The cost of a drug eluting stent currently varies between Rs 24,000 and Rs 1.5 lakh and that of a bioresorbable stent is Rs 1.7 lakh to Rs 2 lakh. More than 95% of the stents used in India are drug elution.
The National Pharmaceutical Pricing Authority (NPPA) fixed the ceiling price of Drug Eluting Stents (DES) and Bioresorbable Stents at Rs 30,000 and that of bare metal stents at Rs 7,500. The prices will be effective from notification on February 14.
According to data provided by stent companies at NPPA, the average manufacturing cost of a DES for a domestic company is around Rs 8,000 and imported DES prices start at around Rs 5,000. The NPPA also revealed that a stent could cost the patient more than ten times by the time he moved from the manufacturer to the patient. Many hospitals saw stents as part of their revenue stream and made huge profits on them and hospital groups had strongly opposed price control on stents.
With the new notification, hospitals will have to bill stents separately. All hospitals will also have to follow Para 24 (4) of the Drug Price Control Order (DPCO) 2013 which states: “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 person wishing to consult the same.”
This comes as a huge relief for lakhs of patients who have to undergo coronary angioplasty to insert stents to open the clogged arteries. It is estimated that more than six lakh stents were used in angioplasty in India in 2016.
The health ministry notified the inclusion of stents in the National List of Essential
Medicines (NLEM) on July 19 last year, after the Delhi High Court sought action on a public interest petition seeking price control on stents. Five months later, on Dec 21, the department of pharmaceuticals notified stents in schedule-I of the DPCO 2013 clearing the way for price fixation.
“If this is true, this is definitely heart-warming news for millions of Indians. We look forward to immediate implementation,” said Malini Aisola of the All India Drug Action Network (AIDAN).
