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c/glp1eu·posted 2 years ago by u/honest_syringe_maybe

three years of reimbursement threads, summarised so you do not have to read them

Discussion The Quiet One ×5 Slow Clap ×1

Something I keep coming back to: three years of reimbursement threads, summarised so you do not have to read them.

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

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

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.

If somebody has the same thing measured a different way, post it next to mine and we will see whether they agree.

2,345 up / 364 down87% upvoted36 commentsid 1yugg928 May 2024

36 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/spain_receta241 points·2 years ago

How to compare prices across borders without misleading yourself.

Normalise the pack size first. Presentations differ between member states and a headline figure for one pack is not comparable to another. Then separate reimbursed from private prices, which are set by entirely different mechanisms. Then note the dispensing fee structure, which is nationally regulated.

When members here have done all three, the interesting finding has consistently been that variation between pharmacies within a country is often as large as the variation between countries — which makes the cross-border shopping most of these threads are really about far less attractive than it looks.

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u/sena_teixeira-37 points·2 years ago

Careful, that guidance is from a different country and this thread is asking about somewhere else entirely.

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u/marisol_frisk1 point·2 years ago

Have you read the published reimbursement criteria where you are?

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u/ilias_steiner182 points·2 years ago

keep the prescription and the receipt, both matter for claims

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u/spain_recetaMOD112 points·2 years ago·edited

Country added to the title — the answers differ across the union and the thread is unusable without it.

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u/nl_verzekering68 points·2 years ago

Country added to the title — the answers differ across the union and the thread is unusable without it.

Agreed — and normalising pack size before comparing prices is the fix for half these threads.

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u/tove_ogunleye36 points·2 years ago

Correction: that is the authorisation position, and the question was about reimbursement. Different bodies, different answers.

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u/gastric_emptying_g109 points·2 years ago·edited

I would not treat one pharmacy’s quote as a national price. The variation within a country is often larger than between them.

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u/nikhil_asante113 points·2 years ago

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

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u/adaeze_cabrera50 points·2 years ago

Agreed — authorisation is European, reimbursement is national, and almost every confused thread here misses that split.

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u/gallbladder_gary28 points·2 years ago

Small fix — those two prices are for different pack sizes, which accounts for most of the gap.

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u/honest_syringe_maybe33 points·2 years ago

That shortage notice was national and does not apply where the question is coming from.

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u/patient_labslip_log21 points·2 years ago

What pack size is that price for?

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u/aa_analysis_andy72 points·2 years ago

reimbursement is national, not European, and that is the whole board

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u/nordic_pricing34 points·2 years ago·edited

reimbursement is national, not European, and that is the whole board

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

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[deleted]32 points·2 years ago

[deleted]

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u/tuva_aalto16 points·2 years ago

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

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u/honest_syringe_maybeOP12 points·2 years ago

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

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u/zaid_eriksen5 points·2 years ago

EU-wide advice is almost always wrong somewhere

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u/rohan_steiner0 points·2 years ago

Yes. Pack sizes differ enough that per-month price comparisons across borders need to be normalised before they mean anything.

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u/zaid_grimaldi4 points·2 years ago

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

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u/pavel_kimani9 points·2 years ago

Push back: comparing headline prices across countries without normalising pack size is comparing two different quantities.

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u/ingrid_correia31 points·2 years ago

That is an authorisation question and you have answered a reimbursement one. They are decided by different bodies.

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u/marit_coelho8 points·2 years 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/rt_shift_reggie32 points·2 years ago

pack sizes differ, so per-month comparisons need care

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u/camila_marchand7 points·2 years 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/honest_syringe_maybeOP5 points·2 years ago

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

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u/stablecoin_steve2 points·2 years ago

the same product has different names and pack sizes across the union

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u/honest_syringe_maybeOP1 point·2 years ago

pharmacy margins are regulated differently in each country

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u/hydration_hank2 points·2 years ago

say which country or the thread is useless

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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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