Reimbursement scheme Tecfidera®

General information

The pharmacist has dispensed Tecfidera® 240mg 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.

Tecfidera® is reimbursed by your health care provider for the treatment of MS. That stays that way. However, a Personal Contribution of a maximum of € 250 per year per patient applies from 1 March 2019. This has to do with a recent change in the law. The manufacturer of Tecfidera® will reimburse patients for their Personal Contribution. The producer does this via TBR Netherlands. As a result, there are no extra costs for patients using Tecfidera® as they are used to.

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.