Since 1 July 2011 new rules decided by the Federal Council have been in place, which stipulate an increased retention fee of 20% for certain medicine based on the list (in German) maintained by the Federal Office of Public Health (BAG). This may be either a generic medicine or an original preparation.
A 20% retention fee applies to medication (both original preparations and generics) it its price exceeds the average price of the cheapest one-third of all medicines with the same active ingredient by at least 10%.
The higher retention fee will not be charged if an original preparation is crucial for medical reasons. In such situations, CSS requires a medical certificate from the attending doctor.
Because prices changes regularly we recommend that you find out about the current retention fee each time you collect your prescription medication from your doctor or pharmacist.