Named Patient Supply Program

Named Patient Supply · Rule 36, D&C Rules

A medicine that doesn't exist in India yet can still reach one named patient, legally.

We handle the import licence, the customs clearance, and the last-mile delivery for medicines not registered in India — for a specific patient, under a doctor's prescription, start to finish.

  1. AEO — Authorised Economic Operator, Indian Customs
  2. ISO 9001 certified<
  3. 30 yrs founder-led pharma regulatory experience
Chain of custody — patient to prescription
  1. Overseas manufacturer:- Supplier confirmed, proforma invoice raised
  2. Form 12A → CDSCO:- Personal import licence application
  3. Form 12B issued:- Typically within 4 working days
  4. Customs & ADC clearance:- Port clearance, Assistant Drug Controller sign-off
  5. Delivered to patient:- Courier, door to door
  1. Healthcare-only logistics specialist — not a general 3PL
  2. Founder is an Indian Customs F-Card holder
  3. Direct Assistant Drug Controller office experience
  4. Mumbai & Delhi, FTWZ-enabled

The legal basis

How an unregistered medicine becomes legal to import

India permits this through a specific, well-defined mechanism — not a grey area. Here's the framework that makes it work.

RULE 36
Drugs & Cosmetics Rules
CDSCO's notified route for import of small quantities of an unregistered drug, exclusively for one identified patient's personal use.

RX
A registered practitioner's prescription
Naming the patient, the drug, quantity, condition, and the doctor's MCI registration number.

100
Average-dose ceiling
The quantity imported under this route cannot exceed 100 average doses — it is scoped to one patient's course of treatment, not stock.

12A/B
Two forms, one licence
Form 12A is the application; CDSCO reviews it and issues a quantity-specific Form 12B licence in the patient's name.

Cost relief that's easy to miss

Duty can be waived entirely for life-saving medicines

Under Customs Notification 045/2025 (Serial. 401, Condition 59), Basic Customs Duty is exempted when a government medical authority — DGHS, the State Directorate of Health Services, or the District Medical Officer/Civil Surgeon — certifies, case by case, that the imported medicine is life-saving.

10% + 10% + 18%

BCD + Social Welfare Surcharge + GST — the standard stack this exemption can remove.

Two ways we deliver

Match the model to how urgently the medicine is needed

Some patients need a one-off import; others are on an ongoing therapy where every cycle counts. We run both models — the difference is where the medicine sits before it moves.

Direct Import

Medicine ships from the overseas manufacturer only after the patient's order — typical lead time 2–3 weeks.

  1. Patient outreach:- On the doctor's reference, we contact the patient directly
  2. Licence & payment:- Form 12B application; assistance with the overseas payment
  3. ADC & customs:- Assistant Drug Controller clearance at port, full customs handling
  4. Door delivery:- Courier to the patient, coordinated end to end

FTWZ Stock & Forward

4–5 DAYS

The overseas principal pre-positions stock in our Free Trade Warehousing Zone, ready to move the moment a prescription clears.

  1. Duty-deferred storage:- Stock held at Asian's FTWZ, no duty until it moves to a patient
  2. Licence in parallel:- Form 12B processed while stock is already in-country
  3. ADC & customs, out of FTWZ:- Clearance from zone to domestic market on demand
  4. Just-in-time delivery:- Cuts weeks of international transit off every cycle

Paperwork, handled

What the file needs to look like

Two separate document sets — one to get the licence, one to clear the shipment. We assemble both; here's what goes into each.

For the Form 12A licence application
  • Prescription naming patient, drug, quantity & condition, doctor's MCI number
  • Patient's name, address and age
  • Aadhaar or passport copy with photo
  • Overseas supplier's name, address & country, ideally with proforma invoice
  • Authorisation letter if someone else is applying on the patient's behalf
To clear the shipment at customs
  • Overseas supplier's invoice
  • Certificate of analysis
  • Packing list & airwaybill
  • Prescription copy & the Form 12B licence itself
  • Patient's photo ID and clearance authorisation

Who this is for

Three kinds of people call us about this

  • Patients & families

    Searching for a medicine their own doctor has prescribed but that isn't sold in India yet — usually under real time pressure.

  • Hospitals

    Managing a patient's treatment plan and needing a partner who won't be the reason a cycle gets delayed.

  • Pharma & biotech companies

    Supporting compassionate-use or early-access requests for a named patient ahead of formal Indian registration.

Why a regulatory background matters here

This isn't a courier service with a customs form attached

A named-patient shipment sits across two demands at once: strict CDSCO documentation and a patient who can't afford a week's delay. That combination is where most generalist logistics providers stumble — and where our clients tell us they need someone who's sat on the regulatory side of the table, not just the shipping side.

Ashok Bindumadhavan

Founder & Director, Asian Supply Chain

- Indian Customs F-Card holder

- Headed India / Sri Lanka / Nepal supply chain at Eli Lilly & Company

- Vice Chairman, OPPI Materials Management Committee (2008–2010)

- Led the industry team behind OPPI's Cold Chain Guidelines

- Nominated to DCGI's committee for Pharma Zones at Indian ports

- Supply chain consultant to the Government of Mauritius

-Named Patient Supply

What Is Named Patient Supply / Personal Import?

Named Patient Supply refers to the import of a medicine into India for a specific, identified patient, even though that medicine is not registered or commercially available in the country. This is legally enabled under Rule 36 of the Drugs & Cosmetics Rules, which the Central Drugs Standard Control Organisation (CDSCO) has notified specifically to allow import of small quantities of drugs for personal use.

Any patient in India who has been prescribed a medicine by a registered medical practitioner, where that medicine is not otherwise available or registered in India, can use this route — either personally or through an authorised representative acting on their behalf.

Yes. The quantity imported under this route cannot exceed 100 average doses, and the medicine must be exclusively for the named patient's personal use — it cannot be resold or used for anyone else.

In practice, this route is most often used for oncology therapies, rare disease and orphan drugs, medicines facing local shortages, and treatments recently approved abroad but not yet registered in India — wherever a treating doctor determines a specific, unregistered medicine is medically appropriate for their patient.

These terms overlap but aren't identical. “Compassionate use” and “early access” typically refer to a pharmaceutical company providing an investigational (pre-approval) drug to patients outside a clinical trial, often company-initiated. India's Rule 36 personal import route is patient/doctor-initiated and applies to a medicine that is approved and available somewhere else in the world but not yet registered in India — it doesn't require the medicine to still be in clinical trials.

Regulatory Process — Form 12A and Form 12B

Form 12A is the application a patient (or their authorised representative) submits to the CDSCO licensing authority to obtain permission to import a specific unregistered medicine for personal use.

Form 12A is the application; Form 12B is the licence itself. Once CDSCO reviews and accepts the Form 12A application, it issues a quantity-specific import licence under Form 12B, in the name of the patient.

Once a complete application is submitted, CDSCO typically issues the licence within 4 working days.

A complete application includes: a prescription from a registered medical practitioner (stating the patient's name, the drug prescribed, quantity, purpose, and the condition it's prescribed for, along with the doctor's stamp and MCI registration number); the patient's name, address, and age; an Aadhaar or passport copy with photo as identity and address proof; the overseas supplier's name, address, and country (ideally with a proforma invoice); and an authorisation letter if someone other than the patient is applying on their behalf.

Duties, Taxes & Exemptions

Three components typically apply: Basic Customs Duty of 10%, a Social Welfare Surcharge of 10% on the basic customs duty, and GST of 18% calculated on the landed cost plus the basic customs duty and social welfare surcharge combined.

Yes, in specific circumstances. Under Customs Notification 45/2025 (Serial 401, Condition 59), basic customs duty can be exempted if: the goods are imported by an individual for personal use; a qualified government medical authority — the Director General, Deputy Director General, or Assistant Director General of Health Services (New Delhi), the Director of Health Services of the State Government, or the District Medical Officer/Civil Surgeon of the district — certifies, in that specific case, that the goods are life-saving drugs or medicines; and this certificate is produced to the Deputy/Assistant Commissioner of Customs at the time of clearance.

It must come from a government health authority — either the Directorate General of Health Services (DGHS) in New Delhi, the State Directorate of Health Services, or the District Medical Officer/Civil Surgeon of the relevant district — certifying, case by case, that the specific medicine qualifies as life-saving.

It depends on the arrangement. Individual patients or families typically pay directly for the medicine and the service fee. Where a pharmaceutical or biotech company is supporting a named-patient case (for example, ahead of formal Indian registration), the overseas company may instead cover the medicine cost and/or the service charges directly.

Shipment & Customs Clearance Documentation

A complete shipment file typically includes: the invoice from the overseas supplier, a certificate of analysis, the packing list, the airwaybill, a copy of the prescription, the personal import licence (Form 12B), the patient's Aadhaar or other photo identification, and an authorisation to clear the shipment on the patient's behalf.

Personal import shipments under this route are typically small in quantity and time-sensitive given the patient's medical need, which is why they are almost always moved by air freight and cleared against an airwaybill rather than shipped by sea.

Many named-patient medicines — particularly biologics and oncology therapies — require continuous temperature control from origin to the patient. This is handled through validated cold-chain packaging and monitored transport, with the same GDP-aligned handling standards applied whether the shipment is a one-off import or moving through pre-positioned stock.

Two Ways a Named Patient Supply Can Be Delivered

Broadly, two models are used, and which one applies depends on how the case is set up. In a Direct Import model, the medicine ships from the overseas manufacturer only after a specific patient's order and licence are in place — typical lead time is around 2–3 weeks. In a Stock & Forward model (typically used where an overseas pharma company is supporting an ongoing or recurring need), product is pre-positioned in a bonded/duty-deferred facility in India, such as a Free Trade Warehousing Zone (FTWZ), so it can move to a patient within days of a prescription and licence clearing — typically 4–5 days.

It matters most for ongoing therapies where a patient needs repeat doses over time — waiting 2–3 weeks for every cycle isn't practical. Pre-positioning stock in India removes the international transit time from each individual shipment, so once a patient's licence and paperwork are ready, delivery is a matter of days rather than weeks.

No import duty is payable while the medicine sits in the FTWZ — duty and other charges apply only when a specific quantity is released against a patient's own Form 12B licence, at which point the same customs and regulatory process applies as with a direct import.

Who This Is For, and What to Expect

All three. Individual patients and their families use this route directly, but hospitals managing a patient's treatment, and pharmaceutical or healthcare companies supporting compassionate-use or early-access situations for a specific patient, also rely on an experienced logistics and regulatory partner to execute this correctly and quickly.

For a one-off direct import, plan for roughly 2–3 weeks from a complete application to delivery, though this depends on the specific product's availability from the overseas supplier and how quickly documentation (particularly the prescription) is finalised. Where a case is set up under a Stock & Forward arrangement, delivery can be as fast as 4–5 days once the licence is in hand.

Incomplete or incorrect documentation is the most common cause of delay in this process — particularly a prescription missing required details like the doctor's MCI registration number, or quantity/purpose not clearly stated. Having the file checked by someone experienced with these applications before submission is the single biggest lever for avoiding an avoidable delay.

How Asian Supply Chain Can Help

We support the full process end to end: procuring the personal import licence under Form 12B, pursuing duty exemption from DGHS based on a life-saving drug certificate from the government District Medical Officer, customs clearance of the shipment, arranging courier delivery to the patient, and coordinating directly between the patient (or hospital) and the overseas supplier throughout — across both the Direct Import and Stock & Forward delivery models.

This process sits across two demanding requirements at once — strict CDSCO regulatory compliance (correct Form 12A documentation, prescription details, licensing timelines) and time-critical, often temperature-sensitive shipment handling. Asian Supply Chain's founder has direct regulatory-side experience, including work with CDSCO/DCGI on pharma import matters and OPPI's Cold Chain Guidelines, and the company holds AEO (Authorised Economic Operator) status with Indian Customs and ISO 9001 certification — credentials that matter when a shipment cannot afford documentation errors or clearance delays.

Yes. End-to-end coordination between the patient (or the hospital managing their care) and the overseas supplier is part of the service, so the patient's family isn't left managing international logistics and customs paperwork on their own during an already difficult time.

Yes. This is one of Asian's core capabilities — FTWZ warehousing combined with the same regulatory and customs services used for direct imports, so an overseas pharma or biotech company can pre-position stock and have it ready to move to a named patient within days of a licence clearing.

Send Enquiry