適應症
因酒渣鼻引起發炎性丘疹、膿?及紅腫。 
劑型
393外用凝膠劑 
包裝
1000公克以下塑膠瓶裝 1000公克以下鋁軟管 
用法用量
詳見仿單。 
包裝
塑膠瓶裝;;鋁軟管::4710704514685,4710704515224, 
形狀
 
特殊劑型
 
顏色
白底粉紅字 
特殊氣味
無味 
刻痕
 
外觀尺寸
10g長度約為 9.2 公分 15g 約為10.5公分 
標註一
 
標註二
 
許可證字號
衛署藥製字第049213號 
註銷狀態
 
註銷日期
 
註銷理由
 
有效日期
2027-12-21  
發證日期
2007-12-21  
許可證種類
製 劑 
舊證字號
 
通關簽審文件編號
DHY00104921300 
中文品名
克柔潔凝膠 7.5 毫克/公克 
英文品名
Clogel Gel 7.5mg/gm 
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
桃園市桃園區龍岡里上海路53號1樓 
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
2017-11-30  
資料更新時間
2023-04-28  
國際條碼
 
健保代碼
A049213329,A049213330,A049213335,A049213338,A049213343,A049213399,AC49213329,AC49213330,AC49213335,AC49213338,AC49213343 
成份表
處方標示 成分名稱 含量 單位
Each gm Contains: 7.5 MG
健保價格記錄
健保代碼 價格 含量 單位 期間
AC49213330 38.7 12.00 GM 2018-06-01 ~ 2019-03-31
A049213343 133 30.00 GM 2018-05-01 ~ 2018-06-30
AC49213343 133 30.00 GM 2018-06-01 ~ 2022-09-30
A049213335 54 15.00 GM 2015-04-01 ~ 2016-03-31
AC49213343 0 30.00 GM 2022-10-01 ~ 2910-12-31
A049213338 130 20.00 GM 2008-05-01 ~ 2009-09-30
A049213329 51 10.00 GM 2011-12-01 ~ 2014-04-30
A049213330 38.7 12.00 GM 2018-05-01 ~ 2018-06-30
AC49213329 34.7 10.00 GM 2018-06-01 ~ 2019-03-31
A049213335 66 15.00 GM 2014-05-01 ~ 2015-03-31
A049213399 2.13 1.00 GM 2014-05-01 ~ 2014-12-31
AC49213330 31.6 12.00 GM 2024-04-01 ~ 2910-12-31
A049213330 43 12.00 GM 2010-04-01 ~ 2011-11-30
A049213330 44 12.00 GM 2009-10-01 ~ 2010-03-31
A049213330 46.5 12.00 GM 2008-05-01 ~ 2009-09-30
A049213343 157 30.00 GM 2011-12-01 ~ 2014-04-30
A049213343 0 30.00 GM 2018-07-01 ~ 2910-12-31
A049213399 3.88 1.00 GM 2008-05-01 ~ 2009-09-30
AC49213338 57 20.00 GM 2019-04-01 ~ 2021-06-30
AC49213330 34.5 12.00 GM 2022-01-01 ~ 2023-03-31
AC49213330 36.5 12.00 GM 2020-10-01 ~ 2021-12-31
A049213338 95 20.00 GM 2009-10-01 ~ 2014-04-30
AC49213338 64 20.00 GM 2018-06-01 ~ 2019-03-31
A049213335 52 15.00 GM 2016-04-01 ~ 2017-03-31
A049213329 85 10.00 GM 2009-10-01 ~ 2011-11-30
A049213330 44 12.00 GM 2016-04-01 ~ 2017-03-31
AC49213329 31.7 10.00 GM 2019-04-01 ~ 2020-09-30
AC49213335 38.6 15.00 GM 2022-01-01 ~ 2023-03-31
A049213399 0 1.00 GM 2015-01-01 ~ 2910-12-31
A049213338 82 20.00 GM 2014-05-01 ~ 2015-03-31
A049213399 3.58 1.00 GM 2010-04-01 ~ 2011-11-30
AC49213329 30.2 10.00 GM 2020-10-01 ~ 2021-12-31
AC49213330 32.8 12.00 GM 2023-04-01 ~ 2024-03-31
A049213335 0 15.00 GM 2018-07-01 ~ 2910-12-31
AC49213335 42 15.00 GM 2020-10-01 ~ 2021-12-31
AC49213330 37.4 12.00 GM 2019-04-01 ~ 2020-09-30
A049213335 45.7 15.00 GM 2018-05-01 ~ 2018-06-30
A049213335 98 15.00 GM 2009-10-01 ~ 2011-11-30
A049213338 0 20.00 GM 2018-07-01 ~ 2910-12-31
A049213335 48.9 15.00 GM 2017-04-01 ~ 2018-04-30
A049213330 44.8 12.00 GM 2014-05-01 ~ 2016-03-31
A049213329 33.6 10.00 GM 2018-05-01 ~ 2018-06-30
AC49213335 35.7 15.00 GM 2023-04-01 ~ 2024-03-31
AC49213329 24.8 10.00 GM 2023-04-01 ~ 2024-03-31
A049213343 134 30.00 GM 2014-05-01 ~ 2018-04-30
AC49213335 46.6 15.00 GM 2018-06-01 ~ 2019-03-31
AC49213335 43.8 15.00 GM 2019-04-01 ~ 2020-09-30
A049213330 51 12.00 GM 2011-12-01 ~ 2014-04-30
AC49213329 23.1 10.00 GM 2024-04-01 ~ 2910-12-31
A049213399 3.66 1.00 GM 2010-01-01 ~ 2010-03-31
AC49213335 33.7 15.00 GM 2024-04-01 ~ 2910-12-31
A049213399 3.78 1.00 GM 2009-10-01 ~ 2009-12-31
A049213338 66 20.00 GM 2017-04-01 ~ 2018-04-30
A049213329 41.5 10.00 GM 2016-04-01 ~ 2017-03-31
A049213329 37.4 10.00 GM 2017-04-01 ~ 2018-04-30
A049213329 42.5 10.00 GM 2015-04-01 ~ 2016-03-31
A049213338 74 20.00 GM 2015-04-01 ~ 2017-03-31
A049213329 44.8 10.00 GM 2014-05-01 ~ 2015-03-31
A049213399 2.24 1.00 GM 2011-12-01 ~ 2014-04-30
A049213335 91 15.00 GM 2011-12-01 ~ 2014-04-30
AC49213338 0 20.00 GM 2021-07-01 ~ 2910-12-31
AC49213329 27.3 10.00 GM 2022-01-01 ~ 2023-03-31
A049213329 0 10.00 GM 2018-07-01 ~ 2910-12-31
A049213335 112 15.00 GM 2008-05-01 ~ 2009-09-30
A049213329 104 10.00 GM 2008-05-01 ~ 2009-09-30
A049213343 217 30.00 GM 2008-05-01 ~ 2011-11-30
A049213330 39.5 12.00 GM 2017-04-01 ~ 2018-04-30
A049213330 0 12.00 GM 2018-07-01 ~ 2910-12-31
A049213338 58 20.00 GM 2018-05-01 ~ 2018-06-30