Substancja
czynna |
Nazwa
preparatu |
Zawartość
opakowania |
Poziom
odpłatności |
Dopłata
pacjenta |
Cena
pełnopłatna |
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - fiolka 5,5 ml + 2 fiol. 8,3 ml |
fiolka 5,5 ml + 2 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - fiolka 5,5 ml + 3 fiol. 8,3 ml |
fiolka 5,5 ml + 3 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - fiolka 5,5 ml + 4 fiol. 8,3 ml |
fiolka 5,5 ml + 4 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - fiolka 5,5 ml + 5 fiol. 8,3 ml |
fiolka 5,5 ml + 5 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - fiolka 5,5 ml + 6 fiol. 8,3 ml |
fiolka 5,5 ml + 6 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - fiolka 5,5 ml + 7 fiol. 8,3 ml |
fiolka 5,5 ml + 7 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 2 fiol. 5,5 ml + fiolka 8,3 ml |
2 fiol. 5,5 ml + fiolka 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 2 fiol. 5,5 ml + 2 fiol. 8,3 ml |
2 fiol. 5,5 ml + 2 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 2 fiol. 5,5 ml + 3 fiol. 8,3 ml |
2 fiol. 5,5 ml + 3 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 2 fiol. 5,5 ml + 4 fiol. 8,3 ml |
2 fiol. 5,5 ml + 4 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 2 fiol. 5,5 ml + 5 fiol. 8,3 ml |
2 fiol. 5,5 ml + 5 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 2 fiol. 5,5 ml + 6 fiol. 8,3 ml |
2 fiol. 5,5 ml + 6 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 2 fiol. 5,5 ml + 7 fiol. 8,3 ml |
2 fiol. 5,5 ml + 7 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 2 fiol. 5,5 ml + 8 fiol. 8,3 ml |
2 fiol. 5,5 ml + 8 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 2 fiol. 8,3 ml |
2 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 3 fiol. 8,3 ml |
3 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 4 fiol. 8,3 ml |
4 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 5 fiol. 8,3 ml |
5 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 6 fiol. 8,3 ml |
6 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 7 fiol. 8,3 ml |
7 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 8 fiol. 8,3 ml |
8 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
|
Onasemnogene abeparvovec |
Zolgensma roztw. do inf. - 9 fiol. 8,3 ml |
9 fiol. 8,3 ml |
100% |
(b.d.) |
(b.d.)
|
