Only for use in ASB Classrooms Policy of the Govt. of India w.r.t.: Drugs & pharmaceuticals
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms Indian pharmaceutical industry: The growth of drugs and pharmaceutical industry in India is primarily a post- Independence phenomenon. Before Independence, bulk of drugs was imported and only processing and formulations were done in the country. This industry has made tremendous progress during the last 40 years. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms The Indian pharmaceutical industry is expected to reach a revenue figure of US$ 50 billion by 2020. India, today, is the largest provider of generic drugs globally.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Top Indian Pharma Companies
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Indian pharmaceutical sector industry supplies over 50 per cent of global demand for various vaccines, 30 per cent of generic demand in the US and 25 per cent of all medicine in UK. Presently over 80 per cent of the antiretroviral drugs used globally to combat AIDS (Acquired Immune Deficiency Syndrome) are supplied by Indian pharmaceutical firms.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Before Independence, bulk of drugs was imported and only processing and formulations were done in the country. Government invested in public sector enterprises to reduce dependence on imports.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Central PSEs under the department: There are five Central Public Sector Enterprises under the Department of Pharmaceuticals. * Indian Drug & Pharmaceuticals Limited (IDPL), * Hindustan Antibiotic Limited (HAL) *Bengal Chemicals & Pharmaceuticals Limited (BCPL) * Rajasthan Drugs & Pharmaceuticals Limited (RDPL) * Karnataka Antibiotic & Pharmaceuticals Limited (KAPL)
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms As in the case of many PSUs, the pharma companies were inefficiently managed, overstaffed and did not modernize in a timely manner. Many turned into sick units. Only KAPL is making profits now. IDPL & RDPL are being closed down. In case of HAL & BCPL excess land is being sold, employees are offered VRS and then the companies would be offered for sale. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms Today there are both Indian and multinational companies in the private sector that are performing well.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Outside USA, India has the highest number of USFDA approved plants for generic drugs manufacture. Major share of Indian Pharma exports is sourced to developed western countries especially USA. (FDA- Food and drug administration, federal agency of the United States Department of Health and Human Services) Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms The department of pharmaceuticals was created in 2008 under the Ministry of Chemicals and Fertilizers.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms The departments looks after various areas like: Drugs and pharmaceuticals Medical devices Research activities in the sector Development of infrastructure, manpower & skills for the pharma sector International cooperation in research Price monitoring and control Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms Foreign Direct Investment in Pharmaceuticals Sector Up to 100% FDI in pharmaceutical sector is permissible through automatic route for greenfield investment and 100% for brownfield sector with government approval.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Government has signed up joint working group and high technology cooperation group agreements with various governments like the EU, USA, Russia, Egypt, Philippines, Tunisia, Algeria and Belarus.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Government arranges promotion of Indian pharma products and medical devices by arranging International exhibitions and conferences in India.
The pharmaceutical promotion development
scheme (PPDS) extends financial support to industries in the sector in development and export promotions. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) The Jan Aushadhi Scheme was launched in the year 2008 with the aim of selling affordable generic medicines through dedicated sales outlets. More than 4100 kendras are now functional.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms National Institutes of Pharmaceutical Education & Research (NIPER) 7 institutes are operational and 4 more are being set up. Objective is to create a pool of skilled manpower that can help India acquire leadership position in drug discovery and development.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms National Pharmaceuticals Pricing Policy: The policy of 2012 puts in place a regulatory framework for pricing of drugs to ensure availability of required medicines – “essential medicines” – at reasonable prices. At the same time, it provides sufficient opportunity for innovation and competition to support the growth of industry, thereby meeting the goals of employment and shared economic well being for all. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms National Pharmaceutical Pricing Authority (NPPA) is an independent body of experts formed by the Govt. of India. The functions of NPPA include fixation and revision of prices of scheduled formulations under the Drugs (Prices Control) Order (DPCO), as well as monitoring and enforcement of prices. NPPA also provides inputs to Government on pharmaceutical policy and issues related to affordability, availability and accessibility of medicines. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms Price Fixation of Devices Government has notified the ceiling prices of Coronary stents Rs. 7,400 for Bare Metal Stent( BMS) and Rs 30,180 for Drug Eluting Stent (DES) with effect from 1-4-2017. The average MRP was Rs. 45,100 for BMS and Rs. 121,400 for DES. The price reduction therefore worked out to 85% for BMS and 74% for DES. The fixation of ceiling price of coronary stents enabled the annual saving of Rs. 4,450 crores to the public. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms 19 medical devices have also been defined as drugs and their prices monitored and controlled. These include syringes, needles, intra ocular lenses, heart valves, blood bags etc.
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Only for use in ASB Classrooms Other government initiatives: * Six pharma parks are being set up in UP. * The National Health Protection Scheme is largest government funded healthcare programme in the world, which is expected to benefit 100 million poor families in the country by providing a cover of up to Rs 5 lakh per family per year for secondary and tertiary care hospitalisation. The programme was announced in Union Budget 2018-19. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms * The Government of India is planning to set up an electronic platform to regulate online pharmacies under a new policy, in order to stop any misuse due to easy availability. * The Government of India unveiled 'Pharma Vision 2020' aimed at making India a global leader in end-to-end drug manufacture. Approval time for new facilities has been reduced to boost investments. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms SWOT of pharma sector: Strength- • Low cost of manufacture • Strong manufacturing base • Availability of skilled workforce • Effective marketing and distribution channels
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Weakness: • Investments into research and development low • Poor coordination between industry and academia • Household expenditure on healthcare low • Availability of low quality and fake medicines
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Opportunities: • High growth potential • Exports are showing increasing trend • Requirement of generic drugs in developing markets are growing • India can become an international centre for clinical trials • India can become a key player in global R &D Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms Threats: * The product patent regime is one of the major threats to domestic Industry * Industry can be in trouble if it does not take up R&D initiative aggressively * The Drug Price Control order made by the Government of India put undue pressure on product prices which affects the profitability of the pharmaceutical companies Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms IPR & Pharma Industry:
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Intellectual Property Rights (IPRs) are the rights given to the creators of intellectual property (i.e., creations of minds), which bestows exclusive right to the creator for that product/property for a defined period of time.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms IPR in the Indian Context: The Indian IPR section is categorized into patents, designs, trademarks, and geographical indices. Indian “IPR” can be divided into three definite eras: * pre- independence, * post-independence (before Trade Related Aspects of Intellectual Property Rights or TRIPS), and * post-independence (after TRIPS) era. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms The Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) is an international legal agreement between all the member nations of the World Trade Organization (WTO). It sets down minimum standards for the regulation by national governments of many forms of intellectual property (IP) as applied to nationals of other WTO member nations. TRIPS is administered by the WTO. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms TRIPS requires WTO members to provide copyright rights. TRIPS also specifies enforcement procedures, remedies, and dispute resolution procedures.
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Only for use in ASB Classrooms A 2003 agreement allowed developing countries to export to other countries where there is a national health problem as long as drugs exported are not part of a commercial or industrial policy (AIDS medicines to Africa). The obligations under TRIPS apply equally to all member states, however developing countries were allowed extra time to implement the applicable changes to their national laws. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms Pre-independence era: In India, the history of IPR dates back to pre- independence era. In 1856, India witnessed the first legislation regarding patent. The act was replaced/amended many times.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Post-independence era (before TRIPS): In the post-independence era, multinational companies governed the Indian medicine market. The drugs were imported at a higher cost, and in terms of drug price, India ranked among the highest priced nations in the world.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms To provide medicines at a low cost, Hindustan Antibiotics Ltd was set up. The new Patents Act 1970 replaced all earlier acts and remained in place for the next 24 years. The Patents Act 1970 introduced the “process patent” system, which came out to be very advantageous to Indian Pharmaceutical sector. As per this act, patents were valid for 7 years Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms Under a process patent, the patent is granted for a particular manufacturing process, and not for the product itself. Any other person can produce the same product through some other PROCESS, modifying the various parameters. Weakness of the process patent regime is that it gives less protection for the inventor.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Post-independence era (after TRIPS): In 1994 India became a signatory to GATT. Non-compliance with TRIPS could lead to loss of membership. India moved to a product patent system and increased the patent protection period from 7 years to 14 years. India was given time till 2005 to implement the product patent system. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms According to industry estimates, the cost incurred for research and development is enormous: * an average cost of developing a new drug is USD $1.3 billion * the average time spent is 12-15 years from research to market of drug (with clinical trials consuming anywhere from 6-8 years)
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms In a weak IPR protection economy, generic drug manufacturers imitate innovations without investing time and money to develop new medicines. As a result, branded drug manufacturers are unable to recoup investments in new drug development, thus finding it difficult to invest in research and development (R&D) of new drugs and costly diseases. Prepared by Prof. C. Krishna Kumar Only for use in ASB Classrooms Every new drug in the marketplace has a long history leading up to its appearance on the countertop at your local pharmacist. A pharma company develops a new molecule or chemical entity. They apply for a patent for this new entity. The patent gives them the right of exclusive use of this finding for 20 years.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms The company then goes through extensive clinical trials to find the efficacy of the drug. This process can take 10-12 years. Many drugs fail at various stages and do not reach the market.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Since it is not possible to extend the term of the initial patent filed, this requires creative alternatives. Innovators instead seek to reset the 20-year clock by subsequently filing patents that are minor variants of the parent compound, called secondary patents.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms This practice, known as evergreening, allows a prolonged monopoly that unfairly denies the public access to medicines at equitable prices.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms The Indian Patents Act of 1970 had included a section 3D in 2005 that permits extension of patents only for real innovation and not for trivial tweaks. Many developing countries are following this model.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Once the product patent expires, other generic drug manufacturers bring out cheaper alternatives at lower prices.
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms University examination questions:
Prepared by Prof. C. Krishna Kumar
Only for use in ASB Classrooms Q. Discuss the impact of IPR laws on the pharma industry (2 marks; Nov 2016)