Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen - 20 Minuten<\/title><meta name=\"title\" content=\"Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen\"\/><meta name=\"description\" content=\"Das Bundesamt f\u00fcr Gesundheit habe sich verrechnet, sagt die Vereinigung der Pharmafirmen. 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Schweizer Pharmaindustrie streitet sich mit BAG\"\/><meta property=\"og:locale\" content=\"de_DE\"\/><meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/20min\"\/><meta property=\"og:site_name\" content=\"20 Minuten\"\/><meta property=\"og:image\" content=\"https:\/\/media.20min.ch\/6\/image\/2024\/10\/31\/53ac787a-9737-44e7-ad34-5dc2220cf383.jpeg?auto=format%2Ccompress%2Cenhance&fit=crop&w=1200&h=675&rect=0%2C0%2C4000%2C2250&crop=faces&s=f25c4ccc4754f2f55d14d52c53c77968\"\/><meta property=\"og:image:width\" content=\"1200\"\/><meta property=\"og:image:height\" content=\"675\"\/><meta name=\"twitter:card\" content=\"summary_large_image\"\/><meta name=\"twitter:site\" content=\"@20min\"\/><meta name=\"twitter:title\" content=\"Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen\"\/><meta name=\"twitter:description\" content=\"Das Bundesamt f\u00fcr Gesundheit habe sich verrechnet, sagt die Vereinigung der Pharmafirmen. Das BAG sieht das anders.\"\/><meta property=\"twitter:image:src\" content=\"https:\/\/media.20min.ch\/6\/image\/2024\/10\/31\/53ac787a-9737-44e7-ad34-5dc2220cf383.jpeg?auto=format%2Ccompress%2Cenhance&fit=crop&w=1200&h=675&rect=0%2C0%2C4000%2C2250&crop=faces&s=f25c4ccc4754f2f55d14d52c53c77968\"\/><script type=\"application\/ld+json\">{\"@context\":\"http:\/\/schema.org\",\"@type\":\"NewsArticle\",\"mainEntityOfPage\":{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.20min.ch\/story\/medikamentenabgabe-24-oder-100-millionen-mehrkosten-pharma-kritisiert-bag-zahlen-103296943\"},\"publisher\":{\"@type\":\"NewsMediaOrganization\",\"name\":\"20 Minuten\",\"url\":\"https:\/\/www.20min.ch\",\"email\":\"redaktion@20minuten.ch\",\"telephone\":\"+41(0)442486820\",\"sameAs\":[\"https:\/\/www.facebook.com\/20min\",\"https:\/\/twitter.com\/20min\",\"https:\/\/www.instagram.com\/20min.ch\",\"https:\/\/de.wikipedia.org\/wiki\/20_Minuten\"],\"ownershipFundingInfo\":\"https:\/\/www.20min.ch\/impressum\",\"logo\":{\"@type\":\"ImageObject\",\"url\":\"https:\/\/www.20min.ch\/icons\/20min_de.png\",\"width\":144,\"height\":192}},\"headline\":\"Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen\",\"alternativeHeadline\":\"Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen\",\"description\":\"Das Bundesamt f\u00fcr Gesundheit habe sich verrechnet, sagt die Vereinigung der Pharmafirmen. Das BAG sieht das anders.\",\"articleBody\":\"Die Umteilung bestimmter Arzneimittel im Rahmen der Revision des Heilmittelgesetzes hat laut Bund seit 2019 zu Mehrkosten von maximal 24,5 Millionen Franken pro Jahr gef\u00fchrt. Diese Zahl sei falsch, kontert Vips, die Vereinigung Pharmafirmen in der Schweiz: Es seien \u00fcber 100 Millionen. Hat das BAG die Kosten zu tief berechnet? Laut Vips-Pr\u00e4sident Marcel Plattner brachte die Umteilung im Gesundheitswesen massive Mehrkosten. Das Bundesamt f\u00fcr Gesundheit (BAG) habe die Kosten auf einer falschen Basis berechnet, sie seien vier bis f\u00fcnf Mal h\u00f6her. Der markant gestiegene Anteil von Abgaben auf Rezept seit der Umteilung zeige, dass die Patientinnen und Patienten vermehrt \u00e4rztliche Konsultationen in Anspruch nehmen, um Medikamente zu beziehen. Pharmafirmen verlangen System\u00e4nderung \u00abSelbst bei einer konservativen Annahme von 50 Franken Kosten pro Konsultation f\u00fchrt der erh\u00f6hte Anteil Verschreibungen von Medikamenten auf Rezept zu enormen Mehrkosten, die Versorgung ist aber schlechter\u00bb, sagt Plattner. Seit 2019 seien Mehrkosten von mindestens 600 Millionen Franken entstanden, sagt Plattner, auf Kosten von h\u00f6heren Pr\u00e4mien, ohne dass es einen Mehrwert gebe. Die Folge sei eine unn\u00f6tige Belastung des Gesundheitssystems. Das BAG widerspricht \u00abDas BAG hat keinen Grund, an der Korrektheit seiner Berechnungen zu zweifeln\u00bb, sagt das Amt auf Anfrage. Es k\u00f6nne die Kostensch\u00e4tzung der Vips aufgrund ihrer Gesamtkostenbetrachtung nicht best\u00e4tigen. \u00abDa dem BAG nicht bekannt ist, wie die Vips Mehrkosten aufgrund von zum Beispiel Arztkonsultationen herleitet, kann keine Aussage dar\u00fcber gemacht werden, warum die vorgebrachten Zahlen um ein 5-faches von denen im Bericht des Bundesrates abweichen\u00bb, so das Amt. Laut BAG fallen pro Jahr maximal 13 der 24,5 Millionen Franken Mehrkosten f\u00fcr allf\u00e4llige zus\u00e4tzliche Arztkonsultationen an. Die Apotheken h\u00e4tten durch die Dokumentationspflicht h\u00f6chstens 2,2 Millionen Franken Mehrkosten, \u00abwobei sie diesen Mehraufwand h\u00f6chstwahrscheinlich in Form von Preissteigerungen im Umfang von 1,5 Millionen (Jahr 2021) an die Kundschaft weiterverrechnen\u00bb. Die effektiven Mehrkosten seien wohl geringer als die erw\u00e4hnten maximalen Gesamtkosten. Das sagt der Apothekerverband Der Schweizerische Apothekerverband Pharmasuisse sagt auf Anfrage, er begr\u00fcsse es, dass der Bund bestrebt sei, die Stellung der Apotheken zu st\u00e4rken. Sie seien die erste Anlaufstelle bei Gesundheitsfragen und k\u00f6nnten viele unn\u00f6tige und teurere \u00e4rztliche Konsultationen verhindern. Vom Systemwechsel profitierten die Apotheken nicht: F\u00fcr die Abgabe der umgeteilten Medikamente sei eine Dokumentation Pflicht, die wie auch die ben\u00f6tigte fachkundige Anamnese mit viel Aufwand verbunden sei. Umsetzung der Vorgaben kostete Zeit und Nerven Seit der \u00c4nderung des Heilmittelgesetzes seien die Abgabekompetenzen der Apotheken klarer definiert. So d\u00fcrfen sie nun gewisse Medikamente nicht nur in begr\u00fcndeten Ausnahmef\u00e4llen, sondern auch bei durch den Bundesrat bestimmten Arzneimitteln und Indikationen abgeben. \u00abDie selbstbezahlte Behandlung durch Fachpersonen wird damit gef\u00f6rdert und gleichzeitig der Druck auf die Krankenkassenpr\u00e4mien gesenkt\u00bb, argumentiert der Verband. Vor allem die Dokumentation der Abgaben habe den Apotheken Schwierigkeiten bereitet. Die Umsetzung habe viel Zeit in Anspruch genommen, zumal die Apotheken wegen Personalmangel und Medikamentenengp\u00e4ssen sowieso schon unter grossem Druck standen.\",\"image\":[],\"datePublished\":\"2025-03-12T15:11:59+01:00\",\"dateModified\":\"2025-03-12T15:11:59+01:00\",\"author\":[{\"@type\":\"Person\",\"name\":\"Marcel Urech\"}],\"video\":[],\"keywords\":\"\",\"hasPart\":[{\"@type\":\"Collection\",\"image\":[{\"@type\":\"ImageObject\",\"ContentUrl\":\"https:\/\/media.20min.ch\/6\/image\/2024\/10\/31\/53ac787a-9737-44e7-ad34-5dc2220cf383.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C4000%2C2250&s=8d58c6e8a3aa0842c68f9cacd3875648\",\"caption\":\"Eine System\u00e4nderung bei den Medikamenten f\u00fchrt zu Mehrkosten.\",\"creditText\":\"20min\/Simon Glauser\"},{\"@type\":\"ImageObject\",\"ContentUrl\":\"https:\/\/media.20min.ch\/6\/image\/2024\/10\/31\/b0dc761e-9ed4-441d-8d41-a467e68165dc.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C4000%2C2667&s=9564c84577a2793df20b66bba8a1f0f1\",\"caption\":\"Das Bundesamt f\u00fcr Gesundheit habe diese falsch berechnet, sie seien vier bis f\u00fcnf mal h\u00f6her, sagt die Vereinigung der Pharmafirmen.\",\"creditText\":\"20min\/Simon Glauser\"},{\"@type\":\"ImageObject\",\"ContentUrl\":\"https:\/\/media.20min.ch\/6\/image\/2024\/10\/31\/004782f8-a925-4c25-a95c-31a33356decb.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C2953%2C1808&s=26d2a049f08bd572756e5aa0a7dee67b\",\"caption\":\"Die \u00c4rzteschaft profitiere nicht von der Umstellung, betont der \u00c4rzteverband.\",\"creditText\":\"20min\"}]}],\"articleSection\":\"Wirtschaft\"}<\/script><meta name=\"next-head-count\" content=\"26\"\/><link rel=\"preconnect\" 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iIeaQS\">|<\/span><a href=\"\/wirtschaft\" class=\"sc-46060ef-2 sc-46060ef-4 gJkAGz eeHRbX\">Wirtschaft<\/a><span class=\"sc-46060ef-5 iIeaQS\">|<\/span><\/div><h1 class=\"sc-46060ef-3 sc-46060ef-6 csIspw egCqAn\">Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen<\/h1><\/section><div class=\"ContentPage_contentPage__YqKjN\"><div class=\"ContentPage_insideFullTopPlaceholder__g16GO\"><div id=\"\/23178153471\/de-20minuten.ch\/inside-full-top\/wirtschaft\" data-ad-unit-id=\"\/23178153471\/de-20minuten.ch\/inside-full-top\/wirtschaft\" style=\"justify-content:center;align-items:center;text-align:center;display:flex;height:100%;background-color:transparent\"><\/div><\/div><div class=\"ContentPage_outsideRight__P0Uvf\"><\/div><article class=\"Article_article__sV3bX Article_siteAreaNews__Frmfx\"><header class=\"Article_header__ckSlm\"><div class=\"Article_elementPublishdate__qcso_\"><div class=\"sc-d721210-0 glCzFI\"><span>Publiziert<\/span><time dateTime=\"2025-03-12T15:11:59+01:00\" class=\"sc-d721210-1 ldCIcW\">12. M\u00e4rz 2025, 15:11<\/time><\/div><\/div><div class=\"Article_elementTitle__9QPjy\"><h2><span>Medikamentenabgabe<span class=\"visually-hidden\" aria-hidden=\"true\" role=\"presentation\">: <\/span><\/span>24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen<\/h2><\/div><div class=\"Article_elementLead__N3pGr\"><p>Das Bundesamt f\u00fcr Gesundheit habe sich verrechnet, sagt die Vereinigung der Pharmafirmen. Das BAG sieht das anders.<\/p><\/div><div class=\"Article_elementAuthors__LsHcz\"><section class=\"sc-a49778d8-1 kNmdAC\"><div class=\"sc-a49778d8-0 cVViTd\"><div class=\"sc-3d7987c8-2 kbwEQu\"><div class=\"sc-b1f21c84-0 erNuh\"><a href=\"\/autoren\/84165759\/marcel-urech\" class=\"sc-b1f21c84-2 egfiIF\"><img alt=\"Marcel Urech\" src=\"https:\/\/media.20min.ch\/6\/image\/2024\/03\/10\/9d0551e3-5ad2-4eb2-81e2-1d3a72dd3a17.jpeg?auto=format%2Ccompress%2Cenhance&fit=crop&w=400&h=400&rect=0%2C0%2C404%2C404&crop=faces&s=dd090a2f49cd39277d8656438c5a6b83\" class=\"sc-b1f21c84-1 iTOvpR\"\/><\/a><\/div><div class=\"sc-3d7987c8-0 cWecBK\"><dt class=\"sc-3d7987c8-3 dvBbZq\">von<\/dt><div class=\"sc-3d7987c8-5 hogmkW\"><a href=\"\/autoren\/84165759\/marcel-urech\" class=\"sc-3d7987c8-8 fCLjyQ\"><dd class=\"sc-3d7987c8-4 kvzacp\">Marcel Urech<\/dd><\/a><\/div><\/div><\/div><\/div><\/section><\/div><\/header><section class=\"Article_body__60Liu\"><div class=\"Article_elementSlideshow__fbaGO\"><\/div><div class=\"Article_element__Tq_1s\"><div type=\"typeInfoboxSummary\" class=\"sc-92253cc8-0 kGbdVO undefined Default\" data-testid=\"InfoBox\"><div class=\"sc-92253cc8-1 sc-92253cc8-2 bGBSLI duFusH\"><h3>Medikamente: Darum gehts<\/h3><div class=\"sc-92253cc8-3 hknAoe\"><svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#boomerang\"><\/use><\/svg><\/div><\/div><div class=\"sc-92253cc8-1 sc-92253cc8-4 bGBSLI lcCaqX elementList\"><ul><li><p>Die Revision des Heilmittelgesetzes verursacht Mehrkosten.<\/p><\/li><li><p>Der Bund und die Vereinigung der Pharmafirmen sind sich uneins \u00fcber ihre H\u00f6he.<\/p><\/li><li><p>Die \u00c4rzteschaft profitiere nicht von der Umstellung, sagt der \u00c4rzteverband.<\/p><\/li><\/ul><\/div><\/div><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Die Umteilung bestimmter Arzneimittel im Rahmen der Revision des Heilmittelgesetzes hat laut Bund seit 2019 zu Mehrkosten von maximal 24,5 Millionen Franken pro Jahr gef\u00fchrt. Diese Zahl sei falsch, kontert Vips, die Vereinigung Pharmafirmen in der Schweiz: Es seien \u00fcber 100 Millionen.<\/p><\/div><div class=\"Article_element__Tq_1s\"><div type=\"typeInfoboxSummary\" class=\"sc-92253cc8-0 kGbdVO undefined Default\" data-testid=\"InfoBox\"><div class=\"sc-92253cc8-1 sc-92253cc8-2 bGBSLI duFusH\"><h3>So kam es zum Kostenstreit<\/h3><div class=\"sc-92253cc8-3 hknAoe\"><svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#boomerang\"><\/use><\/svg><\/div><\/div><div class=\"sc-92253cc8-1 sc-92253cc8-4 bGBSLI lcCaqX elementTextblockarray\"><p>Das Heilmittelgesetz teilt Arzneimittel ein in Kategorien von A (einmalige Abgabe auf \u00e4rztliche Verschreibung) bis E (Abgabe ohne Fachberatung). Kategorie C (Abgabe nach Fachberatung durch Medizinalpersonen) gibt es seit 2019 nicht mehr. Im Februar 2019 forderte eine Motion, dass deswegen keine zus\u00e4tzlichen Kosten f\u00fcr das Gesundheitswesen entstehen. Laut BAG-Bericht verursachte die Umstellung aber 24,5 Millionen Franken Mehrkosten, weil die Patientinnen und Patienten h\u00e4ufiger zum Arzt gehen und die Medikamentenpreise gestiegen sind. Die Vips wirft den Beh\u00f6rden nun vor, die Motion nicht umzusetzen.<\/p><\/div><\/div><\/div><div class=\"Article_elementCrosshead__b9pyw\"><h2 class=\"crosshead_crosshead__MxhCQ crosshead_siteAreaNews__x10eM crosshead_typeStandard__szEKi\" data-testid=\"Crosshead\">Hat das BAG die Kosten zu tief berechnet?<\/h2><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Laut Vips-Pr\u00e4sident Marcel Plattner brachte die Umteilung im Gesundheitswesen massive Mehrkosten. Das Bundesamt f\u00fcr Gesundheit (BAG) habe die Kosten auf einer falschen Basis berechnet, sie seien vier bis f\u00fcnf Mal h\u00f6her.<\/p><\/div><div class=\"Article_elementImage__A6J72\"><figure class=\"sc-d47814d6-4 YeebQ\"><div class=\"Image_imgContainer__a56Mx\" style=\"padding-bottom:21.25%\"><img src=\"https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C1694%2C362&s=8a4dacdf297643ae571a4c662741c1fe\" alt=\"So hoch sind die Kosten laut Vips wirklich.\" title=\"So hoch sind die Kosten laut Vips wirklich.\" srcSet=\"https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=400&h=400&rect=0%2C0%2C1694%2C362&s=c30bc66454f0b6a7c9a82d8c23e6f636 400w, https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=800&h=800&rect=0%2C0%2C1694%2C362&s=f5d97dc155d6d8f657e9e29fb19d0401 800w, https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C1694%2C362&s=8a4dacdf297643ae571a4c662741c1fe 1200w, https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1600&h=1600&rect=0%2C0%2C1694%2C362&s=92474b25a003e742254130e94f8a256b 1600w, https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=2001&h=2000&rect=0%2C0%2C1694%2C362&s=26c3c58d805ee394d48286c57dd91d22 1694w\" width=\"1200\" height=\"256\"\/><div class=\"Image_fallback__F0rLe\" style=\"background-image:url('https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=800&h=800&rect=0%2C0%2C1694%2C362&s=f5d97dc155d6d8f657e9e29fb19d0401')\"><\/div><\/div><figcaption class=\"sc-d47814d6-0 gVurjZ\"><span class=\"sc-d47814d6-2 bDLFoO\"><p>So hoch sind die Kosten laut Vips wirklich.<\/p><\/span><span class=\"sc-d47814d6-3 bmEwwn\">Vips<\/span><\/figcaption><\/figure><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Der markant gestiegene Anteil von Abgaben auf Rezept seit der Umteilung zeige, dass die Patientinnen und Patienten vermehrt \u00e4rztliche Konsultationen in Anspruch nehmen, um Medikamente zu beziehen.<\/p><\/div><div class=\"Article_elementPoll__0I_DP\"><div class=\"sc-c7badfe-0 ldhbtc\"><div class=\"sc-c7badfe-1 sc-c7badfe-2 jyrFy drGMUq\"><p>\u00c4rgert es dich, dass du nicht mehr Medikamente in der Apotheke kriegst und stattdessen zum Arzt musst?<\/p><\/div><div class=\"sc-c7badfe-1 sc-c7badfe-3 jyrFy gwdeAf\"><label><input name=\"103296943\" type=\"radio\" class=\"sc-c7badfe-4 jQczuo\"\/><span class=\"sc-c7badfe-9 bwIsay\"><span>Ja.<\/span><span class=\"sc-c7badfe-7 cqemkj\"><\/span><\/span><\/label><label><input name=\"103296943\" type=\"radio\" class=\"sc-c7badfe-4 jQczuo\"\/><span class=\"sc-c7badfe-9 bwIsay\"><span>Nein.<\/span><span class=\"sc-c7badfe-7 cqemkj\"><\/span><\/span><\/label><label><input name=\"103296943\" type=\"radio\" class=\"sc-c7badfe-4 jQczuo\"\/><span class=\"sc-c7badfe-9 bwIsay\"><span>Ich habe keine Meinung dazu.<\/span><span class=\"sc-c7badfe-7 cqemkj\"><\/span><\/span><\/label><\/div><div class=\"sc-c7badfe-1 sc-c7badfe-5 jyrFy GTpCD\"><\/div><\/div><\/div><div class=\"Article_element__Tq_1s\"><div type=\"typeInfoboxSummary\" class=\"sc-92253cc8-0 kGbdVO undefined Default\" data-testid=\"InfoBox\"><div class=\"sc-92253cc8-1 sc-92253cc8-2 bGBSLI duFusH\"><h3>\u00c4rzteschaft sagt, sie profitiere nicht von Umstellung<\/h3><div class=\"sc-92253cc8-3 hknAoe\"><svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#boomerang\"><\/use><\/svg><\/div><\/div><div class=\"sc-92253cc8-1 sc-92253cc8-4 bGBSLI lcCaqX elementTextblockarray\"><p>\u00abDie \u00c4rzteschaft profitiert von dieser Umteilung nicht\u00bb, sagt Yvonne Gilli, Pr\u00e4sidentin des \u00c4rzteverbands FMH. Sie habe den Vorschlag im Parlament bek\u00e4mpft. Gew\u00fcnscht habe diese \u00c4nderung insbesondere die Apothekerschaft. Die Liberalisierung r\u00fcckg\u00e4ngig zu machen, sei unrealistisch.<\/p><\/div><div class=\"sc-92253cc8-1 sc-92253cc8-4 bGBSLI lcCaqX elementTextblockarray\"><p>\u00abAus Sicht der \u00c4rzteschaft ist die Kategorisierung der Medikamente mit und ohne Rezeptpflicht allein aus Sicht der Patientensicherheit vorzunehmen\u00bb, sagt Gilli. Rezeptpflichtige Medikamente ben\u00f6tigten korrekte Diagnosen, die Erfassung individueller Risiken und eine spezifische Beratung, was Aufgabe der Swissmedic sei.<\/p><\/div><\/div><\/div><div class=\"Article_elementCrosshead__b9pyw\"><h2 class=\"crosshead_crosshead__MxhCQ crosshead_siteAreaNews__x10eM crosshead_typeStandard__szEKi\" data-testid=\"Crosshead\">Pharmafirmen verlangen System\u00e4nderung<\/h2><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>\u00abSelbst bei einer konservativen Annahme von 50 Franken Kosten pro Konsultation f\u00fchrt der erh\u00f6hte Anteil Verschreibungen von Medikamenten auf Rezept zu enormen Mehrkosten, die Versorgung ist aber schlechter\u00bb, sagt Plattner.<\/p><\/div><div class=\"Article_elementImage__A6J72\"><figure class=\"sc-d47814d6-4 YeebQ\"><div class=\"Image_imgContainer__a56Mx\" style=\"padding-bottom:59.523809523809526%\"><img src=\"https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C2400%2C1600&s=074f2d5cfa917c45d4a949ecafceeb31\" alt=\"Vips-Pr\u00e4sident Marcel Plattner.\" title=\"Vips-Pr\u00e4sident Marcel Plattner.\" srcSet=\"https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=400&h=400&rect=0%2C0%2C2400%2C1600&s=69ac9affe373a77266317605524ac5cf 400w, https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=800&h=800&rect=0%2C0%2C2400%2C1600&s=b54d7f749506c2c83b4b1edf282a28b9 800w, https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C2400%2C1600&s=074f2d5cfa917c45d4a949ecafceeb31 1200w, https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1600&h=1600&rect=0%2C0%2C2400%2C1600&s=7b13035a6783dd6668498689da5fbbe7 1600w, https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=2001&h=2000&rect=0%2C0%2C2400%2C1600&s=8fa47f53179f7f03c4967587d9c8cfa5 2001w\" width=\"1200\" height=\"800\"\/><div class=\"Image_fallback__F0rLe\" style=\"background-image:url('https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=800&h=800&rect=0%2C0%2C2400%2C1600&s=b54d7f749506c2c83b4b1edf282a28b9')\"><\/div><\/div><figcaption class=\"sc-d47814d6-0 gVurjZ\"><span class=\"sc-d47814d6-2 bDLFoO\"><p>Vips-Pr\u00e4sident Marcel Plattner.<\/p><\/span><span class=\"sc-d47814d6-3 bmEwwn\">partners in GmbH<\/span><\/figcaption><\/figure><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Seit 2019 seien Mehrkosten von mindestens 600 Millionen Franken entstanden, sagt Plattner, auf Kosten von h\u00f6heren Pr\u00e4mien, ohne dass es einen Mehrwert gebe. Die Folge sei eine unn\u00f6tige Belastung des Gesundheitssystems.<\/p><\/div><div class=\"Article_elementCrosshead__b9pyw\"><h2 class=\"crosshead_crosshead__MxhCQ crosshead_siteAreaNews__x10eM crosshead_typeStandard__szEKi\" data-testid=\"Crosshead\">Das BAG widerspricht<\/h2><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>\u00abDas BAG hat keinen Grund, an der Korrektheit seiner Berechnungen zu zweifeln\u00bb, sagt das Amt auf Anfrage. Es k\u00f6nne die Kostensch\u00e4tzung der Vips aufgrund ihrer Gesamtkostenbetrachtung nicht best\u00e4tigen.<\/p><\/div><div class=\"Article_elementAd__7Cafs\"><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>\u00abDa dem BAG nicht bekannt ist, wie die Vips Mehrkosten aufgrund von zum Beispiel Arztkonsultationen herleitet, kann keine Aussage dar\u00fcber gemacht werden, warum die vorgebrachten Zahlen um ein 5-faches von denen im Bericht des Bundesrates abweichen\u00bb, so das Amt.<\/p><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Laut BAG fallen pro Jahr maximal 13 der 24,5 Millionen Franken Mehrkosten f\u00fcr allf\u00e4llige zus\u00e4tzliche Arztkonsultationen an. Die Apotheken h\u00e4tten durch die Dokumentationspflicht h\u00f6chstens 2,2 Millionen Franken Mehrkosten, \u00abwobei sie diesen Mehraufwand h\u00f6chstwahrscheinlich in Form von Preissteigerungen im Umfang von 1,5 Millionen (Jahr 2021) an die Kundschaft weiterverrechnen\u00bb. Die effektiven Mehrkosten seien wohl geringer als die erw\u00e4hnten maximalen Gesamtkosten.<\/p><\/div><div class=\"Article_elementCrosshead__b9pyw\"><h2 class=\"crosshead_crosshead__MxhCQ crosshead_siteAreaNews__x10eM crosshead_typeStandard__szEKi\" data-testid=\"Crosshead\">Das sagt der Apothekerverband<\/h2><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Der Schweizerische Apothekerverband Pharmasuisse sagt auf Anfrage, er begr\u00fcsse es, dass der Bund bestrebt sei, die Stellung der Apotheken zu st\u00e4rken. Sie seien die erste Anlaufstelle bei Gesundheitsfragen und k\u00f6nnten viele unn\u00f6tige und teurere \u00e4rztliche Konsultationen verhindern.<\/p><\/div><div class=\"Article_elementAd__7Cafs\"><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Vom Systemwechsel profitierten die Apotheken nicht: F\u00fcr die Abgabe der umgeteilten Medikamente sei eine Dokumentation Pflicht, die wie auch die ben\u00f6tigte fachkundige Anamnese mit viel Aufwand verbunden sei.<\/p><\/div><div class=\"Article_elementCrosshead__b9pyw\"><h2 class=\"crosshead_crosshead__MxhCQ crosshead_siteAreaNews__x10eM crosshead_typeStandard__szEKi\" data-testid=\"Crosshead\">Umsetzung der Vorgaben kostete Zeit und Nerven<\/h2><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Seit der \u00c4nderung des Heilmittelgesetzes seien die Abgabekompetenzen der Apotheken klarer definiert. So d\u00fcrfen sie nun gewisse Medikamente nicht nur in begr\u00fcndeten Ausnahmef\u00e4llen, sondern auch bei durch den Bundesrat bestimmten Arzneimitteln und Indikationen abgeben. \u00abDie selbstbezahlte Behandlung durch Fachpersonen wird damit gef\u00f6rdert und gleichzeitig der Druck auf die Krankenkassenpr\u00e4mien gesenkt\u00bb, argumentiert der Verband.<\/p><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Vor allem die Dokumentation der Abgaben habe den Apotheken Schwierigkeiten bereitet. Die Umsetzung habe viel Zeit in Anspruch genommen, zumal die Apotheken wegen Personalmangel und Medikamentenengp\u00e4ssen sowieso schon unter grossem Druck standen.<\/p><\/div><div class=\"Article_element__Tq_1s\"><figure class=\"sc-d47814d6-4 YeebQ\"><figcaption class=\"sc-d47814d6-0 gVurjZ\"><\/figcaption><\/figure><\/div><div class=\"Article_element__Tq_1s\"><div type=\"typeInfoboxSummary\" class=\"sc-92253cc8-0 kGbdVO undefined Default\" data-testid=\"InfoBox\"><div class=\"sc-92253cc8-1 sc-92253cc8-2 bGBSLI duFusH\"><h3>Folgst du 20 Minuten Wirtschaft auf Whatsapp?<\/h3><div class=\"sc-92253cc8-3 hknAoe\"><svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#boomerang\"><\/use><\/svg><\/div><\/div><div class=\"sc-92253cc8-1 sc-92253cc8-4 bGBSLI lcCaqX elementTextblockarray\"><p>Hier kriegst du die aktuellsten News aus der Wirtschaftswelt und die heissesten Updates zu Konsumententhemen direkt auf dein 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Pharma kritisiert BAG-Zahlen\",\"lead\":\"Das Bundesamt f\u00fcr Gesundheit habe sich verrechnet, sagt die Vereinigung der Pharmafirmen. Das BAG sieht das anders.\",\"kickword\":{},\"styles\":{\"name\":\"Default\"},\"useEmbedUrl\":false},\"facebook\":{\"published\":\"2025-03-12T14:11:59.170Z\",\"updated\":\"2025-03-12T14:11:59.170Z\",\"mainCategoryName\":\"Wirtschaft\",\"mainCategoryFullUrlPath\":\"wirtschaft\",\"url\":\"\/story\/medikamentenabgabe-24-oder-100-millionen-mehrkosten-pharma-kritisiert-bag-zahlen-103296943\",\"urlSlug\":\"medikamentenabgabe-24-oder-100-millionen-mehrkosten-pharma-kritisiert-bag-zahlen\",\"openInNewWindow\":false,\"readingTime\":180,\"wordCount\":770,\"settings\":{\"commentRisk\":\"high\",\"commentingEnabled\":true,\"sharingEnabled\":true,\"likesEnabled\":true,\"renderedInWebView\":false,\"publicationDateExposed\":true,\"adsEnabled\":true,\"allowRobots\":true,\"headDisabled\":false},\"authors\":[{\"publicUserId\":84165759,\"type\":\"user\",\"name\":\"Marcel Urech\",\"firstName\":\"Marcel\",\"lastName\":\"Urech\",\"shortName\":\"Marcel Urech\",\"twitterHash\":\"\",\"prolitterisId\":\"889979\",\"jobTitle\":\"\",\"userImage\":{\"id\":\"AW1dWEv7NEXU\",\"variants\":{\"400px\":{\"src\":\"https:\/\/media.20min.ch\/6\/image\/2024\/03\/10\/9d0551e3-5ad2-4eb2-81e2-1d3a72dd3a17.jpeg?auto=format%2Ccompress%2Cenhance\\u0026fit=max\\u0026w=400\\u0026h=400\\u0026rect=0%2C0%2C404%2C404\\u0026s=e526bbb108431b03f39275a19221388c\",\"avifSrc\":\"https:\/\/media.20min.ch\/6\/image\/2024\/03\/10\/9d0551e3-5ad2-4eb2-81e2-1d3a72dd3a17.jpeg?auto=format%2Ccompress%2Cenhance\\u0026fit=max\\u0026w=400\\u0026h=400\\u0026rect=0%2C0%2C404%2C404\\u0026fm=avif\\u0026s=b83fdcaf2c7ad5c24ee27e91017147d5\",\"maxWidth\":400,\"maxHeight\":400,\"width\":400,\"height\":400,\"aspectRatio\":1,\"mediaType\":\"image\/jpeg\",\"focusPoint\":{\"x\":0.5,\"y\":0.5}},\"fix400x400px\":{\"src\":\"https:\/\/media.20min.ch\/6\/image\/2024\/03\/10\/9d0551e3-5ad2-4eb2-81e2-1d3a72dd3a17.jpeg?auto=format%2Ccompress%2Cenhance\\u0026fit=crop\\u0026w=400\\u0026h=400\\u0026rect=0%2C0%2C404%2C404\\u0026crop=faces\\u0026s=dd090a2f49cd39277d8656438c5a6b83\",\"avifSrc\":\"https:\/\/media.20min.ch\/6\/image\/2024\/03\/10\/9d0551e3-5ad2-4eb2-81e2-1d3a72dd3a17.jpeg?auto=format%2Ccompress%2Cenhance\\u0026fit=crop\\u0026w=400\\u0026h=400\\u0026rect=0%2C0%2C404%2C404\\u0026crop=faces\\u0026fm=avif\\u0026s=429ed3bcd986ffc3badeae82b3b4b4a2\",\"maxWidth\":400,\"maxHeight\":400,\"width\":400,\"height\":400,\"aspectRatio\":1,\"mediaType\":\"image\/jpeg\",\"focusPoint\":{\"x\":0.5,\"y\":0.5}}}},\"shortBiography\":{\"text\":\"\",\"elements\":[{\"type\":\"textBlockArray\",\"items\":[]}]},\"longBiography\":{\"text\":\"Marcel ist seit \u00fcber 15 Jahren Journalist und seit 2021 bei 20 Minuten. 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\u00c4rzteschaft profitiere nicht von der Umstellung, betont der \u00c4rzteverband.\",\"elements\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Die \u00c4rzteschaft profitiere nicht von der Umstellung, betont der \u00c4rzteverband.\"}]}]}},\"caption\":{\"text\":\"Die \u00c4rzteschaft profitiere nicht von der Umstellung, betont der \u00c4rzteverband.\",\"elements\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Die \u00c4rzteschaft profitiere nicht von der Umstellung, betont der \u00c4rzteverband.\"}]}]},\"type\":\"image\"}]}},{\"type\":\"infobox\",\"collapsed\":false,\"infoboxContent\":[{\"type\":\"list\",\"listType\":\"unordered\",\"listItems\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Die Revision des Heilmittelgesetzes verursacht Mehrkosten.\"}]},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Der Bund und die Vereinigung der Pharmafirmen sind sich uneins \u00fcber ihre H\u00f6he.\"}]},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Die \u00c4rzteschaft profitiere nicht von der Umstellung, sagt der \u00c4rzteverband.\"}]}]}],\"title\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Medikamente: Darum gehts\"}]}},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Die Umteilung bestimmter Arzneimittel im Rahmen der Revision des Heilmittelgesetzes hat laut Bund seit 2019 zu Mehrkosten von maximal 24,5 Millionen Franken pro Jahr gef\u00fchrt. Diese Zahl sei falsch, kontert Vips, die Vereinigung Pharmafirmen in der Schweiz: Es seien \u00fcber 100 Millionen.\"}]},{\"type\":\"infobox\",\"collapsed\":false,\"infoboxContent\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Das Heilmittelgesetz teilt Arzneimittel ein in Kategorien von A (einmalige Abgabe auf \u00e4rztliche Verschreibung) bis E (Abgabe ohne Fachberatung). Kategorie C (Abgabe nach Fachberatung durch Medizinalpersonen) gibt es seit 2019 nicht mehr. Im Februar 2019 forderte eine Motion, dass deswegen keine zus\u00e4tzlichen Kosten f\u00fcr das Gesundheitswesen entstehen. Laut BAG-Bericht verursachte die Umstellung aber 24,5 Millionen Franken Mehrkosten, weil die Patientinnen und Patienten h\u00e4ufiger zum Arzt gehen und die Medikamentenpreise gestiegen sind. Die Vips wirft den Beh\u00f6rden nun vor, die Motion nicht umzusetzen.\"}]}],\"title\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"So kam es zum Kostenstreit\"}]}},{\"type\":\"crosshead\",\"htmlText\":\"Hat das BAG die Kosten zu tief berechnet?\",\"style\":{}},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Laut Vips-Pr\u00e4sident Marcel Plattner brachte die Umteilung im Gesundheitswesen massive Mehrkosten. Das Bundesamt f\u00fcr Gesundheit (BAG) habe die Kosten auf einer falschen Basis berechnet, sie seien vier bis f\u00fcnf Mal h\u00f6her.\"}]},{\"type\":\"image\",\"image\":{\"id\":\"Qsjnc3gmmOCR\",\"caption\":{\"text\":\"So hoch sind die Kosten laut Vips wirklich.\",\"elements\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"So hoch sind die Kosten laut Vips 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markant gestiegene Anteil von Abgaben auf Rezept seit der Umteilung zeige, dass die Patientinnen und Patienten vermehrt \u00e4rztliche Konsultationen in Anspruch nehmen, um Medikamente zu beziehen.\"}]},{\"type\":\"poll\",\"question\":{\"type\":\"pollItem\",\"id\":\"poll-1ilor00mn\",\"text\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00c4rgert es dich, dass du nicht mehr Medikamente in der Apotheke kriegst und stattdessen zum Arzt musst?\"}]}},\"answers\":[{\"type\":\"pollItem\",\"id\":\"poll-1ilor00mn.poll-item-poll-1ilor00mn-1\",\"text\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Ja.\"}]}},{\"type\":\"pollItem\",\"id\":\"poll-1ilor00mn.poll-item-poll-1ilor00mn-2\",\"text\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Nein.\"}]}},{\"type\":\"pollItem\",\"id\":\"poll-1ilor00mn.poll-item-poll-1ilor00mn-3\",\"text\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Ich habe keine Meinung dazu.\"}]}}]},{\"type\":\"infobox\",\"collapsed\":false,\"infoboxContent\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00abDie \u00c4rzteschaft profitiert von dieser Umteilung nicht\u00bb, sagt Yvonne Gilli, Pr\u00e4sidentin des \u00c4rzteverbands FMH. Sie habe den Vorschlag im Parlament bek\u00e4mpft. Gew\u00fcnscht habe diese \u00c4nderung insbesondere die Apothekerschaft. Die Liberalisierung r\u00fcckg\u00e4ngig zu machen, sei unrealistisch.\"}]},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00abAus Sicht der \u00c4rzteschaft ist die Kategorisierung der Medikamente mit und ohne Rezeptpflicht allein aus Sicht der Patientensicherheit vorzunehmen\u00bb, sagt Gilli. Rezeptpflichtige Medikamente ben\u00f6tigten korrekte Diagnosen, die Erfassung individueller Risiken und eine spezifische Beratung, was Aufgabe der Swissmedic sei.\"}]}],\"title\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00c4rzteschaft sagt, sie profitiere nicht von Umstellung\"}]}},{\"type\":\"crosshead\",\"htmlText\":\"Pharmafirmen verlangen System\u00e4nderung\",\"style\":{}},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00abSelbst bei einer konservativen Annahme von 50 Franken Kosten pro Konsultation f\u00fchrt der erh\u00f6hte Anteil Verschreibungen von Medikamenten auf Rezept zu enormen Mehrkosten, die Versorgung ist aber schlechter\u00bb, sagt Plattner.\"}]},{\"type\":\"image\",\"image\":{\"id\":\"0iUmBpOe-osP\",\"caption\":{\"text\":\"Vips-Pr\u00e4sident Marcel Plattner.\",\"elements\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Vips-Pr\u00e4sident Marcel 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2019 seien Mehrkosten von mindestens 600 Millionen Franken entstanden, sagt Plattner, auf Kosten von h\u00f6heren Pr\u00e4mien, ohne dass es einen Mehrwert gebe. Die Folge sei eine unn\u00f6tige Belastung des Gesundheitssystems.\"}]},{\"type\":\"crosshead\",\"htmlText\":\"Das BAG widerspricht\",\"style\":{}},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00abDas BAG hat keinen Grund, an der Korrektheit seiner Berechnungen zu zweifeln\u00bb, sagt das Amt auf Anfrage. Es k\u00f6nne die Kostensch\u00e4tzung der Vips aufgrund ihrer Gesamtkostenbetrachtung nicht best\u00e4tigen.\"}]},{\"type\":\"ad\",\"availableFor\":{\"desktop\":true,\"app\":true}},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00abDa dem BAG nicht bekannt ist, wie die Vips Mehrkosten aufgrund von zum Beispiel Arztkonsultationen herleitet, kann keine Aussage dar\u00fcber gemacht werden, warum die vorgebrachten Zahlen um ein 5-faches von denen im Bericht des Bundesrates abweichen\u00bb, so das Amt.\"}]},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Laut BAG fallen pro Jahr maximal 13 der 24,5 Millionen Franken Mehrkosten f\u00fcr allf\u00e4llige zus\u00e4tzliche Arztkonsultationen an. Die Apotheken h\u00e4tten durch die Dokumentationspflicht h\u00f6chstens 2,2 Millionen Franken Mehrkosten, \u00abwobei sie diesen Mehraufwand h\u00f6chstwahrscheinlich in Form von Preissteigerungen im Umfang von 1,5 Millionen (Jahr 2021) an die Kundschaft weiterverrechnen\u00bb. Die effektiven Mehrkosten seien wohl geringer als die erw\u00e4hnten maximalen Gesamtkosten.\"}]},{\"type\":\"crosshead\",\"htmlText\":\"Das sagt der Apothekerverband\",\"style\":{}},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Der Schweizerische Apothekerverband Pharmasuisse sagt auf Anfrage, er begr\u00fcsse es, dass der Bund bestrebt sei, die Stellung der Apotheken zu st\u00e4rken. 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{"result":{"content":"Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen - 20 Minuten<\/title><meta name=\"title\" content=\"Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen\"\/><meta name=\"description\" content=\"Das Bundesamt f\u00fcr Gesundheit habe sich verrechnet, sagt die Vereinigung der Pharmafirmen. Das BAG sieht das anders.\"\/><meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-video-preview:-1, max-image-preview:large\"\/><link rel=\"canonical\" href=\"https:\/\/www.20min.ch\/story\/medikamentenabgabe-24-oder-100-millionen-mehrkosten-pharma-kritisiert-bag-zahlen-103296943\"\/><meta property=\"article:published_time\" content=\"2025-03-12T14:11:59.170Z\"\/><script type=\"application\/ld+json\">{\"@context\":\"http:\/\/schema.org\",\"@type\":\"BreadcrumbList\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"item\":{\"@id\":\"https:\/\/www.20min.ch\/\",\"name\":\"Front\"}},{\"@type\":\"ListItem\",\"position\":2,\"item\":{\"@id\":\"https:\/\/www.20min.ch\/wirtschaft\",\"name\":\"Wirtschaft\"}},{\"@type\":\"ListItem\",\"position\":3,\"item\":{\"@id\":\"https:\/\/www.20min.ch\/story\/medikamentenabgabe-24-oder-100-millionen-mehrkosten-pharma-kritisiert-bag-zahlen-103296943\",\"name\":\"Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen\"}}]}<\/script><meta property=\"og:type\" content=\"article\"\/><meta property=\"og:description\" content=\"Das Bundesamt f\u00fcr Gesundheit habe sich verrechnet, sagt die Vereinigung der Pharmafirmen. Das BAG sieht das anders.\"\/><meta property=\"og:url\" content=\"https:\/\/www.20min.ch\/story\/medikamentenabgabe-24-oder-100-millionen-mehrkosten-pharma-kritisiert-bag-zahlen-103296943\"\/><meta property=\"og:title\" content=\"24 oder 100 Millionen Mehrkosten? Schweizer Pharmaindustrie streitet sich mit BAG\"\/><meta property=\"og:locale\" content=\"de_DE\"\/><meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/20min\"\/><meta property=\"og:site_name\" content=\"20 Minuten\"\/><meta property=\"og:image\" content=\"https:\/\/media.20min.ch\/6\/image\/2024\/10\/31\/53ac787a-9737-44e7-ad34-5dc2220cf383.jpeg?auto=format%2Ccompress%2Cenhance&fit=crop&w=1200&h=675&rect=0%2C0%2C4000%2C2250&crop=faces&s=f25c4ccc4754f2f55d14d52c53c77968\"\/><meta property=\"og:image:width\" content=\"1200\"\/><meta property=\"og:image:height\" content=\"675\"\/><meta name=\"twitter:card\" content=\"summary_large_image\"\/><meta name=\"twitter:site\" content=\"@20min\"\/><meta name=\"twitter:title\" content=\"Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen\"\/><meta name=\"twitter:description\" content=\"Das Bundesamt f\u00fcr Gesundheit habe sich verrechnet, sagt die Vereinigung der Pharmafirmen. Das BAG sieht das anders.\"\/><meta property=\"twitter:image:src\" content=\"https:\/\/media.20min.ch\/6\/image\/2024\/10\/31\/53ac787a-9737-44e7-ad34-5dc2220cf383.jpeg?auto=format%2Ccompress%2Cenhance&fit=crop&w=1200&h=675&rect=0%2C0%2C4000%2C2250&crop=faces&s=f25c4ccc4754f2f55d14d52c53c77968\"\/><script type=\"application\/ld+json\">{\"@context\":\"http:\/\/schema.org\",\"@type\":\"NewsArticle\",\"mainEntityOfPage\":{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.20min.ch\/story\/medikamentenabgabe-24-oder-100-millionen-mehrkosten-pharma-kritisiert-bag-zahlen-103296943\"},\"publisher\":{\"@type\":\"NewsMediaOrganization\",\"name\":\"20 Minuten\",\"url\":\"https:\/\/www.20min.ch\",\"email\":\"redaktion@20minuten.ch\",\"telephone\":\"+41(0)442486820\",\"sameAs\":[\"https:\/\/www.facebook.com\/20min\",\"https:\/\/twitter.com\/20min\",\"https:\/\/www.instagram.com\/20min.ch\",\"https:\/\/de.wikipedia.org\/wiki\/20_Minuten\"],\"ownershipFundingInfo\":\"https:\/\/www.20min.ch\/impressum\",\"logo\":{\"@type\":\"ImageObject\",\"url\":\"https:\/\/www.20min.ch\/icons\/20min_de.png\",\"width\":144,\"height\":192}},\"headline\":\"Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen\",\"alternativeHeadline\":\"Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen\",\"description\":\"Das Bundesamt f\u00fcr Gesundheit habe sich verrechnet, sagt die Vereinigung der Pharmafirmen. Das BAG sieht das anders.\",\"articleBody\":\"Die Umteilung bestimmter Arzneimittel im Rahmen der Revision des Heilmittelgesetzes hat laut Bund seit 2019 zu Mehrkosten von maximal 24,5 Millionen Franken pro Jahr gef\u00fchrt. Diese Zahl sei falsch, kontert Vips, die Vereinigung Pharmafirmen in der Schweiz: Es seien \u00fcber 100 Millionen. Hat das BAG die Kosten zu tief berechnet? Laut Vips-Pr\u00e4sident Marcel Plattner brachte die Umteilung im Gesundheitswesen massive Mehrkosten. Das Bundesamt f\u00fcr Gesundheit (BAG) habe die Kosten auf einer falschen Basis berechnet, sie seien vier bis f\u00fcnf Mal h\u00f6her. Der markant gestiegene Anteil von Abgaben auf Rezept seit der Umteilung zeige, dass die Patientinnen und Patienten vermehrt \u00e4rztliche Konsultationen in Anspruch nehmen, um Medikamente zu beziehen. Pharmafirmen verlangen System\u00e4nderung \u00abSelbst bei einer konservativen Annahme von 50 Franken Kosten pro Konsultation f\u00fchrt der erh\u00f6hte Anteil Verschreibungen von Medikamenten auf Rezept zu enormen Mehrkosten, die Versorgung ist aber schlechter\u00bb, sagt Plattner. Seit 2019 seien Mehrkosten von mindestens 600 Millionen Franken entstanden, sagt Plattner, auf Kosten von h\u00f6heren Pr\u00e4mien, ohne dass es einen Mehrwert gebe. Die Folge sei eine unn\u00f6tige Belastung des Gesundheitssystems. Das BAG widerspricht \u00abDas BAG hat keinen Grund, an der Korrektheit seiner Berechnungen zu zweifeln\u00bb, sagt das Amt auf Anfrage. Es k\u00f6nne die Kostensch\u00e4tzung der Vips aufgrund ihrer Gesamtkostenbetrachtung nicht best\u00e4tigen. \u00abDa dem BAG nicht bekannt ist, wie die Vips Mehrkosten aufgrund von zum Beispiel Arztkonsultationen herleitet, kann keine Aussage dar\u00fcber gemacht werden, warum die vorgebrachten Zahlen um ein 5-faches von denen im Bericht des Bundesrates abweichen\u00bb, so das Amt. Laut BAG fallen pro Jahr maximal 13 der 24,5 Millionen Franken Mehrkosten f\u00fcr allf\u00e4llige zus\u00e4tzliche Arztkonsultationen an. Die Apotheken h\u00e4tten durch die Dokumentationspflicht h\u00f6chstens 2,2 Millionen Franken Mehrkosten, \u00abwobei sie diesen Mehraufwand h\u00f6chstwahrscheinlich in Form von Preissteigerungen im Umfang von 1,5 Millionen (Jahr 2021) an die Kundschaft weiterverrechnen\u00bb. Die effektiven Mehrkosten seien wohl geringer als die erw\u00e4hnten maximalen Gesamtkosten. Das sagt der Apothekerverband Der Schweizerische Apothekerverband Pharmasuisse sagt auf Anfrage, er begr\u00fcsse es, dass der Bund bestrebt sei, die Stellung der Apotheken zu st\u00e4rken. Sie seien die erste Anlaufstelle bei Gesundheitsfragen und k\u00f6nnten viele unn\u00f6tige und teurere \u00e4rztliche Konsultationen verhindern. Vom Systemwechsel profitierten die Apotheken nicht: F\u00fcr die Abgabe der umgeteilten Medikamente sei eine Dokumentation Pflicht, die wie auch die ben\u00f6tigte fachkundige Anamnese mit viel Aufwand verbunden sei. Umsetzung der Vorgaben kostete Zeit und Nerven Seit der \u00c4nderung des Heilmittelgesetzes seien die Abgabekompetenzen der Apotheken klarer definiert. So d\u00fcrfen sie nun gewisse Medikamente nicht nur in begr\u00fcndeten Ausnahmef\u00e4llen, sondern auch bei durch den Bundesrat bestimmten Arzneimitteln und Indikationen abgeben. \u00abDie selbstbezahlte Behandlung durch Fachpersonen wird damit gef\u00f6rdert und gleichzeitig der Druck auf die Krankenkassenpr\u00e4mien gesenkt\u00bb, argumentiert der Verband. Vor allem die Dokumentation der Abgaben habe den Apotheken Schwierigkeiten bereitet. Die Umsetzung habe viel Zeit in Anspruch genommen, zumal die Apotheken wegen Personalmangel und Medikamentenengp\u00e4ssen sowieso schon unter grossem Druck standen.\",\"image\":[],\"datePublished\":\"2025-03-12T15:11:59+01:00\",\"dateModified\":\"2025-03-12T15:11:59+01:00\",\"author\":[{\"@type\":\"Person\",\"name\":\"Marcel Urech\"}],\"video\":[],\"keywords\":\"\",\"hasPart\":[{\"@type\":\"Collection\",\"image\":[{\"@type\":\"ImageObject\",\"ContentUrl\":\"https:\/\/media.20min.ch\/6\/image\/2024\/10\/31\/53ac787a-9737-44e7-ad34-5dc2220cf383.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C4000%2C2250&s=8d58c6e8a3aa0842c68f9cacd3875648\",\"caption\":\"Eine System\u00e4nderung bei den Medikamenten f\u00fchrt zu Mehrkosten.\",\"creditText\":\"20min\/Simon Glauser\"},{\"@type\":\"ImageObject\",\"ContentUrl\":\"https:\/\/media.20min.ch\/6\/image\/2024\/10\/31\/b0dc761e-9ed4-441d-8d41-a467e68165dc.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C4000%2C2667&s=9564c84577a2793df20b66bba8a1f0f1\",\"caption\":\"Das Bundesamt f\u00fcr Gesundheit habe diese falsch berechnet, sie seien vier bis f\u00fcnf mal h\u00f6her, sagt die Vereinigung der Pharmafirmen.\",\"creditText\":\"20min\/Simon Glauser\"},{\"@type\":\"ImageObject\",\"ContentUrl\":\"https:\/\/media.20min.ch\/6\/image\/2024\/10\/31\/004782f8-a925-4c25-a95c-31a33356decb.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C2953%2C1808&s=26d2a049f08bd572756e5aa0a7dee67b\",\"caption\":\"Die \u00c4rzteschaft profitiere nicht von der Umstellung, betont der \u00c4rzteverband.\",\"creditText\":\"20min\"}]}],\"articleSection\":\"Wirtschaft\"}<\/script><meta name=\"next-head-count\" content=\"26\"\/><link rel=\"preconnect\" 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href=\"\/_next\/static\/media\/sprite.d5961885.svg#weather\"><\/use><\/svg><span class=\"sc-d67e13a6-1 btPuLr\">Wetter<\/span><\/a><a class=\"sc-d67e13a6-2 iPLHUj\" href=\"https:\/\/epaper.20min.ch\"><svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws sc-d67e13a6-0 dlmMDN\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#epaper\"><\/use><\/svg><span class=\"sc-d67e13a6-1 btPuLr\">ePaper<\/span><\/a><a class=\"sc-d67e13a6-2 iPLHUj\" href=\"https:\/\/spiele.20min.ch\/sudoku\/?utm_campaign=sudoku&utm_medium=navigation_link&utm_source=20min_ch\"><svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws sc-d67e13a6-0 dlmMDN\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#sudoku\"><\/use><\/svg><span class=\"sc-d67e13a6-1 btPuLr\">Sudoku<\/span><\/a><a class=\"sc-d67e13a6-2 iPLHUj\" href=\"https:\/\/spiele.20min.ch\/kreuzwortraetsel\/?utm_campaign=kreuzwortraetsel&utm_medium=navigation_link&utm_source=20min_ch\"><svg width=\"1em\" height=\"1em\" 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fgLGdv\">#WIRSINDZUKUNFT<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Z\u00fcrich\" href=\"\/zuerich\"><span class=\"sc-99b3a5c-1 fgLGdv\">Z\u00fcrich<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Bern\" href=\"\/bern\"><span class=\"sc-99b3a5c-1 fgLGdv\">Bern<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Basel\" href=\"\/basel\"><span class=\"sc-99b3a5c-1 fgLGdv\">Basel<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Zentralschweiz\" href=\"\/zentralschweiz\"><span class=\"sc-99b3a5c-1 fgLGdv\">Zentralschweiz<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Ostschweiz\" href=\"\/ostschweiz\"><span class=\"sc-99b3a5c-1 fgLGdv\">Ostschweiz<\/span><\/a><\/li><li 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title=\"Kino & Streaming\" href=\"\/kinostreaming\"><span class=\"sc-99b3a5c-1 fgLGdv\">Kino & Streaming<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Digital\" href=\"\/digital\"><span class=\"sc-99b3a5c-1 fgLGdv\">Digital<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Wissen\" href=\"\/wissen\"><span class=\"sc-99b3a5c-1 fgLGdv\">Wissen<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Kochen mit FOOBY\" href=\"\/kochen\"><span class=\"sc-99b3a5c-1 fgLGdv\">Kochen mit FOOBY<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Wettbewerbe\" href=\"\/wettbewerbe\"><span class=\"sc-99b3a5c-1 fgLGdv\">Wettbewerbe<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Gutscheine\" href=\"https:\/\/gutscheine.20min.ch\"><span class=\"sc-99b3a5c-1 fgLGdv\">Gutscheine<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Politik\" href=\"\/themen\/politik\"><span class=\"sc-99b3a5c-1 fgLGdv\">Politik<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Alle Themen\" href=\"https:\/\/www.20min.ch\/themen\"><span class=\"sc-99b3a5c-1 fgLGdv\">Alle Themen<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"E-Paper\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/epaper.20min.ch\"><span class=\"sc-99b3a5c-1 fgLGdv\">E-Paper<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Live TV\" href=\"\/video\/live-tv\"><span class=\"sc-99b3a5c-1 fgLGdv\">Live TV<\/span><\/a><\/li><li class=\"sc-99b3a5c-2 sc-99b3a5c-3 gwqDVB kuPALN\"><a class=\"sc-99b3a5c-0 eckruc\" title=\"Leitlinien\" href=\"\/publizistische-leitlinien-20-minuten\"><span class=\"sc-99b3a5c-1 fgLGdv\">Leitlinien<\/span><\/a><\/li><\/ul><button class=\"sc-8307d694-3 jJKvHT\">Mehr<svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#boomerang\"><\/use><\/svg><\/button><\/div><\/div><\/div><\/li><div class=\"sc-3be34ed-2 kgUGQj\"><li class=\"sc-3be34ed-1 sc-3be34ed-4 kIFGPh fDCCRU\"><a class=\"sc-d67e13a6-2 iPLHUj\" href=\"\/video\"><svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws sc-d67e13a6-0 dlmMDN\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#video\"><\/use><\/svg><span class=\"sc-d67e13a6-1 btPuLr\">Video<\/span><\/a><a class=\"sc-d67e13a6-2 iPLHUj\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/fantasy.20min.ch\/de\/\"><svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws sc-d67e13a6-0 dlmMDN\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#fantasy-league\"><\/use><\/svg><span class=\"sc-d67e13a6-1 btPuLr\">Fantasy League<\/span><\/a><a class=\"sc-d67e13a6-2 iPLHUj hide-on-mobile\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/audio.20min.ch?language=de&platform=20min-de\"><svg width=\"1em\" height=\"1em\" color=\"#00e3c6\" class=\"sc-b8528708-0 jivThE sc-d67e13a6-0 dlmMDN\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#goat-radio\"><\/use><\/svg><span class=\"sc-d67e13a6-1 btPuLr\">Radio<\/span><\/a><a class=\"sc-d67e13a6-2 iPLHUj\" href=\"\/lifestyle\"><svg width=\"0.8em\" height=\"1em\" style=\"vertical-align:-0.1em\" class=\"sc-b8528708-0 fFsCws sc-d67e13a6-0 dlmMDN\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#lifestyle\"><\/use><\/svg><span class=\"sc-d67e13a6-1 btPuLr\">Lifestyle<\/span><\/a><\/li><li class=\"sc-3be34ed-1 sc-3be34ed-6 kIFGPh bZSrnh\"><\/li><\/div><\/ul><\/div><\/div><div class=\"sc-716de10-0 jbsUve\"><aside class=\"sc-6821256f-0 bXwfqn sc-3584b39c-0 hDUYcV sc-c5c57201-0 eiBLnd sc-c5c57201-1 jipLa-d\"><div id=\"\/23178153471\/de-20minuten.ch\/inside-sticky\/wirtschaft\" data-ad-unit-id=\"\/23178153471\/de-20minuten.ch\/inside-sticky\/wirtschaft\" style=\"justify-content:center;align-items:center;text-align:center;display:flex;height:100%;background-color:transparent\"><\/div><\/aside><\/div><\/nav><\/div><div id=\"\/23178153471\/de-20minuten.ch\/outside-welcome\/wirtschaft\" data-ad-unit-id=\"\/23178153471\/de-20minuten.ch\/outside-welcome\/wirtschaft\" style=\"justify-content:center;align-items:center;text-align:center;display:flex;height:100%;background-color:transparent\"><\/div><div class=\"layout_layout__yR_n_ layout_contentType__8IYJ_\"><div class=\"layout_content__6MprE\"><section class=\"sc-46060ef-0 WIfmU sc-91f9da13-0 jFqVIG\"><div class=\"sc-46060ef-1 pIKlK\"><a href=\"\/\" class=\"sc-46060ef-2 sc-46060ef-4 gJkAGz eeHRbX\">Front<\/a><span class=\"sc-46060ef-5 iIeaQS\">|<\/span><a href=\"\/wirtschaft\" class=\"sc-46060ef-2 sc-46060ef-4 gJkAGz eeHRbX\">Wirtschaft<\/a><span class=\"sc-46060ef-5 iIeaQS\">|<\/span><\/div><h1 class=\"sc-46060ef-3 sc-46060ef-6 csIspw egCqAn\">Medikamentenabgabe: 24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen<\/h1><\/section><div class=\"ContentPage_contentPage__YqKjN\"><div class=\"ContentPage_insideFullTopPlaceholder__g16GO\"><div id=\"\/23178153471\/de-20minuten.ch\/inside-full-top\/wirtschaft\" data-ad-unit-id=\"\/23178153471\/de-20minuten.ch\/inside-full-top\/wirtschaft\" style=\"justify-content:center;align-items:center;text-align:center;display:flex;height:100%;background-color:transparent\"><\/div><\/div><div class=\"ContentPage_outsideRight__P0Uvf\"><\/div><article class=\"Article_article__sV3bX Article_siteAreaNews__Frmfx\"><header class=\"Article_header__ckSlm\"><div class=\"Article_elementPublishdate__qcso_\"><div class=\"sc-d721210-0 glCzFI\"><span>Publiziert<\/span><time dateTime=\"2025-03-12T15:11:59+01:00\" class=\"sc-d721210-1 ldCIcW\">12. M\u00e4rz 2025, 15:11<\/time><\/div><\/div><div class=\"Article_elementTitle__9QPjy\"><h2><span>Medikamentenabgabe<span class=\"visually-hidden\" aria-hidden=\"true\" role=\"presentation\">: <\/span><\/span>24 oder 100 Millionen Mehrkosten? Pharma kritisiert BAG-Zahlen<\/h2><\/div><div class=\"Article_elementLead__N3pGr\"><p>Das Bundesamt f\u00fcr Gesundheit habe sich verrechnet, sagt die Vereinigung der Pharmafirmen. Das BAG sieht das anders.<\/p><\/div><div class=\"Article_elementAuthors__LsHcz\"><section class=\"sc-a49778d8-1 kNmdAC\"><div class=\"sc-a49778d8-0 cVViTd\"><div class=\"sc-3d7987c8-2 kbwEQu\"><div class=\"sc-b1f21c84-0 erNuh\"><a href=\"\/autoren\/84165759\/marcel-urech\" class=\"sc-b1f21c84-2 egfiIF\"><img alt=\"Marcel Urech\" src=\"https:\/\/media.20min.ch\/6\/image\/2024\/03\/10\/9d0551e3-5ad2-4eb2-81e2-1d3a72dd3a17.jpeg?auto=format%2Ccompress%2Cenhance&fit=crop&w=400&h=400&rect=0%2C0%2C404%2C404&crop=faces&s=dd090a2f49cd39277d8656438c5a6b83\" class=\"sc-b1f21c84-1 iTOvpR\"\/><\/a><\/div><div class=\"sc-3d7987c8-0 cWecBK\"><dt class=\"sc-3d7987c8-3 dvBbZq\">von<\/dt><div class=\"sc-3d7987c8-5 hogmkW\"><a href=\"\/autoren\/84165759\/marcel-urech\" class=\"sc-3d7987c8-8 fCLjyQ\"><dd class=\"sc-3d7987c8-4 kvzacp\">Marcel Urech<\/dd><\/a><\/div><\/div><\/div><\/div><\/section><\/div><\/header><section class=\"Article_body__60Liu\"><div class=\"Article_elementSlideshow__fbaGO\"><\/div><div class=\"Article_element__Tq_1s\"><div type=\"typeInfoboxSummary\" class=\"sc-92253cc8-0 kGbdVO undefined Default\" data-testid=\"InfoBox\"><div class=\"sc-92253cc8-1 sc-92253cc8-2 bGBSLI duFusH\"><h3>Medikamente: Darum gehts<\/h3><div class=\"sc-92253cc8-3 hknAoe\"><svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#boomerang\"><\/use><\/svg><\/div><\/div><div class=\"sc-92253cc8-1 sc-92253cc8-4 bGBSLI lcCaqX elementList\"><ul><li><p>Die Revision des Heilmittelgesetzes verursacht Mehrkosten.<\/p><\/li><li><p>Der Bund und die Vereinigung der Pharmafirmen sind sich uneins \u00fcber ihre H\u00f6he.<\/p><\/li><li><p>Die \u00c4rzteschaft profitiere nicht von der Umstellung, sagt der \u00c4rzteverband.<\/p><\/li><\/ul><\/div><\/div><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Die Umteilung bestimmter Arzneimittel im Rahmen der Revision des Heilmittelgesetzes hat laut Bund seit 2019 zu Mehrkosten von maximal 24,5 Millionen Franken pro Jahr gef\u00fchrt. Diese Zahl sei falsch, kontert Vips, die Vereinigung Pharmafirmen in der Schweiz: Es seien \u00fcber 100 Millionen.<\/p><\/div><div class=\"Article_element__Tq_1s\"><div type=\"typeInfoboxSummary\" class=\"sc-92253cc8-0 kGbdVO undefined Default\" data-testid=\"InfoBox\"><div class=\"sc-92253cc8-1 sc-92253cc8-2 bGBSLI duFusH\"><h3>So kam es zum Kostenstreit<\/h3><div class=\"sc-92253cc8-3 hknAoe\"><svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#boomerang\"><\/use><\/svg><\/div><\/div><div class=\"sc-92253cc8-1 sc-92253cc8-4 bGBSLI lcCaqX elementTextblockarray\"><p>Das Heilmittelgesetz teilt Arzneimittel ein in Kategorien von A (einmalige Abgabe auf \u00e4rztliche Verschreibung) bis E (Abgabe ohne Fachberatung). Kategorie C (Abgabe nach Fachberatung durch Medizinalpersonen) gibt es seit 2019 nicht mehr. Im Februar 2019 forderte eine Motion, dass deswegen keine zus\u00e4tzlichen Kosten f\u00fcr das Gesundheitswesen entstehen. Laut BAG-Bericht verursachte die Umstellung aber 24,5 Millionen Franken Mehrkosten, weil die Patientinnen und Patienten h\u00e4ufiger zum Arzt gehen und die Medikamentenpreise gestiegen sind. Die Vips wirft den Beh\u00f6rden nun vor, die Motion nicht umzusetzen.<\/p><\/div><\/div><\/div><div class=\"Article_elementCrosshead__b9pyw\"><h2 class=\"crosshead_crosshead__MxhCQ crosshead_siteAreaNews__x10eM crosshead_typeStandard__szEKi\" data-testid=\"Crosshead\">Hat das BAG die Kosten zu tief berechnet?<\/h2><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Laut Vips-Pr\u00e4sident Marcel Plattner brachte die Umteilung im Gesundheitswesen massive Mehrkosten. Das Bundesamt f\u00fcr Gesundheit (BAG) habe die Kosten auf einer falschen Basis berechnet, sie seien vier bis f\u00fcnf Mal h\u00f6her.<\/p><\/div><div class=\"Article_elementImage__A6J72\"><figure class=\"sc-d47814d6-4 YeebQ\"><div class=\"Image_imgContainer__a56Mx\" style=\"padding-bottom:21.25%\"><img src=\"https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C1694%2C362&s=8a4dacdf297643ae571a4c662741c1fe\" alt=\"So hoch sind die Kosten laut Vips wirklich.\" title=\"So hoch sind die Kosten laut Vips wirklich.\" srcSet=\"https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=400&h=400&rect=0%2C0%2C1694%2C362&s=c30bc66454f0b6a7c9a82d8c23e6f636 400w, https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=800&h=800&rect=0%2C0%2C1694%2C362&s=f5d97dc155d6d8f657e9e29fb19d0401 800w, https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C1694%2C362&s=8a4dacdf297643ae571a4c662741c1fe 1200w, https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1600&h=1600&rect=0%2C0%2C1694%2C362&s=92474b25a003e742254130e94f8a256b 1600w, https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=2001&h=2000&rect=0%2C0%2C1694%2C362&s=26c3c58d805ee394d48286c57dd91d22 1694w\" width=\"1200\" height=\"256\"\/><div class=\"Image_fallback__F0rLe\" style=\"background-image:url('https:\/\/image.20min.ch\/2025\/03\/07\/643c5e30-3772-46a7-837d-f3960c8a486b.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=800&h=800&rect=0%2C0%2C1694%2C362&s=f5d97dc155d6d8f657e9e29fb19d0401')\"><\/div><\/div><figcaption class=\"sc-d47814d6-0 gVurjZ\"><span class=\"sc-d47814d6-2 bDLFoO\"><p>So hoch sind die Kosten laut Vips wirklich.<\/p><\/span><span class=\"sc-d47814d6-3 bmEwwn\">Vips<\/span><\/figcaption><\/figure><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Der markant gestiegene Anteil von Abgaben auf Rezept seit der Umteilung zeige, dass die Patientinnen und Patienten vermehrt \u00e4rztliche Konsultationen in Anspruch nehmen, um Medikamente zu beziehen.<\/p><\/div><div class=\"Article_elementPoll__0I_DP\"><div class=\"sc-c7badfe-0 ldhbtc\"><div class=\"sc-c7badfe-1 sc-c7badfe-2 jyrFy drGMUq\"><p>\u00c4rgert es dich, dass du nicht mehr Medikamente in der Apotheke kriegst und stattdessen zum Arzt musst?<\/p><\/div><div class=\"sc-c7badfe-1 sc-c7badfe-3 jyrFy gwdeAf\"><label><input name=\"103296943\" type=\"radio\" class=\"sc-c7badfe-4 jQczuo\"\/><span class=\"sc-c7badfe-9 bwIsay\"><span>Ja.<\/span><span class=\"sc-c7badfe-7 cqemkj\"><\/span><\/span><\/label><label><input name=\"103296943\" type=\"radio\" class=\"sc-c7badfe-4 jQczuo\"\/><span class=\"sc-c7badfe-9 bwIsay\"><span>Nein.<\/span><span class=\"sc-c7badfe-7 cqemkj\"><\/span><\/span><\/label><label><input name=\"103296943\" type=\"radio\" class=\"sc-c7badfe-4 jQczuo\"\/><span class=\"sc-c7badfe-9 bwIsay\"><span>Ich habe keine Meinung dazu.<\/span><span class=\"sc-c7badfe-7 cqemkj\"><\/span><\/span><\/label><\/div><div class=\"sc-c7badfe-1 sc-c7badfe-5 jyrFy GTpCD\"><\/div><\/div><\/div><div class=\"Article_element__Tq_1s\"><div type=\"typeInfoboxSummary\" class=\"sc-92253cc8-0 kGbdVO undefined Default\" data-testid=\"InfoBox\"><div class=\"sc-92253cc8-1 sc-92253cc8-2 bGBSLI duFusH\"><h3>\u00c4rzteschaft sagt, sie profitiere nicht von Umstellung<\/h3><div class=\"sc-92253cc8-3 hknAoe\"><svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#boomerang\"><\/use><\/svg><\/div><\/div><div class=\"sc-92253cc8-1 sc-92253cc8-4 bGBSLI lcCaqX elementTextblockarray\"><p>\u00abDie \u00c4rzteschaft profitiert von dieser Umteilung nicht\u00bb, sagt Yvonne Gilli, Pr\u00e4sidentin des \u00c4rzteverbands FMH. Sie habe den Vorschlag im Parlament bek\u00e4mpft. Gew\u00fcnscht habe diese \u00c4nderung insbesondere die Apothekerschaft. Die Liberalisierung r\u00fcckg\u00e4ngig zu machen, sei unrealistisch.<\/p><\/div><div class=\"sc-92253cc8-1 sc-92253cc8-4 bGBSLI lcCaqX elementTextblockarray\"><p>\u00abAus Sicht der \u00c4rzteschaft ist die Kategorisierung der Medikamente mit und ohne Rezeptpflicht allein aus Sicht der Patientensicherheit vorzunehmen\u00bb, sagt Gilli. Rezeptpflichtige Medikamente ben\u00f6tigten korrekte Diagnosen, die Erfassung individueller Risiken und eine spezifische Beratung, was Aufgabe der Swissmedic sei.<\/p><\/div><\/div><\/div><div class=\"Article_elementCrosshead__b9pyw\"><h2 class=\"crosshead_crosshead__MxhCQ crosshead_siteAreaNews__x10eM crosshead_typeStandard__szEKi\" data-testid=\"Crosshead\">Pharmafirmen verlangen System\u00e4nderung<\/h2><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>\u00abSelbst bei einer konservativen Annahme von 50 Franken Kosten pro Konsultation f\u00fchrt der erh\u00f6hte Anteil Verschreibungen von Medikamenten auf Rezept zu enormen Mehrkosten, die Versorgung ist aber schlechter\u00bb, sagt Plattner.<\/p><\/div><div class=\"Article_elementImage__A6J72\"><figure class=\"sc-d47814d6-4 YeebQ\"><div class=\"Image_imgContainer__a56Mx\" style=\"padding-bottom:59.523809523809526%\"><img src=\"https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C2400%2C1600&s=074f2d5cfa917c45d4a949ecafceeb31\" alt=\"Vips-Pr\u00e4sident Marcel Plattner.\" title=\"Vips-Pr\u00e4sident Marcel Plattner.\" srcSet=\"https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=400&h=400&rect=0%2C0%2C2400%2C1600&s=69ac9affe373a77266317605524ac5cf 400w, https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=800&h=800&rect=0%2C0%2C2400%2C1600&s=b54d7f749506c2c83b4b1edf282a28b9 800w, https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1200&h=1200&rect=0%2C0%2C2400%2C1600&s=074f2d5cfa917c45d4a949ecafceeb31 1200w, https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=1600&h=1600&rect=0%2C0%2C2400%2C1600&s=7b13035a6783dd6668498689da5fbbe7 1600w, https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=2001&h=2000&rect=0%2C0%2C2400%2C1600&s=8fa47f53179f7f03c4967587d9c8cfa5 2001w\" width=\"1200\" height=\"800\"\/><div class=\"Image_fallback__F0rLe\" style=\"background-image:url('https:\/\/image.20min.ch\/2025\/03\/07\/6d5c406b-ffc2-49d4-918a-e522e25fc54e.jpeg?auto=format%2Ccompress%2Cenhance&fit=max&w=800&h=800&rect=0%2C0%2C2400%2C1600&s=b54d7f749506c2c83b4b1edf282a28b9')\"><\/div><\/div><figcaption class=\"sc-d47814d6-0 gVurjZ\"><span class=\"sc-d47814d6-2 bDLFoO\"><p>Vips-Pr\u00e4sident Marcel Plattner.<\/p><\/span><span class=\"sc-d47814d6-3 bmEwwn\">partners in GmbH<\/span><\/figcaption><\/figure><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Seit 2019 seien Mehrkosten von mindestens 600 Millionen Franken entstanden, sagt Plattner, auf Kosten von h\u00f6heren Pr\u00e4mien, ohne dass es einen Mehrwert gebe. Die Folge sei eine unn\u00f6tige Belastung des Gesundheitssystems.<\/p><\/div><div class=\"Article_elementCrosshead__b9pyw\"><h2 class=\"crosshead_crosshead__MxhCQ crosshead_siteAreaNews__x10eM crosshead_typeStandard__szEKi\" data-testid=\"Crosshead\">Das BAG widerspricht<\/h2><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>\u00abDas BAG hat keinen Grund, an der Korrektheit seiner Berechnungen zu zweifeln\u00bb, sagt das Amt auf Anfrage. Es k\u00f6nne die Kostensch\u00e4tzung der Vips aufgrund ihrer Gesamtkostenbetrachtung nicht best\u00e4tigen.<\/p><\/div><div class=\"Article_elementAd__7Cafs\"><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>\u00abDa dem BAG nicht bekannt ist, wie die Vips Mehrkosten aufgrund von zum Beispiel Arztkonsultationen herleitet, kann keine Aussage dar\u00fcber gemacht werden, warum die vorgebrachten Zahlen um ein 5-faches von denen im Bericht des Bundesrates abweichen\u00bb, so das Amt.<\/p><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Laut BAG fallen pro Jahr maximal 13 der 24,5 Millionen Franken Mehrkosten f\u00fcr allf\u00e4llige zus\u00e4tzliche Arztkonsultationen an. Die Apotheken h\u00e4tten durch die Dokumentationspflicht h\u00f6chstens 2,2 Millionen Franken Mehrkosten, \u00abwobei sie diesen Mehraufwand h\u00f6chstwahrscheinlich in Form von Preissteigerungen im Umfang von 1,5 Millionen (Jahr 2021) an die Kundschaft weiterverrechnen\u00bb. Die effektiven Mehrkosten seien wohl geringer als die erw\u00e4hnten maximalen Gesamtkosten.<\/p><\/div><div class=\"Article_elementCrosshead__b9pyw\"><h2 class=\"crosshead_crosshead__MxhCQ crosshead_siteAreaNews__x10eM crosshead_typeStandard__szEKi\" data-testid=\"Crosshead\">Das sagt der Apothekerverband<\/h2><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Der Schweizerische Apothekerverband Pharmasuisse sagt auf Anfrage, er begr\u00fcsse es, dass der Bund bestrebt sei, die Stellung der Apotheken zu st\u00e4rken. Sie seien die erste Anlaufstelle bei Gesundheitsfragen und k\u00f6nnten viele unn\u00f6tige und teurere \u00e4rztliche Konsultationen verhindern.<\/p><\/div><div class=\"Article_elementAd__7Cafs\"><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Vom Systemwechsel profitierten die Apotheken nicht: F\u00fcr die Abgabe der umgeteilten Medikamente sei eine Dokumentation Pflicht, die wie auch die ben\u00f6tigte fachkundige Anamnese mit viel Aufwand verbunden sei.<\/p><\/div><div class=\"Article_elementCrosshead__b9pyw\"><h2 class=\"crosshead_crosshead__MxhCQ crosshead_siteAreaNews__x10eM crosshead_typeStandard__szEKi\" data-testid=\"Crosshead\">Umsetzung der Vorgaben kostete Zeit und Nerven<\/h2><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Seit der \u00c4nderung des Heilmittelgesetzes seien die Abgabekompetenzen der Apotheken klarer definiert. So d\u00fcrfen sie nun gewisse Medikamente nicht nur in begr\u00fcndeten Ausnahmef\u00e4llen, sondern auch bei durch den Bundesrat bestimmten Arzneimitteln und Indikationen abgeben. \u00abDie selbstbezahlte Behandlung durch Fachpersonen wird damit gef\u00f6rdert und gleichzeitig der Druck auf die Krankenkassenpr\u00e4mien gesenkt\u00bb, argumentiert der Verband.<\/p><\/div><div class=\"Article_elementTextblockarray__WNyan\"><p>Vor allem die Dokumentation der Abgaben habe den Apotheken Schwierigkeiten bereitet. Die Umsetzung habe viel Zeit in Anspruch genommen, zumal die Apotheken wegen Personalmangel und Medikamentenengp\u00e4ssen sowieso schon unter grossem Druck standen.<\/p><\/div><div class=\"Article_element__Tq_1s\"><figure class=\"sc-d47814d6-4 YeebQ\"><figcaption class=\"sc-d47814d6-0 gVurjZ\"><\/figcaption><\/figure><\/div><div class=\"Article_element__Tq_1s\"><div type=\"typeInfoboxSummary\" class=\"sc-92253cc8-0 kGbdVO undefined Default\" data-testid=\"InfoBox\"><div class=\"sc-92253cc8-1 sc-92253cc8-2 bGBSLI duFusH\"><h3>Folgst du 20 Minuten Wirtschaft auf Whatsapp?<\/h3><div class=\"sc-92253cc8-3 hknAoe\"><svg width=\"1em\" height=\"1em\" class=\"sc-b8528708-0 fFsCws\"><use href=\"\/_next\/static\/media\/sprite.d5961885.svg#boomerang\"><\/use><\/svg><\/div><\/div><div class=\"sc-92253cc8-1 sc-92253cc8-4 bGBSLI lcCaqX elementTextblockarray\"><p>Hier kriegst du die aktuellsten News aus der Wirtschaftswelt und die heissesten Updates zu Konsumententhemen direkt auf dein 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\u00c4rzteschaft profitiere nicht von der Umstellung, betont der \u00c4rzteverband.\",\"elements\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Die \u00c4rzteschaft profitiere nicht von der Umstellung, betont der \u00c4rzteverband.\"}]}]}},\"caption\":{\"text\":\"Die \u00c4rzteschaft profitiere nicht von der Umstellung, betont der \u00c4rzteverband.\",\"elements\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Die \u00c4rzteschaft profitiere nicht von der Umstellung, betont der \u00c4rzteverband.\"}]}]},\"type\":\"image\"}]}},{\"type\":\"infobox\",\"collapsed\":false,\"infoboxContent\":[{\"type\":\"list\",\"listType\":\"unordered\",\"listItems\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Die Revision des Heilmittelgesetzes verursacht Mehrkosten.\"}]},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Der Bund und die Vereinigung der Pharmafirmen sind sich uneins \u00fcber ihre H\u00f6he.\"}]},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Die \u00c4rzteschaft profitiere nicht von der Umstellung, sagt der \u00c4rzteverband.\"}]}]}],\"title\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Medikamente: Darum gehts\"}]}},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Die Umteilung bestimmter Arzneimittel im Rahmen der Revision des Heilmittelgesetzes hat laut Bund seit 2019 zu Mehrkosten von maximal 24,5 Millionen Franken pro Jahr gef\u00fchrt. Diese Zahl sei falsch, kontert Vips, die Vereinigung Pharmafirmen in der Schweiz: Es seien \u00fcber 100 Millionen.\"}]},{\"type\":\"infobox\",\"collapsed\":false,\"infoboxContent\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Das Heilmittelgesetz teilt Arzneimittel ein in Kategorien von A (einmalige Abgabe auf \u00e4rztliche Verschreibung) bis E (Abgabe ohne Fachberatung). Kategorie C (Abgabe nach Fachberatung durch Medizinalpersonen) gibt es seit 2019 nicht mehr. Im Februar 2019 forderte eine Motion, dass deswegen keine zus\u00e4tzlichen Kosten f\u00fcr das Gesundheitswesen entstehen. Laut BAG-Bericht verursachte die Umstellung aber 24,5 Millionen Franken Mehrkosten, weil die Patientinnen und Patienten h\u00e4ufiger zum Arzt gehen und die Medikamentenpreise gestiegen sind. Die Vips wirft den Beh\u00f6rden nun vor, die Motion nicht umzusetzen.\"}]}],\"title\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"So kam es zum Kostenstreit\"}]}},{\"type\":\"crosshead\",\"htmlText\":\"Hat das BAG die Kosten zu tief berechnet?\",\"style\":{}},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Laut Vips-Pr\u00e4sident Marcel Plattner brachte die Umteilung im Gesundheitswesen massive Mehrkosten. Das Bundesamt f\u00fcr Gesundheit (BAG) habe die Kosten auf einer falschen Basis berechnet, sie seien vier bis f\u00fcnf Mal h\u00f6her.\"}]},{\"type\":\"image\",\"image\":{\"id\":\"Qsjnc3gmmOCR\",\"caption\":{\"text\":\"So hoch sind die Kosten laut Vips wirklich.\",\"elements\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"So hoch sind die Kosten laut Vips 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markant gestiegene Anteil von Abgaben auf Rezept seit der Umteilung zeige, dass die Patientinnen und Patienten vermehrt \u00e4rztliche Konsultationen in Anspruch nehmen, um Medikamente zu beziehen.\"}]},{\"type\":\"poll\",\"question\":{\"type\":\"pollItem\",\"id\":\"poll-1ilor00mn\",\"text\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00c4rgert es dich, dass du nicht mehr Medikamente in der Apotheke kriegst und stattdessen zum Arzt musst?\"}]}},\"answers\":[{\"type\":\"pollItem\",\"id\":\"poll-1ilor00mn.poll-item-poll-1ilor00mn-1\",\"text\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Ja.\"}]}},{\"type\":\"pollItem\",\"id\":\"poll-1ilor00mn.poll-item-poll-1ilor00mn-2\",\"text\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Nein.\"}]}},{\"type\":\"pollItem\",\"id\":\"poll-1ilor00mn.poll-item-poll-1ilor00mn-3\",\"text\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Ich habe keine Meinung dazu.\"}]}}]},{\"type\":\"infobox\",\"collapsed\":false,\"infoboxContent\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00abDie \u00c4rzteschaft profitiert von dieser Umteilung nicht\u00bb, sagt Yvonne Gilli, Pr\u00e4sidentin des \u00c4rzteverbands FMH. Sie habe den Vorschlag im Parlament bek\u00e4mpft. Gew\u00fcnscht habe diese \u00c4nderung insbesondere die Apothekerschaft. Die Liberalisierung r\u00fcckg\u00e4ngig zu machen, sei unrealistisch.\"}]},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00abAus Sicht der \u00c4rzteschaft ist die Kategorisierung der Medikamente mit und ohne Rezeptpflicht allein aus Sicht der Patientensicherheit vorzunehmen\u00bb, sagt Gilli. Rezeptpflichtige Medikamente ben\u00f6tigten korrekte Diagnosen, die Erfassung individueller Risiken und eine spezifische Beratung, was Aufgabe der Swissmedic sei.\"}]}],\"title\":{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00c4rzteschaft sagt, sie profitiere nicht von Umstellung\"}]}},{\"type\":\"crosshead\",\"htmlText\":\"Pharmafirmen verlangen System\u00e4nderung\",\"style\":{}},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00abSelbst bei einer konservativen Annahme von 50 Franken Kosten pro Konsultation f\u00fchrt der erh\u00f6hte Anteil Verschreibungen von Medikamenten auf Rezept zu enormen Mehrkosten, die Versorgung ist aber schlechter\u00bb, sagt Plattner.\"}]},{\"type\":\"image\",\"image\":{\"id\":\"0iUmBpOe-osP\",\"caption\":{\"text\":\"Vips-Pr\u00e4sident Marcel Plattner.\",\"elements\":[{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Vips-Pr\u00e4sident Marcel 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2019 seien Mehrkosten von mindestens 600 Millionen Franken entstanden, sagt Plattner, auf Kosten von h\u00f6heren Pr\u00e4mien, ohne dass es einen Mehrwert gebe. Die Folge sei eine unn\u00f6tige Belastung des Gesundheitssystems.\"}]},{\"type\":\"crosshead\",\"htmlText\":\"Das BAG widerspricht\",\"style\":{}},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00abDas BAG hat keinen Grund, an der Korrektheit seiner Berechnungen zu zweifeln\u00bb, sagt das Amt auf Anfrage. Es k\u00f6nne die Kostensch\u00e4tzung der Vips aufgrund ihrer Gesamtkostenbetrachtung nicht best\u00e4tigen.\"}]},{\"type\":\"ad\",\"availableFor\":{\"desktop\":true,\"app\":true}},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"\u00abDa dem BAG nicht bekannt ist, wie die Vips Mehrkosten aufgrund von zum Beispiel Arztkonsultationen herleitet, kann keine Aussage dar\u00fcber gemacht werden, warum die vorgebrachten Zahlen um ein 5-faches von denen im Bericht des Bundesrates abweichen\u00bb, so das Amt.\"}]},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Laut BAG fallen pro Jahr maximal 13 der 24,5 Millionen Franken Mehrkosten f\u00fcr allf\u00e4llige zus\u00e4tzliche Arztkonsultationen an. Die Apotheken h\u00e4tten durch die Dokumentationspflicht h\u00f6chstens 2,2 Millionen Franken Mehrkosten, \u00abwobei sie diesen Mehraufwand h\u00f6chstwahrscheinlich in Form von Preissteigerungen im Umfang von 1,5 Millionen (Jahr 2021) an die Kundschaft weiterverrechnen\u00bb. Die effektiven Mehrkosten seien wohl geringer als die erw\u00e4hnten maximalen Gesamtkosten.\"}]},{\"type\":\"crosshead\",\"htmlText\":\"Das sagt der Apothekerverband\",\"style\":{}},{\"type\":\"textBlockArray\",\"items\":[{\"type\":\"htmlTextItem\",\"htmlText\":\"Der Schweizerische Apothekerverband Pharmasuisse sagt auf Anfrage, er begr\u00fcsse es, dass der Bund bestrebt sei, die Stellung der Apotheken zu st\u00e4rken. 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