Process of Quantification, Procurement, Distribution and Storage of drugs


Quantification of TB drugs done on the basis of:

  • Estimated number of cases of different categories of TB
  • Annual consumption of medicines and commodities
  • Allocated budget
  • Stock in hand


  • All Procurement from GoN Budget is done as per provisions in Public Procurement Monitoring Office (PPMO) Act and Regulations
  • Procurement is done on the basis of quantification as mentioned above
  • Both NTC and SCI, Nepal are involved in procurement process as per budget allocated from GON Sources and GFATM Sources respectively
  • Both NCB and ICB methods including e-bidding processes are followed
  • All types of laboratory Chemicals, Commodities and Equipment
    • First Line Drugs (FLDs); Second Line Drugs (SLDs) and other
      Consultancy Services are procured


  • Distribution is made on the basis of orders generated from Trimesterly Workshop
  • NTC supplies all kinds of logistics including FLDs to Five Regional Medical Stores and Regional Tuberculosis Center to supply in turn for its respective districts but NTC supplies directly to following districts (due to proximity reason):
    • Ramechhap, Dolakha, Sindhupalchowk, Kavrepalanchok, Bhaktapur, Kathmandu, Lalitpur, Dhading, Nuwakot, Rasuwa and Solukhumbu
  • In the case of Second Line drugs NTC supplies directly to the DR Treatment Centers and to some Sub –Centers
  • Distribution is done on the basis of FEFO Principle
  • In case of FLDs, buffer stock of 4 months is given to Districts but no buffer
  • is given in case of DR Drugs due to short Shelf Life


  • All the drugs and commodities are stored in the NTC Store based on different categories
  • There is a provision of Air Conditioner for appropriate temperature of storage
  • Recently, a products Cold Room has been constructed to store thermo-labile products