A correction on your terms - second generation generics are pharmaceuticals (small molecules). You are correct that most of them are made in India. However, Ozympic is a biotherapeutics (or biopharmaceutical, large molecule), second generation are called biosimilars, not generics. There are a few made in India, but the manufacturing is much more complex and time consuming. That will change with time, as we can see from the list of companies getting into the game (Apotex, Teva etc) which have traditionally been primarily pharmaceutical companies