Anusuchi 9 (Payment Mechanism and Rates) Upload

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;]jfx? (List of Laboratory Tests Provided through Health insurance Board)
S.N. Investigations
A. Hematology
1 TC/DC/Hb
2 Absolute count(Eosinophil/Neutrophil/Lymphocyte/Monocyte/Basophil) per cell type
3 APTT (Activated partial Thromboplastin Time)
4 CT / BT
5 Mean Corpuscular Hemoglobin (MCH)
6 Mean Corpuscular Hemoglobin Concentration (MCHC)
7 Mean Corpuscular Volume (MCV)
8 Packed Cell Volume (PCV)
9 Peripheral smear /RBC morphology comment
10 Platelet count
11 PT/INR
12 RBC count
13 Reticulocyte count
B. Biochemistry
14 24 hour urine protein
15 A/G ratio
16 ABG gas (6 parameters)
17 Adenosine deaminase (ADA) Test
18 Aldehyde test
19 Alkaline phosphatase (ALP)
20 Beta HCG
21 CK-MB
22 Creatine Phosphokinase (CPK)
23 Creatinine clearance
24 D-dimer
25 Erythrocyte Sedimentation Rate (ESR)
26 Fecal Occult Blood Test (FOBT)
27 Serum Ferritin
28 Fluid/CSF RE/Biochemistry (sugar, protein)
1
29 Folic acid level

30 Glucose tolerance test(GTT)
31 HbA1C level
32 Hemoglobin electrophoresis
33 Lactate Dehydrogenase (LDH)
34 Lipid Profile
35 · HDL
36 · LDL
37 · Total Cholesterol
38 · Triglyceride
39 Phenytoin level
40 Prostate Specific Antigen(PSA)
41 Protein Electrophoresis (serum/urine)
42 Serum Total protein
43 Serum Albumin
44 Serum Amylase
45 Serum Bilirubin T/D
46 Serum Blood Sugar
47 Serum Calcium
48 Serum Cholesterol
49 Serum Creatinine
50 Serum electrolyte (Sodium+Potassium)
51 Serum Gamma GT
52 Serum Globulin
53 Serum Iron profile
54 Serum Lipase
55 Serum Lithium
56 Serum Magnesium
57 Serum phosphorus
58 Serum Potassium
59 Serum Sodium
60 Serum Urea
61 Serum Uric Acid
62 SGOT/AST
63 SGPT/ALT
64 TORCH
65 Total Protein
66 Troponin I (Quantitative)
67 Troponin I(Qualitative)
68 Urine Acetone
69 Urine Microalbumin
70 Urobillinogen/prophobillinogen
C. Immunology
71 HIV RDT
2
72 ABO Blood grouping/ Rh D

73 Anti CCP (Anti Citrulinated protein) antibody
74 Anti TPO (Thyroid peroxidase) antibody
75 Anti-DNA
76 Antinuclear Antibody (ANA)
77 Antistreptolysin O (ASO)
78 Brucellosis (agglutination test)
79 Coombs Test
80 C-Reactive Protein (CRP)
81 Cross match
82 Cysticercosis
83 Dengue RDT
84 HBsAg RDT
85 HCV RDT
86 HCV/HIV/HBsAg ELISA
87 Helicobacter Pylori RDT
88 Hepatitis E RDT
89 HIV CD4 count
90 HIV Viral load
91 Immunohistochemistry (per marker)
92 Influenza RDT/PCR
93 Kalaza rk39 RDT
94 Leptospira RDT
95 Malaria RDT
96 Mountoux test
97 Rheumatoid factor
98 RPR/VDRL
99 Thyroglobulin Antibody
100 TPHA
101 Urine Pregnancy test RDT
102 Widal (Salmonella agglutination)
103 Sickling test RDT
D. Bacteriology/Parasitology
104 Acid Fast Bacilli (AFB) Stain
105 Blood CS (Bactec)
106 Blood CS (Conventional)
107 Body fluid/CSF CS
108 Gram’s Stain
109 KOH /India ink fungal microscopy
110 Microfilaria
111 Pus CS
112 Sputum/throat swab/ respiratory specimen CS
113 Stool CS
114 Stool RE/ME
3
115 Urethral/ vaginal swab CS

116 Urine CS
117 Urine RE/ME
E. Histopathology
118 Bone Marrow Biopsy
119 Bone marrow report
120 Bone Marrow Test (Aspiration)
121 FNAC procedure and reporting
122 Histopathology Intermediate
123 Histopathology Major
124 Histopathology Minor
125 LE Cell
126 PAP stain of cervical smear/reporting
127 Routine cytological stain/report
F. Endocrinology
128 C-peptide
129 Estradiol
130 Follicle Stimulating Hormone (FSH)
131 Growth Hormone
132 Leutenizing hormone(LH)
133 Parathyroid Hormone
134 Progesterone
135 Prolactin Hormone
136 Serum cortisol
137 Serum Inhibin
138 Serum insulin
139 Testosterone
140 Vitamin B12
141 Vitamin D
142 Thyroid Function Tests
143 · T3
144 · T4
145 · TSH
G. Markers
146 Ca-125
147 Ca-153
148 Alpha Fetoprotein(AFP)
149 Carcinoembryonic antigen (CEA)
150 Beta 2 Microalbumin (tumour marker)
151 Other Tumour markers (CA 19.9, Vimentin, Desmin, S100 etc.) – per marker
152 Flow Cytometry (Per marker)
4
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lgbfgfTds k/LIf0f ;]jfx? (List of Laboratory Tests Provided Free/Subsidized through Nepal
Government’s Vertical Health Programs NOT through HIB)
S.N. Name of Test Program

1 K-39 Test Kalazar
2 Peripheral smear / RDT for MP Malaria
3 CD4 Count HIV
4 Viral load HIV
5 AFB Stain Tuberculosis
6 Gene Expert Tuberculosis
7 Influenza PCR Outbreak/ Surveillance
8 Smear for Lepra Leprosy
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Services):
S.N. Investigations
1 USG A Scan (Eye) and Soft tissue - Neck, Breast etc. Scan
2 USG (abdomen/pelvis) Scan
3 Plain X Ray (10x12/ 14X17)
4 CR X Ray Small (8X10/10X12)
5 X Ray Medium (11X14)
6 X Ray Large(14X17)
7 X Ray digital (double/three/four exposure)
8 Dental X ray
9 Electrocardiogram (ECG)
10 Echocardiogram
11 UGI Endoscopy
12 CT (abdomen/pelvis) plain
13 CT (abdomen/pelvis) contrast
14 CT (head) plain
15 CT (head) contrast
16 CT (Other: cervical spine/KUB/joint/neck etc.)
17 Colonoscopy
18 USG guided FNAC
19 CT guided FNAC
20 Coronary angiography
21 Peripheral angiography
22 Renal angiography
23 EEG
24 Sigmoidoscopy (General)
5
25 Bronchoscopy(General)
26 ENT endoscopy
27 Barium meal/swallow
28 Mammogram
29 Cystoscopy
30 Thyroscan/ Parathyroid scan
31 Colour Doppler
32 Urethrogram /cystogram
33 Intravenousurogram(IVU)
34 MRCP Urethrograph
35 Myelogram (cervical/whole length)
36 Fistulogram
37 T-tube Cholangiogram
38 MRCP (Magnetic Resonance Cholangiopancreatography)
39 ERCP (Endoscopic Retrograde Cholangiopancreatography)
40 ERCP with procedures
41 Colposcopy
42 Hysteroscopy
43 Fluoroscopy
44 Retrograde pyelography/Urethrography
45 Percutaneous Nephrogram
46 HIDA scan
47 MUGA Scan
48 Mammogram(unilateral)
49 Sialography
50 NPL (laryngoscopy)
51 Lymphocytography
52 Bronchoscopy
53 DTPA/DMSA Scan
54 MRI Group A (Brain, Spine, body organs) Segment
55 MRI Group B (Brain, Spine, body organs) Full
56 MRI Group C (extremities, joints etc.)
57 MRI Group D (Screening for tumour)
58 Transvaginalsonography
59 Saline Sonohysterogram
60 Fluorosceine Angiography
Ophthalmological Diagnostic Tests
61 Eye (Visual Field Series)
62 Color Vision
63 Orthoptic Screening (PBCT, WFDT)
64 Optical biometry
65 Probing
66 USG B Scan
Other diagnostic tests
6
67 Cardiotocogram (CTG)
68 Uroflowmetry
69 Urodynamic evaluation
70 Audiometry
71 Spirometry
72 Tread Mill Test(TMT)
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1. List of Medical Services
S.
Type Medical Packages
N.
1 Nebulization per episode
2 Speech therapy per session
3 Physiotherapy per sitting
4 Phototherapy per sitting
5 Oxygen gas charge/24 hr
6 Day care PAC(Post abortion Medical care)
7 Blood /Blood component per unit
8 Physiotherapy package 1 week (level1)
9 Posterior Nasal Packing
10 Physiotherapy package 1 week (level2)
11 Others
12 Poisoning Emergency Management package
Package 1
13 Others
14 Snakebite Medical Management
15 Acute appendicitis (Medical management)
16 Renal calculi medical management
17 Cellulitis ( Medical Management with minor dressing)
18 Package 2 Ante-natal Care package (Medical Management)
Sickle cell/Aplastic Anemia (Medical Management/ blood
19
transfusion)
20 Acute Nephritis(Medical Management)
21 Others
22 Acute Gastroenteritis ( Medical Management )
23 BPH (Benign prostrate hyperplasia) medical package
24 Conversion disorder (Medical Management)
25 Package 3 Rheumatoid Arthritis(Medical Management)
26 Thalassemia (Medical Management including Blood transfusion)
27 Nephrotic Syndrome(Medical Management)
28 Others
29 Malnutrition (Medical Management)
Package 4
30 Diarrhoea (Medical Management)
7
Neonatal care (basic care package) (e.g. Transient tachypnoea of

31 newborn, Mild birth asphyxia, Jaundice requiring phototherapy,
Hemorrhagic disease of newborn, for observational care)
32 Diabetic Cellulitis (Medical Management including minor dressing)
33 Anaemia (Medical Management including blood transfusion)
34 Avastin Injection 3rd
35 Normal delivery
36 Others
37 Abdominal pain
38 Cholera (Medical Management)
39 Dysentery(Medical Management)
40 Package 5 Wound/ Abscess requiring inpatient care (including I &D, dressing)
41 Puerperal sepsis Management package
42 Others
43 Severe depression (Medical management)
44 Hypovolumeic shock management package
45 Package 6 Acute Hepatitis (Medical Management)
46 Avastin Injection 1st & 2nd dose
47 Others
Trauma & Injuries management (medical management including
48
blood transfusion, dressing, oxygen etc.)
49 Severe Pneumonia Medical Management Adult package
50 Typhoid and Paratyphoid Fevers (Medical Management.)
Hospitalization package for medical management of Zoonotic/ Vector
51
Borne infections (e.g. Leptospirosis etc.)
Acute Respiratory Distress Syndrome (ARDS) (Medical management
52
without ICU/CCU care)
53 Viral hemorrhagic fever Medical Management
54 Complicated Urinary Tract Infection (Medical Management)
Package 7
55 Acute Cholecystitis (Medical Management )
Dengue/ Dengue Hemorrhagic Fever (Medical Management /Blood
56
Transfusion)
Neonatal care (special care package) (admitted with mild-moderate
respiratory distress, Infections/sepsis with no major complications,
57
Prolonged/persistent jaundice, Assisted feeding for low birth weight
babies (<1800 gram), Neonatal seizures)
58 Fever of Unknown Origin (FUO)(Medical Management)
59 Meningitis (Medical Management)
60 Others
61 Hydrocephalus medical management package
62 Package 8 Asthma (Medical Management)
63 Others
64 Diabetes mellitus (Hospitalization for blood sugar control)package
Package 9
65 Severe Pneumonia Medical Management Pediatric package
8
Chronic Obstructive Pulmonary Disease (COPD) (Medical

66
Management including oxygen)
Burn <30% Body surface area (Medical Management including
67
dressing)
68 Others
69 Pneumothorax medical management package
Myocardial Infarction (Medical management where CCU care not
70 Package 10
available)(MI) : Level l
71 Others
72 Pyogenic Liver abscess (Including Aspiration/ Drainage)
73 Hypertensive Emergency Urgency (Medical Management)
Package 11
74 Bipolar disorder (Medical Management)
75 Others
76 Diabetes mellitus related complications management package
77 Package 12 Paralytic syndromes/stroke Medical management package
78 Others
79 Atherosclerotic Vascular Disease CCU care(AVD)
80 Epilepsy adult (Medical Management)
Package 13
81 Epilepsy pediatric (Medical Management)
82 Others
83 Package 14 Others
84 Congestive Cardiac Failure(CCF) (CCU care included)
Package 15
85 Others
86 Burn >30% Body surface area
87 Package 16 Schizophrenia (Medical management)
88 Others
Upper Gastrointestinal bleeding (Medical management including
89
Package 17 blood transfusion/ injection octreotide)
90 Others
92 Severe Septicemia (Medical Management/ including ICU care )
Package 19
93 Others
94 Myocardial Infarction(package with CCU care included) : Level ll
Package 20
95 Others
ICU/CCU/NICU (includes Basic Investigations: TC, DC, Hb, Urea,
97 Creatinine, Na/K, Blood Sugar, LFT, Electronic monitoring,
Consultation/Bed charge/Oxygen, surgical items)
Per Day Basis Package
Hospitalization per day general bed (includes Consultation, TC/DC,
Hb, Platelet, PCV, Urine RE, Blood Sugar once (F/PP/R any one),
98
Creatinine, Urea, Sodium, Potassium, Bilirubin, AST, ALT.
For surgical case – Dressing)
99 OPD package
9
OPD package includes - Consultation, TC, DC, Hb, Stool RE, Urine
RE/ME, Blood Sugar twice (F/PP/R any two )
10 Emergency package includes - Consultation, TC/DC, Hb, Urine RE,
Emergency package
0 Blood Sugar once(F/PP/R any one), Creatinine and ECG
10 Eye hospital OPD Eye hospital OPD package includes - Consultation, Slit lamp
1 package examination, Refraction test, Eye Pressure and Eye dryness test
Eye hospital Emergency package includes - Consultation, Slit lamp
10 Eye hospital Emergency
examination, Refraction test, Eye Pressure, Eye dryness test and
2 package
Foreign body removal eye
N.B.
 Patient has to be admitted for more than 48 hours (2 days) to claim the diagnosis based
package (e.g. Asthma (medical management) package).
 Diagnosis based packages includes all relevant consultations, investigations, medicines,
bed charge, surgical supplies and disposables like Foley's catheter/ gloves/ masks/ surgical
caps/antiseptic solutions etc. used during total hospital stay.
 For complicated cases with comorbidities, only one diagnosis based package (For which
patient was admitted) is to be claimed and for comorbidities the items provided can be
claimed.
 One OPD ticket is for all consultations on the same day.
 Same OPD ticket is applicable for follow up for 7 days.
 For Emergency package patient has to be treated as emergency case in emergency room.
It does not include cases seen in Extended Hospital Service time.
 To claim in "Others" Option: Those services which are not in our benefit package list
may be claimed in "Others" option with Rate equivalent to the cost of service delivered
by the facility. Hospital bill equivalent to the claimed amount must be mandatorily
uploaded in the system.
10
2. List of Cardiac care related services
S.N. Cardiac Services

1 Aortic Valve Balloon Dilation (AVBD) (Balloon Extra)
2 Atrial Septal Defect (ASD) Device Closure
3 Balloon Septosotomy (Balloon Extra) (with contrast)
4 Patent Ductus Arteriosus (PDA) Device Closure
5 Pericardiocentesis (Except Aspiration Catheter)
6 Pulmonary Artery Thrombectomy / Embolectomy (with catheter)
7 Ventricular Septal Defect (VSD) Device Closure (with contrast)
8 Permanent Pacemaker Implantation (Pacemaker Generator Extra)
9 Epicardial Pacemaker Insertion
10 Single Pacemaker insertion
11 Dual Pacemaker insertion
12 Programming Single Pacemaker
13 Programming Dual Pacemaker
14 External C Pap Care
15 EP Study
16 EP/Ablation Type A (with contrast)
17 EP/Ablation Type B (with contrast)
18 ABP Monitoring
19 Ambulatory BP Monitoring (ABPM)
20 Ankle Brachial Index (ABI)
21 Bilateral Limb Arterial Doppler
22 Bilateral Limbs Venous Doppler
23 Carotid Doppler
24 External C pap Care For 24 Hours
25 Holter Monitoring
26 Insertion Of Arterial Line
27 Insertion Of Swan gauge Catheterization
28 Left Heart Catheterization Including Contrast
29 Renal Doppler
30 Right Heart Catheterization (Oxymetry Extra) with contrast
31 Single Limb Arterial Doppler
32 Single Limb Venous Doppler
33 Stress ECHO
34 TEE (Transesophageal Echocardiography)
35 Tilting Table Test
36 Umbilical Artery Doppler
11
3. Cancer Care related services
S.N. Cancer Services
1 Radiotherapy per fraction unit
2 Radio Therapy Full Course (X30 Fraction)

3 Chemotherapy Per Day (Day Care + Bed charges+ surgical supplies, Medicine Extra)
4 Brachytherapy per episode
5 Hospice (Palliative) Care per day (Inclusive of Bed charge, Nursing care, Surgical supplies)
4. List of Surgical Services
Package S.N. Surgical Procedures

1 Dressing minor
2 Dental extraction simple per unit
3 Urinary Catheterization (Procedure only)
4 Stitch Removal/Dressing major
5 Eye Suture Removal Under LA
6 Dental extraction (difficult) per unit
7 Dental filling (composite) per unit
8 Incision and drainage abscess (small)
9 Urinary Bladder - Intravesical BCG/Mitomycin instillation
10 Electric Cautery
Procedure 1 11 Suprapubic/Pleural/other body fluid aspiration
12 Laceration repair Minor/Suturing Minor
13 Others procedures
14 USG guided drainage procedure
15 Surgical extraction (dental) per unit
16 Foreign body removal (eye/ear/throat) simple
17 Intra-Articular Steroid injection (including steroid medicine)
18 Ganglion aspiration and steroid injection (Including steroid medicine)
Procedure 2
19 Penis-Intralesional injection for Pyronies disease
20 Other
21 Incision and drainage abscess (Large)
22 Fallopian tube- Hydrotubation
23 Fallopian tube- Insufflation LA
24 Vagina-Vault Thread Removal
25 Eye lid; Stye/Lid Abscess Drainage
Procedure 3
26 Impacted tooth/molar (LA) package
27 Cryotherapy/service
28 Laceration repair Major/Suturing Major
29 Other
30 Fracture reduction POP cast minor/slab
31 Ear Lobe repair
12
32 Examination under IV sedation

33 Uterus-Endometrial Biopsy LA
34 Cyclocryo Therapy/Electro Epilation
35 Corneal Scrapping
36 Eye: Macular Grid Laser (One eye)
37 I & D LA
38 Secondary suturing LA
39 Burr Hole for Subdural/Ventricular puncture
40 Secondary suturing LA
41 Kidney-Antegradepyelogram
42 Prostate-Prostatic biopsy (Finger guided)
43 Cervix-Cervical Biopsy LA
44 Cervix-Cervical Polypectomy LA
45 Perineum-1st and 2nd degree Tear Old LA
46 Uterus-Dilatation and Curettage LA
47 Vagina- Hymenectomy LA
48 Vagina-Bartholin Abscess I&D LA
49 Vagina-Biopsy Vulva/Vagina LA
Minor 1 50 Vagina-Excision of bartholin cyst LA
51 Vagina-Vaginal Wall Cyst Removal LA
Simple Caste in O.T. (cast extra)/ Fracture reduction
52
intermediate(below knee, below elbow) including cast
53 Penis-Aspiration and irrigation for priapism
54 Conjunctiva Plasty/Suturing
55 Eye: Prophylactic Laser (One Eye)
56 Corrective cast
57 Epidural Block
58 Foot Fracture Fixation LA
59 K-wire Removal
60 Others
61 Colonoscopy
62 Hemorrhoid banding
63 Cervix-Cryosurgery
64 Cystoscopy (with DJ removal /biopsy)
Urethra-Retrograde Urethrogram (RGU) +Micturating
65
Cystourethrogram (MCUG)
66 Eye Retina Yag Laser
67 Perioral sinus excision LA
68 Papilloma excision simple LA
69 Muscle biopsy LA
70 Mucous retention cyst LA
71 Ingrowing toenail excision unilateral LA
72 Granuloma excision LA
73 Ganglion excision LA
74 Frenuloplasty LA
75 Foreign body exploration LA
76 Fibroma excision LA
13
77 Dermoid cyst excision LA

78 Hip Spica
79 Fracture reduction POP cast major (long leg, above elbow, above knee)
80 Steinmann pin For Fracture fixation
81 Urethra-Excision of urethral caruncle
82 Urethra-Urethral dilation LA
83 Anal- Seton change IVA
84 Adrenal - Adrenalectomy Open
85 Urethra-Meatotomy
86 Urinary Bladder - SPC insertion LA
87 Chalazion Surgery
88 Prostate-Prostatic biopsy (RURS guided)
89 Urethral Dilation LA
90 Cervix-Electric Cauterization of Cervix LA
91 Cervix-McDonald suture LA
92 Uterus-Suctino Evacuation for Molar Pregnancy IVA
Minor 2 93 Urinary Bladder - SPC insertion under USG guidance
94 Eye Probing Under LA
95 F.B. In Corneal Stroma Deep
96 Cystoscopy LA
97 Vas-Vasectomy
98 Others
99 Cisternal Puncture (OPD procedure)
100 Sebaceous cyst excision single LA
101 Lymphnode excision biopsy LA
102 lipoma excision single LA
103 Corn sole excision LA
104 Vas-Vasoepididymostomy (Microsurgery)LA
105 Cervix-LEEP LA
106 Uterus-Hysterosalpingograph (HSG)
107 Vagina-Marsupilization of Bartholin cyst
108 DJ removal LA
109 Lid Laceration Repair Small
110 Eye Suture Removal Under GA
111 Dacryocystectomy (DCT)
112 I & D SA
113 Sigmoidoscopy with biopsy/polypectomy
114 Cervix-Conization Ketamine and others
115 Fallopian tube- Hydrotubation Ketamine and others
116 Uterus-Diagnostic Hysteroscopy LA
117 Post Abortion Care (PAC) with MVA
118 Eye : Canthoplasty
119 Sebaceous cyst excision multiple LA
120 Papilloma excision multiple LA
121 Lipoma excision multiple LA
122 Ingrowing toenail excision bilateral LA
14
123 Hemorrhoid banding

124 Gynaecomastia excision unilateral LA
125 Comprehensive Abortion Care (CAC) LA
126 Foot- MTP/IP Joints Dislocations
127 Hand- MCP/IP Joints Dislocations
128 Shoulder/Elbow Dislocation (traction/arm sling)
129 Penis-Dorsal Slit for paraphimosis
130 Cleft Lip (Revision) LA
131 Testis-Testicular biopsy percutaneous
132 Urinary Bladder - SPC insertion SA
Minor 3
133 Eye Cyst Removal(Big/Small)
134 I & D GA
135 Others
136 Colonoscopy with biopsy/polypectomy
137 Cervix-Shirodhker Suture LA
138 Lid Tumor Excision With Reconstruction Small
139 Eye Probing Under GA
140 Testicular biopsy LA
141 Root Block
142 Contracture Release with Z Plasty LA
143 Dermabrasion /Chemical Peel LA
144 Tongue Tie Release LA
145 Trigger Finger Release LA
146 Urethra-Meatoplasty
147 Debridement & Closure(LA) package
148 Secondary suturing GA
149 Vagina- Le Forte LA
150 Foot Fracture Fixation SA
151 Urethra-Urethral dilation SA
152 Perineum-3rd Degree Tear Acute
153 Uterus-Hysteroscopy with Biopsy
154 Endoscopic Variceal banding
155 Eye Evisceration
156 Eye lid: Entropion Surgery
157 Anterior Vitrectomy
158 Examinaiton under Anesthesia (EUA)
159 Penis-Frenuloplasty
160 Epidural Anesthesia in labor
161 EUA + Cervical Biopsy or Endometrial biopsy
162 EUA + Cystoscopy
Minor 4 163 Eye lid: Ectropion Surgery
164 Lid Laceration Repair Large
165 ICG Angiogram
166 Corneal Repair Simple
167 Conjunctiva: Pterigium Surgery
168 Glaucoma: Peripheral Iridotomy (PI)
15
169 Burr Hole(s) for EVD placement

170 Amputation digital SA
171 Implant Removal Plate Removal GA/SA
172 Toes & Finger Arthrodesis SA/Regional block
173 Cleft Lip Bilateral LA
174 Cystoscopy (Rigid) Caudal block
175 Cystoscopy SA
176 DJ removal SA
177 Assisted Delivery (Vacuum/Forceps);
178 Others
179 Cervix-LEEP Ketamine
180 Dilation and Curettage (D & C)
181 Squint Surgery 1 muscle
182 DJ stenting LA
183 Hernia repair unilateral LA
184 CSF Shunt Removal (OPD procedure)
185 Umbilical hernia repair LA
186 Gynaecomastia excision bilateral LA
187 Evisceration (EVS) for hydrocele LA
188 CRPP (Small Joints)
189 Implant removal Simple
190 Surgical Release (Trigger/DQ release)
191 Tendon Repair Intermediate
192 Tendon Repair Minor
193 Excision of Cutaneous Lesion and SSG or FTSG LA
194 Facial Laceration Suturing (Simple) LA
195 Minor Lip procedure LA
196 Orocutaneous Fistula Closure with Flaps LA
197 Polydactyli Correction Single LA
198 Skin Grafting Raw Area LA
199 Tendon Repair (Single) LA
200 Conjunctival Laceration Repair
201 Debridement GA
202 Debridement SA
203 Re-Exploration Laparotomy
204 Neurorrhaphy with Nerve Graft
205 Cervix-Cervical Biopsy GA/Ketamine
206 Cervix-Electric Cauterization of Cervix GA
207 Uterus-Dilatation and Curettage GA
208 Uterus-Endometrial Biopsy GA
209 Vagina-Excision of Bartholin cyst GA
210 Anterior Transposition of Ulnar Nerve GA/Regional Block
Elbow - ( Epicondyle/Condyle Fracture) Epiphyseal Excision Regional
211
Block
212 Finger/Toes Fracture ORIF Regional block
213 Hips Dislocation MUA & Traction Ketamine
214 Contracture Release with Multiple Z plasty GA
16
215 Electrical Burns Fasciotomy GA

Excision of Granulation Tissue Escharectomy Or Debridement GA
216
Small
217 Pedicled Flap Detachment Major or Minor GA/LA
218 Tongue Tie Release GA
219 Trigger Finger Release GA
220 Cystoscopy (Rigid) GA
221 Kidney-Percutaneous Nephrostomy (PCN) placement LA
222 Penis-Circumcision GA
223 Circumcision /phimosis LA
224 Dacrocystorhinostomy (DCR) surgery
225 Eye Evisceration With Implant
226 Epigastric hernia repair LA
227 Foot Toes Debridement Repair Regional Block
228 Hand Carpal Tunnel Release LA/Regional block
229 Tendon Grafting LA
230 Pharyngeal Abscess package(including Drainage)
231 breast lump excision single LA
232 Breast- Ganaecomastia GA
233 Biopsy Orthopaedic GA/SA
234 Decompression Septic Arthritis/Osteomyelitis
235 Foot Toes Debridement Repair SA
236 Implant Removal IM Nail Removal GA/SA
237 Toes & Finger Arthrodesis GA
238 Contracture Release with Skin Grafting GA
239 Foreign body removal under GA(airway, esophageal)
Neuroplasty and/or Transposition of Median Nerve at Carpal
240
Tunnel(OPD procedure)
241 Neuroplasty, Major Peripheral Nerve(OPD procedure)
242 Femoral hernia mesh repair
243 Perineum-3rd Degree Tear Interval
244 Polydactyli Correction Multiple LA
245 Pneumatic Retinopexy
246 Intraocular Foreign Body
247 Corneal Repair Complicated
248 Vulva-Evacuation of Vulvar hematoma GA
249 Excision of Neuroma
250 Esophageal Dilatation GA
251 CAC GA
252 Cervix-Cervical Polypectomy GA
253 Ankle Ligament Tear Repair Sa
Minor 5 254 Elbow - ( Epicondyle/Condyle Fracture) Epiphyseal Fixation GA
255 External Fixators
256 Foot Curettage & Debridement Removal of Plate SA
257 Foot Curettage & Debridement SA
258 Foot Hallux Valgus Correction SA
259 Foot Toes Debridement Repair GA
17
260 Hand Dislocation Fixation SA

261 Hips Dislocation MUA & Traction SA
262 Radial Head Excision Regional Block
263 Wrist/Hand Fracture Dislocation ORIF Regional Block
264 Skin Grafting Raw Area GA Small
265 DJ removal GA
266 Harmonic scalpel
267 Percutaneous peritonial Dialysis catheter insertion
268 Urinary Bladder - Vesicovaginal Fistula repair (RAZ procedure)
269 Urinary Bladder-Hydrodistension of bladder GA
270 Urinary Bladder-Restaging TURBT(Scar resection)
271 Minor I (Sternal Wire Removal)
272 Eye: Enucleation
273 Cataract: Small incision
274 Rectum- Thierch suturing
275 Others
276 Anal- Lateral Sphinterotomy IVA
277 Breast Lump excision multiple LA
278 Anal- Evacuation/ Excision of Thrombosed External Hemorrhoid GA
279 Breast- Breast Lump Excision GA
280 Uterus-Diagnostic Hysteroscopy GA
281 Vagina-Repair of vaginal/Cervical laceration Small
282 Femure Shaft Fracture Plating SA
283 Tibia Shaft Fracture Plating SA
284 Squint Surgery 2 Muscle
285 Lid Tumor Excision With Reconstruction Medium
Neuroplasty and/or Transposition of Ulnar Nerve at Elbow(OPD
286
procedure)
287 Inguinal hernia mesh repair LA
288 Children Injuries: CRPP distal radius/Epiphyseal Fracture separation
289 CRPP (Large Joints)e.g. Ankle
290 Creation of AV Fistula for Hemodyalysis LA
291 Cross Finger Flap LA
292 Facial Laceration Suturing (Complex) LA
293 AV fistula
294 Varicose vein surgical management with excision and ligation
295 Hernia repair unilateral GA
296 Vagina-Bartholin Abscess I&D GA
297 Vagina-Excision of Vaginal septum SA/GA
298 Vagina-Vaginal Wall Cyst Removal GA
299 Amputation digital GA
300 Elbow/Wrist Arthrodesis Regional Block
301 Femur Shaft Fracture Plating GA
302 Foot Club Foot Soft Tissue Release GA
303 Foot Hallux Valgus Correction GA
304 Forearm- Fracture Distal Radius - ORIF Regional Block
305 Hand Dislocation Fixation GA
18
306 Hips Dislocation MUA & Traction GA

307 Radius Malunion Excision ORIF Styloid DARRCH
308 Tibia Malleolar Fracture INT. Fixation SA
309 Wrist/Hand Fracture Dislocation ORIF GA
310 Ear Reconstruction 2nd stage with FTSG GA
311
Medium
312 Fracture Mandible Plating and IMF LA
313 Fracture Maxilla Fixation LA
314 Lobule Transposition GA
315 Minor Lip procedure GA
316 Nipple and Areola Reconstruction GA
317 Pedicled Flaps Inset - Minor GA/LA
318 Polydactyli Correction Single GA
319 Soft Tissue and Nerve Repair GA
320 Tendon Repair (Single) GA
321 Transposition Flaps - Minor
322 Epididymis-Epididymectomy
323 Eye Evisceration With Implant
324 Orbitotomy Small
325 Circumcision for phimosis (IVA/GA)
Kidney-Percutaneous Nephrostomy (PCN) placement GA Blind/USG
326
guided
327 Retinal Detachment (R D)Surgery
328 Burr Hole(s) for Biospy of Brain
329 Burr Hole(s) for Evacuation of CSDH single
330 Cervix-McDonald suture GA
331 Pelvic Floor repair
332 Perineum-1st and 2nd degree Tear Old GA
333 Uterus-Mannual Removal of Placenta (MRP) with EPI
334 Vagina- Hymenectom GA
335 Vagina-Biopsy Vulva/Vagina GA
336 Vagina-Repair of vaginal/Cervical laceration Large
337 Ankle Ligament Tear Repair GA
338 Foot Ankle Arthrodesis SA
339 Foot Fracture INT. Fixation SA
340 Forearm- Fracture Distal Radius - ORIF GA
341 Hips Fracture Femur Neck Displacement Osteotomy SA
342 Knee Arthrodesis SA
343 Knee collateral Ligament Injury Repair SA
344 Patella Fracture Excision/Fixation SA
345 Patella Recurrent Dislocation Lateral Release SA
346 Patella Recurrent Dislocation Quadricepsplasty SA
347 Patella Recurrent Dislocation Tendon Transfer SA
348 Soft Tissue Nerve Repair GA
349 Tibia Malleolar Fracture INT. Fixation GA
350 Tibia Malleolar Osteotomy SA
19
351 Cleft Lip Unilateral GA

352 Testis-Testicular biopsy open
353 Testis-U/L Orchidectomy SA/GA
354 Urethra-Optical Internal Urethrotomy (OIU) Caudal block
355 Urethra-Urethrovaginal Repair
356 Urinary Bladder - VVF Repair (O Conner procedure)
357 Tonsillectomy Surgery
358 Cataract: Phacoemulsion with Fred Hollow Intraocular Lens (One eye)
359 Dacryocystorhinostomy With Tubation
360 Knee Tibial Spiral Fracture INT. Fixation SA
361 Tarsal Bone Fracture Or Calcanium INT. Fixation SA
362 Tarsal Joint Arthrodesis SA
363 Tibia Condylar Fracture Screwing Percutaneous SA
364 Tibia Shaft Fracture Plating GA
365 Testis-B/L Orchidectomy SA/GA
366 Testis-EVS of Hydrocele GA/SA (Unilateral)
367 Urethra-Optical Internal Urethrotomy (OIU) OIU SA
368 Urinary Bladder - Cystolitholapaxy caudal block
369 Minor(AV Fistula / IABP Insertion/ Perma Cath Insertion)
370 Scrotum-Debridement of Fournier's Gangrene
371 Pyogenic liver abscess (Including Aspiration/ drainage)
373 Eye: Cryo Buckling
374 Uterus-Suction Evacuation for Molar Pregnancy GA
375 Skin Grafting Raw Area GA Medium
376 DJ stenting SA
377 Burr Hole(s) for Drainage of Brain Abscess/Cyst
378 Cervix-Conization GA
379 Vagina-Anterior Colporrhaphy GA/SA
380 Knee OA Knee Deformity Osteotomy SA
381 Patella Recurrent Dislocation Tendon Transfer GA
382 Burn Early Excision and Grafting
383 Fracture Maxilla Fixation GA
Intermediate 1 384 Fracture Zygoma Fixation LA
385 Liposuction for Gynaecomastia GA
386 Lymphoedema Surgery GA
387 Tendon Grafting GA
388 DJ stenting GA
389 Penis-Partial Penectomy
390 Scrotum-Scrotoplasty SA/GA
391 Urinary Bladder - Cystolitholapaxy SA
392 Urinary Bladder - Cystolithotomy SA
393 CRPP Supracondylar/Neck Fracture Humerus
394 Humerus- Lateral Condyle Fracture Children/Adult ORIF
395 Rush Nailing- Paediatric and Adult Fracture
396 Tendon Repair (Multiple) LA
20
397 Others
398 Hernia repair bilateral LA
399 SICS + Trabeculectomy
400 Urinary Diversion
401 Burr Hole(s) for Aspiration of Hematoma/Cyst
402 Burr Hole(s) for Multiple
403 Neurorrhaphy Anastomosis Facial-Hypoglossal
404 Breast- Simple Mastectomy GA
405 Hernia repair unilateral SA
406 Psoas Abscess drainage
407 Vagina-Tension free Vaginal Tape (TVT) SA
408 Vagina-Transobturator Tape (TOT) SA
409 Amputation above knee/below knee/below Forearm SA
410 Ankle Infection Arthritis Degenerative Arthrodesis GA
411 Arthrotomy small joints
412 Drainage of Psoas Abscess
Elbow communitedIntercondylar Fracture Anterior Transposition of
413
Ulnar nerve Regional Block
414 Femur condylar Fracture Plating SA
415 Femure Shaft Fracture IM-Nailing SA
416 Foot Ankle Arthrodesis GA
417 Foot Club Foot ETA GA
418 Foot Club Foot Soft Tissue + Bone Repair GA
419 Foot Fracture Fixation GA
420 Foot Fracture INT. Fixation GA
421 Forearm- Fracture Both Bones Forearm GA
422 Forearm- Fracture Both Bones Forearm Regional Block
423 Hips Fracture Femur Neck Displacement Osteotomy GA
424 Humerus Fracture ORIF GA
425 Knee Arthrodesis GA
426 Knee collateral Lig. Injury Repair GA
427 Knee Tibial Spiral Fracture INT. Fixation GA
428 Patella Recurrent Dislocation Lateral Release GA
429 Patella Recurrent Dislocation Quadricepsplasty GA
430 Radius Malunion Excision ORIF Styloid DARRCH GA
431 Soft Tissue Nerve & Tendon Repair SA/Regional Block
432 Tarsal Joint Arthrodesis GA
433 Tibia Condylar Fracture Screwing Percutaneous GA
434 Tibia Malleolar Osteotomy GA
435 Cleft Lip (Revision) GA
436 Cleft Lip Bilateral Revision GA
437 Cross Finger Flap GA
438
Large
439 Polydactyli Correction Multiple GA
440 Syndactyli Release and Grafting GA
441 Urethra-1st stage Byars flap
21
442 Urethra-2nd stage Byars flap

443 Fistula/Sinus excision
444 Orbitotomy Lateral
445 Lid Tumor Excision With Reconstruction Big
446 Eye Ptosis: Sling Surgery Only
447 Glaucoma Valve Implant Procedure(Valve Extra)
Elbow communitedIntercondylar Fracture Anterior Transposition of
448
Ulnar nerve GA
449 Hips Fracture Femur Neck Pins SA
450 Hips Fracture Femur Neck Screw SA
451 Knee OA Knee Deformity Osteotomy GA
452 Tarsal Bone Fracture Or Calcanium INT. Fixation GA
453 Tarsal Bone Fracture Talus INT. Fixatoin GA
454 Hernioplasty SA/GA
455 Kidney-Drainage of perinephric abscess SA/GA
456 Penis-Shunt surgery for Priapism
457 RPG + Instillation of Sclerosant LA
458 Testis-Radical Orchidectomy
459 Urethra-Urethral Diverticulectomy
460 Urinary Bladder - Cystolithotomy GA
461 Chronic suppurative otitis media Surgical management package
463 Orbitotomy Medium
464 Eye Ptosis: Levator Resection
465 Blepheroplasty
466 Thyroglossal Cyst - Excision package
467 Appendix- Open Appendectomy SA
468 Excision of Rib GA/Open Lung Biospy GA
469 Cervix-Shirodhker Suture GA
470 Cleft Palate Repair GA
471 Urethra-1st stage Johansen procedure
472 Urethra-2nd stage Johansen procedure
473 Urinary Bladder - Cystolitholapaxy GA
474 Anal- Hemorrhoidectomy (Open)
475 Ilioingunal block dissection of lymphnode
476 Closed Reduction & K-Wire Fixation/TENS
477 Tendon Repair Major
478 Posterior Vitrectomy Package 1
479 Tibia Shaft Fracture Nailing SA
480 Laparotomy with Biopsy
481 Stomach-Palliative Gastrojejunostomy
482 Stomach- Rammstedt Operatio for Pyloric Stenosis
483 Appendix- Open Appendectomy GA
484 CSF Shunt Placement
Hemilaminectomy and Decompression of Cord/Excision of Disc
485
(Posterior Approach)
22
Laminectomy and Decompression of Cord/Excision of Disc (Posterior

486
Approach)
487 Diagnostic Laparoscopy/Laparoscopic biopsy
488 Urethra- Burch Colposuspension GA
489 Urethra- Burch Colposuspension LA
490 Vagina-Fothergills operation (Manchester)
491 Vagina-Tension free Vaginal Tape (TVT) GA
492 Vagina-Transobturator Tape (TOT) GA
493 Arthrotomy Large joints
494 Femur condylar Fracture Plating GA
495 Hand - Carpal, Metacarpal & phalanges Fracture - ORIF
496 Hips CDH Acetabuloplasty GA
497 Hips Fracture Femur Neck Hemiarthroplasty SA
498 Hips Fracture Femur Neck Pins GA
Intermediate 2 499 Hips Fracture Femur Neck Screw GA
500 Humerus Supracondylar, Lateral condylar Fracture - ORIF Ga
501 Shoulder Joint Arthrodesis GA
502 Soft Tissue Nerve & Tendon Repair GA
503 Soft Tissue, Nerve & Vessels Repair SA
504 Spine Infection Pott's Drainage Procedure GA
505 Tibia Condylar Fracture Elevation Bone Graft SA
506 Transpendicular Biopsy
507 Hand- Carpal/Metacarpal/Phalanges Fracture : ORIF
508 Elbow- Olecranon Fracture ORIF
509 Alveolar Bone Grafting GA
510 Augmentation Rhinoplasty
511 Blow Out Fracture Reconstruction GA
512 Cancer Excision and Flap Construction GA
513 Contracture Band Multiple Z plasty GA
514 Contracture Release with Rotation Flap GA
515 Dermabrasion /Chemical Peel GA
516 Excision of Cutaneous Lesion and SSG or FTSG GA
517 Facial Laceration Suturing (Complex) GA
518 Facial Paralysis Cross Facial Nerve Grafting GA
519 Facial Paralysis Cross Temporalis Transfer GA
520 Flaps For Bed Sore GA
521 Fracture Mandible Plating and IMF GA
522 Framework Elevation and FTSG GA
523 Hemimandibulectomy and Reconstruction
524 Le Forte Advancement GA
525 Lip Reconstruction GA
526 Malar Augmentation with Bone Graft GA
527 Mandibular Osteotomies Ga
528 Nose Reconstruction with Flaps GA
529 Orocutaneous Fistula Closure with Flaps GA
530 Palatal Fistula Closure GA
531 Pedicled Flaps Inset - Major GA
23
532 Pharyngoplasty GA
533 Pollicization GA
534 Scalp Transposition and Grafting GA
535 Skin Grafting Raw Area GA Large
536 Soft Tissue, Tendon and Nerve Repair GA
537 Tendon Repair (Multiple) GA
538 TMJ ankylosis Release GA
539 Transposition Flaps - Major
540 Vaginal Reconstruction
541 Kidney-Drainage of renal abscess SA/GA
542 Penis-Radical penectomy
543 RPG + Instillation of Sclerosant SA
544 Scrotum-Scrotal exploration for trauma
545 Single stage SNODGRASS(TIP)
546 Testis-Exploration of testicular torsion
547 Ureter-Ureterocystoneostomy (UCN) B/L GA
548 Ureter-Ureterocystoneostomy (UCN) U/L SA
549 Ureter-Ureteroscopic Lithotripsy(URSL) + DJ stenting SA
550 Ureter-Ureteroscopy (URS) SA
551 Urethra-Blandys perianal urethroplasty
552 Urethra-Matheu Flip Flap
553 Urinary Bladder - Repair of Traumatic bladder rupture
554 Vas-Microscopic varicocele ligation
555 Amputation above knee/below knee/Below Forearm GA
556 Cesarian Section Delivery
557 Others
558 Biliary-Open cholecystectomy
559 Hand Carpal Tunnel Release GA
560 Anal- Hemorrhoidectomy (Stapled)
561 Exploratory laparotomy
562 Intestine- Iliostomy/Colostomy
Craniotomy/Craniectomy Drainage of Intracranial Abscess
563
Supratentorial
564 Thyroid- Hemithyroidectomy GA
565 Hips Fracture Trochanteric Fracture DHS Fixation SA
566 Cleft Lip Bilateral GA
567 Ureter-Ureterolithotomy open SA
568 Urinary Bladder-TURBT 1st stage
570 Orbitotomy Big
571 Keratoplasty PK
Laparoscopy for Oophorectomy or Salpingo-Oophorectomy or Ectopic
572
pregnancy or Pelvic Abscess
573 Laparotomy with Wedge resection of ovary
574 Ureter-Ureteroscopy (URS) GA
575 Ankle Fracture Dislocation Open reduction Repair/Fixation GA
576 Patella Fracture Excision/Fixation GA
24
577 Phaco+Iol+ Trabeculectomy

578 Biliary-CBD exploration
579 Bone Flap Removal
580 Bone Flap Replacement
581 Craniotomy/CraniectomyInfratentorial
582 Craniotomy/Craniectomy Orbital Biopsy
583 Breast- Mastectomy GA/Wide Local Excision of Ca Breast
584 ERCP (ES stone extraction/Stenting
585 Laparoscopic Diagnostic Lap with Blue test (dye included)
586 Laparoscopic Tubal Ligation
587 Adnexal Operations - including Ovarian Cystectomy
588 Hips Fracture Femur Neck Hemiarthroplasty GA
589 Hips Old Unreduced Dislocation/CDH Open Reduction GA
590 Shoulder Fracture Dislocation INT. Fixation GA
591 Shoulder/Wrist/Elbow Arthrodesis GA
592 Soft Tissue, Nerve & Vessels Repair GA
593 Hernia repair bilateral SA
594 Spine Pott's Spine Costo-Transversectomy
595 Tibia Condylar Fracture Elevation Bone Graft GA
596 Plating Forearm/Arm/Leg/Thigh bones Children
597 Ear Reconstruction Cartilage Framework GA
598 Penile Reconstruction GA
599 Soft Tissue, Tendon, Nerve and Vessel Repair GA
600 Prostate-TURP SA
601 Acute osteomyelitis (Surgical management including I&D, dressing)
602 Anal- Pilonidal Sinus surgery
603 Vulva-Vulvectomy simple
604 Ureter-Ureterolithotomy open GA
605 Kidney-Graft nephrectomy
606 Kidney-Nephrectomy for XGP
607 Kidney-Open pyelolithotomy
608 Penis-Nestbitt operation for Pyronies disease
609 Penis-Repair of Penile fracture
610 Penis-Total Penectomy
611 Prostate-Retropubic Prostatectomy SA
612 RPG + Instillation of Sclerosant GA
Intermediate 3
613 Testis-Orchidopexy 1st stage
614 Testis-Orchidopexy 2nd stage
615 Ureter- Transureteroureterostomy
616 Ureter-Ureterocystoneostomy (UCN) B/L SA
617 Ureter-Ureterocystoneostomy (UCN) U/L GA
618 Ureter-Ureteroscopic Lithotripsy(URSL) + DJ stenting GA
619 Urethra-Tension Free Vaginal Tape (TVT) repair
620 Urinary Bladder- Percutaneous Cystolithotripsy (PCCL) SA
621 Uterus-Myomectomy GA
622 Others
25
623 Intestine- Iliostomy/Colostomy closure

624 Vagina-Repair of Vault prolapse
625 Biliary-Cholecysto-Jejunostomy
Exploratory laparotomy with - band release, Adhesiolysis, Derotation
626
for intestinal obstruction
Exploratory Laparotomy with - Repair of DU or Gastric perforation
627
peritonitis
Exploratory Laparotomy with - Repair of Small bowel perforation or
628 Short segment resection anastomosis or stoma creation for perforatoin
peritonitis
629 Rectum- Delormes Procedure for Rectal Prolapse
630 Stomach- Vagotomy & Pyloroplasty
631 Laparoscopic Appendectomy
632 Femure Shaft Fracture IM-Nailing GA
633 Tibia Shaft Fracture Nailing GA
634 Kidney-Simple nephrectomy Open
635 Urethra-LASER Optical Internal Urethrotomy (OIU)
636 Breast- Modified Radical Mastectomy GA
637 Thoracotomy with Decortication GA
638 Thoracotomy with Symphesectomy GA
639 Uterus-Hysterectomy with Burch Colposuspension GA/SA
640 Shoulder Joint Old Dislocation ORIF GA
641 Shoulder Joint Recurrent Dislocation Open Reduction GA
642 Routine Arthroscopic Procedures (GA/SA)
643 Hernia repair bilateral GA
644 Spleen- Splenectomy
645 Stomach- Truncal Vagotomy + Gastrojejunostomy
646 Fallopian Tube- Tuboplasty GA
647 Vagina-VVF repair Small
648 Keratoplasty Dalk/Dsaek/Dmek
649 Acute pancreatitis (surgical management including inj infliximab)
650 Uterus-Hysterectomy Abdominal
651 Chronic osteomyelitis (surgical management including I&D, dressing)
652 Prostate-TURP GA small
653 Anterior Cervical Discectomy (ACD) Single Level
654 Biopsy/Excision of Intraspinal Neoplasm
655 Biliary- Partial Pericystectomy
656 Cranioplasty For Skull Defect
657 Cranioplasty For Skull Defect Small <5cm
658 Cranioplasty Simple
659 Cranioplasty with Autograft Small <5cm
660 Craniotomy/Craniectomy Decompression of Orbit
661 Craniotomy/CraniectomyExcison of Foreign Body from Brain
662 Craniotomy/CraniectomyExcison of Tumor or Other Lesion of Bone
Craniotomy/CraniectomyExcison, Intra and Extracranial, Benign
663
Tumor of Cranial Bone
664 Craniotomy/Craniectomy Removal of Foreign Body
665 Craniotomy/Craniectomy Removal of Lesion
26
Craniotomy/CraniectomySuboccipitalCraniectomy and Laminectomy

666
Major 1 for Arnold Chiari
667 Craniotomy for Excision of Pituitary Tumor
668 Excision by Laminectomy Occlusion of AVM
669 Fusion of Posterior, Cervical, Interspinous
670 Fusion of Posterior, Cervical, Sublaminar
671 Instrumentation Lateral Mass Screw
672 Instrumentation Anterior Odontoid Screw Fixation
673 Instrumentation Lumbar
Instrumentation Occiput - C3/4 Fusion using Luque Rectangle,
674
Sublaminar Wiring
Laminectomy for Spinal Cord Tumor Excision Simple ( Posterior
675
Approach)
676 LUQUE Rod/Rectangle Fixation, Thoracic
677 Heller's Operation (Cardiomyotomy) GA
678 Laparoscopic cholecystectomy
679 Laparoscopic rectopexy
680 Laparoscopic partial pericystectomy
681 Other Laparoscopic OB/GYN Surgery
682 Laparoscopic (Ovarian) Cystectomy
683 Ureter- Ureteric Transplantation
684 Uterus-Cesarean Hysterectomy
685 Uterus-Hysterectomy Vaginal GA/SA
686 Vagina-Reconstruction of Artifical Vagina
687 Vulva- Radical Vulvectomy GA
688 HumerusIntercondylar Fracture - ORIF GA
689 Pelvis/Acetabular Fracture
690 Radial Head Excision Difficult
691 Plating Both Bones Forearm/Humerus
692 Tendon Graft/Transfer
693 Ileal interposition
694 Kidney - AH pyloplasty Open
695 Penis-Total Penile Disassembly for Epispadias
696 Prostate-Retropubic Prostatectomy GA
697 Retroperitoneal Lymph Node Dissection (RPLND)
698 RNU with Bladder cuff excision open
699 Ureter-BOARI flap
700 Ureter-Ureterocalicostomy
701 Urinary Bladder - Bladder Divertilulectomy
702 Urinary Bladder - Extrophy repair
703 Urinary Bladder - Partial Cystectomy
704 Urinary Bladder- Percutaneous Cystolithotripsy (PCCL) GA
705 Urinary Bladder-Modified CantewellRansley Operation
706 Urinary Diversion (MAINZ POUCH) only
707 Urinary Diversion (Ureterosigmoidostomy) only
708 Vas-Vasectomy reversal SA/GA
709 Vas-Vasovasostomy (Microsurgery)
27
710 Intestine- Ileal resection

711 Pancreas-Triple Bypass
712 Stomach- Cystograstrostomy
713 Stomach-Partial Gastrectomy
714 Others
715 Biliary- Lap Cholecystectomy Converted to Open Cholecystectomy
Exploratory Laparotomy with - Resection Anastomosis of Small bowel
716
with or without stoma
717 Craniotomy/CraniectomyCraniosynostosis: Single Cranial Suture
Craniotomy/Craniectomy Evacuation of Hematoma :
718
Supratentorial/Extradural/Subdural
Craniotomy/CraniectomyExvision of Brain Tumor Supratentorial,
719
Except meningioma
720 Craniotomy/CraniectomyExcison of Meningioma Supratentorial
721 Craniotomy/CraniectomyInfratentorial; Extradural/Subdural
722 Craniotomy/Craniectomy Penetrating wound of Brain
Craniotomy/Craniectomy Trans Sphenoidal Approach for Excision of
723
Pituitary Tumor
724 Thoracotomy with Enucleation of Cyst GA
725 Thyroid- Total or Subtotal Thyroidectomy GA
726 Laparoscopic Hernia repair U/L
727 Hips Fracture Trochanteric Fracture DHS Fixation GA
728 Kidney-LASER PUV Ablation
729 Urethra- Posterior Urethral Valve Ablation
730 Urinary Bladder - Bipolar TURBT
731 Spine Sacrum/Coccyx Excision SA
733 Anterior Cervical Discectomy (ACD) Multiple Levels
Exploratory Laparotomy with - Resection Anastomosis of Large bowel
734
with or without stoma
Craniotomy/CraniectomyExvision of Brain Tumor Infratentorial,
735
Except meningioma
736 Breast- Modified Radical Mastectomy GA/WLE + Axillary Clearance
737 Laparoscopic/Lap Assisted Closure of DU/Enteric Perforation
738 Vulva-Vulvectomy Radical
739 ORIF with Bone Grafting
740 Rectum- Altermier's Operation /STARR procedure for Rectal prolapse
741 Ilizarov Fixation
742 Minimally Invasive Percutaneous Osteosynthesis (MIPPO)
743 Kidney- Pyelolithotomy
744 Ureter-Ureteroscopic Lithotripsy(URSL) bilateral
745 Spine PIVD Laminectomy GA
746 Kindey - AnatrophicNephrolithotomy
747 Urethra - Anastomotic Urethroplasty
Major 2 748 Urinary Bladder - LASER Cystolithotrite
749 Biliary-Choledocho-duodenostomy
750 Stomach-Subtotal Gastrectomy
751 Others
28
752 Anterior Cervical Discectomy and Fusion (ACDF) Single Level

753 Anterior Vertebral Corpectomy Cervical Single Level
754 Biliary- Hilar cholangiocarcinoma excision
755 Colon- Hemicolectomy
756 Colon- Perineal Proctosigmoidectomy
757 Pancreas- Distal pancreatectomy
758 Pancreas- Frey's Operation
759 Pancreas- Peustow's operation
760 Rectum- abdominal rectopexy
761 Shunt surgery
762 Spleen- Splenectomy and Devascularization
763 Stomach- Fundoplication
764 Stomach-Heller's Myotomy
765 Costovertebral Approach(Posterolateral)
766 Cranioplasty Complex
767 Cranioplasty For Skull Defect Large >5cm
768 Cranioplasty with Autograft Large >5cm
769 Craniotomy/CraniectomyCerebellopontine Angle Tumor
770 Craniotomy/CraniectomyExcison of Meningioma Intratentorial
771 Craniotomy/Craniectomy Multiple Cranial Sutures
772 Craniotomy/Craniectomy Trans Oral Approach to Skull Base
773 Excision by Laminectomy Intraspinal Lesion Other Than Neoplasm
774 Fusion of Posterior, Lumbar
775 Fusion Posterolateral, Lumbar
776 Lumbar- Transforaminal Lumbar Interbody Fusion (TLIF)
777 Instrumentation Lumbar, Single Segment
778 Instrumentation Posterior
779 Instrumentation Transarticular Screw Fixation: Anterior
Laminectomy for Spinal Cord Tumor Excision Complex (Posterior
780
Approach)
781 Microvascular Decompression (MVD)
782 Spine Sacrum/Coccyx Excision GA
783 Spine Spondylolisthesis Fusion GA
784 Breast Reconstruction with Muscle Flaps GA
785 Mandibular Reconstruction GA
786 Revascularization GA
787 Toe Transfer GA
788 Kidney-Extracorporeal Shock Wave Lithotripsy (ESWL)
789 Penis-Hypospadias repair with flaps
790 Ureter-Ureteroureterostomy unilateral
791 Anterior Cervical Discectomy and Fusion (ACDF) Multiple levels
792 Anterior Vertebral Corpectomy Cervical Multiple Level
793 Anterior Vertebral Corpectomy Thoracic Single Level
794 Anastomosis: EC/IC bypass
795 Anterior Vertebral Corpectomy Thoracic Multiple Level
Major 3
796 Carotid Endarterectomy (CEA)
797 Craniotomy/Craniectomy Midline Tumor at Skull Base
29
798 Anterior Lumbar Interbody Fusion (ALIF)

799 posterior lumbar interbody fusion (PLIF)
800 Lumbar- Lateral lumbar interbody fusion (XLIF)
801 Instrumentation Multiple Segment
802 Thoracotomy with Lobectomy/Pneumonectomy GA
803 ThoracotomySternotomy with Mediastinal Tumor Excision GA
804 Laparoscopic CBD exploration
805 Laparoscopic Gastrectomy
806 Laparoscopic Hernia repair B/L
807 Combine- TAH with Cholecystectomy
808 Vagina-Vaginal Radical Hysterectomy GA
809 Vagina-VVF repair Complicated
810 Shoulder Joint Replacement GA
811 Spine Cervical Spine Fracture Fusion GA
812 Spine Pott's Spine Fusion Decompression GA
813 Hemi Replacement Arthroplasty (HRA)
814 Arthroscopic Meniscectomy
815 Abdominoplasty GA
816 Microvascular Free Flap Transfer GA
817 Kidney-Radical Nephrectomy open
818 Urinary Diversion (Ileal conduit) only
819 Intermediate Embolectomy)
820 Minor II (Pericardiotomy)
821 Colon- Subtotal colectomy
822 Liver- Non major Liver resection segmental, bisegmental
823 Others
824 Thoracotomy with Neck Dissection GA
825 Kidney-Partial Nephrectomy Open
826 Urethra-Buccal Mucosal (BMG) Urethroplasty (BULBAR)
827 Urethra-Buccal Mucosal (BMG) Urethroplasty (PENILE)
828 Spinal Osteotomy
829 Colon- Total Proctocolectomy
830 Spinal Tumor Excision
831 Spine Scoliosis Fusion/Epiphysodesis GA
832 Thoracolumbar Fracture Fixation
833 ORIF + Bone Graft Completed
834 Uterus-Hysterectomy Radical -Wertheim's operation
835 Penis-Hypospadias repair with BMG graft
836 Ureter-LASER Deroofing of ureterocele
837 Ureter-LASER Endopolypectomy/Endoureterotomy
838 Ureter-Ureteroscopy (URS) LASER Lithotripsy
839 Uterus-Laparoscopic Myomectomy
840 Prostate-Bipolar TURP
841 Laparoscopic Hysterectomy
842 Kidney-Percutaneous Nephrolithotomy (PCNL)
843 Biliary-Extended cholecystectomy
30
844 Laparoscopic splenectomy

845 Laparoscopic Adhesolysis/Adenectomy
846 Laparoscopic colectomy
847 Laparoscopic Deroofing of renal cyst
848 Laparoscopic Pyeloplasty
849 Laparoscopic Radical nephrectomy
850 Uterus-Hysterectomy Lap converted to Open
851 Patellar Reconstruction
852 Major Flap Surgery
Supramajor 1
853 Shoulder- Reconstruction
854 Replantation GA
855 Urinary Bladder-Radical cystectomy with Ileal conduit
856 Liver- Open CBD exploration with Hepaticojejunostomy
857 Retum- abdominal perineal resection
858 Retum- Anterior resection/Low anterior resection
859 Stomach-Total Gastrectomy
860 Others
861 Esophagectomy GA
862 Knee - Anterior/Posterior Cruciate Ligament Reconstruction
863 Kidney-Percutaneous Nephrolithotomy (PCNL) multiple stone
864 Total Laparoscopic Hysterectomy
865 Spinal Fixation
866 Laparoscopic Adrenalectomy I
867 Urethra-Buccal Mucosal (BMG) Urethroplasty (PANURETHRAL)
868 Urethra-Progressive perinealurethroplasty
869 Liver- Hepaticojejunostomy
870 Laparoscopic Abdominoperineal resection
871 Laparoscopic Incisional Hernia repair
872 Laparoscopic Rectopexy for rectal prolapse
873 Laparoscopic Nephrectomy I
874 Spinal Fixation with Decompression and Grafting
875 Elbow - Total Elbow Replacement
Supramajor 2
876 Prostate-Radical Prostatectomy
877 Ureter-Ureteroscopic Lithotripsy(URSL)L unilateral
878 Ureter-Ureteroureterostomy bilateral
879 Urinary Bladder - Augmentation cystoplasty
880 Urinary Bladder- Indiana Pouch
881 Others
882 Esophagus- Esophagectomy
883 Liver- Major hepatic resection
884 Pancreas- Whipple's Operation
885 Urinary Bladder - Radical cystectomy with neobladder
886 Kidney- Retrograde Intrarenal Surgery (RIRS)
Supramajor 3 887 Total Hip and Knee Replacement Surgery U/L(implant extra)
888 Others
889 Coronary Angioplasty
31
890 Laparoscopic Low anterior/anterior resection

891 Laparoscopic Adrenalectomy II
892 Laparoscopic Nephrectomy II
893 Kidney-Donor nephrectomy Open
Supramajor 4
894 Kidney-Renal transplantation
895 Prostate- Holmium Laser Enucleation of the prostate (HoLEP)
896 Urinary Bladder - Radical cystectomy
897 Others
898 Major I (BT Shunt/ PA Banding/Epicardial Pacemaker)
899 (Fem-POP bypass, Iliac Surgery)
Supramajor 5
900 Others
901 Urinary Bladder-TURBT 2nd stage
Supramajor 6 902 Major II (CMC /COA/PDA Ligation/Pericardiectomy)
903 Others
904 Major I (ASD/PAPVC/Pulmonary Valvotomy/ VSD/oth)
Supramajor 7 905 Major(AAA Repair/ CEA (Graft Extra)
906 Others
907 Total Hip and Knee Replacement Surgery B/L
Supramajor 8
908 Others
909 Major II (OMV/Valve Repair/MVR/AVR (Valve Extra)
Supramajor 9
910 Others
911 Major III (DORV/DVR/TOF/TAPVC /Other Complex Congenital)
Supramajor 10
912 Others
Supramajor 11 913 Others
914 CABG (Coronary Arterial Bypass Graft)
Supramajor 12
915 Others
N.B.
 Surgical Package inclusive of ALL RELEVANT -
o Pre-Operative investigations,
o Surgery,
o All Sutures,
o Mesh,
o CVP Placement,
o Arterial Line Placement,
o TEE,
o Anesthetic agents and oxygen,
o All I/V fluids (Anesthesia / Heart Lung machine),
o I/V medications including I/V anesthetic drugs,
o Monitoring systems,
o Disposables (like Foley's catheter/ gloves/ masks/ surgical caps/antiseptic
solutions etc.)
o Bed charge of general bed/Post-OP/Surgical ward and Consultations during
hospital stay.
 Surgical package doesn’t include Implants and Artificial devices.
32
 To claim in "Others" Option: Those services which are not in our benefit package list
may be claimed in "Others" option with Rate equivalent to the cost of service
delivered by the facility. Hospital bill equivalent to the claimed amount must be
mandatorily uploaded in the system.
33
-v_ != cf}ifwLsf] ;"rL M

S.N. Medicines
1 10% Dextrose 500/540ml glass bottle
2 10% Dextrose 500/540ml plastic (nipple head)
3 10% Dextrose 500/540ml plastic euro head
4 10% Dextrose saline 1000ml plastic (nipple head)
5 10% Dextrose saline 1000ml plastic euro head
6 5 Flurouracil 250mg/5ml injection/ml
7 5% Dextrose 1000ml plastic euro head
8 5% Dextrose 1000ml plastic nipple head
9 5% Dextrose 500/540ml glass bottle
10 5% Dextrose 500/540ml plastic euro head
11 5-Flurouracil 500mg injection
12 Acarbose 25mg tablet
13 Acarbose 50mg tablet
14 Aceclofenac100mg tablet
15 Acetazolamide 250mg tablet
16 Acetylcysteine 1g/5ml, amp. injection
17 Acetylcysteine 600mg tablet
18 Actinomycin d 0.5mg injection
19 Acyclovir 200mg tablet
20 Acyclovir 250mg ,10ml injection
21 Acyclovir 3%,5gm cream
23 Acyclovir 5gm ointment
25 Acyclovir DT 800mgtablet
26 Adapalene + Clindamycin gel 10gm,tube gel
27 Adenosine 6mg/2ml , vial injection
28 Adrenaline 1:1000 injection
29 Alamine (amino acid) 500mlinjection
30 Albendazole 400mg tablet
31 Albendazole 400mg/10ml,10ml bottle suspension
32 Aldactone 25mg tablet
33 Aldactone 50mg tablet
34 Alendronate70mg tablet
35 Alfuzosin 10mg tablet
36 Allupurinol 300mg tablet
37 Allupurionol 100mg tablet
38 Alpha interferon 3 miu injection
39 Alprazolam 0.25mg tablet
40 Alprazolam 0.5mg tablet/capsule
41 Aluminium hydroxide magnesium hydroxide 175ml syr.
42 Aluminium hydroxide + Magnesium hydroxide (250mg+250mg) tablet
43 Amikacin 100mg vial, injection
44 Amikacin 500mg ,vial injection
34
45 Aminophyllin 100mg tablet

46 Aminophyllin 250mg/10ml ,amp injection
47 Amiodarone (50mg/ml) 3ml injection, amp.
48 Amiodarone hydrochloride 100mg tablet
49 Amiodarone hydrochloride 200mg tablet
50 Amisulpride 100mg tablet
51 Amisulpride 50mg tablet
52 Amitriptyline 75mg tablet
53 Amitryptiline 10mg tablet
54 Amitryptiline 25mg tablet
55 Amlodipine 10mg tablet/capsule
56 Amlodipine 2.5mg tablet/capsule
57 Amlodipine 5 mg+ Atenelol 50mg
58 Amlodipine 5mg tablet
59 Amlodipine besilate 2.5mg + Atenolol 25mg tablet
60 Amlodipine besilate 2.5mg + Atenolol 50mg tablet
61 Amlodipine besilate 5mg + Atenolol 25mg tablet
62 Amlodipine besilate 5mg + Atenolol 50mg tablet
63 Amlodipine besylate 2.5mg + Losartan potassium 25mg tablet
64 Amlodipine besylate 5mg + Losartan potassium 25mg tablet
65 Amoxycillin & clavulanate 1.2gm injection
66 Amoxycillin & clavulanate 375mg tablet
67 Amoxycillin & clavulanate 625mg tablet
68 Amoxycillin 125 mg/5ml,60ml suspension
69 Amoxycillin 125mg DT tablet
70 Amoxycillin 250 mg capsule
71 Amoxycillin 250mg DT tablet
72 Amoxycillin 500mg capsule
73 Amoxycillin syrup 125mg/5ml ,90ml
74 Amoxycillin200mg + Clavulanic acid 28.5mg,30ml,syrup
75 Amphotericin b 50mg solution
76 Ampicillin 250 mg +Cloxacillin 250 mg ,capsule
77 Ampicillin 250mg ,injection, vial
78 Ampicillin 500mg injection
79 Anastrazole 1mg tablet
80 Anti haemorrhoidal ointment 30g,tube ointment
81 Anti venom 10ml injection
82 Aripiprazole 10mg tablet
83 Aripiprazole 15mg tablet
84 Aspirin 150mg tablet
85 Aspirin 300mg tablet
86 Aspirin 75 mg tablet
87 Atenolol 25mg tablet
88 Atenolol 50 mg tablet
89 Atenolol50mg + Chlorthalidone 12.5 mg tablet
90 Atenolol50mg + Chlorthalidone 25 mg tablet
35
91 Atorvastatin 10mg tablet

94 Atracurium 50mg injection
95 Atropine 0.6 mg/ml, 1 ml injection
96 Atropine 1%,5ml eye drop
97 Azathioprine 50mg tablet/capsule
98 Azithromycin 100mg/5ml,15ml suspension
99 Azithromycin 200mg/5ml ,15ml suspension
100 Azithromycin 250mg tablet
101 Azithromycin 500mg ,injection
102 Azithromycin 500mg tablet
103 Baclofen 10mg tablet
104 Baclofen25mg/ tablet
105 Beclomethasone inhaler [200 mcg./dose]
106 Beclomethasone nasal spray
107 Beclomethasone rotacap 200mcg(30cap)
108 Beclomethasone rotacap [100 mcg./dose],30's rotacap
109 Beclomethasone rotacap 400mcg(30cap)
110 Bendamustine 100mg injection
111 Benzhexol 2mg + Trifluoperazine 5mg tablet
112 Benzhexol HCL ,2mg tablet
113 Benzoic acid 6%+ salicylic acid 3% oint., 30 gm ointment
114 Benzoyl peroxide gel 5% 20gm,tube gel
115 Benzydamine HCL 0.15%w/v / topical
116 Benzydamine mouth gargle
117 Beta histine 8mg tablet
118 Betahistine hydrochloride DT 8mg tablet
119 Betamethasone 0.1%+Neomyicn eye drops
120 Betamethasone 0.1%w/w + neomycin 0.5%w/w+ Chlorocresol 0.1% w/w, tube cream
121 Betamethasone cream 0.1 % ,10 gm
122 Bisacodyl suppository 10mg
123 Bisacodyl suppository 5mg
124 Bisacodyl5mg tablet
125 Bismuth iodoform 15mg paste
126 Bisoprolol 10mg tablet
127 Bisoprolol 2.5mg tablet
128 Bisoprolol 5mg tablet
129 Bleomycin 15mg injection/ml
130 Bortezomib 2mg injection
131 Brimonidine + timolol 0.5% eye drops
132 Bromohexine +
133 Terbutaline+Guiafenesin syrup
134 Budecort 200mcg inhaler
135 Budesonide 100mcg inhaler
136 Budesonide 100mcg rotacap
36

139 Bupivacain 5mg/ml + dextrose 80mg/ml, amp injection
140 Bupivacain 5mg/ml + sodium chloride 8mg/ml injection
141 Bupropion SR 150mg tablet
142 Busulphan 2mg tablet
143 Butenafine 1% cream
144 Butenafine 1% ointment
145 Butenafine HCL 1%w/w/ 1 gm /topical
146 Calamine lotion 15%, 30 ml lotion
147 Calcirol sachet 1gm (60kd cap)
148 Calcitriol capsule 0.250mcg
149 Calcium acetate 667mg tablet
150 Calcium carbonate 500mg + d3 250mg tablet
151 Calcium gluconate 10% 10 ml amp ,injection
152 Calcium suspension
153 Capacitabin 500mg tablet
154 Carbamazepine 200mg tablet
155 Carbamazepine 400mg tablet
156 Carbamazepine CR 200mg tablet
159 Carbimazole 5mg (100 tablets) tablet
160 Carboplatin 150mg injection
161 Carboplatin 450mg injection
162 Carboprost tromethine 250mcg injection
163 Carvedilol 3.125mg tablet
165 Cefaclor anhydrous 25 mg/ml/liquid
166 Cefadroxil 500mgcapsule
167 Cefadroxil anhydrous 25 mg/ml/liquid
168 Cefadroxil monohydrate 250 mg/oral tablet
169 Cefadroxil monohydrate 500 mg/oral tablet
170 Cefadroxil-125mg dry/syrup
171 Cefazolin 1 gm injection
172 Cefipime1gm injection
173 Cefixime 100mg tablet
174 Cefixime 200mg tablet
175 Cefixime 50mg/5ml ,60ml suspension
176 Cefixime ds,30ml dry syrup
177 Cefotaxime & sulbactam for Injection ,125mg injection
178 Cefotaxime 1 gm injection
179 Cefotaxime 250mg injection
180 Cefotaxime 500mg injection
181 Cefpodoxime 200mg tablet/capsule
182 Cefpodoxime 200mg+clavulanic acid125mg,tablet
37
183 Cefpodoxime 50mg syrup

184 Cefpodoxime dry /syrup 100mg
185 Cefpodoxime dry /syrup 50mg
186 Cefpodoxime proxetil DT 200mg tablet
187 Cefpodoxime100mg syrup
188 Ceftazidime 1gm injection
189 Ceftriaxone 1 gm injection
190 Ceftriaxone 250 mg injection
191 Ceftriaxone 500 mg injection
192 Cefuroxime axetil 250mg tablet
193 Cefuroxime axetil 500mg tablet
194 Cephalexine500mg capsule
195 Cephazoline 500 mg injection
196 Cetrizine 10 mg tablet
197 Cetrizine 10mg/5ml suspension
198 Charcoal activated 10gm/sachet powder
199 Charcoal activated 250mg capsule
200 Chlorabucil 2mg tablet
201 Chloramphenicol 0.5% +dexamethasone 0.1 % eye drops
202 Chloramphenicol 1% eye ointment 5g
203 Chloramphenicol 10mg polymyxin B 5000iu ointment
204 Chloramphenicol 1g injection, vial
205 Chloramphenicol 250 mg capsule
206 Chloramphenicol 5%w/v+ Lidocaine 2%w/v eye drop
207 Chloramphenicol 500mg capsule
208 Chloramphenicol 5mg+Polymyxin-b 5000i.u.+ Dexamethasone 1mg eye drop
209 Chloramphenicol 5ml / 5% e/e drop
210 Chloramphenicol1% applicap
211 Chlordiazepoxide 20mg,tablet
212 Chlordiazepoxide 5mg,tablet
213 Chlorhexidine gluconate topical ,lignocaine topical and metronidazole, ointment
214 Chlorhexidine mouth wash 80ml solution
215 Chlorodiapoxide 10mg tablet
216 Chlorodiapoxide 25mg tablet
217 Chloroquine phosphate 250mg tablet
218 Chlorpheniramine 4 mg tablet
219 Chlorpheniramine maleate 10mg injection
220 Chlorpheniramine maleate 1mg tablet
221 Chlorpromazine 100 mg tablet
222 Chlorpromazine 25 mg tablet
223 Chlorpromazine 50mg/2ml injection
224 Chlorzoxazone 250mg+paracetamol 500mg tablet
225 Cholecalciferol 200ml suspension
226 Cholecalciferol 250mg tablet
227 Cholecalciferolsachet 1gm/60kd powder
228 Chymotrypsin forte tablet
38
229 Cinnarazine 25mg tablet

230 Ciprofloxacin 0.3% +dexamethasone 0.1 % eye drops
231 Ciprofloxacin 0.3% eye ointment 5gm
232 Ciprofloxacin 250mg tablet
233 Ciprofloxacin 500 mg tablet
234 Ciprofloxacin e/e drops 0.3 %,5ml drops
235 Ciprofloxacin infusion 200 mg / 100 ml infusion
236 Cisplatin 10mg injection
237 Cisplatin 50mg injection
238 Clarithromycin 250mg tablet
239 Clarithromycin 500mg tablet
240 Clindamycin 150mg capsule
241 Clindamycin 300mg capsule
242 Clindamycin 300mg injection
243 Clindamycin 600mg injection
244 Clindamycin injection 150mg/ml 2ml amp.
245 Clindamycin phosphate15gm ,tube gel
246 Clobazam 10mg tablet
247 Clobazam 5mg tablet
248 Clobetasol propionate cream 30gm cream
249 Clobetasole+ Gentamycin ointment
250 Clobetasole+ Gentamycin+ Miconazole ointment
251 Clobetasole+ Salisylic acid ointment
252 Clomipramine 25mg tablet
253 Clomipramine 50mg tablet
254 Clomipramine hydrochloride 10mg tablet
255 Clonazepam 0.25mg tablet
256 Clonazepam 0.5mg tablet
257 Clonazepam 25mg tablet
258 Clonidine 100mcg tablet
259 Clopidogrel 75mg tablet
260 Clopropamide 100mg tablet
261 Clopropamide 250mg tablet
262 Clotrimazole 1%w/v+ lidocaine 2%w/v ,10ml ear drop
Clotrimazole 1%w/w +gentamicin sulphate 0.1%w/w + beclomethasone dip.0.025%w/w
263
cream
264 Clotrimazole 100mg pessary tablet(6 tablet)
265 Clotrimazole 10ml ear /eye drop
266 Clotrimazole 25mg 1% w/w skin cream
267 Clotrimazole lotion (topical solution) 15ml
268 Clotrimazole mouth paint 20ml
269 Clotrimazole vaginal (pessary) 6 tablet
270 Clotrimazole mouth paint ,20ml paint
271 Clove oil,5ml
272 Cloxacillin 125mg capsule
273 Cloxacillin 125mg/5ml , 100ml,syrup
39

276 Cloxacillin 500mg injection
277 Clozapine 100mg tablet
278 Clozapine 25mg tablet
279 Codeine phosphate 15mg tablet
280 Colchicine 0.5mg tablet
281 Colistimethate sodium injection 1million iu
282 Colistimethate sodium injection 2million iu
283 Compound solution of sodium lactate solution 500 ml(ringer lactate) infusion
284 Conjugated estrogen 0.625mg tablet
285 Conjugated estrogen vaginal cream
286 Cotrimoxazole paediatric suspension 50ml
287 Cream silver sulphadiazine 25g, 1% w/w cream
288 Cromolyn sodium ophthalmic 5ml,eye drop
289 Cyclopentolate eye drop
290 Cyclophosphamide 500mg injection
291 Cyclophosphamide 50mg tablet
292 Cyclosporine 100mg tablet/capsule
293 Cyclosporine 100mg/ml injection/ml
296 Cyproheptadine 200ml syp
297 Cytosine arabisonide 1000mg/vial injection
300 Dacarbazine 500mg injection
301 Danazol 100mg capsule
302 Danazol 50mg capsule
303 Darbepoetin alfa injection 25mcg
304 Darbepoetin alfa injection 40mcg
305 Dashmularista 450ml
306 Daunorubicin 20mg injection
307 Decitabine 50mg injection
308 Dexamethasone 0.5mg tablet
309 Dexamethasone 2 ml, 4 mg/ml injection
310 Dextromethorphan+ chlorpheniramine 100ml syrup
311 Dextrose 25% 25ml injection, amp.
312 Dextrose 25% in glycerine 25ml
313 Dextrose 5% in 0.45% saline 500ml
314 Dextrose 50% 25ml injection, amp.
315 Dextrose saline 1000mlplastic euro head
316 Dextrose saline 1000mlplasticnipple head
317 Dextrose saline 500/540ml glass bottle
318 Dextrose saline 500/540ml plastic (nipple head)
319 Dextrose saline 500/540ml plastic euro head
320 Dextrose solution5 % w/v 500 ml infusion
40
321 Diacerin 50mg capsule

322 Diazepam 10mg tablet
323 Diazepam 10mg/2ml injection, amp.
324 Diazepam 5mg tablet
325 Diazepam 5mg/2ml injection
326 Diclofenac ,5ml eye drop
327 Diclofenac 100mg SR tablet
328 Diclofenac 25 mg / ml, 3 ml injection
329 Diclofenac 50mg tablet
330 Diclofenac gel,30gm gel
331 Dicyclomin hcl 30ml suspension
332 Dicyclomin hcl,20mg tablet
333 Dicyclomin hcl+simethicone,10ml drops
334 Diethylcarbamazine 100mg tablet
335 Diethylcarbamazine citrate 150mg tablet
336 Digestive enzymes syrup,100ml
337 Digoxin 0.25 mg tablet
338 Digoxin 0.5mg ,amp. Injection
339 Diltiazem 30mg plain tablet
340 Diltiazem hydrochloride 120mg tablet
341 Diltiazem hydrochloride 90mg tablet
342 Diptheria, tetanus 0.5ml, amp injection
343 Disodium hydrogren citrate,100ml
344 Divalporate sodium 250mg tablet
345 Divalporate sodium 500mg tablet
346 Dobutamine 250mginjection
347 Docetaxel injection 120mg
350 Domperidone ,30ml. Suspension
351 Domperidone10mg tablet
352 Donepezil 10mg tablet
353 Donepezil 5mg tablet
354 Dopamine 200mg/5ml , amp. Injection
355 Dorzolamide 2% eye drops
356 Doxofylline 400mg tablet
357 Doxorubicin 10mg injection
358 Doxorubicin 50mg injection
359 Doxorubicin hydrochloride liposome injection 20mg
360 Doxycycline 100 mg capsule
361 Drotaverine 40mg tablet
362 Drotaverine 80mg tablet
363 Duloxetine hcl 20mg tablet
364 Duloxetine hcl 30mg tablet
365 Ebastine 10mg
366 Ebastine 20mg
41
367 Efavirenz 200 mg

368 Efavirenz 600 mg
369 Enalapril 10mg tablet
370 Enalapril 2.5mg tablet
371 Enalapril 5mg tablet
372 Enoxapirin 40mg injection
373 Enoxapirin60mg injection
374 Entecavir 0.5mg
375 Ephedrine 30mg /ml ,1mlinjection
376 Epirubicin hydrochloride injection 10mg
377 Epirubicin hydrochloride injection 50mg
378 Ergometrine 0.5mginjection
379 Erlotinib 100mg tablet
380 Erlotinib 150mg tablet
381 Erythopoietin alfa 4000 iu injection
382 Erythopoietin alfa2000 iu injection
383 Erythromycin 125mg/5ml,60ml suspension
384 Erythromycin 250mg capsule
385 Erythromycin 500mg tablet
386 Erythropoetin alfa 6000 iu injection
387 Escitalopram 10mg tablet
390 Esmolol hcl 10mg/ml ,10ml injection
391 Esmoprazole 20mg tablet
392 Esmoprazole 40mg tablet
393 Ethamsylate 500mg tablet
394 Etoposide 100mg capsule
395 Etoposide 100mg/5ml injection
396 Etoricoxib 90mg tablet
397 Exemestane 25mg tablet
398 Febuxostat 40mg tablet
399 Febuxostat 80mg tablet
400 Fenofibrate 160mg tablet
401 Fenofibrate200mg capsule
402 Fentanyl citrate 10ml,ampoule injection
403 Fentanyl citrate 2ml ,ampoule injection
404 Ferric ammonium citrate mixture
405 Ferrous ascorbate + folic acid tablet
406 Ferrous fumarate + folic acid tablet
407 Ferrous sulphate 60mg elemental iron tablet
408 Fexofenadine hcl 120mg tablet
409 Fexofenadine hcl 180mg tablet
410 Fexofenadine hcl,60ml syrup
411 Filgrastim injection 300mcg
412 Finasteride 1mg tablet
42
413 Finasteride 5mg tablet

414 Flavoxate hcl 200mg tablet
415 Flucloxacillin 125mg dry /syrup
416 Flucloxacillin 500 mg capsule
417 Fluconazole 0.3% eye drops
418 Fluconazole 150 mg tablet
419 Fluconazole 15gm ointment
420 Fluconazole 50mg tablet
421 Fluconazole lotion 30ml
422 Fluconazole suspension 50mg/5ml 35ml
423 Fludrocortisone acetate 100mcg tablet
424 Flunarizine hcl 10mg tablet
425 Flunarizine hcl 5mg tablet
426 Fluorometholone & neomycin E/E drop
427 Fluorometholone 0.1% eye drop
428 Fluoxetine 10mg capsule
429 Fluoxetine 20mg capsule
430 Fluphenazine decanoate(prolinate) 25mg/ml,1ml injection
431 Flurbiprofen sodium eye drop
432 Flurometholone 0.1% eye drop
433 Flutamide 250mg tablet
434 Fluticasone prop.250mcg, 30 rotacaps
435 Fluticasone propionate ,nasalspray
436 Fluticasone respules
437 Folic acid 5 mg tablet
438 Folic acid suspension 0.1mcg/ml 30ml
439 Fondaparinux 2.5mginjection
440 Formeterol 6mcg + budesonide 100mcg inhaler
441 Formeterol 6mcg + budesonide 100mcg rotacaps
444 Formoterol and budesonide rota cap 200
445 Formoterol and budesonide rota cap 400
446 Framycetin 5mg/ml ,5ml eye drop
Framycetin sulphate 5mg+ gramicidin 0.05mg+dexamethasone sodiummetasulfobenzoate
447
0.5mgeye drop
448 Frusemide 10mg/ml,2ml injection
449 Frusemide 20mg/2ml injection
450 Frusemide 20mg+spironolactone 50mg tablet
451 Frusemide 40 mg tablet
452 Fusidic acid +betamethasone cream 10gm
453 Fusidic acid cream 10gm
454 Gabapentin 100mg tablet/capsule
455 Gabapentin 300mgcapsule
456 Gamma benzene hexachloride lotion,100ml lotion
457 Gatifloxacin 0.3% eye drop
458 Gefetinib 250mg tablet
43
459 Gemcitabin 1000mg injection

460 Gemcitabin 200mg injection
461 Gentain violet 2%,10ml solution
462 Gentamicin 80mg/ml injection
463 Gentamycin +betamethasone+ iodochlorohydroxy quinoline +clotrimazole,5gm cream
464 Gentamycin 0.2%w/w, 15gmcream
465 Gentamycin 40mg/ml injection
466 Gentamycin 5ml e/e drop
467 Glibenclamide 5mgtablet
468 Gliclazide 40mg tablet
469 Gliclazide 80mg tablet
470 Glimpiride 1mg tablet
474 Glipizide 5mg tablet
475 Glucosamine500mg capsule
476 Glucose 100gm,pkt powder
477 Glycerin ear drops 10ml
478 Glycerin enema, 30ml
479 Glycerin supp, adult suppository
480 Glycerin supp,paed. Suppository
481 Glyceryl trinitrate 0.2% ,25 g ointment
482 Glycopyrrolate injection 0.2mg/ml ,1ml
483 Granisetron 1mg tablet
484 Granisetron injection 1mg/1ml
485 Griseofulvin 125mg tablet
486 Griseofulvin 250mgtablet
487 Griseofulvin 500mgtablet
488 Halobatosole gentamycin ointment
489 Haloperidol 0.25mg tablet
490 Haloperidol 1.5 mg + trihexyphenidyl 2mg,tablet
491 Haloperidol 1.5mg tablet
492 Haloperidol 5 mg + trihexyphenidyl 2mg,tablet
493 Haloperidol 5mg tablet
494 Haloperidol 5mg/ml injection
495 Heparin 25,000 iu/5ml injection, vial
496 Heparin ointment 15 gm
497 Hepatitis a (adult) vaccine
498 Hepatitis b vaccine 20mcg/ml ,injection
499 Hib vaccine ( haemophilus influenzae type b vaccine)
500 Hydralazine 20mg injection.amp
501 Hydrochlorthiazide 25mg tablet
502 Hydrochlrothiazide 12.5mg tablet
503 Hydrocortisone 0.5% cream/10gm
504 Hydrocortisone 1% cream/ointment 10gm
44
505 Hydrocortisone succinate 100mg/vial with WFI powder for injection

506 Hydroquinone cream
507 Hydroxychloroquine sulfate 200mg tablet
508 Hydroxypropyl methylcellulose eye drop
509 Hyoscine butylbromide 10mg tablet
510 Hyoscine butylbromide 20mg tablet
511 Hyoscine butylbromide 20mg/mlinjection
512 Ibuprofen 100mg +paracetamol 125mg/5ml,60ml suspension
513 Ibuprofen 200mg tablet
514 Ibuprofen 400mg tablet
515 Ichthamol in glycerine ear drops,10ml drops
516 Ifsomide 1gm/2ml injection
517 Imatinib 100 tablet
518 Imatinib 400 tablet
519 Imipenem & clastatin 0.5g injection
520 Imipramine 25mg tablet/capsule
523 Indomethacin 75mg sr tablet
524 Indomethacin25mg tablet
525 Indomethacin50mg tablet
526 Influenza vaccine 0.5ml
527 Insulin ,regular (nph) ,
528 40iu/ml,10ml injection
529 Insulin glargine100 iu/1ml,3ml 1 cartridge
530 Insulin glulisine 30/70 1 cartridge
531 Insulin mixed preparation30/70 injection
532 Insulin mixed preparation50/50 injection
533 Insulin,regular,
534 pen device,100iu/ml,3ml 1 cartridge
535 Ipratropium broimide 40mcg
536 Ipratropium broimide 500mcg
537 Ipratropium inhaler [20 mcg/dose]
538 Ipratropium respiratory solution 10ml
539 Ipratropium rotacap 40mcg (30cap)
540 Ipravent neb solution, 250 mcg/ml
541 Irinotecan injection 100mg
542 Irinotecan injection 40mg
543 Iron 15ml drop
544 Iron 200ml syrup
545 Iron polymaltose tablet
546 Iron sucrose 100mg inj
547 Isoprenalin 2mg/2ml injection amp
548 Isoprenaline 1 mg/ml
549 Isosorbide dinitrate 10mg tablet
550 Isosorbide dinitrate/5mg/tablet
45
551 Isosorbide mononitrate 10mg tablet

554 Isotretinoin 10mg cap
555 Isotretinoin 20mg cap
556 Itopride 50mg tablet
557 Itraconazole 100mg tablet
558 Ivermectin 6mg dt tablet
559 Japanese encephalitis vaccine (green) injection
560 Ketamine 100mg/2mlinjection
561 Ketamine 500mg/10ml injection
562 Ketoconazole shampoo 50ml shampoo
563 Ketoconazole15gm ointment
564 Ketoralac tromethamine 10mg tablet
565 Ketorolac 0.04%,5ml eye drop
566 Ketorolac,1ml injection
567 Ketotifen fumarate 0.5mg,5ml eye drop
568 Ketotifen fumarate 1mg tablet
569 Labetalol injection 20mg.4ml
570 Lactic acid wash 100ml
571 Lactulose 100ml solution
572 Lactulose 200ml solution
573 Lamivudine 100mg
574 Lamivudine 150mg
575 Lamotrizine 25mg tablet
576 Lansoprazole 30mg/capsule
577 L-arginine granules 3gm (amino acid)
578 L-arginine granules 7.5gm(combination), sachet granules
579 L-asparaginase 500ku injection
580 Latanoprost 0.05% eye drops
581 L-dopa 100mg + carbidopa 10mg tablet
582 L-dopa 250mg + carbidopa 25mg tablet
583 Letrozol 2.5mg tablet
584 Leucovorin calcium injection 50mg
585 Levitirecetam 1000mg tablet
586 Levitirecetam 500 mg tablet
587 Levocetirizine 5mg tablet
588 Levodopa 200 mg + carbidopa 50 mg tablet
589 Levodropropizine 100ml syrup
590 Levofloxacin 500mg tablet
591 Levofloxacin 5mg/ml 100ml infusion
592 Levofloxacin 750mg tablet
593 Levonorgesterol 150mcg or2 tablets of levonorgesterol 75mg tablet/capsule
594 Lidocaine 15% topical (spray)aerosol 100gm
595 Lidocaine 2% , 50ml injection,vial
596 Lidocaine 2% jelly 30g
46
597 Lidocaine 5% heavy 2ml injection, amp

598 Lignocaine & neomycin ear drops
599 Lignocaine 30 ml,1%with or without adrenaline , 2%w/v injection
600 Linagliptin 2.5mg tablet
601 Linagliptin 5mg tablet
602 Lithium carbonate 300 mg tablet
603 Lithium carbonate 450 mg tablet
604 Liver tonic 450ml
605 Loratadine 10mg tablet
606 Lorazepam 1mg tablet/capsule
607 Lorazepam 2mg tablet/capsule
608 Lorazepam injection 2mg/ml 2ml
609 L-ornithine l- aspartate injection,10ml
610 L-ornithine l- aspartate tablet
611 Losartan 25mg tablet/capsule
612 Losartan 50mg tablet/capsule
613 Losartan potassium & amlodipine 27.5mg tablet
614 Losartan potassium & amlodipine 50mg tablet
615 Losartan potassium & amlodipine 55mg tablet
616 Losartan potassium 25mg+ hychlorothiazide 12.5mg tablet
617 Losartan potassium 50 mg+hydrochlorthiazide25mg tablet
618 Losartan potassium 50mg+ hychlorothiazide 12.5mg tablet
619 Magaldrate +simethicone 170ml suspension
620 Magnesium hydroxide +aluminium hydroxide 170ml suspension
621 Magnesium sulphateinjection,50%,2ml
622 Magnesium trisilicate mixture 500 ml
623 Mannitol 20% 100ml ,injection
624 Measles, mumps, rubella vaccine(mmr),1 amp injection
625 Mebendazole 100mg tablet
626 Mebendazole syp
627 Mebeverine hydrochloride 135mg tablet
628 Mecobalamin 1500mg tablet
629 Mecobalamin 500mg tablet
630 Medroxy progesterone acetate,10mg tablet
631 Mefenamic acid,250mg tablet
632 Mefenamic acid,500mg tablet
633 Megestrol acetate 40mg tablet
634 Melphalan 2mg tablet/capsule
635 Melphalan 5mg tablet/capsule
636 Memantine 5mg
637 Meningitis A+C injection
638 Mensa 200mg injection/ml
639 Menthol and methyl salicylate cream
640 Mephentermine sulphate 300mg, 10ml ,injection
641 Mephentiramine 30mg/1ml 10ml,injection
642 Mercaptopurine 50mg tablet
47
643 Meropenem 1g injection

644 Meropenem 500mg injection
645 Mesalamine 400mg tablet
646 Mesalamine extended release 1.2g tablet
647 Metformin 1000mg tablet/capsule
648 Metformin 500 mg tablet
649 Metformin 850 mg tablet
650 Metformin HCL SR 1000mg+Glimpiride 1mg tablet
651 Metformin HCL SR 1000mg+Glimpiride 2mg tablet
652 Metformin500mg+Glimepiride 2mg, tablet
653 Metformine 500mg + Glimepiride 1mg, tablet
654 Methotrexate 2.5mg tablet
655 Methotrexate 500mg injection
656 Methotrexate 50mg/ml injection
657 Methotrexate 5mg tablet
658 Methotrexate 7.5mg tablet
659 Methyl pred.acetate 40mg/1ml injection
660 Methyl pred.acetate 80mg/2ml injection
661 Methyl pred.sod.succinate 500mg injection vial
662 Methyl pred.sod.succinate.1g injection vial
663 Methylcobalamin 1500mcg tablet
664 Methylcobalamin 500mcg tablet
665 Methyldopa 250mg tablet
666 Methyldopa 500mg tablet
667 Methylprednisolone 4mg tablet
668 Metoclopramide 10mg tablet
669 Metoclopramide 10mg/2ml injection amp
670 Metoprolol 12.5mg tablet/capsule
671 Metoprolol 25mg tablet/capsule
672 Metoprolol 50mg tablet/capsule
673 Metoprolol 5mg injection
674 Metoprolol succinate xl 12.5mg tablet
675 Metoprolol succinate xl 25mg tablet
676 Metoprolol succinate xl50mg tablet
677 Metoprolol xl 100mg tablet
678 Metronidazole +clotrimazole (8 tablet/pack)
679 Metronidazole 100mg + Diloxanide furoate 125mg syrup,5ml
680 Metronidazole 200 mg/5ml,60ml suspension
681 Metronidazole 200mg tablet
682 Metronidazole 400mg + Diloxanide furoate 500mg ,tablet
683 Metronidazole 400mg tablet
684 Metronidazole 500 mg/100ml infusion
685 Metronidazole diloxanide furoate suspension ,100mg/5ml
686 Metronidazole+Clotrimazole+Lacticacid bacillus pessary
687 Miconazole cream 15 gm
688 Midazolam 5mg/5ml injection
48
689 Milk of magnesia 170 ml

690 Mirtazapine 30mg tablet
691 Mirtazepine 15mg tablet
692 Mirtazepine 7.5mg tablet
693 Mitomycin C 10mg injection
694 Mometasone furoate 0.1% ointment 15gm
695 Mometasone nasal spray
696 Montelukast sodium 10mg tablet
697 Montelukast sodium 5mg tablet
698 Morphine 10 mg SR tablet
699 Morphine 10mg amp injection
700 Morphine 10mg tablet
701 Morphine 15mginjection
702 Moxifloxacin 0.5%w/v,10ml eye drop
703 Moxifloxacin 400mg tablet
704 Moxifloxacin 400mg/100ml ,injection
705 Mupirocin ointment 5gm
706 Mycophenolate Mofetil 250mg tablet
707 Mycophenolate Mofetil 500mg tablet
708 N-acetyl cysteine 600mg
709 Naloxone adult 400mcg/1ml injection amp
710 Naltrexone 50mg tablet
711 Naproxen ,60ml suspension
712 Naproxen 250mg tablet
713 Naproxen 500mg tablet
714 Naproxen SR 750mg tablet
715 Nasal saline drops
716 Natamycin 5% eye /ear drop
717 Nebivolol 2.5mg tablet
718 Nebivolol 5mg tablet
Neomycin 0.5%w/w+ Benzalkolium chloride 0.02%w/v+ Betametasone 0.1%w/v+
719
Thermosal 0.005%w/w,5ml e/e drop
720 Neomycin skin ointment15 gm
721 Neomycin+Polymyxin b+ Bacitracin powder 10gm
722 Neomycin+Polymyxin b+Bacitracin skin ointment 5gm
723 Neostigmin 2.5mg/5 ml amp injection
724 Niclosamide 500mg tablet
725 Nifedipine 10mg capsule
726 Nifedipine 5mg capsule
727 Nimesulide 100mg tablet/capsule
728 Nitrofurantion 100mg tablet
729 Nitrofurantoin 50 mg tablet
730 Nitroglycerin 2.6mg(25 tablets/bottle)
731 Nitroglycerin 25mg/5ml injection
732 Nitroglycerin ointment
733 Nitroprusside sodium 50gm injection
734 Noradrenaline 2mg/2ml injection
49
735 Norethisterone 5 mg tablet

736 Norfloxacin 0.3%w/v +Benzalkolium chloride 0.01%w/v e/e drop
737 Norfloxacin 400mg tablet
738 Norfloxacin 5ml e/e drop
739 Normal saline (sod. Cl 0.9%) 100ml plastic
740 Normal saline 1000ml plastic (nipple head)
741 Normal saline 1000ml plastic euro head
742 Normal saline 500/540ml glass bottle
743 Normal saline 500/540ml plastic euro head
744 Nystatin suspension,30ml
745 Octreotide 100 mcg injection
746 Ofloxacin 0.3%+Dexamethasone 0.1%,10ml e/e drop
747 Ofloxacin 100 mg DT
748 Ofloxacin 200mg tablet
749 Ofloxacin 200mg/100ml injection
750 Ofloxacin 400mg tablet
751 Ofloxacin 50mg/5ml ,30ml suspension
752 Ofloxacin 5ml e/e drop
753 Olanzapine 10mg tablet
754 Olanzapine 2.5mg tablet
755 Olanzapine 5mg tablet
756 Olanzapine 7.5mg tablet
757 Olmesartan 20mg
758 Olmesartan 40mg
759 Omeprazole 20mg capsule
760 Omeprazoleinjection 40mg,vial
761 Ondansetron 2mg/5ml ,30ml syrup
762 Ondansetron 4mg injection
763 Ondansetron 4mg tablet
764 Ondansetron 8 mg tablet
765 Ondansetron 8mg injection
766 Ornidazole 500mg tablet
767 Ornidazole 500mg/100ml iv
768 Oxaliplatin 50mg/vial injection
769 Oxcarbazepine 150mg tablet
770 Oxybutinin 2.5mg tablet
771 Oxybutinin 5mg tablet
772 Oxymetazoline 0.1 %, 5 ml nasal drop
773 Oxymetazoline HCL,peadiatric nasal drops 0.025% 10ml
774 Oxytocin 5 iu injection
775 Paclitaxel 30mg/5ml injection
776 Paclitaxel injection 100mg
777 Paclitaxel injection 260mg
778 Paclitaxel nanoparticle injection 100mg
50
781 Pantoprazole 40mg injection

782 Pantoprazole 40mg tablet/capsule
783 Paracetamol +Phenylephedrine+Chlorpheniramine maleate ,paed.syrup
784 Paracetamol 125 mg / 5 ml,60 ml suspension
785 Paracetamol 150 mg / ml,2 ml injection
786 Paracetamol 300mg/2ml injection
787 Paracetamol 500 mg tablet
788 Paracetamol 500mg dispersible tablet
789 Paracetamol 500mg+codeine 10mg tablet
790 Paracetamol injection 1gm/100ml
791 Paracetamol suppository.125 mg
792 Paracetamol+caffeine tablet
793 Paracetamol+Phenylephrine+Chlorpheniramine 100ml ,Adult syrup
794 Paracetamol+Phenylephrine+Chlorpheniramine tablet
795 Paracetamol100mg/ml drops
796 Pegfilgrastim injection 6mg
797 Pemetrexate 100mg injection
798 Pemetrexate 500mg injection
799 Penicillim g 10 lac iu tablet
800 Penicillin g 400,000 tablet
801 Penicillin g 500,000 injection
802 Penicillin g 800,000 tablet
803 Penicillin v 250mg tablet
804 Pentoxifylline 400mg tablet
805 Permethin 30gm/5%w/v solution
806 Pethidine 100mg ,amp injection
807 Pethidine 50 mg/1ml,amp injection
808 Pheniramine 1mg tablet
809 Pheniramine 22.75 mg / ml, 2 ml injection
810 Pheniramine 25mg tablet
811 Phenobarbitone 30 mg tablet
812 Phenobarbitone 60 mg tablet
813 Phenoxymethyl penicillin 250mg tablet
Phenylepinephrine hydrochloride ip 0.12 w/v % +Naphazoline HCL usp 0.05%+Menthol
814
0.005 % w/v +Camphor 0.01 w/v %,10ml eye drop
815 Phenytoin 100mg tablet
818 Phenytoin 50mg/ml 2ml amp injection
819 Phosphate solution 1 mmol/ml, 100 ml
820 Pilocarpine 2%,5ml eye drop
821 Pioglitazone 15mg tablet/capsule
822 Pioglitazone 30mg tablet/capsule
823 Piperacillin 4.5gm injection
824 Piperacillin+Tazobactam 2.25 g, injection
825 Piperazine citrate 30ml syrup
826 Pneumococcal vaccine 13s injection
51
827 Podophyllin tincture benzoin,10ml solution

Polymicin b sulphate usp 5000units+Becitracin zinc susp 400units+Neomycin sulphate ip
828
3400units,5gm ointment
829 Polymxin B 5gm ointment
830 Polyvinyl alcohol 1.4%+Povidone 0.6% eye drop
831 Polyvinyl alcohol, Povidone and Chlorbutol 10ml eye drop
832 Potassium chloride 20meq 10ml, amp injection
833 Potassium chloride mixture 150 ml
834 Potassium citrate mixture 150 ml
835 Potassium permanganate 30 gm
836 Povidone iodine 5 % solution, 50 ml solution
837 Povidone iodine gargle 1% (100ml)
838 Povidone iodine ointment 15gm
839 Povidone iodine vaginal pessary
840 Povidone polyvinyl eye drops 10ml
841 Pralidoxim sodium 500mg injection
842 Praziquantel 150mg (per tablet) tablet
843 Praziquantel 600mg (per tablet) tablet
844 Vitamin b1 b6 b12 injection 2ml
845 Vitamin B-complex ,syrup
846 Vitamin B-complex capsule
847 Vitamin E ,400mg capsule
848 Vitamin K[menadione]10mg/1ml injection
849 Prazosin 1mg tablet
850 Prazosin 2.5mg tablet
851 Prazosin extended release tablet 5mg
852 Pre and probiotic capsule
853 Pre and probiotic dry/syrup
854 Prednisolone 10 mg tablet
855 Prednisolone 20mg tablet
856 Prednisolone 5mg tablet
857 Prednisolone acetate 0.1% eye drops
858 Pregabalin 150mg capsule
859 Pregabalin 75mg capsule
860 Probenecid 500mg tablet
861 Procarbazine 50mg tablet/capsule
862 Prochlorperazine 12.5mg injection amp
863 Prochlorperazine 5mg tablet
864 Progesterone 200mg cap
865 Promethazine HCL 25 mg tablet
866 Promethazine injection 2 ml amp
867 Promethazine syrup 100ml.
868 Propanolol hydrochloride 10mg tablet
871 Propofol 1% 20ml injection
872 Propranolol 1mg/1ml injection
52
873 Protamine sulphate 50mg injection

874 Psyllium husk (ispaghula)100g powder
875 Pyridoxine 100mg(vitamin b6) tablet
879 Quetiapine 100mg tablet
882 Quinine 300mg/5ml ml injection amp
883 Rabeprazole 20mg tablet
884 Rabies vaccine ,amp injection
885 Ramipril 2.5mg tablet
886 Ramipril 2.5mg+hydrochlorthiazide 12.5mg tablet
887 Ramipril 5mg tablet
888 Ramipril 5mg+hydrochlorthiazide 12.5mg tablet
889 Ranitidine 150 mg tablet
890 Ranitidine 25 mg / ml injection
891 Ranitidine 50 mg/2 ml injection amp
892 Recuronium bromide 50mg/5ml
893 Rehydration solutions(ors)/ltr sachet(powder)
894 Ringer's lactate 1000 ml plastic euro head
895 Ringer's lactate 1000 ml plastic nipple head
896 Ringer's lactate 500/540/ml glass bottle
897 Ringer's lactate 500/540/ml plastic euro head
898 Risperidone 1mg tablet
902 Rituximab 100mg injection
903 Rituximab 500mg injection
904 Rivastigmine 1.5mg capsule
905 Rosuvastatin 10mg tablet
908 Rotahaler
909 Roxithromicin 150mg tablet
910 Salbutamol +Bromohexine ,100ml,expectorant
911 Salbutamol 2mg tablet
912 Salbutamol 4 mg tablet
913 Salbutamol inhaler [100 mcg/dose]
914 Salbutamol neb solution, 5 mg/5 ml
915 Salbutamol respiratory solution
916 Salbutamol respiratory solution in respule
917 Salbutamol SA 8mg tablet (i.e.albuterol extended release)
918 Salbutamol sulphate 200mcg r/c (30 cap)
53
919 Salbutamol sustained release tablet 8mg/tablet

920 Salbutamol,100ml syrup
921 Salicylic acid ointment 10% 25gm
922 Salicylic acid ointment 5% 25gm
923 Salisalic acid ointment 20% 25gm
924 Salisalic acid ointment 40% 25gm
925 Salmetorol inhalar 25mcg/puff,200 puff
926 Salmetorol rotacap 50mcg 30 caps
927 Salmetrol + fluticasone 250mcg inhaler/mdi
928 Salmetrol 50mcg + fluticasone 250mcg r/c
929 S-amlodipine besilate 2.5mg tablet
930 Secnidazole 1gm tablet
931 Serratiopeptidase 10mg tablet
932 Serratiopeptidase 5mg tablet
933 Sertaconazole nitrate 2% ,15gm cream
934 Sertraline hydrochloride 100mg tablet
935 Sertraline hydrochloride 25mg tablet
936 Sertraline hydrochloride 50mg tabet
937 Sildenafil citrate 25mg tablet
938 Silver nitrate 1% solution 1ml
939 Sisomicin cream 15g
940 Sitagliptin 100mg tablet
942 Sitagliptin 50mg+Metformin 1000 tablet
943 Sitagliptin 50mg+Metformin 850mg
945 Sodium bicarbonate,300mg(100 tablets/bottle)
946 Sodium bicarbonate,injection 7.5%(10ml)
947 Sodium carboxy methyl cellulose 0.5% eye drops
948 Sodium chloride 500ml(normal saline) infusion
949 Sodium cromoglycate 2% eye drops
950 Sodium fluoride 0.2% m/w 150 ml
951 Sodium fusidate ointment (10gm)
952 Sodium nitroprusside 50mg inj
953 Sodium valporate 200mg tablet
956 Sodium valporate CR 200mg tablet
957 Sodium valporate CR500mg tablet
958 Sodium valporate injection 100mg/5ml5ml
959 Sodium valproate 200mg /5ml 100ml syrup
960 Sodium valproate CR 300mg tablet
961 Sorafenib 200mg tablet
962 Spectinomycin 200gm powder
963 Spironolactone 100mg tablet
964 Spironolactone 12.5mg tablet
54
965 Spironolactone 25mg tablet

966 Streptokinase 1,500,000 iu inj.vial
967 Succinylcholine chloride 500mg/10 ml vial
968 Sucralfate suspension 500mg(200ml)
969 Sucralfate tablet/ 1gm
970 Sulbactam+Cefoperazone 1.5mg injection
971 Sulbactam+Cefoperazone 3 mg injection
972 Sulphacetamide 10% eye drops,10ml drop
973 Sulphamethoxazole+ Trimethoprim 120mg dt tablet
974 Sulphamethoxazole+ Trimethoprim 480mgdt tablet
975 Sulphamethoxazole+ Trimethoprim dt960mg tablet
976 Sulphasalazine 500mg tablet
977 Sumatriptan 50mg tablet
978 Sumitriptan 25mg tablet
979 Sunitinib 50mg tablet
980 Suphacetamide 20% eye drops
981 Suphacetamide 30% eye drops
982 Calcium dobisilate 500mg tablet
984 Cinnarizine 25mg tablet
985 Frusemide 20mg tablet
986 Frusemide 40mg + Amiloride 5mg tablet
987 Nifedipine SR 20mg tablet
988 Paracetamol 500mg + Ibuprofen 400mg tablet
989 Prazosin xl 5mg tablet
990 Repaglimide 1mg tablet
991 Repaglimide 2mg tablet
992 Tacrolimus 0.5mg tablet
993 Tacrolimus 1mg tablet
994 Tacromus ointment 0.03% 10gm
995 Tamoxifen 10mg tablet/capsule
996 Tamoxifen 20mg tablet/capsule
997 Tamsulosin hydrochloride 200mcg capsule
998 Tamsulosin hydrochloride 400mcg capsule
999 Telmisartan 20mg tablet
1000 Telmisartan 40mg +hydrochloride 12.5mg tablet
1003 Temozolamide 100mg tablet
1004 Temozolamide 250mg tablet
1005 Terazosin hydrochloride 2mg tablet
1006 Terbinafine HCL 250mg tablet
1007 Terbinafine HCL cream 1% 10gm
1008 Terbutaline+Bromhexine 100ml syrup
1009 Tetanus toxoid 0.5 ml amp
1010 Tetracycline 250 mg capsule
55
1011 Tetracycline 500mg capsule

1012 Tetracycline eye ointment 1% ointment
1013 Theophylline 400mg tablet
1014 Theophylline150mg tablet
1015 Thephylline +Etophylline (2ml )injection
1016 Thiamine (vitamin b1) tablet
1017 Thiopentone 1gm injection
1018 Thyroxin sodium 0.025mg tablet(100 tablets)
1022 Timolol maleate 2.5mg/5ml eye drop
1023 Timolol maleate 5mg/5ml eye drop
1024 Tinidazole 300mg tablet
1025 Tinidazole 500 mg tablet
1026 Tinidazole infusion 400ml
1027 Tiotropium 18mcg rotacaps 15caps
1028 Tizanidine 2mg tablet
1029 Tizanidine 4mg tablet
1030 Tobramycin sulphate 0.3%w/v +Dexamethasone sodium phosphate 0.1%w/v eye drop
1031 Tobramycine 1% eye drops
1032 Topiramate 100mg tablet
1033 Topiramate 25mg tablet
1034 Torsemide 100mg tablet
1036 Torsemide 20mg injection
1038 Tramadol 37.5+Paracetamol 325mg tablet
1039 Tramadol 50mg,amp injection
1040 Tramadol 50mg capsule
1041 Tramadol HCL 100mg/2ml ,injection
1042 Tranexamic acid 250mg tablet
1043 Tranexamic acid 500mg injection
1044 Tranexamic acid 500mg tablet
1045 Tretinoin cream 0.025% 20gm
1046 Tretinoin cream 0.05% 20gm
1047 Triamcinolone 15g ointment
1048 Triamcinolone acetonide 10mg/ml injection
1049 Triamcinolone acetonide 40mg/ml injection
1050 Triamsilone 40 mg injection
1051 Trifluoperazine 5mg+trihexyphenidyl 2mg,tablet
1052 Trihexiphenidyl 1.5mg tablet
1053 Trihexiphenidyl 2mg tablet
1054 Trihexiphenidyl 5mg tablet
1055 Trimetazidin 20mg tablet
1056 Tropicamide + phenylephrine eye drop
56
1057 Tropicamide 1%,5ml eye drop

1058 Typhoid vaccine injection
1059 Urinary alkalizer (including ayurvedic) syrup 200ml
1060 Urinary alkalizer (including ayurvedic) tablet
1061 Ursodeosycholic acid 150mg tablet
1062 Ursodeosycholic acid 300mg tablet
1063 Valethamate 8mg injection amp
1064 Valproic acid 125mg tablet
1067 Vancomycin 500 mg injection
1068 Vaseline 25g,jar cream
1069 Vasopressin 20units,injection(1ml)
1070 Vecuronium brom. 4mg/1ml amp injection
1071 Verapamil 5mg/2ml amp injection
1072 Verapamil hydrochloride 120 mg SR
1073 Vinblastin 10mg/pack injection
1074 Vincristin 1mg/ml injection
1075 Vitamin b complex tablet
1076 Vitamin b1 [thiamine] 75 mg tablet
1077 Vitamin b1+b6+b12 tablet
1078 Vitamin b-complex injection
1079 Vitamin c(ascorbic acid) 15ml drop
1080 Vitamin c(ascorbic acid) 500mg tablet
1081 Vitamin k 1 (phytomenadione)10mg/1ml injection
1082 Voglibose 0.3 mg tablet
1083 Voglibose 0.2mg tablet
1084 Warfarin 1mg tablet
1088 Wart paint (salicylic acid) 10 ml
Wax removing drops 10ml (Benzocaine+ Chlorbutol+ Paradichlorobenzene + Turpentine
1089
oil)
1090 Yellow fever vaccine, amp injection
1091 Zinc acetate solution 1ml
1092 Zinc oxide ointment 30gm
1093 Zinc sulphate 10mg tablet
1094 Zinc sulphate 20mg tablet
1095 Zinc sulphate solution 40 ml
1096 Zolondronic acid injection 4mg
1097 Zolpidem 10mg tablet
57
List of Ayurvedic Medicine
S.N. Name Packing Size

1 Avipattikar Churna 100 gm
2 Ashwagandha Churna 100gm
3 ChandraPrava Vati 25gm
4 Kaam Dudha Ras 5gm
5 Sirsuladhi Bajra Ras 10gm
6 Sarpandhandha Vati 25gm
7 Chitrak Haritaki 90gm
8 Laxmi Vilas Ras 10gm
9 Mahayog Raj Gugggul 10gm
10 Chanda Nasi Churna 100gm
11 Hing Wastak Churna 60gm
12 Bilwadi Churna 100gm
13 Mahasankha Vati 20gm
14 Sitopaladi Churna 100gm
15 Sankha Bhasma 10gm
16 Pushyanug Churna 100gm
17 Trifala Churna 100gm
18 Sut sekhar Ras 10gm
19 Ashokarista 450ml
20 Dashmularista 450ml
21 Suddha Silajeet 50gm
22 Jatyadi Tail 100ml
23 Mahanaran Tail 100ml
24 Sadbindu Tail 300ml
25 Abhyarista 4500ml
58
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S.N. Surgical items
1 3 way connector (3-way cannula)
2 Ankle binder - large/medium/small/XL
3 Anti-embolism above knee stocking large/medium
4 Arm sling strap
5 Arm sling-large/medium/small
6 Cannula fixator large
7 Cannula fixator medium
8 Cannula fixator small
9 Cervical collar soft- XL/L/M/S
10 Cervical hard collar
11 Cotton roll(small)
12 Crepe bandage - 4"
13 Crepe bandage - 6"
14 Crutches
15 Elbow splint
16 Extended forearm splint- XL/L/M/S
17 Finger splint all size
18 Frog splint- L/M/S
19 Hearing aid
20 Insulin needle 26 gauge
21 IV cannula
22 IV Cannula + IV set
23 Knee brace long- XL/L/M/S
24 Knee cap Large
25 Knee cap Small
26 Lumber corset
27 Lumber support belt
28 Pessary per unit
29 Plaster of paris -4 "
30 Plaster of paris -6"
31 Shoulder immobilizer- XL/large/medium/small
32 Spectacles
33 Supporting walking cane/ white stick
34 Syringe (disposable) 2.5ml
35 Syringe (disposable) 5 ml
36 Syringes- 10 cc disposable
37 Syringes- insulin (glass)
38 Water for inj. 1 liter
39 Water for inj. 5 ml amp
40 Water for inj. 500ml
41 Wrist and forearm splint
42 Wrist splint right/left – large
43 Wrist splint right/left - medium
59
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g]kfn ;/sf/

:jf:Yo aLdf af]8{

;'ljwf y}nL cGtu{tsf ;]jf ;'ljwfx?sf] ljj/0f

29 Folic acid level

72 ABO Blood grouping/ Rh D

115 Urethral/ vaginal swab CS

S.N. Name of Test Program

s -$_ :jf:Yo aLdf af]8{af6 pknJw x'g] pkr/fTds ;]jfx? M

1. List of Medical Services

Neonatal care (basic care package) (e.g. Transient tachypnoea of

Chronic Obstructive Pulmonary Disease (COPD) (Medical

2. List of Cardiac care related services

S.N. Cardiac Services

3. Cancer Care related services

S.N. Cancer Services

1 Radiotherapy per fraction unit

2 Radio Therapy Full Course (X30 Fraction)

4 Brachytherapy per episode

4. List of Surgical Services

Package S.N. Surgical Procedures

32 Examination under IV sedation

77 Dermoid cyst excision LA

123 Hemorrhoid banding

169 Burr Hole(s) for EVD placement

215 Electrical Burns Fasciotomy GA

260 Hand Dislocation Fixation SA

306 Hips Dislocation MUA & Traction GA

351 Cleft Lip Unilateral GA

442 Urethra-2nd stage Byars flap

Laminectomy and Decompression of Cord/Excision of Disc (Posterior

577 Phaco+Iol+ Trabeculectomy

623 Intestine- Iliostomy/Colostomy closure

Craniotomy/CraniectomySuboccipitalCraniectomy and Laminectomy

710 Intestine- Ileal resection

752 Anterior Cervical Discectomy and Fusion (ACDF) Single Level

798 Anterior Lumbar Interbody Fusion (ALIF)

844 Laparoscopic splenectomy

890 Laparoscopic Low anterior/anterior resection

-v_ != cf}ifwLsf] ;"rL M

45 Aminophyllin 100mg tablet

91 Atorvastatin 10mg tablet

137 Budesonide 200mcg rotacap

183 Cefpodoxime 50mg syrup

229 Cinnarazine 25mg tablet

275 Cloxacillin 500mg capsule

321 Diacerin 50mg capsule

367 Efavirenz 200 mg

413 Finasteride 5mg tablet

459 Gemcitabin 1000mg injection

505 Hydrocortisone succinate 100mg/vial with WFI powder for injection

551 Isosorbide mononitrate 10mg tablet

597 Lidocaine 5% heavy 2ml injection, amp

643 Meropenem 1g injection

689 Milk of magnesia 170 ml

735 Norethisterone 5 mg tablet

781 Pantoprazole 40mg injection

827 Podophyllin tincture benzoin,10ml solution

873 Protamine sulphate 50mg injection

919 Salbutamol sustained release tablet 8mg/tablet

965 Spironolactone 25mg tablet

1011 Tetracycline 500mg capsule

1057 Tropicamide 1%,5ml eye drop

List of Ayurvedic Medicine