The Chemistry of Cost: How India's Grip on Raw Drug Materials Determines What Americans Pay at the Pharmacy Counter
India supplies the active pharmaceutical ingredients for a staggering share of medications dispensed in American pharmacies, yet few patients understand how that upstream dominance shapes the price on their prescription label. From geopolitical vulnerabilities to Washington's drug pricing negotiations, the economics of API dependency run deeper than most policymakers acknowledge. This investigation traces the raw material pipeline that quietly governs what Americans pay for medicine.