青海省基本医疗保险和工伤保险药品目录乙类药品调整品种表(西药部分)序号 增删分类药品名称剂型支付范围限定中文名称英文名称1增1.1.1.3阿莫西林Amoxicillin颗粒剂2增1.1.1.3阿莫西林Amoxicillin注射剂3增1.1.1.3阿莫西林克拉维酸钾Amoxicillin and Clavulanate Potassium颗粒剂限产酶菌或怀疑产酶菌引起的重度感染4增1.1.1.3氨苄西林氯唑西林Ampicillin and Cloxacillin 注射剂5增1.1.1.3美洛西林舒巴坦Mezlocillin and Sulbactam 注射剂限产酶菌或怀疑产酶菌引起的重度感染6增1.1.2.1.2头孢拉定舒巴坦Cefradine and Sulbactam注射剂限产酶菌或怀疑产酶菌引起的重度感染7增1.1.2.1.2头孢唑林舒巴坦Cefrazolin and Sulbactam注射剂限产酶菌或怀疑产酶菌引起的重度感染8增1.1.2.1.2头孢替唑Ceftezole注射剂9增1.1.2.1.2头孢硫脒Cephathiamidine注射剂10增1.1.2.3.1头孢地尼Cefdinir颗粒剂限序贯治疗11增1.1.2.4头孢匹胺Cefpiramide注射剂限耐药菌引起的重度感染12增1.1.6胍甲环素Guamecycilne口服常释剂型13增1.1.7罗红霉素Roxithromycin颗粒剂14增1.1.7克拉霉素Clarithromycin口服常释剂型15增1.2.2吡哌酸Pipermidic Acid 颗粒剂16增1.2.2诺氟沙星Norfloxacinand 注射剂17增1.2.2氟罗沙星Fleroxacin口服常释剂型18增1.2.3甲硝唑磷酸二钠Metronidazole and Disodium Phosphate 注射剂19增1.3.1对氨基水杨酸异烟肼Isoniazid Aminosalicylate 口服常释剂型20增1.3.1利福定Rifandine 口服常释剂型21增1.3.1利福霉素Rifamycin 注射剂22增1.4.1.2伊曲康唑Itraconazole口服液体剂23增1.5.1金刚乙胺Rimantadine 口服常释剂型24增1.5.1吗啉胍Moroxydini口服常释剂型25增1.6新鱼腥草素钠Sodium New Houttuyfonate注射剂26增2.5甲硝唑Metronidazole缓释控释剂型27增3.1阿司匹林Aspirin 口服散剂28增3.1醋氯芬酸Aceclofenac口服常释剂型29增3.1双氯芬酸Diclofenac软膏剂30增3.1双氯芬酸利多卡因Diclofenac and lidocaine注射剂31增3.1复方双氯芬酸Compound Diclofenac注射剂32增3.1双氯芬酸二乙胺Diclofenac Diethylamine凝胶剂33增3.1酮洛芬Ketoprofen 凝胶剂34增3.1复方川芎吲哚美辛吡罗昔康Compound Rhizome Indometacin and Piroxicam口服常释剂型35增3.1蜂毒Apistoxin注射剂36增3.2复方别嘌醇Compound Allopurinol 口服常释剂型37增4高乌甲素Lappaconitine 注射剂38增4瑞芬太尼Remifentanil注射剂39增4羟考酮O...