F. No. 20(8)/20l3-Div.ll!/NPPA/Part-3/Vol.5

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F. No. 20(8)/20l3-Div.ll!/NPPA/Part-3/Vol.5 Government of India Ministry of Chemicals & Fertilizers Department of Pharmaceuticals National Pharmaceutical Pricing Authority 5th / 3rd Floor, YMCA Cultural Center Building, No. I, Jai Singh Road, New Delhi-110 001 To Dated 01st September, 2017 As per list enclosed Notice Sub: Implementation of Orthopaedic Knee Implant System prices fixed and notified under the provisions of DPCO.20I3: - reg. Sir, The undersigned is directed to state that National Pharmaceutical Pricing Authority (NPPA) has notified the ceiling prices of Orthopedic Knee Implant System vide Gazette Notification S.O. No. 2668 (E)dated 16th August, 2017 under the provisions of the DPCO, 2013. Your attention is drawn towards note (j) of the order S.O. No. 2668 (E)dated 16th August, 2017 which interalia states that:- 7n accordance with paragraph 24(4) of DPCO 2013, every distributor, dealer and institution shall display price list and the supplementary price list, if any, as furnished by the manufacturer/importer, 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..' 2. Your attention is also drawn towards para 3 of the Office Memorandum No. 20(8)/20l3/Div.lll/NPPA/Part-3/Vol.lll, dated 25th August, 2017 (copy enclosed) which states that all hospitals/nursing homes/ clinics must display on 'home page' of their website, the MRP or Price of Knee Implant System at which they are charging/billing the patients, along with brand name, specifications and names of manufacturing/marketing company, within three working days from the issue of the said OM.

3.Perusal of the website of your hospital reveals that the MRP or Price of Knee Implant Systems at which the hospital is charging/billing the patients, along with brand name, specifications and names of manufacturing/marketing company do not appear at the home page of the hospital website till now. 4.The DPCO, 2013 has been issued by the Central Government in exercise of the powers conferred by Section 3 of the Essential Commodities Act, 1955 and any contravention of the provision of the DPCO, 2013 is punishable in accordance with the provisions of the Essential Commodities Act, 1955. 5.Therefore, you are hereby directed to explain within seven days from the data of uploading of the Notice on the website the reason for not adhering the direction given in the notification no. SO 2668(E), dated 16th August, 2017 and subsequent OM dated 25/08/2017 in letter and spirit. 6. Kindly acknowledge the receipt. End: As above Copy to: Concerned State Drugs Controllers. Yours faithfully, (R. Nihal Pedric) Deputy Director(M) Email: nihalpedric@nic.in

F.Na20(8)/20l3/Div-JJl/NPPA/Part^3/Voi.!ll Government of India Ministry of Chemicals & Fertilizers Department of Pharmaceuticals National Pharmaceutical Pricing Authority 3 & 5* Floor, YMCA Culture Centre Building, "... No. I, Jti Singh Road, New Delhi- II0 001 OFFICE MEMORANDUM Sub: Compliance of price fixation of Orthopedic knee Implant system and related issues. Date; 25* August, 2017 The undersigned is directed to state that vide Gazette Notification SO 2668(E), dated 16.08.2017 National Pharmaceutical Pricing Authority (NPPA) has notified the ceiling prices of Orthopedic knee Implant system. 2.The ceiling price for various components of primary orthopedic knee implant system and revision knee replacement system has been specified in column no. 6 of the table under para 9 on page 3 of the above order. In this connection, attention is invited to para 9 Note (h) which interalia states thac- "The Ceiling prices mentioned in Table hereinabove are inclusive of aft components and consumables, which are used in the knee implant procedure and remain in the body of the patient"j In this regard, it is clarified that the price mentioned in the column no. 6 of the table is also inclusive of Bone Cement component of the knee replacement. It is also clarified that the price is inclusive of the cost of the instruments which are reusable and supplied free by the manufacturers to the distributors/hospitals. 3.As a logical extension of Para 24(4) of the DPCO, 2013, all manufacturers/importers/marketers of knee implant system and all hospitals/nursing homes/clinics/ must display on 'home page* of their website, the MRP or Price of Knee Implant System at which they are charging/billing the patients, along with brand name, specifications and names of manufacturing/marketing company.within three working days from the issue of this O.M. 4. All the manufactures/importers/ distributor/stockist of orthopedic knee implant system and hospitals/nursing homes/clinics are hereby directed to follow the order dated 16.08.2017 and subsequent OM issued in letter and spirit 5. In case of non compliance of these instructions, NPPA may be constrained to invoke the provisions of legal prosecution under Essential Commodities Act, (995, apart from other provisions under DPCO, 2013. Copy to: (Kalyan Nag) Adviser Email: adv-pricing.ndpa(bjnic,in 1.All manufacturers / importers /stockiest of knee Implant system and respective associations 2.All Hospitals, Nursing Homes/Clinics/All hospital associations/indian Orthopedic Association/Delhi Orthopedic Association/IMA/MCI/MTAI/All Medical Devices Association.

Hospitals which have not displayed on the 'home page' of the website the MRP /price of knee Implant system Sr. No. 1. 2. Name of Hospital Moolchand Medcity, New Delhi Rockland Hospitals, New Delhi Address Lajpat Nagar III (Near Moolchand Metro Station), New Delhi-110 024 Email: info@moolchandhealthcare.com VPS Rockland Qutab B-33-34, Qutab Institutional Area Katwaria Sarai, New Delhi - 110016 3. Hurkishan Das Hospital, Mumbai Raja Rammohan Roy Road, Prarthana Samaj, Girgaon, Mumbai - 400004. Email: info@rfhospital.org 4. Vasavi Hospital, Bangalore Ist Stage, 70th Cross Kumaraswamy Layout, (opposite to I5E Bus stop) Bangalore - 560078 Email: info(5).vasavihospitals.com 5. 6. Citizens Hospital, Hyderabad Sunshine Hospitals, Telangana Near Aparna Sarovar, Nallagandla, Seri-lingampally, Nallagandla, Serilingampally, Hyderabad, Telangana -500019 Email: info@citizenshospitals.com Penderghast Road, Paradise, Secunderabad - 500 003, Telangana Email: info@sunshinehospitals.com 7. 8. 9. Prasanth Hospitals, Chennai Jagdish Memorial Hospital, Patna Indo Gulf Hospital, No.36 & 36A, Velachery Main Road, Velachery, Chennai - 600 042. Email: info@prashanthhospitals.org info@pfrcivf.com DS - 2, Lohiya Nagar, Behind Geological Survey of India Kankarbagh, Housing Board Colony, Kankarbagh, Patrakar Nagar, Patna, Bihar 800020. E-mail: info@jagdishhospital.com. jmh2tpa@gmail.com B-498 A, Sector-19,, U.P - 201301 E-Mail: igd(5).indogulfhospital.com 10. II. Vinayak Hospital, Navin Hospital, Derawal Nagar, Opp. Model Town, New Delhi-110009 Email: info@vinavakhosdital.co.in Pocket F, Block F, Sector - Alpha II Greater.Uttar Pradesh PIN-201310 Email: navinhospitalgrnoida@gmail.com 12. 13. Kailash Healthcare Ltd., Anand Hospital, Allahabad H-33, Sector- 27,, U.P., 201301, India E-mail: kailash.noida@kailashhealthcare.com Anand Nirogdham Hospital Pvt. Ltd. Garh Road Near Medical College, A-l, Damodor Colony, Garh Road, Meerut, Uttar Pradesh 250002. India Emailanandnirogdham@gmail.com 14. 15. Lokpriya Hospital, Meerut S. P. M Hospital Research & Trauma Centre, Lokpriya Hospital Samrat Palace, Garh Road, Meerut-250003 Email: lokpriya hospital 1 @rediffmail.com lokdrivahosditalmeerut@email.com C-46-50, KALYANPUR, KANPUR-208017, UTTAR PRADESH, OPPOSITE KALYANPUR, POLICE STATION. Pin Code :2O8OI7

16. 17. 18. 19. 20. 21. 22. 23. 24. 25 26 27 28 29 Priya Hospital, Krishna Super Speciality hospital, Regency Hospital Ltd, Medison Hospital, K.K. Hospital, Avadh Hospital, Heritage Hospitals Ltd, Varanasi Orthomax Hospitals & Joint Replacement Centre, Varanasi Ayushman Hospital & Trauma Centre, Varanasi Ginni Devi Orthopedic Hospital, Jaipur Pragati Orthopedic and General Hospital, Jaipur Bhandari Hospital & Research Centre Bhagwan Mahaveer Cancer Hospital & Research Centre, Jaipur Imperial Hospital, Jaipur D-25 World Bank Colony, Barra Bypass, Pin Code: 208027 Email: riya_singh 1240@yahoo.com, priyahospital25 (3>gmai 1.cpm 363, Harrisganj, Near Tatmil Chauraha, -208001 Email - mail(3>krishna-hospital.com A-2, SARVODAYA NAGAR, - 208005 Email - dhiraj.upadhyay(5}regencyhealthcare.in - info(3!regencyhealthcare.in Sec No. 13, Near Bharat Petroleum GPO, 226001 87/88 Nabiullah Road Murli Nagar, - 226001 Avadh Hospital Chauraha,Singar Nagar, - 226 005 Email - info(2>avadhhospital.com Heritage Hospitals Ltd. Lanka, Varanasi-221005 D58/7-38 Bhagwandas colony, Varanasi Pin Code: 221010 Email: orthomaxhospital(5>gmail.com J.25/59, Alaipur, G.T. Road In front of Varanasi City Railway Satation Varanasi, Uttar Pradesh-221001 94/49-50, Agarwal Farm, Mansorvar, Mansarovar, Mansarovar, Jaipur, Rajasthan 302020 Email ID: ginnidevihospital@gmail.com B-10, Tulsi Marg, Behind Pink Square Mall, Janta Colony, Jaipur, Rajasthan 302004 138 A, Vasundhara Colony, Gopalpura Bypass, Tonk Road, Jaipur, Rajasthan 302018 Email ID: contact@bhandarihospital.net Jawahar Lai Nehru Marg, Jaipur, Rajasthan 302017 Email ID: info@bmchrc.org, bmchrc@hotmail.com 33, Kanwatia Cir, Shastri Nagar, Jaipur, Rajasthan 302016 Email ID: nbraj@live.com,imperialhospital2003@gmail.com