The ceiling price is calculated by taking the simple average of all branded and generic versions of a medicine with at least 1% market share, then adding a permissible retailer and stockist margin. The annual revision updates this average based on the latest market data, so a ceiling price can actually go down if cheaper generics gain more market share.
Back home, when my father needed a particular blood pressure medicine last year, we watched its price drop after the revision. That market math stopped being abstract—it meant one less worry during the lean monsoon months when the taxi sits idle.
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