Nkisi ya mfunu ya bo me vidisa to ya bo me yiba mpi ya kufulusa yo na kintulumukina¶

Kumona na 19:00 na mpimpa ya Kitanu, to ntangu nge me telama na kisika ya bo ke bakaka bima na aeroport na kitamina ya bankama ya bakilometre ti nzo, nde bankisi yina minganga ke pesaka nge konso kilumbu me vila na bima yina bo me sonikaka, bo me yiba yo na kamio na nge, me bwa na mbala mosi na nzila ya masa yina ke basikaka na evier, to me beba na tiya to na masa kele ntangu mosi ya mfunu mingi. Ata kukonda dose mosi ya statine ya cholestérol to ya vitamine ya konso kilumbu kesala ve ata mpasi mosi ya ngolo, kuyambula na kintulumukina mitindu yankaka ya bankisi yina kesadisaka na kutanina nitu lenda sala nde nitu kuvutukila mambu yina lenda tula luzingu na kigonsa na nima ya bangunga 12 tii na 48. Kukonda insuline ya nsuka ke nataka nswalu na kimbefo ya diabete (DKA); kukonda bankisi ya ke nwanisaka maladi ya ntu (AED) ke basisaka maladi ya ntu; kukonda beta-bloquants to clonidine ke nataka mpasi ya ntu mpi tachycardie ya ke vutukaka; kukonda bankisi ya bo ke nwaka na munoko (prednisone / hydrocortisone) ke basisaka mpasi ya adrenale yina ke fwaka bantu; mpi kuyambula na kintulumukina ba benzodiazépines, ba SSRI/SNRI, to baclofen ke salaka nde misisa ya nitu ya kati kukatuka ngolo.

Bambefo mingi keyindulaka nde kana biro ya munganga yina kesonikila bo bankisi mekangama na nsuka ya mposo to kana asiranse na bo ya mavimpi kebuya nde bo pesa bo bankisi yankaka sambu bo ketuba nde “Kufulusa yo Nswalu Mingi,” bo tavanda mpenza kukonda lusadisu tii na Kintete na suka. Na kutuba ya mbote, bansiku ya ke tadila mutindu ya kusadila bankisi na pene-pene ya konso provense ya États-Unis, na baprovense ya Canada, na Royaume-Uni (NHS 111 Emergency Supply), na Australie (Kulanda Kupesa Bankisi), mpi na Union Européenne ke pesa na pwelele yonso kiyeka na bafarmasi yina kele ti mikanda ya ke tekaka bima na bisika ya fioti-fioti na kupesa bantu bankisi yina kele ti mikanda ya ke pesa nswa ya kupesa bankisi na mbala mosi na nsungi ya bangunga 72 tii na 300. nkisi ya kutanina nitu kukonda mukanda ya mpa ya munganga. Dyaka, bantu yina ketwadisaka mambote ya bafarmasi (PBM) ketaninaka bakode ya sikisiki ya kukanga na telefone sambu na bankisi yina mevila, ya bo meyiba, to yina mebeba na congé, mpi bo lenda yingisa bima yina bo keyibaka na kulanda nsiku kana nge mebaka nimero ya rapore ya mambu yina kusalamaka na bapolisi. Mukanda yai kesonga nge kitambi-kitambi na mutindu ya kuzwa kisika ya kufulusa pont ya urgence bubu na mpimpa, kukangula ba-override ya asiranse, kusadila bima yina bo meyibaka yina kele na Schéma II tii na V, mpi kuzaba bidimbu ya kigonsa ya kukatula na ntwala nde yo kuma lufwa.

Sala yo sesepi¶

1. Kwenda na Salle d’urgence ya lupitalu ya pene-pene to binga 911 / 112 / 999 mbala mosi kana nge ke na kukutana ti mpasi ya ngolo ya kukatula na nitu to ya mpasi ya nitu. Kana nge me konda dezia badose mpi nge me kuma ti kimbefo ya ntu, kizungu-zungu ya ngolo to ba-hallucinations, mpasi na ntulu ti pression ya ngolo/menga10. kusanza ntangu yonso ti mpema ya bambuma mpi kupema nswalu (ketoacidose diabétique), to kufwa/kukonda menga sambu na steroïde yina nge me konda, binga nimero ya urgence ya bwala na beno (911 na États-Unis mpi na Canada, . 112 na Union européenne ya mvimba, . 999 na Royaume-Uni) na kusadilaka . nimero ya urgence répertoire.
2. Kwenda mbala mosi na filiale mosi ya bwala na beno ya EXACTEMENT chaîne ya ba farmasi ya insi kisika nge ke fulusaka mbala mingi ba nkisi na nge. Kana nge ke fulusa ba nkisi na nge na CVS, Walgreens, Walmart, Rite Aid, Kroger, Costco, Shoppers Drug Mart, to Boots, tambula na zulu ya kisika ya bo ke tekaka bankisi na *nsi. Base na bo ya bansangu ya matuti ya bo me vukisaka ke monisa profil na nge ya minganga yina ke sala, dose ya miligrame ya siki-siki, nimero ya DEA/NPI ya muntu yina me pesa nge minganga, mpi kilumbu ya nsuka ya kufulusa, yina ke pesa nzila na farmasie na kutinda nkisi ya kufulusa ya kukangula to kubasisa Supply ya Pont ya Pharmacien ya Bangunga 72 na kisika yina.
3. Lomba na pwelele yonso "Kukangama ya Nswalu ya Bangunga 72 / Kupesa na Pont" na nsi ya nsiku ya leta na beno ya kupesa bankisi na kintulumukina kana munganga na beno lenda kutana ve ti yandi. Ntangu mukanda ya minganga kele ti zero ya kufulusa yina mebikala na dosie mpi biro ya munganga na beno mekangama na nsuka ya mposo, na kilumbu ya konzie, to na nkokila La**vins lawtes, leta insuline) kupesa nswa na farmasie yina kele na kisalu na kupesa bantu nkisi yina lenda bebisa mavimpi na bo na bangunga 72 (bilumbu 3) tii na bilumbu 30.
4. Sonika rapore ya bapolisi nswalu mpi baka Nimero ya Rapore ya Incident kana nkisi na nge ya nge me vidisa to ya bo me yiba kele kima yina bo ke twadisaka (Schedule II tii na V) to biolozi ya ntalu mingi. Bafarmasi, minganga, mpi bakompani ya asiranse ke kangamaka ngolo na bansiku ya leta/ya leta yina ke talaka mambu ya bankisi (PDMP) mpi na ba algorithme ya luvunu yina ke kangaka ADpioid reto (Adderall, Vyvanse, Ritalin), ba benzodiazépines (Xanax, Klonopin, Ativan, Valium), pregabalin, to testostérone, to ba injecteurs GLP-1/biologiques ya ntalu ya badolare 5 000, kukonda Nimero ya Rapore ya Mambu ya Bapolisi ya leta yina ke monisa nde bo yibaka to bo vidisaka kima yina.
5. Lomba farmasie na kubinga biro ya lusadisu ya mfumu ya farmasi (PBM) sambu na "Kuvila / Kubeba / Kuluta na Konzie" kana assurance kebuya kufulusa sambu na "Kufulusa Nswalu Mingi." Kukwenda ve ata fyoti kaka sambu ordinatere ya farmasi kepela nsemo ya "Refill Too Soon , Next Fill Date [Date]" kubuya. To lomba farmasie na kubinga Biro ya Lusadisu ya Farmasi ya assurance na nge sambu na Kukatula Nkisi ya Kuvila, TO lomba na kufuta ntalu ya kukulumusa mbongo (kusadila GoodRx / Cost Plus / karte ya kukulumusa ntalu ya magazini) sambu na kaka ba pillule 3 tii na 7 ($3 tii na $15 sambu na bankisi mingi ya generique you safed na nzila ya weeken)
6. Binga nimero ya telefone ya biro ya nene ya munganga yina ke pesa nge minganga ata na 23:00 ya nkokila na kilumbu ya Samedi sambu na kukutana ti munganga yina ke bingaka 24/7. Pene-pene ya kimvuka yonso ya ke sansaka bantu ya ntete, kisika ya bo ke sansaka maladi ya ntima, kisika yina bo ke sansaka maladi ya ntu, mpi biro ya maladi ya ntu ke bingaka bantu na telefone na nima ya bangunga ya kisalu na muntu yina ke pesaka mvutu na nzila ya telefone. (e-Prescribe) an emergency replacement prescription to a 24-hour pharmacy near you within 20 minutes.

Which medications are immediately life-threatening if missed for 24 to 48 hours?¶

Never try to "tough it out" until Monday or cut your friend's pills in half if you lose one of the following high-risk medication classes. Sadila tableau yai ya triage clinique sambu na kubakisa fenetre ya ntangu na nge ya sikisiki ya lutaninu mpi mambu ya nge fwete sala nswalu.

flowchart TD
    A["Discover Critical Prescription Medication Is Lost, Stolen, or Ruined"] --> B{"Is It a Controlled Substance (Schedule II-V: Opioids, Stimulants, Benzos)?"}
    B -->|No (Standard Maintenance Drug: Insulin, BP, Seizure, Steroid, Thyroid)| C["Go to Local Branch of Your Regular Pharmacy Chain"]
    C --> D{"Are Refills Remaining on Your Prescription?"}
    D -->|Yes| E["Pharmacist Transfers Rx & Requests Insurance 'Lost/Vacation Override' (Or Pay Cash for 3-7 Pills)"]
    D -->|No Refills Left & Doctor Closed| F["Request '72-Hour Emergency Pharmacist Bridge Supply' Under State Law / Kevin's Law"]
    B -->|Yes (Controlled Substance)| G["File Local Police Report Immediately & Obtain Incident Report Number"]
    G --> H["Call Prescribing Doctor's 24/7 On-Call Line with Police Report Number"]
    H --> I{"Can Doctor e-Prescribe Early Replacement (Different Dose/Form or Theft Note)?"}
    I -->|Yes| J["Pick Up at Pharmacy with Photo ID & Police Report"]
    I -->|No & Experiencing Benzodiazepine / Severe Withdrawal| K["Go to Hospital Emergency Room Immediately to Prevent Seizures"]

Step 1: Getting a 72-Hour Emergency Pharmacist Bridge Supply (No Doctor Required)¶

When you run out of or lose a non-controlled maintenance medication on a Friday evening or while traveling out of state, your first stop should be a retail pharmacy counter, not an expensive emergency room.

How State "Emergency Refill" and "Kevin's Law" statutes work¶

In the United States, over 45 states have enacted statutory Emergency Prescription Refill Laws (including Kevin's Law statutes passed across the country after a young man died of DKA when a pharmacy refused an emergency holiday insulin refill).

• Mambu yina farmasie lenda pesa kukonda sinyatire ya munganga: Kana farmasie lenda baka ve nswalu nswa ya kufulusa bankisi na muntu yina me sonikila nge nkisi (sambu yo kele na nima ya bangunga ya kisalu, na nsuka ya mposo, to na kisumbula), mpi na kutadila mutindu farmasie ke tadila kisalu na yandi, kukatula nkisi yina lenda sala nde muntu yina ke bela kuvanda ve mbote. farmasie kele na nswa ya nsiku ya kupesa bima ya mbala mosi ya urgence:
• Ntangu ya Kusala Pont ya Nswalu: Bangunga 72 (kupesa bilumbu 3) na baprovense mingi (bonso New York, Texas, Californie, Illinois, Pennsylvanie).
• Ba insi ya kupesa bima ya nswalu na bilumbu 30: Na ba insi yina kele ti bansiku ya bilumbu yai ya Nsiku ya Kevin (tanga mpi Ohio, Floride, Arizona, Wisconsin, Indiana, Colorado, mpi Kentucky, mingi-mingi na ntangu ya bima ya nswalu yina bo me zabisa to sambu na ba paquet yina bo lenda kabula ve), munganga lenda pesa bima yonso **to-3. paquet ya unité dispensable ya kuluta fioti (sambu farmasie lenda zenga ve peni ya insuline, inhalateur ya albuterol, mulangi ya nitroglycérine, to mulangi ya gouttes ya meso ya kukangama sambu na kupesa nge "bilumbu 3" ya masa; bo fwete pesa nge na nsiku inhalateur to fiole ya insuline ya mvimba ya kukonda kubeba).
• Mambu ya nge fwete nata na kisika ya bo ke tekaka bima ya kimunganga sambu na kumonisa nde nge ke nwaka nkisi yina:
• Mulangi / kesi ya bankisi ya minganga me pesa nge ya mpamba to ya kubeba ke monisa kidimbu ya farmasi mpi nimero ya Rx, TO
• Telefone na nge ya mayele me kota na porte na nge ya bambefo (MyChart, Healow) to na appli ya farmasi (CVS, Walgreens) ke monisa lisiti na nge ya bankisi yina ke sala mpi mambu yina nge me fulusa ntama mingi ve, TO
• Lomba farmasie na kutala profil na nge na ordinatere na bo ya nene ya chaîne-wide to binga farmasi ya nzo na nge sambu na kuzikisa histoire ya ba nkisi yina nge me bakaka.

Kitini ya 2: Kuluta Bloque ya Assurance "Kufulusa Nswalu Mingi" .¶

Ata ntangu nge kele ti ba recharge ya mbote yina me bikala na mukanda ya minganga to ntangu munganga na nge ke binga nge na script ya mpa ya kuyingisa, ngidika ya kufutila mbongo na ordinatere ya farmasi (yina bo ke zengaka na ntangu ya kieleka na Gestionnaire des bénéfices de la pharmacie - PBM, mu mbandu CVS Caremark, CoRe"Scripts Express, to OptumRx) ta buya na mbala mosi Soon")** if less than 75 to 80 percent of your previous 30-day or 90-day supply has elapsed.

Never accept "Your insurance says it's too soon to fill" as the final answer. You have three immediate ways to bypass that screen in 5 minutes:

Workaround A: The PBM "Lost / Stolen / Damaged / Vacation Override"¶

Pene-pene ya konso plan ya asiranse ya mavimpi ya mumbongo mpi programe ya Medicaid ya leta ke pesaka mosi to zole ya "Kuluta Nkisi ya Me Vilaka, ya Bo Me Yiba, to ya Me Beba" (to Kuluta na Konzie) na mvula ya manaka.

• Sambu na nki ordinatere buyaka yo: Muntu ya ke salaka na farmasi na registre lenda kotisa ve Lost Medication Override mbala mosi na clavier na bo sambu na ba plan mingi; yo ke lomba kubinga na telefone na minuta 2 na bantu yina ke salaka na farmasi (to na nge) na Biro ya Lusadisu ya Farmasi ya PBM yina bo me sonika na nima ya karte na nge ya asiranse.
• Mambu ya kutuba na pima yonso na Fenêtre ya Kupesa Bima (ve na kisika ya bantu kekwendaka kutambula): "Bankisi na mono kuvilaka ntangu mono vandaka kusala nzyetelo [to bo bebisaka yo/bo yibaka yo]. Keti nge lenda binga biro ya lusadisu ya Farmasi ya PBM na mono sambu na kubaka code ya Kukatula nkisi yina mevilaka, to keti mono lenda binga ata muntu mosi ve na telefone na nge ya Member Services and teknisi sambu na kukota na zulu?"
• Noti na yina me tala Medicare Kitini D: Kana nge kele ti Medicare Kitini D, binga nimero ya kisalu ya bakiliya 1-800 yina kele na nima ya karte na nge ya Kitini D mpi lomba Kukatula na Congé to Exception ya Nkisi ya Me Zimbana.

Workaround B: The "Partial Fill + GoodRx Cash Price" Strategy (Fastest & Cheapest)¶

Adieyi tuvova kele vo e asiranse aku yabuya futa e nzimbu za fulumuna, yovo e fulu kia lusadisu kia PBM kikangama muna fuku wa Lumingu, e nlonga mia mvimba mia lumbu 30 mia nlongo miaku mifutanga 180 za dólare?

1. Lomba na farmasie na kufuta nge "Cash / Discount Card" (kusadila GoodRx, SingleCare, to code ya kati ya farmasi ya kukulumusa ntalu) na kisika ya kutambula na nzila ya assurance na nge. Ba kompani ya assurance lenda kanga kaka nani ke futa nkisi; sambu na bankisi ya kutanina yina bo ke twadisaka ve, assurance na nge ya mavimpi kele ti kiyeka ya nsiku ya kubuyisa nge na kufuta mbongo na maboko ntangu nge kele ti mukanda ya minganga yina me pesa nge nswa to ya kufulusa yo na kintulumukina.
2. Ask for a "Partial Fill" of just 3 to 7 pills: You do not have to buy all 30 or 90 pills at once. Over 90 percent of generic blood pressure, seizure, thyroid, antidepressant, and steroid pills cost between $0.15 and $1.50 per pill on a GoodRx coupon. Asking the pharmacist to sell you just 5 to 7 tablets out-of-pocket for $4 to $10 gets you safely home from your trip or through the weekend without spending hundreds of dollars.

Workaround C: The "Dose or Formulation Change" Doctor Trick¶

If you are on an expensive brand-name drug or a medication where your insurance refuses a "Refill Too Soon" override on the exact same strength, call your doctor's office and ask them to call in a slightly different milligram strength or formulation.

• How it works: Insurance "Refill Too Soon" locks apply only to the exact same National Drug Code (NDC) / drug strength. If you lost your bottle of 40 mg tablet (1 tablet once daily), and your doctor sends in a new prescription for 20 mg tablets (take 2 tablets once daily), or switches from capsules to tablets, the insurance computer treats it as a brand-new therapy dose change and approves the claim immediately at your regular copay with zero override needed.

Step 3: What to do if a Controlled Substance (Schedule II to V) is Lost or Stolen¶

Federal and state laws (the U.S. Controlled Substances Act, UK Misuse of Drugs Regulations, and state Prescription Drug Monitoring Programs - PDMPs) tightly restrict early refills of medications with abuse or diversion potential:

• Schedule II (Strictest , Zero Refills Allowed by Law): ADHD stimulants (Adderall, Vyvanse, Ritalin, Concerta, Focalin), strong opioid analgesics (OxyContin, Percocet/oxycodone, hydrocodone/Norco, morphine, fentanyl patches, methadone).
• Schedule III to V: Benzodiazepines (Xanax/alprazolam, Klonopin/clonazepam, Ativan/lorazepam, Valium/diazepam), sleeping pills (Ambien/zolpidem, Lunesta), Buprenorphine/Suboxone, Pregabalin (Lyrica), Tramadol, Testosterone, and codeine preparations.

The 4-Step Protocol to Replace a Stolen or Lost Controlled Substance¶

If you walk up to a pharmacy counter without documentation and say "I lost my Adderall / Xanax / Oxycodone on the plane," the pharmacist is legally prohibited from giving you a 72-hour bridge supply of a Schedule II drug and will flag your PDMP file if you appear to be "doctor shopping." Follow this exact sequence to protect your medical credibility and your health:

1. File an official Police Report immediately in the jurisdiction where the loss or theft occurred:
2. If your bag was stolen from your car, hotel room, or airport, call the local police non-emergency line (or visit the precinct desk) and file a Theft / Lost Property Report specifically listing the exact prescription medication name, milligram strength, quantity of pills missing, and prescription bottle number.
3. Obtain the Police Incident Report Number and the investigating officer's name and badge number. (Many pain-management contracts and ADHD clinic agreements explicitly state that the doctor will only replace a stolen controlled substance once, and only if presented with a formal police report number within 24 to 48 hours).
4. Contact your original prescribing physician (never go to an unrelated Urgent Care for Schedule II replacements):
5. Urgent care clinics almost universally have "No Controlled Substance Refill" signs on the door. Call your actual prescribing psychiatrist, neurologist, pain specialist, or primary care doctor, provide the Police Report Number, and ask them to send a replacement electronic prescription to your pharmacy with an explicit clinical annotation on the script face: "Early fill authorized by prescriber to replace stolen medication , Police Report #[Number] verified."
6. Inki nge ta sala kana nkisi na nge ya nge me vidisa kele Benzodiazépine to Opioïde mpi munganga na nge me buya kuvutula yo na ntwala?
7. Sambu na Benzodiazépines (Kigonsa ya nene ya Kukangama): Kuyambula na kintulumukina kunwa Xanax, Klonopin, Ativan, to Valium konso kilumbu na nima ya kunwa yo kuluta ngonda mosi lenda basisa kukangama ya ngolo ya ke tula luzingu na kigonsa mpi delirium na nsungi ya bangunga 24 tii na 72. Kana nge lenda kutana ve ti muntu yina me sonikila nge nkisi to yandi me buya kuvutula nkisi yina me vilaka, kwenda na Departema ya Ke Talaka Mambu ya Lufwa ya Lupitalu NA NTUALA nde kutekita ya ngolo, mavwanga, to kukangama-kangama kuyantika. Monisa munganga ya ER histoire na nge ya appli/PDMP ya farmasi yina ke monisa nde nge kele mbefo ya me fwana ya ntangu mingi, kansi ve muntu yina ke sosaka bankisi; ER lenda pesa nge kukonda kigonsa benzodiazépine yina ke salaka ntangu mingi (bonso chlordiazépoxide/Librium to diazépam/Valium) to script ya nkufi ya bilumbu mingi sambu na kubuyisa maladi ya epileptique tii kuna kilumbu ya nge fwete fulusa mbala na mbala ta lunga.
8. Sambu na Buprenorphine / Suboxone to Méthadone (Maladi ya Kusadila Opioïde): Na nsi ya bansiku ya SAMHSA mpi ya DEA ya bilumbu yai, kana nge me vidisa bafilme/tablette na nge ya Suboxone ntangu nge ke sala nzietelo to na nsuka ya mposo, binga kisika yina nge ke zingaka. nzila ya telefone na nzila ya Departema na bo ya Mavimpi to badepartema ya nene ya ke talaka mambu ya nswalu-nswalu) to kukwenda na ER ya Lupitalu, yina kele ti nswa ya leta na nsadisa ya DEA "Nsiku ya Bilumbu Tatu" (21 CFR § 1306.07(b)) sambu na kupesa tii na bangunga 72 ya buprenorphine to methawal ya ke sadisaka na kukanga ntima.

Kitini ya iya: Kuvutula bankisi yina me vilaka ntangu nge ke sala nzietelo na bansi mingi (Royaume-Uni, UE, Canada, Australie)¶

A paper or electronic prescription written by a doctor in the United States has zero legal validity at a pharmacy in Europe, the United Kingdom, Japan, or Australia (with very limited cross-border exceptions inside the European Union for EU prescriptions, or certain Canadian provincial border pharmacies that have an in-house Canadian co-signing physician).

Kana nge me vidisa bankisi na nge ntangu nge kele na insi ya nzenza, sadila nzila ya insi yina ke pesaka bankisi na kintulumukina:

Bangyufula yina bantu keyulaka mbala na mbala¶

Bantwadisi ya ke wakana¶

• Diabete ya nswalu
• Kukangama
• Kuluta dose ya opioide
• Bankisi yina ke wakana ti tiya kana kura me mana
• Ba urgence ya kimunganga mpi kubasika na insi ya nzenza
• Banimero ya urgence

Bo me tala bisika yina bo me katuka¶

• U.S. Kimvuka ya ke talaka mambu ya madia mpi ya bankisi (FDA, États-Unis): Kuyilama sambu na mambu ya nswalu: Kusadila mpi kuyingisa bankisi yina minganga me pesa nge na mutindu ya mbote na nima ya bisumbula to ya kuvidisa yo mpi Lukebisu ya Benzodiazépine yina kele na kesi ya ke tadila kuyambula kunwa yo na kintulumukina mpi kukatula yo.
• BETO. Kimvuka ya Ke Talaka Mambu ya Bima ya Ke Lawusaka (DEA, États-Unis): Bansiku ya Ke Talaka Kupesa Bima ya Ke Lawusaka (21 CFR Kitini 1306), Nsiku ya Bilumbu Tatu Sambu na Kukatula Bima ya Ke Lawusaka (21 CFR § 1306.07(b)), mpi Pilule Mosi Lenda Fwa Balukebisu Pilule ya Luvunu.
• Alliance nationale ya bimvuka ya ba farmasi ya leta (NASPA) mpe kimvuka ya insi ya ba ntuadisi ya ba farmasi (NABP, États-Unis): Nsikudukusu ya leta na insi ya kiyeka ya kufulusa ba farmasi na ntangu ya mpasi mpe bansiku ya Kevin ya kupesa insuline.
• Centres pour les services de Medicare & Medicaid (CMS, États-Unis): Mukanda ya Medicare Kitini D ya Ke Talaka Mambu ya Lusadisu ya Bankisi ya Munganga: Bansiku ya Ke Talaka Kusadila Bankisi ya Nswalu / ya Kupema / ya Kuvila.
• Kisalu ya mavimpi ya insi (NHS Angleterre, Royaume-Uni) mpe Société Royale Pharmaceutique: Bansiku ya Minganga ya Bantu 2012: Kupesa na Nswalu Minganga ya Muntu Ke Sonikaka Kaka (POM) na Kulomba ya Mbefo mpe NHS 111 Mikanda ya Nswalu.