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MUMBAISILICONVALLEYBENGALURUSINGAPORENEWDELHINEWYORKGIFTCITY
Research
TheIndian
PharmaceuticalIndustry
Regulatory,LegalandTaxOverview
August2024
?NishithDesaiAssociates2024
Research
TheIndian
PharmaceuticalIndustry
Regulatory,LegalandTaxOverview
August2024
DMSCode:30670.1
?NishithDesaiAssociates2024
Rankedasthe‘MostInnovativeIndianLawFirm’intheprestigiousFTInnovativeLawyersAsiaPacificAwardsformultipleyears.Alsorankedamongstthe‘MostInnovativeAsiaPacificLawFirm’intheseeliteFinancialTimesInnovationrankings.
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Aegermartet
回woruDX
BUSINESSTODAY
equalipi
?NishithDesaiAssociates2024
TheIndianPharmaceuticalIndustry—Regulatory,LegalandTaxOverview
Disclaimer
ThisreportisacopyrightofNishithDesaiAssociates.Noreadershouldactonthebasisofanystatementcontainedhereinwithoutseekingprofessionaladvice.Theauthorsandthefirmexpresslydisclaimallandanyliabilitytoanypersonwhohasreadthisreport,orotherwise,inrespectofanything,andofconsequencesofanythingdone,oromittedtobedonebyanysuchpersoninrelianceuponthecontentsofthisreport.
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Acknowledgements
TanyaKukade
tanya.kukade@
VarshaRajesh
varsha.rajesh@
EshikaPhadke
Eshika.phadke@
Dr.MilindAntani
Milind.antani@
?NishithDesaiAssociates2024Provideduponrequestonly
Contents
3
ExecutiveSummary1
Introduction
5
IndiaEntryStrategies
A.InvestmentClimateinIndia5
B.GovernmentProductionLinkedIncentives6
C.India’sPost-TripsIntellectualPropertyEnvironment6
D.FormofTheIndianEntity6
E.CorporateGovernanceinIndia9
F.Anti-CorruptionFramework10
11
LegalandRegulatoryRegimeinIndia
A.OutlineofLegalandRegulatoryFramework11
B.RegulatoryFramework11
C.ProposedLawonRegulationofPharmaceuticalProducts14
D.ManufacturingaDruginIndia14
E.ImportingaDrugintoIndia15
F.Manufacture/ImportofNewDrugs16
G.ClinicalTrials16
H.ProductStandards18
I.OTCandPrescriptionDrugs18
J
.Pharmacy19
K.E-Pharmacy19
L.Labeling20
M.ShelfLife20
N.GoodManufacturingPractices(GMP)21
O.PricingofDrugsandDrugPriceControlOrder,201322
P.AdvertisementandSalesPromotion23
?NishithDesaiAssociates2024Provideduponrequestonly
29
TheAnti-TrustRegulatoryFramework27
IntellectualPropertyLandscape
A.PatentProtection29
B.Trademarks32
36
TaxRegime
A.DirectTaxes36
B.IndirectTaxes48
50
KeyIssuesandChallengesinIndianPharmaIndustry
A.Promotionandadvertisement50
B.PriceControl50
C.Labelling50
D.EnvironmentalDiligence51
E.GMPRelatedNon-CompliancesandSafetyConcerns51
F.FixedDosecombinations51
G.OverlapwithotherIndustriessuchasBio-PharmaandMed-Tech52
53
Conclusion
54
AnnexureA
ListofDrugLicensesUnderDCA54
58
AnnexureB
TargetedTimelinesforApprovalofLicenseApplications58
?NishithDesaiAssociates2024Provideduponrequestonly
ExecutiveSummary
TheIndianPharmaceuticalindustryhasgainedmomentuminthepastyearandhaswitnessedanincreasedfocusonencouragingresearchanddevelopmentandinnovation.Pharmaceuticalcompaniesarefocussingtheirresourcesonbiotechstartupsandpushingforinnovationtoaimforcontinuedgrowthinthesector.1
TheindustryisexpectedtogrowuptoUSD130billioninvaluebytheendof2030.2Thedomesticpharmaceuticalmarketgrewby6.8%in2023.3InFY2023–24,India’sdrugandpharmaceuticalexportsshowedanotableincreaseof9.67%reachingUSD27.9billion.4IndiaalsohasthelargestnumberofmanufacturingsitesapprovedbytheUnitedStatesFoodandDrugAdministration(USFDA)outsideoftheUnitedStates5whichisanimportantfactorinboostingtheglobalconfidenceinthedomesticallymanufactureddrugsandpharmaceuticalproducts.
Theindustryistypicallyinvolvedinfourtypesofbusinesses:marketingofgenericmedicines,marketingofbrandedgenericmedicines,marketingofinnovatormedicinesandmanufactureandsupplyofactivepharmaceuticalingredients,whichareusedasingredientsinmedicinesaswellasfinishedformulations.
ThefocusondevelopmentofnewdrugsbeganwiththeintroductionofamendmentstoIndia’spatentregimein2005whichpermittedpatentingofpharmaceuticalproducts.Thus,whilemanydomesticcompaniesareinvestingsubstantialamountsindrugresearchanddevelopment,Indiaisstillnotaninnovator’smarket.
TheIndianPharmaceuticalindustryiswitnessinghealthyforeigndirectinvestment,amalgamationsandcollaborations(suchaslicensing,co-development,jointdistributionandjointventures).Domesticmanufacturersarelookingtotapintotheinternationalgenericmarketwhichprovidehighmargins.
ThenumberofAbbreviatedNewDrugApplications(ANDA)totheUSFDAisalsoincreasingeveryyear.TheIndustryiswitnessingaparadigmshiftasthefocusisshiftingfromthemanufacturingofgenericdrugstodrugdiscoveryanddevelopment(Glenmark,SunPharma,CadillaHealthcareandPiramalLifeSciences,hadappliedforconductingclinicaltrialsfornumerousnewdrugs).WiththepassageoftheNewDrugsandClinicalTrialRules,2019(“CTRules”)theclinicaltrialsectorisalsogrowingsteadilywithmanychoosingIndiaasoneofthefavourabletrialsiteswhenconductingglobalclinicaltrials.Reportedly,India’sclinicaltrialsmarketisexpectedtoreach$3.15billionby2025.6
1TheEvolutionofIndianPharmaceuticalIndustryin2023,UNIMARCK,January29,2024,accessibleat:
/the-growth-of-indian-pharma-industry-in-2023-insights-and-statistics/,
(LastaccessedonApril22,2024).
2Indianpharmain2023:Industryexpertsgivebigthumbsuptothesector;here’swhattheyaresaying,BusinessToday,availableat:
https://www.businesstoday.in/industry/pharma/story/indian-pharma-in-2023-industry-experts-give-big-thumbs-up-to-the-sector-heres-what-
they-are-saying-357290-2022-12-21
,(LastaccessedonFebruary10,2023).
3Pricepush:Domesticpharmamarketgrewby6.8%in2023,showsdata,BusinessStandard,availableat:
/
industry/news/domestic-pharmaceutical-market-grew-by-6-8-in-2023-shows-data-124011100758_1.html
,(LastaccessedonFebruary10,2023).
4India’spharmaexportsreachUS$27.9bninFY24,EconomicDiplomacyDivision,April24,2024,accessibleat:
.in/indias-pharma-exports-reach-us-27-9-bn-in-fy24/#:
~:text=In%20the%20fiscal%20year%202023,3%25%20dip%20in%20total%20exports,(LastaccessedonMay16,2024).
5ReportbyUnitedStatesFoodandDrugAdministrationontheStateofPharmaceuticalQuality,availableat:
https://WWW.FDA.GOV/MEDIA/125001/download
,(LastaccessedonFebruary10,2023).
6FortuneIndia,Indianowprimedestinationforbigpharma’sglobalclinicaltrials,:
/enterprise/india-now-prime-destination-for-big-pharmas-global-clinical-trials/107141
,
(LastaccessedonFebruary10,2023).
?NishithDesaiAssociates2024Provideduponrequestonly1
TheIndianPharmaceuticalIndustry—Regulatory,LegalandTaxOverview
ExecutiveSummary
Thepharmaceuticalindustry,likeallindustriesrelatedtothehealthcaresector,isheavilyregulated.Rightfrommanufactureofdrugstoadvertisementandpromotion,eachstepinthedrugmanufacturingandmarketingprocessisregulated.India’spatentregimealsocontainsspecificprovisionsregulatingpharmaceuticalpatentsandthesectorhasseensomesignificantanti-trustissuesonthesubjectofretailsaleofdrugs.
Thecomingdecadeisexpectedtobringnewhighsforthepharmaceuticalsector.Backedbystrongintellectualpropertyandregulatoryframework,coupledwithproductionlinkedincentivestheIndianpharmaceuticalindustryseemspoisedontheedgeofsuccess.
?NishithDesaiAssociates2024Provideduponrequestonly2
TheIndianPharmaceuticalIndustry—Regulatory,LegalandTaxOverview
Introduction
TheIndianpharmaceuticalindustryhasbeenwitnessingsignificantgrowthoverthepastfewyearsandisexpectedtogrowtoUSD130billioninvaluebytheendof2030.1Generics,overthecounterdrugs,biosimilarsandbiologics,aresomeofthekeysegmentsgainingtractionintheindustry.ThebiosimilarsmarketisestimatedtogrowataCAGRof22%tobecomeUSD12billionby2025.2
ForaglobalpharmaceuticalcompanyseekingtoentertheIndianpharmaceuticalmarkettoday,theopportunitiesareexciting,andthepotentialistremendous.SeveralfactorsattractglobalpharmaceuticalcompaniestoIndia:
Lowcostofproductionduetoavarietyoffactorsincludingrelativelylowerlabourcostsandrawmaterialcosts;
Diversemarketnotonlyforlifesavingdrugsbutalsoforlifestyledrugs;
PotentialforconductingresearchanddevelopmentactivitiesinIndia–Indiahasmorethan300medicalcollegesandover20,000hospitals;
Existingmanufacturingcapabilitytoproduceactivepharmaceuticalingredients(APIs)aswellasintermediatesatlowercostwhilemaintainingqualitystandards;
IndiahasamaximumnumberofUS-FDAapprovedplantsoutsidetheUS;
EaseofconductingclinicaltrialsandbioavailabilityandbioequivalencestudiesduetoIndia’sabilitytoprovidespeedierandlessexpensivetrialswithoutcompromisingqualityandtheavailabilityofavast
patientpool.
Indiahasalsowitnessedakeeninterestonbehalfofglobalpharmaceuticalcompanies,seekingtoeitherestablishoperationsinIndiaforresearchanddevelopment,manufacturingordistributionortoenterintocollaborationsforthesame.India’slow-costresearchanddevelopmentabilitieshelpcompaniesoptimizecostsinashrinkingeconomy.
Co-developmentarrangementsbetweenIndianandmultinationalpharmaceuticalcompanieshavecreatedabusyatmosphereinresearchlaboratoriesinIndia.TheIndianpharmaceuticalmarketiswitnessingariseincollaborationswithglobalcompaniessuchasGlenmarkPharmaceuticals,GlaxoSmithKline(GSK),MerckandEliLilly.In2018,withinaspanofamonth,GlenmarkannouncedanexclusivelicensingagreementwithAustraliancompanySeqirusforanallergydrugandanotherwithChinesebiopharmaceuticalfirmHarbourBiomedforitsoncologymolecule.PiramalLifeScienceLtd(PLS)andEliLillyandCompanyhavesignedalandmarknewdrugdevelopmentcollaboration.Separately,RanbaxyandGSKhavelaunchedaNewDrugDiscoveryResearchteamtoadvanceintopre-clinicalinvestigationinthechronicobstructivepulmonarydisease(COPD)andotheranti-infectivestherapeuticareas.PLSalsoinitiateddrugdiscoveryeffortswithMerck&Co.todiscoveranddevelopnewdrugsinoncology.ZydusLifesciencesenteredintoanewdrug
discoveryanddevelopmentagreementwithEliLillytodeveloppotentialnewdrugstocurecardiovasculardisease.Indiaisalsobecomingahubforlate-phaseresearch.
1BusinessToday,Indianpharmain2023:Industryexpertsgivebigthumbsuptothesector;here’swhattheyaresaying,availableat:
https://www.businesstoday.in/industry/pharma/story/indian-pharma-in-2023-industry-experts-give-big-thumbs-up-to-the-sector-heres-what-
they-are-saying-357290-2022-12-21
,(LastaccessedonFebruary10,2023).
2IBEF,PharmaIndustry,accessibleat:
/industry/pharmaceutical-india
,(LastaccessedonJune10,2024).
?NishithDesaiAssociates2024Provideduponrequestonly3
Introduction
Johnson&Johnson(J&J)announceditsplanstomakeIndiaaglobalhubforlate-phasedevelopmentofitsnewdrugs.Withthisinitiative,allfuturenewdrugsandcompoundsfromJ&Jwillundergofinalpre-productiontestinginIndia.Recently,Torrentannouncedenteringintoanon-exclusivepatentlicensingagreementwithTakedaforsaleofitsdrugVonoprazaninIndia.3Domesticcompaniesaregettingmoreinvolvedinsuchcollaborativearrangements.
Foratrans-nationalentityseekingapresenceinIndia,whetherdirectlyorthroughcontractualarrangement,structuringoftheinvestmentarrangementfromataxandregulatoryperspectiveisverycritical.ThisisespeciallytruebecausetheIndianpharmaceuticalmarkethasbecomethehotbedofM&Aactivity.ThepastyearwitnessedasurgeinM&Adealsgiventhesaturationofpatentingopportunitiesandmostpatentsofpharmaceuticalcompanieslikelytoexpireinthenextfewyears,bigpharmacompaniesarelookingtomaximizetheopportunitiesthroughdealmaking.Thesectorwitnessedover116M&AdealsworthUSD191billioninthepastyear.4SomeofthenoteworthyonesarethemergerofBristol-MyersSquibbandCelgeneCorporationleadingtothecreationofthelargestbiopharmaceuticalcompanyglobally;acquisitionofBioverativbySanofiinthebiopharmaceuticalspacegiventhatthecompanyisfocusedonrareblooddisorders;etc.
Furthere-commerceopportunitiesinthepharmaceuticalsectorareontherisebringingwithinitsambittheonlinesaleofpharmaceuticalproductsandcreatinganattractivestreamforinvestmentsandbusinesses.Doorstepdeliveryofmedicinespavedthewayfore-pharmaciesinthecountrywhichatpresent,runparalleltobrick-and-mortarpharmaciesuntilalegislationinthisregardisintroducedinthecountry.
Onthesurface,Indianlawappearstobeacomplexsetofregulations,notificationsandapprovalrequirements.However,withstepsthatIndiahasalreadytakentohonoritsWorldTradeOrganization(WTO)commitments,combinedwiththeliberalizationandtherelaxationoftheimport-exportpolicy,foreigncompaniesseekingtoenterthisspacewillexperiencethatmostoftherestrictionsthatexistedonissueslikepricingandlicensinghavenowbeenrelaxedtotheextentthatthereisnowalevel-playingfieldforglobalandIndiancompaniesintheIndianmarket.
Inthispaperwehaveoutlinedtheentitystructures,thetaxregime,bothdirectandindirect,affectingthestructuringofIndianoperations,theregulatoryaspectsandtheintellectualpropertyissuesthataffectthepharmaceuticalandlifesciencesindustry.
3TorrentPharmasignsnon-exclusivepatentlicensingpactwithTakedaPharmaforVonoprazan,ET,June5,2024,(LastaccessedonJune10,2024).
4Howlifesciencescanmaketherightdealsinatimeofchange,EY,January8,2024,accessibleat:
/en_gl/insights/life-sciences/mergers-acquisitions-firepower-report
,(LastaccessedonJune10,2024).
?NishithDesaiAssociates2024Provideduponrequestonly4
IndiaEntryStrategies
AbasicunderstandingoftheIndianlegalsystemisapre-requisitetodobusinessinthepharmaceuticalsectorinIndia.InternationalpharmacompaniesorinvestorsseekingtomakeinvestmentsinIndianpharmacompaniesshouldstructuretheiractivitiesonthefollowingthreepillars:
StrategyLawTax
Observingtheeconomicandpolit-icalenvironmentinIndiafromtheperspectiveoftheinvestment
ExchangeControlLaws:Primarily
theForeignExchangeManagementAct,1999andnumerouscirculars,
notificationsandpressnotesissuedundertheact.
DomesticTaxationLaws:TheIncomeTaxAct,1961;GoodsandServices
Taxandcustoms,etc.
Understandingtheabilityofthe
investortocarryoutoperationsinIndia,thelocationofitscustomers,thequalityandlocationofitswork-force
CorporateLaws:Primarilythe
CompaniesAct,2013andthe
regulationslaiddownbythe
SecuritiesandExchangesBoardofIndia(“SEBI”)forlistedcompaniesinIndia
SectorSpecificLaws:Drugs&
CosmeticsAct1940andtheDrugsRules,1945,ThePatentsAct,
1970andotherlegislations,regu-lationsandguidelinesthatimpactthepharmaindustry
InternationalTaxTreaties:TreatieswithfavorablejurisdictionssuchasMauritius,SingaporeandtheNetherlands.
A.InvestmentClimateinIndia
ByandlargeforeigndirectinvestmentsarenowpermittedinalmostallthesectorsinIndiawithoutobtainingpriorregulatoryapprovals(i.e.underthe“automaticroute”)barringsomeexceptionalcaseslikedefense,housingandrealestate,printmedia,etc.(commonlyreferredtoasthe“negativelist”).Iftheinvestmentisnotinaccordancewiththeprescribedguidelinesoriftheactivityfallsunderthenegativelist,priorapprovalmustbeobtainedfromtheconcerneddepartment(“approvalroute”).
Incaseofthepharmaceuticalsector,foreigndirectinvestmentispermittedupto100%throughtheautomaticroute.ForBrownfieldpharmaceuticalprojects,anFDIofupto74%isallowedthroughtheautomaticroute,beyondwhichanapprovalisrequiredtobesoughtfromtheDepartmentofPharmaceuticals.Itmustbenotedthatanon-competeconditionwiththeexistingshareholdersisnolongerallowedexceptinspecialcircumstancesatthediscretionofthegovernmentregulator.TheCentralGovernmentalsohastherighttoaddnewconditionstoaninvestmentiftheinvestorproposestoacquiremorethan74%ofanexistingpharmaceuticalcompany.However,thereisnopriorpermissionrequiredtoincorporateawhollyownedsubsidiaryinIndia.
?NishithDesaiAssociates2024Provideduponrequestonly5
IndiaEntryStrategies
B.GovernmentProductionLinkedIncentives
Intherecentpast,giventheincreasedfocusondomesticinnovationandmanufacturing,theGovernmenthasintroducedvariousproductionlinkedincentive(“PLI”)schemes.In2020,theGovernmentannouncedthePLISchemeforPromotionofDomesticManufacturingofcriticalKeyStartingMaterials(KSMs)/DrugIntermediatesandActivePharmaceuticalIngredients(APIs)intheCountrywithafinancialoutlayofapproximatelyUSD841milliontoboostIndia’smanufacturingcapacity,elevateinvestmentanddiversifyproductofferingsinthesector.
Further,in2022,theGovernmentlaunchedtheSchemeforStrengtheningofPharmaceuticalsIndustrywithanobjecttoaddressdemandsofsupportrequiredtoexistingPharmaclustersandMicro,SmallandMediumEnterprisestoimprovetheirproductivity,qualityandsustainability.ThisschemehasafinancialoutlayofUSD61million.
C.India’sPost-TripsIntellectualPropertyEnvironment
InMarch2005,India’spatentlawwasamendedtoincorporateIndia’sobligationsunderWorldTradeOrganization(WTO)regulationsand,specifically,theTradeRelatedAspectsofIntellectualPropertyRightsAgreement(“TRIPS”).PriortotheadoptionofTRIPS,protectionofintellectualpropertyrights(IPRs)inIndiawasofconcerntoglobalpharmaceuticalcompaniesseekingtoenterIndia.Post-TRIPS,Indiahaswell-establishedstatutory,administrative,andjudicialframeworkstosafeguardIPRs.
Apatentedinvention(includingproducts)isnowgiventwentyyearsofprotectioninIndia.Well-knowninternationaltrademarkssuchasVolvoandWhirlpoolhavebeenprotectedinIndiathroughjudicialdecisionsevenwhentheywerenotregisteredinIndia.Computersoftwarecompanieshavesuccessfullycurtailedpiracythroughcourtorders.Computerdatabasesandsoftwareprogramshavebeenprotectedundercopyright.ComputerprogramshavingtechnicalapplicationstoindustryandcomputerprogramsincombinationwithhardwarecannowbepatentedinIndia.Thoughtradesecretsandknow-howarenotprotectedbyanylegislation,theyareprotectedunderthecommonlawandthroughcontractualobligations.Thecourts,onthegroundofbreachofconfidentiality,accordprotectiontoconfidentialinformationandtradesecretsuntiltheProtectionofTradeSecretsBill,2024ispassedbytheparliament.
India’spatentlawisalsowellplacedtoprovideprotectionforpharmaceuticalproductsdevelopedandmanufacturedthroughinnovativeprocessessuchas3Dprinting.Thisisbecause,Indiarecognizesbothproductandprocesspatentsforpharmaceuticalproducts.
D.FormofTheIndianEntity
DependingupontheproposedoperationsinIndia,theforeignpharmacompaniesmayconsidersettingoneofthefollowingentities,whichmayeitherbeunincorporatedorincorporated.
?NishithDesaiAssociates2024Provideduponrequestonly6
IndiaEntryStrategies
I.UnincorporatedEntities
AforeigncompanycanuseunincorporatedentitiestodobusinessinIndiavia‘offices’ofcertaintypes.Theseoptionsareasfollows:
A.LiaisonOffice
Settingupaliaisonofficeinasectorinwhich100percentFDIisallowedundertheautomaticrouterequiresthepriorconsentoftheAuthorizedDealer(“AD”).1Fortheremainingsectors,RBIgrantsitsapprovalafter
consultationwiththeMinistryofFinance.AliaisonofficeactsasarepresentativeoftheparentforeigncompanyinIndia.
However,aliaisonofficecannotundertakeanycommercialactivitiesandmustmaintainitselffromtheremittancesreceivedfromitsparentforeigncompany.TheapprovalforsettingupaliaisonofficeisgenerallyvalidforthreeyearsandcanbeextendedbymakinganapplicationtoADbeforethedateofexpiryofvalidity.ItisanoptionusuallypreferredbyforeigncompaniesthatwishtoexplorebusinessopportunitiesinIndia.
B.BranchOffice
Similartoalia
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