医疗项目编码医疗项目名称规格剂型结算项目名称首先自付比例110191004蛇胆川贝液10ml*6支口服液中成药0100406024山地明注射剂缓释控释西药0110491036舒血宁注射液5ml颗粒剂中成药22100406015新赛斯平50mg*50口服液软胶囊(胶西药0100406009丽珠环明25mgx48粒丸)口服常释西药0100406006新塞斯平25MG*50剂型缓释控释西药0110491032银杏达莫针5ml颗粒剂口服常释中成药22100406004田可0
05g*50粒剂型口服常释西药0100406003天可50mgX50片剂型缓释控释西药0110491024银杏达莫10ml*/支颗粒剂中成药22100045073舒普深1
5g注射剂缓释控释西药22110491028银杏达莫注射液10ml颗粒剂中成药22100045032罗欣注射剂缓释控释西药22110491029银杏叶片19
2mg*24片GMP颗粒剂口服常释中成药22100410001麦考酚钠0
25gx40片/盒剂型口服常释西药22100409002顺友剂型口服常释西药22100380007太罗4mgx15片剂型口服常释西药22100380002罗格列酮4mg*7剂型西药22100368008万苏林400单位*10ml注射剂口服常释西药22100393001固邦10MG*6#剂型口服常释西药22100400003法能0
25ug*20盒剂型西药22100039033司力捷100mg颗粒剂西药22100039039头孢克肟50mgx6包/盒颗粒剂西药22100041003舒配3g注射剂西药0100041009治菌必妥2
0g注射剂西药0100041015头孢噻肟1
0g*10支注射剂西药0备生产企业适应症范围注通用名:蛇胆川贝液;甲类药品通用名:环孢素;甲类药品◊;限二级及以上医疗机构并有明确的缺血性心脑血