themipen,40mg 40mg 9 themis medicare ltd na 13.22 41.9 377.10 217% na 21 pansalve,40mg 40mg 13...
TRANSCRIPT
Table A
SL Name of
medicines/Injections
Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/b
illed
Name of the
manufacturer/m
arketing
company
Price to Stockists
(PTS)as per the
market based
data (Rs.)
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on the
drugs/
devices/uni
t (Rs.)
Total Billed to
the Patient
including taxes
(Rs.)
Margin on
Procurem
ent price
(%)
Margin
on Price
to
Stockists
(%)
a b c d e f g h i j k
1Propofol Inj 10mg/ml-20ml
Vial
20 ML 2 Claris Injectables
Ltd80.96 40.95 187.28 374.56 357% 131%
2Verfen 50MCG/ML 10ML
INJ(Fentanyl) INJ
50 MCG/ML
8 VERVENA 49.84 225 1800.00 351% NA
3Nanzidone Solution 10%
(Povidone-Iodine Solution)
500ml - Nanz Med
1 150 Nanz MedNA 0.23 1.03 154.35 348% NA
4Amlip 5mg Tab (Amlodepin) 5 MG 16 Cipla Ltd.
0.47 0.56 2.5 40.00 346% 438%
5
TRANEMIC,500MG/5ML 500MG/5ML 31 SAMARTH
PHARMA PVT.
LTD.
23.20 15.75 69.77 2162.87 343% 201%
6 Tazira Lyo 4.5GM 2 Abbott 144.00 100.92 446.21 Not billed 342% 210%
7Normal Saline 0.45% 500ml
IV Glass Bottle
500 ML 5 DENISCHEM LAB
LTD16.74 31.36 130.5 652.50 316% 680%
8 Atacurium 50mg(Atracurium
Besylate)Inj1s
50 mg
6 Themis
75 61.6 254.9 1529.40 314% 240%
9
FENSTUD,500MCG 500MCG 21 RUSAN
PHARMACEUTICA
LS
NA 56.00 220 4625.00 293% NA
10
Verfen (Fentanyl)10ml Inj. 10ml 2 Verma
Pharmaceuticals NA 56.44 220 440.00 290% NA
Statement Showing Procurement Price of Hospital, Price to Stockists as per market based data and MRP / Billing Rate by Hospital for
Scheduled Formulation
1
Table A
SL Name of
medicines/Injections
Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/b
illed
Name of the
manufacturer/m
arketing
company
Price to Stockists
(PTS)as per the
market based
data (Rs.)
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on the
drugs/
devices/uni
t (Rs.)
Total Billed to
the Patient
including taxes
(Rs.)
Margin on
Procurem
ent price
(%)
Margin
on Price
to
Stockists
(%)
a b c d e f g h i j k
Statement Showing Procurement Price of Hospital, Price to Stockists as per market based data and MRP / Billing Rate by Hospital for
Scheduled Formulation
11Adrenor
4mg/2ml(Noradrenaline)Inj
4mg/2ml
12
SAMARTH
LIFESCIENCES7.79 13.44 52.35 628.20 290% 572%
12 Vanking 500mg Inj 500 GM 16 Neon Labs 72.90 69.30 267.45 4279.20 286% 267%
13Verfen (Fentanyl)10ml Inj. 10ml 66 Verma
PharmaceuticalsNA 60.20 225 14850.00 274% NA
14Pantodac Inj
40mg(Pantoprazole) Inj
40 mg
20 ZYDUS19.26 12.9 45.25 905.00 251% 135%
15Verfen 50MCG/ML
2ML(Fentanyl) INJ
50MCG/ML
2ML 2 VERVENA 12.99 45.1 90.20 247% NA
16ATACURIUM,50MG 50MG 5 THEMIS
MEDICARE LTD75.00 77.28 254.9 1274.50 230% 240%
17Propofol Inj 10mg/ml-20ml
Vial
20 ML 1 Claris Injectables80.96 43.68 143 143.00 227% 77%
18ADRENOR 2ML INJ (NOR-
ADRENALINE)
3 ML 29 Samarth Pharma
Pvt Ltd.13.64 15.68 51.19 1484.51 226% 275%
19TAZACT,4.5GM 4.5GM 9 CIPLA LTD.
153.44 134.40 427.97 3851.73 218% 179%
20THEMIPEN,40MG 40MG 9 THEMIS
MEDICARE LTDNA 13.22 41.9 377.10 217% NA
21
PANSALVE,40MG 40MG 13 EMCURE
PHARMACEUTICA
LS
11.04 13.72 43.35 563.55 216% 293%
2
Table A
SL Name of
medicines/Injections
Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/b
illed
Name of the
manufacturer/m
arketing
company
Price to Stockists
(PTS)as per the
market based
data (Rs.)
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on the
drugs/
devices/uni
t (Rs.)
Total Billed to
the Patient
including taxes
(Rs.)
Margin on
Procurem
ent price
(%)
Margin
on Price
to
Stockists
(%)
a b c d e f g h i j k
Statement Showing Procurement Price of Hospital, Price to Stockists as per market based data and MRP / Billing Rate by Hospital for
Scheduled Formulation
22 Artacil 25mg(Artacurium
Besyl)Inj
25 mg
1
NEON
LABORATORIES
LTD
61.74 41.44 128.8 128.80 211% 109%
23
Verfen (Fentanyl) 10ml Inj 10 ML 1 Verve
Pharmaceuticals NA 71.40 220 220.00 208% NA
24Mucinac 5ml (N-
Acetylcysteine) Inj
5ml
4 CIPLA LTD70.17 35.73 109.15 436.60 205% 56%
25 Artacil 50mg(Atracurim
Besyl)Inj
50mg
82
NEON
LABORATORIES
LTD
113.22 84 256.6 21041.20 205% 127%
26 Mezolam Inj 10ml Vial 10 ML 1 Neon Labs 28.35 21.00 63 63.00 200% 122%
27 CALCIUM GLUCONATE 10ML 26 RATHI NA 3.69 11 286.00 198% NA
28Dextrose 25 % 25 Ml(Dext
I.V)(Rathi)Inj
25 ml
1 RathiNA 8.19 24 24.00 193% NA
29DOMIN,200MG,DOPAMINE,5
ML,INJECTION,NEON
200MG 33 NEON10.08 9.01 26.35 869.55 192% 161%
30Fresofol Mct/Lct 20 Ml(Profol
)Inj
20ml
2 FRESENIUS KABI90 99.29 286 572.00 188% 218%
31
Ringer Lactate 500ml IV
Plastic Bottle
500 ML 3 Otsuka
Pharmaceuticals NA 21.11 58.12 174.36 175% NA
32 NORAD,2MG/ML 2MG/ML 45 NEON 19.80 18.76 51.2 2304.00 173% 159%
3
Table A
SL Name of
medicines/Injections
Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/b
illed
Name of the
manufacturer/m
arketing
company
Price to Stockists
(PTS)as per the
market based
data (Rs.)
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on the
drugs/
devices/uni
t (Rs.)
Total Billed to
the Patient
including taxes
(Rs.)
Margin on
Procurem
ent price
(%)
Margin
on Price
to
Stockists
(%)
a b c d e f g h i j k
Statement Showing Procurement Price of Hospital, Price to Stockists as per market based data and MRP / Billing Rate by Hospital for
Scheduled Formulation
33 NEOVEC,4MG 4MG 60 NEON 37.80 31.21 85 5100.00 172% 125%
34 Emeset 4 ml Inj 4 ML 1 Cipla Ltd. 14.95 9.05 22.81 22.81 152% 53%
35Trofentyl (Fentanyl) 2ml Inj 2 ML 2 Troikaa
14.00 18.90 45.86 90.92 143% 228%
36 Esmeron 50mg/5ml Inj 5 ML 1 Infar 239.99 157.50 382.00 382.00 143% 59%
37 Potcl 10ml Injection 10 ML 8 Neon Labs 13.32 10.50 23.56 188.48 124% 77%
38 Atorlip 40mg tab 40 MG 2 Cipla Ltd. 12.61 8.50 18.80 17.00 121% 49%
39RINHEPA,5000IU,HEPARIN,1X1,I
NJECTION
5000IU 3 UNITED BIOTECH
PVT. LTD. 49.06 35.28 77.70 233.10 120% 58%
40 Neovac 10mg Inj 10 MG 11 Neon Labs NA 80.85 176.00 1098.60 118% NA
41NEOVEC,10MG,VECURONIUM
BROMIDE,1X1,INJECTION
10MG 10 Neon Labs 81.00 81.62 176.00 1760.00 116% 117%
4
Table B
SL Name of medicines/Injections Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/bi
lled
Name of the
manufacturer/marketing
company
Price to
Stockists
(PTS)as per
the market
based data
(Rs.)
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on
the drugs/
devices/u
nit (Rs.)
Total Billed
to the Patient
including
taxes (Rs.)
Margin on
Procuremen
t price (%)
Margin on
Price to
Stockists (%)
a b c d e f g h i j k
1 Adrenor 2ml Inj (Nor-
Adrenaline)
2 ML 28 Samarth Pharma Pvt Ltd. 13.64 14.70 189.95 5,318.60 1192% 1293%
2 Todaycef 1gm Injection 1 GM 2 Akumentis Healthcare Pvt
Ltd
NA 40.32 430 860.00 966% NA
3 DOTAMIN 200MG 2 NEON NA 28.35 287.50 575.00 914% NA
4 Voritrop 200mg Tablet 200mg 13 Intas NA 123.20 1,240.00 16,120.00 906% NA
5 EMTIG 50MG INJECTION 50 MG 10 Emcure Pharmaceuticals
Limited
346.82 442.40 4,247.60 42,476.00 860% 1125%
6 TODAYCEF 1GM INJECTION 2 GM 15 Akumentis Healthcare Pvt
Ltd
NA 78.40 690 10,350.00 780% NA
7 Meroza XP 1.5gm Injection 1.5 GM 9 Cadila Pharmaceuticals Ltd. 2145.45 414.40 3562.5 32,062.50 760% 66%
8 TAMIN (PB),1GM, 1GM 3 CLARIS INJECTABLES
LIMITED
120.75 36.29 310.00 930.00 754% 157%
9MEROZA
1gm(Meropenem)Inj1s 1gm 0 ZYDUS CADILA 360 391.84 3242 0.00 727% 801%
10 Treonam 1gm(Meropenem)Inj 1gm 4 Aurbindo Pharma 323.48 403.20 3333 13332.00 727% 930%
11 MEROCRIT,1GM 1GM 24 CIPLA LTD. 520.1 404.32 3,112.50 74,700.00 670% 498%
12 Omnikacin 500 mg Inj 500 MG 2 CIPLA 75.43 15.75 110 Not billed 598% NA
13 Merocrit 500mg (Meropenem)
Inj 500mg 6 CIPLA LTD370.08 246.96 1716.5 10299.00 595% 364%
14Merocrit 1gm (Meropenem) Inj 1gm 8 CIPLA LTD
520.1 450.02 3112.5 24900.00 592% NA
Statement Showing Procurement Price of Hospital, Price to Stockists as per market based data and MRP / Billing Rate by Hospital for Non-
Schduled Formulation
5
Table B
SL Name of medicines/Injections Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/bi
lled
Name of the
manufacturer/marketing
company
Price to
Stockists
(PTS)as per
the market
based data
(Rs.)
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on
the drugs/
devices/u
nit (Rs.)
Total Billed
to the Patient
including
taxes (Rs.)
Margin on
Procuremen
t price (%)
Margin on
Price to
Stockists (%)
a b c d e f g h i j k
Statement Showing Procurement Price of Hospital, Price to Stockists as per market based data and MRP / Billing Rate by Hospital for Non-
Schduled Formulation
15 Linoplus Injection 300 ML 2 Abbott Healthcare Pvt. Ltd. 287.43 68.25 472 944.00 592% 64%
16 Pantate Tab 40 MG(1X10) 4 DR.MORPEN NA 1.17 7.9 Not billed 575% NA
17 Criticef 1.5 gms Inj 1.5 GM 2 AKUMENTIS 244.53 61.60 395 Not billed 541% 38.96
18 PROCTOCLYSIS, 0 1 U.S.PHARMA NA 7.84 50.00 50.00 538% NA
19 Treonam
500Mg(Meropenem)Inj 500mg 1 Aurbindo Pharma
197.33 296.80 1800 1800.00 506% 812%
20 Linoplus Injection 300 ML 8 Abbott Healthcare Pvt. Ltd. 287.43 73.50 435 3,480.00 492% NA
21 Guficol Plus 1 MIU Injection 1 MIU 4 Gufic Pharma Ltd. 250 203.28 1145 4,580.00 463% 358%
22
Tigimax 50mg(Tigecycline ) Inj 50mg 1 ABBOTT PIRAMAL
NA 617.40 3434 3434.00 456% NA
23 Guficol Plus 1
MIU(Colistimetha Sodiu)In 1MIU 20 GUFIC
552 207.20 1145 22900.00 453% 107%
24 LINOPLUS Infusion
600mg(Linezolid)Inj 600mg 11 ABBOTT
287.43 87.81 472 5192.00 438% 64%
25 Denilyte-P-Multilyte500ml-
AquaPulsInj-PP 500 ml 3 DENIS CHEM
NA 30.80 164.2 492.60 433% NA
26 Tazira LYO Injection 4.5 GM 12 Abbott Healthcare Pvt. Ltd. 144 81.90 427.96 5,135.52 423% 197%
27 Tazira LYO Injection 4.5 GM 25 Abbott Healthcare Pvt. Ltd. 144 81.90 427.96 10,699.00 423% NA
6
Table B
SL Name of medicines/Injections Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/bi
lled
Name of the
manufacturer/marketing
company
Price to
Stockists
(PTS)as per
the market
based data
(Rs.)
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on
the drugs/
devices/u
nit (Rs.)
Total Billed
to the Patient
including
taxes (Rs.)
Margin on
Procuremen
t price (%)
Margin on
Price to
Stockists (%)
a b c d e f g h i j k
Statement Showing Procurement Price of Hospital, Price to Stockists as per market based data and MRP / Billing Rate by Hospital for Non-
Schduled Formulation
28 LEVOX 500mg/100ml 9 CLARIS OTSUKA PVT. LTD. 21.36 23.81 115.00 1,035.00 383% NA
29 Vorier 200mg Inection 200mg 2 Zydus NA 532.00 2500 5,000.00 370% NA
30 COLYMONAS,1MIU 1MIU 20 GLENMARK
PHARMACEUTICALS LTD.
270 212.80 997.50 19,950.00 369% 269%
31 T-Planin 200mg Inj 400 MG 16 Glenmark Pharmaceuticals
Ltd.
405 367.50 1678.5 26,856.00 357% 314%
32 Tranemic 500 Mg
5ml(tranexamic Acid)Inj 500mg 41 SAMARTH LIFESCIENCES
23.2 15.75 71.13 2916.33 352% NA
33 TPLANIN,400MG, 400MG 13 GLENMARK
PHARMACEUTICALS LTD.
405 420.00 1,678.50 21,820.50 300% NA
34 TAZIRA LYO,4.5GM 4.5GM 3 ABBOTT HEALTHCATE 144 112.00 436.39 1,309.17 290% NA
35 PT2.25gm Inj 2.25 GM 10 GLAND na 60.48 212.8 Not billed 252% NA
36 MEDZOL,1MG/ML 1MG/ML 44 THEMIS MEDICARE LTD 20 17.92 58.67 2,581.48 227% 193%
37 SODIUM BICARBONATE 25 ML 2 RATHI NA 7.38 24.00 48.00 225% NA
38 Hepaglan 5000 i.u./5ml
Injection
5 ML 2 Gland Pharmaceuticals NA 30.45 98 196.00 222% NA
39 Artacil 2.5ml Inj 2.5 ML 7 Neon Labs 61.74 42.00 126.4 884.80 201% 105%
40 VITAMIN
K,,MENADIONE,1ML,INJECTIO
N
1ML 18 RATHI NA 2.02 6.00 108.00 197% NA
41 NS,0.03,SODIUM
CHLORIDE,100ML,IV FLUIDS
100ML 9 SKKL NA 28.00 83.00 747.00 196% NA
42 Esoz 40mg Inj 40 MG 10 Glenmark Phamaceuticals
Ltd.
45 37.80 98.38 983.80 160% 119%
7
Table B
SL Name of medicines/Injections Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/bi
lled
Name of the
manufacturer/marketing
company
Price to
Stockists
(PTS)as per
the market
based data
(Rs.)
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on
the drugs/
devices/u
nit (Rs.)
Total Billed
to the Patient
including
taxes (Rs.)
Margin on
Procuremen
t price (%)
Margin on
Price to
Stockists (%)
a b c d e f g h i j k
Statement Showing Procurement Price of Hospital, Price to Stockists as per market based data and MRP / Billing Rate by Hospital for Non-
Schduled Formulation
43 Dalcinex 4ml Inj 4 ML 49 Cipla Ltd. 65.22 72.33 187.5 9,187.50 159% NA
44 Hepaglan 25000 i.u./5ml
Injection5 ML 5 Gland Pharmaceuticals
NA 88.20 227.5 1,137.50 158% NA
8
Table C
SL Name of consumables used/administered Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/bi
lled
Name of the
manufacturer/marketin
g company
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on
the drugs/
devices/u
nit (Rs.)
Total Billed
to the
Patient
including
taxes (Rs.)
Margin on
Procurem
ent price
(%)
a b c d e f g h i
1 THREE WAY STOP COCK,BI VALVE,,GS-3040 GS-3040 39 ROMSONS 5.77 106.00 4,134.00 1737%
2 3 WAY STOP COCK WITH LEUR LOCK-ROMSONS 5 ROMSONS 5.82 106 530.00 1721%
3 3 WAY STOP COCK WITH EXTN. 10CM-ROMSONS 1 ROMSONS 16.56 225 225.00 1259%
4 PRESSURE MONITORING LINE,PM O LINE,200CM,GS
3036
200CM 70 ROMSONS 17.30 225.00 15,750.00 1201%
5 JUGLAR SET DISPOSABLE STERILE-I117-APEX 1 APEX 7.35 95 95.00 1193%
6 THREE WAY EXTENSION LINE,VEIN O LINE,10CM,GS
3034,
10CM 4 ROMSONS 18.48 225.00 900.00 1118%
7 THREE WAY EXTENSION LINE,VEIN O LINE,200 CM,GS
3034
200 CM 22 ROMSONS 23.10 250.00 5,500.00 982%
8 BED BATH WET WIPES 24CMX30CM-10S-BARODA 14 BARODA 33.04 350 4900.00 959%
9 BED BATH TOWELS/WIPES,ECO PROTECT,LARGE PACK
OF 10
LARGE PACK
OF 10
2 CARE NOW 33.60 350.00 700.00 942%
10 BLOOD TRANSFUSION SET LEUR LOCK-ROMSONS 6 ROMSONS 12.42 126 756.00 914%
11 TROLLEY COVER BLUE 100X200CM-I-116-APEX 1 APEX 16.05 150 150.00 835%
12 Wet Absorption Sheet/Drymax sheet(under Pad)-
60x90 cm- Tidy/DryPad
60X90 cm 110 Tidy 11.00 100.00 11,000.00 809%
13 UNDERPAD DISPOSABLE 60CMX90CM-ROMSONS 40 ROMSONS 12.27 108 4320.00 780%
14 Oxygen Face Mask Adult with Extra Long Tubing
(300cm)
1 1 Lamed 26.41 230.00 230.00 771%
15 THREE WAY EXTENSION LINE,I-PEX,200CM,BEX-80 200CM 1 B L Lifesceience 25.76 220.00 220.00 754%
Statement Showing Procurement Price of Hospital and MRP / Billing Rate by Hospital for Consumables (include: surgical masks, hand
gloves etc.)
9
Table C
SL Name of consumables used/administered Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/bi
lled
Name of the
manufacturer/marketin
g company
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on
the drugs/
devices/u
nit (Rs.)
Total Billed
to the
Patient
including
taxes (Rs.)
Margin on
Procurem
ent price
(%)
a b c d e f g h i
Statement Showing Procurement Price of Hospital and MRP / Billing Rate by Hospital for Consumables (include: surgical masks, hand
gloves etc.)
16 LIQUID GEL ECG ELECTRODE MS005-NIKO 18 NIKO 2.97 25 450.00 742%
17 E.C.G. Electrodes Adult Lead Lok 1 37 Medico EI Ltd 2.63 22.00 814.00 737%
18 UNDERPAD,MATTY,PACK of 10 UNDERPAD 2 ROMSONS 131.13 1,080.00 2,160.00 724%
19 Suction Catheter Thumb Control with Cap(TC) 12-Top 12fr 47 Polymed 7.13 58.00 2,726.00 713%
20 Suction Catheter Thumb Control with Cap(TC) 14-Top 14fr 70 Polymed 7.13 58.00 4,060.00 713%
21 THREE WAY STOP COCK - Top 1 2 Polymed 11.93 95.00 190.00 696%
22 Intrafix Safe Set-Intraflow AS:DEHP Free 1 47 ROMSONS 30.97 244.00 11,468.00 688%
23 OXYGEN FACE MASK,FLEXI MASK PEDIATRIC 1 ROMSONS 24.68 190.00 190.00 670%
24 PRESSURE MONITORING LINE,I-PEX,200CM,BPT-80M 200CM 5 BL life Science 22.96 176.00 880.00 667%
25 GLOVES SURGICAL,TRUSKIN,SIZE 7 SIZE 7 6 Suture India 9.86 75.00 450.00 661%
26 GLOVES SURGICAL,TRUSKIN,SIZE 7,,STERILE LATEX
POWDERED
SIZE 7 6 Suture India 9.86 75.00 450.00 661%
27 THREE WAY STOP COCK 1 12 B.Braun 14.70 110.00 1,320.00 648%
28 PRESSURE MONITORING LINE 200CM. M/F-BL-P 2 B.L 23.52 176 352.00 648%
29 PRESSURE MONITORING LINE 150 BLUE M/F-BL 1 B.L 23.52 176 176.00 648%
30 PM Line M to F 200cm 1 9 BL life Science 24.15 176.00 1,584.00 629%
31 Elastic Adesive Bandage 10CM 10CM 104 3M 0.87 6.31 656.24 625%
10
Table C
SL Name of consumables used/administered Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/bi
lled
Name of the
manufacturer/marketin
g company
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on
the drugs/
devices/u
nit (Rs.)
Total Billed
to the
Patient
including
taxes (Rs.)
Margin on
Procurem
ent price
(%)
a b c d e f g h i
Statement Showing Procurement Price of Hospital and MRP / Billing Rate by Hospital for Consumables (include: surgical masks, hand
gloves etc.)
32 Disposable Ventrilator Tubing Circuit with HME Filter
Adult- Portex/Flexicare
1 1 Intersurgical 194.25 1,400.00 1,400.00 621%
33 GLOVES EXAMINATION UNSTERILE,DR'S
KONTROL,MEDIUM,PACK OF ONE,LATEX
MEDIUM 300 GANESH HEALTHCARE 1.34 9.50 2,850.00 609%
34 THREE WAY STOP COCK 1 59 B.Braun 15.68 110.00 6,490.00 602%
35 IV DRESSING FULLY
TRANSPARENT,LEUKOMED,6CMX8CM,72390N00,DRESSING
6CMX8CM 2 BSN MEDICAL 14.59 100.00 200.00 585%
36 PM Line M to F 200cm 200cm 7 B L Lifesceience 25.76 176.00 1,232.00 583%
37 Gloves-Sterile Latex Surgical:Prime Care:7.5:18gm 18gm 10 Suture India 8.92 60.00 600.00 573%
38 GLOVES EXAMINATION UNSTERILE,DR'S
KONTROL,SMALL,PACK OF ONE,LATEX
SMALL 1200 GANESH HEALTHCARE 1.49 9.50 11,400.00 538%
39 PEDIA DRIP SET,,100ML+10 ML,SS-3058 100ML+10 ML 11 ROMSONS 31.47 181.00 1,991.00 475%
40 ALCOHOLIC SWAB ALCOHOLIC
SWAB
4 MAK MEDICAL 0.45 2.00 8.00 344%
11
Table D
SL Name of devices used Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/bi
lled
Name of the
manufacturer/market
ing company
Price to
Distributer
as per data
submitted
by
Company
(PTD) (Rs.)
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on
the
drugs/
devices/u
nit (Rs.)
Total Billed
to the
Patient
including
taxes (Rs.)
Margin on
Procurem
ent price
(%)
Margin on
Price to
Distributor
(%)
a b c d e f g h i j k
1 I.V INFUSION SET NON-VENTED,RMS INFUSION SET,,SS-
3062
SS-3062 18 ROMSONS 5.20 8.39 115.00 2,070.00 1271% 2112%
2 IV SET VENTED RMS-ROMSONS-PBMS
18 ROMSONS
9.5 8.46 115 2070.00 1259% 1111%
3 SYRINGE DISPOSABLE WITH OUT NEEDLE 50ML 67 LIFELONG MEDITECH
LTD
13.6 15.29 200.00 13,400.00 1208% 1371%
4 SYRINGE DISPOSABLE,LIFELONG-RP,50 ML WITH
NEEDLE,1246,LUER MOUNT
50 ML WITH
NEEDLE
60 LIFELONG MEDITECH
LTD
13.6 15.29 200.00 12,000.00 1208% 1371%
5 SYRINGE DISPOSABLE,LIFELONG-RP,50 ML W/O
NEEDLE,1286,LUER LOCK
50 ML W/O
NEEDLE
20 LIFELONG MEDITECH
LTD
13.6 15.90 205.00 4,100.00 1189% 1407%
6 SYRINGE DISPOSABLE LUER LOCK,,LIFELONG MEDITECH
LTD.,,2ML
2ML 60 LIFELONG MEDITECH
LTD
1.12 1.61 19.00 1,140.00 1080% 1596%
7 SYRINGE DISPOSABLE,LIFELONG-BLISTER PACK,1828,2
ML WITH MOUNTED NEEDLE,LUER LOCK
2 ML WITH
MOUNTED
NEEDLE
35 LIFELONG MEDITECH
LTD
1.20 1.61 19.00 665.00 1080% 1483%
8 SYRINGE DISPOSABLE,LIFELONG-BLISTER PACK,1834,10
ML WITH MOUNTED NEEDLE,LUER LOCK
10 ML WITH
MOUNTED
NEEDLE
1 LIFELONG MEDITECH
LTD
2.57 3.26 37.00 37.00 1035% 1340%
9 SYRINGE DISPOSABLE WITH NEEDLE,,LIFELONG
MEDITECH LTD.,5ML,
5 ML WITH
NEEDLE
21 LIFELONG MEDITECH
LTD
1.66 2.07 23.00 483.00 1011% 1286%
Statement Showing Procurement Price of Hospital, Price to Distributors as per market based data and MRP / Billing Rate by Hospital for non-scheduled
Medical Devices (include disposable syringes with or without needles, Catheter, I.V. Cannula, etc.)
12
Table D
SL Name of devices used Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/bi
lled
Name of the
manufacturer/market
ing company
Price to
Distributer
as per data
submitted
by
Company
(PTD) (Rs.)
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on
the
drugs/
devices/u
nit (Rs.)
Total Billed
to the
Patient
including
taxes (Rs.)
Margin on
Procurem
ent price
(%)
Margin on
Price to
Distributor
(%)
Statement Showing Procurement Price of Hospital, Price to Distributors as per market based data and MRP / Billing Rate by Hospital for non-scheduled
Medical Devices (include disposable syringes with or without needles, Catheter, I.V. Cannula, etc.)
10 SYRINGE DISPOSABLE,LIFELONG-BLISTER PACK,1831,5
ML WITH MOUNTED NEEDLE,LUER SLIP
5 ML WITH
MOUNTED
NEEDLE
68 LIFELONG MEDITECH
LTD
1.28 2.07 23.00 1,564.00 1011% 1697%
11 SYRINGE DISPOSABLE,LIFELONG-BLISTER PACK,1832,5
ML WITH MOUNTED NEEDLE,LUER LOCK
5 ML WITH
MOUNTED
NEEDLE
67 LIFELONG MEDITECH
LTD
1.51 2.08 23.00 1,545.00 1006% 1423%
12 SYRINGE DISPOSABLE WITH NEEDLE,.,,10ML, 10 ML WITH
NEEDLE
1 LIFELONG MEDITECH
LTD
2.21 3.21 35.00 35.00 990% 1484%
13 SUCTION CATH TC 12F-ROMSONS-PBMS TC 12 F 1 ROMSONS 9.5 6.63 64 64.00 865% 574%
14 SUCTION CATH PLAIN 12 F-ROMSONS-PBMS PLAIN 12F 13 ROMSONS 6.4 5.79 52 676.00 798% 713%
15 SUCTION CATH PLAIN 10 F-ROMSONS-PBMS PLAIN 1OF 24 ROMSONS 6.4 5.79 52 1248.00 798% 713%
16 SUCTION CATHETER TC 10F-ROMSONS TC 12 F 1 ROMSONS 9.5 6.63 59 59.00 790% 521%
17 PHOTO FUSION IV SET-14230-POLYMED SET 14230 5 POLYMED 20.43 25.76 215 1075.00 735% 952%
18 SYRINGE DISP W/O NEEDLE 10ML-303081-BD 10ml with
Needle 143 BD
3.9 2.6 18.5 2645.50 612% 374%
19 SYRINGE UNOLOCK L/M W/O NEED2ML-DISPOVAN
2ml with
Needle 139 HMD
1.54 1.24 8.5 1181.50 585% 452%
20 Syring L.Slip 5ml w. needle:Emerald (303079)-BD 5ml with
needle
82 Becton Dickson 2.52 2.42 15.50 1,271.00 540% 515%
21 Syringe L.Slip 10ml w.needle, Emerald(303083)-BD 10ml with
Needle
35 Becton Dickson 3.90 3.28 21.00 735.00 540% 438%
22 Syringe L.Slip 10ml w.needle 10ml with
Needle
185 Hindustan
Manufacturing
Devices
3.71 3.21 20.00 3,700.00 523% NA
23 Syringe L.Slip 5ml w. needle (Emerald) - BD 1 15 Becton Dickson 2.05 2.42 14.50 217.50 499% 607%
24 Syring L.Slip 5ml w. needle:Emerald (303079)-BD 5ml with
needle
95 Becton Dickson 2.52 2.42 14.50 1,377.50 499% 475%
13
Table D
SL Name of devices used Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/bi
lled
Name of the
manufacturer/market
ing company
Price to
Distributer
as per data
submitted
by
Company
(PTD) (Rs.)
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on
the
drugs/
devices/u
nit (Rs.)
Total Billed
to the
Patient
including
taxes (Rs.)
Margin on
Procurem
ent price
(%)
Margin on
Price to
Distributor
(%)
Statement Showing Procurement Price of Hospital, Price to Distributors as per market based data and MRP / Billing Rate by Hospital for non-scheduled
Medical Devices (include disposable syringes with or without needles, Catheter, I.V. Cannula, etc.)
25 Syringe L.Slip 10ml w. needle (Emerald) - BD 1 32 Becton Dickson 3.90 3.27 19.50 624.00 496% NA
26 Syringe L.Slip 10ml w. needle 1 100 Hindustan
Manufacturing
Devices
3.71 3.21 19.00 1,900.00 492% 412%
27 Syring L.Slip 2ml w. needle 2ml with
needle
187 Hindustan
Manufacturing
Devices
1.96 1.59 9.00 1,683.00 466% 359%
28 SYRINGE UNOLOCK L/M W/O NEED5ML-DISPOVAN 5ml with
Needle 146 HMD
1.96 1.7 9.5 1387.00 459% NA
29 Syringe L.Lock2ml/3m,l w.needle 3ml 2 Hindustan
Manufacturing
Devices
1.96 1.62 9.00 18.00 456% 359%
30 IV CANNULA ADULT VENFLON 22G-BD-PBMS 22G-BD 4 BD 39.05 23.84 132 528.00 454% 238%
31 Syringe L.Slip 2ml w. needle 1 118 Hindustan
Manufacturing
Devices
1.96 1.59 8.50 1,003.00 435% 334%
32 Mount Catheter Extendible 1 8 Lifeline NA 52.56 280.00 2,240.00 433% NA
33 I.V. Cannula (Vasofix Safety Flex) 20G - (B.Braun) $ 1 2 B.Braun 76 50.10 265.00 530.00 429% 249%
34 I.V. Cannula (Vasofix Safety Flex) 22G - (B.Braun) 1 1 B.Braun 76 50.10 265.00 265.00 429% 249%
35 T- Piece with in line Nebuliser kiT (2505/2605) + Inter
Surgical
1 1 Inter Surgical NA 68.25 350.00 350.00 413% NA
36 IV Cannula 20G 1 2 Becton Dickson 39.05 24.22 120.00 240.00 395% 207%
37 Mount Catheter Extendible 1 15 Romson 49 59.84 289.00 4,335.00 383% 490%
38 Trach Vent + HME (41111) - 1 7 Hudson NA 61.40 296.00 2,072.00 382% NA
14
Table D
SL Name of devices used Strength &
Dosages and
pack size of
the
formulation
No of
units
utilized/bi
lled
Name of the
manufacturer/market
ing company
Price to
Distributer
as per data
submitted
by
Company
(PTD) (Rs.)
The
purchase
price of
the
hospital
(Rs.)
Printed
MRP on
the
drugs/
devices/u
nit (Rs.)
Total Billed
to the
Patient
including
taxes (Rs.)
Margin on
Procurem
ent price
(%)
Margin on
Price to
Distributor
(%)
Statement Showing Procurement Price of Hospital, Price to Distributors as per market based data and MRP / Billing Rate by Hospital for non-scheduled
Medical Devices (include disposable syringes with or without needles, Catheter, I.V. Cannula, etc.)
39 Syringe L.Lock5ml w.needle
5ml with
Needle
14 Hindustan
Manufacturing
Devices
2.39 2.10 10.00 140.00 376% 318%
40 Syring L.Slip 20ml w/o needle 20ml
Without
needle
54 Hindustan
Manufacturing
Devices
6.73 6.57 31.00 1,674.00 372% 361%
15