藥碼 螢幕顯示用藥名 學名(成份名)
AA990 Adefovir tab 10mg ADEFOVIR TAB 10MG AB920 Free-40mg Afatinib tab Free-40mg Afatinib tab AB930 Free-30mg Afatinib tab Free-30mg Afatinib tab ACT03 162mg Actemra inj Tocilizumab inj 162mg AD810 5mg Aricept tab Donepezil tab 5mg ADE01 Free-0.5mg Riociguat tab Free-Riociguat tab 0.5mg ADE02 Free-1mg Riociguat tab Free-Riociguat tab 1mg ADE03 Free-1.5mg Riociguat tab Riociguat tab 1.5mg ADE04 Free-2mg Riociguat tab Free-Riociguat tab 2mg ADE05 Free-2.5mg Riociguat tab Free-Riociguat tab 2.5mg ADE06 1mg Adempas tab Riociguat tab 1mg ADE07 2mg Adempas tab Riociguat tab 2mg ADE08 2.5mg Adempas tab Riociguat tab 2.5mg
AE480 25mg Etanercept inj Etanercept inj 25mg/ml syringe AE510 0.5mg Baraclude tab Entecavir tab 0.5mg
AE520 1mg Baraclude tab Entecavir tab 1mg AE530 100mg Tarceva tab Erlotinib tab 100mg AE540 150mg Tarceva tab Erlotinib tab 150mg
AE650 Afinitor tab 5mg EVEROLIMUS TAB 5MG
AE690 Eltrombopag tab-25 ELTROMBOPAG OLAMINE TAB 25MG AE700 Byetta inj 5mcg EXENATIDE INJ 5MCG/DOSE
AE710 10mcg Byetta inj EXENATIDE INJ 10MCG/DOSE AF910 Foster inh 120dose FormoteroL6+Beclomethasone100mcg AF960 Fingolimod cap 0.5mg Fingolimod cap 0.5mg
AFI10 Votubia tab 2.5mg Everolimus tab 2.5 mg AG440 Glatiramer inj-20 Glatiramer acetate inj 20mg AG480 Gefitinib tab-250 Gefitinib tab 250mg
AI140 Betaferon 0.3mg INTERFERON BETA-1B 0.3MG(9.6MIU) AI260 Iloprost 20mcg/2ml ILOPROST NEBULISER 20UG/2ML AI360 Roferon-A inj 3MU Interferon alpha-2A inj 3MU
AI590 Isotretinoin cap 20mg Isotretinoin cap 20mg
AI620 Onbrez inh. 150mcg INDACATEROL BREEZHALER 150 MCG AI640 Rebif inj 44mcg INTERFERON BETA-1a INJ 12MIU AK370 FreeTB-K.M. inj 1g K.M. INJ 1GM FREE-TB
AL310 FreeTB-VorotaL-500 LEVOFLOXACIN TAB 500MG FREE-TB
自備藥品參考清單
自備藥品定義
*病人於住院或急診前於本院開立之健保事前審查、院內事前審查（專案進口）、藥品安定性問題
（開封後需特定期間內使用）、自費高價藥品等。
*病人於住院或急診前，於其他醫療院所開立且本院處方集中無法取代之藥品。
*只限處方藥品（不包含保健食品或另類療法藥物）。
AL430 100mg/mL Keppra Sol'n Levetiracetam SOL 100mg/mL AL450 Lapatinib tab250mg Lapatinib tab 250mg
AL530 Zeffix tab 100mg LAMIVUDINE TAB 100MG
AL710 FreeTB-LeflodaL500 LEVOFLOXACIN TAB 500MG FREE-TB ALE01 Free-Alecensa cap 150mg Free-Alectinib cap 150mg
ALE02 Alecensa cap 150mg Alectinib cap 150mg
ANO01 Anoro ellipta 55/22mcg Umeclidinium/VilanteroL 55/22mcg AO220 Trileptal 6% 100mL OXCARBAZEPINE SUSP 6GM/100ML AO240 Omalizumab inj-150 Omalizumab inj 150mg
AO310 30mg Sandostatin OCTREOTIDE LAR 30MG INJ APA07 (專案)Apalutamide tab 60mg (專案)Apalutamide tab 60mg AR300 500mg Mabthera inj Rituximab inj 500mg
AR310 Rivastigmine 1.5mg RIVASTIGMINE CAP 1.5MG
AR370 3mg Rivastigmine RIVASTIGMINE HYDROGEN TARTR.3MG AR380 Exelon cap 4.5mg RIVASTIGMINE HYDROGEN TART.4.5MG AR420 Ribavirin cap 200mg Ribavirin cap 200mg
AR550 Free Rifabutin-150 RIFABUTIN CAP 150MG FREE-TB
AR600 Patch Exelon 5 RIVASTIGMINE patch 5
ARI01 10mg Aricept tab Donepezil tab 10mg
AS430 Seretide-250 accuh FLUTICASONE-250+SALMETEROL-50 AS530 Sunitinib cap-12.5 SUNITINIB CAP 12.5MG
AS610 125-Seretide evoha Fluticasone-125+SalmeteroL-25mcg AS670 NexAVAR tab 200mg Sorafenib tab 200mg
AS700 EVOha Seretide 250 SalmeteroL-25+Flutica.250ugX120D AS980 Symbicort turbuhal Budesonide/FormoteroL turbuhaler AT070 20mg TemodaL cap Temozolomide cap 20mg
AT220 100mg TemodaL cap Temozolomide cap 100mg AU440 Stelara inj 45mg USTEKINUMAB INJ 45MG BA530 Adalimumab inj Adalimumab inj 40mg/0.4ml BA620 Fabrazyme inj 35mg Agalsidase beta inj 35mg
BA690 Replagal inj 3.5mg AGALSIDASE ALFA INJ 3.5MG/3.5ML BA800 Abatacept inj 250mg Abatacept inj 250mg
BA860 5mg Volibris tab AMBrisentan tab 5mg BB130 62.5mg Bosentan tab-1st Bosentan tab 62.5mg-1st BB140 125mg Bosentan tab-1st Bosentan tab 125mg-1st
BC340 Restasis oph 30's Cyclosporine 0.05% oph emuL 30's BC450 FreeTB Cycloserine FREETB CYCLOSERINE TAB 250MG BC630 Alvesco inh 160mcg CICLESONIDE 160MCG INH
BC670 FreeTB CloFAZimine FREE TB-CLOFAZIMINE CAP 100MG
BC730 250mg Crizotinib cap Crizotinib cap 250mg BC770 Free TB-Capreomycin inj 1g Capreomycin inj 1g Free-TB BD110 Diazoxide susp 30mL Diazoxide oraL susp. 1.5g/30mL BEC01 Becavir tab 0.5mg Entecavir tab 0.5mg
BM080 Megest susp 120mL MEGESTROL SUSP 4.8G/120ML BM340 Mitotane tab 500mg MITOTANE TAB 500MG BM370 Witgen tab 10mg Memantine HCL tab 10mg
BP130 FreeTB-TBN 250mg PROTHIONAMIDE TAB 250MG FREETB BP180 BuphenyL tab 500mg Phenylbutyrate tab 500mg
BP260 Pegasys inj 180mcg Peginterferon alfa-2a inj 180mcg
BP280 Peg-Intron-100 inj PEGINTERFERON ALFA-2b 100MCGvial BP530 (液)PosanoL Susp. Posaconazole susp 40mg/mL
BP560 FreeTB PAS gran 5g PARA-AMINOSALICYLIC ACID 5G FREE BP590 Pazopanib tab200mg PAZOPANIB TAB 200MG
BP600 K-Phos No.2 tab K-PHOS NO.2 TAB
BS100 Sol'n Cyclosporin 100mg/mL SOLN CYCLOSPORIN BS130 Free TB Streptomycin inj Free TB Streptomycin inj 1gm
BS330 500-Seretide accuh FLUTICASONE-500+SALMETEROL-50 AC
BS390 Kuvan tab 100mg SAPROPTERIN TAB 100MG
BT360 Sebivo tab 600mg TELBIVUDINE TAB 600MG
BT390 Trientine 300mg TRIENTINE CAP 300MG
BT450 Teriparatide inj TERIPARATIDE INJ
BT510 Spiriva Respimat Tiotropium Respimat 2.5mcg BT530 Free-Terizidon 250mg TERIZIDON CAP 250MG FREE TB BT550 Remodulin inj 20mg TREPROSTINIL INJ 20MG/20ML BT570 200mg Actemra inj Tocilizumab inj 200mg
CAB01 20mg Free-Cabometyx tab Free-Cabozantinib tab 20mg CAB02 40mg Free-Cabometyx tab Free-Cabozantinib tab 40mg CAB03 60mg Free-Cabometyx tab Free-Cabozantinib tab 60mg CIM01 Cimzia inj 200mg Certolizumab pegol inj 200mg COM03 Complera@ tab 200/25/300mg Emtricitabine/Rilpivir/Tenofovir COP01 40mg/mL Copaxone Pre-Filled syr Glatiramer acetate inj 40mg COS03 Cosentyx inj 150mg Secukinumab inj 150mg DAK01 Daklinza tab 60 mg Daclatasvir tab 60mg DON01 Donepezil Mylan OD tab 5mg Donepezil OD tab 5mg ELA01 Elaprase inj 6mg IDURSULFASE INJ 6MG ENT04 Entyvio inj 300mg Vedolizumab inj 300mg ENT05 Entigin tab 1mg Entecavir tab 1mg ENV01 Envir tab 0.5mg Entecavir tab 0.5mg
ERA01 Free-Eraflu cap 75mg Oseltamivir cap 75mg-Free
EXE01 6mg Exelon cap RIVASTIGMINE HYDROGEN TART.6MG EXE02 Patch 10 Exelon RIVASTIGMINE patch 10
EXM01 Exmem tab 10mg Memantine HCL tab 10mg FLO01 (FreeTB) Floxsafe tab 400mg (FreeTB) Moxifloxacin Tab 400mg FLU03 Flutiform inh 125/5mcg Fluticasone/FormoteroL 125/5 inh FOS02 NEXThaler Foster 120 dose FormoteroL6+Beclomethasone100mcg GEN04 Genvoya@ tab Tenof.emtrici.elviteg.cobicistat GIO01 30mg Afatinib tab Afatinib dimaleate tab 30mg GIO02 40mg Afatinib tab Afatinib dimaleate tab 40mg IBR01 125mg Ibrance cap Palbociclib cap 125mg IBR02 100mg Ibrance cap Palbociclib cap 100mg
IN012 Neutral phosp.-NHI NEUTRAL PHOSPHATE 500ML-NHI INC01 Incruse ellipta 55mcg Umeclidinium ellipta 55mcg powd INL01 5mg Inlyta tab Axitinib tab 5mg
INL10 1mg Inlyta tab Axitinib tab 1mg
IRE01 Free-Iressa tab 250mg Free-Gefitinib tab 250mg
ISO10 SOL'N Isobide 500mL ISOSORBIDE ORAL SOLUTION JAK01 Free-JakAVI tab 5mg RUXOLITINIB TAB 5MG-FREE JAK02 5mg Jakavi tab Ruxolitinib tab 5mg
JAK03 15mg Jakavi tab Ruxolitinib tab 15mg KIS01 (FREE) Kisqali tab 200mg FREE-Ribociclib tab 200mg KIS02 Kisqali tab 200mg Ribociclib tab 200mg LEN02 Free-4mg Lenvatinib cap Free-4mg Lenvatinib cap LEN03 Free-10mg Lenvatinib cap Free-10mg Lenvima cap LEN05 10mg Lenvima cap 10mg Lenvima cap
LEV03 Free-Levofloxacin tab 750mg LEVOFLOXACIN TAB 750MG-Free LEV06 FreeTB-Levonolon tab 500mg Levofloxacin tab 500mg Free-TB LOR02 Free-Lorlatinib tab 25mg Lorlatinib tab 25mg
LYN01 Free-Lynparza cap 50mg Olaparib cap 50mg-Free LYN02 Lynparza tab 150mg Olaparib tab 150mg MAB01 1400mg(皮下)Mabthera SC inj Rituximab SC inj 1400mg
MEG03 Megaxia ES susp 125mg/mL,35mL Megestrol ES susp125mg/mL,35mL MEK01 Mekinist tab 2mg Dabrafenib tab 75mg
MOS02 FreeTB-Mosflow tab 400mg MOXIFLOXACIN TAB 400MG FREE-TB MOX01 Free TB-Moxicin tab 400mg Free TB Moxifloxacin tab 400mg
MOX02 FreeTB-Moxetero tab 400mg Moxifloxacin tab 400mg FREE-TB MOZ01 MozobiL inj 24mg Plerixafor inj 24mg/1.2mL NI010 TPOG-Roaccutane 20mg TPOG-Isotretinoin cap 20mg
NIN01 Free-2.3mg Ixazomib cap Free-Ixazomib cap 2.3mg NIN02 Free-3mg Ixazomib cap Free-Ixazomib cap 3mg NIN03 Free-4mg Ixazomib cap Free-Ixazomib cap 4mg NPL01 Romiplate inj 250mcg Romiplostim inj 250mcg NUC01 Nucala inj 100mg Mepolizumab inj 100mg
OFE01 Ofev cap 150mg Nintedanib ethanesulfonate 150mg OLU01 Olumiant tab 4mg Baricitinib tab 4mg
OPS01 Macitentan tab 10mg Macitentan tab 10mg OPS02 (CM)Opsumit tab 10 mg Macitentan tab 10mg ORE01 125mg Abatacept inj Abatacept inj 125mg PET01 (FreeTB) Peteha 250mg Protionamide 250mg FreeTB PHE02 Phenbuty tab 500mg Phenylbutyrate tab 500mg PIR01 Pirespa tab 200 mg Pirfenidone 200 mg POM01 2mg Pomalyst cap Pomalidomide cap POM02 4mg Pomalyst cap Pomalidomide cap 4mg REL01 92/22mcg Relvar ellipta Fluticasone,VilanteroL ellipta REL02 184/22mcg Relvar ellipta Fluticasone,VilanteroL ellipta REM01 100mg Remodulin inj TREPROSTINIL INJ 100MG/20ML REV01 10mg Revlimid cap Lenalidomide cap 10mg
REV02 5mg Revlimid cap Lenalidomide cap 5mg REV10 25mg Revlimid cap Lenalidomide cap 25mg SEE01 Seebri inh cap 50mcg Glycopyrronium inh cap 50mcg SER01 SeridoL sol'n 30mL Risperidone sol'n 1mg/mL 30mL
SIG01 Signifor inj 0.9mg PASIREOTIDE DIASPARTATE INJ0.9MG SPI01 Spiolto Respimat inh 2.5/2.5mcg Tiotropium/OlodateroL 2.5/2.5mcg
STI02 Stivarga tab 40mg REGORAFENIB TAB 40MG STR02 Striverdi respimat 2.5mcg OlodateroL respimat 2.5mcg SUN01 Sunvepra cap 100mg Asunaprevir cap 100mg
SYM01 Rapihaler Symbicort Budesonide/FormoteroL Rapihaler TAF01 Tafinlar cap 75mg Dabrafenib cap 75mg
TAG01 Free-Osimertinib 80mg 10tab/box Free-Osimertinib 80mg 10tab/box TAG02 Free-Tagrisso tab 80mg Free-Osimertinib tab 80mg TAG03 $-Tagrisso tab 80mg $-Osimertinib tab 80mg TAM01 FREE-Tamiflu cap Oseltamivir cap 75mg-Free TAM02 20mg TamOS cap Temozolomide cap 20mg TAM03 100mg TamOS cap Temozolomide cap 100mg TAR01 Free-100mg Tarceva tab Erlotinib tab 100mg-Free TAR02 Free-150mg Tarceva tab Erlotinib tab 150mg-Free TRA04 62.5mg Bosentan tab-2nd Bosentan tab 62.5mg-2nd
TRA05 125mg Bosentan tab-2nd Bosentan tab 125mg-2nd
TRE02 Trelegy Ellipta 92/55/22 mcg FluticasoneUmeclidiniumVilantero TRE03 Tremfya inj 100mg Guselkumab inj 100mg
TRU01 Trulicity inj 1.5mg Dulaglutide inj 1.5mg
TS110 TS-1 cap 20mg TEGAFUR,GIMERACIL,OTERACIL 20MG TS120 25mg TS-1 cap TEGAFUR,GIMERACIL,OTERACIL 25MG ULT01 Ultibro inh cap 110/50mcg IndacateroL/Glycopyrronium110/50
UPT01 Free-Uptravi tab 200mcg Selexipag tab 200mcg-Free UPT02 Free-Uptravi tab 600mcg Selexipag tab 600mcg-Free UPT03 Free-Uptravi tab 800mcg Selexipag tab 800mcg-Free URO01 UroSAN cap 100mg Pentosan polysulfate cap 100mg VEM01 Vemlidy tab 25mg Tenofovir alafenamide tab 25mg
VIC20 Victoza inj LIRAGLUTIDE INJ 18MG/3ML
VOL01 10mg Volibris tab AMBrisentan tab 10mg XD330 600mg Darunavir@ Darunavir@ tab 600mg XEL01 Xeljanz tab 5mg Tofacitinib tab 5mg XEL02 (XR) 11mg Xeljanz tab Tofacitinib XR tab 11mg XT510 Tenofovir@ tab-300 Tenofovir@ fumarate tab 300mg XTA01 Xtandi cap 40mg Enzalutamide cap 40mg ZAV01 ZAVesca cap 100mg MIGLUSTAT CAP 100MG ZEL01 Zelboraf tab 240mg Vemurafenib tab 240mg ZEN01 CDC-ZenteL tab 400mg Albendazole tab 400mg-CDC ZYK01 Zykadia cap 150mg Ceritinib cap 150mg
ZYT01 Zytiga tab 250mg ABIRATERONE ACETATE TAB 250MG
