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Biratnagar and Dharan lead hospital buying in Koshi Province, and a modern check post on the Indian border speeds imports.
Koshi Province, previously numbered 1, has 14 districts and almost five million people, with Biratnagar as its capital. The B.P. Koirala Institute of Health Sciences in Dharan, founded in 1993 through Nepal-India cooperation, is the main teaching hospital in the east, and Koshi Hospital serves the capital. The integrated check post at the Biratnagar and Jogbani crossing, the second busiest transit point on the Indian border after Birgunj, includes quarantine and laboratory facilities.
MediGear is a UK-registered medical equipment distributor and B2B marketplace working with verified manufacturers and healthcare buyers in more than 80 countries. Its partner program opens that catalogue to businesses in Koshi selling into the B.P. Koirala Institute of Health Sciences, Koshi Hospital, eye hospitals in Birtamod and Biratnagar, private hospitals, diagnostic centres and dental practices.
Three program tracks are open to businesses in Koshi. Different business models, the same catalogue behind them — the right one depends on how much of the transaction you want to own.
Agents introduce qualified hospitals, clinics, distributors and procurement teams to MediGear. The role focuses on generating opportunities and connecting buyers with the team; MediGear handles quotations, supply, documentation and fulfilment. Earnings are commission-based on confirmed sales; no purchasing or inventory is required, and MediGear provides sales materials and product support. An agent selling medical equipment in Biratnagar can reach Dharan and Itahari within an hour, while Birtamod in Jhapa lies further east. Teaching departments at BPKIHS support a hospital equipment supplier in Koshi by providing training and installation.
Distributors represent MediGear in an agreed country, region or territory and actively develop the local market — all of Koshi, or the Terai districts around Biratnagar and Jhapa on their own. Distributors purchase products at distributor level for onward supply, and territorial rights may be exclusive or non-exclusive. This includes market development, commercial support, and regulatory and import coordination.
Resellers purchase at wholesale and resell independently through an existing medical business, online store, sales network or customer base. Order quantities are flexible, and you sell on your own terms to your own customers. Resellers operate independently without territorial or official distribution rights, so there is no territorial commitment and no market development obligation.
The program is open to registered Nepali companies holding a PAN registration and a genuine route to healthcare buyers. Applications commonly come from:
Equipment distributors and importers already supplying public and private hospitals
Independent sales agents with contacts in theatre, imaging, pathology or dental
Online medical supply stores and e-commerce operators
Biomedical engineering firms adding equipment sales to service contracts
Practice fit-out, day surgery and healthcare project companies
Diagnostic centre, dental and NGO health program equipment suppliers
Border know-how comes first. A medical equipment supplier in Koshi that can clear goods at Biratnagar without delay wins repeat work. Public hospitals, including the provincial trauma hospital at Urlabari, publish equipment tenders on the national e-GP system.
Competitive margins. Partner-level commercial terms apply across the catalogue, with performance recognised for partners who hit agreed targets.
Full product catalogue. Certified equipment across diagnostics, surgical and therapeutic, lab and pathology, sterilisation, hospital furniture, dental, ENT and ophthalmic, rehabilitation, orthopaedic, cardiology, gastroenterology, neonatal, dermatology, veterinary and spare parts.
Sourcing and quotation support. Send an enquiry and the team sources the product, negotiates with the manufacturer and returns a documented quotation — including items outside the current catalogue.
Direct partnerships team. Order queries, supplier negotiations, logistics coordination, and after-sales issues go straight to the team by email, so you can focus on selling rather than chasing suppliers.
Marketing support. Co-branded brochures, digital assets, product imagery and joint campaigns you can put in front of buyers in Koshi.
Regulatory support. Country-specific import guidance, certification documentation and connections to local regulatory consultants for market entry questions.
Medicines and health products are regulated by the Department of Drug Administration under the Ministry of Health and Population, covering registration, import recommendation, and licensing for parties in the chain. Application forms and current notices come from the Department of Drug Administration.
Importers generally need a valid licence and product-level import recommendation before shipping goods, and device requirements differ from those for medicines. Health policy and the wider institutional framework sit with the Ministry of Health and Population.
Customs clearance runs through the Department of Customs, where tariff classification, duty and any concessionary treatment for hospital equipment are settled. MediGear does not hold licences in this market and does not give regulatory advice.
Apply online. Complete the partner application form and tell us about your market, your experience and which track interests you.
Discovery call. The partnerships team reviews your application and arranges a call to discuss goals, coverage and fit.
Agreement and onboarding. Sign the partner agreement and complete onboarding, including commercial terms, product training and marketing assets.
Start earning. Begin selling, distributing, or referring while MediGear coordinates manufacturing, documentation, and freight.
At BPKIHS, radiology and critical care keep X-ray machines, ultrasound systems and patient monitors in constant use. Private hospitals in Biratnagar and Itahari add steady orders for medical devices and supplies in Koshi.
The Biratnagar check post houses quarantine and laboratory facilities, which spares traders the journey to Kolkata for product certification testing. Kakarbhitta, on the eastern border, also has a dry port run by a private operator.
Sagarmatha National Park, home to Mount Everest and a World Heritage site since 1979, lies in the north of the province, where remote health posts depend on hardy equipment. In Biratnagar, Nobel Medical College and Birat Medical College run teaching hospitals, and a national scheme provides free treatment, keeping dialysis machines in steady use.
This page is published for general business and information purposes and is not an offer of partnership. MediGear reviews all applications, and approval is not guaranteed. Any partnership that proceeds is governed by the written terms agreed between MediGear and the partner. Product availability, category coverage, territory arrangements, commercial terms and any commission or margin structure vary by application and may change. The regulatory information here is general information about the Nepali framework and is not legal, regulatory or professional advice. Requirements administered by the Department of Drug Administration depend on the product, its category, the licence held by the importer and the import recommendation issued for the consignment. Partner businesses remain responsible for confirming what applies to their own products, and should obtain qualified regulatory, customs or legal advice where required.
Apply with your business details, the provinces you cover and the track that interests you. The MediGear partnerships team reviews every application and will come back to you to discuss it.
The program is open to registered Nepali companies with PAN registration and a direct route to healthcare buyers in Koshi: equipment importers and distributors, independent sales agents, online medical supply stores, biomedical engineering firms, diagnostic centre suppliers, and NGO health program contractors. Speciality experience carries more weight than company size.
Three. Sales agents introduce hospitals, clinics, distributors and procurement teams and earn commission on confirmed sales without holding stock. Authorised distributors represent MediGear in an agreed territory, purchase at distributor level and develop the local market. Resellers buy at wholesale and resell independently through a business they already run, without territorial rights or commitments.
No. Joining is free for businesses in Koshi. No registration charges, subscriptions, or upfront payments are required to become an agent, distributor, or reseller. Distributors and resellers purchase the products they sell, and partners arrange their own local delivery, storage, and any marketing beyond the assets MediGear provides.
Agents earn commission on confirmed sales, not a retainer. The rate depends on the product category, the order value, and the volume you bring, and we confirm it in writing before you begin introducing buyers. Because agents hold no stock and carry no inventory risk, they earn only after completed orders.
Exclusive territorial rights are available to qualified distributors who can demonstrate market reach, financial capability and alignment with MediGear standards, and are assessed case by case. We also offer non-exclusive distribution, which is more common for partners entering a new product category. A medical equipment distributor in Koshi typically covers the Terai cities first and reaches the hill districts through local representatives.
Partners receive onboarding, product knowledge materials, regulatory guidance for their market, sales tools and co-branded marketing assets. The partnerships team handles order queries, supplier negotiations and logistics coordination, including certification and customs documentation for inbound consignments.
Health products fall within the remit of the Department of Drug Administration, and importers are normally expected to hold a valid licence and an import recommendation before shipping goods. Device-specific requirements differ from those applying to medicines and are confirmed product by product. MediGear is not the licence holder for partner products, so confirm your own position with the department.
Not on its own. Certification from Europe or the United States is expected as supporting evidence and is frequently specified in tender documents, but it does not replace local licensing and import recommendation steps. Confirm the position for each product before committing to a delivery date.