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Pharmacy — Prescriptions, Copayments & Emergency Services

Prescription and over-the-counter medications, pharmacy copayments, E-Prescription and emergency pharmacy services in Germany.

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German terms
Apotheke Rezept Zuzahlung E-Rezept Notdienstapotheke OTC

Prescription vs. Over-the-Counter (OTC)

Medications in Germany are divided into three categories:

Category Description Examples
Prescription Only available with a doctor's prescription Antibiotics, blood pressure medication, antidepressants
Pharmacy (OTC) Without prescription, but only in pharmacies Ibuprofen, nasal spray, cough syrup
Over-the-counter Also available in drugstores and supermarkets Plasters, certain teas, vitamins

Prescription medications are covered by health insurance — you only pay the statutory copayment.

Copayment — 5 to 10 Euros per Medication

For each prescription medication, you pay a copayment of 5–10 € (10% of the price, minimum 5 €, maximum 10 €). Exceptions:

  • Children under 18 are exempt from copayment
  • Chronically ill patients: Cost threshold = 1% of gross annual income (otherwise 2%)
  • Once you reach the cost threshold, apply for copayment exemption with your health insurance
  • Recipients of Bürgergeld pay a maximum of approximately 120 € per year

E-Prescription — Digital and Convenient

Since 2024, the E-Prescription (electronic prescription) has been standard. It is stored on your electronic health card (eGK). At the pharmacy, simply insert your card — done. Alternatively, you can use the E-Prescription App by gematik.

Advantages:
- No paper prescription needed
- Prescription can be filled at any pharmacy
- Medications can be ordered from online pharmacies
- Doctor's office sends prescription directly digital

Emergency Pharmacy — Around the Clock

Outside regular opening hours (nights, weekends, public holidays), at least one pharmacy nearby is always on emergency duty. There you can pick up urgent medications — an emergency service fee of 2.50 € applies.

Find an emergency pharmacy:
- Phone: 0800 00 22 833 (free of charge)
- apothekenfinder.mobi
- Notice posted on every closed pharmacy

Tips

  • Medication plan: Starting from 3 prescribed medications, you have the right to a medication plan
  • Generic drugs are equivalent and often cheaper — ask your pharmacist
  • Language barriers: Pharmacists are often multilingual. Package inserts can be found on beipackzettel.de in plain language as well

As of: March 2026. All information without warranty.

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