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HEALTH

Can you avoid high costs of medication in Switzerland by getting drugs abroad?

Most drugs, including generics, are quite a bit cheaper in other countries. But can you have your Swiss prescription filled abroad and bring the meds back?

Published: 3 June 2024 11:30 CEST
Can you avoid high costs of medication in Switzerland by getting drugs abroad?
You may be able to save money by buying your medications abroad. Photo by pina messina on Unsplash

Not only are medicines more expensive in Switzerland than in many European countries, but their price continues to climb.

For original meds whose patents have expired, Swiss consumers now pay 14.3 percent more than patients abroad.

A year ago, the price difference was 10.8 percent, according to the health insurance association Santésuisse and the group for research-based pharmaceutical companies Interpharma . 

As has been the case for years, the price differences are particularly significant not only for brand drugs, but also for generics and biosimilars.

In a comparison with Germany, Austria, Belgium, Denmark, Finland, France, Great Britain, the Netherlands, and Sweden, the price of generics in Switzerland is 45.3 percent higher, while bio-similars cost nearly 30 percent more.

How is the price of drugs determined in Switzerland?

“The price of medicines covered by statutory basic medical insurance is not set on the open market but through complex state interventions,” according to Interpharma.

The prices of drugs that are reimbursed by the basic insurance are controlled by the Federal Office of Public Health (FOPH).

In order to determine the price of a medicinal product, the FOPH first considers the cost of therapy with products authorised to treat the same disease.

It then compares the prices of the same products in other countries with a pharmaceutical industry that is economically comparable to that of Switzerland’s.

The final price of drugs reflects Switzerland’s high-cost economy in general: research and development are more expensive in Switzerland than elsewhere, and production costs are higher as well.

Increasing healthcare premiums are an important factor as well.

And prices are set to increase even further. 

FOPH is adapting a new model for calculating the distribution margin. 

A distribution margin is the difference between the distributor’s cost of acquiring goods and the price at which those goods are sold.

From July 1st, 2024, inexpensive medicines whose factory price is less than, or equal to, 15 francs will become more expensive.

This change will affect more than half of medications currently being sold in Switzerland.

As a result of this move, “additional costs of several hundred million will be passed on to patients,” according to Intergenrika, which represents generic drug manufacturers in Switzerland. 

How much cheaper are medicines in neighbour countries?

Swiss-German news platform 20 Minuten compared the prices of some common drugs in Switzerland and Germany. 

For instance, painkiller Ibuprofen (400 milligrams, 20 tablets), costs €3.45 in Germany and 5.90 francs in Switzerland — a surcharge of 71 percent. 

A box of pantoprazole (a popular drug used to treat gastric reflux) is 12.95 francs in Switzerland compared to around 2.62 euros in Germany – a markup of 394 percent.

Similar price disparities also exist between Swiss drugs and those sold in France and Italy.

Can you import medicines to Switzerland to save money?

According to Switzerland’s drug regulatory agency, Swissmedic, people “may import a month’s supply of medicines into Switzerland for their own use but not for third parties”.

This rule is for both residents and tourists.

This means that you are only allowed to bring medications you will use yourself, and not sell them to others.

What about prescription medications?

While doctor’s orders issued within the European Union are valid throughout the EU, Switzerland is not covered by the agreement on recognition of cross-border prescriptions.

Therefore, pharmacists in neighbour countries — or elsewhere within the EU, for that matter — are not obliged to accept prescriptions from Switzerland.

You will have better luck in the UK, however,

From January 1st, 2021, a prescription issued in the EU, Iceland, Liechtenstein Norway or Switzerland can be dispensed in the UK if the prescriber is from a medical profession recognised in Britain.

Keep in mind, however, that names of drugs may be different there, so your doctor should write out the prescription accordingly.

Yes, but will your Swiss health insurance pay for the medicines you purchased abroad?

According to FOPH, “the costs will only be reimbursed for medicines that you require because of illness during a temporary stay abroad.”
 
If, on the other hand, you bring in meds for use while in Switzerland, then you must pay for them out of your own pocket.

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For members

FOOD AND DRINK

EXPLAINED: What does the ‘bio’ label on foods in Switzerland really mean?

All major Swiss supermarkets have products designated as ‘bio’, which refers to their ‘organic’ farming or manufacturing methods. But what exactly does this label represent?

Published: 24 June 2024 11:31 CEST
EXPLAINED: What does the 'bio' label on foods in Switzerland really mean?

In its press release published in June 2024, Bio Suisse, an umbrella group for organic food producers, said that residents of Switzerland are international ‘bio’ champions. 

“With consumption of 454 francs per capita, Switzerland ranks first in international comparison,” the organisation said. “In no other European country is the organic basket of goods as large.”

In terms of preference for organic food, “Switzerland is ahead of Denmark, Austria, Luxembourg and Sweden. Germany follows in sixth place and France just behind in seventh place,” Bio-Suisse added.

This finding is not surprising because the consumption of this more expensive type of food is directly linked to income: the wealthier the country, the more its residents are willing to spend on organic products.

What does a ‘bio’ label stand for in Switzerland?

In a nutshell, organic products must meet much higher standards and comply with more requirements than the ‘conventional’ foods in the way they are grown and manufactured.

Contrary to most conventional production methods, organic farming is more sustainable — that is, it protects the environment and conserves resources instead of depleting them.

A total of 7,362 organic farmers and producers are members of Bio Suisse.

In addition, more than 2,300 operations abroad are also certified according to the Bio Suisse standards, which means their farming / production methods are equivalent to those practiced in Switzerland.

Can you trust a ‘bio’ label, or is it just a lot of hype (as some people claim?)

In Switzerland, this process is strictly controlled by various organic farming ordinances, which are enforced by the Federal Office for Agriculture (BLW). 

This means that every farm that produces, prepares, trades or imports organic products is inspected and certified at least once a year by one of the four accredited and approved certification bodies in Switzerland.

These laws also set out the principles by which agricultural products and foodstuffs labelled as organic must be made, and which non-toxic substances are authorised for use in organic farming and for preparing organic food.

Why are organic products more expensive than conventional ones?

Among the main reasons are more rigorous production and certification standards, which must meet all the requirements set out by the BLW.

Also, operational costs involved in the use of natural, pesticide-free fertilisers and high-quality animal feed, are higher in organic farming than in conventional one.

Additionally, the supply of organic food in Swiss supermarkets is more limited than that of conventional one, which pushes prices up.

And then there is this often-asked question: is organic food in Switzerland in really healthier?

Some people will swear by the better quality and higher nutritional value of organic products, while others will say the benefits are exaggerated.

There is no definite answer to this question, except this: some studies have shown possible health benefits of organic foods when compared with foods grown using conventional process.

However, there is limited information to prove how these differences can give potential overall health benefits.

But Zurich authorities believe in the ‘power’ of organic foods: in 2022, they mandated that most of the food served in the city’s hospitals, care centres, childcare facilities, and schools, be organic.

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