GST on Medicines & Pharmaceutical Products — Rates 2025
Updated: 3 June 2026 | GST Council | CGST Act 2017
Insulin, human vaccines, anti-cancer drugs (e.g., Imatinib), anti-malaria drugs, and coronary stents attract only 5% GST — reduced to protect patient affordability for critical therapies.
GST Rates on Medicine Categories — Complete Table
GST on pharmaceutical products is determined by the HSN code and product category as notified under CGST (Rate) notifications. The table below covers all major categories:
| Product / Category | GST Rate | HSN Code | Notes |
|---|---|---|---|
| Insulin (all forms) | 5% | 3004 | Life-saving drug exemption |
| Human vaccines (all types) | 5% | 3002 | Includes COVID vaccines, Hepatitis-B, Polio |
| Anti-cancer drugs | 5% | 3004 | Notified life-saving drugs — verify specific drug |
| Anti-malarial drugs | 5% | 3004 | Chloroquine, Hydroxychloroquine, etc. |
| Coronary stents & orthopedic implants | 5% | 9021 | Medical devices category |
| General medicines & pharmaceutical preparations | 12% | 3003 / 3004 | Majority of OTC and prescription drugs |
| Branded Ayurvedic / Unani / Homeopathic medicines | 12% | 3003 / 3004 | Branded = has registered trademark |
| Unbranded Ayurvedic formulations | 0% | 3003 | No brand name / trademark |
| Diagnostic test kits (clinical) | 12% | 3822 | Blood glucose kits, pregnancy test kits, etc. |
| Sanitizers / hand rubs | 18% | 3808 / 3402 | Was reduced to 0% during COVID peak; reverted to 18% |
| Contraceptives / condoms | 0% | 4014 | Fully exempt |
| Oral contraceptive pills | 0% | 3006 | Exempt — notified contraceptives |
| Blood bags / dialysis equipment | 12% | 9018 | Medical equipment category |
| Nebulisers & oxygen concentrators | 12% | 9019 | Was temporarily reduced during COVID to 5% |
Rates are indicative based on CGST Rate notifications. Verify against latest GST Council notifications before invoicing. HSN codes may differ for combination drugs.
ITC Chain in Pharma — Manufacturer to Pharmacy
A registered pharmacy or distributor can claim full Input Tax Credit on medicines purchased from the supply chain. Here is how the ITC chain works:
| Supply Chain Entity | GST Paid on Purchases | GST Collected on Sales | Can Claim ITC? | Net GST Liability |
|---|---|---|---|---|
| Pharmaceutical Manufacturer | 5%/12% on inputs | 5%/12% on drugs sold | Yes | Output GST minus ITC on inputs |
| C&F Agent / Distributor | 5%/12% from manufacturer | 5%/12% to retailer | Yes | Typically low (margin-based) |
| Retail Pharmacy (Regular Scheme) | 5%/12% from distributor | 5%/12% charged to customer | Yes | Output GST minus ITC on purchases |
| Retail Pharmacy (Composition Scheme) | 5%/12% from distributor | 1% flat (composition levy) | No — ITC blocked | 1% on turnover; no ITC benefit |
| Hospital (in-patient treatment) | 5%/12% on medicines | Exempt (healthcare service) | No — exempt supply blocks ITC | Cost of input tax becomes expense |
Composition Scheme for Pharmacies: A pharmacy with annual turnover up to ₹75 lakh may opt for the composition scheme and pay GST at 1% of turnover. The advantage is simplified compliance (quarterly returns instead of monthly). The disadvantage is loss of ITC — all input tax on medicine purchases becomes a cost, making it unviable for high-volume pharmacies with thin margins.
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