In Patgram upazila of Lalmonirhat, consumers have expressed anger over pharmacies selling medicines strictly at the maximum retail price (MRP) without offering the usual 5–10 percent discount seen elsewhere in the country. A field visit on April 13 revealed that almost all essential and life-saving drugs, including insulin, were being sold at full price, putting additional financial pressure on buyers, particularly those with chronic illnesses.

Buyers alleged that while pharmacies in neighboring districts such as Rangpur and Kurigram continue to offer regular discounts, Patgram traders have stopped doing so, creating what appears to be an informal market control or syndicate. Pharmacy owners, however, claimed that rising operational costs, including rent and electricity, have made discounts unfeasible. Some businesspeople also hinted at an unofficial local decision discouraging commission or discount offers.

Consumers reported filing complaints with the Directorate of National Consumer Rights Protection but said no effective action had been taken. Observers stressed the need for stronger oversight to ensure transparency in the life-saving medicine market and protect ordinary consumers from financial strain.