Yet like the Merck deal, the Pfizer agreement excludes several poorer countries that have been hit hard by the virus. Brazil, which has one of the world’s worst pandemic death tolls, as well as Cuba, Iraq, Libya and Jamaica, will have to buy pills directly from Pfizer, most likely at higher prices compared with what the generics manufacturers will charge. (Those five nations are included in the Merck deal.)
China and Russia — middle-income countries that are home to a combined 1.5 billion people — are excluded from both deals.