vialroom

#eu 2025-10-31

Friday47 messages9 participantstimes are UTC
Highlights from this day
  • amylin_amy — ema approval means licensed but not that anyone pays for it, is that the right way round ema approval is a licence, not a payment decision. every member state decides… 08:00
  • vik_verifies — i was wrong about the cross border prescription rules and a pharmacist corrected me in person, which was humbling 09:13
  • coa_or_cope — for the archive a member in spain said their pharmacy price was lower than germany when they compared in 2024, and i cannot verify that nobody here can tell you what… 11:27
KF

a member reported reimbursement under a national scheme for diabetes and flatly not for weight, and that was the pattern across several countries, ymmv

that was 2024 pricing

member reported

KF

that is the thing people get wrong constantly. approved and paid for are two completely different processes in the eu

AA

quick one has anyone crossed a border specifically to buy it

netherlands was reported in here at around 200 euros a month out of pocket a year or so ago, with conditions attached to any reimbursement

a german member reported paying around 300 euros a month privately in 2024. one person, one dose, one pharmacy

in germany the split is privat versus kasse. a private prescription means you pay the pharmacy price yourself and when i checked last year that was a lot

AA

has anyone found a national scheme that actually covers this

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poland came out cheapest of the four countries members compared about eighteen months ago

5
CO

is it reimbursed anywhere in the eu or is it private everywhere

CO

for the archive a prescription from one member state is meant to be recognised in another under the cross border rules. whether the pharmacist knows that is another matter

CO

i order about six weeks ahead because a customs delay inside the eu still cost me 21 days once, ymmv

MO

how does a pharmacy handle it if you have no local insurance at all

PS

german pharmacies will order in what they do not stock. mine took three working days when i asked in 2024

how are people managing when support only speaks one language and it isnt yours

is vat charged on a parcel coming into the eu and how much are we talking

AA

ema approval means licensed but not that anyone pays for it, is that the right way round
ema approval is a licence, not a payment decision. every member state decides reimbursement separately and they do not agree with each other

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DE

is the price the same across pharmacies in a country or does it vary a lot

varies by pharmacy

BS

how do you deal with a supplier whose support is in one language only

pharmacy prices in germany were fairly uniform when i checked because of how they are regulated. in spain they varied much more, ill dig out the number

VV

i was wrong about the cross border prescription rules and a pharmacist corrected me in person, which was humbling

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*Janoshik not the other one

crossing a border to buy it happens and people are quiet about it, which tells you how comfortable they are with it

the cheapest eu route a member found was a local pharmacy with a local prescription, which is no help if you have neither

KF

i had one pharmacy in another eu country refuse a foreign prescription and one accept it, same month, same paperwork

[edited]
NP

germany, whats the actual difference in cost between a private and a statutory prescription

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NP

my last customs bill was about twenty two percent of declared value plus a fixed handling charge that hurt more than the tax did

BS

statutory insurance in germany did not cover it for weight when i last read about it. for the diabetes indication it was a different conversation

approval isnt reimbursement

25 days inside the eu

is carrying it in a suitcase inside the eu a problem

CO

for the archive a member in spain said their pharmacy price was lower than germany when they compared in 2024, and i cannot verify that
nobody here can tell you what is legal in your country and the mods stop that conversation early

reported by members, own currency, not comparable directly
  private clinic, UK      145 - 220
  statutory, DE            10 co-pay
  private script, DE      180 - 240
  pharmacy, PL             95 - 140
  pharmacy, SE            210 - 260