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序号医保编码医保分类中文名称英文名医保剂型13000000000000001省、市离休干部可使用的治疗性西药无23000000000000002杭州市二级保健干部及离休一号证可使用的西药无33000000000000003杭州市副省可使用的西药无44000000000000001省、市离休干部可使用中成药无54000000000000002省重保照顾离休干部及杭州市二级保健干部及离休一号证可使用的中成药无64000000000000003省重保照顾离休干部及杭州市二级适当提高、副市保健干部可使用的中成药无74000000000000004杭州市副省可使用的中成药无85000000000000001可使用的中草药无96000000000000001医院西药自制制剂无106000000000000002医院中成药自制制剂无117000000000000001自费费用无1280000000000000013自费西药无1380000000000000023自费中成药无14e01010110008a0002氨苄西林Ampicillin干糖浆15e01010120023a0001头孢氨苄Cefalexin干糖浆16e01010120024a0001头孢拉定Cefradine颗粒剂干糖浆干混悬剂17e01010120024a0011头孢拉定Cefradine颗粒剂干糖浆干混悬剂18e01010120024a0021头孢拉定Cefradine颗粒剂干糖浆干混悬剂19e01010120024a0031头孢拉定Cefradine颗粒剂干糖浆干混悬剂20e01010120024a0041头孢拉定Cefradine颗粒剂干糖浆干混悬剂21e01010120024a0051头孢拉定Cefradine颗粒剂干糖浆干混悬剂22e01010120024a0061头孢拉定Cefradine颗粒剂干糖浆干混悬剂23e01010120028a0001头孢呋辛Cefuroxime颗粒剂、干混悬剂24e01010120028a0011头孢呋辛Cefuroxime颗粒剂、干混悬剂25e01010120028a0021头孢呋辛Cefuroxime颗粒剂、干混悬剂26e01010120028a0031头孢呋辛Cefuroxime颗粒剂、干混悬剂27e01010120029a0002头孢丙烯Cefprozil颗粒剂、干混悬剂28e01010120029a0012头孢丙烯Cefprozil颗粒剂、干混悬剂29e01010120029a0022头孢丙烯Cefprozil颗粒剂、干混悬剂30e01010120029a0032头孢丙烯Cefprozil颗粒剂、干混悬剂31e01010120029a0042头孢丙烯Cefprozil颗粒剂、干混悬剂32e01010120029a0052头孢丙烯Cefprozil颗粒剂、干混悬剂33e01010120030a0002头孢克洛Cefaclor混悬剂、干混悬剂34e01010120030a0012头孢克洛Cefaclor混悬剂、干混悬剂35e01010120030a0022头孢克洛Cefaclor混悬剂、干混悬剂36e01010120030a0032头孢克洛Cefaclor混悬剂、干混悬剂37e01010120030a0042头孢克洛Cefaclor混悬剂、干混悬剂38e01010120030a0052头孢克洛Cefaclor混悬剂、干混悬剂39e01010120030a0062头孢克洛Cefaclor混悬剂、干混悬剂40e01010120035a0002头孢克肟Cefixime干混悬剂41e01010120035a0012头孢克肟Cefixime干混悬剂42e01010120035a0022头孢克肟Cefixime干混悬剂43e01010120036a0002头孢他美酯CefetametPivoxil颗粒剂44e01010120036a0012头孢他美酯CefetametPivoxil颗粒剂45e01010120036a0022头孢他美酯CefetametPivoxil颗粒剂46e01010120036a0032头孢他美酯CefetametPivoxil颗粒剂47e01010120036a0042头孢他美酯CefetametPivoxil颗粒剂48e01010120036a0052头孢他美酯CefetametPivoxil颗粒剂49e01010120036a0062头孢他美酯CefetametPivoxil颗粒剂50e01010300054a0002庆大霉素Gentamycin溶液剂51e01010600067a0001阿奇霉素Azithromycin干混悬剂、散剂52e01010600067a0011阿奇霉素Azithromycin干混悬剂、散剂53e01010600067a0021阿奇霉素Azithromycin干混悬剂、散剂54e01010600067a0031阿奇霉素Azithromycin干混悬剂、散剂55e01010600067a0041阿奇霉素Azithromycin干混悬剂、散剂56e01010600067a0051阿奇霉素Azithromycin干混悬剂、散剂57e01010600067a0061阿奇霉素Azithromycin干混悬剂、散剂58e01010600067a0071阿奇霉素Azithromycin干混悬剂、散剂59e01010600068a0001红霉素Erythromycin干糖浆、栓剂60e01010600068a0011红霉素Erythromycin干糖浆、栓剂61e01010600068a0021红霉素Erythromycin干糖浆、栓剂62e01010600070a0002琥乙红霉素ErythromycinEthylsuccinate干糖浆63e01010600071a0002克拉霉素Clarithromycin干混悬剂64e01010600071a0012克拉霉素Clarithromycin干混悬剂65e01010600071a0022克拉霉素Clarithromycin干混悬剂66e01010600072a0002罗红霉素Roxithromycin混悬剂、颗粒剂67e01010600072a0012罗红霉素Roxithromycin混悬剂、颗粒剂68e01010600072a0022罗红霉素Roxithromycin混悬剂、颗粒剂69e01010600072a0032罗红霉素Roxithromycin混悬剂、颗粒剂70e01010600072a0042罗红霉素Roxithromycin混悬剂、颗粒剂71e01010600072a0052罗红霉素Roxithromycin混悬剂、颗粒剂72e01010600072a0062罗红霉素Roxithromycin混悬剂、颗粒剂73e01010600072a0072罗红霉素Roxithromycin混悬剂、颗粒剂74e01010600072a0082罗红霉素Roxithromycin混悬剂、颗粒剂75e01010600072a0092罗红霉素Roxithromycin混悬剂、颗粒剂76e01010600072a0102罗红霉素Roxithromycin混悬剂、颗粒剂77e01010609012a0002无味红霉素ErythromycinEstolate干糖浆78e01020100084a0001复方磺胺甲噁唑CompoundSulfamethoxazole糖浆剂、口服混悬剂、颗粒剂79e01020100084a0011复方磺胺甲噁唑CompoundSulfamethoxazole糖浆剂、口服混悬剂、颗粒剂80e01020100084a0021复方磺胺甲噁唑CompoundSulfamethoxazole糖浆剂、口服混悬剂、颗粒剂81e01020100084a0031复方磺胺甲噁唑CompoundSulfamethoxazole糖浆剂、口服混悬剂、颗粒剂82e01020100085a0001磺胺嘧啶Sulfadiazine糖浆剂83e01020400106a0001呋喃唑酮Furazolidone粉剂84e01040120130a0001氟康唑Fluconazol颗粒剂85e01040120130a0011氟康唑Fluconazol颗粒剂86e01040120132a0002伊曲康唑Itraconazole颗粒剂87e01040120132a0012伊曲康唑Itraconazole颗粒剂88e01050100140a0001阿昔洛韦Aciclovir颗粒剂89e01050100140a0011阿昔洛韦Aciclovir颗粒剂90e01050100140a0021阿昔洛韦Aciclovir颗粒剂91e01050100141a0001利巴韦林Ribavirin口服溶液剂92e01050100141a0011利巴韦林Ribavirin口服溶液剂93e0105030015200002奥司他韦Oseltamivir口服常释剂型94e0105030015200012奥司他韦Oseltamivir口服常释剂型95e02030000180a0002左旋咪唑Levamisole糖浆剂96e02030000180a0012左旋咪唑Levamisole糖浆剂97e02030009002a0002阿苯AspirinandPhenobarbital口服常释剂型98e02030009003a0002噻吩嘧啶Pyrantel混悬剂99e03010100187a0001对乙酰氨基酚Paracetamol糖浆剂、滴剂、栓剂100e03010100187a0011对乙酰氨基酚Paracetamol糖浆剂、滴剂、栓剂101e03010100187a0021对乙酰氨基酚Paracetamol糖浆剂、滴剂、栓剂102e03010100187a0031对乙酰氨基酚Paracetamol糖浆剂、滴剂、栓剂103e03010100195a0002复方对乙酰氨基酚CompoundParacetamol糖浆剂、滴剂104e03010109004a0002安乃近MetamizoleSodium注射剂105e03010109004a0012安乃近MetamizoleSodium注射剂106e03010109004a0022安乃近MetamizoleSodium注射剂107e03010109004a0032安乃近MetamizoleSodium注射剂108e03010109004a0042安乃近MetamizoleSodium注射剂109e03010109004a0052安乃近MetamizoleSodium注射剂110e03010109004a0062安乃近MetamizoleSodium注射剂111e03010109004a0072安乃近MetamizoleSodium注射剂112e03010109004a0082安乃近MetamizoleSodium注射剂113e03010109004a0092安乃近MetamizoleSodium注射剂114e03010109005a0002氨基乙磺酸Taurine颗粒剂115e0301020020800002尼美舒利Nimesulide口服常释剂型116e0301020020800012尼美舒利Nimesulide口服常释剂型117e03010307047a0002酚麻美敏溶液剂118e03010307047a0012酚麻美敏溶液剂119e03010307047a0022酚麻美敏溶液剂120e03010307047a0032酚麻美敏溶液剂121e03010307047a0042酚麻美敏溶液剂122e03010307047a0052酚麻美敏溶液剂123e03010307103d0002愈酚伪麻片剂124e03010307103d0012愈酚伪麻片剂125e03010307108a0002复方对乙酰氨基酚(Ⅱ)颗粒剂126e04020000234a0002氨