The Scriptpharm network is contracted to numerous Medical Schemes, as either a
Designated Service Provider (DSP) or a Preferred Provider (PP).
This means that members of the contracted Medical Schemes can in some instances ONLY use a ScriptPharm pharmacy for their supply of medicines, and in other instances where ScriptPharm is a Preferred Provider, members are encouraged to use the pharmacy network as the providers have agreed to the Scheme’s specific reimbursement and professional/dispensing fee. Members who use non-contracted providers may have to make a co-payment from their own pockets should they voluntarily choose to use a non-contracted pharmacy. Non-contracted pharmacies sometimes charge more than the Scheme’s agreed fee and this then impacts on the member.
Should you as a member need guidance on selecting a pharmacy provider in your area, and who is contracted to your scheme, please call our Call Centre and a consultant will assist you in making a decision that is suitable to you and your needs.
CONTRACTED SCHEMES 2021
Nedgroup – all options – PMB and chronic – chronic medicine pre-authorisation, DSP network management (excludes HIV network management).
Polmed – DSP network for chronic (includes HIV) and Acute and OTC for 2021
Bonitas – 2021 – change in network status from Preferred Provider Network to DSP network arrangement – applicable to Chronic and Acute & OTC for 2021
What the Scriptpharm Network can offer you:
Chronic & Acute
Chronic and Acute medication based on the relevant medical scheme's medicine formulary.
Scriptpharm users have access to Scriptpharm's cost-effective range of formulary medication.
Free advice and information on medication from the Scriptpharm Pharmacists.
Ongoing information about medical conditions is available to all Scriptpharm users.
Nedgroup Scheme Update 2020: Pharmacy Direct is the sole Designated Service Provider for the Nedgroup Hospital Network Plan
If Hospital Network Plan members use a non-DSP provider, there is a 25% co-payment on authorized PMB medicine, which the member will be liable for. There will be a 100% co-payment for use of a non-DSP for authorized chronic medicine for Depression.