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This proposal outlines changes to the dispensing fee structure, highlighting a 26% to 36% variation in costs that will affect different plans and schemes based on claim distributions. The anticipated outcome includes an approximate 2% increase in medicine costs, translating to less than 1% of the current total health benefit expenditure. This proposal is intended as a foundational step towards implementing a fixed professional fee for pharmacists, aiming to stabilize and improve the remuneration framework within the pharmaceutical sector.
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Fee structure • Previous • 26%/R26 • 36%/56%
Impact: industry level • Variable impact on individual plan and scheme dependant on claim distribution • Approx. 2% increase in medicine cost • Approx. <1% on current total health benefit spend • This must be first step towards the establishment of fixed professional fee for pharmacists