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Medicine Exclusion List (MEL)

Some Schemes makes use of a Medicine Exclusion List (MEL). The objective of the MEL is to protect the Acute / Routine Medicine Benefits through the exclusion of certain drugs from payment for a number of reasons. Some of these medical exclusions include:

  • Medicines that have not been proven to have relevant clinical value
  • Medicines that are more expensive compared to equally effective, safe and cheaper alternatives
  • Some expensive chronic medicines that require pre-authorisation
  • Some combination products, where it is more appropriate to use single ingredients products
  • Newly registered products under review

View the current MEL below:

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