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Court ruling empowers accredited pharmacists to prescribe HIV medications
The Mercury
|October 13, 2025
ACCREDITED South African pharmacists can now legally prescribe certain HIV medicines, significantly improving access to lifesaving treatment for hundreds of thousands of people living with or at risk of HIV.
This is the result of a Supreme Court of Appeal (SCA) ruling after nearly three years of litigation between the Independent Practitioners Association Foundation (IPAF) and the South African Pharmacy Council (SAPC) over the council’s Pharmacy Initiated Management of Antiretroviral Therapy (PIMART) programme.
The initiative allows accredited pharmacists to prescribe pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP), and first-line HIV therapy for prevention, treatment, and management.
According to the judgment, the initiative is aimed at increasing patients' access to antiretroviral medicines for PrEP and PEP as HIV infections remain persistently high in South Africa.
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