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French Medical Prescription Template (HAS Compliant)

Medical prescription template compliant with French HAS guidelines and Public Health Code Art. R5121-91, covering practitioner and patient details.

What mandatory items must appear on a compliant French medical prescription?

Article R5121-91 of the Code de la santé publique requires: the prescriber's full name, professional title, and practice address; their 11-digit RPPS number; the date of issue; and the patient's name, first name, and date of birth (plus weight when clinically relevant). The prescription must state the INN (DCI), pharmaceutical form, dosage, dosing schedule, treatment duration, and total quantity dispensed. A handwritten signature is non-negotiable. If any mandatory item is missing, the pharmacy is legally entitled to refuse dispensing.

Source: Légifrance — Article R5121-91 du Code de la santé publique (mandatory prescription items) · updated 2026

About this form

The ordonnance médicale (French medical prescription) is a legally binding document governed by Article R5121-91 of the Code de la santé publique (Public Health Code), which specifies every mandatory item a prescription must carry. The Haute Autorité de Santé (HAS — France's national health authority) has standardised a compliant model form designed to reduce medication errors and secure the patient care pathway. Since Law n°2011-2012 of 29 December 2011 on medicinal product safety, prescribing by INN (International Non-proprietary Name — the generic chemical name, known in French as DCI, Dénomination Commune Internationale) is compulsory for all substitutable medicines. The prescriber's RPPS number (Répertoire Partagé des Professionnels de Santé — the 11-digit national healthcare professional ID) must appear on every prescription to enable electronic SESAM-Vitale reimbursement processing. A compliant prescription is accepted by pharmacies and the Assurance Maladie (French state health insurance), and shields the practitioner against disciplinary or criminal liability. The rules apply to doctors, dental surgeons, and midwives within their respective scopes of practice.

Worked example

Dr Sophie Marchand, a general practitioner in Bordeaux (RPPS 10012345678), sees Antoine Bernard, aged 52, weighing 78 kg, for a confirmed community-acquired pneumonia. She writes a HAS-compliant prescription for amoxicillin 1 g (INN/DCI), tablets, 3 doses per day for 7 days — 2 packs of 12 tablets. Pharmacy retail price: €7.84. Assurance Maladie reimbursement at 65%: €5.10. Patient co-payment (ticket modérateur): €2.74. Because the prescription uses the INN (DCI), the pharmacist offers a bioequivalent generic at €5.20 total, saving the patient €2.64. The printed RPPS number enables seamless SESAM-Vitale processing, and the reimbursement file is settled within 5 working days by the CPAM de Gironde.

How to fill out the form

  1. Enter the prescriber's full details: name, professional title, practice address, phone number, and — critically — the 11-digit RPPS number (Répertoire Partagé des Professionnels de Santé). This number is mandatory for SESAM-Vitale electronic reimbursement and must be printed or stamped legibly on the form; its absence causes automatic rejection by the CPAM (caisse primaire d'assurance maladie — local health insurance fund).
  2. Identify the patient: write their full name and date of birth. For children under 15, and for any medicine whose dose is weight-adjusted (such as paediatric antibiotics), you must also record the patient's weight and height on the prescription.
  3. Write the prescription in INN (DCI — Dénomination Commune Internationale): state the international non-proprietary name of the drug, its pharmaceutical form (tablet, oral solution, transdermal patch, etc.), the dose in milligrams or international units, and the precise daily dosing schedule including number of doses, intervals, and route of administration.
  4. Specify the treatment duration and the total quantity to be dispensed, clearly stating the number of packs or units. For controlled substances (stupéfiants), write the quantity out in full words as required by law. Indicate whether the prescription is renewable, how many refills are authorised, and the permitted dispensing frequency.
  5. Date the prescription with the exact date of the consultation and sign it by hand in the designated space. Check for any uncountersigned corrections or alterations. For non-substitutable medicines, add the explicit notation 'Non substituable' together with a specific documented medical reason — such as a confirmed allergy, a required galenic form, or a particular patient contraindication.

Good to know

  • Missing RPPS number: the pharmacy will refuse to dispense and every SESAM-Vitale electronic claim will be automatically rejected by the CPAM. This 11-digit number, assigned at registration with the national Ordre, must be printed or stamped legibly on every prescription.
  • Prescribing by brand name without a valid reason breaches the conventional and ethical obligations set by Law n°2011-2012 and Article L5125-23 of the Code de la santé publique, depriving both the patient and the Assurance Maladie of the financial benefit of generic substitution.
  • Forged or fraudulently used prescriptions carry penalties of 3 years' imprisonment and €45,000 (Article 441-1 Code pénal); for controlled substances, up to 5 years and €375,000 (Article L5441-1 CSP). If your prescription pad is stolen, file a police complaint and notify the CPAM and your Ordre in writing immediately.

Frequently asked questions

What mandatory items must appear on a compliant French medical prescription?

Article R5121-91 of the Code de la santé publique requires: the prescriber's full name, professional title, and practice address; their 11-digit RPPS number; the date of issue; and the patient's name, first name, and date of birth (plus weight when clinically relevant). The prescription must state the INN (DCI), pharmaceutical form, dosage, dosing schedule, treatment duration, and total quantity dispensed. A handwritten signature is non-negotiable. If any mandatory item is missing, the pharmacy is legally entitled to refuse dispensing.

How long is a French medical prescription valid in 2026?

Under Article R5125-3 of the Code de la santé publique, an ordinary prescription is valid for 3 months from the date of issue for the first dispensing. For chronic conditions, a physician may prescribe up to 12 months of treatment, dispensed monthly or quarterly depending on the pathology. Controlled-substance prescriptions (stupéfiants — narcotics and analogues) follow stricter rules: under Articles R5132-30 et seq., they must be presented to the pharmacy within 3 days and typically cover only 7 days of treatment.

Is prescribing by INN (DCI) truly compulsory for all medicines?

Yes. Since Law n°2011-2012 of 29 December 2011, prescribing by INN (DCI — Dénomination Commune Internationale) is mandatory for all medicines eligible for generic substitution, as reinforced by Article L5125-23 of the Code de la santé publique. This obligation is designed to encourage the dispensing of cheaper generics and reduce national healthcare expenditure. A pharmacist may substitute the branded drug with a bioequivalent generic unless the prescription carries an explicit 'Non substituable' notation backed by a documented medical reason such as a confirmed allergy or specific galenic requirement.

What is a secure prescription (ordonnance sécurisée) and when is it required?

A secure prescription (ordonnance sécurisée) is a tamper-resistant printed form incorporating watermarks, unique serial numbering, and anti-forgery paper stock, as defined by the ministerial order of 31 March 1999 (arrêté du 31 mars 1999 modifié). It is compulsory for prescribing controlled substances such as morphine and fentanyl, under Article R5132-5 of the Code de la santé publique. Quantities must be written out in full words. Practitioners order these forms from approved printers certified by the ANSM (Agence nationale de sécurité du médicament — France's medicines regulator) or through their hospital pharmacy.

Can a pharmacist legally refuse to dispense on an incomplete prescription?

Yes. Article R4235-48 of the Code de la santé publique (the Pharmacists' Code of Ethics) requires the pharmacist to verify the prescription's regularity before dispensing. If items such as the RPPS number, date, or handwritten signature are missing, the pharmacist must attempt to reach the prescriber for correction. If that is not possible, refusal is legally justified — except in a genuine medical emergency, where the minimum quantity needed to ensure continuity of care may exceptionally be dispensed.

What are the penalties for forging or fraudulently using a French medical prescription?

Forging a prescription constitutes 'faux et usage de faux' (fraud and use of forged documents) under Article 441-1 of the Code pénal, punishable by up to 3 years' imprisonment and a €45,000 fine. For controlled-substance prescriptions, Article L5441-1 of the Code de la santé publique raises the penalties to 5 years' imprisonment and €375,000. Any practitioner who discovers their prescription pad has been stolen or forged must file a police complaint and notify both the CPAM (local health insurance fund) and their professional Ordre (medical council) in writing to protect themselves from liability.

Updated on 2026-06-27

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