
Navigating German Pharmacies (Apotheken)
The German pharmacy system
Pharmacies (Apotheken) are the only legal distributors of medication in Germany. They’re marked by a red “A” sign. About 20,000 exist nationwide, with strict regulations on operation and staffing.
Types of medications
Over-the-counter (OTC) drugs
Available without prescription but often kept behind counters. Examples:
- Pain relievers (Ibuprofen, Paracetamol)
- Allergy medications
- Basic cold remedies
Prescription drugs (Rezeptpflichtig)
Require a doctor’s prescription (Rezept). Divided into:
- Public insurance-covered (red prescription)
- Private insurance (blue prescription)
- Narcotics (special forms)
How to get medications
Standard process
- Get prescription from doctor
- Bring to any pharmacy
- Present insurance card if applicable
- Pay any copay (usually €5-10)
Emergency situations
Each district has emergency pharmacies (Notdienst Apotheke) that rotate after-hours duty. Find them:
- On pharmacy doors
- Via 22833 (phone service)
- Local newspaper listings
Key pharmacy services
Medication counseling
Pharmacists must provide free advice on:
- Dosage instructions
- Potential side effects
- Drug interactions
Special orders
Most pharmacies can obtain rare medications within 24 hours. Some compound custom medications.
Common challenges for expats
Language barriers
Solutions:
- Use generic drug names (not brand names)
- Bring translated prescription
- Ask for “Englischsprachiger Apotheker”
Different formulations
German medications may have:
- Different concentrations
- Alternative active ingredients
- Unfamiliar brand names
Cost-saving tips
- Ask for generics (Generika)
- Compare prices between pharmacies
- Use mail-order options for chronic medications
- Check insurance coverage before purchasing