After cardiac stents, government now caps knee implants price, cuts prices by up to 69%

August 17, 2017, Prabha Raghavan, Divya Rajgopal

 After coronary stents, the National Pharmaceutical Pricing Authority (NPPA) has wielded its powers of price control on knee implants — devices used to replace parts of the knee joints that are damaged. The difference this time is that the regulator has exercised its own emergency powers to do so, instead of waiting for the government to bring the devices under the National List of Essential Medicines as it did on stents. 

The drug pricing watchdog slashed the prices of total knee replacement systems and their individual components by as much as 69%, an NPPA notification issued on Wednesday evening showed. 

This decision is expected to lead to a saving of Rs 1,500 crore per year for the people of India, union minister for chemicals and fertilizers Ananth Kumar said. According to him, 1-1.5 lakh orthopaedic knee procedures are done in India annually. 

Industry bodies representing manufacturers said they were reviewing the order and would take their suggestions to the regulator for its effective implementation. 

The price of total knee implants made of cobalt chromium has now been capped at Rs 54,720, down 65% from its average maximum retail price of Rs 1.58 lakh, data from the Ministry of Chemicals and Fertilizers showed. These are the most widely used complete knee implants, it said. 


Total knee implants made of special metals like titanium and oxidized zirconium can be priced at a maximum of Rs 76,600, or 69% lower than the original average MRP. High-flexibility implants have also seen a similar reduction in the maximum price to Rs 56,490. Revision implants, used in repeat procedures when the initial knee implant has failed, is capped 59% lower at Rs 1.14 lakh, down from an average of Rs 2.77 lakh. 

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