF POWDER FOR INJECTION 1.5GM (CEFUROXIME) A039518100 SUFEN TABLETS 200MG (TIAPROFENIC ACID ) A039519100 TETRALIN CAPSULES 250MG (TERACYCLINE HYDROCHLO-RIDE) 第 183 頁,共 382 頁 1.00 1.50 2.72 3.30 56.00 10.00 94.00 1.64 410.00 25.00 60.00 調整 0.22 13.00 82.00 3.85 0.56 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 7990 7991 7992 7993 7994 7995 7996 7997 7998 7999 8000 8001 8002 8003 8004 8005 8006 8007 8008 8009 8010 8011 8012 8013 8014 8015 8016 8017 8018 8019 8020 8021 8022 8023 8024 8025 8026 CODE 藥品名稱 100年1月 項次 支付價 A039048199 KERFENMYCIN GRANULES FOR ORAL 7990 7 SUSPENSION 250MG/GM (CEFACLOR A039049100 GLAZIDE TABLETS 80MG (GLICLAZIDE) 7991 1.91 "S.S.P" A039050109 SUTAN GRANULE 20MG/G 1000G 7992 579 A039050199 SUTAN GRANULE 20MG/G 1000G 7993 0.57 A039054100 UBIHEART CAP. 10MG 7994 5.5 A039057109 SUTUN GRANULE 66.67MG/G 1000G 7995 804 A039057110 SUTUN GRANULE 66.67MG/G 1.5G 7996 2.22 A039057116 SUTUN GRANULE 66.67MG/G 3G 7997 1.96 354 7998 A039057177 SUTUN GRANULE 66.67MG/G 0.65 7999 A039057199 SUTUN GRANULE 66.67MG/G 1000G A039058209 LIMADOL INJECTION 50MG/ML 8000 36.4 (TRAMADOL HCL) "N.K." A039058212 LIMADOL INJECTION 50MG/ML 8001 39.5 (TRAMADOL HCL) "N.K." A039059100 DANLASE E.C.TABLETS 5MG"EVEREST" 8002 1 A0390591G0 DANLASE E.C.TABLETS 5MG "EVEREST" 8003 1.5 (鋁箔/膠箔) A039065238 SODIUM BICARBONATE INJ. 70MG/ML 8004 3.2 20ML A039069100 MEFENTIN CAPSULES 250MG 8005 0.37 (MEFENAMIC ACIA) "C.C.P.C." A0390691G0 MEFENTIN CAPSULES 250MG 8006 1.5 (MEFENAMIC ACIA) "C.C.P.C."(鋁箔) A039074100 MINOINE ANTIBIOTIC CAP. 100MG 8007 5.1 (MINOCYCLINE) "C.H." A039075100 NAPROXEN F.C. TABLET 500MG 8008 2.63 "KINGDOM" A039078209 ZONCEF FOR INJECTION(CEFOPERAZONE) 8009 162 1G A039084209 CEPANON FOR INJECTION "TAI YU" 8010 162 (CEFOPERAZONE) A039084277 CEPANON FOR INJECTION "TAI 8011 64 YU"(CEFOPERAZONE) 0.63 8012 A039085100 K.T.L. TABLET "Y.S." A039087100 TRENFYLLINE S.R.F.C. TABLETS 400MG 8013 3.15 (PENTOXIFYLLINE) A039094212 CAFODUR FOR INJECTION 8014 215 (CEFOPERAZONE) "VPP" A039094277 CEFODUR FOR INJECTION 8015 64 (CEFOPERAZONE) "VPP" A039120100 AELICON CAPSULES 200MG 8016 3.23 (NIFURXAZIDE) Y.C." A039135100 KINDASE ENTERIC F.C. TABLETS. 5MG 8017 1 (SERRATIOPEPTIDASE) "KING A039137212 NEOPHYLLIN INJECTION 150MG/ML "S.T." 8018 2.94 (DYPHYLLINE) A039138277 KLITOL INJECTION 5% "S.T." (XYLITOL) 8019 31.5 A039139238 KLITOL INJECTION 10% "S.T." (XYLITOL) 8020 3.68 A039144100 CLAZIDE TABLETS 80MG (GLICLAZIDE) 8021 1.82 "JOHNSON" A039145100 BUMEDIN F.C. TABLETS 150MG 8022 0 "JOHNSON" (BUFLOMEDIL) A039146100 SILYGEN CAP. 150MG 8023 2.13 A039155209 CEFAZOLIN INJETCION 1GM "SINPNAR" 8024 22.1 A039168100 VEINTONIC F.C. TABLETS 9.6MG 8025 2.52 (GINKGOFLAVONGLYCOSIDE) "SWISS A039169277 L.A. INJECTION 900MG (LYSINE ASPIRIN) 8026 6.8 "STANDARD" CODE 藥品名稱 說明 9901 支付價 A0395191G0 TETRALIN CAPSULES 250MG (TERACYCLINE HYDROCHLO-RIDE) A039522209 UNIZID FOR INJ. (CEFTAZIDIME) "UNION" 137.00 A039522212 710.00 UNIZID FOR INJECTION "UNION"(CEFTAZIDIME) A039522277 UNIZID FOR INJECTION "UNION"(CEFTAZIDIME) A039523100 OFCIN FILM COATED TABLETS 400MG (OFLOXACIN) A039537100 SILYMIN CAPSULE 150MG (SILYMARIN) "SWISS" A039540100 LIPOSEC CAPSULES 300MG (ETOFIBRATE) "S.S.P." A039546100 GLUCOBIN TABLETS 500MG "W.P." (METFORMIN) A039547100 CENTAL F.C. TABLETS 100MG A039553100 ETOFAT CAPSULES "STANDARD" A039559100 SULOMEI F.C.TABLETS 250MG (TICLOPIDINE) "N.W." A039560100 BACIZIDE CAPSULES 200MG (NIFUROXAZIDE) "S.C." A039561100 LIHOSIN F.C. TABLETS 10MG (SCOPOLAMINE BUTYLBROMIDE) A0395611G0 LIHOSIN F.C. TABLETS 10MG (SCOPOLAMINE BUTYLBROMIDE)(鋁箔) A039564100 ASO TABLETS 1000MG (SUCRALFATE) "CHI SHENG " A039568100 G-S SOFT CAPSULES 100MG (GEFARNATE) "GRAPE" A039575100 KERSYN F.C.TABLETS 100MG A039578100 A039583100 A039584100 A039586335 A039587100 PROTAB TABLETS 10MG (MEDROXYPROGESTERONE) BUFLOWMED F.C. TABLETS 150MG (BUFLOMEDIL HYDROCHLORIDE) MEBEVER F.C. TABLETS 135MG "SINPHAR"(MEBEVERINE CLOTRI SOLUTION 10MG/ML (CLOTRIMAZOLE) "KOJAR" CORNIN CAPSULES "NW" A039588199 A039589100 1.50 69.00 25.10 2.18 3.35 1.00 1.84 3.42 6.00 2.78 0.80 1.50 2.50 4.72 5.10 1.27 6.30 1.65 43.20 1.87 ZUEN GRANULES "CHINTENG" DEGOUT TABLETS 0.5MG (CLOCHICINE) "CHINTENG" A0395891G0 DEGOUT TABLETS 0.5MG (CLOCHICINE) "CHINTENG"(鋁箔/膠箔) A039595100 SANPO 2MG 0.95 0.82 A0395951G0 SANPO CAPSULES 2MG "CHIN TENG"(鋁 箔) A039596321 CHENFU CREAM 20MG/GM"CHINTENG" (KETOCONAZOLE) A039596329 CHENFU CREAM 20MG/GM"CHINTENG" (KETOCONAZOLE) A039596335 CHENFU CREAM 20MG/GM"CHINTENG" (KETOCONAZOLE) A039596338 CHENFU CREAM 20MG/GM"CHINTENG" (KETOCONAZOLE) A039596399 CHENFU CREAM 20MG/GM"CHINTENG" (KETOCONAZOLE) A039597100 SWITANE TABLET 2MG (TRIHEXYPHENIDYL) "SWISS" A0395971G0 SWITANE TABLET 2MG (TRIHEXYPHENIDYL) "SWISS" (鋁箔/膠箔) A039598212 VEINTONIC INJECTION 0.84MG/ML "SWISS" (GINKGOFLAVONEGLYCOSIDE) A039598221 VEINTONIC INJECTION 0.84MG/ML "SWISS" (GINKGOFLAVONEGLYCOSIDE) A039599100 ESTRA TABLETS 2MG (ESTRADIOL) 1.50 第 184 頁,共 382 頁 1.50 0.48 22.70 14.70 54.00 57.00 1.47 0.77 刪除 1.50 29.20 45.60 調整 1.80 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 8027 A039170100 8028 8029 A039211100 A039217100 8030 8031 A039218100 A039220100 8032 A039221100 8033 A039223209 8034 A039228100 8035 A039229100 8036 A039233100 8037 A039235100 8038 A039239100 8039 A039240100 8040 8041 A039251277 A039252277 8042 A039257100 8043 A039258209 8044 A039271100 8045 A039277100 8046 A039278271 8047 A039278277 8048 8049 8050 A039279277 A039291100 A039297100 8051 8052 A039303500 A039304100 8053 A039305100 8054 A039306338 8055 8056 8057 A039306348 A039306377 A039306399 8058 A039307100 8059 A039308199 8060 A039309151 8061 A039309199 8062 A039312100 8063 A039315100 8064 A039318212 8065 A039319209 藥品名稱 100年1月 項次 支付價 CIPROFLOXACIN F.C. TABLETS 500MG 8027 14.4 "KINGDOM" 9 8028 MAJORMET TABLETS 25/250MG WEIDOS F.C. TABLETS 150MG 8029 3.29 (RANITIDINE) "WEIDAR" 0.17 8030 SOWECAINE TABLETS 5MG "EVEREST" PASHIN F.C. TABLETS 25MG 8031 2.79 (CLOMIPRAMINE) "S.D." BUISLINE TABLETS 10MG (BUSPIRONE) 8032 0 "H.S." CEFULIN FOR INJECTION (CEFTAZIDIME) 8033 136 "TAI YU" BONALIP F.C. TABLETS 200MG 8034 2.79 (BEZAFIBRATE) "S.C." IEJYHHAO TAB. 100MG 8035 3.77 MEROLIN TAB. 50MG 8036 1.06 SERRASE ENTERIC-COATED 10MG 8037 1.05 BROEN-C ENTERIC F.C. TABLETS "N.K." 8038 5.7 WEISUN TABLETS 400MG (CIMETIDINE) 8039 1 "EVEREST" 25.2 8040 Y.F. NO.1 INJECTION "Y.F." Y.F. NO.3 INJECTION "Y.F." 8041 32 SULPYRIDE F.C. TABLETS 200MG 8042 4.38 "H.C"(SULPIRIDE) SINFAMANDOL INJECTION 1GM 8043 47.9 (CEFAMANDOLE) "SINPHAR" UNIPRO FILM COATED TABLETS 250MG 8044 17.9 (CIPROFLOXACIN) "UNION" IBUFEN TABLETS 400MG (IBUPROFEN) 8045 0.96 Y.F. NO.5 INJECTION "Y.F." 8046 14.9 YF NO.5 INJECTION 8047 26.5 30.2 8048 Y.F. NO.4 INJECTION "Y.F." 1 8049 SICOTAN CAPSULES "N.W." CHILON ENTERIC MICRO-ENCAPSULATED 8050 1 CAPSULES 50MG "N.W."(DICL 5 8051 DOMPERID SUPP. 30MG ESTROMON F.C.TABLETS 0.625MG 8052 1.84 "STANDARD" RINDARON TABLETS 0.5MG"EVEREST" 8053 0.32 (BETAMETHASONE) AG-S COMPLEX CREAM 8054 67 64 8055 AG-S COMPLEX CREAM 489 8056 AG-S COMPLEX CREAM AG-S COMPLEX CREAM 8057 0.97 DELIPIC TABLETS (LOVASTATIN) 8058 9 "STANDARD" BORYMYCIN GRANULES 20MG/GM 8059 3.06 (MINOCYCLINE) ASDOWN SOLUTION 0.2MG/ML 8060 55 "S.S.P."(KETOTIFEN) ASDOWN SOLUTION (KETOTIFEN) 8061 0.91 0.2MG/ML"S.S.P." URICIN TABLETS 100MG 8062 0 (BENZBROMARONE) ACYLETE TABLETS 400MG (ACYCLOVIR) 8063 10 ONZOD INJ. 2MG/ML 2ML 8064 213 TONCAM INJECTION 20MG/ML 8065 10 (PIROXICAM) "CHI SHENG" 說明 CODE 藥品名稱 A039600100 A039604209 A039604265 MINO CAPSULES 100MG (MINOCYCLINE HYDROCHLORIDE) "CHINTENG" ASACOR TABLETS 20MG OXAZONOL CAPSULE 10MG "SHENG CHUN"[OXAZOLAM] SALINE INJECTION 0.45% "N.K." SALINE INJECTION 0.45% "N.K." 22.20 19.40 A039604277 SALINE INJECTION 0.45% "N.K." 16.50 A039606266 SAXIZONPOWDER FOR INJECTION 300MG 93.00 A039608100 TRENTOLIN E.C. TABLETS 100MG (PENTOXIFYLLINE) "SHENG CHUN " CYPROMINE SYRUP 0.4MG/ML "W.P." (CYPROHEPTADINE) CYPROMINE SYRUP 0.4MG/ML "W.P." (CYPROHEPTADINE) BIFONA TOPICAL SOLUTION 10MG/ML "S.C." (BIFONAZOLE) BIFONA TOPICAL SOLUTION 10MG/ML "S.C." (BIFONAZOLE) CIMETIDINE TAB. 400MG A039601100 A039603100 9901 支付價 5.20 8.80 0.56 刪除 A039609151 A039609199 A039614338 A039614345 A039615100 A0396151G0 CIMETIDINE TABLETS. 400MG "S.C."(鋁箔) A039616329 AN HAO CREAM 50MG/GM (ACYCLOVIR) "S.C." A039616372 AN HAO CREAM 50MG/GM (ACYCLOVIR) "S.C." A039616399 AN HAO CREAM 50MG/GM (ACYCLOVIR) "S.C." A039619238 ANKOTON INJECTION "ASTAR" A039620321 SYAWE CREAM 50MG/GM (ACYCLOVIR)"MEIDER" A039620399 SYAWE CREAM 50MG/GM (ACYCLOVIR)"MEIDER" A0396203AH SYAWE CREAM 50MG/GM (ACYCLOVIR)"MEIDER" A039621100 TOZY EXTRA. TAB. A039623321 MEXAC OINTMENT 5GM A039623329 MEXAC OINTMENT 10GM A039623335 A039623372 MEXAC OINTMENT 15G MEXAC OINTMENT 450G A039625100 FELDEMIN CAPSULES 20MG "EVEREST" (PIROXICAM) ANXICAM INJECTION 2MG/ML (LORAZEPAM) "SWISS" SKIRAX 400MG TAB SKIRAX TABLETS 200MG (ACYCLOVIR) CEKOR CAPSULES 250MG (CEFACLOR) "STANDARD" MUCO-T INJECTION (ACETYLCYSTEINE) "S.Y." WEILE CAP.500MG A039626209 A039628100 A039629100 A039630100 A039631216 A039634100 A039658100 0.79 5.40 0.09 105.00 160.00 1.00 1.50 42.00 926.00 2.05 7.70 47.60 3.25 51.00 1.00 22.80 34.10 66.00 2,156.00 1.08 10.00 13.90 10.40 3.61 7.50 0.76 A039660277 GLUCO CAPSULES 250MG (GLUCOSAMINE SULFATE) "N.W." SALINE INJECTION 3% "N.K." 1.66 20.40 A039661100 NOSCAPINE TABLET 20MG "Y.S." 0.80 A039663100 CIMETIN TABLETS 400MG "SENTAI" (CIMETIDINE) CEPHALEXIN GRANULES 500MG/GM "CHINTENG" CIMETIN TABLETS 200MG "SENTAI" (CIMETIDINE) 1.00 刪除 A039681199 A039683100 第 185 頁,共 382 頁 3.98 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 8066 8067 8068 8069 8070 8071 8072 8073 8074 8075 8076 8077 8078 8079 8080 8081 8082 8083 8084 8085 8086 8087 8088 8089 8090 8091 8092 8093 8094 8095 8096 8097 8098 8099 8100 8101 8102 8103 8104 8105 8106 CODE 藥品名稱 100年1月 項次 支付價 A039319212 TONCAM INJECTION 20MG/ML 8066 10 (PIROXICAM) "CHI SHENG" A039322100 MENTON TABLETS 500MG "SHENG 8067 0.19 CHUN"[ACETAMINOPHEN] A039323100 METHYLNICE CAPSULES 0.5MG 8068 2.79 (MECOBALAMIN) "JINUP" A039345421 MORCASIN OPHTHALMIC SOLUTION 8069 5.2 40MG/ML (SULFAMETHOXAZOLE) "SI A039345435 MORCASIN OPHTHALMIC SOLUTION 8070 10.1 40MG/ML (SULFAMETHOXAZOLE) "SI A039346209 HALDECAN INJ. 50MG 1ML 8071 154 A039347277 SINFOMYCIN INJECTION 0.5GM 8072 72 (FOSFOMYCIN) "SINPHAR" 39.8 8073 A039349343 VOREN-G GEL 10MG/GM (DICLOFENAC) A039349345 VOREN-G GEL 10MG/GM (DICLOFENAC) 8074 35.4 A039350500 DICLOFEN SUPP. 25MG 8075 2.94 1.77 8076 A039351500 DICLOFEN SUPP. 12.5MG A039358100 FLODIL F.C.TAB. 150MG 8077 6.3 A039366100 BOFEN TABLETS 200MG (IBUPROFEN) 8078 0.5 A039368100 VIRLESS TABLETS 800MG (ACYCLOVIR) 8079 38.8 "YUNG SHIN" A039385100 BOLAXIN F.C. TABLETS 8080 0 A039387100 OSTELIN 250MG 8081 1.44 A039392221 LYO-POVIGENT INJECTION 8082 69 A039396100 DISPEC TAB 40MG 8083 0.5 6.8 8084 A039397100 ANFLUPIN TAB 100MG 2.85 8085 A039401100 ENALATEC TABLETS 20MG (ENALAPRIL) 2.64 8086 A039407100 MEKIN TABLETS 5MG "S.C." 1 8087 A039408100 GLIUCON TABLETS 5MG A0394081G0 GLIUCON TABLETS 5MG 8088 1.5 (GLIBENCLAMIDE)(鋁箔/膠箔) 2.72 8089 A039409100 TRIVEGEN F.C. TABLETS "ROYAL" A039414100 SINTEC TABLETS 20MG (ENALAPRIL) 8090 3.3 "S.T." 23.6 8091 A039429329 TORICAM GEL 10MG/G (PIROXICAM) 28.5 8092 A039429338 TORICAM GEL 10MG/G (PIROXICAM) 55 8093 A039429343 TORICAM GEL 10MG/G (PIROXICAM) A039429345 TORICAM GEL 10MG/G (PIROXICAM) 8094 52 A0394293AK TORICAM GEL 10MG/G (PIROXICAM) 8095 56 A039431100 DOPADINE F.C. TABLET 100MG 8096 10 (AMANTADINE) "SWISS" A039432438 BECOTON NASAL SPRAY 0.42MG/GM 8097 94 (BECLOMETHASONE) "B&F" A039484100 OSAMINE CAPSULES 250MG 8098 1.64 (GLUCOSAMINE SULFATE) "S.S.P." A039485109 IPUTON SUSPENSION 20MG/ML 8099 410 25 8100 A039485151 IPUTON SUSPENSION 20MG/ML A039485157 IPUTON SUSPENSION 20MG/ML 8101 60 (IBUPROFEN) "N.W." A039485199 IPUTON SUSPENSION 20MG/ML 8102 0.22 A039488100 UNIPRO FILM-COATED TABLETS 500MG 8103 13 (CIPROFLOXACIN) "UNION" A039517210 ZINACEF POWDER FOR INJECTION 1.5GM 8104 82 (CEFUROXIME) A039518100 SUFEN TABLETS 200MG (TIAPROFENIC 8105 0 ACID ) A039519100 TETRALIN CAPSULES 250MG 8106 0.56 (TERACYCLINE HYDROCHLO-RIDE) 說明 CODE 藥品名稱 A039684209 CEKODIN-A INJECTION (CEPHRADINE) 9901 支付價 44.30 A039684277 CEKODIN-A INJECTION (CEPHRADINE) 30.20 A039688100 DIMETINE TABLETS 4MGDIMETINE TABLETS 4MG "EVEREST" A039689209 FOLSMYCIN POWDER FOR INJECTION (FOSFOMYCIN) "YUNG SHIN" A039689212 FOLSMYCIN POWDER FOR INJECTION (FOSFOMYCIN) "YUNG SHIN" A039689277 FOLSMYCIN POWDER FOR INJECTION (FOSFOMYCIN) "YUNG SHIN" A039691100 PROMIL CAPSULES 25MG (CLOMIPRAMINE) "S.S.P." A039692100 WEISU F.C.TAB.200MG A039693335 DICLOFE GEL 1% (DICLOFENAC SODIUM) "ROOT" A039693399 DICLOFE GEL 1% (DICLOFENAC SODIUM) "ROOT" A0396942CX TAZOCIN LYO-INJECTION A039700100 CENIDOL TABLETS 25MG "SHENG CHUN"[DIPHENIDOL] A039701151 LACTUL SYRUP 666MG/ML (LACTULOSE) "SINPHAR" A039701166 LACTUL SYRUP 666MG/ML (LACTULOSE) "SINPHAR" A039701177 LACTUL SYRUP 666MG/ML (LACTULOSE) "SINPHAR" A039701199 LACTUL SYRUP 666MG/ML (LACTULOSE) "SINPHAR" A039703100 LABTAL F.C. TABLETS 200MG (LABETALOL) "SINPHAR" A039707151 SYNTIFEN SOLUTION 0.2MG/ML (KETOTIFEN) "S.Y." A039714209 CEZONE INJECTION "N.K." A039714212 CEZONE INJECTION "N.K." A039714277 CEZONE INJECTION "N.K." A039718100 DICLOFENAC SODIUM E.F.C.TAB. A039719100 ENZDASE ENTERIC F.C. TABLETS 10MG (SERRATIOPEPTIDASE) A039720100 UCAR CAP. 10MG A039722100 CIFLODAL F.C. TABLETS 250MG (CIPROFLOXACIN) "C.C.P.C." A039725100 MECOBAL CAP.0.5MG A039727100 OXEWAY TABLETS 5MG (OXETHAZAINE) A039728100 MOTALINE TAB. 10MG A039729100 MECIDAL F.C.TABLETS 50MG "SHENG CHUN"[MEBHYDROLINE] A039731100 JOINTELL CAPSULES 300MG "EVEREST" (GEMFIBROZIL) A039734100 DICRON TAB. 80MG A039740100 A039742100 A039744338 A039769100 A039772100 A039774100 A039775100 A039776100 A039778100 A039780100 第 186 頁,共 382 頁 KENCORT TABLETS 4MG "EVEREST"(TRIAMCINOLONE) BOLINON S.C. TABLETS 10MG (NICERGOLINE) "N.W." KERPHEN GEL 1% (DICLOFENAC SODIUM) "PFOSHEN" ROSUP CAPSULES 25MG (LOXAPINE) VOKER FILM COATES TABLETS 40MG (FAMOTIDINE) AMANXIN F.C.TABLETS 100MG "SHENG CHUN"[AMANTADINE] NAPTON F.C. TABLETS 275MG (NAPROXEN SODIUM) "B&F" AMOCILLIN CAPSULES 250 MG "CHI SHENG" (AMOXICILLIN) SEPIRONE TABLETS 10MG (BUSPIRONE HYDROCHLORIDE) "S.Y." NOSCAPINE TABLETS 10MG "Y.S." 0.25 129.00 247.00 72.00 2.14 2.12 31.90 2.02 409.00 0.66 28.30 252.00 177.00 刪除 0.35 3.22 55.00 162.00 193.00 64.00 1.00 1.00 5.20 17.90 2.48 0.17 0.59 1.09 1.75 1.71 0.63 5.70 36.30 4.20 13.30 2.33 1.35 1.00 7.70 刪除 0.80 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 8107 8108 A0395191G0 TETRALIN CAPSULES 250MG (TERACYCLINE HYDROCHLO-RIDE) A039522209 UNIZID FOR INJ. (CEFTAZIDIME) "UNION" 8109 A039522212 8128 8129 UNIZID FOR INJECTION "UNION"(CEFTAZIDIME) A039522277 UNIZID FOR INJECTION "UNION"(CEFTAZIDIME) A039523100 OFCIN FILM COATED TABLETS 400MG (OFLOXACIN) A039537100 SILYMIN CAPSULE 150MG (SILYMARIN) "SWISS" A039540100 LIPOSEC CAPSULES 300MG (ETOFIBRATE) "S.S.P." A039546100 GLUCOBIN TABLETS 500MG "W.P." (METFORMIN) A039547100 CENTAL F.C. TABLETS 100MG A039553100 ETOFAT CAPSULES "STANDARD" A039559100 SULOMEI F.C.TABLETS 250MG (TICLOPIDINE) "N.W." A039560100 BACIZIDE CAPSULES 200MG (NIFUROXAZIDE) "S.C." A039561100 LIHOSIN F.C. TABLETS 10MG (SCOPOLAMINE BUTYLBROMIDE) A0395611G0 LIHOSIN F.C. TABLETS 10MG (SCOPOLAMINE BUTYLBROMIDE)(鋁箔/ A039564100 ASO TABLETS 1000MG (SUCRALFATE) "CHI SHENG " A039568100 G-S SOFT CAPSULES 100MG (GEFARNATE) "GRAPE" A039575100 KERSYN F.C.TABLETS 100MG A039578100 PROTAB TABLETS 10MG (MEDROXYPROGESTERONE) A039583100 BUFLOWMED F.C. TABLETS 150MG (BUFLOMEDIL HYDROCHLORIDE) "SI A039584100 MEBEVER F.C. TABLETS 135MG "SINPHAR"(MEBEVERINE HYDROCHLORI A039586335 CLOTRI SOLUTION 10MG/ML (CLOTRIMAZOLE) "KOJAR" A039587100 CORNIN CAPSULES "NW" A039588199 ZUEN GRANULES "CHINTENG" 8130 A039589100 8110 8111 8112 8113 8114 8115 8116 8117 8118 8119 8120 8121 8122 8123 8124 8125 8126 8127 8131 8132 8133 8134 8135 DEGOUT TABLETS 0.5MG (CLOCHICINE) "CHINTENG" A0395891G0 DEGOUT TABLETS 0.5MG (CLOCHICINE) "CHINTENG"(鋁箔/膠箔) A039595100 SANPO 2MG A0395951G0 SANPO CAPSULES 2MG "CHIN TENG"(鋁 箔) A039596321 CHENFU CREAM 20MG/GM"CHINTENG" (KETOCONAZOLE) A039596329 CHENFU CREAM 20MG/GM"CHINTENG" (KETOCONAZOLE) 100年1月 項次 支付價 8107 1.5 8108 137 8109 710 8110 69 8111 25.1 8112 2.18 8113 3.35 8114 1 1.84 8115 3.42 8116 8117 6 8118 2.78 8119 0.8 8120 1.5 8121 2.5 8122 4.72 5.1 8123 8124 1.27 8125 6.3 8126 1.65 8127 43.2 1.87 8128 8129 0.95 8130 0.82 8131 1.5 8132 0.48 8133 1.5 8134 22.7 8135 藥品名稱 A039782209 A039804100 TRICEF FOR IM. INJECTION (CEFTRIAXONE) "SWISS" TRICEF FOR IM. INJECTION (CEFTRIAXONE) "SWISS" BENRONE TAB. 100MG "WEIDAR" (BENZBROMARONE) OFLODAL F.C. TABLETS 100MG (OFLOXACIN) QUIMADINE F.C. TABLETS 20MG (FAMOTIDINE) OFCIN FILM COATED TABLETS 200MG (OFLOXACIN) OFCIN FILM COATED TABLETS 100MG (OFLOXACIN) TICOS CAPSULES "CHINTENG" A039812329 A039812335 A039812338 ENTON GEL ENTON GEL ENTON GEL 22.90 38.40 33.00 A039812345 ENTON GEL10MG/GM "CHINTENG" (PIROXICAM) ENTON GEL 52.00 A039782277 A039790100 A039793100 A039794100 A039797100 A039798100 A039812399 A039816100 A039596335 8137 A039596338 8138 A039596399 8139 A039597100 CHENFU CREAM 20MG/GM"CHINTENG" (KETOCONAZOLE) CHENFU CREAM 20MG/GM"CHINTENG" (KETOCONAZOLE) 8142 2.88 3.94 6.50 3.76 1.27 1.32 A039819100 A039822100 ESTRADE TABLETS 2MG 1.76 A039824100 A039825100 SUCWAY TAB. 1000MG URONIN TAB. 5MG 2.48 3.00 A039830212 GENTAMICIN INJECTION 40MG/ML "N.K." 9.60 A039830229 GENTAMICIN INJECTION 40MG/ML "N.K." 15.60 A039830238 GENTAMICIN INJECTION 40MG/ML "N.K." 33.80 A039832335 A039843100 ACNACYL CREAM SWINORIN F.C. TABLETS 100MG "SWISS" (ATENOLOL) CYMA CAP. 75.00 2.07 A039851100 A0398511G0 CYMA CAPSULES."CHINTENG"(鋁箔) A039854100 A039855100 A039858100 A039859143 8136 A039859151 8137 A039859157 8138 A039859199 8139 A039867100 8140 A039870100 8141 A039871100 8142 A039876100 0.69 8141 4.72 1.91 57 8140 161.00 6.30 1.15 1.50 DEVIRO TABLETS 800MG (ACYCLOVIR) "KINGDOM" DRINGEN S.C. TABLETS 10MG "EVEREST"(METOCLOPRAMIDE) IPENTOL CONTROLLED-RELEASE F.C. TABLETS 400 MG (PENTOXIFYLLINE) CYPROH SOLUTION 0.4MG/ML (CYPROHEPTADINE HYDROCHLORIDE) "KOJAR" CYPROH SOLUTION 0.4MG/ML 60ML 37.40 CYPROH SOLUTION 0.4MG/ML (CYPROHEPTADINE HYDROCHLORIDE) "KOJAR" CYPRON SOLUTION 0.4MG/ML "KOJAR"(CYPROHEPTADINE HYDROCHLORIDE) ANZEN E.F.C.TAB. 21.70 0.32 2.95 3.00 調整 17.60 54 CHENFU CREAM 20MG/GM"CHINTENG" (KETOCONAZOLE) SWITANE TABLET 2MG (TRIHEXYPHENIDYL) "SWISS" A0395971G0 SWITANE TABLET 2MG (TRIHEXYPHENIDYL) "SWISS" (鋁箔/膠箔) A039598212 VEINTONIC INJECTION 0.84MG/ML "SWISS" (GINKGOFLAVONEGLYCOSI A039598221 VEINTONIC INJECTION 0.84MG/ML "SWISS" (GINKGOFLAVONEGLYCOSI 9901 支付價 429.00 ANLIPIN F.C. TABLETS 50MG (ATENOLOL) "KOJAR" OXACIN F.C. TABLETS 14.3 8136 說明 CODE 0.07 調整 1.05 0.77 1.5 SULGEM TABLETS 200MG (TIAPROFENIC ACID) "N.W." KENTON TAB.200MG 3.31 SILTIN TABLETS 5MG (SELEGILINE) "N.W." 5.80 2.15 29.2 45.6 第 187 頁,共 382 頁 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 8143 8144 8145 8146 8147 8148 8149 8150 8151 8152 8153 8154 8155 8156 8157 8158 8159 8160 8161 8162 8163 8164 8165 8166 8167 8168 8169 8170 8171 8172 8173 8174 8175 8176 8177 8178 8179 8180 8181 8182 8183 CODE 藥品名稱 100年1月 項次 支付價 A039599100 ESTRA TABLETS 2MG (ESTRADIOL) 8143 1.8 A039600100 MINO CAPSULES 100MG (MINOCYCLINE 8144 5.2 HYDROCHLORIDE) "CHINTENG" 8.8 8145 A039601100 ASACOR TABLETS 20MG A039603100 OXAZONOL CAPSULE 10MG "SHENG 8146 0.56 CHUN"[OXAZOLAM] 22.2 8147 A039604209 SALINE INJECTION 0.45% "N.K." A039604265 SALINE INJECTION 0.45% "N.K." 8148 19.4 16.5 8149 A039604277 SALINE INJECTION 0.45% "N.K." 93 8150 A039606266 SAXIZONPOWDER FOR INJECTION 300MG A039608100 TRENTOLIN E.C. TABLETS 100MG 8151 0.79 (PENTOXIFYLLINE) "SHENG CHUN " A039609151 CYPROMINE SYRUP 0.4MG/ML "W.P." 8152 5.4 (CYPROHEPTADINE) A039609199 CYPROMINE SYRUP 0.4MG/ML "W.P." 8153 0.09 (CYPROHEPTADINE) A039614338 BIFONA TOPICAL SOLUTION 10MG/ML 8154 105 "S.C." (BIFONAZOLE) A039614345 BIFONA TOPICAL SOLUTION 10MG/ML 8155 160 "S.C." (BIFONAZOLE) A039615100 CIMETIDINE TAB. 400MG 8156 1 A0396151G0 CIMETIDINE TABLETS. 400MG "S.C."(鋁箔) 8157 1.5 A039616329 AN HAO CREAM 50MG/GM (ACYCLOVIR) 8158 42 "S.C." A039616372 AN HAO CREAM 50MG/GM (ACYCLOVIR) 8159 926 "S.C." A039616399 AN HAO CREAM 50MG/GM (ACYCLOVIR) 8160 2.05 "S.C." 7.7 8161 A039619238 ANKOTON INJECTION "ASTAR" A039620321 SYAWE CREAM 50MG/GM 8162 47.6 (ACYCLOVIR)"MEIDER" A039620399 SYAWE CREAM 50MG/GM 8163 3.25 (ACYCLOVIR)"MEIDER" A0396203AH SYAWE CREAM 50MG/GM 8164 51 (ACYCLOVIR)"MEIDER" 1 8165 A039621100 TOZY EXTRA. TAB. 22.8 8166 A039623321 MEXAC OINTMENT 5GM 34.1 8167 A039623329 MEXAC OINTMENT 10GM 66 8168 A039623335 MEXAC OINTMENT 15G 2156 8169 A039623372 MEXAC OINTMENT 450G A039625100 FELDEMIN CAPSULES 20MG "EVEREST" 8170 1.04 (PIROXICAM) A0396251G0 FELDEMIN CAPSULES 20MG "EVEREST" 8171 1.5 (PIROXICAM)(鋁箔/膠箔) A039626209 ANXICAM INJECTION 2MG/ML 8172 10 (LORAZEPAM) "SWISS" A039628100 SKIRAX 400MG TAB 8173 13.9 A039629100 SKIRAX TABLETS 200MG (ACYCLOVIR) 8174 10.4 A039630100 CEKOR CAPSULES 250MG (CEFACLOR) 8175 3.61 "STANDARD" A039631216 MUCO-T INJECTION (ACETYLCYSTEINE) 8176 7.5 "S.Y." 0.76 8177 A039634100 WEILE CAP.500MG A039658100 GLUCO CAPSULES 250MG 8178 1.66 (GLUCOSAMINE SULFATE) "N.W." A039660277 SALINE INJECTION 3% "N.K." 8179 20.4 A039661100 NOSCAPINE TABLET 20MG "Y.S." 8180 0.8 A039663100 CIMETIN TABLETS 400MG "SENTAI" 8181 1 (CIMETIDINE) A039681199 CEPHALEXIN GRANULES 500MG/GM 8182 3.98 "CHINTENG" A039683100 CIMETIN TABLETS 200MG "SENTAI" 8183 1 (CIMETIDINE) CODE 藥品名稱 A039878100 CYLLERMIN TABLETS 4MG (CYPROHEPTADINE HYDROCHLORIDE) VARAPAMIL TABLETS 40MG "F.Y." A039879100 說明 9901 支付價 0.33 0.97 A0398791G0 VARAPAMIL TABLETS 40MG "F.Y."(21粒/ A039880129 SPEEDON POWDER "N.K."(LACTITOL) 1.50 9.10 A039893100 IBUPROFEN TABLETS 400MG "F.Y" A0398931G0 IBUPROFEN TABLETS 400MG "F.Y."(鋁箔/ 膠箔) A039894248 CALCININ INJ. 50I.U. A039896100 SINSULIN TABLETS 10MG "ASTAR" A039910100 POSMETAN F.C.TAB. 0.96 1.50 132.00 0.56 0.60 A039922100 CEFACLOR CAP.250MG 3.63 A039923100 SUSIN TABLETS 20MG "SINTON"(PROPRANOLOL CEPHAZER FOR INJECTION 1GM (CEPHAPIRIN) "PURZER" KOWELL TABLETS 2MG "EVEREST" 0.28 A039925209 A039928100 A039931100 62.00 1.11 A039953500 KOJARCLINDA CAPSULES 150“KOJAR” (CLINDAMYCIN HYDROCHLORIDE) LOMIDINE TABLETS 10MG (LORATADINE) "H.S." SUPREN INJECTION 2MG/ML (ONDANSETRON) "S.T" SUPREN INJECTION 2MG/ML (ONDANSETRON) "S.T" N.F.S. F.C. TABLETS 200MG (NORFLOXACIN) "C.H." SINSULIN TABLETS 20MG "ASTAR" CEPHA CAPSULES 500MG "CHINTENG" (CEPHALEXIN) KOJARCLINDA CAPSULES 300MG "KOJAR"(CLINDAMYCIN) DOMPERID SUPP. 10MG A039955399 A039956118 A039956143 A039956151 A039956157 A039956199 FULIMIN CREAM 10MG/GM "N.W." PSEU SOLUTION "KOJAR" PSEU SOLUTION "KOJAR" PSEU SOLUTION "KOJAR" PSEU SOLUTION "KOJAR" PSEU SOLUTION "KOJAR" A039961100 NORFLODAL F.C. TABLETS 200MG (NORFLOXACIN) DAMIN CAPSULES 2MG (PRAZOSIN) "S.C." 1.96 SUSIN TABLETS 40MG "SINTON"(PROPRANOLOL SINTAL EYE DROPS 20MG/ML (CROMOLYN SODIUM) "S.T." MOTIN TABLETS 10MG "SHENG CHUN"[DOMPERIDONE] U-CLOR FOR ORAL SUSP. 125MG/5ML 60ML U-CLOR FOR ORAL SUSP. 125MG/5ML SINTEC TABLETS 5MG 0.50 A039932100 A039944212 A039944219 A039945100 A039947100 A039948100 A039950100 1.46 1.68 258.00 256.00 1.70 1.73 1.92 3.09 3.39 0.63 236.00 5.70 10.30 18.70 0.06 調整 A039962100 A039963100 A039964477 A039969100 A039971110 A039971199 A039974100 A039979100 A040011100 A040035100 A040038100 A040042100 第 188 頁,共 382 頁 ANLIN TABLETS 5MG "EVEREST"(DIAZEPAM) ACEMET CAPSULES 60MG (ACEMETACIN) "S.Y." LIAL TABLETS 500MG (METFORMIN) "SINTON" SCHNIN F.C.TABLETS 9.6MG (GINKGOFLAVON GLYCOSIDE) NEUQUINON SUGAR-COATED TABLETS 新增 2.70 2.97 0.59 113.00 1.88 2.36 0.31 2.13 1.00 2.22 5.30 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 8184 8185 8186 A039684209 A039684277 A039688100 藥品名稱 8204 8205 CEKODIN-A INJECTION (CEPHRADINE) CEKODIN-A INJECTION (CEPHRADINE) DIMETINE TABLETS 4MGDIMETINE TABLETS 4MG "EVEREST" (BROMPHE A039689209 FOLSMYCIN POWDER FOR INJECTION (FOSFOMYCIN) "YUNG SHIN" A039689212 FOLSMYCIN POWDER FOR INJECTION (FOSFOMYCIN) "YUNG SHIN" A039689277 FOLSMYCIN POWDER FOR INJECTION (FOSFOMYCIN) "YUNG SHIN" A039691100 PROMIL CAPSULES 25MG (CLOMIPRAMINE) "S.S.P." A039692100 WEISU F.C.TAB.200MG A039693335 DICLOFE GEL 1% (DICLOFENAC SODIUM) "ROOT" A039693399 DICLOFE GEL 1% (DICLOFENAC SODIUM) "ROOT" A0396942CX TAZOCIN LYO-INJECTION A039700100 CENIDOL TABLETS 25MG "SHENG CHUN"[DIPHENIDOL] A039701151 LACTUL SYRUP 666MG/ML (LACTULOSE) "SINPHAR" A039701166 LACTUL SYRUP 666MG/ML (LACTULOSE) "SINPHAR" A039701177 LACTUL SYRUP 666MG/ML (LACTULOSE) "SINPHAR" A039701199 LACTUL SYRUP 666MG/ML (LACTULOSE) "SINPHAR" A039703100 LABTAL F.C. TABLETS 200MG (LABETALOL) "SINPHAR" A039707151 SYNTIFEN SOLUTION 0.2MG/ML (KETOTIFEN) "S.Y." A039714209 CEZONE INJECTION "N.K." (CEFOPERAZONE) A039714212 CEZONE INJECTION "N.K." (CEFOPERAZONE) A039714277 CEZONE INJECTION "N.K." A039718100 DICLOFENAC SODIUM E.F.C.TAB. 8206 A039719100 8207 8208 A039720100 A039722100 8209 A039725100 ENZDASE ENTERIC F.C. TABLETS 10MG (SERRATIOPEPTIDASE) UCAR CAP. 10MG CIFLODAL F.C. TABLETS 250MG (CIPROFLOXACIN) "C.C.P.C." MECOBAL CAP.0.5MG 8210 A039727100 OXEWAY TABLETS 5MG (OXETHAZAINE) 8211 8212 A039728100 A039729100 8213 A039731100 8214 A039734100 MOTALINE TAB. 10MG MECIDAL F.C.TABLETS 50MG "SHENG CHUN"[MEBHYDROLINE] JOINTELL CAPSULES 300MG "EVEREST" (GEMFIBROZIL) DICRON TAB. 80MG 8215 A039740100 8216 A039742100 8217 A039744338 8218 8219 A039769100 A039772100 8220 A039774100 8221 A039775100 8222 A039776100 8187 8188 8189 8190 8191 8192 8193 8194 8195 8196 8197 8198 8199 8200 8201 8202 8203 KENCORT TABLETS 4MG "EVEREST"(TRIAMCINOLONE) BOLINON S.C. TABLETS 10MG (NICERGOLINE) "N.W." KERPHEN GEL 1% (DICLOFENAC SODIUM) "PFOSHEN" ROSUP CAPSULES 25MG (LOXAPINE) VOKER FILM COATES TABLETS 40MG (FAMOTIDINE) AMANXIN F.C.TABLETS 100MG "SHENG CHUN"[AMANTADINE] NAPTON F.C. TABLETS 275MG (NAPROXEN SODIUM) "B&F" AMOCILLIN CAPSULES 250 MG "CHI SHENG" (AMOXICILLIN) 100年1月 項次 支付價 44.3 8184 30.2 8185 8186 0.25 8187 129 8188 247 8189 72 8190 2.14 2.12 8191 8192 31.9 8193 2.02 409 8194 8195 0.66 8196 28.3 8197 252 8198 256 8199 0.35 8200 3.22 8201 55 8202 162 8203 193 64 8204 8205 1 8206 1 5.2 8207 8208 17.9 8209 2.48 8210 0.17 0.59 8211 8212 1.09 8213 1.75 8214 1.71 8215 0.63 8216 5.7 8217 36.3 4.2 8218 8219 13.3 8220 2.33 8221 1.35 8222 1 CODE 藥品名稱 A040045277 A040046100 A040047100 SORLATE INJECTION "CHI SHENG" MINOCYCINE CAP.50MG "KOJAR" BENTOMIN TABLETS 500MG A0400471G0 BENTOMIN TABLETS 500MG "S.C."(METFORMIN)(鋁箔) A040051100 AZU TABLETS 2MG (AZULENE) "S.T." A040059210 A040062100 A040064100 A040065100 A040073151 A040076100 A040084100 NETROCIN INJECTION 100MG/ML (NETILMICIN) "S.T." WELLHEALTH F.C.TAB.300MG MINOSINE CAP. FANCIN CAPSULES 500MG "EVEREST"(TINIDAZOLE) CO-BO SYRUP "D.J." 說明 9901 支付價 50.00 3.35 1.00 1.50 1.32 117.00 6.40 5.10 2.20 21.00 2.00 2.60 A040085100 HALINE TAB. 5MG SEFREE CAPSULES 250MG (CEPHRADINE) "PANBIOTIC" BUISLINE TAB.5MG "H.S."(BUSPIRONE) A040090100 ACYLETE TABLETS 200 MG (ACYCLOVIR) 8.70 A040091100 AZOL-FLUCON CAPSULES 150MG(FLUCONAZOLE) SERRA E.C.TAB. 5MG A040095100 A040096162 A040096199 A040098100 A040099214 A040100100 A040103100 A040105100 ALL-RIGHT CALCIUM SUSPENSION "STANDARD" ALL-RIGHT CALCIUM SUSPENSION "STANDARD" MEMIN TABLETS 250MG "SENTAI"(METFORMIN) EUCOL LYOPHILIZED INJECTION 2.5G "STANDARD" DISAL F.C. TABLETS 750 MG (SALSALATE) SERVISPOR CAPSULES 500MG "STANDARD"(CEPHALEXIN) SYNORID TAB. 300MG A040106100 A040116255 SYNORID TAB. 100MG"S.Y." CALCININ INJECTION 100I.U./ML "PURZER" (SALMON CALCITONIN) A040117100 LISHEU TABLETS 50MG (HYDRALAZINE) "SINTON" A040118100 LISHEU TABLETS 25MG (HYDRALAZINE) "SINTON" A040119100 BENTOMIN TABLETS 850MG A040120100 FRANDYL TABLETS 2.5MG (FENOTEROL HYDROBROMIDE) A0401201G0 FRANDYL TABLETS 2.5MG (FENOTEROL HYDROBROMIDE) (鋁箔/膠箔) A040121100 NAPOSIN ENTERIC F.C. TABLETS 500MG (NAPROXEN) A040122100 NAPOSIN ENTERIC F.C. TABLETS 250MG (NAPROXEN) A040123100 TERBELINE TAB. 2.5MG A040124100 A040130100 A040134100 A040147100 A040148100 A040149321 第 189 頁,共 382 頁 1.77 86.00 調整 1.00 188.00 1.04 1.07 362.00 5.10 1.92 4.52 1.00 201.00 1.11 0.36 2.70 1.00 1.50 3.70 1.42 1.00 METERONE TABLETS 5MG (MEDROXYPROGESTERONE ACETATE) TINTEN TABLETS 500MG SEPIRONE TABLETS 5 MG "S.Y."(BUSPIRONE HYDROCHLORIDE) PURSIN F.C. TABLET 0.80 FLUZEPAM TABLETS 2MG (FLUNITRAZEPAM) E.T CREAM 3.23 0.74 1.76 3.22 7.30 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 8223 A039778100 8224 8225 A039780100 A039782209 8226 A039782277 8227 A039790100 8228 A039793100 8229 A039794100 8230 A039797100 8231 A039798100 8232 A039804100 SEPIRONE TABLETS 10MG (BUSPIRONE HYDROCHLORIDE) "S.Y." NOSCAPINE TABLETS 10MG "Y.S." TRICEF FOR IM. INJECTION (CEFTRIAXONE) "SWISS" TRICEF FOR IM. INJECTION (CEFTRIAXONE) "SWISS" BENRONE TAB. 100MG "WEIDAR" (BENZBROMARONE) OFLODAL F.C. TABLETS 100MG (OFLOXACIN) QUIMADINE F.C. TABLETS 20MG (FAMOTIDINE) OFCIN FILM COATED TABLETS 200MG (OFLOXACIN) OFCIN FILM COATED TABLETS 100MG (OFLOXACIN) TICOS CAPSULES "CHINTENG" 8233 A039812329 ENTON GEL 8234 A039812335 ENTON GEL 8235 8236 A039812338 A039812345 8237 8238 A039812399 A039816100 8239 A039819100 ENTON GEL ENTON GEL10MG/GM "CHINTENG" (PIROXICAM) ENTON GEL ANLIPIN F.C. TABLETS 50MG (ATENOLOL) "KOJAR" OXACIN F.C. TABLETS 8240 8241 8242 8243 A039822100 A039824100 A039825100 A039830212 ESTRADE TABLETS 2MG SUCWAY TAB. 1000MG URONIN TAB. 5MG GENTAMICIN INJECTION 40MG/ML "N.K." 8244 8245 8246 A039830229 A039830238 A039832335 GENTAMICIN INJECTION 40MG/ML "N.K." GENTAMICIN INJECTION 40MG/ML "N.K." ACNACYL CREAM 8247 A039843100 8248 A039851100 SWINORIN F.C. TABLETS 100MG "SWISS" (ATENOLOL) CYMA CAP. 8249 8250 A0398511G0 CYMA CAPSULES."CHINTENG"(鋁箔) A039854100 DEVIRO TABLETS 800MG (ACYCLOVIR) "KINGDOM" 8251 A039855100 100年1月 項次 支付價 8223 7.7 0.8 8224 8225 0 8226 161 8227 4.72 8228 2.88 8229 3.94 8230 6.5 8231 3.76 8232 1.27 8233 22.9 8234 38.4 33 8235 8236 52 1.32 8237 8238 1.91 8239 6.3 1.76 8240 2.48 8241 3 8242 8243 9.6 15.6 8244 33.8 8245 8246 75 8247 2.07 8248 1.15 1.5 8249 8250 8252 8253 8254 A039858100 A039859143 A039859151 8256 8257 8258 8259 8260 8261 8262 8263 8264 8265 CYPROH SOLUTION 0.4MG/ML (CYPROHEPTADINE HYDROCHLORIDE) A039859199 CYPRON SOLUTION 0.4MG/ML "KOJAR"(CYPROHEPTADINE A039867100 ANZEN E.F.C.TAB. A039870100 SULGEM TABLETS 200MG (TIAPROFENIC ACID) "N.W." A039871100 KENTON TAB.200MG A039876100 SILTIN TABLETS 5MG (SELEGILINE) A039878100 CYLLERMIN TABLETS 4MG (CYPROHEPTADINE HYDROCHLORIDE) A039879100 VARAPAMIL TABLETS 40MG "F.Y." A0398791G0 VARAPAMIL TABLETS 40MG "F.Y."(21粒/ A039880129 SPEEDON POWDER "N.K."(LACTITOL) A039880138 SPEEDON POWDER (LACTITOL) "N.K." 9901 支付價 A040149329 E.T CREAM 8.30 A040149335 A040149399 E.T CREAM E.T. CREAM 21.90 0.83 A040150338 AN FU CREAM "C.H." 46.70 A040151335 YI-FU CREAM "S.C." 67.00 A040151372 YI-FU CREAM "S.C." 1,120.00 A040151399 YI-FU CREAM "S.C." 1.67 A040152100 HOMAGYL TABLETS 50MG "H.C" [SULPIRIDE] UROXATE F.C.TABLETS 200MG "SHENG CHUN"[FLAVOXATE] ANTI-PHEN INFANTS' DROPS 100MG/ML "CENTER" (ACETAMINOPHEN) ANTI-PHEN INFANTS' DROPS 100MG/ML "CENTER" HOMELAIN ENTERIC S.C. TABLETS 50MG "H.C" [BROMELAIN] ANTI-PHEN SYRUP 24MG/ML ANTI-PHEN SYRUP 24MG/ML 0.80 刪除 A040158100 A040161143 A040161199 A040163100 A040164151 A040164199 A040168100 A040170157 3.80 38.20 0.19 1.00 15.70 0.17 2.82 15.50 8251 8252 A040207100 8253 A0402071G0 FENOT TAB. 2.5MG"H.S."(FENOTEROL HYDROBROMIDE)(鋁箔/膠箔) A040209100 PELI F.C.TABLET 150MG (BUFLOMEDIL)"Y.C." A040232100 JIACANG TABLETS 1.50 A040233100 1.00 0.12 1.50 4.22 0.60 1.50 0.11 0.35 0.54 3.28 16.20 1.03 1.50 3.42 0.32 FENOT TAB. 2.5MG 0.80 2.95 3 8254 17.6 8255 藥品名稱 SIDALAT SOFT CAP. 10MG MISTURA GLYCYRRHIZAE COMPOSITA (BROWN MIXTURE WITH OPIUM) A040170199 MISTURA GLYCYRRHIZAE COMPOSITA (BROWN MIXTURE WITH OPIUM) A040173100 UROTIN TAB. 50MG A040174100 BENZRO CAPSULES 100MG "C.H." A040175100 LYSOZYME CHLORIDE TABLETS 90MG A0401751G0 LYSOZYME CHLORIDE TABLETS 90MG "F.Y."(鋁箔/膠箔) A040179199 GLYLATE SYRUP 20MG/ML A040184100 AMINOPHYLLINE TABLET 100MG "H.S" A040186199 NEGCID SUSPENSION 50MG/ML (NALIDIXIC ACID)"CENTER" A040196100 SUWEFUE F.C.TABLET 20MG "H.C" [FAMOTIDINE] A040198100 MESYREL TABLET 150MG "M.S."(TRAZODONE HYDROCHLORIDE) A040199100 SENTA E.C.TAB.10MG A0401991G0 SENTA E.F.C. TABLETS 10MG "CHINTENG"(SERRATIOPEPTIDASE)(鋁箔/ 膠箔) A040206100 VOKER FILM COATED TABLET 20MG 37.4 DRINGEN S.C. TABLETS 10MG "EVEREST"(METOCLOPRAMIDE) IPENTOL CONTROLLED-RELEASE F.C. TABLETS 400 MG (PENTOXIFYLL CYPROH SOLUTION 0.4MG/ML (CYPROHEPTADINE HYDROCHLORIDE) CYPROH SOLUTION 0.4MG/ML 60ML 說明 CODE A039859157 8255 6.30 1.00 21.7 8256 0.07 1.05 8257 8258 3.31 2.15 8259 5.8 8260 8261 0.33 0.97 8262 1.5 8263 9.1 8264 16.3 8265 GLIX TAB. 5MG A0402331G0 GLIX TAB. 5MG "YUNG SHIN"(鋁箔) A040245321 FULEKANG CREAM "KOJAR" 1.50 9.90 A040245329 A040245335 A040245338 FULEKANG CREAM FULEKANG CREAM "KOJAR" FULEKANG CREAM "KOJAR" 28.10 38.70 45.20 A040245399 A040249100 A040265100 A040290100 FULEKANG CREAM "KOJAR" MEVOLING TAB. 200MG DAZID TABLETS "H.S" SULSON S.C.TAB. 1.22 2.10 1.47 2.08 第 190 頁,共 382 頁 新增 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 8266 8267 A039893100 IBUPROFEN TABLETS 400MG "F.Y" A0398931G0 IBUPROFEN TABLETS 400MG "F.Y."(鋁箔/ 膠箔) A039894248 CALCININ INJ. 50I.U. A039896100 SINSULIN TABLETS 10MG "ASTAR" 8268 8269 8270 藥品名稱 8271 8272 A0398961G0 SINSULIN TABLETS 10MG "ASTAR"(鋁箔/ 膠箔) A039910100 POSMETAN F.C.TAB. A039922100 CEFACLOR CAP.250MG 8273 A039923100 100年1月 項次 支付價 0.96 8266 8267 1.5 132 8268 8269 0.56 8270 1.5 0.6 8271 8272 8274 A039925209 8275 A039928100 A040292500 A040293100 8277 8278 8279 8280 8281 8282 A0399281G0 KOWELL TABLETS 2MG "EVEREST"(鋁箔/ 膠箔) A039931100 KOJARCLINDA CAPSULES 150“KOJAR” (CLINDAMYCIN HYDROCHLORID A039932100 LOMIDINE TABLETS 10MG (LORATADINE) "H.S." A039944212 SUPREN INJECTION 2MG/ML (ONDANSETRON) "S.T" A039944219 SUPREN INJECTION 2MG/ML (ONDANSETRON) "S.T" A039945100 N.F.S. F.C. TABLETS 200MG (NORFLOXACIN) "C.H." A039947100 SINSULIN TABLETS 20MG "ASTAR" 8273 8274 A040307100 0.48 8275 A040333100 8276 A040334100 8277 A040352100 IMORA CAPSULES 2MG (LOPERAMIDE) "SHENG CHUN" OSTALFA SOFT CAPSULES 0.25UG "F.M."(ALFACALCIDOL) MACALOL SOFT CAPSULES 0.5UG "F.M."(CALCITRIOL) DANAMIN CAP. 100MG 8278 A040356100 CLOMI CAP.25MG 2.79 8279 A040358345 FLUR DI FEN PATCH 40MG/12GM 8.90 8280 A040360100 OUBILE TAB. 5MG 3.08 8281 A040363100 1.00 8282 A040369100 8283 A040370100 VOREN E.C. TABLETS 75MG (DICLOFENAC SODIUM) UISPAN TABLETS 200MG (SULPIRIDE) "PANBIOTIC" URANID TAB. 100MG A039948100 8284 A039950100 8285 8286 A039953500 A039955399 CEPHA CAPSULES 500MG "CHINTENG" (CEPHALEXIN) KOJARCLINDA CAPSULES 300MG "KOJAR"(CLINDAMYCIN) DOMPERID SUPP. 10MG FULIMIN CREAM 10MG/GM "N.W." 8284 3.09 3.39 8285 8286 0.63 8287 236 8288 5.7 8289 10.3 8290 18.7 0.06 8291 8292 1.96 8293 2.7 8294 0 8295 2.97 8296 A040371100 COSUNE TAB. 1.00 A040397277 A040399100 U-VANCO I.V. INJ.500MG FORFLOW SUSTAINEDRELEASED TABLETS 400MG (PENTOXIFYLLINE) PEPTASE E.F.C. TABLETS 10MG (SERRATIOPEPTIDASE) "ROYAL" BLADATON TABLET 200MG (FLAVOXATE) "SENTAI" LIMADOL CAPSULES 50MG (TRAMADOL HYDROCHLORIDE) "N.K." CEPONIN INJECTION (CEPHRADINE) "CHI SHENG." CEPONIN INJ. PAR YIH TABLETS 5MG (OXYBUTYNIN CHLORIDE) "C.H." S.K.J.CAPSULES 250MG (ERYTHOMYCIN) "C.H." CLINDAMYCIN CAP. 150MG 8287 A039956118 PSEU SOLUTION "KOJAR" 8288 A039956143 PSEU SOLUTION "KOJAR" 8289 A039956151 PSEU SOLUTION "KOJAR" 8290 A039956157 PSEU SOLUTION "KOJAR" 8291 8292 A039956199 A039961100 8293 A039962100 PSEU SOLUTION "KOJAR" NORFLODAL F.C. TABLETS 200MG (NORFLOXACIN) DAMIN CAPSULES 2MG (PRAZOSIN) "S.C." 8294 A039963100 8295 A039964477 8296 A039969100 8297 8298 8299 8300 A039971110 A039971199 A039974100 A039979100 8301 A040011100 8302 A040035100 8303 A040038100 8304 A040042100 SUSIN TABLETS 40MG "SINTON"(PROPRANOLOL SINTAL EYE DROPS 20MG/ML (CROMOLYN SODIUM) "S.T." MOTIN TABLETS 10MG "SHENG CHUN"[DOMPERIDONE] U-CLOR FOR ORAL SUSP. 125MG/5ML U-CLOR FOR ORAL SUSP. 125MG/5ML SINTEC TABLETS 5MG ANLIN TABLETS 5MG "EVEREST"(DIAZEPAM) ACEMET CAPSULES 60MG (ACEMETACIN) "S.Y." LIAL TABLETS 500MG (METFORMIN) "SINTON" SCHNIN F.C.TABLETS 9.6MG (GINKGOFLAVON GLYCOSIDE) NEUQUINON SUGAR-COATED TABLETS 0.35 2.18 1.45 新增 1.00 1.50 1.00 0 刪除 62 1.5 4.78 7.40 新增 14.60 1.46 0 刪除 258 256 1.7 1.73 8283 說明 9901 支付價 3.31 1.00 1.11 8276 藥品名稱 CARESS SUPPOSITORIES "MEIDER" URICAM TABLETS 50MG "TAI YU" (BENZBROMARONE) A040294100 HYBOZIDE TAB 50MG A040300100 POULICAN-U SOFT CAPSULE 150MG "SINPHAR"(SILYMARIN) A040301100 GOLD-OSSA CAPSULE 250MG "SINPHAR" (GLUCOSAMINE SULFATE) A040302100 DESPUTIN TAB 30MG A0403021G0 DESPUTIN TABLETS 30MG"TAI YU"(AMBROXOL HYDROCHLORIDE)(鋁箔/ 膠箔) A040304100 LOIL TABLETS 5MG (GLIPIZIDE) "SINTON" 3.63 SUSIN TABLETS 20MG "SINTON"(PROPRANOLOL CEPHAZER FOR INJECTION 1GM (CEPHAPIRIN) "PURZER" KOWELL TABLETS 2MG "EVEREST" CODE 2.10 0.58 1.92 0.59 113 8297 1.88 8298 2.36 8299 8300 0.31 8301 2.13 8302 0 8303 2.13 5.3 8304 A040402100 A040421100 A040422100 A040423209 A040423277 A040424100 A040426100 A040427100 124.00 2.95 1.03 3.48 6.00 42.90 35.30 3.04 1.25 1.48 刪除 A040428100 A040430100 A040458321 A040458338 A040458399 EDEPIN TABLETS 5MG (AMILORIDE) "SWISS" SUPEROCIN F.C. TABLETS 250MG (CIPROFLOXACIN HYDROCHLORIDE) "WEIDAR" LIDERAL TAB. 40MG AESCIN GEL 15MG/G (ESCIN) "C.H." AESCIN GEL 15MG/G (ESCIN) "C.H." AESCIN GEL 15MG/G (ESCIN) "C.H." A040475321 CHIUH-YEANG-SHU OINT. 5G A040475329 CHIUH-YEANG-SHU OINT. 450G A040475372 CHIUH-YEANG-SHI OINT.450G A040504100 IMOCON CAP.2MG A040429100 2.79 18.40 0.50 43.10 121.00 2.73 9.50 19.10 刪除 779.00 調整 第 191 頁,共 382 頁 0.48 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 8305 8306 8307 8308 8309 8310 8311 8312 8313 8314 8315 8316 8317 8318 8319 8320 8321 8322 8323 8324 8325 8326 8327 8328 8329 8330 8331 8332 8333 8334 8335 8336 8337 8338 8339 8340 8341 CODE 藥品名稱 100年1月 項次 支付價 50 8305 A040045277 SORLATE INJECTION "CHI SHENG" 3.35 8306 A040046100 MINOCYCINE CAP.50MG "KOJAR" A040047100 BENTOMIN TABLETS 500MG 8307 1 A0400471G0 BENTOMIN TABLETS 500MG 8308 1.5 "S.C."(METFORMIN)(鋁箔) A040051100 AZU TABLETS 2MG (AZULENE) "S.T." 8309 1.32 A040059210 NETROCIN INJECTION 100MG/ML 8310 117 (NETILMICIN) "S.T." A040062100 WELLHEALTH F.C.TAB.300MG 8311 6.4 A040064100 MINOSINE CAP. 8312 5.1 A040065100 FANCIN CAPSULES 500MG 8313 2.2 "EVEREST"(TINIDAZOLE) 21 8314 A040073151 CO-BO SYRUP "D.J." 2 8315 A040076100 HALINE TAB. 5MG A040084100 SEFREE CAPSULES 250MG (CEPHRADINE) 8316 2.6 "PANBIOTIC" A040085100 BUISLINE TAB.5MG "H.S."(BUSPIRONE) 8317 1.77 A040090100 ACYLETE TABLETS 200MG (ACYCLOVIR) 8318 8.7 A040091100 AZOL-FLUCON CAPSULES 8319 86 150MG(FLUCONAZOLE) 1 8320 A040095100 SERRA E.C.TAB. 5MG A040096162 ALL-RIGHT CALCIUM SUSPENSION 8321 0 "STANDARD" A040096199 ALL-RIGHT CALCIUM SUSPENSION 8322 0 "STANDARD" A040098100 MEMIN TABLETS 250MG 8323 1.07 "SENTAI"(METFORMIN) A040099214 EUCOL LYOPHILIZED INJECTION 2.5G 8324 362 "STANDARD" A040100100 DISAL F.C. TABLETS 750 MG (SALSALATE) 8325 5.1 A040103100 SERVISPOR CAPSULES 500MG 8326 1.92 "STANDARD"(CEPHALEXIN) A040105100 SYNORID TAB. 300MG 8327 4.52 A040106100 SYNORID TAB. 100MG"S.Y." 8328 1 A0401061G0 SYNORID TABLETS 100MG 8329 1.5 (ALLOPURINOL)(鋁箔/膠箔) A040116255 CALCININ INJECTION 100I.U./ML 8330 201 "PURZER" (SALMON CALCITONIN) A040117100 LISHEU TABLETS 50MG (HYDRALAZINE) 8331 0 "SINTON" A040118100 LISHEU TABLETS 25MG (HYDRALAZINE) 8332 "SINTON" 0 A040119100 BENTOMIN TABLETS 850MG 8333 2.7 A040120100 FRANDYL TABLETS 2.5MG (FENOTEROL 8334 1 HYDROBROMIDE) A0401201G0 FRANDYL TABLETS 2.5MG (FENOTEROL 8335 1.5 HYDROBROMIDE) (鋁箔/膠箔) A040121100 NAPOSIN ENTERIC F.C. TABLETS 500MG 8336 3.7 (NAPROXEN) A040122100 NAPOSIN ENTERIC F.C. TABLETS 250MG 8337 1.42 (NAPROXEN) A040123100 TERBELINE TAB. 2.5MG 8338 1 A040124100 METERONE TABLETS 5MG 8339 0.8 (MEDROXYPROGESTERONE ACETATE) A040130100 TINTEN TABLETS 500MG 8340 0.74 A040134100 SEPIRONE TABLETS 5 MG 8341 1.76 "S.Y."(BUSPIRONE HYDROCHLORIDE) CODE 藥品名稱 說明 9901 支付價 A0405041G0 IMOCON CAP.2MG(鋁箔) A040505199 GLYMECON SYRUP A040511100 LOMEDIL F.C. TABLETS 150MG (BUFLOMEDIL HYDROCHLORIDE)"C.H." A040513100 BUEDOR TAB. 1MG 1.50 0.17 6.40 A040516100 DIALIUM TABLETS 5MG (DIAZEPAM)"SHENG CHUN" A040517100 TENCAM F.C. TABLETS 20MG (TENOXICAM) "STANDARD" A040523100 CIRZODONE TABLET 100MG "SINPHAR" (TRAZODONE HYDROCHLORIDE) A040532100 ENOLI CAPSULES 400MG "CHINTENG" (PIRACETAN) A0405321G0 ENOLI CAPSULES 400MG "CHINTENG" (PIRACETAN)(鋁箔/膠箔) A040536100 IBUPROFEN TABLETS 400MG "SWISS" A040540100 NORFLODAL 100MG A040542100 BACCIDAL F.C 200MG 0.31 A040544100 2.77 1.55 8.50 6.80 1.22 1.50 1.00 1.88 2.28 A040547100 CLOPRAN F.C. TABLETS 25MG(CLOMIPRAMINE) SUSINE F.C.TABLETS 200MG (SULPIRIDE) "SWISS" METOL TAB. 100MG A040558277 A040559277 KALY INJ.50MG/ML500ML FULIN INJECTION "ASTAR" A040562100 LOPIN TABLETS 100MG (SULPIRIDE) "SINTON" QUITEN CAPSULE 10MG (UBIDECARENONE) "Y.S." IBUPROFEN F.C.TABLETS 400MG "SWISS" 2.29 LOPERATIN TABLETS 2MG "EVEREST"(LOPERAMIDE) RECERIN F.C. TABLETS 40MG (GINKGOFLAVONGLYCOSIDES)"Y.C." CONAZOL CREAM 20MG /GM (KETOCONAZOLE) "STANDARD" NYSTATIN CAPSULES 500000UNITS "CHIN TENG" PROTON FORTE TABLETS "NW" 0.48 A040545100 4.32 5.40 28.30 20.00 刪除 A040563100 A040564100 A040567100 A040568100 A040569338 A040573100 A040574100 A040575100 A040576100 A040577110 A040578100 A040580100 A040583100 A040613209 A040615100 A040639100 A040641100 EBUFEN F.C.TABLETS 400MG (IBUPROFEN) "S.C" ZINBOSS TABLETS "C.H." (ZINC GLUCONATE) CEFACHLOR GRANULE FOR ORAL SUSPENSION 125MG/5ML "SINPHAR" (CEFACLOR) CEFACHLOR CAPSULE 250MG "SINPHAR"(CEFACLOR) EDENIL TABLETS GLUZIDE TABLET 80MG "STANDARD" (GLICLAZIDE) CLATAXIME POWDER FOR INJ. 1G CHILON E.F.C. TABLETS 75MG (DICLOFENAC SODIUM) "NW" ERCIN CAPSULES 10MG (UBIDECARENONE) "YUNG CHI" GLIZIDE TABLETS 5MG (GLIPIZIDE) "S.Y" A0406411G0 GLIZIDE TABLETS 5MG (GLIPIZIDE) "S.Y"(鋁箔/膠箔) A040642435 DISODIUM CROMOGLYCATE NASAL SPRAY 第 192 頁,共 382 頁 刪除 5.40 0.96 2.54 59.00 2.31 0.86 1.00 1.29 刪除 110.00 刪除 3.59 2.17 1.81 141.00 1.00 4.71 1.00 1.50 70.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 8342 A040147100 PURSIN F.C. TABLET 8343 A040148100 8344 A040149321 FLUZEPAM TABLETS 2MG (FLUNITRAZEPAM) E.T CREAM 8345 A040149329 E.T CREAM 8346 A040149335 E.T CREAM 8347 8348 A040149399 A040150338 E.T. CREAM AN FU CREAM "C.H." 8349 8350 8351 8352 A040151335 A040151372 A040151399 A040152100 8353 A040158100 8354 A040161143 8355 A040161199 8356 A040163100 YI-FU CREAM "S.C." YI-FU CREAM "S.C." YI-FU CREAM "S.C." HOMAGYL TABLETS 50MG "H.C" [SULPIRIDE] UROXATE F.C.TABLETS 200MG "SHENG CHUN"[FLAVOXATE] ANTI-PHEN INFANTS' DROPS 100MG/ML "CENTER" (ACETAMINOPHEN) ANTI-PHEN INFANTS' DROPS 100MG/ML "CENTER" HOMELAIN ENTERIC S.C. TABLETS 50MG "H.C" [BROMELAIN] 8357 8358 8359 8360 A040164151 A040164199 A040168100 A040170157 ANTI-PHEN SYRUP 24MG/ML ANTI-PHEN SYRUP 24MG/ML SIDALAT SOFT CAP. 10MG MISTURA GLYCYRRHIZAE COMPOSITA (BROWN MIXTURE WITH OPIUM) 8361 A040170199 MISTURA GLYCYRRHIZAE COMPOSITA (BROWN MIXTURE WITH OPIUM) 8362 8363 8364 A040173100 A040174100 A040175100 100年1月 項次 支付價 8342 3.22 8343 0 8344 7.3 8345 8.3 8346 21.9 0.83 8347 8348 46.7 67 8349 1120 8350 1.67 8351 8352 0.8 8353 3.8 8354 38.2 8355 0.19 8356 1 15.7 8357 0.17 8358 2.82 8359 8360 15.5 8365 8366 8367 8368 8369 8370 8371 8372 UROTIN TAB. 50MG BENZRO CAPSULES 100MG "C.H." LYSOZYME CHLORIDE TABLETS 90MG "F.Y." A0401751G0 LYSOZYME CHLORIDE TABLETS 90MG "F.Y."(鋁箔/膠箔) A040179199 GLYLATE SYRUP 20MG/ML A040184100 AMINOPHYLLINE TABLET 100MG "H.S" A040186199 NEGCID SUSPENSION 50MG/ML (NALIDIXIC ACID)"CENTER" A040196100 SUWEFUE F.C.TABLET 20MG "H.C" [FAMOTIDINE] A040198100 MESYREL TABLET 150MG "M.S."(TRAZODONE HYDROCHLORIDE) A040199100 SENTA E.C.TAB.10MG 8373 A0401991G0 SENTA E.F.C. TABLETS 10MG "CHINTENG"(SERRATIOPEPTIDASE)(鋁 A040206100 VOKER FILM COATED TABLET 20MG 8374 A040207100 8375 8377 8378 A0402071G0 FENOT TAB. 2.5MG"H.S."(FENOTEROL HYDROBROMIDE)(鋁箔/膠箔) A040209100 PELI F.C.TABLET 150MG (BUFLOMEDIL)"Y.C." A040232100 JIACANG TABLETS A0402321G0 JIACANG TABLETS(鋁箔/膠箔) 8379 A040233100 8376 8380 8381 FENOT TAB. 2.5MG GLIX TABLETS 5MG (GLIPIZIDE) "YUNG SHIN" A0402331G0 GLIX TAB. 5MG "YUNG SHIN"(鋁箔) A040245321 FULEKANG CREAM "KOJAR" 8361 0.12 1.5 8362 4.22 8363 8364 0.6 8365 1.5 0 8366 0.35 8367 8368 0.54 8369 3.28 8370 16.2 8371 1.03 8372 1.5 8373 3.42 8374 0.8 8375 1.5 8376 6.3 1 8377 8378 1.5 8379 0 1.5 8380 8381 9.9 CODE 藥品名稱 A040643100 S.K.J.TABLETS 500MG (ERYTHROMYCIN ESTOLATE) "C.H." MINOCYCLINE CAPSULES 100MG "KOJAR" MEBERINE TABLETS 135MG (MEBEVERINE HCL) "Y.C." YI-FU VAGINAL TABLETS 100MG (ISOCONAZOLE) "S.C." BACIDE TABLETS 400MG (PIPEMIDIC ACID) "S.C." EXTACOL TAB. 200MG DEXTROLAMINE TABLETS 20MG (DEXTROMETHORPHAN HYDROBROMIDE) "S.C." SPASMO-EUVERNIL F.C. TAB. ASRIN E.C.TABLETS 165MG (ASPIRIN) CEFACLOR FOR ORAL SUSPENSION 1.5GM KASMA TABLETS "KOJAR" A040644100 A040649100 A040651500 A040652100 A040653100 A040655100 A040656100 A040658100 A040659110 A040662100 A040663100 A040664100 KETONA TABLETS 200MG (KETOCONAZOLE) IPUTON F.C.TAB. 600MG A040665100 DOCODON ENTERIC MICROENCAPSULATED CAPSULES 100MG A0406651G0 DOCODON ENTERIC MICROENCAPSULATED CAPSULES 100MG (ASPIRIN) "N.W."(鋁箔/膠箔) A040666248 FLUCON FOR IV INJECTION A040666255 FLUCON FOR IV INJECTION A040685100 COYENPIN E.C.TAB. A040686100 DICLOFEN ENTERIC-MICRO-ENCAPSULED CAPSULES 50MG (DICLOFENAC SODIUM) "H.S." A0406861G0 DICLOFEN ENTERIC-MICRO-ENCAPSULED CAPSULES 50MG (DICLOFENAC SODIUM) "H.S."(鋁箔/膠箔) A040688100 PEITIL CAP. 250MG A040689100 ANTON CAP. 200MG A040699100 GINKGOCENTRATE F.C.TABLET 9.6MG "SINPHAR" A040715100 BACLOFEN TAB. 10MG A040716100 A040720100 A040725100 A040765129 A040765157 A040765163 A040765199 A040767321 A040767329 A040767335 A040767338 A040767343 A040767345 A040767399 BACLOFEN TAB. 5MG PRONID F.C. TABLETS 500MG URIMETON TABLETS 200MG (FLAVOXATE) "CHEN TA" LIQUID BROWN MIXTURE (WITH OPIUM) "CENTER" LIQUID BROWN MIXTURE (WITH OPIUM) "CENTER" LIQUID BROWN MIXTURE (WITH OPIUM) "CENTER" LIQUID BROWN MIXTURE (WITH OPIUM) "CENTER" TONEX CREAM 10MG/GM "MEIDER" (PIROXICAM) TONEX CREAM 10MG/GM (PIROXICAM) "MEIDER" TONEX CREAM 10MG/GM (PIROXICAM) "MEIDER" TONEX CREAM 10MG/GM "MEIDER" (PIROXICAM) TONEX CREAM 10MG/G 30G TONEX CREAM 10MG/GM "MEIDER" (PIROXICAM) TONEX CREAM 10MG/G 說明 9901 支付價 3.33 5.10 刪除 1.95 6.70 2.77 2.61 0.55 3.03 1.03 111.00 0.33 4.83 3.21 1.00 1.50 352.00 481.00 0.60 1.00 1.50 1.67 3.23 2.54 1.07 1.00 2.87 3.80 刪除 1.43 27.00 30.50 0.13 12.80 23.60 38.40 33.00 55.00 52.00 1.32 刪除 A0407673AK TONEX CREAM 10MG/G 22G A040774100 ANTON TAB. 250MG "EVEREST"(DIFLUNISAL) 第 193 頁,共 382 頁 56.00 7.40 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 8382 A040245329 FULEKANG CREAM 8383 8384 8385 8386 8387 A040245335 A040245338 A040245399 A040249100 A040265100 FULEKANG CREAM "KOJAR" FULEKANG CREAM "KOJAR" FULEKANG CREAM "KOJAR" MEVOLING TAB. 200MG DAZID TABLETS "H.S" 8388 8389 8390 A040290100 A040292500 A040293100 8391 A040294100 SULSON S.C.TAB. CARESS SUPPOSITORIES "MEIDER" URICAM TABLETS 50MG "TAI YU" (BENZBROMARONE) HYBOZIDE TAB 50MG 8392 A040300100 100年1月 項次 支付價 8382 28.3 38.7 8383 45.2 8384 1.07 8385 2.1 8386 8387 1.47 2.08 8388 3.31 8389 8390 1 8391 8393 8394 A040301100 A040302100 8399 A040794100 COSOPIN TABLETS "CHINTENG" 8400 8401 8402 8403 8404 A0407941G0 A040796321 A040796329 A040796335 A040796399 COSOPIN TABLETS "CHINTENG"(鋁箔) TRIMALON CREAM TRIMALON CREAM TRIMALON CREAM TRIMALON CREAM 8405 A040806100 CEFACLOR 500MG CAP."KINGDOM" 8406 A040808321 8407 1 124 8408 8409 2.95 8410 1.03 8411 3.48 8412 6 8413 42.9 35.3 8414 8415 3.04 8416 1.25 8417 1.48 8418 2.79 8419 18.4 8420 0.5 43.1 8421 121 8422 2.73 8423 9.5 8424 A040810100 A040812100 A040813209 KEPOLINE OINTMENT 5% "EVEREST" (ACYCLOVIR) MARTRIL CAP. 250MG "M.S." (GLUCOSAMINE SULFATE) PERILAX SLOW RELEASE F.C.TAB. 400MG GLYCAL-AMIN INJECTION 3.48 279.00 A040813277 GLYCAL-AMIN INJ. 500ML 206.00 A0408132A1 GLYCAL-AMIN INJECTION 390.00 8393 1.45 8394 8396 A0403021G0 DESPUTIN TABLETS 30MG"TAI YU"(AMBROXOL HYDROCHLORIDE)(鋁箔/ A040304100 LOIL TABLETS 5MG (GLIPIZIDE) "SINTON" 8395 1.5 8396 0 8397 A040307100 8398 A040333100 8399 A040334100 8400 8401 8402 8403 8404 A040352100 A040356100 A040358345 A040360100 A040363100 8405 A040369100 8406 A040370100 IMORA CAPSULES 2MG (LOPERAMIDE) "SHENG CHUN" OSTALFA SOFT CAPSULES 0.25UG "F.M."(ALFACALCIDOL) MACALOL SOFT CAPSULES 0.5UG "F.M."(CALCITRIOL) DANAMIN CAP. 100MG CLOMI CAP.25MG FLUR DI FEN PATCH 40MG/12GM OUBILE TAB. 5MG VOREN E.C. TABLETS 75MG (DICLOFENAC SODIUM) UISPAN TABLETS 200MG (SULPIRIDE) "PANBIOTIC" URANID TAB. 100MG 8397 0.48 A040776100 A040371100 COSUNE TAB. 8408 8409 A040397277 A040399100 8410 A040402100 8411 A040421100 8412 A040422100 8413 A040423209 8414 8415 A040423277 A040424100 8416 A040426100 8417 A040427100 U-VANCO I.V. INJ.500MG FORFLOW SUSTAINEDRELEASED TABLETS 400MG (PENTOXIFYLLINE) "M PEPTASE E.F.C. TABLETS 10MG (SERRATIOPEPTIDASE) "ROYAL" BLADATON TABLET 200MG (FLAVOXATE) "SENTAI" LIMADOL CAPSULES 50MG (TRAMADOL HYDROCHLORIDE) "N.K." CEPONIN INJECTION (CEPHRADINE) "CHI SHENG." CEPONIN INJ. PAR YIH TABLETS 5MG (OXYBUTYNIN CHLORIDE) "C.H." S.K.J.CAPSULES 250MG (ERYTHOMYCIN) "C.H." CLINDAMYCIN CAP. 150MG 8418 A040428100 8419 A040429100 8420 A040430100 EDEPIN TABLETS 5MG (AMILORIDE) "SWISS" SUPEROCIN F.C. TABLETS 250MG (CIPROFLOXACIN HYDROCHLORIDE) LIDERAL TAB. 40MG 8421 8422 8423 8424 A040458321 A040458338 A040458399 A040475321 AESCIN GEL 15MG/G (ESCIN) "C.H." AESCIN GEL 15MG/G (ESCIN) "C.H." AESCIN GEL 15MG/G (ESCIN) "C.H." CHIUH-YEANG-SHU OINT. 5G 1.01 調整 14.00 28.80 47.30 1.20 1.95 7.4 14.6 2.79 8.9 3.08 1.50 0.67 0.56 18.60 1.55 0.16 刪除 1.50 12.00 0.96 1.50 13.60 8.30 47.40 0.83 1 7.90 2.1 47.60 1.68 A040815329 MEFUDAZOLE GEL 0.75% "S.L" 85.00 A040815338 MEFUDAZOLE GEL 0.75% "S.L." 96.00 A040815399 A040817100 MEFUDAZOLE GEL 7.5MG/GM "S.L." DO IT CAP. 250MG A040822100 AEZOC E.C.TABLETS 10MG (SERRAPEPTASE) A0408221G0 AEZOC E.C.TABLETS 10MG (SERRAPEPTASE)(鋁箔/膠箔) A040824212 DEPO-TESTOMON INJECTION "LITA" (TESTOSTERONE CYCLOPENTYL) A040825100 ZINCO TABLETS 78MG (ZINC GLUCONATE) "ROYAL" A040826100 SUBILIN ENTERIC-COATED CAPSULES 500MG "H.S."(ASPIRIN) A040833157 SECORINE SYRUP A040833199 SECORINE SYRUP A040834199 ORNADIN SOLUTION A040835100 MEFORIN F.C.TAB. 500MG 第 194 頁,共 382 頁 調整 21.90 1.20 1.00 4.78 0.58 8407 說明 9901 支付價 8398 8392 2.18 1 8395 藥品名稱 ROLAX TABLETS 10MG "EVEREST" (BACLOFEN) A040778321 LEDERNIN OINT. 5GM "EVEREST" A040778329 LEDERNIN OINT. 10G "EVEREST" A040778335 LEDERNIN OINTMENT "EVEREST" A040778399 LEDERNIN OINTMENT "EVEREST" A040779100 CAPROINE TABLETS 25MG (CAPTOPRIL) "ROYAL" A040780335 EPIFU CREAM "SENTAI" A040780399 EPIFU CREAM "SENTAI" A040781100 GLUCOFIT F.C.TABLETS 500MG (METFORMIN) "SWISS" A0407811G0 GLUCOFIT F.C.TABLETS 500MG (METFORMIN) "SWISS"(鋁箔/膠箔)(60粒/ 瓶)(168粒/瓶) A040782100 LIVERON S.C.TABLETS 25MG "EVEREST" (ANETHOL) A040783100 TRANCOSIL TABLETS 200MG "EVEREST" (CHLORMEZANONE) A040787100 SORIALEN F.C.TABLETS 10MG (METHOXSALEN) "SWISS" A040790100 MEDORONE TABLETS 5MG (NORETHINDRONE ACETATE) "S.C." A040791100 CYPROH TABLETS 4MG (CYPROHEPTADINE HYDROCHLORIDE A0407911G0 CYPROH TABLETS 4MG (CYPROHEPTADINE HYDROCHLORIDE A040792238 LYSIMIN INJECTION 0.35 POULICAN-U SOFT CAPSULE 150MG "SINPHAR"(SILYMARIN) GOLD-OSSA CAPSULE 250MG "SINPHAR" (GLUCOSAMINE SULFATE) DESPUTIN TAB 30MG CODE 3.83 1.67 1.00 1.50 18.40 1.25 0.80 25.00 0.13 0.08 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 8425 A040475329 CHIUH-YEANG-SHU OINT. 450G 8426 A040475372 CHIUH-YEANG-SHI OINT.450G 8427 A040504100 IMOCON CAP.2MG 8428 A0405041G0 IMOCON CAP.2MG(鋁箔) 8429 A040505199 8430 A040511100 GLYMECON SYRUP 8442 LOMEDIL F.C. TABLETS 150MG (BUFLOMEDIL HYDROCHLORIDE)"C.H." A040513100 BUEDOR TAB. 1MG A040516100 DIALIUM TABLETS 5MG (DIAZEPAM)"SHENG CHUN" A040517100 TENCAM F.C. TABLETS 20MG (TENOXICAM) "STANDARD" A040523100 CIRZODONE TABLET 100MG "SINPHAR" (TRAZODONE HYDROCHLORIDE) A040532100 ENOLI CAPSULES 400MG "CHINTENG" (PIRACETAN) A0405321G0 ENOLI CAPSULES 400MG "CHINTENG" (PIRACETAN)(鋁箔/膠箔) A040536100 IBUPROFEN TABLETS 400MG "SWISS" A040540100 NORFLODAL F.C.TABLETS 100MG (NORFLOXACIN) A040542100 BACCIDAL F.C 200MG A040544100 CLOPRAN F.C. TABLETS 25MG(CLOMIPRAMINE) A040545100 SUSINE F.C.TABLETS 200MG (SULPIRIDE) "SWISS" A040547100 METOL TAB. 100MG 8443 8444 A040558277 A040559277 KALY INJ.50MG/ML500ML FULIN INJECTION "ASTAR" 8445 A040562100 8446 A040563100 8447 A040564100 LOPIN TABLETS 100MG (SULPIRIDE) "SINTON" QUITEN CAPSULE 10MG (UBIDECARENONE) "Y.S." IBUPROFEN F.C.TABLETS 400MG "SWISS" 8448 A040567100 8431 8432 8433 8434 8435 8436 8437 8438 8439 8440 8441 8449 8450 8451 8452 8453 8454 8455 8456 8457 8458 8459 8460 8461 8462 8463 LOPERATIN TABLETS 2MG "EVEREST"(LOPERAMIDE) A040568100 RECERIN F.C. TABLETS 40MG (GINKGOFLAVONGLYCOSIDES)"Y.C." A040569338 CONAZOL CREAM 20MG /GM (KETOCONAZOLE) "STANDARD" A040573100 NYSTATIN CAPSULES 500000UNITS "CHIN TENG" A040574100 PROTON FORTE TABLETS "NW" A040575100 EBUFEN F.C.TABLETS 400MG (IBUPROFEN) "S.C" A040576100 ZINBOSS TABLETS "C.H." (ZINC GLUCONATE) A040577110 CEFACHLOR GRANULE FOR ORAL SUSPENSION 125MG/5ML "SINPHAR" ( A040578100 CEFACHLOR CAPSULE 250MG "SINPHAR"(CEFACLOR) A040580100 EDENIL TABLETS A040583100 GLUZIDE TABLET 80MG "STANDARD" (GLICLAZIDE) A040613209 CLATAXIME POWDER FOR INJ. 1G A040615100 CHILON E.F.C. TABLETS 75MG (DICLOFENAC SODIUM) "NW" A040639100 ERCIN CAPSULES 10MG (UBIDECARENONE) "YUNG CHI" A040641100 GLIZIDE TABLETS 5MG (GLIPIZIDE) "S.Y" A0406411G0 GLIZIDE TABLETS 5MG (GLIPIZIDE) "S.Y"(鋁箔/膠箔) 100年1月 項次 支付價 8425 19.1 8426 779 8427 0.48 8428 0 8429 0 8430 6.4 1.55 8431 8432 0.31 8433 8.5 8434 6.8 8435 1.22 8436 1.5 1 8437 8438 1.88 2.28 8439 8440 2.77 8441 4.32 8442 5.7 28.3 8443 8444 20 8445 0 8446 5.4 8447 0.96 8448 0.48 8449 2.52 8450 59 8451 2.31 0.86 8452 8453 1 8454 1 8455 110 8456 3.59 2.17 8457 8458 1.81 141 8459 8460 1 8461 4.71 1 8462 8463 1.5 CODE 藥品名稱 A0408351G0 MEFORIN F.C.TAB. 500MG "JOHNSON" (METFORMIN)(鋁箔/膠箔) A040864100 U-CA SOFT CAPSULE 0.25MCG (CALCITRIOL) "SINPHAR" A040868309 KETOSONE CREAM 20MG/GM "PBF" (KETOCONAZOLE) A040868321 KETOSONE CREAM 20MG/GM "PBF" (KETOCONAZOLE) A040868329 KETOSONE CREAM 20MG/GM "PBF" (KETOCONAZOLE) A040868399 KETOSONE CREAM 20MG/GM "PBF" (KETOCONAZOLE) A040870100 BROWN MIXTURE TABLETS A040871100 BROWN MIXTURE TABLET "CENTER" 說明 9901 支付價 1.50 3.91 664.00 22.70 刪除 18.20 刪除 0.66 0.20 0.18 A040881100 LINCO CAP. 500MG 6.80 A040887100 TNYH TABLETS 10MG (OXETHAZAINE) "CHIN TENG" NALOXEN F.C. TABLETS 550MG "PBF"(NAPROXEN SODIUM) LIVORIN CAP. 150MG "WEIDAR" (SILYMARIN) GLUCOSAMINE CAP. 250MG PREA TABLETS 4MG (METHYLPREDNISOLONE) "Y.C." LOMEBACT CAPSULES 100MG TINTEN TABLETS "EXTRA" 0.80 A040892100 A040894100 A040897100 A040906100 A040907100 A040908100 A040925100 JEN TON YAN CAPSULES 250MG "D.S." (MEFENAMIC ACID) A040949100 CAPOTIL TABLETS 25MG "KINGDOM" (CAPTOPRIL) A040972100 AN-LIH CAPSULES 2MG "DS" A040974500 CLOMAZOLE VAGINAL TABLETS 500MG (CLOTRIMAZOLE) "VPP" A040976100 LICOSIN S.C.TABLETS 25MG "SHENG CHUN" (DIPYRIDAMOLE) A040977100 SWITANE TABLETS 5MG "SWISS" (TRIHEXYPHENIDYL) A0409771G0 SWITANE TABLETS 5MG "SWISS" (TRIHEXYPHENIDYL)(鋁箔/膠箔) A040979100 MEQAZINE TAB. A040982209 2.63 2.11 1.43 1.14 20.30 1.00 0.37 2.37 調整 0.45 16.00 0.33 刪除 0.72 1.50 1.42 A041013209 A041013277 CEXITIN FOR INJECTION 1GM (CEFOXITIN) "PURZER" U-CA SOFT CAPSULE 0.5MCG "SINPHAR"(CALCITRIOL) WEIMOK F.C.TAB. 20MG "WEIDAR" (FAMOTIDINE) CETA FOR INJ. 1000MG CETA FOR INJ. 500MG A041017100 ERGOLOID TAB. 1.5MG 2.29 A041018100 NIMAPE ENTERIC F.C. TAB. 100MG 1.00 A041019100 BIPER TAB. 2MG 3.06 A041020100 A041021100 MESURIN TABLETS 2MG"S.C" FLOGIN TAB. 2MG 2.72 2.99 A041022100 A041023100 CHUNLIN CAO. 200MG BUFEN TABLET 200MG (FENBUFEN) "CHINTENG" FREE TAB.2MG 3.28 1.93 A040983100 A040986100 146.00 調整 6.20 3.51 127.00 70.00 調整 A041024100 A041025100 TOLIZOLE CAP. 250MG A0410251G0 TOLIZOLE CAPSULES 250MG"KOJAR"(METRONIDAZOLE)(鋁箔/ 膠箔) 第 195 頁,共 382 頁 2.99 1.00 1.50 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 8464 8465 A040642435 A040643100 8466 8467 A040644100 A040649100 8468 A040651500 8469 A040652100 8470 A040653100 DISODIUM CROMOGLYCATE NASAL S.K.J.TABLETS 500MG (ERYTHROMYCIN ESTOLATE) "C.H." MINOCYCLINE CAPSULES 100MG MEBERINE TABLETS 135MG (MEBEVERINE HCL) "Y.C." YI-FU VAGINAL TABLETS 100MG (ISOCONAZOLE) "S.C." BACIDE TABLETS 400MG (PIPEMIDIC ACID) "S.C." EXTACOL TAB. 200MG 8471 A040655100 8472 8473 8474 8475 8476 8477 8478 8479 8480 8481 8482 8483 DEXTROLAMINE TABLETS 20MG (DEXTROMETHORPHAN HYDROBROMIDE) " A040656100 SPASMO-EUVERNIL F.C. TAB. A040658100 ASRIN E.C.TABLETS 165MG (ASPIRIN) "H.S." A040659110 CEFACLOR FOR ORAL SUSPENSION 1.5GM A040662100 KASMA TABLETS "KOJAR" A040663100 KETONA TABLETS 200MG A040664100 IPUTON F.C.TAB. 600MG A040665100 DOCODON ENTERIC MICROENCAPSULATED CAPSULES 100MG A0406651G0 DOCODON ENTERIC MICROENCAPSULATED CAPSULES 100MG A040666248 FLUCON FOR IV INJECTION A040666255 FLUCON FOR IV INJECTION A040685100 COYENPIN E.C.TAB. 8486 8487 A0406851G0 COYENPIN E.C.TABLETS 50MG (DICLOFENAC SODIUM) "ROOT"(鋁箔/ A040686100 DICLOFEN ENTERIC-MICRO-ENCAPSULED CAPSULES 50MG (DICLOFENAC A0406861G0 DICLOFEN ENTERIC-MICRO-ENCAPSULED CAPSULES 50MG (DICLOFENAC A040688100 PEITIL CAP. 250MG A040689100 ANTON CAP. 200MG 8488 A040699100 8484 8485 8489 8490 8491 8492 8493 8494 8495 8496 8497 8498 8499 8500 8501 8502 8503 8504 8505 8506 GINKGOCENTRATE F.C.TABLET 9.6MG "SINPHAR" (GINKGOFLAVONGLYC A040715100 BACLOFEN TABLETS 10MG"JOHNSON" A040716100 BACLOFEN TABLETS 5MG"JOHNSON" A040720100 PRONID F.C. TABLETS 500MG A040725100 URIMETON TABLETS 200MG (FLAVOXATE) "CHEN TA" A040765129 LIQUID BROWN MIXTURE (WITH OPIUM) "CENTER" A040765151 LIQUID BROWN MIXTURE (WITH OPIUM) "CENTER" A040765157 LIQUID BROWN MIXTURE (WITH OPIUM) "CENTER" A040765163 LIQUID BROWN MIXTURE (WITH OPIUM) "CENTER" A040765199 LIQUID BROWN MIXTURE (WITH OPIUM) "CENTER" A040767321 TONEX CREAM 10MG/GM "MEIDER" (PIROXICAM) A040767329 TONEX CREAM 10MG/GM (PIROXICAM) "MEIDER" A040767335 TONEX CREAM 10MG/GM (PIROXICAM) "MEIDER" A040767338 TONEX CREAM 10MG/GM "MEIDER" (PIROXICAM) A040767343 TONEX CREAM 10MG/G 30G A040767345 TONEX CREAM 10MG/GM "MEIDER" (PIROXICAM) A040767399 TONEX CREAM 10MG/G A0407673AK TONEX CREAM 10MG/G 22G A040774100 ANTON TAB. 250MG "EVEREST"(DIFLUNISAL) 100年1月 項次 支付價 70 8464 8465 3.33 5.1 8466 8467 1.95 8468 6.7 8469 2.77 8470 2.61 8471 0.55 3.03 8472 8473 1.03 111 8474 0.33 8475 4.83 8476 3.21 8477 8478 1 8479 1.5 352 8480 481 8481 8482 0.6 8483 1.5 8484 0 8485 1.5 1.67 8486 8487 3.23 8488 2.51 0 8489 0 8490 2.87 8491 8492 3.8 8493 1.43 8494 7.7 8495 27 8496 30.5 8497 0.13 8498 12.8 8499 23.6 8500 38.4 8501 33 55 8502 8503 52 1.32 8504 56 8505 8506 7.4 說明 CODE 藥品名稱 A041026100 A041028100 REGITAN TAB. 10MG TETRACYCLINE HYDROCHLORIDE 500MG 0.50 0.77 A041029100 A041030100 FULBIYEN TAB. 4MG SUBILIN TAB. 60MG 0.63 0.58 A041032100 PINRIJIN S.C. TAB. 10MG 0.29 A041036100 CINRIZIN TAB. 25MG 0.50 A041037229 A041041100 A041045100 A041047100 A041048100 A041049100 LIPO-DOX LIPOSOME INJ. 2MG/ML (DOXORUBCIN HYDROCHLORIDE) PENPHYLLINE FILM-COATED SUSTAINEDRELEASE TABLETS 400MG (PENTOXIFYLLINE) GLU ZIN TAB. BELAX AQUA NASAL SPRAY 0.42MG/GM 23ML/BOT UCOCAL TAB. 950MG SON COUGH TAB. 30MG COLDAN CAPSULES "KOJAR" POUSTARN CAP. 250MG VITABONIN TABLETS "KOJAR" A041051100 COSINCI TABLETS 25MG"SINTON" A041055100 A041056338 A041057321 1.22 51.00 29.90 A041057330 CEPHA CAPSULE 250MG ISOCORTANT CREAM "GRAPE" CLOBA CREAM 0.5MG/GM "S.Y." (CLOBETASONE) CLOBA CREAM 0.5MG/GM "S.Y." (CLOBETASONE) CLOBA CREAM 0.5MG/GM"S.Y" A041057335 CLOBA CREAM 44.00 A041057343 A041057399 A041058100 CLOBA CREAM 30GM CLOBA CREAM 0.5MG/GM "S.Y." (CLOBETASONE) NIFEPINE SUSTAINED RELEASE 20MG A041062100 A041063100 A041065100 A041066100 DERGINPIN TAB. 5MG AMADINE CAP. 100MG ANEDANE CAP. 25MG ANZERTON TAB. 500MG 0.31 2.33 1.00 0.31 A041067317 ICOUFU CREAM "KOJAR" 12.90 A041067321 KOJARCORT CREAM "KOJAR" 7.30 A041067329 KOJARCORT CREAM "KOJAR" 14.60 A041067335 KOJARCORT CREAM "KOJAR" 21.90 A041067338 KOJARCORT CREAM "KOJAR" 29.20 A041067399 KOJARCORT CREAM "KOJAR" 1.20 A041068100 ERYTHROMYCIN CAP. 250MG 0.99 A041069100 1.38 A041070100 TRAN CAP. 250MG "KOJAR" (TRANEXAMIC ACID) KANPO CAP. 50MG A041073100 A041074100 DOCODON E.F.C. TAB. 165MG GULISIN 250MG 1.03 1.67 A041167100 A041168100 A041169100 SUKEYEN CAPSULES 50MG KOJARCEFXIL CSPSULES 500MG"KOJOR" KOJAZYME TABLETS 90MG "KOJAR" 1.10 2.18 1.00 A041038100 A041039100 A041040438 A041057329 9901 支付價 12,684.00 3.48 1.34 97.00 2.70 0.70 1.62 0.70 0.50 2.79 50.00 新增 81.00 刪除 123.00 1.76 5.10 調整 刪除 刪除 新增 第 196 頁,共 382 頁 1.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 8507 8508 8509 8510 8511 8512 8513 8514 8515 8516 8517 8518 8519 8520 8521 8522 8523 8524 8525 8526 8527 8528 8529 8530 8531 8532 8533 8534 8535 8536 8537 8538 8539 8540 8541 8542 8543 8544 8545 8546 8547 CODE 藥品名稱 100年1月 項次 支付價 A040776100 ROLAX TABLETS 10MG "EVEREST" 8507 1.01 (BACLOFEN) 14 8508 A040778321 LEDERNIN OINT. 5GM "EVEREST" 28.8 8509 A040778329 LEDERNIN OINT. 10G "EVEREST" 47.3 8510 A040778335 LEDERNIN OINTMENT "EVEREST" 1.07 8511 A040778399 LEDERNIN OINTMENT "EVEREST" A040779100 CAPROINE TABLETS 25MG (CAPTOPRIL) 8512 1.95 "ROYAL" 21.9 8513 A040780335 EPIFU CREAM "SENTAI" 1.08 8514 A040780399 EPIFU CREAM "SENTAI" A040781100 GLUCOFIT F.C.TABLETS 500MG 8515 1 (METFORMIN) "SWISS" A0407811G0 GLUCOFIT F.C.TABLETS 500MG 8516 1.5 (METFORMIN) "SWISS"(鋁箔/膠箔)(6 A040782100 LIVERON S.C.TABLETS 25MG "EVEREST" 8517 0.67 (ANETHOL) A040783100 TRANCOSIL TABLETS 200MG "EVEREST" 8518 0.56 (CHLORMEZANONE) A040787100 SORIALEN F.C.TABLETS 10MG 8519 18.6 (METHOXSALEN) "SWISS" A040790100 MEDORONE TABLETS 5MG 8520 1.47 (NORETHINDRONE ACETATE) "S.C." A040791100 CYPROH TABLETS 4MG 8521 0.16 (CYPROHEPTADINE HYDROCHLORIDE A0407911G0 CYPROH TABLETS 4MG 8522 1.5 (CYPROHEPTADINE HYDROCHLORIDE A040792238 LYSIMIN INJECTION 8523 12 A040794100 COSOPIN TABLETS "CHINTENG" 8524 0.96 A0407941G0 COSOPIN TABLETS "CHINTENG"(鋁箔) 8525 1.5 13.6 8526 A040796321 TRIMALON CREAM 8.3 8527 A040796329 TRIMALON CREAM A040796335 TRIMALON CREAM 8528 47.4 0.83 8529 A040796399 TRIMALON CREAM A040806100 CEFACLOR 500MG CAP."KINGDOM" 8530 7.9 A040808321 KEPOLINE OINTMENT 5% "EVEREST" 8531 47.6 (ACYCLOVIR) A040810100 MARTRIL CAP. 250MG "M.S." 8532 1.68 (GLUCOSAMINE SULFATE) A040812100 PERILAX SLOW RELEASE F.C.TAB. 400MG 8533 3.48 A040813209 GLYCAL-AMIN INJECTION 8534 279 A040813277 GLYCAL-AMIN INJ. 500ML 8535 206 A0408132A1 GLYCAL-AMIN INJECTION 8536 390 A040815329 MEFUDAZOLE GEL 0.75% "S.L" 8537 85 A040815338 MEFUDAZOLE GEL 0.75% "S.L." 8538 96 A040815399 MEFUDAZOLE GEL 7.5MG/GM "S.L." 8539 3.83 1.67 8540 A040817100 DO IT CAP. 250MG 1 8541 A040822100 AEZOC E.C.TABLETS 10MG A0408221G0 AEZOC E.C.TABLETS 10MG 8542 1.5 (SERRAPEPTASE)(鋁箔/膠箔) A040824212 DEPO-TESTOMON INJECTION "LITA" 8543 18.4 (TESTOSTERONE CYCLOPENTYL) A040825100 ZINCO TABLETS 78MG (ZINC 8544 1 GLUCONATE) "ROYAL" A040826100 SUBILIN ENTERIC-COATED CAPSULES 8545 0.8 500MG "H.S."(ASPIRIN) 25 8546 A040833157 SECORINE SYRUP A040833199 SECORINE SYRUP 8547 0.13 說明 CODE 藥品名稱 9901 支付價 A041170100 CHIYUANPIN E.C. TAB. A041171100 A041173100 A041174277 A041206329 A041206372 KOJARDINE CAPSULES 500MG "KOJAR" PIPEMIDIC ACID TAB. 250MG TALAMIN-HEPA INJ.500ML FUSHUNDER OINTMENT FUSHUNDER OINTMENT A041207100 A041208100 A041213100 ANEDANE S.C. TAB. 12.5MG BENZYDAMINE CAP. 50MG KEZINTEA TAB. 0.66 0.84 1.00 A041219100 4.25 A041220100 SINTONFON TABLETS 100MG "SINTON"(BENZBROMARONE) ASPLATELET E.C.CAP. 100MG A041221100 BUFLO TABLETS 5.50 A041224100 SUCAN CAP. 150MG 2.12 A041225100 BIWEISHI F.C. TAB. 120MG 6.50 A041226100 TRAND CAPSULES 250MG "STANDARD"(TRANEXAMIC ACID) NICERMION S.C.TABLETS 5MG "S.C"[NICERGOLINE] CLEODACIN GEL 10MG/GM "S.Y."(CLINDAMYCIN PHOSPHATE) CLEODACIN GEL 10MG/GM "S.Y."(CLINDAMYCIN PHOSPHATE) CLEODACIN GEL 10MG/GM "S.Y."(CLINDAMYCIN PHOSPHATE) CLEODACIN GEL 15GM CLEODACIN GEL30GM CLEODACIN GEL 10MG/GM "S.Y."(CLINDAMYCIN PHOSPHATE) FENOTEROL TAB. 2.5MG TRIMPRIN TABLETS300MG "S.C."(TRIMETHOPRIM) GLUBIN F.C. TABLET 1.72 1.51 3.43 2.34 224.00 39.80 779.00 調整 調整 1.00 調整 A041227100 A041229309 A041229321 A041229329 A041229335 A041229343 A041229399 A041230100 A041231100 A041233100 A0412331G0 GLUBIN F.C. TABLET 500MG"PURZER"(鋁 箔/膠箔) A041234151 IBUFEN SUSPENSION 20MG/ML "C.H."(IBUPROFEN) A041234157 IBUFEN SUSPENSION 20MG/ML "C.H."(IBUPROFEN) A041234199 IBUFEN SUSPENSION 20MG/ML "C.H."(IBUPROFEN) A041236151 MUSCO SOLUTION 3MG/ML "STANDARD" (AMBROXOL) A041236155 MUSCO SOLUTION 3MG/ML "STANDARD"(AMBROXOL ) A041236157 MUSCO SOLUTION 3MG/ML "STANDARD" (AMBROXOL) A041236199 MUSCO SOLUTION 3MG/ML "STANDARD" (AMBROXOL) A041237335 COGESAN CREAM 100MG/G A041237343 COGESAN CREAM A041237345 COGESAN CREAM 100MG/GM "MEIDER" (ETOFENAMATE) A041237372 COGESAN CREAM 2.23 2,016.00 10.90 20.30 35.60 93.00 1.17 0.80 2.03 1.00 1.50 25.00 60.00 0.20 25.00 28.00 101.00 0.28 38.10 98.00 75.00 1,476.00 A041238100 HICALOL SOFT CAP 7.40 A041239100 HICALOL SOFT CAP 4.54 A041247100 A041249100 CARPINE TAB. PROSTARMON E. TABLETS 0.5MG "DCPC" (DINOPROSTONE) 調整 第 197 頁,共 382 頁 2.74 49.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 8548 8549 8550 8551 8552 8553 8554 8555 8556 8557 8558 8559 8560 8561 8562 8563 8564 8565 8566 8567 8568 8569 8570 8571 8572 8573 8574 8575 8576 8577 8578 8579 8580 8581 8582 8583 8584 8585 8586 8587 8588 CODE 藥品名稱 100年1月 項次 支付價 A040834199 ORNADIN SOLUTION 8548 0.08 A040835100 MEFORIN F.C.TAB. 500MG 8549 0 A0408351G0 MEFORIN F.C.TAB. 500MG "JOHNSON" 8550 0 (METFORMIN)(鋁箔/膠箔) A040864100 U-CA SOFT CAPSULE 0.25MCG 8551 3.91 (CALCITRIOL) "SINPHAR" A040868309 KETOSONE CREAM 20MG/GM "PBF" 8552 664 (KETOCONAZOLE) A040868321 KETOSONE CREAM 20MG/GM "PBF" 8553 22.7 (KETOCONAZOLE) A040868329 KETOSONE CREAM 20MG/GM "PBF" 8554 13.2 (KETOCONAZOLE) A040868399 KETOSONE CREAM 20MG/GM "PBF" 8555 0.64 (KETOCONAZOLE) 0.2 8556 A040870100 BROWN MIXTURE TABLETS A0408701G0 BROWN MIXTURE TABLET (WITH OPIUM) 8557 1.5 "CENTER"(鋁箔/膠箔) 0.18 8558 A040871100 BROWN MIXTURE TABLET "CENTER" A040881100 LINCO CAP. 500MG 8559 6.8 A040887100 TNYH TABLETS 10MG (OXETHAZAINE) 8560 0.8 "CHIN TENG" A040892100 NALOXEN F.C. TABLETS 550MG 8561 2.63 "PBF"(NAPROXEN SODIUM) A040894100 LIVORIN CAP. 150MG "WEIDAR" 8562 2.11 (SILYMARIN) A040897100 GLUCOSAMINE CAP. 250MG 8563 1.43 A040906100 PREA TABLETS 4MG 8564 0 (METHYLPREDNISOLONE) "Y.C." 20.3 8565 A040907100 LOMEBACT CAPSULES 100MG 1 8566 A040908100 TINTEN TABLETS "EXTRA" A040925100 JEN TON YAN CAPSULES 250MG "D.S." 8567 0.37 (MEFENAMIC ACID) A040949100 CAPOTIL TABLETS 25MG "KINGDOM" 8568 2.33 (CAPTOPRIL) 0.45 8569 A040972100 AN-LIH CAPSULES 2MG "DS" A040974500 CLOMAZOLE VAGINAL TABLETS 500MG 8570 16 (CLOTRIMAZOLE) "VPP" A040976100 LICOSIN S.C.TABLETS 25MG "SHENG 8571 0.33 CHUN" (DIPYRIDAMOLE) A040977100 SWITANE TABLETS 5MG "SWISS" 8572 0.72 (TRIHEXYPHENIDYL) A0409771G0 SWITANE TABLETS 5MG "SWISS" 8573 1.5 (TRIHEXYPHENIDYL)(鋁箔/膠箔) 1.42 8574 A040979100 MEQAZINE TAB. A040982209 CEXITIN FOR INJECTION 1GM 8575 146 (CEFOXITIN) "PURZER" A040983100 U-CA SOFT CAPSULE 0.5MCG 8576 6.2 "SINPHAR"(CALCITRIOL) A040986100 WEIMOK F.C.TAB. 20MG "WEIDAR" 8577 3.51 (FAMOTIDINE) 127 8578 A041013209 CETA FOR INJ. 1000MG A041013277 CETA FOR INJ. 500MG 8579 70 0 8580 A041017100 ERGOLOID TAB. 1.5MG A041018100 NIMAPE ENTERIC F.C. TAB. 100MG 8581 1 A041019100 BIPER TAB. 2MG 8582 3.06 2.72 8583 A041020100 MESURIN TABLETS 2MG"S.C" 2.99 8584 A041021100 FLOGIN TAB. 2MG 3.28 8585 A041022100 CHUNLIN CAO. 200MG A041023100 BUFEN TABLET 200MG (FENBUFEN) 8586 1.79 "CHINTENG" 2.99 8587 A041024100 FREE TAB.2MG 1 8588 A041025100 TOLIZOLE CAP. 250MG 說明 CODE 藥品名稱 A041250100 1.67 A041253100 GLUC CAP. 250MG "S.Y"(GLUCOSAMINE SULFATE) MENCHUAN F.C.TABLETS 100MG(TICLOPIDINE) ARTRIL-S CAP.250MG A041258100 INSHEL S.C. TAB. 1.89 A041260100 UROPYRIN S.C.TAB. 100MG 0.82 A041264100 AZUNOL TABLETS 2MG "KOJAR" 1.00 A041265100 CEPHALEXIN CAP. 250MG 1.19 A041268100 KANYEN CAP. 200MG 2.20 A041269100 A041270100 PRIPRAM TAB. 5MG KUETONBILY TABLETS 10MG "KOJAR" (DICYCLOMINE HYDROCHLORIDE) GLUORICS CAP. 250MG TRACESLIN SYRUP 0.4MG/ML (SALBUTAMOL SULFATE) ANTIGLUCO TAB. 500MG 0.27 1.00 A041251100 9901 支付價 6.30 刪除 1.67 刪除 調整 調整 A041271100 A041275151 A041277100 A041278100 新增 1.67 25.70 1.00 28.70 A041284100 CYRONA TABLETS 50MG "S.S.P."(CYPROTERONE) KINXETINE 20MG CAPSULES "KINGDOM"(FLUOXETINE) KINTEC TABLETS 20MG "KINGDOM"(ENALAPRIL) INTESTICIN TAB. A041286100 A041287321 A041287329 SUCOPANLIN CAP. 10MG KOJARDERM OINTMENT "KOJAR" KOJARDERM OINTMENT "KOJAR" 1.00 8.60 19.50 A041287335 KOJARDERM OINTMENT "KOJAR" 26.70 A041287338 A041287399 KOJARDERM OINTMENT "KOJAR" KOJARDERM OINTMENT "KOJAR" 35.70 1.31 A041288100 FULCIN S.C. TAB. 12.5MG 0.55 A041290100 0.75 A041293321 MEKEZOLE TABLETS 100MG (MEBENDAZOLE)"KOJAR" KERMAYLIN CREAM 20MG/GM"KOJAR" 23.00 A041293329 A041293335 KERMAYLIN CREAM 20MG/G 10G KERMAYLIN CREAM 20MG/GM"KOJAR" 14.70 56.00 A041293399 KERMAYLIN CREAM 20MG/GM"KOJAR" 1.47 A041296100 TENTON CAP. 25MG 0.32 A041280100 A041281100 4.34 2.85 0.54 刪除 調整 A041310100 POUSTARN F.C.TAB. 500MG A0413101G0 POUSTARN F.C.TAB. 500MG "KOJAR" (MEFENAMIC ) 鋁箔/膠箔 A041311100 WELLCOME TAB. 400MG A0413111G0 WELLCOME TAB. 400M "KOJAR" (CIMETIDINE ) 鋁箔/膠箔 A041312100 WELLCOME TABLETS 200MG (CIMETIDINE) "M.S" A041314118 BISUN ANTI-COUGH SYRUP A041314119 BISUN ANTI-COUGH SYRUP A041314151 BISUN ANTI-COUGH SYRUP A041314157 BISUN ANTI-COUGH SYRUP 0.60 1.50 1.00 1.50 刪除 1.00 1,710.00 1,800.00 27.00 54.00 調整 A041314199 A041316100 第 198 頁,共 382 頁 BISUN ANTI-COUGH SYRUP COLCHICINE TABLETS 0.5MG "S.T." 0.45 1.06 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 8589 A0410251G0 TOLIZOLE CAPSULES 250MG"KOJAR"(METRONIDAZOLE)(鋁箔/ 膠箔) A041026100 REGITAN TAB. 10MG A041028100 TETRACYCLINE HYDROCHLORIDE 500MG A041029100 FULBIYEN TAB. 4MG A041030100 SUBILIN TAB. 60MG 8590 8591 8592 8593 8594 藥品名稱 8599 A0410301G0 SUBILIN TABLETS 60MG "KOJAR" 8PSEUDOEPHEDRINE HYDROCHLORIDE A041032100 PINRIJIN S.C. TAB. 10MG A041036100 CINRIZIN TAB. 25MG A041037229 LIPO-DOX LIPOSOME INJ. 2MG/ML (DOXORUBCIN HYDROCHLORIDE) A041038100 PENPHYLLINE FILM-COATED SUSTAINEDRELEASE TABLETS 400MG (PE A041039100 GLU ZIN TAB. 8600 A041040438 8601 8602 8603 8604 8605 8606 8607 8608 8609 A041041100 A041045100 A041047100 A041048100 A041049100 A041051100 A041055100 A041056338 A041057321 8610 A041057329 8611 8612 8613 8614 A041057330 A041057335 A041057343 A041057399 8615 8616 8617 8618 8619 8620 A041058100 A041062100 A041063100 A041065100 A041066100 A041067317 BELAX AQUA NASAL SPRAY 0.42MG/GM 23ML/BOT UCOCAL TAB. 950MG SON COUGH TAB. 30MG COLDAN CAPSULES "KOJAR" POUSTARN CAP. 250MG VITABONIN TABLETS "KOJAR" COSINCI TABLETS 25MG"SINTON" CEPHA CAPSULE 250MG ISOCORTANT CREAM "GRAPE" CLOBA CREAM 0.5MG/GM "S.Y." (CLOBETASONE) CLOBA CREAM 0.5MG/GM "S.Y." (CLOBETASONE) CLOBA CREAM 0.5MG/GM"S.Y" CLOBA CREAM CLOBA CREAM 30GM CLOBA CREAM 0.5MG/GM "S.Y." (CLOBETASONE) NIFEPINE SUSTAINED RELEASE 20MG DERGINPIN TAB. 5MG AMADINE CAP. 100MG ANEDANE CAP. 25MG ANZERTON TAB. 500MG ICOUFU CREAM "KOJAR" 8621 8622 A041067321 A041067329 KOJARCORT CREAM "KOJAR" KOJARCORT CREAM "KOJAR" 8623 8624 A041067335 A041067338 KOJARCORT CREAM "KOJAR" KOJARCORT CREAM "KOJAR" 8625 A041067399 KOJARCORT CREAM "KOJAR" 8626 8627 A041068100 A041069100 8628 A041070100 ERYTHROMYCIN CAP. 250MG TRAN CAP. 250MG "KOJAR" (TRANEXAMIC ACID) KANPO CAP. 50MG 8629 8630 A041073100 A041074100 DOCODON E.F.C. TAB. 165MG GULISIN 250MG 8631 A041167100 8632 8633 8634 8635 8636 8637 A041168100 A041169100 A041170100 A041171100 A041173100 A041174277 SUKEYEN CAPSULES 50MG (KETOPROFEN) KOJARCEFXIL CSPSULES 500MG"KOJOR" KOJAZYME TABLETS 90MG "KOJAR" CHIYUANPIN E.C. TAB. KOJARDINE CAPSULES 500MG "KOJAR" PIPEMIDIC ACID TAB. 250MG TALAMIN-HEPA INJ.500ML 8638 A041206329 FUSHUNDER OINTMENT 8595 8596 8597 8598 100年1月 項次 支付價 8589 1.5 0.5 8590 0.77 8591 0.63 8592 8593 0.58 8594 1.5 0.29 8595 0.5 8596 8597 12684 8598 3.48 8599 1 8600 97 2.7 8601 0.7 8602 1.62 8603 0.7 8604 0.5 8605 0 8606 1.22 8607 51 8608 8609 29.9 8610 50 81 8611 44 8612 123 8613 8614 1.76 5.1 8615 0.31 8616 2.33 8617 1 8618 0.31 8619 8620 12.9 7.3 8621 8622 14.6 21.9 8623 8624 29.2 8625 1.07 0.99 8626 8627 1.35 8628 1 1.03 8629 8630 1.67 8631 1.1 2.18 8632 1 8633 1.51 8634 3.43 8635 2.34 8636 8637 224 39.8 8638 CODE 藥品名稱 說明 9901 支付價 A0413161G0 COLCHICINE TABLETS 0.5MG "S.T."(鋁箔/ 膠箔) 1.50 A041318100 A041328100 A041329100 A041332100 0.27 0.50 0.30 1.75 A041335100 ASUTAF F.C. TABLET "Y.C." SUNLING TABLETS 2MG "KOJAR" SUNLING TAB. 4MG LIPDOWN CAP. 300MG "STANDARD" (GEMFIBROZIL) AZOL-FLUCON CAP. A041338100 A041342238 A041344100 JUXAC CAP.20MG VASOSIN INJ. 20UNITS PIROCAN CAP. 10MG A041349100 CHIFONEON TAB. 50MG 0.27 A041350100 7.90 A041355321 A041355329 A041355335 A041355338 A041355399 A041358100 A041359100 A041360100 A041365100 TRAZO F.C. TABLETS 100MG "C.H." (TRAZODONE HYDROCHLORIDE) ULSTOP F.C. TABLETS 20MG "C.H." (FAMOTIDINE) IMEFU CREAM 450GM IMEFU CREAM 10GM IMEFU CREAM 450GM IMEFU CREAM 450GM IMEFU CREAM 450GM MEDLIN TAB. 4MG CERGOLINE TAB. 5MG PINTYLIN TAB. 5MG SILYHEP CAPSULES 150MG (SILYMARIN) A041369100 GLUDONA CAP.250MG 1.67 A041373100 A041376100 A041377100 A041378100 AMANDIN CAP. 100MG"T.F." SIMEN E.C. TAB. 10MG DECADLIN TAB. 0.5MG PRECONIN TAB. 5MG 2.33 1.07 0.50 0.25 A041379100 A041380100 A041381500 A041383335 A041384100 A041389100 SOONANSIN TAB. INOLIM TAB. 3MG VOLTAR SUPP. 12.5MG ANSILIN OINT. 0.5% 15G VOLTAR E.C. TAB. 50MG RECITAL SR TABLERS 400MG (PENTOXIFYLLINE) "N.K." UDERLON CAP. 10MG KINAZOLE CAP. 150MG "KINGDOM"(FLUCONAZOLE) SILIBIN CAP. 70MG CLOMINE TABLETS 25MG "S.C."(CLOMIPRAMINE) ORIXIM POWDER FOR INJECTION "ORIENTAL"(CEFUROXIME) NAPROXEN SODIUM TABLETS 275MG ENALATEC TAB. 5MG 57.00 新增 A041352100 A041390100 A041391100 A041420100 A041427100 A041428289 A041429100 A041430100 4.54 278.00 0.91 調整 3.76 15.90 16.60 47.30 63.00 1.61 1.19 2.23 3.08 2.12 刪除 0.80 1.17 1.80 27.20 1.00 3.45 5.40 74.00 1.86 2.79 35.90 調整 1.67 2.01 調整 A041435100 FEPRON CAPSULES 200MG "SHENG CHUN"(FENOPROFEN) A041440100 CHITOGEN CAP.250MG A041442100 URINOGEN TABLETS 50MG "S.L." (BENZBROMARONE) A0414421G0 URINOGEN TABLETS 50MG "S.L." (BENZBROMARONE)(鋁箔/膠箔) A041443209 U-VANCO INJECTION A041443277 U-VANCO INJ. 500MG A041445100 BUSRON TABLETS 10MG "TTY" A041452338 ANNIE CREAM A041454100 SOTER TAB. A0414541G0 SOTER TABLETS 2.5MG "CHINTENG" (TERBUTALINE)(鋁箔) A041464335 ANTIFUNGUS CREAM 第 199 頁,共 382 頁 6.90 1.66 1.00 1.50 528.00 124.00 7.70 51.00 1.00 1.50 47.40 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 8639 A041206372 FUSHUNDER OINTMENT 8640 A041207100 ANEDANE S.C. TAB. 12.5MG 8641 A041208100 BENZYDAMINE CAP. 50MG 100年1月 項次 支付價 8639 779 8640 CODE 藥品名稱 A041465100 KINAX TAB. 1MG "KINGDOM"(ALPRAZOLAM) HEALING BUCCAL TABLET 0.025MG"SHITEH"(TRIAMICINOLONE ACETONIDE) KOJASPOL FILM COATED TABLETS 9.6MG "KOJAR" DOMPEDON SUSP. 1MG/ML "STANDARD" (DOMPERIDONE) TOLFENE CREAM "CHINTENG" A041474300 0.66 8641 A041476100 8642 A041481199 8643 A041482321 8644 8645 8646 8647 8648 A041482329 A041482335 A041482399 A041486100 A041488100 8649 A041496100 8650 A041497100 8651 A041499100 8652 18.7 35.6 8653 8654 93 8655 0.67 0 8656 8657 2.03 1 8658 8659 1.5 8660 25 8661 60 8662 0.2 8663 0 8664 0 8665 0 8666 0 38.1 8667 8668 98 8669 75 8670 1476 8671 7.4 4.54 8672 2.74 8673 8674 49 8675 1.67 8676 6.3 1.67 8677 1.89 8678 0.82 8679 1 8680 A041505100 0.84 8642 A041213100 KEZINTEA TAB. 1 8643 A041219100 8644 8645 8646 8647 8648 A041220100 A041221100 A041224100 A041225100 A041226100 8649 A041227100 8650 8651 A041229309 A041229321 8652 A041229329 8653 8654 A041229335 A041229343 8655 A041229399 SINTONFON TABLETS 100MG "SINTON"(BENZBROMARONE) ASPLATELET E.C.CAP. 100MG BUFLO TABLETS SUCAN CAP. 150MG BIWEISHI F.C. TAB. 120MG TRAND CAPSULES 250MG "STANDARD"(TRANEXAMIC ACID) NICERMION S.C.TABLETS 5MG "S.C"[NICERGOLINE] CLEODACIN GEL 10MG/GM "S.Y."(CLINDAMYCIN PHOSPHATE) CLEODACIN GEL 10MG/GM "S.Y."(CLINDAMYCIN PHOSPHATE) CLEODACIN GEL 10MG/GM "S.Y."(CLINDAMYCIN PHOSPHATE) CLEODACIN GEL 15GM CLEODACIN GEL30GM 8667 8668 CLEODACIN GEL 10MG/GM "S.Y."(CLINDAMYCIN PHOSPHATE) A041230100 FENOTEROL TAB. 2.5MG A041231100 TRIMPRIN TABLETS300MG "S.C."(TRIMETHOPRIM) A041233100 GLUBIN F.C. TABLET A0412331G0 GLUBIN F.C. TABLET 500MG"PURZER"(鋁 箔/膠箔) A041234151 IBUFEN SUSPENSION 20MG/ML "C.H."(IBUPROFEN) A041234157 IBUFEN SUSPENSION 20MG/ML "C.H."(IBUPROFEN) A041234199 IBUFEN SUSPENSION 20MG/ML "C.H."(IBUPROFEN) A041236151 MUSCO SOLUTION 3MG/ML "STANDARD" (AMBROXOL) A041236155 MUSCO SOLUTION 3MG/ML "STANDARD" (AMBROXOL) A041236157 MUSCO SOLUTION 3MG/ML "STANDARD" (AMBROXOL) A041236199 MUSCO SOLUTION 3MG/ML "STANDARD" (AMBROXOL) A041237335 COGESAN CREAM 100MG/G A041237343 COGESAN CREAM 8669 A041237345 8670 A041237372 COGESAN CREAM 100MG/GM "MEIDER" (ETOFENAMATE) COGESAN CREAM 8671 A041238100 HICALOL SOFT CAP 8672 8673 8674 A041239100 A041247100 A041249100 8675 A041250100 8676 A041251100 8677 8678 8679 8680 A041253100 A041258100 A041260100 A041264100 HICALOL SOFT CAP CARPINE TAB. PROSTARMON E. TABLETS 0.5MG "DCPC" (DINOPROSTONE) GLUC CAP. 250MG "S.Y"(GLUCOSAMINE SULFATE) MENCHUAN F.C.TABLETS 100MG(TICLOPIDINE) ARTRIL-S CAP.250MG INSHEL S.C. TAB. UROPYRIN S.C.TAB. 100MG AZUNOL TABLETS 2MG "KOJAR" 8656 8657 8658 8659 8660 8661 8662 8663 8664 8665 8666 0 1 5.5 2.12 6.5 說明 9901 支付價 5.20 10.80 2.54 0.60 17.20 刪除 1.72 2.23 2016 10.9 TOLFENE CREAM "CHINTENG" TOLFENE CREAM "CHINTENG" TOLFENE CREAM "CHINTENG" MACOLATE CAP. 250MG FYLIN RETARD F.C.TABLETS 400MG "C.H."(PENTOXIFYLLINE) NILPID F.C. TABLETS 600MG "SWISS"(GEMFIBROZIL) ATINOL F.C TABLET 100MG (ATENOLOL) "S.Y." CIRZODONE TABLET 50MG "SINPHAR" (TRAZODONE HYDROCHLORIDE) URIMANONE TABLETS 100MG 30.90 41.80 2.40 1.67 3.48 3.28 2.16 1.79 4.93 調整 A041511100 ENCINE E.M. CAPSULES 100MG A0415111G0 ENCINE E.M. CAPSULES 100MG "EVEREST"(鋁箔/膠箔) A041514335 PIROCAN GEL 15GM 38.40 A041514338 A041514343 PIROCAN GEL 20G PIROCAN GEL 10MG/GM 30G 33.00 55.00 A041514399 A041518100 PIROCAN GEL 10MG/GM "S.Y." MEBLIN TABLETS 50MG "S.C."(MEBHYDROLIN) FLUPINE TABLETS 0.25MG (FLUDIAZEPAM) "JOHNSON" CUINE CAP. 250MG 1.65 1.06 TIFEN TABLETS 200MG "S.C."(TIAPORFENIC ACID) BEGUP CAP. 250MG 3.36 5.60 A041530100 SINJA TABLETS 10MG "SINTON"(NICERGOLINE) WEICON-BI TAB. 300MG A041532100 MEOMIN CAP. "TK&A" 2.47 A041535100 A041536100 3.48 1.90 A041540100 A041541100 A041542100 PENTOP S.R. TAB. 400MG SODAN TABLETS 100MG "C.H."(URSODESOXYCHOLIC ACID) GENTA CREAM 0.1%(GENTAMICIN SULFATE)"CHINTENG" GENTA CREAM 0.1%(GENTAMICIN SULFATE)"CHINTENG" CALBO TABLETS 950MG "C.H."(CALCIUM CITRATE) LUNAR S.C. TABLETS“MACRO” URSOL TAB. 100MG OXACIN F.C.TABLETS A041543265 TALAMIN-NEPHRO INJ.250ML A041544100 MEPAZOLE TABLETS 5MG 0.26 A0415441G0 A041545100 A0415451G0 A041547100 MEPAZOLE TABLETS 5MG(30粒/瓶) ALDACTIN TABLETS ALDACTIN TABLETS(鋁箔/膠箔) MOREFINE F.C. TABLETS 100MG 1.50 1.19 1.50 2.01 A041519100 A041520100 A041521100 A041526100 1.00 1.50 調整 刪除 3.08 1.64 1.67 刪除 A041527100 刪除 6.40 刪除 刪除 A041537329 A041537399 A041539100 第 200 頁,共 382 頁 4.91 0.49 2.55 5.70 1.90 3.28 207.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 8719 100年1月 項次 支付價 A041265100 CEPHALEXIN CAP. 250MG 8681 1.19 A041268100 KANYEN CAP. 200MG 8682 2.2 0.27 8683 A041269100 PRIPRAM TAB. 5MG A041270100 KUETONBILY TABLETS 10MG "KOJAR" 8684 1 (DICYCLOMINE HYDROCHLORIDE) 1.67 8685 A041271100 GLUORICS CAP. 250MG A041275151 TRACESLIN SYRUP 0.4MG/ML 8686 25.7 (SALBUTAMOL SULFATE) A041277100 ANTIGLUCO TAB. 500MG 8687 1 A041278100 CYRONA TABLETS 50MG 8688 28.7 "S.S.P."(CYPROTERONE) A041280100 KINXETINE 20MG CAPSULES 8689 4.34 "KINGDOM"(FLUOXETINE) A041281100 KINTEC TABLETS 20MG 8690 2.85 "KINGDOM"(ENALAPRIL) 0.54 8691 A041284100 INTESTICIN TAB. 1 8692 A041286100 SUCOPANLIN CAP. 10MG 8.6 8693 A041287321 KOJARDERM OINTMENT "KOJAR" 19.5 8694 A041287329 KOJARDERM OINTMENT "KOJAR" 26.7 8695 A041287335 KOJARDERM OINTMENT "KOJAR" 35.7 8696 A041287338 KOJARDERM OINTMENT "KOJAR" A041287399 KOJARDERM OINTMENT "KOJAR" 8697 1.31 0.55 8698 A041288100 FULCIN S.C. TAB. 12.5MG A041290100 MEKEZOLE TABLETS 100MG 8699 0.75 (MEBENDAZOLE)"KOJAR" A041293321 KERMAYLIN CREAM 20MG/GM"KOJAR" 8700 23 A041293329 KERMAYLIN CREAM 20MG/G 10G 8701 14.3 56 8702 A041293335 KERMAYLIN CREAM 20MG/GM"KOJAR" 0.69 8703 A041293399 KERMAYLIN CREAM 20MG/GM"KOJAR" A041296100 TENTON CAP. 25MG 8704 0.32 A041310100 POUSTARN F.C.TAB. 500MG 8705 0.6 A0413101G0 POUSTARN F.C.TAB. 500MG "KOJAR" 8706 1.5 (MEFENAMIC ) 鋁箔/膠箔 A041311100 WELLCOME TAB. 400MG 8707 1 A0413111G0 WELLCOME TAB. 400M "KOJAR" 8708 1.5 (CIMETIDINE ) 鋁箔/膠箔 A041312100 WELLCOME TABLETS 200MG 8709 1 (CIMETIDINE) "M.S" A041314118 BISUN ANTI-COUGH SYRUP 8710 1710 A041314119 BISUN ANTI-COUGH SYRUP 8711 1800 A041314151 BISUN ANTI-COUGH SYRUP 8712 27 54 8713 A041314157 BISUN ANTI-COUGH SYRUP A041314199 BISUN ANTI-COUGH SYRUP 8714 0.45 A041316100 COLCHICINE TABLETS 0.5MG "S.T." 8715 1.06 A0413161G0 COLCHICINE TABLETS 0.5MG "S.T."(鋁箔/ 8716 1.5 膠箔) 0.27 8717 A041318100 ASUTAF F.C. TABLET "Y.C." A041328100 SUNLING TABLETS 2MG "KOJAR" 8718 0.5 A041329100 SUNLING TAB. 4MG 8719 8720 A041332100 LIPDOWN CAP. 300MG "STANDARD" (GEMFIBROZIL) 8721 A041335100 AZOL-FLUCON CAPSULES 50MG(FLUCNAZOLE) 8681 8682 8683 8684 8685 8686 8687 8688 8689 8690 8691 8692 8693 8694 8695 8696 8697 8698 8699 8700 8701 8702 8703 8704 8705 8706 8707 8708 8709 8710 8711 8712 8713 8714 8715 8716 8717 8718 CODE 藥品名稱 0.3 8720 1.75 8721 CODE 藥品名稱 A041548100 ANGINAR F.C. TABLETS 25MG "PURZER" (DIPYRIDAMOLE) A0415481G0 ANGINAR F.C. TABLETS 25MG "PURZER" "(DIPYRIDAMOLE) (鋁箔/膠箔) A041554100 NORAXIN F.C.TAB. 200MG A041557100 TRAMTOR CAP. 50MG A041558335 A041558345 A041560100 A041561277 A041563100 A041568265 A041568277 A041570321 A041570335 A041570399 A041571399 A041574100 A041577100 A041597100 A041599100 A041601100 A041605100 A041606100 A041625100 A041626329 A041626399 A041627100 A041628116 A041631100 A041633363 ETO GEL 100MG/GM "S.Y." ETO GEL 100MG/GM."S.Y."(ETOFENAMATE) TRAZO F.C. TABLETS 50MG "C.H."(TRAZODONE HYDROCHORIDE) LYTOL INJ. 500ML GLIGEN TABLETS 80MG "H.C" [GLICLAZIDE] TALAMIN-HBC INJ. 500ML TALAMIN-HBC INJ. 500ML FLUSALIC OINTMENT "SINPHAR" FLUSALIC OINTMENT "SINPHAR" FLUSALIC OINTMENT "SINPHAR" SILZINE CREAM CARMAPINE C.R.TAB. 400MG DESTONE TAB. 540MG "N.K" (POTASSIUM CITRATE) CONTAN TAB. FISHDON TAB. 50MG 第 201 頁,共 382 頁 1.00 1.50 2.04 5.40 38.10 75.00 2.01 46.70 1.82 285.00 466.00 13.60 70.00 1.68 1.72 9.20 4.93 1.00 2.77 KIMODIN F.C. TAB. 40MG "KINGDOM"(FAMOTIDINE) L.K.T. E.C. TABLETS 25MG "C.H."( DICLOFENAC SODIUM) SINZAC CAP. 20MG A.C. TAB. CENLASIA OINTMENT 1% "WEIDAR" (CENTELLA ASIATICA) CENLASIA OINTMENT 1% "WEIDAR" (CENTELLA ASIATICA) ACEBUTOLOL TAB. 400MG "NW" 16.00 AMOLIN POWDER FOR ORAL SUSPENSION 50MG/ML (AMOXICILLIN) KETO FILM COATED TABLETS 10MG 81.00 BETASONE SOLUTION 0.1% "CHINTENG" (BETAMETHASONE) A041633399 BETASONE SOLUTION 0.1% "CHINTENG" (BETAMETHASONE) A041636100 BULICU CAPSULES 250MG "S.D."(GLUCOSAMINE SULFATE) A041638100 ANLIN TABLETS 2MG "EVEREST" (DIAZEPAM) A041639221 PEXACIN I.V. INJECTION A041640100 BEMARON TABLETS 100MG "S.C."(BENZBROMARONE) A041641100 NAKAMIDE F.C. TABLETS 2.5MG "N.K."(INDAPAMIDE) A041645100 TRAZATE CAPSULES 200MG "SINPHAR" (CETRAXATE) A041646100 BENCOZEN TAB. 20MG"NW" A041651100 KIRADIN F.C.TAB.300MG "KINGDOM"(RANITIDINE) A041654100 DIFENA ENTERIC MICROENCAPSULATED CAP. 50MG "STANDARD" (DICLOFENAC SODIUM) A0416541G0 DIFENA ENTERIC MICROENCAPSULATED CAPSULES 50MG "STANDARD"(DICLOFENAC SODIUM) (鋁 A041659100 ANZA TABLETS "CHINTENG" 57 說明 9901 支付價 0.56 調整 4.34 1.00 65.00 2.25 6.00 7.40 327.00 0.89 1.67 0.20 424.00 4.93 2.76 7.70 1.63 7.40 1.00 1.50 2.23 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 8722 8723 8724 8725 8726 8727 8728 8729 8730 8731 8732 8733 8734 8735 8736 8737 8738 8739 8740 8741 8742 8743 8744 8745 8746 8747 8748 8749 8750 8751 8752 8753 8754 8755 8756 8757 8758 8759 8760 8761 8762 8763 8764 8765 8766 8767 CODE 藥品名稱 100年1月 項次 支付價 A041338100 JUXAC CAP.20MG 8722 4.54 A041342238 VASOSIN INJ. 20UNITS 8723 278 0.91 8724 A041344100 PIROCAN CAP. 10MG A041349100 CHIFONEON TAB. 50MG 8725 0.27 A041350100 TRAZO F.C. TABLETS 100MG "C.H." 8726 7.9 (TRAZODONE HYDROCHLORIDE) A041352100 ULSTOP F.C. TABLETS 20MG "C.H." 8727 3.76 (FAMOTIDINE) A041355321 IMEFU CREAM 450GM 8728 15.9 A041355329 IMEFU CREAM 10GM 8729 16.6 47.3 8730 A041355335 IMEFU CREAM 450GM 63 8731 A041355338 IMEFU CREAM 450GM 1.61 8732 A041355399 IMEFU CREAM 450GM A041358100 MEDLIN TAB. 4MG 8733 1.19 2.23 8734 A041359100 CERGOLINE TAB. 5MG 3.08 8735 A041360100 PINTYLIN TAB. 5MG A041365100 SILYHEP CAPSULES 150MG (SILYMARIN) 8736 2.12 1.67 8737 A041369100 GLUDONA CAP.250MG 2.33 8738 A041373100 AMANDIN CAP. 100MG"T.F." 1.07 8739 A041376100 SIMEN E.C. TAB. 10MG 0.5 8740 A041377100 DECADLIN TAB. 0.5MG 0.25 8741 A041378100 PRECONIN TAB. 5MG 0.8 8742 A041379100 SOONANSIN TAB. 1.17 8743 A041380100 INOLIM TAB. 3MG 1.8 8744 A041381500 VOLTAR SUPP. 12.5MG 27.2 8745 A041383335 ANSILIN OINT. 0.5% 15G 1 8746 A041384100 VOLTAR E.C. TAB. 50MG A041389100 RECITAL SR TABLERS 400MG 8747 3.45 (PENTOXIFYLLINE) "N.K." 5.4 8748 A041390100 UDERLON CAP. 10MG A041391100 KINAZOLE CAP. 150MG 8749 74 "KINGDOM"(FLUCONAZOLE) 1.86 8750 A041420100 SILIBIN CAP. 70MG A041427100 CLOMINE TABLETS 25MG 8751 2.79 "S.C."(CLOMIPRAMINE) A041428289 ORIXIM POWDER FOR INJECTION 8752 35.9 "ORIENTAL"(CEFUROXIME) A041429100 NAPROXEN SODIUM TABLETS 275MG 8753 1.67 "S.C." A041430100 ENALATEC TAB. 5MG 8754 2.01 A041435100 FEPRON CAPSULES 200MG "SHENG 8755 6.9 CHUN"(FENOPROFEN) A041440100 CHITOGEN CAP.250MG 8756 1.66 A041442100 URINOGEN TABLETS 50MG "S.L." 8757 1 (BENZBROMARONE) A0414421G0 URINOGEN TABLETS 50MG "S.L." 8758 1.5 (BENZBROMARONE)(鋁箔/膠箔) A041443209 U-VANCO INJECTION 8759 528 124 8760 A041443277 U-VANCO INJ. 500MG 7.7 8761 A041445100 BUSRON TABLETS 10MG "TTY" 51 8762 A041452338 ANNIE CREAM 1 8763 A041454100 SOTER TAB. A0414541G0 SOTER TABLETS 2.5MG "CHINTENG" 8764 1.5 (TERBUTALINE)(鋁箔) 47.4 8765 A041464335 ANTIFUNGUS CREAM A041465100 KINAX TAB. 1MG 8766 5.2 "KINGDOM"(ALPRAZOLAM) A041474300 HEALING BUCCAL TABLET 8767 0.025MG"SHITEH"(TRIAMICINOLONE 10.8 ACETON CODE 藥品名稱 A041664100 FLAMQUIT F.C.TABLETS 50MG "SWISS" (DICLOFENAC POTASSIUM) A0416641G0 FLAMQUIT F.C.TABLETS 50MG "SWISS" (DICLOFENAC POTASSIUM)(鋁箔/膠箔) A041665335 FUNGAWAY CREAM 20MG/GM 15GM A041668100 JIA-CAL TABLETS 950MG "S.C."(CALCIUM CITRATE) A041669100 ACEBOL F.C.TAB. 400MG A041670335 說明 9901 支付價 1.03 1.50 47.80 2.77 6.10 A041691421 A041724100 A041725329 A041725399 A041727100 A041730100 A041732416 A041732417 A041732421 A041732423 A041732429 KEDOFU CREAM 20MG (KETOCONAZOLE)"CHEN TA" KEDOFU CREAM 20MG (KETOCONAZOLE)"CHEN TA" KEDOFU CREAM 20MG "CHEN TA" (KETOCONAZOLE) ZUME CREAM ZUME CREAM SULFIN TAB. 100MG TYDINE INJECTION 1000MG "T.T.Y."(CEPHRADINE) ATENOL F.C. TABLETS 100MG BICOS CREAM TENCAM LYOPHILIZED INJECTION 20MG "STANDARD" KODOLO ORBASE 0.1% NURODIN TABLETS 400MG MENLIN CREAM MENLIN CREAM CEFACLOR CAP. 250MG PICOSULU E.S.C.TABLETS SEU-SU ORAL BASE 0.1% SEU-SU ORAL BASE 0.1% SEU-SU ORAL BASE 0.1% SEU-SU ORAL BASE 0.1% SEU-SU ORAL BASE 0.1% A041732499 A041745100 SEU-SU ORAL BASE 0.1% NODERIN TAB. 200MG 2.03 2.74 A041749100 A041750100 ZATIZEN TABLETS 1MG GLIBUDON F. C. TAB. 500MG 1.00 1.00 A041670338 A041670399 A041672329 A041672399 A041673100 A041676209 A041679100 A041681329 A041684238 A0417501G0 GLIBUDON F. C. TABLETS 500MG( METFORMIN HYDROCHLORIDE)(鋁箔) A041751248 CIXA IV INFUSION SOLUTION 2MG/ML "STANDARD" (CIPROFLOXACIN) A041751255 CIXA IV INFUSION SOLUTION 2MG/ML "STANDARD" (CIPROFLOXACIN) A041753321 AZEIC-A CREAM 200MG/GM "SINPHAR" (AZELAIC ACID) A041753329 AZEIC-A CREAM 200MG/GM "SINPHAR."(AZELAIC ACID) A041753330 AZEIC-A CREAM 200MG/GM "SINPHAR" (AZELAIC ACID) A041753399 AZECI-A CREAM 200MG/GM "SINPHAR" (AZELAIC ACID) A041754209 CETAZINE FOR IM INJ. "STANDARD" (CEFTAZIDIME) A041797321 WOLEN CREAM A041797329 WOLEN CREAM A041797335 WOLEN CREAM A041797399 WOLEN CREAM A041802255 FLUCON I.V. INJ. 2MG/ML A041804100 A041805100 TIFENIC 200MG TAB. DIABAC TAB 5MG A041806335 EUDAMYCIN GEL 1% (CLINDAMYCIN PHOSPHATE) "U-LIANG" 第 202 頁,共 382 頁 56.00 50.00 1.90 42.40 4.24 5.00 44.30 2.36 71.00 32.90 52.00 1.00 17.90 1.46 3.61 1.52 20.80 22.70 28.90 63.00 20.30 1.50 117.00 331.00 32.40 71.00 113.00 2.22 137.00 30.10 65.00 102.00 3.50 481.00 3.29 1.00 36.10 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 8768 A041476100 8769 A041481151 8770 A041481199 8771 8772 A041482321 A041482329 8773 A041482335 100年1月 項次 支付價 KOJASPOL FILM COATED TABLETS 9.6MG 8768 2.51 "KOJAR" DOMPEDON SUSPENSION 1MG/ML 8769 0 "STANDARD" (DOMPERIDONE) DOMPEDON SUSP. 1MG/ML "STANDARD" 8770 0.6 (DOMPERIDONE) 17.2 8771 TOLFENE CREAM "CHINTENG" TOLFENE CREAM "CHINTENG" 8772 30.9 TOLFENE CREAM "CHINTENG" 8773 8774 A041482399 TOLFENE CREAM "CHINTENG" 8777 8778 A041488100 A041496100 A041497100 8779 A041499100 8780 8781 8782 A041505100 A041511100 A0415111G0 8783 8784 8785 8786 8787 A041514335 A041514338 A041514343 A041514399 A041518100 8788 A041519100 8789 8790 A041520100 A041521100 8791 8792 A041526100 A041527100 8793 8794 A041530100 A041532100 8795 8796 A041535100 A041536100 8797 A041537329 8798 A041537399 8799 A041539100 8800 8801 8802 8803 8804 8805 8806 8807 8808 8809 A041540100 A041541100 A041542100 A041543265 A041544100 A0415441G0 A041545100 A0415451G0 A041547100 A041548100 8810 A0415481G0 8811 8812 A041554100 A041557100 FYLIN RETARD F.C.TABLETS 400MG "C.H."(PENTOXIFYLLINE) NILPID F.C. TABLETS 600MG "SWISS"(GEMFIBROZIL) ATINOL F.C TABLET 100MG (ATENOLOL) "S.Y." CIRZODONE TABLET 50MG "SINPHAR" (TRAZODONE HYDROCHLORIDE) URIMANONE TABLETS 100MG ENCINE E.M. CAPSULES 100MG ENCINE E.M. CAPSULES 100MG "EVEREST"(鋁箔/膠箔) PIROCAN GEL 15GM PIROCAN GEL 20G PIROCAN GEL 10MG/GM 30G PIROCAN GEL 10MG/GM "S.Y." MEBLIN TABLETS 50MG "S.C."(MEBHYDROLIN) FLUPINE TABLETS 0.25MG (FLUDIAZEPAM) "JOHNSON" CUINE CAP. 250MG TIFEN TABLETS 200MG "S.C."(TIAPORFENIC ACID) BEGUP CAP. 250MG SINJA TABLETS 10MG "SINTON"(NICERGOLINE) WEICON-BI TAB. 300MG MEOMIN CAPSULES 500UG "H.S."(MECOBALAMIN) PENTOP S.R. TAB. 400MG SODAN TABLETS 100MG "C.H."(URSODESOXYCHOLIC ACID) GENTA CREAM 0.1%(GENTAMICIN SULFATE)"CHINTENG" GENTA CREAM 0.1%(GENTAMICIN SULFATE)"CHINTENG" CALBO TABLETS 950MG "C.H."(CALCIUM CITRATE) LUNAR S.C. TABLETS“MACRO” URSOL TAB. 100MG OXACIN F.C.TABLETS TALAMIN-NEPHRO INJ.250ML MEPAZOLE TABLETS 5MG MEPAZOLE TABLETS 5MG(30粒/瓶) ALDACTIN TABLETS ALDACTIN TABLETS(鋁箔/膠箔) MOREFINE F.C. TABLETS 100MG ANGINAR F.C. TABLETS 25MG "PURZER" (DIPYRIDAMOLE) ANGINAR F.C. TABLETS 25MG "PURZER" "(DIPYRIDAMOLE) (鋁箔/ NORAXIN F.C.TAB. 200MG TRAMTOR CAP. 50MG EUDAMYCIN GEL 1% (CLINDAMYCIN PHOSPHATE) "U-LIANG" NOGOUT TABLETS 100MG "SINPHAR"(BENZBROMARONE) SHYS TAB. A041807100 A041811100 刪除+新增 0.50 A041823209 ASPIRIN INJ. 13.40 8778 A041823277 ASPIRIN INJ. 8.00 8779 1.79 4.93 8780 1 8781 8782 1.5 38.4 8783 33 8784 55 8785 1.65 8786 8787 1.06 8788 3.08 1.64 8789 8790 3.36 1.67 8791 8792 0 6.4 8793 8794 2.47 3.48 8795 8796 1.9 8797 4.91 8798 0.49 8799 2.55 5.7 8800 1.9 8801 3.28 8802 207 8803 0.26 8804 1.5 8805 1.12 8806 1.5 8807 2.01 8808 8809 1 8810 1.5 2.04 8811 8812 5.4 A041826100 ESTROLAN F.C.TAB.1.25MG"NW" 2.95 A041830100 A041831100 A041832100 ESTROLAN F.C.TAB. 0.625MG"NW" PATRICIN F.C. TAB. BACTON TABLETS 10MG "S.C."(BACLOFEN) DILTAREN E.C. TABLETS 50MG "Y.C." METROCIDE INJ. 5MG/ML LIPOLIN CAP. 100MG CHUM F.C.TAB. 135MG CASEAL CAP. 250MG 1.92 3.80 1.07 8775 A041813100 A041814100 調整 4.82 8777 MACOLATE CAP. 250MG 1.67 8776 A041806338 說明 9901 支付價 94.00 8776 8774 2.4 A041486100 藥品名稱 SANSER S.C.TAB.100MG"NW" ASPICORE ENTERICMICROENCAPSULATED CAP. 100MG A0418141G0 ASPICORE ENTERICMICROENCAPSULATED CAP. 100MG (ASPIRIN)"WEIDAR"(鋁箔/膠箔) A041816100 LIMY CAPSULES 10MG "S.T."(PHENOXYBENZAMINE ) A041817100 BUFLO F.C.TABLETS 150MG "H.C" [BUFLOMEDIL HCL] A041822100 CEPHALEXIN CAPSULES 41.8 8775 CODE 2.91 1.00 1.50 2.37 6.30 1.92 3.48 3.28 2.16 A041833100 A041836255 A041837100 A041838100 A041880100 A041881100 1.00 31.70 4.47 1.95 1.57 A041882100 A041883100 CALACET TABLET 667MG "SINPHAR" (CALCIUM ACETATE) FAMO F.C. TAB. 40MG CAMINE CAP.250MG 2.51 13.70 1.67 A041885335 A041885399 IFLUCON OINT"C.H." IFLUCON OINT."C.H." 57.00 1.62 A041891100 A041894100 CEPHA CAPSULES 500MG CHIAN CAP. 1.92 1.67 A041898100 A041900100 PERSATIN S.C. TABLETS VOLTAREN TABLETS (DICLOFENAC) 0.77 1.00 A041901100 ORETIN S.C. TABLETS 0.40 A041902100 WEIHOMIN S.C. TABLETS 0.35 A041903100 EAFUGEN TABLETS 0.43 A041905100 A041908100 A041911100 A041912100 A041913100 A041914100 A041918100 A041919100 A041926100 A041927100 PREDNISOLONE TABLETS 5MG NEOSONE TABLETS 0.5MG ALIVIMIN S.C. TABLETS PERIAN TABLETS 4MG MOBIC TABLETS 7.5MG MOBIC TABLETS 15MG (MELOXICAM) MENISONE TAB. 4MG USOL TABLETS 100MG WEMET TAB. SELEZIN TAB. 5MG A041928100 AWEGIA CAPSULES 200MG"S.C."(CETRAXATE) NURODIN TAB. GASO F.C. TABLET 10MG "S.Y" (PIPERILATE ETHOBROMIDE) 刪除 A041929100 A041930100 第 203 頁,共 382 頁 0.25 0.37 0.45 0.16 6.10 16.90 2.16 1.90 6.50 5.00 8.70 1.00 1.59 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 8813 A041558335 8814 8815 A041558345 A041560100 8816 A041561277 ETO GEL 100MG/GM "S.Y." (ETOFENAMATE) ETO GEL TRAZO F.C. TABLETS 50MG "C.H."(TRAZODONE HYDROCHORIDE) LYTOL INJ. 500ML 8817 A041563100 8818 A041568265 GLIGEN TABLETS 80MG "H.C" [GLICLAZIDE] TALAMIN-HBC INJ. 500ML 8819 A041568277 TALAMIN-HBC INJ. 500ML 8820 A041570321 FLUSALIC OINTMENT "SINPHAR" 8821 8822 A041570335 A041570399 FLUSALIC OINTMENT "SINPHAR" FLUSALIC OINTMENT "SINPHAR" 8823 A041571399 SILZINE CREAM 8824 8825 A041574100 A041577100 8826 8827 A041597100 A041599100 CARMAPINE C.R.TAB. 400MG DESTONE TAB. 540MG "N.K" (POTASSIUM CITRATE) CONTAN TAB. FISHDON TAB. 50MG 8828 A041601100 8829 A041605100 8830 A041606100 8831 8832 A041625100 A041626329 8833 8834 8835 8836 8837 8838 8839 8840 8841 8842 8843 8844 8845 8846 8847 8848 8849 8850 8851 8852 8853 KIMODIN F.C. TAB. 40MG "KINGDOM"(FAMOTIDINE) L.K.T. E.C. TABLETS 25MG "C.H."( DICLOFENAC SODIUM) SINZAC CAP. 20MG A.C. TAB. CENLASIA OINTMENT 1% "WEIDAR" (CENTELLA ASIATICA) A041626399 CENLASIA OINTMENT 1% "WEIDAR" (CENTELLA ASIATICA) A041627100 ACEBUTOLOL TAB. 400MG "NW" A041628116 AMOLIN POWDER FOR ORAL SUSPENSION 50MG/ML (AMOXICILLIN) A041631100 KETO FILM COATED TABLETS 10MG A041633363 BETASONE SOLUTION 0.1% "CHINTENG" (BETAMETHASONE) A041633399 BETASONE SOLUTION 0.1% "CHINTENG" (BETAMETHASONE) A041636100 BULICU CAPSULES 250MG "S.D."(GLUCOSAMINE SULFATE) A041638100 ANLIN TABLETS 2MG "EVEREST" (DIAZEPAM) A041639221 PEXACIN I.V. INJECTION A041640100 BEMARON TABLETS 100MG "S.C."(BENZBROMARONE) A041641100 NAKAMIDE F.C. TABLETS 2.5MG "N.K."(INDAPAMIDE) A041645100 TRAZATE CAPSULES 200MG "SINPHAR" (CETRAXATE) A041646100 BENCOZEN TAB. 20MG"NW" A041651100 KIRADIN F.C.TAB.300MG "KINGDOM"(RANITIDINE) A041654100 DIFENA ENTERIC MICROENCAPSULATED CAP. 50MG "STANDARD" A0416541G0 DIFENA ENTERIC MICROENCAPSULATED CAPSULES 50MG "STANDARD"(D A041659100 ANZA TABLETS "CHINTENG" A041664100 FLAMQUIT F.C.TABLETS 50MG "SWISS" (DICLOFENAC POTASSIUM) A0416641G0 FLAMQUIT F.C.TABLETS 50MG "SWISS" (DICLOFENAC POTASSIUM)(鋁 A041665335 FUNGAWAY CREAM 20MG/GM 15GM A041668100 JIA-CAL TABLETS 950MG "S.C."(CALCIUM CITRATE) 100年1月 項次 支付價 8813 38.1 75 8814 8815 2.01 8816 46.7 8817 1.82 8818 285 8819 466 8820 13.6 70 8821 8822 1.68 8823 0.98 9.2 8824 8825 4.93 1 8826 8827 2.77 8828 16 8829 0.56 8830 4.34 1 8831 8832 0 8833 0 6 8834 8835 81 7.4 8836 8837 327 8838 0.86 8839 1.67 8840 0.2 424 8841 8842 4.93 8843 2.76 8844 7.7 1.63 8845 8846 7.4 8847 0 8848 0 2.23 8849 8850 0 8851 1.5 47.8 8852 8853 2.77 CODE 藥品名稱 A041931100 NILPID F.C.TABLETS 300MG"SWISS"(GEMFIBROZIL) METRIL CAPSULES 250MG L.G.T. CREAM 10MG/GM "S.C."(CENTELLA ASIATICA) L.G.T CREAM 10MG/GM"S.C."(CENTELLA ASIATICA) L.G.T CREAM 10MG/GM"S.C."(CENTELLA ASIATICA) L.G.T CREAM 10MG/GM"S.C."(CENTELLA ASIATICA) L.G.T CREAM 10MG/GM"S.C."(CENTELLA ASIATICA) CALCIK F.C. TABLETS 950MG"SWISS"(CALCIUM CITRATE) SEROTEC CAP. 10MG SHINLICIN S.C.TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "J.S." OXIPAN TABLETS 5MG "EVEREST"(OXYBUTYNIN CHLORIDE) VITAMIN B COMPLEX S.C. TABLETS POLI TABLET 30MG A041933100 A041934329 A041934337 A041934338 A041934372 A041934399 A041935100 A041936100 A041941100 A041944100 A041946100 A041947100 A041948100 A041952100 說明 9901 支付價 1.57 1.67 65.00 142.00 134.00 1,425.00 2.28 2.33 1.96 2.59 3.05 調整 0.50 0.69 A041975100 PROSU TAB. BAO-GAN CAPSULES 150MG "CHEN TA"(SILYMARIN) GLUBON-S CAP.250MG "STANDARD" (GLUCOSAMINE SULFATE) CARTALOC TABLETS 100MG "S.C." (METOPROLOL TARTRATE) EVERONE CAPSULES 20MG "EVEREST"(METHYLTESTOSTERONE) FREE-CAL TAB. MORZIN CREAM 10MG/GM (CLOTRIMAZOLE) SILICON TABLETS 40MG A041979321 A041979329 BECLOMIN CREAM BECLOMIN CREAM 31.60 94.00 A041979335 A041979399 BECLOMIN CREAM BECLOMIN CREAM 135.00 6.30 A041980321 GENTASON CREAM 10.90 A041980329 GENTASON CREAM 17.40 A041980338 GETASON CREAM 19.60 A041980399 A041982321 GETASON CREAM TOLNAMIN CREAM 0.98 15.70 A041982329 TOLNAMIN CREAM 19.90 A041982355 TOLNAMIN CREAM 35.20 A041982399 A041984321 TOLNAMIN CREAM URESON CREAM 0.35 14.80 A041984329 URESON CREAM 26.50 A041987100 A041988321 A041988399 IBUTIN F.C.TABLETS 400MG "EVEREST"(IBUPROFEN) CPICON CREAM 0.5MG/GM CPICON CREAM 0.5MG/GM A041989212 ADENOZER INJ. 3MG/ML 188.00 A041990321 A041990329 USON CREAM 2.5MG/GM USON CREAM 2.5MG/GM 27.50 58.00 A041955100 A041956100 A041962100 A041963100 A041972321 1.83 2.18 1.50 5.40 1.55 2.78 9.40 刪除 0.50 刪除 調整 刪除 0.93 刪除 16.40 0.96 刪除 第 204 頁,共 382 頁 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 8888 8889 100年1月 項次 支付價 A041669100 ACEBOL F.C. TABLET 400MG 8854 0 (ACEBUTOLOL) "STANDARD" A041670335 KEDOFU CREAM 20MG 8855 56 (KETOCONAZOLE)"CHEN TA" A041670338 KEDOFU CREAM 20MG 8856 50 (KETOCONAZOLE)"CHEN TA" A041670399 KEDOFU CREAM 20MG "CHEN TA" 8857 0.76 (KETOCONAZOLE) A041672329 ZUME CREAM 8858 42.4 A041672399 ZUME CREAM 8859 4.24 5 8860 A041673100 SULFIN TAB. 100MG A041676209 TYDINE INJECTION 1000MG 8861 44.3 "T.T.Y."(CEPHRADINE) 2.36 8862 A041679100 ATENOL F.C. TABLETS 100MG 71 8863 A041681329 BICOS CREAM A041684238 TENCAM LYOPHILIZED INJECTION 20MG 8864 32.9 "STANDARD" 52 8865 A041691421 KODOLO ORBASE 0.1% 1 8866 A041724100 NURODIN TABLETS 400MG 17.9 8867 A041725329 MENLIN CREAM 1.46 8868 A041725399 MENLIN CREAM 3.61 8869 A041727100 CEFACLOR CAP. 250MG 1.52 8870 A041730100 PICOSULU E.S.C.TABLETS 20.8 8871 A041732416 SEU-SU ORAL BASE 0.1% 22.7 8872 A041732417 SEU-SU ORAL BASE 0.1% 28.9 8873 A041732421 SEU-SU ORAL BASE 0.1% 63 8874 A041732423 SEU-SU ORAL BASE 0.1% 20.3 8875 A041732429 SEU-SU ORAL BASE 0.1% 2.03 8876 A041732499 SEU-SU ORAL BASE 0.1% 2.74 8877 A041745100 NODERIN TAB. 200MG 1 8878 A041749100 ZATIZEN TABLETS 1MG A041750100 GLIBUDON F. C. TAB. 500MG 8879 1 A0417501G0 GLIBUDON F. C. TABLETS 500MG( 8880 1.5 METFORMIN HYDROCHLORIDE)(鋁 A041751248 CIXA IV INFUSION SOLUTION 2MG/ML 8881 117 "STANDARD" (CIPROFLOXACIN) A041751255 CIXA IV INFUSION SOLUTION 2MG/ML 8882 331 "STANDARD" (CIPROFLOXACIN) A041753321 AZEIC-A CREAM 200MG/GM "SINPHAR" 8883 32.4 (AZELAIC ACID) A041753329 AZEIC-A CREAM 200MG/GM 8884 71 "SINPHAR."(AZELAIC ACID) A041753330 AZEIC-A CREAM 200MG/GM "SINPHAR" 8885 113 (AZELAIC ACID) A041753399 AZECI-A CREAM 200MG/GM "SINPHAR" 8886 2.22 (AZELAIC ACID) A041754209 CETAZINE FOR IM INJ. "STANDARD" 8887 137 (CEFTAZIDIME) 30.1 8888 A041797321 WOLEN CREAM A041797329 WOLEN CREAM 8889 8890 8891 8892 8893 8894 8895 A041797335 A041797399 A041802255 A041804100 A041805100 A041806335 8896 A041806338 8897 A041807100 8898 8899 8900 A041811100 A041813100 A041814100 8854 8855 8856 8857 8858 8859 8860 8861 8862 8863 8864 8865 8866 8867 8868 8869 8870 8871 8872 8873 8874 8875 8876 8877 8878 8879 8880 8881 8882 8883 8884 8885 8886 8887 CODE 藥品名稱 WOLEN CREAM WOLEN CREAM FLUCON I.V. INJ. 2MG/ML TIFENIC 200MG TAB. DIABAC TAB 5MG EUDAMYCIN GEL 1% (CLINDAMYCIN PHOSPHATE) "U-LIANG" EUDAMYCIN GEL 1% (CLINDAMYCIN PHOSPHATE) "U-LIANG" NOGOUT TABLETS 100MG "SINPHAR"(BENZBROMARONE) SHYS TAB. SANSER S.C.TAB.100MG"NW" ASPICORE ENTERICMICROENCAPSULATED CAP. 100MG 藥品名稱 A041990338 USON CREAM 2.5MG/GM A041990399 A042001100 A042003100 USON CREAM 2.5MG/GM "SIU GUAN" ( DESOXIMETASONE ) BROMARONE TABLETS 50MG "H.C" [BENZBROMARONE] BROMARONE TABLETS 100MG "H.C" [BENZBROMARONE] BENZON TABLETS 50MG "S.T." (BENZBROMARONE) FLUENE CAPSULES 50MG "PURZER" (FLUCONAZOLE) FLUXEN CAP. 20MG (FLUOXETINE) PERCHIN TABLETS 9901 支付價 114.00 A042006323 A042006330 A042006399 UCOFU CREAM UCOFU CREAM UCOFU CREAM A042011100 A042017100 A042026100 A042029321 A042029329 A042029335 A042080399 A042091209 A042091212 A042091277 A042092100 A042095100 A042096100 A042102100 A042103100 A042104100 DEXTROMETHORPHAN TABLETS NONCOUGH CAP. COVINA F.C. TAB. IDIF CREAM IDIF CREAM IDIF CREAM EURAXIL OINTMENT SINTUM FOR INJ. SINTUM FOR INJ. SINTUM FOR INJ. RIVOSIN F.C. TAB. 9.6MG "S.Y." TETRACYCLINE CAPSULES 250MG SQUMIN TABLETS 5MG DOXYCYCLINE CAPSULES 100MG SUTAIN TABLET 200MG "EVEREST" (TIAPROFENIC ACID) LORA TABLET 10MG A042115100 POTENCE TABLET 300MG (CIMETIDINE) 1.18 A042116100 COBAMIDE CAPSULES 1.00 A042125100 CHINOCON TABLETS 1.5MG (DIHYDROERGOTOXINE MESYLATE) BAUSUTONER CAPSULES 3.17 CEFAC GRANULES FOR ORAL SUSP. 25MG/ML SHINSIN CAP. 10MG 2.48 8.70 刪除 A041992100 A041994100 A041995100 A041997100 A042129100 A042135199 A042136100 8890 8891 8892 8893 8894 8895 A042142157 A042145100 A042147100 A042149100 A042174121 A042193343 8896 A042197100 8897 4.82 0.5 8898 2.91 8899 8900 1 A042198100 VITAMIN C INJECTION 250MG/ML (ASCORBIC ACID) "ORIENTAL" GENDOBU INJ. 12.5MG/ML ALTANT ELIXIR 0.4MG/ML (TRIHEXYPHENIDYL HYDROCHLORIDE)"PANBIOTIC" ALTANT ELIXIR 0.4MG/ML "PANBIOTIC" BACFEN TABLETS 10MG (BACLOFEN) EURICON TAB. 100MG CEFAC CAPSULES 250MG GUARINA GRANULES FUH-JIA CREAM 0.1MG/GM "S.C." (ESTRADIOL) TANTOSAN TABLETS 100MG "N.W."(URSODESOXYCHOLIC ACID) SPASPA CAPSULES 60MG A042199271 A042202100 A042203100 IBUSINE INJ. 234MG(IBUPROFEN) SULIMIN CAPSULES ZIMARON TABLETS 100MG 65 102 3.5 481 3.29 1 說明 CODE A042138238 A042141238 A042142155 36 94 第 205 頁,共 382 頁 3.21 1.50 4.93 調整 1.78 48.70 5.10 1.89 11.00 17.90 1.37 0.40 1.00 4.18 14.40 28.80 14.70 1.22 120.00 601.00 69.00 2.54 0.70 1.34 1.44 3.36 1.42 0.89 4.60 95.00 205.00 124.00 1.01 4.21 3.63 6.80 174.00 調整 1.90 4.49 108.00 0.86 4.93 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 8901 8902 8903 8904 8905 8906 8907 8908 8909 8910 8911 8912 8913 8914 8915 8916 8917 8918 8919 8920 8921 8922 8923 8924 8925 8926 8927 8928 8929 8930 8931 8932 8933 8934 8935 8936 8937 8938 8939 8940 8941 8942 8943 8944 8945 8946 CODE 藥品名稱 100年1月 項次 支付價 A0418141G0 ASPICORE ENTERIC8901 1.5 MICROENCAPSULATED CAP. 100MG A041816100 LIMY CAPSULES 10MG 8902 2.37 "S.T."(PHENOXYBENZAMINE ) A041817100 BUFLO F.C.TABLETS 150MG "H.C" 8903 6.3 [BUFLOMEDIL HCL] A041822100 CEPHALEXIN CAPSULES 8904 1.92 13.4 8905 A041823209 ASPIRIN INJ. A041823277 ASPIRIN INJ. 8906 8 A041826100 ESTROLAN F.C.TAB.1.25MG"NW" 8907 2.95 A041830100 ESTROLAN F.C.TAB. 0.625MG"NW" 8908 1.92 A041831100 PATRICIN F.C. TAB. 8909 3.8 A041832100 BACTON TABLETS 10MG 8910 1.07 "S.C."(BACLOFEN) A041833100 DILTAREN E.C. TABLETS 50MG "Y.C." 8911 1 31.7 8912 A041836255 METROCIDE INJ. 5MG/ML 4.47 8913 A041837100 LIPOLIN CAP. 100MG 1.95 8914 A041838100 CHUM F.C.TAB. 135MG 1.57 8915 A041880100 CASEAL CAP. 250MG A041881100 CALACET TABLET 667MG "SINPHAR" 8916 2.51 (CALCIUM ACETATE) 13.7 8917 A041882100 FAMO F.C. TAB. 40MG 1.67 8918 A041883100 CAMINE CAP.250MG 57 8919 A041885335 IFLUCON OINT"C.H." 1.62 8920 A041885399 IFLUCON OINT."C.H." 1.92 8921 A041891100 CEPHA CAPSULES 500MG 1.67 8922 A041894100 CHIAN CAP. A041898100 PERSATIN S.C. TABLETS 8923 0.77 A041900100 VOLTAREN TABLETS (DICLOFENAC) 8924 1 A041901100 ORETIN S.C. TABLETS 8925 0.4 A041902100 WEIHOMIN S.C. TABLETS 8926 0.35 0.43 8927 A041903100 EAFUGEN TABLETS 0.25 8928 A041905100 PREDNISOLONE TABLETS 5MG 0.37 8929 A041908100 NEOSONE TABLETS 0.5MG 0.45 8930 A041911100 ALIVIMIN S.C. TABLETS 0.16 8931 A041912100 PERIAN TABLETS 4MG 6.1 8932 A041913100 MOBIC TABLETS 7.5MG 16.9 8933 A041914100 MOBIC TABLETS 15MG (MELOXICAM) 2.16 8934 A041918100 MENISONE TAB. 4MG A041919100 USOL TABLETS 100MG 8935 1.9 6.5 8936 A041926100 WEMET TAB. 0 8937 A041927100 SELEZIN TAB. 5MG A041928100 AWEGIA CAPSULES 8938 8.7 200MG"S.C."(CETRAXATE) A041929100 NURODIN TAB. 8939 1 A041930100 GASO F.C. TABLET 10MG "S.Y" 8940 1.59 (PIPERILATE ETHOBROMIDE) A041931100 NILPID F.C.TABLETS 8941 1.57 300MG"SWISS"(GEMFIBROZIL) 1.67 8942 A041933100 METRIL CAPSULES 250MG A041934329 L.G.T. CREAM 10MG/GM "S.C."(CENTELLA 8943 65 ASIATICA) A041934337 L.G.T CREAM 10MG/GM"S.C."(CENTELLA 8944 142 ASIATICA) A041934338 L.G.T CREAM 10MG/GM"S.C."(CENTELLA 8945 134 ASIATICA) A041934372 L.G.T CREAM 10MG/GM"S.C."(CENTELLA 8946 1425 ASIATICA) CODE 藥品名稱 A042204100 PIPOXIN TABLETS 10MG"S.C."(PIPOXOLAN) GENURSO TAB. 100MG A042210100 A042212321 KANDO CREAM 200MG/G "C.H."[AZELAIC ACID] A042212399 KANDO CREAM 200MG/G "C.H."[AZELAIC ACID] A042214326 ICHDERM CREAM 50MG/GM A042214335 ICHDERM CREAM 50MG/GM "M.S." (DOXEPIN) A042214377 ICHDERM CREAM 50MG/GM "M.S." (DOXEPIN) A042214399 ICHDERM CREAM 50MG/GM "M.S." (DOXEPIN) A042216100 FLAMQUIT F.C.TABLETS 25MG "SWISS" (DICLOFENAC POTASSIUM) A0422161G0 FLAMQUIT F.C.TABLETS 25MG "SWISS" (DICLOFENAC POTASSIUM)(鋁箔/膠箔) A042218100 NORCOL TABLETS 20MG "S.C." (BENPROPERINE) A042222100 SYNDOMAN CAP. 30MG A042223265 PROLYTE INJECTION A042223277 PROLYTE INJECTION A042227100 SYNDOMAN CAP. 15MG A042229399 AFTER FUNGUS CREAM 10MG/GM (BIFONAZOLE) A042239100 URSOL CAPSULES A042240100 SUWELIN TABLETS 400MG A042244100 GEMBRIL F.C.TAB. 600MG A042247100 LUMELIN TABLETS 2MG "S.D." A042249100 GLOSA CAPSULES 250MG A042253100 UROTIN TABLETS 100MG A042254100 HYDRALAZINE HYDROCHLORIDE TABLETS 50MG A042256100 KEEBONS CAPSULES 250MG "C.H."(GLUCOSAMINE SULFATE) A042257100 QUITAZINE TABLETS 5MG "H.C"[MEQUITAZINE] A042258100 ATENOL F.C. TABLETS 50MG "S.Y." (ATENOLOL) A042261248 VENOLIPID INJECTION 20% A042261255 VENOLIPID INJECTION 20% A042261265 VENOLIPID INJECTION 20% A042262265 VENOLIPID INJECTION 10% A042263100 BENDOPAR CAP. 250MG A042267151 SPIZ SYRUP A042267155 SPIZ SYRUP A042267199 SPIZ SYRUP A042268100 GLUMETIN TABLETS 500MG "SHENG CHUN"(METFORMIN) A042269321 BETASAY OINTMENT "SINPHAR" A042269329 BETASAY OINTMENT "SINPHAR" A042269399 BETASAY OINTMENT"SINPHAR" A042271421 說明 9901 支付價 1.46 1.92 32.40 2.26 67.00 118.00 3,119.00 3.16 1.00 1.50 1.92 2.90 20.30 36.50 3.36 1.91 4.97 1.00 3.02 1.80 1.44 4.93 1.85 1.44 1.18 1.94 173.00 236.00 280.00 161.00 8.30 11.40 17.10 0.14 1.00 12.70 28.00 1.22 52.00 A042274100 A042276221 DEXA ORABASE 0.1% "SINPHAR" (DEXAMETHASONE) ROWAPRAXIN F. C. TABLETS 10MG (PIPOXOLAN) "CHINTENG" NORAXIN F.C.TABLET 400MG "STANDARD"(NORFLOXACIN) BENDOPAR CAP. 125MG DUMIN INJ. 40MG/ML A042278321 FRANOLON CREAM "T.S." 30.90 A042280100 DEVIRO TAB. 400MG "KINGDOM"(ACYCLOVIR) BIFONAZOLE CREAM 1% "SINPHAR" 14.40 A042272100 A042273100 A042339321 第 206 頁,共 382 頁 4.63 45.30 3.74 28.30 12.90 刪除 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 8947 A041934399 8948 A041935100 8949 A041936100 8950 A041941100 8951 A041944100 8952 A041946100 L.G.T CREAM 10MG/GM"S.C."(CENTELLA ASIATICA) CALCIK F.C. TABLETS 950MG"SWISS"(CALCIUM CITRATE) SEROTEC CAP. 10MG "S.S.P."(FLUOXETINE) SHINLICIN S.C.TABLETS 9.6MG (GINKGOFLAVONGLYCOSIDE) "J.S." OXIPAN TABLETS 5MG "EVEREST"(OXYBUTYNIN CHLORIDE) VITAMIN B COMPLEX S.C. TABLETS 8953 8954 8955 A041947100 A041948100 A041952100 8956 A041955100 8957 A041956100 8958 A041962100 8959 A041963100 8960 A041972321 8961 A041975100 MORZIN CREAM 10MG/GM (CLOTRIMAZOLE) SILICON TABLETS 40MG 8962 8963 8964 8965 8966 8967 8968 8969 8970 8971 A041979321 A041979329 A041979335 A041979399 A041980321 A041980329 A041980338 A041980399 A041982321 A041982329 BECLOMIN CREAM BECLOMIN CREAM BECLOMIN CREAM BECLOMIN CREAM GENTASON CREAM GENTASON CREAM GETASON CREAM GETASON CREAM TOLNAMIN CREAM TOLNAMIN CREAM 8972 8973 A041982355 A041982399 TOLNAMIN CREAM TOLNAMIN CREAM 8974 A041984321 URESON CREAM 8975 A041984329 URESON CREAM 8976 A041987100 8977 8978 8979 A041988321 A041988399 A041989212 IBUTIN F.C.TABLETS 400MG "EVEREST"(IBUPROFEN) CPICON CREAM 0.5MG/GM CPICON CREAM 0.5MG/GM ADENOZER INJ. 3MG/ML 8980 8981 A041990321 A041990329 USON CREAM 2.5MG/GM USON CREAM 2.5MG/GM 8982 8983 A041990338 A041990399 8984 A041992100 8985 A041994100 8986 A041995100 8987 A041997100 8988 A042001100 8989 A042003100 USON CREAM 2.5MG/GM USON CREAM 2.5MG/GM "SIU GUAN" ( DESOXIMETASONE ) BROMARONE TABLETS 50MG "H.C" [BENZBROMARONE] BROMARONE TABLETS 100MG "H.C" [BENZBROMARONE] BENZON TABLETS 50MG "S.T." (BENZBROMARONE) FLUENE CAPSULES 50MG "PURZER" (FLUCONAZOLE) FLUXEN CAP. 20MG (FLUOXETINE) "UNION" PERCHIN TABLETS POLI TABLET 30MG PROSU TAB. BAO-GAN CAPSULES 150MG "CHEN TA"(SILYMARIN) GLUBON-S CAP.250MG "STANDARD" (GLUCOSAMINE SULFATE) CARTALOC TABLETS 100MG "S.C." (METOPROLOL TARTRATE) EVERONE CAPSULES 20MG "EVEREST"(METHYLTESTOSTERONE) FREE-CAL TAB. 100年1月 項次 支付價 8947 2.28 8948 2.33 8949 0 8950 2.59 8951 3.05 8952 0.5 0.69 8953 1.83 8954 8955 2.18 8956 1.5 8957 5.7 8958 1.55 8959 2.78 8960 9.4 8961 0.5 31.6 8962 94 8963 135 8964 6.3 8965 10.9 8966 17.4 8967 19.6 8968 0.98 8969 15.7 8970 8971 19.9 35.2 8972 8973 0.35 8974 14.8 8975 26.5 8976 0.93 16.4 8977 0.81 8978 8979 188 27.5 8980 8981 58 114 8982 8983 3.21 8984 1.5 8985 4.93 8986 1.78 8987 48.7 8988 5.1 8989 1.89 說明 CODE 藥品名稱 A042339323 BIFONAZOLE CREAM 1% "SINPHAR" 9901 支付價 12.00 A042339399 BIFONAZOLE CREAM 1% "SINPHAR" 1.63 A042340100 FUWEHO CAPSULES 200MG "CHINTENG" (CETRAXATE) MOTOU SUPPOSITORIES 10MG "P.L." 7.70 ACELOR TABLETS 400MG "S.C."(ACEBUTOLOL) A042344100 GLUCOSAM CAPSULES 250MG (GLUCOSAMINE SULFATE) "UNION" A042346100 PERISAFE TAB. 20MG A042347100 MOCLOD F.C. TABLETS 150MG A042350100 KUDONA CAPSULES 250MG "S.Y." (GLUCOSAMINE SULFATE) A042362329 PIROCAM GEL 10MG/GM "M.S." (PIROXICAM) A042362345 PIROCAM GEL 10MG/GM "M.S."(PIROXICAM) A042364100 CA-POL CHEWABLE TABLETS"EVEREST"(CALCIUM CITRATE) A042365209 CEFIN FOR I.M. INJECTION (CEFTRIAXONE) "PANBIOTIC" A042365265 CEFIN FOR I.M. INJECTION (CEFTRIAXONE) "PANBIOTIC" A042365277 CEFIN FOR I.M. INJECTION (CEFTRIAXONE) "PANBIOTIC" A042366100 MUCAINE TABLETS A0423661G0 MUCAINE TABLETS(鋁箔) A042368219 ONDAN INJ. 2MG/ML A042369163 MUCAINE SUSPENSION A042369199 MUCAINE SUSPENSION A042373338 CIPIROID CREAM 250U/GM A042374209 U-RON FOR I.V. INJECTION A042374212 U-RON FOR I.V. INJECTION A042374277 U-RON FOR I.V. INJECTION A042375100 N.F.S. CAPSULES 400MG "C.H."(NORFLOXACIN) A042378100 GENZOSIN TAB. 2MG A042379100 I PUU F.C. TABLETS 400MG (IBUPROFEN) "CHEN TA" A0423791G0 I PUU F.C. TABLETS 400MG (IBUPROFEN) "CHEN TA" (鋁箔/膠箔) A042380100 MILIX TABLETS 1.25MG "M.S," (INDAPAMIDE) A042384100 DACSULIN TABLETS 200MG (SULINDAC) 6.10 A042341500 A042343100 A042389100 A042390245 A042394100 A042395100 A042401100 A042412209 A042412212 A042414209 A042414277 A042416100 A042417100 A042433100 A042435100 第 207 頁,共 382 頁 刪除 3.35 1.67 3.32 3.52 1.66 23.60 52.00 調整 2.40 418.00 160.00 161.00 1.00 1.50 256.00 71.00 0.35 37.50 416.00 769.00 97.00 44.10 5.00 0.93 1.50 2.86 1.93 LOVATIN TABLETS 20MG "PANBIOTIC" OMEZOL LYO-INJ. 40MG HEXOLINE TABLETS 0.5MG"S.C."(HEXOPRENALINE) DIMICON TAB. 80MG URINONE TABLETS 100MG "SHENG CHUN"(BENZBROMARONE) KETO INJECTION 30MG/ML KETO INJECTION 30MG/ML 4.60 176.00 1.80 LICEF-A FOR INJECTION "S.T" (CEPHRADINE) LICEF-A FOR INJECTION "S.T" (CEPHRADINE) FUWEIDIN F.C.TABLETS 40MG "S.D."[FAMOTIDINE] AXUROCEF F.C. TABLET 250MG (CEFUROXIME) CEFXIN F.C. TABLETS 125MG "STANDARD" (CEFUROXIME) BENSAU(BENZONATATE 100MG) SOFT CAPSULE 42.60 1.88 4.93 46.40 54.00 35.30 15.70 8.70 12.80 2.36 調整 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 8990 A042006323 UCOFU CREAM 8991 8992 8993 A042006330 A042006399 A042011100 UCOFU CREAM UCOFU CREAM DEXTROMETHORPHAN TABLETS 8994 8995 8996 8997 8998 A042017100 A042026100 A042029321 A042029329 A042029335 NONCOUGH CAP. COVINA F.C. TAB. IDIF CREAM IDIF CREAM IDIF CREAM 8999 A042080399 EURAXIL OINTMENT 9000 A042091209 SINTUM FOR INJ. 9001 9002 A042091212 A042091277 SINTUM FOR INJ. SINTUM FOR INJ. 9003 A042092100 RIVOSIN F.C. TAB. 9.6MG "S.Y." 9004 A042095100 TETRACYCLINE CAPSULES 250MG 9005 A042096100 SQUMIN TABLETS 5MG 9006 9007 A042102100 A042103100 9008 9009 9010 A042104100 A042115100 A042116100 DOXYCYCLINE CAPSULES 100MG SUTAIN TABLET 200MG "EVEREST" (TIAPROFENIC ACID) LORA TABLET 10MG POTENCE TABLET 300MG (CIMETIDINE) COBAMIDE CAPSULES 9011 A042125100 CHINOCON TABLETS 1.5MG (DIHYDROERGOTOXINE MESYLATE) 9012 9013 A042129100 A042135199 9014 A042136100 BAUSUTONER CAPSULES CEFAC GRANULES FOR ORAL SUSP. 25MG/ML SHINSIN CAP. 10MG 9015 A042138238 9016 A042141238 9017 A042142155 9018 9019 A042142157 A042145100 9020 9021 9022 9023 A042147100 A042149100 A042174121 A042193343 9024 A042197100 9025 A042198100 VITAMIN C INJECTION 250MG/ML (ASCORBIC ACID) "ORIENTAL" GENDOBU INJECTION 12.5MG/ML (DOBUTAMINE) ALTANT ELIXIR 0.4MG/ML (TRIHEXYPHENIDYL HYDROCHLORIDE)"PANB ALTANT ELIXIR 0.4MG/ML "PANBIOTIC" BACFEN TABLETS 10MG (BACLOFEN) "S.T" EURICON TAB. 100MG CEFAC CAPSULES 250MG GUARINA GRANULES FUH-JIA CREAM 0.1MG/GM "S.C." (ESTRADIOL) TANTOSAN TABLETS 100MG "N.W."(URSODESOXYCHOLIC ACID) SPASPA CAPSULES 60MG 9026 A042199271 IBUSINE INJ. 234MG(IBUPROFEN) 9027 A042202100 SULIMIN CAPSULES 9028 A042203100 ZIMARON TABLETS 100MG 9029 9030 A042204100 A042210100 9031 A042212321 PIPOXIN TABLETS GENURSO TABLETS 100MG (URSODESOXYCHOLIC ACID) KANDO CREAM 200MG/G "C.H."[AZELAIC ACID] 100年1月 項次 支付價 8990 11 17.9 8991 1.37 8992 8993 0.4 1 8994 4.18 8995 14.4 8996 28.8 8997 8998 14.7 8999 1.22 9000 120 601 9001 9002 69 9003 2.51 9004 0.7 9005 1.34 1.44 9006 9007 3.36 1.42 9008 1.18 9009 9010 1 9011 3.17 0.89 9012 9013 2.48 9014 4.6 9015 8.7 9016 0 9017 205 124 9018 9019 1.01 4.21 9020 3.63 9021 6.8 9022 9023 174 9024 1.9 9025 4.49 9026 108 9027 0.86 9028 4.93 1.46 9029 9030 0 9031 32.4 CODE 藥品名稱 A042439100 CEFXIN F.C. TABLETS 250MG "STANDARD" (CEFUROXIME) A042441338 BICAEN CREAM 10MG/GM"S.D." A042441399 BICAEN CREAM 10MG/GM A042448100 CLOPINE TABLETS 100MG"SWISS"(CLOZAPINE) A042449216 CVVH SOLUTION A "S.T." A042450109 KOAN-I GRANULES A042450199 KOAN-I GRANULES A042452100 CALBONE TABLETS 950MG "N.W." A042459100 NORAXIN F.C. TABLET 100MG"STANDARD" (NORFLOXACIN) A042461100 FUSEN ENTERIC MICROENCAPSULATED CAPSULES 100MG"CHINTENG" A0424611G0 FUSEN ENTERIC MICROENCAPSULATED CAPSULES 100MG"CHINTENG" (鋁箔) A042463100 FOR-YOU S.C. TABLETS 25MG A042464100 PANFORMIN TABLETS 500MG "PANBIOTIC" (METFORMIN) A0424641G0 PANFORMIN TABLETS 500MG "PANBIOTIC" (METFORMIN)鋁箔/膠箔 A042494100 COMPOUND MIXTURE OF GLYCYRRHIZA TABLETS A042500100 BEDELIN TABLETS 5MG (MEQUITAZINE) "Y.C." A042501321 BOLOVER CREAM 0.1% A042507100 TIPROFEN TABLETS 200MG A042508100 A042511100 A042512100 FULULIN TABLETS 10MG "S.D." NOSPASM TABLETS 10MG VORTAGEN E.M. CAPSULS 50MG "EVEREST" (DICLOFENAC SODIUM) A042513100 SETON CAPSULES 10MG (PHENOXYBENZAMINE HYDROCHLORIDE) "CHINTENG" A042514100 GENDERGIN TABLETS 0.5MG A0425141G0 GENDERGIN TABLET 0.5MG (ALPRAZOLAM)(鋁箔/膠箔) A042516100 GLUNINE CAPSULES 250MG (GLUCOSAMINE SULFATE) "H.C." A042521100 FOGLUGEN DISPERSIBLE-20 TABLETS 20MG "S.T." A042526100 MEQAZINE TABLETS 5MG "H.S."(MEQUITAZINE) A042527100 DANSE E.C. TABLETS 10MG "S.T."(SERRAPEPTASE) A042533100 A042534100 PAINLAX CAPSULES 50MG MORPHINE SULFATE SUSTAINEDRELEASE F.C. TABLETS 30MG "NBCD" A042535100 SANCIN F.C. TABLETS 50MG A042536100 SEVINA F.C. TABLETS A042537100 AMPRAZO TABLETS 0.5MG A0425371G0 AMPRAZO TABLETS 0.5 MG (ALPRAZOLAM)(鋁箔/膠箔) A042538100 MEQUITINE TABLETS 5MG"WINSTON" A042539100 A042556100 A042558100 LESLIPID TABLETS 20MG "H.C."(LOVASTATIN) ANESVAN INJECTION 10MG/ML "CHI SHENG"(PROPOFOL) ANESVAN INJECTION 10MG/ML "CHI SHENG"(PROPOFOL) ANESVAN INJECTION 10MG/ML "CHI SHENG"(PROPOFOL) ARICEPT F.C. TABLETS 5MG LOVAST TABLETS 20MG"H.S." A042570100 FLOXT CAP. 20MG A042554230 A042554238 A042554248 說明 9901 支付價 8.50 33.00 1.65 17.70 146.00 520.00 0.52 2.66 2.32 1.00 1.50 2.79 1.00 1.50 調整 0.15 1.42 22.00 2.94 1.27 3.60 1.00 2.87 1.02 1.50 1.44 2.16 1.42 刪除 1.03 6.10 12.50 2.35 4.15 1.00 1.50 1.18 8.80 94.00 72.00 152.00 108.00 4.20 刪除 第 208 頁,共 382 頁 5.10 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 9057 100年1月 項次 支付價 A042212399 KANDO CREAM 200MG/G "C.H."[AZELAIC 9032 2.26 ACID] 67 9033 A042214326 ICHDERM CREAM 50MG/GM A042214335 ICHDERM CREAM 50MG/GM "M.S." 9034 118 (DOXEPIN) A042214377 ICHDERM CREAM 50MG/GM "M.S." 9035 3119 (DOXEPIN) A042214399 ICHDERM CREAM 50MG/GM "M.S." 9036 3.16 (DOXEPIN) A042216100 FLAMQUIT F.C.TABLETS 25MG "SWISS" 9037 1 (DICLOFENAC POTASSIUM) A0422161G0 FLAMQUIT F.C.TABLETS 25MG "SWISS" 9038 1.5 (DICLOFENAC POTASSIUM)(鋁 A042218100 NORCOL TABLETS 20MG "S.C." 9039 1.92 (BENPROPERINE) A042222100 SYNDOMAN CAP. 30MG 9040 2.9 A042223265 PROLYTE INJECTION 9041 20.3 A042223277 PROLYTE INJECTION 9042 36.5 A042227100 SYNDOMAN CAP. 15MG 9043 3.36 A042229399 AFTER FUNGUS CREAM 10MG/GM 9044 1.91 (BIFONAZOLE) 4.97 9045 A042239100 URSOL CAPSULES 1 9046 A042240100 SUWELIN TABLETS 400MG 0 9047 A042244100 GEMBRIL F.C.TAB. 600MG A042247100 LUMELIN TABLETS 2MG "S.D." 9048 1.8 1.44 9049 A042249100 GLOSA CAPSULES 250MG A042253100 UROTIN TABLETS 100MG 9050 4.93 A042254100 HYDRALAZINE HYDROCHLORIDE 9051 0 TABLETS 50MG A042256100 KEEBONS CAPSULES 250MG 9052 1.44 "C.H."(GLUCOSAMINE SULFATE) A042257100 QUITAZINE TABLETS 5MG 9053 1.18 "H.C"[MEQUITAZINE] A042258100 ATENOL F.C. TABLETS 50MG "S.Y." 9054 1.94 (ATENOLOL) A042261248 VENOLIPID INJECTION 20% 9055 173 A042261255 VENOLIPID INJECTION 20% 9056 236 A042261265 VENOLIPID INJECTION 20% 9057 9058 9059 9060 A042262265 A042263100 A042267151 VENOLIPID INJECTION 10% BENDOPAR CAP. 250MG SPIZ SYRUP 9061 A042267155 SPIZ SYRUP 9062 A042267199 SPIZ SYRUP 9063 A042268100 9032 9033 9034 9035 9036 9037 9038 9039 9040 9041 9042 9043 9044 9045 9046 9047 9048 9049 9050 9051 9052 9053 9054 9055 9056 CODE 藥品名稱 9065 GLUMETIN TABLETS 500MG "SHENG CHUN"(METFORMIN) A0422681G0 METFORMIN TABLETS 500MG "LIDE" (METFORMIN)(鋁箔/膠箔) A042269321 BETASAY OINTMENT "SINPHAR" 9066 9067 9068 A042269329 A042269399 A042271421 9069 A042272100 9070 A042273100 9071 A042274100 9064 BETASAY OINTMENT "SINPHAR" BETASAY OINTMENT"SINPHAR" DEXA ORABASE 0.1% "SINPHAR" (DEXAMETHASONE) ROWAPRAXIN F. C. TABLETS 10MG (PIPOXOLAN) "CHINTENG" NORAXIN F.C.TABLET 400MG "STANDARD"(NORFLOXACIN) BENDOPAR CAP. 125MG 280 161 9058 8.3 9059 9060 11.4 9061 17.1 9062 0.14 9063 1 9064 1.5 9065 12.7 28 9066 1.22 9067 9068 52 9069 4.63 9070 45.3 3.74 9071 說明 CODE 藥品名稱 A042573100 NIFUROAZE CAPSULES 200MG 2.75 A042584100 A042585100 SYNBOT TABLETS 20MG PANAZIL F.C. TABLETS 600MG 3.22 3.30 A042588100 1.00 A042592100 VOLEN ENTERIC-MICROENCAPSULATED CAPSULES 50MG REGAL-HR TABLETS A042601238 ANOL INJECTION 200MG/ML A042602100 PAIN WILL PASS TABLETS 200MG 3.30 A042605100 MEDIKA CAPSULES "CHEN TA" 1.00 A042609100 TARN JINQ E.F.C. TABLETS 10MG "CHEN TA" (SERRATIOPEPTIDASE) NOFATER CAPSULES 50MG "F.M." (DICLOFENAC SODIUM) FENOLIP MICRONISED CAPSULES 200MG "C.H." (FENOFIBRATE) CLOPINE TABLETS 25MG "SWISS" (CLOZAPINE) HESPANDER INJECTION 1.03 A042618100 A042619100 A042621100 A042623277 A042626100 A0426261G0 A042627100 A042629500 A042646100 A042654100 A042656100 A042657100 A042659100 A042660100 FINSKA TABLETS 10MG FINSKA TABLETS 10MG(鋁箔/膠箔) LOVASTA TABLETS 20MG METROCIDE VAGINAL SUPPOSITORIES 500MG "T.F." ESZO TABLETS 2MG(ESTAZOLAM)"S.T." ECICAL TABLETS 950MG (CALCIUM CITRATE) "GENTLE" CETIZINE F. C. TABLETS 10MG (CETIRIZINE) PINFAN TABLETS 0.25MG "M.S." (FLUDIAZEPAM) ILOKA F.C TABLETS 2.5MG "YUNG SHIN" (INDAPAMIDE) ANBICYN F.C.TABLETS 625MG A042686100 KINAX TABLETS 0.5MG "KINGDOM"(ALPRAZOLAM) A0426861G0 KINAX TABLETS 0.5MG "KINGDOM"(ALPRAZOLAM)(鋁箔/膠箔) A042687100 REGROW SUSTAINED RELEASE F.C. TABLET 60MG "T.T.Y." (DEXTROMETHORPHAN A042697280 ANBICYN POWDER FOR INJECTION A042697297 ANBICYN POWDER FOR INJECTION A042704100 NOBAR TABLETS 5MG (AMLODIPINE BESYLATE) A042705100 SURINDAC TABLETS 200MG "N.W." (SULINDAC) A042708321 FOOHOL CREAM 10MG/GM "ROOT" (BIFONAZOLE) A042708329 FOOHOL CREAM 10MG/GM "ROOT" (BIFONAZOLE) A042708335 FOOHOL CREAM 10MG/GM "ROOT" (BIFONAZOLE) A042708399 FOOHOL CREAM 10MG/GM "ROOT" (BIFONAZOLE) A042711100 PERISAFE TABLETS 5MG (ENALAPRIL) A042712100 PERISAFE TABLETS 10MG (ENALAPRIL) A042714209 CEFAZO INJETCION 1GM "PANBIOTIC" (CEFAZOLIN SODIUM) A042714277 CEFAZO INJECTION "PANBIOTIC" A042722100 A042725321 第 209 頁,共 382 頁 CALGALIN TABLETS 667MG "WINSTON"(CALCIUM ACETATE) NATIFIN CREAM 1% "CHINTENG" 9901 支付價 4.62 12.90 1.00 9.90 5.90 261.00 1.34 1.50 7.90 4.05 刪除 1.83 2.30 1.75 刪除 1.88 3.05 6.80 1.00 1.50 3.47 65.00 189.00 10.40 2.15 12.90 49.50 105.00 1.91 3.28 15.40 22.20 10.30 2.49 41.20 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 9092 9093 100年1月 項次 支付價 28.3 9072 A042276221 DUMIN INJ. 40MG/ML 30.9 9073 A042278321 FRANOLON CREAM "T.S." A042280100 DEVIRO TAB. 400MG 9074 14.4 "KINGDOM"(ACYCLOVIR) 12.9 9075 A042339321 BIFONAZOLE CREAM 1% "SINPHAR" A042339323 BIFONAZOLE CREAM 1% "SINPHAR" 9076 12 A042339399 BIFONAZOLE CREAM 1% "SINPHAR" 9077 1.63 A042340100 FUWEHO CAPSULES 200MG "CHINTENG" 9078 7.7 (CETRAXATE) A042341500 MOTOU SUPPOSITORIES 10MG "P.L." 9079 3.35 A042343100 ACELOR TABLETS 400MG 9080 6.1 "S.C."(ACEBUTOLOL) A042344100 GLUCOSAM CAPSULES 250MG 9081 1.67 (GLUCOSAMINE SULFATE) "UNION" 3.32 9082 A042346100 PERISAFE TAB. 20MG A042347100 MOCLOD F.C. TABLETS 150MG 9083 3.52 A042350100 KUDONA CAPSULES 250MG "S.Y." 9084 1.66 (GLUCOSAMINE SULFATE) 23.6 9085 A042362329 PIROCAM GEL 10MG/GM "M.S." A042362345 PIROCAM GEL 10MG/GM 9086 52 "M.S."(PIROXICAM) A042364100 CA-POL CHEWABLE 9087 2.4 TABLETS"EVEREST"(CALCIUM CITRATE) A042365209 CEFIN FOR I.M. INJECTION 9088 418 (CEFTRIAXONE) "PANBIOTIC" A042365265 CEFIN FOR I.M. INJECTION 9089 160 (CEFTRIAXONE) "PANBIOTIC" A042365277 CEFIN FOR I.M. INJECTION 9090 161 (CEFTRIAXONE) "PANBIOTIC" A042366100 MUCAINE TABLETS 9091 1 1.5 9092 A0423661G0 MUCAINE TABLETS(鋁箔) A042368219 ONDAN INJ. 2MG/ML 9093 9094 A042369163 9072 9073 9074 9075 9076 9077 9078 9079 9080 9081 9082 9083 9084 9085 9086 9087 9088 9089 9090 9091 CODE 藥品名稱 CODE A042725329 A042725338 A042725399 NATIFIN CREAM 1% "CHINTENG" NATIFIN CREAM 1% "CHINTENG" NATIFIN CREAM 1% "CHINTENG" (NAFTIFIN) A042741100 LOPAC CAPSULES 25MG "N.V." A042743100 GENESAFE TABLETS 200MG(MEPHENOXALONE) A0427431G0 GENESAFE TABLETS 200MG(MEPHENOXALONE)(鋁箔/膠箔) A042745100 RITORIN TABLETS 10MG "PANBIOTIC"(RITODRINE A042746265 VENOLIPID INJECTION MCT/LCT 10% "CHI SHENG" A042748100 MECOLA F.C. TABLETS 20MG "S.D."(BENPROPERINE) A042752100 OFLODAL F.C. TABLETS 200MG (OFLOXACIN) A042754100 EURICON TAB. 50MG "S.Y" A042755100 DEHERP TABLET 200MG "STANDARD" (ACYCLOVIR) A042756210 ANSULLINA POWDER FOR INJECTION A042756289 A042764335 A042764343 A042764345 A042764355 A042764399 A042766100 A042768151 A042770100 256 9095 9096 9097 9098 9099 9100 MUCAINE SUSPENSION 9105 MUCAINE SUSPENSION CIPIROID CREAM 250U/GM U-RON FOR I.V. INJECTION U-RON FOR I.V. INJECTION U-RON FOR I.V. INJECTION N.F.S. CAPSULES 400MG "C.H."(NORFLOXACIN) A042378100 GENZOSIN TABLET 2MG (DOXAZOSIN MESYLATE) A042379100 I PUU F.C. TABLETS 400MG (IBUPROFEN) "CHEN TA" A0423791G0 I PUU F.C. TABLETS 400MG (IBUPROFEN) "CHEN TA" (鋁箔/膠箔) A042380100 MILIX TABLETS 1.25MG "M.S," (INDAPAMIDE) A042384100 DACSULIN TABLETS 200MG (SULINDAC) 9106 9107 A042389100 A042390245 LOVATIN TABLETS 20MG "PANBIOTIC" OMEZOL LYO-INJ. 40MG 9108 A042394100 9109 A042395100 HEXOLINE TABLETS 0.5MG"S.C."(HEXOPRENALINE) DIMICON TAB. 80MG 9110 A042401100 9111 A042412209 URINONE TABLETS 100MG "SHENG CHUN"(BENZBROMARONE) KETO INJECTION 30MG/ML 9112 A042412212 KETO INJECTION 30MG/ML 9101 9102 9103 9104 A042369199 A042373338 A042374209 A042374212 A042374277 A042375100 9094 A042774100 9095 9096 9097 9098 9099 9100 A042775100 A042798309 A042798329 A042798363 A042798399 A042800255 9101 A042800265 9102 A042801100 9103 A042802151 9104 A042802157 9105 1.93 4.6 9106 9107 176 9108 1.8 9109 1.88 9110 4.93 9111 46.4 9112 54 A042802199 0 0 37.5 416 769 97 藥品名稱 44.1 0 0.93 1.5 2.86 A042806100 A042823421 A042824100 A042826100 A042828209 A042828212 A042828219 第 210 頁,共 382 頁 ANSULLINA POWDER FOR INJECTION PIPO CREAM 10MG/GM "EVEREST" (PIROXICAM) PIPO CREAM 10MG/GM "EVEREST" (PIROXICAM) PIPO CREAM 10MG/GM "EVEREST" (PIROXICAM) PIPO CREAM 10MG/GM "EVEREST" (PIROXICAM) PIPO CREAM 10MG/GM "EVEREST" (PIROXICAM) LIPO CAPSULES 300MG"GENTLE" (URSODEOXYCHOLIC ACID) SUCOUGH SYRUP "WINSTON" MUACTION SUSTAINED RELEASE TABLETS 100MG "M.S." (TRAMADOL HYDROCHLORIDE) ANSIN E.C. TABLETS 100MG "EVEREST" (ASPIRIN) FENOFIBRATE CAPSULES 100MG "S.C." BENOVATE SOLUTION 1MG/ML BENOVATE SOLUTION 1MG/ML BENOVATE SOLUTION 1MG/ML BENOVATE SOLUTION 1MG/ML VENOLIPID INJECTION MCT/LCT 20% "CHI SHENG" VENOLIPID INJECTION MCT/LCT 20% "CHI SHENG" ALFABETALOL TABLETS 100MG"N.W." (LABETALOL) SYNMIN SYRUP 0.4MG/ML "S.T." (CYPROHEPTADINE HYDROCHLORIDE) SYNMIN SYRUP 0.4MG/ML "S.T." (CYPROHEPTADINE HYDROCHLORIDE) SYNMIN SYRUP 0.4MG/ML "S.T." (CYPROHEPTADINE HYDROCHLORIDE) PANZYNORM DRAGEES BIOMICIN OPHTHALMIC SOLUTION 0.3% "WINSTON" NOPRISIL TABLETS 10MG (LISINOPRIL) SYNPID CAPSULES 100MG "S.Y." (FENOFIBRATE) PICILLINA POWDER FOR INJECTION (PIPERACILLIN SODIUM) PICILLINA POWDER FOR INJECTION (PIPERACILLIN SODIUM) PICILLINA POWDER FOR INJECTION (PIPERACILLIN SODIUM) 說明 9901 支付價 64.00 88.00 2.61 4.29 1.40 1.50 4.05 242.00 1.88 1.48 1.78 8.80 156.00 161.00 38.40 55.00 43.50 256.00 1.08 4.97 10.30 8.70 1.01 4.06 864.00 45.40 327.00 0.86 249.00 刪除 刪除 220.00 刪除 5.00 5.40 22.60 0.08 1.85 49.40 6.00 4.46 109.00 54.00 138.00 「全民健康保險藥價基準」第五章「全民健康保險藥品支付價格暨品項表」修正草案條文對照表 修正條文 現行條文 項次 CODE 藥品名稱 9113 9114 A042414209 A042414277 9115 A042416100 9116 A042417100 9117 A042433100 9118 A042435100 9119 A042439100 9120 9121 9122 A042441338 A042441399 A042448100 9123 9124 9125 A042449216 A042450109 A042450199 LICEF-A FOR INJECTION "S.T" LICEF-A FOR INJECTION "S.T" (CEPHRADINE) FUWEIDIN F.C.TABLETS 40MG "S.D."[FAMOTIDINE] AXUROCEF F.C. TABLET 250MG (CEFUROXIME) CEFXIN F.C. TABLETS 125MG "STANDARD" (CEFUROXIME) BENSAU(BENZONATATE 100MG) SOFT CAPSULE CEFXIN F.C. TABLETS 250MG "STANDARD" (CEFUROXIME) BICAEN CREAM 10MG/GM"S.D." BICAEN CREAM 10MG/GM CLOPINE TABLETS 100MG"SWISS"(CLOZAPINE) CVVH SOLUTION A "S.T." KOAN-I GRANULES KOAN-I GRANULES 9126 A042452100 CALBONE TABLETS 950MG "N.W." 9127 A042459100 NORAXIN F.C. TABLET 100MG"STANDARD" (NORFLOXACIN) 9128 A042461100 FUSEN ENTERIC MICROENCAPSULATED CAPSULES 100MG"CHINTENG" 9129 9135 A0424611G0 FUSEN ENTERIC MICROENC