HIF-North Macedonia: From July 1, Clexane is on the positive list, pharmacies must dispense it with a prescription

From July 1, Clexane has been included on the positive list, which means it can now be obtained with a prescription at pharmacies.

However, according to what “TV24” reports, some citizens have said that in some pharmacies they were told the medicine is still not being dispensed with a prescription, on the grounds that a notification from the Fund is still being awaited.

The Health Insurance Fund clarified that the medicine has been on the positive list since July 1 and that pharmacies are obliged to stock it and dispense it to insured persons who need it.

“As of July 1, 2026, the medicine enoxaparin (Clexane) has been provided through the Positive Drug List and can be purchased and dispensed at PHI pharmacies that have signed an agreement with the Fund. Under the provisions of the agreement concluded with the Fund, pharmacies are obliged to provide, that is, purchase and dispense medicines for the needs of insured persons, for specific medical diagnoses and within the framework of legal regulations.

In this way, insured persons receive the medicine at pharmacies that have an agreement with the Fund, based on a prescription issued by their chosen doctor, without first buying it and then submitting a reimbursement request,” HIF said.

The inclusion of Clexane on the positive list had been expected to happen last year, but the procedure was postponed due to technical and administrative difficulties.

The most recent expansion of the positive list with new medicines was made in 2024. That list included medications for high blood pressure, heart disease, depression and dementia.

In May this year, the prime minister announced that the list of medicines covered by the Fund would be expanded again, but so far there is still no concrete information on when the next update will take place./Telegrafi/