Cannabis drug billing
Evaluation of cannabis drugs
The auxiliary tax is a contractual regulation in Germany that regulates the prices of standard pharmacy preparations and dispensing of medicines by pharmacies. It is negotiated between the German Pharmacists Association (DAV) and the statutory health insurance funds. The Drug Price Ordinance (AmPreisV) regulates the price calculation of prescriptions.
Arzneimittelpreisverordnung (AMPreisV) § 5 Pharmacy surcharges for preparations made from substances
(1) When dispensing a preparation of one or more substances manufactured in pharmacies, the following shall be:
- a fixed rate of 90 percent on pharmacy purchase prices excluding sales tax for substances and required packaging,
- a formulation supplement in accordance with paragraph 3,
- to collect a fixed amount of 8.35 euros for preparations under paragraph 3 that are not subject to paragraph 6 and sales tax.
The regulations in Appendix 1 and Appendix 2 of the auxiliary tax apply to the prices of packaging and auxiliary materials. If no price is set there, the cheapest pharmacy purchase price must be used as a basis. The pharmacy is obliged to provide evidence of the actual AEK upon request from health insurance.
The selection of packs and pack sizes should be carried out economically and in accordance with the pharmacy's substance-related supply requirements.
In addition, the following surcharges are charged for preparations:
- A percentage premium of 90% for the required auxiliary materials and packaging in accordance with Section 5 (1) (1) of the Drug Price Ordinance (AMPreisV).
- A recipe supplement in accordance with Section 5 Paragraph 1 Number 2 in conjunction with Paragraph 3 AmpReisV.
- A fixed fee of €8.35 in accordance with Section 5 (1) (3) AmpReisV.
- When a substance is delivered in an unchanged state, a percentage surcharge of 100% is charged for the packaging in accordance with Section 4 (1) AmpReisV.
- Sales tax is not included.