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Hungary

Reimbursement of anti-dementia drugs

The availability of medicines in general

In Hungary, in-patient medicines are free of charge for patients. Out-patient medicines on the official list are covered basically by the Health Insurance Fund by 50 to 100%. This percentage depends on a decision made by a professional body which makes their decisions on the type of drug.

Elderly people with a low income and disabled people can receive a special card which entitles them to free medication. Finally, victims of employment injuries and occupational diseases also receive medicines free of charge. [1]

The availability of Alzheimer treatments

Except for galantamine, anti-dementia drugs are available in Hungary and are part of the reimbursement system (50% reimbursement). Prescriptions both for treatment initiation and for treatment continuation need to be filled in by specialist doctors. There are no restrictions governing the access of people living alone or in nursing homes to available Alzheimer treatments but continuous treatment must be guaranteed.

Since 1999 there have been several national guidelines for the diagnosis and treatment of Alzheimer’s disease. The 2006 guideline has been accepted by the Ministry of Health and prescribes a number of diagnostic examinations (MMSE, Laboratory tests and either a CT or MRI scan).

Since 2003, special dementia centres have been set up (at the time of print, the number of these centres was 84) which are led by neurologists or psychiatrists. Physicians of these centres have the right to prescribe donepezil, rivastigmine and memantine with reimbursement.

 

Donepezil

Rivastigmine

Galantamine

Memantine

Reimbursement

Yes

Yes

No

Yes

Initial treatment decision

Specialist doctors

Specialist doctors

N/A

Specialist doctors

Continuing treatment decision

Specialist doctors

Specialist doctors

N/A

Specialist doctors

Required examinations

Diagnostic protocol

Diagnostic protocol

N/A

Diagnostic protocol

MMSE limits

26-10

26-10

N/A

18-0

People living alone

Caution against use

Caution against use

N/A

Caution against use

People in nursing homes

No restrictions

No restrictions

N/A

No restrictions

[1] European Commission (2006): MISSOC – Mutual information system on social protection : Social protection in the Member States of the European Union, of the European Economic Area and in Switzerland : Comparative tables

 

 
 

Last Updated: mercredi 15 juillet 2009

 

 
 

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