"Draft
Pharma Policy May Increase Drug Prices", Says CUTS International
September 05, 2006, New Delhi
"The proposal of draft pharmaceutical policy
to bring 354 drugs under price control may lead to increase in prices
of drugs".
“The Indian experience is that, by and large, the
suggested maximum price invariably becomes the actual selling price.
Hence, for many medicines, there is a risk that the price control
will lead to higher prices,”Mr Pradeep S. Mehta, Secretary General,
CUTS International, a leading research based civil society organization
has said in a statement today.
The policy proposes to bring more medicines under
price control but at the same time increase the Maximum Allowable
Post-Manufacturing Expenses (MAPE) to 150 per cent from the current
level of 100 per cent. This is too high and cannot be justified
and also contradicts the policy of trade margin of 50 per cent (15
per cent for wholesalers and 35 per cent for retailers) for generic
medicines proposed in the same policy draft, Mr Mehta has said.
According to CUTS, the issue of trade margin deserves
more attention as it can check the anti-competitive practices of
the retailers who are cartelised and often force the manufacturers
to offer higher margins otherwise consumers will be forced to pay
higher prices even if the pharmaceutical manufacturers are willing
to provide them at reasonable prices.
Instead, the aim should be to encourage competition
with appropriately monitoring prices. The regulation should try
to simulate the "effects of competition" and price control
should not be imposed on drugs where the "effects of competition"
already exist.
It would be better to put fewer number of drugs
under price control while retaining the existing level of MAPE of
100 per cent and put others on the watch list and adopt a threat-based
policy by reserving the right to bring them under price control
any time their prices cross certain levels, CUTS has suggested.
Regulation of drug prices is necessary not only
because it is a different kind of product that involves issues of
life and death for people, but also because normal market forces
do not operate as consumers do not make the choice.
In the past, with increasing decontrol over years,
prices of some medicines soared, so much that for some drugs prices
are not only higher compared to neighbouring countries such as Sri
Lanka and Bangladesh, but even vis-à-vis developed countries
such as Canada and the UK.
It is true that the drug market is not perfectly
competitive due to the peculiarities of the sector. However, it
is not just the pharmaceutical companies that are responsible for
this but all the other actors of the health services delivery system,
including doctors, pharmacists, hospitals and diagnostic clinics,
are equally responsible. The Government thus needs to take a holistic
look at the issue of healthcare and availability of affordable medicine
is only a part of it, CUTS has stated.
For many people living in the rural areas and for
the poor in the urban areas, the primary issue is the availability
of affordable and "honest" healthcare services rather
than the prices of medicines. This would require measures other
than price control.
If more medicines are to be brought under price
control, they should be restricted to a few that might have seen
excessive price increase rather than all essential drugs, Mr Mehta
has said.
CUTS Centre for Competition, Investment & Economic
Regulation (CCIER) had conducted a study on “Options for Using Competition
Law/Policy Tools in Dealing with Anti-competitive Practices in Pharmaceuticals
and the Health Delivery System”, in 2005-2006 supported by the World
Health Organisation and the Ministry of Health and Family Welfare,
Government of India and plans to share the findings of the study
in a half day workshop on September 8, 2006, at India International
Centre (IIC), Conference Room II, New Delhi.