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iasparliament
January 05, 2019
3 months
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Why in news?

The Ministry of Chemicals and Fertilizers has recently released the Drugs (Prices Control) Amendment Order, 2019.

What is it for?

  • Drug price control is all about striking the right balance between consumer and producer interests.
  • The DPCO (Drugs Prices Control Order) fixes the prices of scheduled drug formulations.
  • It also monitors maximum retail prices of all drugs, including the non-scheduled formulations.

What are the key provisions in the recent order?

  • A drugmaker who has brought in an innovative patented drug will be exempt from the price control regulations for 5 years from the date of marketing.
  • The Drug Price Control Order (DPCO), 2013, has been amended to this effect.
  • The amendments were made on the basis of the NITI Aayog’s recommendations to the Department of Pharmaceuticals (DoP).
  • Drugs for treating rare or “orphan” diseases too will be exempt from price control, with a view to encouraging their production.
  • Under the amended DPCO, the Centre will continue fixing prices in line with market-based data available on drugs.
  • The source of market-based data shall be the data available with the pharmaceutical market data specialising company as decided by the government.
  • If the government deems it necessary, it may validate such data by appropriate survey or evaluation.
  • [Alternatively, cost-based pricing model takes into account the actual money that went into developing the drug, sourcing the raw material and so on].

What are the concerns?

  • The changes are aimed at lifting foreign investor sentiment, particularly of US companies.
  • But not bringing orphan drugs into price control will significantly impact patients.
  • Only MNCs are manufacturing orphan drugs at the moment; so lack of price control will have a detrimental effect on affordability.
  • Also, cancer drugs are increasingly patented with no generic competition, putting them out of the reach of poor patients.

What should be done?

  • Medicines account for over half the costs of inpatient care and 80% in the case of out-patient care.
  • So, there must be a way of ensuring that their prices remain accessible without producers feeling disincentivised in the process.
  • The Competition Commission of India’s recent report identifies retailers’ margins as a major cause of high prices.
  • This can best be addressed by investing in wholesale public procurement, as Tamil Nadu and Rajasthan have shown.
  • A combination of State-led insurance, such as Arogyashree in Andhra Pradesh, and public procurement can help keep health costs down.
  • All these essentially require increasing the budget allocation for the health sector.

 

Source: Financial Express, BusinessLine

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