部分药品补充规格最高临时零售价格表序号剂型规格单位1精氨酸注射剂瓶15.72精氨酸注射剂5g:20ml3.73精氨酸注射剂5g支4.64精氨酸注射剂10g支7.85注射剂瓶1566注射剂10g瓶1547注射剂瓶2678注射剂20g瓶2659注射剂瓶14.510注射剂瓶37.211注射剂瓶38.312注射剂瓶62.513注射剂瓶77.414注射剂瓶4915注射剂瓶17.316注射剂瓶84.7附表1:药品通用名称最高零售价格10g:250ml支丙氨酰谷氨酰胺10g(冻干粉、溶酶结晶)丙氨酰谷氨酰胺丙氨酰谷氨酰胺20g(冻干粉、溶酶结晶)丙氨酰谷氨酰胺复方氨基酸18(18AA-II)12.5g:250ml(5%)复方氨基酸18(18AA-II)25g:500ml(5%)复方氨基酸18(18AA-II)28.5g:250ml(11.4%)复方氨基酸18(18AA-II)42.5g:500ml(8.5%)复方氨基酸18(18AA-II)57g:500ml(11.4%)复方氨基酸18F(18AA-III)51.8g:500ml(10.36%)复方肝病用氨基酸17.25g:250ml(6.9%)脂肪乳[长链]100g:500ml(20%)17注射剂盒8.818戈那瑞林注射剂支17.219戈那瑞林注射剂支14.220戈那瑞林注射剂200μg支25.821戈那瑞林注射剂支29.222戈那瑞林注射剂25ug支5.323戈那瑞林注射剂支5.924戈那瑞林注射剂3200μg支21625戈那瑞林注射剂支24426戈那瑞林注射剂500μg支52.127戈那瑞林注射剂支58.928戈那瑞林注射剂支48.629戈那瑞林注射剂50μg支8.930戈那瑞林注射剂支10.131戈那瑞林注射剂800μg支74.632戈那瑞林注射剂支84.433注射剂瓶32234注射剂瓶44035注射剂瓶15236注射剂瓶19037地塞米松滴眼剂支2.638地塞米松片剂0.75mg*10盒(瓶)0.639地塞米松片剂0.75mg*20盒(瓶)1.140地塞米松软膏剂支2.3垂体后叶素3单位:0.5ml*10100μg(冻干粉)100μg:1ml200μg(冻干粉)25ug(冻干粉)3200μg(冻干粉)500μg(冻干粉)500μg:1ml50μg(冻干粉)800μg(冻干粉)重组人生长激素16单位(冻干粉)重组人生长激素24单位(冻干粉)重组人生长激素6单位(冻干粉)重组人生长激素8单位(冻干粉)1.25mg:5ml(硬塑管)15mg:20g(塑料管)41地塞米松软膏剂支0.942地塞米松软膏剂支0.643地塞米松软膏剂支0.744地塞米松软膏剂支0.545地塞米松注射剂支0.246地塞米松注射剂2mg:1ml支0.2847地塞米松注射剂5mg:1ml支0.6148地塞米松注射剂盒3.349地塞米松注射剂盒19.450地塞米松注射剂瓶1.951地塞米松注射剂瓶3.352地塞米松注射剂5mg支1.653地塞米松注射剂支3.654地塞米松注射剂瓶6.155地塞米松注射剂瓶10.456泼尼松片剂5mg*10盒(瓶)0.657泼尼松注射剂支3.958滴眼剂支0.759片剂5mg*100盒(瓶)7.360注射剂支3.561注射剂盒4.962注射剂支4.363倍他米松软膏剂支7.364倍他米松注射剂10mg瓶(支)1.665倍他米松注射剂20mg瓶(支)2.82.5mg:5g(金属管)2.5mg:5g(塑料管)2mg:4g(金属管)2mg:4g(塑料管)1mg:1ml2.5mg:0.5ml*1025mg:5ml*101mg(冻干粉)2mg(冻干粉)5mg(冻干粉)10mg(冻干粉)20mg(冻干粉)125mg:5ml氢化可的松15mg:3ml(软塑管)氢化可的松氢化可的松125mg:5ml氢化可的松10mg:2ml*10氢化可的松50mg(冻干粉)15mg:15g(塑料管)66倍他米松注射剂支1.567倍他米松注射剂瓶(支)2.6568倍他米松注射剂瓶(支)4.569甲泼尼龙片剂4mg*12盒(瓶)1470甲泼尼龙片剂4mg*30盒(瓶)33.971甲泼尼龙注射剂瓶4472甲泼尼龙注射剂瓶74.873甲泼尼龙注射剂瓶12774可的松片剂5mg*100盒(瓶)3.575可的松注射剂支2.276泼尼松龙片剂5mg*48盒(瓶)4.577注射剂盒7.178丙酸睾酮注射剂盒4.779丙酸睾酮注射剂盒1580甲睾酮注射剂盒4.381达那唑胶囊200mg*10盒(瓶)25.982达那唑10mg*120盒(瓶)57.383胶囊40mg*16盒(瓶)34.184司坦唑醇片剂2mg*24盒(瓶)5.285己烯雌酚片剂1mg*10盒(瓶)0.486己烯雌酚片剂1mg*20盒(瓶)0.987己烯雌酚软膏剂支2.388己烯雌酚注射剂0.5mg:1ml支0.289己烯雌酚注射剂盒1.590注射剂盒6.891注射剂5mg:1ml支1.592氯米芬胶囊50mg*10盒(瓶)6.293氯米芬片剂50mg*10盒(瓶)65.26mg:1ml2.63mg(冻干粉)5.26mg(冻干粉)125mg(冻干粉)250mg(冻干粉)500mg(冻干粉)125mg:5ml苯丙酸诺龙10mg:1ml*1010mg:1ml*1050mg:1ml*1010g:20ml*5软胶囊(胶丸)十一酸睾酮10g:10mg(0.1%)0.5mg...