US Prescription → German Pharmacy
An American patient relocating to Germany brings their existing prescriptions. Brand names are mapped to German equivalents, controlled substance classification differences are flagged, and prescription format requirements are noted.
Prescription — Dr. Jennifer Walsh, MD
Patient: Miller, Jane A. | DOB: 03/14/1974
NPI: 1427384756 | DEA: BW4821936
Date: 05/15/2026
Medications
1. Synthroid 100 mcg
Take 1 tablet daily on empty stomach
Qty: 90 tabs, Refills: 11
2. Lipitor 40 mg
Take 1 tablet at bedtime
Qty: 90 tabs, Refills: 11
3. Altace 5 mg
Take 1 tablet twice daily
Qty: 180 tabs, Refills: 5
4. Ultram 50 mg
Take 1-2 tablets every 6 hours as needed for pain
Qty: 60 tabs, Refills: 0 | DEA Sch. IV
Dx: E03.9 — Hypothyroidism | E78.5 — Hyperlipidemia
Dx: I10 — Hypertension | M54.5 — Low back pain
Rezept — Dr. Jennifer Walsh, MD (USA)
Patient: Miller, Jane A. | Geb.: 14.03.1974
US-Arztnummer: NPI 1427384756
Datum: 15.05.2026
Medikamente
1. L-Thyroxin Henning 100 µg (= Synthroid)
DE equiv.: L-Thyroxin Henning oder Euthyrox — Levothyroxin 100 µg
1 Tablette morgens nüchtern
2. Sortis 40 mg (= Lipitor)
DE equiv.: Sortis (Pfizer) oder Atorvastatin-ratiopharm — Atorvastatin 40 mg
1 Tablette abends
3. Delix 5 mg (= Altace)
DE equiv.: Delix (Sanofi) oder Ramipril-ratiopharm — Ramipril 5 mg
1 Tablette morgens und abends
4. Tramal 50 mg (= Ultram)
⚠ BtMG-Anlage-III — Betäubungsmittelrezept erforderlich
1-2 Tabletten alle 6 Stunden bei Bedarf
Diagnose: E03.9 — Hypothyreose | E78.5 — Hyperlipidämie
Diagnose: I10 — Hypertonie | M54.5 — Kreuzschmerz
Translation Annotations
Controlled Substance Reclassification
- Tramadol (Ultram): DEA Schedule IV in US → BtMG-Anlage-III in Germany
- German BtMVV requires a triplicate Betäubungsmittelrezept (yellow form)
- Max 30-day supply per BtMVV prescription; no refills permitted
- US prescription not valid — must be re-issued by a German-licensed physician
Prescription Format — Germany
- US prescriptions are not directly dispensable at German pharmacies
- GKV patients: Kassenrezept (pink Muster-16 form) required for insured dispensing
- Private patients: Privatrezept accepted; patient pays and claims reimbursement
- ICD-10-GM (German Modification) is used — codes here are compatible with ICD-10-CM
Brand Name Mappings
- Synthroid → L-Thyroxin Henning / Euthyrox (Levothyroxin 100 µg)
- Lipitor → Sortis (Pfizer DE brand) / Atorvastatin-ratiopharm
- Altace → Delix (Sanofi DE brand) / Ramipril-ratiopharm
- Ultram → Tramal / Tramadol-ratiopharm (BtMVV required)
Regulatory & Format Notes
- Date format converted: MM/DD/YYYY → DD.MM.YYYY
- Dosage units: mcg retained (same notation in DE); mg unchanged
- ICD-10-CM codes E03.9, E78.5, I10, M54.5 are equivalent in ICD-10-GM
- NPI has no DE equivalent — German physician LANR required for re-issue
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