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c/glp1eu·posted 4 months ago by u/fabio_ibarra

[Question] how do you actually verify reimbursement

Question

Question in the title, detail here: how do you actually verify reimbursement.

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

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

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

Happy to answer the boring questions. Those are usually the ones worth asking.

214 up / 59 down78% upvoted21 commentsid 10q5015 Mar 2026

21 comments

16 in this archive, depth 5

best — the order this archive was captured in

u/nordic_pricingMOD33 points·4 months ago

Pointing this one at a pharmacist locally. Eligibility questions have national answers we cannot give.

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[deleted]23 points·4 months ago

[deleted]

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u/ahmed_rasmussen13 points·4 months ago

the EMA authorises, member states decide who pays

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u/zaid_eriksen11 points·4 months ago

the EMA authorises, member states decide who pays

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

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u/fabio_ibarraOP9 points·4 months ago

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

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u/gallbladder_gary7 points·4 months ago

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

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u/kaplan_meier_kim8 points·4 months ago

Right, and a shortage notice in one country tells you very little about the next one along.

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u/TitrationTortoiseslow and boring21 points·4 months ago·edited

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/viktor_nkemelu25 points·4 months ago

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

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u/noor_ivaturi-24 points·4 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/rania_marchand1 point·4 months ago

the reimbursement criteria are published in most member states

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u/zaid_eriksen1 point·4 months ago

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

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

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u/line_bergstrom7 points·4 months ago

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.

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u/renal_outcomes_rnephro-curious4 points·4 months ago

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

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u/marisol_frisk11 points·4 months ago·edited

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/coring_the_stopper5 points·4 months ago·edited

Marketing authorisation is granted centrally for these products; reimbursement, pricing and prescribing criteria are national competences.

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

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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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