Clarification regarding issue of medicines under CGHS
No. 2-2/2014/CGHS(HQ)/PPTY / CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, Maulana Azad Road
New Delhi 110 108
Dated: the 23rd December, 2014
OFFICE MEMORANDUM
Subject: Clarification regarding issue of medicines under CGHS
With reference to the above mentioned
subject the undersigned is directed to state that the situation arising out of
issue of Office Memorandum No 2/2014/CGHS(HQ)/PPTY / CGHS(P) dated the 25th
August ,2014 has been engaging the attention of Government for quite some time.
Various representations about the difficulties being encountered have been
received from different stakeholders i.e., beneficiaries and doctors, necessitating
a review of the matter. It was accordingly considered by a Committee under the
Chairmanship of AS&DG,CGHS. After careful review and keeping the
recommendations of the Committee in mind, the following guidelines are issued
to streamline the functioning of the Wellness Centres:
i. The medicines are to be issued
as per the CGHS Formulary and guidelines issued by this Ministry in this
behalf.
ii. In case the prescribed medicines are not
available in CGHS formulary, but are essential for the treatment of the
patient, they can be issued / indented by the doctors of the CGHS Wellness
Centre on the basis of a valid prescription of the authorized specialist
subject to the condition that such medicines are neither dietary supplements/
food items nor banned drugs. Instructions on this issue i.e., non-admissibility
of food items etc. issued vide O.M .No. 39-3/2003-04/CGHS/MSD/RS dated 23rd
July 2009 and 3rd August 2009 must be followed.
iii. In case of anti-cancer drugs and other
life-saving drugs that are not approved by the DCG1 for use in India, each case
should be considered by the Expert Committee under the Chairmanship of Special
DG(DGHS).
iv. The technical Standing Committee
constituted vide 2-2/2014/CGHS(HQ)/PPTY / CGHS(P) dated 27.08.2014 of this
Ministry will review addition or deletion of drugs in the CGHS Formulary/ list
of Treatment procedures / investigations / listed implants. The Technical
Committee will meet once in three months or as per need, whichever is earlier.
In the meantime re-imbursement for unlisted procedures / implants will be made
at the rates approved by AIIMS/GB Pant Hospital / actuals, whichever is less.
2. The O.M. of even number dated
25.08.2014 is superseded to the above extent while O.M. of even number dated
1.10.2014 is withdrawn.
Sd/-
(Bindu Tiwari)
Director, CGHS(P)
(Tel 2306 1831)
