Executive Summary 1

Introduction 4

Scope and Methodology 6

A Brief History of China Weaponizing Supply Chain Concentration 8

Pathways for Weaponization and Impact Propagation in the Supply Chain 10

A Brief History of the U.S. Response to Pharmaceutical Dependence on China 18

Pathways for Weaponization 20

An Archetype Approach to Understanding U.S. Pharmaceutical Dependence 29

Conclusion 72