| Substancja czynna
 | Nazwa preparatu
 | Zawartość opakowania
 | Poziom odpłatności
 | Dopłata pacjenta
 | Cena pełnopłatna
 | 
            | Immunoglobulin normal human | Sandoglobulin-P® proszek do sporz. roztw. do inf.(6 g) - 1 fiolka | 1 fiolka | 100% | 1040,04 PLN | 1040,04 PLN | 
                    
            | Immunoglobulin normal human | Gammagard® S/D proszek i rozp. do sporz. roztw. do inf.(5 g) - zestaw | zestaw | 100% | 1155,60 PLN | 1155,60 PLN | 
                    
            | Immunoglobulin normal human | Intratect® roztw. do inf.(50 mg/ml) - 1 fiolka 20 ml | 1 fiolka 20 ml | 100% | 280,80 PLN | 280,80 PLN | 
                    
            | Immunoglobulin normal human | Subcuvia roztw. do wstrz.(160 mg/ml) - 1 fiolka 5 ml | 1 fiolka 5 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Subcuvia roztw. do wstrz.(160 mg/ml) - 20 fiolek 5 ml | 20 fiolek 5 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Subcuvia roztw. do wstrz.(160 mg/ml) - 1 fiolka 10 ml | 1 fiolka 10 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Subcuvia roztw. do wstrz.(160 mg/ml) - 20 fiolek 10 ml | 20 fiolek 10 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Intratect® roztw. do inf.(50 mg/ml) - 1 fiolka 50 ml | 1 fiolka 50 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Intratect® roztw. do inf.(50 mg/ml) - 1 fiolka 100 ml | 1 fiolka 100 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Gammanorm roztw. do wstrz.(165 mg/ml) - 1 fiolka 10 ml | 1 fiolka 10 ml | 100% | 442,80 PLN | 442,80 PLN | 
                    
            | Immunoglobulin normal human | Gammanorm roztw. do wstrz.(165 mg/ml) - 10  fiolek 10 ml | 10  fiolek 10 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Gammanorm roztw. do wstrz.(165 mg/ml) - 20  fiolek 10 ml | 20  fiolek 10 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Octagam roztw. do inf.(50 mg/ml) - but. 200 ml | but. 200 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Hizentra roztw. do wstrz. podsk.(200 mg/ml) - 1 fiolka 5 ml | 1 fiolka 5 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Hizentra roztw. do wstrz. podsk.(200 mg/ml) - 1 fiolka 10 ml | 1 fiolka 10 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Hizentra roztw. do wstrz. podsk.(200 mg/ml) - 1 fiolka 20 ml | 1 fiolka 20 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Privigen roztw. do inf.(100 mg/ml) - 1 fiolka 25 ml | 1 fiolka 25 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Privigen roztw. do inf.(100 mg/ml) - 1 fiolka 50 ml | 1 fiolka 50 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Privigen roztw. do inf.(100 mg/ml) - 1 fiolka 100 ml | 1 fiolka 100 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Privigen roztw. do inf.(100 mg/ml) - 1 fiolka 200 ml | 1 fiolka 200 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Ig Vena roztw. do inf.(50 mg/ml) - 1 fiolka 20 ml | 1 fiolka 20 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Ig Vena roztw. do inf.(50 mg/ml) - 1 fiolka 50 ml | 1 fiolka 50 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Ig Vena roztw. do inf.(50 mg/ml) - 1 fiolka 100 ml | 1 fiolka 100 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Ig Vena roztw. do inf.(50 mg/ml) - 1 fiolka 200 ml | 1 fiolka 200 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Flebogamma DIF roztw. do inf.(50 mg/ml) - 1 fiolka 50 ml | 1 fiolka 50 ml | 100% | 520,02 PLN | 520,02 PLN | 
                    
            | Immunoglobulin normal human | Flebogamma DIF roztw. do inf.(50 mg/ml) - 1 fiolka 100 ml | 1 fiolka 100 ml | 100% | 1040,04 PLN | 1040,04 PLN | 
                    
            | Immunoglobulin normal human | Flebogamma DIF roztw. do inf.(50 mg/ml) - 1 fiolka 200 ml | 1 fiolka 200 ml | 100% | 2080,08 PLN | 2080,08 PLN | 
                    
            | Immunoglobulin normal human | Flebogamma DIF roztw. do inf.(100 mg/ml) - 1 fiolka 50 ml | 1 fiolka 50 ml | 100% | 1040,04 PLN | 1040,04 PLN | 
                    
            | Immunoglobulin normal human | Flebogamma DIF roztw. do inf.(100 mg/ml) - 1 fiolka 100 ml | 1 fiolka 100 ml | 100% | 2149,42 PLN | 2149,42 PLN | 
                    
            | Immunoglobulin normal human | Flebogamma DIF roztw. do inf.(100 mg/ml) - 1 fiolka 200 ml | 1 fiolka 200 ml | 100% | 4298,83 PLN | 4298,83 PLN | 
                    
            | Immunoglobulin normal human | Flebogamma DIF roztw. do inf.(50 mg/ml) - 1 fiolka 400 ml | 1 fiolka 400 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Intratect® roztw. do inf.(100 mg/ml) - 1 fiolka 10 ml | 1 fiolka 10 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Intratect® roztw. do inf.(100 mg/ml) - 1 fiolka 50 ml | 1 fiolka 50 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Intratect® roztw. do inf.(100 mg/ml) - 1 fiolka 100 ml | 1 fiolka 100 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Intratect® roztw. do inf.(100 mg/ml) - 1 fiolka 200 ml | 1 fiolka 200 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Privigen roztw. do inf.(100 mg/ml) - 1 fiolka 400 ml | 1 fiolka 400 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Octagam 10% roztw. do inf.(100 mg/ml) - but. 100 ml | but. 100 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Octagam 10% roztw. do inf.(100 mg/ml) - but. 200 ml | but. 200 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Octagam 10% roztw. do inf.(100 mg/ml) - but. 50 ml | but. 50 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Octagam 10% roztw. do inf.(100 mg/ml) - fiolka 20 ml | fiolka 20 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Gammanorm roztw. do wstrz.(165 mg/ml) - 1 fiolka 20 ml | 1 fiolka 20 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Octagam roztw. do inf.(50 mg/ml) - but. 50 ml | but. 50 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Octagam roztw. do inf.(50 mg/ml) - but. 100 ml | but. 100 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Nanogy 5% roztwór do inf.(50 mg/ml) - fiolka 20 ml | fiolka 20 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Nanogy 5% roztwór do inf.(50 mg/ml) - fiolka 50 ml | fiolka 50 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Nanogy 5% roztwór do inf.(50 mg/ml) - fiolka 100 ml | fiolka 100 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Nanogy 5% roztwór do inf.(50 mg/ml) - fiolka 200 ml | fiolka 200 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Nanogy 5% roztwór do inf.(50 mg/ml) - fiolka 400 ml | fiolka 400 ml | 100% | (b.d.) | (b.d.) | 
                    
            | Immunoglobulin normal human | Hizentra roztw. do wstrz. podsk.(200 mg/ml) - 1 fiolka 50 ml | 1 fiolka 50 ml | 100% | (b.d.) | (b.d.) |