Substancja
czynna |
Nazwa
preparatu |
Zawartość
opakowania |
Poziom
odpłatności |
Dopłata
pacjenta |
Cena
pełnopłatna |
|
Imatinib |
Meaxin tabl. powl.(100 mg) - 60 szt. |
60 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Imatinib |
Meaxin tabl. powl.(400 mg) - 30 szt. |
30 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Imatinib |
Imatenil tabl. powl.(400 mg) - 30 szt. |
30 szt. |
100% |
1247,40 PLN
|
1247,40 PLN
|
|
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) - fiolka 20 ml |
fiolka 20 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 |
HyQvia roztw. do inf.(100 mg/ml) - fiolka 300 ml |
fiolka 300 ml |
100% |
(b.d.) |
(b.d.)
|
|
Immunoglobulin normal human |
HyQvia roztw. do inf.(100 mg/ml) - fiolka 200 ml |
fiolka 200 ml |
100% |
(b.d.) |
(b.d.)
|
|
Immunoglobulin normal human |
Xembify roztw. do wstrz. podsk.(200 mg/ml) - fiolka 10 ml |
fiolka 10 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 |
HyQvia roztw. do inf.(100 mg/ml) - fiolka 100 ml |
fiolka 100 ml |
100% |
(b.d.) |
(b.d.)
|
|
Immunoglobulin normal human |
HyQvia roztw. do inf.(100 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. 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 |
Cuvitru roztw. do wstrz.(200 mg/ml) - fiolka 20 ml |
fiolka 20 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 |
Cuvitru roztw. do wstrz.(200 mg/ml) - fiolka 10 ml |
fiolka 10 ml |
100% |
(b.d.) |
(b.d.)
|
|
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 |
Xembify roztw. do wstrz. podsk.(200 mg/ml) - fiolka 50 ml |
fiolka 50 ml |
100% |
(b.d.) |
(b.d.)
|
|
Immunoglobulin normal human |
Cuvitru roztw. do wstrz.(200 mg/ml) - fiolka 5 ml |
fiolka 5 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 |
Cuvitru roztw. do wstrz.(200 mg/ml) - fiolka 40 ml |
fiolka 40 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 |
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 |
Xembify roztw. do wstrz. podsk.(200 mg/ml) - fiolka 20 ml |
fiolka 20 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.)
|
|
Inclisiran |
Leqvio roztw. do wstrz.(284 mg/1,5 ml) - 1 amp.-strzyk. 1,5 ml |
1 amp.-strzyk. 1,5 ml |
100% |
(b.d.) |
(b.d.)
|
|
Indacaterol |
Onbrez Breezhaler proszek do inh. w kaps. twardej(150 µg) - 30 kaps.+ inhalator |
30 kaps.+ inhalator |
100% |
(b.d.) |
(b.d.)
|
|
Indacaterol |
Onbrez Breezhaler proszek do inh. w kaps. twardej(300 µg) - 30 kaps.+ inhalator |
30 kaps.+ inhalator |
100% |
(b.d.) |
(b.d.)
|
|
Indacaterol; Glycopyrronium |
Ultibro Breezhaler proszek do inh. w kaps. twardej((85 µg+43 µg)/dawkę) - 30 szt. |
30 szt. |
30% |
40,32 PLN
|
134,41 PLN
|
|
Indacaterol; Glycopyrronium; Mometasone furoate |
Enerzair Breezhaler proszek do inh. w kaps. twardej((114 µg+46 µg+136 µg)/dawkę) - 30 szt. |
30 szt. |
30% |
58,83 PLN
|
196,09 PLN
|
|
Indacaterol; Mometasone furoate |
Atectura Breezhaler proszek do inh. w kaps. twardej((125 µg+62,5 µg)/dawkę) - 30 szt. |
30 szt. |
30% |
26,02 PLN
|
86,73 PLN
|
|
Indacaterol; Mometasone furoate |
Atectura Breezhaler proszek do inh. w kaps. twardej((125 µg+127,5 µg)/dawkę) - 30 szt. |
30 szt. |
30% |
51,02 PLN
|
116,85 PLN
|
|
Indacaterol; Mometasone furoate |
Atectura Breezhaler proszek do inh. w kaps. twardej((125 µg+260 µg)/dawkę) - 30 szt. |
30 szt. |
30% |
52,14 PLN
|
117,97 PLN
|
|
Indapamide |
Indix SR tabl. o przedł. uwalnianiu(1,5 mg) - 90 szt. |
90 szt. |
30% |
6,08 PLN
|
22,52 PLN
|
|
Indapamide |
Tertensif SR tabl. powl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
6,41 PLN
|
13,58 PLN
|
|
Indapamide |
Indapamide SR Genoptim tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,44 PLN
|
8,12 PLN
|
|
Indapamide |
Indapen tabl. powl.(2,5 mg) - 20 szt. |
20 szt. |
30% |
2,73 PLN
|
10,10 PLN
|
|
Indapamide |
Indapres tabl. powl.(2,5 mg) - 30 szt. |
30 szt. |
30% |
3,49 PLN
|
12,92 PLN
|
|
Indapamide |
Diuresin SR tabl. powl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
4,65 PLN
|
11,63 PLN
|
|
Indapamide |
Indix SR tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,27 PLN
|
8,40 PLN
|
|
Indapamide |
Ipres long 1,5 tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Indapamide |
Rawel SR tabl. powl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,47 PLN
|
8,24 PLN
|
|
Indapamide |
Rawel SR tabl. powl. o przedł. uwalnianiu(1,5 mg) - 60 szt. |
60 szt. |
30% |
4,55 PLN
|
15,17 PLN
|
|
Indapamide |
Diuresin SR tabl. powl. o przedł. uwalnianiu(1,5 mg) - 60 szt. |
60 szt. |
30% |
4,99 PLN
|
18,45 PLN
|
|
Indapamide |
Symapamid SR tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,46 PLN
|
8,20 PLN
|
|
Indapamide |
Opamid tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
2,99 PLN
|
9,45 PLN
|
|
Indapamide |
Indap kaps. twarde(2,5 mg) - 30 szt. |
30 szt. |
100% |
10,84 PLN
|
10,84 PLN
|
|
Indapamide |
Indapen SR tabl. o przedł. uwalnianiu(1,5 mg) - 30 szt. |
30 szt. |
30% |
4,64 PLN
|
11,62 PLN
|
|
Indapamide; Amlodipine |
Tertens-AM tabl. o zmodyf. uwalnianiu(1,5 mg+5 mg) - 30 szt. |
30 szt. |
100% |
24,50 PLN
|
24,50 PLN
|
|
Indapamide; Amlodipine |
Tertens-AM tabl. o zmodyf. uwalnianiu(1,5 mg+10 mg) - 30 szt. |
30 szt. |
100% |
28,00 PLN
|
28,00 PLN
|
|
Indocyanine green |
Verdye proszek do sporz. roztw. do wstrz.(5 mg/ml) - 5 fiol. x 25 mg |
5 fiol. x 25 mg |
100% |
(b.d.) |
(b.d.)
|
|
Indometacin |
Elmetacin aerozol(1%) - but. 50 ml |
but. 50 ml |
100% |
30,78 PLN
|
30,78 PLN
|
|
Indometacin |
Metindol Retard tabl. o przedł. uwalnianiu(75 mg) - 25 szt. |
25 szt. |
100% |
26,00 PLN
|
26,00 PLN
|
|
Infliximab |
Flixabi proszek do sporz. konc. roztw. do inf.(100 mg) - 1 fiolka |
1 fiolka |
100% |
(b.d.) |
(b.d.)
|
|
Infliximab |
Remicade proszek do sporz. konc. roztw. do inf.(100 mg) - 1 fiolka |
1 fiolka |
100% |
2219,49 PLN
|
2219,49 PLN
|
|
Infliximab |
Zessly proszek do sporz. konc. 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.)
|