MD-42 License in India 2026: Complete Registration Process, Fees & Compliance Guide

The medical device industry in India has seen rapid growth over the past few years, driven by increasing healthcare needs, technological advancements, and stricter regulatory oversight. As we move into 2026, regulatory compliance has become more critical than ever, especially for businesses dealing with medical devices. One such important regulatory requirement is the MD-42 License, which plays a vital role in ensuring that medical devices sold or distributed in India meet quality and safety standards.

This article provides a complete, easy-to-understand guide on the MD-42 License in India, including its meaning, advantages, eligibility, documents required, registration process, fees, timelines, validity, and how PSR Compliance can assist you throughout the journey. A practical example is also included to help you understand the real-world application.

Introduction to MD-42 License

The MD-42 License is a regulatory approval issued under the Medical Devices Rules, 2017, by the Central Drugs Standard Control Organization (CDSCO). It is primarily required for entities involved in the import or manufacture of certain categories of medical devices, depending on their classification and intended use.

As regulatory enforcement tightens in 2026, authorities are focusing more on traceability, quality control, and post-market surveillance. The MD-42 License ensures that medical devices entering the Indian market comply with prescribed safety, performance, and quality standards.

Without this license, companies may face serious consequences such as product seizure, penalties, suspension of operations, or even blacklisting from regulatory portals.


Advantages of MD-42 License

Obtaining an MD-42 License offers multiple benefits, not just from a compliance perspective but also from a business growth standpoint.

1. Legal Authorization to Operate

The most important advantage is that it provides legal permission to manufacture or import applicable medical devices in India. Operating without it is considered a violation of Indian law.

2. Increased Market Credibility

An MD-42 License builds trust among hospitals, distributors, healthcare professionals, and end users, as it confirms regulatory compliance.

3. Smooth Customs Clearance

For importers, having a valid MD-42 License ensures faster and hassle-free customs clearance, reducing delays and demurrage costs.

4. Reduced Risk of Penalties

Compliance significantly lowers the risk of inspections, notices, fines, and legal action by regulatory authorities.

5. Business Expansion Opportunities

Licensed entities can easily expand their operations, appoint distributors, and participate in government or institutional tenders.


Who Needs an MD-42 License?

The MD-42 License is not required for everyone. It applies to specific entities involved in the medical device supply chain.

You may need an MD-42 License if you are:

  • A manufacturer of medical devices in India

  • An importer of medical devices into India

  • An authorized agent representing a foreign manufacturer

  • A company dealing with regulated medical devices under CDSCO

  • Businesses planning to launch new medical devices in the Indian market in 2026

Example:

If a company imports diagnostic devices from Germany and sells them to hospitals in India, it must obtain an MD-42 License before initiating imports.


Documents Required for MD-42 License

Documentation is a crucial part of the MD-42 registration process. Incomplete or incorrect documents often lead to delays or rejection.

Commonly Required Documents Include:

  • Covering letter

  • Duly filled MD-42 application form

  • Certificate of Incorporation or Firm Registration

  • GST Certificate

  • PAN Card of the applicant company

  • Authorized Signatory ID and Address Proof

  • Power of Attorney or Authorization Letter

  • Site Master File (SMF)

  • Device Master File (DMF)

  • ISO 13485 Certificate

  • Free Sale Certificate (for imported devices)

  • Labeling and packaging details

  • Undertaking and declarations as prescribed

All documents must be accurate, updated, and aligned with regulatory expectations for 2026.


MD-42 Registration Process in India

The MD-42 License registration process involves multiple steps and interactions with the CDSCO portal.

Step-by-Step Process:

Step 1: Eligibility Assessment

The first step is to evaluate whether your medical device and business model require an MD-42 License under current regulations.

Step 2: Document Preparation

All required documents are collected, reviewed, and formatted as per CDSCO guidelines.

Step 3: Online Application Submission

The application is submitted through the CDSCO online portal along with prescribed government fees.

Step 4: Query Handling

Authorities may raise technical or compliance queries. Timely and accurate responses are crucial at this stage.

Step 5: Application Review

CDSCO officials review the application, documents, and compliance details.

Step 6: Grant of MD-42 License

Upon successful verification, the MD-42 License is issued electronically.


MD-42 License Fees, Timeline, and Validity

Fees

The government fee for MD-42 License depends on:

  • Type of applicant (manufacturer/importer)

  • Number of devices

  • Device classification

Professional consultancy charges may vary based on complexity.

Timeline

In 2026, the typical timeline for MD-42 License approval ranges from 30 to 90 working days, depending on:

  • Accuracy of documents

  • Responsiveness to queries

  • Regulatory workload

Validity

The MD-42 License is generally valid indefinitely, subject to:

  • Payment of periodic retention fees

  • Continuous compliance with regulatory requirements

  • No major violations or non-compliance issues


Real Case on MD42 License 

Let’s understand this with a simple example:

ABC MedTech Pvt. Ltd., a Delhi-based company, plans to import Class B medical devices from South Korea in 2026. Initially, the company was unaware of the MD-42 requirement and faced repeated delays during customs clearance.

After consulting experts, ABC MedTech applied for an MD-42 License, prepared proper documentation, and responded to CDSCO queries on time. Within two months, the license was granted. As a result:

  • Imports became smoother

  • Hospital clients gained confidence

  • The company avoided penalties and business disruptions

This example clearly shows how crucial MD-42 compliance is for uninterrupted operations.


PSR Compliance Assistance for MD-42 License

Navigating regulatory procedures alone can be challenging, especially with evolving compliance requirements in 2026. This is where PSR Compliance plays a key role.

How PSR Compliance Helps:

  • Complete eligibility assessment

  • End-to-end documentation support

  • Error-free application filing

  • Timely response to CDSCO queries

  • Dedicated compliance experts

  • Transparent pricing and timelines

  • Post-license compliance guidance

With PSR Compliance, businesses can focus on growth while regulatory experts handle the complexities.

For a more detailed understanding, you can also explore this resource:
https://www.psrcompliance.com/blog/md-42-license-in-india


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