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["附件3"]
["未如实申报同价格形成方式全国最低价药品清单"]
["序号","招采药品代码","药品名称","产品来源名称","规格名称","生产企业名称","转换比","包装材质名称","最小使用单位名称","批准文号","申报企业名称","第一省份材料附件","第二省份材料附件","第三省份材料附件","最小包装挂网申报价格（元）","全国最低价挂网包装价（元）","全国最低价挂网价来源省份"]
[1,"XD07XCF215C001010103891","复方醋酸氟轻松酊","国产","50ml/瓶(每1ml含醋酸氟轻松0.4mg,水杨酸50mg,冰片20mg)","内蒙古大唐药业股份有限公司",1,"药用塑料瓶装","瓶","国药准字H15021088","内蒙古大唐药业股份有限公司","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/00/rBIBUGiMeJ6AKdtnAA0mLpCJlrU118.pdf","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/00/rBIBUGiMeLWAIaQPAA2l_xY2Dzo521.pdf","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/00/rBIBUGiMeKuARyizAA0gnhDhsCY026.pdf",58,31.3,"吉林省"]
[2,"XB03AAP085A001011001928","葡萄糖酸亚铁片","国产","0.1g","湖北龙辅药业有限公司",80,"药品PTP铝箔PVC硬片泡罩包装","片","国药准字H20055822","湖北龙辅药业有限公司","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9C/E9/rBIBUGiMXNqAa7q-AAMJ9jZzSto799.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9C/EA/rBIBUGiMXOeAVflKAAVhy3RrmCM869.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9C/EA/rBIBUGiMXOyAIETuAAQFd_QR_AQ623.jpg",160,134.68,"上海市"]
[3,"XV04CWB226Y002010200178","丙型肝炎病毒抗体诊断试剂盒(酶联免疫法)","国产","96人份/盒","北京万泰生物药业股份有限公司",96,"纸盒","人份","国药准字S20130002","北京万泰生物药业股份有限公司","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9E/1D/rBIBUGiS2quAHXCFAARzPWstiTg062.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9E/1D/rBIBUGiS2r-ATPj6AAV2rUmnnpM238.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9E/1D/rBIBUGiS2smAXcPcAANzpghZ0nc190.jpg",412,165,"黑龙江省、重庆市"]
[4,"XD01AEE027S001050101495","二硫化硒洗剂","国产","230g(2.5%(g/g))","江苏迪赛诺制药有限公司",1,"塑料瓶","瓶","国药准字H10800003","江苏希尔生药业有限公司","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/B9/rBIBUGiRcPOAUHV4AANEMauU190851.pdf","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/B9/rBIBUGiRclmAE5gkAAMXvFA5tBc659.pdf","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/BA/rBIBUGiRcoKAcYoQAALyM92vBhI379.pdf",40.44,37.76,"安徽省"]
[5,"XV04CWR083Y003010178656","人类免疫缺陷病毒抗体抗原联合诊断试剂盒(酶联免疫法)","进口","480人份/盒","DiaSorin Italia S.p.A. UK Branch",1,"纸盒","盒","国药准字SJ20150002","中国医药对外贸易有限公司","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9E/36/rBIBUGiTD_iALjRCAAJK9JrPRsg577.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9E/37/rBIBUGiTEEOAe3enAAIDLWqbIBo599.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9E/37/rBIBUGiTEJOAKeNBAAMaEN9lAeQ478.jpg",5856,3840,"安徽省"]
[6,"ZA12BAX0110010203425","香丹注射液","国产","每支装10ml","吉林省集安益盛药业股份有限公司",1,"低硼硅玻璃安瓿","支","国药准字Z22022558","吉林省集安益盛药业股份有限公司","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9C/BA/rBIBUGiME_qAKM0SABBai7PqKxw603.pdf","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9C/BA/rBIBUGiMFEmAOXTwAA0HwvjB5VA978.pdf","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9C/BB/rBIBUGiMFN2ATRx5AArqWe4BGvU626.pdf",17.8,2.48,"安徽省"]
[7,"ZA04BAQ0397010203425","清开灵注射液","国产","10ml","吉林省集安益盛药业股份有限公司",1,"低硼硅玻璃安瓿","支","国药准字Z22026130","吉林省集安益盛药业股份有限公司","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9C/BD/rBIBUGiMFwOAOOZgAApYoKNqtRg362.pdf","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9C/BD/rBIBUGiMF4qAVXTSABISJmBtLCc612.pdf","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9C/BD/rBIBUGiMF6mAM7ltABaKT0mczIc984.pdf",12.85,1.18,"四川省、西藏自治区"]
[8,"ZA12BAN0016010103418","脑得生胶囊","国产","每粒装0.45g","吉林省华威药业有限公司",36,"铝塑包装","粒","国药准字Z20043279","吉林省华威药业有限公司","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9C/F0/rBIBUGiMZYmADXCWAAFzx3PQJCs512.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9C/F0/rBIBUGiMZbGALlhUAAFxmnNwyhY204.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9C/F0/rBIBUGiMZiqAWW4QAAF0ohIs43c957.jpg",59.85,58.97,"黑龙江省、江苏省、浙江省、江西省、湖北省"]
[9,"ZA12HAK0106020103623","抗栓胶囊","国产","每粒装0.3g","哈尔滨大洋制药股份有限公司",48,"铝塑包装","粒","国药准字Z20063266","哈尔滨大洋制药股份有限公司","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/1A/rBIBUGiNVCmAPoYSAD90cQzOWco778.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/1A/rBIBUGiNVFCACgJwADpD3KOPYYI832.pdf","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/1A/rBIBUGiNVHuASlOaAElsUN20rhc024.pdf",88.3,46.5,"安徽省、四川省、西藏自治区、新疆维吾尔自治区"]
[10,"ZA04AAH0304010404336","黄连上清片","国产","基片重0.3g","广西十万山制药有限公司",36,"聚氯乙烯固体药用硬片和药品包装用铝箔","片","国药准字Z34021007","广西十万山制药有限公司","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/21/rBIBUGiNnEOARiB5AAIJvIKvkn8731.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/21/rBIBUGiNnHmAfr_AAAGXEUJiYqM936.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/21/rBIBUGiNnJqAIKY4AAHHPZqC3Ps005.jpg",15.12,12.52,"辽宁省、江西省"]
[11,"ZA04BAK0055010304284","抗病毒口服液","国产","每1ml相当于饮片0.43g(每支装10ml)","安徽东盛友邦制药有限公司",12,"口服液玻璃瓶装","支","国药准字Z34020823","安徽东盛友邦制药有限公司","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/41/rBIBUGiQG8qAAed6AAFKlMfu7Q0623.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/41/rBIBUGiQG-iAWcZhAAEjITxVTiY731.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/41/rBIBUGiQHAKAE0FCAAC8AzjgAuk084.jpg",14.44,14.42,"浙江省"]
[12,"ZA04BAQ0443010103066","清热解毒口服液","国产","每支装10ml","上海六合堂生物科技项城制药有限公司",10,"管制口服液瓶","支","国药准字Z41021434","上海六合堂生物科技项城制药有限公司","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/70/rBIBUGiQXfeAM3HDAAK7YzS6lFY483.jpg","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/70/rBIBUGiQXmeAB-AdACpvwl_8sV8264.pdf","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/70/rBIBUGiQXpiAWx93AAf1fIGWSic900.jpg",48.8,35,"浙江省"]
[13,"ZD04AAG0218010100265","宫瘤清片","国产","每片重0.4g","广东百澳药业有限公司",36,"塑料瓶装","片","国药准字Z20050250","广东百澳药业","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/DB/rBIBUGiRrcqAV5y7ADSQ-prRTqM233.pdf","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/DB/rBIBUGiRrmqAYwYNABgzpWSn2pI549.pdf","https://tps.ybj.hunan.gov.cn/tps-local/XMHXgroupYPCZ/M00/9D/DB/rBIBUGiRrp6ABlKbAA9XBO0_jOw644.pdf",28.37,28.08,"辽宁省"]