The National Health Insurance Authority (NHIA) has suspended three pharmacies from participating in the National Health Insurance Scheme (NHIS) following what it describes as irregularities uncovered during a routine claims verification exercise.
The affected facilities are Deldem Pharma Limited at Iron City in Weija, Paramedica Pharmacy on Guggisberg Avenue in Ablekuma, and Desh Chemist at Amasaman along Odumase High Street in the Ga area.
In a public notice issued on May 14, 2026, the Authority said the decision takes immediate effect.
“This action follows a routine claims verification exercise conducted by the NHIA, which identified material irregularities in claims and service transactions associated with these facilities,” the statement noted.
It added that the findings “have raised reasonable suspicion of fraud and abuse under the NHIS Provider Service Agreement.”
As a result of the suspension, the pharmacies are barred from dispensing medicines or offering services under the National Health Insurance Scheme.
“The pharmacies are not permitted to provide services or dispense medicines under the NHIS during the suspension,” the notice stressed.
The NHIA has therefore advised insured members to seek alternative providers, stating that “NHIS members who require pharmaceutical services are encouraged to seek care from other credentialed NHIS providers nationwide.”
Warning other service providers, the Authority emphasised a zero-tolerance stance on malpractice within the scheme.
“The Authority will not tolerate fraudulent or abusive practices that undermine the sustainability of the NHIS,” it cautioned.
It further reminded providers that offences under the scheme carry severe penalties, noting that any provider found guilty of fraud “is liable on summary conviction to a fine or a term of imprisonment of not more than ten (10) years or both.”
