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Lower Saxony overhauls pharmacy rules for contract physicians' medications

Pharmacies in Lower Saxony face a major shift as old rules collapse into one system. Will this finally end delays for critical treatments and vaccines?

The image shows a pharmacy with a sign that reads "The Generics Pharmacy" surrounded by buildings,...
The image shows a pharmacy with a sign that reads "The Generics Pharmacy" surrounded by buildings, electric poles, electric cables, advertisement boards, houseplants, motor vehicles on the road, and a clear blue sky.

Lower Saxony overhauls pharmacy rules for contract physicians' medications

A new statewide agreement in Lower Saxony will change how pharmacies supply practice medications to contract physicians. The deal, signed by the State Pharmacists' Association (LAV) and health insurance funds, replaces a patchwork of old rules with a single, streamlined system. It takes effect from July 1 and aims to cut bureaucracy while ensuring reliable access to essential treatments.

The agreement follows months of negotiations after the previous regulations were set to expire by the end of 2025. Under the new terms, all pharmacies in Lower Saxony supplying contract doctors must follow a unified framework. This includes standardised priority rules for dispensing finished medicines—a first for practice supplies in the region.

To prevent disruptions, a no-strike clause was extended until the new deal began. The contract also introduces a two-phase payment increase for pharmacies delivering vaccines. Remuneration starts at 80 cents per dose, rising to €1 once predefined targets are met—a significant jump from the previous 40-cent rate. The changes cover medications and materials used in treatments or emergencies. By replacing decentralised arrangements with a single structure, the agreement seeks to simplify processes for both pharmacies and healthcare providers.

The new system applies to every pharmacy in Lower Saxony involved in supplying contract physicians. It standardises conditions, reduces paperwork, and increases payments for vaccine deliveries. The framework ensures a more efficient and predictable supply chain for practice medications across the state.

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