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c/glp1eu·posted 6 months ago by u/patient_labslip_log

the UK: reimbursement, and what it actually costs here

Country Cold Box ×9 Long Haul ×1

the UK: reimbursement, and what it actually costs here. I have gone back and forth on this for months.

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

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.

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.

If two or three other people have done the same thing we might actually learn something. Alone it is an anecdote.

1,188 up / 164 down88% upvoted38 commentsid zw66yw29 Jan 2026

38 comments

19 in this archive, depth 6

best — the order this archive was captured in

u/priya_palacios79 points·6 months 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/solene_ilunga48 points·6 months ago

cross-border prescription rules exist and they are narrower than people think

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u/marisol_frisk31 points·6 months ago

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

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u/patient_labslip_logOP33 points·6 months ago

keep the prescription and the receipt, both matter for claims

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u/kaplan_meier_kim36 points·6 months ago

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/milan_mensah20 points·5 months ago

I would not treat one pharmacy’s quote as a national price.

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

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u/spain_receta22 points·6 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/throwaway_44b115 points·5 months ago

Published reimbursement criteria exist in most member states and are usually available in the national language.

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

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[deleted]8 points·5 months ago

[deleted]

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u/nl_verzekering3 points·5 months ago

reimbursement is national, not European, and that is the whole board

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u/marit_coelho1 point·5 months ago

reimbursement is national, not European, and that is the whole board

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

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u/ahmed_fonseca-27 points·5 months ago

the reimbursement criteria are published in most member states

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u/patient_labslip_log1 point·5 months ago

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

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u/greta_nilsen1 point·5 months ago

private pricing varies enormously between neighbouring countries

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u/preservative_free_p21 points·6 months 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/ilias_steiner10 points·6 months ago

Disagree. That is one member state’s reimbursement rule and it does not generalise across the union.

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u/TitrationTortoiseslow and boring3 points·6 months ago

Apotheke pricing and pharmacy pricing elsewhere are different systems

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u/arne_ndiaye11 points·6 months ago

That is an authorisation question and you have answered a reimbursement one. They are decided by different bodies.

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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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