各市、县(市、区)劳动(人事劳动)保障局:
鉴于国家延迟调整基本医疗保险药品目录,为进一步完善我省基本医疗保险用药管理,合理保障参保人员的用药需求,根据我省基本医疗保险药品目录实施以来的实际情况,经省基本医疗保险乙类药品目录调整工作领导小组研究,并经省政府同意,决定适当补充我省基本医疗保险用药范围(品种见附件)。各统筹地区应按照本通知精神,切实做好实施工作。
本通知自2003年6月15日起执行。
附件:浙江省基本医疗保险补充用药范围
二00三年六月二日
〖HTH〗附件
〖JZ〗〖HT4H〗浙江省基本医疗保险补充用药范围〖HT〗
〖HJ4〗〖HT9.,8.5SS〗
〖BG(!〗〖BHDFG2,FK342F〗
一、西药部分
〖BHDG3,FK4,K5,K142,K7,K4F〗
分类〖〗〖〗〖ZB(〗〖BHDG12,K142〗药品名称〖BHDG12,K
7,K72〗中文名称〖〗英文名称〖ZB)〗〖〗剂〓〓型〖〗限制使用范围
〖BHDG12,FK342ZQF〗
1抗微生物药〖BH〗
〖KG2〗11抗生素类抗感染药〖BH〗
〓112头孢菌素及碳青酶烯类〖BH〗
〓〓〓*"乙类
〖BHG12,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗101129901〖〗头孢拉定〖〗Cefradine〖〗注射剂
〖BHDG12,FK342ZQF〗
4麻醉用药〖BH〗
〖KG2〗43镇痛药〖BH〗
〓〓〓*"乙类
〖BHG12,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗104309901〖〗安痛定〖〗Antondine〖〗注射剂〖BHG3〗
〖〗104309902〖〗安钠咖〖〗Caffeine and Sodium Benzoate〖〗注射剂、粉剂
〖BHDG12,FK342ZQF〗
5维生素及矿物质缺乏症用药〖BH〗
〓〓〓*"乙类
〖BHG3,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗1050009901〖〗复合维生素B〖〗Compound Vitamin B〖〗注射剂、片剂、溶液剂〖B
HG12〗
〖〗105009902〖〗呋喃硫胺〖〗Fursultiamine〖〗注射剂、片剂
〖BHDG12,FK342ZQF〗
9抗肿瘤药〖BH〗
〖KG2〗96其他〖BH〗
〓〓〓*"乙类
〖BHG3,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗109609901〖〗甲基斑蝥胺〖〗Methylcantharidi_mide〖〗片剂
〖BHDG12,FK342ZQF〗
10抗变态反应药〖BH〗
〓〓〓*"乙类
〖BHG3,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗110009901〖〗氯苯那敏(扑尔敏)〖〗Chlorphenamine〖〗注射剂
〖BHDG12,FK342ZQF〗
11神经系统用药〖BG)F〗〖LM〗
〖BG(!BTXDF〗
〖BHDFG3,FK4,K5,K142,K7,K4F〗
分类〖〗〖〗〖ZB(〗〖BHDG12,K142〗药品名称〖BHDG12,K
7,K72〗中文名称〖〗英文名称〖ZB)〗〖〗剂〓〓型〖〗限制使用范围
〖BHDG12,FK342ZQF〗
〖KG2〗117其他〖BH〗
〓〓〓*"乙类
〖BHG12,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗111709901〖〗加兰他敏〖〗Galanthamine〖〗注射剂
〖BHDG12,FK342ZQF〗
12治疗精神障碍用药〖BH〗
〖KG2〗122抗焦虑药〖BH〗
〓〓〓*"乙类
〖BHG12,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗112209901〖〗谷维素〖〗Oryzanol〖〗片剂
〖BHDG12,FK342ZQF〗
13呼吸系统用药〖BH〗
〖KG2〗132镇咳药〖BH〗
〓〓〓*"乙类
〖BHG4,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗113209901〖〗伤风止咳糖浆〖〗Compound Promethazine Hydrochloride Syrup〖〗糖
浆剂
〖BHDG12,FK342ZQF〗
14消化系统用药〖BH〗
〖KG2〗143胃肠解痉及胃动力药〖BH〗
〓1431胃肠解痉药〖BH〗
〓〓〓*"乙类
〖BHG3,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗114319901〖〗胃炎胶囊〖〗Compound Gentamycin Sulfate〖〗胶囊剂〖BHG12
〗
〖〗114319902〖〗颠茄〖〗Belladonna〖〗片剂
〖BHDG12,FK342ZQF〗
〖KG2〗145肝、胆病辅助药〖BH〗
〓〓〓*"乙类
〖BHG3,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗114509901〖〗曲匹布通(舒胆通)〖〗Trepibutone〖〗片剂〖BH〗
〖〗114509902〖〗西利丙胺(水飞蓟素)〖〗Silibinin〖〗片剂
〖BHDG13/5,FK342ZQF〗
15循环系统用药〖BH〗
〖KG2〗154抗高血压病药〖BH〗
〓1544其他〖BH〗
〓〓〓*"乙类
〖BHG3,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗11549901〖〗复方芦丁〖〗Compound Rutoside〖〗片剂〖BHG3〗
〖〗11549902〖〗复方罗布麻〖〗Compound Apocyne Venete〖〗片剂
〖BHDG12,FK342ZQF〗
〖KG2〗155抗休克血管活性药〖BH〗
〓〓〓*"乙类
〖BHG12,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗115509901〖〗去氧肾上腺素〖〗Phenylephrine〖〗〖JP2〗注射剂、滴眼剂〖
JP〗
〖BHDG12,FK342ZQF〗
〖KG2〗157其他〖BH〗
〓〓〓*"乙类
〖BHG3,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4F〗
〖〗115709901〖〗三磷酸腺苷(ATP)〖〗Adenosine Triphosphate〖〗片剂〖BHG12
〗
〖〗115709902〖〗辅酶A〖〗Coenzme A〖〗注射剂
〖BHDG12,FK342ZQF〗
16泌尿系统用药〖BH〗
〖KG2〗163其他〖BH〗
〓〓〓*"乙类
〖BHG3,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗116309901〖〗包醛氧淀粉〖〗Coated Aldehyole Oxystarch〖〗粉剂
〖BHDG12,FK342ZQF〗
17血液系统用药〖BH〗
〖KG2〗171止血药〖BH〗
〓〓〓*"乙类
〖BHG3,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗117109901〖〗酚磺乙胺(止血敏)〖〗Dicynone〖〗注射剂、片剂〖BHG12,F
K9,K7ZQ3,K72ZQ3,K7ZQ3,K4F〗
〖〗维生素K1〖〗Vitamin K1〖〗注射剂
〖BHDG12,FK342ZQF〗
〖KG2〗173血容量扩充剂〖BH〗
〓〓〓*"乙类
〖BHG3,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗117309901〖〗口服补液盐〖〗Oral Rehydration Salts〖〗散剂
〖BHDG12,FK342ZQF〗
〖KG2〗174抗贫血药〖BH〗
〓〓〓*"乙类
〖BHG12,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗117409901〖〗琥珀酸亚铁〖〗Ferrous Succinate〖〗片剂
〖BHDG12,FK342ZQF〗
〖KG2〗175升白细胞药〖BH〗
〓〓〓*"乙类
〖BHG12,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗117509901〖〗利血生〖〗Leucogen〖〗片剂〖BHG3〗
〖〗117509902〖〗盐酸小檗胺(升白胺)〖〗Berbamine Hydrochloride〖〗片剂〖BHG1
2〗
〖〗117509903〖〗肌苷〖〗Inosine〖〗片剂
〖BHDG12,FK342ZQF〗
19专科用药〖BH〗
〖KG2〗192眼科用药〖BH〗
〓1924其他〖BH〗
〓〓〓*"乙类
〖BHG3,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗119249901〖〗吡诺克辛(白内停、卡他林)〖〗Pirenoxine〖〗滴眼剂
〖BHDG12,FK342ZQF〗
〖KG2〗197其他〖BH〗
〓〓〓*"乙类
〖BHG12,FK4,K5,K7ZQ3,K72ZQ3,K7ZQ3,K4
F〗
〖〗119709901〖〗碘酊〖〗Iodine Tincture〖〗酊剂〖BHG3〗
〖〗119709902〖〗苯扎氯铵贴(创可贴)〖〗Benzhaluan〖〗贴剂〖BG)F〗〖HT〗〖
HJ〗〖LM〗
〖HT5”SS〗〖BG(!〗〖BHDFG14/9,FK322F〗
二、中成药部分〖BHDG14/9,FK7,K6,K192F〗
分〓〓类〖〗编〓〓号〖〗药〓品〓名〓称
〖BHDG14/9,FK322ZQF〗
1内科用药〖BH〗
11解表剂〖BHDG14/9,FK7,K6,K192ZQF〗
〖〗210100991〖〗复方益肝灵片〖BH〗
〖〗210100992〖〗珍菊降压片〖BH〗
〖〗210100993〖〗保肾康片〖BH〗
〖〗210100994〖〗肾康宁片〖BH〗
〖〗210100995〖〗克比奇胶囊〖BH〗
〖〗210100996〖〗通便灵胶囊
〖BHDG14/9,FK322ZQF〗
13清热剂
〖BHDG14/9,FK7,K6,K192ZQF〗
〖〗210300991〖〗垂盆草颗粒(冲剂)〖BH〗
〖〗210300992〖〗胆乐胶囊〖BH〗
〖〗210300993〖〗肠胃康颗粒(冲剂)〖BH〗
〖〗210300994〖〗复方鲜竹沥口服液〖BH〗
〖〗210300995〖〗胃灵颗粒(冲剂)〖BH〗
〖〗210300996〖〗金钱草颗粒(冲剂)
〖BHDG14/9,FK322ZQF〗
15化痰、止咳、平喘剂
〖BHDG14/9,FK7,K6,K192ZQF〗
〖〗〖〗半夏露口服液
〖BHDG14/9,FK322ZQF〗
16开窍剂
〖BHDG14/9,FK7,K6,K192ZQF〗
〖〗210600991〖〗藿香正气丸
〖BHDG14/9,FK322ZQF〗
18扶正剂
〖BHDG14/9,FK7,K6,K192ZQF〗
〖〗210800991〖〗肝血宝(叶绿酮酸钠)片(胶囊)〖BH〗
〖〗210800992〖〗黑归脾丸
〖BHDG14/9,FK322ZQF〗
2外科用药〖BH〗
21清热剂
〖BHDG14/9,FK7,K6,K192ZQF〗
〖〗220100991〖〗郁金银屑片〖BH〗
〖〗220100992〖〗足光粉
〖BHDG14/9,FK322ZQF〗
5耳鼻喉科用药〖BH〗
52鼻病
〖BHDG14/9,FK7,K6,K192ZQF〗
〖〗250200991〖〗鼻康片
〖BHDG14/9,FK322ZQF〗
53咽喉病
〖BHDG14/9,FK7,K6,K192ZQF〗
〖〗250300991〖〗复方草珊瑚含片〖BG〗F〗〖HT〗〖HJ〗〖LM〗