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Area 23 definitely takes creatives without pharma experience.
For copy, pharma agencies need people who can write high-science stuff, so they do tend to rely on people who have pharma chops.
Also if you’re not in pharma, why are you trying to enter it? I wish I could get out.
@OP that might be the issue. It’s often the same in consumer where freelancers need to be very experienced in the brand category, pitches or whatever the gig concerns as their job is to dive in on hot projects. I wouldn’t be able to land a freelance gig for a derm brand for example, but I’m sure I could work on derm as a fulltimer.