The National Health Insurance Authority (NHIA) has suspended three pharmacies from participating in the National Health Insurance Scheme (NHIS) over suspected fraudulent claims and service irregularities.
In a public notice issued on May 14, 2026, the Authority announced that Deldem Pharma Limited at Iron City in Weija, Paramedica Pharmacy located on Guggisberg Avenue in Ablekuma, and Desh Chemist at Amasaman along the Odumase High Street have all been placed under immediate temporary suspension.
According to the NHIA, the action follows a routine claims verification exercise which uncovered what it described as “material irregularities” in claims and service transactions linked to the affected facilities.
The Authority said the findings have raised “reasonable suspicion of fraud and abuse” under the NHIS Provider Service Agreement.
Effective May 14, 2026, the three pharmacies are prohibited from providing services or dispensing medicines under the NHIS until further notice.
The NHIA advised NHIS members who require pharmaceutical services to seek care from other credentialed providers across the country during the suspension period.
The Authority further served notice to all credentialed healthcare providers that it will not tolerate fraudulent or abusive practices that threaten the sustainability of the National Health Insurance Scheme.
According to the NHIA, such practices undermine the delivery of quality healthcare services to members and could negatively affect the long-term viability of the scheme.
The Authority did not indicate how long the suspension would remain in force but stressed its commitment to protecting the integrity of the NHIS through continuous monitoring and verification exercises.
The Authority warned that "service providers are to take further notice that 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 NHIA said it remains committed to ensuring transparency, accountability, and the prudent use of public funds in delivering accessible and quality healthcare to all residents of Ghana.
