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["附件"]
["2024年国谈药品（竞价药品）同通用名药品(第五批)医保支付标准"]
["序号","药品代码","注册名称","剂型","规格","最小包装数量","最小制剂单位","最小包装单位","药品企业","医保支付\n标准\n【元/（瓶、片、袋、支）】"]
[1,"XA02BCA349X006010184135","奥美拉唑碳酸氢钠干混悬剂(II)","口服混悬剂","每袋含奥美拉唑40mg与碳酸氢钠1680mg",14,"袋","盒","四川科伦药业股份有限公司（杭州沐源生物医药科技有限公司）",4.14]
[2,"XA02BCA349X006010284135","奥美拉唑碳酸氢钠干混悬剂(II)","口服混悬剂","每袋含奥美拉唑40mg与碳酸氢钠1680mg",7,"袋","盒","四川科伦药业股份有限公司（杭州沐源生物医药科技有限公司）",4.14]
[3,"XA04AAA202M002020183879","昂丹司琼口溶膜","口溶膜剂","4mg",10,"片","盒","江苏和晨药业有限公司",11.12]
[4,"XA04AAA202M002010183879","昂丹司琼口溶膜","口溶膜剂","8mg",10,"片","盒","江苏和晨药业有限公司",18.9]
[5,"XA06ADF336P001010305816","复方聚乙二醇(3350)电解质散","口服散剂","6.9g/袋",20,"袋","盒","海南赛立克药业有限公司",3.71]
[6,"XA10BDD366A010010183343","达格列净二甲双胍缓释片(I)","缓释片","每片含达格列净10mg(按C₂₁H₂₅ClO₆计)和盐酸二甲双胍1000mg",30,"片","瓶","以岭万洲国际制药有限公司（南京方生和医药科技有限公司）",3.54]
[7,"XC09CAM175A001010101467","美阿沙坦钾片","片剂","按美阿沙坦(C30H24N4O8)计40mg",14,"片","盒","江苏联环药业股份有限公司",2.1]
[8,"XC09CAM175A001020401467","美阿沙坦钾片","片剂","按美阿沙坦(C30H24N4O8)计80mg",14,"片","盒","江苏联环药业股份有限公司",3.57]
[9,"XC10BAR128A001010100177","瑞舒伐他汀依折麦布片(I)","薄膜衣片","每片含瑞舒伐他汀钙10mg(按C₂₂H₂₈FN₃O₆S计)与依折麦布10mg",20,"片","盒","北京福元医药股份有限公司",2.17]
[10,"XJ01DIT192B001010100507","注射用头孢比罗酯钠","注射剂-冻干粉针剂","500mg(按C₂₀H₂₂N₈O₆S₂计)",1,"瓶","瓶","海南海灵化学制药有限公司（深圳华润九新药业有限公司）",160]
[11,"XL01EGX009U001010104778","西罗莫司凝胶","外用凝胶剂","0.2%(10g:20mg)",1,"支","盒","福建科瑞药业有限公司",1768]
[12,"XA04AAA202M002010102180","昂丹司琼口溶膜","口溶膜剂","4mg",10,"片","盒","四川科伦药业股份有限公司",11.12]
[13,"XA04AAA202M002020102180","昂丹司琼口溶膜","口溶膜剂","8mg",10,"片","盒","四川科伦药业股份有限公司",18.9]
[14,"XA10BDX252A010010105847","西格列汀二甲双胍缓释片","缓释片","每片含磷酸西格列汀50mg(按C₁₆H₁₅F₆N₅O计)和盐酸二甲双胍500mg",60,"片","盒","齐鲁制药（海南）有限公司",3.14]
[15,"XA10BDX252A010010282990","西格列汀二甲双胍缓释片","片剂","每片含磷酸西格列汀50mg(以C₁₆H₁₅F₆N₅O计)和盐酸二甲双胍500mg",28,"片","瓶","广州誉东健康制药有限公司",3.45]
[16,"XJ01DDT188B001010102013","注射用头孢他啶阿维巴坦钠","注射剂-普通粉针剂","2.5g(C₂₂H₂₂N₆O₇S₂2.0g与C₇H₁₁N₃O₆S0.5g)",1,"瓶","瓶","成都倍特药业股份有限公司",333]
[17,"XB05BBF735B002010283033","复方电解质醋酸钠葡萄糖注射液","注射剂-大容量注射液(软袋)","250ml",1,"袋","袋","河北仁合益康药业有限公司（仁合益康集团有限公司）",30.7]
[18,"XB05BBF735B002020183033","复方电解质醋酸钠葡萄糖注射液","注射剂-大容量注射液(软袋)","500ml",1,"袋","袋","河北仁合益康药业有限公司（仁合益康集团有限公司）",52.19]
["注：1.1-13为国谈药品，14-18为竞价药品。\n    2.药品企业为生产企业（投标企业）。"]