Sozialrechtliche Voraussetzungen eines ausnahmsweise zulässigen „off-label-use“

Prescription of a drug for off-label use is generally not reimbursed by statutory health insurance. However, there are several exceptions to this rule under social law, which must be examined on a case-by-case basis. One the one hand, off-label use may be associated with the chance of therapeutic success in individual patients, but on the other, there are possible health risks for the patients and liability issues for prescribing physicians. Health care providers and insured persons must carefully weigh up these chances and risks to submit and justify an application.