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.


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          


Call for abstracts for the Annual Meeting of the North European Young Diabetologists – NEYD 2018

From Wednesday May 23rd untill May 25rd 2018 the “36th annual meeting of North European Young Diabetologists” (formerly Anglo-Danish-Dutch- Diabetes-Group) will take place.

This meeting is held every year for young investigators that participate in diabetes research from Belgium, Denmark, Great Britain and the Netherlands. This year, the Netherlands will be the hosting country. The costs to participate are approximately € 200,00.


Futher info and abstract submission: (abstract max 300 words, deadline to be announced).