Review of the Exceptional Circumstances Framework

Overview

Pharmac is reviewing its Exceptional Circumstances Framework (the Framework) after people told us it needs to work better and is hard to understand. 

The Framework includes the Named Patient Pharmaceutical Assessment (NPPA) policy and other ways Pharmac can fund medicines for individuals in special or exceptional clinical situations.

The Discussion Document

You can read the full text of the 'Review of the Exceptional Circumstances Framework Discussion Document' on our website.

You can download a PDF version of the 'Review of the Exceptional Circumstances Framework Discussion Document' to review offline.

Or you can download a PDF version of 'Review of the Exceptional Circumstances Framework - questions'
if you'd like to complete a hardcopy version.

Speech to text

To use the speech-to text-option when giving answers, you will need to allow access to your microphone. 

Want to give feedback in another way?

Online forms don't work for everyone. We are keen to make sure we gather everyone's feedback. For example, if you want to record a video, just record it, load it to an online service, and send us the link. 

For more ways to provide feedback, check out our engagement approach. You can also call or email if you’d like to talk through other options.

Closes 7 Jun 2026

Opened 17 Mar 2026

Audiences

  • Anyone from any background