manual on management of drugs

CHAPTER 7
DISTRIBUTION AND LOGISTICS
1. The MSD receives and stores all the medical supplies (drugs, dressings,
X ray films, surgical consumables and non-consumables, dental
consumables and non-consumables, laboratory chemicals and glass
ware and radio active material) for the state sector medical institutions.
MSD is the sole supplier to both public and private sectors in the case
of narcotics. The supply of printed materials is also the responsibility of
MSD. These items are then distributed among the 26 RMSDD and the
line ministry institutions.
2. At the end of every quarter, the MSD prepares an advance programme
for distribution of drugs to the RMSDD and line ministry healthcare
institutions during the succeeding quarter and communicates the same
to Regional Directors of Health Services/Head of the line ministry
institutions and Officer in-charge (Oi/c) of RMSD. The date of
dispatch and the mode of dispatch of the drugs are also indicated in this
document.
3. Independent of the communications in (2) above, each RMSD is
required to inform the MSD at the beginning of the quarter (table 4)
through a quarterly return (Table 3) the quantity of drugs required for
the next quarter. If the quarterly returns are not received as scheduled
in Table 4(chapter 5), action will be taken to distribute estimated
quarterly requirements according to the quarterly distribution
programme of the MSD. Availability of stocks and variations in
consumptions at institutions may not be considered in such situations.
The cost of transportation should be born by the respective RDHS/Head
of Line Ministry Institution.
Requisitions will be not accepted from the institutions which do not provide
the quarterly returns at the beginning of the respective quarter.
As such, to ensure the continuous availability of drugs, it is the
responsibility of the RDHS, Head of the Institution, Chief Pharmacist and
Oi/c/RMSD to submit the quarterly return to Director/MSD without fail.
4. If the Provincial and Regional Directors request the Director/MSD to
dispatch the medical supplies to their Provinces/Divisions, the
31