| Název | Doplněk názvu | Síla | Léková forma | Balení | Expedice | Max. doplatek |
|---|---|---|---|---|---|---|
| Memantin Sandoz | 10mg tbl flm 30 | 10 mg | potahovaná tableta | 30 | na recept | 478,16 Kč |
| Memantin Sandoz | 20mg tbl flm 30 | 20 mg | potahovaná tableta | 30 | na recept | 918,47 Kč |
| Memantine Vipharm | 10mg tbl flm 28 | 10 mg | potahovaná tableta | 28 | na recept | 514,47 Kč |
| Memantine Vipharm | 10mg tbl flm 56 | 10 mg | potahovaná tableta | 56 | na recept | 969,59 Kč |
| Memantine Vipharm | 10mg tbl flm 98 | 10 mg | potahovaná tableta | 98 | na recept | 1627,07 Kč |
| Memantine Vipharm | 20mg tbl flm 28 | 20 mg | potahovaná tableta | 28 | na recept | 1225,52 Kč |
| Memantine Vipharm | 20mg tbl flm 56 | 20 mg | potahovaná tableta | 56 | na recept | 2358,12 Kč |
| Memantine Vipharm | 20mg tbl flm 98 | 20 mg | potahovaná tableta | 98 | na recept | 4000,40 Kč |
| Memantin Mylan | 10mg tbl flm 28 | 10 mg | potahovaná tableta | 28 | na recept | 500,59 Kč |
| Memantin Mylan | 10mg tbl flm 56 | 10 mg | potahovaná tableta | 56 | na recept | 969,60 Kč |
| Memantin Mylan | 10mg tbl flm 84 | 10 mg | potahovaná tableta | 84 | na recept | 1407,94 Kč |
| Memantin Mylan | 20mg tbl flm 28 | 20 mg | potahovaná tableta | 28 | na recept | 969,60 Kč |
| Memantin Mylan | 20mg tbl flm 98 | 20 mg | potahovaná tableta | 98 | na recept | 1850,83 Kč |
| Memantine Accord | 10mg tbl flm 28 | 10 mg | potahovaná tableta | 28 | na recept | 619,03 Kč |
| Memantine Accord | 10mg tbl flm 56 | 10 mg | potahovaná tableta | 56 | na recept | |
| Memantine Accord | 20mg tbl flm 28 | 20 mg | potahovaná tableta | 28 | na recept | |
| Memantine Accord | 20mg tbl flm 56 | 20 mg | potahovaná tableta | 56 | na recept | |
| Memantine Accord | 20mg tbl flm 98 | 20 mg | potahovaná tableta | 98 | na recept | |
| Memantine Accord | 10mg tbl flm 98x1 | 10 mg | potahovaná tableta | 98x 1 | na recept | 1627,10 Kč |
| Memantine Accord | 20mg tbl flm 28x1 | 20 mg | potahovaná tableta | 28x 1 | na recept | 1225,53 Kč |
| Memantine Accord | 20mg tbl flm 56x1 | 20 mg | potahovaná tableta | 56x 1 | na recept | 2358,13 Kč |
| Memantine Accord | 20mg tbl flm 98x1 | 20 mg | potahovaná tableta | 98x 1 | na recept | 4000,44 Kč |