Dispensing Fee Change for General Practitioners 2016-06-24

Government Gazette No. 40094, related to the medicine dispensing fee to be charged by a duly licensed medical practitioner, dentist, practitioner, nurse or other person, registered under the Health Professions Act, has been published on the 24th of June 2016. 

The legislation defines the dispensing fee on SEP (Single Exit Price) items and such fee must be calculated exclusive of VAT as follows: 

(a) Where the single exit price of a medicine or scheduled substance is less than one hundred and twelve rand (R112.00), the dispensing fee must not exceed 30% of the single exit price in respect of that  medicine or scheduled substance;         

(b) Where the single exit price of a medicine or scheduled substance is equal to or greater than one hundred and twelve rand (R112.00), the dispensing fee must not exceed thirty three rand and sixty cents (R33.60) in respect of that medicine or scheduled substance;  


How to implement:

First thing to note is that the fee framework defines VAT exclusive figures. Since all dispensing practices make use of VAT inclusive figures, these have to be re-worked.

Since both custodians of the Meds prices, Medprax and MediKredit, have issued the incorrect calculation it introduces a bit of a dilemma. (There are certain medical schemes who apply their pricing guidelines rigidly).

Here’s how we recommend Medinol users implement these in order to satisfy the requirements of almost all parties…


SEP of Zero to R111.99 : Use a markup of 30%

SEP of R112 or greater: Fixed fee of R38.30


How to activate in Medinol:

  1. Medinol Main Menu -> Process -> Command Prompt
  2. At the command prompt, enter SYSMAINT
  3. Bottom of 1st  screen: Markup below threshold: 30.0
  4. Threshold: 111.99
  5. Fixed amount above threshold: 38.30
  6. Press enter past all the other prompts and pages till you get back to command prompt
  7. Enter EXIT to get back to Medinol
  8. Then Exit Medinol to get back to Windows desktop, and reenter Medinol.


That’s it. You should be good to go.


Any problems, call Fudley Bezuidenhout 021 906 2296



About Medinol:
Medinol is one of the few purpose-built practice management application to meet the unique needs of independent private healthcare providers. Today Medinol helps over 130 providers throughout South Africa run more efficient and profitable practices, while delivering outstanding patient care. As an on-premise software, Medinol and the data it manages, is fully under your control. This enhances your independence and privacy: what happens in your rooms, stays in your rooms. Medinol helps manage your patient information, generates your billings, submits your claims, control your outstandings, and get your accounts paid quickly. Medinol has been in operation since 1984 demonstrating its proven efficacy. Medinol’s mission is to help independent practices succeed in an ever-changing healthcare environment. More information can be found at http://medinol.co.za.


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Fudley Bezuidenhout Pr.Eng.
Founder and CEO
Email: info@medinol.co.za
Ph: 021-906-2296
Cell: 082-688-9610