| Název | Doplněk názvu | Síla | Léková forma | Balení | Expedice | Max. doplatek |
|---|---|---|---|---|---|---|
| Bevimlar | 2,5mg tbl flm 196 | 2,5 mg | potahovaná tableta | 196 | na recept | 3572,36 Kč |
| Bevimlar | 10mg tbl flm 10 | 10 mg | potahovaná tableta | 10 | na recept | 559,99 Kč |
| Bevimlar | 10mg tbl flm 30 | 10 mg | potahovaná tableta | 30 | na recept | 1518,04 Kč |
| Bevimlar | 15mg tbl flm 28 | 15 mg | potahovaná tableta | 28 | na recept | 1168,55 Kč |
| Bevimlar | 15mg tbl flm 42 | 15 mg | potahovaná tableta | 42 | na recept | 1744,18 Kč |
| Bevimlar | 15mg tbl flm 98 | 15 mg | potahovaná tableta | 98 | na recept | 4131,66 Kč |
| Bevimlar | 20mg tbl flm 28 | 20 mg | potahovaná tableta | 28 | na recept | 1062,71 Kč |
| Bevimlar | 20mg tbl flm 98 | 20 mg | potahovaná tableta | 98 | na recept | 3761,22 Kč |