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HONG KONG DRUG LICENSING

If my pharmacy accepts Health Care Vouchers or direct settlement by insurance companies, what financial accounting issues should I note?

A complete explanation of the regulatory basis, Drew Tang’s recommendations and risk alerts. The original material dates from 2025; read it alongside the latest official requirements.

Original guide, 2025 edition: These FAQs are provided for topic-based reference and have not all been individually checked against current rules. Please confirm fees, personnel, renewal, changes and product requirements against the professional in-depth guide for the relevant licence type and the official requirements in force at the time.

Drug Office, Department of Health Chinese Medicines Board

Q296 · Category F: Fees, budgeting and financial planning (Q251–Q300)
Accepting health vouchers or offering direct settlement with insurance companies can be a good way to attract customers, but particular care is needed in financial administration: 1. “Increased accounts receivable”: unlike cash transactions, you need to submit claims to the government (the health voucher scheme) or insurance companies to receive payment. This process usually takes several weeks or even months and ties up cash flow. 2. “Additional administrative work”: you need dedicated staff to process and reconcile these claims, ensure they are accurate and track payment progress. 3. “Potential bad-debt risk”: some claims may not be recovered if the documents submitted do not meet requirements or there is a dispute over the terms with the insurance company. You should set up a dedicated subsidiary ledger for these receivables in your accounting system.

📘 Regulatory basis

Healthcare service providers participating in the Elderly Health Care Voucher Scheme must comply with the relevant rules and audit requirements set by the Department of Health. Improper use of, or fraud involving, health care vouchers is a serious criminal offence.

📗 Drew Tang's recommendations

Before deciding whether to join these schemes, you must carefully assess their impact on your cash flow. We recommend starting by working with one or two large, reputable insurance companies, then gradually expanding the scope of cooperation once you are familiar with the process and have assessed the administrative costs. Ensure that your POS system can support this complex settlement method.

📕 Risk notice

If you rely too heavily on this business model, where payments are not settled immediately, without sufficient cash-flow reserves, your pharmacy may face liquidity problems. You must strike a healthy balance between the additional sales generated by attracting customers and the cash-flow pressure caused by delayed receipts.

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