Invoice Chemist in Switzerland Zurich –Free Word Template Download with AI
Bahnhofstrasse 142, 8001 Zurich, Switzerland
Phone: +41 44 220 33 44
Email: [email protected]
VAT No.: CHE-112.345.678 IVA
Swiss Pharmacy License No.: ZH-2019-00482
Invoice No.: INV-2025-00847
Date of Issue: 14 June 2025
Due Date: 14 July 2025
| Ref. | Description of Item / Service | Quantity | Unit Price (CHF) | Amount (CHF) |
|---|---|---|---|---|
| 01 | Amoxicillin 500 mg capsules (28 caps) – Prescription Rx-2025-11847, dispensed by licensed Chemist | 2 | 18.90 | 37.80 |
| 02 | Omeprazole 20 mg gastro-resistant capsules (28 caps) – Prescription Rx-2025-11848 | 1 | 24.50 | 24.50 |
| 03 | Insulin Glargine 100 IU/ml pen (3 x 10 ml) – Refrigerated storage and transport service included | 3 | 89.00 | 267.00 |
| 04 | Metformin 850 mg tablets (90 tabs) – Prescription Rx-2025-11849 | 1 | 16.20 | 16.20 |
| 05 | Pharmaceutical consultation and medication review by the Chemist (30 min session) | 1 | 45.00 | 45.00 |
| 06 | Specialised compounding: Topical corticosteroid cream 0.1% (30 g) – prepared in-house by the Chemist | 1 | 52.00 | 52.00 |
| 07 | Home delivery service within Zurich city limits – same-day dispatch by the Chemist | 1 | 12.00 | 12.00 |
| 08 | Pharmaceutical waste disposal and recycling of expired medication (Swiss Federal Ordinance compliant) | 1 | 8.50 | 8.50 |
| Subtotal (Net) | CHF 463.00 |
| VAT (8.1% – Swiss standard rate) | CHF 37.50 |
| Insurance Deductible (Franchise) | CHF 300.00 |
| Co-payment (10% above deductible) | CHF 16.30 |
| Amount Due (Net to Patient) | CHF 16.30 |
| Total Invoice Value (Gross) | CHF 500.50 |
Important Notes from the Chemist
- This Invoice has been issued in accordance with the Swiss Federal Act on Therapeutic Products (ThG) and the Ordinance on the Dispensing of Medicines by a licensed Chemist in the Canton of Zurich.
- All prescription items listed above were verified against valid prescriptions issued by a registered physician in Switzerland Zurich. The Chemist confirms that all medications were dispensed within their expiry dates and stored under appropriate conditions.
- The insurance reimbursement portion (CHF 484.20) will be submitted directly to Krankenkasse Zürich AG by the Chemist within five (5) business days of this Invoice date. The patient is only responsible for the co-payment amount of CHF 16.30.
- Insulin Glargine (Item 03) must be stored between 2°C and 8°C. The Chemist has provided a validated cold-chain transport container. Please do not freeze the medication.
- For any questions regarding this Invoice or the dispensed medications, please contact the Chemist at Pharmacie du Lac, Bahnhofstrasse 142, 8001 Zurich, Switzerland, or call +41 44 220 33 44 during business hours (Monday to Friday, 08:00–18:30; Saturday, 08:00–16:00).
- This Invoice is valid for a period of 30 days from the date of issue. After this period, the Chemist reserves the right to apply a late payment surcharge of 5% per annum as per Swiss Code of Obligations (OR Art. 104).
Payment Instructions
Bank: UBS AG, Bahnhofstrasse 45, 8001 Zurich, Switzerland
Account Holder: Pharmacie du Lac Chemist AG
IBAN: CH93 0076 2011 6238 5295 7
BIC: UBSWCHZH80A
Reference: INV-2025-00847 / Dr. Anna Müller
Please ensure that the Invoice reference number is included in the payment reference field to allow the Chemist to process the transaction correctly. Payments may also be made via TWINT mobile payment or by cash at the pharmacy counter in Zurich.
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