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["附件7"]
["需提供成本构成药品清单"]
["序号","招采药品代码","药品名称","产品来源名称","剂型名称","规格名称","生产企业名称","包装","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","最小包装挂网申报价格(元）"]
[1,"XS01AAN006G010020102697","那他霉素滴眼液","国产","滴眼液","5ml:250mg","华北制药股份有限公司","5ml:250mg×1支/盒",1,"聚酯药用滴眼剂瓶","支","国药准字H20083293","华北制药股份有限公司",798]
[2,"XA03AXJ096A022010184235","间苯三酚口崩片","国产","片剂","80mg(按C₆H₆O₃·2H₂O计)","浙江赛默制药有限公司","80mg(按C₆H₆O₃·2H₂O计)×10片/盒",10,"聚氯乙烯/聚偏二氯乙烯固体药用复合硬片与药用铝箔包装","片","国药准字H20253277","浙江沣华医药科技有限公司",179]
[3,"XB03AEF286K001010101464","复方肝浸膏糖浆","国产","糖浆剂","复方(200ml)","江苏普华克胜药业有限公司","复方(200ml)×1瓶/盒",1,"药用塑料瓶","瓶","国药准字H32026084","江苏普华克胜药业有限公司",298]
[4,"ZD01AAA0024010102950","阿胶生化膏","国产","膏滋剂","每瓶装200ml","山西天生制药有限责任公司","每瓶装200ml×1瓶/盒",1,"玻璃瓶","瓶","国药准字Z14021398","山西天生制药有限责任公司",358]
[5,"ZZ01AAC0571010103649","参芪温阳阴道膨胀栓","国产","阴道膨胀栓","每粒含药基质重2.3g","哈尔滨田美药业股份有限公司","每粒含药基质重2.3g×1粒/盒",1,"固体药用塑料栓壳包装","粒","国药准字B20020476","哈尔滨田美药业股份有限公司",158]