Information for hospitals & clinics

Reimbursement of medications in individual cases

As per articles 71a / 71b of the Ordinance on Health Insurance (KVV). The legal framework in the Swiss health sector is becoming ever more complex.

Compulsory healthcare insurance (OKP), the Ordinance on Health Insurance (KVV), the specialities list (SL), and the reimbursement of medications in individual cases as per articles 71a and 71b of the KVV: it is becoming increasingly difficult for medical specialists to keep track of all the developments.

Helsana AG and Novartis Pharma Schweiz AG have produced the brochure shown below with the aim of providing key information in a compact form about the reimbursement of medications in individual cases as per articles 71 a/b of the KVV, and discussing certain aspects – including the special case of "treatment complexes" – in greater depth.

In the brochure, you will also find some tips that may be useful on how to complete an application for the approval of the cost of a medication in individual cases (as per articles 71a/b, KVV). This will help you to make the right decision quickly and in the patient's best interests.