Documentation Proposed framework
The European comparison
The table reads at a glance: online sales, electronic prescriptions, reimbursed delivery. The Luxembourg line has nothing in any column.
| Country | Online prescription sales | Electronic prescription | Reimbursed delivery |
|---|---|---|---|
| Germany | Yes (2004) | Mandatory since 2024 · > 90% | Yes, €2.50 per delivery |
| Estonia | Yes | Since 2010 · ≈ 99% | None |
| Sweden | Yes | ≈ 99 % | None |
| Finland | Yes | Mandatory since 2017 | None |
| Denmark | Yes | National system | None |
| Netherlands | Yes | Standard practice | None |
| United Kingdom | Yes | England: required since 2019 · 97% | None |
| France | No (non-prescription only) | Rollout under way | None |
| Belgium | No (non-prescription only) | Mandatory since 2020 | None |
| Luxembourg | No (non-prescription only) | None in production (eSanté verification web service) | No framework |
France and Belgium, like Luxembourg, prohibit online prescription sales, and nonetheless regulate home handover: Belgium by reserving it to registered pharmacy professionals. That is the path proposed here, resolving that contradiction: the pharmacy that hands over, not the anonymous parcel.
The rails are coming
January 2025: bill 8491 creating the Luxembourg Medicines Agency is tabled. March 2025: the European regulation on the health data space enters into force. October 2025: launch of the national DigiSanté programme. 2026-2027: expected adoption of the new European medicines code. March 2029: European deadline for exchanging electronic prescriptions. By 2029, the prescription goes digital either way; the question is whether the handover framework will be written before, calmly, with the profession, or after, under pressure.
SOURCES · GEMATIK AND ABDA (DE) · E-HEALTH ESTONIA · KANTA (FI) · NHS ENGLAND AND NHSBSA · DECREE NO. 2023-1222 AND ANS (FR) · RECIP-E AND INAMI (BE) · GRAND-DUCAL REGULATION OF 18 JULY 2018 AND ESANTÉ AGENCY (LU) · CHAMBER OF DEPUTIES, DOSSIER 8491