药品规格:100mg(1ml)/支(单剂量预充式自动注射器)
转换比:1
医保支付标准:2880
省挂网价:2880.0000
支付类别:乙类0.2
国家药品编码:XR03DXM177B002010182649
药品规格:30吸/盒每泡含糠酸氟替卡松100μg乌美溴铵62.5μg(按C??H??NO?计)与
转换比:1
生产企业:Glaxo Operations UK Ltd (trading as Glaxo Wellcome Operations)
医保支付标准:239
省挂网价:239.0000
支付类别:乙类0.3
国家药品编码:XR03AKF717L031010282760
药品规格:每泡含乌美溴铵62.5μg(按C??H??NO?计)与三苯乙酸维兰特罗25μg(按C??H??Cl?NO?计
转换比:30
医保支付标准:219
省挂网价:219.0000
支付类别:乙类0.3
国家药品编码:XR03ALW115L031010178453
药品规格:每喷含糠酸氟替卡松27.5微克,120喷/瓶
转换比:1
生产企业:Glaxo Operations UK Ltd (trading as Glaxo Wellcome Operations)
医保支付标准:109.06
省挂网价:109.0600
支付类别:乙类0.1
国家药品编码:XR01ADF095L025010178453