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A convenient ICD-10 and formulary check service is now available to healthcare providers with patients who are GEMS members.
You can check ICD-10 codes or the GEMS Formulary for the selected codes via SMS or with the click of a button right here!
With this new service, GEMS continues to make it easier for you to submit correct and complete claims, which will ensure that you receive quick and efficient payment.
2013 Acute Medication Formulary - Sapphire and Beryl
2013 Chronic Medication Formulary - Sapphire and Beryl
2013 REO Restrictive Formulary
2013 REO Acute formulary exclusions
2013 REO Comprehensive Formulary
2013 Medicine Price List (MPL)
2013 Medicine Exclusion List (MEL)
2013 Medicine Price List - Oncology
2013 Optometry tariffs and rules
2013 Dental policies (clinical protocols):
2013 REO Dental Medicine Formulary
2013 Dental Medicine Formulary - Sapphire & Beryl
VERY IMPORTANT: Formulary changes effective 01 November 2012
Download various forms relating to your membership in easy-to-use PDF format. Click Here >
0860 00 4367 (Call Centre) enquiries@gems.gov.za More Contacts >