neither, generally, would be possible in the scenario you describe.
How about 'generic' drugs? are they the best 'manufactured' they can be?
No. But will meet regulatory minimums insofar as active ingredients, purity, etc.
They don’t have a monopoly like the OP described, however. If they did? Yikes…
Notably, that kind of economy is roughly how the USSR ran, and no one praised it when it died.
neither, generally, would be possible in the scenario you describe.