Substancja
czynna |
Nazwa
preparatu |
Zawartość
opakowania |
Poziom
odpłatności |
Dopłata
pacjenta |
Cena
pełnopłatna |
|
Glycerol |
Czopki glicerolowe czopki doodbytnicze(1 g) - 10 szt. |
10 szt. |
100% |
3,80 PLN
|
3,80 PLN
|
|
Glycerol; Lidocaine hydrochloride |
Otodolor krople do uszu - but. 7 g |
but. 7 g |
100% |
14,60 PLN
|
14,60 PLN
|
|
Glyceryl trinitrate |
Nitrocard® maść(20 mg/g) - tuba 30 g |
tuba 30 g |
100% |
18,77 PLN
|
18,77 PLN
|
|
Glyceryl trinitrate |
Nitracor roztw. do inf.(10 mg/5 ml) - 50 amp. 5 ml |
50 amp. 5 ml |
100% |
380,84 PLN
|
380,84 PLN
|
|
Glyceryl trinitrate |
Perlinganit® roztw. do inf.(1 mg/ml) - 10 amp. 10 ml |
10 amp. 10 ml |
100% |
45,85 PLN
|
45,85 PLN
|
|
Glyceryl trinitrate |
Sustonit® tabl. o przedł. uwalnianiu(6,5 mg) - 30 szt. |
30 szt. |
ryczałt |
4,16 PLN
|
4,76 PLN
|
|
Glyceryl trinitrate |
Nitromint® aerozol do stos. podjęzykowego(400 µg/dawkę) - 200 dawek - 11 g |
200 dawek - 11 g |
ryczałt |
3,41 PLN
|
17,63 PLN
|
|
Glyceryl trinitrate |
Nitromint® aerozol do stos. podjęzykowego(400 µg/dawkę) - 200 dawek - 11 g |
200 dawek - 11 g |
ryczałt |
3,41 PLN
|
17,63 PLN
|
|
Glyceryl trinitrate; Pentaerithrityl tetranitrate |
Pentaerythritol compositum tabl. - 20 szt. |
20 szt. |
100% |
8,45 PLN
|
8,45 PLN
|
|
Glycine max |
Soyfem® Forte tabl. powl.(230,8 mg) - 30 szt. |
30 szt. |
100% |
51,85 PLN
|
51,85 PLN
|
|
Glycine max |
Soyfem® tabl. powl.(100 mg) - 30 szt. |
30 szt. |
100% |
23,81 PLN
|
23,81 PLN
|
|
Glycine max |
Soyfem® tabl. powl.(100 mg) - 60 szt. |
60 szt. |
100% |
40,51 PLN
|
40,51 PLN
|
|
Glycine soja oil |
Intralipid® 10% emulsja do inf. 10% - but. 100 ml |
but. 100 ml |
100% |
26,96 PLN
|
26,96 PLN
|
|
Glycine soja oil |
Intralipid® 10% emulsja do inf. 10% - but. 500 ml |
but. 500 ml |
100% |
43,42 PLN
|
43,42 PLN
|
|
Glycine soja oil |
Intralipid® 10% emulsja do inf. 10% - worek 100 ml |
worek 100 ml |
100% |
32,00 PLN
|
32,00 PLN
|
|
Glycine soja oil |
Intralipid® 10% emulsja do inf. 10% - worek 500 ml |
worek 500 ml |
100% |
44,99 PLN
|
44,99 PLN
|
|
Glycine soja oil |
Intralipid® 20% emulsja do inf. 20% - but. 100 ml |
but. 100 ml |
100% |
35,43 PLN
|
35,43 PLN
|
|
Glycine soja oil |
Intralipid® 20% emulsja do inf. 20% - but. 500 ml |
but. 500 ml |
100% |
71,99 PLN
|
71,99 PLN
|
|
Glycine soja oil |
Intralipid® 20% emulsja do inf. 20% - worek 100 ml |
worek 100 ml |
100% |
(b.d.) |
(b.d.)
|
|
Glycine soja oil |
Intralipid® 20% emulsja do inf. 20% - worek 250 ml |
worek 250 ml |
100% |
(b.d.) |
(b.d.)
|
|
Glycine soja oil |
Intralipid® 20% emulsja do inf. 20% - worek 500 ml |
worek 500 ml |
100% |
63,46 PLN
|
63,46 PLN
|
|
Glycine soja oil |
Intralipid® 30% emulsja do inf. 30% - worek 333 ml |
worek 333 ml |
100% |
(b.d.) |
(b.d.)
|
|
Glycine soja oil; Oliva oil |
ClinOleic 20% emulsja do inf. - pojemnik 100 ml |
pojemnik 100 ml |
100% |
(b.d.) |
(b.d.)
|
|
Glycine soja oil; Oliva oil |
ClinOleic 20% emulsja do inf. - pojemnik 250 ml |
pojemnik 250 ml |
100% |
68,58 PLN
|
68,58 PLN
|
|
Glycine soja oil; Oliva oil |
ClinOleic 20% emulsja do inf. - pojemnik 500 ml |
pojemnik 500 ml |
100% |
(b.d.) |
(b.d.)
|
|
Glycine soja oil; Phospholipids |
Lipofundin® MCT/LCT 10% emulsja do inf. 10% - flakon 500 ml |
flakon 500 ml |
100% |
(b.d.) |
(b.d.)
|
|
Glycine soja oil; Phospholipids |
Lipofundin® MCT/LCT 20% emulsja do inf. 20% - flakon 100 ml |
flakon 100 ml |
100% |
(b.d.) |
(b.d.)
|
|
Glycine soja oil; Phospholipids |
Lipofundin® MCT/LCT 20% emulsja do inf. 20% - flakon 250 ml |
flakon 250 ml |
100% |
(b.d.) |
(b.d.)
|
|
Glycine soja oil; Phospholipids |
Lipofundin® MCT/LCT 20% emulsja do inf. 20% - flakon 500 ml |
flakon 500 ml |
100% |
(b.d.) |
(b.d.)
|
|
Glycine soja oil; Phospholipids |
Lipofundin® N 20% emulsja do inf. 20% - flakon 500 ml |
flakon 500 ml |
100% |
(b.d.) |
(b.d.)
|
|
Glycine soja oil; Phospholipids |
Lipofundin® N 10% emulsja do inf. 10% - flakon 500 ml |
flakon 500 ml |
100% |
(b.d.) |
(b.d.)
|
|
Glycopyrronium bromide |
Seebri Breezhaler proszek do inh. w kaps. twardej(44 µg/dawkę) - 30 szt. + inhalator |
30 szt. + inhalator |
30% |
40,86 PLN
|
136,20 PLN
|
|
Glycyrrhiza glabra; Sulfogaiacol |
Pastylki wykrztuśne pastylki twarde - 16 szt. |
16 szt. |
100% |
10,27 PLN
|
10,27 PLN
|
|
Golimumab |
Simponi roztw. do wstrz.(50 mg/0,5 ml) - 1 wstrzykiwacz |
1 wstrzykiwacz |
100% |
(b.d.) |
(b.d.)
|
|
Golimumab |
Simponi roztw. do wstrz.(50 mg/0,5 ml) - 1 amp. - strzyk. |
1 amp. - strzyk. |
100% |
(b.d.) |
(b.d.)
|
|
Goserelin |
Zoladex® implant podskórny(3,6 mg) - 1 amp.-strzyk. |
1 amp.-strzyk. |
ryczałt |
11,83 PLN
|
262,40 PLN
|
|
Goserelin |
Zoladex® LA implant podskórny(10,8 mg) - 1 amp.-strzyk. |
1 amp.-strzyk. |
ryczałt |
38,32 PLN
|
844,40 PLN
|
|
Guaifenesin |
Guajazyl® syrop(125 mg/5 ml) - but. 150 g |
but. 150 g |
100% |
11,59 PLN
|
11,59 PLN
|
|
Guaifenesin |
Guajazyl® syrop(125 mg/5 ml) - but. 200 g |
but. 200 g |
100% |
13,25 PLN
|
13,25 PLN
|
|
Guaifenesin |
GuajaVIS syrop(20 mg/g) - but. 150 g |
but. 150 g |
100% |
6,83 PLN
|
6,83 PLN
|
|
Guaifenesin |
GuajaVIS syrop(20 mg/g) - but. 200 g |
but. 200 g |
100% |
10,32 PLN
|
10,32 PLN
|
|
Guaifenesin |
Sudafed Muco na kaszel mokry o smaku cytryny i miodu syrop(100 mg/5 ml) - but. 150 ml |
but. 150 ml |
100% |
16,77 PLN
|
16,77 PLN
|
|
Guaifenesin |
Sudafed Muco na kaszel mokry roztw. doustny(100 mg/5 ml) - but. 150 ml |
but. 150 ml |
100% |
16,77 PLN
|
16,77 PLN
|
|
Guaifenesin |
Robitussin® Expectorans syrop(100 mg/5 ml) - but. 100 ml |
but. 100 ml |
100% |
15,00 PLN
|
15,00 PLN
|
|
Guaifenesin |
Vicks MedExpecto o smaku miodu i imbiru na kaszel mokry syrop(200 mg/15 ml) - but. 180 ml |
but. 180 ml |
100% |
18,94 PLN
|
18,94 PLN
|
|
Haemophilus influenzae type b vaccine |
Act-HIB proszek i rozp. do sporz. roztw. do wstrz. - 1 fiolka + 1 amp.-strzyk. rozp. |
1 fiolka + 1 amp.-strzyk. rozp. |
100% |
50,00 PLN
|
50,00 PLN
|
|
Haemophilus influenzae type b vaccine |
Hiberix™ proszek i rozp. do sporz. zaw. do wstrz.(10 µg) - 1 fiolka+1 amp.-strzyk. rozp.+2 igły |
1 fiolka+1 amp.-strzyk. rozp.+2 igły |
100% |
67,00 PLN
|
67,00 PLN
|
|
Haemophilus influenzae type b vaccine |
PedvaxHIB® zawiesina do wstrz. - 1 fiolka 0,5 ml |
1 fiolka 0,5 ml |
100% |
38,15 PLN
|
38,15 PLN
|
|
Haemophilus influenzae type b vaccine; Meningococcal vaccine |
Menitorix proszek i rozp. do sporz. roztw. do wstrz. - 1 fiolka + rozp. + 2 igły |
1 fiolka + rozp. + 2 igły |
100% |
160,00 PLN
|
160,00 PLN
|
|
Haloperidol |
Haloperidol WZF roztw. do wstrz.(5 mg/ml) - 10 amp. 1 ml |
10 amp. 1 ml |
100% |
24,20 PLN
|
24,20 PLN
|
|
Haloperidol |
Haloperidol Unia krople doustne, roztwór(2 mg/ml) - but. 10 ml |
but. 10 ml |
bezpłatny,30% |
0,00 PLN
|
3,34 PLN
|
|
Haloperidol |
Haloperidol Unia krople doustne, roztwór(2 mg/ml) - but. 100 ml |
but. 100 ml |
100% |
6,18 PLN
|
6,18 PLN
|
|
Haloperidol |
Haloperidol WZF tabl.(1 mg) - 40 szt. |
40 szt. |
bezpłatny,30% |
1,67 PLN
|
5,52 PLN
|
|
Haloperidol |
Haloperidol WZF tabl.(5 mg) - 30 szt. |
30 szt. |
bezpłatny,30% |
0,00 PLN
|
14,42 PLN
|
|
Haloperidol |
Haloperidol WZF 0,2% krople doustne, roztwór(2 mg/ml) - but. 10 ml |
but. 10 ml |
bezpłatny,30% |
2,15 PLN
|
5,49 PLN
|
|
Haloperidol decanoate |
Decaldol® roztw. do wstrz.(50 mg/ml) - 5 amp. 1 ml |
5 amp. 1 ml |
bezpłatny |
0,00 PLN
|
35,62 PLN
|
|
Hamamelis virginiana |
Floderm® krem do twarzy, szyi i dekoltu - tuba 15 g |
tuba 15 g |
100% |
10,58 PLN
|
10,58 PLN
|
|
Harpagophytum procumbens |
Reumaphyt® kaps. twarde(250 mg) - 65 szt. |
65 szt. |
100% |
26,19 PLN
|
26,19 PLN
|
|
Hedera helix |
Herbion na kaszel mokry syrop(7 mg/ml) - but. 150 ml |
but. 150 ml |
100% |
(b.d.) |
(b.d.)
|
|
Hedera helix |
Hedelix syrop(100 mg/5 ml) - but. 100 ml |
but. 100 ml |
100% |
22,35 PLN
|
22,35 PLN
|
|
Hedera helix |
HeliPico syrop(27,78 mg/5 ml) - but. 100 ml |
but. 100 ml |
100% |
16,56 PLN
|
16,56 PLN
|
|
Hedera helix |
Hedussin syrop(33 mg/4 ml) - but. 100 ml |
but. 100 ml |
100% |
9,02 PLN
|
9,02 PLN
|
|
Hedera helix |
Prospan® syrop(35 mg/5 ml) - but. 100 ml |
but. 100 ml |
100% |
20,30 PLN
|
20,30 PLN
|
|
Hedera helix |
Hederasal® syrop(26,6 mg/5 ml) - but. 125 g |
but. 125 g |
100% |
13,80 PLN
|
13,80 PLN
|
|
Hedera helix |
PiniHelix syrop(101,9 mg/5 ml) - but. 120 ml |
but. 120 ml |
100% |
21,78 PLN
|
21,78 PLN
|
|
Hedera helix |
Hederoin tabl.(15 mg) - 30 szt. |
30 szt. |
100% |
9,80 PLN
|
9,80 PLN
|
|
Hedera helix |
Prospan® syrop(35 mg/5 ml) - but. 200 ml |
but. 200 ml |
100% |
35,89 PLN
|
35,89 PLN
|
|
Hedera helix |
Prospan® krople doustne, roztwór(20 mg/ml) - but. 20 ml |
but. 20 ml |
100% |
16,72 PLN
|
16,72 PLN
|
|
Hedera helix |
Tuspan syrop(7 mg/ml) - but. 120 ml |
but. 120 ml |
100% |
(b.d.) |
(b.d.)
|
|
Helichrysum arenarium; Chamomilla recutita; Coriandrum sativum; Sambucus nigra; Taraxacum officinale |
Cholesol® płyn doustny - but. 100 g |
but. 100 g |
100% |
12,71 PLN
|
12,71 PLN
|
|
Hematin |
Human Hemin Orphan Europe 25 mg/ml konc. do sporz. roztw. do inf.(250 mg/10 ml) - 4 amp. 10 ml |
4 amp. 10 ml |
100% |
(b.d.) |
(b.d.)
|
|
Heparin |
Heparinum GSK krem(300 j.m./g) - tuba 20 g |
tuba 20 g |
100% |
17,82 PLN
|
17,82 PLN
|
|
Heparin |
Heparin-Hasco żel(250 j.m./g) - tuba 35 g |
tuba 35 g |
100% |
14,40 PLN
|
14,40 PLN
|
|
Heparin |
Heparin-Hasco forte żel(1000 j.m./g) - tuba 35 g |
tuba 35 g |
100% |
24,54 PLN
|
24,54 PLN
|
|
Heparin sodium |
Lioven Max żel - 30 g |
30 g |
100% |
24,97 PLN
|
24,97 PLN
|
|
Heparin sodium |
Heparinum WZF roztw. do wstrz.(25 000 j.m./5 ml) - 10 fiolek 5 ml |
10 fiolek 5 ml |
100% |
238,55 PLN
|
238,55 PLN
|
|
Heparin sodium |
Coaparin® roztw. do wstrz.(5 000 j.m./0,2 ml) - 10 amp. 0,2 ml |
10 amp. 0,2 ml |
100% |
69,95 PLN
|
69,95 PLN
|
|
Heparin sodium |
Lioton® 1000 żel(1000 j.m./g) - tuba 50 g |
tuba 50 g |
100% |
35,40 PLN
|
35,40 PLN
|
|
Heparin sodium |
Heparinum Hasco żel(1000 j.m./g) - tuba 35 g |
tuba 35 g |
100% |
(b.d.) |
(b.d.)
|
|
Heparin sodium |
Lioton® 1000 żel(1000 j.m./g) - tuba 30 g |
tuba 30 g |
100% |
26,55 PLN
|
26,55 PLN
|
|
Heparin sodium |
Parin-POS maść do oczu - 5 g |
5 g |
100% |
21,29 PLN
|
21,29 PLN
|
|
Heparin sodium |
Lioton® 1000 żel(1000 j.m./g) - tuba 100 g |
tuba 100 g |
100% |
61,13 PLN
|
61,13 PLN
|
|
Heparin sodium |
Lipohep® żel(2400 j.m./g) - but. 25 g |
but. 25 g |
100% |
38,00 PLN
|
38,00 PLN
|
|
Heparin sodium |
Heparizen 1000 żel(1000 j.m./g ) - tuba 50 g |
tuba 50 g |
100% |
26,19 PLN
|
26,19 PLN
|
|
Heparin sodium |
Heparizen 1000 żel(1000 j.m./g ) - tuba 100 g |
tuba 100 g |
100% |
51,69 PLN
|
51,69 PLN
|
|
Heparin sodium |
Heparizen 1000 żel(1000 j.m./g ) - tuba 30 g |
tuba 30 g |
100% |
18,00 PLN
|
18,00 PLN
|
|
Heparin; Hyaluronidase |
Helason® maść - tuba 40 g |
tuba 40 g |
100% |
22,12 PLN
|
22,12 PLN
|
|
Heparinoids |
Hirudoid® maść - tuba 40 g |
tuba 40 g |
100% |
20,56 PLN
|
20,56 PLN
|
|
Heparinoids |
Hirudoid® żel - tuba 40 g |
tuba 40 g |
100% |
20,56 PLN
|
20,56 PLN
|
|
Heparinoids; Salicylic acid; Suprarenal cortex extract |
Mobilat® maść - tuba 50 g |
tuba 50 g |
100% |
20,25 PLN
|
20,25 PLN
|
|
Heparinoids; Salicylic acid; Suprarenal cortex extract |
Mobilat® żel - tuba 50 g |
tuba 50 g |
100% |
20,25 PLN
|
20,25 PLN
|
|
Hepatitis A vaccine |
Avaxim 160 U zawiesina do wstrz.(160 j.a./0,5 ml) - 1 amp.-strzyk. 0,5 ml |
1 amp.-strzyk. 0,5 ml |
100% |
164,39 PLN
|
164,39 PLN
|
|
Hepatitis A vaccine |
Havrix® Adult zawiesina do wstrz.(min. 1440 j.ELISA/ml) - 1 amp.-strzyk. 1 ml z igłą |
1 amp.-strzyk. 1 ml z igłą |
100% |
232,96 PLN
|
232,96 PLN
|
|
Hepatitis A vaccine |
Havrix® 720 Junior zawiesina do wstrz.(min. 720 j.ELISA/0,5 ml) - 1 amp.-strzyk. 0,5 ml z igłą |
1 amp.-strzyk. 0,5 ml z igłą |
100% |
141,62 PLN
|
141,62 PLN
|
|
Hepatitis A vaccine; Hepatitis B vaccine |
Twinrix™ Adult zawiesina do wstrz. - 1 amp.-strzyk. 1 ml z igłą |
1 amp.-strzyk. 1 ml z igłą |
100% |
224,70 PLN
|
224,70 PLN
|
|
Hepatitis B immunoglobulins |
Gamma anty HBs 200 roztw. do wstrz.(200 j.m.) - 1 amp. |
1 amp. |
100% |
462,00 PLN
|
462,00 PLN
|
|
Hepatitis B immunoglobulins |
Gamma anty HBs 1000 roztw. do wstrz.(1 000 j.m.) - 1 amp. |
1 amp. |
100% |
1080,00 PLN
|
1080,00 PLN
|
|
Hepatitis B immunoglobulins |
Hepatect® CP roztw. do inf.(50 j.m./ml) - 1 fiolka 2 ml |
1 fiolka 2 ml |
100% |
(b.d.) |
(b.d.)
|
|
Hepatitis B immunoglobulins |
Hepatect® CP roztw. do inf.(50 j.m./ml) - 1 fiolka 10 ml |
1 fiolka 10 ml |
100% |
(b.d.) |
(b.d.)
|
|
Hepatitis B immunoglobulins |
Hepatect® CP roztw. do inf.(50 j.m./ml) - 1 fiolka 100 ml |
1 fiolka 100 ml |
100% |
(b.d.) |
(b.d.)
|