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

任3 頁 第(LD): 這 房SOMAVERT INJ. 10MG, 15MG, 220MGGROWTH HORMONESTEV-TROPIN INJ.2HORMONE RECEPTOR MODULATORSEVISTA TAB 2INSULIN-LIKE GROWTH FACTORS(SOMATOMEDINS)藥 物 名 稱藥 物等 級LDPA特 殊要 求INCRELEX INJ.2 LDLHRH/ GNRH AGONIST ANALOG PITUITARYSUPPRESSANTSLUPRON DEPOT PEDIATRIC INJ. 2 PASYNAREL SOLN. 2METABOLIC MODIFIERSALDURAZYME INJ.2 LDBUPHENYL POWDER 2BUPHENYL TAB 2calcitriol cap1 PAcalcitriol inj.1 PAcalcitriol soln.1 PACYSTADANE POWDER 2ELAPRASE INJ.2 LDFABRAZYME INJ.2 LDKUVAN TAB2 LDlevocarnitine inj.1 PAlevocarnitine soln.1 PAlevocarnitine tab1 PALUMIZYME INJ.2 LDMYOZYME INJ.2 LDNAGLAZYME INJ.2 LD PAORFADIN CAP2 LDSENSIPAR TAB 2ZEMPLAR CAP2 PAZEMPLAR INJ.2 PAPOSTERIOR PITUITARY HORMONESdesmopressin inj. 1desmopressin nasal spray 1desmopressin tab 1PROLACTIN INHIBITORScabergoline tabSOMATOSTATIC AGENTSoctreotide inj. 11QL=20Tabs/34Days27SANDOSTATIN KIT LAR 10MG,30MGSANDOSTATIN KIT LAR 20MGSOMATULINE DEPOT INJ. 2ESTROGENSESTROGEN COMBINATIONSestradiol/ norethindrone tab 1jinteli tab 1PREMPHASE TAB 2PREMPRO TAB 2藥 物 名 稱ESTROGENSestradiol patch22藥 物等 級QL=1Kits/28DaysQL=2Kits/28DaysPA特 殊要 求QL=5Patches/35 Daysestradiol tab 1estradiol valerate inj. 1estropipate tab 1MENEST TAB 2FLUOROQUINOLONESFLUOROQUINOLONESAVELOX ABC PACK 2AVELOX INJ. 2AVELOX TAB 2ciprofloxacin er tab 1ciprofloxacin IV soln. 1ciprofloxacin tab 1levofloxacin inj. 1levofloxacin soln. 1levofloxacin tab 1levofloxacin/ D5W inj. 1ofloxacin tab 1GASTROINTESTINAL AGENTS - MISC.GALLSTONE SOLUBILIZING AGENTSursodiol cap 1ursodiol tab 1GASTROINTESTINAL ANTIALLERGYAGENTScromoyln sodium oral solution 1GASTROINTESTINAL CHLORIDE CHANNELACTIVATORSAMITIZA CAP 2GASTROINTESTINAL STIMULANTSmetoclopramide inj. 1metoclopramide soln. 11= 意 注何 特 殊 要 求 或 限 制 , 請 參 閱 本 冊。 特 約 藥藥 物 只 能 在 某 些 藥 房 提 供 。 些