
India's drug price regulator raised ceiling prices on cisplatin and carboplatin by 50% after platinum costs surged 30%, disrupting supply at hospitals nationwide.
India's drug price regulator raised the ceiling prices of cancer drugs cisplatin and carboplatin by 50% on Monday, a one-time move to ease shortages that have hit hospitals nationwide. The National Pharmaceutical Pricing Authority (NPPA) approved the increase in public interest after a sharp rise in platinum costs disrupted supply, the regulator said in a notice.
The price caps on the two platinum-based chemotherapy drugs had become unworkable as platinum prices climbed, squeezing manufacturers' margins and leading to production cuts. Hospitals in several states reported intermittent shortages over recent months, forcing some to ration doses or switch to less effective alternatives, doctors said.
The NPPA's order applies to all formulations of cisplatin and carboplatin sold in India. The new ceilings take effect immediately and will remain in place until the regulator reviews them again, the notice said. The authority did not specify a review date.
Cisplatin and carboplatin are part of the National List of Essential Medicines, which subjects them to government price controls. The 50% hike is an exception to the usual annual price revision formula, which caps increases at the wholesale price index. The NPPA cited the public interest clause in the Drug Price Control Order to bypass the standard formula.
Platinum prices have risen roughly 30% over the past year, driven by supply constraints from South Africa and Russia, the two largest producers. The metal is a key raw material in the production of the two drugs. Indian drugmakers had warned the regulator in recent months that the price caps were no longer viable, according to two people familiar with the discussions.
The shortage has been most acute in public hospitals, where patients rely on the government's free drug distribution program. Private hospitals have been able to source limited supplies at higher prices, passing on the increase to patients, doctors said.
The NPPA said it will monitor the supply situation and may adjust the caps again if needed. The regulator also asked state drug controllers to report any continued shortages within two weeks.
For traders watching the commodity side, the link between industrial metal prices and pharmaceutical supply chains is worth noting. Platinum's rally – tied to mine output disruptions in South Africa and export curbs from Russia – has now directly affected drug availability in one of the world's largest generic medicine markets. If platinum stays elevated, the NPPA may face pressure to extend similar relief to other platinum-dependent drugs or revisit the pricing formula itself. The regulator's next review, though unscheduled, will be the key signal on whether this is a one-off fix or the start of a broader adjustment.
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