Formularies: How We Pay For Chronic Medicine

Formularies: How We Pay For Chronic Medicine

A formulary is a carefully curated list of cost-effective, evidence-based medications that Fedhealth Medical Aid may cover for specific conditions. These formularies are continuously reviewed, with funding determined by clinical guidelines, protocols, and the Scheme’s Rules.

We encourage our members to utilise the medications listed in the relevant formulary, as this can help avoid out-of-pocket expenses when submitting claims.

The most recent formularies are listed below with the option to which they apply:

flexiFEDSavvy  – Basic formulary
flexiFED 1 – Basic formulary
flexiFED 2 – Intermediate formulary
flexiFED 3 – Intermediate formulary
flexiFED 4 – Comprehensive formulary
maxima EXEC – Comprehensive formulary
maxima PLUS – Comprehensive formulary

 

Please note with effect from 1 January 2025:
flexiFEDSavvy – Basic formulary
flexiFED 1 – Basic formulary
flexiFED 1Elect – Basic formulary
flexiFED 2 – Intermediate formulary
flexiFED 2GRID – Basic formulary
flexiFED 2Elect – Basic formulary
flexiFED 3 – Intermediate formulary
flexiFED 3GRID – Basic formulary
flexiFED 3Elect – Basic formulary
flexiFED 4 – Intermediate formulary
flexiFED 4GRID – Basic formulary
flexiFED 4Elect – Basic formulary
 

Fedhealth formulary lists

View the December 2024 Fedhealth Basic Formulary

View the December 2024 Fedhealth Comprehensive Formulary

View the December 2024 Fedhealth Intermediate Formulary

View the December 2024 Fedhealth Medicine Exclusion List

View the December 2024 Fedhealth Medicine Price List

View the Fedhealth Medicine Price List – Review effective July 2024

View the Fedhealth myFED Acute Formulary

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