General information

The pharmacist has dispensed Signifor® 20 mg to the patient. The health insurer will not reimburse the cost of this prescription in full. The producer of this medicine has therefore instructed TBR Nederland to reimburse to the patient the Personal Contribution charged.

Dose 20mg
Type Tablets
Active ingredient PASIREOTIDE

Reimbursement

Conditions

The Personal Contribution for Signifor® 20 mg charged to the patient by the health insurer, is eligible for full reimbursement from June 15 2023 to a maximium of € 250,- per patient per year. Therefore, the patient can submit a claim with TBR Nederland. 

Who can submit a claim

Patients or their caregiver can submit a claim for the Personal Contribution amount they paid for Signifor® 20 mg, either online or by post. Online will be the fastest option. Pharmacists cannot submit claims on behalf of patients for this medicine.

From when till when can you submit a claim

Dispenses from January 1st, 2022 can be submitted to TBR Nederland from June 15, 2023. For the Reimbursement Scheme of this medicine no closing date has been determined yet.

Submit a claim online

Patients can claim online and will receive their reimbursement within 5 working days.

Read our tips on how to submit a claim online

Login & Submit a Claim         Open an Online Account

 


Submit a claim by post

Patients can claim by post and will receive their reimbursement within 15 working days.

Read our tips on how to submit your claim by post

Please mail the Claim Form and attachments to:

TBR Nederland
Postbus 8011
1180 LA Amstelveen 

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PATIENTS CAN ONLY CLAIM THEIR PAID CONTRIBUTION, NOT THEIR EXCESS

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