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New Discount Caps on Medicines: What the August 4, 2025 Decree Changes

A decree published on August 6, 2025 sets new limits on discounts, rebates, and financial incentives that laboratories can grant to pharmacies, under Article L.138-9 of the French Social Security Code.


WHAT'S CHANGING

Until now, the general cap was 2.5% of the ex-factory price (excluding tax). The new decree introduces higher, transitional ceilings for certain drugs — generics, hybrids, biosimilars, and their reference products — before establishing a single, stable cap of 20%.

  • Sept. 2025 – June 2026: up to 30% for generics/hybrids, 15% for biosimilars.
  • July 2026 – June 2027: 25% / 17.5%.
  • From July 1, 2027: harmonized at 20% for all these medicines.
  • January 1, 2028: the 20% cap becomes definitive.


WHY IT MATTERS

The reform has two main goals:

  • Boost uptake of generics and biosimilars, which are key to controlling healthcare costs.
  • Provide clarity and predictability for pharmacists and manufacturers, thanks to a gradual transition toward a single cap.

An evaluation report is expected by May 2026 to assess how these new limits impact discounts in practice and the market penetration of the targeted medicines.


Order of August 4, 2025, setting the ceilings for discounts, rebates, and other commercial and financial benefits of any kind provided for in Article L. 138-9 of the Social Security Code - Légifrance


Salon MedInTechs 2025