| Název | Doplněk názvu | Síla | Léková forma | Balení | Expedice | Max. doplatek |
|---|---|---|---|---|---|---|
| Esbriet | 801mg tbl flm 84(4x21) | 801 mg | potahovaná tableta | 84 (4x 21) | na recept | 36636,04 Kč |
| Fredalix | 267mg tbl flm 252x1 | 267 mg | potahovaná tableta | 252x 1 | na recept | 10385,61 Kč |
| Fredalix | 801mg tbl flm 252x1 | 801 mg | potahovaná tableta | 252x 1 | na recept | 38480,45 Kč |
| Fredalix | 801mg tbl flm 84x1 | 801 mg | potahovaná tableta | 84x 1 | na recept | 13467,45 Kč |
| Pirfenidone Accord | 267mg tbl flm 252x1(3x12x7x1) | 267 mg | potahovaná tableta | 252x 1 (3x 12x 7x 1) | na recept | 33853,46 Kč |
| Pirfenidone Accord | 801mg tbl flm 252x1(3x12x(7x1)) | 801 mg | potahovaná tableta | 252x 1 (3x 12x (7x 1) | na recept | 110230,73 Kč |
| Pirfenidone Accord | 801mg tbl flm 84x1 | 801 mg | potahovaná tableta | 84x 1 | na recept | 37384,21 Kč |
| Pirfenidone Teva | 267mg tbl flm 252 | 267 mg | potahovaná tableta | 252 | na recept | 10385,61 Kč |
| Pirfenidone Teva | 801mg tbl flm 252(3x84) | 801 mg | potahovaná tableta | 252 (3x 84) | na recept | 38480,45 Kč |
| Pirfenidone Teva | 801mg tbl flm 84 | 801 mg | potahovaná tableta | 84 | na recept | 13467,45 Kč |
| Pirfenidon Zentiva | 267mg tbl flm 252 | 267 mg | potahovaná tableta | 252 | na recept | 10385,61 Kč |
| Pirfenidon Zentiva | 801mg tbl flm 252 | 801 mg | potahovaná tableta | 252 | na recept | 38480,45 Kč |
| Pirfenidon Zentiva | 801mg tbl flm 84 | 801 mg | potahovaná tableta | 84 | na recept | 13467,45 Kč |