Trade margin rationalisation
In one line: Trade margin rationalisation caps the mark-up added between the trade's purchase price and the MRP, without fixing the maker's own price.
How it works
A medicine passes from maker to stockist to retailer to patient. Each adds a margin. For scheduled drugs, a 16% retailer margin over the price to retailer is built into ceiling prices. For non-scheduled drugs there is no such limit, so an MRP can be many times the trade price. A margin cap limits that gap. The Centre capped margins of 42 non-scheduled cancer drugs in 2019 and, recently, of selected cancer drugs at 30% of MRP.
The debate
The petitioner says a 30%-of-MRP cap still allows a mark-up of about 42.86% on the purchase price. The bench asked why a uniform 16% cap could not apply across medicines and devices. Hospitals warn that tighter margins may push up other charges.
Where to go next
- Drugs (Prices Control) Order, 2013
- National Pharmaceutical Pricing Authority
Trade margin rationalisation in the news
- Supreme Court reserves order on why most medicines stay outside price control 28 October 2026
The middle path between control and freedom.
- Editorial: Supreme Court flags ten-fold drug markups, exposing gaps in price control 1 October 2026
Capping the gap between PTR and MRP.
Previous-year questions on this
- 2024 · GS2 · 15 marks In a crucial domain like the public healthcare system the Indian State should play a vital role to contain the adverse impact of marketisation of the system. Suggest some measures through which the…
- 2015 · GS2 · 12.5 marks Public health system has limitation in providing universal health coverage. Do you think that private sector can help in bridging the gap? What other viable alternatives do you suggest?
- 2023 · Prelims Consider the following statements: Statement-I: India's public sector health care system largely focuses on curative care with limited preventive, promotive and rehabilitative care. Statement-II…