M/S T.C. HEALTHCARE P. LTD. & ANR. versus UNION OF INDIA & ANR.
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A B C D E F G H 618 SUPREME COURT REPORTS [2019] 14 S.C.R. M/S T.C. HEALTHCARE P. LTD. & ANR. v. UNION OF INDIA & ANR. (Civil Appeal No. 4687 of 2010) NOVEMBER 15, 2019 [ARUN MISHRA, VINEET SARAN AND S. RAVINDRA BHAT, JJ.] Drugs (Price Control) Order, 1995: Paras 3, 7, 8 and 9 Fixation of ceiling price of drug, Scheduled formulations – Notifications dated 11th July, 2006 and 30th April, 2009 imposing ceiling prices on a drug formulation, Frusemide, Potassium and Theophylline – Challenged to, by the drug manufacturers as ultra vires Para 7 of the DPCO – High Court dismissed the writ petitions – Interference with – Held: Not called for – Modifications in drug release are often desirable to increase the stability, safety and efficacy of the drug, to improve the therapeutic outcome of the drug treatment and/or to increase patient compliance and convenience of administration – Use of the term “sustained release” denotes the systems that maintain the rate of drug release over a sustained period – Controlled release systems are drug delivery systems in which the drug is released in a predetermined pattern over a fixed period of time – Materials on the record show that the DPCO was aware of the existence of different systems of drug delivery and of sustained release – Manufacturers ought to have demonstrated that the systems used by them were unique or different – In absence thereof, they were obliged to follow the pricing norms and ceiling prices fixed by the impugned notifications. Dismissing the appeals, the Court HELD: 1.1 The High Court, took note of the notification dated 13th August, 2008, which fixed conversion costs for plain tablets, coated tablets, dispersible tablets, gelatin coated tablets, bi layered tablets, sustained release tablets, chewable tablets, effervescent tablets, inlay tablets, capsules and other drugs. The appellants had not urged that different conversion costs were fixed for controlled release system, or the continuous release systems, anytime. In these circumstances, it was held that the [2019] 14 S.C.R. 618 618 A B C D E F G H 619 pricing norms were applicable. Note (d) to the notification of 30th April, 2009, stated that for different packing materials used or different drug delivery systems or any other special features/forms claimed, the ceiling prices, as specified in Column 5 shall be applicable unless the companies approach NPPA for specific price approvals for its formulations”. In the instant case, the appellants did not approach NPPA for specific price, or contend before it that their products contained special features. On the other hand, the allusion to “sustained release” and drug delivery systems (in Note (d)) clearly contemplated that unless otherwise specifically sought– in regard to particular drugs, the price fixation norms applied to all. [Para 10, 11] [626-C-G] 1.2 According to pharmacopedias and the US Food and Drug Administration’s definitions, modifications in drug release are often desirable to increase the stability, safety and efficacy of the drug, to improve the therapeutic outcome of the drug treatment and/or to increase patient compliance and convenience of administration. In that context, the use of the term “sustained release” denotes the systems that maintain the rate of drug release over a sustained period. For example, if the release of the drug from the dosage form is sustained such that the release takes place throughout the entire gastrointestinal tract, one could prolong the time interval of drug concentration in the therapeutic range. This in turn may reduce the frequency of dosing, for example from three times a day to once a day. Sustained–release dosage forms achieve this mostly by the use of suitable polymers, used either to coat granules or tablets (reservoir systems) or to form a matrix in which the drug is dissolved or dispersed (matrix systems). Controlled release systems are drug delivery systems in which the drug is released in a predetermined pattern over a fixed period of time. Therefore, the materials on the record show that the DPCO was aware of the existence of different systems of drug delivery; it specifically talked of sustained release. If the appellants wished to say that the systems used by them were unique or different, it was open for them to have so demonstrated. Their omission to do so, did not in any way affect their obligation to follow the pricing norms and ceiling prices fixed by the impugned notifications. Therefore, there i
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