| 序号 | 通用名 | 剂型 | 规格 | 转换系数 | 单位 | 挂网价格 |
| 1 | 注射用替卡西林钠克拉维酸钾 | 普通粉针 | 1.6g | 1 | 支 | 20.25 |
| 2 | 注射用替卡西林钠克拉维酸钾 | 普通粉针 | 3.2g | 1 | 支 | 34.36 |
| 3 | 注射用头孢呋辛钠 | 粉针剂 | 0.75g | 1 | 瓶 | 1.5 |
| 4 | 注射用头孢呋辛钠 | 粉针剂 | 1.5g | 1 | 瓶 | 2.56 |
| 5 | 注射用头孢哌酮钠舒巴坦钠 | 粉针剂 | 1.0g | 1 | 瓶 | 1.35 |
| 6 | 注射用头孢哌酮钠舒巴坦钠 | 粉针剂 | 1.5g | 1 | 瓶 | 3.6 |
| 7 | 注射用头孢哌酮钠舒巴坦钠 | 粉针剂 | 2g | 1 | 瓶 | 2.5 |
| 8 | 注射用头孢哌酮钠舒巴坦钠 | 粉针剂 | 3.0g | 1 | 瓶 | 6.12 |
| 9 | 注射用头孢曲松钠 | 粉针剂 | 1.0g | 1 | 瓶 | 1.2 |
| 10 | 注射用头孢曲松钠 | 粉针剂 | 2.0g | 1 | 瓶 | 2.2 |
| 11 | 注射用头孢噻肟钠 | 粉针剂 | 1.0g | 1 | 瓶 | 1.2 |
| 12 | 注射用头孢噻肟钠 | 粉针剂 | 2.0g | 1 | 瓶 | 2.2 |
| 13 | 注射用头孢他啶 | 粉针剂 | 1.0g | 1 | 瓶 | 5.2 |
| 14 | 注射用头孢他啶 | 粉针剂 | 2.0g | 1 | 瓶 | 11.33 |
| 15 | 注射用头孢替唑钠 | 粉针剂 | 0.5g | 1 | 瓶 | 13.24 |
| 16 | 注射用头孢替唑钠 | 粉针剂 | 1.0g | 1 | 瓶 | 20.98 |
| 17 | 注射用头孢替唑钠 | 粉针剂 | 1.5g | 1 | 瓶 | 30.7 |
| 18 | 普通粉针 | 普通粉针 | 2.0g | 1 | 支 | 38.26 |
