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17. This communication has been issued, in view of the fact that the manufacturing license for sale of Fixed Dose Combinations [FDC], which fall within the definition of the term 'new drug' in the country were granted by the State Licensing Authority without due approval by the Licensing Authority as defined under Rule 21(b). In continuation of this letter, the Directorate of General of Health Service issued a communication dated 05.07.2013 wherein he has expressed that the State Licensing Authority have issued manufacturing licenses for a very large number of Fixed Dose Combinations [FDC] drugs, without prior clearance from Central Drugs Standard Control Organisation [CDSCO]. This has resulted in the availability of many Fixed Dose Combinations (FDC) in the market which have not been tested for efficacy and safety. This can put patients at risk. Though the manufactures were requested to prove the safety and efficacy of the said Fixed Dose Combination[FDC], where the State Authority has accorded license prior to 01.10.2012, within in a period of 18 months. Hardly few manufacturers have sought for the Drug Controller and General of India [DCGI] permission. Therefore, the Drug Controller and General India has fixed the upper limit for receiving such application as 30th August 2013.