| 1 | 昂特欣Eltroxin 100mg | 瓶 | 2.00 | $148.00 | $296.00 | |
| 2 | 愛速脈Isormol 20mg | 盒 | 1.00 | $730.00 | $730.00 | |
| 3 | 舒脈優SEVIKAR HCT20/5/12.5mg | 盒 | 9.00 | $205.00 | $1,845.00 | |
| 4 | 降脂妥ATORIN 10mg | 盒 | 6.00 | $68.00 | $408.00 | |
| 5 | 怡妥EZETROL10mg | 盒 | 10.00 | $203.00 | $2,030.00 | |
| 6 | 內舒拿NASONEX | 盒 | 2.00 | $130.00 | $260.00 | |
| 7 | (申)優泰脂(紫)Atozet Fc10/20mg | 盒 | 1.00 | $500.00 | $500.00 | |
| 8 | 力安穩Exforge HCT 10/160/25mg | 盒 | 3.00 | $405.00 | $1,215.00 | |
| 9 | 憶思能EXELON 3mg | 盒 | 2.00 | $765.00 | $1,530.00 | |
| 10 | 肺舒坦耐舒樂乾粉 | 盒 | 2.00 | $660.00 | $1,320.00 | |
| 11 | 帝拔癲持續性DEPAKINE500mg | 瓶 | 4.00 | $176.00 | $704.00 | |