Tuesday, May 30, 2023

Confederation Odisha State CoC writes to the Addl. Director, CGHS, Odisha for streamlining the supply of indented medicine to the beneficiaries

 

No. Confdn-Odi / CGHS – 07 /2023

Dated at Bhubaneswar the 30th May, 2023

To

             The Additional Director

CGHS, Bhubaneswar – 751 001

 

Sub:   Streamlining the supply of indented medicine to the beneficiaries - reg.

Ref.-   Ministry of Health & Family Welfare OM 55-01/2016-17/CGHS/MSD/ALC/Part1, dated 13.02.2023

 

Respected Sir,         

Encumbered with continuous complaints received from beneficiaries, especially from the pensioners / senior citizens, we are compelled to bring the following grievances to your kind notice for early solution.

a.    Short–supply of indented medicines

b.    Non–supply of indented medicines

c.    Non–indenting and non-supply of prescribed medicines by the specialist of Govt. or referral hospitals.

d.    Dishonouring the xerox copies of the Indents to supply the indented medicines

e.    Disallowing the representatives of the beneficiaries for re-indent of short / non-supplied medicines and most importantly;

f.     Compelling the beneficiaries for physical presence to re-indent.

 Drawing your kind attention in this context, we would like to request to refer MoH&FW OM referred to above (copy attached for ready reference) which states, inter alia, in case full quantity of an indented medicine has not been supplied the next day by ALC, the remaining medicines shall not be re-indented the next day, as in the absence of patient, this falsely increases patient count and ALC is spared of penalty for delayed supply. The ALC on his own shall supply the remaining medicines at the earliest and penalty for each day of delayed supply shall be levied on the ALC. As aware, the penalty has been increased for delay in supply/non-supply from the existing Rs 100/- per item per day (irrespective of number of patients for whom the delay has occurred) to Rs.100/- per item per day per patient. However, the activities of CGHS Wellness Centres in Odisha in this regard is a matter of investigation.

Further, it is quite surprising that during the age of online services and digitalization, CGHS Wellness Centres are demanding for production of hard copies of, CGHS Cards for registration and previous Indents for supply of medicines which is quite inappreciable. Further, placing of subsequent indents is not at all the fault of the beneficiary. Hence, his/her physical presence for collection of medicine through submission of hard copy(ies) may not be made mandatory. The Senior Citizens and Pensioners may be allowed to live comfortably consuming proper medicines prescribed by the Specialists of the Govt. / referral hospitals.

Under the circumstances, we would like to request you to kindly look into the following aspects immediately.

1.    Instruct the ALC suitably for full supply of the indented medicine(s) in one lot. In case of short supply, both the Wellness Centres and ALC need to follow the instructions contained in the MoH&FW OM referred to above.

2.    The Wellness Centres may be instructed not to enforce hard copies of the CGHS Card / Indents. The beneficiary number is sufficient during this digital era.

Therefore, under the facts and circumstances, I, along with my representatives may be allowed for a detailed discussion with you as per your convenience in your chamber at the earliest. Hope, there will be no problem perhaps for a cordial discussion to save the goodwill of the Wellness Centres on one hand and for the benefit of all beneficiaries including Senior Citizens and Pensioners on the other.

Awaiting your kind response, Sir.

 With regards.

Yours sincerely,

 (BRUHASPATI  SAMAL)

General Secretary

Copy for kind information and necessary action to the Medical Officer I/C, CGHS Wellness Centre – III, PMG Square, Bhubaneswar – 751 001

 (BRUHASPATI  SAMAL)

General Secretary

 

F.NO. 55-01/2016-17/CGHS/MSD/ALC/Part1
(efile 3140051)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 13th February, 2023

OFFICE MEMORANDUM

 

Subject:          Regarding guidelines for streamlining the supply of indented medicines by Authorized Local Chemists

 

With reference to the subject matter, the following guidelines are being issued, for strict compliance by all concerned in CGHS and Authorized Local Chemists who shall be empanelled afresh w.e.f 01/04/2023 or earlier and existing ALCs who have been allowed to continue beyond 1/04/2023 due to any reason:

All ALCs are required to stamp “CGHS supply not for sale” on every medicine strip, pack, flap, bottle, tube, sachet, vial supplied to CGHS with indelible (non-erasable) ink on every medicine strip, pack, flap, bottle, tube, sachet, vial supplied to CGHS. CMOs I/C shall check the on-line indent before submission to ALC, to ensure that non-permissible items and items that are available in the Wellness Centre, are not indented. In case a medicine has been wrongly supplied by the ALC (in terms of strength, excess quantity, substandard quality, stolen and/or substitute medicine (either one condition or a combination of conditions)), it shall be returned back to the chemist by CMO I/C, with remarks in the online and physical voucher.

PBG shall be forfeited in case of any ALC exiting midway through the contract, irrespective of whether or not a notice has been given.

The penalty has been increased for delay in supply/non-supply from the existing Rs 100/- per item per day (irrespective of number of patients for whom the delay has occurred) to Rs.100/- per item per day per patient. In case full quantity of an indented medicine has not been supplied the next day by ALC, the remaining medicines shall not be re-indented the next day, as in the absence of patient, this falsely increases patient count and ALC is spared of penalty for delayed supply. The ALC on his own shall supply the remaining medicines at the earliest and penalty for each day of delayed supply shall be levied on the ALC.

Tampering the printed MRP of manufacturer by ALC by use of sticker or by any means will not be accepted and the item shall be rejected.

This issues with the approval of competent authority.

Signed by Anjana Rajkumar
Date: 13-02-2023 10:31:51
Reason: Approved

Anjana Rajkuma
Director CGHS

TO

1. AD(HQ), CGHS / Addl.DDG(HQ), CGHS
2. Additional Directors CGHS of Cities/

Copy to

1. PPS to SS&DG, CGHS, MoHFW, Nirman Bhawan, New Delhi
2. PPS to JS(CGHS), MoHFW, Nirman Bhawan, New Delhi
3. Office copy

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