• Medicinal products prescribed by a pharmacist can be substituted by another medicinal product, if it is a pharmacological equivalent.
• Consulting on the medicinal products a pharmacist is obliged to state prices of medicinal products, provided that qualitative equivalent pharmaceuticals are available and there is an alternative.
• A patient has the right to know, ask his/her family doctor or attending physician and be provided information about his/her disease, treatment options and required state covered medicinal products.
In case of definite serious or chronic diseases within the framework of the reimbursement system for medicinal products pharmaceuticals required for treatment may be fully or partially (in the amount of 100%, 75% or 50% depending on the severity of disease) covered by the state.
Physicians or healthcare professionals (e.g., endocrinologists, oncologists, oculists, psychiatrists, nephrologists), which have concluded agreement with the National Health Service on prescription of medicinal products compensated from the state budget, prescribe such medicine on a special prescription form, which presented in a pharmacy may be exchanged by a required medicinal product.
• If a doctor has not noted on the prescription that a particular compensated medicinal cannot be substituted by another a pharmacist addressed in a pharmacy must inform the patient on substitutions and offer cheaper equivalent (i.e., equivalent therapeutic efficiency) compensated pharmaceuticals.
• If in the prescription a physician has noted a general name of the pharmaceutical a pharmacist is obliged to provide cheaper compensated medicine corresponding the particular name, type of medicine and concentration.
• Only medicinal products included in the list of compensated medicinal products can be compensated. The said list consists of two basic lists of medicinal products: List A and List B.
List A lists medicinal products of equivalent therapeutic efficiency for treatment of definite diseases. (Medicinal products are grouped in the so-called "reference groups" - pharmaceuticals of different manufacturers containing similar active substances. Each group has a reference price, which is the selling price of the cheaper pharmaceuticals of equivalent therapeutic efficiency.) For all medicinal products of reference groups in List A the state covers only the price of the cheapest medicinal product of a respective group (reference price).
• In case of prescription of compensated medicinal products listed in List A with the selling price higher than the reference price the physician must inform a patient on the fact and must note the most suitable medicine corresponding the potentialities of the patient.
If a physician decides to prescribe compensated medicinal product exceeding the reference price in a respective group such decision must be medically justified.
• For information about compensated pharmaceuticals address family doctor or an attending physician, a pharmacy, where a list of compensated medicine is available, or pharmacist, consulting patients within his/her competency.
The list of compensated medicinal products is available in the webpage of the National Health Service.