Application form and instructions are in English.
In order to view and print out the application forms out you
will need Adobe Reader software which you can download free of
charge from
here . A filled form can be saved by Adobe
Reader software.
Application for basic
reimbursement status and wholesale price for a medicinal
product subject to special licence, an application by a
patient or a pharmacy (pdf, 561 kB)
Application instructions
(pdf, 33 kB)
