Disposal of expired supplies

Expiry management of supplies is crucial to avoid financial losses and harm to patients.

If any drug expires due to reasons beyond control, the write-off of expired drugs should be as per the guidelines given in NTEP National Strategic Plan. As per NSP, the State is allowed to write off up to 2% of the cost of the annual supply of drugs on implementation of Drug Sensitivity Testing (DST) guided treatment and 2% cost of rapid molecular test cartridges. The expired stock should be disposed-off as per the Bio-medical Waste (Management and Handling) guidelines of Govt. of India.

Disposal of Expired/Discarded Medicines

Colour of the bag to be used: Yellow

Image

Figure 1: Disposal of expired supplies according to Bio-Medical Waste Management Rules 2016

Updating in Ni-kshay Aushadhi

To dispose of or remove the expired/rejected drugs from the online inventory, follow the steps below:

1. Go to the ‘Write-Off/Disposal’ process in Stock Management,
2. Click on the ‘Request’ button to generate the disposal request,
3. Select the ‘Expired or Rejected’ category, and the system will show the respective drugs
4. Select the drug with an expired batch and enter the quantity
5. Click on the ‘Save’ button.

Figure 2: Write-off/disposal register in Nikshay Aushadhi                         Source: Nikshay Aushadhi portal

Figure 3: Entering details of expired drugs in the write-off/disposal register in Nikshay Aushadhi   Source: Nikshay Aushadhi portal

Steps to follow

1. After saving, select the request and click on the ‘Write-off’ button,
2. Verify the drug details and select the type of write-off as ‘Burned/Buried’,
3. Enter the ‘Remarks’, and click on the ‘Save’ button,
4. System will generate the voucher, and the drug quantity will be deducted from the inventory.

Figure 3: Expired drug details in Nikshay Aushadhi   Source: Nikshay Aushadhi portal

Condemnation of laboratory supplies

Figure 4: Process of condemnation of laboratory supplies which are non-functional, obsolete, non-reparable equipment in NTEP’s laboratories

Information is required in below mentioned format to condemn the lab equipment:

Figure 5: Form GFR 10        Source: General Financial Rules 2017, Ministry of Finance, Department of Expenditure, GoI

The request for the replacement of the equipment condemned has to be submitted to State TB Officer (STO)/Central TB Division (CTD) in the below-mentioned format:

Figure 6: Annexure 4 for details of equipment for condemnation              Source: Guidelines for the condemnation and replacement of Tuberculosis (TB) laboratory equipment under the Revised National Tuberculosis Control Programme (RNTCP) 2019

Resources

1. Guidelines for Management of Healthcare Waste as per Biomedical Waste Management Rules, 2016

2. Guidelines for the condemnation and replacement of Tuberculosis (TB) laboratory equipment under the Revised National Tuberculosis Control Programme (RNTCP) 2019

Assessment: