XLS《议价表》

"附件四",,

"西宁市湟源县公立医院增补挂网、仿制一致性评价挂网、备案挂网药品议价表" "上报单位(加盖公章):联系人:联系

电话:上报时间: "序号","流水号","实际通用名","剂型","规格","包装","生产企业","中标企业","议价价格(元)","全国最低销售价格(元)","地区编号","地区名称" "1"630123","湟源县" "2"630123","湟源县" "3"630123","湟源县" "4"630123","湟源县" "5"630123","湟源县" "备注:","

1、议价价格不得高于本市区域内省级医院议价价格" ,"

2、此议价表各相关生产企业自行下载填报相关内容后,以电子邮件方式于1月18日前发至西宁市药管中心监管科邮箱.

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3、此议价报价表于1月20日前加盖挂网药品企业公章,填写相关药品名称、剂型、规格、价格等要求内容邮寄至西宁市药管中心,地址:西宁市昆仑路37号青海国际商务大厦五楼" "","

4、报价使用货币为人民币,单位为元. ,"

5、截止日期:2019年1月18日18时"