Q&A

Prescriptions (Rezepte) in Germany

German prescriptions come in three types (Kassenrezept, Privatrezept, Grünes Rezept) and are primarily electronic since 2024. Patients with public insurance pay 5-10€ per medication, with annual limits and exemptions for certain groups.

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German terms
Rezept Privatrezept Kassenrezept E-Rezept Apotheke Zuzahlung eGK Grünes Rezept Belastungsgrenze

Types of Prescriptions in Germany

In Germany, a prescription (Rezept) has a color depending on who pays for the medication:

Type Color Who pays
Kassenrezept pink / e-prescription Krankenkasse (you pay Zuzahlung)
Privatrezept blue you (sometimes reimbursed by private insurance)
Grünes Rezept green you — this is a recommendation for over-the-counter medication (OTC)

If you are statutorily insured, you receive a Kassenrezept; the entire system is described in Health Insurance (Krankenversicherung).

E-Rezept — Electronic Prescription

Since 01.01.2024, prescriptions for medications for statutorily insured persons are issued as E-Rezept. You can fill it at a pharmacy (Apotheke) in three ways:
- insert your eGK (insurance card) into the reader — no PIN required,
- via the E-Rezept application (or eHealth-CardLink with your smartphone and NFC card),
- on a paper printout with a code.

A Kassenrezept (e-prescription) is valid for 28 days; a Privatrezept usually for 3 months. If the pharmacy does not have the medication, they order it for the next day or deliver it (Botendienst). From 2026, T-Rezepte and prescriptions for controlled substances (BtM) will also be issued electronically.

Zuzahlung and Exemptions

With a Kassenrezept, you pay Zuzahlung: 10% of the medication price, minimum 5 €, maximum 10 € for each prescription medication (never more than the price of the medication). Children under 18 are exempt. Annual copayments are limited by the Belastungsgrenze — above 2% of your annual gross income (1% for chronic illnesses), you can request an exemption from further Zuzahlung from your insurance fund. You receive the prescription during a doctor's visit — if you are going on sick leave, the doctor issues a separate Sick Certificate (Krankschreibung).

Editorial hamboorg.city · As of: June 2026 · Carefully prepared, regularly updated. Content is informational and does not replace legal advice.
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