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Essential rules for drug prescription in czechia
Act No. 378/2007 Coll., on Pharmaceuticals | Decree No. 54/2008 Coll., on Prescription
Act No. 167/1998 Coll, on Addictive substances |
Government regulation No. 463/2013, on the List of addictive substances

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TYPES OF MEDICINAL PRODUCTS
Medicinal products
RMP
IPP
Rx
OTC
Restricted distribution OTC
Fully imbursed
Partially imbursed
Not imbursed
Manufacturing /
Preparation
Dispensation
Reimbursement
from health insurance

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CZECH PRESCRIPTION RULES
̶Electronic prescription
̶Identification of e-Rx = alphanumeric code → QR/bar code
̶Free of charge for the patient
̶1 e-Rx covers max 3 months of therapy
̶Max 2 types of medicines on 1 e-Rx
̶RMPs can be prescribed using trade name of the preparation or INN of the active substance (rarely
used in CZ)
̶

Paper „dispatch note“
e-Rp by sms
e-Rx TYPES
E-mail
e-Rp App
e-Rx on ID card

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PAPER Rx
̶Exceptional, only in justified cases
̶Not for repeated use
̶Pharmacist needs to digitalize it – record into the e-Rx system
̶Only 1 type of medicine
̶Valid without doctor‘s stamp, but the identification of the doctor need to be present („IČZ“ –
identification number of medical facility)
̶Which situations can justify the use of paper Rx?
̶
̶Obligatory – specified addictive substances (Rx „with blue strip“)
̶

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SIGNS & SYMBOLS
̶For repeated use (paper Rx: REPETATUR)
̶Emergency (POHOTOVST)
̶Ad usum proprium / For family (PRO POTŘEBY RODINY)
̶No reimbursement (HRADÍ PACIENT)
̶Higher reimbursement (ZVÝŠENÁ ÚHRADA)
̶Do not change (NEZAMĚŇOVAT)
̶Exceeding dose (PŘEKROČENÍ; Paper Rx: !)
̶Non-authorized medical preparation (NEREGISTROVANÝ)

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OVERVIEW OF RX VALIDITY
̶e-Rx
̶14 days + day of issue
̶Doctor can extend validity up to 1 year, pharmacist can add another 14 days
̶
̶Emergency – end of the day following the day of issue
̶
̶Rx for repeated use – 6 months, max 1 year
̶
̶Paper Rx – 14 days + day of issue
̶
̶Rx „with blue strip“ – 14 days + day of issue; extension up to 30 days
̶
̶

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ADDICTIVE SUBSTANCES
̶Prescription according to the substance classification (Gov. Reg. No. 463/2013, on the List of
addictive substances – Appendices 1-8)
Rx „with blue strip“
̶Appendix 1 + 5 = narcotics (list I), psychotropics (list II) specified in Single Convention on
Narcotic Drugs (1961), and Convention on Psychotropic Substances (1971)
̶Rx is a paper form, 3 pages (1 original, 2 copies)
̶1 Rx = 1 type of medicine
̶Specimen of the form is stated in legislation
̶Validity 14 days + day of issue
Rp s modrým pruhem

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24.12.1968
Rp s modrým pruhem
VENDAL RETARD 10 mg por. tbl. ret.
POR TBL RET 30´10 mg
Exp. orig. No I (unam)
D.S. Každých 12 hod užít 1 tabletu.
26. 10. 2020
MUDr. Petr Horák
Ambulance ORL
Pekařská 18, BRNO
tel. 543 210 123
IČZ: 720001
Kamenice 5, Brno 625 00
6812243234
Jan Horák
24. 12. 1968
111
549 490 000
ABXY

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SYSTEM OF SHARED MEDICATION RECORDS („LÉKOVÝ ZÁZNAM“)
̶New healthcare IT system activated on 1st June 2020
̶Contains all issued e-Rx for an individual patient
̶Doctors, pharmacists and clinical pharmacists are allowed to look for all e-Rx of a patient whom
they take care of (no free browsing/searching in the data)
̶Doctors: 5 years history; pharmacists: 1 year
̶Check for prescription duplicities, drug interactions, contraindications, adverse effects…
̶Taking pharmacological anamnesis is easier – doctor is not relying solely on the information from
the patient