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GOVERNMENT OF RAJASTHAN

FINANCE DEPARTMENT
(RULES DIVISION)

Rajasthan Civil Services (Medical Attendance) Rules, 2013


(Updated upto 11-11-2016)

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.
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.
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.

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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 in
Appendix-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

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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 /

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

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(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;
and
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(m) cost of specific procedure included in Panchkarma for specific
diseases to the extent indicated in Appendix-XVII.

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Inserted vide Notification No. F.6(1)FD/Rules/2013 Pt. Dated 24-02-2016

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

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 ;

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(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 ;
(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.

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(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
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.

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(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,
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).

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(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.
(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 5Rs 1000/- 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.

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(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.

(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.

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(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
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.

- 14 -
(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.

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

6
Sub: 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).

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

- 15 -
(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.

(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.
……………………………………………………………………………………………
7
“ 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

7
Inserted vide FD Order No. F. 6 (2) FD/Rules/2013 Pt-III dated 27-06-2015

- 16 -
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.

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.”
----------------------------------------------------------------------------------------------------------------------

8
Sub: General Guidelines for prescription and ceiling reimbursable rates for artificial
limbs & Callipers under Rajasthan Civil Services (Medical Attendance) Rules, 2013

In exercise of the powers conferred under Rule 20 of the Rajasthan Civil Services (Medical
Attendance) Rules, 2013 and as per the decision of the Health Benefit Empowered Committee
(HBEC), the State Government hereby decides the general guidelines for the prescription and
ceiling reimbursable rates for artificial limbs and callipers as follows:-
1. Keeping in view the various categories of appliances, the lists of artificial appliances have
been categorized as per the following three Annexures and rates of artificial appliances
will be as per the Annexure-I, II and III to this Order:
Annexure-I: This contains list, rates and specifications of various types of Prosthetics
(i.e. artificial limbs) like prosthetics for lower extremity, prosthetics for
upper extremity [Annexure-I has been divided into Annexure IA, IB, IC, ID
and IE according to type].
Annexure-II: This contains list, rates and specifications pertaining to the orthotics (i.e.
callipers & braces) including lower extremity, upper extremity and spinal
orthotics. [Annexure-II has been divided into Annexure-IIA, IIB and IIC].
Annexure-III: This contains specifications and rates for items related to mobility aids.
2. The general guidelines for admissibility and reimbursement of expenses in respect of
appliances mentioned in Annexures-I, II & III will be as under:
(i) Maintenance Cost will be borne by the beneficiary.
(ii) The appliances will be allowed for re-issue on completion of 5 years in case of
adults and 2 years in the case of children.
(iii) High end prosthetics/appliances will be reimbursed only to the following category
of Government Servants & their dependent family members subject to fulfilling of
other criteria:-

8
No. F. 6(2)FD(Rules)/2016 Part-II dated 14-07-2016

- 17 -
(a) Government Servants & their dependent family members participating at
the State level sports activities duly certified by the competent Sports
Authority.
(b) Upper Age limit for the sophisticated prosthetic appliances will be 45 Yrs.
(c) Police personnel/ Re-employed Ex-Service man duly certified by their
respective Medical Boards that the person has sustain injury while on
field duly or undergone amputation because of injury sustained while
performing such duty.
(d) The reimbursement will be made within the ceiling limit fixed for such
appliances beyond which the beneficiary will bear the cost.
(iv) For admissibility of reimbursement the appliances need to be prescribed by a
Professor / Senior Specialist or Specialist of equivalent rank working in any
Government hospitals in the specialties of Physical Medicine and Rehabilitation
(PMR) or Orthopaedic surgery. The prescription should be in generic name and
not by proprietary name.
(v) Prosthetic components and Orthotic joints used in appliances should have
BIS/CE (European) Certification for the purposes of reimbursement and
fabricated by firms having qualified Prosthestist / Orthotists.
(vi) Keeping in view, the physical growth into consideration, individuals upto 12 years
of age will be considered as children for the purpose of these guidelines in
general. However, in order to rationalize the rates for some of the items, specific
age group has been mentioned against the individual items in Annexure-I and
Annexure-II, based on the size of the appliances.
(vii) The artificial appliances should be procured from any Government Undertaking
/Authorised Alimco dealers, N.G.Os approved by Government of Rajasthan and
private manufactures. It should be certified by the prescribing Government
Orthopedic Surgeon / Government Rehabilitation Specialists (PMR) to the effect
that the appliances are as per Specification and working satisfactorily.

ANNEXURE- IA
LOWER EXTREMITY PROSTHETICS (ABOVE 12 YEARS)
S. Name of Prosthesis Approved Rate/
No. Price
(in Rs.)
1 Transtibial prosthesis (Below Knee Prosthesis)
(Its components include- S.S. Pylon/tube, SACH FOOT, Foot
Adaptor, Bonded Pylon/ Pylon with 4 screw Adaptor, Tube Clamp 16000
Adaptor, Socket Adaptor, Sleeve Suspension, Foam Cover,
Covering Socks, Socket Charges, etc.)
2 Transtibial Prosthesis (Below Knee Prosthesis) with silicone / PU
29600
liner
2.a Transtibial Prosthesis (Below Knee Prosthesis) with silicone / PU
36400
liner with shuttle lock mechanism
3 Symes Prosthesis
Its component includes - SYME's Foot, Foot Adaptor Sleeve
15440
Suspension, Socket Mounting Adaptor, Covering Socks, Socket
Charges etc.
4 Partial Foot Prosthesis (Shoe with filler) 5600
5 Trans Femoral Prosthesis (Above Knee Prosthesis)
(Its Components include - S.S. Pylon/Tube, SACH FOOT, Foot
Adaptor, Bonded Pylon/Pylon with 4 Screw Adaptor (400mm) 32670
Polycentric Prosthetic Knee Joint, Socket Adaptor, TES Belt, Foam
cover, Covering Socks, Socket Fabrication & fitment charges)
6 Trans Femoral Prosthesis (Above Knee Prosthesis) with Suction
32670+3040=35710
Valve
7 Trans Femoral Prosthesis (Above Knee Prosthesis) with silicon /
48910
PU liner

- 18 -
7.a Trans Femoral Prosthesis (Above Knee Prosthesis) with silicon /
55710
PU liner with shuttle lock mechanism
8 Knee Disarticulation Prosthesis
(Its components include- S.S. Pylon/ tube, SACH FOOT, Foot
Adaptor, Bonded pylon/ Pylon with 4 screw Adaptor (400 mm) 41550
Polycentric Prosthetic Knee Joint, Socket Adaptor, TES Belt, Foam
cover, Covering Socks, Socket fabrication & fitment charges)
9 Hip Disarticulation Prosthesis
(Its components include- S.S. Pylon/ tube, SACH FOOT, Foot
Adaptor, Bonded pylon/ Pylon with 4 screw Adaptor (400 mm) Single
48240
axis Prosthetic Knee Joint, Hip Joint (basic), Tube (Angle tube
adaptor, 10 degree) Short Tube, Socket Adaptor, Foam cover,
Covering Socks, Socket fabrication & fitment charges.)

ANNEXURE- IB
LOWER EXTREMITY PROSTHETICS (CHILD UPTO THE AGE OF12 YEARS)
SI. Name of Prosthesis Approved Rate/ Approved
No Price Rate/ Price
. (Child 7-12 (Child 0-6
years) years)
(in Rs.) (in Rs.)
1 Transtibial prosthesis (Below Knee Prosthesis) 14510 3200
(Its components include- S.S. Pylon/tube, SACH
FOOT, Foot Adaptor, Bonded Pylon/ Pylon with 4
screw Adaptor, Tube Clamp Adaptor, Socket Adaptor,
Sleeve Suspension, Foam Cover, Covering Socks,
Socket Charges, etc.)
2 Trans Tibial Prosthesis (Below Knee Prosthesis) 28110 Not Applicable
with silicone / PU liner
2.a Trans Tibial Prosthesis 28110+6800 Not Applicable
with silicone / PU liner with shuttle lock mechanism =34910
3 Symes Prosthesis 15440 4000
Its component includes - SYME's Foot, Foot Adaptor
Sleeve Suspension, Socket Mounting Adaptor,
Covering Socks, Socket Charges.
4 Partial Foot Prosthesis (Shoe with filler) 3200 1200
5 Trans Femoral Prosthesis (Above Knee 39980 9600
Prosthesis)
(Its Components include - S.S. Pylon/Tube, SACH
FOOT, Foot Adaptor, Bonded Pylon/Pylon with 4
Screw Adaptor (400mm) Polycentric Prosthetic Knee
Joint, Socket Adaptor, TES Belt, Foam cover,
Covering Socks, Socket Fabrication & fitment charges)
6 Trans Femoral Prosthesis (Above Knee 39980+3040= Not Applicable
Prosthesis) with Suction Valve 43020
7 Trans Femoral Prosthesis (Above Knee 56220 Not Applicable
Prosthesis) with silicon / PU liner
7.a Trans Femoral Prosthesis (Above Knee 56220+6800= Not Applicable
Prosthesis) with silicon / PU liner with shuttle lock 63020
mechanism
8 Knee Disarticulation Prosthesis 39980 9600
(Its components include- S.S. Pylon/ tube, SACH
FOOT, Foot Adaptor, Bonded pylon/ Pylon with 4
screw Adaptor (400 mm) Polycentric Prosthetic Knee
Joint, Socket Adaptor, TES Belt, Foam cover,
Covering Socks, Socket fabrication & fitment charges)

- 19 -
9 Hip Disarticulation Prosthesis 48240 12000
(Its components include- S.S. Pylon/ tube, SACH
FOOT, Foot Adaptor, Bonded pylon/ Pylon with 4
screw Adaptor (400 mm) Single axis Prosthetic Knee
Joint, Hip Joint (basic), Tube (Angle tube adaptor, 10
degree) Short Tube, Socket Adaptor, Foam cover,
Covering Socks, Socket fabrication & fitment charges.)

Note
1. Description of Trans Tibial Prosthesis may be considered as Below Knee Prosthesis.
2. Prescription of Trans Femoral Prosthesis may be considered as Above Knee Prosthesis.

ANNEXURE- IC
HIGH END LOWER EXTREMITY PROSTHETICS
SI. Name of Prosthesis Approved Approved Approved
No. Rate/ Price Rate/ Rate/
(Above 12 Price Price
years of (Child 7- (Child 0-6
age) 12 years) years)
(in Rs.) (in Rs.) (in Rs.)
1 Transtibial prosthesis (Below Knee 21360 Not Not
Prosthesis) Applicable Applicable
(Its components include- S.S. Pylon/tube,
DYNAMIC RESPONSE FOOT, Foot Adaptor,
Bonded Pylon/ Pylon with 4 screw Adaptor, Tube
Clamp Adaptor, Socket Adaptor, Sleeve
Suspension, Foam Cover, Covering Socks,
Socket Charges, etc.)
2 Trans Tibial Prosthesis (Below Knee 34960 Not Not
Prosthesis) with silicone / PU liner Applicable Applicable

3 Trans Tibial Prosthesis (Below Knee 41760 Not Not


Prosthesis) with silicone / PU liner with shuttle Applicable Applicable
lock mechanism
4 Trans Femoral Prosthesis (Above Knee 38030 Not Not
Prosthesis) Applicable Applicable
(Its components include-S.S. Pylon/tube,
DYNAMIC FOOT, Foot Adaptor, Bonded Pylon/
Pylon with 4 screw Adaptor (400 mm) Plycentric
Prosthetic Knee Joint, Socket Adaptor, TES Belt,
Foam cover, covering Socks, Socket fabrication &
fitment charges)
5 Trans Femoral Prosthesis (Above Knee 38030+304 Not Not
Prosthesis) with Suction Valve 0= 41070 Applicable Applicable

6 Trans Femoral Prosthesis (Above Knee 51630 Not Not


Prosthesis) with silicon / PU liner Applicable Applicable

7 Trans Femoral Prosthesis (Above Knee 51630+ Not Not


Prosthesis) with silicon / PU liner with shuttle lock 6800 Applicable Applicable
mechanism =58430
8 Knee Disarticulation Prosthesis 46910 Not Not
(Its components include-S.S. Pylon/tube, Applicable Applicable
DYNAMIC FOOT, Foot Adaptor, Bonded Pylon/
Pylon with 4 screw Adaptor (400 mm) Polycentric
Prosthetic Knee Joint, Socket Adaptor, TES Belt,
Foam cover, covering Socks, Socket fabrication &
fitment charges)

- 20 -
9 Partial Foot Prosthesis
9.a Shoe filler with carbon plate 7200 4000 2400
9.b Great Toe Silicon Prosthesis 7200 4000 2400
9.c Silicone Prosthesis For Second Toe to Vth Toe 6000/ each 3200/ Not
each Applicable

RECOMMENDED CRITERIA FOR HIGH END PROSTHESIS


1. Dynamic foot can be prescribed only for police personals / Re-employed Ex-Serviceman
sustaining amputation in saddle and likely go back to active and strenuous work.
2. Dynamic foot can also be prescribed for young / children and dynamic athletes of
University, cultural activities, State/ National or international level.
3. Shoe filler with carbon plate can be prescribed only for police personals / Re-employed
Ex-Serviceman sustaining amputation in saddle and likely go back to active and
strenuous work.
4. Shoe filler with carbon plate can also be prescribed for young / children and dynamic
athletes of University, cultural activities, State/ National or international level.
5. In case of Bilateral Upper Limb amputation, Externally Powered Prosthesis/ Myoelectric
Prosthesis may be prescribed for one side and body powered Prosthesis or Passive
Prosthesis for the other side.

ANNEXURE- ID

UPPER EXTREMITY PROSTHETICS


SI. Name of Prosthesis Approved Approved Approved
No. Rate/ Price Rate/ Price Rate/ Price
(Above 12 (Child 7-12 (Child 0-6
years of years) years)
age) (in Rs.) (in Rs.)
(in Rs.)
1 Trans Radial or Below Elbow / Wrist 8000 4000 1600
Disarticulation Passive Prosthesis
2 Body Powered Prosthesis (Trans Radial or 13600 9600 Not
Below Elbow / Wrist Disarticulation) Applicable
Its components includes trans radial kit and
socket
3 Trans Humeral or Above Elbow / Elbow 16000 8000 4000
Disarticulation Passive Prosthesis
4 Body Powered Prosthesis (Trans Humeral 22400 17600 Not
or Above Elbow / Elbow Disarticulation) Applicable
5 Shoulder Disarticulation Passive 24000 16000 8000
Prosthesis
6 Shoulder Disarticulation body powered 29600 22400 Not
Prosthesis Applicable

- 21 -
ANNEXURE- IE
HIGH END UPPER EXTREMITY PROSTHETICS (ADULT)

SI. Name of Prosthesis Approved Approved Approved


No. Rate/ Price Rate/ Price Rate/
(Above 12 (Child 7-12 Price
years of years) (Child 0-6
age) (in Rs.) years)
(in Rs.) (in Rs.)
1 Externally Powered below Elbow or Trans 103600 Not Not
radial / Wrist Disarticulation Prosthesis Applicable Applicable
(It includes :- Hand, Lithium ion Battery (one
pair) with cover, Electrodes, Wrist Unit Battery
Charger & Transformer, Electrode cable,
Connector block cable Silicone Glove, Flexible
inner Liner and socket, etc.)
2 Externally Powered Trans Humeral / Elbow 141200 Not Not
Disarticulation Prosthesis Applicable Applicable
(It includes :- Hand, Lithium ion Battery (one
pair) with cover, Electrodes, Wrist Unit ,
Mechanical Elbow, Battery Charger &
Transformer, Electrode cable, Connector block
cable Silicone Glove, Flexible inner Liner and
Sockets, etc.)
3 Silicone Finger Prosthesis each 5600 4000 Not
Applicable

4 Silicone Thumb Prosthesis 6400 4800 Not


Applicable

5 Silicone Partial hand Prosthesis 28000 20000 8000

ANNEXURE- II
SPINAL ORTHOTICS
SI. Name of Prosthesis Approved Approved Approved
No. Rate/ Rate/ Price Rate/ Price
Price (Child 7-12 (Child 0-6
(Above years) years)
12 years (in Rs.) (in Rs.)
of age)
(in Rs.)
1 Soft / Semi rigid Cervical Collar Not
160 160
Applicable
2 Philadelphia or Two post Cervical collar/ Head
1200 1200 960
Cervical Orthosis (Moulded collar)
3 Soft L.S. corset/ Belt Not
560 400
Applicable
4 SOMI BRACE / Three Post Cervical Orthosis Not
1600 1600
Applicable
5 Four Post Cervical Orthosis
960 800 640
6 Rigid L.S.O / Chair Back Orthosis Not
960 800
Applicable
7 Rigid TLSO / Taylor's brace, Knight Taylor's
1200 960 800
brace, William's brace
8 Hyperextension brace/ ASH/CASH/JEWETT Not
960 800
BRACE Applicable

- 22 -
9 CTLSO (MILWAUKEE BRACE) Not
4000 4000
Applicable
10 Head Cervical Thoraco Orthosis (HCTO) 1200 1200 960
11 TLSO BI- Valve/ Body Jacket 2400 2400 2000
12 UNDER ARM BRACE (Boston Brace /Miami Not
2800 2800
Brace/ Wilmington Brace/NYOH Brace) Applicable
13 HALO BRACE Not Not
12000
Applicable Applicable

Abbreviations:
1. L.S.O.- Lumbo Sacral Orthosis
2. ASH- Anterior Spinal Hyperextension Brace
3. CASH- Cruciform Anterior Spinal Hyperextension
4. TLSO- Thoraco Lumbo Sacral Orthosis
5. CTLSO - Cervical Thoraco Lumbo Sacral Orthosis

ANNEXURE- IIB
LOWER EXTREMITY ORTHOTICS
SI. Name of Prosthesis Approved Approved Approved
No. Rate/ Price Rate/ Price Rate/ Price
(Above 12 (Child 7-12 (Child 0-6
years of years) years)
age) (in Rs.) (in Rs.)
(in Rs.)
1 Soft Heel Pad/ M.T. Pad with Insole (One Not
160 160
Piece) Applicable
2 Arch Support (Unilateral) 240 160 160
3 Silicone / PU arch support (One Piece) Not
280 200
Applicable
4 Medial / Lateral Wedge 80 80 80
5 Soft Insole cross link polymer (one piece) Not
80 80
Applicable
6 Soft Insole (Plastozote) One Piece Not
240 160
Applicable
7 Silicone /PU Insole (One Piece) Not Not
400
Applicable Applicable
8 Silicone Heel Cushion (One Piece) Not Not
240
Applicable Applicable
9 Molded / customized Insole (One Piece) 480 400 320
10 Silicone Toe Separator (One Piece) Not
160 80
Applicable
11 UCBL (Unilateral) 640 480 400
12 SMO without shoes (One Piece) 960 800 640
13 Flat Feet/ CTEV Shoes Pair (Leather) 960 640 560
14 Molded Shoe (Leather)- one side normal & Not
1760 1280
one side affected Applicable
15 Molded Shoe (Leather)- both side affected Not
2400 1600
Applicable
16 Shoe Raise Not
40 40
Applicable
17 Open toe shoes for paraplegic one pair Not Not
1200
Applicable Applicable
18 D.B. Splint with / without shoe Not Not 640

- 23 -
Applicable Applicable

19 AFO Conventional (One Side) 2000 1600 1200


20 AFO Conventional (Bilateral) 2800 2160 1600
21 Polypropylene/Customized A.F.O without
shoes 960 800 640
22 FRO (Floor Reaction Orthosis) Not Not
1440
Applicable Applicable
23 Pneumatic Walker Not Not
2800
Applicable Applicable
24 Knee Orthosis Polypropylene
(Valgum/Varus, immobilizer etc.) 1200 960 720

25 P.T.B Brace without shoes 1440 1200 960


26 Knee Sleeve without hinge Not
400 400
Applicable
27 Knee Sleeve with hinge Not
640 640
Applicable
28 Off loader Knee Orthosis Not Not
13600
Applicable Applicable
29 KAFO conventional with shoe (one side) 3200 2560 1600
30 Bilateral KAFO conventional with shoe 4400 3600 3200
31 KAFO Custom molded without shoe (one
3200 2560 1600
side)
32 Femoral Fracture Brace Non Weight
1200 800 640
relieving
33 Femoral Fracture Brace Weight relieving 3200 2560 1600
34 HKAFO Conventional with shoes (One
4000 3200 2400
side)
35 Bilateral HKAFO conventional with shoes 5200 4400 3600
36 HKAFO Polyproxyline custom moulded
4000 3200 2400
without shoes (One side)
37 Trilateral Orthosis 3200 2560 1600
38 HIP Abduction Orthosis (Conventional) Not
800 800
Applicable
39 Pavlik Harness for CDH Not Not
2000
Applicable Applicable
40 Hip Bracing (Immobilizer) Not
1600 1200
Applicable
41 SWASH Brace Not
14400 14400
Applicable
42 Reciprocating Gait Orthosis Not Not
25600
Applicable Applicable

- 24 -
ANNEXURE- IIC
UPPER EXTREMITY ORTHOTICS
SI. Name of Prosthesis Approved Approved Approved
No. Rate/ Price Rate/ Price Rate/
(Above 12 (Child 7-12 Price
years of years) (Child 0-6
age) (in Rs.) years)
(in Rs.) (in Rs.)
1 Finger orthosis static (One Piece) 120 80 80

2 Finger orthosis dynamic (One Piece) 160 80 80

3 Hand Orthosis 320 240 240

4 Thumb Spica / Stabilizer 240 160 160


5 Knuckle bender 400 280
6 Wrist Hand Orthosis (Static) P.P. 560 400 320
7 Wrist Hand Orthosis (dynamic) 800 560 400
8 Elastic Wrist Hand Orthosis 320 240 160
9 Tennis Elbow support 160 160 Not
Applicable
10 Adjustable arm sling 240 240 Not
Applicable
11 Elbow orthosis (static) 720 560 400
12 Elbow orthosis (Dynamic) 800 640 480
13 Fracture Brace (Below Elbow) 960 640 560
14 Shoulder brace (Immobilizer) 800 640 560
15 Gun slinger shoulder orthosis 800 Not Not
Applicable Applicable
16 Humeral fracture brace without elbow hinge 960 640 640
and forearm support
17 Humeral fracture brace with elbow hinge and 1280 960 800
forearm support
18 Shoulder Elbow Wrist Hand Orthosis (Air 1760 1280 1120
Plane Splint)

ANNEXURE- III

Mobility Aids
SI. Name of Orthosis Approved Approved Approved
No. Rate/ Price Rate/ Price Rate/ Price
(Above 12 (Child 7-12 (Child 0-6
years of years) years)
age) (in Rs.) (in Rs.)
(in Rs.)
1 Walking Stick (Ajustable) Aluminium 280 280 Not
Applicable
2 Tripod/Quadripod walking stick Aluminium 600 Not Not
Applicable Applicable
3 Auxilliary Crutch / Elbow Crutch (Aluminum) 680 520 Not
Adjustable Applicable
4 Walker/ Rollator (Aluminium) 1200 960 720

- 25 -
5 C.P. Chair/ C.P. Stand Not 5840 5600
Applicable
6 Commode Chair 2000 2000 Not
Applicable
7 Wheel Chair Folding (Chrome Plated) 5600 3200 Not
Applicable

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.

- 26 -
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

- 27 -
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. Name Relation Reason for Date of change


No. change

Date :
Place :
Signature of the Government Servant

- 28 -
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 : ___________________

- 29 -
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 Signature of the


Spouse 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)

- 30 -
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 Signature of the


Spouse Government Servant
who preferred the medical claim

Accepted by

(Signature of Head of office with stamp)

- 31 -
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. & Name of the Name of Amount
Date Shop medicine
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.

- 32 -
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. Name of medicines Cost


& Date 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

- 33 -
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.

- 34 -
Annexure - IX
Rule 18(2)

Form of Register

Date S. No. Name of the patient with Ailment / Disease


designation and
department
1 2 3 4

Prescription Fees charged for Total amount of Remarks


medical attendance Bills/ Cash
including injectable etc. Memo verified
etc.
5 6 7 8

- 35 -
9
APPENDIX - 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 Aravali Hospital, Udaipur
5 5 Gheesibai Memorial Mittal Hospital and Research Centre, Ajmer
6 6 Sanjeevani Vyas Hospital Anusandhan Kendra, Jhalawar
7 7 M.N. Hospital and Research Centre, Bikaner
8 8 Anurag Nursing Home, Bundi
9 9 Imperial Hospital and Research Centre, Jaipur
10 10 Soni Hospital, Jaipur
11 11 Bhandari Hospital and Research Centre, Jaipur
12 12 Fortis Escorts Hospital, Jaipur
13 13 Mahatma Gandhi Medical College & Hospital, Jaipur
14 14 Tagore Hospital & Research Institute, Jaipur
15 15 Apex Hospital Pvt. Ltd., Malviya Nagar, Jaipur
16 16 Jaipur Hospital, Jaipur
17 17 National Institute of Medical Sciences and Research Centre (NIMS), Jaipur
18 18 Jaiswal Hospital & Neuro Institute, Kota
19 19 Sudha Hospital & Medical Research Centre, Kota
20 20 Gitanjali Medical College and Hospital, Udaipur
21 21 Kalpana Nursing Home Pvt. Ltd., Udaipur
22 22 GBH American Hospital, Udaipur
23 23 Kota Heart Institute, Kota
24 24 Bharat Vikas Parishad Hospital & Research Centre, Kota
25 25 Ramsnehi Hospital and Research Centre, Bhilwara
26 26 Kothari Hospital and Research Institute, Bikaner
27 27 Harish Hospital Pvt. Ltd., Alwar

9
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; No. F.6(2)FD/Rules/2013 Pt-II dated 27-01-2016; No.
F.6(2)FD/Rules/2013 dated 17-02-2016; No. F.6(2)FD/Rules/2013Pt-I dated 06-04-2016; No.
F.6(2)FD/Rules/2016 dated 13-05-2016; No. F.6(2)FD/Rules/2016 dated 13-06-2016; No.
F.6(2)FD/Rules/2016 Pt-II dated 21-09-2016; F.6(2)FD/Rules/2016 Pt-II dated 06-10-2016.

- 36 -
28 28 Sania Hospital, Alwar
29 29 Madhur Hospital, Dausa
30 30 S.R. Kalla Memorial Gastro & General Hospital, Jaipur
31 31 Dhukia Hospital, Jhunjhnu
32 32 Ranthambore Sevika Hospital, Sawai Madhopur
33 33 S. B. Mittal Memorial Heart and Critical Care Hospital, Sikar
34 34 Agarwal Hospital, Tonk
35 35 Dr. Choudhary Hospital and Medical Research Centre Pvt. Ltd., Udaipur
36 36 Goyal Hospital & Research Centre, Jodhpur
37 37 Bindal Hospital, Sikar
38 38 Shree Siddhi Vinayak Hospital, Bhilwara
39 39 Arihant Hospital and Research Sansthan, Bhilwara
40 40 Guru Kripa Hospitals, Sikar
41 41 Sh. K.M. Memorial Jain Heart and General Hospital, Sikar
42 42 Rungta Hospital, Jaipur
43 43 Eternal Heart Care Centre and Research Institute Pvt. Ltd., Jaipur
44 44 Marudhar Hospital, Jaipur
45 45 Dhanvantari Hospital and Research Centre, Jaipur
46 46 Barala Hospital and Research Centre, Chomu, Jaipur
47 47 Krishan Hospital, Bhilwara
48 48 Medipulse Hospital, Jodhpur
49 49 Solanki Hospital, Alwar
50 50 Mittal Hospital, Alwar
51 51 G. P. Shekhawati Hospital and Research Centre, Jaipur
B. Cardiology and CT Surgery Specialty Hospitals
52 1 Heart & General Hospital, Jaipur
53 2 Jaipur Heart Institute, Jaipur
C. ENT Specialty Hospital
54 1 Jain ENT Hospital, Jaipur
D. Neurosurgery Specialty Hospital
55 1 Indowestern Brain & Spine Hospital, Jaipur
E. Oncology Specialty Hospitals
56 1 Bhagwan Mahaveer Cancer Hospital and Research Centre, Jaipur
F. Ophthalmology Specialty Hospitals
57 1 K.C. Memorial Eye Hospital, Jaipur
58 2 Dr. Virendra Laser & Phaco Surgery Centre, Jaipur
59 3 Dr. Kothari’s Eye Hospital, Udaipur
60 4 Anand Hospital and Eye Centre, Jaipur
61 5 Dr. Khungar’s Eye Care and Research Centre Pvt. Ltd., Ajmer
62 6 Kshetrapal Eye Hospital and Lasic Laser Center, Ajmer
63 7 ASG Hospital Pvt. Ltd. Banipark, Jaipur
64 8 Kabra Eye Hospital, Jaipur
65 9 Tibra Eye Hospital and Retina Centre, Sikar
66 10 Anita Eye Hospital and Retina Centre, Kota
67 11 New Delhi Centre for Sight Ltd., Malviya Nagar, Jaipur
G. Orthopedics Specialty Hospital
68 1 Mewar Hospital Pvt. Ltd., Udaipur
69 2 Kota Trauma Hospital, Kota

- 37 -
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

- 38 -
10
APPENDIX - 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).
11
15. Sterling Hospital, Ahmadabad

10
Substituted vide FD Order No. F. 6(2) FD/Rules/2013 Pt-II dated 12-03-2015.
11
Inserted vide FD Order No. F. 6(2) FD/Rules/2016 dated 20-05-2016

- 39 -
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 / 55. Amfac Granules
Powder
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

- 40 -
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 26. Baxen Tablets
Powders
99. Askit 27. Bburgoynes Iodised Satsa
100. Asmoplan 28. Becantex
101. Asoka, Vintone with / Cordial 29. Beconex
Compound Cordial &
Hormone/ Asoka Vin-H
102. Asokaletris/ Asoka Ovaran 30. Becophos
Usavin / Asvan
103. Aspergum 31. Beechams Cough Pills
104. Aspirin / Tablets 32. Beechams Lung Syrup
105. Asthma Nefrin Solution Relief 33. Beechams Pills
Powder
106. Atkins on & Barkers infants 34. Beechams Powders
Preservative
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

- 41 -
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 119. Brush
Salts
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 & 'C'
Stramonium Cigarettes
84. Blood Percoltor 1. C.T.L Compound
85. Blue Lion Foxe Nuts 2. Cacton Glucose
(Shadforths )
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 7. Caisilodis Tablets
Gum
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 21. Califormia Syrup of figs
charcoal

- 42 -
1 2 1 2
22. Caliper (Including raising in the 66. Cephos Powders
shoe esdtc, complets elevator)
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 95. Ciofa Tablets
Mixture
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 109. Cockburns Balsam
(Gomenol Laboratorites)

- 43 -
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./ 157. Cough mixture Syrup Sandoz
Kalpers)
115. Cogfne Tablets 158. Coutts Accilic Acid
116. Cold Creams 159. Cream
117. Coles Family Ointment 160. Cream of Jujol
Sublamine
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 182. Cytamen G.H.O
Acid
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 7. Dagra Honey Syrup
Palatinloids
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

- 44 -
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 63. Dodds Kinney pills
Suppositories
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 71. Dropper Eye
Hamoglobine With Vit . 12
27. Deschiens Syrup Hemoglobine 72. Drurys Infants Preservative
28. Deschiens Syrup Hepathemo 73. Ducogen
29. Detensyl tablets Vegeto 74. Duodenin ( Palationoids )
polynormonib Hypotensor
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

- 45 -
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 81. Evaholia Tube
Acid and B-12
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. Felosol
57. 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

- 46 -
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 16. Georges Pills and Gravel
Finlex Pills
39. Firth’s Cream Salve 17. Georges Pills for the Pills
40. Fissan Paste 18. Germex
41. 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. Fosfexyle Pills & Syrup 26. Getsit
49. Freeman’s Chlorodyne 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 31. Gingivitis Powder (Special)
lodine Pastillers
54. Fructole Carpina Co. (May Fair 32. Giycomal
A Brand)
55. Fruit Lax 33. Glass Rod
56. Fruit Salt 34. Glass Urinal
57. Fruitlan 35. Glaxo D
58. 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

- 47 -
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 16. Hair’s (Dr.) Catrarrh cure
Marrow Glanoid Pills
44. Glycodin Lozengers Gasex 17. Hair’s (Dr.) Liver Pills
Tablets
45. Glycolactophos 18. Halabak
46. Glycomalt 19. Haleline Snow
47. Glysovit 20. Haliborange Large
48. Goulard’s Lotion 21. Halibrange
49.
Grape Sugar 22. Halibut Oil Capsule Liver
50. Grasshopper Ointement 23. Halibut Orange Liquid
51. Greenfield’s (Dr.) Whooping 24. Halingol
Cough Mixture
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 32. Haratox Tablets
(Woodwards)
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

- 48 -
1 2 1 2
58. Herbal Bitter 'I'
59. Herbolax 1. Ice
60. Herbolax Strong (For 2. Ice Cap
Constipation)
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. 8. Inde Dausse Solution
Bismuth Co. C. Opium
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 19. Inted Tablets
Mixture
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 30. Ipac Malt
Pills
89. Hot Water Bottle 31. Irivine
90. Hoyle’s Pures Vegetable Viscos 32. Iron Putty Fitting C Pully
Oil
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

- 49 -
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 malt
4. Jamins Liver Cure Complex 27. Kepler’s Multivitamins
Capsules
5. Jayakar’s Convulsion Cure 28. Keplex
6. Jenner’s (Dr.) Absorbent 29. Keplex Elixir
Nozenge Brand Digestive
Tablets
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 33. Kest Compound Epsom Salt
Soothing Syrup Tablets
11. Jordan’s Gin Pills 34. Kestorative Pills
12. Juno Junipah Salts (Powders & 35. Keswick’s Pure Vegetable
Tablets) 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

- 50 -
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- 65. Lipaments in Tablets
Aid Pepermint
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

- 51 -
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 49. Materials (Dressing)
Sweets
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 76. Mercolized Wax
Solution

- 52 -
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 20. Nemolin Pile Ointment
as Ague Mixture,etc.)
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 27. Nephritin Tablets
Life Drops
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

- 53 -
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. Opimalt
52. 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

- 54 -
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 Gualcol
18. 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 & 77. Pho Seferine Syrup
Rheumatic Pills
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

- 55 -
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 136. Powder Hygiene
Herbs
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 150. Primosliasmye Tablets
Ephedrine
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

- 56 -
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) 64. Rotter Tablets
Magnesia
20. Red Bone Marrow Glycerin- 65. Royal Oonim (Male)
Extract Glanoid
21. Red Bone Marrow Powder 66. Ru-Mari Compound
Glanoid
22. Redigubil Water 67. Rubber Sheeting
23. Reduxherbal Tea 68. Rubber Tubing

- 57 -
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 48. Selvozyne
Ostee-Arthrities)
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) 80. Siri Malt
Asthamador
36. Schoum Solution 81. Siriprotin
37. 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

- 58 -
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. 136. Streched Abdominal Belt
Capsules) 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 142. Sugar
Tabs.
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 148. Sulpholine Paste
Pillow Cushion
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 160. Surahalli Kasaza
massage)
121. Spriocation Cream (for gum 161. Sure Shield Fruit Laxative
massage)
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

- 59 -
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 15. Taverol
Composition Essence
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

- 60 -
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 10. Vapex Volatol
Honey
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

- 61 -
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 Pills
62. 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 20. Winominos
Cusi
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

- 62 -
1 2 1 2
25. Wooldrige’s Brand Gout & 'Z'
Rheumatic Tincture
26. Worm Expeeling Syrup (Trade 1. Zag Gripe Mixture
& Mark)
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.

- 63 -
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,
(5) Homogenised Foods Spirits & Similar Preparations

- 64 -
(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 Sugar
Vimaltol Iodised Salt
Vitamin Malt Extracts and Similar Kellogg's all Brand
Preparations
(VI) Meat and Vegetable Extracts Lactose
and Juices -
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 Salt Substitutes
Preparations
(VII) Mineral and Spa Water - Saxim
Apentra Water Verisol Herbs
Contrexeville Virolox
Malveern Mineral Water Vitaminised Chocolate and Similar
Soda Water Preparations
Thefrriew Water (Carbohydrate Minerals etc.)
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

- 65 -
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

- 66 -
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

- 67 -
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

- 68 -
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

- 69 -
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

- 70 -
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

- 71 -
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

- 72 -
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

- 73 -
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 JOHAR
26 Habb-e-Pechis/herh 56 Johar-e-Munaqqa
27 Habb-e-Rall 57 Johar Seen
28 Habb-e-Rasaut
29 Habb-e-Shaheeqa KOHAL
30 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

- 74 -
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

- 75 -
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- 265 Sufoof-e-Teen
Zanjbeel)
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

- 76 -
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

- 77 -
APPENDIX - VII
Rule 6(2)(b)
LIST OF HOMEOPATHIC DRUGS & MEDICINES
NAME OF THE HOMEOPATHIC MEDICINES
Group 'A' - Homeopathic Dilutions
S. Name of Medicine S. Name of Medicine
No. No.
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 63. Ammonium Carb.1000
30
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 200
29. Aethusa Cynapium 30 69. Anacardium Orientale 1000
30. 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

- 78 -
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

- 79 -
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

- 80 -
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 339. Conium Maculatium 30
200
295. Chininum Ars. 1000 340. Conium Maculatium 200
296. Chininum Sulphuricum 341. Conium Mac. 200
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

- 81 -
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

- 82 -
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

- 83 -
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 30
568. Lapis Alb. 200 611. Magnesia Sulph. 200
569. Lathyrus 6 612. Malandrinum 200

- 84 -
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 30 678. Natrum Mur. 1000
(Merc. Iod. Proto)
638. Merc. Iod. Flavus 200 679. Natrum Mur. 10M
639. Mercurius Iod. Ruber 30 680. Natrum Mur. 50M
(Merc. Bin. Iod.) 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

- 85 -
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

- 86 -
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 848. Sambucus Nig. 6
30
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

- 87 -
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

- 88 -
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

- 89 -
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

- 90 -
1 2 1 2
89. Terminalia Arjuna Q PACKING : 459 ml. in Glass
90. Thlaspi Q Bottles
MAKE : Indian Sealed
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

- 91 -
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

- 92 -
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

- 93 -
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)

- 94 -
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.

- 95 -
12
Appendix - 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. Item Extent of Reimbursement (Rs)


No.
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. Item Extent of Reimbursement


No. (Rs)
1. Drug Eluting Coronary Stent 23,625
2 Bare Metal Coronary Stent (Cobalt Stents including coated 12,000
and other stents)
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.
13
Clarification 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/-

12
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.
13
Inserted vide FD Clarification No. F. 6(2) FD/Rules/2013 Pt-II dated 05-06-2015.

- 96 -
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 50% of the remaining amount subject to maximum of Rs 35,000/-,i.e.,
(25000- Rs.7500/-
10000=15000)
4 Total reimbursable Rs.16,500/-
amount per unit of
hearing aid
5 Total reimbursable Rs.16,500x2=Rs.33,000/-
amount for hearing
aid for both ears

- 97 -
14
Appendix - 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 7,00,000/-
(At the rate approved under CM Relief Fund)

(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 Rates as per Appendix -XVI
hospital
(b) If the facility does not exist in Government If rates are not prescribed in
hospital Appendix-XVI, 70% of actual
expenditure

(ii) Without obtaining NAC from Government hospital -


(a) If the facility of that test exists in Government 80% amount of rates prescribed
hospital in Appendix -XVI
(b) If the facility does not exist in Government If rates are not prescribed in
hospital 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.

14
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;

- 98 -
15
Appendix - 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. Item Extent of Reimbursement (Rs)
No.
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 50% of actual expenditure subject to maximum of Rs
Charges 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 As per Appendix-XVI
including blood platelets
/ plasma, radiation
charges etc.
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.

15
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.

- 99 -
(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. Item Extent of
No. 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.

- 100 -
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

- 101 -
16
Appendix - XIII
Rule 10(2), 11

Extent of Reimbursement for treatment taken in Private Unrecognized


Hospital :

S. Item Extent of Reimbursement (Rs)


No.
1. Drugs & 50% of reimbursable drugs and Medicines.
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 40% of actual expenditure subject to maximum of
Charges Rs 3000/-
4. Anesthesia 40% of actual expenditure subject to maximum of
Charges 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 75% amount of rates prescribed in Appendix -XVI
Charges including
blood platelets /
plasma, radiation
charges etc.
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.

16
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.

- 102 -
Appendix - XIV

Financial limit prescribed in various Rules

Rule No. Financial Purpose Competent Remarks


Limit Authority
Rule 3(9)(i) Upto Dependency Head of Office Income from Contributory Provident
Rs 6000/- Fund, Gratuity, Government of
per month India’s Prize Bonds, Insurance
benefits etc. shall not be regarded as
income for the purpose of this
clause.
Rule Upto Dependency Head of Office Income from Contributory Provident
3(9)(iv)(a) Rs 6000 per Fund, Gratuity, Government of
3(9)(iv)(b) month India’s Prize Bonds, Insurance
benefits etc. shall not be regarded as
income for the purpose of this
clause.
Rule 5 Upto Medical Head of Office Service Tax if any shall be allowed in
Rs 3000/- Insurance addition to premium amount.
per annum Premium
Rule 15(1) Upto Advance to Head of Office
Rs. 50,000/- Hospital
Medical advance can be granted
Upto Advance to Head of
Upto 75% of the estimated amount of
Rs. 2,00,000/- Hospital Department
reimbursable expenditure
Upto Advance to Administrative
Rs.3,00,000/- Hospital Department
Rule Upto Advance to Head of Office In case of outdoor treatment medical
15(2) Rs 10,000/- Government advance can be granted for
servant purchase of medicine.
Rule 19 Upto For non- Head of Office Subject to the condition that the
Rs 1,000/- reimbursable medicines having more food value
per month medicines are prescribed by the Authorised
Medical Attendant.
Rs 500/- per Special diet Head of Office Cost of special diet, if any,
month 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.

- 103 -
17
Appendix - 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:

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. Cottage Ward
25,000/-
(c) Below Rs.14,000/- but above Rs.6,600/- Rental Ward of the lowest category.

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 :

Class of Accommodation Maximum Reimbursable Amount


(a) (i) Cottage Ward (AC) Rs. 1600/-
(ii) Super Deluxe Rs. 1400/-
(b) Cottage Ward Rs. 800/-
(c) Rental Ward of the lowest category Rs. 300/-

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 :

Class of Accommodation Maximum Reimbursable Amount


(a) (i) Cottage Ward (AC) Rs. 1200/-
(ii) Super Deluxe Rs. 1050/-
(b) Cottage Ward Rs. 600/-
(c) Rental Ward of the lowest category. Rs. 225/-

4. ICU and Ventilator Charges: Extent of reimbursement for ICU including ventilator charges
shall be allowed @ Rs. 1200/- per day.

17
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.

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18
Appendix - 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
70
BLOOD
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

18
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.

- 105 -
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 7500 Per Unit
HOSPITAL
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 ECG 30
104 HOLTER MONITORING 575
105 TEE 575
106 TEMPORARY PACE MAKER SERVICE CHARGES 1000
107 COMPLETE PACKAGE FOR ANGIOGARAPHY 6000
CLINICAL MICROBIOLOGY

- 106 -
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 CCG 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

- 107 -
170 RIGID TELE LARYNGOSCOPY TEST 150
171 ABR 300
172 ASSR 300
173 OAE -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 OAE -B 150
180 EUM 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

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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 FT3 100
251 FT4 100
252 TSH 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

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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 100
URINE
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 600
BACTERIA(VITEK-2)
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 EEG 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 VEP 300
346 BAER 300
347 NCV/EMG 1000

- 110 -
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

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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 PFT 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

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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
CT ANGIOGRAPHY OF CEREBRAL VESSELS WITH 3D 2000
493 RECONSTRUCTION
CT ANGIOGRAPHY OF CORONARY ARTERIES ALONG WITH CALCIUM 3600
494 SCORING
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
CT CARDIAC ANGIOGRAPHY OF CONGENITAL HEART DISEASE 3600
508 (PAEDIATRIC)
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

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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
MR ANGIOGRAPHY BRAIN ALL PHASES UPTO VENOUS PHASE/ 2800
589 VENOGRAPHY
590 MR ANGIOGRAPHY INTRACRANIAL VESSELS 2800
591 MR ANGIOGRAPHY LEFT UPPER LIMB 2400
592 MR ANGIOGRAPHY NECK 1600

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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
MRI CISTERNOGRAPHY TO SUDY CSF FLOW AT FORAMEN MAGNUM 2800
604 IF NEEDED
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
MRI OF CV JUNCTION AND CERVICAL SPINE (EXTENSION FLEXION 3100
635 AND NEUTRAL)
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

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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
MRI OF THORAX INCLUDING CARDIAC / PULMONARY GREAT 1100
711 VESSELS
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

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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
URINE EXAMINATION COMPLETE (RENAL LAB) 15
760
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

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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. Item Extent of
No. 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

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17 RENAL BIOPSY (PER PROCEDURE) 2000
RRC
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. Item Extent of
No. 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 15,000
CURATIVE INTENT (SCRT)
4 COMPLEX NON-PALLIATIVE FULL COURSE OF RADIOTHERAPY WITH 22,500
CURATIVE INTENT (CCRT)
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

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19
Appendix-XVII
(Rule 6 (2) (m))
uke izfØ;k jkf'k :- izfr fnu esa vf/kdre vof/k o"kZ esa jksxkuqlkj vf/kdre Cycles
¼fnuksa dh la[;k½
i= fiaM Losn] ,dkax 40@& 14 3 ckj ¼42 fnu½
i= fiaM Losn] lokZx a 75@& 14 3 ckj ¼42 fnu½
ek=k cfLr 50@& 18 2 ckj ¼36 fnu½
xzhok cfLr 25@& 14 3 ckj ¼42 fnu½
dfV cfLr 25@& 14 3 ckj ¼42 fnu½
mÙkj cfLr 25@& 5 3 ckj ¼15 fnu½
f'kjkscfLr 50@& 14 3 ckj ¼42 fnu½
vuqoklu cfLr 25@& 18 3 ckj ¼54 fnu½
fu:g cfLr 50@& 12 3 ckj ¼36 fnu½
tkuq cfLr 50@& 14 3 ckj ¼42 fnu½
vf{kriZ.kdeZ 50@& 14 3 ckj ¼42 fnu½
vH;axdeZ 30@& 14 3 ckj ¼42 fnu½
LosnudeZ 20@& 3 3 ckj ¼9 fnu½
oeudeZ 200@& 1 1 ckj ¼1 fnu½
fojspudeZ 30@& 1 1 ckj ¼1 fnu½
uL;deZ 10@& 21 2 ckj ¼42 fnu½
"kf"V'kkyh fiaM Losn 100@& 14 4 ckj ¼56 fnu½
mnzorZu 30@& 14 2 ckj ¼28 fnu½
d.kZiwj.k 10@& 14 4 ckj ¼56 fnu½
vfXudeZ 30@& 3 2 ckj ¼6 fnu½
f'kjks/kkjk
1- rsy/kkjk 100@& 14 2 ckj ¼28 fnu½
2- {khj/kkjk 75@& 14 2 ckj ¼28 fnu½
3- rØ/kkjk 75@& 14 2 ckj ¼28 fnu½
miukg 25@& 7 3 ckj ¼21 fnu½
ukM+h Losn 25@& 7 3 ckj ¼21 fnu½
Lusgiku 100@& 7 1 ckj (7 fnu)
fif"kapy 150@& 21 2 ckj ¼42 fnu½
vUuysiu 100@& 7 2 ckj ¼14 fnu½
jDreks{k.k 50@& 1 2 ckj ¼2 fnu½

Note: 1. More than one cycle shall be allowed only on the recommendation
of a Medical Board comprising of following, namely:-

(i) District Ayurveda Officer, Chairman;


(ii) Senior Ayurveda Officer, Member; and
(iii) Ayurveda Officer (Panchkarma Specialist), Member.

2. Cost of Ayurvedic drugs and medicines shall be reimbursable as per


clause (b) of sub-rule (2) of rule 6.

19
Inseretd vide Notification No. F. 6 (1) FD/Rules/2013 Pt. dated 24-02-2016

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