Substancja
czynna |
Nazwa
preparatu |
Zawartość
opakowania |
Poziom
odpłatności |
Dopłata
pacjenta |
Cena
pełnopłatna |
|
Immunoglobulin normal human |
Octagam roztw. do inf.(50 mg/ml) - but. 100 ml |
but. 100 ml |
100% |
(b.d.) |
(b.d.)
|
|
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 |
Hizentra roztw. do wstrz. podsk.(200 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 400 ml |
1 fiolka 400 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 |
Intratect® roztw. do inf.(100 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 |
Octagam roztw. do inf.(50 mg/ml) - but. 200 ml |
but. 200 ml |
100% |
(b.d.) |
(b.d.)
|
|
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 |
Hizentra roztw. do wstrz. podsk.(200 mg/ml) - 1 fiolka 20 ml |
1 fiolka 20 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 |
Intratect® roztw. do inf.(100 mg/ml) - 1 fiolka 200 ml |
1 fiolka 200 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 |
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 |
Hizentra roztw. do wstrz. podsk.(200 mg/ml) - 1 fiolka 5 ml |
1 fiolka 5 ml |
100% |
(b.d.) |
(b.d.)
|
|
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 |
Nanogy 5% roztwór do inf.(50 mg/ml) - fiolka 200 ml |
fiolka 200 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 20 ml |
1 fiolka 20 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 20 ml |
fiolka 20 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 10 ml |
1 fiolka 10 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 |
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 |
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 |
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 |
Nanogy 5% roztwór do inf.(50 mg/ml) - fiolka 50 ml |
fiolka 50 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 |
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) - 1 fiolka 10 ml |
1 fiolka 10 ml |
100% |
442,80 PLN
|
442,80 PLN
|
|
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 |
Nanogy 5% roztwór do inf.(50 mg/ml) - fiolka 400 ml |
fiolka 400 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 |
Octagam 10% roztw. do inf.(100 mg/ml) - but. 100 ml |
but. 100 ml |
100% |
(b.d.) |
(b.d.)
|
|
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; Immunoglobulin human |
Kiovig roztw. do inf.(10 g/100 ml) - 1 fiolka 100 ml |
1 fiolka 100 ml |
100% |
(b.d.) |
(b.d.)
|
|
Immunoglobulin normal human; Immunoglobulin human |
Kiovig roztw. do inf.(2,5 g/25 ml) - 1 fiolka 25 ml |
1 fiolka 25 ml |
100% |
(b.d.) |
(b.d.)
|
|
Immunoglobulin normal human; Immunoglobulin human |
Kiovig roztw. do inf.(30 g/300 ml) - 1 fiolka 300 ml |
1 fiolka 300 ml |
100% |
(b.d.) |
(b.d.)
|
|
Immunoglobulin normal human; Immunoglobulin human |
Kiovig roztw. do inf.(1 g/10 ml) - 1 fiolka 10 ml |
1 fiolka 10 ml |
100% |
(b.d.) |
(b.d.)
|
|
Immunoglobulin normal human; Immunoglobulin human |
Kiovig roztw. do inf.(20 g/200 ml) - 1 fiolka 200 ml |
1 fiolka 200 ml |
100% |
(b.d.) |
(b.d.)
|
|
Immunoglobulin normal human; Immunoglobulin human |
Kiovig roztw. do inf.(5 g/50 ml) - 1 fiolka 50 ml |
1 fiolka 50 ml |
100% |
(b.d.) |
(b.d.)
|
|
Indacaterol |
Onbrez Breezhaler proszek do inh. w kaps. twardej(300 µg) - 30 kaps.+ inhalator |
30 kaps.+ inhalator |
30% |
36,30 PLN
|
116,43 PLN
|
|
Indacaterol |
Onbrez Breezhaler proszek do inh. w kaps. twardej(150 µg) - 30 kaps.+ inhalator |
30 kaps.+ inhalator |
30% |
72,36 PLN
|
112,43 PLN
|
|
Indacaterol; Glycopyrronium bromide |
Ultibro Breezhaler proszek do inh. w kaps. twardych(85 µg/dawkę+43 µg/dawkę) - 30 szt. |
30 szt. |
100% |
373,52 PLN
|
373,52 PLN
|
|
Indapamide |
Indapamide Krka tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,62 PLN
|
7,60 PLN
|
|
Indapamide |
Indap kaps. twarde(2,5 mg) - 30 szt. |
30 szt. |
100% |
10,84 PLN
|
10,84 PLN
|
|
Indapamide |
Ivipamid tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,23 PLN
|
7,21 PLN
|
|
Indapamide |
Tertensif® SR tabl. powl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
8,22 PLN
|
13,20 PLN
|
|
Indapamide |
Indapen SR® tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
3,46 PLN
|
8,44 PLN
|
|
Indapamide |
Symapamid SR tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,23 PLN
|
7,21 PLN
|
|
Indapamide |
Sophtensif tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Indapamide |
Indapen® tabl. powl.(2,5 mg) - 20 szt. |
20 szt. |
30% |
3,53 PLN
|
9,07 PLN
|
|
Indapamide |
Indapres tabl. powl.(2,5 mg) - 30 szt. |
30 szt. |
30% |
2,99 PLN
|
9,95 PLN
|
|
Indapamide |
Indapamide SR Genoptim® tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,26 PLN
|
7,24 PLN
|
|
Indapamide |
Diuresin SR tabl. powl. o przedł. uwalnianiu(1,5 mg) - 30 szt. (3 blistry x 10) |
30 szt. (3 blistry x 10) |
30% |
3,89 PLN
|
8,87 PLN
|
|
Indapamide |
Indix® SR tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,78 PLN
|
7,76 PLN
|
|
Indapamide |
Ipres long 1,5 tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
3,88 PLN
|
8,86 PLN
|
|
Indapamide |
Opamid tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
3,75 PLN
|
8,73 PLN
|
|
Indapamide |
Rawel SR tabl. powl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,66 PLN
|
7,64 PLN
|
|
Indapamide |
Rawel SR tabl. powl. o przedł. uwalnianiu(1,5 mg) - 60 szt. |
60 szt. |
30% |
4,27 PLN
|
14,24 PLN
|
|
Indapamide |
Indapamide SR tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,33 PLN
|
7,31 PLN
|
|
Indapamide |
Indipam SR tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,76 PLN
|
7,74 PLN
|
|
Indapamide |
Indapamidum 123ratio tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,22 PLN
|
7,20 PLN
|
|
Indapamide; Amlodipine |
Tertens-AM tabl. o zmodyf. uwalnianiu(1,5 mg+5 mg) - 30 szt. |
30 szt. |
30% |
9,56 PLN
|
14,54 PLN
|
|
Indapamide; Amlodipine |
Tertens-AM tabl. o zmodyf. uwalnianiu(1,5 mg+10 mg) - 30 szt. |
30 szt. |
30% |
10,70 PLN
|
15,68 PLN
|
|
Indinavir |
Crixivan® 400 kaps.(400 mg) - 180 szt. |
180 szt. |
100% |
1450,00 PLN
|
1450,00 PLN
|
|
Indometacin |
Elmetacin® aerozol(1,0%) - but. 50 ml |
but. 50 ml |
100% |
32,42 PLN
|
32,42 PLN
|
|
Indometacin |
Metindol® Retard tabl. o przedł. uwalnianiu(75 mg) - 25 szt. |
25 szt. |
100% |
28,41 PLN
|
28,41 PLN
|
|
Indometacin |
Metindol maść(50 mg/g) - tuba 30 g |
tuba 30 g |
100% |
24,62 PLN
|
24,62 PLN
|
|
Indometacin |
Indocollyre® 0,1% krople do oczu, roztwór(1 mg/ml) - but. 5 ml |
but. 5 ml |
100% |
29,04 PLN
|
29,04 PLN
|
|
Infliximab |
Remicade proszek do sporz. konc. do przyg. roztw. do inf.(100 mg) - 1 fiolka |
1 fiolka |
100% |
(b.d.) |
(b.d.)
|
|
Infliximab |
Remsima proszek do sporz. konc. do przyg. roztw. do inf.(100 mg) - 1 fiolka |
1 fiolka |
100% |
(b.d.) |
(b.d.)
|
|
Infliximab |
Inflectra proszek do sporz. konc. roztw. do inf.(100 mg) - 1 fiolka |
1 fiolka |
100% |
(b.d.) |
(b.d.)
|
|
Influenza vaccine |
Fluarix® zawiesina do wstrz. - 1 amp.-strzyk. 0,5 ml z igłą |
1 amp.-strzyk. 0,5 ml z igłą |
100% |
29,84 PLN
|
29,84 PLN
|
|
Influenza vaccine |
Influvac® zawiesina do wstrz. - 1 amp.-strzyk. 0,5 ml z igłą |
1 amp.-strzyk. 0,5 ml z igłą |
100% |
44,28 PLN
|
44,28 PLN
|
|
Influenza vaccine |
IDflu® zawiesina do wstrz.(9 µg/szczep) - 1 amp.-strzyk. 0,1 ml |
1 amp.-strzyk. 0,1 ml |
100% |
58,73 PLN
|
58,73 PLN
|
|
Influenza vaccine |
IDflu® zawiesina do wstrz.(15 µg/szczep) - 1 amp.-strzyk. 0,1 ml |
1 amp.-strzyk. 0,1 ml |
100% |
52,21 PLN
|
52,21 PLN
|
|
Influenza vaccine |
Vaxigrip zawiesina do wstrz. - 1 amp.-strzyk. 0,5 ml |
1 amp.-strzyk. 0,5 ml |
100% |
45,42 PLN
|
45,42 PLN
|
|
Ingenol mebutate |
Picato® żel(0,015%) - 3 tub. po 0,47 g |
3 tub. po 0,47 g |
100% |
377,00 PLN
|
377,00 PLN
|
|
Inosine pranobex |
Eloprine syrop(250 mg/5 ml) - but. 150 ml |
but. 150 ml |
100% |
27,64 PLN
|
27,64 PLN
|
|
Inosine pranobex |
Neosine forte tabl.(1000 mg) - 10 szt. |
10 szt. |
100% |
28,33 PLN
|
28,33 PLN
|
|
Inosine pranobex |
Neosine forte tabl.(1000 mg) - 30 szt. |
30 szt. |
100% |
73,31 PLN
|
73,31 PLN
|
|
Inosine pranobex |
Neosine forte syrop(500 mg/5 ml) - 100 ml |
100 ml |
100% |
31,65 PLN
|
31,65 PLN
|
|
Inosine pranobex |
Groprinosin® tabl.(500 mg) - 50 szt. |
50 szt. |
100% |
62,24 PLN
|
62,24 PLN
|
|
Inosine pranobex |
Isoprinosine tabl.(500 mg) - 50 szt. |
50 szt. |
100% |
114,75 PLN
|
114,75 PLN
|
|
Inosine pranobex |
Groprinosin Baby syrop(50 mg/ml) - but. 150 ml |
but. 150 ml |
100% |
39,82 PLN
|
39,82 PLN
|
|
Inosine pranobex |
Neosine tabl.(500 mg) - 20 szt. |
20 szt. |
100% |
33,32 PLN
|
33,32 PLN
|
|
Inosine pranobex |
Neosine syrop(250 mg/5 ml) - but. 150 ml |
but. 150 ml |
100% |
33,32 PLN
|
33,32 PLN
|
|
Inosine pranobex |
Neosine tabl.(500 mg) - 50 szt. |
50 szt. |
100% |
74,98 PLN
|
74,98 PLN
|
|
Inosine pranobex |
Groprinosin® tabl.(500 mg) - 20 szt. |
20 szt. |
100% |
28,09 PLN
|
28,09 PLN
|
|
Inosine pranobex |
Isoprinosine syrop(50 mg/ml) - but. 150 ml |
but. 150 ml |
100% |
68,97 PLN
|
68,97 PLN
|
|
Inosine pranobex |
Groprinosin® syrop(50 mg/ml) - but. 150 ml |
but. 150 ml |
100% |
29,87 PLN
|
29,87 PLN
|