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

注 意 = 任 何 特 殊 要 求 或 限 制 , 請 參 閱 本 冊 第 3 頁 。 特 約 藥 房 (LD): 這 些 藥 物 只 能 在 某 些 藥 房 提 供 。PULMONARYHYPERTENSION - ENDOTHELIN RECEPTORANTAGONISTS LETAIRIS TAB2 LD PATRACLEER TAB2 LD PAPULMONARYHYPERTENSION - PHOSPHODIESTERASEINHIBITORS ADCIRCA TAB2 PA/QL68/34 day藥 物 名 稱REVATIO INJ.REVATIO TAB藥 物等 級22特 殊要 求PA/QL104/34 dayCEPHALOSPORINSCEPHALOSPORINS - 1ST GENERATIONcefadroxil cap1cefadroxil susp.1cefadroxil tab1cefazolin inj.1cefazolin/ d5w inj.1cephalexin cap1cephalexin susp1cephalexin tab1CEPHALOSPORINS - 2ND GENERATIONcefaclor cap1cefaclor ER tab1CEFOTETAN INJ.1cefoxitin inj.1cefoxitin/ dextrose inj.1cefprozil susp.1cefprozil tab1cefuroxime inj.1cefuroxime tab1CEPHALOSPORINS - 3RD GENERATIONcefdinir cap1cefdinir susp.1cefotaxime inj.1cefpodoxime susp.1cefpodoxime tab1ceftazidime inj.1ceftazidime/ dextrose inj.1ceftriaxone inj.1SUPRAX SUSP.2SUPRAX TAB2CEPHALOSPORINS - 4TH GENERATIONcefepime inj.1CONTRACEPTIVESCOMBINATION CONTRACEPTIVES - ORALamethia tab1apri tab1aranelle tab1aviane tab1balziva tab1briellyn tab1cryselle-28 tab1cyclafem tab1emoquette tab1enpresse-28 tab1introvale tab1junel fe tab1junel tab1kariva tab1kelnor tab1leena tab1lessina-28 tab1levora-28 tab1low-ogestrel tab1lutera tab1marlissa tab1microgestin tab1mononessa tab1necon tab1nortrel tab1OGESTREL TAB1orsythia tab1portia-28 tab1previfem tab1quasense tab1sprintec-28 tab1sronyx tab1tri-legest fe tab1tri-previfem tab1tri-sprintec tab1trinessa tab1trivora-28 tab1velivet tab1YASMIN TAB1YAZ TAB2zeosa tab1zovia tab1EMERGENCY CONTRACEPTIVES藥 物 名 稱藥 物等 級特 殊要 求22