Health

#SANS0521280AOrder of April 4, 2005 on Pharmaceutical Coverage by Health Insurance

🇫🇷France··Other·Medium Impact·View source ↗

AI-generated summary for informational purposes only. Not legal advice. See the original source for the authoritative text.

🇬🇧 English

This law ensures that specific pharmaceuticals listed in the annex are covered by French health insurance, in addition to hospital services. It affects pharmaceutical companies and healthcare providers as they must adhere to the coverage conditions set forth in relevant health codes.

AI-generated summary. May contain errors. Refer to official sources for legal decisions.

Key Changes

  • Certain pharmaceuticals are covered by health insurance beyond hospital services
  • Listing and coverage conditions are specified in social security codes
  • Execution of the law is handled by specific social security directors

Obligations

What this law requires

high

Ensure pharmaceutical specialties listed in the annex are covered by health insurance (assurance maladie) in addition to hospitalization benefits

French health insurance providers, Healthcare providers
operational
high

Comply with coverage limits specified in the annex list for each pharmaceutical specialty

French health insurance providers, Pharmaceutical companies
operational
high

Adhere to conditions set forth in articles L. 162-16-6 and L. 162-22-7 of the French Social Security Code (Code de la sécurité sociale) for pharmaceutical coverage

French health insurance providers, Healthcare providers, Pharmaceutical companies
operational
medium

Director of Social Security must execute this order with respect to their jurisdiction

Director of Social Security (Directeur de la sécurité sociale)
operational
medium

Director of Hospitalization and Healthcare Supply must execute this order with respect to their jurisdiction

Director of Hospitalization and Healthcare Supply (Directeur de l'hospitalisation et de l'offre de soins)
operational

Affected Parties

Pharmaceutical companiesHealthcare providers

Tags

pharmaceuticals,health insurance,France