Table 4.

Reimbursement policy review in analyzed CEE countries.

Aspect required	Bulgaria	Croatia	Czechia	Estonia	Hungary	Latvia	Lithuania	Poland	Romania	Slovakia
Is there a positive reimbursement list available?	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Is there a negative reimbursement list available?	No	No	No	No	Yes	No	No	No	Yes	No
Are there co-payments for pharmaceuticals?	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
How often are reimbursement decisions revised (periodic/ad hoc revisions)?	Once a year	Periodic several times a year	Periodic once a 5 years but also ad hoc revision is possible	Periodic every 3 months	ad hoc revision	Periodic, every 3 months	ad hoc revision	Periodic, every 2 months	1 year or ad hoc revision	Periodic, every 3 months
Are risk sharing agreements (RSA) available in reimbursement decision making?	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Is a cap for patients for reimbursement expenses?	Yes, currently in just some cases	No	No	Yes	No	No	No	No	Yes	Yes, but only for vulnerable groups of patients