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  #61  
Old 02.10.2014, 16:22
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Re: Pharmacy extra billing.

It says this will not apply to customers paying cash though (but NOT by card, clear in the link). Sunstore shares your dossier on line with all Sunstore chemist's so they can check contra-indications.

Last edited by Odile; 02.10.2014 at 16:33.
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Old 02.10.2014, 16:25
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Re: Pharmacy extra billing.

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I have only ever had to pay the extra charge at one pharmacy in Neuchâtel, none of the others have ever levied these extra charges.

Quite correct that Sun Store will never charge extra irrespective of the insurer but whether you have to pay up front or they bill the insurer directly depends on who your insurer is. Some require you to pay and claim back later even at Sun Store.

You do have to fill out a form beforehand at Sun Store if you want to collect your prescription from a branch other than the one where you took the original prescription but once you've done it then it's valid for everything thereafter. ( at least that's how it worked for us)
Check my links below: they all state that if you pay cash (or card) the extra charges are not made. This suggests that the extra charges have
little to do with patient safety, but a lot to do with lowering extra costs caused by charging the cost to the health insurance companies.

Quite honestly if you have a permanent prescription, you won't need their advice. I have one HMO doctor, and she controls what the other 2 do to me.

https://www.ktipp.ch/service/gut-bed...warnliste_id=4

http://www.google.ch/url?sa=t&rct=j&...QqdA1IR59YY4sQ

http://www.google.ch/url?sa=t&rct=j&...zJZFZ32C1gYcgw
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  #63  
Old 02.10.2014, 16:43
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Re: Pharmacy extra billing.

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It says this will not apply to customers paying cash though.
I think that's true for a lot of pharmacies though as Sbrinz pointed out earlier. ( cash or bank card ie debit card NOT credit card)

It says that the charges will be passed on to the insurers. Does that mean that those of us who are insured with one of the companies that Sunstore bills directly will have to pay 10% of these charges? If that's the case will they give us the option if paying cash and claiming back the costs rather than having Sunstore bill them directly?
I think I need to do a bit if research here. OH requires a lot if medication and if we have to pay 10% of 4.75 chf for each one plus 10% of 3.75 chf every time I go to collect his prescription the costs will soon add up. Sun store is actually our nearest pharmacy but it's going to cost us more I'll go the short distance to the next one.
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Old 02.10.2014, 16:48
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Re: Pharmacy extra billing.

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Check my links below: they all state that if you pay cash (or card) the extra charges are not made. This suggests that the extra charges have
little to do with patient safety, but a lot to do with lowering extra costs caused by charging the cost to the health insurance companies.

Quite honestly if you have a permanent prescription, you won't need their advice. I have one HMO doctor, and she controls what the other 2 do to me.

https://www.ktipp.ch/service/gut-bed...warnliste_id=4

http://www.google.ch/url?sa=t&rct=j&...QqdA1IR59YY4sQ

http://www.google.ch/url?sa=t&rct=j&...zJZFZ32C1gYcgw
I had checked your link which is why I was agreeing with it.

I paid cash at the one pharmacy who charged me and didn't even notice the extra charge until I cam to send the bill off to the insurer for reimbursement.
I never used that pharmacy after that.
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Old 02.10.2014, 17:12
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Re: Pharmacy extra billing.

This is why i'm so clueless....in Zurich, insurance is billed directly. I guess i didn't check to see if it was an option to pay cash and submit. I get my meds every 3 months....some last longer than 3.
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Old 02.10.2014, 17:45
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Re: Pharmacy extra billing.

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This is why i'm so clueless....in Zurich, insurance is billed directly. I guess i didn't check to see if it was an option to pay cash and submit. I get my meds every 3 months....some last longer than 3.
When we get the bill from our insurer for our share of the costs it doesn't give an itemised list just the place, the date and the total cost so even when they start charging this fee we won't see it unless the whole billing system is changed. We therefore won't know whether we are paying it or not.

As I said in an earlier post I think I need to do some research into this.
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  #67  
Old 02.10.2014, 18:54
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Re: Pharmacy extra billing.

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Lots of interesting questions there. I've often wondered how Sun Store (very large chain) getw away with not applying a Charter agreed with the 'Association of pharmacists' etc. I will make enquiries- I imagine the said assoc is not too happy about it, but can't enforce it. And as said, I don't know of any Sunstore chain in rural areas. Doctors only self-dispense is there is not chemist's in the area- according to my GP (who does not, for that very reason).

Anyhow, in a country where people are not registered with a single GP, who keeps all records about treatment and drugs dispensed by other doctors, like specialists- for the same person, the safety of knowing that the chemist's you register with, usually your local one- will keep a tab on your dossier- and ensure that your GP (family doctor), gyneacologist, peaditatrician for children, and all other specilaists who may see separately- do not prescribe drugs which could dangerously interact with each other, and that dosages are correct (yep, GPs and all doctors can make mistakes, and the prescription copied by his receptionist could have a , or . in the wrong place, etc. And for that- I am very grateful- it adds another security check, which can truly save lives.

Just come back from a lovely local walk abroad with the dogs - same sunshine and lovely woods turning gold and russet . Should I be racked with guilt and labelled hypocrite because I bought potatoes from my friend French farmer and collected a La Redoute parcel from my French friend whose fence is the Border (nope)
They don't charge and give the same service to their customers because they probably believe it is part of their job to do so. That it shouldn't be an extra charge just for the privilege.

Edit: saw the rest of the thread.....
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Old 02.10.2014, 19:39
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Re: Pharmacy extra billing.

Every Swiss pharmaceutical has the paper description inside, which states the dosage and any side effects. The pharmacy don't normally look at this, nor do they tell you about the drug you are about to take.

I once received a prescription for 100 mg tablets, of an antibiotic. I read the description and it stated I should be taking 500 mg not 100 mg. So the pharmacy was useless as well! I had had contracted campylobacter after eating fried eggs in Greece, so a child's portion of antibiotics (100 mg) wasn't going to make me better!

I gently pointed this out to my (useless) doctor and he became quite cross, & gave me a prescription for a very strong antibiotic, which gave me an angina and put me in hospital for 2 weeks for observation.
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Old 02.10.2014, 20:16
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Re: Pharmacy extra billing.

Don't want to argue about this- but the 2 pharmacies we buy meds from here, one in our village and one in the nearest village in the valley- always check, check for adverse reactions with other meds if we get a new one- and always make sure they go through how to take and major side-effects for every new drug, as and when. So we've been really impressed so far.

One of my friend's babies died due to the . being in the wrong place- so for me, it's worth checking. But the main point is not about individual drugs, but about a mix of drugs prescribed by different doctors which could have severe adverse reaction is taken together. So I'd say very different to selling trousers- where if the colour or style does not much your shirt- will not really kill you.

hey ho- just trying to explain what the charges are for. As said, we could argue about pros and cons till we go blue in the face. And again, ask big Pharmas why they charge different prices to different countries- and much more in Switzerland, for the same drug.
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Old 02.10.2014, 20:46
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Re: Pharmacy extra billing.

In the same vein, most doctors slap on about 20 chf for 'specialised information given to the patient'. Well, isn't that what we go to them for?

On one occasion, I went to an ENT specialist in Lausanne. He was supposed to examine my throat for any lesions. He did, but hardly any conversation or ´specialised information' took place. When I got the bill, I rang his secretary, asking if it was a mistake. The dr said it wasnt, so I had to pay. Daylight robbery.
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Old 02.10.2014, 22:32
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Re: Pharmacy extra billing.

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Don't want to argue about this- but the 2 pharmacies we buy meds from here, one in our village and one in the nearest village in the valley- always check, check for adverse reactions with other meds if we get a new one- and always make sure they go through how to take and major side-effects for every new drug, as and when. So we've been really impressed so far.

One of my friend's babies died due to the . being in the wrong place- so for me, it's worth checking. But the main point is not about individual drugs, but about a mix of drugs prescribed by different doctors which could have severe adverse reaction is taken together. So I'd say very different to selling trousers- where if the colour or style does not much your shirt- will not really kill you.

hey ho- just trying to explain what the charges are for. As said, we could argue about pros and cons till we go blue in the face. And again, ask big Pharmas why they charge different prices to different countries- and much more in Switzerland, for the same drug.
You see I don't object to paying for them to do that so much although I do think that it should be part of their job and therefore not charged as an extra. Pharmacists don't charge for this service neither countries we've lived in but still do all these checks and explanations.
What I object most strongly to is having to pay for this for medications ( and not just once but for every drug he takes) that OH has been on for over 30 years, has on repeat prescription that he collects from the same pharmacy and sees the same couple of pharmacists every single time and who now know that he knows it all as well as they do.
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Old 03.10.2014, 01:20
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Re: Pharmacy extra billing.

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Since I've been known to grumble about health care in canton SZ, it's only right that I praise the good stuff - and being a self-dispensing canton is one of those things.

I get meds directly from the doctor, avoiding the extra charges. Last time, though, he was out of the drug and so I had to get an Rx filled at the pharmacy. And got hit with the Mediakamententaxe, 4.30, plus Bezugstaxe 3.25. Sure, it was 'only' an extra 7.55 - but that's an almost 50% addition to the bill. If one has multiple meds that could quickly add up.

Given that the local-ish pharmacy is a national chain I have little interest in keeping them in business. I don't know of any small independent 'trusted service provider' type pharmacies 'round these parts. You take a number, hand over your Rx when called, the clerk hands you your meds. Not a word spoken until she tells you how much you have to pay.

I'm happy that I can get meds from the doctor and save the half hour it takes to drive to the pharmacy. And I'm happy to save the 7.55.
I agree with your points about the benefits of self dispensing doctors offices in Schwyz. My GP is in Schwyz and I've been quite happy overall with this arrangement. I believe it also saves on the overall costs on the health care system since you cut out the middle man. One could argue that a second set of eyes is good for safety and that would be a good point but my doctor definitely knows me better than any pharmacist or their pharmacy assistants!

When my Dr. was on vacation this summer I had to go to the pharmacy and was very surprised by their lack of knowledge about how and when I was supposed to take my medications. They seemed quite uneducated and said they needed to call my doctor for clarification about the instructions on the prescription, this took a long time as they tried to track someone down. The other issue is that they don't carry a lot of inventory of certain medications so have to then order those medications which meant I had to go back again to pick them up on the following day.

In all cases they just handed over medications with out asking me if I have any known allergies (which I do have) or without asking if I've ever taken the medicine before which surprised me since I have no previous relationship with them which meant that they had no information on my medical history. Where I come from that is a basic mandatory question from a pharmacist.

Overall based on these experiences I'm not too impressed with the pharmacist's here. I don't think a higher "medication research" fee is justified. They should be well educated enough to handle the vast majority of my medications without the need to charge more for a special dispensing fee. I also take issue with the fact that they talk so loudly about my medications and health issues while other people standing in line behind me. I don't feel like I have the same level of respect of privacy in the pharmacy as I do at my doctors office.
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  #73  
Old 27.10.2014, 19:49
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Re: Pharmacy extra billing.

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Lots of interesting questions there. I've often wondered how Sun Store (very large chain) getw away with not applying a Charter agreed with the 'Association of pharmacists' etc. I will make enquiries- I imagine the said assoc is not too happy about it, but can't enforce it. And as said, I don't know of any Sunstore chain in rural areas. Doctors only self-dispense is there is not chemist's in the area- according to my GP (who does not, for that very reason).
To help with your research: Sun Store (a pushy discounter) is not part of the 'Association of pharmacists'/ swissPharma.
But they are still entitled to their share.
Here the actual agreement between health care insurer and pharmacies:
http://www.pharmasuisse.org/FR/diens...pages/loa.aspx

If you are interested to know the difference between factory and pharmacy price of medicaments:
http://www.bag.admin.ch/themen/krank...x.html?lang=en

The reason for the high Swiss prices, it is used as refernce for other countries prices:
http://www.interpharma.ch/fakten-sta...cal-regulation
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  #74  
Old 20.06.2015, 20:40
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Re: Pharmacy extra billing.

Reviving an old thread.

[moderate rant] Two days ago I walked into the local pharmacy to buy a special antibiotic that I currently don't need, but since I'm flying to the USA in a few days for several months I want to have it at hand because I'm allergic to pretty much every antibiotic except that one, and out in the boondocks of Northern Michigan it may be difficult to find a doctor for a prescription, just in case. Plus the expense for the doc, since, in those instances, I can easily diagnose myself.

As some of you may know, I'm an oral surgeon, and in Switzerland I can issue prescriptions myself, but not in the USA. So I wanted to buy that stuff as what I call a fire extinguisher: great to have in case of an emergency but all the better if I do not even have to use it. And it's cheap to boot, around eight chuffs.

Ok, since the package is so cleverly designed that it covers only half of a standard round, I tried to buy two packs, around CHF 17. However, I got only one, the last one in the drawer, and I was told that they were getting a new delivery within one day.

Needless to say that the pharmacy folks didn't have to do any checks on possible misuse and didn't have to instruct me either, since I know every detail of that product. All they did was taking it out of the drawer, telling me I could get another one tomorrow, taking my money and handing me the med plus the receipt.

I got charged CHF 4.32 for a Medikamenten-Check and CHF 3.24 for a Bezugs-Check, although they had not spent a single second on either. Oh well.

Today, I went there to get the second pack. Believe it or not, the same fees were charged again. The surcharge is almost as much as the price of the med.

I politely asked why I was getting charged for a service not provided. I was told that there is no other way. Believe it or not: The "Süschteem" (read: computer) automatically charges those fees each and every time a puchase of a medicament is punched in, and there is no work-around. Or so they said.

Go figure.

Swiss got Switzerlanded.

Needless to say I know that those people aren't exactly getting stinking rich based on those fees, and I'm all for keeping those small businesses alive, but charging for absolutely nothing is just not right. It's not their fault, though. It's the "Süschteem."
[/moderate rant]
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  #75  
Old 20.06.2015, 20:46
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Re: Pharmacy extra billing.

It is indeed a Convention- and therefore applicable to all medicine buys- you should have paid for both on one day, and just picked up the second pack the next day.

How long have you been in Switzerland? Surely you should know that by now

Must say I am more concerned about you signing a prescription for yourself. Doctors are only supposed to sign prescriptions for patients, not for themselves, normally. Certainly in the UK it would not be acceptable and unethical.

Last edited by Odile; 20.06.2015 at 21:09.
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  #76  
Old 20.06.2015, 21:05
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Re: Pharmacy extra billing.

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Must say I am more concerned about you signing a prescription for yourself. Doctors are only supposed to sign prescriptions for patients, not for themselves, normally.
Well Vets if France can get any drugs from a pharmacy, no questions asked. I guess C G did not want to pay 150 CHF for a Dr to write the prescription
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Old 20.06.2015, 21:15
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Re: Pharmacy extra billing.

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How long have you been in Switzerland? Surely you should know that by now

Must say I am more concerned about you signing a prescription for yourself. Doctors are only supposed to sign prescriptions for patients, not for themselves, normally. Certainly in the UK it would not be acceptable and unethical.
Well, as you may remember, I've spent about 60 years in this country, but the only occasion I need a med is when I get my infamous bladder infection. Everything was tried. I drank all sorts of infusions and cranberry juice until I exhaled reddish fumes. On one occasion, my OH even talked me into homeopathy, which I did, just to show her that it wouldn't work, and of course it didn't. Most antibiotics are either totally ineffective or cause all kinds of allergic reactions, and sulfonamides completely mess up the normal microbial population of my organism by triggering massive growth of yeast within two days.

So far, in the course of several episodes, the antibiotic I purchased has done its job within a few days. It's the only way unless I want to walk around like a cowboy, run to the bathroom in the middle of a surgery operation and totally abstain from sex, and that for months.

Of course, at the very least they should have told me that I could pay for both packs at once.
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