This document contains a list of drugs used to treat various gastrointestinal conditions organized into categories. It includes the drug names, active ingredients, prices and other details. The categories covered are antacids, antispasmodics, ulcer drugs, drugs for acute and chronic diarrhea, laxatives, local anal/rectal preparations, and drugs affecting intestinal secretion.
This document contains a list of drugs used to treat various gastrointestinal conditions organized into categories. It includes the drug names, active ingredients, prices and other details. The categories covered are antacids, antispasmodics, ulcer drugs, drugs for acute and chronic diarrhea, laxatives, local anal/rectal preparations, and drugs affecting intestinal secretion.
This document contains a list of drugs used to treat various gastrointestinal conditions organized into categories. It includes the drug names, active ingredients, prices and other details. The categories covered are antacids, antispasmodics, ulcer drugs, drugs for acute and chronic diarrhea, laxatives, local anal/rectal preparations, and drugs affecting intestinal secretion.
NO PHARMACOLOGICAL GROUP 1 Gastro-intestinal system 1.1 Antacids and other drugs for dyspepsia !"#$% ก (AIR-X DROP*) SIMETHICONE DROP 15 ML(C/L2)(40)กSIMETHICONE 22.00 22.00 Y Y AIR-X TAB(C/L2)(39) ก SIMETHICONE 1.50 1.50 Y Y ANTACID TAB ก ALUMINIUM HYDROXIDE [AL(OH)3] 1.00 1.00 Y Y MAGNESIUM HYDROXIDE 1.00 1.00 Y Y MAGNESIUM TRISILLICATE 1.00 1.00 Y Y ANTACIL GEL [HH] 240 ML ก (93) ALUMINIUM HYDROXIDE [AL(OH)3] 22.00 22.00 Y Y MAGNESIUM HYDROXIDE 22.00 22.00 Y Y CARMINATIVE 180 ML V ก SPIRIT CAMPHOR 16.00 16.00 Y Y STRONGER GINGER TR. 16.00 16.00 Y Y TR.CAPSICUM 16.00 16.00 Y Y TR.CARDAMON 16.00 16.00 Y Y !"#$% ( ALUM TAB(ALUMINIUM HYDROXIDE 500 MG)_I ALUMINIUM HYDROXIDE [AL(OH)3] 1.00 1.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 ALGYCON (ALGINIC +ALUM+MAG) TAB D## ALGINIC ACID 14.00 14.00 N N ALUMINIUM HYDROXIDE [AL(OH)3] 14.00 14.00 N N MAGNESIUM CARBONATE 14.00 14.00 N N KREMIL-S (738)_## AL(OH)3MG CARBONATE 1.50 1.50 N N DICYCLOMINE HCL 1.50 1.50 N N SIMETHICONE 1.50 1.50 N N 1.2 Antispasmodics and other drugs altering gut motili !"#$% ก BUSCOPAN INJ (20 MG / ML)V (C/L2) ก(U) HYOSCINE-N-BUTYL BROMIDE 14.00 14.00 Y Y BUSCOPAN SYR 30 ML L (C/L2) ก HYOSCINE-N-BUTYL BROMIDE 19.00 19.00 Y Y BUSCOPAN TAB(207)(C/L2) ก HYOSCINE-N-BUTYL BROMIDE 2.50 2.50 Y Y !"#$% ( MEBEVERINE 135 MG (DUSPATIN)(N/N) TAB I MEBEVERINE 4.00 4.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 (OกPQRก)...CIPRIDE(CISAPRIDE) 5 MG(C/L2) CISAPRIDE 1.50 1.50 Y Y BERCLOMINE SYR 60 ML(B/L3)# DICYCLOMINE HCL 23.00 23.00 Y N COLPERMIN CAP(PEPPERMINT) 187 MG D## PEPPERMINT OIL 11.50 11.50 N N LIBRAX (767)(C/L2)# CHLORDIAZEPOXIDE 1.50 1.50 Y N CLIDINIUM BR 1.50 1.50 Y N SPASURI 100 MG (FLAVOXATE) TAB. (B/L2)# FLAVOXATE HCL 2.50 2.50 Y N 1.3 Ulcer-healing drugs and drugs used in variceal ble !"#$% ก
18 พฤศจิกายน 2561 หนา 1 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- OMEPRAZOLE 20 MG (C/L3)CAP (MIRACID)(868)_ก OMEPRAZOLE 1.50 1.50 Y Y XANIDINE 150 MG TAB (RANITIDINE)(B/L2)ก RANITIDINE 1.00 1.00 Y Y !"#$% ( RANIDINE 50 MG/2ML INJ_I(U) RANITIDINE 6.00 6.00 Y Y OUVWX OMEPRAZOLE* 40 MG (C/L3)INJ...I(U) OMEPRAZOLE 21.00 21.00 Y Y !"#$% 4 CONTROLOC 40 MG[^] >>..>>(B/L3) IV [ PANTOPRAZOLE 364.00 364.00 Y Y ULCEFATE SUSPENSION 60 ML [ SUCRALFATE 172.00 172.00 Y Y ULSANIC 1 GM TAB( B/L2)_[ SUCRALFATE 6.00 6.00 Y Y !"#$% 1 AETHOXYSKLEROL 1% ] POLIDOCANOL 149.00 149.00 Y Y BISMUTH SUBSALICYLATE 524 MG ]D (GASTRO)(D/NBISMUTH SUBSALICYLATE 8.00 8.00 Y Y OCTREOTIDE 100 MCG(SANDOSTATIN)(B/L2) ](U) 184.00 184.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 (OUQXก^X) DEXILANT 30 MG [^] CAP $ DEXLANSOPRAZOLE 65.00 65.00 N N CIMETIDINE 200 MG TAB(254)(B/L1)# CIMETIDINE 1.00 1.00 Y N CYTOTEC 200 MCG# (X/L3) MISOPROSTOL 14.00 14.00 Y N MUCOSTA 100 MG TAB (N/L3) D# REBAMIPRIDE 13.50 13.50 Y N PARIET 20 MG >>..>>[^] TAB ## 47.00 47.00 N N PREVACID (OUVWX**) 30 MG IV D# LANSOPRAZOLE 255.00 255.00 Y N PREVACID 15 MG FDTAB(B/L3)## LANSOPRAZOLE 32.00 32.00 N N PREVACID 30 MG FDTAB(B/L3).. ## LANSOPRAZOLE 46.00 46.00 N N SELBEX 50 MG( N/N) ## TEPRENONE 9.00 9.00 N N 1.4 Drugs used in acute diarrhoea !"#$% ก ORS ก ELECTROLYTE 3.00 3.00 Y Y ORS PX`ก(^aabc) ก ELECTROLYTE 3.00 3.00 Y Y !"#$% ( LOPERAMIDE CAP (B/L2) I LOPERAMIDE 1.00 1.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 HIDRASEC (30 MG*/SACHET) decf* PAED.POWDER D $RACECADOTRIL 34.00 34.00 N N HIDRASEC PAED.POWDER(10 MG/SACHET)D## RACECADOTRIL 30.00 30.00 N N LACTEOL FORTE*( INFLORAN BERNA) # LACTOBACILLUS ACIDOPHILUS 18.50 18.50 Y N SMECTA# DIOCTAHEDRAL SMECTITE 15.00 15.00 Y N 1.5 Drugs used in chronic bowel disorders !"#$% 4 SALOFALK 500 MGTAB (B/N) [# MESALAZINE 40.00 40.00 Y Y SALOFALK ENEMA 60 ML [# MESALAZINE 665.00 665.00 Y Y 1.6 Laxatives !"#$% ก
18 พฤศจิกายน 2561 หนา 2 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- (OUPeh`ijkU^ DULCOLAX PXRc)BISACODYL SUPPO 10 MG_ BISACODYL 7.00 7.00 Y Y CASTOR OIL (hlmUcnhQoepf]) 30 ML ก BICALUTAMIDE 18.00 18.00 Y Y CASTOR OIL 18.00 18.00 Y Y GLYCERIN SUPPO ก GLYCERINE 4.00 4.00 Y Y MAG SULFATE SAT 240ML ก MAGNESIUM SULFATE 20.00 20.00 Y Y MOM (MILK OF MAG) 240 ML ก MAGNESIUM HYDROXIDE 26.00 26.00 Y Y MUCILIN 100 GM ก ISOPAGHULA HUSK 61.00 61.00 Y Y MUCILIN qr] #ก ISOPAGHULA HUSK 5.00 5.00 Y N SENOKOT TAB(C/L1) (1192) ก SENNOSIDE A+B STANDARDIZED 2.00 2.00 Y Y OU^oiUO BISACODYL 5 MG TAB (C/N)ก BISACODYL 0.50 0.50 Y Y !"#$% ( DUPHALAC(LACTULOSE) SYR 100 ML(B/L2) I LACTULOSE 67.00 67.00 Y Y !"#$% 4 PEG 15 GM (C/N)[ qr]Qo POLYETHYLENE GLYCOL 8.00 8.00 Y Y SWIFF 90 ML [ DIBASIC SOD. PHOSPHATE 91.00 91.00 Y Y MONOBASIC SOD. PHOSPHATE 91.00 91.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 UNISON PX`ก# SODIUM CHLORIDE 9.00 9.00 Y N UNISON stbdeuf#>>..>> SODIUM CHLORIDE 22.00 22.00 Y N 1.7 Local preparations for anal and rectal disorders !"#$% ( DOPROCT OINT 10 GM I BENZOCAINE 54.00 54.00 Y Y HYDROCORTISONE ACETATE 54.00 54.00 Y Y ZINC OXIDE 54.00 54.00 Y Y DOPROCT SUPPO I BENZOCAINE 6.00 6.00 Y Y HYDROCORTISONE ACETATE 6.00 6.00 Y Y ZINC OXIDE 6.00 6.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 FLAVON 500 MG(DAFLON) D# FLAVONOIDIC FRACTION EQUIV TO DIO 5.00 5.00 Y N 1.8 Drugs affecting intestinal secretions !"#$% 1 COMBIZYM TAB>>..>> ]## AMYLASE 4.50 4.50 N N CELLULASE 4.50 4.50 N N LIPASE 4.50 4.50 N N PANCREATIN 4.50 4.50 N N PROTEASE 4.50 4.50 N N GASZYM TAB ] PANCREATIN 3.00 3.00 Y Y SIMETHICONE 3.00 3.00 Y Y URSOLIN 250 MG CAP (B/N)] # URSODEOXYCHOLIC ACID 10.50 10.50 Y Y URSOLIN SUSPENSION (25 MG./ML.) 30 ML (B/N)] URSODEOXYCHOLIC ACID 60.00 60.00 Y Y
18 พฤศจิกายน 2561 หนา 3 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- )*+,ก!"#$%)*-."ก/-01$*23 HEPA-MERZ 5 G (10 ML) INJ## L-ORNITHINE L-ASPARTATE 298.50 298.50 N N MAGESTO-F TAB (796)# DIASTASE 1.50 1.50 Y N MAMYLASE 1.50 1.50 Y N MENTHOL 1.50 1.50 Y N SODIUM BICARB 1.50 1.50 Y N VITAMIN B1 (THIAMINE) 1.50 1.50 Y N SAMARIN 70# SILYMARIN 4.00 4.00 Y N 2 Cardiovascular system 2.1 Positive inotropic drugs !"#$% ก HAD DIGOXIN 0.25 MG TAB(ws])(C/L1) ก DIGOXIN 1.00 1.00 Y Y HAD LANOXIN 0.5 MG/2 ML INJ ก(Z)(U) DIGOXIN 44.00 44.00 Y Y HAD LANOXIN SYR*(0.05 MG/ML) 60 ML ก DIGOXIN 213.00 213.00 Y Y 2.2 Diuretics !"#$% ก (100 MG) SPIRONOLACTONE (C/L2) ก SPIRONOLACTONE 5.50 5.50 Y Y (500 MG) FUROSEMIDE TAB (C/L2)(754)_ก FUROSEMIDE 3.50 3.50 Y Y ALDACTONE SYRUP(10 MG./ML.) 30 ML ก(C/L2) SPIRONOLACTONE 50.00 50.00 Y Y FUROSEMIDE 20 MG/2ML INJ (LASIX) (C/L2) ก(U) FUROSEMIDE 10.00 10.00 Y Y FUROSEMIDE 250 MG INJ/25ML (LASIX)(C/L2)ก(U) FUROSEMIDE 50.00 50.00 Y Y FUROSEMIDE 40 MG (LASIX)TAB (C/L2)(753) ก FUROSEMIDE 1.00 1.00 Y Y FUROSEMIDE SYRUP (10 MG/ML) 30ML(LASIX) (C/L2) 50.00 50.00 Y Y HCTZ 25 MG (B/D/L3) ก HYDROCHLOROTHIAZIDE 0.50 0.50 Y Y HYDROCHLORTIAZIDE SYR. (10 MG./ML.) 30ML (B/D/HYDROCHLOROTHIAZIDE 50.00 50.00 Y Y MANNITOL 20% 500ML ก MANNITOL 213.00 213.00 Y Y SPIRONOLACTONE 25 MG(C/L2) ก SPIRONOLACTONE 1.75 1.75 Y Y !"#$% ( MODURETIC wjh_I AMILORIDE HCL 1.50 1.50 Y Y HYDROCHLOROTHIAZIDE 1.50 1.50 Y Y )*+,ก!"#$%)*-."ก/-01$*23 NATRILIX TAB SR (B/D/L2) ## INDAPAMIDE 9.00 9.00 N N 2.3 Anti-arrhythmic drugs !"#$% ก HAD ADE_NOSINE 6 MG/2 ML(aWcfk]) (C/L2) ก (Z)(U) ADENOSINE 490.00 490.00 Y Y !"#$% 4 HAD ARATAC 200 MG _[(AMIODARONE)(D/L3) AMIODARONE HYDROCHLORIDE 13.00 13.00 Y Y HAD CORDARONE 150 MG/3ML INJ [(Z)(D/L3)(U) AMIODARONE HYDROCHLORIDE 107.00 107.00 Y Y 2.4 Beta-adrenoceptor blocking drugs !"#$% ก
18 พฤศจิกายน 2561 หนา 4 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- (100 MG)*ATENOLOL TAB (D/L3)(1918) ก ATENOLOL 1.50 1.50 Y Y (40 MG) PROPRANOLOL (C/L3)(1087) ก PROPANOLOL 1.00 1.00 Y Y ATENOLOL xy MG (D/L3) (1068)_ก ATENOLOL 1.50 1.50 Y Y METOPROLOL 100 MG_ก(C/D/L3) METOPROLOL TARTRATE 2.00 2.00 Y Y PROPRANOLOL 10 MG (C/L3)(1086) ก PROPANOLOL 1.00 1.00 Y Y !"#$% 4 CARVEDILOL (CARATEN) 25 MG D_(C/L3) [ CARVEDILOL 8.00 8.00 Y Y CARVEDILOL (CARATEN) z.{x MG D_ (C/L3)[ CARVEDILOL 6.50 6.50 Y Y )*+,ก!"#$%)*-."ก/-01$*23 (NOVACOR 5 MG )BISOPROLOL TAB(C/L3)## BISOPROLOL 4.00 4.00 N N LODOZ 2.5 MG [^]>>..>> TAB## BISOPROLOL 10.00 10.00 N N HYDROCHLOROTHIAZIDE 10.00 10.00 N N 2.5 Drugs affecting the renin-angiotensin system and 2.5.1 Vasodilator antihypertensive drugs !"#$% ก APRESOLINE 25 MG (HYDRALAZINE) TAB ก (97) (C/L HYDRALAZINE 2.50 2.50 Y Y HAD SOD.NITROPUSSIDE 50 MG ก SOD.NITROPUSSIDE 241.00 241.00 Y Y HYDRALAZINE 10 MG TAB_ก HYDRALAZINE 1.50 1.50 Y Y !"#$% 1 PROSTIN VR 0.5MG/1ML (PGE1)INJ ] (AD)(X/L3) ALPROSTADIL 7,343.00 7,343.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 IRBESARTAN 300 MG (APROVEL PXRc)*(C/D/L2) D ## IRBESARTAN 8.00 8.00 N N MINOXIDIL 5 MG D (C/L2)# MINOXIDIL 2.00 2.00 Y N 2.5.2 Centrally acting antihypertensive drugs !"#$% ก ALDOMET(METHYLDOPA) 250 MG TAB_ก(B/L2) METHYLDOPA 2.50 2.50 Y Y 2.5.3 Alpha-adrenoceptor blocking drugs !"#$% ( PRAZOSIN 1 MG(C/L3)I PRAZOSIN HCL 1.00 1.00 Y Y !"#$% 4 4 MG* DOXAZOSIN (C/L3) [ DOXAZOSIN MESYLATE 1.50 1.50 Y Y DOXAZOSIN { MG (C/L3)[ DOXAZOSIN MESYLATE 1.00 1.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 HYPERDIX 1 MG TAB>>..>> D# RILMENIDINE 12.50 12.50 Y N 2.5.4 Angiotensin-converting enzyme inhibitors !"#$% ก (20 MG) ENALAPRIL (D/L2)(446)_ก ENALAPRIL MALEATE 1.50 1.50 Y Y CAPOTEN(CAPTOPRIL) 25 MG TAB.(D/L1) ก(U) CAPTOPRIL 2.00 2.00 Y Y CAPTOPRIL SUSP. (1 MG./ML.) ก 25ML CAPTOPRIL 50.00 50.00 Y Y ENALAPRIL 5 MG (D/L2)(445)_ก ENALAPRIL MALEATE 1.50 1.50 Y Y
18 พฤศจิกายน 2561 หนา 5 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- )*+,ก!"#$%)*-."ก/-01$*23 ({y cก.) ACCUPRIL [^] (QUINAPRIL) (D/L2)# QUINAPRIL 9.00 9.00 Y N (RAMIPRIL)TRITACE 10 MG TAB (D/L2)_ ## RAMIPRIL 10.00 10.00 N N ACCUPRIL 10 MG (QUINAPRIL)(D/L2).. # QUINAPRIL 6.00 6.00 Y N COVERSYL ARGININE 5 MG TAB## PERINDOPRIL ARGININE 13.00 13.00 N N TRITAZIDE>>..>>(RAMIPRIL 5 / HCTZ 25)## HYDROCHLOROTHIAZIDE 5.00 5.00 N N RAMIPRIL 5.00 5.00 N N ZESTRIL 10 MG[^] >>..>>(C/D/L2)# LISINOPRIL 17.50 17.50 Y N 2.5.5 Angiotensin-II receptor antagonist !"#$% ( LOSARTAN 50 MG I(C/D/L2) 2.00 2.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 (OกPQRก)...APROVEL 300 MG>>..>>(IRBESARTAN) (C/D/LIRBESARTAN 11.00 11.00 N N (OกPQRก)...CO-DIOVAN 160 MG/25 MG>>..>> (D/L3).. D##HYDROCHLOROTHIAZIDE 9.00 9.00 N N VALSARTAN 9.00 9.00 N N DIOVAN 80 MG CAP>>..>>(C1,D2,3/L2) D## VALSARTAN 6.00 6.00 N N EDARBI 40 MG (AZILSARTAN) D $ AZILSARTAN MEDOXOMIL 23.00 23.00 N N 2.6 Nitrates, calcium-channel blockers and other vasod 2.6.1 Nitrates !"#$% ก (IMDUR PXRc) IMDEX 60 MG (C/L2)ก D ISOSORBIDE-5-MONONITRATE 6.00 6.00 Y Y HAD GLYCERYL TRINITRATE 50 MG/10 ML (C)(N) ก(ZGLYCERYL TRINITRATE 470.00 470.00 Y Y ISMO-20 MG (MONOLIN)_(C/L2) ก ISOSORBIDE-5-MONONITRATE 1.50 1.50 Y Y ISORDIL 5 MG SUBLINGUAL (698) (C/L2) ก ISOSORBIDE DINITRATE 1.50 1.50 Y Y ISOSORBIDE 10 MG TAB (697) (C/L2) ก ISOSORBIDE DINITRATE 1.50 1.50 Y Y )*+,ก!"#$%)*-."ก/-01$*23 NITRODERM TTS #i NITROGLYCERIN 43.00 43.00 Y N 2.6.2 Calcium-channel blockers !"#$% ก AMLODIPINE 10 MG (2019)(C/L2) ก AMLODIPINE 2.00 2.00 Y Y DILTIAZEM 120 MG [^] (CASCOR XL)(C/L2) ก DILTIAZEM HCL 6.50 6.50 Y Y ISOPTIN SR 240 MG ก VERAPAMIL 15.00 15.00 Y Y VERAPAMIL 40 MG TAB (C/L2)_ก VERAPAMIL 3.00 3.00 Y Y !"#$% ( DILTIAZEM HCL 30 MG (C/L2) I DILTIAZEM HCL 1.50 1.50 Y Y MADIPLOT 20 MG TAB (R) I MANIDIPINE HCL 4.00 4.00 Y Y !"#$% 4 CARDEPINE 10MG/10 ML* INJ [(C/L2)(U) NICARDEPINE HCL 392.00 392.00 Y Y CARDEPINE 2MG/2ML INJ [ (C/L2)(U) NICARDEPINE HCL 113.00 113.00 Y Y !"#$% 1
18 พฤศจิกายน 2561 หนา 6 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- NIMOTOP 30 MG TAB ] (C/L2) NIMODIPINE 20.00 20.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 (OกPQRก)...PLENDIL 10 MG >>..>>[^] (2026)## FELODIPINE 23.50 23.50 N N (OกPQRก)...PLENDIL 5 MG >>..>>[^] (2000) ## FELODIPINE 16.00 16.00 N N CADUET 5/10 MG TAB (AMLO 5:ATROVAS 10)D## AMLODIPINE 15.00 15.00 N N ATORVASTATIN 15.00 15.00 N N FELODIPINE 5 MG TAB (C/L2)# FELODIPINE 2.50 2.50 Y N FELODIPINE STADA 10 MG (C/L2)# FELODIPINE 8.00 8.00 Y N HERBESSER 10 MG [^] INJ ## DILTIAZEM HCL 413.50 413.50 N N HERBESSER 90 SR $ DILTIAZEM HCL 13.00 13.00 N N HERBESSER R 200 $ DILTIAZEM HCL 15.00 15.00 N N NELAPINE 5 MG (ADALAT) (C/L2) (911)[NED] NIFEDIPINE 1.50 1.50 N N NIFEDIPINE T 20 MG ] (C/L2)(U) NIFEDIPINE 3.00 3.00 Y Y 2.6.3 Other vasodilators !"#$% 1 ELONZA 50 MG(B/N) D** ] SILDENAFIL 208.00 0.00 N N VIAGRA SYRUP(2 MG/1 CC) 25 ML ] SILDENAFIL 100.00 100.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 DORNER 20 MCG TAB D (N/N)# BERAPROST 27.00 27.00 Y N VASTAREL MR 35 MG TAB(N/L3) ## TRIMETAZIDINE 10.50 10.50 N N 2.7 Sympathomimetics 2.7.1 Inotropic sympathomimetics !"#$% ก HAD DOPAMINE 250 MG/10 ML(C/L2)_ก(Z)(U) DOPAMINE HCL 25.00 25.00 Y Y !"#$% ( HAD (~Xit•UcWh) DOBU_TAMINE 250 MG /20 ML(กQfr]) DOBUTAMINE 171.00 171.00 Y Y 2.7.2 Vasoconstrictor sympathomimetics !"#$% ก HAD NOREPINEPHRINE 4 MG/4ML INJ (LEVOPHED) ก 155.00 155.00 Y Y NorEPINEPHRINE INJ (LEVOPHED) ก 321.00 321.00 Y Y !"#$% 4 EPHEDRINE INJ 30 MG/ML [ EPHEDRINE 15.00 15.00 Y Y 2.7.3 Drugs used in cardiopulmonary resuscitation !"#$% ก HAD ADRENALINE INJ (1 MG/ML)(C/L3) V ก(Z)(U) EPINEPHINE BITATRATE 8.00 8.00 Y Y 2.8 Anticoagulants !"#$% 4 HAD CLEXANE 40 MG/0.4ML INJ (B/L1) [ ENOXAPARIN 242.00 242.00 Y Y HAD CLEXANE 60 MG/0.6ML (ENOXAPARIN)INJ (B/LENOXAPARIN 305.00 305.00 Y Y HAD HEPARIN IkXQo 25,000 U/ 5 ML (C/L1)_[(U) HEPARIN SOD 226.00 226.00 Y Y
18 พฤศจิกายน 2561 หนา 7 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- HAD WARFARIN 2 MG aWabc (X/L3) ([) WARFARIN SOD. 2.50 2.50 Y Y HAD WARFARIN 3 MG aWÇÉU (X/L3)([) WARFARIN SOD. 3.00 3.00 Y Y HAD WARFARIN 5 MG aWÑcÖt (X/L3)([) WARFARIN SOD. 4.00 4.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 CILOSTAZOL 100 MG TAB [L] (PLETAAL PXRc)(C/L3)##ÑnCILOSTAZOL Ük[^Uk 23.00 23.00 N N ILOPROST-TROMETAMOL 20 MCG (C/N) ##[ILOMEDI ILOPROST TROMETAMOL 1,850.00 1,850.00 N N PLETAAL 100 (SR) MG *(CILOSTAZOL)(C/L3) $ CILOSTAZOL 45.00 45.00 N N 2.9 Antipletelet drugs !"#$% ก ASPIRIN 81 MG : (C/L3)(109) ก ASPIRIN 1.00 1.00 Y Y !"#$% 1 (OกPQRก)...PLAVIX 75 MG>>..>> [^] TAB D ] (U) ## CLOPIDOGREL 88.50 88.50 N N APOLETS*(CLOPIDOGREL) 75 MG [PLAVIX PXRc](B/L2)CLOPIDOGREL 13.00 13.00 N N CLOPIDOGREL 75 MG TAB (B/L2) ] CLOPIDOGREL 4.00 4.00 Y Y TICLOPIDINE 250 MG>>..>>(B/L3) (VILADIL) ] TICLOPIDINE 4.00 4.00 Y Y aáaÑ CLOPIDOGREL 75 MG(PJ)PVÖUoin•^jr] TAB ] 0.00 N Y )*+,ก!"#$%)*-."ก/-01$*23 GRENDIS(TRIFLUSAL) 300 MG D## TRIFLUSAL 25.00 25.00 N N 2.10 Fibrinolytics drugs !"#$% ก HAD STREPTOKINASE 1,500,000 U[STREPTASE PXRc]( C 7,211.00 7,211.00 Y Y !"#$% 1 RT-PA (ALTEPLASE/ACTILYSE) 50 MG INJ [ Z ]] ALTEPLASE 23,013.00 23,013.00 Y Y 2.11 Haemostatics !"#$% ก TRANSAMIN INJ 250 MG/ 5 ML (B/L2) ก TRANEXAMIC ACID 34.00 34.00 Y Y !"#$% 4 TRANSAMIN 250 MG CAP [ (B/L2)% TRANEXAMIC ACID 5.00 5.00 Y Y !"#$% 5 HEMOPHIL-M 250 U INJ (FACTOR VIII)à 3,345.00 3,345.00 Y N HEMOPHIL-M 500 U INJ (FACTOR VIII)[HAEMOCTIN]( 6,221.00 6,221.00 Y N IMMUNINE 600 IU INJ [FACTOR IX](PVÖUoCASE) à (2) 6,994.00 6,994.00 Y N )*+,ก!"#$%)*-."ก/-01$*23 NOVOSEVEN 1 MG INJ (C/N) (AD) $ 25,720.00 25,720.00 Y N 2.12 Lipid-regulating drugs !"#$% ATC ATORVASTATIN 40 MG (PVÖUoARV) (X/L3) D## ATORVASTATIN 0.00 0.00 N Y ATC FENOFIBRATE 100 MG PVÖUo ARV(C/L3) FENOFIBRATE 0.00 0.00 N Y !"#$% ก (40 MG)* SIMVASTATIN (X/L3) ก SIMVASTATIN 2.00 2.00 Y Y
18 พฤศจิกายน 2561 หนา 8 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- (600 MG) HIDIL (GEMFIBROZIL) TAB (C/L3)(2991)ก GEMFIBROZIL 1.50 1.50 Y Y ATC GEMFIBROSIL 600 MG (PVÖUoARV) ก GEMFIBROZIL 0.00 0.00 N Y ATC SIMVASTATIN 10 MG (PVÖUoATC) ก SIMVASTATIN 0.00 0.00 N Y NICOTINIC ACID 50 MG T ก NICOTINIC ACID 0.50 0.50 Y Y SIMVASTATIN 20 MG( X/L3) (2845)V ก SIMVASTATIN 1.50 1.50 Y Y PàcâÇ~i^qRQ 300 cก. (GEMFIBROZIL) CAP (C/L3)(1598GEMFIBROZIL 1.50 1.50 Y Y !"#$% ( QUESTRAN (CHOLESTYRAMINE 4 GM) (B/L1) I CHOLESTYRAMINE 25.00 25.00 Y Y !"#$% 4 (LEXEMIN 300 MG PXRc) FENOFIBRATE [ (C/L3)(3117)#FENOFIBRATE 6.00 6.00 Y N LEXEMIN 100 MG (FENOFIBRATE) (C/L3)[ # FENOFIBRATE 5.00 5.00 Y N !"#$% 1 ATORVASTATIN 40 MG (X/L3) D ](##) 7.00 7.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 $XARATOR {y MG (ATORVASTATIN)(X/L3)D$ ATORVASTATIN 20.00 20.00 N N (OกPQRก dÑb ROSUVT1 wjh)CRESTOR 10 MG>>..>>(X/L3)ROSUVASTATIN 22.00 22.00 N N EZETIMIBE 10 MG (wjh EZETROL PXRc)TAB D (C/L3)##EZETIMIBE 17.00 17.00 N N LIVALO 2 MG TAB (PITAVASTATIN) D$ PITAVASTATIN 28.00 28.00 N N LOPID 900 MG ##>>..>> GEMFIBROZIL 20.50 20.50 N N MEVALOTIN 40 MG TAB (X/L3)D# PRAVASTATIN 41.00 41.00 Y N ROSUVASTATIN 10 MG (VIVACOR*)[CRESTORPXRc](XROSUVASTATIN 22.00 22.00 N N SUPRALIP 145 MG NT TAB D $ FENOFIBRATE 15.00 15.00 N N 3 Respiratory system 3.1 Bronchodilators 3.1.1 Adrenoceptor agonists !"#$% ก (VENTOLIN EVOHALER) SALBUTAMOL MDI [100 MCGSALBUTAMOL 135.00 135.00 Y Y [VENTOLIN SOL*] SALBUTAMOL SOLUTION IkXQo[20SALBUTAMOL 65.00 65.00 Y Y ASMASAL SDU NEB ก(U) SALBUTAMOL 13.00 13.00 Y Y MEPTIN SYR 60 ML (N/N) ก PROCATEROL 41.00 41.00 Y Y SALBUTAMOL 2 MG TAB ก (C/N) SALBUTAMOL 0.50 0.50 Y Y SALBUTAMOL SYR 60 ML(C/N) ก SALBUTAMOL 12.00 12.00 Y Y TERBUTALINE 2.5 MG TAB( B/L2)_ก TERBUTALINE SULFATE 0.50 0.50 Y Y TERBUTALINE INJ 500 MCG/ML( B/L2) V ก(U) TERBUTALINE SULFATE 11.00 11.00 Y Y TERBUTALINE SYR( B/L2) 60 ML(TERBULIN) ก TERBUTALINE SULFATE 16.00 16.00 Y Y !"#$% ( MEPTIN-MINI 25 MCG (N/N) TAB (834)I PROCATEROL 3.50 3.50 Y Y )*+,ก!"#$%)*-."ก/-01$*23 BAMBEC 10 MG(N/L3) # BAMBUTEROL 11.00 11.00 Y N 3.1.2 Compound antimuscarinic bronchodilators
18 พฤศจิกายน 2561 หนา 9 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- !"#$% ก (BERODUAL FORTE PXRc*) IPRATERAL NEB (B/L2) ก(U 8.00 8.00 Y Y (OกPQRก)...BERODUAL FORTE>>..>>(B/L2) ก(U) FENOTEROL HBR 20.00 20.00 Y Y IPRATROPIUM BR 20.00 20.00 Y Y BERODUAL INHALER (B/L2) ก 200 DOSE FENOTEROL HBR 307.00 307.00 Y Y IPRATROPIUM BR 307.00 307.00 Y Y !"#$% 4 SPIRIVA COMBOPACK (C/N) D [ 30 DOSE TIOTROPIUM BROMIDE 1,956.00 1,956.00 Y Y SPIRIVA REFILL 30 CAP (C/N) _D [ 30 DOSE TIOTROPIUM BROMIDE 1,871.00 1,871.00 Y Y 3.1.3 Theophylline !"#$% ก AMINOPHYLLINE 100 MG T_ (C/L1)ก AMINOPHYLLINE 0.50 0.50 Y Y AMINOPHYLLINE 250 MG INJ (C/L1)ก AMINOPHYLLINE 9.00 9.00 Y Y MEDIC SYR 60 ML>>ก(^rPahr) GLYCERYL GUAIACOLATE 13.00 13.00 Y Y THEOPHYLLINE 13.00 13.00 Y Y NUELIN S.R. 200 MG TAB( C/L1) (3046)_ก THEOPHYLLINE 3.00 3.00 Y Y NUELIN S.R.250MG TAB( C/L1 ) ก [^rPahrrrก] THEOPHYLLINE 3.00 3.00 Y Y 3.2 Corticosteroids !"#$% ก BUDESONIDE 100 MCG INHALER (BUDECORTPXRc)(B/CBUDESONIDE 218.00 218.00 Y Y BUDESONIDE 200 MCG MDI (INFLAMIDE PXRc) ก 200 DOSE BUDESONIDE 319.00 319.00 Y Y PULMICORT 500 MCG RESPULE ก(U) BUDESONIDE 50.00 50.00 Y Y !"#$% 4 (SERETIDE 25/125 EVO PXRc) EVOFLO*[120 DOSE] [ D FLUTICASONE PROPIONATE 356.00 356.00 Y Y SALMETEROL (AS XINAFOATE) 356.00 356.00 Y Y (OกPQRก)...SERETIDE(C/L2) 25/125 EVO(cfk]áUhกQU])>>..FLUTICASONE PROPIONATE 541.00 541.00 Y Y SALMETEROL (AS XINAFOATE) 541.00 541.00 Y Y FLIXOTIDE EVOHALER 125 MCG [ D 120 DOSE FLUTICASONE PROPIONATE 282.00 282.00 Y Y SERETIDE ACCUHALER(C/L2) 50/250 [ _D 60 DOSE FLUTICASONE PROPIONATE 550.00 550.00 Y Y SALMETEROL (AS XINAFOATE) 550.00 550.00 Y Y SERETIDE(C/L2) "{x/xy" EVO (cfk]rfrh*) [_ D 120 DOSE FLUTICASONE PROPIONATE 467.00 467.00 Y Y SALMETEROL (AS XINAFOATE) 467.00 467.00 Y Y SERETIDE(C/L2) 25/ {xy EVO (cfk]PIbc)120 DOSE [_ D FLUTICASONE PROPIONATE 701.00 701.00 Y Y SALMETEROL (AS XINAFOATE) 701.00 701.00 Y Y SYMBICORT 160/4.5 (C/N)[_ D# 60 DOSE BUDESONIDE 523.00 523.00 Y Y FORMOTEROL 523.00 523.00 Y Y SYMBICORT FORTE ã{y/å (C/N)[ D# 60 DOSE BUDESONIDE 737.00 737.00 Y Y FORMOTEROL 737.00 737.00 Y Y 3.3 Leukotriene receptor antagonists !"#$% 4
18 พฤศจิกายน 2561 หนา 10 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- MONTELUKAST 10 MG (MONTEK) [ D (B/L2 ) MONTELUKAST 9.00 9.00 Y Y SINGULAIR [^] x MG [ebU*][ D## (B/L2) MONTELUKAST 27.00 27.00 N N SINGULAIR 10 MG>>..>>[^] [ D## (B/L2) MONTELUKAST 50.00 50.00 N N 3.4 Antihistamines !"#$% ก ATARAX 10 MG L (HYDROXYZINE)(637)_(C/L2)ก HYDROXYZINE 0.50 0.50 Y Y ATARAX SYR 60 ML (HYDROXYZINE)_(C/L2) ก HYDROXYZINE 13.00 13.00 Y Y BENADRYL 25 MG CAP (B/L2) ก DIPHENHYDRAMINE 1.00 1.00 Y Y CETIRIZINE 10 MG (ZENSIL) TAB(B/L2)_ก CETIRIZINE 1.00 1.00 Y Y CETIRIZINE SYRUP 5 MG/ 5 ML(ZENSIL PXRc) ก CETIRIZINE 21.00 21.00 Y Y CLARITYNE SYRUP 100 ML_ ก $(^rPahrrrก) LORATADINE 176.00 176.00 N N CPM 4 MG TAB[aWÇÉUhth] (316) ก(C/L2) CHLORPHENIRAMINE MALEATE 0.50 0.50 Y Y CPM INJ 10 MG/ML V ก(C/L2)(U) CHLORPHENIRAMINE MALEATE 5.00 5.00 Y Y CPM SYR 60 ML ก CHLORPHENIRAMINE MALEATE 7.00 7.00 Y Y LORATADINE (ALLER-TAB) (B/L2) ก LORATADINE TAB 2.00 2.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 AERIUS SYR 0.5 MG/ 1 ML (C/N) D# DESLORATADINE 226.00 226.00 N N AERIUS TAB 5 MG (C/N) D# DESLORATADINE 25.00 25.00 Y N DIMETAPP ELIXIR# BROMPHENIRAMINE MALEATE 32.00 32.00 Y N PHENYLEPHRINE HCL 32.00 32.00 Y N FEXOFENADINE 60 MG (C/L2)D# FEXOFENADINE HCL 4.00 4.00 Y N KETOTIFEN 1 MG TAB(C/N)# KETOTIFEN 1.50 1.50 Y N TELFAST 60 MG D## FEXOFENADINE HCL 9.00 9.00 N N XYZAL 5 MG (B/N)(LEVOCETIRIZINE) _##D LEVOCETIRIZINE DIHYDROCHLORIDE 20.50 20.50 N N 3.5 Pulmonary surfactants !"#$% 1 CUROSURF 1.5 ML (PORACTANT) ] D PORACTANT ALFA (PHOSPHOLIPID) 13,261.00 13,261.00 Y Y SURVANTA ] (AD)D BERACTANT 19,932.00 19,932.00 Y Y 3.6 Cough preparations !"#$% ก TUSSIS [OUwกbârhlmUXmU] (1415) ก V ANTIMONY 27.00 27.00 Y Y CAMPHORATED OPIUM 27.00 27.00 Y Y LIQUORICE LIQUID EXTRACT 27.00 27.00 Y Y 3.6.1 Cough suppressants !"#$% ก DEXTROMETHORPHAN 15 MG (C/L1)(377) ก DEXTROMETHOPHAN 1.00 1.00 Y Y !"#$% 4 CODEPECT10 MG{CODESIA-Pc`XaWPIWOk}(282) [ CODEINE 2.00 2.00 Y Y GLYCERYL GUAIACOLATE 2.00 2.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23
18 พฤศจิกายน 2561 หนา 11 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- BENADRYL EXP 60 ML_ (149)(B/L2)# AMMONIUM CL 22.00 22.00 Y N DIPHENHYDRAMINE 22.00 22.00 Y N 3.6.2 Expectorant and demulcent cough preparations !"#$% ก GUAIFENESIN SYR 60 ML ก GLYCERYL GUAIACOLATE 12.00 12.00 Y Y !"#$% 1 cowkb] (1908) V (^aibkO)qr]Qo diก^oPÖ^U 9.00 9.00 Y Y di•Uhecfrh 9.00 9.00 Y Y diakUX 9.00 9.00 Y Y cowkb] 9.00 9.00 Y Y aU^abc 9.00 9.00 Y Y enkIcRlhrbrO 9.00 9.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 BISOLVON INJ# BROMHEXINE 39.00 39.00 Y N BROMHEXINE 8 MG TAB (N/L3)(179)# BROMHEXINE 0.50 0.50 Y N BROMHEXINE SYR 60 ML(N/L3) (181)# BROMHEXINE 16.00 16.00 Y N CARBOCYSTEINE 375 MG#(N/N) CARBOCISTEINE 2.00 2.00 Y N CARBOCYSTEINE ÑhRXhlmU 60 ML(FLEMEXPXRc)(528)# CARBOCISTEINE 40.00 40.00 Y N FLEMEX 375 MG TAB(527) $ CARBOCISTEINE 4.00 4.00 N N 3.7 Systemic nasal decongestants !"#$% ก MAXIPHED TAB 60 MG (PSEUDOEPHEDRINE)(C/L2)(809 PSEUDOEPHEDRINE HCL 2.00 2.00 Y Y PSEUDOEPHEDRINE SYR 60 ML ก PSEUDOEPHEDRINE HCL 21.00 21.00 Y Y 4 Central nervous system 4.1 Hypnotics and anxiolytics !"#$% ก (1.0 MG) ATIVAN [LORAZEPAM](D/L3)(115) ก LORAZEPAM 1.00 1.00 Y Y ATIVAN 0.5 MG [LORAZEPAM](D/L3)(114)_ก LORAZEPAM 1.00 1.00 Y Y CHLORDIAZEPOXIDE 10 MG>>..>>ก(D/L3) CHLORDIAZEPOXIDE 1.00 1.00 Y Y DIAZEPAM 2 MG (D/L3)(382) ก DIAZEPAM 1.00 1.00 Y Y DIAZEPAM 5 MG (D/L3)(383) ก DIAZEPAM 1.50 1.50 Y Y DIAZEPAM INJ IM 10 MG(D/L3) V ก(U)[2 ML] DIAZEPAM 10.00 10.00 Y Y HAD CHLORAL HYDRATE (100 MG/ML) 15 MLก CHLORAL HYDRATE 20.00 20.00 Y Y !"#$% ( CLORAZEPATE 5 MG CAP (2899)I CHLORAZEPATE 2.50 2.50 Y Y )*+,ก!"#$%)*-."ก/-01$*23 ANPRESS 0.25 MG # (ALPRAZOLAM)(D/L3) ALPRAZOLAM 1.00 1.00 Y N ANPRESS 0.5 MG # (ALPRAZOLAM)(D/L3) ALPRAZOLAM 1.50 1.50 Y N DEANXIT TAB # FLUPENTIXOL 7.00 7.00 Y N MELITRACEN 7.00 7.00 Y N
18 พฤศจิกายน 2561 หนา 12 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- 4.2 Drugs used in psychoses and related disorders 4.2.1 Antipsychotic drugs !"#$% ก (wQกPáQWÜOhOUecXrUOp)...CHLORPROMAZINE 50 MG/2MLCHLORPROMAZINE INJ 5.00 5.00 Y Y CHLORPROMAZINE 100 MG TAB (C/L3)ก CHLORPROMAZINE 1.00 1.00 Y Y CHLORPROMAZINE 25 MG TAB (C/L3) ก CHLORPROMAZINE 1.00 1.00 Y Y FLUPHENAZINE DECANOATE 25 MG ก(PHARNAZINEFLUPHENAZINE DECANOATE 36.00 36.00 Y Y HALDOL DECANOAS 50 MG INJ ก HALOPERIDOL DECANOAS 77.00 77.00 Y Y HALOPERIDOL 0.5 MG TAB(aWIUk) (C/L3) ก HALOPERIDOL 0.50 0.50 Y Y HALOPERIDOL 2 MG TAB(aWPeQèr]) V (C/L3) ก HALOPERIDOL 1.50 1.50 Y Y HALOPERIDOL 5 MG TAB(aWÇÉU) (C/L3) ก HALOPERIDOL 1.50 1.50 Y Y HALOPERIDOL INJ 5MG/1ML(C/L3) ก HALOPERIDOL 11.00 11.00 Y Y HALOX SYR 2 MG/ML 15 ML(HALOPERIDOL ) (C/L3) 37.00 37.00 Y Y PERPHENNAZINE 2 MG(C/L3)_ก PERPHENNAZINE 0.50 0.50 Y Y PERPHENNAZINE 4 MG(C/L3) ก PERPHENNAZINE 1.00 1.00 Y Y PERPHENNAZINE 8 MG (C/L3)ก PERPHENNAZINE 1.50 1.50 Y Y !"#$% ( 2 MG RISPERIDONE (GPO*PXRc)(C/L3) TAB I RISPERIDONE 5.00 5.00 Y Y RISPERIDONE ê MG [ehëÜ]]*(C/L3) TAB I RISPERIDONE 3.00 3.00 Y Y RISPERIDONE SYR 1MG/1ML [30 ML] decf*(C/L3) I RISPERIDONE 195.00 195.00 Y Y !"#$% 4 100 MG CLOZA_PINE (Páíhws]) (B/L3)_[ CLOZAPINE 4.00 4.00 Y Y CLOZAPINE 25 MG (B/L3)[ CLOZAPINE 2.00 2.00 Y Y FLUANXOL DEPOT 40 MG INJ D [ FLUPENTIXOL DECANOATE 221.00 221.00 Y Y RISPERIDAL SYR>>..>> [^]$ (C/L3) 1 MG/1ML 30 ML [ RISPERIDONE 1,196.00 1,196.00 N N TIDAZINE 10 MG TAB (PIWOk) (C/L3) [ THIORIDAZINE 1.00 1.00 Y Y TIDAZINE 25 MG TAB (hlmU•UQ) (C/L3 ). [ THIORIDAZINE 1.50 1.50 Y Y TIDAZINE 50 MG TAB (C/L3) [ THIORIDAZINE 2.00 2.00 Y Y !"#$% 1 (200 MG*) QUETIAPIN TAB (C/L3) ] [NEUTAPIN PXRc] QUETIAPINE 24.00 24.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 (ABILIFY PXRc) ARIPIPRAZOLE 10 MG [APALIFE*] D($)ARIPIPRAZOLE 85.00 85.00 N N (OกPQRก)...(QUICK TAB) 2 MG RISPERIDAL>>**>>(C/L3)RISPERIDONE 76.00 76.00 N N (OกPQRก)...(QUICK TAB) RISPERIDAL 0.5 MG>>**>>(C/LRISPERIDONE 25.50 25.50 N N ABILIFY ODT 10 MG>>..>>[^] D($) ARIPIPRAZOLE 194.00 194.00 N N SEROQUEL 100 MG>>..>>[^](QUETIAPINE) (C/L3) ## QUETIAPINE 83.50 83.50 N N 4.2.2 Antimanic drugs !"#$% ก LITHIUM CARBONATE 300MG(D/L3) ก LITHIUM CARBONATE 3.00 3.00 Y Y !"#$% 1
18 พฤศจิกายน 2561 หนา 13 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- (LAMICTALPXRc) LAMOTRIGINE 50 MG TAB (C/N )] D LAMOTRIGINE 14.00 14.00 Y Y LAMICTAL TAB 50 MG>>..>>(LAMOTRIGINE)(C/N )] DLAMOTRIGINE 27.00 27.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 (SEROQUELPXRc) QUETIAPINE 100 MG [NEUTAPIN*] (CQUETIAPINE 15.00 15.00 N N 4.3 Antidepressant drugs !"#$% ก AMITRIPTYLINE 10 MG (C/L3) ก AMITRIPTYLINE 1.00 1.00 Y Y AMITRIPTYLINE 25 MG (C/L3) ก AMITRIPTYLINE 1.00 1.00 Y Y FLUOXETIN 20 MG {SSRI}(C/L3) ก FLUOXETINE 1.50 1.50 Y Y IMIPRAMINE 25 MG TAB_(D/L3) ก IMIPRAMINE 1.50 1.50 Y Y NORTRILEN 25 MG (NORTRIPTYLINE)TAB ก (C/L3) NORTRIPTYLINE 2.00 2.00 Y Y NORTRIPTYLINE 10 MG TAB ก (C/L3) NORTRIPTYLINE 1.00 1.00 Y Y !"#$% ( SERTRALINE 50 MG TAB{SSRI} (C/L3) I D SERTRALINE 6.50 6.50 Y Y TOLVON 10 MG (MIANSERIN)TAB_I MIANSERIN HCL 3.00 3.00 Y Y !"#$% 4 (ANAFRANIL PXRc*) CLOMIPRAMINE 25 MG TAB [ CLOMIPRAMINE 4.00 4.00 Y Y ANAFRANIL 25 MG>>..>>(CLOMIPRAMINE) [ CLOMIPRAMINE 9.00 9.00 Y Y TRAZODONE 50 MG{SARI} (C/L3)[ TRAZODONE 2.50 2.50 Y Y )*+,ก!"#$%)*-."ก/-01$*23 EFEXOR XR 37.5 MG(VENLAFAXINE){SNRI} CAP (C/ VENLAFAXINE HCL 56.50 56.50 N N LEXAPRO 10 MG TAB (ESCITALOPRAM){SSRI} (C/L3 ESCITALOPRAM 52.50 52.50 N N PRISTIQ 50 MG (DESVENLAFAXINE){SNRI} TAB ##D DESVENLAFAXINE SUCCINATE MONOH 66.00 66.00 N N TIANEPTINE (STABLON)>>..>>{SSRE}## TIANEPTINE 19.00 19.00 N N 4.4 Central nervous system stimulants !"#$% 4 (PVÖUo CASE) RITALIN (R) 10 MG TAB [ (C/L3) METHYLPHENIDATE 6.00 6.00 Y Y METHYLPHENIDATE 10 MG TAB [ (C/L3) METHYLPHENIDATE 4.00 4.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 CONCERTA 27 MG (PVÖUo CASE)*[METHYLPHENIDATE_SR METHYLPHENIDATE 109.00 109.00 N N 4.5 Drugs used in nausea and vertigo 4.5.1 Drugs used in nausea and vomitting !"#$% ก DOMPERIDONE 10 MG TAB (C/L2)(876)ก DOMPERIDONE 1.00 1.00 Y Y DOMPERIDONE SYR 30 ML(C/L2)ก DOMPERIDONE 12.00 12.00 Y Y METOCLOPRAMIDE 10 MG TAB ก (B/L3) METOCLOPAMIDE 0.50 0.50 Y Y METOCLOPRAMIDE INJ V ก (B/L3)(U) METOCLOPAMIDE 10.00 10.00 Y Y !"#$% ( ONDANSETRON 4 MG (B/L2)INJ I ONDANSETRON 73.00 73.00 Y Y ONDANSETRON 8 MG (B/L2)TAB_I ONDANSETRON 11.00 11.00 Y Y
18 พฤศจิกายน 2561 หนา 14 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- )*+,ก!"#$%)*-."ก/-01$*23 ALOXI 0.25 MG/5ML (PALONOSETRON) INJ [SMP]PVÖUoPALONOSETRON 2,481.00 2,481.00 N N NASEA 0.1 MG (RAMOSETRON)TAB (N/N)## RAMOSETRON 411.00 411.00 N N 4.5.2 Drugs used in vestibular disorders !"#$% ก DIMENHYDRINATE 50 MG TAB (B/L2)(415) ก DIMENHYDRINATE 0.50 0.50 Y Y DRAMAMINE INJ (DIMENHYDRINATE) 50MG/1MLก(UDIMENHYDRINATE 10.00 10.00 Y Y !"#$% ( BETAHISTINE(MERISLON PXRc)6 MG TAB (N/N)_I BETAHISTINE MESYLATE 1.50 1.50 Y Y MERISLON ê{ MG TAB (N/N)I ## BETAHISTINE MESYLATE 4.00 4.00 N N )*+,ก!"#$%)*-."ก/-01$*23 (SERMION 30 MG PXRc) NICERGOLINE ## NICERGOLINE 13.00 13.00 N N CINNARIZINE 25 MG (256)(C/N)# CINNARIZINE 1.00 1.00 Y N CO_DERGOCRINE 1 MG (HYDERGINE L) (N/N)# CODERGOCRINE MESYLATE 1.50 1.50 Y N EMBOL 400 MG CAP(N/N)# PIRACETAM 4.00 4.00 Y N MECOBALAMINE 500 MCG TAB(1872) ## MECOBALAMINE 2.00 N N PENTOXIFYLLINE 400 MG(FLEXITAL)(C/L2)# PENTOXIFYLLINE 5.00 5.00 Y N 4.6 Analgesics and antipyretics !"#$% ก (ÑhRXeOX KIT) PARACETAMOL DROP [60 MG/0.6 ML] กPARACETAMOL 13.00 13.00 Y Y IBUPROFEN 200 MG TAB (201)_(B/D/L1) ก IBUPROFEN 1.50 1.50 Y Y IBUPROFEN SYR 60 ML (B/D/L1) ก IBUPROFEN 13.00 13.00 Y Y PARACET SUSP(SARA) 120 MG/5ML (B/L1)(1717)ก PARACETAMOL 11.00 11.00 Y Y PARACETAMOL 325 MG TAB (B/L1) (993)ก PARACETAMOL 0.50 0.50 Y Y PARACETAMOL 500 MG TAB (B/L1) (994) ก V(U) PARACETAMOL 1.00 1.00 Y Y TEMPRA FORTE SYR 250 MG/5ML 60 ML ก PARACETAMOL 30.00 30.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 Analgesic balm 33.00 33.00 Y Y IDARAC 200 MG>>..>> (C/L3)(655)# FLOCTAFENINE 5.00 5.00 Y N 4.7 Analgesics 4.7.1 Opioid analgesics !"#$% 4 [rrกùjûRüP^`k] MORPHINE IR TAB 10 MG [ (C/D) MORPHINE SULFATE 3.00 3.00 Y Y 30 MG* MORPHINE TAB MST [ (C/D) MORPHINE SULFATE 31.00 31.00 Y Y FENTANYL 0.1 MG INJ 2 ML (C/L1)[ FENTANYL CITRATE 39.00 39.00 Y Y FENTANYL 12 MCG/HR TRANSDERMAL (DURAGESICFENTANYL CITRATE 97.00 97.00 Y Y MORPHINE [VWX]* 10 MG/ML INJ [ (C/D)(U) MORPHINE SULFATE 20.00 20.00 Y Y MORPHINE SOL 10 MG/5ML 60 ML [ (C/D) MORPHINE SULFATE 61.00 61.00 Y Y MORPHINE TAB 10 MG MST [ (C/D) MORPHINE SULFATE 19.00 19.00 Y Y PETHIDINE 50 MG (B/D/L1)INJ [ PETHIDINE 20.00 20.00 Y Y
18 พฤศจิกายน 2561 หนา 15 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- TRAMADOL 100 MG/2ML INJ (C/L2)_[(U) TRAMADOL 23.00 23.00 Y Y TRAMADOL(Pc`X) 50 MG CAP (C/L2)_[ TRAMADOL 2.50 2.50 Y Y )*+,ก!"#$%)*-."ก/-01$*23 TYLENOL WITH CODEINE [CODENOL]% CODEINE 3.00 3.00 Y N PARACETAMOL 3.00 3.00 Y N 4.7.2 Drugs for neuropathic pain !"#$% 1 (300 MG) GABA_PENTIN CAP (C/L2) ] D GABAPENTIN 4.00 4.00 Y Y GA_BA_PENTIN [600 MG] TAB (C/L2) ] D GABAPENTIN 11.00 11.00 Y Y GABAPENTIN 100 MG CAP (C/L2) ] D GABAPENTIN 4.00 4.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 PREGABALIN 75 MG $ (LYRICA PXRc)(C/N) PREGABALIN 20.00 20.00 N N 4.7.3 Antimigraine drugs 4.7.31 Drugs for acute migraine attack !"#$% 4 ERGOTAMINE 1 MG+CAFFEINE 100 MG TAB [(CAFERGOT CAFFEINE 1.50 1.50 Y Y ERGOTAMINE 1.50 1.50 Y Y 4.7.32 Drugs used in the prophylaxis of migraine !"#$% ( CYPROHEPTADINE 4 MG(B/L2) I CYPROHEPTADINE 0.50 0.50 Y Y )*+,ก!"#$%)*-."ก/-01$*23 FLUNARIZINE 5 MG CAP (N) (1208)# FLUNARIZINE 1.50 1.50 Y N PIZOTIFEN TAB>>..>>(N/N)[OU EXP.Pahrrก]# PIZOTIFEN 1.00 1.00 Y N 4.8 Antiepileptics 4.8.1 Drugs used in the control of epilepsy !"#$% ก (SODIUM VALPROATE) VAL_PA_RIN**200 MG ก SOD.VALPROATE 3.00 3.00 Y Y (aUcPeQWÜOcaWPeQèr]) DILANTIN 50 MG INFATAB(D/L1) กPHENYTOIN 8.50 8.50 Y Y CARBAMAZEPINE 200 MG(PANTOL) (D/L1)ก CARBAMAZEPINE 2.00 2.00 Y Y DEPAKIN 200 MG TAB( D/L3) ก$ SOD.VALPROATE 6.00 6.00 N N DEPAKIN 400 MG(D/L3) INJ ก SOD.VALPROATE 586.00 586.00 Y Y DEPAKIN CHRONO 500 MG TAB(D/L3) ก SOD.VALPROATE 15.50 15.50 Y Y DEPAKIN SYR(D/L3) 60 ML ก SOD.VALPROATE 270.00 270.00 Y Y DILANTIN 100 MG SR CAP (D/L1)R_ก PHENYTOIN 5.00 5.00 Y Y PHENOBARBITAL GR 1 (D/L3)ก V PHENOBARBITAL 0.50 0.50 Y Y PHENOBARBITAL GR 1/2 (D/L3) ก PHENOBARBITAL 0.50 0.50 Y Y PHENYTOIN CAP 100 MG(DITOIN)(D/L1) ก PHENYTOIN 1.00 1.00 Y Y OUVWX PHENOBARBITONE 200 MG/ML INJ ก PHENOBARBITAL 138.00 138.00 Y Y !"#$% ( (400 MG) ZEPTOL CR(CARBAMAZEPINE) TAB I CARBAMAZEPINE 9.50 9.50 Y Y
18 พฤศจิกายน 2561 หนา 16 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- CLONAZEPAM 0.5 MG TAB (D/L3) I CLONAZEPAM 1.00 1.00 Y Y CLONAZEPAM 2.0 MG TAB (D/L3) I CLONAZEPAM 2.00 2.00 Y Y ZEPTOL CR 200 MG(CARBAMAZEPINE) TAB I CARBAMAZEPINE 5.50 5.50 Y Y !"#$% 1 (LAMICTALPXRc) LAMOTRIGINE 50 MG TAB (C/N )] D LAMOTRIGINE 14.00 14.00 Y Y (TOPAMAX 100 MG PXRc)TOPIRAMATE 100 MG (C/L3) ]TOPIRAMATE 22.00 22.00 Y Y KEPPRA [OUVWX*] INJ (500 MG/5 ML) ] LEVETIRACETAM 529.00 529.00 Y Y KEPPRA 500 MG>>..>>(LEVETIRACETAM) ](C/L2) D LEVETIRACETAM 54.50 54.50 Y Y KEPPRA ORAL SOL.{300 ML}(100 MG/1 ML) ] LEVETIRACETAM 2,980.00 2,980.00 N Y KEPPRA ORAL SOL.qWqWQo**(100 MG/1 ML) ] LEVETIRACETAM 23.00 23.00 N Y LAMICTAL TAB 50 MG>>..>>(LAMOTRIGINE)(C/N )] DLAMOTRIGINE 27.00 27.00 Y Y TOPAMAX 100 MG>>..>>(C/L3) ] D TOPIRAMATE 48.50 48.50 Y Y TOPAMAX xy MG>>..>>(C/L3)] D TOPIRAMATE 31.50 31.50 Y Y )*+,ก!"#$%)*-."ก/-01$*23 PHENOBARB ELIXIR>>..>>20 MG/ÑÑ 60 ML(D/L3)# PHENOBARBITAL 37.00 37.00 Y N 4.8.2 Drugs used in status epilepticus !"#$% ก DILANTIN INJ 250 MG(D/L1) ก(U) PHENYTOIN 377.00 377.00 Y Y 4.9 Drugs used in parkinsonism and related disorders !"#$% TRIVASTAL RETARD 50 MG>>..>> D# PIRIBEDIL 19.50 19.50 Y N !"#$% ก (~káU^†)*VOPAR 250 MG TAB ก*[BENSERAZIDE+LEVODOPA BENSERAZIDE 11.00 11.00 Y Y LEVODOPA 11.00 11.00 Y Y BENZHEXOL 2 MG(TRIHEXYPHENIDYL)(103)(C/L2) ก TRIHEXYPHENIDYL HCL 1.00 1.00 Y Y MADOPAR HBS 125 MG CAP ก D ## BENSERAZIDE 10.50 10.50 N N LEVODOPA 10.50 10.50 N N !"#$% 4 SUPLAC (BROMOCRIPTINE) 2.5 MG(B/L3)_[ BROMOCRIPTINE MESYLATE 10.00 10.00 Y Y !"#$% 5 BOTULINUM [PJ]TOXIN 500*IU (aáaÑ/aáa)TYPE Aà 0.00 Y Y BOTULINUM TOXIN (ÑmU^oP]Rh)TYPE A 500 U à BOTULINUM TOXIN TYPE A 15,951.00 15,951.00 N N BOTULINUM à 2 wif]VWXaRjûRrèÜh 1 U à BOTULINUM TOXIN TYPE A 40.00 40.00 Y N 4.10 Drugs used in substance dependence 4.11 DRUGS USED IN DEMENTIA )*+,ก!"#$%)*-."ก/-01$*23 (EBIXA PXRc) MEMANTINE 10 MG [MEMXA*](B/L3) D##MEMANTINE HYDROCHLORIDE 13.00 13.00 N N ARICEPT EVESS 10 MG TAB>>..>>(C/L3)..D $ DONEPEZIL HCL 146.00 146.00 N N EBIXA 10 MG TAB>>..>>[^] (MEMANTINE HCL) (B/L3 MEMANTINE HYDROCHLORIDE 102.00 102.00 N N EXELON PATCH 10 (9.5 MG/24 H) D $ RIVASTIGMINE 154.00 154.00 N N
18 พฤศจิกายน 2561 หนา 17 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- 5 Infections 5.1 Antibacterial drugs )*+,ก!"#$%)*-."ก/-01$*23 ZYVOX TAB 600 MG (LINEZOLID)à(2)##(PVÖUo CASE) LINEZOLID 1,473.00 1,473.00 N N 5.1.1 Penicillins !"#$% ก AMOXICILLIN 125 MG SYR (B/L1)(78)ก AMOXICILLIN 15.00 15.00 Y Y AMOXICILLIN 250 MG SYR(B/L1) (80)ก AMOXICILLIN 23.00 23.00 Y Y AMOXYCILLIN 250 MG CAP (B/L1)(79)Vก AMOXICILLIN 2.00 2.00 Y Y AMOXYCILLIN 500 MG CAP (B/L1)(81)Vก AMOXICILLIN 2.50 2.50 Y Y AMPICILLIN 1 G INJ (B/L1)ก AMPICILLIN 19.00 19.00 Y Y AMPICILLIN 250 MG INJ (B/L1)ก AMPICILLIN 12.00 12.00 Y Y AMPICILLIN 500 MG INJ (B/L1)ก AMPICILLIN 15.00 15.00 Y Y BENZATHINE PEN 1.2 MU (B/L1) ก BENZATHINE PENICILLIN 73.00 73.00 Y Y CLOXACILLIN 1 G INJ(B/L1)_ก CLOXACILLIN 21.00 21.00 Y Y CLOXACILLIN 500 MG INJ (B/L1)_ก CLOXACILLIN 15.00 15.00 Y Y DICLOXACILLIN 250 MG CAP V (B/L1) ก DICLOXACILLIN 2.00 2.00 Y Y DICLOXACILLIN 500 MG CAP (B/L1)(3461) V ก DICLOXACILLIN 3.00 3.00 Y Y DICLOXACILLIN 62.5 MG/5 ML 60 ML SYR ก (B/L1) DICLOXACILLIN 25.00 25.00 Y Y PEN-V 200,000U SYR 60ML(B/L1)_ก PENICILLIN V 13.00 13.00 Y Y PEN-V 400,000U TAB(B/L1) V ก PENICILLIN V 1.50 1.50 Y Y PGS 1 MU>..>ก PENICILLIN G SODIUM 10.00 10.00 Y Y PGS 5* MU ก PENICILLIN G SODIUM 24.00 24.00 Y Y !"#$% 4 (AMOKSIKLAV 1 GM) AMOXICILLIN 875+CLAVULANIC AMOXICILLIN 15.50 15.50 Y Y CLAVULANATE POTASSIUM 15.50 15.50 Y Y [^rPahrrrก] PENICILLAMINE 250 MG (D/L3) CAP [ PENICILLAMINE 19.00 19.00 Y Y AMOKSIKLAV 2X (457MG)(400+57)SUSP 70 ML [ AMOXICILLIN 227.00 227.00 Y Y CLAVULANATE POTASSIUM 227.00 227.00 Y Y AUGMENTIN 2.2 G.INJ (B/L2)[ AMOXICILLIN 147.00 147.00 Y Y CLAVULANATE POTASSIUM 147.00 147.00 Y Y UNASYN 3 GM INJECTION [ SULTAMICILLIN TOSYLATE 347.00 347.00 Y Y OUVWX AMK 1.2 GM.INJ (AUGMENTIN INJ PXRc) (B/L2)[ AMOXICILLIN 59.00 59.00 Y Y CLAVULANATE POTASSIUM 59.00 59.00 Y Y !"#$% 1 (TAZOCIN 4.5 GM PXRc) PIPERACILLIN 4 GM+TAZOBACTAM PIPERACILLIN SOD 135.00 135.00 Y Y TAZOBACTAM 135.00 135.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 AMK 228 MG(200+28)SUSP 70 ML# [NED] AMOXICILLIN 135.00 135.00 Y N CLAVULANATE POTASSIUM 135.00 135.00 Y N
18 พฤศจิกายน 2561 หนา 18 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- AUGMENTIN SYRUP zyy /°{.å MG/5ML 50 ML ## AMOXICILLIN 610.00 610.00 N N CLAVULANATE POTASSIUM 610.00 610.00 N N UNASYN 750 MG TABLET $ AMPICILLIN 59.00 59.00 N N SULBACTAM SOD 59.00 59.00 N N UNASYN POS SYR>>..>>250 MG/5ML 60ML D## SULTAMICILLIN TOSYLATE 350.00 350.00 N N 5.1.2 Cephalosporins, cephamycins, and other beta-lactam !"#$% ก CEFAZOLIN 1 G INJ (ZEFA)(B/L1)ก(U) CEFAZOLIN 21.00 21.00 Y Y CEPHALOSPORINS GROUP 21.00 21.00 Y Y CEPHALEXIN 125 MG /5 ML SYR 60 ML>>..>>_(B/L1)ก CEPHALEXIN 23.00 23.00 Y Y CEPHALOSPORINS GROUP 23.00 23.00 Y Y CEPHALEXIN 500 MG CAP (B/L1)ก CEPHALEXIN 4.00 4.00 Y Y CEPHALOSPORINS GROUP 4.00 4.00 Y Y !"#$% 4 (250 MG) CEF-3 IM INJECTION (B/L1) ([) CEFTRIAXONE DISODIUM 46.00 46.00 Y Y CEPHALOSPORINS GROUP 46.00 46.00 Y Y (CLAFORAN) CEFOTAXIME 1 GM INJ _(B/L1)[ CEFOTAXIME SOD 35.00 35.00 Y Y CEPHALOSPORINS GROUP 35.00 35.00 Y Y (PIbUกQbUc) CEF-3 IM 1 GM (B/L1)([) CEFTRIAXONE SODIUM 34.00 34.00 Y Y CEPHALOSPORINS GROUP 34.00 34.00 Y Y CEF-3 IV(CEFTRIAXONE SOD) 1 GM (2865) (B/L1)[(U)CEFTRIAXONE SODIUM 19.00 19.00 Y Y CEPHALOSPORINS GROUP 19.00 19.00 Y Y CEF-4* 1 GM INJ (CEFTAZIDIME)_[ZEDIM](B/L1) [ CEFTAZIDIME 24.00 24.00 Y Y CEPHALOSPORINS GROUP 24.00 24.00 Y Y !"#$% 1 (LOCAL) MEROPENEM* 1 GM (B/L2) INJ...] MEROPENAM 178.00 178.00 Y Y CEFOPERAZONE+SULBACTAM( B/ L1) 1.5 GM...] D CEFOPERAZONE SOD 46.00 46.00 Y Y CEPHALOSPORINS GROUP 46.00 46.00 Y Y SULBACTAM SOD 46.00 46.00 Y Y CEFSPAN SUSPENSION (100 MG/5 ML)[CEFIXIME] ] 30CEFIXIME 287.00 287.00 Y Y IMIPENAM 500 MG+CILASTATIN 500 MG (C/L3) ] CILASTATIN 228.00 228.00 Y Y IMIPENAM 228.00 228.00 Y Y INVANZ 1 GM (ERTAPENEM SOD) INJ ] (B/L2) ERTAPENAM SOD 1,144.00 1,144.00 Y Y MERONEM 1 GM (B/L2) INJ ] MEROPENAM 1,269.00 1,269.00 Y Y SULPERAZON 1.5 GM INJ>>..>> ] D# CEFOPERAZONE SOD 627.00 627.00 Y N CEPHALOSPORINS GROUP 627.00 627.00 Y N SULBACTAM SOD 627.00 627.00 Y N TIENAM 500 MG INJ (C/L3) ] D CILASTATIN 713.00 713.00 Y Y IMIPENAM 713.00 713.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23
18 พฤศจิกายน 2561 หนา 19 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- DISTACLOR 250 MG CAP##(B/L1) CEFACLOR 24.50 24.50 N N CEPHALOSPORINS GROUP 24.50 24.50 N N MEIACT 100 MG CAP ##(B/L1) CEFDITOREN 40.00 40.00 N N CEPHALOSPORINS GROUP 40.00 40.00 N N MEIACT GRANULES 50 MG/qr]*(CEFDITOREN) D$(B/CEFDITOREN 24.00 24.00 N N CEPHALOSPORINS GROUP 24.00 24.00 N N OMNICEF 100 MG CAP #(B/L1) CEFDINIR 30.00 30.00 Y N CEPHALOSPORINS GROUP 30.00 30.00 Y N OMNICEF 125 MG SYR #(B/L1) CEFDINIR 282.00 282.00 Y N CEPHALOSPORINS GROUP 282.00 282.00 Y N 5.1.3 Tetracyclines !"#$% ก DOXYCYCLINE 100 MG(D/L1)_ก DOXYCYCLINE 2.00 2.00 Y Y TETRACYCLIN 250 MG ( D/L1) CAP_ก TETRACYCLINE 1.00 1.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 OXYTETRACYCLIN HCL 50 MG/ML*(D/L1)INJ #[10 MLOXYTETRACYCLINE 22.00 22.00 Y N TERRAMYCIN EYE OINT# OXYTETRACYCLINE 26.00 26.00 Y N POLYMIXIN B 26.00 26.00 Y N TYGACIL 50 MG INJ(D/N) (TIGLICYCLINE) D ## TIGLICYCLIN 2,651.00 2,651.00 N N 5.1.4 Aminoglycosides !"#$% ก GENTAMICIN 20 MG/2ML INJ (C/L1)ก GENTAMICIN 7.00 7.00 Y Y GENTAMICIN 80 MG/2ML INJ [wáXaRi](C/L1) ก GENTAMICIN 5.00 5.00 Y Y NEOMYCIN 350 MG TAB (C/L2) ก NEOMYCIN SULFATE 4.50 4.50 Y Y STREPTO_MYCIN 1 G INJ (I^ก,ÑmU^oP]Rh,áกa,•fU]XbUk)ก STREPTOMYCIN 19.00 19.00 Y Y TB STREPTOMYCIN 1 G ( D/L1)INJ (~[^]กU^) ก STREPTOMYCIN 0.00 0.00 Y Y !"#$% ( (500 MG/2ML) A_MI_KACIN INJ V I AMIKACIN 40.00 40.00 Y Y A_MI_KACIN {250 MG/2ML} INJ V I AMIKACIN 29.00 29.00 Y Y AMIKIN EYE DROP (50 MG./ML.) OUP•^WOc I AMIKACIN 120.00 120.00 Y Y GEN TA MICIN EYE DROP (14 MG./ML.) (C/L1)OUP•^WOc I 90.00 90.00 Y Y !"#$% 4 KANAMYCIN 1 G INJ (I^ก,ÑmU^oP]Rh,áกa,•fU]XbUk) [ KANAMYCIN 17.00 17.00 Y Y TB KANAMYCIN 1 G INJ (~[^]กU^) [ KANAMYCIN 0.00 0.00 Y Y !"#$% 1 NETILMICIN 150 MG/1.5ML ] NETILMICIN SULFATE 300.00 300.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 GENTAMICIN CREAM 15 GM decf (C/L1)# 35.00 35.00 Y N 5.1.5 Macrolides !"#$% ก
18 พฤศจิกายน 2561 หนา 20 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- ERYTHROMYCIN SYR 125 MG (B/L1)ก ERYTHROMYCIN ESTOLATE 20.00 20.00 Y Y ERYTHROMYCIN GROUP 20.00 20.00 Y Y ROXITHROMYCIN êxy MG(N/N) TAB. (1649)_ก ROXITHROMYCIN 1.50 1.50 Y Y !"#$% 1 (ZITHROMAX SYRPXRc)_AZITHROMYCIN SUSPENSIONAZITHROMYCIN 79.00 79.00 Y Y (ZITHROMAX PXRc) AZITHROMYCIN 250 MG CAP*[w[áqp AZITHROMYCIN Q 14.00 14.00 Y Y CLARITHROMYCIN 500 MG (CRIXAN)TAB(C/L2)] CLARITHROMYCIN 21.50 21.50 Y Y KLACID MR 500 MG TAB (C/L2)] ## CLARITHROMYCIN 65.50 65.50 N N KLACID ORAL SUSPENSION [125 MG/5 ML] ] 60 ML(DCLARITHROMYCIN 319.00 319.00 Y Y ZITHROMAX DRY SYR>>..>> (B/L2)] (D) AZITHROMYCIN 251.00 251.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 ERYTHRO LOTION 2% (B/L1)30 ML** ERYTHROMYCIN 40.00 N N ERYTHROMYCIN 250 MG TAB [ESTAB](B/L1)# ERYTHROMYCIN 3.00 3.00 Y N ERYTHROMYCIN GROUP 3.00 3.00 Y N KLACID IV 500 MG(C/L2)# CLARITHROMYCIN 442.00 442.00 Y N MIOTIN SYR 200 MG 60ML(N/N)## MEDICAMYCIN 132.00 132.00 N N ROVAMYCIN 500 MG TAB>>..>>(C/L2)##[i^R¢njOกPQRกàmUSPIRAMYCIN ehfUO 11.50 11.50 N N ZITHROMAX 500 MG IV(B/L2)# AZITHROMYCIN 700.00 700.00 Y N 5.1.6 Quinolones !"#$% ก NORFLOXACIN 100 MG TAB._ก (C/L2) NORFLOXACIN 1.50 1.50 Y Y NORFLOXACIN 400 MG TAB. (1645)_ก (C/L2 ) NORFLOXACIN 2.00 2.00 Y Y !"#$% ( QINOLON 200 MG (C/L2)TAB.( OFLOXACIN )_I OFLOXACIN 8.50 8.50 Y Y !"#$% 4 TB OFLOXACIN 200 MG (C/L2)TAB. (~[^]กU^) [ OFLOXACIN 0.00 0.00 Y Y !"#$% 1 CIPROFLOXACIN 200 MG/100ML(VWX*) INJ(C/L2) ] D(UCIPROFLOXACIN 40.00 40.00 Y Y CIPROFLOXACIN 500 MG TAB(C/L2) ] CIPROFLOXACIN 3.00 3.00 Y Y CIPROX 250 MG TAB (CIPROFLOXACIN)(C/L2)] CIPROFLOXACIN 2.50 2.50 Y Y CRAVIT 500 MG TAB>>..>>(LEVOFLOXACIN)(C/L2) D## LEVOFLOXACIN 81.50 81.50 N N CRAVIT INJ 750 MG (C/L2)(LEVOFLOXACIN) ] LEVOFLOXACIN 1,018.00 1,018.00 Y Y LEVOFLOXACIN 500 MG TAB(C/L2) D ] LEVOFLOXACIN 23.00 23.00 Y Y TB LEVOFLOXACIN 500 MG TAB(C/L2)](~[^]กU^) LEVOFLOXACIN 0.00 0.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 AVELOX 400 MG TAB (MOXIFLOXACIN 400 MG) D(PVÖUo MOXIFLOXACIN HCL 153.00 153.00 N N CRAVIT EYE DROP 5MG/ML D# LEVOFLOXACIN 202.00 202.00 Y N VIGAMOX EYE DROP 0.5% 5 ML D# MOXIFLOXACIN HCL 201.00 201.00 Y N 5.1.7 Some other antibacterials !"#$% ก
18 พฤศจิกายน 2561 หนา 21 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- METRONIDAZOLE 200 MG T(B/L3)(848) ก METRONIDAZOLE 1.00 1.00 Y Y METRONIDAZOLE 500MG/100ML INJ_ ก (B/L3)(U) METRONIDAZOLE 28.00 28.00 Y Y !"#$% ( CLINDAMYCIN* 600 MG/4ML INJ (CLINOTT-P) (B/L1)ICLINDAMYCIN 22.00 22.00 Y Y LINCOCIN 600 MG/2 ML INJ(B/L1) I LINCOMYCIN 10.00 10.00 Y Y OUPc`X* CLINDAMYCIN 300 MG CAP (B/L1)I CLINDAMYCIN 4.00 4.00 Y Y !"#$% 1 COLISTATE 150 MG INJ (COLISTIN) (C/L2) ] COLISTIN 431.00 431.00 Y Y COLISTIN 1 GM SYR>>..>>(C/L2) COLISTIN 21.00 21.00 Y Y FOSMICIN 4 G INJ ] D FOSFOMYCIN 445.00 445.00 Y Y FUCIDIN 250 MG TAB. ] D SODIUM FUSIDATE 69.00 69.00 Y Y VANCOCIN* 500 MG INJ (B/L2)] D VANCOMYCIN HCL 91.00 91.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 TARGOCID 200 MG INJ>>..>>(TEICOPLANIN)( N/N)# TEICOPLANIN 1,473.00 1,473.00 Y N TYGACIL 50 MG INJ(D/N) (TIGLICYCLINE) D ## TIGLICYCLIN 2,651.00 2,651.00 N N 5.1.8 Sulphonamides and trimethoprim !"#$% ก BACTRIM INJ (C/L3) ก SULFAMETHOXAZOLE 34.00 34.00 Y Y TRIMETHOPRIM 34.00 34.00 Y Y CO-TRIMOXAZOL SYR 60 ML(C/L3) ก SULFAMETHOXAZOLE 13.00 13.00 Y Y TRIMETHOPRIM 13.00 13.00 Y Y CO-TRIMOXAZOL(BACTRIM) TAB (C/L3)(136) ก SULFAMETHOXAZOLE 1.00 1.00 Y Y TRIMETHOPRIM 1.00 1.00 Y Y PHARMA CREAM 40 GM ก SILVER SULFADIAZINE 32.00 32.00 Y Y PHARMA CREAM 5 GM ก SILVER SULFADIAZINE 7.00 7.00 Y Y PHARMA CREAM 500 GM ก SILVER SULFADIAZINE 370.00 370.00 Y Y SULFADIAZINE 500 MG TAB_ ก SULFADIAZINE 2.00 2.00 Y Y 5.1.9 Antituberculous drugs !"#$% ก ETHAMBUTOL 500 MG ก (I^ก,ÑmU^oP]Rh,áกa,•fU]XbUk) ETHAMBUTOL 4.00 4.00 Y Y INH SUSPENSION (10 MG/ML) 30 MLก 50.00 50.00 Y Y RIFAMPICIN SUSPENSION (20 MG/ML) 30 ML ก RIFAMPICIN 50.00 50.00 Y Y STREPTO_MYCIN 1 G INJ (I^ก,ÑmU^oP]Rh,áกa,•fU]XbUk)ก STREPTOMYCIN 19.00 19.00 Y Y TB ETHAMBUTOL 400 MG (B/L2)ก(~[^]กU^) ก ETHAMBUTOL 0.00 0.00 Y Y TB ETHAMBUTOL 500 MG (B/L2)ก(~[^]กU^) ก ETHAMBUTOL 0.00 0.00 Y Y TB INH (~[^]กU^) 100 MG (C/L2) ก ISONIAZID 0.00 0.00 Y Y TB PZA(PYRAZINAMIDE) 500MG ก(~[^]กU^) PYRAZINAMIDE 0.00 0.00 Y Y TB STREPTOMYCIN 1 G ( D/L1)INJ (~[^]กU^) ก STREPTOMYCIN 0.00 0.00 Y Y TB â^wÇc RIFAM 300 MG(C/L1) CAP ก(~[^]กU^) RIFAMPICIN 0.00 0.00 Y Y TB â^wÇc RIFAM 450MG(C/L1) TAB ก(~[^]กU^) RIFAMPICIN 0.00 0.00 Y Y
18 พฤศจิกายน 2561 หนา 22 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- !"#$% ( TB RIFINAH 150 MG * [INH 100+RIFAM150] I ISONIAZID 0.00 0.00 Y Y RIFAMPICIN 0.00 0.00 Y Y TB RIFINAH ãyy MG(INH 150+RIFAM300) I(IkXQo 60 ISONIAZID 0.00 0.00 Y Y RIFAMPICIN 0.00 0.00 Y Y TB RIFINAH[ws]] 300 MG*(INH 150+RIFAM300) I ISONIAZID 0.00 0.00 Y Y RIFAMPICIN 0.00 0.00 Y Y !"#$% 4 KANAMYCIN 1 G INJ (I^ก,ÑmU^oP]Rh,áกa,•fU]XbUk) [ KANAMYCIN 17.00 17.00 Y Y TB CYCLOSERINE 250 MG TAB (C/L2)(~[^]กU^) [ CYCLOSERINE 0.00 0.00 Y Y TB ETHIONAMIDE 250 MG TAB (C/L2)(~[^]กU^) [ ETHIONAMIDE 0.00 0.00 Y Y TB KANAMYCIN 1 G INJ (~[^]กU^) [ KANAMYCIN 0.00 0.00 Y Y TB OFLOXACIN 200 MG (C/L2)TAB. (~[^]กU^) [ OFLOXACIN 0.00 0.00 Y Y TB PAS SOD. 1 GM TAB (~[^]กU^) [ PARA-AMINO SALICYLIC ACID 0.00 0.00 Y Y !"#$% 1 CYCLOSERINE 250 MG TAB [ (OU TB)(I^ก,ÑmU^oP]Rh,áกaCYCLOSERINE 57.50 57.50 Y Y ETHAMBUTOL 400 MG ก (I^ก,ÑmU^oP]Rh,áกa,•fU]XbUk) ETHAMBUTOL 2.50 2.50 Y Y ETHIONAMIDE 250 MG TAB [ (I^ก,ÑmU^oP]Rh,áกa,•fU]XbUETHIONAMIDE k 33.50 33.50 Y Y INH (ISONIAZID) 100 MG ก (I^ก,ÑmU^oP]Rh,áกa,•fU]XbUk) ISONIAZID 1.00 1.00 Y Y PAS SOD. 1 GM TAB [(I^ก,ÑmU^oP]Rh,áกa,•fU]XbUk) PARA-AMINO SALICYLIC ACID 6.00 6.00 Y Y PZA(PYRAZINAMIDE) 500 MG ก (I^ก,ÑmU^oP]Rh,áกa,•fU]XbPYRAZINAMIDE Uk 2.50 2.50 Y Y RIFAMPICIN 300 MG CAP ก (I^ก,ÑmU^oP]Rh,áกa,•fU]XbUk) RIFAMPICIN 4.50 4.50 Y Y RIFAMPICIN 450 MG TAB ก (I^ก,ÑmU^oP]Rh,áกa,•fU]XbUk) RIFAMPICIN 6.00 6.00 Y Y TB LEVOFLOXACIN 500 MG TAB(C/L2)](~[^]กU^) LEVOFLOXACIN 0.00 0.00 Y Y 5.1.10 Antileprotic drugs !"#$% ก DAPSONE 100 MG (DDS)(C/L3) ก(~[^]กU^) DAPSONE 0.00 0.00 Y Y DAPSONE 100 MG (DDS)(C/L3)_ก DAPSONE 16.00 16.00 Y Y LAMPRENE 50 MG CAP(C/L3) (OU~[^]กU^) ก CLOFAZIMINE 0.00 0.00 Y Y OU~[^]กU^ LEPROSY MDT-MB ws]Qo ก CLOFAZIMINE 0.00 0.00 Y Y DAPSONE 0.00 0.00 Y Y RIFAMPICIN 0.00 0.00 Y Y 5.2 Antifungal drugs !"#$% ก FLUCONAZOLE 200 MG CAP (C/L1)_ ก FLUCONAZOLE 7.50 7.50 Y Y GRISEOFULVIN 500 MG_(C/N) ก GRISEOFULVIN 3.00 3.00 Y Y KETOCONAZOLE 200 MG TAB (C/L2)V ก KETOCONAZOLE 3.00 3.00 Y Y MYCOSTATIN (NYST ORAL SUSP) 12 ML ก NYSTATIN 35.00 35.00 Y Y !"#$% 4 FUNGIZONE(AMPHO - B) 50 MG INJ_(B/L2)[ AMPHOTERICIN-B 474.00 474.00 Y Y
18 พฤศจิกายน 2561 หนา 23 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- ITRACONAZOLE 100 MG (SPAZOL) CAP (C/L3) [ ITRACONAZOLE 8.50 8.50 Y Y !"#$% 5 (OUVWX)VFEND 200 MG INJ (VORICONAZOLE)(D/L3)##à VORICONAZOLE 6,770.00 6,770.00 N N LIPOSOMAL AMPHOTERICIN B 50 MG INJ à(2) AMPHOTERICIN-B 7,376.00 7,376.00 N N VFEND TAB 200 MG[OUPc`X](VORICONAZOLE)(D/L3)PVÖUo 1,592.00 1,592.00 N N aáaÑ LIPOSOMAL AMPHO B 50 MG INJ (AMBISOME) AMPHOTERICIN-B 0.00 Y Y aáaÑ VFEND [OUPc`X] 50 MG*(VORICONAZOLE)(D/L3) 0.00 Y Y aáaÑ VFEND 200 MG TAB[OUPc`X](VORICONAZOLE)(DVORICONAZOLE 0.00 Y Y aáaÑ VFEND(OUVWX) 200 MG INJ (VORICONAZOLE)(D/VORICONAZOLE 0.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 FLUOMIZIN VAGINAL TABLET##D DEQUALINIUM CHLORIDE 33.00 33.00 N N GYNECON-T VAGINAL TABLET# NYSTATIN 6.00 6.00 Y N 5.3 Antiviral drugs !"#$% ก (800 MG)* ACYCLOVIR TAB[VIZO 800] ก ACYCLOVIR 6.00 6.00 Y Y !"#$% 4 ACYCLOVIR 250 MG(B/L1) INJ [ ACYCLOVIR 211.00 211.00 Y Y 5.3.1 Non-antiretrovirals !"#$% ก (ACYCLOVIR) VILERM 200 MG TAB_ก ACYCLOVIR 4.00 4.00 Y Y LAMIVUDINE SYR 10 MG/ML (3TC)(C/L3) ก D## LAMIVUDINE 73.00 73.00 N N !"#$% 1 GANCICLOVIR 500 MG INJ (C/L3)] D GANCICLOVIR 1,736.00 1,736.00 Y Y !"#$% 5 (OกPQRก)...aáaÑ,aáa PEGINTRON CLEARCLICK PEN 150 0.00 Y Y PEGASYS 180 MCG INJECTION D## à 2 PEGINTERFERON ALPHA-2A 3,525.00 3,525.00 N N RIBAVIRIN 200 MG CAP (REBETOL) (X/L3) # à 2 RIBAVIRIN 0.00 0.00 Y N aáaÑ,aáa PEGASYS 180 MCG INJECTION à 2 0.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 FAMVIR 250 MG TAB (B/L3) # FAMCICLOVIR 159.00 159.00 Y N 5.3.2 Antiretrovirals !"#$% ก TENO-EM (^kc 2 ÑhRX) ÑmU^oP]Rh (TDF 300 MG + FTC 200 25.00 25.00 N N (aWÇÉU^W-GPO)TENOFOVIR 300 MG(TDF) ( B/L3) ก D 16.00 16.00 N N ARVSSO (200 MG *) EFAVIRENZ [aWPeQèr]rfrh] ก EFAVIRENZ 0.00 0.00 Y N ARVSSO (EFAVIRENZ 600 MG)aWPeQèr] ก EFAVIRENZ 0.00 0.00 Y N ARVSSO (NEVIRAPINE 200 MG TAB)aWIUk(NVP) ก (C/LNEVIRAPINE 0.00 0.00 Y N ARVSSO (TENOFOVIR 300 MG)(TDF)aWÇÉU^W ก# tenofovir 0.00 0.00 Y N ARVSSO (ZIDOVUDINE 100 MG)w[áqtQaWIUk(AZT) (C/LZIDOVUDINE 0.00 0.00 Y N ARVSSO (ZILARVIR ) AZT 300+3TC 150 ก LAMIVUDINE 0.00 0.00 Y N
18 พฤศจิกายน 2561 หนา 24 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- ARVSSO (ZILARVIR ) AZT 300+3TC 150 ก ZIDOVUDINE 0.00 0.00 Y N ARVSSO GPO-VIR Z Pc`XaWIUk ก LAMIVUDINE 0.00 0.00 Y N NEVIRAPINE 0.00 0.00 Y N ZIDOVUDINE 0.00 0.00 Y N ARVSSO(LAMIVUDINE 150 MG)Pc`XIUk(3TC) ก LAMIVUDINE 0.00 0.00 Y N ARVSSO(^kc 2 ÑhRX)TENO-EM(TDF 300 MG + FTC 200 EMTRICITABINE 0.00 Y N tenofovir 0.00 Y N ARVSSO(^kc 3 ÑhRX) TEEVIR (TDF 300+EFV 600+ FTC 200 EFAVIRENZ 0.00 Y N EMTRICITABINE 0.00 Y N tenofovir 0.00 Y N ATC (200 MG *) EFAVIRENZ (EFV) ก EFAVIRENZ 0.00 0.00 N Y ATC (^kc 2 ÑhRX) TENO-EM(TDF 300 MG + FTC 200 MGEMTRICITABINE 0.00 N Y TENOFOVIR 0.00 N Y ATC (^kc 3 ÑhRX) TEEVIR(TDF 300+EFV 600+ FTC 200 MG EFAVIRENZ 0.00 0.00 N Y EMTRICITABINE 0.00 0.00 N Y TENOFOVIR 0.00 0.00 N Y ATC AZT 300 MG CAP (C/L3) ก ZIDOVUDINE 0.00 0.00 N Y ATC EFAVIRENZ 600 MG(aWPeQèr])(EFV) ก EFAVIRENZ 0.00 0.00 N Y ATC GPO-VIR Z ก LAMIVUDINE 0.00 0.00 N Y NEVIRAPINE 0.00 0.00 N Y ZIDOVUDINE 0.00 0.00 N Y ATC LAMIVUDINE 150 MG (Pc`X^WaWIUk)(3TC)TAB ก LAMIVUDINE 0.00 0.00 N Y ATC LAMIVUDINE(3TC) SYR 10 MG/ML ก LAMIVUDINE 73.00 73.00 N Y ATC NEVIRAPINE(NVR) 200 MG (aWIUk)TAB ก(C/L3)ก NEVIRAPINE 0.00 0.00 Y Y ATC NEVIRAPINE(NVR) SYR 10 MG/ML 60 MLà (C/L3)NEVIRAPINE 79.00 79.00 N Y ATC TENOFOVIR(TDF) 300 MG(aWÇÉU^W) TAB ก TENOFOVIR 0.00 0.00 N Y ATC ZIDOVUDINE(AZT) 100 MG CAPw[áqtQaWIUk (C/L3ZIDOVUDINE 0.00 0.00 N Y ATC ZIDOVUDINE(AZT) SYR 10 MG/ML 60 ML ก ZIDOVUDINE 61.00 61.00 N Y EFAVIRENZ 600 MG TAB(GPO/aWPeQèr]) CL(C/L3)_ ก## EFAVIRENZ 8.00 8.00 N N LAMIVUDINE 150 MG (3TC) Pc`X^WaWIUk(C/L3) V ก D LAMIVUDINE 8.00 8.00 Y Y TEEVIR (^kc 3 ÑhRX) [ÑmU^oP]Rh]*(TDF 300+EFV 600+ FTCEFAVIRENZ 41.00 41.00 N N EMTRICITABINE 41.00 41.00 N N tenofovir 41.00 41.00 N N !"#$% ( ARVSSO (GPO VIR S 30)Pc`XaWIUk I LAMIVUDINE 0.00 0.00 Y N NEVIRAPINE 0.00 0.00 Y N STAVUDINE 0.00 0.00 Y N ATC GPO VIR S 30 I LAMIVUDINE 0.00 0.00 N Y NEVIRAPINE 0.00 0.00 N Y STAVUDINE 0.00 0.00 N Y
18 พฤศจิกายน 2561 หนา 25 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- ATC RILPIVIRINE 25 MG (EDURANT) TAB I RILPIVIRINE 0.00 N Y NEVIRAPINE 200 MG TAB à (aWIUk) (C/L3) # V NEVIRAPINE 7.50 7.50 Y N !"#$% 4 ARV ATAZANAVIR 300 MG(w[áqpQhlmUP]Rh-wX])(REYATAZ ATAZANAVIR 0.00 Y N ARVSSO (RITONAVIR 100 MG decf *)TAB [NORVIR][ RITONAVIR 0.00 Y N ARVSSO (STAVUDINE 30 MG CAP)w[áqtQaWÇÉU-IUk (D4STAVUDINE 0.00 0.00 Y N ARVSSO KALETRA [ LOPINAVIR 0.00 0.00 Y N RITONAVIR 0.00 0.00 Y N ARVSSO(LOPINAVIR200/RITRONAVIR50)aWPeQèr] [ LOPINAVIR 0.00 0.00 Y N RITONAVIR 0.00 0.00 Y N ATC (RITONAVIR 100 MG decf *)TAB [NORVIR][ RITONAVIR 0.00 N Y ATC ATAZANAVIR 300 MG(w[áqpQhlmUP]Rh-wX])(REYATAZ ATAZANAVIR 0.00 N Y ATC LOPINAVIR 200/RITONAVIR 50 (aWPeQèr])[ LOPINAVIR 0.00 0.00 N Y RITONAVIR 0.00 0.00 N Y ATC STAVUDINE(D4T) 30 MG(w[áqtQaWÇÉU-IUk) CAP [ STAVUDINE 0.00 0.00 N Y !"#$% 1 ARVSS0_RILPIVIRINE 25 MG (EDURANT) TAB ] RILPIVIRINE 0.00 Y Y ARVSSO DDI 125 MG TAB ] DIDANOSINE 0.00 Y N ARVSSO DDI 200 MG TAB ] DIDANOSINE 0.00 Y N ARVSSO_(ABACAVIR 600 + 3TC 300)[KIVEXA] ] ABACAVIR 0.00 Y N LAMIVUDINE 0.00 Y N ARVSSO_ABACAVIR 300 MG TAB (ZIAGENAVIR) ] ABACAVIR 0.00 Y N ATC (ABACAVIR 600 + 3TC 300)[KIVEXA] ] ABACAVIR 0.00 N Y LAMIVUDINE 0.00 N Y ATC ABACAVIR 300 MG TAB (ZIAGENAVIR) ] ABACAVIR 0.00 N Y ATC DDI 125 MG TAB ] DIDANOSINE 0.00 N Y KIVEXA TAB [ABACAVIR 600/3TC 300]] D$(PVÖUoCASEABACAVIR 121.00 121.00 N N LAMIVUDINE 121.00 121.00 N N !"#$% 5 (200 MG *) EFAVIRENZ TAB (C/L3)_ à EFAVIRENZ 6.00 6.00 Y Y ARV [DARUNAVIR 600 MG] (PREZISTA) à2 DARUNAVIR 0.00 Y N GPO VIR S 30 TAB>>..>>à # LAMIVUDINE 9.50 9.50 N N NEVIRAPINE 9.50 9.50 N N STAVUDINE 9.50 9.50 N N GPO VIR Z àV## LAMIVUDINE 11.50 11.50 N N NEVIRAPINE 11.50 11.50 N N ZIDOVUDINE 11.50 11.50 N N LOPINAVIR(C/L3)/RITRONAVIR SYR(OUhlmU)[PVÖUoP[a] LOPINAVIR 757.00 757.00 Y Y RITONAVIR 757.00 757.00 Y Y LOPINAVIR200 MG(C/L3)/RITRONAVIR50 MG_CL(aWPeQèLOPINAVIR r] 17.00 17.00 Y Y
18 พฤศจิกายน 2561 หนา 26 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- LOPINAVIR200 MG(C/L3)/RITRONAVIR50 MG_CL(aWPeQèRITONAVIR r] 17.00 17.00 Y Y NEVIRAPINE SYR. 10MG/ML à 60ML (C/L3)## 79.00 79.00 N N RITONAVIR 100 MG(B/L3) Pc`XaWIUk (NORVIR) à RITONAVIR 53.00 53.00 Y Y STAVUDINE 30 MG CAP(C/L3) w[áqtQaWÇÉU-IUk (D4T) à STAVUDINE 5.00 5.00 Y N VIDEX EC 250 MG (B/L3) à (1) DIDANOSINE 115.00 115.00 Y Y ZIDOVUDINE(AZT) 100 MG CAP V w[áqtQaWIUk(C/L3)à ZIDOVUDINE 4.00 4.00 Y Y ZIDOVUDINE(AZT) SYR 10MG/ML à 60ML## 61.00 61.00 N N )*+,ก!"#$%)*-."ก/-01$*23 VIRACEPT 250 MG # # (NELFINAVIR) NELFINAVIR 23.80 23.80 Y Y 5.4 Antiprotozoal drugs 5.4.1 Antimalarials !"#$% ก CHLOROQUINE 250 MG( 150 MG BASE) ก V(C/L1) CHLOROQUINE 1.00 1.00 Y Y PRIMAQUINE 15 MG TAB (C/L2) ก V PRIMAQUINE 1.50 1.50 Y Y PYRIMETHAMINE 25 MG TAB [OUIUX[^Uk](C/L2) ก PYRIMETHAMINE 1.00 1.00 Y Y QUININE 300 MG (D/L2) ก QUININE 2.50 2.50 Y Y QUININE GR 10 INJ. (D/L2) ก QUININE 13.00 13.00 Y Y !"#$% 4 ARTESUNATE 60 MG/1ML INJ [ ARTESUNATE 156.00 156.00 Y Y ARTESUNATE TABLET 50 MG (^rwQกPáQWÜOh EXP.) [ ARTESUNATE 17.50 17.50 Y Y MEFLOQUINE 250 MG(C/L2) [ MEFLOQUINE 30.00 30.00 Y Y 5.4.2 Other antiprotozoal drugs )*+,ก!"#$%)*-."ก/-01$*23 TINIDAZOLE 500 MG TAB(C/N)# TINIDAZOLE 2.50 2.50 Y N 5.5 Antihelmintics !"#$% ก (wQกPáQWÜOhOUecXrUOp)...PRAZIQUANTEL 600 MGTAB(BPRAZIQUANTEL 15.50 15.50 Y Y ALBENDAZOLE 200 MG TAB (C/L2)ก ALBENDAZOLE 3.50 3.50 Y Y DEC 300 MG(DIETHYLCARBAMAZINE) ก DIETHYLCARBAMAZINE 24.00 24.00 Y Y MEBENDAZOLE 100 MG TAB(C/L2)_ก MEBENDAZOLE 1.50 1.50 Y Y MEBENDAZOLE SUSP 30 ML(C/L2) ก MEBENDAZOLE 13.00 13.00 Y Y NICLOSAMIDE TAB>>..>>(HEXIN)_ก (N/N) NICLOSAMIDE 4.50 4.50 Y Y !"#$% ( IVERMECTIN 6 MG TAB (C/L2) I IVERMECTIN 97.00 97.00 Y Y 5.6 Antiseptics !"#$% ก ALCOHOL 70% (240 ml.) ก ETHYL ALCOHOL 32.00 32.00 Y Y ALCOHOL 70% (450 ML.) ก ETHYL ALCOHOL 42.00 42.00 Y Y ALCOHOL 70% (60 ml.) ก ETHYL ALCOHOL 8.00 8.00 Y Y CHLORHEXIDINE 2% IN ALC. 70% (60 ML.) ก CHLORHEXIDINE GLUCONATE 40.00 40.00 Y Y
18 พฤศจิกายน 2561 หนา 27 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- FORMALIN 450 ML [Qn]OU V ก FORMALDEHYDE 40.00 40.00 Y Y GenTian VIOLET ก GENTIAN VIOLET 9.00 9.00 Y Y HIBITANE 0.5% IN WATER (240 ML.) ก 20.00 20.00 Y Y HIBITANE 5% (1,000 ML.) ก 190.00 190.00 Y Y HIBITANE CONCENTRATE 5% ก CHLORHEXIDINE GLUCONATE 908.00 908.00 Y Y HYDROGEN PEROXIDE 450 ML V ก 32.00 32.00 Y Y POT.PERMANGANATE 10 GM ก POT.PERMANGANATE 10.00 10.00 Y Y POVIDINE SOL 60 ML ก POVIDONE IODINE 15.00 15.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 HIBITANE CREAM 100 GM (HEXIDE CREAM)# CHLORHEXIDINE GLUCONATE 149.00 149.00 Y N HIDINE SCRUB 2% 60 ML# CHLORHEXIDINE GLUCONATE 10.00 10.00 Y N HIDINE SCRUB 4 % 60 ML# CHLORHEXIDINE GLUCONATE 12.00 12.00 Y N HIDINE SCRUB 4% GALLON(PVÖUo]UhsQR•) 900.00 900.00 Y N POVIDINE SCRUB 60 ML# POVIDONE IODINE 12.00 12.00 Y N SAVLON CONC. (10 ML.)# 10.00 10.00 Y Y TRIPLE DYE 30 ML# 18.00 18.00 Y N 6 Endocrine system !"#$% 1 (SYNACTHEN PXRc) TETRACOSACTIDE [0.25 MG/ML] INJ TETRACOSACTIDE 816.00 816.00 Y Y !"#$% 5 SYNACTHEN (0.25 MG/ML) INJ ][i^R¢njwàb]IUX[^Uk..debTETRACOSACTIDE dÑb^ena 504.00 504.00 Y Y 6.1 Drugs used in diabetes 6.1.1 Insulins !"#$% ก HAD HUMULIN-R ก (B/L1) REGULAR INSULIN 85.00 85.00 Y Y HUMULIN-N [INSUGEN N*] ก (B/L1) INSULIN ISOPHANE 121.00 121.00 Y Y INSULATARD HM PENFILL D ก (àpกOU]PIWOk)(B/L1) # NPH INSULIN 154.00 154.00 Y N MIXTARD 70/30 PENFILL (àpกOU]hlmU•UQ)(B/L1) ก D# INSULIN ISOPHANE ( to ) NPH 101.00 101.00 Y N INSULIN SOLUBLE C 30 ) 101.00 101.00 Y N MIXTARD HM INSULIN (INSUGEN 30/70) (B/L1) ก INSULIN ISOPHANE 155.00 155.00 Y Y INSULIN SOLUBLE 155.00 155.00 Y Y !"#$% 1 HAD NOVO MIX 30 PENFILL ](àpกOU]hlmUP]Rh) (B/L1) D# INSULIN ASPART 221.00 221.00 Y N )*+,ก!"#$%)*-."ก/-01$*23 LANTUS SOLO STAR 3 ML (GLARGINE) (B/L1) ] D## INSULIN GLARGINE 654.00 654.00 N N 6.1.2 Oral antidiabetic drugs !"#$% ก (850 MG) METFORMIN TAB (B/L1) (1617) ก METFORMIN 1.00 1.00 Y Y GLIBENCLAMIDE 5 MG>>..>>(B/C)(L3)(1933) V ก GLYBENCLAMIDE 1.00 1.00 Y Y GLIPIZIDE 5 MG (C/L2)ก GLIPIZIDE 1.00 1.00 Y Y
18 พฤศจิกายน 2561 หนา 28 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- METFORMIN 500 MG TAB (B/L1)(839) V ก METFORMIN 1.00 1.00 Y Y !"#$% 1 PIOGLITAZONE 30 MG TAB (C/L2)] D PIOGLITAZONE 3.00 3.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 (OกPQRก)...ACTOSMET[^] (15 MG/850MG)>>..>> TAB D##METFORMIN 42.00 42.00 N N PIOGLITAZONE 42.00 42.00 N N BASEN 0.2 MG TABLET (N/L3) D # VOGLIBOSE 6.50 6.50 Y N GLIMEPIRIDE 2 MG (AMARYLPXRc) (C/L2)## GLIMEPIRIDE 5.50 5.50 N N JANUVIA 100 MG ( B/N)TAB (SITAGLIPTIN) _D## SITAGLIPTIN PHOSPHATE 41.00 41.00 N N JARDIANCE 10 MG (EMPAGLIFLOZIN) D$ EMPAGLIFLOZIN 55.00 55.00 N N 6.2 Thyroid and antithyroid drugs 6.2.1 Thyroid hormones !"#$% ก L-THYROXIN 100 MCG(A/L1)(THYROSIT)_ก LEVO-THYROXIN 1.00 1.00 Y Y 6.2.2 Antithyroid drugs !"#$% ก (MMI)METHIMAZOLE 5 MG ก(D/L1) METHIMAZOLE 2.00 2.00 Y Y LUGOL'S SOLUTION 30 ML ก IODINE 30.00 30.00 Y Y POT.IODIDE 30.00 30.00 Y Y PTU 50 MG (D/L2) ก PROPYLTHIOURACIL 1.50 1.50 Y Y 6.3 Corticosteroids !"#$% ก (OUPc`X 4 MG) DEXAMETHASONE T(C/L2)_ก DEXAMETHASONE 2.00 2.00 Y Y DEXAMETHASONE 0.5 MG T(C/L2)_ก DEXAMETHASONE 0.50 0.50 Y Y DEXAMETHASONE 4 MG INJ (C/L2)V ก(U) DEXAMETHASONE 7.00 7.00 Y Y DEXAMETHASONE SYRUP 0.1 MG/ML(C/L2)_ก DEXAMETHASONE 50.00 50.00 Y Y PREDNISOLONE 5 MG TAB (C/L1) (1060) ก PREDNISOLONE ACETATE 1.00 1.00 Y Y SOLU-CORTEF 100 MG/2ML (HYDROCORTISONE) (C/DHYDROCORTISONE ACETATE 63.00 63.00 Y Y !"#$% ( FLUDROCORTISONE 0.1 MG TAB (PVÖUoCASE) I FLUDROCORTISONE 8.00 8.00 Y Y !"#$% 4 KENACORT-A 10 MG/ML 5ML [(C-D1/L2) TRIAMCINOLONE ACETONIDE 73.00 73.00 Y Y KENACORT-A 40 MG 1 ML [(C-D1/L2) TRIAMCINOLONE ACETONIDE 62.00 62.00 Y Y SOLU-MEDROL ê GM (METHYL PREDNISOLONE)(C/NMETHYL PREDNISOLONE 2,913.00 2,913.00 Y Y SOLU-MEDROL 500 MG (METHYL PREDNISOLONE) (CMETHYL PREDNISOLONE 1,678.00 1,678.00 Y Y 6.4 Sex hormones 6.4.1 Female sex hormones !"#$% ก NorethiSTERONE 5 MG (STERON) ก NORETHISTERONE 4.00 4.00 Y Y NORETHISTERONE 4.00 4.00 Y Y
18 พฤศจิกายน 2561 หนา 29 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- NORETHISTERONE 5 MG (STERON) ก (X/L3) NORETHISTERONE 4.00 4.00 Y Y NORETHISTERONE 4.00 4.00 Y Y !"#$% ( PROGYNOVA 2 MG (X/L1)ws]Qo(I) ESTRADIOL 190.00 190.00 Y Y PROLUTON DEPOT 250 MG_(D/L2) I HYDROXYPROGESTERONE CAPROATE 139.00 139.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 ANGELIQ 28 TAB $ DROSPIRENONE 934.00 934.00 N N ESTRADIOL 934.00 934.00 N N CELVISTA 60 MG (RALOXIFENE) (X/L3)## RALOXIFEN HCL 70.00 70.00 N N CLOMIPHEN CITRATE 50 MG**(X/L3) CLOMIPHENE CITRATE 55.00 N N CYCLO PROGYNOVA (X/L1)## ESTRADIOL 184.00 184.00 N N NORGESTREL 184.00 184.00 N N CYCLOFEM INJ**>>..>> ESTRADIOL 109.00 N N MEDOXYPROGESTERONE 109.00 N N DUOTON FORTE T.P INJ (X/L1)# ESTRADIOL 19.00 19.00 Y N PROGESTERONE 19.00 19.00 Y N DUPHASTON 10 MG TAB(N/N)## DEHYDROGESTERONE 23.00 23.00 N N FEMOSTON CONTI 1/5 (X/L1)$ DYDROGESTERONE 696.00 696.00 N N ESTRADIOL 696.00 696.00 N N LIVIAL 1 ws]## TIBOLONE 842.00 842.00 N N OESTROGEL (X/L1)# ESTRADIOL 241.00 241.00 Y N UTROGESTAN 100 MG CAP $ D PROGESTERONE (MICRONIZED) 14.00 14.00 N N VERAPLEX 500 MG(MEDROXYPROGESTERONE)(FA MEDROXYPROGESTERONE ACETATE 91.00 91.00 Y N 6.4.2 Male sex hormones and antagonists )*+,ก!"#$%)*-."ก/-01$*23 ANDRIOL CAPSULE(TESTOSTERONE) 40 MG##(PVÖUo TESTOSTERONE UNDECANOATE 19.00 N N PROVIRONUM 25 MG D# MESTEROLONE 12.00 12.00 Y N TESTOVIRON DEPOT INJ # TESTOSTERONE PROPIONATE 178.00 178.00 Y N 6.5 Hypothalamic and pituitary hormones 6.5.1 Hypothalamic and anterior pituitary hormones !"#$% 1 PREGNYL 5,000 U>>..>>] ** HUMAN CHORIONIC GONADOTROPHIN 737.00 N N 6.5.2 Posterior pituitary hormones and antagonists !"#$% 1 MINIRIN (Öfhàctก) SOLUTION ] 2.5 ML (B/N)(DESMOPRESSIN DESMOPRESSIN ACETATE 1,403.00 1,403.00 Y Y MINIRIN TABLET 0.1 MG (B/N)] DESMOPRESSIN ACETATE 78.50 78.50 Y Y 6.6 Drugs affecting bone metabolism !"#$% 1 MIACALCIC 100 IU INJECTION ] [i^R¢njOUIUX[^Uk/dÑb^enCALCATONIN a (CALCITONIN) 698.00 698.00 Y Y PAMIDRONATE INJ 30 MG/10 ML (AREDIA PXRc)(D/N) ]PAMIDRONATE DISODIUM 1,381.00 1,381.00 Y Y
18 พฤศจิกายน 2561 หนา 30 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- )*+,ก!"#$%)*-."ก/-01$*23 (OกPQRก)...ACTONEL 35 MG>>..>>(C/N) ## RISEDRONATE SODIUM 365.00 365.00 N N ACLASTA 5 MG INJ 100 ML D## [-] ZOLEDRONIC ACID 17,128.00 17,128.00 N N ALENDRONATE 70 MG (ALDREN) (C/L2)...# ALENDRONATE SODIUM 58.00 58.00 Y N ARTRODAR 50 MG CAP (DIACEREIN)(B/L3)$ DIACEREIN 32.00 32.00 N N BONVIVA FCT 150 MG TAB(IBANDRONIC) (C/N) D ## IBANDRONIC ACID 1,535.00 1,535.00 N N FLEXSA SACHET 1500 MG $ GLUCOSAMINE SULFATE 12.00 0.00 N N FLEXSA 500 MG CAP(GLUCOSAMINE) $ GLUCOSAMINE SULFATE 4.50 0.00 N N FOSAMAX PLUS 70 MG (C/L2)##>> ALENDRONATE SODIUM 356.00 356.00 N N COLECALCIFEROL 356.00 356.00 N N HYALGAN INJ.(C/N) ## HYALURONIC ACID 2,362.00 0.00 N N ORTHONASE NASAL SPRAY 200 IU 30 DOSE>>.>> (MIACALCIC CALCATONIN SPRAY (CALCITONIN) 2,533.00 2,533.00 N N RISEDRONATE 35 MG TAB (ACTONELPXRc) ##(C/N) D RISEDRONATE SODIUM 213.00 213.00 N N SYNVISC INJ D ## HYALURONIC ACID 6,161.00 0.00 N N VIARTRIL-S 500 MG CAP ## GLUCOSAMINE SULFATE 13.00 0.00 N N Viartril-s CAP# 6.20 6.20 Y N VIARTRIL-S SACHE ## GLUCOSAMINE SULFATE 44.00 0.00 N N Viartril-s SACHET ## 36.80 36.80 N N ZOMETA RTU INJ (4 MG/100 ML)(D/N)$ ZOLEDRONIC ACID 13,656.00 13,656.00 N N 6.7 Other endocrine drugs 6.7.1 Bromocriptine and other dopaminergic drugs !"#$% 4 SUPLAC (BROMOCRIPTINE) 2.5 MG(B/L3)_[ BROMOCRIPTINE MESYLATE 10.00 10.00 Y Y 6.7.2 Drugs affecting gonadotrophins )*+,ก!"#$%)*-."ก/-01$*23 ECTOPAL 200 MG CAP (DANAZOL)(X/L3)# DANAZOL 26.50 26.50 Y N 7 Obstetrics, gynaecology, and urinary-tract disorde 7.1 Drugs used in obstetrics 7.1.1 Prostaglandins, prostaglandins antagonists and oxy !"#$% ก METHERGIN INJ (METHYLERGOMETRINE 0.2 MG/MLMETHYLERGOMETRINE 10.00 10.00 Y Y SYNTOCINON 10 U/ML (X/L3)INJ_ก(U) OXYTOCIN (SYNTHETIC) 19.00 19.00 Y Y !"#$% 1 NALADOR INJ ] SULPROSTONE 910.00 910.00 Y Y 7.1.2 Myometrial relaxants 7.2 Treatment of vaginal and vulval conditions !"#$% ก CANESTEN 500 MG VAG.SUPPO ก## CLOTRIMAZOLE 169.00 169.00 N N CLOTRIMAZOLE 500 MG VAG.SUPPO (COTREN)ก CLOTRIMAZOLE 18.00 18.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23
18 พฤศจิกายน 2561 หนา 31 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- FLUOMIZIN VAGINAL TABLET##D DEQUALINIUM CHLORIDE 33.00 33.00 N N 7.3 Contraceptives !"#$% ก ENAF(DMPA)150MG/3ML INJ ก MEDOXYPROGESTERONE 14.00 N Y IMPLANON NXT IMPLANT 68 MG ก(ETOPLAN PXRc) ETONOGESTREL 2,180.00 0.00 Y Y MIRENA at•R>>..>>(INTRAUTERINEcW LEVONORGESTREL LEVONORGESTEL 5,476.00 0.00 Y Y !"#$% ( MERCILON 28 TAB.(X/L2) I ** DESOGESTREL 137.00 N N ETHINYLESTRADIOL 137.00 N N )*+,ก!"#$%)*-."ก/-01$*23 SUCEE 21TAB **(X/L3)>>[rrก] CYPROTERONE ACETATE 85.00 N N ETHINYLESTRADIOL 85.00 N N YASMIN 21 TAB [^rPahr]>>..>>(X/L2) $ DROSPIRENONE 282.00 N N ETHINYLESTRADIOL 282.00 N N YAZ 24+4 Pc`X(X/L2) $ DROSPIRENONE 442.00 N N ETHINYLESTRADIOL 442.00 N N 7.4 Drugs for genito-urinary disorders 7.4.1 Drugs for benign prostatics hyperplasia !"#$% 4 4 MG* DOXAZOSIN (C/L3) [ DOXAZOSIN MESYLATE 1.50 1.50 Y Y DOXAZOSIN { MG (C/L3)[ DOXAZOSIN MESYLATE 1.00 1.00 Y Y XATRAL XL.(B/L3)D [ (ALFUZOSIN 10 MG)(##) ALFUZOSIN HCL 32.00 32.00 Y Y !"#$% 1 FINASTERIDE 5 MG [STERCIA](X/L3)D ] FINESTERIDE 5.00 5.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 (OกPQRก)...HARNAL OCAS..>>*(TAMSULOSIN) 0.4 MG(BTAMSULOSIN 36.50 36.50 N N CARDURA XL 4 MG $ DOXAZOSIN MESYLATE 24.00 24.00 N N 7.4.2 Drugs for urinary frequency, enuresis, and inconti !"#$% 4 DIUTROPAN 5 MG(B/L2) [ D OXYBUTYNIN HCL 10.00 10.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 DETRUSITOL SR 4 MG CAP(C/L3) D## TOLTERODINE 62.00 62.00 N N SPASMEX 30 MG(TROSPIUM ) D## TROSPIUM CHLORIDE 17.50 17.50 N N VESICARE 5 MG D## SOLIFENAIN 52.50 52.50 N N 7.4.3 Drugs used in alkalinisation of urine !"#$% ก (hlmUda) POT. CIT 240 ML(15 ML K=9.9 MEQ CIT=9.9) ก POT.CITRATE 15.00 15.00 Y Y SCHOL SOL 240 ML ก CITRIC ACID 15.00 15.00 Y Y POT.CITRATE 15.00 15.00 Y Y SODIUM CITRATE 15.00 15.00 Y Y
18 พฤศจิกายน 2561 หนา 32 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- 8 Malignant disease and immunosuppression 8.1 Cytotoxic drugs !"#$% 1 HAD TRETINOIN 10 MG (VESANOID) ] (PVÖUo CASE) TRETINOIN 115.00 115.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 HAD CAMPTO 100 MG INJ (NP)## IRINOTECAN 3,289.00 3,289.00 N N HAD EPIRUBICIN 50 MG/25 ML## EPIRUBICIN 6,061.00 6,061.00 N N HAD IRINOTECAN 100 MG/ 5 ML(PVÖUoCASE)$ IRINOTECAN 3,592.00 3,592.00 N N NAVELBINE (VINORELBINE) 20 MG PVÖUoCASE##SMPVINORELBINE 4,534.00 4,534.00 N N NAVELBINE 30 MG (VINORELBINE) PVÖUoCASE##SMPVINORELBINE 6,712.00 6,712.00 N N TEMOZOLOMIDE 100 MG CAP [^](TEMODAL)PVÖUoCASE TEMOZOLOMIDE 7,265.00 7,265.00 N N TEMOZOLOMIDE 20 MG CAP [^](TEMODAL)PVÖUoCASETEMOZOLOMIDE 1,545.00 1,545.00 N N TS ONE CAP 25 MG PVÖUoCASE (SMP)$ GIMERACIL 374.00 374.00 N N OTERACIL POTASSIUM 374.00 374.00 N N TEGAFUR 374.00 374.00 N N 8.1.1 Alkylating drugs !"#$% 4 HAD ENDOXAN 50 MG (CYCLOPHOSPHAMIDE)TAB_CYCLOPHOSPHAMIDE 9.50 9.50 Y Y HAD ENDOXAN INJ 1 GM [(P) CYCLOPHOSPHAMIDE 503.00 503.00 Y Y HAD MYLERAN 2 MG (BUSULPHAN) TAB [ BUSULPHAN 10.00 10.00 Y Y HAD ALKERAN (MELPHALAN)(IUkกQcA) 2 MG TAB [MELPHALAN 103.00 103.00 Y Y HAD LEUKERAN (CHLORAMBUCIL)(hlmU•UQกQc) 2 MGCHLORAMBUCIL TAB 17.50 17.50 Y Y !"#$% 1 HAD IFOSFAMIDE 1000 MG ](P) IFOSFAMIDE 1,497.00 1,497.00 Y Y HAD IFOSFAMIDE 500 MG ](P) IFOSFAMIDE 774.00 774.00 Y Y 8.1.2 Cytotoxic antibiotics !"#$% 4 COSMEGEN 0.5 MG INJ (DACTINOMYCIN) [(P) ACTINOMYCIN-D (DACTINOMYCIN) 908.00 908.00 Y Y HAD BLEOMYCIN 15 MG [(P) BLEOMYCIN 1,381.00 1,381.00 Y Y HAD DOXORUBICIN 50 MG/25ML (ADRIAMYCIN)_ [_DOXORUBICIN HCL 483.00 483.00 Y Y LIPO-DOX [^] 20 MG/10 ML [(NP)## DOXORUBICIN HCL 19,861.00 19,861.00 N N !"#$% 1 HAD IDARUBICIN 10 MG INJ ](NP) IDARUBICIN 8,665.00 8,665.00 Y Y MITOMYCIN C 2 MG INJ ](P) MITOMYCIN C 351.00 351.00 Y Y MITOXANTRONE 10 MG INJECTION ] MITOXANTRONE 4,640.00 4,640.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 HAD PHARMORUBICIN (EPIRUBICIN) 200 MG## EPIRUBICIN 10,317.00 10,317.00 N N 8.1.3 Antimetabolites !"#$% 4 HAD CYTARABINE 1 G/10 ML*HD (SOLUTION) (NP) [CYTARABINE 1,238.00 1,238.00 Y Y
18 พฤศจิกายน 2561 หนา 33 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- HAD CYTARABINE 100 MG/1 ML (SOLUTION) (NP) [ CYTARABINE 135.00 135.00 Y Y HAD CYTOSAR 100 MG/5 ML* CS(SOLUTION) (NP) [ CYTARABINE 260.00 260.00 Y Y HAD FLUOROURACIL (5-FU) 1 G (P)_[ FLUORO-URACIL 138.00 138.00 Y Y HAD METHOTREXATE 1 GM/10ML INJ [(P)(X/L5) METHOTREXATE 1,161.00 1,161.00 Y Y HAD METHOTREXATE 2.5 MG TAB [(X/L5) METHOTREXATE 8.00 8.00 Y Y HAD METHOTREXATE 50MG/2ML INJ (P)_[(X/L5) METHOTREXATE 264.00 264.00 Y Y HAD PURINETHOL(MERCAPTOPURINE) 50 MG TAB. MERCAPTOPURINE 43.00 43.00 Y Y HAD CYTOSAR 2000 MG/20 ML CS>>..>>(SOLUTION) (CYTARABINE 3,828.00 3,828.00 Y Y !"#$% 1 (XELODA PXRc) CAPECITABINE 500 MG [INTACAPE] ] CAPECITABINE 101.00 101.00 N N HAD THIOGUANINE 40 MG (6 TG)[OUกmUÖ^bU] ] THIOGUANINE 93.00 93.00 Y Y UFUR CAP(TEGAFUR-URACIL) ] TEGAFUR 69.00 69.00 Y Y URACIL 69.00 69.00 Y Y XELODA 500 MG>>..>>(CAPECITABINE)(P)..] CAPECITABINE 171.00 171.00 N N )*+,ก!"#$%)*-."ก/-01$*23 HAD ALIMTA 100 MG INJ >>..>>##(PEMETREXED DI PEMETREXED DISODIUM 10,863.00 10,863.00 N N HAD ALIMTA 500 MG INJ >>..>>##(PEMETREXED DI PEMETREXED DISODIUM 45,964.00 45,964.00 N N 8.1.4 Vinca alkaloids and etoposide !"#$% ก HAD VINBLASTIN 10 MG [(P)[OUกmUÖ^bU] VINBLASTIN 466.00 466.00 Y Y !"#$% 4 HAD ETOPOSIDE 100 MG/ 5 ML (P) [ ETOPOSIDE 258.00 258.00 Y Y HAD VINCRISTIN 1 MG/1 ML INJ (P)_[ VINCRISTINE SULFATE 173.00 173.00 Y Y HAD VINCRISTIN 2 MG INJ (P)_[ VINCRISTINE SULFATE 276.00 276.00 Y Y 8.1.5 Other antineoplastic drugs !"#$% 4 HAD ASPARAGINASE 10000 IU (LEUNASE) [(NP)_[ ASPARAGINASE 1,904.00 1,904.00 Y Y HAD CISPLATIN 50 MG/ 50 ML (P)_[ CISPLATIN 402.00 402.00 Y Y HAD CISPLATIN 50 MG/100 ML (P)_[ CISPLATIN 442.00 442.00 Y Y HAD CARBOPLATIN 150 MG/15 ML (P)_[ CARBOPLATIN 381.00 381.00 Y Y HAD CARBOPLATIN 450 MG/45 ML (P)_[ CARBOPLATIN 1,103.00 1,103.00 Y Y HYDREA 500 MG (w[áqtQ-ÑcÖt*PIWOk) [(D/L5) HYDROXYUREA 32.00 32.00 Y Y !"#$% 1 HAD DACARBAZINE 100 MG ]$ DACARBAZINE 1,503.00 1,503.00 N N HAD DACARBAZINE 500 MG ]$ DACARBAZINE 7,271.00 7,271.00 N N HAD OXALIPATIN [150** MG/30 ML] INJ ] D (NP)$ 4,168.00 4,168.00 N N HAD OXALIPATIN 50 MG/10 ML>>..>> INJ ] D (NP)## OXALIPATIN 9,961.00 9,961.00 N N HADáกa,in•^jr] OXALIPATIN 100 MG/20 ML INJ ] D OXALIPATIN 6,653.00 6,653.00 Y Y PACLITAXEL 300 MG/50 ML + SET.(INTAXEL)] PACLITAXEL 2,415.00 2,415.00 Y Y áกa,in•^jr] HAD OXALIPATIN 50 MG/10 ML INJ ] D OXALIPATIN 3,357.00 3,357.00 Y Y
18 พฤศจิกายน 2561 หนา 34 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- !"#$% 5 (ÑmU^oP]Rh/àfUO•^]/•fU]XbUk) AVASTIN [1.25 MG/SYRINGE*]BEVACIZUMAB 750.00 750.00 N N (OกPQRก)...GLIVEC FCT 400 MG à ÑmU^oP]Rh(IMATINIB)(OCPA IMATINIB 4,087.00 4,087.00 N N AVASTIN 100 MG/4ML INJ [aáaÑ/aáa]*(BEVACIZUMAB BEVACIZUMAB 0.00 Y Y AVASTIN 100 MG/4ML INJ..à2(BEVACIZUMAB)(OCPABEVACIZUMAB 20,070.00 20,070.00 Y Y DOCETAXEL 20 MG INJ>>..>>[^](TAXOTERE)à(2)_(P)##SMP docetaxel 9,754.00 9,754.00 N N DOCETAXEL 80 MG INJ>>..>>[^](TAXOTERE)à(2)_(P)##SMP docetaxel 34,371.00 34,371.00 N N GLIVEC FCT 100 MG à ÑmU^oP]Rh(IMATINIB)$(PVÖUoCASE 1,064.00 1,064.00 N N HERCEPTIN 150 MG..à2 (TRASTUZUMAB)aáaÑ/áกa (TRASTUZUMAP 0.00 Y Y HERCEPTIN 440 MG..à2 (TRASTUZUMAB)aáaÑ/áกa (TRASTUZUMAP 0.00 Y Y TASIGNA 200 MG CAP (NILOTINIB) à2 in•^jr]/áกa. NILOTINIB 0.00 Y N TASIGNA 200 MG CAP (NILOTINIB) à2(ÑnÜk[^Uk/áกa.)(OCPA NILOTINIB 867.00 867.00 N N )*+,ก!"#$%)*-."ก/-01$*23 AFINITOR 10 MG TAB (EVEROLIMUS)[PVÖUoCASE]D$ EVEROLIMUS 5,555.00 5,555.00 N N AVASTIN [RPAP]100 MG/4ML INJ (BEVACIZUMAB)OUi^RBEVACIZUMAB àU[ 0.00 N N ERBITUX 5 MG/ML (100 MG/20 ML)* (CETUXIMAB) [PVÖUo CETUXIMAB 10,731.00 10,731.00 N N HERCEPTIN 150 MG..(TRASTUZUMAB)PVÖUo CASE (OCPATRASTUZUMAP 16,937.00 16,937.00 N N HERCEPTIN 440 MG..(TRASTUZUMAB)PVÖUoCASE (OCPA TRASTUZUMAP 49,561.00 49,561.00 N N NEXAVAR (SORAFENIB) 200 MG TAB (PVÖUo CASE)## 1,593.00 0.00 N N PERJETA 420 MG/14 ML (PERTUZUMAB)PVÖUoCASE##SMPPERTUZUMAB 109,993.00109,993.00 N N STIVARGA 40 MG TAB (REGORAFENIB)(OUPVÖUoCASEREGORAFENIB 2,282.00 2,282.00 N N TARCEVA FCT 100 MG (ERLOTINIB) PVÖUoCASE ERLOTINIB 2,242.00 2,242.00 N N TARCEVA FCT 150 MG (ERLOTINIB) PVÖUoCASE ERLOTINIB 2,242.00 2,242.00 N N ~[^]กU^ RPAP HERCEPTIN 440 MG PVÖUoCASE [w´c]## 0.00 0.00 N N 8.2 Drugs affecting the immune response !"#$% 4 AZATHIOPRINE 50 MG TAB [ AZATHIOPRINE 9.00 9.00 Y Y SANDIMMUN NEORAL 100 MG(CICLOSPORIN) [ D TAB CICLOSPORIN 180.00 180.00 Y Y !"#$% 1 (CELLCEPT PXRc) MYCOPHENOLATE MOFETIL 250 MGMYCOPHENOLATE MOFETIL 23.00 23.00 Y Y BCG MEDAC (IMMUCYST INJ PXRc) ] FREEZE DRIED BCG 6,535.00 6,535.00 Y Y CELLCEPT 250 MG>>..>>] D# MYCOPHENOLATE MOFETIL 63.00 63.00 Y Y !"#$% 5 2.5 GM IVIG in•^jr]/áกa. (5% W/V 50 ML IMMUNOGLOBULIN HUMAN IMMUNOGLOBULIN 0.00 N Y INTRAGLOBIN-F 5 GM/100 ML à[IVIG]* (GAMMARAASHUMAN IMMUNOGLOBULIN 9,411.00 9,411.00 Y Y INTRAGLOBIN-F 5 GM/100 ML(PJ) à(2) in•^jr]/áกa. HUMAN IMMUNOGLOBULIN 0.00 N Y 8.3 Sex hormones and hormone antagonists in malignant )*+,ก!"#$%)*-."ก/-01$*23 ZYTIGA 250 MG TAB(ABIRATERONE)(PVÖUo CASE)##SMP ABIRATERONE ACETATE 750.00 0.00 N N 8.3.1 Progestogens, anti-estrogens and enzyme inhibitors
18 พฤศจิกายน 2561 หนา 35 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- !"#$% 4 TAMOXIFEN 20MG TAB ( D/L3)(P) [ TAMOXIFEN 5.00 5.00 Y Y !"#$% 5 FEMARA 2.5 MG D (P) à(2) LETROZOLE 37.00 37.00 Y Y LETROZOLE (dÑbdh sá.in•^jr]/áกa) 2.5 MG D à(2) LETROZOLE 0.00 N Y )*+,ก!"#$%)*-."ก/-01$*23 ARIMIDEX 1 MG TABLET(ANASTROZOLE)$ ANASTROZOLE 49.00 49.00 N N FASLODEX 250MG/5ML (FULVESTRANT)(PVÖUoCASE)FULVESTRANT 14,981.00 14,981.00 N N MEGESTROL 160 MG(MEGAPLEX,MEGACE) (P)] MEGESTROL ACETATE 128.00 128.00 N N 8.3.2 PROSTATE CANCER !"#$% 1 FLUTAMIDE 250 MG TAB D ] 44.00 44.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 CASODEX 150 MG (BICALUTAMIDE) PVÖUo CASE## BICALUTAMIDE 750.00 750.00 N N XTANDI 40 MG (ENZALUTAMIDE) PVÖUo CASE$ 1,197.00 N N 9 Nutrition and blood 9.1 Whole blood, blood product and drugs used in some !"#$% 5 HEMOPHIL-M 250 U INJ (FACTOR VIII)à 3,345.00 3,345.00 Y N HEMOPHIL-M 500 U INJ (FACTOR VIII)[HAEMOCTIN]( 6,221.00 6,221.00 Y N IMMUNINE 600 IU INJ [FACTOR IX](PVÖUoCASE) à (2) 6,994.00 6,994.00 Y N 9.1.1 Whole blood and blood products 9.1.2 Drugs used in hypoplastic, hemolytic and renal an !"#$% ก FOLIC ACID (554) ก FOLIC ACID 1.00 1.00 Y Y !"#$% ( ANDROLIC(OXYMETHOLONE) 50 MG I OXYMETHOLONE 25.00 25.00 Y Y !"#$% 4 GPO L-1 (DEFERIPRONE) 500 MG TAB V [ DEFERIPRONE 5.00 5.00 Y Y !"#$% 5 DEFERASIROX 250 MG (EXJADE) à(2) DEFERASIROX 156.00 156.00 Y Y EPREX 4000 U INJ (C/N) D à(2) $ RECOMBINANT HUMAN ERYTHROPOIET 1,630.00 1,630.00 N N HYPERCRIT 4000 U (PJ)(~[^]กU^ CAPD aáaÑ) à 2 RECOMBINANT HUMAN ERYTHROPOIET 0.00 N Y HYPERCRIT 4000 U INJ(HEMAXPXRc) D à(2)# RECOMBINANT HUMAN ERYTHROPOIET 404.00 404.00 Y N RECORMON 5000 U D..à(2) $ RECOMBINANT HUMAN ERYTHROPOIET 1,634.00 1,634.00 N N )*+,ก!"#$%)*-."ก/-01$*23 MIR_CERA (EPOETIN BETA 75 MCG/0.3ML) D ## EPOETIN BETA 6,006.00 6,006.00 N N 9.1.3 Drugs used in bone marrow transplantation !"#$% 1 NEUTROMAX 300 MCG INJ (FILGRASTIM)(C/L2)] FILGRASTIM(G-CSF) 1,161.00 1,161.00 Y Y
18 พฤศจิกายน 2561 หนา 36 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- 9.2 Fluids and eletrolytes !"#$% DIANEAL HIGHDOSE 1.5% DEXT/LOW CAL 5L(PVÖUoCASE 969.00 969.00 N N F2 - A # CALCIUM CHLORIDE 148.00 148.00 Y N Glacial acetic acid 148.00 148.00 Y N MAGNESIUM CHLORIDE 148.00 148.00 Y N POTASSIUM CHLORIDE 148.00 148.00 Y N SODIUM CHLORIDE 148.00 148.00 Y N F2 - A (LOW CALCIUM 2.5) (K3) # 148.00 148.00 Y N F2 - A K3 # CALCIUM CHLORIDE 132.00 132.00 Y N Glacial acetic acid 132.00 132.00 Y N MAGNESIUM CHLORIDE 132.00 132.00 Y N POTASSIUM CHLORIDE 132.00 132.00 Y N SODIUM CHLORIDE 132.00 132.00 Y N F2 - B # SODIUM CHLORIDE 88.00 88.00 Y N F2-A Low Cal 2.5 # 138.00 138.00 Y N STERILE DISTILLED WATER 1,000 CC -UPกQWOk 36.00 36.00 Y Y !"#$% ก D 10 N/2 1000 ML ก 41.00 41.00 Y Y D 10 N/5 500 ML ก 36.00 36.00 Y Y D 10 S 1000 ML ก 43.00 43.00 Y Y D 10 W 1000 ML ก 41.00 41.00 Y Y D 10 W 500 ML ก 37.00 37.00 Y Y D 5 N/2 500 ML ก 33.00 33.00 Y Y D 5 N/2* 1000 ML (339)ก 40.00 40.00 Y Y D 5 N/3 500 ML ก 33.00 33.00 Y Y D 5 N/4 500 ML ก 33.00 33.00 Y Y D 5 N/5 500 ML (amU^r]hbrO*)ก 33.00 33.00 Y Y D 5 S 1000 ML ก 40.00 40.00 Y Y D 5 W 100 ML ก 21.00 21.00 Y Y D 5 W 1000 ML ก 40.00 40.00 Y Y D 5 W 500 ML ก 33.00 33.00 Y Y D5W 250 ML ก (250 ML dhIkX 500 ML)[P[cWimUinXPXRc] 35.00 35.00 Y Y DEXTROSE 50% 50 ML ก(U) DEXTROSE 22.00 22.00 Y Y HAD KCL INJ (20 MEQ/10 ML) OUVWX* ก POTASSIUM CHLORIDE 10.00 10.00 Y Y KCL 500 MG (OUPc`X)(6.67 MEQ) TAB ก POTASSIUM CHLORIDE 1.50 1.50 Y Y KCL ELIXIR( 20 MEQ/15 ML) 240 ML ก POTASSIUM CHLORIDE 61.00 61.00 Y Y KCL(POT CHLORIDE 20 MEQ/15 ML) 60ML ก POTASSIUM CHLORIDE 19.00 19.00 Y Y LACTATED RINGER 1000 ML ก CALCIUM CHLORIDE 53.00 53.00 Y Y POTASSIUM CHLORIDE 53.00 53.00 Y Y
18 พฤศจิกายน 2561 หนา 37 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- LACTATED RINGER 1000 ML ก SODIUM CHLORIDE 53.00 53.00 Y Y SODIUM LACTATE 53.00 53.00 Y Y NSS (IV)* 1000 ML (954)ก SODIUM CHLORIDE 39.00 39.00 Y Y NSS 100 ML QbU]àctก/•U ก SODIUM CHLORIDE 31.00 31.00 Y Y NSS 1000 ML [dÑbÆUOhrกIkXกQc] ก SODIUM CHLORIDE 36.00 36.00 Y Y NSS 2000 ML [â•PjWOc,OR,OUdh] ก SODIUM CHLORIDE 71.00 71.00 Y Y NSS 250 ML ก (P[cWimUinX) 34.00 34.00 Y Y NSS 3 ML ก (U) SODIUM CHLORIDE 6.00 6.00 Y Y NSS 3000 ML [OR,5/3a] ก SODIUM CHLORIDE 117.00 117.00 Y Y NSS(IV) 500 ML ก SODIUM CHLORIDE 33.00 33.00 Y Y NSS* 100 ML (955)ก SODIUM CHLORIDE 16.00 16.00 Y Y NSS/2 (0.45%) 1000 CC ก SODIUM CHLORIDE 39.00 39.00 Y Y PERITONEAL SOL 1000 ML ก CALCIUM CHLORIDE 61.00 61.00 Y Y DEXTROSE 61.00 61.00 Y Y MAGNESIUM CHLORIDE 61.00 61.00 Y Y SODIUM CHLORIDE 61.00 61.00 Y Y SOD.BICARB 7.5 % 10 ML ก SODIUM BICARB 14.00 14.00 Y Y SOD.BICARB 7.5% 50 ML ก(U) SODIUM BICARB 28.00 28.00 Y Y SOD.CHLORIDE 3% 500 ML ก SODIUM CHLORIDE 42.00 42.00 Y Y SODAMINT (NAHCO3) TAB 300 MG(1225)ก SODIUM BICARB 0.50 0.50 Y Y STERILE WATER (IV) 1000 CCก STERILE WATER FOR INJECTION 36.00 36.00 Y Y STERILE WATER 10 ML ก STERILE WATER FOR INJECTION 6.00 6.00 Y Y STERILE WATER 100 CC ก STERILE WATER FOR INJECTION 21.00 21.00 Y Y STERILE WATER 5 ML ก STERILE WATER FOR INJECTION 6.00 6.00 Y Y !"#$% ( KALIMATE qr]Qo 5 GM I(U) CALCIUM POLYSTYRENE SULFONATE 22.00 22.00 Y Y !"#$% 4 DIANEAL PD-2 TB 1.5% 2 LIT [ 154.00 154.00 Y Y DIANEAL PD-2 TB 2.5% 2 LIT [ 154.00 154.00 Y Y DIANEAL PD-2 TB 4.25% 2 LIT [ 154.00 154.00 Y Y DIANEAL PD-4 TB 1.5% 2 LIT [ 218.00 218.00 Y Y DIANEAL PD-4 TB 2.5% 2 LIT [ 218.00 218.00 Y Y DIANEAL PD-4 TB 4.25% 2 LIT [ 218.00 218.00 Y Y GE-2 600 ML [ CALCIUM 178.00 178.00 Y Y GLUCOSE 178.00 178.00 Y Y MAGNESIUM 178.00 178.00 Y Y POTASIUM 178.00 178.00 Y Y SODIUM 178.00 178.00 Y Y ZINC 178.00 178.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23
18 พฤศจิกายน 2561 หนา 38 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- ACETAR (ARI) 1000 ML [ACETATED RINGER'S INJ] CALCIUM CHLORIDE 54.00 54.00 Y Y POTASSIUM CHLORIDE 54.00 54.00 Y Y SODIUM ACETATE 54.00 54.00 Y Y SODIUM CHLORIDE 54.00 54.00 Y Y ACETAR-5 1000 ML CALCIUM CHLORIDE 60.00 60.00 Y Y DEXTROSE 60.00 60.00 Y Y POTASSIUM CHLORIDE 60.00 60.00 Y Y SODIUM ACETATE 60.00 60.00 Y Y SODIUM CHLORIDE 60.00 60.00 Y Y ALBUMIN 20 % 50 ML...# HUMAN ALBUMIN 1,201.00 1,201.00 Y N DEXTRAN 40# DEXTRAN 40 500.00 500.00 Y N GLUCOLYTE-2 # GLUCOSE 54.00 54.00 Y N MAGNESIUM SULFATE 54.00 54.00 Y N MONOPOTASIUM PHOSPHATE 54.00 54.00 Y N POTASSIUM CHLORIDE 54.00 54.00 Y N SODIUM ACETATE 54.00 54.00 Y N SODIUM CHLORIDE 54.00 54.00 Y N ZINC SULFATE 54.00 54.00 Y N GLYCEROSTERIL 10% 500ML# GLYCEROL 344.00 344.00 Y N HAEMACEL 500 CC# POLYGELINE 331.00 331.00 Y N SOD.CITRATE 0.3 M SOL.(OUP•^WOc)## SODIUM CITRATE 53.00 53.00 N N VOLUVEN 6% 500 ML# 490.00 490.00 Y N 9.3 Vitamins !"#$% ก (OกPQRก)...KONAKION PX`ก 1 MG/0.5 ML>>..>> INJ (C/L1) VITAMIN K1 (PHYTOMENADIONE) 27.00 27.00 Y Y (OกPQRก)...VIT K (KONAKIAN) 10 MG INJ>>..>>(C/L1) ก( VITAMIN K1 (PHYTOMENADIONE) 6.00 6.00 Y Y **[GPO wàb]OUIUX[^Uk]**_TRIFERDINE 150 ( I+FE+FOLIC FERROUS FUMARAT 1.50 1.50 N Y FOLIC ACID 1.50 1.50 N Y IODINE 1.50 1.50 N Y MTV SYR 60 ML (SYNOVITS) ก FOLIC ACID 19.00 19.00 Y Y NICOTINIC ACID 19.00 19.00 Y Y VITAMIN A (RETINOL) 19.00 19.00 Y Y VITAMIN B1 (THIAMINE) 19.00 19.00 Y Y VITAMIN B12 (CYANOCOBALAMIN) 19.00 19.00 Y Y VITAMIN B2 (RIBOFLAVIN) 19.00 19.00 Y Y VITAMIN C (ASCORBIC ACID) 19.00 19.00 Y Y VITAMIN D 19.00 19.00 Y Y VITAMIN E 19.00 19.00 Y Y VIT A 25000 U CAP ก VITAMIN A (RETINOL) 1.00 1.00 Y Y VIT K1*[PHYTOMENADIONE] 10 MG INJ(KONAKIAN VITAMIN K1 (PHYTOMENADIONE) 17.00 17.00 Y Y
18 พฤศจิกายน 2561 หนา 39 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- VITAMIN D2 (20000 U) CALCIFEROL CAP_ ก_ CALCIFEROL 3.00 3.00 Y Y VITB ("iW") CO TAB (aWabc) (1474) ก NICOTINIC ACID 1.00 1.00 Y Y VITAMIN B1 (THIAMINE) 1.00 1.00 Y Y VITAMIN B2 (RIBOFLAVIN) 1.00 1.00 Y Y VITAMIN B6 (PYRIDOXINE) 1.00 1.00 Y Y VITB1 100 MG TAB (1475)_ก VITAMIN B1 (THIAMINE) 1.00 1.00 Y Y VITB1 INJ OUVWX (100 MG/ML) ก(U) VITAMIN B1 (THIAMINE) 5.00 5.00 Y Y VITB2 100 MG TAB ก VITAMIN B2 (RIBOFLAVIN) 1.50 1.50 Y Y VITB6 TAB 50 MG (1479) ก VITAMIN B6 (PYRIDOXINE) 1.00 1.00 Y Y VITC 100 MG TAB (1480) ก VITAMIN C (ASCORBIC ACID) 1.00 1.00 Y Y kR•UcRhiW ê{ (VITB12) TAB 100 MCG ก VITAMIN B12 (CYANOCOBALAMIN) 1.00 1.00 Y Y !"#$% ( VITB [iW] COMPLEX INJ [VWX] 1 ML** I NICOTINIC ACID 8.00 8.00 Y Y VITAMIN B1 (THIAMINE) 8.00 8.00 Y Y VITAMIN B2 (RIBOFLAVIN) 8.00 8.00 Y Y VITAMIN B6 (PYRIDOXINE) 8.00 8.00 Y Y VITC INJ 500 MG I VITAMIN C (ASCORBIC ACID) 6.00 6.00 Y Y !"#$% 4 VIT D3 (0.25 MCG**) [ALFACALCIDOL] [ ALFACALCIDOL 4.50 4.50 Y Y )*+,ก!"#$%)*-."ก/-01$*23 CENTRUM TAB ## MINERAL 5.50 N N MULTIVITAMIN 5.50 N N COD-LIVER-OIL>>..>> (VIT A+D) VITAMIN A (RETINOL) 1.50 N N VITAMIN D 1.50 N N MTV TAB (889) V## MULTIVITAMIN 0.50 N N NEUROBION TAB (3237) $ VITAMIN B1 (THIAMINE) 4.50 N N VITAMIN B12 (CYANOCOBALAMIN) 4.50 N N VITAMIN B6 (PYRIDOXINE) 4.50 N N OBIMIN AZ (3136) ## MULTIMINERAL 3.00 N N MULTIVITAMIN 3.00 N N OMVI INJ# MULTIVITAMIN 201.00 201.00 Y N VITALUX PLUS D$ ASCORBIC ACID 15.50 N N BETA-CAROTENE 15.50 N N CU 15.50 N N LUTEIN 15.50 N N RIBOFLAVIN 15.50 N N SELENIUM SULFIDE 15.50 N N VITAMIN E 15.50 N N ZINC GLUCONATE 15.50 N N VITARAL TAB(1486)_## MULTIVITAMIN 2.00 N N
18 พฤศจิกายน 2561 หนา 40 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- VITB 1-6-12 TAB(1472) # VITAMIN B1 (THIAMINE) 1.00 Y N VITAMIN B12 (CYANOCOBALAMIN) 1.00 Y N VITAMIN B6 (PYRIDOXINE) 1.00 Y N VITE 100 U CAP** VITAMIN E 2.00 N N Z-BEC TAB $ MULTIVITAMIN 5.00 N N 9.4 Intravenous nutrition !"#$% 4 AMINOLEBAN 8 % [ AMINO ACIDS 360.00 360.00 Y Y AMINOVEN INFANT 10% 100 ML [ AMINO ACIDS 280.00 280.00 Y Y AMIPAREN 500 ML 10 % [ AMINO ACIDS 360.00 360.00 Y Y CLINOLEIC 20% 100 ML [>> 381.00 381.00 Y Y CLINOLEIC 20% 250 ML [ CLINOLEIC 504.00 504.00 Y Y INTRALIPID 20 % 250 ML(AD) PVÖUokRanuuW [ SOYBEAN OIL 504.00 504.00 Y Y KIDMIN 200 ML INJ. [# AMINO ACIDS 218.00 218.00 Y N LIPOFUNDIN MCT/LCT 20% 100 ML [[^rPahr] 428.00 428.00 Y Y VAMINOLACT 6.5 % 100 ML [ (^rPahrrrก) AMINO ACIDS 280.00 280.00 Y Y TAURINE 280.00 280.00 Y Y !"#$% 1 (OกPQRก)...KABIVEN 1400 ] SOYBEAN OIL 1,827.00 1,827.00 Y Y (OกPQRก)...KABIVEN 1900 ] NUTRITIONALLY COMPLETE DIET 1,915.00 1,915.00 Y Y OLICLINOMEL N4-550 2 LIT ] GLUCOSE 1,945.00 1,945.00 Y Y LIPID AMINO ACID 1,945.00 1,945.00 Y Y OLICLINOMEL N7 1.5 LIT(PVÖUoCASE) ] GLUCOSE 2,062.00 2,062.00 Y Y LIPID AMINO ACID 2,062.00 2,062.00 Y Y OLICLINOMEL N7-1000 2 LIT ] GLUCOSE 2,062.00 2,062.00 Y Y LIPID AMINO ACID 2,062.00 2,062.00 Y Y SMOFKABIVEN 1600 ] 1477ML (SMP) D 2,121.00 2,121.00 Y Y SMOFKABIVEN PERIPHERAL 1300 ] 1904ML (SMP) D 1,827.00 1,827.00 Y Y SMOFLIPID 20% 100 ML ](SMP) D 442.00 442.00 Y Y 9.5 Minerals !"#$% ก (1000 MG) CAL.CARBONATE (ws]PeQèr]) ก CALCIUM CARBONATE 1.00 1.00 Y Y (OกPQRก)...FER-IN-SOL DROP>>..>>(FERROUS SULPHATEFERROUS SULFATE 49.00 49.00 Y Y CAL.CARBONATE 600 MG (2010)ก CALCIUM CARBONATE 1.00 1.00 Y Y CALTAB-êxyy MG (CAL.CARBONATE)ก CALCIUM CARBONATE 1.50 1.50 Y Y FERROUS SULFATE TAB ก FERROUS SULFATE 0.50 0.50 Y Y FLUORIDE 0.25 MG TAB ก SOD.FLUORIDE 0.50 0.50 Y Y HAD 10% MGSO4 INJ [1AMP=10 ML=1GM](B/L1) ก(U) MAGNESIUM SULFATE 10.00 10.00 Y Y HAD 50% MGSO4 INJ [1AMP=2 ML=1GM](B/L1) ก(U) MAGNESIUM SULFATE 10.00 10.00 Y Y IODINE 0.15 MG TAB>>..>> (AS POTASSIUM IODIDE 0IODINE 1.00 1.00 Y Y
18 พฤศจิกายน 2561 หนา 41 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- ZINC 25 MG TAB ก ZINC 1.50 1.50 Y Y ZINC SUSPENSION (10 MG./ML.) 10 ML ก ZINC 50.00 50.00 Y Y PกQèr NACL (SOD.CHLORIDE ãyy cก)(5 MEQ)TAB ก SODIUM CHLORIDE 1.00 1.00 Y Y !"#$% ( EUROFER-IRON SYRUP 60 ML I IRON (3) HYDROXIDE POLYMALTOSE 60.00 60.00 Y Y !"#$% 4 ADDAMEL N INJ [ MINERAL 310.00 310.00 Y Y DIPOTASSIUM PHOSPHATE 20 ML INJ(=20 MEQ) [ DIBASIC POTASSIUM PHOSPHATE 73.00 73.00 Y Y FE BACK INJ 2%(20 MG/ML)[VENOFERPXRc] [ D IRON SUCROSE 276.00 276.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 AMIYU GRANULE 2.5GM/qr]## AMINO ACIDS 44.00 44.00 N N CDR ORANGE eQrXQo## CALCIUM CARBONATE 137.00 N N VITAMIN B6 (PYRIDOXINE) 137.00 N N VITAMIN C (ASCORBIC ACID) 137.00 N N VITAMIN D 137.00 N N CHELATED ZINC TAB (ûU•p ZINC 15 MG) $ ZINC AMINO ACID CHELATED 4.00 N N FERLI-6 (520) FERROUS FUMARAT 1.00 N N MULTIVITAMIN 1.00 N N KAL-CEE ORANGE(2133) ## CALCIUM CARBONATE 50.00 N N CITRIC ACID 50.00 N N VITAMIN B6 (PYRIDOXINE) 50.00 N N VITAMIN C (ASCORBIC ACID) 50.00 N N VITAMIN D 50.00 N N MAGNESIUM OXIDE 140 MG/CAP##[EQ.84.5 MG OF MAGNESIUM OXIDE 2.50 2.50 N N PEDITRACE INJ# TRACE ELEMENTS 258.00 258.00 Y N 10 Musculoskeletal and joint diseases 10.1 Drugs used in rheumatic diseases and gout 10.1.1 Non-steroidal anti-inflammatory drugs !"#$% ก (325 MG) ASPIRIN GR.5(C/L3)(1850)_ก(U) ASPIRIN 1.50 1.50 Y Y ASPENT (ASPIRIN 300 MG) (108) ก ASPIRIN 1.00 1.00 Y Y ASPIRIN 81 MG : (C/L3)(109) ก ASPIRIN 1.00 1.00 Y Y DICLOFENAC 25 MG TAB (B/D3/L2)(1492)_ก DICLOFENAC 1.00 1.00 Y Y DICLOFENAC INJ (B/D3/L2)(2844) ก(U) DICLOFENAC 5.00 5.00 Y Y IBUPROFEN 200 MG TAB (201)_(B/D/L1) ก IBUPROFEN 1.50 1.50 Y Y IBUPROFEN SYR 60 ML (B/D/L1) ก IBUPROFEN 13.00 13.00 Y Y INDOMETHACIN 25 MG CAP_ (B/D/L2) ก INDOMETHACIN 1.00 1.00 Y Y NAPROXEN 250 MG TAB ก (B/D/L2) NAPROXEN 2.00 2.00 Y Y !"#$% ( PIROXICAM 10 MG CAP(C/D/L2) I PIROXICAM 1.00 1.00 Y Y
18 พฤศจิกายน 2561 หนา 42 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- )*+,ก!"#$%)*-."ก/-01$*23 (400 MG) CELEBREX (C/D(3RD)/L3)$D CELECOXIB 40.00 40.00 N N (60 MG) ARCOXIA [*eกaRi*](ETORICOXIB) D$ ETORICOXIB 36.00 36.00 N N ARCOXIA 90 MG (ETORICOXIB) D$ ETORICOXIB 38.00 38.00 N N BANGKOK GEL (CAPSIKA GEL) _## CAPSICUM 67.00 N N CELEBREX 200 MG (2030) (C/D(3RD)/L3)$ CELECOXIB 22.00 22.00 N N CLINORIL 200 MG( B/D/L3 ) ## SULINDAC 9.50 9.50 N N DIFELENE GEL 30 GM (1673)V DICLOFENAC 22.00 N N DYNASTAT 40 MG INJ ##SMP PARECOXIB SODIUM 246.00 246.00 N N KETOLAC 30 MG INJ(C/D/L2) ##SMP KETOROLAC TROMETHAMINE 196.00 196.00 N N LOXOPROFEN 60 MG(JAPROLOX) D_$(N/N) LOXOPROFEN 8.00 8.00 N N MEFENAMIC ACID 250 MG CAP (C/D/L2)# MEFENAMIC ACID 1.50 1.50 Y N MELOXICAM 7.5 MG TAB(C/D/L2) # MELOXICAM 3.00 3.00 Y N MOBIC 7.5 MG TAB(C/D/L2) $ MELOXICAM 14.00 14.00 N N UNIREN SPRAY ** DICLOFENAC 98.00 N N 10.1.2 Disease-modifying antirhumatic drugs (DMADs) !"#$% ก SULFADIAZINE 500 MG TAB_ ก SULFADIAZINE 2.00 2.00 Y Y !"#$% ( [PLAQUENIL*PXRc 200 MG] HYDROXYCHLOROQUINE HYDROXYCHLOROQUINE SULFATE 7.00 7.00 Y Y PLAQUENIL 200 MG TAB>>..>>(C/L2) I HYDROXYCHLOROQUINE SULFATE 20.50 20.50 Y Y !"#$% 4 [^rPahrrrก] PENICILLAMINE 250 MG (D/L3) CAP [ PENICILLAMINE 19.00 19.00 Y Y SALAZOPYRIN EN-TABS ( B/D/L3)500 MG [ SULFASALAZINE 8.50 8.50 Y Y !"#$% 1 ARAVA 20 MG ] (X/L3) D ] LEFLUNOMIDE 68.00 68.00 Y Y MYOCRISINE 20 MG INJ ] D SOD AUROTHIOMALATE 233.00 233.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 ENBREL INJ 25 MG (B/L2)## ETANERCEPT 5,358.00 5,358.00 N N 10.1.3 Drugs for treatment of gout and hyperuricaemia !"#$% ก ALLOPURINOL 100 MG(C/L2) (55) V ก ALLOPURINOL 1.00 1.00 Y Y COLCHICINE 0.6 MG (C,D/L2)(287) ก COLCHICINE 1.00 1.00 Y Y PROBENECID 500 MG (C/L3)TAB ก PROBENECID 2.50 2.50 Y Y !"#$% 4 BENZBROMARONE 100 MG TAB [ BENZBROMARONE 9.00 9.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 SULFIN 100 MG TAB PVÖUoCASE (SULFINPYRAZONE)SULFINPYRAZONE 27.00 27.00 N N 10.2 Drugs used in neuromuscular disorders 10.2.1 Drugs which enhance neuromuscular transmission
18 พฤศจิกายน 2561 หนา 43 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- !"#$% ก PYRIDOSTIGMINE(MESTINON) 60 MG TAB (C/L2)_ก PYRIDOSTIGMINE 10.50 10.50 Y Y 10.2.2 Skeletal muscle relaxants !"#$% ( (SIRDALUD PXRc) TIZANIDINE 2 MG TAB (C/N). I TIZANIDINE 4.00 4.00 Y Y BACLOFEN 10 MG(C/L2) I BACLOFEN 1.50 1.50 Y Y )*+,ก!"#$%)*-."ก/-01$*23 BA_MOLIN PXRc# [ORPHENADRINE+PARACET] TAB (138 ORPHENADRINE 1.00 1.00 Y N PARACETAMOL 1.00 1.00 Y N MYONAL TAB## EPERISONE 9.50 9.50 N N TOLPERISONE 150 MG (N/N) (MYDOCALM) $ TOLPERISONE 6.00 6.00 N N âi~r[UQ†c (BIOCALM) 50 MG TAB (N/N) (175)# TOLPERISONE 1.50 1.50 Y N 11 Eye !"#$% ( GEN TA MICIN EYE DROP (14 MG./ML.) (C/L1)OUP•^WOc I 90.00 90.00 Y Y 11.1 Anti-infective eye preparations 11.1.1 Antibacterials and eye wash solution !"#$% ก CEFAZOLIN EYE DROP (50 MG./ML.)(B/L1)OUP•^WOc ก CEFAZOLIN 90.00 90.00 Y Y CEPHALOSPORINS GROUP 90.00 90.00 Y Y CHLORAMPHENICOL EYE DROP 0.5% [eOrX•U*]ก 5 ML CHLORAMPHENICOL 16.00 16.00 Y Y CHLORAMPHENICOL EYE OINT ก 5GM CHLORAMPHENICOL 18.00 18.00 Y Y OPSAR 120 ML ก BORIC ACID 26.00 26.00 Y Y !"#$% ( AMIKIN EYE DROP (50 MG./ML.) OUP•^WOc I AMIKACIN 120.00 120.00 Y Y GEN TA MICIN EYE DROP (14 MG./ML.) (C/L1)OUP•^WOc I 90.00 90.00 Y Y !"#$% 4 FORTUM EYE DROP (50 MG./ML.) OUP•^WOc [ CEFOTAXIME SOD 350.00 350.00 Y Y FUNGIZONE EYE DROP (3 MG./ML.)(B/L2) OUP•^WOc [ AMPHOTERICIN-B 495.00 495.00 Y Y POLY OPH EYE DROP [ GRAMICIDINE 31.00 31.00 Y Y NEOMYCIN SULFATE 31.00 31.00 Y Y POLYMIXIN B 31.00 31.00 Y Y !"#$% 1 FUCITHALMIC EYE DROP ] FUSIDIC ACID 88.00 88.00 Y Y VANCOMYCIN EYE DROP (50 MG/ ML) OUP•^WOc ] VANCOMYCIN HCL 320.00 320.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 CRAVIT EYE DROP 5MG/ML D# LEVOFLOXACIN 202.00 202.00 Y N TERRAMYCIN EYE OINT# OXYTETRACYCLINE 26.00 26.00 Y N POLYMIXIN B 26.00 26.00 Y N VIGAMOX EYE DROP 0.5% 5 ML D# MOXIFLOXACIN HCL 201.00 201.00 Y N
18 พฤศจิกายน 2561 หนา 44 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- 11.1.2 Antibacterials with corticosteroids !"#$% 4 DEX-OPH 4 ML EYE DROP [ DEXAMETHASONE 24.00 24.00 Y Y NEOMYCIN SULFATE 24.00 24.00 Y Y MAXITROL 3.5 GM EYE OINTMENT[ DEXAMETHASONE 77.00 77.00 Y Y NEOMYCIN SULFATE 77.00 77.00 Y Y POLYMIXIN B 77.00 77.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 EXOPRED EYE DROP 5 ML>>..>>## D(dÑbÑnÜk[^Uk) OFLOXACIN 171.00 171.00 Y N PREDNISOLONE ACETATE 171.00 171.00 Y N MAXITROL EYE DROP# DEXAMETHASONE 130.00 130.00 Y N NEOMYCIN SULFATE 130.00 130.00 Y N POLYMIXIN B 130.00 130.00 Y N 11.1.3 Antifungals 11.1.4 Antivirals !"#$% 4 (i^R¢njâcfcWIr]ÑnÜk[^Uk) ZOVIRAX OPHTAMIC OINT [ ACYCLOVIR 608.00 608.00 Y Y 11.2 Corticosteroids and other anti-inflammatory prepar !"#$% ก HISTA OPH 5 ML (636)_ก ANTAZOLINE HCL 15.00 15.00 Y Y BENZALKONIUM CL 15.00 15.00 Y Y HYDROXYPROPYL METHYLCELLULOSE 15.00 15.00 Y Y TETRAHYDROZOLINE HCL 15.00 15.00 Y Y !"#$% 4 INF OPH [ PREDNISOLONE ACETATE 39.00 39.00 Y Y PRED FORTE EYE DROP [ (ÑnÜk[^Uk) PREDNISOLONE ACETATE 73.00 73.00 Y Y VOLTAREN 5 ML EYE DROP (VOLTA-OPH) [ DICLOFENAC 85.00 85.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 LOTEMAX EYE DROP($) D LOTEPREDNOL ETABONATE 313.00 313.00 N N PATADAY [0.2%] EYE DROP >>..>>D## OLOPATADINE HCL 299.00 299.00 N N ZADITEN E/D 0.025% D#>>[ÑnÜk[^Uk] KETOTIFEN 326.00 326.00 Y N 11.3 Mydriatics and cycloplegics !"#$% 4 10% PHENYLEPHINE EYE DROP [ PHENYLEPHRINE HCL 114.00 114.00 Y Y ISOPTO-ATROPINE 1% EYE [ ATROPINE SULFATE 111.00 111.00 Y Y MYDRIACYL EYE DROP 1% [ TROPICAMIDE 275.00 275.00 Y Y PHENYLEPRHINE EYE DROP 1% (OUP•^WOc) [ PHENYLEPHRINE HCL 160.00 160.00 Y Y PHENYLEPRHINE EYE DROP 2.5% (OUP•^WOc) [ PHENYLEPHRINE HCL 365.00 365.00 Y Y 11.4 Drugs for treatment of glaucoma !"#$%
18 พฤศจิกายน 2561 หนา 45 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- SOD. CHLORIDE 3% EYE DROP (OU•U) SODIUM CHLORIDE 40.00 40.00 Y Y !"#$% ก (OกPQRก)...LUMIGAN EYE DROP>>(BIMATOPROST)(0.03BIMATOPROST 171.00 171.00 Y Y ACETAZOLAMIDE TABLET_ก ACETAZOLAMIDE 3.00 3.00 Y Y GLYCERINE 50% ORAL 240 ML ก 57.00 57.00 Y Y GLYCERINE 50% ORAL 50 ML ก 10.00 10.00 Y Y GLYCERINE 60 ML ก GLYCERINE 10.00 10.00 Y Y P.V.CARPINE 2%** EYE DROP [PILOCARPINE] ก PILOCARPINE HYDROCHLORIDE 84.00 84.00 Y Y TIMODROP EYE SOLUTION ก TIMOLOL MALEATE 67.00 67.00 Y Y !"#$% 4 BRIMONIDINE 0.2% EYE DROP [ ØBRIMONIDINE TARTRATE 159.00 159.00 Y Y XALATAN EYE DROPS [ D LATANOPROST 129.00 129.00 Y Y !"#$% 1 COSOPT EYE SOLUTION D ] DORZOLAMIDE 356.00 356.00 Y Y TIMOLOL MALEATE 356.00 356.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 ALPHAGAN-P EYE DROP(BRIMONIDINE) 0.15% D ## ØBRIMONIDINE TARTRATE 384.00 384.00 N N ARTEOPTIC 2% EYE DROP# CARTEOLOL HCL 270.00 270.00 Y N AZOPT EYE DROP>>..>> D [NED] $ BRINZOLAMIDE 463.00 463.00 N N DUOTRAV EYE DROP D## TIMOLOL MALEATE 627.00 627.00 N N TRAVOPROST 627.00 627.00 N N LUMIGAN [0.01%]*decf*EYE DROP#D>>..>>(BIMATOPROST BIMATOPROST 253.00 253.00 Y N TAFLOTAN EYE DROP [SMP] D$ TAFLUPROST 494.00 494.00 N N TRAVATAN EYE DROP>>..>> _ D# TRAVOPROST 414.00 414.00 Y N XALACOM EYE DROP D## LATANOPROST 560.00 560.00 N N TIMOLOL MALEATE 560.00 560.00 N N 11.5 Local anaesthetics !"#$% ก TETRACAINE 0.5% EYE DROP ก(U) TETRACAINE HCL 91.00 91.00 Y Y !"#$% 1 ABSOLUTE ALCOHOL 5 ML] ETHYL ALCOHOL 184.00 184.00 Y Y 11.6 Tear deficiency, ocular lubricants and astringents !"#$% ก GENTEAL EYE DROP ก D ## HYDROXYPROPYL METHYLCELLULOSE 171.00 171.00 N N LAC-OPH 10 ML EYE DROP ก HYDROXYPROPYL METHYLCELLULOSE 32.00 32.00 Y Y NATEAR EYE DROP ก HYPROMELLOSE 91.00 91.00 Y Y !"#$% ( VIDISIC EYE GEL 10 GM D I CARBOMER 141.00 141.00 Y Y CETRIMIDE 141.00 141.00 Y Y SORBITAL 141.00 141.00 Y Y
18 พฤศจิกายน 2561 หนา 46 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- !"#$% 1 SOLCOSERYL EYE GEL ] DEPROTEINZED CALVE BLOOD EXTRAC 114.00 114.00 Y Y TEARS NAT-FREE ED (กQfr]Qo32) ] D DEXTRAN 70 179.00 179.00 Y Y METHYLCELLULOSE 179.00 179.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 KARY UNI 0.005% OPHTHALMIC SUSP#D PIRENOXINE 66.00 66.00 Y N RESTASIS(CYCLOSPORINE) 0.4 ML EYE DROP $ CICLOSPORIN 1,161.00 1,161.00 N N CYCLOSPORINE 1,161.00 1,161.00 N N SYSTANE ULTRA EYE DROP D## POLYETHYLENE GLYCOL 184.00 184.00 N N PROPYLENE GLYCOL 184.00 184.00 N N VISLUBE EYE DROPS (1 efr[RX 30 eQrX) D($) SOD HYALURONATE 21.00 21.00 N N SODIUM HYALURONATE 21.00 21.00 N N 11.7 Ocular diagnostic and peri-operative preparations !"#$% 4 B.S.S 15 ML [ CALCIUM CHLORIDE 135.00 135.00 Y Y MAGNESIUM CHLORIDE 135.00 135.00 Y Y POTASSIUM CHLORIDE 135.00 135.00 Y Y SODIUM ACETATE 135.00 135.00 Y Y SODIUM CHLORIDE 135.00 135.00 Y Y SODIUM CITRATE 135.00 135.00 Y Y B.S.S. PLUS SOL 500 ML [ CALCIUM CHLORIDE 959.00 959.00 Y Y MAGNESIUM CHLORIDE 959.00 959.00 Y Y POTASSIUM CHLORIDE 959.00 959.00 Y Y SODIUM ACETATE 959.00 959.00 Y Y SODIUM CHLORIDE 959.00 959.00 Y Y SODIUM CITRATE 959.00 959.00 Y Y B.S.S.(OPTOSOL) 500 ML [ CALCIUM CHLORIDE 148.00 148.00 Y Y MAGNESIUM CHLORIDE 148.00 148.00 Y Y POTASSIUM CHLORIDE 148.00 148.00 Y Y SODIUM ACETATE 148.00 148.00 Y Y SODIUM CHLORIDE 148.00 148.00 Y Y SODIUM CITRATE 148.00 148.00 Y Y BBT VISC (OPHTHALIN) 1.5% 0.85 ML [ 2,415.00 2,415.00 Y Y FLUORESCEIN SODIUM 10 % 6 ML[ FLUORESCEIN SOD 356.00 356.00 Y Y MIOSTAT 0.01% [ CARBACHOL 295.00 295.00 Y Y VISCOAT 0.5 ML [ SOD CHONDROITIN SULF - SOD HYALUR 1,931.00 1,931.00 Y Y VISCOAT 0.75 ML (PIbUdecf) [ SOD CHONDROITIN SULF - SOD HYALUR 2,247.00 2,247.00 Y Y 12 Ear, nose, and oropharynx 12.1 Drugs acting on the ear !"#$% ก
18 พฤศจิกายน 2561 หนา 47 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- CHLORAMPHENICOL EAR("eOrXet")DROP 1% ก 10 MLCHLORAMPHENICOL 31.00 31.00 Y Y SOD.BICARB EAR DROP 10ML ก SODIUM BICARB 20.00 20.00 Y Y !"#$% ( CANDID EAR DROP 1% I CLOTRIMAZOLE 73.00 73.00 Y Y !"#$% 5 SOFRADEX E/E DROP 8 ML [[i^R¢njwàb]IUX[^Uk**] DEXAMETHASONE 85.00 85.00 Y Y FRAMYCETINE 85.00 85.00 Y Y GRAMICIDINE 85.00 85.00 Y Y 12.2 Drugs acting on the nose 12.2.1 Drugs used in nasal allergy !"#$% ( (OกPQRก) RHINOCORT AQUA I 120 DOSE>>..>> BUDESONIDE 313.00 313.00 Y Y !"#$% 1 AVAMYS NASAL SPRAY (C)D ] 120 DOSE FLUTICASONE FUROATE 288.00 288.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 NASACORT AQ (C-D1/L2) ## 120 DOSE TRIAMCINOLONE ACETONIDE 282.00 282.00 N N NASONEX NASAL SPRAY## 140 DOSE MOMETASONE FUROATE 660.00 660.00 N N 12.2.2 Topical nasal decongestants !"#$% ก EPHEDRINE 2% ก EPHEDRINE 75.00 75.00 Y Y EPHEDRINE 3% ก EPHEDRINE 75.00 75.00 Y Y EPHEDRINE DROP 0.5% ก EPHEDRINE 12.00 12.00 Y Y EPHEDRINE DROP 1.0% ก EPHEDRINE 12.00 12.00 Y Y !"#$% ( (ILIADINE PXRc) OXYMETAZOLINE HCL 0.05% SPRAY[OXYMETAZOLINE 40.00 40.00 Y Y ILIADINE 0.05% SPRAY [^]>>..>>[ÑhRXÖfh] I OXYMETAZOLINE 111.00 111.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 EPHEDRINE DROP 0.25%# EPHEDRINE 11.00 11.00 Y N 12.3.1 DRUG USED IN TREATMENT OF ORAL ULCER !"#$% ก CHLORHEXIDINE 0.12% MOUTH WASH ก CHLORHEXIDINE GLUCONATE 40.00 40.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 KAMILLOSAN-M SPRAY>>..>>$ CAMOMILE 179.00 N N CHAMAZULENE 179.00 N N ESSENTIAL OILS 179.00 N N KENALOG IN ORABASE 1 GM (GENERLOG) L# TRIAMCINOLONE ACETONIDE 8.00 8.00 Y N 12.3.2 Oropharyngeal antifungal drugs !"#$% ก CANDINAS TROCHE TAB. ก CLOTRIMAZOLE 1.50 1.50 Y Y DAKTARIN ORAL GEL ก MICONAZOLE NITRATE 103.00 103.00 Y Y
18 พฤศจิกายน 2561 หนา 48 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- 12.3.3 ANTISEPTICS FOR ROOT CANAL TREATMENT 12.3.4 DRUGS USED IN PREVENTION AND TREATMENT OF DENTAL PLA !"#$% ก FLUORIDE 0.25 MG TAB ก SOD.FLUORIDE 0.50 0.50 Y Y )*+,ก!"#$%)*-."ก/-01$*23 FLUORIDE MOUTHWASH 0.05% 300 ML## SOD.FLUORIDE 35.00 35.00 N N 12.3.5 OTHER DENTAL PREPARATIONS !"#$% SMW 240 ML DETTOL 10.00 10.00 Y Y EUCALYTUS OIL 10.00 10.00 Y Y MENTHOL 10.00 10.00 Y Y METHYL SALICYLATE 10.00 10.00 Y Y 13 Skin !"#$% ACETIC ACID 1% IN ALC. 95%(240 ML.) ACETIC ACID 60.00 60.00 Y Y ACETIC ACID 3% IN ALC. 95%(240 ML) ACETIC ACID 60.00 60.00 Y Y ETHYL ALCOHOL 60.00 60.00 Y Y !"#$% ก ACETIC ACID 3% (240 ML.) ก ACETIC ACID 10.00 10.00 Y Y ACETIC ACID 5% (450 ML.) ก ACETIC ACID 20.00 20.00 Y Y BURROW'S SOL. (240 ML.) ก ACETIC ACID 20.00 20.00 Y Y ALUMINIUM SUBACETATE 20.00 20.00 Y Y CALCIUM CARBONATE 20.00 20.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 4% MINOXIDIL LOTION 30 ML**(C/L2) MINOXIDIL 160.00 N N ACETIC ACID 1% (240 ML.)# ACETIC ACID 10.00 10.00 Y N D-SHAMPOO (240 ML.) RESORCINOL 36.00 0.00 N N SALICYLIC ACID 36.00 0.00 N N GLYCOLIC A.CREAM 3% 5GM** GLYCOLIC ACID 15.00 N N HQ 3% CREAM 5 GM** HYDROQUINONE 10.00 N N HQ 3% IN TA 0.02%CREAM 5 GM** 16.00 N N KOJIC A. CREAM 1.5% 5GM** KOJIC ACID 15.00 N N LOTIO-P 60 ML** RESORCINOL 30.00 N N SALICYLIC ACID 30.00 N N ZINC OXIDE 30.00 N N SKINOREN 20% CREAM 30 GM D**^ AZELAIC ACID 467.00 N N 13.1 Anti-infective skin preparations 13.1.1 Antibacterial preparations !"#$% ก PHARMA CREAM 5 GM ก SILVER SULFADIAZINE 7.00 7.00 Y Y
18 พฤศจิกายน 2561 หนา 49 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- PHARMA CREAM 500 GM ก SILVER SULFADIAZINE 370.00 370.00 Y Y !"#$% ( BACTROBAN (MUPIROCIN) OINTMENT(5 GM) I MUPIROCIN 48.00 48.00 Y Y FUCIDIN CREAM 2% 5 GM I FUSIDIC ACID 70.00 70.00 Y Y FUCIDIN CREAM 2% eQrXQo 15 GM I 208.00 208.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 BETAMETHASONE-N 5 GM# BETAMETHASONE 13.00 13.00 Y N NEOMYCIN SULFATE 13.00 13.00 Y N CLINDA LOTION 15 ML** CLINDAMYCIN 30.00 N N ERYTHRO LOTION 2% (B/L1)30 ML** ERYTHROMYCIN 40.00 N N 13.1.2 Antifungal preparations !"#$% ก CLOTRIMAZOLE CREAM 40 GM ก CLOTRIMAZOLE 72.00 72.00 Y Y CLOTRIMAZOLE CREAM 500 GM ก V CLOTRIMAZOLE 310.00 310.00 Y Y CLOTRIMAZOLE CREAM •Qni 5 GM ก CLOTRIMAZOLE 9.00 9.00 Y Y SOD.THIOSULFATE 20% 60ML(OUÆUOhrก) ก SOD.THIOSULFATE 10.00 10.00 Y Y VIOFORM + TA CREAM 5 GM ก IODOCHLORHYDROXYQUINOLINE 7.00 7.00 Y Y TRIAMCINOLONE ACETONIDE 7.00 7.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 NIZORAL SHAMPOO 100 ML ** KETOCONAZOLE 201.00 N N SELSUN 120 ML ** SELENIUM SULFIDE 154.00 0.00 N N THYMOL 3%IN ALC. 30ML# CHLOROFORM 10.00 10.00 Y N THYMOL 10.00 10.00 Y N 13.1.3 Parasiticidal preparations !"#$% ก (JACUTIN PXRc) "[^Wc°fUPeU" [1 %_PERMETHRIN_HECINPERMETHRIN 37.00 37.00 Y Y BENZYL BENZO 25% 240ML ก BENZYL BENZOATE 100.00 100.00 Y Y BENZYL BENZO 25% 60ML ก BENZYL BENZOATE 25.00 25.00 Y Y HECIN - F [[*[^WcกmUànXeRX*]] (5 %**PERMETHRIN) 30 GMPERMETHRIN 73.00 73.00 Y N )*+,ก!"#$%)*-."ก/-01$*23 BENZYL BENZO 12.5% 240ML# BENZYL BENZOATE 88.00 88.00 Y N BENZYL BENZO 12.5% 60ML# BENZYL BENZOATE 22.00 22.00 Y N 13.2 Emollient and barrier preparations !"#$% ก VASELINE 5 GM ก WHITE PETROLATUM 6.00 6.00 Y Y ZINC OXIDE PASTE 5 GM ก TALCUM 6.00 6.00 Y Y VASELINE 6.00 6.00 Y Y ZINC OXIDE 6.00 6.00 Y Y !"#$% 4 OLIVE OIL 450 ML ก (amUe^ni[RX^U[Usá.) OLIVE OIL 170.00 170.00 Y Y
18 พฤศจิกายน 2561 หนา 50 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- )*+,ก!"#$%)*-."ก/-01$*23 K-Y JELLY 42 GM# LUBRICANTING JELLY 90.00 90.00 Y N NAPPY-HIPPO CREAM 25 GM# ZINC OXIDE 38.00 38.00 Y N PH5-EUCERIN LOTION (~QÑnÜh)** DEXPANTHENOL 282.00 N N DIAMMONIUM CITRATE 282.00 N N EUCERITE 282.00 N N VIT E 282.00 N N QC JELLY 50 GM ** LUBRICANTING JELLY 34.00 N N SOLCOSERYL JELLY eQrXdeuf 20 GM# DEPROTEINZED CALVE BLOOD EXTRAC 117.00 117.00 Y N 13.3 Topical antipruritics !"#$% ก jUsèÜh[nh CALAMINE LOTION 60 ML ก CALAMINE 13.00 13.00 Y Y ZINC OXIDE 13.00 13.00 Y Y 13.4 Topical corticosteroids !"#$% ก BETAMETHASONE (1/2) 40 GM ก BETAMETHASONE 35.00 35.00 Y Y BETAMETHASONE (1/2) 5 GM ก BETAMETHASONE 7.00 7.00 Y Y BETAMETHASONE (1/2) 500 GM ก BETAMETHASONE 500.00 500.00 Y Y BETAMETHASONE 0.1% CREAM 40 GM ก BETAMETHASONE 64.00 64.00 Y Y BETAMETHASONE 0.1% CREAM 5 GM ก BETAMETHASONE 8.00 8.00 Y Y BETAMETHASONE 500 GM ก BETAMETHASONE 500.00 500.00 Y Y HYDROCORTISONE CREAM 5 GM (C/D/L2) ก HYDROCORTISONE ACETATE 18.00 18.00 Y Y P-TOCORT (CLOBETASOL) 40 GM ก 160.00 160.00 Y Y P-TOCORT (CLOBETASOL) CREAM 500 GM_ก 1,666.00 1,666.00 Y Y P-TOCORT (CLOBETASOL) •Qni 5 GM ก CLOBETASOL PROPIONATE 20.00 20.00 Y Y T.A. LOTION (240 ML.) ก TRIAMCINOLONE ACETONIDE 96.00 96.00 Y Y T.A. LOTION (60 ML.) ก TRIAMCINOLONE ACETONIDE 24.00 24.00 Y Y TA 0.02% CREAM 5 GM (1304)ก TRIAMCINOLONE ACETONIDE 6.00 6.00 Y Y TA 0.1% CREAM 500 GM (1306) ก TRIAMCINOLONE ACETONIDE 230.00 230.00 Y Y TA 0.1% CREAM •Qni 5 GM (1306) ก TRIAMCINOLONE ACETONIDE 10.00 10.00 Y Y TA 0.1% CREAM eQrX 5 GM ก 10.00 10.00 Y Y !"#$% ( TOPICORTE 10 GM I DESOXIMETHASONE 52.00 52.00 Y Y TOPICORTE 300 GM I DESOXIMETHASONE 0.00 0.00 Y N !"#$% 4 BETAMETHASONE+SALICYLIC 3% 15 GM(MECYLIC,EPIKLIN BETAMETHASONE 49.00 49.00 Y Y SALICYLIC ACID 49.00 49.00 Y Y !"#$% 1 ELOMET CREAM 5 GM ] ## MOMETASONE FUROATE 65.00 65.00 N N )*+,ก!"#$%)*-."ก/-01$*23
18 พฤศจิกายน 2561 หนา 51 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- BET-C (VIOFORM IN BET) 5 GM# BETAMETHASONE 17.00 17.00 Y N CLIOQUINOL 17.00 17.00 Y N 13.5 Other Preparations for psoriasis (excluding topica !"#$% ก CCT 5% 150 GM ก COAL TAR 190.00 190.00 Y Y CCT 5% 5 GM ก COAL TAR 8.00 8.00 Y Y LCD 5% + TA 40 GM ก 30.00 30.00 Y Y LCD 5% CREAM 5 GM ก COAL TAR 6.00 6.00 Y Y TAR SHAMPOO (240 ML.)ก 48.00 48.00 Y Y !"#$% 1 DAIVONEX OINT 30 GM ] D# CALCIPOTRIOL 584.00 584.00 Y N NEOTIGASON 10 MG TAB>>(ÑnÜk[^Uk) ] ACITRETIN 36.00 36.00 Y Y NEOTIGASON 25 MG TAB ] ACITRETIN 74.00 74.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 ELIDEL CREAM 1 % 15 GM D ## PIMECROLIMUS 783.00 783.00 N N XAMIOL GEL 15 GM (C) D$ BETAMETHASONE 774.00 774.00 N N CALCIPOTRIOL 774.00 774.00 N N 13.6 Preparations for warts and calluses !"#$% ก 40 % SALICYLIC ACID 5 GM ก SALICYLIC ACID 10.00 10.00 Y Y PODOPHYLLIN SOL IkX_ ก PODOPHYLLIN RESIN IN TR. BENZOIN 329.00 329.00 Y Y SILVER NITRATE ก^ncQo ก SILVER NITRATE 105.00 65.00 Y Y TCA 100% 10 ML ก* TRICHLOROACETIC ACID 90.00 N N TCA 20% 10 ML ก * TRICHLOROACETIC ACID 25.00 N N TCA 30% 10 ML ก * TRICHLOROACETIC ACID 25.00 N N TCA 75% 10 ml. ก * TRICHLOROACETIC ACID 90.00 N N !"#$% ( DUOFILM 15 ML I>>(i^R¢njâcfcWIr]) LACTIC ACID 147.00 147.00 Y Y POLIDOCANOL 147.00 147.00 Y Y SALICYLIC ACID 147.00 147.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 (VILERM PXRc) ACYCLOVIR CREAM 1 ก^nc * [COVIR 1 GM ACYCLOVIR 5.00 5.00 Y N ACYCLOVIR CREAM 5 GM [COVIR](VILERM PXRc)# ACYCLOVIR 22.00 22.00 Y N ALDARA CREAM qr]Qo D## IMIQUIMOD 206.00 206.00 N N 14 Immunological products and vaccines !"#$% ก (OกPQRก* dÑbRHESI2 wjh) RHESUMAN INJ (ANTI-D)[625HUMAN ANTI - D IG 6,535.00 6,535.00 Y Y ANTIRABIES SERUM(ERIG) 1000 U/5ML ก RABIES SERUM ATTAINED FROM HORSE 774.00 774.00 Y Y B.C.G DOSEQo ก BACILLUS OF CALMETTE GUERIN 15.00 15.00 Y Y DIPHTERIA ANTITOXIN ก DIPHTERIA ANTITOXIN 4,237.00 4,237.00 Y Y
18 พฤศจิกายน 2561 หนา 52 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- DPT - HB ก DIPHTHERIA TOXOID 10.00 10.00 Y Y HEPATITIS B VACCINE 10.00 10.00 Y Y PERTUSSIS TOXOID 10.00 10.00 Y Y TETANUS TOXOID 10.00 10.00 Y Y DPT (414) ก DIPHTHERIA TOXOID 10.00 10.00 Y Y PERTUSSIS TOXOID 10.00 10.00 Y Y TETANUS TOXOID 10.00 10.00 Y Y DT(DIPTHERIA-TETANUS)-Uก[^^Ɔ ก DIPHTHERIA TOXOID 20.00 20.00 Y Y TETANUS TOXOID 20.00 20.00 Y Y DTi^R¢nj (DIPTHERIA-TETANUS) ก DIPHTHERIA TOXOID 49.00 49.00 Y Y TETANUS TOXOID 49.00 49.00 Y Y ENGERIX-B >>(i^R¢njIUXIr])>>1.0 ML_ ก* HEPATITIS B VACCINE 372.00 N N HEPAVAX-B (1818) ก HEPATITIS B VACCINE 20.00 20.00 Y Y JE VAC กjc. (LIVE VAC) (1852) ก 20.00 20.00 Y Y JE Ir]i^R¢nj(CD J VAC) ก IkXQo* JAPANESE ENCEPHALITIS VACCINE 460.00 N N MMR VAC >>..>> ก * MEASLE VIRUS 172.00 N N MUMPS VIRUS 172.00 N N RUBELLA VIRUS 172.00 N N TAT 1500 U ก V TETANUS ANTITOXIN 30.00 30.00 Y Y TT 0.5 CC(OUamU^r]hbrO) DOSE Qo ก(U) TETANUS TOXOID 27.00 27.00 Y Y TUBERCULIN TEST ก TUBERCULIN PPD 632.00 632.00 Y Y !"#$% ( (HRIG PXRc) HUMAN ANTIRABIES 300 IU [BERIRAB]*(CHUMAN RABIES IMMUNOGLOBULIN 1,945.00 1,945.00 Y Y (HRIG aÆUกUÑUX*) HUMAN ANTIRABIES 750 IU/5ML (CHUMAN RABIES IMMUNOGLOBULIN 1,381.00 1,381.00 Y Y [i^R¢njIUXIr]]..HUMAN ANTIRABIES 300 IU*(HRIG)*[(HUMAN RABIES IMMUNOGLOBULIN 2,180.00 2,180.00 Y Y TETAGAM (HUMAN TETANUS) IG 250 IU/1 ML (C/N) IHUMAN ANTI-TETANUS 632.00 632.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 (OกPQRก-IUX[^Uk)*HAVRIX-720(PX`ก)** HEPATITIS A 688.00 N N BOOSTRIX** DIPHTHERIA TOXOID 639.00 N N PERTUSSIS TOXOID 639.00 N N TETANUS TOXOID 639.00 N N CERVARIX VAC(PAPILLOMAVIRUS TYPE16,18)** PAPILLOMAVIRUS TYPE 16,18 2,058.00 N N GARDASIL 0.5 ML( HUMAN PAPILLOMA 6,11,16,18)_ PAPILLOMAVIRUS TYPE 6,11,16,18 2,445.00 N N HIBERIX INJ **[OUaf]PáQWOh EXP.] HAEMOPHILUS TYPE B CONJUGATE VA 515.00 N N PNEUMOCOCCAL VAC 23 (PNEUMOVAX 23)**(PVÖUoCASEPNEUMOCOCCAL VACCINE 1,094.00 N N PREVNAR 13 (IPD VAC)** PNEUMOCOCAL 13-VALENT CONJUGATE 2,338.00 N N ROTARIX VACCINE** ROTAVIRUS VACCINE 971.00 N N VARITECT 125 IU/ 5ML** HUMAN VARICELLA ZOSTER IG 5,781.00 N N 15 Anaesthesia 15.1 General anaesthesia
18 พฤศจิกายน 2561 หนา 53 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- 15.1.1 Intravenous anaesthesia !"#$% 4 ANEPOL INJ 120 MG (12ML) [ PROPOFOL 103.00 103.00 Y Y DIPRIVAN10MG/ML 20MLINJ [ PROPOFOL 333.00 333.00 Y Y ETOMIDATE LIPURO GA 20 MG/ 10ML [ ETOMIDATE LIPURO 245.00 245.00 Y Y PROPOFOL 1% INJ [FRESOFOL](B/L2)_[ PROPOFOL 235.00 235.00 Y Y THIOPENTAL SOD 1 GM INJ [ THIOPENTAL SOD. 184.00 184.00 Y Y !"#$% 1 KETALAR 50 MG/ML 10 ML(B/L2) ] KETAMINE HCL 195.00 195.00 Y Y 15.1.2 Inhalational anaesthesia !"#$% 4 FORANE INHAL ANESTHE_[ ISOFLURANE 6,319.00 6,319.00 Y Y SEVORANE 250 ML [ SEVOFLURANE 6,454.00 6,454.00 Y Y 15.1.3 Muscle relaxants (Neuromuscular blocking drugs) !"#$% 4 (NIMBEX PXRc) CISATRACURIUM KABI*[2 MG/ML] INJCISATRACURIUM 147.00 147.00 Y Y HAD (TRACRIUM)50 MG INJ [(5.0 ML)*ATRACURIUMATRACURIUM BESYLATE BESYLATE 152.00 152.00 Y Y NIMBEX*(R)*(CISATRACURIUM) 2 MG/ML INJ [ 5 MLCISATRACURIUM 179.00 179.00 Y Y SUCCINYL CHLORIDE 500 MG/10 ML*INJ (SUXAMETHONIUM SUCCINYLCHLORIDE (SUXAMETHONIU 184.00 184.00 Y Y VECURONIUM 10 MG INJ (NORCULON)[ VECURONIUM 250.00 250.00 Y Y OU[QUOกQbUcPhèlr ESMERON INJ (ROCURONIUM 10 MG/ML ROCURONIUM BROMIDE 385.00 385.00 Y Y 15.1.4 Sedative and analgesic peri-operative drugs !"#$% 1 DORMICUM 15 MG TAB>>..>>] (D/L3) MIDAZOLAM 9.00 9.00 Y Y DORMICUM INJ 5 MG 1 ML (MIDAZ)INJ ] (D/L3)(U) MIDAZOLAM 19.00 19.00 Y Y DORMICUM INJ(VWX) 15 MG/3 ML(MIDAZOLAM)] (D/L MIDAZOLAM 71.00 71.00 Y Y 15.1.5 Anticholinesterases and antimuscarinic drugs used !"#$% ก NEOSTIGMINE 2.5 MG/ML 1 ML INJ ก NEOSTIGMINE METHYLSULFATE 25.00 25.00 Y Y 15.2 Local anaesthesia !"#$% ก EMLA CREAM 5% 30 GM ก eQrXQo_$ LIDOCAINE HCL 781.00 N N PRILOCAINE 781.00 N N LIDOCAINE 1% 20 ML V ก LIDOCAINE HCL 24.00 24.00 Y Y LIDOCAINE 2% 20 ML กV LIDOCAINE HCL 25.00 25.00 Y Y XYLOCAINE 1% 1 CC ก LIDOCAINE HCL 5.00 5.00 Y Y XYLOCAINE 4% ก 38.00 38.00 Y Y XYLOCAINE JELLY(DOCAINE) 2% eQrX ก LIDOCAINE HCL 153.00 153.00 Y Y XYLOCAINE SPRAY 10% ก LIDOCAINE HCL 516.00 516.00 Y Y XYLOCAINE VISCOUS 10 ML ก LIDOCAINE HCL 35.00 35.00 Y Y
18 พฤศจิกายน 2561 หนา 54 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- !"#$% ( MARCAINE 0.5% [ 20 CC] I BUPIVACAINE 162.00 162.00 Y Y !"#$% 4 MARCAINE HEAVY 0.5% INJ (4 ML*)_[ BUPIVACAINE 176.00 176.00 Y Y GLUCOSE 176.00 176.00 Y Y MARCAINE ISOBARIC SPINA 4 ML [ BUPIVACAINE 165.00 165.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 CHIROCAINE 0.5% 10 ML# LEVOBUPIVACAINE HCL 239.00 239.00 Y N ETHYLCHLORIDE SPRAY# ETHYL CHLORIDE 347.00 347.00 Y N 16 Antidotes !"#$% PJ 3% SOD.NITRITE 10 ML (CYANIDE AD KIT) (AD)(aáaÑ 0.00 0.00 Y Y PJ ESMOLOL 100 MG INJ (AD)aáaÑ ESMOLOL 0.00 0.00 Y Y !"#$% ก (OกPQRก)...KONAKION PX`ก 1 MG/0.5 ML>>..>> INJ (C/L1) VITAMIN K1 (PHYTOMENADIONE) 27.00 27.00 Y Y (OกPQRก)...VIT K (KONAKIAN) 10 MG INJ>>..>>(C/L1) ก( VITAMIN K1 (PHYTOMENADIONE) 6.00 6.00 Y Y ANEXATE 0.5MG/5 ML(FLUMAZENIL) INJ (C/L2) ] [OUกmFLUMAZENIL UÖ^bU 831.00 831.00 Y Y BENADRYL 25 MG CAP (B/L2) ก DIPHENHYDRAMINE 1.00 1.00 Y Y FLUIMUCIL 300 MG(B/L2)(ACETYLCYSTEINE)INJ_ก ACETYLCYSTEIN 25.00 25.00 Y Y HAD ATROPINE INJ 0.6MG/1ML V ก(Z)(U) ATROPINE SULFATE 5.00 5.00 Y Y HAD CAL.GLUCONATE INJ V ก(U) CALCIUM GLUCONATE 13.00 13.00 Y Y NARCAN 0.4 MG/ML INJ ก (NALOXONE)(AD) NALOXONE 245.00 245.00 Y Y PRALIDOXIME(2-PAM) ก (AD) PRALIDOXIME 874.00 874.00 Y Y SERUM ]tPIWOkeU]âecb ก (AD)(U) ANTIVENUM 775.00 775.00 Y Y SERUM ]t^kc ^oiiá^oaUj ก (AD) ANTIVENUM 1,200.00 1,200.00 Y Y SERUM ]t^kc ^oii~QeR• ก (AD)(U) ANTIVENUM 1,200.00 1,200.00 Y Y SERUM ]tPefU (ÑhRXweb]) ก (AD)(U) ANTIVENUM 775.00 775.00 Y Y SOD.BICARB 7.5 % 10 ML ก SODIUM BICARB 14.00 14.00 Y Y SOD.BICARB 7.5% 50 ML ก(U) SODIUM BICARB 28.00 28.00 Y Y VIT K1*[PHYTOMENADIONE] 10 MG INJ(KONAKIAN VITAMIN K1 (PHYTOMENADIONE) 17.00 17.00 Y Y aáaÑ SERUM wกbÖR¢]tPIWOkeU]âecb(ÑhRXweb]) 10 ML ก (ADANTIVENUM 0.00 0.00 Y Y aáaÑ SERUM wกbÖR¢]t^oiiá^oaUj(ÑhRXweb]) 10 ML ก (AD ANTIVENUM 0.00 0.00 Y Y aáaÑ SERUM wกbÖR¢]tPefU (ÑhRXhlmU) 10 ML ก (AD) ANTIVENUM 0.00 0.00 Y Y !"#$% 4 [^rPahrrrก] PENICILLAMINE 250 MG (D/L3) CAP [ PENICILLAMINE 19.00 19.00 Y Y 20% CALCIUM DISODIUM EDTA* [ [wshกànก¢p-OUamU^r]hb CALCIUM rO DISODIUM EDTA 76.00 76.00 Y Y 25% SOD.THIOSULFATE 50 ML (CYANIDE ANTIDOTE SOD.THIOSULFATE KIT 130.00 130.00 Y Y 3% SOD.NITRITE 10 ML (CYANIDE ANTIDOTE KIT) [(SOD.NITRITE 63.00 63.00 Y Y DESFERAL 500 MG INJ(C/N) [ DESFEROXAMINE 235.00 235.00 Y Y PJ 25% SOD.THIOSULFATE 18 ML (CYANIDE AD KIT) 0.00 0.00 Y Y
18 พฤศจิกายน 2561 หนา 55 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- PJ METHYLENE BLUE INJ (AD)aáaÑ [ 0.00 0.00 Y Y PROTAMINE INJ (C/L2) [ (AD) PROTAMINE SULFATE 278.00 278.00 Y Y !"#$% 1 DANTROLENE INJ 20 MG (AD) ] PVÖUokRanuuW DANTROLENE 5,561.00 5,561.00 Y Y LEUCOVERIN 15 MG TAB (FOLINA PXRc) ] CALCIUM FOLINATE 11.00 11.00 Y Y FOLINIC ACID 11.00 11.00 Y Y LEUCOVORIN INJ [50 MG/5 ML]**{ÑnÜk[^Uk}(C/N) ] CALCIUM FOLINATE 172.00 172.00 Y Y LEUCOVORIN INJ 300 MG [CA FOLINATE](C/N)](P) CALCIUM FOLINATE 644.00 644.00 Y Y MESNA (UROMITEXAN)(P) ] UROMITEXAN 110.00 110.00 Y Y METHYLENE BLUE INJ [en•´กU^] METHYLTHIOMINIUM CHLORIDE 149.00 149.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 FOSRENOL 500 MG (LANTHANUM) TAB D$ LANTHANUM CARBONATE 90.00 90.00 N N GLYCOPYRROLATE INJ(0.2 MG/ML)#(PVÖUokRanuuW) GLYCOPYRROLATE 37.00 37.00 Y N IPECAC SYR 15 ML# IPECAC FLUID EXTRACT 10.00 10.00 Y N ULTRA CA-R-BON TAB (ACTIVATED CHARCOAL)# ACTIVATED CHARCOAL 3.00 3.00 Y N 17 Contrast media & Radiopharmaceuticals 17.1 X - ray contrast media, iodinated 17.1.1 Drugs used in urography and computed tomography 17.1.2 Drugs used in angiography 17.1.3 Drugs used in myelography 17.1.4 Drugs used in cardiovascular catherization 17.2 X - ray contrast media, non - iodinated 17.3 Magnetic resonance imaging contrast media (MRI dia 17.4 Radiopharmaceuticals 18 Miscellaneous !"#$% PROPYLENE GLYCOL 40% 240 ML PROPYLENE GLYCOL 37.00 37.00 Y Y SORBITOL 240 ML SORBITAL 20.00 20.00 Y Y )*+,ก!"#$%)*-."ก/-01$*23 ADAPALENE GEL 0.1% •Qni 5 GM D** ADAPALENE 150.00 N N AMMONIA 1 árhX†# AMMONIA 94.00 94.00 Y N BENZAC GELeQrX 60 GM(BENZOYL PEROXIDE 2.5%)BENZOYL ** PEROXIDE 298.00 N N BERMUDA GRASS 5 ML# 5,240.00 5,240.00 Y N ELECTRODE GEL 250 GM (EKG) # 241.00 N N GRASS MIXED 5 ML# 5,711.00 5,711.00 Y N KETOSTERIL 600 MG TAB D$ 27.50 27.50 N N LACTACYD SOAP 60 ML** LACTIC ACID 48.00 N N LACTOSERUM ATOMIZATE 48.00 N N OILATUM SOAP 100 GM** MINERAL OIL 183.00 N N PH5-EUCERIN WASH LOTION (aitf)** CITRIC ACID 206.00 N N
18 พฤศจิกายน 2561 หนา 56 จาก 57
!"#ก"! %&'()"*+,-".#" !"/"0"# 123ก456 7ก) 302"- PH5-EUCERIN WASH LOTION (aitf)** DIAMMONIUM CITRATE 206.00 N N EUCERITE 206.00 N N ROACCUTANE 20 MG CAP** D ISOTRETINOIN 69.00 N N eQrX ADAPALENE GEL 0.1% 30 GM D** ADAPALENE 682.00 N N 80 4y*1#z2