Glossary

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R

Rational use of medicines ensures that patients receive medications appropriate to their clinical needs, in doses that meet their own individual…
Real-world data (RWD) refers to evidence obtained from real world evidence (RWE), which are observational data obtained outside the context of…
Rebate is a payment made to the purchaser after the transaction has occurred. Purchasers (either hospitals or pharmacies) receive a bulk refund from…
Process by which medications are removed from distribution channels and returned to the manufacturer due to safety concerns (such as inadvertent…
A group of medicines of the same active ingredient (ATC 5), in a given therapeutic class (ATC 4) or clustered based on a broader definition but still…
Price that is set in a reference price system, where the third party payer funds a maximum amount (= reference price), while the patient must pay the…
A reimbursement policy in which identical medicines (ATC 5 level) or similar medicines (ATC 4 level or other groups) are clustered (reference group…
A medicine which has been granted a marketing authorisation by a country or by the European Commission on the basis of submitted quality, pre-…
Medicines which are eligible for reimbursement. Costs of reimbursable medicines may be fully covered by third party payers, or only partially (a…
Coverage of the cost of reimbursable medicines by a public payer (such as social health insurance / National Health Service).  Synonym: funding In…
Medicines eligible for reimbursement are often grouped according to selected characteristics, e.g. route of administration (oral, etc.), main…
A list that contains medicines with regard to their reimbursement status. They may either include medicines eligible for reimbursement (positive list…
The reimbursement market is the sub-market which includes medicines whose expenses covered by a third party payer. Last update: 30 June 2023 Source…
The maximum amount of a medicine paid for by a third party payer. In German: Erstattungspreis Der maximale Betrag der Ausgaben für ein Arzneimittel…
Decision-making process on the reimbursement status, reimbursement price, reimbursement rate of medicines that involves the roles and the composition…
The percentage share of the price of a medicine or medical service that is reimbursed/subsidized by a public payer. The difference between the…
Evaluation process of a reimbursement decision (i.e. decision about the reimbursement status and reimbursement rates of medicines), which may, or may…
The reimbursement system which covers the majority of residents in a country, in some countries also referred to as “general” reimbursement. Last…
Defines whether a medicine is eligible for reimbursement (reimbursable medicines) or not (non-reimbursable medicines). In German: Erstattungsstatus…
The payment of a health care provider (individual or organisation) for the services provided. The services may be paid directly by the patient or by…