Substancja
czynna |
Nazwa
preparatu |
Zawartość
opakowania |
Poziom
odpłatności |
Dopłata
pacjenta |
Cena
pełnopłatna |
Ibuprofen; Pseudoephedrine hydrochloride |
Ibuprom Zatoki tabl. powl.(200 mg+30 mg) - 12 szt. |
12 szt. |
100% |
20,40 PLN
|
20,40 PLN
|
Ibuprofen; Pseudoephedrine hydrochloride |
Ibuprom Zatoki tabl. powl.(200 mg+30 mg) - 24 szt. (blister) |
24 szt. (blister) |
100% |
29,30 PLN
|
29,30 PLN
|
Ibuprofen; Pseudoephedrine hydrochloride |
Nurofen Zatoki tabl. powl.(200 mg+30 mg) - 24 szt. |
24 szt. |
100% |
21,22 PLN
|
21,22 PLN
|
Ibuprofen; Pseudoephedrine hydrochloride |
Modafen Extra Grip tabl. powl.(200 mg+30 mg) - 12 szt. |
12 szt. |
100% |
13,73 PLN
|
13,73 PLN
|
Ibuprofen; Pseudoephedrine hydrochloride |
Modafen Extra Grip tabl. powl.(200 mg+30 mg) - 24 szt. |
24 szt. |
100% |
23,23 PLN
|
23,23 PLN
|
Ibuprofen; Pseudoephedrine hydrochloride |
Ibuprom Zatoki Sprint kaps. miękkie(200 mg+30 mg) - 20 szt. |
20 szt. |
100% |
(b.d.) |
(b.d.)
|
Ibuprofen; Pseudoephedrine hydrochloride |
Acatar Zatoki tabl. powl.(200 mg+30 mg) - 12 szt. |
12 szt. |
100% |
11,87 PLN
|
11,87 PLN
|
Ibuprofen; Pseudoephedrine hydrochloride |
Ibum Zatoki Max tabl. powl.(400 mg+60 mg) - 12 szt. |
12 szt. |
100% |
27,30 PLN
|
27,30 PLN
|
Ibuprofen; Pseudoephedrine hydrochloride |
Metafen Zatoki tabl.(200 mg+30 mg) - 10 szt. |
10 szt. |
100% |
7,88 PLN
|
7,88 PLN
|
Ibuprofen; Pseudoephedrine hydrochloride |
Metafen Zatoki tabl.(200 mg+30 mg) - 20 szt. |
20 szt. |
100% |
13,83 PLN
|
13,83 PLN
|
Ibuprofen; Pseudoephedrine hydrochloride |
Apselan Plus tabl. powl.(200 mg+30 mg) - 20 szt. |
20 szt. |
100% |
14,81 PLN
|
14,81 PLN
|
Ibuprofen; Pseudoephedrine hydrochloride |
Ibuprom Zatoki Sprint kaps. miękkie(200 mg+30 mg) - 10 szt. |
10 szt. |
100% |
21,10 PLN
|
21,10 PLN
|
Ibuprofen; Pseudoephedrine hydrochloride |
Ibuprom Zatoki tabl. powl.(200 mg+30 mg) - 24 szt. (but.) |
24 szt. (but.) |
100% |
29,30 PLN
|
29,30 PLN
|
Ibuprofen; Pseudoephedrine hydrochloride |
Ibum Zatoki tabl. powl.(200 mg+30 mg) - 20 szt. |
20 szt. |
100% |
20,50 PLN
|
20,50 PLN
|
Icatibant |
Icatibant Accord roztw. do wstrz.(10 mg/ml) - amp.-strzyk. 3 ml |
amp.-strzyk. 3 ml |
ryczałt |
3,20 PLN
|
2433,07 PLN
|
Icatibant |
Icatibant Zentiva roztw. do wstrz.(10 mg/ml) - amp.-strzyk. 3 ml |
amp.-strzyk. 3 ml |
100% |
(b.d.) |
(b.d.)
|
Icatibant |
Firazyr roztw. do wstrz.(10 mg/ml) - amp.-strzyk. 3 ml |
amp.-strzyk. 3 ml |
ryczałt |
3,20 PLN
|
2433,07 PLN
|
Icatibant |
Ikatybant Ranbaxy roztw. do wstrz.(10 mg/ml) - amp.-strzyk. 3 ml |
amp.-strzyk. 3 ml |
ryczałt |
3,20 PLN
|
2240,23 PLN
|
Icatibant |
Icatibant Medical Valley roztw. do wstrz.(10 mg/ml) - amp.-strzyk. 3 ml |
amp.-strzyk. 3 ml |
ryczałt |
3,20 PLN
|
2211,61 PLN
|
Icatibant |
Icatibant Fresenius roztw. do wstrz.(10 mg/ml) - amp.-strzyk. 3 ml |
amp.-strzyk. 3 ml |
ryczałt |
3,20 PLN
|
2211,61 PLN
|
Idarubicin hydrochloride |
Zavedos proszek do sporz. roztw. do wstrz.(5 mg) - 1 fiolka |
1 fiolka |
100% |
466,21 PLN
|
466,21 PLN
|
Idarubicin hydrochloride |
Zavedos proszek do sporz. roztw. do wstrz.(10 mg) - 1 fiolka |
1 fiolka |
100% |
1269,96 PLN
|
1269,96 PLN
|
Idarubicin hydrochloride |
Zavedos roztw. do wstrz.(1 mg/ml) - fiolka 10 ml |
fiolka 10 ml |
100% |
(b.d.) |
(b.d.)
|
Idarubicin hydrochloride |
Zavedos roztw. do wstrz.(1 mg/ml) - fiolka 5 ml |
fiolka 5 ml |
100% |
(b.d.) |
(b.d.)
|
Idarucizumab |
Praxbind roztw. do wstrz. i (lub) inf.(2,5 g/50 ml) - 2 fiol. 50 ml |
2 fiol. 50 ml |
100% |
(b.d.) |
(b.d.)
|
Idelalisib |
Zydelig tabl. powl.(150 mg) - 60 szt. |
60 szt. |
100% |
(b.d.) |
(b.d.)
|
Idelalisib |
Zydelig tabl. powl.(100 mg) - 60 szt. |
60 szt. |
100% |
(b.d.) |
(b.d.)
|
Idursulfase |
Elaprase konc. do sporz. roztw. do inf.(2 mg/ml) - fiolka 3 ml |
fiolka 3 ml |
100% |
(b.d.) |
(b.d.)
|
Ifosfamide |
Holoxan proszek do sporz. roztw. do wstrz.(1 g) - 1 fiolka |
1 fiolka |
100% |
186,62 PLN
|
186,62 PLN
|
Ifosfamide |
Holoxan proszek do sporz. roztw. do wstrz.(2 g) - 1 fiolka |
1 fiolka |
100% |
336,48 PLN
|
336,48 PLN
|
Ilex paraguariensis |
Zielnik Świata Yerba Mate zioła do zaparzania - 20 saszetek 1,75 g |
20 saszetek 1,75 g |
100% |
11,19 PLN
|
11,19 PLN
|
Iloprost |
Iloprost Zentiva roztw. do nebulizacji(10 µg/ml) - 30 amp. |
30 amp. |
100% |
(b.d.) |
(b.d.)
|
Iloprost |
Ventavis roztw. do nebulizacji(20 µg/2 ml) - 42 amp. |
42 amp. |
100% |
(b.d.) |
(b.d.)
|
Iloprost |
Ventavis roztw. do nebulizacji(10 µg/ml) - 30 amp. |
30 amp. |
100% |
(b.d.) |
(b.d.)
|
Iloprost |
Ventavis roztw. do nebulizacji(20 µg/2 ml) - 30 amp. |
30 amp. |
100% |
(b.d.) |
(b.d.)
|
Imatinib |
Glivec tabl. powl.(100 mg) - 60 szt. |
60 szt. |
100% |
4802,16 PLN
|
4802,16 PLN
|
Imatinib |
Glivec tabl. powl.(100 mg) - 120 szt. |
120 szt. |
100% |
(b.d.) |
(b.d.)
|
Imatinib |
Nibix kaps. twarde(100 mg) - 60 szt. |
60 szt. |
100% |
(b.d.) |
(b.d.)
|
Imatinib |
Imatinib Accord tabl. powl.(100 mg) - 60 szt. |
60 szt. |
100% |
(b.d.) |
(b.d.)
|
Imatinib |
Imatinib Accord tabl. powl.(400 mg) - 30 szt. |
30 szt. |
100% |
(b.d.) |
(b.d.)
|
Imatinib |
Meaxin tabl. powl.(100 mg) - 60 szt. |
60 szt. |
100% |
(b.d.) |
(b.d.)
|
Imatinib |
Nibix kaps. twarde(400 mg) - 30 szt. |
30 szt. |
100% |
(b.d.) |
(b.d.)
|
Imatinib |
Glivec tabl. powl.(400 mg) - 30 szt. |
30 szt. |
100% |
9604,32 PLN
|
9604,32 PLN
|
Imatinib |
Glivec tabl. powl.(400 mg) - 90 szt. |
90 szt. |
100% |
(b.d.) |
(b.d.)
|
Imatinib |
Imatenil tabl. powl.(400 mg) - 30 szt. |
30 szt. |
100% |
1247,40 PLN
|
1247,40 PLN
|
Imatinib |
Meaxin tabl. powl.(400 mg) - 30 szt. |
30 szt. |
100% |
(b.d.) |
(b.d.)
|
Imidapril hydrochloride |
Tanatril tabl.(5 mg) - 28 szt. |
28 szt. |
100% |
(b.d.) |
(b.d.)
|
Imidapril hydrochloride |
Tanatril tabl.(10 mg) - 28 szt. |
28 szt. |
100% |
(b.d.) |
(b.d.)
|
Imidapril hydrochloride |
Tanatril tabl.(20 mg) - 28 szt. |
28 szt. |
100% |
(b.d.) |
(b.d.)
|
Imiglucerase |
Cerezyme proszek do sporz. konc. roztw. do inf.(400 j.m.) - fiolka 10 ml |
fiolka 10 ml |
100% |
(b.d.) |
(b.d.)
|
Imipenem; Cilastatin |
Imipenem + Cylastatyna Ranbaxy proszek do sporz. roztw. do inf.(500 mg+500 mg) - 1 fiol. x 30 ml |
1 fiol. x 30 ml |
100% |
(b.d.) |
(b.d.)
|
Imipenem; Cilastatin |
Imipenem+Cilastatin AptaPharma proszek do sporz. roztw. do inf.(500 mg+500 mg) - 10 fiol. |
10 fiol. |
100% |
(b.d.) |
(b.d.)
|
Imipenem; Cilastatin |
Imipenem/Cilastatin Kabi proszek do sporz. roztw. do inf.(500 mg+500 mg) - 10 fiolek 20 ml |
10 fiolek 20 ml |
100% |
968,20 PLN
|
968,20 PLN
|
Imiquimod |
Aldara 5% Krem krem - 12 sasz. |
12 sasz. |
100% |
403,32 PLN
|
403,32 PLN
|
Imiquimod |
Imikeraderm krem(50 mg/g) - 12 sasz. 250 mg |
12 sasz. 250 mg |
100% |
180,00 PLN
|
180,00 PLN
|
Imiquimod |
Zyclara krem(3,75%) - 28 sasz. 250 mg |
28 sasz. 250 mg |
100% |
899,00 PLN
|
899,00 PLN
|
Imlifidase |
Idefirix proszek do sporz. konc. roztw. do inf.(11 mg) - 2 fiol. |
2 fiol. |
100% |
(b.d.) |
(b.d.)
|
Imlifidase |
Idefirix proszek do sporz. konc. roztw. do inf.(11 mg) - 1 fiol. |
1 fiol. |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin human |
Pentaglobin roztw. do inf.(50 mg/ml) - fiolka 10 ml |
fiolka 10 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin human |
Pentaglobin roztw. do inf.(50 mg/ml) - fiolka 50 ml |
fiolka 50 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin human |
Pentaglobin roztw. do inf.(50 mg/ml) - fiolka 100 ml |
fiolka 100 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin human |
Zutectra roztw. do wstrz.(500 j.m./ml) - 5 amp.-strzyk. |
5 amp.-strzyk. |
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. 100 ml |
but. 100 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
HyQvia roztw. do inf.(100 mg/ml) - fiolka 25 ml |
fiolka 25 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Kiovig roztw. do inf.(10 g/100 ml) - fiolka 100 ml |
fiolka 100 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Kiovig roztw. do inf.(2,5 g/25 ml) - fiolka 25 ml |
fiolka 25 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Privigen roztw. do inf.(100 mg/ml) - fiolka 400 ml |
fiolka 400 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Hizentra roztw. do wstrz. podsk.(200 mg/ml) - fiolka 50 ml |
fiolka 50 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 |
Intratect roztw. do inf.(50 mg/ml) - fiolka 20 ml |
fiolka 20 ml |
100% |
280,80 PLN
|
280,80 PLN
|
Immunoglobulin normal human |
Kiovig roztw. do inf.(1 g/10 ml) - fiolka 10 ml |
fiolka 10 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Kiovig roztw. do inf.(20 g/200 ml) - fiolka 200 ml |
fiolka 200 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Kiovig roztw. do inf.(5 g/50 ml) - fiolka 50 ml |
fiolka 50 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Intratect roztw. do inf.(50 mg/ml) - fiolka 50 ml |
fiolka 50 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Intratect roztw. do inf.(50 mg/ml) - fiolka 100 ml |
fiolka 100 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 |
Hizentra roztw. do wstrz. podsk.(200 mg/ml) - fiolka 5 ml |
fiolka 5 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Hizentra roztw. do wstrz. podsk.(200 mg/ml) - fiolka 10 ml |
fiolka 10 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Hizentra roztw. do wstrz. podsk.(200 mg/ml) - fiolka 20 ml |
fiolka 20 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Kiovig roztw. do inf.(30 g/300 ml) - fiolka 300 ml |
fiolka 300 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Privigen roztw. do inf.(100 mg/ml) - fiolka 25 ml |
fiolka 25 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Privigen roztw. do inf.(100 mg/ml) - fiolka 50 ml |
fiolka 50 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Privigen roztw. do inf.(100 mg/ml) - fiolka 100 ml |
fiolka 100 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Privigen roztw. do inf.(100 mg/ml) - fiolka 200 ml |
fiolka 200 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Ig Vena roztw. do inf.(50 mg/ml) - fiolka 20 ml |
fiolka 20 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Ig Vena roztw. do inf.(50 mg/ml) - fiolka 50 ml |
fiolka 50 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Ig Vena roztw. do inf.(50 mg/ml) - fiolka 100 ml |
fiolka 100 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Ig Vena roztw. do inf.(50 mg/ml) - fiolka 200 ml |
fiolka 200 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Flebogamma DIF roztw. do inf.(50 mg/ml) - fiolka 50 ml |
fiolka 50 ml |
100% |
520,02 PLN
|
520,02 PLN
|
Immunoglobulin normal human |
Flebogamma DIF roztw. do inf.(50 mg/ml) - fiolka 100 ml |
fiolka 100 ml |
100% |
1040,04 PLN
|
1040,04 PLN
|
Immunoglobulin normal human |
Flebogamma DIF roztw. do inf.(50 mg/ml) - fiolka 200 ml |
fiolka 200 ml |
100% |
2080,08 PLN
|
2080,08 PLN
|
Immunoglobulin normal human |
Flebogamma DIF roztw. do inf.(100 mg/ml) - fiolka 50 ml |
fiolka 50 ml |
100% |
1040,04 PLN
|
1040,04 PLN
|
Immunoglobulin normal human |
Flebogamma DIF roztw. do inf.(100 mg/ml) - fiolka 100 ml |
fiolka 100 ml |
100% |
2149,42 PLN
|
2149,42 PLN
|
Immunoglobulin normal human |
Flebogamma DIF roztw. do inf.(100 mg/ml) - fiolka 200 ml |
fiolka 200 ml |
100% |
4298,83 PLN
|
4298,83 PLN
|
Immunoglobulin normal human |
Flebogamma DIF roztw. do inf.(50 mg/ml) - fiolka 400 ml |
fiolka 400 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Intratect roztw. do inf.(100 mg/ml) - fiolka 10 ml |
fiolka 10 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Intratect roztw. do inf.(100 mg/ml) - fiolka 50 ml |
fiolka 50 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Intratect roztw. do inf.(100 mg/ml) - fiolka 100 ml |
fiolka 100 ml |
100% |
(b.d.) |
(b.d.)
|
Immunoglobulin normal human |
Intratect roztw. do inf.(100 mg/ml) - fiolka 200 ml |
fiolka 200 ml |
100% |
(b.d.) |
(b.d.)
|