NPPA fixes the ceiling prices of knee implants

After the impending debate about the fixing of prices for the knee replacement surgery, the NPPA on Wednesday has announced capping of ceiling prices of orthopaedic knee implants for knee replacement surgery to maintain transparency

 

NPPA fixes the ceiling prices of knee implants

In order to make healthcare affordable and maintain transparency in the cost of the medical equipment and implants, the National Pharmaceutical Pricing Authority (NPPA) on Wednesday announced capping on ceiling prices of orthopaedic knee implants for knee replacement surgery.

As per the notification, the primary knee replacement system will cost between Rs 4,090 to Rs 38, 740 depending upon the feature or material of the knee implant.

The NPPA said that all manufacturers have to comply and implement the ceiling prices. The new price will be applicable from the date of publication in the Gazette of India Extraordinary.

The NPPA has also fixed the ceiling prices of revision knee replacement system which will be between Rs 4, 090 to Rs 62, 770 depending on the feature and material of the knee implant.

In the NPPA notification, it said special orthopaedic knee implants for cancer/ tumour etc. will follow the process of revision surgery.

In his Independence Day speech 2017, Prime Minister Narendra Modi had highlighted how cheap medicines are helping the poor. He also mentioned that the prices of stents and knee replacement are coming down.

The NPPA have been holding meeting with Indian Orthopaedic Association and manufacturing companies regarding the cost of making the implants, landings costs, sale volumes, and the number of surgeries of each type across the country.

RP Yajurvedi Rao, president, Society for Awareness of Civil Rights in Mumbai said, “It is a welcome move as the knee replacement surgery cost will come down considerably by 50%. Kickbacks from the manufacturers to doctors will also reduce as the manufacturers and hospitals have to sell the implants at MRP.”

Doctors have however welcomed the move to make healthcare affordable but insist on improving quality of the implants on priority.

Dr Pradeep Bhosale, Director of Arthritis and Joint Replacement at Nanavati Super speciality Hospital said while the government’s decision to cap the pricing of implants is a welcome move, quality of the product should also be priority.

“In hip and knee replacement surgery, our emphasis is on longevity of the implant. Right now US FDA approved knee and joint implants have the best standards,” said Dr Bhosale.

He explained that if a hip or knee replacement implant undergoes wear and tear within three to four years, cost of revision surgery is four to five times more. “Even the surgical complications and surgical cost is more. We therefore have to ensure that the first surgery last the longest. We need to emphasise on improving the standards of implants made in India,” said Dr Bhosale.

What the notification says?

  • If a patient wants to buy knee implant from any other third party sources, the healthcare institutions such as hospitals, nursing homes, clinics performing orthopaedic surgical procedures using knee implants cannot solicit him/her from purchasing it from them.

  • It has also warned the manufacturers to ensure the availability of all the brands of implants and ensure that no disruption in caused in the supply chain because of printing new MRPs.

  • As per the notification, the primary knee replacement system will cost between Rs 4,090 to Rs 38, 740 depending upon the feature or material of the knee implant.

  • The NPPA has also fixed the ceiling prices of revision knee replacement system which will be between Rs 4, 090 to Rs 62, 770 depending on the feature and material of the knee implant.

  • In the NPPA notification, it said special orthopaedic knee implants for cancer/ tumour etc. will follow the process of revision surgery.