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The Tunisian Union of Private Pharmacy Owners has decided to suspend the third-party payment arrangement for beneficiaries of the National Health Insurance Fund (CNAM) as of November 1, 2026. It attributed the decision to the fund’s failure to meet its contractual obligations and settle outstanding payments, despite waiting for solutions until the end of the week. The union noted that medicine shortages, supply difficulties and tax burdens are adding to the pressure on pharmacies. It said it had contacted CNAM to coordinate the handling of beneficiaries’ cases and make it easier for them to obtain their medicines, warning that access to healthcare services could be disrupted.
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