Union Government Allocates Supply of Remdesivir To 19 States/Uts With High Burden of COVID Cases,NPPA and the National Regulator to Monitor Movement and Demand

(Judicial Quest News Network)

Various steps have been taken by Government of India to address the emerging issues for effective management of the recent unprecendented spike in COVID19 cases across various States and UTs. These pro-active measures taken by the Union Government under a ‘whole of government’ are also being regularly reviewed and monitored at the highest level.

The escalation of serious COVID19 patients in hospitals for effective clinical management has also resulted in anincrease in the demand of Remdesivir. While the States have been advised to promote judicious use of the drug which is listed as an Investigational Therapy by the Health Ministry, they have also been advised to take action against possible hoarding and black marketing of the drug.

Keeping in mind the sudden surge in demand in the country for Remdesivir Injection required for Covid-19 therapy, the manufacturing capacity of domestic Remdesivir manufacturers has been ramped up. All support is being extended to manufacturers by the government in this endeavour. The production capacity is being ramped up from current level of 38 lakh vials per month to 74 lakh vials per month, and 20 additional manufacturing sites have been approved. Export of Remdesivir has also been prohibited on 11th April,2021 in order to shore up domestic supplies.

To further address reports of shortages in certain regions of the country and facilitate smooth inter-state supply of Remdesivir, Ministry of Health and Family Welfare in coordination with Department of Pharmaceuticals has made an interim allocation of Remdesivir for 19 States/UTs for the period up to 30th April, 2021.

Remdesivir being an investigational therapy drug given in acute and severe versions of COVID-19 where oxygen support is a must, this allocation pertains to 14 States to which medical oxygen is allocated and 5 other states where the high volume of supplies are being observed.

State-wise Allocation of Remdesivir for 21st to 30th April
S No.	States under O2 Allocation	Guidance on Allocation	Zydus Cadila	Hetero	Mylan	Cipla	Syngene / Sun	Jubilant	Dr. Reddys	Total Allocation
1	Chhattisgarh	48,250		16,000	20,000	9,000		2,000	1,250	48,250
2	Delhi	61,825	20,400	22,000	4,000	5,000	7,500	3,000		61,900
3	Gujarat	163,559	120,000	14,500	15,000	8,000	5,000	1,000		163,500
4	Haryana	29,441		20,000	4,000	3,000		2,500		29,500
5	Andhra Pradesh	58,881		18,000	30,000	5,000			6,000	59,000
6	Karnataka	25,352			17,400	1,000	6,000	1,000		25,400
7	Kerala	16,192		1,000	–	11,100	1,000		3,000	16,100
8	Madhya Pradesh	92,411	15,000	30,000	20,000	10,000	6,000	10,000	1,400	92,400
9	Maharashtra	269,218	50,000	50,000	32,000	92,400	23,000	16,000	5,800	269,200
10	Punjab	13,412		4,000	2,000		2,400	3,000	2,000	13,400
11	Rajasthan	26,169	10,000	1,000	10,000	3,000		2,500		26,500
12	Tamil Nadu	58,881	20,000	14,400	19,000	5,000		500		58,900
13	Uttar Pradesh	122,833	50,000	22,000	11,000	11,000	4,800	24,000		122,800
14	Uttarakhand	13,575	7,000		–			1,500	5,000	13,500
	Total	1,000,000	292,400	212,900	184,400	163,500	55,700	67,000	24,450	1,000,350
	States not under O2 allocation				–					–
15	Telangana	21,551		9,000	9,000			500	3,000	21,500
16	West Bengal	27,321	10,000	7,500	1,000	3,500	2,400	1,000	2,000	27,400
17	Odisha	11,107	1,000	4,500	1,600	1,500		2,500		11,100
18	Bihar	24,604	14,000	6,500	1,000	2,000		1,000		24,500
19	Jharkhand	15,417	10,000	1,650	500	2,000		1,000		15,150
	Total	100,000	35,000	29,150	13,100	9,000	2,400	6,000	5,000	99,650
	Grand Total	1,100,000	327,400	242,050	197,500	172,500	58,100	73,000	29,450	1,100,000

The allocation includes bulk purchases made by the States as well as supplies through private distribution channels. This initial allocation is dynamic and will be reviewed constantly in consultation with the States, to ensure all needs can be met within the available supplies.

1. All States not covered by the above-mentioned allocation will be considered for allocation when their supply orders are placed with the manufacturers.
2. The manufacturers have been advised to consider supply orders already made to them, geographical proximity with a State and terms of supply and give inputs for mapping of manufacturers to states for the allocated volumes. Resultant mapping is attached herewith.
3. Manufacturers have been directed to manufacture and dispatch the supplies as per the agreed State allocation and mapping. They may be asked to balance supplies to the Government and distribution channel.
4. All States may place their supply orders to manufacturers, if not already done, either by Government purchase or distribution channel, within the above-mentioned State-wise allocation and manufacturer-wise mapping.
5. In case any State does not require or is unable to fully utilize its allocation before 30^th April, that would be available for reallocation to other States as per their requirement.
6. The States may immediately appoint State Nodal officers for Remdesivir who will be responsible for unrestricted and timely movement of Remdesivir within their States as per the above-mentioned allocation and mapping.
7. Control Room set up by National Pharmaceutical Pricing Authority (NPPA) shall be responsible for monitoring the operations as per the allocations. A Whatsapp group comprising Nodal officers of States to coordinate unhindered movement of Remdesivir within the country is being created. Liaison Officers of the Remdesivir manufacturers and officials of Ministry of Home Affairs, Dept of Pharmaceuticals, National Pharmaceutical Pricing Authority (NPPA) and Central Drugs Standard Control Organisation (CDSCO) would be part of this Group for day to day monitoring and coordination.