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Dziennik Ustaw 1997 Nr 40 poz. 250 - Wykaz leków podstawowych, uzupełniających i środków antykoncepcyjnych
ROZPORZĄDZENIE MINISTRA ZDROWIA I OPIEKI SPOŁECZNEJ
z dnia 9 kwietnia 1997 r.
w sprawie wykazu leków podstawowych, uzupełniających i środków antykoncepcyjnych.
(Dz. U. z dnia 25 kwietnia 1997 r.)
Na podstawie art. 4 ust. 5 ustawy z dnia 27 września 1991 r. o zasadach odpłatności za leki i artykuły sanitarne (Dz. U. Nr 94, poz. 422, z 1994 r. Nr 111, poz. 535, z 1995 r. Nr 138, poz. 684 i z 1996 r. Nr 139, poz. 646) zarządza się, co następuje:
§ 1. Ustala się: 1) wykaz leków podstawowych, stanowiący załącznik nr 1 do rozporządzenia, 2) wykaz leków uzupełniających: a) wydawanych za odpłatnością w wysokości 30% ceny leku, stanowiący załącznik nr 2 do rozporządzenia, b) wydawanych za odpłatnością w wysokości 50% ceny leku, stanowiący załącznik nr 3 do rozporządzenia. 3) wykaz środków antykoncepcyjnych wydawanych za odpłatnością w wysokości 50% ceny środka, stanowiący załącznik nr 4 do rozporządzenia.
§ 2. Traci moc rozporządzenie Ministra Zdrowia i Opieki Społecznej z dnia 2 sierpnia 1996 r. w sprawie wykazu leków podstawowych i uzupełniających (Dz. U. Nr 98, poz. 455 i Nr 149, poz. 710).
§ 3. Rozporządzenie wchodzi w życie z dniem 12 maja 1997 r.
ZAŁĄCZNIKI
ZAŁĄCZNIK Nr 1
WYKAZ LEKÓW PODSTAWOWYCH
Lp. | | | | | Nazwa | Postać i dawka | Kat. cen | Opakowanie, na które ustalono ryczałt |
1 | | | | | Acebutololi hydrochloridum | | | |
| | B | Rp. | | Sectral | tabl. powl. 0,2 g | e | 40 tabl. powl. |
| | B | Rp. | | Sectral | tabl. powl. 0,4 g | e | 30 tabl. powl. |
| | B | Rp. | | Acecor | tabl. powl. 0,2 g | e | 40 tabl. powl. |
| | B | Rp. | | Acecor | tabl. powl. 0,4 g | e | 30 tabl. powl. |
2 | | | | | Acenocoumarolum | | | |
| | B | Rp. | | Acenocuomarol | tabl. 0,004 g | d | 60 tabl. |
| | B | Rp. | | Acenocumarol | tabl. 0,004 g | d | 60 tabl. |
| | B | Rp. | | Sintrom | tabl. 0,004 g | e | 60 tabl. |
| | B | Rp. | | Syncumar | tabl. 0,004 g | f | 50 tabl. |
3 | | | | | Acidum folicum | | | |
| | | Rp. | | Acidum folicum | tabl. 0,005 g | b | 30 tabl. |
| | | Rp. | | Acidum folicum | tabl. 0,015 g | b | 30 tabl. |
4 | | | | | Alfacalcidolum | | | |
| | B | Rp. | | Alphacalcidolum | kaps. 1 µg | e | 100 kaps. |
| | B | Rp. | | Alphacalcidolum | kaps. 0,25 µg | e | 100 kaps. |
5 | | | | | Allopurinolum | | | |
| | B | Rp. | | Allupol | tabl. 0,1 g | c | 50 tabl. |
| | B | Rp. | | Allopurinol-Ratiopharm 100 | tabl. 0,1 g | e | 50 tabl. |
| | B | Rp. | | Allopurinol-Ratiopharm 300 | tabl. 0,3 g | f | 50 tabl. |
| | B | Rp. | | Apo-Allopurinol | tabl. 0,1 g | c | 50 tabl. |
| | B | Rp. | | Burmadon | tabl. 0,1 g | x | 50 tabl. |
| | B | Rp. | | Milurit | tabl. 0,1 g | c | 50 tabl. |
| | B | Rp. | | Zyloric | tabl. 0,1 g | e | 50 tabl. |
| | B | Rp. | | Zyloric-300 | tabl. 0,3 g | f | 56 tabl. |
6 | | | | | Aminophyllinum | | | |
| | B | Rp. | | Aminophyllinum | inj. doż. 2,5% | d | 10 amp. 10 ml |
| | B | Rp. | | Aminophyllinum | inj. dom. 25% | c | 10 amp. 2 ml |
| | B | Rp. | | Aminophyllinum | krople 4,8 g/20 ml | c | 20 ml |
7 | | | | | Amiodaroni hydrochloridum | | | |
| | B | Rp. | | Cordarone | tabl. 0,2 g | f,e | 60 tabl. |
| | B | Rp. | | Opacorden | tabl. powl. 0,2 g | e | 60 tabl. |
8 | | | | | Amoxicillinum | | | |
| | B | Rp. | | Amotaks | tabl. 1,0 g | x | 16 kaps. |
| | B | Rp. | | Amotaks | kaps. 0,25 g | x | 16 kaps. |
| | B | Rp. | | Amotaks | kaps. 0,5 g | x | 16 kaps. |
| | B | Rp. | | Amotaks | gran. 250 mg/5 ml | x | 60 ml |
| | B | Rp. | | Amoxycyllin | prosz. do przygot. zaw. 250 mg/5 ml | d | 100 ml |
| | B | Rp. | | Amoxicilline | kaps. 0,25 g | c | 15 kaps. |
| | B | Rp. | | Amoxicilline | pro. susp. 1,5 g (125 mg/5 ml) | c | 15 g gran. do sporz. 60 ml zaw. |
| | B | Rp. | | Amoxicilline | pro. susp. 3 g (250 mg/5 ml) | d | 15 g gran. do sporz. 60 ml zaw. |
| | B | Rp. | | Amoxil | kaps. 0,25 g | d | 20 kaps. |
| | B | Rp. | | Amoxil | syrop 2,5 g/100 ml | d | 100 ml |
| | B | Rp. | | Apo-Amoxi | kaps. 0,25 g | c | 16 kaps. |
| | B | Rp. | | Apo-Amoxi | kaps. 0,5 g | d | 16 kaps. |
| | B | Rp. | | Duomox | tabl. 0,125 g | d | 20 tabl. |
| | B | Rp. | | Duomox | tabl. 0,25 g | d | 20 tabl. |
| | B | Rp. | | Duomox | tabl. 0,375 g | e | 20 tabl. |
| | B | Rp. | | Duomox | tabl. 0,5 g | e | 20 tabl. |
| | B | Rp. | | Duomox | tabl. 0,75 g | e | 20 tabl. |
| | B | Rp. | | Duomox | tabl. 1 g | e | 20 tabl. |
| | B | Rp. | | Hiconcil | kaps. 0,25 g | d | 16 kaps. |
| | B | Rp. | | Hiconcil | kaps. 0,5 g | d | 16 kaps. |
| | B | Rp. | | Hiconcil | sucha subs. 125 mg/5 ml | d | 60 ml |
| | B | Rp. | | Hiconcil | zawies. 250 mg/5 ml | d | 100 ml |
| | B | Rp. | | Ospamox | tabl. powl. 0,5 g | d | 12 tabl. |
| | B | Rp. | | Ospamox | tabl. powl. 0,75 g | d | 12 tabl. |
| | B | Rp. | | Ospamox | tabl. powl. 1 g | e | 12 tabl. |
| | B | Rp. | | Ospamox | gran. 125 mg/5 ml | d | 18 g gran. do sporz. 60 ml zaw. |
| | B | Rp. | | Ospamox | gran. 250 mg/5 ml | d | 24 g gran. do sporz. 60 ml zaw. |
| | B | Rp. | | Ospamox | gran. 375 mg/5 ml | d | 30 g gran. do sporz. 60 ml zaw. |
9 | | | | | Ampicyllinum | | | |
| | B | Rp. | | Ampicillin | inj. 0,25 g | c,d | 5 fiol. z suchą subst. |
| | B | Rp. | | Ampicillin | inj. 0,5 g | d | 5 fiol. z suchą subst. |
| | B | Rp. | | Ampicillin | inj. 1 g | e | 5 fiol. z suchą subst. |
| | B | Rp. | | Ampicillin | inj. 2 g | x | 5 fiol. z suchą subst. |
10 | | | | | Ampicillinum + Sulbactamum | | | |
| | B | Rp. | | Unasyn | inj. 0,75 g | d | 1 fiol. |
| | B | Rp. | | Unasyn | inj. 1,5 g | e | 1 fiol. |
| | B | Rp. | | Unasyn | inj. 3 g | f | 1 fiol. |
11 | | | | | Aqua pro injectione | inj. | a | 10 amp. 5 ml |
| | | | | Aqua pro injectione | inj. | b | 10 amp. 10 ml |
12 | | | | | Atenololum | | | |
| | B | Rp. | | Apo-Atenol | tabl. 0,05 g | d | 50 tabl. |
| | B | Rp. | | Apo-Atenol | tabl. 0,1 g | e | 50 tabl. |
| | B | Rp. | | Atehexal | tabl. powl. 0,05 g | d | 50 tabl. powl. |
| | B | Rp. | | Atehexal | tabl. powl. 0,1 g | e | 50 tabl. powl. |
| | B | Rp. | | Atendol 50 | tabl. powl. 0,05 g | x | 50 tabl. powl. |
| | B | Rp. | | Atendol 100 | tabl. powl. 0,1 g | x | 50 tabl. powl. |
| | B | Rp. | | Atenolol | tabl. 0,025 g | x | 60 tabl. |
| | B | Rp. | | Atenolol | tabl., tabl. powl. 0,05 g | c,e | 50 tabl., tabl. powl. |
| | B | Rp. | | Atenolol | tabl. 0,1 g | d | 50 tabl. |
| | B | Rp. | | Blocotenol-25 | tabl. powl. 0,025 g | d | 60 tabl. powl. |
| | B | Rp. | | Blocotenol-50 | tabl. powl. 0,05 g | d | 60 tabl. powl. |
| | B | Rp. | | Blocotenol-100 | tabl. powl. 0,1 g | e | 60 tabl. powl. |
| | B | Rp. | | Cardiopress | tabl. powl. 0,1 g | d | 60 tabl. |
| | B | Rp. | | Normocard | tabl. 0,05 g | c | 60 tabl. |
| | B | Rp. | | Normocard | tabl. 0,1 g | d | 60 tabl. |
| | B | Rp. | | Tenormin | tabl. 0,1 g | f | 50 tabl. |
13 | | | | | Atropini sulfas | | | |
| D | A | Rp. | | Atropinum sulfuricum | inj. 0,001 g/1 ml | c | 10 amp. |
| D | A | Rp. | | Atropinum sulfuricum | inj. 0,5 mg/1 ml | c | 10 amp. |
| D | A | Rp. | | Atropinum sulfuricum 1% | krople do oczu 1% | b | 10 ml |
14 | | | | | Azathioprinum | | | |
| | B | Rp. | | Azathioprine | tabl. 0,05 g | f | 50 tabl. |
| | B | Rp. | | Azamun | tabl. powl. 0,05 g | x | 50 tabl. |
| | B | Rp. | | Imuran | tabl. 0,025 g | e | 50 tabl. powl. |
| | B | Rp. | | Imuran | tabl. 0,05 g | f | 50 tabl. |
15 | | | | | Baclofenum | | | |
| D | B | Rp. | | Baclofen | tabl. 0,01 g | b | 50 tabl. |
| D | B | Rp. | | Baclofen | tabl. 0,025 g | b | 50 tabl. |
16 | | | | | Baclometasoni dipropionas | | | |
| | B | Rp. | | Aldecin inhaler | aerosol 0,05 mg/dawkę | e | 10 ml (200 dawek) |
| | B | Rp. | | Baclocort mite | aerosol 0,05 mg/dawkę | c | 10 ml (200 dawek) |
| | B | Rp. | | Baciocort forte | aerosol 0,25 mg/dawkę | d | 10 ml (200 dawek) |
| | B | Rp. | | Becotide | aerosol 0,05 mg/dawkę | d | 10 ml (200 dawek) |
| | B | Rp. | | Beclomet 250 | aerosol 0,25 mg/dawkę | f | 12,5 ml (200 dawek) |
| | B | Rp. | | Beclomet | aerosol 0,05 mg/dawkę | e | 10 ml (200 dawek) |
17 | | | | | Benzathini benzylpenicyllinum | | | |
| | B | Rp. | | Debecylina | inj. 600.000 j.m. | d | 5 fiol. z suchą subst. |
| | B | Rp. | | Debecylina | inj. 1.200.000 j.m. | e | 5 fiol. z suchą subst. |
18 | | | | | Benzyli benzoas | | | |
| | | | | Cetriscabin | płyn | c | 125 g |
| | | | | Novoscabin | płyn | c | 150 g |
19 | | | | | Benzylpenicyllinum kalicum | | | |
| | B | Rp. | | Penicillinum crystalisatum | inj. 100.000 j.m. | c | 5 fiol. z suchą subst. |
| | B | Rp. | | Penicillinum crystalisatum | inj. 200.000 j.m. | c | 5 fiol. z suchą subst. |
| | B | Rp. | | Penicillinum crystalisatum | inj. 600.000 j.m. | e | 10 fiol. z suchą subst. |
| | B | Rp. | | Penicillinum crystalisatum | inj. 1.000.000 j.m. | e | 10 fiol. z suchą subst. |
| | B | Rp. | | Penicillinum crystalisatum | inj. 3.000.000 j.m. | f | 10 fiol. z suchą subst. |
20 | | | | | Beznylpenicyllinum procainum | | | |
| | B | Rp. | | Penicillinum procainicum | inj. 600.000 j.m. | d | 5 fiol. z suchą subst. |
| | B | Rp. | | Penicillinum procainicum | inj. 1.200.000 j.m. | d | 5 fiol. z suchą subst. |
| | B | Rp. | | Penicillinum procainicum | inj. 2.400.000 j.m. | e | 5 fiol. z suchą subst. |
21 | | | | | Betamethasoni dipropionas et natrii phosphas | | | |
| | B | Rp. | | Bedifos prolongatum | inj. 0,007 g/1 ml | x | 1 amp. |
| | B | Rp. | | Diprophos | inj. 0,007 g/1 ml | d | 1 amp. |
22 | | | | | Betamethasoni natrii phosphas | | | |
| | B | Rp. | | Bedifos | inj. 0,004 g/1 ml | x | 1 amp. |
| | B | Rp. | | Betnesol | inj. 0,004 g/1 ml | c | 1 amp. |
| | B | Rp. | | Celestone | inj. 0,004 g/1 ml | d | 1 amp. |
23 | | | | | Betaxololi hydrochloridum | | | |
| | | Rp. | | Betoptic S | krople do oczu 0,25% | e | fl. 5 ml |
| | | Rp. | | Betoptic 0,5% | krople do oczu 0,5% | e | fl. 5 ml |
24 | | | | | Bromhexini hydrochloridum | | | |
| | B | Rp. | * | Bisolvon | płyn 2 mg/ml | d | 50 ml |
| | B | Rp. | * | Bisolvon | tabl. 0,008 g | d | 20 tabl. |
| | B | Rp. | | Bisolvon | inj. 0,004 g/2 ml | e | 10 amp. |
| | B | Rp. | * | Bromhexin | tabl. powl. 0,008 g | c | 20 tabl. powl. |
| | B | Rp. | * | Flegamina | tabl. 0,008 g | a | 20 tabl. |
| | B | Rp. | * | Flegamina | syrop 0,08 g/100 ml | b | 120 ml |
| | B | Rp. | | Flegamina | inj. 0,004 g/2 ml | d | 10 amp. |
| | B | Rp. | * | Flegamina | krople 0,06 g/30 ml | c | 30 ml |
25 | | | | | Bromocryptini mesylas | | | |
| D | B | Rp. | | Bromergon | tabl. 2,5 mg | e | 30 tabl. |
| D | B | Rp. | | Bromocorn | tabl. 2,5 mg | e | 30 tabl. |
| D | B | Rp. | | Ergolaktyna | tabl. 2,5 mg | e | 30 tabl. |
| D | B | Rp. | | Parlodel | tabl. 2,5 mg | f | 30 tabl. |
26 | | | | | Budesonidum | | | |
| | B | Rp. | | Budesonid mite | aerosol 0,05 mg/dawkę | d | 10 ml (200 dawek) |
| | B | Rp. | | Budesonid forte | aerosol 0,2 mg/dawkę | e | 10 ml (200 dawek) |
| | B | Rp. | | Horacort | aerosol dozowany 0,16 mg/dawkę | e | 10 ml (200 dawek) |
| | B | Rp. | | Pulmicort | aerosol 0,2 mg/dawkę | f | 100 dawek |
| | B | Rp. | | Pulmicort | aerosol 0,05 mg/dawkę | f | 200 dawek |
| | B | Rp. | | Pulmicort Turbohaler | proszek zmikron. do inh. 100 mcg | x | 200 dawek |
| | B | Rp. | | Pulmicort Turbohaler | proszek zmikron. do inh. 200 mcg | x | 100 dawek |
27 | | | | | Calcifediolum | | | |
| | B | Rp. | | Devisol-25 | krople 0,15 mg/ml | d | 10 ml |
28 | | | | | Captoprilum | | | |
| | B | Rp. | | Captopril | tabl. 0,0125 g | c | 30 tabl. |
| | B | Rp. | | Captopril | tabl. 0,025 g | c | 40 tabl. |
| | B | Rp. | | Captopril | tabl. 0,05 g | d | 40 tabl. |
| | B | Rp. | | Capoten | tabl. 0,025 g | e,f | 40 tabl. |
| | B | Rp. | | Capoten | tabl. 0,05 g | f,g | 40 tabl. |
| | B | Rp. | | Tensiomin | tabl. 0,0125 g | c | 30 tabl. |
| | B | Rp. | | Tensiomin | tabl. 0,025 g | c | 40 tabl. |
| | B | Rp. | | Tensiomin | tabl. 0,05 g | d | 40 tabl. |
| | B | Rp. | | Tensiomin | tabl. 0,1 g | d | 20 tabl. |
29 | | | | | Carbamazepinum | | | |
| D | B | Rp. | | Amizepin | tabl. 0,2 g | d | 50 tabl. |
30 | | | | | Chinidini sulfas | | | |
| | B | Rp. | | Chinidinum prolongatum | tabl. 0,2 g | e | 60 tabl. |
| | B | Rp. | | Chinidinum sulfuricum | draż. 0,2 g | d | 50 draż. |
| | B | Rp. | | Kinidin Durules | tabl. 0,2 g | e | 50 tabl. |
| | B | Rp. | | Kinilentin | tabl. 0,25 g | x | 60 tabl. |
| | B | Rp. | | Kinitard | tabl. powl. 0,2 g | x | 60 tabl. powl. |
31 | | | | | Chloroquini phosphas | | | |
| | | Rp. | | Arechin | tabl. 0,25 g | c | 30 tabl. |
32 | | | | | Cimetidinum | | | |
| | B | Rp. | | Altramet | inj. 0,2 g/2 ml | d | 10 amp. |
| | B | Rp. | | Belomet | inj. 0,2 g/2 ml | x | 10 amp. |
| | B | Rp. | | Cimetidine | inj. 0,2 g/2 ml | d | 10 amp. |
| | B | Rp. | | Histodil | inj. 0,2 g/2 ml | d | 10 amp. |
| | B | Rp. | | Tagamet | inj. 0,2 g/2 ml | e | 10 amp. |
33 | | | | | Clemastini fumaras | | | |
| D | B | Rp. | | Clemastinum | inj. 0,002 g/2 ml | c | 5 amp. |
34 | | | | | Clomethiazoli edisylas | | | |
| D | B | Rp. | | Hemineurin | kaps. 0,3 g | d | 20 kaps. |
35 | | | | | Clotrimazolum | | | |
| | | Rp. | | Canesten | krem 1% | e | 20 g |
| | | Rp. | | Canesten | roztwór 1% | e | 20 ml |
| | | Rp. | | Canesten | tabl. dopochw. 0,1 g | f | 6 tabl. + aplikator |
| | | Rp. | | Canesten | tabl. dopochw. 0,2 g | f | 3 tabl. + aplikator |
| | | Rp. | | Canesten | tabl. dopochw. 0,5 g | f | 3 tabl. + aplikator |
| | | Rp. | | Clotrimazolum, Clotrimazol | tabl. dopochw. 0,1 g | b | 6 tabl. |
| | | Rp. | | Clotrimazolum | tabl. dopochw. 0,5 g | a | 1 tabl. |
| | | Rp. | | Clotrimazolum | płyn 1% | b | 15 ml |
| | | Rp. | | Clotrimazolum | płyn 1% do rozpyl. | c | 15 g |
| | | Rp. | | Clotrimazolum | krem 1% | b | 20 g |
| | | Rp. | | Clotrimazolum | maść do oczu 1% | a | 3 g |
| | | Rp. | | Clotrimazolum | żel 1% | b | 20 g |
| | | Rp. | | Fungizid-Ratiopharm 100 | tabl. dopochw. 0,1 g | e | 6 tabl. + aplikator |
| | | Rp. | | Fungizid-Ratiopharm 200 | tabl. dopochw. 0,2 g | e | 3 tabl. + aplikator |
| | | Rp. | | Fungizid-Ratiopharm | krem 1% | d | 20 g |
| | | Rp. | | Micoter | krem 1% | d | 30 g |
| | | Rp. | | Micoter | płyn 1% | d | 30 ml |
36 | | | | | Cloxacillinum natricum | | | |
| | B | Rp. | | Syntarpen | inj. 0,25 g | d | 5 fiol. z suchą subst. |
| | B | Rp. | | Syntarpen | inj. 0,5 g | d | 5 fiol. z suchą subst. |
| | B | Rp. | | Syntarpen | inj. 1 g | x | 5 fiol. z suchą subst. |
37 | | | | | Codeini phosphas | | | |
| | B | Rp. | w | Codeinum phosphoricum | tabl. 0,02 g | a | 10 tabl. |
38 | | | | | Colecalciferolum | | | |
| | B | Rp. | | Vigantol | krople 20.000 j.m./ml | c | 10 ml |
| | B | Rp. | | Vigantoletten 500 | tabl. 500 j.m. | c | 30 tabl. |
| | B | Rp. | | Vigantoletten 1000 | tabl. 1.000 j.m. | d | 30 tabl. |
| | B | Rp. | | Vitaminum D3 | krople 15.000 j.m./1 ml | b | 10 ml |
39 | | | | | Cortisoni acetas | | | |
| | B | Rp. | | Adreson | inj. 0,25 g/10 ml | g | 5 fiol. |
40 | | | | | Co-Trimoxazolum | | | |
| | B | Rp. | | Apo-Sulfatrim | tabl. 400 mg/80 mg | c | 20 tabl. |
| | B | Rp. | | Bactrim | tabl. 400 mg/80 mg | e | 20 tabl. |
| | B | Rp. | | Bactrim forte | tabl. 800 mg/160 mg | d | 10 tabl. |
| | B | Rp. | | Bactrim | syrop 200 mg/40 mg w 5 ml | e | 100 ml |
| | B | Rp. | | Biseptol 120 | tabl. 0,12 g | a | 20 tabl. |
| | B | Rp. | | Biseptol 480 | tabl. 0,48 g | b | 20 tabl. |
| | B | Rp. | | Biseptol 960 | tabl. 0,96 g | b | 10 tabl. |
| | B | Rp. | | Biseptol | zawiesina 0,24 g/5 ml | b | 80 ml |
| | B | Rp. | | Groseptol 120 | tabl. 0,12 g | a | 20 tabl. |
| | B | Rp. | | Groseptol 480 | tabl. 0,48 g | b | 20 tabl. |
| | B | Rp. | | Septrin 480 | tabl. 0,48 g | d | 20 tabl. |
| | B | Rp. | | Septrin | zaw. dla dzieci 240 mg/5 ml | x | 100 ml |
41 | | | | | Crotamitonum | | | |
| | | Rp. | | Crotamiton 10% | płyn 10% | c | 100 g |
| | | Rp. | | Crotamiton 10% | maść 10% | b | 40 g |
42 | | | | | Cyanocobalaminum | | | |
| | B | Rp. | | Vitaminum B12 | inj. 100 µg/1 ml | c | 10 amp. |
| | B | Rp. | | Vitaminum B12 | inj. 1.000 µg/2 ml | c | 5 amp. |
43 | | | | | Cyclophosphamidum | | | |
| | B | Rp. | | Endoxan | draż. 0,05 g | f | 50 draż. |
44 | | | | | Danazolum | | | |
| | | Rp. | | Danazol | tabl. 0,2 g | g | 100 tabl. |
| | | Rp. | | Danol-Danazol 1/2 | kaps. 0,1 g | g | 100 kaps. |
| | | Rp. | | Danol-Danazol | kaps. 0,2 g | g | 100 kaps. |
| | | Rp. | | Danoval | kaps. 0,2 g | g | 100 kaps. |
45 | | | | | Desmopressini acetas | | | |
| | B | Rp. | | Adiuretin SD | krople do nosa | f | 5 ml |
46 | | | | | Desoxycortoni acetas | | | |
| | B | Rp. | | Desoxycortonum | inj. 0,005 g/2 ml | c | 5 amp. |
| | B | Rp. | | Desoxycortonum | inj. 0,01 g/2 ml | c | 5 amp. |
47 | | | | | Dexamethasoni natrii phosphas | | | |
| | B | Rp. | | Decadron | inj. 0,004 g/1 ml | g | 10 fiol. |
| | B | Rp. | | Decadron | inj. 0,008 g/2 ml | x | 10 fiol. |
| | B | Rp. | | Dexamethason | inj. 0,004 g/1 ml | d | 10 amp. |
| | B | Rp. | | Dexaven | inj. 0,004 g/1 ml | c | 10 amp. |
| | B | Rp. | | Dexaven | inj. 0,008 g/2 ml | d | 10 amp. |
| | B | Rp. | | Dexa-Ratiopharm 4 | inj. 0,004 g/2 ml | f | 10 amp. |
| | B | Rp. | | Dexa-Ratiopharm 8 | inj. 0,008 g/2 ml | f | 10 amp. |
| | B | Rp. | | Fortecortin | inj. 0,008 g/2 ml | f | 9 amp. |
48 | | | | | Dexamethasonum | | | |
| | B | Rp. | | Dexamethason | tabl. 0,5 mg | b | 20 tabl. |
| | B | Rp. | | Dexamethason | tabl. 0,001 g | b | 20 tabl. |
| | B | Rp. | | Dexamethason | zaw. do oczu 0,1% | b | 10 ml |
| | B | Rp. | | Dexapolcort | aerosol | c | 40 g |
49 | | | | | Diagnostyczne preparaty | | | |
| | | Rp. | | Biophan E (Albuphan) | test paskowy | d | 50 pasków |
| | | Rp. | | Biophan G (Glucophan) | test paskowy | e | 100 pasków |
| | | Rp. | | Biophan P | test paskowy | d | 50 pasków |
| | | Rp. | | Dextronal | test paskowy | x | 50 pasków |
| | | Rp. | | Mydriacyl 0,5% | krople do oczu | e | 15 ml |
| | | Rp. | | Mydriacyl 1,0% | krople do oczu | e | 15 ml |
| | | Rp. | | Testarpen | inj. (1 test) | x | 1 fiol. z suchą subst. + rozp. |
| | | Rp. | | Tropicamidum 0,5% | krople do oczu 0,5% | c | 10 ml |
| | | Rp. | | Tropicamidum 1% | krople do oczu 1% | c | 10 ml |
50 | | | | | Diclofenacum natricum | | | |
| | B | Rp. | | Apo-Diclo | tabl. powl. 0,025 g | c | 20 tabl. powl. |
| | B | Rp. | | Apo-Diclo | tabl. powl. 0,05 g | d | 20 tabl. powl. |
| | B | Rp. | | Diklofen | czopek 0,05 g | x | 10 czopków |
| | B | Rp. | | Diklofen forte | tabl. powl. 0,05 g | x | 20 tabl. powl. |
| | B | Rp. | | Diklofen retard | tabl. powl. 0,1 g | x | 20 tabl. powl. |
| | B | Rp. | | Diclobert 50, Diclofenac | czopek 0,05 g | b,d | 10 czopków |
| | B | Rp. | | Diclofenac | czopek 0,1 g | c | 10 czopków |
| | B | Rp. | | Diclofenac Retard Ratiopharm | kaps. 0,1 g | e | 20 kaps. |
| | B | Rp. | | Diclofenac Ratiopharm 25 | tabl. powl. 0,025 g | d | 20 tabl. powl. |
| | B | Rp. | | Diclofenac Ratipharm 25 | czopek 0,025 g | c | 10 czopków |
| | B | Rp. | | Doclofenac Ratiopharm 50 | czopek 0,05 g | d | 10 czopków |
| | B | Rp. | | Diclofenac Ratiopharm 100 | czopek 0,1 g | e | 10 czopków |
| | B | Rp. | | Diclofenac Sodium E/C | tabl. powl. 0,05 g | x | 20 tabl. powl. |
| | B | Rp. | | Diclofenac 100 Stada Retard | tabl. powl. 0,1 g | x | 20 tabl. powl. |
| | B | Rp. | | Diclophlogont 25 | tabl. powl. 0,025 g | x | 20 tabl. powl. |
| | B | Rp. | | Dicloreum | tabl. 0,05 g | d | 20 tabl. |
| | B | Rp. | | Dicloreum retard | tabl. 0,1 g | e | 20 tabl. |
| | B | Rp. | | Dicloreum | czopek 0,1 g | e | 10 czopków |
| | B | Rp. | | Feloran | tabl. powl. 0,025 g | c | 20 tabl. powl. |
| | B | Rp. | | Feloran | czopek 0,025 g | d | 10 czopków |
| | B | Rp. | | Feloran | czopek 0,05 g | e | 10 czopków |
| | B | Rp. | | Majamil | tabl. powl. 0,025 g | b | 20 tabl. powl. |
| | B | Rp. | | Majamil | tabl. powl. 0,05 g | b | 20 tabl. powl. |
| | B | Rp. | | Majamil prolongatum | tabl. powl. 0,1 g | c | 20 tabl. powl. |
| | B | Rp. | | Naklofen | tabl. powl. 0,05 g | c | 20 tabl. powl. |
| | B | Rp. | | Naklofen retard | tabl. 0,1 g | e | 20 tabl. |
| | B | Rp. | | Naklofen | czopek 0,05 g | d | 10 czopków |
| | B | Rp. | | Olfen-25 | tabl. powl. 0,025 g | d | 20 tabl. powl. |
| | B | Rp. | | Olfen-50 | tabl. powl. 0,05 g | d | 20 tabl. powl. |
| | B | Rp. | | Olfen-50 | czopek 0,05 g | e | 10 czopków |
| | B | Rp. | | Olfen-100 | czopek 0,1 g | f | 10 czopków |
| | B | Rp. | | Olfen-100 SR Depocaps | kaps. 0,1 g | e | 20 kaps. |
| | B | Rp. | | Rewodina | tabl. powl. 0,025 g | d | 20 tabl. powl. |
| | B | Rp. | | Rewodina retard | tabl. powl. 0,1 g | e | 20 tabl. powl. |
| | B | Rp. | | Voltaren | draż. 0,025 g | d | 20 draż. |
| | B | Rp. | | Voltaren | draż. 0,05 g | e | 20 draż. |
| | B | Rp. | | Voltaren | czopek 0,025 g | d | 10 czopków |
| | B | Rp. | | Voltaren | czopek 0,05 g | e | 10 czopków |
| | B | Rp. | | Voltaren SR 100 | draż. 0,1 g | f | 20 draż. |
| | B | Rp. | | Voltaren SR | tabl. 0,075 g | e | 20 tabl. |
51 | | | | | Digoxinum | | | |
| | A | Rp. | | Digoxin | tabl. 0,25 mg | a | 30 tabl. |
| | A | Rp. | | Digoxin | inj. 0,5 mg/2 ml | c | 5 amp. |
| | A | Rp. | | Digoxin BM | tabl. 0,1 mg | a | 30 tabl. |
52 | | | | | Dihydralazini sulfas | | | |
| | B | Rp. | | Dihydralazinum | tabl. 0,025 g | b | 30 tabl. |
53 | | | | | Diltiazemi hydrochloridum | | | |
| | B | Rp. | | Aldizem | tabl. 0,06 g | e | 50 tabl. |
| | B | Rp. | | Blocalcin | tabl. 0,06 g | e | 50 tabl. |
| | B | Rp. | | Blocalcin | tabl. 0,09 g | e | 30 tabl. |
| | B | Rp. | | Diacordin | tabl. 0,06 g | d | 50 tabl. |
| | B | Rp. | | Dilrene 300 L.P. | kaps. 0,3 g | g | 28 kaps. |
| | B | Rp. | | Dilzem | tabl. 0,06 g | e | 60 tabl. |
| | B | Rp. | | Dilzem retard | tabl. 0,09 g | e | 50 tabl. |
| | B | Rp. | | Diltiazem | tabl. 0,06 g | e | 50 tabl. |
| | B | Rp. | | Oxycardil 60 | tabl. powl. 60 mg | x | 60 tabl. powl. |
| | B | Rp. | | Oxycardil 120 | tabl. powl. 120 mg | x | 30 tabl. powl. |
| | B | Rp. | | Poltiazem | tabl. 0,03 g | d | 60 tabl. |
| | B | Rp. | | Zilden | tabl. 0,06 g | e | 50 tabl. |
54 | | | | | Disopyramidum | | | |
| | B | Rp. | | Disocor | kaps. 0,1 g | d | 60 kaps. |
| | B | Rp. | | Rythmodan | kaps. 0,1 g | f | 60 kaps. |
55 | | | | | Dithranolum | | | |
| | B | Rp. | | Cignoderm | maść 0,1% | b | 40 g |
| | B | Rp. | | Cignoderm | maść 0,5% | c | 40 g |
| | B | Rp. | | Cognoderm | maść 1% | c | 40 g |
| | B | Rp. | | Cignoderm | maść 2% | d | 40 g |
| | B | Rp. | | Cignoderm | sztyft 2% | c | 1 szt. |
| | B | Rp. | | Cignodermin | maść 0,5% | x | 30 g |
| | B | Rp. | | Cignodermisal | maść 0,3% | x | 30 g |
56 | | | | | Dithranolum + Acidum salicylicum | | | |
| | B | Rp. | | Dithranol A | maść 0,2% | b | 40 g |
| | B | Rp. | | Dithranol A | maść 0,5% | b | 40 g |
| | B | Rp. | | Dithranol A | maść 1% | c | 40 g |
| | B | Rp. | | Ditrhanol A | maść 2% | c | 40 g |
57 | | | | | Enalaprili maleas | | | |
| | B | Rp. | | Benalapril 5 | tabl. 0,005 g | d | 20 tabl. |
| | B | Rp. | | Enap 5 | tabl. 0,005 g | d | 20 tabl. |
| | B | Rp. | | Enap 10 | tabl. 0,01 g | d | 20 tabl. |
| | B | Rp. | | Enap 20 | tabl. 0,02 g | e | 20 tabl. |
| | B | Rp. | | Enarenal | tabl. 0,005 g | b | 20 tabl. |
| | B | Rp. | | Enarenal | tabl. 0,01 g | c | 20 tabl. |
| | B | Rp. | | Enarenal | tabl. 0,02 g | d | 20 tabl. |
| | B | Rp. | | Mapryl | tabl. 0,005g | x | 20 tabl. |
| | B | Rp. | | Mapryl | tabl. 0,02g | x | 20 tabl. |
| | B | Rp. | | Olivin | tabl. 0,01 g | x | 20 tabl. |
| | B | Rp. | | Olivin | tabl. 0,02 g | x | 20 tabl. |
| | B | Rp. | | Renitec | tabl. 0,005 g | f | 28 tabl. |
| | B | Rp. | | Renitec | tabl. 0,01 g | g | 28 tabl. |
| | B | Rp. | | Renitec | tabl. 0,02 g | g | 28 tabl. |
58 | | | | | Enoxaparinum natricum | | | |
| | B | Rp. | | Clexane | inj. 20 mg/0,2 ml | e | 2 amp. -strzykawki |
| | B | Rp. | | Clexane | inj. 40 mg/0,4 ml | f | 2 amp. -strzykawki |
59 | | | | | Epinephrini hydrotartras | | | |
| D | A | Rp. | | Adrenalinum | inj. 0,001 g/1 ml | d | 10 amp. |
60 | | | | | Erythromycini cyclocarbonas | | | |
| | B | Rp. | | Davercin | tabl. powl. 0,125 g | c | 16 tabl. powl. |
| | B | Rp. | | Davercin | tabl. powl. 0,25 g | d | 16 tabl. powl. |
| | B | Rp. | | Davercin | gran. do przyg. zaw. (0,15 g/5 ml) | c | 30 g |
61 | | | | | Erythromycinum | | | |
| | B | Rp. | | Eryc | kaps. 0,25 g | x | 24 kaps. |
| | B | Rp. | | Erythromycinum | tabl. powl., kaps. 0,2 g | c | 16 tabl. powl., kaps. |
62 | | | | | Erythromycini estolas | | | |
| | B | Rp. | | Erythromycinum | proszek do przyg. zaw. 1,5 g/60 ml | c | 60 ml |
63 | | | | | Famotidinum | | | |
| | B | Rp. | | Famogast | tabl. powl. 0,02 g | c | 20 tabl. powl. |
| | B | Rp. | | Famogast | tabl. powl. 0,04 g | c | 20 tabl. powl. |
| | B | Rp. | | Famotidine | tabl. powl. 0,04 g | c | 20 tabl. powl. |
| | B | Rp. | | Quamatel | tabl. powl. 20 mg | x | 28 tabl. powl. |
| | B | Rp. | | Quamatel | tabl. powl. 40 mg | x | 14 tabl. powl. |
| | B | Rp. | | Ulfamid | tabl. powl. 0,02 g | c | 20 tabl. powl. |
| | B | Rp. | | Ulfamid | tabl. powl. 0,04 g | c,d | 20 tabl. powl. |
64 | | | | | Fenoteroli hydrobromidum | | | |
| | B | Rp. | | Berotec | aerosol | x | 10 ml (200 dawek) |
65 | | | | | Fludrocortisoni acetas | | | |
| | B | Rp. | | Cortineff | tabl. 0,1 mg | a | 20 tabl. |
| | B | Rp. | | Cortineff | maść do oczu 0,1% | a | 3 g |
66 | | | | | Furaginum | | | |
| | B | Rp. | | Furagina, Furaginum | tabl. 0,05 g | c | 30 tabl. |
67 | | | | | Furosemidum | | | |
| | B | Rp. | | Desal | tabl. 0,04 g | x | 50 tabl. |
| | B | Rp. | | Desal | inj. 0,02 g/2 ml | x | 5 amp. |
| | B | Rp. | | Furosemid | tabl. 0,04 g | b | 40 tabl. |
| | B | Rp. | | Furosemid | inj. 0,02 g/2 ml | b | 5 amp. |
68 | | | | | Glyceroli trinitras | | | |
| | A | Rp. | * | Nitroglycerinum | tabl. podjęz. 0,5 mg | a | 20 tabl. |
| | A | Rp. | | Nitroglycerinum 1 | tabl. 1 mg | x | 20 tabl. |
| | A | Rp. | | Nitroglycerinum prolongatum | tabl. 6,4 mg | c | 40 tabl. |
| | A | Rp. | | Nitromint | aerosol 0,4 mg/dawkę | e | 10 g (180 dawek) |
| | A | Rp. | | Polnitrin | tabl. podpoliczk. 0,005 g | c | 30 tabl. |
| | A | Rp. | | Sustonit | tabl. 6,5 mg | b | 25 tabl. |
| | A | Rp. | | Sustonit | tabl. 0,015 g | c | 30 tabl. |
69 | | | | | Hydrochlorothiazidum | | | |
| | B | Rp. | | Hydrochlorothiazidum | tabl. 0,0125 g | x | 40 tabl. |
| | B | Rp. | | Hydrochlorothiazidum | tabl. 0,025 g | a | 40 tabl. |
70 | | | | | Hydrocortisoni acetas | | | |
| | B | Rp. | | Hydrocortisonum | krem 1% | b | 15 g |
| | B | Rp. | | Ophticor H | zaw. do oczu 1% | x | 3 ml |
71 | | | | | Hydrocortisoni hemisuccinas | | | |
| | B | Rp. | | Hydrocortisonum hemisuccinatum | inj. 0,025 g/1 ml | d | 5 amp. 1 ml + 5 amp. 2 ml rozp. |
| | B | Rp. | | Hydrocortisonum hemisuccinatum | inj. 0,1 g/2 ml | d | 5 amp. 2 ml + 5 amp. 3 ml rozp. |
| | B | Rp. | | Hydrocortisonum hemisuccinatum | inj. 0,5 g/2 ml | e | 5 amp. 2 ml + 5 amp. 3 ml rozp. |
72 | | | | | Hydrocortisonum | | | |
| | B | Rp. | | Hydrocortisonum | tabl. 0,02 g | c | 20 tabl. |
73 | | | | | Hydroxyprogesteroni caproas | | | |
| | B | Rp. | | Kaprogest | inj. 0,25 g/2 ml | e | 5 amp. |
| | B | Rp. | | Proluton-Depot | inj. 0,25 g | g | 5 amp. strzyk. |
74 | | | | | Ibuprofenum | | | |
| | B | Rp. | | Ibuprofen | draż. 0,2 g | c | 60 draż. |
| | B | Rp. | | Ibuprofen | zaw. 2% | b | 100 ml |
| | B | Rp. | | Ibuprom | tabl. powl. 0,2 g | x | 50 tabl. powl. |
75 | | | | | Isosorbidi dinitras | | | |
| | B | Rp. | | Apo-ISDN S/L | tabl. 0,005 g | b | 30 tabl. |
| | B | Rp. | | Apo-ISDN | tabl. 0,01 g | b | 30 tabl. |
| | B | Rp. | | Cardonit prolongatum | tabl. 0,04 g | b | 30 tabl. |
| | B | Rp. | | Cardonit prolongatum | tabl. 0,06 g | b | 30 tabl. |
| | B | Rp. | | Carodnit prolongatum | tabl. 0,08 g | b | 30 tabl. |
| | B | Rp. | | Cornilat | tabl. 0,005 g | x | 30 tabl. |
| | B | Rp. | | Cornilat | tabl. podj. 0,01 g | x | 30 tabl. |
| | B | Rp. | | Isodinit | tabl. podj. 0,0025 g | x | 60 tabl. |
| | B | Rp. | | Isodinit | tabl. 0,01 g | b | 30 tabl. |
| | B | Rp. | | Isodinit retard | tabl. 0,02 g | c | 30 tabl. |
| | B | Rp. | | Isoket | tabl. 0,005 g | d | 30 tabl. |
| | B | Rp. | | Isoket retard | tabl. 0,02 g | e | 30 tabl. |
| | B | Rp. | | Isoket retard 40 | tabl. 0,04 g | f | 30 tabl. |
| | B | Rp. | | Isoket retard | kaps. 0,12 g | f | 30 kaps. |
| | B | Rp. | | Iso-Mack retard | kaps. 0,02 g | d | 30 kaps. |
| | B | Rp. | | Iso-Mack retard | kaps. 0,04 g | d | 30 kaps. |
| | B | Rp. | | Iso-Mack retard | kaps. 0,06 g | e | 30 kaps. |
| | B | Rp. | | Maycor Retard 20 | kaps. 0,02 g | d | 30 kaps. |
| | B | Rp. | | Maycor Retard 40 | kaps. 0,04 g | d | 30 kaps. |
| | B | Rp. | | Maycor Retard 60 | kaps. 0,06 g | e | 30 kaps. |
| | B | Rp. | | Sorbonit | tabl. 0,01 g | b | 30 tabl. |
| | B | Rp. | | Sorbonit 5 | tabl. 0,005g | a | 30 tabl. |
| | B | Rp. | | Sorbonit prolongatum | tabl. 0,02 g | b | 30 tabl. |
| | B | Rp. | | Sorbonit prolongatum | tabl. 0,04 g | b | 30 tabl. |
| | B | Rp. | | Vasorbate | tabl. 0,01 g | x | 30 tabl. |
76 | | | | | Isosorbidi mononitras | | | |
| | B | Rp. | | Effox | tabl. 0,01 g | c | 60 tabl. |
| | B | Rp. | | Effox | tabl. 0,02 g | c | 50 tabl. |
| | B | Rp. | | Effox | tabl. 0,04 g | d | 40 tabl. |
| | B | Rp. | | Effox Long | tabl. retard, kaps. 0,05 g | d | 30 tabl., kaps. |
| | B | Rp. | | Isomonit 20 | tabl. 0,02 g | d | 30 tabl. |
| | B | Rp. | | Isomonit 40 | tabl. 0,04 g | d | 30 tabl. |
| | B | Rp. | | Mono Mack Depot | tabl. 0,1 g | x | 28 tabl. |
| | B | Rp. | | Mononit | tabl. powl. 0,01 g | c | 60 tabl. powl. |
| | B | Rp. | | Mononit | tabl. powl. 0,02 g | c | 50 tabl. powl. |
| | B | Rp. | | Mononit | tabl. powl. 0,04 g | d | 40 tabl. powl. |
| | B | Rp. | | Mononit 60 retard | tabl. 0,06 g | x | 20 tabl. |
| | B | Rp. | | Olicard retard | kaps. 0,04 g | e | 20 kaps. |
| | B | Rp. | | Olicard retard | kaps. 0,06 g | f | 20 kaps. |
77 | | | | | Kalii chloridum | | | |
| | | Rp. | | Kalipoz prolongatum, Kalimat prolongatum | tabl. 0,75 g | c | 30 tabl. |
| | | Rp. | | Kalium | syrop | c | 150 ml |
| | | Rp. | | Kalium effervescens | granulat | c | 12 torebki po 5 g |
78 | | | | | Kalii citras | | | |
| | | Rp. | | Kalium effervescens (bezcukrowy) | gran. mus. | c | 20 saszetek po 3 g |
| | | Rp. | | Kalium granulat (bezcukrowy) | gran. | c | 60 g (20 dawek) |
79 | | | | | Kalii gluconas | | | |
| | | Rp. | | Kalium gluconicum | syrop | c | 150 ml |
| | | Rp. | | Kalium gluconicum | proszek | c | 12 saszetek po 5 g |
80 | | | | | Ketoprofen | | | |
| | B | Rp. | | Ketonal | kaps. 0,05 g | c | 24 kaps. |
| | B | Rp. | | Ketonal forte | tabl. powl. 0,1 g | d | 20 tabl. powl. |
| | B | Rp. | | Ketonal | inj. 0,1 g/2 ml | d | 10 amp. |
| | B | Rp. | | Profenid | kaps. 0,05 g | c | 24 kaps. |
| | B | Rp. | | Profenid pronolgatum | tabl. powl. 0,2 g | d | 14 tabl. powl. |
| | B | Rp. | | Profenid | czopek 0,1 g | e | 10 czopków |
| | B | Rp. | | Profenid | inj. 0,1 g/2 ml | c | 5 amp. |
| | B | Rp. | | Toprec | tabl. 0,025 g | x | 20 tabl. |
81 | | | | | Levodopum + Benserazidi hydrochloridum | | | |
| D | B | Rp. | | Madopar 62,5 | kaps. 0,0625 g | f | 100 kaps. |
| D | B | Rp. | | Madopar, Madopar 250 | kaps., tabl. 0,250 g | g | 100 kaps., tabl. |
| D | B | Rp. | | Madopar 125 | kaps. 0,125 g | g | 100 kaps. |
| D | B | Rp. | | Madopar HBS | kaps. 0,125 g | g | 100 kaps. |
82 | | | | | Levodopum + Cabridopum | | | |
| | B | Rp. | | Isicom | tabl. 250 mg/25 mg | x | 100 tabl. |
| | B | Rp. | | Nakom | tabl. 125 mg | g | 100 tabl. |
| | B | Rp. | | Nakom | tabl. 275 mg | g | 100 tabl. |
| | B | Rp. | | Poldomet 100 | 100 mg/25 mg tabl. | x | 100 tabl. |
| | B | Rp. | | Poldomet 250 | tabl. 250 mg/25 mg | x | 100 tabl. |
| | B | Rp. | | Sinemet | tabl. 275 mg | g | 100 tabl. |
| | B | Rp. | | Sinemet CR 50/200 | tabl. 250 mg | g | 100 tabl. |
83 | | | | | Levothyroxinum natricum | | | |
| | B | Rp. | | Eferox 25 | tabl. powl. 25 µg | c | 50 tabl. powl. |
| | B | Rp. | | Eferox 50 | tabl. powl. 50 µg | c | 50 tabl. powl. |
| | B | Rp. | | Eferox 75 | tabl. powl. 75 µg | c | 50 tabl. powl. |
| | B | Rp. | | Eferox 100 | tabl. powl. 100 µg | c | 50 tabl. powl. |
| | B | Rp. | | Eferox 125 | tabl. powl. 125 µg | c | 50 tabl. powl. |
| | B | Rp. | | Eferox 150 | tabl. powl. 150 µg | d | 50 tabl. powl. |
| | B | Rp. | | Eltroxin | tabl. 50 µg | c | 50 tabl. |
| | B | Rp. | | Eltroxin | tabl. 100 µg | d | 50 tabl. |
| | B | Rp. | | Euthyrox 25 | tabl. 25 µg | x | 50 tabl. |
| | B | Rp. | | Euthyrox 50 | tabl. 50 µg | c | 50 tabl. |
| | B | Rp. | | Euthyrox 75 | tabl. 75 µg | x | 50 tabl. |
| | B | Rp. | | Euthyrox 100 | tabl. 100 µg | c | 50 tabl. |
| | B | Rp. | | Euthyrox 125 | tabl. 125 µg | x | 50 tabl. |
| | B | Rp. | | Euthyrox 150 | tabl. 150 µg | d | 50 tabl. |
| | B | Rp. | | Euthyrox 200 | tabl. 200 µg | x | 50 tabl. |
| | B | Rp. | | Letrox 25 (L-Thyroxin) | tabl. 25 µg | c | 50 tabl. |
| | B | Rp. | | Letrox 50 (L-Thyroxin) | tabl. 50 µg | c | 50 tabl. |
| | B | Rp. | | Letrox 100 (L-Thyroxin) | tabl. 100 µg | c | 50 tabl. |
| | B | Rp. | | Levoroxin | tabl. 100 µg | x | 30 tabl. |
| | B | Rp. | | Vobenol | tabl. 100 µg | d | 50 tabl. |
84 | | | | | Loperamidi hydrochloridum | | | |
| D | B | Rp. | | Dissenten | tabl. 0,002 g | c | 15 tabl. |
| D | B | Rp. | | Imodium | kaps. 0,002 g | d | 6 kaps. |
| D | B | Rp. | | Loperamid | tabl. 0,002 g | b | 10 tabl. |
85 | | | | | Mebendazolum | | | |
| | | Rp. | | Vermox | tabl. 0,1 g | c | 6 tabl. |
86 | | | | | Medroxyprogesteroni acetas | | | |
| | B | Rp. | | Depo-Provera | inj. 0,15 g/3 ml | f | 5 fiol. |
| | B | Rp. | | Depo-Provera 500 | inj. 0,5 g/3,3 ml | g | 5 fiol. |
| | B | Rp. | | Depo-Provera 1000 | inj. 0,1 g/6,7 ml | g | 5 fiol. |
| | B | Rp. | | Farlutal | inj. 0,5 g/2,5 ml | g | 5 fiol. |
| | B | Rp. | | Farlutal | tabl. 0,25 g | g | 20 tabl. |
| | B | Rp. | | Farlutal 500 | tabl. 0,5 g | g | 20 tabl. |
| | B | Rp. | | Farlutal | inj. 1,0 g/5 ml | g | 5 fiol. |
| | B | Rp. | | Provera | tabl. 0,1 g | f | 20 tabl. |
| | B | Rp. | | Provera | tabl. 0,5 g | g | 20 tabl. |
| | B | Rp. | | Provera | gran. 200 mg/4 g | x | 10 saszetek |
| | B | Rp. | | Provera | gran. 500 mg/10 g | g | 10 saszetek |
| | B | Rp. | | Provera | gran. 1.000 mg/10 g | g | 10 saszetek |
87 | | | | | Mesnum | | | |
| | B | Rp. | | Mistabron | aerozol do nosa 5 mg/dawkę | d | 12,5 ml |
| | B | Rp. | | Mucofluid | aerozol do nosa 5 g/100 g | e | 12,5 ml |
88 | | | | | Mestranolum | | | |
| | B | Rp. | | Mestranol | tabl. 0,1 mg | x | 21 tabl. |
89 | | | | | Methylthiouracilum | | | |
| | B | Rp. | | Methylthiouracilum | draż. 0,1 g | c | 40 draż. |
90 | | | | | Metildigoxinum | | | |
| | A | Rp. | | Bemecor | tabl. 0,1 mg | d | 30 tabl. |
| | A | Rp. | | Bemecor | inj. 0,2 mg/2 ml | d | 5 amp. |
| | A | Rp. | | Bemecor | krople 0,6 mg/1 ml | e | 10 ml |
| | A | Rp. | | Lanitop | tabl. 0,1 mg | d | 30 tabl. |
| | A | Rp. | | Lanitop | krople 0,6 ml/1 ml | e | 20 ml |
| | A | Rp. | | Lanitop | inj. 0,2 mg/2 ml | d | 5 amp. |
91 | | | | | Metoclopramidi hydrochloridum | | | |
| | B | Rp. | | Cerucal | tabl. 0,01 g | d | 50 tabl. |
| | B | Rp. | | Cerucal | inj. 0,01 g/2 ml | d | 5 amp. |
| | B | Rp. | | Metoclopramidum | tabl. 0,01 g | a | 50 tabl. |
| | B | Rp. | | Metoclopramidum | inj. 0,01 g/2 ml | b | 5 amp. |
92 | | | | | Metoprololi tartras | | | |
| | B | Rp. | | Betaloc | tabl. 0,05 g | x | 30 tabl. |
| | B | Rp. | | Betaloc | tabl. 0,1 g | e | 30 tabl. |
| | B | Rp. | | Metocard | tabl. 0,05 g | c | 30 tabl. |
| | B | Rp. | | Metocard | tabl. 0,1 g | c | 30 tabl. |
| | B | Rp. | | Metocard prolongatum | tabl. 0,2 g | d | 30 tabl. |
| | B | Rp. | | Metoprolol | tabl. 0,05 g | c | 30 tabl. |
| | B | Rp. | | Metoprolol | tabl. 0,1 g | x | 30 tabl. |
| | B | Rp. | | Metorpolol prolongatum | tabl. 0,2 g | d | 30 tabl. |
93 | | | | | Metronidazolum | | | |
| | | Rp. | | Metronidazol | tabl. 0,25 g | a | 20 tabl. |
| | | Rp. | | Metronidazol | tabl. dopochw. 0,5 g | b | 10 tabl. |
| | | Rp. | | Metronidazol | czopek 0,5 g | b | 10 czopków |
| | | Rp. | | Metronidazol | czopek 1 g | c | 10 czopków |
| | | Rp. | | Metronidazol 1% | żel | b | 15 g |
| | | Rp. | | Metronidazol 10% | maść stomatologiczna | b | 5 g |
| | | Rp. | | Metronidazol 1% | krem | b | 15 g |
94 | | | | | Metronidazolum + Chlorquinaldolum | | | |
| | | Rp. | | Gynalgin | tabl. dopochw. | c | 10 tabl. |
95 | | | | | Molsidominum | | | |
| | B | Rp. | | Corvaton | tabl. 0,002 g | f | 30 tabl. |
| | B | Rp. | | Molsidomina | tabl. 0,002 g | b | 30 tabl. |
| | B | Rp. | | Molsidomina | tabl. 0,004 g | b | 30 tabl. |
| | B | Rp. | | Molsidomina prolongatum | tabl. 0,008 g | c | 30 tabl. |
96 | | | | | Morphini hydrochloridum | | | |
| $ | N | Rp. | w | Morphinum hydrochloricum | inj. 0,01 g/1 ml | d | 10 amp. |
| $ | N | Rp. | w | Morphinum hydrochloricum | inj. 0,02 g/1 ml | d | 10 amp. |
97 | | | | | Nadroparinum calcicum | | | |
| | B | Rp. | | Fraxiparine | inj. 7.500 j.m./0,3 ml | e,f | 2 amp. -strzykawki |
| | B | Rp. | | Fraxiparine | inj. 15.000 j.m./0,6 ml | f,f | 2 amp. -strzykawki |
| | B | Rp. | | Fraxiparine | inj. 25.000 j.m./1 ml | f,f | 2 amp. -strzykawki |
98 | | | | | Naproxenum natricum | | | |
| | B | Rp. | | Anapran, Apranax | tabl. powl. 0,275 g | e,f | 40 tabl. powl. |
| | B | Rp. | | Anapran, Apranax | tabl. powl. 0,550 g | e | 20 tabl. powl. |
99 | | | | | Naproxenum | | | |
| | B | Rp. | | Apo-Naproxen | tabl. 0,125 g | e | 50 tabl. |
| | B | Rp. | | Apo-Naproxen | tabl. 0,25 g | e | 50 tabl. |
| | B | Rp. | | Naprosyn | tabl. 0,25 g | e | 50 tabl. |
| | B | Rp. | | Naproxen | tabl. 0,25 g | e | 50 tabl. |
| | B | Rp. | | Naproxen | tabl. 0,1 g | d | 40 tabl. |
| | B | Rp. | | Naproxen | tabl. 0,5 g | e | 20 tabl. |
| | B | Rp. | | Naproxen | zaw. 125 mg/5 ml | d | 100 ml |
| | B | Rp. | | Naproxen | czopek 0,25 g | c | 10 czopków |
| | B | Rp. | | Naproxen | czopek 0,5 g | d | 10 czopków |
100 | | | | | Natrii chloridum | | | |
| | B | | | Natrium chloratum | inj. 0,9%/5 ml | c | 10 amp. |
| | B | | | Natrium chloratum | inj. 0,9%/10 ml | c | 10 amp. |
101 | | | | | Natrii cromoglicas | | | |
| | B | Rp. | | Cromogen Inhaler 5 mg | aerosol 5 mg/dawkę | f | 200 dawek |
| | B | Rp. | | Cromohexal | roztw. do inh. 20 mg/2 ml | f | 50 amp. |
| | B | Rp. | | Cromolyn 20 mg inh. powder | kaps. 0,02 g | f | 100 kaps. |
| | B | Rp. | | Cropoz | aerosol 0,005 g/dawkę | f | 15 ml (150 dawek) |
| | B | Rp. | | Intal | kaps. 0,02 g | f | 90 kaps. |
| | B | Rp. | | Intal | aerosol 5 mg/dawkę | f | 112 dawek |
| | B | Rp. | | Intal | roztw. do rozpylania 20 mg/2 ml | g | 48 amp. 2 ml |
| | B | Rp. | | Taleum | aerosol 1 mg/dawkę | e | 10 ml (250 dawek) |
102 | | | | | Nedocromilum natricum | | | |
| | B | Rp. | | Tilade | aerosol 2 mg/dawkę | g | 112 dawek |
| | B | Rp. | | Tilade mint | aerosol 2 mg/dawkę | g | 112 dawek |
103 | | | | | Neostigmini methylsulfas | | | |
| | A | Rp. | | Polstigminum | tabl. 0,015 g | d | 20 tabl. |
| | A | Rp. | | Polstigminum | inj. 0,5 g/1 ml | c | 10 amp. |
104 | | | | | Nifedipinum | | | |
| | B | Rp. | | Apo-Nifed | kaps. 0,01 g | e | 50 kaps. |
| | B | Rp. | | Adalat | kaps. 0,01 g | f | 50 kaps. |
| | B | Rp. | | Adalat retard, Adalat SL | tabl., tabl powl. 0,02 g | f,e | 30 tabl., tabl. powl. |
| | B | Rp. | | Adalat CC 30 | tabl. powl. 0,03 g | x | 30 tabl. powl. |
| | B | Rp. | | Adalat CC 60 | tabl. powl. 0,06 g | x | 30 tabl. powl. |
| | B | Rp. | | Cordafen | tabl. powl. 0,01 g | b | 50 tabl. powl. |
| | B | Rp. | | Cordafen | krople 20 mg/ml | c | 30 ml |
| | B | Rp. | | Cordipin | tabl. powl. 0,01 g | c | 50 tabl. powl. |
| | B | Rp. | | Cordipin retard | tabl. powl. 0,02 g | d | 30 tabl. powl. |
| | B | Rp. | | Corinfar | draż. 0,01 g | c | 50 draż. |
| | B | Rp. | | Corinfar retard | tabl. powl. 0,02 g | d | 30 tabl. powl. |
| | B | Rp. | | Nifecard | tabl. powl. 0,01 g | x | 50 tabl. powl. |
| | B | Rp. | | Nifecard retard | tabl. powl. 0,02 g | x | 30 tabl. powl. |
| | B | Rp. | | Nifedicor | kaps. 0,01 g | e | 50 kaps. |
| | B | Rp. | | Nifedicor | kaps. 0,02 g | f | 50 kaps. |
| | B | Rp. | | Nifedicor | tabl. retard 0,02 g | e | 50 tabl. |
| | B | Rp. | | Nifedicor | krople 20 mg/ml | e | 30 ml |
| | B | Rp. | | Nifedipine | tabl. powl., kaps. 0,01 g | b,e | 50 tabl. powl., kaps. |
| | B | Rp. | | Nifedipin-Ratiopharm | kaps. 0,01 g | x | 50 kaps. |
| | B | Rp. | | Nifedipin-Ratiopharm | kaps. 0,005 g | e | 50 kaps. |
| | B | Rp. | | Nifedipin Retard Ratiopharm 20 | kaps. 0,02 g | e | 30 kaps. |
| | B | Rp. | | Nifedypina | kaps. 0,01 g | x | 50 kaps. |
| | B | Rp. | | Nifehexal 5 | kaps. 0,005 g | e | 50 kaps. |
| | B | Rp. | | Nifekexal 20 retard | tabl. 20 mg | x | 30 tabl. |
| | B | Rp. | | Zenusin-10 | kaps. 0,01 g | e | 50 kaps. |
| | B | Rp. | | Zenusin-20 | kaps. 0,02 g | e | 30 kaps. |
105 | | | | | Nitrendypinum | | | |
| | B | Rp. | | Baypress | tabl. 0,02 g | x | 20 tabl. |
| | B | Rp. | | Nitrendypina | tabl. 0,01 g | c | 30 tabl. |
| | B | Rp. | | Nitrendypina | tabl. 0,02 g | d | 30 tabl. |
| | B | Rp. | | Unipres 10 | tabl. 0,01 g | c | 20 tabl. |
| | B | Rp. | | Unipres 20 | tabl. 0,02 g | d | 20 tabl. |
106 | | | | | Nystatinum | | | |
| | B | Rp. | | Nystatyna | tabl. powl. 500.000 j.m. | c | 16 tabl. powl. |
| | B | Rp. | | Nystatyna | zaw. 2.400.000 j.m./24 ml | b | 1 fl. |
| | B | Rp. | | Nystatyna | tabl. dopochw. 100.000 j.m. | c | 10 tabl. |
| | B | Rp. | | Nystatyna | zasypka 100.000 j.m./1 g | c | 20 g |
107 | | | | | Penicillaminum | | | |
| | B | Rp. | | Cuprenil | tabl. powl. 0,125 g | x | 50 tabl. powl. |
| | B | Rp. | | Cuprenil | tabl. powl. 0,25 g | e | 30 tabl. powl. |
108 | | | | | Pentazocini hydrochloridum | | | |
| $ | B | Rp. | w | Fortral | inj. 0,03 g/1 ml | d | 10 amp. |
| $ | B | Rp. | w | Fortral | tabl. 0,05 g | f | 50 tabl. |
| $ | B | Rp. | w | Pentazocinum | tabl. 0,05 g | x | 50 tabl. |
| $ | B | Rp. | w | Pentazocinum | inj. 0,03 g/1 ml | d | 10 amp. |
109 | | | | | Pethidini hydrochloridum | | | |
| $ | N | Rp. | w | Dolargan | tabl. 0,025 g | c | 10 tabl. |
| $ | N | Rp. | w | Dolargan | inj. 0,1 g/2 ml | d | 5 amp. |
| $ | N | Rp. | w | Dolcontral | inj. 0,05 g/1 ml | d | 10 amp. |
| $ | N | Rp. | w | Dolcontral | inj. 0,1 g/2 ml | d | 10 amp. |
110 | | | | | Phenobarbitalum | | | |
| D | B | Rp. | | Luminalum | inj. 0,2 g/1 ml | c | 10 amp. 1 ml |
111 | | | | | Phenoxymethylpenicillinum benzathini | | | |
| | B | Rp. | | Ospen 750 syrop | zaw. 750.000 j.m./5 ml | e | 60 ml |
112 | | | | | Phenoxymethylpenicillinum kalicum | | | |
| | B | Rp. | | Ospen | tabl. powl. 500.000 j.m. | c | 12 tabl. powl. |
| | B | Rp. | | Ospen | tabl. powl. 1.000.000 j.m. | d | 12 tabl. powl. |
| | B | Rp. | | Ospen | tabl. powl. 1.500.000 j.m. | d | 12 tabl. powl. |
| | B | Rp. | | V-cylina | tabl. 400.000 j.m. | c | 10 tabl. |
113 | | | | | Phenylephrini hydrochloridum | | | |
| D | B | Rp. | | Neosynephrine | krople do oczu 10% | e | 5 ml |
114 | | | | | Physostigmini salicylas | | | |
| D | A | Rp. | | Physostigminum salicylicum | inj. 0,5 mg/1 ml | c | 10 amp. |
115 | | | | | Phytomenadionum | | | |
| | B | Rp. | | Vitacon | inj. 0,01 g/1 ml | d | 10 amp. |
| | B | Rp. | | Vitacon | inj. 0,001 g/0,5 ml | c | 10 amp. |
116 | | | | | Pilocarpini hydrochloridum | | | |
| D | B | Rp. | * | Pilocarpinum | krople do oczu 2% | c | 10 ml |
| D | B | Rp. | * | Pilocarpinum ophtalmicum | maść do oczu 2% | b | 3 g |
| D | B | Rp. | * | Isopto-Carpine 1% | krople do oczu 1% | d | 15 ml |
| D | B | Rp. | * | Isopto-Carpine 2% | krople do oczu 2% | d | 15 ml |
| D | B | Rp. | | Pilogel HS | żel 4% | e | 5 g |
| D | B | Rp. | * | Pilomann 1% | krople do oczu 1% | d | 10 ml |
| D | B | Rp. | * | Pilomann 2% | krople do oczu 2% | d | 10 ml |
| D | B | Rp. | * | Pilomann 3% | krople do oczu 3% | d | 10 ml |
117 | | | | | Praziquantelum | | | |
| | | Rp. | | Cesol | tabl. powl. 0,15 g | f | 6 tabl. powl. |
118 | | | | | Prazosini hydrochloridum | | | |
| | B | Rp. | | Adversuten | tabl. 0,001 g | c | 30 tabl. |
| | B | Rp. | | Adversuten | tabl. 0,005 g | d | 30 tabl. |
| | B | Rp. | | Minipress | tabl. 0,001 g | d | 30 tabl. |
| | B | Rp. | | Minipress | tabl. 0,002 g | e | 30 tabl. |
| | B | Rp. | | Minipress | tabl. 0,005 g | x | 30 tabl. |
| | B | Rp. | | Polpressin | tabl. 0,001 g | b | 30 tabl. |
| | B | Rp. | | Polpressin | tabl. 0,002 g | b | 30 tabl. |
| | B | Rp. | | Polpressin | tabl. 0,005 g | c | 30 tabl. |
119 | | | | | Prednisoloni acetas | | | |
| | B | Rp. | | Prednisolonum aceticum | zaw. do oczu 0,5% | c | 10 ml |
120 | | | | | Prednisolonum | | | |
| | B | Rp. | | Encortolon | tabl. 0,005 g | c | 40 tabl. |
| | B | Rp. | | Prednisolonum | krem 0,25% | a | 10 g |
| | B | Rp. | | Decortin H1 | tabl. 1 mg | x | 40 tabl. |
| | B | Rp. | | Decortin H5 | tabl. 5 mg | x | 40 tabl. |
| | B | Rp. | | Decortin H20 | tabl. 20 mg | x | 50 tabl. |
| | B | Rp. | | Decortin H50 | tabl. 50 mg | x | 50 tabl. |
121 | | | | | Prednisoni acetas | | | |
| | B | Rp. | | Encorton | tabl. 0,001 g | c | 40 tabl. |
| | B | Rp. | | Encorton | tabl. 0,005 g | c | 40 tabl. |
122 | | | | | Progesteronum | | | |
| | B | Rp. | | Progesteronum | tabl. podj. 0,05 g | c | 20 tabl. |
| | B | Rp. | | Progesteronum | inj. 0,01 g/1 ml | c | 5 amp. |
| | B | Rp. | | Progesteronum | inj. 0,025 g/1 ml | c | 5 amp. |
123 | | | | | Propafenoni hydrochloridum | | | |
| | B | Rp. | | Polfenon | tabl. powl. 0,15 g | e | 40 tabl. |
| | B | Rp. | | Polfenon | tabl. powl. 0,3 g | f | 40 tabl. |
| | B | Rp. | | Prolekofen | tabl. powl. 0,15 g | x | 40 tabl. |
| | B | Rp. | | Prolekofen | tabl. powl. 0,3 g | x | 40 tabl. |
| | B | Rp. | | Rytmonorm | tabl. powl. 0,15 g | f | 40 tabl. |
| | B | Rp. | | Rytmonorm | tabl. powl. 0,3 g | g | 40 tabl. |
124 | | | | | Propranololi hydrochloridum | | | |
| | B | Rp. | | Apo-Propranolon | tabl. 0,01 g | c | 50 tabl. |
| | B | Rp. | | Apo-Propranolol | tabl. 0,04 g | c | 50 tabl. |
| | B | Rp. | | Propranolol | tabl. 0,01 g | e | 50 tabl. |
| | B | Rp. | | Propranolol | tabl. 0,04 g | b | 50 tabl. |
| | B | Rp. | | Propranolol | inj. 0,001 g/1 ml | c | 10 amp. |
| | B | Rp. | | Propranolol | inj. 0,005 g/5 ml | c | 5 amp. |
| | B | Rp. | | Propranolol prolongatum | tabl. 0,08 g | b | 20 tabl. |
| | B | Rp. | | Propranolol prolongatum | tabl. 0,16 g | c | 20 tabl. |
| | B | Rp. | | Propra-Ratiopharm 40 | tabl. powl. 0,04 g | e | 50 tabl. powl. |
| | B | Rp. | | Propra-Ratiopharm 80 | tabl. powl. 0,08 g | f | 50 tabl. powl. |
| | B | Rp. | | Propra Retard-Ratopharm 80 | kaps. 0,08 g | f | 50 kaps. |
125 | | | | | Pyranteli pamoas | | | |
| | | Rp. | | Pyrantelum | tabl. 0,25 g | b | 3 tabl. |
| | | Rp. | | Pyrantelum | zaw. 0,05 g/1 ml | b | 15 ml |
126 | | | | | Pyrimethaminum | | | |
| | B | Rp. | | Daraprim | tabl. 0,025 g | d | 30 tabl. |
| | B | Rp. | | Pyrimen | tabl. 0,025 g | d | 30 tabl. |
127 | | | | | Ranitidini hydrochloridum | | | |
| | | Rp. | | Apo-Ranitidine | tabl. powl. 0,15 g | f | 40 tabl. powl. |
| | | Rp. | | Apo-Ranitidine | tabl. powl. 0,3 g | f | 30 tabl. powl. |
| | | Rp. | | Raniberl | tabl. powl. 0,l5 g | d | 40 tabl. powl. |
| | | Rp. | | Ranigasan | tabl. powl. 0,15 g | d | 40 tabl. powl. |
| | | Rp. | | Ranigast | tabl. powl. 0,15 g | d | 40 tabl. powl. |
| | | Rp. | | Ranisan | tabl. powl. 0,15 g | d | 40 tabl. powl. |
| | | Rp. | | Ranital | tabl. powl. 0,15 g | d | 40 tabl. powl. |
| | | Rp. | | Ranitin 150 | tabl. powl. 0,15 g | x | 40 tabl. powl. |
| | | Rp. | | Ranitin 300 | tabl. powl. 0,3 g | x | 30 tabl. powl. |
| | | Rp. | | Ranitine | tabl. powl. 150 mg | x | 30 tabl. powl. |
| | | Rp. | | Zantac | tabl. powl. 0,15 g | g | 40 tabl. powl. |
| | | Rp. | | Zantac | tabl. powl. 0,3 g | g | 30 tabl. powl. |
| | | Rp. | | Zantac effervescent | tabl. mus. 0,15 g | g | 30 tabl. |
| | | Rp. | | Zantac effervescent | tabl. mus. 0,3 g | x | 30 tabl. |
128 | | | | | Salbutamoli sulfas | | | |
| | B | Rp. | | Salbutamol | tabl. 0,002 g | a | 25 tabl. |
| | B | Rp. | | Salbutamol | tabl. 0,004 g | a | 25 tabl. |
| | B | Rp. | | Salbutamol | syrop 0,04 g/100 ml | b | 100 ml |
| | B | Rp. | | Salbutamol | aerosol 0,1 mg/dawkę | c | 20 ml (400 dawek) |
| | B | Rp. | | Salbutamol prolongatum | tabl. 0,008 g | b | 30 tabl. |
| | B | Rp. | | Salbutamol BP | aerosol 0,1 mg/dawkę | d | 10 ml (200 dawek) |
| | B | Rp. | | Salbuvent | aerosol 0,1 mg/dawkę | d | 10 ml (200 dawek) |
| | B | Rp. | | Ventolin | aerosol 0,1 mg/dawkę | d | 20 ml (200 dawek) |
129 | | | | | Selegilini hydrochloridum | | | |
| | B | Rp. | | Jumex | tabl. 0,005 g | f | 50 tabl. |
130 | | | | | Sole rehydratacyjne | | | |
| | | | | Gastrolit | tabl. | c | 30 tabl. |
| | | | | Gastrolit | saszetki 4 g | c | 15 saszetek |
| | | | | Saltoral | saszetki 5,5 g | c | 10 saszetek |
131 | | | | | Sulfathiazolum argentum | | | |
| | | Rp. | | Argosulfan | krem 2% | c | 40 g |
132 | | | | | Theophyllinum | | | |
| | B | Rp. | | Afonilum retard | kaps. 0,25 g | d | 20 kaps. |
| | B | Rp. | | Afonilum retard forte | kaps. 0,375 g | d | 20 kaps. |
| | B | Rp. | | Euphyllinum CR retard | tabl. powl. 0,25 g | d | 50 tabl. powl. |
| | B | Rp. | | Theo-Dur | tabl. retard 0,2 g | e | 50 tabl. |
| | B | Rp. | | Theo-Dur | tabl. retard 0,3 g | f | 50 tabl. |
| | B | Rp. | | Theophyllinum 100 | tabl. 0,1 g | c | 30 tabl. |
| | B | Rp. | | Theophyllinum 300 prolongatum | tabl. 0,3 g | d | 50 tabl. |
| | B | Rp. | | Theophyllinum prolongatum | tabl. 0,25 g | c | 20 tabl. |
| | B | Rp. | | Theopyllinum | czopek 0,35 g | c | 10 czopków |
| | B | Rp. | | Theopyllinum | czopek 100 mg | x | 10 czopków |
| | B | Rp. | | Theopyllinum | czopek 175 mg | x | 10 czopków |
| | B | Rp. | | Theoplus | tabl. prolongatum 0,1 g | x | 30 tabl. |
| | B | Rp. | | Theoplus | tabl. prolongatum 0,3 g | x | 30 tabl. |
| | B | Rp. | | Theospirex retard | tabl. 0,3 g | d | 50 tabl. |
| | B | Rp. | | Teotard | kaps. retard 0,2 g | d | 40 kaps. |
| | B | Rp. | | Teotard | kaps. retard 0,35 g | e | 40 kaps. |
| | B | Rp. | | Teotard | kaps. retard 0,5 g | x | 40 kaps. |
133 | | | | | Thiamazolum | | | |
| | B | Rp. | | Metizol | tabl. 0,005 g | c | 50 tabl. |
134 | | | | | Amiloridi hydrochloridum + Hydrochlorotiaz | | | |
| D | B | Rp. | | Tialorid mite | tabl. | x | 50 tabl. |
| D | B | Rp. | | Tialorid | tabl. | c | 50 tabl. |
| D | B | Rp. | | Moduretic | tabl. | x | 50 tabl. |
135 | | | | | Timololi maleas | | | |
| | | Rp. | | Cusimolol | krople do oczu 0,25% | c | 1 flak. 5 ml |
| | | Rp. | | Cusimolol | krople do oczu 0,5% | c | 1 flak. 5 ml |
| | | Rp. | | Oftan-Timolol | krople do oczu 0,25% | d | 1 flak. 5 ml |
| | | Rp. | | Oftan-Timolol | krople do oczu 0,5% | d | 1 flak. 5 ml |
| | | Rp. | | Oftensin | krople do oczu 0,25% | c | 1 flak. 5 ml |
| | | Rp. | | Oftensin | krople do oczu 0,5% | c | 1 flak. 5 ml |
| | | Rp. | | Timohexal 0,1% | krople do oczu 0,1% | d | 1 flak. 5 ml |
| | | Rp. | | Timohexal 0,25% | krople do oczu 0,25% | d | 1 flak. 5 ml |
| | | Rp. | | Timohexal 0,5% | krople do oczu 0,5% | d | 1 flak. 5 ml |
| | | Rp. | | Timoptic 0,25% | krople do oczu 0,25% | d | 1 flak. 5 ml |
| | | Rp. | | Timoptic 0,5% | krople do oczu 0,5% | e | 1 flak. 5 ml |
| | | Rp. | | Timoptic XE | krople do oczu tworzące żel 0,25% | e | 1 flak. 2,5 ml |
| | | Rp. | | Timoptic XE | krople do oczu tworzące żel 0,5% | f | 1 flak. 2,5 ml |
136 | | | | | Todralazini hydrochloridum | | | |
| | B | Rp. | | Binazin | tabl. 0,02 g | b | 30 tabl. |
137 | | | | | Verapamili hydrochloridum | | | |
| | B | Rp. | | Apo-Verap | draż. 0,08 g | d | 40 draż. |
| | B | Rp. | | Apo-Verap | draż. 0,12 g | e | 40 draż. |
| | B | Rp. | | Falicard 80 | draż. 0,08 g | x | 40 draż. |
| | B | Rp. | | Isoptin | tabl. powl. 0,04 g | d | 40 tabl. powl. |
| | B | Rp. | | Isoptin | tabl. powl. 0,08 g | d | 40 tabl. powl. |
| | B | Rp. | | Isoptin | tabl. powl. 0,12 g | x | 40 tabl. powl. |
| | B | Rp. | | Isoptin | inj. 0,005 g/2 ml | e | 10 amp. |
| | B | Rp. | | Isoptin SR | tabl. powl. 0,12 g | e | 40 tabl. powl. |
| | B | Rp. | | Isoptin SR | tabl. powl. 0,24 g | f | 20 tabl. powl. |
| | B | Rp. | | Lekoptin | draż. 0,04 g | c | 40 draż. |
| | B | Rp. | | Lekoptin | draż. 0,08 g | d | 40 draż. |
| | B | Rp. | | Lekoptin | draż. 0,12 g | e | 40 draż. |
| | B | Rp. | | Lekoptin | tabl. 0,24 g | e | 20 tabl. |
| | B | Rp. | | Lekoptin | inj. 0,005 g/2 ml | d | 10 amp. |
| | B | Rp. | | Lekoptin retard | tabl. powl. 0,24 g | e | 20 tabl. powl. |
| | B | Rp. | | Staveran | tabl. powl. 0,04 g | c | 40 tabl. powl. |
| | B | Rp. | | Staveran | tabl. powl. 0,08 g | c | 40 tabl. powl. |
| | B | Rp. | | Staveran | tabl. powl. 0,12 g | d | 40 tabl. powl. |
| | B | Rp. | | Staveran prolongatum | tabl. powl. 0,12 g | d | 40 tabl. powl. |
| | B | Rp. | | Verpamil | tabl. powl. 0,2 g | x | 40 tabl. powl. |
| | B | Rp. | | Verpamil | tabl. 0,04 g | c | 40 tabl. |
| | B | Rp. | | Verpamil | tabl. 0,08 g | d | 40 tabl. |
| | B | Rp. | | Verpamil | tabl. powl. 0,12 g | d | 40 tabl. powl. |
| | B | Rp. | | Verpamil | inj. 0,005 g/2 ml | x | 10 amp. |
| | B | Rp. | | Verapamil | tabl. powl. 0,04 g | c | 40 tabl. powl. |
| | B | Rp. | | Verapamil-Ratiopharm N40 | tabl. powl. 0,04 g | d | 40 tabl. powl. |
| | B | Rp. | | Verapamil-Ratiopharm N80 | tabl. powl. 0,08 g | e | 40 tabl. powl. |
| | B | Rp. | | Verapamil-Ratiopharm N120 | tabl. powl. 0,12 g | e | 40 tabl. powl. |
| | B | Rp. | | Verapamil-Ratiopharm 5 | inj. 0,005 g/2 ml | e | 10 amp. |
ZAŁĄCZNIK Nr 2
WYKAZ LEKÓW UZUPEŁNIAJĄCYCH WYDAWANYCH ZA ODPŁATNOŚCIĄ 30% CENY LEKU
Lp. | | | | | Nazwa | Postać i dawka | Kat. cen | Najmniejsze zarejestro- wane opak. |
1 | | | | | Acetazolamidum | | | |
| | B | Rp. | | Diuramid | tabl. 0,25 g | b | 20 tabl. |
2 | | | | | Acidum lacticum | | | |
| | | Rp. | | Lactovaginal | gałka dopochw. | d | 10 gałek |
3 | | | | | Acidum pipemidicum | | | |
| | B | Rp. | | Palin | kaps. 0,2 g | e | 20 kaps. |
| | B | Rp. | | Palin | tabl. powl. 0,4 g | x | 20 tabl. |
| | B | Rp. | | Pipram | kaps. 0,2 g | x | 20 kaps. |
| | B | Rp. | | Urolin | kaps. 0,2 g | d | 20 kaps. |
4 | | | | | Aciclovirum | | | |
| | B | Rp. | | Antivir | tabl. 0,2 g | d | 20 tabl. |
| | B | Rp. | | Cusiviral | maść do oczu 3% | f | 4,5 g |
| | B | Rp. | | Heviran | tabl. 0,2 g | e | 30 tabl. |
| | B | Rp. | | Zovirax | tabl. 0,2 g | g | 25 tabl. |
| | B | Rp. | | Zovirax | maść do oczu 3% | f | 4,5 g |
| | B | Rp. | | Zovirax | tabl. 0,4 g | g | 70 tabl. |
| | B | Rp. | | Zovirax | tabl. 0,8 g | g | 35 tabl. |
| | B | Rp. | | Zovirax | zaw. 0,2 g/5 ml | g | 125 ml |
| | B | Rp. | | Virolex | tabl. 0,2 g | g | 20 tabl. |
| | B | Rp. | | Virolex | maść do oczu 3% | f | 4,5 g |
5 | | | | | Allylestrenolum | | | |
| | B | Rp. | | Gestormone | tabl. 0,005 g | e | 20 tabl. |
| | B | Rp. | | Turinal | tabl. 0,005 g | e | 20 tabl. |
6 | | | | | Ambenonii chloridum | | | |
| | B | Rp. | | Mytelase | tabl. 0,01 g | f | 100 tabl. |
7 | | | | | Ambroxoli hydrochloridum | | | |
| | B | Rp. | | Aflegan | inj. 0,015 g/2 ml | x | 10 amp. |
| | B | Rp. | | Ambrohexal | inj. 0,015 g/2 ml | d | 5 amp. |
| | B | Rp. | | Ambroxol-Ratiopharm 15 | inj. 0,015 g/2 ml | e | 10 amp. |
| | B | Rp. | | Mucusolvan | inj. 0,015 g/2 ml | e | 10 amp. |
8 | | | | | Amoxicillinum + Acidum clavulanicum | | | |
| | B | Rp. | | Amoksiklav | tabl. powl. 0,625 g | f | 21 tabl. |
| | B | Rp. | | Amoksiklav | tabl. powl. 0,375 g | e | 21 tabl. |
| | B | Rp. | | Amoksiklav Drops | krople 62,5 mg/1 ml | d | 20 ml |
| | B | Rp. | | Amoksiklav | zaw. 156 mg/5 ml | e | 100 ml |
| | B | Rp. | | Amoksiklav forte | zaw. 312,5 mg/5 ml | e | 100 ml |
| | B | Rp. | | Augmentin | tabl., tabl. powl. 0,375 g | e | 21 tabl. |
| | B | Rp. | | Augmentin | tabl. 625 mg | x | 21 tabl. |
| | B | Rp. | | Augmentin | proszek do przyg. syropu 156 mg/5 ml | e | 100 ml |
| | B | Rp. | | Augmentin | proszek do przyg. syropu 312,5 mg/5 ml | f | 100 ml |
9 | | | | | Astemizolum | | | |
| | B | Rp. | | Astemisan | tabl. 0,01 g | x | 20 tabl. |
| | B | Rp. | | Astemizol | tabl. 0,01 g | d | 30 tabl. |
| | B | Rp. | | Hismanal | tabl. 0,01 g | d | 20 tabl. |
| | B | Rp. | | Hismanal | zaw. 1 mg/1 ml | e | 100 ml |
10 | | | | | Aurothioglucosum | | | |
| | B | Rp. | | Solganal | zawiesina 50 mg/ml | g | 10 ml |
11 | | | | | Beclometasoni dipropionas | | | |
| | B | Rp. | | Beclocort | aerosol do nosa 0,05 mg/dawkę | d | 10 ml (200 dawek) |
| | B | Rp. | | Beclomet nasal | aerosol 0,05 mg/dawkę | e | 10 ml (200 dawek) |
12 | | | | | Bismuthi subcitras | | | |
| | | Rp. | | Cytribin | tabl. powl. 0,12 g | e | 112 tabl. |
| | | Rp. | | Ventrisol | tabl. powl. 0,12 g | e | 112 tabl. |
| | | Rp. | | De-Nol | tabl. 0,12 g | g | 112 tabl. |
13 | | | | | Budesonidum | | | |
| | B | Rp. | | Budesonid | aerosol do nosa 0,05 mg/dawkę | d | 10 ml (200 dawek) |
| | B | Rp. | | Rhinocort | aerosol do nosa 0,05 mg/dawkę | f | 200 dawek |
14 | | | | | Carbacholi chloridum | | | |
| D | B | Rp. | | Carbachol | krople do oczu 3% | b | 10 ml |
| D | B | Rp. | | Isopto-Carbachol | krople do oczu 1,5% | d | 15 ml |
| D | B | Rp. | | Isopto-Carbachol | krople do oczu 3% | d | 15 ml |
15 | | | | | Cefuroximum | | | |
| | B | Rp. | | Biofuroxym | inj. 0,75 g | d | 1 fiol. |
| | B | Rp. | | Biofuroxym | inj. 1,5 g | d | 1 fiol. |
| | B | Rp. | | Kefurox | inj. 0,75 g | e | 1 fiol. |
| | B | Rp. | | Kefurox | inj. 1,5 g | e | 1 fiol. |
| | B | Rp. | | Plixym | inj. 0,75 g | d | 1 fiol. |
| | B | Rp. | | Plixym | inj. 1,5 g | d | 1 fiol. |
| | B | Rp. | | Zinacef | inj. 0,75 g | d | 1 fiol. |
| | B | Rp. | | Zinacef | inj. 1,5 g | e | 1 fiol. |
16 | | | | | Cetirizini hydrochloridum | | | |
| | B | Rp. | | Zyrtec | tabl. powl. 0,01 g | d,f | 20 tabl. |
| | B | Rp. | | Zyrtec | krople 0,01 g/1 ml | e | 10 ml |
17 | | | | | Chlormidazol | | | |
| | | Rp. | * | Polfungicid | maść 5% | c | 25 g |
| | | Rp. | * | Polfungicid | płyn | c | 10 ml |
18 | | | | | Chlorquinaldolum | | | |
| | | Rp. | | Chlorchinaldin | maść 3% | b | 20 g |
19 | | | | | Chlortalidonum | | | |
| | B | Rp. | | Hygroton | tabl. 0,05 g | e | 20 tabl. |
| | B | Rp. | | Urandil | tabl. 0,05 g | d | 30 tabl. |
20 | | | | | Clemastini fumaras | | | |
| D | B | Rp. | | Clemastinum | tabl. 0,001 g | b | 30 tabl. |
| D | B | Rp. | | Clemastinum | syrop 0,001 g/10 ml | c | 100 ml |
21 | | | | | Clomifeni citras | | | |
| D | B | Rp. | | Clostilbegyt | tabl. 0,05 g | d | 10 tabl. |
22 | | | | | Clonidini hydrochloridum | | | |
| D | A | Rp. | | Catapresan | tabl. 0,075 mg | d | 20 tabl. |
| D | A | Rp. | | Catapresan | tabl. 0,15 mg | x | 30 tabl. |
| D | A | Rp. | | Clonidin | kaps. 0,075 mg | e | 20 kaps. |
| D | A | Rp. | | Clonidin | kaps. 0,15 mg | x | 20 kaps. |
| D | A | Rp. | | Clonistada | tabl. 0,15 mg | x | 20 tabl. |
| D | A | Rp. | | Haemiton | tabl. 0,075 mg | x | 50 tabl. |
| D | A | Rp. | | Haemiton | tabl. 0,3 mg | x | 30 tabl. |
| D | A | Rp. | | Iporel | tabl. 0,075 mg | c | 50 tabl. |
23 | | | | | Clopamidum | | | |
| | | Rp. | | Brinaldix | tabl. 0,01 g | x | 20 tabl. |
| | | Rp. | | Brinaldix | tabl. 0,02 g | x | 20 tabl. |
| | | Rp. | | Clopamid | tabl. 0,02 g | c | 20 tabl. |
24 | | | | | Clotrimazol comp. | | | |
| | | Rp. | | Proftin-T | zasypka | c | 150 g |
25 | | | | | Colchicinum | | | |
| | A | Rp. | | Colchicum-Dispert | draż. 0,5 mg | d | 25 tabl. |
26 | | | | | Cyproteroni acetas | | | |
| | B | Rp. | | Androcur | tabl. 0,05 g | g | 20 tabl. |
27 | | | | | Cyproteroni acetas + Ethinylestradiolum | | | |
| | | Rp. | | Diane-35 | draż. | e | 21 draż. |
28 | | | Rp. | | Delatar | maść 2% | d | 50 g |
29 | | | | | Demoxytocinum | | | |
| | B | Rp. | | Sandopart | tabl. podpoliczk. 50 j.m. | e | 10 tabl. |
30 | | | | | Dextranomerum | | | |
| | | Rp. | | Acudex | zasypka 4 g | e | 10 saszetek |
| | | Rp. | | Crupodex | zasypka | f | 60 g |
31 | | | | | Diclofenacum natricum | | | |
| | B | Rp. | | Dicloreum | inj. 0,075 g/3 ml | e | 6 amp. |
| | B | Rp. | | Diklofen | inj. 0,075 g/3 ml | x | 5 amp. |
| | B | Rp. | | Feloran | inj. 0,075 g/3 ml | e | 10 amp. |
| | B | Rp. | | Naklofen | inj. 0,075 g/3 ml | d | 5 amp. |
| | B | Rp. | | Olfen | inj. 0,075 g/2 ml | e | 5 amp. |
| | B | Rp. | | Voltaren | inj. 0,075 g/3 ml | f | 5 amp. |
32 | | | | | Dimenhydrinatum | | | |
| D | B | Rp. | | Aviomarin | inj. 0,05 g/1 ml | c | 5 amp. |
33 | | | | | Streptokinazum | | | |
| | B | Rp. | | Distreptaza | tabl. 15.000 j.m. | e | 20 tabl. |
| | B | Rp. | | Distreptaza | inj. 60.000 j.m. | d | 1 fiol. 10 ml |
| | B | Rp. | | Distreptaza | czopek 15.000 j.m. | c | 6 czopków |
34 | | | | | Disulfiramum | | | |
| D | B | Rp. | | Anticol | tabl. 0,5 g | c | 30 tabl. |
35 | | | | | Ergotamini tartras | | | |
| | B | Rp. | | Ergotaminum tartaricum | draż. 0,001 g | b | 20 draż. |
36 | | | | | Estradioli benzoas | | | |
| | B | Rp. | | Oestradiolum benzoicum | inj. 0,005 g/2 ml | c | 5 amp. |
37 | | | | | Estradioli valeras | | | |
| | B | Rp. | | Estradiol-Depot | inj. 0,01 g/1 ml | f | 10 amp. |
38 | | | | | Estradiolum comp. | | | |
| | B | Rp. | | Oestrofeminal | kaps. 0,3 mg | d | 21 kaps. |
| | B | Rp. | | Oestrofeminal | kaps. 0,6 mg | d | 21 kaps. |
| | B | Rp. | | Oestrofeminal | kaps. 1,25 mg | e | 21 kaps. |
39 | | | | | Ethinylestradiolum + Levonorgestrelum | | | |
| | B | Rp. | | Microgynon 21 | tabl. | d | 21 draż. |
| | B | Rp. | | Rigevidon | tabl. | c | 21 tabl. |
| | B | Rp. | | Stediril 30 | draż. | d | 21 draż. |
40 | | | | | Ethinylestradiolum + Norethisteronum | | | |
| | B | Rp. | | Gestigen | tabl. | b | 21 tabl. |
41 | | | | | Ethisteronum | | | |
| | B | Rp. | | Ethisteron | tabl. podjęz. 0,025 g | d | 20 tabl. |
42 | | | | | Etretinatum | | | |
| | B | Rp. | | Tigason | kaps. 0,01 g | g | 100 kaps. |
| | B | Rp. | | Tigason | kaps. 0,025 g | g | 100 kaps. |
43 | | | | | Fenbufenum | | | |
| | B | Rp. | | Fenbufen | tabl. 0,3 g | e | 30 tabl. |
44 | | | | | Fenoteroli hydrobromidum | | | |
| D | B | Rp. | | Fenoterol | tabl. 0,005 g | c | 100 tabl. |
| D | B | Rp. | | Partusisten | tabl. 0,005 g | f | 100 tabl. |
45 | | | | | Ferrosi chloridum | | | |
| | | Rp. | * | Hemofer | krople 44 Fe2+/ml | b | 10 ml |
| | | Rp. | * | Ferro 66 | krople 0,044 g/ml | d | 20 ml |
46 | | | | | Ferrosi sulfas | | | |
| | | Rp. | * | Eisendragees-Ratiopharm | draż. 50 mg Fe2+ | b | 20 draż. |
| | | Rp. | * | Ferro-Gradumet | tabl. 325 mg, tabl. powl. 525 mg | d | 30 tabl. |
| | | Rp. | * | Hemofer prolongantum | draż. 105 mg Fe2+ | b | 30 draż. |
| | | Rp. | * | Resoferon | draż. | e | 50 draż. |
| | | Rp. | * | Sorbifer Durules | tabl. powl. 100 mg | d | 50 tabl. |
| | | Rp. | * | Tardyferon | tabl. powl. retard 80 mg Fe2+ | x | 30 tabl. |
47 | | | | | Fluconazolum | | | |
| | B | Rp. | | Difucan | kaps. 0,05 g | g | 7 kaps. |
| | B | Rp. | | Difucan | kaps. 0,1 g | g | 7 kaps. |
| | B | Rp. | | Difucan | kaps. 0,15 g | f | 1 kaps. |
| | B | Rp. | | Difucan | kaps. 0,2 g | x | 14 kaps. |
| | B | Rp. | | Difucan | syrop 5 mg/ml | g | 150 ml |
| | B | Rp. | | Fluconazole | kaps. 0,05 g | f | 14 kaps. |
| | B | Rp. | | Fluconazole | kaps. 0,1 g | f | 7 kaps. |
| | B | Rp. | | Fluconazole | syrop 5 mg/1 ml | f | 150 ml |
48 | | | | | Fludrocortisonum + Neomycinum + Gramicidinum | | | |
| | B | Rp. | | Dicortineff | maść do oczu | b | 3 g |
| | B | Rp. | | Dicortineff | zawiesina do oczu | b | 10 ml |
49 | | | | | Flunisolidum | | | |
| | | Rp. | | Bronilide | aerosol dozowany 0,25 mg/dawkę | f | 12 ml (120 dawek) |
| | | Rp. | | Syntaris | zaw. do nosa 0,025 mg/dawkę | f | 24 ml (240 dawek) |
50 | | | | | Fluticasoni propionas | | | |
| | | Rp. | | Flixonase | zaw. do nosa 0,05% | g | 10 ml (120 dawek) |
51 | | | | | Fosfestrolum dinatricum | | | |
| | B | Rp. | | Fostrolin | tabl. 0,1 g | e | 20 tabl. |
| | B | Rp. | | Fostrolin | inj. 0,25 g/5 ml | x | 10 amp. |
52 | | | | | Framycetinum comp. | | | |
| | B | Rp. | | Carident | maść | c | 5 g |
53 | | | | | Gentamicini sulfas | | | |
| | B | Rp. | | Garamycin | inj. 0,04 g/1 ml | x | 10 amp. |
| | B | Rp. | | Gentamycin | inj. 0,01 g/1 ml | d | 10 amp. |
| | B | Rp. | | Gentamicin, Gentamycin | inj. 0,02 g/2 ml | c,d | 10 amp. |
| | B | Rp. | | Gentamycin, Gentamicin | inj. 0,04 g/1 ml, inj. 0,04 g/2 ml | d,e d | 10 amp. 10 amp. |
| | B | Rp. | | Gentamycin, Gentamicin, Garamycin | inj. 0,08 g/2 ml | d,e | 10 amp. |
| | B | Rp. | | Gentamycin, Gentamicin | krople do oczu 0,3% | a | 10 ml |
| | B | Rp. | | Gentamycin, Gentamicin | maść do oczu | a,d | 3 g, 5 g |
| | B | Rp. | | Gentamicin Ratiopharm | inj. i.m. 0,08 g/2 ml | g | 5 amp. |
| | B | Rp. | | Gentamytrex | krople do oczu 5 mg/ml | d | 5 ml |
| | B | Rp. | | Gentymytrex | maść do oczu 5 mg/g | c | 3 g |
54 | | | | | Glucosum | | | |
| | B | Rp. | | Glucosum | inj. 10% | d | 10 amp. 10 ml |
| | B | Rp. | | Glucosum | inj. 20% | d | 10 amp. 10 ml |
55 | | | | | Gonadotrophinum chorionicum | | | |
| | B | Rp. | | Biogonadyl | inj. 500 j.m. | e | 5 amp. z suchą subst. + 5 amp. rozp. |
| | B | Rp. | | Biogonadyl | inj. 2.000 j.m. | f | 5 amp. z suchą subst. + 5 amp. rozp. |
| | B | Rp. | | Pregnyl | in. 500 j.m. | e | 3 amp. z suchą subst. + 3 amp. rozp. |
| | B | Rp. | | Pregnyl | inj. 1.500 j.m. | f | 3 amp. z suchą subst. + 3 amp. rozp. |
| | B | Rp. | | Pregnyl | inj. 5.000 j.m. | g | 3 amp. z suchą subst. + 3 amp. rozp. |
| | B | Rp. | | Profasi | liofilizat 500 j.m. | e | 3 amp. liof. + 3 amp. rozp. |
| | B | Rp. | | Profasi | liofilizat 1.000 j.m. | f | 3 amp. liof. + 3 amp. rozp. |
| | B | Rp. | | Profasi | liofilizat 2.000 j.m. | f | 3 amp. liof. + 3 amp. rozp. |
| | B | Rp. | | Profasi | liofilizaf 5.000 j.m. | f | 1 amp. liof. + 1 amp. rozp. |
| | B | Rp. | | Profasi | liofilizat 10.000 j.m. | f | 1 amp. liof. + 1 amp. rozp. |
56 | | | | | Hydrocortisoni acetas | | | |
| | B | Rp. | | Hydrocortisonum | inj. 0,125 g/5 ml | e | 10 fiol. |
57 | | | | | Hydrocortisoni butyras | | | |
| | B | Rp. | | Locoid | krem 0,1% | d | 15 g |
| | B | Rp. | | Locoid Lipocrem | maść 0,1% | d | 15 g |
| | B | Rp. | | Locoid | lotio 0,1% | d | 20 ml |
| | B | Rp. | | Locoid Crelo | emulsja 0,1% | x | 30 g |
| | B | Rp. | | Laticort | maść 0,1% | a | 15 g |
| | B | Rp. | | Laticort | krem 0,1% | a | 15 g |
| | B | Rp. | | Laticort | lotio 0,1% | b | 20 ml |
58 | | | | | Hydrocortisoni butyras + Chloroquinaldolum | | | |
| | B | Rp. | | Laticort-CH | krem 0,1% | a | 15 g |
| | B | Rp. | | Laticort-CH | maść 0,1% | a | 15 g |
59 | | | | | Ipratropii bromidum | | | |
| | B | Rp. | | Atrovent | aerosol 0,02 mg/dawkę | e | 15 ml (300 dawek) |
| | B | Rp. | | Atrovent | roztw. do inh. 25 mg/100 ml | e | 20 ml |
60 | | | | | Isosorbidi dinitras | | | |
| | B | Rp. | | Aerosonit | aerosol 1,25 mg/dawkę | d | 12 ml (300 dawek) |
| | B | Rp. | | Isoket | aerosol 1,25 mg/dawkę | f | 15 ml (300 dawek) |
61 | | | | | Ketoconazolum | | | |
| | B | Rp. | | Katokonazol | tabl. 0,2 g | d | 10 tabl. |
| | B | Rp. | | Ketozol | tabl. 0,2 g | d | 10 tabl. |
| | B | Rp. | | Ketozol | glob. 0,4 g | x | 3 glob. |
| | B | Rp. | | Nizoral | tabl. 0,2 g | f | 10 tabl. |
| | B | Rp. | | Nizoral | glob. 0,4 g | x | 3 glob. |
| | B | Rp. | | Oronazol | tabl. 0,2 g | x | 20 tabl. |
62 | | | | | Ketotifeni hydrofumaras | | | |
| D | B | Rp. | | Ketof | kaps. 0,001 g | d | 20 kaps. |
| D | B | Rp. | | Ketof | syrop 1 mg/5 ml | d | 100 ml |
| D | B | Rp. | | Ketotifen | tabl. 0,001 g | c | 30 tabl. |
| D | B | Rp. | | Ketotifen | syrop 0,2 mg/1 ml | c | 100 ml |
| D | B | Rp. | | Pozitan | tabl. 0,001 g | c | 50 tabl. |
| D | B | Rp. | | Zaditen | tabl. 0,001 g | f | 30 tabl. |
| D | B | Rp. | | Zaditen | syrop 0,02 g/100 ml | f | 100 ml |
| D | B | Rp. | | Zaditen SRO | tabl. powl. 0,002 g | f | 30 tabl. |
63 | | | | | Lynestrenolum | | | |
| | B | Rp. | | Endometril | tabl. 0,005 g | d | 30 tabl. |
| | B | Rp. | | Orgametril | tabl. 0,005 g | d | 30 tabl. |
64 | | | | | Mexiletini hydrochloridum | | | |
| D | B | Rp. | | Katen | kaps. 0,1 g | d | 50 kaps. |
| D | B | Rp. | | Mexicord | kaps. 0,2 g | e | 50 kaps. |
| D | B | Rp. | | Mexitil | kaps. 0,2 g | f | 50 kaps. |
| D | B | Rp. | | Mexitil Depot | kaps. retard 0,36 g | f | 20 kaps. |
65 | | | | | Mesalazinum | | | |
| | | Rp. | | Jukolon | tabl. powl. 0,25 g | x | 50 tabl. |
| | | Rp. | | Salozinal (Salofalk) | tabl. 0,25 g | f | 50 tabl. |
| | | Rp. | | Pentasa | tabl. o powoln. uwal. 0,5 g | g | 100 tabl. |
66 | | | | | Mesnum | | | |
| | B | Rp. | | Mistabron | płyn do inh. lub wlewań 0,6 g/3 ml | e | 5 amp. |
67 | | | | | Methotrexatum | | | |
| | A | Rp. | | Methotrexat | tabl. 0,01 g | g | 100 tabl. |
| | A | Rp. | | Methotrexat | tabl. 2,5 mg | f | 100 tabl. |
| | A | Rp. | | Methotrexate | tabl. 2,5 mg | d | 20 tabl. |
| | A | Rp. | | Trexan | tabl. 2,5 mg | f | 100 tabl. |
68 | | | | | Methyldopum | | | |
| D | B | Rp. | | Dopanol | tabl. 0,25 g | d | 50 tabl. |
| D | B | Rp. | | Dopegyt | tabl. 0,25 g | d | 50 tabl. |
69 | | | | | Methylprednisoloni acetas | | | |
| | B | Rp. | | Depo-Medrol | inj. 0,04 g/1 ml | c,d | 1 fiol. |
| | B | Rp. | | Depo-Medrol z lidokainą | inj. 0,04 g/1 ml | d | 1 fiol. |
70 | | | | | Methyltestosteronum | | | |
| | B | Rp. | | Mesteron | tabl. podjęz. 0,01 g | c | 20 tabl. |
71 | | | | | Miconazoli nitras | | | |
| | | Rp. | | Gyno-Daktarin | globulki 0,1 g | f | 15 glob. |
| | | Rp. | | Gyno-Femidazol | tabl. dopochw. 0,1 g | d | 15 tabl. |
72 | | | | | Miconazolum comp. | | | |
| | B | Rp. | | Mycosolon | maść | d | 15 g |
73 | | | | | Naphazolinum + Diphenhydraminum | | | |
| | | Rp. | * | Betadrin | krople do oczu | a | 10 ml |
| | | Rp. | * | Betadrin | krople do nosa | a | 10 ml |
74 | | | | | Natrii aurothiomalas | | | |
| | B | Rp. | | Tauredon | inj. 0,01 g/0,5 ml | g | 10 amp. |
| | B | Rp. | | Tauredon | inj. 0,02 g/0,5 ml | g | 10 amp. |
75 | | | | | Natrii cromoglicas | | | |
| | B | Rp. | | Cromohexal | krople do oczu 2% | d | 10 ml |
| | B | Rp | | Cromohexal | krople do oczu 2% | e | 20 x 0,5 ml |
| | B | Rp. | | Cromohexal | aerosol 20 mg/ml | f | 30 ml |
| | B | Rp. | | Cromosol | aerosol 2,6 mg/dawkę | f | 28 ml |
| | B | Rp. | | Cromosol | aerosol do nosa 4% (5,2 mg/dawkę) | x | 30 ml |
| | B | Rp. | | Cromosol | aerosol do gardła 4% (10 mg/dawkę) | x | 30 ml |
| | B | Rp. | | Cusicrom 4% | krople do oczu 4% | d | 10 ml |
| | B | Rp. | | Hay-Crom | krople do oczu 2% | d | 13,5 ml |
| | B | Rp. | | Lomusol | aerosol 2% | f | 26 ml |
| | B | Rp. | | Opticrom | krople do oczu 2% | f | 13,5 ml |
| | B | Rp. | | Polcrom | krople do oczu 2% | x | 10 ml |
| | B | Rp. | | Vividrin | aerosol do nosa 2,6 mg/dawkę | x | 15 ml |
| | B | Rp. | | Vividrin | krople do oczu 20 mg/ml | x | 10 ml |
76 | | | | | Norethisteroni acetas | | | |
| | B | Rp. | | Norethisteron | tabl. 0,005 g | c | 20 tabl. |
| | B | Rp. | | Primolut Nor | tabl. 0,005 g | e | 20 tabl. |
77 | | | | | Odżywki | | | |
| | | | | Humana O | proszek | d | 350 g |
78 | | | | | Piroxicamum | | | |
| | B | Rp. | | Apo-Piroxicam | kaps. 0,01 g | c | 20 kaps. |
| | B | Rp. | | Apo-Piroxicam | kaps. 0,02 g | d | 20 kaps. |
| | B | Rp. | | Feldene | kaps. 0,01 g | e | 20 kaps. |
| | B | Rp. | | Feldene | kaps. 0,02 g | x | 20 kaps. |
| | B | Rp. | | Feldene | czopek 0,02 g | x | 12 czopków |
| | B | Rp. | | Piroxicam | tabl. powl. 0,01 g | b | 20 tabl. |
| | B | Rpl | | Piroxicam | tabl. powl. 0,02 g | c | 20 tabl. |
| | B | Rp. | | Piroxicam | czopek 0,01 g | b | 10 czopków |
| | B | Rp. | | Piroxicam | czopek 0,02 g | b | 10 czopków |
79 | | | | | Polymyxinum B comp. | | | |
| | B | Rp. | | Atecortin | zawiesina | b | 5 ml |
80 | | | | | Polividonum Iodum | | | |
| | | Rp. | | Betadine | płyn 10% | x | 30 ml |
| | | Rp. | | Betadine | mydło w płynie 75 mg/ml | x | 120 ml |
| | | Rp. | | Betadine | maść 100 mg/1g | x | 20 g |
| | | Rp. | | Betadine | globulki 200 mg | x | 14 szt. |
| | | Rp. | | Polseptol | globulki 0,2 g | b | 5 szt. |
| | | Rp. | | Polseptol | maść 1% | b | 20 g |
| | | Rp. | | Povidone Iodine 10% | roztwór 10% | c | 20 ml |
| | | Rp. | | Povidone Iodine | zasypka 1% | x | 25 g |
81 | | | | | Prednisoloni pivalas | | | |
| | B | Rp. | | Mecortolon | krem 0,5% | a | 10 g |
82 | | | | | Pridinoli hydrochloridum | | | |
| D | B | Rp. | | Pridinol | tabl. 0,005 g | b | 50 tabl. |
83 | | | | | Pridinoli mesylas | | | |
| D | B | Rp. | | Polmesilat | tabl. 0,004 g | c | 50 tabl. |
84 | | | | | Procainamidi hydrochloridum | | | |
| | B | Rp. | | Procainamidum | tabl. 0,25 g | c | 30 tabl. |
85 | | | | | Proderminum comp. | | | |
| | | Rp. | | Psorisan 5% | maść 5% | c | 50 g |
| | | Rp. | | Psorisan 10% | maść 10% | c | 50 g |
| | | Rp. | | Psorisan 20% | maść 20% | c | 50 g |
86 | | | | | Pyridostigmini bromidum | | | |
| | B | Rp. | | Mestinon | draż. 0,06 g | g | 150 draż. |
87 | | | | | Spironolactonum | | | |
| | B | Rp. | | Aldactone A | tabl. 0,025 g | x | 20 tabl. |
| | B | Rp. | | Aldactone 100 | tabl. 0,1 g | x | 30 tabl. |
| | B | Rp. | | Spiridon | tabl. 0,025 g | b | 20 tabl. |
| | B | Rp. | | Spironol | tabl. 0,025 g | c | 20 tabl. |
| | B | Rp. | | Spironol 100 | tabl. 0,1 g | x | 20 tabl. |
| | B | Rp. | | Spironolacton Stada | kaps. 0,05 g | x | 50 kaps. |
| | B | Rp. | | Spironolacton Stada | kaps. 0,1 g | x | 50 kaps. |
| | B | Rp. | | Verospiron | tabl. 0,025 g | c | 20 tabl. |
88 | | | | | Sucralfatum | | | |
| | | Rp. | | Ancrusal | tabl. 0,5 g | e | 120 tabl. |
| | | Rp. | | Sucralfate | tabl. 1 g | f | 100 tabl. |
| | | Rp. | | Sucralfat-Ratiopharm 1000 | tabl. 1 g | d | 20 tabl. |
| | | Rp. | | Ulcogant | tabl. 1 g | f | 50 tabl. |
| | | Rp. | | Ulcogant Suspension | zaw. 1 g/5 ml | f | 250 ml |
| | | Rp. | | Ulcogant Suspension | zaw. 1 g/5 ml | f | 50 saszetek |
| | | Rp. | | Ulcogant | gran. 1 g | f | 50 saszetek |
| | | Rp. | | Ulgastran | tabl. 1 g | d | 50 tabl. |
| | | Rp. | | Ulgastran | zaw. 1 g/5 ml | e | 250 ml |
| | | Rp. | | Ulgastran | zaw. 1 g/5 ml | x | 50 saszetek |
| | | Rp. | | Venter | tabl. 1 g | e | 50 tabl. |
| | | Rp. | | Venter | gran. 1 g | e | 50 saszetek |
89 | | | | | Sulfadiazinum argenteum | | | |
| | | Rp. | | Dermazin | krem 1% | d | 50 g |
90 | | | | | Sulfasalazinum | | | |
| | B | Rp. | | Sulfasalazin | tabl. 0,5 g | f | 50 tabl. |
| | B | Rp. | | Sulfasalazin EN | tabl. powl. 0,5 g | f | 50 tabl. |
91 | | | | | Testosteroni enanthas | | | |
| | B | Rp. | | Testosteronum prolongatum | inj. 0,1 g/1 ml | d | 5 amp. |
92 | | | | | Testosteroni propionas | | | |
| | B | Rp. | | Testosteronum propionicum | inj. 0,01 g/1 ml | c | 5 amp. |
| | B | Rp. | | Testosteronum propionicum | inj. 0,025 g/1 ml | c | 5 amp. |
93 | | | | | Testosteronum | | | |
| | B | Rp. | | Omnadren 250 | inj. 0,25 g/1 ml | c | 1 amp. |
94 | | | | | Thietylperazini dimaleas | | | |
| D | B | Rp. | | Torecan | tabl. powl. 6,5 mg | d | 50 tabl. |
| D | B | Rp. | | Torecan | czopek 6,5 mg | d | 5; 6 czopków |
95 | | | | | Tinidazolum | | | |
| | B | Rp. | | Tinidazolum | tabl. powl. 0,5 g | a | 4 tabl. |
96 | | | | | Tretinoinum | | | |
| | B | Rp. | | Airol | płyn 0,05% | x | 50 ml |
| | B | Rp. | | Atrederm | płyn 0,025% | c | 60 ml |
| | B | Rp. | | Atrederm | płyn 0,05% | c | 60 ml |
| | B | Rp. | | Atrederm | płyn 0,1% | c | 20 ml |
97 | | | | | Triamcinoloni acetonidum | | | |
| | B | Rp. | | Kenalog | inj. 0,04 g/1 ml | e | 1 amp. |
| | B | Rp. | | Polcortolon | krem 0,1% | a | 15 g |
| | B | Rp. | | Polcortolon | maść 0,1% | a | 15 g |
| | B | Rp. | | Polcortolon 10 | inj. 0,01 g/1 ml | d | 5 fiol. |
| | B | Rp. | | Polcortolon 40 | inj. 0,04 g/1 ml | d | 5 fiol. |
| | B | Rp. | | Polcortolon 200 | inj. 0,2 g/5 ml | x | 10 fiol. |
98 | | | | | Triamcinolonum | | | |
| | B | Rp. | | Polcortolon | tabl. 0,001 g | b | 20 tabl. |
| | B | Rp. | | Polcortolon | tabl. 0,004 g | c | 20 tabl. |
99 | | | | | Triamcinoloni + Dichlorhydroxychinolin | | | |
| | B | Rp. | | Monacort | aerosol | c | 35 g |
ZAŁĄCZNIK Nr 3
WYKAZ LEKÓW UZUPEŁNIAJĄCYCH WYDAWANYCH ZA ODPŁATNOŚCIĄ 50% CENY LEKU
Lp. | | | | | Nazwa | Postać i dawka | Kat. cen | Najmniejsze zarejestrowane opak. |
1 | | | Rp. | | Acespargin | tabl. 0,25 g | b | 30 tabl. |
2 | | | | | Acetylcysteinum | | | |
| | B | Rp. | | Acetylocysteina | kaps. 0,1 g | d | 20 kaps. |
| | B | Rp. | | ACC 100 | granulat 100 mg | d | 20 saszetek po 3 g |
| | B | Rp. | | ACC 200 | granulat 200 mg | e | 20 saszetek po 3 g |
| | B | Rp. | | ACC 200 | kaps. 0,2 g | d | 20 kaps. |
| | B | Rp. | | ACC 100 | tabl. mus. 0,1 g | d | 20 tabl. |
| | B | Rp. | | ACC 200 | tabl. mus. 0,2 g | e | 20 tabl. |
| | B | Rp. | | ACC 600 | tabl. mus. 0,6 g | x | 20 tabl. |
| | B | Rp. | | Mucisol | proszek do sporz. roztw. (4,8 g n-acetylcysteinum) | d | 60 g |
| | B | Rp. | | Tussicom 100 | granulat 100 mg/5 g | c | 20 saszetek po 5 g |
| | B | Rp. | | Tussicom 200 | granulat 200 mg/5 g | d | 20 saszetek po 5 g |
3 | | | | | Acidum citricum + Kalium/Natrium citricum | | | |
| | | Rp. | | Citrolyt | granulat | e | 220 g |
4 | | | | | Acidum sulfosalicylicum + Acidum trichloraceticum | | | |
| | | Rp. | * | Dermasept | płyn | c | 30 g |
5 | | | | | Acidum tranexamicum | | | |
| | B | Rp. | | Exacyl | tabl. powl. 0,25 g | x | 20 tabl. |
| | B | Rp. | | Exacyl | tabl. powl. 0,5 g | e | 20 tabl. |
| | B | Rp. | | Exacyl | inj. 0,5 g/5 ml | e | 5 amp. |
| | B | Rp. | | Exacyl | roztw. do picia 1 g/10 ml | e | 5 amp. |
6 | | | | | Acidum undecylenicum comp. | | | |
| | | Rp. | | Mykodermina | płyn | b | 50 g |
| | | Rp. | | Mykodermina | zasypka | b | 15 g |
| | | Rp. | | Mykodermina | maść | b | 30 g |
7 | | | | | ALERGENY DO CELÓW LECZNICZYCH - alergeny roztoczy kurzu domowego | | | |
| | B | Rp. | | Alavac S H.D.M. kurs podstawowy | inj. 9 ml | g | 3 fiol. |
| | B | Rp. | | Alavac S H.D.M. kurs podtrzymujący | inj. 9 ml | g | 1 fiol. |
| | B | Rp. | | Alutard SQ kurs podstawowy | inj. SQU/ml; 100, 1.000, 10.000, 100.000 | g | 4 fiol. a 5 ml + 4,5 ml rozp. |
| | B | Rp. | | Alutard SQ kurs podtrzymujący | inj. 100.000 SQU | g | 1 fiol. 5 ml |
| | B | Rp. | | Novo-Helisen Depot kurs podstawowy | inj. 4,5 ml, stęż. 1,2,3 | g | 3 but. |
| | B | Rp. | | Novo-Helisen Depot kurs podtrzym. -alergeny pyłków roślin | inj. 4,5 ml lub 9,5 ml stęż. 3 | g | 1 but. |
| | B | Rp. | | Alergen pyłkowy do celów lecz. | inj. 3 ml | d | 5 fiol. |
| | B | Rp. | | Catalet (C, D, T) | inj. 2 ml | f | zestaw po 4 fiol. |
| | B | Rp. | | Pollinex podstawowy | inj. | f | 3 fiol. |
| | B | Rp. | | Pollinex podtrzymujący | inj. | g | 1 fiol. |
| | B | Rp. | | Allergovit | inj. 3 ml, stęż. A,B | g | 2 fiol. |
8 | | | | | Ambroxoli hydrochloridum | | | |
| | B | Rp. | | Ambrohexal | tabl. 0,03 g | c | 20 tabl. |
| | B | Rp. | | Ambrosol | syrop 15 mg/5 ml | c | 120 ml |
| | B | Rp. | | Ambrosol | syrop 30 mg/5 ml | c | 120 ml |
| | B | Rp. | | Ambroksol | syrop 15 mg/5 ml | c | 150 ml |
| | B | Rp. | | Ambroksol | syrop 30 mg/5 ml | d | 150 ml |
| | B | Rp. | | Deflegmin | kaps. retard 75 mg | x | 10 kaps. |
| | B | Rp. | | Deflegmin | krople 0,75% | x | 50 ml |
| | B | Rp. | | Deflegmin | tabl. 0,03 g | x | 20 tabl. |
| | B | Rp. | | Mucosolvan | tabl. 0,03 g | c | 20 tabl. |
| | B | Rp. | | Mucosolvan | syrop 30 mg/5 ml | d | 100 ml |
| | B | Rp. | | Mucosolvan | płyn do inh. 0,75 g/100 ml | d | 1 op. |
| | B | Rp. | | Mukobron | syrop 0,3 g/100 ml | x | 100 ml |
| | B | Rp. | | Mukobron | tabl. 0,03 g | x | 50 tabl. |
| | B | Rp. | | Bronchopront Saft | syrop 15 mg/5 ml | d | 100 ml |
| | B | Rp. | | Bronchopront Tropfen | krople 7,5 mg/1 ml | d | 50 ml |
9 | | | | | Amitriptylini hydrochloridum | | | |
| D | B | Rp. | | Amitriptylinum | draż. 0,01 g | c | 60 draż. |
| D | B | Rp. | | Amitriptylinum | draż. 0,025 g | c | 60 draż. |
| D | B | Rp. | | Amitriptylinum | inj. 2,5% | c | 5 amp. 2 ml |
10 | | | | | Amlodipinum | | | |
| | B | Rp. | | Amlopin | tabl. 0,005 g | x | 20 tabl. |
| | B | Rp. | | Amlopin | tabl. 0,01 g | x | 20 tabl. |
| | B | Rp. | | Norvasc | tabl. 0,005 g | f | 30 tabl. |
| | B | Rp. | | Norvasc | tabl. 0,01 g | g | 30 tabl. |
11 | | | | | Ampicillinum | | | |
| | B | Rp. | | Ampicillin | kaps. 0,25 g | c | 16 kaps. |
| | B | Rp. | | Ampicillin | tabl., kaps. 0,5 g | d | 16 tabl., kaps. |
| | B | Rp. | | Ampicillin | proszek do przyg. zaw. (250 mg/5 ml) - 3 g | c | 60 ml |
| | B | Rp. | | Ampicillin | gran. do przyg. zaw. (125 mg/5 ml - 1,5 g | d | 60 ml |
| | B | Rp. | | Ampicillin | gran. do przyg. zaw. (250 mg/5 ml) - 3 g | d | 60 ml |
12 | | | | | Ampicillinum + Sulbactam | | | |
| | B | Rp. | | Unasyn | tabl., tabl. powl. 0,375 g | f | 12 tabl., tabl. powl. |
| | B | Rp. | | Unasyn | prosz. do przyg. zaw. 0,25 g/5 ml | f | 70 ml |
13 | | | | | Azithromycinum | | | |
| | B | Rp. | | Sumamed | tabl. 0,125 g | f | 6 tabl. |
| | B | Rp. | | Sumamed | kaps. 0,25 g | f | 6 kaps. |
| | B | Rp. | | Sumamed | tabl. 0,5 g | f | 3 tabl. |
| | B | Rp. | | Sumamed | syrop 0,1 g/5 ml | e | 20 ml |
| | B | Rp. | | Sumamed | syrop 0,2 g/5 ml | f | 20 ml |
14 | | | | | Benazeprili hydrochloridum | | | |
| | B | Rp. | | Lotensin | tabl. powl. 0,005 g | f | 14 tabl. powl. |
| | B | Rp. | | Lotensin | tabl. powl. 0,01 g | x | 14 tabl. powl. |
| | B | Rp. | | Lotensin | tabl. powl. 0,02 g | e | 14 tabl. powl. |
15 | | | | | Bezafibratum | | | |
| | | Rp. | | Bezalip | tabl. powl. 0,2 g | f | 30 tabl. powl. |
| | | Rp. | | Bezalip | tabl. powl. 0,4 g | x | 30 tabl. powl. |
| | | Rp. | | Bezamidin | tabl. powl. 0,2 g | e | 50 tabl. powl. |
16 | | | | | Bupivacaini hydrochloridum | | | |
| | B | Rp. | | Bupivacainum hydrochloricum | inj. 0,5% | d | 10 amp. 10 ml |
17 | | | | | Buprenorphini hydrochloridum | | | |
| $ | B | Rp. | w | Bunondol | tabl. podjęz. 0,2 mg | x | 60 tabl. |
| $ | B | Rp. | w | Bunondol | tabl. podjęz. 0,4 mg | x | 30 tabl. |
| $ | B | Rp. | w | Temgesic | tabl. podjęz. 0,2 mg | f | 10 tabl. |
18 | | | | | Calcii dobesilas | | | |
| | B | Rp. | | Calcium dobesilate | tabl. 0,25 g | x | 30 tabl. |
| | B | Rp. | | Doxilek | kaps. 0,5 g | x | 30 tabl. |
| | B | Rp. | | Doxium | tabl. 0,25 g | g | 60 tabl. |
| | B | Rp. | | Doxium 500 | tabl. 0,5 g | g | 30 tabl. |
| | B | Rp. | | Dobesilat-Calcium | tabl. 0,25 g | x | 50 tabl. |
19 | | | | | Carbenicillinum natricum | | | |
| | B | Rp. | | Carbenicillin | inj. 1 g | d | fiol. |
| | B | Rp. | | Carbenicillin | inj. 2 g | x | fiol. |
20 | | | | | Cefadroxilum | | | |
| | B | Rp. | | Duracef | kaps. 0,25 g | d | 12 kaps. |
| | B | Rp. | | Duracef | tabl. 1 g | f | 12 tabl. |
| | B | Rp. | | Duracef | kaps. 0,5 g | e | 12 kaps. |
| | B | Rp. | | Duracef | proszek do p. zaw. 125 mg/5 ml | x | 35 g (60 ml zaw.) |
| | B | Rp. | | Duracef | proszek do p. zaw. 250 mg/5 ml | x | 35 g (60 ml zaw.) |
| | B | Rp. | | Duracef | gran. do sporz. syropu 0,125 g/5 ml | d | 60 ml |
| | B | Rp. | | Duracef | gran. do sporz. syropu 0,25 g/5 ml | e | 60 ml |
| | B | Rp. | | Duracef | gran. do sporz. syropu 0,5 g/5 ml | x | 60 ml |
21 | | | | | Cefalexinum | | | |
| | B | Rp. | | Cefaleksyna | kaps. 0,25 g | x | 16 kaps. |
| | B | Rp. | | Cefaleksyna | kaps. 0,5 g | x | 16 kaps. |
| | B | Rp. | | Cefalexin | kaps. 0,25 g | e | 20 kaps. |
| | B | Rp. | | Cefalexin-Ratiopharm 500 | tabl. powl. 0,5 g | f | 10 tabl. powl. |
| | B | Rp. | | Cefalexin-Ratiopharm 1000 | tabl. powl. 1 g | f | 10 tabl. powl. |
| | B | Rp. | | Cefalexin-Ratiopharm TS | gran. do przyg. zaw. 250 mg/5 ml | f | 120 ml |
| | B | Rp. | | Keflex | kaps. 0,25 g | d | 12 kaps. |
| | B | Rp. | | Keflex | kaps. 0,5 g | e | 12 kaps. |
| | B | Rp. | | Keflex | zaw. 125 mg/5 ml | d | 60 ml |
| | B | Rp. | | Keflex | zaw. 250 mg/5 ml | e | 60 ml |
| | B | Rp. | | Oracef | kaps. 0,25 g | d | 16 kaps. |
| | B | Rp. | | Oracef | kaps. 0,5 g | e | 16 kaps. |
22 | | | | | Cefaclorum | | | |
| | B | Rp. | | Alfacet | kaps. 0,25 g | x | 16 kaps. |
| | B | Rp. | | Alfacet | kaps. 0,5 g | x | 16 kaps. |
| | B | Rp. | | Alfacet | syrop 0,125 g/5 ml | x | 60 ml |
| | B | Rp. | | Alfacet | syrop 0,25 g/5 ml | x | 60 ml |
| | B | Rp. | | Ceclor | kaps. 0,25 g | f | 15 kaps. |
| | B | Rp. | | Ceclor | kaps. 0,5 g | g | 15 kaps. |
| | B | Rp. | | Ceclor | zaw. 125 mg/5 ml | e | 75 ml |
| | B | Rp. | | Ceclor | zaw. 125 mg | e | 15 saszetek |
| | B | Rp. | | Ceclor | zaw. 250 mg/5 ml | f | 75 ml |
| | B | Rp. | | Ceclor | zaw. 250 mg | f | 15 saszetek |
| | B | Rp. | | Ceclor MR | tabl. powl. 375 mg | x | 10 tabl. powl. |
| | B | Rp. | | Ceclor MR | tabl. powl. 500 mg | x | 10 tabl. powl. |
| | B | Rp. | | Ceclor MR | tabl. powl. 750 mg | x | 10 tabl. powl. |
| | B | Rp. | | Panclor | kaps. 250 mg | x | 15 kaps. |
| | B | Rp. | | Panclor | kaps. 500 mg | x | 15 kaps. |
| | B | Rp. | | Taracef | kaps. 0,25 g | x | 16 kaps. |
| | B | Rp. | | Taracef | kaps. 0,5 g | x | 16 kaps. |
23 | | | | | Cefradinum | | | |
| | B | Rp. | | Sefril A | inj. 1 g | d | 1 fiol. z suchą subst. |
| | B | Rp. | | Sefril | kaps. 0,5 g | e | 12 kaps. |
| | B | Rp. | | Sefril | inj. 1 g | x | 1 fiol. z suchą subst. |
| | B | Rp. | | Sefril | gran. do przyg. zaw. 3 g/60 ml | d | 60 ml |
24 | | | | | Cefuroximi axetilum | | | |
| | B | Rp. | | Bioracef | tabl. powl. 0,125 g | x | 10 tabl. powl. |
| | B | Rp. | | Bioracef | tabl. powl. 0,25 g | x | 10 tabl. powl. |
| | B | Rp. | | Bioracef | tabl. powl. 0,5 g | x | 10 tabl. powl. |
| | B | Rp. | | Bioracef | proszek do przyg. zaw. 0,125 g | x | 10 torebek po 0,125 g |
| | B | Rp. | | Zinnat | tabl. 0,125 g | e | 10 tabl. |
| | B | Rp. | | Zinnat | tabl. 0,25 g | f | 10 tabl. |
| | B | Rp. | | Zinnat | tabl. 0,5 g | g | 10 tabl. |
| | B | Rp. | | Zinnat | gran. 0,125 g/5 ml | f | 50 ml |
| | B | Rp. | | Zinnat | zaw. 125 mg | e | 10 saszetek |
| | B | Rp. | | Zinnat | zaw. 250 mg | f | 10 saszetek |
25 | | | | | Cepan | krem | c | 35 g |
26 | | | | | Chlorpromazini hydrochloridum | | | |
| D | B | Rp. | | Chlorazin | inj. 0,05 g/2 ml | x | 10 amp. |
| D | B | Rp. | | Fenactil | draż. 0,01 g | a | 30 draż. |
| D | B | Rp. | | Fenactil | draż. 0,025 g | a | 20 draż. |
| D | B | Rp. | | Fenactil | draż. 0,1 g | b | 30 draż. |
| D | B | Rp. | | Fenactil | krople 4% | b | 10 g |
| D | B | Rp. | | Fenactil | inj. 0,025 g/5 ml | c | 5 amp. |
| D | B | Rp. | | Fenactil | inj. 0,05 g/2 ml | c | 10 amp. |
27 | | | | | Chlorprothixenum | | | |
| D | B | Rp. | | Chlorprothixen | tabl. powl. 0,015 g | d | 50 tabl. powl. |
| D | B | Rp. | | Chlorprothixen | tabl. powl. 0,05 g | e | 50 tabl. powl. |
28 | | | | | Cilazaprilum | | | |
| | B | Rp. | | Inhibace | tabl. powl. 0,5 mg | e | 30 tabl. powl. |
| | B | Rp. | | Inhibace | tabl. powl. 0,001 g | f | 30 tabl. powl. |
| | B | Rp. | | Inhibace | tabl. powl. 0,0025 g | f | 28 tabl. powl. |
| | B | Rp. | | Inhibace | tabl. powl. 0,005 g | g | 28 tabl. powl. |
29 | | | | | Cimetidinum | | | |
| | B | Rp. | | Altramet | tabl. 0,2 g | e | 100 tabl. |
| | B | Rp. | | Apo-Cimetidine | tabl. 0,2 g | e | 100 tabl. |
| | B | Rp. | | Apo-Cimetidine | tabl. 0,3 g | e | 100 tabl. |
| | B | Rp. | | Apo-Cimetidine | tabl. 0,4 g | e | 100 tabl. |
| | B | Rp. | | Apo-Cimetidine | tabl. 0,6 g | x | 100 tabl. |
| | B | Rp. | | Apo-Cimetidine | tabl. 0,8 g | x | 100 tabl. |
| | B | Rp. | | Belomet | tabl. 0,2 g | x | 50 tabl. |
| | B | Rp. | | Cimetidinum | tabl. 0,2 g | d | 100 tabl. |
| | B | Rp. | | Histodil | tabl. 0,2 g | d | 50 tabl. |
| | B | Rp. | | Tagamet | tabl. 0,2 g | f | 50 tabl. |
| | B | Rp. | | Tagamet | tabl. 0,4 g | f | 20 tabl. |
| | B | Rp. | | Tagamet | tabl. 0,8 g | g | 30 tabl. |
30 | | | | | Ciprofloxacini hydrochloridum | | | |
| | B | Rp. | | Ciprinol | tabl. 0,25 g | e | 10 tabl. |
| | B | Rp. | | Ciprinol | tabl. 0,5 g | f | 10 tabl. |
| | B | Rp. | | Ciprobay 250 | tabl. powl. 0,25 g | f | 10 tabl. powl. |
| | B | Rp. | | Ciprobay 500 | tabl. powl. 0,5 g | g | 10 tabl. powl. |
| | B | Rp. | | Ciprobay Uro | tabl. powl. 0,1 g | x | 6 tabl. powl. |
| | B | Rp. | | Cipronex | tabl. powl. 0,25 g | d | 10 tabl. powl. |
| | B | Rp. | | Cipronex | tabl. powl. 0,5 g | e | 10 tabl. powl. |
| | B | Rp. | | Cipropol | tabl. powl. 0,25 g | d | 10 tabl. powl. |
31 | | | | | Clarithromycinum | | | |
| | B | Rp. | | Klacid | gran. do przyg. zaw. 125 mg/5 ml | f | 60 ml |
| | B | Rp. | | Klacid | tabl. powl. 0,25 g | f | 10 tabl. |
32 | | | | | Clindamycini hydrochloridum | | | |
| | B | Rp. | | Dalacin C | inj. 0,3 g/2 ml | f | 5 amp. |
| | B | Rp. | | Dalacin C | inj. 0,6 g/4 ml | g | 5 amp. |
| | B | Rp. | | Dalacin C | inj. 0,9 g/6 ml | g | 5 amp. |
| | B | Rp. | | Dalacin C | kaps. 0,075 g | d | 16 kaps. |
| | B | Rp. | | Dalacin C | kaps. 0,15 g | e | 16 kaps. |
| | B | Rp. | | Dalacin C | kaps. 0,3 g | e | 16 kaps. |
| | B | Rp. | | Dalacin C | gran. do przyg. syropu 0,075 g/5 ml | e | 80 ml |
| | B | Rp. | | Klimicin | kaps. 0,15 g | d | 16 kaps. |
| | B | Rp. | | Klimicin | inj. 0,3 g/2 ml | f | 5 amp. |
33 | | | | | Cloxacillinum natricum | | | |
| | B | Rp. | | Syntarpen | tabl. powl. 0,25 g | c | 16 tabl. powl. |
| | B | Rp. | | Syntarpen | tabl. powl. 0,5 g | d | 16 tabl. powl. |
34 | | | | | Cyproheptadini hydrochloridum | | | |
| D | B | Rp. | | Peritol | tabl. 0,004 g | c | 20 tabl. |
| D | B | Rp. | | Peritol | syrop 0,004 g/10 ml | c | 100 ml |
| D | B | Rp. | | Protadina | tabl. 0,004 g | c | 20 tabl. |
35 | | | | | Diclofenacum natricum | | | |
| | | Rp. | | Naclof | krople do oczu 0,1% | f | 5 ml |
36 | | | | | Dienestrolum | | | |
| | B | Rp. | | Dienoestrolum | tabl. 0,001 g | b | 30 tabl. |
| | B | Rp. | | Dienoestrolum | tabl. 0,005 g | c | 20 tabl. |
37 | | | | | Dimazoli dihydrochloridum | | | |
| | | | | Mycotol | płyn 5% | x | 50 g |
| | | | | Mytocol | zasypka 3% | x | 30 g |
38 | | | | | Diprophyllinum | | | |
| | B | Rp. | | Diprophyllinum | inj. doż. 0,25 g/10 ml | d | 10 amp. |
39 | | | | | Doxycyclini hydrochloridum | | | |
| | B | Rp. | | Doxycyclinum | kaps. 0,1 g | c | 10 kaps. |
40 | | | | | Drotaverini hydrochloridum | | | |
| | B | Rp. | | No-Spa | tabl. 0,04 g | c | 20 tabl. |
| | B | Rp. | | No-Spa | inj. 0,04 g/2 ml | c | 5 amp. |
41 | | | | | Erythromycini cyclocarbonas | | | |
| | B | Rp. | | Davercin | maść 1% | b | 20 g |
| | B | Rp. | | Davercin | roztwór 2,5% | c | 30 ml |
41 | | | | | Erythromycinum | | | |
| | B | Rp. | | Erythromycinum | roztwór 2% | x | 30 ml |
43 | | | | | Estradiolum | | | |
| | B | Rp. | | Estrofem | tabl. 0,002 g | e | 28 tabl. |
| | B | Rp. | | Estrofem Forte | tabl. 0,004 g | f | 28 tabl. |
44 | | | | | Estradiolum + Norethisteroni acetas | | | |
| | B | Rp. | | Trisequens | tabl. | f | 28 tabl. |
| | B | Rp. | | Trisequens forte | tabl. | f | 28 tabl. |
45 | | | | | Estradioli valeras | | | |
| | B | Rp. | | Progynova 21 | draż. 0,002 g | e | 21 draż. |
| | B | Rp. | | Progynova 21 mite | draż. 0,001 g | e | 21 draż. |
46 | | | | | Estradioli valeras + Levonorgestrelum | | | |
| | B | Rp. | | Klimonorm | draż. 2 mg + 0,15 mg | e | 21 draż. |
47 | | | | | Estradioli valeras + Estrioli + Levonorgestrolum | | | |
| | B | Rp. | | Cyclo-Menorette | draż. | e | 21 draż. |
48 | | | | | Estradioli valeras + Norgestrelum | | | |
| | B | Rp. | | Cyclo-Progynova | draż. | e | 21 draż. |
49 | | | | | Etamsylatum | | | |
| D | B | Rp. | | Cyclonamine | tabl. 0,25 g | b | 30 tabl. |
| D | B | Rp. | | Cyclonamine | inj. 0,25 g/2 ml | b | 5 amp. |
50 | | | | | Felodipinum | | | |
| | B | Rp. | | Plendil | tabl. powl. 0,005 g | f | 30 tabl. powl. |
| | B | Rp. | | Plendil | tabl. powl. 0,01 g | g | 30 tabl. powl. |
51 | | | | | Fenofibratum | | | |
| | | Rp. | | Fenofibrat-Ratiopharm | kaps. 0,1 g | e | 50 kaps. |
| | | Rp. | | Grofibrat | kaps. 0,1 g | e | 50 kaps. |
| | | Rp. | | Lipanthyl | kaps. 0,1 g | e | 50 kaps. |
| | | Rp. | | Lipanthyl 200 M | kaps. 0,2 g | f | 30 kaps. |
52 | | | | | Flumetasoni pivalas | | | |
| | B | Rp. | | Lorinden | lotio (mleczko) 0,02% | b | 15 ml |
53 | | | | | Flumetasonum + Acidum salicylicum | | | |
| | B | Rp. | | Lorinden A | maść | a | 15 g |
54 | | | | | Flumetasonum + Clioquinolum | | | |
| | B | Rp. | | Lorinden C | maść | a | 15 g |
| | B | Rp. | | Lorinden C | krem | a | 15 g |
55 | | | | | Flumetasonum + Pix Lithantracis + Ac. salic. | | | |
| | B | Rp. | | Lorinden T | maść | a | 15 g |
56 | | | | | Fluocinoloni acetonidum | | | |
| | B | Rp. | | Flucinar | maść 0,025% | b | 15 g |
| | B | Rp. | | Flucinar | żel 0,025% | b | 15 g |
57 | | | | | Furazolidonum | | | |
| | B | Rp. | | Furazolidon | zawiesina (0,33 g/100 ml) | b | 160 g |
| | B | Rp. | | Furazolidon | gran. do przyg. zaw. (17,2 mg/5 ml) | b | 7 g/60 ml |
58 | | | | | Gemfibrozilum | | | |
| | | Rp. | | Elmogan | tabl. powl. 0,45 g | x | 30 tabl. powl. |
| | | Rp. | | Elmogan | tabl. powl. 0,6 g | x | 30 tabl. powl. |
| | | Rp. | | Gemfibral | tabl. powl. 300 mg | x | 60 tabl. powl. |
| | | Rp. | | Gemfibral | tabl. powl. 450 mg | x | 60 tabl. powl. |
| | | Rp. | | Gevilon | tabl. powl. 0,45 g | x | 60 tabl. powl. |
| | | Rp. | | Lipozil | tabl. powl. 0,45 g | x | 30 tabl. powl. |
59 | | | | | Griseofulvinum | | | |
| | B | Rp. | | Gricin | tabl. 0,125 g | f | 100 tabl. |
| | B | Rp. | | Griseofulvin forte | tabl. 0,125 g | d | 20 tabl. |
| | B | Rp. | | Griseofulvin-M | tabl. 0,125 g | e | 25 tabl. |
60 | | | | | Haloperidolum | | | |
| D | B | Rp. | | Apo-Haloperidol | tabl. 0,0005 g | x | 100 tabl. |
| D | B | Rp. | | Apo-Haloperidol | tabl. 0,001 g | c | 100 tabl. |
| D | B | Rp. | | Apo-Haloperidol | tabl. 0,002 g | d | 100 tabl. |
| D | B | Rp. | | Apo-Haloperidol | płyn 0,002 g/1 ml | x | 15 ml |
| D | B | Rp. | | Haldol | tabl. 0,002 g | x | 25 tabl. |
| D | B | Rp. | | Haldol | inj. 0,005 g/1 ml | x | 5 amp. |
| D | B | Rp. | | Haldol | krople 0,002 g/ml | x | 15 ml |
| D | B | Rp. | | Haloperidol | tabl. 0,001 g | b | 40 tabl. |
| D | B | Rp. | | Haloperidol | krople 0,002 g/1 ml | b,c | 10 ml |
| D | B | Rp. | | Haloperidol | inj. 0,005 g/1 ml | c,d | 10 amp. |
| D | B | Rp. | | Haloperidol | tabl. 1,5 mg | d | 50 tabl. |
| D | B | Rp. | | Haloperidol-Ratiopharm | krople 0,002 g/1 ml | e | 30 ml |
| D | B | Rp. | | Haloperidol-Ratiopharm 5 | inj. 0,005 g/ml | e | 5 amp. |
61 | | | | | Imipramini hydrochloridum | | | |
| D | B | Rp. | | Imipramin | draż. 0,01 g | a | 20 draż. |
| D | B | Rp. | | Imipramin | draż. 0,025 g | a | 20 draż. |
| D | B | Rp. | | Imipramin | inj. 0,025 g/2 ml | c | 10 amp. |
| D | B | Rp. | | Melipramin | draż. 0,01 g | x | 50 draż. |
| D | B | Rp. | | Melipramin | draż. 0,025 g | x | 50 draż. |
| D | B | Rp. | | Melipramin | inj. 0,025 g/2 ml | x | 10 amp. |
62 | | | | | Indometacinum | | | |
| | B | Rp. | | Metindol | kaps. 0,025 g | x | 30 kaps. |
| | B | Rp. | | Metindol | tabl. powl. 0,025 g | a | 25 tabl. powl. |
| | B | Rp. | | Metondol | inj. 0,06 g/2 ml | c | 10 amp. |
| | B | Rp. | | Metindol | czopek 0,05 g | b | 10 czopków |
| | B | Rp. | | Metindol | czopek 0,1 g | b | 10 czopków |
| | B | Rp. | | Metindol | maść 5% | b | 30 g |
| | B | Rp. | | Metindol retard | tabl. 0,075 g | a | 25 tabl. |
| | B | Rp. | | Metindonium | płyn 0,4 g/20 ml | c | 20 ml |
| | B | Rp. | | Indometacin | czopek 0,05 g | c | 10 czopków |
| | B | Rp. | | Indometacin | czopek 0,1 g | c | 10 czopków |
63 | | | | | Ipratropii bromidum + Fenoterolum | | | |
| | B | Rp. | | Berodual, Berodual aerosol | aerosol | f | 15 ml |
| | B | Rp. | | Berodual | płyn do inh. | e | 20 ml |
64 | | | | | Isradipinum | | | |
| | B | Rp. | | Lomir | tabl. 2,5 mg | x | 28 tabl. |
| | B | Rp. | | Lomir SRO | kaps. 2,5 mg | x | 30 kaps. |
| | B | Rp. | | Lomir SRO | kaps. 5 mg | f | 30 kaps. |
65 | | | | | Kalii iodidum | | | |
| | | Rp. | | Jodostin | tabl. powl. 0,1 mg | x | 100 tabl. powl. |
| | | Rp. | | Jodostin | tabl. powl. 0,2 mg | x | 100 tabl. powl. |
| | | Rp. | | Jodid 100 | tabl. 130,8 µg | d | 100 tabl. |
| | | Rp. | | Jodid 200 | tabl. 261,6 µg | e | 100 tabl. |
| | | Rp. | | Jodid 500 | tabl. 654 µgKJ=500 µg jodu | x | 100 tabl. |
| | | Rp. | | Tarjod | syrop 100 µg jodu/5 ml | x | 125 g |
66 | | | | | Lactulosum | | | |
| | | Rp. | | Duphalac | syrop 10 g/15 ml | x | 300 ml |
| | | Rp. | | Lactulosum | syrop 5 g/10 ml | c | 150 ml |
| | | Rp. | | Normase | syrop 10 g/15 ml | x | 200 ml |
67 | | | | | Lidocaini hydrochloridum et Norepinephrini bitartras | | | |
| D | B | Rp. | | Lignocainum hydrochloricum c. Noradrenalino | inj. 2% + 0,00125% Noradrenalinum basic | d | 10 amp. 2 ml |
68 | | | | | Lisinoprilum | | | |
| | B | Rp. | | Prinivil | tabl. 0,005 g | f | 28 tabl. |
| | B | Rp. | | Prinivil | tabl. 0,01 g | g | 28 tabl. |
| | B | Rp. | | Prinivil | tabl. 0,02 g | g | 28 tabl. |
69 | | | | | Loratadinum | | | |
| | | Rp. | | Claritine | syrop 1 mg/1 ml | e | 120 ml |
| | | Rp. | | Claritine | tabl. 0,01 g | e | 10 tabl. |
70 | | | | | Medroxyprogesteroni acetas | | | |
| | B | Rp. | | Provera | tabl. 5 mg | e | 30 tabl. |
| | B | Rp. | | Provera | tabl. 10 mg | e | 30 tabl. |
71 | | | | | Mepartricinum | | | |
| | B | Rp. | | Ipertrofan | tabl. powl. 50.000 j.m | f | 30 tabl. powl. |
72 | | | | | Methocarbamolum | | | |
| | B | Rp. | | Methocarbamol | tabl. 0,5 g | d | 50 tabl. |
73 | | | | | Methoxsalenum | | | |
| | B | Rp. | | Geralen | kaps. 0,02 g | f | 50 kaps. |
| | B | Rp. | | Meladinine | tabl. 0,01 g | x | 30 tabl. |
| | B | Rp. | | Oxsoralen | tabl., kaps. 0,01 g | e | 50 tabl., kaps. |
| | B | Rp. | | Oxsoralen | roztw. 1% | g | 50 ml |
| | B | Rp. | | Puvalen | tabl. 0,015 g | x | 50 tabl. |
74 | | | | | Mometasoni furoas | | | |
| | | Rp. | | Elocom 0,1 % | krem 0,1% | e | 15 g |
| | | Rp. | | Elocom 0,1 % | maść 0,1% | e | 15 g |
| | | Rp. | | Elocom | płyn 0,1% | e | 20 ml |
75 | | | | | Nabumetonum | | | |
| | B | Rp. | | Relifex | tabl. powl. 0,5 g | f | 20 tabl. powl. |
76 | | | | | Natrii hyaluronas | | | |
| | B | Rp. | | Hyalgan | inj. 0,02 g/2 ml | g | 1 fiol. |
77 | | | | | Nicotinamidum | | | |
| | | | | Vitaminum PP | tabl. 0,05 g | a | 20 tabl. |
| | | | | Vitaminum PP | tabl. 0,2 g | a | 20 tabl. |
| | | Rp. | | Vitaminum PP | inj. 0,1 g/2 ml | c | 5 amp. |
78 | | | | | Nifuroxazidum | | | |
| | | Rp. | | Ercefuryl | kaps. 0,1 g | x | 30 kaps. |
| | | Rp. | | Ercefuryl | syrop 4 g/100 g | x | 90 ml |
| | | Rp. | | Nifuroksazyd | zaw. 4% | c | 90 ml |
| | | Rp. | | Nifuroksazyd | tabl. powl. 0,1 g | c | 24 tabl. |
79 | | | | | Norfloxacinum | | | |
| | B | Rp. | | Norbactin | tabl. powl. 0,4 g | d | 10 tabl. powl. |
| | B | Rp. | | Norbactin | tabl. powl. 0,8 g | d | 4 tabl. powl. |
| | B | Rp. | | Nolicin | tabl. 0,4 g | e | 20 tabl. |
80 | | | | | Odżywki | | | |
| | | Rp. | | Fettam | proszek | x | 200 g |
| | | Rp. | | Humana z MCT | proszek | e | 350 g |
| | | Rp. | | Humana SL | proszek | e | 650 g |
| | | Rp. | | Nefromin | proszek | e | 400 g |
| | | Rp. | | Nutramigen | proszek | f | 425 g |
| | | Rp. | | Pro-Sobee | proszek | e | 400 g |
| | | Rp. | | Terapin S | proszek | e | 200 g |
81 | | | | | Orciprenalini sulfas | | | |
| | B | Rp. | | Astmopent | tabl. 0,02 g | c | 20 tabl. |
| | B | Rp. | | Astmopent | aerosol 0,3 g/20 ml | d | 20 ml (400 dawek) |
82 | | | | | Oxprenololi hydrochloridum | | | |
| | B | Rp. | | Coretal | tabl. 0,02 g | b | 50 tabl. |
| | B | Rp. | | Trasicor | tabl. 0,02 g | x | 40 tabl. |
83 | | | | | Oxycodoni hydrochloridum | | | |
| $ | N | Rp. | w | Eucodalum | inj. 0,01 g/1 ml | d | 10 amp. |
84 | | | | | Pancreatinum | | | |
| | | Rp. | | Neo-Pancreatinum | tabl. powl. 0,15 g | c | 30 tabl. powl. |
85 | | | | | Papaverini hydrochloridum | | | |
| | B | Rp. | | Papaverinum hydrochloricum | inj. 0,04 g/2 ml | c | 10 amp. |
86 | | | | | Pentoxifyllinum | | | |
| | B | Rp. | | Agapurin | draż. 0,1 g | d | 60 draż. |
| | B | Rp. | | Agapurin retard | tabl. 0,4 g | d | 20 tabl. |
| | B | Rp. | | Agapurin 600 retard | tabl. powl. 0,6 g | e | 20 tabl. powl. |
| | B | Rp. | | Azupentat-400 retard | tabl. powl. 0,4 g | d | 20 tabl. powl. |
| | B | Rp. | | Dartelin retard | tabl. powl. 0,4 g | d | 20 tabl. powl. |
| | B | Rp. | | Grofilina | tabl. powl. 0,1 g | d | 60 tabl. powl. |
| | B | Rp. | | Pentilin | tabl. 0,4 g | d | 20 tabl. |
| | B | Rp. | | Pentilin | inj. 0,1 g/5 ml | e | 5 amp. |
| | B | Rp. | | Pentohexal 600 Retard | tabl. 0,6 g | e | 20 tabl. |
| | B | Rp. | | Polfilin | tabl. powl. 0,1 g | c | 20 tabl. powl. |
| | B | Rp. | | Polfilin prolongatum | tabl. powl. 0,4 g | d | 20 tabl. powl. |
| | B | Rp. | | Ralofekt | tabl. 0,2 g | x | 50 tabl. |
| | B | Rp. | | Ralofekt | inj. 0,1 g/5 ml | x | 10 amp. |
| | B | Rp. | | Trental | draż. 0,1 g | x | 20 draż. |
| | B | Rp. | | Trental | draż. 0,4 g | f | 20 draż. |
| | B | Rp. | | Trental | inj. 0,1 mg/5 ml | e | 5 amp. |
87 | | | | | Perindopril | | | |
| | B | Rp. | | Prestarium | tabl. 0,004 g | f | 30 tabl. |
88 | | | | | Pindololum | | | |
| | B | Rp. | | Apo-Pindol | tabl. 0,005 g | e | 50 tabl. |
| | B | Rp. | | Apo-Pindol | tabl. 0,01 g | x | 30 tabl. |
| | B | Rp. | | Visken | tabl. 0,005 g | e | 30 tabl. |
89 | | | | | Pirenzepini hydrochloridum | | | |
| | B | Rp. | | Gastrozepin | tabl. 0,025 g | d | 20 tabl. |
| | B | Rp. | | Pirengast | tabl. 0,025 g | c | 20 tabl. |
| | B | Rp. | | Pirengast | tabl. 0,05 g | d | 20 tabl. |
| | B | Rp. | | Pirenzepin-Ratiopharm | tabl. 0,025 g | d | 20 tabl. |
| | B | Rp. | | Pirenzepin-Ratiopharm | tabl. 0,05 g | d | 20 tabl. |
90 | | | | | Prajmalii bitartras | | | |
| | B | Rp. | | Neo-Gilurytmal | tabl. 0,02 g | f | 50 tabl. |
91 | | | | | Pygeum africanum extr. | | | |
| | | Rp. | | Poldanen | tabl. powl. | e | 30 tabl. powl. |
| | | Rp. | | Tadenan | kaps. 25 mg | f | 60 kaps. |
| | | Rp. | | Tadenan | kaps. 50 mg | x | 60 kaps. |
92 | | | | | Retinoli acetas, Retinoli palmitas | | | |
| | | | | Vitaminum A | kaps. 12.000 j.m. | b | 50 kaps. |
| | | Rp. | | Vitaminum A | płyn 50.000 j.m./1 ml | b | 10 ml |
93 | | | | | Roxitromycinum | | | |
| | B | Rp. | | Rulid | tabl. 0,15 g | f | 10 tabl. |
| | B | Rp. | | Rulid | tabl. 0,05 g | e | 10 tabl. |
| | B | Rp. | | Rulid | tabl. 0,1 g | f | 10 tabl. |
94 | | | | | Hyoscini butylbromidum | | | |
| D | B | Rp. | | Buscolysin | inj. 0,02 g/1 ml | d | 10 amp. |
| D | B | Rp. | | Buscopan | draż. 0,01 g | d | 20 draż. |
| D | B | Rp. | | Buscopan | inj. 0,02 g | d | 5 amp. |
| D | B | Rp. | | Scopolan | draż. 0,01 g | c | 30 draż. |
| D | B | Rp. | | Scopolan | czopek 0,01 g | b | 6 czopków |
95 | | | | | Sotaloli hydrochloridum | | | |
| D | B | Rp. | | Biosotal | tabl. 0,04 g | x | 60 tabl. |
| D | B | Rp. | | Biosotal | tabl. 0,08 g | x | 50 tabl. |
| D | B | Rp. | | Biosotal | tabl. 0,16 g | x | 40 tabl. |
| D | B | Rp. | | Darob | tabl. 80 mg | x | 20 tabl. |
| D | B | Rp. | | Darob | tabl. 160 mg | x | 20 tabl. |
| D | B | Rp. | | Gilucor | tabl. 0,08 g | e | 20 tabl. |
| D | B | Rp. | | Gilucor | tabl. 0,16 g | e | 20 tabl. |
| D | B | Rp. | | Sotalex mite | tabl. 80 mg | x | 30 tabl |
| D | B | Rp. | | Sotalex | tabl. 160 mg | x | 30 tabl |
| D | B | Rp. | | Sotahexal mite | tabl. 0,08 g | e | 20 tabl. |
| D | B | Rp. | | Sotahexal | tabl. 0,16 g | e | 20 tabl. |
96 | | | | | Spiramycinum | | | |
| | B | Rp. | | Rovamycine | tabl. 1.500.000 j.m. | e | 16 tabl. |
| | B | Rp. | | Rovamycine | tabl. 3.000.000 j.m. | x | 10 tabl. |
97 | | | | | Terbinafini hydrochloridum | | | |
| | B | Rp. | | Lamisil | tabl. 0,125 g | g | 14 tabl. |
| | B | Rp. | | Lamisil | tabl. 0,25 g | g | 14 tabl. |
98 | | | | | Thioridazini hydrochloridum | | | |
| D | B | Rp. | | Thioridazin | draż. 0,01 g | b | 30 draż. |
| D | B | Rp. | | Thioridazin | draż. 0,025 g | c | 20 draż. |
| D | B | Rp. | | Thioridazin | draż. 0,1 g | d | 20 draż. |
| D | B | Rp. | | Thioridazin prolongatum | tabl. 0,2 g | e | 20 tabl. |
99 | | | | | Ticlopidini hydrochloridum | | | |
| | | Rp. | | Aclotin | tabl. powl. 0,25 g | x | 20 tabl. powl. |
| | | Rp. | | Tagren | tabl. 0,25 g | g | 30 tabl. |
| | | Rp. | | Ticlid | tabl., tabl. powl. 0,25 g | g | 20 tabl., tabl. powl. |
100 | | | | | Tobramycini sulfas | | | |
| | B | Rp. | | Brulamycin | inj. 0,08 g/2 ml | f | 10 amp. |
| | B | Rp. | | Nebcin | inj. 0,08 g/2 ml | d | 1 fiol. |
101 | | | | | Tocopheroli acetas | | | |
| | | Rp. | | Forte E-Vite | kaps. 100 j.m. | x | 50 kaps. |
| | | Rp. | | Vitaminum E | kaps. 0,1 g | b | 30 kaps. |
| | | Rp. | | Evitol | tabl. powl. 0,1 g | c | 30 tabl. |
| | | Rp. | | Sant-E-Gal | draż. 150 mg | x | 30 draż. |
102 | | | | | Tramadoli hydrochloridum | | | |
| D | B | Rp. | | Amadol | kaps. 0,05 g | d | 20 kaps. |
| D | B | Rp. | | Tramadol | czopek 0,1 g | c | 5 czopków |
| D | B | Rp. | | Tramal, Tramadol | kaps. 0,05 g | d | 20 kaps. |
| D | B | Rp. | | Tramal | inj. 0,05 g/1 ml | c | 5 amp. |
| D | B | Rp. | | Tramal | inj. 0,1 g/2 ml | d | 5 amp. |
| D | B | Rp. | | Trodon | kaps. 0,05 g | x | 20 kaps. |
| D | B | Rp. | | Trodon, Tramadol | inj. 0,05 g/1 ml | c | 5 amp. |
| D | B | Rp. | | Trodon, Tramadol | inj. 0,1 g/2 ml | d | 5 amp. |
| D | B | Rp. | | Trodon, Tramal, Tramadol | krople 0,1 g/1 ml | d | 10 ml |
| D | B | Rp. | | Trodon, Tramal | czopek 0,1 g | c | 5 czopków |
103 | | | | | Trandolaprilum | | | |
| | | Rp. | | Gopten | kaps. 0,5 mg | f | 40 kaps. |
| | | Rp. | | Gopten | kaps. 0,02 g | f | 28 kaps. |
104 | | | Rp. | | Vitaminum A+D3 | krople 20.000 j.m. A + 10.000 j.m. D3 | b | 10 ml |
| | | | | Vitaminum A+D3 | kaps. 2.000 j.m. A + 1.000 j.m. D3 | b | 50 kaps. |
105 | | | | | Xantinoli nicotinas | | | |
| | B | Rp. | | Sadamin | tabl. 0,15 g | b | 30 tabl. |
| | B | Rp. | | Sadamin | inj. 0,3 g/2 ml | d | 10 amp. |
| | B | Rp. | | Sadamin prolongatum | tabl. powl. 0,5 g | c | 20 tabl. |
ZAŁĄCZNIK Nr 4
WYKAZ ŚRODKÓW ANTYKONCEPCYJNYCH WYDAWANYCH ZA ODPŁATNOŚCIĄ 50% CENY ŚRODKA
Lp. | | | | | Nazwa | Postać i dawka | Kat. cen | Najmniejsze zarejestrowane opak. |
1 | | B | Rp. | | Ethinylestradiolum + Desogestrelum Marvelon | tabl. | e | 21 tabl. |
2 | | B | Rp. | | Ethinylestradiolum + Desogestrelum Mercilon | tabl. | e | 21 tabl. |
3 | | B | Rp. | | Ethinylestradiolum + Gestodenum Femoden | draż. | e | 21 draż. |
4 | | B | Rp. | | Ethinylestradiolum + Gestodenum Minulet | draż. | e | 21 draż. |
5 | | B | Rp. | | Ethinylestradiolum + Norgestimatum Cilest | tabl. | e | 21 tabl. |
Objaśnienie oznaczeń: Rp. - lek wydawany z apteki na recepty; Rp.w. - lek wydawany z apteki na podstawie recepty z kopią, wypisywanej na blankietach receptowych wzoru Mz/Pom-33; N - lek zaliczany do leków odurzających z grupy I (wydawane z apteki - patrz Rp. w.); Rp. * - lek dopuszczony do wydawania również bez recept w ilości jednego najmniejszego opakowania; A - lek bardzo silnie działający; B - lek silnie działający; $ - środek farmaceutyczny silnie upośledzający sprawność psychofizyczną, bezwzględny zakaz prowadzenia pojazdów i obsługiwania urządzeń mechanicznych w ruchu przez 24 h po zastosowaniu; D - środek farmaceutyczny, który może wpływać upośledzająco na sprawność psychofizyczną; jeżeli przepisana dawka i droga podania wskazują, że w okresie zastosowania może pojawić się wyraźne upośledzenie sprawności psychofizycznej, to należy udzielić pacjentowi wskazówek co do zachowania szczególnej ostrożności w zakresie prowadzenia pojazdów lub obsługiwania urządzeń mechanicznych w ruchu bądź uprzedzić o konieczności czasowego zaniechania takich czynności (w tekście - z przyczyn technicznych - w trójkącie nie umieszczono pionowej kreski, jak przy znaku ostrzegawczym na opakowaniach leków);
Kat. cen - kategorie cen: a - cena leku do 1,00 zł b - cena leku od 1,01 zł do 2,00 zł c - cena leku od 2,01 zł do 5,00 zł d - cena leku od 5,01 zł do 10,00 zł e - cena leku od 10,01 zł do 20,00 zł f - cena leku od 20,01 zł do 50,00 zł g - powyżej 50,00 zł x - brak aktualnych danych
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Pozycje
1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, 174, 175, 176, 177, 178, 179, 180, 181, 182, 183, 184, 185, 186, 187, 188, 189, 190, 191, 192, 193, 194, 195, 196, 198, 199, 200, 201, 202, 203, 204, 205, 206, 207, 208, 209, 210, 211, 212, 213, 214, 215, 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 228, 229, 230, 231, 232, 233, 234, 235, 236, 237, 238, 239, 240, 241, 242, 243, 244, 245, 246, 247, 248, 249, 250, 251, 252, 253, 254, 255, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 267, 268, 269, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 280, 281, 282, 283, 284, 285, 286, 287, 288, 289, 290, 291, 292, 293, 294, 295, 296, 297, 298, 299, 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, 311, 312, 313, 314, 315, 316, 317, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331, 332, 333, 334, 335, 336, 337, 338, 339, 340, 341, 342, 343, 344, 345, 346, 347, 348, 349, 350, 351, 352, 353, 354, 355, 356, 357, 358, 359, 360, 361, 362, 363, 364, 365, 366, 367, 368, 369, 370, 371, 372, 373, 374, 375, 376, 377, 378, 379, 380, 381, 382, 383, 384, 385, 386, 387, 388, 389, 390, 391, 392, 393, 394, 395, 396, 397, 398, 399, 400, 401, 402, 403, 404, 405, 406, 407, 408, 409, 410, 411, 412, 413, 414, 415, 416, 417, 418, 419, 420, 421, 422, 423, 424, 425, 426, 427, 428, 429, 430, 431, 432, 433, 434, 435, 436, 437, 438, 439, 440, 441, 442, 443, 444, 445, 446, 447, 448, 449, 450, 451, 452, 453, 454, 455, 456, 457, 458, 459, 460, 461, 462, 463, 464, 465, 466, 467, 468, 469, 470, 471, 472, 473, 474, 475, 476, 477, 478, 479, 480, 481, 482, 483, 484, 485, 486, 487, 488, 489, 490, 491, 492, 493, 494, 495, 496, 497, 498, 499, 500, 501, 502, 503, 504, 505, 506, 507, 508, 509, 510, 511, 512, 513, 514, 515, 516, 517, 518, 519, 520, 521, 522, 523, 524, 525, 526, 527, 528, 529, 530, 531, 532, 533, 534, 535, 536, 537, 538, 539, 540, 541, 542, 543, 544, 545, 546, 547, 548, 549, 550, 551, 552, 553, 554, 555, 556, 557, 558, 559, 560, 561, 562, 563, 564, 565, 566, 567, 568, 569, 570, 571, 572, 573, 574, 575, 576, 577, 578, 579, 580, 581, 582, 583, 584, 585, 586, 587, 588, 589, 590, 591, 592, 593, 594, 595, 596, 597, 598, 599, 600, 601, 602, 603, 604, 605, 606, 607, 608, 609, 610, 611, 612, 613, 614, 615, 616, 617, 618, 619, 620, 621, 622, 623, 624, 625, 626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638, 639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651, 652, 653, 654, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664, 665, 666, 667, 668, 669, 670, 671, 672, 673, 674, 675, 676, 677, 678, 679, 680, 681, 682, 683, 684, 685, 686, 687, 688, 689, 690, 691, 692, 693, 694, 695, 696, 697, 698, 699, 700, 701, 702, 703, 704, 705, 706, 707, 708, 709, 710, 711, 713, 714, 715, 716, 717, 718, 719, 720, 721, 722, 723, 724, 725, 726, 727, 728, 729, 730, 731, 732, 733, 734, 735, 736, 737, 738, 739, 740, 741, 742, 743, 744, 745, 746, 747, 748, 749, 750, 751, 752, 753, 754, 755, 756, 757, 758, 759, 760, 761, 762, 763, 764, 765, 766, 767, 768, 769, 770, 771, 772, 773, 774, 775, 776, 777, 778, 779, 780, 781, 782, 783, 784, 785, 786, 787, 788, 789, 790, 791, 792, 793, 794, 795, 796, 797, 798, 799, 800, 801, 802, 803, 804, 805, 806, 807, 808, 809, 810, 811, 812, 813, 814, 815, 816, 817, 818, 819, 820, 821, 822, 823, 824, 825, 826, 827, 828, 829, 830, 831, 832, 833, 834, 835, 836, 837, 838, 839, 840, 841, 842, 843, 844, 845, 846, 847, 848, 849, 850, 851, 852, 853, 854, 855, 856, 857, 858, 859, 860, 861, 862, 863, 864, 865, 866, 867, 868, 869, 870, 871, 872, 873, 874, 875, 876, 877, 878, 879, 880, 881, 882, 883, 884, 885, 886, 887, 888, 889, 890, 891, 892, 893, 894, 895, 896, 897, 898, 899, 900, 901, 902, 903, 904, 905, 906, 907, 908, 909, 910, 911, 912, 913, 914, 915, 916, 917, 918, 919, 920, 921, 922, 923, 924, 925, 926, 927, 928, 929, 930, 931, 932, 933, 934, 935, 936, 937, 938, 939, 940, 941, 942, 943, 944, 945, 946, 947, 948, 949, 950, 951, 952, 953, 954, 955, 956, 957, 958, 959, 960, 961, 962, 963, 964, 965, 966, 967, 968, 969, 970, 971, 972, 973, 974, 975, 976, 977, 978, 979, 980, 981, 982, 983, 984, 985, 986, 987, 988, 989, 990, 991, 992, 993, 994, 995, 996, 997, 998, 999, 1000, 1001, 1002, 1003, 1004, 1005, 1006, 1007, 1008, 1009, 1010, 1011, 1012, 1013, 1014, 1015, 1016, 1017, 1018, 1019, 1020, 1021, 1022, 1023, 1024, 1025, 1026, 1027, 1028, 1029, 1030, 1031, 1032, 1033, 1034, 1035, 1036, 1037, 1038, 1039, 1040, 1041, 1042, 1043, 1044, 1045, 1046, 1047, 1048, 1049, 1050, 1051, 1052, 1053, 1054, 1055, 1056, 1057, 1058, 1059, 1060, 1061, 1062, 1063, 1064, 1065, 1066, 1067, 1068, 1069, 1070, 1071, 1072, 1073, 1074, 1075, 1076, 1077, 1078, 1079, 1080, 1081, 1082, 1083, 1084, 1085, 1086, 1087, 1088, 1089, 1090, 1091, 1092, 1093, 1094, 1095, 1096, 1097, 1098, 1099, 1100, 1101, 1102, 1103, 1104, 1105, 1106, 1107, 1108, 1109, 1110, 1111, 1112, 1113, 1114, 1115, 1116, 1117, 1118, 1119, 1120, 1121, 1122, 1123, 1124, 1125, 1126, 1127, 1128, 1129, 1130, 1131, 1132, 1133, 1134, 1135, 1136
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