Three pharmacies, effective Thursday, May 14, 2026, have been temporary suspended from participating in the National Health Insurance Scheme (NHIS) over what it describes as suspected fraudulent claims and irregular service transactions.
The National Health Insurance Authority (NHIA), in a statement issued on Thursday, May 14, indicated that the three pharmacies, namely DELDEM PHARMA LIMITED, PARAMEDICA PHARMACY and DESH CHEMIST have been placed “immediate temporary suspension” following a routine claims verification exercise.
According to the NHIA, their probe revealed “material irregularities in claims and service transactions associated with these facilities.”
Per the NHIS’s Provider Service Agreement, the Authority says the findings “raised reasonable suspicion of fraud and abuse.”
The suspended pharmacies, as part of their punishment, will not be allowed to provide services or dispense medicines under the NHIS until further notice.
“The pharmacies are not permitted to provide services or dispense medicines under the NHIS during the suspension,” the statement noted, advising the public to desist from dealing with them.
“NHIS members who require pharmaceutical services are encouraged to seek care from other credentialed NHIS providers nationwide,” the NHIA stated.
Meanwhile, all accredited healthcare providers have been advised by the NHIA to desist from such acts, saying it would not spare such providers.
“The Authority will not tolerate fraudulent or abusive practices that undermine the sustainability of the NHIS, which may deprive members of quality healthcare services,” the statement warned, stressing on the legal consequences of defrauding the scheme.
“A healthcare provider providing services under the National Health Insurance Scheme who defrauds or attempts to defraud the Scheme commits an offence and is liable on summary conviction to a fine or a term of imprisonment of not more than ten (10) years or both,” the notice added.
The statement, signed by the Chief Executive of the NHIA, Dr. Victor Asare Bampoe, reaffirmed the Authority’s commitment to accountability and the proper use of public funds.
“The NHIA remains committed to ensuring transparency, accountability, and the prudent use of public funds in delivering accessible and quality healthcare to all residents of Ghana,” the statement said.
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