適應症
熱傷感染之預防及治療(特別是革蘭氏陰性細菌感染症、例如綠膿桿菌感染症)其他刀傷、外傷、創傷、傷口感染之預防及治療 
劑型
363乳膏劑 
包裝
1000公克以下瓶裝 1000公克以下罐裝 1000公克以下塑膠軟管裝 1000公克以下鋁軟管裝 
用法用量
 
包裝
瓶裝::4715459402034,;;罐裝;;塑膠軟管裝::4715459402058,4715459402089,4715459402096,;;鋁軟管裝 
形狀
 
特殊劑型
 
顏色
white 
特殊氣味
 
刻痕
 
外觀尺寸
 
標註一
 
標註二
 
許可證字號
衛署藥製字第016402號 
註銷狀態
 
註銷日期
 
註銷理由
 
有效日期
2028-05-25  
發證日期
1979-01-17  
許可證種類
製 劑 
舊證字號
00000000 
通關簽審文件編號
DHY00101640206 
中文品名
皮復健乳膏 
英文品名
SILVER SULFADIAZINE CREAM 
藥品類別
06須由醫師處方使用 
管制藥品分類級別
 
申請商名稱
 
申請商地址
台南縣永康市四維街164號 
申請商統一編號
 
製造廠廠址
 
製造廠公司地址
 
製造廠國別
 
製程
 
異動日期
2017-02-10  
資料更新時間
2023-10-27  
國際條碼
 
健保代碼
A016402329,A016402338,A016402348,A016402371,A016402377,A016402399,AC16402338,AC16402348,AC16402371,AC16402377 
成份表
處方標示 成分名稱 含量 單位
EACH 100G CREAM CONTAINS: 1000 MG
健保價格記錄
健保代碼 價格 含量 單位 期間
AC16402371 261 400.00 GM 2023-04-01 ~ 2024-03-31
AC16402371 280 400.00 GM 2019-04-01 ~ 2020-09-30
AC16402338 29.8 20.00 GM 2013-06-01 ~ 2014-06-30
AC16402348 44.3 50.00 GM 2015-04-01 ~ 2016-03-31
AC16402348 41 50.00 GM 2013-06-01 ~ 2014-06-30
AC16402371 267 400.00 GM 2022-01-01 ~ 2023-03-31
A016402377 579 500.00 GM 2010-02-01 ~ 2011-11-30
A016402371 459 400.00 GM 1997-06-01 ~ 1998-04-30
A016402399 1.04 1.00 GM 2000-04-01 ~ 2006-10-31
A016402348 0 50.00 GM 2013-07-01 ~ 2910-12-31
AC16402377 302 500.00 GM 2024-04-01 ~ 2910-12-31
A016402399 1.15 1.00 GM 1997-06-01 ~ 2000-03-31
A016402371 311 400.00 GM 2009-10-01 ~ 2011-11-30
AC16402371 287 400.00 GM 2013-06-01 ~ 2014-06-30
A016402399 0.5 1.00 GM 2014-07-01 ~ 2014-12-31
AC16402348 44.6 50.00 GM 2014-07-01 ~ 2015-03-31
AC16402338 32.3 20.00 GM 2022-01-01 ~ 2023-03-31
AC16402338 33.2 20.00 GM 2014-07-01 ~ 2018-04-30
A016402377 0 500.00 GM 2013-07-01 ~ 2910-12-31
A016402338 30 20.00 GM 1998-05-01 ~ 2000-03-31
A016402399 0.91 1.00 GM 2006-11-01 ~ 2009-09-30
A016402348 160.82 50.00 GM 2001-04-01 ~ 2003-02-28
A016402399 0 1.00 GM 2015-01-01 ~ 2910-12-31
AC16402348 44 50.00 GM 2018-05-01 ~ 2019-03-31
A016402371 628 400.00 GM 1998-05-01 ~ 2000-03-31
AC16402371 275 400.00 GM 2020-10-01 ~ 2021-12-31
A016402399 0.63 1.00 GM 2009-10-01 ~ 2011-11-30
AC16402377 564 500.00 GM 2013-06-01 ~ 2014-06-30
AC16402377 469 500.00 GM 2017-04-01 ~ 2018-04-30
A016402329 0 10.00 GM 2000-04-01 ~ 2910-12-31
A016402371 566.33 400.00 GM 2001-04-01 ~ 2003-02-28
A016402371 0 400.00 GM 2013-07-01 ~ 2910-12-31
AC16402377 519 500.00 GM 2015-04-01 ~ 2016-03-31
A016402371 467 400.00 GM 2003-03-01 ~ 2006-10-31
A016402348 68 50.00 GM 2003-03-01 ~ 2006-10-31
AC16402371 256 400.00 GM 2024-04-01 ~ 2910-12-31
A016402348 195 50.00 GM 1995-03-01 ~ 2000-03-31
AC16402377 325 500.00 GM 2023-04-01 ~ 2024-03-31
A016402371 566.33 400.00 GM 2000-04-01 ~ 2001-03-31
A016402371 287 400.00 GM 2011-12-01 ~ 2013-06-30
A016402338 0 20.00 GM 2013-07-01 ~ 2910-12-31
AC16402338 32.7 20.00 GM 2020-10-01 ~ 2021-12-31
A016402348 53 50.00 GM 2007-09-01 ~ 2009-09-30
A016402399 0.58 1.00 GM 2011-12-01 ~ 2014-06-30
AC16402348 44.1 50.00 GM 2017-04-01 ~ 2018-04-30
AC16402338 30.4 20.00 GM 2024-04-01 ~ 2910-12-31
A016402377 564 500.00 GM 2011-12-01 ~ 2013-06-30
AC16402338 32.9 20.00 GM 2019-04-01 ~ 2020-09-30
AC16402377 422 500.00 GM 2019-04-01 ~ 2020-09-30
AC16402377 397 500.00 GM 2020-10-01 ~ 2021-12-31
A016402329 39 10.00 GM 1995-03-01 ~ 2000-03-31
AC16402371 286 400.00 GM 2014-07-01 ~ 2019-03-31
A016402371 392 400.00 GM 2006-11-01 ~ 2009-09-30
A016402338 78 20.00 GM 1995-03-01 ~ 1997-05-31
AC16402348 43.8 50.00 GM 2019-04-01 ~ 2020-09-30
AC16402338 31.7 20.00 GM 2023-04-01 ~ 2024-03-31
AC16402377 596 500.00 GM 2014-07-01 ~ 2015-03-31
A016402338 27.05 20.00 GM 2000-04-01 ~ 2001-03-31
AC16402338 33.1 20.00 GM 2018-05-01 ~ 2019-03-31
A016402348 56 50.00 GM 2006-11-01 ~ 2007-08-31
A016402348 41 50.00 GM 2009-10-01 ~ 2013-06-30
AC16402377 463 500.00 GM 2018-05-01 ~ 2019-03-31
AC16402348 44.2 50.00 GM 2016-04-01 ~ 2017-03-31
A016402371 1560 400.00 GM 1995-03-01 ~ 1997-05-31
AC16402377 357 500.00 GM 2022-01-01 ~ 2023-03-31
A016402338 24.7 20.00 GM 2001-04-01 ~ 2013-06-30
AC16402348 43.7 50.00 GM 2020-10-01 ~ 2910-12-31
A016402338 60 20.00 GM 1997-06-01 ~ 1998-04-30
AC16402377 475 500.00 GM 2016-04-01 ~ 2017-03-31
A016402348 175.85 50.00 GM 2000-04-01 ~ 2001-03-31