The Pharmaceuticals and Health Insurance Division is responsible for the pharmaceuticals reimbursed under compulsory health insurance.
As part of the Health and Accident Insurance Directorate, the division works with an expert commission (Federal Pharmaceutical Commission, FPC) to draft and oversee the principles for the reimbursement of pharmaceuticals. In particular, it is responsible for the list of pharmaceutical specialities containing the pharmaceuticals reimbursed under compulsory health insurance. It also sets the prices of these pharmaceuticals and reviews them regularly. Furthermore, the division acts as a specialist arbiter in appeal proceedings before the Federal Administrative Court and the Federal Supreme Court relating to rulings on the reimbursement of pharmaceuticals. In addition, the division shapes the health insurance system by way of amendments to the law and ordinances governing the area of pharmaceuticals outlined above.
Jörg Indermitte and Andrea Rizzi
Heads of Pharmaceuticals and Health Insurance Division
Last modification 31.01.2024