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A prescription is only valid for 3 months for reimbursement — not a year
Updated July 2026

💊 Can I buy my medicines without a prescription?

With conditions
Quick answer

It depends on the medicine — and one detail surprises everyone: even without a prescription, medicines are sold only in a pharmacy. In Luxembourg nothing is sold in supermarkets; even "over-the-counter" products (painkillers, cold remedies…) are dispensed by the pharmacist. Prescription-only medicines — antibiotics, sleeping pills, most long-term treatments — require a valid prescription. The costliest myth is about its lifespan: many believe a prescription lasts a year, when it only opens the right to CNS reimbursement for 3 months from its date. After that, the pharmacy may still serve you, but you pay in full. Reimbursement also depends on the medicine being on the positive list, at rates of 100 %, 80 % or 40 %. Self-medication is never entirely risk-free.

📋 The rules

  • In Luxembourg every medicine — even "over-the-counter" — is sold only in pharmacies, never in supermarkets.
  • Prescription-only medicines (antibiotics, psychotropics, most long-term treatments) are dispensed only against a doctor's prescription.
  • A prescription opens the right to CNS reimbursement for only 3 months from the date it was written.
  • For a repeat prescription, the last dispensing must take place no later than 6 months after the first.
  • Reimbursement requires the medicine to be on the positive list; the pharmacist may substitute a cheaper generic.

🔓 Exceptions

  • An expired prescription may still be filled by the pharmacist, but the insured person pays everything, with no CNS reimbursement.
  • Certain prescriptions (narcotics, substitution treatments) follow stricter rules and a shorter validity period.
  • Ordering medicines online is allowed only from authorised pharmacies; prescription medicines are not freely sold there.

⚠️ Penalties & fines

Obtaining a prescription-only medicine without a valid prescription is prohibited, and a pharmacist who dispensed it would face disciplinary and criminal sanctions. For the patient, the consequences are first financial and medical: an expired prescription wipes out all reimbursement, so an expensive treatment falls entirely on you. Ordering prescription medicines from an unauthorised website exposes you to seizure by customs, to counterfeit products and to a genuine health hazard. Poorly managed self-medication — wrong dose, interaction with another treatment — can worsen a condition and, if you share the medicine with someone else, engage your liability. Finally, a medicine that is not on the positive list is never reimbursed, even when prescribed, so always check before assuming a cost is covered.

📎 Official sources

Last verified: 2026-07-12

❓ Frequently asked

How long is a prescription valid in Luxembourg?

To be reimbursed by the CNS, a prescription must be presented within 3 months of the date it was written. After that period the pharmacist may still dispense the medicine, but you then pay the full price with no reimbursement at all.

Can you buy medicines in a supermarket in Luxembourg?

No: unlike in some countries, no medicine is sold outside pharmacies in Luxembourg. Even over-the-counter products, such as common painkillers, are dispensed only by a pharmacist in a pharmacy.

Which medicines need a prescription?

Antibiotics, sleeping pills, psychotropics and most long-term treatments are prescription-only. Other products, for pain or colds, are available without a prescription, but always through the pharmacist's advice in a pharmacy.

Can the pharmacist replace my medicine with a generic?

Yes, the pharmacist may offer an equivalent, cheaper generic, unless the doctor states otherwise on the prescription. This generic contains the same active substance and is reimbursed by the CNS on the same terms.

Can I order my medicines online?

Only legally authorised pharmacies may sell medicines at a distance, and prescription-only products are excluded from such sales. Buying from an unauthorised site exposes you to counterfeits, a customs seizure and serious risks to your health.

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