The United States imports pharmaceutical products from many countries, with Ireland, Germany, Switzerland, India and the Netherlands being among the top suppliers. In 2023, the US imported $170 billion in pharmaceutical products.
In March 2025, Irish pharmaceutical exports to the US surged significantly, driven by tariff concerns. The value of exports to the US rose by 394.9% year-over-year, reaching €25.4 billion, or $28.5 billion. This increase was largely attributed to pharmaceutical and medical goods, which made up 94% of the total export value.
In 2024, Germany's pharmaceutical exports to the US were a significant €27 billion, representing 23.8% of all German pharma exports. This makes the US the leading destination for German pharmaceuticals, with the Netherlands and Switzerland following.
In 2024, Swiss exports of pharmaceuticals to the United States were around CHF 35 billion. This represents a significant portion of total Swiss pharmaceutical exports, which are a major driver of the Swiss economy. Switzerland is a major supplier of pharmaceuticals to the U.S. market.
In 2023, the Netherlands exported $10.1 billion worth of pharmaceutical products to the United States. This makes the US the top destination for Dutch pharmaceutical exports
India's pharmaceutical exports to the US were a significant $9.8 billion in the period of April-February 2024-25, representing 36.6% of India's total pharma exports.
China is a significant exporter of pharmaceutical products to the United States, with U.S. imports from China growing substantially in recent years. In 2022, U.S. imports of China-made pharmaceuticals reached $10.3 billion, representing a 485% increase compared to $2.1 billion in 2020. This rise in imports has also increased China's share of U.S. pharmaceutical imports from under 2.5% in 2020 to over 6% in 2022.
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During the Cholesterol Fad, we bought Crestor from Canada Drug to dodge the higher US prices. Now the Fads have shifted to Weight Loss and Diabetes 2 prevention and we are attacking the higher prices in the US. Weight loss can be accomplished by careful selection of foods and limiting portions. Annual Physicals should include Blood Work to identify the proper levels of vitamins and minerals.
In 2025, a significant portion
of U.S. pharmaceutical manufacturing operations are located overseas,
particularly in the production of active pharmaceutical ingredients (APIs). While
the exact percentage varies depending on the specific metric (e.g., number of
facilities, value of imports), a substantial portion, estimated at around 72%
for API facilities, is located overseas.
https://www.google.com/search?q=what+%25+of+us+pharma+companies+are+overseas+2025
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The US is reshoring critical pharmaceutical manufacturing back to the US.
Norb Leahy, Dunwoody GA Tea Party Leader
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