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At risk of drug shortages, but prescriptions for dead patients reimbursed

Politiko 2024-09-12 09:27:41

At risk of drug shortages, but prescriptions for dead patients reimbursed

Doctors are part of abusive schemes. There are cases when even patients who have passed away, their codes turn out to withdraw medications at different pharmacies in the country.

From audits conducted randomly in several health centers, at least 61 prescriptions with reimbursable drugs that were executed in the pharmacy have been verified.

Inside Story also has the concrete names of the patients, but for ethical reasons they cannot be made public since it is about people who have passed away a long time ago.

The damage for these prescriptions is considered small, about 370 thousand new ALL. But it is thought that the real damage could be much greater if other prescribers are audited. This constitutes a scheme that was discovered earlier by extorting millions of ALL from private individuals.

From the detailed analyzes at the prescription level, it has been found that in some cases the date of execution of the prescription is after the date the patient passed away, bringing an unfair benefit of reimbursement, in a total of 61 cases.

We must clarify that doctors have the right to issue reimbursable prescriptions for a patient for a treatment period of up to 3 months. After placing the prescription in the system, there is 7 days to execute it in pharmacies with a contract with the Fund. After the deadline, the prescription is deleted from the system.

"The family doctor has some restrictions that cannot exceed a certain amount of reimbursable drugs of the best alternatives and under this pressure they are forced to give patients the cheapest alternatives and this has created not only doctor conflict patient but also the impoverishment of patients who have to add money to buy the best alternatives", said Eglantina Bardhi, Association "Together for Life"./ TCH

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