There is one plant for each big pharma. Eli lilly is in indianapolis. https://www.industryweek.com/expansion-management/strategic-... Novo Nordisk in Raleigh. https://www.pharmaceutical-technology.com/projects/novonordi...

This is not really decentralized and is really risky, for obvious reason. https://www.ibj.com/articles/eli-lilly-asking-employees-to-w...