5mg | Tablets
The pharmacist has dispensed Adhesa® 5 mg to the patient. The health insurer will not reimburse the cost of this prescription in full. The producer of this medicine has therefore instructed TBR Nederland to reimburse to the patient the Personal Contribution charged.
|Active ingredient||DEXAMPHETAMINE SULFATE|
The Personal Contribution for Adhesa® 5 mg charged to the patient by the health insurer, is eligible for full reimbursement to a maximium of € 250,- per patient per year. Therefore, the patient can submit a claim with TBR Nederland.
The form can be downloaded here or below under 'Submit a claim by post'.
Patients or their carer can submit a claim for the Personal Contribution amount they paid for Adhesa® 5 mg, either online or by post. Online will be the fastest option. Pharmacists cannot submit claims on behalf of patients for this medicine.
For this Reimbursement Scheme no closing date has been determined yet.
Patients can claim online and will receive their reimbursement within 5 working days.
Patients can claim by post and will receive their reimbursement within 15 working days.
Please mail the Claim Form and attachments to:
1180 LA Amstelveen
Quickly check the maximum contribution you have to pay for your medicine