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Is the 2013 Price Control Regulation Necessary?

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Regulating Pharmaceutical Prices in India

Part of the book series: India Studies in Business and Economics ((ISBE))

Abstract

In this chapter, we address whether pharmaceutical price control regulations, introduced in India in the 1970s when the domestic pharmaceutical industry was still in its infancy, are relevant today. India is currently among the largest exporters of generic, low-cost pharmaceuticals to countries around the world. Also, other countries such as China have removed price caps regulations on low-cost medicines due to rising concerns about the declining quality and shortages of regulated medicines (Burkitt 2014). We complement the historical account of the policy process detailed in the previous chapter resulting in the 2013 DPCO regulation with a quantitative approach in this chapter. In particular, we use Pharmatrac data to examining whether pharmaceutical markets in India are competitive and whether greater competition is sufficient to ensure lower prices in these markets. Our goal here is neither to advocate a greater role for market forces nor call for government intervention in general, and we refer the readers to other studies for such discussions (e.g., Datta-Chaudhuri 2000). We envisage a limited role for reasonable regulations in the Indian pharmaceutical industry, given its unique characteristics.

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Notes

  1. 1.

    Intra-molecule research focuses on substitutability of different molecules for the same therapeutic therapy, inter-molecule research focuses on substitutability amongst drugs that contain the same molecule, but differ in brand, strength, pack size and price

References

  • Basak, S. C. (2008). The genesis of drug price control. PharmaBiz [online]. Available from http://pharmabiz.com/ArticleDetails.aspx?aid=42905&sid=9

  • Beggs, A., & Klemperer, P. (1992). Multi-period competition with switching costs. Econometrica: Journal of the Econometric Society, 60, 651–666.

    Article  Google Scholar 

  • Bhaskarabhatla, A., Chatterjee, C., Anurag, P., & Pennings, E. (2017). Mitigating regulatory impact: The case of partial price controls on metformin in India. Health Policy and Planning, 32, 194–204.

    Google Scholar 

  • Burkitt, L. (2014, May 8). China Scraps Price Caps on Low-Cost Drugs. Wall Street Journal [online]. Available from https://www.wsj.com/articles/china-scraps-price-caps-on-low-cost-drugs-1399525903

  • Burnham, T. A., Frels, J. K., & Mahajan, V. (2003). Consumer switching costs: A typology, antecedents, and consequences. Journal of the Academy of Marketing Science, 31(2), 109–126.

    Article  Google Scholar 

  • Datta-Chaudhuri, M. (2000). Market failure and government failure. Journal of Economic Perspectives, 4(3), 25–29.

    Article  Google Scholar 

  • Ellison, S. F., Cockburn, I., Griliches, Z., & Hausman, J. (1997). Characteristics of demand for pharmaceutical products: An examination of four cephalosporins. The Rand Journal of Economics, 28(3), 426–446.

    Article  Google Scholar 

  • Evans, R. (1974). Supplier-induced demand: Some empirical evidence and implications. London: Palgrave Macmillan.

    Google Scholar 

  • Evans, V., & Pollock, A. (2015). The proliferation of irrational metformin fixed-dose combinations in India. The Lancet Diabetes and Endocrinology, 3(2), 98–100.

    Article  Google Scholar 

  • Farrell, J., & Shapiro, C. (1988). Dynamic competition with switching costs. RAND Journal of Economics, 19(1), 123–137.

    Article  Google Scholar 

  • Fornell, C. (1992). A national customer satisfaction barometer: The Swedish experience. Journal of Marketing, 56(1), 6–21.

    Article  Google Scholar 

  • Gillian, P., & Grills, N. (2016). Medication misuse in India: A major public health issue in India. Journal of Public Health, 38(2), 150–157.

    Article  Google Scholar 

  • Government of India. (1975). Report of the committee on drugs and pharmaceutical industry (Hathi Committee Report) 1975. New Delhi: Ministry of Petroleum & Chemicals.

    Google Scholar 

  • Gulhati, C. M. (2004, December 2). Why drug price regulation? PharmaBiz.com

  • Joelving, F. (2015). India’s “health camps”: The drug rep will see you now. British Medical Journal, 351, h6413.

    Article  Google Scholar 

  • Kamat, V., & Nichter, M. (1998). Pharmacies, self-medication, and pharmaceutical marketing in Bombay, India. Social Science and Medicine, 47(6), 779–794.

    Article  Google Scholar 

  • Karakaya, F. (1989). Barriers to entry and market entry decisions in consumer and industrial goods markets. Journal of Marketing, 53(2), 80–91.

    Article  Google Scholar 

  • Kotwani, A., Wattal, C., Katewa, S., et al. (2010). Factors influencing primary care physicians to prescribe antibiotics in Delhi India. Family Practice, 27(6), 684–690.

    Article  Google Scholar 

  • Kotwani, A., Wattal, C., Joshi, P. C., et al. (2012). Irrational use of antibiotics and role of the pharmacist: An insight from a qualitative study in New Delhi, India. Journal of Clinical Pharmacy and Therapeutics, 37(3), 308–312.

    Article  Google Scholar 

  • Miller, R., & Catherine, G. (2016). Performance of retail pharmacies in low- and middle-income Asian settings: A systematic review. Health Policy and Planning, 31(7), 940–953.

    Article  Google Scholar 

  • Nalinakanthi, V. (2014). All you wanted to know about: DPCO. The Hindu Business Line [online]. Available from http://www.thehindubusinessline.com/opinion/all-you-wanted-to-know-about-dpco/article6458442.ece

  • Nautiyal, S. (2014a, July 22). Maha FDA writes to NPPA to bring medical devices under DPCO to curb profiteering. PharmaBiz.com

  • Nautiyal, S. (2014b, July 3). Hospitals making huge profit on simple disposables in collusion with stockists. PharmaBiz.com

  • Oldani, M. (2004). Thick prescriptions: Toward an interpretation of pharmaceutical sales practices. Medical Anthropology Quarterly, 18(3), 325–356.

    Article  Google Scholar 

  • Pant, S., Sah, A. K., & Khurana, A. K. (2016). Report of the committee on high trade margins in sale of drugs. Department of Pharmaceuticals, Government of India. Available online https://ideas.repec.org/p/ess/wpaper/id10219.html

  • Patel, V., Vaidya, R., Naik, D., et al. (2005). Irrational drug use in India: A prescription survey from Goa. Journal of Postgraduate Medicine, 51(1), 9–12.

    Google Scholar 

  • Phadke, A., & Srinivasan, S. (2013). Pharma policy 2012 and its discontents. Economic and Political Weekly, 48(1), 38–42.

    Google Scholar 

  • Pharmabiz. (2017, May 11). Generics prescription: Stakeholders co-operation crucial. Retrieved December 6, 2017, from http://pharmabiz.com/ArticleDetails.aspx?aid=102758&sid=21

  • Porter, M. E. (1980). Competitive strategy (p. 300). New York: Free Press.

    Google Scholar 

  • Seeberg, J. (2012). Connecting pills and people: An ethnography of the pharmaceutical Nexus in Odisha, India. Medical Anthropology Quarterly, 26(2), 182–200.

    Article  Google Scholar 

  • Sharma, A., & Kaplan, W. (2016). Challenges constraining access to insulin in the private-sector market of Delhi, India. BMJ Global Health, 1(3), 1–13.

    Article  Google Scholar 

  • Singal, G., Nanda, A., & Kotwani, A. (2011). A comparative evaluation of price and quality of some branded versus branded-generic medicines of the same manufacturer in India. Indian Journal of Pharmacology, 43(2), 131–136.

    Article  Google Scholar 

  • Smetacek, R. (2016). Organisation of pharmaceutical producers of India replies to article on India’s health camps. British Medical Journal, 352, i238.

    Article  Google Scholar 

  • Srinivasan, S. (1999). How many aspirins to the rupee? Economical and Political Weekly, 34(9), 514–518.

    Google Scholar 

  • Steele, H. (1962). Monopoly and competition in the ethical drug market. Journal of Law and Economics, 5, 142–143.

    Article  Google Scholar 

  • Temin, P. (1980). Taking your medicine. Cambridge: Harvard University Press.

    Book  Google Scholar 

  • Waheed, A., Jaleel, M., & Laeequddin, M. (2011). Prescription loyalty behavior of physicians: an empirical study in India. International Journal of Pharmaceutical and Healthcare Marketing, 5(4), 279–298.

    Article  Google Scholar 

  • Walker, H. (1971). Market power and price levels in the ethical drug industry. Bloomington: Indiana University Press.

    Google Scholar 

  • Zeithaml, V. A. (1981). How consumer evaluation pro cesses differ between goods and services. In J. Donnelly & W. George (Eds.), Marketing of Services (pp. 186–190). Chicago: American Marketing.

    Google Scholar 

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Bhaskarabhatla, A. (2018). Is the 2013 Price Control Regulation Necessary?. In: Regulating Pharmaceutical Prices in India. India Studies in Business and Economics. Springer, Cham. https://doi.org/10.1007/978-3-319-93393-1_3

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