“仙台”舒立清凝膠
Shuli qing Gel “Sentai”

適應症
尋常性痤瘡。 
劑型
393外用凝膠劑 
包裝
100公克以下塑膠瓶裝 鋁管裝 
用法用量
詳如仿單。 
包裝
塑膠瓶裝;;鋁管裝::4711946461225,4711946461232,4711946461249, 
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048835號 
註銷狀態
 
註銷日期
 
註銷理由
 
有效日期
2027-06-15  
發證日期
2007-06-15  
許可證種類
製　劑 
舊證字號
 
通關簽審文件編號
DHY00104883500 
中文品名
“仙台”舒立清凝膠 
英文品名
Shuli qing Gel “Sentai” 
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
台南市新營區嘉芳里新工路35號 
申請商統一編號
 
製造商名稱
製造廠廠址
台南市新營區嘉芳里新工路35號  
製造廠公司地址
 
製造廠國別
 
製程
 
異動日期
2017-03-14  
資料更新時間
2022-07-29  
國際條碼
 
健保代碼
A048835321,A048835329,A048835335,A048835338,A048835399,AC48835321,AC48835329,AC48835335,AC48835338 
相關連結
藥物外觀 仿單資料 外盒/標籤/條碼
成份表
處方標示 成分名稱 含量 單位
Each gm Contains： 10 MG
健保價格記錄
健保代碼 價格 含量 單位 期間
A048835338 94 20.00 GM 2009-10-01 ~ 2011-11-30
A048835338 68 20.00 GM 2011-12-01 ~ 2013-11-30
A048835335 29.5 15.00 GM 2014-07-01 ~ 2015-03-31
A048835335 0 15.00 GM 2013-12-01 ~ 2014-05-31
AC48835338 77 20.00 GM 2017-10-01 ~ 2018-04-30
A048835321 9 5.00 GM 2016-04-01 ~ 2017-10-31
AC48835329 15.4 10.00 GM 2019-04-01 ~ 2020-09-30
A048835338 55 20.00 GM 2015-04-01 ~ 2016-03-31
AC48835338 71 20.00 GM 2019-04-01 ~ 2020-09-30
A048835321 10.2 5.00 GM 2011-12-01 ~ 2013-11-30
A048835338 64 20.00 GM 2014-07-01 ~ 2015-03-31
A048835399 0 1.00 GM 2015-01-01 ~ 2910-12-31
A048835338 49.9 20.00 GM 2016-04-01 ~ 2017-10-31
A048835338 0 20.00 GM 2013-12-01 ~ 2014-05-31
A048835338 68 20.00 GM 2014-06-01 ~ 2014-06-30
A048835329 15.7 10.00 GM 2017-04-01 ~ 2017-10-31
AC48835335 20.7 15.00 GM 2022-01-01 ~ 2910-12-31
AC48835335 22.2 15.00 GM 2021-07-01 ~ 2021-12-31
A048835321 10.2 5.00 GM 2014-06-01 ~ 2014-06-30
AC48835329 14.9 10.00 GM 2020-10-01 ~ 2021-12-31
A048835329 17.1 10.00 GM 2015-04-01 ~ 2016-03-31
AC48835338 65 20.00 GM 2022-01-01 ~ 2910-12-31
A048835321 9.4 5.00 GM 2014-07-01 ~ 2015-03-31
AC48835329 14.1 10.00 GM 2022-01-01 ~ 2910-12-31
A048835399 0.43 1.00 GM 2014-06-01 ~ 2014-12-31
AC48835338 75 20.00 GM 2018-05-01 ~ 2019-03-31
A048835329 27.8 10.00 GM 2007-11-01 ~ 2009-09-30
A048835329 16.2 10.00 GM 2016-04-01 ~ 2017-03-31
A048835338 96 20.00 GM 2007-11-01 ~ 2009-09-30
A048835335 35.6 15.00 GM 2009-10-01 ~ 2011-11-30
A048835399 0.43 1.00 GM 2007-11-01 ~ 2013-11-30
A048835329 18.7 10.00 GM 2010-04-01 ~ 2013-11-30
A048835335 26.2 15.00 GM 2016-04-01 ~ 2017-03-31
A048835321 10.7 5.00 GM 2009-10-01 ~ 2009-12-31
A048835321 13.5 5.00 GM 2007-11-01 ~ 2009-09-30
A048835321 9.1 5.00 GM 2015-04-01 ~ 2016-03-31
A048835335 0 15.00 GM 2017-11-01 ~ 2910-12-31
A048835329 0 10.00 GM 2017-11-01 ~ 2910-12-31
A048835335 45.2 15.00 GM 2007-11-01 ~ 2009-09-30
A048835335 24.7 15.00 GM 2017-04-01 ~ 2017-10-31
AC48835321 10 5.00 GM 2017-10-01 ~ 2910-12-31
A048835329 17.4 10.00 GM 2014-07-01 ~ 2015-03-31
A048835321 0 5.00 GM 2017-11-01 ~ 2910-12-31
A048835329 0 10.00 GM 2013-12-01 ~ 2014-05-31
A048835338 0 20.00 GM 2017-11-01 ~ 2910-12-31
A048835329 18.7 10.00 GM 2014-06-01 ~ 2014-06-30
AC48835335 23 15.00 GM 2019-04-01 ~ 2020-09-30
AC48835335 22.2 15.00 GM 2020-10-01 ~ 2021-06-30
A048835335 32.9 15.00 GM 2011-12-01 ~ 2013-11-30
A048835329 20.1 10.00 GM 2009-10-01 ~ 2010-03-31
AC48835329 16 10.00 GM 2018-05-01 ~ 2019-03-31
A048835321 0 5.00 GM 2013-12-01 ~ 2014-05-31
AC48835329 17 10.00 GM 2017-10-01 ~ 2018-04-30
AC48835335 25.9 15.00 GM 2017-10-01 ~ 2018-04-30
AC48835335 24.3 15.00 GM 2018-05-01 ~ 2019-03-31
A048835335 28.3 15.00 GM 2015-04-01 ~ 2016-03-31
A048835321 11.1 5.00 GM 2010-01-01 ~ 2011-11-30
AC48835338 69 20.00 GM 2020-10-01 ~ 2021-12-31
A048835399 0 1.00 GM 2013-12-01 ~ 2014-05-31
A048835335 32.9 15.00 GM 2014-06-01 ~ 2014-06-30