| A | B | C | D | E | F | |
|---|---|---|---|---|---|---|
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5 | BẢNG GIÁ THUỐC, VẬT TƯ Y TẾ | |||||
6 | ||||||
7 | STT | Mã Dược | Tên thuốc/Vật tư | Giá dịch vụ | Giá BHYT | Chênh lệch |
8 | 1 | 5mT | 5-MTHF, 500mcg | 15.300 | ||
9 | 2 | AgT2 | A.T Glutathione, 600mg/8ml | 135.000 | ||
10 | 3 | AniT | A.T Nitroglycerin inj, 5mg/5ml | 57.000 | ||
11 | 4 | KeAT | A.T ZinC ( 30 ống / hộp ), 10mg/5ml, 10mg /5ml | 155.000 | ||
12 | 5 | aceT1 | Acemuc Kids, 100mg | 2.000 | ||
13 | 6 | AAT | Acetazolamid, 250mg | 1.400 | 1.000 | (400) |
14 | 7 | AclT | Aclasta, 5mg, 100ml | 7.100.000 | ||
15 | 8 | AlcT3 | Acne-Aid Liquid Cleanser (Sữa rửa mặt), 100ml | 144.000 | ||
16 | 9 | AabT | Acne Aid Soap Bar(Xà phòng bánh), 100g | 78.000 | ||
17 | 10 | AcnT4 | Acnequidt, 20ml | 47.000 | ||
18 | 11 | AcnT2 | Acnotin, 10mg | 10.500 | ||
19 | 12 | acrT | Acrason, 10g | 22.500 | ||
20 | 13 | AcuT | Acupan, 20mg, 2ml | 43.000 | 33.000 | (10.000) |
21 | 14 | AS4T | Acyclovir, 400mg | 2.900 | ||
22 | 15 | AcyT | Acyclovir, 250mg | 378.000 | ||
23 | 16 | AS8T | Acyclovir Stella, 800mg | 6.000 | ||
24 | 17 | AdaT3 | Adacel, 0.5 ml | 670.000 | ||
25 | 18 | AdrT | Adrenaline, 1mg/1ml | 6.500 | 1.226 | (5.274) |
26 | 19 | AerT | Aerius, 5mg | 10.500 | 9.520 | (980) |
27 | 20 | AST | Aerius Siro, 60ml | 84.000 | 78.900 | (5.100) |
28 | 21 | AdT | Agofollin depot, 5mg/1ml, Hộp | 90.000 | ||
29 | 22 | alaT | Alaxan, 325mg/200 mg | 1.400 | ||
30 | 23 | AlbT3 | Albuglucan, 500mg | 28.400 | ||
31 | 24 | AlcT1 | Alcain, 0.5%, 15ml | 42.000 | ||
32 | 25 | aleT | Alegysal 0.1%, 5ml | 82.000 | 76.760 | (5.240) |
33 | 26 | ApT1 | Allopurinol, 300mg | 1.200 | ||
34 | 27 | AloT1 | Aloxi, 0.25mg, 5ml, Lọ | 1.680.000 | ||
35 | 28 | alpT | Alpha chymotrypsin 5000 (Lọ), 5000 IU, 2ml, | 8.000 | ||
36 | 29 | ACT1 | Alphachymotrypsin Choay, 21 microkatal | 2.400 | ||
37 | 30 | AvT1 | Ameflu Daytime viên, 500mg | 1.300 | ||
38 | 31 | AisT | Amikacin injection, 500mg/100ml | 55.000 | ||
39 | 32 | a2T4 | Aminoplasma 5%, 250ml | 77.000 | ||
40 | 33 | A5T | Aminoplasma 5%, 500ml | 132.000 | ||
41 | 34 | AmiT3 | Amitriptyline, 25mg | 500 | ||
42 | 35 | AgT1 | Amiyu granules, 2.5g | 24.000 | ||
43 | 36 | AmlT | Amlor, 5mg | 9.000 | 7.593 | (1.407) |
44 | 37 | AmpT | Ampicilin, 1g | 7.000 | ||
45 | 38 | AnaT3 | Anaferon, 20 viên | 106.000 | ||
46 | 39 | AnaT | Anaropin, 2mg/ml(0,2%), 20ml/ống, | 70.000 | ||
47 | 40 | AngT | Anginovag, 10ml | 112.000 | ||
48 | 41 | AnzT | Anzatax, 100mg/16.7ml, Lọ | 4.120.000 | ||
49 | 42 | AnzT2 | Anzatax, 30mg/5ml | 1.323.000 | ||
50 | 43 | arcT1 | Arcalion, 200mg | 3.700 | ||
51 | 44 | arcT3 | Arcoxia, 90 mg | 16.800 | 15.645 | (1.155) |
52 | 45 | arcT | Arcoxia, 60mg | 15.500 | 14.222 | (1.278) |
53 | 46 | AET | Aricept Evess, 5mg | 70.000 | ||
54 | 47 | ArtT1 | Arterakine, Vỉ | 160.000 | ||
55 | 48 | A5T2 | Arthrys 5 - 0.5ml, 5mg/ml, Hộp 0.5ml, | 2.900.000 | ||
56 | 49 | A5T3 | Arthrys 5 - 2ml, 5mg/ml, Hộp 2ml, | 6.380.000 | ||
57 | 50 | ArtT | Artrodar, 50mg | 13.300 | ||
58 | 51 | AsbT | Asbunyl, 60ml | 74.000 | ||
59 | 52 | AET1 | Aspilets EC, 80mg | 700 | ||
60 | 53 | A1T1 | Aspirin 100mg, 100mg | 1.500 | ||
61 | 54 | AtiT1 | Atihepam, 500mg | 5.620 | ||
62 | 55 | AtiT | AtiLeucine, 500 mg/5 ml | 10.500 | 9.500 | (1.000) |
63 | 56 | AcT4 | Atopiclair cream, 40ml, 40ml, | 254.000 | ||
64 | 57 | atrT1 | Atropin, 0.25mg | 500 | 438 | (62) |
65 | 58 | AtrT | Atropin ống, 0.25mg/1ml | 3.000 | 438 | (2.562) |
66 | 59 | FPST | AT Sodium Phosphates(Fleet Phospho Soda), 45 mL | 48.000 | ||
67 | 60 | AtuT | Atussin, 50mg | 1.200 | ||
68 | 61 | AST1 | Atussin Siro, 60ml | 24.000 | ||
69 | 62 | AugT1 | Augbactam, 1g/200mg | 36.000 | ||
70 | 63 | ATT | Augmentin, 1g | 22.300 | ||
71 | 64 | augT | Augmentin, 625mg | 13.500 | ||
72 | 65 | AS2T1 | Augmentin, 250mg | 12.000 | 10.670 | (1.330) |
73 | 66 | AS5T | Augmentin, 500mg | 17.300 | ||
74 | 67 | AlT | Avamys, 27.5mcg (60 liều xịt) | 182.000 | 173.191 | (8.809) |
75 | 68 | AvT | Avelox viên, 400mg | 61.800 | 52.500 | (9.300) |
76 | 69 | AvoT | Avodart, 0.5mg | 20.000 | 17.257 | (2.743) |
77 | 70 | AxuT | Axuka, 1000mg/200mg | 47.000 | 39.000 | (8.000) |
78 | 71 | AzaT | Azarga, 5ml | 326.000 | 310.800 | (15.200) |
79 | 72 | AzoT | Azopt, 1% | 130.000 | 116.700 | (13.300) |
80 | 73 | BabT | Baberin, . | 5.000 | ||
81 | 74 | BsT4 | Baby Septol, 240 mg/5 ml, 60 ml, | 38.000 | ||
82 | 75 | Bh4T | Bảo hiểm 4, 100mg,500mg | 2.000 | ||
83 | 76 | BarT1 | Barole, 20mg | 3.600 | ||
84 | 77 | BasT4 | Basultam, 2g | 200.000 | ||
85 | 78 | BvbT | Bencozyme( vitamin B), 2ML, Ống | 17.000 | ||
86 | 79 | bepT | Bepanthene Balm, 30g | 63.000 | ||
87 | 80 | beqT | Bequantene, 100mg | 1.900 | ||
88 | 81 | berT1 | Berodual, 20ml | 112.000 | 96.870 | (15.130) |
89 | 82 | BNT | Betaderm Neomycin, 10g | 16.000 | ||
90 | 83 | BcT4 | Betadin Cream 10%, 40g | 59.000 | ||
91 | 84 | BAST | Betadine Sát khuẩn 125ml | 54.000 | ||
92 | 85 | BxhT | Betadine Súc họng, 125ml | 67.000 | ||
93 | 86 | bvT | Betadine Vaginal Douche, 10%, 125ml, | 50.000 | ||
94 | 87 | BxhT1 | Betadine Xịt họng 50ml, 0,45% | 98.000 | ||
95 | 88 | BeKT | Betadin Kids Cold Defence Nasal Spray, 20ml | 194.000 | ||
96 | 89 | Bz2T | Betaloc zok, 25mg | 5.600 | 4.389 | (1.211) |
97 | 90 | Bz5T | Betaloc zok, 50mg | 7.000 | 5.490 | (1.510) |
98 | 91 | BetT3 | BetaSerc, 24mg | 6.500 | 5.962 | (538) |
99 | 92 | BicT | Bicarbonate 4.2%, 250ml | 120.000 | 94.500 | (25.500) |
100 | 93 | BilT | Bilaxten, 20mg | 10.000 | ||