According to the new prices notified by the drug price regulator, the ceiling price set for Oxygen - Liquid Medical Oxygen is 15.18 per cubic meter and will increase to Rs 17.02 per cubic meter with effect from 01.04.2023 due to a 12.1218% increase in the whole sale price.
Similarly, the ceiling price set for Oxygen (in cylinder) is 25.71 per cubic meter and will increase to Rs 28.83 per cubic meter with effect from 01.04.2023 due to a 12.1218% increase in the whole sale price.
In addition, the ceiling price for nitrous oxide, which is now set at Rs. 255.04 per cubic metre, would rise to Rs. 285.95 per cubic metre with effect from April 1, 2023 due to an increase of 12.1218% in the whole sale price.
This came in line with the decision of the 111th authority meeting dated 29.03.2023 where the ceiling price fixation of Oxygen – Liquid Medical Oxygen, Oxygen (in cylinder) and Nitrous oxide was discussed.
The notification stated, "The Ministry of Chemicals and Fertilizers vide S.O.1394 (E) dated 30th May 2013, in the exercise of the powers conferred by Section 3 and 5 of Essential Commodities Act, 1955 has delegated the powers in respect of specified Paras of the DPCO, 2013, including Para 19 of the said Order to be exercised by the National Pharmaceutical Pricing Authority (NPPA) on behalf of the Central Government."
"The Department of Pharmaceuticals has amended Schedule I of the Drugs Price Control Order (hereinafter referred to as DPCO) 2013 vide S.O. 5249(E) dated 11.11.2022 based on the revised National List of Essential Medicine (hereinafter referred as NLEM) 2022. And whereas, Oxygen – Is licensed for medicinal purposes Nitrous Oxide As licensed for medicinal purposes scheduled formulation under amended Schedule I of DPCO 2013.", the notice added.
In addition to the above, the notification further stated that Oxygen is mentioned as “Oxygen-As licensed for medicinal purpose” under NLEM, 2022, Empowered Group (EG) 3, now EG2, of the Government of India mandated to ensure the availability of Medical Oxygen in its meeting held on 21.09.2020 EG2 requested NPPA to look into the ceiling price of medical oxygen, both LMO and cylinders.
The Authority in its meeting on 25.09.2020 examined the issue at length including the recommendations of EG2 and the inter-ministerial committee and decided to cap the price of LMO & Oxygen Inhalation (Medicinal gas) in cylinders.
"The market-based data for the concerned formulations was not available and it is obligatory on the part of the NPPA to revise the ceiling prices of all the drugs notified under Schedule I of DPCO, 2013 so as to ensure the benefit of fair and reasonable ceiling prices to the consumers of such essential medicines to protect the public interest, there is a necessity to adopt alternative methods of price fixation; In this regard, NPPA uploaded Office Memorandum (i.e. OM) 12(90)/2022/DP- Division/NPPA/II dated 28.12.2022to provide the data regarding MAT and PTR of July 2022 of the concerned formulation." the notice said.
"It is necessary to fix ceiling prices of scheduled formulations and as no response was received, NPPA sought information from the various Central Government agency, State Government Hospitals and Private Sector Hospitals in line with OM dated 05.02.2019 which clearly states that “When no market date is available, the ceiling price may be calculated on the basis of institutional data." the notice added.
Now, in the exercise of the powers conferred by paragraphs 19 of the Drugs (Prices Control) Order, 2013, read with S.O. 1394(E) dated the 30th May 2013 issued by the Government of India in the Ministry of Chemicals and Fertilizers, and in supersession of the Order of the Government of India in the Ministry of Chemicals and Fertilizers (National Pharmaceutical Pricing Authority) No.S.O 5634(E) dated 02.11.2018, S.O3322 (E) dated 25.09.2020, and as an extended time to time and last extended upto 31.03.2023 vide S. O. 6175(E) dated 30.12.2022 with respect to Oxygen and S.O 5634(E) dated 02.11.2018 and 1499(E) dated 30.03.2022 with respect to Nitrous Oxide, the National Pharmaceutical Pricing Authority has fixed the ceiling prices exclusive of goods and services tax applicable, if any, as specified in column (5) and increased by Wholesale Price Index (WPI) of 12.1218% under para 16 (1) of DPCO 2013, with effect from 1.04.2023 as specified in column (6)of the table in respect of the Scheduled formulations specified in the corresponding entry in column (2) of the said Table with the dosage form & strength and unit specified respectively in the corresponding entries in columns (3) and (4) thereof:
S. No. | Name of the Scheduled Formulation | Dosage form and Strength | Unit | Ceiling Price fixed under NLEM 2022 (Rs.) | Ceiling price (wef 01.04.2023 with WPI @ 12.1218%) | Existing S.O. No. & Date |
(1) | (2) | (3) | (4) | (5) | (6) | 7(a) | 7(b) |
1 | Oxygen – Liquid Medical Oxygen | As licensed for medical purpose | Cubic Meter | 15.18 | 17.02 | 6175(E) | 30.12.2022 |
2 | Oxygen (in cylinder) | As licensed for medical purpose | Cubic Meter | 25.71 | 28.83 | 6175(E) | 30.12.2022 |
3 | Nitrous oxide | As licensed for medical purpose | Cubic Meter | 255.04 | 285.95 | 1499(E) | 30.03.2022 |
The notification further added:
(a) The above-mentioned ceiling prices as fixed under NLEM 2022 shall be effective from 1st April 2023 after the application of the Wholesale Price Index (WPI) and as specified in column (6) above.
(b) All manufacturers of scheduled formulation, selling the branded or generic or both the versions of scheduled formulations at a price higher than the ceiling price (plus Goods and Services Tax as applicable) so fixed and notified by the Government, shall revise the prices of all such formulations downward not exceeding the ceiling price specified in column (5) in the above table plus Goods and Services Tax as applicable, if any and then they may further make corresponding increase in MRP (excluding GST) up to the level of WPI @12.1218% with effect from 1st April 2023 not exceeding ceiling prices as specified in column (6) in the above table.
(c) All the existing manufacturers of the above-mentioned scheduled formulations having MRP lower than the ceiling price specified in column (5) in the above table plus GST as applicable, if any, shall continue to maintain the existing MRP in accordance with paragraph 13 (2) of the DPCO, 2013 and they may further make a corresponding increase in MRP up to the level of WPI @12.1218% with effect from 1st April, 2023.
(d) The manufacturers may add goods and services tax only if they have paid actually or if it is payable to the Government on the ceiling price mentioned in column (6) of the above-said table.
(e) Information about the revision, if carried out, shall be forwarded to the Government in either electronic or physical form in Form-II within a period of fifteen days of such revision and non-submission of the information under this subparagraph shall be construed as non-revision of maximum retail price (MRP) and the concerned manufacturer shall be liable to deposit the amount charged over and above the pre-revised maximum retail price (MRP), alongwith interest thereon from the date of overcharging.
(f) The ceiling price for a pack of the scheduled formulation shall be arrived at by the concerned manufacturer in accordance with the ceiling price specified in column (6) of the above table as per provisions contained in paragraph 11 of the Drugs (Prices Control) Order, 2013. The manufacturer shall issue a price list in Form–V from the date of Notification as per paragraph 24 of the DPCO, 2013 to NPPA through IPDMS and submit a copy to State Drug Controller and dealers.
(g) As per para 24(4) of DPCO 2013, every retailer and dealer shall display the price list and the supplementary price list, if any, as furnished by the manufacturer, on a conspicuous part of the premises where he carries on business in a manner so as to be easily accessible to any a person wishing to consult the same.
(h) Where an existing manufacturer of scheduled formulation with dosage or strength or both as specified in the above table launches a new drug as per paragraph 2(1)(u) of the DPCO, 2013 such existing manufacturer shall apply for prior price approval of such new drug to the NPPA in Form I as specified under Schedule-II of the DPCO, 2013.
(i) The manufacturers of above said scheduled formulations shall furnish quarterly returns to the NPPA, in respect of production/import and sale of scheduled formulations in Form-III of Schedule-II of the DPCO, 2013 through IPDMS. Any manufacturer intending to discontinue production of above said scheduled formulation shall furnish information to the NPPA, in respect of discontinuation of production and/or import of scheduled formulation in FormIV of Schedule-II of the DPCO, 2013 at least six months prior to the intended date of discontinuation.
(j) The manufacturers not complying with the ceiling price and notes specified hereinabove shall be liable to deposit the overcharged amount along with interest thereon under the 3 provisions of the Drugs (Prices Control) Order, 2013 read with Essential Commodities Act, 1955.
(k) Consequent to the issue of the ceiling price of such formulation as specified in column (2) of the above table in this notification, the price order(s) fixing ceiling or retail price, if any, issued prior to the above-said date of notification, stand(s) superseded.
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