ESSENTIAL MEDICINE LIST (PREGNANT WOMEN) JANANI-SHISHU SURAKSHA KARYAKRAM (JSSK) Health & FW Department, Government of Orissa.

Transcription

1 ESSENTIAL MEDICINE LIST (PREGNANT WOMEN) 0-0 JANANI-SHISHU SURAKSHA KARYAKRAM (JSSK) Health & FW Department, Government of Orissa. Total Antenatal Period D600 Tab. Folic Acid IP 5 mg/tab 0 Tabs/Strip 0 Strips/Box D6009 Tab. Ferrous Sulphate + Folic Acid IP Equivalent to 00 mg of Elemental Iron + 0 Tabs/Strip (Sugar Coated) Folic Acid 0.5mg 0 Strips/Box 3 3 D607 Tab. Doxylamine Succinate + Pyridoxine IP Doxylamine Succinate 0 mg + 0 Tabs/Strip Pyridoxine 0 mg / Tab. 0 Strips/Box D3000 Tab. Calcium (Film coated) IP 500mg Elemental Calcium per Tab 0 Tabs/Strip 0 Strips/Box 5 5 D3005 Inj. Tetanus Toxoid (adsorbed) IP 0.5 ml/amp 0.5 ml/amp Pre-Eclampsia and Eclampsia 6 D700 Tab. Methyl Dopa (coated) 7 D70 Cap. Nifedipine (Soft gelatin capsule) 8 3 D705 Tab. Nifedipine Sustained Release (SR) 9 D70 Tab. Labetalol IP 50 mg of anhydrous Methyldopa/Tab 0 Tabs/Strip 0 Strips/Box IP 0 mg/cap 0 Caps/Strip 0 Strips/Box IP 0mg/Tab. 0 Tabs/Strip 0 Strips/Box 00mg/Tab. 0 Tabs/Strip 0 Strips/Box 0 5 D703 Inj. Labetalol 0mg/ml Amp. ml/amp 6 D6006 Inj. Magnesium Sulphate 500 mg/ml ml/amp 7 D0700 Tab. Phenytoin Sodium IP 00 mg/tab 0 Tabs/Strip 0 Strips/Box 3 8 D0700 Inj. Lorazepam IP mg/ml ml/amp 9 D07006 Inj. Diazepam IP 5mg/ml ml/amp Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=

2 5 0 D600 Inj. Magnesium Sulphate 50 mg/ml ml/amp Pre-term labour & PROM 6 D70 Cap. Nifedipine (Soft gelatin capsule) IP 0 mg/cap 0 Caps/Strip 0 Strips/Box 7 D60 Inj. Isoxsuprine HCl 5mg / ml ml/amp 8 3 D600 Tab. Isoxsuprine IP 0 mg/tab 0 Tabs/Strip 0 Strip/Box 9 D0507 Inj. Betamethasone Sod. Phosphate IP mg/ml ml/amp 0 5 D0900 Inj. Ampicillin Sodium IP Equivalent to 500 mg of anhydrous 500mg / Vial Ampicillin/Vial 0 Vials / Box 6 D09055 Cap. Ampicillin IP 500mg/Cap. 0 Caps/Strip 0 Strips/Box 7 D090 Inj. Ampicillin Sodium IP Equivalent to gm of anhydrous gm / Vial Ampicillin/Vial 0 Vials / Box 3 8 D09009 Inj. Gentamycin Sulphate IP 0 mg/ml ml/vial 9 D09098 Inj Cefotaxime+Sulbactam Cefotaxime gm + Sulbactam 0.5 gm /.5gm / Vial vial 5 0 D09050 Cap. Amoxycillin Trihydrate IP 500 mg/cap 0 Caps/Strip 0 Strips/Box 6 D090 Inj. Amoxycillin Trihydrate 500mg / vial 500mg / Vial 0 Vials / Box 7 D3005 Tab. Metronidazole (Coated) IP 00 mg/tab 0 Tabs/Strip 0 Strips/Box 8 3 D0906 Tab. Erythromycin Stearate (Equiv.to IP 50 mg/tab 0 Tabs/Strip Erythromycin 50 mg) 0 Strips/Box 9 D0907 Tab. Erythromycin Esteolate IP 500 mg/tab 0 Tabs/Strip (Equiv.to Erythromycin 500 mg) 0 Strips/Box 30 5 D0900 Tab. Nitrofurantoin IP 00 mg/tab 0 Tabs/Strip 0 Strips/Box Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=

3 Pregnancy with heart disease 3 D707 Tab. Digoxin 3 D000 Tab. Frusemide IP 0.5 mg/tab 0 Tabs/Strip 0 Strips/Box IP 0 mg/tab 0 Tabs/Strip 0 Strips/Box 33 3 D000 Inj. Frusemide IP 0 mg/ ml ml/amp Pregnancy with severe anaemia 3 D608 Inj Iron Sucrose IP 50 mg/.5 ml 5 ml/amp 35 D6009 Tab. Ferrous Sulphate + Folic Acid IP Equivalent to 00 mg of Elemental Iron + 0 Tabs/Strip (Sugar Coated) Folic Acid 0.5mg 0 Strips/Box 36 3 D0800 Tab. Albendazole (Chewable) IP 00mg/Tab. Tab/Strip 0 Strips/Box 80 Intra Partum/Normal delivery 37 D9003 I.V Compound Sodium Lactate (Ringer's Lactate) RL IP Lactic Acid-0.w/v equivalent to 0.3% w/v of sodium lactate sodium chloride-0.6% w/v, potassium chloride- 0.0% w/v, calcium chloride-0.07% w/v (FFS / BFS Plastic Container) 38 D900 I.V Sodium Chloride (Normal Saline) IP 0.9% w/v (FFS / BFS Plastic Container) 39 3 D900 I.V Dextrose 5% (5D) IP 5% w/v (FFS / BFS Plastic Container) 0 D900 I.V Dextrose and Sodium Chloride (DNS) IP 5% w/v Dextrose, 0.9% w/v Sodium Chloride (FFS, Plastic Container Automatic Continuous, Single Unit) 5 D9005 I.V Dextrose 0%(0D) IP 0% w/v(ffs Plastic Container Automatic Continuous, Single Unit) 6 D9008 Inj. Sodium Bi-Carbonate IP 7.5% w/v 0 ml/amp 3 7 D300 Sterile Water For Injection IP 5ml/Amp,(FFS Plastic Container 5 ml/amp (Plastic Container as per IP) Automatic Continuous Single Unit) 5 Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=3

4 8 D00 Inj. Tramadol HCl BP 50 mg/ml ml/amp 5 9 D600 Inj. Methylergometrine Maleate IP 0. mg/ml ml/amp 6 0 D6007 Tab. Misoprostol 00mcg/Tab 0 Tabs/Strip (Aluminium Foil/Blister pack) 0 Strips/Box 7 D600 Inj. Oxytocin IP 5 IU/ml ml/amp 8 D000 Inj. Lignocaine HCl IP % w/v 30 ml/vial 9 3 D6005 Inj. Carboprost Tromethamine IP 50 mcg/ml ml/amp 0 Amp/Box 50 D009 Inj. Human Premixed Insulin IP Inj. 0 units/ml 0 ml/vial (50/50, 30/70) (Biphasic) 5 5 D00 Inj. Human Soluble Insulin 0 I.U/ml 0 ml/vial 5 6 D003 Tab. Metformin HCl (coated) IP 500 mg/tab 0 Tabs/Strip 0 Strips/Box Consumables 6 53 D300 Absorbent Cotton IP Net Weight 500gms, Absorbency not more than 0 Seconds 500 gm/packet (Net) 0 packets/box 5 D803 Povidone Iodine Lotion IP 5% w/v 00 ml/bottle (Plastic container as per I.P) 55 3 D3007 Microporus Adhesive Paper Tape -.5cm. x 0 yds (9. mtr) per roll with CE certification 0 Rolls / packet 56 S000 Disposable Syringes BIS 5 CC, with colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS 5CC as per s & Cosmetics Act 90, IS No S003 Disposable Syringes BIS 0 CC, with colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS 0CC as per s & Cosmetics Act 90, IS No S0003 Disposable sterilised Needles in blister pack 0 G - G, IS No: 065: 00, ISO: As Per s & Cosmetics Act 90 Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=

5 59 7 S00 Intravenous Set Adult, With built in Airway moulded chamber and Needle, Sterile, Disposable, Non - Toxic, Non Pyrogenic, sterilised by ETO,.7 to 3.00 mm tube with fluid filter, non-kinkable tube, Length not less than 50 cms / I.S No. 655 (part- of 003), as per s & Cosmetics Act S0008 Intra Cath Adult, (two way) with closing Cover Type II Sterilised Size 8, 0, (Adult) with CE certification 6 9 S00 Catgut Chromic Atraumatic Size:- -0, / Circle Round Bodied (0mm needle) Foils / Box U.S.P, with CE certification 6 0 S005 Umbilical cord clamp / Vascular clamp Sterilised Each 63 S0063 Infant mucous extractor PVC, Non-Toxic, Sterilised, Pyrogen free, Each Disposable 6 D300 Medicated Soap (Dettol / Lifebuoy) 35-0 gm / soap Each 65 3 S006 K-90 plain Catheter 66 S007 Operation Gloves BIS 6", 6/", 7", 7/", Sterilised, Pre-powdered, BIS specifications gloves, surgical rubber made of Hypoallergic latex. 00% electronically tested, sterilised by Gamma Radiation / ETO, ISI Marked, IS No. 3-9 with CE certification 67 5 S009 Disposable Examination Gloves BIS 6", 6/", 7", 7/", Sterilised, small, medium & large, pre-powdered, with CE certified, surgical rubber made of Hypoallergic latex. 00% electronically tested, sterilised by Gamma Radiation / ETO, White coloured. Min. length-0mm 68 6 D3008 Roller Bandage BIS mt. x 6 cm, IS , Ends (column)- 50, Picks (Row)-85/0 Sq. c.m Postnatal Period 69 D0906 Tab. Cefadroxil 70 D09050 Cap. Amoxycillin Trihydrate 7 3 D6009 Tab. Ferrous Sulphate + Folic Acid (Sugar Coated) 7 D000 Tab. Paracetamol 73 5 D0006 Tab. Ibuprofen (Coated) Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=5 Pair 5 Pair 0 Rolls / packet IP 500 mg/tab 0 Tabs/Strip 0 Strips/Box IP 500 mg/cap 0 Caps/Strip 0 Strips/Box IP Equivalent to 00 mg of Elemental Iron + 0 Tabs/Strip Folic Acid 0.5mg 0 Strips/Box IP 500 mg/tab 0 Tabs/Strip 0 Strips/Box IP 00 mg/tab 0 Tabs/Strip 0 Strips/Box

6 0 7 6 D00 Tab. Domperidone BP 0 mg/tab 0 Tabs/Strip 0 Strips/Box 75 7 D30 Inj. Human Anti-D Immunoglobulin * 300mcg/.5ml.5 ml/amp * 76 8 S0090 Sanitary Napkins 0 Nos. / Pkt D80 Povidone Iodine Oint. USP 5% w/v 5 gm/tube 0 Tubes/Box 78 0 D0 Tab. Dicyclomine HCL IP 0 mg/tab 0 Tabs/Strip 0 Strips/Box 79 D03 Inj. Dicyclomine HCl USP 0 mg/ml ml/amp * Rh -ve is around 5% of the total deliveries. 0 Intra-partum- C- Section 80 D3003 Inj. Metronidazole I.V IP 500 mg/00 ml Bottle (FFS / BFS Plastic Container) 00 ml/bottle 8 D0905 Inj. Cefotaxime Sodium IP gm/vial gm/vial 8 3 D600 Inj. Oxytocin IP 5 IU/ml ml/amp 83 D0008 Inj. Bupivacaine (Heavy) IP 0.5% w/v ml/amp 8 5 D0006 Inj. Bupivacaine IP 5mg/ml 0 ml/vial 85 6 D0005 Inj. Lignocaine HCl and Dextrose IP Lignocaine HCl mg / ml + ml/amp (Heavy) Dextrose 75mg / ml 86 7 D0003 Inj. Lignocaine HCl and Adrenaline Bitartrate IP Lignocaine HCl -.3 mg / ml + 30 ml/vial Adrenaline 0.5 mg / ml 87 8 D000 Inj. Lignocaine HCl IP % w/v 30 ml/vial 88 9 D005 Inj. Promethazine HCl IP 5 mg/ml ml/amp 89 0 D000 Inj. Diclofenac Sodium IP 5 mg/ml 3 ml/amp 90 D0033 Inj. Paracetamol I.V 000mg/00ml 00 ml/bottle Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=

7 9 D00 Inj. Tramadol HCl BP 50 mg/ml ml/amp 9 3 D030 Inj. Pantoprazole 0mg/vial 0mg/Vial 93 D9003 I.V Compound Sodium Lactate (Ringer's IP Lactate) RL Lactic Acid-0.w/v equivalent to 0.3% w/v of sodium lactate sodium chloride-0.6% w/v, potassium chloride- 0.0% w/v, calcium chloride-0.07% w/v (FFS / BFS Plastic Container) 9 5 D900 I.V Sodium Chloride (Normal Saline) IP 0.9% w/v (FFS / BFS Plastic Container) 95 6 D900 I.V Dextrose 5% (5D) IP 5% w/v (FFS / BFS Plastic Container) 96 7 D900 Plasmaexpander Infusion Polygeline IP Polymer from degraded gelatin 3.5gm colloidal (polygeline) (Na 5, K 5., Cal.5, Cl 5, mmol) in 00ml (FFS / BFS Plastic Container) 97 8 D0008 Inj. Pentazocine Lactate IP 30 mg/ml ml/amp (equivalent of 30 mg of pentazocine) /ml 98 9 D03 Inj. Ondensatron mg/ml ml/amp 99 0 D6005 Inj. Carboprost Tromethamine IP 50 mcg/ml ml/amp 0 Amp/Box 3 Consumables 00 D300 Absorbent Cotton IP Net Weight 500gms, Absorbency not more than 0 Seconds 500 gm/packet (Net) 0 packets/box 0 D803 Povidone Iodine Lotion IP 5% w/v 00 ml/bottle (Plastic container as per I.P) 0 3 D3007 Microporus Adhesive Paper Tape -.5cm. x 0 yds (9. mtr) per roll with CE certification 0 Rolls / packet 03 S000 Disposable Syringes BIS 5 CC, with colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS 5CC as per s & Cosmetics Act 90, IS No. 655 with CE certification 0 5 S000 Disposable Syringes CC, With colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS CC as per s & Cosmetics Act 90, IS No. 655 with CE certification Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=7 0 5

8 05 6 S003 Disposable Syringes BIS 0 CC, with colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS 0CC as per s & Cosmetics Act 90, IS No. 655 with CE certification 06 7 S009 Disposable Syringes BIS 0 CC, with colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS 0CC as per s & Cosmetics Act 90, IS No. 655 with CE certification 07 8 S0003 Disposable sterilised Needles in blister pack 0 G - G, IS No: 065: 00, ISO: As Per s & Cosmetics Act S00 Foley's Urinary Catheter Size: 6F, Silkolatex (Pre - sterile) way sterile, Non - toxic 09 0 S00 Intravenous Set Adult, With built in Airway moulded chamber and Needle, Sterile, Disposable, Non - Toxic, Non Pyrogenic, sterilised by ETO,.7 to 3.00 mm tube with fluid filter, non-kinkable tube, Length not less than 50 cms / I.S No. 655 (part- of 003), as per s & Cosmetics Act-90 with CE certification 0 S0008 Intra Cath Adult, (two way) with closing Cover Type II Sterilised Size 8, 0 (Adult) with CE certification S00 Catgut Chromic Atraumatic USP Size:- -0, / Circle Round Bodied (0mm needle) with CE certification 3 S003 Catgut Chromic Atraumatic USP Size:-, / Circle Round Bodied (0mm needle) (Heavy) with CE certification 3 S008 Polyglactin (Braided Coated) - 90 USP Size:-, / Circle Round Bodied 0mm (Heavy needle) with CE certification 5 S0083 Monofilament Polyamide Black Breaded Silk USP Size:- -0, 3/8 Circle Bodied 5mm needle, reverse cutting with CE certification 5 0 Each Foils / Box Foils / Box Foils / Box Foils / Box 5 6 S005 Umbilical cord clamp / Vascular clamp Sterilised Each 6 7 S009 Suction Tube Each 7 8 S009 Spinal Needle Disposable Adult as per BIS 3 / 5G (70-90mm) without hub Each 8 9 D300 Medicated Soap (Dettol / Lifebuoy) 35-0 gm / soap Each 9 0 S006 Urinary Drainage Bag Sterilised with non return valve and Drainage outlet with a capacity of 000ml, with marking non toxic pyrogen free, double seek, clinical grade PVC will be preferred Each Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=8

9 0 D3008 Roller Bandage BIS mt. x 6 cm, IS , Ends (column)- 50, Picks (Row)-85/0 Sq. c.m D30 Absorbent Gauze Sch.F(II) of Min.Mass: 30±5gm /sq.mtr Confirming to D&C Act IS:758/988 Ends(Column)-75, Picks(Row)-55 / 0Sq.cm, Absorbency not more than 0seconds 3 D90 Surgical Spirit (Plastic Container as per IP) BP 3 S0063 Infant mucous extractor PVC, Non-Toxic, Sterilised, Pyrogen free, Disposable 5 S008 Surgicals Blades (Sterilised) Pre - sterile with Gamma radiation for handle no. sizes,, ISI : 339:995 0 Rolls / packet mtr x 60 cm per than 0 Thans/Packet 00 ml/bottle Each 5 6 S0093 Surgiwear Each Miscellaneous s (may be required in some cases of C- Section) 6 S007 Epidural Set Epidurarl Syringe -, Epidural Needle - 8G -, Epidural Catheter 7 D09078 Inj. Cefoperazone & Sulbactam (with 500mg Cefoperazone + 500mg Sulbactam diluents in plastic container) 8 3 D0905 Inj. Cefotaxime Sodium Each gm/vial IP gm/vial gm/vial 9 D05005 Inj. Adrenaline Bitartrate IP mg/ml (:000) ml/amp 30 5 D000 Inj. Frusemide IP 0 mg/ ml ml/amp 3 6 D0508 Inj. Noradrenaline mg/ml ml/amp 3 7 D0300 Inj. Atropine Sulphate IP 0.6 mg/ml ml/amp 33 8 D703 Inj. Dopamine HCl BP 0 mg/ml 5 ml/amp (Intravenous Infusion) 3 9 D700 Inj Dobutamine 50 mg/ml 5ml / Vial Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=9

10 35 0 D0500 Inj. Hydrocortisone Sodium Succinate IP 00 mg of hydrocortisone/vial ml/vial 36 D0005 Halothane BP 30 ml/bottle 30 ml/bottle 37 D000 Inj. Thiopentone Sodium IP 500 mg/vial 500 mg/vial 38 3 D005 Inj. Vecuronium Bromide BP mg/ml ml/vial 39 D006 Inj. Neostigmine Methylsulphate IP 0.5 mg/ml ml/amp 0 5 D003 Inj. Succinyl Choline Chloride IP 50 mg/ml ml/vial 6 D0300 Inj. Glycopyrrolate USP 0. mg/ml ml/amp 7 D0008 Inj. Atracurium Besylate EP 0 mg/ml.5 ml/amp 3 8 D000 Inj. Ketamine HCl IP 57.7 mg of Ketamine HCl Equivalent to 50 0 ml/vial mg of Ketamine 9 D707 Inj. Ephedrine HCl 30 mg/ml ml/amp 5 0 D07006 Inj. Diazepam IP 5mg/ml ml/amp 6 D0007 Inj. Midazolam BP mg/ml 0 ml/vial 7 D0500 Inj. Dexamethasone Sodium Phosphate IP mg/ml (. mg of Dexamethasone sodium ml/vial phospate is equivalent to mg. of Dexamethasone Phosphate) 8 3 D800 Inj. Theophylline & Etophylline IP Theophylline 50.6 mg + Etophylline 69. mg/ml ml/amp 5 Postnatal Period C- section 9 D09077 Tab. Azithromycin (Aluminium Foil/Blister pack) 50 D0909 Tab. Cefixime (Aluminium Foil/Blister pack) IP 500 mg/tab 3 Tabs/Strip 0 Strips/Box IP 00mg/Tab 0 Tabs/Strip 0 Strips/Box 6 0 Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=0

11 5 3 D09050 Cap. Amoxycillin Trihydrate IP 500 mg/cap 0 Caps/Strip 0 Strips/Box 5 D6009 Tab. Ferrous Sulphate + Folic Acid IP Equivalent to 00 mg of Elemental Iron + 0 Tabs/Strip 90 (Sugar Coated) Folic Acid 0.5mg 0 Strips/Box 53 5 D000 Tab. Paracetamol IP 500 mg/tab 0 Tabs/Strip 0 0 Strips/Box 5 6 D0006 Tab. Ibuprofen (Coated) IP 00 mg/tab 0 Tabs/Strip 0 0 Strips/Box 55 7 D00 Tab. Domperidone BP 0 mg/tab 0 Tabs/Strip 0 0 Strips/Box 56 8 D30 Inj. Human Anti-D Immunoglobulin * 300mcg/.5ml.5 ml/amp * 57 9 S0090 Sanitary Napkins 0 Nos. / Pkt D80 Povidone Iodine Oint. USP 5% w/v 5 gm/tube 0 Tubes/Box * Rh -ve is around 5% of the total deliveries. Intra Partum eclampsia 59 D9003 I.V Compound Sodium Lactate (Ringer's Lactate) RL IP Lactic Acid-0.w/v equivalent to 0.3% w/v of sodium lactate sodium chloride-0.6% w/v, potassium chloride- 0.0% w/v, calcium chloride-0.07% w/v (FFS / BFS Plastic Container) 60 D900 I.V Dextrose 5% (5D) IP 5% w/v (FFS / BFS Plastic Container) 6 3 D9005 I.V Dextrose 0%(0D) IP 0% w/v(ffs Plastic Container Automatic Continuous, Single Unit) 6 D9008 Inj. Sodium Bi-Carbonate IP 7.5% w/v 0 ml/amp 63 5 D300 Sterile Water For Injection IP 5ml/Amp,(FFS Plastic Container 5 ml/amp (Plastic Container as per IP) Automatic Continuous Single Unit) 6 6 D00 Inj. Tramadol HCl BP 50 mg/ml ml/amp 65 7 D6006 Inj. Magnesium Sulphate 500 mg/ml ml/amp 66 8 D600 Inj. Magnesium Sulphate 50 mg/ml ml/amp Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=

12 67 9 D07007 Inj. Phenytoin Sodium IP 50 mg/ml ml/amp 68 0 D0700 Inj. Phenobarbitone Sodium IP 00 mg/ml ml/amp 69 D903 Inj. Calcium Gluconate 0% w/v 0ml/Amp 70 D600 Inj. Oxytocin IP 5 IU/ml ml/amp 7 3 D000 Inj. Lignocaine HCl IP % w/v 30 ml/vial 0 Consumables 7 D300 Absorbent Cotton IP Net Weight 500gms, Absorbency not more than 0 Seconds 500 gm/packet (Net) 0 packets/box 73 D803 Povidone Iodine Lotion IP 5% w/v 00 ml/bottle (Plastic container as per I.P) 7 3 D3007 Microporus Adhesive Paper Tape -.5cm. x 0 yds (9. mtr) per roll with CE certification 0 Rolls / packet 75 S000 Disposable Syringes BIS 5 CC, with colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS 5CC as per s & Cosmetics Act 90, IS No. 655 with CE certification 76 5 S003 Disposable Syringes BIS 0 CC, with colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS 0CC as per s & Cosmetics Act 90, IS No. 655 with CE certification 77 6 S009 Disposable Syringes BIS 0 CC, with colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS 0CC as per s & Cosmetics Act 90, IS No. 655 with CE certification 78 7 S0003 Disposable sterilised Needles in blister pack / 3 G, IS No: 065: 00, ISO: As Per s & Cosmetics Act S00 Intravenous Set Adult, With built in Airway moulded chamber and Needle, Sterile, Disposable, Non - Toxic, Non Pyrogenic, sterilised by ETO,.7 to 3.00 mm tube with fluid filter, non-kinkable tube, Length not less than 50 cms / I.S No. 655 (part- of 003), as per s & Cosmetics Act-90 with CE certification 0 6 G G - 0 Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=

13 80 9 S0009 Intra Cath Adult, (two way) with closing Cover Type II Sterilised Size 8, 0, (Adult) with CE certification 8 0 S00 Catgut Chromic Atraumatic Size:- -0, / Circle Round Bodied (0mm needle) Foils / Box U.S.P, with CE certification 8 S005 Umbilical cord clamp / Vascular clamp Sterilised Each 83 S009 Suction Tube 8 3 D300 Medicated Soap (Dettol / Lifebuoy) 35-0 gm / soap Each 85 S006 K-90 plain Catheter 86 5 S007 Operation Gloves BIS 6", 6/", 7", 7/", Sterilised, Pre-powdered, BIS specifications gloves, surgical rubber made of Hypoallergic latex. 00% electronically tested, sterilised by Gamma Radiation / ETO, ISI Marked, IS No. 3-9 with CE certification 87 6 S009 Disposable Examination Gloves BIS 6", 6/", 7", 7/", Sterilised, small, medium & large, pre-powdered, with CE certified, surgical rubber made of Hypoallergic latex. 00% electronically tested, sterilised by Gamma Radiation / ETO, White coloured. Min. length-0mm 88 7 D3008 Roller Bandage BIS mt. x 6 cm, IS , Ends (column)-50, Picks (Row)-85/0 Sq. c.m 89 8 S0063 Infant mucous extractor PVC, Non-Toxic, Sterilised, Pyrogen free, Disposable Dozen Pair 5 Dozen Pair 8 0 Rolls / packet Each Postnatal Period / Eclampsia 90 D0906 Tab. Cefadroxil 9 D09050 Cap. Amoxycillin Trihydrate 9 3 D6009 Tab. Ferrous Sulphate + Folic Acid (Sugar Coated) 93 D000 Tab. Paracetamol 9 5 D0006 Tab. Ibuprofen (Coated) 95 6 D00 Tab. Domperidone IP 500 mg/tab 0 Tabs/Strip 0 Strips/Box IP 500 mg/cap 0 Caps/Strip 0 Strips/Box IP Equivalent to 00 mg of Elemental Iron + 0 Tabs/Strip Folic Acid 0.5mg 0 Strips/Box IP 500 mg/tab 0 Tabs/Strip 0 Strips/Box IP 00 mg/tab 0 Tabs/Strip 0 Strips/Box BP 0 mg/tab 0 Tabs/Strip 0 Strips/Box Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=3

14 96 7 S0090 Sanitary Napkins 0 Nos. / Pkt 97 8 D80 Povidone Iodine Oint. USP 5% w/v 5 gm/tube 0 Tubes/Box 98 9 D700 Tab. Diazepam IP 5 mg/tab 0 Tabs/Strip 0 Strips/Box 99 0 D705 Tab. Nifedipine SR IP 0mg/Tab. 0 Tabs/Strip 0 Strips/Box 00 D70 Tab. Labetalol 00mg/Tab. 0 Tabs/Strip 0 Strips/Box 0 D700 Tab. Nifedipine IP 0mg/Tab. 0 Tabs/Strip 0 Strips/Box Puerperal Sepsis 0 D090 Inj. Ampicillin Sodium IP Equivalent to gm of anhydrous Ampicillin/Vial gm / Vial 0 Vials / Box 03 D09009 Inj. Gentamycin Sulphate IP 0 mg/ml ml/vial 0 3 D3003 Inj. Metronidazole I.V IP 500 mg/00 ml Bottle 00 ml/bottle (FFS / BFS Plastic Container) N.B: The requirements mentioned are approximate and commonly practised but may become more or less depending on individual cases. Annexure - I-JSSK - Essential Medicine List - Diseasewise.xls:=Pregnant Women:=

15 ESSENTIAL MEDICINE LIST (SICK NEWBORN) 0-0 JANANI-SHISHU SURAKSHA KARYAKRAM (JSSK) Health & FW Department, Government of Orissa. Total Name of the item ESSENTIAL DRUG LIST FOR SICK NEWBORN D05005 Inj. Adrenaline Bitartrate IP mg/ml (:000) ml/amp D0906 Inj. Amikacin Sulphate IP 00 mg/ml equivalent of ml/vial Amikacin 3 3 D800 Inj. Aminophylline IP 5 mg/ ml 0 ml/amp D0907 Inj. Ampicillin Sodium IP Equivalent to 00 mg of anhydrous 00mg / Vial Ampicillin/Vial 0 Vials / Box 5 5 D09056 Inj. Ampicillin Sodium IP Equivalent to 50mg of anhydrous 50mg / Vial Ampicillin/Vial 0 Vials / Box 6 6 D090 Inj. Cefotaxime Sodium IP 5 mg / vial 5 mg/vial 7 7 D09053 Inj. Cefotaxime Sodium IP 50mg / vial 50 mg/vial 8 8 D09099 Inj. Piperacillin + Tazobactam Piperacillin gm +.5 gm/vial Tazobactam 5mg 9 9 D700 Inj Dobutamine 50 mg/ml 5ml / Vial 0 0 D903 Inj. Calcium Gluconate gm/amp. 0 ml/amp D703 Inj. Dopamine HCl BP 0 mg/ml 5 ml/amp (Intravenous Infusion) D000 Inj. Frusemide IP 0 mg/ ml ml/amp 3 3 D0500 Inj. Dexamethasone Sodium Phosphate IP mg/ml (. mg of Dexamethasone ml/vial sodium phospate is equivalent to mg. of Dexamethasone Phosphate) 5 3

16 Name of the item D0500 Inj. Hydrocortisone Sodium Succinate 5 5 D900 I.V Dextrose 5% (D5) IP 5% w/v (FFS / BFS Plastic Container) 6 6 D9005 I.V Dextrose 0%(D0) IP 0% w/v IP 00 mg of hydrocortisone/vial ml/vial (FFS / BFS Plastic Container) 7 7 D90 Dextrose 5%(D5) 5% w/v 0ml/Amp 8 8 D9009 Paediatric Maintenance Fluid IP Each 00ml contains Dextrose Anhydrous 5gm, Potassium Chloride 0.30 gm, Sodium Acetate 0.30gm, Diabasic Potassium Phosphate 0.06gm, Magnesium Chloride 0.03gm. (FFS / BFS Plastic Container) 9 9 D0900 Inj. Gentamycin Sulphate IP 0 mg/ml ml/vial 0 0 D0700 Inj. Phenobarbitone Sodium IP 00 mg/ml ml/amp D07007 Inj. Phenytoin IP 50 mg/ml ml/amp D0700 Inj. Lorazepam IP mg/ml ml/amp 3 3 D90 Inj. Pottasium Chloride NFI IP Each ml contains Pottasium 0 ml/amp Chloride 50mg D9008 Inj. Sodium Bi-Carbonate IP 7.5% w/v 0 ml/amp 5 5 D90 I.V Sodium Chloride (Normal Saline) IP 0.9% w/v 00 ml (FFS / BFS Plastic Container) 6 6 D300 Sterile Water For Injection IP 5ml/Amp,(FFS Plastic Container 5 ml/amp (Plastic Container as per IP) Automatic Continuous Single Unit) 7 7 D300 Inj. Kenandione (Vit. K) mg/0.5ml 0.5 ml/amp 8 8 D070 Phenobarbitone Oral Solution USP 0mg/5ml 60 ml/bottle (with measuring cap and palatable, plastic container as per I.P)

17 Name of the item 9 9 D006 Paracetamol Drop (Palatable, with dropper and container as per I.P) D300 Calcium Suspension (with measuring cap and palatable, plastic container as per I.P) 3 3 D3003 Vit. E Drop (Palatable, with dropper and container as per I.P) 3 3 D300 Multivitamin Drop (Palatable, with dropper and container as per I.P) D0906 Inj. Vancomycin CONSUMABLES 00 mg/ ml 5ml / Bottle 500mg/vial 00ml / Bottle 5ml / Bottle 5ml / Bottle 500mg / Vial 0 Vials / Box 0 33 S00 Intravenous Set Child, With built in Airway moulded chamber and Needle, Sterile, Disposable, Non - Toxic, Non Pyrogenic, sterilised by ETO,.7 to 3.00 mm tube with fluid filter, non-kinkable tube, Length not less than 50 cms / I.S No. 655 (part- of 003), as per s & Cosmetics Act-90 with CE certification 3 S0009 Intra Cath Child, (two way) with closing Cover Type II Sterilised Size,6 (Child) with CE certification 35 3 S000 Disposable Syringes CC, With colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS CC as per s & Cosmetics Act 90, IS No. 655 with CE certification S000 Disposable Syringes 5 CC, with colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS 5CC as per s & Cosmetics Act 90, IS No. 655 with CE certification

18 Name of the item 37 5 S003 Disposable Syringes 0 CC, with colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS 0CC as per s & Cosmetics Act 90, IS No. 655 with CE certification 38 6 S00 Disposable Syringes 50 CC, with colour coded (as per BIS) needle Sterilised, Luer Mount, Non - toxic CGS 50CC as per s & Cosmetics Act 90, IS No. 655 with CE certification 39 7 S0006 Disposable Insulin Syringes 00 Unit, With Needle, Sterilised Non- Toxic, Unit 00 with CE certification S0095 Naso-Gastric Tube (Infant feeding Size 5, 6 6 tube) 9 S0096 Sucction catheter Size 6, 8, Each 5,, 0 S0097 Endotracheal Tube Size.5, 3, 3.5, Each 3 S0098 Umbilical catheter Size 3.5, 5 FR Each S0099 De-lee mucous trap Each S000 Baby sock, cap, gloves (Cotton) No. each Each sets 6 S00 3 way stop cock Each S00 Baby Napkin (Polythene drape sheet) 8 6 S0079 Triple (three) layer face mask (9cm x 7cm approx.), nose clip adaptable. (Tie on mask of no-woven, hypoallergenic 3 ply construction with filter in between offering >99% standard Each Each with tie strings.) 9 7 S00 Eye Shield (for phototherapy unit) Each Black sheet 50 8 S005 Absorbent Clear Acrylic Dressing Large Oval, Pad size 3. inch x.5 inch (8,5cm x 0,7cm) 5 9 D3007 Microporus Adhesive Paper Tape -.5cm. x 0 yds (9. mtr) per roll with CE certification Each 0 Rolls / packet 5 0 S008 Hand steriliser 00 ml/bottle

19 Name of the item 53 D803 Povidone Iodine Lotion (Plastic container as per I.P) IP 5% w/v 00 ml/bottle OPD Medicines 5 D0909 Amoxcillin Drop ml= 00 mg 55 D090 Cefadroxil Drop ml= 00 mg 56 3 D300 Multi Vitamin Drop 57 D609 Iron drop ml= 0 mg 58 5 D300 Calcium Suspension 59 6 D006 Paracetamol Drop ml=00 mg 60 7 D80 Clotrimazole Mouth Paint bottle 6 8 D805 Ensamcycin Ointment 6 9 D0905 Cefixime Drop ml=5 mg