Reimbursement thresholds
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 |
Reimbursement for persons |
|
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.