PAMI: one by one, the medications that are no longer covered at 100% in September

PAMI: one by one, the medications that are no longer covered at 100% in September

He National Institute of Social Services for Retirees and Pensioners (PAMI) made an adjustment to the list of medicines with 100% coverage and eliminated 44 as of September 2024. Meanwhile, the agency continues with 100% coverage for a group of medicines, for which a procedure must be completed to access the benefit.

The 44 remedies that are no longer covered 100% by PAMI

This is an adjustment that the agency made to the list of medicines with full coverage. One by one, the 44 remedies and drugs that will no longer be 100% free from September 1, 2024:

  • Acetylsalicylic acid (antiplatelet agent)
  • Acyclovir (antiviral)
  • Benznidazole (antiparasitic)
  • Betamethasone (corticosteroid)
  • Betamethasone + gentamicin + miconazole (corticosteroid)
  • Calcium carbonate (supplement)
  • Calcium citrate (supplement)
  • Ceftriaxone (antibiotic)
  • Cefuroxime (antibiotic)
  • Cilostazol (vasodilator)
  • Ciprofloxacin (antibiotic)
  • Clarithromycin (antibiotic)
  • Clindamycin (antibiotic)
  • Clobetasol (corticosteroid)
  • Dexamethasone (corticosteroid)
  • Doxycycline (antibiotic)
  • Estriol (hormone therapy)
  • Fluconazole (antibiotic)
  • Fluoxetine (antidepressant)
  • Hydrocortisone (corticosteroid)
  • Iron polymaltosate (supplement)
  • Ivermectin (antiparasitic)
  • Levomepromazine (antipsychotic)
  • Liothyronine (treatment of hypothyroidism)
  • Mebendazole (antiparasitic)
  • Meprednisone (corticosteroid)
  • Methadone (pain treatment)
  • Metoclopramide (antiemetic)
  • Methotrexate (treatment of rheumatoid arthritis)
  • Metronidazole (antibiotic)
  • Minocycline (antibiotic)
  • Morphine hydrochloride (pain treatment)
  • Neomycin (antibiotic)
  • Nystatin (antibiotic)
  • Oxybutynin (antispasmodic)
  • Prednisone (corticosteroid)
  • Pregabalin (pain treatment)
  • Promestriene (hormone therapy)
  • Psyllium (laxative)
  • Sulfamethoxazole + trimethoprim (antibiotic)
  • Sulfasalazine (treatment of intestinal inflammation)
  • Tobramycin (antibiotic)
  • Tramadol (pain treatment)
  • Triamcinolone (corticosteroid)

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44 remedies will no longer be fully covered for PAMI retirees and pensioners.

PAMI: What are the requirements to access drug coverage?

Throughout 2024 PAMI made certain adjustments to the benefits it offered to its members. Among the cuts, one of the most impactful was the program “Living better” which guaranteed the free provision of 170 drugs commonly used by senior citizens. These remedies began to have a discount of 80% 60% or 40% but they were no longer free.

The agency realized that many retirees and pensioners had difficulty accessing all the medications and so they chose the most necessary one and only took that one. Now, in order to stop this situation, it was announced that people who have to take one or more medications for a long time will be able to access them for free.

In order to have PAMI coverage when purchasing your medicines, you must meet the following requirements:

  • Be retired or pensioner.
  • Have an electronic prescription issued by your primary care physician. (Remember that you can ask your doctor to send it directly to the pharmacy.)
  • The prescription must contain one of the active ingredients included in the PAMI Medications program and the appropriate diagnosis. In addition, it must have the legend “MEDICATION INCLUDED IN THE NEW PAMI VADEMECUM” printed on it.
  • For medications covered at 100% for disability, it is necessary to present the medical history, the medical prescription and the disability certificate at the agency or UGL.
  • In the case of outpatient medications through the Subsidy for Social Reasons, the situation of social vulnerability must be demonstrated to access 100% coverage.

Remember, also, that to pick up your medications you must present your ID and PAMI credential. If you cannot pick them up, a family member or trusted person can do so by presenting the documentation.

PAMI renewed its medical card: all the September changes you should know about

He Comprehensive Medical Care Program (PAMI) is responsible for ensuring that retirees and pensioners of the ANSES receive the necessary medical care. They have a large number of professionals under the service, along with hospitals, exclusive medical care centers and so on.

Among the benefits available, you can access free anti-bedsore mattresses, important Discounts on glasses and hearing aidsfree dental care and free medications to maintain long-term treatments. For these, it is necessary to have a professional who certifies the need through a prescription, and recently PAMI renewed its medical card.

What are the PAMI modifications in the medical record?

Among the new improvements that are being made to the PAMI online system, the system was updated Online Medical Cardto make it much simpler find the professionals necessary and thus get appointments sooner. New providers were added, and the search algorithm was reorganized, separating the centers and doctors in this way:

  • For medical service
  • By professional
  • By proximity
  • By health center

This way, it will be much easier to find the doctor you need, or to contact a specialist centre nearby.

Source: Ambito

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