肝脏移植术后门诊抗排异治疗药品诊疗项目范围

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1、2、肝脏移植术后门诊抗排异治疗药品、诊疗项目范围肝脏移植术后门诊抗排异治疗药品目录范围分类药品编码药品名称剂型抗排异用药530100002050他克莫司片剂530100002101他克莫司硬胶囊530100002102他克莫司肠溶胶囊530100002103他克莫司软胶囊剂（胶丸）530100010001环孢素水针530100010002环孢素粉针530100010003环孢素冻干粉针530100010004环孢素混悬针530100010005环孢素油针530100010006环孢素溶媒结晶粉针530100010007环孢素乳针5301

2、00010050环孢素片剂530100010101环孢素硬胶囊530100010102环孢素肠溶胶囊530100010103环孢素软胶囊剂（胶丸）530100010251环孢素溶液剂530100005001吗替麦考酚酯水针530100005002吗替麦考酚酯粉针530100005003吗替麦考酚酯冻干粉针530100005004吗替麦考酚酯混悬针530100005005吗替麦考酚酯油针530100005006吗替麦考酚酯溶媒结晶粉针530100005007吗替麦考酚酯乳针530100005050吗替麦考酚酯片剂530100005056吗

3、替麦考酚酯薄膜衣片530100005101吗替麦考酚酯硬胶囊530100005102吗替麦考酚酯肠溶胶囊530100005103吗替麦考酚酯软胶囊剂（胶丸）530100001050西罗莫司片剂530100001101西罗莫司硬胶囊530100001102西罗莫司肠溶胶囊530100001103西罗莫司软胶囊剂（胶丸）530100001251西罗莫司溶液剂510201003050泼尼松片剂510201003053泼尼松肠溶片510201003055泼尼松糖衣片510201003056泼尼松薄膜衣片510201003057泼尼松分散片510

4、201003058泼尼松划痕片510201003073泼尼松浸膏片510201003074泼尼松其他包衣片510201003101泼尼松硬胶囊510201003102泼尼松肠溶胶囊510201003103泼尼松软胶囊剂（胶丸）510201003001泼尼松龙水针510201003002泼尼松龙粉针510201003003泼尼松龙冻干粉针510201003004泼尼松龙混悬针510201003005泼尼松龙油针510201003006泼尼松龙溶媒结晶粉针510201003007泼尼松龙乳针510202003050泼尼松龙片剂5102020

5、03053泼尼松龙肠溶片510202003055泼尼松龙糖衣片510202003056泼尼松龙薄膜衣片510202003057泼尼松龙分散片510202003058泼尼松龙划痕片510202003073泼尼松龙浸膏片510202003074泼尼松龙其他包衣片510202003101泼尼松龙硬胶囊510202003102泼尼松龙肠溶胶囊510202003103泼尼松龙软胶囊剂（胶丸）510201004001甲泼尼龙水针510201004002甲泼尼龙粉针510201004003甲泼尼龙冻干粉针510201004004甲泼尼龙混悬针5102

6、01004005甲泼尼龙油针510201004006甲泼尼龙溶媒结晶粉针510201004007甲泼尼龙乳针510201004050甲泼尼龙片剂510201004101甲泼尼龙硬胶囊510201004102甲泼尼龙肠溶胶囊510201004103甲泼尼龙软胶囊剂（胶丸）抗排异辅助用药500500006001[重组]人粒细胞集落刺激因子水针500500006002[重组]人粒细胞集落刺激因子粉针500500006003[重组]人粒细胞集落刺激因子冻干粉针500500006004[重组]人粒细胞集落刺激因子混悬针500500006005[重

7、组]人粒细胞集落刺激因子油针500500006006[重组]人粒细胞集落刺激因子溶媒结晶粉针500500006007[重组]人粒细胞集落刺激因子乳针480503001050熊去氧胆酸片剂480503001053熊去氧胆酸肠溶片480503001055熊去氧胆酸糖衣片480503001056熊去氧胆酸薄膜衣片480503001057熊去氧胆酸分散片480503001058熊去氧胆酸划痕片480503001073熊去氧胆酸浸膏片480503001074熊去氧胆酸其他包衣片480503001101熊去氧胆酸硬胶囊480503001102熊去氧

8、胆酸肠溶胶囊480503001103熊去氧胆酸软胶囊剂（胶丸）010342020050护肝片片剂480502004001双环醇水针480502004002双环醇粉针480502004003双环醇冻干粉针48