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1
Report of the Committee
On
Purchase Procedures and Distribution Mechanism of
Drugs and Pharmaceuticals
,1
to
the Government Hospitals in Karnataka State
5
Rfc PORT
I
•1
.7
5
2
SI.
No.
4
Annex ii res
1
Particulars
Page No.
Preface to the Report
I -2
■)
____ ^onirnittees Report and Recom
7
I
J
X
¥
mendations
3 - 34
Government Order dated 1-1-2000
1 :
constituting the
Official Committee with Terms
- j of Reference to the
35-37
■ Committee
3
4
i
IA
Revised Cement 0?d^dZ^d2iTwo77^~
38 -39
certam amendments to the Government Order
5
IB
6
II
5
5
7
8
IV
9
V
10
fi
2
■!
III
VI
Corrigendum to the Government Order
___ dated 1-1-2000
Government Order dated ^2-8-1995 (
constituting
oTh«r«P=u..c.cum.Expe„CommltteforidCTi
--. the
—ication
Government Order dated 6-1 -1990 (
___ ^gh P°Wer Committee with Termsconstituting
of Refere the
nee
___ Statf Positlon in Government Medical Stores
Duties and Responsibilities of the Staff workin- at
_ Government Medical Stores
°
Statement showing Budget for7h7^7^hh?^~
years fOr purchase of Drugs and Chemicals and for
establishment at Government Medical Stores
4i -43
I
44 - 46
47
48 - 49
50
11
VII
Proposed Duties and Responsibilities of the Officers
__mvanous Cadres at Government Me^. ml
S
12
VIII
13
IX
Proposed Dmg l_ist for the Year~2000-200i
■
JProposed Drugs and Pharmaceuffi^TftT^-------
53 - 72
14
X
Stateme^ffi^ving the Propose7c^ffi^~7~
73 - 75
15
16
XI
XII
__Hardware and Software for Computensffion
Abstr^tTf^posed Exp7^dffi^~^
District Drug Warehouses and Computerised i ng
Inventory Management System
Propos^7^7s for Re^—~
various institutions
I
40
76 - 77
7<S
7^ - 85
J
I
I
I.-:
I’l'cf(ICC
in S.„' «..
J""'"
;i> liie
niU",l> d,,eC‘!} ,'"v:‘ac,s "Hh the providers of he-|ih
care sen ices. The
l,lc tWeitiH health
In the cumtive health care, the
,nWt;ince of Arties and
'nedte.nes need not be emphasised, it is
avaifabiii[y of'ihe
Resaving drugs in the hospitals which
essential and
^'^falinprovid,,^,.,
nealth care to the people who visit
quality curati\-e
tfle hosP”a^-. The public
distribution of medicines i•
procurement and
ls much more complex
Conipaied to the private
procurement. There are more
constraints in
putiic procurement of am
commodity
rilut have been occasions „.hen l|]e
com,nen<a 0„
slwrage of
in „
e »>ade
mousb-ir'"ed^-^p«w,Ih0ul'7c”' ,"s,i'‘“"s-"k»'
rPr0CUrCme"'11
=nd ensu™.
taely
not mean lto, „K Covernmem has failed ’t0 '
°-emmem Hospi,ab.
“nte'
P- .de .he
in „le
''“Uli serviees m ,|,e Pe„p|. ai]lJ''“"“"'“ns »|*h provide
"’"-P-^in .he
d-l«»nOrd.ed™..
—
Procurement and
nnp-ed ofn
system. The systeni
7 <ie lessons learnt
in the Pmvious years and
the experience eained bv w-w nf •
- ‘'-v of interaction with other
:Ze.. ....... — -nona. mP sr;i[es.'couniric.s in the
m miproxing the
keeping these
aspects of
a""d-
CMwatae, |,3S ,
various
eratitude to all lb. r
Hdonnano(: '^'’cM.nmmput, ,„r
.
d D^nbuuon. |
cxpress nn
J'™'- «h0 fa, PW idcd
Scninr JL'a,tl1 Adn’ini-':‘rai0rs i„ tbe Deparm
<fc
u:.e'-
rvpor’. ! ;uu t
“r‘Uclul U) the
who h:
lvc yi'ew cxcelk-m
ix
S
*T
I
support It. providing usclul information in linahsine the repor: I
■■i.ncftil
I
Di urict Health &
to Medical Officers of PHO / 0110 / Taluk Hospitals
Family Welfare Sen ices and District Surgeons for providinc
information. I am grateful to Dr. Jagirdar. Joint Director.
i eq u i red
Cnn ernmem
Medical Stores and his staff for providing the information on the existina
infrastructure and procurement procedure and distribution svsiem at
Government Medical Stores. I am grateful to Sri Martin Jacob. Manaaine
Director of Tamilnadu Corporation and his colleagues for proxidina an
opportunity to interact with them during the visit of the Members of the
Committee to Chennai and for providing the required support in Catherine
information and visiting drug warehouses. I ftnallx acknowledae with
gratitude the excellent suppon and guidance given b\ Sri A Seneupta.
Principal
Secretary.
Health
&
Family
Sri
Welfare.
Sanjax
Saiijav
Kaul.
Commissioner Health <1 Family Welfare. Sri A.K.M Navak.
Nayak. former
Commissioner. Health &. Family Welfare. Sri Arvind G. Risbud. Project
Administrator,,
Karnataka
Health
Systems
Development
Project.
Dr. S. Subramanya. former Project Administrator. Karnataka Health Svstems
Development Project. Dr. P.N. Halagi, Director, Health & Family Welfare.
Dr. G.V. Nagaraj. Project Director. RCH and Dr. Vishwanath. Additional
,.
Director (Medical). Karnataka Health Systems Development Project in
finalising the report.
f
-------- 1
•X5TV)
Dr. K.B. Makapur
.Chairman ol the Committee &.
Director. State Institute of
Health & Family Welfare
I
I
L
I
R-’:"r! ol liie Committee on t|ie Purclm.se !'
1'. iribution Mecimm.sni of !>mi-s mxl Pb/ Kcdure.s and
,! ’”-‘ccutical.s io
Hie Government 1 lospitnis in K';,rm
Shite
introduction;
,, ■
JJK 1e"’rnen! 1,1 Karnataka. Department of Hei ■-i
Oraer Ko. HiMV 145 HPC 99 Dated 1-1 "00(1
Ue,lare 1,1 '>>
Chairmanship of the Director. State Institute of Health & Fm h S’1™^ under the
Piopose suitame recommendations for improvim- d "j, '? 'Aell;lre- Bail^lore to
Di^nbuuon Mechamsm of Drugs and Pharmaceuticals to th r"
1 meedures a,1J
the State.
Ul'ais t(’ lhe Government Hospitals in
« as gi™ m G
r1’'"' COmm",ee and ,h'
»■ ^Greoce
,h' pre"'',i’“i“n °r 'he Report, the
Comnii.tee adop.ed .he lollo.Unffrocedmes5 a”"*
1.
Discussion with the users of the Medicines
.he Comm,her
The r
selected Administrative Medical Officer- of Pri
,W,llee ^cussed with the
H-hh Cemres. 50 Bedded Ho^oO^S^"”
du‘ Hospitals and the District
Hospnais.
"1
2.
The Committee discussed with the selected District I
L"-el Administrative Officers
of the Department of Health & Family Welfare like
Welfare Officers and the District Surgeons
J-
-■ District Health & Famib
lhe C.,,held dist,!ss,„„s „.ilb ,|,c Join, p
G^ e„„„e;„ Medical Slorcs The members also visi^ lor
|,e and other officers of
S o e
“e
"'S"I’S '“iiilies !,nd 'uncrioninL' ' ’ Government Medical
f’ »l Government Medical
4-
The Members of the Committee visited the Sntp nfr
"-■^-'Oeers oh.he Tam,.
s.
•,
and discussed
The Members of the Committee during thetr visit to T-,
t
,
Di-stnct Mm-stores
,1
lk'
-stores at Chennat and Kanchipuram The
hospitals
i
also visited selected
,
lh'L fleeting of the Commitiee, the Chaim
numbers of the Committee that the Government of k'-,r, '
"’Wssed upon allCthe
Committee of the Karnataka Legislative Council LLr t)T ’•
et1nstitl,red = House
'W:' aI
epi>n 1,11
i
1
M-P. Xocaeowda oH meaj po? -• ,:'!:: nk"lsilT v; HoCbC
The above House Committeecons[i(inCl| [0 lormukiiu
i
die P"ii..
ihc lonu .0 guitlcliiicx ic!.iiin
die (
ci :,:ncni ItespiLiix m die Si.He.
lo ihc purch;isc
I drugs ;ind disirihiiii'h
The C'hmrmnn of the Official Committee impressed upon all the members that the
recommendations,which lhe Committee is going 10 gixe should be well within the
guideline-, aneadv gi\en H the .louse Committee in its repori dated '0-5-1906 The
Commiliee agreed with the views of the Chairman and ii was fell that lhe report that the
Committee gives would adopt broader guidelines alreade given by the 1 louse Committee.
The Public Health Care is the primary responsibilitv of the State Government ■
FhejXweminent has sei up Health Institutions at Primary level. Secondary level and at
Tertiary level to provide health care to the people. There are 167b Primary Health
Centres. ?S3 Primary Health Units. 176 General Hospitals. 2-19 Communitv Health
Centres and Taluk Hospitals. 24 District Hospitals/Other Hospitals and 19 Teachiim
Hospitals. Apart from these Institutions, there are 8143 Sub-centres in the State where the
focus is mainly on RCH activities and Preventive Health Care. The obiective of the
Government is to ensure that al! the people, particularly the people below poverty line are
given better health services. In order to achieve this, the Stale Government’provides
Drugs and Pharmaceuticals to the patients who are below poverty line free of cost For
meeting this obiective. the Government provides required funds to the Department of
Health & Family Welfare. Hov.ever. on several occasions on the floor of the house the
Hon'ble Members haye slated that sufficient drugs and required druas in many hospitals
are not ay ailable. There are occasions where public have also complained that the drues
are not properly made available in the hospitals.
.
The reasons for non-availability of drugs cannot be mainlv attributed to the
inadequacy of funds. What is required is proper management in purchase and supph of
drugs to ensure aval lability of drugs in the hospitals. It is essential that the required duos
m sufiicicnt quantity should be stored in all the hospitals during all the periods. Further'd
is not sufficient if the drugs are purchased and stored in a warehouse. Il is necessary that
the drugs, which are purchased are properly distributed to all the institutions where the
drugs are dispensed to the patients. For this purpose, it is necessary that the purchases are
made at the appropriate lime according to the demand and needs of the institutions, it is
also necessary that the drugs purchased and issued are properly accounted at all levels lw
proper Inventory Control System.
In the present system of purchase and distribution, there are lot of caps which
need to be looked into in order to ensure that the system improves sufficientlvm meet the
requirements. There were occasions when the drug budget was not utilised even at the
end of the financial year and the Finance Department was requested to eive permission
lor keeping the amount in Persona! Deposit Account of the Director. Health & Famih
Welfare.
In the piesem ..stem of budgelan provision. -!0% of the total drue budue: ;■
perated at the Directorate level and the balance 0()% is released to the Zilla Panclur.m,
and the iiwniuiions lur. mg KKI beds or more which are working outside lhe pur\ v.' ol
r
f
i
'A'-- I’--
.m, |,>r purchase of drugs. It is
n‘M
;:^‘d approach in tl^
pmfcli,kc ot urugs. wiucn is the primary cause for the i
impnipc;- management o.*' dine
- .ind di .t;million. I; is [|lc system, "hich i
needs a. He totally revamped
n respeeux c of the pattern of budgetary allo'cation and utilisat
i he finalisation of Rate
( onttact lor the drugs is delayed for various reasons "hicli
*
a!lens
the procurement o|
drugs by (iinernmeni Medical Smiesand other institutions.
In addition io the purchase of drims the srnm<»» ., i •• •<
•
mwtam layer for c-nsmng the availahilttv ot'dru-s inT (h 15 als() JI1
cony faints. In the present svtteny the institutions irrespecd J o ’ ' r'T'1'
,l1all the "ay to Bangalore to collect the druas purchased
Ue dlSklllce
^nung
Stores out of the 40“o of the buduetarv orovicinn q
•’
“ Government Medical
available in the Government Medical Stores warehousT tlTtl TT 'hft*
institution may be reluctant to eo all the wav to Ran ,ni
’
^'^l Othcers of the
t'mes. there wih be connnunication X £tXn the
'ndcol,ect
drugs. Maris a
•Medteal Stores as the Department is'still foHowins the svXm"G°,Vernmenl
forwarding the same to the Government Medical S-nr^c • i
also resuhs in delays. The indents a^e “
ulso results in delays. The indents
the montns
ot August. September and sometimes in the month
months or
en llldenIS and
TLeXcr alsm"
The Drug Controllerale finds it difficultXX^mple checkm^f''
support for testing the quality ofdrm-s but"this is not snff
°
"
u'
ai’e glV'ng good
been possible. This also requires proper attention as 100°'*X
■°0% teS‘Ing haS
better quality of drum; that are supplied to the Gove-nm °rOt
W0llld ensui'c'
some of dtc Administrative Medical Officers with who^n th 'lX
in,°rmed b'
<>l dnv purchased he Zilla Pa„etavat and major hMpia|s
Wuh this in the background, the Committee his InnL-. t
the drug procurement, storage, distribution and testing of drugs.""0
4
' Van°US
°f
Govern™™ Me,I,a,I S.orcs, ils se.-up ;lnti
At present, the Go\ernnicn:■ Medical Stores at Bancapne I '
alicr ihe procnrcmcni
;md supply of drugs to all
Government Hospitals ..;;i odhedlf
• *•■'* '' •• o| [he budecL I;
is headed b\ an oUlcer in the
adre of Joint Director w i:{
! support staff.
4
On close examination of tiw o'-'inis-ition rt^
superlluous staff in Group f and Groim ’D’ c-Gr "1R~ee hi'f observed that there is
qfjbe Government Medical Stores on salaries al
The Group V olllc.als do not iw a dS^'Z"
ll”a esl;lhllslinie111 charges
Ima;W'11-
•O'audo no. hovesunklen. ..I in,ileOovvLen.TXiSu™!"’'"'- C"”1'
1 blentificcuion of Drn<y< and ,,s formulation:
.1
As per the present procedure, on
the basis of the
I
reconimendations of the
ensure dw ad essenda,
available to all the mstitutions through out the vear Th
t
f
nKklc
formulation is not an one time'exemisCwi^TCC 1^^'03110'1 of‘DruF "ith
medicmes. the formulations keep chanmn" The Govcontinue with the list of same old dru^^reX n
innmatl0lls 1,1 the f‘eld of
Sh°uld nilt
.n» .he Ils. ofd^s „l.b
boh
by a Committee of Doctors who have good knowled- J
?
K
drugs. This Committee should have the LW Controller C herap^,liC va,ue of t,le
i
specialists. The WHO gives the list of essentia! and H ? nvin"'d
■■me It 1S necessary to keep the recommendations of WHO L o
l°
list of Drugs. The Government of India also prenares th-I
n
PrePariny 'be
Xauonal Essentia! Drue list, vshich is of-reatC.'Sl °f drLI--s-vvhich IS «!led
drugs.
1S 01 great Llse ln ‘he preparation of the list of
In this regard, it is appreciable that the C
Government Medical
Stores has adopted a
policy of purchasing drugs only in Generic
—l names based on National and W’HO
essentia! drug list.
Procurenieni Procedures:
s iTSx rva'1.ih'i a ”r
Survives issues Tender N0d,kalion
igs and for
Newspapers sCC Meki
As per the
f
Terms and Conditions of the Teiri- ra
■\ tanufac Hirers can participate. There is no provision ••'th • T 'T'A °n 5 Prlman
allows agents
participate in the Tender pm A
\
^"ctimeni. Mid.
Conditions, the GMP Certilk-;
on the lines of V/I-IO Ke-Muti'^n ■ °l 1Cr (^t’rniS and
aUuiiou is munuaion lor all
i
;•
ilniy.v Hie
Winikiilioii udl indicate (lie details
I he XoiiiicniKin
Document, the last date lor issue oTTender Document‘'‘•J
leaders and opening ol Tenders. The lender condition
.should carry prescribed 'Logogram' on each unit pack. ,l' ,n ‘
.■
inc Tendei
; <hiic lor ruucipi oi
(h;ii all .supplies
hhc l enders are opened in public by a Committee headc^ in
rank ol Additional Dmectm- in the Department of Health v-'i--',,,, ? u".
1 K‘
piescnt system, two en\elope systems are followed On ■ -m ’t'ilare- in the
deta.ls and other required documents as per the T -n I
n
C,’:ltU"1S technical
envelope contains price schedule. The tenders which H
1 H-mcnis. The second
Wndl.lons or ,!>« Tender D.,™,,™, are
T™ and
Ol the tenders. Alone with the Tenders the Tenders
1
offered by them. In the Tender Document, the qtmiu oM
.
i,C!Lll"1.v after openine
°f?he drl1-
1 enderers are required to enclose a Demand Draft
L',lys
l1,’! specified. The
Eames. Monee Deposi. along wid, his Tender Docun ems“ T^’t"''50-°“'
tor one drug or for all drugs given in the Tender D.
,
' enderer can Wte
Deposit remains the same irrespective of the numbe r'T'11’
tlK’ Earnest Moi1cT
of the Government Order constituting Therapeutic and Expert C
b™’ A C°P>
to this as Annexure II.
xpuit Committee is enclosed
Therapeutic-cum-E.xpert Committee. This Committee hT’11 "
•f
b'fOre l!lc
■n respect of each drug and its formulations and°f
be p aced before the High Power Committee. The Hi-h „' "bIe„rccunimtfadations to
by the Secretary to Government. Health & Familv \\ e m
C°inni,tIee !S hea^
Power Committee has officers from the Finance
Department. The High
and Commerce and Industries Department as members'T''
DrUg Contro,lcrate
Order constituting the High Power Committee is enclosed to
Gover,lmei11
ubtu 10 Ous as .Annexure III.
The High Power Commitiee
^erap^c-eum^LpreZi^n^Wt^d^
of the
Power Committee decision, the Government issues the C
°f the High
Wili’ thc
approval oi the Health Minister and fix the Rate’contmet.
Once the Rate Contract is fixed, it will be valid tn
ol one year. The
SLUIrit-x Deposit of Rs. |
the contract is signed. This amount of Rs. I lakh is'an hT M°nC- D'''P0S" bc';,l'C
■elation to the quantity and the number of druas Onc'/rhna* ■■>'
''■th successful Tenderers, the Rate Contract Document w'UC'7cnts are signed
Puichasmg and Adnumstrative Officers in the Department.
:-’^used to all the
^cessful Tendered
lakh, which includes R.-„ 5().()G0,'- which is mven
c
The Rate Contract rs the source for purchase of >1'
I,-
nsuimions ol the Department. However in resnec
■’’anulaciured ny Karnataka Antibiotics and Pharniacemi’ il
Ul,vai.s t.tu.
cnil!1C!"
u|1,dl are
which is .1 louit
;ecier eonipjiix o!‘ (iox ernment oi' r
■ ".i..!.-.., .md (,()\ crnmcnl of InJi.i
cnnneni
is purchiising the /Xniibioi jCs
'
IC<
C
:
lri
’
1
’
'
Karnataka
Animimics
<i;)d
PlKirin;icciitic;ils Lid. willful resonine
ll) 1 L,|hci Procedures.
y/orn^c emd Dislrihmion r;y Dni^\
Once the Rale Contract is issued th * instir r,•
indent wuh the Joint OireetoLc^eXe'ZSS^
"Hl
PlaCe tllC'r
provision ol'4l)%. But the Joint Dir-cto' r%v •
S L’'’ 0Ul
1,lc b'-ld14eiar>
during discussion that all the Institutions do not send’thind^'?
i"fbrmcd
Director would not wait for the indents ^roir nil the ' •
111 Ume' le joinl
-.... he tas «, ,he
that drugs are supplied to all the institutions.
'"
b“p,“?s,e Slwl!
su^Iies- ,n
io ensure
• The drugs, w hich are procured hv the Governnent'M .-i' i c
U arehouse. owned bv GMS at Barmalore Even thn L"’'’ Sl°,eS a,e Sl0,eJ 111 lhc
? B^olorc ,or rhe’propose
Stores, the space is totally inadequate considering l e v"
’ C'0;crnmitn' Medieal
storage facilities are not properly created in the VV \ Ume ° C , ugs. Further, the
depending on the indents received, the Suppliers ar/be10^’
t0 “1,S'
drugs to the destinations (indentine aeencieZiike Did ’ TF dl‘’ec,lei’ 10 sllPply the
Officers.
and Teaching Institutions).
’ & FamiI> Welfai’C
Otficers. District Surgeons
Surg'
?
i
In icspect ol institutions like Primary Health Units and Suh
,
■
■
minor institutions, the Government Medical Stores do nor
f
' °thCr
such institutions. They are followinn package system r u
' °r any 'nCkntS frOni
of the drugs identified by the Committee and ] 00°' °
instltutl0ns on the basis
is met by the Government Medical Stores only T^T'insX't'
'lieSe .insI1!ul,ons
requ.rement of drugs entirely from the Govemm^t MeZ Sm
annUal
separate budgetan provision for these institut.ons These d u s ,
7 1S '10
year.
CSL Cllurs
suppued once a
in the present svstern. supply is suooosed m
j
inslituiions. However, due to’ constraints like non-SUIlhv rfT ”
,lK
°r nOn'
requesIed 10 hh
Government Medical
availability of sufficient quantity of druas th-nsun tin
the drugs 2-3 limes a vear dependimCOn the* stock
Stores.
’
P
e
‘e St0Lks 1,1
?•
XXi^
iTiral S'ores-The
For supply of drugs to the indenting mstitut.ons no sche 1 T.7
when the inst.tutions come to the Government' m Jc j
AS
depending on the availabilitv of dru->s the d-u- arC
:
r™ W‘l1 !he Indenl’
drug mentioned in the indeni is not available, the authorise £
!' pa,nicul;"
b> 'he indemmg institution has discretion to charge tlC 'i
i'
‘
Pl'leJ
e
the
indent
depend;
availubility of drugs in the Government Medical St
' "K"nl dcpc:'c:::f 011 ll,c
ores.
.S/-.Z//
Hie composiiion of the < ‘
cM.siing staff with their Duiie- m in
in Hie Govcrnmcm Medical
:-J Simes iS enclosed
T|
'
norl.tnc
'v a.nd \
^mst the sanctioned posts. At present.
foGovernment Medical
are attendimt to the worl , 'i,c
.'cceipi
u... o| driiL-.’s. i.^siie
. - 01 Jntg>. collection of vouchee an I
-Wply orders.
Hh computerisation.
uimputerisat.on. the clerical staff could hkreduc ■ i ' fo110”1
lhe ^PP1'^■••i
Gaoup D staf f working in the Government Medical Std Slg,1,hcanll> • Similarly.’the
D-srnct Jeve! Warehouses are established tor s "
expenditure on the establishment of Governmen u •
SLIPP'-V of' dr^- The
iighei side as could be seen from the Statement of ExnM’ S‘°leS appears 10 be <’n
fo "'Ta F’0VCrnnienl Medil-al Stores. An extract cp"’" k,rmslled bv
Joint
turmshed by the Joint Director is enclosed to daf as
S,aI^- M present there
.
»e large number of clerical staff
\\(
.
,,1L !Xl^ul Institutions
The Medical Officer (Packing yard) in rh^
for the scrutiny of the indenis’received from th^MedT^T0' StOres 15 sponsible
Di ugs as per budgetary proi ision.VeAfterr° foe'n^^,j'1StilLIti°llS aild sWiv of
Da ecto.. respective stores issue the Dnms which are n >T PPr°Ved b- the
if rhe instnutiun authorised for taking the Dru-s Th’ P T
g'Vcn 10 [|le uf'!k'ial
^^re Pharmacists w ith the assistmte^ c^G'-f Pharmacists and two
the indenting msniutions.
star- n™nage the issue of dru-s to
Inventory System
In the present Inventory System as ennn oe n j
MediCal Stores by tbe'Supplier.' the Invoice Zi'i"’1
5'0u=hl »' die Government
«cm.„e the invoice and send i,
.he^hier So " ' JO,", DlrecWr
SupeiMsor will verity the Invoice with referenep t ^pe^IS0r (Medical). The Chief
>i to the Chief Pharmacist for further action Before ser ,UPP'y, °rder -iven and send
the 2 - PerVIS°r Wi" take
samples and ve-if tlie
1
t0 ‘he stores‘!le ?Pe^<cations. packing, date expiry ere He v u
”lples with reference to
testmg of drugs produced h? the supplier He will
? S° T’’'-' the c^titkate of
the Mippher and takes it into his tile He wont 1
,'<’°rd Gn tIle cerlifieate eiven hx
t^ basis of this, the Chief Pharmacist who isV-chame
i™16 °n lhe
o”
rugs and take the same to the Stock P- '
1 ’c st(1|'es Mil accent the
ependino on the type oPdruc after d«
m^mnlneU in rlifieren, f £
lot matmc payment m t|K suppliers.
"
T!’eiealicr the bil|M ,lre pr„cosvJ
I-
!n the present Inxcntorx
following Registers:
I.
the Government Medic.:! ’
Receipt Book
Drugs received register
D;r. Book
Goods receipt Register
Slock Ledger
Slock
of
drugs
received
r in.inuaining the
and
issued
lil
respective stores (A. B. C cL D Stores)
4.
Indent Registration Register
5.
Expin Date Register
Register of date el expiry of drue.s
6.
BIX CARDS
Day to day issues are entered and stock
baiance at the end of the da_\ is mentioned
-
■ DNs registration is done
OiiLiiilv Control .\ lec/uinixm of Drug.r.Y
For
OI the
Uic purpose
purpose of
oi ensuring
ensuring Quality
quality of
oi Drugs
Drugs supplied
supplied to the Government Hospitals
it is essential that the quality is tested for each batch of drums supplied bv the
suppliers. In the present system, the suppliers who supply the drums uive certificates
regarding the quality of drugs supplied along with the Invoice. The Drum
Controllerate is the agency for ensuring proper Quality Control Mechanism in respeJt
of the drugs purchased by the Government. At present, the Dru” ControlleratInspectors draw sample from the stock maintained at Government Medical Stores and
send them to then- laboratory for analysis. The Drug Controllerale staff and the
laboratory facilities are inadequate to ensure the drawal of samples'from each batch
of the drugs supphed. Further, there is only one laboratory- with limited facilities both
1
‘1
s
in terms of Manpower and equipment for immediate testin” and analysis of drtms As
a result of this, the Inspectors draw samples on a random basis and send the samples
for analysis to their laboratory'. The data collected from the Government Medical
Stoics regarding the number of tests conducted during the period from Auuust 1999
to February 2000 shows the inadequacy of the existing Manpower and testin''
facilities in the Drug Controllerate for drawal of samples and testinu. A total numheiof
samples were tested and analysed during the above period. If the svstem were to
be etiective. atleast there would have been a minimum of 400-500 samoles drawn and
subjected to analysis. In the present system, it takes a minimum- of 4-5 months to act
the results after the sample is drawn. In an ideal condition, it should not take more
than -e weeks. This data as discussed above regarding the samples drawn and tested
is only in respect of the drugs purchased and supplied bv Government Medical Stores
Apart from tins, the District Health & Family Welfare Officers based on the Rate
Contract fixed by the Government, purchase the drugs. Further, considering the
needs, the Distnct Health & Family Welfare Officers purchase the druus not included
in the Rate Contract but approved by the District Committee. 7 he data™ the number
of samples drawn from the drugs purchased by the District Health & F-im'h We'hre
Officer and other medical mstmmons out of the 60% hudeeian proT.on L X
avammle. But during discussion with some of the Administmii ve Medical Officers m
the hospitals and the District Health & Family Welfare Officers, it was ret ruled thai
i)i uu !
Fite
■ Aj'ijs arc coliccLj : jnd .sciii to iiu jjj-.,..
' ■ 'iicraic for aiialv sis.
i-'-e Inspectors of rhe
■
■.ermnem of Karnataka have alreadx accept-
Oirugs in hhsterstrip pekinm Thu dwept ofi- 1,c policy o| purchase and
packing in which lahlen..
cupsiiius tire pW m a container has been elven up lv p. .
''^crnmcn!. Bin in spile ok
.....
''eSl'!| .li‘ Pl,!'era^ "^mee ofdrues in addition to i]uahdd,H^1''JCk'"g' Th‘S VVO'jld
A'
r,a,„74„„„„ A-,z;;uminuiiin
As pc. 'he pi esent pediev ot the Government, out of (jo'- nf ,|, , ,■
respect oi the Institutions comim> under the a A "
budget Ol' drugs in
.Panchayats and the hospitals whh 100 beds 'anifT™'^ C‘’IW'01 °f Zi"u
adnmnstratiue control of the Director of Health & Fatr-I w It0’'11'!1"
done b}
the District Health & Famtlv Weihd' on
"
Surgeons. Administratee Medical Officers respective!’ I il-. ,1
t,
D'Stf'Ct
Expert Committee at the State level there is a
K
ilerapeuttc-cumConduce is el,aired bv DiaZ hZi T Z,™:C.a| d’e
^1. Thls
fe"
specialists drmn from the hospitals in the District =< nEGe A
Commtttee js chaired by Chief Executive Officer of the^ i’ . P
i°mC
Surgeon. District Health & Familv Welfare Officer -mH A
Pa"ch:i-V;it
■i
'CtS- th'S
District
This Committee looks into the needs of the hospitals in tT'nPeCIU,1S‘S 3S tnemherii-
this, a list of drugs is prepared w ith forrni’lations^ Th' Th
(')'1 tlle basls of
Weilare Officer compares the hst wmh Z hZ Cm" "t'Zl ' '"‘T &t
Government. If the drugs recommended bv the Commit
?
b> the StatC
Contract, the District Health & Familv Welfare Office.
> ’ ,nduded 1,1 the
basis of the Rat.- c.,,,tract. „ reSpecI pOAZ KZZ'T
™
tinalksed b\ [he Government bur included in the lis* nmn X\L Con[racI LS no(
Commitlee. the officers explore the possibility nf n 7 P P ed
lhe District
Public Sector U„denaki„gs for wl,ich Ihs „,es
gX’IZ fr°n’
However, if there are any drugs finalised bv the Commi- - f,
r
is not avatiable and they are also not available m Publ- sZ?
drugs are purchased as per General Purchase Rules In rkn'a
Dtstnct Health & Family Welfare Officer prepares th^ etmffi '
formulation and places before the Health Sub 0™ '
'
y.e, approral
h; the Cumm,Z’“l “1Z
, n
, Z C0'llri,Cl
“Klertakl|ngs- sudl
r^!1 iri'gSeach dni" "|H1
,?“•\
Committee and then General Bcdv of the Zilla Panchk at f >r f 7
* Purcllasv
b“IS 01 the -iPWoval given by the Ziila Panels at the Chief 1W
anp'Aal' 0,1 tllc
1
oiders to the □■strict Health & Familv WeW-' bffm..... " tU"'vc t,t!lccr k-'^-s
respeet of th.
R.„/r.................
d-.m ■ !?. on :i.
i;>r whicil
vshich Raie'conuad
i 'J-' ' ‘
A
d.e Government or in
respect ot t!u cracs piircliased from the 1’uhhe See
—-.oi i,,lk.c: .icings, bcloic die supph
f "';'1'''Il,c
Procedure is lb,'lowed beibr
■•‘V suppl\ orders are given
A the Distrie: Healths Ibmih Welfare Officer
I I
I he rcsponsih.l.t) of ;1>>CSSII1;, |hc
;lr h’r all the msiitj>ii(>tK
t^ladmg the hospitals win, kjo Hct|s .inJ ,|h()vc .
C
T
1
/
1
hI cnlth & Rumi) Welfare Officer. The Drsirict HenlO !h .trict is with the Disnici
>houlu take into consideration, the utilisation of drt-s T i'-miih Welfare Officer
for the suppfi r
ca^ i"'d
icquesi [he msiiiuijons to uhc ;an ’indent
'
' ' /"
Mippi) (li
A( prescnl in s()jne
‘he districts, (his system of taking indents from the i,
. ,
...... . ‘nsuiuiK:;)S is noi followed -V i
icsuli o! this, some institutions
■ may gel drugs, which are no, required, or lhe quamiii
max be in surplus or in deficit, hm-ihm. the District Health Jc Famih Welfare Officer's
m some Districts purchase the
same ciugs which are purchased b\ the Government
Medical Stores, out of the Zilla
some of the dates mav be purclnwd in^uroius8? f60%> ,UI drUi:?S’ A'S 3 re~ult o! 1I1]Savailable at all. '
’
SUnaluS Cil,ant,lies a”d -^nte drugs mac not he
■ The District Health & Family Wellare Officer stores- ,i,
.
Health & Family Welfare Officer. Then th- p- K u
1,1 lllc l’1 llcc of District
Officer gives the allotment order indicatin'-' the^a 1Str''i1 Heallh & i7;"’iih Welfare
of the institution based on the bud-et available forThm ‘
UIHi llUan‘'!>
eacl’
thejisit of the Members of the Comm tee t< n
As Obser'ed dai'^
Officers of the institution have verv little discretion In0 d'
lhe Medic^
and the quantity required for their institution "in ri
'dentlf-V|no 'he type of drug
Family Welfare Officer, there are no sanctioned
process of receipt, storaue and distribution of dr>
° 'Ce °f the DlsIricI Health &
Piiarn'lacists- Tile entire
Cier'Ca' S!jl‘
' St°rage
Who do not have adequate knowledge about the dru<'/ Z-ir'fr"
requtrement. etc. As a result of this, many a times due J
here ts wastage of drugs. There are also instances whe e71eT"''
°fdrUgSInstitutions in a particular taluk are stored in Tnt r
d gS rei-!uired by the
Officer is directed to supple the drugs to the i„stitu,ions “Z-ToiuL T’'“k M“li“l
Mciotcles l„ the present svstent in the Procurement end Dis.rihu.lon t.r Dougs arc
' ESe“ZZS' °f
K"d“
'-.hue.',., or Rnte
' At
^^ZZlX.sZm
t^ltS' ProCeSS <'™' d“
presenu th, DireX/7SZZZ“S" Z
o
responsible for the procurement of Drims As he
the required attention is not possible to be given bv hin/^
'S tOla,l>
funCllOnar>'
ate Contract finalisation is moderately delaved due to v r i
procurement and supplies.
'
'
°
’ ^hich there is dela\ in
-
-
Purchase of drugs b} the Government Medical Sto
.... ..
r™
“e'a> e‘' d“ " ’
noi,-receipt ofol requirements
from .he
the i ’
'
Manual imenton system followed ppresent!)
b\ Goxcrnmcni Mcdrca! Stoics
has added to the dela-. process both in
p
■’ Procurement and dtstnbtmor. <;f dmm,
Inadequate storage facilities in the
--■ new Government Med.-ca! Simes
Warehouse at Bangalore.
f
' fcZl "”n"
' XS JiS'riC'
Zi,ta ' ■'"Ck-• alS d""a ............. .
iK °"n
,l,e end „r.he
'■> “l-ily .he dn,gs. .here is „„
' All required drugs are
am,vJ u„dcr R.uc
s .n
release .,1 budge. u> (he Dis.ric, Surgeuns and u.her i„sti,ulio„s
3
I.'
I
Procurement. Storuoe :,11(l l)i.slril)llll
existing in Taniilnadn
on Svstcm
lhe Members of the Commiltee visited T-m-m ; •
‘’i'lk-ersorthcTnin.lnadu Medicil Corpora-ion
W'111 "’C
tmtotand lhe sxstem ol Pr«ttr«. Stor“"e -r MT11
I’harmaceuticais lolimved in their Stale. The memhers Th ■ (
, , ,
-uh the Managing Director ofthe Corporation, other se^^Zer C 1
«>n-the management system followed for Dams and'Ph
'^'Corporation
Pnainiacciiiicals.
Thereafter
Committee visited the Drag Warehouse atThenr^'^TT'-'t"
w'"''?'11'''
District
Kanchtpuram. The members of the Committee also visZ and
y ,hd
I ? t Warehouse
" T
I erambadttr and a Primary health Centre at Perandttr in Knncl'l^XZ*'
at Sri
The discussion with the Managing Director ■^ere useful
embers raised many tssues during the discussion. TamiHdii
M > -iir asi cthe Committee
ounded by the Government of Tamilnadu in the vear 1994 This" — corporation wa>
was registered under
was resistance from
, , '. ud
Ktemtty as the Corporation was headed hv
Admimstranve Serv.ce. Over a period of time, the diffe-- oy’ ■an Officer from Indian
have been sorted out and
Corporatton has been delivering goods to the people erences
in an effective
-------- e wav.
JheTZ Z When ‘he COrP°ratiOn WaS
—IK them
The structure of the Corporation is as follows:
The Corporation has a Board of Directors he-id^l k
,
e
Government. Health & Famih Welfare Department An Z b' ■ 1 * Secretar-V 10
Services is the Manaeine Director of rh/TZ
T °tflCer from the A11
are Director of Medical and Rural HealtlZendT' Z
Menibers of the Boa^
Dire™ of Public
&
Secretary. Ftnance and Chief Engineer. Public Works Depanmetm
Administrative
“o-lon.
Officer, ^cccuntf Officer°Tlana°er ‘ZT'Z h>
(Purchases). Senior Regional Managers and Consultants Z
-s centralised and for emergency purposes. 10% of the
institutions concerned. Followm-the WHO essenrmi H
Ils. of 1996. .1,0 „ssotial.
'
"" Engineer'
h11'01’’
Ma'ia=!er
rupUrchasc
~
-get ls ^'ven t0 thc
prepared by the Corporation. These lists are updated eT v
"
Committee's recommendations. They have standardised Tender" n"
T
been
process ol purchase is initiated well m advance bv finalT , H
lile
ate Contract. They are purchasing the druus onlv from th " Prim i’rZf1 Z
tk’
Uiey insist on Product GMP. Bui thev are nm omTi . T
Manuiacturers and
GMP.The entire budget required for'purchase'of driTto'the
WH°
,he
“f * r—
I I
1 llc !
> ledrcal ( orp( ration lor tii • niirvi • ■
■yM estabhshed unmet U a.enouscs in ail H-.c M
;"kl
’WmW ha-. 12 holdings tmaehomes) of ,u Tn - n h rf
' u",.,
lune taken the buildings on rental basis from State Wareho < m r™1,n= pla^ ‘k'
respect oi newlj formed Districts, the Warehouses -m- T
T= C‘’’Porauon. Onb in
M-mcJ Drstricts are eettme their d.....s Ilom'th I
7
The neu!-.
unduided District. The lamilnadu Medical Corporation*Kt!J'"'T W;,reh,H,ses 1)1 >b^
Control on the stipph of drucs to the W’trchouses stTl
sappders and transfer of st^ek from one ASrehonT
''' u,'bpt:[C!''SCLi
Inventor-,
pa\meni to the
of compmevs ooJ vocl.
Th™ '' "
computer operator. In the head ofllce of the Tamilnadu TdiTT "
w '[|’ -'
Computers with Computer Operators. The District Warphn ■ ? -0,’P°iation. there are -I
the District Hospital. They are located outside !he hosni’al T"
tOtal,'V independent l’1'
of the District Warehouses is done bv a pharmacist
TT anJ !be mana=emei»
Officers visit these District Warehouses^ supervise '-nd
nadl‘ XleJlcal Corporation
' there are four Regional Officers who are workin<> under the'1
Funhcr
Managing Director of the Corporation exciusiFlv sun
'Adm,n,strat,ve COI1^1 of
acnvities of the District Warehouses. These officers'-.
P T"1^ and monitoring the
Revenue Service and they are made mobile.
' re °n depLllatl0n from Tamilnadu
‘’r
fetors. While nouC mTTXugs ZX dT.'T panTlTT'
Manufacturers know the quantity that is required to be mput't'\c, rates-.;;s
■Driniar\
Tins has also helped in ensuring the availability of the dTT in re’'
dl" 'ng
out the year.
u-h> 1,1 rL(-inired quantity through
The formalities relating to f
fixing of Rate Contract for all the drims required to hptocured would be completed uell i
supply Orders
„,anutaX tSuu £ 2g”
^rion
District Warehouses over a period of one vear The J
'
be slWhed 10 a11 the
l.> manutaure ,he
0„d
"£■"»"£>"-«» >™l tare e™gl, na.e
rablet/capsule. die loeo or’ rhe Government is sumned
1».» •>. - Goeernmenr is primed m.,„E
'’T' " aiel,1M,S5s- On each
As soon as the drugs are
supplied to the District \\
>
orders placed by Tamilnadu Medi■cal Corporation, the pharmacist in-Xeeof the
' fn'■'
Warehouse verifies the drugs that
-I are supphed with reference to the Supply Order'anJ
takes iMo the Stock. The receipt of drugs and taking them
''thin _4 hours from the lune ofsupplv to the Head Office io.the Stock is communicuicd
xendmg of hard copy of the Vouchers given bv the suprherson Email. This is follov.cd b\
; ....
"herein
r'-t0rced b>
fespecti^e officers in-charee of the
-n ■ Stock Certificate is
re :Tu
A
............. ............................. —..........
v. i thin
T- nicm
I ins
ix
\ c:
iiuiiKi:..
:’jnt as [he
■UppliciS !CL!ai
system
has
built
in
qiiK h pa\ mem for tjlc
hcitcr confiJcncu anioi:produul supplicj )n (|lcm
:.!>c In■■■enidB System of Mannuenicnt of Dm...
,v
computerised. The officers tn the He-td OfhcA "t I't
"I etteh end eten drug in aff u.e Dislr|cl W.lrehoi,s
? "J*IJ
;;)c
.
'S,i''Cl U ;1,c,1,,use> '■<
-^ek position
1,1
Disti ict W a,ehouse ts also aware of the stock rP
‘
PI,;lrnlacisI "X-'liurue
^‘‘■^Htses. This has helped it, proper management^Xsf F sT "J
O!her Dist™
^quneincni of a particular dru-' in a District Wir>i
;<k:
Oin„
S1VC duKkons
01 LX‘ 1 1 leie 1S an Ll'-e‘ni
“d ir"“ dru’ ■'™i'*.
'■yn Surplus quantity to transfer certain quantities f\’Oll' ,L's w lerc; lll;" particular drue
"here n is needed. These directions are umen on Emn^/0
DiSlrieI ;Varc^ase;
ume. the shitting ofdrugs from one District Warehouse to d?
3 n'5111' W'th°llt loss of
ensured.
nouse 10 the other District Warehouse is
J
b T"''"'"" Pit',cms are »ive"3
and
m “ooks are p™.«l in OuplK-me. One
mdenI5 drlT
'= m."ra>..ed a, ;l,5 D.suk,
B«k r„r ,KuWeMe„, or dr„..C T?«e p
«P> is
b; ,|„
Warehouse r,om ,vl,e„ dle
given every year to all the Institutions In each PassVn L k
B°OkS nre pr'nteci and
the Institution would get durinu that vear is indicate ?’I
Vall‘C
dri‘gS tha'
Centres, the list of drugs ts also eiven Norma lv rl’ n ^’P^' °f P’’’mar-V Health
ypected to indent the drugs from the”list However H ‘‘V"™''' Health Centers are
' iimary Health Centres are also given the dru-s outsideT IN
C"’CL,mstance- 'he
hf the Primary Health Centre Medical Officer and an
1 L°" SpeCll‘c repuests made
Me District. This arrangement has helped the Primary Heahh r"
DepUt- Director ,,f
essential and useful drugs that are normally renn' .
h Centers t0 o° only for the
pending on .be m„bid,.v pa,Krn a"d7he tZ l
Centers, the cirugs are supplied on the basis of indents o' ■ Pyience' Fl1r Primary Health
m j months. However, in emergencies, additional suonli- '
Med'cal Oncers once
he indents made by the Priman Health Centers Medical OtTxers ^
depCnd"lp l''1
Taluk level H.>sp,tals and DnX
Health Centers,
mmunity Health Cent
total hst of drugs that is approved bv the Tamiina^ \
eVe,? 'nOnl)l frOni thc
institutions are also given Pass Books and the Pass Bool U ?edlCa' Corporalion- These
bv tne instmmon ,s sent atleast ffi davs in advance nnH
f 'S mentioned- The indent
"hich the official from the hospital Visits the District vv 7 Same.let,er- 'he date on
uing the drugs is also indicated. On that particular dav the^fF^
purpose (,f
aiehouse. i he Drugs indented by 'he ho'smml 7rXX^^' g(’eS t0 the
tap,a. a„d
,he ,,ass Boot ma[;1Ia|nedP
«red ,n .he Pass Book of „„
. ofhoj -a,., reives tlle drLli.s is „buined on
Warehouse.
alehouse. The signa.ure ol‘
ass Book maintained at the District
(<
the drugs are transported in the vehicle lv:
't’eing to the indenting
hospital. l|(mC\er. each Disinci
u
c'^en a separate hudeei n.
tueel the transportation
chaiges in case n is ncccssarv.
X'1 ’he drtius are .stocked in the District Warehousex H ... .
■
■
ic.stricuons and leual problems, certain druus like Peth-Mm'ModiE0' 'blf
and stored only at the District Warehouse Chennai F-om H
CtC' a'C procl,l'cd
these medicines are sent by Registered Post and the requirement o^lhh "'"’’‘’T.0"'>’
enure .state is met.
.
■ •
0
t,K hospitals in the
ea.ue IS mentioned lor the purpose of indentin'! fc requi,.k| jn" f'"lre- a Fass B"*
no. resrtcuve to co for additional drucs. O„e the P y- bZ
''C' “ “
dependme on the additional requirements, the Depute Director
,|, TT
f’'1
■ K Director a, the Stale level give additional budget to the ho» tC
'
’ ‘“’J
Once the additional budc-et is allotted the same is mem'
0:>pilali> vvho are in need of it.
P- Book. With this .try of addi^lZ™^
continue to mdent drugs from the District Warehouse Th-re is n
purpose of supply of drugs. However the additional bui 7
r
P' S 011
"lg aS SUCh f°r tlle
Deputy Directors and the Director within the overall bud .eta • pre™ f‘-S
lhe
J drugs. The discussion with the officers revealed tint this h piov,sion.,»r 'he purchase
have been instances of savings in the drim budget which Im 7^'
SLlttlCient and tllere
purposes by the Tamilnadu Medical Corporation. The tot al bud 7 tl
■State of Tamilnadu for purchase of dru-s and other mb. '
Crurec (upp™.,. The eulirc
excCding ,0%'- "Z
f0''
'''' prov|ded b-v tlK‘
'S
.....
orporation. The i0% of the budget is given to all the Institutionsthe
in Tamilnadu Medical
the
.“
b’ State
S“' depending
un their drug budget and this amount is used by,he Ad„,
Medical
Officers o'?
the hospimds for purchase of emergency drues. Further
i
■ f
sutures and minor surgical
instruments that are required in f(he hospital
are purchased by the irespective hospitals
only dependmg on the requirement following the Rate Font
Medical Corporation.
--■•tract fixed hy the Tamilnadu
Inventory Control System of Tamilnailu
.
T!le dru- recciP“- expenditure records and
TJam.h.ad., Me.|ia|
yorpotatton have been fullv wmpuwrised. The •
computerised and connected to Head O.,.,rKr office. W“1d s' ““ T'
the hardware have been supplied
Quality Control
faniilnadu Medical Corporation has establish^! ■>
n ,
r
Mechanism Each hutch, ut'drug that is supplied
K the St!f>PI M
t
/
:
■ J
i.s snbiccted to QuuIhv
Control. Tins has been made possible b\
■k J...annua, M&heal
ha\ e accred.itied private laboratories within the Slate and <
C orporation as thex
■
'Kitsnlc t|K. S1(llc |;)|. Ihc pi||.po;e
ul testing and Quality ( ontrol. I• ,)r accrediting the Private 1 aH'>iutories. ihc> i;,||ou
\'4cm m mmtmg apphcauoits i,nm the lahor.imrics
,
«nice. Ahercxmmnmg the capah.lmes of the labor-tton H‘TK
manpower, the private laboratories arc accredited tod T t • r
1
lhc eqmpment and
samples of drugs to them. I o. each test to be conduc I
'
-’' sending
korporation.
mickd. a rate is also fixed b\ the
lhe sample and the same is semi mhe DismiauCr^'T' " tlcS'y'1JICti
Apartment is established at District Warehouse Clm
• O';'alci1 aI Cl’ennai. A separate
care of processing for the purpose of Qualitv
n
masked through coding system and random selection of th
made bv the Computer. They are following this in order L
.
a T’"^ ^''1’1StS
?
15
111 [ha' ba*h is
the drug in the same batch. After preparin'?- the samnle h
dl,P,,calimt of'testing of
laboratory, which is chosen in random. The laboratory v W’'1-'’"
1>e'11 l° 311 accrcdited
10-days for non-sterile tests. In respect of biolo-icnft V°U ' g'Vt the lCSt reporls within
and thereafter the test report is immediately ojven" If iXt
l:,b°ra,,lr-V takes 20 ^.ys
■s not of standard quality, immed.atelv' dte stock w^T",
Warehouses through Email. Simultaneously acuon wi h
i
a’ tlle D,Str'c’
t^o accredited laboratories. Il'the results of one of the t
'0- Send tlle samPle m
not of standard quality, action will be taken to blacklistX?'5 C°n,fimiS lhat :he drui? IS
made towards the supplies already made As the^Dm- r""1 aiid n0 pa-'me,1[ wil1
Authority under Drugsand Cosmetics Act 1940 Im
■ c ,Controller ls die Regulator)
informed to take
take necessary
necessary steps
«,.ne ag provjded under
Cl’nIro,ler wiU be
However, two laboratory reports shows tin- th> n
Stock will be accepted. Manufacturers of Sub-standard
''' Ot Standard Qualit\-. the
years and further action will be taken bv the Dru- Confit
Wl11
Nack liSted for 5
Act. 1940. For conducting tests of each batch as'it I *7 Cr Llnder Drugs i Cosmetics
private laboratories, an amount of I 5<>/0 of thp
lves ,ar^e. nniount of monev in
on ,„e soppiiera„d ,he sm„ ,s
i-
is
Recommendations of the Committee
Government Medical Stores, its set-up and functions
1. Recommended Organisation Set-up:
Hie Committee stronglv feeis that there is a nct;j t(,
organisation at the first instance iin order to have a small and
re-structure the entire
compact establishment with
coniputerisaiion to lake (care ol the functions of the C
Government Medical Stores. On
detailed discussions. Committee
has proposed the follow!...... In^ ()i’ganis‘ational set-up for
Government Medical Stores.
•
Il should be headed bv an <officer of the rank of Additiouu, DirecIor and ,,c
Should report directly to the Conuni^i^H«hh & E
- • amity Welfare.
•
The Additional Director will have the following support staff:
,■ r-A'
fa) There should be an independent Accounts
.
acmu„.i„s expenditure L of the bud"", 0? fc c °
“< 'he
Stores in total. The Accounts Officer should h
Govei™ient Medteal
Superintendent. two First Division AssSlnt^nTonT1^^^
Assistant. The Accounts Officer and Accounts Sun
on deputation from the State Accounts Department.
S ?
",1,e'R enI Sh°uld He
(b) 1 here should be an officer in rhe cadre of Joint DirPrru /n
x :armacy ba" i°
d D,Vlsl0n
m-
Adddi
(C) There should he one Gazetted Assistant/Lav Secrctarv m mir >
office admmistration with the minimum clerical staff Ir
° T
to have one Office Superintendent, three First DwS 1 '' reCOr™ended
Second Dmsion Assents. There should
be n,ore
employees
the office of the Government Medlenl
Gioup D in the District Warehouse at Bangalore.
iT'
Group 'D'
excluding few
(d) The Additional Director should'be sunoorted hv -m
Opemtors m the Head Office with required Hurta-e iid SoftC^®”"
(e) There shall be an independent Quaiitv Control Wioverall superintendence of Additional Director mg
Thi<to work under the
A mg wdl have one Chief Pharmacist assisted' Quality Control
Hy a Graduate
1 haimacist/Sr. Pharmacist. The Quality Control W
mg w i 11 have one F'ir>i
Diw'sion Assistant io assist the Chief Pha
rniacist. riicrc should be two
Group 'D' in the Quality Control Wing.
i oeie should hL
C'ompuk’: ■
' ■Pcramr v.ith requned Hardw IJC
^’liware exchiv. el\
•; to the Quaim Control
..... I W me.
nil J
3 Recmnn-.cn.lcd,functionsfor proper mantv-ement of th . r
J ,hi ^'•erntnent .Medico! Stores:
‘ Cte Additional Director should be fnlh .
I»nclionms
,he y„vemmem MedLl Siow!
Guveremen; Medical Slums Mn „0,t
Additional Director The \H
A
P" ’
Ptoper management and
- • working in the
be 0Ver:'11 •'
suP<rintendence of the
/ to the. Commissioner,
ent matters.
™
-...................
'On;'eni^ ,hc
The . '
fbr initi;llinc steps for
o’’ va/io^Committi’;
Lialuamm Committee and Empowered Comtmtt-. In be .r;,pei,I,c Committee. Tender
ontiact a, hxed well in advance before the -n™ "
°rder t0 ensiire liia> the Rate ■
Additional Director should be responsible for pro'CCuamT'
Fina,1C'31 Year T!le
he requirement in the hospitals both for Governm ■ nt M h 11
of
drug based on
t-t ol Zil.ii Panchayat funds. The Additional Diremn
Sllppl> and Purt--|Kise
<’rders are gtven to the Suppliers well m advance m n. H
°,,,d enSL"'e lha[
WPh
stocked m adequate quantity for the requirement of • nC H make
‘lK" 'ile dru-s are
The Additional Director should be resnons:blp f '
1“nth;s m the District Warehouses
one Oisu-ic. Warehouse ,o oureiCSX
JSe dePendmg on the requirements.
The Additional Director should be r-~
quahty ano n shall be the responsibility of the Addd
,es'ing ”f
f™
°ml DlrectOT » >»le such measi,rt,
quaiiiy PTh(<’Add'1'”' !''1”SBblisl>i"S ">^aniSD1 for ,
rSt,ng Ot dril^s in each batch for
payment, cvuhoui loKofdnKra\he°suppfe"SP°"SiW' f°r *"linS tbe bills"
- - ..s and making
Recommended job r
responsibilities
the C >
•Stores is enclosed to this as Annexure
VII. of the officers in
A
n me Government Medical
......
i^commended that the f
P-umLf ...J
proper management of drug.
« he
consiiiL/ied for
Director. Health &
f Direcior. Medical Education
- Project Director. RCH
3 Additional Director. Primary Health Care
.■ ~ '
--’Or each from the field ofMedic' ?■
g' f- T -'piG. Paedmtric.s. Opthalmolo-i
'
L ■■•'’-hopaedics. Anaesthesia. Psychtatn.
Member
Member
Member
j
?
c
i
£
r
F
Denial. Dcrinaialogv . Radiology, Phannacolou}
Member
5. Drug Controller
o. Additional Director. Government Medical Stores
7. Joint Director.'Deputy Director (Pharmacy). GMS
Member
Member
Member Secretary
Functions and Responsibilities of the Committee
- The Cmnmince shill meei adenst once a yea, j„„„„ ,Ik m
,
Sepicnhe, ,o rev.cs and Imalise the existing drug list'and r,,rmublion*‘'
P'?«
' 2m"
-
and me Comminee shall look into such requests 01^'I’h'ra,?O’PII°|S
recommendations.
su^estions and give its
Drug Conquer, need rram the hospi* .he
appropriate authorities.
st,
'
“
tbe maner t0
- Any other responsibilities given by the Government frnn, linie
1
,ime
*—
& Family Welfare Department to be appointed by the C
'f
M °f 'he Heallh
The other members of the Committee shJlI be as follows:" einmenl '
PUrP°Se'
1 • Chief Accounts Officer-cum-Financial Adviser
Directorate of Health & Family Welfare
2. Additional Drug Controller/Deputy Drue Controller
3.
Joint Director (Medical).
Directorate of Health & Family Welfare
4. Joint Director (Medical Education)
5. Joint Director.'Deputy Director (Pharmacy).
Government Medical Stores
Member
Member
Member
Member
Member Secretary
Functions end Responsibilities „f the Tender Evalunti0„ Cun,it,re
The lender E\a!uation Committee
should prepare Hie Tender Documem
immediately after the drug list is
approved following the schedule of
procurement.
4
- The lender Evaluation Committee should open the Tenders on
the specified
day and draw up the Minutes of the Tender openinc.
21
I he I ender Evaluation Committee followin'’ the t ..... .... , ,. ,
fender should evaluate the Tenders h>ii?r /
ondtiions of the
aspects and make suitable recommendations in td;llkl Technical
each drug package.
'
L l’ri11 0 1 ri'ceedings lor
'
,hc
be placed before the Empowered Committee. ‘ " Vl '1'llei1' Medlcal Slores
•'^ilional Director.
Government Medical Stores.
' l&XSE*9'mrUS"d by the
other members as follows:
Hearn,
* ‘ dea,ln
1. Secretary to Government. Finance Department
Secretary to Government. RDPR Department
а. Secretary to Government. Medical Education Dent
4. Director. Health £: Family Welfare
5. Director. Medical Education
б. Drug Controller
7. Project Administrator. KHSDP
8. Project Director. RCH
9. Additional Director. Government Medical Stores
Family Welfare with
Member
Member
Member
Member
Member
Member
Member
Member
Member Convenor
Functions and Responsibilities of the Empowered Committee
The Empowered Committee should examine the
recommendations of Tender
Evaluation Committee in respect of each and
every
drug and finalise the same
following the calendar of events in order to
ensure that the Rate Contract is
fizXed well in advance.
The Empowered Commirtee should review the
stock of drugs etc. adeast once in three months procurement, distribution,
to ensure that there is no
shortage of drugs.
The Committee should also oversee the process
i
procurement of drugs in order to en^um that I .
T y^dmg the
followed.
tllL tlme schedule ts strictly
I
&
d. Rccommcmleil steps Jor /,/.
■ 1'),i <tn(1
ofdrn^:
Al picscnl. when Tcndc:
.: issued for fixing (he R
de. t ontract. the quantity of
lllc dW l‘: be supplied for the . mract period b> the
■ sup ■iicr is not mentioned. The
suppliers v\i|| not know the ac:.... uuaniity of drugs he
v‘i.. have to supply during the
period of contract. As a result <>. : • on many occasions.
to supply, when suddenly large . .amities are required to i manufacturers have tailed
... be supplied, fhc quantity of
drugs required to he supplied-h;. Ce Manufacturer should have
manufacturing capability and mi- mould be fixed in the perforinan ’ direct relation to the
‘-e criteria. .
; As ressrds ,l,e qu»llB. ::
„o, be possible M sl=:;-a;.,
the discussion with the Tamil Nadi
..J Medical Corpora,™ „
:1;cers. it „as
o:r
they have been able to standardise :
-.<■ Qitanttty m respect of each drug over a period of S6 years. In the Tender Document, a
; provision could be made for varying the quantity bv
ZoV'o ot the total quantity indicated
m the Tender Document depending on the estimated
requirements. This would give a recpared cushton to either reduce the quantity er increase
the quantity depending on the actua
- .cquhement and consumption. Once the quantity is
identified, it would ensure better c •.
:: petition and the companies will also be prepared to
supply the required quantity at per: acical intervals.
Con J
0
ChXct'b?Se7urch^nt'insTk^ ^otmmem^hTuId
drug outside the list should be purchased without t£ "spec.tk
'll1
Government Medical Stores. The preparation of the drutt list bx the CMv PP'
Stores is equally important and rev.sion of the drutt St
TT
Committee is very important. The committee has~preparedVlis of
enclosed to this as Annexure VIII. The Committee has observ^klnt th
requtred in Primary Health Centern l.mited. It is not nec^F
,
mR
1
Tt1'1'
T "r i "
„ T °? drUgS
the Primary Health Centres. During discussions with T Tamfl? Nad M T "i’
Corporation, it was revealed that they have prepared a smaller list of dn ‘ f
MedlLjl
Primary Health Centers. Following the pattern of Tam11 Nad-' Medico r f°r SUppl-v lL’
cons.dering the requirement of drugs in Primary Health Centre
' C0rp0r3tl°n 3nd
prepared and enclosed to this as Annexure IX. The list of dru- ^closed separate list is
to this report are
not exhaustive. The Therapeutic Committee can alwavs loo'k
into
these
lists and make
suitable modifications.
* '
5. Procurement of Drugs:
I-or proper management ai:.: distribution ofclrtr-s it
n . ■.
schedule for procurement
procurement of
of dates.
For
this
purpose"
st
-n
T?’ 10
3 tlXeJ
drugs. For this
calendar of events for all the
.::ies TheTommH'Ol'M
l° lK1'C
...............;1/
Committee
rec'^-^ntenu,
............
-schedule from the stage
ofpre, ' •nies. The
Jht
C?mm‘ttee
the following
Oisr upto ti.sing ofRau- Contract.
•
.'.lion ol’lisi ofdni- • v'.nli loimulations and qn.miiiies - in K cm
nplck'd
h\ ihc end of Augusl.
’
XChX
:"’J ‘"™IKS 'V
Cou.u.il.ee .
dl vOi.ipkiud n\ I? Scpicinbcr.
Finalising the Tender Documents and its approval hv the Empowered
Committee on the recommendations of Tender Fviii'mion’r
,
,
completed by I 5".’ October.
Ewnuahon Committee - to hc
•
Issue ol Notification inviting Tenders giving a minimum of 45 davs bv the
Audiiional Dnector..Government Medical Stores - to I
'
be completed by the end .
of November.
:
’ e?fr'’LOcXer'b> ll’e T'"d" Ev!,tati0"
•
’
■ ■» •s-
Evaluation of Tenders and making suitable recommendations bv the Tender
E\ aluation Committee - to be completed by the end of January
Fmal approval of the recommendations of the Tender Evaluation Commit-ee
b? .he Empowered Committee - to be completed bs the end of February
Z’ ^mment
'■ nxing the Rate Contracl k compieted bv the
6. Actual Tender Process:
-.her eondidons l,ke supply by
7 S
t
smps and ■abtas/eapsules me,.Honing i, as Gove,Supply No^foV sat e,"S As"i,'t
proposed to quantify the drut-s at the time of initintirw -ivJ '
A
should be worked out on the' total va " o c c d ^
Pr0CUrCme,lt ltsdf the EM°
feed as EMD. The presen. Tender DoeuteZay S suLtt’"Xt "X tX
Evaluation Committee if necessary in consultation with the officers of KHSDpLT|Lr
present system of rejecting the incomplete tenders at the time of m d
kHSDP'
continued as the tender opening is done in public. ’
e'’ °Pen,ng m;,y k’
Once the tenders are opened by the Tender Fvnlnn-,,,,, r.
Evaluation Committee should immediately take steps for d-tail -ri'°'rri'llltlee' [n^. Teilder
and make suitable recommendations foUowme. th: tim s
d\^"
Committee. The Empowered Committee will'exam ne rh
Empowered
Tender Evaluation Committee and uive Lmvai m X re
°f the
Evaluation Committee with suitable modifications if anv BT^on^10'13^ Ad
Director will subm.t the proposals to the Government for ns non
r n"3'
Contract. Once the Rate Contract is approved bv the r \.PP al aiKi issue of Raie
Booklets should be made available to ail the District Health.'w .m''0 nfi-1™0'
Office's.SL'rgeOnS 3nd °tlier Adniinistrative Medica' Officers including"Ta IO Health
?.i
L
. Procurement ami Dimnnomm Mechanism oj Drirp
rhe Committee recommends the establishment m' j
> ■trict Warehouses in all the
Districts am: storage of drugs in the District Warehou-.e*
fhese District Warehouses
should be direcih under the comrol of the Government
• -al Stores. At present, there
arc no smtanle godmxns rcadib. available in the prem:/
Further, it should be belter if the Warehouse is away T'- ol the District Hospitals.
'■ the
karnataka Warehousing Corporation has built Warehom-;
j hospital premises. The
m all the Districts. Till
permanent structures are buili lor warehouses b\ the
Family
Welfare, the Warehouses of the Karnataka Warehousin'-’?■•nnent of Health
nrporauon
on
rental basis. If the warehouses of the Karnataka wAA^im.'
C. can
"" be
” taken
’
i are not
avmlable. the warehouses of other Central and State
K
private
waiehouses could be taken on a lemporarv basis. An area o-'-000 so ft i •
't ■ /
al! necessary storage facilities including furniture and equm?^ , A r.? proPosed Wllh
Ireezers. etc. Efforts should be made to make the AareTAe odent
'T'
P
screening of the building. The District Warehouse sho?^ h/
T u
Pharmacist.-Graduate Pharmacist assisted bv a Senior PsA
r/la™t’ed by a Chief
Group V
„s anil 3 c,„puIer o tt X
r
J,,e,CS'Tld be 4
. t-iaidware and software.
However, efforts should be made to have n u-nr.*;- , . l -i ■
following the type design adopted by Tamiinadu MedicafctT
1
DlStncl
oiporation.
If
Government
can provide funds under Externally Aided Projects like Ka
arnataka Health System^
Development Project, immediate action mav be taken towaTthe
warehouses. Efforts should be made for providin'- R-'-'s construction of District
as per the standards
recommended by the Drug Controllerate for proper storage oTrugs.
A. Distribution of
Dnms to
ifDrills
to the
the hoKnimkhospitals:
le Comimtiee recommends introduction of Paybooks nn rk
pattern of
Tamiinadu Medical Corporation for distribution of drutrs to I
hospitals
from
the
District
arehouses. The Passbook should be maintained in Duplicat-Admtmstrative Medical Officer and one should be i
''• one in the custody of the
retained
This would help the Administrative Medical Officers of th- at the District Warehouse,
the drugs required bv them periodically without unnecessaryvhospitals jo properly indent
stocking
the drugs in the
ysp.tal For the purpose of transportation, the Administram e ‘Medical
Offi
use ol the vehicles, which are available in tthe
’ ’
_hospiuls,primary Health Centers and with
Taluk Health Officers. The passbook should be carried bv fDistrict Warehouse for taking the drugs. The oharmaAt" e official who goes to the
in-charge of the District
Warehouse should verify about the attestation done bv
/ 'cer on the previous supplies taken by the hospital Th-'- Administrative Medical
authorised official of the
indenting institution should also sign on the dupli
(
-op
?
u
the pass book maintained
m the warehouse for haxing received the drugs.
9. Inspei:tii>n of District H <irc/iotisex:
Director and the other selXrvXeV^^^^
l0 the Addl'ion.i!
officers of the Hetilth Department like Commissioner Director"^? S‘Or,CSr, Tl’e senior
D=a. Joint Directors shou.d inspect the District
District Warehouses perkVdic^l'l-■'and'send the^Xspecr'7'JUr’Sd'Ct'°n S-ll0Uld • isit llie
Health & Family Welfare with a copy to the Addition l|°'Ireports t0 lhe Commissioner.
Stores.
P'
the ^oditional Director. Government Medical
The District Health & Family Welfare
periodically inspect the District Warehouse located in tT '
DlStrict SurSeons should
inspections notes to the Additional Director, Government Medical Stos
their
Commissioner. Health ^Family °wSrTshoutd^L^ 0^
aPpr°Val °f £,le
verificanon of all the warehouses through the District uSih & F^'?7stock
VVhile do.ng so. he should ensure that a District Heal h x c &,Fanilly Welfare officers.
District will conduct the Annual Stock Verification of ' • nT* Y Welfare Officer of one
and not the jurisdictional District Warehouse.
f neit’hbouring District Warehouse
iO. Licensing requirementsfor distribution of drugs
•nstitutions/Hospiials/Stores
-uumynospnais/btores encaged in the F'
distribution <of" drugs to Other
ffistitunons/Hospitals/Stores have to obtain wholesa
--tie licence under
Drugs and Cosmetics Rules.
-• the
...e provisions of
Vhoksale Licence is granted in Form 20B fig anJ 7nr
categories of drugs that may be stored The nr? m
• "°G WhlC 1 W111 cover al1
under the Drugs and Cosmetics Rules are:
e'cond,tl°ns for the grant of licence
1
ffisq^mts^
dFUgS 3re
stocked should not be less than
-• The distribution shall take place under the
supervision of a Registered
Pharmacist.
5 "s”
'rs x asf rs-Aimirahs- '“k
i the building where drugs are swed^
Room are available in
C°ndirionecl
Presently drugs are distributed from the Stores attached to
Healtn A: Fam.H Welfare Officers and these Stores have not the office of the District
been licensed.
$
k
2ti
L,:Jcs'--■Komranwial’W '
r,"'" ■” *’*"7 ‘'LL’:1.CL’'’ '■v!1IU; '--'"‘ics whoicraile licences lor
disiiii'.:: ton purpose. I he location of the olhees and area covered arc as follows:
Licen
■ SI. No.
Location of the office
Area cm cred
C,.;ice<)t Assistant Drugv' Controller. Bangalore
i Circle 1. II and III
*1
J.
Bangalore Urban District
; Office of Assistant Drugs Controller. Bangalore
j Circle IV
:
Bangalore Rural Disirici
and Kolar District
:
I Of lice of Assistant Drugs Controller. Mvsore
Mysore City and Kodagu
District
i Circle I
4.
Office of Assistant Drugs Controller. Mvsore
Circle II
5.
j Office of Assistant Drugs Controller. Tumkur
• Mysore Rural Mandya and
, Chamarajanagar Districts
, Tumkur, Davangere and
Chitradurga Districts
I Circle
6.
Ottlce of Assistant Drugs Controller, Bellarv
, Bellary. Raichur and
: Koppal Districts
Circle
7.
i
| Office of Assistant Drugs Controller, Gulbanza
• Gulbarga and Bidar
i Districts
Circle
<S.
Otiicc ot Assistant Dtugs Controller. Bcliraum
Circle
9.
I Office of Assistant Drugs Controller. Dharwad
■ Belgaum and Karwar
I Districts
| Dharwad. Haveri and
j Circle
j Gadag Districts
10.
| Office of Assistant Drugs Controller, Mangalore
Circle
1 I.
Office of Assistant Drugs Controller. Hassan
Circle
12.
Office of Assistant Drugs Controller, Shimoga
Qn.c|e
'
13.
Office of the Assist D^s Controller, ffijapur j
_ __________________ _____________
I
I
! D.K. and Udupi Districts
I____ _______ |
Hassan and Chikkamagalur ;
Districts
j
i Shimoga District
| Districts
Storage of the Drugs at the recommended
temperature goes a long way in assurine
qualir and stability of the drug. It is not (
enosgj) that the manufacturer takes care to
ensuie quality of the drue durum the course
■ o.' manufacture. .Adequate care must he
taken during transportation, storage and disci;
■mn to interior hospital., and centres.
The Heads ot the hospitals and institutions I'r.-u where d-v-.v .1r. <
«»««• Hk AisisOT 0„,gs C„,rollers of
f.!
lieeiKe-, >n ■ si 2oB : III ni1j aig
'
’ '
,
.
""
'llk "lA-"1’ Ilk-
^ote: SJunhde K of Dr,,,, and Cosmetics Rules
7
reqmremem of licences // the hospitals run hi (h,
“
/rom
(jovcrnnicm ei/ya^e oniv in ^enstngofdru^^^
'he hospttal. Therefore, onf Mores/institutions f
i'c"ILI’'^"id out patients .>/
hospitals/PHCs need to take wholesale licence. ' ' 'dis"'ihll,i"n '<> other
11. Idea! Storage requirementsfor warehouses
■i
~arc to buildmg requirements.
*
■ ■ The buiiding „,„sl be p„c= and Wllh Rcc
•-
.1
J
f
here should be adequa.e s.orage area adeas, 50 s,s. (5000 sq ft ,
4. Designated area for each drug should be provided
5- Piacement of racks should be in such a wav which would tt
6. Heigh, or .he buildiag s,MU|d be adeas. 30 ft
2
7- A cold room (2-! O'C)
s.ore Vaccines. Seram and teulin.
An Air Conditioned Room to provide storane nf rt
15-25°C.
P
StOrage of dru^ requiring storage between
9. As far as possible, the movement of druo's durino th^
on to the racks should be through mechanical lifters
°f lln,oadin- loadint’
I o. Powerful e.xhaas, system 10 be provided in .he storaee area
II ■ The entire building should be rodent proof.
■ 2. S.ock rotation Firs.-in, F.rs.-oa. sh„uld be
1-. Recommended Inventory Manag
„„ile
ement:
At present, the entire Inventon- Management of
one manually. The Committee stronelv feels that the I ? CUrement and distribution is
computerised and networking is mtroduced This would
MeChanism needs t0
drugs in each of the District Warehouses from the head ofr^ r monltonn= of st°cks of
bp enton Management with networkmg wou'd enable th^'f?lrther’ the computerised
Medical Stores to take decisions wnhom lo^s of f m f ° ficers in the Government
D.strict Warehouse to another District Warehouse ir J" tranSfer °f StOck from on"
requirements. Apart from computerisation, at the'Ywef (,f° n^ °Ver the emer^enc?
■nuoducuon of Pass Books in duphcate for d^mb '
S'riC‘ Warehouse. the
mentioning the Pass Book value improves the dru-'’ n Cl'UgS ‘0
hosP'lals h'
V' arehouse and hospitals. There wili not be unnecessan ^"k?a’' ‘he DlStricl
■ >0 stocking (,f drugs in the hospitals
<•
*a
2S
as (he drues arc :supplied
” ‘ eveiy month to the major hospii-m
i
• P * is and once in three months io
ihc Pi imaiy I Icalih Centres.
lilo holfc “^tS"™''2'nS coTeT Sip f ™ "lln,be! "r '«'«■ Costs
mmnta.n ccrlam level uf slreks l0 ,„e« uncertain/JimT-ii T' T'
^.ncues. etc. Depending upon the value, criticalitv and usa.-- fd
1L y [ime’la= 111
appropriate scientific inventorv analysis techniques ’ ARC
lletluency of the drug.
• analysis - mav be applied . '
.'
LCn",qi,es ' ABC analysis. VED analysis. FSN
One of the modern wavs of imomvino
r
:
management is by computerising the druu "stores Pe;°rmancc of
inventory
stores.
The
computerising the drug inventory system is* &
le ProPose^ objectives of
•
to bring transparency in the drugs procurement system.
ioi proper analysis of the drugs movement.
in,Orma,io"
'he avaitabili'r
s at the stores for
to assist in maintaining optimal level of drug position.
lor establishing e-mail communication for Warehouses with res. of world.
All the activities of the dru<> Warehoucec
expenditure - - be computerised. The proposed benJ^^pSt^S^
inventory system are:
■ •
The indent/request for the drugs will be processed faster.
• The am„u„, ord,.u„s ,ifled bv my
•
Drugs movement will be analysed properly using scientific methods.
•
Area-wise movement of the drugs will be analysed.
•
The expiring medicines will be monitored well in advance.
•
The institutions can check availabilitv position nt th- vv >
Internet.
’ H
1 l‘K Warehouses us»ne
P»cure„K„,and uccuunting SvSKm will
imprined ,
[
*’
I 1 I
.
All the sections will be linked
m.,,
monito-ed more effectively. Forex. WhJn th^qualmTm (r>|'
ea" |k’
I
coniiol report says that
’
pariicukir drug iblocked.
,
- standard, then issuing of H);ll t|lllg c;lll lv
The simply of banned,prohibited/not of sfmd ird t
msm,„ |K.for ,.llrd]cr
•
Future requirement oi'Jrugs can be projected in
i
"K various
better methods.
51'.v/e/rr.v ReiiuircDients .
Enngalore an(|
‘■'''t''”' S'Or“
>h= hardware and required snllware wid, cosi eslimares is Xe
aT' de“i!s ',f
tJVcn in Annexure X.
Aller an initial period of
one year, it is proposed to use the
'vith training for c
existing manpower
computerisation. However, one f
Programming
Assistant for
Administrative Office of Go'
-■ government Medical Stores. Bangalc
lore may be created on a
permanent basis. Programme Assistant’s
f„
re
.
SenCe
'''i.
11
hel
P
the Government
-..... -..l Medical •
tores to smoothly carry out computerisation work
at Administrative Office and
Warehouses. His services can nkn u
n
Disrricr Warehouses
““d ‘O a'ttnd “ the problems reported by
the
It is proposed to have five Data F
n ty
perators for Administrative Office.
> 011 contract basis for an
year so
Managemea. System. This mII .1Is0 helpZ
i‘"d establish the Drugs Inventon
Of the existing staff to operate on the computer. rcome gradually the resistance/hesitation
The website of the activities of DruoS w;i| h„ ,
,
esXhTs'i'ts mxm wLshf5' temP°rari,y keP‘ at N'G- Bandore” tih 'thT^aorai e
!3.
fir PmuremenlandSupply QfDr„ss.
operated by the D^ZaFofl le'Jd' *Fam,“we“a'V“%
'°[al drUg b"d'ei iS
Stores. The remaining 60% of the drug budo’et js „ivP
Government Medical
Surgeons and Administrative Medical Officers of the hoc " ° Z>Pancfla.vats/District
The Committee feels that it would be better if 90% of th S,Wlth 100 beds and above.
b- thT Government Medical Stores mvim- 10% to the
rug budget is operated directh
the emergency requirements. This would enable the n reSpeCtlve 'dilutions for meeting
and timely procurement and distribution to Distric^wT ^Ppl,Catl0n of funds- llniform
accountab.hty at one point. Nou ln the presen’ svsm
ell0Llses aP;'r> from ensuring
operated b^he Zilla Panchayats and
bud^'
of 100 beds and above, the accountability and mspons^M
Med‘Cal Officers
Pomm. Further, many a times these mstitutions co f^pSise ‘f
10 sc'^al
purenase of c|rL1„s oulsidc lhc R.He
'd
r-
ir
■i
Contract saving that Rate Contract r,older has failed to sh-.-iv ,1,. i
drug with a brand name is idemilkd m the District Commits, f
‘
availaide ;it one point, there will be uniformity in the availaHim, ofih . Vi11*11''
the State and also in the rates as the Government Medical Mores v ill f" 'r'’ '"rl>l''t' 'H"
only from the Rate Contract holders.
Pl"cll:!SC tlle drl1^
II’this proposal is not acceptable to the Government m view ,o ,i,
r
(mvernmem to decentralise the powers and uive more pov ers to 7 1 , P ?C’
'
present system of budgetary allocation for drm-s cocId h " .
^t-haxats. the
- C0Ucl be ^ntmued with some minor
changes as detailed beiou. ’
40% of the drug budget
I
will be operated by the Government Med.cal Stores
and supplies will be directly made to the- —
Distri
—..ict A arehouses.
including the Prnttarv Heaith Centers to pglchase
ot then- budget. The remaining budget should be a-mlied'hv
n■
, u
.
& Family Welfare Officers for pumhasme the
from e Rn %
holders only and these druus also shall be stored -n H rv ■
Contraci
The 60% of the drug budget so far operated V-.^h^Dis'X' s
eh°USeSt
Administrative Medical Officers of the 100 berid d i
'■ t S-"Teons and
back to Government Medina! sZ Ind opZeZ “SitZ £
Goverr,men. Medical Stores. Once the drugs are supplied bv the Ra ZZ
Holders to the respective District Warehouses, the Stock rfr.i v',
?
given by-the Pharmacist in-charge of the Warehouse and on the basis of than
District Health & Family Welfare Officers
^‘il! authorise
suppliers. When the District Health & Family
purchases, he should purchase the drums to the -tent Jf 60- W rl
quantity as given in the Tender Notification. The remmnitm dO-/ of h' ?
quantity ot that particular drtm for the
4O'° of the total
Adminislmive Control of the Zilla PancliavTsInll Sb“'"'"s “"d'r 'J"
uovernment Medical Stores and stored al the District vv, pr‘,cllreJ i,.v ll,e
of the District Hospitals and hospitals with lOo'b" Is and ’h"”' VT'"
outstde the purviesv ofZiha Pa„chavats. the entire t ^n’ de . t d' " '
’T
out ot 90% budget Will be ordered bv the Additional n ’
reqL'',e‘-i
Med.cal Stores. These drugs are a!so stored m X D.™ u"
,
issued to the hospitals on the basis of the budget of the h
■ /m?'ld
the Passbook against indents given by the Hospital Authorities’ ‘
'ri
At present, the 100% requirement of drills fur PHI
Government Xledical Stores through %ckag. ' s arc directly supplied b\
? •■•acni. 1 ins sikHiid be
dispensed with and the Primarv Health ('nils
lhl
u!d be made mdcniine
institutions like PI ICs.
09569
•V
I
“C|J,y=:.-" li:JI ',iC ■■‘Tflted Iw the companle- , ■
>1.0 District tf.-.mh
Family Welfare ()ir,cc.
> >e Districi W aiehouse. accounted scparuel
basts ol the indents g.vcn by the hospim|.s' In
ihu oixlcrs gi\cn
■l,M be scparaiel} slorcd
••■■ issued senaraielv on ihe
'•issbook nuiinlained lor
issue .0 dtugs m the hospitals and PJICs conm
-Ol.tio 0! 4ilki Panchayats. separate entries sh .1 ■ :..-idcr die Adniinistniiive
.
issued out of (,()% ;!nd 40% dril„ bu(j
_.
- maintained lor the drugs
40% drug budget should be indicated in the Pns' b
M}''" dl1' budge‘ and
drugs supplied ou, of 60% budget the nlnrrn" ^paralel>'- ln ^Pec! of
should send a copx of the invoice to the D'
" <har*e 1,1 l,le "arehouse
Officer.
'
te t0 t,le
Health & Family Welfare
logistic problems also. ThT'phTrmam^'Cjt,,1CLir:ent,y- there will be some
separately in the warehouse. There will k
''' 10 niainlain the drugs
Inventon- System will have to separated done Ih'™" ‘St°Cl< Registers and
Health & Family Welfare Officer fail.’ m
‘in- reasons- die District
Contract holder to the extent of reouired n Pr°CLIre ail-v druo from the Rate
■1« -PFlier cp„ late ,he G„7°,,7m
, ,'“'=
»
quantity as indicated at the time of flnnf •
•l»« h„rdles. „K C„„,r.X
n0‘ Pouring the entire
"’“««■ «’ -mb
excluding 10% should be operated bv'the Cn
en“re drUg bud^el
objecme of the Government is to erasure ^Mh^' MCt!'Cal
'
drugs are available in all the hosoitals th™ i
' L ^SSt-nlial and life saving
Goverurngp, „lay consider 2°^ 7X7 r" '
bpdgei » dK zilla Pa„c|,ayat! a„dof'.hp drug
Government Medical Stores.
"
I le entire budget to the
The loral drug budge, during lire year I SW-hMO
The Co„,„,,t,ee „y fee|s Iha,
- J ^as about Rs. 52 Crores,
increase this by atleast
> be kept as reserve monev
doing well and need additional budget for me-tin^t''
... 1 • some hospitals will he
requirements. In such
cases, the additional amount of Rs ]0 Cm ?
meaningfully without stocking the dru-s mn
C°ird bc llti,ised more
-pee, of PHCs and o,her h^ls“^i “'
’ in the hospitals. In
Fanchar a^. ,he addi.ional requiremen, shall be h
n L purview of the Zilla
dre respeeuee Drsu-ic, Heahh & Family Welfare c
and recommended by
Officers
and forwarded to
Addmona. Director. Government Medical Store, i.
above hospitals, the additional allotment shall be ••i respect of 100 beds and
b: the Divisional Join, Director. In^t n C -J
r and recommended
the "Districi
pigeon.Superintendent should justifv and ask for
m Hospital,
I 7........
Admtiona, Director. Government Medical Store
JJltl0nal allot
™t to the
---------Government Medical Stores will examine each <■' ‘ lie Additional Director.
cnsc on i[S merj( and
makc
suitable reconiniendations to the Cnm
■
..... .........
-
With the approval of the Commissioner.He'ditTt D
&.l'aniil-v Welf’a,e’oner. Hea-th A:
I
.
c
‘"’’il} \\ cllure. addin' onal
£
:c:'-r''c fttoiim rnfl be .eleased to tire respective
bc s
. Is.«.L ami „„ ,te tern „r ,lu,. lhc
'
Dranc
Vuehouse.
A copy of .he adJiti„„;11 aI|,„mc
forwarded to the respective District Warehouse also.
14. Investment costs /hr
Inventory System
■
eMM,., Dis,ric, i,„re,„„ms am/ fm almpimrisal
5
The Committee has looked into various aspects nf
and Inventory Management System and has made the nhov
prc,ci"e'1'lenl- d|stribution
ensure a better system. I here Mil he somAnldhio 7 ’--’—‘■'-'ions m order to
recurring costs and investment costs. The iiiv^mrnnt coTX’T
,lc,ms <,f
computerised Inventory Management Control I'he-em-iinin S (’'1 ■'
cslal‘,||slll,1g :>
nature mostly towards salary Component a 7 a
)L ‘
7, ""T’0'11 ' ‘,l'
lor establish™ District viarcho't.ses in .lie Zia,i“l bii tr '"T
r",,alS
constructed. As regards the recurring costs towards s'darv c
L ''aieK)llses aie
and
other
Group
'D'
employees
working
in
other
institut
e
Omp
O
.
'y
nl
- lhe P'^macists
and other Group ’D* employees working i._
Stores could be re-deployet!. An abst^^ZmX die
Medi“'
Stores could be re-deployed. An abstract of
computerisation and estabbsliing
Warehouses is
establishing District Warehouses
i enclosed to Stis'as Annexe xT
15. Qu a iiiy Control System
The proposed Quality Control Wing at Government Medical Stores
w ili lake up the
responsibility' ol testing ol drugs for quality.
It is recommended to explore the possibility of givinn -leer.vlii .,;
.
Private Labs (under Drugs and Cosmetics Act) for L
’
aPPl0Vcd
each
batch of
of ch
drugs
:1"U,yS'S
each hatch
ug on the lines of Tamilnudu Medical C o^XX
To meet the cost of test and analysis the <’ommin
mno.un equivalent K> 1.5% „n|,e i„voice >.,1^ f ' "“
«' collect an
litis as one of,he .eneler conditions
' ’‘•’W’l.en. by tneorpotatittg
16. Train mg Programme
For the success of the recommended
system, it is i
necessary that officers of
Government Medical Stores. Warehouses,
District Health & family Welfare Officers
and other purchasing officers need to be trained in matters relating to indenting.
procurement, storage and utilisation.
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Annexure to the Government Order No. HFU
lAHcd 1
HI>C 99 R
January 2000
C'
To study the existing set-up. functions and w< ' '
orkinc of tlic Government Medical
• < ies and makes specific recommendations with relerenc
-..ce to the follow inc;
(1) Qualification of druc
requirements (including
llie basis on which the
9Liam ities. required arc to be assessed).
(2) Procurement- and inventory :manaoement
r
i
the delivery system or
be done by ,be Govern™™ Medico, Stoes '"' whether such
or the R.C. holders).
(4) Establishment of Sub-stores at the Distrirt/ry • •
the sub-stores should only act as a storaoe n TL"
(includinpresent system of centralis'ed procurement Euld dlStr,bution centre
the
stores should directly procure the druus from he R°r ?
Whe'her thc Sl,b’
requirements and settle the bills o^ the basis 5' i
S 35 per the loca'
Directorate).
baS!S of hinds released bv the
*l.very ,s
i
0) Storage requirements with reference
to iegal/licensing conditions and the
estimated cost.
implications should be
assessed m case add^tSsta^^
^7) Stock and issue R.eaist?r^ tr»
mr,-
inXhtionshneePdrseStonbe^Tnced'Tndtfl to st/
for
limns together with the additional requirement of Eds
j™"'5 ‘0 ‘he Various
enhanCed financ,a'
Any oth„ ma„er inciden,a, ,o
Sd/(S.R. KOLAVJ)
y’crcIar.v to Goxernmem
Health & Ft,mdy W elfare Department
>
&
Anncxure l.A
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Anncxurc III
f'KOCTEDLXGS ()l 1 lir- COVERNMEXT ()f
KARNaTaKA
Sub: Reconstitution of the High Power Commm
‘ttee of I Icahh &
FamiH Well-ire Department for purc|lase
ol drugs,
chemicals, medical
eqmpment. instruments and
apparatus
required by the
-overnment Hospitals and Dispensaries .
the Stale
in
READ:
I. &,<«„,o,.toN„ mv67HPC8()
- Government Order No. HFW 67 HPC 90 d , ,
3. Lenc-Xo GXS<
9)0
elated 5/10-9-1991 l7-8-'”»
PREAMBLE:
Committee was consumed fo'r'l^
aboveCommittee '
instruments
instruments and
and apparatus
apparatus for
tor a period of two years from MM 939
High Power
;o'7menI'
was also nominated as a Member of the HPC.
above, in partial modification
■•er *in Karnataka. Bangalore
ll>e term ol (he p„violls Commitlec „ou|d
HlSj Powe, Comm.l.ee as
need .0 make purchases fcr (he Depart.™ of Heald, 4
“rSe"'
Government has examined the oroDosal nnd
•
permanent High Power Committee for this purpose and^als"
'0 haVe a
reference of the Committee.
4
50 specify the terms of
Order So. HFW 67 HPC 89, Bangatoc. da,cd lS.,2^91/6.,.,2
In super-sesston of the previous orders of Government on f
■by accorded
Illt. High
the subject, sanction is
1.
Secretary to Government-1, HFW
Department
Representative of FD not below
lhe
rank
ol
Secretary
10
Government Joint Secretarv to
Government to be nominated by
the I-inancc Department
.
Chairman
••• Member
Representative of the Commerce
and Industries Department not
below the rank nl' Secretary to
Goyernment/Joini Secretary to
Government
4.
5.
6.
Director of Health * ]Family
■Welfare Services. Bangalore
Director of Medical Education
••• Member
••• Member
••• Member
Drugs Controller in Karnataka.
Bangalore
••• Member
7.
Joint
Director.
Government
Medical Stores, Bangalore
••• Member Secretary
The High Power Co
issued by
“bjee, Io such ordere
TheTe„„s„fRe,ere„ceof,beC»mraitleeareasfoIIows:
1- ^xam'lle rbe need for fixing ;he rate contract.
2' Ex'amine the range of drugs and chemicals m m
and apparatus needed by the Department
,
equiPment- instruments
o. Examine the quantity of drugs and chemicals m r ,
and apparatus required to be purchased from t
'.equipment- instruments
be purchased fn
funds available.
'rom tIme to tune depending upon the
ecened and other related matters.
'
le cornParative statement
7. Examine and accept the most favourable offers in
terms of quality and prices.,/
8.
femXra“eX“m
■1"d
fix the Rate Contract-H
bubjec. to extension offaiiGG""-,fw
a period of one _year
not exceeding six months.
C ontract as fixed by for a period •
9- Periodical review of the performance
°Dhe Rate Contract fixed
r
*
I
<■
10. Such other rcsponsihihijcs
time.
1,K1[ tllC Gove™"en< may e.wust from u.oc <o
•<r
By Older and in die name of
Governor of Karnataka
Sd/(S. KRISHNAMURTHY)
amily Welfare Department
si
s'
i
y
Anncxurc I\
Government Medical Stores, Ban-.lore
Staff Position as on March 2000
SI.
I ___
Dcsi^nntion
Snncf Kincd
I Joint Director
1-2.
I
Chief Supervisor
"K-ledical Officer
4.
___i. _
I
! 1 C JD uorkine from
r
1
T
i
k
I Lay Secretary
7 Office Superintendent
I
7
| First Division Assistant
7
I Stenographer
7.
8.
JL
no.
1
Second Division
Assistant
i
_____
Typist
Driver
Lit. Attender
IL
J2.
IT
14.
I
T
Group ’D1
I
Heinnrks
I 1-10-1 999
i.
Chief Gazetted
Pharmacist
Graduate Pharmacist
5.
1
—
I
at this office on
O.O.D. basis
1
2
To
i
33
tr
2
1
JO
P
I
5
----
-----
2 officials are
working at DH &
O s Bangalore on
O.O.D. basis
2
T
1 Graduate
Pharmacist working
!
1
2
1
!
5
68
45
23
130
95
35
4 Officials working at
Sect. & K.H.S.D.p"
on O.O.D. basis
i
•i
*1
>
*■
Annexure V
Dories
I.
ResponsibiH.ios „f ,!,<.• Sraff of Coven,.non, Meilical s,ort.
Joint Director
General Administration
druss “d
Stores^nclud'
2.
Chief Supervisor
Ot Govern,nent Medical
Assisnng .he Join, Direno,-in |lls dav ,oday.s
Receiving of medicines as
per the orders issued to
the Rate Contract firms.
Accounting the receipts of the Drugs
veSnihesa^?1'”""8 ll’e dn,gs
and
“mPleSO,dr“gSaSP'rR-Po«r„
SS ;',a'C!’
X
Medical Officer / Indent
Processing Officer (I.P.O)
'
J™
J Drugs ™ Suh.
Dr“gS and Hkil>s lunber action as pc,
uZuit^ °f Inden‘S rCCe,Ved from ’ndentin■nMitut.ons. accounting budget allocation, etc.
"
Aecounttngthe drugs issued to Heakh institutions.
Assisting the Joint Director
4.
Chief
Pharmacists
Graduate Pharmacists
and
Maintenance of Stores
orjrir-s'lo
lhc 'Acoipis ,d' timgs and issue
Kuching and inlornnn. r
ihc Joint Director /Chici
°n thl?
‘1;i,TL-ti J'^s- ^‘•’--standard
I
i
I
Assisting the Joint D.rector.
5.
La) Secretary
■
•
Assisting the Joint Director in \ t ■ •
Establishment m.lf, .r
,ln Adlllinisi™l0n and
'”“"S AC“™B
6.
Office Superintendents
formate
Firs: Division Assistants /
Second Division Assistants
:
°“n,S'
»ork and
matters
purchase
Case Working of
Accounts
Establishment
Stores
Purchasing
Receiving^CS) Section
Supply
Cash
Forms and Stationan.
*
(•
Annexure \ I
Statement showing Budget for 3 years in Drugs & Chemicals, Establishment
and Gazetted Salaries, Others
Hedrl, N0„.pk,„ 40% 4 100%. Medical Education No„.p|a„, Healtll Phn
February 2000
SI.
No.
I;
9
•>
I 1997-
Ycnrs
98
Establishment
Drugs &
Chemicals
1998- 99
Establishment
Drugs &
Chemicals
Budget Released
Expenditure
63.80.000/14.38.04.446/-
66.95.658/1.68.84,905/-
67.16.600/28.59.05.715/-
1.46,34.708/- I
26.09.65.933/- !
93.83.000/28.88.07.800/-
83,58.320/17,56,22.640/-
1999-21)00
Establishment
Drugs &
Chemicals
Budget Balance
Remarks
12.69.19.541/- No R.C. was
available
2.49.39.782/-
Excess due to
revision of
pay scale
10.24.680/- Till Feb. 2000
11.3 1.85.160/- Till Feb. 2000
I
’'.I
£
A
Annexure \ II
•'•Vi
Duties i,„d Responsibilities of the officers in
"’C t’rOpOSCd K'dTO
Government Mediea, Stores
VI
I.
Additional Director
(Medical)
■
■
,
■
.d
*»
•*
,
li ,
i>U "e I,K‘ head of the or'>anisation
reporting directly 1() ,i1P r / 'gallon
■ Health & Fa,nib »,c||.1 , the c''mnnss,„„„.
re.
He is
“ reSpo"siW'! '» »"ve„i„g vari„us
meetings like Th
erapeutic Committee. Tender
Evaluation
ommittee and Empowered
Committee
of dries to ^SpOnSlb,e for ProPer quantifying
A
Medical Str>
procureci both for Government
'p^Xs,,pp ■and purc"ases
•1
j
1
oHfee™Lba,rnPO''Sible f°r 'W"S ,he
ensure that th
scheduled"
app™Priate ^me in order to
St'PP °rderS are ^iven
i
respo,,sil>1'
siockin. of dn..s
^e"S'XPeri0dOf3m°"thsI"
He shall be i—
^POHS’ble for quality control
tests for druizs
Medical Stores. procured by Government
:,rsary rps for
chouse dependmg on the stock positions.
°r
He shall be
responsible for all establishment
matters.
i
I
*
I
Joi in ,
Dircc
ccior Dcpul}
(!’h;irin;ic\)
As Member SecreLm. ol (he Therapeutic
Committee
and
Tender
Evaluation
Committee, he shall cunuunc the meetings al
the appropriate time with the approval of the
Additional Director.
He shall be responsible for drawal of Minutes
of these meetings.
He should assist the Additional Director and
the Committee in quantification and proper
formulation for the drugs identified.
He shall monitor and supervise the
functioning of District Warehouses durine his
visit to the Districts.
Any other functions entrusted to him by the
Additional Director and Commissioner.
Health & Family Welfare.
Accoums Officer
He shall prepare the budget document for
Government Medical Stores at the appropriate
time and submit the same to the Additional
Director.
He shall ensure timely releases of funds to
Government Medical Stores in co-ordination
with the Director of Health & Family Welfare
and Finance Department.
He shall ensure timely payments to the
suppliers with the approval of the Additional
Director.
He shall ensure proper ;accounting
preparation ol expenditure statements.
//>' r
r
(
5 (
□ 95 69 ? <•
and
J'--
... > .L ZA
—
si. r\'„.
i.o
;
-
,AN.AI.(;f:.siC;S ((j)
-
Recommended Drug |i,f |„ f|li,
. Lisi
I
i'1’ 1 Acclvl S.ilicvlic Acid
foinmiOcc
Rtni.irlis
0 1 Acclvl Salicxlic Acid
;3oo mg
:'2) I Diclofcn
«-<>«0-2fmi (GMS)
........ ;
Ewinlia! D,„g |Jsr
’•c Sodinis
: 100 mg
ilnj 25 mg/ml
i-’H Oniprofcn
poo mg: .100 mg
300 nig
— p., T Acclvl Salicslie Acid
2) I Diclofenac .Sodium
..150 nig; J oo i„g ♦
|5o nig
2) T Diclofcmic
U’Vi 25 nig/inl
|50 nig
_ P) T Ibuprofen
200 mg: 400 nig
D**
•Sodinu)
E“
_Jloj 25 nig/ml
— p.l.T. Ibuprofen
E
200 mg; 400 mg ♦
I
f') I J>nmccinnin|
■i'K'nig;
Sy 125 nig/5 ml
6) I Paracetamol ♦
I
500 mg;
Ib’i 150 mg/ml
L"j 15 0mg/m |
I
__i
! '«, <;r.s,rslN
.
■
D
i
/') F l)',r«'icclonio|
i?00 mg
l.l
;
I-
E
7) f Nenmsilide
n-Ll^£l nig/ml
I oo mg
2) T Nenmsilide
E
100 nig
E
—__ i
(ss,r
. 1 ’ 1 Alltipm m0|
/Oo mg
l
1.1.1
analgesic s in
II I z\/('dm,)pi me
___ I
r,,,;h^aiici)is()hi)|.:rs(s)
'0 mg
•5 I Cap ( \ c|(
ospnr me
mg
Inj -0 mi. m|
,2) I E\cloplmsplmmi(|c
1100 mg
ll"i 100 mg. 200 mg
• Vf'
I
i
i
I)
>1. 1\»|.
. NulilHMl
Drug l.ist
LOHMIIHU-C
List
-I) I Mcllioiicx.ttc
•3o mg
2.1)
I
A NTI - A1.1 ,E R (; ics i 7\NTi
J ) Ini Adivnalinc
Kt*riHiHiiin<k*<| Drug list |»v this
riiiiiiniifiv
IU-marks
d) I Mclliotrcxalc
D
2 5 nig
-anapTiylaxis(ij
1) Inj Adrenaline *
I mi-.'ml
2) F Cclrazinc
10 mg
’3) I ( PM
3) T C PM
4 mg
■I mg
(\\ 2 a mg/ 5 ml
V
I nig/ml
2) f Cclrazinc
I-
10 mg
3) TCPM *
R
3 mg
Inj l0mg/ml
E
■41 I Promeibazinc HCI
-4) T Piomclhazinc HCI
' I o mg: 25 mg
E
10 mg: 25 mg
h’lr? nig/ml
in
^ANTI-EPILEPTICS (U)
III Phcnobaibiione
I) T Pbenobaibiionc
’0 mg 60 IHg
30 mg; 60 mg
2) T Phcn\ lom sodium
2LT L1,lc,1) l0’n sodium
30 mg. loo mg
30 mg Eilm coaled J 00 mg
Ini 50 nig/ml
S\
E
_____30 mg; 60 mg
_____ 2J_T Plienxloin sodium
E
____ -5n 'og Eilm coaled. 100 mg
Inj 50 mg/ml
25 mg/ml
V
i-’) I Carbama/cpinc
i
11 fin mg Pacdialric
I) I Sodnim \'.iI|)h\i(c
i
Jim mg
!.S\ 2(K) mg/ 5 ml
I it
A VI I-MICROBI \LS (U)
I I
AX I 1-IIELiMIN EIIICS (0)
I) 7 Albendazole
4ou mg
S\ 2oo mg /
_____1) 3 Plicnobarbilonc *
m|
|3) T Carbamazepine
100 mg f’.icdialric
-4) f Sodium Valpioalc
200 mg
E
I)
•7 '■
11) I Albendazole
f4(IO mg
!S\ 200 mg / 5 ml
i
I) T Alhcnda/olc
-400 mg
E
Sy 200 mg / 5 ml
I
i
I
SI. .Xu.
Naliumd Esscmi.il f)n,„ ( ,s(
I
I lu r npculie CoininiKcc ReernT^d^F?
I
’-''I
Kciommcmkd Drug list In
- I I Niclosamide
5oo mg
this J
ominiiftrc
2) I Niclosamide
I
500 mg
I 2
1 5(1 mg
l"l 40 mu
•S' 50 mg /
I ) I ( hloiocpmic
I
I) I C hloroqiiinc
I 50 mg
ml
I
I 50 mg
h’i /’ 1.5 mg / ml
I Sy 50 mg /5 ml
nd
IS
■ i
!
AN I I XI \ |
\ ><l \ I, driif; S (I!)
IlN Idmi 'f linn--
Kvimti hs
I
•Sy 50 mg / 5 ml
2 I I Pt mi.upiinc
2) I Primacpiine
2 ? mg. 7 5 mg
2) T Primaquine
7 5 mg
• I •Snlliidoxmc (( 5' 00 mg ) 1
P} i nnclhaminc (25
nig)
■4 I I Quinine
I
I
2-3 mg: 7.5 mg
E
(301 supplied
ni programme
3) I Quinine
iJoo mg
‘0 r Quinine
Hoo mg
( h’l 3oo mg-ml
___
h’i 300 mg/ml
I-
300 mg
__ hij 300 mg/ml
)
1 " 1
jAN I l-MIC ROijialS (,S
1 -• I
{■A M I - M, \ I ,.\ RIA L I) R (J GS fS .vfC
T)
IS
i
I) Chloroquine
I
D
,n.i 6‘l.3 mg/ml
4.3
.-WII-I II A rials (U)y
4
----------------- m T DrcUn I Cnrbnn,aj^— ,) T
1100 mg
..........
“ “
— 0 T t)iclh\ I Carbama/inc
E
100 mg
14
CV7 I-BK) | |( S (l()
__ I I’ll nig/ 5 ml
■I
'I I Co-11 imox.i/olc l)S
H) I Co-Tiimoxa/ole D.S
iHiiiclhopimi (40 mu) 1
sulphamc|Iio\a/ole (200 mgs)
2 I (. ap Dow c\ cline
loo mg
I) r Co-Trimoxa/olc D.S *
•S' I limclhopiim (10 mg) I
•Sy 11 imclhoprim ( |0 mg) 1 *
•Sulphamethoxazole
Snlphamelhoxazolc (200 mgs)
(200 mgs)
230 mg. 500 mu
I
I
5\ 12s mg
* ml
i
E
I
2) Cap Doxycycline
2) Cap Doxycycline *
100 mg
') I l iMliromvcui Esloloatc
D
E
100 mg
|3) I Erythromycin Estoloate
3) I Enihromycin Esloloalc *
{250 mg
l.n lhrom\cin
230 mg: 500 mg
E
•S' 125 mg/ 5 ml
stcuilc m.i\ |»c
'mbsiimici |ll(
I
t
v.'.mh.iiic ii
Ibwnd la. |>r
’
, i '.JK.in.ii |
• I I hi I I) i (|h l.iU
I ■
I ‘Recon
‘••niiicmkd Drug Hs( hv
Lisi
I
iiiimnilh C
I
11 4 Nalidixic acid
250 mg. Soo mg
... .
.
•' ilex Uhl (>1
licp.iinxicm
•0 T Nalidixic acid
3) T Nalidixic acid
300 mg (dispcrsablc)
E
300 mg (dispcrsablc)
1 I ^'iKiliir.iiHon)
Hill iin.
m
i rhuii ox.ivin
0) I Norllo\acin
11111 nip
I 0() mg (dispcrs.iblc)
1
ap ( liluionix cclin
ilnj I g
S\ I 25 mg / 5 ml
4.4.1
Ini 400 mg / 500 ml
250 mg
I "I I g-'x 1,11
2) ( ap ( hloroimcclin
i
250 mg
D
I 25 mg / 5 ml
i
PENIC ILLIN GROUP
D
(N)
I) C ap Amoxicillin
25(1 mg. 500 mg
I. / k
loo Illg (dispelsable)
i 2) ( ap C hloromvcclin
mg. 5hii mg
2
<•) I Nmlloxacin<rCipro|]nVi.lcin
■ 100 nig
11) Cap Amoxicillin
-
1) C ap Amoxicillin *
250 mg; 500 nig
■S\ I 25 mg / 5 ml
Diapers able lab
■2) Cap Cloxacillin
_
i
250 mg, 500 nig ♦
I
i
_ Dispcrsablc tab
2^0 mg. .Sou mg
2) Cap Cloxacillin
E
250 mg; 500 mg
Ben/aihme Puiicillin
<> I . 12 I.. 24 I.
3) Bcnzalhinc Penicillin
J12 L
I) Ben/x | Pcnicil!!ii
I) Ben/x I Penicillin
sl. 10 I.
U: 10 L
61 li’l Procaine Penicillin
/>) Inj Procaine Penicillin
. I I.
S\ I 25 mg / 5 ml
|3) Bcn/adiinc Penicillin
li
12 L
I) Bcn/\ I Penicillin
I:
10 L
Inj Procaine Penicillin
11 '•
21 Inj (jcnlamxcm
12) Inj Gcnbamycin
. 20 gm/\ ial: SOgms/Nj;i|
I NO gmsA ial
2) Inj Gcnlamycin
20 gm/\ial; XOgmsAial
's') Cap Tclracx time
r.
4 L*
E
250 mg
I E2
PENIC lEIJN GROUP
I I ( ap Ampicillin
2^0 mg: Sup my
(S \ 4 )
1) Cap Ampicillin
i 250 mg: 500 mg
2) Ini Procaine Penicillin
120 L
I) Cap Ampicillin
E
250 mg: 500 mg
|2) Inj Procaine Penicill
i'2O L
hi
i:
nr-
^alhHinl Esscmi.il Drug List
•') lip Amikacin
i
» Ih nipvmii CummitH v Ricommcin|V(|
J
List ’
Kcnunmcmltil Drug list |,v (|,is J
Rcimirks
vfinimiffcc
3) Inj .Amikacin
25(1 mg / 2 ml
^4) Inj Cefotaxime
»
7) Inj Cefotaxime
I gm / vial
I
I gm/vial
1.5
I)
i
250 mg / 2 ml
E
I
I
AN I I AMOIJnc DRUGS (U)
I
I
HMoxamdc l'inio.’Kc
?(H) mg
1) I Diloxanidc Enioalc
_ -W0 mg_
2) I Mclronida/olc
I)
2) I Mclroiiidazolc
2(Mi mg: 4(H) mg
2) T Metronidazole *
400 mg
Ini ?()() mg / | di) m|
200 mg; 400 mg
Inj 500 mg / |()o mi
^Susp 200 mg/5 ml
E
I
Inj 500 mg / loo ml
r-
Snsp 200 mg/5 ml
E
•') I 1 iuida/ole
5(1(1 mg
4.6
I
i
3)7 riniclazolc
5JMI mg
I
E.
i
- • _ ____
iANTI-Tl
TUUERCULA R AGENTS (U)
11) T Elliambntol
•GE Elhambutol
(hi nm
mg
400
'200 mg; 400 mg; SOO mg
;2) TINII
___ I!) T ElhambtHol
300 mg
♦
E Kit form
—TIHhirgT^HT^g__ L2)J'_[Nfl_
____ nm’r
E/ccom mended
___ |300 mg
•') 7 IS (i/inamidc
350 mg; 750 mg
7) C ap Rifampicin
150 mg; 300 mg; 450 mg
4.7
: AN
• ------I l-LEPROSY
DRUCES (U)
j I) C ap Clofazaminc
i 5o mg. I oo mg
2) I Dapsonc
0 75 g; I gm
Sy loo mg/5 m|
__ ___ 5) Inj S(rcp(om\cin
E
n-75g
!).C a | ji _C I of a z a n i i 11 c
150 mg; loo mg
' o m g 10 0 m g
) ( ap Rifampicin
I I mg 300 mg
E spccdicalions-
150 mg; 300 mg
___
j3) Cap Rifampicin
I
mg: 3(H) mg: 450 mg
aspcr(i<i\t
<’l India
Cap Rifampicin
150 mg; 300 mg; 450 mg
S\ 100 mg / 5 m|
5) Inj Streptomycin
reuommuiulcd
E
500 mg
NJ^ap Rifampicin
) Inj Slrcplomx cin
n 75 g. I gm
|3) 7 Pyri/inamidc
J300; 500 mg
S\ loo mg/ 5 ml
__ as per Cimt
(SyjOfl^/yj^P'
3) 7 Pyrizinamidc
Jj_CaP Clofazaminc
E
__ 50 mg
2) T Dapsonc
50 mg; |(|() mg
3) Cap Rifampicin
I 5o,mg: 300 ing
E
i
I
’
E
.hMiomd Essvinial Dmu ljst
4..S
AN I I I UNCAL DRIKLS (U)
I
Hrniiii ks
omiiniilic
* > Inj Ampliotciicin-B
■ - •
‘50 mg / ml
-
- - :.
2) L Griscoluh in
125 mg 250
A I Kclocami/olc
3) Kclocana/olc Pcssaiy
200 mg
i
i 2) 4 ...
■.
(iriseohilxin
I
250 mg
3) I Kclocana/olc
200 mg
I)
200 mg
i
C lotnma/ole Pcssai'y
5) Clotrimazole
I no mg
5) Clotrimazole
(a) Pcssaiy 100 mg
I:
(a) Pessary 100 mg
(b) Cream 1%
(c) Lotion 1%
6) Micanazolc soln. 2%
i
4. 'J
! I) T Acyclox ir
i--------------
I) Acyclovir
I) T Acyclox ir
Cream - 5%
D
250 nig
Eye oink ■ 3%
C.A R DIO -y.A SCIJ LA RD R (J G S (I))"
Cream - 5%
'---------------
E
_ Eycointment - 3%
E
A NTI-A NG I NA L D R UGS’( U) 1
I) T Glycen I T, mnralc____
| | j T GL^M THnunUe
•Snb-lmgnal
0 5 mg
2) I Isnsoi hhle-5 Mononitrate
10 mg. 20 mg
5.2
I:
(ANTI-VIRAL DRUGS (S A T)
■ 25(1 mg
5.0
5.1
6) Micanazolc soln. 2%
iSub-lingtial
—
i" Illg
2) T IsoSoi bide-5 Mononitrate
10 mg
2) T lsosoibidc-5 Mononitrate
E
10 mg: 20 mg
■ANTI-HYPEin ENSIVE DRUGS (U)
' I) T Amlodipine
I ) P Amlodipine
5mg; 10 mg
|2) P Atenolol
'•’I mg. I (KI me
(5(1 mg
; • I Piopianok>|
In mg. SO me
E
5mg; |0 mg
2) I .Atenolol
13) I Piopranolol
! I 0 mg: 20 mg: 40 mg
2) P Atenolol *
E
50 mg
;3) I Propranolol *
40 mg
I
E
1
I SI. (\u.
5.2.1
I Hicrapcmic CommiOte Rcc^mmcmltd
Rccimimcmkd Drug list In Otis
I
List
4) I Nilctlipinc
|
nmimlflcv
H) I Nifedipine
'mg . |o nig
■0
I
Nilcdipine
110 mg
5mg: 10 mg
;anti-ih PERTEN.SlVEKRijQs-jetrj
National Essvmial Ding |jsl
I
Remarks
I:
I ) I Ddiia/em
■ 20 mg. 60 mg
I) I Dihia/cm
•2)3 Enalapril
30 mg
i
12 5 mg: 5 mg. 10 mg
- '13 Spiranolaclone
25 mg
5J
jCARDiAC-G
I) r Digoxin
3) I Spiranolactone
D
25 mg
i^'cosini'S (u)
1)3 Digoxin
0’25 mg ”
0 25 mg
Inj 0.25 mg/nd
I) E Digoxin
__ _
.Elixir 0.05 mg/ml
Inj Digoxin
0 5 ing / 2_ml
2rrj’n,scniidc
;4o mg:
40jng;
;lni 10 mg/rnl
■■'.J I jCARDIAC-GLS COSIDES (S & T)
E
0.25 mg
Inj’ Digoxin
•2)1 Emsemide
O
3) f Spironolactone
25 mg
______0.2 mg / 2 ml
2) T^Fniscmidc ♦
E
__ ___ 41) mg;
_____ jnj 10 mg/ml
V
12) Inj Procainamide
13) 3' Verapamil
---------
3) J_Vcrapamil
D
____
40mg; X0 mg
E
____
Inj 2.5 mg/ml
H).l”j Isoprcnalinc
l”i 2.5 mg/ml
Ini 2 5 mg/ml
4) Inj Isoprenalmc
-■'•3.2
E
3) Verapamil
,'40mg: xo mg
’4) Inj jsoprcnalinc
I mg/ml
( ARI)|,\C-GM COSIDES (T)
’> Rolnssimn Chloride soln.
2) I Procainamide*
200 micro gms/ml
C
D
11 nig/nil
I) Inj. Procainamide
HU) mg / loo (n|
r ii
V ASCUL\RSHOCK
; I) Inj Dopamine
--IO mg/ml
DRUGS (S X' T)
-------------- 0 [nj Dopamine
I ) Inj Dopamine
40 nig/ml
40 mg/ml
7.11
E
V
"
AN H I 11 ROM BOuc |)RU(,’S (S X- T)
.2) Plasma Expander (Dextravan) ’
I ) Inj Streptokinase
i
7 5 I.: i s l.
I) Inj Slrcplokinasc
7.5 L
11 )Jnj Siicplokinasc
V
|
V
.'M. .Mi. -•
.SOI
•S.l
| js(
| UKia|ivmic
. ........... . Kcc‘'••Mhen.U-d 'l •
K^hir|
mines USKI) IN ()Hs i i:thic a GYNAFCOI Oc'y III)
coni mil Iw
I
0RAI. CONTRACEPTIVES (U)
DTMjila-N
____ _____
I) r Mala-N
I
GO I free
B
X.2
supplies
OTHER DIUJGS'inObLCgTiJ)
taken care
I) T Isnsoxsnpiinc I KI
of
I ) I’ Isnsoxsnpiinc 11(1
5 mg/ml
R
Id mg; 20 mg
Inj Isosoxsuprinc IICI
~ I R’l Ow locin
H* imils/ml
2) Inj Oxytocin ♦
5 units/ml: 10 units/ml
’) f Mcilr luigomcln inc
L’
5 units/ml; 10 nnits/ml
j-2) I Mcthylcrgomcln inc
I
2) R Mcfh\ lergomcln inc
d 125 mgms
d 125 mgms
Inj 200 niicro gms/ml
V
I
(Cerviprime gel (E2 gel))
/) RIIRR |)R||(;s IN OB X- G IS & T)
11 I' Elh\ nlestiadiol
I
----. .. . ...
11 d I mg. 0.5 mg
'~
‘"
R
■ i
| Inj 200 micro gms/inl ♦
2) Diniprostonc gel
■s -1.l
R
5 mg/ml
2) Inj Oxytocin
I
.........
I ) T Ethynlcstradiol
.
d.01 mg: 0.5 mg
R
-------- 2) l”l I lydroxy Progesterone
R
---------- Caproate
..........
Depot 250 mg; 500 m^
2) Inj Magnessium Sulphate
I
) I Purilicd uncioniscd
pi ogeslerouc
■S.2.2
0 RIIRR DRUGS IN OB X' G (T)
I
125 mg: 50 mg
|5) 1 PuriHed microniscd
D
progesterone
100 mg
1) I ICG
2) hij Valclliamidc Bromide *
•All
D
R
_____Hi I Clomiphcnc citrate
D
R
DERMA IOI.()(;iCAL DRUGS (U)
i
11 I Benzs I Peroxide cream
12.5%: 5%
-
Gel - 2 5%. >%
R
si. i\<i.
I'
l hvi;iptl|fic C.immiKcc
‘•Hill Drijw |JS(
l.ht
I
<”mmiiirv
2) Salicx lie acid ointment- 2% ♦
H vniiirJis
J. ♦
Benzy I Benzoate - 25%
3) Eramycclin Sulphate - 1% '?
, M Gammabcn/cne hcxachloridc
3) Benzyl Benzoate - 25%
?9. Eramycctin Sulphate - 1%
^IGaimnabcnzcnc
lotion -1 "J,
hcxachloiidc lotion -|'’o
^’1 Povidone iodine soln -5%,
h) Povidone iodine soln -5%
■Ointment - 5%
— " ’^LPS”70'0 •'icid
E
~
3) Benzx I Benzoate - 25%
I) Eramycclin Sulphate - 1%
E
- :'’jyL:,l'.'iiiabcn/citc hcxncldoridc"
E
E
lotion - |%,
<’) Povidone iodine soln ..5%
Cream Si|y er S1dpha(liazinC~-
I”..
Q’yl’ocnt -1,0%
G Cream Stiver Sulphadiazine—
i:
7) Crcnm Slhcr Sulphadia/’inc
I%
!%♦
f:
K) Pclrolcuin Jelly
'Ml. I
DERMA TOI.OGICAL
1 ) Co;ill;n oinlinenl - 5'!;,
D
IHUJGS(S & T)
1) Coaltar ointment - 5%
1) Coaltar ointment - 5%,
E
2) Podophyllinc tincture - 20%
'J. I
lMISCELL/\NEOUSjU)
I)
? I) Calamine Lotion
I) Calamine Lotion
!.)_Ca I am i nc Lot ion
__________ E_
- 2)3Y!iife sOr^parafj7n'
E
Ma\- be
purchased
I
if cheaper
than pctrol-
3) Lirpiid Parallin IP -
'<1.1
^I.SCELLAiNEOI/.s (S
T)
-cnm jelly
5 L can *
E
']) Gent ion Violet
E
') I Mclhoxsalcn
I)
I tl mg
Hl n
(•AS I RO-JN j rs j |NA| DRUGS (U)
I" I
I A ( 11) S \ \-----I l-lil.CER
Drugs ((J)
i 1 1
f Alumimum I Ixdro.xidc
/2i»() mg) 4 Mg Trisilic.'itc
(50(1 mg)
2) T Ranitidine
I 50 mg: 3(H) mg
...
•) J Ahjinifutini | lydroxidc
,
(2,l,l."ig) + Mg. Trisilicnie
(511(1 mg)
i?) I Ranitidine
11 50 mg
0 1 Ahiminium Hydroxide *
D
(200 mg) + Mg. Tiisilicafc
(-S00 mg) + Simethicone (DMP)
|2) T Ranitidine
[ 150 mg
I
I.
;u
Dn(„ | ls/
I ‘ m iapema < ummnivr Rccommuidcd I'
I ■
l*U I’amiidme
__ iLij Raniodme
‘25 mg/ml
5(1 mg/2 ml
_____
Drug liu |1V (|ljs
,Js’
VOIIIIlliflvr
liij Ranitidine
I
KviiisiiKs
E
50 mg/2 ml
3) Cap Omeprazole
I (I mg
~”
E
'
u , an r A C I ns x- ANTI-ULCER DRUGS (S & T)
I
D I C isapride
I
HI.2
F.
5 mg; 10 mg*. 20 mg
> I I'M IJ Rs (II)
;l)l Dompci•idonc
III mg
,HI Dompci (done
I) I Domperidone
I 0 mg
- s mg/ml
•) f Domperidone
10 mg
E
•^nsp I mg/ml
liij Domperidone
2) T Mctachlofpromide
>>
’ I n mg
I
10 mg
_•<'> 5 mg/ml
I'lj 5mg/ml
Jn.l 5mg/ml
------- CJJ Mcmcjhiivie Brom’ide
piling
‘
2) T dicyclomine 11\drocliloridc
10 mg
i
HI I
I
25 mg/ml
i
2) 7 Mclacldorpromide
10 mg
E
hy^lPg/ml
KI.J ;,\N [ l-.SI
SI’’.ASMODic.S
ASMODic.S(U[
(10
ilnj 211 mg/ml
2) T Mclaclilorpromidc
E
E.
V
‘
IHiyJ-lvoscincJliih Ic
Bromide
2<) nig/nil
-^-LI2jc-vc*0,,,i»c
iHydrocldoridc
piling
--------JlIHy^ineBuiylc Bromide
HI mg
hij 20mg/mi
~
E
'
E
E
------- L) ID^^ninc I Is drocliloridc
10 mg
’
’
'
ew.vi i\ i:s (it)
Hl Bisocmh I
;’ s Hlg
• ) I BisocodJ
5 mg
2) Liq Paraffin I P
HI.5
1) 1' Bisocod) I
5mg ZLL
2) Liq Paraffin I P ♦
E.
ANH-DIaRRIIOEALS (U)
I I I I mu/olidine
loo mg
S\ 25 mg/5 ml
'V
E .
11) T Fniozolidinc
I I (10 mg
il)l luro/olidinc
10(1 mg
I)
SI
N;i(ioii;il IS\» nii;i| |)| Un |js(
2) ORS
I 1.0
I
I hi rapculic Coiiimif(cc Rvvuinniciidvd
<
list
;2) ORS
i
RccfiniiiHiiilvd Drug list In (his
|
ciimniithr
Rrmsirks
2) OR.S *
V
; HORMONES (U)
11.1
ANTI-l)|A BE PICS (U)
'1)1 (ilibcnclimidc
1) I Glibcncliinidc
A mg
___ J) T^Glibcnclimidc
5 mg
2) I Mctroinim
1500 mg
2) E Mcllbunin
___ 2) T MetPormin
500 mg
•3 ) (a) Inj. Insulin
3) (n) Inj. Insulin
10 10 'ml
10 10/ml
!(b) Lente Insulin
(b) Lente Insulin
10 / ml
-10 lU/ml
(c) NPII
I-
_ -5 mg
E
500 mg _
3) T Glibczidc
E
2 5 mg
___ 3) Bo\ inc Insulin
• • E
___ (fl) Plain / Regular
(b) Lente
4(1 lU/ml
(c)NPII
I 1.2
HORMONES (S
I
I)
I) I Inman Insulin 30 plain
long acting
|)J Inman Insulin
E
______ (a) ReguIar
______(b) Lente
_____
f
(c) Premixed
2£T_Glk*flz’^c
E
jO mg ; 80 mg
_____ 3)_T_Glipezide
E
_____ 2.5 mg: 5 mg
■D I Carbima/olc
_____ 4) T Carbimazolc
> mg
E
5 mg
5) L 1 h\ ioxine
5) L Elnroxinc
10(1 micio gms
100 micro gms
0) Potassium Iodide
6) Potassium Iodide
X mg/5 ml
I2.ll
IMMLINOLOGICALS (U)
I ) Tuberculin (PPD)
12.1
I) Tuberculin (PPD)
E
SERA & IMMllNOGLOBILINS(ll)
11 ASV
r
-2) ASV
I
2) ASV *
I
V
J
>/. iX<». J • /\a0«»lial kvsetKiaf Drug List
| ‘
i'iptuiic c (uiimidce Kecommen'dcd I
Lisf
I
1.1 SERA X IMiMtINOGLOIIILINS (S \ T)
H) Anli-D Immimoglobilin
Recommended Drug lite by (his
com mil fee
Remarks
[) AnlI i- D Iinnmnoglobi Ii n
250 microgms: 350 micro gms
V
l-^Hnicrogms ; 300 niictognis •
____ __
‘
2) ATS
2) ATS
250. 500 lU/xial
[.'’’IADS
_______
V
500IU/vial
3) ADS
"
V
12.2
vACCINI.S (U)
; I) Ami Rabies Vaccine
i\ ials
|2) BCG/DPT/OPV
I) Ami Rabies Vaccine 1
• 3) Measles Inj
HITT
13.(1
E
' ials (7 (ssne Culture Vaccine)
2) BCG/DPT/OPV
4)T T
V
V
_ 3)_Mcaslcs Inj.
V
- 4 LLL__
V
0 PI ITIIAI .M OI.OGI CA LAG ENTS ((J)
IantiiINI'
-eel
'';—
E CT
IV E z\ G E NTS (II)
13.1
[ I) Ciprofloxacin
1) Ciprofloxacin
lExcdrops/oinimeid- 0.3% (0.3%)
Eyedrops/oimmcnl
2) Gemamx cin (hops
2) Gcnlamycin drops
i Ex edrops
Ex edrops-0.3%
_____
E
______ Eycdrops/oinlincm
2) Gcnlamycin drops *
n
Eycdrops.Q.3%
3) Tclracyclmc
I Eycoinlmcnt 1%
I) Ciprofloxacin
______ 3) Tetra eye line
E
EveoinlmcnlJ%
!-
4)Fhicanazolc
I
D
Eveoinl 1%
13.2
ANEJ-GLAdCOMA AGENTS (S\ T)
■ I) T Acclazolamidc
!25O mg
I) T Aecia zo I a m i de
2) Pilocarpine nilralc
2) Pilocarpine nilralc
Eyedrops- 2% . 1%
Eyedrops- 2% : 4%
|3) Timolol
3) Timolol
[Eyedrops - <1.25%; 0.5%.
E\ edrops - 0.25%: 0.5%
E
250 nig
____ 2) _H[ocarpin_c_nilralc
E
Eyedrops-2%£4%
3) Timolol
Eyedrops - 0.5%
I
‘
E
i
M.
;
N.Hhinal EssciHial Dru„ | iu
I I iKniptufie Ccunmilke Rlc<>ini,lin,le,|
i
d jMISCELLANEQUS (ST)
i,I /Atropine
J I) Atropine
jDrops/ointnient - 0.5%~|%
List
votniiiiiriv
___ Dfops/ointment - 0.5%; 1%
|2) Homatropine
p) Tropicamin drops
____ .Exedrops - 5'%
— jj_Cyc|obciizoatc eye drop?
- (.shor! a£!ii.'g_pupiljJilator)~
_____ (Pnpil dilator)
------ ^llCyclobcn^fc cn^c drops ^
E
-------(shon acting pupil dilalorfy
5) Artificial tears
— IZ^llytlroxy propyl ,ncll,y I
_ eel III logo
I
I-
____ 3) Tropicamin drops
l(Dnpj[dilat°r)
I
!
E
1%
_____ ^lllonialrOpine
Dyedrops ^2%
Eyejrops - 2%~
'
•3) l’licn\lcplirinc~
_____ I) Atropine
Drops/oinlnicnl
__ 2) Homatropine
| Eyedrops - 2%~"
KDru„ |isl hv (|ljx
__ Artificial tears
~~
cellulose
, - J
1J •J ■1 ; *11S c E L L/\ N EO US (T)
- - 1 U.Prednisolone
_____ lEyedrops - o.5%~
D
------ O-TO. hvdroxv propyljnctlnJ
IlLPIicmJcpliriiic
”
r~
-____ Dvcdrops -5%: IO%~
•E
___ [/Prednisolone
Ey£oinlnicn( - 5 G
12) De (a iji^c__
111 a zEndrops
o nc
- 0.5%
"
__ ?)Dclaincl_liazonc N (0. |%)F
Drops 5 ml
J
E
7
— Ncon^mcBrdm^
—
p——---------
____ JJ M '1 °£a nie
‘Eyedrops - I
.0 Xylocaine
. 1%
i Viscous soln - 2 %
~
I) Tetracaine
in
|Dr0,’S- 0.5%
,T I Tetracaine
Drops
I'
.
i
E
—__jDyedrops - 4%
I l-OC.A I. AN A ESI iTioTcsTEYh
Viscj)iis soln. - 2
11) Tetracaine
I)
E
|Drops - 0.5?;,
Dij X\ locaine *
-
2%: 4%
V
H.l) .jENTDRUCsJuf-
| I) Ciprolloxacin
0 C i pro f] ox ac i n
Tardrops - 0.3 mg/mF'
Eardrops - 3%
I) Ciprolloxacin
Eardrops - 3%
2) Cliloi oin\ cciinc.
l-anlmps/oininicni.Q ?%; 1%
i
' ■ ...
2) Cliloromycclinc
ggr(lrops/bintmcnt-0.5%i I %
TV
■*
HE'--
E
E
S/. />•'<». , • Narwhal Essential Drug |Js(
. 3) Geniams cm
(Eardrops -0.3 %
< lurapeude C<>1.„.,llu.e lAeun.i.Knile.i l' Keeunhnemle.l Dr^lTu
3) Gcmanixcin
Eardrops -0.3 %
%
rmiuiiiffcv
|
3^Gcmam\ cm *
Remarks
E
Eardrops -0.3 %
-OWaxol
ITI
E
iENT DRUGS (S)
I) Ghicosinc Glycerine Dfops-25
i
I
0
^LLTSL^Tcra/jn^
I
i
E
3_mg- IP mg
-I) To check
I -Ji
__\\jlh_ENT
l’S\ Clio I ROI’IC / I’S\ CO rilERAPEUTIC DFUJGS (S Jc T)
1) F Chlorpromazine
.25 mg ; 50 mgHOO mg
I )jr_Amitr\ p(alin
I ^,25; 50 mg
|Sv 25 mg/5 ml
•_)_J Chlorpromazine
E.
50 nigHOti mg
i
Sy 25 mg/5 ml
_ Inj 25 ing/ml
2) _T Haloperidol
1.5 mg; 5mg; lOing
2) T Haloperidol
5 mg
Inj 5 mg/ml
3) T Alprozolam IP
d 25; 0.5; I mg
DRUGS USED ICRS EDA I ION A GENER/K L ANXIETY (U)
I) I Diazepam
2 mg; 5 mg
specialist
-_______ J-LUui ^2'n/ci)n,n
D
2) T Haloperidol
E
5 mg__________
3)^Inj Flupjicnazine Dcconnte
D
______ 25_mg/inl J ml vial/amp
j ()3 Di a zep a m
15 mg/ml
E
(2 ing;_5 mg
Inj Diazepam *
’ E
___ 5 ing/ml
— 2) J^Chlordiazcpoxidc
10 mg
D
3) TJErilluopcrazine
?_mS.
■I) f Alprazolam
0 5 mg ; I mg
E
E
SI. No. ,
National E vs ml in I Drug List
j I'hcrapvulic Committee Rvmmmvmlcil
List
16.0 DRUGS AGEING ON RESPIRATORY TRACT (U)
!1 > '"J Theophylline_______ "
| jf Th^pMih^(237ig)'~
line (23 mg)
J1,1,1
mg+ fuophyiljnc (77^ " ~
j
Rmiiiinivmlvil Drug list liv Illis I
com mil fee
|
. . Re in arks
_ I )F Theophylline (23 mg)
E
_ t_B10|)h\ Hine (77 mg)
------------------------- ___ InjJTcopliyHmc (50.6 mg)
t Elophyllinc (169,4 iiig)
12) t Salbtiioninl Sulphate
Xjgj^Honial Sulphalc
■ 2 mg; 4 mg
I mg
!
jS) 2 nig / 5 m|
DRUGS AC I INC,' ON
0-1
, I) In.i Aminopli) Hine
_ ____ 125 nig/inl
i
3-----VITAMINS (U)
17.0
_____ Sy 2 mg / .5 ml
- ?2_T_SalbiHomal Sulphalc *
V
_ 4 mg
- uinyL-CZZ
V
________ L2 [nj_A,nn)ophylliiic
______ __ 250 nig/ I (J ml
^^^czzzzzzz
las pci sclicdulc .5
'l"i Vo B I 2
j
V
+ EtophvllmG^|69.4 mg)
b^IRato^
; I) Vit B Complex iiiuliix ilamins
•
- I -
- jHiJThcophvllinc (50.6 mg) ♦
J)l.Vit B Complex
BI - 5 mg
B2 - .5 nig
i I nig/ml
B6 - 2 mg
_____ Niacinainiclc .50 mg
I) Inj Aminophvllinc *
V
25 nig/ml
Q. V’l B Complex (NFl)
E
SpcciTicalions *
Inj Vn B 12
I)
100 micro gms / ml
___ C»n Pjinlolhcnatc Inj - Trng
I
|
by
7~
I
IBI - 10 mg
T
____ B2 --2.nig______
BGj- 2 mg
Njacinarnijc mo mg
;'2) Vit A 1.5 L lU/ml
Cone Soln
;3) Vil C
; I RO nig: 5(H) mg
I
I
I
__ 2)yiM^|j£2TnF
-
- Y‘! A & D Co la I in Caps
3) Vil C chew able
500 mg
2_)yil A !nJ J L/2 ml ♦
Vil A Sy I Llu/nii/2TTu
3) Vil C chew able *
501) mg
4_)_Ca Laclalc 300 m^
i
I:
E
_1‘______
B
CaCarbonalc
Ca Bisphosphanales
D Ca Ciirboiiiilc/
B Bisphospba-
Kii - Ibnn of
‘>n-
/
'
Kssvntial Drug List
I * nvrapciuic CuniiiiiUcc Kccomm end rd i‘ h----- 7-------- T“7---------- 7----- ------------- •
t . r
I ^‘•cuniiiiciKlcd Drug list by this I
IX. (I
IX.|
c«»m mitt re
I
|
i
i
I
DRUGS AFFECnNG^BLOOD (U)
‘
■ANTI-ANAEMIC DRUGS (U)
JIT Ferrous Sulphate
;f,0 mg elemental iron
py 25 mg/ml elemental iron
____
Eii (iliiunniilc
I) T Iron - Folic Acid
I) (a) T Ferrous Suiphalc
Ferrous Fumarate
(335 mg)+Folic acid (0.5 imj
___ iroiiJmlicjAcid (Pacd) '
Folic acid (0.1 mgf' '
IX.1.1 ;ANTI--ANAEMIC DRUGS (S ^ T)
' I) Inj Iron-Dcxlran
po mg/ml
60^mg cIcmcntaHron
(b) Iron
Folic acid *
Ferrous^Fumarate (33 mg7+
Pcrrous Fumaralc (67
Folic acid (().5_jng)
E
'
—
l)T I r oii_Fol_icacid (Pact!)
E •
(6 mg) +
_ Folic acid (0.1 mgj
“
IX.2
.Rcniiirks
—
------
ANTI-COAGULANTS (U)
DTVhK____ 10 mg
I) Inj Vit K
■bijyit K
—I
! 10 mg/ml
10 mg/ml
E
____ T Aciuo Coumarol
____ 2 mg
D
:2) r Acino Coumarol
■ 1 ’’’g- 2 mg; -I mg
’*.2.1 .ANFI-COAGULAN'^ff)
11 Inj I leparin Sodium
('000 lu/ml; 5000 IU/ml
I) Ei.i lEpariii Sodium
500(1 fU/nih
II) hij llcpnrin Sodium
I
E
____ 1000 ru/ml: 5000 IU/mT
’’’•O 'STEROIDS (U)
I') Inj Hydrocortisone Sodium
I Hcmisiiccinatc
< 100 mg
2)1 Prcdnisoltmc
5 nig. 10 mg
I HllLH^rocon i sonc^Sod i u m
Hcmisuccinalc
100 mg
2) T Picdnisuloiic
5 mg
]) Injhydrocortisone Sodium ♦
E
Hcmisiiccinatc
100 mg
~~
Cream - 2%: 2.5%
2)1 Prednisolone*
5 mg
E
si. Nu. I
I I livnipciitic Committee Recommended
Rvvummviukil Drug list by this
I
List
committee
. 3) Pox a mcl ha zone Phosphate
3) Dc.xamclhazonc-Phosphate ♦
4 mg/mj
___ 4 mg/ml
4) Inj Betamethasone
4)lnj Betamethasone
_________
Nali.in.il Exsuiiial Drug |jsf
I
-
-i
Remarks
E
V
20.0 ; LOCAL ANA ESTI IE PICS (_U)
• I) (a) Inj Lignocaine IICI
• )Jn.j Ljgnocianc HCI
1%' 2%^ '
ll%.2%
!(b) Inj Lignocanc HCI +
I) Inj Lignocaine HCI *
Lh 1L i^gnocainc~H C|T
' Epinephrine
Epinephrine
.2 I hi.il
2
LAial
I
2L0 LENEILAE
- ANAfSTHE I ICS (U)
;I) Liq Ether
____ I )Tiq jtj
icr
12) I lalothcnc
E
1%. 2%
D Liq Ether
500 m|
E
2) Isolluranc
i_______
I (J() ml bottle
(i n_P I ace of ha loth ane)
') Isolluranc
, () Inj Ketamine
i
3) Isolluranc
‘])JnJ rvviaminc
KcUnniiic
_____ __ n/"U
E
£) Inj Ketamine
l 111 mg/ml. 50 mg/nd__________ |5() mg/mt
jiduT
'E_..
IG EJ\ E JU
L A NA ESH IET1CS (.S A T)~-----------------------
E
I 0 mg/ml
._2_JjJ_lnj Tlii0JJcn(al Sodium
I) Inj Tliiopenlal Sodium
i'UgJg
|2) Inj Pancuronium Bromide
______ 12 mg/ml
I^lLTg/vial
__
Eqncnronium Bromide
2 mg/ml
•;
J-) T Neostigmine
; I 5 mg
__ J) Ljj Thiopental Sodium
— ^Lki^'lSyEpn^mn BromidT
__ |2 mg/ml
T^Ncosligmmc
15 mg
Ini Neostigmine
,'0.5 mg/ml
14) Succin) I Choline
150 mg/ml
2 1.0.2 |M_U^CULO-S!<EJ^
Inj Neostigmine
4) Succinyl Choline
50 mg/ml
ELAXANT CQ
E
5(10 mg/vial
5 njg/ml
E
4~~
D
E
_ 4) Succinyl Choline
E
50 mg/ml
I ) Inj Mclhacarbamol
i
E
11W) mg/ml
%
I
SIhN...;’
Niilh.nal Essential Dmo |Js(
1 hernpeulle CuumhUc keenn1‘
|
22.0
iMIS< i:i(ll)
-M
ORG.ANO I’llOSl’IIOKOu.s POISONING (II)
'
commit tec
J
Remarks
I )Airopinc Sulplunc Inj 6.5 ni'g/inl
■ V
2) luj PAM
V
3) Tincture Benzoin
E
4) Inj Distilled water
\) Benedicts qualitative reagent
I
22.2
IV FLUIDS (U) ~
. *) .Glucose isotonic
IZ
r
1) 5% Glucose isotonic
:2) 50’’n 11\ pcrtonic
P) Glucose saline
___ 2) 50% Hypertonic
4) Ringer lactate
____ ^Glucose saline ♦
5) Normal saline
4) Ringer lactate ♦
5).Normal saline ♦
I
I
V
V
V
y
V
____ 6)_lsol\ic - P
e’
____7) Isolyte - M
E
.AM l-INFEC I IVESMNTISEPTICj&J)RESSiN^^
-.3
_______ 1 Lpkliloromctnxyicnol
_______ 1.5% I hr can
__ [Lpichlorqniclaxs Icnol
___ I 5% I hr can
2) Strong Cctriniidc soln. 20 % ♦ f
-9 Hydrogen Peroxide 6%
4) Surgical spirit
I
£)_ Phcn v I Fo n n a I de by de
i
__ _Q)_§odjijniJjvpochlorite * 1%
i
I
_ 7) Adhesivejape - 7.5cm x lOmt
v'
~
_____per roll
X) Absorbanl cotton
9) Bandage cloth (close woven)
i 16(1 emsx 20 mts (-10 x4l) counts)| H») Plaster Of Paris - 5 kl>s
j
IB PC rolls 15 cm x 2.7 nds/roir" |
E
J E
E
E
E
SI. N«i. !
National Essential Drug List
f herapvutic Comiiiittcu Rccmiimcndcrl I Recommended Drug list by fhis I
•
. i
committee
----------- ---------------------------------------------- I I) Plas£crOf_Pa_ris bandages 10
Remarks
)
E
----------- _-------------------------------------------- rolls
i
------------__________________________ I2) ^[ass ssringesj-^’l^^thnl
------------------- ----- -
-------- -----
E
. Liter Mount, Hypodermic syringe
i
i
------------__________________________ •?) Needle Hypodermic 2^2G, 23
------------------------
E
24G I inch size 6.2 5mm Long ~
....
------- ------------------------------------------------ Bevel. Luer lock, stainless steel
I
22 J-1 [MISCELLArWUS (S & T)
-------- —__________________________ H.LD_jsPosaWc syringes w ith
E
------------ --------------------------------------------- needle CCS 2cc. 5cc
-- ------------- ---- ----------- :_____ ____
1) (a) ECG_Papc£smglc channel
E
59 mis x 30 mis
(b) EGC Gci ~
E
2) Foley’s Calhclcr
E
Silkolalcx 2 way Size 16. IX
J
31KY,c s h,bc
^r~
.
f’, x, 10, 12
■
•
E
Seis with airway and needle
E
sterile disposable non-loxic, non-
i
pyrogcnic sterilized by ETO 2.7 |O
3.00 mm tube with fluid filler length
and chiidrcn~
■YJJcalpvcin seis - 2IG. 22G, 23
i
2£Gr——
6) Mannitol - 20%
-p
—
7) Oral Gh ccrol
X) Barium Sulphalc
Par|s IP^20 kgs
9)_Plaslcr_qr_Paris IP 20 kgs
HOPE bag doubly wrapped
HOPE bag doubly wrapped
- 9j-.^laslor
E
E
E
E
E
1°) Absorbable surgical suture
152 cm USP-Chromic
I. With Alraumatic needle
-I-
curved w ilh atraumatic
nccdlc-curvcd
Size ; 2 Chromic
i(For ophthalmic use)
I I I) Absorbable surgical suture
152 ems USP-Chromic
E
SI. I\n. :
Niii’ionnl Kxscndai
| I lierapcuric Commhtve Rccamml-mLil* f 'lUc.fiHnKmle.i Drug liTTlhy this I
.J. ur,. .
. ,sf
On AlrauimHic needle
straight
’
rnmmiftcc
I
>
Size : 2
• 2) N°n absorbable surgical
suiii^cJJSP (braided silkhCidi
atraumatic needles
Length . 76 ems
Size : 8-0, 9-o/lO.Q
~
i
13) Non absorbable surgical
suture USP polypropylene
. inon°filamcnl with atraumatic
needle round bods*, cun ed
lcngtl^^76 ems in
alluminium pouches
Size : I-0 m X-0
j
,
I 'if a I ,
hems :
151
120
254
169
■ * indicates Drills requiredfor PHC's
________ __________________ D** = Desirable
---------------------------- -----------------------------
E** = Essential
y * /= vit a I
220
311
Remarks
Y
J
;
Annexure IX
i
‘t
•c
Recommended Drugs & Pharmaceutical Preparation for PHC
I.
| T Aluminium Hydroxide
2.
T / Inj Aminppliylline
j.
Cap/Sy Amoxycillin
3
3
x
i1
4.
5
5.
T / Sy Co-trimoxozole
6.
T Erythromycin Stearate
7.
Cap Doxycycline 100 mg
8.
inj A R V 30 ml vial; Tissue Culture Vaccine
9.
T Ascorbic acid 500 mg
10.
T Aspirin 300 mg
11.
T Atenolol
12.
Inj Atropine Sulphate
13.
Benzoic acid ointment compound (Whitfield)
14.
T Betamethasone / Prednisolone
15.
T/ Inj Dexamethasone
16.
Inj Hydrocortisone Sodium Succinate
17.
T Calcium lactate
a
I
I
i
T Ciprofloxacin
__________
I
>
__________
18.
Tine Cetrimide
19.
Cap Chloramphenicol
20.
7 CPXI
Inj Cyanocobalamine
IV Dextrose
)
73-
j Inj Diazepam
T Dicyclomine IICI
T Fruscinidc
26.
Gentamycin Eye & Eardrops
27.
T Ibuprofen
28.
Inj Lignocaine HC1 2%
29.
Liq Paraffin IP
30.
T Metronidazole
3 1.
Multivitamin NFI
32.
ORS Powder
j j.
T Paracetamol 500 mg
'©
34.
Inj Phcniramine maleate
35.
T Phenobarbitone 60 mg
36.
T Propranalol
37.
T Sulbutamol Sulphate
38.
Silver Sulphadiazine cream
39.
ASV
40.
Sodium Chloride IV
41.
DNS IV
42.
Ringer Lactate IV
43.
Inj Theophylline + Etophylline
44.
j
Inj Vitamin A
45.
T / Inj B Complex
46.
Cap Vitamin A
i
'I
1
47.
V .'iici’ lor injcciion
48.
Inj Prociiinc Penicillin 4 L
49.
TIFA
50.
Inj Adrenaline
51/
Inj Oxytocin
52.
Inj Valethemaie Bromide
•1
53.
Inj Methergine
•!
a
54.
Genlion Violet paint
55.
T / Inj Perinorm
i
■
i
V-
-J
•
»■
V
i
-
I
j
a
-j
A
<
■
. I
r
i
Annexurc \
I. Administrative ();
. Baimalore
> ;-v -ci Gent ion
SERVER-Pentiun'i i.i. ??0 MHz. 810 chipset I
256MB, 9GB. SCSI HDD. 4/8 GB DAT Drive.'
■48.x CD-40M. IM-- MB-FDD. Ethernet CARD
Color Monitor, Ke> ward and Mouse
CLIENTS-Pentiiim-i.'l. 550-MHz. 810 chm^Tl
64MB. 9GB. 48x CD-ROM. 1.44MB FDd'
Ethernet Card. Co..-: Monitor. Keyboard and |
JVlSJVlouse. Pre-loaded Win 2000 Professional
Dot Matrix Printer
132 cols., 24 Pin, 2^ cos
Laser Printer
]■
Inkjet Printer
1
2KVA Online wit!: ?• min. back
I KVA Interactive w : 30 min. back
Modem
56.6 KBPS. Extern:.
Networking - LAN
Software
MS-Windows 2000 Server with 8 User Interface
MS-SQL Server 7.0 v. !{h 8 User License
MS-Office 2000 Standard
ISM s°fi
S o ft ware
4
2.00
9
i
r
"UPS
1
1 otal cost
(Rs. in lakhs)
L75
0.34
I
1
1
0.65
0.60
4
2
0.12
0.50
I
I
6
0.20
0.38
0.60
0.12
0.40
0.06
1.00
4.00
£
|___ 20
2
_ nternet Connection
Site Preparation. Fiir:,:mre.. 2 Telephones etc.
One programming
and 2 D.E. Operators
rom manpower age:;j\ for initial
— one
—e year
0.22
Os
I
13.02
II. District Stores:
Sj>.' fication
I
COMPUTER-Pen: .
•- 550 MHl~37(n
chipset. 64MB. 9GE
4S.x CD-ROM. 1.44
MB FDD. Ethernet Caid. Colour Monitor.
Keyboard. Mouse. P
nded Win 2000 Prof.
I Dot latrix Printer
Nos.
-O
26
Total cost
(Rs.Jn lakhs)
13.0
4.42
*
f 132 cols.. 24 Pm. 240 cps
I
“UPS
------------1KVA Iniernctive with 30 min, back
Modem
' -----56.6 KBPS. External_______
I Software :
~
MS-Windows 2000 standard
ISM - soft Kannada
•
Training
’
"
--------Internet Connection
:
Site. Furniture. Telephone etc.
One Data Entry Operator through
manpower
agency for initial one year
'.1
■i
•4
•1
J
$
i
I
26
3.90
26
1.56
26
26
3.90
0.78
1.04
0.78
5.20
13.0
54
26. .
26
47.58
i
?
<
I
I
J
Annexure XI
<h«
the proposed,
proposed '“'"Harked
"S,S> f»r
esrabllshing District Warel.’oosos
"
A. Recurring Costs
Ccnerul Medka, s«>rM (Admini^.ive Wi„g) and QujI,,v
1. Staff Salary'
Salary component of the proposed staff of
Government Medical Stores
2. Salary component of the proposed staff for---. Quality Control Wing of Government Medical
___ Stores
3. Salary Component of the proposed staff fo7—
District Warehouses
Rs.
22.12,000
4.80,000
J-43.72,000
Sub-total
1,87,64,000
11. Salary of Computer Staff
T. I Salary Component of the proposed Computer
Staff at Administrative Wing and District
Warehouses (Contract basis/from manpower
agency)
17.00.000/-
HI. Rentals
1. Rentals for establishing 25 Warehouses in the
Districts (excluding Bangalore Rural & Urban
Districts)
(1-05X5000X12X25)
15.75,000
A minimum of 5000 sq. ft. area is considered for
the purpose of calculation
[The Karnataka Warehousing Corporation
charges Rs. 1.05/sq. ft. area]"
----- >----------------- ----------- Total Recurring Expenditure |
2,20,39,000
B. Investment Cost
1.
II
Computerisation at the Administrative Win” of f7Goyernment Medical Stores for Hardware. '
Software and Training
Computerisation at the District Warehouse le7H~—
for Hardware. Software and Training
"
' I
------------------------------- Total ln^ estmcnt Cost : |
9.02.000
34.58.000
__
43,60,000
►
«'■
s
NAME OF THE STORES / INSTITUTION:
day-book or RECEir rs
J I); H c
Di ug I Nnmc of (lie item
code
n ith specification,»
No.
1
2
3
DcjivcTrNcTTc
No. / Invoice
~
No.
Manufactur
& date
Name
of the
Supplier
4
5
er
Quantity received
Tn
multiples
of unit
pack size
6
Batch No.
I Expiry
date
7
•Signature . E
ofthc
Stock-book Vol. A pjnf
No.
Pharmacis
t/in-cha rgc
of the
store
8
9
—
J
I
'
r~
F
—
J
pxll
NAME OF THE STORES/INSTITUTION: ....
••••••••••
^I()N,1IrwL^lAl,XPII<Y DATE REGISTER
Month & Year of Expiry
’s C
No.
I)i”K
Code
No.
I
2
Nanic of (he Hem
>vilh specification
3
Pack
size
4
Man uf
acturcr
5
Su ppIic
r
6
Quantity
in
m ultiplcs
of unit
pack size
7
Stock-book
Vol. A Page
No»
Remarks <&
Action taken if
any.
Signature of the
Pharmacist inchargc
8
9
10
of stores
J
t
I-
F
7T,
9
NAME OF THE STORES / INSTITUTIONB£GISTEILQF 'DRUGS' DECLARED
SI.
No.
1
(I at
c
2
Drug
Code
No.
3
Name of the
Item with
specification
4
Manufac
tuper &
Supplier
5
Quantity
in stock
Batch
No.
Signature
of the
Pharmacist incharge of stores
7
Reference No.
<& Date of
declaring the
item as
’NOT OF
STANDARD*
Action taken
Exp.
date
C/o from
Stock
book Vol.
<& page
No.
8
9
10.
II
&
6
WLQF STANDARD'
i
I
name OF the STORES /INSTITUTION:
.....
QUALITY_C o nt r o l register
I SI.
Drug
I No.
Code
No.
r
Name of the hem
f Mantifact
" ill'specification
in er
Supplier
3
Quantity In
stock
(Sh ttiplccl
Inilcli only)
-I
5
I
Batch No.
A
Hxp. dale
Sampled
by
Sampling
lest results
and ref. No.
6
reference
No. A
__ Date
7
1
I
L
I
•r9-
L
9
Action taken
10
Signature
of the Pharmacist
in-charge of Stores
I I
NAME OF THE STORES / INSTITUTION:
HALE_YEARLY SYNOPTIC INYENTORV .STATEMENT FOR Till? I’ERIOD; APRIL li.
SEEL/QCT to MARCH.......
I'- H<’ <
I
2
■a me ol (lie J (cm with for
3
St l ung t Ii
4
Pack size
' Unit size
Opening
Balance
5
6
’^"es
7
_j-------
Ctosin^ Baiamc
as on
(64 7) . 8
9---------
Rcm h i ■
“io’
—
P
i
i
Sign ;i I ii re of (lie l,h;i rinac i\(
NAME OF THE STORES / INSTITUTION:
BINCARD
NAME OF THE DRUG:
SI
Dale
Baldi No.
No.
I
2
3
Strength:
Form:
CODE NO:
Date of
Expiry
Opening
Balance
Qty. Received
----- X packs.
Qty. Issued
-— X packs.
4
5
6
Balance
— X packs.
(54-6) - 7
7
8
UNIT PACK SIZE:
“
Issues / Consumption
per month
-----•—- X packs.
9
—
I
1
$'B"alure of the Pharmacist
in-charge of stores
10
Slock Register
Name ol’ihc hem
Code No
Dale
Ref.
Order
No. A
Date
I
i
Del.
Nolo /
Invoice
No. &
Dale
J
Receipts
QtyT
Na me of
(lie
Supplier
Recd.
Previous
Balance
Total
Stock
I'orm
Sig. of (he
Pharmacist
Dale
Indent
No. A
Issues
Qiy.
Indented
"Qiy..
I I
12
Dale
4
5
6
7
8
9
10
Issued
’ B. No. / 1 Closing
Exp.
■ Bal.
Dale
13
14
—I
l
r
i
L
I''*’
•
J
Sig. of (he
Pharmacist
15
Position: 1005 (5 views)