| 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.) |