(2012; 394 pages)
(Last updated 08/Aug/12 ). Updates to the List of Reimbursable Items and High Tech Scheme List - provides monthly updates to the product list.
In Ireland, the State pays for approx 80% of all medicines. The ultimate cost
to the State of medicines dispensed in the community depends on which community
medicine scheme the patient uses to access the medicines. There are four
principal schemes which determine whether people get free or subsidised
medicines. They include:
General Medical Services Scheme (GMS - medical cards) – the patient receives their medicines after paying a 50 cent per item prescription charge (up to a maximum charge of €10 per family per month) and the pharmacist receives a dispensing fee but no mark up.
Drug Payment Scheme (DPS) – the patient pays a maximum of €120 per month for medicines, the pharmacist receives both a mark up and a dispensing fee.
Long Term Illness Scheme (LTI) – the patient receives medicines for specific conditions such as diabetes, epilepsy and multiple sclerosis free of charge. As with the DPS the pharmacist receives a mark up and a dispensing fee;
Hi-Tech Scheme – the cost of these medicines is comprised of the ex-factory price, in line with the IPHA/HSE Agreement framework, a wholesale mark up of approximately 10% and a patient care fee paid of €62.03 paid to the pharmacist in the month when an item dispensed and €30.26 paid in months where no item is dispensed. Where the patient has a medical card or the medicine is for a specific condition covered by the LTI they do not pay anything, otherwise they pay the first €120 a month of the cost in accordance with the rules of the DPS...