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Does any of the MBB have a decent-sized life science strategy consulting practice? (In my region, I seem to only see IQVIA LEK ZS getting the projects)

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McK and BCG have strong life sciences literally everywhere

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This, Bain is the only MBB which doesn't have a strong presence in life sciences.

Google McK and Purdue Pharma

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OP, you are coming off as a bit naive. In addition to McK and BCG, there are literally hundreds of LS boutiques (US and global) that specialize in everything from market access to pharma supply chain. They do well with emerging biotech given lower billing rates but also have a strong presence in big pharma.

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