Pakistan faces shortage of drugs after imposition of sales tax on raw material

A man sorts and arranges medicine packs at a pharmacy store in Peshawar on March 28, 2019. (REUTERS/File)
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Updated 04 February 2022
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Pakistan faces shortage of drugs after imposition of sales tax on raw material

  • The government warns pharmacies, medical stores and wholesale distributors against hoarding medicines amid the pandemic
  • Pharmaceutical manufacturers are planning protest demonstrations in the coming week since they want the government to revisit its decision

ISLAMABAD: Pakistan is facing a shortage of essential medicines in the open market after the government imposed a 17 percent general sales tax on the import of raw material needed to manufacture lifesaving drugs, officials said on Thursday.

The shortage of medicines like paracetamol, panadol and azomax has come at a time when the country is facing the fifth wave of the coronavirus pandemic and its hospitalization rate has surged.

These medicines are also considered vital to treat COVID-19 patients displaying symptoms like fever, flu and sore throat.

Pakistan imports most of its pharmaceutical raw material from China which was not taxed in the past. However, the government imposed a 17 percent general sales tax on its import in January, promising that the amount would be refunded to the companies.

“The sales tax refund is a ploy by the government and will ultimately lead to an acute shortage of all medicines in the market,” Dr. Sheikh Kaiser Waheed, a former chairman of Pakistan Pharmaceutical Manufacturers Association, told Arab News.

Waheed said the shortage of raw material was already becoming problematic for the industry, contributing to the shortage of medicines in the market.

“This will create a black market, boost sales of spurious drugs and jack up prices,” he warned while urging the government to refund the whole sales tax at the import stage.

The Drug Regulatory Authority of Pakistan on Thursday advised the public against “overstocking medicines” at homes. It has also cautioned pharmacies, medical stores and wholesale distributors against stockpiling drugs at such a critical time.

“Any attempt at hoarding of drugs is a punishable offence and legal action will be initiated against perpetrators,” it said in a statement.

The authority acknowledged that the availability of paracetamol was currently under pressure due to higher than usual demand along with international disruption of the supply of its active ingredients.

“Availability is lower than usual despite a 13 percent increase in production of this tablet by leading manufacturer,” it said, hoping the raw material availability would improve in a few weeks.

The pharmaceutical manufacturers on the other hand are planning to stage protest demonstrations from the coming week to push the government to either withdraw sales tax, refund it at the import stage or impose it on the end product to charge it from consumers.

“Our cost of raw material and shipping has increased five to six times in the last six months,” Qazi Mansoor Dilawar, chairman of Pakistan Pharmaceutical Manufacturers Association, said while talking to Arab News, adding the government was “unwilling to increase prices of medicines.”

“If the sales tax is not withdrawn, it will lead to further shortage of medicines and increase in their prices,” he added.


IMF warns against policy slippage amid weak recovery as it clears $1.2 billion for Pakistan

Updated 11 December 2025
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IMF warns against policy slippage amid weak recovery as it clears $1.2 billion for Pakistan

  • Pakistan rebuilt reserves, cut its deficit and slowed inflation sharply over the past one year
  • Fund says climate shocks, energy debt, stalled reforms threaten stability despite recent gains

ISLAMABAD: Pakistan’s economic recovery remains fragile despite a year of painful stabilization measures that helped pull the country back from the brink of default, the International Monetary Fund (IMF) warned on Thursday, after it approved a fresh $1.2 billion disbursement under its ongoing loan program.

The approval covers the second review of Pakistan’s Extended Fund Facility (EFF) and the first review of its climate-focused Resilience and Sustainability Facility (RSF), bringing total disbursements since last year to about $3.3 billion.

Pakistan entered the IMF program in September 2024 after years of weak revenues, soaring fiscal deficits, import controls, currency depletion and repeated climate shocks left the economy close to external default. A smaller stopgap arrangement earlier that year helped avert immediate default, but the current 37-month program was designed to restore macroeconomic stability through strict monetary tightening, currency adjustments, subsidy rationalization and aggressive revenue measures.

The IMF’s new review shows that Pakistan has delivered significant gains since then. Growth recovered to 3 percent last year after shrinking the year before. Inflation fell from over 23 percent to low single digits before rising again after this year’s floods. The current account posted its first surplus in 14 years, helped by stronger remittances and a sharp reduction in imports. And the government delivered a primary budget surplus of 1.3 percent of GDP, a key program requirement. Foreign exchange reserves, which had dropped dangerously low in 2023, rose from US$9.4 billion to US$14.5 billion by June.

“Pakistan’s reform implementation under the EFF arrangement has helped preserve macroeconomic stability in the face of several recent shocks,” IMF Deputy Managing Director Nigel Clarke said in a statement after the Board meeting.

But he warned that Islamabad must “maintain prudent policies” and accelerate reforms needed for private-sector-led and sustainable growth.

The Fund noted that the 2025 monsoon floods, affecting nearly seven million people, damaging housing, livestock and key crops, and displacing more than four million, have set back the recovery. The IMF now expects GDP growth in FY26 to be slightly lower and forecasts inflation to rise to 8–10 percent in the coming months as food prices adjust.

The review warns Pakistan against relaxing monetary or fiscal discipline prematurely. It urges the State Bank to keep policy “appropriately tight,” allow exchange-rate flexibility and improve communication. Islamabad must also continue raising revenues, broadening the tax base and protecting social spending, the Fund said.

Despite the progress, Pakistan’s structural weaknesses remain severe.

Power-sector circular debt stands at about $5.7 billion, and gas-sector arrears have climbed to $11.3 billion despite tariff adjustments. Reform of state-owned enterprises has slowed, including delays in privatizing loss-making electricity distributors and Pakistan International Airlines. Key governance and anti-corruption reforms have also been pushed back.

The IMF welcomed Pakistan’s expansion of its flagship Benazir Income Support Program, which raises cash transfers for low-income families and expands coverage, saying social protection is essential as climate shocks intensify. But it warned that high public debt, about 72 percent of GDP, thin external buffers and climate exposure leave the country vulnerable if reform momentum weakens.

The Fund said Pakistan’s challenge now is to convert short-term stabilization into sustained recovery after years of economic volatility, with its ability to maintain discipline, rather than the size of external financing alone, determining the durability of its gains.