Question & AnswerQ&A (PHIC PHILHEALTH CIRCULAR NO. 018)
The PNDF is the main reference used by PhilHealth for drug reimbursement. It lists drugs that are reimbursable under PhilHealth coverage.
It is a circular issued by PhilHealth on June 15, 2000, that includes additional drugs to the present list of PHIC reimbursable drugs based on the updated 5th edition of the PNDF.
The newly listed drugs became reimbursable effective May 30, 2000.
It mandates PhilHealth to reimburse claims for the drugs newly listed in the 5th edition of the PNDF starting May 30, 2000.
Yes, PhilHealth generally reimburses only those drugs listed in the PNDF, making the list the standard for drug reimbursement claims.
The list is subject to revisions and updates as the PNDF is regularly updated by the Department of Health.
It covers additional drugs included in the latest 5th edition of the PNDF for reimbursement purposes by PhilHealth.
Enrique M. Zalamea, President and CEO of PhilHealth, signed and adopted the circular.