Wednesday, 16 March 2016

DCGI cracks the whip to prohibit 344 drugs constituting fixed dose combinations, Delhi High Court stays notifications vis-à-is Pfizer’s Corex

In an unprecedented move,  the Ministry  of  Health  and  Family Welfare  proceeded  to  prohibit “the manufacture  for  sale,  sale  and  distribution  for  human  use” of 344 (three hundred and forty four)  drugs constituting  fixed  dose  combinations,  vide  notifications  bearing  S.O.  705(E)  through  S.O.  1048(E)  dated March 10, 2016 (“Notifications”). These Notifications were swiftly followed by a circular dated March 12, 2016, whereby Drugs Controller General of India (“DCGI”), reiterating the prohibition and instructing the Drug Controllers of all states and union territories to take necessary action in this regard.

The scale and magnitude of the ban has surely left pharmaceutical sector shell-shocked. The genesis of the move  can  been  traced  to  the  amendment  made  to  the  Drugs  and  Cosmetics  Rules,  1945,  in  December 2001,  whereby  fixed  dose  combinations  of  two  or  more  approved  drugs  required  permissions  from  the Licensing    Authority    before    its    import    or    manufacture.    The    Notifications    have    relied    on    the recommendations  of  an  Expert  Committee  which  has  found  that  these  drugs  have  “no  therapeutic justification”. The details of the Expert Committee are not mentioned in the Notifications, however, it is likely, that the Expert Committee refers to committee under the Chairmanship of Prof. C. K. Kokate which had  given  its  recommendations  in  July  2013.  It  is  pertinent  to  mention  here  that  the  committee  report available  on  the  website  of  the  CDSCO  does  not  contain  the specific  recommendations  of  irrationality  of any of the drugs prohibited under the foregoing Notifications.

Subsequently,  the  Delhi  High  Court  has  granted  an  interim  injunction  suspending  the  operation  of notification  bearing  no.  S.O.  909(E)  vis-à-vis  the fixed  dose  combination  of  Chlopheniramine  Maleate  + Codeine Syrup marketed by Pfizer under the brand name “Corex” on March 14, 2016. On behalf of Pfizer, it had  been  argued  that  the  decision  of  Government  prohibiting  Corex  has  been  undertaken  arbitrarily without due process on its part. It is further being contended that the drug has been marketed in India for over 25 (twenty five) years as well as globally without any restrictions. The matter would come up before the court again next week.

Prima  facie there  seem  to  multiple  irregularities  in  the  notification,  especially,  in  light  of  the  allegations made by the Pfizer that such steps have been taken without due process, including an opportunity to show cause.  However,  its  remains  to  be  seen  whether  that  is  actually  the  case,  with  the  DCGI  likely  to contend that  ample  opportunity  has  been  afforded  to  the  stakeholders  the  represent  against  these  coercive measures.


By:
Manish Kumar Sharma and Abhijeet Das
http://www.singhania.in

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