Health

#SFHS2614037AOPUVIZ Added to France’s Reimbursable Medicines List

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

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

🇬🇧 English

This order adds two presentations of OPUVIZ 40 mg/ml, an aflibercept injectable medicine, to France’s list of medicines reimbursed by social health insurance. The patient’s cost-sharing is removed for the covered uses listed in the annex. Reimbursement is limited to specific adult eye conditions, including wet age-related macular degeneration, visual impairment linked to several forms of macular edema, and myopic choroidal neovascularization. The treatment must be given by intravitreal injection by ophthalmologists experienced in this procedure.

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

Key Changes

  • Adds two OPUVIZ 40 mg/ml presentations to the reimbursable medicines list in France
  • Removes patient cost-sharing for the specified covered eye-treatment indications
  • Limits covered use to administration by experienced ophthalmologists through intravitreal injection

Obligations

What this law requires

medium

Social health insurance reimbursement for OPUVIZ 40 mg/ml must be limited to the listed adult indications: wet retrofoveal age-related macular degeneration, visual impairment due to macular edema secondary to central retinal vein occlusion, specified diabetic macular edema after optimized diabetes management, macular edema secondary to branch retinal vein occlusion, and myopic choroidal neovascularization.

French social health insurance bodieshealthcare reimbursement processors
From the fourth day after publication in the Journal officiel de la République française
operational
medium

Patient cost-sharing must be removed for the reimbursable OPUVIZ 40 mg/ml presentations and indications listed in the annex under Article R. 160-8 of the Social Security Code.

French social health insurance bodieshealthcare reimbursement processors
From the fourth day after publication in the Journal officiel de la République française
operational
high

OPUVIZ treatment must only be administered by intravitreal injection.

ophthalmologistshealthcare providers administering OPUVIZ
operational
high

OPUVIZ intravitreal injections must only be administered by ophthalmologists experienced in this type of injection.

ophthalmologistshealthcare providers administering OPUVIZ
licensing

Affected Parties

Adult patients with covered retinal eye conditionsOphthalmologists+2 more…

Tags

France,medicine reimbursement,ophthalmology