For most products, “Made in the USA” is a point of pride.
For medicine, it may be about safety.
After months of investigating drug manufacturing overseas, we found something rare — a company still making generic drugs in the United States. An outlier, at a time when America’s reliance on foreign-made drugs continues to grow, along with the risks.
At Oxford Pharmaceuticals in Birmingham, Alabama, pills move down production lines in a process that has become increasingly uncommon in the United States.
Over the last two decades, drug makers have chased the lowest-cost production overseas, often in facilities far from U.S. regulators in China and India. The shift has come with consequences for quality failures that patients rarely see until it is too late.
Today, more than 90% of the drugs Americans take are generics, and about 80% of those are made overseas, roughly half in India.
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