| Název | Doplněk názvu | Síla | Léková forma | Balení | Expedice | Max. doplatek |
|---|---|---|---|---|---|---|
| Imnovid | 1mg cps dur 21 | 1 mg | tvrdá tobolka | 21 | na recept | 185149,32 Kč |
| Imnovid | 2mg cps dur 21 | 2 mg | tvrdá tobolka | 21 | na recept | 176252,88 Kč |
| Imnovid | 3mg cps dur 21 | 3 mg | tvrdá tobolka | 21 | na recept | 162334,38 Kč |
| Imnovid | 4mg cps dur 21 | 4 mg | tvrdá tobolka | 21 | na recept | 148416,77 Kč |
| Pomalidomide Accord | 3mg cps dur 21x1 | 3 mg | tvrdá tobolka | 21x 1 | na recept | 77416,44 Kč |
| Pomalidomide Accord | 4mg cps dur 21x1 | 4 mg | tvrdá tobolka | 21x 1 | na recept | 62276,35 Kč |
| Pomalidomide Sandoz | 1mg cps dur 21 | 1 mg | tvrdá tobolka | 21 | na recept | 41738,93 Kč |
| Pomalidomide Sandoz | 2mg cps dur 21 | 2 mg | tvrdá tobolka | 21 | na recept | 92557,07 Kč |
| Pomalidomide Sandoz | 4mg cps dur 21 | 4 mg | tvrdá tobolka | 21 | na recept | 62276,35 Kč |
| Pomalidomid Teva | 2mg cps dur 21x1 | 2 mg | tvrdá tobolka | 21x 1 | na recept | 92557,07 Kč |
| Pomalidomid Teva | 3mg cps dur 21x1 | 3 mg | tvrdá tobolka | 21x 1 | na recept | 77416,44 Kč |
| Pomalidomid Teva | 4mg cps dur 21x1 | 4 mg | tvrdá tobolka | 21x 1 | na recept | 62276,35 Kč |