General information

The pharmacist has dispensed Cholestagel® 625mg 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.

Dose 625mg
Type Tabets
Active ingredient COLESEVELAM

Reimbursement

Conditions

The Personal Contribution for Cholestagel® 625mg charged to the patient by the health insurer, is eligible for full reimbursement from 1 January 2019 to a maximium of € 250,- per patient per year. Therefore, the patient can submit a claim with TBR Nederland.

For this medicine a Doctor's Statement is required. The form can be downloaded hereor below under 'Submit a claim by post'.

Who can submit a claim

Patients or their carer can submit a claim for the Personal Contribution amount they paid for Cholestagel® 625mg, either online or by post. Pharmacists cannot submit claims on behalf of patients for this medicine.

From when till when can you submit a claim

For this Reimbursement Scheme no closing date has been determined yet. Receipts with an issue date till 31 December 2018 can be submitted only by post, either by the pharmacist or the patient.

Submit a claim online

Patients can claim online and will receive their reimbursement within 5 working days.

Read our tips on how to submit a claim online

Login & Submit a Claim         Open an Online Account


Submit a claim by post

Patients can claim by post and will receive their reimbursement within 15 working days.

Read our tips on how to submit your claim by post

Please mail the Claim Form and attachments to:

TBR Nederland
Antwoordnummer 1140
1180 VD Amstelveen 

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Quickly check the maximum contribution you have to pay for your medicine

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PATIENTS CAN ONLY CLAIM THEIR PAID CONTRIBUTION, NOT THEIR EXCESS

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