Preferred Terms

Reference price system



Synonym Terms:


A reimbursement policy in which identical medicines (ATC 5 level) or similar medicines (ATC 4 level) are clustered (reference group). The third party payer funds a maximum amount (= reference price), while the patient must pay the difference between the reference price and the actual pharmacy retail price of the medicine, in addition to any co-payments (e.g. prescription fees, or percentage co-payment rates).