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["附表1. 参比制剂（原研药）、创新药符合挂网条件药品情况表"]
["序号","药品统一编码","药品名称","剂型","规格","包装","包装材质","生产企业","申报企业","报价\n（元/瓶/盒）"]
[1,"XH02CAA411A001010184815","磷酸奥唑司他片","片剂(薄膜衣片)","1mg(按C₁₃H₁₀FN₃计)","1mg(按C₁₃H₁₀FN₃计)×60片/盒","聚酰胺/铝/聚氯乙烯冷冲压成型固体药用复合硬片及药用铝箔","Penn Pharmaceutical Services Limited","华润广东医药有限公司",8008]
[2,"XN04BDS304A001010185375","甲磺酸沙非胺片","片剂","50mg(按C₁₇H₁₉FN₂O₂计)","50mg(按C₁₇H₁₉FN₂O₂计)×30片/盒","聚氯乙烯/聚偏二氯乙烯固体药用复合硬片/泡罩箔包装","Zambon S.p.A.","海南海邦药业有限公司",1468]
[3,"XR05CBE005E001010179461","厄多司坦胶囊","胶囊剂","0.3g","0.3g×20粒/盒","PVC/PVDC/铝箔泡罩板","FAMAR ITALIA S.p.A.","广药(珠海横琴)医药进出口有限公司",239.88]
[4,"XV08ABD114B002030278307","碘美普尔注射液","注射液","500ml:175g(I)","500ml:175g(I)×1瓶/盒","玻璃瓶","Patheon Italia S.p.A.","上海博莱科信谊药业有限责任公司",1364.93]
[5,"XL01EBZ115A001010183861","盐酸佐利替尼片","片剂","100mg(按C₂₂H₂₃ClFN₅O₃计)","100mg(按C₂₂H₂₃ClFN₅O₃计)×28片/瓶","本品采用口服固体药用高密度聚乙烯瓶、口服固体药用聚丙烯/低密度聚乙烯儿童安全防潮组合瓶盖包装,内含口服固体药用高密度聚乙烯干燥剂罐。","江苏晨泰医药科技有限公司","江苏晨泰医药科技有限公司",4890]
[6,"XL01EBZ115A001020183861","盐酸佐利替尼片","片剂","50mg(按C₂₂H₂₃ClFN₅O₃计)","50mg(按C₂₂H₂₃ClFN₅O₃计)×28片/瓶","本品采用口服固体药用高密度聚乙烯瓶、口服固体药用聚丙烯/低密度聚乙烯儿童安全防潮组合瓶盖包装,内含口服固体药用高密度聚乙烯干燥剂罐。","江苏晨泰医药科技有限公司","江苏晨泰医药科技有限公司",2876]
[7,"XL01EEL437A001010183029","芦沃美替尼片","片剂(薄膜衣片)","4mg","4mg×30片/盒","口服固体药用高密度聚乙烯瓶和口服固体药用高密度聚乙烯防潮组合盖","凯莱英生命科学技术(天津)有限公司","上海复星医药产业发展有限公司",34500]
[8,"XL01EEL437A001020183029","芦沃美替尼片","片剂(薄膜衣片)","1mg","1mg×30片/盒","口服固体药用高密度聚乙烯瓶和口服固体药用高密度聚乙烯防潮组合盖","凯莱英生命科学技术(天津)有限公司","上海复星医药产业发展有限公司",11937.72]
[9,"XN05CJL438A001020179086","莱博雷生片","片剂","5mg","5mg×28片/盒","聚氯乙烯固体药用硬片和药用铝箔。","EISAI MANUFACTURING LIMITED","上药控股有限公司",498]
[10,"XR06AEX017X004010278928","盐酸西替利嗪滴剂","滴剂","10mg/ml(10ml)","10mg/ml(10ml)×1瓶/盒","玻璃瓶装","AESICA PHARMACEUTICALS S.r.l.","科园信海（北京）医疗用品贸易有限公司",39.98]
[11,"XJ05APA421A001010180955","艾考磷布韦片","薄膜衣片","0.3g","0.3g×28片/盒","聚氯乙烯固体药用硬片和药用铝箔包装","宜昌东阳光长江药业股份有限公司","宜昌东阳光长江药业股份有限公司",2000]
[12,"XJ05APN134E001010106988","磷酸萘坦司韦胶囊","胶囊剂","0.1g(按C₅₁H₅₈N₈O₇计)","0.1g(按C₅₁H₅₈N₈O₇计)×28粒/盒","聚酰胺/铝/聚氯乙烯冷冲压成型固体药用复合硬片、药用铝箔","宜昌东阳光长江药业股份有限公司","广东东阳光药业股份有限公司",2000]
[13,"XL01EFF758E001010201190","枸橼酸伏维西利胶囊","胶囊剂","25mg(以C₂₉H₄₀N₈OS计)","25mg(以C₂₉H₄₀N₈OS计)×21粒/盒","口服固体药用高密度聚乙烯热封垫片瓶包装,内置固体药用高密度聚乙烯非织造布(泰维克)袋装干燥剂。","锦州奥鸿药业有限责任公司","锦州奥鸿药业有限责任公司",2022.64]
[14,"XL01EFF758E001020201190","枸橼酸伏维西利胶囊","胶囊剂","100mg(以C₂₉H₄₀N₈OS计)","100mg(以C₂₉H₄₀N₈OS计)×21粒/盒","口服固体药用高密度聚乙烯热封垫片瓶包装,内置固体药用高密度聚乙烯非织造布(泰维克)袋装干燥剂。","锦州奥鸿药业有限责任公司","锦州奥鸿药业有限责任公司",5845.44]
[15,"XL01EFL439A001010185437","盐酸来罗西利片","片剂","50mg(按C₂₆H₃₄N₈O计)","50mg(按C₂₆H₃₄N₈O计)×42片/盒","带防儿童开启密封盖的高密度聚乙烯(HDPE)瓶包装","Quotient Sciences - Philadelphia, LLC","苏州亿腾药品销售有限公司",2500]
[16,"XL01EXG199A001010283134","枸橼酸戈来雷塞片","片剂","200mg(按C₃₁H₂₆ClF₄N₇O₂计)","200mg(按C₃₁H₂₆ClF₄N₇O₂计)×40片/盒","聚酰胺/铝/聚氯乙烯冷冲压成型固体药用复合硬片和药用铝箔的泡罩包装","凯莱英生命科学技术(天津)有限公司","上海艾力斯医药科技股份有限公司",12900]
[17,"XL02BBD378E002010184539","氘恩扎鲁胺软胶囊","胶囊剂","40mg","40mg×28粒/盒","聚三氟氯乙烯/聚氯乙烯固体药用复合硬片和药用铝箔制成的泡罩包装;外套聚酯/铝/聚乙烯药用复合袋。","人福普克药业(武汉)有限公司","海创药业股份有限公司",6500]