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Budget Plan
Chronic medicine
Prescribed for PMB and/or additional chronic conditions
According to chronic medicine formulary only
25% co-payment applies when using a non-formulary medicine
Unlimited - PMBs only
Pre-authorisation required
You have to register your chronic medication with the Scheme by either completing the chronic medication application form or your treating doctor can contact the Chronic Medicine Management Team.
The Scheme's dispensing fee is set at 26% for medicine below R100 and R26 for medicine above R100, or as agreed to by the Trustees from time to time at a non-network pharmacy or in accordance with the agreed fee at preferred provider pharmacies.100%
of Mediscor Reference Price (MRP)
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Health Plan
Chronic medicine
Prescribed for PMB and/or additional chronic conditions
Subject to the chronic medicine formulary only
25% co-payment applies when using a non-formulary medicine
R23 300 per beneficiary per annum
Once limit is depleted, authorised PMB medication will still be paid
Subject to pre-authorisation (0860 467 374)
You have to register your chronic medication with the Scheme by either completing the chronic medication application form or your treating doctor can contact the Chronic Medicine Management Team.
The Scheme's dispensing fee is set at 26% for medicine below R100 and R26 for medicine above R100, or as agreed to by the Trustees from time to time at a non-network pharmacy or in accordance with the agreed fee at preferred provider pharmacies100%
of Mediscor Reference Price (MRP)
Medicine Authorisations
To register your chronic medication please follow the process below. Your treating doctor can also register your medication by contacting the Chronic Medicine Management Team.
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1Download the application Chronic Medication Application Form
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2Print and complete the member and patient section
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3Get your attending medical practitioner to complete their section
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4ORPostThe Medicine Risk Management Programme
PO Box 2287
Bellville
7535
Chronic Medication Management Programme information leaflet
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Chronic medication advance supply request form
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