New to Spain and feeling a bit lost about how to see a doctor or get medicine? Don’t worry, I was in the same boat when I first arrived. I’ve recently made a few trips to my GP and the pharmacy, so I’m sharing what I’ve learned to help anyone who might need it.
The Core Process: Your GP and Prescriptions
In Spain, the vast majority of prescription medications require an electronic prescription from your GP (General Practitioner). You can’t just walk into a pharmacy and buy medicine whenever you feel unwell, especially for strictly controlled drugs like antibiotics. The typical process is:
- Book an appointment with your GP.
- After the consultation, if medication is needed, the doctor will issue the prescription directly to your public health card’s digital system.
- You can then go to any pharmacy with your health card to purchase the medication.
This system is incredibly convenient. You no longer need to carry around a bunch of paper slips. A few minutes after the doctor issues the prescription, it’s available in the pharmacy’s system, saving time and effort.

The Role of the Pharmacy
Spanish pharmacies are easily recognizable by the green cross sign outside. They are more than just places to sell medicine. The pharmacists are highly professional and can offer expert advice and over-the-counter (OTC) drugs for minor ailments like colds, allergies, or mild pain. But remember, they are not doctors and cannot diagnose complex conditions. It’s also worth noting that Spain has rotating on-duty pharmacies (farmacias de guardia). You can check online which pharmacy near you is open 24 hours on any given day, which is very useful for emergencies.
Understanding Health Insurance Reimbursement Rates
The cost is naturally a major concern for everyone. As long as you are covered by public health insurance (Seguridad Social), most prescription drugs are subsidized. The specific reimbursement percentage depends on your income and status. Based on official information and my own experience, I’ve put together a general table for your reference:
| Category | Annual Income | Co-payment Percentage |
| Active Worker | Less than €18,000 | 40% |
| Active Worker | €18,000 - €100,000 | 50% |
| Active Worker | More than €100,000 | 60% |
| Pensioner | Any income | 10% |
| Other specific groups | e.g., unemployed with no benefits | 0% |
Spain’s healthcare system is quite user-friendly. Although wait times for specialists can be long, the basic [healthcare resources in Spain] and medication distribution are well-established. As long as you pay your social security contributions, most of your medical needs will be covered. Hopefully, this information makes your life in Spain a little more stress-free!