India's rural healthcare offers vast growth potential for pharma and OTC brands. Success requires targeted sales, efficient distribution, affordability strategies, digital tools, and brand revitalisation to overcome last-mile challenges.

India's evolving pharma policies—NPPA price controls, DPCO, NLEM—impact profitability. Strategies include portfolio diversification, rural market focus, leveraging PLI, Ayushman Bharat, Jan Aushadhi, margin rationalization, GST awareness, and digital health compliance for growth.