1、第 1 頁，共 7 頁佛佛山山市市中中醫醫院院自自制制藥藥物物制制劑劑價價格格表表編編號號藥藥 品品 名名 稱稱規規 格格包包 裝裝 規規 格格單單位位 核核定定成成本本( (元元) ) 零零售售價價格格( (元元) )備備 注注001保泰丸8g9袋盒19.8020.79002復方三七丸4g6瓶盒17.1618.02003骨寶丸6g9袋盒11.4812.05004黃芪鱉甲丸7.5g18袋盒63.4366.60005活血理前丸10g9袋盒18.2319.14006脊痹丸3g6袋包4.775.01007筋絡舒丸10g9袋盒12.2012.81008內異丸10g6袋盒43.6145.79009強直性

2、脊椎炎丸7.5g18袋盒83.5687.74010清化導前丸10g9袋盒20.2321.24011祛濕通痹丸10g9袋盒73.0676.71012生脈培元丸7.5g6袋盒14.5315.26013益氣舒心丸10g9袋包47.7350.12014活絡通痹丸7.5g6袋包39.7841.77015透痹丸7.5g18袋盒97.38102.25016消補安前丸10g9袋盒18.0318.93017消瘤丸10g6袋盒25.2926.55018養血止崩丸10g6袋盒9.039.48019補氣養陰丸10g6袋盒7.307.67020復方當歸首烏片100片瓶9.8010.29021寒痛靈片100片瓶9.551

3、0.03022活力片100片瓶10.8111.35023解毒祛瘀片100片瓶79.4183.38024解毒祛瘀片36片瓶29.3230.79025去傷片27片盒9.8410.33026去傷片36片盒12.9313.58027去傷片45片盒16.0216.82028去傷片63片盒22.2923.40 佛佛山山市市中中醫醫院院自自制制藥藥物物制制劑劑價價格格表表編編號號藥藥 品品 名名 稱稱規規 格格包包 裝裝 規規 格格單單位位 核核定定成成本本( (元元) ) 零零售售價價格格( (元元) )備備 注注第 2 頁，共 7 頁029熱痹通片100片瓶8.969.41030生骨片27片盒3.793

4、.98031生骨片36片盒4.865.10032生骨片45片盒5.936.23033生骨片63片盒8.178.58034新肌片54片瓶19.1020.06035胃舒腸安片36片盒10.1910.70036白及膠囊0.4g36粒瓶9.6210.10037大黃膠囊0.4g36粒瓶4.064.26038化石膠囊0.35g30粒瓶10.2010.71039平喘膠囊0.3g27粒瓶8.579.00040祛瘀通關膠囊0.35g30粒瓶6.126.43041蜈蚣膠囊0.35g30粒瓶28.0529.45042逐寒通痹膠囊0.4g50粒瓶8.619.04043鼻敏靈顆粒10g9袋包40.3642.38044補

5、氣降脂顆粒9g9袋包30.5132.04045中風醒神散8g6袋包69.3672.83046導濁排毒顆粒10g9袋包44.5946.82047滌痰化濁顆粒10g9袋包36.8038.64048兒補腎祛疳顆粒10g9袋包20.8321.87049扶正解毒顆粒10g9袋包31.1632.72050復方白茅根顆粒5g9袋盒29.8531.34051護肝退黃顆粒10g9袋包35.1236.88052化瘀尿石消顆粒10g9袋包29.6631.14053黃芪防已顆粒10g9袋盒45.5447.82054活絡祛風顆粒10g9袋包79.5383.51055急盆顆粒10g9袋包37.9639.86056急咽顆粒

6、5g9袋盒67.5070.88 佛佛山山市市中中醫醫院院自自制制藥藥物物制制劑劑價價格格表表編編號號藥藥 品品 名名 稱稱規規 格格包包 裝裝 規規 格格單單位位 核核定定成成本本( (元元) ) 零零售售價價格格( (元元) )備備 注注057加味二仙顆粒7.5g9袋盒45.3147.58058健脾消積顆粒7.5g6袋包13.1013.76059九節茶顆粒10g12袋盒13.3514.02第 3 頁，共 7 頁060利腰顆粒7.5g9袋盒32.0833.68061涼血逐瘀顆粒10g9袋包59.5562.53062慢盆消炎顆粒10g9袋盒43.4945.66063慢咽顆粒7.5g9袋包55.4

7、258.19064芪苓固本培元顆粒10g9袋包42.6444.77065清熱毒顆粒10g9袋包32.4934.11066清熱祛風顆粒10g9袋包40.2842.29067清熱消痤顆粒10g9袋包39.3641.33068痰消顆粒10g9袋包36.5838.41069祛痰通痹顆粒10g9袋包80.0484.04070祛瘀熄風顆粒10g9袋包60.2063.21071柔陰通痹顆粒10g9袋包70.2973.80072山楂和胃顆粒9g9袋包11.2711.83073腎維寧顆粒10g12袋包24.8226.06074疏肝清熱消積顆粒10g9袋包92.7997.43075通便瀉結顆粒9g9袋包19.18

8、20.14076利尿通淋顆粒3g12袋包26.8228.16077通淋尿石消顆粒10g9袋包30.1831.69078通陽活血顆粒10g9袋包73.5677.24079平肝通絡顆粒10g9袋包48.9651.41080消癖理氣顆粒10g9袋包36.8038.64081消癖散結顆粒10g9袋包29.6531.13082新傷去瘀顆粒4g12袋盒36.4838.30083行濕顆粒10g9袋盒32.0533.65084胸傷顆粒5g9袋盒50.3452.86 佛佛山山市市中中醫醫院院自自制制藥藥物物制制劑劑價價格格表表編編號號藥藥 品品 名名 稱稱規規 格格包包 裝裝 規規 格格單單位位 核核定定成成本

9、本( (元元) ) 零零售售價價格格( (元元) )備備 注注085亞急性咽炎顆粒10g9袋包56.2259.03086腰腿和傷顆粒10g9袋盒49.1451.60087六味止咳顆粒10g9袋包19.7520.74088滋陰消痤顆粒10g9袋包23.8325.02089皮膚洗外用顆粒8g6袋盒5.225.48090舒筋洗外用顆粒6g6袋盒12.2412.85第 4 頁，共 7 頁091通絡洗外用顆粒10g6袋盒15.0515.80092溫經洗外用顆粒10g6袋盒16.0016.80093兒血寶口服液10ml6支盒10.9011.45094復方降糖玉液10ml6支盒7.617.99095三七化瘀

10、口服液10ml6支盒12.1712.78096三七化瘀口服液20ml6支盒20.9021.95097復元飲10ml6支盒9.9110.41098復元飲20ml6支盒16.4017.22099骨寶口服液10ml6支盒11.9912.59100體能口服液120ml6瓶盒76.8280.66101草骨散80g貼6.306.62102痤瘡散30g袋2.492.61103干擦散30g袋1.221.28104活血散80g袋15.8016.59105活血散120g袋23.6324.81106活血散40g袋8.088.48107金黃散80g袋6.126.43108金黃散120g袋9.109.56109金黃散4

11、0g袋3.223.38110摩腰散80g袋6.406.72111傷柏散80g袋7.207.56112傷柏散120g袋10.7211.26 佛佛山山市市中中醫醫院院自自制制藥藥物物制制劑劑價價格格表表編編號號藥藥 品品 名名 稱稱規規 格格包包 裝裝 規規 格格單單位位 核核定定成成本本( (元元) ) 零零售售價價格格( (元元) )備備 注注113生骨散80g袋8.458.87114生骨散120g袋12.6113.24115渭良傷科散120g袋8.789.22116玉龍散80g袋9.399.86117玉龍散120g袋14.0014.70118玉龍散40g袋4.875.11119增白散30g袋

12、3.884.07120腫一散30g袋3.093.24121癌理通膏75g件9.429.89第 5 頁，共 7 頁122癌理通膏150g件18.5819.51123拔膿膏60g瓶4.905.15124白藥膏100g件5.005.25125白藥膏200g件9.6710.15126白藥膏100g瓶5.045.29127白藥膏200g瓶9.7210.21128駁骨紗102040盒41.1943.25129九華膏40g支4.815.05130李廣海跌打祛風膏10片盒4.384.60131李廣海祛風跌打膏藥12g貼1.831.92132梅四膏20g支2.742.88133清香止痛霜40g支4.744.98

13、134傷柏膏75g件6.246.55135傷柏膏150g件12.2012.81136傷柏膏75g瓶6.336.65137傷柏膏150g瓶12.2912.90138傷科黃油紗102040盒33.1134.77139傷科黃油膏500g盒50.2652.77140傷科黃油膏40g支5.675.95 佛佛山山市市中中醫醫院院自自制制藥藥物物制制劑劑價價格格表表編編號號藥藥 品品 名名 稱稱規規 格格包包 裝裝 規規 格格單單位位 核核定定成成本本( (元元) ) 零零售售價價格格( (元元) )備備 注注141生骨膏75g件7.257.61142生骨膏150g件14.1614.87143生骨膏75g瓶

14、7.317.68144生骨膏150g瓶14.2614.97145陽和膏10g貼1.942.04146陽和膏5g貼1.021.07147膚外洗藥100ml/瓶3瓶盒22.8523.99148復方黃水200ml瓶3.003.15149急盆灌腸液70ml 瓶7.587.96150慢盆灌腸液70ml 瓶9.8710.36151清通腸液100ml 瓶9.059.50152傷科黃水200ml瓶5.105.36第 6 頁，共 7 頁153傷科黃水500ml瓶10.8111.35154舒痛液100ml瓶7.617.99155舒痛液500ml瓶31.4633.03156復方止癢洗劑500ml瓶6.006.301

15、57痔科洗劑200ml瓶13.9714.67158八虎通痹擦劑100ml瓶4.194.40159駁骨丹酒200ml瓶6.076.37160駁骨丹酒2500ml瓶65.8469.13161補骨脂酊100ml瓶4.785.02162復方紅花搽劑250ml瓶6.606.93163李廣海跌打酒200ml瓶8.368.78164李廣海跌打酒2500ml瓶79.0082.95165毛發再生精100ml瓶9.8910.38166陳渭良傷科油30ml瓶11.8612.45167陳渭良傷科油500ml瓶161.87169.96168天炙方250g包160.04168.04 佛佛山山市市中中醫醫院院自自制制藥藥物

16、物制制劑劑價價格格表表編編號號藥藥 品品 名名 稱稱規規 格格包包 裝裝 規規 格格單單位位 核核定定成成本本( (元元) ) 零零售售價價格格( (元元) )備備 注注169紫草油紗10204塊包3.493.66170紫草油100ml瓶14.3815.10171傷科散9133包13.5914.27172金黃散9133包14.2114.92173傷柏膏9133包14.2414.95174活血散9133包15.2716.03175摩腰散9133包11.7812.37176生骨膏9133包11.1611.72177玉龍散9133包13.0513.70178白藥膏9133包10.5011.03179

17、硫酸鎂溶液33%500ml瓶5.305.57180硫酸鎂溶液50%500ml瓶6.166.47181碘化鉀溶液500ml瓶29.2330.69182復方碘口服溶液500ml瓶40.8342.87183復方硼砂溶液120ml瓶1.861.95第 7 頁，共 7 頁184復方硼砂溶液500ml瓶5.135.39185含氯石灰硼酸溶液500ml瓶3.543.72186硼酸溶液500ml:15g500ml瓶3.914.11187依沙吖啶溶液500ml瓶3.733.92188顛茄合劑500ml瓶5.145.40189氯化銨合劑500ml瓶6.076.37190含酚爐甘石洗劑200ml瓶4.184.39191硼酸滴耳液10ml瓶0.710.75192鹽酸丁卡因滴眼液100ml:100mg100ml瓶7.658.03193鹽酸丁卡因滴眼液100ml:200mg100ml瓶11.4312.00194復方甲硝唑霜30g瓶3.753.94195復方甲硝唑霜散裝kg52.5255.15196硫軟膏5%30g瓶2.913.06 佛佛山山市市中