On-call and applying a copayment (July 1, 2012)
In recent days it has sown many doubts about its implementation, but the pharmacist, because of defaults on the administration, we're used to suffer chaos.
For this copayment is applied normally, the Ministry has established several codes (TSI 001, without contribution, IST 002, 10% contribution; TSI 003, 40% contribution; TSI 004, 50% contribution, and TSI 005, contribution of 60%) shall be printed on prescriptions that pharmacists may charge the right amount.
After the payment by the patient, the pharmacist will give the user a ticket stapled to the copy of the recipe which contains the amount and the buyer shall keep, as those who exceed their monthly limits fixed copayment for their level income will have to forward that money over, which will then be reimbursed by state government within a maximum of six months.
The problem may arise with a TSI codes assigned by the ministry and that is the 'DES', ie 'unknown' in this case the users will pay the previous rate of 40% and pensioners will have this tag pay 10% consistently.
Pharmacy professionals also have our doubts as although we were released today in the new co-payment, will arrive Monday morning when the real test, with the resumption of daily activities in health centers.
Mato Minister has defended the measure saying it is "fair and equitable" because "they have not paid less and pay more than those with more", while stressed that "no deterrent but tax collection effort."
A study by the General Council of Official Colleges of Pharmacists states that the number of prescriptions dispensed has increased from 596.89 million in 2000 to 936,260,000 in 2009. This 57% increase in nine years that does not correspond with the increase in population recorded in the same period, which was 15%.
Is expected this July and any reduction in drug spending as a result of the contraction in consumption, especially pensioners.