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„Rezepte“ sind fürs Kuchenbacken

Auch wenn wir uns umgangssprachlich vom Arzt ein Rezept ausschreiben lassen ist es im Gesetzesdeutsch immer eine Verordnung. Davon gibt es viele auf den unterschiedlichsten genau definierten Formularen. Die Standardverordnung, die jeder kennt, hat Postkartenformat und ist rosa/rot bedruckt. Darauf werden Arzneimittel, Verbandstoffe, Hilfsmittel, Medizinprodukte, Reparaturen/Ersatzteile usw. verordnet.

Arzneimittel

Abbildung: ärztliche VerordnungEs ist zu unterscheiden ob es sich um verordnungspflichtige oder um verordnungsfähige Medikamente handelt. Bei den letzteren handelt es sich um Medikamente, die normalerweise jeder selbst bezahlen muss, es sei denn sie stehen für eine bestimmte Indikation auf der sogenannten OTC-Liste, wie zum Beispiel Abführmittel bei Querschnittlähmung. Das gleiche gilt auch für einige verordnungsfähige Medizinprodukte, die dann wie Arzneimittel behandelt werden. Die OTC-Liste wird vom Gemeinsamen Bundesausschuss (www.g-ba.de) erstellt und in regelmäßigen Abständen aktualisiert.

Eine Sonderrolle nehmen die Medikamente ein, die als BTM-Medikament registriert sind (Opiate etc.). Diese werden auf extra Formularen verordnet und nicht jeder Vertragsarzt darf solche Rezepte ausstellen. Er muss sich dafür eigens bei dem zuständigen Bundesinstitut registrieren lassen.

Verbandstoffe

Für sie gilt im Gegensatz zu Arzneimitteln, dass eine Zuzahlung nicht pro Artikel zu leisten ist, sondern je Verordnungszeile. Im Gegensatz dazu wird bei Arzneimitteln jede einzelne Packung gezählt und dafür die Zuzahlung ermittelt.

Hilfsmittel

Auf dem Standardformular können auch Hilfsmittel jeglicher Art verordnet werden, angefangen vom Rollstuhl bis hin zu zum Verbrauch bestimmten Hilfsmitteln, z. B. bei Stoma oder Inkontinenz. Bei den zum Verbrauch bestimmten Hilfsmitteln muss dabei immer mit angegeben werden, für welchen Zeitraum die verordnete Menge vorgesehen ist.

Sonstige Verordnungen auf dem Standardformular

Das können Impfstoffe sein, künstliche Ernährung, Ersatzteile oder Reparaturen von Hilfsmitteln. Nicht dazu gehören Hör- oder Sehhilfen. Dafür gibt es extra Formulare ebenso wie für die Verordnung von Häuslicher Krankenpflege.

Verordnungen dürfen nur von zugelassenen Vertragsärzten ausgestellt werden. Sie müssen stets mit dem Vertragsarztstempel versehen sein und jede Änderung auf einer Verordnung muss vom verordnenden Arzt mit Stempel und Unterschrift bestätigt werden. Auf einer Verordnung dürfen nie mehr als drei Produkte stehen. Arzneimittel, Verbandstoffe, Hilfsmittel oder sonstige Produkte dürfen nie gemeinsam auf einem Rezept stehen. Für jede Gruppe ist ein eigenes Rezept auszustellen. Außerdem muss immer angekreuzt sein, ob der Patient von der Zuzahlung befreit ist oder nicht. Fehlt dieser Vermerk ist davon auszugehen, dass keine Befreiung vorliegt.

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