171 drugs will have the reimbursement reduced to 15% for all insured from October 1, 2026 . This included things like Valium, Gaviscon, Diclofenac gel etc).
And applies to all, included those with an ALD exemption.
This change should create 90 million euros in annual savings for health service.
The estimated impact is €150 to €300 of additional costs per year for an ALD patient
An orange sticker on the boxes will indicates the drugs.
https://www.senioractu.com/ALD-2026-la-liste-des-171-medicaments-qui-ne-seront-plus-rembourses-a-100_a26895.html
Prob won’t make any instant difference for many of you as you have mutuelles. But of course the longer term effect of pushing more costs to the patients results in mutuelles picking up more costs, so the cost pf mutuelles will go up.
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TBH mutuelles being an insurance based system the main value I see in them is as a “cap”. They definitely work out very expensive for a person of my age and gender if health is better than average and are going to get a lot, lot more costly.
Thankfully , major stuff ALD will still be 100%… as per below 
Define major? OK so the SMR is weak, but doesn’t mean it’s zero. So major for me means I can get through 15 boxes of 1000mg doliprane a month. Plus a couple of cans of Diclofenac gel..it will add up.
I don’t actually object to the principle, but would prefer if doctors had the final say as to what their patient needs. Everyone is different.
I think you will find that Doliprane is normally reimbursed at the 65% rate and so it will remain at 100% in respect of an ALD prescription.
