M&A in Q1 alone totaled 12 deals for $19.2 bil which is close to the 10 deals for $21.9 bil in all the 1H of 2023...
But one big caveat of this chart, it doesn't include
$Pfizer (PFE.US)$ 's $43 bil deal for $SGEN announced in Mar 2023 but didn't close until Dec bc of an FTC challenge,
Bolt-on deals will likely be preferred over mega deals (>$15 bil) that draw scrutiny from regulators, especially in an election yr where drug prices (IRA) will continue to be in focus.