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10.1152/ajpheart.00207.2004 203

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- India as a global pricing anchor As seen in APIs and vaccines, India could once again reset global reference pricing for obesity and diabetes drugs -Margin compression vs volume expansion The value pool is shiftingfrom per-unit profitability to patient scale Competitive differentiation evolves -Future moats will likely depend on: Clinical outcomes & next-gen formulations Delivery innovation (oral GLP-1, long-acting injectables) Integrated care ecosystems

Bell EJ, Folsom AR, Lutsey PL et al (2016) Diabetes mellitus and venous thromboembolism: a systematic review and meta-analysis