NHC Pharmacy Benefit Management Service

Please note that with effect 26 February 2018, the Pharmacy Benefit Management service for National Health Care will be performed by MSO for pharmacy medicine claims. These claims will be routed to National Health Care where the service date of such claims is equal to or greater than 26 February 2018.

The drug pricing and validation will be against industry standard drug file which is based on legislated SEP pricing. The formularies for both Chronic and Acute will be applied to all options MediClub Plus, MediClub Premier and MediClub Elite.  National Health Care will compensate based on a dispensing fee structure of 25%/R25 (excl. VAT).

The following National Health Care destination code will prevail:
Destination code: NHGR0001

In the event of any enquiries contact:
MSO Pharmacy Benefit Management (PBM) service: 011 259 5060
  • Mondays to Thursdays: 07:00 – 17:00
  • Fridays: 08:00 – 16:00
MSO has established a dedicated email address for any PBM related enquiries, and you are welcome to use PBM@mso.co.za for this purpose.

MediSwitch has been appointed as the dedicated switching partner for the delivery of National Health Care’s pharmacy claims through MSO.

Click here to download the full letter.