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SÔÛ Y TEÁ TP. HCM BEÂNH VIEÄN NHI ÑOÀNG 2 STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö TAOMA Thuoác K, thaûi gheùp 2.707 ACT0 (TMaïch)Actemra 200mg oáng 6.748.140 6.748.140 2.708 BLE0 (U Böôùu) Bleocip 15UI loï 460.000 460.000 2.709 BLE01 (CTCH) Bleocip 15UI loï 460.000 0 2.710 BOC Bocartin 150mg loï 319.830 319.830 2.711 CAT40 Catoprine 50mg vieân 2.800 2.800 2.712 CEL1 Cellcept 500mg vieân 55.344 55.344 2.713 CEL2 Cellcept 250mg vieân 27.652 27.652 2.714 CER01 Certican 0,5mg vieân 93.986 93.986 2.715 CIS0 (U.Böôùu) Cisplatin 50mg/50ml loï 273.000 273.000 2.716 COS (U Böôùu) Cosmegen 500mcg loï 3.980.000 0 2.717 CYT (U Böôùu) Cytarabin 100mg (Cytarabin) ong 68.000 68.000 2.718 CYT0 (U Böôùu) Cytarabine - Belmed 1000mg loï 300.000 300.000 2.719 DIP2 (UB-TMaùu)Dipherelin 3,75mg oáng 2.557.000 2.557.000 2.720 DOX (U.Böôùu) Doxorubicin 5ml/10mg loï 104.450 104.450 2.721 EMT Emthexate PF 50mg loï 73.500 73.500 2.722 EPR Eprex Prefill 1000 IU/ 0.5ml 6s oáng 135.000 135.000 2.723 EPR0 Eprex Prefill 2000IU/0.5ml 6s oáng 269.999 269.999 2.724 ETO Etoposide 100mg/ 5ml loï 189.000 189.000 2.725 MAB Mabthera 500mg/50ml loï 32.995.303 0 2.726 MET21 (U Böôùu) Methotrexat 1000mg lo 860.000 860.000 2.727 PLA6 Placarbo 150mg/15ml loï 282.200 282.200 2.728 PRO17 Prograf 1mg vieân 54.918 54.918 2.729 PRO18 Prograf 0,5mg vieân 36.615 36.615 2.730 REC3 Recormon 2000IU oáng 229.355 229.355 2.731 SAI0 Saizen Diluent inj 10IU (3,33mg) loï 1.491.593 1.491.593 BAÛNG GIAÙ Quyù 3/2016 Page 1 / 133

BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

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Page 1: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

SÔÛ Y TEÁ TP. HCM

BEÂNH VIEÄN NHI ÑOÀNG 2

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

TAOMA Thuoác K, thaûi gheùp

2.707 ACT0 (TMaïch)Actemra 200mg oáng 6.748.140 6.748.140

2.708 BLE0 (U Böôùu) Bleocip 15UI loï 460.000 460.000

2.709 BLE01 (CTCH) Bleocip 15UI loï 460.000 0

2.710 BOC Bocartin 150mg loï 319.830 319.830

2.711 CAT40 Catoprine 50mg vieân 2.800 2.800

2.712 CEL1 Cellcept 500mg vieân 55.344 55.344

2.713 CEL2 Cellcept 250mg vieân 27.652 27.652

2.714 CER01 Certican 0,5mg vieân 93.986 93.986

2.715 CIS0 (U.Böôùu) Cisplatin 50mg/50ml loï 273.000 273.000

2.716 COS (U Böôùu) Cosmegen 500mcg loï 3.980.000 0

2.717 CYT (U Böôùu) Cytarabin 100mg (Cytarabin) ong 68.000 68.000

2.718 CYT0 (U Böôùu) Cytarabine - Belmed 1000mg loï 300.000 300.000

2.719 DIP2 (UB-TMaùu)Dipherelin 3,75mg oáng 2.557.000 2.557.000

2.720 DOX (U.Böôùu) Doxorubicin 5ml/10mg loï 104.450 104.450

2.721 EMT Emthexate PF 50mg loï 73.500 73.500

2.722 EPR Eprex Prefill 1000 IU/ 0.5ml 6s oáng 135.000 135.000

2.723 EPR0 Eprex Prefill 2000IU/0.5ml 6s oáng 269.999 269.999

2.724 ETO Etoposide 100mg/ 5ml loï 189.000 189.000

2.725 MAB Mabthera 500mg/50ml loï 32.995.303 0

2.726 MET21 (U Böôùu) Methotrexat 1000mg lo 860.000 860.000

2.727 PLA6 Placarbo 150mg/15ml loï 282.200 282.200

2.728 PRO17 Prograf 1mg vieân 54.918 54.918

2.729 PRO18 Prograf 0,5mg vieân 36.615 36.615

2.730 REC3 Recormon 2000IU oáng 229.355 229.355

2.731 SAI0 Saizen Diluent inj 10IU (3,33mg) loï 1.491.593 1.491.593

BAÛNG GIAÙ

Quyù 3/2016

Page 1 / 133

Page 2: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

2.732 SAN1 Sandimmun Neoral 25mg vieân 16.938 16.938

2.733 SAN2 Sandimum 50mg/1ml oáng 63.328 63.328

2.734 SIM1 Simulect inj 20mg (Basiliximab) oáng 29.682.122 14.841.061

2.735 UNI0 Unitrexates 2,5mg vieân 2.200 2.200

2.736 UNI01 Unitrexates (Methotrexate 50mg/2ml) loï 69.000 69.000

2.737 VIN06 ( U Böôùu) Vincran 1mg/1ml loï 87.999 87.999

THUOC Thuoác

2.739 ABI Abicin 250mg loï 17.493 17.493

2.740 ACE0 Aceronko vieân 2.299 2.299

2.741 ACE7 Acepron 80mg goùi 396 396

2.742 ACI0 Aciclovir 200mg vieân 440 440

2.743 ACI1 acid pcric 0,5% Lít 6.000 6.000

2.744 ACID2 Dòch thaåm phaân Acid lít 10.395 0

2.745 ACY0 Acyclovir 250mg loï 320.000 320.000

2.746 ACY4 Acyclovir VPC 200mg vieân 389 389

2.747 ADA Adalat 10mg vieân 2.250 2.250

2.748 ADR2 Adrenalin 1mg/1ml (khí dung) oáng 0 0

2.749 ADR4 Adrenalin 1mg/1ml (ñieàu trò) oáng 2.200 2.200

2.750 AGI0 Agitro 200mg goùi 1.750 0

2.751 AGI02 Agifuros 40mg vieân 102 102

2.752 AGI03 Agicetam 400mg vieân 207 207

2.753 AJU Ajuzolin 1g ( cefazolin ) loï 6.783 6.783

2.754 ALP0 Alphafoss 1g ( haøng taëng ) loï 0 0

2.755 ALU01 Aluphagel goùi 980 980

2.756 ALV0 Alverin 40mg vieân 108 108

2.757 AMI2 Aminoplasmal BBraun 10%E /250ml loï 92.866 92.866

2.758 AMO01 Amoxicilin 250mg goùi 692 692

2.759 AMO02 Amoxycilin 250mg vieân 339 339

2.760 AMO2 Amoxicillin 500mg vieân 515 515

2.761 AMP0 Amphot 50mg loï 149.000 149.000Page 2 / 133

Page 3: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

2.762 AMP41 Ampicilin VCP 1g loï 3.500 3.500

2.763 AMP5 Amphotret 50mg loï 174.999 0

2.764 AQUA Aquadetrim 10ml loï 59.000 0

2.765 ART1 Artesunate 60mg ( haøng chöông trình) oáng 0 0

2.766 ART7 Arterakine (haøng chöông trình s reùt) vieân 0 0

2.767 ASP2 Aspirin 81 mg vieân 82 82

2.768 AST Hoastex 90ml chai 27.300 27.300

2.769 ATA Atarax 25mg vieân 1.967 1.967

2.770 ATO Atopiclair cream tube 254.100 0

2.771 ATR Atropine sulfate 0,25mg/1ml oáng 546 0

2.772 ATR3 Atropine 1%/5ml coll loï 6.420 0

2.773 AUG Augmentin 500mg goùi 16.014 16.014

2.774 AUG2 Augmentin 1.2g loï 42.308 42.308

2.775 AUG6 Augbactam 625 mg vieân 2.419 2.419

2.776 AUG9 Augxicine 500mg goùi 2.940 2.940

2.777 BAC0 Bacivit -H goùi 810 810

2.778 BAC1 Bactapezone( Cefoperazone+Sulbactam) loï 60.000 60.000

2.779 BAM Bamifen ( Baclofen 10mg ) vieân 1.550 1.550

2.780 BAR5 Barihadopha 275g goùi 0 0

2.781 BEN Benzylpenicilin 1.000.000 UI lo 1.890 1.890

2.782 BET Betadine 10% /125ml (vaømg) (Thay chai 42.400 0

2.783 BET12 Betadine antiseptic sol 10% / laàn 42.399 0

2.784 BET4 Betadine gargle & mouthwash chai 56.508 0

2.785 BET5 betadine 2% 125ml chai 10.000 0

2.786 BET8 Betadin 10% /125ml vaøng (ñ/trò-caáp veà) chai 42.400 0

2.787 BET9 Betadine gargle & mouthwash 1% chai 56.508 0

2.788 BET90 Betadine antiseptic sol 10% / 125ml(caáp laàn 42.399 42.399

2.789 BIA Biafine 93g (thay baêng) tube 82.000 0

2.790 BIA0 Biafine 93g ( caáp veà) tube 82.000 82.000

2.791 BIC DỊCH THẨM PHÂN BICARBONAT lít 10.395 0

Page 3 / 133

Page 4: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

2.792 BIC1 Bicefixim 50mg (Cefixim 50mg) goùi 2.625 2.625

2.793 BID Bidizym 2ml oáng 2.520 0

2.794 BIN6 Binystar 25000UI goùi 980 980

2.795 BIR2 Biracin - E 0,3% 5ML loï 17.325 17.325

2.796 BIS Bisilkon tube 5.481 0

2.797 BIS0 Biseptol 240mg/5ml/80ml chai 0 0

2.798 BIV Bividerm 15g(Fusidic acid tube 36.000 36.000

2.799 BRI2 Bricanyl exp 1,5mg/60ml chai 23.100 23.100

2.800 BRO Bromhexine 4mg vieân 42 42

2.801 BUP Bupivacaine 5mg/1ml/20ml loï 40.900 40.900

2.802 CAD0 Cadicefpo 100mg goùi 2.459 2.459

2.803 CAD01 Cadamide 500mg vieân 4.450 4.450

2.804 CAL Calci cloride 500mg/5ml/10% oáng 924 924

2.805 CAL0 Calcium Gluconate 10%/10ml oáng 13.860 0

2.806 CAL01 Calcium folinat 50mg/5ml oáng 88.200 88.200

2.807 CAL04 Calsid 1250(Calci carbonate 750mg+ vieân 900 900

2.808 CAM0 Cammic 250mg oáng 5.000 5.000

2.809 CAP Captopril 25mg vieân 91 91

2.810 CAR0 (U Böôùu) DBL Carboplatin 150mg loï 336.000 336.000

2.811 CAR16 Cardioplegia Sterile 20ml oáng 218.400 0

2.812 CAR30 Carmero 0,5g loï 97.999 97.999

2.813 CAS2 Castellani 15ml (BV Da Lieãu) loï 12.000 0

2.814 CAT12 Catapressan 0,15mg/ml oáng 27.999 0

2.815 CEB2 Cebemycin Collyre (nhoû maét) loï 35.000 35.000

2.816 CEB3 Cebemyxine Pommade tube 36.500 36.500

2.817 CEF0 TV-Cefuroxime 250mg vieân 1.650 1.650

2.818 CEF01 Cefepim 1g loï 19.710 19.710

2.819 CEF22 Cefazolin 1g (Vieät Nam) loï 11.550 11.550

2.820 CEF26 Ceftriaxone 1g loï 9.499 9.499

2.821 CEF27 Cefotaxone 1g loï 7.287 7.287

Page 4 / 133

Page 5: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

2.822 CEF31 Cefixim 100mg goùi 1.215 1.215

2.823 CEF32 Cefurovid 125mg goùi 1.586 1.586

2.824 CEF5 Cefacyxim 1g (Cefotaxime) loï 19.500 19.500

2.825 CEF9 Cefuroxim 750mg loï 10.300 10.300

2.826 CEL4 Celetran loï 11.999 11.999

2.827 CEP Ceplor 125mg ( VPC ) goùi 1.274 1.274

2.828 CEP0 Cepimstad 1g lo 130.000 130.000

2.829 CEP01 Ceplor 250mg ( VPC ) vieân 1.499 1.499

2.830 CER Cerebrolysin 5 ml oáng 60.050 60.050

2.831 CET0 Ceteco cenclar 250mg vieân 1.393 1.393

2.832 CET01 Ceteco leflox 500mg vieân 804 804

2.833 CET5 Cetaphil 125ml chai 96.835 96.835

2.834 CEV Cevit 500mg/5ml oáng 1.365 1.365

2.835 CHL Chlopheniramin 4mg vieân 29 29

2.836 CHL1 Chloramphenicol 1g loï 9.870 9.870

2.837 CHL7 Chlorure de Sodium 0.9% 500ml poch tuùi 55.999 0

2.838 CHL8 (Gheùp gan) Chlorure de Sodium 0.9% tuùi 61.480 0

2.839 CIL Ciloxan drop 0,3%/5ml loï 68.999 0

2.840 CIP4 Ciprofloxacin kabi 200mg/100ml loï 15.750 15.750

2.841 CIP5 CIPROFLOXACIN 0,3% - 5ML (NHOÛ LOÏ 4.200 4.200

2.842 CIT0 Citratede cafeine 25mg/ml/2ml oáng 42.630 42.630

2.843 CLA Claforan 1g loï 63.000 63.000

2.844 CLA5 Clarithromycin 250mg vieân 2.420 2.420

2.845 CLA6 Claminat -pms 250mg goùi 4.788 4.788

2.846 CLE0 Clefiren 1g lo 7.000 7.000

2.847 CLI0 Clindacine 600mg/4ml oáng 31.500 31.500

2.848 CLI10 Clindamycin 150mg vieân 578 578

2.849 CLI8 Clinoleic 20%/100ml tuùi 170.000 170.000

2.850 CLO Cloraxin collyre 0,4% /10ml loï 2.100 2.100

2.851 CLO0 Cloroquin 250mg (noäi truù) vien 155 0

Page 5 / 133

Page 6: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

2.852 CLO4 Cloramphenicol 0,4% -10ml loï 2.267 0

2.853 CLO5 Cloroquin 250mg (CT soát reùt) vieân 0 0

2.854 CLO6 Clopidogrel 75mg vieân 637 637

2.855 COL5 Colirex 1 MIU loï 359.100 359.100

2.856 COM3 Combivent 3mg/0,5ml(khí dung) oáng 16.074 16.074

2.857 CON01 Condova 500mg (Hydroxycarbamide) vieân 2.104 2.104

2.858 CON19 Concerta 18mg vieân 50.400 0

2.859 CON20 Coàn 90 lít 23.100 0

2.860 CON8 Coàn 70 ñoä lít 3.000 0

2.861 COP0 Cophacip 500mg vieân 495 495

2.862 COR Cordarone 150mg/3ml oáng 30.049 30.049

2.863 COR1 Cordarone 200mg vieân 6.750 6.750

2.864 COT Cotriseptol 480mg vieân 230 230

2.865 COT0 (Gheùp gan) Cotrim stada 480mg vieân 400 0

2.866 COU Coumadin 5mg vieân 10.000 0

2.867 CUR3 Curosurf 80mg/1ml/1,5ml loï 13.990.000 13.990.000

2.868 CUS1 Dung dòch Custodiol tuùi 3.400.000 0

2.869 CYM Cymevene 500mg/10ml loï 738.780 738.780

2.870 DAK Daktarin Oral Gel 10mg tube 41.499 41.499

2.871 DAL Dalacin C 600mg/4ml (BHYT) loï 105.000 105.000

2.872 DAL1 Dalacin C 300mg (BHYT) vieân 45.500 45.500

2.873 DAN Dantrium 20mg loï 3.299.999 0

2.874 DAN03 (Möôïn bv Nhi Ñoàng 1) Dantrium 20mg loï 3.600.000 0

2.875 DAN2 Danotan 100mg/ml oáng 9.500 0

2.877 DAR0 Darius 1mg ( haøng taëng ) vieân 0 0

2.878 DAU Daàu muø u chai 5.000 0 30.03.2016

2.879 DEC Decolic 24mg goùi 1.700 1.700

2.880 DEF Deferiprone 500mg vieân 4.500 4.500

2.881 DEF0 (NgNieäu) Deflux-keo sinh hoïc choáng oáng 17.500.000 0

2.882 DEL3 Delivir 1g loï 84.000 84.000

Page 6 / 133

Page 7: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

2.883 DEP0 Depo Medrol inj 40mg/1ml oáng 34.670 0

2.884 DEP5 Depakine solution FI 40ml chai 80.696 80.696

2.885 DEP7 Depakine Chrono 500mg vieân 6.972 6.972

2.886 DES Desferal SC 500mg loï 146.116 146.116

2.887 DES0 Desratel 5mg vieân 850 850

2.888 DET Detriat 100mg (VN) vieân 395 395

2.889 DEX01 Dexamethason 0,5mg vieân 45 45

2.890 DEX02 Dextrose 30% / 250ml chai 11.000 11.000

2.891 DEX1 Dexamethasone 4mg(xoâng hoïng) oáng 880 0

2.892 DEX10 Dexamethasone 4mg (ñieàu trò) oáng 880 880

2.893 DEX5 Dextrose natri 500ml chai 9.135 9.135

2.894 DIA Diaphylin 4,8%/5ml oáng 10.815 0

2.895 DIA1 Diazepam 5mg vieân 168 168

2.896 DIA2 Diazepam 10mg/2ml oáng 6.510 6.510

2.897 DIA4 Dianeal Low Calcium 1,5% (tuùi 2lít) tuùi 74.453 74.453

2.898 DIA5 Dianeal Low Calcium 2,5% ( tuùi 2 lít) tuùi 74.453 74.453

2.899 DIG1 Digoxin 0,25mg vieân 788 788

2.900 DIG2 Digoxine 0,5mg/2ml oáng 17.350 0

2.901 DIL Dilatrend tab 6,25mg vieân 4.356 4.356

2.902 DIP Diprivan 10mg/ml/20ml oáng 118.168 0

2.903 DIP0 (T Maùu) Diphereline 0,1mg oáng 126.200 126.200

2.904 DIP3 Diprivan 10mg/50ml oáng 374.999 0

2.905 DOB0 Dobusafe 250mg/20ml lo 48.300 48.300

2.906 DOC Docento ( Risperidol 2mg ) vieân 820 820

2.907 DOG Dogmatil 50mg vieân 4.100 0

2.908 DOL Dolocep vieân 540 540

2.909 DOM1 Domperidon 10mg vieân 67 67

2.910 DOP3 Dopamin hydrochloride 200mg/5ml oáng 19.530 19.530

2.911 DOR1 Dorocardyl 40mg vieân 259 259

2.912 DOR4 Doropycin 1.5M vieân 1.500 1.500

Page 7 / 133

Page 8: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

2.913 DOU Dourso 200mg vieân 4.499 4.499

2.914 DRI Driptan 5mg vieân 2.800 0

2.915 DUP Duphalac 10g/15ml goùi 2.728 2.728

2.916 DUR0 Durogesic 25mcg/h (Fentanyl) mieng 154.350 0

2.917 DYS Dysport 500UI oáng 6.627.920 6.627.920

2.918 EAU eau dakin lít 1.000 0

2.919 EFF1 Efferalgan suppo 80mg vieân 2.026 2.026

2.920 EFF3 Efferalgan suppo 150mg vieân 2.305 2.305

2.921 EFF6 Efferalgan suppo 300mg vieân 2.831 2.831

2.922 EFT Efticol 0,9% 10ml (Ñieàu trò-Khí dung) chai 1.102 1.102

2.923 EFT1 Efticol 0,9% (vaät lyù trò lieäu ) chai 0 0

2.924 EML Emla Cre 5g/5s tube 37.120 0

2.925 ENA Enalapril 5mg vieân 88 88

2.926 ENC01 Encorate 200mg vieân 500 500

2.927 END Endoxan 200mg(Cyclophosphamide) loï 49.829 49.829

2.928 END1 Endoxan 500mg(Cyclophosphamide ) loï 124.376 124.376

2.929 ENG Engerix B 10 + coâng tieâm lieàu 80.000 0

2.930 ENT0 Entecavir stada 0,5mg vieân 25.467 0

2.931 EOS eosin loï 3.650 0

2.932 EOS0 Eosin 2% loï 25.000 0

2.933 EPH Ephedrin 10mg/ml oáng 52.500 52.500

2.934 EPO0 Eposin 100mg lo 177.450 177.450

2.935 ERY Ery children 250mg goùi 5.125 5.125

2.936 ERY4 Ery 250mg (VN- Mekophar) goùi 1.225 1.225

2.937 ESM Esmeron 50mg/5ml oáng 97.620 97.620

2.938 ETH0 Ethambutol 400mg ( chöông trình lao ) vieân 0 0

2.939 ETH7 EMB 400mg - Ethambutol vieân 1.000 0

2.940 EUV0 Euvax B 10mg (vieâm gan B) + Kim tieâm lieâ`u 61.450 0

2.941 EUV01 Euvioxcin 500mg ( Oxacilin) vieân 4.410 4.410

2.942 EUV02 Euvifer 60ml chai 25.790 0

Page 8 / 133

Page 9: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

2.943 FAS0 Fascapin 20mg vieân 400 400

2.944 fef Fefurate vieân 159 159

2.945 FEN Fenilham 0,1mg/2ml (tieâm truyeàn) oáng 9.240 9.240

2.946 FEN0 Fentanyl 0,1mg / 2ml oáng 9.240 0

2.947 FEN11 (P moå) Fenilham 100mcg/2ml oáng 9.240 0

2.948 FER1 Sp Ferlin 60ml (VIT B1,B6,B12) chai 25.410 0

2.949 FIC Ficocyte 30UI /0,5 ml ( Filgrastim ) lo 800.000 800.000

2.950 FLI Flixotide Evo 125mcg loï 106.462 106.462

2.951 FLU1 Fluimucil 5g/25ml (Acetyl cystein) loï 750.000 0

2.952 FLU2 Fluconazole 150mg vieân 8.000 8.000

2.953 FLU20 Fluconazole 200mg/100ml loï 280.000 28.000

2.954 FLU6 Flumetholon 0,1/ 5ml loï 27.930 27.930

2.955 FOL0 Folacid 5mg vieân 84 84

2.956 FOL01 Folinoral 1g loï 81.500 81.500

2.957 FON Fonzylane 150mg (Buflomedil) vieân 4.300 4.300

2.958 FOR Fortum 1g(Ceftazidime ) loï 75.600 75.600

2.959 FOR0 Forasm 10mg/1ml oáng 2.400 0

2.960 FOR2 Forance sol 250ml (Isoflurane ) loï 1.124.099 0

2.961 FOS Fosmicin 1g loï 98.000 98.000

2.962 FRA Fraxiparine inj 0,3ml oáng 64.787 64.787

2.963 FUC Fucicort cr 5g tube 56.100 56.100

2.964 FUC3 Fucicort Cre 15g tube 89.400 89.400

2.965 FUC4 Fucidin Cre 2% /15g tube 62.300 62.300

2.966 FUC40 Fucidin cre 2%/5g tube 48.200 48.200

2.967 FUN (Gheùp gan) Fungizone 10%/40ml loï 200.000 0

2.968 FUN2 Fungizone 250mg vieân 16.000 16.000

2.969 FUR3 Furostyl 40-SPM vieân 109 109

2.970 FUR4 Furacin 125mg goùi 1.490 1.490

2.971 GAL0 Galoxcin 500mg chai 60.000 60.000

2.972 GAL01 Galoxcin 500mg vieân 6.000 6.000

Page 9 / 133

Page 10: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

2.973 GAR gardenal 100mg = phenobarbital vieân 105 105

2.974 GAR1 gardenal 40mg loï 17.000 17.000

2.975 GEL2 Gelofusine 500ml chai 106.000 0

2.976 GEN2 Gentamicin 80mg/2ml oáng 1.000 1.000

2.977 GEN20 Gentamycin kabi 80mg/2ml oáng 945 945

2.978 GEN5 Genpharmason tube 3.696 3.696

2.979 GLE Glemont 4mg vieân 2.000 2.000

2.980 GLO0 Glortum 1g loï 22.800 22.800

2.981 GLU Glucose 10% 250ml (truyeàn tónh maïch) chai 8.925 8.925

2.982 GLU10 Glucose 5% / 500ml chai 6.670 6.670

2.983 GLU11 Glucose 5%-250ml kabi (Dung dòch) chai 6.400 6.400

2.984 GLU14 Glucose 10% 500ml chai 8.880 8.880

2.985 GLY Glycerin trinitrat 10mg/10ml oáng 72.975 0

2.986 GOL Goldtomax forte vieân 3.300 3.300

2.987 HAE0 Haemoctin 250UI hoäp 1.743.000 1.743.000

2.988 HAL3 Haloperidol 2mg vieân 96 96

2.989 HAP1 Hapacol 150mg goùi 1.365 1.365

2.990 HAP2 Hapacol 250mg goùi 1.733 1.733

2.991 HEA0 (Maét)HEALON-GV 0,85ml(chaát nhaày ?ng 650.000 0

2.992 HEM8 Hemosol bo 5000ml(dòch loïc maùu) tuùi 650.000 0

2.993 HEP Heparin 25.000UI(Muoái Natri) loï 88.725 88.725

2.994 HEP2 Hepabig 100UI/0,5ml loï 337.999 0

2.995 HER3 Herpevir 250mg ( Aciclovir) loï 349.000 349.000

2.996 HEX2 Hexabrix 320mg/50ml loï 403.000 0

2.997 HID Hidrasec 10mg Infants goùi 4.894 4.894

2.998 HOL Holoxan 1g loï 608.215 608.215

2.999 HTR Huyeát thanh khaùng noïc raén ña giaù loï 1.936.084 1.936.084

3.000 HTR3 Huyeát thanh khaùng noïc raén chaèm quaïp loï 1.320.171 0

3.001 HUD (XQ) Hudubaris 275mg goùi 0 0

3.002 HUM1 Human Albumin 20%/50ml chai 661.600 661.600

Page 10 / 133

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STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

3.003 HUM3 Human Albumin 20%/100ml loï 1.302.299 1.302.299

3.004 HUM4 Humulin R 100IU /10ml loï 141.998 141.998

3.005 HUM5 Humulin N 100IU /10ml loï 141.998 141.998

3.006 HYD2 Hydrocortisone 100mg/1ml oáng 10.794 10.794

3.007 HYD7 Hydrocortisone 10mg vieân 5.292 5.292

3.008 HYX Hyxure 500mg vieân 2.650 2.650

3.009 IBR0 Ibrafen 100mg/5ml/60ml chai 27.000 27.000

3.010 IBU10 Ibuprofen 400mg vieân 223 223

3.011 ILE Ileo-Gel BBraun Vieân 5.133 0

3.012 ILO Ilomedin 20mcg/ml (Iloprost) oáng 623.700 623.700

3.013 IMI Imipenem Cilastatin kabi lo 199.500 199.500

3.014 IMU0 Imurel 50mg (Azathioprin) vieân 11.000 0

3.015 INH INH 50mg (haøng taëng) vieân 0 0

3.016 INV Invanz 1g lo 552.421 552.421 TT40

3.017 INV1 Invanz 1g ( mua phaùt sinh ) lo 580.000 0

3.018 INV2 Invanz 1g ( mua phaùt sinh) loï 502.000 0

3.019 IOD Iodine 10%/20ml loï 3.090 3.090

3.020 ISO4 INH-Isoniazide 150mg vieân 200 0

3.021 ISO6 Isoptine 240mg vieân 9.275 0

3.022 ISU Isuprel 0.2mg/ml (VN) oáng 18.874 18.874

3.023 ISU1 Isuprel 0.2mg/ml( Isoprenalin sulfat) oáng 158.886 158.886

3.024 KAG Kagasdine 20mg ( omeprazol ) vieân 172 172

3.025 KAL2 Kali Clorua 10%/100ml (BVNÑ 2 pha Chai 5.200 0

3.026 KAL3 Kali Clorua 10%/250ml (BVNÑ2 pha Chai 13.000 0

3.027 KAL4 (VN) Kali clorid 10%/10ml oáng 2.373 2.373

3.028 KAL5 Kaldyum 600mg vieân 1.800 1.800

3.029 KAL6 Kalimate goùi 12.600 12.600

3.030 KAN0 Kanamycin 1000mg / 4ml ( chöông trình 0 0 0

3.031 KAT0 Katrypsin vieân 179 179

3.032 KAV Kavasdin 5mg vieân 97 97

Page 11 / 133

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STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

3.033 KED0 Kedrigamma 5g/lít (chai 50ml) chai 3.699.998 3.699.998

3.034 KEN0 (CTCH) Kenacort 80mg/2ml oáng 0 0

3.035 KEN01 (Tai vu) Kenacort 80mg/2ml restart oáng 190.000 0

3.036 KET Ketamin HCL 500mg/10ml loï 36.750 36.750

3.037 KLA Klacid Sus 125mg/60ml chai 103.140 103.140

3.038 KLA0 Klamentin 500mg goùi 3.380 3.380

3.039 KRE Krenosin 6mg/2ml loï 802.200 0

3.040 KYJ Ky jelly gel 82g tube 59.220 0

3.041 LAC0 Lactated ringers 500ml chai 6.400 6.400

3.042 LAM3 Lamivudin Stada 150mg vieân 4.500 0

3.043 LAM4 Lamivudin stada 100mg vieân 8.600 0

3.044 LAM5 Lambertu 60mg vieân 3.290 3.290

3.045 LAS0 L-Aspase 10.000IU loï 1.020.000 0

3.046 LCA L-Carnitin 500mg vieân 5.000 0

3.047 LEF0 Lefloinfusion 500mg/100ml ( haøng taëng chai 0 0

3.048 LEO Leolen forte 8mg vieân 3.667 0

3.049 LEV Levonor 1mg/1ml oáng 29.190 29.190

3.050 LEV3 Levmax 500mg vien 3.600 0

3.051 LEV30 Levofloxacin Kabi 500mg/100ml chai 84.000 84.000

3.052 LEV31 Levoquin 500mg vieân 7.750 0

3.053 LEV34 Levibact 500mg vieân 11.760 0

3.054 LID Lidocain (Lidocain HCL 40mg/2ml) oáng 462 0

3.055 LID2 Lidocain Spray( Lidocaine HCL) chai 123.900 0

3.056 LIN2 Linod 600mg/300ml loï 205.380 0

3.057 LIP0 Lipiodol 480mg/10ml lo 2.895.000 0

3.058 LIS Lisoflox 500mg /100ml chai 129.990 129.990

3.059 LOS0 Losartan 25mg vieân 292 292

3.060 LOV0 Lovenox 40mg/0,4ml oáng 85.381 0

3.061 LUM Lumidon 100mg/1ml oáng 8.400 8.400

3.062 MAC3 Maïch maùu gheùp thaúng 5mm*10cm caùi 13.690.000 0

Page 12 / 133

Page 13: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

3.063 MAC5 Macromax SK 250mg vieân 1.500 1.500 30.03.2016

3.064 MAD1 Madopar 125mg vieân 2.663 2.663

3.065 MAG1 (Ngoaïi) Magnesium Sulfate 15%/10ml oáng 6.600 6.600

3.066 MAG20 Magnesi - B6 vieân 105 105

3.067 MAG4 Magnesium chlorue 10%/10ml oáng 11.000 0

3.068 MAG8 (VN) Magnesi sulfat 15%/10ml oáng 2.310 2.310

3.069 MAN Manitol 20% / 250ml chai 16.695 16.695

3.070 MAR0 Marksanscef 1g ( ceftriaxone 1g ) lo 16.990 16.990

3.071 MAX Maxitrol 5ml loï 36.599 0

3.072 MAX2 Maxapin 1g loï 140.000 140.000

3.073 MAY23 (Tim -5257) Maùy taïo nhòp vónh vieãn 1 caùi 57.500.000 57.500.000

3.074 MEB Mebendazol 100mg vieân 168 168

3.075 MED1 Medicaine 1,8ml oáng 5.565 0

3.076 MEK3 Mekopen 1MUI vieân 839 0

3.077 MEK5 Mekoferrat -B9 vieân 189 189

3.078 MER Meronem 500mg loï 464.373 464.373

3.079 MER01 DBL Meropenem 500mg loï 178.500 178.500

3.080 MET Metronidazol 250mg vieân 112 112

3.081 MET0 Metronidazole EP 500mg/100ml chai 8.950 8.950

3.082 MET11 Metoclopramid 10mg/2ml oáng 1.520 1.520

3.083 MET3 Methylnol 40mg loï 31.500 31.500

3.084 MEZ Mezathion 25mg ( spironolcton ) vieân 952 952

3.085 MIA Miacalcic 50UI/ml oáng 87.870 87.870

3.086 MID Midazolam 5mg/1ml oáng 15.700 15.700

3.087 MID0 Midoxim 1g lo 24.780 24.780

3.088 MID4 Midanium inj 5mg/ml oáng 16.750 0

3.089 MIL (Tim)Milrinone Lactate 10mg/10ml oáng 1.600.000 1.600.000 30.03.2016

3.090 MIL0 (Tmaïch) Milrinone 10mg/10ml (haøng loï 0 0

3.091 MIN4 Minirin 0,1mg vieân 22.133 22.133

3.092 MIN40 Minirin Spray chai 706.000 0 30.03.2016

Page 13 / 133

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STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

3.093 MIZ Mizapenem 0,5g loï 69.489 69.489

3.094 MIZ0 Mizapenem 1g loï 109.830 109.830

3.095 MOR10 Morphin sulfat 30mg vieân 5.985 5.985 30.03.2016

3.096 MOR3 Morphin HCL 10mg/ml oáng 2.940 0

3.097 MOT01 Sp Motilium 1mg/1ml/60ml loï 41.599 41.599

3.098 MOX1 Moxacin 250mg goùi 714 714

3.099 MYD3 Mydrin -P Eye drop 0,5%/10ml oáng 42.000 42.000

3.100 NAL1 Naloxone 0,4mg/1ml oáng 36.225 36.225

3.101 NAT Nattribicarbonat 1.4%/250ml/3,5g chai 28.350 28.350

3.102 NAT0 Natri clorid 0,9% + glucose 5% / 500ml chai 9.199 9.199

3.103 NAT10 Natriclorid 3%/100ml chai 6.825 6.825

3.104 NAT12 Natri Clorid 0,9% /500ml ( duøng ngoaøi ) chai 7.140 0

3.105 NAT13 Natri chlorua 0,9% 150ml ( duøng ngoaøi ) chai 500 0

3.106 NAT14 Natri chlorua 0,9% /1000ml (duøng chai 11.487 0

3.107 NAT16 Natri clorid 0,9% /100ml chai 6.500 6.500

3.108 NAT17 Natri clorid 0,9% 100ml (khí dung) chai 6.500 6.500

3.109 NAT20 Natriclorid 10% 250ml (tieâm truyeàn) chai 8.820 8.820

3.110 NAT21 Natribicarbonat 5% lo 1.000 0

3.111 NAT4 Natri Chloride 0,9%/500ml chai 6.458 6.458

3.112 NAV Navelbine 10mg/1ml (Vinorelbin) oâ´ng 841.764 841.764

3.113 nec Necpime 1g loï 39.500 39.500

3.114 NEG1 Negradixid (Nalidixic acid) vieân 1.050 1.050

3.115 NEG2 Negacef 750mg loï 27.000 27.000

3.116 NEO Neocin Coll 5ml loï 2.982 2.982

3.117 NEO2 Neopeptine Drops 15ml chai 35.100 0

3.118 NEO7 Neostigmine 0,5mg/ml oáng 6.825 6.825

3.119 NEW0 Newbactam (Cefoperazon 500mg + loï 11.970 11.970

3.120 NEX Nexium Sac 10mg goùi 22.456 0

3.121 NIC Nicardipine Aguettant 10mg/10ml oáng 111.500 111.500

3.122 NIF2 Nifedipin 20mg vieân 600 0

Page 14 / 133

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STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

3.123 NIM0 Nimotop 10mg/50ml chai 605.500 0

3.124 NIT1 Nitriate 50mg( Nitroprussiate natri) oáng 480.000 0

3.125 NIV nivaquin vieân 865 865

3.126 NUC Nucleo CMP forte vieân 9.434 0

3.127 NUO0 Nöôùc caát pha tieâm 500ml (Bình ñònh) chai 7.277 7.277

3.128 NUO01 (Troïn goùi thôû oxy) Nöôùc caát pha tieâm chai 0 0

3.129 NUO1 Nöôùc caát pha tieâm 5ml oáng 646 646

3.130 NUT Nutroplex sp 60ml (Saét sulfat+Lysine+Vi chai 17.499 0

3.131 NYS Nystatin 500.000IU vieân 597 597

3.132 NYS1 Nystatin 25.000IU goùi 934 934

3.133 NYS3 Nystatab 500.000IU vieân 565 565

3.134 OFL0 Oflovid ointment 3,5g tuyp 70.306 0

3.135 OFL01 Oflovid sol 5ml loï 55.872 0

3.136 OND0 Ondem 8mg vieân 5.400 5.400

3.137 OND02 Ondansetron 8mg/4ml oáng 14.700 14.700

3.138 OPI Opiphine 10mg/1ml oáng 25.930 0

3.139 ORA Oraptic loï 24.885 24.885

3.140 ORA0 Orafixim 100mg goùi 1.189 1.189

3.141 ORE Orezol 4,1g goùi 567 567

3.142 ORE1 Orenko 200mg vieân 4.000 4.000

3.143 ORI Oribio (haøng taëng) goùi 0 0

3.144 OSA Osaphine 30mg vieân 6.500 6.500

3.145 OST0 Ostocan 600mg goùi 2.090 0

3.146 OTI Otifar 8ml loï 4.494 4.494

3.147 OTR Otrivin 0,05% 10ml loï 32.528 0

3.148 OTR1 Otrivin 0,05% 10ml loï 34.000 0

3.149 OXA0 Oxacillin 1g loï 15.498 15.498

3.150 OXY Oxy giaø loï 1.260 0

3.151 PAC2 Paciflam 5mg/1ml oáng 15.225 15.225

3.152 PAM01 Pampara 500mg/20ml oáng 80.000 0

3.153 PAN0 Pandex lo 14.000 14.000Page 15 / 133

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STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

3.154 PAP0 Paparin (Papaverin HCL 40mg/2ml) oáng 3.990 0

3.155 PAR0 Paracetamol 1000mg/ 100ml chai 18.375 18.375

3.156 PEC01 Pecaldex 10ml oáng 2.625 0

3.157 PEF Peflacine inj 400mg oáng 20.476 20.476

3.158 PEN peni 1.000.000ui loï 1.350 1.350

3.159 PEN0 Penicilin Vkali 1M UI vieân 514 514

3.160 PEP1 Pepevit 50mg vieân 87 0

3.161 PER0 Perolistin 1MUI loï 520.000 520.000

3.162 PER4 Perfalgan1G/100ml chai 47.730 47.730

3.163 PHE10 Phenytoin 100mg vieân 300 300

3.164 PHE2 Phenobarbital 200mg/2ml oáng 6.300 0

3.165 PHE3 Phenobarbital 100mg vieân 210 210

3.166 PIM Pimenem 1g (Meropenem-VN) loï 714.000 714.000

3.167 PIP Pipolphen 50mg/2ml oáng 12.600 12.600

3.168 PIR0 Pirovacin 1.5MIU vieân 1.300 1.300

3.169 PIZ Pizar 6mg vieân 45.000 0

3.170 POT Potassium chloride proamp 0,1 g/ml oáng 5.500 5.500

3.171 POV1 Povidone 10%90ml (Thay baêng) loï 8.610 0

3.172 POV2 Povidine 4%500ml (ñoû) (Thay baêng) chai 39.984 0

3.173 POV7 Povidone 10% 90ml (ñieàu trò) chai 8.610 8.610

3.174 PRE01 Prebufen 200mg goùi 2.600 2.600

3.175 PRE2 Precedex 200mcg (Dexmedetomidine) loï 539.700 0

3.176 PRE8 Prednisolon 5mg vieân 133 133

3.177 PRI2 Primaquin 13,2mg ( haøng ct) vieân 0 0

3.178 PRI5 Prindax 10mg vieân 2.808 2.808

3.179 PRO02 (TM-SS) Prostin E2 1mg/ml (0,75ml) oáng 262.285 0

3.180 PRO34 (P Moå-TMH) Propofol 1% - oáng 56.700 0

3.181 PRO43 Protamine choay 10ml (Protamin sulfate) oáng 202.000 0

3.182 PRO80 Siro Prometazin 90ml chai 7.350 7.350

3.183 PUL Pulmicort 500mcg/ 2ml (khí dung) oáng 13.834 13.834Page 16 / 133

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STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

3.184 PUL2 Pulmicort 500mcg/2ml (caápveà) oáng 13.834 13.834

3.185 PUR0 Purehand 2%/500ml chai 0 0

3.186 PYC Pycip 500mg vieân 2.750 2.750

3.187 PYC0 Pyclin 300mg oáng 16.500 16.500

3.188 PYM01 Pymesezipam 5mg (Diazepam) vieân 150 0

3.189 PYO pyostacin 500mg vieân 4.723 0

3.190 PYR PZA 500mg ( haøng taëng) vieân 0 0

3.191 PZA PZA 500mg (Pyrazinamide) Vieân 1.000 1.000

3.192 RAN0 Ranitidin 150mg vieân 239 239

3.193 RAX Raxadin 500mg + 500mg loï 183.498 183.498

3.194 REC Rectiofar 3ml oáng 1.890 1.890

3.195 REF0 Refortan 500ml chai 144.000 0

3.196 RES1 Resbate 75mg vieân 1.550 1.550

3.197 RH R/H 150/75mg veân 0 0

3.198 RH0 R/H 150/150mg(Rifampicin/INH) vieân 0 0

3.199 RHZ RHZE vieân 0 0

3.200 RIF1 Rifampicin 150mg vieân 900 0

3.201 RIF10 Rifampicin 150mg ( chöông trình lao) vieân 0 0

3.202 RIN Ringer Lactate & Glucose 5% / 500ml chai 8.999 8.999

3.203 RIP Riplan vieân 1.550 1.550

3.204 RIS2 Risperdal Tab 2mg vieân 20.049 20.049

3.205 RIV Rivotril 2mg(Clonazepam) vieân 40.000 0

3.206 RIV2 Rivotril 2,5mg/2ml (Clonazepam) oáng 95.715 95.715

3.207 ROC Rocephin 1g loï 181.440 181.440

3.208 ROC2 DBL Rocuronium 50mg/5ml loï 77.500 0

3.209 ROC3 Rocalcic 50IU/1ml oáng 47.200 47.200

3.210 ROD Rodogyl vieân 6.700 0

3.211 SAL1 Salazopyrine 500mg (Sulfasalazin) vieân 4.500 4.500

3.212 SAL12 Salicylee 2% cream tube 8.000 0

3.213 SAL20 Salbutamol 2mg vieân 36 36Page 17 / 133

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STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

3.214 SAN Sandostatin inj 0,1mg/ml oáng 241.525 241.525

3.215 SAN0 Sanbemerosan 0,5g loï 145.000 145.000

3.216 SAN5 Sanyrene spray 20ml chai 149.000 0

3.217 SAT SAT 1.500ui/ml (Antiteâta II 1.500 UI) oáng 16.758 0

3.218 SAV1 SAV-Tri (Huyeát thanh khaùng noïc raén lieàu 354.375 354.375

3.219 SEV Sevorane sol 250ml/1"s chai 3.578.600 0

3.220 SIL11 Siliverin 20g tube 16.490 0

3.221 SIM Sp Simethicon 40mg/0,6ml/15ml chai 14.000 14.000

3.222 SIN Singulair Tab 4mg vieân 13.502 13.502

3.223 SIN1 Singulair chewable 5mg vieân 13.502 13.502

3.224 SME Smecta 3g goùi 3.475 3.475

3.225 SOD Sodium Bicarbonate 4,2%/250ml chai 88.620 88.620

3.226 SOD1 Sodium Bicarbonate 8,4%/10ml oáng 20.000 20.000

3.227 SOD11 Sodium chloride 0,9% / 1000ml chai 13.200 13.200

3.228 SOL10 Soli -medon 4mg vieân 672 672

3.229 SOL11 Solimedon 125 mg loï 55.650 0

3.230 SOL12 Soltrim 480mg ( chöông trình CDC) vieân 0 0

3.231 SOL13 Soli - medon 40mg loï 15.498 15.498

3.232 SOL4 Solu Medrol 40mg loï 33.100 33.100

3.233 SOL5 Solu - Medrol 500mg loï 207.580 207.580

3.234 SOL6 Solupred 5mg vieân 3.600 0

3.235 SOL8 Solupred 20mg vieân 9.500 0

3.236 SOM0 Somazinna 30ml loï 537.600 0

3.237 SOR Sorbitol 5g goùi 372 372

3.238 SOR1 Sorbitol 3,3% - 1000ml chai 21.266 0

3.239 SOS Soshydra goùi 2.100 2.100

3.240 SPI Spinocan G20 ca´i 19.530 0

3.241 SPI5 Spiramycin 1.5MIU vieân 1.300 1.300

3.242 STR Streptomycine 1g (haøng taëng) loï 0 0

3.243 SUC2 Sucefone 1g lo 13.600 13.600

Page 18 / 133

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STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

3.244 SUC3 Sucrofer 20mg/ml/5ml oáng 42.000 42.000

3.245 SUF (Tieâm truyeàn) Sufentanyl 0,25mg/5ml oáng 33.600 33.600

3.246 SUF0 (P moå) Sufentanyl 50mcg/1ml oáng 33.600 0

3.247 SUL0 Sulfadiazin Bac 20g tube 19.670 0

3.248 SUN Sunewtam 1g ( Cefoperazon+sulbactam) lo 52.500 0

3.249 SUR8 Survanta 25mg/1ml/4ml loï 8.304.000 8.304.000

3.250 SUX Suxamethonium 100mg oáng 16.000 16.000

3.251 TAM03 Tamidan 100mcg vieân 380 380

3.252 TAM10 Tamiflu (haøng taëng) vieân 0 0

3.253 TEG1 Tegretol CR 200mg vieân 3.661 3.661

3.254 TES0 Tesmon 25mg/ml oáng 10.000 0

3.255 TET0 Tetracyclin 1%/5g (môùi) tube 5.500 0

3.256 TET01 Tetracain 0,5% /10ml loï 14.700 0

3.257 TET6 Tetraspan 6%/500ml(DDòch ñaúng keo chai 93.000 93.000

3.259 THA than hoaït goùi 1.000 0

3.260 THI thiopental 1g = pentotal loï 28.000 28.000

3.261 THU0 Thuoác caáp veà PVI laàn 46.718 0

3.262 TIE3 Tienam 500mg loï 336.306 336.306

3.263 TOB Tobradex Drop 5ml loï 45.100 0

3.264 TOB0 Tobradex oint 0.3%/3.5g Pd tube 49.696 0

3.265 TOB10 Tobcol 0,3%/5ml loï 4.200 4.200

3.266 TOB2 Tobidex loï 9.975 9.975

3.267 TOB5 Tobramycin 0,3% - 5ml loï 5.600 5.600

3.268 TOP0 Topxol 50mg vieân 380 380

3.269 TOP3 Topamax Tab 25mg vieân 5.448 5.448

3.270 TRA Tracrium 25mg/2.5ml loï 46.146 46.146

3.271 TRA12 Travinat 250mg vieân 1.480 1.480

3.272 TRA4 Tracutil 10ml oáng 32.235 32.235

3.273 TRE Trepmycin 1g (haøng taëng) loï 0 0

3.274 TRI0 Trihex 2mg - Danapha vieân 124 124

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STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

3.275 TRI01 Trimezola 480mg vieân 221 221

3.276 TRI2 Trileptal 300mg vieân 7.331 7.331

3.277 TRI6 Trileptal 60mg/ml/100ml chai 219.996 219.996

3.278 TSM Thuoác sau moå laàn 300.000 0

3.279 TSM1 Thuoác sau moå laàn 400.000 0

3.280 TUB2 Turberzid 150/75/400mg(haøng taëng vieân 0 0

3.281 TUB3 Tuberculin 1ml ( 10 lieàu test phaûn öùng loï 184.800 0

3.282 TUL (CTCH) Tulextam 80mg/ 2ml ( troïn goùi ) oáng 0 0

3.283 TUR Turbe (Rifampicin 150mg+ INH vieân 0 0

3.284 TVZ TV-Zidim 1g loï 12.490 12.490

3.285 TYG Tygacil 50mg lo 731.000 0

3.286 ULT1 Ultravist 300inj /50ml (Lopromide) loï 242.550 0

3.287 UNA1 Unasyn inj 1500mg loï 66.000 66.000

3.288 URO1 Uromitexan inj 400mg/4ml(Mesna) oáng 32.938 32.938

3.289 USA Usarichcatrol 0,25mcg vieân 399 399

3.290 VAC0 Vacomuc 100mg goùi 417 417

3.291 VAC01 Vacomuc 200mg goùi 447 447

3.292 vad Vadol 5 ( Paracetamol 500mg ) vieân 83 83

3.293 VAD0 Vadol A 325mg vieân 63 63

3.294 VAL Valacin 500mg loï 59.500 59.500

3.295 VAM Vaminolact sol 6.5%/100ml loï 127.000 127.000

3.296 VAN2 Vancomycin 0,5g loï 34.797 34.797

3.297 VAS Vaselin 10g tube 9.800 0

3.298 VAS0 Vasopro vieân 9.633 0

3.299 VEN Ventoline 5mg/2,5ml (khí dung) oáng 8.513 8.513

3.300 VEN1 Ventolin 5mg/2,5ml (caáp veà) oáng 8.513 8.513

3.301 VEN10 Venofer 20mg/ml/5ml(Saét sucrose) oáng 139.167 0

3.302 VEN4 Ventolin INH 100mcg ( 200 dose) loï 76.379 76.379

3.303 VEN6 Sp Ventolin Expect 1mg/5ml/60ml chai 22.874 0

3.304 VER4 Verorab + kim tieâm lieàu 182.200 0

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Page 21: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

3.305 VES (U Buou)Vesanoid 10mg vien 48.538 0

3.306 VG5 VG 5 vieân 1.000 0

3.307 VIA2 Viagra 50mg vieân 116.640 0

3.308 VIC01 Vicimlastatin ( Imipenem 500mg + loï 66.700 66.700

3.309 VIN03 Vintex 50mg/2ml oáng 6.510 0

3.310 VIN04 Vinsalmol 0,5mg oáng 3.675 3.675

3.311 VIN05 Vinzix 20mg/2ml oáng 1.890 1.890

3.312 VIN08 Vincopane 20mg/ml oáng 6.300 6.300

3.313 VIN09 Vinsolon 40mg ( methyl prednisonion loï 20.790 0

3.314 VIT Vitamin A-D (VN) vieân 407 0

3.315 VIT02 Vitamin B1 100mg/2ml oáng 1.100 0

3.316 VIT03 Vitamin B1B6B12 vieân 228 228

3.317 VIT06 Vitamin K1 10mg/ml oáng 11.000 11.000

3.318 VIT07 Vitamin B1 50mg (haøng taëng) vieân 0 0

3.319 VIT14 Vit A 5000UI vieân 220 220

3.320 VIT23 Vitamin A 200.000UI (Haøng taëng) vieân 0 0

3.321 VIT24 Viticalat 3,2 g loï 98.000 0

3.322 VIT25 Vitamin E 400 UI vieân 498 498

3.323 VIT28 Vitamin B2 50mg vieân 200 0

3.324 VIT3 Vit B12, 1000mcg/1ml oáng 546 546

3.325 VIT8 Vitamin C 100mg vieân 53 53

3.326 XAN Xanh methylen loï 1.537 0

3.327 XCE Cellcept 250mg (BN khoâng thaûi gheùp) vieân 27.652 0

3.328 XEN Xenetix 300/50ml lo 261.999 0

3.329 XIT Xitrina loï 8.824 0

3.330 XYL Xylocain jelly oin 2%/ 30g tube 55.600 0

3.331 ZEL Zelitrex 500mg vien 97.650 0

3.332 ZEN Zentel 200mg/2"s vieân 5.600 5.600

3.333 ZIN1 Zinacef 750mg loï 44.431 44.431

3.334 ZIN7 ZinC 70mg vieân 380 380

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Page 22: BEÂNH VIEÄN NHI ÑOÀNG 2 BAÛNG GIAÙ

STT Maõ Dieãn giaûi Ñôn vò Ñôn giaù Ñôn giaù BH Thoâng tö

3.335 ZIT Zithromax Pos Sus 200mg/5ml/15ml chai 115.988 115.988

3.336 ZOL Zolmed 150mg vieân 3.477 3.477

3.337 ZOV2 Zovirax 500mg loï 1.150.000 1.150.000

3.338 ZUR Zuryk 300mg vieân 370 370 0

Ngày 30 tháng 09 năm 2016

Giaùm ñoác

Page 22 / 133