|
後発品 処 |
|
|
|
4083 |
久光 |
|
|
|
|
|
|
1
|
|
|
1
|
|
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|
1
|
|
|
|
|
3
|
30日分を限度
|
|
|
後発品 処 |
|
|
|
4083 |
帝國製薬-テルモ |
|
|
|
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0
|
30日分を限度
|
|
|
後発品 処 |
|
|
|
4083 |
東和薬品 |
|
|
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|
|
|
|
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|
|
|
|
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|
|
0
|
30日分を限度
|
|
|
後発品 処 |
|
|
|
3694.1 |
祐徳 |
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0
|
30日分を限度
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後発品 経過 処 |
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3694.1 |
祐徳-MeijiSeika |
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0
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30日分を限度
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後発品 処 |
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|
130.9 |
帝國製薬-テルモ=日本臓器 |
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1
|
1
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1
|
1
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1
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|
1
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6
|
30日分を限度
|
|
|
後発品 処 |
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253.1 |
帝國製薬-テルモ=日本臓器 |
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0
|
30日分を限度
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後発品 処 |
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246.1 |
救急-第一三共 |
|
|
3
|
|
|
4
|
5
|
|
|
5
|
|
|
3
|
2
|
|
1
|
|
|
23
|
30日分を限度
|
|
|
後発品 処 |
|
|
|
459 |
帝國製薬-テルモ=日本臓器 |
|
|
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|
|
|
|
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|
|
|
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0
|
30日分を限度
|
|
|
後発品 処 |
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|
|
473.9 |
救急-第一三共 |
|
|
4
|
1
|
1
|
|
4
|
2
|
|
3
|
|
|
3
|
3
|
1
|
1
|
|
|
23
|
30日分を限度
|
|
|
後発品 処 |
|
|
|
882.9 |
帝國製薬-テルモ=日本臓器 |
|
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|
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|
0
|
30日分を限度
|
|
|
後発品 処 |
|
|
|
882.9 |
救急-第一三共 |
|
|
2
|
|
1
|
1
|
3
|
1
|
|
3
|
|
|
2
|
1
|
|
|
|
|
14
|
30日分を限度
|
|
|
後発品 処 |
|
|
|
1275.1 |
帝國製薬-テルモ=日本臓器 |
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|
|
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|
0
|
30日分を限度
|
|
|
後発品 処 |
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|
1275.1 |
救急-第一三共 |
|
|
2
|
|
|
|
3
|
|
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|
|
|
1
|
|
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|
6
|
30日分を限度
|
|
|
後発品 処 |
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|
|
1648.2 |
帝國製薬-テルモ=日本臓器 |
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|
|
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|
0
|
30日分を限度
|
|
|
後発品 処 |
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|
|
1648.2 |
救急-第一三共 |
|
|
2
|
|
|
|
3
|
|
|
|
|
|
1
|
|
|
|
|
|
6
|
30日分を限度
|
|
|
処 |
|
|
|
278.5 |
久光-協和キリン |
|
|
3
|
1
|
3
|
4
|
10
|
|
2
|
8
|
1
|
3
|
2
|
7
|
|
4
|
3
|
4
|
55
|
30日分を限度
|
|
|
処 |
|
|
|
514.8 |
久光-協和キリン |
|
|
4
|
1
|
4
|
3
|
15
|
2
|
4
|
9
|
1
|
1
|
2
|
15
|
|
5
|
2
|
5
|
73
|
30日分を限度
|
|
|
処 |
|
|
|
957.2 |
久光-協和キリン |
|
|
4
|
|
2
|
3
|
13
|
3
|
2
|
7
|
1
|
1
|
4
|
13
|
1
|
5
|
4
|
4
|
67
|
30日分を限度
|
|
|
処 |
|
|
|
1783.1 |
久光-協和キリン |
|
|
2
|
1
|
1
|
1
|
6
|
3
|
|
4
|
1
|
2
|
1
|
7
|
|
5
|
2
|
2
|
38
|
30日分を限度
|
|
|
処 |
|
|
|
2661.7 |
久光-協和キリン |
|
|
2
|
|
|
1
|
2
|
|
1
|
3
|
|
1
|
|
4
|
|
3
|
1
|
|
18
|
30日分を限度
|
|
|
処 |
|
|
|
3435.8 |
久光-協和キリン |
|
|
2
|
|
|
|
1
|
|
1
|
2
|
1
|
1
|
|
4
|
|
1
|
|
2
|
15
|
30日分を限度
|
|
|
処 |
|
|
|
3474.6 |
武田 |
|
|
|
|
1
|
1
|
|
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|
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|
|
1
|
|
|
|
|
3
|
14日分を限度
|
|
|
処 |
|
|
|
1125.8 |
武田 |
|
|
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|
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|
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|
|
0
|
14日分を限度
|
|
|
処 |
|
|
|
1977.8 |
武田 |
|
|
1
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1
|
2
|
14日分を限度
|
|
|
処 |
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|
|
2750 |
武田 |
|
|
|
|
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2
|
|
|
|
|
|
|
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|
2
|
14日分を限度
|
|
|
処 |
|
|
|
79.5 |
サンド |
|
|
4
|
2
|
2
|
8
|
6
|
|
|
7
|
|
|
1
|
|
|
|
|
|
30
|
14日分を限度
|
|
|
後発品 処 |
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|
|
781.3 |
日本臓器 |
|
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|
0
|
30日分を限度
|
|
|
後発品 処 |
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|
|
7408.7 |
日本臓器 |
|
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|
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|
|
|
|
|
|
0
|
30日分を限度
|
|
|
後発品 処 |
|
|
|
2199.3 |
日本臓器 |
|
|
|
|
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|
|
|
|
|
|
|
0
|
30日分を限度
|
|
|
後発品 処 |
|
|
|
4083 |
日本臓器 |
|
|
|
|
|
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|
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|
|
|
|
|
|
|
|
0
|
30日分を限度
|
|
|
後発品 処 |
|
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|
5688.8 |
日本臓器 |
|
|
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|
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|
|
|
|
|
|
0
|
30日分を限度
|
|
|
処 |
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|
|
60.8 |
久光 |
|
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|
|
0
|
14日分を限度
|
|
|
処 |
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|
|
36.9 |
久光 |
|
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|
|
0
|
14日分を限度
|
|
|
処 |
|
|
|
50.9 |
久光 |
|
|
|
|
|
|
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|
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|
|
|
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|
|
|
0
|
14日分を限度
|
|
|
処 |
|
|
|
133.9 |
大塚製薬 |
|
|
1
|
1
|
|
1
|
4
|
|
|
1
|
|
1
|
1
|
2
|
|
2
|
1
|
|
15
|
14日分を限度
|
|
|
処 |
|
|
|
166.5 |
大塚製薬 |
|
|
1
|
|
1
|
1
|
2
|
|
|
1
|
|
1
|
|
|
|
3
|
|
|
10
|
14日分を限度
|
|
|
処 |
|
|
|
69 |
高田 |
|
|
1
|
|
|
|
|
|
|
|
1
|
|
|
3
|
|
|
|
|
5
|
14日分を限度
|
|
|
処 |
|
|
|
31.4 |
高田 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
14日分を限度
|
|
|
処 |
|
|
|
41.4 |
高田 |
|
|
|
|
|
|
|
|
|
|
|
|
1
|
|
|
1
|
|
|
2
|
14日分を限度
|
|
|
処 |
|
|
|
54.1 |
高田 |
|
|
1
|
|
|
|
1
|
|
|
2
|
|
|
|
1
|
|
1
|
|
1
|
7
|
14日分を限度
|
|
|
処 |
|
|
|
485.7 |
ヤンセン |
|
|
1
|
|
|
|
2
|
|
|
2
|
|
1
|
|
|
|
|
|
|
6
|
30日分を限度
|
|
|
処 |
|
|
|
926.4 |
ヤンセン |
|
|
|
|
|
|
3
|
|
|
1
|
|
1
|
|
|
|
|
|
1
|
6
|
30日分を限度
|
|
|
処 |
|
|
|
1754.6 |
ヤンセン |
|
|
|
|
|
|
|
|
|
1
|
|
1
|
|
|
|
1
|
|
|
3
|
30日分を限度
|
|
|
処 |
|
|
|
2366.7 |
ヤンセン |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0
|
30日分を限度
|
|
|
処 |
|
|
|
3328.5 |
ヤンセン |
|
|
|
|
|
|
1
|
|
|
|
|
1
|
1
|
|
|
|
|
|
3
|
30日分を限度
|
|