in accordance with Appendix 1
Abemaciclibumtabl.powl. 150 mg or tabl.powl. 100 mg or tabl.powl. 50 mg
70/ 800
ARSENII TRIOXIDUMConcentrate for solution for infusion fiol. 10 mg/10ml
10 /10
InfliximabumPhyol. 100 mg
1 /10
INOTUZUMABUM OZOGAMICINIvial, powder for concentrate for solution for infusion, 1 mg
1 /40
IpilimumabPhyol. 50 mg
1 /1200
IRINOTECANUM OR DERIVATIVESPhyol. 500 mg
1 /2200
Isatuximabumfiddle. 500 mg/25ml
1 /180
IxazomibumCaps. hard 4 mg
3 /10
Lapatinibumtabl. powl. 250 mg
70 /320
Lenalidomidumcaps.hard 25 mg
21 /750
Lomustinumcaps. 40 mg
10 /100
Lorlatinibumtabl. powl. 100 mg
30 /60
Asciminibumtabl. powl. 40 mg
60 /60
MEGESTROLI ACETASsuspension 240 ml
1 /250
MelphalanumPhyol. 50 mg
1 /500
Melphalanumtabl.powl. 2 mg
25 /10
Methotrexatumfiddle. 5000 mg/50 ml
1 /100
Methotrexatumamp. 50 mg/5 ml
1 /20
methoxaleneamp. 20 mcg/ml;
50 /6
Midostaurinumcaps soft 25 mg
56 /250
MitomycinumPhyol. 10 mg
1 /650
Mitoxantronumvial 20 mg
1 /100
Mycophenolate mofetilPhyol.500 mg
4 /50
Atezolizumabum1200 mg vial
1 /1200
NelarabinumSolution for infusion 250 mg
1 /60
Nillotinbumcaps.hard 200mg
112 /150
NintedanibumSoft capsules 100 mg
120 /120
NintedanibumSoft capsules 150 mg
60 /10
NintedanibumSoft capsules 150 mg
60 /750
Niraparibumcaps.hard 100 mg
84 /250
NIVOLUMABUM + FILTER FOR DRUG ADMINISTRATIONPhyol.100 mg
1 /8640
Obinutuzumabumviol.1 g
1 /700
Olaparibumtabl.powl.150mg
56 /2500
OSIMERTTINIBUMtabl.powl.80 mg
30 /650
AVELUMABUMfiddle. 200 mg/10 ml
1 /600
Oxaliplatinum200 mg vial
1 /4000
Paclitaxelumfiol.600 mg - vials for multiple download
1 /2800
Paclitaxelum albuminatumviol.100mg
1 /600
Palbociclibumcaps.hard. 125 mg
21 /1000
PanitumumabumPhyol.400 mg
1 /1400
Pazopanibumtabl.powl. 400 mg
60 /320
Pegasparagasumfiol. 3750 U/ 5ml
1 /20
Pegfilgrastimumamp.p. 6 mg/0.6 ml
1 /3000
Peginterferonum alpha-2apre-filled syringe 90 mcg/0,5ml
1 /250
Peginterferonum alpha-2apre-filled syringe 135 mcg/0,5ml
1 /180
Azacitidineviol.100 mg/ 4ml
1 /3200
PEMBROLIZUMABUM + INFUSION SET100 mg vial + INFUSION SET
1 /10000
PEMETREXEDUMPhyol. 500 mg
1 /1800
PertuzumabumPhyol. 420mg
1 /2400
Pirfenidonumtabl. powl.. 267 mg of 252 pcs. or tabl.powl. 801 mg of 84 pcs.
252 or 84 as described in col. 6 /350
Plerixaforviol.24mg/1.2ml
1 /15
POLATUZUMABUM VEDOTINUMviolet. 140 mg powder for concentrate for solution for infusion
1 /40
Pomalidomidumcaps.tw. 4 mg, caps.tw. 3 mg, caps.tw. 2 mg, caps.tw. 1 mg
21 /140
PonatinibumTabl. powl. 45 mg in a pack. 30 pcs or tabl.powl.15 mg in a pack of 60 pcs. 30 or 60 as described in col.6
80
Procarbazinumcaps. 50 mg
50 /70
Ramucirumabumviolet. 100 mg concentrate for solution for infusion
2 /400
BCG AD IMMUNOCURATIONEMviolet. with powder + dissolving system. and serve. With Reg. 50 ml; powder and solvent for suspension for bladder administration; one vial (1 dose) after reconstitution contains not less than 2x10^8 and not more than 3x10^9 live BCG (Bacillus Calmette-Guerin) particles.
1 /600
Ribociclibumtabl.powl.200 mg
63 /1600
RituximabumPhyol.500 mg
1 /1600
Ropeginterferonum alfa-2bwstrzyk. 250 mcg/0,5 ml
1 /500
Ruxolitinibumtabl.5 mg
56 400
Ruxolitinibumtabl.20 mg
56 /150
Sacituzumabum govitecanumviolet. 200 mg powder for concentrate for solution for infusion
1 /700
Siltuximabumviolet. 400 mg powder for concentrate for solution for infusion
1 /50
SIROLIMUSUMtabl.powl. 1 mg
30 /12
Sorafenibumtabl.powl. 200 mg
112 /240
SotorasibumTabs. powl. 120 mg
240 /50
BCG AD IMMUNOCURATION+Preparation kit consisting of: 50 ml Luer three-part catheter syringe 050ML-3CZ-CEW, Tiemann CH 8 catheter, Sterican injection needle 0.8x80mm 21G1 fiol. powder + 1 solution; powder and solvent for suspension for administration into the bladder; dose 100 mg (not less than 300 million live BCG mycobacteria) /ml
1 /1440
Sunitinibumhard caps 25 mg
28 /380
SunitinibumCaps hard 50 mg
28 /180
Tacrolimusumcaps. 1 mg
30 /20
Tacrolimusumcaps. 0.5 mg
30 /20
Tacrolimusumamp. 5 mg/1 ml
10 /20
TafasitamabumPhyol. 200 mg
1 /300
TalazoparibumKAPS. hard 1 mg
30 /70
TalazoparibumKAPS. hard 0.25 mg
30 /100
Themozolomidumhard capsule 100 mg
5 /1800
Temsirolimusumfiol. 30mg/1.2 ml
1 /140
BCG AD IMMUNOCURATION+Preparation kit consisting of: 50 ml Luer three-part catheter syringe 050ML-3CZ-CEW, Tiemann CH 8 catheter, Sterican injection needle 0.8x80mm 21G1 vial. powder + 1 amp. Reg.; powder and solvent for suspension for administration into the bladder; dose of 50 mg (not less than 150 million live BCGs)/ml
1 /960
Thalidomidumtabl. 100 mg
30 /120
ThiotepumPhyol. 100 mg
1 /18
TopotecanumPhyol.4mg
1 /550
TopotecanumCaps.hard 1 mg
10 /150
Topotecanumcaps.hard 0.25 mg
10 /100
TrabectedinumPhyol.1 mg
1 /250
Trametinibumtabl.powl.2 mg
30 /240
TRASTUZUMAB EMTANZINE100 mg vial
1 /2000
TRASTUZUMAB DERUXTECANPhyol. 100 mg
1 /600
TrastuzumabumPhyol. 600mg
1 /1400
Bendamustinum hydrochloridum100 mg vials
5 /180
Trastuzumabumvial 150 mg
1 /6600
Tretinoinsoft capsules 10 mg
100 /50
Trifluridinum + Tipiracilumtabl.powl, 20+8.19 mg
60 /620
TucatinibumTabs. powl. 150 mg
84 /14
VedolizumabumPhyol.300 mg
1 /12
VEMURAFENIBUMtabl.powl. 240mg
56 /450
Venetoclaxumtabl.powl.100 mg
112 /900
Vinblastini sulfasPhyol. 10 mg
1 /500
VINCRISTINI SULFASPhyol.1 mg
1 /1800
VinorelbinumSoft capsules 30 mg
1 /5200
BevacizumabumPhyol.400 mg
1 /3500
VinorelbinumPhyol. 50mg
10 /50
VinorelbinumPhyol. 50 mg
1 /700
VismodegibumKAPS. hard 150 mg
28 /180
Zanubrutinibumcapes. twar. 80 mg
120 /60
Abirateronumtablets 500 mg
60 /620
Binimetinibtabl.powl.15mg
84 /850
BLEOMYCINI HYDROCHLORIDUM OR SULFASviol/15000 IU
1 /750
BLINATUMOMABUM1 fiol. powder 38.5 mcg + 1 fiol. stabilizing solution 10 ml
1 /60
Bortezomibumfiddle. 3.5 mg
1 /750
Bosutinibumtabl.powl.500 mg
28 /850
Brentuximabum vedotinumPhyol.50 mg
1 /350
BRIGATYNIBUMTabs. powl. 180 mg
28 /100
BRIGATYNIBUMTabs. powl. 90 mg + tabl. powl. 180 mg
7+21 (op. until the start of therapy)
twenty
BUSULFANUMPhyol. 60 mg
1 /450
Cabazitaxelumfiddle. 50 mg/5 ml
1 /200
ACALABRUTINIBUMcaps. hard 100 mg
60/ 200
Cabazitaxelumfiddle. 60 mg/6 ml
1 /100
Cabozantinibumtabl.powl. 20 mg
or tabl.powl. 40 mg
or tabl.powl. 60 mg
30 /300
Capecitabinumfilm-coated tablets 500 mg
120 /4000
Carboplatinumviol.600 mg/60 ml
1 /5500
CarfilzomibumPhyol.10 mg
1 /3500
CarmustinumPhyol. 100 mg
1 /160
CEMIPLIMABUMPhyol.350 mg
1 /50
Ceritinibumcaps hard 150 mg
150 /10
Cetuximab500 mg vial
1 /1200
Ciclosporinumcaps. 50 mg
50 /30
Afatinibumtabl.powl. 40 mg,
tabl.powl. 20 mg,
tabl.powl. 30 mg
28/ 120
Ciclosporinumcaps. 100 mg
50 /15
Ciclosporinumcaps. 25 mg
50 /15
Ciclosporinumamp. 50 mg/ml
10 /700
cisplatinumPhyol. 100mg
1 /4000
CladribinumPhyol.10 mg
1 /70
Cobimetinibumtabl.powl.20 mg
63 /70
CrizotinibumCaps hard 250mg
60 /40
CyclophosphamidumPhyol.1000 mg
1 /3000
Cyclophosphamidumdragees 50 mg
50 /100
Cytarabinumfiol. 1g/20ml
1 /1200
Afliberceptumviol.200mg/8ml
1 /800
Dabrafenibumhard capsules 75mg
28 /1200
DacarbazinumPhyol. 500mg
1 /1000
DACTINOMYCINfiol. 0.5 mg
1 /140
DARATUMUMABUMfiddle. 1800mg/15ml
1 /800
DarolutamidumTabs. powl. 300 mg
112 /160
Dasatinibumtabl. powl. 100 mg
30 /200
Daunorubicinumfiol. 20 mg
1 /600
DocetaxelumPhyol. 160 mg
1 /2800
Dostarlimabumfiddle. 500 mg/10 ml
1 /100
DOXORUBICIN IN PEGYLATED LIPOSOMESfiol. 20mg
1 /1800
Alectinibumcaps.tw. 150 mg
224 /280
DOXORUBICIN LIPOSOMALNA NIEPEGYLOWANAPhyol.50 mg
2 /160
DOXORUBICINI HYDROCHLORIDUM OR DOXORUBICINUMviol.200 mg/100ml
1 /1400
DurvalumabPhyol. 500 mg
1 /2500
ELOTUZUMABUMviolet. 400 mg powder for concentrate for solution for infusion
1 /300
ELOTUZUMABUMviolet. 300 mg powder for concentrate for solution for infusion
1 /500
EncorafenibumCaps.hard 75 mg
42 /1800
Entrectinibumcapes. twar. 200 mg
90 /25
Enzalutamidumcaps.soft 40 mg
112 /1400
EPIRUBICINI HYDROCHLORIDUMviol.100 mg/50ml
1 /350
Erlotinibumtabl. powl. 150mg
30 /10
AlpelisibumTabs. powl. 200 mg,
Tabs. powl.50 mg /
Tabs. powl. 200 mg,
tabl.powl. 150 mg
28 or 56 as described in col. 6 100
EtoposidumPhyol. 400 mg
1 /2000
Everolilimusumtabl. 10 mg
30 /150
PHEDRATINIBUMcaps. hard 100 mg
120 /5
Filgrastimumampstrz.30 million U.m./0.5 ml
1 /3500
Filgrastimumampstrz. 48 million U.m./0.8 ml
1 /2500
Fludarabini phosphastabl.powl.10 mg
20 /10
FludarabinumPhyol. 50 mg
1 /300
Fluorouracilumfiol. 5 g
1 /4500
Fulvestrantumampstrz. 250 mg
2 /1500
Gefitinibumtabl.powl.250mg
30 /50
AnagrelidumCaps.hard 1mg
100 /200
GemcitabinumPhyol. 2000 mg
1 /2200
GEMTUZUMABUM OZOGAMICINUMPowder for concentrate solution for infusion 5 mg
1 /15
Gilteritinibi fumarastabl. powl. 40 mg
84 /15
GLOFITAMABUMfiddle. 2.5 mg/2.5 ml
1 /5
GLOFITAMABUMfiddle. 10 mg/10 ml
1 /50
Hydroxycarbamidecaps hard 500 mg
100 /10
Ibrutinybumcaps.tward.140mg
90 /250
Idarubicinumviolin.10 mg/10 ml
1 /150
IdelalizybumTabs. powl. 150 mg
60 /10
Iphosphamidumviol.2g
1 /1500
ApalutamidumTabs. powl. 60 mg
120 /100
Imatinibumtabl.powl.400 mg
30 /2000
IMMUMOGLOBULINA KRENERAL v PEOPLE LIMFOCYTOM tvial 100 mg/5 ml
10 /18
Human immunoglobulin 10% for subcutaneous administration included with recombinant human hyaluronidasefiddle. 30g/300 ml IG 10% + violin. 10 ml rHuPH20,
1 /100
HUMAN IMMUNOGLOBULIN FOR INTRAVENOUS ADMINISTRATION - 1ML SOLUTION CONTAINS 50MG OF HUMAN PLASMA PROTEIN, INCLUDING AT LEAST 95% IMMUNOGLOBULIN: IMMUNOGLOBULIN (IGM) 6MG, IMMUNOGLOBULINAA (IGA) 6MG, IMMUNOGLfiol. 2.5 g/50 ml
1 /24
HUMAN IMMUNOGLOBULIN FOR INTRAVENOUS ADMINISTRATION - 1ML SOLUTION CONTAINS 50MG OF HUMAN PLASMA PROTEIN, INCLUDING AT LEAST 95% IMMUNOGLOBULIN: IMMUNOGLOBULIN (IGM) 6MG, IMMUNOGLOBULINAA (IGA) 6MG, IMMUNOGLfiddle. 5g/100 ml
1 /12
Immunoglobulins intravenous, 10% solution, IgG content ≥ 98%, IgA content ≤ 0,025 mg/mlviol.10 g/100ml
1 /1400
Immunoglobulins intravenous, 10% solution, IgG content ≥ 98%, IgA content ≤ 0,14 mg/mlviol.10 g/100ml
1 /700
IMMUNOGLOBULINUM ANTI-T LYMPHOCYTORUM EX ANIMALE AD USUM HUMANUMfiddle. 25 mg/5ml
1 /800
IMMUNOGLOBULINUM HUMANUM - PREPARATION WITH CONTENT: IGG AT LEAST 98%; IGA MAX 280µG/ML*fiol. 1 g/5 ml
1 /5000
IMMUNOGLOBULINUM HUMANUM FOR SUBCUTANEOUS ADMINISTRATION; PREPARATION WITH AN IGG CONTENT OF AT LEAST 95%; IGA HAS 50UG/ML; VIAL.≤0.2 G/MLfiol. 1g/5 ml
1 /3000