Medindia

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About Pharmaceutical Industries In India

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Please note that Medindia does not engage in the sale or purchase of drugs; it solely provides information to facilitate your search for pharmacies.
FORM V
(See Paragraph 2,14 and 15)

Form of price List
  1. Name and address of the manufacturer/importer/distributor.
  2. Name and address of the marketing company, if any.
  3. Details of Prices:-
Sl.No. Name of the Product (BulkDrug/Formulation and its dosage form) Composition approved by Drug Control Authorities Specifications of the pack
Type (*) Size (**)
1 2 3 4 5
A.BULK DRUGS
1.
2.
3.etc.

B.FORMULATIONS
I. Own Production\
1.
2.
3. etc
II. Purchased
1.
2.
3.etc.
Excise Duty, If
any
Local Tax, if any Price to be Retailed (inclusive) of excise(Duty) Retail Price (inclusive of excise ) (Duty) Maximum Retail Price incl. Of All Taxes Effective Batch Number and Date
Rate (Rs) Amt (Rs) Amt. (Rs.) Amount (Rs.) (Rs.) (Rs.) (Rs.)
6 7 8 9 10 11 12

(*) Strip, Bottle etc.
(**) 10's, 100's, 1 ml, 1 gm etc.

NOTES:
  1. Information to be given separately for Scheduled and Non-Scheduled items.
  2. In case of purchased formulation, name of the manufacturer shall be indicated.
  3. The price list must be signed by the authorised signatory of the manufacturers, importer or distributor.
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About Pharmaceutical Industries in India - Form6
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About Pharmaceutical Industries in India - Form4