It is 9 am,  and a cold December morning in Gangtok, Sikkim’s capital. The laid-back city has woken up. Luckily, there are no clouds. So the snow-peaked Kanchenjunga is visible from most points in the city. On the sloping roads, hard-working locals are carrying blue-colored LPG cylinders on their backs, to be delivered to hotels. Clearly, life is more demanding in the hills. It is no different for the pharma manufacturers who have set up base in Sikkim over the past decade.