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Non-reimbursable analgesics or painkillers

Chronic pain patients are entitled to reimbursement for paracetamol-based painkillers.

Zorgverleners

They only pay a limited personal share instead of the full amount for these analgesics (paracetamol-based painkillers).

Important :

  • The introduction of reimbursement is part of the specific protection measures for the chronically ill.
  • The reimbursement does not apply to hospitalized patients and to patients admitted to a psychiatric care home.
  • The amount charged to the patient is counted as a personal share towards the maximum bill (MAF).

What are the conditions?

  • The patient suffers from a well-defined condition :
    • cancer pain;
    • chronic arthritis/osteoarthritis pain;
    • neurogenic or neuropathic pain of central or peripheral origin (including multiple sclerosis);
    • peripheral vascular pain;
    • post-surgical pain (including phantom limb pain);
    • fibromyalgia.
  • The pain :
    • persists for at least three months after optimal curative treatment;
    • persists after curative treatment of a clinical picture of malignant chronic pain.
  • The analgesic is eligible for reimbursement.

What is the procedure?

  • Request from the consulting physician
    The treating physician or the physician who manages the global medical file submits a request based on Chapter IV § 5460000 to the CM's consulting physician.
  • Receipt of authorization
    After approval by the advising doctor, the patient receives an authorization that is valid for life.
  • Awarding reimbursement
    When purchasing the medicine, the pharmacist will immediately settle the reimbursement upon presentation of:
    • the electronic identity card (eID) or ISI+ card;
    • a prescription.