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Healthcare, Pharma & MedTech

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.

5%GST on most medicines and many devices from 22 Sep 2025
45 daysTest-licence timeline from 20 Jan 2026 (was 90)
₹10,000 crBiopharma SHAKTI over five years, Budget 2026-27
Facts as of 1 October 20265 sources citedHow we keep this current

What changed since 2025

The timeline below lists the changes the sources record for the sector, in date order, as of 1 October 2026.

DateChangeEffectSource
22 Sep 2025GST cut for healthMost medicines and many medical devices moved to 5% GST; individual health insurance became exempt. Thirty-three life-saving drugs moved from 12% to nil, and three used for cancer, rare and severe chronic diseases from 5% to nil.PIB, 56th GST Council decisions, Sep 2025
20 Jan 2026NDCT Rules amendedTest-licence timeline cut from 90 to 45 days (G.S.R. 46(E)); the health ministry expects at least 90 days saved in drug development.Akashvani, 28 Jan 2026
1 Feb 2026Budget 2026-27Biopharma SHAKTI (₹10,000 crore over five years) and a scheme for five regional medical hubs announced, with three new All India Institutes of Ayurveda and a scientific review cadre at CDSCO.Budget speech 2026-27
2 May 2026Land-border rule easedPress Note 2 (2026) took legal effect: land-border stakes within 10% and without control can use the automatic route, with prior reporting.DPIIT Press Note 2 (2026)
15 Jul 2026India–UK CETA in forceZero-duty access for about 99% of India’s exports to the UK, with a social security agreement in force the same day.PIB, 17 Jun 2026
29 Sep 2026US pharma tariff widenedThe 100% US tariff on specified patented medicines now covers more companies; qualifying speciality medicines from India may get zero duty, and generics stay outside.Business Standard, 29 Sep 2026

Sources: DPIIT FDI Policy 2020 and Press Note 2 (2026); Business Standard, 8 Nov 2025 and 29 Sep 2026; DoP Annual Report 2025-26; PIB, Sep 2025 and 17 Jun 2026; Akashvani, 28 Jan 2026; Budget speech 2026-27.

Where each change is covered

Later changes are posted on the updates feed.

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