Glass has to resist attack by the formulation, which can leach ions from the surface or, in the worst case, flake off thin lamellae into the product. Elastomer stoppers must seal through freezing and shipping without extractables migrating into the drug, and are coated to reduce that risk. Both are qualified per product, which is why a shortage cannot be met by buying an equivalent-looking component.
Devices raised the difficulty. A prefilled syringe or an injection pen is an assembly with mechanical tolerances, a needle, a spring and a moulded body, and it has to work first time in a patient's hand. Building and validating that assembly capacity takes years, and it — not the drug substance — is what limited supply of the most demanded injectables of recent years.