Conference of Health Ministers proposes measures to ensure…

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Berlin – Conference of Health Ministers (GMK) wants to improve the supply of medicines. In principle, the federal states call for a diversification of supply chains in medicine production in order to reduce Europe’s dependence on third countries and ensure stable availability, according to a statement issued yesterday. decision.

GMK therefore requests the Federal Ministry of Health (BMG), to adjust the financing of generics so that the production of medicines and active ingredients in Germany and Europe can become profitable again. “To achieve better long-term planning for the pharmaceutical industry, appropriate incentives must be established and unnecessary bureaucracy must be reduced,” he says.

To better support pharmacies when importing medicines in the future, a national solution is also needed. The GMK demands that this reduces the economic risks that exist for pharmacies when using special purchasing options.

The creation of a legal basis in the form of a reimbursement mechanism for imported medicines should be implemented in the Social Security Code (SGB) V. In the past, there have been shortages of medicines for the prevention and treatment of HIV infection or medicines for the breast cancer.

“All existing options under the Medicines Act to address bottlenecks in medicine distribution must be exhausted,” said Baden-Württemberg Health Minister Manne Lucha (Greens).

“Legal regulation for the reimbursement of imported medicines obtained as part of the special purchase in accordance with the Medicines Law is necessary in the near future in order to guarantee the security of supply for the population and reduce the economic burden on pharmacies”, emphasized Lucha .

There were also repeated problems with the supply of children’s medicines containing paracetamol and ibuprofen, such as fever juices. To this end, a standard approval for children’s medicines containing paracetamol and ibuprofen should be implemented, decided the GMK yesterday.

Promote hassle-free manufacturing

“The situation of shortages of essential medicines in autumn and winter is unacceptable. This is especially true in pediatric medicine. Basic medicines such as fever juices can be used to help quickly and effectively,” said Lower Saxony Health Minister Andreas Philippi (SPD).

The GMK therefore decided that the BMG should also issue standard approvals for these medicines in addition to the complex individual approvals. “This means that production can be increased easily because pharmaceutical companies and pharmacies that want to produce these medicines in larger quantities do not need to go through complex approval procedures,” explained Philippi.

However, the safety of medicines is guaranteed because pharmaceutical companies and pharmacies have to adhere to a defined regulation when manufacturing according to standard approval. “The same high standards in terms of quality, efficacy and safety apply here as medicines that are on the market based on individual approval. Furthermore, production based on standard approvals is significantly cheaper, faster and accessible in large quantities,” Philippi emphasized. .

To ensure a comprehensive supply of medicines in the future, new financing concepts for pharmacies are also needed, according to another GMK resolution.

Given that pharmacies could suffer significant financial losses as a result of the decision of the Federal Court of Justice (BGH), of 8 February, which prohibits discounts on prescription medicines, the states argue that a rapid adjustment of the financial framework is necessary to prevent pharmacies from dying. However, previously planned measures for the structural reform of pharmacies are “clearly inadequately evaluated” to improve the situation of pharmacies.

GMK therefore calls on the federal government to strengthen pharmacy structures and stabilize them economically. The GMK also speaks out against planned pharmacies without pharmaceutical supervision. “Personal, expert medication advice from licensed pharmacists contributes significantly to therapy adherence, safety of use, and therefore the success of therapy. “This makes a valuable contribution to the tense drug supply situation,” it states in a resolution. This initiative in the planned pharmaceutical reform law is also causing significant criticism among pharmacists.

Another resolution envisages filling a gap in the supply of narcotics (BtM) to patients in day hospitals. Currently, daycare patients do not receive BtM in accordance with the law on days they are not at the facility. This must change, demands GMK. © cmk/aerzteblatt.de

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