Single Exit Price
The Single Exit Price regulations, which came into effect in 2005 and govern the pricing of prescribed medicines (Schedules 1-7 drugs), have had a massive impact on the medical scheme industry.
What is reference pricing?
The reference price is a limit to the financial benefit available for your medication (drug). If the cost of the drug that you are using is greater than the applicable reference price, then you will be required to pay the difference between the cost of your drug and the reference price at the point of sale.
Profmed applies a generic reference pricing model to acute medicines, and both generic and therapeutic reference pricing to medicines used in the management of chronic conditions.