Accra: The National Health Insurance Authority (NHIA) has suspended three credentialed pharmacies from the National Health Insurance Scheme following a routine claims verification exercise that uncovered suspected fraudulent and abusive practices.
According to Ghana Web, the NHIA announced in a statement dated May 14, 2026, that DELDEM PHARMA LIMITED at Iron City in Weija, PARAMEDICA PHARMACY on Guggisberg Avenue in Ablekuma, and DESH CHEMIST at Amasaman along Odumase High Street have been placed under immediate temporary suspension from participating in the NHIS. This decision took effect on May 14, 2026, after investigations identified material irregularities in claims and service transactions linked to the three facilities.
The findings raised reasonable suspicion of fraud and abuse under the NHIS Provider Service Agreement. The NHIA emphasized that the action followed a routine claims verification exercise conducted by the Authority, which identified material irregularities in claims and service transactions associated with these facilities.
During the suspension period, the pharmacies are barred from providing services or dispensing medicines under the NHIS. The NHIA has advised NHIS members needing pharmaceutical services to seek care from other credentialed providers across the country.
The Authority warned all healthcare providers that fraudulent and abusive practices threatening the Scheme's sustainability will not be tolerated. It further noted that under Ghana's health insurance laws, any provider who defrauds or attempts to defraud the NHIS commits an offense and may, upon summary conviction, face a fine, a prison term of up to 10 years, or both.
The NHIA stressed its commitment to transparency, accountability, and the prudent use of public funds to ensure accessible and quality healthcare for all residents of Ghana.