The Netherlands

The Netherlands is unitary parliamentary constitutional monarchy. The official language is Dutch.

The Dutch state has opted for a system that is intended to make medical care accessible to everyone. It consists of a basic insurance which is obligatory for all Dutchmen.

Pricing of pharmaceuticals is free in the Netherlands. However, obtaining reimbursement is bound to a number of rules and regulations, especially for expensive medicines.

Healthcare budget

$100 billion

Inhabitants

17,4 million

GDP per capita

$55.041

Currency

Euro

World Ranking

GDP 17th

Dutch Healthcare

The Dutch healthcare system is known as one of the best healthcare systems in the world. Since the start of the yearly publication of the Euro Health Consumer Index (EHCI) in 2005, the healthcare system of the Netherlands has consistently been ranked in the top three.


The success of the healthcare system in the Netherlands is driven by the tenets of access to care for everyone, solidarity through compulsory medical insurance and high-quality services. Everyone who is obligated to have a Dutch health insurance must be insured for at least the basic health insurance. This insurance covers care like the GP, medicines and hospital- visit and stay


The Netherlands is very much aware of the rising costs of healthcare and the Ministry of Health, Welfare & Sport devotes a great deal of attention to keeping these costs in check so the country’s healthcare system remains affordable and accessible. In 2016, healthcare spending in the Netherlands amounted to 96 billion euros, or 13,8% of the GDP.

Pharmaceutical environment

Factors influencing pharmaceutical budget setting: overall fiscal/government budget constraints, past growth trends in pharmaceutical spending, anticipated market entry of new medicines. The total amount budgeted for pharmaceuticals used in extramural care in 2018 was €4,7 billion. Hospital spending on expensive medicines rose 10% in 2017 and has now hit €2,2 billion.


In November 2017 the European Union member states decided to relocate the European Medicines Agency (EMA) to Amsterdam. This puts the Netherlands on the map and offers huge opportunities to attract new (bio)pharmaceutical and service providing companies to the Netherlands.

Today's challenges

The cost of pharmaceuticals is predicted to rise 10% every year. The government makes agreements with doctors, pharmacists and health insurers to control these costs.


The prices of generic medicines in the Netherlands are very low. This is contrast to the prices of innovative oncology pharmaceuticals. There is a debate on high prices of medicines.

The access to prescribers is declining. Especially GPs are not willing any more to interact with companies on pharmaceuticals.

The Dutch experts

Gert van Alewijk & Bauke Buwalda

Challenge us with your case and we will show you the possibilities for your product.

Services

Sales and Marketing

Entering the European market is not easy. 27 countries with different healthcare systems. What is your strategy? Apart from the Big-5, what do you do with the other 22 countries? We offer a solution for 11 countries. Sales and marketing is our core business.

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Distribution

We manage, through our logistic partners with their regional warehouses, the distribution to our region (11 countries). They have the capability to handle the most demanding of specialized product order management, storage, handling and distribution requirements.

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Early Market Research

You know that market research is critical. It provides customer insights, competitive intelligence, behavioural tendencies, and product positioning. And market research increasingly is becoming an important component for linking R&D and marketing teams.

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Market Access

Achieving reimbursement and getting the right price are the 2 most important drivers for a successful launch of an innovative pharmaceuticals in our part of Europe. Health Authorities in any European country decide individually based on their local regulations, policies, framework, social values and available health care budget.

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Market Authorisation

Unlike other regions, in the EU a number of options is available to obtain a marketing authorisation. Centralised at the European Medicines Agency in Amsterdam or decentralised with the individual competent authorities of the member states, each marketing authorisation application procedure has its pros and cons.

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Pharmacovigilance

Pharmacovigilance is the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other medicine-related problem.

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