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Dáil Éireann debate -
Tuesday, 4 Feb 1997

Vol. 474 No. 3

Written Answers. - Drug Cost Subsidisation Scheme.

Noel Ahern

Question:

102 Mr. N. Ahern asked the Minister for Health if he will make a statement on the current campaign of the Eastern Health Board, which is withdrawing the drugs cost subsidisation card from many clients on the grounds that their use of prescribed medicines is not constant, regular and consistent; the number of cards which have been withdrawn or threatened with withdrawal; and if he will request or advise the Eastern Health Board to end their campaign in view of the fact that it is encouraging people to get prescriptions dispensed that they do not need. [2948/97]

, Limerick East): The drug cost subsidisation scheme caters for people who do not have a medical card and are certified by their general practitioner as having a long-term medical condition with a regular and ongoing requirement for prescribed drugs and medicines in excess of £32 per month.

In 1995, the health boards carried out a review of the community drugs schemes generally. In the case of the DCSS, that review showed that there were a considerable number of people who, although holding a DCSS card, had ceased to use it, indicating that they no longer had an ongoing monthly requirement for prescribed medicines in excess of £32 per month in accordance with the terms of the scheme. A review of the scheme is ongoing in the Eastern Health Board and persons who do not satisfy the criteria in respect of a regular and ongoing need for prescribed drugs and medicines have had their cards withdrawn. To date approximately 1,900 cards have been cancelled by the board and a further 330 cards are due to be withdrawn. Such persons may avail of the drugs refund scheme, which covers expenditure by the whole family, where any expenditure on prescribed medication in excess of £90 in a calendar quarter is refunded by the health board. Should a person at a future date have an ongoing requirement for prescribed drugs and medicines in excess of £32 per month, the person should apply to the board for a new drug cost subsidisation scheme card.

The granting of a DCSS card in any individual case is a matter for the particular health board concerned and boards must ensure that the criteria for eligibility for the scheme are met both in relation to the issue of DCSS cards and in their use. The question of patients getting prescriptions dispensed which they do not need does not arise as medical practitioners are obliged to prescribe on the basis of a patients medical need, rather than on the basis of availing of a particular scheme.
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