GOVERNMENT OF RAJASTHAN FINANCE DEPARTMENT

(RULES DIVISION)

Rajasthan Civil Services (Medical Attendance) Rules, 2013

(Updated upto 07-01-2016)

This document is compilation of original orders and amendments. Inspite of due care having been taken, if any, errors or omissions have inadvertently remained and are detected in Rules, the same may also kindly be brought to the notice of Finance (Rules) Department. In case of any discrepancy, original Rules / Orders issued shall prevail.

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GOVERNMENT OF RAJASTHAN FINANCE DEPARTMENT

RULES DIVISION

NOTIFICATION No.F.6(1) FD/Rules/2013 Jaipur, dated : 16-09-2013

Sub: Rajasthan Civil Services (Medical Attendance) Rules, 2013. In exercise of the powers conferred by the proviso to Article 309 of the Constitution, the Governor is pleased to make the following Rules in supersession of the existing "The Rajasthan Civil Services (Medical Attendance) Rules, 2008" and all notifications / orders / circulars thereunder : 1. Short Title & Commencement – (1) These Rules may be called the Rajasthan Civil Services (Medical

Attendance) Rules, 2013. (2) These shall come into force with immediate effect. 2. Extent of Application - (1) These Rules shall apply to:

(i) all Government servants, appointed before 1st January, 2004,

including those on foreign service, and whose conditions of service are regulated or deemed to be regulated by the Rajasthan Service Rules;

(ii) all Government servants on deputation from Central / other State

Governments unless anything otherwise is provided in their terms of deputation;

(2) These Rules shall not apply to:

(i) Government servants governed or covered by the Employees State Insurance Act and Schemes framed there under;

(ii) Government servants who are abroad either on leave or deputation; (iii) Work charged, casual and part-time employees, except where

these Rules are specifically made applicable to them under their service Rules;

(iv) persons appointed on contract basis; (v) officers of All India Services; (vi) officers of Rajasthan Higher Judicial Service / Rajasthan Judicial

Service, when governed by specific Rules applicable to them. (3) Nothing contained in these Rules shall apply to the Government servants

appointed to the civil services of the state on or after the 1st day of January 2004.

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3. Definitions – In these Rules, unless otherwise provided,

(1) “Authorised Medical Attendant” in respect of a Government servant or

class of Government servants at a Station or area, means:

(i) a Medical Officer of the Rajasthan Medical & Health Department/ Medical Education Department on duty;

(ii) a Medical Officer of hospitals attached to Rajasthan University of Health Sciences, Jaipur on duty ;

(iii) an Ayurvedic / Unani / Homeopathic Chikitsak on Government duty; (iv) an Ayurved Chikitsak on duty in Ayurved Hospitals attached to

Rajasthan Ayurved University, Jodhpur / National Institute of Ayurved, Jaipur;

(v) a Medical Officer on duty in a hospital approved under these Rules and enlisted in Appendix-I;

(vi) a Medical Officer of the Hospital on duty run under Public Private Partnership arrangement under these Rules and enlisted in Appendix-II;

(vii) a Medical Officer of Referral Hospital on duty and enlisted in Appendix-III ;

(viii) a qualified Medical Officer, so Authorised, of the private or charitable hospital of Allopathy / Ayurved / Unani / Homeopathy, recognized under these Rules by the Government.

Explanation- 1. "Authorised Medical Attendant" at a station outside Rajasthan shall

mean an officer of Medical Department of Central or other State Government (as the case may be) on duty in a Government Hospital or Dispensary at that station.

2. Unless otherwise specified under these Rules, the term "Medical Officer" means an Allopathic Medical Officer.

3. An Authorised Medical Attendant for one spell of illness shall either be a Medical Officer or Ayurved / Unani / Homeopathic Chikitsak.

(2) “State” means the State of Rajasthan.

(3) “Government” means the Government of Rajasthan.

(4) “Government Hospital” means an Allopathic / Ayurvedic / Unani or Homeopathic Hospital / Dispensary or Institution maintained / run by the Government of Rajasthan or any organization, owned or controlled by the Government of Rajasthan, for the purpose of Allopathic / Ayurvedic / Unani or Homeopathic treatment and shall also include hospitals attached to Rajasthan University of Health Sciences, Jaipur / National Institute of Ayurved, Jaipur / Rajasthan Ayurved University, Jodhpur/ [All India Institute of Medical Sciences, Jodhpur] 1 and any other hospital so specified by the Government.

1 Inserted vide FD Notification No. F. 6 (1) FD/Rules/2013 Pt. dated 18-03-2015

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(5) “Approved Hospital” means a hospital enlisted in Appendix-I.

(6) "Hospital under Public Private Partnership Arrangement" means a Allopathic / Ayurvedic / Unani or Homeopathic Hospital / Dispensary or institution run by a partner under a Public Private Partnership Arrangement as per terms and conditions regulated by related concession agreement and enlisted in Appendix–II.

(7) “Referral Hospital” means an Approved Hospital, in or outside Rajasthan enlisted in Appendix-III.

(8) “Health Benefit Empowered Committee” means the Standing Committee constituted under Rule-4(1).

(9) “Family” means Government servant’s spouse, wholly dependent children, legally adopted children (including legally divorced / widowed daughter) and parents (excluding step parents) irrespective of where they reside.

Explanation : for the purpose of this clause

(i) Parents shall be deemed to be wholly dependent if their recurring total annual income from all sources does not exceed the limit as prescribed in Appendix- XIV.

(ii) A declaration regarding income of parents and children shall be furnished by the Government servant in Annexure-I on the date of enforcement of these Rules and any change in income shall be intimated immediately.

(iii) Any change in family shall be declared in Annexure-II by the Government servant within three months of the event.

(iv) Dependent children shall mean and include :

(a) Son Till gets married or starts earning income as prescribed in Appendix-XIV or attains the age of 25 years, whichever is earlier.

(b) Daughter Till gets married or starts earning income as prescribed inAppendix-XIV whichever is earlier.

Note : Son /daughter suffering from any permanent disability of any kind (physical or mental) shall be treated as dependent irrespective of his/her age or marital status.

Government of Rajasthan Decision2 “Subject: - Clarification regarding inclusion of adoptive parents in the definition of family

under the Rajasthan Civil Services (Medical Attendance) Rules, 2013. A question has been raised for clarification as to whether the legally adoptive parents of a Government servant, who are dependent on Government servant, irrespective of where they reside are covered in the definition of ‘Family’ under sub-rule (9) of Rule 3 of Rajasthan Civil Services (Medical Attendance) Rules, 2013 or not? The matter has been examined and it is clarified that legally adoptive parents who are dependent on the Government servant, irrespective of where they reside, shall be member of family as ‘parents’ as defined in sub-rule (9) of Rule 3 of Rajasthan Civil

2 Inserted vide FD Memo. No. F. 6 (2) FD/Rules/2013 Pt-II dated 22-06-2015

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Services (Medical Attendance) Rules, 2013 provided that in any circumstances the real parents shall not be member of the family under the aforesaid rules. It is also clarified that if the adoptive father has legally more than one wife, only senior most will be adoptive mother and others being ‘step mothers’ will not include in the definition of family as ‘parents’ under the aforesaid rules.”

(10) “Medical Attendance” means attendance by an Authorised Medical Attendant in a Government / Approved / Public Private Partnership / Referral Hospital or at the residence of Government servant in case the patient is compelled to be confined to his/her residence, and includes: (i) employment of pathological, bacteriological, radiological or other

methods of examination (tests / investigations) for the purpose of diagnosis that are considered necessary by the Authorised Medical Attendant ;

(ii) consultation with any other medical officer as defined in Rule 3(1) to such extent and in such manner as certified by the Authorised Medical Attendant.

(11) “Patient” means Government servant including family, as defined in Rule

3(9), who has fallen ill and to whom these Rules apply. (12) “Treatment” means administration of medicines / surgery / surgical

facilities / vaccinations to cure, control and prevent any disease.

(I) Treatment shall also include : (i) employment of pathological, bacteriological, radiological or any

other method of examination (tests / investigations), as is considered necessary by the Authorised Medical Attendant ;

(ii) use of medicines, vaccines, sera or other therapeutic substances

excluding medicines or other consumables/ non consumables, which are regarded as food, toiletry preparations, tonics having more food value, disinfectants and other similar preparations ;

(iii) dental treatment of major kind if the diagnosis of the pathological or

other disease from which a patient is suffering indicates that the teeth are the real source of such disease. Dental treatment includes treatment of jaw bone disease, wholesale removal of teeth, surgical operation needed for removal of odontomes, impacted wisdom tooth, treatment of gum boils, extraction, scaling and gum treatment, filling of teeth, root canal treatment, pyorrhea and gingivitis.

Cost of denture and treatment by private dentists or outside the hospital even on the advice of Authorised Medical Attendant shall not be reimbursed ;

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(iv) Deleted3; (v) implants and procedures of treatment specified and enumerated in

Appendix-IX & Appendix-X ; (vi) Pre-natal and post-natal treatment ; (vii) Annual medical examination as per direction of State Government.

(II) Treatment shall not include -

(i) implants used for improvement of efficiency of any organ or part of

the body, from its normal natural state, at the particular age of the government servant, other than those, which are specifically permitted under these Rules ;

(ii) treatment taken for efficiency improvement like growth in height,

cosmetic / plastic surgery to shape up some part of body / face, lippo-suction, weight reduction, dentures, use of spectacles/ contact lens etc. other than those, which are specifically permitted under these Rules.

(13) “Pay” for the purpose of these Rules, means pay defined under Rule

7(24)(i) of Rajasthan Service Rules, 1951 or total of pay in running pay band and grade pay drawn as the case may be.

4. Health Benefit Empowered Committee - (1) There shall be a Standing Committee to be known as Health Benefit

Empowered Committee, consisting of :

(i) Additional Chief Secretary / Principal Secretary (Finance) – Chairman (ii) Pr. Secretary/ Secretary, Medical Education - Member (iii) Secretary, Finance (Budget) - Member (iv) Principal, S.M.S. Medical College, Jaipur - Member (v) Principal Medical College, Udaipur - Member (vi) Superintendent, S.M.S. Hospital, Jaipur - Member (vii) Director, Medical & Health Services - Member (viii) Director, Ayurved - Member (ix) Joint / Deputy Secretary (Rules) - Member Secretary

(2) The Committee shall be empowered to recommend :

(i) norms and procedure for approving hospitals/diagnostic centres; (ii) approval/deletion of private hospitals / diagnostic centres for the

purpose of treatment; (iii) extent of reimbursement for treatment / cost of implants/

tests/procedure etc. undertaken in Government hospitals / 3 Deleted vide FD Notification No. F. 6 (1) FD/Rules/2013 Pt dated 01-09-2014

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Approved Hospitals/ Public Private Partnership Hospitals / Referral Hospitals or at approved diagnostic centers/ labs;

(iv) category of ailments for which treatment in private hospitals within the State be allowed;

(v) negative list of allopathic drugs and medicines, which will not be eligible for reimbursement;

(vii) classes or list of Ayurvedic, Unani and Homeopathic Drugs and Medicines and Pharmacies considered necessary for reimbursement;

(viii) rates for various treatments / tests and investigations under these Rules ;

(ix) on any other related issue referred to it or on its own motion. (3) The State Government in Finance Department may, on the

recommendation of Health Benefit Empowered Committee, if consider necessary so to do, by order amend or modify all or any of the Appendix appended to these Rules and there upon the Appendix shall be deemed to have been amended accordingly.

5. Option of Mediclaim Insurance Coverage - In lieu of benefits under these Rules a Government servant may opt to avail medical facilities for him/herself and family, under Mediclaim Insurance Scheme, of any insurance provider regulated by the Insurance Regulatory & Development Authority (IRDA). Government will reimburse premium, as specified in Appendix-XIV. Such option shall be exercised in the form prescribed in Annexure-III, in writing to the Appointing Authority and shall be entered in service record. Such option once exercised shall be irrevocable and he /she shall not be entitled to avail facility of reimbursement of medical expenses under these Rules. 6. Medical Attendance and Treatment in a Government Hospital - (1) A Government servant and his/her family, except those who opt for

mediclaim insurance, will be provided free medical attendance and treatment in a Government hospital, in accordance with provisions of these Rules.

(2) Expenses incurred by a Government servant, while availing medical

attendance and treatment in a Government hospital shall be reimbursed to him / her to the extent and in the manner prescribed as under:

(a) cost of allopathic drugs and medicines, vaccines, sera or other therapeutic substances not stocked and supplied by Government hospital, except allopathic drugs, medicines, included in Appendix-IV (Negative List) ;

(b) cost of Ayurvedic / Unani / Homeopathic drugs and medicines of approved preparations, as included in the list of drugs and

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medicines in Appendix-V / VI / VII respectively, which are not available in a Government hospital ;

(c) cost of disposable surgical sundries, i.e. gauge, I.V. Set, bandage, Leucoplast, Cotton, Crepe Bandage etc., used during surgical and other operations, if not supplied by the hospital ;

(d) charges paid by a Government servants to the Rajasthan Medicare Relief Society or private diagnostic centres and labs etc. installed in Government hospitals through Rajasthan Medicare Relief Society, for pathological, bacteriological and radiological tests, x-ray, dialysis, investigations and procedures etc., which are considered necessary by the Authorised Medical Attendant, at the rates as per Appendix-XVI ;

(e) charges paid by a Government servant to approved private diagnostic centres / labs etc. for the tests undertaken on advice of Authorised Medical Attendant as per Appendix-VIII ;

(f) charges paid under auto finance scheme for pathological, bacteriological and radiological tests, X-ray, dialysis and investigations on prescription of Authorised Medical Attendant as per Appendix-XVI ;

(g) blood transfusion charges as per Appendix-XVI and cost of

Subcutaneous Infusion Pump ; (h) ambulance charges incurred to carry patient from place of illness to

a government hospital, vice versa or from one government hospital to another for treatment or examination ;

(i) consultation fee charged by the Authorised Medical Attendant for

treatment at residence of Government servant to the extent and as per scale prescribed in the Rajasthan Medical Officers and Nursing Staff Fees Rules, 2011 ;

(j) fee paid to compounder / nurse per visit for administering injectable

at the residence of the Government servant as per the Rajasthan Medical Officers and Nursing Staff Fees Rules, 2011 ;

(k) cost of specific implants, to the extent indicated in Appendix-IX and

specific procedure to the extent indicated in Appendix-X ; (l) sums actually paid on account of medical attendance, nursing

facilities and treatment including charges for surgical operations.

7. Indoor / Outdoor Medical Attendance and Treatment in approved Hospitals within the State -

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Expenses incurred by a Government servant on account of medical attendance, treatment and implants shall be reimbursable to the extent indicated in Appendix-IX & Appendix-XI.

8. Medical Attendance and Treatment in Hospitals under Public Private

Partnership Arrangement -

A Government servant and the members of his/her family shall be entitled to medical attendance and treatment including cost of implants, in hospitals under Public Private Partnership Arrangement to the extent and as per conditions prescribed in related concession agreement. However, the reimbursement shall be limited to the extent as per Rule 7.

9. Medical Attendance and Treatment in Government Hospitals outside Rajasthan -

(1) A Government servant, including his/her family members, who is on duty

or on leave or otherwise at a station outside Rajasthan and within India, shall be entitled to medical attendance and treatment as an indoor or outdoor patient in any hospital maintained by the Central Government / other State Government on the scale and as per conditions applicable under these Rules, as if he/she has been on duty or on leave in Rajasthan.

(2) Government servants posted at Delhi shall be reimbursed charges paid to

the private hospitals / clinics listed in Appendix–XII for tests and investigations which are considered necessary by medical officer of Government of Rajasthan posted in Delhi.

10. Treatment, including specialized treatment in Referral Hospitals

outside Rajasthan -

(1) A Government servant and the members of his/her family suffering from a disease for which treatment is not available in any Government Hospital/Approved Hospital/hospitals under Public Private Partnership Arrangement within the State, can be referred to a hospital specified in Appendix-III for medical attendance and treatment upon certification by the Principal of concerned Medical College, based on the opinion of the Medical Board to the effect that the treatment of a particular disease from which the patient is suffering, is not available within Rajasthan, and it is considered absolutely essential for the recovery of the patient to have treatment in the hospital so specified. Upon such reference and treatment being availed of, following charges/ expenses shall be reimbursable :

(i) cost of Allopathic Drugs, Medicines, Vaccines, Sera or other therapeutic substances as reimbursable under these Rules ;

(ii) sums actually paid to the Hospital / Institution on account of medical attendance and treatment including charges for surgical operations and nursing facilities ;

(iii) expenses incurred on accommodation shall be reimbursed as per Appendix-XV according to the class he/she is entitled to ;

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(iv) cost of specific Implants to the extent indicated in Appendix-IX ;

(v) only one follow-up treatment on the advice of the treating doctor shall be allowed in cases where treatment has been undertaken in a referral hospital out side the State.

(2) In case a Government servant takes treatment in the referral hospital without reference as per Sub-rule 10(1) above, the reimbursement shall be allowed to the extent prescribed in Appendix-IX and Appendix-XIII.

11. Indoor Treatment in a private unrecognised hospital within the State

and out side the State in case of emergent circumstances -

The reimbursement shall be allowed to the extent prescribed in Appendix-IX & Appendix-XIII for the charges paid by a Government servant on account of medical attendance and treatment as indoor patient in private unrecognized hospital within the State or out side the State in case of grave emergency for life threatening diseases or in case of accident. The emergent nature of hospitalization in private hospitals has to be established by an affidavit of the employee supported by a certificate of the treating doctor. No follow-up treatment shall be allowed in the cases where the treatment has been undertaken in emergent circumstances.

12. Medical attendance and treatment, where both husband and wife are

employed in State Government / Autonomous Body / elsewhere, where procedure for medical reimbursement exists -

(1) In case both husband and wife are eligible under these Rules, they shall

be entitled to medical attendance and treatment according to status of any one of them. For this purpose they should furnish a joint declaration in Annexure-IV to their respective Head of Office as to who will prefer the claim for reimbursement of medical expenses. The above declaration should be submitted in duplicate and a copy shall be kept in the personal file of each of them. Such option can be revised only at the beginning of a financial year.

In case of absence of such joint declaration, the claim shall be preferred

by the husband. Both the spouses may prefer claims for their own medical expenses separately as well. In case of dependents each one has to declare in Annexure-IV, the names of family members he/she wants to claim reimbursement for.

(2) In case the spouse of the Government servant is recruited in State

Government service on or after 01-01-2004, his/her claims shall be regulated as per Rule 17.

(3) If the spouse of the Government servant is employed in State Autonomous

Body / PSU having prescribed procedures for reimbursement of medical expenses, he/she shall have option either to claim medical reimbursement under the Rules applicable on that body or under these Rules. For this

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purpose Government servant will furnish a declaration in Annexure-V to his controlling authority as to who will prefer the claim for reimbursement of medical expenses. Such option can be revised only at the beginning of a financial year.

(4) If the spouse of the Government servant is employed in other than

Government organization where system of medical reimbursement exists and covered under any insurance scheme, his/her medical claims shall be reimbursed as per Rule 17.

13. Entitlement of accommodation in Hospital - (1) A Government servant and his/her family shall be entitled to free

accommodation in the Government hospital as prescribed in Appendix XV subject to availability.

(2) Expenses incurred on accommodation by a Government servant for treatment in Approved / PPP / Referral Hospital shall be reimbursed as per Appendix-XV according to the class of accommodation he/she is entitled to.

14. Admissibility of travelling allowance -

(1) A Government servant is entitled for reimbursement of travelling expenses as on tour, excluding daily allowance admissible under the Rajasthan Travelling Allowance Rules, for any journey made for the purpose of medical attendance and treatment to the following extent :

(i) If medical attendance and treatment is not available at the headquarters of the Government servant then forward and return journey made by the patient to the nearest headquarters of Authorised Medical Attendant.

(ii) Forward and return journey made by the patient to consult a specialist referred by the Authorised Medical Attendant on the condition of patient being so serious or of special nature and requires medical attendance by a specialist medical officer other than himself.

(iii) Forward and return journey made by the patient for specialized treatment in referral hospital on the recommendation of competent authority as referred in Rule 10.

(v) Forward and return journey made by an attendant, if the Authorised Medical Attendant certifies in writing that it is unsafe for the patient to travel unattended and attendant is necessary to accompany the patient to the place of treatment.

(vi) Forward and return journey made by an Authorised donor of kidney under the provisions of the Transplantation of Human Organs Act, 1994 and Rules 1995.

(2) (i) Claim for Travelling Allowance under these Rules shall be drawn on TA Bill form and a certificate from the Authorised Medical Attendant,

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as prescribed under Sub-rule (1) above should be attached with the claim.

(ii) The bill shall be countersigned by the authority competent to sign

the Travelling Allowance bill of the Government servant concerned. Explanation : The Authorised Medical Attendant for the purpose of this Rule means the Authorised Medical Attendant as referred in Rule 3(1)(i) to (iv) and (vii).

15. Grant of advance for medical attendance and treatment - (1) Medical advance Upto 75% of the estimated amount of reimbursable

expenditure may be given to the hospital concerned for indoor treatment taken by the Government servant or his/her family members as per Appendix-XIV on the following conditions :

(i) The entire amount of advance shall be remitted through Demand

Draft in favour of the hospital by the DDO on behalf of the Government servant.

(ii) The advance shall be granted not earlier than 15 days of the actual date of operation/treatment as fixed by the Authorised Medical Attendant.

(iii) Medical Advance shall be granted on the basis of certificate of the following:

(a) the Principal / Unit Head of a Medical College, in case the treatment is undertaken in a Government hospital of the State or in a referral hospital ;

(b) the Superintendent or Head of the Approved Hospital / Public Private Partnership Hospital where the treatment has been taken.

(iv) The advance shall be drawn in the name of Government servant and debited to head of account of pay and allowances.

(v) Subsequent advance shall be granted only after the medical reimbursement claim(s) to the extent of previous advance has been submitted for adjustment.

(vi) Government servant will have to submit medical reimbursement claim(s) within one month from the date of discharge of the patient from the hospital, and deposit unutilized amount of medical advance. In case of default, residual amount with 12% interest shall be deducted from his next salary bill(s).

(vii) If the patient does not take treatment, he/she shall have to refund the entire amount advanced within 15 days. However, if the Authorised Medical Attendant reschedules treatment due to medical reasons, liability to refund shall accrue from the rescheduled date.

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(viii) Non-compliance of the above conditions shall be treated as misconduct on the part of defaulter(s).

(2) In case of outdoor treatment, Head of office can grant medical advance as per Appendix-XIV to a Government servant for purchase of drugs and medicines for treatment of Heart, Cancer and Kidney diseases on the recommendation of Authorised Medical Attendant. Government servant shall have to submit the reimbursement claim within one month and deposit the balance amount. In case of default, residual amount with 12% interest shall be deducted from his next salary bill(s). Subsequent advance can be granted subject to the adjustment of previous advance.

16. Purchase of medicines in case free supply is not provided - (1) Medicines prescribed by Authorised Medical Attendant shall be purchased

by the Government servant from a shop run by CONFED / Upbhokta Sangh or shop authorised by the competent authority. In case medicines are not available at the shop, then the in-charge of the shop will issue Non Availability Certificate and medicines can be purchased from market on the basis of NAC.

(2) In case of emergency or non-availability/closing of Co-operative Shop,

medicines upto Rs 500/- can be purchased from private shops.

(3) In case of indoor treatment, if facility of CONFED / Upbhokta Sangh or a shop authorised by the competent authority is not situated in the premises of Approved Hospital / Public Private Partnership hospital, then the medicines can be purchased from private shops.

(4) Medicines prescribed by the Authorised Medical Attendant can also be

purchased from the shops run by the Rajashan Medicare Relief Society.

17. Reimbursement of medical expenses from two sources - (1) A Government servant, who has subscribed / is subscribing to Medical

Insurance Policies for himself/herself or his/her family, and is also eligible for availing medical facility under these Rules, may be allowed to claim reimbursement from both the sources. The claims in such cases shall be preferred as per procedure stated below :

(i) The beneficiary will make the claim first to the insurance company

and the residual claim if any, to the concerned Head of Office. (ii) Original vouchers/bills would be submitted to such insurance

company along with claims. The company will retain such originals and issue certified copies clearly indicating amount met out or reimbursed on each bill/voucher in ink along with stamp and also issue certificate of total amount met out or reimbursed by it.

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(iii) The beneficiary would then prefer his/her residual medical reimbursement claim to the Head of Office along with photocopies of vouchers / bills processed as prescribed in Sub-rule 1(ii) above.

Note: The procedure mentioned above shall also apply to cases

that fall under Rule 12(2 )&12(4).

(2) Reimbursement from the Government shall be limited to the amount admissible as per provisions of these Rules absolutely and shall be over and above the amount met out by the insurance company. The reimbursement from both sources should not exceed total expenditure incurred by the beneficiary on the treatment.

18. Procedure for claiming reimbursement of medical expenses - (1) A Government servant shall present reimbursement claim to his/her Head

of Office in duplicate, in the form prescribed in Annexure-VI and as per procedure stated below :

(i) If the claim of medical expenses is upto Rs 500/- then in support of reimbursement claim, Government servant is required to attach prescription, relevant certificates, cash memo / bill for purchase of medicines and or other items. The prescription shall be signed by the Authorised Medical Attendant under his/her official stamp and shall bear OPD registration number and date of the hospital.

(ii) If the claim of medical expenses is more than Rs. 500/-, then in

support of reimbursement claim Government servant is required to attach Essentiality Certificate in duplicate, in the Form prescribed in Annexure-VII, cash memo / bill for purchase of medicines and other items, along with relevant certificates required under rules duly verified and signed by Authorised Medical Attendant under his/her official stamp.

(iii) Consultation fee paid to Authorised Medical Attendant or/and fee

paid to compounder / nurse per visit for administering injectables at residence of Government servant as per the Rajasthan Medical Officers and Nursing Staff Fees Rules, 2011 shall be claimed on the production of certificate prescribed in Annexure VIII.

(iv) In case treatment is taken in referral hospital, a Government

servant is required to attach Essentiality Certificate in duplicate in the Form prescribed in Annexure-VII, cash memo / bill for purchase of medicines and other items, relevant certificates required under rules duly verified and signed by doctor on duty of that hospital or countersigned by the Authorised Medical Attendant of Government hospital on whose advice the treatment outside the State was

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taken, under his/her official stamp and self-attested copy of outdoor prescription slip in support of reimbursement claim.

(v) If the total expenditure on drugs and medicines is more than Rs. 2

lacs, or on medical investigation more than Rs. 1 lac or total expenditure on medical attendance and treatment is more than Rs.5 lacs than the Head of Office will refer the case to the Principal of concerned Medical College to constitute a Medical Board to ascertain the genuineness of the claim. The reimbursement in such cases shall be governed as per opinion of the Medical Board.

(vi) In case treatment continues over a long period, a Government

servant can submit part claim once in a month, as per procedure prescribed under these rules, if reimbursable amount is more than Rs 1000/-. Note: Any tax paid by a Government servant on the purchase of

items admissible under these Rules shall also be reimbursable to the extent and limit prescribed.

(2) An Authorised Medical Attendant who verifies and signs the Essentiality

Certificate shall maintain a register as prescribed in Annexure–IX and shall mention the serial number with date of entry in such register on the Essentiality Certificate. District Medical & Health Officer or Superintendent of the Hospital or any other officer authorised by the Government may inspect and check the register without any prior notice.

(3) Government servant shall submit the medical reimbursement claim at the

place of his current posting within 2 years from the date of completion of treatment. But in case treatment was completed during deputation posting of the Government servant, then claim shall be preferred to borrowing authority.

(4) Medical expenses shall be charged to salary budget head and shall be

drawn in the pay bill form, duly countersigned by the authority competent to do so under Travelling Allowance Rules.

(5) Head of the Department may refer any reimbursement claim of medical

expenses for third party confirmation or confirmation by a team of doctors. Reimbursement in such cases shall be limited to the amount recommended by that body.

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19. Special concessions to Government servants suffering from Tuberculosis and Cancer -

A Government servant and members of his/her family suffering from Tuberculosis and Cancer shall be entitled for reimbursement of non-reimbursable medicines and cost of special diet as prescribed in Appendix-XIV.

20. Power of State Government - Notwithstanding any thing contained in these Rules, the Government may

issue any direction / guidelines to regulate the purchase of medicines, the cost ceiling of implants, tests, treatments and approval of hospitals for treatment of State employees etc. and reimbursement procedure prescribed under these Rules.

Provided that nothing in these Rules shall be deemed to entitle a

Government servant for reimbursement of any cost incurred in respect of medical services obtained by him/her or for any journey performed by him/her otherwise than expressly provided under these Rules.

Provided further that nothing in these Rules shall be deemed to prevent

the Government from granting to a Government servant any concession relating to medical treatment or attendance or travelling allowance for any journey performed by him/her which is not Authorised under these Rules.

Government of Rajasthan Decision

4Sub: Ceiling Rates of reimbursement for Liver Transplantation Surgery under RCS (MA)

Rules, 2013 In exercise of powers conferred under Rule 20 of RCS (MA) Rules, 2013 and as per the decision of the Health Benefit Empowered Committee, the State Government hereby decides the ceiling rates of reimbursement for liver transplant surgery in Government and approved private hospitals in the State, and in referral hospitals as follows:

(a) The package rate for Liver Transplantation surgery involving live liver donor shall be as follows:

Rs.11,50,000/- (Rupees Eleven lakh fifty thousand only) + pre transplant evaluation of donor and recipient, Rs.2,50,000/- (Rupees Two lakh fifty thousand only).

(b) The package rate for Liver Transplantation surgery involving deceased liver donor shall

be: Rs.11,00,000/- (Rupees Eleven lakh only. This includes the cost of consumables

during the organ retrieval and the cost of preservative solution etc.

4 Inserted vide FD Order No. F. 6 (2) FD/Rules/2013 Pt. –II dated 01-04-2015

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(i) The package charges include the following: 1. 30 days stay of the recipient and 15 days for the donor starting one day prior to

transplant surgery. 2. Charges for Medical and Surgical consumables, surgical and procedural charges,

operation theatre charges, anesthesia charges, pharmacy, investigations and procedures during the above mentioned period.

(ii) The package excludes: 1. Charges for drugs like Basiliximab/ Daclizumab, HBIG, and peg interferon. 2. Cross matching charges for Blood and Blood products.

Note:

1. The medical reimbursement would be admissible as per the package rates mentioned above or the actual expenses, whichever is less.

2. The extra stay if any may be reimbursed after justification by the treating specialists for the reason of additional stay and only as per provisions/ rates under these rules, i.e., RCS (MA) Rules, 2013.

3. The drugs mentioned above and cross matching charges for blood and blood products shall be reimbursed as per relevant provisions of these rules, i.e., RCS (MA) Rules, 2013.

4. Liver transplant surgery shall be allowed only in Government Hospitals/ approved private hospitals/ Referral Hospitals, which are registered under the Transplantation of Human Organs Act, 1994, as amended from time to time.

5. As Liver Transplant Surgery is a planned surgery, prior permission of the Medical Board constituted under the Chairmanship of Head of Department, Gastroenterology, S. M. S. Medical College, Jaipur has to be obtained before the surgery is obtained. However, if for some reason it is done in emergency to save the life of the patient, the Medical Board shall consider the case referred to it for recommending grant of ex-post facto permission on a case to case basis. Detailed guidelines for the Medical Board, constituted for this purpose, selection criteria, documents required, submission of application etc. will be issued separately by the Medical Education Department, in concurrence of Finance Department.

……………………………………………………………………………………………

5 “ Subject:- Rajasthan Civil Services (Medical Attendance) Rules, 2013 adoption of rates of CGHS, Jaipur as maximum chargeable rates for treatment in Approved Hospitals within the State.

In exercise of powers vested in them under Rule 20 of the Rajasthan Civil

Services (Medical Attendance) Rules, 2013 and after considering the recommendations made by the HBEC constituted under Rule 4 of the aforesaid rules, the Government has decided to adopt the rates of CGHS, Jaipur, as may be amended from time to time, as maximum chargeable rates for various treatments, investigations and implants etc. which can be charged by the Approved Hospitals within the State for treatment of Government servants appointed before 01-01-2004 and their family. Maximum chargeable rates for NABH/NABL and non NABH/ Non NABL Hospitals shall be as per the CGHS rates for these categories, respectively.

The provisions of this order shall also be applicable to the pensioners and their

family, who are availing medical facility under the Rajasthan State Pensioners’ Medical Concession Scheme, 2014.

5 Inserted vide FD Order No. F. 6 (2) FD/Rules/2013 Pt-III dated 27-06-2015

17

The rates of CGHS, Jaipur for various treatments, investigations and implants etc. are available on website http://cghsjaipur.nic.in/Hospitals.html.

The identification of Government employees and pensioners shall be done by the

Approved Hospitals on the basis of the following:-

(a) The identification certificate issued by the Drawing and Disbursing Officer to the Government Servant.

(b) Any identification issued by the competent authority in the State Government. This includes photocopy of Medical Diary or Pension Payment Order in the case of pensioner.

(c) Declaration by the employee/ pensioner himself at the time of admission, to be followed by (a) or (b) in reasonable time.

The reimbursement of medical expenses to the Government servants and

pensioners shall continue to be made as per the provisions of the Rajasthan Civil Services (Medical Attendance) Rules, 2013 and Rajasthan State Pensioners’ Medical Concession Scheme, 2014 respectively.

This order shall come into force with effect from 1st July, 2015.” 21. Repeal and Savings -

These Rules supercede the Rajasthan Civil Services (Medical Attendance) Rules, 2008 and all notifications / orders / circulars issued there under, and shall be applicable for the medical attendance and treatment taken on or after the date these Rules are issued. The pending cases and cases in which the treatment has been commenced prior to issuance of this notification shall be decided by the provisions of Rajasthan Civil Services (Medical Attendance) Rules, 2008 and all orders issued there under.

18

ANNEXURE - I Rule 3(9)(ii)

FORMAT FOR DECLARATION OF DEPENDENCY OF PARENTS / CHILDREN I, .................................................. (Name of the Government employee), ....................................................... (Designation and Officer / Department), hereby declare that following members of my family are wholly dependent on me and their monthly income is less than Rupees Six thousand per month : 1. 2. 3. 4. 5. I also declare that if there will be any increase in monthly income beyond Rs 6000 per month / or change in dependency then I will intimate accordingly. Date :

Place : Signature of the Government Servant

19

Annexure - II Rule 3(9)(iii)

FORMAT FOR CHANGE IN FAMILY UNDER THESE RULES 1. Name of the Government servant : 2. Post : 3. Office / Department : 4. Change in family :

Sr. No.

Name Relation Reason for change

Date of change

Date : Place :

Signature of the Government Servant

20

ANNEXURE - III Rule 5

OPTION FORM FOR OPTING MEDICAL INSURANCE COVERAGE

I ............................ (Name) ............................................... (Post and Office), hereby declare that I opt to avail medical facilities under mediclaim insurance scheme of ....................................... (Name of Company). The insurance provider is regulated by the IRDA. The premium paid by me is Rs ............. per annum. I understand that once above option is exercised, I shall not be entitled for reimbursement of expenses incurred by me on medical attendance and treatment of myself and my family members under RCS (MA)Rules, 2013.

Signature of government servant Name : ___________________ Post : ___________________

21

ANNEXURE - IV Rule 12(1)

Joint Declaration (in Duplicate) where Husband and Wife both are employed under

State Government and covered under RCS (MA) Rules, 2013

We, .................................................................. (Name, Post and Office) and .......................................................................... (Name, Post and Office) declare that we are spouses and also declare that reimbursement of medical expenses of our family shall be preferred by .......................................................................... (Name, Post and Office). Date : Place :

Signature of Spouse

Signature of the Government Servant

who will prefer the medical claims

Accepted by

(Signature of Head of office with stamp)

OR

Declaration (in Duplicate) by each Government servant in absence of Joint Declaration

I, ............................................................................... (Name, Post and Office) declare that reimbursement of medical expenses of myself and following dependent members of family (excluding spouse) shall be preferred by me : 1. 2. 3. Date : Place :

Signature of the Government Servant

Accepted by

(Signature of Head of office with stamp)

22

Annexure - V Rule 12(3)

Joint Declaration (in Duplicate) where one of the spouse is employed under State

Government and covered under RCS (MA) Rules, 2013 and another employed under State Autonomous body / PSU having different facility for medical reimbursement

We, ............................................................................. (Name, Post and Office) and ............................................................................ (Name, (Name, Post and Office)) declare that reimbursement of medical expenses of ......................... (Name and Relationship) shall be preferred by ..................................... (Name, Post and Office)) or preferred separately by us through our respective offices. In case of dependent members of the family, medical expenses claim shall be preferred by ............................................................ (Name, Post and Office). Date : Place :

Signature of Spouse

Signature of the Government Servant

who preferred the medical claim

Accepted by

(Signature of Head of office with stamp)

23

Annexure - VI Rule 18(1)

Form of Application for claiming reimbursement of Medical expenses incurred on Medical Attendance and Treatment of Government servants and their families. N.B. - Separate form should be used for each patient. 1. Name and Designation of the Government servant with

Department (in Block letters).

2. Actual residential address. 3. Pay. 4. Place at which the patient fell ill. 5. Name of the patient and his/her relationship to the

Government servant (in the case of children state age also.)

6. Amount of consultation fee charged by the Authorised Medical Attendant for treatment of the Government servant at residence under Rule 6(2)(i)(Mention name of the Doctor) and attach the prescribed certificate. (Annexure-VIII).

7. Fee paid to Compounder / Nurse for administering injectable at residence of Government servant (Attach prescribed certificate as per Annexure VIII).

8. Ambulance Charges. 9. Cost of the medicines purchased from the market.

10. Registration Fee / Consultation Fee (outdoor treatment).

11. Other charges admissible under Rules, if any. 12. Total amount claimed. 13. List of enclosures.

Details of the medicines purchased from the market (Not required in case Essentiality Certificate is attached)

S. No. Cash Memo No. & Date

Name of the Shop

Name of medicine

Amount

1 2 3 4 5

Declaration to be signed by the Government servant

I hereby declare that : (i) all statements in this application are true to the best of my knowledge and belief ;

(ii) the person for whom medical expenses were incurred is wholly dependent upon me ;

*(iii) the claim is for expenses incurred over and above the medical expenses covered under medical insurance scheme ; (iv) the claim for these medicines purchased by me has not been presented and drawn in the past;

Date ....................... Signature and Designation of the Government Servant and Office to which attached

*Strike out if not applicable.

24

Annexure - VII Rule 18(1)(ii) &18(1)(iv)

ESSENTIALITY CERTIFICATE

I certify that Mrs./ Mr. / Miss ............................................... wife/ son/ daughter of Mr. ......................................... employed in the office ................................. has been under treatment at the Hospital/ Indoor / Outdoor in my consulting room and that the under mentioned medicines prescribed by me in this connection are essential for the recovery / prevention of serious deterioration in the condition of the patient. These medicines are not stocked in the ........................................ for supply to private patients and do not include proprietary preparations for which cheaper substances of equal therapeutic value are available or preparations which are primarily foods, toilets or disinfectants.

Cash Memo No. & Date

Name of medicines Cost Rs. p.

Signature and Designation of the Authorised Medical Attendant.

Signature of the Medical Officer In-charge of the case in the Hospital

2. Certified that the patient is/ was suffering from .............................. disease and is / was under my treatment from ................. to .................... It is further certified that the disease mentioned above does not fall under venereal disease, Delirium / Tremens. 3. The patient did not require / required hospitalization. The case is / was definitely not/ one of prolonged treatment. 4. Certified that the treatment is over / continuing. Entered at S. No. .......................... in Hospital / Dispensary Register on .................... (Date).

Signature of the Authorised

Medical Attendant.

Place ......................... Date ....................... .. Signature of the Medical Officer

I/c of the case in the Hospital

25

Annexure - VIII Rule 6(2)(i) ,6(2)(j)& 18(1)(iv)

FORM 'A'

CERTIFICATE

It is Certified that Shri / Smt. / Kumari ......................................... Son/ wife/ daughter/ husband of Shri / Smt. ................................................. of the Department of ....................... age .............. was suffering from ......................... (disease) since ................... and was under my treatment. I paid visit / visits to his/her house on ................... at time .................. as his/her condition was serious and his/her removal to the hospital would have been dangerous or injurious to his/her life. I charged Rs................... for my visits.

Signature and Designation of the Authorised Medical Attendant

Note: Medical Officer in receipt of non-practicing allowance are not allowed to undertake private practice and cannot charge consultation fee as Authorised Medical Attendant of Government servants under Finance Department Order No. F. 6(3)FD/Rules/2008 dated 12.09.2008 as amended from time to time.

FORM 'B'

Certify that Shri / Smt. / Kumari ....................................................................... Son/ wife/ daughter/ husband of Shri / Smt. ...................................................... of the Department of ....................... age .............. was suffering from ......................... (disease) since ................... and I ....................... paid visit / visits to his/her house on ................... at time .................. for administrating the injectable as prescribed by the Authorised Medical Attendant of ............... his/her Hospital / Dispensary and he / she was not in a position to attend the Hospital / Dispensary for the same. I charged Rs.......................... as fee for injecting the injections.

Signature and Designation of Compounder / Nurse

Countersigned

Signature & Designation of the Authorised

Medical Attendant.

26

Annexure - IX Rule 18(2)

Form of Register

Date S. No. Name of the patient with

designation and department

Ailment / Disease

1 2 3 4

Prescription Fees charged for medical attendance

including injectable etc.

Total amount of Bills/ Cash

Memo verified etc.

Remarks

5 6 7 8

27

6APPENDIX - I

Rule 3(1)(v), 3(5)

LIST OF APPROVED HOSPITALS FOR TREATMENT

S. N. Name of Hospital A. Multispecialty Hospitals

1 1 Soni Manipal Hospital, Jaipur 2 2 Narayana Multispecialty Hospital, Jaipur 3 3 Porwal Hospital, Bhilwara 4 4 Solanki Hospital, Alwar 5 5 Krishna Hospital, Bhilwara 6 6 Aravali Hospital, Udaipur 7 7 Kamla Nagar Hospital, Jodhpur 8 8 Kailash Hospital, Behror (Alwar) 9 9 Dhanvantri Hospital and Research Centre, Jaipur

10 10 Gheesibai Memorial Mittal Hospital and Research Centre, Ajmer 11 11 Global Heart and General Hospital, Jaipur 12 12 Getwell Hospital and Research Centre, Sikar 13 13 Goyal Hospital and Emergency Care Centre, Baran 14 14 S.N. Pareek Memorial Hospital and Research Centre, Kota 15 15 Ravindra Hospital, Jhunjhunu 16 16 Sanjeevani Vyas Hospital Anusandhan Kendra, Jhalawar 17 17 M.N. Hospital and Research Centre, Bikaner 18 18 Anurag Nursing Home, Bundi 19 19 Imperial Hospital and Research Centre, Jaipur20 20 Soni Hospital, Jaipur 21 21 Bhandari Hospital and Research Centre, Jaipur 22 22 Fortis Escorts Hospital, Jaipur 23 23 Mahatma Gandhi Medical College & Hospital, Jaipur 24 24 Tagore Hospital & Research Institute, Jaipur 25 25 Apex Hospital Pvt. Ltd., Malviya Nagar, Jaipur 26 26 Jaipur Hospital, Jaipur27 27 NIMS Hospital, Jaipur 28 28 Jaiswal Hospital & Neuro Institute, Kota 29 29 Sudha Hospital & Medical Research Centre, Kota 30 30 Gitanjali Medical College and Hospital, Udaipur

6 Amended vide FD Orders No. F. 6(1) FD/Rules/2013 Pt dated 20-09-2013; No. F. 6(1) FD/Rules/2013 Pt dated 17-12-2013; No. F. 6(2) FD/Rules/2013 Pt-I dated 05-03-2014; No. F. 6(2) FD/Rules/2013 dated 09-05-2014; No. F. 6(2) FD/Rules/2013 Pt-II dated 07-08-2014; No. F. 6(2) FD/Rules/2013 Pt-II dated 09-09-2014; No. F. 6(2) FD/Rules/2013 Pt-II dated 09-09-2014; No. F. 6(2) FD/Rules/2013 Pt-II dated 11-09-2014; No. F. 6(2) FD/Rules/2013 dated 09-12-2014; No. F. 6(2) FD/Rules/2013 Pt-II dated 10-02-2015; No. F. 6(2) FD/Rules/2013 Pt-II dated 20-02-2015; No. F. 6(2) FD/Rules/2013 Pt-II dated 11-03-2015; No. F. 6(2) FD/Rules/2013 Pt-II dated 12-03-2015; No. F. 6(2) FD/Rules/2013 Pt-I dated 06-04-2015; No. F. 6(2) FD/Rules/2013 Pt-I dated 23-04-2015; No. F. 6(2) FD/Rules/2013 Pt dated 29-05-2015; No. F. 6(2) FD/Rules/2013 Pt dated 05-06-2015; No. F. 6 (2) FD/Rules/2013 Pt dated 06-07-2015; No. F. 6(2) FD/Rules/2013 Pt-I dated 30-07-2015; No. F. 6 (2) FD/Rules/2013 Pt-II dated 05-08-2015; No. F. 6(2) FD/Rules/2013 Pt-III dated 24-08-2015; No. F. 6 (2) FD/Rules/2013 Pt-II dated 25-08-2015; No. F. 6(2) FD/Rules/2013 dated 08-09-2015; No. F. 6 (2) FD/Rules/2013 Pt-II dated 16-10-2015; No. F. 6(2) FD/Rules/2013 Pt-II dated 16-10-2015; No. F. 6(2) FD/Rules/2013 Pt-II dated 23-12-2015 and No. F. 6(2) FD/Rules/2013 Pt-I dated 06-01-2016.

28

31 31 Kalpana Nursing Home Pvt. Ltd., Udaipur 32 32 GBH American Hospital, Udaipur 33 33 Kota Heart Institute, Kota 34 34 Bharat Vikas Parishad Hospital & Research Centre, Kota 35 35 Ramsnehi Hospital and Research Centre, Bhilwara 36 36 Kothari Hospital and Research Institute, Bikaner 37 37 Harish Hospital Pvt. Ltd., Alwar 38 38 Sania Hospital, Alwar 39 39 Madhur Hospital, Dausa40 40 S.R. Kalla Memorial Gastro & General Hospital, Jaipur 41 41 Dhukia Hospital, Jhunjhnu 42 42 Ranthambore Sevika Hospital, Sawai Madhopur 43 43 S. B. Mittal Memorial Heart and Critical Care Hospital, Sikar 44 44 Agarwal Hospital, Tonk 45 45 Dr. Choudhary Hospital and Medical Research Centre Pvt. Ltd., Udaipur 46 46 Goyal Hospital & Research Centre, Jodhpur 47 47 Bindal Hospital, Sikar

B. Cardiology and CT Surgery Specialty Hospitals 48 1 Eternal Heart Care and Research Institute, Jaipur 49 2 Heart & General Hospital, Jaipur 50 3 Jaipur Heart Institute, Jaipur

C. ENT Specialty Hospital 51 1 Jain ENT Hospital, Jaipur

D. Neurosurgery Specialty Hospital 52 1 Indowestern Brain & Spine Hospital, Jaipur

E. Oncology Specialty Hospitals 53 1 Bhagwan Mahaveer Cancer Hospital and Research Centre, Jaipur

F. Ophthalmology Specialty Hospitals 54 1 K.C. Memorial Eye Hospital, Jaipur 55 2 Dr. Virendra Laser & Phaco Surgery Centre, Jaipur 56 3 Sahai Hospital and Research Centre, Jaipur 57 4 Dr. Kothari’s Eye Hospital, Udaipur 58 5 Alakh Nayan Mandir Eye Hospital, Udaipur 59 6 Anand Hospital and Eye Centre, Jaipur 60 7 Dr. Khungar’s Eye Care and Research Centre Pvt. Ltd., Ajmer 61 8 Kshetrapal Eye Hospital and Lasic Laser Center, Ajmer 62 9 ASG Hospital Pvt. Ltd. Banipark, Jaipur 63 10 Kabra Eye Hospital, Jaipur

G. Orthopedics Specialty Hospital 64 1 Mewar Hospital Pvt. Ltd., Udaipur

29

APPENDIX - II Rule 3(1)(vi), 3(6)

LIST OF PUBLIC PRIVATE PARTNERSHIP ARRANGEMENT HOSPITALS IN

RAJASTHAN 1. Metro Manas Arogya Sadan Heart Care and Multi-specialty Hospital,

Jaipur

30

7APPENDIX - III Rule 3(1)(vii), 3(7), 10(1)

LIST OF REFERRAL HOSPITALS

1. All India Institute of Medical Sciences, New Delhi 2. Bombay Hospital, Mumbai 3. Christian Medical College and Hospital, Vallore (for Bone Marrow

Transplantation) 4. Fortis Hospital, New Delhi 5. Gujarat Cancer & Research Institute (M.P. Shah Cancer Hospital), Ahmedabad 6. Post Graduate Institute, Chandigarh 7. Rajeev Gandhi Cancer Institute and Research Centre, Delhi 8. Tata Memorial Hospital, Mumbai 9. The Gujarat Research and Medical Institute (Rajasthan Hospitals), Ahmedabad 10. Institute of Liver and Biliary Science, New Delhi (For liver diseases only). 11. Medanta, the Medicity, Gurgaon (For Cardiology, CT Surgery, Joint

Replacements and Liver transplant). 12. Shalby Hospital, Ahmedabad (For Joints Replacements only). 13. Indarprastha Apollo Hospital, New Delhi (Liver transplant). 14. Global Hospital, Chennai (Liver transplant).

7 Substituted vide FD Order No. F. 6(2) FD/Rules/2013 Pt-II dated 12-03-2015.

31

APPENDIX - IV Rule 6(2)(a)

LIST OF NON-REIMBURSABLE ALLOPATHIC DRUGS AND MEDICINES NAME OF THE ALLOPATHIC MEDICINES

S. No. Name of Medicine S. No. Name of Medicine 1. 2 1 2

'A' 46. Alkocitdris 1. A & D Pearls 47. Allantoin 2. A & D Vitamin Massage oil 48. Allcooks Porous Plaster 3. Abdominal Binder 49. Allistan Tablets 4. Absorbent cotton (Not Drug) 50. Allochrysine Suppositories 5. Abzol Powder 51. Almakal 6. Acecolex 52. Aloes Compound 7. Acid Carbolic 53. Alopex Lotion 8. Acid Glycero pepsin B-1 54. Alpex Ointment/ Tablets 9. Acid Salicylic Cold Cream /

Powder 55. Amfac Granules

10. Acigel Vaginal Gelly 56. Amorphos 11. Acilose Vaginal Compound 57. Amosan /Mouth wash Powder 12. Acimalt 58. Anaardone Soludtion 13. Acrifiavin Lotion 59. Anacin 14. Acrifitex 60. Anadin Tablets 15. Ademin Compound 61. Analax Pasalles 16. Adgusuce plaster 62. Anapolon Oxymetolone Tablets 17. Adical 63. Andrew”s Liver Salsts 18. Adjudets 64. Anestan Asthma Tablets 19. Adrenapax 65. Angioxyl 20. Adreneline Tablets 66. Angler”s Emulsion 21. Aeri Flame 67. Anklozid 22. Agres Tonic 68. Anne French Cream 23. Agretonicum/ Ague Tonicum 69. Anol Ointment 24. Air Rings 70. Antaiby Tablets 25. Akin Malt 71. Antechlor 26. Albosang 72. Anterline Cream 27. Alcohol 73. Anti Haemophyila Principil 28. Alcopheniol 74. Anti Kamnia Tablets 29. Alcpphlogistin 75. Antibactrin 30. Alefrina 76. Antical Lotion 31. Aletris Cordial Soluble 77. Anticirhos Tablets 32. Aletris Elixir 78. Anticongestin 33. Aletritone 79. Anticongestin 34. Algan Ointment 80. Antiflamin 35. Algipan Cream / Ointment 81. Antiflue Tablets 36. Algocratine Cachets 82. Antihis/hert Expectorant 37. Alka Cip Tablets 83. Antiphiog Stine Plaster 38. Alka Seltzer 84. Antirabic Vaccine 39. Alkacitrate Granules 85. Antiseptic Cream 40. Alkaline Citrate 86. Antiseptic Dusting Powder 41. Alkanet With Vit. S 87. Antismat 42. Alkaseptal 88. Anto” s Compound 43. Alkasim T.F 89. Anto –Lyvit 44. Alkasol “ C” 90. Antoxylin 45. Alkia Salrates 91. Aprivite

32

1 2 1 2

92. Argentex 20. Barley 93. Argentum Oscol 21. Barley Pearl 94. Argusol 22. Barracha Biheron 95. Aromolage 23. Bates & Cos Compound 96. Arseno Typhoid Vaccine 24. Batlin Complex 97. Aruna Uterin Tonic 25. Baxen Powders 98. Ashton & Porsons Infants

Powders 26. Baxen Tablets

99. Askit 27. Bburgoynes Iodised Satsa 100. Asmoplan 28. Becantex 101. Asoka, Vintone with / Cordial

Compound Cordial & Hormone/ Asoka Vin-H

29. Beconex

102. Asokaletris/ Asoka Ovaran Usavin / Asvan

30. Becophos

103. Aspergum 31. Beechams Cough Pills 104. Aspirin / Tablets 32. Beechams Lung Syrup 105. Asthma Nefrin Solution Relief

Powder 33. Beechams Pills

106. Atkins on & Barkers infants Preservative

34. Beechams Powders

107. Atomiser Rubber Bulb & Cover 35. Beliadonna Pigment 108. Atropin 36. Belt 109. Auralcain Ear Drops 37. Beltona Antiuritic Tablets 110. Aurinol Ear Drops 38. Beltona Ointment 111. Avittamle Powder 39. Benaifet 112. Ayazel 40. Bencard Aliergy Remes

'B' 41. Bendial Solution / Bendicts Solution

1. B. Adhesive 42. Benecardin 2. B.D Vine 43. Benzidine 3. B.G Min Elixir 44. Benzocin Lozenges 4. B- Neurophose Elixir 45. Benzoyl Perxide Wolley 5. B- Tax Ointment 46. Bepron 6. Baby Oil 47. Bertzyme 7. Bacte Coli Phage 48. Besorbon Medical Sunff 8. Bacte Dysenteri-Phage 49. Betalax Drops 9. Bacte Insesti Phage 50. Betalysin 10. Bacte Pyo Phage 51. Betana Lotion 11. Bacte Staphy Phage 52. Bi-Shiorobutolinhalant 12. Baims 53. Bianchards Female Pills 13. Baling Powder 54. Bidel Compound 14. Balsamic Emulsion 55. Bidello 15. Banaid 56. Biglycerc Pepsin 16. Banalona 57. Bilas Pills 17. Bandage ( Not Durg ) 58. Bile Beans 18. Barilia 59. Bilitone 19. Barkers Liquid of life 60. Billo Sal

33

1 2 1 2

61. Bilogen 105. Brandy 62. Bilsons Laxative Cleanser 106. Breast Pump 63. Bio Malt 107. Breast Salve 64. Biochlor Tablet 108. Breezes Stimulating

Ointment 65. Bioferbin 109. Brewers Yeast Syrup 66. Bioglan 110. Brillian Grease 67. Biomin Syrup 111. Bristacylin Pedatric Drops 68. Bioplex Forte 112. British Spa Crystal Salts 69. Biphlogistine 113. Brocast Inhalant 70. Birleys Antacie Powder 114. Bromo Saltzer 71. Bis Uk Mint Ovals 115. Bronchinson Cough Syrup 72. Bishops Citrate of Lithia 116. Brookle Tablets 73. Bishops Natural Fruit 117. Broon Liquid C Nebuliser 74. Bishopsk Varailettes 118. Broven Inhaler 75. Bishops Varailettes Vichy

Salts 119. Brush

76. Bisodol Pulves 120. Buckfast Tonic Wine Shustab

77. Bisum Cone Supposistory 121. Buegress Lion Ointment 78. Bisurated Magnesia 122. Bunters Nervine 79. Bisurated Magnesia Tabs 123. Burgress Lion Pills 80. Bisuroids Laxative Tabs 124. Burnol 81. Blairs Goult & Rheumatic Pills 125. Buxeton rubbing Bottle 82. Blinblows Assthma Cure 126. Bynadol Liquid 83. Blinblows Eucalyptus &

Stramonium Cigarettes 'C'

84. Blood Percoltor 1. C.T.L Compound 85. Blue Lion Foxe Nuts

(Shadforths ) 2. Cacton Glucose

86. Bmag I Aste 3. Cadimalt 87. Bog Vaccine 4. Caicie Hlin 88. Boldine Houde Tablets 5. Caifason 89. Bonchiol 6. Caisalettes Tablets 90. Boncmint Laxative chewing

Gum 7. Caisilodis Tablets

91. Bor Henzolan 8. Cal D. Min 92. Borated Tin 9. Cal D Rubba with Iron 93. Borax Honey 10. Calavix Cream 94. Bordoxe 11. Calci K Tablets 95. Boric Rectified Spirt 12. Calci Lact 96. Borofa 13. Calciba Syrup 97. Borolin 14. Calcigenol 98. Bottle Feeder 15. Calcily sin 99. Bows (Dr.) Liniment 16. Calcium C.D. Inga Syrup / Tab. 100. Bowdens Indian Balm 17. Calcium Cascinate Powder 101. Box of Natronone 18. Calcium Vitamin Syrup 102. Box s Herbal Ointment 19. Calcivite width lysine 103. Boxes Indigestion Pills 20. Cali Kuttin Tablets 104. Braggs Prepared Vegetable

charcoal 21. Califormia Syrup of figs

34

1 2 1 2

22. Caliper (Including raising in the shoe esdtc, complets elevator)

66. Cephos Powders

23. Calso Bee 67. Cephos Tablets 24. Calvimac 68. Cerebrinin 25. Calvimag 69. Cerbrinin 26. Calvox Ointment 70. Cerebrinin capsules &

Tablets 27. Calzana 71. Cerebrinin palationoids 28. Candinetts 72. Cetavatone powder 29. Capsule Dutrain 73. Chac loids 30. Capsules Gelating 74. Charcoal 31. Carapeplic Paints 75. Charcoal Tablets 32. Carbindon Mild 76. Chardox super Activated 33. Carbo citra 77. Chardox Tablets 34. Carbonal Tablets 78. Charim tablets 35. Cardone Drops 79. Cheain Gum Jyrothricine 36. Careoxyl 80. Chel Geatone 37. Carica peptol 81. Chem. Tonic 38. Carica Peptol with B –Bomplex 82. Chemical Digestin 39. Carica Tablets 83. Chemo Maltcalra Cream 40. Caripeptic Liquid 84. Chemo Tonic 41. Carmarole Compound 85. Chicken Essence 42. Carmicid 86. Children Tonic 43. Carniazoldicodid 87. Chililine 44. Carnigen Drops 88. Chirphytone Dragges &

Drops 45. Carters litter liver Pills 89. Chloromex Syrup 46. Carters Little Neve Pills 90. Chocolated 47. Carwant Lotion 91. Chronalgicin 48. Casinone 92. Chtst 49. Cassells (Dr.) Insstant Relief 93. Cibazol Throat Paint 50. Cassells (Dr.) Tablets 94. Cineraraia Matitimasucour 51. Castellan childrens cough

Mixture 95. Ciofa Tablets

52. Castellan No 10 cough Mixture 96. Citadel fipa calcium with vitamin C Tablets

53. Castols 97. Citrol Lemon 54. Castophene Tablets 98. Clarks Blood Mixture 55. Castorets 99. Clarks Blood Mixture

(Tablets Form) 56. Casvace/ CAS –E-VAC 100. Clarks Glycola Food Cream 57. Casydral 101. Clarks Medicine 58. Catgut 102. Clarks Skin Lotion 59. Catheters 103. Clasmin Pearl 60. Cawtex 104. Cll cal . D Elixir/ Tablets 61. Cefral 105. Cloister Herbal Tea 62. Celmo Tablets 106. Cloth 63. Celunox Ointment 107. Clynol Berries 64. Celunox tablets 108. Coaltar 65. Cemeno Essence

(Gomenol Laboratorites) 109. Cockburns Balsam

35

1 2 1 2 110. Cockburns Pills 153. Cotton 111. Cockles Antibilious Pills 154. Cotton Boric 112. Cocline 155. Cotton Wash 113. Coconut Hair Oil 156. Cotton Wool 114. Cod Liver Oil (By Names Co./

Kalpers) 157. Cough mixture Syrup Sandoz

115. Cogfne Tablets 158. Coutts Accilic Acid 116. Cold Creams 159. Cream 117. Coles Family Ointment

Sublamine 160. Cream of Jujol

118. Collar ( Not Medicine ) 161. Crmalin 119. Collocalcium 162. Creope Bandage 120. Collodac 163. Crocks Dendruff Lotion 121. Collorm Cordial 164. Crooks Capsules 122. Colossal Argentum Nasal Drops 165. Crooks VD 123. Colossal Argentum Opthalmic 166. Crooks Emulsion 124. Collosol currum opthaimic 167. Crulivex 125. Collosol currum Solution 168. Cryclospasmot Forte

Tablets 126. Collosol Gold Sulphid 169. Cryog Nine catchets &

Tablets 127. Collosol Merecurry Surlphile 170. Cunbepan 128. Solution 171. Cupal in Tonic 129. Collunovar Collutoire 172. Curacho Emboration 130. Colofine 173. Curicones 131. Cologne 174. Cusi Denmoze 132. Cologne Water 175. Cusi Resolvent 133. Colossal Iwche 176. Cusi ophtaimoloses Iod rubici

Idsrubidi Calcium Loretinbismuthic Nizin Noviform Vitaminic

134. Colydeltra 177. Cuticura Ointment 135. Combadex Cream 178. Cutiract 136. Combitone Elixir 179. Cylinder ( Oxygen _) 137. Compericum 180. Cystex Tablets 138. Completone 181. Cystone Tablets 139. Compound Hevimin with Folic

Acid 182. Cytamen G.H.O

140. Condys Remedial Fluid 'D' 141. Congreves Elixir 142. Conotramine pessaries 1. D.D.D Balm 143. Constipon Lxatives 2. D.D.D. Lotion 144. Cordial Asaka 3. D.D.D. Prescription 145. Corncure 4. D.D.L. Vitamin B Yeast

Tablets 146. Corpora leutea Amples 5. D.D.T. Powder 147. Corpora ludtex capsules 6. D.K. Salt 148. Corpusk ludteim & Mammary

Palatinloids 7. Dagra Honey Syrup

149. Corrlisone 8. Daisy Powders 150. Corvason eye lotion 9. Daisy Tablets 151. Corvasymoon eyek wash 10. Damaroids Tablets 152. Cotarnine Hydrochloride Palatinoids 11. Danish Ointment

36

1 2 1 2 12. Daviss ( Dr.) Famous Female Pills 57. Distilled Water 13. Daya Mineral 58. Ditralka 14. Deakins Inflamation Remedy 59. Do-Do Pastilles 15. Deakins lung healer 60. Do-Do Tablets 16. Decholine 61. Doans Backache and

Kidney Pills 17. Decomalt 62. Doans Ointment 18. Degalan Ointment and

Suppositories 63. Dodds Kinney pills

19. Dehydronmise & Rosterone Tablets 64. Dols Voistalise Rub 20. Deimor 65. Dolcal 21. Delbiase Tablets 66. Dolchin Tablets 22. Dandruff Lotion Crooks 67. Dollorina 23. Dental Toothache Powder 68. Dolvidt Liquid 24. Depil 69. Dressing Surgical 25. Depilatory Wax 70. Drxamin Cream 26. Deschicols Syrup of

Hamoglobine With Vit . 12 71. Dropper Eye

27. Deschiens Syrup Hemoglobine 72. Drurys Infants Preservative 28. Deschiens Syrup Hepathemo 73. Ducogen 29. Detensyl tablets Vegeto

polynormonib Hypotensor 74. Duodenin ( Palationoids )

30. Dettol Gargle 75. Duodenin Tablets 31. Dettol Ointment 76. Duoformua Tablets 32. Devibiso 77. Dupharsol 33. Dewitts ?Antacid Powder 78. Duphasol Vit-D 3 / Vit /A 34. Dewitts Catarrhal Cream 79. Durol – Liquid 35. Dewitts Kidney and Bladder Pills 80. Dusent 36. Dewitts Little Luxative pills 81. Dustin Powder / Antisepic 37. Dextranil –D 82. Dutch Drops 38. Dextrosol 'E' 39. di-Iodotyrosine Tablets (Pabyrn) 1. E.C. Lotion 40. Diabetox 2. E.L.A. Emulsion

Lactobacillos Acidophilus 41. Daana 3. E.N.T. Nerve Powders 42. Diaphregin Jelly 4. Eades Antibitious Pills 43. Dietay Supplement 5. Eades Rhematic & Cout

Pills 44. Digesol 6. Eades Universal Anodyne 45. Digest 7. Eard Alibour 46. Digestif Rennies Tablets 8. Ecimalt ( Everest) 47. Digestin 9. Ecsolent Compound 48. Digestive Syrup 10. Effervescent Sandostin

Tablets 49. Digeys (Dr.) Batemans Drops 11. Effico Tonic 50. Dinnefords Magnesia Tablets 12. Egyptian Salve 51. Dinnefords pure fluid magnesia 13. Ehzyidrin Syrup 52. Dinosignatolchesedon 14. Eisocal 53. Diorein Cream 15. Eko 54. Diotex Tablets 16. Elastic Bandages 55. Diporosin 17. Elastio Plaster 56. Dismensol Tablets 18. Elasto Crepe Bandage

37

1 2 1 2 19. Elasto Nature Salve 65. Epcol Cough Syrup 20. Elasto Tablets 66. Ephadibe Oil Drops 21. Electric Vapourizer 67. Ephedrol in Halant 22. Eledon 68. Ephemix 23. Eledrin Dried Milk 69. Ephemix 24. Elesmin Pearls Drops 70. Ephomag Elixir/Tablets 25. Elimans Athlitic Rub 71. Eskay B.I 26. Elixio Vital 72. Eskay Becomplex 27. Elixir A.D.M. 73. Esobactolin Capsules 28. Elixir B.C. 50 74. Essence of Chicken 29. Elixir B.C Mineral 75. Essence of Chirata 30. Elixir Calcilysine 76. Essence of Pepermint 31. Elixir Combitone 77. Ethi Vite Syrup 32. Elixir Combitone 78. Ethobral 33. /Elixir Fevromyn 79. Eupeptic Tablets 34. Elixir Gynol 80. Eutheria Cream 35. Elixir Heposim With Extra Folic

Acid and B-12 81. Evaholia Tube

36. Elixir Keliples 82. Eve’s Cordial 37. Elixir Lacteena 83. Ex-Lasx Chocolate Laxative

Elixir Vitamin 38. Elixir Morhuvine 84. Ext. Ergot Liquid 39. Elixir Muritunint 85. Extra Sterilised Pads 40. Elixir Neo Cordial 86. Extross 41. Elixir Panovin 87. Eye Wash 42. Elixir Panthor 88. Ezotine 43. Elixir Peptenzyme 'F' 44. Elixir Phosferine 1. F. 99 Capsules & Ointment 45. Elixir Poly-B Complex 2. F. Liquid 46. Elixir Rutaferron 3. Falconders’ Golden Compound 47. Elixir Thiaden 4. Famel Syrup 48. Elixir Val Bromide Smith 5. Farex 49. Elixir Vali Vrom Evans 6. Farilan 50. Elixir Vibeta 7. Feeder Grip Tight 51. Elixir Vita Com forte 8. Feedlar Bottle (Not Drug) 52. Eliman’s Universal Embrocation 9. Feenamints 53. Elmbaimskin Ointment 10. Fehlin Solution 54. Elosol 10% Drops 11. Felatone Syrup 55. Embelix 12. Fellow’s Syrup 56. Emige Tablets 13. Felosol57. Emp. Belladona Liquid 14. Female Cordial 58. Emulsion Hypophosphate 15. Fematone 59. Enden Drops 16. Fennings Adult Cooling

Powders 60. Energon 17. Fenning’s Children’s

Cooling Powders 61. Enhodryl Capsules 18. Fennings Little Healers 62. Eno’s Fruits salt 19. Fenning’s Ointment 63. Entero Sulphazyme 20. Fenning’s Rehooping

Cough Powders 64. Enterocurmol 21. Fenning’s Rheumatic and

Erysilates Drops

38

1 2 1 2

22. Fenning’s Stomach Strettheners 'G' 23. Fenning’s Worm Powders 1. G.S. Tablets 24. Fer Bravias 2. Gajjartonf 25. Ferilexmatt 3. Galacogeno 26. Ferles 4. Galloways Family Lung

Syrup 27. Fero Blimin 5. Gar Antiseptic Ointment 28. Feroglobin 6. Garlisol 29. Feroion 7. Gastridine 30. Ferro Drarshomalt 8. Gastrozyme 31. Ferromatl 9. Gauze (not Drug) 32. Ferrum ‘Oscol’ 10. Gees Lobelline 33. Ferrylyn 11. Gees Lobelline Lozenges 34. Fertilol Cream 12. Gelonic 35. Ferute Elixir 13. Genasprin Tablets 36. Fever Powders 14. Genatone 37. Feveromyin Elixir 15. Genosanasol Cream 38. Fibron Adrenaline Cream

Finlex 16. Georges Pills and Gravel

Pills 39. Firth’s Cream Salve 17. Georges Pills for the Pills 40. Fissan Paste 18. Germex41. Fisson Anal Suppositories 19. Germicide 42. Florzone 20. Germolene Bloode Purifier

and Tonic 43. Floss Silk 21. Germolene Ointment 44. Fltilin Revitailsing Rub 22. Germolene Tablets 45. Foliplex 23. Germoloid’s Soppositories 46. Fomitorial Formalin Pastilles 24. Geroges Gravel Pills 47. Fosderxyle Pills 25. Geronyl Tablets 48. 49.

Fosfexyle Pills & Syrup Freeman’s Chlorodyne

26. Getsit 27. Gharbinol

50. Fresone Corn Remover 28. Gharbinol 51. Fri Pyrine 29. Gilley’s (Dr.) Herbal Laxative 52. Fructolax 30. Gin Kola 53. Fructole Black Current and

lodine Pastillers 31. Gingivitis Powder (Special)

54. Fructole Carpina Co. (May Fair A Brand)

32. Giycomal

55. Fruit Lax 33. Glass Rod 56. Fruit Salt 34. Glass Urinal 57. Fruitlan 35. Glaxo D58. Fruliger 36. Gloycero Pepsin B.I 59. Fuller Brand Celery 37. Gluco

60. Fungex Cream 38. Gluco Vita 61. Furgus with Prednisolone 39. Glucose Solution Crooks 62. Fynnon Salt 40. Glucose Tablets

39

1 2 1 2 41. Glucotone 14. Hair’s (Dr.) Asthma cure

Pastilles 42. Gluescin 15. Hair’s (Dr.) Bronchial Cough

remedy 43. Glycerin Extract of Red Bone

Marrow Glanoid 16. Hair’s (Dr.) Catrarrh cure

Pills 44. Glycodin Lozengers Gasex

Tablets 17. Hair’s (Dr.) Liver Pills

45. Glycolactophos 18. Halabak46. Glycomalt 19. Haleline Snow 47. Glysovit 20. Haliborange Large 48. 49.

Goulard’s Lotion 21. Halibrange

Grape Sugar 22. Halibut Oil Capsule Liver 50. Grasshopper Ointement 23. Halibut Orange Liquid 51. Greenfield’s (Dr.) Whooping

Cough Mixture 24. Halingol

52. Grimault Haemo globin Forte 25. Halingol 53. Grimix 26. Halivitol Orange 54. Gripe Ease 27. Halloway’s Ointment 55. Gripe Liq. 28. Halloway’s Pills 56. Gripe Liquid 29. Halmegon Tablets 57. Gripe Mixture 30. Halyctrol 58. Gripe Water (Warden India) 31. Hameorrhoidl Ointment 59. Gripe Water Carminative

(Woodwards) 32. Haratox Tablets

60. Guipsine III 33. Harbalene (Lustys) 61. Gulioix 34. Harley’s Three Salts 62. Gum Paint (U. D. Co.) 35. Haumasbro 63 Guncetta 36. Havimin Co. Folic Acid 64. Guttac Ephidrine 37. Hayward’s Tonic Wine 65. Guy Slinctus 38. Healex Skol Antiseptic 66. Guy’s Tonic 39. Health & Heather’s Catarrh Pastilles

67. Guys Fruit Pills 40. Health salt 68. Gyanecoin 41. Heart Drops 69. Gynedol Liquid 42. Heme Malt 70. Gynosedan 43. Hemo Ashoka

'H' 44. Hemocalvit Elixir 1. H2 O2 (Hydrogen Peroxide) 45. Hemogynol 2. Hablouane 46. Hemopatp (Grimoult) Elixir 3. Hachemine 47. Hemostyl Syrup 4. Heamobin 48. Henopital 5. Heamogastine 49. Heoblum 6. Heamogastine Tonic 50. Hepacod 7. Heamoglobin Elixir 51. Hepagest 8. Heamoglobin Forte 52. Hepanima Forte 9. Heamoglobin Syrup C.B. 12 53. Hepatex Malt Liquid 10. Heamo-Petolb Complex 54. Hepatone 11. Haimo Gerobin 55. Hepelscoy 12. Hair Lotion Tincture 56. Heposim C. Vit 12 13. Hair (Dr.) Asthma cure 57. Hepsonin Elixir Cextra Folic

Acid and Vit B-12

40

1 2 1 2

58. Herbal Bitter 'I' 59. Herbolax 1. Ice 60. Herbolax Strong (For

Constipation) 2. Ice Cap

61. Herbs 3. Ice Collar 62. Hermo Be Dozo 4. Ideal Warming Liniment 63 Herrile Pills 5. Iglodine Antiseptic Ointment 64. Hesanol Ointment 6. Ina Carabin 65. Hevitron Liquid 7. Ina Carabin 66. Hewletts Misture Pepsin C.

Bismuth Co. C. Opium 8. Inde Dausse Solution

67. Hewletts Mixture 9. Indian Oerate 68. Hewletts Teething Jelly 10. Indo Peptone 69. Hexable 11. Indorubid Calcium

Ophthalmic Ointment Cusi 70. Hicoline Elixir (Cough Syrup) 12. Indu Compound 71. Himco Tonic 13. Infant’s Friend 72. Himrod’s Cure 14. Infantone 73. Hinco Tonic 15. Influenza Tablets 74. Hind’s Cream 16. Inhaler Huxley’s 75. Hinksman’s Asthma Cigarettes 17. Inositol Capsules 76. Hinksman’s Asthma Reliver 18. Insanity Cure 77. Hinksman’s Asthma Smoking

Mixture 19. Inted Tablets

78. Hinutrone 20. Intrait De Marrond 79. Hipro Mill 21. Iodalbin 80. His/hertamine B. D. H. Ointment 22. Iodemex 81. Hibutol Orange 23. Iodine & Black Current

Pastiles 82. Hocking Remedy 24. Iodine Model Aseptec

Ointment 83. Hodge’s Pessary 25. Iodine Ointment 84. Holdroyd’s Gravel Pills 26. Iodise Throat Tablets 85. Holins Pray 27. Iodised Sarsaparilla 86. Homocea Ointment 28. Iodo From Powder 87. Honey 29. Ionised Iodine (Molson)

Brand 88. Hopper’s (Dr. John) Female

Pills 30. Ipac Malt

89. Hot Water Bottle 31. Irivine 90. Hoyle’s Pures Vegetable Viscos

Oil 32. Iron Putty Fitting C Pully

91. Huxley S. Wintigen 33. Irosol Syrup 92. Huxloy’s Nervigor 34. Irrigator 93. Hydramions 35. Irrigatorpire 94. Hydremin 36. Irvona Tablets 95. Hydrine 37. Isabgol 96. Hydro Protein 38. Iso Glutamalt 97. Hygion Powder 39. Isocalcium 98. Hypotenyl Tablets 40. Isocol 99. Hytex Pills Balm 41. Isogel

41

1 2 1 2

42. Itinsucrets 19. Kaseolin 43. Ivax 20. Kay’s Linseed Compound 44. Iverdal Lozenges 21. Kay’s Worsdell’s Vage.

Tablets 45. Ivimalt 22. Kediprin

'J' 23. Kephaldol Pectoral Cough Lozenges

1. Jackman’s Convulsion Cure 24. Kephaldol Tablets 2. Jackson’s Febrifuge 25. Kepler’s God Liver Oil 3. Jamins Liver Cure 26. Kepler’s God Liver Oil C malt4. Jamins Liver Cure Complex 27. Kepler’s Multivitamins

Capsules 5. Jayakar’s Convulsion Cure 28. Keplex 6. Jenner’s (Dr.) Absorbent

Nozenge Brand Digestive Tablets

29. Keplex Elixir

7. Jests Tablets 30. Kepsin 8. Jifneuralgic Powder 31. Kerol Medical Capsules

(Gastric) 9. Jocigares 32. Kerol Medical Capsules

(Intestine) 10. Johnson’s (Mrs.) American

Soothing Syrup 33. Kest Compound Epsom Salt

Tablets 11. Jordan’s Gin Pills 34. Kestorative Pills 12. Juno Junipah Salts (Powders &

Tablets) 35. Keswick’s Pure Vegetable

Charco Lax Tablets 13. Juvigold Gland Tonic 36. Keswick’s Pure Vegetable

Charcocal 14. Juvinine Tablets 37. Kettle 15. Jyrothricine Chewing Gum 38. Kewell Travel Lickness

Remedy 'K' 39. Khasional (Cough Syrup)

1. K-5 Hair Tincture 40. Kim 2. K-Liquid 41. Kipak Vapur Rub 3. K-Salt 42. Kiuma Ointment 4. K.N. 2782 43. Kiuma Plasters 5. K.S. Hair Tincture 44. Kiyon G. F. 4 6. Kaiel 45. Kofnol 7. Kaima 46. Kompo (Dr. White’s) 8. Kalm’s Tablets 47. Korey Tablets 9. Kalzana-D 48. Kossform Braodway 10. Kaomagma Cpectin 49. Kotalko 11. Kapilon Drops 50. Kotax 12. Kaputine Powders 51. Krooks Saline 13. Kardyl Prickly Heat Powder 52. Kruschen 14. Karmoid Tablets 53. Kurazol 15. Karo 54. Kutnow’s Powder 16. Karsodrine Inhaler 'L' 17. Karsolets Inhalant 1. Lactated Persinl Elixir 18. Kasan 2. Lacteal

42

1 2 1 2

3. Lacto Kandline 51. Limeston Phosphate Compound 4. Lactofaciline Tablets 52. Limical 5. Lactodex / Axil 53. Linctoid 6. Lactolin 54. Liniment 7. Lactopeptine Elixir 55. Liniment Belladona 8. Lactopeptine Powder 56. Liniment Embrocation 9. Lactopeptine Tablets 57. Liniment Limabo 10. Lactose (Powder From) 58. Liniment Terpentine 11. Ladeo 59. Linnamon Tablets 12. Ladkovine 60. Lint Absorbent/Lint Salgeylic 13. Laedo Towels 61. Lint Anadyne 14. Lalkala/ Lalkala Cigarettes 62. Lint Camphor 15. Lamadine 63. Loifix 16. Langdale’s Compressed 64. Lioyd’s Adrenalise Cream 17. Langdalel’s Compressed Self-

Aid Pepermint 65. Lipaments in Tablets

18. Lantigen A 66. Lipobeta 19. Lantigen B 67. Lipsa Digest 20. Lantigen C 68. Liq Ext. Arjuna 21. Lantigen D 69. Liqufruta 22. Lantigen E 70. Liquid Ext. of Iodh 23. Lantigen F 71. Liquid Pocitron 24. Larostedin 72. Liquordisastose 25. Laseelles Pills 73. Lisoform 26. Laxagol 74. Listerine 27. Laxative Tablets 75. Little Victor Inhaler 28. Laxbsoni Cap. 76. Liv -52 29. Laxobaclxative Chocolate 77. Liver Capsules 30. Lead Lotion 78. Liver Cure 31. Lecithin ALB 79. Liver Might 32. Lecivin 80. Liver Oil Capsules 33. Ledinac Protein/Iodinac 81. Livetone Ucozade/livier to 34. Leetz Compound 82. Livoderm 35. Leetz Cough Syrup 83. Livoperm 36. Leetz Malt 84. Livoperm Liver Extract

Ointment (Tcf) 37. Leetz Pypen 85. Lixen Elixir 38. Lemon Barley 86. Lodhrinol 39. Lena Prutomin Syrup 87. Lombio 40. Lenigallol (Knoll) 88. Lombio Suppositories 41. Lercstidin 89. Lorethinbimuthic Ophthalmic

Ointment Cusi 42. Lerei Albanian Salve 90. Lotex 43. Leucoplast 91. Lotion Crook’s Dendruff 44. Leucoplast Elastic for Chaste 92. Lotion Eusol 45. Leukora 93. Low Elastic Sacrollimix Belt 46. Lewis’s /Ewis’s Drops 94. Lucozade 47. Libatone Ferri 95. Lusty Garlic Tablets 48. Liboricine 96. Luteomension Tablets 49. Lidogat on Jelly 97. Lyco Yeastets 50. Ligrieis Carlimix Zinc Cream 98. Lykaclin

43

1 2 1 2

99. Lykaclin Drops 34. Mandol Malt 100. Lymphatic Capsules & Tablets 35. Mandy Paint 101. Lyraton 36. Manestrin Capsules 102. Lysatone 37. Manganese ‘Oscol’ 103. Lysaloats 38. Manner Gripe Mixture 104. Lysofer 39. Manola 105. Lysofos 40. Manzan Pile Remedy 106. Lysol 41. Marienbad Anti Obesite

Tabs. 107. Lysterin Antiseptic Liquid 42. Marmite

'M' 43. Marmola Antifat Tablets 1. M Rex Pile Ointment 44. Mass’s Nipple Ointment 2. M. & E. Pastillies 45. Massage Oil 3. M. & H. Elixir 46. Masse Nipple Cream 4. M. O. Towels 47. Masse Ointment 5. Mackia Tosh Sheeting 48. Massive Vitamic 6. Macl Brand Antiseptic Throat

Sweets 49. Materials (Dressing)

7. Maclean Brand Stomach Tabs. 50. Maternity Belt 8. Maclean Indigestion Powder 51. Mathews Fullers Earch

Cream 9. Maclean Brand Stomach Powder 52. Matriz Powder / Tablets 10. Mag Mag 53. Mcclure’s Glucomel 11. Mag Mag Plaster 54. Mcclure’s Glucose Tonic 12. Magna Tone 55. Mcclure’s Oxogen Tablets 13. Magnogone Tablets 56. Mcclure’s Vaposan Outfit 14. Magsil Tablets 57. Meads Protein 15. Malt Extract (Magan Malt) 58. Measure Glass 16. Malt Extract C. Cod Liver Oil (A & H Co.) 59. Mebradal 17. Malt Iron 60. Mebran Elixir 18. Malt Kepler 61. Mecca Pasilles (Gibson) 19. Malt Nesto 62. Medica Belt 20. Malt O to 63. Medilax Laxative Pellets 21. Malt Viron 64. Meggesone Bismuth

Dyspep. Lia Tablets 22. Malt Vitex 65. Meggesones 23. Malt Vitex 66. Meglure’s Balsam 24. Malt Vitex ciron 67. Meglures Ephedrine Nasal

Catarrh Specific 25. Malt Vitol 68. Megluze’s Crescendo

Vitamin Tonic Syrup 26. Malt Vitinin 69. Melba Iodised Throat Tabs. 27. Malto Vito 70. Melgodin 28. Maltograf 71. Mendaco Tablets 29. Maltovit 72. Mensal Pills 30. Mammary Capsules & Tablets 73. Mentex 31. Mammary Gland/ Palatioids’ 74. Mentholatum Antiseptic

Nasal Liquid 32. Mand H. Emulsion 75. Mentholatum Balm 33. Mandles Throat/ Paint Pills

Solution 76. Mercolized Wax

44

1 2 1 2

77. Meta Drops 122. Miltione 78. Meta Metrol 123. Multivit Candy 79. Meta Metron Tablets 124. Multivitamin Fipa 80. Metacin 125. Mulvilysin 81. Methofar 126. Muscle Extract Oxoid 82. Methugum Tablets 127. Musterold Mustaraed

Ointment 83. Methyl Testo Viron Tablets 128. Mycodecyl Pomade 84. Mettural 129. Mycodecyl Power 85. Metules Sandoz Capsules 130. Myein Capsules & tablets 86. Miassive D. Drops 131. Myn Berry’s Compound 87. Mil- Par Brand Laxative 132. Myrone Tablets 88. Milk of Magnesia 'N' 89. Milkan C Cod Liver 1. N. E. Sulphar 90. Milkan Paste 2. N. E. T. C. Q. 444 Pills 91. Milkan / E.H. 3. Narvigor 92. Milko Mag Tablets 4. Nasimint Snuff 93. Milton Antiseptic Ointment 5. Nastrisol 94. Milton Tablets 6. Natrum Phos 95. Minaferrol 7. Nature’s Harbal Ointment 96. Minaferrol Vit. E 8. Naturepent 97. Minavitol Syrup 9. Navitol 98. Minervin 10. Navitol Cvios Terol 99. Minules 11. Navitol Malt Compound 100. Minvitone 12. Neadallit 101. Mist Steillac 13. Necoferin 102. Mistol Drops Ephedrine 14. Needdle Hypodermic 103. Mistona 15. Needle 104. Mitson’s Liver 16. Nefer Tablets 105. Mivets Tablets 17. Nejdrugen Tablets 106. Minets-G Tablets 18. Neko Soap 107. Mixture Tone 19. Nemakol Brand Nasal

Compound 108. Mixtures (Only Patent mixtures

as Ague Mixture,etc.) 20. Nemolin Pile Ointment

109. Moffat’s (Dr.) Remedy 21. Nen Sphagel 10% Ointment 110. Molivex Compound 22. Neo Dentol 111. Monsol Throat Pastilles 23. Neo Kim Syrup 112. Moorland Indigestion Tablets 24. Neo –Sedalcer Tablets 113. Morhussion 25. Neogynges 114. Morse’s (Dr.) Indian Root Pills 26. Nephrill Tablets 115. Mortons Elder & Pepermint

Life Drops 27. Nephritin Tablets

116. Moryl 28. Nervoids 117. Mothersill’s Digestive Syrup 29. Nervorite Mine 118. Mount Malt 30. Neson Inhaler 119. Mrvilot Malt 31. Nestargle 120. Multi Tone 32. Nestomalt 121. Multi Tonic 33. Nestrima

45

1 2 1 2

34. Netrada 'O' 35. Neuro Phosphates 1. Oberlin Granules of Chicken

Embryo 36. Neuro Phosphite 2. Odds on Liniment 37. Neurophos 3. Oiled Rayon 38. Neuroxides 4. Ointment Mikaane Cod Liver 39. New Dentol 5. Okasa Tablets 40. New Skin 6. Oleum Araches 41. Nibleti (Dr.) Vital Renewer 7. Olive Oil & Cod Liver Oil 42. Nicamide Solution 8. Olive Oil (External or Internal) 43. Nico Falvin 9. Oloum Arachis/her 44. Nigroids 10. Omega Oil 45. Ninoate 11. Ommicidine 46. Nipits 12. One Day Cold Cure 47. Nipple Shield or Nipple 13. Oonim (Male) 48. Nisko Soap 14. Opas Maciena Powders 49. Niva Cream 15. Opas Maciena Tablets 50. Nivea Cream 16. Opicycline Capsules 51. Nivea Skin Oil 17. Opimalt52. Nixoderin Ointment 18. Opimalt Syrup 53. Nizin Ophthaimic Ointment Susi 19. Opp Iodamelis Tablets Female

& Male formula 54. No Pain 20. Optibits Abott 55. Non Tablets 21. Optinal Eye Drops 56. Norasirob 22. Optisol Eye Ointment 57. Normo Gastring Tablets 23. Optrex Eye Lotion 58. Nortons Chamomile Pills 24. Optrex Eye Lotion 59. Norway Col Liver Oil 25. Oralax Tablets 60. Nostroline Nasal Remedy 26. Oralex Liquid 61. Nourona ‘B’ Complex 27. Oralt 62. Novelgin Quinine 28. Orange Squash 63. Noviazole 29. Orchitate (Pabrn) Liquar

Pessaries & Tablets 64. Noviform Ophthaimic Ointment Cusi 30. Orchitin Palatinoids 65. Noxacorn 31. Orhic Substance Emplets (No.

5) 66. Nozel Set 32. Oriental Balm 67. Nufer Tablets 33. Orlivit 68. Nujol 34. Ossivite 69. Nurse Harver’s Mixture 35. Ostorne’s Mixture 70. Nurophp 36. Ortho Applicator 71. Nursing Cash Book 37. Ovacoids Tablets 72. Nursing Powder 38. Ovarian & Mammory 73. Nutrima 39. Ovarian & Pituitary ‘Palatinoids’ 74. Nutrinatal Tablets 40. Ovarian & Pituitary ‘Palatinoids’ 75. Nutritone / Capsules 41. Ovarian Residue ‘Palatinoids’ 76. Nutro Lysate 42. Ovarian Substance ‘Palatinoids’ 77. Nutrone 43. Ovarian Substance Emplets 78 Nutrone Box 44. Ovary Residu Tablets 79. Nycil Ointment 45. Ovary Whole Gland Tablets &

Loz Desiceated Powder 80. Nycil Powder 46. Ovesedicyl Drages

46

1 2 1 2 47. Ovoto Line 39. Penetrol Inhalent 48. Owbridge Lung Tonic 40. Penetrol Inhaler 49. Owbridge’s Lung Tonic Pastilies 41. Penetrol Pastilles 50. Oxien Pills 42. Penetrol Sulpha 51. Oxycide 43. Penotrone Pessaries 52. Oxygen Cylinder 44. Peps 53. Oystrax Tonic 45. Pepsi Digestine

'P' 46. Pepsi Digestive 1. P. H. L. 47. Pepsin Bi Glycero 2. P. V. T. Solution 48. Pepsin Compound 3. Pablum (Coreals) 49. Pepsinal 4. Pablum Meads 50. Pepsindol Tablets 5. Pac Woodcock’s Wind Pills 51. Pepsinol 6. Pacyl Tablets 52. Peptaimine Dragees

Granules 7. Pads Corn 53. Peptovinstone 8. Pads Scholler 54. Peranden 9. Paints carepaplic 55. Perandren Linquests /

Ointment 10. Palatinaid 56. Perivale Chiblain Ointment 11. Palmolive Shaving Cream 57. Permint Double Strength

Concentrated Essences 12. Paloll 58. Pessay 13. Panacel Antiseptic Ointment 59. Petein Vaccine 14. Panadantam 60. Petrocil 15. Pancrex 61. Petroloyan Forte 16. Panhepar 62. Petromulsion 17. Panovin / Compound 63. Petromulsion C Gualcol18. Panthesine Balm 64. Petterson’s Oky Pills 19. Parathyroid Gland Palatinoids 65. Pharma Compound 20. Parathyroid Gland Tablets-Oxoid 66. Pharma Protin 21. Parathyroid Hormone 67. Phenalgin 22. Parculla Eye Drops 68. Phenascodin 23. Parenteral 69. Phenoda Phenate of Soda 24. Parmalene Ointment 70. Phensic Tablets 25. Parvestin 71. Phenurone Tablets 26. Pasiso Vithve 72. Phenyle 27. Paste 73. Pheriban Tablets 28. Paste Tooth 74. Phillip’s Pure Live Tonic

Yeast Tablets 29. Pastiles 75. Phillip’s Pure Live Yeast

Granules 30. Pasuma (Strong) 76. Phinl Halycitrol Crookes 31. Paternoster’s Gout &

Rheumatic Pills 77. Pho Seferine Syrup

32. Pearl Barley 78. Phosellite C 33. Pecto Malt 79. Phosferine Health Salt 34. Pedaform 80. Phospho Cynamin 35. Palargen 81. Phospho Lecithin 36. Pellanthum 82. Phosphogodine 37. Pends Tissues 83. Phosphokgm 38. Penetrol Drops 84. Phosphomalt

47

1 2 1 2 85. Phospotone 130. Potters Asthma Cigrettes 86. Phrenazol, Solution and Tablets 131. Powder Baby 87. Phylatum Ointment 132. Powder Colgate 88. Phylatum Regulatore 133. Powder Cuticura 89. Phyllosan Tablets 134. Powder Dusting 90. Phytin, Granules and Tablets 135. Powder Himalaya 91. Pierre’s (Father) Monastery

Herbs 136. Powder Hygiene

92. Pig Bile Palatinoids 137. Powder J. & J. Baby 93. Pigment Beliadona 138. Powder J.B. 94. Pigment No. Bi 421 139. Powder Maclean Stomach

Prip 95. Pikacid 140. Powder Nursing 96. Pilex 141. Powder Talcum 97. Pilex Ointment / Tablets 142. Powder’s (Prepared From

Patent Medicines or Patent Powders as Johnson Powders, etc.)

98. Pimplem 143. Poysikurate 99. Pineal Capsules and Tablets 144. Pramilets 100. Pineal Compound 145. Pregnenolone Glassettes 101. Pineate Honey Cough Syrup 146. Preguenolone B.D.H. Tablets 102. Pinelptus Peastilles 147. Presto Powder 103. Pineoleum Ephedrine Jelly 148. Primoderm Mild Cream 104. Pineoleum Inhalant 149. Primodern Ointment 105. Pineqleum Inhalant C

Ephedrine 150. Primosliasmye Tablets

106. Pinkettss Tiny Laxative Pills 151. Procar Mine 107. Pins Safety 152. Prodorm Cream 108. Pip 153. Progneter Cream 109. Pirisol 154. Prolypo 110. Pitexin Capsules and Snuff 155. Promoian 111. Plaster Elastic 156. Propax Tablets 112. Plaster Sticking 157. Prostate Gland Palatinoids 113. Plaster Zinc Adhesive 158. Prostate Tablets 114. Platts (Dr.) Rinex Prescription 159. Protein Ledinac 115. Plebex Capsules 160. Protteinosol 116. Plimasin 161. Protein Hydrosylal 117. Pocitron 162. Protinal 118. Poly-Malt 163. Protein 119. Polybactrin 164. Protinex 120. Polythene Tube 165. Protinules 121. Polyvitin Capsules 166. Protisol 122. Pond’s Extract of Hamermells 167. Protodol 123. Pond’s Ointment 168. Protolan 124. Poor Man’s Friend 169. Protomino 125. Pot Urinal 170. Protomyl 126. Potassium Chlorate 171. Protovin 127. Potassium Chloride 172. Protovin Elixir 128. Potchlora Powder 173. Provatol 129. Potter’s Catarrh Pastilles 174. Psychil (Succini) Dinitrile

Supositories

48

1 2 1 2 175. Ptyalin 24. Regulatts 176. Ptychosoda Tablets 25. Reloment 177. Puliuatyan 26. Remelysine Drops 178. Pulmal 27. Remelysine Syrup 179. Pulmocod C Creasote Gualacol 28. Ren Ta 180. Pulverizator For Oily Liquids 29. Resolvent Ointment 181. Purgen Tablets 30. Resyl 182. Purgolin 31. Retarcyle Tablets 183. Puri Late 32. Reto-Super A&D Pearls Toy

Pills 184. Purnol Pastilles 33. Retoberry Compound C

Lysine 185. Pustiles Mine 34. Reverbin Inhalant 186. Pylitha Aperient Tablets 35. Reverbin Inhaler 187. Pylitha Pile Powder 36. Rexal Bone & Nerve Liniment 188. Pyorehosol 37. Rexall Bysma – Rex –

Antacid Powder 189. Pyorine 38. Rexall Orderlise 190. Pyrgasol Hozenges / Tablets 39. Rheumagic Oils 191. Pyrodent 40. Rheumason 192. Pyson Gum Paste 41. Rheumenton 193. Pyson Mouth Wash 42. Rheumogen

'Q' 43. Rhinox Drops 1. Quaker Qats 44. Rhinx

'R' 45. Rhinx Mild 1. R. Compound 46. Rhuaka Sweet Digestive

Syrup 2. R. S. M. 47. Rhumetia Tablets 3. Radian Dressing 48. Rhumetol 4. Radianb Liniment 49. Rinoxe Capsules 5. Radio Bonco 50. Riodine Capsules 6. Radio Malt 51. Ripasen 7. Radium Butxon Crystal Salts 52. Robaden Tablets 8. Raiciplex Dragrees 53. Robert Tablets 9. Raicrizyme 54. Robert’s Croupline 10. Rand’s Anisakal Pills 55. Robuden Dvod 11. Rankin’s Ointment 56. Robuden Tablets / Capsules 12. Raspagles (Dr.) Female Pills 57. Robuden – G 13. Raybravin Inhalant 58. Roche’s Croupline 14. Raymiod 59. Roche’s Embrocation 15. Rayon Oiled 60. Riod Adhesive 16. Reade’s Egyptian Salve 61. Rooke’s (Dr.) Orintal Pills 17. Reade’s Express Powders 62. Rose Water 18. Rectified Spirit 63. Roter Tablets 19. Red Band (Bismuthated)

Magnesia 64. Rotter Tablets

20. Red Bone Marrow Glycerin-Extract Glanoid

65. Royal Oonim (Male)

21. Red Bone Marrow Powder Glanoid

66. Ru-Mari Compound

22. Redigubil Water 67. Rubber Sheeting 23. Reduxherbal Tea 68. Rubber Tubing

49

1 2 1 2 69. Rubriment Liniment 42. Sedaplex Liquid 70. Rubriment Lotion 43. Sadatin 71. Rumalaya Cream 44. Sedicyl Tablets

'S' 45. Sedulon (Roche) 1. S.P.R Compound 46. Sedulon Syrup 2. Saccharin 47. Seidlitz Powder 3. Sacro-Illiac Belt (for treatment of

Ostee-Arthrities) 48. Selvozyne

4. Safety Pins 49. Semprin (Child) 5. Safi 50. Semprolin Petroleum

Emulsion 6. Sai Ai Terata/Sal Hepatica 51. Sen’s Stomach Cure 7. Saifion Hay Fever Salve 52. Senagran 8. Salgadine 53. Senakot 9. Salidex (Superb) 54. Septilin 10. Salphur Bitter 55. Serocabsin Tablets 11. Salt Enos Fruits 56. ‘Seven Seas’ Cod Liver

Capsules (but ordinary brands of Cod Liver Oil are admissible)

12. Salviool Ozenges 57. ‘Seven Seas’ Cod Liver Oil 13. Samona Tablets 58. Sexin SIA Cod Liver Oil 14. Sanacine Cough Mixture 59. Shadforters 15. Sanatogen 60. Shaphos Tablets 16. Sandal Wood Oil 61. Sericainis 17. Saderson’s Cough Mix-Linctus 62. Shurine Antiseptic Ointment 18. Sanderson’s Throat Specific 63. Sibling 19. Sandoz Tablets 64. Silbe Asthama Tablets 20. Sani Malt 65. Silf Obesity Tablets 21. Sani Vidol 66. Silvikrin Pure 22. Sanitary Pads 67. Silviserin Hair Tonic 23. Sanitary Towles 68. Simeof 24. Sanozol Tablets 69. Similace 25. Sante Pastules 70. Simpson’s Nilblain 26. Sanvidol C Creasote 71. Simpson’s Seaweed &

Celery Tabs. 27. Sargol 72. Sinemenine 28. Sat Isabgol 73. Singha (Dr.) Asthama

Tablets 29. Savalone Antiseptic Lozenges 74. Singleton’s Eye Ointment 30. Savit 75. Siodo Enterin Tablets 31. Savlon Shampoo 76. Sioliate 32. Scalp Lotion 77. Siotone’ 63 33. Scarlet Red Ointment 78. Siotrate 34. Sceprita Tablets 79. Siri Mals 35. Schiffmann’s (Dr. R)

Asthamador 80. Siri Malt

36. Schoum Solution 81. Siriprotin37. Scotts (Dr.) Billiour & Liver Pills 82. Stirring Rod 38. Scretes Throat Pastiles 83. Sivonia 39. Scurfol 84. Slaon’s Liniment 40. Sebhoric Lotion 85. Sleeping Medicine 41. Sadalcer Tablets 86. Smedley’s Paste

50

1 2 1 2 87. Snowfire Healing tablets 127. Sterodin 88. Snowfire Ointment 128. Sterodin Solution 89. Sobis Minol Capsules 129. Stimulants 90. Soda Lime 130. Stocitrate Liquid 91. Sodaginver Mint. Tabs. 131. Stokoff Syrup 92. Sodaspin 132. Stomach Cure 93. Soderseing Solution 133. Stomhepar 94. Sodium Sulphocyanate Elixir 134. Stoniform Dusting Powder

Lotion Ointment & Tablets 95. Soframisone Collyrium 135. Stovina 96. Softsules A.D. (Vit. A. & D.

Capsules) 136. Streched Abdominal Belt

Suspended 97. Solvent 137. Strength Oval Tablets 98. Somegen 138. Strolex Cough Syrup 99. Somodine 139. Sublamine Ophthalmic

Ointment 100. Sonan Balm 140. Sucrets 101. Songo 141. Sueryl 102. Soto Antiseptic Mouth Wash

Tabs. 142. Sugar

103. Sp. Vita Syrup 143. Sugar of Milk 104. Spasmo Pertusol 144. Sulpha Quino Beal 105. Sperm Tablets 145. Sulphatone 106. Sperman 146. Sulpholine 107. Sphagnol Lotion 147. Sulpholine Ointment 108. Spinal Support C Dunlop

Pillow Cushion 148. Sulpholine Paste

109. Spirit Rectified 149. Sumeqil 110. Spirit sardax Methylated 150. Supavite Capsules 111. Spleen Tablets 151. Super De Pearl 112. Spolax 152. Super Malt 113. Spolax Granules 153. Super Neo Cod 114. Sponge 154. Super Retomaltic Lysine 115. Spongesian 155. Superfenalin Tablets 116. Spongostan 156. Supernal Gland

‘Palatinoids’ 117. Spray 157. Supernal Whole Gland,

Tablets 118. Sprayer 158. Supposition Ilicensia 119. Sprayer Shinobiotac Eqhidrine 159. Suptheen 120. Spriocton Cream (for gum

massage) 160. Surahalli Kasaza

121. Spriocation Cream (for gum massage)

161. Sure Shield Fruit Laxative

122. Spt. Vinam Galicid 162. Sure Shield Glycerin of Thymol Pastilles

123. Sricton 163. Sure Shield Iodised Throat Lozenges

124. Stan Malt 164. Surgaseptic 125. Stancoll 165. Surgical Belts 126. Steradent 166. Surgical Cotton / Dressing

51

1 2 1 2 167. Surma Medicated Cigrettes 12. Tar Cream (Colourless) 168. Suspemsory Bandage 13. Tastes Tablets 169. Sustagen 14. Tata Collegence 170. Suther’s Chrono Thermal

Composition Essence 15. Taverol

171. Swabs 16. Taxel 172. Swax 17. Teasdale’s Chcorodyne 173. Sweeten Bottle 18. Teast 174. Sweeings Toothache Elixir 19. Tedylax 175. Syinal Brace 20. Ten Sex Tablets 176. Synthalin Tablets 21. Ten Tax Tablets 177. Synthobllin 22. Tenophopan Fortius 178. Syringe 23. Tenophophan Fortiun 179. Syrofig 24. Tenoxylin Female & Male 180. Syrup Alarex 25. Tentex Forte 181. Syrup Calcium Hyprozando 26. Tephesco 182. Syrup Decomphopneumine 27. Terorite Throat Lozenges 183. Syrup Elixir Valiman 28. Tersalts 184. Syrup Enhedonal 29. Tessylax 185. Syrup Erotharn 30. Testaeda 186. Syrup Foli Complex 31. Testomakers Tablets 187. Syrup Grimalt 32. Tetmal 188. Syrup Hemoglobin 33. Tetmosol Soap 189. Syrup Hevimin 34. Theracibrim Gleseals 190. Syrup Liver 35. Therecibrim Capsules 191. Syrup Mec-Tol 36. Thereptin Tryptin Biscuits 192. Syrup Mechositol 37. Thermometer 193. Syrup Mechschol 38. Thermax 194. Syrup Mithiazole 39. Thermogene Medicated

Wadding 195. Syrup Negoadine 40. Thermonogen Vapour Rub 196. Syrup Neogyid 41. Three Tonics 197. Syrup of Figs 42. Throat Paint 198. Syrup Sedaplex 43. Throat pastilles 199. Syrup Thio Kaf-Ephidrine 44. Thymus Tablets

Palatinoid’s Tiodine (Cogent)

200. Syrup Trosol 45. Thyrol (for local application) 201. Syzxgium Tablets 46. Tibbon Elixir

'T' 47. Tiloil 1. T. Binder 48. Toilet Lanoline 2. T. W. A. Nervine 49. Tonavit 3. T. C. P. Lotion 50. Tong Phoshon 4. Tab. Sulphan Bunx 51. Toni Malt 5. Tablets Sandoz 52. Tonic Indon 6. Tablets Sipromide 53. Tonic Merz Mixture 7. Talco Dusting Powder 54. Tonic Powder 8. Talcum Powder 55. Tonic Wine Buckfast 9. Tanas Balm & Other Balms 56. Tonic Wine Hayward’s 10. Tannoibin 57. Tonikum 11. Tapes Adhesive 58. Tono Blood

52

1 2 1 2

59. Tono Carnibe Forte 22. Utero Anodyne 60. Tono Malt Tono Calcin 23. Uteron 61. Tono Phephne 24. Uteron / Utrine Vitamic Arum 62. Tono Phospotatone 25. Utrina 63. Tonofer Malt 26. Utromenolim 64. Tonovit 27. Uttrus Tonic 65. Tonozym 'V' 66. Tooth Paste 1. V. I. P. Tablets 67. Towel’s Pills 2. Vaida Bastiller 68. Towel’s Pink Pills 3. Vaiderma Antiseptic Gaim 69. Towels Chilordyne 4. Vaiderma Cream 70. Towels Sanitary 5. Valiment Liquid & Peries 71. Traquinor 6. Valor / Drop 72. Trilactin & Tablets 7. Valves 73. Trilax Tablets 8. Vapex Inhalant 74. Trohpile 9. Vapex Inhalers 75. Tudor Williams Balsam of

Honey 10. Vapex Volatol

76. Tulslicon Pectoral Cough Elixir 11. Vapoline 77. Tus Con Pectoral Cough 12. Vapours (for inhaling) 78. Tuseioplia 13. Vasano Travel Sickness

Remedy 79. Tyzine Drops 14. Vaseline Borated Petroleum

Jelly 80. Tzyine Spray 15. Vaseline Carobolated

Petroleum Jelly 'U' 16. Vasotone Aseptules

1. Uilprum 17. Vaughan’s Bronchialure 2. Ulaeratum Ointment 18. Vegain Tablets 3. Ultrocor Tenol 19. Vegetax Brand Tablets 4. Undecyl Cream Milken 20. Velocrium Tablets 5. Ung. Allaution 21. Velroc 2 “2x6” 6. Uni. -Protin 22. Velroc Bandages 7. Unienen 23. Veno’s Liniment 8. Unimentin Capsules 24. Veno’s Mixture Cough 9. Uniscale Lotion 25. Veno’s Nasal Tablets 10. Universal Compound 26. Veno’s Seaweed Tonic 11. Universal Cordia 27. Venus Cough Cure 12. Universal Cough Syrup 28. Veolox Rheumatic Tab. 13. Universal Gripe 29. Vercolate 14. Universal Tonic 30. Verindon Tablets 15. Unkon Jack Paste 31. Veritain Oral Solution 16. Upvee Malt 32. Veritol Liquid (“knoll”) 17. Urace Rheumatism Tablets 33. Vermarjem Liquid 18. Uricure Tablets 34. Vical Liquid 19. Urillac Tablets 35. Vicks Cough Drops 20. Urinal Pot/ Urinal 36. Vicks Draughts 21. Urodonal 37. Vicks Vapour Rub

53

1 2 1 2 38. Vicomalt 80. Vitex Liquid 39. Victor’s Cough Syrup 81. Vitex Liquid 40. Victors (Dr.) Ointment 82. Vitmal Compound 41. Vide Malt 83. Vitmol / Compound 42. Vidol 84. Vitoferrin 43. Vidolin 85. Vitol Drops 44. Vik-Wilk Liniment 86. Vitol Syrup 45. Vikelp Mineral Vitamin Tablets 87. Vitoline Capsules 46. Vimalt 88. Vitomalt 47. Vimaron 89. Vnildene Tablets 48. Vimix Liquid 90. Vocal Zone Nasal Capsules 49. Vimulta 91. Vogelor’s Curatisi Compound 50. Vinchola 92. Voiroc Bandages Plaster 51. Vinkavit 93. Vox Pastilles 52. Vinkdia C Vitamins 94. Vox Tablets 53. Vinkolan 95. Vykmin Capsules 54. Vinlgar 96. Vykmin Vitamin Mineral

Capsules 55. Vino Lecithin (Liquid) 'W' 56. Vino Malt BI 1. Walker’s Precalcin Lactake 57. Vino-Berry’s Compound 2. Waralitone 58. Vinocod C Creosote Gualacol 3. Water Ury’s Compound 59. Vinolaiur 4. Watson’s Family Pills 60. Vinovit 5. Webber’s Laxative Pills 61. Vintome 6. Weloh’s Original Female Pills62. Vintone C Asoka 7. Wex Saline 63. Vio-Ray Malt 8. Whelphon’s Vegetable

Purifying Pills 64. Virroma 9. Whelphon’s Vegetable

Stomach Pills 65. Visept Tablets 10. White Bear Brand Cod Liver

Oil 66. Visolfal 11. White Bear Brand Cod Liver

Oil Emulsion 67. Vit Isopan Tablets 12. White Lions (Shadforth’s) 68. Vitacod 13. White’s Q.B.C. 69. Vitadatio 14. White’s Tar Ointment 70. Vitael on Tablets 15. Williams (Dr.) Pink Pills For

Pale People 71. Vitalyn Syrup 16. Wilper’s Compound 72. Vitamin Elixir 17. Win Tona 73. Vitamin B. C. & D. 18. Winacrnis 74. Vitamin Malt 19. Winafit 75. Vitaminic Ophthimic Ointment

Cusi 20. Winominos

76. Vitamulsion 21. Winsiow’s Mrs.Smoothing Syrup

77. Vitaphor Elixir 22. Winter Adine Tablets 78. Vitatone 23. Winter Bury’s Compound 79. Viteolin Vitamin Capsules 24. Wintogeno

54

1 2 1 2 25. Wooldrige’s Brand Gout &

Rheumatic Tincture 'Z'

26. Worm Expeeling Syrup (Trade & Mark)

1. Zag Gripe Mixture

27. Wright Coal Tar Soap 2. Zambuk Suppositories 28. Wright’s Coal Tar Ointment 3. Zee Kol Blood Tonic Pills 29. Wvoopeca 4. Zee Kol Ointment 30. Wyadol Capsules 5. Zee Pile Ointment

'X' 6. Zembuk Ointment 1. Xema Ointment 7. Zing Oxide 2. Xerosol (Vitamin A.B.D.) Tonic 8. Zola Cordiation

'Y' 9. Zom Pile Tablets 1. Yadil Antiseptic 10. Zomax Suppositories 2. Yadil Antiseptic Ointment 11. Zotal Liniment 3. Yadil Antiseptic Pills 12. Zox Powders 4. Yadil Pastilies 13. Zubes 5. Yadilets 14. Zubimalt 6. Yeastamin 15. Zumalt 7. Yeastoffer Tablets 16. Zuvi Drop 8. Yellow Bone Marrow 17. Zuvimalt 9. Concentrate Liquid Glanoid 18. Zymovit

Note - All Medicines for Injection purposes are admissible and shall be reimbursable.

55

LIST - B The following preparations are classified as Foods: (I) Baby Foods, Milk Foods and Invalid Foods, other than those indicated below :

Allenburys Cereal Neave's Food Allenburys Diet Neave's Milk Foods Allenburys Humanized Milk Food No. 1 Numel Allenburys Humanized Milk Food No. 2 Oatrex Infant and Invalid Food Fine and

Medium (Ings) Allenburys Malted Milk Food No. 3 Ovaltine Amporosi Ovaltine Rusks Benger's Food Robinson's Preparation - Bournvita (1) Patent (Barely) Cow and Goad Foods (2) Patent' Greats (1) Beurlac (3) Robrex (2) Brestol Supplementary Food Sanatogen (3) Callicac Savory and Moore Foods (4) Cerex Sister Laura's Foods (5) Daltose C.G. Slippery Eim Foods (6) Frailac Strained Foods e.g. Heinz and Sett's

Tobret Lacticoats (7) Full Cream Milk Food Turfood Follow On Food (8) Half Cream Milk Food Turfood Humanised Food (9) Heomlac Turfood Prosol (10) Humanised Milk Food Turfood Seeway (11) Lacidac Full Cream Vitasac (12) Medilac Vivemin and Similar Preparations (13) Peptalac (II) Compound Foods of Specified

Vitamin Content - (14) Prenatelac Bemax(15) Prelac C.V.B. (16) Separated Milk Food Marmite (17) Special Half Cream Milk Food Roboleine (18) Weylac Virol and Similar Preparations Dorsella Glaxo Products - (III) Glucose Preparations - (1) Colact Glucodin (2) Farex Glucose BD (3) Ferrolac Glucose with Vitamin D and Similar

Preparations (4) Oster Milk No. 1 and No. 2 (IV) Liquid Foods and Wines - Lacta Milk Food Apple Juices Lactagal / Lactatone Barluze Libbp's Homogenised Foods Diabetic Cordial Malted Milk e.g. Barieva Beulah Horlicks Glucosol Mellin's Food Lembar M.O.F. Lucozode Nestle's Preparations - Ribena (1) Condensed Milk Robinson's Lemon Barley (2) Lactogen Rose - Hip L.B.W. (3) Milk Food Rose's Squashes and Diabetic (4) Milk Tonic Food Squashes Alcoholic Beverages, Wines,

Spirits & Similar Preparations (5) Homogenised Foods

56

(V) Malt Extract Preparations - (VIII) Miscellaneous Preparations - Bronomalt Arrowroot Bynegen Aurum Ambrosium Halimalt Black Current Pastilles Malt Extracts Dextrin Maltose Malted Wheaten Food Diabetic Preparations e.g. Energen

Preparations Radiomalt Glucose Barley SugarVimaltol Iodised Salt Vitamin Malt Extracts and Similar Preparations

Kellogg's all Brand

(VI) Meat and Vegetable Extracts and Juices -

Lactose

Bovril Malted Milk Tablets e.g. Barlova Horlick's Ovaltine

Brand's Essence Malto-Dextrine Caif's Food Jelly Natex Slimming Food Lemco Nestrovite Tablets Oxo Saccharine Tablets Valenwtine Meat Juices and Similar Preparations

Salt Substitutes

(VII) Mineral and Spa Water - Saxim Apentra Water Verisol Herbs Contrexeville Virolox Malveern Mineral Water Vitaminised Chocolate and Similar

Preparations (Carbohydrate Minerals etc.)

Soda Water Thefrriew Water Vichy Water and Tablets and similar preparations

izksVhUl ,oa mlds mRikn ¼QkewZys'ku½ tks nokb;ksa dh Js.kh esa Hkh vkrs gSa] muesa lhji] VscysVl~]

dSilwy] ikmMj ,oa fcLdqV] izksVhu ds lkFk vU; rRo tSls dkcksZgkbMªsV] feujYl vkfnA

LIST - C

Preparations normally used for Toilet purpose -

Astringent Shaving Soaps Lotions Shaving Sytics Bath Salts Skin Lotions Cold Creams Soaps Face Powders Tooth Paste Hair Tonics Tooth Powder Hand Creams Talcum Powder Lanoline Toilet Vanishing Shampoos Creams Shaving Creams J.B. Powders

57

APPENDIX – V Rule 6(2)(b)

LIST OF REIMBURSABLE AYURVEDIC DRUGS & MEDICINES

A. General Drugs - Asava and Arishta 01 Abhayarishta 02 Ahiphensva 03 Amritarishta 04 Aravindasva 05 Ashokarishta 06 Asvagandhadyarishta 07 Ayskriti 08 Balarishta 09 Chandanasava 10 Dantyadyarishta 11 Dashamularista 12 Devadarvarishta 13 Jirakarishta 14 Kanakasava 15 Karpurasva 16 Khabirarishta 17 Kumaryasava 18 Kutajarisht 19 Lohasava 20 Madhuksva 21 Mustakarishta 22 Parthadyarishta(arjunarishta) 23 Pippalyadyasava 24 Punaranavasava 25 Rodhrasava(Lodhrasava) 26 Rohitakarishta 27 Sarivadyasava 28 Shrikhandasva 29 Ushirsava 30 Vasakasava 31 Vidangarishta Arka 32 Ajamodarka 33 Karpuradyarka(Sugandhignrka) 34 Jtamansyarka 35 Shatapushparka Avaleha or leha and paka 36 Agastya Haritaki rasayana(Agastya Haritaki) 37 Ashvagandhadilehya 38 Bhallatakadimodaka 39 Bharangiguda 40 Bilvadileha 41 Brahma rasayana 42 Brahmi rasayana 43 Citrakaharitaki 44 Dantiharitaki 45 Dashamula haritaki 46 Eladyamodaka 47 Erandapaka 48 Gudapippali 49 Guducyadi modaka 50 Haridra Khanda 51 Hridyavirechanaleha 52 Jirakadi Modaka 53 Kalyanaka guda 54 Kantakaryavaleha 55 Kushmandaka rasayana 56 Kutajavaleha 57 Laghuchincadikaleha 58 Mdhusnuhi rasayana 59 Manibhadra Yoga(Manibhdra guda) 60 Narikela Khanda

58

61 Pugakhanda 62 Saubhagyashunthi 63 Shatavari guda 64 Shiva gutika 65 Suranavaleha 66 Vasavaleha Kvatha 67 Amrtottara kvatha 68 Aragvadhadi Kvatha 69 Ardhabilva Kvatha 70 Ashtavrga Kvatha 71 Balajirakadi Kvatha 72 Bharngyadi Kvatha 73 Brhanmanjishthadi Kvatha 74 Chaturbhadra Kvatha 75 Chinnodvhavadi Kvatha 76 Darunagaradi Kvatha 77 Dashmula Katutraya Kvatha 78 Dashmula Kvatha 79 Dashamula panchakoladi Kvatha 80 Devadarvadi Kvatha 81 Drksadi Kvatha 82 Gandharvashadstadi Kvatha 83 Gojihvadi Kvatha 84 Guduchyadi Kvatha 85 Guggulutikta Kvatha 86 Mustakaranjadi Kvatha 87 Nayopayam Kvatha 88 Nimbadi Kvatha 89 Nyagrodhadi Kvatha 90 Nagardi Kvatha 91 Panchamrita Kvatha 92 Panchatika Kvatha 93 Patoladi Kvatha 94 Patolmuladi Kvatha 95 Phalatrikadi Kvatha 96 Punarnavadi Kvatha 97 Punarnavashtaka Kvatha 98 Pancavalkala Kvatha 99 Pasanabhedadi Kvatha 100 Rasanadi Kvatha 101 Rasanadi Kvatha (Maha) 102 Rasanairandadi Kvatha 103 Saptasara Kvatha 104 Shadanga Kvatha 105 Trayantyadi Kasya 106 Trinapanchamoola Kvatha 107 Vasaguducyadi Kvatha Guggulu 108 Gokshuradiguggulu 109 Kanchanara guggulu 110 Kaishora guggulu 111 Laksha guggulu 112 Maha yogaraja guggulu 113 punarnavadi guggulu 114 Saptavimsatika guggulu 115 Simhanada guggulu 116 Trayodasanga guggulu 117 Triphala guggulu 118 Vatari guggulu 119 Vyosaid guggulu 120 Yogaraja guggulu Ghrita

121 Amrita bhallataka Leha (Amrita bhallataka pak) 122 Amrta ghrita 123 Amritaprasha ghrita 124 Ashoka ghrita 125 Brahmi ghrita 126 Brihat phala ghrita 127 Changeri ghrita

59

128 Dadhika ghrita 129 Dadimadi ghrita 130 Dashmula ghrita 131 Dashmula shatpalaka ghrita 132 Dhanvantara ghrita 133 Dhatryadi ghrita 134 Eladi ghrita 135 Indukanta ghrita 136 Jatyadi ghrita 137 Jivantyadi ghrita 138 Kalyanaka ghrita 139 Kasisadi ghrita 140 Lashunadi ghrita 141 Mahakalyanka ghrita 142 Mahapanchagavya ghrita 143 Mahatiktaka ghrita 144 Mahatriphaladya ghrita 145 Mishrakaseha 146 Maha Chaitas ghrita 147 Narasimh ghrita 148 Nirgaundi ghrita 149 Panchagavya ghrita 150 Pnachatikta ghrita 151 Panchatikta gugglu ghrita 152 Patoladi ghrita 153 Phala ghrita 154 Pipplyadi ghrita 155 Sarasvata ghrita 156 Shatpala ghrita (Pnachkoladi ghrita) 157 Sukumara ghrita 158 Tiktaka ghrita 159 Traikantaka ghrita 160 Triphala ghrita 161 Vajraka ghrita 162 Vastyamayanataka ghrita 163 Vidaryadi ghrita Churna 164 Ajamodadi Churna 165 Amalakyadi Churna 166 Ashtangalavana Churna 167 Avipattikara Churna 168 Balachaturvhadrika Churna 169 Bhallatakarasayana Churna 170 Bhaskarlavana Churna (Lavanabhaskara) 171 Bhiratgangdhara Churna 172 Chandanadi Churna 173 Chaturjata Churna 174 Chitrakadi Churna 175 Dadimashtaka Churna 176 Dashanasanskara Churna 177 Draksadi Churna 178 Eladi Churna 179 Gangadhara Churna (svalpa) 180 Gomutraharitaki 181 Gomutra Hingavastaka Churna 182 Hinguvachadi Churna 183 Hingvadi Churna 184 Hutaphugadi Churna 185 Intuppukana Churna 186 Jatiphaladya Churna 187 Karpuradi Churna 188 Kalaka Churma 189 Narsimha Churna 190 Naryana Churna 191 Navayasa Churna 192 Nimbadi Churna 193 Nyagrodhadi Churna 194 Panchasama Churna 195 Pushyanuga Churna 196 Rajanyadi Churna 197 Sanangadi Churna

60

198 Samudradya Churna 199 Shringyadi Churna 200 Sitopaladi Churna 201 Sudarshana Churna 202 Svalpanayika Churna 203 Satavari Churna (Satavaryadi Churna) 204 Svadista Virecana Churna 205 Talisadya Churna 206 Trikatu Churna 207 Triphala Churna 208 Vaishvnara Churna 209 Yavani shandava (yavanyadi Churna) Taila 210 Anu Taila 211 Apamargakshara Taila 212 Arimedadi Taila 213 Asanavilvadi Taila 214 Bala Taila 215 Baladhatryadi Taila 216 Balaguduchyadi Taila 217 Balahathadi Taila 218 Balashvagandhalakshadi Taila 219 Bhringmalakadi Taila 220 Bhringaraja Taila 221 Brihatguduci Taila 222 Brihatmasha Taila 223 Brihatsaindhavadya Taila 224 Bhriatmarichyadi Taila 225 Chandanbala lakshadi Taila 226 Chandanadi Taila 227 Chitrakadi Taila 228 Dhanvantra Taila 229 Dhatturadia Kera Taila 230 Eladi Kera Taila 231 Eranda Taila 232 Gandharvahasta Taila 233 Grahanimihira Taila 234 Himasagara Taila 235 Hingutriguna Taila 236 Jatyadi Taila 237 Jatyadi Kera Taila 238 Jyotishmati Taila 239 Kanaka Taila 240 Karpasasthyadi Taila 241 Kasisadi Taila 242 Kayyonnyadi Taila 243 Kottamcukkadi Taila 244 Kshra Taila 245 Kustharaksasa Taila 246 Ksirabala Taila 247 Laghu vishagarbha Taila 248 Lakshadi Taila 249 Langli Taila(Nirgundi Taila) 250 Laksmivilala Taila 251 Lavanga Taila 252 Madhuyshtyadi Taila 253 Maha narayana Taila 254 Mahavishagarbha Taila 255 Manjisthadi Taila 256 Nalpamaradi Taila 257 Nrayana Taila 258 Nilibhrngadi Taila 259 Nilikadya Taila 260 Pnachgun Taila 261 Parintakeri kshiradi Taila 262 Pinda Taila 263 Pippalyadi Taila 264 Prabhanjanavimardana Taila 265 Prameshamihira Taila 266 Prasarini Taila 267 Shadabindu Taila

61

268 Sahacaradi Taila 269 Saindhavadi Taila 270 Somaraji Taila 271 Shushkamulaka Taila 272 Triphaladi Taila 273 Tungadrumadi Taila 274 Tuvaraka Taila 275 Vachalashunadi Taila 276 Vachadi Taila 277 Vajraka Taila 278 Vasachandanadi Taila 279 Vishatinduka Taila 280 Vranarakshasa Taila 281 Yashtimadhuka Taila Dravka 282 Sankha Dravaka Lavan\Kshara 283 Abhayalavana 284 Apamarga kshara 285 Arkalavana 286 Avittoladi Bhasma(kshara) 287 Kadali Kshara 288 Kalyana Kshare 289 Panaviraladi bhasma(Kshare) 290 Palasha Kshare 291 Mulaka Kshare 292 Narikela lavana 293 Vajraka kshara 294 Vasa Kshare 295 Yava Kshare Lepa 296 Avlagujadi Lepa 297 Dashanga Lepa 298 Dadrughna Lepa 299 Grihdhumadi Lepa 300 Kaccchuradi Churna(Kacccchuradi Lepa) 301 Kalaka Churna Lepa(Kala Lepa) 302 Lepa Guti 303 Pathyadi Lepa 304 Rasnadi Churna (Lepa) 305 Rasottamadi Lepa Churna 306 Sarshapadi pra Lepa 307 Shothaghna Lepa(Dosaghna Lepa) 308 Sinduradi Lepa 309 Tutthadi Lepa Vati and gutika 310 Agnitudi Vati 311 Astaksari gutika 312 Bilvadi gutika 313 Brahmi Vati (Mukra Kasturi Yukta) 314 Chandra prabha Vati 315 Chitrakadi Gutika 316 Cukkumtippalyadi Gutika 317 Dhanvantara Gutika 318 Dugha Vati 319 Eladi Gutika 320 Gandhaka Vati 321 Gorocanadi Vati 322 Kankayana Gutika 323 Kasturyadi Gutika 324 Khadiradi Gutika(Kasa) 325 Khadiradi Gutika(Mukharoga) 326 Lasunadi Vati 327 Lavanadi Vati 328 Mahashankha Vati 329 Manasamitra Vataka 330 Maricadi Vati 331 Marma Gutika 332 Mrtasanjivani Gutika 333 Mukkamukkatuvadi Gutika 334 Plihari Vataka

62

335 Prabhkara Vati 336 Pranada Gutika 337 Rajahpravartini Vati 338 Sanjaivani Vati 339 Saubhagya Vati 340 Shankha Vati 341 Shiva Gutika(Laghu) 342 Shukarmatrka Vati 343 Shulaharana Yoga 344 Shulavajrini Vatika 345 Surana Vataka 346 Sarivadi Vati 347 Vishatinduka Vati 348 Vriddhi Vadhika Vati 349 Yakritsulavinashini Vatika Vartti,Nertabidu and Anjana 350 Chandrodaya Vartti 351 Danta Vartti 352 Elanir Kuzhambu 353 Karpuradi Kuzambu (laghu) 354 Kayasthadeya Vartti 355 Krishnanjana 356 Tamradi Gutika 357 Vimla Sattva Sattva 358 Guduci Sattva Kupipakua Rasayana 359 Kantavallavha Rasa 360 Mallasindura Rasasindura 361 Rasakapura 362 Rasapushpa 363 Rasa Sindura 364 Samirapannaga 365 Svarnavanga 366 Vatagni Kumara Rasa Parpati 367 Bola Parpati 368 Lauha Parpati 369 Panchamrita Parpati 370 Rasa Parpati 371 Shaveta Parpati (Kshara Parpati) Pisti 372 Akaika Pisti 373 Jaharamohara Pisti 374 Manikya Pisti 375 Parvala Pisti 376 Sanga Yahood Pisti (Hajarul Yahood) 377 Trinakantamani Pisti (Kaharuba Pishti) Bhasma 378 Abhraka Bhasma 379 Godanti Bhasma 380 Haratala Bhasma 381 Kapardika Bhasma 382 Kasisa Bhasma 383 Kukkutaldatvak Bhasma 384 Lauha Bhasma 385 Mandura Bhasma 386 Muktasukti Bhasma 387 Mayorapuchcha Bhasma 388 Naga Bhasma 389 Pravala Bhasma 390 Rajata Bhasma 391 Sankha Bhasma 392 Sphatika Bhasma 393 Srnga Bhasma 394 Svarnamkasika Bhasma 395 Tamra Bhasma 396 Trivanga 397 Tankana Bhasma 398 Vanga Bhasma

63

399 Vaikranta Bhasma 400 Vajra Bhasma 401 Yasada Bhasma Mandura 402 Mandura Vataka 403 Punarnavadi Mandura 404 Satavari Mandura Rasa Yoga 405 Amlapittantaka Rasa 406 Amvatri Rasa 407 Anandabhairava Rasa 408 Arogyavardhini Gutika 409 Arshakuthara Rasa 410 Ashvakanchuki Rasa 411 Bola Badha Rasa 412 Brihat Garbhacintamani Rasa 413 Brihat Nripavallabha Rasa 414 Brihat Vangesvara Rasa 415 Chandrakala Rasa 416 Chandramrita Rasa 417 Chandranshu Rasa 418 Chaturmukha Rasa 419 Chaturmukha (Krishna) Rasa 420 Dantodbhedagadantaka Rasa 421 Ekangavira Rasa 422 Ganganasundara Rasa 423 Garbhpala Rasa 424 Gandhaka Rasayana 425 Hridyarnava Rasa 426 Icchabhedi Rasa 427 Jvarayavhra Rasa 428 Kamdudha Rasa (Mukta Yukta) 429 Kamdudha Rasa (Sada) 430 Kaphaketu Rasa 431 Karpura Rasa 432 Krimimudgara Rasa 433 Laghumalinivasanta Rasa 434 Laghvananda Rasa 435 Lakshmivilasa Rasa(Naradiya) 436 Lakshminarayana Rasa 437 Lokanatha Rasa 438 Mahavatagajankusha Rasa 439 Mrityunjaya Rasa 440 Nagarjunabhra Rasa 441 Nagavallabha Rasa 442 Nityananda Rasa 443 Nava Jivan Rasa 444 Nityodita Rasa 445 Prbhakara Rasa 446 Pratarlankeshvara Rasa 447 Rasamanikya Rasa 448 Shirhshuladivajra Rasa 449 Shirngarabhra Rasa 450 Shrinripativallavaha Rasa 451 Shvasakuthara Rasa 452 Siddhapraneshvara Rasa 453 Smritisagara Rasa 454 Suchikabharana Rasa 455 Sutasekhara Rasa (ordinary) 456 Sutikabharana Rasa 457 Svasakasacintamani Rasa 458 Somanatha Rasa 459 Tribhuvanakirti Rasa 460 Tarunarka Rasa 461 Varishosana Rasa 462 Vataraktantaka Rasa 463 Vatri Rasa 464 Vedanantaka Rasa 465 Vatavidhvamsana Rasa

64

466 Yakuti Rasa Lauha 467 Chandandi Lauha 468 Dhatri Lauha 469 Navayasa Lauha(Churn) 470 Pippalyadi Lauha 471 Putapakva Visamajvarantaka Lauha 472 Pradarantaka Lauha 473 Pradarari Lauha 474 Rohitaka Lauha 475 Saptamrta Lauha 476 Shilajitvdi Lauha 477 Sarvaj Varahara Lauha 478 Vidanga Lauha 479 Vidangadi Lauha 480 Yakardari Lauha

B. Single Drugs -

1. Asvagandha Churna 10. Puskara Mula Churna 2. Amalaki Churna 11. Madhuyasti Churna 3. Arjun Chal Churna 12. Laksa Churna 4. Kamillaka (kamila) Churna 13. Vakuchi Churna 5. Jatamansi Churna 14. Svarna Gairika Churna 6. Nagakesara Churna 15. Samudaraphena Churna 7. Nava Sadara Churna 16. Somalata Churna 8. Pippali Churna 17. Heritakhi Churna 9. Pippali mula Churna 18. Isafgole Chhilka (Husk) C. Proprietary Medicines - 1. Aloes Compound 19. Geriforte Tablet 2. Bangashila 20. Koltab Tablet 3. R. Compound 21. Santab with Sarapagandha 4. Fortage Tablets 22. Maxodyes ''O" 5. Sooktin Tablets 23. Yakrin Syrup 6. Rubnisol Oiontment 24. Strenex Tablet 7. Cystone Tablet 25. Livotrit Tablet 8. Liv 52 Tablet 26. Livotrit Syrum 9. Liv 52 Drops 27. Trushnum Tablet 10. Liv Syrup 28. Kesari Jivan 11. Lukol Tablets 29. Hemapuspa 12. Pilex Tablet 30. Netra Bindu 13. Pilex Ointment 31. Karna Bindu 14. Rumalaya Tablet 32. Arkay Pain Balm 15. Serpina Table 33. Femiplex Tablet 16. Speman Tablet (Plain) 34. Vomitab Syrum 17. Speman Tablet (Forte) 35. Livomyn Tablet 18. Styplon Tablet 36. Livomyn Drops

65

APPENDIX - VI Rule 6(2)(b)

LIST OF REIMBURSABLE UNANI DRUGS & MEDICINES

GENERAL MEDICINE S. No. NAME OF MEDICINE S. No. NAME OF MEDICINE

1 Banadiqual Buzoor 33 Habb-e-Surfa 2 Habb-e-Amber 34 Habb-e-Tinkar 3 Habb-e-Azaraqi 35 Habb-e-Tursh Mushtahi 4 Habb-e-Bawaseer 36 Habb-e-Zahar Mohara 5 Habb-e-Bukhar 37 Qurs-e-Aksir Faliji-o-Laqwa 6 Habb-e-Dabba Atfal 38 Qurs-e-Deedan 7 Habb-e- Eyaraj 39 Qurs-e-Ghafis 8 Habb-e-Hamal 40 Qurs-e-Gulnar 9 Habb-e- Hilteet 41 Qurs-e-Habis 10 Habb-e-Jund 42 Qurs-e-Kafoor 11 Habb-e-Jawahar 43 Qurs-e-Kaknaj 12 Habb-e-Jalinos 44 Qurs-e-Kahruba 13 Habb-e-Jadwar 45 Qurs-e-Maltibasant 14 Habb-e-Jograj Googal 46 Qurs-e-Mulayyin 15 Habb-e-Kabid Naushadri 47 Qurs-e-Musakkin 16 Habb-e-Katha 48 Qurs-e-Musallas 17 Habb-e-Khubsul Hadeed 49 Qurs-e-Salajeet 18 Habb-e-Mudir 50 Qurs-e-Sartan 19 Habb-e-Marwareedi 51 Qurs-e-Tabasheer Qabiz 20 Habb-e-Mubarak 52 Qurs-e-Tabasheer Mulayyin 21 Habb-e-Mumsik 53 Qurs-e-Tutiya-eKabir 22 Habb-e-Muqil 54 Qurs-e-Zarishk 23 Habb-e-Momyai 55 Qurs-e-Ziabitus 24 Habb-e-Nishat 25 Habb-e-Papita JOHAR26 Habb-e-Pechis/herh 56 Johar-e-Munaqqa 27 Habb-e-Rall 57 Johar Seen 28 Habb-e-Rasaut 29 Habb-e-Shaheeqa KOHAL30 Habb-e-Shifa 58 Kohal Chikni Dawa 31 Habb-e-Tape Balghami 59 Kohal Gul-e-Kunjad 32 Habb-e-Suranjan 60 Kohal-ul-Jawahar

66

S. No. NAME OF MEDICINE S. No. NAME OF MEDICINE

MARHAM MAJOON 61 Marham Bawaseer 118 Itrifal-e-Kishneezi 62 Marham Dakhliyum 119 Itrifal-e-Mulayyan 63 Marham Jadwar 120 Itrifal-e-Muqil 64 Marham Kafoori 121 Itrifal-e-Sagheer 65 Marham Mazu 122 Itrifal-e-Shahtra 66 Marham Quba 123 Itrifal-e-Ustukhuddus 67 Marham Raal 124 Itrifal-e-Zamani 68 Marham Saeeda chob-e-Neem Wala 125 Jawarish Amla Sada 69 Marham Siyah 126 Jawarish-e-Anarain 70 Marham Ushaq 127 Jawarish-e- Bisbasa 71 Qairooti Arad-e-Karsana 128 Jawarish-e-Falafili 72 Zimad Jalinoos 129 Jawarish-e-Jalinoos 73 Zimad Bars 130 Jawarish-e-Kamooni 74 Zimad Kaibreet 131 Jawarish-e-Kamooni Kabir 75 Zimad Sumbul-ut-Teeb 132 Jawarish-e-Kamooni Mushil

133 Jawarish-e-Mastagi KUSHTAJAT 134 Jawarish-e-Mastagi Ba Nuskha Kalan

76 Kushta Abrak Kalan 135 Jawarish-e-Ood-e-Shireen 77 Kushta Abrak Siyah 136 Jawarish-e-Ood-Tursh 78 Kushta Abrak Sufaid 137 Jawarish-e-Podina 79 Kushta Aqeeq 138 Jawarish-e-Qurtum 80 Kushta Baiza Murgh 139 Jawarish-e-Safarjali Mus-hil 81 Kushta Bussud 140 Jawarish-e-Shahi 82 Kushta Faulad 141 Jawarish-e-Shahryaran 83 Kushta Gaodanti 142 Jawarish-e-Tabasheer 84 Kushta Hartal Waraqi 143 Jawarish-e-Tamar-Hindi 85 Kushta Hajrul Yahood 144 Jawarish-e-Zanjabeel 86 Kushta Khabsul Hadeed 145 Jawarish-e-Zarooni Sada 87 Kushta Khar Mohra 146 Jawarish-e-Zarooni Ambari 88 Kushta Marjan Jawaharwala 147 Khamira Abresham Sada 89 Kushta Marjan Sada 148 Khamira Abresham Arshadwala 90 Kushta Mirgang 149 Khamira Abresham Ood Mastagi Wala 91 Kushta Masallas 150 Khamira Abresham Sheera Unnabwala 92 Kushta Nuqra 151 Khamira Gaozaban Ambari Jawaharwala 93 Kushta Qalai 152 Khamira Gaozaban Ambari 94 Kushta Qarnul Iyyal 153 Khamira Gaozaban Ambari Jadwar Ood-e-

Saleebwala 95 Kushta Sadaf 154 Khamira Gaozaban Sada 96 Kushta Sang-e-Sare-e-Mahi 155 Khamira Khash-khash 97 Kushta Sankh 156 Khamira Sandal Sada 98 Kushta Shingruf 157 Khamira Marwareed 99 Kushta Surb 158 Laboob-e-Akbar 100 Kushta Tootiya 159 Laboob-e-Barid 101 Kushta Yaqoot 160 Laooq-e-Badam 102 Kushta Zhar Mohra 161 Laooq-e-Behdana 103 Kushta Zamarrud 162 Laooq-e-Katan

163 Laooq-e-Khashkhash MAJOON 164 Laooq-e-Nazli

165 Laooq-e-Motadil 104 Anoshdaru Sada 166 Laooq-e-Sapistan 105 Anoshdaru Lulvi 167 Laooq-e-Khayarshambar 106 Barshasha 168 Laooq-e-Zeeq-un-Nafas 107 Dabeedul Ward 169 Luboob-e-Aazam 108 Dawul Kurkum Kabir 170 Luboob-e-Kabir(Khas) 109 Dawaul Misk Har Sada 171 Luboob-e-Motadil 110 Dawaul Misk Motadil sada 172 Luboob-e-Sagheer 111 Dawaul Misk Motadil Jawaharwali 173 Majoon-e-Aqrab 112 Dayaqooza 174 Majoon-e-Arad Khurma 113 Halwa Salab 175 Majoon-e-Aspand Sokhtani 114 Halwa Supari Pak 176 Majoon-e-Azaraqi 115 Itrifal-e-Deedan 177 Majoon-e-baladur 116 Itrifal-e-Ghudadi 178 Majoon-e-Brahami 117 Itrifal-e-Kabir 179 Majoon-e-Chobchini

67

S.No. NAME OF MEDICINE S.No. NAME OF MEDICINE

MAJOON ROGHANIYAT 180 Majoon-e-Busud 242 Roghan-e-Surkh 181 Majoon-e-Falasifa 243 Roghan-e-Turb 182 Majoon-e-Fotanji 244 Roghan-e-Zift 183 Majoon-e-Hajrul Yahood 245 Roghan-e-Luboob-e-Saba 184 Majoon-e-Hamal Ambari Alvi Khani 246 Roghan-e-Zaitoon 185 Majoon-e-Jalali 247 Tila Almas 186 Majoon-e-Jalinoos Lulvi 248 Tila Surkh 187 Majoon-e-jograj Googal 249 Tila Musakkin 188 Majoon-e-Kalan 250 Tila Urusak 189 Majoon-e-Khabsul Hadeed 190 Majoon-e-Khadar SUFOOF 191 Majoon-e-Kundur 251 Eyaraj-e-Faiqra 192 Majoon-e-Masikul bol 252 Dawa Deputy Sheb Wali 193 Majoon-e-Mocharas 253 Namak-e-Jalinoos 194 Majoon-e-Mughallz Jawahar Wali 254 Namak-e-Mirgang 195 Majoon-e-Muqil 255 Namak-e-Shaikhur Raees 196 Majoon-e-Musaffi Khoon 256 Sufoof-e-Bars 197 Majoon-e-Najah 257 Sufoof-e-Chutki 198 Majoon-e-Nanakhawh 258 Sufoof-e-Habisud Dam 199 Majoon-e-Nisyan 259 Sufoof-e-Amlah 200 Majoon-e-Pambadana 260 Sufoof-e-Indrijulab 201 Majoon-e-Piyaz 261 Sufoof-e-Mohazzil 202 Majoon-e-Raahul Momineen 262 Sufoof-e-Moya 203 Majoon-e-Salab 263 Sufoof-e-Muqliyasa 204 Majoon-e-Sangdana Murgh 264 Sufoof-e-Sailan 205 Majoon-e- Sohag Sonth (Majoon-e-

Zanjbeel) 265 Sufoof-e-Teen

206 Majoon-e-Seer alvi Khani 266 Sufoof-e-Tambaku 207 Majoon-e-Suranjan 267 Zaroor-e-Katha 208 Majoon-e-Supari Pak 268 Zaroor-e-Qula 209 Majoon-e-Talkh 210 Majoon-e-Ushba SAIYALAT 211 Majoon-e-Zabeeb 269 Araq-e-Ajeeb 212 Mufarreh Barid Sada 270 Araq-e-Ajwayan 213 Mufarreh Azam 271 Araq-e-Badiyan 214 Mufarreh Yaqooti Motadil 272 Araq-e-Bed Mushk 215 Tiryaq-e-Abra 273 Araq-e-Charaita 216 Tiryaq-e-Farooq 274 Araq-e-Chobchini Ba Nuskha Kalan 217 Tiryaq-e-Nazla 275 Araq-e-Gaozaban 218 Tiryaq-e-Samania 276 Araq-e-Gulab

277 Araq-e-Ilaichi ROGHANIYAT 278 Araq-e-Kasni

219 Roghan-e-Ajwayen 279 Araq-e-Mako 220 Roghan-e-Babchi 280 Araq-e-Mundi 221 Roghan-e-Babuna 281 Araq-e-Murakkab Musaffi-e-Khoon 222 Roghan-e-Badam Sheerin 282 Araq-e-Podina 223 Roghan-e-Badiyan 283 Araq-e-Shahtra 224 Roghan-e-Baiza Murgh 284 Araq-e-Ushba 225 Roghan-e-Banafsha 226 Roghan-e-Bedanjeer SHARBAT 227 Roghan-e-Dhatura 285 Sikanjibeen-e-Buzoori 228 Roghan-e-Gul 286 Sikanjibeen-e-Leemuni 229 Roghan-e-Kadu Shireen 287 Sikanjibeen-e-Na Naee 230 Roghan-e-Kafoor 288 Sikanjibeen Sada 231 Roghan-e-Kahu 289 Sharbat-e-Ejaz 232 Roghan-e-Kharateen 290 Sharbat-e-AhmadShah 233 Roghan-e-Kuchla 291 Sharbat-e-Anar Shireen 234 Roghan-e-Malkangi 292 Sharbat-e-Anar Tursh 235 Roghan-e-Mastagi 293 Sharbat-e-Anjbar 236 Roghan-e-Neem 294 Sharbat-e-Arzani 237 Roghan-e-Pista 295 Sharbat-e-Belgiri 238 Roghan-e-Qaranful 296 Sharbat-e-Banafsha 239 Roghan-e-Qust 297 Sharbat-e-Buzoori Motadil 240 Roghan-e-Seer 298 Sharbat-e-Deenar 241 Roghan-e-Suranjan 299 Sharbat-e-Faryadras

68

S.No. NAME OF MEDICINE S.No. NAME OF MEDICINE

SHARBAT SHARBAT 300 Sharbat-e-Habb-ul-Aas 306 Sharbat-e-Unnab 301 Sharbat-e-Khash Khash 307 Sharbat-e-Ustukkuddus 302 Sharbat-e-Nilofar 308 Sharbat-e-Ward Mukarrar 303 Sharbat-e-Sadar 309 Sharbat-e-Zoffa Murakkab 304 Sharbat-e-Tamar Hindi 310 Sharbat-e-Zoofa Sada 305 Sharbat-e-Toot Siyah

PROPRIETARY UNANI MEDICINES

S.No. NAME OF MEDICINE S.No. NAME OF MEDICINE 1 Bablax 9 Lurzin 2 Dawaul Shifa 10 Gamone 3 Hamdard Balm 11 Kukar Syrup 4 Maullaham Khas B.K. 12 Musaffi (Blood Purifier) 5 Islahi Payeria Majnan 13 Nuzli 6 Joshina 14 Roghan Phospharas 7 Masturin 15 Mindoza 8 Sharbat Faulad

69

APPENDIX - VII Rule 6(2)(b)

LIST OF HOMEOPATHIC DRUGS & MEDICINES NAME OF THE HOMEOPATHIC MEDICINES

Group 'A' - Homeopathic Dilutions S.

No. Name of Medicine S.

No. Name of Medicine

1. 2 1 2 1. Abies Canadensis 30 41. Aletris Farinosa 200 2. Abies Canadensis 200 42. Allium Cepa 6 3. Abrotanum 6 43. Allium Cepa 30 4. Abrotanum 30 44. Allium Cepa 200 5. Abrotanum 200 45. Allium Cepa 1000 6. Abrotanum 1000 46. Allium Sativum 30 7. Absinthium 6 47. Allium Sativum 200 8. Absinthium 200 48. Aloe Socotrina 6 9. Acetic Acidum 6 49. Aloe Socotrina 30 10. Acetic Acidum 200 50. Aloe Socotrina 200 11. Aconitum Napellus 3X 51. Aloe Socotrina 1000 12. Aconitum Napellus 30 52. Alumen 6 13. Aconitum Napellus 200 53. Alumen 200 14. Actaea Racemosa 3X 54. Alumina 30 15. Actaea Racemosa 30 55. Alumina 200 16. Actaea Racemosa 200 56. Alumina 1000 17. Actaea Racemosa 1000 57. Alumina 10M 18. Actaea Racemosa 10M 58. Alumina 50M 19. Actaca Spicata 6 59. Ambra Grisea 6 20. Actaca Spicata 200 60. Ambra Grisea 200 21. Actaca Spicata 1000 61. Ammonium Carbonium

30 22. Adrenalin 6 62. Ammonium Carb.200 23. Aesculus Hippocastanum

30 63. Ammonium Carb.1000

24. Aesculus Hipp.200 64. Ammonium Carb.30 25. Aesculus Hipp. 1000 65. Ammonium Caust 200 26. Aesculus Hipp.10M. 66. Amygdalus Fersica 6 27. Aesculus Hipp.50M. 67. Anacardium Orientale 30 28. Aethusa Cynapium 6 68. Anacardium Orientale 20029. Aethusa Cynapium 30 69. Anacardium Orientale 100030. Aethusa Cynapium 200 70. Anaclium Orientale 10M 31. Agaricus Muscarius 30 71. Anacardium Orient able

CM 32. Agaricus Muscarius 200 72. Anagallis 6 33. Agaricus Muscarius 1000 73. Anagallis 200 34. Agaricus Muscarius 10M 74. Anthracinum 6 35. Agnus Castus 6 75. Anthracinum 200 36. Agnus Castus 200 76. Anthracinum 1000 37. Agnus Castus 1000 77. Antimonium Ars .6 38. Agraphis/her Nutans 30 78. Antimonium Ars .200 39. Agraphis/her Nutans 200 79. Antimonium Crudum 30 40. Aletris Farinosa 6 80. Antimonium Crud. 200

70

1 2 1 2 81. Antimonium Crud. 1000 125. Ars. Sulph. Flavum 6 82. Antimonium Crud. 10M 126. Ars. Sulph. Flavum 200 83. Antimonium Crud. 50M 127. Ars. Sulph. Flavum

1000 84. Antimonium Crud. CM 128. Artemisia Vulgaris 30 85. Antimonium Tart. 3X 129. Artemisia Vulgaris 200 86. Antimonium Tart. 30 130. Arum Triphyllym 30 87. Antimonium Tart. 200 131. Arum Triphyllym 200 88. Apis Mell 6 132. Asafoetida 30 89. Apis Mell 30 133. Asafoetida 200 90. Apis Mell 200 134. Aspidoserma 6 91. Apis Mell 1000 135. Aspidoserma 200 92. Apis Mell 10M 136. Asterias Rubens 6 93. Apis Mell 50M 137. Aurum Metallicum 30 94. Apis Mell CM 138. Aurum Met. 200 95. Apocynum Cann.6 139. Aurum Met. 1000 96. Apocynum Cann.30 140. Aurum Met. 10M 97. Aralia Racemosa 30 141. Aurum Met. CM 98. Aranea Diadema 3X 142. Aurum Muriaticum Nat.

30 99. Argentum Met. 30 143. Aurum Muriaticum Nat.

200 100. Argentum Met. 200 144. Bacillium 200 101. Argentum Met. 1000 145. Bacillium 1000 102. Argentum Nit. 30 146. Bacillium 10M 103. Argentum Nit. 200 147. Bacillium 50M 104. Argentum Nit. 1000 148. Bacillium CM 105. Argentum Nit 10M 149. Baptisia Tinctoria 3X 106. Argentum Nit CM 150. Baptisia Tinct. 30 107. Arnica Mont 3X 151. Baptisia Tinct. 200 108. Arnica Mont 30 152. Baryta Carbinica 30 109. Arnica Mont 200 153. Baryta Carb. 200 110. Arnica Mont 1000 154. Baryta Carb. 1000 111. Arnica Mont 10M 155. Baryta Carb. 10M 112. Arnica Mont 50M 156. Baryta Carb. CM 113. Arnica Mont CM 157. Baryta Iodata 30 114. Arsenicum Album 6 158. Baryta Iod. 200 115. Arsenicum Album 30 159. Baryta Muriatica 6 116. Arsenicum Album 200 160. Baryta Mur. 200 117. Arsenicum Album 1000 161. Belladonna 3X 118. Arsenicum Album 10M 162. Belladonna 30 119. Arsenicum Album 50M 163. Belladonna 200 120. Arsenicum Album CM 164. Belladonna 1000 121. Arsenicum Brom. 6 165. Bellis Perernis 60 122. Arsenicum Brom. 200 166. Bellis Per. 200 123. Arsenicum lodatum 30 167. Benzoicum Acium 6 124. Arsenicum lod. 200 168. Benzoicum Acid 200

71

1 2 1 2 169. Berberis Vulgaris 30 213. Calcarea Flour. 1000 170. Berberis Vulgaris 200 214. Calcarea Flour. 10M 171. Bismuthum 6 215. Calcarea Flour. 50M 172. Bismuthum 200 216. Calcarea Flour. CM 173. Blatta Orientalis 6 217. Calcarea Iodata 30 174. Blatta Ornt. 200 218. Calcarea Iodata 200 175. Boracicum Acidue 6 219. Calcarea Iod. 1000 176. Boracicum Acid. 200 220. Calcarea Iod. 10M 177. Borax 30 221. Calcarea Phosphorica

30 178. Borax 200 222. Calcarea Phos. 200 179. Brothrops L. scolatus 6 223. Calcarea Phos. 1000 180. Brothrops Laus. 200 224. Calcarea Phos. 10M 181. Brothrops Lance. 1000 225. Calcarea Phos. 50M 182. Bovista 6 226. Calcarea Phos. CM 183. Bovista 200 227. Calcarea Sulphurica

200 184. Bovista 1000 228. Calcarea Sulph. 1000 185. Bromium 30 229. Calendula Off. 6 186. Bromium 200 230. Calendula Off. 200 187. Bryonia Alba. 3X 231. Camphora 30 188. Bryonia Alba. 6 232. Camphora 200 189. Bryonia Alba. 30 233. Cannabis Indica 30 190. Bryonia Alba. 200 234. Cannabis Indica 200 191. Bryonia Alba. 1000 235. Cannabis Indica 1000 192. Bryonia Alba. 10M 236. Cannabis Sativa 30 193. Bryonia Alba. 50M 237. Cannabis Sativa 200 194. Bryonia Alba. CM 238. Cannabis Sativa 1000 195. Bufo Rana 30 239. Cantharis 6 196. Bufo Rana 200 240. Cantharis 30 197. Cactus Grandiflours 3X 241. Cantharis 200 198 Cadmium Sulphuratium 6 242. Cantharis 1000 199. Cadmium Sulph. 200 243. Capsicum 30 200. Caladium Seg. 6 244. Capsicum 200 201. Caladium Seg. 200 245. Capsicum 1000 202. Calcarea Arsenicosa 6 246. Carbo Animolis 30 203. Calcarea Ars. 200 247. Carbo Animolis 200 204. Calcarea Carbonica 6 248. Carbo Animolis 1000 205. Calcarea Carb.30 249. Carbo Animolis 50M 206. Calcarea Carb.200 250. Carbo Vegetabilis 30 207. Calcarea Carb.1000 251. Carbo Vegetabilis 200 208. Calcarea Carb.10M 252. Carbo Veg. 1000 209. Calcarea Carb.50M 253. Carbo Veg. CM 210. Calcarea Carb. CM 254. Carbolicum Acidum 30 211. Calcarea Flourata 30 255. Carbolicum Acid. 200 212. Calcarea Flour. 200 256. Carbolicum Acid. 1000

72

1 2 1 2 257. Carcinosin 30 302. Chlramphenicol 30 258. Carcinosin 200 303. Chlramphenicol 200 259. Carcinosin 1000 304. Cicuta Virosa 6 260. Carcinosin CM 305. Cicuta Virosa 200 261. Castor Equi. 6 306. Cicuta Virosa 1000 262. Castor Equi. 30 307. Cina 30 263. Caulophyllum 3X 308. Cina 200 264. Caulophyllum 30 309 Cina 1000 265. Caulophyllum 200 310. Cina 10M 266. Caulophyllum 1000 311. Cina CM 267. Causticum 6 312. Cistus Canadensis 6 268. Causticum 30 313. Cistus Can. 200 269. Causticum 200 314. Cistus Can. 1000 270. Causticum 1000 315. Cistus Can. 10M 271. Causticum 10M 316. Clematis Erecta 30 272. Causticum 50M 317. Clematis Erecta 200 273. Causticum CM 318. Coca 30 274. Ceanothus Amer. 6 319. Coca 200 275. Ceanothus Amer. 200 320. Cocculus Indicus 30 276. Cedron 30 321. Cocculus Indicus 200 277. Cedron 200 322. Cocculus Indicus 1000 278. Cedron 1000 323. Coccus Cacte 6 279. Chamomilla 6 324. Coccus Cacte 200 280. Chamomilla 30 325. Coffea Cruda 30 281. Chamomilla 200 326. Coffea Cruda 200 282. Chamomilla 1000 327. Correacruda 1000 283. Chelidonium Maj. 3X 328. Colchicum 3X 284. Chelidonium Maj. 6 329. Colchicum 30 285. Chelidonium Maj. 200 330. Colchicum 200 286. Chelidonium Maj. 1000 331. Collinsonia 30 287. Chenopodium Anthel. 30 332. Collinsonia 200 288. Chenopodium Anthel. 200 333. Colocynthis 6 289. China Officinalls 6 334. Colocynthis 30 290. China Off. 30 335. Colocynthis 200 291. China Off. 200 336. Colocynthis 1000 292. China Off. 1000 337. Condurango 30 293. China Off. 10M 338. Condurango 200 294. Chininum Arsenicosum

200 339. Conium Maculatium 30

295. Chininum Ars. 1000 340. Conium Maculatium 200296. Chininum Sulphuricum

200 341. Conium Mac. 200

297. Chininum Sulph. 1000 342. Conium Mac. 1000 298. Chionanthus Virginicoa 30 343. Conium Mac. 50M 299. Chionanthus Virginicoa 200 344. Conium Mac. CM 300. Chloralum 30 345. Copaiva 6 301. Chloralum 200 346. Copaiva 200

73

1 2 1 2 347. Corallium Rubrum 30 392. Erigeron 6 348. Corallium Rub. 200 393. Erigeron 200 349. Craetagus Oxy. 3X 394. Eupatorium Perfoliatum

3X 350. Craetagus Oxy. 30 395. Eupatorium Perf. 30 351. Crosus Sativus 30 396. Eupatorium Perf. 200 352. Crosus Sativus 200 397. Eupatorium Purpuraum

6 353. Crotalus Horricus 30 398. Eupatorium Purp. 200 354. Crotalus Horricus 200 399. Euphrasia 30 355. Croton Tiglium 30 400. Euphrasia 200 356. Croton Tiglium 200 401. Fagopyrum 30 357. Cuprum Arsenicisum 30 402. Fagopyrum 200 358. Cuprum Arsenicisum 200 403. Ferrrum Ars. 30 359. Cuprum Metallium 30 404. Ferrrum Ars. 200 360. Cuprum Met. 200 405. Ferrrum Met. 30 361. Cuprum Met. 1000 406. Ferrrum Met. 200 362. Cuprum Met. CM 407. Ferrrum Ars. 1000 363. Curare 30 408. Ferrrum Phos. 6 364. Curare 200 409. Ferrrum Phos. 30 365. Cyclamen 30 410. Ferrrum Phos. 200 366. Cyclamen 200 411. Ferrrum Phos. 1000 367. Cynodon Dac. 3X 412 Floricum Acidium 30 368. Damiana 30 413. Floricum Acid. 200 369. Damiana 200 414. Floricum Acid. 1000 370. Digitalis 6 415. Floricum Acid. 10M 371. Digitalis 30 416. Floricum Acid 50M 372. Dioscorea Vill. 6 417. Formic Acid 30 373. Dioscorea Vill. 200 418. Formic Acid 200 374. Diphtherinum 200 419. Formica Rufa 30 375. Diphtherinum 1000 420. Formica Rufa 200 376. Dolichos 6 421. Galium Aparine 6 377. Dolichos 200 422. Galium Aparine 200 378. Dolichos 1000 423. Gambogia 30 379. Drosera 30 424. Gambogia 200 380. Drosera 200 425. Gelsemium 3X 381. Dulcamara 30 426. Gelsemium 30 382. Dulcamara 200 427. Gelsemium 200 383. Dulcamara 1000 428. Gelsemium 1000 384. Dulcamara 10M 429. Gelsemium 10M 385. Dulcamara 50M 430. Gelsemium 50M 386. Dulcamara CM 431. Gelsemium CM 387. Echinacea Aug. 30 432. Glonoine 6 388. Elaps Corallimus 30 433. Glonoine 30 389. Elaterium 30 434. Glonoine 200 390. Equisetum 6 435. Ghaphalium 30 391. Equisetum 200 436. Ghaphalium 200

74

1 2 1 2 437. Ghaphalium 1000 482. Hypericum 200 438. Granatum 6 483. Hypericum 1000 439. Granatum 200 484. Hypericum 10M 440. Graphites 6 485. Hypericum 50M 441. Graphites 30 486. Hypericum CM 442. Graphites 200 487. lgnatia 30 443. Graphites 1000 488. lgnatia 200 444. Graphites 10M 489. lgnatia 1000 445. Graphites 50M 490. lgnatia 10M 446. Graphites CM 491. lgnatia 50M 447. Grindelia 6 492. lgnatia CM 448. Grindelia 200 493. Influenzinum 200 449. Guaiacum 30 494. Influenxinum Ployvalent

200 450. Guaiacum 200 495. Insulin 3X 451. Guaiacum 1000 496. Insulin 30 452. Guaiacum 10M 497. Insulin 200 453. Hamamelis 30 498. Iodium 30 454. Hamamelis 200 499. Iodium 200 455. Hamamelis 1000 500. Iodium 1000 456. Helleborus Nig. 30 501. Iodium 10M 457. Helleborus Nig. 200 502. lpecac 3X 458. Helleborus Nig. 1000 503. lpecac 30 459. Helonias 30 504. lpecac 200 460. Helonias 200 505. lris Tenax 30 461. Hepar Sulphuris 6 506. lris Tenax 200 462. Hepar Sulph. 30 507. lris Versicolour 6 463. Hepar Sulph. 200 508. lris Versicolour 200 464. Hepar Sulph. 1000 509. Jaborandi 3X 465. Hepar Sulph .10M 510. Jaborandi 30 466. Hepar Sulph. 50M 511. Juglans Cinerea 6 467. Hepar Sulph. CM 512. Juglans Cinerea 200 468. Hydrangea 6 513. Justicia Adh. 30 469. Hydrangea 200 514. Kali Aresenicesum 30 470. Hydrastis Can. 30 515. Kali Ars. 200 471. Hydrastis Can. 200 516. Kali Bichromicum 6 472. Hydrastis Can. 1000 517. Kali Bichrom 200 473. Hydrocotyle Asiatica 30 518. Kali Bichrom 1000 474. Hydrocotyle Asiatica 200 519. Kali Bichrom 10M 475. Hydrocyanic Acidum 6 520. Kali Bichrom CM 476. Hydrocyanic Acid. 200 521. Kali Bromatum 30 477. Hyoscyamus 30 522. Kali Brom. 200 478. Hyoscyamus 200 523. Kali Carbonicum 30 479. Hyoscyamus 1000 524. Kali Carb. 200 480. Hyoscyamus 10M 525. Kali Carb. 1000 481. Hypericum 30 526. Kali Carb. 10M

75

1 2 1 2 527. Kali Chloricum 30 570 Lathyrus 200 528. Kali Chlor. 300 571. Lathyrus 1000 529. Kali Iodatcum 30 572. Lactridectus Mactans 6 530. Kali Iod. 200 573. Lactridectus Mac. 200 531. Kali Iod. 1000 574. Laurocerasus 30 532. Kali Iod. 10M 575. Laurocerasus 200 533. Kali Muriaticum 30 576. Ledum Pal 30 534. Kali Mur. 200 577. Ledum Pal 200 535. Kali Mur. 1000 578. Ledum Pal 1000 536. Kali Phosphuricum 30 579. Ledum Pal 10M 537. Kali Phos. 200 580. Ledum Pal 50M 538. Kali Sulphuricum 30 581. Ledum Pal CM 539. Kali Sulph. 200 582. Lemna Minor 3X 540. Kalmia Latifolia 6 583. Lemna Minor 30 541. Kalmia Lat. 200 584. Lemna Minor 200 542. Kalmia Lat. 1000 585. Lilium Tigrlnum 30 543. Kreosotum 30 586. Lilium Tig. 200 544. Kreosotum 200 587. Lilium Tig. 1000 545. Kreosotum 1000 588. Lithium Carbonicum 30 546. Kurchi 3X 589. Lithium Carb. 200 547. Lac. Caninum 30 590. Lobelia Inflata 6 548. Lac. Can. 200 591. Lobelia Inf. 200 549. Lac. Can. 1000 592. Lycopersicium 6 550. Lac. Can. 10M 593. Lycopersicium 200 551. Lac. Can. 50M 594. Lycopodium 30 552. Lac. Can. CM 595 Lycopodium 200 553. Lac. Defloratum 30 596. Lycopodium 1000 554. Lac. Def. 200 597. Lycopodium 10M 555. Lac. Def. 1000 598. Lycopodium 50M 556. Lachesis 30 599. Lycopodium CM 557. Lachesis 200 600. Lyssin 200 558. Lachesis 1000 601. Lyssin 1000 559. Lachesis 10M 602. Magnesia Carbonica 30 560. Lachesis 50M 603. Magnesia Carb.200 561. Lachesis CM 604. Magnesia Carb. 1000 562. Lachnanthes 30 605. Magnesia Muriatica 30 563. Lachnanthes 200 606. Magnesia Mur. 200 564. Lachnanthes 1000 607. Magnesia Phosphorica

30 565. Lacticum Acidium 30 608. Magnesia Phosphorica

200 566. Lacticum Acid. 200 609. Magnesia

Phosphorica1000 567. Lapis Albus 30 610. Magnesia Sulphurica 30568. Lapis Alb. 200 611. Magnesia Sulph. 200 569. Lathyrus 6 612. Malandrinum 200

76

1 2 1 2 613. Malandrinum 1000 654. Millifolium 6 614. Malaria Off. 30 655. Millifolium 30 615. Malaria Off. 200 656. Millifolium 200 616. Manganum Aceticum 30 657. Millifolium 1000 617. Manganum Acet. 200 658. Moschus 3X 618. Medorrhinum 200 659. Moschus 30 619. Medorrhinum 1000 660. Moschus 200 620. Medorrhinum 10M 661. Moschus 1000 621. Medorrhinum 50M 662. Muriaticum Acid 6 622. Medorrhinum CM 663. Muriaticum Acid 200 623. Melilotus 30 664. Murex 30 624. Melilotus 200 665. Murex 200 625. Menyanthes 30 666. Mygale Las. 30 626. Menyanthes 200 667. Mygale Las. 200 627. Mephitis 3X 668. Myristica Seb. 628. Mephitis 30 669. Naja Trip. 30 629. Mephitis 200 670. Naja Trip. 200 630. Mercurius Corrosinus 30 671. Natrum Carbonicum 30 631. Mere. Corr. 200 672. Natrum Carb. 200 632. Mere. Corr. 1000 673. Natrum Carb. 1000 633. Mercurius Cyanatus 30 674. Natrum Carb. 10M 634. Mercurius Cyanatus 200 675. Natrum Muriaticum 6 635. Mercurius Dulcis 6 676. Natrum Mur. 30 636. Mercurius Dulcis 200 677. Natrum Mur. 200 637. Mercurius Iod. Flavus 30

(Merc. Iod. Proto) 678. Natrum Mur. 1000

638. Merc. Iod. Flavus 200 679. Natrum Mur. 10M 639. Mercurius Iod. Ruber 30

(Merc. Bin. Iod.) 680. Natrum Mur. 50M 681. Natrum Mur. CM

640. Merc. Iod. Ruber 200 682. Natrum Phosphoricum 30

641. Mercurius Sol.6 683. Natrum Phos. 200 642. Mercurius Sol. 30 684. Natrum Salicylicum 30 643. Mercurius Sol. 200 685. Natrum Salicyl. 200 644. Mercurius Sol. 1000 686. Natrum Sulphuricum 30 645. Mercurius Sol. 10M 687. Natrum Sulph. 200 646. Mercurius Sol. 50M 688. Natrum Sulph. 1000 647. Mercurius Sol. CM 689. Natrum Sulph. 10M 648. Mercurius Vivus 30 690. Natrum Sulph. CM 649. Mercurius Vivus 200 691. Nitricum Acidium 20 650. Mezereum 30 692. Nitric. Acid. 200 651. Mezereum 200 693. Nitric. Acid. 1000 652. Mezereum 1000 694. Nitric. Acid. 10M 653. Mezereum 10M 695. Nitric. Acid. 50M

77

1 2 1 2 696. Nitric. Acid. CM 740. Petreoselinum 6 697. Nuphar Luteum 30 741. Petreoselinum 200 698. Nuphar Luteum 200 742. Phosphoric Acid 30 699. Nux Moschata 30 743. Phosphoric Acid 200 700. Nux Moschata 200 744. Phosphoric Acid 1000 701. Nux Moschata 1000 745. Phosphoric Acid 10M 702. Nux Vomica 6 746. Phosphoric Acid 50M 703. Nux Vomica 30 747. Phosphoric Acid CM 704. Nux Vomica 200 748. Phosphorus 6 705. Nux Vomica 1000 749. Phosphorus 30 706. Nux Vomica 10M 750. Phosphorus 200 707. Nux Vomica 50M 751. Phosphorus 1000 708. Nux Vomica CM 752. Phosphorus 10M 709. Ocimum Canum 6 753. Phosphorus 50M 710. Ocimum Can. 200 754. Phosphorus CM 711. Oleander 30 755. Physostigma 30 712. Oleander 200 756. Physostigma 200 713. Onosmodium 30 757. Phytolacca 30 714. Onosmodium 200 758 Phytolacca 200 715. Opium 30 759. Phytolacca 1000 716. Opium 200 760. Phytolacca 10M 717. Opium 1000 761. Picric Acid 30 718. Opium 10M 762. Picric Acid 200 719. Ornithogalum 30 763. Piper Methysticum 6 720. Ornithogalum 200 764. Piper Methysticum 200 721. Osmium 30 765. Pix Liquida 30 722. Osmium 200 766. Pix Liquida 200 723. Oxalicum Acidum 6 767. Plantago Maj 6 724. Oxalicum Acid. 200 768. Plantago Maj 200 725. Oxalicum Acid. 1000 769. Platina 30 726. Paeonia 30 770. Platina 200 727. Paeonia 200 771. Platina 1000 728. Penicillin 30 772. Platina 10M 729. Penicillin 200 773. Plumbum Iod 30 730. Pertussin 6 774 Plumbum Iod 200 731. Pertussin 30 775. Plumbum Iod 1000 732. Pertussin 200 776. Plumbum Met. 30 733. Pertussin 1000 777. Plumbum Met. 200 734. Petroleum 30 778. Plumbum Met. 1000 735. Petroleum 200 779. Plumbum Met. 10M 736. Petroleum 1000 780. Pneumococcin 30 737. Petroleum 10M 781. Pneumococcin 200 738. Petroleum 50M 782. Podophyllum 6 739. Petroleum CM 783. Podophyllum 30

78

1 2 1 2 784. Podophyllum 200 828. Rhus Tox. CM 785. Pothos Foetida 30 829. Rhus Venenata 6 786. Pothos Foetida 200 830. Rhus Ven. 200 787. Psorinum 200 831. Ricinus Communis 30 788. Psorinum 1000 832. Ricinus Com. 200 789. Psorinum 10M 833. Robinia 30 790. Psorinum 50M 834. Robinia 200 791. Psorinum CM 835. Rumex Crisp. 6 792. Pulsatilla Nig. 30 836. Rumex Crisp. 30 793. Pulsatilla Nig. 200 837. Rumex Crisp. 200 794. Pulsatilla Nig.1000 838. Ruta Grav. 30 795. Pulsatilla Nig.10M 839. Ruta Grav. 200 796. Pulsatilla Nig.50M 840. Ruta Grav. 1000 797. Pulsatilla Nig.CM 841. Ruta Grav. 10M 798. Pyrogenium 30 842. Ruta Grav. CM 799. Pyrogenium 200 843 Sabadilla 6 800. Pyrogenium 1000 844. Sabadilla 200 801. Pyrogenium 10M 845. Sabina 6 802. Pyrogenium CM 846. Sabina 30 803. Quercus Gland. Spiritus 6 847. Sabina 200 804. Quercus Gland. Spiritus

30 848. Sambucus Nig. 6

805. Radium Brom. 30 849. Sambucus Nig. 200 806. Radium Brom. 200 850. Sangunaria Can. 30 807. Rananculus Bulb. 30 851. Sangunaria Can. 200 808 Rananculus Bulb. 200 852. Sangunaria Can. 1000 809. Rananculus Bulb. 1000 853 Sangunaria Can. 10M 810. Rananculus Seleratus 30 854. Sangunaria Can. CM 811. Rananculus Sel. 200 855. Sangunaria Nit. 30 812. Ratanhia 6 856. Sangunaria Nit. 200 813. Ratanhia 200 857. Sanicula 6 814. Ratanhia 1000 858. Sanicula 200 815. Rhododendron 30 859. Sarcolactic Acid 30 816. Rhododendron 200 860. Sarcolactic Acid 200 817. Rhododendron 1000 861. Sarasaparilla 30 818. Rhododendron 10M 862. Sarasaparilla 200 819. Rhus Aromatica 6 863. Scirrhinum 200 820. Rhus Aromatica 200 864. Scrophularia Nod. 6 821. Rhus Tox icodendron 3X 865. Scrophularia Nod. 200 822. Rhus Tox. 6 866. Secale Cornutum 30 823. Rhus Tox. 30 867. Secale Cor.200 824. Rhus Tox. 200 868. Secale Cor. 1000 825. Rhus Tox. 1000 869. Secale Cor. 10M 826. Rhus Tox. 10M 870. Selenium 6 827. Rhus Tox. 50M 871. Selenium 200

79

1 2 1 2 872. Selenium 1000 916. Strptococcin 30 873. Secnecio Aur. 30 917. Strptococcin 200 874. Secnecio Aur. 20 918. Streptomycin 30 875. Senega 6 919. Streptomycin 200 876. Senega 200 920. Strontia Carb. 6 877. Sepia 30 921. Strontia Carb. 200 878. Sepia 200 922. Strychninum 6 879. Sepia 1000 923. Strychninum 30 880. Sepia 10M 924. Strychninum 200 881. Sepia 50M 925. Sulphur 6 882. Sepia CM 926. Sulphur 30 883. Silicia 6 927. Sulphur 200 884. Silicia 30 928. Sulphur 1000 885. Silicia 200 929. Sulphur 10M 886. Silicia 1000 930. Sulphur 50M 887. Silicia 10M 931. Sulphur CM 888. Silicia 50M 932. Sulphuric Acid 6 889. Silicia CM 933. Sulphuric Acid 200 890. Spigelia 30 934. Sulphuric Acid 1000 891. Spigelia 200 935. Sulphur Iod. 6 892. Spigelia 1000 936. Sulphur Iod. 200 893. Spigelia 10M 937. Sulphur Iod. 1000 894. Spigelia 50M 938. Symphoricarpus 6 895. Spigelia CM 939. Symphoricarpus 200 896. Spongia Tosta 6 940. Symphytum 30 897. Spongia Tosta 30 941. Symphytum 200 898. Spongia T. 200 942. Symphytum 1000 899. Spongia T. 1000 943. Symphytum 10M 900. Stannum Met. 30 944. Syphilinum 200 901. Stannum Met. 200 945. Syphilinum 1000 902. Staphysagria 30 946. Syphilinum 10M 903. Staphysagria 200 947. Syphilinum 50M 904. Staphysagria 1000 948. Syphilinum CM 905. Staphysagria 10M 949. Tabacum 200 906. Staphysagria 50M 950. Tabacum 1000 907. Staphysagria CM 951. Tarentula Cubensis 30 908. Sticta Pal. 6 952. Tarentula Cub. 200 909. Sticta Pal. 30 953. Tarentula His/herp. 30 910. Sticta Pal. 200 954. Tarentula His/herp. 200 911. Stramonium 30 955. Taraxacum 30 912. Stramonium 200 956. Taraxacum 200 913. Stramonium 1000 957. Tellurium 6 914. Stramonium 10M 958. Tellurium 30 915. Stramonium CM 959. Tellurium 200

80

1 2 1 2

960. Terebinthina 6 996. Variolinum 1000 961. Terebinthina 200 997. Variolinum 10M 962. Teucrium N.V.6 998. Veratrum Alb. 30 963. Teucrium N.V.200 999. Veratrum Alb. 200 964. Teucrium N.V.1000 1000. Veratrum Viride 6 965. Thea 200 1001. Veratrum Viride 200 966. Thuja 30 1002. Verbascum 6 967. Thuja 200 1003. Verbascum 200 968. Thuja 1000 1004. Vibernum Op. 6 969. Thuja 10M 1005. Vibernum 200 970. Thuja 50M 1006. Vibernum Pr. 30 971. Thuja CM 1007. Vibernum Pr. 200 972. Thytoidinum 200 1008. Vinca Minor 6 973. Thytoidinum 1000 1009. Vinca Minor 200 974. Thytoidinum 10M 1010. Viola Odor 30 975. Tuberculinium 200 1011. Viola Odor 200 976. Tuberculinium 1000 1012. Viola Tricol 6 977. Tuberculinium 10M 1013. Viola Tricol 200 978. Tuberculinium 50M 1014. Vipera 30 979. Tuberculinium CM 1015. Vipera 200 980. Typhoidinum 30 1016. Viscum Alb. 6 981. Typhoidinum 200 1017. Viscum Alb. 30 982. Typhoidinum 1000 1018. Viscum Alb. 200 983. Uric Acid 6 1019. Wyethia 6 984. Uric Acid 30 1020 Wyethia 30 985. Uric Acid 200 1021. Wyethia 200 986. Urtica Urens 6 1022. Xanthoxylum 6 987. Urtica Urens 200 1023. Xanthoxylum 200 988. Ustilago Maysdis 6 1024. X-Ray 200 989. Ustilago Maysdis 200 1025. X-Ray 1000 990. Valeriana 600 1026. Zincum Met. 30 991. Valeriana 200 1027. Zincum Met. 200 992. Vanadium 6 1028. Zincum Phos 30 993. Vanadium 30 1029. Zincum Phos 200 994. Variolinum 30 1030. Zingiber 6 995. Variolinum 200 1031. Zingiber 200

81

GROUP 'B' : HOMEOPATHIC MOTHER TINCTURES & EXTERNALS

1 2 1 2 1. Abroma Augusta Q 45. Euphrasia Q 2. Acalypha Indica Q 46. Ficus Religiosa Q 3. Acid Phos. Q 47. Filix Mas Q 4. Adonis Vorn. Q 48. Fraxinus Americana Q 5. Aegle Folia Q 49. Galium Aparine Q 6. Agnus Castus Q 50. Gossypium Q 7. Altris Farinosa Q 51. Grindelia Q 8. Alfalfa Q 52. Gymnema Syl. Q 9. Amyl Nitrate Q 53. Hamamelis Virg. Q 10. Apocynum Can. Q 54. Helonias Q 11. Ashwagangha Q 55. Hudrangea Q 12. Aspilosperma Q 56. Hudrocotyle Asiatica Q 13. Atista Indiaca Q 57. Hudrastis Can Q 14. Avena Sativa Q 58. lpecac Q 15. Azadirachta Q 59. Jonosia Asoka Q 16. Berberis Aquifolium Q 60. Justicia Adhatoda Q 17. Berberis Vulgaris Q 61 Kalmegh Q 18. Blatta Orientalis Q 62. Kurchi Q 19. Brahmi Q 63. Ledum Pal Q 20. Bryonia Alba Q 64. Lodella Lufl. Q 21. Cactus Grandiflorus Q 65. Lycopus Virg. Q 22. Calotropis Cig. Q 66. Millifolium Q 23. Cantheris Q 67. Myristica Seb. Q 24. Carduus Mar. Q 68 Nux Vomica Q 25. Carrica Papaya Q 69. Ornithogalum Q 26. Cascara Sagrada Q 70. Pareire Brava Q 27. Cassia Sophora Q 71. Passiflora lnc. Q 28. Ceanothus Q 72. Physostigma Q 29. Chaparro Arnargoso Q 73. Phytolacca Q 30. Chelidonium Maj. Q 74. Piper Methysticum Q 31. Chelone G.Q. 75. Psoralea Q 32. Chimaphylla Umb. Q 76. Pulsatilla Q 33. China Officinalis Q 77. Ouassia Q 34. Chionanthus Virg. Q 78. Rauwolfia Serpentina Q 35. Collinsonia Q 79. Rhus Aromatica Q 36. Codurango Q 80. Sabal Serrulata Q 37. Convallaria Maj. Q 81. Sabina Q 38. Craetagus Oxy. Q 82. Scropaularia Nod. Q 39. Cynodon Dac. Q 83. Senecio Aurens Q 40. Damiana Q 84. Senega Q 41. Drossera Q 85. Solidago Virg Q 42. Digitalis Q 86. Sonngia Tosta Q 43. Equisetum Q 87. Strophanthus His/herp.

Q 44. Erigeron Q 88. Syzygium Jamb. Q

82

1 2 1 2 89. Terminalia Arjuna Q PACKING : 459 ml. in Glass

Bottles MAKE : Indian Sealed

90. Thlaspi Q

91. Thuja Oce. Q EXTERNALS 92. Trillium Pend. Q 98. Arnica Mont Q 93. Usmea Barbata Q 99. Calendula Off. Q 94. Ustilago May Q 100. Echinacea Q 95. Viburnum Op. Q 101. Kreosotum Q 96. Viscum Alb. Q 102. Plantago Q 97. Yohimbinum Q 103. Urtica Urens

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GROUP 'C' : BIOCHEMIC MEDICINES AND BIOCHEMIC COMBINATIONS

1 2 1 2 1. Calcarea Flour 6X 28. Bio. Comb. No. 2 2. Calcarea Flour 12X 29. Bio. Comb. No. 3 3. Calcarea Phos 6X 30. Bio. Comb. No. 4 4. Calcarea Phos 12X 31. Bio. Comb. No. 5 5. Calcarea Sulph 6X 32. Bio. Comb. No. 6 6. Calcarea Sulph 12X 33. Bio. Comb. No. 7 7. Ferrum Phos 1X 34. Bio. Comb. No. 8 8. Ferrum Phos 6X 35. Bio. Comb. No. 9 9. Ferrum Phos 12X 36. Bio. Comb. No. 10 10. Kali Mur 6X 37. Bio. Comb. No. 11 11. Kali Mur 12X 38. Bio. Comb. No. 12 12. Kali Phos 6X 39. Bio. Comb. No. 13 13. Kali Phos 12X 40. Bio. Comb. No. 14 14. Kali Sulph 6X 41. Bio. Comb. No. 15 15. Kali Sulph 12X 42. Bio. Comb. No. 16 16. Magnesia Phos 6X 43. Bio. Comb. No. 17 17. Magnesia Phos 12X 44. Bio. Comb. No. 18 18. Natrum Mur 6X 45. Bio. Comb. No. 19 19. Natrum Phos 12X 46. Bio. Comb. No. 20 20. Natrum Phos 6X 47. Bio. Comb. No. 21 21. Natrum Phos 3X 48. Bio. Comb. No. 22 22. Natrum Sulph 6X 49. Bio. Comb. No. 23 23. Natrum Sulph 12X 50. Bio. Comb. No. 24 24. Silicea 6X 51. Bio. Comb. No. 25 25. Silicea 12X 52. Bio. Comb. No. 26 26. Five Phos 6X 53. Bio. Comb. No. 27 27. Bio. Combination No. 1 54. Bio. Comb. No. 28

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GROUP 'D' : HOMOEOPATHIC TRITURATIONS

1 2 1 2 1. Adrenalin 2X 25. Echinacea 3X 2. Abies Nigra 3X 26. Ferrum Ars. 6X 3. Antim Ars. 3X 27. Ferrum Picric 3X 4. Antipyrine 6X 28 Formica Rufa 3X 5. Ars. Album 3X 29 Gun Powder 6X 6. Ars. lod. 3X 30 Hekla Lava 6X 7. Ars. Sulph. Flavus 3X 31 Hepar Sulph 2X 8. Ars. Sulph. Flavus 6X 32 Justicia Adh.3X 9. Artemisia Vulg. 3X 33 Lapis Albus 6X 10. Aurum Mur. Nat. 3X 34 Merc. Iod. Flavus 3X 11. Baryata lod. 3X 35 Myristica Seb. 3X 12. Baryata Mur. 3X 36 Naphthalin 3X 13. Borax 3X 37 Ocimum Sanet 3X 14. Calcarea Ars. 6X 38 Ova Tosta 3X 15. Calcarea lod. 3X 39 Pancreatin 3X 16. Calcarea Hypophos 3X 40 Phytolacca 6X 17. Calcarea Picrata 3X 41 Sanguinaria Nit. 2X 18. Calcaree Renalis 3X 42 Santoninum 2X 19. Carduus Mar. 3X 43 Skookum Shuck 3X 20. Chloramphenicol 3X 44 Spartium Scoparium 1X 21. Chininum Ars. 3X 45 Strontia 6X 22. Chininum Sulph 3X 46 Thiosinaminum 3X 23. Cholestrinum 3X 47 Thyroidinum 3X 24. Chrysaropinum 3X 48 Uraninum Nit. 3X

GROUP 'E' : HOMOEOPATHIC OINTMENTS

1 2 1 2 1. Arnica Mont ointment 5. Hamamelis ointment 2. Calendula ointment 6. Hypericum ointment 3. Cantheris ointment 7. Skookum Chuck

ointment 4. Achinacea ointment

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GROUP 'F' : HOMOEOPATHIC SPECIAL ITEMS

1 2 F1. Alfalfa Tonic 115 ml-Glass bottle (Indian Make)

Each 100 ml. should contain: 1. Alfalfa Q 1 ml 2. Arena Q 5 ml 3. Hydrastis Q 0, 5 ml 4. Nux Vomica 2X0.25 ml 5. China Q 0.25 ml 6. Cinnamon Q 0.25 ml 7. Kali Ars. 2X0.5 ml 8. Acid Phos 2X5 ml 9. Sacch Alb. 25 Gm 10. Aqua Dist. Add to take 100 ml

F.2 Arnica Hair Oil-110 ml Glass bottle (Indian Make)

F.3 Succus Cinearia aritima Eye Drops (German Make) 8 ml

F.4 Mullein Oil-45.0 ml Glass bottle (Indian Make)

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Appendix – VIII Rule 6(2)(e)

Approved Private diagnostic centres and labs

Note : Name of the Private diagnostic centres and labs will be included in the Appendix after approval of the Government.

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8Appendix - IX Rule 3(12)(v), 6(2)(k), 7, 10(1)(iv), 10(2), 11

(a) Extent of Reimbursement of Cost of specific Implants :

S. No.

Item Extent of Reimbursement (Rs)

1. BIPAP Machine 50% of the cost or Rs. 40,000/- whichever is less. 2. Artificial Limb 50% of the cost or Rs. 75,000/- whichever is less. 3. CRT -D (Combo) 50% of the cost or Rs. 3,50,000/- whichever is less. 4. Cochlear Implant 50% of the cost or Rs. 3,00,000/- whichever is less. 5. AICD Implant 50% of the cost or Rs. 2,00,000/- whichever is less. 6. CPAP Machine 50% of the cost or Rs. 25,000/- whichever is less. 7. MVR /AVR (St. Jude) Rs. 95,000/- 8. Pacemaker Rs. 66,000/-

(b) Stents :

S. No.

Item Extent of Reimbursement (Rs)

1. Drug Eluting Coronary Stent 23,6252 Bare Metal Coronary Stent (Cobalt Stents including coated

and other stents) 12,000

3 Bare Metal Stainless Steel Stent 10,000

Note : 1. If more than one DE Stent is implanted than reimbursement for additional DE Stent shall be allowed upto the limit of Bare Metal Stent only.

2. The reimbursement for more than three stents shall not be allowed. (c) Extent of Reimbursement of Cost of Implants other than (a) and (b) above for

which rates have not been specified :

1. First Rs 5000/- Rs 5,000/- (100%) 2. Next Rs 5000/- Rs 4,000/- (80%) 3. Rest Amount 50% of the remaining amount subject to maximum of Rs 35,000/-

Note: In case of hearing aid equipment is required to be purchased again, in the opinion of the competent Authorised Medical Attendant or earlier equipment is beyond repairs, reimbursement would be limited to 50% of the amount as would have been admissible first time. 9Clarification vide FD order no. F. 6 (2) FD/Rules/2013 Part-II dated 05-06-2015 Rajasthan Civil Services (Medical Attendance) Rules, 2013, Extent of reimbursement of cost of implants Para (c) of Appendix-IX to the RCS (MA) Rules, 2013 provides extent of reimbursement of cost of implants for which rates have not been specified as follows:

1. First Rs 5000/- Rs 5,000/- (100%) 2. Next Rs 5000/- Rs 4,000/- (80%) 3. Rest Amount 50% of the remaining amount subject to maximum of Rs 35,000/-

8 Amended vide FD Order No. F. 6(2) FD/Rules/2013 Pt-II dated 07-08-2014; No. F. 6(2) FD/Rules/2013 dated 15-12-2014; No. F. 6(2) FD/Rules/2013 dated 14-07-2015. 9 Inserted vide FD Clarification No. F. 6(2) FD/Rules/2013 Pt-II dated 05-06-2015.

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It is clarified that above mentioned calculation table is for single unit of implant. If more than one unit of same implant is used in treatment at a time, reimbursable amount is to be calculated separately for both units. For example, if hearing aid is recommended for both the ears and cost per unit of hearing aid is Rs.25000/- , then total reimbursable amount will be as follows:

1. First Rs 5000/- Rs 5,000/- (100%) 2. Next Rs 5000/- Rs 4,000/- (80%) 3. Rest Amount

(25000-10000=15000)

50% of the remaining amount subject to maximum of Rs 35,000/-,i.e., Rs.7500/-

4 Total reimbursable amount per unit of hearing aid

Rs.16,500/-

5 Total reimbursable amount for hearing aid for both ears

Rs.16,500x2=Rs.33,000/-

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10Appendix - X Rule 3(12)(v), 6(2)(k)

(a) (i) Reimbursement for Specific Procedure treatment taken in Government Hospital shall be limited to actual expenses or to the extent as given below, whichever is less :

S. No. Item Extent of Reimbursement (Rs.)

1 KNEE JOINT (INCLUDING IMPLANTS) 1,10,000/- each 2 HIP JOINT (INCLUDING IMPLANTS) 40,000/- each 3 LEG BELOW KNEE LEVEL (INCLUDING IMPLANTS) 38,500/- each 4 CABG ON PUMP 55,000/- 5 CABG OFF PUMP 44,000/- 6 ASD 45,000/- 7 VSD 55,000/- 8 BENTALL 1,25,000/- 9 TOF 55,000/-

10 CMV/PDA 10,000/- 11 AORTO BIFEMORAL 45,000/- 12 EMBOLECTOMY 10,000/-

13(1) CORONARY ANGIOPLASTY 50,000/- 13(2) CORONARY ANGIOPLASTY WITH BALLOON 55,000/-

14 THALASSEMIA MAJOR (At the rate approved under CM Relief Fund)

7,00,000/-

(b) Extent of reimbursement of the charges paid by the Government servant to the private diagnostic centres / labs as per Appendix-XVI :

(i) After obtaining NAC from Government hospital -

(a) If the facility of that test exists in Government hospital

Rates as per Appendix -XVI

(b) If the facility does not exist in Government hospital

If rates are not prescribed in Appendix-XVI, 70% of actual expenditure

(ii) Without obtaining NAC from Government hospital -

(a) If the facility of that test exists in Government hospital

80% amount of rates prescribed in Appendix -XVI

(b) If the facility does not exist in Government hospital

If rates are not prescribed in Appendix-XVI, 50% of actual expenditure

Note : (1) For outdoor patients, MRI, Stress Thallium and other costly tests

(charges above Rs.2500/-) shall be got conducted only after recommendation of the Professor / Unit Head of the concerned department of Medical College.

(2) For Indoor patients in a Government Hospital MRI, Stress Thallium, CT Scan and other costly tests (charges above Rs.2500/-) in case of emergency shall be got conducted on recommendation by the Authorised Medical Attendant on duty in the hospital.

10 Amended vide FD Orders No. F. 6(2) FD/Rules/2013 dated 09-05-2014; No. F. 6(2) FD/Rules/2013 Pt-II dated 07-08-2014; No. F. 6(2) FD/Rules/2013 dated 15-12-2014; Clarification No. F. 6(2) FD/Rules/2013 Pt dated 15-04-2015; Clarification No. F. 6(2) FD/Rules/2013 Pt-I dated 23-12-2015;

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11Appendix - XI Rule 7

Extent of Reimbursement for treatment taken in Approved Hospital within the State

1. The reimbursement of bills of treatment taken in Approved Hospital shall be 80% of CGHS, Jaipur rates or actual being charged by the Approved Hospital, whichever is less.

2. In case of indoor treatments for which package rates are not provided in CGHS, Jaipur list, reimbursement shall be done as per the formula given in the ‘Table’ below.

3. The CGHS rates shall be valid for a period of 7 days after the procedure or till the date of shifting from ICU, whichever is later. For the rest period and follow up treatment, the reimbursement will be as per the formula given in the ‘Table’ below.

Table

S. No.

Item Extent of Reimbursement (Rs)

1. Drugs & Medicines 90% of reimbursable drugs and Medicines. 2. Investigation 1. Rates as per Appendix -XVI

2. If rates are not prescribed in Appendix -XVI, 70% of actual expenditure

3. Operation Theatre Charges

50% of actual expenditure subject to maximum of Rs 5000/-

4. Anesthesia Charges 50% of actual expenditure subject to maximum of Rs 5000/-

5. Doctors Fees Rs.400/- per day or actual whichever is less subject to the maximum limit of Rs.20,000/-

6. Room Charges As per Appendix-XV 7. Blood bank Charges

including blood platelets / plasma, radiation charges etc.

As per Appendix-XVI

8. Dialyses Charges As per Appendix-XVI 9. Thalassemia Major At the rate approved under CM Relief Fund upto the

extent of Rs 7 lacs.

Note: (1) Patient suffering from Kidney diseases should be allowed dialysis and other treatment charges in case of day care admission treatment also.

(2) In case of outdoor treatment Rs. 50/- or actual expenses whichever is less shall be reimbursable for registration fees / consultation fees.

11 Amended vide FD Orders No. F. 6(2) FD/Rules/2013 Pt-II dated 07-08-2014; No. F. 6(2) FD/Rules/2013 Pt-II dated 12-03-2015; No. F. 6(2) FD/Rules/2013 Pt-I dated 23-12-2015.

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(3) Medical reimbursement for following treatments of Thalassemia Major in approved private hospitals shall be limited to actual expenses or to the extent as given below, whichever is less:

S. No.

Item Extent of Reimbursement (Rs.)

1 Autologous Blood Transfusion 4,00,000 2 Allogeinic Marrow Transplantation 7,00,000

(4) Reimbursement for specific treatments (included in Appendix-X (a)) taken in approved private hospitals shall be limited to the actual expenses or to the extent given in Appendix-X (a) to these rules whichever is less”

4. These provisions shall be applicable from 27-06-2015. However, settled cases shall not be re-opened.

5. The provisions of this Order shall also be applicable to the State pensioners.

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Appendix - XII

Rule 9(2)

Private Hospitals listed for investigations and tests for the Government servant posted at Delhi

1. Sunder Lal Jain Charitable Hospital, Ashok Vihar 2. Massonic Charitable Poly Clinic, Janpath 3. Sir Ganga Ram Hospital, Rajendra Nagar 4. Lal Pathological Lab., New Delhi 5. Dewan Chand Satypal Aggrawal Imaging & Research Centre, New

Delhi

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12Appendix - XIII Rule 10(2), 11

Extent of Reimbursement for treatment taken in Private Unrecognized Hospital :

S. No.

Item Extent of Reimbursement (Rs)

1. Drugs & Medicines

50% of reimbursable drugs and Medicines.

2. Investigation 1. Rates as per Appendix -XVI 2. If rates are not prescribed in Appendix-XVI, 50% of actual expenditure

3. Operation Theatre Charges

40% of actual expenditure subject to maximum of Rs 3000/-

4. Anesthesia Charges

40% of actual expenditure subject to maximum of Rs 3000/-

5. Doctors Fees Rs.400/- per day or actual whichever is less subject to the maximum limit of Rs.20,000/-

6. Room Charges As per Appendix - XV 7. Blood bank

Charges including blood platelets / plasma, radiation charges etc.

75% amount of rates prescribed in Appendix -XVI

8. Dialyses Charges 75% amount of rates prescribed in Appendix -XVI

Note: 1. Patient suffering from Kidney diseases should be allowed dialysis

and other treatment charges in case of day care admission treatment also.

2. Reimbursement for specific treatments (included in Appendix –X

(a)) taken in private hospitals in emergent circumstances shall be limited to the actual expenses or to the extent given in Appendix –X (a) to these Rules, whichever is less.

12 Amended vide FD Orders No. F. 6(2) FD/Rules/2013 Pt-II dated 07-08-2014; No. F. 6(2) FD/Rules/2013 Pt-II dated 12-03-2015.

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Appendix - XIV

Financial limit prescribed in various Rules

Rule No. Financial Limit

Purpose Competent Authority

Remarks

Rule 3(9)(i) Upto Rs 6000/- per month

Dependency Head of Office Income from Contributory Provident Fund, Gratuity, Government of India’s Prize Bonds, Insurance benefits etc. shall not be regarded as income for the purpose of this clause.

Rule 3(9)(iv)(a) 3(9)(iv)(b)

Upto Rs 6000 per month

Dependency Head of Office Income from Contributory Provident Fund, Gratuity, Government of India’s Prize Bonds, Insurance benefits etc. shall not be regarded as income for the purpose of this clause.

Rule 5 Upto Rs 3000/- per annum

Medical Insurance Premium

Head of Office Service Tax if any shall be allowed in addition to premium amount.

Rule 15(1) Upto Rs. 50,000/-

Advance to Hospital

Head of Office

Medical advance can be granted Upto 75% of the estimated amount of reimbursable expenditure

Upto Rs. 2,00,000/-

Advance to Hospital

Head of Department

Upto Rs.3,00,000/-

Advance to Hospital

Administrative Department

Rule 15(2)

Upto Rs 10,000/-

Advance to Government servant

Head of Office In case of outdoor treatment medical advance can be granted for purchase of medicine.

Rule 19 Upto Rs 1,000/- per month

For non-reimbursable medicines

Head of Office Subject to the condition that the medicines having more food value are prescribed by the Authorised Medical Attendant.

Rs 500/- per month

Special diet Head of Office Cost of special diet, if any, prescribed by the Authorised Medical Attendant subject to the condition that Government servant's pay in running pay band plus grade pay does not exceed Rs.16500/- per month.

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13Appendix - XV Rule 10(1) (iii), 13(1), 13(2)

1. A Government servant or his/her family shall be entitled for free accommodation in a Government Hospital, subject to availability, of a class as given below:

Note: In case, the class of accommodation to which a Government servant is entitled as

above is not available then accommodation of a higher class may be provided if the admission of patient cannot be delayed without danger to his/her health. Facts shall be recorded in the appropriate hospital records.

2. Expenses incurred on accommodation by a Government servant for treatment in

Approved / PPP / Referral Hospital shall be reimbursable as under as per the class of entitlement mentioned in para 1 above :

3. Expenses incurred on accommodation by a Government servant in private unrecognized

hospital within the State or outside the State in case of grave emergency for life threatening diseases or in case of accident shall be reimbursable as under as per the class of entitlement mentioned in para 1 above :

4. ICU and Ventilator Charges: Extent of reimbursement for ICU including ventilator charges

shall be allowed @ Rs. 1200/- per day.

13 Amended vide FD Orders No. F. 6(2) FD/Rules/2013 Pt-II dated 07-08-2014; No. F. 6(2) FD/Rules/2013 Pt-I dated 16-10-2015; and No. F. 6(2) FD/Rules/2013 dated 26-11-2015.

Pay Slab Class of Accommodation (a) Rs. 25,000/- or above Cottage Ward (AC)/ Super Deluxe (b) Rs.14,000/- or above but below Rs.

25,000/- Cottage Ward

(c) Below Rs.14,000/- but above Rs.6,600/- Rental Ward of the lowest category.

Class of Accommodation Maximum Reimbursable Amount(a) (i) Cottage Ward (AC)

(ii) Super Deluxe Rs. 1600/- Rs. 1400/-

(b) Cottage Ward Rs. 800/- (c) Rental Ward of the lowest category Rs. 300/-

Class of Accommodation Maximum Reimbursable Amount(a) (i) Cottage Ward (AC)

(ii) Super Deluxe Rs. 1200/- Rs. 1050/-

(b) Cottage Ward Rs. 600/- (c) Rental Ward of the lowest category. Rs. 225/-

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14Appendix - XVI Rule 6(2)(d), 6(2)(f), 6(2)(g)

A. RATES OF VARIOUS TESTS AND INVESTIGATIONS ETC :

S.N. Lab and Test Name Amount (In Rs.) ADVANCE LAB 1 CHLAMYDIA TRACHOMATIS 1000 2 CMV(DNA) QUALITATIVE 800 3 HBV(DNA) QUANTITATIVE 2000 4 HCV(RNA) QUANTITATIVE 2500 5 HIV(RNA) QUANTITATIVE 2200 6 HPV(DNA) QUALITATIVE 800 7 HSV1/2 (DNA) QUALITATIVE 1500 8 PANFUNGAL DNA QUALITATIVE 800 9 TB(DNA) QUALITATIVE 1000 10 SWINE FLU H1N1 SWAB TEST 500 ADVANCE HAEMATOLOGY 11 FACTOR VIII 800 ALLERGY 12 ALLERGY TEST FROM SERUM 240 13 INGESTANTS TEST 120 14 INHALANTS TEST 120 15 POLYSOMNOGRAPHY TEST 1000 BACTERIOLOGY 16 AUTOMATED CULTURE AND SENSITIVITY BACTEC (BLOOD/OTHERS) 600 17 AEROBIC BACTERIAL CULTURE AND SENSITIVITY BLOOD 95 18 AEROBIC BACTERIAL CULTURE AND SENSITIVITY OTHER THAN

BLOOD 70

19 ALBERT/NEISSERS STAINING 20 20 ANAEROBIC BACTERIAL CULTURE 115 21 AUTOMATED CULTURE AND SENSITIVITY BACTEC (OTHERS) 600 22 AUTOMATED CULTURE AND SENSITIVITY BACTEC (URINE/STOOL) 600 23 GRAMS STAINING 20 BIOCHEMISTRY 24 BLOOD SUGAR (RANDOM) 20 25 BLOOD SUGAR (FASTING) 20 26 BLOOD SUGAR P.P 20 27 BLOOD SUGARP.G (0.30HRS) 20 28 BLOOD SUGAR P.G(1.00HRS) 20 29 BLOOD SUGAR P.G (1.30HRS) 20 30 BLOOD SUGAR P.G(2.00HRS) 20 31 BLOOD SUGAR P.G(2.30 HRS) 20 32 SERUM UREA 25 33 SERUM CREATININE 25 34 SERUM URIC ACID 35 35 SERUM CALCIUM 35 36 SERUM PHOSPHORUS 35 37 SERUM IRON 60 38 SERUM T I B C 60 39 SERUM TOTAL PROTEINSIA G RATIO 35 40 BLOOD GAS ANALYZER 230 41 SERUM ELECTROLYTES 70 42 IONIC CALCIUM 70 43 LITHIUM 70 44 SERUM TOTAL BILIRUBIN(D&T) 40 45 S.G.O.T 25 46 S.G.P.T 25 47 SERUM ALKALINE PHOSPHATE 35

14 Amended vide FD Order No. F. 6(2) FD/Rules/2013 dated 14-07-2015 and No. F. 6(2) FD/Rules/2013 Pt-I dated 16-10-2015.

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48 ACID PHOSPHATE 25 49 SERUM L D H 100 50 SERUM C P K NAC 100 51 SERUM C P K - M B 100 52 SERUM G G T 100 53 SERUM AMYLASE 60 54 SERUM LIPASE 60 55 TOTAL LIPID PROFILE 210 56 TRIGLYCERIDES 70 57 TOTAL CHOLESTEROL 25 58 H D L CHOLESTEROL 40 59 GLYCATED HB. AND HB A/C 200 60 C.S.F. 70 61 ASCITIC FLUID 70 62 PLEURAL FLUID 70 63 SERUM FERRITIN 200 BLOOD BANK SERVICE CHARGES / TESTING CHARGES 64 WHOLE BLOOD 1050 Per Unit 65 PACKED RED CELLS 1050 Per Unit 66 FRESH FROZEN, PLASMA 400 Per Unit 67 PLATELET CONCENTRATE 400 Per Unit 68 CRYOPRECIPITATE 250 Per Unit 69 NAT 1000 Per Unit 70 CHEMILUMINESCENCE 300 Per Unit 71 IV GENERATION ELISA HIV 50 Per Unit 72 IV GENERATION ELISA HBsAg 50 Per Unit 73 IV GENRATION ELISA HCV 150 Per Unit 74 ANTI HBC 200 Per Unit 75 ANTIBODY SCREENING (DONOR) 200 Per Unit 76 LEUCO FILTRATION RED CELLS 700 Per Unit 77 LEUCO FILTRATION PLATELET 900 Per Unit 78 GRUPING AND CROSS MATCHING BY AUTOMATION 150 Per Unit 79 GRUPING AND CROSS MATCHING BY SEMI –AUTOMATION 100 Per Unit 80 PHENOTYING FOR EXTENDED SEROLOGY 300 Per Unit 81 IRRADIATION 300 Per Unit 82 BACTERIAL DETECTION 500 Per Unit 83 RED CELL (BUFFY COAT METHOD) 200 Per Unit 84 PLATELETS (BUFFY COAT METHOD) 70 Per Unit 85 PLASMA (BUFFY COAT METHOD) 70 Per Unit 86 PLATELTES APHERESIS 9500 Per Unit 87 PLATELETS APHERESIS FOR INDOOR PATIENT IN GOVERNMENT

HOSPITAL 7500 Per Unit

88 ALBUMIN 05%(100ML) 300 Per Unit 89 ALBUMIN 20%(50ML) 475 Per Unit 90 PLASMA PHERESIS (PER CYCLE) 4000 Per Unit 91 THERAPEUTIC PLASMA EXCHANGE 7000 Per Unit 92 WHOLE BLOOD / PACK CELL (PRC) GOVT. TO GOVT. 300 Per Unit 93 F F P/PLASMS PRIVATE SUPPY 400 Per Unit CARDIOLOGY & ANGIOGRAPHY 94 ANGIOGRAPHY ABDOMEN 575 95 ANGIOGRAPHY CEREBRAL 575 96 ANGIOGRAPHY FOUR VESSELS 575 97 ANGIOGRAPHY R.T.C 400 98 ANGIOGRAPHY VENOGRAM 350 99 COMPUTERISED TREADMILL TEST(CTMT) 400 100 CORONAL ANGIOGRAPHY 1000 101 2-D ECHO CARDIOGRAPHY 575 102 E C G BED SIDE 15 103 E C G 30 104 HOLTER MONITORING 575 105 TEE 575 106 TEMPORARY PACE MAKER SERVICE CHARGES 1000 107 COMPLETE PACKAGE FOR ANGIOGARAPHY 6000 CLINICAL MICROBIOLOGY

98

108 H BS AG 60 109 H BS ANTIBODY 350 110 ANTI H BC IG M 350 111 H BE ANTIGEN 350 112 ANTI H BE 350 113 ANTI H A V IG M 350 114 ANTI H C V 350 115 HEV IGM 350 116 STOOL EXAMINATION 15 117 WIDAL 30 118 BRUCELLA TEST(BRUCELLOSIS) 175 119 V.D.R.L. TEST (QUALITATIVE) 20 120 V.D.R.L. TEST (QUANTITATIVE) 30 121 ANTI STREPTOLYSIN O TITIRE(A S L O) 70 122 ANTI STREPTOLYSIN O TITIRE (FOR EACH DIL) 35 123 C REACTIVE PROTEIN (CRP) 35 124 RHEUMATOID FACTOR(RF) 35 125 PREGNANCY TEST-URINE HCG(QUALITATIVE) 35 126 PREGNANCY TEST-URINE HCG(QUANTITATIVE) 25 127 DENGUE TEST IG M AND IG G ANTIBODIES(RAPID) 475 128 TB IGM ANTIBODIES 200 129 TB IGG ANTIBODIES 200 130 TB IGA ANTIBODIES 200 131 COMPLETE TORCH PROFILE 1,400 132 TOXOPLASMA IGM ANTIBODY 175 133 RUBELLA IGM ANTIBODY 175 134 CYTOMEGALO VIRUS IGM ANTIBODY 175 135 HERPES SIMPLEX VIRUS IGM ANTIBODY 175 136 TOXOPLASMA IGG ANTIBODY 175 137 RUBELLA IGG ANTIBODY 175 138 CYTOMEGALO VIRUS IGG ANTIBODY 175 139 HERPES SIMPLEX VIRUS IGG ANTIBODY 175 140 ANTI NUCLEAR ANTIBODY 300 141 HELICOBACTER PYLORI IGM ANTIBODY 300 142 HELICOBACTER PYLORI IGG ANTIBODY 300 143 TGG SCRUB TYPHUS 700 144 TGM SCRUB TYPHUS 700 145 ANTI ECHINOCOCCAL IGG ANTIBODY 475 146 ANTI LEISHMANIAL ANTIBODY 350 147 ANTI D S DNA 300 148 CHLAMYDIA TRANCHOMATIS ANTIBODY IGM 400 149 CHLAMYDIA TRANCHOMAFTIS ANTIBODY IGG 400 150 CHLAMYDIA TRANCHOMATIS ANTIBODY IGA 400 151 CHIKUNGUNYA IGM ANTIBODY 250 152 ANTI H D V IG M 350 153 PAUL BUNNEL TEST 30 154 EBV IGM (ELISA METHOD) 200 155 EBV IGG (ELISA METHOD) 200 156 SERUM PCT BY CHEMI E411 COBAS 900 CT SURGERY 157 BLOOD GAS ESTIMATION CHARGES IN DAY 150 158 BLOOD GAS ESTIMATION CHARGES IN NIGHT 200 159 C T O T CHARGES 4000 160 PACKAGE FOR OPEN HEART SURGERY 750 ENT 161 ADID 35 162 AUDIOMETERY 100 163 BERA 300 164 C C G 50 165 E.N.G 300 166 FIBREOPTIC ENDOSCOPY 60 167 FUNCTIONAL ENDOSPIC SINUS SURGERY (FES) 750 168 MIROSCOPIC EX OFEAR 50 169 TYMPANOMETERY 120

99

170 RIGID TELE LARYNGOSCOPY TEST 150 171 A B R 300 172 A S S R 300 173 O A E - A 230 174 VOICE ANALYSIS TEST 350 175 90 DEGREE TELEARYNGOSCOPE 100 176 STROBOSCOPY 150 177 SPEECH ANALYSIS 100 178 SPEECH THERAPY SESSION 100 179 O A E - B 150 180 E U M 50 181 O DEGREE DIAGNOSTIC NASAL ENDOSCOPY 50 182 FLEXIBLE RHINO LARYNGO SCOPY BIOPSY 500 ENDOCRINOLOGY 183 GLUCOSE MONITOGRAPHY 4000 EYE 184 A.SCAN 120 185 AUTOMATIC FIELD ANALYZER 300 186 B-SCAN SONOGRAPHY 230 187 COLOUR PHOTOGRAPH 60 188 FUNDUS CAMERA CHARGES 450 189 PHACO PROCEDURES CHARGES 200 190 SCAN BIOMETERY 120 191 SITTING FOR GREEN LASOR MACHINE 575 192 YAG LASER 350 193 CONDUCTING OCT PER SCAN (BOTH EYE) 500 194 F F A (EXCLUSIVE OF DYE & CONSUMABLES 500 195 F F A (DYE & CONSUMABLES PLUS CD RECORD) 600 196 CONDUCTING OCT PER SCAN BOTH EYE + CD RECORD/PRINTOUT 600 197 PENTACAM ANALYSIS 500 GASTROENTEROLOGY 198 ANTI H C V 350 199 ANTI HAV IGM 350 200 ANTI HBE 350 201 ANTI HEV 350 202 E.R.C.P 1500 203 ENDOBILARY SURGERY 575 204 H BE AG 350 205 HBSAG 60 206 INJECTION PILES 80 207 PCT TEST (HBV DNA QUALITATIVE) 1000 208 PCT TEST (HBV RNA QUALITATIVE) 1000 209 SIGMOIDESCOPY 500 210 THERAPEUTIC GASTROSCOPY 230 211 RATE FOR CAPSULE 2000 212 DIAGNOSTIC EUS 1600 213 THERAPEUTIC EUS 3200 214 SINGLE BALOON OF ENTEROSCOPE 4000 215 BLOOD AMMONIA LEVEL TEST 400 216 ENTROSCOPY 6000 GENERAL LAB 217 CYTOLOGY 60 218 F.N.A.C 60 219 NEURO CYTOLOGY 60 HLA LAB 220 FACTOR IX 800 221 FDP (QUANTITATIVE) 1000 222 D.DIMER (QUANTITATIVE) 1000 223 THROMBIN TIME 200 224 APTT 60 225 PROTEIN C 1500 226 PROTEIN S 1500 227 LUPUS ANTICOAGULANT PROFILE 1000 228 V W F (VON WILLI BRAND FACTOR) 4200

100

229 RETICULOCYTE COUNT & PROFILE 100 230 FLOWCYTOMETRY REGULAR FOR ACUTE LEUKEMIA 4850 231 FLOWCYTOMETRY OTHER MARKER (PER MARKER) 400 232 FLOWCYTOMETRY FOR SEPSIS OTHER MARKER [400X4] 1600 233 MPO & PAS 40 234 LAP SCORE 50 235 HLA B-27 1000 236 HLA TYPING FOR CELIAC DISEASE (DQ2 & DQ8) 2000 237 ABC & DR D/Q (MOLECULAR / SEROLOGY) 4000 238 CROSS MATCHING (HLA) 900 239 ABC & DR D/Q CROSS MATCH (SINGLE) 4900 240 ABC & DR D/Q CROSS MATCH (PATIENT WITH DONOR) 8900 241 S. FIBRINOGEN 350 242 IRON STAINING IN BONE MARROW 100 243 AUTOMATED BODY FLUID COUNT 150 244 HPLC 500 IMMUNOLOGY 245 COMPLEMENT C3 LEVELS 350 246 COMPLEMENT C4 LEVELS 350 247 IMMUNOLOBULIN A IG A 450 248 IMMUNOLOBULIN G IG G 450 249 IMMUNOLOBULIN M IG M 450 IMMUNOASSAY BIOCHMEISTRY (MEDICINE) 250 F T 3 100 251 F T 4 100 252 T S H 100 253 ANTI T P O AB 250 254 FOLLICLE STIMULATING HORMONE (FSH) 150 255 LEUTINIZING HORMONE (L H) 150 256 S PROLACTIN 150 257 BETA H C G 200 258 TESTOSTERONE 200 259 CORTISOL 200 260 GROWTH HORMONE (H G H) 200 261 PARATHYROID HORMONE (P T H) 400 262 INSULIN 200 263 FERRITIN 150 264 VITAMIN B 12 300 265 FOLATE 300 266 CARCINOEMBRYONIC ANTIGEN (C E A) 200 267 ALPHA PHETO PROTEIN (AFP) 200 268 C A - 125 320 269 PROSTATE SPECIFIC ANTIGEN (P S A ) 200 270 TOTAL IG E 250 271 VITAMIN D3 1000 MICROBIOLOGY 272 ACID FAST BACILLI STAIN FOR M. LEPRAE 20 273 ACID FAST BACILLI STAIN (FOR NOCARDIA) 20 274 ACID FAST STAIN FOR CRYPTOSPORIDUIM DETECTION 20 275 ACID FAST STAIN FOR LSOPARE BELLI 20 276 AEROBIC BACTERIAL CULTURE AND SENSITIVITY BLOOD 95 277 AEROBIC BACTERIAL CULTURE AND SENSITIVITY PLUS 70 278 AEROBIC BACTERIAL CULTURE AND SENSITIVITY SEMEN 70 279 AEROBIC BACTERIAL CULTURE AND SENSITIVITY SPUTUM 70 280 AEROBIC BACTERIAL CULTURE AND SENSITIVITY STOOL 70 281 ALBERT/NEISSERS STAINNING 20 282 AEROBIC BACTERIAL CULTURE 115 283 ANTINYCOBACTERIAL DRUG SENSITIVITY 60 284 ANTIBODY DETECTION CD4 CD3 FACS COUNT 500 285 BACTEC 9120WITH API AUTOMATED IDENTOIFICATION SYSTEM 600 286 BACTEC-MGIT-960 TB CUTTURE 500 287 BACTEC-TB DRUG SENSITIVITY TESTING(SIREZ-5DRUGS) 1900 288 CSF FOR C/S 70 289 ECHINOCOCUS DETECTIOON 20

101

290 FUNGUS CULTURE 120 291 GIARDIA LAMBIA DETECTION 20 292 GRAMS STAINING 20 293 HIV TESTING 10 294 IMMUNOGLOBLIN A IG A 450 295 IMMUNOGLOBLIN E IG E 450 296 IMMUNOGLOBLING IG G 450 297 IMMUNOGLOBLIN M IG M 450 298 KOH MOUNT AND SMEAR 20 299 LEISHMANIA 20 300 MALARIAL PARASITE 20 301 MICROFILARIAE 20 302 MYCOBACTERIAL CULTURE AND IDENTIFICATION OTHER THAN

URINE 100

303 MYCOBACTERIAL CULTURE AND IDENTIFICATION URINE 160 304 NEGATIVE STAINING FOR CYPTOCOCCUS 20 305 PUS FOR C/S 70 306 QUANTITATIVE ESTIMATION OF CHLAMYSIYA TRACHOMATIS 1000 307 QUANTITATIVE ESTIMATION OF CYTOMEGALOVIRUS 800 308 QUANTITATIVE ESTIMATION OF H B V (VIRAL LOAD) 2000 309 QUANTITATIVE ESTIMATION OF C H V (VIRAL LOAD) 2500 310 QUANTITATIVE ESTIMATION OF H I V (VIRAL LOAD) 2200 311 QUANTITATIVE ESTIMATION OF M T B (PCR) 1000 312 SEMAN FOR C/S 70 313 TRICHOMONAS VAGINALS DETECTION 20 314 TRYPANOSOMES 20 315 URINE FOR C/S 70 316 AUTOMATED IDENTIFICATION AND SENSITIVITY FOR AEROBIC

BACTERIA(VITEK-2) 600

317 AUTOMATED IDENTIFICATION AND SENSITIVITY YEAST (VITEK-2) 600 318 HANGING DROP FOR STOOL 20 319 STOOL MICROSCOPY FOR INTESTINAL PARASITES 20 320 MTBDR PLUS FOR MDR TB 1500 321 MTBDRSL FOR XDR TB DETECTION 2000 322 CM/AS (NTM/MTB) FOR SPECIES IDENTIFICATION 2000 323 MTBC (FOR SPECIES IDENTIFICATION OF MTB COMPLEX 1500 MYCOBACTERIOLOGY 324 ANTI MYCOBACTERRIAL DRUG SENSITIVITY 60 325 MYCOBACTEROAL CULTURE AND INDEN 160 MYCOLOGY 326 ACID FAST BACILLI STAIN(FOR NOCARDIA) 20 327 FUNGUS CULTURE 120 328 KOH MOUNT AND SMEAR 20 329 NEGATIVE STAINING FOR CYPTOCOCCUS 20 NEURO SURGERY 330 ENDOSCOPEASISTED MICRO-NEUROSURGERY 1,000 331 FULL PACKAGE 3,500 332 NEURO ENDOSCOPIC-3RD VENTRICULOSTOMY 2,000 333 SUGITA ANEURYSM CLIP 7,500 334 USE OF C-ARM IMAGE INTENSIFIER IN OT 200 335 USE OF C-ARM IMAGE INTENSIFIER WITH DSA 800 NEUROLOGY 336 AMBULATORY EEG 1000 337 E E G 250 338 EMG 600 339 EVOKED RESPONSE (SINGLE) 230 340 EVOKED RESPONSE (MULTIPLE ALL) 400 341 NCV 400 342 POLYSOMNOGRAPHY AND SLEEP STUDIES 800 343 REPITITIVE STIMULATION 230 344 VIEDO E E G 600 345 V E P 300 346 B A E R 300 347 NCV/EMG 1000

102

348 VEP/BAER 600 349 24 E E G AUDIOMETRY 1000 PARASITOLOGY 350 ANTI ECHINOCOCCAL IGG ANTIBODY 475 351 ANTI LEISHMANIAL ANTIBODY 350 352 ACID FAST STAIN FOR CRYPTOSPORIDUM DETECTION 20 353 ACID FAST STAIN FOR LSOPARE BELLI 20 354 ECHINOCOCUS DETECTION 20 355 GIARDIA LAMBIA DETECTION 20 356 LEISHMANIA 20 357 MALARIAL PARASITE 20 358 MICROFILARIA 20 359 TRICHOMONAS VAGINALS DETECTION 20 360 TRYPANOSOMES 20 PATHOLOGY 361 HAEMOGLOBIN 30 362 TOTAL LEUCOCYTE COUNT 15 363 DIFF. LEUCOCYTE COUNT 15 364 TOTAL EOSINOPHIL COUNT(T E C) 15 365 TOTAL RED BLOOD CELLS 15 366 ERYTHROCYTE SEDIMENTATION RATE (E S R) 10 367 PERIPHERAL BLOOD FILM EXAMINATION (P B F) 20 368 MALARIA PARASITE BY BLOOD SMEAR (MP) 20 369 MALARIA ANTIGEN DETECTION 150 370 M P BY QBC 50 371 PLATELET COUNTS 15 372 RETICULOCYTE COUNT AND PROFILE 100 373 BLEEDING TIME 10 374 CLOTTING TIME 10 375 PACK CELL VOLUME (pathology) 15 376 COMPLETE BLOOD COUNT 90 377 URINE EXAMINATION COMPLETE 15 378 MICRO ALBUMINURIA 150 379 SEMEN EXAMINATION 15 380 C.S.F. CELL COUNT 15 381 ASCITIC FLUID CELL COUNT 15 382 PLEURAL FLUID CELL COUNT 15 383 GASTRIC ASPIRATE 15 384 PERICARDIAL FLUID CELL COUNT 15 385 ANY OTHER FLUID 15 386 P.T.T.K. 60 387 PROTHROMBIN TIME 30 388 FDP TEST 300 389 D-DIMER TEST 250 390 COOMBS TEST – DIRECT 25 391 COOMBS TEST – INDIRECT 25 392 AFB FOR MALIGNANT CELL (ACID FAST BECILLI 60 393 ASCETIC FLUID FOR MALIFNANT CELL 60 394 BIOPSY 150 395 BONEMARROW ASPIRATION AND PBF 60 396 BRONCHIAL WASH 60 397 CBC 90 398 CRT 15 399 CSS FOR MALIGNANT CELL 60 400 FNAC – PATHOLOGY 60 401 FENAL HB 30 402 FLUID FOR CYTOLOGY 60 403 G-6 PD 25 404 HP LC 500 405 HB ELECTROPHORIESIS 90 406 LE CELL 30 407 OSMOTIC FRAGLITY 30 408 PAP SMEAR 60 409 PBF 20

103

410 PERITONEAL FLIUD FOR CPE 60 411 PUS FOR MALIGNANT CELL 60 412 RETICULOCYTE COUNT 15 413 SICKLING TEST 30 414 SPUTUM FOR MALIGNANT CELL 60 415 URINE FOR MALIGNANT CELL 60 416 URINE FOR CYTOLOGY 60 417 RENAL BIOPSY LM 150 418 RENAL BIOPSY LM + IF 650 PULMONARY LAB 419 MISC.TEST (LIKE MOULDS. FUNGI. DRUGS ETC. ) 150 420 BODY TEST (RAW ITGV) 120 421 BRONCHOSCOPY 350 422 DIFFUSION TEST (SINGLE BREATH) 200 423 LUNG VOLUME AND SUB DIVISION 120 424 MOMBRANA DIFFUSION CAPACITY (TABSFER F) 120 425 P F T PRE AND POST 150 426 P F T 100 427 SKIN PRICK TEST 350 428 SPIROMETRY TEST 100 429 VENTILLATION STUDIES 120 430 FE NO(EXHALED NITRIC OXIDE) 400 R V T LAB 431 ANTIBODY DETECTION DC4 CD3 FACS COUNT 500 432 HIV TESTING 10 RADIO ISOTOP LAB 433 BONE SCANNING 575 434 BRAIN SCANNING 350 435 G.B. SCANNING 400 436 HGH 230 437 INSULIN ESTIMATION 230 438 ISOTOP RENOGRAM 350 439 LIVER SCANNING 350 440 RENAL SCANNING 350 441 STRESS MUGA SCANE 575 442 THROID SCANNING 300 RADIO DIAGNOSIS 443 VIRTUAL ENDOSCOPY ANGIOSCOPY 400 444 BASE OF SKULL/ORBIT/PNS/SELLA/PARA/ SUPRA SELLAR REGION 500 445 VIRTUAL ENDOSCOPY COLON 800 446 DENTASCAN 900 447 DXA EXPLORER BODY FAT ESTIMATION 400 448 DXA EXPLORER SINGLE SITE 400 449 DXA EXPLORER THREE SITE 800 450 DXA EXPLORER TWO SITE 600 451 DXA EXPLORER WHOLE BODY 1000 452 VIRTUAL ENDOSCOPY BRONCHUS 700 453 VIRTUAL ENDOSCOPY OESOPHAGUS 200 454 RADIOTHERAPY PLANNING 700 455 VIRTUAL ENDOSCOPY SMALL BOWEL ETC. 700 456 CT GUIDED BIOPSY WITH DEVICE 2,500 457 USG GUIDED BIOPSY WITH DEVICE 2,000 458 CECT LARING PHARINXS NECK 650 459 CECT ABDOMEN 700 460 CECT CHEST 700 461 CECT FACE 650 462 CECT KUB 1700 463 CECT LOWER ABDOMEN 700 464 CECT MANDIBLE 650 465 CECT MAXILLA 650 466 CECT MOUTH 650 467 CECT NASOPHARYENS 650 468 CECT NECK 650

104

469 CECT NECK REGION 650 470 CECT ORALCAVITY 650 471 CECT ORBIT 650 472 CECT PELVIS 700 473 CECT PNS 650 474 CECT SELLA 650 475 CECT TEMPORAL BONE 650 476 CECT UPPER ABDOMEN 650 477 CECT WHOLE ABDOMEN 700 478 CT ANGIOGRAPHY 1700 479 CT ANGIOGRAPHY (ANY ONE PART)/ CALCIUM SCORING 1700 480 CT ANGIOGRAPHY ABDOMEN 1700 481 CT ANGIOGRAPHY AROTA 1700 482 CT ANGIOGRAPHY CAROTIDS 1700 483 CT ANGIOGRAPHY CHEST 1700 484 CT ANGIOGRAPHY COELSAC 1700 485 CT ANGIOGRAPHY CORONARY 3600 486 CT ANGIOGRAPHY FACE 1700 487 CT ANGIOGRAPHY GREAT VESSELS 1700 488 CT ANGIOGRAPHY LOWER LIMB 1700 489 CT ANGIOGRAPHY OF AROTA & PERIPHERAL VESSELS WITH 3D 2400 490 CT ANGIOGRAPHY OF BRAIN 1700 491 CT ANGIOGRAPHY OF CARDIAC CHAMBERS WITH 3D 3600 492 CT ANGIOGRAPHY OF CARDIAC VEINS & CORONARY SINUS WITH 3D 3600

493 CT ANGIOGRAPHY OF CEREBRAL VESSELS WITH 3D RECONSTRUCTION

2000

494 CT ANGIOGRAPHY OF CORONARY ARTERIES ALONG WITH CALCIUM SCORING

3600

495 CT ANGIOGRAPHY OF HEPATIC ETC 1700 496 CT ANGIOGRAPHY OF MESENTERIC 1700 497 CT ANGIOGRAPHY OF NECK VESSELS 2000 498 CT ANGIOGRAPHY OF PULMONARY ARTERIES & VEINS 2400 499 CT ANGIOGRAPHY OF RENAL 1700 500 CT ANGIOGRAPHY OF SPLENIC 1700 501 CT ANGIOGRAPHY PERIPHERAL VESSELS 1700 502 CT ANGIOGRAPHY PULMONARY 1700 503 CT ANGIOGRAPHY UPPER LIMB 1700 504 CT ANGIOSCOPY OF BRONCHUS 1700 505 CT BRAIN PLAIN 1000 506 CT BRAIN PLAIN & CONTRAST 1000 507 CT BRAIN REPEAT (WITHIN 7 DAYS) 0

508 CT CARDIAC ANGIOGRAPHY OF CONGENITAL HEART DISEASE (PAEDIATRIC)

3600

509 CT CERVICAL SPINE 650 510 CT CERVICO DORSAL SPINE 1300 511 CT CHEST 700 512 CT CISTRNOGRAM 1700 513 CT DENTA SCAN 1700 514 CT DORSAL SPINE 650 515 CT DORSO LUMBER SPINE 1300 516 CT DYNAMIC OF C.V. JUNCTION / ANY ONE REGION OF SPINE 1600 517 CT DYNAMIC STUDY 2000 518 CT FACE WITH 3D 700 519 CT FLUOROSCOPY 1100 520 CT GUIDED BIOPSY OF BRAIN & SPINAL REGION 900 521 CT GUIDED CARDIAC INTERVENTIONAL RPOCEDURES 4000 522 CT GUIDED PROCEDURES 1100 523 CT HIP JOIN WITH 3D 1400 524 CT JOINT (ANY ONE) 650 525 CT JOINTS ANYONE MUSCULOSKELETAL WITH 3D 1400 526 CT L S SPINE 650 527 CT LUMBOSACRAL SPINE FLEXION EXTION 1600 528 CT MUSCULOSKELETAL 650 529 CT OF HEAD (BONY CUT & 3D RECONTRUCTIONS) 1600

105

530 CT OF HEAD WITH DIRECT CORONAL CUTS 1000 531 CT OF HEAD WITH THIN POST FOSSA CUTS 800 532 CT OF MYLOGORAPHY 1600 533 CT PAROTID REGION & CONTRAST 650 534 CT PERFUSION 2000 535 CT PITUITARY FOSSA 650 536 CT PNS 650 537 CT SCAN ANKLE JOINT 650 538 CT SCAN ARM 650 539 CT SCAN BASE OF SKULL 650 540 CT SCAN C V JUNCTION 650 541 CT SCAN CHEEK 650 542 CT SCAN CLAVICAL JOINT 650 543 CT SCAN ELBOW JOINT 650 544 CT SCAN FEMUR 650 545 CT SCAN FOOT 650 546 CT SCAN HAND 650 547 CT SCAN HUMRUS 650 548 CT SCAN KNEE JOINT 650 549 CT SCAN LEG 650 550 CT SCAN LOWER LIMB 650 551 CT SCAN MANDIBLE 650 552 CT SCAN MASTOID TEMPORAL BON 650 553 CT SCAN MAXILLA 650 554 CT SCAN PELVIS 700 555 CT SCAN SACRUM 650 556 CT SCAN SCANOGRAM 650 557 CT SCAN SELLA 650 558 CT SCAN SHOULDER JOINT 650 559 CT SCAN SI JOINT 650 560 CT SCAN STERNO CLAVICULAR JOINT 650 561 CT SCAN T M JOINT 650 562 CT SCAN THIGH 650 563 CT SCAN TIBIA 650 564 CT SCAN TRIPLE PHASE UPPER ABODMEN 1950 565 CT SCAN VENOUS PHASE 1700 566 CT SCAN VIRTUAL BRONCHOSCOPY 1700 567 CT SCAN WHOLE SPINE 1950 568 CT SCAN WRIST 650 569 CT SPINE (ANY ONE PART) 650 570 CT TEMPORAL BONE 650 571 CT THORACO LUMBER SPINE 1300 572 CT THORAX & CHEST 700 573 CT UROGRAPHY 1700 574 CT VENOGRAPHY 1700 575 CT VENOGRAPHY BRAIN 1700 576 HRCT CHEST 700 577 HRCT TEMPORAL BONE 650 578 NCCT ABDOMEN 700 579 NCCT CHEST 700 580 NCCT KUB 1700 581 NCCT ORBIT 650 582 NCCT SCAN NECK 650 583 NCCT WHOLE ABDOMEN 700 584 TRIPLE PHASE WHOLE ABDOMEN 2100 585 MR ANGIO LOWER LIMB 2400 586 MR ANGIO UPPER LIMB 2400 587 MR ANGIOGRAPHY ABDOMEN 3200 588 MR ANGIOGRAPHY B/L UPPER LIMB 4800

589 MR ANGIOGRAPHY BRAIN ALL PHASES UPTO VENOUS PHASE/ VENOGRAPHY

2800

590 MR ANGIOGRAPHY INTRACRANIAL VESSELS 2800 591 MR ANGIOGRAPHY LEFT UPPER LIMB 2400 592 MR ANGIOGRAPHY NECK 1600

106

593 MR ANGIOGRAPHY NECK VESSELS 2800 594 MR ANGIOGRAPHY OF CORONARY ARTERIES 3600 595 MR ANGIOGRAPHY OF THORACIC AORTA AND ITS VESSELS 3600 596 MR ANGIOGRAPHY RIGHT UPPER LIMB 2400 597 MR BRAIN VENOGRAPHY 2800 598 MR BRAIN WITH PERFUSION & DIFFUSION 4200 599 MR CSF FLOW STUDIES 1250 600 MR MYLOGRAPHY 1000 601 MR RENAL ANGIO / ARCH OF AORTA 2000 602 MRCP 2100 603 MRI CARDIAC FOR CHAMBERS 3200

604 MRI CISTERNOGRAPHY TO SUDY CSF FLOW AT FORAMEN MAGNUM IF NEEDED

2800

605 MRI DIFFUSION TENSOR IMAGING 2400 606 MRI DYNAMIC SCAN OF PITUITARY GLAND 2400 607 MRI DYNAMIC SCAN OF PROSTRATE 2400 608 MRI DYNAMIC SCAN OF UTERUS 2400 609 MRI FOR CARDIAC CARDIOMYOPATHY UNFILTRATIVE DISORDERS 3200 610 MRI FOR CARDIAC CONGENITAL HEART DISEASE 3600 611 MRI FOR CARDIAC VENTRICULAR FUNCTION ASSESSMENT 3200 612 MRI FOR CARDIAC VIABILITY ASSESSMENT 3600 613 MRI MAMMOGRAPHY 1100 614 MRI OF ABDOMEN AORTA AND PERIPHERAL VESSELS 4000 615 MRI OF ARTHOGRAM 3600 616 MRI OF AXILLA 2800 617 MRI OF B/L TM JOINT 5600 618 MRI OF BASE OF SKULL 1250 619 MRI OF BRACHIAL PLEXUS 2100 620 MRI OF BRAIN 3200 621 MRI OF BRAIN WITH CONTRAST 3200 622 MRI OF BREAST 3600 623 MRI OF BUCCAL MUCOSA 2400 624 MRI OF C V JUNCTION SCREENING WHOLE SPINE 3350 625 MRI OF CERVICAL + C V JUNCTION 3350 626 MRI OF CERVICAL SPINE 2950 627 MRI OF CERVICAL SPINE + SCREENING DORSAL SPINE 3350 628 MRI OF CERVICAL SPINE + SCREENING L S SPINE 3350 629 MRI OF CERVICAL SPINE + SCREENING WHOLE SPINE 3350 630 MRI OF CERVICO DORSAL SPINE 3350 631 MRI OF CHECK 2000 632 MRI OF CHEST 1100 633 MRI OF CISTERNOGRAPHY 800 634 MRI OF CV JUNCTION 2800

635 MRI OF CV JUNCTION AND CERVICAL SPINE (EXTENSION FLEXION AND NEUTRAL)

3100

636 MRI OF D L SPINE 2950 637 MRI OF D L SPINE + SCREENING WHOLE SPINE 3350 638 MRI OF D L SPINE SCREENING OF WHOLE SPINE 3350 639 MRI OF DORSAL SPINE 2950 640 MRI OF DORSAL SPINE + SCREENING CERVICAL SPINE 3350 641 MRI OF DORSAL SPINE + SCREEING L S SPINE 3350 642 MRI OF DORSAL SPINE + SCREEING WHOLE SPINE 3350 643 MRI OF DWI 800 644 MRI OF FACE 2000 645 MRI OF FEMUR 2800 646 MRI OF FUNCTIONAL IMAGING 2400 647 MRI OF GLUTEL REGION 2800 648 MRI OF GRE 800 649 MRI OF HIP JOINT 2800 650 MRI OF KUB 2000 651 MRI OF L S SPINE 2950 652 MRI OF L S SPINE + SCREENING CERVICAL SPINE 3350 653 MRI OF L S SPINE + SCREENING DORSAL SPINE 3350 654 MRI OF L S SPINE + SCREENING WHOLE SPINE 3350

107

655 MRI OF LEFT ANKLE JOINT 2800 656 MRI OF LEFT ARM 2800 657 MRI OF LEFT ELBOW JOINT 2800 658 MRI OF LEFT FA 2800 659 MRI OF LEFT FOOT 2000 660 MRI OF LEFT HAND 2000 661 MRI OF LEFT KNEE JOINT 2800 662 MRI OF LEFT LEG 2000 663 MRI OF LEFT SHOULDER JOINT 2800 664 MRI OF LEFT THIGH 2000 665 MRI OF LEFT TIBIA 2800 666 MRI OF LEFT TM JOINT 2800 667 MRI OF LEFT WRIST JOINT 2800 668 MRI OF LOWER ABDOMEN 1100 669 MRI OF LUMBER PLEXUS 2000 670 MRI OF MANDIBLE 2000 671 MRI OF MASTOID 1600 672 MRI OF MAXILLA 2000 673 MRI OF MEDIASTINUM 2000 674 MRI OF MIDDLE EAR 1600 675 MRI OF NASOPHARYNX 1250 676 MRI OF NECK 2950 677 MRI OF ORAL CAVITY 2950 678 MRI OF ORBIT 1250 679 MRI OF PAROTID 2950 680 MRI OF PELVIS 1100 681 MRI OF PITUTARY 1250 682 MRI OF PNS 1250 683 MRI OF PROSTATE 1100 684 MRI OF PROSTATE /SPECTROSCOPY 1100 685 MRI OF RIGHT ANKLE JOINT 2800 686 MRI OF RIGHT ELBOW JOINT 2800 687 MRI OF RIGHT F A 2800 688 MRI OF RIGHT FOOT 2000 689 MRI OF RIGHT HAND 2000 690 MRI OF RIGHT KNEE JOINT 2800 691 MRI OF RIGHT LEG 2000 692 MRI OF RIGHT SHOULDER JOINT 2800 693 MRI OF RIGHT THIGH 2000 694 MRI OF RIGHT TIBIA 2800 695 MRI OF RIGHT WRIST JOINT 2800 696 MRI OF RT ARM 2800 697 MRI OF RT TM JOINT 2800 698 MRI OF S I JOINT 2800 699 MRI OF SACRUM COCCYEX 2000 700 MRI OF SCREENING OF WHOLE SPINE 3350 701 MRI OF SCREENING ONE PART 1000 702 MRI OF SCREENING ONE PART WITH OTHER ONE PART 1600 703 MRI OF SCROTUM 2000 704 MRI OF SELLA 1250 705 MRI OF SIALOGRAPHY 2000 706 MRI OF SPECTROSCOPY BRAIN 2800 707 MRI OF SPLENOPORTOVENOGRAM 3200 708 MRI OF TEMPORAL BONE 1600 709 MRI OF TESTIES 2000 710 MRI OF THORAX 1100

711 MRI OF THORAX INCLUDING CARDIAC / PULMONARY GREAT VESSELS

1100

712 MRI OF THYROID GLAND 2000 713 MRI OF TM JOINT 2800 714 MRI OF TOUNGE 2800 715 MRI OF TRIPLE PHASE STUDY OF ABDOMEN 4000 716 MRI OF UPPER ABDOMEN 1100 717 MRI OF UROGRAPHY 2000

108

718 MRI OF WHOLE ABDOMEN 1100 719 MRI OF WHOLE BODY 10000 720 MRI OF WHOLE SPINE 8850 721 MRI SCAPULAR REGION 2800 722 MRI SPINAL ANGIOGRAPHY 1800 RADIO-DIAGNOSIS X-RAY 723 X- RAY 60 724 X-RAY (2 VIEW/FILM) 120 725 X-RAY (3 VIEW/FILM) 180 726 X-RAY (4 VIEW/FILM) 240 727 X-RAY (5 VIEW/FILM) 300 728 X-RAY (6 VIEW/FILM) 360 729 X-RAY (7 VIEW/FILM) 420 730 X-RAY (8 VIEW/FILM) 480 731 DIGITAL X-RAY ANY BODY PART ONE 100 732 DIGITAL X-RAY ANY BODY PART TWO 200 733 DIGITAL X-RAY ANY BODY PART THREE 300 734 DIGITAL X-RAY ANY BODY PART FOUR 400 735 DIGITAL X-RAY ANY BODY PART FIVE 500 736 DIGITAL X-RAY PART TWO WITH ONE FILM 150 737 DIGITAL X-RAY PART FOUR WITH TWO FILM 300 738 DIGITAL X-RAY PART SIX WITH THREE FILM 450 739 DIGITAL X-RAY PART EIGHT WITH FOUR FILM 600 740 DENTAL X-RAY 25 741 OPG CHARGES PER FILM 165 RADIOLOGY 742 DEXA EXPLORER BODY FAT ESTIMATE 400 743 DEXA EXPLORER SINGLE SIDE 400 744 DEXA EXPLORER THREE SIDE 800 745 DEXA EXPLORER TWO SIDE 600 746 DEXA EXPLORER WHOLE BODY 1000 RENAL LAB 747 24 HR. URINE PROTEIN 25 748 BLOOD GAS ANALYSIS (ABG) 230 749 BLOOD GLUCOSE FASTING 20 750 BLOOD GLUCOSE PP 20 751 BLOOD UREA 25 752 DIFFERENTIAL LEUCOCYTE COUNT 15 753 ERYTHROCYTE SEDIMENTATION RATE 10 754 HAEMOGLOBIN 10 755 PACK CELL VOLUME 15 756 SERUM CHOLESTEROL 25 757 SERUM CREATININE 25 758 SERUM ELECTROLYTES 70 759 TOTAL LEUCOCYTE COUNT 15

760 URINE EXAMINATION COMPLETE (RENAL LAB)

15

SPECIAL INVESTIGATION 761 BARIUM ENEMA 500 762 BARIUM MEAL FALLOW THOUGH 900 763 BARIUM MEAL 500 764 BARIUM SWALLOW 250 765 BRONCHOGRAM 900 766 CAROTID ANGIOGRAM 600 767 CYSTOGRAM CYSTOURETHROGRAM 450 768 ERCP UNDER II TV WITH FILM 250 769 FOUR VESAL ANGIOGRAM 600 770 H.S.G. 400 771 I.V.C. 250 772 I.V.P. 500 773 LYMPHENGOGRAM 500 774 MEMOGRAPHY (FOR BOTH BREAST) 400 775 MEMOGRAPHY(FOR ONE BREAST) 200 776 MYELOGRAM 450

109

777 O.C.G. 175 778 ORTHO O.T. IITV 1000 779 SINOGRAM NEPHROSTOGRAM 300 780 T.TUBE CHOLONGOGRAPHY 300 781 VINOGRAM 600 782 P.T.C. 400 783 HAR Monic Scalpel 1000 784 C-Arm 500 785 HTV - per case 1000 SURGERY LAB 786 ADVANCE LAPAROSCOPIC TEST 1,500 787 LAPROSCOPIC ROUTINE TEST 700 788 RADIO FREQUENCY ABLATION VENUS THERAPY 10,000 ULTRASONOGRAPHY 789 COLOUR DOPPLER 600 790 INTRACAVITARY(T.VIGINAL OR T. RECTUM) 250 791 SONOGRAPHY WITHOUT FILM 100 792 SONOGRPHY WITH FILM 200 793 U.S GUIDED PROCEDURE (FNAC ASPIRACTION) 200 794 USG BIO PHYSICAL PROFILE 250 795 USG FOLLICULAR STUDY 350 796 USG SMALL PARTS (EYE. THYRID. AND ETC.) 150 UROLOGY 795 CMG AND EMG 400 796 CYSTOMETEROGRAM S URETHROL PRESSURE 100 799 CYSTOMETERY 100 800 CYSTOSCOPY 60 801 CYSTOYRETHROGRAM 100 802 LASER OPERATION CHARGES 2,500 803 LITHOTRIPSY(E.S.W.L) 2,500 804 PROSTATE 2,500 805 RENAL CALCULAS 2,500 806 RETROGRADE PYELOGRAM 100 807 STONE ANALYSIS 60 808 TOTAL URO-DYNAMIC EVALUATION 650 809 URETERAL CALCULAS 2,500 810 URETEROSCOPY 100 811 URETHEROSCOPY 60 812 UROFLOWNETERY 150 813 ANTIGRADE PYELOGRAM 100 B. RATES OF GENERAL PROCEDURES:-

S. No.

Item Extent of Reimbursemen

t (Rs.) GASTROENTEROLOGY

1 COLONOSCOPY POLYOECTOMY OR ANY OTHER PRO 575 2 COLONSCOPY 1000 3 ENDOSCOPY 350 4 GASTROSCOPY 500 5 LAPROSCOPY 350 6 THERAPEUTIC GASTROSCOPY 230 HAEMODIALYSIS

7 HAEMODIALYSIS CHARGES 500 8 DOUBLE LUMEN CATHETER (INTERNAL JUGULAR/ SUBCLAVIN/FEMORAL) 2000 9 HD- - DIALYSIS CHARGES 700 10 KIDNEY BIOPSY 230 11 PD TENCKHOFFS CATHETER 2,500 12 PERITONEAL DIALYSIS CATHETER S SET 375 13 PERITONEAL DIALYSIS CATHETER 175 14 A-V TUBLING AND DIALYSER 700

NEPHROLOGY 15 24 HOURS SESSION ON CRRT 20000 16 MORE SESSIONS OF CRRT 12000

110

17 RENAL BIOPSY (PER PROCEDURE) 2000 R R C

18 THERAPHY 10 19 R R C CUBICAL (PAYING WARD) 50 20 LOWER CPM 20 21 UPPER LIMB CPM 20

C. CANCER RADIATION LINEAR ACCELERATOR MACHINE:-

S. No.

Item Extent of Reimbursement

(Rs.) 1 SIMPLE PALLIATIVE TREATMENT WITHOUT COMPLEX PLANNING (SPRT) 5,000 2 COMPLEX PALLIATIVE TREATMENT (CPRT) 7,500 3 SIMPLE NON-PALLIATIVE FULL COURSE OF RADIOTHREAPY WITH

CURATIVE INTENT (SCRT) 15,000

4 COMPLEX NON-PALLIATIVE FULL COURSE OF RADIOTHERAPY WITH CURATIVE INTENT (CCRT)

22,500

5 COMPLETE TREATMENT PLANNING ON 3 D TPS (TPS) 5,000 6 CURATIVE ELECTRON THERAPY (CET) 15,000 7 3 D CRT-3D CONFORMAL RADIOTHERAPY 25,000 8 SRS-STEREOTACTIC RADIO SURGERY 125,000 9 SRT-STEREOTACTIC RADIO THERAPY 75,000 10 IMRT TREATMENT WITH COMPTER TREATMENT PLANNING 100,000 11 IMAGE-GUIDED RADIATION THERAPY (IGRT) 120,000