20:"/_next/static/immutable/chunks/42vr8b9y5sy0s.js" 21:"/_next/static/immutable/chunks/2rse1o6pf79my.js" 22:"/_next/static/immutable/chunks/2dd167km3vby2.js" 23:"/_next/static/immutable/chunks/31omcqx_2k_ph.js" 24:I[94367,["$4","$5","$6","$7","$8","$20","$21","$22","$23"],"NewsDetailPage"] 25:Tebf,

The Government of India has approved a proposal in principle to cap trade margins on selected non-scheduled anti-cancer medicines at 30% of their maximum retail price (MRP), a move expected to reduce prices by approximately 20–70%. The initiative by the National Pharmaceutical Pricing Authority (NPPA) aims to make cancer treatment more affordable and reduce patients’ out-of-pocket healthcare expenses. The final list of medicines to be covered is yet to be confirmed.

The decision was taken at the NPPA’s 151st meeting under the Drugs (Prices Control) Order, 2013, held on 8 October 2026. According to the authority, the proposed intervention could generate estimated annual savings of around ₹2,500 crore for patients. The actual price reduction will depend on the existing trade structure and mark-ups associated with individual medicines.

The NPPA’s review found that non-scheduled anti-cancer medicines carry an average trade mark-up of around 170%, with some reaching as high as 700%. The market includes approximately 225 drugs and 500 formulations, with annual turnover estimated at ₹12,500 crore. While medicines included in the scheduled list are already subject to government-fixed ceiling prices, non-scheduled medicines generally have greater pricing flexibility, although their price increases are monitored.

To determine which medicines will be covered, an expert committee under the Directorate General of Health Services (DGHS) is expected to recommend the list of eligible anti-cancer drugs. The proposed measure is intended to address excessive mark-ups across the supply chain and improve price transparency for patients purchasing medicines through retail pharmacies, hospitals and online pharmacies.

The proposed policy builds on the government’s 2019 intervention, when trade margins were capped for 42 selected non-scheduled anti-cancer medicines. That measure led to price reductions across more than 500 brands, with reported annual savings of approximately ₹984 crore. The latest proposal seeks to extend similar price protection to a broader group of cancer medicines.

The government has also stated that manufacturers covered by the new intervention will be required to maintain their existing production levels to help prevent shortages of these essential medicines. The measure is expected to cover branded and generic, patented and non-patented, domestically manufactured and imported non-scheduled anti-cancer medicines. The proposal marks another step in efforts to improve access to cancer treatment by addressing medicine costs. Its impact will depend on the final list of medicines, implementation of the margin cap, and continued availability of the covered products.

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