Glossary
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…
A list that contains medicines with regard to their reimbursement status. It 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…
Action by a government authority to decide whether the cost of a medicine is funded by a public payer (such as social health insurance or National…
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 (i.e. subsidised by a third party payer (e.g., public payer).…
Evaluation process of a reimbursement decision (i.e. decision about the reimbursement status and reimbursement rates of medicines), which may, or may…
A reimbursement system for a defined group of people, e.g., those covered by a defined social health insurance fund or other public payer.…
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…