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Question

10 Jul 2005

The use of semantics re "formularies"
Why do medical aids shy away from explaining exactly what "formulary" means? In my experience the information brochures on the subject remain vague. Although they do use the term "generic" they do not state that they will in fact put you on a drug that does not have the active ingredient. Parallel to this, they will change a specialists script without his knowledge, and just maybe inform one's GP who will then amend his records.
Secondly, why are so many Schemes opting to outsource an option to a business partner with no infrastructure capable of handling the business, neither the professionalism with which to conduct such a sensitive task?
Answer 294 views
Expert
Medical schemes

01 Jan 0001

Medical schemes are manage by a Board of Trustees that are elected from the members. All decisions are made by the trustees and they are trying with different manage healthcare interventions to contain cost to the benefit of aal members in the scheme. Some of these interventions can be a hassle to some members, but the intension of this is to save cost without putting the member at risk.
Different service providers has different "formularies" to treat certain conditions. The best way to find out about a specific formulary is to contact your medical scheme (medicine management department)
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