序号医保编号药品名称分 类编号药 品 名 称剂型限制使用范围剂 型剂型中文名称11青霉素注射剂80万单位注射剂160万单位注射剂400万单位注射剂800万单位22青霉素V片剂250mg*12片片剂250mg*20片片剂250mg*24片片剂250mg*30片片剂250mg*36片分散片250mg*12片胶囊250mg*24粒胶囊125mg*48粒颗粒剂125mg*12袋片剂60万单位*10片国家发展改革委定价药品目录(一)西药部分片剂100万单位*10片片剂236mg*12片片剂236mg*24片片剂236mg*15片片剂236mg*12片片剂236mg*24片片剂236mg*30片片剂472mg*9片片剂250mg*12片片剂250mg*24片片剂236mg*24片片剂236mg*36片片剂590mg*10片(100万单位)分散片250mg*24片33苄星青霉素注射剂120万单位44普鲁卡因青霉素注射剂80万单位注射剂40万单位55苯唑西林片剂250mg*30片胶囊250mg*20粒注射剂500mg注射剂2g66氯唑西林注射剂500mg注射剂1g胶囊250mg*12粒胶囊250mg*24粒77阿莫西林胶囊250mg*24胶囊125mg*10胶囊125mg*12胶囊125mg*20胶囊125mg*24胶囊125mg*48胶囊125mg*50胶囊250mg*10胶囊250mg*12胶囊250mg*20胶囊250mg*30胶囊250mg*36胶囊250mg*48胶囊250mg*50胶囊250mg*60胶囊500mg*10胶囊500mg*16胶囊500mg*20片剂125mg*6片剂125mg*10片剂125mg*12片剂125mg*20片剂125mg*24片剂250mg*10片剂250mg*12片剂250mg*20片剂250mg*24片剂250mg*30片剂250mg*36片剂250mg*48分散片125mg*10分散片125mg*12分散片125mg*24分散片250mg*10分散片250mg*12分散片250mg*18分散片250mg*24分散片500mg*10咀嚼片125mg*24片咀嚼片125mg*16片咀嚼片250mg*16片颗粒剂125mg*6袋颗粒剂125mg*12袋颗粒剂125mg*18袋颗粒剂125mg*15袋片剂125mg*12片片剂125mg*24片胶囊250mg*20粒胶囊250mg*30粒胶囊500mg*16粒胶囊250mg*24粒胶囊250mg*24粒胶囊500mg*12粒胶囊500mg*24粒颗粒125mg*12袋颗粒125mg*18袋干混悬剂125mg*10袋干混悬剂2500mg分散片125mg*10粒分散片250mg*10粒分散片500mg*10粒注射剂500mg注射剂1g注射剂2g注射剂1g注射剂500mg88氨苄西林胶囊250mg*24粒胶囊250mg*20粒胶囊250mg*10粒胶囊250mg*24粒胶囊250mg*12粒胶囊500mg*12粒胶囊500mg*24粒注射剂1g注射剂500mg注射剂1g(溶媒结晶粉)注射剂2g(溶媒结晶粉)99哌拉西林注射剂2g(冻干粉)注射剂500mg(冻干粉)注射剂1g(冻干粉)注射剂4g(冻干粉)注射剂2g(冻干粉)注射剂1g(冻干粉)注射剂3g(冻干粉)注射剂4g(冻干粉)哌拉西林注射剂2g,冻干粉(溶媒结晶粉)注射剂500mg,冻干粉(溶媒结晶注射剂1g,冻干粉(溶媒结晶粉)注射剂4g,冻干粉(溶媒结晶粉)1010阿洛西林注射剂1g(冻干粉)注射剂500mg(冻干粉)注射剂2g(冻干粉)注射剂1g注射剂2g注射剂3g1111磺苄西林1212美洛西林注射剂1g(冻干粉)注射剂1g(冻干粉)注射剂500mg(冻干粉)注射剂1.25g(冻干粉)注射剂1.5g(冻干粉)注射剂2g(冻干粉)注射剂2.5g(冻干粉)注射剂3g(冻干粉)注射剂4g(冻干粉)1313阿莫西林克拉维酸片剂阿莫西林250mg/克拉维酸钾片剂阿莫西林250mg/克拉维酸钾片剂阿莫西林250mg/克拉维酸钾片剂阿莫西林250mg/克拉维酸钾片剂阿莫西林250mg/克拉维酸钾片剂阿莫西林250mg/克拉维酸钾片剂阿莫西林250mg/克拉维酸钾片剂阿莫西林250mg/克拉维酸钾片剂阿莫西林250mg/克拉维酸钾片剂阿莫西林250mg/克拉维酸钾片剂阿莫西林400mg/克拉维酸钾片剂阿莫西林400mg/克拉维酸钾片剂阿莫西林400mg/克拉维酸钾片剂阿莫西林875mg/克拉维酸胶囊阿莫西林125mg/克拉维酸钾胶囊阿莫西林125mg/克拉维酸钾胶囊阿莫西林125mg/克拉维酸钾分散片阿莫西林125mg/克拉维酸钾分散片阿莫西林200mg/克拉维酸钾分散片阿莫西林200mg/克拉维酸钾分散片阿莫西林400mg/克拉维酸钾分散片阿莫西林400mg/克拉维酸钾咀嚼片125mg:62.5mg/6片片剂250mg/125mg*10片片剂500mg/125mg*7片混悬剂125mg/31.25mg:5ml,60ml混悬剂400mg/57mg:5ml,35ml片剂500mg/125mg*7片片剂250mg/125mg*10片注射剂0.6g(500mg/100mg)注射剂1.2g(1g/200mg)注射剂1.5g(1.25g/250mg)注射剂0.6g(500mg/100mg)注射剂1.2g(1g/200mg)1414阿莫西林舒巴坦注射剂1g/500mg(溶媒结晶)注射剂250mg/125mg(溶媒结晶)注射剂500mg/250mg(溶媒结晶)注射剂2g/1g(溶媒结晶)注射剂1g/500mg(溶媒结晶)注射剂500mg/250mg(溶媒结晶)1515氨苄西林舒巴坦氨苄西林钠舒巴坦钠优立新舒他西林甲磺酸盐优立新1616美洛西林舒巴坦1717哌拉西林舒巴坦1818哌拉西林他唑巴坦(别名“哌拉西林三唑巴坦”)注射剂1g/125mg(冻干粉)注射剂2g/250mg(冻干粉)注射剂4g/500mg(冻干粉)注射剂4g/500mg(冻干粉)*注射剂2g/250mg(冻干粉)1919舒巴坦2020替卡西林克拉维酸注射剂1.5g/0.1g注射剂3.0g/0.2g注射剂3.0g/0.2g2121头孢氨苄片剂、胶囊剂、颗粒剂泡腾片缓释片250mg*20片缓释胶囊250mg*12粒缓释胶囊250mg*24粒片剂250mg*30片剂125mg*24片剂125mg*30片剂125mg*100片剂250mg*10片剂250mg*12片剂250mg*20片剂250mg*24胶囊125mg*10胶囊125mg*20胶囊125mg*24胶囊125mg*40胶囊125mg*50胶囊250mg*24颗粒剂50mg颗粒剂125mg片剂250mg*10片,异形素片片剂500mg*10片,异形素片2222头孢拉定片剂、胶囊剂胶囊250mg*12粒胶囊250mg*10粒胶囊250mg*20粒胶囊250mg*24粒胶囊250mg*50粒片剂250mg*10片片剂250mg*24片片剂500mg*24片分散片250mg*24片颗粒剂125mg*10袋颗粒剂125mg*12袋干混悬剂125mg*10袋干混悬剂125mg*12袋注射剂1g注射剂500mg注射剂2g胶囊250mg*24粒胶囊250mg*12粒胶囊500mg*12粒注射剂1g(溶媒结晶)注射剂500mg(溶媒结晶)干混悬剂1.5g/60ml干混悬剂125mg*12袋胶囊250mg*24粒胶囊250mg*12粒胶囊250mg*20粒胶囊250mg*24粒颗粒剂250mg*9袋颗粒剂250mg*12袋注射剂750mg2323头孢羟氨苄片剂、胶囊剂、颗粒剂*胶囊125mg*12粒胶囊125mg*24粒胶囊150mg*12粒胶囊250mg*6粒胶囊250mg*10粒胶囊250mg*12粒胶囊250mg*20粒胶囊250mg*24粒胶囊500mg*6粒胶囊500mg*8粒片剂125mg*12片片剂250mg*10片片剂250mg*12片片剂250mg*20片片剂250mg*24片分散片250mg*12片颗粒剂125mg*6袋颗粒剂125mg*10袋颗粒剂125mg*12袋颗粒剂250mg*12袋片剂250mg*10片片剂250mg*12片片剂125mg*12片片剂125mg*12片片剂250mg*12片片剂250mg*10片2424头孢唑林钠注射剂注射剂1g注射剂500mg注射剂1g注射剂500mg2525头孢硫脒2626头孢呋辛片剂片剂250mg*6头孢呋辛片剂、胶囊剂、注射剂片剂125mg*6片剂125mg*12片剂125mg*24片剂250mg*12片剂500mg*6胶囊125mg*6胶囊125mg*12胶囊250mg*6胶囊250mg*12分散片125mg*6分散片125mg*12注射剂1.5g注射剂250mg注射剂500mg注射剂750mg注射剂1g注射剂1.25g注射剂1.75g注射剂2g注射剂2.25g伏乐新片剂0.25g*6片伏乐新片剂0.25g*12片达力新片剂0.25g*6片达力新片剂0.25g*12片西力欣片剂0.25g*12片头孢呋辛钠注射剂安可欣注射剂0.75g明可欣注射剂0.75g西力欣注射剂0.75g力复乐注射剂0.75g2727头孢丙烯片剂、胶囊剂片剂250mg*4片片剂250mg*6片胶囊剂125mg*6粒分散片250mg*6片分散片250mg*12片2828头孢克洛片剂、胶囊剂、颗粒剂*胶囊125mg*6粒胶囊250mg*3粒胶囊250mg*6粒胶囊250mg*9粒胶囊250mg*10粒胶囊250mg*12粒片剂250mg*6片片剂250mg*10片片剂250mg*12片颗粒剂125mg*6袋颗粒剂100mg*9袋颗粒剂125mg*9袋颗粒剂125mg*12袋干混悬剂125mg*6袋干混悬剂125mg*9袋干混悬剂250mg*6袋干混悬剂125mg*6袋干混悬剂25mg/ml,60ml混悬液25mg/ml,60ml缓释片375mg*6片缓释片375mg*4片缓释片375mg*6片缓释片375mg*8片缓释胶囊125mg*6粒缓释胶囊125mg*12粒泡腾片250mg*6片分散片125mg*6片分散片250mg*6片分散片250mg*12片胶囊250mg*6粒胶囊250mg*10粒干混悬剂125mg/5ml,30ml干混悬剂125mg/5ml,60ml胶囊250mg*12粒2929头孢美唑钠注射剂注射剂1g注射剂1g(冻干粉)注射剂2g(冻干粉)注射剂500mg注射剂2.0g3030头孢替安注射剂注射剂1g(溶媒结晶)注射剂1g(溶媒结晶)注射剂0.5g(溶媒结晶)注射剂500mg(溶媒结晶)注射剂2.0g(溶媒结晶)3131头孢西丁钠注射剂注射剂1g注射剂2g注射剂1g3232头孢地尼胶囊剂、颗粒剂胶囊100mg*6粒胶囊100mg*10粒颗粒剂50mg胶囊100mg*10粒颗粒剂50mg*9袋3333头孢克肟片剂、胶囊剂分散片100mg×6片咀嚼片100mg×6片咀嚼片50mg×6片胶囊200mg×6粒胶囊50mg*6粒胶囊50mg*10粒胶囊100mg*6粒胶囊100mg*10粒颗粒剂50mg*6袋颗粒剂50mg*6袋干混悬剂50mg*6袋胶囊50mg*6粒胶囊50mg*10粒胶囊100mg*6粒胶囊100mg*8粒胶囊100mg*10粒片剂50mg*6片片剂100mg*6片3434头孢噻肟注射剂 注射剂500mg注射剂1g注射剂2g注射剂1g注射剂1g注射剂500mg注射剂2g注射剂500mg注射剂1g3535头孢曲松钠(头孢三嗪)注射剂*注射剂0.25g含量增1倍价增75%豫发改价管[2004]1077号注射剂0.5g注射剂1g注射剂0.25g注射剂0.5g注射剂1g注射剂1g注射剂250mg注射剂500mg注射剂1.5g注射剂2g3636拉氧头孢钠注射剂注射剂1g(冻干粉)注射剂250mg(冻干粉)注射剂500mg(冻干粉)3737头孢米诺胶囊3