FORMAT FOR COMPLAINT BY THE CONSUMER REGARDING OVERCHARGING IN RESPECT OF SCHEDULED FORMULATION

The Director Monitoring & Enforcement

5^th Floor,

YMCA Cultural Centre Building,

1, Jai Singh Road,

New Delhi – 110001.

Sub:-   Selling of the scheduled formulation more than the notified ceiling price.

Sir,

This is hereby informed that scheduled formulation (medicine) sold under the brand name …………….……………..…. manufactured/ imported by ……………………. …………………..…….. (name of manufacturer/ importer) has been sold by ……….…….……………..……………(Name of chemist/retailer) located at ……………………………………………………………… (address of the chemist/retailer) on ………. (date) at a price of Rs…………… for a strip/ bottle/ vial/ pack of ..………… which I suspect is higher than the notified price.

Copy of the strip/ label of the said formulation pack and copy of cash memo is enclosed herewith for your perusal.

You are requested to take appropriate action under the Drug Price Control Order 1995 in respect of the above.

            Yours faithfully,

(Signature)

Dated –                                                                       Name –

Enclosures-                                                                Address –

Telephone no.

(if any)

E-mail address

(if any)