Isn't this kind of outsourcing outdated, though still much in practice. Though no offence to the big names in this article,still there is a huge threat of replication for this business. You just need a 1 BHK flat, 4 doctors, 2 creative guys, 1 proofreader and you can start this business. The need now a days is of highly specialized people in respective field. Upcoming companies hire people with miniscule experience and portray them as specialized (especially from the field of Clinical Trials, Direct marketing & IT) Pharma marketing people are under the impression that being small players these people will charge less. Pharma companies should also invite quotes from specialized organization and then compare the quotes. This will not only provide them value for money, but anytime better results in terms of timelines.