Dara Calleary (Mayo, Fianna Fail)
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146. To ask the Minister for Health the reason the drug Sandimmune is not available on the long-term illness scheme; if he will acknowledge that this drug is necessary for kidney transplant patients; his plans to have the drug added to the long-term illness list; and if he will make a statement on the matter. [42434/14]

Kathleen Lynch (Cork North Central, Labour)
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The Long Term Illness (LTI) Scheme was established under Section 59(3) of the Health Act, 1970 (as amended). Regulations were made in 1971, 1973 and 1975 specifying the conditions covered by the LTI Scheme.

The conditions covered by the LTI Scheme are as follows: Acute Leukaemia; Mental Handicap; Cerebral Palsy; Mental Illness (in a person under 16); Cystic Fibrosis; Multiple Sclerosis; Diabetes Insipidus; Muscular Dystrophies; Diabetes Mellitus; Parkinsonism; Epilepsy; Phenylketonuria; Haemophilia; Spina Bifida; Hydrocephalus; and conditions arising from the use of Thalidomide.

As kidney transplant patients are not covered by the LTI scheme, the drug sandimmun which is required by those patients is not provided for under the scheme. There are no plans to extend the list of conditions covered by the LTI Scheme.

Under the Drug Payment Scheme, no individual or family pays more than €144 per calendar month towards the cost of approved prescribed medicines. The scheme significantly reduces the cost burden for families and individuals incurring ongoing expenditure on medicines.

Under the provisions of the Health Acts, medical cards are provided to persons who are, in the opinion of the Health Service Executive (HSE), unable without undue hardship to arrange GP services for themselves and their dependants. In the assessment process, the HSE can take into account medical costs incurred by an individual or a family. Those who are not eligible for a medical card may still be able to avail of a GP visit card, which covers the cost of GP consultations.