The breakdown of the agreement between private pharmacies and the National Health Insurance Fund is the culmination of a standoff lasting several months. Faced with the financial asphyxiation of the sector, the president of the pharmacists’ union calls on the State to intervene urgently to avoid a collapse in access to care.
The decision to end the agreement linking private pharmacies to the CNAM from December 31, 2025 is not unexpected. In a statement to Mosaïque FM, Mohamed Zoubeir Guiga explains that this is the result of a long series of alerts that went unanswered, while the financial situation of the Fund continues to deteriorate.
Pharmacists on the front line
The union official recalls that the agreement with pharmacists was a continuation of agreements already broken with doctors in the private sector. Faced with reimbursement delays, many pharmacies are now providing an increasing share of patient care with their own funds, weakening the financial balance of the sector.
For Mohamed Zoubeir Guiga, the problem now goes beyond the technical or administrative framework. He calls for direct intervention from the Prime Ministry and the convening of an emergency meeting bringing together four ministries: Health, Social Affairs, Finance and Trade. According to him, without close coordination, no credible reform of health insurance or the pharmaceutical sector will succeed.
Warning about consequences for patients
The president of the union warns of the risks of continued inaction: supply disruptions, disorganization of the drug circuit and deterioration of access to care. According to him, patients would be the first victims. He calls for a strong and rapid political decision to prevent the pharmaceutical industry from falling into a major crisis.
