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What I find disturbing is that filling a prescription costs $700+ in the US, but
those same pills (made in the US) can be bought in Mexico for $20-30, and
probably at similar savings elsewhere in the world. I doubt that the drug companies
lose money on selling it at those prices in foreign countries, so the mark-up in the
US is pure BS.

Yes, it is. If they were *allowed* to sell the drug at the same wholesale price everywhere, the US price of many drugs still under patent would drop by probably 40% to 60%. And the price in other countries would rise to that same level.

But several other countries take the attitude of "they can cover their development costs in the US market; what WE will pay is based on the incremental cost of making another batch of pills and shipping it to us."

There's also the matter that in the US, if they change *anything* about the process of producing a drug - put it in a yellow-tinted capsule rather than a clear one, for example - they have to go through another round of expensive testing. Even if the same yellow-tinted capsule is already in use for several other medicines. Several other countries are much more sensible about allowing drug-makers to switch among inert fillers, inert packaging, etc. without retesting.
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