The European Union has 27 unique pharmaceutical systems. However, looking to the brief document of the Dutch system and the comparative analysis between the Netherlands and the other EU Member States, there can be stated that the Dutch pharmaceutical system is in a lot of ways the same organised as other European systems. Of course there are always remaining some differences. Just like the whole pharmaceutical system also tendering like systems in different countries are unique, because every country shapes them to their needs. The case studies on tendering like systems showed that the system in the Netherlands has similarities to the tendering like systems of Germany, Belgium and Denmark as well.