| 1 | 適倍樂舒沛(綠)Spiolto 2.5MCG | 支 | 2.00 | $1,480.00 | $2,960.00 | |
| 2 | (申)恩美糖JARDIANCE 12.5/850MG | 盒 | 3.00 | $885.00 | $2,655.00 | |
| 3 | 拜瑞妥Xarelto 15mg | 盒 | 1.00 | $1,590.00 | $1,590.00 | |
| 4 | 諾脂替10mg Roty | 盒 | 1.00 | $140.00 | $140.00 | |
| 5 | 舒脈優Sevikar Hct5/40/12.5mg | 盒 | 2.00 | $360.00 | $720.00 | |
| 6 | 捷糖穩 JANUMET 50/500mg | 盒 | 2.00 | $575.00 | $1,150.00 | |
| 7 | 利壓ZANIDIP 10MG | 盒 | 5.00 | $137.00 | $685.00 | |
| 8 | 樂鼻寧水性鼻用噴液劑Momenase Nasal Spray 50 MCG/DOSE | 支 | 2.00 | $115.00 | $230.00 | |
| 9 | 瑪爾胰AMARYL2mg | 盒 | 3.00 | $48.00 | $144.00 | |