Medicine Reimbursement Database

A searchable list of medicines, each with its likely composition, what it is commonly taken for, and whether it is likely to be reimbursable. It is built from the bills people actually file, and every entry in it is a suggestion rather than a ruling.

What it is

A reference you search, not a calculator you fill in. Type a brand name or a composition and the matching entries appear; type nothing and nothing appears, because the database is never listed as a whole.

Each entry names the medicine, its composition where that is known, what it is commonly used for, and a likely reimbursement status with the reason for it.

How an entry is decided

There is no official list of approved medicines to check against. That is the single most important thing to know about this page, and everything else follows from it.

Each entry is built from two things. First, a small set of general rules: items for external use — creams, lotions, oils, balms, ointments, gels, sprays, inhalers, nasal drops, and ear or eye drops — and health or nutritional supplements, protein diets and multivitamins are ordinarily not reimbursable. Second, an automated assessment of the medicine itself, used only where those rules have nothing to say.

Neither can see what actually decides a claim: the referral, the recognition of the hospital, the approval of the treatment and the rest of the conditions in the medical attendance rules.

What it is not

It is not a determination of admissibility and it does not bind any sanctioning authority. An entry reading likely reimbursable is not a statement that your claim will be passed — only that the item itself is not one of the ordinarily excluded kinds.

Treat it as a prompt to check before you file, and verify against the rules and orders in force.

What it costs

Searching is free. If a medicine is not in the database yet you can have it looked up, or upload a bill and have every medicine on it read at once; the price is shown before you confirm.

You are not charged when there is nothing to sell — a medicine the general rules already answer, a name that cannot be identified, or a lookup that fails, all cost nothing. Whatever is found is kept, so the next person to search that medicine gets the answer free.

What is stored

Medicine names only. No claimant, no patient, no amounts, no part of anybody's claim, and nothing recording who contributed a name. An uploaded bill is read in memory and never stored.

Section 12 of the Privacy Policy sets this out in full.