health security, with affordable medicines being vital for both India and the U.S., particularly in managing chronic conditions. Indian pharmaceutical companies are key to providing cost-effective and quality-assured medicines, improving outcomes, and ensuring sustainability within the U.S. healthcare system. In FY 2023-24, Indian pharma exports to the U.S. reached $8.7 billion, making it the largest market for Indian companies. For the U.S. Indian companies are supplying 47% of U.S. generic prescriptions and 15% of biosimilars.
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Further, chronic diseases drive 90% of U.S. health spending, which reached $464 billion in 2024. Indian companies contributed about $219 billion in 2022 savings to the U.S. healthcare, totaling $1.3 trillion from 2013 to 2022. The U.S. relies on a global API supply chain, with 87% of FDA-registered API plants abroad, mainly in China, which dominates production. On the other hand India, which sources 70% of its APIs from China, plays a pivotal role in addressing global dependencies through its reach of medicines.
With the new Trump administration taking charge and the expected /upcoming visit of the President Elect Trump to India for the fifth Quad summit, there are significant opportunities for both nations to strengthen collaboration in the pharmaceutical sector.