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Regional · European Union · continued

EMA product information as a primary source — does this still hold? posts 91–120

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.

LF
l.ferreiraTL217 Nov 2024#91
ES
e.silvaTL2 Moderator17 Nov 2024#92

Cross-border purchase rules: buying a prescription in one EU country and bringing it home is complex. The substance is legal but crossing borders with it requires understanding both countries' import rules.

9 likes 20mo
SS
s.solbergTL2 Moderator17 Nov 2024#93

Reimbursement varies substantially by member state. Some (Germany, France, Netherlands) restrict weight-management coverage. Others are more permissive. That variation is the single most determinative factor in access for most EU residents.

21 likes 20mo
HK
h.koodziejTL2Member17 Nov 2024#94
j.erdogan, post #19: This follows post #16 rather than contradicting it. France: ANSM implements EU framework. Reimbursement has been narrower for weight management. Prescribing restrictions were applied during shortages, directing available product toward diabetes indications. Go to post

Private prescription with self-payment is legal across the EU and is the common route where public reimbursement is not available.

0 likes in reply to #19 20mo
LC
lu.cabreraTL2 Moderator17 Nov 2024#95

Picking up post #92: that is the part I would want checked first.

Pharmacy practice: pharmacies in different EU countries differ in conservatism about irregular prescriptions. Some will decline a prescription they consider irregular; others will not. Local pharmacy culture matters.

5 likes 20mo
JS
j.sorensenTL2 Moderator17 Nov 2024#96

Coming back to post #94, because the follow-up matters more than the original answer.

Cross-border purchase rules: buying a prescription in one EU country and bringing it home is complex. The substance is legal but crossing borders with it requires understanding both countries' import rules.

14 likes 20mo
AA
an.adeyemiTL2 Moderator17 Nov 2024#97

France: ANSM implements EU framework. Reimbursement has been narrower for weight management. Prescribing restrictions were applied during shortages, directing available product toward diabetes indications.

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VS
v.salgadoTL2 Moderator17 Nov 2024#98
c.kuusela, post #9: Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing. The correction was fair and I had been repeating something I had not checked carefully enough. Go to post

Germany: BfArM implements EU framework. Statutory insurance (the majority) excludes "lifestyle medicines" including weight management. Private prescription is common. Private insurance sometimes covers it.

0 likes in reply to #9 20mo
FP
f.petrovTL2 Moderator17 Nov 2024#99

Netherlands: CBG-MEB implements framework. GPs are first point of contact. Insurance coverage for weight management is conditional on structured lifestyle programme participation.

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VM
v.milanoviTL3Regular17 Nov 2024 · edited#100

Spain: AEMPS is the regulator. Public reimbursement for weight management has been limited with regional variation in specialist pathways. Private prescription is common.

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PF
p.friskTL2 Moderator17 Nov 2024#101

Italy: AIFA controls reimbursement through a note system. Weight-management indications have not attracted public reimbursement. Regional health authorities add further variation.

9 likes 20mo
ID
integrator_draftTL3Regular17 Nov 2024#102

I read post #100 twice before replying, because I had assumed the opposite.

EMA is the regulator with national implementation. Licensed incretin analogues are prescription-only across the EU, with some variation in specific approvals by member state.

21 likes 20mo
FP
f.petrovTL2 Moderator17 Nov 2024#103
c.okafor, post #66: France: ANSM implements EU framework. Reimbursement has been narrower for weight management. Prescribing restrictions were applied during shortages, directing available product toward diabetes indications. Go to post

Reimbursement varies substantially by member state. Some (Germany, France, Netherlands) restrict weight-management coverage. Others are more permissive. That variation is the single most determinative factor in access for most EU residents.

0 likes in reply to #66 20mo
VM
v.milanoviTL3Regular17 Nov 2024#104

Private prescription with self-payment is legal across the EU and is the common route where public reimbursement is not available.

2 likes 20mo
NC
n.chowdhuryTL2 Moderator17 Nov 2024 · edited#105

Netherlands: CBG-MEB implements framework. GPs are first point of contact. Insurance coverage for weight management is conditional on structured lifestyle programme participation.

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AS
a.stephanopoulosTL3Regular18 Nov 2024#106

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

28 likes 20mo
KB
ka.batistaTL2 Moderator18 Nov 2024#107
s.lindqvist, post #57: Reimbursement varies substantially by member state. Some (Germany, France, Netherlands) restrict weight-management coverage. Others are more permissive. That variation is the single most determinative factor in access for most EU residents. Go to post

post #106 answers the question as asked. The question underneath it is different.

France: ANSM implements EU framework. Reimbursement has been narrower for weight management. Prescribing restrictions were applied during shortages, directing available product toward diabetes indications.

0 likes in reply to #57 20mo
SF
sterile_fileTL3Regular18 Nov 2024#108

Germany: BfArM implements EU framework. Statutory insurance (the majority) excludes "lifestyle medicines" including weight management. Private prescription is common. Private insurance sometimes covers it.

5 likes 20mo
AA
an.adeyemiTL2 Moderator18 Nov 2024#109

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

2 likes 20mo
VS
v.salgadoTL2 Moderator18 Nov 2024#110

Spain: AEMPS is the regulator. Public reimbursement for weight management has been limited with regional variation in specialist pathways. Private prescription is common.

10 likes 20mo
SK
s.karlsen_rphTL3Pharmacist18 Nov 2024#111

Worth separating two things that post #107 runs together.

Cross-border purchase rules: buying a prescription in one EU country and bringing it home is complex. The substance is legal but crossing borders with it requires understanding both countries' import rules.

5 likes 20mo
KL
k.laurentTL2 Moderator18 Nov 2024#112

Pharmacy practice: pharmacies in different EU countries differ in conservatism about irregular prescriptions. Some will decline a prescription they consider irregular; others will not. Local pharmacy culture matters.

0 likes 20mo
VS
v.szaboTL3Analytical chemist18 Nov 2024#113

Italy: AIFA controls reimbursement through a note system. Weight-management indications have not attracted public reimbursement. Regional health authorities add further variation.

27 likes 20mo
OV
o.vukovicTL2 Moderator18 Nov 2024#114
k.radich, post #45: Worth separating two things that post #41 runs together. EMA is the regulator with national implementation. Licensed incretin analogues are prescription-only across the EU, with some variation in specific approvals by member state. Go to post

This follows post #111 rather than contradicting it.

EMA is the regulator with national implementation. Licensed incretin analogues are prescription-only across the EU, with some variation in specific approvals by member state.

13 likes in reply to #45 20mo
AF
a.finnegan_rdTL2Dietitian18 Nov 2024 · edited#115
v.salgado, post #110: Spain: AEMPS is the regulator. Public reimbursement for weight management has been limited with regional variation in specialist pathways. Private prescription is common. Go to post

On post #111 — agreed on the reasoning, with one qualification.

EMA is the regulator with national implementation. Licensed incretin analogues are prescription-only across the EU, with some variation in specific approvals by member state.

2 likes in reply to #110 20mo
VK
v.kirchnerTL2 Moderator18 Nov 2024#116

post #115 answers the question as asked. The question underneath it is different.

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

0 likes 20mo
CL
coldchain_liuTL3Regular18 Nov 2024#117

Private prescription with self-payment is legal across the EU and is the common route where public reimbursement is not available.

20 likes 20mo
MN
m.nascimentoTL2 Moderator18 Nov 2024#118
s.leclerc, post #34: Coming back to post #32, because the follow-up matters more than the original answer. Germany: BfArM implements EU framework. Statutory insurance (the majority) excludes "lifestyle medicines" including weight management. Private prescription is common. Private insurance sometimes covers it. Go to post

Reimbursement varies substantially by member state. Some (Germany, France, Netherlands) restrict weight-management coverage. Others are more permissive. That variation is the single most determinative factor in access for most EU residents.

9 likes in reply to #34 20mo
AA
a.almeidaTL2 Moderator18 Nov 2024#119

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

13 likes 20mo
PS
p.silvaTL2 Moderator18 Nov 2024#120

France: ANSM implements EU framework. Reimbursement has been narrower for weight management. Prescribing restrictions were applied during shortages, directing available product toward diabetes indications.

4 likes 20mo