No. Barrels of API (active pharmaceutical ingredient) are mostly hauled from India or China, then formulated into pills or whatever, this goes especially for generic medicines. There is some american manufacture of APIs, but these tend to be on more expensive side (biologicals or small molecule drugs under patent). Inputs for these APIs also tend to be made in India or China
about #1, not only this makes number of potential leakers higher (intentional or not - by opsec failures) but also this narrows down number of loyal, reliable people who also won’t fuck up the job real fast