India like many countries uses [selective] price controls. If you cannot meet the stipulated price you cannot sell your drug at all. Many countries can get awa

India like many countries uses [selective] price controls. If you cannot meet the stipulated price you cannot sell your drug at all. Many countries can get away with it because manufacturers figure it's better to make a tiny profit than to be completely cut off from a market. And fighting it can be too much effort when you're dealing with small markets. American consumers in a lot of ways are subsidizing the rest of the world. One idea to fix it was to mandate that a drug company cannot sell to non-American consumers at a cheaper price. When it doesn't work as well, drug availability is impacted and criminals make billions illegally exporting these drugs. And pharmaceutical corporations suffer, but that's not a problem for most countries.