Glossary

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R

Treatment with high-energy rays (such as x-rays) to kill or shrink cancer cells. The radiation may come from outside the body (external radiation) or…
A measure of the frequency of occurrence of a phenomenon. In epidemiology, demography, and vital statistics, a rate is an expression of the frequency…
Rational use of medicines requires that “patients receive medications appropriate to their clinical needs, in doses that meet their own individual…
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) are clustered (reference group). The third party…
A medicine which has been granted a marketing authorisation by a country or by the European Commission on the basis of submitted quality, pre-…
The direction of people to an appropriate facility, institution or specialist in a health system, such as a health centre or a hospital, when health…
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 expenditure by a third party payer (e.g. Social Health Insurance/National Health Service)
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.
Decision-making process on the reimbursement status, reimbursement price, reimbursement rate of medicines that involves the roles and the composition…
The reimbursement price is the maximum amount paid for by a third party payer. Few countries explicitly publish official reimbursement prices (e.g.…
The percentage share of the price of a medicine or medical service, which is reimbursed/subsidised by a third party payer. The difference to the full…
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.