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If you are planning to distribute medical devices in India, not manufacture them, not import them directly, just store and sell them, you still fall under regulation. Many people miss this point and assume distribution is informal. It isn’t anymore.
India’s medical device rules now clearly say that anyone who sells, stocks, exhibits or distributes medical devices must be registered with the licensing authority. This applies even if you are only operating at a local or regional level
So before you rent a warehouse or sign distributor agreements you need to understand how the distributor license works, what form applies and what regulators actually expect from you in 2026
Medical devices are no longer treated as a side category of drugs. Since the notification of the Medical Devices Rules 2017 under the Drugs and Cosmetics Act 1940 the government has been tightening control across the entire supply chain
That includes manufacturers, importers and yes distributors
The logic is simple. Devices can cause harm if stored incorrectly, sold without traceability or handled by untrained personnel. Regulation at the distribution level is meant to prevent that
Your distributor registration comes under the Medical Devices Rules 2017. These rules are enforced by State Licensing Authorities with overall oversight by the Central Drugs Standard Control Organisation (CDSCO) under the Ministry of Health and Family Welfare
You are not applying for a “drug license” for devices anymore. That older route has been phased out for medical devices.
Medical Device Manufacturing License Registration in India (2026 Update)
As a distributor, wholesaler or retailer of medical devices you must obtain a Registration Certificate in Form MD-42
To get that certificate you submit an application in Form MD-41
This registration allows you to:
medical devices and in-vitro diagnostic devices in India.
Without MD-42, distribution is considered unauthorized.
Unlike manufacturing licenses for higher-risk devices, distributor registrations are handled at the state level.
You apply to the State Licensing Authority where your business premises are located. The state authority reviews your documents, may inspect your premises, and then issues MD-42 if everything is acceptable.
You must be a legally recognized business entity in India. That can be a proprietorship, partnership, LLP, or company. There is no restriction on business structure, but you must have a physical premises used for storage and distribution.
Virtual addresses do not work here.
Every distributor must appoint Competent Technical Staff (CTS). This is not optional.
The CTS is responsible for overseeing storage, handling, and distribution activities. Regulators look closely at this person’s qualifications.
The CTS can be:
If you do not clearly demonstrate this in your application approval will stall
The list is not complicated, but accuracy matters.
You typically submit:
Authorities are less forgiving now than they were a few years ago. Inconsistent addresses, unclear CTS roles or missing signatures often trigger objections
You complete Form MD-41 and submit it to the State Licensing Authority, usually through the designated online system or as notified by the state.
You also pay the government fee specified in the Second Schedule of the Medical Devices Rules.
Once submitted, the authority reviews your application. If documents are clear and complete, the process moves fast. If not, queries are raised.
Many states conduct a physical inspection before issuing MD-42.
The inspecting officer checks:
This is not meant to intimidate you. It is meant to confirm that what you declared actually exists
The MD-42 registration certificate does not expire annually. However you must pay a retention fee every five years to keep it valid
Missing the retention timeline can lead to cancellation. This happens more often than people think
Once licensed, you must:
A distributor is part of the regulated chain, not outside it.
If you plan to distribute medical devices in India registration under Form MD-42 is mandatory. The process is not difficult but it does require attention to detail and an understanding of what regulators expect in real terms
If you want to avoid delays and move forward with confidence working with Agile Regulatory can make the process smoother and more predictable
Nishi Chawla
03 Feb, 2026
Nishi Chawla
03 Feb, 2026
Vanshika Mathur
03 Feb, 2026
Divya Saxena
03 Feb, 2026
Nishi Chawla
02 Feb, 2026
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