Puerto Rico is far in the lead as the US state or territory that produces the most pharmaceutical products for export. The island's export output of USD 13.2 billion in 2018 is almost double that of second-placed Indiana at USD 7 billion.

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  Pharmaceuticals are Puerto Rico's most significant export industry, dwarfing the contribution of medical equipment and computers & electronics.

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  When taken as a separate country, Puerto Rico is one of the largest contributors to US pharmaceutical imports, on an equal footing with Ireland.

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