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MS医疗补助疫苗通过药房计费
50632000103 SMALLPOX AND MPOX LIVE VACC/PF JYNNEOS 0.5 ML VIAL BAVARIAN NORDIC 540.00000 ML 13533013101 TETANUS, DIPHTHERIA TOX,ADULT TDVAX VIAL GRIFOLS THERAPE 55.97000 ML 14362011103 TETANUS, DIPHTHERIA TOX,ADULT TDVAX VIAL MASS生物制35.98000 ML 49281021510破伤风毒素/PF Tenivac Vial Sanofi-Pasteur 71.20400 ML 49281021515 TETANUS-DIPHTANUS-DIPHERIA-DPHERIA-DPHERIA-DEXOIDS/PF TENIVAC TENIVAC TENIVAC TENIVAC SANOFIE SANOFIE-PASTEUR 71.2028112811281128 ML 49928 ML 49928 ML 49928破伤风 - 白喉毒素/PF Tenivac Vial Sanofi-Pasteur 71.20000 ML 49281021588 TETANUS-DIPHTHERIA TOXOIDS/PF TENIVAC INSRINGE SANOFI SANOFI-PASTEUR 71.20000 ML
工作援助：进入浪费活动和额外剂量
• DE - Defective Product • WR - ID - Insufficient Dose(s) From a Single/Multi-Dose Vial • WR - DR - Doses(s) Remaining in a Multi-dose vial • WR - SV - Suspected Vaccine Contamination • WR - UN - Unused Pre-drawn Syringe • WR - VA - Vaccine Administration Issue • WR - VA - Vaccine Stored Temperature Excursion at Clinic • WR - RF - Refrozen after being thawed • WR - R6 - Punctured/Reconstituted but not used within 6 hours • WR - R2 - Reconstituted frozen vial left at room temperature beyond 2 hours • WR - R12 - Vial left at room temperature beyond 12 hours • WR - B5 - Stored in refrigerated temperatures (2-8 degrees C) beyond 5 days • WR - B30 - Stored in refrigerated temperatures (2-8 degrees c）超过30天•wr- be-存储在终极/冰柜温度
生效日期：2024年10月1日
amoxicillin-clavulanate suspension / tablet / XR tablet (generic for Augmentin ® / XR) Augmentin ® Suspension / ES-600 / XR Tablet ampicillin capsule / injection / vial cefaclor capsule / suspension / ER tablet (generic for Ceclor ® / CD) ampicillin-sulbactam injection / vial cefadroxil tablet （duricef®的通用）
通过药房账单支付的 MS 医疗补助疫苗
diphtheria-tetanus毒素 - 糖sanofi-pasteur 129.18000 ML 49281021510 TETANUS-DIPHTHERIA TOXOIDS/PF TENIVAC VIAL SANOFI-PASTEUR 71.20400 81021558破伤风毒素/PF Tenivac Vial Sanofi-Pasteur 71.20000 ML 49281021588 TETANUS-DIPHTHERIA TOXOIDS/PF TENIVAC TENIVAC SANOFI-PASTEUR 71.20000 ML 71.20000 ML 71.20000 ML
通过药房账单支付的 MS 医疗补助疫苗
diphtheria-tetanus毒素 - 糖sanofi-pasteur 129.18000 ML 49281021510 TETANUS-DIPHTHERIA TOXOIDS/PF TENIVAC VIAL SANOFI-PASTEUR 71.20400 81021558破伤风毒素/PF Tenivac Vial Sanofi-Pasteur 71.20000 ML 49281021588 TETANUS-DIPHTHERIA TOXOIDS/PF TENIVAC TENIVAC SANOFI-PASTEUR 71.20000 ML 71.20000 ML 71.20000 ML
通过药房账单支付的 MS 医疗补助疫苗
diphtheria-tetanus毒素 - 糖sanofi-pasteur 129.18000 ML 49281021510 TETANUS-DIPHTHERIA TOXOIDS/PF TENIVAC VIAL SANOFI-PASTEUR 71.20400 81021558破伤风毒素/PF Tenivac Vial Sanofi-Pasteur 71.20000 ML 49281021588 TETANUS-DIPHTHERIA TOXOIDS/PF TENIVAC TENIVAC SANOFI-PASTEUR 71.20000 ML 71.20000 ML 71.20000 ML
通过药房账单支付的 MS 医疗补助疫苗
00069060005 MENING A,C,Y,W COMP/N.MEN B/PF PENBRAYA KIT PFIZER LABS. 230.00000 EA VFC 49281058905 MENING VAC A,C,Y,W-135 DIP/PF MENACTRA VIAL SANOFI-PASTEUR 295.99600 ML 49281058958 MENING VAC A,C,Y,W-135 DIP/PF MENACTRA VIAL SANOFI-PASTEUR 296.00000 ML
仅通过医疗福利覆盖的药物
Brand Name Generic Name ARALAST NP ALPHA-1-PROTEINASE INHIBITOR, HUMAN ARRANON NELARABINE ARZERRA OFATUMUMAB VIAL APHEXDA MOTIXAFORTIDE ASCLERA POLIDOCANOL ASPARLAS CALASPARGASE PEGOL-MKNL AVASTIN BEVACIZUMAB AVEED TESTOSTERONE UNDECANOATE INJECTION AZATHIOPRINE INJECTION AZEDRA IOBENGUANE IODINE-131 BAL IN OIL DIMERCAPROL BAVENCIO AVELUMAB BCG LIVE, INTRAVESICAL BELEODAQ BELINOSTAT BELRAPZO BENDAMUSTINE BENDEKA BENDAMUSTINE BENLYSTA BELIMUMAB VIAL BEOVU BROLUCIZUMAB-DBLL BEQVEZ FIDANACOGENE ELAPARVOVEC-DZKT BESPONSA INOTUZUMAB OZOGAMICIN BICNU CARMUSTINE BLEOMYCIN BLINCYTO BLINATUMOMAB BORTEZOMIB BREYANZI LISOCABTAGENE MARALEUCEL BRIVIACT BRIVARACETAM VIAL BUSULFEX BUSULFAN INJECTION BYFAVO REMIMAZOLAM BYOOVIZ RANIBIZUMAB-NUNA CAFCIT CAFFEINE CITRATE INJECTION CALCITRIOL INJECTION CAMPTOSAR IRINOTECAN CARBOCAINE Mepivacaine Carboplatin Cannitor Levocannitine注入Carvykti Ciltacabtagene Autoleucel casgevy casgevy exagamglogene autotemcel autotemcel cerebel cerebyx fosphenytoin
供应商疫苗接种计费指南
D 部分 B 部分 ACTHIB 疫苗（含稀释剂） PROQUAD 瓶 AFLURIA QUAD 2020-2021 瓶 ADACEL TDAP 注射器或瓶 QUADRACEL DTAP-IPV 瓶 FLUAD 2020-2021 SYRN BCG 疫苗（TICE 毒株）瓶 RABAVERT 狂犬病疫苗 W-稀释剂 FLUAD QUAD 2020-2021 SYRN BEXSERO 预充式注射器 ROTARIX 疫苗悬浮液 FLUARIX QUAD 2020-2021 SYRN BOOSTRIX TDAP 疫苗注射器 ROTATEQ 疫苗 FLUBLOK QUAD 2020-2021 SYRN BOOSTRIX TDAP 疫苗瓶 SHINGRIX 瓶套装 FLUCELVAX QUAD 2020-2021 SYR DAPTACEL DTAP 疫苗 STAMARIL 小瓶 FLUCELVAX 四联装 2020-2021 小瓶 白喉-破伤风类毒素-PED TDVAX 小瓶 FLULAVAL 四联装 2020-2021 SYR GARDASIL 9 注射器或小瓶 TENIVAC 注射器或小瓶 FLUMIST 四联装 鼻用 2020-21 VAC HAVRIX 1,440 单位/毫升注射器 TRUMENBA 120 MCG/0.5 毫升疫苗 FLUZONE 高剂量四联装 2020-21 HAVRIX 1,440 单位/毫升小瓶 TWINRIX 疫苗注射器 FLUZONE 四联装 2020-2021注射器 HAVRIX 720 单位/0.5 毫升 注射器 TYPHIM VI 25 MCG/0.5 毫升 注射器 FLUZONE QUAD 2020-2021 小瓶 HAVRIX 720 单位/0.5 毫升 小瓶 TYPHIM VI 25 MCG/0.5 毫升 小瓶 PNEUMOVAX 23 注射器 HIBERIX 疫苗（含稀释剂）VAQTA 25 单位/0.5 毫升 注射器 PNEUMOVAX 23 小瓶 IMOVAX 狂犬病疫苗小瓶 VAQTA 25 单位/0.5 毫升 小瓶 PREVNAR 13 注射器 INFANRIX DTAP 注射器或小瓶 VAQTA 50 单位/毫升 注射器或小瓶 B 部分或 D 部分 IPOL 小瓶VARIVAX 疫苗小瓶 ENGERIX-B 10 MCG/0.5 ML PED VL IXIARO 6 单位(6 MCG)/0.5ML SYR VARIVAX 疫苗（含稀释剂） ENGERIX-B 20 MCG/ML SYRN KINRIX TIP-LOK 注射器 YF-VAX 1 剂量小瓶 ENGERIX-B 20 MCG/ML 小瓶 KINRIX 小瓶 YF-VAX 5 剂量小瓶 ENGERIX-B PEDI 10 MCG/0.5 SYRN MENACTRA 小瓶 ZOSTAVAX 小瓶 RECOMBIVAX HB 10 MCG/ML SYR MENVEO ACYW-135-DIP 小瓶 KT RECOMBIVAX HB 10 MCG/ML 小瓶 MMR II 疫苗小瓶 RECOMBIVAX HB 40 MCG/ML 小瓶 PEDIARIX 0.5 ML 注射器 RECOMBIVAX HB 5 MCG/0.5 ML SYR PEDVAXHIB 疫苗小瓶 RECOMBIVAX HB 5 MCG/0.5 ML VL PENTACEL 小瓶套件 PROQUAD 小瓶
EU风险管理计划（版本6.1）1 的页面EU风险管理计划（版本6.1）1
The countries that follow the Mutual Recognition Procedure are as follows: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Portugal, Romania, Slovakia,斯洛文尼亚，西班牙，瑞典和英国。步骤编号：humulin s vial fr/h/0645/001/humulin i vial i fr/h/h/0645/002/humulin m3 vial fr/h/0645/003/humulin cartridges fr/h/h/h/h/0645/humulin i cartridgens fr/h/0645/006/humulin s pen，kwikpen fr/h/h/0645/007/humulin i pen，kwikpen fr/h/h/0645/008/humulin m3 pen，kwikpen fr/h/h/h/h/h/h/0645/009/drand Protand condrand Protand condrand condrand condrand condrand condrand condrand cropert of drand prot>