I've seen the sausage being made and actually made it myself. In every example I've come across, branded medicines (at least for the big companies) are made in

I've seen the sausage being made and actually made it myself. In every example I've come across, branded medicines (at least for the big companies) are made in the manufacturers own factories. Pfizer, Novartis, Merck, etc all have their own factories in Europe and North America.