Billing & GST

GST 2.0 and What Changed on a Clinic Invoice (2026)

Anexshe Revedha·Cofounder & COO, CuraVerto·17 July 2026·8 min read
The 60-second version

Same invoice, new rate. Check every HSN code.

GST 2.0 moved the numbers, not the discipline.
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  • 12% moved to 5%Most finished medicine formulations moved from 12% to 5% from 22 September 2025.
  • Some drugs moved to nilA named list of life-saving drugs moved from 12% to nil (0%).
  • Not every code changedA small number of items remain at 18%, so set the rate per HSN code.
  • Update your catalogUpdating each drug's rate is a data step the clinic still has to do.

Input tax credit on transition stock is a question for a chartered accountant.

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Per HSN codeCGST and SGST computed from the rate set on each line.
No code changeneeded to bill at the new GST 2.0 rates once the catalog reflects them.
Want the detail? Read the full guide (8 min) ↓

GST 2.0 is not an abstract tax-policy story for a clinic that stocks and bills medicines in-house. It is a line-item change on every pharmacy bill the clinic generates. A tablet that carried 12% GST in August 2025 may now carry 5%, or nil. A diagnostic kit or a glucometer sold at the front desk moved slabs on the same date. If the clinic's billing software still applies the old rate, every affected invoice is wrong from the moment it is printed, whether that means overcharging a patient or under-reporting output tax.

What changed under GST 2.0

Most finished medicines moved from 12% to 5%, and a named list of life-saving drugs moved to nil.

  • 3 September 2025
    56th GST Council meeting approved the rate rationalisation
  • 17 September 2025
    CBIC Notification No. 9/2025-Central Tax (Rate)
  • 22 September 2025
    revised rates applied from this date
CategoryRate before 22 Sep 2025Rate from 22 Sep 2025
Most finished medicine formulations (tablets, syrups, capsules, etc.)12%5%
Specified life-saving drugs (named list, reported at 33 medicines)12%Nil (0%)
Diagnostic kits and reagents12%5%
Blood glucose monitoring systems (glucometers)12%5%
Bandages, gauze, wadding, test strips12%5%
A small number of other pharmaceutical HSN codesVaries18% (unchanged for select items)
Not every code moved down
GST 2.0 did not move every pharmaceutical HSN code down. A handful of items stayed where they were. That means a clinic cannot safely bulk-apply "12% became 5%" across its entire catalog; the correct treatment is still per HSN code, checked against the notification, not assumed.
Pricing sources
PIB press release, 56th GST Council meeting recommendations →3 September 2025 — medicines and diagnostic kits moved to 5%, 33 named life-saving drugs to nil. Automated fetch of this page returned an HTTP 403 (PIB blocks bot access); the notification number, date, and figures above are corroborated across multiple independent tax-advisory summaries citing the same press release. Checked 2026-07-27.
CBIC Notification No. 9/2025-Central Tax (Rate) →Dated 17 September 2025, effective 22 September 2025 — supersedes Notification No. 1/2017-Central Tax (Rate) and restructures GST into revised schedules. CBIC's own PDF could not be rendered as text by our tooling; notification identifiers and effective date corroborated via CBIC-citing secondary tax-law sources. Checked 2026-07-27.

What a clinic's invoicing software needs to handle correctly

The right rate, on the right HSN code, applied consistently, with a record of what changed and when.

  1. STEP 1
    Rate per HSN code
    Store and apply GST per HSN code, not as one blanket "medicines" rate. A single default will get the exception items wrong.
  2. STEP 2
    Transition stock
    Input tax credit on stock bought before 22 September 2025 may need to be reversed. That is an accounting question, but the software must show which HSN code, the rate before and after, and the date.
  3. STEP 3
    Visible rate history
    An auditor will see the same drug at 12% before the 22nd and 5% or nil after. The system must show why, when, and on whose instruction.

None of this is exotic. It is the same discipline GST already demands. GST 2.0 just moved the numbers.

Where CuraVerto helps, and where the clinic still owns the work

CuraVerto applies whatever slab is configured, but it does not rewrite your catalog for you.

CuraVerto helps
  • The billing engine does not hardcode a GST percentage anywhere in its calculation path
  • Every pharmacy catalog item and invoice line carries its own configurable GST rate, and CGST and SGST are computed from it at billing
  • It can apply 5%, nil, or 18% per HSN code once the catalog reflects the current slab, with no code change
The clinic still owns
  • CuraVerto does not retroactively rewrite an existing pharmacy catalog
  • Updating each drug and diagnostic item's GST rate is a data step the clinic, or its onboarding and migration team, still has to carry out, HSN code by HSN code
  • It does not substitute for checking the law itself
Related reading

Frequently asked questions

What is GST 2.0 and when did it take effect?
GST 2.0 refers to the rate rationalisation approved at the 56th GST Council meeting on 3 September 2025 and notified by the CBIC via Notification No. 9/2025-Central Tax (Rate) dated 17 September 2025. The revised rates took effect from 22 September 2025, replacing the earlier 5/12/18/28% structure with a simpler one and moving most items, including most medicines, into lower slabs.
What GST rate do medicines attract now?
Under GST 2.0, most finished medicine formulations that were taxed at 12% moved to 5% with effect from 22 September 2025. A specified list of life-saving drugs moved from 12% to nil (0%). Not every pharmaceutical HSN code changed; a small number of items remain at 18%, so the correct rate still has to be checked and set per HSN code rather than assumed from the old default.
Are any medicines at 0% GST after GST 2.0?
Yes. The CBIC notification names a specific list of life-saving drugs, reported at 33 individually named medicines, that moved from 12% to nil. This is a named list, not a general category, so a clinic pharmacy needs to check whether a given drug is on that list rather than assume nil-rating applies broadly.
What GST rate applies to diagnostic kits, reagents, and glucometers now?
Diagnostic kits, reagents, blood glucose monitoring systems (glucometers), bandages, gauze, and test strips moved from 12% to 5% under the same 22 September 2025 change. These items sit in the same reduced slab as most finished medicines.
What does GST 2.0 mean for input tax credit on existing pharmacy stock?
When a medicine's output GST rate drops, and especially when it drops to nil, the input tax credit already claimed or available on stock purchased at the old, higher rate can be affected: nil-rated supplies do not carry input tax credit forward the way a 5% taxable supply does. Working out the exact reversal, if any, on transition stock is a question for a chartered accountant, but it is only answerable if the clinic's system can show, item by item, which HSN code changed rate and on what date.
Does CuraVerto apply the new GST 2.0 rates automatically?
CuraVerto's billing engine does not hardcode a single GST percentage anywhere in the calculation path. CuraVerto lets every catalog item and invoice line carry its own gst_pct and computes CGST/SGST from whatever rate is set on that line, applying 5%, 0%, or 18% per HSN code without any code change. CuraVerto does not, however, retroactively rewrite an existing pharmacy catalog to the new slabs on its own; updating each drug's rate to match GST 2.0 is a data step the clinic (or its onboarding/migration partner) still has to do, HSN code by HSN code.

Frequently asked questions

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CGST/SGST computed per HSN code from whatever GST slab is configured on each catalog item, with fiscal-year-aware document numbering built in. Flat annual pricing, no per-doctor fees.

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