適應症
治療尋常性痤瘡。 
劑型
363乳膏劑 
包裝
1000公克以下鋁管裝 1000公克以下塑膠罐裝 
用法用量
詳見仿單。 
包裝
鋁管裝::4715459974012,;;塑膠罐裝 
形狀
 
特殊劑型
 
顏色
 
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049974號 
註銷狀態
 
註銷日期
 
註銷理由
 
有效日期
2024-02-12  
發證日期
2009-02-12  
許可證種類
製 劑 
舊證字號
 
通關簽審文件編號
DHY00104997406 
中文品名
艾伏離乳膏 0.1% 
英文品名
Anefree Cream 0.1% 
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
2015-07-01  
資料更新時間
2023-10-27  
國際條碼
 
健保代碼
A049974321,A049974335,A049974343,A049974345,A049974363,A049974399,AC49974321,AC49974335,AC49974343,AC49974345,AC49974363 
成份表
處方標示 成分名稱 含量 單位
Each gm contains: 1 MG
健保價格記錄
健保代碼 價格 含量 單位 期間
A049974321 0 5.00 GM 2013-01-01 ~ 2910-12-31
AC49974335 79 15.00 GM 2016-04-01 ~ 2017-03-31
AC49974321 16.8 5.00 GM 2023-04-01 ~ 2024-03-31
AC49974343 0 30.00 GM 2022-10-01 ~ 2910-12-31
AC49974321 19.5 5.00 GM 2015-04-01 ~ 2016-03-31
AC49974363 0 200.00 GM 2021-07-01 ~ 2910-12-31
A049974335 69 15.00 GM 2011-12-01 ~ 2012-12-31
AC49974345 211 40.00 GM 2017-04-01 ~ 2021-06-30
A049974399 4.68 1.00 GM 2010-01-01 ~ 2011-11-30
A049974335 97 15.00 GM 2009-07-01 ~ 2009-09-30
AC49974335 91 15.00 GM 2012-12-01 ~ 2014-04-30
A049974343 0 30.00 GM 2013-01-01 ~ 2910-12-31
AC49974335 75 15.00 GM 2019-04-01 ~ 2020-09-30
AC49974345 226 40.00 GM 2015-04-01 ~ 2016-03-31
AC49974335 88 15.00 GM 2014-05-01 ~ 2015-03-31
AC49974363 819 200.00 GM 2014-05-01 ~ 2015-03-31
A049974335 92 15.00 GM 2009-10-01 ~ 2011-11-30
A049974343 211 30.00 GM 2009-07-01 ~ 2011-11-30
AC49974363 892 200.00 GM 2012-12-01 ~ 2014-04-30
AC49974343 141 30.00 GM 2015-04-01 ~ 2016-03-31
AC49974335 68 15.00 GM 2022-01-01 ~ 2023-03-31
A049974321 40.8 5.00 GM 2009-07-01 ~ 2011-11-30
AC49974321 16.5 5.00 GM 2024-04-01 ~ 2910-12-31
AC49974343 142 30.00 GM 2012-12-01 ~ 2015-03-31
A049974345 0 40.00 GM 2013-01-01 ~ 2910-12-31
AC49974321 24.4 5.00 GM 2012-12-01 ~ 2014-04-30
AC49974363 699 200.00 GM 2017-04-01 ~ 2018-04-30
AC49974345 219 40.00 GM 2016-04-01 ~ 2017-03-31
A049974399 2.88 1.00 GM 2014-05-01 ~ 2014-12-31
A049974363 1115 200.00 GM 2009-07-01 ~ 2009-09-30
A049974363 599 200.00 GM 2011-12-01 ~ 2012-12-31
AC49974321 17.9 5.00 GM 2020-10-01 ~ 2021-12-31
AC49974335 82 15.00 GM 2017-04-01 ~ 2018-04-30
AC49974321 17.3 5.00 GM 2022-01-01 ~ 2023-03-31
A049974399 2.99 1.00 GM 2011-12-01 ~ 2014-04-30
AC49974345 238 40.00 GM 2012-12-01 ~ 2014-04-30
A049974363 0 200.00 GM 2013-01-01 ~ 2910-12-31
AC49974321 21.6 5.00 GM 2014-05-01 ~ 2015-03-31
AC49974335 82 15.00 GM 2015-04-01 ~ 2016-03-31
AC49974321 19.4 5.00 GM 2017-04-01 ~ 2018-04-30
AC49974343 139 30.00 GM 2016-04-01 ~ 2017-03-31
AC49974363 737 200.00 GM 2015-04-01 ~ 2017-03-31
A049974345 238 40.00 GM 2011-12-01 ~ 2012-12-31
AC49974321 18.3 5.00 GM 2019-04-01 ~ 2020-09-30
AC49974335 65 15.00 GM 2023-04-01 ~ 2024-03-31
AC49974363 682 200.00 GM 2018-05-01 ~ 2021-06-30
A049974321 24.4 5.00 GM 2011-12-01 ~ 2012-12-31
A049974335 0 15.00 GM 2013-01-01 ~ 2910-12-31
AC49974345 232 40.00 GM 2014-05-01 ~ 2015-03-31
A049974363 936 200.00 GM 2009-10-01 ~ 2011-11-30
AC49974335 78 15.00 GM 2018-05-01 ~ 2019-03-31
AC49974321 18.8 5.00 GM 2018-05-01 ~ 2019-03-31
A049974345 282 40.00 GM 2009-07-01 ~ 2011-11-30
A049974399 5.5 1.00 GM 2009-07-01 ~ 2009-12-31
AC49974335 72 15.00 GM 2020-10-01 ~ 2021-12-31
AC49974321 19.1 5.00 GM 2016-04-01 ~ 2017-03-31
AC49974343 154 30.00 GM 2017-04-01 ~ 2022-09-30
AC49974345 0 40.00 GM 2021-07-01 ~ 2910-12-31
A049974343 126 30.00 GM 2011-12-01 ~ 2012-12-31
A049974399 0 1.00 GM 2015-01-01 ~ 2910-12-31
AC49974335 62 15.00 GM 2024-04-01 ~ 2910-12-31