医保编码:XN06AXM093A001020178242
规格:30mg
转换比:28
支付标准:58.58
医保编码:XN06AXM093A001010178242
规格:15mg
转换比:28
支付标准:34.46
医保编码:XN03AXZ075A001030178242
规格:1.0g
转换比:30
支付标准:310.38
医保编码:XN03AXZ075A001020178242
规格:0.5g
转换比:30
支付标准:182.58
医保编码:XN03AXZ075A001010178242
规格:0.25g
转换比:30
支付标准:107.40
医保编码:XA02BCP025A012020178242
规格:40mg
转换比:30.0
药品企业:印度Aurobindo Pharma Limited
支付标准:19.86
医保编码:XA02BCP025A012010178242
规格:20mg
转换比:30
药品企业:印度Aurobindo Pharma Limited
支付标准:74.60