Is it easier to go from biotech to pharma or vice versa?

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Doesn’t really matter unless you’re in the actual manufacturing processes, which is the main difference here. The business operations will vary depending on size and maturity of the organization, which is the variation for every company ever.
The governmental regulations are almost exactly the same (vary by product obviously) and they also deal with most of the same industry challenges.

I have worked in industry and done consulting for both types of companies and there isn’t much of a difference except the above.

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Is the pay different between biotech and big pharma?

VP at startup biotech != VP at big pharma.

Everyone’s overtitled in biotech.

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