| 1 | 貝坦利Betmiga 50mg | 盒 | 1.00 | $575.00 | $575.00 | |
| 2 | 諾壓錠(排)AMTREL TABLETS | 排 | 1.00 | $124.00 | $124.00 | |
| 3 | 釋多糖Xigduo10/1000mg | 盒 | 1.00 | $1,445.00 | $1,445.00 | |
| 4 | 倍必康平TWYNSTA80/5mg | 盒 | 1.00 | $270.00 | $270.00 | |
| 5 | 法瑪鎮FAMOTIDINE20mg | 盒 | 1.00 | $450.00 | $450.00 | |
| 6 | 抑凝安EFIENT 3.75 MG | 盒 | 1.00 | $980.00 | $980.00 | |
| 7 | 洛脂平Rotlip 10mg | 盒 | 1.00 | $125.00 | $125.00 | |
| 8 | 伏痛好(排)Forlition F.C. 80mg | 排 | 5.00 | $71.00 | $355.00 | |
| 9 | 可得安穩CO-DIOVAN80/12.5 | 盒 | 1.00 | $100.00 | $100.00 | |
| 10 | 普羅鈣(排)Procal 667mg | 排 | 3.00 | $18.00 | $54.00 | |
| 11 | 利降脂Rosulator 10mg | 瓶 | 1.00 | $290.00 | $290.00 | |
| 12 | 使排通(排)Spironolactone 25MG | 排 | 4.00 | $25.00 | $100.00 | |
| 13 | 活維D(排) U-Ca 0.25mcg | 排 | 1.00 | $22.00 | $22.00 | |
| 14 | 必賴克廔Plaquenil 200mg | 盒 | 1.00 | $124.00 | $124.00 | |
| 15 | (申)保栓通PLAVIX FILM-COATED 75MG | 盒 | 1.00 | $886.00 | $886.00 | |
| 16 | (申)力清之LIVALO 2mg | 盒 | 4.00 | $333.00 | $1,332.00 | |