The National Health Insurance Authority has suspended three pharmacies from operating under the National Health Insurance Scheme (NHIS) following the discovery of alleged irregularities in claims and service transactions.
In a public notice issued on Thursday, May 14, the Authority announced the immediate temporary suspension of DELDEM PHARMA LIMITED, PARAMEDICA PHARMACY and DESH CHEMIST after a routine claims verification exercise uncovered what the NHIA described as suspicious activities linked to the facilities.
According to the Authority, preliminary findings revealed significant inconsistencies in submitted claims and service records, raising concerns about possible fraud and abuse under the NHIS Provider Service Agreement.
The suspension officially took effect on May 14 and bars the affected pharmacies from dispensing medicines or providing pharmaceutical services under the NHIS until further notice.
The NHIA has consequently advised scheme members seeking medication or related services to visit other accredited NHIS providers across the country while investigations continue.
In its statement, the Authority stressed that it would take firm action against any conduct that threatens the integrity and sustainability of the National Health Insurance Scheme.
The NHIA warned that fraudulent practices within the healthcare system could undermine access to quality healthcare services for subscribers and place additional strain on public resources.
It further reminded accredited healthcare providers that defrauding or attempting to defraud the NHIS constitutes a criminal offence punishable under Ghanaian law, with penalties including fines, imprisonment for up to ten years, or both upon conviction.
The statement, signed by Victor Asare Bampoe, reaffirmed the Authority’s commitment to transparency, accountability and the responsible management of public healthcare funds.
According to the NHIA, protecting the integrity of the Scheme remains essential to ensuring accessible and quality healthcare delivery for residents across Ghana.
