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[]
["附件1："]
["门诊大病药品目录"]
["序号","通用名","分类","剂型","自付比例","备注","门诊大病 标志"]
[1,"腹膜透析液","乙类","注射液",0,null,"尿毒症"]
[2,"重组人红细胞生成素","乙类","注射剂",{"v":0.3,"d":"30%"},"限肾性贫血","尿毒症"]
[3,"环孢素","甲类","口服常释剂型、口服液体剂、注射剂",0,"限器官移植、再生障碍性贫血","器官移植后、再生障碍性贫血"]
[4,"吗替麦考酚酯","乙类","口服常释剂型",{"v":0.1,"d":"10%"},"限器官移植","器官移植后"]
[5,"咪唑立宾","乙类","口服常释剂型",{"v":0.1,"d":"10%"},"限器官移植","器官移植后"]
[6,"他克莫司","乙类","口服常释剂型",{"v":0.1,"d":"10%"},"限器官移植","器官移植后"]
[7,"西罗莫司","乙类","口服常释剂型口服液体剂",{"v":0.1,"d":"10%"},"限器官移植","器官移植后"]
[8,"阿霉素","甲类","注射剂",0,null,"恶性肿瘤"]
[9,"白消安","甲类","口服常释剂型",0,null,"恶性肿瘤"]
[10,"白消安","乙类","注射剂",{"v":0.1,"d":"10%"},"限二线用药","恶性肿瘤"]
[11,"丙卡巴肼","甲类","口服常释剂型",0,null,"恶性肿瘤"]
[12,"氮芥","甲类","注射剂",0,null,"恶性肿瘤"]
[13,"环磷酰胺","甲类","口服常释剂型、注射剂",0,null,"恶性肿瘤"]
[14,"卡铂","甲类","注射剂",0,null,"恶性肿瘤"]
[15,"柔红霉素","甲类","注射剂",0,null,"恶性肿瘤"]
[16,"塞替派","甲类","注射剂",0,null,"恶性肿瘤"]
[17,"顺铂","甲类","注射剂",0,null,"恶性肿瘤"]
[18,"丝裂霉素","甲类","注射剂",0,null,"恶性肿瘤"]
[19,"司莫司汀","甲类","口服常释剂型",0,null,"恶性肿瘤"]
[20,"阿柔比星","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[21,"奥沙利铂","乙类","注射剂",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[22,"苯丁酸氮芥","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[23,"吡柔比星","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[24,"表柔比星","乙类","注射剂",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[25,"福莫司汀","乙类","注射剂",{"v":0.3,"d":"30%"},"限二线用药","恶性肿瘤"]
[26,"甲异靛","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[27,"美司钠","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[28,"卡莫司汀","乙类","注射剂",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[29,"六甲蜜胺","乙类","口服常释剂型",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[30,"洛莫司汀","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[31,"美法仑","乙类","口服常释剂型、注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[32,"奈达铂","乙类","注射剂",{"v":0.1,"d":"10%"},"限二线用药","恶性肿瘤"]
[33,"尼莫司汀","乙类","注射剂",{"v":0.1,"d":"10%"},"限二线用药","恶性肿瘤"]
[34,"硝卡芥","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[35,"异环磷酰胺","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[36,"伊达比星","乙类","注射剂",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[37,"阿糖胞苷","甲类","注射剂",0,null,"恶性肿瘤"]
[38,"氟尿嘧啶","甲类","口服常释剂型、注射剂",0,null,"恶性肿瘤"]
[39,"甲氨蝶呤","甲类","口服常释剂型、注射剂",0,null,"恶性肿瘤"]
[40,"羟基脲","甲类","口服常释剂型",0,null,"恶性肿瘤"]
[41,"替加氟","甲类","口服常释剂型",0,null,"恶性肿瘤"]
[42,"替加氟","乙类","注射剂、栓剂",{"v":0.1,"d":"10%"}]
[43,"达卡巴嗪","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[44,"氟达拉滨","乙类","注射剂",{"v":0.3,"d":"30%"},"限三级综合、肿瘤专科医院二线用药","恶性肿瘤"]
[45,"卡莫氟","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[46,"吉西他滨","乙类","注射剂",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[47,"卡培他滨","乙类","口服常释剂型",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[48,"米托蒽醌","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[49,"巯嘌呤","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[50,"脱氧核苷酸","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[51,"复方氟脲嘧啶","乙类","口服常释剂型、注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[52,"氟脲苷","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[53,"尿嘧啶替加氟","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[54,"去氧氟尿苷（脱氧氟尿苷）","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[55,"放线菌素D","甲类","注射剂",0,null,"恶性肿瘤"]
[56,"平阳霉素","甲类","注射剂",0,null,"恶性肿瘤"]
[57,"羟喜树碱","甲类","注射剂",0,null,"恶性肿瘤"]
[58,"拓扑替康","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[59,"伊立替康","乙类","注射剂",{"v":0.1,"d":"10%"},"限三级综合、肿瘤专科医院二线用药","恶性肿瘤"]
[60,"长春新碱","甲类","注射剂",0,null,"恶性肿瘤"]
[61,"高三尖杉酯碱","甲类","注射剂",0,null,"恶性肿瘤"]
[62,"依托泊苷","甲类","注射剂",0,null,"恶性肿瘤"]
[63,"长春地辛","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[64,"长春碱","乙类","注射剂",{"v":0.1,"d":"10%"},"限二线用药","恶性肿瘤"]
[65,"长春瑞滨","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[66,"多西他赛","乙类","注射剂",{"v":0.3,"d":"30%"},"限二线用药","恶性肿瘤"]
[67,"三尖杉酯碱","乙类","注射剂",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[68,"替尼泊苷","乙类","注射剂",{"v":0.3,"d":"30%"},"限二线用药","恶性肿瘤"]
[69,"依托泊苷","乙类","口服常释剂型",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[70,"紫杉醇","乙类","注射剂",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[71,"紫杉醇脂质体","乙类","注射剂",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[72,"门冬酰胺酶(L-门冬酰胺酶)","甲类","注射剂",0,null,"恶性肿瘤"]
[73,"氟他胺","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[74,"他莫昔芬","甲类","口服常释剂型",{"v":0,"d":"0%"},null,"恶性肿瘤"]
[75,"托瑞米芬","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[76,"氨鲁米特","甲类","口服常释剂型",0,null,"恶性肿瘤"]
[77,"阿那曲唑","乙类","口服常释剂型",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[78,"比卡鲁胺","乙类","口服常释剂型",{"v":0.3,"d":"30%"},null,"恶性肿瘤"]
[79,"来曲唑","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[80,"依西美坦","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[81,"维A酸","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[82,"维胺酯","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[83,"亚砷酸","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[84,"亚叶酸钙","乙类","口服常释剂型、注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[85,"去甲斑蝥素","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[86,"斑蝥酸钠","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[87,"甲基斑蝥胺","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[88,"莪术油","乙类","注射剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[89,"芬太尼","乙类","贴剂",{"v":0.1,"d":"10%"},"限癌症疼痛口服和注射镇痛失败者","恶性肿瘤"]
[90,"吗啡","乙类","缓释控释剂型",0,null,"恶性肿瘤"]
[91,"罗通定","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[92,"曲马多","乙类","口服常释剂型",0,null,"恶性肿瘤"]
[93,"曲马多","乙类","缓释控释剂型、口服液体剂",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[94,"〔重组〕人粒细胞集落刺激因子","乙类","注射剂",{"v":0.3,"d":"30%"},"限放化疗后的骨髓抑制","恶性肿瘤"]
[95,"〔重组〕人粒细胞巨噬细胞集落刺激因子","乙类","注射剂",{"v":0.3,"d":"30%"},"限放化疗后的骨髓抑制","恶性肿瘤"]
[96,"甲氧氯普胺","甲类","口服常释剂型、注射剂",0,null,"恶性肿瘤"]
[97,"昂丹司琼","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[98,"昂丹司琼","乙类","注射剂",{"v":0.1,"d":"10%"},"限二线用药","恶性肿瘤"]
[99,"格拉司琼","乙类","口服常释剂型",{"v":0.1,"d":"10%"},null,"恶性肿瘤"]
[100,"格拉司琼","乙类","注射剂",{"v":0.1,"d":"10%"},"限二线用药","恶性肿瘤"]
[101,"冻干人凝血因子Ⅷ","甲类","注射剂",0,null,"血友病"]
[102,"雷公藤多苷","甲类","口服常释剂型",0]
[103,"硫唑嘌呤","甲类","口服常释剂型",0]
[104,"地塞米松","甲类","口服常释剂型、注射剂",0]
[105,"泼尼松","甲类","口服常释剂型",0]
[106,"氢化可的松","甲类","口服常释剂型、注射剂",0]
[107,"泼尼松龙","乙类","口服常释剂型、注射剂",0]
[108,"倍他米松","乙类","口服常释剂型",0]
[109,"丙酸睾酮","甲类","注射剂",0]
[110,"苯丙酸诺龙","甲类","注射剂",0]
[111,"甲睾酮","甲类","口服常释剂型",0]
[112,"达那唑","乙类","口服常释剂型",0]
[113,"普拉睾酮","乙类","注射剂",{"v":0.1,"d":"10%"}]
[114,"十一酸睾酮","乙类","口服常释剂型、注射剂",{"v":0.1,"d":"10%"}]
[115,"司坦唑醇","乙类","口服常释剂型",{"v":0.1,"d":"10%"}]
[116,"替勃龙","乙类","口服常释剂型",{"v":0.1,"d":"10%"}]
[117,"硫酸亚铁","甲类","口服常释剂型、缓释控释剂型",0]
[118,"右旋糖酐铁","甲类","注射剂",0]
[119,"富马酸亚铁","乙类","口服常释剂型",0]
[120,"富马酸亚铁","乙类","咀嚼片剂",{"v":0.1,"d":"10%"}]
[121,"琥珀酸亚铁","乙类","口服常释剂型",0]
[122,"葡萄糖酸亚铁","乙类","口服常释剂型",0]
[123,"山梨醇铁","乙类","注射剂",{"v":0.1,"d":"10%"}]
[124,"蔗糖铁","乙类","注射剂",{"v":0.1,"d":"10%"}]
[125,"多糖铁复合物","乙类","口服常释剂型",{"v":0.1,"d":"10%"}]
[126,"维生素B12","甲类","注射剂",0]
[127,"叶酸","甲类","口服常释剂型",0]
[128,"叶酸","乙类","注射剂",{"v":0.1,"d":"10%"}]
[129,"肌苷","甲类","注射剂",0]
[130,"肌苷","乙类","口服常释剂型",0]
[131,"氨肽素","乙类","口服常释剂型",{"v":0.1,"d":"10%"}]
[132,"利可君（利血生）","乙类","口服常释剂型",0]
[133,"鲨肝醇","乙类","口服常释剂型",0]
[134,"维生素B4","乙类","口服常释剂型",0]
[135,"小檗胺","乙类","口服常释剂型",{"v":0.1,"d":"10%"}]
[136,"氨甲苯酸","甲类","口服常释剂型",0]
[137,"氨甲环酸","甲类","注射剂",0]
[138,"亚硫酸氢钠甲萘醌","甲类","注射剂",0]
[139,"甲萘氢醌","甲类","口服常释剂型",0]
[140,"凝血酶","甲类","外用冻干粉",0]
[141,"维生素K1","甲类","注射剂",0]
[142,"鱼精蛋白","甲类","注射剂",0]
[143,"氨甲苯酸","乙类","注射剂",{"v":0.1,"d":"10%"}]
[144,"氨甲环酸","乙类","口服常释剂型",{"v":0.1,"d":"10%"}]
[145,"氨基己酸","乙类","口服常释剂型、注射剂",0]
[146,"卡巴克洛","乙类","口服常释剂型、注射剂",0]
[147,"酚磺乙胺","乙类","注射剂",0]
[148,"维生素K1","乙类","口服常释剂型",{"v":0.1,"d":"10%"}]
[149,"巴曲酶（血凝酶）","乙类","注射剂",0]

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