This document provides an overview of the case of Natco Pharma Ltd. vs Bayer regarding the granting of the first ever compulsory license for a pharmaceutical patent in India. It discusses the key considerations and timeline of the case, including Natco's application for a compulsory license to produce the cancer drug Nexavar at an affordable price after Bayer refused to provide a voluntary license or lower the price. The document summarizes the Indian Patent Act provisions for compulsory licensing and the IPAB verdict upholding the license grant with a slightly increased royalty rate for Natco. It also outlines some of the effects on access to medicines and potential solutions.