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Pharmacy Surveillance of Schedule H, H1 & X Drugs

Pharmacy Surveillance of Schedule H, H1 & X Drugs

Context

  • The Ministry of Health & Family Welfare has recently proposed CCTV surveillance in retail pharmacies selling Schedule H, H1 and X drugs, with footage kept for 3 months, to prevent illegal OTC sales and help tackle antimicrobial resistance (AMR). Wholesale pharmacies are excluded.

What are H, H1, X drugs?

ScheduleWhat it means
HPrescription medicines that can be sold at retail only on the prescription of a Registered Medical Practitioner.
H1A category of prescription drugs subject to additional regulatory controls and record-keeping requirements, particularly to monitor their sale and prevent misuse.
XDrugs subject to stricter prescription and record-keeping requirements; their prescriptions must be in duplicate, with one copy retained by the licensee for two years.

H: Common prescription medicines / H1: Certain antibiotics, anti-TB & habit-forming drugs / X: Certain narcotic & psychotropic drugs.

Key Regulatory Provisions

  • Prescription Requirement: Schedule H, H1 and X drugs cannot be sold by retail except in accordance with a prescription issued by a Registered Medical Practitioner.
  • Record Keeping: Sale of Schedule H1 drugs is required to be recorded separately, including details such as the prescriber, patient, drug and quantity supplied, with records maintained for three years.
  • Schedule X: The prescription is required to be maintained in duplicate, with one copy retained by the licensee for two years.
  • Labelling: These drugs carry specific prescription-related warnings and symbols such as Rx/XRx, depending on the applicable schedule.

 Conclusion

The proposed amendments strengthen oversight of Schedule H, H1 and X drugs, with CCTV surveillance aimed at improving transparency and preventing their unauthorised sale.

Important CTC from this article for UPSC

Drugs Rules, 1945