Usually means: Large pharmaceutical companies, global influence.
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We found 7 dictionaries that define the word big pharma:

General (7 matching dictionaries)
  1. Big Pharma, big pharma: Merriam-Webster
  2. big pharma: Oxford Learner's Dictionaries
  3. big-pharma: Wordnik
  4. Big Pharma, big pharma: Wiktionary
  5. Big Pharma (book), Big Pharma (disambiguation), Big Pharma (game), Big Pharma (video game), Big Pharma, Big pharma: Wikipedia, the Free Encyclopedia
  6. big pharma: Longman Dictionary of Contemporary English
  7. Big Pharma: Merriam-Webster

Definitions from Wiktionary (Big Pharma)

noun:  (business, derogatory) Large, prosperous pharmaceutical firms collectively, understood as a business group having significant economic, political, or social influence.
noun:  Alternative form of big pharma [(business, derogatory) Large, prosperous pharmaceutical firms collectively, understood as a business group having significant economic, political, or social influence.]

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