What does a lump sum mean when buying medicines?

To @Daniela: Unfortunately, I am not able to answer for the doctor, but the ophthalmologist has the formal opportunity to issue a prescription with the "S" license. Perhaps it is worth asking directly whether there was simply a mistake? Both of these drugs are on the list of free preparations for seniors. Azopt is a reimbursed drug, its price of 100% is PLN 32.29. If you have a prescription with a discount, the fee is PLN 10.09 for a lump sum and PLN 0.00 for a senior: https://www.gdziepolek.pl/produkty/8447/azopt-zawiesina-do-oczu/apteki/w-warszawie Similarly Cosopt - is a reimbursed drug, its price 100% is PLN 31.23. For a prescription with a discount, you will pay PLN 9.03 for a lump sum and PLN 0.00 for a senior https://www.gdziepolek.pl/produkty/20017/cosopt-krople-do-oczu/apteki/w-warszawie

Until February 2022, I received Cospit 20mg+5 mg and Azopt 10mng eye drops for free now for a fee: a lump sum, I am 87 years old and glaucoma with nerve damage. Please answer why the ophthalmologist wrote a lump sum R and not S.

For @Andrzej: PLN 9.60 for 3 packages.

I have prescribed the drug neoparin 006 ml 3 packs of 10 pcs and writes a fee R how much it will be for me