New procedure for reimbursement of medicines by the NHS

Posted by Admin in Medical Insurance | 0 comments

Procedure for refund of expenses submitted for reimbursement of medicines, resulting from the mandatory electronic prescription drugs as a prerequisite for obtaining a construction from the State, established by Decree Law No. 106-A/2010 1 October and regulated by the Ordinance No. 198/2011 .

The defined in Ordinance No. 198/2011 expressed by the existence of mandatory electronic prescription application for reimbursement of medicines in the NHS by the pharmacies.

This provision is however revoked in the following exceptional circumstances :

a) Prescription at home;

b) failure of the electronic system;

c) Employees with prescription volume equal to or less than 50 recipes per month;

d) In other exceptional situations of proven unsuitability, preceded by registration and confirmation in the respective professional body.

For these four situations is allowed to use manual prescription by the doctor, however being obligatory that appears at the very mention of prescription exceptional situation .

The ADV examines this requirement on the cost of drugs subject to refund, when prescribing a manual before, emitted from 01/08 and application of reimbursement by the NHS Pharmacy.

Where this requirement is not met, the expenditure is returned to the insured requesting the missing information.