Therapeutic reference pricing (TRP)

Therapeutic reference pricing (TRP) represents the maximum price that the Scheme will fund for specific medicine or classes of medicine linked to Selfmed’s list of chronic conditions. The TRP varies per option and condition. It applies per 30-day month and is inclusive of VAT.
A member will need to pay the difference between the cost of the medicine and reference price at the point of dispensing. Use of a pharmacy other than Clicks Direct Medicines , Dis-Chem Pharmacies , Pick n Pay Pharmacies (or another Designated Service Providers as stipulated by the Scheme) may result in a further co-payment.

To apply for, or to view the medicines benefits applicable to a specific condition, please follow the links below and select the Selfmed option you are on.

 

 CDL conditions – see coverage for each option by clicking the links below
Addison’s Disease Selfmed 80% MED Elite Selfsure MedXXI
Asthma Selfmed 80% MED Elite Selfsure MedXXI
Bipolar Mood Disorder Selfmed 80% MED Elite Selfsure MedXXI
Bronchiectasis Selfmed 80% MED Elite Selfsure MedXXI
Cardiac Failure Selfmed 80% MED Elite Selfsure MedXXI
Cardiomyopathy Selfmed 80% MED Elite Selfsure MedXXI
COPD Selfmed 80% MED Elite Selfsure MedXXI
Chronic Renal Disease Selfmed 80% MED Elite Selfsure MedXXI
Coronary Artery Disease Selfmed 80% MED Elite Selfsure MedXXI
Crohn’s Disease Selfmed 80% MED Elite Selfsure MedXXI
Diabetes Insipidus Selfmed 80% MED Elite Selfsure MedXXI
Diabetes Mellitus Type I Selfmed 80% MED Elite Selfsure MedXXI
Diabetes Mellitus Type II Selfmed 80% MED Elite Selfsure MedXXI
Dysrhythmias Selfmed 80% MED Elite Selfsure MedXXI
Epilepsy Selfmed 80% MED Elite Selfsure MedXXI
Glaucoma Selfmed 80% MED Elite Selfsure MedXXI
Haemophilia Selfmed 80% MED Elite Selfsure MedXXI
Hyperlipidaemia Selfmed 80% MED Elite Selfsure MedXXI
Hypertension Selfmed 80% MED Elite Selfsure MedXXI
Hypothyroidism Selfmed 80% MED Elite Selfsure MedXXI
Multiple Sclerosis Selfmed 80% MED Elite Selfsure MedXXI
Parkinson’s Disease Selfmed 80% MED Elite Selfsure MedXXI
Rheumatoid Arthritis Selfmed 80% MED Elite Selfsure MedXXI
Schizophrenia Selfmed 80% MED Elite Selfsure MedXXI
Systemic Lupus Selfmed 80% MED Elite Selfsure MedXXI
Erythematosus Selfmed 80% MED Elite Selfsure MedXXI
Ulcerative Colitis Selfmed 80% MED Elite Selfsure MedXXI
 Additional chronic  conditions
ADHD Selfmed 80% MED Elite
Alzheimer’s Disease Selfmed 80% MED Elite
Ankylosing Spondylitis Selfmed 80% MED Elite
Benign Prostatic Hypertrophy Selfmed 80% MED Elite
Cushing’s Disease Selfmed 80% MED Elite
Cystic Fibrosis Selfmed 80% MED Elite
Deep Vein Thrombosis Selfmed 80% MED Elite
Depression Selfmed 80% MED Elite
Dermatomyositis Selfmed 80% MED Elite
Gord Selfmed 80% MED Elite
Gout Selfmed 80% MED Elite
Hypoparathyroidism Selfmed 80% MED Elite
Menopause Selfmed 80% MED Elite
Motor Neuron Disease Selfmed 80% MED Elite
Muscular Dystrophy Selfmed 80% MED Elite
Myasthenia Gravis Selfmed 80% MED Elite
Narcolepsy Selfmed 80% MED Elite
Obsessive Compulsive Disorder Selfmed 80% MED Elite
Osteoporosis Selfmed 80% MED Elite
Paget’s Disease Selfmed 80% MED Elite
Panic Disorder Selfmed 80% MED Elite
Paraplegia Selfmed 80% MED Elite
Polyarteritis Nodosa Selfmed 80% MED Elite
Post Traumatic Stress Syndrome Selfmed 80% MED Elite
Psoriasis Selfmed 80% MED Elite
Pulmonary Interstitial Fibrosis Selfmed 80% MED Elite
Quadriplegia Selfmed 80% MED Elite
Sarcoidosis Selfmed 80% MED Elite
Scleroderma Selfmed 80% MED Elite
Stroke Selfmed 80% MED Elite
Thromboangiitis
Obliterans
Selfmed 80% MED Elite
Thrombocytopenic
Purpura
Selfmed 80% MED Elite
Tourette’s Disease Selfmed 80% MED Elite