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Comments on ECJ C-248/23: Novo Nordisk AS VAT Treatment of Statutory Payments to State Health Insurer

  • Prescription drugs in Hungary are partly paid for by patients and partly subsidised by NEAK
  • NEAK may recover part of its subsidies from manufacturers through agreed volume rebates
  • Manufacturers must also pay up to 20% of the subsidies to NEAK under Hungary’s law on medicinal products
  • CJEU ruled that manufacturers could reduce their output tax accordingly
  • CJEU concluded that statutory payments should be treated the same as volume rebates for VAT purposes
  • Novo Nordisk was waiving a proportion of the consideration received in making the payments
  • Output tax could be adjusted accordingly for the reduction in consideration
  • First-tier Tribunal is considering a sequence of CJEU judgments on healthcare sector rebates in the Boehringer Ingelheim Ltd appeal.

Source: taxscape.deloitte.com

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Note that this post was (partially) written with the help of AI. It is always useful to review the original source material, and where needed to obtain (local) advice from a specialist.

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