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Accessing medicines from abroad

Importing a Cancer Drug — Not Available in India

If your oncologist has recommended a medicine that is not sold in India, you can import it legally for personal use. The cost and the paperwork are both manageable — and manufacturer programs or financial assistance schemes may reduce what you pay.

Medically reviewed by Dr. Bharati Devi Gorantla, Medical Oncologist, MBBS · MD · DM (Adyar, Chennai) · ECMO · MRCP SCE (UK) · Last reviewed August 2026

  • Legal route exists — CDSCO rules allow personal import of prescription medicines not approved or available in India.
  • Duties add to the overseas price — Import duty and freight sit on top of what the drug costs abroad — the rate depends on the drug category.
  • Manufacturer programs can supply it free — Named Patient Programs and Patient Assistance Programs can supply a drug at no cost — ask before arranging a commercial import.
  • Your counsellor is the starting point — A hospital oncology counsellor knows which programs are currently active and can complete the paperwork on your behalf.
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If your cancer medicine is not available in India, you can legally import it for personal use under CDSCO rules. The process requires a doctor's prescription and an import application. Several manufacturer Patient Assistance Programs and government schemes may reduce your cost significantly — ask your oncology counsellor before paying the overseas market rate.

What does importing a cancer drug to India actually cost?

Cost componentIndicative range (2025–26)Notes
International freight and handling₹8,000–₹30,000 per shipmentCold-chain biologics are at the higher end; verify with your supplier
Import duty — drug on the CDSCO notified life-saving list5% IGST on declared value plus freightConfirm with a customs broker whether your drug qualifies for this rate
Import duty — other Schedule H prescription medicines12% IGST on declared value plus freightThe rate most specialist cancer medicines attract
Customs broker or licensed facilitator fee₹3,000–₹15,000 per importNot mandatory but usual for first-time imports
CDSCO personal import applicationNominal government feeRequired for most Schedule H and H1 drugs
— Schemes and programs that may offset the above costs —Coverage (indicative)Eligibility condition
Ayushman Bharat PM-JAYDefined annual inpatient limit per eligible familyTypically excludes imported outpatient medicines — verify with your scheme office
Aarogyasri / Dr. YSR Aarogyasri (Telangana / AP)Covers listed inpatient proceduresDoes not typically cover personal drug import costs
TATA Trusts cancer financial assistanceCase-by-case support toward drug costsApply through your hospital oncology social worker
Manufacturer Named Patient Program or PAPDrug supplied free or at heavily subsidised costThe single most effective route — ask your counsellor before paying market rate

How can your oncology counsellor help with the cost?

An oncology counsellor or social worker at a cancer centre is not just a sympathetic presence. They have working relationships with pharmaceutical company medical affairs teams and know which Named Patient Programs and Patient Assistance Programs are currently active for which drugs.

They can assess whether you qualify for TATA Trusts assistance or Indian Cancer Society programs, complete the application forms on your behalf, and follow up on the status. Families who apply through their counsellor are more likely to succeed than those who approach these programs directly.

At CION, ask to speak with the oncology care team about financial support options before your treatment plan is finalised. Knowing what assistance is available changes which route makes sense.

What are the different ways to access a drug not sold in India?

Personal importNamed Patient Program (NPP)Manufacturer Patient Assistance Program (PAP)Generic equivalent (if available)
Who appliesYou or your family, usually with a customs brokerYour oncologist applies to CDSCO and the manufacturerYour oncologist or oncology counsellorStandard prescription — no special process
Regulatory routeCDSCO personal import rulesCDSCO Special Import LicenceCompany-administered; may still need CDSCO paperworkNormal CDSCO-approved drug
Typical time to first dose4–8 weeks for a first shipmentWeeks to months, depending on program and CDSCO4–12 weeks from application to approvalAvailable immediately if in stock
Cost to youFull overseas price plus duties and freightZero or heavily subsidised — the program decidesZero or nominal, set by the companySubstantially lower than the overseas originator drug
Best whenNo NPP or PAP exists for this drugThe manufacturer has an active program for this drugDocumented financial hardship with a qualifying diagnosisA generic is available and your oncologist approves it

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What documents do you need before you begin?

  • Oncologist's prescription on hospital letterheadMust state the drug name, dose, duration, and the clinical reason it is needed.
  • Confirmation the drug is not approved in IndiaYour customs broker can verify this against the CDSCO-approved drug database, which is publicly available.
  • Proof of identity and addressAadhaar or passport copy plus a recent utility bill or bank statement for address proof.
  • Overseas supplier invoice or proformaRequired for customs valuation — your supplier provides this when you confirm the order.
  • CDSCO import permit or acknowledgementApply through the CDSCO online portal before the shipment arrives in India.
  • Cold-chain shipping declaration (if the drug needs refrigeration)Confirms the drug was stored correctly throughout transit — required for biologics and most targeted therapies.

How does the personal import process work, step by step?

  1. Get a written prescription from your oncologist

    Ask for it on hospital letterhead, stating the drug name, dose, duration, and why it is medically necessary.

  2. Check whether a manufacturer program already exists

    Ask your oncology counsellor before arranging a commercial import. A Named Patient Program or PAP is almost always cheaper and may be faster than sourcing the drug yourself.

  3. Find a licensed overseas supplier or Indian import facilitator

    A registered pharmaceutical import facilitator can identify a reputable supplier and manage the regulatory paperwork. Your hospital may have a list of facilitators it has worked with before.

  4. Apply to CDSCO for personal import permission

    Submit through the CDSCO online portal with your prescription and supporting documents. The process differs for Schedule H1 and other controlled medicines — a facilitator can advise on which applies.

  5. Arrange freight and cold-chain logistics if required

    Confirm with the supplier how the drug will be shipped and at what temperature. Some medicines must be refrigerated throughout transit.

  6. Clear customs and pay applicable duties

    Your customs broker handles this and presents the invoice. Keep all receipts — you may need them for insurance or scheme reimbursement claims.

  7. Bring the drug to your next appointment before using it

    Your oncologist should verify the labelling and confirm the administration schedule before you take the first dose.

Did you know?

India's CDSCO maintains a public online database of every drug approved for sale in the country.

If your drug does not appear in that database, that absence is itself the formal evidence your import application needs — you do not have to prove unavailability any other way.

Source: Central Drugs Standard Control Organisation (CDSCO), Ministry of Health and Family Welfare, Government of India

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Common questions

Frequently asked questions

Can I legally import a cancer drug for my own use in India?

Yes. CDSCO rules allow personal import of prescription medicines that are not approved or not available in India, provided you have a valid prescription from a registered doctor and the quantity is for personal use only. You cannot import and resell it, and certain drug categories have additional restrictions. Most families use a licensed customs broker or facilitator for their first import to make sure the paperwork is correct and complete.

How long does the whole import process take?

From starting the CDSCO application to receiving the drug, the process commonly takes four to eight weeks for a first shipment. Delays happen most often when documents are incomplete or when a drug requires additional regulatory scrutiny. Once the route is established, subsequent shipments are faster. A Named Patient Program from the manufacturer, where one exists, may move faster because the company has already done this process for its own drug.

What is a Named Patient Program and how do I know if one exists for my drug?

A Named Patient Program is a route by which a pharmaceutical company supplies its drug — often at no cost — to individual patients in countries where the drug is not yet approved. It operates under CDSCO special import provisions, with the company handling much of the regulatory process. Ask your oncologist or hospital oncology counsellor to check: they usually have access to manufacturer medical affairs contacts that are not publicly listed. Most large oncology companies have these programs for their major drugs.

Will my health insurance pay for a drug I have imported?

Most standard health insurance policies in India cover drugs administered during an inpatient hospital stay, not medicines you source and import yourself. Some policies include outpatient medicine riders, but coverage for imported or unlicensed drugs is usually excluded or requires prior approval. Check your policy's exclusion clauses directly. Ask your insurer to confirm in writing what is and is not covered before you commit to the import cost — verbal assurances from a call centre are not sufficient.

Can my hospital counsellor apply for a Patient Assistance Program on my behalf?

Yes, and this is the recommended route. Oncology counsellors and social workers at cancer centres know which manufacturer programs are currently active, what each requires, and how to submit a strong application. Families who apply through their counsellor succeed more often than those who approach programs directly, because the forms and eligibility criteria differ by company and change without public notice. At CION, ask the oncology care team to check which programs apply to your treatment before arranging a commercial import.

What if a version of the drug is already available in India?

If a version of the drug — the originator brand or an approved generic — is already sold in India, CDSCO is unlikely to approve a personal import application, and import is generally not the right route. Ask your oncologist whether the Indian version is therapeutically equivalent for your situation. In many cases it is, which avoids the cost, delay and regulatory complexity of importing. If there is a clinical reason to prefer the overseas version, that reason must be documented clearly in your prescription.

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