NHIA Suspends Three Pharmacies Over Alleged NHIS Fraud

The National Health Insurance Authority (NHIA) has temporarily suspended three pharmacies from participating in the National Health Insurance Scheme (NHIS) over alleged fraudulent practices and irregularities identified during a routine verification exercise.

The affected facilities are Deldem Pharma Limited at Iron City in Weija, Paramedica Pharmacy on Guggisberg Avenue in Ablekuma, and Desh Chemist located along the Amasaman-Odumase High Street. The suspension took effect on 14 May 2026.

According to the NHIA, investigations uncovered material irregularities in claims and service transactions associated with the facilities. The Authority stated that the findings raised reasonable suspicion of fraud and abuse under the NHIS Provider Service Agreement.

In a public notice issued by the NHIA, the Authority explained that the pharmacies will not be permitted to provide services or dispense medicines under the NHIS during the suspension period. NHIS members seeking pharmaceutical services have therefore been advised to obtain care from other credentialed providers across the country.

The NHIA also issued a strong warning to all accredited healthcare providers, stressing that any provider found defrauding the National Health Insurance Scheme commits an offence punishable under the law. The Authority noted that offenders may face fines, imprisonment of up to ten years, or both upon summary conviction.

The statement, signed by NHIA Chief Executive Dr. Victor Asare Bampoe, reaffirmed the Authority’s commitment to promoting transparency, accountability, and the responsible use of public funds in healthcare delivery.

The latest action highlights growing efforts by regulators to safeguard the sustainability of Ghana’s National Health Insurance Scheme, which remains a critical source of healthcare access for millions of citizens. Health experts have repeatedly warned that fraudulent claims and abuse within the system can drain resources, undermine public confidence, and affect the quality of care available to patients.

Health advocacy groups, including Turning Point Foundation, say the development should serve as a reminder to healthcare providers about the importance of ethical conduct and strict compliance with NHIS regulations. The Foundation is also encouraging members of the public to remain vigilant, report suspicious practices, and seek healthcare services only from accredited providers.

As Ghana continues efforts to strengthen its healthcare system, accountability and transparency remain central to ensuring that public health resources are protected and that quality healthcare remains accessible to all.

…/Turning Point Foundation/