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Shardul Nautiyal, Mumbai May 20 , 2017
Indian Medical Association (IMA), Maharashtra branch has circulated a ready reckoner named Nirmalaya across all its members and professionals registered under it to promote affordable and efficacious generic medicines following Prime Minister Narendra Modi recent push to prescribe generic drugs over their branded versions.

The ready reckoner which was based on a study done in the Vidharba region of Maharashtra over the past few years would enable allopaths across Maharashtra to prescribe generics of drug companies at the lowest price available in the market based on a comparative study of different branded generics.

The exercise is based on the premise that allopaths can recommend the lowest priced generic by referring 'Nirmalaya' a ready reckoner which can come handy for prescribing Schedule H, Schedule H1 and Schedule X drugs also.

Medical Council of India (MCI) had also framed prescription guidelines two years back which clearly spells out prescribing generic medicines as per the code of medical ethics stipulated as per the MCI Act. PM had also announced that the government is working to bring in a legal framework under which doctors will have to prescribe low cost generic medicines to patients.

Based on medical code of ethics, Maharashtra Medical Council (MMC) had also issued a standard prescription format for allopathic doctors in the state to boost an accurate, uniform, standard and clear prescription for the sake of patient safety. The new format, prepared by MCI, is applicable for all doctors practicing allopathy across the country.

Over 80,000 MMC-affiliated doctors are expected to start using the new format across Maharashtra. MMC is a statutory body having powers to suspend the licence of a doctor who is found guilty of malpractice.

As per the new guidelines, allopathic doctors must write prescriptions legibly and in capital letters as well as furnish a complete and detailed prescription. The comprehensive format includes the doctor's full name, his/her qualification, patient's details, name of the generic medicine or its equivalent along with the dosage, strength, dosage form and instruction, name and address of medical store with pharmacist's name and date of dispensing, as well as the doctor's signature and stamp.

Promoting Nirmalya is a step in the right direction as the Department of Pharmaceuticals (DoP) is also planning to make generic drugs available under the Jan Aushadhi Scheme through retail drug stores across the country. These drugs would range from antibiotics, anti-cardiac, anti-diabetic, anti-infective and gastro-intestinal drugs in six therapeutic segments.

As part of the initiative, the government is also planning to involve private players to revive the fledgling Jan Aushadhi scheme which is completely dependent on a handful of public sector units (PSUs) for drug supply that makes it vulnerable to frequent stockouts.

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