| 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 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 | 5355,41 Kč | 
| Privigen | 100mg/ml inf sol 1x200ml | 100 mg/ml | infuzní roztok | 1x 200 ml | na recept | 9749,87 Kč | 
| Privigen | 100mg/ml inf sol 1x25ml | 100 mg/ml | infuzní roztok | 1x 25 ml | na recept | 1894,67 Kč | 
| Privigen | 100mg/ml inf sol 1x50ml | 100 mg/ml | infuzní roztok | 1x 50 ml | na recept | 3140,57 Kč |