How Does MMAP (Maximum Medical Aid Price) Work

MMAP DESCRIPTION AND PATIENT IMPACT: MMAP® (Maximum Medical Aid Price) is a reference price model that is wholly owned and maintained by MediKredit.

MMAP® serves as a guide to determine the maximum medical scheme price that medical schemes will reimburse for an interchangeable multi-source pharmaceutical product.

An interchangeable multi-source pharmaceutical product is a product that has exactly the same active ingredient/s and salt/s combination, strength of the active ingredient/s and dosage form (for example tablets versus capsules) as other pharmaceutical products that can be obtained from manufacturers or suppliers.

Products are excluded from the MMAP® listing if they are designated as non-substitutable by the South African Medicine Control Council (MCC), as well as substitutability data from international sources such as Australia, USA (FDA) and Europe.

Prices are determined to allow flexibility when selecting a pharmaceutical product. It is also important to note that the MMAP® price levels do not necessarily equate to the prices of any specific pharmaceutical product brands.

The provider must charge the actual price of the brand supplied to the patient and not the MMAP® amount. The Provider is entitled by law to supply any alternative interchangeable multi-source pharmaceutical product (“generic substitution”) unless:

· Specifically indicated otherwise by the prescribing doctor; or

· Expressly forbidden by the patient to do so; or

· The price of the interchangeable multi-source pharmaceutical product is higher than that of the prescribed medicine.

 

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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

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