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In inclusion, the exemption from VAT of 19% in addition to finalized rebate agreements between vendors and vomiting funds reduce steadily the burden. In 2015 and 2019, the internet expenditures on drugs and surgical dressings accounted for 17.2percent associated with the total expenses on advantages of the SHI system. Should the expenditures on medications increase overproportionately in the future, the German SHI system should be able to counteract with already available or new tools, supported by
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