Hydrocortisone – Fludrocortisone reimbursement

Dear colleagues,

a new text regarding Hydrocortisone  and Fludrocortisone reimbursement has been published in the Belgian official journal (see link to articles below). These two molecules have been added to Chapter IV.

After some first inquiries, this how we can summarize these changes for the moment:

1) This new article is about hydrocortisone preparations done by a pharmacist (“préparations magistrales”, “magistrale bereiding”). The 20 mg tablets of  Hydrocortisone by Bepharbel are not subject to it.

2) There is no increase in cost for patients who do not get the authorization. They were paying +/- 8 euros for 60 capsules that you were prescribing, they will pay the same amount without, or before getting the authorization. Hydrocortisone and Fludrocortisone are also listed in of Chapter I (this point did not change).

3) If they get the authorization, the treatment will be fully reimbursed.

4) You have to ask for the authorization and give some medical informations. You may either write a letter to the “adviserend geneesheer” / “medecin conseil” OR fill the non-specific form and join one of your previous reports that demonstrates adrenal insufficiency.

5) Note that you don’t have to wait for the authorization to start the treatment since the financial burden will not be high to the patient.

 

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Moniteur belge / Belgisch Staatsblad links (see par. 25 and 26):  nederlands , français.

RIZIV/INAMI listing of Chapter IV: liste_preparation_magistrale_chapitreIV (extr.), lijst_magistrale_bereidingen_hoofdstukIV (extr.)

RIZIV/INAMI reference table for preparations (Hydrocortisone and Fludrocortisone)

Col. 5: 51=Chapter I, 54250= Chapter IV par. 25, 54260= Chapter IV par. 26

1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20	21	22	23
527747		Hydrocortisone	Hydrocortison	54250	3,4980	71			1001						1601	H02AB09
527713		Hydrocortisone (acétate d’)	Hydrocortisonacetaat	54250	3,3348	71	1,289		1001						1601	H02AB09
527747		Hydrocortisone	Hydrocortison	51	3,4980	71									1601	A01AC03	A07EA02	C05AA01	D07AA02	H02AB09	S01BA02	S02BA01
527713		Hydrocortisone (acétate d’)	Hydrocortisonacetaat	51	3,3348	71	1,289								1601	A01AC03	A07EA02	C05AA01	D07AA02	H02AB09	S01BA02	S02BA01
523373		Fludrocortisone (acétate de)	Fludrocortisonacetaat	54260	96,5837	71			1001						1601	H02AA02
523373		Fludrocortisone (acétate de)	Fludrocortisonacetaat	51	96,5837	71									1601	H02AA02