北京医保三大目录20081118

药品编码产地通用中文名称收费类别处方药标志剂量单位标准价格自付比例剂型用法日常规用量101110001000001010200000000000000降糖明目胶囊乙类中成药处方药28.50胶囊剂0101110001000002100600000000000000碳酸氢钠氧化锌油乙类西药处方药20搽剂0101110001000003070100000000000000茵菊熏眼散乙类中成药处方药120散剂(外用)0101110001000004150100000000000000珍芪滴眼液乙类中成药处方药25.80滴眼剂0101110001500100150100000000000000国产阿托品滴眼剂乙类西药处方药瓶20滴眼剂0101110001500200990000000000000000国产苯海拉明霜乙类西药处方药瓶30其他剂型0101110001500300180000000000000000国产薄荷樟脑吸入剂乙类西药处方药瓶20吸入剂0101110001500400990000000000000000国产碘化钾溶液乙类西药处方药瓶90其他剂型0101110001500500080100000000000000国产丁卡因软膏乙类西药处方药瓶2.40软膏剂0101110001500600330000000000000000国产丁卡因眼膏乙类西药处方药瓶1.60眼膏剂0101110001500700190200000000000000国产丁卡因注射液乙类西药处方药瓶28.750注射液0101110001500800190200000000000000国产丁卡因注射液乙类西药处方药瓶34.50注射液0101110001500900190200000000000000国产丁卡因注射液乙类西药处方药瓶2.20注射液0101110001501000100200000000000000国产对氨基苯甲酸洗剂乙类西药处方药瓶9.80洗剂0药品目录查询101110001501100170100000000000000国产复方薄荷滴鼻剂乙类西药处方药瓶10滴鼻剂0101110001501200990000000000000000国产复方碘溶液乙类西药处方药瓶2.20其他剂型0101110001501300150100000000000000国产复方核黄素滴眼剂乙类西药处方药瓶1.60滴眼剂0101110001501400100200000000000000国产复方硫洗剂乙类西药处方药瓶40洗剂0101110001501500160100000000000000国产复方诺氟沙星滴耳液乙类西药处方药瓶0.90滴耳剂0101110001501600990000000000000000国产复方硼砂溶液乙类西药处方药瓶40其他剂型0101110001501700031000000000000000国产甘油合剂乙类西药处方药瓶60合剂0101110001501800990000000000000000国产枸橼酸钾溶液乙类西药处方药瓶30其他剂型0101110001501900990000000000000000国产鼓膜麻醉剂乙类西药处方药瓶6.90其他剂型0101110001502000990000000000000000国产含氯石灰硼酸溶液乙类西药处方药瓶2.40其他剂型0101110001502100150100000000000000国产后马托品滴眼剂乙类西药处方药瓶100滴眼剂0101110001502200080100000000000000国产己烯雌酚软膏乙类西药处方药瓶2.50软膏剂0101110001502300150100000000000000国产卡那霉素滴眼剂乙类西药处方药瓶1.50滴眼剂0101110001502400190200000000000000国产可卡因阿托品注射液乙类西药处方药瓶30注射液0101110001502500190200000000000000国产利多卡因注射液乙类西药处方药瓶7.50注射液0101110001502600990000000000000000国产利凡诺溶液乙类西药处方药瓶50其他剂型0101110001502700100800000000000000国产利凡诺锌油乙类西药处方药瓶20油剂0101110001502800150100000000000000国产利福平滴眼剂乙类西药处方药瓶1.60滴眼剂0101110001502900150100000000000000国产利明滴眼剂乙类西药处方药瓶1.50滴眼剂0101110001503000990000000000000000国产硫霜乙类西药处方药瓶40其他剂型0101110001503100330000000000000000国产硫酸阿托品眼膏乙类西药处方药瓶2.30眼膏剂0101110001503200330000000000000000国产硫酸阿托品眼膏乙类西药处方药瓶2.30眼膏剂0101110001503300990000000000000000国产硫酸镁溶液(内服)乙类西药处方药瓶3.80其他剂型0101110001503400990000000000000000国产硫酸镁溶液(内服)乙类西药处方药瓶3.50其他剂型0101110001503500990000000000000000国产硫酸镁溶液(外用）乙类西药处方药瓶3.80其他剂型0101110001503600990000000000000000国产硫酸镁溶液(外用)乙类西药处方药瓶3.50其他剂型0101110001503700100200000000000000国产炉甘石洗剂乙类西药处方药瓶30洗剂0101110001503800330000000000000000国产氯化氨基汞眼膏乙类西药处方药瓶20眼膏剂0101110001503900990000000000000000国产氯化钾溶液乙类西药处方药瓶2.50其他剂型0101110001504000170100000000000000国产氯麻滴鼻剂乙类西药处方药瓶0.90滴鼻剂0101110001504100150100000000000000国产氯霉素滴眼剂乙类西药处方药瓶1.60滴眼剂0101110001504200170100000000000000国产麻黄碱滴鼻剂乙类西药处方药瓶0.90滴鼻剂0101110001504300170100000000000000国产麻黄碱滴鼻剂乙类西药处方药瓶10滴鼻剂0101110001504400150100000000000000国产毛果芸香碱滴眼剂乙类西药处方药瓶80滴眼剂0101110001504500150100000000000000国产毛果芸香碱滴眼剂乙类西药处方药瓶100滴眼剂0101110001504600160100000000000000国产硼酸滴耳剂乙类西药处方药瓶0.80滴耳剂0101110001504700990000000000000000国产硼酸溶液乙类西药处方药瓶30其他剂型0101110001504800190200000000000000国产普鲁卡因注射液乙类西药处方药瓶80注射液0101110001504900330000000000000000国产氢溴酸后马托品眼膏乙类西药处方药瓶4.20眼膏剂0101110001505000330000000000000000国产氢溴酸后马托品眼膏乙类西药处方药瓶90眼膏剂0101110001505100150100000000000000国产庆大霉素滴眼剂乙类西药处方药瓶1.60滴眼剂0101110001505200150100000000000000国产人工泪滴眼剂乙类西药处方药瓶1.60滴眼剂0101110001505300080100000000000000国产鞣酸软膏乙类西药处方药瓶2.50软膏剂0101110001505400150100000000000000国产肾上腺素滴眼剂乙类西药处方药瓶1.70滴眼剂0101110001505500031000000000000000国产水合氯醛合剂乙类西药处方药瓶3.60合剂0101110001505600080100000000000000国产水杨酸软膏乙类西药处方药瓶1.70软膏剂0101110001505700080100000000000000国产水杨酸软膏乙类西药处方药瓶1.60软膏剂0101110001505800160100000000000000国产碳酸氢钠滴耳剂乙类西药处方药瓶10滴耳剂0101110001505900031000000000000000国产胃蛋白酶合剂乙类西药处方药瓶60合剂0101110001506000330000000000000000国产硝酸毛果芸香碱眼膏乙类西药处方药瓶5.50眼膏剂0101110001506001330000000000000000国产硝酸毛果芸香碱眼膏乙类西药处方药瓶9.90眼膏剂0101110001506100330000000000000000国产硝酸毛果芸香碱眼膏乙类西药处方药瓶8.60眼膏剂0101110001506200150100000000000000国产新福林滴眼剂乙类西药处方药瓶2.20滴眼剂0101110001506300150100000000000000国产新福林滴眼剂乙类西药处方药瓶20滴眼剂0101110001506400330000000000000000国产盐酸环胞苷眼膏乙类西药处方药瓶2.50眼膏剂0101110001506500150100000000000000国产盐酸乙基吗啡滴眼液乙类西药处方药瓶2.20滴眼剂0101110001506600150100000000000000国产盐酸乙基吗啡滴眼液乙类西药处方药瓶30滴眼剂0101110001506700150100000000000000国产盐酸乙基吗啡滴眼液乙类西药处方药瓶4.50滴眼剂0101110001506800150100000000000000国产盐酸乙基吗啡滴眼液乙类西药处方药瓶60滴眼剂0101110001506900150100000000000000国产盐酸乙基吗啡滴眼液乙类西药处方药瓶90滴眼剂0101110001507000150100000000000000国产依地酸二钠滴眼剂乙类西药处方药瓶1.60滴眼剂0101110001507100320000000000000000国产樟脑醑乙类西药处方药瓶1.30醑剂0101110001507200010200000000000000国产鼻康胶囊乙类中成药处方药瓶140胶囊剂0101110001507300180500000000000000国产鼻舒喷雾剂乙类西药处方药瓶14.860喷雾剂0101110001507400050100000000000000国产丹葛明目颗粒乙类中成药处方药瓶17.760颗粒剂0101110001507401050100000000000000国产丹葛明目冲剂乙类中成药处方药瓶17.760颗粒剂0101110001507402990000000000000000国产糖网2号乙类西药处方药瓶17.760其他剂型0101110001507500050100000000000000国产丹苓颗粒乙类中成药处方药瓶440颗粒剂0101110001507600050100000000000000国产耳聪颗粒乙类中成药处方药瓶14.50颗粒剂0101110001507700190200000000000000国产分枝杆菌多糖注射剂乙类西药处方药瓶150注射液0101110001507800190200000000000000国产分枝杆菌多糖注射剂乙类西药处方药瓶450注射液0101110001507900170100000000000000国产复方黄腐酸钠滴鼻液乙类西药处方药瓶1.080滴鼻剂0101110001508000010200000000000000国产复方黄精胶囊乙类中成药