MD-42 License Registration in India – Sell & Stock Medical Devices Legally

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What is MD 42 ?

The MD 42 License is a certification. The Central Drugs Standard Control Organization (CDSCO) and State Licensing Authorities (SLA) issue it. For businesses that sell, stock, distribute, or show medical devices in India.

Medical devices vary from low-risk items like thermometers to high-risk products such as pacemakers. They must meet strict safety and quality standards.

Each business location must apply for its own MD-42 License. This means that if you have many stores or warehouses in India, each one needs its own license. Also, any online seller of medical devices must upload the MD-42 License to the e-commerce platform. They need this approval before listing any products.

This license ensures that everyone involved has the right tools and staff. This includes importers, retailers, wholesalers, and online sellers. They must also keep records to handle medical devices safely.

After the GSR 754(E) notice in 2022, authorities now require the MD-42 License. This applies to both offline businesses and e-commerce vendors. The aim is to protect consumers and ensure that only approved medical devices sell within India.

Who Needs an MD 42 License?

An MD-42 License is needed by all groups that import, distribute, show, sell, or store medical devices. This includes:

  • Retailers: Pharmacies, clinics, and medical shops selling devices.
  • Wholesalers and Distributors: Companies or individuals engaged in the bulk sale or distribution of medical devices.
  • E-Commerce Sellers: Businesses selling medical devices online through platforms like Amazon, Flipkart, PharmEasy, and others.
  • Importers: Entities bringing medical devices into the country may need extra approvals. This includes Forms MD-14 and MD-15 for some device types. 
  • Stockists and Exhibitors are businesses that store or show medical devices at trade fairs, exhibitions, or conferences.

MD 42 License

Benefits of Having an MD-42 License

Obtaining an MD-42 License brings several key advantages to businesses involved in the sale or distribution of medical devices:

  • Legal Protection: Having the MD-42 License ensures that you comply with Indian laws governing medical device sales. This reduces the risk of facing penalties, fines, or legal action from authorities.
  • Enhanced Credibility: Possessing this license boosts consumer trust. Customers are more likely to buy from a licensed business. They feel safer knowing their health and safety are protected
  • Access to E-Commerce Platforms: Major e-commerce platforms such as Amazon, Flipkart, and Snapdeal now require all medical device sellers to have a valid MD-42 License before listing products. Without this license, you cannot legally sell on these platforms.
  • Eligibility for Government Programs: Having an MD-42 License allows your business to join government healthcare programs like Ayushman Bharat (PMJAY). This can lead to more sales and a bigger customer base.
  • Market Expansion: If you want to grow your business and enter new markets or export medical devices, getting an MD-42 License can help. It shows that your business meets Indian regulatory standards.

Step-by-Step MD-42 License Registration Process

Step 1: Prepare Required Documents

To apply for the MD-42 License, you must gather all the necessary documents. The most important document is Form MD-41. It explains the business structure, types of medical devices, and premises information. The documents required for submission include:

  • Proof of business registration (e.g., GSTIN, PAN, Company registration).
  • Premises documents (ownership/rental agreements).
  • Qualifications of technical staff handling medical devices.
  • Good Distribution Practice (GDP) compliance declaration.

Make sure you have the right certificates and ID documents ready. This will help the application process go smoothly and quickly.

Step 2: Register on CDSCO’s SUGAM Portal

Once you have your documents ready, you need to make an account on the SUGAM portal. This is the official CDSCO portal for registering medical devices. After registration, log in and fill out Form MD-41. You’ll need to upload the scanned copies of the required documents.

The portal is easy to use and guides you step-by-step. Make sure to fill out all fields correctly. Incorrect or incomplete submissions can delay the approval process.

Step 3: Pay the Government Fee

Upon completing the form submission, you will need to pay a non-refundable fee of ₹3,000 per premise. You can complete this through online payment methods like UPI or Net Banking. The payment is mandatory for processing your application.

Step 4: Verification and Inspection

Once your application is submitted and the fee is paid, the State Licensing Authority (SLA) will review your documents. They might ask for more information or visit your location to check if you follow all rules.

It’s crucial to have your premises ready for inspection. The SLA may check aspects like storage conditions, labeling, employee qualifications, and records of sales.

Step 5: Grant of MD-42 License

Once the review and inspection are complete, and everything is in order, you will be issued the MD-42 License. This license will be valid indefinitely, provided the business continues to adhere to regulatory requirements. If there are any changes, like a new business address or staff, you must file a change request. Do this through the SUGAM portal.

What is Form MD-41?

Form MD-41 is the primary application form that businesses must submit to apply for the MD-42 License. It collects critical information about your business, including:

  • The legal name and address of the business.
  • Types of medical devices handled.
  • Details of the premises and storage conditions.
  • Qualified technical staff, such as pharmacists and life science graduates, will manage the handling and distribution of medical devices.

This form is vital because it allows authorities to verify that your business meets the standards set by the CDSCO. A complete and accurate Form MD-41 will ensure faster processing and approval of your application.

Classes of Medical Devices That Require MD-42

Medical devices in India are classified based on their risk level, from low-risk items to high-risk devices. The MD-42 License is required for businesses that handle any of the following:

  • Class A (Low Risk): Includes items like thermometers, surgical masks, and bandages. Experts generally consider these safe with minimal risk to the patient.
  • Class B (Low to Moderate Risk): Includes devices like blood pressure monitors, syringes, and certain diagnostic devices.
  • Class C (Moderate to High Risk): Devices such as orthopedic implants, pacemakers, and infusion pumps. These require more detailed documentation and regulatory scrutiny.
  • Class D (High Risk): Includes devices like MRI machines, dialysis machines, and defibrillators. These devices carry the highest risk and are subject to the strictest regulatory requirements.

Each of these classes requires businesses to ensure safe storage conditions, staff qualifications, and compliance with medical device regulations.

Class

Risk Level

Examples

Approval Process

A

Low-risk

Bandages, thermometers, stethoscopes

Self-certification (non-sterile/non-measuring)

B

Low-moderate

Syringes, blood pressure monitors, dental implants

CDSCO scrutiny + safety testing

C

Moderate-high

Orthopedic implants, catheters, dialysis machines

Clinical evaluations + plant audits

D

High- risk

Pacemakers, heart valves, MRI machines

Rigorous inspections + master files

Validity and Renewal of MD 42 License

  • Lifetime Validity: The MD 42 license does not expire. However, you must pay a fee of ₹3,000 every five years to keep it active.
  • Late Fees: Delayed payments incur a monthly penalty of 2%. If the retention fee remains unpaid for six months, the authorities revoke the license. ​
  • Reapplication: If your license revokes, you must submit a fresh application. Utilize Form MD-41 to obtain a new license.

Post-License Compliance Requirements

After receiving the MD-42 License, your business must comply with several ongoing obligations:

  • Display the License: You must prominently display the MD-42 License at your business location and include it in online listings.
  • Record Keeping: Maintain comprehensive records of sales, transactions, batch numbers, and expiry dates for a minimum of two years.
  • Storage Conditions: Class A and B devices should be kept at room temperature. Class C and D devices need to be stored in the fridge with controlled humidity.
  • Inspection Readiness: Be prepared for periodic inspections by the State Licensing Authority to ensure continued compliance with regulations.
  • Post-Approval Changes: If there are any changes in staff, business premises, or device lists, these must be updated with the appropriate authorities.

Special Requirements for E-Commerce Sellers

As online shopping increases, e-commerce sites are changing their rules. Websites like Amazon, Flipkart, and Practo now require all medical device sellers to have a valid MD-42 License.

Sellers must upload their license on the platform before they can list any medical devices. Without this license, you cannot get approval for your products, and you may face suspension of your listings. E-commerce sellers must also ensure that their inventory is compliant with Indian laws and regulations.

Why Choose PSR Compliance for MD-42 Licensing?

At PSR Compliance, we help businesses streamline the MD-42 registration process. Our team has years of experience in assisting clients with:

  • Documentation: Properly preparing Form MD-41 and supporting documents.
  • SUGAM Portal Submissions: Efficiently submitting the application and paying the required fees.
  • On-Site Inspections: Helping clients prepare for inspections to ensure they meet regulatory requirements.
  • Renewals and Updates: Managing the renewal process and handling any post-approval changes.

We make the process simple, fast, and hassle-free, so you can focus on growing your business.

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Frequently Asked Questions

Use the Search Medical Device” feature on the SUGAM Portal or refer to CDSCOnotified devices list.

No. All imported devices require MD-42 and import permits (Form MD-14).

SLAs review applications, conduct inspections, and issue MD-42 Licenses.

Yes, as Class A devices (non-sterile).

Submit a Post-Approval Change” request on SUGAM with updated details.

Fines up to ₹5 lakh, license cancellation, or imprisonment under Section 27 of the Drugs and Cosmetics Act.

Yes, each location requires a distinct MD-42 License.

Yes, if both channels operate under the same business entity.

To get MD-42 registration in Delhi NCR, you need to comply with CDSCO guidelines and submit the required documents. PSR Compliance provides expert assistance to streamline the process.