General information

Forxiga® (dapagliflozine) 10 mg prescribed for chronic kidney disease is fully reïmbursed by the health care insurerer since May 1 2022. Checks with a date of dispense between August 5 2021 and April 30 2022 can be submitted for declaration until August 31 2022.

For a complete reimbursment overview of Forxiga® (dapagliflozine) 10 mg, click here

For a digital reimbursement guide of Forxiga® (dapagliflozine) 10 mg, click here

Dose Forxiga® 10mg
Type Tablets
Active ingredient DAPAGLIFLOZINE

Reimbursement

Conditions

Forxiga® (dapagliflozine) 10 mg prescribed for chronic kidney disease is fully reïmbursed by the health care insurerer since May 1 2022. Checks with a date of dispense between August 5 2021 and April 30 2022 can be submitted for declaration until August 31 2022.

Who can submit a claim

  1. Patients or their caregiver can claim the Personal Contribution for Forxiga® (dapagliflozine) 10 mg online or by mail
  2. Pharmacists can only claim this medicine online on behalf of the patient.

From when till when can you submit a claim

Only declarations for patients with chronic kidney disease with a date after August 5 2021 and before May 1 2022 can be submitted. Receipts for prescriptions between these dates can be submitted until August 31 2022.

Submit a claim online

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

Read our tips on how to submit a claim online

Login & Submit a Claim          

Open an Online Account (Patients) Open an Online account (Pharmacists)


Submit a claim by post

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

Tips on how to submit your claim by post

Please mail the Claim Form and attachments to:

TBR Nederland
Postbus 8011
1180 LA Amstelveen 

NL-8803 prod.02/2022
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