Over Rs 100 crore fraud in Rajasthan Health Scheme; Audit flags Doctors-Medical store Collusion

Alwar: A massive scam estimated to be worth over Rs 100 crore has come to light under the Rajasthan Government Health Scheme (RGHS), involving several doctors posted at health centres across the district. These doctors allegedly misdiagnosed patients and prescribed costly medications for ailments the patients never had, directing them to buy the drugs from specific medical stores.

It has been revealed that these doctors worked together with the medical store operators to make huge profits. The doctors prepared fake medical reports, based on which medicines were handed out to patients.

A government audit has exposed how these false prescriptions and unnecessary medications were used not only to scam the system but also to put patients' health and safety at serious risk.

Also read- Forgery of Doctors' Signatures in Fake Prescriptions for PPP Test Referrals at RG Kar Hospital

In response to the findings, 11 doctors have been issued show cause notices, and the matter has been forwarded to the state health department. Necessary action will be taken based on their response.

The scam came to the forefront after an audit was conducted by the state Finance Department and the Rajasthan Social and Performance Audit Authority. The report found that doctors had prescribed expensive medicines to patients who didn’t even have the illnesses those medicines were meant for. Without conducting a proper examination, these doctors made false entries in medical records, prescribed.

In Alwar district’s Shivaji Park Primary Health Centre (PHC), a pregnant woman was shockingly prescribed infertility drugs. Blood pressure medications from the same drug class—such as amlodipine, metoprolol, and cilnidipine—were prescribed simultaneously. Most prescriptions lacked documented symptoms such as allergies, yet medications were prescribed indiscriminately. In several cases, patients without hypertension were given costly medicines from three different brands.

As per Bhaskar media report, the audit further highlighted that antibiotics such as azithromycin and fosfomycin (Fosirol) were administered over extended periods without confirming the infection or radiological evidence. Drugs like pantoprazole, domperidone, and combination anti-diabetic medicines (TRIPIRIDE, AJADUO, GLUCORYL-MV) were prescribed without any supporting blood sugar test reports.

At another centre in Paharganj, medicines were often prescribed without matching the patients’ symptoms. A patient without any eye problems was given eye drops. In some cases, both a husband and wife were given the exact same set of medicines. Non-diabetic patients were prescribed diabetes medicines, and some were even given heart failure drugs without proper tests, like a 2D echo. Expensive treatments for gastritis, depression, and fungal infections were provided without conducting necessary tests like endoscopy.

The audit further revealed that in many cases, medicines were handed out without proper checkups or diagnostic tests. Important reports like HBA1C (for blood sugar) and RFT (for kidney function) were often missing, yet medicines were still given in large quantities.

Doctors were also found prescribing costly drugs, even when they were not needed. In some cases, patients were given strong antibiotics and insulin unnecessarily, possibly to inflate medical bills.

In Rajgarh CHC, investigators found large-scale duplicate data and fake medical reports. Doctors and medical store owners reportedly worked together to show false treatment details and claim benefits under the scheme.

Also read- Crackdown on 12 fake clinics, Quacks over illegal medical practice