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Sector brief 04 of 08

Healthcare, Pharma & MedTech

Greenfield pharma, medical devices and hospitals take 100% FDI on the automatic route; brownfield pharma above 74% needs approval. The main PLI schemes have chosen their beneficiaries, so new entrants look to parks, device sub-schemes and state policies.

100%FDI under the automatic route for greenfield pharma and for medical devices
USD 31 bnPharmaceutical exports in FY2025-26, up from USD 14 bn in FY2014-15
USD 50 bnMedical devices market expected by 2030 (Invest India estimate)

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Cover of the IMC brief: Healthcare, Pharma & MedTech

In this brief

Everything in this sector brief

11 pages, from the market case to the set-up roadmap and every incentive with its status.

Overview

Healthcare, pharma and medtech

Greenfield pharma, medical devices and hospitals take 100% FDI on the automatic route; brownfield pharma above 74% needs approval. The main PLI schemes have chosen their beneficiaries, so new entrants look to parks, device sub-schemes and state policies.

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Recent investments

Recent foreign investments in healthcare and pharma

Hospital buyouts and pharma capability bets lead recent foreign deals: KKR's purchase of Medicover's India hospitals, the Aster DM and Quality Care merger, and Eli Lilly's and Sanofi's Hyderabad commitments. Public examples, as stated by each source.

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FDI rules

FDI rules for pharma, devices and hospitals

Greenfield pharma, devices and hospitals are open to 100% foreign ownership on the automatic route. Brownfield pharma is automatic up to 74% and on the Government route above, with NLEM and R&D conditions. Land-border ownership rules apply to every activity.

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Regulators

Regulators and registrations for pharma and devices

Products need CDSCO or state licences, and prices and marketing are regulated. Devices are classed A to D by risk; importers act through an authorised Indian agent; test licences now carry a 45-day statutory timeline; ceiling prices and the UCPMP 2024 apply from launch.

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Central incentives

Central incentives for pharma, devices and biotech

Production incentives are allocated and device and drug parks are being built. The three PLIs have selected beneficiaries; RPTUAS and PRIP ran in windows; Biopharma SHAKTI (₹10,000 crore) awaits guidelines. New entrants gain mainly through the parks, device sub-schemes and state policies.

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State incentives

State incentives for pharma, biotech and devices

States add SGST refunds, capital subsidies and land support to central aid. Telangana's Next-Gen Life Sciences Policy 2026-30 offers 100% net SGST for five years; Tamil Nadu 100% SGST for 15 years or a 25% capital subsidy; Uttar Pradesh up to 30% capital subsidy.

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Tax and zones

Tax, customs and zones for healthcare and pharma

GST on most medicines and many devices fell to 5% from 22 September 2025, and individual health insurance became exempt. Bulk drug and device parks carry central grants. A foreign-owned company can pay 25.168% corporate tax; a branch pays 36.40% to 38.22%.

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Set-up roadmap

Set-up roadmap for pharma and medtech

From entry decision to commercial production in nine steps: FDI route, regulatory path, site, early incentive filings, land, revised Schedule M, licences, pricing and marketing, and open central support. Importers and hospital operators follow a shorter path.

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What to watch

What to watch in healthcare, pharma and medtech

Quality inspections, price rules and US tariffs drive most of the risk. These are the watch-outs the sources flag, from brownfield FDI conditions and land-border ownership to Schedule M enforcement, DPCO ceiling prices, the marketing code and scheme end dates.

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Recent changes

Recent changes in healthcare and pharma rules

Six changes since September 2025 reshape the sector: GST on medicines and devices cut to 5%, test licences cut to 45 days, Biopharma SHAKTI announced, the land-border rule eased, the India–UK CETA in force and the US pharma tariff widened with generics outside.

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Sources

Sources for healthcare, pharma and medtech

Every source cited in the healthcare, pharma and medtech sector brief, as of 1 October 2026. Entries marked secondary are press or adviser summaries of an underlying official document.

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Updates

Recent changes

All changes
  1. medium impact
  2. US–India interim trade framework announced with an 18% US tariffTrade · PIB, US–India Joint Statement, 7 Feb 2026
    medium impact
  3. medium impact
  4. medium impact
  5. high impact

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