Private pharmacists to suspend CNAM billing from 1 November, union says

The Tunisian union of private pharmacy owners announced on Friday that it will suspend the tiers payant system for patients insured by the national health insurance fund CNAM, starting 1 November. The union said it had told CNAM since 19 October that the arrangement could not continue without payment of sums owed, and that pharmacies need the money to keep buying medicines amid ongoing shortages. CNAM-insured patients will have to pay for prescriptions upfront from that date and then seek reimbursement.

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