| 代碼 |
英文名 |
學名 |
自費價 |
適應症 |
| ALK |
ALKANTIN100MG ※ |
dihydroxyalumium allantoinate 100mg |
1.644 |
胃潰瘍、十二指腸潰瘍、急慢性胃炎 |
| ANTA |
ANTABUS 400MG |
disulfiram 400mg |
42 |
慢性嗜酒輔助治療 |
| BIOG |
BIOGEN 110MG ※ |
biodiastase 110mg+cellulase ap3 5mg+biodiasmin f-2 25mg |
2.532 |
營養補充 |
| CEN |
CENTRUM |
複方 |
7.524 |
發育不良、營養補給、虛弱體質，熱性消耗性疾患之補助治療，妊娠婦之營養補給 |
| CENS |
CENTRUM SILVER |
複方 |
8.34 |
發育不良、營養補給、虛弱體質，熱性消耗性疾患之補助治療，妊娠婦之營養補給 |
| CIT |
CITOSOL inj. (管4) |
Thiamylal sodium 300MG |
94 |
各科手術而需要全身麻醉時 |
| DES8 |
DESUD PLUS (管3) ＠ |
Buprenorphine 8mg+Naloxone 2mg |
108 |
藥癮治療 |
| ENE |
ENEMA SOL. |
Sodium chloride 150mg/ml, 20ml |
3 |
便祕 |
| INVI1 |
INVEGA SUSTENNA INJ.75mg ↑ |
Paliperidone 75mg |
0 |
精神分裂症 |
| INVI2 |
INVEGA SUSTENNA INJ.100mg ↑↑ |
Paliperidone 100mg |
0 |
精神分裂症 |
| INVI3 |
INVEGA SUSTENNA INJ.150mg ↑↑↑ |
Paliperidone 150mg |
0 |
精神分裂症 |
| JAL |
JALINE LOTION 250mg/ml 150ml |
Benzyl Benzoate 250mg/ml 150ml |
198.36 |
疥癬、虱感染 |
| LOM |
LOMIDINE 10MG ※ |
Loratadine 10mg |
2.016 |
緩解過敏性鼻炎的相關症狀、如流鼻水、搔癢及眼睛搔癢和灼熱感及緩解因慢性蕁麻疹及過敏性皮膚病所引起的症狀 |
| METH |
Methadone 10mg/ML (管2) ＠ |
Methadone 10mg/ML |
0 |
海洛因替代治療 |
| NIC2 |
Nicorette Chewing Gum 2mg ↑ |
Nicorette 2mg |
8 |
戒治煙癮 |
| NIC4 |
Nicorette Chewing Gum 4mg ↑↑ |
Nicorette 4mg |
10 |
戒治煙癮 |
| PNE1 |
PNEUMOVAX 23 i ＊ |
Pneumococcal vaccine polyvalent 0.5ml |
1008 |
預防肺炎 |
| SMOK1 |
SMOKFREE 31.2MG ↑↑ |
Nicotine 31.2 mg |
67 |
戒菸 |
| SMOK2 |
SMOKFREE 20.8MG ↑ |
Nicotine 20.8 mg |
67 |
戒菸 |
| SUB2 |
SUBOXONE 2MG (管3) Θ |
buprenorphine 2mg+naloxone 0.5mg |
48 |
藥癮治療 |
| VAX |
VAXIGRIP inj. ＊ |
INFLUENZA VIRUS VACCINE 0.5ML |
294 |
預防流行性感冒 |
| WAT |
WATER inj. |
water for inj. 10ml |
4.2 |
供注射使用 |
| XYL2 |
XYLOCAINE 2% 20ML !!↑↑ |
Lidocaine hcl 2% 20ml |
67.2 |
外科手術局部麻醉 |