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c/glp1canada·posted 10 months ago by u/pavel_kravchenko

Germany: private plan, and what it actually costs here

Discussion

Thinking out loud about this: Germany: private plan, and what it actually costs here.

Cash pricing, which people skip because they assume coverage is the only route.

Prices at the counter vary between pharmacies, sometimes substantially, in the same city. Members here have found spreads worth a real amount per month by ringing four places and asking for the cash price of a specific presentation.

That does not make coverage unimportant. It does mean that while an authorization is in process — which can take weeks — knowing the actual cash spread is worth half an hour of phone calls. Post what you find with the province and the month; the comparison threads here work for exactly the same reason the UK pricing tracker does.

National regulatory approval establishes that a product may be sold. Whether any plan pays for it is a separate decision, and public drug plans are administered provincially.

Special authorization is a documented exception process with published criteria. Applications that answer those criteria explicitly, point by point, fare better than general clinical narratives.

Research-use-only material is not approved for human use and nothing here should be read as a recommendation to use it.

146 up / 4 down97% upvoted16 commentsid hq1e4q28 Sep 2025

16 comments

13 in this archive, depth 4

best — the order this archive was captured in

u/diego_sorensen27 points·10 months ago

A rejected claim at the pharmacy counter and a denied authorization are different events with different remedies. The first can be an administrative or quantity issue; the second is a determination you can appeal.

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u/controversial_only21 points·10 months ago

Confused a rejected claim with a denied authorization for a month and pursued entirely the wrong process.

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u/formulary_fighterappeals-36 points·10 months ago

That is an employer plan process, and the provincial route is different in both form and timeline.

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u/solene_eriksen1 point·10 months ago

ask the pharmacy what the cash price is, it varies

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u/santiago_szabo7 points·10 months ago

say the province or the answers will be wrong

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u/pavel_kravchenkoOP4 points·10 months ago

Have you seen the special authorization criteria for your province?

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u/pavel_kravchenkoOP2 points·10 months ago

Is there a quantity limit involved rather than a coverage refusal?

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u/erez_baptista3 points·10 months ago

Was this a denied authorization or a rejected claim?

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u/greta_perrin13 points·10 months ago

Kept every form and reference number. When they had no record of a submission, I did.

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u/neha_erdogan7 points·10 months ago

Agreed on keeping every form and date. When something goes wrong the paper trail is the whole case.

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[deleted]3 points·10 months ago

[deleted]

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u/pavel_kravchenkoOP9 points·10 months ago

private plans and provincial plans are different fights entirely

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u/formulary_fighterMOD15 points·10 months ago

Left up. It distinguishes a rejected claim from a denied authorization, which most posts here do not.

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Canadian access: provincial formulary differences, private plan coverage, the special-authorisation process, cross-border pricing arbitrage and why the Ontario answer is not the Alberta answer.

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