The Indian Pharmaceutical Industry
The Indian Pharmaceutical Industry
The Indian Pharmaceutical Industry
Research
The Indian
Pharmaceutical
Industry
Regulatory, Legal and Tax
Overview
April 2021
April 2021
About NDA
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Acknowledgements
Dr. Milind Antani
[email protected]
Darren Punnen
[email protected]
Shreya Shenolikar
[email protected]
Contents
1. EXECUTIVE SUMMARY 01
2. INTRODUCTION 03
3. TAX REGIME 29
I. Direct Taxes 29
II. Indirect Taxes 39
5. CONCLUSION 43
ANNEXURE A 44
ANNEXURE B 47
ANNEXURE C 49
Patented New Drugs and Orphan Drugs Out of Price Control in India 49
1. Executive Summary
The Indian Pharmaceutical industry is expected to grow to USD 100 billion by the end of 20251 Pharmaceuticals
exports from India stood at USD 16.3 Billion in FY 2019-20 The Indian biotechnology industry was valued at US$
64 billion in 2019 and is expected to reach US$ 150 billion by 2025.2
India also has the largest number of manufacturing sites approved by the United States Food and Drug
Administration outside of the United States.3
The industry is typically involved in four types of businesses- marketing of generic medicines, marketing
of branded generic medicines, marketing of innovator medicines, and manufacture and supply of active
pharmaceutical ingredients which are used as ingredients in medicines as well as finished formulations.
The industry is primarily focused on manufacturing of generic medicine and export of bulk drugs. The focus
on development of new drugs began with introduction of amendments to India’s patent regime in 2005 which
permitted patenting of pharmaceutical products. Thus, while many domestic companies are investing substantial
amounts in drug research and development, India is still not an innovator’s market.
The Indian Pharmaceutical industry is witnessing healthy foreign direct investment, amalgamations and
collaborations (such as licensing, co- development, joint distribution and joint ventures). Domestic manufacturers
are looking to tap into international generic market which provide high margins. The number of Abbreviated
New Drug Applications (ANDA) to the US FDA is also increasing every year. The Industry is witnessing
a paradigm shift as the focus is shifting from the manufacturing of generic drugs to drug discovery and
development (Glenmark, Sun Pharma, Cadilla Healthcare and Piramal Life Sciences, had applied for conducting
clinical trials on for numerous new drugs). Recently, with the launch of the New Drugs and Clinical Trial Rules,
2019, the clinical trial sector is also growing steadily with many choosing India as one of the trial sites when
conducting global clinical trials.
The industry, like all industries related to the healthcare sector, is heavily regulated. Right from manufacture of
drugs to advertisement and promotion, each step in the drug manufacturing and marketing process is regulated.
India’s patent regime also contains specific provisions regulating pharmaceutical patents and the sector has seen
some significant anti-trust issues on the subject of retail sale of drugs. The industry has witnessed numerous
changes in the regulatory regime in the past decade. A new price control order was enforced in 2013 and prices of
all essential medicines published in the National List of Essential Medicines, 2015 have been brought under price
control. The National List of Essential Medicines is presently in the process of being revised. India has also taken
steps to implement a compulsory primary, secondary and tertiary barcoding requirement on all its exports in a
phased manner. A new set of rules regulating clinical trials have been published in 2019 and a voluntary uniform
code for marketing practices of pharmaceutical companies was introduced to check improper promotions of
drugs to medical practitioners. A large number of fixed dose combination drugs were also banned due to their
unapproved use or lack of rationale for combining those drugs.
The COVID-19 pandemic also had a significant impact on the Indian pharmaceutical industry. The pandemic has
both spurred and curtailed the growth of the industry in different instances. In some cases, it has led to growth in
drug manufacturing backed by demand from the government and individuals alike for drugs that my be used in
1. Indian Brand Equity Foundation, available at https://www.ibef.org/industry/pharmaceutical-india.aspx (last accessed April 01, 2021)
2. Indian Brand Equity Foundation, available at https://www.ibef.org/industry/pharmaceutical-india.aspx (last accessed April 01, 2021)
3. Report by United States Food and Drug Administration on the State of Pharmaceutical Quality, available at https://www.fda.gov/media/125001/
download (last accessed April 01, 2021).
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the treatment of COVID-19. It has also led to significant investments in India’s vaccine manufacturing and supply
chain to enable efficient delivery of the vaccine to all Indians. However, for non-COVID related drugs, prices of
raw materials have increased, production schedules have been interrupted, factories have been shut down and
shipping costs have increased.4 Overall, the Indian pharmaceutical industry has ably scaled up operations and
adapted to the challenges raised by this pandemic.
The coming decade is expected to bring new highs for the pharmaceutical sector. Backed by a strong intellectual
property and regulatory framework, the Indian pharmaceutical industry seems poised on the edge of success.
4. COVID-19 and its impact of India Pharma Inc, available at: https://www.expresspharma.in/latest-updates/covid-19-and-its-impact-on-india-
pharma-inc/ (last accessed April 01, 2021)
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The Indian Pharmaceutical Industry
Regulatory, Legal and Tax Overview
2. Introduction
Indian pharmaceutical industry has been witnessing significant growth over past few years and is expected to
grow to USD 100 billion by 2025. The drugs and pharmaceuticals sector has also attracted cumulative foreign
direct investment of approximately USD 16.86 billion between April 2000 and September 2020 according to the
data released by Department for Promotion of Industry and Internal Trade (DPIIT).5 The Indian Government,
in efforts to boost R&D in the pharmaceutical sector, has established six National Institutes of Pharmaceutical
Education and Research (NIPER) and declared them as ‘Institute of National Importance’6
For a global pharmaceutical company seeking to enter Indian pharmaceutical market today, the opportunities are
exciting, and the potential is tremendous.
§ L
ow cost of production due to variety of factors including relatively lower labor costs and raw material cost;
§ Big market not only for life saving drugs but also for lifestyle drugs;
§ P otential for conducting research and development activities in India – India has more than 300 medical
colleges, over 20,000 hospitals;
§ E
ase of conducting clinical trials and bio availability and bioequivalence studies due to India’s ability to
provide speedier and less expensive trials without compromising quality and due to a vast patient pool.
India has also witnessed a keen interest on behalf of global pharmaceutical companies seeking to either establish
operations in India for research and development, manufacturing or distribution or to enter into collaborations for the
same. India’s low-cost research and development abilities help companies optimize costs in a shrinking economy.
Co-development arrangements between Indian and multinational pharmaceutical companies have created a
busy atmosphere in research laboratories in India. The Indian pharmaceutical market is witnessing a rise in
collaborations with global companies such as Glenmark Pharmaceuticals, GlaxoSmithKline (GSK), Merck and Eli
Lilly. In 2018, within a span of a month, Glenmark announced an exclusive licensing agreement with Australian
company Seqirus for an allergy drug and another with Chinese biopharmaceutical firm Harbour Biomed for its
oncology molecule. Piramal Life Science Ltd (PLS) and Eli Lilly and Company have signed a landmark new drug
development collaboration. Separately, Ranbaxy and GSK have launched a New Drug Discovery Research team
to advance into preclinical investigation in the chronic obstructive pulmonary disease (COPD) and other anti-
infectives therapeutic areas. PLS also initiated drug discovery efforts with Merck & Co. to discover and develop
new drugs in oncology. Zydus Cadila entered into a new drug discovery and development agreement with Eli Lilly
to develop potential new drugs to cure cardiovascular disease. India is also becoming a hub for late-phase research.
Johnson & Johnson (J&J) announced its plans to make India a global hub for late-phase development of its new
drugs.7 With this initiative, all future new drugs and compounds from J&J will undergo final pre-production
testing in India. Many domestic companies are getting more involved in such collaborative arrangements.
5. Indian Brand Equity Foundation, available at https://www.ibef.org/industry/pharmaceutical-india.aspx (last accessed April 01, 2021)
6. http://www.niper.ac.in/index.htm
7. http://www.indianembassy.org/Economic_News/2009/India%20Economic%20News%20Volume%20V%20Issue%209.pdf
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For a trans-national entity seeking a presence in India, whether directly or through contractual arrangement,
structuring of the investment/ arrangement from a tax and regulatory perspective is very critical. This is
especially true because the Indian pharmaceutical market has become the hotbed of M&A activity. In 2017, 46
M&A deals worth USD 1.47 billion were reported in the pharmaceutical sector.8 Some of the noteworthy ones
are acquisition of OctoPlus N.V, a Netherlands-based company, by Dr Reddy Laboratories to get access to the Poly
Lactic-CoGlycolic Acid (PLGA) technology for the formulation of complex injectables. Similarly, acquisition of
a portfolio of anti-spasticity and pain management drugs from US based drug maker – Mallinckrodt by Piramal
Enterprises.
On the surface, Indian law appears to be a complex set of regulations, notifications and approval requirements.
However, with steps that India has already taken to honor its World Trade Organization (WTO) commitments
combined with the liberalization and the relaxation of the export-import policy, foreign companies seeking to
enter this space will experience that most of the restrictions that existed on issues like pricing and licensing have
now been relaxed to the extent that there is now a level-playing field for global and Indian companies.
In this paper we have outlined the entity structures, the tax regime, both direct and indirect, affecting the
structuring of Indian operations, the regulatory aspects and the intellectual property issues that affect the pharma
and life sciences industry.
§ Observing the economic § Exchange Control Laws: Primarily the Foreign § Domestic Taxation Laws:
and political environment in Exchange Management Act, 1999 and The Income Tax Act, 1961;
India from the perspective numerous circulars, notifications and press Goods and Services Tax and
of the investment notes issued under the same customs etc.
§ Understanding the ability § Corporate Laws: Primarily the Companies Act, § International Tax Treaties:
of the investor to carry out 20132013 and the regulations laid down by Treaties with favorable
operations in India, the the Securities and Exchanges Board of India jurisdictions such as
location of its customers, (“SEBI”) for listed companies in India Mauritius, Singapore and the
the quality and location of Netherlands.
its workforce § Sector Specific Laws: Drugs & Cosmetics
Act 1940 and the Drugs & Cosmetics Rules,
1945, The Patents Act, 20052005 and other
legislations, regulations and guidelines that
affect the pharma industry
8. India Brand Equity Foundation, Industry Report on Pharmaceutical Industry, available at https://www.ibef.org/industry/indian-pharmaceuti-
cals-industry-analysis-presentation (last accessed September 17, 2018).
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In the case of pharmaceutical sector, foreign direct investment is permitted up to 100%. However, a permission
from the Department of Pharmaceuticals is required to buy more than 74% shareholding in existing companies.
It must be noted that a non-compete condition with the existing shareholders is no longer allowed except in
special circumstances at the discretion of the government. The Central Government also has the right to add new
conditions to an investment if the investor proposes to acquire more than 74% of an existing pharmaceutical
company. However, there is no prior permission required to incorporate a wholly owned subsidiary in India.
India’s patent law is also well placed to provide protection for pharmaceutical products developed and
manufactured through innovative processes such as 3D printing. This is because, India recognizes both product
and process patents for pharmaceutical products.
A. Unincorporated Entities
A foreign company can use unincorporated entities to do business in India via ‘offices’ of certain types. These
options are as follows:
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i. Liaison Office
Setting up a liaison office in a sector in which 100% FDI is allowed under the automatic route requires the prior
consent of the Authorized Dealer (“AD”).9 For the remaining sectors, RBI grants its approval after consultation
with the Ministry of Finance. A liaison office acts as a representative of the parent foreign company in India.
However, a liaison office cannot undertake any commercial activities and must maintain itself from the
remittances received from its parent foreign company. The approval for setting up a liaison office is generally
valid for 3 years and can be extended by making an application to AD before the date of expiry of validity. It is an
option usually preferred by foreign companies that wish to explore business opportunities in India.
Other unincorporated entities such as partnership or trust are not usually recommended structures for
investment, as there are certain restrictions on the foreign direct investment in such structures.
B. Incorporated Entities
Incorporated entities in India are governed by the provisions of the Companies Act, 2013 or the Limited Liability
Partnership Act, 2008.
9. Application made from certain countries as well as for certain sectors still requires approval of the RBI. For details please refer to https://www.rbi.
org.in/Scripts/BS_ViewMasDirections.aspx?id=10404#1
10. Application made from certain countries as well as for certain sectors still requires approval of the RBI. For details please refer to https://www.rbi.
org.in/Scripts/BS_ViewMasDirections.aspx?id=10404#1 F
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A private limited company has certain distinguishing characteristics. It must, in its articles of association, restrict
the right to transfer shares and prohibit any invitation to the public to subscribe to the securities of the company.
The number of members in a private limited company is minimum of 2 and a maximum of 200 (excluding the
present and past employees of the company).
Under the Companies Act, 2013 a natural person who is an Indian citizen and resident in India can also
incorporate a one-person company. However, it shall be required to convert itself into public or private company,
in case paid up share capital of the company is increased beyond INR 5 million or its average annual turnover
exceeds INR 20 million.
A public limited company is defined as a company which is not a private company. However, private companies
that are subsidiaries of a public company would be considered to be a public company. A public limited company
is required to have a minimum of 7 members. There is no restriction on the number of shareholders of a public
company and a public company may invite public to subscribe to its securities. A public limited company may
also list its shares on a recognized stock exchange by way of an Initial Public Offering. Every listed company shall
maintain public shareholding of at least 25% (with a maximum period of 12 months to restore the same from the
date of a fall).
Between an LLP and Limited Liability Company, an LLP structure is not preferred for a pharmaceutical
manufacturing company because an LLP whose business is to manufacture drugs cannot receive foreign
investment under the present foreign direct investment policy.
§ More flexibility than public companies in conducting operations, including the management of the
company, issuance of different types of securities and the payment of managerial remuneration
We have observed that most of the pharmaceutical companies are considering incorporating a company in India
based on the scope of services the company intends to carry on in India. Another common trend is to enter into a
direct marketing and distribution arrangement with distributors in India. It has also been observed that the trend
of joint ventures between pharmaceutical companies is emerging fast with more and more companies forming
joint ventures either for co-development or for manufacturing, marketing and distribution.
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However, this scenario is changing, with India implementing policies to increase ease of doing business in India.
These policies include the removal of the strict licensing requirements, the reduction of tax rates and relaxation
of exchange controls, all of which have significantly reduced the potential for bribery and corruption and have
brought about greater transparency in the governmental and regulatory systems.
A. Anti-Corruption Framework
The Prevention of Corruption Act, 1988 (“PCA”) is India’s primary anti-corruption legislation. The PCA was
amended significantly in 2018 to bring the law up to speed with current times. Some unique features of PCA,
especially while comparing it to UK Bribery Act and Foreign Corrupt Practices Act, 1977, are:
§ The PCA criminalizes the offence of offering any ‘undue advantage’ to a public servant only and the receipt
of such ‘undue advantage’ by the public servant. Due to this, both person offering and accepting the ‘undue
advantage’ may be held liable.
§ The scope of the term ‘public servant’ is broad enough to cover anyone who is performing a public duty or is
receiving public funds. It applies to both individual as well as commercial organizations.
§ The PCA does not criminalize corrupt practices amongst private entities such as payments made beyond a
contract, or payments made to fraudulently secure contracts in the private sector. It also does not criminalize
bribe paid to foreign government officials or official of a public international organization.
§ It does not make any distinction between illegal gratification and facilitation payment.
§ The term ‘undue advantage’ includes all gratification other than legal remuneration due to the public servant.
§ Commercial organizations are now specifically covered under the PCA where even officials in charge of such
commercial organization may be punished.
4. Essential Commodities Act, 1955 and Drugs (Price Control) Order, 2013 (DPCO);
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B. Regulatory Framework
The primary statute that regulates the Indian pharmaceutical industry is the Drugs and Cosmetics Act, 1940
(“DCA”) and the rules framed thereunder viz. Drugs and Cosmetics Rules, 1945 (“DCR”) and the New Drugs and
Clinical Trial Rules, 2019 (“CT Rules”).
§ R
egulate the clinical trial, import, manufacture, distribution and sale of drugs.
§ Ensure the availability of standard quality drugs and cosmetics to the consumer.
Depending upon facts and circumstances of the case, the chemicals imported into India for pre-clinical studies,
may not fall under the definition of drug and subsequently the provisions of the DCA and DCR may not apply in
relation to their manufacture and import.
ii. Authorities
The Central Government and the State Governments are responsible for the enforcement of the DCA. The Central
Drugs Standard Control Organization (“CDSCO”), headed by the Drug Controller General of India (“DCGI”) is
primarily responsible for coordinating the activities of the State Drugs Control Organization, formulating policies,
and ensuring uniform implementation of the DCA throughout India. The DCGI is responsible for handling matters
of product approval and standards, clinical trials, introduction of new drugs, and import licenses for new drugs.
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Source: https://cdsco.gov.in/opencms/opencms/en/About-us/Introduction/
On the other hand, the approvals required for setting up manufacturing facilities, and obtaining licenses to sell
and stock drugs are provided by the respective State Governments.
iv. Licenses Required for Import, Sale, Manufacture and Loan of Drugs Under The
Drugs and Cosmetics Rules 194512
All the license applications to be made to the DCGI may be made electronically via an online licensing portal
called SUGAM accessible at cdscoonline.gov.in. We have provided a list of licenses under the DCA in Annexure A.
All the above licenses are periodic and are required to be renewed. The grant and renewal of all licenses is
conditional upon satisfaction of the requirements under the DCA and DCR. The license also imposes certain
conditions, which are required to be complied with, during the subsistence of a license. The CDSCO has also
released a list of targeted timelines for approvals, as provided in Annexure B.
12. http://cdsco.nic.in/html/importdrugs.htm
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Under the DCA, “manufacturing” includes any process (or part) for making, altering, ornamenting, finishing,
packing, labeling, breaking up or otherwise treating or adopting any drug with a view to its sale or distribution.
However, “manufacturing” does not include dispensing or packing at the retail sale level.
Since 2016, bioequivalence study for Schedule C, Schedule C (1) and Schedule X drugs is mandatory to obtain
manufacturing license. If the drug is a new drug (discussed later), then a clinical trial may have to be undertaken
prior to grant of manufacturing license.
All manufacturing licenses are perpetual in nature, and a retention fee is required to be paid after five years for
keeping the license alive.
The manufacturer of the drug was solely liable for the quality of the drug and the regulatory compliances in respect
of drug under the DCR. However, from March 01, 2021, this liability will be shared by both the manufacturer and
the marketer of the drug. The DCR defines marketer as “a person who as an agent or in any other capacity adopts any drug
manufactured by another manufacturer under an agreement for marketing of such drug by labeling or affixing his name on the
label of the drug with a view for its sale and distribution”. Marketers are now required to enter into an agreement for sale
and distribution of the drug with the manufacturer of the drug prior to marketing the product.
The DCA says that to import a drug into India, the foreign manufacturing facility as well as the drug itself must be
registered with the DCGI. To register, the foreign manufacturer, or its agent i.e. the importer, is required to submit
the plant master file and drug master file in the stipulated format. Once registered, the importer in India is required
to obtain an import license from DCGI. The registration certificate and import license is valid for three years. A drug
cannot be imported without a registration certificate and import license, unless it is being imported for export.
It is a requirement for the importer to be based out of India, and have either a license to manufacture any type of
drug or a license to sell drugs by wholesale. Typically, the importer is also the authorized agent for the foreign
manufacturer, responsible for the business of foreign manufacturer in India and resultant liability. The authorized
agent is appointed by way of prescribed power of attorney. It is possible that there are two or more importers of
the same drug in India.
In case the drug being imported into India is a new drug (discussed under the clinical trial section below), the foreign
manufacturer is required to obtain a marketing permission prior to applying for registration, and the grant of such
permission depends on the foreign manufacturer/importer’s ability to show that the drug is safe and efficacious.
Before a drug is sold in India, it must comply with local labelling requirements. It is not always possible for a drug
having a global label to carry India-specific declarations before it is imported into India. In such circumstances,
a label carrying India-specific declarations on the drug package can be affixed at the custom bonded warehouse
before it is cleared for consumption in India.
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i. a drug, including active pharmaceutical ingredient or phytopharmaceutical drug, which has not been used in the
country to any significant extent, except in accordance with the provisions of the Act and the rules made thereunder,
as per conditions specified in the labelling thereof and has not been approved as safe and efficacious by the Central
Licensing Authority with respect to its claims; or
ii. a drug approved by the Central Licensing Authority for certain claims and proposed to be marketed with modified or
new claims including indication, route of administration, dosage and dosage form; or
iii. a fixed dose combination of two or more drugs, approved separately for certain claims and proposed to be combined for
the first time in a fixed ratio, or where the ratio of ingredients in an approved combination is proposed to be changed
with certain claims including indication, route of administration, dosage and dosage form; or
iv. a modified or sustained release form of a drug or novel drug delivery system of any drug approved by the Central
Licensing Authority; or
v. a vaccine, recombinant Deoxyribonucleic Acid (r-DNA) derived product, living modified organism, monoclonal anti-
body, stem cell derived product, gene therapeutic product or xenografts, intended to be used as drug;
Explanation. – The drugs, other than drugs referred to in sub-clauses (iv) and (v), shall continue to be new drugs for a
period of four years from the date of their permission granted by the Central Licensing Authority and the drugs referred to
in sub-clauses (iv) and (v) shall always be deemed to be new drugs.
To manufacture or import a new drug, safety and efficacy data of the new drug is required to be submitted. Such
data is generated though a clinical trial.
F. Clinical Trials
Like in most developed jurisdictions around the world, manufacturers and importers of new drugs must establish
the safety and efficacy of the new drug to the satisfaction of DCGI before they may be permitted to be marketed
in the territory of India. And, like most developed jurisdictions in the world, the safety and efficacy must be
established using both animal data and clinical data. Clinical trials in India are conducted in four phases with each
phase beginning upon the successful completion of the previous phase. Permission from the CDSCO is required
prior to beginning each phase of the clinical trial.
There are certain unique characteristics in the Indian clinical trial regulations to be taken note of:
1. For drugs developed in India, all four phases of clinical trials are required to be conducted in India while
for drugs developed outside India, data generated during Phase I clinical trials may be submitted as part of
the application to conduct clinical trials and permission may be granted to repeat Phase I clinical trials or
commence Phase II clinical trials alongside global clinical trials; Phase I clinical trial of a new drug developed
outside India is not permitted in India.
2. The sponsor of global clinical trial also has to give an undertaking that the sponsor will apply for a marketing
authorization in respect of the new drug upon the successful completion of clinical trials.
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3. The permission granted to conduct a clinical trial is valid for two years. If the trial does not commence within
this period, then a new permission has to be obtained.
4. There are extremely stringent reporting requirements in terms of format and time-period for reporting of
serious adverse event.
5. The medical management of the patient and its cost is the responsibility and liability of the sponsor for the
course of the clinical trial.
6. The compensation for clinical trial related death or injury is calculated through a formula and is enforced by
way of an administrative order.
7. Failure to provide medical management or compensation may result in debarment of the sponsor.
8. The sponsor is liable to pay compensation for the negligence of the clinical investigator.
9. There is no data exclusivity in India. An investigational new drug (i.e. first in human drug) gets limited data
exclusivity for four years after receipt of marketing approval. In these four years, any drug, which is a copy
of the investigation new drug, would also be required to submit safety and efficacy data on its own to obtain
marketing approval. However, after expiry of four years, there is no requirement to establish safety and
efficacy by a drug which is a copy of the investigational new drug to obtain marketing approval. Biological
products such as vaccines and rDNA derived drugs are, however, treated differently and must provide safety
and efficacy irrespective of whether four years have elapsed or not.
10. The CDSCO may waive local clinical trial requirements for drugs which have been approved in countries notified
by the Ministry of Health and Family Welfare (“Health Ministry”) under Rule 101 subject to the following:
a. No unexpected serious adverse events have been reported in respect of the durg;
b. There is no probability or evidence, on the basis of existing knowledge, of difference in the enzymes
or gene involved in the metabolism of the new drug or any factor affecting pharmacokinetics and
pharmacodynamics, safety and efficacy of the new drug, between the Indian population and the
population on which the drug was tested; and
c. The applicant for marketing authorization has given an undertaking in writing to conduct Phase IV clinical
trial to establish safety and effectiveness of the new drug/vaccine as per the design approved by the CDSCO.
However, this requirement may be relaxed by the CDSCO where the drug is indicated for life threatening or
serious diseases, or diseases of special relevance to the Indian public health, or for a condition which has an
unmet need in India (e.g. hepatitis C, H1N1 or malaria, or for rare diseases and orphan drugs).
The CDSCO is also empowered to grant an accelerated or expedited approval for a drug in the event taking into
account the severity, rarity, prevalence of the disease and lack of alternate treatments or the life threatening and
rare nature of the disorder respectively.
Data management is also a key component of conducting clinical trials in India. Clinical trials require the
collection and processing of health and medical information of an individual. Information relating to an
individuals physical, physiological, and mental health condition as well as medical records and history is
considered to be sensitive personal information under India’s data privacy legislation – the Information
Technology (Reasonable security practices and procedures and sensitive personal data or information) Rules, 2011
(“SPDI Rules”) framed under the Information Technology Act, 2000. The sponsor, contract research organisation,
institution where the trial is being conducted and the investigator are all required to comply with certain
requirements under the SPDI Rules. Broadly, these include processing the sensitive personal information of the
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trial subject under and in accordance with the terms of consent provided by the trial subject. Further, the consent
should be obtained after informing the trial subject regarding the types of data collected, the manner in which this
data may be used and with whom it may be shared.
India has consistently attracted global clinical trials due its sizeable patient population, highly qualified and
trained medical professionals, familiarity of the population with English, state of the art medical facilities and
affordability.
G. Product Standards
No drug can be imported, manufactured, stocked, sold or distributed unless it meets the quality and other
standards defined in the DCA. For instance, for patented or proprietary medicines (medicines not listed in the
Indian or other pharmacopoeia), the product should comply with the ingredients displayed in the prescribed
manner on the label or container and such other standards prescribed by the DCR. General standards for all patent
or proprietary medicines, tablets, capsules, liquid orals, injections and ointments have been defined by the DCA.
Drugs should not be misbranded, adulterated, or spurious.
The Central Government has the power to prohibit the import, manufacture or sale of any drug, including those
that are deemed as “irrational drug combinations.” For instance, the import and manufacture of Fenfluramine and
Dexfenfluramine is prohibited. Similarly, other banned drugs include fixed dose combinations of vitamins with
anti-inflammatory agents, tranquilizers or analgesics or tetracycline and vitamin C.
Indian law does not specifically define over-the-counter (‘OTC’) drugs. The DCR provides an extensive list of
prescription drugs under Schedule H, H1 and X. The drugs which are not mentioned in the said Schedules
can be sold without the prescription by a medical professional and are generally referred to as OTC drugs. The
prescription drugs cannot be advertised in the general media.
I. Pharmacy
It is mandatory for all pharmacies to be licensed. If the pharmacy sells prescription drugs, it is mandatory for the
pharmacy to have a registered pharmacist. If it is found that a prescription was dispensed without the presence of
a registered pharmacist, then the regulatory authority has the power to order suspension or permanent closure of
the pharmacy.
The pharmacy has to keep records of the seller/manufacturer from whom it has procured medicine and the
buyer/patient to whom it has sold medicine. In case of prescription drugs, the registered pharmacist is required
to make a note of dispensation on the original prescription so that the same prescription is not re-dispensed
without medical advice.
At the time of sale of any narcotic or psychotropic drug, the registered pharmacist is required to store and preserve
one of the two prescriptions that are issued by the registered medical practitioner as per the requirement of law.
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J. E-Pharmacy
Sale of medicine over the internet has recently picked up in India. At present, there are no direct rules for
selling medicines online, in absence of which the current rules for brick-and-mortar sale have to complied with.
Therefore, the sale of medicines over the internet is facing some bad weather due to regulatory challenges such as:
2. Requirement to obtain a license for offering medicines for sale over the internet
3. Obligation on the registered pharmacist to hand over the medicine to the patient or the carer
4. Prohibition on storing medicines by courier companies for logistics purposes without license
The government has published draft E-pharmacy Rules, 2018 that seek to clarify the government’s position on some of
the above issues. For instance, the draft rules propose that every person who offers to sell medicines over the internet
would be required to be registered. However, the draft rules are silent on the other challenges identified above. The
government is expected to circulate a revise draft of E-pharmacy Rules, 2018 after addressing these issues.
On October 31, 2018, the High Court of Madras asked the Central Government to ensure that no prescription
medicine is sold online without a license. The requirement to suspend business was subsequently stayed by the
Madras High Court until final disposal of the case, given that the draft rules have already been released and is
nearing notification, and in the meantime the drug authorities were still empowered to initiate action for illegal
sale of prescription medication.
The Delhi High Court, on the other hand, passed an interim order injuncting certain online pharmacies from
selling medicines online, without a license. The matter is yet to be finally adjudicated. Subsequently, in November,
the DCGI issued an order to drug controllers across India to ensure that the interim order of the Delhi High Court
is enforced. While this was widely seen as imposing a ban on online pharmacies, the order did not explicitly ban
e-pharmacies and merely required drug controllers to ensure that drugs were not sold online without a license.
In March 2020, in light of the COVID-19 pandemic in India, the Health Ministry issued a notification permitting
doorstep delivery of drugs. Notably, the Notification was made under Section 26B of the D&C Act, which permits
the Central Government to regulate the manufacture, sale or distribution of a drug in public interest e.g. in
emergencies arising due to epidemic or natural calamities. It is currently unclear how long this notification would
be in effect and whether similar home delivery models would be permitted once the COVID-19 pandemic subsides.
K. Labeling
Before a drug is sold or distributed in India, it must be labeled according to specifications outlined in the DCR. The
DCR specify labeling standards for non-homeopathic (Part IX), homeopathic drugs (Part IX-A) and biological and
other special products (Part X). The ‘Scheduled’ drugs under the DCA are required to indicate the particular drug’s
Schedule and must specify the required warnings and additional requirements per the DCR.
In respect of non-homeopathic drugs, the DCR prescribes the pack sizes of drugs meant for retail sale, the contents
of the label such as name of the drug, statement as to the net contents (in terms of weight, measure, volume),
the contents of the active ingredient, license number, dates of manufacture, expiry, whether the medicine is for
external or internal use, whether it is for human use or animal use, the name and address of the manufacturer and
the address of the premises where the drug has been manufactured, the batch number, as well as the drug license
number under which it is manufactured (if manufactured in India or elsewhere). Imported products must display
the expiration date and potency of the active ingredient in addition to the import license number.
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L. Shelf Life
Shelf life is the minimum validity that a drug must have at the time of its import. At the time of import into India,
a drug must have a minimum of 60% shelf life.
The Ministry of Health and Family Welfare, Government of India (“Ministry”) in the year 2009 notified an
amendment to the Drugs and Cosmetics Act, 1940 that attempts to strengthen the existing law against the menace
of adulterated and spurious drugs.
This amendment has changed certain provisions of the DCA that specifically relate to the offences of manufacture
and trade of adulterated and spurious drugs.
Any person who is found guilty of manufacturing, sale, distribution, stocking or exhibiting or offering for sale or
distribution of adulterated or counterfeit drug will be levied with a fine not less than INR 1,000,000 or 3 times the
value of the drug confiscated, whichever is higher and imprisonment for 10 years. The entire amount of fine that
is realized from the person convicted for the offence of being dealing with adulterated or counterfeit drug is paid
by way of compensation, to the person who consumes the adulterated or spurious drug in question. If the victim
has died due the effect of the adulterated or spurious drug, the relative of the victim is entitled to receive the same
amount by way of compensation.
The trials for offences relating to trading in sub-standard drugs will starts at the level of the Court of Session. The
appeals from the Court of Session lie to the High Court and then to the Supreme Court. A provision of setting up
special courts has been provided too and the Offences that relate to adulterated drugs and spurious drugs are now
considered to be cognizable offences. Cognizable offence, under the Code of Criminal Procedure of India, is an
offence for which a police officer does not require a “warrant” (sanction of a Magistrate) to arrest.
The Ministry also has set up a “whistle blower” policy that aims to reward citizens, who provide information on
the trade and source of adulterated or counterfeit drugs.
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the list of price-controlled drugs, procedures for fixing the prices of drugs, methods of implementation prices and
penalties for contravention of provisions.
Currently, the prices of all drugs are monitored and fixed by the NPPA. The NPPA fixes the ceiling prices of drugs
that are listed in the schedule appended to the DPCO (“Scheduled Formulations”) and retail prices of ‘new
drugs’16. No manufacturer can price or sell its formulation above the ceiling price or retail price fixed by the NPPA.
The drugs that are not part of the schedule to the DPCO (“Non-Scheduled Formulations”) are under strict price
surveillance. The prices of Non-Scheduled Formulations cannot be increased by more than 10% in any preceding
12-month period.
The NPPA annually fixes the maximum retail price of all strengths and dosages of medicines which qualify as
essential medicines under NLEM. The earlier DPCO of 1995 fixed drug prices based on the manufacturing costs.
However, the present DPCO aims to set a ceiling prices based on the selling price by taking simple average of all
the drug brands having a market share of more than 1%. The DPCO does not cover patented drugs.
The Department of Pharmaceuticals (“DoP”) notified an order on January 03, 2019 (“Order”)17 amending the
DPCO as follows:
1. Manufacturers, importers and marketers new drugs patented in India are exempted from price control for a period
of five years from the date of commencement of commercial marketing in India (“New Drug Exemption”).
2. Drugs used to treat rare diseases would be exempted from price control if the Health Ministry decides to do so
(“Orphan Drug Exemption”).
3. The Government can source Market Based Data required under the DPCO from any pharmaceutical market
data specializing company. Earlier, the data could only be sourced from IMS Health.
4. Government is now empowered to consider market-based data for any month for fixing prices of drugs.
Prior to the Order, exemption from price control was limited to only those manufacturers who were producing new
drugs protected by a product patent that were (i) developed through indigenous (i.e. local) research and development
and (ii) not produced elsewhere. The New Drug Exemption has removed localization requirements associated with
claiming the price control exemption. Therefore, even importers and marketers of patented new drugs developed and
manufactured outside India should now be eligible for price control exemption for a period of five years from the start
of its commercial marketing. Conversely, domestic manufacturers who manufactured patented new drugs in India
and outside India have also become eligible for price control exemption, which was not the case earlier.
The policy decision to remove the localization requirements as a criterion for price control exemption is expected
to make the Indian market attractive to multi-national pharmaceutical companies and to encourage them to
introduce new drugs into India. In the past, India’s price control regime had forced exit of innovative products out
of India18. Additionally, many innovative lifesaving drugs that are available to foreign patients are not available to
Indian patients. For instance, from 2010 to 2014, only seven oncology drugs were introduced in India even though
50 breakthrough cancer therapies were rolled out globally in the same period.19
16. A new drug is a formulation launched by an existing manufacturer of a Scheduled Formulation by combining the erstwhile Scheduled Formulation
with another Scheduled/Non-Scheduled Formulation such that the resulting new drug is no longer a Scheduled Formulation under the DPCO.
17. Order dated January 03, 2019 by the Department of Pharmaceuticals, Ministry of Chemicals and Fertilizers available at: http://pharmaceuticals.
gov.in/sites/default/files/Gazette%20Notification_DPCO.pdf (last checked January 31, 2019).
18. Article on Abbott withdrawing coronary stents from the Indian Market available at: https://www.thehindubusinessline.com/companies/abbott-
withdraws-one-more-stent-from-indian-market/article23681106.ece (last checked January 24, 2019); https://www.thehindubusinessline.com/
companies/medtronic-to-withdraw-latest-stents-from-india-after-price-cap/article9660174.ece (last checked January 31, 2019).
19. India got only 7 out of 50 global cancer drugs in 5 years available at: https://timesofindia.indiatimes.com/india/india-got-only-7-of-50-global-can-
cer-drugs-in-5-years/articleshow/58087833.cms (last checked January 31, 2019).
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However, there remain some ambiguities on (i) how the five-year period for the New Drug Exemption will be
calculated, and (ii) whether the manufacturer would be eligible for the New Drug Exemption automatically or on
the basis of an application to the NPPA to this effect.
There is also some ambiguity with respect to the criteria that the Ministry of Health and Family Welfare will
employ when determining whether a drug is eligible for the Orphan Drug Exemption due to the absence of
disease prevalence data. Clarifications with respect to the ambiguities are likely to be issued by the Government
in due course. Nonetheless, the Orphan Drug Exemption is expected to encourage domestic companies to develop
drugs for orphan diseases and to foreign pharmaceutical companies to market their drugs in India.
For more information please refer to our hotline on the subject here , also reproduced in Annexure C.20
ii. The maintenance and improvement of the capacity of human beings for sexual pleasure; or
The diagnosis, cure, mitigation or prevention of 54 diseases and conditions identified in the schedule to the DMRA
(“Scheduled Conditions”). Some of the noteworthy diseases and conditions are include cancer, cataract, diabetes,
diseases and disorders of brain and heart diseases.The Health Ministry on February 03, 2020, published a draft
amendment proposing to amend the DMRA (“Proposed Amendment”). Broadly, the Proposed Amendment
(i) alters the definition of ‘advertisements’ to specifically include advertisements made over electronic media,
the internet or websites, (ii) provides a provision under which the Ayurvedic, Siddha and Unani Technical
Advisory Board (the advisory board on the various systems of Indian medicine) may be consulted with respect
to advertisement of Ayurveda, Siddha and Unani drugs, and (iii) increases the penalties for the contravention of
the DMRA. More significantly, the Proposed Amendment expands the list of Scheduled Conditions from 54 to 79.
Overall, the contribution of the Proposed Amendment is limited to widening the list of disorders in the schedule to
the DMRA. The proposed revision in the definition of ‘advertisement’, though significant, is essentially clarificatory
in nature and does not alter the existing legal position. This is because the existing definition of ‘advertisement’
already covers promotional campaigns made over electronic media, social networking sites and websites.
20. Patented New Drugs and Orphan Drugs out of Price Control in India, available at: https://www.nishithdesai.com/information/research-and-ar-
ticles/nda-hotline/nda-hotline-single-view/article/patented-new-drugs-and-orphan-drugs-out-of-price-control-in-india.html?no_cache=1&-
cHash=8cd5eea1fb2c4e95c7b4e2fa43892fdd (last checked June 21, 2020).
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It is worth noting, however, that in addition to the DMRA the Advertising Standards Council of India (“ASCI”)
(an industry body) is tasked with self-regulation of advertisement. All complaints of unjustified claims made in
advertisements (regardless of whether such claims are in violation of DMRA) may be submitted to the ASCI. The
validity of the complaint is adjudged for its compatibility with the ASCI’s Code for Self-Regulation in Advertising.
At present, the UCPMP is voluntary and not legally binding. However, the UCPMP is expected to be enacted in the
form of law soon and would subsequently be binding on the stakeholders.
Specific provisions relating to restrictions on benefits to be procured by doctors have also been incorporated in
the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 (MCI Code). Registered
medical practitioners in India are required to adhere to the MCI Code. In a recent amendment, the MCI Code has
put restrictions on doctors in their dealings with the pharmaceutical and allied health sector industry. A similar
restriction exists for dentist as well.
Moreover, the Organization of Pharmaceutical Producers of India had issued a Code of Pharmaceutical Marketing
Practices in 2010 which was subsequently updated in 2019 (the “OPPI Code”). The OPPI Code has set out specific
standards for the promotion of pharmaceutical products ethically to the doctors. It is based on the International
Federation of Pharmaceutical Manufacturers and Associations (IFPMA) Code that has been in practice for the last two
decades. However, the OPPI Code is a matter of self regulation and self discipline on part of the member companies.
As discussed before, in India, advertisements of prescription drugs are not permitted. Hence, pharmaceutical
companies promote medicines to doctors to convince them to prescribe their medicines with a view to increase
the companies’ sales. The sales representative of a pharmaceutical company, popularly known as a medical
representative (MR) plays a vital role in this process. MRs meet with doctors and explain the benefits of the drug
along with the safety and the side effects of the drugs.
1. Timing of promotion
The promotion can be carried out only after product authorization by the office of the Drug Controller General
of India (DCGI). The promotion should be consistent with the terms of product authorization. E.g. if the product
authorization is only for one indication, the drug cannot be promoted for any other indication.
2. Information supplied
The information supplied must be accurate, fair, objective, verifiable and must not be misleading. In case of a request
for additional substantiation by medical or pharmacy professionals, the same has to be provided without delay.
3. Claims
The DOP has expressed concern over the use of the words “safe” and “new” by the companies or their MRs. The
UCPMP mentions that “safe” should not be used without qualification and it must not be stated categorically that
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a medicine has no side effects, toxic hazards or risk of addiction. If the drug is are generally available in India for
more than 12 months, then the term “new” should not be used.
4. Product comparisons
§ The comparisons of medicinal products must be factual, fair and capable of substantiation;
§ Due care must be taken to ensure that comparison does not mislead by distortion, by undue emphasis,
omission or in any other way;
§ Brand names of the products of other companies should not be used without obtaining prior consent;
§ Companies, their products, services or promotions as well as clinical and/or scientific opinions of members of
healthcare professionals should not be disparaged, either directly or by implication.
The UCPMP prescribes certain do’s and don’ts in relation to promotional material (“PM”) and also prescribes the
contents to be incorporated in such material. An illustrative list of the do’s and don’ts is provided below:
Do’s Don’ts
a. PM to be consistent with the UCPMP a. The paid or secured PM in journals not to resemble the
editorial matter
b. Date of printing or of the last review of PM to
be mentioned b. Photographs or names of healthcare professionals should
not be used
c. Audio-visual material to be accompanied
by printed material in compliance with the c. Gifts should not give any kind of promise, offer or supply any
UCPMP kind of pecuniary advantage or benefits to doctors including
gifts for personal benefits such as tickets to entertainment
events etc.
6. Samples
The free samples that are provided by the companies must be supplied only to the qualified professionals and that
too in response to a signed and dated request from the recipient. Detailed records of samples provided are required
to be maintained. Such samples can be supplied only on an exceptional basis and for the purpose of acquiring
experience in dealing with such a product. The sample pack should be limited to prescribed dosage for 3 patients
and each sample pack shall not be larger than the smallest pack presented in the market. The UCPMP prohibits
supply of samples of an antidepressant, hypnotic, sedative or tranquillizer.
As per the UCPMP, the companies are permitted to provide assistance to doctors for continuing education
and facilitating doctors’ genuine attendance in such events. This assistance could cover actual travel expenses,
meals, refreshments, accommodation and registration fees to attend such an event. The UCPMP has, however,
laid down certain conditions: (i) events for which assistance will be provided must be held in India at an
appropriate venue that is conducive to the main purpose of the event; and (ii) such events should not coincide
with sporting, entertainment or other leisure events or activities or organized at venues that are renowned
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for their entertainment or leisure facilities or are extravagant. This assistance cannot be provided to a doctor’s
spouse unless the spouse is a doctor too and qualifies to attend such an event. The hospitality offered should be
reasonable and strictly limited to the main purpose of the event. The funding provided should not be for the time
spent in attending the event.
8. Medical Representatives
MRs employed by the company or on contract with third parties are required to maintain a high standard of
ethical conduct in the discharge of their duties and comply with all relevant requirements of the UCPMP. They
are restricted from employing any inducement or subterfuge to gain an interview and paying, under any guise, for
access to the doctor. It is important to note that the companies are made responsible for activities of its employees
including MRs to ensure that the UCPMP has been complied with.
9. Complaint Handling
The UCPMP has stipulated that each association of pharmaceutical companies shall form a “committee for pharma
marketing practices” that will handle all the complaints received by them. The associations will also be required to
form a review committee that will review the complaints, in case the review of the decision is sought. The UCPMP
has also included the methodology for lodging and handling of complaints. The associations will be required to
submit a copy of the proceedings and the decisions once the proceedings in a complaint are completed, to the DOP.
a. A medical practitioner shall not receive any gift from any pharmaceutical or allied health care industry and
their sales people or representatives;
b. A medical practitioner shall not accept any travel facility inside the country or outside, including rail, air,
ship, cruise tickets, paid vacations etc. from any pharmaceutical or allied healthcare industry or their
representatives for self and family members for vacation or for attending conferences, seminars, workshops,
CME program etc. as a delegate;
c. A medical practitioner shall not accept individually any hospitality like hotel accommodation for self and
family members under any pretext;
d. A medical practitioner shall not receive any cash or monetary grants from any pharmaceutical and allied
healthcare industry for individual purposes in individual capacity under any pretext. Funding for medical
research, study etc. can only be received through approved institutions by modalities laid down by law / rules
/ guidelines adopted by such approved institutions, in a transparent manner. It shall always be fully disclosed;
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e. A medical practitioner may carry out, participate in or work on research projects funded by pharmaceutical
and allied healthcare industries, after taking necessary clearances and fulfilling certain conditions;
f. A medical practitioner shall not endorse any drug or product of the industry publicly.
In case of violation of these provisions by the medical practitioners, the MCI Code provides for disciplinary action.
In the recent past, in view of the restrictions imposed, a practice of entering into consultancy arrangements
with pharmaceutical companies has developed. Under the MCI Code, a medical practitioner may work for
pharmaceutical and allied healthcare industries in advisory capacities, as consultants, as researchers, as treating
doctors or in any other professional capacity.
The pharmaceutical companies will certainly be required to change their strategy to market the medicines to
doctors and be more creative and innovative. Since MRs are actively involved in the promotion of prescription
drugs, companies will be required to conduct intensive training so that even inadvertently the code is not violated.
At present, though the UCPMP is voluntary, but the MCI Code is mandatory.
A review of the global practices seems to indicate that in some respects, the UCPMP and the MCI Code may be
more restrictive than the codes / regulations in other jurisdictions. However, there are certain other aspects that
are covered in other jurisdictions that are still not covered in the Indian codes. Further, some of the provisions
under the MCI Code are more onerous than that of the UCPMP. E.g., while the UCPMP permits companies to
provide assistance for travel and events within India, the MCI Code prohibits doctors from accepting the same.
A lot of export of medicine happens under contract manufacturing arrangement. It must be noted here that though
an active pharmaceutical ingredient or finished formulation may be manufactured strictly for export purposes
only, it is still required to be manufactured under a valid export license only. Also, depending on the nature of the
product and the destination to which the product is being shipped, an export NOC from DCGI may be required.
India is a much sought-after destination for contract research because of its highly skilled manpower and cost-
effectiveness. To manufacture a drug for contract research, a test license to manufacture is required. To import
a drug for contract research into India, a test license for import is required. The test license typically notes the
quantity of test drug that is covered by the contract and requires the license holder to destroy any quantity of
drug that is left after conclusion of the drug. After the enactment of the CT Rules, the process of importing or
manufacturing drugs for research purposes has become clearer with specific timelines in place within which the
DCGI is required to give approval for such import/manufacture.
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The provisions of Section 3(3) and 3(4) of the Act pertain to agreements entered between enterprises restricting
purchase/sale prices, curtailing supply/production of goods and services as well as entering into exclusive supply/
distribution arrangements, creating tie-in arrangements with the intention of adversely affecting the market.
The pharmaceutical companies holding valid patents could enter into agreements with hospitals/pharmacists
restricting prices, or with generic drug manufacturers to stifle competition, which may lead to possible violations
under the Competition Act.
Cartels by industry associations have been widespread across jurisdictions to set standard prices for both stockists
and retailers but the same has often led to restricting prices. Although the provisions of the Competition Act
recognize protection granted under intellectual property legislations, yet associations formed to exchange data
and information serving purposes other than protection of the right holders could invite possible competition
law violations.
Mergers and Takeovers in the pharmaceutical sectors have also grown considerably in the past few years. Section
5 of the Competition Act prescribes the thresholds under which combinations shall be examined whereas Section
6 states that any combination which causes or is likely to cause an appreciable adverse effect on competition
within the relevant market in India shall be void. Acquisition of one or more companies by one or more people
or merger or amalgamation of enterprises is treated as ‘Combination’ of such enterprises and Persons in the
following cases when (i) the acquisition of control, shares, voting rights or assets of an enterprise by a person; or
(ii) the acquisition of control of an enterprise where the acquirer already has direct or indirect control of another
engaged in identical business; or (iii) a merger or amalgamation between or among enterprises; crosses the
financial threshold stipulated in the Competition Act.
Unless specifically exempted, the Competition Act requires every ‘Combination’ to be notified to the Competition
Commission of India (“CCI”) in the manner set out in the Competition Act read along with the CCI (Procedure in
regard to the transaction of business relating to combinations) Regulation, 2011 (“Combination Regulations”)
and seek its approval prior to effectuating the same.
The growth of pharmaceutical industry though protected under several IP laws, raises competition law issues.
The need to provide protection to pharmaceutical companies for their innovation is well recognized under the
Competition Act however the same is restricted by providing specific inclusions under Section 3(5) of the Act.
In the recent past, following the precedent of EU and Asian countries like Malaysia, the Competition Commission
of Indian has shown inclination to launch an investigation in anti-competitive practices in the pharmaceutical
industry.
X. Patent Protection
In furtherance of India’s continued efforts to comply with its commitment under Agreement on Trade-Related
Aspects of Intellectual Property Rights, the Patents Act, 1970 (“Patents Act”) was amended three times since
199523. The first amendment to India’s Patent Act was in 1999 whereby Articles 70.8 and 70.9 of TRIPS were
incorporated to provide for mailbox applications and exclusive marketing rights (EMRs). The third amendment of
2005 introduced product patent regime in India, which is discussed in detail later.
23. Although India became a signatory to the WTO (and thereby to TRIPS) in 1995, it did was not required to adopt the policies of TRIPS until 2005.
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A. Invention
The term Invention is defined under Section 2(1) (j) of the Patents Act as “a new product or process involving an
inventive step24 and capable of industrial application25.”
In India, patent rights with respect to any invention are created only upon grant of the patent by the Patent
Office following the procedure established by the Patents Act and the Rules. India follows a declarative system
with respect to patent rights. Patents are granted on a “first to file” basis (rather than “first to invent’ in the
United States). The patent application can be made by either (i) the inventor or (ii) the assignee26 or legal
representatives27 of the inventor.
B. Convention Application
India, a member of the Paris Convention, has published a list of convention countries under Section 133 of the
Patents Act. The convention application has to be filed within one year from the date of priority and has to specify
the date on which and the convention country in which the application for protection (first application) was
made. A priority document must be filed with the application. Since India is a member of the Patent Co-operation
Treaty, a National Phase Application can also be filed in India, within 31 months from the priority date.
§ Section 3 of the Act, carves out certain exceptions from the patentable inventions. Under Section 3 (j) “plants
and animals in whole or any part thereof (other than micro-organisms) including seeds, varieties and species and
essentially biological processes for the production of plants or animals” – cannot be patented. This is in line with
Article 27.3 of TRIPS. Thus micro-organisms, which satisfy the patentability criteria, may be patented in India.
Section 3(d) of the Patents Act clarifies that mere discovery of a new form of a known substance, which does
not result in the enhancement of the known efficacy of that substance is not an invention and therefore not
patentable. For the purposes of this clause, salts, esters, ethers, polymorphs, metabolites, pure form, particle
size, isomers, mixtures of isomers, complexes, combinations and other derivatives of known substances are to
be considered to be the same substances, unless they differ significantly in properties with regard to efficacy.
Therefore, Swiss Claims will not be allowed in India.
24. Section 2(1) (ja) of the Patents Act: “inventive step means a feature of an invention that involves technical advance as compared to the existing knowledge or
having economic significance or both and that makes the invention not obvious to a person skilled in the art.”
25. Section 2(1)(ac) of the Patents Act: “capable of industrial application in relation to an invention means that the invention is capable of being made or used in an industry.”
26. Section 2(1) (ab) of the Patents Act: “Assignee includes an assignee of the assignee and the legal representative of the deceased assignee and references to the
assignee of any person include references to the assignee of the legal representative or assignee of that person”.
27. Section 2(1) (k) of the Patents Act: “Legal representative means a person who in law represents the estate of a deceased person.”
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D. Parallel Imports
Import of patented products in India from a person authorized by the patentee to sell or distribute the product
does not amount to an infringement.
E. Enforcement
India has historically been viewed by the global community as a ‘poor patent enforcement’ territory. Two
provisions have been introduced that are likely to improve the patent enforcement mechanism. The first
provision, compliant with Article 34 of TRIPS, is Section 104A, which is a “reversal of burden of proof” provision.
Section 104A is an exception to the normal rule and requires that a person provide proof to any claims or
allegations made. In ‘process patent’ infringement suits, the defendant will have to prove that he has used a
process different than the ‘patented process’ in order to arrive at an identical product produced by a ‘patented
process’. Second, an amendment to Section 108 of the Act will enable the court to order seizure, forfeiture or
destruction of infringing goods and also materials and implements, used for creation of infringing goods.
F. Compulsory License
One of the most controversial amendments has been on compulsory licenses (“CL”). Earlier, a CL can also be
granted if the invention has not been ‘worked’ in India or if the invention has not been worked in India on a
commercial scale due to the fact that it was imported to India. New grounds for the grant of a CL have been
inserted, which include; circumstances of national emergency; a circumstance of extreme urgency; and cases of
public non-commercial use, public health crises, relating to AIDS/ HIV, TB, malaria or other epidemics.
A new provision28 has been inserted in the Compulsory License chapter which provides that a license can be
granted to manufacture and export a patented product to any country having insufficient or no manufacturing
capacity in the pharmaceutical sector in order to address public health problems, provided that such compulsory
license has been granted in that country or that such country has allowed importation of the patented
pharmaceutical products from India. The amendment seeks to implement Paragraph 6 of the Doha Declaration
on TRIPS and address public health. The amended provision will allow Indian companies to produce and export
AIDS drugs to African and South East Asian countries.
On March 9, 2012, the Controller General of Patents Design and Trademarks of India, Mr. P.H. Kurian, marked
his last day in office with a landmark judgment granting the first ever compulsory license to an Indian generic
pharmaceutical company Natco Pharma to manufacture and sell a generic version of Bayer Corporation’s patent
protected anti-cancer drug ‘Sorafenib Tosyalte’ (NEXAVAR).29
The government of India has also been considering compulsory licensing of cancer drugs. However, in October,
2013, the patent office rejected the compulsory licensing application of BDR Pharmaceuticals to make a generic
version of US drug maker Bristol-Myers Squibb’s anticancer drug Dasatinib, sold under the brand name “Sprycel”,
on the grounds that it did not make enough efforts to obtain voluntary licensing of the drug.30
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2003 (“Patent Rules”) is required to be filed in respect of every calendar year within 3 months of the end of
each year (i.e. before March 31 of every year). Non-compliance with this requirement may invite penalty of
imprisonment which may extend to 6 months, or with fine, or with both.
I. Secrecy Provisions31
Any person resident in India is not allowed to apply for grant of patent for any invention unless either of the
following two conditions is satisfied:
§ Obtaining written permission of the Controller of Patents. The Controller is required to obtain consent of the
Central Government before granting such permission for invention relevant for defense purpose / atomic
energy. The application is to be disposed of within 3 months. OR
§ P atent application for the same invention has been first filed in India at least six weeks before the application
outside India and there is no direction passed under Section 35 for prohibiting /restricting publication/
communication of information relating to invention.
This section is not applicable to an invention for which an application for protection has first been filed in
a country outside India by a person resident outside India. However, this provision will apply if the first filing
is intended to be made in US, since US applications are required to be filed by the inventors and not assignees
of the inventors.
J. Patent Linkage
There is no concept of patent linkage in India. Until 2017, there was a requirement to indicate the patent status
of a drug at the time of making an application to seek marketing approval. However, the requirement has been
removed. The licensing authority is not required to assess whether marketing of the product in question will
infringe the patent of a drug at the time of according a manufacturing license.
XI. Trademarks
In India, trademarks are protected both under statutory and common law. The Trade and Merchandise Marks Act,
1940 was India’s first legislation with respect to trademarks and was later replaced by the Trade and Merchandise
Marks Act, 1958 (TM Act, 1958). The TM Act was further updated in 1999 to comply with TRIPS and is now
known as The Trade Marks Act, 1999 (“TM Act 1999”). The TM Act 1999 allows for the registration of service
marks and three-dimensional marks.
India follows the NICE Classification of goods and services, which is incorporated in the Schedule to the Trade
Marks Rules, 2017 (“Trade Mark Rules, 2017”) under the TM Act, 199932. Pharmaceutical products are covered
under Class-5, cosmetics under Class-3 and the veterinary preparation under Class-1 and Class-5. Class 44
31. Sections 35 to 43 of the Patents Act; Can you keep a secret? <eco-times/2005/Can-you-keep-a-secret-Feb-14-2005.htm>, February 13, 2005
32. Classes of Goods and Services: Classes 1 to 34 cover goods while classes 35 to 45 cover services.
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covers the services for Medical services, veterinary services and cosmetics; and Class 42 covers Scientific and
technological services and research and design relating thereto.33
The TM Act 1999 provides a procedure to search trademarks. It is a prudent practice that often prevents potential
litigation or opposition to conduct the search for conflicting trademarks (whether registered or pending) before
using or applying for any trademark.
Any registered trademark must fulfill certain conditions. The TM Act 1999 has set forth absolute and relative
grounds of refusal of trademark registration. These grounds are akin to the provisions of the UK Trade Mark Act
of 1994. The trademark can be registered even if the mark is proposed to be used in India i.e. even if prior to the
date of application no goods have been sold under the applied trademark. The term of registration and renewal is
10 years. Foreign companies can license trademarks in India under the proper license / Registered User Agreement.
The court pointed out that due to the lack of knowledge of the English language in India and therefore a stricter
approach should be adopted while applying the test to judge the possibility of confusion of one medicinal
33. http://support.dialog.com/techdocs/international_class_codes_tmarks.pdf
34. http://www.cci.gov.in/images/media/completed/PharmInd230611.pdf
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product for another by the consumer. The court also stated that measures should be more stringent when it
comes to medicines of last resort. The court pointed out Drugs and Cosmetics Act, section 17B where an imitation
or resemblance of another drug in a manner likely to deceive is regarded as a spurious drug. Section 8 of Trade
Marks Act states that no trade mark or part of any trade mark shall be registered which consists of, or contains,
any scandalous design or any matter the use of which would by reason of its being ‘likely to deceive or cause
confusion’. This creates direct implications for competition where usurpation of part of therapeutic names by
competitors. Moreover, it is relevant in this context that prescription drugs may not create consumer confusion
since the doctor is knowledgeable enough as compared to the average consumer. The Court stated that authorities
before granting permission to manufacture a drug under a trade must be satisfied that there is no confusion or
deception in the market. The court laid certain factors to be considered while deciding a question on deceptive
similarity: the nature of marks- word, label or composite; degree of resemblance, phonetic similarity, similarity in
idea; nature of goods; Similarity in nature, performance and character of goods; class of purchasers (intelligence,
education, degree of care); mode of purchasing goods; other surrounding circumstances.
35. Notification dated November 06, 2019 by the Health Ministry, available at: https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.
WEB/elements/download_file_division.jsp?num_id=NTIwNg (last accessed June 21, 2020).
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3. Tax Regime
I. Direct Taxes
A. General Overview
Taxation of income in India is governed by the provisions of the Income Tax Act, 1961 (“ITA”) as amended
annually by the Finance Acts. Under the ITA, residents are subject to tax in India on their worldwide income,
whereas non-residents are taxed only on Indian source income i.e. income that accrues or arises in India, is
deemed to accrue or arise in India or which is received or is deemed to be received in India. A company is said to be
resident in India if it is incorporated in India or its place of effective management (“POEM”) is located in India. In
this regard, the Central Board of Direct Taxes (“CBDT”) recently released the final guidelines for determination of
POEM. (Please click here to read our hotline on the same).
Section 9 of the ITA deems certain income of non-residents to be Indian source income. Under section 9(1),
“capital gains” are considered to have their source in India and are taxable in India if they arise directly or indirectly,
through the transfer of a capital asset situated in India. Similarly, the “business income” of a non-resident is
taxable in India only if it accrues or arises, directly or indirectly, through or from any business connection in India.
The Indian tax rates applicable to non-residents could be up to 40% (all tax rates provided herein are exclusion of
surcharge and cess discussed below) on taxable business income and capital gains.
Section 90(2) of the ITA is a beneficial provision which states that, where the taxpayer is situated in a country with
which India has a double tax avoidance agreement (“Indian Tax Treaty”), the provisions of the ITA apply only to the
extent that they are more beneficial to the taxpayer. Rules under Indian Tax Treaties are generally more beneficial to
the taxpayer than those under domestic law (ITA) and hence it is typically advantageous for a non-resident taxpayer to
structure his investments or business through a jurisdiction which has signed an Indian Tax Treaty.
In recent times, the Indian income tax authorities have been adopting an aggressive approach to transactions
where any form of exemption from taxation is sought by the taxpayer. Their approach is even more hostile when
the transaction in question has an offshore element to it. Hence, it is has become critical to ensure that offshore
transactions are structured in a manner such that legitimate tax exemptions are not challenged by the tax department.
Before delving into specific tax issues concerning contract research and manufacturing, set out below is a snap
shot of the taxation regime in India. The tax rates mentioned in this section are exclusive of applicable surcharge
and education cess, unless otherwise specified. The surcharge applicable to income generated by resident
companies for the financial year is 7% where the income exceeds INR 10 Million but does not exceed INR 100
Million and 12% where the income exceeds INR 100 Million. Additionally, surcharge applicable to income
generated by companies other than domestic companies, for the financial year is 2% where the income exceeds
INR 10 Million but does not exceed INR 100 Million and 5% where the income exceeds INR 100 Million.
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Further, on September 20, 2019, the Government promulgated the Taxation Laws (Amendment) Ordinance
2019, to primarily reduce corporate tax rates as a knee-jerk reaction to India’s economic slowdown. (‘Ordinance’)
effective from April, 2019. As per the Ordinance, domestic companies may choose to be taxed at the effective rate
of 25.17% under the newly introduced section 115BAA of the ITA subject to certain conditions such as (i) total
income is computed without claiming certain specified deductions and exemptions under the Income-tax Act, 1961
(‘Deductions’); (ii) the company shall not be allowed to set off any carried forward losses from earlier assessment
years if such loss is attributable to the Deductions; (iii) the company claims depreciation in the manner prescribed
barring any depreciation in respect of plant and machinery; (iv) once exercised, the option to be taxed under this
provision cannot be withdrawn and will continue to apply for subsequent assessment years etc.
The Ordinance also introduced section 115BAB to the ITA, as per which new manufacturing companies set up
on or after October 1, 2019 may avail an effective tax rate of 17.16% subject to prescribed conditions, which are
broadly similar to the conditions applicable for availing section 115BAA. Non-resident companies are taxed at the
rate of about 42% (if net income is in the range of INR1 crore – 10 crores) and approximately 43% (if net income
exceeds INR 10 crores). While residents are taxed on their worldwide income, non-residents are only taxed on
income arising to them from sources in India. A company is said to be resident in India if it is incorporated in India
or has its POEM in India. Minimum alternate tax (“MAT”) at the rate of 15% (excluding surcharge and education
cess) is also pay¬able on the book profits of a company, if the company’s income due to exemptions is less than
15% of its book profits. The MAT rate was reduced from 18.5% to 15%, effective from April 1, 2019, by virtue of
the Ordinance. Importantly, the Ordinance also provides that no MAT shall be applicable in case of companies
opting to be taxed under section 115BAA / 115BAB. With respect to ‘eligible start-ups’ meeting certain specified
criteria, a 100% tax holiday for any 3 consecutive assessment years out of a block of 7 years beginning from the
year in which such start up is set up has been provided for.
ii. Dividends
Dividends distributed by Indian companies are subject to a dividend distribution tax (“DDT”) at the rate of around
15% (calculated on a gross-up basis), payable by the company. However, no further Indian taxes are payable
by the shareholders on such dividend income once DDT is paid, except in certain specified situations. Finance
Bill, 2020 has proposed to abolish Dividend Distribution Tax (DDT). Accordingly, from April 1, 2020, dividends
declared by an Indian company would be subject tax in the hands of the recipient at slab rates and subject to
necessary withholding tax in the hands of the Indian payer company. Unlike in case of DDT, the foreign recipients
of the dividends should now be able to avail treaty benefits in respect of the taxes paid on dividends. Further, the
mechanism to claim foreign tax credit on the taxes paid on the dividends would be much easier as it was in case
of payment of DDT. This is because DDT was tax paid by the distribution company and the not the recipient
and there needed to be necessary language in the laws of the relevant foreign jurisdiction / applicable treaty on
availment of underlying tax credits for availing foreign tax credit in respect of DDT paid in India.
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In all cases above, the Finance Act, 2020 has extended the end of the sunset period, wherever applicable, from July
1, 2020 to July 1, 2023.
Additionally, as regards interest payments made by an Indian company to its associated enterprises/related party, the
Thin Capitalization Rules would apply, as per which, interest payments exceeding 30% of the Earnings Before Interest,
Taxes, Depreciation and Amortization (“EBITDA”) of the payer of interest shall not be deductible as an expense.
The withholding tax on royalties and fees for technical services earned by a non-resident is 10%. These rates are
subject to available relief under an applicable tax treaty. In this context, it is important to note that the definition
of royalties and fees for technical services under Indian domestic law is much wider than the definition under
most tax treaties signed by India.
Long term capital gains earned by a non-resident on sale of unlisted securities may be taxed at the rate of 10%
(provided no benefit of indexation has been availed) or 20% (if benefit of indexation has been availed) depending
on certain considerations. Long term gains on sale of listed securities on a stock exchange used to be exempted
and only subject to a securities transaction tax (“STT”). However, the Finance Act, 2018 removed this exemption
and introduced a levy of 10% tax on LTCG arising from the transfer of listed equity shares, units of an equity
oriented mutual fund, or units of a business trust where such gains exceed INR 100,000 (approx. USD 1500). This
tax is applicable on LTCG arising on or after April 1, 2018 and no indexation benefits can be availed of. However,
the Finance Act 2018 also introduced limited grandfathering in respect of protecting the gains realized on a
mark to market basis up to January 31, 2018 and only an increase in share value post this date would be brought
within the tax net. Further, earlier, for the purposes of obtaining the LTCG exemption, the Finance Act, 2017
had introduced an additional requirement for STT to be paid at the time of acquisition of listed shares. However,
the CBDT had exempted certain modes of acquisition from this requirement. Pursuant to withdrawal of the
exemption in Finance Act, 2018, the CBDT issued a notification specifying that the requirement to pay STT
at the time of acquisition will not apply to (1) share acquisitions undertaken prior to October 1, 2004, (2) share
acquisitions undertaken on or after October 1, 2004 which are not chargeable to STT subject to certain exceptions
for the purposes of obtaining the capital gains tax rate of 10% under section 112A. Short term capital gains arising
out of sale of listed shares on the stock exchange are taxed at the rate of 15%, while such gains arising to a non-
resident from sale of unlisted shares is 40%.
v. Withholding Taxes
Tax would have to be withheld at the applicable rate on all payments made to a non-resident, which are taxable
in India. The obligation to withhold tax applies to both residents and non-residents. Withholding tax obligations
may also arise with respect to specific payments made to residents and the failure to withhold tax could result in
tax, interest and penal consequences.
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Typically, in the pharmaceutical industry, fiscal incentives are awarded to research and development units
towards the development of new drug molecules, clinical research, new drug delivery systems, new research and
development set ups and infrastructure provision.
It should be borne in mind here that no company would be entitled to the aforementioned deduction unless it enters
into an agreement with the Department of Scientific and Industrial Research for co-operation in such research and
development facility and for audit of the accounts maintained for that research and development facility.
This deduction is available for expenses incurred prior to March 31, 2017.
iv. Incentive provided to Venture Capital Funds investing in the pharmaceutical sector
In order to provide an impetus to venture capital investment in the pharmaceutical sector, the ITA has granted
certain tax benefits to venture capital funds registered with the Securities and Exchange Board of India that invest
into certain pharmaceutical businesses. Under section 10(23FB) of the ITA, income of a venture capital fund
which arises as a result of investments into companies engaged in, inter alia, “bio-technology” and “research and
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development of new chemical entities in the pharmaceuticals sector”, is exempt from tax and such income is
taxable only in the hands of the investors of the venture capital fund at the time of distribution of the income.
Under the ITA, business income of a non-resident is taxable in India (at the rate of 40%) if it accrues or arises,
directly or indirectly, through or from any ‘business connection’ in India. Similarly, under the Indian Tax Treaties,
typically, the business income of a non-resident is taxable only to the extent that it is attributable to a Permanent
Establishment (“PE”) of such non-resident in India. The concept of PE under typical Indian Tax Treaties is
expressed as an exhaustive list of factors, as opposed to the “business connection” rule contained in the ITA, which
has no exhaustive definition in the ITA and which has been afforded a wide interpretation by Indian courts in the
past. Therefore, there may be situations where a non-resident is considered to have a business connection in India,
but no PE. As mentioned earlier, since it is open for the non-resident taxpayer to choose to be treated under the
more beneficial regime, a non-resident may rely on the PE rule under the applicable Indian Tax Treaty rather than
the business connection rule in the ITA.
The term PE has been succinctly defined by the Andhra Pradesh High Court in the case of CIT v. Visakhapatnam
Port Trust36, as follows:
“In our opinion, the words permanent establishment postulate the existence of a substantial element of an enduring or
permanent nature of a foreign enterprise in another country which can be attributed to a fixed place of business in that
country. It should be of such a nature that it would amount to a virtual projection of the foreign enterprise of one country
into the soil of another country.”
The Indian Tax Treaties typically lay down certain criteria to determine whether a foreign enterprise earning
business income from India would be construed to have a PE in India. Some of these tests are discussed below,
especially in the context of contract research and manufacturing.
i. Fixed place of business PE: A foreign enterprise is deemed to have a PE in India if the business of foreign
enterprise is, wholly or partly, carried on through a fixed place of business in India.
The principle of fixed place of business PE is particularly relevant in the context of contract research and
manufacturing. As demonstrated below, unless such arrangements are structured carefully, there may be
circumstances which may lead to the inference that the business of the foreign enterprise, which outsources
the research and manufacturing functions to an Indian CRO / CMO, is being carried on through a fixed place
of business in India.
In a typical contract research and manufacturing model, it is common for the foreign enterprise to frequently
send personnel to the offices of the Indian CRO / CMO to provide training services. Often, the foreign
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enterprise also sends its personnel to the offices of the Indian CRO / CMO to supervise and inspect the
activities carried on by the Indian CRO /CMO, in order to ensure that such activities adhere to the prescribed
standards. In both these instances, if these personnel, being employees of the foreign enterprise, have some
premises (often even a desk or an office is regarded as premises) allotted to them for a reasonably long period
of time within the Indian CRO / CMO, such premises, though not owned or rented by the foreign enterprise,
is likely to be considered to be a “fixed place of the foreign enterprise”. In such a scenario, it may be claimed
by the Indian tax authorities that the foreign enterprise is carrying on its business through a fixed place and
hence a PE of the foreign entity exists in India. Therefore, in any arrangement to outsource research and
manufacturing to an Indian CRO / CMO, it is critical to ensure that the outsourcing arrangement is structured
in manner that mitigates the risk of the foreign entity having a PE in India.
ii. Service PE – Further, under some Indian Tax Treaties, a foreign enterprise may be considered to have a PE in
India due to the presence of its personnel in India, who render services beyond a specified time period or to a
related enterprise. For instance, under the India-US tax treaty, a PE is said to be constituted where there is:
“(l) the furnishing of services, other than included services as defined in article 12 (royalties and fees for
included services), within a Contracting State by an enterprise through employees or other personnel,
but only if:
i. activities of that nature continue within that State for a period or periods aggregating to more than 90
days within any twelve-month period; or
ii. the services are performed within that State for a related enterprise (within the meaning of paragraph
1 of article 9 (associated enterprises).”
In the example discussed earlier, if the training and inspection personnel sent by the foreign enterprise to
the offices of the Indian CRO / CMO are deemed to be “furnishing services” beyond the prescribed limit of 90
days, it is likely that the tax authorities may argue that the presence of such personnel constitutes a PE of the
foreign enterprise in India.
iii. Agency PE –Indian Tax Treaties typically contain a provision whereby an Indian entity may be treated as a
PE of a foreign enterprise if the Indian entity, acting on behalf of the foreign enterprise, has and habitually
exercises an authority to conclude contracts on behalf of the foreign enterprise. Moreover, some Indian Tax
Treaties, such as the India-US tax treaty, also contain an additional provision whereby an Indian entity may
be regarded as a PE of the foreign enterprise, if the Indian entity maintains a stock of goods from which it
regularly delivers such goods on behalf of the foreign enterprise and contributes to the sale of such goods.
An agent of independent nature is considered as an exception to the Agency PE rule.
In the context of contract manufacturing, it may be contemplated in the arrangement that the Indian CMO would
maintain and deliver the final pharmaceutical product on behalf of the foreign enterprise. In such cases, if the
contract is not structured cautiously, the Indian CMO may be regarded as a PE of the foreign enterprise under
the Agency PE clause in the applicable Indian Tax Treaty. The Indian CRO / CMO may also run the risk of being
regarded as the PE of the foreign enterprise where the Indian entity, acting on behalf of the foreign enterprise, has
and habitually exercises an authority to conclude contracts on behalf of the foreign enterprise. Although such
rights are not ordinarily granted by the foreign enterprise to the Indian CRO / CMO, care should be taken to ensure
that the Indian CRO / CMO does not have the right to even represent the foreign entity in any negotiations since,
in the past, the exercise of such right has been held to constitute a PE of the foreign entity in India.
In cases of outsourcing by a foreign enterprise to its Indian subsidiary, a question arises as to whether there
is added PE risk for the foreign enterprise as a result of the parent subsidiary relationship of the two entities.
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The answer to this lies in the Indian Tax Treaties itself. The principle which is embodied in typical Indian Tax
Treaties is that the existence of a subsidiary company does not, by itself, constitute that subsidiary company a
PE of its parent company. This follows from the principle that, for the purpose of taxation, such a subsidiary
company constitutes an independent legal entity. Thus, where a foreign enterprise outsources its research and
manufacturing functions to an Indian CRO / CMO, the fact that the Indian CRO / CMO is the subsidiary of the
foreign enterprise, should not, by itself, constitute that Indian CRO / CMO to be a PE of the foreign enterprise.
As is clear from the discussion above, the issue as to whether any activity of a foreign entity in India results
in a PE of that foreign entity in India depends on the facts and circumstances of each case. In the context of
contract research and manufacturing, the answer lies in the manner in which the outsourcing arrangement is
structured and the activity of the Indian CRO / CMO is managed and operated.
Although there is no definition of AOP under the ITA, there have been a number of cases in which this issue
has been discussed. In the case of Commissioner of Income Tax v. Indira Balkrishna37, the Supreme Court has
explained the concept of AOP as “an association of persons must be one in which two or more persons join in a
common purpose or a common action, and as the words occur in a section which imposes a tax on income, the
association must be one the object of which is to produce income, profits or gains.”
Further, in the case of Deccan Wine and General Stores38, the Andhra Pradesh High Court further examined
this concept and observed that “it is, therefore, clear that an association of persons does not mean any and every
combination of persons. It is only when they associate themselves in an income-producing activity that they
become an association of persons. They must combine to engage in such an activity; the engagement must be
pursuant to the combined will of the persons constituting the association; there must be a meeting of the minds,
so to speak. In a nutshell, there must be a common design to produce income. If there is no common design, there
is no association. Common interest is not enough. Production of income is not enough.”
Although there is lack of clarity in the Indian law on the concept of an AOP, broadly the essential conditions for
constituting an AOP may be said to be:
§ Voluntary Combinations
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The risk of a contract research and manufacturing arrangement being regarded as an AOP is particularly greater
in cases where the Indian CRO / CMO co-develops the drug with its foreign partner based on a revenue sharing
model. Such special arrangements, if not structured appropriately, could lend weight to the characterization of
the arrangement as an AOP, namely, two persons joining in a common purpose or a common action the object of
which is to produce income, profits or gains. Thus, in order to avoid such characterization, it becomes important
to clearly demonstrate in the contract that the intention is not to carry out any business in common and that the
Indian CRO / CMO will only execute a part of the job (i.e. research and manufacturing) according to its technical
skill and capability. To the extent possible, the contract should convey that the work and income arising from the
foreign enterprise’s contribution is quite distinct and independent of the Indian CRO / CMO’s work and income.
Hence, it must be ensured that the arrangement is structured in a manner so as to mitigate any risk of it being
regarded as a single assessable unit and liable to tax as an AOP.
The choice of an appropriate Treaty Jurisdiction, apart from tax neutrality and a good treaty network, would depend
on factors such as political stability, ease of administration, availability of reliable administrators, favourable
exchange controls and legal system, certainty in tax and legal framework and ease of winding up operations.
In India, transfer pricing regulations (“TP Regulations”) were introduced on April 1, 2001. The Indian Income Tax
Act, 1961 lays down provisions that deal with the computation of income arising from “international transactions”
between “associated enterprises”. The basic rule enshrined in the TP Regulations is that any income arising from
an “international transaction” shall be computed having regard to the arm’s length price (discussed below). The
TP Regulations define “associated enterprise” to include any enterprise that participates directly or indirectly or
through one or more intermediaries in the management or control or capital of another enterprise. Enterprises
may also be regarded as “associated” as a result of circumstances such as interdependence by virtue of borrowings,
guarantees, licensing of trademarks, purchase, sales or where enterprises have “mutual interest” as may be
prescribed by the revenue authorities. Here, “enterprise” is defined broadly and covers any entity (including a
permanent establishment) which is or proposes to be engaged in any activity relating to the provision of goods
/ services of any kind, investment activity, dealing in securities and extending loans. The term “international
transaction” has been defined as a transaction between two or more associated enterprises, either or both of which
are non-residents. As mentioned earlier, the basic principle is that any income arising from such an “international
transaction” shall be computed having regard to the “arm’s length price”.
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The Finance Act, 2017 introduced the concept of secondary adjustment under the transfer pricing regulations through
introduction of Section 92CE which requires a resident taxpayer who has entered into an international transaction to
make a secondary adjustment in the event that a primary adjustment as per transfer pricing provisions:
1. has been made suo moto by the taxpayer in his income tax return,
2. has been made by the Assessing Officer and accepted by the taxpayer,
The provisions further prescribe that where, as a result of primary adjustment, there is an increase in the
taxpayer’s total income or a reduction in allowable loss, a secondary adjustment shall have to be made. The
secondary adjustment is intended to reflect the actual allocation of profits between the taxpayer and the
associated enterprise. The purpose of such secondary adjustment is also to eliminate the imbalance between
the taxpayer’s accounts and actual profits. The Section prescribes that the excess money (difference between the
arm’s length price determined in the primary adjustment and the actual consideration price) shall be deemed to
be an advance made by the taxpayer to its associated enterprise, if it is not repatriated to India within a prescribed
time. Once deemed to be an advance, interest shall also be payable on the excess income until the obligation to
repatriate such amount is discharged. While the rate of interest is to be calculated in a manner prescribed by the
government, it should also be determined at an arm’s length price.
However, Section 92CE does not apply where the amount of primary adjustment made in any previous year does
not exceed INR 10 million (approx. USD 150,000), and is made in respect of an assessment year commencing on or
before the April 1, 2016.
Although secondary adjustments are an internationally accepted principle and are in line with OECD’s Transfer
Pricing Guidelines, the implementation of Section 92CE may result in various practical difficulties. For example,
the foreign country in which the associated enterprise is located may have exchange control provisions that make
it difficult to repatriate the excess money to India, or it may have adjusted the transaction as per its own transfer
pricing provisions and already taxed a portion of the funds Indian tax authorities consider as excess income. The
introduction of these provisions and also those relating to thin capitalization show the increasing tendencies of
the government to look at international practices in molding tax legislation in India.
Under the transfer pricing regime, arm’s length price is the price which is applied or proposed to be applied in a
transaction between persons other than associated enterprises, in uncontrolled conditions. The OECD Transfer
Pricing Guidelines for Multinational Enterprises and Tax Administrations, 2010 (“Guidelines”) provide that the
application of the arm’s length principle is generally based on a comparison of all the relevant conditions in a
controlled transaction with the conditions in an uncontrolled transaction. Under the Guidelines, comparability is
achieved when there are no differences in the conditions that could materially affect the price or when reasonably
accurate adjustments can be made to eliminate the effects of any such differences. The analysis of the controlled
transactions with uncontrolled transactions is the very basis of ascertaining whether the controlled transactions
adhere to the arm’s length standard.
The arm’s length price in relation to an international transaction is to be determined by any of the following
methods depending on which is the most appropriate given the business of the enterprises:
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A challenge faced by Indian pharmaceutical companies with respect to transfer pricing is that the TP Regulations
do not specifically deal with intangibles, or provide a basis of computing the arm’s length price, while dealing
with the same. As opposed to transactions involving tangibles, where a pricing situation in controlled transaction
can be compared with that of an uncontrolled transaction (provided all other conditions are similar or identical),
in case of intangibles/intellectual property it is very difficult to identify comparable given the unique nature of the
intellectual property involved. Hence, it becomes difficult to find a comparable based on which the arm’s length
price may be ascertained.
It is important to note that TP Regulations also require persons entering into international transactions to
maintain prescribed documents and information, and to obtain and furnish to the revenue authorities an
accountant’s report containing prescribed details regarding the international transactions. Stringent penalties
have been prescribed for non-compliance with the procedural requirements and for understatement of profits.
The pharmaceutical industry in India has time and again faced issues with respect to arriving at a comparable
arm’s length price for the purpose of transfer pricing. The industry faced a significant setback earlier this year,
when the Mumbai Income Tax Appellate Tribunal (“Tax Tribunal”), hearing an appeal by Serdia Pharmaceuticals
India Private Limited (“Serdia”) [Serdia Pharmaceuticals (India) Private Limited v. ACIT, ITA Nos: 2469/ Mum/
07 and 2531/ Mum/ 08], held that the arm’s length price for importing active pharmaceutical ingredients (“API”)
from related enterprises should be determined on the basis of price at which locally manufactured generic API
are sold in the domestic market. Serdia, a pharmaceutical company, imported API from its related entities in
France and Egypt for the purpose of manufacturing certain drugs. In order to arrive at the correct arm’s length
price of the API which was imported into India, the tax payer had adopted ‘Transactional Net Margin Method’
(“TNMM”). However, the Income Tax Department contended that the APIs purchased were at prices that were
higher than that paid for similar APIs by other companies in India and that the Comparable Uncontrolled Price
(“CUP”) was the most appropriate method to be adopted. On the basis of the domestically available data, the
tax department claimed that the arm’s length price for the API should have been significantly lesser than that at
which Serdia had imported these API. The Tax Tribunal ruled in favour of the tax department and held that the
tax department was justified in applying CUP Method without specifying the reasons for rejection of TNMM
method. The Tax Tribunal did not accept Serdia’s justification of the high import price, namely, that the APIs were
manufactured on equipment standards set by the World Health Organisation, the British Good Manufacturing
Practices (GMP) and as per HSE or health, safety and environment standards. The Tax Tribunal observed that
the high quality standards employed in manufacturing process conferred merely a certain degree of comfort
pertaining to the minimum level of impurities and this did not necessarily affect its comparability with the same
API manufactured by generic drug companies.
The Tax Tribunal’s ruling in the Serdia case has adversely impacted pharmaceutical multinationals that are doing
business in India. It has been seen that, post the Serdia ruling, the income tax department has been aggressively
pursuing multinational pharmaceutical companies which are procuring APIs from their respective parent companies.
Another challenge faced by Indian pharmaceutical companies with respect to transfer pricing is that the TP
Regulations do not specifically deal with intangibles, or provide a basis of computing the arm’s length price, while
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dealing with the same. As opposed to transactions involving tangibles, where a pricing situation in controlled
transaction can be compared with that of an uncontrolled transaction (provided all other conditions are similar or
identical), in case of intangibles/intellectual property it is very difficult to identify comparable given the unique
nature of the intellectual property involved. Hence, it becomes difficult to find a comparable based on which the
arm’s length price may be ascertained.
The Indian contract research and manufacturing industry too has had its fair share of problems with the tax
department as far as transfer pricing is concerned. This is once again attributable to the lack of comparable for
arriving at an appropriate arm’s length price. The databases that provide comparable information are lacking
in so far as they fail to provide information relating to companies engaged in pure contract research activities.
Typically, the information offered by these databases relate to companies that work on different models, such as,
co-development of a drug by the Indian CMO in partnership with its foreign associate based on a revenue sharing
arrangement. Hence it becomes extremely difficult for Indian CROs / CMOs to arrive at a suitable arm’s length
price. As a result, the Indian tax department has time and again created issues for Indian CRO / CMOs by insisting
on a significantly higher mark-up.
It is important to note that TP Regulations also require persons entering into international transactions to
maintain prescribed documents and information, and to obtain and furnish to the revenue authorities an
accountant’s report containing prescribed details regarding the international transactions. Stringent penalties
have been prescribed for non-compliance with the procedural requirements and for understatement of profits.
To address litigation and uncertainty concerns raised by the industry and professionals, the Central Board of
Direct Taxes has notified certain transfer pricing safe harbors. Under this regime, tax authorities will accept the
transfer price set by the taxpayer if the taxpayer and transaction meet eligibility criteria specified in the rules.
a. Service Tax
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The Central GST and the State GST are levied simultaneously on every transaction of supply of goods and services
except on exempted goods and services, goods which are outside the purview of GST and the transactions which
are below the prescribed threshold limits.
The Additional Duty of Excise or CVD and the Special Additional Duty or SAD earlier being levied on imports
have been subsumed under GST. As per explanation to clause (1) of article 269A of the Constitution, Integrated
GST (“IGST”) will be levied on all imports into the territory of India.
B. Customs Duty
Customs duties are levied whenever there is trafficking of goods through an Indian customs barrier i.e. levied both
for the export and import of goods. Export duties are competitively fixed so as to give advantage to the exporters.
Consequently a large share of customs revenue is contributed by import duty. Customs duty primarily has a
‘Basic Customs Duty’ which has not been subsumed by the GST for all goods imported into India and the rates
of duty for classes of goods are mentioned in the Customs Tariff Act, 1975 (the “Tariff Act”), which is based on
the internationally accepted Harmonized System of Nomenclature (“HSN”). The general rules of interpretation
with respect to tariff are mentioned in the Tariff Act. The rates are applied to the transaction value of goods (for
transactions between unrelated parties) as provided under the Customs Act, 1962 (the “Customs Act”) or by
notification in the official gazette.
Further, the Central Government, if satisfied that circumstances exist which render it necessary to take immediate
action to provide for the protection of the interests of any industry, from a sudden upsurge in the import of goods of
a particular class or classes, may provide for a Safeguard Duty. Safeguard Duty is levied on such goods as a temporary
measure and the intention for the same is protection of a particular industry from the sudden rise in import.
Under Section 9A of the Tariff Act, the Central Government can impose an Antidumping Duty on imported
articles, if it is exported to India at a value less than the normal value of that article in other jurisdictions. Such
duty is not to exceed the margin of dumping with respect to that article. The law in India with respect to anti-
dumping is based on the ‘Agreement on Anti-Dumping’ pursuant to Article VI of the General Agreement on
Tariffs and Trade, 1994.
A very important change is that earlier, anti-dumping and safeguard duties did not form part of the value for levy
of CVD, whereas anti-dumping and safeguard duties, besides assessable value and basic customs duty, will be
included in the value for the purpose of levy of IGST.
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III. Labelling
For a very long time, there existed a strange dichotomy under Indian laws. Antibiotics did not require a declaration
on the label that they are prescription products and must be sold under a valid prescription. It has been rectified
now. However, a pressing consideration that still remains whether any labelling declaration that is inserted as a
condition of marketing approval is required to be carried on in perpetuity or not. The background is that marketing
approval is required for new drugs only. Thus, a generic drug does not require marketing approval. This results
in a situation where the innovator drug carries a certain labelling declaration as it part of the marketing approval,
but the generic drug does not do it because it was not subject to a marketing approval. So, the same drug exists in
market with different labelling declarations such as whether or not the drug is to be sold under a prescription or not.
§ Consent to Establish and Operate under Water (Prevention and Control of Pollution) Act, 1974 and the Air
(Prevention and Control of Pollution) Act, 1981
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The fine print of the authorizations is important to be reviewed prior to making an investment into a
pharmaceutical manufacturing company. Sometimes, there are limitations on the ability to manufacture a
certain quantity of pharmaceuticals in the year or certain type of pharmaceuticals in a year. Sometimes, there
is a requirement to install expensive capital equipment for processing waste at the manufacturing premise
as a precondition to start manufacture. Non-compliance with these requirement may result in suspension or
permanent cancellation of the authorization, resulting in closure of the manufacturing premise.
Over the years, Indian companies have improved their ability to comply with GMPs. The Indian Government is
now contemplating replacing India GMP standards with WHO GMP standards, to improve the exportability of
drugs manufactured in India.
However, since September 2018, after months of protracted legal proceedings, the Government has been able to
ban all drugs that were sold without approval or which did not have therapeutic justification for sale.
All manufacturers of FDCs in India must ensure that their FDC has been approved by the DCGI before
manufacturing it.
An immediate consequence of the out-of-date nature of Indian regulatory framework is that new technologies
such as bio-pharma and med-tech products used for treating humans and animals now have to satisfy the same
quality and efficacy (or efficiency) thresholds that a pharmaceutical drug had to. This results in difficulty in
obtaining marketing approval for such drugs in India.
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5. Conclusion
The Indian Pharmaceutical Industry has shown great potential and continues to grow consistently. The COVID-
19 pandemic has provided new opportunities for growth to the Indian manufacturing sector. The pandemic has
also highlighted the importance of self-reliance across the supply chain as foreign trade of goods was severely
impacted by the pandemic. India now appears to be a go to for foreign companies looking to outsource their
manufacturing. The Indian generic drug sector is robust and is establishing its presence in foreign markets as well.
The new- drug sector is also expected to record a healthy growth owing to significant industry- wise increase in
R&D expenditure and proposed new drug launches. However, since health is an important subject, the industry
continues to be heavily regulated. Multiple Ministries continue to regulate the pharmaceutical industry such
as the Health Ministry, Chemicals and Fertilizers Ministry, Science and Technology Ministry, Food Ministry etc.
Numerous legislations, regulations and judgments affecting the industry have come into existence recently and
numerous others have been proposed. The companies who achieve success in Indian pharmaceutical market
are certainly those which are able to navigate issues that arise under India’s legal, regulatory and tax framework
effectively.
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Annexure A
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Annexure B
90
c. Subsequent New Drugs with SEC; and
b. Minor changes 90
5. Endorsement of additional product in registration certificate 120
6. Rule 37 and neutral code 60
7. Grant of permission for manufacturing of: 7
b. Minor 90
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15. Permission for bioavailability or bioequivalence study and its post approval changes for 15
export purpose
16. Registration of bioavailability or bioequivalence study center (CT-09) 90
17. Written confirmation as per European Union Directives 20
18. Permission to import small quantity of drugs for personal use 3
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Annexure C
§ The Ministry of Chemicals and Fertilizers (Department of Pharmaceuticals) has notified an order amending
the Drugs (Prices Control) Order 2013.
§ Effective January 3, 2019, manufacturers, importers and marketers of new drugs patented in India are
exempt from price control for a period of five years from the date of commencement of their commercial
marketing.
§ Drugs for treating orphan diseases as determined by the Ministry of Health and Family Welfare will also be
exempt from price control.
From January 03, 2019 onwards, the Indian Government has exempted manufacturers, importers and marketers
(“Manufacturers”) of patented new drugs in India from price control for a period of five years (“New Drug
Exemption”). The five-year window starts from the date when the Manufacturer starts commercial marketing in
India. The Government has also exempted such drugs from price control that are used for treatment of a disease
that qualifies as Orphan Disease in the opinion of the Ministry of Health and Family Welfare (“Orphan Drug
Exemption”).
The exemptions were introduced by way of an order dated January 03, 2019 (“Order”).40
As a consequence of the Order, Manufacturers of new drugs patented in India will be free to price the drugs for a
period of five years from the date of commencement of commercial marketing of the drugs.
I. Legal Background
A. Nature of Price Control in India
The prices of all drugs and notified categories of medical devices (“Notified Medical Devices”) that are sold in
India are controlled by the Drugs (Prices Control) Order 2013 (“DPCO”). The National Pharmaceutical Pricing
Authority (“NPPA”) is empowered by DPCO to fix ceiling prices of drugs and Notified Medical Devices that are
listed in the schedule appended to the DPCO (“Scheduled Formulations”). No manufacturer can price or sell its
Scheduled Formulations above the ceiling price fixed by the NPPA. The drugs and Notified Medical Devices that
are not part of the schedule to the DPCO (“Non-Scheduled Formulations”) are under strict price surveillance.
The prices of Non-Scheduled Formulations cannot be increased by more than 10% in any 12 month period.
40. Order S.O 39(E) dated 03 January 2019, Ministry of Chemicals and Fertilizers (Department of Pharmaceuticals).
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1. A drug, including a bulk drug substance, which has not been used in India to a significant extent and whose
safety, efficacy and therapeutic value has not been established in India.
2. A drug which is already approved which is now proposed to be marketed with modified or new claims such as
indication, dosage, dosage forms or route of administration.
3. A Fixed Dose Combination (“FDC”) of two drugs individually approved earlier but which are now proposed to
be changed for the first time or if the ratio of drugs in an FDC is sought to be changed.
4. All vaccines and Recombinant DNA (r-DNA) derived drugs, unless certified otherwise.
However, it is important to note that the drugs covered by the New Drug Exemption are the drugs that are covered
only by a product patent and not process patent. If a new drug is covered by a process patent, then the localization
requirements still apply. A number of biotechnology based medicines, such as vaccines and biologics, are covered
by process patents. The importers and marketers of such medicines still do not have the benefit of price exemption.
The policy decision to remove the localization requirements as a criteria for price control exemption is expected
to make the Indian market attractive to multi-national pharmaceutical companies and to encourage them to
introduce new drugs into India. In the past, India’s price control regime has forced exit of innovative products out
of India41. Therefore, the policy decision appears to be a step in the right direction.
However, there are a few ambiguities in the language of the New Drug Exemption that may result in
implementation hurdles.
First and foremost, it is not clear how the five year period for the New Drug Exemption will be calculated. The
New Drug Exemption can be availed for five years for patented new drugs from the “date of commencement of its
41. Article on Abbott withdrawing coronary stents from the Indian Market available at: https://www.thehindubusinessline.com/companies/abbott-
withdraws-one-more-stent-from-indian-market/article23681106.ece (last checked January 24, 2019); https://www.thehindubusinessline.com/
companies/medtronic-to-withdraw-latest-stents-from-india-after-price-cap/article9660174.ece (last checked January 24, 2019).
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commercial marketing by the manufacturer in the country” (“Exemption Date”). However, there is no legal definition
of what amounts to ‘commercial marketing’ in India. For example, does start of manufacturing at a factory or
start of import into India amount to commercial marketing? Or does start of stocking the drug at warehouses
amount to commercial marketing? Or does the date of announcement of introduction of the drug in India
amount to commercial marketing? Or does making the drug first available at retail stores amounts to commercial
marketing? Thus, there is a question mark on the date from which the five year period will be calculated.
It is interesting to note that there is a concept of date of marketing permission/approval in case of new drugs. A
marketing permission/approval is granted by the CDSCO to the importer or manufacturer of a new drug once the
safety, efficacy and therapeutic value of that drug has been established in India through clinical trials. The date of
marketing authorization is the date the manufacturer of the drug receives permission/approval from the CDSCO
to market the drug in India. However, this date is different from the date of its commercial launch in India, which
the CDSCO has itself acknowledged in its communications.42 Therefore, it may not be appropriate to equate date
of receipt of marketing authorization to date of commercial marketing of the drug in India. Interestingly, in the
past, price control exemptions have been granted from the date of receipt of marketing approval to manufacturers
even though the law stipulated that the exemption would start from the date of commercial production.43
The second major ambiguity is with respect to extent of benefit that would be available to different Manufacturers
of the same drug. It may be noted that the New Drug Exemption exempts ‘Manufacturers’ of patented new drugs
from price control as opposed to exempting the drug itself. Therefore, multiple Manufacturers (i.e. manufacturers,
importers, marketers) of the same drug can avail the New Drug Exemption. The challenge will arise when the date
of commercial marketing of different Manufacturers will vary. Since the New Drug Exemption is Manufacturer
specific and not drug specific, it may lead to a situation where one Manufacturer has exhausted its time-limit for
enjoying the New Drug Exemption while another Manufacturer has just started out. This could possibly result
in creation of IP licensing structures where a new drug enjoys price exemption for the tenure of its patent life by
simply changing hands. We understand that the policy assumes that a patented drug would not change hands,
but that may not be a right assumption to make.
The third major ambiguity is with respect to limitations with ‘new’ status of new drugs. A new drug continues to
remain a new drug for four years from the date of first approval.44 Therefore, at the end of the fourth year from
the date of its marketing authorization, the new drug will cease to be a new drug. Assuming that such a drug
has a product patent right from the date of its marketing authorization and begins its commercial marketing
from same date, even then at the expiry of four year period, the drug will not remain a new drug. The New Drug
Exemption, however, can be availed until expiry of five years from the date of its commercial marketing. So, in
the fifth year, would the exemption still be available given that the drug is no longer a new drug? The time-line of
four years during which a drug remains a new drug is, in practice, further reduced because it takes a minimum of
four months to obtain NPPA’s clearance to avail the exemption after it is approved for marketing in India.45 In the
past, while issuing price control exemptions, this technical aspect of ‘newness’ has been overlooked. However, in
case multiple Manufacturers seek to claim price control exemption for the same drug, this technicality may pose a
problem. We hope that the Government will issue a clarification soon to resolve this ambiguity because it has the
potential to complicate the eligibility criterion for availing the exemption.
42. DCGI Circular F. No. 12-01/12- DC Pt- 127 dated January 10, 2013, available at http://cdsco.nic.in/writereaddata/cancellation_of_permission.pdf
(last checked January 24, 2019).
43. Order by National Pharmaceutical Pricing Authority available at: http://www.nppaindia.nic.in/ceiling/press29oct15/so3131e-20-11-15.html (last
checked January 24, 2019).
44. S.122-E Drugs & Cosmetics Rules 1945 (last checked January 24, 2019).
45. As per NPPA’s official process for granting clearance for exemption, available here: http://www.nppaindia.nic.in/order/letter-24-9-14.pdf (last
checked January 24, 2019).
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B. The Health Ministry gets power to Exempt Drugs Used for Treating
Orphan Diseases from Price Control
Drugs for treating rare (orphan) diseases (“Orphan Drugs”) would now onwards be exempt from price control
under the DPCO if the Health Ministry decides to do so. The term ‘Orphan Drugs’ or ‘orphan disease’ has not been
defined in any legislation currently in force in India. However, the draft rules released by the Health Ministry to
put in place a comprehensive regulatory framework for clinical trials in India define Orphan Drugs as a ‘drug
intended to treat a condition which affects fewer than two lac person in India.’ India also has a National Policy on
Treatment of Rare Diseases (“NPTRD”) which seeks to assist patients who are undergoing treatment for rare
diseases. The NPTRD identifies some common rare diseases such as Haemophilia, Thalassemia, Sickle-cell
Anaemia and Primary Immunodeficiency in children, auto-immune diseases, Lysosomal storage disorders such
as Pompe disease, Hirschsprung disease, Gaucher’s disease, Cystic Fibrosis, Hemangiomas and certain forms of
muscular dystrophies.46
The Orphan Drug Exemption is expected to give impetus to research and development of such drugs. It has been
reported that due high costs of drug development, pharmaceutical companies are not incentivized to invest
resources in finding cures for rare diseases as the revenue from the sale of the Orphan Drug may not be sufficient
recover the costs of research and development of such Orphan Drug. Price control on Orphan Drugs can make it
doubly harder for pharmaceutical companies to recoup their investment and can stump innovation.47
India is becoming an increasingly lucrative market for pharmaceutical companies to invest in due to a rapidly
growing population and an increasing middle class with the resources to afford more expensive drugs.48 The
Government of India has also launched new schemes with the aim of increasing health insurance penetration in
India.49 The Orphan Drug Exemption is expected to encourage domestic companies to develop drugs for orphan
diseases and to foreign pharmaceutical companies to market their drugs in India. However, in order to give effect
to the Orphan Drug Exemption, the Health Ministry must now clarify the criteria that it will apply to determine
when a drug can be called as an Orphan Drug. We understand that this may take a fair amount of time due to
absence of disease prevalence data, as noted in the NPTRD.
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It is also worth noting that in the past, data from pharmaceutical market data specializing companies has been
found to be erroneous.50 Therefore, the Order, in effect, allows the Government to corroborate data from multiple
sources. As a result the Government can be sure that it is relying on statistically sound data when arriving at
conclusions with respect to drug pricing.
The reason behind the change is that the existing language of the DPCO ties the Government to use Drug Price
Data of last six months only, but such data is not always immediately available.51
While the discretion with the government to is not unguided, it is still fairly broad and could be used in a manner
that is extremely prejudicial to the industry. For example, if Drug Price Data has not been available for a couple of
years, then the Order essentially allows the government to go back as far as 2012 for Drug Price Data and use it to
fix prices of drugs. Historic Drug Price Data may not reflect the realities of the day, such as change in cost of raw
materials or increase in minimum wages etc. Therefore, it would have been to better if the Order had also defined
a look back period of, say, two years for the Government to obtain Drug Price Data, when necessary.
III. Conclusion
The Order appears to be a step in the right direction. By carving out exemptions for Orphan Drugs and relaxing the
price control regime applicable to Manufacturers of patented new drugs, the Government has made a strong case
for pharmaceutical companies to market their innovative drugs in India. The Order also has a significant public
interest element because many innovative lifesaving drugs that are available to foreign patients are not available
to Indian patients today. For instance, from 2010 to 2014 only seven oncology drugs were introduced in India even
though 50 breakthrough cancer therapies were rolled out globally in the same period.52
However, as pointed out in the analysis section above, there are some ambiguities in the Order that may create
hurdles for both domestic and multi-national companies to avail the exemptions. Having said that, given the
focus of the Indian government on ease of doing business in India, we are confident that the Government will take
note of these ambiguities and clarify them very soon.
50. Order by Department of Pharmaceuticals in M/s Win Medicare Pvt. Ltd. against price fixation of “Povidone Iodine Solution 10% available at”
http://pharmaceuticals.gov.in/sites/default/files/Speaking%20Order%20Win%20Medicare%20443-34.pdf (Last checked January 24, 2019).
51. Order by National Pharmaceutical Pricing Authority available at: http://www.nppaindia.nic.in/ceiling/press02November18/FormulationPric-
es(02)-Withdrawal.pdf (last checked January 24, 2019).
52. India got only 7 out of 50 global cancer drugs in 5 years available at: https://timesofindia.indiatimes.com/india/india-got-only-7-of-50-global-can-
cer-drugs-in-5-years/articleshow/58087833.cms (last checked January 24, 2019).
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by Nishith M. Desai on the taxation of cross-border transactions. The research book written by him provided the
foundation for our international tax practice. Since then, we have relied upon research to be the cornerstone of our
practice development. Today, research is fully ingrained in the firm’s culture.
Our dedication to research has been instrumental in creating thought leadership in various areas of law and pub-
lic policy. Through research, we develop intellectual capital and leverage it actively for both our clients and the
development of our associates. We use research to discover new thinking, approaches, skills and reflections on ju-
risprudence, and ultimately deliver superior value to our clients. Over time, we have embedded a culture and built
processes of learning through research that give us a robust edge in providing best quality advices and services to
our clients, to our fraternity and to the community at large.
Every member of the firm is required to participate in research activities. The seeds of research are typically sown
in hour-long continuing education sessions conducted every day as the first thing in the morning. Free interac-
tions in these sessions help associates identify new legal, regulatory, technological and business trends that require
intellectual investigation from the legal and tax perspectives. Then, one or few associates take up an emerging
trend or issue under the guidance of seniors and put it through our “Anticipate-Prepare-Deliver” research model.
As the first step, they would conduct a capsule research, which involves a quick analysis of readily available
secondary data. Often such basic research provides valuable insights and creates broader understanding of the
issue for the involved associates, who in turn would disseminate it to other associates through tacit and explicit
knowledge exchange processes. For us, knowledge sharing is as important an attribute as knowledge acquisition.
When the issue requires further investigation, we develop an extensive research paper. Often we collect our own
primary data when we feel the issue demands going deep to the root or when we find gaps in secondary data. In
some cases, we have even taken up multi-year research projects to investigate every aspect of the topic and build
unparallel mastery. Our TMT practice, IP practice, Pharma & Healthcare/Med-Tech and Medical Device, practice
and energy sector practice have emerged from such projects. Research in essence graduates to Knowledge, and
finally to Intellectual Property.
Over the years, we have produced some outstanding research papers, articles, webinars and talks. Almost on daily
basis, we analyze and offer our perspective on latest legal developments through our regular “Hotlines”, which go
out to our clients and fraternity. These Hotlines provide immediate awareness and quick reference, and have been
eagerly received. We also provide expanded commentary on issues through detailed articles for publication in
newspapers and periodicals for dissemination to wider audience. Our Lab Reports dissect and analyze a published,
distinctive legal transaction using multiple lenses and offer various perspectives, including some even overlooked
by the executors of the transaction. We regularly write extensive research articles and disseminate them through
our website. Our research has also contributed to public policy discourse, helped state and central governments in
drafting statutes, and provided regulators with much needed comparative research for rule making. Our discours-
es on Taxation of eCommerce, Arbitration, and Direct Tax Code have been widely acknowledged. Although we
invest heavily in terms of time and expenses in our research activities, we are happy to provide unlimited access to
our research to our clients and the community for greater good.
As we continue to grow through our research-based approach, we now have established an exclusive four-acre,
state-of-the-art research center, just a 45-minute ferry ride from Mumbai but in the middle of verdant hills of reclu-
sive Alibaug-Raigadh district. Imaginarium AliGunjan is a platform for creative thinking; an apolitical eco-sys-
tem that connects multi-disciplinary threads of ideas, innovation and imagination. Designed to inspire ‘blue sky’
thinking, research, exploration and synthesis, reflections and communication, it aims to bring in wholeness – that
leads to answers to the biggest challenges of our time and beyond. It seeks to be a bridge that connects the futuris-
tic advancements of diverse disciplines. It offers a space, both virtually and literally, for integration and synthesis
of knowhow and innovation from various streams and serves as a dais to internationally renowned professionals
to share their expertise and experience with our associates and select clients.
We would love to hear your suggestions on our research reports. Please feel free to contact us at
[email protected]
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© Nishith Desai Associates 2021
MUMBAI SILICON VALLEY BANGALORE
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