The best replacement for neelam is blue sapphire.

The best alternatives to neelam are rated as following:
★★★★★  blue sapphire

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Speaking about neelam, one probably shouldn't forget about pukhraj.

Other search terms related to neelam and their ratings are:
★★★★★ pukhraj
★★★★ gomed
★★★ sameer soni
sameer
panna
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neelam
blue sapphire