Documente Academic
Documente Profesional
Documente Cultură
Submitted By:
Ankit Gupta 8A
Mohit Narula 24A
Prathyusha 32A
Sonali Yadav 41C
Balu G 14B
Mitul Jain 22C
Neha Deoliya 24C
Rohan Raghavan 31C
Shailesh Kumar Nirala 36C
Contents
The Indian Pharmaceutical Sector ............................................................................................. 3
An Analysis of NTBs .................................................................................................................... 7
Strategies for Improving Exports ............................................................................................. 17
References ............................................................................................................................... 20
MARKET DYNAMICS
The domestic pharmaceutical market has reported total sales of $ 1.12 billion in the month
of July 2013, a growth of 13.5 per cent (IMS Health, 2013). The major factors responsible for
this growth are increasing sales of generic medicines, continued growth in chronic therapies
and greater penetration in rural markets.
India currently exports drug intermediates, Active Pharmaceutical Ingredients (APIs),
Finished Dosage Formulations (FDFs), Bio-Pharmaceuticals, and Clinical Services across the
globe. The exports of pharmaceuticals from India grew to $14.6 billion in 201213 from
$6.23 billion in 200607, registering a compound annual growth rate (CAGR) of around 15.2
per cent. The Ministry of Commerce has set a target for Indian pharmaceutical sector
exports of $25 billion by 2014 at an annual growth rate of 25%.
Among the top pharmaceutical companies, Abbott with total sales of $73.67 million, Cipla
with $52.48 million, Sun Pharmaceutical with $51.02 million, and Zydus Cadila with $43.69
million were the fastest growing companies in the month of September 2013. In terms of
growth, Sun Pharmaceutical (17.8 per cent) is ahead of peers such as Cadila (1.8 per cent),
Cipla (0.8 per cent) and McLeod (0.7 per cent).
Exporte d va lue
in 2 0 10
Exporte d
va lue in 2 0 11
Exporte d
va lue in 2 0 12
971730
1170144
1674983
2349165
3020734
Russian Federation
336316
262025
293109
531457
488527
United Kingdom
200107
236292
281478
364084
352501
South Africa
192159
189965
253950
317588
319835
Nigeria
182190
167619
177563
257846
276161
Germany
103189
102009
157952
191932
234377
Kenya
113057
90570
155748
200629
229128
Netherlands
72440
77041
121238
166562
166331
61477
82130
122282
134228
165378
149859
107667
122253
131923
164942
Ghana
Ukraine
Trade data from the Indian pharmaceutical industry (in USD billion) (SOURCE: Dept. of Commerce)
CHALLENGES
Some of the major challenges include:
Lack of world class R&D infrastructure and absence of Government support for
drugs related to R&D
Poor funding for drug discovery with emphasis on reverse engineering rather
than innovation
An Analysis of NTBs
In the interest of safety, efficacy and affordable medicine to the general population every
country in the world regulates pharmaceutical industry in their respective countries. The
regulation is all pervasive from price controls to reimbursement of pharmaceutical expenses
to the consumers through national health protection/insurance schemes to drug
registration, market authorization, quality control, quality standards, imports & distribution,
packaging & labelling, intellectual property and even mergers and acquisitions in some
countries
new medicines in a market. Furthermore, most countries (notably EU, US, Japan) accept
global clinical trial data in line with ICH Guidelines.
Example: Japan
The Japanese Good Clinical Practices rules are not fully in line with ICH guidelines. Foreign
clinical studies, even when accompanied by adequate bridging data are not accepted.
Example: China
Local clinical trials are required prior to initiating registration of products in China, resulting
in the repetition of some clinical stages for pharmaceuticals and even the full development
programme for vaccines. This is not in line with international standards and can involve one
to five years delay in approval and marketing of products.
Example: Russia
The new federal law on medicines circulation introduced a requirement to conduct clinical
studies in Russia as a prerequisite for registration and access to the domestic market. This is
contrary to the global research and development practices and to international scientific
standards (e.g., ICH), impeding market access.
Example: Japan
Despite progress in recent years in the specific fields of vaccines and biologicals, there is still
a 'vaccine gap' between Japan and other industrialized countries. Specifications and
minimum requirements of biological products (MRBP) are different from global ones. There
are differences in standards and testing methods in Japan as compared to the rest of the
world, meaning that overseas vaccines for routine immunization cannot be registered in
Japan without adjustments to conform to MRBP and JPh.
Japan's drug penetration restrictions rule requires that for the first year that a new product
is marketed, patients can only receive a 14-day prescription, resulting in an unnecessary
expense to the patient and to the manufacturer as packaging of some products will need to
be completely changed for Japan. This rule also does not take into account medicines that
have no obvious effect for the first 14 days of consumption
Example: Brazil
There are significant market authorization delays in Brazil, which are now significantly
higher than the standard average length of 12 months for such approvals. Conversely, there
is a specific issue with regards to bio-similar molecules, with suggestions that Brazil does not
always reinforce its authorization practices, leading to inadequate testing of complex
substances and introduction on the market of less safe products, originating in third
countries. This could result in a competitive disadvantage to EU pharmaceuticals, which
undergo thorough testing procedures.
The Food and Drug Administration (FDA) is proposing to amend the final monograph (FM)
for over-the-counter (OTC) bronchodilator drug products to add additional warnings (ex: an
Asthma Alert) and to revise the indications, warnings and directions in the labelling of
products containing the ingredients ephedrine, ephedrine hydrochloride and racepinephrine
hydrochloride. This proposed rule is part of FDAs ongoing review of OTC drug products.
Protection of the human health.
21. Human Safety - Canada
This initiative establishes a regulatory framework for abbreviated new drug submissions.
The amendment provides a definition for a Canadian reference product thereby providing
manufacturers and consumers with a clearly defined standard. This regulatory initiative also
defines specific requirements for an abbreviated new drug submission.
22. Human Health and Safety - Brazil
This draft Technical regulation has the objective to establish requirements to postregistration modifications of active pharmaceutical ingredients (API) registered in Brazil
used in the product and/or commercialization of medicines in the country.
23. Human Health and Environmental Protection - France
This notified draft decree sets forth arrangements for the collection of unused medicinal
products returned to pharmacies by patients, and specific procedures for the disposal of
such products. The text describes procedures for the collection (provision of special
containers, transportation) and disposal of unused medicinal products, the cost of which is
borne by the pharmaceutical companies dealing in such products, in application of the
principle of extended producer responsibility. The text states that unused medicinal
products must be disposed of by incineration and provides that companies may fulfil their
obligations by joining a collective scheme approved by the government authorities, on the
basis of a set of specifications, the terms of which may be clarified, if necessary, by order.
24. Quality Standards and Safety - Japan
Minister for Health and Welfare establishes a quality and safety assurance system (Good
Tissue Practice) for cell and tissue products and revises some parts of the related ministerial
ordinance.
25. Human Health - Argentina
Establishes mandatory declaration of ethyl alcohol content in prospectuses/information
about medicines containing it.
26. Latin American Countries
Most of Latin American Countries (LAC) do not provide clear cut guidelines for drug
registration or at least these are not available in public domain imposing avoidable hurdles
on the manufacturer exporters seeking entry into these countries. For example check list of
quality & efficacy tests, documents is not available in most of the Latin American Countries
barring Brazil. Indian exporters in the absence of these check lists come to be aware of
many requirements after submission of dossiers resulting in queries and resubmissions. To
take a specific example, the specifications for drug registrations such as shelf life, stability
tests, etc. are not available in public domain. Similarly, clear cut timelines or clock stops for
registration processes is also not available with many Latin American countries. Colombia on
the other hand has clearer guidelines and also insists on cGMP inspection of the sites. The
country also does not insist on cGMP inspection and accepts valid recent inspection and
approval certificates issued by a few other countries such as US FDA.
27. Commonwealth of Independent States
In Commonwealth of Independent States (CIS) countries, the queries raised during the
registration & approval process vary from reviewer to reviewer. The standards in these
countries also vary and it takes practically as long as 2 years for drug registration in these
countries. The testing procedures in these countries are also long. Batch tests are
performed before acceptance of documents for approval and again batch test are
performed after review of submitted documents. Drug registration fees are also high in
these countries. Only Ukraine has site inspections for cGMP while many other CIS countries
do not insist on the same
28. Africa
Many African countries insist on labelling and indications on the products in local languages.
Many of the West & North African countries, numbering around 20, which are former
French colonies and having substantial presence of French manufacturers, insist on
indications to be printed in French language. Further many African countries do not want to
promote imports of pharmaceutical products that are manufactured domestically as a
measure of protection to domestic manufacturers or a measure to save foreign exchange.
This restricts the trade in these products in those countries.
29. European Regulation of REACH - an Emerging Barrier
The recent promulgation of REACH regulation by EU has very deep impact on Indian
exports of drug intermediates in particular and chemicals in general to Europe. The
regulation not only adds to the cost of Indian manufactures making them uncompetitive but
also poses several non-tariff barriers. The pharmaceutical SMEs and traders in drug
intermediates may find it difficult to access European markets. Many other countries such
as USA, Canada, Australia, etc., are also undertaking exercises to introduce similar
legislation
30. Miscellaneous Barriers
Many small countries insist on attestation of all test certificates, export documents by their
diplomatic missions. For example exports to Guatemala would require attestation of
manufacturing license, quality certificate, etc. by their diplomatic mission. Many of these
small nations do not have diplomatic mission in India posing hurdles for Indian exporters.
Herbal Industrial Parks: Herbal industrial parks in line with model concept of
JNPC should be developed wherein the national priority 25 herbals are processed
into GMP facilities and infrastructure for necessary conversion into end use
formulations is provided.
SEZs: SEZs are essential for the growth of Industry. The gestation period to
commence and obtain regulatory approvals takes at least 4 to 5 years. Hence the
direct tax code related limits for setting up of new units and new SEZs should not
apply to this strategic sector. Allow the use of SEZ unit for domestic purpose until
the regulatory approvals take place i.e., in first five years.
Standards: Establishing mandatory standards in this sector will on the one hand
prevent dumping of sub-standard products by foreign enterprises while on the
other hand it will help the domestic industry to raise its manufacturing capability
to provide better quality drugs to local consumers in the short run. It will also
make industry better equipped to meet international norms in the long run
without having to invest in parallel export only facilities.
Brand: There is a need to develop, promote and implement a large campaign in
important markets to build a strong brand image for Indian pharmaceuticals and
position them as safe, effective, affordable products of high quality.
Define high tech value addition: Frontier areas in the pharmaceutical industry are
those which are based on development of new chemical entities. These are
followed by efforts to develop non infringing processes for existing drugs. The
lowest end involves formulations from imported APIs with little local value
addition. It is imperative to define high-tech/high value add products and
develop schemes to support their production and export.
References
www.commerce.nic.in
www.chemexcil.gov.in
www.trade.iift.ac.in