Reimbursement thresholds

Updated 21 January 2020

The more expenses you have for reimbursable medicine, the more reimbursement you will receive within a period of one year (the reimbursement period).

The amount of reimbursement depends on whether you are younger or older than 18 at the start of the reimbursement period.

The thresholds in the table below are effective from 1 January 2020 to 31 December 2020.

The one-year reimbursement period starts when you buy reimbursable medicine for the first time after the expiry of the preceding period.

The table below shows the relationship between the amount of reimbursement and your total annual expenditure for reimbursable medicine before deduction of reimbursement.

Reimbursement thresholds in 2020

Annual personal expenditure on reimbursable medicine before deduction of reimbursement

Reimbursement for persons
over the age of 18

Reimbursement for persons
under the age of 18

DKK 0-995

0%

60%

DKK 995-1,655

50%

60%

DKK 1,655-3,590

75%

75%

In excess of DKK 3,590

85%

85%

Adults: In excess of DKK 19,465 (patient's co-payment= DKK 4,190)

100%

Children and adolescents under the age of 18: In excess of DKK 23,885 (patient's co-payment= DKK 4,190)

100%

Example

Your medicine purchases in a reimbursement period could look like this if you are older than 18:

Start date for the reimbursement period 10 January 2020 - end date for the reimbursement period 9 January 2021

Date of purchase

Reimbursement price

Balance before purchase

Balance after purchase

Patient's co-payment

Reimbursement in %

10/01/2020

995.00

0.00

995.00

995.00

0

27/02/2020

660.00

995.00

1,655.00

330.00

50

02/12/2020

900.00

1,655.00

2,555.00

225.00

75

23/12/2020

1,035.00

2,555.00

3,590.00

258.75

75

28/12/2020

1,000.00

3,590.00

4,590.00

150.00

85

Instalment plan for medicine expenses

If you expect your CTR balance to reach a very high level (about DKK 19.000) in your reimbursement year, you can agree with your pharmacy to pay the expenses in instalments.

Under an instalment plan, the individual person and the pharmacy agree that the annual co-payment amount for reimbursable medicines can be paid in 12 equal shares. The patient's co-payment in 2020 is DKK 4,190. This means your monthly pharmacy expense will be some DKK 350. This amount does not include any fees charged by the pharmacy. 

Please ask for an instalment plan at your local pharmacy.

Here you can read more about reimbursement and prices.

Reimbursement of medicinal cannabis in the pilot programme

Reimbursement for medicinal cannabis is calculated separately in the Danish Medicines Agency's newly established Central Reimbursement Register for Cannabis (CTR-C).

Special reimbursement thresholds for cannabis products

Total expenditure per reimbursement period (12 months) Reimbursement rate Patient's co-payment
DKK 0 - 20,000 50% Up to DKK 10,000
DKK 20,000 -  0% Full price of the product
For terminally ill patients 100% No co-payment

The Health Minister may adjust the thresholds twice a year.

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