Manufacture in America, Win in America: Why Big Pharma Is Betting $160 Billion on U.S. Soil

24 April 2025 | Thursday | Analysis

As tariff threats loom, pharmaceutical giants are reshoring operations, signaling a transformative shift in global drug manufacturing.

 


Global pharmaceutical giants have unveiled over $160 billion in fresh U.S. investments within just the past few months. This surge goes far beyond routine business expansion—it marks a deliberate recalibration of global manufacturing strategies. Faced with rising geopolitical tensions, shifting trade policy landscapes, and an urgent need to strengthen supply chain resilience, these companies are doubling down on American soil. The message is clear: in an era of uncertainty, the U.S. is becoming the epicenter of pharmaceutical innovation and production.

The Investment Wave: Who's Leading the Charge?

AstraZeneca
AstraZeneca is investing $300 million in a cutting-edge cell therapy manufacturing facility in Rockville, Maryland. This site will focus on producing T-cell therapies for cancer treatment, initially supporting clinical trials and future commercial supply. The facility is expected to create over 150 highly skilled jobs, reinforcing AstraZeneca's commitment to advancing oncology treatments and expanding its U.S. manufacturing footprint.

Eli Lilly and Company
Eli Lilly has announced an additional $5.3 billion investment to expand its manufacturing site in Lebanon, Indiana, bringing the total investment to $9 billion. This expansion aims to boost the production of active pharmaceutical ingredients for its diabetes and obesity drugs, Mounjaro and Zepbound, addressing the surging demand for these treatments. The Lebanon site is poised to become a central hub for Lilly's manufacturing operations in the U.S.

Johnson & Johnson
Johnson & Johnson plans to invest over $55 billion in U.S. manufacturing over the next four years. This includes constructing four new facilities, with the first—a 500,000-square-foot biologics plant—in Wilson, North Carolina. The expansion is expected to support approximately 5,000 construction jobs and create over 500 permanent positions, focusing on producing medicines for cancer, immune-mediated, and neurological diseases.

Novartis
Novartis has committed to a $23 billion investment to enhance its U.S. manufacturing and R&D capabilities over the next five years. The plan includes building six new manufacturing plants and expanding existing facilities, aiming to produce 100% of its key medicines end-to-end in the U.S. This move underscores Novartis's strategy to strengthen its presence in the American market and mitigate potential supply chain disruptions.

Roche
Roche has announced a monumental $50 billion investment in the U.S. over the next five years, aiming to expand its pharmaceutical and diagnostics R&D centers across multiple states, including Arizona, Indiana, and California. The investment is expected to create over 12,000 new jobs, including nearly 6,500 construction jobs and 1,000 positions at new and expanded facilities. Roche's expansion plans include building a gene therapy factory in Pennsylvania, a glucose monitoring facility in Indiana, and a cardiovascular research center in Massachusetts, reinforcing its commitment to innovation and growth in the U.S.


These significant investments by major pharmaceutical companies highlight a strategic shift towards strengthening U.S. manufacturing and research capabilities. Factors influencing this trend include evolving trade policies, the need for supply chain resilience, and the growing demand for advanced therapies. As the industry navigates these changes, the U.S. is poised to become an increasingly pivotal hub for pharmaceutical innovation and production

 

Decoding the Drivers: Why Now?

Anticipation of Tariffs: President Trump's administration has signaled potential tariffs exceeding 25% on imported pharmaceuticals, urging companies to localize production. While not yet enacted, the mere prospect has catalyzed preemptive investments. 

Supply Chain Resilience: The COVID-19 pandemic exposed vulnerabilities in global supply chains. By reshoring manufacturing, companies aim to mitigate risks associated with international disruptions.

Economic Incentives: U.S. policies, including tax reforms and the Inflation Reduction Act, offer financial incentives for domestic manufacturing, making local investments more attractive.

Market Access and Demand: The U.S. remains the largest pharmaceutical market globally. Proximity to consumers and the ability to respond swiftly to market demands are compelling reasons for domestic production.

Expert Insights

Pascal Soriot, CEO of AstraZeneca, emphasized the strategic importance of U.S. investments: "Our commitment to expanding in the U.S. underscores our dedication to advancing cell therapy innovations and ensuring they are accessible to patients globally." AstraZeneca

David Ricks, CEO of Eli Lilly, highlighted the urgency: "The explosive demand for our diabetes and obesity treatments necessitates rapid scaling of our manufacturing capabilities to serve patients effectively."

Vas Narasimhan, CEO of Novartis, pointed to the broader industry trend: "Europe's declining competitiveness in biopharma, coupled with the U.S.'s supportive environment, is prompting a strategic realignment of our operations." Financial Times

The Bigger Picture

This wave of investments signifies more than just economic growth; it represents a paradigm shift in pharmaceutical manufacturing. As companies navigate the complexities of global trade, regulatory landscapes, and market demands, the U.S. emerges as a pivotal hub for innovation and production.

While the full impact of these investments will unfold over the coming years, one thing is clear: the mantra "Manufacture in America, Win in America" is not just a slogan—it's the new reality shaping the future of global pharmaceuticals.

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