💊 GAMOT Program Guide
✨ What You Get:
75 essential medicines worth ₱20,000 per year - completely FREE with zero co-payment!
📖 What is GAMOT?
GAMOT (Guaranteed and Accessible Medications for Outpatient Treatment) is PhilHealth's medicine benefit program launched in August 2025.
It provides free essential medicines for common health conditions, so you don't have to spend your own money on prescriptions.
👥 Who Can Use GAMOT?
✅ You CAN use GAMOT if you are:
- Any Filipino with active PhilHealth membership
- A dependent registered under PhilHealth
- Enrolled in the YAKAP program
- Have a valid prescription from an accredited doctor
💊 What Medicines Are Covered?
🦠 Infections
Antibiotics and antivirals for respiratory and other infections
🫁 Respiratory
Inhalers and medications for asthma and COPD
🍯 Diabetes
Insulin and oral medications for blood sugar control
❤️ Heart & Blood Pressure
Medications for hypertension and heart conditions
🧠 Neurological
Medicines for nervous system disorders
💊 Others
Cholesterol medications, vitamins, and supportive treatments
📋 Important: Only medicines on PhilHealth's official GAMOT list are covered. Ask your doctor for alternatives if your usual medicine isn't on the list.
📝 How to Get GAMOT Medicines (Step-by-Step)
Get a GAMOT Prescription
During your YAKAP clinic visit or consultation with an accredited doctor:
- Doctor examines you and determines what medicine you need
- Doctor issues prescription through the GAMOT App
- Prescription includes a Unique Prescription Security Code (UPSC)
📄 You'll receive: Printed or digital prescription with UPSC
Go to an Accredited GAMOT Pharmacy
Take your prescription to any accredited GAMOT facility:
- 🏪 Participating retail pharmacies
- 🏥 Hospital pharmacies
- 🏢 Primary care clinics with dispensing capacity
- 🏛️ Some Botika ng Bayan outlets
📋 Bring: GAMOT prescription + valid government ID
Get Your Medicines for FREE
The pharmacist will:
- Verify your prescription using the UPSC
- Check your PhilHealth membership
- Dispense your medicines at no cost to you
- Give you a GAMOT Availment Slip showing remaining balance
💰 You pay: ₱0 (Zero pesos!)
💰 GAMOT Annual Limit
₱20,000 per person per year
- Each PhilHealth member gets ₱20,000
- Each dependent gets their own ₱20,000
- Resets every January 1
- Track your balance through the GAMOT Availment Slip
👨👩👧👦 Family Example:
Family of 4 with PhilHealth = ₱80,000 total in GAMOT benefits per year
- Father: ₱20,000
- Mother: ₱20,000
- Child 1: ₱20,000
- Child 2: ₱20,000
📋 Important Documents & Requirements
✅ Always Bring:
Must include the Unique Prescription Security Code (UPSC)
Driver's license, passport, postal ID, or any government ID
Your PhilHealth ID number (PIN) - usually asked by pharmacist
❓ Frequently Asked Questions
Q: Can I get GAMOT medicines without going to a YAKAP clinic?
A: No, you need a valid GAMOT prescription from an accredited doctor. This usually comes from your YAKAP clinic visit or other PhilHealth-accredited prescribers.
Q: What if the pharmacy doesn't have my medicine in stock?
A: You can take the same prescription to another accredited GAMOT pharmacy. Your prescription with UPSC is valid at any participating facility until the full quantity is dispensed.
Q: Can I use GAMOT for medicines during hospital stays?
A: No, GAMOT only covers outpatient prescriptions. Medicines given during hospital confinement are covered under different PhilHealth benefits.
Q: What happens if I reach the ₱20,000 limit?
A: Once you've used up your ₱20,000 annual allowance, you'll need to pay out-of-pocket for additional medicines until your benefit resets the following year.
Q: Can I get medicines for my whole family with one prescription?
A: No, each person needs their own prescription. Each family member has their own ₱20,000 annual limit and needs individual medical evaluation.
Q: How long is a GAMOT prescription valid?
A: GAMOT prescriptions are typically valid for 90 days from the date issued, but this may vary. Check with your doctor or pharmacist for specific validity periods.
⚠️ Important Reminders
Keep your receipts: Save your GAMOT Availment Slips to track your remaining balance
Only accredited facilities: GAMOT only works at PhilHealth-accredited pharmacies and clinics
Listed medicines only: Only medicines on the official GAMOT list are covered
Annual reset: Your ₱20,000 allowance resets every January 1
❓ Frequently Asked Questions
What is GAMOT, in plain words?
GAMOT is the medicines arm of PhilHealth's benefits: a defined list of outpatient medicines PhilHealth pays for (expanded list of 75 medicines) with an annual ₱20,000 allowance per beneficiary and zero co-payment at accredited outlets for covered medicines.
When did GAMOT start?
PhilHealth announced the GAMOT rollout with expanded medicines and the ₱20,000 ABL in August 2025; availability started around August 21, 2025. Members may start using GAMOT once prescriptions and accredited dispensing partners are in place.
What medicines are covered under GAMOT?
GAMOT covers a specified list of essential outpatient medicines (see PhilHealth Circular PC No. 2025-0013 Annex A). The list includes treatments for common outpatient conditions such as:
- Infections
- Asthma/COPD
- Diabetes
- Hypertension
- Heart conditions
- Other common needs
How much does GAMOT cost? Is there any co-pay?
Medicines on the GAMOT list have no co-payment at accredited GAMOT facilities until the ₱20,000 Annual Benefit Limit per beneficiary is exhausted. After the ABL is used, members pay out-of-pocket.
Do I need to register separately for GAMOT?
No. GAMOT is accessed through YAKAP and accredited prescribers. Register with an accredited YAKAP clinic via the PhilHealth Member Portal, eGovPH, LHIO, or at the clinic. The doctor issues a GAMOT App prescription if medicines are needed.
What documents do I need for getting GAMOT medicines?
Bring the following:
- GAMOT App prescription (printed or digital) containing the Unique Prescription Security Code (UPSC)
- Valid government-issued photo ID
The pharmacist will verify your PhilHealth membership and process the claim.
What is the UPSC (Unique Prescription Security Code)?
UPSC is an electronic code generated by the GAMOT App to uniquely identify prescriptions. Accredited dispensing facilities use the UPSC to validate prescriptions and prevent duplicate or fraudulent claims.
Where can I get GAMOT medicines?
GAMOT medicines are available at PhilHealth-accredited GAMOT facilities:
- Participating retail pharmacies
- Hospital pharmacies
- Accredited primary care clinics with dispensing capacity
Check PhilHealth's list of accredited partners or ask your YAKAP clinic for nearby options.
How long of a supply can the doctor prescribe?
Prescription quantities depend on the medicine class and GAMOT dispensing rules:
- Maintenance medicines: Often allowed up to multi-month supplies (commonly up to 3 months)
- Short-course drugs (e.g., some antibiotics): Follow full-course dispensing rules
Refer to the GAMOT circular for exact limits.
Does GAMOT cover medicines during hospital stays?
No. GAMOT covers outpatient prescriptions only. Medicines administered during hospitalization are covered under inpatient case rates or other PhilHealth inpatient benefits.
How do I check my remaining GAMOT balance?
After dispensing, the facility issues a GAMOT Availment Slip showing the amount used and the remaining ABL for the beneficiary. Keep this slip and receipts. You can also contact PhilHealth for assistance.
What if a pharmacy refuses my GAMOT prescription?
Ask for a written reason and the facility manager's contact. If unresolved, report the incident to PhilHealth with copies of your prescription and receipts so they can investigate.
Can I use GAMOT for chronic conditions?
Yes. GAMOT includes maintenance medicines for chronic diseases. Prescriptions and refill frequency should align with clinical guidance and GAMOT dispensing rules.
What's the step-by-step process for GAMOT availment?
- Get a GAMOT App prescription (with UPSC)
- Present prescription + ID at an accredited GAMOT Facility
- Pharmacy validates and dispenses
- Receive GAMOT Availment Slip and keep records
📞 Need Help?
📞 PhilHealth Hotline
(02) 866-225-88
📧 Email Support
actioncenter@philhealth.gov.ph
🏢 Local Office
Visit your nearest PhilHealth office
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