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c/glp1eu·posted 1 year ago by u/cardio_endpoint_c

does pharmacy actually matter or is it forum lore at this point

Discussion Clean Column ×5 Well Actually ×1

does pharmacy actually matter or is it forum lore at this point — that is what I am asking, and I have already read the wiki twice.

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

Nothing here is medical or legal advice, and eligibility questions have national answers that a pharmacist where you live can give you in minutes.

Compared prices across two neighbouring countries and found the difference was mostly pack size once I normalised it.

Tell me where this is wrong. That is the useful part of posting it.

1,884 up / 91 down95% upvoted51 commentsid ys1h7220 May 2025

51 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/cesar_oyelaran312 points·1 year ago

Pharmacy margins and dispensing fees are regulated nationally, which explains price differences that otherwise look arbitrary.

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u/spain_receta258 points·1 year 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/pavel_kimani203 points·1 year ago

Assumed a prescription would be honoured across the border.

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

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[removed]97 points·1 year ago

[removed by moderator]

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u/ignacio_silva118 points·1 year ago·edited

say which country or the thread is useless

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u/marisol_frisk186 points·1 year ago

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

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u/joaquin_trevino-36 points·1 year ago

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

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u/zaid_eriksen0 points·1 year ago

Is this a cross-border question or a domestic one?

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u/line_bergstrom1 point·1 year ago

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

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u/zaid_eriksen1 point·1 year ago

ask for the Beipackzettel or the local equivalent, it answers most questions

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u/cardio_endpoint_cOP114 points·1 year ago

Apotheke pricing and pharmacy pricing elsewhere are different systems

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u/dario_petrescu67 points·1 year ago

Apotheke pricing and pharmacy pricing elsewhere are different systems

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

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u/naomi_erdogan152 points·1 year ago

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

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u/cardio_endpoint_cOP119 points·1 year ago

the reimbursement criteria are published in most member states

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u/ewan_tulloch50 points·1 year ago

a shortage in one member state is not a shortage in all of them

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u/nl_verzekering71 points·1 year ago

the reimbursement criteria are published in most member states

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

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u/no_refunds_nr56 points·1 year ago

private pricing varies enormously between neighbouring countries

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u/cardio_endpoint_cOP62 points·1 year 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/nl_verzekeringMOD90 points·1 year ago

Left up. It names the member state and the pack size, which is all we ask of a pricing post.

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u/tove_ogunleye57 points·1 year ago

Left up.

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

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u/santiago_rasmussen22 points·1 year ago

This. The published reimbursement criteria are the document to read, and most member states do publish them.

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u/dose_diary_danalog keeper12 points·1 year ago

Same. Naming the country in the first line would fix most of the bad advice on this board.

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u/bruno_dumitru4 points·1 year ago

Cosigning on cross-border prescriptions. The rules exist and they are narrower than the summaries suggest.

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u/throwaway_44b154 points·1 year ago

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

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u/stablecoin_steve25 points·1 year ago

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

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

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u/no_refunds_nr43 points·1 year ago

Yes — keep both the prescription and the receipt. Claims processes ask for both and never at a convenient moment.

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u/emeka_beaulieu29 points·1 year ago

Are you comparing the same presentation, or different pack sizes?

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u/zaid_grimaldi16 points·1 year ago

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

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u/hydration_hank4 points·1 year ago

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

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u/rohan_steiner21 points·1 year ago

Asked in my own language at a local pharmacy and got a clearer answer in five minutes than a fortnight of forum reading.

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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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