( A
Note being circulated for discussion as part of the Campaign for
Affordable Medicines)
Our
country was regarded as the best among the developing
countries in the world for evolving a well defined Drug
Pricing Policy for reaching the essential and life
saving drugs and other medicines to the common man with
affordability and availability of the right drug prescribed
by the Medical Profession. The Drugs Price Control Order
( 1987 ) clearly spelt out the necessity of having a
clear Drug Policy to ensure abundant availability of good
Quality Drugs at reasonable prices . Explaining the above
objectives of the order Mr.R.K.Jayachandra Singh ,the then
Union Minister of State for Chemicals and Petro-chemicals
felt that the new DPCO will evolve a good system of Price
Control which would encourage production by allowing a
reasonable return to the producers of essential drugs.
The minister also said that almost 75% of the total
production of multi national drug companies would fall
under the purview of Drug Price Control Order and
entrusted a high powered committee headed by Dr.Vijay
Kelkar, the then Chairman of the Bureau of Industrial
Costs & Prices which identified two category of drugs viz…category
I and category II. The said DPCO 1987 provided Maximum
Allowable Post Manufacturing Expenses (MAPE) of 75% in
the case of Category I Formulations and 100% in the
case of Category II Formulations. Category I Bulk Drugs
were those which are required for Formulations which were
expected to be meant for the National Health Programme for
control of Tuberculosis, Leprosy, Malaria, Trachoma and
prevention of dehydration in certain disease conditions.
Category I Formulations are those Formulations based on
the Bulk Drugs specified in Category I . In Category II
all Bulk Drugs other than those required for formulations
in Category I were included and the Formulations based on
the Bulk Drugs in Category II were included as Category II
Formulations.
This
Broad Banding of Drugs was the main basis by which the
margins were permitted to the Manufacturer and the Trade
. In Category I Formulations the post-manufacturing
expenses were 75 % and in Category II Formulations the
same was fixed as 100%. The Trade margin was also fixed
by the said Price Control Order. In Category I Formulation
the Retailer Margin was 12 % and 16% in Category II
Formulations . The Price Control Order also specified
the term “post-manufacturing expenses “ as all costs
incurred by a Manufacturer from the stage of ex-factory
cost to retailing and includes Trade Margin.
The
1987 Drug Policy gave a disciplined approach in Drug
Prices Control and consequent implementation of the
essentialities of the National Health Programme as almost
165 drugs were under Price Control then . The
disciplined Price Policy continued till the announcement
of the Drug Price Control Order 1995 . By this order the
Government has the power to fix the price of Bulk
Drugs and also to fix the ceiling price of scheduled
formulations from time to time by Notification in the
official gazette keeping in view of the cost or
efficiency or both of major manufacturers of such
formulations and such price shall operate as the
ceiling sale price for all such packs including
those sold under generic name for every manufacturer of
such formulations. By this order the number of Bulk
Drugs retained under Price Control was restricted to 76
from the previous 165 items in as specified 1987 order.
The subsequent years witnessed the decontrol of various
bulk drugs from the Controlled Category and accordingly
the formulations also came out of the Price Control Order
with FREE PRICING POLICY for the manufacturer and fixing
enormous Trade margins disproportionate to what has been
generally prescribed for the decontrolled Category of
Drugs. The 1997 Drug Policy clearly fixed the power
on the National Pharmaceutical Pricing Authority to fix the
price of scheduled formulations including those sold
under generic name but unfortunately the Industry took
the policy into their advantage by fixing the MAXIMUM
RETAIL PRICE to their advantage and also to attract the
Trade to push their products into the market with high
Trade margins to the extent of even 200 %. Added to
this in 1998 the Excise Duty on Formulations was also
revised as 16% for branded items and also for
generics. Until such time the generics attracted only 8%
Excise Duty . In the angle of the Government and the Policy
Makers it was felt that this change will increase the
Excise Revenue but it happened contra-revise as the
Pharmaceutical Manufacturers introduced a range of products
under the term “ BRANDED GENERICS” . All the major
companies have both “PROMOTED “ items and “BRANDED
GENERICS “ Items marketed regularly with the same “MAXIMUM
RETAIL PRICE” . This is more so in decontrolled items
although such practice cannot be carried out by any
manufacturer having controlled price fixed products. This
practice of offering “HIGH TRADE MARGIN” has become
a practice since 1998 onwards by major companies like
Ranbaxy, Cipla, Cadila, Aurobindo, Dr.Reddy’s, Nicholas,
Lupin,Glenmark,Wokhadt,Alembic,Alkem,Merind,Ind-Swift, Intas,
Micro, and many like them followed the suit competing
each other in offering HIGH TRADE MARGINS along
with fabulous gifts and foreign travel etc.. to the
Trading partners. Ironically the MRP remained the same
and the products are offered at 200 % margin to the
Retailers. The Retailers thereby become interested to push
only these products into the market as they get VERY
HIGH TRADE MARGIN as against 16 or 20% as fixed by
the Drug Price Control Order on Controlled and Decontrolled
Drugs. In other words the decontrol of the Bulk
Drugs and the Formulations resulted in advent of a new
class of products called BRANDED GENERICS with the same
MRP as the promoted item for the same product with HIGH
TRADE MARGIN and the MRP remains the same to the
ultimate consumer. Medical Profession feels that the
patients are not getting the prescribed product as the
Chemists substitute the prescriptions with HIGH TRADE
MARGIN PRODUCTS with or without proven quality. All
these are consequences of the decategorisation of Bulk Drugs
from controlled Category every year by the respective
announcements by the Ministry of Chemicals and Petro-chemicals
which have resulted in sub-standard drugs all over the
country WITH HIGH PRICE to the consuming public.
It is the equalization of the Excise Duty to 16%
for both PROMOTED ITEMS AND GENERIC ITEMS which
prompted the Manufacturers to introduce the branded
generics using the decontrolled bulk drugs and make
variety of formulations and dump into the market and
play illegal and unethical games in the market ultimately
killing the poor consumer WITH HIGH DRUG PRICE.
Important and widely used drugs like Amoxylicillin 250 (MRP Rs
34.00/10capsules) and Paracetamol 500 mg Tabs (MRP Rs 7.50/10
Tabs) are sold to retailers at unimaginable Price of Rs 85.00
for 10 caps and Rs 1.25 for 10 Tabs by the very large Indian and
multinational companies under the garb of BRANDED GENERICS and
more than 500 such products are sold by leading Companies like
Ranbaxy & Cipla and many follow their way competing each other
at the cost of the consumer. The margins offered by these
Companies offering such huge Trade margins at the cost of the
poor and helpless consumer in this manner is illegal and
violative of the existing rules and regulations and should be
considered as criminal offence in the existence of a
Drugs Price Control Order in India.
COSTING:
The
following table will also give an idea about the cost of
various materials and also the MRP in relation with the raw
material cost prevalent in 2002 for certain vital and
essential products in comparison with what is prevailing now.
|
PRODUCT |
RM |
COST/KG (Rs) |
NO OF
UNITS/KG |
TOTAL MAT
. COST (Rs) |
MRP |
STOCKIST
RATE |
|
Ampicillin
Caps 250 |
Ampicillin
Trihydrate |
1450.00 (
2004)
2300.00
(2002) |
3300
Capsules |
0.55
(2004) 0.90
(2002) |
3.40 3.40 |
0.65 1.10 |
|
Amoxycillin Caps 250 |
Amoxycillin Trihydrate |
1450.00 (
2004)
2300.00
(2002 |
3300
Capsules |
0.55
(2004) 0.90 (2002)
|
3.50 3.50 |
0.65 1.20 |
|
Paracetamol Tabs 500 mg |
Paraceamol |
150.00(2004)
150.00 (
2002) |
2000
Tabs |
0.10
(2004) 0.10 (2002) |
6.50
4.50 |
1.20 1.50 |
|
Cough
Syrup |
|
|
|
5.00
(2004) |
30.00 |
8.00 |
|
Ampicillin
Injection 500 mg |
|
|
|
3.25
(2004) |
20.00 |
3.75 |
|
Antacid |
|
|
|
6.00
(2004) |
34.00 |
10.00 |
|
Paracetamol
Syrup
|
|
|
|
3.50
(2004) |
16.00 |
5.00 |
|
Ampicillin
DrySyrup30ml |
|
|
|
4.00
(2004) |
20.00
|
4.50 |
|
Ampicloxa
Caps 500mg |
|
|
|
2.20
*(2004) |
2.95 |
2.27 |
|
Amoxycloxa
Caps 500mg*
|
|
|
|
2.25
(2004) |
3.00 |
2.30 |
NOTE:
ALL THE ABOVE RAW MATERIALS ARE DECONTROLLED BY GOVERNMENT
AND CONSEQUENT FORMULATIONS ALSO ARE FREE FROM PRICE
CONTROL.
*Amoxycillin
& Cloxacillin Caps 500mg is under price control with an
MRP of Rs.3.00 with no margin for the manufacturer as
the price was wrongly fixed by DPCO and Cipla still
continues selling the same at higher MRP ( Rs.4.87) as
against Rs.3.00 taking a stay from Mumbai High
Court.
The
above table clearly shows that for all the essential
products which have been decontrolled by Government
from 1998 onwards the MRP remains the same with heavy
Trade margin affecting the consumer violating the Drug
Price Control Order by the manufacturers and Trade
together with ulterior motive for maximization of
illegal profit. Whereas on the control price items the
Manufacturers have taken stay against the National
Pharmaceutical Pricing Authority ( NPPA) and enjoy
higher margin fixed by the Government.
SUMMARY:
It
clearly shows that on the decontrolled items
the manufacturers have fixed their own margins to the
Trade to the tune of 200 % from the MRP. The
Government itself is the responsible for this irregularity
which the manufacturers are utilizing it for their own
benefit at the cost of the consumer violating the Drugs
Price Control Order.
IMPACT
OF HIGH TRADE MARGIN ON THE REVENUE IN RESPECT OF LOSS OF
EXCISE DUTY AND SALES TAX TO THE EX-CHEQUER.
The
following table will illustrate the loss of Central Excise
Duty on each Unit which the Government has been losing
since 1998 due to the illegal activities of the
Pharmaceutical Companies in India.
A.
Excise Duty collectable on Brand Items.
(Rupees)
|
YEAR |
RATE OF EXCISE
DUTY |
PRODUCT |
MRP |
SELLING RATE |
ED |
|
1987 |
12
% |
PARACETAMOL TAB
500 MG –CROCIN |
0.25 |
0.20 |
0.02 |
|
1997 |
16
% |
PARACETAMOL TAB
500 MG- CROCIN |
0.45 |
0.32 |
0.05 |
|
2004 |
16% |
PARACETAMOL TAB
500 MG- CROCIN |
0.75 |
0.54 |
0.08 |
B.Excise
Duty collectable on Generics/ or Branded Generics :-
|
YEAR |
RATE OF EXCISE
DUTY |
PRODUCT |
MRP |
SELLING RATE |
ED |
|
1987 |
8% |
PARACETAMOL TABS
500 MG –Generic
only |
0.25 |
0.15 |
0.01 |
|
1997 |
16
% |
PARACETAMOL TAB
500 MG-Generic
only |
0.45 |
0.25 |
0.04 |
|
2004 |
16% |
PARACETAMOL TAB
500 MG – BRANDED
GENERIC-PARACIP |
0.75 |
0.12 |
0.02 |
The
above table shows that Paracetamol Tablet (MRP
0.75/Tablet) with Brand Name Crocin is sold to Stockists
at 0.54 with Excise Duty @ 16% of Rs. 0.08 (8paise) whereas
the same product in Branded generic as Paracip is
retained same MRP of Rs.0.75 /Tab with the selling
rate as 0.12 with an Excise Duty of Rs. 0.02 (2 paise) .
The difference in the Excise Duty collectable by the
Government per Paracetamol Tablet is 6 paise and one can
imagine how much the Government is losing to the
National Ex-chequer by way of Excise Duty
difference. The Government has been losing since
1998 due to over play and irresponsible behaviour of the
Government officials who are otherwise the watch dog
of the national revenue and wealth. The Pharmaceutical
companies especially the large Generic companies like
Ranbaxy, Cipla and such others have been playing around on
this loophole at the cost of the consumer . The Government
is the loser and it is high time the Minister of Petroleum
& Chemicals should look into it and initiate corrective
measures and stop over play of the Generic pharmaceutical
manufacturers in the India in the interest of the
Government and the common man.
It
has also been well documented that on decontrolled items
the manufacturer is expected to give 20% to the Retailer
and 10% to the Whole Saler. This is the policy rule
and every manufacturer should have complied to this
directive whether it is a formulation in branded items
or branded generic or generic. The Government should
not have permitted to clear the goods from the factories on
a much lower price fixed by the manufacturer to the
extent of 200 % violating the Trade margins fixed to
decontrolled items as 20 & 10 %. If 6 paise per
Paracetamol Tablet is lost out of Excise Duty we can
imagine how much our country has lost by way of Excise
Duty combining all Pharmaceutical products being marketed
as Generics or branded Generics at such High Trade margin.
WAYS
AND REMEDIES:
A.
Products under Price Control.
This should be continued as practiced by NPPA with periodic
reviews for revision due to escalation in price of
various inputs.
B.
Products without Price Control :
We
appreciate the move by the present Minister of Petroleum
and Chemicals to fix the manufacturing cost on each
product and the MRP should not be more than 100% of
the manufacturing cost. In this way the price of Drugs can
be controlled as the MRP will come down drastically. This
may be made applicable to the decontrolled items only as
this is the area where maximum violation is taking place
by the Generic Manufacturers. The manufacturer still is
at his freedom to fix the Trade margin but it is expected
that it will not be more than 25 to 30 % as the margins
have been thinned out as the M.R.P will come down. The
Retailer margin also will come down drastically and this
will reduce the incidence of substandard materials
coming into the market. As NPPA has got voluminous
data on the cost of production on each product by the large
companies the same can be taken for fixing the MRP of
the products with 100% post –manufacturing margin and
expenses. However, whether it is branded , branded
generics or generics the ceiling price should be fixed
and the manufacturers should not be permitted to give
Trade margin of more than 20% to Retailer and 10% to
the whole saler. In this way the Governments revenue
is collected .
Why
we should not have a Price Control System ?
India
is poor; Indians are still poorer. Why we should not
have an effective Price Control Mechanism like what we had
in early 1990 s which should deliver quality products at
affordable price at the place of requirement. The basic
idea of removing more and more Bulk Drugs and Formulation
out of Price Control Regime should be condemned by each
and every responsible Indian and strict Price Control
should be implemented with full power to State Drug
Control Department to initiate steps against those who
violate the same. No distinction between SSI , Large
Sector and others should be made in respect of price
control as it would generate indiscipline and misuse
as it has happened now. For all single ingredient
products the ceiling price should be fixed by NPPA
for other formulations containing more ingredients , the
manufacturing company should comply with the Government
regulation that the cost should be properly worked out
and not more than 100 % post-manufacturing expenses can
be added. It should be done on individual manufacturers
responsibility and if variations and violations are
observed action should be taken against the erring
companies by cancellation of their Manufacturing and
Central Excise Licences.
SMALL
SCALE SECTOR PHARMACEUTICALS – A TOOL FOR MULTI-NATIONALS
AND LARGE INDIAN COMPANIES.
It is
also seen in recent years that many multi-national and
large companies in India are acting as marketing
companies for small scale manufacturers. The products are
manufactured by a SSI and marketed by Glaxo, Smithkline ,
Pfizer, Parke-Davis and many other multinationals operating
in India. It is also a known fact that many of these
multi-national companies have closed their factory
giving compulsory retirement to their workers and
solely resort to getting the products manufactured by
Indian Small Scale Sector Companies with their logo on
the manufactured products. This is highly illegal in
respect of Central Excise Regulations and other Drug
Control regulations as the marketing company cannot put
their logo in any manner on the primary or secondary
packing materials thereby creating a false image for the
consumer that the product is a multi-national companies
product and we Indians , out of ignorance and
helplessness are cheated by this method. The
multinationals also take full advantage of the
facilities offered to the small scale sector in respect
of Central Excise and other Price Control obligations.
WHO GAVE THE PERMISSION FOR MULTINATIONALS TO ACT AS
MARKETING AGENTS IN INDIA ? IS IT THE DRUGS CONTROLLER
INDIA OR THE MINISTER OF PETROLEUM CHEMICALS OR THE
MINISTRY OF COMMERCE OR MINISTRY OF HEALTH ? This
should be looked into by a special committee of Parliament on a
war foot basis. If the present system is permitted to be
continued , India will be indirectly owned by multi-national
Pharmaceutical companies who have no interest to
participate with the Government in the National Health
Programme or bringing new molecules to India by Research
and Development with strong base in India which they have
already demolished like Hoechst Research in Mumbai , Ciba
Geigy in Mumbai or Smithkline Research Centre in Bangalore.
Multinationals are thriving in India at the expenses of
SSI and detriment of the under educated poor Indian
with no investment in Plant and Machinery , R & D and such
activities. Government should look into very deep their
activity in India and persons who have given Licence for
their marketing activities without proper permission or
authorization should be punished. The multinationals also
are strongly recommending and clamouring for the SSI
limit to be increased Rs.5 Crores from the present Rs.1
Crore. While the SSI s should be encouraged to
invest on their Plant and Machinery to conform to Schedule M
Regulations and c GMP , it should not happen that the
multinationals are the beneficiary of the Governmental
decisions. While SSI should be the back bone of
India’s Pharmaceutical Manufacture and Delivery Mechanism only
such SSI s who have produced and marketed 70% of their
production for own domestic or export requirements for the
past 3 years should be permitted to utilize the facility of
investment of 5.00 crores. In this way the SSI s will
stand on their own making progress steadily rather than
become a mouth piece for multinational companies or large
sector companies who utilise them for all their needs at
unimaginable low profit which the SSI will not be able to
sustain with such low margins. Multinational should not
be permitted to get the products manufactured in India under
marketing arrangement. They have to have their own
manufacturing facility with strong R & D base rather than
producing unwanted stereotyped products which are of no
relevance to India’s Health Care Programmes and the
Welfare of the Indian.
India
should have a clear and strong Drug policy that will go along
with the Government’s desire of developing rural India which is
the backbone of India’s future and development. The clear Drug
policy should aim at bringing the price of all manufactured
product under tight control and beneficial to the common man.
The time has come to carve out a well defined policy that will
bring quality Drugs at affordable prices has part of our
National Healthcare Programme.