全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項1

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全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項特材代碼中英文品名支付點數 WDD0800025SN INTRASITE GEL 25GM * 276 WDD0800100CA COMFEEL DRESSING 10X10CM 123 WDD0800451SN "SMITH&NEPHEW"ALLEVYN DRESSING(SACRUM)22CMX22CM 愛力膟親水性的聚乙烯膟料 * 400 WDD0800607ZK OMIDERM WOUND DRESSING (STERILE)5X7CM* 73 WDD0800707SN HYDROCELLULAR ADHESIVE DRESSING 7.5X7.5CM 73 WDD0801010SN HYDROPHILIC POLYURETHANE DRESSING 10X10CM 123 WDD0802020SN HYDROPHILIC POLYURETHANE DRESSING 20X20CM 400 WDD0802222SN HYDROCELLULAR ADHESIVE DRESSING 22.5X22.5CM 400 WDD080300BDB BIO-BRANE 13CMX38CM 1500 WDD0809921HL RESTORE EXTRA THIN 10CMMX10CM 55 WDD0809953HL RESTORE PLUS WOUND CARE DRESSING STERILE 10X10CM 123 WDD0809955HL RESTORE PLUS WOUND CARE DRESSING STERILE 20X20CM 400 WDD0809956HL RESTORE PLUS TAPERED EDGE WOUND CARE DRESSING STERILE 10X10CM 123 WDD081010TSN REPLICARE ULTRA 10X10CM 55 WDD0815181A5 KARAYAHESIVE HYDROCOLLOID WOUND DRESSING 37.5CM2, 親水性敷料 * 26 WDD0815183A5 KARAYAHESIVE HYDROCOLLOID WOUND DRESSING 113CM2, 親水性敷料 * 55 WDD0815191A5 KARAYAHESIVE HYDROCOLLOID WOUND DRESSING 25CM2, 親水性敷料 * 26 WDD0815192A5 KARAYAHESIVE HYDROCOLLOID WOUND DRESSING 100CM2, 親水性敷料 * 55 WDD0831100CA COMFEEL PLUS ULCER DRESSING 10X10CM 123 WDD0831200CA COMFEEL PLUS ULCER DRESSING 20X20CM 400 WDD0831460CA COMFEEL PLUS ULCER DRESSING 4X6CM 30 WDD0834100CA "COLOPLAST"BIATAIN NON-ADHESIVE DRESSING 10X10CM 平而坦非黏性泡綿敷料 * 123 WDD0834160CA "COLOPLAST"BIATAIN DRESSING NON-ADHESIVE 20CMX20CM 平而坦傷口敷料 * 400 WDD0834700CA "COLOPLAST"BIATAIN DRESSING SOFT-HOLD 10CMX10CM 平而坦傷口敷料 * 123 WDD0835300CA COMFEEL PLUS TRANSPARENT DRESSING 5X7CM 26 WDD0835330CA COMFEEL PLUS TRANSPARENT DRESSING 10X10CM 55 336
全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項特材代碼中英文品名支付點數 WDD0835500CA "COLOPLAST"BIATAIN AG NON-ADHESIVE FOAM DRESSING 10X10CM 平而坦銀離子非黏性泡綿敷 228 料 * WDD0837100CA COMFEEL SEASORB DRESSING 10X10CM 123 WDD0839030CA COMFEEL PURILON GEL 25GM* 276 WDD0841010BB "B.BRAUN"ASKINA FOAM WOUND DRESSING(STERILE)10CMX10CM 雅膟泡棉敷料 * 123 WDD0842005BB "B.BRAUN"ASKINA FOAM WOUND DRESSING(STERILE)20CMX20CM 雅膟泡棉敷料 * 400 WDD0850554BB "B.BRAUN"ASKINA THINSITE DRESSING(STERILE)10CMX10CM* 55 WDD0850557BB ASKINA THINSITE 5CMX20CM* 55 WDD0860924P8 TENDERWET 10X10CM 123 WDD0860928P8 TENDERWET 10X10CM 123 WDD0872041BB "B.BRAUN"ASKINA HYDRO 10CMX10CM 雅膟親水膞敷料 * 123 WDD0872047BB "B.BRAUN"ASKINA HYDRO 20CMX20CM 雅膟親水膞敷料 * 400 WDD08900223M HYDROCOLLOID DRESSING 10X10CM( 薄 ) 55 WDD08900333M TEGASORB THIN HYDROCOLLOID DRESSING 10CMX10CM * 55 WDD08900523M 3M TEGASORB THIN HYDROCOLLOID DRESSING 5CMX20CM* 55 WDD0890670P8 HYDROCOLL 10X10CM 123 WDD0890674P8 HYDROCOLL 20X20CM 400 WDD0890685P8 HYDROCOLL TRANSPARENT 10X10CM( 薄 ) 55 WDD0894300LN MEPILEX STERILE 15CMX15CM 250 WDD0895400LN MEPILEX BORDER SAFETAC SILICON FOAM DRESSING 15X15CM* 250 WDD0899581P8 "HARTMANN"HYDROPHILIC WOUND DRESSING(THIN)(STERILE)HYDROTUL 5X5CM 親水性創傷覆蓋材 * 26 WDD0899595P8 SORBALGON 10X10CM 123 WDD0899598P8 SORBALGON 5X5CM 30 WDD08C0506SN "SMITH&NEPHEW"CUTINOVA HYDRO DRESSING 新世代人工皮膟 5CMX6CM* 30 WDD08C1010SN "SMITH&NEPHEW"CUTINOVA HYDRO DRESSING 10X10CM* 123 WDD08F0102ZW "SAVDERM"FOAM DRESSING (STERILE)10X10CM 泡棉敷料 * 123 WDD08S0101ZW "SAVDERM"SELF-ADHESIVE FOAM DRESSING(STERILE) 自黏性泡棉敷料 5X5CM* 30 337
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全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項1

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