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In News
- The Central Board for Direct Taxes (CBDT) has accused the makers of the Dolo-650 tablet of spending Rs 1,000 crore to distribute freebies to doctors for prescribing the medicine.
About
- Background:
- The controversy took place following the income-tax raids on Bengaluru-based drugmaker Micro Labs, makers of popular paracetamol brand Dolo-650.
- Issue:
- Gift-giving in the form of free dinners and drug samples to promotional merchandise – seems to be driving drugmakers’ marketing – a marketing prescription deeply entrenched in the industry.
- Case in Supreme Court:
- The Supreme Court is hearing a plea seeking direction to the Centre to give UCPMP a statutory basis – and make it effective, transparent, and accountable.
- Uniform Code of Pharmaceutical Marketing Practices (UCPMP):
- Marketing practices of pharma companies are guided by Uniform Code of Pharmaceutical Marketing Practices (UCPMP) since 2015, a voluntary code, enforced by pharma associations/Companies.
- At present, the UCPMP Code is applicable to Pharmaceutical Companies, Medical Representatives, Agents of Pharmaceutical Companies such as Distributors, Wholesalers, Retailers, and Pharmaceutical Manufacturer’s Associations.
Unethical Practices in Pharma Marketing
- Drug firms offer freebies in cash and kind to physicians to incentivise them to prescribe ‘their drugs’.
- Helping doctors in reputation-building exercises by helping in articles publication, speaking at conferences etc.
- Making doctors lead investigators in clinical trials or as committee members for which they are paid heavily.
- The global experience also shows that voluntary code does not work.
Way Ahead
- The UCPMP should be converted into Law, as code for ethical marketing has not proved to be effective enough.
- Ethical marketing and promotion should be brought within the ambit of the new Drugs, Medical Devices, and Cosmetics Act being formulated.
- The government should mandate periodic disclosures of payments made by companies towards doctors and professional bodies, directly or indirectly via other parties, which should be accessible to the public.
- These disclosures should be made at intervals and put in the public domain.
- The disclosures should include the amount, purpose of expenditure, and the party paid.
Source: BS
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