The National Health Insurance Authority has temporarily suspended three credentialed pharmacies from operating under the National Health Insurance Scheme (NHIS) following the discovery of suspected fraudulent activities during a routine claims verification exercise.
In a statement dated May 14, 2026, the Authority announced that DELDEM PHARMA LIMITED, PARAMEDICA PHARMACY, and DESH CHEMIST had been placed under immediate suspension from participating in the NHIS.
According to the NHIA, investigations uncovered material irregularities in claims submissions and service transactions linked to the three facilities, raising concerns about possible fraud and abuse under the NHIS Provider Service Agreement.
“This action follows a routine claims verification exercise conducted by the NHIA, which identified material irregularities in claims and service transactions associated with these facilities. These irregularities have raised reasonable suspicion of fraud and abuse under the NHIS Provider Service Agreement,” portions of the statement noted.
The Authority explained that the suspension took effect on May 14, 2026, and bars the affected pharmacies from dispensing medicines or providing services under the NHIS until further notice.
“These pharmacies are not permitted to provide services or dispense medicines under the NHIS during the suspension,” the statement added.
The NHIA has therefore advised NHIS subscribers seeking pharmaceutical services to visit other accredited providers nationwide.
It also cautioned healthcare providers against engaging in fraudulent practices that could threaten the sustainability of the Scheme.
According to the Authority, Ghana’s health insurance laws prescribe severe penalties for any provider found guilty of defrauding or attempting to defraud the NHIS, including fines, imprisonment of up to 10 years, or both.
The NHIA reaffirmed its commitment to transparency, accountability, and the responsible management of public funds to ensure quality and accessible healthcare delivery across the country.