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تونزي تيليغراف
Zakir Lahedeb Explains NHIF Medication Refusal
It has been clarified that the National Health Insurance Fund precisely determines the list of covered medications, requiring that the drug be licensed by the Ministry of Health and included in the essential medicines list; otherwise, coverage for its cost will be denied. If a particular medication is not listed, the patient can submit an exceptional request through a scientific and administrative committee, which often approves it after reviewing the patient's health condition. The doctor emphasized that the fund's rejection does not mean the end of the process, and that updating the medication lists should be done periodically in collaboration with scientific associations to keep pace with medical and industrial developments, ensuring the availability of modern medicines and their necessity within the treatment system.
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