Composite healthcare supply: inpatient medicines exempt; outpatient medicines taxable, tied to principal-supply test under composite supply rules.

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....Inpatient services constitute a composite supply where healthcare services are the principal supply and medicines, consumables, implants and food supplied to admitted patients during treatment form an integral, exempt part of the service under Entry No.74 of Notification No.12/2017-C.T.(Rate). Outpatient consultation is exempt, but medicines and other medical items prescribed or dispensed to outpatients are distinct taxable supplies because they are not mandatorily supplied by the hospital as part of a bundled inpatient service; therefore GST applies to such outpatient supplies.....