TMT |
FSN |
Revclass |
Revrate |
DateEff |
DateExp |
21501 |
ค่าบริการและดูแลผู้ป่วยกรณีพักรอก่อนเข้ารักษา/พักฟื้น |
000 |
000 |
28/06/2564 |
|
9301 |
ค่าอุปกรณ์ทางการแพทย์ที่ใช้ในการติดตามอาการผู้ป่วย |
C14 |
C14 |
28/06/2564 |
|
30115 |
Heparin-PE 4 antibody (IgG) ELISA assay |
C03 |
C03 |
28/06/2564 |
|
30116 |
Heparin induced platelet activation test (HIPA) |
C03 |
C03 |
28/06/2564 |
|
797274 |
FLEBOGAMMA DIF (INSTITUTO GRIFOLS, SPAIN) (human normal immunoglobulin 10 g/200 mL) solution for infusion, 200 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
797288 |
FLEBOGAMMA DIF (INSTITUTO GRIFOLS, SPAIN) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 50 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
813830 |
FLEBOGAMMA DIF (INSTITUTO GRIFOLS, SPAIN) (human normal immunoglobulin 5 g/100 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
721542 |
GAMMAGARD S/D (BAXTER HEALTHCARE, U.S.A.) (human normal immunoglobulin 10 g) powder and solvent for solution for infusion, 1 vial_ว.471 |
118 |
001 |
28/06/2564 |
|
878252 |
GAMMAGARD S/D (BAXTER HEALTHCARE, U.S.A.) (human normal immunoglobulin 2.5 g) powder and solvent for solution for infusion, 1 vial_ว.471 |
118 |
001 |
28/06/2564 |
|
878275 |
GAMMAGARD S/D (BAXTER HEALTHCARE, U.S.A.) (human normal immunoglobulin 5 g) powder and solvent for solution for infusion, 1 vial_ว.471 |
118 |
001 |
28/06/2564 |
|
806967 |
GAMMARAAS (SHANGHAI RAAS BLOOD PRODUCTS, CHINA) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 50 mL vial _ว.471 |
118 |
001 |
28/06/2564 |
|
785273 |
GAMMARAAS (SHANGHAI RAAS BLOOD PRODUCTS, CHINA) (human normal immunoglobulin 5 g/100 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
991820 |
GAMUNEX-C (GRIFOLS THERAPEUTICS, U.S.A.) (human normal immunoglobulin 10 g/100 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
991780 |
GAMUNEX-C (GRIFOLS THERAPEUTICS, U.S.A.) (human normal immunoglobulin 2.5 g/25 mL) solution for infusion, 25 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
991808 |
GAMUNEX-C (GRIFOLS THERAPEUTICS, U.S.A.) (human normal immunoglobulin 5 g/50 mL) solution for infusion, 50 mL vial _ว.471 |
118 |
001 |
28/06/2564 |
|
731045 |
HUMAN IMMUNOGLOBULIN (PH4) (HARBIN SEQUEL BIO-ENGINEERING PHARMACEUTICAL, CHINA) (human normal immunoglobulin 10 g/200 mL) solution for infusion, 200 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
731009 |
HUMAN IMMUNOGLOBULIN (PH4) (HARBIN SEQUEL BIO-ENGINEERING PHARMACEUTICAL, CHINA) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 50 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
731021 |
HUMAN IMMUNOGLOBULIN (PH4) (HARBIN SEQUEL BIO-ENGINEERING PHARMACEUTICAL, CHINA) (human normal immunoglobulin 5 g/100 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
807407 |
I.V.-GLOBULIN SN (GREEN CROSS, KOREA) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 50 mL vial _ว.471 |
118 |
001 |
28/06/2564 |
|
807411 |
I.V.-GLOBULIN SN (GREEN CROSS, KOREA) (human normal immunoglobulin 5 g/100 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
741552 |
IG VENA (KEDRION, ITALY) (human normal immunoglobulin 10 g/200 mL) solution for infusion, 200 mL vial _ว.471 |
118 |
001 |
28/06/2564 |
|
741510 |
IG VENA (KEDRION, ITALY) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 50 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
741534 |
IG VENA (KEDRION, ITALY) (human normal immunoglobulin 5 g/100 mL) solution for infusion, 100 mL vial _ว.471 |
118 |
001 |
28/06/2564 |
|
878384 |
INTRAGLOBIN F (BIOTEST PHARMA, GERMANY) (human normal immunoglobulin 10 g/200 mL) solution for infusion, 200 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
831207 |
INTRAGLOBIN F (BIOTEST PHARMA, GERMANY) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 50 mL vial _ว.471 |
118 |
001 |
28/06/2564 |
|
878366 |
INTRAGLOBIN F (BIOTEST PHARMA, GERMANY) (human normal immunoglobulin 5 g/100 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
843688 |
INTRATECT (BIOTEST PHARMA, GERMANY) (human normal immunoglobulin 10 g/200 mL) solution for infusion, 200 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
843674 |
INTRATECT (BIOTEST PHARMA, GERMANY) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 50 mL vial _ว.471 |
118 |
001 |
28/06/2564 |
|
831230 |
INTRATECT (BIOTEST PHARMA, GERMANY) (human normal immunoglobulin 5 g/100 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
819519 |
KIOVIG (BAXTER, BELGIUM) (human normal immunoglobulin 10 g/100 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
819535 |
KIOVIG (BAXTER, BELGIUM) (human normal immunoglobulin 5 g/50 mL) solution for infusion, 50 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
764992 |
LIV-GAMMA (S.K. CHEMICALS, KOREA) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 50 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
755563 |
LIV-GAMMA (S.K. CHEMICALS, KOREA) (human normal immunoglobulin 5 g/100 mL) solution for infusion, 100 mL vial _ว.471 |
118 |
001 |
28/06/2564 |
|
736592 |
OCTAGAM (OCTAPHARMA, AUSTRIA) (human normal immunoglobulin 10 g/200 mL) solution for infusion, 200 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
736571 |
OCTAGAM (OCTAPHARMA, AUSTRIA) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 50 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
736585 |
OCTAGAM (OCTAPHARMA, AUSTRIA) (human normal immunoglobulin 5 g/100 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
834785 |
PENTAGLOBIN (BIOTEST PHARMA, GERMANY) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 50 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
976234 |
VIGAM (BIO PRODUCTS LABORATORY, U.K.) (human normal immunoglobulin 10 g/200 mL) solution for infusion, 200 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
749327 |
VIGAM (BIO PRODUCTS LABORATORY, U.K.) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 50 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
976210 |
VIGAM (BIO PRODUCTS LABORATORY, U.K.) (human normal immunoglobulin 5 g/100 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
991733 |
GAMUNEX-C (GRIFOLS THERAPEUTICS, U.S.A.) (human normal immunoglobulin 1 g/10 mL) solution for infusion, 10 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
1011105 |
HUMAN NORMAL IMMUNOGLOBULIN (สภากาชาดไทย) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 50 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
1011122 |
HUMAN NORMAL IMMUNOGLOBULIN (สภากาชาดไทย) (human normal immunoglobulin 5 g/100 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
741497 |
IG VENA (KEDRION, ITALY) (human normal immunoglobulin 1 g/20 mL) solution for infusion, 20 mL vial _ว.471 |
118 |
001 |
28/06/2564 |
|
861286 |
INTRAGAM P (CSL, AUSTRALIA) (human normal immunoglobulin 6 g/100 mL) solution for infusion, 200 mL vial _ว.471 |
118 |
001 |
28/06/2564 |
|
831173 |
INTRAGAM P (CSL, AUSTRALIA) (human normal immunoglobulin 6 g/100 mL) solution for infusion, 50 mL vial _ว.471 |
118 |
001 |
28/06/2564 |
|
819557 |
KIOVIG (BAXTER, BELGIUM) (human normal immunoglobulin 2.5 g/50 mL) solution for infusion, 25 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
844257 |
PENTAGLOBIN (BIOTEST PHARMA, GERMANY) (human normal immunoglobulin 38 mg/1 mL + immunoglobulin A 6 mg/1 mL + immunoglobulin M 6 mg/1 mL) solution for infusion, 10 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
844274 |
PENTAGLOBIN (BIOTEST PHARMA, GERMANY) (human normal immunoglobulin 38 mg/1 mL + immunoglobulin A 6 mg/1 mL + immunoglobulin M 6 mg/1 mL) solution for infusion, 50 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
844290 |
PENTAGLOBIN (BIOTEST PHARMA, GERMANY) (human normal immunoglobulin 38 mg/1 mL + immunoglobulin A 6 mg/1 mL + immunoglobulin M 6 mg/1 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
1038269 |
PRIVIGEN (CSL BEHRING, SWITZERLAND) (human normal immunoglobulin 5 g/50 mL) solution for infusion, 50 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
1106666 |
HIZENTRA (CSL BEHRING, SWITZERLAND) (human normal immunoglobulin 4 g/20 mL) solution for infusion, 20 mL vial_ว.471 |
118 |
002 |
28/06/2564 |
|
1175650 |
LIV-GAMMA SN INJ (SK PLASMA, KOREA) (human normal immunoglobulin 5 g/100 mL) solution for infusion, 100 mL vial_ว.471 |
118 |
001 |
28/06/2564 |
|
0000047 |
ยาสารสกัดจากฟ้าทะลายโจรรูปแบบแคปซูล/เม็ด ที่มีการควบคุมปริมาณ andrographolide ตามประกาศบัญชียาหลักแห่งชาติด้านสมุนไพร (ฉบับที่2) พ.ศ.2564_ว.471 |
119 |
000 |
28/06/2564 |
|