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c/glp1eu·posted 4 days ago by u/renal_outcomes_r

[Pricing] four countries, same product, same week, 2.4x spread

Pricing

four countries, same product, same week, 2.4x spread. Making the case below, and I expect to lose some of it in the comments.

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

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

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

Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.

71 up / 20 down78% upvoted13 commentsid 15o2rs26 Jul 2026

13 comments

13 in this archive, depth 4

best — the order this archive was captured in

u/ahmed_rasmussen4 points·3 days ago

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

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u/plateau_patrol3 points·4 days 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/renal_outcomes_rOPnephro-curious2 points·3 days ago

The translation cost of dealing with a foreign pharmacy was the thing I had not budgeted for.

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u/renal_outcomes_rOPnephro-curious1 point·3 days ago

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

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u/tobias_vukovic1 point·3 days ago

the EMA authorises, member states decide who pays

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u/renal_outcomes_rOPnephro-curious-8 points·3 days ago

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

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u/vomit_free_since2 points·3 days 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/throwaway_44b10 points·3 days ago

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

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u/milan_mensah1 point·3 days ago

pack sizes differ, so per-month comparisons need care

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u/bilal_adebayo2 points·4 days 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/greta_nilsen1 point·3 days ago

A supply notice in one member state made the front page here and had no effect at all where I am.

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u/sten_bhattacharya1 point·3 days ago

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

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u/adaeze_cabrera1 point·2 days ago

keep the prescription and the receipt, both matter for claims

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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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