Each year, like the seasons, the same soap opera returns: the CNAM (National Health Insurance Fund) and the pharmacists stand against each other, negotiate, threaten, suspend, then renew. And the insured? They look, wait, sometimes pay at the end. Welcome to the big annual Rodeo – where the stars are the palaver and the promise, but the script never changes.
Act I: the solemn alert
It’s always the same song. Pharmacists go up to the microphone: “We can no longer undergo payment delays!” ». “Some clauses are never respected!” ». “If the agreement is not renewed, it will be bankruptcy …”.
The Tunisian pharmacists’ union (spot) announced on Tuesday, September 16, 2025, an exceptional measure to suspend the third -party payment system for drugs intended for ordinary diseases from October 1, 2025, denouncing “the critical situation” caused by the delay of the CNAM in the payment of the sums due to pharmacists for the reimbursement of drugs.
He thus decided to suspend a third -party payment for ordinary diseases from October 1, 2025, and to convene an extraordinary general meeting on October 25, 2025 to decide on the measures to be adopted in the face of this situation.
And on the other side, the CNAM: “You will exaggerate! ». “Here is what we can do … but no more!” ». “We do not promise miracles, but good will!” »»
Act II: the showdown
The deadlines are approaching. The calendar ignites: Threats of suspension of the third-party payment for ordinary diseases, trials of bad faith, media press releases, thunderous declarations. Internet ignites, unions get up, everyone has a speaker.
The public-that is to say-retains his breath. We hope for an agreement. We fear the break. But basically, we already know the end.
Act III: the outcome … expected
The date defined as a fateful border is finally crossed. Surprise (no): the agreement is renewed. The CNAM signs, pharmacists accept. Some developments, promises. “We will digitize a little”, “we will settle the claims soon”, “we will try to do better on time”.
All breathe. Relief in pharmacies. Pride in ministerial offices. And on the faces of the insured: an uptop of shoulders. Because, really, what would we change?
When will a real change? A real one!
