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The government is set to introduce a system for stringent
monitoring of prices of drugs outside price control
with requisite legislative sanction.
The system will ensure that price fluctuations beyond
the confines being set would in most cases, lead to
imposition of price controls on the drugs that are in
the control-free category at present. Monitoring will
deliver occasional blows to the bottomlines of drug
majors.
Nearly 75% (over Rs 17,000 crore) of the retail pharma
market of over Rs 23,000 crore is currently outside
price controls. A government panel, headed by joint
secretary (pharma), GS Sandhu, examining the drug price
control mechanism, may also recommend imposition of
a ceiling on retail pharma trade margins for control-free
drugs, if the law ministry approves of the proposal.
The panel is convinced that the law should specify
the rate of price rise of an unscheduled (control-free)
drug, which would make it eligible for price control.
In its report to be final by month-end, the panel is
set to propose an amendment to the Drugs Price Control
Order (DPCO) to specify the permissible rate of price
increase for a control-free drug over a period.
Even now, the government has the power to intervene
in the unscheduled drugs market if it detects an "abnormal"
price increase. However, such interventions have been
seldom made in practice because the DPCO does not specify
a figure to reckon the abnormality of the price rise.
Hence, the National Pharmaceutical Pricing Authority
(NPPA) has restricted itself to discretionary views
on the matter and refrained from using the power.
Official sources said the maximum tolerable price rise
over a specified period may be fixed and mentioned in
the DPCO. Monitoring will be strict and assiduous. The
government will not lack the legal sanction for intervening
in the control-free market.
The committee is examining various options to control
trade margins. These include imposing an across-the-board
ceiling on trade margins for all unscheduled (both generic
and branded) drugs, fixing a higher ceiling for the
generic drugs and a lower one for the branded drugs
and fixing the ceiling only for generic drugs.
The law ministry is examining the tenability of these
proposals, officials said. The cap on margins for generic
drugs may result in some shake-out in that space.
"This will put pressure on large companies to
exit from the generics business," sources said.
For instance, if Cipla's or Ranbaxy's branded product
is available at Rs 26, the generic version may be priced
at Rs 6 after the generic margin is capped on a product
that costs Rs 2 to produce.
In the absence of the high margin, the chemist will
have no incentive to push the generic medicine.
Currently, the maximum retail trade margin for a controlled
drug is fixed at 16%. For a control-free drug, no such
ceiling is officially fixed. The result - the retail
margins can be as high as even 2,000% in case of generic
drugs, while a margin of 500% is just common. Generic
(unbranded) drugs constitute just about 8% of the retail
pharma market.
Even then, the government is concerned over the huge
margins in the segment since these drugs are sold mostly
in the rural markets, where the chemist's preference
to sell these drugs could hit the consumer.
JS Shinde, honorary general secretary, All-India Organisation
of Chemists and Druggists, said: "In case the margins
are capped, our margin will go down. Despite that, we
are willing to work with the government on making drugs
more affordable to the consumer
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