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PAMI Updates Drug Subsidy Program with New Eligibility Rules and Full Coverage for Critical Treatments

The revised program ensures 100% medication coverage for chronic and severe illnesses while introducing stricter income criteria and a mandatory registration process.

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Overview

  • PAMI continues to provide full coverage for chronic and high-complexity treatments, including diabetes, cancer, transplants, and more, to eligible pensioners.
  • New applicants must complete a mandatory form to access the 100% drug subsidy, streamlining the process for targeted beneficiaries.
  • Eligibility is restricted to pensioners earning below 1.5 minimum pensions (or up to 3 for households with a disability certificate) and meeting asset criteria.
  • An exception mechanism allows coverage for those whose medication costs exceed 15% of their income, contingent on social and medical validation.
  • The reforms aim to balance financial sustainability with access to essential medications, reflecting WHO recommendations and PAMI's commitment to vulnerable groups.