This article, which appeared in Economic and Political Weekly, describes the procurement process established by the Tamil Nadu Medical Services Corporation. Most states in India attempted to copy the model of centralized tendering and purchase of drugs.

A study of the Kerala Medical Services Corporation and the State Drug Management Unit in Odisha shows that imitating the original model without factoring in the local context and building up the processes does not lead to success. While Kerala has adapted the Tamil Nadu model and even added innovations, the experiment in Odisha has had dismal results.

This article discusses the potential implications of this model based on what other states have already experienced.