Kemsa has an absolute monopoly in the supply of drugs to the public.
Some six counties have opened up the lucrative drugs procurement space to private players.
Nakuru County for instance irregularly procured drugs and pharmaceuticals worth Sh525 million.
At least six county governments denied the Kenya Medical Supplies Authority (Kemsa) nearly Sh1 billion by illegally purchasing drugs and other essential medical supplies from private firms.
The Health Laws (Amendment) Act,2019, grants Kemsa absolute monopoly in the supply of drugs to the public, making it mandatory for both national and county health facilities to obtain drugs and medical supplies from it.