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Maharashtra regulator flags up to 2,841% markup on hospital devices, seeks national price review

Maharashtra Food and Drugs Commissioner Tukaram Mundhe said some hospital consumables are being sold at markups as high as 2,841% and has asked the NPPA to review pricing rules.

A Maharashtra government survey uncovered that certain surgical consumables and medical devices used in inpatient care are priced up to 2,841% above their trade procurement cost, affecting products such as IV sets, syringes, nebulizers and oxygen masks. Commissioner Tukaram Mundhe of the state's Food and Drugs Administration sent a letter to the Department of Pharmaceuticals and the National Pharmaceutical Pricing Authority urging a review of the findings and consideration of margin caps or structured price monitoring for essential device categories.

The survey highlighted that these items fall outside the ceiling-price mechanism of the Drugs (Prices Control) Order, 2013, allowing manufacturers and distributors to set high MRPs. NPPA officials are cross-checking company filings and have received similar concerns from Punjab, Rajasthan and Tamil Nadu. Hospital representatives, such as Aakash Healthcare’s managing director Aashish Chaudhry, stressed the need for a balanced approach that ensures transparency without harming hospital sustainability. Mundhe emphasized that the issue is a patient-protection matter, given the information asymmetry that forces patients to bear inflated costs.

Why it matters

Excessive markups on medical devices increase patient expenses and highlight gaps in price regulation.

In this story

hospital consumablesmedical device markupNPPA reviewtrade procurement pricemaximum retail priceprice regulationpatient protectionMaharashtra survey
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