Trips-plus conditions, which impose standards beyond TRIPS, have also been verified.  These free trade agreements contain conditions that limit the ability of governments to introduce competition for generic drug manufacturers. In particular, the United States has been criticized for promoting protection far beyond the standards prescribed by the TRIPS. The U.S. free trade agreements with Australia, Morocco and Bahrain have expanded patentability by making patents available for new uses of known products.  The TRIPS agreement authorizes the granting of compulsory licences at the discretion of a country. The terms of trips plus in the U.S. Free Trade Agreement with Australia, Jordan, Singapore and Vietnam have limited the application of mandatory licences to emergencies, remedies for cartels and abuse of dominance, and cases of non-commercial public use.  A 2003 agreement relaxed domestic market requirements and allowed developing countries to export to other countries with national health problems until drug exports are part of a trade or industrial policy.
 Drugs exported under such regulations may be packaged or coloured differently to prevent them from affecting the markets of industrialized countries. The 2002 Doha Declaration confirmed that the TRIPS agreement should not prevent members from taking the necessary steps to protect public health. Despite this recognition, less developed countries have argued that flexible TRIPS provisions, such as mandatory licensing, are almost impossible to obtain. The least developed countries, in particular, have made their young domestic manufacturing and technological industries proof of the infallible policy. The World Trade Organization (WTO) is the international organization that deals with trade rules between nations. Since February 2005, 148 countries have been members of the WTO. Countries are committed to complying with the 18 specific agreements attached to the WTO agreement. They cannot choose to be proponents of certain agreements, but not others (with the exception of some “multilateral” agreements that are not mandatory). Among these agreements, the ip rights trade (TRIPS) aspects are expected to have the greatest impact on the pharmaceutical sector and access to medicines. The TRIPS agreement has been in force since 1995 and is the most comprehensive multilateral IP agreement to date.
The TRIPS agreement introduced global minimum standards for the protection and enforcement of almost all forms of intellectual property rights (IPRs), including patent rights. International agreements prior to TRIPS did not contain minimum patent standards. At the time negotiations began, more than 40 countries around the world did not grant patent protection for pharmaceuticals.