Reimbursement scheme Tecfidera®

General information

Between March 1, 2019, and December 1, 2021, a Personal Contribution for Tecfidera was required. This Personal Contribution had a maximum of €250,- per patient per year.

The manufacturer didn’t want treatment with Tecfidera to come with additional costs for patients. They therefore repaid the Personal Contribution to patients through a ‘TerugBetaalRegeling’ (repayment scheme), facilitated by TBR Nederland.

As of December 1, 2021, the Personal Contribution for Tecfidera will be ended. As of that day, health insurers will once again fully reimburse the medicine, although the deductible excess does apply (currently set at €385,- per year). However, a Personal Contribution is no longer required.

The TerugBetaalRegeling (repayment scheme) will therefore be ended. Declarations can be submitted until September 1, 2022, to ensure that everyone has sufficient time to submit a declaration for Personal Contributions made in 2021.

Dose	240mg
Type	Capsules
Active ingredient	DIMETHYLFUMARAAT

Reimbursement

Conditions

Personal contributions that are demonstrably charged to the patient by the health insurer for Tecfidera® will be fully reimbursed from 1 April 2019. The patient can claim this at TBR Nederland. This concerns claims that were obtained in pharmacies from 1 March 2019. Please note: claims must be submitted to TBR Nederland within 3 months after receipt of the bill from the health insurer. You can only claim from TBR Nederland after you have received the bill from the health insurer. To submit your claim digitally to TBR Nederland, you need the monthly claim overview from the health insurer. You can find this claim overview by logging in to the website of your health care provider using your DigiD. The overview must contain at least the following information:

• Your name and address (name, address, place of residence)
• Name of health insurer
• Account number with your health insurer
• Issue date
• Name of medicine
• Dose (number of mg)
• Amount of Personal Contribution

Who can submit a claim

Patients or their carer can submit a claim online for the Personal Contribution amount they paid for Tecfidera® 240mg. Pharmacists cannot submit claims on behalf of patients for this medicine.

From when till when can you submit a claim

This Reimbursement Scheme currently has no end date. The Personal Contribution that is demonstrably charged to the patient by the health insurer for Tecfidera will be fully reimbursed from 1 April 2019 up to a maximum of € 250 per patient per year. He / she can declare this at TBR Nederland. This concerns claims that have been dispensed to you by the pharmacy from 1 March 2019.