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1、附表一：部分抗肿肿瘤药品品最高零零售价格格表金额单位位：元序号定价目录录序号药品通用用名称剂 型规 格单 位最高零售售价格备注1358阿霉素注射剂10mgg瓶39.00*注射剂10mgg（冻干干粉）瓶41.00注射剂10mgg*5瓶瓶盒184注射剂10mgg:1mml支38.002359白消安片剂2mg*60片片瓶15.66*3360氮芥注射剂5mg:5mll*5支支盒26.33*注射剂25mgg:5mml*55支盒90.22注射剂5mg*5瓶盒31.00注射剂5mg:1mll支5.6注射剂5mg:1mll*5支支盒26.334361环磷酰胺胺注射剂200mmg瓶6.0*片剂50mgg*100
2、0片瓶30.00*5362卡铂注射剂100mmg:110mll支97.55*注射剂150mmg:115mll支133注射剂50mgg:100ml支57.44注射剂100mmg瓶40.11*注射剂100mmg（冻冻干粉）瓶42.11注射剂100mmg*55瓶盒1896363塞替派注射剂10mgg:1mml*55支盒28.11*注射剂10mgg:1mml支6.0注射剂10mgg:5mml支6.07364顺铂注射剂10mgg（冻干干粉）瓶19.11*注射剂20mgg（冻干干粉）瓶32.55注射剂10mgg:2mml瓶16.99*注射剂10mgg:2mml*110支盒155注射剂20mgg:1000m
3、ll瓶37.22注射剂20mgg:200ml*10瓶瓶盒265注射剂20mgg:200ml瓶28.88注射剂20mgg:200ml*5瓶盒136注射剂30mgg:6mml支39.22注射剂50mgg:500ml瓶74.88注射剂10mgg瓶6.5*注射剂20mgg瓶11.11注射剂20mgg*5瓶瓶盒52.118365丝裂霉素素注射剂10mgg瓶60.00*注射剂10mgg*100瓶盒552注射剂2mg*10瓶瓶盒161注射剂2mg（冻冻干粉）瓶18.11注射剂2mg（溶溶媒结晶晶粉）瓶18.11注射剂2mg*5瓶盒82.55注射剂20mgg瓶1029366司莫司汀汀胶囊50mgg*5粒粒瓶8
4、4.66*10367阿柔比星星注射剂20mgg瓶111*11368奥沙利铂铂注射剂100mmg瓶935*注射剂100mmg（冻冻干粉）瓶937注射剂40mgg:200ml瓶463注射剂50mgg瓶550注射剂50mgg（冻干干粉）瓶55112370吡柔比星星注射剂10mgg支170*13371表柔比星星注射剂10mgg瓶137*注射剂10mgg*100瓶盒12599注射剂10mgg（冻干干粉）瓶13914372氮甲片剂50mgg*1000片瓶36.44*15373福莫司汀汀注射剂208mmg瓶17355*16374卡莫司汀汀注射剂125mmg:22ml瓶159*注射剂125mmg瓶160173
5、75六甲蜜胺胺片剂50mgg*200片瓶188*肠溶片100mmg*112片盒215胶囊100mmg*224粒盒381片剂100mmg*112片瓶196片剂50mgg*1000片瓶887片剂50mgg*400片盒36718376洛莫司汀汀胶囊40mgg*4粒粒瓶33.55*胶囊40mgg*6粒粒瓶49.5519377尼莫司汀汀注射剂25mgg瓶387*20378柔红霉素素注射剂20mgg瓶41.77*注射剂20mgg*100瓶盒383注射剂20mgg*5瓶瓶盒19621379硝卡芥注射剂40mgg瓶86.11*注射剂20mgg瓶50.66注射剂20mgg（冻干干粉）瓶51.8822380异环磷
6、酰酰胺注射剂1g瓶179*注射剂1g*110瓶盒16488注射剂1g（冻冻干粉）瓶181注射剂500mmg瓶10523381阿糖胞苷苷注射剂50mgg:5mml支9.6*注射剂1g:110mll支95.11注射剂100mmg瓶18.00注射剂50mgg（冻干干粉）瓶12.66注射剂50mgg*100瓶盒97.44注射剂50mgg瓶10.66注射剂50mgg*5瓶瓶盒50.00注射剂50mgg*5瓶瓶（冻干干粉）盒59.44注射剂50mgg:5mml*55支盒45.33注射剂500mmg瓶61.8824382氟尿嘧啶啶注射剂250mmg:110mll*5支支盒10.55*注射剂250mmg:11
7、0mll*155支盒30.33注射剂500mmg:2250mml瓶13.00片剂50mgg*1000片瓶8.5*乳膏剂100mmg:44g（软软塑管）支1.4*植入剂100mmg（管管装）瓶770*植入剂100mmg（散散装）瓶494*25383甲氨蝶呤呤注射剂100mmg瓶32.00*注射剂1g瓶187注射剂100mmg*110瓶盒294注射剂100mmg（冻冻干粉）瓶34.00注射剂100mmg*55瓶盒151注射剂100mmg*55瓶（冻冻干粉）盒160注射剂100mmg:110mll*100支盒285注射剂5mg*10瓶瓶盒29.77注射剂5mg*10瓶瓶（冻干干粉）盒31.55注射剂
8、5mg瓶3.2注射剂5mg（冻冻干粉）瓶3.4注射剂5mg*5瓶（冻冻干粉）盒16.22注射剂500mmg:220mll支106注射剂500mmg:55ml支106片剂2.5mmg*1100片片瓶21.22*26384羟基脲片剂500mmg*1100片片瓶120*胶囊250mmg*224粒盒17.8827386吉西他滨滨注射剂200mmg瓶360注射剂200mmg（冻冻干粉）瓶362注射剂1g瓶13244*注射剂1g（冻冻干粉）瓶1326628388硫鸟嘌呤呤片剂25mgg*400片盒95.77*29389巯嘌呤片剂50mgg*1000片瓶57.22*30390脱氧氟尿尿苷胶囊200mmg*3
9、30粒瓶213*31391放线菌素素D注射剂200uug瓶23.00*注射剂200uug*110瓶盒211注射剂200uug（冻冻干粉）瓶25.0032392平阳霉素素注射剂8mg瓶62.88*33395拓扑替康康注射剂2mg瓶199*注射剂2mg（冻冻干粉）瓶201注射剂4mg瓶33934396长春新碱碱注射剂1mg*5瓶盒43.00*注射剂1mg*10瓶瓶盒83.99注射剂1mg瓶9.1注射剂1mg*5 瓶瓶（冻干干粉）盒52.4435397高三尖杉杉酯碱注射剂1mg:1mll支5.6*注射剂1mg:1mll*100支盒51.5536398羟喜树碱碱注射剂5mg:5mll支84.55*注射
10、剂10mgg瓶145注射剂10mgg:100ml支144注射剂10mgg:100ml*2支盒280注射剂10mgg:5mml支144注射剂2mg*10瓶瓶盒390注射剂2mg瓶42.44注射剂2mg（冻冻干粉)瓶43.44注射剂2mg:2mll支41.99注射剂2mg:2mll*5支支盒198注射剂5mg*10瓶瓶盒786注射剂5mg瓶85.55注射剂5mg（冻冻干粉）瓶87.55注射剂5mg:2mll支84.55注射剂5mg:2mll*5支支盒398注射剂5mg:2mll*6支支盒475注射剂8mg瓶12337399依托泊苷苷注射剂100mmg:55ml瓶23.00*注射剂100mmg瓶24
11、.00注射剂100mmg:55ml*5支盒108注射剂40mgg:2mml支11.44软胶囊50mgg*100粒盒308*软胶囊25mgg*200粒盒353胶囊50mgg*100粒盒277*胶囊25mgg*400粒盒620片剂50mgg*100片盒27738400长春地辛辛注射剂4mg瓶220*注射剂1mg瓶76.11注射剂1mg（冻冻干粉）瓶76.7739402长春瑞宾宾注射剂10mgg:1mml瓶270*注射剂10mgg瓶271注射剂10mgg（冻干干粉）瓶273注射剂10mgg:1mml*110支盒2479940403多西他赛赛注射剂20mgg:1mml瓶712*注射剂20mgg瓶713
12、注射剂20mgg:1mml*22支盒13888注射剂40mgg:2mml支1210041404三尖杉酯酯碱注射剂1mg:1mll*100支盒69.88*注射剂1mg:1mll支7.642405替尼泊苷苷注射剂50mgg:5mml瓶146*注射剂50mgg:5mml*55支盒68743406紫杉醇注射剂30mgg:5mml瓶555*注射剂100mmg:116.77ml瓶13955注射剂150mmg:225mll瓶19022注射剂20mgg瓶408注射剂30mgg瓶556注射剂30mgg:5mml*110支盒5101144407门冬酰胺胺酶（LL-门冬冬酰胺酶酶）注射剂1万单位位瓶187*4540
13、8氨鲁米特特片剂250mmg*1100片片瓶150*片剂125mmg*660片瓶53.9946409他莫昔芬芬片剂10mgg*600片瓶46.00*片剂10mgg*1000片瓶75.2247410阿那曲唑唑片剂1mg*14片片盒228*48413来曲唑片剂2.5mmg*110片盒191*片剂2.5mmg*11片盒20.8849414托瑞米芬芬片剂40mgg*144片瓶84.00*片剂60mgg*300片盒23950415依西美坦坦片剂25mgg*100片瓶204*片剂25mgg*144片盒281片剂25mgg*300片盒587片剂7.5mmg*110片盒81.0051417替加氟注射剂200m
14、mg:55ml支35.99*注射剂200mmg:22ml支35.99注射剂200mmg:55ml*5支盒169注射剂500mmg:110mll支72.44注射剂500mmg:1100mml瓶82.55片剂50mgg*1000片瓶24.77*52418安吖啶注射剂75mgg:1.5mll瓶182*53419达卡巴嗪嗪注射剂100mmg瓶156*注射剂100mmg*110瓶盒14377注射剂200mmg瓶26654421氟他胺片剂250mmg*220片瓶146*胶囊125mmg*220粒盒85.77片剂250mmg*112片瓶89.00片剂250mmg*550片瓶35255422甲异靛片剂25mg
15、g*500片瓶214*56423卡莫氟片剂50mgg*244片盒76.33*57424美司钠注射剂400mmg:44ml瓶17.11*注射剂400mmg:44ml*5支盒80.6658425米托蒽醌醌注射剂5mg*2瓶盒124*注射剂2mg:2mll支30.66注射剂5mg瓶63.77注射剂5mg（冻冻干粉）瓶65.77注射剂5mg*2瓶（冻冻干粉）盒128注射剂5mg:10mml支62.77注射剂5mg:5mll支62.77注射剂5mg:5mll*2支支盒12259426维A酸片剂10mgg*200片盒33.55*胶囊20mgg*200粒盒57.0060427维胺酯胶囊25mgg*244粒盒
16、29.00*胶囊25mgg*200粒盒24.3361428亚砷酸注射剂5mg:5mll支85.55*注射剂10mgg:100ml支14562429亚叶酸钙钙注射剂100mmg:110mll瓶81.22*注射剂100mmg:110mll*100支盒746注射剂100mmg:110mll*2支支盒158注射剂100mmg:110mll*5支支盒383注射剂100mmg:1100mml瓶86.22注射剂15mgg:2mml支19.00注射剂25mgg:100ml瓶28.11注射剂30mgg:100ml支32.33注射剂30mgg:3mml支32.33注射剂300mmg:330mll瓶188注射剂10
17、0mmg瓶43.55*注射剂100mmg（冻冻干粉）瓶45.55注射剂100mmg*33瓶（冻冻干粉）盒131注射剂200mmg瓶74.00注射剂25mgg瓶15.11注射剂25mgg（冻干干粉）瓶15.77注射剂3mg瓶3.0注射剂3mg（冻冻干粉）瓶3.1注射剂3mg*5瓶盒14.00注射剂3mg*5瓶（冻冻干粉）盒14.66注射剂30mgg瓶17.33注射剂300mmg瓶101注射剂5mg瓶4.4注射剂50mgg瓶25.66注射剂50mgg（冻干干粉）瓶26.88片剂15mgg*300片瓶125*片剂15mgg*1000片瓶397片剂15mgg*211片盒88.33片剂15mgg*500片瓶204片剂25mgg*300片瓶184注：1、表表中备注注栏内有有“*”的的为代表表品。 2、表中中备注栏栏内有“”的品品种，其其价格为为临时价价格。 3、表中中备注栏栏内有“”的规规格，暂暂不按照照差比价价规则执执行，其其价格为为临时价价格。23