Medicine authorisation in North Macedonia determines whether a product requires a prescription. Prescription medicines need medical oversight; medicines authorised for non-prescription supply can be requested directly from a pharmacy but still carry approved limits and warnings.
Authorisation, prescription status and Health Insurance Fund reimbursement are separate questions. The pharmacist checks the prescription, interactions and safe use and may need to clarify details with the prescriber.
Ask about the current status of the exact product. A medicine sold without prescription elsewhere may be classified differently in North Macedonia.