When a citizen goes to the pharmacy to buy a prescription drug, he does so by paying a reduced price. It is what is called a pharmaceutical copayment or outpatient pharmaceutical benefit, limited amounts of which some more vulnerable groups are exempt from payment.
Specifically, the Social Security to the ambulatory pharmaceutical service as “the one that is dispensed to the patient by means of a medical prescription or hospital dispensing order, through pharmacy offices or services”. Normally it is subject to user contributions, those small amounts paid by the person who goes to the pharmacy, but exemptions are contemplated.
As they are amounts proportionally adjusted to the user’s income level, these exemptions usually refer to groups or groups with a higher risk of having lower income. Not only are these citizens exempt from payment, but also their beneficiaries, and they are the following:
-People affected by toxic syndrome and people with disabilities affected by its specific regulations.
-People who receive social integration income.
-People who receive non-contributory pensions.
-People .
-Unemployed people who have exhausted an unemployment subsidy.
-People receiving treatment for ailments resulting from professional illnesses or accidents at work.
-Minors with a disability of at least 33%.
-People who receive the benefit for a dependent minor child in permanent family foster care or guardianship for adoption purposes.
-Pensioners with an income of less than 5,635 euros per year entered in the general taxable base and personal income tax savings and those who, are not required to declare, have an income of less than 11,200 euros per year.
How much is paid for medicines in general?
For the rest of the people there are payment rules. A certain percentage is paid that varies depending on the level of income. The amounts to be paid are the following:
-60% of the sale price for people with annual income of 100,000 euros or more declared in the general taxable base and of the savings in the personal income tax return.
-50% of the sale price for active insured persons with incomes greater than 18,000 euros per year and less than 100,000 euros per year.
-40% of the sale price for people with active insured status and income of less than 18,000 euros per year.
-30% of the sale price for mutual members and passive classes of the General Mutual Society of State Civil Servants, the Social Institute of the Armed Forces and the General Judicial Mutual Society.
-10% of the sale price for pensioners who do not have income equal to or greater than 100,000 euros per year.
However, these amounts are only paid up to certain limits. The regulation establishes limits for payment for medicines. These limits refer to the groups, type of treatment…
-Only 10% of the sale price of ATC group medicines can be paid, with a limit of 4.24 euros per month per container.
-Pensioners with less than 18,000 euros of annual income will only pay 8.23 euros per month.
-Pensioners with annual income between 18,000 and 100,000 euros will pay 18.52 euros per month.
-Pensioners with annual income of more than 100,000 euros have a limit of 61.75 euros per month.
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