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E-Prescriptions in Europe: How They Work Across Borders

Need a prescription for your medication in Europe? Hi-Doctor connects you with EU-licensed doctors for an online consultation. Get your valid electronic prescription in under 24 hours for just €25, redeemable at any pharmacy.

6 April 2026
E-Prescriptions in Europe: How They Work Across Borders

E-Prescriptions in Europe: How They Work Across Borders

Looking to get your medication prescription online in Spain or elsewhere in the EU? You've come to the right place. Hi-Doctor provides a fast, secure, and legal way to get your medication through an EU-licensed doctor. For a flat €25, you receive a valid electronic prescription (REMPE) in under 24 hours, accepted at any pharmacy across the EU. If the doctor determines the treatment is not appropriate, you get your money back — guaranteed.

How it works — get your medication prescription in 4 steps

  1. Fill the online medical questionnaire (2–3 minutes) and pay the €25 consultation fee.
  2. A licensed EU doctor reviews your case in private. If the doctor determines the treatment is not appropriate for you, your €25 is refunded automatically — no risk.
  3. If approved, you receive a REMPE electronic prescription (PDF file) in your Hi-Doctor account and by email within 24 hours.
  4. Print the PDF or show it on your phone — present it at any pharmacy in the EU to collect the medication.

Who qualifies for the medication

Our EU-licensed doctors evaluate each case individually to ensure the medication is safe and appropriate for you. They assess your medical history, current health status, and other relevant factors. For GLP-1 medications like semaglutide or tirzepatide, doctors typically look for specific eligibility criteria, including:

  • A Body Mass Index (BMI) that meets the clinical guidelines for prescription.
  • Absence of specific contraindications, such as certain thyroid conditions, personal or family history of medullary thyroid carcinoma (MTC), or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
  • No history of pancreatitis.
  • Not pregnant or breastfeeding.

The doctor remains the gatekeeper, ensuring your safety and the effectiveness of the treatment.

What the medication actually does (and doesn't do)

The medication, often a GLP-1 receptor agonist like semaglutide or tirzepatide, works by mimicking natural hormones in your body that regulate appetite and blood sugar. This can lead to:

  • Reduced appetite and cravings: You feel fuller for longer and experience less desire to eat.
  • Slower stomach emptying: This contributes to prolonged satiety.
  • Improved blood sugar control: For those with type 2 diabetes, it helps manage glucose levels.

It's important to understand that this medication is a tool to support a healthier lifestyle, not a magic bullet. It works best when combined with dietary changes and increased physical activity. Realistic timelines for results vary, and consistent use is key. It does not replace the need for healthy habits.

Side effects and when to stop

Like all medications, this treatment can have side effects. Most are mild and temporary, especially as your body adjusts. Common side effects include:

  • Nausea
  • Diarrhea or constipation
  • Vomiting
  • Abdominal pain

These usually subside over time. However, it's crucial to be aware of red flags that require immediate medical attention, such as severe abdominal pain (which could indicate pancreatitis), changes in vision, or symptoms of a severe allergic reaction. Your Hi-Doctor will provide full details on potential side effects and when to seek emergency care. Always follow your doctor's instructions and discontinue use if advised.

Why Hi-Doctor vs. walking into a clinic

Choosing Hi-Doctor for your medication prescription offers significant advantages over traditional in-person clinic visits:

  • Speed: Get your prescription in under 24 hours. No weeks of waiting for an appointment.
  • Price: A transparent €25 flat online consultation fee. No hidden costs or variable private clinic fees. If the doctor says no, you get your money back.
  • Privacy: All interactions happen within your secure, RGPD-compliant Hi-Doctor account. No reception desks, no waiting rooms, no need to discuss sensitive health matters in public.
  • Convenience: Access an EU-licensed doctor from your phone, anywhere in the EU. No travel, no parking, no time off work.
  • Trust: Join over 50,000 satisfied patients with a 4.8 Trustpilot rating. Our EU-licensed doctors review every case individually.

Frequently asked questions

What happens if the doctor decides I'm not a candidate for the medication?

If the doctor determines the treatment is not appropriate for your case, your €25 consultation fee is refunded automatically and in full. You pay nothing if the treatment isn't approved.

Is the REMPE prescription valid outside Spain?

Yes. REMPE is Spain's official private electronic prescription standard. Under EU Directive 2011/24/EU, any pharmacy in the European Union (including France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, Ireland, etc.) is legally obliged to recognise and dispense from it. You receive a downloadable PDF that you can print or show on your phone.

How do I actually collect the medication once I have the prescription?

Simply print the PDF prescription or show it on your phone at any EU pharmacy counter. The pharmacist will read the QR code or digital signature to verify the prescription's authenticity and dispense your medication.

Is it legal to get the medication online in France, Germany, or any other EU country?

Yes, it is legal to obtain a prescription for the medication online via an EU-licensed doctor, like those at Hi-Doctor. The REMPE prescription issued is valid across the entire EU, ensuring you can legally collect your medication.

How long does the prescription take?

Once you complete your medical questionnaire, an EU-licensed doctor reviews your case. If approved, you receive your electronic prescription (PDF) in your Hi-Doctor account and by email within 24 hours.

Is my data private?

Absolutely. Hi-Doctor is fully RGPD-compliant. All your medical information and chat communications are private, secure, auditable, and stored within your personal Hi-Doctor account. We never use WhatsApp or SMS for sensitive information.

How much does it cost?

The online consultation with an EU-licensed doctor costs a flat €25. This fee is refunded if the doctor determines the treatment is not appropriate for you. The cost of the medication itself is separate and paid directly to the pharmacy.

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