P20K yearly worth of medicines for all PhilHealth Members

P20K yearly worth of medicines for all PhilHealth Members

PhilHealth GAMOT (Guaranteed and Accessible Medications for Outpatient Treatment) is a program that provides members with outpatient prescription drugs for various conditions like infections, chronic diseases, and supportive therapies. It has an initial coverage of 75 types of medicines, with a yearly limit of P20,000 per member at accredited partner pharmacies and clinics. 

To avail of the benefit, members need to be registered, see an accredited doctor for a prescription, and then claim the medicine at a PhilHealth GAMOT-accredited facility.

How to avail of PhilHealth GAMOT

• Register:

Ensure you are a registered PhilHealth member and have access to the program, possibly through the "Yakap" program.

• Consult an accredited doctor:
Get a prescription from a doctor who is affiliated with a PhilHealth-accredited health care facility.

• Claim at an accredited pharmacy:
Bring your prescription to an accredited PhilHealth GAMOT provider (like a partner pharmacy or clinic) to claim your medicine.

• Check for new medicines:
PhilHealth is continuously studying the addition of more medicines to the program based on approvals from the Health Technology Assessment Council (HTAC).

What the program covers
• Initial coverage: Includes medicines for common treatments for conditions like infections, asthma, COPD, diabetes, high cholesterol, high blood pressure, and heart conditions.

• Yearly limit: 

There is a yearly limit of P20,000 for claimed medicines.

• Discounts: 

The benefit is subject to existing national policies like senior citizen or PWD discounts.

Where to get more information

• Official website:

Visit the PhilHealth website for the latest advisories and lists of accredited providers.

• Accredited facilities:

You may be able to find a list of accredited clinics and pharmacies through the E-Gov app or other official PhilHealth resources.