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FSDKSH under the leadership of Ilir Topi, questions about assets and pharmaceutical contracts!

2026-09-03 12:19:43Aktualitet SHKRUAR NGA REDAKSIA VOX
FSDKSH under the leadership of Ilir Topi, questions about assets and
The current director of FSDKSH, Ilir Topi

The Mandatory Health Insurance Fund (FSDKSH) continues to be at the center of a series of problems identified through investigations, audits and complaints related to drug reimbursement, contractual relations with pharmaceutical companies and the control of warehouses and pharmacies.

The behind-the-scenes media has published a denunciation article where the investigation focuses on the current director of FSDKSH, Ilir Topi, the former directors of the institution, the company "CFO Pharma", as well as the findings of the Supreme State Audit Office (SSA) and the investigations of the Tirana Prosecutor's Office and SPAK.

Ilir Topi's asset declaration

According to the material, the director of FSDKSH, Ilir Topi, has declared a three-story apartment with a total area of ​​223.4 square meters and a construction area of ​​128 square meters per floor, worth around 35 thousand euros.

Topi has declared income from emigration, agricultural activity, and savings generated from salaries.

According to the document, there are inconsistencies in his statements regarding the period of his stay in Greece.

Ilir Topi, who previously worked as a customs officer in Korça and a tax officer in Tirana, completed the decriminalization form in March 2021, as part of his mandate as a Socialist Party MP.

FSDKSH under the leadership of Ilir Topi, questions about assets and

In the decriminalization form, he does not declare that he lived abroad for immigration reasons. Topi declares that during the years 1995-1997 he stayed in Crete, Greece for studies and not as an immigrant.

Meanwhile, his CV as a member of parliament states that during the period 1995-1996 he was in Greece for postgraduate studies at the Mediterranean Agronomic Institute, Advanced Studies, in Maich, Crete.

FSDKSH under the leadership of Ilir Topi, questions about assets and

These discrepancies between the CV, the decriminalization form, and the asset declaration, according to the material, raise questions and suspicions that require verification by the competent institutions.

Contract with “CFO Pharma”

One of the main issues mentioned in the material is related to the company "CFO Pharma", owned by Nadir Çausholli.

According to the material, in September last year, the former director of FSDKSH, Spartak Zekja, was arrested by order of the Tirana Prosecutor's Office as part of investigations into a suspected fraud scheme and illegal profit from drug reimbursement funds.

The investigations, according to the material, also affected other Fund officials and pharmaceutical entities.

In this context, the material raises the claim that the problems identified earlier may have continued even after the change in the management of the institution.

According to the document, Ilir Topi has signed the reinstatement of the contract with "CFO Pharma", a company that was previously involved in investigations for a suspected fraudulent scheme with the reimbursement of medications, worth 700 thousand euros.

Materiali pretendon gjithashtu se Topi ka injoruar një raport të ri ku ngrihen dyshime për një vlerë tjetër prej të paktën 1.6 milionë eurosh.

Më 16 tetor 2025, ish-drejtori i Fondit, Arti Papajani, kishte firmosur ndërprerjen e kontratës me kompaninë, pas një hetimi administrativ ku, sipas materialit, u evidentuan shkelje financiare lidhur me rimbursimin e dy medikamenteve, “Trimbow” dhe “Foster”.

Ky vendim, sipas dokumentit, u la në fuqi edhe nga Komisioni i Apelimit Administrativ pranë Ministrisë së Shëndetësisë.

FSDKSH dhe problematikat e evidentuara ndër vite
Sipas materialit, dosje të SPAK-ut dhe Prokurorisë së Tiranës, operacione policore, raporte të KLSH-së dhe investigime mediatike kanë ngritur një sërë problematikash lidhur me funksionimin e FSDKSH-së.

Dokumenti e cilëson institucionin si një prej strukturave më problematike në sistemin e shëndetësisë dhe thekson se, pavarësisht arrestimeve, auditimeve, denoncimeve dhe ndryshimeve në drejtim, problematikat kanë vijuar.

Sipas materialit, FSDKSH ka ndryshuar të paktën 14 drejtues në 13 vitet e fundit. Mes tyre përmenden Astrit Beci, Milva Ekonomi, Vjollca Braho, Erion Manohasa, Alketa Hila, Eduard Ahmeti, Anila Denaj, Adela Xhemali, Rudina Dergjoni, Elisa Bërziu, Albana Çela, Spartak Zekja, Arti Papajani dhe drejtori aktual Ilir Topi.

Materiali ngre pretendime se disa prej drejtuesve kanë favorizuar interesa të caktuara biznesi në sektorin farmaceutik dhe se problematikat kanë prekur kontratat, rimbursimet dhe kontrollet ndaj depove e farmacive.

Problematikat me depot dhe farmacitë

Një tjetër pjesë e rëndësishme e materialit lidhet me funksionimin e rrjetit të farmacive dhe depove farmaceutike.

Sipas pretendimeve të ngritura në dokument, disa subjekte farmaceutike dyshohet se kanë vijuar të përdorin skema të dyshuara mashtruese me barnat e rimbursueshme, ndërsa ngrihen akuza edhe për kontrabandë, tregtim të barnave të skaduara ose të falsifikuara dhe shitje fiktive.

FSDKSH under the leadership of Ilir Topi, questions about assets and

Materiali lidh gjithashtu problematikat e FSDKSH-së me katër koncesione në sektorin e shëndetësisë: hemodializën, check-up-in, laboratorët dhe sterilizimin.

Sipas dokumentit, këto kontrata janë certifikuar si korruptive nga KLSH dhe pjesërisht nga gjykatat, ndërsa janë bërë objekt dyshimesh edhe nga SPAK-u. Materiali pretendon se, sipas dosjeve të SPAK-ut dhe raporteve të KLSH-së, përfituesit e këtyre koncesioneve janë paguar edhe për punë që nuk ishin kryer.

Raporti i KLSH-së për barnat e skaduara

Një raport prej 413 faqesh i Kontrollit të Lartë të Shtetit është një tjetër element i rëndësishëm i materialit.

Sipas dokumentit, raporti konstaton problematika në kontrollin e depove farmaceutike dhe veçanërisht në dokumentimin e datave të skadencës së barnave.

KLSH ka evidentuar se në procesverbalet e kontrolleve ishte regjistruar sasia fizike e barnave, por mungonte dokumentimi i datës së skadencës për secilin prej produkteve të inventarizuara.

According to the report cited in the material, this deficiency made it impossible to objectively assess the effective availability of medicines and fulfill contractual requirements.

The Albanian Supreme Audit Office considers the failure to document the expiration date a fundamental deficiency, as it affects the transparency, accuracy and reliability of drug inventory control.

Spartak Zekja and the investigation into drugs

From September 2023 to September 2025, FSDKSH is led by Spartak Zekja.

According to the material, Zekja was previously associated with the pharmaceutical sector and was the founder of the company Distributor of Medical Devices Group sh.pk, which also had a pharmaceutical warehouse.

To avoid a conflict of interest while running the Fund, he had transferred the company's shares to Matteo Shehu. The document, however, raises allegations of his continued ties to the pharmaceutical sector.

FSDKSH under the leadership of Ilir Topi, questions about assets and

In November 2025, the Tirana Prosecution Office arrested Spartak Zekja along with other individuals.

According to the material, investigations uncovered a suspected fraud scheme with fictitious inventories and invoices for the drugs "Foster" and "Trimbow", through which it was suspected that reimbursement funds were obtained from FSDKSH.

At the center of the investigation was "CFO Pharma", along with the entities "Pharma Plus" and "Medix Albania" and persons connected to the Fund's structures.

Albana Çela and the management of the Fund

Also the former director of FSDKSH, Albana Çela, who led the institution during the period 2020-2023. According to the document, the KLSH recommended her dismissal. In September 2023, she was replaced by Spartak Zekja.

Albana Çela (Adhami) is a close associate of Ogerta Manastirliu, former Minister of Health, with a file in SPAK on health affairs. The directors of the Fund were dictated by the oligarchs through Manastirliu, who was the chairwoman of the Administrative Council of the Fund for the period 2017-2023, in the capacity of Minister of Health./Taken from Prapaskena


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