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 ;Gb]z
:jf:Yo aLdf sfo{qmd :jf:Yo ;]jf pkof]usf] qmddf x'g] clgof]lht vr{sf]
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;a}sf nflu :jf:Yo ;]jf ;'lglZrt ug]{ gLlt lnOPsf] 5 . olx k[i7e"lddf
;+ljwfg / gLltsf] dd{nfO{ cfTd;ft ub}{ @)&@ r}t @% ut] b]lv s}nfnL
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5 .
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;]jfx?sf] d"No lgwf{/0f u/]sf] 5 . o; cGt/ut alx/+u, cfsl:ds,
cGt/+u, lgbfgfTds tyf cf}ifwLx? ;dfj]z 5g\ . pNn]lvt ;]jfx?
dWo]af6 ;]jf k|bfos :Jff:Yo ;+:yfx?n] ;Demf}tf adf]lhd laldtx?nfO{
;]jf k|bfg ug'{kg]{ 5 tyf o;} k'l:tsfdf pNn]lvt d"No ;'rL adf]lhdsf]
;]jfsf] bfjL e'QmfgL ug'{x'g]5 eGg] d}n] ljZjf; u/]sf] 5' .
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lgwf{/0fdf ;xof]u ug'{x'g] :jf:Yo aLdf af]8{sf sd{rf/Lx?, ;/f]sf/jfnf,
;DalGwt lgsfox? Tfyf k/fdz{bftf dxfg'efjx? k|lt cfef/ AoQm ub{5' .

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ldtL M a}zfv @)&%
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 ljifo ;'rL

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Joxf]l/g] lgbfgfTds k|of]uzfnf k/LIf0fsf ;]jfx? 1

s -@_ g]kfn ;/sf/sf :jf:Yo ;]jf ljefu cGtu{taf6 ;+rflnt

sfo{qmddfkm{t lgMz'Ns ?kdf k|fKt x'g] lgbfgfTds k/LIf0f
;]jfx? 7

s -#_ lgbfgfTds k/LIf0fcGtu{t /]l8of]nf]hL tyf cGo

k/LIf0fsf ;]jfx? 8

s -$_ :jf:Yo aLdf af]8{af6 pknJw x'g] pkr/fTds ;]jfx? 11

List of Cardiac care related services 18

Cancer Care related services 19

List of Surgical Services 20

-v_ != cf}ifwLsf] ;"rL (List of Allopathic Medicines) 63

List of Ayurvedic Medicine 105

-v_ @= ;lh{sn ;fdfgx?sf] ;"rL 106

:jf:Yo aLdf sfo{qmddf ;dfj]z gx'g] ;]jfx? 108

 cg';"lr–(
lgod @) -#_ / @# -%_ ;“u ;DalGwt
g]kfn ;/sf/
:jf:Yo aLdf af]8{

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cGtu{tsf ;]jf ;'ljwfx?sf] e'QmfgLsf] ljj/0f tyf b/ /]6
s= -!_ lgbfgfTds k/LIf0f cGtu{t :jf:Yo aLdf sfo{qmddfkm{t Joxf]l/g]
lgbfgfTds k|of]uzfnf k/LIf0fsf ;]jfx? (List of Laboratory Tests
Provided through Health insurance Board)
S.N. Investigations Rate
A. Hematology
1 TC/DC/Hb 35/35/35
Absolute count (Eosinophil/
2 Neutrophil/ Lymphocyte/ Monocyte/ Basophil) 50
per cell type
3 APTT (Activated partial Thromboplastin Time) 290
4 CT / BT 70
5 Mean Corpuscular Hemoglobin (MCH) 30
Mean Corpuscular Hemoglobin Concentration
6 30
(MCHC)
7 Mean Corpuscular Volume (MCV) 30
8 Packed Cell Volume (PCV) 50
9 Peripheral smear /RBC morphology comment 100
10 Platelet count 50
11 PT/INR 180
12 RBC count 35
13 Reticulocyte count 125

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 1
 S.N. Investigations Rate
B. Biochemistry
14 24 hour urine protein 160
15 A/G ratio 317
16 ABG gas (6 parameters) 680
17 Adenosine deaminase (ADA) Test 575
18 Aldehyde test 95
19 Alkaline phosphatase (ALP) 123
20 Beta HCG 800
21 CK-MB 330
22 Creatine Phosphokinase (CPK) 215
23 Creatinine clearance 390
24 D-dimer 400
25 Erythrocyte Sedimentation Rate (ESR) 35
26 Fecal Occult Blood Test (FOBT) 60
27 Serum Ferritin 775
28 Fluid/CSF RE/Biochemistry (sugar, protein) 171
29 Folic acid level 950
30 Glucose tolerance test(GTT) 240
31 HbA1C level 500
32 Hemoglobin electrophoresis 550
33 Lactate Dehydrogenase (LDH) 310
34 Lipid Profile 600
35 ·  HDL 150
36 ·  LDL 150
37 ·  Total Cholesterol 150
38 ·  Triglyceride 150
39 Phenytoin level 600

2 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Investigations Rate
40 Prostate Specific Antigen(PSA) 800
41 Protein Electrophoresis (serum/urine) 195
42 Serum Total protein 130
43 Serum Albumin 100
44 Serum Amylase 200
45 Serum Bilirubin T/D 100
46 Serum Blood Sugar 60
47 Serum Calcium 200
48 Serum Cholesterol 150
49 Serum Creatinine 100
50 Serum electrolyte (Sodium+Potassium) 300
51 Serum Gamma GT 150
52 Serum Globulin 105
53 Serum Iron profile 1100
54 Serum Lipase 340
55 Serum Lithium 559
56 Serum Magnesium 300
57 Serum phosphorus 185
58 Serum Potassium 150
59 Serum Sodium 150
60 Serum Urea 90
61 Serum Uric Acid 95
62 SGOT/AST 120
63 SGPT/ALT 120
64 TORCH 2000
65 Total Protein 105
66 Troponin I (Quantitative) 1200

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 3
 S.N. Investigations Rate
67 Troponin I(Qualitative) 715
68 Urine Acetone 50
69 Urine Microalbumin 460
70 Urobillinogen/prophobillinogen 40
C. Immunology
71 HIV RDT 300
72 ABO Blood grouping/ Rh D 50
73 Anti CCP (Anti Citrulinated protein) antibody 1050
74 Anti TPO (Thyroid peroxidase) antibody 1650
75 Anti-DNA 550
76 Antinuclear Antibody (ANA) 525
77 Antistreptolysin O (ASO) 200
78 Brucellosis (agglutination test) 325
79 Coombs Test 110
80 C-Reactive Protein (CRP) 160
81 Cross match 100
82 Cysticercosis 300
83 Dengue RDT 800
84 HBsAg RDT 200
85 HCV RDT 265
86 HCV/HIV/HBsAg ELISA 200
87 Helicobacter Pylori RDT 650
88 Hepatitis E RDT 630
89 HIV CD4 count 100
90 HIV Viral load 100
91 Immunohistochemistry (per marker) 1500
92 Influenza RDT/PCR 1320

4 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Investigations Rate
93 Kalaza rk39 RDT 300
94 Leptospira RDT 400
95 Malaria RDT 250
96 Mountoux test 60
97 Rheumatoid factor 100
98 RPR/VDRL 95
99 Thyroglobulin Antibody 2640
100 TPHA 230
101 Urine Pregnancy test RDT 100
102 Widal (Salmonella agglutination) 100
103 Sickling test RDT 200
D. Bacteriology/Parasitology
104 Acid Fast Bacilli (AFB) Stain 50
105 Blood CS (Bactec) 700
106 Blood CS (Conventional) 200
107 Body fluid/CSF CS 200
108 Gram’s Stain 60
109 KOH /India ink fungal microscopy 70
110 Microfilaria 70
111 Pus CS 200
112 Sputum/throat swab/ respiratory specimen CS 200
113 Stool CS 200
114 Stool RE/ME 40
115 Urethral/ vaginal swab CS 200
116 Urine CS 200
117 Urine RE/ME 40
E. Histopathology

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 5
 S.N. Investigations Rate
118 Bone Marrow Biopsy 1700
119 Bone marrow report 150
120 Bone Marrow Test (Aspiration) 950
121 FNAC procedure and reporting 510
122 Histopathology Intermediate 1000
123 Histopathology Major 1500
124 Histopathology Minor 600
125 LE Cell 90
126 PAP stain of cervical smear/reporting 315
127 Routine cytological stain/report 425
F. Endocrinology
128 C-peptide 2200
129 Estradiol 500
130 Follicle Stimulating Hormone (FSH) 500
131 Growth Hormone 700
132 Leutenizing hormone(LH) 500
133 Parathyroid Hormone 500
134 Progesterone 650
135 Prolactin Hormone 550
136 Serum cortisol 990
137 Serum Inhibin 2000
138 Serum insulin 2000
139 Testosterone 650
140 Vitamin B12 1000
141 Vitamin D 1500
142 Thyroid Function Tests 900

6 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
 S.N. Investigations Rate
143 ·     T3 310
144 ·     T4 310
145 ·     TSH 310
G. Markers
146 Ca-125 1055
147 Ca-153 1025
148 Alpha Fetoprotein(AFP) 900
149 Carcinoembryonic antigen (CEA) 730
150 Beta 2 Microalbumin (tumour marker) 3150
Other Tumour markers (CA 19.9, Vimentin,
151 1067
Desmin, S100 etc.) – per marker
152 Flow Cytometry (Per marker) 1200

s -@_ g]kfn ;/sf/sf :jf:Yo ;]jf ljefu cGtu{taf6 ;+rflnt

sfo{qmddfkm{t lgMz'Ns ?kdf k|fKt x'g] 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

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 7
s -#_ lgbfgfTds k/LIf0fcGtu{t /]l8of]nf]hL tyf cGo k/LIf0fsf ;]jfx?
(Radiological/Other Diagnostic Services):
S.N. Investigations Rate
USG A Scan (Eye) and Soft tissue - Neck,
1 360
Breast etc. Scan
2 USG (abdomen/pelvis) Scan 500
3 Plain X Ray (10x12/ 14X17) 150

4 CR X Ray Small (8X10/10X12) 200

5 X Ray Medium (11X14) 300
6 X Ray Large(14X17) 400
400/500/
7 X Ray digital (double/three/four exposure)
600
8 Dental X ray 100
9 Electrocardiogram (ECG) 200
10 Echocardiogram 1050
11 UGI Endoscopy 1000
12 CT (abdomen/pelvis) plain 5000
13 CT (abdomen/pelvis) contrast 6000
14 CT (head) plain 3000
15 CT (head) contrast 4000
16 CT (Other: cervical spine/KUB/joint/neck etc.) 6000
17 Colonoscopy 2500
18 USG guided FNAC 850
19 CT guided FNAC 3500
20 Coronary angiography 12000
21 Peripheral angiography 8000
22 Renal angiography 8000

8 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Investigations Rate
23 EEG 1080
24 Sigmoidoscopy (General) 1500
25 Bronchoscopy(General) 2000
26 ENT endoscopy 600
27 Barium meal/swallow 1500
28 Mammogram 1500
29 Cystoscopy 1000
30 Thyroscan/ Parathyroid scan 4500
31 Colour Doppler 950
32 Urethrogram /cystogram 360
33 Intravenousurogram(IVU) 1900
34 MRCP Urethrograph 5000
35 Myelogram (cervical/whole length) 1400/2000
36 Fistulogram 1170
37 T-tube Cholangiogram 1250
MRCP (Magnetic Resonance
38 5000
Cholangiopancreatography)
ERCP (Endoscopic Retrograde
39 4000
Cholangiopancreatography)
40 ERCP with procedures 9000
41 Colposcopy 1225
42 Hysteroscopy 750
43 Fluoroscopy 100
44 Retrograde pyelography/Urethrography 950
45 Percutaneous Nephrogram 950
46 HIDA scan 6500
47 MUGA Scan 1500

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 S.N. Investigations Rate
48 Mammogram(unilateral) 875
49 Sialography 650
50 NPL (laryngoscopy) 700
51 Lymphocytography 5000
52 Bronchoscopy 1950
53 DTPA/DMSA Scan 6500
MRI Group A (Brain, Spine, body organs)
54 4500
Segment
55 MRI Group B (Brain, Spine, body organs) Full 9000
56 MRI Group C (extremities, joints etc.) 9000
57 MRI Group D (Screening for tumour) 13000
58 Transvaginalsonography 600
59 Saline Sonohysterogram 1200
60 Fluorosceine Angiography 3000
Ophthalmological Diagnostic Tests
61 Eye (Visual Field Series) 2000
62 Color Vision 200
63 Orthoptic Screening (PBCT, WFDT) 300
64 Optical biometry 396
65 Probing 2500
66 USG B Scan 500
Other diagnostic tests
67 Cardiotocogram (CTG) 275
68 Uroflowmetry 500
69 Urodynamic evaluation 6000
70 Audiometry 325
71 Spirometry 550
72 Tread Mill Test(TMT) 1500

10 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
s -$_ :jf:Yo aLdf af]8{af6 pknJw x'g]
pkr/fTds ;]jfx? M
List of Medical Services
S.N. Type Medical Packages Rate
1 Nebulization per episode 100
2 Speech therapy per session 150
3 Physiotherapy per sitting 150
4 Phototherapy per sitting 200
5 Oxygen gas charge/24 hr 250
6 PAC(Post abortion Medical care) 500
Day care
7 Blood /Blood component per unit 800
Physiotherapy package 1 week
8 875
(level1)
9 Posterior Nasal Packing 1200
Physiotherapy package 1 week
10 1750
(level2)
11 Others 1000
Poisoning Emergency Management
12 2000
Package 1 package
13 Others 2000
14 Snakebite Medical Management 3000
Acute appendicitis (Medical
15 3000
management)
16 Renal calculi medical management 3000
Cellulitis ( Medical Management
17 Package 2 3000
with minor dressing)
Ante-natal Care package (Medical
18 3000
Management)
Sickle cell/Aplastic Anemia (Medical
19 3000
Management/ blood transfusion)

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 11
 S.N. Type Medical Packages Rate
Acute Nephritis(Medical
20 3000
Management)
21 Others 3000
Acute Gastroenteritis ( Medical
22 4000
Management )
BPH (Benign prostrate hyperplasia)
23 4000
medical package
Conversion disorder (Medical
24 4000
Management)
Package 3 Rheumatoid Arthritis(Medical
25 4000
Management)
Thalassemia (Medical Management
26 4000
including Blood transfusion)
Nephrotic Syndrome(Medical
27 4000
Management)
28 Others 4000
29 Malnutrition (Medical Management) 5000
30 Diarrhoea (Medical Management) 5000
Neonatal care (basic care package)
(e.g. Transient tachypnoea of newborn,
31 Mild birth asphyxia, Jaundice requiring 5000
phototherapy, Hemorrhagic disease of
newborn, for observational care)
Package 4 Diabetic Cellulitis (Medical
32 Management including minor 5000
dressing)
Anaemia (Medical Management
33 5000
including blood transfusion)
34 Avastin Injection 3rd 5000
35 Normal delivery 5000
36 Others 5000
37 Abdominal pain 5542

12 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Type Medical Packages Rate
38 Cholera (Medical Management) 6000
39 Dysentery(Medical Management) 6000
Wound/ Abscess requiring inpatient
40 Package 5 6000
care (including I &D, dressing)
Puerperal sepsis Management
41 6000
package
42 Others 6000
Severe depression (Medical
43 7000
management)
Hypovolumeic shock management
44 7000
package
Package 6 Acute Hepatitis (Medical
45 7000
Management)
46 Avastin Injection 1st & 2nd dose 7000
47 Others 7000
Trauma & Injuries management
(medical management including
48 8000
blood transfusion, dressing, oxygen
etc.)
Severe Pneumonia Medical
49 8000
Management Adult package
Typhoid and Paratyphoid Fevers
50 8000
(Medical Management.)
Package 7 Hospitalization package for medical
management of Zoonotic/ Vector
51 8000
Borne infections (e.g. Leptospirosis
etc.)
Acute Respiratory Distress Syndrome
52 (ARDS) (Medical management 8000
without ICU/CCU care)
Viral hemorrhagic fever Medical
53 8000
Management

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 13
 S.N. Type Medical Packages Rate
Complicated Urinary Tract Infection
54 8000
(Medical Management)
Acute Cholecystitis (Medical
55 8000
Management )
Dengue/ Dengue Hemorrhagic
56 Fever (Medical Management /Blood 8000
Transfusion)
Neonatal care (special care package)
(admitted with mild-moderate
respiratory distress, Infections/sepsis
with no major complications,
57 8000
Prolonged/ persistent jaundice,
Assisted feeding for low birth weight
babies (<1800 gram), Neonatal
seizures)
Fever of Unknown Origin (FUO)
58 8000
(Medical Management)
59 Meningitis (Medical Management) 8000
60 Others 8000
Hydrocephalus medical management
61 9000
package
Package 8
62 Asthma (Medical Management) 9000
63 Others 9000
Diabetes mellitus (Hospitalization for
64 10000
blood sugar control)package
Severe Pneumonia Medical
65 10000
Management Pediatric package
Chronic Obstructive Pulmonary
Package 9
66 Disease (COPD) (Medical 10000
Management including oxygen)
Burn <30% Body surface area (Medical
67 10000
Management including dressing)
68 Others 10000

14 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Type Medical Packages Rate
Pneumothorax medical management
69 12000
package
Myocardial Infarction (Medical
70 Package 10 management where CCU care not 12000
available)(MI) : Level l
71 Others 12000
Pyogenic Liver abscess (Including
72 14000
Aspiration/ Drainage)
Hypertensive Emergency Urgency
73 14000
Package 11 (Medical Management)
Bipolar disorder (Medical
74 14000
Management)
75 Others 14000
Diabetes mellitus related
76 16000
complications management package
Paralytic syndromes/stroke Medical
77 Package 12 16000
management package
78 Others 16000
Atherosclerotic Vascular Disease
79 18000
CCU care(AVD)
Epilepsy adult (Medical
80 18000
Package 13 Management)
Epilepsy pediatric (Medical
81 18000
Management)
82 Others 18000
83 Package 14 Others 20000
Congestive Cardiac Failure(CCF)
84 22500
Package 15 (CCU care included)
85 Others 22500

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 15
 S.N. Type Medical Packages Rate
86 Burn >30% Body surface area 25000
87 Package 16 Schizophrenia (Medical management) 25000
88 Others 25000
Upper Gastrointestinal bleeding
(Medical management including
89 30000
Package 17 blood transfusion/ injection
octreotide)
90 Others 30000
91 Package 18 Others 35000
Severe Septicemia (Medical
92 40000
Package 19 Management/ including ICU care )
93 Others 40000
Myocardial Infarction(package with
94 45000
Package 20 CCU care included) : Level ll
95 Others 45000
96 Package 21 Others 50000
ICU/CCU/NICU (includes Basic
Investigations: TC, DC, Hb, Urea,
Creatinine, Na/K, Blood Sugar,
97 3000/day
LFT, Electronic monitoring,
Consultation/Bed charge/Oxygen,
surgical items)
Per Day Consultation, TC/DC, Hb, Platelet, PCV,
Basis RBC Urine RE, Blood Sugar once (F/
PP/R any one), AST, ALT
Package   Medicines : Antibiotics(e.g.
Ceftriaxone), PPI, paracetamol
98   Surgical supplies : IV cannula and IV 2000/day
set, cannula fixator, IV fluids
  For surgical case – Dressing during
hospital stay
  Relevant services for other cases that
comes within Rs. 2000.00

16 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Type Medical Packages Rate
200 per
OPD package includes - Hospital
99 OPD Consultation, TC, DC, Hb, Stool RE, visit
package Urine RE/ME, Blood Sugar twice 100 per
(F/PP/R any two ) PHC
visit
Emergency package includes -
Emergency Consultation, TC/DC, Hb, Urine RE, 400 per
100
package Blood Sugar once(F/PP/R any one), visit
Creatinine and ECG
Eye Eye hospital OPD package includes -
hospital Consultation, Slit lamp examination, 200 per
101
OPD Refraction test, Eye Pressure and Eye visit
package dryness test
Eye hospital Emergency package
Eye
includes - Consultation, Slit lamp
hospital 400 per
102 examination, Refraction test, Eye
Emergency visit
Pressure, Eye dryness test and
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.

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 17
    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':Services not in the benefit package list may
be claimed in 'others' option with price equivalent to the cost of
service delivered by the facility. Hospital bill equivalent to the
claimed amount must be mandatorily uploaded in the systems.

List of Cardiac care related services

S.N. Cardiac Services Rate
Aortic Valve Balloon Dilation (AVBD) (Balloon
1 45000
Extra)
2 Atrial Septal Defect (ASD) Device Closure 55000
Balloon Septosotomy (Balloon Extra) (with
3 6000
contrast)
4 Patent Ductus Arteriosus (PDA) Device Closure 20000
5 Pericardiocentesis (Except Aspiration Catheter) 3500
Pulmonary Artery Thrombectomy / Embolectomy
6 34000
(with catheter)
Ventricular Septal Defect (VSD) Device Closure
7 55000
(with contrast)
Permanent Pacemaker Implantation (Pacemaker
8 20000
Generator Extra)
9 Epicardial Pacemaker Insertion 7000
10 Single Pacemaker insertion 10000
11 Dual Pacemaker insertion 18000
12 Programming Single Pacemaker 400
13 Programming Dual Pacemaker 1000
14 External C Pap Care 150
15 EP Study 10000
16 EP/Ablation Type A (with contrast) 45000
17 EP/Ablation Type B (with contrast) 60000

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 S.N. Cardiac Services Rate
18 ABP Monitoring 1400
19 Ambulatory BP Monitoring (ABPM) 1000
20 Ankle Brachial Index (ABI) 800
21 Bilateral Limb Arterial Doppler 3500
22 Bilateral Limbs Venous Doppler 3000
23 Carotid Doppler 1500
24 External C pap Care For 24 Hours 130
25 Holter Monitoring 1300
26 Insertion Of Arterial Line 65
27 Insertion Of Swan gauge Catheterization 925
28 Left Heart Catheterization Including Contrast 12000
29 Renal Doppler 3500
Right Heart Catheterization (Oxymetry Extra) with
30 12000
contrast
31 Single Limb Arterial Doppler 2000
32 Single Limb Venous Doppler 1800
33 Stress ECHO 2000
34 TEE (Transesophageal Echocardiography) 1500
35 Tilting Table Test 1200
36 Umbilical Artery Doppler 1800

Cancer Care related services

S.N. Cancer Services Rate
1 Radiotherapy per fraction unit 800
2 Radio Therapy Full Course (X30 Fraction) 24000
Chemotherapy Per Day (Day Care + Bed charges+
3 700
surgical supplies, Medicine Extra)
4 Brachytherapy per episode 8500
Hospice (Palliative) Care per day (Inclusive of Bed
5 500
charge, Nursing care, Surgical supplies)

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 List of Surgical Services
Package S.N. Surgical Procedures Rate
1 Dressing minor 65
2 Dental extraction simple per unit 120
Urinary Catheterization (Procedure
3 225
only)
4 Stitch Removal/Dressing major 250
5 Eye Suture Removal Under LA 300
6 Dental extraction (difficult) per unit 300
7 Dental filling (composite) per unit 350
8 Incision and drainage abscess (small) 450
Urinary Bladder - Intravesical
9 500
BCG/Mitomycin instillation
10 Electric Cautery 500
Suprapubic/Pleural/other body fluid
Procedure 1 11 500
aspiration
Laceration repair Minor/Suturing
12 500
Minor
13 Others procedures 500
14 USG guided drainage procedure 650
15 Surgical extraction (dental) per unit 670
Foreign body removal (eye/ear/throat)
16 700
simple
Intra-Articular Steroid injection
17 850
(including steroid medicine)
Ganglion aspiration and steroid
18 850
Procedure 2 injection (Including steroid medicine)
Penis-Intralesional injection for
19 850
Pyronies disease
20 Other 850
21 Incision and drainage abscess (Large) 900

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 Package S.N. Surgical Procedures Rate
22 Fallopian tube- Hydrotubation 1000
23 Fallopian tube- Insufflation LA 1000
24 Vagina-Vault Thread Removal 1000
25 Eye lid; Stye/Lid Abscess Drainage 1000
Procedure 3
26 Impacted tooth/molar (LA) package 1000
27 Cryotherapy/service 1000
28 Laceration repair Major/Suturing Major 1000
29 Other 1000
Fracture reduction POP cast
30 1200
minor/slab
31 Ear Lobe repair 1500
32 Examination under IV sedation 1500
33 Uterus-Endometrial Biopsy LA 1500
34 Cyclocryo Therapy/Electro Epilation 1500
35 Corneal Scrapping 1500
36 Eye: Macular Grid Laser (One eye) 1500
37 I & D LA 1750
38 Secondary suturing LA 1750
Burr Hole for Subdural/Ventricular
39 2000
puncture
40 Secondary suturing LA 2000
41 Kidney-Antegradepyelogram 2000
Prostate-Prostatic biopsy (Finger
42 2000
Minor 1 guided)
43 Cervix-Cervical Biopsy LA 2000
44 Cervix-Cervical Polypectomy LA 2000
Perineum-1st and 2nd degree Tear Old
45 2000
LA
46 Uterus-Dilatation and Curettage LA 2000

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 Package S.N. Surgical Procedures Rate
47 Vagina- Hymenectomy LA 2000
48 Vagina-Bartholin Abscess I&D LA 2000
49 Vagina-Biopsy Vulva/Vagina LA 2000
50 Vagina-Excision of bartholin cyst LA 2000
51 Vagina-Vaginal Wall Cyst Removal LA 2000
Simple Caste in O.T. (cast extra)/
52 Fracture reduction intermediate(below 2000
knee, below elbow) including cast
Penis-Aspiration and irrigation for
53 2000
priapism
54 Conjunctiva Plasty/Suturing 2000
55 Eye: Prophylactic Laser (One Eye) 2000
56 Corrective cast 2000
57 Epidural Block 2000
58 Foot Fracture Fixation LA 2000
59 K-wire Removal 2000
60 Others 2000
61 Colonoscopy 2500
62 Hemorrhoid banding 2500
63 Cervix-Cryosurgery 2500
64 Cystoscopy (with DJ removal /biopsy) 2500
Urethra-Retrograde Urethrogram
65 (RGU) +Micturating 2500
Cystourethrogram (MCUG)
66 Eye Retina Yag Laser 2500
67 Perioral sinus excision LA 2550
68 Papilloma excision simple LA 2550
69 Muscle biopsy LA 2550
70 Mucous retention cyst LA 2550
71 Ingrowing toenail excision unilateral LA 2550

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Package S.N. Surgical Procedures Rate
72 Granuloma excision LA 2550
73 Ganglion excision LA 2550
74 Frenuloplasty LA 2550
75 Foreign body exploration LA 2550
76 Fibroma excision LA 2550
77 Dermoid cyst excision LA 2550
78 Hip Spica 2550
Fracture reduction POP cast major
79 2550
(long leg, above elbow, above knee)
80 Steinmann pin For Fracture fixation 2550
81 Urethra-Excision of urethral caruncle 2550
82 Urethra-Urethral dilation LA 2550
83 Anal- Seton change IVA 2625
84 Adrenal - Adrenalectomy Open 2700
85 Urethra-Meatotomy 2720
86 Urinary Bladder - SPC insertion LA 2750
87 Chalazion Surgery 2800
Prostate-Prostatic biopsy (RURS
88 3000
guided)
89 Urethral Dilation LA 3000
Cervix-Electric Cauterization of
90 3000
Cervix LA
91 Cervix-McDonald suture LA 3000
Uterus-Suctino Evacuation for Molar
92 3000
Minor 2 Pregnancy IVA
Urinary Bladder - SPC insertion under
93 3000
USG guidance
94 Eye Probing Under LA 3000
95 F.B. In Corneal Stroma Deep 3000
96 Cystoscopy LA 3000
97 Vas-Vasectomy 3000
98 Others 3000

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 Package S.N. Surgical Procedures Rate
99 Cisternal Puncture (OPD procedure) 3400
100 Sebaceous cyst excision single LA 3400
101 Lymphnode excision biopsy LA 3400
102 lipoma excision single LA 3400
103 Corn sole excision LA 3400
Vas-Vasoepididymostomy
104 3400
(Microsurgery)LA
105 Cervix-LEEP LA 3500
106 Uterus-Hysterosalpingograph (HSG) 3500
Vagina-Marsupilization of Bartholin
107 3500
cyst
108 DJ removal LA 3500
109 Lid Laceration Repair Small 3500
110 Eye Suture Removal Under GA 3500
111 Dacryocystectomy (DCT) 3600
112 I & D SA 3600
Sigmoidoscopy with
113 4000
biopsy/polypectomy
Cervix-Conization Ketamine and
114 4000
others
Fallopian tube- Hydrotubation
115 4000
Ketamine and others
116 Uterus-Diagnostic Hysteroscopy LA 4000
117 Post Abortion Care (PAC) with MVA 4000
118 Eye : Canthoplasty 4000
119 Sebaceous cyst excision multiple LA 4250
120 Papilloma excision multiple LA 4250
121 Lipoma excision multiple LA 4250
Ingrowing toenail excision bilateral
122 4250
LA

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Package S.N. Surgical Procedures Rate
123 Hemorrhoid banding 4250
124 Gynaecomastia excision unilateral LA 4250
Comprehensive Abortion Care (CAC)
125 4250
LA
126 Foot- MTP/IP Joints Dislocations 4250
127 Hand- MCP/IP Joints Dislocations 4250
Shoulder/Elbow Dislocation
128 4250
(traction/arm sling)
129 Penis-Dorsal Slit for paraphimosis 4250
130 Cleft Lip (Revision) LA 4500
131 Testis-Testicular biopsy percutaneous 4500
132 Urinary Bladder - SPC insertion SA 4500
Minor 3
133 Eye Cyst Removal(Big/Small) 4500
134 I & D GA 4500
135 Others 4500
Colonoscopy with
136 5000
biopsy/polypectomy
137 Cervix-Shirodhker Suture LA 5000
Lid Tumor Excision With
138 5000
Reconstruction Small
139 Eye Probing Under GA 5000
140 Testicular biopsy LA 5100
141 Root Block 5100
142 Contracture Release with Z Plasty LA 5100
143 Dermabrasion /Chemical Peel LA 5100
144 Tongue Tie Release LA 5100
145 Trigger Finger Release LA 5100
146 Urethra-Meatoplasty 5100
147 Debridement & Closure(LA) package 5200

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 Package S.N. Surgical Procedures Rate
148 Secondary suturing GA 5400
149 Vagina- Le Forte LA 5400
150 Foot Fracture Fixation SA 5400
151 Urethra-Urethral dilation SA 5400
152 Perineum-3rd Degree Tear Acute 5500
153 Uterus-Hysteroscopy with Biopsy 5500
154 Endoscopic Variceal banding 5500
155 Eye Evisceration 5500
156 Eye lid: Entropion Surgery 5500
157 Anterior Vitrectomy 5750
158 Examinaiton under Anesthesia (EUA) 6000
159 Penis-Frenuloplasty 6000
160 Epidural Anesthesia in labor 6000
EUA + Cervical Biopsy or
161 6000
Endometrial biopsy
162 EUA + Cystoscopy 6000
163 Eye lid: Ectropion Surgery 6000
164 Lid Laceration Repair Large 6000
165 ICG Angiogram 6000
Minor 4 166 Corneal Repair Simple 6000
167 Conjunctiva: Pterigium Surgery 6000
168 Glaucoma: Peripheral Iridotomy (PI) 6000
169 Burr Hole(s) for EVD placement 6000
170 Amputation digital SA 6000
Implant Removal Plate Removal
171 6000
GA/SA
Toes & Finger Arthrodesis
172 6000
SA/Regional block
173 Cleft Lip Bilateral LA 6000

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Package S.N. Surgical Procedures Rate
174 Cystoscopy (Rigid) Caudal block 6000
175 Cystoscopy SA 6000
176 DJ removal SA 6000
177 Assisted Delivery (Vacuum/Forceps); 6000
178 Others 6000
179 Cervix-LEEP Ketamine 6500
180 Dilation and Curettage (D & C) 6549
181 Squint Surgery 1 muscle 6700
182 DJ stenting LA 6750
183 Hernia repair unilateral LA 8750
184 CSF Shunt Removal (OPD procedure) 6800
185 Umbilical hernia repair LA 6800
186 Gynaecomastia excision bilateral LA 6800
187 Evisceration (EVS) for hydrocele LA 6800
188 CRPP (Small Joints) 6800
189 Implant removal Simple 6800
190 Surgical Release (Trigger/DQ release) 6800
191 Tendon Repair Intermediate 6800
192 Tendon Repair Minor 6800
Excision of Cutaneous Lesion and
193 6800
SSG or FTSG LA
Facial Laceration Suturing (Simple)
194 6800
LA
195 Minor Lip procedure LA 6800
Orocutaneous Fistula Closure with
196 6800
Flaps LA
197 Polydactyli Correction Single LA 6800
198 Skin Grafting Raw Area LA 6800
199 Tendon Repair (Single) LA 6800

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 Package S.N. Surgical Procedures Rate
200 Conjunctival Laceration Repair 7200
201 Debridement GA 7200
202 Debridement SA 7200
203 Re-Exploration Laparotomy 7200
204 Neurorrhaphy with Nerve Graft 7200
205 Cervix-Cervical Biopsy GA/Ketamine 7200
Cervix-Electric Cauterization of
206 7200
Cervix GA
207 Uterus-Dilatation and Curettage GA 7200
208 Uterus-Endometrial Biopsy GA 7200
209 Vagina-Excision of Bartholin cyst GA 7200
Anterior Transposition of Ulnar Nerve
210 7200
GA/Regional Block
Elbow - ( Epicondyle/Condyle
211 Fracture) Epiphyseal Excision 7200
Regional Block
Finger/Toes Fracture ORIF Regional
212 7200
block
Hips Dislocation MUA & Traction
213 7200
Ketamine
Contracture Release with Multiple Z
214 7200
plasty GA
215 Electrical Burns Fasciotomy GA 7200
Excision of Granulation Tissue
216 Escharectomy Or Debridement GA 7200
Small
Pedicled Flap Detachment Major or
217 7200
Minor GA/LA
218 Tongue Tie Release GA 7200
219 Trigger Finger Release GA 7200
220 Cystoscopy (Rigid) GA 7200

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Package S.N. Surgical Procedures Rate
Kidney-Percutaneous Nephrostomy
221 7200
(PCN) placement LA
222 Penis-Circumcision GA 7200
223 Circumcision /phimosis LA 7225
224 Dacrocystorhinostomy (DCR) surgery 7500
225 Eye Evisceration With Implant 7500
226 Epigastric hernia repair LA 7650
Foot Toes Debridement Repair
227 7650
Regional Block
Hand Carpal Tunnel Release
228 7650
LA/Regional block
229 Tendon Grafting LA 7650
Pharyngeal Abscess
230 8000
package(including Drainage)
231 breast lump excision single LA 8075
232 Breast- Ganaecomastia GA 8100
233 Biopsy Orthopaedic GA/SA 8100
Decompression Septic
234 8100
Arthritis/Osteomyelitis
235 Foot Toes Debridement Repair SA 8100
Implant Removal IM Nail Removal
236 8100
GA/SA
237 Toes & Finger Arthrodesis GA 8100
Contracture Release with Skin
238 8100
Grafting GA
Foreign body removal under
239 8153
GA(airway, esophageal)
Neuroplasty and/or Transposition of
240 Median Nerve at Carpal Tunnel(OPD 8500
procedure)

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 Package S.N. Surgical Procedures Rate
Neuroplasty, Major Peripheral
241 8500
Nerve(OPD procedure)
242 Femoral hernia mesh repair 8500
243 Perineum-3rd Degree Tear Interval 8500
244 Polydactyli Correction Multiple LA 8500
245 Pneumatic Retinopexy 8500
246 Intraocular Foreign Body 8500
247 Corneal Repair Complicated 8500
Vulva-Evacuation of Vulvar
248 8550
hematoma GA
249 Excision of Neuroma 9000
250 Esophageal Dilatation GA 9000
251 CAC GA 9000
252 Cervix-Cervical Polypectomy GA 9000
253 Ankle Ligament Tear Repair Sa 9000
Elbow - ( Epicondyle/Condyle Fracture)
254 9000
Epiphyseal Fixation GA
255 External Fixators 9000
Foot Curettage & Debridement
256 9000
Removal of Plate SA
Minor 5
257 Foot Curettage & Debridement SA 9000
258 Foot Hallux Valgus Correction SA 9000
259 Foot Toes Debridement Repair GA 9000
260 Hand Dislocation Fixation SA 9000
261 Hips Dislocation MUA & Traction SA 9000
262 Radial Head Excision Regional Block 9000
Wrist/Hand Fracture Dislocation
263 9000
ORIF Regional Block
264 Skin Grafting Raw Area GA Small 9000
265 DJ removal GA 9000

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Package S.N. Surgical Procedures Rate
266 Harmonic scalpel 9000
Percutaneous peritonial Dialysis
267 9000
catheter insertion
Urinary Bladder - Vesicovaginal Fistula
268 9000
repair (RAZ procedure)
Urinary Bladder-Hydrodistension of
269 9000
bladder GA
Urinary Bladder-Restaging
270 9000
TURBT(Scar resection)
271 Minor I (Sternal Wire Removal) 9000
272 Eye: Enucleation 9000
273 Cataract: Small incision 9000
274 Rectum- Thierch suturing 9000
275 Others 9000
276 Anal- Lateral Sphinterotomy IVA 9625
277 Breast Lump excision multiple LA 9775
Anal- Evacuation/ Excision of
278 9900
Thrombosed External Hemorrhoid GA
279 Breast- Breast Lump Excision GA 9900
280 Uterus-Diagnostic Hysteroscopy GA 9900
Vagina-Repair of vaginal/Cervical
281 9900
laceration Small
282 Femure Shaft Fracture Plating SA 9900
283 Tibia Shaft Fracture Plating SA 9900
284 Squint Surgery 2 Muscle 10000
Lid Tumor Excision With
285 10000
Reconstruction Medium
Neuroplasty and/or Transposition
286 of Ulnar Nerve at Elbow(OPD 10200
procedure)
287 Inguinal hernia mesh repair LA 10200

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 Package S.N. Surgical Procedures Rate
Children Injuries: CRPP distal
288 10200
radius/Epiphyseal Fracture separation
289 CRPP (Large Joints)e.g. Ankle 10200
Creation of AV Fistula for
290 10200
Hemodyalysis LA
291 Cross Finger Flap LA 10200
Facial Laceration Suturing (Complex)
292 10200
LA
293 AV fistula 10200
Varicose vein surgical management
294 10600
with excision and ligation
295 Hernia repair unilateral GA 10800
296 Vagina-Bartholin Abscess I&D GA 10800
Vagina-Excision of Vaginal septum
297 10800
SA/GA
Vagina-Vaginal Wall Cyst Removal
298 10800
GA
299 Amputation digital GA 10800
Elbow/Wrist Arthrodesis Regional
300 10800
Block
301 Femur Shaft Fracture Plating GA 10800
Foot Club Foot Soft Tissue Release
302 10800
GA
303 Foot Hallux Valgus Correction GA 10800
Forearm- Fracture Distal Radius -
304 10800
ORIF Regional Block
305 Hand Dislocation Fixation GA 10800
Hips Dislocation MUA & Traction
306 10800
GA
Radius Malunion Excision ORIF
307 10800
Styloid DARRCH

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Package S.N. Surgical Procedures Rate
Tibia Malleolar Fracture INT. Fixation
308 10800
SA
Wrist/Hand Fracture Dislocation
309 10800
ORIF GA
Ear Reconstruction 2nd stage with
310 10800
FTSG GA
Excision of Granulation Tissue
311 Escharectomy Or Debridement GA 10800
Medium
Fracture Mandible Plating and IMF
312 10800
LA
313 Fracture Maxilla Fixation LA 10800
314 Lobule Transposition GA 10800
315 Minor Lip procedure GA 10800
316 Nipple and Areola Reconstruction GA 10800
317 Pedicled Flaps Inset - Minor GA/LA 10800
318 Polydactyli Correction Single GA 10800
319 Soft Tissue and Nerve Repair GA 10800
320 Tendon Repair (Single) GA 10800
321 Transposition Flaps - Minor 10800
322 Epididymis-Epididymectomy 10800
323 Eye Evisceration With Implant 11000
324 Orbitotomy Small 11000
325 Circumcision for phimosis (IVA/GA) 11050
Kidney-Percutaneous Nephrostomy
326 (PCN) placement GA Blind/USG 11250
guided
327 Retinal Detachment (R D)Surgery 11500
328 Burr Hole(s) for Biospy of Brain 11700

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 Package S.N. Surgical Procedures Rate
Burr Hole(s) for Evacuation of CSDH
329 11700
single
330 Cervix-McDonald suture GA 11700
331 Pelvic Floor repair 11700
Perineum-1st and 2nd degree Tear Old
332 11700
GA
Uterus-Mannual Removal of Placenta
333 11700
(MRP) with EPI
334 Vagina- Hymenectom GA 11700
335 Vagina-Biopsy Vulva/Vagina GA 11700
Vagina-Repair of vaginal/Cervical
336 11700
laceration Large
337 Ankle Ligament Tear Repair GA 11700
338 Foot Ankle Arthrodesis SA 11700
339 Foot Fracture INT. Fixation SA 11700
Forearm- Fracture Distal Radius -
340 11700
ORIF GA
Hips Fracture Femur Neck
341 11700
Displacement Osteotomy SA
342 Knee Arthrodesis SA 11700
Knee collateral Ligament Injury
343 11700
Repair SA
344 Patella Fracture Excision/Fixation SA 11700
Patella Recurrent Dislocation Lateral
345 11700
Release SA
Patella Recurrent Dislocation
346 11700
Quadricepsplasty SA
Patella Recurrent Dislocation Tendon
347 11700
Transfer SA
348 Soft Tissue Nerve Repair GA 11700

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Package S.N. Surgical Procedures Rate
Tibia Malleolar Fracture INT. Fixation
349 11700
GA
350 Tibia Malleolar Osteotomy SA 11700
351 Cleft Lip Unilateral GA 11700
352 Testis-Testicular biopsy open 11700
353 Testis-U/L Orchidectomy SA/GA 11700
Urethra-Optical Internal Urethrotomy
354 11700
(OIU) Caudal block
355 Urethra-Urethrovaginal Repair 11700
Urinary Bladder - VVF Repair (O
356 11700
Conner procedure)
357 Tonsillectomy Surgery 12000
Cataract: Phacoemulsion with Fred
358 12050
Hollow Intraocular Lens (One eye)
Dacryocystorhinostomy With
359 12500
Tubation
Knee Tibial Spiral Fracture INT.
360 12600
Fixation SA
Tarsal Bone Fracture Or Calcanium
361 12600
INT. Fixation SA
362 Tarsal Joint Arthrodesis SA 12600
Tibia Condylar Fracture Screwing
363 12600
Percutaneous SA
364 Tibia Shaft Fracture Plating GA 12600
365 Testis-B/L Orchidectomy SA/GA 12600
Testis-EVS of Hydrocele GA/SA
366 12600
(Unilateral)
Urethra-Optical Internal Urethrotomy
367 12600
(OIU) OIU SA
Urinary Bladder - Cystolitholapaxy
368 12600
caudal block

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 Package S.N. Surgical Procedures Rate
Minor(AV Fistula / IABP Insertion/
369 12600
Perma Cath Insertion)
Scrotum-Debridement of Fournier's
370 12750
Gangrene
Pyogenic liver abscess (Including
371 12845
Aspiration/ drainage)
372 Squint Surgery 3 Muscle 13500
373 Eye: Cryo Buckling 13500
Uterus-Suction Evacuation for Molar
374 13500
Pregnancy GA
375 Skin Grafting Raw Area GA Medium 13500
376 DJ stenting SA 13500
Burr Hole(s) for Drainage of Brain
377 13500
Abscess/Cyst
378 Cervix-Conization GA 13500
379 Vagina-Anterior Colporrhaphy GA/SA 13500
Knee OA Knee Deformity Osteotomy
Intermediate 380 SA
13500
1 Patella Recurrent Dislocation Tendon
381 13500
Transfer GA
382 Burn Early Excision and Grafting 13500
383 Fracture Maxilla Fixation GA 13500
384 Fracture Zygoma Fixation LA 13500
385 Liposuction for Gynaecomastia GA 13500
386 Lymphoedema Surgery GA 13500
387 Tendon Grafting GA 13500
388 DJ stenting GA 13500
389 Penis-Partial Penectomy 13500
390 Scrotum-Scrotoplasty SA/GA 13500

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Package S.N. Surgical Procedures Rate
391 Urinary Bladder - Cystolitholapaxy SA 13500
392 Urinary Bladder - Cystolithotomy SA 13500
CRPP Supracondylar/Neck Fracture
393 13500
Humerus
Humerus- Lateral Condyle Fracture
394 13500
Children/Adult ORIF
Rush Nailing- Paediatric and Adult
395 13500
Fracture
396 Tendon Repair (Multiple) LA 13500
397 Others 13500
398 Hernia repair bilateral LA 14000
399 SICS + Trabeculectomy 14000
400 Urinary Diversion 14256
Burr Hole(s) for Aspiration of
401 14400
Hematoma/Cyst
402 Burr Hole(s) for Multiple 14400
Neurorrhaphy Anastomosis Facial-
403 14400
Hypoglossal
404 Breast- Simple Mastectomy GA 14400
405 Hernia repair unilateral SA 14400
406 Psoas Abscess drainage 14400
Vagina-Tension free Vaginal Tape
407 14400
(TVT) SA
408 Vagina-Transobturator Tape (TOT) SA 14400
Amputation above knee/below
409 14400
knee/below Forearm SA
Ankle Infection Arthritis Degenerative
410 14400
Arthrodesis GA
411 Arthrotomy small joints 14400
412 Drainage of Psoas Abscess 14400

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 Package S.N. Surgical Procedures Rate
Elbow communitedIntercondylar
413 Fracture Anterior Transposition of 14400
Ulnar nerve Regional Block
414 Femur condylar Fracture Plating SA 14400
415 Femure Shaft Fracture IM-Nailing SA 14400
416 Foot Ankle Arthrodesis GA 14400
417 Foot Club Foot ETA GA 14400
Foot Club Foot Soft Tissue + Bone
418 14400
Repair GA
419 Foot Fracture Fixation GA 14400
420 Foot Fracture INT. Fixation GA 14400
Forearm- Fracture Both Bones
421 14400
Forearm GA
Forearm- Fracture Both Bones
422 14400
Forearm Regional Block
Hips Fracture Femur Neck
423 14400
Displacement Osteotomy GA
424 Humerus Fracture ORIF GA 14400
425 Knee Arthrodesis GA 14400
426 Knee collateral Lig. Injury Repair GA 14400
Knee Tibial Spiral Fracture INT.
427 14400
Fixation GA
Patella Recurrent Dislocation Lateral
428 14400
Release GA
Patella Recurrent Dislocation
429 14400
Quadricepsplasty GA
Radius Malunion Excision ORIF
430 14400
Styloid DARRCH GA
Soft Tissue Nerve & Tendon Repair
431 14400
SA/Regional Block
432 Tarsal Joint Arthrodesis GA 14400

38 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
Package S.N. Surgical Procedures Rate
Tibia Condylar Fracture Screwing
433 14400
Percutaneous GA
434 Tibia Malleolar Osteotomy GA 14400
435 Cleft Lip (Revision) GA 14400
436 Cleft Lip Bilateral Revision GA 14400
437 Cross Finger Flap GA 14400
Excision of Granulation Tissue
438 Escharectomy Or Debridement GA 14400
Large
439 Polydactyli Correction Multiple GA 14400
440 Syndactyli Release and Grafting GA 14400
441 Urethra-1st stage Byars flap 14400
442 Urethra-2nd stage Byars flap 14400
443 Fistula/Sinus excision 14850
444 Orbitotomy Lateral 15000
Lid Tumor Excision With
445 15000
Reconstruction Big
446 Eye Ptosis: Sling Surgery Only 15000
Glaucoma Valve Implant
447 15000
Procedure(Valve Extra)
Elbow communitedIntercondylar
448 Fracture Anterior Transposition of 15300
Ulnar nerve GA
449 Hips Fracture Femur Neck Pins SA 15300
450 Hips Fracture Femur Neck Screw SA 15300
Knee OA Knee Deformity Osteotomy
451 15300
GA
Tarsal Bone Fracture Or Calcanium
452 15300
INT. Fixation GA
Tarsal Bone Fracture Talus INT.
453 15300
Fixatoin GA

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 Package S.N. Surgical Procedures Rate
454 Hernioplasty SA/GA 15300
Kidney-Drainage of perinephric
455 15300
abscess SA/GA
456 Penis-Shunt surgery for Priapism 15300
457 RPG + Instillation of Sclerosant LA 15300
458 Testis-Radical Orchidectomy 15300
459 Urethra-Urethral Diverticulectomy 15300
460 Urinary Bladder - Cystolithotomy GA 15300
Chronic suppurative otitis media Surgical
461 15456
management package
462 Squint Surgery 4 Muscle 15500
463 Orbitotomy Medium 16000
464 Eye Ptosis: Levator Resection 16000
465 Blepheroplasty 16000
466 Thyroglossal Cyst - Excision package 16000
467 Appendix- Open Appendectomy SA 16200
Excision of Rib GA/Open Lung
468 16200
Biospy GA
469 Cervix-Shirodhker Suture GA 16200
470 Cleft Palate Repair GA 16200
471 Urethra-1st stage Johansen procedure 16200
472 Urethra-2nd stage Johansen procedure 16200
Urinary Bladder - Cystolitholapaxy
473 16200
GA
474 Anal- Hemorrhoidectomy (Open) 16650
Ilioingunal block dissection of
475 16650
lymphnode
Closed Reduction & K-Wire
476 17000
Fixation/TENS
477 Tendon Repair Major 17000

40 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
 Package S.N. Surgical Procedures Rate
478 Posterior Vitrectomy Package 1 17000
479 Tibia Shaft Fracture Nailing SA 17100
480 Laparotomy with Biopsy 18000
481 Stomach-Palliative Gastrojejunostomy 18000
Stomach- Rammstedt Operatio for
482 18000
Pyloric Stenosis
483 Appendix- Open Appendectomy GA 18000
484 CSF Shunt Placement 18000
Hemilaminectomy and
485 Decompression of Cord/Excision of 18000
Disc (Posterior Approach)
Laminectomy and Decompression
486 of Cord/Excision of Disc (Posterior 18000
Approach)
Diagnostic Laparoscopy/Laparoscopic
487 18000
biopsy
Intermediate 488 Urethra- Burch Colposuspension GA 18000
2
489 Urethra- Burch Colposuspension LA 18000
Vagina-Fothergills operation
490 18000
(Manchester)
Vagina-Tension free Vaginal Tape
491 18000
(TVT) GA
492 Vagina-Transobturator Tape (TOT) GA 18000
493 Arthrotomy Large joints 18000
494 Femur condylar Fracture Plating GA 18000
Hand - Carpal, Metacarpal &
495 18000
phalanges Fracture - ORIF
496 Hips CDH Acetabuloplasty GA 18000
Hips Fracture Femur Neck
497 18000
Hemiarthroplasty SA
498 Hips Fracture Femur Neck Pins GA 18000

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 Package S.N. Surgical Procedures Rate
499 Hips Fracture Femur Neck Screw GA 18000
Humerus Supracondylar, Lateral
500 18000
condylar Fracture - ORIF Ga
501 Shoulder Joint Arthrodesis GA 18000
Soft Tissue Nerve & Tendon Repair
502 18000
GA
Soft Tissue, Nerve & Vessels Repair
503 18000
SA
Spine Infection Pott's Drainage
504 18000
Procedure GA
Tibia Condylar Fracture Elevation
505 18000
Bone Graft SA
506 Transpendicular Biopsy 18000
Hand- Carpal/Metacarpal/Phalanges
507 18000
Fracture : ORIF
508 Elbow- Olecranon Fracture ORIF 18000
509 Alveolar Bone Grafting GA 18000
510 Augmentation Rhinoplasty 18000
511 Blow Out Fracture Reconstruction GA 18000
Cancer Excision and Flap
512 18000
Construction GA
Contracture Band Multiple Z plasty
513 18000
GA
Contracture Release with Rotation
514 18000
Flap GA
515 Dermabrasion /Chemical Peel GA 18000
Excision of Cutaneous Lesion and
516 18000
SSG or FTSG GA
Facial Laceration Suturing (Complex)
517 18000
GA

42 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
Package S.N. Surgical Procedures Rate
Facial Paralysis Cross Facial Nerve
518 18000
Grafting GA
Facial Paralysis Cross Temporalis
519 18000
Transfer GA
520 Flaps For Bed Sore GA 18000
521 Fracture Mandible Plating and IMF GA 18000
522 Framework Elevation and FTSG GA 18000
Hemimandibulectomy and
523 18000
Reconstruction
524 Le Forte Advancement GA 18000
525 Lip Reconstruction GA 18000
Malar Augmentation with Bone Graft
526 18000
GA
527 Mandibular Osteotomies Ga 18000
528 Nose Reconstruction with Flaps GA 18000
Orocutaneous Fistula Closure with
529 18000
Flaps GA
530 Palatal Fistula Closure GA 18000
531 Pedicled Flaps Inset - Major GA 18000
532 Pharyngoplasty GA 18000
533 Pollicization GA 18000
534 Scalp Transposition and Grafting GA 18000
535 Skin Grafting Raw Area GA Large 18000
Soft Tissue, Tendon and Nerve Repair
536 18000
GA
537 Tendon Repair (Multiple) GA 18000
538 TMJ ankylosis Release GA 18000
539 Transposition Flaps - Major 18000
540 Vaginal Reconstruction 18000
Kidney-Drainage of renal abscess
541 18000
SA/GA

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 Package S.N. Surgical Procedures Rate
542 Penis-Radical penectomy 18000
543 RPG + Instillation of Sclerosant SA 18000
Scrotum-Scrotal exploration for
544 18000
trauma
545 Single stage SNODGRASS(TIP) 18000
546 Testis-Exploration of testicular torsion 18000
Ureter-Ureterocystoneostomy (UCN)
547 18000
B/L GA
Ureter-Ureterocystoneostomy (UCN)
548 18000
U/L SA
Ureter-Ureteroscopic
549 18000
Lithotripsy(URSL) + DJ stenting SA
550 Ureter-Ureteroscopy (URS) SA 18000
Urethra-Blandys perianal
551 18000
urethroplasty
552 Urethra-Matheu Flip Flap 18000
Urinary Bladder - Repair of Traumatic
553 18000
bladder rupture
554 Vas-Microscopic varicocele ligation 18000
Amputation above knee/below
555 18000
knee/Below Forearm GA
556 Cesarian Section Delivery 18000
557 Others 18000
558 Biliary-Open cholecystectomy 19350
559 Hand Carpal Tunnel Release GA 19350
560 Anal- Hemorrhoidectomy (Stapled) 19800
561 Exploratory laparotomy 19800
562 Intestine- Iliostomy/Colostomy 19800
Craniotomy/Craniectomy Drainage of
563 19800
Intracranial Abscess Supratentorial

44 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
Package S.N. Surgical Procedures Rate
564 Thyroid- Hemithyroidectomy GA 19800
Hips Fracture Trochanteric Fracture
565 19800
DHS Fixation SA
566 Cleft Lip Bilateral GA 19800
567 Ureter-Ureterolithotomy open SA 19800
568 Urinary Bladder-TURBT 1st stage 19800
569 Posterior Vitrectomy Package 2 20000
570 Orbitotomy Big 20000
571 Keratoplasty PK 20000
Laparoscopy for Oophorectomy or
572 Salpingo-Oophorectomy or Ectopic 20250
pregnancy or Pelvic Abscess
Laparotomy with Wedge resection of
573 20250
ovary
574 Ureter-Ureteroscopy (URS) GA 20250
Ankle Fracture Dislocation Open
575 20700
reduction Repair/Fixation GA
576 Patella Fracture Excision/Fixation GA 20700
577 Phaco+Iol+ Trabeculectomy 21000
578 Biliary-CBD exploration 21600
579 Bone Flap Removal 21600
580 Bone Flap Replacement 21600
581 Craniotomy/ raniectomyInfratentorial 21600
Craniotomy/Craniectomy Orbital
582 21600
Biopsy
Breast- Mastectomy GA/Wide Local
583 21600
Excision of Ca Breast
584 ERCP (ES stone extraction/Stenting 21600
Laparoscopic Diagnostic Lap with
585 21600
Blue test (dye included)

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 Package S.N. Surgical Procedures Rate
586 Laparoscopic Tubal Ligation 21600
Adnexal Operations - including
587 21600
Ovarian Cystectomy
Hips Fracture Femur Neck
588 21600
Hemiarthroplasty GA
Hips Old Unreduced Dislocation/CDH
589 21600
Open Reduction GA
Shoulder Fracture Dislocation INT.
590 21600
Fixation GA
591 Shoulder/Wrist/Elbow Arthrodesis GA 21600
Soft Tissue, Nerve & Vessels Repair
592 21600
GA
593 Hernia repair bilateral SA 21600
Spine Pott's Spine Costo-
594 21600
Transversectomy
Tibia Condylar Fracture Elevation
595 21600
Bone Graft GA
Plating Forearm/Arm/Leg/Thigh
596 21600
bones Children
Ear Reconstruction Cartilage
597 21600
Framework GA
598 Penile Reconstruction GA 21600
Soft Tissue, Tendon, Nerve and Vessel
599 21600
Repair GA
600 Prostate-TURP SA 21600
Acute osteomyelitis (Surgical
601 21715
management including I&D, dressing)
602 Anal- Pilonidal Sinus surgery 22200
603 Vulva-Vulvectomy simple 22500
Intermediate
604 Ureter-Ureterolithotomy open GA 22500
3
605 Kidney-Graft nephrectomy 22500

46 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
Package S.N. Surgical Procedures Rate
606 Kidney-Nephrectomy for XGP 22500
607 Kidney-Open pyelolithotomy 22500
Penis-Nestbitt operation for Pyronies
608 22500
disease
609 Penis-Repair of Penile fracture 22500
610 Penis-Total Penectomy 22500
611 Prostate-Retropubic Prostatectomy SA 22500
612 RPG + Instillation of Sclerosant GA 22500
613 Testis-Orchidopexy 1st stage 22500
614 Testis-Orchidopexy 2nd stage 22500
615 Ureter- Transureteroureterostomy 22500
Ureter-Ureterocystoneostomy (UCN)
616 22500
B/L SA
Ureter-Ureterocystoneostomy (UCN)
617 22500
U/L GA
Ureter-Ureteroscopic
618 22500
Lithotripsy(URSL) + DJ stenting GA
Urethra-Tension Free Vaginal Tape
619 22500
(TVT) repair
Urinary Bladder- Percutaneous
620 22500
Cystolithotripsy (PCCL) SA
621 Uterus-Myomectomy GA 22500
622 Others 22500
623 Intestine- Iliostomy/Colostomy closure 22950
624 Vagina-Repair of Vault prolapse 23400
625 Biliary-Cholecysto-Jejunostomy 24300
Exploratory laparotomy with - band
626 release, Adhesiolysis, Derotation for 24300
intestinal obstruction

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 Package S.N. Surgical Procedures Rate
Exploratory Laparotomy with -
627 Repair of DU or Gastric perforation 24300
peritonitis
Exploratory Laparotomy with -
Repair of Small bowel perforation or
628 Short segment resection anastomosis 24300
or stoma creation for perforatoin
peritonitis
Rectum- Delormes Procedure for
629 24300
Rectal Prolapse
630 Stomach- Vagotomy & Pyloroplasty 24300
631 Laparoscopic Appendectomy 24300
632 Femure Shaft Fracture IM-Nailing GA 24300
633 Tibia Shaft Fracture Nailing GA 24300
634 Kidney-Simple nephrectomy Open 24300
Urethra-LASER Optical Internal
635 24750
Urethrotomy (OIU)
Breast- Modified Radical Mastectomy
636 25200
GA
637 Thoracotomy with Decortication GA 25200
Thoracotomy with Symphesectomy
638 25200
GA
Uterus-Hysterectomy with Burch
639 25200
Colposuspension GA/SA
Shoulder Joint Old Dislocation ORIF
640 25200
GA
Shoulder Joint Recurrent Dislocation
641 25200
Open Reduction GA
Routine Arthroscopic Procedures
642 25500
(GA/SA)
643 Hernia repair bilateral GA 25650
644 Spleen- Splenectomy 25650

48 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
Package S.N. Surgical Procedures Rate
Stomach- Truncal Vagotomy +
645 25650
Gastrojejunostomy
646 Fallopian Tube- Tuboplasty GA 25650
647 Vagina-VVF repair Small 25650
648 Keratoplasty Dalk/Dsaek/Dmek 26000
Acute pancreatitis (surgical
649 26026
management including inj infliximab)
650 Uterus-Hysterectomy Abdominal 26100
Chronic osteomyelitis (surgical
651 26300
management including I&D, dressing)
652 Prostate-TURP GA small 26550
Anterior Cervical Discectomy (ACD)
653 27000
Single Level
Biopsy/Excision of Intraspinal
654 27000
Neoplasm
655 Biliary- Partial Pericystectomy 27000
656 Cranioplasty For Skull Defect 27000
Cranioplasty For Skull Defect Small
657 27000
<5cm
658 Cranioplasty Simple 27000
Major 1 Cranioplasty with Autograft Small
659 27000
<5cm
Craniotomy/Craniectomy
660 27000
Decompression of Orbit
Craniotomy/CraniectomyExcison of
661 27000
Foreign Body from Brain
Craniotomy/CraniectomyExcison of
662 27000
Tumor or Other Lesion of Bone
Craniotomy/CraniectomyExcison,
663 Intra and Extracranial, Benign Tumor 27000
of Cranial Bone

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 Package S.N. Surgical Procedures Rate
Craniotomy/Craniectomy Removal of
664 27000
Foreign Body
Craniotomy/Craniectomy Removal of
665 27000
Lesion
Craniotomy /Craniectomy
666 Suboccipital Craniectomy and 27000
Laminectomy for Arnold Chiari
Craniotomy for Excision of Pituitary
667 27000
Tumor
Excision by Laminectomy Occlusion
668 27000
of AVM
Fusion of Posterior, Cervical,
669 27000
Interspinous
Fusion of Posterior, Cervical,
670 27000
Sublaminar
671 Instrumentation Lateral Mass Screw 27000
Instrumentation Anterior Odontoid
672 27000
Screw Fixation
673 Instrumentation Lumbar 27000
Instrumentation Occiput - C3/4 Fusion
674 using Luque Rectangle, Sublaminar 27000
Wiring
Laminectomy for Spinal Cord
675 Tumor Excision Simple (  Posterior 27000
Approach)
LUQUE Rod/Rectangle Fixation,
676 27000
Thoracic
Heller's Operation (Cardiomyotomy)
677 27000
GA
678 Laparoscopic cholecystectomy 27000
679 Laparoscopic rectopexy 27000
680 Laparoscopic partial pericystectomy 27000

50 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
Package S.N. Surgical Procedures Rate
681 Other Laparoscopic OB/GYN Surgery 27000
682 Laparoscopic (Ovarian) Cystectomy 27000
683 Ureter- Ureteric Transplantation 27000
684 Uterus-Cesarean Hysterectomy 27000
685 Uterus-Hysterectomy Vaginal GA/SA 27000
Vagina-Reconstruction of Artifical
686 27000
Vagina
687 Vulva- Radical Vulvectomy GA 27000
HumerusIntercondylar Fracture -
688 27000
ORIF GA
689 Pelvis/Acetabular Fracture 27000
690 Radial Head Excision Difficult 27000
691 Plating Both Bones Forearm/Humerus 27000
692 Tendon Graft/Transfer 27000
693 Ileal interposition 27000
694 Kidney - AH pyloplasty Open 27000
Penis-Total Penile Disassembly for
695 27000
Epispadias
696 Prostate-Retropubic Prostatectomy GA 27000
Retroperitoneal Lymph Node
697 27000
Dissection (RPLND)
698 RNU with Bladder cuff excision open 27000
699 Ureter-BOARI flap 27000
700 Ureter-Ureterocalicostomy 27000
Urinary Bladder - Bladder
701 27000
Divertilulectomy
702 Urinary Bladder - Extrophy repair 27000
703 Urinary Bladder - Partial Cystectomy 27000
Urinary Bladder- Percutaneous
704 27000
Cystolithotripsy (PCCL) GA

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 Package S.N. Surgical Procedures Rate
Urinary Bladder-Modified
705 27000
CantewellRansley Operation
Urinary Diversion (MAINZ POUCH)
706 27000
only
Urinary Diversion
707 27000
(Ureterosigmoidostomy) only
708 Vas-Vasectomy reversal SA/GA 27000
709 Vas-Vasovasostomy (Microsurgery) 27000
710 Intestine- Ileal resection 27000
711 Pancreas-Triple Bypass 27000
712 Stomach- Cystograstrostomy 27000
713 Stomach-Partial Gastrectomy 27000
714 Others 27000
Biliary- Lap Cholecystectomy
715 28800
Converted to Open Cholecystectomy
Exploratory Laparotomy with -
716 Resection Anastomosis of Small 28800
bowel with or without stoma
Craniotomy/Craniectomy
717 Craniosynostosis: Single Cranial 28800
Suture
Craniotomy/Craniectomy
718 Evacuation of Hematoma : 28800
Supratentorial/Extradural/Subdural
Craniotomy/CraniectomyExvision of
719 Brain Tumor Supratentorial, Except 28800
meningioma
Craniotomy/CraniectomyExcison of
720 28800
Meningioma Supratentorial
Craniotomy/CraniectomyInfratentorial;
721 28800
Extradural/Subdural

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Package S.N. Surgical Procedures Rate
Craniotomy/Craniectomy Penetrating
722 28800
wound of Brain
Craniotomy/Craniectomy Trans
723 Sphenoidal Approach for Excision of 28800
Pituitary Tumor
Thoracotomy with Enucleation of
724 28800
Cyst GA
Thyroid- Total or Subtotal
725 28800
Thyroidectomy GA
726 Laparoscopic Hernia repair U/L 28800
Hips Fracture Trochanteric Fracture
727 28800
DHS Fixation GA
728 Kidney-LASER PUV Ablation 28800
Urethra- Posterior Urethral Valve
729 28800
Ablation
730 Urinary Bladder - Bipolar TURBT 28800
731 Spine Sacrum/Coccyx Excision SA 29700
732 Posterior Vitrectomy Package 3 30000
Anterior Cervical Discectomy (ACD)
733 30600
Multiple Levels
Exploratory Laparotomy with -
734 Resection Anastomosis of Large 30600
bowel with or without stoma
Craniotomy/CraniectomyExvision of
735 Brain Tumor Infratentorial, Except 30600
meningioma
Breast- Modified Radical Mastectomy
736 30600
GA/WLE + Axillary Clearance
Laparoscopic/Lap Assisted Closure of
737 30600
DU/Enteric Perforation
738 Vulva-Vulvectomy Radical 30600
739 ORIF with Bone Grafting 30600

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 Package S.N. Surgical Procedures Rate
Rectum- Altermier's Operation
740 30600
/STARR procedure for Rectal prolapse
741 Ilizarov Fixation 30600
Minimally Invasive Percutaneous
742 30600
Osteosynthesis (MIPPO)
743 Kidney- Pyelolithotomy 30600
Ureter-Ureteroscopic
744 30600
Lithotripsy(URSL) bilateral
745 Spine PIVD Laminectomy GA 31500
746 Kindey - AnatrophicNephrolithotomy 31500
747 Urethra - Anastomotic Urethroplasty 31500
Urinary Bladder - LASER
Major 2 748 31500
Cystolithotrite
749 Biliary-Choledocho-duodenostomy 31500
750 Stomach-Subtotal Gastrectomy 31500
751 Others 31500
Anterior Cervical Discectomy and
752 32400
Fusion (ACDF) Single Level
Anterior Vertebral Corpectomy
753 32400
Cervical Single Level
Biliary- Hilar cholangiocarcinoma
754 32400
excision
755 Colon- Hemicolectomy 32400
756 Colon- Perineal Proctosigmoidectomy 32400
757 Pancreas- Distal pancreatectomy 32400
758 Pancreas- Frey's Operation 32400
759 Pancreas- Peustow's operation 32400
760 Rectum- abdominal rectopexy 32400
761 Shunt surgery 32400
Spleen- Splenectomy and
762 32400
Devascularization

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Package S.N. Surgical Procedures Rate
763 Stomach- Fundoplication 32400
764 Stomach-Heller's Myotomy 32400
Costovertebral
765 32400
Approach(Posterolateral)
766 Cranioplasty Complex 32400
Cranioplasty For Skull Defect Large
767 32400
>5cm
Cranioplasty with Autograft Large
768 32400
>5cm
Craniotomy/Craniectomy
769 32400
Cerebellopontine Angle Tumor
Craniotomy/CraniectomyExcison of
770 32400
Meningioma Intratentorial
Craniotomy/Craniectomy Multiple
771 32400
Cranial Sutures
Craniotomy/Craniectomy Trans Oral
772 32400
Approach to Skull Base
Excision by Laminectomy Intraspinal
773 32400
Lesion Other Than Neoplasm
774 Fusion of Posterior, Lumbar 32400
775 Fusion Posterolateral, Lumbar 32400
Lumbar- Transforaminal Lumbar
776 32400
Interbody Fusion (TLIF)
Instrumentation Lumbar, Single
777 32400
Segment
778 Instrumentation Posterior 32400
Instrumentation Transarticular Screw
779 32400
Fixation: Anterior
Laminectomy for Spinal Cord
780 Tumor Excision Complex (Posterior 32400
Approach)
781 Microvascular Decompression (MVD) 32400

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 Package S.N. Surgical Procedures Rate
782 Spine Sacrum/Coccyx Excision GA 32400
783 Spine Spondylolisthesis Fusion GA 32400
Breast Reconstruction with Muscle
784 32400
Flaps GA
785 Mandibular Reconstruction GA 32400
786 Revascularization GA 32400
787 Toe Transfer GA 32400
Kidney-Extracorporeal Shock Wave
788 32400
Lithotripsy (ESWL)
789 Penis-Hypospadias repair with flaps 33750
790 Ureter-Ureteroureterostomy unilateral 33750
Anterior Cervical Discectomy and
791 34200
Fusion (ACDF) Multiple levels
Anterior Vertebral Corpectomy
792 34200
Cervical Multiple Level
Anterior Vertebral Corpectomy
793 34200
Thoracic Single Level
794 Anastomosis: EC/IC bypass 36000
Anterior Vertebral Corpectomy
795 36000
Thoracic Multiple Level
796 Carotid Endarterectomy (CEA) 36000
Craniotomy/Craniectomy Midline
797 36000
Tumor at Skull Base
Anterior Lumbar Interbody Fusion
798 36000
Major 3 (ALIF)
posterior lumbar interbody fusion
799 36000
(PLIF)
Lumbar- Lateral lumbar interbody
800 36000
fusion (XLIF)
801 Instrumentation Multiple Segment 36000
Thoracotomy with
802 36000
Lobectomy/Pneumonectomy GA

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Package S.N. Surgical Procedures Rate
ThoracotomySternotomy with
803 36000
Mediastinal Tumor Excision GA
804 Laparoscopic CBD exploration 36000
805 Laparoscopic Gastrectomy 36000
806 Laparoscopic Hernia repair B/L 36000
807 Combine- TAH with Cholecystectomy 36000
Vagina-Vaginal Radical Hysterectomy
808 36000
GA
809 Vagina-VVF repair Complicated 36000
810 Shoulder Joint Replacement GA 36000
Spine Cervical Spine Fracture Fusion
811 36000
GA
Spine Pott's Spine Fusion
812 36000
Decompression GA
Hemi Replacement Arthroplasty
813 36000
(HRA)
814 Arthroscopic Meniscectomy 36000
815 Abdominoplasty GA 36000
816 Microvascular Free Flap Transfer GA 36000
817 Kidney-Radical Nephrectomy open 36000
818 Urinary Diversion (Ileal conduit) only 36000
819 Intermediate Embolectomy) 36000
820 Minor II (Pericardiotomy) 36000
821 Colon- Subtotal colectomy 36000
Liver- Non major Liver resection
822 36000
segmental, bisegmental
823 Others 36000
Thoracotomy with Neck Dissection
824 37800
GA
825 Kidney-Partial Nephrectomy Open 38250

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 Package S.N. Surgical Procedures Rate
Urethra-Buccal Mucosal (BMG)
826 38250
Urethroplasty (BULBAR)
Urethra-Buccal Mucosal (BMG)
827 38250
Urethroplasty (PENILE)
828 Spinal Osteotomy 39600
829 Colon- Total Proctocolectomy 39600
830 Spinal Tumor Excision 39600
Spine Scoliosis Fusion/Epiphysodesis
831 39600
GA
832 Thoracolumbar Fracture Fixation 39600
833 ORIF + Bone Graft Completed 39600
Uterus-Hysterectomy Radical
834 40500
-Wertheim's operation
Penis-Hypospadias repair with BMG
835 40500
graft
Ureter-LASER Deroofing of
836 40500
ureterocele
Ureter-LASER
837 40500
Endopolypectomy/Endoureterotomy
Ureter-Ureteroscopy (URS) LASER
838 40500
Lithotripsy
839 Uterus-Laparoscopic Myomectomy 41400
840 Prostate-Bipolar TURP 41400
841 Laparoscopic Hysterectomy 42300
Kidney-Percutaneous
842 42300
Nephrolithotomy (PCNL)
843 Biliary-Extended cholecystectomy 43200
844 Laparoscopic splenectomy 43200

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 Package S.N. Surgical Procedures Rate
Laparoscopic
845 45000
Adhesolysis/Adenectomy
846 Laparoscopic colectomy 45000
847 Laparoscopic Deroofing of renal cyst 45000
848 Laparoscopic Pyeloplasty 45000
849 Laparoscopic Radical nephrectomy 45000
Uterus-Hysterectomy Lap converted
850 45000
to Open
851 Patellar Reconstruction 45000
852 Major Flap Surgery 45000
Supramajor
1 853 Shoulder- Reconstruction 45000
854 Replantation GA 45000
Urinary Bladder-Radical cystectomy
855 45000
with Ileal conduit
Liver- Open CBD exploration with
856 45000
Hepaticojejunostomy
857 Retum- abdominal perineal resection 45000
Retum- Anterior resection/Low
858 45000
anterior resection
859 Stomach-Total Gastrectomy 45000
860 Others 45000
861 Esophagectomy GA 46800
Knee - Anterior/Posterior Cruciate
862 46800
Ligament Reconstruction
Kidney-Percutaneous Nephrolithotomy
863 47300
(PCNL) multiple stone
864 Total Laparoscopic Hysterectomy 47700
865 Spinal Fixation 48600
866 Laparoscopic Adrenalectomy I 49500

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 Package S.N. Surgical Procedures Rate
Urethra-Buccal Mucosal (BMG)
867 49500
Urethroplasty (PANURETHRAL)
Urethra-Progressive
868 49500
perinealurethroplasty
869 Liver- Hepaticojejunostomy 52200
Laparoscopic Abdominoperineal
870 54000
resection
871 Laparoscopic Incisional Hernia repair 54000
Laparoscopic Rectopexy for rectal
872 54000
prolapse
873 Laparoscopic Nephrectomy I 54000
Spinal Fixation with Decompression
874 54000
and Grafting
Supramajor 875 Elbow - Total Elbow Replacement 54000
2
876 Prostate-Radical Prostatectomy 54000
Ureter-Ureteroscopic
877 54000
Lithotripsy(URSL)L unilateral
878 Ureter-Ureteroureterostomy bilateral 54000
Urinary Bladder - Augmentation
879 54000
cystoplasty
880 Urinary Bladder- Indiana Pouch 54000
881 Others 54000
882 Esophagus- Esophagectomy 58500
883 Liver- Major hepatic resection 58500
884 Pancreas- Whipple's Operation 58500
Urinary Bladder - Radical cystectomy
885 58500
with neobladder

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 Package S.N. Surgical Procedures Rate
Kidney- Retrograde Intrarenal Surgery
886 63000
(RIRS)
Supramajor
Total Hip and Knee Replacement
3 887 63000
Surgery U/L(implant extra)
888 Others 63000
889 Coronary Angioplasty 70000
Laparoscopic Low anterior/anterior
890 72000
resection
891 Laparoscopic Adrenalectomy II 72000
892 Laparoscopic Nephrectomy II 72000
Supramajor 893 Kidney-Donor nephrectomy Open 72000
4 894 Kidney-Renal transplantation 72000
Prostate- Holmium Laser Enucleation of
895 72000
the prostate (HoLEP)
896 Urinary Bladder - Radical cystectomy 72000
897 Others 72000
Major I (BT Shunt/ PA
898 75600
Banding/Epicardial Pacemaker)
Supramajor 899 (Fem-POP bypass, Iliac Surgery) 81000
5 900 Others 81000
901 Urinary Bladder-TURBT 2nd stage 90000
Supramajor Major II (CMC /COA/PDA
902 90000
6 Ligation/Pericardiectomy)
903 Others 90000
Major I (ASD/PAPVC/Pulmonary
904 99000
Valvotomy/ VSD/oth)
Supramajor
Major(AAA Repair/ CEA (Graft
7 905 99000
Extra)
906 Others 99000

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 Package S.N. Surgical Procedures Rate
Total Hip and Knee Replacement
Supramajor 907 108000
Surgery B/L
8
908 Others 108000
Major II (OMV/Valve
Supramajor 909 117000
Repair/MVR/AVR (Valve Extra)
9
910 Others 117000
Major III (DORV/DVR/TOF/TAPVC
Supramajor 911 126000
/Other Complex Congenital)
10
912 Others 126000
Supramajor
913 Others 135000
11
Supramajor 914 CABG (Coronary Arterial Bypass Graft) 144000
12 915 Others 144000

N.B.
   Surgical Package inclusive of ALL RELEVANT -
zz Pre-Operative investigations,
zz Surgery,
zz All Sutures,
zz Mesh,
zz CVP Placement,
zz Arterial Line Placement,
zz TEE,
zz Anesthetic agents and oxygen,
zz All I/V fluids (Anesthesia / Heart Lung machine),
zz I/V medications including I/V anesthetic drugs,
zz Monitoring systems,
zz Disposables (like Foley's catheter/ gloves/ masks/ surgical
caps/antiseptic solutions etc.)
zz Bed charge of general bed/Post-OP/Surgical ward and
Consultations during hospital stay.
   Surgical package doesn’t include Implants and Artificial devices.
   To claim in 'Other': Services not in the benefit package list may

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 be claimed in 'Others' option with price equivalent to the cost of
service delivered by the facility. Hospital bill equivalent to the
claimed amount must be mandatorily uploaded is the system.

-v_ != cf}ifwLsf] ;"rL M List of Allopathic Medicines

S.N. Medicines Rate
1 10% Dextrose 500/540ml glass bottle 70.00
2 10% Dextrose 500/540ml plastic (nipple head) 55.00
3 10% Dextrose 500/540ml plastic euro head 63.00
4 10% Dextrose saline 1000ml plastic (nipple head) 70.00
5 10% Dextrose saline 1000ml plastic euro head 78.00
6 5 Flurouracil 250mg/5ml injection/ml 3.68
7 5% Dextrose 1000ml plastic euro head 73.00
8 5% Dextrose 1000ml plastic nipple head 65.00
9 5% Dextrose 500/540ml glass bottle 50.00
10 5% Dextrose 500/540ml plastic euro head 53.00
11 5-Flurouracil 500mg injection 30.75
12 Acarbose 25mg tablet 8.00
13 Acarbose 50mg tablet 14.00
14 Aceclofenac100mg tablet 4.00
15 Acetazolamide 250mg tablet 10.00
16 Acetylcysteine 1g/5ml, amp. injection 174.40
17 Acetylcysteine 600mg tablet 19.85
18 Actinomycin d 0.5mg injection 935.44
19 Acyclovir 200mg tablet 11.00
20 Acyclovir 250mg ,10ml injection 681.00
21 Acyclovir 3%,5gm cream 49.00
22 Acyclovir 400mg tablet 22.15
23 Acyclovir 5gm ointment 93.00

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 S.N. Medicines Rate
24 Acyclovir 800mg tablet 37.04
25 Acyclovir DT 800mgtablet 28.16
26 Adapalene + Clindamycin gel 10gm,tube gel 112.50
27 Adenosine 6mg/2ml , vial injection 405.60
28 Adrenaline 1:1000 injection 18.40
29 Alamine (amino acid) 500mlinjection 632.00
30 Albendazole 400mg tablet 10.00
31 Albendazole 400mg/10ml,10ml bottle suspension 18.00
32 Aldactone 25mg tablet 2.00
33 Aldactone 50mg tablet 4.00
34 Alendronate70mg tablet 48.00
35 Alfuzosin 10mg tablet 15.51
36 Allupurinol 300mg tablet 14.00
37 Allupurionol 100mg tablet 2.88
38 Alpha interferon 3 miu injection 1,342.08
39 Alprazolam 0.25mg tablet 1.78
40 Alprazolam 0.5mg tablet/capsule 3.62
Aluminium hydroxide magnesium hydroxide
41 98.72
175ml syr.
Aluminium hydroxide + Magnesium hydroxide
42 1.20
(250mg+250mg) tablet
43 Amikacin 100mg vial, injection 41.12
44 Amikacin 500mg ,vial injection 120.60
45 Aminophyllin 100mg tablet 1.20
46 Aminophyllin 250mg/10ml ,amp injection 32.00
47 Amiodarone (50mg/ml) 3ml injection, amp. 139.00
48 Amiodarone hydrochloride 100mg tablet 11.60
49 Amiodarone hydrochloride 200mg tablet 24.00

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S.N. Medicines Rate
50 Amisulpride 100mg tablet 13.00
51 Amisulpride 50mg tablet 8.00
52 Amitriptyline 75mg tablet 5.96
53 Amitryptiline 10mg tablet 2.40
54 Amitryptiline 25mg tablet 3.00
55 Amlodipine 10mg tablet/capsule 7.00
56 Amlodipine 2.5mg tablet/capsule 2.30
57 Amlodipine 5 mg+ Atenelol 50mg 4.35
58 Amlodipine 5mg tablet 5.44
Amlodipine besilate 2.5mg + Atenolol 25mg
59 3.21
tablet
Amlodipine besilate 2.5mg + Atenolol 50mg
60 4.00
tablet
61 Amlodipine besilate 5mg + Atenolol 25mg tablet 4.40
62 Amlodipine besilate 5mg + Atenolol 50mg tablet 7.00
Amlodipine besylate 2.5mg + Losartan potassium
63 9.00
25mg tablet
Amlodipine besylate 5mg + Losartan potassium
64 12.50
25mg tablet
65 Amoxycillin & clavulanate 1.2gm injection 192.57
66 Amoxycillin & clavulanate 375mg tablet 19.80
67 Amoxycillin & clavulanate 625mg tablet 24.16
68 Amoxycillin 125 mg/5ml,60ml suspension 41.00
69 Amoxycillin 125mg DT tablet 3.53
70 Amoxycillin 250 mg capsule 5.00
71 Amoxycillin 250mg DT tablet 6.10
72 Amoxycillin 500mg capsule 8.00
73 Amoxycillin syrup 125mg/5ml ,90ml 110.00

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 S.N. Medicines Rate
Amoxycillin200mg + Clavulanic acid
74 84.66
28.5mg,30ml,syrup
75 Amphotericin b 50mg solution 450.00
76 Ampicillin 250 mg +Cloxacillin 250 mg ,capsule 5.00
77 Ampicillin 250mg ,injection, vial 20.00
78 Ampicillin 500mg injection 33.00
79 Anastrazole 1mg tablet 80.66
80 Anti haemorrhoidal ointment 30g,tube ointment 98.00
81 Anti venom 10ml injection 1,280.00
82 Aripiprazole 10mg tablet 12.60
83 Aripiprazole 15mg tablet 16.80
84 Aspirin 150mg tablet 0.99
85 Aspirin 300mg tablet 1.13
86 Aspirin 75 mg tablet 0.45
87 Atenolol 25mg tablet 2.46
88 Atenolol 50 mg tablet 3.50
89 Atenolol50mg + Chlorthalidone 12.5 mg tablet 3.69
90 Atenolol50mg + Chlorthalidone 25 mg tablet 6.00
91 Atorvastatin 10mg tablet 10.77
92 Atorvastatin 20mg tablet 20.60
93 Atorvastatin 5mg tablet 6.00
94 Atracurium 50mg injection 208.00
95 Atropine 0.6 mg/ml, 1 ml injection 9.25
86 Atropine 1%,5ml eye drop 35.00
97 Avipattikar churna100gm 185.00
98 Azathioprine 50mg tablet/capsule 15.45
99 Azithromycin 100mg/5ml,15ml suspension 46.48

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S.N. Medicines Rate
100 Azithromycin 200mg/5ml ,15ml suspension 71.60
101 Azithromycin 250mg tablet 17.82
102 Azithromycin 500mg ,injection 315.00
103 Azithromycin 500mg tablet 30.00
104 Baclofen 10mg tablet 16.00
105 Baclofen25mg/ tablet 35.20
106 Beclomethasone inhaler [200 mcg./dose] 445.00
107 Beclomethasone nasal spray 235.43
108 Beclomethasone rotacap 200mcg(30cap) 82.82
Beclomethasone rotacap [100 mcg./dose],30's
109 62.06
rotacap
110 Beclomethasone rotacap 400mcg(30cap) 144.00
111 Bendamustine 100mg injection 11,519.00
112 Benzhexol 2mg + Trifluoperazine 5mg tablet 5.04
113 Benzhexol HCL ,2mg tablet 2.50
Benzoic acid 6%+ salicylic acid 3% oint., 30 gm
114 50.00
ointment
115 Benzoyl peroxide gel 5% 20gm,tube gel 110.82
116 Benzydamine HCL 0.15%w/v / topical 35.30
117 Benzydamine mouth gargle 80.00
118 Beta histine 8mg tablet 7.68
119 Betahistine hydrochloride DT 8mg tablet 4.00
120 Betamethasone 0.1%+Neomyicn eye drops 40.50
Betamethasone 0.1%w/w+ neomycin 0.5%w/ w+
121 36.56
Chlorocresol 0.1% w/w, tube cream
122 Betamethasone cream 0.1 % ,10 gm 40.00
123 Bilwadi churna 100gm 250.00
124 Bisacodyl suppository 10mg 22.00
125 Bisacodyl suppository 5mg 20.00

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 S.N. Medicines Rate
126 Bisacodyl5mg tablet 2.00
127 Bismuth iodoform 15mg paste 60.00
128 Bisoprolol 10mg tablet 6.00
129 Bisoprolol 2.5mg tablet 3.00
130 Bisoprolol 5mg tablet 4.00
131 Bleomycin 15mg injection/ml 958.93
132 Bortezomib 2mg injection 16,056.00
133 Brimonidine + timolol 0.5% eye drops 435.00
134 Bromohexine +Terbutaline+Guiafenesin syrup 45.00
135 Budecort 200mcg inhaler 525.74
136 Budesonide 100mcg inhaler 456.00
137 Budesonide 100mcg rotacap 115.00
138 Budesonide 200mcg rotacap 151.20
139 Budesonide 400mcg rotacap 197.60
Bupivacain 5mg/ml + dextrose 80mg/ml, amp
140 42.13
injection
Bupivacain 5mg/ml + sodium chloride 8mg/ml
141 122.40
injection
142 Bupropion SR 150mg tablet 13.60
143 Busulphan 2mg tablet 6.03
144 Butenafine 1% cream 110.00
145 Butenafine 1% ointment 150.00
146 Butenafine HCL 1%w/w/ 1 gm /topical 95.01
147 Calamine lotion 15%, 30 ml lotion 45.50
148 Calcirol sachet 1gm (60kd cap) 50.40
149 Calcitriol capsule 0.250mcg 19.00
150 Calcium acetate 667mg tablet 7.00
151 Calcium carbonate 500mg + d3 250mg tablet 5.75

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S.N. Medicines Rate
152 Calcium gluconate 10% 10 ml amp ,injection 26.40
153 Calcium suspension 90.00
154 Capacitabin 500mg tablet 225.00
155 Carbamazepine 200mg tablet 1.18
156 Carbamazepine 400mg tablet 3.84
157 Carbamazepine CR 200mg tablet 2.41
158 Carbamazepine CR 300mg tablet 4.51
159 Carbamazepine CR 400mg tablet 4.75
160 Carbimazole 5mg (100 tablets) tablet 334.90
161 Carboplatin 150mg injection 1,142.22
162 Carboplatin 450mg injection 2,548.91
163 Carboprost tromethine 250mcg injection 233.85
164 Carvedilol 3.125mg tablet 2.80
165 Carvedilol 6.25mg tablet 5.75
166 Cefaclor anhydrous 25 mg/ml/liquid 107.75
167 Cefadroxil 500mgcapsule 12.00
168 Cefadroxil anhydrous 25 mg/ml/liquid 14.00
169 Cefadroxil monohydrate 250 mg/oral tablet 3.50
170 Cefadroxil monohydrate 500 mg/oral tablet 6.27
171 Cefadroxil-125mg dry/syrup 29.00
172 Cefazolin 1 gm injection 86.73
173 Cefipime1gm injection 268.87
174 Cefixime 100mg tablet 9.66
175 Cefixime 200mg tablet 17.04
176 Cefixime 50mg/5ml ,60ml suspension 135.00
177 Cefixime ds,30ml dry syrup 60.00

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 S.N. Medicines Rate
Cefotaxime & sulbactam for Injection ,125mg
178 21.46
injection
179 Cefotaxime 1 gm injection 53.60
180 Cefotaxime 250mg injection 25.63
181 Cefotaxime 500mg injection 32.00
182 Cefpodoxime 200mg tablet/capsule 25.00
183 Cefpodoxime 200mg+clavulanic acid125mg,tablet 41.44
184 Cefpodoxime 50mg syrup 170.00
185 Cefpodoxime dry /syrup 100mg 206.00
186 Cefpodoxime dry /syrup 50mg 112.00
187 Cefpodoxime proxetil DT 200mg tablet 20.16
188 Cefpodoxime100mg syrup 250.00
189 Ceftazidime 1gm injection 310.36
199 Ceftriaxone 1 gm injection 90.00
200 Ceftriaxone 250 mg injection 44.24
201 Ceftriaxone 500 mg injection 60.00
202 Cefuroxime axetil 250mg tablet 39.15
203 Cefuroxime axetil 500mg tablet 57.23
204 Cephalexine500mg capsule 27.36
205 Cephazoline 500 mg injection 55.52
206 Cetrizine 10 mg tablet 3.00
207 Cetrizine 10mg/5ml suspension 40.00
208 Charcoal activated 10gm/sachet powder 50.00
209 Charcoal activated 250mg capsule 6.00
210 Chlorabucil 2mg tablet 79.89
Chloramphenicol 0.5% +dexamethasone 0.1 %
211 20.00
eye drops
212 Chloramphenicol 1% eye ointment 5g 15.00

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S.N. Medicines Rate
Chloramphenicol 10mg polymyxin B 5000iu
213 42.00
ointment
214 Chloramphenicol 1g injection, vial 80.00
215 Chloramphenicol 250 mg capsule 5.75
Chloramphenicol 5%w/v+ Lidocaine 2%w/v eye
216 50.00
drop
217 Chloramphenicol 500mg capsule 10.00
Chloramphenicol 5mg+Polymyxin-b 5000i.u.+
218 56.00
Dexamethasone 1mg eye drop
219 Chloramphenicol 5ml / 5% e/e drop 35.00
220 Chloramphenicol1% applicap 1.50
221 Chlordiazepoxide 20mg,tablet 5.00
222 Chlordiazepoxide 5mg,tablet 2.25
Chlorhexidine gluconate topical ,lignocaine
223 76.60
topical and metronidazole, ointment
224 Chlorhexidine mouth wash 80ml solution 77.50
225 Chlorodiapoxide 10mg tablet 4.00
226 Chlorodiapoxide 25mg tablet 6.75
227 Chloroquine phosphate 250mg tablet 2.33
228 Chlorpheniramine 4 mg tablet 0.80
229 Chlorpheniramine maleate 10mg injection 25.00
230 Chlorpheniramine maleate 1mg tablet 0.50
231 Chlorpromazine 100 mg tablet 1.20
232 Chlorpromazine 25 mg tablet 0.45
233 Chlorpromazine 50mg/2ml injection 11.60
234 Chlorzoxazone 250mg+paracetamol 500mg tablet 7.00
235 Cholecalciferol 200ml suspension 64.00
236 Cholecalciferol 250mg tablet 3.50

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 S.N. Medicines Rate
237 Cholecalciferolsachet 1gm/60kd powder 48.24
238 Chymotrypsin forte tablet 21.20
239 Cinnarazine 25mg tablet 5.90
Ciprofloxacin 0.3% +dexamethasone 0.1 % eye
240 15.00
drops
241 Ciprofloxacin 0.3% eye ointment 5gm 24.00
242 Ciprofloxacin 250mg tablet 6.25
243 Ciprofloxacin 500 mg tablet 8.00
244 Ciprofloxacin e/e drops 0.3 %,5ml drops 25.00
245 Ciprofloxacin infusion 200 mg / 100 ml infusion 86.81
246 Cisplatin 10mg injection 134.23
247 Cisplatin 50mg injection 410.17
248 Clarithromycin 250mg tablet 33.10
249 Clarithromycin 500mg tablet 45.72
250 Clindamycin 150mg capsule 21.65
251 Clindamycin 300mg capsule 35.31
252 Clindamycin 300mg injection 226.00
253 Clindamycin 600mg injection 355.00
254 Clindamycin injection 150mg/ml 2ml amp. 185.00
255 Clindamycin phosphate15gm ,tube gel 115.00
256 Clobazam 10mg tablet 14.01
257 Clobazam 5mg tablet 8.36
258 Clobetasol propionate cream 30gm cream 125.00
259 Clobetasole+ Gentamycin ointment 150.00
260 Clobetasole+ Gentamycin+ Miconazole ointment 55.00
261 Clobetasole+ Salisylic acid ointment 142.50
262 Clomipramine 25mg tablet 7.50
263 Clomipramine 50mg tablet 10.56

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S.N. Medicines Rate
264 Clomipramine hydrochloride 10mg tablet 4.24
265 Clonazepam 0.25mg tablet 1.19
266 Clonazepam 0.5mg tablet 4.43
267 Clonazepam 25mg tablet 10.00
268 Clonidine 100mcg tablet 2.00
269 Clopidogrel 75mg tablet 8.03
270 Clopropamide 100mg tablet 6.00
271 Clopropamide 250mg tablet 10.00
Clotrimazole 1%w/v+ lidocaine 2%w/v ,10ml ear
272 55.00
drop
Clotrimazole 1%w/w +gentamicin sulphate
273 143.00
0.1%w/w + beclomethasone dip.0.025%w/w cream
274 Clotrimazole 100mg pessary tablet(6 tablet) 40.00
275 Clotrimazole 10ml ear /eye drop 101.00
276 Clotrimazole 25mg 1% w/w skin cream 118.45
277 Clotrimazole lotion (topical solution) 15ml 120.00
278 Clotrimazole mouth paint 20ml 190.40
279 Clotrimazole vaginal (pessary) 6 tablet 17.78
280 Clotrimazole mouth paint ,20ml paint 145.00
281 Clove oil,5ml 35.00
282 Cloxacillin 125mg capsule 10.00
283 Cloxacillin 125mg/5ml , 100ml,syrup 120.00
284 Cloxacillin 250mg capsule 6.00
285 Cloxacillin 500mg capsule 10.00
286 Cloxacillin 500mg injection 51.64
287 Clozapine 100mg tablet 21.30
288 Clozapine 25mg tablet 3.91
289 Codeine phosphate 15mg tablet 6.33

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 S.N. Medicines Rate
290 Colchicine 0.5mg tablet 4.00
291 Colistimethate sodium injection 1million iu 1,325.00
292 Colistimethate sodium injection 2million iu 2,475.00
Compound solution of sodium lactate solution
293 55.00
500 ml(ringer lactate) infusion
294 Conjugated estrogen 0.625mg tablet 40.00
295 Conjugated estrogen vaginal cream 625.00
296 Cotrimoxazole paediatric suspension 50ml 30.00
297 Cream silver sulphadiazine 25g, 1% w/w cream 62.50
298 Cromolyn sodium ophthalmic 5ml,eye drop 73.60
299 Cyclopentolate eye drop 45.00
300 Cyclophosphamide 500mg injection 105.23
301 Cyclophosphamide 50mg tablet 6.62
302 Cyclosporine 100mg tablet/capsule 187.78
303 Cyclosporine 100mg/ml injection/ml 209.60
304 Cyclosporine 25mg tablet/capsule 43.71
305 Cyclosporine 50mg tablet/capsule 85.25
306 Cyproheptadine 200ml syp 115.00
307 Cytosine arabisonide 1000mg/vial injection 2068
308 Cytosine arabisonide 100mg/vial injection 421.23
309 Cytosine arabisonide 500mg/vial injection 910.74
310 Dacarbazine 500mg injection 1,817.18
311 Danazol 100mg capsule 35.90
312 Danazol 50mg capsule 16.54
313 Darbepoetin alfa injection 25mcg 2,558.00
314 Darbepoetin alfa injection 40mcg 3,062.00
315 Daunorubicin 20mg injection 592.18
316 Decitabine 50mg injection 12,787.00

74 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
317 Dexamethasone 0.5mg tablet 0.35
318 Dexamethasone 2 ml, 4 mg/ml injection 21.00
319 Dextromethorphan+ chlorpheniramine 100ml syrup 112.00
320 Dextrose 25% 25ml injection, amp. 35.00
321 Dextrose 25% in glycerine 25ml 75.00
322 Dextrose 5% in 0.45% saline 500ml 70.00
323 Dextrose 50% 25ml injection, amp. 44.80
324 Dextrose saline 1000mlplastic euro head 73.00
325 Dextrose saline 1000mlplasticnipple head 65.00
326 Dextrose saline 500/540ml glass bottle 50.00
327 Dextrose saline 500/540ml plastic (nipple head) 45.00
328 Dextrose saline 500/540ml plastic euro head 53.00
329 Dextrose solution5 % w/v 500 ml infusion 45.00
330 Diacerin 50mg capsule 15.00
331 Diazepam 10mg tablet 5.00
332 Diazepam 10mg/2ml injection, amp. 35.00
333 Diazepam 5mg tablet 3.00
334 Diazepam 5mg/2ml injection 35.00
335 Diclofenac ,5ml eye drop 56.00
336 Diclofenac 100mg SR tablet 5.00
337 Diclofenac 25 mg / ml, 3 ml injection 14.40
338 Diclofenac 50mg tablet 2.13
339 Diclofenac gel,30gm gel 96.00
340 Dicyclomin hcl 30ml suspension 63.30
341 Dicyclomin hcl,20mg tablet 1.25
342 Dicyclomin hcl+simethicone,10ml drops 19.00
343 Diethylcarbamazine 100mg tablet 2.03

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 75
 S.N. Medicines Rate
344 Diethylcarbamazine citrate 150mg tablet 2.35
345 Digestive enzymes syrup,100ml 100.00
346 Digoxin 0.25 mg tablet 2.51
347 Digoxin 0.5mg ,amp. Injection 13.62
348 Diltiazem 30mg plain tablet 3.00
349 Diltiazem hydrochloride 120mg tablet 24.80
350 Diltiazem hydrochloride 90mg tablet 14.54
351 Diptheria, tetanus 0.5ml, amp injection 17.28
352 Disodium hydrogren citrate,100ml 80.00
353 Divalporate sodium 250mg tablet 8.96
354 Divalporate sodium 500mg tablet 15.84
355 Dobutamine 250mginjection 488.41
356 Docetaxel injection 120mg 25,806.00
357 Docetaxel injection 20mg 4,694.00
358 Docetaxel injection 80mg 18,096.00
359 Domperidone ,30ml. Suspension 50.00
360 Domperidone10mg tablet 3.76
361 Donepezil 10mg tablet 18.50
362 Donepezil 5mg tablet 12.50
363 Dopamine 200mg/5ml , amp. Injection 51.20
364 Dorzolamide 2% eye drops 446.00
365 Doxofylline 400mg tablet 8.00
366 Doxorubicin 10mg injection 328.00
367 Doxorubicin 50mg injection 1,416.28
Doxorubicin hydrochloride liposome injection
368 13,000.00
20mg
369 Doxycycline 100 mg capsule 6.00

76 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
370 Drotaverine 40mg tablet 3.50
371 Drotaverine 80mg tablet 9.71
372 Duloxetine hcl 20mg tablet 11.84
373 Duloxetine hcl 30mg tablet 16.80
374 Ebastine 10mg 8.00
375 Ebastine 20mg 10.00
376 Efavirenz 200 mg 1,252.91
377 Efavirenz 600 mg 3,200.00
378 Enalapril 10mg tablet 7.00
379 Enalapril 2.5mg tablet 2.00
380 Enalapril 5mg tablet 4.00
381 Enoxapirin 40mg injection 671.33
382 Enoxapirin60mg injection 924.00
383 Entecavir 0.5mg 1,216.32
384 Ephedrine 30mg /ml ,1mlinjection 37.44
385 Epirubicin hydrochloride injection 10mg 1,049.00
386 Epirubicin hydrochloride injection 50mg 4,960.00
387 Ergometrine 0.5mginjection 24.75
388 Erlotinib 100mg tablet 730.00
389 Erlotinib 150mg tablet 986.00
390 Erythopoietin alfa 4000 iu injection 1,405.00
391 Erythopoietin alfa2000 iu injection 744.21
392 Erythromycin 125mg/5ml,60ml suspension 51.00
393 Erythromycin 250mg capsule 4.80
394 Erythromycin 500mg tablet 10.25
395 Erythropoetin alfa 6000 iu injection 2,000.00
396 Escitalopram 10mg tablet 12.48

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 77
 S.N. Medicines Rate
397 Escitalopram 20mg tablet 18.00
398 Escitalopram 5mg tablet 7.20
399 Esmolol hcl 10mg/ml ,10ml injection 368.00
400 Esmoprazole 20mg tablet 6.00
401 Esmoprazole 40mg tablet 9.64
402 Ethamsylate 500mg tablet 10.00
403 Etoposide 100mg capsule 92.40
404 Etoposide 100mg/5ml injection 320.27
405 Etoricoxib 90mg tablet 19.00
406 Exemestane 25mg tablet 531.00
407 Febuxostat 40mg tablet 8.50
408 Febuxostat 80mg tablet 15.00
409 Fenofibrate 160mg tablet 14.00
410 Fenofibrate200mg capsule 24.33
411 Fentanyl citrate 10ml,ampoule injection 232.01
412 Fentanyl citrate 2ml ,ampoule injection 68.80
413 Ferric ammonium citrate mixture 30.00
414 Ferrous ascorbate + folic acid tablet 11.00
415 Ferrous fumarate + folic acid tablet 1.50
416 Ferrous sulphate 60mg elemental iron tablet 3.00
417 Fexofenadine hcl 120mg tablet 10.00
418 Fexofenadine hcl 180mg tablet 15.00
419 Fexofenadine hcl,60ml syrup 100.00
420 Filgrastim injection 300mcg 2,120.00
421 Finasteride 1mg tablet 3.85
422 Finasteride 5mg tablet 21.44
423 Flavoxate hcl 200mg tablet 15.50

78 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
424 Flucloxacillin 125mg dry /syrup 185.00
425 Flucloxacillin 500 mg capsule 16.50
426 Fluconazole 0.3% eye drops 76.00
427 Fluconazole 150 mg tablet 22.00
428 Fluconazole 15gm ointment 75.00
429 Fluconazole 50mg tablet 12.00
430 Fluconazole lotion 30ml 140.00
431 Fluconazole suspension 50mg/5ml 35ml 120.00
432 Fludrocortisone acetate 100mcg tablet 18.00
433 Flunarizine hcl 10mg tablet 5.54
434 Flunarizine hcl 5mg tablet 3.35
435 Fluorometholone & neomycin E/E drop 150.00
436 Fluorometholone 0.1% eye drop 101.00
437 Fluoxetine 10mg capsule 3.00
438 Fluoxetine 20mg capsule 5.61
Fluphenazine decanoate(prolinate) 25mg/ml,1ml
439 77.00
injection
440 Flurbiprofen sodium eye drop 75.00
441 Flurometholone 0.1% eye drop 83.00
442 Flutamide 250mg tablet 15.22
443 Fluticasone prop.250mcg, 30 rotacaps 404.81
444 Fluticasone propionate ,nasalspray 435.20
445 Fluticasone respules 64.80
446 Folic acid 5 mg tablet 2.50
447 Folic acid suspension 0.1mcg/ml 30ml 30.00
448 Fondaparinux 2.5mginjection 958.37
449 Formeterol 6mcg + budesonide 100mcg inhaler 365.04
450 Formeterol 6mcg + budesonide 100mcg rotacaps 195.20

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 79
 S.N. Medicines Rate
451 Formeterol 6mcg + budesonide 200mcg rotacaps 304.00
452 Formeterol 6mcg + budesonide 400mcg rotacaps 382.40
453 Formeterol and budesonide rota cap 200 304.00
454 Formeterol and budesonide rota cap 400 382.00
455 Framycetin 5mg/ml ,5ml eye drop 20.00
Framycetin sulphate 5mg+
456 gramicidin 0.05mg+dexamethasone 20.00
sodiummetasulfobenzoate 0.5mgeye drop
457 Frusemide 10mg/ml,2ml injection 5.62
458 Frusemide 20mg/2ml injection 6.01
459 Frusemide 20mg+spironolactone 50mg tablet 4.00
460 Frusemide 40 mg tablet 1.00
461 Fusidic acid +betamethasone cream 10gm 91.20
462 Fusidic acid cream 10gm 110.14
463 Gabapentin 100mg tablet/capsule 6.00
464 Gabapentin 300mgcapsule 15.00
465 Gamma benzene hexachloride lotion,100ml lotion 41.25
466 Gatifloxacin 0.3% eye drop 66.00
467 Gefetinib 250mg tablet 315.00
468 Gemcitabin 1000mg injection 5,047.69
469 Gemcitabin 200mg injection 875.77
470 Gentain violet 2%,10ml solution 12.00
471 Gentamicin 80mg/ml injection 18.00
Gentamycin +betamethasone+ iodochlorohydroxy
472 40.00
quinoline +clotrimazole,5gm cream
473 Gentamycin 0.2%w/w, 15gmcream 20.00
474 Gentamycin 40mg/ml injection 9.50
475 Gentamycin 5ml e/e drop 16.50

80 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
476 Glibenclamide 5mgtablet 1.73
477 Gliclazide 40mg tablet 4.00
478 Gliclazide 80mg tablet 6.56
479 Glimpiride 1mg tablet 5.00
480 Glimpiride 2mg tablet 8.00
481 Glimpiride 3mg tablet 11.00
482 Glimpiride 4mg tablet 12.25
483 Glipizide 5mg tablet 0.70
484 Glucosamine500mg capsule 8.00
485 Glucose 100gm,pkt powder 50.00
486 Glycerin ear drops 10ml 50.00
487 Glycerin enema, 30ml 69.44
488 Glycerin supp, adult suppository 15.75
489 Glycerin supp,paed. Suppository 6.00
490 Glyceryl trinitrate 0.2% ,25 g ointment 500.00
491 Glycopyrrolate injection 0.2mg/ml ,1ml 20.00
492 Granisetron 1mg tablet 9.87
493 Granisetron injection 1mg/1ml 41.92
494 Griseofulvin 125mg tablet 3.00
495 Griseofulvin 250mgtablet 5.00
496 Griseofulvin 500mgtablet 9.50
497 Halobatosole gentamycin ointment 150.00
498 Haloperidol 0.25mg tablet 1.30
499 Haloperidol 1.5 mg + trihexyphenidyl 2mg,tablet 2.50
500 Haloperidol 1.5mg tablet 1.61
501 Haloperidol 5 mg + trihexyphenidyl 2mg,tablet 3.50
502 Haloperidol 5mg tablet 2.50

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 81
 S.N. Medicines Rate
503 Haloperidol 5mg/ml injection 10.12
504 Heparin 25,000 iu/5ml injection, vial 350.00
505 Heparin ointment 15 gm 160.00
506 Hepatitis a (adult) vaccine 3,350.00
507 Hepatitis b vaccine 20mcg/ml ,injection 151.90
Hib vaccine ( haemophilus influenzae type b
508 600.00
vaccine)
509 Hydralazine 20mg [Link] 750.00
510 Hydrochlorthiazide 25mg tablet 2.95
511 Hydrochlrothiazide 12.5mg tablet 1.50
512 Hydrocortisone 0.5% cream/10gm 50.00
513 Hydrocortisone 1% cream/ointment 10gm 65.00
Hydrocortisone succinate 100mg/vial with WFI
514 114.67
powder for injection
515 Hydroquinone cream 150.00
516 Hydroxychloroquine sulfate 200mg tablet 10.00
517 Hydroxypropyl methylcellulose eye drop 48.00
518 Hyoscine butylbromide 10mg tablet 7.00
519 Hyoscine butylbromide 20mg tablet 15.50
520 Hyoscine butylbromide 20mg/mlinjection 19.84
Ibuprofen 100mg +paracetamol 125mg/5ml,60ml
521 32.00
suspension
522 Ibuprofen 200mg tablet 0.75
523 Ibuprofen 400mg tablet 2.00
524 Ichthamol in glycerine ear drops,10ml drops 63.00
525 Ifsomide 1gm/2ml injection 609.26
526 Imatinib 100 tablet 154.74
527 Imatinib 400 tablet 474.03

82 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
528 Imipenem & clastatin 0.5g injection 1,055.00
529 Imipramine 25mg tablet/capsule 1.32
530 Imipramine 50mg tablet/capsule 3.60
531 Imipramine 75mg tablet/capsule 3
532 Indomethacin 75mg sr tablet 12.00
533 Indomethacin25mg tablet 3.00
534 Indomethacin50mg tablet 3.75
535 Influenza vaccine 0.5ml 1,200.00
536 Insulin ,regular (nph) ,40iu/ml,10ml injection 252.07
537 Insulin glargine100 iu/1ml,3ml 1 cartridge 763.19
538 Insulin glulisine 30/70 1 cartridge 237.39
539 Insulin mixed preparation30/70 injection 230.78
540 Insulin mixed preparation50/50 injection 237.29
541 Insulin,regular,pen device,100iu/ml,3ml 1 cartridge 400.00
542 Ipratropium broimide 40mcg 103.20
543 Ipratropium broimide 500mcg 7.89
544 Ipratropium inhaler [20 mcg/dose] 220.00
545 Ipratropium respiratory solution 10ml 59.00
546 Ipratropium rotacap 40mcg (30cap) 86.00
547 Ipravent neb solution, 250 mcg/ml 65.00
548 Irinotecan injection 100mg 6,765.00
546 Irinotecan injection 40mg 3,158.00
550 Iron 15ml drop 75.00
551 Iron 200ml syrup 109.50
552 Iron polymaltose tablet 9.00
553 Iron sucrose 100mg inj 418.00
554 Isoprenalin 2mg/2ml injection amp 70.00
555 Isoprenaline 1 mg/ml 57.40

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 83
 S.N. Medicines Rate
556 Isosorbide dinitrate 10mg tablet 1.50
557 Isosorbide dinitrate/5mg/tablet 0.80
558 Isosorbide mononitrate 10mg tablet 4.50
559 Isosorbide mononitrate 20mg tablet 9.00
560 Isosorbide mononitrate 5mg tablet 2.10
561 Isotretinoin 10mg cap 18.00
562 Isotretinoin 20mg cap 27.00
563 Itopride 50mg tablet 7.00
564 Itraconazole 100mg tablet 30.00
565 Ivermectin 6mg dt tablet 20.00
566 Japanese encephalitis vaccine (green) injection 1,127.52
567 Ketamine 100mg/2mlinjection 50.00
568 Ketamine 500mg/10ml injection 200.00
569 Ketoconazole shampoo 50ml shampoo 150.00
570 Ketoconazole15gm ointment 62.50
571 Ketoralac tromethamine 10mg tablet 6.00
572 Ketorolac 0.04%,5ml eye drop 48.22
573 Ketorolac,1ml injection 32.56
574 Ketotifen fumarate 0.5mg,5ml eye drop 118.00
575 Ketotifen fumarate 1mg tablet 2.96
576 Labetalol injection 20mg.4ml 472.00
577 Lactic acid wash 100ml 260.00
578 Lactulose 100ml solution 193.41
579 Lactulose 200ml solution 357.63
580 Lamivudine 100mg 160.06
581 Lamivudine 150mg 173.60
582 Lamotrizine 25mg tablet 3.00

84 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
583 Lansoprazole 30mg/capsule 6.90
584 L-arginine granules 3gm (amino acid) 55.00
L-arginine granules 7.5gm(combination), sachet
585 87.47
granules
586 L-asparaginase 500ku injection 1,921.38
587 Latanoprost 0.05% eye drops 629.00
588 L-dopa 100mg + carbidopa 10mg tablet 2.40
589 L-dopa 250mg + carbidopa 25mg tablet 5.00
590 Letrozol 2.5mg tablet 19.00
591 Leucovorin calcium injection 50mg 528.00
593 Levitirecetam 1000mg tablet 32.00
594 Levitirecetam 500 mg tablet 16.00
595 Levocetirizine 5mg tablet 4.00
596 Levodopa 200 mg + carbidopa 50 mg tablet 3.53
597 Levodropropizine 100ml syrup 100.00
598 Levofloxacin 500mg tablet 11.00
599 Levofloxacin 5mg/ml 100ml infusion 210.00
600 Levofloxacin 750mg tablet 15.00
Levonorgesterol 150mcg or2 tablets of
601 80.00
levonorgesterol 75mg tablet/capsule
602 Lidocaine 15% topical (spray)aerosol 100gm 350.00
603 Lidocaine 2% , 50ml injection,vial 85.00
604 Lidocaine 2% jelly 30g 55.00
605 Lidocaine 5% heavy 2ml injection, amp 49.00
606 Lignocaine & neomycin ear drops 75.00
Lignocaine 30 ml,1%with or without adrenaline ,
607 39.00
2%w/v injection
608 Linagliptin 2.5mg tablet 9.00

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 85
 S.N. Medicines Rate
609 Linagliptin 5mg tablet 16.00
610 Lithium carbonate 300 mg tablet 2.48
611 Lithium carbonate 450 mg tablet 3.25
612 Liver tonic 450ml 246.00
613 Loratadine 10mg tablet 4.00
614 Lorazepam 1mg tablet/capsule 2
615 Lorazepam 2mg tablet/capsule 2.80
616 Lorazepam injection 2mg/ml 2ml 29.00
617 L-ornithine l- aspartate injection,10ml 454.50
618 L-ornithine l- aspartate tablet 19.52
619 Losartan 25mg tablet/capsule 4.41
620 Losartan 50mg tablet/capsule 7.60
621 Losartan potassium & amlodipine 27.5mg tablet 6.00
622 Losartan potassium & amlodipine 50mg tablet 9.00
623 Losartan potassium & amlodipine 55mg tablet 12.00
Losartan potassium 25mg+ hychlorothiazide
624 9.00
12.5mg tablet
Losartan potassium 50
625 11.00
mg+hydrochlorthiazide25mg tablet
Losartan potassium 50mg+ hychlorothiazide
626 7.00
12.5mg tablet
627 Magaldrate +simethicone 170ml suspension 95.00
Magnesium hydroxide +aluminium hydroxide
628 80.01
170ml suspension
629 Magnesium sulphateinjection,50%,2ml 16.00
630 Magnesium trisilicate mixture 500 ml 100.00
631 Mannitol 20% 100ml ,injection 85.00
Measles, mumps, rubella vaccine(mmr),1 amp
632 152.17
injection

86 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
633 Mebendazole 100mg tablet 27.42
634 Mebendazole syp 36.80
635 Mebeverine hydrochloride 135mg tablet 8.50
636 Mecobalamin 1500mg tablet 18.00
637 Mecobalamin 500mg tablet 8.00
638 Medroxy progesterone acetate,10mg tablet 9.69
639 Mefenamic acid,250mg tablet 2.20
640 Mefenamic acid,500mg tablet 3.32
641 Megestrol acetate 40mg tablet 33.44
642 Melphalan 2mg tablet/capsule 191.73
643 Melphalan 5mg tablet/capsule 321.63
644 Memantine 5mg 12.00
645 Meningitis A+C injection 1,475.32
646 Mensa 200mg injection/ml 43.41
647 Menthol and methyl salicylate cream 205.00
648 Mephentermine sulphate 300mg, 10ml ,injection 322.62
649 Mephentiramine 30mg/1ml 10ml,injection 320.00
650 Mercaptopurine 50mg tablet 15.75
651 Meropenem 1g injection 1,150.00
652 Meropenem 500mg injection 805.00
653 Mesalamine 400mg tablet 11.00
654 Mesalamine extended release 1.2g tablet 40.00
655 Metformin 1000mg tablet/capsule 6.00
656 Metformin 500 mg tablet 2.00
657 Metformin 850 mg tablet 3.40
Metformin HCL SR 1000mg+Glimpiride 1mg
658 10.56
tablet

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 87
 S.N. Medicines Rate
Metformin HCL SR 1000mg+Glimpiride 2mg
659 13.36
tablet
660 Metformin500mg+Glimepiride 2mg, tablet 12.52
661 Metformine 500mg + Glimepiride 1mg, tablet 7.10
662 Methotrexate 2.5mg tablet 8.34
663 Methotrexate 500mg injection 917.00
664 Methotrexate 50mg/ml injection 58.62
665 Methotrexate 5mg tablet 11.90
666 Methotrexate 7.5mg tablet 20.00
667 Methyl [Link] 40mg/1ml injection 120.00
668 Methyl [Link] 80mg/2ml injection 145.00
669 Methyl [Link] 500mg injection vial 855.00
670 Methyl [Link].1g injection vial 1,405.00
671 Methylcobalamin 1500mcg tablet 10.00
672 Methylcobalamin 500mcg tablet 5.00
673 Methyldopa 250mg tablet 2.80
674 Methyldopa 500mg tablet 4.10
675 Methylprednisolone 4mg tablet 5.50
676 Metoclopramide 10mg tablet 1.84
677 Metoclopramide 10mg/2ml injection amp 15.00
678 Metoprolol 12.5mg tablet/capsule 2.90
679 Metoprolol 25mg tablet/capsule 4.00
680 Metoprolol 50mg tablet/capsule 5.30
681 Metoprolol 5mg injection 28.00
682 Metoprolol succinate xl 12.5mg tablet 5.04
683 Metoprolol succinate xl 25mg tablet 7.21
684 Metoprolol succinate xl50mg tablet 12.30

88 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
685 Metoprolol xl 100mg tablet 20.00
686 Metronidazole +clotrimazole (8 tablet/pack) 105.00
Metronidazole 100mg + Diloxanide furoate
687 60.00
125mg syrup,5ml
688 Metronidazole 200 mg/5ml,60ml suspension 30.00
689 Metronidazole 200mg tablet 1.00
Metronidazole 400mg + Diloxanide furoate
690 4.00
500mg ,tablet
691 Metronidazole 400mg tablet 2.50
692 Metronidazole 500 mg/100ml infusion 34.85
Metronidazole diloxanide furoate suspension
693 55.00
,100mg/5ml
Metronidazole+Clotrimazole+Lacticacid bacillus
694 85.00
pessary
695 Miconazole cream 15 gm 35.00
696 Midazolam 5mg/5ml injection 50.00
697 Milk of magnesia 170 ml 150.00
698 Mirtazapine 30mg tablet 24.00
699 Mirtazepine 15mg tablet 12.20
700 Mirtazepine 7.5mg tablet 6.50
701 Mitomycin C 10mg injection 702.35
702 Mometasone furoate 0.1% ointment 15gm 100.00
703 Mometasone nasal spray 493.10
704 Montelukast sodium 10mg tablet 12.00
705 Montelukast sodium 5mg tablet 6.00
706 Morphine 10 mg SR tablet 6.00
707 Morphine 10mg amp injection 95.00
708 Morphine 10mg tablet 4.50

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 89
 S.N. Medicines Rate
709 Morphine 15mginjection 150.80
710 Moxifloxacin 0.5%w/v,10ml eye drop 100.80
711 Moxifloxacin 400mg tablet 9.50
712 Moxifloxacin 400mg/100ml ,injection 352.00
713 Mupirocin ointment 5gm 105.00
714 Mycophenolate Mofetil 250mg tablet 150.00
715 Mycophenolate Mofetil 500mg tablet 170.00
716 N-acetyl cysteine 600mg 32.00
717 Naloxone adult 400mcg/1ml injection amp 135.00
718 Naltrexone 50mg tablet 95.00
719 Naproxen ,60ml suspension 27.52
720 Naproxen 250mg tablet 3.35
721 Naproxen 500mg tablet 5.55
722 Naproxen SR 750mg tablet 6.95
723 Nasal saline drops 40.00
724 Natamycin 5% eye /ear drop 168.00
725 Nebivolol 2.5mg tablet 6.00
726 Nebivolol 5mg tablet 10.00
Neomycin 0.5%w/w+ Benzalkolium chloride
727 0.02%w/v+ Betametasone 0.1%w/v+ Thermosal 15.30
0.005%w/w,5ml e/e drop
728 Neomycin skin ointment15 gm 31.00
729 Neomycin+Polymyxin b+ Bacitracin powder 10gm 60.00
Neomycin+Polymyxin b+Bacitracin skin
730 40.00
ointment 5gm
731 Neostigmin 2.5mg/5 ml amp injection 30.00
732 Niclosamide 500mg tablet 15.00
733 Nifedipine 10mg capsule 3.00
734 Nifedipine 5mg capsule 1.60

90 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
735 Nimesulide 100mg tablet/capsule 3.00
736 Nitrofurantion 100mg tablet 6.00
737 Nitrofurantoin 50 mg tablet 5.00
738 Nitroglycerin 2.6mg(25 tablets/bottle) 214.72
739 Nitroglycerin 25mg/5ml injection 65.00
740 Nitroglycerin ointment 150.00
741 Nitroprusside sodium 50gm injection 235.00
742 Noradrenaline 2mg/2ml injection 200.00
743 Norethisterone 5 mg tablet 8.00
Norfloxacin 0.3%w/v +Benzalkolium chloride
744 22.40
0.01%w/v e/e drop
745 Norfloxacin 400mg tablet 7.00
746 Norfloxacin 5ml e/e drop 28.00
747 Normal saline (sod. Cl 0.9%) 100ml plastic 25.00
748 Normal saline 1000ml plastic (nipple head) 65.00
749 Normal saline 1000ml plastic euro head 73.00
750 Normal saline 500/540ml glass bottle 50.00
751 Normal saline 500/540ml plastic euro head 53.00
752 Nystatin suspension,30ml 90.00
753 Octreotide 100 mcg injection 850.00
Ofloxacin 0.3%+Dexamethasone 0.1%,10ml e/e
754 55.00
drop
755 Ofloxacin 100 mg DT 7.00
756 Ofloxacin 200mg tablet 8.50
757 Ofloxacin 200mg/100ml injection 75.00
758 Ofloxacin 400mg tablet 8.00
759 Ofloxacin 50mg/5ml ,30ml suspension 45.00
760 Ofloxacin 5ml e/e drop 70.00

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 91
 S.N. Medicines Rate
761 Olanzapine 10mg tablet 9.61
762 Olanzapine 2.5mg tablet 4.00
763 Olanzapine 5mg tablet 5.22
764 Olanzapine 7.5mg tablet 6.50
765 Olmesartan 20mg 14.96
766 Olmesartan 40mg 24.96
767 Omeprazole 20mg capsule 4.00
768 Omeprazoleinjection 40mg,vial 48.00
769 Ondansetron 2mg/5ml ,30ml syrup 50.00
770 Ondansetron 4mg injection 30.00
771 Ondansetron 4mg tablet 5.00
772 Ondansetron 8 mg tablet 10.00
773 Ondansetron 8mg injection 60.00
774 Ornidazole 500mg tablet 8.00
775 Ornidazole 500mg/100ml iv 65.00
776 Oxaliplatin 50mg/vial injection 4,035.86
777 Oxcarbazepine 150mg tablet 8.16
778 Oxybutinin 2.5mg tablet 9.00
779 Oxybutinin 5mg tablet 17.00
780 Oxymetazoline 0.1 %, 5 ml nasal drop 53.25
Oxymetazoline HCL,peadiatric nasal drops
781 79.00
0.025% 10ml
782 Oxytocin 5 iu injection 31.00
783 Paclitaxel 30mg/5ml injection 516.18
784 Paclitaxel injection 100mg 5,910.00
785 Paclitaxel injection 260mg 16,894.00
786 Paclitaxel nanoparticle injection 100mg 13,920.00
787 Paclitaxel nanoparticle injection 300mg 31,320.00

92 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
788 Paclitaxel nanoparticle injection 30mg 5,800.00
789 Pantoprazole 40mg injection 70.00
790 Pantoprazole 40mg tablet/capsule 8.00
Paracetamol +Phenylephedrine+
791 75.00
Chlorpheniramine maleate ,[Link]
792 Paracetamol 125 mg / 5 ml,60 ml suspension 30.00
793 Paracetamol 150 mg / ml,2 ml injection 18.00
794 Paracetamol 300mg/2ml injection 30.00
795 Paracetamol 500 mg tablet 1.00
796 Paracetamol 500mg dispersible tablet 1.25
798 Paracetamol 500mg+codeine 10mg tablet 7.00
799 Paracetamol injection 1gm/100ml 250.00
800 Paracetamol suppository.125 mg 14.00
801 Paracetamol+caffeine tablet 3.79
Paracetamol+Phenylephrine+Chlorpheniramine
802 91.00
100ml ,Adult syrup
Paracetamol+Phenylephrine+Chlorpheniramine
803 3.00
tablet
804 Paracetamol100mg/ml drops 25.00
805 Pegfilgrastim injection 6mg 14,655.00
806 Pemetrexate 100mg injection 6,760.00
807 Pemetrexate 500mg injection 27,310.00
808 Penicillim g 10 lac iu tablet 12.65
809 Penicillin g 400,000 tablet 0.38
810 Penicillin g 500,000 injection 20.00
811 Penicillin g 800,000 tablet 0.48
812 Penicillin v 250mg tablet 4.00
813 Pentoxifylline 400mg tablet 3.63

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 93
 S.N. Medicines Rate
814 Permethin 30gm/5%w/v solution 176.00
815 Pethidine 100mg ,amp injection 145.35
816 Pethidine 50 mg/1ml,amp injection 105.00
817 Pheniramine 1mg tablet 0.50
818 Pheniramine 22.75 mg / ml, 2 ml injection 6.14
819 Pheniramine 25mg tablet 7.00
820 Phenobarbitone 30 mg tablet 2.50
821 Phenobarbitone 60 mg tablet 3.40
822 Phenoxymethyl penicillin 250mg tablet 5.00
Phenylepinephrine hydrochloride ip 0.12 w/v %
823 +Naphazoline HCL usp 0.05%+Menthol 0.005 % 106.00
w/v +Camphor 0.01 w/v %,10ml eye drop
824 Phenytoin 100mg tablet 1.90
825 Phenytoin 300mg tablet 7.00
826 Phenytoin 50mg tablet 1.25
827 Phenytoin 50mg/ml 2ml amp injection 20.00
828 Phosphate solution 1 mmol/ml, 100 ml 50.00
829 Pilocarpine 2%,5ml eye drop 80.00
830 Pioglitazone 15mg tablet/capsule 6.50
831 Pioglitazone 30mg tablet/capsule 10.80
832 Piperacillin 4.5gm injection 310.00
833 Piperacillin+Tazobactam 2.25 g, injection 234.26
834 Piperazine citrate 30ml syrup 23.00
835 Pneumococcal vaccine 13s injection 6,000.00
836 Podophyllin tincture benzoin,10ml solution 50.00
Polymicin b sulphate usp 5000units+Becitracin
837 zinc susp 400units+Neomycin sulphate ip 35.00
3400units,5gm ointment

94 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
838 Polymxin B 5gm ointment 31.00
839 Polyvinyl alcohol 1.4%+Povidone 0.6% eye drop 102.00
Polyvinyl alcohol, Povidone and Chlorbutol 10ml
840 101.76
eye drop
841 Potassium chloride 20meq 10ml, amp injection 25.00
842 Potassium chloride mixture 150 ml 50.00
843 Potassium citrate mixture 150 ml 70.00
844 Potassium permanganate 30 gm 60.00
845 Povidone iodine 5 % solution, 50 ml solution 80.00
846 Povidone iodine gargle 1% (100ml) 104.00
847 Povidone iodine ointment 15gm 50.00
848 Povidone iodine vaginal pessary 165.00
849 Povidone polyvinyl eye drops 10ml 75.00
850 Pralidoxim sodium 500mg injection 255.00
851 Praziquantel 150mg (per tablet) tablet 70.00
852 Praziquantel 600mg (per tablet) tablet 160.00
853 Vitamin b1 b6 b12 injection 2ml 11.00
854 Vitamin B-complex ,syrup 115.00
855 Vitamin B-complex capsule 3.00
856 Vitamin E ,400mg capsule 2.38
857 Vitamin K[menadione]10mg/1ml injection 12.00
858 Prazosin 1mg tablet 7.00
859 Prazosin 2.5mg tablet 10.25
860 Prazosin extended release tablet 5mg 16.00
861 Pre and probiotic capsule 15.90
862 Pre and probiotic dry/syrup 151.00
863 Prednisolone 10 mg tablet 3.20

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 95
 S.N. Medicines Rate
864 Prednisolone 20mg tablet 6.00
865 Prednisolone 5mg tablet 2.14
866 Prednisolone acetate 0.1% eye drops 127.00
867 Pregabalin 150mg capsule 20.00
868 Pregabalin 75mg capsule 12.00
869 Probenecid 500mg tablet 6.40
870 Procarbazine 50mg tablet/capsule 55.89
871 Prochlorperazine 12.5mg injection amp 24.00
872 Prochlorperazine 5mg tablet 2.10
873 Progesterone 200mg cap 48.70
874 Promethazine HCL 25 mg tablet 2.60
875 Promethazine injection 2 ml amp 15.00
876 Promethazine syrup 100ml. 40.00
877 Propanolol hydrochloride 10mg tablet 2.00
878 Propanolol hydrochloride 20mg tablet 3.00
879 Propanolol hydrochloride 40mg tablet 4.00
880 Propofol 1% 20ml injection 210.00
881 Propranolol 1mg/1ml injection 210.00
882 Protamine sulphate 50mg injection 80.00
883 Psyllium husk (ispaghula)100g powder 150.00
884 Pushyanug churna 100gm 128.00
885 Pyridoxine 100mg(vitamin b6) tablet 4.30
886 Pyridoxine 10mg(vitamin b6) tablet 1.25
887 Pyridoxine 40mg(vitamin b6) tablet 2.00
888 Pyridoxine 60mg(vitamin b6) tablet 4.00
889 Quetiapine 100mg tablet 6.00
890 Quetiapine 25mg tablet 2.50

96 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
891 Quetiapine 50mg tablet 4.00
892 Quinine 300mg/5ml ml injection amp 40.00
893 Rabeprazole 20mg tablet 10.00
894 Rabies vaccine ,amp injection 540.00
895 Ramipril 2.5mg tablet 5.00
896 Ramipril 2.5mg+hydrochlorthiazide 12.5mg tablet 8.00
897 Ramipril 5mg tablet 9.00
898 Ramipril 5mg+hydrochlorthiazide 12.5mg tablet 13.00
899 Ranitidine 150 mg tablet 1.19
900 Ranitidine 25 mg / ml injection 7.00
901 Ranitidine 50 mg/2 ml injection amp 11.00
902 Rocuronium bromide 50mg/5ml 440.00
903 Rehydration solutions(ors)/ltr sachet(powder) 10.00
904 Ringer's lactate 1000 ml plastic euro head 83.00
905 Ringer's lactate 1000 ml plastic nipple head 75.00
906 Ringer's lactate 500/540/ml glass bottle 70.00
907 Ringer's lactate 500/540/ml plastic euro head 63.00
908 Risperidone 1mg tablet 2.90
909 Risperidone 2mg tablet 3.50
910 Risperidone 3mg tablet 4.50
911 Risperidone 4mg tablet 7.36
912 Rituximab 100mg injection 10,192.00
913 Rituximab 500mg injection 51,966.00
914 Rivastigmine 1.5mg capsule 15.00
915 Rosuvastatin 10mg tablet 19.00
916 Rosuvastatin 20mg tablet 40.32

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 97
 S.N. Medicines Rate
917 Rosuvastatin 5mg tablet 12.48
918 Rotahaler 145.00
919 Roxithromicin 150mg tablet 7.00
920 Salbutamol +Bromohexine ,100ml,expectorant 70.00
921 Salbutamol 2mg tablet 0.51
922 Salbutamol 4 mg tablet 1.00
923 Salbutamol inhaler [100 mcg/dose] 170.00
924 Salbutamol neb solution, 5 mg/5 ml 24.00
925 Salbutamol respiratory solution 17.20
926 Salbutamol respiratory solution in respule 6.40
Salbutamol SA 8mg tablet ([Link] extended
927 1.35
release)
928 Salbutamol sulphate 200mcg r/c (30 cap) 25.00
929 Salbutamol sustained release tablet 8mg/tablet 1.40
930 Salbutamol,100ml syrup 35.00
931 Salicylic acid ointment 10% 25gm 45.00
932 Salicylic acid ointment 5% 25gm 35.00
933 Salisalic acid ointment 20% 25gm 60.00
934 Salisalic acid ointment 40% 25gm 80.00
935 Salmetorol inhalar 25mcg/puff,200 puff 220.00
936 Salmetorol rotacap 50mcg 30 caps 110.00
937 Salmetrol + fluticasone 250mcg inhaler/mdi 725.00
938 Salmetrol 50mcg + fluticasone 250mcg r/c 340.00
939 S-amlodipine besilate 2.5mg tablet 8.06
940 Secnidazole 1gm tablet 36.00
941 Serratiopeptidase 10mg tablet 7.00

98 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
942 Serratiopeptidase 5mg tablet 3.50
943 Sertaconazole nitrate 2% ,15gm cream 180.02
944 Sertraline hydrochloride 100mg tablet 13.60
945 Sertraline hydrochloride 25mg tablet 5.60
946 Sertraline hydrochloride 50mg tabet 9.70
947 Sildenafil citrate 25mg tablet 20.00
948 Silver nitrate 1% solution 1ml 10.00
949 Sisomicin cream 15g 40.00
950 Sitagliptin 100mg tablet 31.50
951 Sitagliptin 25mg tablet 9.00
952 Sitagliptin 50mg+Metformin 1000 tablet 25.00
953 Sitagliptin 50mg+Metformin 850mg 24.00
954 Sitagliptin 50mg tablet 24.50
955 Sodium bicarbonate,300mg(100 tablets/bottle) 300.00
956 Sodium bicarbonate,injection 7.5%(10ml) 32.00
957 Sodium carboxy methyl cellulose 0.5% eye drops 252.00
958 Sodium chloride 500ml(normal saline) infusion 45.00
959 Sodium cromoglycate 2% eye drops 77.00
960 Sodium fluoride 0.2% m/w 150 ml 30.00
961 Sodium fusidate ointment (10gm) 120.80
962 Sodium nitroprusside 50mg inj 237.82
963 Sodium valporate 200mg tablet 4.50
964 Sodium valporate 300mg tablet 7.00
965 Sodium valporate 500mg tablet 12.00
966 Sodium valporate CR 200mg tablet 6.00
967 Sodium valporate CR500mg tablet 13.00

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 99
 S.N. Medicines Rate
968 Sodium valporate injection 100mg/5ml5ml 45.00
969 Sodium valproate 200mg /5ml 100ml syrup 95.00
970 Sodium valproate CR 300mg tablet 8.00
971 Sorafenib 200mg tablet 400.00
972 Spectinomycin 200gm powder 112.00
973 Spironolactone 100mg tablet 15.40
974 Spironolactone 12.5mg tablet 1.50
975 Spironolactone 25mg tablet 2.75
976 Streptokinase 1,500,000 iu [Link] 3,755.00
977 Succinylcholine chloride 500mg/10 ml vial 100.00
978 Sucralfate suspension 500mg(200ml) 107.18
979 Sucralfate tablet/ 1gm 3.65
980 Sulbactam+Cefoperazone 1.5mg injection 310.00
981 Sulbactam+Cefoperazone 3 mg injection 480.00
982 Sulphacetamide 10% eye drops,10ml drop 13.00
Sulphamethoxazole+ Trimethoprim 120mg dt
983 1.13
tablet
Sulphamethoxazole+ Trimethoprim 480mgdt
984 2.00
tablet
Sulphamethoxazole+ Trimethoprim dt960mg
985 4.00
tablet
986 Sulphasalazine 500mg tablet 7.00
987 Sumatriptan 50mg tablet 100.00
988 Sumitriptan 25mg tablet 65.00
989 Sunitinib 50mg tablet 4,166.00
990 Suphacetamide 20% eye drops 15.00
991 Suphacetamide 30% eye drops 16.00

100 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
992 Calcium dobisilate 500mg tablet 14.50
993 Carvedilol 12.5mg tablet 6.77
994 Cinnarizine 25mg tablet 5.27
995 Frusemide 20mg tablet 0.52
996 Frusemide 40mg + Amiloride 5mg tablet 2.22
997 Nifedipine SR 20mg tablet 3.50
998 Paracetamol 500mg + Ibuprofen 400mg tablet 2.00
999 Prazosin xl 5mg tablet 15.48
1,001 Repaglimide 1mg tablet 6.76
1,002 Repaglimide 2mg tablet 9.25
1,003 Tacrolimus 0.5mg tablet 32.00
1,004 Tacrolimus 1mg tablet 55.00
1,005 Tacromus ointment 0.03% 10gm 225.00
1,006 Tamoxifen 10mg tablet/capsule 4.90
1,007 Tamoxifen 20mg tablet/capsule 7.68
1,008 Tamsulosin hydrochloride 200mcg capsule 7.50
1,009 Tamsulosin hydrochloride 400mcg capsule 13.75
1,010 Telmisartan 20mg tablet 5.79
Telmisartan 40mg +hydrochlorothiazide 12.5mg
1,011 15.76
tablet
1,012 Telmisartan 40mg tablet 10.00
1,013 Telmisartan 80mg tablet 19.50
1,014 Temozolamide 100mg tablet 2,960.00
1,015 Temozolamide 250mg tablet 6,350.00
1,016 Terazosin hydrochloride 2mg tablet 12.00
1,017 Terbinafine HCL 250mg tablet 15.00

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 101
 S.N. Medicines Rate
1,018 Terbinafine HCL cream 1% 10gm 125.00
1,019 Terbutaline+Bromhexine 100ml syrup 130.00
1,020 Tetanus toxoid 0.5 ml amp 20.00
1,021 Tetracycline 250 mg capsule 2.76
1,022 Tetracycline 500mg capsule 4.74
1,023 Tetracycline eye ointment 1% ointment 27.00
1,024 Theophylline 400mg tablet 14.25
1,025 Theophylline150mg tablet 1.10
1,026 Thephylline +Etophylline (2ml )injection 7.60
1,027 Thiamine (vitamin b1) tablet 1.00
1,028 Thiopentone 1gm injection 125.00
1,029 Thyroxin sodium 0.025mg tablet(100 tablets) 175.00
1,030 Thyroxin sodium 0.05mg tablet(100 tablets) 180.00
1,031 Thyroxin sodium 0.1mg tablet(100 tablets) 200.00
1,032 Thyroxin sodium 0.75mg tablet(100 tablets) 190.00
1,033 Timolol maleate 2.5mg/5ml eye drop 35.88
1,034 Timolol maleate 5mg/5ml eye drop 61.39
1,035 Tinidazole 300mg tablet 3.50
1,036 Tinidazole 500 mg tablet 5.00
1,037 Tinidazole infusion 400ml 65.00
1,038 Tiotropium 18mcg rotacaps 15caps 350.00
1,039 Tizanidine 2mg tablet 5.00
1,040 Tizanidine 4mg tablet 10.00
Tobramycin sulphate 0.3%w/v +Dexamethasone
1,041 42.00
sodium phosphate 0.1%w/v eye drop
1,042 Tobramycine 1% eye drops 82.00

102 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
1,043 Topiramate 100mg tablet 15.00
1,044 Topiramate 25mg tablet 5.00
1,045 Torsemide 100mg tablet 36.00
1,046 Torsemide 10mg tablet 4.00
1,047 Torsemide 20mg injection 30.04
1,048 Torsemide 20mg tablet 8.00
1,049 Tramadol 37.5+Paracetamol 325mg tablet 14.00
1,050 Tramadol 50mg,amp injection 28.56
1,051 Tramadol 50mg capsule 6.78
1,052 Tramadol HCL 100mg/2ml ,injection 35.00
1,053 Tranexamic acid 250mg tablet 6.70
1,054 Tranexamic acid 500mg injection 80.00
1,055 Tranexamic acid 500mg tablet 15.00
1,056 Tretinoin cream 0.025% 20gm 115.00
1,057 Tretinoin cream 0.05% 20gm 135.00
1,058 Triamcinolone 15g ointment 45.00
1,059 Triamcinolone acetonide 10mg/ml injection 57.20
1,060 Triamcinolone acetonide 40mg/ml injection 156.90
1,061 Triamsilone 40 mg injection 144.00
1,062 Trifluoperazine 5mg+trihexyphenidyl 2mg,tablet 2.50
1,063 Trihexiphenidyl 1.5mg tablet 2.00
1,064 Trihexiphenidyl 2mg tablet 3.50
1,065 Trihexiphenidyl 5mg tablet 3.00
1,066 Trimetazidin 20mg tablet 13.00
1,067 Tropicamide + phenylephrine eye drop 94.00
1,068 Tropicamide 1%,5ml eye drop 91.26
1,069 Typhoid vaccine injection 480.00

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 103
 S.N. Medicines Rate
Urinary alkalizer (including ayurvedic) syrup
1,070 320.00
200ml
1,071 Urinary alkalizer (including ayurvedic) tablet 3.00
1,072 Ursodeosycholic acid 150mg tablet 18.33
1,073 Ursodeosycholic acid 300mg tablet 31.75
1,074 Valethamate 8mg injection amp 28.00
1,075 Valproic acid 125mg tablet 3.96
1,076 Valproic acid 250mg tablet 8.16
1,077 Valproic acid 500mg tablet 14.56
1,078 Vancomycin 500 mg injection 612.00
1,079 Vaseline 25g,jar cream 23.20
1,080 Vasopressin 20units,injection(1ml) 293.38
1,081 Vecuronium brom. 4mg/1ml amp injection 160.00
1,082 Verapamil 5mg/2ml amp injection 10.00
1,083 Verapamil hydrochloride 120 mg SR 4.66
1,084 Vinblastin 10mg/pack injection 503.31
1,085 Vincristin 1mg/ml injection 89.39
1,086 Vitamin b complex tablet 1.50
1,087 Vitamin b1 [thiamine] 75 mg tablet 3.50
1,088 Vitamin b1+b6+b12 tablet 3.50
1,089 Vitamin b-complex injection 6.00
1,090 Vitamin c(ascorbic acid) 15ml drop 21.00
1,091 Vitamin c(ascorbic acid) 500mg tablet 2.60
1,092 Vitamin k 1 (phytomenadione)10mg/1ml injection 210.00
1,093 Voglibose 0.3 mg tablet 15.00
1,094 Voglibose 0.2mg tablet 11.00
1,095 Warfarin 1mg tablet 2.00

104 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Medicines Rate
1,096 Warfarin 2mg tablet 3.00
1,097 Warfarin 3mg tablet 3.50
1,098 Warfarin 5mg tablet 4.35
1,099 Wart paint (salicylic acid) 10 ml 100.00
Wax removing drops 10ml (Benzocaine+
1,100 70.00
Chlorbutol+ Paradichlorobenzene + Turpentine oil)
1,101 Yellow fever vaccine, amp injection 2,960.00
1,102 Zinc acetate solution 1ml 0.50
1,103 Zinc oxide ointment 30gm 50.00
1,104 Zinc sulphate 10mg tablet 2.00
1,105 Zinc sulphate 20mg tablet 3.00
1,106 Zinc sulphate solution 40 ml 25.00
1,107 Zolondronic acid injection 4mg 3,448.00
1,108 Zolpidem 10mg tablet 10.00

List of Ayurvedic Medicine

S.N. Surgical items Packing Size Rate
1 AvipattikarChurna 100gm 185
2 AshwagandhaChurna 100gm 255
3 Ashokarista 450ml 160
4 Abhyarista 4500ml 175
5 Bilwadichurna 100gm 250
6 ChandraPravaVati 25gm 175
7 ChitrakHaritaki 90gm 195
8 ChandaNasichurna 100gm 250
9 Dashmularista 450ml 185
10 HingWastakhurna 60gm 170
11 Jatyadi Tail 100ml 243
12 KaamDudharas 5gm 120
13 Laxmi Vilas Ras 10gm 120

:jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6 105
 S.N. Surgical items Packing Size Rate
14 Mahayog Raj Gugggul 10gm 160
15 MahasankhaVati 20gm 140
16 Mahanaran Tail 100ml 225
17 PushyanugChurna 100gm 280
18 SirsuladhiBajraRas 10gm 120
19 SarpandhandhaVati 25gm 160
20 SitopaladiChurna 100gm 180
21 SankhaBhasma 10gm 60
22 SutsekharRas 10gm 190
23 SuddhaSilajeet 50gm 180
24 Sadbindu Tail 300ml 160
25 TrifalaChurna 100gm 75

-v_ @= ;lh{sn ;fdfgx?sf] ;"rL

S.N. Surgical items Rate
1 3 way connector (3-way cannula) 10
2 Ankle binder - large/medium/small/XL 310
3 Anti-embolism above knee stocking large/medium 1360
4 Arm sling strap 155
5 Arm sling-large/medium/small 245
6 Cannula fixator large 25
7 Cannula fixator medium 20
8 Cannula fixator small 15
9 Cervical collar soft- XL/L/M/S 200
10 Cervical hard collar 950
11 Cotton roll(small) 30
12 Crepe bandage - 4" 100
13 Crepe bandage - 6" 150
14 Crutches 1000
15 Elbow splint 110
16 Extended forearm splint- XL/L/M/S 210
17 Finger splint all size 75

106 :jf:Yo aLdf af]8{, ;'ljwf y}nL cGt{utsf ;]jf ;'ljwfx?sf] ljj/0f tyf b/ /]6
S.N. Surgical items Rate
18 Frog splint- L/M/S 70
19 Hearing aid <5000
20 Insulin needle 26 guage 2.6
21 IV cannula 45
22 IV Cannula + IV set 95
23 Knee brace long- XL/L/M/S 620
24 Knee cap Large 210
25 Knee cap Small 125
26 Lumber corset 550
27 Lumber support belt 850
28 Pessary per unit 150
29 Plaster of paris -4 " 60
30 Plaster of paris -6" 80
31 Shoulder immobilizer- XL/large/medium/small 350
32 Spectacles 1000
33 Supporting walking cane/ white stick 1000
34 Syringe (disposable) 2.5ml 5
35 Syringe (disposable) 5 ml 5
36 Syringes- 10 cc disposable 10
37 Syringes- insulin(glass) 70
38 Water for inj. 1 liter 73
39 Water for inj. 5 ml amp 2.75
40 Water for inj. 500ml 45
41 Wrist and forearm splint 480
42 Wrist splint right/left – large 220
43 Wrist splint right/left - medium 205

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