Table 1

EU countries with requirements on medicinal package information for medicines for hospital use

CountryText on the legal statusSymbol
Bulgaria
  • Prescription only

  • Special prescription (narcotics)

  • Limited prescription (for hospital use only)

  • For hospital use

  • OTC

Two red/blue stripes
France
  • Prescription only

  • Special prescription +additional considerations

  • For hospital use

  • On hospital prescription

  • Initial hospital prescription

  • Prescription by a specialist

  • Use by specialist

  • Urgent use

Red or green rectangle in which the warning text is placed
Hungary
  • Prescription only

  • OTC

  • Prescription only for ambulatory use

  • Prescription only for ambulatory use under supervision of a specialist

  • Special prescription for hospital use

  • On special prescription, narcotic/psychotropic content

  • On special prescription, could lead to misuse or abuse

  • On special prescription, new medicine with not enough known about ADR

N/A
Germany
  • Prescription only

  • OTC, only in pharmacy

  • For hospital use

N/A
Italy
  • OTC

  • OTC for self-treatment

  • Prescription only

  • Prescription only for unique dispensing

  • On special prescription

  • On special prescription for unique dispensing for a certain patient

  • On special prescription, narcotic/psychotropic content

  • For hospital use

  • Use by specialist

N/A
Poland
  • OTC

  • Prescription only

  • On limited prescription

  • On special prescription

  • For hospital use

OTC
Rp and Rpz
Rpw
Lz
Slovenia
  • For hospital treatment

  • For health institution treatment

  • For diagnosis in hospital and ambulatory treatment

  • For ambulatory treatment

  • OTC, available in pharmacy only

  • OTC

H
ZZ
H/Rp
Rp/Spec
Spain
  • Prescription only

  • For hospital use

  • For diagnosis in hospital

  • Prescription only for ambulatory use under supervision of a specialist

  • Hospital package

  • Long-term treatment

H
DH
ECM
  • ADR, adverse drug reaction; OTC, over the counter.