江苏省基本医疗保险和工伤保险药品目录库标准库(西.xls

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1、 江苏省基本医疗保险和工伤保险药品目录库品种维护公示(20081231)一、西药部分序号分类编码 药品通用名编码中文通用名称英文通用名称收费项目等级标注剂型 品名编码8997 11001021100102015103氟脲苷Floxuridine乙类注射剂1000116890018998 11001021100102015103氟脲苷Floxuridine乙类注射剂1000116880018999 11001021100102015115氟脲苷Floxuridine乙类注射剂1000038590019000 11001021100102015115氟脲苷Floxuridine乙类注射剂10000

2、38580019001 11001021100102016001尿嘧啶替加氟Compound Tegafur乙类口服常释剂型1000038710019002 11001031100103001112放线菌素DDactinomycin甲类注射剂1000039190019003 11001031100103001115放线菌素DDactinomycin甲类注射剂1000039210019004 11001031100103002103平阳霉素 Bleomycin A5甲类注射剂1000039200019005 11001041100104001001美法仑Melphalan乙类口服常释剂型1000

3、039280019006 11001041100104002103拓扑替康 Topotecan乙类注射剂1000039270019007 11001041100104002103拓扑替康 Topotecan乙类注射剂1000039250019008 11001041100104002103拓扑替康 Topotecan乙类注射剂1000039260019009 11001041100104002103拓扑替康 Topotecan乙类注射剂1000126790019010 11001041100104002104拓扑替康 Topotecan乙类注射剂1000109950019011 1100104

4、1100104002115拓扑替康 Topotecan乙类注射剂1000039240019012 11001041100104002115拓扑替康 Topotecan乙类注射剂1000102080019013 11001041100104003103伊立替康 Irinotecan 乙类注射剂1000039230019014 11001041100104003103伊立替康 Irinotecan 乙类注射剂1000039220019015 11001041100104003104伊立替康 Irinotecan 乙类注射剂1000039290019016 11001041100104003104伊

5、立替康 Irinotecan 乙类注射剂1000039300019017 11001041100104003104伊立替康 Irinotecan 乙类注射剂1000106330019018 11001051100105001115长春新碱 Vincristine甲类注射剂1000039750019019 11001051100105001115长春新碱 Vincristine甲类注射剂1000039740029020 11001051100105002103高三尖杉酯碱Homoharringtonine甲类注射剂1000039730019021 11001051100105002103高三尖杉

6、酯碱Homoharringtonine甲类注射剂1000039720019022 11001051100105002103高三尖杉酯碱Homoharringtonine甲类注射剂1000094500019023 11001051100105002103高三尖杉酯碱Homoharringtonine甲类注射剂1000094490019024 11001051100105002103高三尖杉酯碱Homoharringtonine甲类注射剂1000094480019025 11001051100105002103高三尖杉酯碱Homoharringtonine甲类注射剂1000039730029026

7、 11001051100105002103高三尖杉酯碱Homoharringtonine甲类注射剂1000104750019027 11001051100105002104高三尖杉酯碱Homoharringtonine甲类注射剂1000039710019028 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039700019029 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039690019030 11001051100105003103羟喜树碱 Hydroxycampt

8、othecin甲类注射剂1000039770019031 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039680019032 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039840019033 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039850019034 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039860019035 1100105

9、1100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039830019036 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039770029037 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039680029038 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039700029039 11001051100105003103羟喜树碱 Hydroxycamptotheci

10、n甲类注射剂1000039770039040 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039700039041 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039790019042 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039780019043 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039800019044 1100105110010

11、5003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039810019045 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000039820019046 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000085970019047 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000123680019048 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂

12、1000126800019049 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000126820019050 11001051100105003103羟喜树碱 Hydroxycamptothecin甲类注射剂1000126810019051 11001051100105003104羟喜树碱 Hydroxycamptothecin甲类注射剂1000039580019052 11001051100105003104羟喜树碱 Hydroxycamptothecin甲类注射剂1000039760019053 1100105110010500310

13、4羟喜树碱 Hydroxycamptothecin甲类注射剂1000085980019054 11001051100105003104羟喜树碱 Hydroxycamptothecin甲类注射剂1000085990019055 11001051100105003104羟喜树碱 Hydroxycamptothecin甲类注射剂1000039580029056 11001051100105003104羟喜树碱 Hydroxycamptothecin甲类注射剂1000102090019057 11001051100105003104羟喜树碱 Hydroxycamptothecin甲类注射剂100012

14、3690019058 11001051100105003113羟喜树碱 Hydroxycamptothecin甲类注射剂1000039560019059 11001051100105003113羟喜树碱 Hydroxycamptothecin甲类注射剂1000039570019060 11001051100105003115羟喜树碱 Hydroxycamptothecin甲类注射剂1000039540019061 11001051100105003115羟喜树碱 Hydroxycamptothecin甲类注射剂1000040010019062 11001051100105003115羟喜树碱

15、Hydroxycamptothecin甲类注射剂1000040020019063 11001051100105003115羟喜树碱 Hydroxycamptothecin甲类注射剂1000039550019064 11001051100105003115羟喜树碱 Hydroxycamptothecin甲类注射剂1000040000019065 11001051100105004010依托泊苷 Etoposide乙类口服常释剂型1000039990019066 11001051100105004010依托泊苷 Etoposide乙类口服常释剂型1000039960019067 110010511

16、00105004010依托泊苷 Etoposide乙类口服常释剂型1000039970019068 11001051100105004010依托泊苷 Etoposide乙类口服常释剂型1000039980019069 11001051100105004011依托泊苷 Etoposide乙类口服常释剂型1000039950019070 11001051100105004103依托泊苷 Etoposide甲类注射剂1000039660019071 11001051100105004103依托泊苷 Etoposide甲类注射剂1000039670019072 11001051100105004103

17、依托泊苷 Etoposide甲类注射剂1000039660029073 11001051100105004103依托泊苷 Etoposide甲类注射剂1000039660039074 11001051100105004103依托泊苷 Etoposide甲类注射剂1000039660049075 11001051100105004103依托泊苷 Etoposide甲类注射剂1000109970019076 11001051100105004103依托泊苷 Etoposide甲类注射剂1000109960019077 11001051100105004103依托泊苷 Etoposide甲类注射剂1

18、000126830019078 11001051100105004104依托泊苷 Etoposide甲类注射剂1000039650019079 11001051100105005103长春地辛 Vindesine乙类注射剂1000039620019080 11001051100105005103长春地辛 Vindesine乙类注射剂1000039630019081 11001051100105005103长春地辛 Vindesine乙类注射剂1000039640019082 11001051100105005103长春地辛 Vindesine乙类注射剂1000039910019083 1100

19、1051100105005103长春地辛 Vindesine乙类注射剂1000039920019084 11001051100105005103长春地辛 Vindesine乙类注射剂1000039930019085 11001051100105005103长春地辛 Vindesine乙类注射剂1000039940019086 11001051100105005103长春地辛 Vindesine乙类注射剂1000039630029087 11001051100105005103长春地辛 Vindesine乙类注射剂1000039640029088 11001051100105005115长春地辛

20、 Vindesine乙类注射剂1000039890019089 11001051100105005115长春地辛 Vindesine乙类注射剂1000039900019090 11001051100105005115长春地辛 Vindesine乙类注射剂1000039870019091 11001051100105005115长春地辛 Vindesine乙类注射剂1000039880019092 11001051100105005115长春地辛 Vindesine乙类注射剂1000039870029093 11001051100105006103长春碱Vinblastine乙类注射剂10000

21、39470019094 11001051100105007103长春瑞滨 Vinorelbine乙类注射剂1000039440019095 11001051100105007103长春瑞滨 Vinorelbine乙类注射剂1000039460019096 11001051100105007103长春瑞滨 Vinorelbine乙类注射剂1000039430019097 11001051100105007103长春瑞滨 Vinorelbine乙类注射剂1000039420019098 11001051100105007103长春瑞滨 Vinorelbine乙类注射剂100003945001909

22、9 11001051100105007103长春瑞滨 Vinorelbine乙类注射剂1000094520019100 11001051100105007103长春瑞滨 Vinorelbine乙类注射剂1000094510019101 11001051100105007103长春瑞滨 Vinorelbine乙类注射剂1000123700019102 11001051100105007109长春瑞滨 Vinorelbine乙类注射剂1000094530019103 11001051100105007112长春瑞滨 Vinorelbine乙类注射剂1000039410019104 11001051

23、100105007115长春瑞滨 Vinorelbine乙类注射剂1000039400019105 11001051100105007115长春瑞滨 Vinorelbine乙类注射剂1000039390019106 11001051100105007115长春瑞滨 Vinorelbine乙类注射剂1000040150019107 11001051100105007115长春瑞滨 Vinorelbine乙类注射剂1000039400029108 11001051100105007115长春瑞滨 Vinorelbine乙类注射剂1000040140019109 110010511001050071

24、15长春瑞滨 Vinorelbine乙类注射剂1000086000019110 11001051100105007115长春瑞滨 Vinorelbine乙类注射剂1000094540019111 11001051100105008103多西他赛 Docetaxel乙类注射剂1000040120019112 11001051100105008103多西他赛 Docetaxel乙类注射剂1000040130019113 11001051100105008103多西他赛 Docetaxel乙类注射剂1000040080019114 11001051100105008103多西他赛 Docetaxel

25、乙类注射剂1000040090019115 11001051100105008103多西他赛 Docetaxel乙类注射剂1000040100019116 11001051100105008103多西他赛 Docetaxel乙类注射剂1000040110019117 11001051100105008103多西他赛 Docetaxel乙类注射剂1000040070019118 11001051100105008103多西他赛 Docetaxel乙类注射剂1000102100019119 11001051100105008103多西他赛 Docetaxel乙类注射剂100010998001912

26、0 11001051100105008104多西他赛 Docetaxel乙类注射剂1000040040019121 11001051100105008104多西他赛 Docetaxel乙类注射剂1000040060019122 11001051100105008104多西他赛 Docetaxel乙类注射剂1000040050019123 11001051100105008104多西他赛 Docetaxel乙类注射剂1000040030019124 11001051100105008104多西他赛 Docetaxel乙类注射剂1000106340019125 110010511001050081

27、04多西他赛 Docetaxel乙类注射剂1000106350019126 11001051100105008104多西他赛 Docetaxel乙类注射剂1000126840019127 11001051100105009103三尖杉酯碱 Harringtonine乙类注射剂1000039610019128 11001051100105010103替尼泊苷 Teniposide 乙类注射剂1000039600019129 11001051100105010104替尼泊苷 Teniposide 乙类注射剂1000039590019130 11001051100105011103紫杉醇Paclit

28、axel 乙类注射剂1000039310019131 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000039310059132 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000039310029133 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000039330019134 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000039320019135 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000039330

29、029136 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000039330039137 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000039330049138 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000039380019139 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000039340019140 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000039330059141 1100105110010

30、5011103紫杉醇Paclitaxel 乙类注射剂1000039370019142 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000039310039143 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000039310049144 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000086010019145 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000094550019146 11001051100105011103紫杉醇Paclitaxel

31、 乙类注射剂1000102110019147 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000106360019148 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000109990019149 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000113820019150 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000113830019151 11001051100105011103紫杉醇Paclitaxel 乙类注射剂10001138400191

32、52 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000109990029153 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000116900019154 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000120990019155 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000126850019156 11001051100105011103紫杉醇Paclitaxel 乙类注射剂1000128860019157 11001051100105011

33、104紫杉醇Paclitaxel 乙类注射剂1000039350019158 11001051100105011104紫杉醇Paclitaxel 乙类注射剂1000039360019159 11001051100105011104紫杉醇Paclitaxel 乙类注射剂1000039350039160 11001051100105011104紫杉醇Paclitaxel 乙类注射剂1000039530019161 11001051100105011104紫杉醇Paclitaxel 乙类注射剂1000039350049162 11001051100105011104紫杉醇Paclitaxel 乙类注

34、射剂1000039520019163 11001051100105011104紫杉醇Paclitaxel 乙类注射剂1000039350029164 11001051100105011104紫杉醇Paclitaxel 乙类注射剂1000110000019165 11001051100105011104紫杉醇Paclitaxel 乙类注射剂1000113850019166 11001051100105011104紫杉醇Paclitaxel 乙类注射剂1000113860019167 11001051100105011104紫杉醇Paclitaxel 乙类注射剂1000116910019168 1

35、1001051100105011104紫杉醇Paclitaxel 乙类注射剂1000113850029169 11001051100105011104紫杉醇Paclitaxel 乙类注射剂1000126860019170 11001051100105011110紫杉醇Paclitaxel 乙类注射剂1000039510019171 11001051100105011110紫杉醇Paclitaxel 乙类注射剂1000039500019172 11001051100105012115紫杉醇脂质体Paclitaxel 乙类注射剂1000039480019173 110010611001060011

36、03门冬酰胺酶(L-门冬酰胺酶)Asparaginase甲类注射剂1000040180019174 11001061100106001103门冬酰胺酶(L-门冬酰胺酶)Asparaginase甲类注射剂1000040160019175 11001061100106001103门冬酰胺酶(L-门冬酰胺酶)Asparaginase甲类注射剂1000123710019176 11001061100106001112门冬酰胺酶(L-门冬酰胺酶)Asparaginase甲类注射剂1000040170019177 11002001100200002001他莫昔芬 Tamoxifen甲类口服常释剂型1000

37、040210019178 11002001100200002001他莫昔芬 Tamoxifen甲类口服常释剂型1000040200019179 11002001100200002001他莫昔芬 Tamoxifen甲类口服常释剂型1000040200029180 11002001100200002001他莫昔芬 Tamoxifen甲类口服常释剂型1000040200039181 11002001100200002001他莫昔芬 Tamoxifen甲类口服常释剂型1000040360019182 11002001100200002001他莫昔芬 Tamoxifen甲类口服常释剂型100008160

38、0019183 11002001100200003001阿那曲唑 Anastrozole乙类口服常释剂型1000040230019184 11002001100200003001阿那曲唑 Anastrozole乙类口服常释剂型1000040320019185 11002001100200003004阿那曲唑 Anastrozole乙类口服常释剂型1000040310019186 11002001100200004001比卡鲁胺 Bicalutamide乙类口服常释剂型1000040300019187 11002001100200004004比卡鲁胺 Bicalutamide乙类口服常释剂型10

39、00116930019188 11002001100200004004比卡鲁胺 Bicalutamide乙类口服常释剂型1000116920019189 11002001100200004009比卡鲁胺 Bicalutamide乙类口服常释剂型1000116940019190 11002001100200006001来曲唑Letrozole乙类口服常释剂型1000040280019191 11002001100200006001来曲唑Letrozole乙类口服常释剂型1000040290019192 11002001100200006001来曲唑Letrozole乙类口服常释剂型1000040

40、270019193 11002001100200007001托瑞米芬 Toremifene 乙类口服常释剂型1000040260019194 11002001100200007001托瑞米芬 Toremifene 乙类口服常释剂型1000094560019195 11002001100200008001依西美坦 Exemestane 乙类口服常释剂型1000040250019196 11002001100200008001依西美坦 Exemestane 乙类口服常释剂型1000040240019197 11002001100200008001依西美坦 Exemestane 乙类口服常释剂型10

41、00040350019198 11002001100200008001依西美坦 Exemestane 乙类口服常释剂型1000040340019199 11002001100200008004依西美坦 Exemestane 乙类口服常释剂型1000040330019200 11002001100200008009依西美坦 Exemestane 乙类口服常释剂型1000123720019201 11003001100300002103安吖啶Amsacrine乙类注射剂1000094570019202 11003001100300003103达卡巴嗪 Dacarbazine乙类注射剂1000040

42、940019203 11003001100300003103达卡巴嗪 Dacarbazine乙类注射剂1000110010019204 11003001100300003115达卡巴嗪 Dacarbazine乙类注射剂1000040930019205 11003001100300005001氟他胺Flutamide乙类口服常释剂型1000040910019206 11003001100300005001氟他胺Flutamide乙类口服常释剂型1000040920019207 11003001100300005001氟他胺Flutamide乙类口服常释剂型1000040900019208 110

43、03001100300005001氟他胺Flutamide乙类口服常释剂型1000094580019209 11003001100300005009氟他胺Flutamide乙类口服常释剂型1000040890019210 11003001100300006001甲异靛Meisoindigotin乙类口服常释剂型1000040880019211 11003001100300007103美司钠Mesna乙类注射剂1000040870019212 11003001100300007103美司钠Mesna乙类注射剂1000040860019213 11003001100300007103美司钠Mesn

44、a乙类注射剂1000094590019214 11003001100300007104美司钠Mesna乙类注射剂1000102120019215 11003001100300008103米托蒽醌 Mitoxantrone乙类注射剂1000040830019216 11003001100300008103米托蒽醌 Mitoxantrone乙类注射剂1000040850019217 11003001100300008103米托蒽醌 Mitoxantrone乙类注射剂1000040810019218 11003001100300008103米托蒽醌 Mitoxantrone乙类注射剂10000408

45、20019219 11003001100300008103米托蒽醌 Mitoxantrone乙类注射剂1000123730019220 11003001100300008103米托蒽醌 Mitoxantrone乙类注射剂1000126870019221 11003001100300008112米托蒽醌 Mitoxantrone乙类注射剂1000041140019222 11003001100300008115米托蒽醌 Mitoxantrone乙类注射剂1000041130019223 11003001100300008115米托蒽醌 Mitoxantrone乙类注射剂1000041130029

46、224 11003001100300009009维A酸Tretinoin乙类口服常释剂型1000081430019225 11003001100300010001维胺酯Viaminati乙类口服常释剂型1000110020019226 11003001100300010009维胺酯Viaminati乙类口服常释剂型1000041120019227 11003001100300010009维胺酯Viaminati乙类口服常释剂型1000041110019228 11003001100300010010维胺酯Viaminati乙类口服常释剂型1000041100019229 11003001100

47、300011104亚砷酸Arsenious acid乙类注射剂1000041080019230 11003001100300011104亚砷酸Arsenious acid乙类注射剂1000041090019231 11003001100300012001亚叶酸钙 Calcium Folinate乙类口服常释剂型1000041070019232 11003001100300012001亚叶酸钙 Calcium Folinate乙类口服常释剂型1000041050019233 11003001100300012001亚叶酸钙 Calcium Folinate乙类口服常释剂型100004104001

48、9234 11003001100300012001亚叶酸钙 Calcium Folinate乙类口服常释剂型1000041060019235 11003001100300012001亚叶酸钙 Calcium Folinate乙类口服常释剂型1000041030019236 11003001100300012001亚叶酸钙 Calcium Folinate乙类口服常释剂型1000041020019237 11003001100300012001亚叶酸钙 Calcium Folinate乙类口服常释剂型1000041010019238 11003001100300012001亚叶酸钙 Calciu

49、m Folinate乙类口服常释剂型1000086020019239 11003001100300012001亚叶酸钙 Calcium Folinate乙类口服常释剂型1000094600019240 11003001100300012103亚叶酸钙 Calcium Folinate乙类注射剂1000041000019241 11003001100300012103亚叶酸钙 Calcium Folinate乙类注射剂1000040610029242 11003001100300012103亚叶酸钙 Calcium Folinate乙类注射剂1000040990019243 1100300110

50、0300012103亚叶酸钙 Calcium Folinate乙类注射剂1000040620039244 11003001100300012103亚叶酸钙 Calcium Folinate乙类注射剂1000040620059245 11003001100300012103亚叶酸钙 Calcium Folinate乙类注射剂1000040970019246 11003001100300012103亚叶酸钙 Calcium Folinate乙类注射剂1000040960019247 11003001100300012103亚叶酸钙 Calcium Folinate乙类注射剂100004059002