Pakistan imported $61.7 million of goods from India between July and September, up 69 per cent on a year earlier, central bank data show.
The two countries have barely traded since the four-day war in the spring of 2025.
Monthly payments dropped from $20 million in April 2025 to $8.2 million that July, then recovered to $19.6 million by September.
In the year to June 2026, Pakistan paid $203.8 million for Indian imports, 7.6 per cent less than the year before.
Medicines make up almost all of it. Organic chemicals and pharmaceutical products were 96.2 per cent of imports from India in 2025-2026.
Imports of vaccines for human use rose to $32.3 million, up from $11.1 million.
Pakistan banned Indian goods in August 2019 but soon exempted therapeutic products. After the Pahalgam attack in April 2025, it suspended all trade.
Khaqan Najeeb, a former finance ministry adviser, said India's drug makers, especially in active ingredients, win on price and supply.
India made up only about 0.3 per cent of Pakistan's $64.5 billion import bill. China, its biggest partner, supplied $19.5 billion.
Former trade official Muhammad Zubair Motiwala said replacing Indian suppliers could raise costs by 40 to 50 per cent for some businesses.
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