{"id":461797,"date":"2026-10-01T21:57:17","date_gmt":"2026-10-01T21:57:17","guid":{"rendered":"https:\/\/pinceldigital.do\/?p=77732"},"modified":"2026-10-01T21:57:17","modified_gmt":"2026-10-01T21:57:17","slug":"cnss-logra-cobertura-del-100-para-13-medicamentos-de-alto-costo-mediante-el-fomac","status":"publish","type":"post","link":"https:\/\/sarmiento24h.com\/?p=461797","title":{"rendered":"CNSS logra cobertura del 100 % para 13 medicamentos de alto costo mediante el FOMAC \u00a0"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/pinceldigital.do\/wp-content\/uploads\/2026\/10\/31225f4d-5457-4fe4-a21b-8b4260ee8547.jpeg\" class=\"ff-og-image-inserted\"><\/div>\n<p class=\"wp-block-paragraph\">El Consejo Nacional de Seguridad Social (CNSS) aprob\u00f3 en un 100 %, 13 medicamentos de alto costo, que dar\u00e1n cobertura a 16 enfermedades catastr\u00f3ficas, mediante el Fondo de Medicamentos de Alto Costo (FOMAC). La medida fortalecer\u00e1 la protecci\u00f3n de los afiliados y contribuir\u00e1 a reducir el gasto de las familias afectadas.<br \/>&nbsp;<br \/>Este fondo fue aprobado por el CNSS, a unanimidad, mediante la resoluci\u00f3n No. 645-16 el cual contempla inicialmente medicamentos relacionados al tratamiento con c\u00e1ncer de mama y pulm\u00f3n, enfermedades autoinmunes, reumatol\u00f3gicas, c\u00e1ncer infantil, acromegalia y atrofia muscular espinal.<br \/>&nbsp;<br \/>La sesi\u00f3n estuvo encabezada por el ministro de Trabajo y presidente del CNSS, Eddy Olivares; el viceministro de Salud P\u00fablica y Asistencia Social, Jos\u00e9 Antonio Matos; el viceministro de Trabajo en Seguridad Social, Ram\u00f3n Efr\u00e9n Cuello y la gerente general del CNSS, Aura Celeste Fern\u00e1ndez Rodr\u00edguez.<br \/>&nbsp;<br \/>La creaci\u00f3n del fondo fortalecer\u00e1 el acceso a medicamentos de alto costo a trav\u00e9s de mecanismos de compra conjunta y el aprovechamiento de econom\u00edas de escala. Asimismo, los medicamentos financiados directamente por el FOMAC tendr\u00e1n cobertura del 100 %, sin copago ni cuota moderadora para el afiliado. De igual modo, se garantizar\u00e1 mayor continuidad de los tratamientos de alto costo y se contribuir\u00e1 a reducir la lista de espera.<br \/>El FOMAC tambi\u00e9n incorpora nuevas prestaciones para la atenci\u00f3n del c\u00e1ncer infantil, entre ellas pruebas diagn\u00f3sticas especializadas, estudios PET-CT, tamizajes, determinadas terapia de retina, biopsias y evaluaciones necesarias para el seguimiento de ni\u00f1os, ni\u00f1as y adolescentes durante y despu\u00e9s de sus tratamientos conforme a los porcentajes y condiciones del Plan de Servicio de Salud (PDSS).<br \/>&nbsp;<br \/>La decisi\u00f3n fue adoptada, en base a la propuesta presentada por la Superintendencia de Salud y Riesgos Laborales (SISALRIL), la cual fue ampliamente analizada y debatida previamente en el marco de las Comisiones Permanentes de Salud y de Presupuesto, Finanzas e Inversiones del CNSS, contando con la participaci\u00f3n de instituciones del Sistema, representantes de las Administradoras de Riesgos de Salud (ARS), sectores profesionales y actores de la industria farmac\u00e9utica.<br \/>&nbsp;<br \/>Durante este proceso, fueron evaluados del fondo, aspectos t\u00e9cnicos, actuariales, financieros, operativos, legales y de sostenibilidad, as\u00ed como, mecanismos para garantizar la continuidad de los tratamientos contando con una reserva financiera para responder ante situaciones extraordinarias, como desabastecimiento o aumentos imprevistos en la demanda.<br \/>&nbsp;<br \/>El fondo ser\u00e1 gestionado por la Direcci\u00f3n de Acceso a Medicamentos de Alto Costo (DAMAC) del Ministerio de Salud P\u00fablica y Asistencia Social (MISPAS) y operar\u00e1 mediante una cuenta especializada administrada por la Tesorer\u00eda de la Seguridad Social (TSS).<\/p>\n<p class=\"wp-block-paragraph\">Durante los primeros 12 meses se desarrollar\u00e1 una etapa de capitalizaci\u00f3n y preparaci\u00f3n operativa, en la que se acumular\u00e1n los recursos necesarios y se completar\u00e1n las condiciones requeridas para iniciar las coberturas y la dispensaci\u00f3n de los medicamentos, encaminada a garantizar su funcionamiento.<br \/>&nbsp;<br \/>La aprobaci\u00f3n de la creaci\u00f3n del FOMAC representa un paso trascendente en la protecci\u00f3n de la salud y de la econom\u00eda familiar, al procurar que pacientes con enfermedades complejas puedan acceder oportunamente desde la seguridad social, a medicamentos de alto costo, sin tener que asumir copagos, bajo criterios m\u00e9dicos definidos y con mecanismos de control, transparencia y seguimiento.<br \/>&nbsp;<\/p>\n<p>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>El Consejo Nacional de Seguridad Social (CNSS)&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":461798,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[42],"tags":[],"class_list":["post-461797","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nacionales"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - 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