danh mỤc thuỐc ngoẠi trÚ bỆnh viỆn nĂm 2017 (bỔ...
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BỆNH VIỆN NHÂN DÂN 115
KHOA DƯỢC
STTSTT
TT40Tên hoạt chất
Tên thuốc
thành phẩm
Nồng độ,
hàm lượngDạng bào chế Đơn vị tính Hãng sản xuất
Nước sản
xuất
Đơn giá
(VNĐ)Ghi chú
1 2 3 4 5 6 7 8 9 10 11
1 132 Gabapentin NEURONTIN 300mg Viên nang cứng ViênPFIZER
PHARMACEUTICALS LLC MỸ 11,316
2 134 Levetiracetam KEPPRA 500mgViên nén bao
phimViên UCB PHARMA S.A BI 15,470
Chỉ sử dụng khi có
Trưởng khoa duyệt
3 135 Oxcarbazepin
TRILEPTAL 300mgViên nén bao
phimViên NOVARTIS FARMA S.P.A Ý 7,331
4 138 Pregabalin 75mg LYRICA 75mg Viên nang cứng ViênPFIZER MANUFACTURING
DEUTSCHLAND GMBHĐỨC 17,685
Chỉ sử dụng khi
hết số lượng thuốc
Generic.
5 142Natri valproate, Acid
valproic
DEPAKINE
CHRONO 333mg;145mg
Viên nén bao
phim phóng thích
kéo dài
ViênSANOFI WINTHROP
INDUSTRIEPHÁP 6,972
6 301 Nystatin + Neomycin
sulfat + Polymycin B sulfatVAGINAPOLY
100.000UI +
35.000UI +
35.000UI
Viên nang mềm ViênCông ty TNHH Phil Inter
Pharma
VIỆT
NAM 3,750
7 412 Alfuzosin hydrocloridXATRAL XL
10MG 10mg
Viên nén phóng
thích chậmViên
SANOFI WINTHROP
INDUSTRIEPHÁP 15,291
8 414 Dutasteride AVODART 0,5mg Viên nang mềm ViênGLAXOSMITHKLINE
PHARMACEUTICALS SABA LAN 17,257
DANH MỤC THUỐC NGOẠI TRÚ BỆNH VIỆN NĂM 2017
(BỔ SUNG LẦN I)
5. THUỐC CHỐNG CO GIẬT, CHỐNG ĐỘNG KINH
6. THUỐC ĐIỀU TRỊ KÝ SINH TRÙNG, CHỐNG NHIỄM KHUẨN
9. THUỐC ĐIỀU TRỊ BỆNH ĐƯỜNG TIẾT NIỆU
12. THUỐC TIM MẠCH
1/5
STTSTT
TT40Tên hoạt chất
Tên thuốc
thành phẩm
Nồng độ,
hàm lượngDạng bào chế Đơn vị tính Hãng sản xuất
Nước sản
xuất
Đơn giá
(VNĐ)Ghi chú
1 2 3 4 5 6 7 8 9 10 11
9419+4
49
Amlodipine (dưới dạng
Amlodipine besylate),
Valsartan
EXFORGE
5mg
Amlodipine,
80mg
Valsartan
Viên nén bao
phimViên
NOVARTIS
FARMACEUTICA S.A
TÂY BAN
NHA 9,987
10 477 Diltiazem HydrochlorideHERBESSER
R100 100mg
Viên nang giải
phóng có kiểm
soát
ViênMITSUBISHI TANABE
PHARMA FACTORY LTD. NHẬT 3,186
11 481 Trimetazidine
dihydrochlorideVASTAREL MR 35mg
Viên nén bao
phim giải phóng
có biến đổi
ViênLES LABORATORIES
SERVIER INDUSTRIEPHÁP 2,705
12 485 Ivabradine HCl PROCORALAN 7,5mgViên nén bao
phimViên
LES LABORATORIES
SERVIER INDUSTRIEPHÁP 11,101
13 485 Ivabradine HCl PROCORALAN 5mgViên nén bao
phimViên
LES LABORATORIES
SERVIER INDUSTRIEPHÁP 11,101
14 493 Bisoprolol fumarate 2,5mg CONCOR COR 2,5mgViên nén bao
phimViên MERCK KGAA ĐỨC 2,878
15 493 Bisoprolol fumarate 5mg CONCOR 5MG 5mgViên nén bao
phimViên MERCK KGAA ĐỨC 3,936
16 500 Doxazosin mesylate CARDURAN 2 mg Viên ViênPFIZER AUSTRALIA PTY,
LTDÚC 8,435
17 506 Irbesartan APROVEL 150mgViên nén bao
phimViên
SANOFI WINTHROP
INDUSTRIEPHÁP 9,561
18 507 Irbesartan;
HydrochlorothiazideCOAPROVEL
150mg;12,5m
g
Viên nén bao
phimViên
SANOFI WINTHROP
INDUSTRIEPHÁP 9,561
19 508 Lacidipine LACIPIL 4MG 4mgViên nén bao
phimViên GLAXO WELLCOME S.A
TÂY BAN
NHA 6,826
20 510 Lisinopril ZESTRIL 5mg Viên nén Viên ASTRAZENECA UK LTD. ANH 4,534
21 510 Lisinopril ZESTRIL 10mg Viên nén Viên ASTRAZENECA UK LTD. ANH 6,097
22 510 Lisinopril ZESTRIL 20mg Viên nén Viên ASTRAZENECA UK LTD. ANH 6,875
2/5
STTSTT
TT40Tên hoạt chất
Tên thuốc
thành phẩm
Nồng độ,
hàm lượngDạng bào chế Đơn vị tính Hãng sản xuất
Nước sản
xuất
Đơn giá
(VNĐ)Ghi chú
1 2 3 4 5 6 7 8 9 10 11
23 515 Metoprolol succinatBETALOC ZOK
50MG
47,5 mg
metoprolol
succinate
tương đương
với 50mg
metoprolol
tartrate
Viên nén phóng
thích kéo dàiViên ASTRAZENECA AB
THỤY
ĐIỂN 5,779
24 515 Metoprolol succinatBETALOC ZOK
25MG
23,75 mg
Metoprolol
succinate
tương đương
với 25mg
Metoprolol
tartrate
Viên nén phóng
thích kéo dàiViên ASTRAZENECA AB
THỤY
ĐIỂN 4,620
25 519 Nifedipine 30mgADALAT LA
30MG 30mg
Viên phóng thích
kéo dàiViên BAYER PHARMA AG ĐỨC 9,454
26 520 Perindopril Arginine 10mgCOVERSYL
10MG10mg
Viên nén bao
phimViên
LES LABORATORIES
SERVIER INDUSTRIEPHÁP 7,960
27526+4
91Telmisartan, Amlodipine TWYNSTA 80mg + 5mg Viên nén Viên M/S CIPLA LTD ẤN ĐỘ 13,122
Chỉ sử dụng khi:
Người bệnh cao
huyết áp, bệnh
thận mạn và có
Trưởng khoa duyệt.
28 528 Valsartan DIOVAN 80MG 80mgViên nén bao
phimViên
NOVARTIS
FARMACEUTICA S.A
TÂY BAN
NHA 9,966
29 529 Valsartan,
Hydrochlothiazide
CO-DIOVAN
80/12.5
80mg
Valsartan;
12,5mg
Hydrochlothia
zide
Viên nén bao
phimViên NOVARTIS FARMA S.P.A Ý 9,987
3/5
STTSTT
TT40Tên hoạt chất
Tên thuốc
thành phẩm
Nồng độ,
hàm lượngDạng bào chế Đơn vị tính Hãng sản xuất
Nước sản
xuất
Đơn giá
(VNĐ)Ghi chú
1 2 3 4 5 6 7 8 9 10 11
30 540
Clopidogrel base (dưới
dạng Clopidogrel hydrogen
sulphate 97,875mg)
PLAVIX 75MG 75mgViên nén bao
phimViên
SANOFI WINTHROP
INDUSTRIEPHÁP 20,828
Chỉ sử dụng khi
người bệnh đặt
stent dưới 1 năm
và có Trưởng khoa
duyệt.
31 540
Clopidogrel hydrogen
sulfate form II;
acetylsalicylic acid dạng
kết hợp tinh bột ngô
DUOPLAVIN
75mg
Clopidogrel
base; 100mg
acid
acetylsalicylic
Viên nén bao
phimViên
SANOFI WINTHROP
INDUSTRIEPHÁP 20,828
Chỉ sử dụng khi
người bệnh đặt
stent dưới 1 năm
và có Trưởng khoa
duyệt.
32 549
Atorvastatin (dưới dạng
Atorvastatin hemicalci.
1,5H2O)
LIPITOR 10mgViên nén bao
phimViên
PFIZER
PHARMACEUTICALS LLC MỸ 15,941
Chỉ sử dụng khi
hết số lượng thuốc
Generic.
33 558 Rosuvastatin (dưới dạng
Rosuvastatin calci 5,2 mg)CRESTOR 5MG 5mg
Viên nén bao
phimViên
IPR PHARMACEUTICALS
INC.MỸ 9,975
34 558 Rosuvastatin (dưới dạng
Rosuvastatin calci)
CRESTOR
10MG10mg
Viên nén bao
phimViên
IPR PHARMACEUTICALS
INC.MỸ 16,170
Chỉ sử dụng sau
khi: hết thuốc
generic, hết thuốc
Crestor 20mg,
người bệnh có
nhồi máu cơ tim,
stroke và có
Trưởng khoa duyệt
35 558 Rosuvastatin (dưới dạng
Rosuvastatin calci)
CRESTOR
20MG20mg
Viên nén bao
phimViên
IPR PHARMACEUTICALS
INC.MỸ 21,252
Chỉ sử dụng sau
khi: hết thuốc
generic, người
bệnh bị nhồi máu
cơ tim, stroke và
có Trưởng khoa
duyệt.
13. THUỐC ĐIỀU TRỊ BỆNH DA LIỄU
4/5
STTSTT
TT40Tên hoạt chất
Tên thuốc
thành phẩm
Nồng độ,
hàm lượngDạng bào chế Đơn vị tính Hãng sản xuất
Nước sản
xuất
Đơn giá
(VNĐ)Ghi chú
1 2 3 4 5 6 7 8 9 10 11
36 589 Calcipotriol 50mcg/g DAIVONEX Thuốc mỡ 50mcg/g TuýpLEO LABORATORIES
LIMITEDIRELAND 273,000
37 761 Budesonid 500mcg/2ml PULMICORT
RESPULES500 mcg/2 ml
Hỗn dịch khí
dung dùng để hítỐng ASTRAZENECA AB
THỤY
ĐIỂN 13,834
38 800 Gliclazide DIAMICRON
MR 60MG 60mg
Viên nén giải
phóng kéo dàiViên
LES LABORATORIES
SERVIER INDUSTRIEPHÁP 5,460
39 812 Vildagliptin GALVUS 50mg Viên nén ViênNOVARTIS
FARMACEUTICA S.A
TÂY BAN
NHA 8,225
40812+8
07Vildagliptin, Metformin
GALVUS MET
50MG/850MG50mg, 850mg
Viên nén bao
phimViên
NOVARTIS PHARMA
PRODUKTIONS GMBHĐỨC 9,274
41812+8
07Vildagliptin, Metformin
GALVUS MET
50MG/1000MG
50mg;
1000mg
Viên nén bao
phimViên
NOVARTIS PHARMA
PRODUKTIONS GMBHĐỨC 9,274
42 836 Pyridostigmine Bromide
60mg/viênMESTINON S.C 60mg Viên nén Viên AUPA BIOPHARM CO., LTD ĐÀI LOAN 4,400
43 841 ThiocolchicosideCOLTRAMYL
4MG4mg Viên nén Viên Công ty ROUSSEL VIỆT NAM
VIỆT
NAM 4,025
44 980 Salbutamol VENTOLIN
Nebules2.5mg/2,5ml
Dung dịch khí
dungỐng
GLAXOSMITHKLINE
AUSTRALIA PTY LTDÚC 4,575
45 980 Salbutamol ( dưới dạng
Salbutamol sulfate)
VENTOLIN
Inhaler100mcg/ liều
Hỗn dịch xịt qua
bình định liều
điều áp
Bình xịt GLAXO WELLCOME S.ATÂY BAN
NHA 76,379
Chỉ sử dụng khi có
Trưởng khoa duyệt
46 982Salmeterol xinafoate +
fluticasone propionate
SERETIDE
EVOHALER
DC 25/250MCG
25mcg+250m
cg
Thuốc phun mù
hệ hỗn dịch để hít
qua đường miệng
Bình xịt GLAXO WELLCOME SATÂY BAN
NHA 278,090
Chỉ sử dụng khi có
Trưởng khoa duyệt
18. HOCMON VÀ CÁC THUỐC TÁC ĐỘNG VÀO HỆ THỐNG NỘI TIẾT
20. THUỐC GIÃN CƠ VÀ ỨC CHẾ CHOLINESTERASE
25. THUỐC TÁC DỤNG TRÊN ĐƯỜNG HÔ HẤP
Tổng số khoản: 46 khoản
5/5
STTSTT
TT40Tên hoạt chất
Tên thuốc
thành phẩm
Nồng độ,
hàm lượngDạng bào chế Đơn vị tính Hãng sản xuất
Nước sản
xuất
Đơn giá
(VNĐ)Ghi chú
1 2 3 4 5 6 7 8 9 10 11
KT. GIÁM ĐỐC
PHÓ GIÁM ĐỐC
TS.BS NGUYỄN ĐÌNH PHÚ
Đã ký
6/5
STTSTT
TT40Tên hoạt chất
Tên thuốc
thành phẩm
Nồng độ,
hàm lượngDạng bào chế Đơn vị tính Hãng sản xuất
Nước sản
xuất
Đơn giá
(VNĐ)Ghi chú
1 2 3 4 5 6 7 8 9 10 11
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