Das Grüne Rezept (the Green Prescription) was introduced in response to the removal of many non-prescription medicines from Germany’s statutory reimbursement schemes. It enables doctors to provide a written recommendation for non-prescription medicines even though patients pay for them out of pocket. Over 90% of patients go on to purchase the recommended products from a pharmacy, highlighting the trust placed in medical guidance. The initiative promotes a balanced, patient-centred approach to healthcare by combining professional medical advice with accessible self-care solutions.

Objectives

• Provide doctors with a practical tool to recommend non-prescription medicines in writing, even though they are not reimbursed.
• Reinforce the therapeutic value of non-prescription medicines and broaden treatment options with fewer side effects.
• Strengthen the role of pharmacists in patient education and support.
• Improve patient safety, orientation, and medication adherence.

Target Audience

• General practitioners and prescribing physicians
• Pharmacists
• Patients seeking accessible and safe self-care solutions

Key Activities and Approach

• Creation and distribution of green prescription pads to doctors at no cost
• A dedicated website with information for healthcare professionals and the public
• Public awareness raised through surveys and educational efforts
• Financial and strategic support from ~20 non-prescription medicines manufacturers
• Policy engagement and advocacy by Pharma Deutschland with stakeholders and politicians to promote the value of non-prescription medicines and green prescriptions

Impact and Result

• The initiative has become a cornerstone of non-prescription medicines promotion in Germany, with 42 million green prescriptions issued in 2023
• 70% of doctors use green prescriptions regularly
• High acceptance and trust from both doctors and patients
• Encourages repeat, responsible use of non-prescription medicines recommended by healthcare providers

Insights and Takeaways for Others

• Green prescriptions ensure non-prescription medicines remain a trusted part of medical consultations.
• Patients highly value doctors’ recommendations, often repurchasing non-prescription medicines on their own after an initial prescription, demonstrating sustainable self-care habits.

Additional Resources and Contact

• Website: www.pro-gruenes-rezept.de
• Campaign contact: boden@pharmadeutschland.de, verheesen@pharmadeutschland.de