2500 | Injection solution
The pharmacist has dispensed FRAGMIN® 2500 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.
The Personal Contribution for FRAGMIN (dalteparine)2500 INJVLST 12.500IE/ML WWSP 0,2ML® 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'. Only declarations for patients with a date after January 1 2021 and before January 1 2022 can be submitted. Receipts for prescriptions from January 1 2022 are not reimbursed by TBR Nederland.
Patients or their carer can submit a claim for the Personal Contribution amount they paid for FRAGMIN® 2500, either online or by post. Online will be the fastest option. Pharmacists cannot submit claims on behalf of patients for this medicine.
Only declaration with a date after January 1 2021 and before January 1 2022 can be submitted. Receipts for prescriptions between these dates can be submitted until March 31, 2022.
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 VD Amstelveen
Quickly check the maximum contribution you have to pay for your medicine