GO.204 New Essential Medicines Approved list
Essential
Medicines and Additional Medicines 2013
TOP RATED
GO.331
Dt:17.12.2013 is related to new procurement policy in the field of health and AP Govt has issued
Essential Medicines List (EML) and approved list of New Essential
Medicines and Additional Medicines 2013 . The complete GO.204 as follows.
ABSTRACT
New Procurement Policy - Essential Medicines List (EML) - Approved list of New Essential
Medicines and Additional Medicines 2013 - Orders – Issued
G.O.Ms.No. 204 HEALTH MEDICAL & FAMILY WELFARE (M2) DEPARTMENT
Dated: 17 -12-2013
Read the following:
1. G.O.Rt.No.1357, HMFW(M1) Dept., dt.19.10.2009
2. G.OMs.No.115, HM & FW (M1) Dept., dt. 13.05.2010.
3. From the M.D., APMSIDC, Lr.No.APMSIDC/EML/2013-14, dt.10.10.2013.
ORDER:
In the reference 1st read above, the Govt. have issued the New Procurement Policy of
Andhra Pradesh (2009) including the procedure to be adopted to make available essential
medicines of good quality, at all health facilities in the State at all times, procured at
competitive prices in a transparent manner and to promote rational use of medicines.
In the reference 2nd read above, the Govt. have issued orders approving a list of
Essential Medicine List 2010 and requested the M.D., A.P.M.S.I.D.C., Hyd. and other HODs, to
procure only those medicines included in the AML/EML list duly following the procedure laid
down in the reference 1st read above.
In the reference 3rd read above, the M.D., A.P.M.S.I.D.C., Hyderabad, has informed that
as per the above orders Standing Expert Committee was constituted for preparation of
Essential Medicines List (EML). The Expert Committee, Chaired by the Director of Medical
Education, has carefully reviewed the burden of various diseases in the state; existing protocols
for treatments of various diseases; the medicines required for the management of emergency
medical problems and life saving treatment; and cost-effectiveness and efficacy of various
medicines available in the market and also held extensive consultations with pharmacologists,
clinicians, super-specialists, etc. and recommended a list of "Essential Medicines" that satisfy
the medical care needs of the majority of the population that are safe, effective and to be made
available in adequate quantity, dosage, form and fair price, for use by all Government Hospitals,
Health Facilities and allied health institutions. The Director of Medical Education and Chairman
of the Standing Expert Committee convened a workshop with members of Standing Expert
Committee to review and to update the EML 2010 and AML 2010 . After detailed discussions,
the committee prepared a revised list of new EML/AML of 2013. Further, the list needs to
be updated periodically once in 2 years in view of the rapid developments taking place in the
pharmaceutical research and new medicines being introduced in the market on a continuous
basis. He has, therefore, requested the Govt. to approve a New EML and AML consisting of 509
items, i.e. U-139, S-112 T-87 and AML-171 and issue orders in the matter.
The Government, after careful examination of the above, has decided to accept the
recommendations of the Standing ExpertCommittee and hereby order that all Hospitals, Health
Facilities, and other Health Institutions under the control of HM & FW Dept., and the
programmes assisted by the Government of Andhra Pradesh (HMRI and EMRI etc.) shall use
only those Medicines listed in the 'Essential Medicines List 2013' (EML 2013), which is Annexed
to this Order.
Further, to address the specific requirements of the advanced specialties and the superspecialties
, the Government also approve the 'Additional Medicines List' 2013 (AML 2013),
which is Annexed.
The medicines included in the EML2013 have been selected through an evidence based
process with due regard to relevance, quality, safety, efficacy and comparative costeffectiveness.
These medicines will be made available at all health facilities under the control of
the Health, Medical and Family Welfare Department. Supply of medicines to the primary health
centres (PHCs), Urban Health Centres (UHCs) and other primary health facilities shall be limited
to those listed as 'Universal' (U) in the EML 2013. The secondary health facilities (CHCs, Area
Hospitals and Urban Dispensaries) shall utilise those medicines listed as Universal (U) and
Secondary (S). Whereas, the tertiary hospitals (teaching, district and super-speciality hospitals)
will have access to all drugs included in the EML 2013. The medicines included in AML 2013 will
be for the exclusive use of super-specialty and advanced specialty institutions and are for both
centralized and decentralized procurement. The medicines other than the EML for National
Disease Control Programmes, like RNTCP, NLEP, and other requirements of state departments
like Rural Development, ICDS etc., shall be procured by APMSIDC based on the requirement of
HOD’s
The Managing Director of Andhra Pradesh Health, Medical Services and Infrastructure
Development Corporation (APMSIDC) and all Head of the Departments under the overall charge
of Health, Medical and Family Welfare Department shall henceforth procure, store and
dispense only those medicines included in the EML 2013/ AML 2013 based on the need under
Centralized and decentralized Procurements . All medicines included in the lists contain
International Non-proprietary Names (INN) or Generic Names. The medicines included in the
list shall be procured in their generic form, strictly adhering to the Pharmacopeia standards,
Route of Administration, Unit Pack, Strength and Specifications mentioned in this order.
All Heads of Department shall issue detailed instructions to all facilities and
functionaries under their control regarding rational and effective use of medicines included in
the EML and AML. The MD of APHMHIDC shall publish and distribute copies of the EML and
AML to all health facilities and disseminate information regarding their use amongst all health
functionaries of the state. The Commissioner of Health and Family Welfare shall organize
workshops for all medical professionals of the Health, Medical and Family Welfare Department
regarding the rational use of medicines and strict adherence to the use of medicines listed in
this Order.
By implementing the essential medicines concept, the Government of Andhra Pradesh
expects to improve the efficiency of drug management in all health facilities. The Government
instructed all HODs to ensure strict compliance with the Government Orders issued in G.O.Ms
No. 1357 HM&FW Department,dated 19 October 2009. All measures shall be taken by all HODs
to ensure that:
(i) All essential drugs shall be available at all health facilities in the state at all times of the
year.
(ii) Stocks required for at least three months should be maintained at all times.
(iii) Every effort shall be made to completely eliminate expired drugs, drug wastage, pilferage
and stock-outs.
(iv) High standards of quality control and quality assurance measures shall maintained and
monitored.
(V) All drugs in the EML and AML shall be purchased only from pharmaceutical companies
who follow good manufacturing practices (GMP) stipulated by the drugs control
authorities and APMSIDC, in Generic form, and custom packed in strips and blister
packets for Government of AP duly following the instructions in the reference second
cited.
(vi) No doctor of the HM&FW Department shall procure, prescribe, dispense, or recommend
any medicine that is not included in the EML / AML without prior approval of the
Government. Any violation of these instructions shall attract disciplinary action.
(vii) A comprehensive monitoring system to ensure that the above stipulations are fully
implemented, shall be designed and operationalized by M.D., APMISDC within three
months, duly involving the concerned Heads of Departments.
The M.D., A.P.M.S.I.D.C., Hyderabad and other Heads of Department shall procure only
those medicines included in the AML / EML list duly following the procedure laid down in the
reference first read above. All hospitals under other departments of Government of Andhra
Pradesh and the private sector hospitals, especially those included in Rajiv Arogyasri Network,
are also strongly encouraged to use the medicines notified in this Order.
The M.D., A.P.M.S.I.D.C., Hyderabad, shall take necessary further action accordingly.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHR PRADESH)
AJAY SAWHNEY
PRINCIPAL SECRETARY TO GOVERNMENT
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