Název | Doplněk názvu | Síla | Léková forma | Balení | Expedice | Max. doplatek |
---|---|---|---|---|---|---|
Flebogamma DIF | 50mg/ml inf sol 1x100ml | 50 mg/ml | infuzní roztok | 1x 100 ml | na recept | 1923,61 Kč |
Flebogamma DIF | 50mg/ml inf sol 1x10ml | 50 mg/ml | infuzní roztok | 1x 10 ml | na recept | 324,41 Kč |
Flebogamma DIF | 50mg/ml inf sol 1x200ml | 50 mg/ml | infuzní roztok | 1x 200 ml | na recept | 2968,32 Kč |
Flebogamma DIF | 50mg/ml inf sol 1x400ml | 50 mg/ml | infuzní roztok | 1x 400 ml | na recept | 4975,70 Kč |
Flebogamma DIF | 50mg/ml inf sol 1x50ml | 50 mg/ml | infuzní roztok | 1x 50 ml | na recept | 1227,74 Kč |
Gammagard S/D | 50mg/ml inf pso lqf 1+1x192ml | 50 mg/ml | prášek a rozpouštědlo pro infuzní roztok | 1 + 1x 192 ml | na recept | 6239,08 Kč |
Gammagard S/D | 50mg/ml inf pso lqf 1+1x96ml | 50 mg/ml | prášek a rozpouštědlo pro infuzní roztok | 1 + 1x 96 ml | na recept | 3591,06 Kč |
Gamunex | 100mg/ml inf sol 1x100ml | 100 mg/ml | infuzní roztok | 1x 100 ml | na recept | 5156,08 Kč |
Gamunex | 100mg/ml inf sol 1x10ml | 100 mg/ml | infuzní roztok | 1x 10 ml | na recept | 819,11 Kč |
Gamunex | 100mg/ml inf sol 1x200ml | 100 mg/ml | infuzní roztok | 1x 200 ml | na recept | 9351,21 Kč |
Gamunex | 100mg/ml inf sol 1x50ml | 100 mg/ml | infuzní roztok | 1x 50 ml | na recept | 3014,72 Kč |
Kiovig | 100mg/ml inf sol 1x100ml | 100 mg/ml | infuzní roztok | 1x 100 ml | na recept | 7153,00 Kč |
Kiovig | 100mg/ml inf sol 1x10ml | 100 mg/ml | infuzní roztok | 1x 10 ml | na recept | 1048,17 Kč |
Kiovig | 100mg/ml inf sol 1x200ml | 100 mg/ml | infuzní roztok | 1x 200 ml | na recept | 13345,04 Kč |
Kiovig | 100mg/ml inf sol 1x25ml | 100 mg/ml | infuzní roztok | 1x 25 ml | na recept | 2396,98 Kč |
Kiovig | 100mg/ml inf sol 1x50ml | 100 mg/ml | infuzní roztok | 1x 50 ml | na recept | 4056,98 Kč |
Panzyga | 100mg/ml inf sol 1x100ml | 100 mg/ml | infuzní roztok | 1x 100 ml | na recept | 12865,00 Kč |
Panzyga | 100mg/ml inf sol 1x200ml | 100 mg/ml | infuzní roztok | 1x 200 ml | na recept | 24769,04 Kč |
Panzyga | 100mg/ml inf sol 1x50ml | 100 mg/ml | infuzní roztok | 1x 50 ml | na recept | 6912,98 Kč |
Privigen | 100mg/ml inf sol 1x100ml | 100 mg/ml | infuzní roztok | 1x 100 ml | na recept | 2720,85 Kč |
Privigen | 100mg/ml inf sol 1x200ml | 100 mg/ml | infuzní roztok | 1x 200 ml | na recept | 8130,61 Kč |
Privigen | 100mg/ml inf sol 1x25ml | 100 mg/ml | infuzní roztok | 1x 25 ml | na recept | 1668,46 Kč |
Privigen | 100mg/ml inf sol 1x50ml | 100 mg/ml | infuzní roztok | 1x 50 ml | na recept | 2727,83 Kč |