ACTIVE DISEASE MANAGEMENT
PROGRAMME REGISTRATION

APPLICABLE TO ALL OPTIONS

STEP 1

Consult your treating provider for the following:

• Prescription with the relevant ICD10 coding
  
  
• Supporting condition-specific test results, (pathology results, lung function test and ECG)
  
  
• Indicate preferred method of receiving
  
  
• Sign the patient consent form

STEP 2

Fax or email all documentation to Rx Health according to the applicable Disease Management Programme:

• Spinal Programme:
  Fax: 086 686 5091 / Email: spinal@rxhealth.co.za
  
  
• Oncology and Renal Programme:
  Fax: 086 644 3760 / Email: chronic@rxhealth.co.za
  
  
• HIV Programme:
  Fax: 086 685 9709 / Email: chronic@rxhealth.co.za
  
  
• All other Disease Management Programmes:
  Fax: 086 670 2623 / Email: pharma@rxhealth.co.za

IMPORTANT INFORMATION

• Consult your treating provider every 6 months to obtain a new repeatable prescription
  
  
• Have condition-specific test results (Hba1c, lipogram, blood pressure readings)
  
  
• Registration forms and medication formulary available on request
  
  
• Contact us on Telephone: 0861 083 084 / Email:pharma@rxhealth.co.za

CHRONIC CONDITIONS LIST AS COVERED BY UMVUZO HEALTH

1. Addison’s Disease	15. Epilepsy
2. Asthma	16. Glaucoma
3. Bipolar Mood Disorder	17. Haemophilia
4. Bronchiectasis	18. HIV
5. Cardiac Failure	19. Hyperlipidaemia
6. Cardiomyopathy	20. Hypertension
7. Chronic Renal Failure	21. Hypothyroidism
8. COPD	22. Multiple Sclerosis
9. Coronary Artery Disease	23. Oncology
10. Crohn’s Disease	24. Parkinson’s Disease
11. Diabetes Insipidus	25. Rheumatoid Arthritis
12. Diabetes Mellitus 1	26. Schizophrenia
13. Diabetes Mellitus 2	27. Systemic Lupus Erythematosus
14. Dysrhythmia	28. Ulcerative Colitis

FORMS

HIV Disease Management Programme Registration

Chronic Disease Management Programme Registration