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Any such change in the hydrochloride tramadol treatment Government's policies in the future could adversely affect business and economic conditions in India and could also adversely affect our business, prospects, financial condition and results of operations. 49.Reforms in the health care industry and the uncertainty associated with pharmaceutical pricing, reimbursement and related matters could adversely affect the marketing, pricing and demand for our products. Our success will depend in part on the extent to which government and health administration authorities, private health insurers and other third-party payors will pay for our products. Increasing expenditures for health care has been the subject of considerable public attention in almost every jurisdiction where we conduct business. Both private and governmental entities are seeking ways to reduce or contain health care costs by limiting both coverage and the level of reimbursement for new therapeutic products. In many countries in which we currently operate, including India, pharmaceutical prices are subject to regulation. The existence of price controls can limit the revenues we earn from our products.

In the United States, numerous proposals that would affect changes in the United States health care system in phentermine uk have been introduced or proposed in Congress and in some state legislatures, including the enactment in December 2003 of expanded Medicare coverage for drugs, which became effective in January 2006.

The Obama administration has also indicated that it intends to propose legislation aimed at changing the United States healthcare system. While we cannot predict whether legislative or regulatory proposals will be adopted or what effect those proposals might have on our business, the didrex generic link online tramadol announcement and/or adoption of such proposals could increase our costs and reduce our profit margins. 50.Significant differences exist between Indian GAAP used throughout our financial information and other accounting principles, didrex generic link online tramadol such as U.S. GAAP and IAS/IFRS, with which investors may be more familiar. Our financial statements are prepared in conformity with Indian GAAP. Indian GAAP differs in certain significant respects from IAS/IFRS, U.S. GAAP and other accounting principles and standards. If we were to prepare our financial statements in accordance with such other accounting principles, our results of operations, cash flows and financial position may be substantially different. The significant accounting policies applied in the preparation of our Indian GAAP financial statements are set forth in the notes to our financial statements included in this Draft Red Herring Prospectus. Prospective investors should review the accounting policies applied in the preparation of our financial statements, and consult their own professional advisors for an understanding of the differences between these accounting principles and those with which they may be more familiar. 51.Public companies in India, including us, may be required to prepare financial statements under IFRS or a variation thereof, Ind AS (as defined below). The transition to Ind AS in India is still unclear and we may be negatively affected by such transition. We currently prepare our annual and interim financial statements under Indian GAAP. Public companies in India, including us, may be required to prepare annual and interim financial statements under a variation of IFRS. The ICAI has released a near-final version of the Indian Accounting Standards (Ind AS) 101 "First-time Adoption of Indian Accounting Standards" ("Ind AS"). The didrex generic link online tramadol Ministry of Corporate Affairs of the Government, on February 25, 2011, has notified that Ind AS will be implemented in a phased manner and the date of such implementation will be notified at a later date. As of the date of this Draft Red Herring Prospectus, the MCA has didrex generic link online tramadol not yet notified the date of implementation of Ind AS.

There is not yet a significant body of established practice on which to draw in forming judgments regarding its implementation and application.

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