The Nationwide Well being Insurance coverage Company (NHIA) has suspended the operations of three pharmacies beneath the Nationwide Well being Insurance coverage System (NHIS) on account of allegations of fraudulent billing and fraud in service transactions.
In a public discover issued on Thursday, Could 14, 2026, the company introduced the instant suspension of three pharmacies (names withheld) following what NHIA mentioned was a routine claims verification train.
The NHIA mentioned its investigation revealed “vital irregularities in insurance coverage claims and repair transactions associated to those amenities” and raised “affordable suspicion of fraud and abuse beneath the NHIS Supplier Providers Settlement.”
The suspension will take impact on Could 14, 2026, and affected pharmacies will probably be prohibited from offering companies or dishing out medicines beneath the NHIS till additional discover.
The assertion, signed by NHIA Chief Govt Officer Victor Asare Banpo, mentioned NHIA is dedicated to transparency, accountability and clever use of public funds in offering high quality well being companies throughout Ghana.
“Pharmacies are usually not permitted to supply companies or dispense medicines beneath the NHIS in the course of the suspension interval,” the company mentioned.
NHIA suggested NHIS members searching for pharmaceutical companies to go to different licensed suppliers throughout the nation whereas the investigation continues.
“NHIS members in want of pharmaceutical companies are inspired to hunt therapy from different certified NHIS suppliers throughout the nation,” the assertion reads.
The authorities additional warned all licensed well being care suppliers to not have interaction in practices that threaten the sustainability of the system.
“The authorities is not going to tolerate fraudulent or abusive practices that undermine the sustainability of NHIS and which will deprive members of high quality well being companies,” the assertion mentioned.
NHIA additionally reminded service suppliers of the authorized penalties of defrauding the scheme, stressing that violators may very well be sentenced to a fantastic, as much as 10 years’ imprisonment, or each upon conviction.
