| 1 | 薩多心Xadosin 4mg | 盒 | 1.00 | $165.00 | $165.00 | |
| 2 | (申)優泰脂(紫)Atozet Fc10/20mg | 盒 | 1.00 | $500.00 | $500.00 | |
| 3 | 艾必克凝Eliquis 5mg | 盒 | 1.00 | $1,549.00 | $1,549.00 | |
| 4 | 樂鼻寧水性鼻用噴液劑Momenase Nasal Spray 50 MCG/DOSE | 支 | 1.00 | $120.00 | $120.00 | |
| 5 | (申)保栓通PLAVIX FILM-COATED 75MG | 盒 | 2.00 | $886.00 | $1,772.00 | |