The Tunisian Pharmacists' Union representing private pharmacy owners announced on Friday that it will suspend third-party payment for beneficiaries of the National Health Insurance Fund (CNAM) starting November 1, 2026. This decision was made due to the CNAM's failure to fulfill its contractual obligations and the lack of practical solutions to ensure the continuity of this service. The union stated that it had previously warned the CNAM and relevant authorities about the impossibility of continuing with the third-party payment system without respecting contractual commitments and settling outstanding dues.
The union's decision was made during an expanded national meeting on October 27, 2026. Despite waiting until the end of the week for a resolution, no solution was forthcoming, leading to the suspension of services. The union emphasized that this measure was necessary to protect the continuity of pharmacy services and maintain their ability to supply and provide medications. With the growing shortage of medications and difficulties in procurement, pharmacists are facing increased efforts to secure essential drugs.
The National Office of the Pharmacists' Union had informed the CNAM and concerned parties on October 19, 2026, about the impossibility of continuing with the third-party payment system without honoring contractual obligations and settling dues. The union expressed regret over the potential disruption to healthcare services and the impact on beneficiaries. They also highlighted the burden of tax obligations on private pharmacy owners and the neglect of fundamental issues affecting the profession.
The union pointed out that the crisis has worsened due to the heavy tax burden on private pharmacy owners, the continued disregard for the profession's core issues, and the lack of implementation of regulatory laws. They also noted the absence of initiatives to organize and regulate unregulated activities and practices. The union has since contacted the CNAM to coordinate procedures for handling beneficiary files and facilitating access to medications.
The decision to suspend third-party payment for CNAM beneficiaries may lead to significant disruptions in healthcare services. The union expressed concern over the potential consequences of this situation and emphasized its commitment to finding a solution. They are working to ensure that beneficiaries can continue to access necessary medications.
The union's announcement comes amid a challenging period for Tunisia's healthcare system. Recent developments, including a significant increase in emergency interventions by the Civil Protection Department, highlight the need for a stable and efficient healthcare system. The union's efforts aim to ensure the continued provision of essential services to citizens.
The situation remains uncertain, with the union awaiting a response from the CNAM and relevant authorities. The Pharmacists' Union has urged for a prompt resolution to this crisis, emphasizing the importance of collaboration and communication to ensure the continuity of healthcare services for all beneficiaries.
Key points
- The Tunisian Pharmacists' Union will suspend third-party payment for CNAM beneficiaries from November 1, 2026.
- The decision was made due to the CNAM's failure to fulfill its contractual obligations.
- The suspension may lead to significant disruptions in healthcare services for CNAM beneficiaries.
