| Název | Doplněk názvu | Síla | Léková forma | Balení | Expedice | Max. doplatek |
|---|---|---|---|---|---|---|
| Donpethon | 5mg tbl flm 28 | 5 mg | potahovaná tableta | 28 | na recept | 2279,10 Kč |
| Donpethon | 5mg tbl flm 56 | 5 mg | potahovaná tableta | 56 | na recept | 4430,93 Kč |
| Donpethon | 5mg tbl flm 84 | 5 mg | potahovaná tableta | 84 | na recept | |
| Donpethon | 10mg tbl flm 28 | 10 mg | potahovaná tableta | 28 | na recept | 4430,93 Kč |
| Donpethon | 10mg tbl flm 56 | 10 mg | potahovaná tableta | 56 | na recept | 8456,03 Kč |
| Donpethon | 10mg tbl flm 84 | 10 mg | potahovaná tableta | 84 | na recept |