CCHP Senior Select Program (HMO SNP) 東華智選(HMO SNP)計劃

任3 頁 第(LD): 這 房VIRACEPT TAB 2VIRAMUNE SUSP. 2VIRAMUNE XR TAB 2VIREAD POWDER 2VIREAD TAB 2ZERIT SOLN. 2ZIAGEN SOLN. 2ZIAGEN TAB 2zidovudine cap 1zidovudine syrup 1zidovudine tab 1CMV AGENTSFOSCARNET INJ. 1ganciclovir inj. 1VALCYTE SOLN. 2VALCYTE TAB 2HEPATITIS AGENTSBARACLUDE SOLN. 2BARACLUDE TAB 2HEPSERA TAB 2INCIVEK TAB 2INFERGEN INJ. 2= 意 注特 殊 要 求 或 限 制 , 請 參 閱 本 冊 何 藥 物 名 稱藥 物等 級PEGASYS INJ.RIBAPAK 2ribapak tab 1ribasphere cap 1ribasphere tab 1ribavirin cap 1ribavirin tab 1TYZEKA TAB2VICTRELIS CAP2HERPES AGENTSacyclovir cap 1acyclovir inj. 1acyclovir susp. 1acyclovir tab 1famciclovir tab 125mg1famciclovir tab 250mgfamciclovir tab 500mg211特 約 藥 。 特 殊要 求PA QL=4Injections/28 DaysPAPAQL=21Tabs/10DaysQL=68Tabs/34DaysQL=21Tabs/7Daysvalacyclovir tab 1INFLUENZA AGENTSRELENZA DISKHALER2只 能 在 某 些 藥 房 提 供 。 些 藥 物 名 稱rimantadine tab 1TAMIFLU CAP 30MG2TAMIFLU CAP 45MG, 75MGTAMIFLU SUSP.藥 物等 級22QL=60Caps/180DaysQL=84Caps/180Days特 殊要 求QL=42Caps/180DaysQL=30Bottles/180 DaysRESPIRATORY SYNCYTIAL VIRUS (RSV)AGENTSVIRAZOLE INH SOLN.2 PAASSORTED CLASSESCHELATING AGENTSDEPEN TITRATABS 2SYPRINE CAP 2IMMUNOMODULATORSREVLIMID CAP2THALOMID CAP 2IMMUNOSUPPRESSIVE AGENTSATGAM INJ2azathioprine inj.1azathioprine tab1CELLCEPT IV INJ2CELLCEPT SUSP.2cyclosporine cap1cyclosporine inj.1cyclosporine modified cap1cyclosporine modified soln.1gengraf cap1gengraf soln.1mycophenolate cap1mycophenolate tab1MYFORTIC TAB2NULOJIX 2PROGRAF INJ.2RAPAMUNE SOLN.2RAPAMUNE TAB2SIMULECT INJ.2tacrolimus cap1ZORTRESS TAB2LDPAPAPAPAPAPAPAPAPAPAPAPAPAPAPAPAPAPAPAPA21