| 自費品項 |
| 品 項 次 |
商 品 名 |
自 費 單 價 |
| 1 |
Esmolol 100mg/10ml |
500 |
| 2 |
FSH 75IU/ml/amp |
850 |
| 3 |
Hepatitis-B Vacine 20ug/ml |
337 |
| 4 |
IndoCyanine Green(ICG) 25mg/vial |
1163 |
| 5 |
Recombinant FSH 50IU/vial |
1000 |
| 6 |
Recombinant -hFSH 75IU/vial(Follitropin
α) |
1125 |
| 7 |
Varilrix 2000 PFUS/vial(Varicella
virus vaccine) |
1761 |
| 8 |
Sildenafil 100mg/tab |
450 |
| 9 |
(威5) Sildenafil 50mg/tab |
380 |
| 10 |
Eurax-H 450gm |
859.5 |
| 11 |
(保諾錠)Mifepristone 200mg/tab |
438 |
| 12 |
Gonioscopic 15ml |
375 |
| 13 |
Better Iodine Oint 450gm(非高消) |
313 |
| 14 |
Ropivacaine 200mg/20ml/amp |
300 |
| 15 |
Triclocarban 450ml |
338 |
| 16 |
Better Iodine Oint 450gm(高消) |
313 |
| 17 |
Hepatitis A vaccine 720EL.u/0.5ml |
1000 |
| 18 |
Iodixanol 320mgi/ml 100ml/bot |
1900 |
| 19 |
Cyanide Antidote Package |
17250 |
| 20 |
Vardenafil HCl 20mg/tab |
400 |
| 21 |
Amorolfine Nail Lacquer
5% 3ml/bot |
2700 |
| 22 |
Dipeptiven 20gm/100ml/bot(N(2)-L-Alaniyl-L-Glutamine) |
2000 |
| 23 |
Bevacizumab 100mg/4ml/vial |
18400 |
| 24 |
Septopal Chain 60's |
12938 |
| 25 |
Pneumococcal 7-Valent
Conjugated Vaccine 0.5ml/syringe |
3200 |
| 26 |
Butorphanol Nasal Spray 25mg/2.5ml/bot |
2500 |
| 27 |
Beriplast P Combi-Set |
19500 |
| 28 |
Ioversol 350/100ml Prefilled Syringe |
920 |
| 29 |
Rotateq (Rotavirus Vaccine)
2ml/tube |
1800 |
| 30 |
Infanrix Hexa 0.5ml/vial(嬰護寧六合一疫苗) |
1950 |
| 31 |
(羅特律)RotarixVaccine 1ml/vial |
3025 |
| 32 |
Gardasil Vaccine 0.5ml/vial |
3500 |
| 33 |
Tissucol Duo Quick 1ml/syringe |
20800 |
| 34 |
Basiliximab 20mg/vial |
65000 |
| 35 |
Thymosin alfa-1 1.6mg(專案進口) |
4000 |
| 36 |
Paricalcitol 5 mcg/ml/amp |
850 |
| 37 |
Liprido Cream 250gm/tube |
1296 |
| 38 |
Parecoxib 40mg/vial |
380 |
| 39 |
MIRENA 52mg/intrauterine(Levonorgestrel) |
6380 |
| 40 |
Pneumococcal Vaccine 25mcg/0.5ml/vial |
1050 |
| 41 |
Measles,Mumps&Rubella
Virus Vaccine |
460 |
| ※本院項次品項如有異動時，以現場訂價之費用為主。 |