title: A Critical Analysis of Concentration and Competition in the Indian Pharmaceutical Market.
abstract: OBJECTIVE
  It can be argued that with several players marketing a large number of brands, the pharmaceutical market in India is competitive. However, the pharmaceutical market should not be studied as a single market but, as a sum total of a large number of individual sub-markets. This paper examines the methodological issues with respect to defining the relevant market involved in studying concentration in the pharmaceutical market in India. Further, we have examined whether the Indian pharmaceutical market is competitive.
  
  
  METHODS
  Indian pharmaceutical market was studied using PharmaTrac, the sales audit data from AIOCD-AWACS, that organises formulations into 5 levels of therapeutic classification based on the EphMRA system. The Herfindahl-Hirschman Index (HHI) was used as the indicator of market concentration. We calculated HHI for the entire pharmaceutical market studied as a single market as well as at the five different levels of therapeutic classification.
  
  
  CONCLUSIONS
  Whereas the entire pharmaceutical market taken together as a single market displayed low concentration (HHI = 226.63), it was observed that if each formulation is defined as an individual sub-market, about 69 percent of the total market in terms of market value displayed at least moderate concentration. Market should be defined taking into account the ease of substitutability. Since, patients cannot themselves substitute the formulation prescribed by the doctor with another formulation with the same indication and therapeutic effect, owing to information asymmetry, it is appropriate to study market concentration at the narrower levels of therapeutic classification.
authors.affiliation: Public Health Foundation of India, Delhi, India.
authors.forename: Aashna
authors.initials: A
authors.lastname: Mehta
authors.affiliation: Public Health Foundation of India, Delhi, India.
authors.forename: Habib
authors.initials: H
authors.lastname: Hasan Farooqui
authors.affiliation: Public Health Foundation of India, Delhi, India.
authors.forename: Sakthivel
authors.initials: S
authors.lastname: Selvaraj
mesh_terms: D004345:Drug Industry; D004465:Economic Competition; D007194:India