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Pharmacy and Medication — How It Works in Germany

Prescription, over-the-counter, co-pay: How to get Medikamente in Germany and what they cost. Status: March 2026.

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German terms
Apotheke Rezept Medikament Zuzahlung Hausarzt

Pharmacy and Medication — How It Works in Germany

Status: March 2026. All information without warranty.

Prescription vs. Over-the-Counter

Type Examples Where to Buy
Prescription Required Antibiotics, blood pressure medication, strong painkillers Apotheke only with Rezept from doctor
Pharmacy-Only Ibuprofen 400mg, nasal spray, cough syrup Apotheke without Rezept
Freely Available Vitamin tablets, bandages, teas Drugstore (dm, Rossmann) or Apotheke

Co-payment

For prescription Medikamente you pay a co-payment:
- €5–10 per Medikament (10% of price, minimum €5, maximum €10)
- Exemption possible with low income (burden limit: 2% of annual income, chronically ill: 1%)

Emergency Pharmacy

Pharmacies offer night and weekend service (rotating):
- Finder: apothekenfinder.mobi or phone 0800 00 22 833 (free)
- Emergency surcharge: €2.50 extra

Online Pharmacies

You can order over-the-counter Medikamente online — often cheaper:
- shop-apotheke.com, docmorris.de, medpex.de
- Check: EU safety logo on website
- Prescription Medikamente only with original Rezept sent in

Tips

  • Ask for generics: Same active ingredient Medikamente are often much cheaper
  • Green Rezept = recommendation, but you pay yourself (not covered)
  • Red Rezept = insurance Rezept, co-pay applies (valid 28 days)
  • Blue Rezept = private Rezept (you pay full price)
  • Bring vaccination card — doctor can enter vaccinations directly
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