PhilHealth Delivers: GAMOT Claims Paid Before 15-Day Commitment

PhilHealth has recently turned over its first payment under the GAMOT (Guaranteed Access to Medicines and Outpatient Treatment) program to CGD Medical Depot Inc., a PhilHealth GAMOT accredited retail pharmaceutical outlet located at Ayala Malls-Vertis North in Quezon City.  

 PhilHealth GAMOT, a comprehensive outpatient drug benefit package that covers essential medicines, is the newest enhancement to its primary care benefits YAKAP. It has added 54 more essential medicines to the existing 21 medicines designed to treat various conditions, such as infections (anti-microbial), asthma and COPD, diabetes, high cholesterol (dyslipidemia), high blood pressure and heart conditions (cardiology), and nervous system disorders, along with other supportive therapies.   This initiative fulfills the directive of President Ferdinand R. Marcos Jr. in his recent State of the Nation Address (SONA) to make medicines affordable and accessible to all.  

 This turnover is a symbol of our commitment to fulfilling the promise of accessible treatment for every Filipino.  “Hindi lang ito basta bayad sa serbisyong ipinagkaloob ng ating partner pharmacy. Ito ay pagtupad sa pangako na gawing abot-kamay ang gamot sa nangangailangan nito.”, said PhilHealth Acting President and CEO Dr. Edwin M. Mercado during the simple turnover rite held in Makati City. 

By partnering with FDA-licensed retail pharmacies nationwide, PhilHealth ensures that members can conveniently access their prescribed essential medicines through accredited GAMOT facilities under PhilHealth YAKAP. To avail these benefits, members are encouraged to download the eGovPH mobile app for a convenient registration, YAKAP Clinic selection, Primary Care Provider (PCP) choosing, and First Patient Encounter (FPE) scheduling. 

As of September 3, there are 41 GAMOT facilities operating across the National Capital Region, with more expected to join the program in the coming months. PhilHealth members can stay updated on the list of accredited GAMOT facilities through the PhilHealth website at the following link: https://www.philhealth.gov.ph/partners/providers/facilities/accredited/GAMOT.pdf 

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