Substancja
czynna |
Nazwa
preparatu |
Zawartość
opakowania |
Poziom
odpłatności |
Dopłata
pacjenta |
Cena
pełnopłatna |
|
Levothyroxine sodium |
Althyxin roztw. doustny(25 µg/5 ml) - 2 but. x 75 ml |
2 but. x 75 ml |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Althyxin tabl.(200 µg) - 50 szt. |
50 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Euthyrox N 88 tabl.(88 µg) - 50 szt. |
50 szt. |
ryczałt |
5,16 PLN
|
9,38 PLN
|
|
Levothyroxine sodium |
Euthyrox N 137 tabl.(137 µg) - 50 szt. |
50 szt. |
ryczałt |
4,87 PLN
|
11,55 PLN
|
|
Levothyroxine sodium |
Euthyrox N 112 tabl.(112 µg) - 50 szt. |
50 szt. |
ryczałt |
4,77 PLN
|
10,24 PLN
|
|
Levothyroxine sodium |
Althyxin tabl.(175 µg) - 50 szt. |
50 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Althyxin tabl.(150 µg) - 100 szt. |
100 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Althyxin tabl.(150 µg) - 50 szt. |
50 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Althyxin tabl.(125 µg) - 100 szt. |
100 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Althyxin tabl.(125 µg) - 50 szt. |
50 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Althyxin tabl.(100 µg) - 100 szt. |
100 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Althyxin tabl.(100 µg) - 50 szt. |
50 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Althyxin tabl.(75 µg) - 100 szt. |
100 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Althyxin tabl.(75 µg) - 50 szt. |
50 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Tirosint Sol roztw. doustny(150 µg/ml) - 30 poj. x 1 ml |
30 poj. x 1 ml |
100% |
95,00 PLN
|
95,00 PLN
|
|
Levothyroxine sodium |
Althyxin tabl.(50 µg) - 100 szt. |
100 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Althyxin tabl.(50 µg) - 50 szt. |
50 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Althyxin tabl.(25 µg) - 100 szt. |
100 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Althyxin tabl.(25 µg) - 50 szt. |
50 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Levothyroxine sodium |
Tirosint Sol roztw. doustny(125 µg/ml) - 30 poj. x 1 ml |
30 poj. x 1 ml |
100% |
95,00 PLN
|
95,00 PLN
|
|
Levothyroxine sodium |
Tirosint Sol roztw. doustny(100 µg/ml) - 30 poj. x 1 ml |
30 poj. x 1 ml |
100% |
95,00 PLN
|
95,00 PLN
|
|
Levothyroxine sodium |
Tirosint Sol roztw. doustny(75 µg/ml) - 30 poj. x 1 ml |
30 poj. x 1 ml |
100% |
95,00 PLN
|
95,00 PLN
|
|
Levothyroxine sodium |
Tirosint Sol roztw. doustny(50 µg/ml) - 30 poj. x 1 ml |
30 poj. x 1 ml |
100% |
95,00 PLN
|
95,00 PLN
|
|
Levothyroxine sodium |
Letrox 125 mikrogramów tabl.(125 µg) - 50 szt. |
50 szt. |
ryczałt |
4,44 PLN
|
10,10 PLN
|
|
Levothyroxine sodium |
Letrox 75 mikrogramów tabl.(75 µg) - 50 szt. |
50 szt. |
ryczałt |
4,43 PLN
|
7,56 PLN
|
|
Levothyroxine sodium; Liothyronine sodium |
Novothyral 75 tabl.(75 µg+15 µg) - 100 szt. |
100 szt. |
100% |
35,64 PLN
|
35,64 PLN
|
|
Levothyroxine sodium; Liothyronine sodium |
Novothyral tabl.(100 µg+20 µg) - 100 szt. |
100 szt. |
100% |
40,49 PLN
|
40,49 PLN
|
|
Lidocaine |
Lidocain-Egis aerozol na skórę, roztw.(10%) - but. 38 g |
but. 38 g |
100% |
35,99 PLN
|
35,99 PLN
|
|
Lidocaine |
Bravera Control aerozol na skórę, roztw.(96 mg/g) - but. 8 ml |
but. 8 ml |
100% |
46,00 PLN
|
46,00 PLN
|
|
Lidocaine |
Lidoposterin maść(50 mg/g) - tuba 25 g |
tuba 25 g |
100% |
37,00 PLN
|
37,00 PLN
|
|
Lidocaine |
Versatis plaster leczniczy(700 mg) - 5 szt. 10 cm x 14 cm |
5 szt. 10 cm x 14 cm |
100% |
71,00 PLN
|
71,00 PLN
|
|
Lidocaine |
Versatis plaster leczniczy(700 mg) - 30 szt. 10 cm x 14 cm |
30 szt. 10 cm x 14 cm |
100% |
389,45 PLN
|
389,45 PLN
|
|
Lidocaine |
Lignox Spray aerozol, roztw.(100 mg/g) - but. 38 g |
but. 38 g |
100% |
60,00 PLN
|
60,00 PLN
|
|
Lidocaine hydrochloride |
Lignocainum hydrochloricum WZF 1% roztw. do wstrz.(10 mg/ml) - 5 fiolek 20 ml |
5 fiolek 20 ml |
100% |
34,58 PLN
|
34,58 PLN
|
|
Lidocaine hydrochloride |
Lignocainum hydrochloricum WZF 1% roztw. do wstrz.(10 mg/ml) - 10 amp. 2 ml |
10 amp. 2 ml |
100% |
15,56 PLN
|
15,56 PLN
|
|
Lidocaine hydrochloride |
Lignocainum hydrochloricum WZF 2% roztw. do wstrz.(20 mg/ml) - 5 fiolek 20 ml |
5 fiolek 20 ml |
100% |
35,42 PLN
|
35,42 PLN
|
|
Lidocaine hydrochloride |
Lignocainum hydrochloricum WZF 2% roztw. do wstrz.(20 mg/ml) - 10 amp. 2 ml |
10 amp. 2 ml |
100% |
16,06 PLN
|
16,06 PLN
|
|
Lidocaine hydrochloride |
Lignocainum Jelfa żel(20 mg/g) - typ A - tuba 30 g |
typ A - tuba 30 g |
100% |
37,30 PLN
|
37,30 PLN
|
|
Lidocaine hydrochloride |
Lignocainum Jelfa żel(20 mg/g) - typ U - tuba 30 g |
typ U - tuba 30 g |
100% |
37,30 PLN
|
37,30 PLN
|
|
Lidocaine hydrochloride |
Lignocain 2% roztw. do wstrz.(20 mg/ml) - 20 pojemników 10 ml |
20 pojemników 10 ml |
100% |
43,88 PLN
|
43,88 PLN
|
|
Lidocaine hydrochloride |
Lignocain 2% roztw. do wstrz.(20 mg/ml) - 20 pojemników 20 ml |
20 pojemników 20 ml |
100% |
131,90 PLN
|
131,90 PLN
|
|
Lidocaine hydrochloride |
Xylocaine 2% roztw. do wstrz.(20 mg/ml) - 5 fiolek 50 ml |
5 fiolek 50 ml |
100% |
81,08 PLN
|
81,08 PLN
|
|
Lidocaine hydrochloride |
Bobodent żel - tuba 10 g |
tuba 10 g |
100% |
17,66 PLN
|
17,66 PLN
|
|
Lidocaine hydrochloride |
Xylodont 2% roztw. do wstrz.(20 mg/ml) - 50 amp.-strzyk. 1,8 ml |
50 amp.-strzyk. 1,8 ml |
100% |
(b.d.) |
(b.d.)
|
|
Lidocaine hydrochloride |
Lignox żel(50 mg/g) - tuba 20 g |
tuba 20 g |
100% |
42,00 PLN
|
42,00 PLN
|
|
Lidocaine hydrochloride |
Lignocain 2% roztw. do wstrz.(20 mg/ml) - 20 pojemników 5 ml |
20 pojemników 5 ml |
100% |
(b.d.) |
(b.d.)
|
|
Lidocaine hydrochloride |
Lidocaine Grindeks roztw. do wstrz.(20 mg/ml) - 10 amp. |
10 amp. |
100% |
(b.d.) |
(b.d.)
|
|
Lidocaine hydrochloride; Amylmetacresol; Dichlorobenzyl alcohol |
Inovox Express smak pomarańczowy pastylki smak pomarańczowy(2 mg+0,6 mg+1,2 mg) - 24 szt. |
24 szt. |
100% |
17,41 PLN
|
17,41 PLN
|
|
Lidocaine hydrochloride; Amylmetacresol; Dichlorobenzyl alcohol |
Inovox Express smak miodowo-cytrynowy pastylki smak miodowo-cytrynowy(2 mg+0,6 mg+1,2 mg) - 24 szt. |
24 szt. |
100% |
17,41 PLN
|
17,41 PLN
|
|
Lidocaine hydrochloride; Amylmetacresol; Dichlorobenzyl alcohol |
Inovox Express smak miętowy pastylki smak miętowy(2 mg+0,6 mg+1,2 mg) - 24 szt. |
24 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Lidocaine hydrochloride; Amylmetacresol; Dichlorobenzyl alcohol |
Inovox Express smak miodowo-cytrynowy pastylki smak miodowo-cytrynowy(2 mg+0,6 mg+1,2 mg) - 36 szt. |
36 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Lidocaine hydrochloride; Epinephrine |
Xylodont 2% z adrenaliną 1:50.000 roztw. do wstrz.((20 mg+0,02 mg)/ml) - 50 amp.-strzyk. 1,8 ml |
50 amp.-strzyk. 1,8 ml |
100% |
(b.d.) |
(b.d.)
|
|
Lidocaine hydrochloride; Epinephrine |
Xylodont 2% z adrenaliną 1:80.000 roztw. do wstrz.((20 mg+0,0125 mg)/ml) - 50 amp.-strzyk. 1,8 ml |
50 amp.-strzyk. 1,8 ml |
100% |
(b.d.) |
(b.d.)
|
|
Lidocaine hydrochloride; Epinephrine |
Xylodont 2% z adrenaliną 1:100.000 roztw. do wstrz.((20 mg+0,01 mg)/ml) - 50 amp.-strzyk. 1,8 ml |
50 amp.-strzyk. 1,8 ml |
100% |
(b.d.) |
(b.d.)
|
|
Lidocaine hydrochloride; Norepinephrine tartrate |
Lignocainum hydrochloricum 2% cum noradrenalino 0,00125% WZF roztw. do wstrz.((20 mg+0,025 mg)/ml) - 10 amp. 2 ml |
10 amp. 2 ml |
100% |
(b.d.) |
(b.d.)
|
|
Lidocaine; Paraldehyde |
Devipasta pasta(450 mg + 370 mg/g) - pudełko 5 g |
pudełko 5 g |
100% |
76,87 PLN
|
76,87 PLN
|
|
Lidocaine; Prilocaine |
EMLA krem((25 mg+25 mg)/g) - tuba 30 g |
tuba 30 g |
100% |
122,50 PLN
|
122,50 PLN
|
|
Lidocaine; Prilocaine |
EMLA krem((25 mg+25 mg)/g) - tuba 5 g |
tuba 5 g |
100% |
32,02 PLN
|
32,02 PLN
|
|
Lidocaine; Prilocaine |
EMLA Plaster plaster leczniczy(25 mg+25 mg) - 2 szt. |
2 szt. |
100% |
32,12 PLN
|
32,12 PLN
|
|
Lidocaine; Tetracaine |
Rapydan plaster leczniczy(70 mg+70 mg) - 1 szt. |
1 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Lidocaine; Tetracaine |
Pliaglis krem((70 mg+70 mg)/g) - tuba 30 g |
tuba 30 g |
100% |
160,00 PLN
|
160,00 PLN
|
|
Ligilactobacillus salivarius; Colecalciferol; Xylitol |
Acidolac Dentifix Kids tabl. do ssania - 30 szt. |
30 szt. |
100% |
37,79 PLN
|
37,79 PLN
|
|
Ligilactobacillus salivarius; Lacticaseibacillus casei; Bifidobacterium breve; Urtica dioica; Echinacea purpurea; Reynoutria japonica |
Asecurin skin kaps. - 20 szt. |
20 szt. |
100% |
33,90 PLN
|
33,90 PLN
|
|
Limosilactobacillus fermentum; Lactiplantibacillus plantarum (Lactobacillus plantarum); Lactobacillus gasseri |
inVag kaps. dopochwowe, twarde - 14 szt. |
14 szt. |
100% |
68,00 PLN
|
68,00 PLN
|
|
Limosilactobacillus fermentum; Lactiplantibacillus plantarum (Lactobacillus plantarum); Lactobacillus gasseri |
inVag kaps. dopochwowe, twarde - 7 szt. |
7 szt. |
100% |
45,00 PLN
|
45,00 PLN
|
|
Limosilactobacillus fermentum; Lactobacillus gasseri; Lactiplantibacillus plantarum (Lactobacillus plantarum) |
PROVAG kaps. - 10 szt. |
10 szt. |
100% |
37,00 PLN
|
37,00 PLN
|
|
Limosilactobacillus fermentum; Lactobacillus gasseri; Lactiplantibacillus plantarum (Lactobacillus plantarum) |
PROVAG kaps. - 20 szt. |
20 szt. |
100% |
56,00 PLN
|
56,00 PLN
|
|
Limosilactobacillus fermentum; Lactobacillus gasseri; Lactiplantibacillus plantarum (Lactobacillus plantarum) |
PROVAG kaps. - 40 szt. |
40 szt. |
100% |
75,00 PLN
|
75,00 PLN
|
|
Limosilactobacillus reuteri |
BioGaia Gastrus IBS kaps. - 60 szt. |
60 szt. |
100% |
92,01 PLN
|
92,01 PLN
|
|
Limosilactobacillus reuteri |
BioGaia Protectis Baby krople doustne - but. 5 ml |
but. 5 ml |
100% |
42,99 PLN
|
42,99 PLN
|
|
Limosilactobacillus reuteri |
BioGaia Protectis tabl. do żucia (smak cytrynowy) - 10 szt. |
10 szt. |
100% |
21,99 PLN
|
21,99 PLN
|
|
Limosilactobacillus reuteri |
BioGaia Gastrus tabl. do żucia (smak mandarynki) - 30 szt. |
30 szt. |
100% |
58,99 PLN
|
58,99 PLN
|
|
Limosilactobacillus reuteri |
BioGaia Protectis Baby krople doustne - but. 10 ml |
but. 10 ml |
100% |
74,00 PLN
|
74,00 PLN
|
|
Limosilactobacillus reuteri; Colecalciferol |
BioGaia Pharax krople doustne - but. 5 ml |
but. 5 ml |
100% |
66,00 PLN
|
66,00 PLN
|
|
Linagliptin |
Trajenta tabl. powl.(5 mg) - 28 szt. |
28 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Lincomycin |
Lincocin kaps.(500 mg) - 12 szt. |
12 szt. |
100% |
17,32 PLN
|
17,32 PLN
|
|
Lincomycin |
Lincocin roztw. do wstrz. i (lub) inf.(300 mg/ml) - amp. 2 ml |
amp. 2 ml |
100% |
5,36 PLN
|
5,36 PLN
|
|
Linezolid |
Zyvoxid tabl. powl.(600 mg) - 10 szt. |
10 szt. |
100% |
3262,47 PLN
|
3262,47 PLN
|
|
Linezolid |
Linezolid Eugia roztw. do inf.(2 mg/ml) - worek 300 ml |
worek 300 ml |
100% |
(b.d.) |
(b.d.)
|
|
Linezolid |
Linezolid Eugia roztw. do inf.(2 mg/ml) - 10 worków 300 ml |
10 worków 300 ml |
100% |
(b.d.) |
(b.d.)
|
|
Linezolid |
Dilizolen roztw. do inf.(2 mg/ml) - worek 300 ml |
worek 300 ml |
100% |
237,14 PLN
|
237,14 PLN
|
|
Linezolid |
Linezolid Polpharma roztw. do inf.(2 mg/ml) - worek 300 ml |
worek 300 ml |
100% |
(b.d.) |
(b.d.)
|
|
Linezolid |
Linezolid Kabi roztw. do inf.(2 mg/ml) - 10 worków 300 ml |
10 worków 300 ml |
100% |
(b.d.) |
(b.d.)
|
|
Linum usitatissimum |
Len mielony zioła do zaparzania - 400 g |
400 g |
100% |
10,39 PLN
|
10,39 PLN
|
|
Linum usitatissimum; Cucurbita pepo; Equisetum arvense; Ascorbic acid; Colecalciferol |
Jasnum uro kaps. - 60 szt. |
60 szt. |
100% |
57,00 PLN
|
57,00 PLN
|
|
Linzagolix choline |
Yselty tabl. powl.(200 mg) - 28 szt. |
28 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Linzagolix choline |
Yselty tabl. powl.(100 mg) - 28 szt. |
28 szt. |
100% |
(b.d.) |
(b.d.)
|
|
Lipoic acid alfa |
Thiogamma 600 tabl. powl.(600 mg) - 60 szt. |
60 szt. |
100% |
94,92 PLN
|
94,92 PLN
|
|
Lipoic acid alfa |
Thiogamma 600 tabl. powl.(600 mg) - 30 szt. |
30 szt. |
100% |
48,30 PLN
|
48,30 PLN
|
|
Lipoic acid alfa |
Neurolipon-MIP 600 kaps. miękkie(600 mg) - 30 szt. |
30 szt. |
100% |
69,98 PLN
|
69,98 PLN
|
|
Lipoic acid alfa |
Neurolipon-MIP 600 kaps. miękkie(600 mg) - 100 szt. |
100 szt. |
100% |
165,00 PLN
|
165,00 PLN
|
|
Lipoic acid alfa |
NeuroLip Extra 600 kaps.(600 mg) - 30 szt. |
30 szt. |
100% |
19,99 PLN
|
19,99 PLN
|
|
Lipoic acid alfa |
Alatic roztw. do wstrz.(600 mg/24 ml) - fiolka 24 ml |
fiolka 24 ml |
100% |
17,00 PLN
|
17,00 PLN
|
|
Lipoic acid alfa |
Thiogamma Turbo-Set roztw. do inf.(600 mg/50 ml) - fiolka 50 ml |
fiolka 50 ml |
100% |
27,75 PLN
|
27,75 PLN
|
|
Lipoic acid alfa |
Thiogamma Turbo-Set roztw. do inf.(600 mg/50 ml) - 10 fiolek x 50 ml |
10 fiolek x 50 ml |
100% |
250,98 PLN
|
250,98 PLN
|
|
Lipoic acid alfa |
Thionerv 600 tabl.(600 mg) - 30 szt. |
30 szt. |
100% |
38,99 PLN
|
38,99 PLN
|
|
Lipoic acid alfa; Acetylcarnitine; Tetraselmis chuii; Oenothera oil |
Axodal kaps. - 30 szt. |
30 szt. |
100% |
45,00 PLN
|
45,00 PLN
|
|
Lipoic acid alfa; Fatty acids, unsaturated; Vitamins; Selenium |
ALAnerv kaps. miękkie - 30 szt. |
30 szt. |
100% |
56,50 PLN
|
56,50 PLN
|
|
Lipoic acid alfa; Gamma-linolenic acid; Vitamins; Selenium |
Axolan kaps. - 30 szt. |
30 szt. |
100% |
30,00 PLN
|
30,00 PLN
|
|
Lipoic acid alfa; Uridine; Magnolia officinalis; Vitamin B group |
Urydyn Alfa kaps. - 30 szt. |
30 szt. |
100% |
37,00 PLN
|
37,00 PLN
|
