UNION OF INDIA vs. BGP PRODUCTS OPERATIONS GMBH AND HAGENE IMMERMATT WEG

Case Type: Civil Appeal

Date of Judgment: 22-08-2019

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REPORTABLE IN THE SUPREME COURT OF INDIA CIVIL APPELLATE JURISDICTION Civil Appeal Nos.6588­6591  of 2019  (Arising out of SLPs (Civil) Nos. 3296­3299 Of 2019) UNION OF INDIA & ANR. ETC                APPELLANTS Versus BGP PRODUCTS OPERATIONS GMBH  AND HAGENE IMMERMATT WEG. & ANR. ETC.  RESPONDENTS   J U D G M E N T INDU MALHOTRA, J.   Leave granted.  1. The issue which arises for consideration in the present appeals is the validity of the Notification dated 27.04.2018 issued under Section 26A of the Drugs and Cosmetics Act, 1940 (hereinafter referred to as the “ ”) by the Ministry of Health and Family Act Welfare.  The   impugned   notification   restricts   the   manufacture   of Oxytocin formulations for domestic use, only by public sector 1 undertakings or companies, to the complete exclusion of the private sector companies. However, the manufacture of the drug for export purposes is open to both public and private sector companies.  It was notified that the notification would come into force on 01.07.18.  By a subsequent notification dated 29.06.2018, the date was extended to 01.09.18. 2. Till the  issuance   of  the   impugned   notification,   Oxytocin  was being manufactured by private sector companies to meet the entire need in the country. After the issuance of the impugned notification, Karnataka Antibiotics   &   Pharmaceuticals   Ltd.   (“KAPL”),   a   public   sector company has commenced the manufacture of Oxytocin in May 2018. 3. The Active Pharmaceutical Ingredient (“API”) or the bulk drug is manufactured in India only by one private sector company in India,  viz.  Hemmo Pharmaceuticals Pvt Ltd. (“Hemmo Pharma”). 4. The impugned Notification dated 27.04.2018 was challenged in a group of Writ Petitions by various private sector companies who are   inter alia   manufacturing the drug Oxytocin in W.P.(C) No. 6084/2018, W.P.(C) No. 8555/2018, W.P.(C) No. 8666/2018 and   W.P.(C)   No.   9601/2018   before   the   Delhi   High   Court   on various   grounds.   The   Delhi   High   Court   granted   stay   of   the operation of the impugned notification  vide  Interim Order dated 31.08.2018.   The   order   of   stay   was   extended   by   subsequent 2 Orders, which remained in force till 15.12.2018. The Delhi High Court   vide   a detailed Judgment and Order dated 14.12.2018 has quashed the impugned notification. As a consequence, the impugned notification did not come into force at all.  5. The Appellant­Union of India has filed the present Special Leave Petitions before this Court, to challenge the judgment passed by the Delhi High Court.  6. The subject matter of the present appeals is the drug Oxytocin, which   is   notified   as   an   essential   drug   by   the   World   Health Organization   (WHO)   Model   List   of   Essential   Medicines   since 2002. The concept of “Essential Medicines” was first introduced by   the   WHO   in   1977,   and   has   now   been   adopted   by   many countries, NGOs and international non­profit supply agencies. st Oxytocin continues to be notified in the 21  edition of the WHO Model List of Essential Medicines published in 2019. It is listed under   the   head   “Medicines   For   Reproductive   Health   And Perinatal   Care”   and   the   recommended   form   of   dosage   is “Injection: 10 IU in 1­ mL”. 6.1. Oxytocin is an essential life­saving drug, which is included in the National List of Essential Medicines, 2011 (“ NLEM ”). It   continues   to   be   listed   at   S.No.   26.1.5   in   the   latest notification   published   in   2015.   The   NLEM   is   published st under the 1  Schedule to the Drugs (Prices) Control Order, 2013   (“ DPCO ”)   under   Section   3   of   the   Essential Commodities Act, 1955 (“ ”).  EC Act The   NLEM   specifies   the   recommended   dosage   and strength of Oxytocin injection as 5IU per 1 ml and 10IU per 3 1 ml. Oxytocin injection in the form of “5 IU per ml in 1ml ampoule pack” is included in the “Essential Drug List for the year 2016­2018” at Serial No. 228 published by the National Health Mission, Department of Health and Family Welfare, Government of Himachal Pradesh.  6.2. The objective of the National List of Essential Medicines (NLEM) is that the drugs included in it are adequate to meet   the   contemporary   health   needs   of   the   general 1 population of the country.  It is one of the key instruments in balanced healthcare delivery system of a country. The first NLEM was prepared and released in 1996. This list was subsequently revised in 2003, 2011 and 2015.  NLEM contains those essential medicines “ that satisfy the primary health needs of the country‘s population .” NLEM medicines are required to be made available at all times in adequate   quantities   in   the   appropriate   dosage   forms   to serve the larger public interest. The primary purpose of the NLEM is to promote rational use of medicines considering three important aspects i.e cost, safety and efficacy. The list   is   considered   to   include   the   most   cost­effective medicines for a particular indication.  The   criteria   for   the   inclusion   of   a   medicine   in   the NLEM   inter   alia   includes   that   the   medicine   should   be approved/licensed   in   India;   the   medicine   should   have 1  Press Release on “Essential Drugs” dated 15.03.2013 by the Press Information Bureau, Government of India, Ministry of Health and Family Welfare.  4 proven efficacy and safety profile based on valid scientific 2 evidence; the medicine should be cost effective etc.   The NLEM is prepared by an Expert Core Committee constituted   by   the   Director   General   of   Health   Services (DGHS) out of the World Health Organization (WHO) Model List   of   Essential   Medicines,   Essential   Drugs   Lists   of various   States,   and   medicines   used   in   various   National 3 Health Programmes and Emergency Care Drugs. 6.3. Oxytocin   is   recommended   as   the   first   line   drug   for prevention   and   treatment   of   post­partum   haemorrhage 4 (excess bleeding immediately after child­birth).  Oxytocin is the drug of choice used for pregnant women to induce or augment labour at the time of delivery, to control post­ partum bleeding and uterine hypo­tonicity and is placed 5 under   Schedule   H1   of   the   said   Act.   Oxytocin   is   also included in the Indian Pharmacopoeia published in 2010, 2014, and 2018. 6.4. The misuse of Oxytocin has been the subject matter of discussion   because   of   rampant   misuse   of   the   drug   on milch animals. The issue was under deliberation by the Drugs Technical Advisory Board (“ ”) and the Drugs DTAB Consultative   Committee   (“ DCC ”),   which   are   statutory bodies constituted under the said Act. 2   Executive Summary, Report of the Core Committee for Revision of the National List of Essential Medicines published in 2015. 3  Paragraph 3.1(ii) of the National Pharmaceuticals  Pricing Policy, 2012 (NPPP­2012) dated 07.12.12 published by the Ministry of Chemicals and Fertilizers, Government of India 4   World  Health  Organisation  Recommendations  For  The  Prevention  And  Treatment  Of Postpartum Haemorrhage, 2012  5   Fifty­Ninth Report Of Parliamentary Standing Committee On Health And Family Welfare On The Functioning Of Central Drugs Standard Control Organization 5 The   DTAB   is   a   statutory   body   established   under Section 5 of the said Act. The DTAB consists of technical experts   to   advise   the   Central   Government   and   State Governments on technical issues arising under the said Act.  The DCC has been constituted under Section 7 of the said Act, which consists of representatives of the Central Government, and one representative of each of the State Governments to advise the Central and State Governments, and the DTAB, on any matter relating to secure uniformity in the administration of the Act.  6.5. The deliberations on the issue of rampant misuse of the drug commenced from 1997 onwards.  It is necessary to advert to the deliberations of the meetings   of   these   statutory   bodies   to   understand   the background   in   which   the   impugned   notification   was passed.  6.6. The misuse of Oxytocin came up for discussion first in the st 31   meeting   of   the   DCC   held   on   21.08.1997   and 22.08.1997. The DCC noted that it had received several complaints on the misuse/abuse of Oxytocin in veterinary practice.   Oxytocin   injections   were   being   misused   to artificially   extract   milk   from   cows   and   buffaloes.   The members of the Committee were requested to collect more information on the issue.  6.7. At the 48th meeting of the DTAB held on 08.07.1999, the DTAB discussed the misuse of Oxytocin in milch animals 6 and  the  deleterious  effects due to consumption  of such milk on consumers. The DTAB considered the suggestion of imposing a general ban on the manufacture of Oxytocin. However,   11   members   opined   that   as   the   drug   is “essential”   in   the   medical   field,   and   is   included   in   the “Essential Drug list”, the same could not be prohibited.  The Joint Secretary, Ministry of Food Processing, an invitee to the meeting mooted a suggestion that “ perhaps restricting   the   manufacture   of   Oxytocin   to   PSUs,   and thereafter   keeping   a   track   on   its   distribution ”   may   be considered.  The   representative   of   the   Department   of   Consumer Affairs agreed that the whole issue of use and misuse of Oxytocin injection requires an in­depth examination and suggested that a detailed paper be prepared based on the outcome of such study. st 6.8. At   the   36   meeting   of   the   DCC   held   on   23.07.05   and 24.07.05, the DCC advised not to ban Oxytocin injection since it formed a part of the NLEM. The DCC noted that the sale   of   Oxytocin   had   been   regulated   by   amending   the package   size   of   Oxytocin   to   “single   blister   packs”,   as against the earlier prescribed larger packaging of 50­100 ampoules.  th 6.9. At the 40  Meeting of the DCC held on 29.06.2009, it was observed that the misuse of Oxytocin injection had been reported   in   many   parts   of   the   country,   and   a   strong vigilance was required to stop the clandestine manufacture 7 of the drug. The DCC observed that the drug has a definite place in medical treatment, and is used by gynaecologists universally. The DCC urged the members/representatives of each State to ensure that the clandestine manufacture of the   drug   under   their   jurisdiction   is   curbed   through extensive surveys and raids.  rd 6.10. At the 43   meeting of the DCC held on 14.11.2011, the DCC observed that there was an increasing misuse of the drug by dairy owners, because of the clandestine supply of the drug through illegal channels, and recommended that its   misuse   can   only   be   curbed   through   increased surveillance. th 6.11. At the 44  meeting held on 20.07.2012, the DCC noted the importance of continuous surveillance to stop the misuse of   the   Oxytocin.   After   deliberations,   it   was   agreed   that diversion   of   the   bulk   drug   to   illegal   channels   could   be curtailed to a large extent, if it was ensured that the bulk drug is sold to licensed manufacturers only. th 6.12. On   12.11.2013,   the   DCC   convened   its   46   meeting, wherein the misuse of oxytocin injections to milch animals came up for further discussion.  After   deliberations,   the   DCC   recommended   that   the manufacture   and   sale   of   Oxytocin   injections   should   be banned for veterinary use under Section 26A of the Act coupled with the condition that the manufacturers of the bulk   drug   Oxytocin   should   supply   the   Active 8 Pharmaceutical   Ingredient   (“API”)   only   to   licensed manufacturers of Oxytocin formulations for human use. th 6.13. At the 65   meeting of the DTAB held on 25.11.2013, the misuse of Oxytocin by dairy owners to extract milk from milch   animals   and   its   harmful   effects   on   animals   and human   consumption   was   deliberated   upon.   While acknowledging that Oxytocin had proven medical use for inducing labour, and to control post­partum bleeding and uterine hypotonicity, the DTAB recognized the abundant availability and use of the drug in a clandestine manner, which was a matter of great concern for public health. In spite of the action taken by the authorities to place the drug under Schedule H of the Drugs & Cosmetics Rules, 1945, which requires the drug to be dispensed only on the prescription   of   a   Registered   Medical   Practitioner,   the manufacture and sale of the drug in a clandestine manner in large quantities, and its misuse by the farmers or dairy owners was rampant.  The opinion of the Department of Animal Husbandry, Dairying and Fisheries, Ministry of Agriculture, was sought with   respect   to   the   proposal   for   banning   Oxytocin   for Animal use. It was opined that ban on the production and use   of   Oxytocin   for   veterinary   purposes,   was   not recommended, since the drug has therapeutic application in case of expulsion of foetus, and retention of placenta even in animals.  9 After deliberations, the DTAB noted that since the drug has a definite use for therapeutic purposes, it need not be prohibited. It was, however, opined that the manufacturer of the bulk drug should supply the API only to licensed manufacturers of the drug and veterinary hospitals. It was further recommended that the State Drugs Controllers be asked to curb the misuse of the drug through increased surveillance and raids conducted on the possible hideouts of clandestine manufacture and sale of the drug, and take strict action against the offenders. 6.14. Pursuant to the recommendations made by the DTAB in th the 65  meeting, the Ministry of Health and Family Welfare issued   a   Notification   G.S.R   29(E)   dated   17.01.2014 restricting the manufacture and sale of Oxytocin as under :  “Whereas the Central Government is satisfied that the drug Oxytocin has a definite therapeutic use in certain medical conditions; And whereas the Central Government is satisfied that it is necessary and expedient to regulate and restrict the manufacture, sale and distribution of the said drug in the country to prevent its misuse in public interest. Now, therefore, in exercise of the powers conferred by Section 26A of the Drugs and Cosmetics Act, 1940 (23 of 1940), the Central Government hereby directs that the drug oxytocin shall be manufactured for sale or for distribution   or   sold   in   the   manner   specified   below,   in   addition   to   the provisions contained in the said Act and Rules made thereunder, namely: ­ 1.  The   manufacturers   of   bulk   oxytocin   drug   shall   supply   the   active pharmaceutical drug only to the manufacturers licensed under the Drugs and Cosmetics Rules, 1945 for manufacture of formulations of the said drug.  2. The formulations meant for veterinary use shall be sold to the veterinary hospitals only.”   (emphasis supplied) 6.15. The validity of the aforesaid Notification dated 17.01.2014 was challenged before the Punjab & Haryana High Court in   [W.P.(C)   No. Narang   Medical   Store   v.   Union   of   India 10 7135/2014],     on the ground that it was not in inter alia consonance with the provisions of Section 26A of the Act. The High Court  vide  judgment and order dated 28.01.2016, upheld the validity of the Notification, to avoid the misuse of the bulk drug or Active Pharmaceutical Ingredient used in Oxytocin injections.  th 6.16. At the 67   meeting of the DTAB held on 01.04.14, the DTAB once again recognized that the drug Oxytocin has a definite   role   in   the   medical   field   for   both   humans   and animals, and as such the legitimate manufacture and sale of the drugs cannot be stopped by banning the drug. Even if   the   domestic   manufacturers   are   prohibited   from manufacturing   the   drug,   the   bulk   drug   is   liable   to   be smuggled from the neighbouring countries for illegal use. Misuse can only be contained by enhanced surveillance by the regulatory authorities, followed by strict action against the violators.  After deliberations, the DTAB recommended that at the time of sale of oxytocin by retail chemists, the name and address of the purchaser, the name of the patient, and the quantity supplied shall be recorded. Such records shall be maintained   for   three   years,   and   shall   be   kept   open   for inspection. This would help in not only maintaining the legitimate supply of the drug, but also to curb misuse of the drug through the legitimate sale channels. 6.17. The recommendations of DTAB came to be given statutory effect   by   an   amendment   to   Rule   65   of   the   Drugs   and 11 th Cosmetics Rules,1945   Notification dated 30   August vide   2013   published   by   the   Ministry   of   Health   and   Family Welfare.  6.18.  On 05.11.2014, a meeting was convened by the Minister for   Women   and   Child   Development   Ministry   (MWCD), which   was   attended   by   Secretaries   from   various   other Ministries. In this meeting, a suggestion was mooted that on account of the rampant misuse of Oxytocin, which led to cows and animals contracting diseases, and the illegal use   for   increasing   milk   production,   could   be   effectively controlled if a “ Government of India owned company may be allowed for production of this drug in the country and the .”  private companies may be prohibited for the same th 6.19. At   the   69   DTAB   meeting   held   on   22.04.15,   the   DTAB reiterated its earlier recommendation that Oxytocin “ need not   be   prohibited   as   it   has   definite   use   for   therapeutic purposes. Shri A. K. Tiwari of IVRI stated that the drug oxytocin is an essential drug in the veterinary practice. He added that the Department of animal husbandry had also earlier given his opinion that the ban on production and use of oxytocin for veterinary used is not recommended. ” The DTAB   observed   that   the   misuse   of   the   drug   can   be controlled by stricter control over the manufacture and sale of the drug, especially through clandestine channels. The DTAB noted that “ Constant surveillance by the State Drug Regulatory Authorities and other regulatory authorities can only curb the misuse of the drug. ” 12 th 6.20. In its 70  meeting dated 18.08.15, the DTAB was informed that dairy owners were getting the drug manufactured at dubious premises from unscrupulous suppliers. The DTAB noted that the raw material or the bulk drug was being clandestinely smuggled into the country from the border States,   which   was   then   being   crudely   manufactured clandestinely and sold to dairy owners at a very cheap rate. The DTAB reiterated its recommendation that “ the drug legitimately manufactured is required for medical purposes and as such cannot be prohibited. The misuse of the drug in a   crude   form,   can   only   be   curbed   through   constant surveillance by the Regulatory Authorities. ” th 6.21. On 16.10.2015, the DCC in its 49  Meeting discussed the rampant misuse of Oxytocin through clandestine channels. It was  inter alia  recommended that officials from the State Drug   Regulatory   Authority   must   conduct   periodic   raids with the assistance of the Police at suspected outlets; and that the manufacture and sale of oxytocin formulations by the   licenced   manufacturers   in   the   State,   should   be monitored regularly. th 6.22. On 12.02.2018, the DTAB in its 78   meeting considered the proposal to restrict the supply of Oxytocin formulations for human use only to registered hospitals and clinics in public and private sector to prevent misuse of the drug. The members deliberated upon the matter and “ agreed on a draft notification for regulating, restricting the Oxytocin 13 formulations for human use to be supplied only to registered ”  hospitals and clinics in public and private sector. The DTAB accepted in principle the proposal to amend Rule 96 of the Drugs and Cosmetics Rules, 1945 to ensure that bar­coding system is adopted for the manufacture and sale of Oxytocin formulations so as to ensure track and traceability of the product, to avoid its misuse.  The DTAB had further agreed to prohibit the import of Oxytocin formulations under Section 10A of the said Act for human as well as animal use. rd 6.23. On 09.04.2018, the DCC at the 53  meeting was informed th about the recommendations of the 78  DTAB meeting held on   12.02.2018   to   address   the   misuse   of   Oxytocin.   The DCC, in principle, agreed with the recommendations of the DTAB.  6.24. On 18.04.2018, The Ministry of Health and Family Welfare, issued   a   Notification,   containing   “Draft   Rules”   viz.   the “Drugs and Cosmetics (Amendment) Rules, 2018, on which objections and suggestions were invited to within 45 days. The Draft Rules proposed to amend Rule 96 of the Drugs and Cosmetics Rules, 1945 to ensure that a 3­tier bar­ coding   system   is   adopted   by   licensed   manufacturers   of Oxytocin formulations to facilitate and trace their products. The   relevant   extracts   of   Rule   1   and   2   are   extracted hereinbelow for ready reference: DRAFT RULES “1. (1) These rules may be called the Drugs and Cosmetics ( Amendment) Rules, 2018. 14 (2) These rules shall come into effect after one hundred eighty days of the publication of the final rules in the Gazette of India. 2. In the Drugs and Cosmetics Rules, 1945, in rule 96, in sub-rule (1), after clause (xii) the following clause shall be inserted, namely:- "(xiii) (A) The manufacturers of drug formulations of oxytocin shall print the details specified below to facilitate tracking and tracing of their products, namely:- a. at primary level packaging of two dimensional barcode encoding unique and universal global product identification code in the 14 digits Global Trade Item Number format along with batch number, expiry date and a unique serial number of the primary pack; b. at secondary level packaging of one or two dimensional barcode encoding unique and universal global product identification code in the 14 digits Global Trade Item Number format along with batch number, expiry date and a unique serial number of the secondary pack; c. at tertiary level packaging of one dimensional barcode encoding unique and universal global product identification code in the 14 digits Global Trade Item Number format along with batch number, expiry date and a unique serial number of the Tertiary pack. (B) The manufacturer of drug formulation shall maintain the data in the parent — child relationship for all three level of packaging and their movement in its supply chain. (C) The data referred to in sub-rule (2) shall be uploaded on the central portal of the Central Government by the manufacturer or its designated agency before release of the drugs for sale or distribution. (D) The responsibility of the correctness, completeness and ensuring timely upload of data on the Central portal shall be that of the manufacturer .” The Central Government did not proceed with these Draft Rules, since the Impugned Notification came to be passed on 27.04.2018. As a consequence, the Draft Rules lapsed. 6.25. On 24.04.18, the Ministry of Health and Family Welfare in exercise of its powers under Section 10A of the Act issued a Notification completely prohibiting the import of ‘Oxytocin and its formulation in any name or manner’ into India.  6.26. On 27.04.18, the Ministry of Health and Family Welfare in exercise of its powers under Section 26A of the Act issued the   Impugned   Notification,   which   superseded   the Notification dated 17.01.2014, and directed that the drug Oxytocin   shall   be   manufactured   only   by   public   sector undertakings or companies for domestic use. However, the manufacture of Oxytocin formulations for export purposes shall be open to both public and private sector companies. 15 The   impugned   Notification   date   27.04.2018   is   extracted herein below for ready reference: “ G.S.R. 411(E).—Whereas the Hon’ble High Court of Himachal Pradesh, Shimla, has, in its judgment dated 15.3.2016 in CWPIL No. 16 of 2014 titled ‘Court on its own motion’ versus State of Himachal Pradesh and others, observed that there is large scale clandestine manufacture and sale of the drug Oxytocin leading to its grave misuse, which is harmful to animals and humans;  And   whereas,   the   said   Hon’ble   High   Court   also   observed   that   the feasibility of restricting the manufacture of Oxytocin only in public sector companies and also restricting and limiting the manufacture of Oxytocin by companies to whom licenses have already been granted should be considered;  And whereas, the Drugs Technical Advisory Board constituted under section 5 of the Drugs and Cosmetics Act, 1940 (23 of 1940) considered the   said   issue   in   its   meeting   held   on   the   12th   February   2018   and recommended that Oxytocin formulations for human use be regulated and restricted to be supplied only to registered hospitals and clinics in public and private sector to prevent misuse of the said drug;  And   whereas,   the   Central   Government,   on   the   basis   of   the recommendations of the said Board and after examination of the matter, is satisfied that unregulated and illegal use of the drug Oxytocin is likely to involve risk to human beings or animals and that in the public interest it is necessary and expedient to regulate and restrict the manufacture, sale and distribution of the drug Oxytocin in the country to prevent its misuse by unauthorised persons or otherwise;  Now, therefore, in exercise of the powers conferred by section 26A of the said Act, and in supersession of the notification number G.S.R. 29(E) dated 17th January, 2014, the Central Government hereby directs that the drug Oxytocin shall be manufactured for sale or for distribution or sold in the manner specified below, namely:­  (i) The manufacture of Oxytocin formulations for domestic use shall be by public sector undertakings or companies only and the label of the product shall bear barcodes. (ii)   The manufacture of Oxytocin formulations for export purposes shall be open to both public and private sector companies and the packs of such manufacture for exports shall bear barcodes .   (iii) The   manufacturers   of   active   pharmaceutical   ingredient   of Oxytocin shall supply the active pharmaceutical ingredient only to the public sector manufacturers licensed under the Drugs and Cosmetics Rules, 1945 for manufacture of formulations of the said drug for domestic use.  (iv) The   manufacturers   of   active   pharmaceutical   ingredient   of Oxytocin shall supply the said active pharmaceutical ingredient to the manufacturers in public and private sector licensed under the Drugs and Cosmetics Rules, 1945 for manufacture of formulations of the said drug for export purpose.  (v) The   Oxytocin   formulations   manufactured   by   the   public   sector companies   or   undertakings   licensed   under   the   Drugs   and   Cosmetics Rules, 1945 for domestic use shall supply the formulations meant for human and veterinary use only,­  16 (a) to the registered hospitals and clinics in public and private sector directly; or (b) to the Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) and Affordable Medicines and Reliable Implants for Treatment (AMRIT) outlets or any other Government entity which may be specified by the Central Government for this purpose in the country which shall further supply the drug to the registered hospitals and clinics in public and private sector.  (vi) The Oxytocin in any form or name shall not be allowed to be sold through retail Chemist.”          (emphasis supplied) th 6.27. On 25.07.18, the DTAB in its 80   meeting recommended the amendment of the Impugned Notification by deleting Clause (v) and Clauses (vi) of the impugned Notification dated 27.04.18, so as to ensure availability of the drug for human use. 6.28. The Impugned Notification was subsequently amended by Notification   dated   21.08.18.   The   Notification   dated 21.08.18 substituted clauses (v) and (vi), with the following amended clause (v), “(v)   The   Oxytocin   formulations   manufactured   by   the   public   sector companies or undertakings licensed under the Drugs and Cosmetics Rules,  1945   shall   be   distributed   or   sold   in   accordance   with   such rules .” As a consequence of this amendment, the effect of the impugned   notification   was   diluted,   and   Oxytocin formulations could be sold and distributed by the public sector companies or undertakings in accordance with the Drugs and Cosmetics Rules, 1945 as against the earlier restriction   wherein   Oxytocin   formulations   could   only   be supplied to the registered hospitals and clinics in public and private sector directly; or through the Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) and Affordable 17 Medicines   and   Reliable   Implants   for   Treatment   (AMRIT) outlets. th 6.29. On 30.07.2018, the DCC convened the 54  meeting where the Chairman of the DCC apprised the Committee of the Notification dated 27.04.2018 (“Impugned Notification”) to restrict the manufacture for sale, sale or distribution of Oxytocin   to   only   to   public   sector   undertakings   or companies for domestic use.  The   Secretary,   Ministry   of   Health   &   Family   Welfare requested   the   State   Drug   Controllers   to   ensure   the availability of Oxytocin in their respective States by placing purchase   orders   in   time   with   Karnataka   Antibiotics   & Pharmaceuticals Ltd. (“KAPL”).  6.30. The Ministry of Health and Family Welfare issued another Notification   on   the   same   date   i.e.   21.08.18,   wherein Oxytocin,   which   was   included   under   Entry   No.   382   of Schedule ‘H’ of the Drugs and Cosmetics Rules,1945 was now shifted to Schedule ‘H1’ at Entry No. 47. Schedule H1 refers  to Rules  65  and  97  of  the  Drugs  and  Cosmetics Rules,1945.  As per the said Rules, Schedule H1 prescription drugs provide   for   stricter   control   and   additional   precautions when compared with Schedule H drugs.  The relevant extracts of the Rules are set out herein below for ready reference: . ­ Licences in Forms 20, 20­A, 20­B, 20­F,65. Conditions of licences 20­G, 21 and 21­B shall be subject to the conditions stated therein and to the following general conditions­ 18 …. (3)(1) The supply of any drug [other than those specified in Schedule X] on a prescription of a registered medical practitioner shall be recorded at the time of supply in a prescription  register specially maintained for the purpose and the serial number of entry in this regard shall be entered on the prescription. The following particulars shall be entered in the register:­  (a) serial number of the entry,  (b) the date of supply,  (c) the name and address of the prescriber,  [(d) the name and address of the patient, or the name and address of the owner of the animal if the drug supplied is for veterinary use,]  (e) the name of the drug or preparation and the quantity or in the case of a medicine made up by the licensee, the ingredients and quantities thereof,  (f) in the case of a drug specified in Schedule C or Schedule H and Schedule H1, the name of manufacturer of the drug, its batch number and the date of expiry of potency, if any,  (g)   the   signature   of   the   [registered   Pharmacist]   by   or   under   whose supervision the medicine was made up or supplied …..   (h)    the   supply   of   a   drug   specified   in   Schedule   H1   shall   be recorded in a separate register at the time of the supply giving the name and address of the prescriber, the name of the patient, the   name   of   the   drug   and   the   quantity   supplied   and   such records shall be maintained for three years and be open for inspection. …. (6) The licensee shall produce for inspection by an Inspector appointed under the Act on demand all registers and records maintained under these Rules, and shall supply to the Inspector such information as he may require for the purpose of ascertaining whether the provisions of the Act and Rules thereunder have been observed.  (7) Except where otherwise provided in these Rules, all registers and records maintained under these Rules shall be preserved for a period of not less than two years from the date of the last entry therein.  (8)  Notwithstanding   anything  contained   in  this   Rule  it   shall  not   be necessary to record particulars in a register specially maintained for the purpose if the particulars are recorded in any other register specially maintained under any other law for the time being in force.  9)  (a)      Substances specified in Schedule H and Schedule H1 or Schedule   X   shall   not   be   sold   by   retail   except   on   and   in accordance   with   the   prescription   of   a   Registered   Medical   Practitioner    and in the case of substances specified in Schedule X, the prescriptions shall be in duplicate, one copy of which shall be retained by the licensee for a period of two years.  (b)  The supply of drugs specified in Schedule H and Schedule H1 or   Schedule   X   to   Registered   Medical   Practitioners,   Hospitals, Dispensaries and Nursing Homes shall be made only against the signed order in writing which shall be preserved by the licensee . for a period of two years 19 …. (11) The person dispensing a prescription containing a drug specified in Schedule H and Schedule H1 and Schedule X shall comply with the following requirements in addition to other requirement of these rules.  (a) the prescription must not be dispensed more than once unless the prescriber has stated thereon that it may be dispensed more than once;  (b) if the prescription contains a direction that it may be dispensed a stated number of times or at stated intervals it must not be dispensed otherwise than in accordance with the directions;  (c) at the time of dispensing there must be noted on the prescription above the signature of the prescriber the name and address of the seller and the date on which the prescription is dispensed.  ….. (11­A)   No   person   dispensing   a   prescription   containing   substances specified in Schedule H and Schedule H1 or X, may supply any other preparation,  whether   containing  the   same  substance   or  not,   in  lieu thereof. 97.  Labelling of medicines.— 1 [(1) The container of a medicine for internal use shall— (b) if it contains a substance specified in Schedule H, be labelled with the symbol Rx and conspicuously displayed on the left top corner of the label and shall also be labelled with the following words in legible black coloured font size in completely red rectangular box:  ‘Schedule H Prescription Drug­ Caution: Not to be sold by retail without the prescription of a Registered Medical Practitioner’  (e)  if it contains a drug substance specified in Schedule H1, be labelled   with   the   symbol   Rx,   which   shall   be   in   red   and conspicuously displayed on the left top corner of the label, and shall also be labelled with the following words in legible black coloured font size in completely red rectangular box:  SCHEDULE H1 PRESCRIPTION DRUG – CAUTION. –  ­ It   is   dangerous   to   take   this   preparation   except   in accordance with the medical advice.  ­ Not   to   be   sold   by   retail   without   the   prescription   of   a Registered Medical Practitioner. (emphasis supplied ) 7. The Impugned Notification dated 27.04.18 was challenged by the   Respondents   –   BGP   Products   Operations   GmBH,   Mylan Pharmaceuticals Pvt. Ltd., All India Drug Action Network, Neon Laboratories Ltd. and Ciron Drugs And Pharmaceuticals Pvt. Ltd before the Delhi High Court in May 2018. 20 8. The   Delhi   High   Court   vide   the   Impugned   Judgment   dated 14.12.2018   quashed   the   impugned   Notification   as   being arbitrary and unreasonable. It was held there was no scientific basis, and insufficient data to support the conclusion that the existing availability or manner of distribution of Oxytocin posed a   risk   to   human   life   or   animals,   which   is   one   of   the   pre­ conditions for exercise of power under Section 26A of the Act. The High Court held that the trigger and catalyst to the passing of the impugned Notification was the decision of the High Court of Himachal Pradesh, Shimla dated 15.03.2016 in  Court On Its 6 Own   Motion   vs   State   of   Himachal   Pradesh ,   which   did   not consider   that   Oxytocin   was   an   essential   drug   which   was included   in  the   NLEM.   It   was   further   held   that   the   Central Government did not adequately weigh the danger to the lives of the users of Oxytocin i.e pregnant women and young mothers, nor did it consider the deleterious effect to the public generally and women particularly, of the possible restricted supply of a life­saving drug, if the manufacture is confined to one single public   sector   enterprise,   namely   Karnataka   Antibiotic   and Pharmaceuticals Ltd. (“KAPL”), which admittedly has no prior experience in manufacturing the drug. The High Court opined that the risk of such a consequence can be drastic since the scarcity of the drug, or even a restricted availability can lead to increased maternal fatalities during childbirth, impairing lives of thousands of innocent young mothers. It was held that there is no provision in the Act, including Section 26A, which authorized the Central Government to create a State monopoly in favour of 6  CWPIL No. 16 of 2014 21 one licensee, which did not fall within the protective ambit of Article 19(1)(6)(ii). 9. We have heard the learned Counsel for the parties, and perused the pleadings and written submissions filed by the parties. 10. Mr.   Tushar   Mehta,   Learned   Solicitor   General   and   Mr. Vikramjeet   Banerjee,   Learned   Additional   Solicitor   General   of India appeared on behalf of the Appellant­Union of India.  The   Senior   Counsel   for   the   Union   of   India   assailed   the impugned Judgment on the ground that the High Court had exceeded   its   jurisdiction   by   reviewing   the   sufficiency   of   the material relied upon by the Central Government in exercise of its legislative powers under Section 26A of the Act. The Counsel for the Union of India­Appellants submitted as follows: 10.1. The exercise of power under Section 26A being legislative in  nature, the grounds for judicial review are limited. The  Court  should   exercise   judicial   restraint   in review of policy  matters and cannot sit in appeal over a policy decision.  Since   the   impugned   notification creates a general restriction  with   respect   to   all  licensed manufacturers, it would not  amount   to   an   executive action.  10.2. It   was   further   submitted   that   there   is   a presumption in favour of constitutionality or validity of a subordinate  legislation   and   the   burden   is   upon   the Respondents to show  that   it   is   invalid.   Reliance   was 7 placed on  Akadasi Pradhan  vs State of Orissa ,  State of 7  1963 Supp (2) SCR 691 : AIR 1963 SC 1047 22 8 T.N. v. P. Krishnamurthy , UOI v.  Cynamide   India   Pvt. 9 10 ;   ;   Ltd E   Merck   (India)   Limited   v.   UOI Macleods 11 Pharmaceuticals Limited v. UOIDrug Controller  General 12 of India vs West Bengal Small Scale Manufacturers ,   Uni­ 13 San Pharmaceuticals Ltd.& Anr. v UOI 10.3. It   was   further   argued   that   the   Court   cannot exercise judicial  review   over   a   legislative   act   on   the basis of sufficiency or  insufficiency   of   material.   The Court cannot weigh and sift  through evidence or material relied upon by the Central Government in exercise of its powers under Section 26A.  The Court cannot substitute its wisdom in place of the  wisdom   of   the   Central Government, particularly, in matters  of   public   health and public interest. Reliance was placed on  Union   of 14 India vs Pfizer Ltd. , Khoday Distilleries Ltd. v State  of 15 Karnataka ,   Shimnit   Utsch   India   (P)   Ltd.   v   West   Bengal 16 Transport   Infrastructure   Development   Ltd.   &   Ors. , 17 Directorate of Film Festivals v. Gaurav Ashwin Jain & Ors. , 18 Academy   of   Nutrition   Improvement   v   Union   of   India , 19 Vincent  Panikurlangara   v   Union   of   India ,   Systopic 20 Laboratories v  Dr. Prem Gupta . 8  (2006) 4 SCC 517 9  1987 (2) SCC 720 10  2001 (90) DLT 16 11  2012 SCC Online Mad 1735 12  AIR 2000 Cal 133 13  AIR 2002 Ker 72: (2001) 1 KLJ 822 14  (2018) 2 SCC 39 15  (1996) 10 SCC 304 16  (2010) 6 SCC 303.  17  (2007) 4 SCC 737 18  (2011) 8 SCC 274 19  (1987) 2 SCC 165  20  (1994) Suppl. 1 SCC 160 23 10.4. It was submitted that Section 26­A confers wide powers   on   the   Central   Government   to   either   regulate, restrict or prohibit the manufacture, sale or distribution of a drug, if the   Central   Government   is   “satisfied”   that   the conditions mentioned in Section 26­A exist.  Section 26­A of the Act reads as under: 26A.   Powers of Central Government to prohibit manufacture, etc., of drug and cosmetic in public interest.­­­Without prejudice to any other provision contained in this Chapter, if the Central Government is satisfied, that the use of any drug or cosmetic is likely to involve any risk to human beings or animals or that any drug does not have the therapeutic value claimed or purported to be claimed for it or contains ingredients and in such quantity for which there is no therapeutic justification   and   that   in   the   public   interest   it   is   necessary   or expedient so to do, then, that Government may, by notification in the   Official Gazette, regulate, restrict or prohibit the manufacture, sale or distribution of such drug or cosmetic.” The   Central   Government   was   not   bound   by recommendations of the DTAB or the DCC. The Central Government could independently arrive at a satisfaction with regard to the factum of misuse of the drug.  10.5. The  misuse   of   Oxytocin   was   consistently deliberated by the DCC and DTAB since the past 21 years from 1997 onwards, and formed the basis of the impugned Notification. The minutes of the meetings of the DTAB and DCC   reveal   the   factum   of   misuse   of   Oxytocin   and   its harmful effects on  milch   animals   and   humans   through consumption of such milk. The  subjective “satisfaction” of the Central Government was arrived at after considering 24 the   which was deliberated by the DTAB factum of  misuse and DCC. Reliance was placed on a Chart on Oxytocin Data Compilation from April 2015 to August 2018, which showed that licensed manufacturers were manufacturing far more Oxytocin   than   the   legitimate   national   requirement,   and there   was   a   considerable   amount   of   “leakage”   in   the production. The licensed manufacturers were responsible for this leakage as they were supplying the bulk drug or API manufactured   by   Hemmo   Pharma   to   small   illegal   local units   for   production   of   spurious   Oxytocin.   The   Central Government in public interest decided to strike a balance between   two   competing   interests   i.e   animal   and   human health, and issued the impugned notification. 10.6.The   impugned   Notification   does   not   violate   or extinguish the right to carry on any trade or business or occupation of the Respondent­Manufacturers under Article 19(1)(g). The  Impugned   Notification   does   not   create   a State Monopoly in  favour of KAPL, since the Respondent­ manufacturers still  have a right to export Oxytocin and sell their products  overseas. They are restricted only insofar as domestic  manufacture   and   distribution   of   Oxytocin   is concerned. The Impugned Notification merely regulates the manufacture of Oxytocin, and does not completely prohibit it.  Even   otherwise,   the   High   Court   in   the   impugned judgment has held in favour of the Appellants to the extent that the power to restrict or prohibit under Section 26A can be used to “ partially ban the manufacture of a drug i.e 25 prohibit   its   production   by   private   manufacturers,   and ”.  reserve it, so to speak for the public sector Such a measure cannot be said to be ultra vires the power under the statute.  10.7.The Impugned Notification is protected under Article 19(6) of the Constitution of India. It was contended that Article 19(6)(ii) of the Constitution empowers the State to enact laws with regard to any trade, business, industry or service,  to  the complete or  partial exclusion of  citizens and private  entities.  In the alternative, even if the impugned notification does   create   a   State   monopoly,   there   is   no   requirement under Article 19(6) to enact legislation for the creation of the same. Restrictions on trade can be created by way of notification as well. Such a measure should be presumed to be reasonable and constitutional. Reliance was placed 21 on   Akadasi   Pradhan   vs   State   of   Orissa ,   Khoday 22 Distilleries Ltd. v State of Karnataka , Daruka & Co v Union 23 of India & Ors. , Indian Drugs & Pharmaceuticals Ltd. v. 24 Punjab Drugs Manufacturers Assn. , Municipal Committee, 25 . Amritsar v State of Punjab 10.8. It   was   further   submitted   that   the   impugned notification was  issued   in   furtherance   of   legitimate public interest towards  protection   of   bovine   heath, 21  1963 Supp (2) SCR 691 : AIR 1963 SC 1047 22  (1995) 1 SCC 574 23  (1973) 2 SCC 617 24  (1999) 6 SCC 247 25  (1966) 1 SCC 475 26 maintenance of animal  husbandry   standards   and protection of the environment. The impugned notification is also aimed to prevent the ill  effects   of   Oxytocin,   which may affect human life due to  prolonged   consumption   of milk from milch animals injected  with   the   drug.   The Appellants placed reliance on Articles 48,  48A   and 51A(g) of the Constitution, which form part of the Directive Principles of State Policy. 11. Mr. Kapil Sibal, Mr. Colin Gonsalves and Mr. S. Ganesh, Senior Advocates   appeared   on   behalf   of   the   Respondents.   Ms. Meenakshi Arora, Senior Advocate appeared for the Federation of   Obstetric   and   Gynaecological   Societies   of   India,   and   Mr. Jayant   Mehta,   Advocate   appeared   on   behalf   of   the   Indian Medical Association (Intervenors).  The Respondents submitted as follows: 11.1 The   Respondents   –   BGP   Products   Operations   GmBH, Mylan   Pharmaceuticals   Pvt.   Ltd.,   and   Ciron   Drugs   And Pharmaceuticals   Pvt.   Ltd   have   been   manufacturing Oxytocin injections I.P. 5IU per 1 ml under a license issued under Part VII of the Drugs and Cosmetics Rules, 1945 for over three decades in India. They manufacture the drug only   for   domestic   use.   It   was   submitted   that   the Respondents   have   at   least  50%  of   the   market  share   in terms of manufacturing the drug. It was submitted that the Respondent­manufacturers do not sell the drug directly to the end consumer and only sell by way of wholesale dealing to licensed distributors and licensed retail chemists, and use the very same chain of distribution that KAPL uses.  27 The license issued to the manufacturers under Part VII of the Act also carries with it the license to sell by way of wholesale dealing within the territory of India. As a consequence of the Impugned Notification, the license   issued   to   these   Respondents,   for   all   practical purposes, stood cancelled and terminated.  The   impugned   Notification   impinges   and   violates Article 19(1)(g) of the Constitution in as much as it has completely   prohibited   the   Respondents   from manufacturing Oxytocin as they do not have a license to export the drug. 11.2 It was submitted that the Act provides for a level playing field in relation to the manufacture, distribution and sale of drugs by any person. Reliance was placed on Section 16 read with Schedule II of the Act, to contend that the Act is concerned   with   “ what ”   is   manufactured,   distributed   or sold;   and,   not   with   “ who ”   is   the   manufacturer   or distributor or seller of the drug.  11.3 It was submitted that there was no relevant material or evidence placed before the Central Government for it to arrive   at   a   “satisfaction”   to   completely   prohibit   the manufacture   and   sale   of   the   drug   by   the   Respondent­ Manufacturers. It was submitted that neither the DCC nor DTAB   had   recommended   or   approved   the   complete prohibition   of   manufacture   of   Oxytocin   by   private licensees.   It   was   further   submitted   that   the   statutory bodies had never recommended that the manufacture of 28 Oxytocin for domestic use be exclusively reserved for the public sector.  11.4 It   was   submitted   that   the   basis   of   the   impugned Notification was the decision of the High Court of Himachal Pradesh, Shimla dated 15.03.2016 in   Court On Its Own 26 Motion   vs   State   of   Himachal   Pradesh ,   which   was completely   irrelevant   for   forming   a   “satisfaction”   while issuing the Impugned Notification.  11.5 The Respondent­Manufacturers had never been prosecuted or even issued a Show­Cause Notice under the Act for any misuse or abuse of the drug, or violation of any provisions of the Act. There was no material or evidence to show any illegal   or   clandestine   manufacture   of   Oxytocin   by   the Respondent­manufacturers who are licensed in accordance with law. The Chart on Oxytocin Data Compilation from April   2015   to   August   2018   relied   on   by   the   Central Government to show unutilised quantity of the bulk drug or the API is wholly irrelevant, and was only prepared in August 2018, much after the impugned Notification was passed.  th 11.6 It was  submitted  that at the  78   meeting  of  the  DTAB dated 12.02.18, which forms the basis of the Impugned Notification, the DTAB did not recommend to restrict the manufacture of Oxytocin to public sector companies only, nor did it determine that Oxytocin is likely to pose a risk to animals or humans.   26  CWPIL No. 16 of 2014 29 Rather, the  DTAB  agreed  on a draft notification  for regulating   and   restricting   the   supply   of   Oxytocin formulations only through registered hospitals and clinics in the ‘ public and private sector’. 11.7 It was submitted that the Draft Rules published by the Ministry   of   Health   and   Family   Welfare   on   18.04.2018 suggested and recommended a  3­tier system of barcoding  of all   Oxytocin   formulations   manufactured   by   licensed manufacturers “ so as to ensure track and traceability of the product to avoid its misuse ”. The Central Government after 10   days   i.e.,   on   27.04.2018,   took   the   drastic   course   of prohibiting   the   manufacture   of   the   drug   by   all   private sector   licensees,   and   arbitrarily   issued   the   impugned notification.  It was submitted that there is no material on record to show   on   what   basis   the   Central   Government   suddenly changed   its   stand   between   18.04.2018   and   27.04.2018 from   a   3­tier   system   of   barcoding   to   that   of   complete prohibition  on the  manufacture of the drug  by licensed private sector manufacturers.  11.8 It   was   submitted   that   the   impugned   notification   is arbitrary,   unreasonable   and   issued   with   complete   non­ application of mind. The power under S. 26A cannot be used   in   respect   of   a   licensed   drug,   or   in   respect   of   a spurious,   misbranded,   adulterated   and   illegally   or clandestinely manufactured drug. The “ use of any drug ” as used in Section 26A means its use only for the intended, 30 declared   and   avowed   purpose,   and   does   not   cover   its misuse.   Therefore,   Section   26A   could   not   have   been invoked   to   prohibit/regulate/restrict   the   misuse   of   an essential and licensed drug. 11.9 Section  26A cannot  be  invoked where the  manufacture, sale or distribution of a drug is already “ prohibited ” under Section 18 of the Act. The Act and the accompanying Rules provide   for   a   robust   mechanism   for   countering   any contravention   of   the   Act   by   licensed   manufacturers. Therefore,   there   was   no   public   necessity   to   completely prohibit   all   licensed   manufacturers   from   manufacturing the drug. 11.10 The exercise of power under Section 26A cannot be said to be   legislative   in   nature,   since   it   is   based   on   the “satisfaction” of the Central Government alone. The Central Government   in   exercise   of   its   executive/administrative powers under Section 26A, cannot create a State monopoly in the manufacture for domestic sale of a drug, and claim the protection of Article 19(6) of the Constitution.  Reliance was placed on   Rai Sahab Ram Jawaya Kapur & Ors. v 27 State of Punjab .  11.11 It was further submitted that Memorandum of Delegated Legislation   accompanying   the   Bill   No.65   of   1982 introducing insertion of Section 26A in the Act, makes no reference to the exercise of powers under Section 26A as a form of delegated legislation. 27  (1955) 2 SCR 225 31 11.12 It   was   submitted   that   the   Impugned   notification discriminates   between   private   sector   licensed manufacturers and public sector manufacturers as a State monopoly has been created in favour of one public sector company,   viz.   KAPL. It was submitted that the impugned notification is hit by Article 14 of the Constitution of India as   being   arbitrary,   unreasonable,   discriminatory   and disproportionate.  11.13 By  virtue   of  the   Impugned  Notification,  only  one   public sector   company   viz.   Karnataka   Antibiotic   and Pharmaceuticals   Ltd.   (“KAPL”),   would   be   allowed   to manufacture the drug for domestic purposes. This would create a monopoly in favour of a public sector corporation, which could have a disastrous effect on the supply and availability of the  drug to hospitals and  patients in the country. It was further submitted that KAPL is completely inexperienced, since it obtained a license to manufacture the drug as recently as in April 2018 i.e. a couple of weeks before   the   impugned   notification   was   passed.   It   was submitted that the manufacturing activity commenced in May 2018, after the impugned notification was passed.  11.14 It   was   further   submitted   that   the   Drug   Control Department,   Drug   Testing   Laboratory   Karnataka   had found   that   several   drugs   manufactured   by   KAPL,   as recently as in October 2018 were of Non­Standard Quality (NSQ).  32 11.15 It was further submitted that on 01.11.2017, the Cabinet Committee on Economic Affairs had given its in­principle approval   for   the   strategic   disinvestment   of   the   Central Government’s   100%   equity   stake   in   KAPL   though   an auction sale.  Since the Central Government owns at least 51%  equity  stake  in KAPL,  this  would   mean that upon such   disinvestment   KAPL   would   no   longer   be   a   public sector company/undertaking.  11.16 It was contended that the Central Government could not have invoked Section 26A of the Act, since Oxytocin is an “essential drug” enlisted under the NLEM. The NLEM is st listed   in   the   1   Schedule   to   the   DPCO   notified   by   the Central Government in exercise of its powers under Section 3 of the Essential Commodities Act, 1955. It was submitted that   power   under   Section   26A   cannot   be   exercised   in respect of NLEM drugs. Section 6 of the EC Act gives the DPCO   an   overriding   effect   over   other   statutes.   The impugned notification issued under Section 26A is ultra vires the said provision since it runs counter to the DPCO and the Section 6 of the Essential Commodities Act, 1955.  12. After having heard the Senior Counsel appearing for parties on both sides, we are of the view that the present group of appeals raise serious issues having far reaching implications. The twin issues which arise for consideration are on the one hand, the unregulated and clandestine manufacture of the drug Oxytocin, which is reportedly misused in milch animals; and on the other hand, the continued supply of an essential life­saving   drug,   which   is   used   as   the   first   line   drug   for 33 prevention and treatment of post­partum haemorrhage at the time of childbirth.  The   following   substantial   questions   of   law   arise   for consideration: (i) Whether a drug included in the National List of Essential Medicines   published   under   Schedule   1   of   the   Drugs (Prices Control) Order, 2013 notified under Section 3 of the Essential Commodities Act, 1955 would be subject to the provisions of Section 26A of the Drugs and Cosmetics Act, 1940? (ii) Whether   the   impugned   notification   has   resulted   in creating a monopoly in favour of public sector companies, to the complete exclusion of private sector companies, and if so, whether it would be protected by Article 19(6)(ii) read with Article 14 of the Constitution? (iii) Whether   the   classification   made   by   the   impugned notification   between   licensed   public   sector   and   private sector   companies,   in   the   manufacture   of   the   drug Oxytocin for domestic use, would achieve the object and purpose of preventing the unregulated and illegal use of the drug? 34 (iv)Whether   it   would   be   in   public   interest   to   restrict   the manufacture of a life­saving drug for domestic use, to a single   public   sector   undertaking,   to   the   complete exclusion of the private sector companies, particularly in view of the high maternal mortality rates in the country? (v) Whether there was relevant and objective material before the Central Government to form the basis of satisfaction to exercise the power to prohibit the manufacture of the drug by the private sector companies for domestic use, under Section 26A of the Drugs and Cosmetics Act, 1940? (vi) Whether   the   object   of   curbing   the   clandestine manufacture and unregulated use of the drug Oxytocin, which   is   covered   by   Section   18   of   the   Drugs   and Cosmetics Act, 1940, can be achieved by taking recourse to Section 26A by imposing a ban on the manufacture of licensed drugs by private sector companies? (vii) Whether the exercise of power by the Central Government under Section 26A of the Drugs and Cosmetics Act, 1940 is legislative or executive in nature? 35 13. We are of the considered view that this is a fit case to refer the matter to a larger Bench of three Judges to consider the aforesaid questions of law, and authoritatively pronounce upon the same. Accordingly, we direct the Registry to place the   present   group   of   appeals   before   the   Hon’ble   Chief Justice of India for necessary directions.  .......................................J. (ABHAY MANOHAR SAPRE) ...…...............………………J. (INDU MALHOTRA) New Delhi; August 22, 2019. 36 REPORTABLE IN THE SUPREME COURT OF INDIA CIVIL APPELLATE JURISDICTION CIVIL  APPEAL Nos.6588­6591 OF 2019 (Arising out of S.L.P.(C) Nos.3296­3299 of 2019) Union of India & Anr. Etc.Etc. ….Appellant(s) VERSUS BGP Products Operations GMBH & Hagene Immermatt Weg. & Anr.   Etc.Etc.              ….Respondent(s) J U D G M E N T Abhay Manohar Sapre, J. 1. I have had the advantage of going through an elaborate drafted judgment proposed by my learned sister Justice Indu Malhotra. I entirely agree with the reasoning and the conclusion arrived at by her.  2. I need not set out the facts and submissions of learned counsel for the parties as the same have been succinctly set out by my learned sister in her draft judgment. 1 3. Indeed, having heard very learned and persuasive arguments   of   Mr.   Tushar   Mehta,   learned   Solicitor General for the appellants and Mr. Kapil Sibal, learned senior counsel for the respondents at length and on perusal   of   the   record,   I   am   also   of   the   considered opinion that having regard to the nature of controversy and   the  myriad issues,  which arise in  the  appeals, they have far reaching consequences on the rights of the citizens  qua  State and, in particular, the abstract legal   issues   such   as   what   is   the   nature   of   powers exercised by the Central Government under Section 26­A of the Drugs and Cosmetics Act, whether it is legislative or executive, because we find that there is no decision of this Court so far on this issue. (see observations of this Court in   Union of India & Anr. 2018 (2) SCC 39)  vs. Pfizer Ltd. & Ors.,  4. Secondly, what are the essential ingredients for invoking the powers under Section 26­A of the Drugs and   Cosmetics   Act   in   relation   to   any   Drug   and 2 whether such power is in conflict with the exercise of powers   conferred   under   the   Essential   Commodities Act.  5. Thirdly,   whether   issuance   of   impugned notification   has   resulted   in   creating   monopoly (whether partial or full) in favour of the State and, if so, whether it has satisfied the rigor of Article 14 read with Article 19 (6)(ii) of the Constitution of India. 6. Lastly,  depending upon the answer to the nature of exercise of powers under Section 26­A of the Drugs and Cosmetics Act, whether material relied on by the Central   Government   can   be   held   as   sufficient   to sustain the impugned action.  7. In   my   opinion,   if   the   exercise   of   power   under Section 26­A of the Drugs and Cosmetics Act  is held as   being   legislative   in   nature,   the   parameters   to examine   the   legality   of   the   impugned   notification would be different whereas if it is held to be executive in nature, the parameters to examine the legality of 3 impugned   notification   would   be   somewhat   different than the former one. 8. In my considered opinion, the decision either way on any of these questions will have its far reaching effect on the rights and health of public at large and especially on the rights and health of the teenage girls, pregnant females and milching animals. It will also decide   the   scope   of   the   powers   of   the   Central Government   under   Section   26­A   of   the   Drugs   and Cosmetics Act  qua  the rights of the persons, who are engaged in business of manufacture and sale of Drugs specified under the Drugs and Cosmetics Act read with Essential Commodities Act.  9. In effect, in my opinion, it will not be a judgment inter party but it will be in  rem  laying down the law on the questions.   10. It is for all these reasons, we have formulated the questions   for   being   answered   on   their   respective 4 merits   in   paragraph   12   of   my   sister’s   drafted judgment. 11. Let   the   matter,   therefore,   be   placed   before Hon’ble the Chief Justice of India under Rule VI (2) of the Supreme Court Rules for being  dealt with by the larger bench for their authoritative pronouncement on the   questions   framed   and   for   the   disposal   of   the appeals accordingly. 12. Since I have also formed an opinion to refer the matter to be dealt with by the larger bench under VI (2) of the Supreme Court Rules, I also do not consider it   necessary   to   give   my   opinion   in   detail   on   the questions formulated.          ……...................................J                                       [ABHAY MANOHAR SAPRE]                                         New Delhi; August 22, 2019 5