Prescribing Medicines on Telemedicine Consult (Online prescription legal requirement).

The most significant limitation imposed by Telemedicine Practice Guidelines on the practice of telemedicine in India is online prescription. Going forward, doctors will not be able to prescribe medicines over teleconsultation freely. In order to prevent abuse, the Telemedicine Guidelines require every doctor to “prescribe medicines via telemedicine ONLY when (the doctor) is satisfied that he/ she has gathered adequate and relevant information about the patient’s medical condition and prescribed medicines are in the best interest of the patient.” Prescribing Medicines without an appropriate diagnosis/provisional diagnosis will amount to professional misconduct. If the teleconsultation with the patient does not take place over the video, then the concerned doctor cannot prescribe drugs to the patient other than common over-the-counter (“O.T.C.”) medications such as paracetamol, O.R.S. solutions, cough lozenges etc. The doctor may, however, prescribe ‘add-on’ medication to such patients to optimize the existing treatment through drugs if such existing treatment was prescribed in an in-person consultation less than six months ago. Please note that there is no bar in prescribing emergency medications, even if they are not O.T.C. medicines, as and when notified by the government, through any form of teleconsultation, whether video or not.

The guideline also clearly says, under what circumstances - List A and List B can be prescribed.

List C - is completely prohibited for online consultation.

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