Issuance of 60 days Medicines

[Helping Hands For Veterans]

FYI

The functioning of ECHS Polyclinic Dundahera, Gurugram (under AOR of RC ECHS Delhi-1) deserves special appreciation for its veteran-centric and humane approach in medicine issuance. By providing prescribed medicines for 60 days and ensuring the timely facilitation of "Not Available" medicines for the full prescribed period, the Polyclinic has established a commendable benchmark in healthcare delivery under ECHS. This practice not only minimises repeated visits by veterans and their dependents-thus reducing time, effort, and financial burden-but also upholds the health, dignity, and welfare of the ex-servicemen community. A notable instance is that of a veteran (White Card holder) residing in Gurugram, Haryana (Delhi NCR)-an area not categorised under hilly or exceptional terrains such as J&K, Uttarakhand, Himachal Pradesh, or the North Eastern states. The Dundahera Polyclinic's initiative clearly demonstrates that such facilitation is both practical and implementable even in plain areas. This best practice should, therefore, be standardised and uniformly implemented across all ECHS Polyclinics nationwide, ensuring equitable, standardised, and hassle-free healthcare access for every veteran and their family members.

[Vish Mishra]

This should also apply to all ECHS pc under RC ECHS Delhi 1.

thx for your information.

vn mishra 

On Sat, Sep 6, 2025 at 10:06 AM Helping Hands For Veterans <veteranshe...@gmail.com> wrote:

FYI

The functioning of ECHS Polyclinic Dundahera, Gurugram (under AOR of RC ECHS Delhi-1) deserves special appreciation for its veteran-centric and humane approach in medicine issuance. By providing prescribed medicines for 60 days and ensuring the timely facilitation of "Not Available" medicines for the full prescribed period, the Polyclinic has established a commendable benchmark in healthcare delivery under ECHS. This practice not only minimises repeated visits by veterans and their dependents-thus reducing time, effort, and financial burden-but also upholds the health, dignity, and welfare of the ex-servicemen community. A notable instance is that of a veteran (White Card holder) residing in Gurugram, Haryana (Delhi NCR)-an area not categorised under hilly or exceptional terrains such as J&K, Uttarakhand, Himachal Pradesh, or the North Eastern states. The Dundahera Polyclinic's initiative clearly demonstrates that such facilitation is both practical and implementable even in plain areas. This best practice should, therefore, be standardised and uniformly implemented across all ECHS Polyclinics nationwide, ensuring equitable, standardised, and hassle-free healthcare access for every veteran and their family members.

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VN Mishra

DLO 026300

Mob No. 9811810393

Add: N-118, Sector-25, Noida-201301, U.P.

[Kailash Joshi]

ECHS POLYCLINIC RUDRAPUR UTTARAKHAND ISSUES MEDICINE ONLY FOR 15 DAYS AND MANY MEDICINES ARE NOT AVAILABLE AND THEY ASK TO COLLECT MEDICINE FROM PRADHAN MANTRI JAN AUSADHI CLINIC AND LADY SITING ON RECEPTION HAS VERY BAD BEHAVIOUR AND DOES NOT GUIDE PROPERLY HOWEVER SHE IS WIFE OF SOME ARMYMAN WHO WAS KILLED IN BATTLE 

kjoshi

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[Ravindra Waman Pathak]

For all problems with Medicines in ECHS the cause is inadequate coordination between the oic and the SEMO who is responsible for issue of medicines to polyclinics

I am a proud Hindu and I believe Ahimsa, essentially, is doing everything to stop Himsa. Ahimsa is not the absence of Himsa, but the use of Sam, Dam, Danda, and Bhed to achieve peace.

 People often ask me what we can do for the soldiers. The answer is "be an Indian who is worth fighting for. "See if you can be one"

Do I have enemies? Yes.Good. That means I’ve stood up for something, sometime in my life.

Cdr Ravindra Waman Pathak I.N. (Veteran)

Member Veterans Pension Group

Adviser War Widows Association

1 Surashri,1146 Lakaki Road
Shivajinagar 

Pune 411016
raviw...@gmail.com
9822329340  

To view this discussion visit https://groups.google.com/d/msgid/veteransindia/CA%2Bn7ZDQGrSOqwP2QgZe3d_M1hgaA63Toz6zU0R0%2BwUHwoC%2Bj3w%40mail.gmail.com.

[SANTOSH KUMAR MISHRA]

Need for Effective Implementation and Awareness of ECHS Medicine Procurement Policy during more than one consecutive Holidays/MSTB

This policy was issued by the Central Organisation ECHS vide letter No. B/49762/AG/ECHS/2024 dated 31 May 2024 is a welcome and much-needed initiative, as it clearly provides that “If consultation is done at a private hosp (emergency or after referral) on a holiday/MSTB, beneficiary can purchase medicines for that day and if there are more than one consecutive holidays/MSTB following the day of consultation then indl can purchase for this gap maximum upto three days In case of delay beyond 48 hrs or 72 hrs in remote place by the ALC the veteran is allowed to buy the medicine from market and the cost will be deducted from the ALC vendor as per ALC policy followed in ECHS.”

This is a highly progressive and veteran-centric measure aimed at reducing the inconvenience faced by beneficiaries—especially super senior citizens—when ECHS Polyclinics remain closed due to holidays or monthly stock-taking days. Unfortunately, due to poor dissemination, inadequate awareness campaigns, and inconsistent implementation at several Polyclinics, a large number of beneficiaries remain unable to avail themselves of the benefit of this facility, leading to unnecessary hardship, financial burden, and disruption of timely treatment

[veteran india]

Sir,

It is again intimate that,  medecins which have been prescribed to me by a Doctor in ECHS Midnapur are not available in Hyderabad.

I have visited several medecin stores with my prescription to purchase medicines for one month .

But all médecin stores told me these  medecins brands are not available in Hyderabad/Telangana state.

Hence instruct OIC, not to harass  beneficiary in this way in future

Janendra Kumar Sahoo

Card No KL 000001070955

On Sat, Sep 13, 2025 at 10:55 AM COL S K SINGH <jdhshy...@echs.gov.in> wrote:

Dear Sir

1.     Please refer to trial mail below.

2.     Emergency medicines can be issued upto max of 15 days by PC outside the AOR. However, dependent PCs can issue upto a max of 03 months if veteran is proceeding outstation.

3.     It is not understood which PC the veteran has visited in hyderabad. You are requested to intimate the same to veteran accordingly.

---

From: "Col Manoj Uniyal" <dirrck...@echs.gov.in>
To: "Col Pattiarimal Zoheb" <dirrchy...@echs.gov.in>
Cc: helplin...@gmail.com, "oic echspolyclinicmedinipur" <oic.echspolyc...@gamil.com>, "MAJ GEN M NATARAJAN" <mdech...@nic.in>
Sent: Monday, September 8, 2025 3:50:45 PM
Subject: Fwd: Re: Issuance of 60 days Medicines

1. Grievance received from the ECHS beneficiary is fwd herewith.

2. For your info and necessary action pl.

============ Forwarded message ============
From: <helplin...@gmail.com>
To: <veteranshe...@gmail.com>
Cc: <oic.echspolyc...@gamil.com>, "Col Manoj Uniyal"<dirrck...@echs.gov.in>, "MAJ GEN M NATARAJAN"<mdech...@nic.in>, <mde...@yahoo.com>
Date: Sat, 06 Sep 2025 17:51:22 +0530
Subject: Re: Issuance of 60 days Medicines
============ Forwarded message ============

Subject: Request for Advance Issue of Medicines on Compassionate Grounds

Sir,

I am a cardiac patient with multiple health conditions. 

I had submitted a request to the OIC, Polyclinic Midnapur, for the issue of two months’ medicines—one for the current month (August) and one month in advance (September 2025)—as I need to travel to Hyderabad to support my son, who is unwell and recently re-employed in a American Bank (Wels Frego).

However, the OIC informed me that only limited medicines are issued and declined my request for two months’ supply, advising instead to transfer my ECHS card to Hyderabad. 

This is not a fair solution for beneficiaries, as such transfer takes up to three months to revert back to the parent Polyclinic.

Today, when I visited ECHS Polyclinic Hyderabad, the OIC stated that they can only provide seven days of emergency medicines to outside beneficiaries.

In view of the above, I most humbly request your kind intervention to instruct the concerned OIC to issue one month of advance medicines in such emergency cases on extreme compassionate grounds, as is being practiced by several other Polyclinics across India.

With due regards,

Janendra Kumar Sahoo

Card No KL 000001070955

---

 

On Sat, Sep 6, 2025 at 10:06 AM Helping Hands For Veterans <veteranshe...@gmail.com> wrote:

FYI

The functioning of ECHS Polyclinic Dundahera, Gurugram (under AOR of RC ECHS Delhi-1) deserves special appreciation for its veteran-centric and humane approach in medicine issuance. By providing prescribed medicines for 60 days and ensuring the timely facilitation of "Not Available" medicines for the full prescribed period, the Polyclinic has established a commendable benchmark in healthcare delivery under ECHS. This practice not only minimises repeated visits by veterans and their dependents-thus reducing time, effort, and financial burden-but also upholds the health, dignity, and welfare of the ex-servicemen community. A notable instance is that of a veteran (White Card holder) residing in Gurugram, Haryana (Delhi NCR)-an area not categorised under hilly or exceptional terrains such as J&K, Uttarakhand, Himachal Pradesh, or the North Eastern states. The Dundahera Polyclinic's initiative clearly demonstrates that such facilitation is both practical and implementable even in plain areas. This best practice should, therefore, be standardised and uniformly implemented across all ECHS Polyclinics nationwide, ensuring equitable, standardised, and hassle-free healthcare access for every veteran and their family members.

[Helping Hands For Veterans]

Dear Janendra Kumar Sahoo Sir,

Please get in touch with Brig C.S. Vidyasagar (Retd) and his dedicated team from Secunderabad, who have formed an association committed to supporting veterans. They are experienced and proactive in addressing various veteran-related concerns and will definitely be able to assist you.

Contact Details:

• Brig C.S. Vidyasagar (Retd): +91 94931 91380 | csvidy...@gmail.com

• Lt Col G. Parvathesam (Retd): +91 94909 41822 | tsew...@gmail.com

Additional Team Members:

• +91 75695 13350

• +91 98869 87997

You may also reach out to Wg Cdr A B Bhushan (Retd) at +91 98480 48651. He is 83 years old and still fully dedicated to helping veterans. He is currently volunteering at ECHS Polyclinic, Secunderabad.

Jai Hind!

[Ravindra Waman Pathak]

All medicines Rx by MH and ECHS are as per CDL(Common Drug List) so if they not available at any clinic the oic procures through ALC or gives a NAC which allows you to purchase and claim

I am a proud Hindu and I believe Ahimsa, essentially, is doing everything to stop Himsa. Ahimsa is not the absence of Himsa, but the use of Sam, Dam, Danda, and Bhed to achieve peace.

 People often ask me what we can do for the soldiers. The answer is "be a​n ​Indian who is worth fighting for. "See if you can be one​"

Do I have enemies? ​Yes.​Good. That means I’ve stood up for something, sometime in my life.

Cdr Ravindra Waman Pathak I.N. (Veteran)

Member ​Veterans ​Pension Group

Adviser War Widows Association

1 Surashri,1146 Lakaki Road
Shivajinagar 

Pune 411016
raviw...@gmail.com
9822329340  

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[SANTOSH KUMAR MISHRA]

As per the Policy in vogue, doctors/Medical Officers at ECHS polyclinics are permitted to prescribe only medicines from the ECDL-24 list, which are generic and not specific branded medicines, and that too for a maximum duration of 15 days at non-parent ECHS polyclinics. It is important to note that ECHS is authorised to prescribe and issue only generic medicines. However, in cases where certain prescribed medicines are not available at the polyclinic, you are allowed to purchase them from the open market—without any restriction on the brand—and subsequently submit a claim for reimbursement as per ECHS guidelines.

You are surveying the market because the prescribed medicines are not available locally. Please note that the availability of a particular brand of medicine often depends on the demand in that specific region. Since certain brands may not be stocked regularly in Hyderabad due to low local demand, you may consider alternative options—such as purchasing the same brand from a different location, ordering online (if permitted), or opting for equivalent generic formulations available locally.

[Ravindra Waman Pathak]

Dear Sir

The medicine is  never identified by its brand name but by the basic API(salt).

So if you look for a brand you may not find a alternate in CDL or market near you 

I am a proud Hindu and I believe Ahimsa, essentially, is doing everything to stop Himsa. Ahimsa is not the absence of Himsa, but the use of Sam, Dam, Danda, and Bhed to achieve peace.

 People often ask me what we can do for the soldiers. The answer is "be a​n ​Indian who is worth fighting for. "See if you can be one​"

Do I have enemies? ​Yes.​Good. That means I’ve stood up for something, sometime in my life.

Cdr Ravindra Waman Pathak I.N. (Veteran)

Member ​Veterans ​Pension Group

Adviser War Widows Association

1 Surashri,1146 Lakaki Road
Shivajinagar 

Pune 411016
raviw...@gmail.com
9822329340  

To view this discussion visit https://groups.google.com/d/msgid/veteransindia/2b9b4c3b-24fb-4ddb-9d26-2b1bbac1c5b6n%40googlegroups.com.

[Helping Hands For Veterans]

🔗 Download ECHS CDL 2024 PDF 

[Helping Hands For Veterans]

Management of 64 KB ECHS Faulty Cards: https://www.echs.gov.in/assets/policy/MANAGEMENT%20OF%2064%20KB%20ECHS%20FAULTY%20CARDS.pdf

[Helping Hands For Veterans]

The ECHS Central Drug List (ECDL) 2024 includes only 2220 medicines. ECHS doctors are permitted to prescribe medicines strictly from this approved list. Currently, there is a restriction in the ECHS system that prevents doctors from prescribing medicines beyond those included in the ECDL, even if such medicines are considered essential for a patient’s treatment.

Is any ECHS beneficiary currently receiving a medicine—prescribed by a specialist from an empanelled or service hospital—that is not listed in the CDL but is considered essential for treatment?

 If yes, kindly share your experience and the process followed for obtaining such medicines under ECHS guidelines

[Ravindra Waman Pathak]

Dear Sir

There is a provision to update the eCDL by SEMO sending a list of essential medicines to be included and a list of 150 medicines were sent by MH Khadki to Centorg. That's all. They slept over the list.

There is no way to claim medicines not  Rx by ECHS as they cant give a NAC for a medicine not in eCDL

I am a proud Hindu and I believe Ahimsa, essentially, is doing everything to stop Himsa. Ahimsa is not the absence of Himsa, but the use of Sam, Dam, Danda, and Bhed to achieve peace.

 People often ask me what we can do for the soldiers. The answer is "be an Indian who is worth fighting for. "See if you can be one"

Do I have enemies? Yes.Good. That means I’ve stood up for something, sometime in my life.

Cdr Ravindra Waman Pathak I.N. (Veteran)

Member Veterans Pension Group

Adviser War Widows Association

1 Surashri,1146 Lakaki Road
Shivajinagar 

Pune 411016
raviw...@gmail.com
9822329340  

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[Helping Hands For Veterans]

---------- Forwarded message ---------
From: Helping Hands For Veterans <helping-hands...@googlegroups.com>
Date: Thu, 18 Sept 2025 at 16:38
Subject: Re: Issuance of 60 days Medicines

To: Helping Hands For Veterans <helping-hands...@googlegroups.com>

To
Managing Director
Central Organisation ECHS
Adjutant General’s Branch
Integrated HQ of MoD (Army)
Maude Lines, Delhi Cantt – 110010
011-25684846 | Army No: 36830 |+91-9971129165 |
  mdech...@nic.in

Brig BS Poswal,  SM,
Deputy Managing Director
Central Organisation ECHS
Adjutant General’s Branch
Integrated HQ of MoD (Army)
Maude Lines, Delhi Cantt – 110010
 01125683719 | Army No: 36831   +91-9971129165 |
dymdec...@nic.in

Col Anil Kumar Gupta 
Medical Director
Central Organisation  ECHS
01125683476 | Army No: 36833 |   +91-9211820047 |
dirmede...@nic.in

Col Arun Sharma
Director (Ops & Coord)
Central Organisation  ECHS
01125684847 | Army No: 36832 | +91-9459095299 |
  diropse...@nic.in

Subject: Request for Standardisation of 60-Day Medicine Issuance and Reimbursement of Non-Available Medicines for the full Prescribed/60-day period Across All ECHS Polyclinics,  on the lines of the system already being implemented by ECHS Polyclinic, Dundahera  (under AOR of Regional Centre Delhi-1)

Dear Sir/Madam,


1.   This is in reference to the trial emails sent earlier, dated .............. 2025, ........... 2025, ............. 2025, and ................2025—your favourable action on the subject matter is still awaited. Your kind consideration is once again respectfully solicited.

2.         The functioning of ECHS Polyclinic Dundahera, Gurugram (under the AOR of RC ECHS Delhi-1) deserves wholehearted appreciation for its veteran-centric, efficient, and compassionate approach to medicine issuance. By proactively issuing prescribed medicines for 60 days and ensuring the timely facilitation of “Not Available” medicines for the full prescribed duration of 60 days, the Polyclinic has set a laudable benchmark in healthcare service delivery under the ECHS framework. This thoughtful practice not only reduces the frequency of visits required by veterans and their dependents—thereby saving time, effort, and associated costs—but also reinforces the core values of dignity, care, and well-being for the ex-servicemen community. A noteworthy instance involves a Beneficiary (White Card holder — Veteran ......................................., Service No.: ............................,  ECHS Card No.: ........................., His Spouse Card No.: ............................................& Registered Mobile No.: ........................................,) residing in Gurugram, Haryana (Delhi NCR)—a region not classified under hilly or special terrains like J&K, Himachal Pradesh, Uttarakhand, or the North Eastern states. The initiative undertaken by Dundahera Polyclinic clearly demonstrates that such facilitation is not only feasible but highly effective in both urban/rural plain areas as well. This best practice serves as a valuable model and should be considered for uniform implementation across all ECHS Polyclinics nationwide, thereby ensuring consistent, equitable, and veteran-friendly healthcare delivery to every beneficiary across the country.

CLAIM Details: Veteran ..............................................

3.         Special mention must be made of Veteran..............................., who not only availed this commendable facility at ECHS Polyclinic Dundahera but also thoughtfully brought it to wider notice. By highlighting this veteran-friendly practice, the individual has contributed meaningfully to promoting transparency, accountability, and system improvement. Their initiative serves as an excellent example of responsible and constructive beneficiary engagement—demonstrating how proactive feedback and participation can pave the way for positive, system-wide reforms that benefit the larger ex-servicemen community. Such informed and engaged participation is invaluable in strengthening the ECHS framework and ensuring that best practices are recognised, shared, and replicated.

4.     Rationale for Standardisation

The standardisation of key processes within the ECHS (Ex-Servicemen Contributory Health Scheme) is essential to improve efficiency, enhance beneficiary satisfaction, and ensure timely and equitable access to healthcare. Two critical components of this initiative are the issuance of 60-day medicines and the reimbursement mechanism for non-available medicines.

(a) 60-Day Medicine Issuance

The issuance of medicines for a 60-day period, particularly for veterans with chronic illnesses or those of advanced age, carries significant advantages:

• Reduces Travel and Logistical Burden: Many veterans face challenges related to mobility, distance from ECHS Polyclinics, or lack of dependable transportation. A 60-day supply greatly minimises the frequency of visits, offering comfort and dignity to elderly and chronically ill beneficiaries.
• Improves Treatment Compliance: Longer-duration supplies ensure uninterrupted medication schedules, leading to better adherence to prescribed treatment regimens and improved health outcomes.
• Decongests Polyclinics: With fewer beneficiaries needing frequent visits solely for medicine refills, ECHS Polyclinics can allocate more time and resources to consultations, acute care, and emergencies.
• Ensures Continuity of Care: This policy supports beneficiaries during travel or emergencies by ensuring they are not left without essential medication.

(b) Reimbursement for Non-Available Medicines

In instances where prescribed medicines are not available at ECHS facilities, a streamlined reimbursement mechanism ensures that beneficiaries can procure medicines from outside sources without delay. Key benefits include:

• Timely Access to Treatment: Veterans can continue treatment without interruption, even when stock-outs occur, thereby maintaining the effectiveness of care.
• Reduces Financial Hardship: The reimbursement system alleviates the economic burden on veterans, many of whom are on fixed incomes or pensions.
• Prevents Treatment Delays: Quick procurement from outside sources ensures that critical medications are not missed, safeguarding patient health.
• Supports Flexibility and Compassionate Care: A transparent and responsive reimbursement system reflects ECHS’s commitment to adaptability and putting beneficiary needs first.

(c) Systemic Benefits

Together, these measures contribute to systemic improvements across the ECHS framework:

• Reinforces Veteran-Friendly Ethos: These policies are aligned with the core mission of ECHS to provide seamless and compassionate healthcare to its beneficiaries.
• Promotes Equity and Transparency: Standardised policies ensure consistent treatment across regions and Polyclinics, enhancing trust in the system.
• Enhances Overall Satisfaction: By addressing two of the most common pain points – frequent travel for medicines and non-availability of drugs – ECHS improves the overall user experience.

In conclusion, the adoption of 60-day medicine issuance and a robust reimbursement process for non-available medicines is a strategic and compassionate step forward. It not only ensures continuity and quality of care for veterans but also strengthens the operational efficiency and credibility of the ECHS system.

 5.   In light of the above, I respectfully urge your esteemed office to kindly consider this best practice for urgent policy-level standardisation across all ECHS Polyclinics, thereby ensuring uniform access to this facility for all ECHS beneficiaries across India.

Submitted with utmost respect for your favourable consideration and early action.

With utmost respect and warm regards,
-sd-
......................................................
.......................................................
ईसीएचएस प्राथमिक लाभार्थी / ECHS Primary Beneficiary

......................

...................................

Enclosures: As stated

Copy to:

Col Tarun Kumar Tiwary, Director (Complaints and Litigation), Central Organisation  ECHS
01120892332 | Army No: 38838 | 7051260282 | dircompl...@nic.in

Col Anand Singh Chauhan, SM, Director Vigilance, Central Organisation  ECHS
01120892594 | 8527549263 | dirvig...@echs.gov.in

Surg Capt Geeta Sinha, JT Director (Medical & Claims), Central Organisation  ECHS
01125683475 | 8178390791 | jdmed...@echs.gov.in

 Lt Col Sri Kant Kumar, JT Director (Medical), Central Organisation  ECHS
9871561444 | jdmed...@nic.in

Col Jagdeep Singh, Director, Regional Centre ECHS Delhi-1
 011-20892596  | Army No: 36840  |  8448787174  | dirrc...@echs.gov.in

Lt Col Reeti Sisodiya, Joint Director Health Services (JDHS),  Regional Centre ECHS Delhi-1
 011-20892595  | Army No: 28634  |   7798220246 | jdhsd...@echs.gov.in

Bill Processing Agency (UTIITSL)
 022-6793 1116  | ech...@utiitsl.com

Col Ajit Singh (Retd) , Officer-in-Charge, ECHS Polyclinic Dundahera,*  Sector-18, Old Gurgaon Road, Gurugram, Haryana
 0124-4249054, & 0124- 4271062  |  9717974488 | gur...@echs.gov.in

On Thursday, 18 September 2025 at 11:04:26 UTC+5:30 Helping Hands For Veterans wrote:

The ECHS Central Drug List (ECDL) 2024 includes only 2220 medicines. ECHS doctors are permitted to prescribe medicines strictly from this approved list. Currently, there is a restriction in the ECHS system that prevents doctors from prescribing medicines beyond those included in the ECDL, even if such medicines are considered essential for a patient’s treatment.

Is any ECHS beneficiary currently receiving a medicine—prescribed by a specialist from an empanelled or service hospital—that is not listed in the CDL but is considered essential for treatment?

 If yes, kindly share your experience and the process followed for obtaining such medicines under ECHS guidelines

---

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[Ravindra Waman Pathak]

Today as a 70 yrs old patient I was told I can be issued 2 months medicine. Which I have collected

Khadki polyclinic 

I am a proud Hindu and I believe Ahimsa, essentially, is doing everything to stop Himsa. Ahimsa is not the absence of Himsa, but the use of Sam, Dam, Danda, and Bhed to achieve peace.

 People often ask me what we can do for the soldiers. The answer is "be a​n ​Indian who is worth fighting for. "See if you can be one​"

Do I have enemies? ​Yes.​Good. That means I’ve stood up for something, sometime in my life.

Cdr Ravindra Waman Pathak I.N. (Veteran)

Member ​Veterans ​Pension Group

Adviser War Widows Association

1 Surashri,1146 Lakaki Road
Shivajinagar 

Pune 411016
raviw...@gmail.com
9822329340  

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[SANTOSH KUMAR MISHRA]

Dear Sir,

Congratulations on receiving 60 days of medicines — a commendable and patient-friendly initiative. I sincerely appreciate the efforts of the ECHS Polyclinic Khadki team in implementing this best practice, similar to that being followed at ECHS Polyclinic Dundahera (AOR RC ECHS Delhi-1).

Please clarify whether reimbursement claims for not-available medicines for 60 days are also permitted under this initiative, as is the case at ECHS Polyclinic Dundahera.

With respect and regards,

Santosh Kumar Mishra

9582140406

______________

Armed Forces Pensioner

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[Helping Hands For Veterans]

The adoption of a veteran-centric approach by ECHS Polyclinic Khadki—following the exemplary model set by ECHS Polyclinic Dundahera—is a clear and compelling indicator that such initiatives are both practical and scalable across regions. This success story demonstrates that high-quality, compassionate care for veterans need not be confined to select locations. Instead, it sets a strong precedent for broader implementation.

With multiple polyclinics now successfully operating under this model, the case for nationwide standardisation is not just evident—it is imperative. Ensuring that all veterans, regardless of their geographic location, have equitable, timely, and dignified access to essential healthcare services is not merely an aspiration but a responsibility that must be acted upon without delay.

[Chandra Nath]

Ref: ECHSGPT

https://chatgpt.com/s/m_68cd8bdbdfc88191bb6b8de80826fdad

1. Prescription in generic names only
   ECHS policy requires that medicines prescribed by a Service Hospital, Empanelled Hospital and Polyclinic be by generic name only. Navy Foundation Pune Chapter+1

2. Medicines issue duration at parent polyclinic

   • Normally, medicines at the parent polyclinic can be issued for 30 days in one go. Navy Foundation Pune Chapter+1

   • With review-not-required justification, that can be extended up to 90 days for chronic cases. Navy Foundation Pune Chapter+1

3. Issue duration at “outstation / non-parent polyclinic”

   • When ECHS beneficiary is visiting an outstation polyclinic, issue is restricted. In the 2024 Handbook, medicines from outstation polyclinic are limited to 15 days for a visit. Navy Foundation Pune Chapter

   • An earlier limit was 7 days in older versions, but that has since been updated. Navy Foundation Pune Chapter+1

4. What happens when medicines are Not Available (NA)

   • If a medicine is not available at the ECHS polyclinic dispensary, the Officer in Charge (OiC) of the Polyclinic can procure it from an Authorised Local Chemist (ALC) and provide to the beneficiary. Navy Foundation Pune Chapter

   • If it is not in stock at both the Polyclinic and ALC, then an “NA Certificate” may be issued on prescription, whereby the beneficiary can purchase it from the open (local) market and claim reimbursement. Navy Foundation Pune Chapter

5. Financial / Value limits & updated durations

   • There was a modification approved (as of 2022) to increase the monetary ceiling for purchase of “Not Available, emergent, lifesaving and essential drugs” from open market and also to increase the maximum period of purchase from 15 days to 30 days under certain conditions. Press Information Bureau+1

   • This is when the medicine is NA in Polyclinic/ALC and beneficiary has to purchase. Press Information Bureau

---

⚠️ What the statement you gave does not fully match policy, or is partially incorrect / outdated

Here are parts of your statement which are not fully supported, or are partially incorrect, based on the current ECHS policy:

Your Statement	What policy says / discrepancy
“Doctors/Medical Officers at ECHS polyclinics are permitted to prescribe only medicines from the ECDL-24 list”	The policy requires prescribing by generic name. However, I did not find a clause that limits the prescription exclusively to “ECDL-24” list (if that refers to a specific list of generics or Essential Medicinal List). The documents say generic name only, but ECDL-24 list is not clearly mentioned in the sources I checked. (Could be a localized implementation or mis-naming.)
“Only generic and not specific branded medicines”	This is correct. Policy mandates generic names only. Navy Foundation Pune Chapter+1
“Maximum duration of 15 days at non-parent ECHS polyclinics”	This was an older policy in some versions, but now updated: maximum period has been increased under certain parameters. The policy allows issuance for up to 30 days from open market when medicines are NA, etc. Also, for outstation polyclinics / site visits the 15 days limit applies. So it depends on why 15 days is used (visit / NA / non-parent PC etc.). Navy Foundation Pune Chapter+1
“You are allowed to purchase them from the open market—without any restriction on the brand—and subsequently submit a claim for reimbursement”	Partially correct: yes, in case of NA at Polyclinic & ALC you can buy from market. But “without any restriction on brand” is questionable: the policy emphasises generic prescribing; there may need to be justification if branded drugs are prescribed or submitted. Also, claim must follow guidelines and limits set (value, certificate etc.). Navy Foundation Pune Chapter+1

---

📋 What the actual up-to-date policy is (short summary)

Putting together the latest Handbook (2024) & official ECHS letters:

• Generic prescribing is mandatory. All medicines must be prescribed by generic name only. Navy Foundation Pune Chapter

• Duration of issue:

  • Parent Polyclinic: normally 30 days, up to 90 days for chronic cases if no review needed. Navy Foundation Pune Chapter

  • Outstation / non-parent polyclinic / during visits: limited duration (commonly 15 days) when issuing at a non-parent PC or outstation PC. Navy Foundation Pune Chapter

• When medicine is not available:

  • Use of ALC for dispensary shortages. Navy Foundation Pune Chapter

  • NA certificate if both PC dispensary & ALC don’t have it, to purchase from open market and claim reimbursement. Navy Foundation Pune Chapter

• Financial / ceiling limits and period of prescription from open market:

  • Earlier the maximum period for open market purchase was 15 days; modified to 30 days under certain conditions. Press Information Bureau

  • There are monetary limits on the value of medicines/consumables per purchase / claim. Press Information Bureau

---

🔍 Conclusion: Is your statement correct?

Your statement is partially correct, but needs some updating / correction in light of the current (2024) policy.

• Correct in requiring generic names.

• The restriction to 15 days at non-parent PC is partly true historically and for some situations, BUT current policy has increased flexibility (30 days etc.) under certain parameters.

• The phrase “only from ECDL-24” is not found explicitly in the official texts I checked (or may be local/custom list but not national policy as per the documents).

• The part about purchasing from open market when NA is correct, but brand restrictions may still need justification; policy doesn’t explicitly say “no restriction on brand” in all cases.

---

If you like, I can dig up the exact clause text from the 2024 Handbook for your region (or station) to verify if there are any local amendments. Do you want me to do that?

You said:

Bangalore is my station

ECHSGPT – Veteran Healthcare Assistant said:

Thank you for confirming your station is Bangalore. I checked the latest ECHS national policy documents; I did not find any clause specific to Bangalore that changes the standard policy. So the general rules apply in Bangalore as elsewhere. Here are the relevant policy points + how they map to your statement:

---

📄 Relevant ECHS Policy Provisions (Nationwide, includes Bangalore)

1. From ECHS FAQs (April 2023)

   • Patients using a Polyclinic other than their parent Polyclinic can be issued medicines for 15 days at a time. ECHS

   • If a medicine is not available both at the Polyclinic (PC) and the Authorised Local Chemist (ALC), you may purchase it from the open market and claim reimbursement provided there is a Non-Availability (NA) certificate. ECHS

2. From the “Re-imbursement of cost of Not Available (NA) medicines and consumables” MoD order dated 25 March 2022

   • The period for which NA medicines may be purchased and reimbursed has been extended from 15 days earlier to 30 days at a time. Central Government Employees News+1

   • There are monetary ceilings for reimbursement: ₹ 25,000 under “general conditions”, higher under “special conditions”, and much higher for cancer medicines. Central Government Employees News+1

3. From “Increase in medicine issue in non-parent PC” (POLICY dated 28 Mar 2023)

   • It revokes/updates the older limit of 7 days at non-parent polyclinics. The current policy (post-update) is 15 days issue at non-parent PCs. ECHS+1

---

🔍 How This Applies to Bangalore

Given those national rules apply uniformly (unless there is a specific local variation, which I found none in public domain for Bangalore):

• At a non-parent Polyclinic in Bangalore, you can get medicines for 15 days at a time.

• If the required medicine is not available at both the polyclinic and the ALC, you can purchase it from the open market with an NA certificate and claim reimbursement.

• The reimbursement time period allowed for NA medicines is up to 30 days now (if all conditions satisfied).

• Prescriptions must be in generic names.

---

⚠️ Points To Confirm Locally at Your Polyclinic

Since sometimes local practices vary, you may want to check:

1. Whether your local polyclinic has the ECDL-24 list and uses it. Sometimes “essential drugs” lists are station-specific.

2. Whether the OIC (Officer-in-Charge) at your Bangalore PC issues/approves the NA certificates promptly.

3. Whether any local ceiling (monetary or duration) is lower due to resource constraints.

Chandra Nath

7760928824

______________

The Armed Forces Officer 2025

My every thought is stealthily copied/sometimes borrowed/mostly stolen/almost always shamelessly misappropriated; none are my own, and hence a crutch by itself! 

To view this discussion visit https://groups.google.com/d/msgid/veteransindia/CAFTWKgARaPkwMwUKMda%2B8YrmbpKzZVGbrCc7gwS44gZPd02T1Q%40mail.gmail.com.

[Ravindra Waman Pathak]

Rules apart if the issue of medicine to above 70 patients who are CT all cases is  implemented by any Oic the footfalls certainly reduce giving more time to doctors to devote to those who need that extra time 

Unfortunately the ECHS has entangled itself with too many rules being changed too often 

I am a proud Hindu and I believe Ahimsa, essentially, is doing everything to stop Himsa. Ahimsa is not the absence of Himsa, but the use of Sam, Dam, Danda, and Bhed to achieve peace.

 People often ask me what we can do for the soldiers. The answer is "be a​n ​Indian who is worth fighting for. "See if you can be one​"

Do I have enemies? ​Yes.​Good. That means I’ve stood up for something, sometime in my life.

Cdr Ravindra Waman Pathak I.N. (Veteran)

Member ​Veterans ​Pension Group

Adviser War Widows Association

1 Surashri,1146 Lakaki Road
Shivajinagar 

Pune 411016
raviw...@gmail.com
9822329340  

To view this discussion visit https://groups.google.com/d/msgid/veteransindia/CAAoj_dX%3DcgN9sYNT13OMsZdHYBn6su7ZW9AJcskDLQhPooHYDw%40mail.gmail.com.

[SANTOSH KUMAR MISHRA]

Dear Sir,

I reiterate my concern regarding the outdated information and misinformation in the ECHSGPT database. As previously communicated, I had requested that these discrepancies be addressed and the data be updated in line with the latest ECHS directives.

Regrettably, rather than taking steps to correct the inaccuracies I identified, the focus has shifted toward questioning the validity of my statements—statements which are, in fact, accurate and supported by the most recent ECHS official guidelines.

This response is both disappointing and unexpected, especially given the importance of ensuring reliable and up-to-date information in this context.

I respectfully request that the necessary corrections be made immediately to maintain the integrity and usefulness of the system.

Thank you for your attention to this matter.

With utmost respect and warm regards,
-sd-

संतोष कुमार मिश्र/ Santosh Kumar Mishra

Armed Forces Veteran 

📞 9582140406

📧 echsben...@gmail.com

The one who thinks of themselves as the wisest is actually the most ignorant.                              

       

To view this discussion visit https://groups.google.com/d/msgid/veteransindia/CAAoj_dX%3DcgN9sYNT13OMsZdHYBn6su7ZW9AJcskDLQhPooHYDw%40mail.gmail.com.

[Chandra Nath]

Please provide the authentic pdf from authorized sources which I can use to train the ECHSGPT.

I do not control the responses. We can only correct by asking it do “Think hard, no time limit and do deep research with my prompt” qualification.

Every response from any AI tools comes withe warning. Read it with every response.

In fact, you can contest the ECHSGPT if you know a fact for sure, it will do deeper research for you and thank you for correcting it so that other users will benefit in the future .

These are rules of Prompt Engineering as propagated by all AI companies at the current level of technology.

I had pushed the GPTs to accept this mistake with regard to AadharOffice card that it is not an id card in the conventional sense!

If you are using any AI tools, accept their current drawbacks too.

Nothing personal about this. Even Sam Altman will admit this deficiency.

Chandra Nath

7760928824

______________

The Armed Forces Officer 2025

My every thought is stealthily copied/sometimes borrowed/mostly stolen/almost always shamelessly misappropriated; none are my own, and hence a crutch by itself! 

On Sat, Sep 20, 2025 at 7:38 AM SANTOSH KUMAR MISHRA <echsben...@gmail.com> wrote:

Dear Sir,

I have previously expressed my concern about the outdated information and misinformation present in the ECHSGPT database, and I had requested that the data be updated accordingly.

However, despite highlighting these inaccuracies, you have chosen to find errors in my statement—statements which are, in fact, correct. This approach is disappointing and not something I had expected from your end.

With warm Regards,

Santosh Kumar Mishra

9582140406

On Fri, Sep 19, 2025 at 10:34 PM Chandra Nath <cpc...@gmail.com> wrote:

----

[SANTOSH KUMAR MISHRA]

Dear Sir,

I, too, do not control the responses. I am someone who consciously avoids confrontation and never dishonours anyone — I expect the same courtesy in return. All ECHS directives are publicly available and uniformly applicable, regardless of location — be it Bangalore, Delhi, Pune, Mumbai, or Kolkata. These policies do not change from place to place. 

The information I shared is sourced from the same publicly accessible guidelines. I already shared the link of the ECHS directives. 

Central Organisation ECHS Orders & Circulars

• • ECHS Web Portal → Policy Section   https://www.echs.gov.in/      https://www.echs.gov.in/med_sec

• DESW ECHS Circulars

  • DESW Circulars   https://desw.gov.in/en/echs--circulars

  • Archive Circulars   https://desw.gov.in/en/archive-echs--circulars

• ECHS Policies

  • DTF: ECHS Policies Compilation  https://dtf.in/ex-servicemen-contributory-health-service-echs/

YouTube Channels for Guidance

Helping Hands for ECHS – Cdr VK Santhanam (Retd)

https://www.youtube.com/@helpingshandsforechscommander

Helping Hands for ECHS Website – Cdr VK Santhanam (Retd)

https://echscoregroup.github.io/Helping-Hands-For-ECHS

Lt Col Yogesh Kalra (Retd)  

https://www.youtube.com/@LtColYogeshKalra/playlists

Sainik Samachar India

https://www.youtube.com/@SainikSamacharIndia-Bharat/playlists

I strongly urge you to thoroughly review the official ECHS policies before making any assumptions or statements. If you are claiming to rely on ECHSGPT, ensure it is updated and accurate. As a technically qualified individual, you are expected to understand and uphold accuracy — not misrepresent facts. If you cannot ensure that, it is better to refrain from making unfounded claims.

Regards

On Sat, Sep 20, 2025 at 8:08 AM Chandra Nath <cpc...@gmail.com> wrote:

Please provide the authentic pdf from authorized sources which I can use to train the ECHSGPT.

I do not control the responses. We can only correct by asking it do “Think hard, no time limit and do deep research with my prompt” qualification.

Every response from any AI tools comes withe warning. Read it with every response.

In fact, you can contest the ECHSGPT if you know a fact for sure, it will do deeper research for you and thank you for correcting it so that other users will benefit in the future .

These are rules of Prompt Engineering as propagated by all AI companies at the current level of technology.

I had pushed the GPTs to accept this mistake with regard to AadharOffice card that it is not an id card in the conventional sense!

If you are using any AI tools, accept their current drawbacks too.

Nothing personal about this. Even Sam Altman will admit this deficiency.

Chandra Nath

7760928824

______________

The Armed Forces Officer 2025

My every thought is stealthily copied/sometimes borrowed/mostly stolen/almost always shamelessly misappropriated; none are my own, and hence a crutch by itself! 

On Sat, Sep 20, 2025 at 7:38 AM SANTOSH KUMAR MISHRA <echsben...@gmail.com> wrote:

Dear Sir,

I reiterate my concern regarding the outdated information and misinformation in the ECHSGPT database. As previously communicated, I had requested that these discrepancies be addressed and the data be updated in line with the latest ECHS directives.

Regrettably, rather than taking steps to correct the inaccuracies I identified, the focus has shifted toward questioning the validity of my statements—statements which are, in fact, accurate and supported by the most recent ECHS official guidelines.

This response is both disappointing and unexpected, especially given the importance of ensuring reliable and up-to-date information in this context.

I respectfully request that the necessary corrections be made immediately to maintain the integrity and usefulness of the system.

Thank you for your attention to this matter.

With utmost respect and warm regards,
-sd-

संतोष कुमार मिश्र/ Santosh Kumar Mishra

Armed Forces Veteran 

📞 9582140406

📧 echsben...@gmail.com

The one who thinks of themselves as the wisest is actually the most ignorant.

[Chandra Nath]

Do you have the ECHS owned pdf? 

I can add it as a source document for the ECHSGPT.

Once it is added, it will base its responses based on these documents.

Every response contains the warning:

⚠️ Disclaimer: This guidance is based on ECHS Handbook 2024, Chapter I – Eligibility, Para 6 (Parents). Policies are subject to amendments; always confirm with your Parent Polyclinic or Regional Centre.

Regards,

Chandra Nath

7760928824

______________

The Armed Forces Officer 2025

I have only one passion: the love of liberty and human dignity.  In my view, all governmental forms are only more or less perfect means to satisfy that holy and legitimate passion of men—Tocqueville.

On Sat, Sep 20, 2025 at 11:16 AM SANTOSH KUMAR MISHRA <echsben...@gmail.com> wrote:

Dear Sir,

I, too, do not control the responses. I am someone who consciously avoids confrontation and never dishonours anyone — I expect the same courtesy in return. All ECHS directives are publicly available and uniformly applicable, regardless of location — be it Bangalore, Delhi, Pune, Mumbai, or Kolkata. These policies do not change from place to place. 

The information I shared is sourced from the same publicly accessible guidelines. I already shared the link of the ECHS directives. I strongly urge you to thoroughly review the official ECHS policies before making any assumptions or statements. If you are claiming to rely on ECHSGPT, ensure it is updated and accurate. As a technically qualified individual, you are expected to understand and uphold accuracy — not misrepresent facts. If you cannot ensure that, it is better to refrain from making unfounded claims.

Regards

---

On Sat, Sep 20, 2025 at 8:08 AM Chandra Nath <cpc...@gmail.com> wrote:

[Chandra Nath]

ECHS Updates Tracker – 2025

This tracker consolidates the latest circulars, policies, and advisories issued on the official ECHS website (Medical Section) during 2025. It supplements the ECHS Handbook 2024 and other static references.

---

🔹 Policy & Circular Updates (2025)

Date	Circular / Subject	Key Policy Change	Source Link
22 Aug 2025	Standard sanction for investigations from civil hospitals/diagnostic centres	Introduced guidelines for standardized sanctioning of investigations in civil facilities, to streamline approvals and ensure uniformity across stations.	ECHS Circular – 22 Aug 2025
13 Aug 2025	Prior sanction for treatment in non-empanelled hospitals	Mandatory prior approval needed before availing treatment in non-empanelled hospitals (except true emergencies). Strengthens control over reimbursements.	ECHS Circular – 13 Aug 2025
30 Apr 2025	Procurement of drugs & consumables (Modification)	Revised procurement process for drugs and consumables at polyclinics, introducing stricter checks and cost-control measures.	ECHS Circular – 30 Apr 2025
29 Apr 2025	Domiciliary Medical Equipment Policy	New norms for issuing medical equipment (e.g., CPAP, BiPAP, glucometers, hearing aids). Streamlined sanction procedure and documentation.	ECHS Circular – 29 Apr 2025
12 Mar 2025	Revised Referral Guidelines	Updated referral validity to 90 days, allowed up to 6 consultations, and eased rules for routine investigations. Extends direct specialist access for veterans aged 70+.	ECHS Circular – 12 Mar 2025
11 Mar 2025	AYUSH Treatment Advisory	Clarified scope of reimbursement for Ayurveda, Yoga, Unani, Siddha, and Homeopathy treatments. Beneficiaries must obtain prior approval.	ECHS Circular – 11 Mar 2025
21 Feb 2025	Post-Organ Transplant Medicine Purchase Guidelines	Standardized process for long-term purchase of essential post-transplant medicines. Beneficiaries may be permitted direct purchase with reimbursement at CGHS rates.	ECHS Circular – 21 Feb 2025

---

🔹 Key Highlights

• Referrals: Validity extended to 90 days / 6 OPDs; elderly beneficiaries (70+) get direct access to specialist OPDs.

• Emergency Treatment: Prior sanction now strictly required for non-empanelled hospitals (except emergencies).

• Medicines & Equipment: Stronger procurement norms and a clear framework for domiciliary medical equipment.

• AYUSH: Advisory reaffirms reimbursement allowed with prior approval.

• Organ Transplants: Long-term medicine purchase rules standardized.

---

🔹 How to Use This Tracker

• Refer to ECHS Handbook 2024 for baseline rules.

• Check this tracker for amendments and new policies (2025).

• Always cross-verify latest circulars on the official site: ECHS Medical Section.

---

📌 Disclaimer: This tracker is for reference only. Final authority rests with official circulars and instructions from Central Organisation ECHS.

✅ I’ve created the ECHS Updates Tracker – 2025 with all major circulars from the official ECHS Medical Section. This sits alongside your ECHS Handbook 2024 as a quick-reference update log.

Do let me know if any further policy pdfs are required for updation. Once it is updated, the ECHGPT will include these updates in its response. It has a system of looking for updates constantly, but that is not assured to work, though.

[Helping Hands For Veterans]

ECHS Policy on Prior Sanction for Treatment in Non‑Empanelled Hospitals – Listed Procedures (Letter dated 13.08.2025): 

https://dtf.in/wp-content/files/ECHS_Letter_dated_13.08.2025_-_Policy_on_prior_sanction_for_treatment_in_Non-Emp_Hosp_-_Listed_Procedure.pdf

LIST OF DISTRICTS NOT COVERED BY ECHS POLYCLINICS/ ARMED FORCES CLINICS/ MI ROOMS:

 https://dtf.in/wp-content/files/List_of_Distts._not_Covered_by_ECHS_PolyclinicsArmed_Forces_ClinicsMI_Rooms_As_on_ECHS_website-03.09.2025.pdf