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