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 | 3487,91 Kč |
Flebogamma DIF | 50mg/ml inf sol 1x10ml | 50 mg/ml | infuzní roztok | 1x 10 ml | na recept | 480,84 Kč |
Flebogamma DIF | 50mg/ml inf sol 1x200ml | 50 mg/ml | infuzní roztok | 1x 200 ml | na recept | 6096,92 Kč |
Flebogamma DIF | 50mg/ml inf sol 1x400ml | 50 mg/ml | infuzní roztok | 1x 400 ml | na recept | 11232,90 Kč |
Flebogamma DIF | 50mg/ml inf sol 1x50ml | 50 mg/ml | infuzní roztok | 1x 50 ml | na recept | 2009,88 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 | 9367,68 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 | 5155,36 Kč |
Gamunex | 100mg/ml inf sol 1x100ml | 100 mg/ml | infuzní roztok | 1x 100 ml | na recept | 8284,68 Kč |
Gamunex | 100mg/ml inf sol 1x10ml | 100 mg/ml | infuzní roztok | 1x 10 ml | na recept | 1131,96 Kč |
Gamunex | 100mg/ml inf sol 1x200ml | 100 mg/ml | infuzní roztok | 1x 200 ml | na recept | 15608,41 Kč |
Gamunex | 100mg/ml inf sol 1x50ml | 100 mg/ml | infuzní roztok | 1x 50 ml | na recept | 4579,02 Kč |
Kiovig | 100mg/ml inf sol 1x100ml | 100 mg/ml | infuzní roztok | 1x 100 ml | na recept | 10281,60 Kč |
Kiovig | 100mg/ml inf sol 1x10ml | 100 mg/ml | infuzní roztok | 1x 10 ml | na recept | 1361,02 Kč |
Kiovig | 100mg/ml inf sol 1x200ml | 100 mg/ml | infuzní roztok | 1x 200 ml | na recept | 19602,24 Kč |
Kiovig | 100mg/ml inf sol 1x25ml | 100 mg/ml | infuzní roztok | 1x 25 ml | na recept | 3179,12 Kč |
Kiovig | 100mg/ml inf sol 1x50ml | 100 mg/ml | infuzní roztok | 1x 50 ml | na recept | 5621,28 Kč |
Panzyga | 100mg/ml inf sol 1x100ml | 100 mg/ml | infuzní roztok | 1x 100 ml | na recept | 15993,60 Kč |
Panzyga | 100mg/ml inf sol 1x200ml | 100 mg/ml | infuzní roztok | 1x 200 ml | na recept | 31026,24 Kč |
Panzyga | 100mg/ml inf sol 1x50ml | 100 mg/ml | infuzní roztok | 1x 50 ml | na recept | 8477,28 Kč |
Privigen | 100mg/ml inf sol 1x100ml | 100 mg/ml | infuzní roztok | 1x 100 ml | na recept | 3128,60 Kč |
Privigen | 100mg/ml inf sol 1x200ml | 100 mg/ml | infuzní roztok | 1x 200 ml | na recept | 14387,81 Kč |
Privigen | 100mg/ml inf sol 1x25ml | 100 mg/ml | infuzní roztok | 1x 25 ml | na recept | 2450,60 Kč |
Privigen | 100mg/ml inf sol 1x50ml | 100 mg/ml | infuzní roztok | 1x 50 ml | na recept | 4292,13 Kč |