Government of India - National Pharmaceutical Pricing Authority
Digitization of clearance: Price Approval for New Drug - Form I of DPCO 2013 Help | Status
FORM-I:PROFORMA FOR APPLICATION FOR PRICE FIXATION / REVISION OF A NEW DRUG FORMULATION RELATED TO NLEM FORMULATION
Form-1'S INFORMATION: Help
Name of the Formulation* Please Enter Formulation
Manufacturer/Importer Name* Please Enter Manufacturer/Importer Name
Manufacturer/Importer Address* Please Enter Manufacturer/Importer Address
Name of Marketing Company,if any: Please Enter Name of Marketing Company
Address of Marketing Company,if any: Please Enter Address of Marketing Company
Composition as per label claimed and approved by Drug Control Authorities:* Please Enter Composition as per label approved by DCA
Upload Form-I's Relevent Documents
Choose Document Catagory* Please choose Document Catagory
Upload Choosed Document*
Current valid SDC License having both the names of Manufacturing and Marketing Company *
Agreement / contract between manufacturer and marketer
Any other document(s)
Drug Control Authority
Permission Number* Please Enter Permission Number
Permission Date* Please Enter Permission Date
Date of commencement of production/import Please Enter Date of commencement of production/import
Type of formulation * Please Enter Formulation Type such as (Tablets/ Capsules/ Syrup/ Injection/ Ointment/ Powder etc.)
Size of Packs * Please Enter Pack Size such as (10’s/ 100’s/ 1 ml/ 2 ml/ 10 ml/ 5 gms/ 10 gms etc.)
Therapeutic category/ use of the formulation* Please Enter Therapeutic Catagory
The Retail Price claimed for approval* Please Enter Retail Price claimed for approval
Reason for submission of application for price fixation/ revision* Please Enter Reason for submission of application for price fixation/ revision
Any other information relevant to product and its process of manufacturing/ packaging/distribution.* Please Enter Any other information relevant to product
Authorized Signatory
Name*   Please Enter Signatory Name
Name Of Company*   Please Enter Signatory Company Name
Designation*   Please Enter Signatory Designation
Email Id*   Please Enter Signatory Email Id
Mobile No.*   Please Enter Signatory Mobile No.
Place*   Please Enter Signatory Place
Captcha Code :
Enter Captcha Code:(case sensitive)*   Please Enter Captcha Code