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National Health Act, 2003 (Act No. 61 of 2003)


National Health Insurance Policy towards Universal Health Coverage

Chapter 5 : National Health Insurance Coverage

5.3 Service coverage

5.3.2 Expanding access to pharmaceutical services


127. To ensure equitable access to medicines and related pharmaceutical products, NHI will in addition to public provision, accredit and contract with private retail pharmacies based on need. Accredited and contracted retail pharmacies will be able to order medicines and other health products from the nationally agreed pharmaceutical contracts and will be required to dispense medicines that are procured at subsidised prices. There will be strong mechanisms put in place to monitor medicine dispensing to ensure that such medicines and other health products only benefit NHI patients. The NHI Fund will then reimburse the cost of the subsidised medicines and other health product as well as pay a capitated administration fee to the retail pharmacies.