Dispensing Fee Update: 3 April 2014

Government Gazette No. 37527 has been published on the 3rd of April 2014, 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.

The legislation defines the dispensing fee on SEP (Single Exit Price) items and such fee should not exceed the following:

  • SEP items from R0 – R103.00, the FEE = 34.20% (lncl. VAT)
  • SEP items from R103.01 and higher, the FEE = R35.23 (lncl. VAT)

Effective as per dates indicated in brackets below, approval to implement the new dispensing fee structure on all claims with a service date of 3 April 2014 onwards, was received from the following healthcare funders:

  • CAMAF (10 April 2014)
  • Genesis (Immediate)
  • Mamoth Health (Immediate)
  • Rand Mutual (Immediate)
  • KeyHealth (Immediate)
  • Profmed (Immediate

PLEASE NOTE: This fee structure will be applied to all SEP governed medicine dispensing claims. This fee structure will also be applied on materials submitted as part of a tariff claim (e.g. 0200, 0201 and 0212 claims) depending on the scheme rate.

Claims submitted to these healthcare funders after the effective date should not attract medicine price related co-payments where the above dispensing fee structure is implemented.

 

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Contact:

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Email: info@medinol.co.za
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