Exceptional Medicinal Treatment

The Exceptional Medicinal Treatment (EMT) Unit is responsible for processing requests for exceptional medicinal treatment, which is defined as a medicinal treatment which is not covered by an existing policy on the Government Formulary List.

In brief, an EMT Request Form​ endorsed by a medical consultant is submitted for an individual patient. The request is reviewed by the pharmacists within the EMT unit and a technical case report is presented to the Exceptional Medicinal Treatment Committee (EMTC). The EMTC was set up in line with the L.N. 58 of 2018: Health Act (Cap. 528): Exceptional Medicinal Treatment Committee Regulations, with the objective of evaluating the submitted applications and decide whether an EMT request should be approved or rejected as per Exceptional Medicinal Treatment Policy​.

The EMT unit finally co-ordinates the supply of approved items with the Central Procurement and Supplied Unit (CPSU) and Pharmacy of your Choice (POYC) scheme by providing the necessary information to:

  1. Initiate the procurement process and, once stock availability is confirmed for a particular patient,
  2. Ensure the necessary entitlement documents are in place for the medication to be collected.

The process is illustrated here