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c/glp1eu·posted 8 months ago by u/cesar_oyelaran

[PSA] prescription is not what most of this community thinks it is

PSA Clean Column ×6 Well Actually ×2

prescription is not what most of this community thinks it is. Two minutes of reading now saves an argument later.

Pack sizes and presentations differ between member states, so a headline price is not comparable until it is normalised to a common quantity.

Supply notices are issued nationally. A notice in one member state does not imply availability problems in another, even for the same product.

Published reimbursement criteria exist in most member states and are usually available in the national language. They are the authoritative answer to eligibility questions that this board can only guess at.

Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.

2,660 up / 332 down89% upvoted30 commentsid 1101g86 Nov 2025

30 comments

18 in this archive, depth 6

best — the order this archive was captured in

u/dario_stanescu330 points·8 months ago

Cross-border prescription recognition exists under EU rules but is conditional and narrower than commonly assumed, with requirements about the prescription’s form and content.

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u/throwaway_44b10 points·8 months ago

a prescription from one member state is not automatically valid in another

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u/stablecoin_steve1 point·8 months ago

The translation cost of dealing with a foreign pharmacy was the thing I had not budgeted for.

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u/nadia_bakker1 point·8 months ago

The translation cost of dealing with a foreign pharmacy was the thing I had not budgeted for.

This is the split the whole board depends on. Authorisation is European; payment is national.

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[removed]1 point·8 months ago

[removed by moderator]

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u/ahmed_rasmussen1 point·8 months ago

cross-border prescription rules exist and they are narrower than people think

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u/gallbladder_gary100 points·8 months ago·edited

Cross-border prescription recognition exists under EU rules but is conditional and narrower than commonly assumed, with requirements about the prescri

Adding the practical step — read your own country’s published criteria. They exist and they are definitive.

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u/dario_petrescu54 points·8 months ago

pack sizes differ, so per-month comparisons need care

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u/bilal_adebayo-35 points·8 months ago

The variation between pharmacies inside my own country was larger than the variation I had been chasing across the border.

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u/mikkel_correia1 point·8 months ago

Agreed that pharmacy margin regulation explains a lot of the price differences people find mysterious.

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u/ignacio_vanhecke1 point·8 months ago

The variation between pharmacies inside my own country was larger than the variation I had been chasing across the border.

Disagreeing with this bit: that criterion belongs to one member state and is being quoted as general.

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u/nabila_ogunleye1 point·8 months ago

Disagreeing with this bit: that criterion belongs to one member state and is being quoted as general.

ignacio_vanhecke is right about cross-border recognition being narrower than the summaries suggest.

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u/nabila_ogunleye372 points·8 months ago

Assumed a prescription would be honoured across the border. It was not, and the rules are clear once you actually read them.

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u/sten_palacios142 points·8 months ago

say which country or the thread is useless

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u/ingrid_correia91 points·8 months ago

Not convinced — cross-border prescription recognition is narrower than you are describing and the exceptions matter.

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u/rt_shift_reggie166 points·8 months ago

Marketing authorisation is granted centrally for these products; reimbursement, pricing and prescribing criteria are national competences. Those are decided by different bodies with different processes.

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u/renal_outcomes_rnephro-curious50 points·8 months ago

the language barrier is a real cost and nobody budgets for it

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u/nayeli_fonseca126 points·8 months ago

Read the published reimbursement criteria where I live rather than asking. Took twenty minutes and answered everything.

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European access, country by country: prescription routes, reimbursement reality, pharmacy stock, EMA notices and the fact that "EU rules" is usually a national question wearing a European hat.

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