“…Outsourcing in pharmaceutical supply chain is frequently discussed in the processes of: (1) R&D [20,23,25], which benefits in cost-reduction, opportunity-creation, and sustainable development; (2) Manufacturing [20,21,29], which increases the flexibility while remaining competitiveness on cost and quality; (3) Logistics [9,30,31], which enables resource leverage and further performance improvement. In outsourcing, although the internal activities and decision responsibilities have been fully or partly turned over, the elaborate network of buyer-supplier (outsourcing provider) will be developed [32].…”