HEALTH, MEDICAL & FAMILY WELFARE( I.1) DEPARTMENT
G.O.Rt.No.
96 Dated: 08.02.2019
Read:
Govt. Memo No.19021/8/2018/I1/HM&FW, HM& FW(I1)Department,
Govt. Memo No.19021/8/2018/I1/HM&FW, HM& FW(I1)Department,
dt.24.08.2018
• ప్రైవేటు రిటైల్ మెడికల్ షాపులలోనూ నెలకు సరిపడా BP, షుగర్ మందులను రోగులకు ఉచితంగా అందజేయుటకు గానూ ఉత్తర్వులు విడుదల చేసిన ఏపీ వైద్య, ఆరోగ్య శాఖ కమీషనర్ పూనం మాలకొండయ్య గారు.
• అందజేయబడు మందుల జాబితా జతచేయబడినది.
• అందజేయబడు మందుల జాబితా జతచేయబడినది.
ORDER:
In the Govt. Memo
read above, Government have issued orders dispensing of Anti TB drugs through
Registered mobile App- APeRx creating by Govt. of AP.
2. Non-communicable diseases like diabetes and hypertension lead to a significant
amount of morbidity and mortality, a majority of which happens in low and
middle-income groups. Due to the chronic nature of these diseases, out of
pocket spending by poor to purchase these drugs aggravates the problem leading
to low compliance to dosage schedule and also economic impoverishment. In this
context, an economic study has been concluded by Kalam Institute of Health
Technology (Health Technology Assessment Regional Hub, under ICMR, Dept. of
Health Research, Govt. of India) which suggests marked improvement in clinical
indicators for the patient as well as economic welfare to the patient’s
families, if access to Hypertensive and Diabetes Drugs be given to all
patients.
3. Government after careful consideration of the matter, the Govt. of
Andhra Pradesh has decided to extend the use of APeRx App, for
Anti-Hypertensive & Anti- Diabetic drugs. Accordingly, the citizens can
avail a set of drugs approved for hypertension and diabetes any free of cost
from private chemists/pharmacy in the state of Andhra Pradesh. The cost
of these drugs shall be reimbursed to the registered
Pharmacist/Chemist/Druggist at rate at which APSMIDC procures the corresponding
drugs for Government Hospitals. The reimbursement to private chemists
will be done directly by the e-Rx App into the registered bank account.
4. The free drugs in private Registered Pharmacies shall be made
available after case evaluation by Physician/Specialist in all Government
Hospitals (PHCs, CHCs, AHs, DHs and THs) and Government run PPP centers
(eUPHC), based on the diagnostic test results done in these Hospitals and
centers, either through NTR Vaidya Pariskha or in-house diagnostics program.
Similar benefit shall be available to employees subsequent to their diagnostic
check-up in empanelled hospitals of government hospitals. It would be mandatory
to have the tests done once every six months whereas private pharmacies would
be enabled to prescribe drugs for one month at the time subsequent to APeRx
based prescription by Doctors at Government health facilities or Urban Health
Centres (eUPHC) that are operating in PPP mode. For Hypertension, the Blood
Pressure shall be recorded and for Diabetes Mellitus, HbA1C shall be recorded
after from fasting and post-meal blood sugar values as may be clinically
indicated.
5. The following procedure shall be followed scrupulously during the use of APeRx
App :
(i)
APeRx
Process flow for drug prescription and Dispensing:
- Patient
Visiting the Public Health Facility
- Diagnostic
Test to be done, based on the recommendation of the Medical officer
- Uploading
of the test results by the Medical Officer into the app.
- Patients
receive SMS with an alphanumeric code
(ii)
Pharmacy:
·
Entering
the code received by the patient through SMS
·
Dispensing
of drugs and generating the sales bill.
·
Generation
of Weekly consolidated payment details pharmacy
wise.
· Validation &
approval of the Payment details by the SPIU with the
support of DCA & APMSIDC.
·
Weekly
online payment through CFMS.
(iii) The
Free Drugs Scheme is applicable to all citizens who have been diagnosed as
Chronic Hypertension and/or Diabetic case, irrespective of their economic
category; provided the diagnosis has been done in a Govt. Health
Facility/e-UPHCs. It is completely Voluntary for the pharmacists to participate
in this program. It is also completely Voluntary for patients to avail this
scheme. However, the patient identification has been linked to Praja Sadhikarta
Survey (PSS) and Aadhar. Citizens diagnosed with Hypertension and/or Diabetes
are requested to approach the nearest Mee-Seva Counter for inclusion to PSS
database if they have any difficult in accessing the free drug scheme.
(iv) Combination
Drugs shall not be included in this scheme. The Chemists/Druggists/Pharmacists
are expected to follow stringent quality control for drugs that would be given
to public. Drug Control Administration shall devise adequate inspections for
facilitate and monitor the quality of drugs.
(v) Payment
Process:
The drugs so supplied
will be procured by individual private pharmacies, and the reimbursement on
submission of copies of prescriptions and the details of drugs dispensed shall
be made by the Government. The pharmacies will be reimbursed once in a week through
bank accounts registered on the APeRx App. The expenditure of this
project is to be met from e-Ausadhi scheme/free drug scheme of National Health
Mission/external aided project financing and the payment will be through CFMS.
(vi) The following are the list of identified drugs along
with the cost to be dispensed for
Hypertension & Diabetes through APeRx App:
S.No.
|
Item Name
|
Unit
|
Rate in INR
|
DIABETES
|
|||
1
|
Glibenclamide
Tablets IP 5mg
|
100
|
9.90
|
2
|
Glimepride Tablets
IP 1mg
|
100
|
11.09
|
3
|
Glimepride Tablets
IP2mg
|
100
|
14.70
|
4
|
Metformin Tablets
IP 500 mg
|
100
|
21.19
|
HYPERTENSION
|
|||
1
|
Amlodipine Tablets
IP5mg
|
100
|
8.60
|
2
|
Atenolol Tablets IP
50mg
|
140
|
23.45
|
3
|
Enalapril Maleate
Tablets IP 5mg
|
100
|
16.61
|
4
|
Enalapril Tab 10mg
|
100
|
33.59
|
5
|
Losartan Potassium
Tablets IP 50 mg (film coated)
|
100
|
25.00
|
6
|
MetoprololTablets
IP 25mg
|
100
|
19.98
|
7
|
MetoprololTartarateTablets
IP 50mg
|
100
|
43.43
|
8
|
Propranolol Hcl
Tablets IP 40 mg
|
100
|
18.81
|
9
|
Ramipril Tablets IP
5mg
|
100
|
44.79
|
10
|
Telmisartan Tablets
BP 40mg
|
100
|
39.39
|
Note: The prices of
drugs mentioned here are subject to modifications as per APMSIDC procurement rate(s).
6. Such a Scheme of providing for Free Drugs
through private pharmacies for Hypertension and Diabetes is being planned and
implemented for the first time in the Country, and citizens are requested to
share their satisfaction/comments/concerns on 1100 –toll free number for
service improvement/extension to other drug categories/quality check as may be
required from time to time.
7. The Director General, Drugs Control Administration, AP, Guntur, the Managing
Director, A.P. Medical Services & Infrastructure Development
Corporation,(APMSIDC) Mangalagiri, the Director,
Strategic Planning Innovations Unit (SPIU), the Commissioner, AP Vaidya Vidhana
Parishad (APVVP), Vijayawada, the Director, Public Health & Family Welfare
(DPH&FW), Vijayawada, the Director of Medical Education (DME), Vijayawada shall take necessary action in the matter.
8. This
order issues with the concurrence of the Finance (FMU - HM&FW -II)
Department vide their U.O. No.FIN01-60030/2/2018, Dated: 16.1.2019.Download G.O copy
