Medicines and vaccines ▪ Many states started free medicines and diagnostics scheme, yet govt spending as share on cost of medicines low ▪ Medicines and access to diagnostics mostly at higher level facilities and no assured provision ▪ Medicines major cost paid by people ▪ Irrational use of medicines ▪ Revision and expansion of essential medicines & diagnostics lists ▪ Assured provision of larger basket of medicines with inclusion of additional medicines for chronic diseases ▪ Assured dispensing of medicines for longer duration of 4 wk or more ▪ Attention on expanded range of diagnostic services of Point of Care ▪ Proposal for rapid expansion of Pradhan Mantri Jan Aushadhi stores for low cost & generic medicines ▪ Proposal for setting up state level procurement and supply corporations ▪ Provision of dispensing medicines from HWCs, for patients who need long term treatment and initially attended care at higher level of facilities ▪ Provision of free medicines and diagnostics (as well as schemes) under NHM ▪ Strengthening of Mission Indradhanush for increasing coverage with vaccines under Universal Immunization Program ▪ Launch of state specific free medicines and free diagnostics schemes with enhanced budgetary allocation