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/

The post HIF-North Macedonia: From July 1, Clexane is on the positive list, pharmacies must dispense it with a prescription appeared first on Albeu.com.

The director of the Health Insurance Fund, Sasho Klekovski, said that they are awaiting the Ministry of Health’s approval of the protocols that will link the Fund’s system with that of the Ministry, which will pave the way for the issuing of electronic prescriptions. According to him, this mechanism is already in place for prescriptions issued for chronic illnesses.

Speaking about the ways prescription medicines are abused to the detriment of the fund, he said there are two most common forms of abuse, especially when patients ask for them, God forbid.

According to Klekovski, one form of abuse is linked to obtaining medicines “just to have them.” He stressed that in many households the medicine drawer is opened only once a year, and expired medications are thrown away at least once a year.

He also explained that the other category of abuse is related to the double billing of medicines.

“They are charged for false prescriptions, and these are billed both to the Fund and to the patient. The purpose of these checks is to avoid double billing, where a medicine is charged to the patient but not to the Fund, and vice versa,” Klekovski said.

The post Klekovski: Electronic prescriptions will put an end to drug abuse and false billing appeared first on Albeu.com.