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India’s Pharmaceutical Industry and the Enduring Public Regulation Challenge

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Business Responsibility and Sustainability in India

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Abstract

India’s pharmaceutical industry is of considerable economic importance—as one of India’s largest manufacturing industries and a major contributor of exports. Yet, it is perhaps of most significance for health—as a major supplier of generic medicines, for which it is sometimes known as the “pharmacy of the world”. The sector faces a number of challenges in order to ensure greater societal benefit from the industry in India. Some of the major issues relate to production in terms of quality and environmental impact, to research in terms of appropriate patent laws and regulating clinical trials, and also to marketing related to prices and access to medicines. Yet the sector, with its distinctive character of consumption and significance for public health, is one where little substantive momentum has emerged around voluntary governance initiatives. Widespread agreement exists on the need for more effective public regulation to maximise the societal benefits of the industry.

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Notes

  1. 1.

    Estimates for the number of firms in India’s pharmaceutical industry vary considerably.

  2. 2.

    A Pharmacopoeia is “an official (legally binding) publication containing recommended quality specifications for the analysis and determinations of drug substances, specific dosage forms, excipients and finished drug products” (Rägo and Santoso 2008, 72).

  3. 3.

    MCA uploaded the new guidelines for public comments in June 2018. http://www.mca.gov.in/Ministry/pdf/DraftNationalGuidelines2018_20062018.pdf.

References

  • Bartley, Tim. 2007. Institutional Emergence in an Era of Globalization: The Rise of Transnational Private Regulation of Labor and Environmental Conditions. American Journal of Sociology 113 (2): 297–351.

    Article  Google Scholar 

  • ———. 2018. Rules Without Rights: Land, Labor and Private Authority in the Global Economy. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Batham, Vikash, Rijit Sengupta, and Vasanthi Srinivasan. 2013. Rethinking Business Responsibility in India: A Review of Pharmaceutical & Private Healthcare Sectors. Jaipur: CUTS International.

    Google Scholar 

  • Bermudez, Jorge, and Ellen t’Hoen. 2010. The UNITAID Patent Pool Initiative: Bringing Patents Together for the Common Good. The Open AIDS Journal 4: 37–40.

    Article  Google Scholar 

  • Bloomfield, Michael, and Philip Schleifer. 2017. Tracing Failure of Coral Reef Protection in Non-state Market-driven Governance. Global Environmental Politics 17 (4): 127–146.

    Article  Google Scholar 

  • Brhlikova, Petra, Ian Harper, Roger Jeffery, Nabin Rawal, Madhusudhan Subedi, and M.R. Santhosh. 2011. Trust and the Regulation of Pharmaceuticals: South Asia in a Globalised World. Globalization and Health 7 (1): 1–13.

    Article  Google Scholar 

  • Business Standard. 2015. Govt to Create Separate Ministry for Pharma in One Year: Ananth Kumar. Business Standard, December 10. Accessed August 1, 2017. http://www.business-standard.com/article/economy-policy/govt-to-create-separate-ministry-for-pharma-in-one-year-ananth-kumar-115120901043_1.html.

  • Chatterjee, Partha. 2010. The State. In The Oxford Companion to Politics in India, ed. Niraja Gopal-Jayal and Pratap Bhanu Mehta, 3–14. New Delhi: Oxford University Press.

    Google Scholar 

  • Chaturvedi, Umesh, Monica Sharma, G.S. Dangayach, and Prabir Sarkar. 2017. Evolution and Adoption of Sustainable Practices in the Pharmaceutical Industry: An Overview with an Indian Perspective. Journal of Cleaner Production 168: 1358–1369.

    Article  Google Scholar 

  • Chaudhuri, Sudip. 2005. The WTO and India’s Pharmaceutical Industry: Patent Protection, TRIPs and Developing Countries. New Delhi: Oxford University Press.

    Google Scholar 

  • ———. 2007. The Gap Between Successful Innovation and Access to its Benefits: Indian Pharmaceuticals. The European Journal of Development Research 19 (1): 49–65.

    Article  Google Scholar 

  • ———. 2013. The Larger Implications of the Novartis-Glivec Judgement. Economic and Political Weekly XLVIII (17): 10–12.

    Google Scholar 

  • Cipla. 2015. CIPLA Business Responsibility Report 2014–15. Mumbai: Cipla. Accessed July 24, 2017. http://www.cipla.com/uploads/investor/1444633276_Business_Responsibility_Report_2014_15.pdf.

  • CUTS. 2014. National Voluntary Guidelines on Social, Environmental and Economic Responsibilities for the Pharmaceutical Sector. Consumer Unity and Trust Society. http://www.cuts-ccier.org/BRGP/pdf/National_Voluntary_Guidelines_for_Pharmaceutical_Sector.pdf

  • D’Mello, Bernard. 2002. Transnational Pharmaceutical Corporations and Neo-liberal Business Ethics in India. Journal of Business Ethics 36 (1): 165–185.

    Article  Google Scholar 

  • Das, Keshab. 2003. The Domestic Politics of TRIPs: Pharmaceutical Interests, Public Health and NGO Influence in India. Ahmedabad: Gujarat Institute of Development Research. https://pdfs.semanticscholar.org/3288/5e3759af97348c1e4b5204a69943749e1d30.pdf.

    Google Scholar 

  • Department of Pharmaceuticals. 2015. Recommendations of the Task Force on Enabling Private Sector to Lead the Growth of Pharmaceutical Industry. New Delhi: Government of India.

    Google Scholar 

  • ———. 2017. Annual Report 2016–17. New Delhi: Department of Pharmaceuticals, Government of India.

    Google Scholar 

  • ———. 2018. Janaushadhi Scheme. Accessed June 6, 2018. http://pharmaceuticals.gov.in/schemes/janaushadhi-scheme.

  • Drahos, Peter, with John Braithwaite. 2002. Information Feudalism: Who Owns the Knowledge Economy? New Delhi: Oxford University Press.

    Google Scholar 

  • Earth Security Group. 2017. The Earth Security Report 2017: Sustainable Development Goals for Business Diplomacy and Growth. https://earthsecuritygroup.com/strategy-briefs/earth-security-report-2017.

  • Export–Import Bank of India. 2016. Indian Pharmaceutical Industry: Challenges and Prospects. Occasional Paper No. 176, New Delhi, Government of India.

    Google Scholar 

  • FICCI. 2015. Realising “Make in India”—Journey to Become the Most Preferred Manufacturer of High Quality Affordable Medicines. New Delhi: FICCI.

    Google Scholar 

  • Fransen, Luc, and Thomas Conzelmann. 2015. Fragmented or Cohesive Transnational Private Regulation of Sustainability Standards? A Comparative Study. Regulation & Governance 9 (3): 259–275.

    Article  Google Scholar 

  • Ghosh, Soumitra. 2011. Catastrophic Payments and Impoverishment Due to Out-of-Pocket Health Spending. Economic and Political Weekly 46 (47): 63–70.

    Google Scholar 

  • Giovannucci, Daniele, and Stefano Ponte. 2005. Standards as a New Form of Social Contract? Sustainability Initiatives in the Coffee Industry. Food Policy 30 (3): 284–301.

    Article  Google Scholar 

  • GIZ, Global Reporting Initiative and Thought Arbitrage Research Institute. 2012. Sustainability Reporting: Practices and Trends in India 2012. New Delhi: GIZ.

    Google Scholar 

  • Gothoskar, S.S. 1983. Drug Control: India. World Development 11 (3): 223–228.

    Article  Google Scholar 

  • Government of India. 1961. Report of the Health Survey and Planning Committee. New Delhi: Ministry of Health.

    Google Scholar 

  • ———. 1975. Report of the Committee on Drugs and Pharmaceutical Industry. Hathi Committee Report. New Delhi: Ministry of Petroleum and Chemicals.

    Google Scholar 

  • ———. 2003. Report of the Expert Committee on a Comprehensive Examination of Drug Regulatory Issues, Including the Problem of Spurious Drugs. New Delhi: Ministry of Health and Family Welfare.

    Google Scholar 

  • ———. 2005. Report of the National Commission on Macroeconomics and Health. New Delhi: Ministry of Health and Family Welfare, Government of India.

    Google Scholar 

  • ———. 2012. Fifty-Ninth Report on the Functioning of the Central Drugs Standard Control Organisation (CDSCO) (Committee on Health and Family Welfare). New Delhi: Rajya Sabha Secretariat.

    Google Scholar 

  • Grande, David. 2010. Limiting the Influence of Pharmaceutical Industry Gifts on Physicians: Self-Regulation or Government Intervention? Journal of General Internal Medicine 25 (1): 79–83.

    Article  Google Scholar 

  • Gray, Andy. 2004. Access to Medicines and Drug Regulation in Developing Countries: A Resource Guide for DFID. London: DFID Health Systems Resource Centre.

    Google Scholar 

  • Haakonsson, Stine. 2009. The Changing Governance Structures of the Global Pharmaceutical Value Chain. Competition & Change 13 (1): 75–95.

    Article  Google Scholar 

  • Hamied, Yusuf. 1988. The Indian Patents Act 1970 and the Pharmaceutical Industry. In Conquest by Patent: On Patent Law and Policy, ed. Nitya Nand, Chap. 15. New Delhi: National Working Group on Patent Laws.

    Google Scholar 

  • Horner, Rory. 2013. The Global Relevance of India’s Pharmaceutical Patent Laws. Economic and Political Weekly XLVIII (31): 16–18.

    Google Scholar 

  • ———. 2014a. Strategic Decoupling, Recoupling and Global Production Networks: India’s Pharmaceutical Industry. Journal of Economic Geography 14 (6): 1117–1140.

    Article  Google Scholar 

  • ———. 2014b. The Impact of Patents on Innovation, Technology Transfer and Health: A Pre- and Post-TRIPs Analysis of India’s Pharmaceutical Industry. New Political Economy 19 (3): 384–406.

    Article  Google Scholar 

  • ———. 2016. Pharmaceuticals and the Global South: A Healthy Challenge for Development Theory? Geography Compass 10 (9): 363–377.

    Article  Google Scholar 

  • Horner, Rory, and James T. Murphy. 2018. South–North and South–South Production Networks: Diverging Socio-spatial Practices of Indian Pharmaceutical Firms. Global Networks 18 (2): 326–351.

    Article  Google Scholar 

  • ITC. 2017. The State of Sustainable Markets. Geneva: International Trade Center.

    Google Scholar 

  • Jose, P.D., and Saurabh Saraf. 2013. Corporate Sustainability Initiative’s Reporting: A Study of India’s Most Valuable Companies. IIM Bangalore Research Paper No. 428. Available at SSRN: https://ssrn.com/abstract=2352776 or https://doi.org/10.2139/ssrn.2352776.

  • Joseph, Reji. 2015. Pharmaceutical Industry and Public Policy in Post-reform India. New Delhi: Routledge.

    Book  Google Scholar 

  • Kochanek, Stanley. 1974. Business and Politics in India. Los Angeles, CA: University of California Press.

    Google Scholar 

  • Lal, Harivan. 1990. Drugs Industry, Social Responsibility and the Multinationals. New Delhi: Commonwealth Publishers.

    Google Scholar 

  • Larsson, D.G. Joakim, Cecelia de Pedro, and Nicklas Paxeus. 2007. Effluent from Drug Manufactures Contains Extremely High Levels of Pharmaceuticals. Journal of Hazardous Materials 148: 751–755.

    Article  Google Scholar 

  • Maenen, Seth, and Axel Marx. 2012. From Multi-stakeholder Dialogue to Certification Initiative. What Drives the Emergence of Certification Initiatives? In ECPR Conference, Exeter, June 27–29.

    Google Scholar 

  • Maiti, Rituparna, Vikas Bhatia, Biswa Mohan Padhy, and Debasish Hota. 2015. Essential Medicines: An Indian Perspective. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine 40 (4): 223.

    Article  Google Scholar 

  • Mayer, Frederick, and Gary Gereffi. 2010. Regulation and Economic Globalization: Prospects and Limits of Private Governance. Business and Politics 12 (3): 1–25.

    Article  Google Scholar 

  • Mondal, Swadhin, and Dinesh Abrol. 2015. Clinical Trials Industry in India: A Systematic Review. New Delhi: Institute for Studies in Industrial Development.

    Google Scholar 

  • Moon, Surie. 2008. Medicines as Global Public Goods: The Governance of Technological Innovation in the New Era of Global Health. Global Health Governance II (2): 1–23.

    Google Scholar 

  • MSF. 2007. Examples of the Importance of India as the “Pharmacy of the Developing World”. Medecins Sans Frontieres. Accessed July 27, 2017. http://www.msfaccess.org/sites/default/files/MSF_assets/Access/Docs/ACCESS_briefing_Pharmacy-ForDevelopingWorld_India_ENG_2007.pdf.

  • Nadvi, Khalid. 2014. “Rising Powers” and Labour and Environmental Standards. Oxford Development Studies 42 (2): 137–150.

    Article  Google Scholar 

  • National Pharmaceutical Pricing Authority (NPPA). 2007. Directory of Pharmaceutical Manufacturing Units in India. New Delhi: Government of India.

    Google Scholar 

  • Nordea. 2016. Impacts of Pharmaceutical Pollution on Communities and Environment in India. Nordea Asset Management. Accessed August 4, 2017. https://www.nordea.com/Images/35-107206/impacts%201-20.pdf.

  • Patnaik, Jagadish K. 1992. India and the TRIPs: Some Notes on the Uruguay Round of Negotiations. India Quarterly 48 (4): 31–42.

    Article  Google Scholar 

  • Potts, Jason, Matthew Lynch, Ann Wilkings, Gabriel Huppé, Maxine Cunningham, and Vivek Voora. 2014. The State of Sustainability Initiatives Review 2014: Standards and the Green Economy. Winnipeg and London; International Institute for Sustainable Development (IISD) and International Institute for Environment and Development (IIED).

    Google Scholar 

  • Rägo, Lembit, and Budiono Santoso. 2008. Drug Regulation: History, Present and Future. In Drug Benefits and Risks: International Textbook of Clinical Pharmacology, ed. Chris J. van Boxtel, Budiono Santoso, and I. Ralph Edwards, 65–77. Amsterdam: IOS Press and Uppsala Monitoring Centre.

    Google Scholar 

  • Roemer-Mahler, Anne. 2013. Business Conflict and Global Politics: The Pharmaceutical Industry and the Global Protection of Intellectual Property Rights. Review of International Political Economy 20 (1): 121–152.

    Article  Google Scholar 

  • Sangar, Shivendra, Varun Dutt, and Ramna Thakur. 2018. Economic Burden, Impoverishment and Coping Mechanisms Associated with Out-of-pocket Health Expenditure: Analysis of Rural-Urban Differentials in India. Journal of Public Health: 1–10. https://doi.org/10.1002/hpm.2649.

    Article  Google Scholar 

  • Sariola, Salla, Deapica Ravindran, Anand Kumar, and Roger Jeffery. 2015. Big-pharmaceuticalisation: Clinical Trials and Contract Research Organisations in India. Social Science & Medicine 131: 239–246.

    Article  Google Scholar 

  • Selvaraj, Sakthivel, et al. 2012. Pharmaceutical Pricing Policy: A Critique. Economic and Political Weekly 47 (4): 20–23.

    Google Scholar 

  • Shukla, Abhay, and Anant Phadke. 1999. Health Movement in India. Health Action 12 (12): 6–9.

    Google Scholar 

  • Sood, Atul, and Bimal Arora. 2006. The Political Economy of Corporate Social Responsibility in India. Geneva: United Nations Research Institute for Social Development.

    Google Scholar 

  • Srinivasan, S. 2011. ‘Medicines for All’, the Pharma Industry and the Indian State. Economic and Political Weekly XLVI (24): 43–50.

    Google Scholar 

  • Sweet, Cassandra, and Keshab Das. 2010. Institutional and Procedural Challenges to Generic Production in India: Antiretrovirals in Focus. Ahmedabad: Gujarat Institute of Development Research.

    Google Scholar 

  • The Economic Times. 2017. No More Freebies: Modi Government Plans Crackdown on Marketing by Drugmakers. The Economic Times, August 3, 2017. http://economictimes.indiatimes.com/industry/healthcare/biotech/pharmaceuticals/no-more-freebies-modi-government-plans-crackdown-on-marketing-by-drugmakers/articleshow/59880497.cms

  • Töller, Annette Elisabeth. 2017. Voluntary Regulation by the Pharmaceutical Industry—Which Role for the Shadow of Hierarchy and Social Pressure? European Policy Analysis 3 (1): 48–80.

    Google Scholar 

  • U.S. Senate. 1961. Administered Prices: Drugs. Report of the Committee on the Judiciary, U.S. Senate, made by the Subcommittee on Antitrust and Monopoly, 87th Congress, 1st Session, Report No. 448. Washington, DC: Government Printing Office.

    Google Scholar 

  • Vogel, David. 2008. Global Private Business Regulation. Annual Review of Political Science 11: 261–282.

    Article  Google Scholar 

  • WHO. 2003. Effective Medicines Regulation: Ensuring Safety, Efficacy and Quality. Geneva: World Health Organization.

    Google Scholar 

  • ———. 2015. Health in 2015: From MDGs to SDGs. Geneva: World Health Organization.

    Google Scholar 

  • Working Group on Drugs and Pharmaceuticals. 2011. Report of the Working Group on Drugs & Pharmaceuticals for the 12th Five Year Plan. New Delhi: Planning Commission, Government of India.

    Google Scholar 

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Horner, R. (2019). India’s Pharmaceutical Industry and the Enduring Public Regulation Challenge. In: Arora, B., Budhwar, P., Jyoti, D. (eds) Business Responsibility and Sustainability in India. Palgrave Studies in Indian Management. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-13716-8_11

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