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Despite being an indigenous COVID-19 vaccine, Covaxin is one of the most expensive vaccines in the country. It is sold at Rs 1410 per dose in private hospitals (1200 + 5 percent GST + 150 service charge), although the government is procuring it at Rs 150 + 5 percent GST per dose.
There has been a lot of debate around the price of Covaxin being capped at Rs 1200 by the government for private hospitals, which in simple words means Covaxin cannot be sold below Rs 1200 by the manufacturers.
The price cap is a ceiling on the price that aims to protect consumers' interest and at the same time ensure that the business can remain profitable.
But is the government ensuring consumers' interest in capping Covaxin's price?
An investigation by The Quint revealed that private hospitals were procuring Covaxin at a lower price from the manufacturer before the price was capped by the government. As a result, people are now compelled to shell out more money to purchase Covaxin at a private hospital.
The Covaxin purchase invoices accessed by The Quint reveal that in May 2021, a few private hospitals were purchasing Covaxin vaccine at Rs 1050 per dose – Rs 1000 per dose from Bharat Biotech plus Rs 50 GST.
This shows the price was much lower before the Ministry of Health and Family Welfare (MoHF) on 8 June capped the price at Rs 1200 plus Rs 60 GST, pushing the total to Rs 1260 per dose.
As a result of the price cap, Bharat Biotech refused to sell Covaxin at Rs 1000 to private companies post 8 June, and started pocketing Rs 200 extra on each vaccine dose.
The question is:
Why did the government cap the price at a higher rate when private hospitals were already getting it at Rs 1000 per dose?
Health experts say that the government caps prices of essential commodities after carrying out due diligence, taking into consideration various aspects like manufacturing cost, demand, supply, profit margin etc, to protect the interest of both consumers and manufacturers.
The Quint spoke to Dr Anant Bhan, a researcher in the fields of Global Health, Health Policy and Bioethics, to understand his views on this.
Because of the price cap being set at Rs 1200 per dose, the consumer has to pay Rs 1410 per Covaxin dose at a private hospital, which earlier cost Rs 1200 per dose.
One set of people may argue that capping at a higher price is sometimes needed to assist the company to enhance its manufacturing capacity. But can this argument stand in case of a lifesaving drug like COVID-19 vaccine?
Experts said no.
Another important factor is – when the government is procuring Covaxin at Rs 150 plus 5 percent GST per dose, then why is it capping it at Rs 1200 plus 5 percent GST per dose?
In an RTI reply to Commodore Lokesh Batra (Retd), the MoHF has mentioned that the first order for 1 crores doses of Covaxin was procured at Rs 295 plus 5 percent GST per dose from Bharat Biotech. But from the second dose onwards, Bharat Biotech has been supplying Covaxin at Rs 150 plus 5 percent GST per dose – which means that the government did negotiate with the manufacturer to supply the vaccine at a cheaper price.
The other two vaccines available in India is capped at a much lower price compared to Covaxin.
Covishield, manufactured by Serum Institute of India, is capped at Rs 600 per dose, excluding 5 percent GST. It is 50 percent cheaper than Covaxin, although both are manufactured in India.
Sputnik V, manufactured by Dr Reddy’s Laboratories, is capped at Rs 948 per dose, excluding 5 percent GST.
Therefore, it remains unclear why the government is allowing Bharat Biotech to make more profit by capping the price on higher limit at Rs 1200 per dose.
Did the government fail to carry out due diligence before capping the price?
The Quint has written to the Ministry of Health and Family Welfare and Bharat Biotech for their response. We will update the report if and when we get their statement.
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